Evolução da perda de peso entre indivíduos da fila de espera para a cirurgia bariátrica em um ambulatório multidisciplinar de atenção secundária à saúde

Objective: The objective of this study is to characterize the assistance and analyze patient's adherence to nutritional follow-up while in the waiting line for bariatric surgery in a multidisciplinary, secondary healthcare outpatient clinic. Methods: This retrospective study was based on the nutritional records of 59 patients subjected to bariatric surgery at the Hospital das Clinics de Botucatu, from 2001 to 2008. The population studied was distributed into 8 groups and analyzed according to follow-up duration. The analysis took into account the evolution of body weight and the number of follow-up visits in a given period. The Kruskal-Wallis test was used to compare data between groups while Spearman's coefficient was used to test correlations. Results: Among the 59 studied patients, 42 (71.2%) returned to the clinic at least once in six months. Of these, 67.8% lost weight while in the waiting line and 27.1% of them lost more than 10% of their body weight. The greatest weight losses in the preoperative period were found in the groups that had more than six months of nutrition follow-up. There was a mean delay of three months between return visits, which could have contributed to the low adherence to follow-up. Conclusion: The patients in the waiting line for surgery analyzed in this study presented low adherence to the long-spaced return visits. The greatest weight losses were observed in groups that had been followed for more than six months. This shows that, to achieve the desired weight loss and an adequate education process before surgery, at least six months of follow-up and regular visits are necessary.

The Mexican peso crisis

Includes bibliography

El alivio del peso de la deuda: experiencia histórica y necesidad presente

Incluye Bibliografía

La crisis del peso mexicano

Incluye Bibliografía

Efeitos ambientais e genéticos sobre escores visuais e ganho em peso ao sobreano de bovinos brangus

This research aimed at studying the effects of age of the cow at calving (IVP), age of the animal at yearling (IDS), the direct additive genetic (AD) and maternal (AM) effects and individual heterozygosity (HI) on visual scores of conformation (CS), early finishing (PS) and muscling (MS) at postweaning and average daily gain from weaning to yearling (GDS) of cattle used to originate the Brangus breed. There were analyzed records on 24 531, 21 166, 24 006 and 25 419 for CS, PS, MS and GDS, respectively, of animals born from 1986 to 2002 belonging to livestock files of Gensys Consultores Associados S/C Ltda. The analyses were performed by the least square method using mathematical models that included contemporary group as class variable and IVP, IDS, AD, AM and HI as covariates. IVP showed linear and quadratic effects (p<0.01) on GDS and linear (p<0.01) on PS, while the quadratic effect of IDS was not significant for PS and GDS. AD and AM were significant (p<0.01) only for PS and MS scores, respectively. All the traits were significantly (p<0.01) influenced by HI. The environmental and genetic effects were important sources of variation for the studied traits and should be taken into account when comparison of animals and selection were performed.

Gestantes vivendo com HIV/AIDS: Características antropométricas e peso ao nascer dos seus recém-nascidos

PURPOSE: To describe the anthropometric and pregnancy characteristics of women with HIV/AIDS, assisted by the Brazilian National Health System and the birth weight of their newborns. METHODS: The participants were women assisted at public STD/AIDS clinics of the Municipal Health system of São Paulo. The anthropometric characteristics were evaluated by trained nutritionists and other information was obtained from the medical records. For comparison of the survey data to those of the general population, secondary maternal and pregnancy data were obtained from live birth certificates through the Live Birth Information System. Continuous variables were summarized as mean and standard deviation or as the 25th, 50th and 75th percentiles and minimum and maximum values. The other variables are presented as percentages. Means were compared by the Student's t-test or Kruskal-Wallis test depending on the fulfillment of assumptions, with the decision based on the p value. RESULTS: We found the presence of inadequate maternal nutrition according to triceps skinfold (60.9%). The BMI/gestational age showed the presence of underweight (18.5%) and overweight or obesity (40%). There was no association between disease status (HIV or AIDS) and weight, height, and lean or fat mass. Mean newborn birth weight was lower than the value for the general population without infection or disease. The results of this study indicate the need to develop adapted curves to allow a more accurate nutritional assessment of this population group.

Desmame precoce: Falta de conhecimento ou de acompanhamento?

Objective: To assess the knowledge of women and the instructions received on breastfeeding during pregnancy and after childbirth, and their influence on breastfeeding practice. Method: This study was a longitudinal investigation following 84 pairs of mothers and babies from pregnancy through the sixth month of baby's life. In the first phase of the research, interviews were made with the pregnant women at home and at Basic Health Units to collect information about their intentions and knowledge of breastfeeding. In the second phase of the research, mothers and babies were followed up from the first to sixth month of baby's life to record the difficulties of breastfeeding and reasons for weaning. Results: In the first month, 94.3% (82) of the babies were breastfed, but only 49.4% (43) were breastfed exclusively. At the end of the sixth month of life, 43.7% (38) of the babies had already been weaned. No mother breastfed exclusively her baby within the sixth month. During pregnancy, 60.7% (51) of the mothers had no instructions about breastfeeding and 83.4% (70) of the mothers received instructions on breastfeeding after childbirth. Most mothers (76.2%) knew about the ideal breastfeeding period. Seventy-three (86.9%) mothers believed that breastfeeding was beneficial for the baby, but only 41 (48.8%) of them really breastfed. Only 11 (13.1%) mothers were followed up by the public health system team during lactation. Conclusion: Although most women had been instructed during pregnancy or after childbirth and had knowledge of breastfeeding, early weaning occurred. Advising is important, but the support and follow up of the mothers are of utmost importance for a successful breastfeeding practice.

Inflación interna y las causas de la devaluación del peso mexicano

Incluye Bibliografía

Medição da descarga de peso de indivíduos hemiplégicos e não hemiplégicos utilizando uma nova plataforma de força

Pós-graduação em Engenharia Elétrica - FEIS

Proposta de modelo experimental para o estudo da síndrome metabólica

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Impacto da desnutrição fetal/neonatal e do exercício durante a recuperação nutricional sobre lipídios teciduais e homeostase glicêmica de ratos

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Exercício na prevenção do diabetes mellitus em modelo experimental com ratos

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

O andar de pacientes hemiplégicos no solo e na esteira com suporte total e parcial de peso

Pós-graduação em Ciências da Motricidade - IBRC

A influência do peso molecular do PEG na transição-Ψ multimolecular do DNA

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Parâmetros produtivos, composição corporal e qualidade da carne de bovinos nelore criados em regime extensivo em função da idade e peso

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)