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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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2020 Brazilian Thoracic Association recommendations for the management of asthma

Menezes Pizzichini, M. M.; de Carvalho-Pinto, R. M.; Delfini Cançado, J. E.; et al. (2020) CC2

The pharmacological management of asthma has changed considerably in recent decades, as it has come to be understood that it is a complex, heterogeneous disease with different phenotypes and endotypes. It is now clear that the goal of asthma treatment should be to achieve and maintain control of the... more

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Measuring changes in household resilience as a result of BRACED activities in Myanmar

Yaron, Gil; Wilson, Dave; Dumble, Sam; Murphy, Ben BRACED Myanmar Alliance (2018) C1

The BRACED Myanmar Alliance was a three-year project aiming to ‘build the resilience of 350,000 people across Myanmar to climate extremes’. The project worked in 7 states, 8 townships and 155 communities. The main impact for project populations was intended to be ‘improved well-being and reduc... more

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Guidelines on Clinical Management of Chikungunya Fever

World Health Organization (WHO), Regional Office for South-East Asia (2007) C_WHO

The socioeconomic factors and public health inadequacies that facilitated the rapid spread of this infection continue to exist. As it is a new and emerging disease it has not received sufficient coverage yet in the medical curricula of Member States. Specific treatment is not available, and there is... more

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Examples of Integrated WASH and Conservation Programs

Chris Seremet Catholic Relief Services (2012)

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Extemporaneous Dosage Forms: Oral Liquids

Nguyen, T. The Australian College of Pharmacy (2019) CC

After completing this activity, pharmacists should be able to: 1. List populations for which the compounding of an oral liquid may be necessary 2. Outline necessary considerations that should be made by the pharmacist to ensure product stability 3. Describe methods used in the compounding of liqu... more

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Guidelines on compounding of medicines

Pharmacy Board of Australia (2018) C1

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Guide for Implementation of Helping Babies Breathe

Helping babies breathe American Academy of Paediatrics (2011)

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Human Drug Compounding Progress Report

FDA US Food & Drug Administration (2017) C1

Three Years After Enactment of the Drug Quality and Security Act

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Bridge Builders: Strengthening the role of local faith actors in humanitarian response in South Sudan

Islamic Relief; Joint Learning Initiative on Faith & Local Communities; RedR UK and Tearfund (2020) CC

This report outlines and analyses the implementation of the Bridge Builder Model. This is a two-way, capacity-sharing model aimed at bringing together local faith actors (LFAs) and international humanitarian actors to increase understanding, trust, coordination and collaboration.

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Pioneer Project: A holistic systems strengthening approach towards Malaria control in Mid-Western Uganda

Malaria Consortium and Comic Relief (2014) C1

Successes and lessons

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Conflict Sensitivity & Public Health Emergencies: Practical Programming Adaptation During COVID-19 and Beyond

CDA Collaborative Learning Projects (2020) C1

Conflict, in its active or latent forms, is everywhere. The COVID-19 pandemic has demonstrated that public health emergencies can strike any country at any time. Given the universality of and interconnections between conflict, humanitarian crises, and public health emergencies, practitioners trained... more

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Undernutrition: Lessons From Niger

Manuel Sanchez-Montero and Núria Salse Ubach ACF International Network and Tripode (2011)

Harmonising proven strategies beyond the emergency phase. Zero Hunger Phase 2

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Optimal feeding of low birts weight infants

Neonatal Guideline Development Group, Ministry of Health & Family Welfare, India (2017) C1

Standard Treatment Guidelines

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The COPSI Manual: Manual for Working with People with Schizophrenia and their Families
recommended

Sangath (2012) CC

The COPSI project is divided into three phases: the first in which the intervention is developed, the second in which researchers evaluate the intervention in a randomised controlled trial, and the final one in which the results of the trial are analysed and disseminated. A COPSI resource kit has ... more

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Liquid Dosage Forms Extemporaneously Prepared from Commercially Available Products – Considering New Evidence on Stability

Haywood, A. and B. D Glass J Pharm Pharm Sci (2013) CC

J Pharm Pharm Sci (www.cspsCanada.org) 16(3) 441 - 455, 2013

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Guidance for Pharmacists on Extemporaneous Dispensing

Pharmaceutical Society of Ireland (2015) C2

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SGBV response, risk mitigation and prevention in humanitarian crises: A synthesis of findings from evaluations of UNHCR operations 2019

UN High Commissioner for Refugees UNHCR (2019) C1

The synthesis looked across the evaluations and reviews as mentioned above to draw lessons and conclusions across the different contexts. The synthesis aims to identify: recurrent issues, patterns and trends, and promising initiatives and lessons learned from existing programming including main... more

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GUIDELINES FOR DISPENSING PREMISES (Malawi)

Pharmacy, Medicines & Poisons Board, Malawi (2015) C2

PMPB/INS-GUIDE/01

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Zambia: APPLICATION FOR MARKETING AUTHORISATION OF CONDOMS

Zambia Medicines Regulatory Authority (ZAMRA) (2016) C2

Guidance for the preparation and submission of dossiers

The COPSI Manual: Manual for Working with People with Schizophrenia and their Families recommended

The COPSI Manual: Manual for Working with People with Schizophrenia and their Families
recommended