Base de dados : MEDLINE
Pesquisa : J03.720 [Categoria DeCS]
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[PMID]:29179780
[Au] Autor:Godoy P; Alsedà M; Falguera M; Puig T; Bach P; Monrabà M; Manonelles A
[Ad] Endereço:Agència de Salut Pública de Catalunya,Barcelona,Spain.
[Ti] Título:A highly transmissible tuberculosis outbreak: the importance of bars.
[So] Source:Epidemiol Infect;145(16):3497-3504, 2017 12.
[Is] ISSN:1469-4409
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:The transmission of tuberculosis (TB) in bars is difficult to study. The objective was to describe a large TB outbreak in a company's bar and other leisure settings. A descriptive study of a TB outbreak was carried out. Contacts were studied in the index case's workplace bar (five circles of contacts) and other recreational areas (social network of three bars in the index case's neighbourhood). Chest X-rays were recommended to contacts with positive tuberculin skin tests (TST) (⩾5 mm). The risk of latent tuberculosis infection (LTBI) was determined using an adjusted odds ratio. The dose-response relationship was determined using the chi-square test for linear trend. We studied 316 contacts at the index case's workplace and detected five new cases of TB. The prevalence of LTBI was 57·9% (183/316) and was higher in the first circle, 96·0% (24/25), and lower in the fifth, 46·5% (20/43) (P < 0·0001). Among 58 contacts in the three neighbourhood bars, two TB cases were detected and the LTBI prevalence was 51·7% (30/58). Two children of one secondary TB company patient became ill. Bars may be transmission locations for TB and, as they are popular venues for social events, should be considered as potential areas of exposure.
[Mh] Termos MeSH primário: Surtos de Doenças/estatística & dados numéricos
Tuberculose Latente/epidemiologia
Tuberculose Latente/transmissão
Logradouros Públicos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Criança
Pré-Escolar
Busca de Comunicante
Feminino
Seres Humanos
Atividades de Lazer
Masculino
Meia-Idade
Espanha/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE
[do] DOI:10.1017/S0950268817002588


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[PMID]:28542125
[Au] Autor:Venkat H; Kassem AM; Su CP; Hill C; Timme E; Briggs G; Komatsu K; Robinson S; Sunenshine R; Patel M; Elson D; Gastañaduy P; Brady S; Measles Investigation Team
[Ti] Título:Notes from the Field: Measles Outbreak at a United States Immigration and Customs Enforcement Facility - Arizona, May-June 2016.
[So] Source:MMWR Morb Mortal Wkly Rep;66(20):543-544, 2017 05 26.
[Is] ISSN:1545-861X
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Surtos de Doenças
Emigração e Imigração/legislação & jurisprudência
Sarampo/epidemiologia
Logradouros Públicos
[Mh] Termos MeSH secundário: Adulto
Arizona/epidemiologia
Surtos de Doenças/prevenção & controle
Seres Humanos
Aplicação da Lei
Sarampo/diagnóstico
Sarampo/prevenção & controle
Vacina contra Sarampo-Caxumba-Rubéola/administração & dosagem
Meia-Idade
Estados Unidos
United States Government Agencies
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Measles-Mumps-Rubella Vaccine)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170601
[Lr] Data última revisão:
170601
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170526
[St] Status:MEDLINE
[do] DOI:10.15585/mmwr.mm6620a5


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[PMID]:28538779
[Au] Autor:Servidoni MF; Gomez CCS; Marson FAL; Toro AADC; Ribeiro MÂGO; Ribeiro JD; Ribeiro AF; Grupo Colaborativo de Estudos em Fibrose Cística
[Ad] Endereço:. Departamento de Pediatria, Faculdade de Ciências Médicas, Universidade Estadual de Campinas - Unicamp - Campinas (SP) Brasil.
[Ti] Título:Sweat test and cystic fibrosis: overview of test performance at public and private centers in the state of São Paulo, Brazil.
[So] Source:J Bras Pneumol;43(2):121-128, 2017 Mar-Apr.
[Is] ISSN:1806-3756
[Cp] País de publicação:Brazil
[La] Idioma:eng; por
[Ab] Resumo:Objective:: The sweat test (ST) measures chloride levels in sweat and is considered the gold standard for the diagnosis of cystic fibrosis (CF). However, the reliability of a ST depends on their being performed by experienced technicians and in accordance with strict guidelines. Our aim was to evaluate how sweat stimulation, sweat collection, and chloride measurement are performed at 14 centers (9 public centers and 5 private centers) that routinely perform STs in the state of São Paulo, which has the highest frequency of CF in Brazil. Methods:: This was a cross-sectional cohort study, using a standardized questionnaire administered in loco to the staff responsible for conducting STs. Results:: No uniformity regarding the procedures was found among the centers. Most centers were noncompliant with the international guidelines, especially regarding the collection of sweat (the samples were insufficient in 10-50% of the subjects tested); availability of stimulation equipment (which was limited at 2 centers); modernity and certification of stimulation equipment (most of the equipment having been used for 3-23 years); and written protocols (which were lacking at 12 centers). Knowledge of ST guidelines was evaluated at only 1 center. Conclusions:: Our results show that STs largely deviate from internationally accepted guidelines at the participating centers. Therefore, there is an urgent need for standardization of STs, training of qualified personnel, and acquisition/certification of suitable equipment. These are essential conditions for a reliable diagnosis of CF, especially with the increasing demand due to newborn screening nationwide, and for the assessment of a possible clinical benefit from the use of modulator drugs. Objetivo:: O teste do suor (TS) mede os níveis de cloro no suor e é considerado o padrão ouro para o diagnóstico da fibrose cística (FC). Contudo, a confiabilidade do TS depende de sua realização por técnicos experientes e segundo diretrizes rígidas. Nosso objetivo foi avaliar como são realizadas a estimulação e coleta do suor e a dosagem de cloro em 14 centros (9 públicos e 5 privados) que realizam TS rotineiramente no estado de São Paulo, que possui a maior frequência de FC do Brasil. Métodos:: Estudo de coorte transversal utilizando um questionário padronizado aplicado in loco ao pessoal responsável pela realização dos TS. Resultados:: Não houve uniformidade entre os centros quanto aos procedimentos. A maioria dos centros não era aderente às diretrizes internacionais, especialmente quanto à coleta do suor (amostras insuficientes em 10-50% dos indivíduos testados), disponibilidade de equipamentos de estimulação (limitada em 2 centros), modernidade e certificação dos mesmos (a maioria utilizada há 3-23 anos) e protocolos escritos (ausentes em 12 centros). Avaliou-se o conhecimento sobre diretrizes para TS em apenas 1 centro. Conclusões:: Nossos resultados mostram que, nos centros participantes, os TS estão muito distantes das diretrizes internacionalmente aceitas. Portanto, há necessidade urgente de padronização dos TS, de treinamento de pessoal qualificado e de aquisição/certificação de equipamentos adequados. Essas são condições essenciais para um diagnóstico confiável de FC, especialmente com a crescente demanda resultante da triagem neonatal em todo o país, e para a avaliação do possível benefício clínico do uso de moduladores.
[Mh] Termos MeSH primário: Cloretos/análise
Técnicas de Laboratório Clínico/normas
Fibrose Cística/diagnóstico
Testes Diagnósticos de Rotina
Sódio/análise
Suor/química
[Mh] Termos MeSH secundário: Brasil
Técnicas de Laboratório Clínico/estatística & dados numéricos
Estudos de Coortes
Estudos Transversais
Fibrose Cística/prevenção & controle
Conhecimentos, Atitudes e Prática em Saúde
Seres Humanos
Instalações Privadas
Logradouros Públicos
Reprodutibilidade dos Testes
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Chlorides); 9NEZ333N27 (Sodium)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171006
[Lr] Data última revisão:
171006
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170525
[St] Status:MEDLINE


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[PMID]:28505123
[Au] Autor:Henderson-Wilson C; Sia KL; Veitch J; Staiger PK; Davidson P; Nicholls P
[Ad] Endereço:Deakin University, Geelong Australia, Health Nature and Sustainability Research Group, School of Health and Social Development, Deakin University, 221 Burwood Highway, Burwood, VIC 3125, Australia. claireh@deakin.edu.au.
[Ti] Título:Perceived Health Benefits and Willingness to Pay for Parks by Park Users: Quantitative and Qualitative Research.
[So] Source:Int J Environ Res Public Health;14(5), 2017 May 15.
[Is] ISSN:1660-4601
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:Whilst a growing body of evidence demonstrates people derive a range of health and wellbeing benefits from visiting parks, only a limited number of attempts have been made to provide a complementary economic assessment of parks. The aim of this exploratory study was to directly estimate the perceived health and wellbeing benefits attained from parks and the economic value assigned to parks by park users in Victoria, Australia. The research employed a mixed methods approach (survey and interviews) to collect primary data from a selection of 140 park users: 100 from two metropolitan parks in Melbourne and 40 from a park on the urban fringe of Melbourne, Victoria. Our findings suggest that park users derive a range of perceived physical, mental/spiritual, and social health benefits, but park use was predominantly associated with physical health benefits. Overall, our exploratory study findings suggest that park users are willing to pay for parks, as they highly value them as places for exercising, socialising, and relaxing. Importantly, most people would miss parks if they did not exist. The findings aim to provide park managers, public health advocates, and urban policy makers with evidence about the perceived health and wellbeing benefits of park usage and the economic value park visitors place on parks.
[Mh] Termos MeSH primário: Planejamento Ambiental
Exercício
Logradouros Públicos/economia
Recreação
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Masculino
Logradouros Públicos/estatística & dados numéricos
Pesquisa Qualitativa
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171010
[Lr] Data última revisão:
171010
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170516
[St] Status:MEDLINE


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[PMID]:28430141
[Au] Autor:Chow HW; Mowen AJ; Wu GL
[Ad] Endereço:Graduate Institute of Physical Education, Health and Leisure Studies, National Cheng Kung University, Tainan 701, Taiwan. hwchow@mail.ncku.edu.tw.
[Ti] Título:Who Is Using Outdoor Fitness Equipment and How? The Case of Xihu Park.
[So] Source:Int J Environ Res Public Health;14(4), 2017 Apr 21.
[Is] ISSN:1660-4601
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:Outdoor fitness equipment (OFE) placed in public parks has the potential to encourage physical activity. However, little is known about OFE users and use patterns. This study employed onsite and video observations of OFE usage to describe user characteristics and patterns in Xihu Park. Results indicate that OFE in this park attracted considerable use, particularly in the early morning and late afternoon. During these peak-hour observations, approximately 12 users per hour used the OFE, with the majority being females and seniors. The triple arm stretch and air walker were the most popular stations. However, most OFE users interacted with less than three of the available six OFE stations. Furthermore, users spent an average of less than nine minutes on all OFE stations combined. While OFE equipment was well-used in this urban park, it appears users did not interact with OFE at rates to produce a sufficient bout or level of physical activity during their park visit. Further investigations of OFE are encouraged to determine their health impact.
[Mh] Termos MeSH primário: Exercício
Logradouros Públicos/utilização
[Mh] Termos MeSH secundário: Planejamento Ambiental
Feminino
Promoção da Saúde/métodos
Seres Humanos
Masculino
Recreação
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170608
[Lr] Data última revisão:
170608
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170422
[St] Status:MEDLINE


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[PMID]:28321679
[Au] Autor:Güngör S; Polat AT
[Ad] Endereço:Faculty of Agriculture, Department of Landscape Architecture, Selcuk University, Konya, Turkey. sertac@selcuk.edu.tr.
[Ti] Título:The evaluation of the urban parks in Konya province in terms of quality, sufficiency, maintenance, and growth rate.
[So] Source:Environ Monit Assess;189(4):172, 2017 Apr.
[Is] ISSN:1573-2959
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Nowadays, the understanding of physically, socially, and visually sufficient and high-standard outdoor arrangements has begun to appear. The most important ones among this kind of spaces are urban parks which contain many recreational opportunities and facilities together. The aim of this study is to identify the current situation of the urban parks in Konya province and the facilities in the parks in terms of quality, sufficiency, growth rate, and maintenance. The second purpose of the study is to obtain information about the park users' evaluations of the park officers within the context of park visits and information sources of the users related to the parks. Within the context of the study, the questionnaires were conducted by face-to-face interviews with 494 park users. The urban parks in Konya province were evaluated by the park users in terms of quality, sufficiency, maintenance, and growth rate criteria. While 44.1% of the users evaluated the parks as "good" in terms of quality, 4.7% of the users stated that the quality of the parks was "bad." Considering the sufficiency of the urban parks, the findings represent that majority of the users identified the parks as sufficient and 27.9% of them identified insufficient. 44.1% of the users stated that the parks were well maintained and 10.1% considered the parks were badly maintained. The growth rate of the urban parks in Konya was described as "fast" by 48.6% of the users and as "normal" by 29.8% of the users.
[Mh] Termos MeSH primário: Conservação dos Recursos Naturais
Monitoramento Ambiental
Parques Recreativos
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Masculino
Logradouros Públicos
Recreação
Inquéritos e Questionários
Turquia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:171020
[Lr] Data última revisão:
171020
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170322
[St] Status:MEDLINE
[do] DOI:10.1007/s10661-017-5875-9


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[PMID]:28236201
[Au] Autor:Smielowska M; Marc M; Zabiegala B
[Ad] Endereço:Department of Analytical Chemistry, Faculty of Chemistry, Gdansk University of Technology, Narutowicza Str. 11/12, PL 80-233, Gdansk, Poland.
[Ti] Título:Indoor air quality in public utility environments-a review.
[So] Source:Environ Sci Pollut Res Int;24(12):11166-11176, 2017 Apr.
[Is] ISSN:1614-7499
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:Indoor air quality has been the object of interest for scientists and specialists from the fields of science such as chemistry, medicine and ventilation system design. This results from a considerable number of potential factors, which may influence the quality of the broadly understood indoor air in a negative way. Poor quality of indoor air in various types of public utility buildings may significantly affect an increase in the incidence of various types of civilisation diseases. This paper presents information about a broad spectrum of chemical compounds that were identified and determined in the indoor environment of various types of public utility rooms such as churches, museums, libraries, temples and hospitals. An analysis of literature data allowed for identification of the most important transport paths of chemical compounds that significantly influence the quality of the indoor environment and thus the comfort of living and the health of persons staying in it.
[Mh] Termos MeSH primário: Poluição do Ar em Ambientes Fechados/análise
Logradouros Públicos
Ventilação
[Mh] Termos MeSH secundário: Meio Ambiente
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170615
[Lr] Data última revisão:
170615
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170226
[St] Status:MEDLINE
[do] DOI:10.1007/s11356-017-8567-7


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[PMID]:28103750
[Au] Autor:Cicero EC; Wesp LM
[Ad] Endereço:1 Duke University School of Nursing, Durham, NC, USA.
[Ti] Título:Supporting the Health and Well-Being of Transgender Students.
[So] Source:J Sch Nurs;33(2):95-108, 2017 Apr.
[Is] ISSN:1546-8364
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Throughout the United States, there has been a rise in public discourse about transgender people and transgender issues. Much of this attention stems from passed and proposed anti-LGBTQ (lesbian, gay, bisexual, transgender, queer or questioning) legislation, including "bathroom bills" that would require transgender people to use public facilities corresponding with the sex designated on their birth certificates. With the recent discussion and legislation impacting school-aged children and adolescents, what does this mean for school nurses and how can they care and advocate for their transgender students? In this article, we aim to empower school nurses to join the discussion, advocate for inclusive and equitable school policies, and deliver gender-affirming care to transgender students. We will explain transgender identities; transgender-related stigma, prejudice, discrimination, and health concerns; gender-affirming approaches in caring for transgender youth; and implications for school nurses. School nurses play a key role in creating a space that is welcoming and affirming where transgender students can thrive.
[Mh] Termos MeSH primário: Promoção da Saúde/organização & administração
Serviços de Saúde para Pessoas Transgênero/organização & administração
Serviços de Saúde Escolar/organização & administração
Serviços de Enfermagem Escolar/organização & administração
Pessoas Transgênero
[Mh] Termos MeSH secundário: Adolescente
Criança
Feminino
Seres Humanos
Masculino
Logradouros Públicos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170904
[Lr] Data última revisão:
170904
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170121
[St] Status:MEDLINE
[do] DOI:10.1177/1059840516689705


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[PMID]:28095861
[Au] Autor:Veitch J; Salmon J; Giles-Corti B; Crawford D; Dullaghan K; Carver A; Timperio A
[Ad] Endereço:Institute for Physical Activity and Nutrition (IPAN), Deakin University, Geelong, Australia. jenny.veitch@deakin.edu.au.
[Ti] Título:Challenges in conducting natural experiments in parks-lessons from the REVAMP study.
[So] Source:Int J Behav Nutr Phys Act;14(1):5, 2017 01 17.
[Is] ISSN:1479-5868
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Experimental evidence on the role of the built environment for promoting physical activity is important for informing how to create cities that promote active living. Parks provide opportunities for physical activity; however, there is little robust evidence on the impact of park refurbishment. Government agencies often modify parks, providing opportunities for natural experiment studies of these interventions. Such an opportunity was provided by the modification of a large park in Victoria, Australia in 2013 when the Recording and EValuating Activity in a Modified Park (REVAMP) study was established. Based on insights from the REVAMP study, this paper discusses challenges involved in conducting natural experiments in park settings, focussing on issues that may help design more effective future evaluations of the impact of park refurbishment. Natural experiments offer unique opportunities to evaluate the impact of large-scale changes to the built environment. They provide valuable data that might not otherwise be possible to gather, because of the costs associated with modification of the environment. However, factors beyond the control of the study team contribute to the complexity of both organising and conducting natural experiments, with potential flow-on effects to the quality of data. Therefore many extraneous factors need to be considered when designing, costing and conducting natural experiments; studies should identify opportunities to include key partners from the inception of the project, be flexible yet robust, and allow sufficient funding to accommodate unexpected changes in the research protocol. TRIAL REGISTRATION: Current controlled trial ISRCTN50745547 , registration date 11.1.2014.
[Mh] Termos MeSH primário: Planejamento Ambiental
Exercício
Resolução de Problemas
Logradouros Públicos
Projetos de Pesquisa
[Mh] Termos MeSH secundário: Cidades
Meio Ambiente
Seres Humanos
Recreação
Vitória
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1706
[Cu] Atualização por classe:171120
[Lr] Data última revisão:
171120
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170119
[St] Status:MEDLINE
[do] DOI:10.1186/s12966-016-0460-0


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[PMID]:27272066
[Au] Autor:Brewis A; Trainer S; Han S; Wutich A
[Ad] Endereço:School of Human Evolution and Social Change, Arizona State University.
[Ti] Título:Publically Misfitting: Extreme Weight and the Everyday Production and Reinforcement of Felt Stigma.
[So] Source:Med Anthropol Q;31(2):257-276, 2017 Jun.
[Is] ISSN:0745-5194
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Living with extreme weight in the United States is associated with discrimination and self-stigma, creating structural exclusions, embodied stress, and undermining health and wellbeing. Here we combine ethnographic interviews and surveys from those with experiences of living with extreme weight to better explain how this vulnerability is created and reinforced by public cues, both physical (e.g., seatbelts) and social (the reactions of strangers). "Misfitting" is a major theme in interviews, as is the need to plan and scan constantly while navigating too-small public spaces. The most distressing events combine physical misfitting with unsympathetic reactions from strangers. Sensitivity to stigmatizing public cues reduces with weight loss, but does not disappear. This study explains one basic mechanism that underlies the creation of felt stigma related to weight even after weight loss: the lack of accommodation for size and the lack of empathy from others that characterize modern urban spaces.
[Mh] Termos MeSH primário: Obesidade/psicologia
Estigma Social
[Mh] Termos MeSH secundário: Adulto
Idoso
Antropologia Médica
Cirurgia Bariátrica
Peso Corporal
Estudos de Coortes
Feminino
Seres Humanos
Masculino
Meia-Idade
Obesidade/cirurgia
Logradouros Públicos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170911
[Lr] Data última revisão:
170911
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160609
[St] Status:MEDLINE
[do] DOI:10.1111/maq.12309



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