The Creative Economy on the Environmental of the Technological Parks and Incubators

The creative economy has become a key element in generating ideas, products and services being an evolving concept based on creative assets, which modifies the profile of industry and global market, from the partnership between creativity and economics combined with innovation and technology. In Brazil, Technological Parks and Incubators, in turn, have not devoted themselves with real interest in this emerging sector; they are involved primarily with technologies for areas such as biotechnology, environment, embedded electronics, alternative energy, oil, software and, mainly, IT (ICT). This article identifies how the economy and creative industry have changed the entrepreneurial profile in the national and global environment and how these trends are applicable in relation to the environment of the Parks and Incubators for the inclusion of creativity in the current Brazilian scenario. Shows that the creative production promotes skills that constitute the knowledge of Design, Architecture,Cultural Heritage, Media, Culture and Arts, acting democratically, adding knowledge, diversity and differentiation, overcoming social and regional barriers and making social inclusion. It shows that a market segment that involved about US $ 624 billion in 2011, more than doubling between 2002 and 2011, maintains a growth trajectory has only 2% of the featured activities of the Parks aimed at its development and promotion

Revisão latino-americana do International Design Scoreboard: levantamento de dados para informação de políticas públicas de design

There are many difficulties in measuring the impact of design on the development of nations, which in turn undermines the value of design as a tool for national competitiveness. This study aims to contribute to the gathering of data which can guide the development of the national design sector and design promotion programs. For this purpose, isolated data is not sufficient. Instead, accurate, clear and objective data is required to enable analyses and comparisons with other references in order to draw conclusions and direct actions. This research builds on the International Design Scoreboard (2009), which is characterised by the use of indicators that quantify the design capacity of nations, through data that is comparable in both absolute and relative terms. This methodology utilises a number of metrics that allowed the rearchers to develop an overview of the scenario of design in three Latin American countries – Brazil, Colombia and Uruguay – in comparison with other countries around the world.Keywords: public policies, design, indicators, scoreboard, Brazil, Colombia, Uruguay.Existem diversas dificuldades na mensuração do impacto do design no desenvolvimento dos países, o que contribui para a subvalorização do design como uma ferramenta para o aumento da competitividade. O presente estudo visa contribuir no levantamento de informação a fim de orientar o desenvolvimento do setor do design e dos programas de fomento à atividade nos países. Para isso, dados isolados não são suficientes. São necessários dados concisos, claros e objetivos que permitam análises e comparações com outras referências, a fim de elaborar conclusões e ações. Nessa direção, a metodologia escolhida foi o IDS – International Design Scoreboard (2009), caraterizada pelo uso de indicadores que contribuem para evidenciar a capacidade de design das nações, mediante a coleta de dados consistentes e uniformes que possibilitem a comparação. Dita metodologia faz uso de uma estrutura enxuta de indicadores que permitiu aos pesquisadores ter uma primeira visão concreta da situação real do design em três países da América Latina – Brasil, Colômbia e Uruguai – frente a outros países ao redor do mundo.Palavras-chave: políticas públicas, design, indicadores, scoreboard, Brasil, Colômbia, Uruguai

Revisão latino-americana do International Design Scoreboard: levantamento de dados para informação de políticas públicas de design

There are many difficulties in measuring the impact of design on the development of nations, which in turn undermines the value of design as a tool for national competitiveness. This study aims to contribute to the gathering of data which can guide the development of the national design sector and design promotion programs. For this purpose, isolated data is not sufficient. Instead, accurate, clear and objective data is required to enable analyses and comparisons with other references in order to draw conclusions and direct actions. This research builds on the International Design Scoreboard (2009), which is characterised by the use of indicators that quantify the design capacity of nations, through data that is comparable in both absolute and relative terms. This methodology utilises a number of metrics that allowed the rearchers to develop an overview of the scenario of design in three Latin American countries – Brazil, Colombia and Uruguay – in comparison with other countries around the world.Keywords: public policies, design, indicators, scoreboard, Brazil, Colombia, Uruguay.Existem diversas dificuldades na mensuração do impacto do design no desenvolvimento dos países, o que contribui para a subvalorização do design como uma ferramenta para o aumento da competitividade. O presente estudo visa contribuir no levantamento de informação a fim de orientar o desenvolvimento do setor do design e dos programas de fomento à atividade nos países. Para isso, dados isolados não são suficientes. São necessários dados concisos, claros e objetivos que permitam análises e comparações com outras referências, a fim de elaborar conclusões e ações. Nessa direção, a metodologia escolhida foi o IDS – International Design Scoreboard (2009), caraterizada pelo uso de indicadores que contribuem para evidenciar a capacidade de design das nações, mediante a coleta de dados consistentes e uniformes que possibilitem a comparação. Dita metodologia faz uso de uma estrutura enxuta de indicadores que permitiu aos pesquisadores ter uma primeira visão concreta da situação real do design em três países da América Latina – Brasil, Colômbia e Uruguai – frente a outros países ao redor do mundo.Palavras-chave: políticas públicas, design, indicadores, scoreboard, Brasil, Colômbia, Uruguai

Miradas y voces de la investigación educativa I

Fil: Ferreyra, Horacio Ademar. Universidad Católica de Córdoba. Facultad de Educación; ArgentinaFil: Calneggia, María Isabel. Universidad Católica de Córdoba. Facultad de Educación; ArgentinaFil: Di Francesco, Adriana Carlota. Universidad Católica de Córdoba. Facultad de Educación; Argentin

Rising rural body-mass index is the main driver of the global obesity epidemic in adults

Body-mass index (BMI) has increased steadily in most countries in parallel with a rise in the proportion of the population who live in cities(.)(1,2) This has led to a widely reported view that urbanization is one of the most important drivers of the global rise in obesity(3-6). Here we use 2,009 population-based studies, with measurements of height and weight in more than 112 million adults, to report national, regional and global trends in mean BMI segregated by place of residence (a rural or urban area) from 1985 to 2017. We show that, contrary to the dominant paradigm, more than 55% of the global rise in mean BMI from 1985 to 2017-and more than 80% in some low- and middle-income regions-was due to increases in BMI in rural areas. This large contribution stems from the fact that, with the exception of women in sub-Saharan Africa, BMI is increasing at the same rate or faster in rural areas than in cities in low- and middle-income regions. These trends have in turn resulted in a closing-and in some countries reversal-of the gap in BMI between urban and rural areas in low- and middle-income countries, especially for women. In high-income and industrialized countries, we noted a persistently higher rural BMI, especially for women. There is an urgent need for an integrated approach to rural nutrition that enhances financial and physical access to healthy foods, to avoid replacing the rural undernutrition disadvantage in poor countries with a more general malnutrition disadvantage that entails excessive consumption of low-quality calories.Peer reviewe

Height and body-mass index trajectories of school-aged children and adolescents from 1985 to 2019 in 200 countries and territories: a pooled analysis of 2181 population-based studies with 65 million participants

Summary Background Comparable global data on health and nutrition of school-aged children and adolescents are scarce. We aimed to estimate age trajectories and time trends in mean height and mean body-mass index (BMI), which measures weight gain beyond what is expected from height gain, for school-aged children and adolescents. Methods For this pooled analysis, we used a database of cardiometabolic risk factors collated by the Non-Communicable Disease Risk Factor Collaboration. We applied a Bayesian hierarchical model to estimate trends from 1985 to 2019 in mean height and mean BMI in 1-year age groups for ages 5–19 years. The model allowed for non-linear changes over time in mean height and mean BMI and for non-linear changes with age of children and adolescents, including periods of rapid growth during adolescence. Findings We pooled data from 2181 population-based studies, with measurements of height and weight in 65 million participants in 200 countries and territories. In 2019, we estimated a difference of 20 cm or higher in mean height of 19-year-old adolescents between countries with the tallest populations (the Netherlands, Montenegro, Estonia, and Bosnia and Herzegovina for boys; and the Netherlands, Montenegro, Denmark, and Iceland for girls) and those with the shortest populations (Timor-Leste, Laos, Solomon Islands, and Papua New Guinea for boys; and Guatemala, Bangladesh, Nepal, and Timor-Leste for girls). In the same year, the difference between the highest mean BMI (in Pacific island countries, Kuwait, Bahrain, The Bahamas, Chile, the USA, and New Zealand for both boys and girls and in South Africa for girls) and lowest mean BMI (in India, Bangladesh, Timor-Leste, Ethiopia, and Chad for boys and girls; and in Japan and Romania for girls) was approximately 9–10 kg/m2. In some countries, children aged 5 years started with healthier height or BMI than the global median and, in some cases, as healthy as the best performing countries, but they became progressively less healthy compared with their comparators as they grew older by not growing as tall (eg, boys in Austria and Barbados, and girls in Belgium and Puerto Rico) or gaining too much weight for their height (eg, girls and boys in Kuwait, Bahrain, Fiji, Jamaica, and Mexico; and girls in South Africa and New Zealand). In other countries, growing children overtook the height of their comparators (eg, Latvia, Czech Republic, Morocco, and Iran) or curbed their weight gain (eg, Italy, France, and Croatia) in late childhood and adolescence. When changes in both height and BMI were considered, girls in South Korea, Vietnam, Saudi Arabia, Turkey, and some central Asian countries (eg, Armenia and Azerbaijan), and boys in central and western Europe (eg, Portugal, Denmark, Poland, and Montenegro) had the healthiest changes in anthropometric status over the past 3·5 decades because, compared with children and adolescents in other countries, they had a much larger gain in height than they did in BMI. The unhealthiest changes—gaining too little height, too much weight for their height compared with children in other countries, or both—occurred in many countries in sub-Saharan Africa, New Zealand, and the USA for boys and girls; in Malaysia and some Pacific island nations for boys; and in Mexico for girls. Interpretation The height and BMI trajectories over age and time of school-aged children and adolescents are highly variable across countries, which indicates heterogeneous nutritional quality and lifelong health advantages and risks

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Heterogeneous contributions of change in population distribution of body mass index to change in obesity and underweight NCD Risk Factor Collaboration (NCD-RisC)

From 1985 to 2016, the prevalence of underweight decreased, and that of obesity and severe obesity increased, in most regions, with significant variation in the magnitude of these changes across regions. We investigated how much change in mean body mass index (BMI) explains changes in the prevalence of underweight, obesity, and severe obesity in different regions using data from 2896 population-based studies with 187 million participants. Changes in the prevalence of underweight and total obesity, and to a lesser extent severe obesity, are largely driven by shifts in the distribution of BMI, with smaller contributions from changes in the shape of the distribution. In East and Southeast Asia and sub-Saharan Africa, the underweight tail of the BMI distribution was left behind as the distribution shifted. There is a need for policies that address all forms of malnutrition by making healthy foods accessible and affordable, while restricting unhealthy foods through fiscal and regulatory restrictions