313 research outputs found
Lifestyle interventions for preventing and ameliorating CKD in primary and secondary care
No full textPURPOSE OF REVIEW: Despite the growth in chronic kidney disease (CKD) epidemics, evidence-based lifestyle recommendations for primary prevention of CKD are limited by reliance on observational studies and predominantly pilot clinical trials. RECENT FINDINGS: Emerging data have shown lifestyle modification strategies for primary CKD prevention with the most evidence favoring a healthy dietary pattern (rich in fruit, vegetables, potassium and have a higher plant-based to animal protein ratio), and diet low in sodium, being physically active, avoiding tobacco smoking, moderating alcohol consumption and maintaining a healthy body weight. The way these behavioral interventions can be implemented in practice should consider their synergistic benefit as well as mechanisms to facilitate long-term behavior change. Sustaining long-term behavior change remains a challenge in practice, particularly due to a lack of healthcare resources and behavior relapse. Some suggestions to mitigate this include ensuring adequate time is spent in intervention codesign and planning, utilizing adaptive trial/intervention designs with regular intervention tailoring for intervention dose, intensity, duration, and modality. SUMMARY: A number of modifiable lifestyle behaviors consistently associate with developing CKD in the community. The current evidence base, despite its inherent limitations, may inform both public health recommendations and clinical practice.No Full Tex
Dietary sources of protein and chronic kidney disease progression: the proof may be in the pattern
No full textThe medieval philosopher Moses Maimonides (Spain, 1135-1204) wrote that “No disease that can be treated by diet should be treated with any other means.” Not so long ago, before we had the means of dialysis therapy, and still today in many parts of the world, diet represents the sole management strategy in end-stage kidney disease (ESKD).Full Tex
Codeswitching experimental data: grammatical person
No full textThis investigation focuses on codeswitching happening between the subject and the verb. In particular, it aims at determining how English-Spanish subject-verb switches are perceived and processed by taking into account three issues: (i) the directionality of the switch (i.e., Spanish subject – English verb switches vs. English subject – Spanish verb switches – e.g., el niño-SP DP SUBJ. drinks-EN V / él-SP 3rd PERS. SING. PRON. SUBJ. drinks-EN V vs. the boy-EN DP SUBJ. bebe-SP V/ he-EN 3rd PERS. SING. SUBJ. bebe-SP V); (ii) the categorial nature of the subject (i.e., determiner phrase -DP- vs. pronoun- e.g.,el niño-SP DP SUBJ. drinks-EN V vs. él-SP 3rd PERS. SING. PRON. SUBJ. drinks-EN V ); and (iii) the grammatical person in the case of the pronominal subjects (i.e., first and second person vs. third person pronominal subjects - e.g., I-EN 1st PERS. SING. PRON. SUBJ. quiero-SP V / you-EN 2nd PERS. SING. PRON. SUBJ. juegas-SP V vs. he-EN 3rd PERS. SING. SUBJ. bebe-SP V).UVALAL1. GENERAL INFORMATION : 1.1. Title of dataset ; 1.2. Author information: 1.2.1. PI and co-PI, 1.2.2. Lab, 1.2.3. People involved in the data collection; 1.3. Objectives; 1.4. Funding sources; 1.5. Citing information ; 2. ACCESS INFORMATION: 2.1. Licenses or restrictions; 2.2. Publications; 3. METHODOLOGICAL INFORMATION: 3.1. Data elicitation and participant groups: 3.1.1. Offline data; 3.1.2. Online data; 3.2. Data codification procedure; 3.3. Data extraction procedure; 3.4. Data classification procedure: variables: 3.4.1. Offline database variables; 3.4.2. Online database variables; 4. DATA: 4.1. Database; 4.2. Last update; 5. RELATED DATASETS Spanish Ministry of Science, Innovation and Universities and European Regional Development Fund (ERDF) [PGC2018-097693-B-I00]Regional Government of Castile and León (Spain) and ERDF [VA009P17]International Council for Canadian Studies & Department of Foreign Affairs and International Trade [Canada-Europe Award]Regional Government of Castile and León (Spain) [VA046A06]Spanish Ministry of Science and Technology and ERDF [BFF2002-00442
Codeswitching experimental data: grammatical gender in DPs
No full textThis investigation focuses on the role of Spanish grammatical gender in English-Spanish switched determiner phrases (DPs). In particular, the aim of this study is to determine (i) which directionality is preferred and easier to process (e.g., English determiner switches vs. Spanish determiner switches - e.g., the casa vs. la house/el book-) and (ii) which gender agreement mechanisms are preferred and easier to process in the case of Spanish determiner switches. Regarding the latter, two mechanisms are under consideration: the analogical criterion (AC), i.e., whether there is gender agreement between the Spanish determiner and the Spanish translation equivalent of the English noun ([+AC] switches) (e.g., la-FEM. house-SP FEM. / el-MASC. book-SP MASC.) or the lack of it ([-AC] switches) (e.g., el-MASC. house-SP FEM. / la-FEM. book-SP MASC. ); and the masculine as default, i.e., whether masculine determiners are preferred and easier to process regardless of the gender of the translation equivalent of the English noun (e.g., el-DEFAULT house-SP FEM. / book-SP MASC.).UVALAL(1) GENERAL INFORMATION: (1.1.) Title of dataset; (1.2.) Author information: (1.2.1.) PI and co-PI, (1.2.2.) Lab, (1.2.3.) People involved in the data collection; (1.3.) Objectives; (1.4.) Funding sources; (1.5.) Citing information. (2.) ACCESS INFORMATION: (2.1.) Licenses or restrictions; (2.2.) Publications. (3.) METHODOLOGICAL INFORMATION: (3.1.) Data elicitation and participant groups: (3.1.1.) Offline data, (3.1.2.) Online data; (3.2.) Data codification procedure; (3.3.) Data extraction procedure
3.4. Data classification procedure: variables: (3.4.1.) Offline dataset variables; (3.4.2.) Online database variables. (4.) DATA: (4.1.) Database; (4.2.) Last update. (5.) RELATED DATASETS.Gobierno regional de Castilla y León (España) y el Fondo Social Europeo (ORDEN EDU/556/2019, 5 junio)Universidad de Valladolid y Banco Santander (contratos predoctorales 2018)Regional Government of Castile and León (Spain) and ERDF [VA009P17]International Council for Canadian Studies & Department of Foreign Affairs and International Trade [Canada-Europe Award]Regional Government of Castile and León (Spain) [VA046A06]Spanish Ministry of Science and Technology and ERDF [BFF2002-00442]Spanish Ministry of Science, Innovation and Universities and European Regional Development Fund (ERDF) [PGC2018-097693-B-I00
Healthy dietary patterns and risk of mortality and ESRD in CKD: A meta-analysis of cohort studies
No full textBackground and objectives Patients with CKD are advised to follow dietary recommendations that restrict individual nutrients. Emerging evidence indicates overall eating patterns may better predict clinical outcomes, however, current data on dietary patterns in kidney disease are limited.Design, setting, participants, & measurements This systematic review aimed to evaluate the association between dietary patterns and mortality or ESRD among adults with CKD. Medline, Embase, and reference lists were systematically searched up to November 24, 2015 by two independent review authors. Eligible studies were longitudinal cohort studies reporting the association of dietary patterns with mortality, cardiovascular events, or ESRD.Results A total of seven studies involving 15,285 participants were included. Healthy dietary patterns were generally higher in fruit and vegetables, fish, legumes, cereals, whole grains, and fiber, and lower in red meat, salt, and refined sugars. In six studies, healthy dietary patterns were consistently associated with lower mortality (3983 events; adjusted relative risk, 0.73; 95% confidence interval, 0.63 to 0.83; risk difference of 46 fewer (29-63 fewer) events per 1000 people over 5 years). There was no statistically significant association between healthy dietary patterns and risk of ESRD (1027 events; adjusted relative risk, 1.04; 95% confidence interval, 0.68 to 1.40).Conclusions Healthy dietary patterns are associated with lower mortality in people with kidney disease. Interventions to support adherence to increased fruit and vegetable, fish, legume, whole grain, and fiber intake, and reduced red meat, sodium, and refined sugar intake could be effective tools to lower mortality in people with kidney disease
Um emaranhado pegajoso de emblemas e culpas: o sertão na literatura e no pensamento de Raimundo Carrero
No full textThis text deals with the images and statements that would define a being for the sertão in the literary work and in the thought of the Pernambuco writer Raimundo Carrero. He seeks to situate the life and work of this author in time, without reducing his writings to mere reflections of his biography and the historical moments in which he wrote them. The analysis focuses on the very thickness of language, on the form of texts, evaluating what also indicates a given time and a given way of seeing and saying the backlands. An analysis that works the recurrence of given images and thematic, in the transversality of his writings and that interrogates these obsessions in the light of forms of thought that far surpass the individual figure of the author, risking in making an archeology of the spaces of its language.
Este texto trata das imagens e enunciados que definiriam um ser para o sertão na obra literária e no pensamento do escritor pernambucano raimundo carrero. Ele procura situar no tempo a vida e a obra desse autor, sem reduzir seus escritos a meros reflexos de sua biografia e dos momentos históricos em que os escreveu. a análise se debruça sobre a própria espessura da linguagem, sobre a forma dos textos, avaliando o que nelas também indicia um dado tempo e uma dada maneira de ver e dizer o sertão. Uma análise que trabalha a recorrência de dadas imagens e temáticas, na transversalidade de seus escritos e que interroga essas obsessões à luz de formas de pensamento que muito ultrapassam a figura individual do autor, se arriscando no fazer uma arqueologia dos espaços de sua linguagem.
Primary versus secondary prevention of chronic kidney disease: the case of dietary protein
No full textThe proclamation that “the greatest medicine of all is to teach people how not to need it” (Hippocrates. 460-370 BC, Greece) is the basic principle of primary disease prevention, which aims to prevent disease before it ever occurs. Preventing exposures to hazards that cause disease, such as altering unhealthy behaviors, is one example of primary disease prevention. Secondary or tertiary disease prevention, however, refers to reducing the impact of a disease that has already occurred, or limiting the impact of an ongoing illness that has lasting effects, respectively. Salutary diets or lifestyles for primary versus secondary/tertiary disease prevention may not necessarily align.Full Tex
“Tudo isso é criação sua": A autoficção em "O senhor agora vai mudar de corpo", de Raimundo Carrero
No full textThe objective of this article is to analyze the autofictional character of the literary work O senhor agora vai mudar de corpo(2015), written by the Pernambuco writer Raimundo Carrero. Starting from theCerebral Vascular Accident that affected Carrero in 2010, the work narrates the difficulties of recovery, the anguish and pain before the body in its new condition as well as recalls memories of past events in the writer's life. To compose the narrative, images, symbols, metaphors, fictional elements, techniques and psychological cuts are used, which places the literary text in an ambiguous place between autobiography and fiction. In order to achieve the proposed objective, we use an interpretative methodological orientation and take as a basis theoretical references that discuss the practice of autofiction in contemporary literature, such as Doubrovsky (2014), Gasparini (2014) and Faedrich (2015). At the end of our analysis, we found that the work, by using strategies such as the use of the third person of the discourse to narrate the author's autobiographical material, expands the possibilities of the concept originally formulated by the theorist Serge Doubrovsky. Even if it does not strictly comply with the requirement of onomastic identity between author-narrator-protagonist established by the French theorist, the ambiguous pact of reading is present by other mechanisms and gives the text a hybrid character: it is an autobiographical matter, but, given its form and fictional elements, it reads like a novel.O objetivo deste artigo é analisar o caráter autoficcional da obra O senhor agora vai mudar de corpo (2015), do escritor pernambucano Raimundo Carrero. Partindo do Acidente Vascular Cerebral que acometeu Carrero no ano de 2010, a obra narra as dificuldades da recuperação, a angústia e a dor diante do corpo em sua nova condição, bem como retoma memórias de acontecimentos pregressos na vida do escritor. Para compor a narrativa, utilizam-se imagens, símbolos, metáforas, elementos ficcionais, técnicas e cortes psicológicos, o que coloca o texto literário em um lugar ambíguo entre a autobiografia e a ficção. A fim de atingir o objetivo proposto, utilizamos uma orientação metodológica interpretativa e tomamos como base referenciais teóricos que discutem a prática da autoficção na literatura contemporânea, tais como Doubrovsky (2014), Gasparini (2014) e Faedrich (2015). Ao final de nossa análise, constatamos que a obra, ao se valer de estratégias como o uso da terceira pessoa do discurso para narrar a matéria autobiográfica do autor, amplia as possibilidades do conceito originalmente formulado pelo teórico Serge Doubrovsky. Ainda que não se cumpra rigorosamente o requisito da identidade onomástica entre autor-narrador-protagonista estabelecido pelo teórico francês, o pacto ambíguo de leitura se faz presente por outros mecanismos e confere ao texto um caráter híbrido: trata-se de matéria autobiográfica, mas, dada sua forma e seus elementos ficcionais, é lido como um romance
Emma Otheguy Spanish Language Picture Book Award 2024 Acceptance Speech
No full textAuthor Emma Otheguy gives an acceptance speech for Martina tiene muchas tías translated by Emily Carrero Mustelierhttps://educate.bankstreet.edu/spanishlanguageaward/1008/thumbnail.jp
Fiber intake and health in people with chronic kidney disease
No full textEmerging evidence suggests that diet, particularly one that is rich in dietary fiber, may prevent the progression of chronic kidney disease (CKD) and its associated complications in people with established CKD. This narrative review summarizes the current evidence and discusses the opportunities for increasing fiber intake in people with CKD to improve health and reduce disease complications. A higher consumption of fiber exerts multiple health benefits, such as increasing stool output, promoting the growth of beneficial microbiota, improving the gut barrier and decreasing inflammation, as well decreasing uremic toxin production. Despite this, the majority of people with CKD consume less than the recommended dietary fiber intake, which may be due in part to the competing dietary potassium concern. Based on existing evidence, we see benefits from adopting a higher intake of fiber-rich food, and recommend cooperation with the dietitian to ensure an adequate diet plan. We also identify knowledge gaps for future research and suggest means to improve patient adherence to a high-fiber diet.Full Tex
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