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Infrastructure, policy and regulatory interventions to increase physical activity to prevent cardiovascular diseases and diabetes: a systematic review

Durão, S.; Burns, J.; Schmidt, B. et al. BMC Public Health (2023) CC

Background Noncommunicable diseases are major contributors to morbidity and mortality worldwide. Modifying the risk factors for these conditions, such as physical inactivity, is thus essential. Addressing the context or circumstances in which physical activity occurs may promote physical activity a...t a population level. We assessed the effects of infrastructure, policy or regulatory interventions for increasing physical activity. Methods We searched PubMed, Embase and clinicaltrials.gov to identify randomised controlled trials (RCTs), controlled before-after (CBAs) studies, and interrupted time series (ITS) studies assessing population-level infrastructure or policy and regulatory interventions to increase physical activity. We were interested in the effects of these interventions on physical activity, body weight and related measures, blood pressure, and CVD and type 2 diabetes morbidity and mortality, and on other secondary outcomes. Screening and data extraction was done in duplicate, with risk of bias was using an adapted Cochrane risk of bias tool. Due to high levels of heterogeneity, we synthesised the evidence based on effect direction. Results We included 33 studies, mostly conducted in high-income countries. Of these, 13 assessed infrastructure changes to green or other spaces to promote physical activity and 18 infrastructure changes to promote active transport. The effects of identified interventions on physical activity, body weight and blood pressure varied across studies (very low certainty evidence); thus, we remain very uncertain about the effects of these interventions. Two studies assessed the effects of policy and regulatory interventions; one provided free access to physical activity facilities and showed that it may have beneficial effects on physical activity (low certainty evidence). The other provided free bus travel for youth, with intervention effects varying across studies (very low certainty evidence). Conclusions Evidence from 33 studies assessing infrastructure, policy and regulatory interventions for increasing physical activity showed varying results. The certainty of the evidence was mostly very low, due to study designs included and inconsistent findings between studies. Despite this drawback, the evidence indicates that providing access to physical activity facilities may be beneficial; however this finding is based on only one study. Implementation of these interventions requires full consideration of contextual factors, especially in low resource settings. more

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Sustainability and the common good: Catholic Social Teaching and ‘Integral Ecology’ as contributions to a framework of social values for sustainability transitions

Christie, I.; Gunton R. M., Hejnowicz A.P. IR3S (2019) C1

Sustainability Science (2019) 14:1343–1354

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Families with disabled children in different European countries

Paola Di Giulio, Dimiter Philipov, and Ina Jaschinski (2014) C2

Families and Societies Working Paper Series Changing families and sustainable societies: Policy contexts and diversity over the life course and across generations

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PUBLIC HEALTH RISK ASSESSMENT OF ZIKA VIRUS IN NIGERIA AND INTERIM RECOMMENDATIONS

Nigeria Centre for Disease Control, Abuja, Nigeria (2016) C2

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Regional Guidelines for the Management of Severe Falciparum Malaria in Large Hospitals

World Health Organization (WHO), Regional Office for South-East Asia (2006) C_WHO

hese are two parallel guidelines, one for small hospitals and another one for large hospitals. In view of heavy burden of malaria and prevalence of drug resistant falciparum malaria in the South-East Asia Region, the guidelines were developed for use by medical personnel who treat severe malaria pat... more

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Antimicrobial Resistance: Challenges and Perspectives

Doyle, M.P.; G. H. Loneragan, H. M. Scott et al. (2006) C2

Comprehensive Reviews in Food Science and Food Safety, Vol.12 (2013) pp.234-248 In 2006, the Institute of Food Technologists (IFT) published an Expert Report entitled “Antimicrobial Resistance: Implications for the Food System” (IFT 2006). That report summarized current scientiﬁc knowledge pe... more

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Definição e categorização do momento da transmissão vertical do SARS-CoV-2 Informe científico 8 de fevereiro de 2021

Organização Mundial da Saúde (OMS) OPAS, OMS (2021) C_WHO

Definition and categorization of the time of vertical transmission of SARS-CoV-2 Scientific report 8 February 2021

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Projected Zika Virus Importation and Subsequent Ongoing Transmission after Travel to the 2016 Olympic and Paralympic Games —Country-Specific Assessment, July 2016

Ardath Grills, Stephanie Morrison, Bradley Nelson et al. Centers for Disease Control and Prevention (2016) C_CDC

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The global threat of Zika virus to pregnancy: epidemiology, clinical perspectives, mechanisms, and impact

Boeuf, P.; H.E. Drummer; J.S. Richards, et al. (2016) CC

BMC Medicine201614:112 DOI: 10.1186/s12916-016-0660-0

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Transmission of Zika virus through breast milk and other breastfeeding-related bodily-fluids: a systematic review

S. Colt, M.N. Garcia-Casal, J.P. Peña-Rosas, et al. World Health Organization (WHO) (2016) C_WHO

Bulletin of the World Health Organization; http://dx.doi.org/10.2471/BLT.16.176677

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Sarampión: una enfermedad re emergente en Venezuela

Ana Carvajal, José Félix Oletta López, Alejandro Rísquez Sociedad Venezolana de Salud Pública (2017) C1

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Manual Instrutivo para a assistência à gestante e puérpera frente à pandemia da covid-19

Ministerio da Saude, Brasilia (2020) CC

Instructional Manual for the care of pregnant and postpartum women in the context of the covid-19 pandemic Este Manual de Recomendações para a Assistência à Gestante e Puérpera visa orientar o acesso e a horizontalidade da assistência durante a pandemia Covid-19, abordando as vias de transmis... more

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Definition and categorization of the timing of mother-to-child transmission of SARS-CoV-2

World Health Organization WHO (2021) C_WHO

The WHO COVID-19 LENS (Living Evidence Synthesis) working group consolidated available evidence, based on rapid reviews of the literature and results of a living systematic review on pregnancy and COVID-19 (up to October 7, 2020), on potential mechanisms of vertical transmission of infectious pathog... more