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Bioactive compounds in blood oranges (Citrus sinensis (L.) Osbeck): Level and intake.

Fallico, Biagio; Ballistreri, Gabriele; Arena, Elena; Brighina, Selina; Rapisarda, Paolo
| Idioma(s): Inglés
Both the composition and the intake of antioxidants (anthocyanins, ascorbic acid and hydroxycinnamic acids) were reported for all blood oranges including the single cultivars (Moro, Tarocco and Sanguinello) and industrially produced juices. The mean values of the studied bioactive compounds in the edible part oranges were: 9.6mg/100g of orange edible part for the anthocyanins; 8.1, 0.7, 1.3, 3.8, 2.5mg/100g for total hydroxycinnamic acids, caffeic, sinapic, ferulic and coumaric acids, respectively and 59.1mg/100g for ascorbic acid. The consumption of blood oranges contributes to a daily intake of: 9.4mg/d (up to 55mg/d) of anthocyanins and 58.5mg/d (up to 340mg/d) of vitamin C, respectively. Data suggest that the 50% of consumers, males and females, receive more than the 70% and 90% of EAR value of vitamin C, respectively. The 25% of males and the 40% of females has an intake higher than the EAR.
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Strategies to improve the implementation of healthy eating, physical activity and obesity prevention policies, practices or programmes within childcare services.

Wolfenden, Luke; Jones, Jannah; Williams, Christopher M; Finch, Meghan; Wyse, Rebecca J; Kingsland, Melanie; Tzelepis, Flora; Wiggers, John; Williams, Amanda J; Seward, Kirsty; Small, Tameka; Welch, Vivian; Booth, Debbie; Yoong, Sze Lin
| Idioma(s): Inglés
BACKGROUND: Despite the existence of effective interventions and best-practice guideline recommendations for childcare services to implement policies, practices and programmes to promote child healthy eating, physical activity and prevent unhealthy weight gain, many services fail to do so. OBJECTIVES: The primary aim of the review was to examine the effectiveness of strategies aimed at improving the implementation of policies, practices or programmes by childcare services that promote child healthy eating, physical activity and/or obesity prevention. The secondary aims of the review were to:1. describe the impact of such strategies on childcare service staff knowledge, skills or attitudes;2. describe the cost or cost-effectiveness of such strategies;3. describe any adverse effects of such strategies on childcare services, service staff or children;4. examine the effect of such strategies on child diet, physical activity or weight status. SEARCH METHODS: We searched the following electronic databases on 3 August 2015: the Cochrane Central Register of Controlled trials (CENTRAL), MEDLINE, MEDLINE In Process, EMBASE, PsycINFO, ERIC, CINAHL and SCOPUS. We also searched reference lists of included trials, handsearched two international implementation science journals and searched the World Health Organization International Clinical Trials Registry Platform ( and ( SELECTION CRITERIA: We included any study (randomised or non-randomised) with a parallel control group that compared any strategy to improve the implementation of a healthy eating, physical activity or obesity prevention policy, practice or programme by staff of centre-based childcare services to no intervention, 'usual' practice or an alternative strategy. DATA COLLECTION AND ANALYSIS: The review authors independently screened abstracts and titles, extracted trial data and assessed risk of bias in pairs; we resolved discrepancies via consensus. Heterogeneity across studies precluded pooling of data and undertaking quantitative assessment via meta-analysis. However, we narratively synthesised the trial findings by describing the effect size of the primary outcome measure for policy or practice implementation (or the median of such measures where a single primary outcome was not stated). MAIN RESULTS: We identified 10 trials as eligible and included them in the review. The trials sought to improve the implementation of policies and practices targeting healthy eating (two trials), physical activity (two trials) or both healthy eating and physical activity (six trials). Collectively the implementation strategies tested in the 10 trials included educational materials, educational meetings, audit and feedback, opinion leaders, small incentives or grants, educational outreach visits or academic detailing. A total of 1053 childcare services participated across all trials. Of the 10 trials, eight examined implementation strategies versus a usual practice control and two compared alternative implementation strategies. There was considerable study heterogeneity. We judged all studies as having high risk of bias for at least one domain.It is uncertain whether the strategies tested improved the implementation of policies, practices or programmes that promote child healthy eating, physical activity and/or obesity prevention. No intervention improved the implementation of all policies and practices targeted by the implementation strategies relative to a comparison group. Of the eight trials that compared an implementation strategy to usual practice or a no intervention control, however, seven reported improvements in the implementation of at least one of the targeted policies or practices relative to control. For these trials the effect on the primary implementation outcome was as follows: among the three trials that reported score-based measures of implementation the scores ranged from 1 to 5.1; across four trials reporting the proportion of staff or services implementing a specific policy or practice this ranged from 0% to 9.5%; and in three trials reporting the time (per day or week) staff or services spent implementing a policy or practice this ranged from 4.3 minutes to 7.7 minutes. The review findings also indicate that is it uncertain whether such interventions improve childcare service staff knowledge or attitudes (two trials), child physical activity (two trials), child weight status (two trials) or child diet (one trial). None of the included trials reported on the cost or cost-effectiveness of the intervention. One trial assessed the adverse effects of a physical activity intervention and found no difference in rates of child injury between groups. For all review outcomes, we rated the quality of the evidence as very low. The primary limitation of the review was the lack of conventional terminology in implementation science, which may have resulted in potentially relevant studies failing to be identified based on the search terms used in this review. AUTHORS' CONCLUSIONS: Current research provides weak and inconsistent evidence of the effectiveness of such strategies in improving the implementation of policies and practices, childcare service staff knowledge or attitudes, or child diet, physical activity or weight status. Further research in the field is required.
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Proceso educativo de enfermería para promover el autocuidado de la mujer durante el puerperio/ Nursing educational process to promote self-care of women during the postpartum period

Acevedo-Hernández, Beatriz Adriana; Pizarro, Norma; Moriel-Corral, Bernardina Leticia; González-Carrillo, Eliazar; Berumen-Burciaga, Luz Verónica
| Idioma(s): Español
Resumen: Introducción: en investigaciones referentes al cuidado de enfermería a la mujer durante el posparto, se han abordado diversas temáticas sin embargo, se identifica que la educación en el proceso de cuidado no ha sido una de ellas. Objetivo: explorar el desarrollo del proceso educativo del profesional de enfermería que promueva el autocuidado de la mujer durante el puerperio. Metodología: se realizó investigación cualitativa con el diario de campo, entrevista a profundidad y observación participante. El análisis se realizó con base en la Teoría Fundamentada de Strauss y Corbin. Resultados: socialmente el puerperio es un evento cotidiano influenciado por creencias personales, sociales y culturales, situación que el legado sociocultural no satisface con el cuidado genérico influenciado por la familia. Conclusiones: El puerperio es un evento único y transitorio en la mujer, mismo que se refleja en la actitud y las acciones que realiza con respecto al cuidado de sí misma y del recién nacido. La educación es una oportunidad para el profesional de enfermería en relación con la comunicación y educación de la mujer en puerperio.(AU) Abstract: Introduction: Research related to nursing care to women during the postpartum period have addressed various topics however, it is identified that education in the care process has not been one of them. Objective: To explore the development of educational process of professional nursing that promotes self-care of women during the postpartum period. Methods: Qualitative research was conducted with field notes, depth interviews and participant observation. The analysis was based on the Strauss and Corbin Grounded Theory. Results: Puerperium is socially a daily event influenced by personal, social and cultural beliefs, it is a socio-cultural legacy situation that does not meet with the generic influenced by family care. Conclusions: The postpartum period is a unique and temporary event in women; it is reflected in the attitude and the actions taken regarding care for herself and the newborn. Education is an opportunity for professional nursing in relation to communication and education of women in postpartum period.(AU)
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Percepção das mulheres sobre promoção da saúde durante a consulta de enfermagem/ Women´s perception about health promotion during the nursing consultation

Michelin, Samanta Rodrigues; Marchi, Jamila Gabriela; Hyeda, Isabela Schurhaus; Heideman, Ivonete Teresinha Schulter Buss; Gonçalves Nitschke, Rosane
| Idioma(s): Inglés; Portugués
Este estudo teve como objetivo identificar a percepção das mulheres a respeito das atividades de Promoção da Saúde realizadas durante a consulta de enfermagem nas ações de prevenção do câncer ginecológico no cotidiano de um Centro de Saúde de Florianópolis. Como metodologia utilizou-se o Itinerário de Pesquisa de Paulo Freire, através do desenvolvimento de Círculos de Cultura. Foram realizados quatro Círculos de Cultura, no período de março a junho de 2012. Os sujeitos da pesquisa foram mulheres pertencentes às três Equipes de Saúde da Família, na faixa etária de 26 a 59 anos e que já haviam realizado a consulta de enfermagem na unidade. A análise dos temas investigados foi realizada à luz do referencial teórico da Promoção da Saúde. Faz-se necessário entender a importância do diálogo no momento de interação entre o profissional enfermeiro e a mulher, levando em consideraçãosuas dimensões biológicas, ambientais, sociais, emocionais e espirituais. (AU). This study aimedto identifying the perception of women regarding the health promotion activities undertaken during the nursing consultation in actions of preventing gynecological cancer in a Health Centre of Florianópolis. As methodology, it was used Paulo FreireÆs Itinerary Research, through the development of Culture Circles. Four culture circles were performed from March to June 2012.The study subjects were women belonging to three Family Health Teams, aged 26-59 years, who had performed the nursing consultation in theunit. The analysis of the research topics were conducted in the light of the theoretical framework of the Health Promotion. It is necessary to understand the importance of dialogue at the moment of interaction between the nurse and the woman, taking into account their biological, environmental, social, emotional and spiritual dimensions
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O cuidar de si para promoção da saúde: os cuidados da enfermagem/ Caring for self to promote health: transforming nursing care abstract

Hilda Sobrinho, Sandra; Radunz, Vera; Rosa, Luciana Martins da
| Idioma(s): Inglés; Portugués
Pesquisa convergente-assistencial que objetiva problematizar ações do cuidar de si da equipe de enfermagem de uma unidade de transplante de células-tronco hematopoiéticas para promoção da saúde, por meio do diálogo, buscando inovações para o pensar e o fazer. Para a sustentação teórica, foram utilizados os pressupostos filosóficos e as concepções teóricas de Radünz e os princípios teóricosde Freire. Como estratégia para coleta de dados, utilizou-se o Arco da Problematização de Maguerez, aplicado em cinco oficinas, que ocorreram de agosto a outubro de 2010. As oficinas foram gravadas, transcritas, notas da pesquisadora, e registradas em diário de campo,18 profissionais de enfermagem participaram da pesquisa. Os resultados revelam que o bom relacionamento no ambiente do trabalho, a colaboração e apoio mútuo contribuem para a melhoria da qualidade de vida dos profissionais. Anecessidade da valorização de educação continuada,preocupada com o desenvolvimento de habilidades e atitudes pessoais, também emergiu dos dados, demonstrando uma relaçãocom o fortalecimento das ações que visam promover o cuidar de si e a qualidade de vida, respeitando os princípios da responsabilidade e da autonomia para promoção da saúde.(AU). This is an assistant convergent study which objective was to problematize actions for self-care that the nursing team in an hematopoietic stem cell transplantation unit to promote health through dialogue, searching innovations to think and to do. The theoretical bases were founded on Radünz philosophical assumptions and concepts and the teaching learning referential process of Freire. The Problematization of Arch of Maguerez was used for data collection, applied in five workshops. They occurred from August to October 2010. The workshops were tape recorded and transcribed, and other data were recorded in the field diary. Eighteen nursing professionals have participated in this study. The results showed that a good relationship in the work environment, a mutual support and collaboration among the professionals, contribute to improve their quality of life. The need for enhancement of continuing education, concerned with the development of skills and attitudes, also emerged from the data, relating to the strengthening of actions to promote self-care and quality of life, respecting the principles of responsibility and autonomy to promote health.
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The effect of a brief action planning intervention on adherence to double-blind study medication, compared to a standard trial protocol, in the Atorvastatin in Factorial with Omega EE90 Risk Reduction in Diabetes (AFORRD) clinical trial: A cluster randomised sub-study.

Farmer, Andrew J; Oke, Jason; Hardeman, Wendy; Tucker, Lynne; Sutton, Stephen; Kinmonth, Ann-Louise; Griffin, Simon; Holman, Rury R
| Idioma(s): Inglés
AIMS: Clinical trial patients are highly motivated but may encounter difficulty in taking study medication regularly when treatment burden is substantial. We assessed a brief behavioural intervention, given in addition to a standard trial protocol. METHODS: We performed a two-arm adherence sub-study within a twelve-month randomised controlled drug trial evaluating the impact of statin and/or omega-3 EE90 treatment in 800 patients with type 2 diabetes. Fifty-nine United Kingdom general practices were cluster-randomised to action-planning or control groups. The former delivered an initial written exercise prompting participants to formulate action-plans to take study medication regularly, with brief nurse encouragement to use action-plans at later visits, whilst the latter followed the standard trial protocol. The primary outcome was proportion of days on which study medication were taken as intended measured by electronic medication containers. RESULTS: Adjusted mean (95% CI) proportion of days with medication taken as intended was 79.3% (76.3-82.3%)for the 30 action-planning practices (321 participants), compared with 78.5% (75.8-81.1%) for 27 control group practices (426 participants, with a mean intervention effect of 0.9%, 95% CI -3.1% to +4.9%, p=0.67). Adjusted odds ratios for ⩾80% trial medication adherence for action-planning compared with control practices were 1.29 (0.90-1.84) and 1.38 (0.96-1.99) respectively. CONCLUSIONS: Low-intensity action-planning interventions used alone are unlikely to have a clinically important impact on medication adherence, particularly in a clinical trial setting. These findings, do not exclude their contribution, as part of a multifactorial intervention, to improving treatment adherence. ISRCTN number 76737502.
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Putting the Health of Communities and Populations First.

Goldman, Lynn R; Kumanyika, Shiriki K; Shah, Nirav R
| Idioma(s): Inglés
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Democratization of Health Care.

Tang, Paul C; Smith, Mark D
| Idioma(s): Inglés
Resultados  1-10 de 45.548