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.

Evolução das políticas de desenvolvimento sustentável no Estado do Amazonas 2006-2009: avanços em direção às recomendações realizadas por ocasião da análise ambiental e de sustentabilidade do Estado do Amazonas

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Evolução geológica dos batólitos granitóides neoproterozóicos do sudeste do estado de são paulo

The Neoproterozoic granitogenesis related to the Central Mantiqueira Province comprise the calc alkaline to alkaline granitoid complexes of Sorocaba, San Francisco, São Roque, Ibiúna and Piedade. These complexes occur in a ruptil tectonic to tardi (Sn+3) event. The emplacement of the different facies in transtractives structures of the pull-apart type are characterized in the area by the main transcurrent shear zones of Taxaquara-Pirapora, Itu-Jundiuvira, Moreiras, Cangüera and Caucáia of ENE-WSW general direction. The massifs present complex internal architecture characterized by intrusions in restrict initial phase of intermediate equigranular nature. Also present a main phase of porfiroid monzo and sienogranite that fragments the previous phase, followed by lateral accretion of equi to inequigranular material, and in some cases by the accretion of late phases of circular bodies of porfiroid rapakivi granites, and a late to final phase of aplitic to pegmatitic composition. This magmatism grew with the intrusions of successive magmatic pulses, partially controlled by many reactivations of the shear zones. The REE also suggest that the magmatic phases are similar, synchronous and repetitive in four of the complexes in both domains, present in the São Francisco Complex. The crystallization starts from accretion processes, but compositionally quite different from the others. The variation in compositions and ages (TDM) for these granites reflect the derivation from different sources developed under different magmatic conditions, followed by processes of contamination that frequently occur in the crust.

Evolução metamórfica e termobarometria das rochas metamáficas/metabásicas da região de Pontalina - GO

At the Pontalina region, the Magmatic Arc of Goiás is constituted by orthogneisses, metasediments, metaultramafics and metamafic/metabasics, geochemically related to island arcs. Mineral assemblages related to metamorphic peak observed in the study area are typically of the amphibolite facies and were generated before or during the initial stage of the development of the main foliation (S n). Thermobarometric data show the P and T conditions for the amphibole + plagioclase and plagioclase + garnet + amphibole assemblages in the metamafic/metabasic rocks correspond to amphibolite facies (medium to upper grade), and plot in the kyanite stability field. The results indicate that the metamorphic peak (M1) in the amphibolite facies (medium up to upper grade) reached temperatures slightly higher than 700°C, not exceeding 775°C, under conditions of medium pressure (∼10 kbar). Thermobarometric and petrographic data, related to the metamorphism, indicate a clockwise P-T path for the surrounding rocks.

Ausência de arteriosclerose na porção intramiocárdica das artérias coronárias: Um mistério a ser resolvido?

Several studies show that portions of intramyocardial coronary arteries are spared of arteriosclerosis, involving morphological, embryological, biochemical and pathophysiological aspects. Endothelial function is significantly affected in the segment of transition, as estimated by the vasoactive response to Ach. These findings suggest that myocardial bridge can provide protection against arteriosclerosis by counteracting the negative effects of endothelial dysfunction. The intramyocardial portion's protection phenomenon deserves further scientific research on all research fronts. Improved morphological, biomechanical and especially physiological and embryological knowledge may be the key to a future window of opportunity for chronic arterial disease therapy and prevention. In addition, this review discusses possible therapeutic approaches for symptomatic coronary ischemia caused by myocardial bridges.

Parâmetros físicos pré-eruptivos do magmatismo ácido da província magmática do Paraná: Resultados preliminares

A set of 12 samples of acid rock types Palmas (ATP) and Chapecó (ATC) was used to determine the chemical composition of plagioclase and pyroxene by electron microprobe, with the purpose to get information about the pressure and temperature of crystallization of these rocks. The results show that the pyroxene of ATP rocks (3,2 ± 1,2 kbar, max = 5,1 kbar and 1028 ± 38°C) were formed under pressure conditions higher than those ATC (1,8 ± 0,9 kbar, max = 3,4 kbar and 995 ± 26oC). However, the pressures obtained from plagioclase showed higher pressures for ATC (3.2 ± 1 kbar, max = 6,4 kbar and 1033 ± 12°C) than ATP (1,9 ± 1 kbar, max = 4,8 kbar and 1043 ± 5°C), suggesting that the crystallization of rocktype ATP began with the formation of pyroxene and plagioclase almost simultaneously at a depth of around 17 km while the ATC, began with the crystallization of plagioclase at a depth of about 21 km (assuming a gradient of 3,3 kbar/km). The geothermometry of plagioclase allow us to calculate the concentration of water from about 1 ± 0,3% H2O for both acid rock types. Additional calculations allow us to get the depth of water exsolution of magmatic liquid at 30m below the surface. Although the data are still preliminary and insufficient to model the extrusion of these rocks, they point out to an effusion mechanism of a partially fluidized magma by volatile, which would spread to large areas with small friction with the surface that would increased with the increase of viscosity caused by the loss of volatile and decreasing of temperature, developing coherent structures as lava flows.

Evolução do rifteamento e paleogeografia da margem Atlântica Equatorial do Brasil: Triássico ao Holoceno

The Equatorial Atlantic Margin evolved from three rift systems recorded by a complex set of sedimentary basins developed since Upper Triassic to the Lower Cretaceous (Albian). The first rift system formed Foz do Amazonas Basin in Upper Triassic; the second phase formed Marajó Basin in Berriasian, a new rift in Foz do Amazonas Basin in Valanginian and Bragança-Viseu, Ilha Nova, São Luís e Barreirinhas basins in Aptian; the third phase formed Barreirinhas and Pará- Maranhão basins and a new rifting in the Foz do Amazonas Basin between the Aptian and Albian and evolved to continental break up. The main paleostress field during rift evolution was NE-SW and after the continental break up took the E-W direction, from the development of transform zones in the oceanic crust. From Miocene, South America was subjected to intraplate tectonics, which resulted in formation of E-W transcurrent faults that generated transtensive and transpressive segments that formed sedimentary basins and hills, resulting in changes in the drainage network. In Quaternary the landscape was modified by the last ice age that changed the sea level; the coastal drainage network was drowning resulting in the formation of the current line coast.

O rio Paraguai no megaleque do Nabileque, sudoeste do Pantanal mato-grossense, MS

The Nabileque fluvial fan is a Quaternary depositional system located along the southwestern border of the Pantanal, covering an area of approximately 9,100 km 2. It is a peculiar alluvial system because it is not associated with inflow from adjacent plateaus. The Nabileque megafan is formed by the Paraguay River at the exit of the Pantanal wetland, coalescing with the Pilcomayo megafan of the Chaco basin. A geomorphological zonation analysis was performed making use of remote sensing data with field verification. Most of the area is a vast alluvial plain made of Pleistocene deposits, whose surface is marked by the presence of an intricate network of distributary paleochannels. Areas blanketed by Pleistocene deposits are dissected by erosional streams and subject to frequent flooding events. The Paraguay River flows in a meander belt constrained by NE fractures associated with the Transbrasiliano Lineament, but deflects towards the SSE after the Negro River confluence composing the system's peripheral drainage. An abandoned meander belt is preserved within a remarkable N-S incised-valley that is interpreted as the ancient Paraguay River course. Processes of avulsion and river capture are suggested to explain the observed changes of the river course. The Nabileque River is an underfit stream within the incised-valley, cutting paleomeanders and point bars of the previous Paraguay River course.

Investigação tecnológica de arenitos silicificados da Formação Botucatu (ne do Paraná) para uso como rocha de revestimento

For many years the silicified sandstone associated of the Botucatu Formation has been the target of interest to researchers and miners, either for understanding the genesis of silicification or for your use as dimension stone and covering on the building industry. If in the first there are several articles available in the geological literature the second there are only technical data marketing available. In the northeast portion of the Paraná State and southwest of the São Paulo State these rocks are mined and traded as covering stones. Not much is known about their intrinsic characteristics and technological properties. To improve the knowledge of the technological behavior of these materials, samples from a quarry from Ribeirao Claro region were petrographically and physically characterized according to the standards established by the Brazilian Association of Technical Standards to dimension stones. Therefore, two bulk samples of silicified sandstone of the Ribeirão Claro/PR region were studied and characterized following the norms established by Brazilian Association of Technical Standards for dimension stones. The results obtained in the petrographical and technological studies are presented and indicated that, in general, the technological performance presented by sandstone studied induces limitations of use as covering materials, mainly horizontally as pavements, door stone and step ladder.

Evolução tecnológica no setor de máquinas de processar cereais: um estudo de caso

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Evolução tecnológica em uma firma de processo produtivo continuo no setor metal-mecânico brasileiro

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O Grupo Canastra em sua área-tipo, região de Tapira, sudoeste do estado de Minas Gerais

This work aimed at describing the Neoproterozoic evolution of a Southern Brasília Fold Belt segment, in Tapira area (southwest of Minas Gerais state, Brazil), using detailed geologic mapping. This area, the Canastra Group type-area, has showed great tectonic and stratigraphic complexities unlike the simplicity suggested in previous works. From recognizing the main tectonic discontinuities, it was possible to subdivide the area into some domains. In the west domain, they were individualized in tectonic sheet I, marked by pelitic rocks and pelitic-graphite rocks with psammitic intercalations, and II, pelitic rocks with psammitic and mafic-ultramafic intercalations overlapped by gneisses. In the east domain, a group of three tectonic sheets was defined, in which, in the two lower tectonic sheets, pelitic and pelitic-graphite rocks with psammitic rock intercalations prevailed, which is different in metamorphic conditions. The lower tectonic sheet is marked by mineralogical associations with muscovite + chlorite + quartz ± graphite ± albite, without biotite; however, the superior one is with muscovite + quartz + garnet ± chlorite ± biotite ± chloritoid ± graphite ± albite. In the upper tectonic sheet, pelitic rocks with local contributions of psammitic and ultramafics rocks occur. In the south domain, psammitic rocks basically occur with contributions of pelitics and rudaceous rocks, where the preservation of textures and sedimentary structures is common. Rocks of the several domains are interpreted as part of a passive continental margin basin, located in the western margin of the São Francisco paleocontinent. Thus, the south domain rocks would represent the facies of proximal platform; rocks of the lower and middle tectonic sheets (east domain) and of the tectonic sheet I (west domain) are of facies distal platform; and the ones from the upper tectonic sheet (east domain) and tectonic sheet II (west domain) were acknowledged as deposited in an environment of continental shelf and/or oceanic seafoor.

Família brasileira em transição: evolução e perspectivas futuras

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Suíte plutônica Alumiador, grupo Amonguijá, maciço rio apa - MS

The Rio Apa Massif corresponds the southern portion of the Amazon Craton and is located in the southwest of Mato Grosso do Sul State. It consists on Paleoproterozoic rocks of Rio Apa Complex, Alto Tererê Group and Amonguijá Group, is subdivided into Alumiador Plutonic Suite and Serra da Bocaina Volcanic Suite. The volcanic suite is comprises sub volcanic, volcanic and varied volcanoclastics rocks with composition ranging from alkali-rhyolitic to rhyolite types. The plutonic suite corresponds to an N-S elongated batholith and is characterized by four main segments delimited by NW-SE faults. The southern and central main segments, discussed in this paper, are characterized by the following petrographic facies: medium to fine grained hornblende-biotite monzogranites, coarse grained biotite monzogranites, graphic biotite sienogranites and muscovite sienogranites and the northern segment is contemporaneous and is composed of two different sequences of rocks, one acid and another of basic to ultrabasic composition. The southern and central segment consists of to chemically compatible rocks with the types I and A Granites. These are calc-alkaline rocks of high potassium to the shoshonitic and subalkaline. Constitute sin-collisional granites of metaluminous the peraluminous characters of the Amonguijá Magmatic Arc, but they exhibit late litotypes with chemical characteristics of post tectonic granites from intraplate environment.

Relação do meio físico com o manejo sustentável de plantio de eucalipto em áreas de terrenos acidentados - A Fazenda Santa Edwirges, Vale do Paraíba, Sudeste do Brasil

This study intends to evaluate the effects of landscape physical elements (rocks and relief) associated with silviculture activities. The study was carried out on a small farm (Fazenda Santa Edwirges) covered by Eucalyptus forested situated in the Paraiba do Sul Basin, Southeast Brazil. The methodology consisted of detailed geological and geomorphological studies at 1:10,000 scale, and laboratory analysis of soil physical properties. The results showed three geologic-geomorphologic associations (ridge escarpment with granitic rocks, steep and gentle hills cut by shear zones and gentle hill with alluvial sediments) present high vulnerability for the development of the physical processes such as accelerated erosion landslides and flooding. In contrast, mountains associated with gneissic rocks present smaller vulnerability and high resilience for the development of the physical processes. The results have showed the importance of considering the interactions among landscape physical for the eucalyptus forest management contributing to a better selection area for eucalyptus cultivation and minimize adverse environment impact in road design.