81 resultados para Behavioral preferences


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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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Solid-organ transplant recipients present a high rate of non-adherence to drug treatment. Few interventional studies have included approaches aimed at increasing adherence. The objective of this study was to evaluate the impact of an educational and behavioral strategy on treatment adherence of kidney transplant recipients. In a randomized prospective study, incident renal transplant patients (n = 111) were divided into two groups: control group (received usual transplant patient education) and treatment group (usual transplant patient education plus ten additional weekly 30-min education/counseling sessions about immunosuppressive drugs and behavioral changes). Treatment adherence was assessed using ITAS adherence questionnaire after 3 months. Renal function at 3, 6, and 12 months, and the incidence of transplant rejection were evaluated. The non-adherence rates were 46.4 and 14.5 % in the control and treatment groups (p = 0.001), respectively. The relative risk for non-adherence was 2.59 times (CI 1.38-4.88) higher in the control group. Multivariate analysis demonstrated a 5.84 times (CI 1.8-18.8, p = 0.003) higher risk of non-adherence in the control group. There were no differences in renal function and rejection rates between groups. A behavioral and educational strategy addressing the patient's perceptions and knowledge about the anti-rejection drugs significantly improved the short-term adherence to immunosuppressive therapy.

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Within the current context of environmental degradation, primarily caused by unsustainable pat terns of production and consumption (AGENDA 21, 1992), the Protected Areas (PAs) are considered internationally as one of the most successful measures for the conservat ion of biodiversity, according to the Union for the Conservation of Nature (IUCN). The city of Rio Claro (Sao Paulo, Brazi l ) has a significant conservation area in both environmental aspects as historical and cultural, the State Forest 'Edmundo Navarro de Andrade' (FEENA). Beyond the conservation measures, there is a need to develop environmental education that encourages community participation and appreciation in the unit 's maintenance and protection, as well as provide moments of reflection that could conduct perceptual changes, behavioral, attitudinal and evaluative on relations between human beings and their environment . This work brings the proposal to create an interpretive trail in the area of public use of FEENA to contribute to the Unit Management Plan in order to make it an Environmental Education tool. To prepare the planning of the interpretive trail, a deep bibliographic and cartographic review was performed on the subject. It was applied questionnaires in order to know the visitors better and map the features of public visitation, as well as map the visitor preferences about how they would like to receive information on the area and expose field studies in the track site. The trail was traced taking into account the environmental and social aspects, we propose a track suspended above the ground, in order to affect as little as possible and to include the area in the context of PAs people with reduced mobility and visually impaired

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Lifestyle is directly related to the incidence of type 2 diabetes mellitus (DM-2), a risk dramatically elevated by obesity and inactivity. Several studies have verified that educational interventions can delay the onset of DM-2. Some of the interventions strategies utilized medication and diet, diet and/or physical exercise or the combination of diet and exercise, generally referred to a change in lifestyle. Despite the evidence that DM-2 can be preventive, there is still limited availability of effective prevention programs. DM-2 is considered an emerging public health problem as it is estimated that by the year of 2030 there will be about 366 million people with diabetes worldwide. DM2 remains a leading cause of cardiovascular disorders and many other complications. Our intent with this paper is to present researches and strategies (diet and physical activity interventions) that successfully improved plasma glucose control as a result of an effective lifestyle intervention program.

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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)