Systematic review on the control of type 2 diabetes mellitus

El presente estudio tiene el objetivo de evaluar el mejor programa de intervención asociadas al control de la glucemia en la diabetes mellitus tipo 2. Se plantea el problema: ¿Cuál es el mejor programa de intervención para el control de la glucemia en diabetes mellitus tipo 2? La metodología utilizada es básica, descriptiva a través de revisión sistemática de estudios publicados en el periodo del 2015 al 2020, es de tipo teórico sobre el control de la diabetes mellitus tipo 2, encontradas en la base de datos de MEDLINE PubMed. Resultados: Para el presente estudio se analizaron 12 revistas para el control de la DM2, los mismos con diferentes programas y actividades de intervención para el control glucémico. Según las investigaciones, se evidencia que la dieta con la actividad física reducen o retrasan la incidencia de DMT2 (Hemmingsen et al., 2017). Así como el ejercicio aeróbico más el ejercicio fuerza y el ejercicio interválico (combo) presentan eficacia en el control glucémico (Quílez Llopiz & Reig García-Galbis, 2015), también se reconoce que caminar es eficaz como herramienta terapéutica para controlar la DM2 (Moghetti et al., 2020). Y que existe sinergia entre el masaje chino (CM) en combinación con la tableta de clorhidrato de metformina, sugiriendo que el CM puede ser usado como tratamiento auxiliar de la DM2 y como reductor del tratamiento farmacológico de la DMT2, mejorando la eficacia clínica y reductor de las reacciones adversas (Zhang et al., 2020). Mientras que la alfabetización en salud, es un determinante para el control de la glucemia. (Souza et al., 2020). Por su parte, la utilización de tecnologías sobre el control glicémico en DMT2, presentan altos niveles de satisfacción entre aquéllos que lo utilizaron (Anjana et al., 2020). Conclusión: se concluye que, a nivel de atención primaria, los programas de alfabetización actúan como determinante del control glicémico; así mismo, la dieta más la actividad física controlan eficazmente la glucemia. También es importante promover la utilización de tecnologías sobre el control glicémico en DMT2, debido al alto nivel de satisfacción que presentan aquéllos que lo utilizan.This study aims to evaluate the best intervention model associated with blood glucose control in type 2 diabetes mellitus. Research problem: What is the best intervention model for blood glucose control in type 2 diabetes mellitus? The method used is a systematic review of studies published in the period 2015 to 2020, is of theoretical type on the control of type 2 diabetes mellitus, found in the MEDLINE PubMed database. Results: For the present study, 12 journals were analyzed for the control of DM2, the same ones with different programs and intervention activities for glycemic control. According to research, it is evident that diet with physical activity reduce or delay the incidence of T2D (Hemmingsen et al., 2017). Just as aerobic exercise plus strength exercise and intervaric exercise (combo) have efficacy in glycemic control (Quílez Llopiz & Reig García-Galbis, 2015), walking is also recognized as an effective therapeutic tool to control T2DM (Moghetti et al., 2020). And that there is synergy between Chinese massage (CM) in combination with metformin hydrochloride tablet, suggesting that CM can be used as an auxiliary treatment of DM2 and as a reducer of pharmacological treatment of T2DM, improving clinical efficacy and reducing adverse reactions (Zhang et al., 2020). While health literacy is a determinant for blood glucose control (Souza et al., 2020). On the other hand, the use of technologies on glycemic control in T2D, present high levels of satisfaction among those who used it (Anjana et al., 2020). Conclusion: it is concluded that, at the primary care level, literacy programs act as a determinant of glycemic control; likewise, diet plus physical activity effectively control blood glucose. It is also important to promote the use of technologies on glycemic control in T2D, due to the high level of satisfaction presented by those who use it

Revisión sistemática sobre implementación de indicadores de calidad de la atención

This study aims to identify through the scientific literature the quality of care indicators implemented in hospitals. The problem arises: What are the quality indicators of care implemented in the hospitalization service? The research aims to identify the indicators used to evaluate the quality of care implemented in the hospital service unit. The method used is a review of studies published in the period 2016 to 2020, it is of type systematic review on quality indicators to measure care, found in the database of MEDLINE PubMed, Scielo. Results. The revised research was ten primary studies focused on various areas such as geriatrics, hospital cardiovascular and other more general areas (traumatology, acute care, surgical). The systematic review studies covered in this study were two; the other investigations 08 used a sample ranging from 41 to 2705 hospitalized cases. With regard to study design, 02 correspond to systematic review, 03 scope review and formative review, 02 cross-sectional descriptive study, 01 quasi-experimental study, 01 trial, 01 triangulation. Conclusion: The quality of health care, is measured using different methods mainly depending on clinical outcomes is why the implementation of indicators is necessary and that these ensure the formula to build the indicator, as well as specify the frequency and unit of measurement and the source of the data that are required to develop the indicator and the compliance threshold..El presente estudio tiene el objetivo de identificar mediante la literatura científica los indicadores de calidad de la atención implementados en los hospitales. Se plantea el problema: ¿Cuáles son los indicadores de calidad de la atención implementado en el servicio de hospitalización? La investigación tiene por finalidad identificar los indicadores utilizados para evaluar la calidad de atención implementados en la unidad de servicio hospitalario. El método utilizado es una revisión de estudios publicados en el periodo del 2016 al 2020, es de tipo revisión sistemática sobre los indicadores de calidad para medir la atención, encontradas en la base de datos de MEDLINE PubMed, Scielo. 1085 - 220 Resultados. Las investigaciones revisadas fueron diez estudios primarios centrados en diversas áreas como geriatría, cardiovascular hospitalarias y otras áreas más generales (traumatología, cuidados agudos, quirúrgicos). Los estudios de revisiones sistemáticas tratadas en este estudio fueron dos; las otras investigaciones 08 utilizaron una muestra que oscila entre 41 a 2705 casos hospitalizados. Respecto al diseño de estudio, 02 corresponden a revisión sistemática, 03 revisión de alcance y revisión formativa, 02 estudio descriptivo transversal, 01 estudio cuasi experimental, 01 ensayo, 01 triangulación. Conclusión: La calidad de la atención en salud, es medida utilizando diferentes métodos sobre todo en función a los resultados clínicos es por ellos que se hace necesaria la implementación de indicadores y que estos aseguren la fórmula para construir el indicador, así como, especifiquen la frecuencia y unidad de medida y la fuente de los datos que se requieren para desarrollar el indicador y el umbral de cumplimiento. &nbsp

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

Measurement of the W-boson mass in pp collisions at √s=7 TeV with the ATLAS detector

A measurement of the mass of the W boson is presented based on proton–proton collision data recorded in 2011 at a centre-of-mass energy of 7 TeV with the ATLAS detector at the LHC, and corresponding to 4.6 fb−1 of integrated luminosity. The selected data sample consists of 7.8×106 candidates in the W→μν channel and 5.9×106 candidates in the W→eν channel. The W-boson mass is obtained from template fits to the reconstructed distributions of the charged lepton transverse momentum and of the W boson transverse mass in the electron and muon decay channels, yielding mW=80370±7 (stat.)±11(exp. syst.) ±14(mod. syst.) MeV =80370±19MeV, where the first uncertainty is statistical, the second corresponds to the experimental systematic uncertainty, and the third to the physics-modelling systematic uncertainty. A measurement of the mass difference between the W+ and W−bosons yields mW+−mW−=−29±28 MeV

Discutindo a educação ambiental no cotidiano escolar: desenvolvimento de projetos na escola formação inicial e continuada de professores

A presente pesquisa buscou discutir como a Educação Ambiental (EA) vem sendo trabalhada, no Ensino Fundamental e como os docentes desta escola compreendem e vem inserindo a EA no cotidiano escolar., em uma escola estadual do município de Tangará da Serra/MT, Brasil. Para tanto, realizou-se entrevistas com os professores que fazem parte de um projeto interdisciplinar de EA na escola pesquisada. Verificou-se que o projeto da escola não vem conseguindo alcançar os objetivos propostos por: desconhecimento do mesmo, pelos professores; formação deficiente dos professores, não entendimento da EA como processo de ensino-aprendizagem, falta de recursos didáticos, planejamento inadequado das atividades. A partir dessa constatação, procurou-se debater a impossibilidade de tratar do tema fora do trabalho interdisciplinar, bem como, e principalmente, a importância de um estudo mais aprofundado de EA, vinculando teoria e prática, tanto na formação docente, como em projetos escolares, a fim de fugir do tradicional vínculo “EA e ecologia, lixo e horta”.Facultad de Humanidades y Ciencias de la Educació