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Design and development of the content of a mobile application to reduce risk factors of the metabolic syndrome in the climacteric
(2024-12-15) Riofrío Terrazas, Sandra; Salazar Molina, Alide; Vílchez Barboza, Vivian; Cuadra Montoya, Liliana; Riofrío Terrazas, Geovanny; López Izurieta, Indira
Objective
To describe the design and development of the content of the “Metamorfosis” technological application to control and reduce clinical risk factors of the Metabolic Syndrome in women in climacteric stage.
Method
A multidisciplinary approach was used, guided by the Self-care Deficit Theory and a combination of methods that included literature review, interviews with women in climacteric stage who were potential users (n = 10), interviews with experts in information technologies (n = 4), and with health professionals (n = 5). During the process, a systematic evaluation was carried out to improve the acceptancy of this eHealth technology.
Results
Four modules were generated with the “Metamorfosis” technological application based on findings from the literature review and interviews with patients and health professionals: Module I, Self-care: Knowing your body; Module II: Self-control: Adaptation to new changes; Module III: Deviation from Health; and Module IV: Self-care Agency. In addition to the above, there are windows that provide information regarding the Dash diet and exercises with a pedometer and the link to access remote physical activity.
Conclusion
The importance of including in the design and development of the application a multidisciplinary approach and the perspectives of the potential users of the application and professionals was evidenced, in order to facilitate the use and acceptance of the application, as well as in the future the implementation of a Nursing Intervention in risk factors of metabolic syndrome in the climacteric.
¿Cómo recuperar ríos en Costa Rica? Propuesta metodológica para la recuperación socioambiental de la microcuenca del río Guararí
(2025) Conejo Salas, José Rodrigo; Hasbun Chavarría, Yamil
Los ríos de Costa Rica presentan altos niveles de degradación socioambiental y una persistente incapacidad colectiva para revertir la problemática. Este trabajo final de investigación aplicada propone una metodología participativa y multisectorial para la recuperación socioambiental de la microcuenca del río Guararí, ubicada en Barva y Santa Bárbara de Heredia. Se plantea un prototipo de intervención que articula saberes técnicos y comunitarios, con base en soluciones innovadoras basadas en la naturaleza.
La metodología de investigación combina revisión documental, entrevistas a especialistas, mapeo participativo con actores locales y análisis geoespacial. El estudio caracteriza el contexto histórico y socioambiental de la microcuenca, sistematiza buenas prácticas nacionales e internacionales, y diseña un prototipo estructurado en cinco fases: comprender, idear, probar, monitorear y escalar. Se enfatiza la importancia priorizar proyectos demostrativos de bajo costo, alto impacto y potencialmente escalables. La propuesta metodológica busca ser replicable y adaptable en otras microcuencas con condiciones similares, contribuyendo al desarrollo de estrategias efectivas y sostenibles para la recuperación de ríos.
Segunda capacitación @ simuladores HBSP (19-jul-22)
(2022-07-19) Campos Retana, Roy Alberto; Ávila, Mara
Capacitación sobre Harvard Business Publishing, con Mara Ávila.
Capacitación HBSP con Mara Ávila (22-mar-22)
(2022-03-22) Campos Retana, Roy Alberto
Capacitación sobre Harvard Business Publishing con Mara Ávila.
Aerobic exercise decreases postprandial soluble vascular cell adhesion molecule 1 concentrations in metabolic syndrome
(2014-05) Plaisance, Eric Paul; Taylor, James Kyle; Mahurin, A Jack; Mestek, Michael L.; Moncada Jiménez, José; Fisher, Gordon; Roy, Jane; Mahan, Luke; Grandjean, Peter Walter
Purpose: The purpose of this investigation was to examine the effects of a single session of aerobic exercise conducted before and after 6 wks of niacin on postprandial concentrations of soluble vascular adhesion molecules in men with metabolic syndrome. Methods: Twelve men (46 ± 2 yrs; BMI = 34.6 ± 0.8 kg·m2; % fat = 36 ± 2; VO2max = 27.5 ± 1.7 mL·min-1·kg-1; waist circumference = 109.5 ± 2.2 cm; HDL-C = 39 ± 8 mg·dL-1; triglycerides = 300 ± 44 mg·dL-1; HOMA score = 4.4 ± 0.8) completed each of four conditions prior to ingesting a HFM (1000 kcals, 100 g fat, 18g CHO, 3 g protein): No exercise Control; Exercise - treadmill walking (500 kcal energy expenditure at 65% VO2max) performed one hour prior to a HFM; Niacin - 6 weeks of niacin (1500 mg·d-1) and; Niacin + Exercise. Blood samples were obtained prior to and at two-hour intervals for eight hours following the HFM for each condition. Soluble vascular adhesion molecule 1 (sVCAM1) and intercellular adhesion molecule 1 (sICAM1) concentrations were measured and total (AUCT) and incremental (AUCI) areas under the curve were calculated. Results: Exercise decreased sVCAM1 AUCI by 2-fold compared to Control (from 1256.5 ± 146.7 to 629.1 ± 98.4 ng·mL-1 × 8 hr; p< 0.05); whereas, niacin produced a 25% reduction that did not meet statistical significance. Combining exercise with niacin reduced sVCAM1 AUCI by a similar extent to exercise alone (559.0 ± 108.5 versus 629.1 ± 98.4 ng·mL-1 × 8 hr). Postprandial sICAM1 was not affected by any of the conditions or the HFM. Conclusions: Aerobic exercise reduces postprandial sVCAM1 concentrations with no further exercise-induced reductions observed after 6 weeks of niacin therapy. sICAM1 expression appears refractory to short-term niacin therapy and responses to single sessions of moderate-intensity exercise.