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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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2021 Guideline for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack: A Guideline From the American Heart Association/American Stroke Association

Kleindorfer, .O.; Towfighi, A.; Chaturvedi, S. et al. American Heart Association (2021) CC

Each year, ≈795 000 individuals in the United States experience a stroke, of which 87% (690 000) are ischemic and 185 000 are recurrent.1 Approximately 240 000 individuals experience a transient ischemic attack (TIA) each year.2 The risk of recurrent stroke or TIA is high but can be mitiga... more

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Cardiovascular disease risk profile and management practices in 45 low-income and middle-income countries: A cross-sectional study of nationally representative individual-level survey data

Peiris, D.; Ghosh, A.; Manne-Goehler, J. et al. PLoS Medicine (2021) CC

Global cardiovascular disease (CVD) burden is high and rising, especially in low-income and middle-income countries (LMICs). Focussing on 45 LMICs, we aimed to determine (1) the adult population’s median 10-year predicted CVD risk, including its variation within countries by socio-demographic char... more

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Use of statins for the prevention of cardiovascular disease in 41 low-income and middle-income countries: a cross-sectional study of nationally representative, individual-level data

Marcus, M.E.; Manne-Goehler, J.; Theilmann, M. (2022) CC

Background In the prevention of cardiovascular disease, a WHO target is that at least 50% of eligible people use statins. Robust evidence is needed to monitor progress towards this target in low-income and middle-income countries (LMICs), where most cardiovascular disease deaths occur. The objectiv... more

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Follow-up care delivery in community-based hypertension and type 2 diabetes management: a multi-centre, survey study among rural primary care physicians in China

Wang, y.; Hu, X.; Wang, H.H.X.; et al. BMC Primary Care (2021) CC2

Follow-up care is crucial but challenging for disease management particularly in rural areas with limited healthcare resources and clinical capacity, yet few studies have been conducted from the perspective of rural primary care physicians (PCPs). We assessed the frequency of follow-up care delivere... more

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Руководство mhGAP-IG по оказанию помощи в связи с психическими и неврологическими расстройствами, а также расстройствами, связанными с употреблением психоактивных веществ, в неспециализированных учреж

World Health Organization World Health Organitarion (2018) C_WHO

MhGAP-IG – это примерное руководство, поэтому крайне важно адаптировать его в соответствии с уникальной национальной или местной ситуацией. Пользователи могут выбра�... more

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Household biomass fuel use, asthma symptoms severity, and asthma underdiagnosis in rural schoolchildren in Nigeria: a cross-sectional observational study

Oluwole, O.; Arinola, G.O.; Hou, D.; Olopade, C.O. (2017) CC2

In 2014, the International Study of Asthma and Allergies in Childhood (ISAAC) reported that the highest prevalence of symptoms of severe asthma was found in the low- and middle-income countries (LMICs), including Nigeria. While exposure to biomass fuel use may be an important risk factor in the deve... more

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La publicidad digital de fórmulas y alimentos infantiles influye en cómo alimentas a tu bebé y pone en riesgo su salud y la tuya.

UNICEF (2024) C_UNICEF

Infografia

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Plan stratégique pour la préparation, la capacité d’intervention et la riposte face à la variole simienne: Lignes directrices pour la planification des óperations

World Health Organisation (WHO) (2024) C_WHO

Lignes Directrices

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Conseils de santé publique concernant la récente flambée de variole du singe (orthopoxvirose simienne) à l’intention des homosexuels, des bisexuels et des autres hommes qui ont des rapports sexuels av

World Health Organisation (WHO) (2023) C_WHO

Une flambée de maladie connue sous le nom de « variole du singe » sévit actuellement dans de nombreux pays où il n’y a généralement pas de cas. Cette situation peut être préoccupante, notamment pour les personnes dont les proches ou la communauté sont touchés. Certains cas ont été obs... more

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The Child and the liberation from the shadow of the terrible big fear. A Trauma-Picture-Book about Help for Parents und their Child

Stein, S. (2017) C2

The Child and the liberation from the shadow of the terrible big fear Дитина і звільнення від тіні її надзвичайно великого страху Trauma Bilderbuch Ілюстрована книга

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Integrating Gender Equality and Social Inclusion in Water, Sanitation and Hygiene, GESI and WASH - A Reference Guide

World Vision (2023) CC

World Vision’s Gender Equality and Social Inclusion (GESI) approach actively strives to examine, question, and change harmful social norms and power imbalances as a means of reaching gender equality and social inclusion objectives in a programme area. This reference guide is designed to help WASH... more

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Always included: Uninterpreted education for children with disabilities before, during, and after a crisis

Handicap International (2023) CC

Globally, some 72 million children are out of school due to emergencies and protracted crises. Of these, at least 17% are children with disabilities.1 Yet, education in a crisis context can be a lifeline for children, providing psychosocial support, access to school feeding and health programmes, ... more

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Infection prevention and control measures when caring for patients with suspected or confirmed respiratory diphtheria: a summary

World Health Organization WHO (2024) C_WHO

This operational guide addresses important infection prevention and control (IPC) measures that should be implemented during a diphtheria outbreak and primarily addresses respiratory Corynebacterium diphtheriae (C. diphtheria).

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Fully fiund the global fund: Get back on track to ende AIDS, TB and Malaria in a Covid world

Global Fund Advocates Network (2021) CC

In 2019, the Global Fund’s 6th Replenishment raised more than $USD14 billion to fight HIV, Tuberculosis and Malaria. Just two years later, the world has changed significantly. Put simply: COVID-19 devastated prevention and treatment programs. For the first time since the Global Fund’s founding, ... more

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Tracking donor funding towards achieving the Global Vaccine Action Plan (GVAP) goals: A landscape analysis (1990–2016)

Ilkelezi et al. Department of Global Health; Institute for Health Metrics and Evaluation (2023) CC

Efforts driving universal coverage have recently been strengthened through implementation of the Global Vaccine Action Plan (GVAP) where cost estimates for immunization support were developed totaling US$40 billion of donor assistance by 2020. In addition to resource mobilization, there has been an ... more

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Intervenciones de autocuidado para la salud y los derechos sexuales y reproductivos a fin de avanzar con la cobertura sanitaria universal:

World Health Organisation (WHO) (2023) C_WHO

Las intervenciones de autocuidado ofrecen un enorme potencial para mejorar la autonomía individual y reducir las desigualdades sanitarias al aumentar la disponibilidad de opciones de atención sanitaria accesibles, aceptables y asequibles que se suman a los servicios y la atención recibidos en u... more