PREVALÊNCIA DE HIPERTENSÃO ARTERIAL EM POPULAÇÃO ADULTA DA UBSF ZONA URBANA DO MUNICÍPIO TACURU/MS

A hipertensão arterial sistêmica (HAS) está definida como a pressão sanguínea de valor igual ou superior a 140/90 mmHg para um adulto jovem. As doenças do aparelho circulatório estão em primeiro lugar como causa de morte no mundo, seguidas pelas neoplasias, causas externas e doenças do aparelho respiratório. Dentre as doenças do aparelho circulatório, as isquêmicas e o infarto agudo do miocárdio são as principais causas de mortalidade, seguidas das hipertensivas, evidenciando as doenças cardiovasculares como problema primordial de saúde pública do Brasil. Os objetivos do trabalho foram Promover o acompanhamento e adesão ao tratamento anti-hipertensivo pelo paciente na ESF Nair Maria Bressan, zona urbana, município de Tacuru/MS; identificar fatores de risco mais frequentes que influem na Hipertensão arterial da população estudada e estabelecer estratégias de prevenção contra a doença. A abrangência da UBSF é responsável pela cobertura de 1.143 famílias, totalizando 4.573 pessoas dentre os quais 2.563 são adultos e destes 438 (17,1%) cadastrados por Hipertensão arterial. A intervenção foi realizada por meio de Oficinas temáticas com os Hipertensos cadastrados e acompanhados na ESF. Na população estudada houve predomínio do sexo feminino (61,2%). Os riscos mais frequente associado à patologia foram o tabagismo, a dislipidemia e não realização de exercícios físicos. Conscientização de equipe de saúde do trabalho integral em todos os espaços de intervenção com a participação do individuo, família e fatores comunidade. Conclui-se que é necessário à adesão do paciente ao tratamento, já que a HAS é uma doença crônica

Representaciones Sociales de la Imagen Corporal en Alumnos Universitarios

Este trabajo forma parte de los productos terminales derivados del proyecto de investigación clave 148351 del Programa de Consolidación de Grupos de Investigación y Cuerpos Académicos en la modalidad de retención, bajo el auspicio del Consejo Nacional de Ciencia y Tecnología (conacyt). Agradezco profundamente la valiosa intervención de dicha institución en el desarrollo y consecución del proyecto.Resumen: Este artículo presenta los resultados parciales del estudio de las representaciones sociales de la imagen corporal en la singularidad-colectividad de alumnos universitarios de la Unidad Académica Profesional Nezahualcóyotl, mediante la técnica de entrevista en profundidad, con la pretensión de comprender la multiplicidad de percepciones, significados, significantes, saberes, códigos, reconocimientos, mitos, ideologías, emociones en torno a aquella. En una circunstancia histórico-social, donde el culto al cuerpo estético, al cuerpo y a su imagen grotescamente atractivizada se instaura como la huella simbólico-hegemónica omnipresente en la actividad abstracta y concreta del hombre, sujeto “yo-para-mí” posmoderno, situamos el eje de discusión en la posibilidad de contribuir con la puesta en escena de los discursos, actos y procesos que permiten, desde su complejidad sociocultural, el conocimiento de las relaciones que guarda con su identidad singular y con el grupo de pertenencia. Abstract: This article presents the partial inquiry of the study of social representations of the body image in the particularity-collectivity of university students at the Nezahualcoyotl Professional Academic Unity, using the in-depth interview technique, with the aim of understanding the multiplicity of perceptions, meanings, signifiers, knowledge, codes, awards, myths, ideologies, and emotions around the aforementioned. In socio-historical circumstances, where the cult of the aesthetic body, and the body grotesquely attractive image, the imprint is established as a pervasive hegemonic symbolic-abstract and concrete activity of man, postmodern “I-for-me” subject we place the axis of discussion at the chance to contribute to the staging of discourse, acts and processes that permit, socio-cultural complexity, knowledge of the interrelationships with its unique identity and group membership.Proyecto de investigación clave 148351 del Programa de Consolidación de Grupos de Investigación y Cuerpos Académicos en la modalidad de retención, bajo el auspicio del Consejo Nacional de Ciencia y Tecnología (CONACYT)

Los hábitos alimentarios de estudiantes universitarios

En el Estado de México, al igual que en el resto del país, el problema de la obesidad ha ido en aumento. Esta enfermedad se presenta en todos los grupos sociales y niveles educativos incluido aquí el nivel superior. Es de llamar la atención que aun en este nivel de estudios se presente el padecimiento. Si se parte de la afirmación de que los estudiantes han tenido la accesibilidad al conocimiento sobre una alimentación saludable, entonces resulta necesario considerar otros factores y no precisamente el conocimiento por lo que se plantea como objetivo describir la formación de los hábitos alimentarios en los estudiantes universitarios. El presente es un estudio transversal donde se identifican los hábitos alimentarios de alumnos Universitarios a través de la utilización de un instrumento. Los resultados arrojan que a la mayoría de los alumnos les gustan los alimentos que consumen. Llama la atención que a pesar de que saben que no son saludables los siguen consumiendo afirmando que lo hacen por la necesidad que tienen de satisfacer el hambre, por el gusto y la economía. Con esto se concluye que es el habitus lo que hace que coman lo que les gusta, porque les gusta lo que tienen

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

Search for dark matter produced in association with bottom or top quarks in √s = 13 TeV pp collisions with the ATLAS detector

A search for weakly interacting massive particle dark matter produced in association with bottom or top quarks is presented. Final states containing third-generation quarks and miss- ing transverse momentum are considered. The analysis uses 36.1 fb−1 of proton–proton collision data recorded by the ATLAS experiment at √s = 13 TeV in 2015 and 2016. No significant excess of events above the estimated backgrounds is observed. The results are in- terpreted in the framework of simplified models of spin-0 dark-matter mediators. For colour- neutral spin-0 mediators produced in association with top quarks and decaying into a pair of dark-matter particles, mediator masses below 50 GeV are excluded assuming a dark-matter candidate mass of 1 GeV and unitary couplings. For scalar and pseudoscalar mediators produced in association with bottom quarks, the search sets limits on the production cross- section of 300 times the predicted rate for mediators with masses between 10 and 50 GeV and assuming a dark-matter mass of 1 GeV and unitary coupling. Constraints on colour- charged scalar simplified models are also presented. Assuming a dark-matter particle mass of 35 GeV, mediator particles with mass below 1.1 TeV are excluded for couplings yielding a dark-matter relic density consistent with measurements

Impact of COVID-19 on cardiovascular testing in the United States versus the rest of the world

Objectives: This study sought to quantify and compare the decline in volumes of cardiovascular procedures between the United States and non-US institutions during the early phase of the coronavirus disease-2019 (COVID-19) pandemic. Background: The COVID-19 pandemic has disrupted the care of many non-COVID-19 illnesses. Reductions in diagnostic cardiovascular testing around the world have led to concerns over the implications of reduced testing for cardiovascular disease (CVD) morbidity and mortality. Methods: Data were submitted to the INCAPS-COVID (International Atomic Energy Agency Non-Invasive Cardiology Protocols Study of COVID-19), a multinational registry comprising 909 institutions in 108 countries (including 155 facilities in 40 U.S. states), assessing the impact of the COVID-19 pandemic on volumes of diagnostic cardiovascular procedures. Data were obtained for April 2020 and compared with volumes of baseline procedures from March 2019. We compared laboratory characteristics, practices, and procedure volumes between U.S. and non-U.S. facilities and between U.S. geographic regions and identified factors associated with volume reduction in the United States. Results: Reductions in the volumes of procedures in the United States were similar to those in non-U.S. facilities (68% vs. 63%, respectively; p = 0.237), although U.S. facilities reported greater reductions in invasive coronary angiography (69% vs. 53%, respectively; p < 0.001). Significantly more U.S. facilities reported increased use of telehealth and patient screening measures than non-U.S. facilities, such as temperature checks, symptom screenings, and COVID-19 testing. Reductions in volumes of procedures differed between U.S. regions, with larger declines observed in the Northeast (76%) and Midwest (74%) than in the South (62%) and West (44%). Prevalence of COVID-19, staff redeployments, outpatient centers, and urban centers were associated with greater reductions in volume in U.S. facilities in a multivariable analysis. Conclusions: We observed marked reductions in U.S. cardiovascular testing in the early phase of the pandemic and significant variability between U.S. regions. The association between reductions of volumes and COVID-19 prevalence in the United States highlighted the need for proactive efforts to maintain access to cardiovascular testing in areas most affected by outbreaks of COVID-19 infection

Outcomes from elective colorectal cancer surgery during the SARS-CoV-2 pandemic

This study aimed to describe the change in surgical practice and the impact of SARS-CoV-2 on mortality after surgical resection of colorectal cancer during the initial phases of the SARS-CoV-2 pandemic

Elective cancer surgery in COVID-19-free surgical pathways during the SARS-CoV-2 pandemic: An international, multicenter, comparative cohort study

PURPOSE As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19–free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19–free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19–free surgical pathways. Patients who underwent surgery within COVID-19–free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19–free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score–matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19–free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION Within available resources, dedicated COVID-19–free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

Elective Cancer Surgery in COVID-19-Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study.

PURPOSE: As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19-free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS: This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19-free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS: Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19-free surgical pathways. Patients who underwent surgery within COVID-19-free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19-free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score-matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19-free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION: Within available resources, dedicated COVID-19-free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

Measurement of double-parton scattering in inclusive production of four jets with low transverse momentum in proton-proton collisions at root s=13 TeV

A measurement of inclusive four-jet production in proton-proton collisions at a center-of-mass energy of 13 TeV is presented. The transverse momenta of jets within vertical bar eta vertical bar 4.7 are required to exceed 35, 30, 25, and 20 GeV for the first-, second-, third-, and fourth-leading jet, respectively. Differential cross sections are measured as functions of the jet transverse momentum, jet pseudorapidity, and several other observables that describe the angular correlations between the jets. The measured distributions show sensitivity to different aspects of the underlying event, parton shower modeling, and matrix element calculations. In particular, the interplay between angular correlations caused by parton shower and double-parton scattering contributions is shown to be important. The double-parton scattering contribution is extracted by means of a template fit to the data, using distributions for single-parton scattering obtained from Monte Carlo event generators and a double-parton scattering distribution constructed from inclusive single-jet events in data. The effective double-parton scattering cross section is calculated and discussed in view of previous measurements and of its dependence on the models used to describe the single-parton scattering background