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The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help protect against developing mental illness and improve symptoms for those who already suffer from conditions like anxiety and depression.
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# 9th lect clinical trial analysis
The document discusses key concepts in analyzing clinical trials, including:
- Intention-to-treat analysis, which analyzes all participants based on initial treatment assignment regardless of compliance, and measures effectiveness. This is the recommended primary analysis method.
- Per-protocol analysis, which only includes compliant participants, and measures maximum efficacy. This undermines randomization.
- Measures of effect size such as relative risk, absolute risk reduction, relative risk reduction, and number needed to treat, which are used to assess clinical significance beyond just statistical significance.
- The importance of assessing both statistical and clinical significance of trial results, where clinical significance considers the minimum clinically meaningful effect.
# 8th lect validity threats
Dr. Eman M. Mortada discusses threats to validity in experimental designs, including internal validity threats such as history, maturation, testing, instrumentation, and mortality. External validity threats include reactive arrangements like the Hawthorne effect and experimenter effects such as the halo effect. Control validity threats involve factors that could influence the dependent variable other than the independent variable, such as selection bias, statistical regression, and diffusion of treatment. Randomization, control groups, and blinding techniques can help address threats to validity. True experiments have higher internal but lower external validity compared to quasi-experimental designs.
# 7th lect quasi experimental research designs
This document provides an overview of experimental research designs, including pre-experimental, true experimental, and quasi-experimental designs. It discusses key elements like independent and dependent variables, experimental and control groups, and pretesting and posttesting. Specific designs covered include the one-shot case study, one-group pretest-posttest, static group comparison, posttest-only control group, pretest-posttest control group, and Solomon four-group designs. The document emphasizes random assignment and control groups as critical features of true experiments that enhance internal and external validity.
# 6th lect structure of the trials
Types of clinical trials designs were discussed including parallel designs, crossover designs, factorial designs, cluster designs, and adaptive designs. The key factors in choosing a clinical trial design are treatment duration and chronology of events, trial cost, and subject convenience. Commonly used designs include parallel, crossover, factorial, and equivalence/non-inferiority designs. The randomized, double-blind, placebo-controlled, parallel design is often considered the best to determine efficacy. Different designs can answer different therapeutic questions.
# 5th lect clinical trial process
This document outlines the key steps in conducting a clinical trial:
1. Drawing up a detailed research protocol that serves as the trial's operating manual.
2. Selecting and screening participants according to eligibility criteria to identify the study population. Sample size is also calculated.
3. Randomly allocating the study participants into experimental and control groups through a process like randomization to reduce bias.
# 4th lect HSR
This study compares two ice cream eating regimens - accelerated versus cautious eating - and their effects on headaches. Participants will be randomly assigned to quickly eat 100ml of ice cream in under 30 seconds or slowly eat it over 5 minutes. The study aims to determine if the speed of ice cream consumption impacts headache occurrence. This level of review would likely be expedited due to minimal risk to participants.
# 3rd lect research ethics
Dr. Eman Mortada discusses research ethics and provides an outline on the topic. The document outlines key concepts such as defining research ethics, the consequences of scientific misconduct, and the need and objectives for research ethics. It also provides a historical perspective on unethical practices through examples like the Tuskegee Syphilis Study and Nazi experiments. The development of ethics codes is reviewed, including the Nuremberg Code, Declaration of Helsinki, and Belmont Report. Ethical principles and dilemmas in research are also discussed.
# 2nd lect phases and types of the intervention research
Dr. Eman Mortada's lecture discusses the history and phases of clinical trials. It begins with early examples of clinical trials like James Lind's experiments in 1747 and Edward Jenner's smallpox vaccination trials in the late 18th century. It then covers the four phases of modern clinical drug trials - phase I tests safety on healthy volunteers, phase II assesses efficacy on patients, phase III tests larger groups for efficacy and safety, and phase IV monitors effectiveness and side effects post-approval. The lecture also discusses types of clinical trials based on the unit of study and ethics considerations around clinical equipoise.
Recommended
# 9th lect clinical trial analysis
The document discusses key concepts in analyzing clinical trials, including:
- Intention-to-treat analysis, which analyzes all participants based on initial treatment assignment regardless of compliance, and measures effectiveness. This is the recommended primary analysis method.
- Per-protocol analysis, which only includes compliant participants, and measures maximum efficacy. This undermines randomization.
- Measures of effect size such as relative risk, absolute risk reduction, relative risk reduction, and number needed to treat, which are used to assess clinical significance beyond just statistical significance.
- The importance of assessing both statistical and clinical significance of trial results, where clinical significance considers the minimum clinically meaningful effect.
# 8th lect validity threats
Dr. Eman M. Mortada discusses threats to validity in experimental designs, including internal validity threats such as history, maturation, testing, instrumentation, and mortality. External validity threats include reactive arrangements like the Hawthorne effect and experimenter effects such as the halo effect. Control validity threats involve factors that could influence the dependent variable other than the independent variable, such as selection bias, statistical regression, and diffusion of treatment. Randomization, control groups, and blinding techniques can help address threats to validity. True experiments have higher internal but lower external validity compared to quasi-experimental designs.
# 7th lect quasi experimental research designs
This document provides an overview of experimental research designs, including pre-experimental, true experimental, and quasi-experimental designs. It discusses key elements like independent and dependent variables, experimental and control groups, and pretesting and posttesting. Specific designs covered include the one-shot case study, one-group pretest-posttest, static group comparison, posttest-only control group, pretest-posttest control group, and Solomon four-group designs. The document emphasizes random assignment and control groups as critical features of true experiments that enhance internal and external validity.
# 6th lect structure of the trials
Types of clinical trials designs were discussed including parallel designs, crossover designs, factorial designs, cluster designs, and adaptive designs. The key factors in choosing a clinical trial design are treatment duration and chronology of events, trial cost, and subject convenience. Commonly used designs include parallel, crossover, factorial, and equivalence/non-inferiority designs. The randomized, double-blind, placebo-controlled, parallel design is often considered the best to determine efficacy. Different designs can answer different therapeutic questions.
# 5th lect clinical trial process
This document outlines the key steps in conducting a clinical trial:
1. Drawing up a detailed research protocol that serves as the trial's operating manual.
2. Selecting and screening participants according to eligibility criteria to identify the study population. Sample size is also calculated.
3. Randomly allocating the study participants into experimental and control groups through a process like randomization to reduce bias.
# 4th lect HSR
This study compares two ice cream eating regimens - accelerated versus cautious eating - and their effects on headaches. Participants will be randomly assigned to quickly eat 100ml of ice cream in under 30 seconds or slowly eat it over 5 minutes. The study aims to determine if the speed of ice cream consumption impacts headache occurrence. This level of review would likely be expedited due to minimal risk to participants.
# 3rd lect research ethics
Dr. Eman Mortada discusses research ethics and provides an outline on the topic. The document outlines key concepts such as defining research ethics, the consequences of scientific misconduct, and the need and objectives for research ethics. It also provides a historical perspective on unethical practices through examples like the Tuskegee Syphilis Study and Nazi experiments. The development of ethics codes is reviewed, including the Nuremberg Code, Declaration of Helsinki, and Belmont Report. Ethical principles and dilemmas in research are also discussed.
# 2nd lect phases and types of the intervention research
Dr. Eman Mortada's lecture discusses the history and phases of clinical trials. It begins with early examples of clinical trials like James Lind's experiments in 1747 and Edward Jenner's smallpox vaccination trials in the late 18th century. It then covers the four phases of modern clinical drug trials - phase I tests safety on healthy volunteers, phase II assesses efficacy on patients, phase III tests larger groups for efficacy and safety, and phase IV monitors effectiveness and side effects post-approval. The lecture also discusses types of clinical trials based on the unit of study and ethics considerations around clinical equipoise.
# 1st lect 1 intro to interventional research
This document outlines a lecture on intervention research and clinical trials. It begins by defining basic concepts like the hierarchy of evidence and different research designs. It then discusses the classical experiment, noting that it involves independent and dependent variables, experimental and control groups, and pre-testing and post-testing. The document goes on to enumerate different types of clinical trials based on their purpose, number of participants, randomization approach, study design, and other factors. It concludes by listing the major ethical principles in clinical trials, including beneficence, respect for rights, and justice.
SOCIOLOGICAL PERSPECTIVES OF GENDER INEQUALITY
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4 sociological perspectives mental diseases
This document provides an overview of sociological perspectives on mental health problems. It begins with an introduction to key terms like mental health, mental illness, and mental disorders. It then discusses the high prevalence and burden of mental disorders globally and nationally. Several specific types of common mental disorders are described in detail, including mood disorders like depression and bipolar disorder, anxiety disorders, and others. The focus is on defining the disorders and outlining their symptoms and impacts.
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Lect school health services
School health services aim to promote the health and well-being of students. There are six key components:
1) Health appraisal and screening to identify health issues early.
2) Preventing communicable diseases through immunizations.
3) Maintaining a healthful school environment with proper sanitation, lighting, and facilities.
4) Providing nutritional services like mid-day meals to ensure students' nutritional needs are met.
5) Offering first aid and emergency care training for teachers to respond to student injuries and illnesses.
6) Implementing comprehensive health education to promote healthy behaviors.
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1st lect intro
The document provides an introduction to school health education. It defines key terms like health and health education. It recognizes the need for school health education and identifies the learning objectives of understanding health education in the curriculum. It discusses the scope of health education, principles of health education, settings of health education, health problems of school students, and priorities for health education topics in developed and less developed countries. Finally, it provides context on the history and current state of the education system in Saudi Arabia.
10# social stratification [recovered]
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms for those who already suffer from conditions like anxiety and depression.
9# dpr
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
8# health inequality in the aging societies
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise causes chemical changes in the brain that may help boost feelings of calmness, happiness and focus.
7# femnism and gender inequality
The document discusses the benefits of exercise for mental health. It states that regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help boost feelings of calmness and happiness.
5 # sociological perspectivesdrug abuse [recovered]
The document discusses the history and development of artificial intelligence over the past several decades. It outlines milestones such as the creation of expert systems in the 1980s, generalized AI in the 1990s, and modern advances in machine learning. Recent progress in deep learning and neural networks has led to AI systems that can perform complex tasks like image recognition and natural language processing.
4# sociological perspectives mental dis
The document discusses the benefits of exercise for both physical and mental health. It notes that regular exercise can reduce the risk of diseases like heart disease and diabetes, improve mood, and reduce feelings of stress and anxiety. The document recommends that adults get at least 150 minutes of moderate exercise per week or 75 minutes of vigorous exercise per week to experience these benefits.
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# 1st lect 1 intro to interventional research
This document outlines a lecture on intervention research and clinical trials. It begins by defining basic concepts like the hierarchy of evidence and different research designs. It then discusses the classical experiment, noting that it involves independent and dependent variables, experimental and control groups, and pre-testing and post-testing. The document goes on to enumerate different types of clinical trials based on their purpose, number of participants, randomization approach, study design, and other factors. It concludes by listing the major ethical principles in clinical trials, including beneficence, respect for rights, and justice.
SOCIOLOGICAL PERSPECTIVES OF GENDER INEQUALITY
This document discusses sociological perspectives on gender inequality. It begins by differentiating between the concepts of sex and gender, noting that sex refers to biological attributes while gender refers to social and cultural roles and expectations. It then examines the process of gender socialization through key socializing agents like family, education, peers and media. Finally, it explores several sociological theories that seek to explain the origins and persistence of gender inequality in areas like the workplace, family roles, politics, health and violence. The document aims to provide an overview of sociological understandings of gender as a social construct and the social forces that contribute to gender inequality.
5 sociological perspectives of drug abuse
The document provides an overview of sociological perspectives on drug abuse. It is presented in six main parts that cover: basic facts about commonly abused substances like alcohol, illegal drugs, prescription drugs, and nicotine; types of abused substances such as stimulants, depressants, hallucinogens, and steroids; the stages of drug use from experimental to addiction; physical, behavioral, and psychological warning signs of drug abuse; gateway drugs like nicotine, alcohol, and marijuana; and specific drugs including nicotine, alcohol, marijuana, LSD, amphetamines, and cocaine.
4 sociological perspectives mental diseases
This document provides an overview of sociological perspectives on mental health problems. It begins with an introduction to key terms like mental health, mental illness, and mental disorders. It then discusses the high prevalence and burden of mental disorders globally and nationally. Several specific types of common mental disorders are described in detail, including mood disorders like depression and bipolar disorder, anxiety disorders, and others. The focus is on defining the disorders and outlining their symptoms and impacts.
3rd lecture- Sociological perspectives and their applications on health 2020
The document discusses sociological perspectives on health and illness from three major theoretical perspectives: functionalism, conflict theory, and symbolic interactionism. According to the functionalist perspective, health is important for society's stability as illness prevents people from fulfilling their social roles. The sick role concept developed by Talcott Parsons outlines the rights and obligations of those who are ill in a society. Conflict theory views health inequalities in terms of power struggles around factors like race, class, and gender. Symbolic interactionism focuses on how health, illness, and medicine are socially constructed and mediated by communication and symbols.
2 social structure
Societies transition from preindustrial to industrial based on changes in technology and food production. In preindustrial societies, people lived in small, close-knit communities and relied on hunting/gathering, pastoralism, horticulture or agriculture. The industrial revolution led to mechanization of production and urbanization as people moved to cities to work in factories. This marked the shift to industrial societies with specialized roles, weaker community ties, and more competition.
1 introduction - basics of sociology-part 1
This document provides an overview of sociology as a discipline. It begins by defining sociology as the systematic study of human society, social interaction, and social behavior. It discusses how sociology examines things from a macro level, looking at patterns of social behavior in groups. The document also outlines how sociology relates to and differs from other social sciences like anthropology, psychology, economics, and political science. It emphasizes that sociology focuses specifically on studying social problems in society from a social and group perspective.
Vaccine preventable diseases
The document summarizes key information about several vaccine-preventable diseases including measles, rubella, mumps, diphtheria, tetanus, and chickenpox. It provides details on the infectious agents, reservoirs, modes of transmission, incubation periods, typical clinical manifestations, and potential complications for each disease. Vaccine recommendations for children and adolescents are also listed for measles, mumps, rubella, varicella, and diphtheria-tetanus-pertussis combinations.
Lect school health services
School health services aim to promote the health and well-being of students. There are six key components:
1) Health appraisal and screening to identify health issues early.
2) Preventing communicable diseases through immunizations.
3) Maintaining a healthful school environment with proper sanitation, lighting, and facilities.
4) Providing nutritional services like mid-day meals to ensure students' nutritional needs are met.
5) Offering first aid and emergency care training for teachers to respond to student injuries and illnesses.
6) Implementing comprehensive health education to promote healthy behaviors.
Coordinated school health program
The coordinated school health program is an organized set of policies and activities designed to protect student health and well-being. It has 8 components: health education, physical education, health services, nutrition services, counseling/psychological services, healthy school environment, health promotion for staff, and family/community involvement. The overall goals are to improve students' ability to learn through supporting their physical and mental health.
Comprehensive school health education
The document discusses comprehensive school health education and adolescent risky behaviors. It begins by identifying the six main categories of risky behaviors among adolescents according to the CDC: tobacco use, unhealthy dietary behaviors, physical inactivity, alcohol and drug use, sexual behaviors, and behaviors that contribute to injuries and violence. It then provides more details on each of these categories. The document discusses that a comprehensive school health education curriculum is designed to teach students about these risks and develop skills to avoid them. It emphasizes building health literacy through standards-based education across six content areas from kindergarten through 12th grade. The goal is for students to develop decision-making, goal-setting, and communication skills to maintain health and prevent disease.
1st lect intro
The document provides an introduction to school health education. It defines key terms like health and health education. It recognizes the need for school health education and identifies the learning objectives of understanding health education in the curriculum. It discusses the scope of health education, principles of health education, settings of health education, health problems of school students, and priorities for health education topics in developed and less developed countries. Finally, it provides context on the history and current state of the education system in Saudi Arabia.
10# social stratification [recovered]
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms for those who already suffer from conditions like anxiety and depression.
9# dpr
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
8# health inequality in the aging societies
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise causes chemical changes in the brain that may help boost feelings of calmness, happiness and focus.
7# femnism and gender inequality
The document discusses the benefits of exercise for mental health. It states that regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help boost feelings of calmness and happiness.
5 # sociological perspectivesdrug abuse [recovered]
The document discusses the history and development of artificial intelligence over the past several decades. It outlines milestones such as the creation of expert systems in the 1980s, generalized AI in the 1990s, and modern advances in machine learning. Recent progress in deep learning and neural networks has led to AI systems that can perform complex tasks like image recognition and natural language processing.
4# sociological perspectives mental dis
The document discusses the benefits of exercise for both physical and mental health. It notes that regular exercise can reduce the risk of diseases like heart disease and diabetes, improve mood, and reduce feelings of stress and anxiety. The document recommends that adults get at least 150 minutes of moderate exercise per week or 75 minutes of vigorous exercise per week to experience these benefits.
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Novas diretrizes da OMS para os cuidados perinatais de mais qualidadeProf. Marcus Renato de Carvalho
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
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