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Search Results: 1 - 10 of 327720 matches for " S. Pilar Suguimoto "
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Food Insecurity Is Associated with Increased Risk of Non-Adherence to Antiretroviral Therapy among HIV-Infected Adults in the Democratic Republic of Congo: A Cross-Sectional Study
Patou Masika Musumari, Edwin Wouters, Patrick Kalambayi Kayembe, Modeste Kiumbu Nzita, Samclide Mutindu Mbikayi, S. Pilar Suguimoto, Teeranee Techasrivichien, Bhekumusa Wellington Lukhele, Christina El-saaidi, Peter Piot, Masako Ono-Kihara, Masahiro Kihara
PLOS ONE , 2014, DOI: 10.1371/journal.pone.0085327
Abstract: Background Food insecurity is increasingly reported as an important barrier of patient adherence to antiretroviral therapy (ART) in both resource-poor and rich settings. However, unlike in resource rich-settings, very few quantitative studies to date have investigated the association of food insecurity with patient adherence to ART in Sub-Saharan Africa. The current study examines the association between food insecurity and adherence to ART among HIV-infected adults in the Democratic Republic of Congo (DRC). Methods and Findings This is a cross-sectional quantitative study of patients receiving ART at three private and one public health facilities in Kinshasa, DRC. Participants were consecutively recruited into the study between April and November 2012. Adherence was measured using a combined method coupling pharmacy refill and self-reported adherence. Food insecurity was the primary predictor, and was assessed using the Household Food Insecurity Access Scale (HFIAS). Of the 898 participants recruited into the study, 512 (57%) were food insecure, and 188 (20.9%) were not adherent to ART. Food insecurity was significantly associated with non-adherence to ART (AOR, 2.06; CI, 1.38–3.09). We also found that perceived harmfulness of ART and psychological distress were associated respectively with increased (AOR, 1.95; CI, 1.15–3.32) and decreased (AOR, 0.31; CI, 0.11–0.83) odds of non-adherence to ART. Conclusion Food insecurity is prevalent and a significant risk factor for non-adherence to ART among HIV-infected individuals in the DRC. Our findings highlight the urgent need for strategies to improve food access among HIV-infected on ART in order to ensure patient adherence to ART and ultimately the long-term success of HIV treatment in Sub-Saharan Africa.
Scientific and Traditional Knowledge in Odontology  [PDF]
María del Pilar Adriano, Tomás Caudillo Joya, Nicolás Malinowski, Pilar Alejandra Caudillo Adriano
Open Journal of Stomatology (OJST) , 2014, DOI: 10.4236/ojst.2014.47050
Abstract: Introduction: We present the results of scientific and traditional knowledge, which were performed on students attending the School of Dental Surgery at the Faculty of Higher Studies Zaragoza UNAM and parents in the Milpa Alta policy delegation of the Federal District with the purpose to articulate such knowledge for planning oral health programs where the protection and promotion of oral health are prioritized. Method: This study was qualitative and quantitative, and 413 students of the career Dentist Faculty of Higher Studies Zaragoza UNAM and 2100 parents of twelve elementary school of the Milpa Alta delegation participated. Results: One of the results was that almost a third (28%) of the students go to the dentist only when they need to, however 40% of parents said they go to consultation only when they start to experience pain. Conclusion: It is important to articulate scientific knowledge with the traditional and famed in Odontology, for the operation alization of health programs attached to particular contexts where all stakeholders are involved to prevent oral problems.
Discussing options between patients and health care professionals in genetic diagnosis: ethical and legal criteria
Pilar Nicolás
Hereditary Cancer in Clinical Practice , 2007, DOI: 10.1186/1897-4287-5-3-144
Abstract: Specific questions regarding the ethics of genetic testing in cancer diagnosis have been raised because of the specific characteristics of the data obtained. The obtaining and use of genetic data have several peculiar implications for the rights of the patients and their relatives, and frequently practitioners and researchers face new conflicts, to which law and ethics try to give an answer. This concern has increased because, in general, law cannot provide a concrete answer to each concrete situation and, furthermore, there is no regulation of genetic analysis or genetic data in several countries. For these reasons, practitioners often need to make personal decisions in these situations. Some criteria to manage genetic information in cancer diagnosis will be presented in this article.It has been proposed that if genetic data are different from other health data they require specific ethical and legal reflection. This position is known as genetic exceptionalism [1].As has been said, some characteristics of genetic data are shared by other health data, but what is peculiar is the presence of all of these special characteristics and this circumstance means that around the genetic data several different interests are involved, and this has real effects, such as the need for recommendations in this field.In 2004, the European Commission published a document with twenty-five recommendations on ethical, legal and social implications of genetic testing in which it said that "genetic exceptionalism should be avoided, internationally, in the context of the EU and at the level of its Member States. However, the public perception that genetic testing is different needs to be acknowledged and addressed. All medical data, including genetic data, must satisfy equally high standards of quality and confidentiality" [2]. It is true that the principles to be applied to solve the conflicts dealing with the treatment of genetic data are also applicable to conflicts in the field of heal
Las dietas en el mundo moderno: su importancia como elemento en la conservación de la salud
Gardeta S,Pilar;
Revista médica de Chile , 1998, DOI: 10.4067/S0034-98871998000700016
Abstract: along history, the meaning of the word diet has evolved and has implied different concepts. therefore, this review contributes to clarify its significance for physicians along history. it is centered in the modern world, a period in which the notion of diet was remarkably different to the current concept
La escuela en el medio rural y su presencia en los planes de estudio de los grados de maestro de educación infantil y primaria de las universidades espa olas
Pilar Abós Olivares
PROFESORADO , 2011,
Abstract: Los planes de estudio concretan el currículum que tiene que cursar el alumnado, en nuestro caso universitario, con el objetivo de obtener una titulación determinada lo que, en el contexto actual, suponen la certificación de que han adquirido unas determinadas competencias en un campo del saber y del saber hacer. Esta concreción tiene entre sus objetivos el acercamiento de la formación universitaria a la realidad social y profesional de los contextos, aulas, centros, entornos y territorios en el caso de los maestros, sin olvidar, por supuesto que además de la ense anza, la investigación es tarea fundamental de la Universidad. Desde este punto de vista hemos querido aproximarnos al tratamiento que en los recién estrenados planes de estudio del Grado de Maestro en Educación Infantil y Primaria tiene el tema de la escuela rural, a través del análisis de los objetivos y contenidos de los diferentes desarrollo curriculares que están realizando las universidades espa olas. No hemos pretendido analizar y valorar el perfil personal y profesional que subyace en ellos, sino realizar un mero estudio descriptivo que pueda servir de llamada de atención sobre si la temática que planteamos debe o no conformar una parte sustantiva en la formación inicial de los maestros.
Multiculturalidad y diversidad en las aulas
Pilar Arnaiz Sánchez
Indivisa : Boletin de Estudios e Investigación , 2003,
Abstract:
Las dietas en el mundo moderno: su importancia como elemento en la conservación de la salud Diets in the modern world: Their importance as a health promoting means
Pilar Gardeta S
Revista médica de Chile , 1998,
Abstract: Along history, the meaning of the word diet has evolved and has implied different concepts. Therefore, this review contributes to clarify its significance for physicians along history. It is centered in the Modern World, a period in which the notion of diet was remarkably different to the current concept
Contemporaneity of Spanish Rural Architecture Intervention and Economic Sustainability  [PDF]
Joan Curós Vilà, M. Pilar Curós Vilà
Art and Design Review (ADR) , 2017, DOI: 10.4236/adr.2017.51005
Abstract: From the second half of the 20th century onwards, Spanish rural architecture has suffered a transformation regarding its farming and ranching model. The economic unsustainability of the family economy has led to further action for the viability of the system. This transformation has meant a new mindset to the owner of the farm and livestock, who had to consider whether continuity was given to the exploitation or the countryside/field was changed and adapted to a new use such as rural tourism, restoration, or for collective uses such as holiday camps, cultural centers or others. Owners who have decided to continue the exploitation they were developing have had to industrialize it and thus extend it in a considerable percentage. That has meant the need to intervene significantly in the rural architectural heritage. A wide and varied range of results has been obtained in these interventions: from the fossilization or destruction of assets, to the achievement of harmony and coexistence between tradition and modernity in this heritage, the result of which represents the contemporaneity of rural architecture.
Concentra??o de ácido ascórbico em sucos de diversas frutas brasileiras e sua rela??o com pre?o e necessidades diárias recomendadas de vitamina C
Roncada,Maria José; Wilson,Donald; Suguimoto,Lumi;
Revista de Saúde Pública , 1977, DOI: 10.1590/S0034-89101977000100004
Abstract: ascorbic acid content was studied in several commercial fruit juices and in the juice of brazilian fresh fruit of the same species used in commercial preparations, excepting those unavailable on the market at the time of the study. tillmans' method was employed in the assessment of ascorbic acid. results were presented in average figures. among processed juices, whole cashew juice and concentrated orange and tangerine juices presented the highest concentration of ascorbic acid. the mean values for fresh fruit juice were higher than processed juices (excepting the concentrated ones). the quantity of ascorbic acid contained in a glass (mg per 250 ml) of each of the juices was calculated as well as the cost of a glass of juice. these data were also related to daily allowances of ascorbic acid and respective cost. daily allowances may be met more cheaply using processed cashew and fresh orange juices than using the others.
Ecoturismo e (Des)Educa o Ambiental
Euler Sandeville Junior,Flávia Tiemi Suguimoto
Revista Brasileira de Ecoturismo , 2010,
Abstract: Este trabalho decorre de observa es em locais de ecoturismo (no interior do Estado de S o Paulo) e de discuss es anteriores dos autores sobre a forma de se pensar e se fazer o turismo na natureza. Essas pesquisas, juntamente com uma bibliografia atual sobre o tema, permitem questionar se os formatos padronizados no segmento podem ainda favorecer, ou em que medida, a forma o de uma consciência ambiental. Ou seja, o ecoturismo, como se constitui, n o estará contribuindo para uma idéia fantasiosa de consciência ambiental? O contato com a natureza é um grande estímulo à sensibiliza o sobre o ambiente e à sua conserva o, mas existe um espa o a preencher entre essa sensibiliza o e a Educa o Ambiental. O grande desafio se encontra em conseguir transformar essa sensibiliza o em educa o e, consequentemente, em a es afetivas e efetivas. No entanto, a rela o entre Educa o Ambiental e o ecoturismo, que seria esperada como integrante desse segmento se aceitarmos as diversas defini es e entendimentos para essa atividade, na prática, tem apresentado problemas que comprometem o próprio alcance da idéia de ecoturismo. Essas dificuldades têm sido apontadas tanto no ambito acadêmico quanto no empresarial. Existem estudos recentes que identificam esse problema e procuram construir uma interpreta o. Trazer os impasses à discuss o é o grande mérito desses trabalhos, contribuindo para desmistificar a atividade. O entendimento da quest o, contudo, deverá relacionar os problemas já apontados com quadros sociais nos quais se constituem. A quest o tem sido reduzida a uma crítica (necessária) da espetaculariza o da sociedade de consumo, ou creditada a uma deficiência de conhecimento técnico e de falta de capacita o do setor para lidar adequadamente com essa integra o entre ecoturismo e Educa o Ambiental (o que certamente ocorre). A dificuldade, entretanto, n o pode ser creditada apenas ao ecoturismo, e ao comportamento do turista ou do empresário, e nem mesmo aos impasses nas práticas de Educa o Ambiental (estes n o têm sido considerados nos trabalhos que consultamos). O arcabou o das práticas e suas referências empíricas e teóricas precisa ser trazido para a discuss o da realidade social em que se d o, inclusive em seus aspectos estruturais, culturais e afetivos, o que poderá mostrar contradi es importantes e mais profundas do que aquelas já indicadas acima. A n o percep o dessas rela es gera reducionismos que condenar o as solu es apresentadas a apenas renovar as dificuldades e a n o colocar plenamente em cheque as suas causas.
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