11 resultados para knowledge gaps

em Repositório Institucional UNESP - Universidade Estadual Paulista "Julio de Mesquita Filho"


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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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According to the World Health Organization (WHO) estimates for the year 2020, approximately 1.5 million people will commit suicide, and at least 10 times that many will make an attempt. This paper offers a brief overview of the current state of the epidemiology of suicide, a burgeoning public health problem. The information provided is based in large measure on reports of suicide mortality from 130/193 countries. In order to contextualize these data, this paper explores the contribution of both individual and sociocultural factors that influence suicidal behavior, from which much has been learned. Outlining the history of attempts by international and national organizations like WHO, United Nations, member states in the European community and other countries to regularize identification and suicide reporting procedures, this paper also demonstrates that serious knowledge gaps remain. Minimal requirements for successful evidence-based interventions are presented. (C) 2010 Published by Elsevier Masson SAS.

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The evaluation of competence of Alzheimer's disease (AD) patients to assume personal or collective responsibilities and the resulting legal implications is a relevant issue. Objectives: The aim of this study was to evaluate the attitudes of different medical specialists towards the disability of patients with Alzheimer's disease and practitioners' competence to interfere with decision-making autonomy. Methods: Professionals from different areas (Neurology, Psychiatry, Geriatrics, and General Practice) were interviewed by one of the authors, after being presented a fictitious clinical case which raised several topics, namely: [1] Critical judgment and capacity of the patient to take decisions related to daily activities; [2] The role of family physicians in nominating trustees and caregivers. Results: Answers to the first question did not differ regarding degree of preservation of awareness but at least 25% stressed that the patient must be carefully listened to, independent of caregiver or legal representative opinion. There were significant knowledge gaps in responses to the second question. Half of the physicians interviewed did not have adequate information about the legal aspects of caring for patients with Alzheimer's disease. Conclusions: Legal aspects is a topic that must be incorporated into professional training in order to improve attitudes toward the long-term management of patients with dementia.

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Pós-graduação em Ciências Biológicas (Zoologia) - IBB

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Pós-graduação em Estudos Linguísticos - IBILCE

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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

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A Scientific Committee on Problems of the Environment Rapid Assessment (SCOPE-RAP) workshop was held on 18-22 March 2013. This workshop was hosted by the European Commission, JRC Centre at Ispra, Italy, and brought together 40 leading experts from Africa, Asia, Europe and North and South America to create four synthesis chapters aimed at identifying knowledge gaps, research requirements, and policy innovations. Given the forthcoming publication by CABI of a book volume of the outcomes of the SCOPE-RAP in 2014, this workshop report provides an update on the global societal challenge of soil carbon management and some of the main issues and solutions that were identified in the four working sessions.

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Many adverse pregnancy outcomes (APOs), including spontaneous preterm birth (PTB), are associated with placental dysfunction. Recent clinical and experimental evidences suggest that premature aging of the placenta may be involved in these events. Although placental aging is a well-known concept, the mechanisms of aging during normal pregnancy and premature aging in APOs are still unclear. This review was conducted to assess the knowledge on placental aging related biochemical changes leading to placental dysfunction in PTB and/or preterm premature rupture of membranes (pPROM). We performed a systematic review of studies published over the last 50 years in two electronic databases (Pubmed and Embase) on placental aging and PTB or pPROM. The search yielded 554 citations, 30 relevant studies were selected for full-text review and three were included in the review. Only one study reported oxidative stress-related aging and degenerative changes in human placental membranes and telomere length reduction in fetal cells as part of PTB and/or pPROM mechanisms. Similarly, two animal studies reported findings of decidual senescence and referred to PTB mechanisms. Placental and fetal membrane oxidative damage and telomere reduction are linked to premature aging in PTB and pPROM but the risk factors and biomolecular pathways causing this phenomenon are not established in the literature. However, no biomarkers or clinical indicators of premature aging as a pathology of PTB and pPROM have been reported. We document major knowledge gaps and propose several areas for future research to improve our understanding of premature aging linked to placental dysfunction.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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This study aimed to review articles about BDD published from 1980 to 2008, indexed in Lilacs, Francis, Scielo, Psychinfo and Ovid's databases. The main categories of analysis in the study were bibliography, method, results and their specifications. Among the results it is emphasized the considerable increase of publications from 1996 on and the low frequency of national publications on this topic. The articles consulted were mostly of characterization, their designs were more frequent as the non-experimental and experimental and used the verbal report as the main source of data collection. The results of the investigated studies focus mainly the typical behaviors and characteristics of the population diagnosed with BDD. This paper discusses the articles consulted, their contributions to the area and knowledge gaps.

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This study aimed at investigating, in the national and international scientific literature, how aromatherapy is used as a therapeutic tool to reduce anxiety. It is a bibliographic study that adopted integrative literature review as a method. Studies published on databases Scielo, Medline and Cinahl from 2008 to 2012 were selected. A sample of 20 scientific articles was analyzed, and of these, 13 had an experimental and a quasi--experimental design whereas 07 were systematic or integrative reviews. The synthesis of knowledge sho-wed that aromatherapy represents a safe therapeutic practice although it is still underestimated in health care practices. The construction of evidence levels was not possible due to discrepancies in the studied populations, in research designs, the various essential oils used and the different methods for aromatherapy application. The knowledge gaps identified in these studies are related to the need to develop new forms to evaluate the effectiveness of this practice, including the therapist-patient relationship and the different communication forms that are intrinsic to aromatherapy.