scholarly journals Mediación biopedagógica de salud y vida, casos de enfermedad cardiovascular

2017 ◽  
Vol 21 (2) ◽  
pp. 1
Author(s):  
Jorge Enrique Salas-Cabrera

This research aimed to analyze the application of a bio-pedagogical mediation built on the basis of constructivism in the learning and understanding of healthy living habits, specifically those related to food, physical activity, social relations, psycho-affective status and information about heart disease in patients undergoing cardiac rehabilitation. A qualitative approach to the ideographic nature was implemented; it analyzed individual behaviors, habits, and customs, appreciating them in all their richness, to understand the reasons and decisions. The study involved five patients (4 men and 1 woman), who had cardiovascular events, aged between 40 to 65 years old. The bio-pedagogical mediation lasted 6 weeks, and 18 sessions of one hour per patient were held; each patient was able to read and write with no problems. Five categories of analysis were conducted: emotional-affective, nutritional, social, cognitive behavior and physical activity. To obtain the relevant expressions, three instruments were used for the respective analysis: life stories, incomplete sentences, and free association. The conclusion of this study was the improvement of the patient´s understanding of the importance of changing life habits, specifically in the five categories of analysis; this conclusion was verified in the follow-up done to the participants for two years after receiving the bio-pedagogical mediation. 

Circulation ◽  
2021 ◽  
Vol 143 (Suppl_1) ◽  
Author(s):  
Jacob Bruinius ◽  
Mary Hannan ◽  
Jinsong Chen ◽  
Julia Brown ◽  
Mayank Kansal ◽  
...  

Background: In the general population, higher levels of physical activity are associated with lower risk for cardiovascular events and mortality. Although individuals with CKD are less physically active than individuals without CKD and at increased cardiovascular risk, the association between physical activity and outcomes has not been extensively evaluated in this population. Hypothesis: Lower levels of physical activity will be associated with an increased risk for cardiovascular events and mortality. Methods: We used data from 3935 participants in the Chronic Renal Insufficiency Cohort (CRIC) Study, an ongoing multi-center prospective observational study of adults with CKD enrolled between 2003 and 2008. Self-reported physical activity was assessed at study entry using a self-reported survey. We evaluated two predictors: walking pace and moderate-to-vigorous physical activity (MVPA) MET-hours per week. Outcomes included physician-adjudicated myocardial infarction (MI), stroke, congestive heart failure (CHF), and cardiovascular (CV) death. Cox proportional hazards were used to assess the association of physical activity with outcomes. Results: At baseline, mean age was 57.7 years, 45.2% (1777 of 3935) were women, 33.4% (1314 of 3935) had self-reported cardiovascular disease, mean eGFR was 44.9 ml/min/m 2 , 11.7% (459 of 3914) were in the fastest walk pace group (>3 mph) and median MVPA was 39.0 MET-hours per week. During a median follow-up of 8.9 years, the number of events was 477 for MI, 230 stroke, 843 CHF, and 1022 CV deaths. In fully adjusted models, fastest walk pace was associated with lower risk for each outcome. Those in the highest MVPA quartile had lower risk for MI and CV death, but not stroke or CHF, compared to those who were least active ( Table 1 ). Conclusion: In this cohort of adults with CKD, higher physical activity was protective against cardiovascular events and cardiovascular mortality, which may have important implications for clinical practice and the design of future studies.


2021 ◽  
Vol 12 (2) ◽  
pp. 3-6
Author(s):  
Júlia a) Machado Ribeiro ◽  
◽  
Lurdes a) Rovisco Branquinho ◽  
Isabel b) Gonçalves Pinto ◽  
Joana b) Atabão ◽  
...  

a) Coronavirus disease 2019 and the athletic heart emerging perspectives on pathology, risks, and return to play b) A Swedish primary healthcare prevention programme focusing on promotion of physical activity and a healthy lifestyle reduced cardiovascular events and mortality: 22-year follow-up of 5761 study participants and a reference group


Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Leah Croll ◽  
Andrew Chang ◽  
Erica Scher ◽  
Koto Ishida ◽  
Jose Torres ◽  
...  

Background: Symptomatic vertebrobasilar (VB) atherosclerotic disease is associated with a high risk of recurrent stroke despite optimal medical therapy. Objective: In this study, we aim to examine the prognosis and associations between risk factors and recurrent major cardiovascular events (MACE) in patients with symptomatic VB stenosis randomized in the medical arm of the Stenting and Aggressive Medical Management for Preventing Recurrent Stroke in Intracranial Stenosis (SAMMPRIS) study. Methods: Data from subjects in the medical arm of the SAMMPRIS trial with an infarct in the territory of vertebral or basilar arteries (n= 73) were analyzed. The primary outcome was MACE: defined as stroke, myocardial infarction, or other cardiovascular death during follow up. Mean risk factor values were compared between subjects who met the primary outcome at 2 years versus those who did not, using T-tests and χ2 tests. Results: Among 73 patients with VB stenosis randomized to medical treatment, 18 patients (24.6%) had recurrent MACE over a mean follow up of 2.8 years. This was significantly less than the rate of MACE in those with VB enrolled in the WASID trial (9.7 per 100-patient years vs. 20.9 per 100-patient years, p<0.01). Predictors of MACE at 2 years were increased triglyceride level (adjusted OR per 50 units increase in triglyceride 1.94, 95% CI 1.15-3.28) and increased HbA1c level (adjusted OR per 1 unit increase in HbA1c 2.07, 95% CI 0.97-4.45), and lower physical activity status measured by PACE (out of target defined by PACE ≤ 4: moderate activity < 5 days per week or intense activity < 3 days per week) (2.5 ± 1.0 vs. 3.3 ± 1.8, p = 0.028) (Table). Conclusions: In patients with symptomatic VB disease, improvement of medical treatment over time led to a reduction in cardiovascular event rates but this risk remains elevated as nearly 1 in 5 patients had MACE within 2 years. Further risk factor optimization and lifestyle changes are needed to reduce the rates of MACE in this patient population.


2020 ◽  
pp. 001789692097790
Author(s):  
Michelle A Thompson ◽  
Claudio R Nigg

Objective: To assess the effectiveness of an adolescent peer-led health curriculum in changing physical activity and fruit and vegetable social-cognitive and behavioural variables among Filipino American adolescents in Hawai’i for participants and peer educators. Design: Quasi-experimental design. Setting: One high school on Oahu, Hawai’i. Method: Filipino American adolescents aged 16–18 years from a grade 12 health class were recruited and trained as peer educators to deliver a health curriculum to grades 9–11 health classes over 8 months. We examined peer educators’ influence on physical activity and fruit and vegetable social-cognitive (knowledge, stage of change, self-efficacy and enjoyment) and behavioural variables (physical activity and consumption). Participants and peer educators completed baseline and follow-up questionnaires. Results: Compared with controls, intervention students showed an increase in physical activity knowledge and self-efficacy. Multiple regression analysis predicted higher physical activity knowledge and moderate-vigorous physical activity follow-up scores for members of the intervention group. A significant effect was found for physical activity stage of change and moderate-vigorous physical activity for peer educators over time. No significant effect was found for any fruit and vegetable variables. Conclusion: A peer-led health curriculum may be a viable method to change physical activity social-cognitive and behavioural variables in Filipino American adolescents and peer educators.


Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 426-P
Author(s):  
YUQIAN BAO ◽  
YUN SHEN ◽  
XUELI ZHANG ◽  
YITING XU ◽  
QIN XIONG ◽  
...  

Author(s):  
Putri Ananda Sari ◽  
Abdul Kadir ◽  
Beby Mashito Batu Bara

This study aims to determine the role of the Ombudsman of the Republic of Indonesia in North Sumatra Representative in the Supervision of Population and Civil Registry Service in Medan City. This study uses a qualitative approach with descriptive methods describing information about the data obtained from the field in the form of written and oral data from the parties studied. Data is collected based on interviews and documentation. The results of this study indicate that the role of the Ombudsman of the Republic of Indonesia in North Sumatra was carried out in the form of external supervision. External supervision is supervision carried out by the Ombudsman of the Republic of Indonesia Representative of North Sumatra to the Medan Population and Civil Registry Service. Actions taken in the supervision process are incoming reports, follow-up of the first report and follow-up of the report. Based on the research that has been carried out, it has been concluded that the role of the Ombudsman of the Republic of Indonesia in the North Sumatra Representative in supervising the service provider of the Population and Civil Registry services is carried out in the form of external supervision. In supervising the handling of public reports of alleged poor service in the area of population administration, it has been effective, with several efforts to handle reports such as: (1) Clarification; (2) Investigation; (3) Recommendations; (4) Monitoring.


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