RESUMO
INTRODUCTION: Exercise programmes have been used to prevent injuries in military personnel, as they can reduce modifiable risk factors for injuries. Our aim was to review the literature to evaluate the effects of different exercise protocols on the prevention of injuries in military personnel. METHODS: A systematic literature review examined the effects of different exercise protocols on the prevention of musculoskeletal injuries in the military. Several databases were explored to find experimental studies that investigated the effects of prevention programmes on the risk of injury. We have extracted from the studies: profile of participants, sample size, study design and characteristics of the control group (CG), the type of intervention and the relative risk (RR) in the experimental group and CG, with their significance levels. For data analysis, we used the RevMan V.5.3 software. The measure of RR was investigated. The risk of publication bias was analysed with Begg's test. RESULTS: A total of 13 694 titles and studies were recovered from the databases and by manual search. After the removal of duplicate titles and studies that did not meet the eligibility criteria, 17 studies were selected. The protocols were composed of neuromuscular training, stretching, agility training or combined exercises. The meta-analysis showed that injury prevention exercise programmes reduced the risk of musculoskeletal injuries in military personnel by 14% (RR=0.86; 95% CI=0.76 to 0.98). CONCLUSION: Injury prevention exercise programmes promoted a slight reduction in the risk of musculoskeletal injuries in military personnel. LEVEL OF EVIDENCE: Very low. TRIAL REGISTRATION NUMBER: CRD 42017077946.
RESUMO
Hermetia illucens (L., 1758) is a fly of the family Stratiomyidae frequently found in tropical zones. Adult flies are not considered pathogens as they are incapable of biting and feeding thus not transmitting sicknesses to humans. The larval stage feeds off organic matter and offer a rich protein source naturally consumed by animals. The use of black soldier fly (BSF) larvae to treat organic waste is growing around the world. This is especially true for tropical low- and middle-income countries as their favourable climate conditions mean that the BSF technology has significant potential to solve existing problems associated with a poorly developed sanitation infrastructure. In this study, we evaluate the feasibility, benefits and limitations of implementing BSF projects in tropical regions using Belem, in Brazil, as a case study. Black soldier fly prepupae, arising from the waste reduction process, can be used as animal feed. It therefore offers potential to promote regional development, create jobs and dispose of organic waste locally. Legal requirements as outlined in the Brazilian National Policy on Waste offer further incentives. However, more studies are needed to compare BSF waste reduction efficiency and prepupae yield to other technologies such as traditional composting and vermiculture, which can inform the decision-making for implementation of organic waste treatment facilities.