Diabetic Amyotrophy co-occurring with treatment induced neuropathy of diabetes (TIND): a case report

Diabetic amyotrophy is a rare condition in diabetic patients, usually associated with important weight loss. In the present case, we show a rare presentation of diabetic amyotrophy phenotype in the context of treatment induced neuropathy of diabetes neuropathy (TIND) after a strict glycemic control in a patient with long-standing poor controlled diabetes and without related weight loss. Even though it’s an uncommon presentation, because of diabetes high prevalence worldwide the knowledge of its complications is important to the adequate treatment and follow-up to improve patients’ quality of life.&nbsp

A global experiment on motivating social distancing during the COVID-19 pandemic

Finding communication strategies that effectively motivate social distancing continues to be a global public health priority during the COVID-19 pandemic. This cross-country, preregistered experiment (n = 25,718 from 89 countries) tested hypotheses concerning generalizable positive and negative outcomes of social distancing messages that promoted personal agency and reflective choices (i.e., an autonomy-supportive message) or were restrictive and shaming (i.e., a controlling message) compared with no message at all. Results partially supported experimental hypotheses in that the controlling message increased controlled motivation (a poorly internalized form of motivation relying on shame, guilt, and fear of social consequences) relative to no message. On the other hand, the autonomy-supportive message lowered feelings of defiance compared with the controlling message, but the controlling message did not differ from receiving no message at all. Unexpectedly, messages did not influence autonomous motivation (a highly internalized form of motivation relying on one’s core values) or behavioral intentions. Results supported hypothesized associations between people’s existing autonomous and controlled motivations and self-reported behavioral intentions to engage in social distancing. Controlled motivation was associated with more defiance and less long-term behavioral intention to engage in social distancing, whereas autonomous motivation was associated with less defiance and more short- and long-term intentions to social distance. Overall, this work highlights the potential harm of using shaming and pressuring language in public health communication, with implications for the current and future global health challenges

Suicídio na literatura religiosa: o kardecismo como fonte bibliográfica privilegiada

Durkheim was the one who first noticed the impact of religion on suicide rates. Studies have migrated from the social sciences to medicine. This present work investigates the existence of considerable religious grey literature of spiritual orientation on suicide, with particular emphasis on prevention. We have conducted a bibliographic study on the topic of suicide and its relationship with religion, ethnography and netnography. In such study, we have greatly considered grey literature on the written or media cultural production held in Brazil. We have observed that the bibliographic production of spiritual orientation, in areas of grey literature, overcomes that of other religions. Considering religion and faith as protective factors for suicide, this study raises hypotheses for his prevalence: intrinsic aspects of Kardecist cosmology, problems concerning the Catholic theology, the peculiar character of spiritism’s psychography, and the role of grey publications in religiosity. ardecism has the privileged role of reporting on suicide. Health care strategies should take this fact into account, considering the need for creating social network assistance for primary care.Durkheim foi quem primeiro observou o impacto da religião sobre taxas de suicídio. Estudos migraram do campo das ciências sociais para o da medicina. Este trabalho aborda a existência de considerável literatura religiosa cinzenta de orientação espírita sobre o suicídio, com especial destaque para a prevenção. Realizamos um inventário bibliográfico sobre a temática do suicídio e sua relação com a religião, etnografia e netnografia. Esta investigação considerou especialmente a literatura cinzenta, na produção cultural escrita ou midiática realizada no Brasil. Observamos que a produção bibliográfica de orientação espírita em setores de literatura cinzenta supera o de outras religiões. Considerando religião e fé como fatores de proteção para o suicídio, o estudo levanta hipóteses para essa predominância: aspectos inerentes à cosmologia kardecista, problemas inerentes à teologia católica, caráter peculiar da psicografia espírita e papel das publicações cinzentas na religiosidade. O kardecismo exerce papel privilegiado na transmissão de informação sobre o suicídio. Estratégias de promoção de saúde devem levar esse aspecto em conta, considerando a necessidade de formação de rede social de cuidados em atenção primária

Suicide in the grey religious literature: Kardecism as privileged bibliography source

Made available in DSpace on 2010-11-29T12:19:12Z (GMT). No. of bitstreams: 2 384-1856-2-PB.pdf: 609926 bytes, checksum: 9af4b8af923dbaa13873ae2e7265c823 (MD5) 384-1857-3-PB.pdf: 623201 bytes, checksum: b03fc07e8a8ab882715623ed0d463ab0 (MD5)Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Programa de Pós-Graduação em Informação e Comunicação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Programa de Pós-Graduação em Informação e Comunicação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Grupo de Pesquisa de Prevenção do Suicídio. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Grupo de Pesquisa de Prevenção do Suicídio. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, Brasil.Durkheim foi quem primeiro observou o impacto da religião sobre taxas de suicídio. Estudos migraram do campo das ciências sociais para o da medicina. Este trabalho aborda a existência de considerável literatura religiosa cinzenta de orientação espírita sobre o suicídio, com especial destaque para a prevenção. Realizamos um inventário bibliográfico sobre a temática do suicídio e sua relação com a religião, etnografia e netnografia. Esta investigação considerou especialmente a literatura cinzenta, na produção cultural escrita ou midiática realizada no Brasil. Observamos que a produção bibliográfica de orientação espírita em setores de literatura cinzenta supera o de outras religiões. Considerando religião e fé como fatores de proteção para o suicídio, o estudo levanta hipóteses para essa predominância: aspectos inerentes à cosmologia kardecista, problemas inerentes à teologia católica, caráter peculiar da psicografia espírita e papel das publicações cinzentas na religiosidade. O kardecismo exerce papel privilegiado na transmissão de informação sobre o suicídio. Estratégias de promoção de saúde devem levar esse aspecto em conta, considerando a necessidade de formação de rede social de cuidados em atenção primária.Durkheim was the one who first noticed the impact of religion on suicide rates. Studies have migrated from the social sciences to medicine. This present work investigates the existence of considerable religious grey literature of spiritual orientation on suicide, with particular emphasis on prevention. We have conducted a bibliographic study on the topic of suicide and its relationship with religion, ethnography and netnography. In such study, we have greatly considered grey literature on the written or media cultural production held in Brazil. We have observed that the bibliographic production of spiritual orientation, in areas of grey literature, overcomes that of other religions. Considering religion and faith as protective factors for suicide, this study raises hypotheses for his prevalence: intrinsic aspects of Kardecist cosmology, problems concerning the Catholic theology, the peculiar character of spiritism’s psychography, and the role of grey publications in religiosity. ardecism has the privileged role of reporting on suicide. Health care strategies should take this fact into account, considering the need for creating social network assistance for primary care

Renal Evaluation of Aotus azarai infulatus by Ultrasonography and Serum Chemistry Profile

This study aimed to characterize anatomical and biochemical properties of owl monkey kidneys in order to provide normal reference values. Sixty-nine Aotus azarai infulatus (45 males and 24 females) were divided into four different age groups (AG1: 3 months1 year; AG2: 23 years; AG3: 46 years; and AG4: over 7 years old). The monkeys were evaluated with a serum chemistry profile, focusing on serum creatinine (SCr) and blood urea nitrogen (BUN) and with ultrasound. Mean body mass differed among the age groups. This significance was attributed to AG1 body mass being significantly lower than in AG2 and that in both AG2 and AG3 being significantly lower than in the two older age groups (AG3 and AG4). SCr and BUNconcentrations differed significantly between the sexes and SCr level correlated positively with age. In contrast, renal measurements did not differ between males and females. Left and right renal volumes did not differ significantly within age groups, or among AG2, AG3, and AG4. Renal volumes in AG1, however, while not differing from those in AG2, did differ significantly from those in AG3 and AG4. In conclusion, this study provides ultrasonographic reference values for the morphology the kidneys in A. a. infulatus. Evidence is also provided that SCr and BUNlevels in owl monkeys are influenced by the sex and age of the individual, factors that should be considered when interpreting test results. Am. J. Primatol. 74:482-490, 2012. (c) 2012 Wiley Periodicals, Inc.Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq

Ultrassonografia, hematologia e bioquímica hepática e renal de macacos-da-noite,Aotus azarai infulatus(Kuhl, 1820) criados em cativeiro.

Os primatas do gênero Aotus representam excelentes modelos experimentais, sendo recomendados para estudos da fisiologia da visão e pesquisas de malária. O trabalho objetivou realizar a avaliação ultrassonográfica, hematológica e bioquímica de Aotus azarai infulatus do Centro Nacional de Primatas (CENP/Ananindeua/PA). Foram avaliados 69 animais (44 machos e 25 fêmeas), em três faixas etárias (FE1 = 3 meses a 1 ano; FE2 = 2 a 6 anos e FE3 = >7 anos). Os exames ultrassonográficos foram realizados utilizando-se o aparelho de ultrassom SonoAce 9900®. As análises coproparasitológicas foram realizadas mediante exame direto, flutuação e sedimentação. Dos animais que não demonstraram alterações clínicas, ultrassonográficas e coproparasitológicas (n = 41, 26 machos e 15 fêmeas), foram coletadas amostras de sangue para realização de hemograma e bioquímica, avaliando-se as enzimas Aspartato Aminotransferase (AST), Alanina Aminotransferase (ALT), Fosfatase Alcalina (FA), Gama Glutamiltransferase (GGT), Proteínas Totais, Bilirrubina, Nitrogênio Uréico Sanguíneo (BUN) e Creatinina (CREAT). Os resultados obtidos foram submetidos à ANOVA e teste de Tukey. Ao exame ultrassonográfico, o fígado apresentou parênquima homogêneo, ecogenicidade uniforme e contornos regulares. Os rins apresentaram contornos regulares, formato elíptico, e textura ecogênica homogênea. Observaram-se diferenças significativas (p < 0,05) no hematócrito (46,41 ± 3,47 e 42,15 ± 4,06%), hemácias (6,09 ± 0.47 e 5,51 ± 0,48 x 106 mm-3), hemoglobina (16,03 ± 1,24 e 14,13 ± 1,32 g dL-1) e MCHC (34,48 ± 1,55 e 33,47 ± 1,03%) de machos e fêmeas, respectivamente. Nos exames de função hepática a FA foi significativamente influenciada pela faixa etária (FE1 = 592,8 ± 372,7; FE2 = 151,0 ± 56,87 e FE3 = 96,27 ± 31,11 UL-1). A bioquímica renal demonstrou que houve influência do sexo com relação ao BUN (machos = 30,23 ± 16,91 e fêmeas = 20,46 ± 9,43 mg dL-1) e creatinina (machos = 0,68 ± 0,12 e fêmeas = 0,59 ± 0,11 mg dL-1). Além disso, a concentração de creatinina foi significativamente influenciada pela faixa etária (FE1 = 0,51 ± 0,10; FE2 = 0,65 ± 0,05 e FE3 = 30,71 ± 0,12 mg dL-1). Os resultados demonstram que alguns parâmetros hematológicos e bioquímicos de macacos-da-noite podem ser influenciados pelo sexo e faixa etária.Primates of the genus Aotus are excellent experimental models. Aotus spp. have been recommended as models for studies on vision and malaria. This research had the objective to perform a ultrasonographic, hematological and biochemical evaluation of owl monkeys from the National Primate Center (CENP/Ananindeua/PA). Sixty nine animals were evaluated (44 males and 25 females), at three different age groups (FE1 = 3 months to 1 year old; FE2=2 to 6 years old and FE3=more than seven years old). The Ultrasonographic exams were performed using the ultrasound SonoAce 9900®. The coproparasitological were performed utilizing the direct exam, fluctuation and sedimentation. From the animals that did not show clinical, ultrasonographic and coproparasitological alterations (n= 41, 26 males and 15 females), blood samples were collected for complete hemogram and biochemical determination, evaluating the enzymes aspartate aminotransferase (AST), aspartate aminotransferase (ALT), alkaline fosfatase (FA), gamma glutamiltransferase (GGT), total protein, bilirrubin, blood urea nitrogen (BUN) and creatinine (CREAT). The results obtained were submitted to ANOVA and the Tukey test. Significant difference (p < 0.05) was observed in the hematocrit (46.41 ± 3.47 e 42.15 ± 4.06%), red blood cells (6.09 ± 0.47 e 5.1 ± 0.48 x 106 mm-3), hemoglobin (16.03 ± 1.24 e 14.13 ± 1.32 g dL-1) and MCHC (34.48 ± 1.55 e 33.47 ± 1.03%) of males and females, respectively. In the exams for hepatic function, the FA was significantly influenced by the age group (FE1=592.8 ± 372.7; FE2 = 151.0 ± 56.87 e FE3 = 96.27 ± 31.11 UL-1). The renal biochemistry showed that there was influence of sex in relation to BUN (males = 30.23 ± 16.91 and females = 20.46 ± 9.43 mg dL-1) and creatinine (males = 0.68 ± 0.12 and females = 0.59 ± 0.11 mg dL-1). The results show that some hematological and biochemical results in healthy owl monkeys may be influenced by sex and age group

In COVID-19 Health Messaging, Loss Framing Increases Anxiety with Little-to-No Concomitant Benefits: Experimental Evidence from 84 Countries.

The COVID-19 pandemic (and its aftermath) highlights a critical need to communicate health information effectively to the global public. Given that subtle differences in information framing can have meaningful effects on behavior, behavioral science research highlights a pressing question: Is it more effective to frame COVID-19 health messages in terms of potential losses (e.g., "If you do not practice these steps, you can endanger yourself and others") or potential gains (e.g., "If you practice these steps, you can protect yourself and others")? Collecting data in 48 languages from 15,929 participants in 84 countries, we experimentally tested the effects of message framing on COVID-19-related judgments, intentions, and feelings. Loss- (vs. gain-) framed messages increased self-reported anxiety among participants cross-nationally with little-to-no impact on policy attitudes, behavioral intentions, or information seeking relevant to pandemic risks. These results were consistent across 84 countries, three variations of the message framing wording, and 560 data processing and analytic choices. Thus, results provide an empirical answer to a global communication question and highlight the emotional toll of loss-framed messages. Critically, this work demonstrates the importance of considering unintended affective consequences when evaluating nudge-style interventions

In COVID-19 health messaging, loss framing increases anxiety with little-to-no concomitant benefits: Experimental evidence from 84 countries

The COVID-19 pandemic (and its aftermath) highlights a critical need to communicate health information effectively to the global public. Given that subtle differences in information framing can have meaningful effects on behavior, behavioral science research highlights a pressing question: Is it more effective to frame COVID-19 health messages in terms of potential losses (e.g., "If you do not practice these steps, you can endanger yourself and others") or potential gains (e.g., "If you practice these steps, you can protect yourself and others")? Collecting data in 48 languages from 15,929 participants in 84 countries, we experimentally tested the effects of message framing on COVID-19-related judgments, intentions, and feelings. Loss- (vs. gain-) framed messages increased self-reported anxiety among participants cross-nationally with little-to-no impact on policy attitudes, behavioral intentions, or information seeking relevant to pandemic risks. These results were consistent across 84 countries, three variations of the message framing wording, and 560 data processing and analytic choices. Thus, results provide an empirical answer to a global communication question and highlight the emotional toll of loss-framed messages. Critically, this work demonstrates the importance of considering unintended affective consequences when evaluating nudge-style interventions

In COVID-19 health messaging, loss framing increases anxiety with little-to-no concomitant benefits: Experimental evidence from 84 countries

The COVID-19 pandemic (and its aftermath) highlights a critical need to communicate health information effectively to the global public. Given that subtle differences in information framing can have meaningful effects on behavior, behavioral science research highlights a pressing question: Is it more effective to frame COVID-19 health messages in terms of potential losses (e.g., “If you do not practice these steps, you can endanger yourself and others”) or potential gains (e.g., “If you practice these steps, you can protect yourself and others”)? Collecting data in 48 languages from 15,929 participants in 84 countries, we experimentally tested the effects of message framing on COVID-19-related judgments, intentions, and feelings. Loss- (vs. gain-) framed messages increased self-reported anxiety among participants cross-nationally with little-to-no impact on policy attitudes, behavioral intentions, or information seeking relevant to pandemic risks. These results were consistent across 84 countries, three variations of the message framing wording, and 560 data processing and analytic choices. Thus, results provide an empirical answer to a global communication question and highlight the emotional toll of loss-framed messages. Critically, this work demonstrates the importance of considering unintended affective consequences when evaluating nudge-style interventions