Impact and cost of a 2-week community-based screening and awareness program for diabetes and cardiovascular risk factors in a Swiss canton.

BACKGROUND: Community-based diabetes screening programs can help sensitize the population and identify new cases. However, the impact of such programs is rarely assessed in high-income countries, where concurrent health information and screening opportunities are common place. INTERVENTION AND METHODS: A 2-week screening and awareness campaign was organized as part of a new diabetes program in the canton of Vaud (population of 697,000) in Switzerland. Screening was performed without appointment in 190 out of 244 pharmacies in the canton at the subsidized cost of 10 Swiss Francs per participant. Screening included questions on risk behaviors, measurement of body mass index, blood pressure, blood cholesterol, random blood glucose (RBG), and A1c if RBG was >/=7.0 mmol/L. A mass media campaign promoting physical activity and a healthy diet was channeled through several media, eg, 165 spots on radio, billboards in 250 public places, flyers in 360 public transport vehicles, and a dozen articles in several newspapers. A telephone survey in a representative sample of the population of the canton was performed after the campaign to evaluate the program. RESULTS: A total of 4222 participants (0.76% of all persons aged >/=18 years) underwent the screening program (median age: 53 years, 63% females). Among participants not treated for diabetes, 3.7% had RBG >/= 7.8 mmol/L and 1.8% had both RBG >/= 7.0 mmol/L and A1c >/= 6.5. Untreated blood pressure >/=140/90 mmHg and/or untreated cholesterol >/=5.2 mmol/L were found in 50.5% of participants. One or several treated or untreated modifiable risk factors were found in 78% of participants. The telephone survey showed that 53% of all adults in the canton were sensitized by the campaign. Excluding fees paid by the participants, the program incurred a cost of CHF 330,600. CONCLUSION: A community-based screening program had low efficiency for detecting new cases of diabetes, but it identified large numbers of persons with elevated other cardiovascular risk factors. Our findings suggest the convenience of A1c for mass screening of diabetes, the usefulness of extending diabetes screening to other cardiovascular risk factors, and the importance of a robust background communication campaign.

Estimación de la biomasa de la población desovante de anchoveta peruana Engaulis ringens en 1981. Por aplicación del metodo de producción de huevos

Un nuevo método, Método de producción de huevos, fue usado para estimar la biomasa desovante de la anchovetaperuana, Engraulis ringens, de las áreas norte y central. Este método se basa en el estimado conjunto de la producción de huevos por unidad de peces adultos por unidad de tiempo. Se describe el método en detalle. Estudio del desove de la anchoveta peruana en las áreas norte y central del mar peruano. Este método se basa en el estimado conjunto de producción de huevos por unidad de peces adultos por unidad de tiempo.

Eu falo na tua língua, mas entendo-te na minha

A ligação entre as práticas pedagógicas nas escolas e os novos meios informáticos e tecnológicos constitui hoje o centro dos debates acerca do que significam estes últimos num mundo globalizado e a forma como eles são ou serão usados numa educação que se pretende emancipadora. Será este texto, por isso, uma partilha com os leitores das reflexões em torno destas questões, suscitadas por investigação anterior e pelo decurso de investigação de ensino on-line na Universidade Jean Piaget de Cabo verde. Não se pretende, por isso, conclusiva, mas apenas como um passo no caminho a desbravar.