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Finding methods to improve people's diabetes control and management is important to prevent its complications and maintain the quality of life. The aim of this review was to assess the effect of games on the blood glucose level (glycated hemoglobin (HbA1c)). A systematic review and meta-analysis were made. Pubmed, Scopus, and CINAHL databases were consulted in July of 2020. Ten studies were selected as a final sample, most of them being clinical trials using games to improve diabetes control. Half of the studies had samples between 8 and

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South-Eastern Brazil experienced a devastating drought associated with significant agricultural losses in austral summer 2014. The drought was linked to the development of a quasi-stationary anticyclone in the South Atlantic in early 2014 that affected local precipitation patterns over South-East Brazil. Previous studies have suggested that the unusual blocking was triggered by tropical Pacific sea surface temperature (SST) anomalies and, more recently, by convection over the Indian Ocean related to the Madden