Suchergebnisse

Abstract. More people than ever are living longer with chronic conditions such as obesity, type 2 diabetes, and heart disease. Behavior change for effective self-management can improve health outcomes and quality of life in people living with such chronic illnesses. The science of developing behavior change interventions with impact for patients aims to optimize the reach, effectiveness, adoption, implementation, and maintenance of interventions and rigorous evaluation of outcomes and processes of behavior change. The development of new services and technologies offers opportunities to enhance the scope of delivery of interventions to support behavior change and self-management at scale. Herein, we review key contemporary approaches to intervention development, provide a critical overview, and integrate these approaches into a pragmatic, user-friendly framework to rigorously guide decision-making in behavior change intervention development. Moreover, we highlight novel emerging methods for rapid and agile intervention development. On-going progress in the science of intervention development is needed to remain in step with such new developments and to continue to leverage behavioral science's capacity to contribute to optimizing interventions, modify behavior, and facilitate self-management in individuals living with chronic illness.

Abstract Community resilience is essential for disaster management and its measurement is necessary to support decision-making. This paper presents as first list of community resilience indicators for Brazilian municipalities, resulting from literature review, experts' consulting and application of the Delphi method. The experts group consisted of public managers (43%) and researchers (57%). The study comprised six phases: conceptual framework selection; composition of the indicators list; elaboration of evaluation tool (Delphi method); selection and invitation to experts; evaluation of indicators; and data analysis. As a result, the importance of 101 indicators distributed in six dimensions (environmental; social; economic; institutional; infrastructure; social capital) achieved consensus among the experts after two rounds. In the first round, 98 indicators were submitted to the evaluation of 97 specialists, with the possibility of proposing new indicators, while in the second round the final list reached consensus among the 72 respondents. The Institutional and Infrastructure dimensions were predominant, evidencing the value of public policies and urban infrastructure for community resilience to disasters in the perception of Brazilian experts.

Abstract The aim of this study was to obtain hydroethanolic extract of propolis by extraction, assisted by focused microwave, and to apply it in Tuscan-style sausage. The extract was used at concentrations of 0.5%, 1.0% and 2.0% (w/v) in the manufacture of the sausage, which was then analyzed in cold storage at 4 °C for 56 days. The following analyses were performed: mesophilic and psychotrophic organisms; coliforms at 35 and 45 °C; positive and negative-coagulase Staphylococcus, sulfite-reducing Clostridium, and Salmonella spp. The results were below the limits established by the Brazilian legislation, with some changes at the end of the study. Consequently, propolis extract prolonged the shelf life of the Tuscan-style sausage for 56 days and it is therefore an ingredient that can be potentially used in the preparation of this product.