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ABSTRACT. The objective was to evaluate levels of replacement of corn silage with extruded forage (Foragge®) in sheep feeding. Twenty adult Santa Inês ewes in maintenance, and 55.8 kg average weight were housed in metabolic cages, and the treatments consisted of 20, 40, 60 and 80% replacement of corn silage with Foragge® extruded forage with 60% Uruchloa brizantha in the diet. The design was completely randomized, with regression analysis and non-parametric analysis at 5% probability. The supply of up to 80% extruded roughage to replace corn silage increased dry matter intake and digestibility, and fecal output in dry matter (p < 0.05). Also, it increased the efficiency of ingestion, rumination and chewing activities of sheep, but did not alter urinary parameters and energy metabolites (p > 0.05). However, it reduced the concentration of uric acid (p < 0.05). Foragge® extruded roughage can replace corn silage by up to 80% with changes in intake, digestibility, fecal parameters, ingestive behavior and concentration of uric acid and urea, with no modifications in urinary parameters and energy metabolites.

https://doi.org/10.4025/actascianimsci.v45i1.57397

MODELAGEM DE SISTEMA ESPECIALISTA PARA AVALIAÇÃO MULTIDIMENSIONAL DE PESSOAS IDOSAS
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Siqueira, Fernanda Matoso

; Castro, Edna Aparecida Barbosa de

; Carvalho, Dárliton Barbosa Feres

; Trindade, Gabriel Santos

; Cruz, Gylce Eloisa Cabreira Panitz

; Mendonça, Érica Toledo de

; Cavalcante, Ricardo Bezerra

Cogitare Enfermagem

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2023, Volume 28 elocation e88689

Abstract: En Es Pt | Text: En Es Pt | PDF: En | PDF: Es | PDF: Pt

ABSTRACT Objective: to describe the modeling of an Expert System for the Multidimensional Evaluation of aged people. Method: the study was carried out from April 2021 to September 2022 by researchers from universities in the inland of Minas Gerais - Brazil. The following stages were conducted: literature review; survey of the System requirements; modeling; and implementation. Results: the System makes it possible to assess the physical, psychosocial and functional aspects; it identifies the geriatric-gerontological needs and classifies them according to severity levels, in addition to offering suggestions for therapeutic interventions. The diverse information generated can be shared through instant messengers via apps, providing the basis for the development of a monitoring panel for aged people assisted in the municipality. Conclusion: the System presents itself as a technological solution given the importance of the multidimensional evaluation of aged people within the scope of care for this population segment and the lack of technological solutions to carry out the assessment.

RESUMEN Objetivo: describir el diseño de un Sistema Experto para la Evaluación Multidimensional del adulto mayor. Método: estudio realizado, de abril de 2021 a septiembre de 2022, por investigadores de universidades del interior de Minas Gerais, Brasil. Pasó por los pasos: revisión de la literatura, relevamiento de los requisitos del Sistema, diseño e implementación. Resultados: el Sistema permite evaluar aspectos físicos, psicosociales y funcionales, identifica necesidades geriátrico-gerontológicas y las clasifica según el nivel de gravedad, además ofrece sugerencias de intervenciones terapéuticas. La información generada podrá ser compartida a través de mensajería instantánea mediante aplicaciones, y sentará las bases para el desarrollo de un panel de seguimiento de los adultos mayores atendidos en el municipio. Conclusión: el Sistema es una solución tecnológica dada la importancia que tiene la evaluación multidimensional del adulto mayor en el ámbito de la atención de esta población y la falta de soluciones tecnológicas para realizar la evaluación.

RESUMO Objetivo: descrever a modelagem de um Sistema Especialista para Avaliação Multidimensional de pessoas idosas. Método: realizado no período de abril de 2021 a setembro de 2022, sendo conduzido por pesquisadores de universidades do interior de Minas Gerais - Brasil. Percorreu-se pelas etapas: revisão de literatura, levantamento dos requisitos para o Sistema, modelagem e implementação. Resultados: o Sistema possibilita avaliação dos aspectos físico, psicossocial e funcional, identifica as necessidades geriátrico-gerontológicas e as classifica de acordo com níveis de gravidade, além de oferecer sugestões de intervenções terapêuticas. As informações geradas podem ser compartilhadas por meio de mensageiros instantâneos através de aplicativos, dando base para o desenvolvimento de um painel de monitoramento das pessoas idosas assistidas no município. Conclusão: o Sistema se apresenta como uma solução tecnológica dada a importância da avaliação multidimensional da pessoa idosa no âmbito do cuidado a essa população e a carência de soluções tecnológicas para realizar a avaliação.

https://doi.org/10.1590/ce.v28i0.88689

ERICA: cardiovascular risks associated with oral contraceptive use among Brazilian adolescents
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Barros, Bruna de Siqueira

; Kuschnir, Maria Cristina Caetano

; Kuschnir, Fábio Chigres

; Jordão, Érica Azevedo de Oliveira Costa

Jornal de Pediatria

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feb 2022, Volume 98 N. 1 Pages 53 - 59

Abstract: En | Text: En | PDF: En

Abstract Objective: To investigate the association between oral contraceptive use and cardiovascular risks, including metabolic syndrome and their components in Brazilian adolescents. Method: This study used data from the Study of Cardiovascular Risks in Adolescents (Estudo de Riscos Cardiovasculares em Adolescentes - ERICA), a nationwide, cross-sectional, school-based study with individuals aged 12-17 years. Sociodemographic variables and OC use were assessed by a self-administered questionnaire. International Diabetes Federation criteria were used to define metabolic syndrome. Descriptive statistics were reported as prevalence and their respective confidence interval of 95% of oral contraceptives according to variables. Logistic regression was performed. Crude and adjusted odds ratios were calculated. Results: This subsample was composed of 22,682 female adolescents, of which 12.65% reported using oral contraceptives and their use was associated with hypertension and hypertriglyceridemia. These associations remained statistically significant after adjusting for age, school region, race, and tobacco use with an increase of 2.68 (1.66 - 4.32) and 3.45 (2.56 - 4.65) times, respectively. Conclusion: The present study was the first to examine the association between the use of oral contraceptives and cardiovascular risk factors among the largest number of female Brazilian adolescents. This method was significantly associated with hypertension, hypertriglyceridemia. Teenagers using oral contraceptives should be monitored for side effects, including blood pressure measurements and advised to avoid smoking.

https://doi.org/10.1016/j.jped.2021.03.006

Evaluation of extruded roughage with different additives in sheep diet
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Assis, Tamires Soares de

; Schultz, Erica Beatriz

; Oliveira, Karla Alves

; Siqueira, Marco Túlio Santos

; Sousa, Luciano Fernandes

; Macedo Junior, Gilberto de Lima

Acta Scientiarum. Animal Sciences

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2022, Volume 44 elocation e53447

Abstract: En | Text: En | PDF: En

The purpose was to evaluate the effect of extruded roughage Foragge® with different additives on intake, digestibility nutrients and nitrogen balance of sheep. Twenty adults, non-pregnant ewes with average weight 68 kg were used. The treatments were extruded roughage with additives (essential oil, virginiamycin, unpurified inactive yeast, tannin and purified inactive yeast). The design was in randomized blocks. The means were contrasted by SNK test, and the fecal score was tested by the Kruskal Wallis test (1952), at 5% significance. There was no difference in the intake of dry matter, crude protein, nitrogen, water, water in relation to dry matter, neutral detergent fiber (NDF), and acid detergent fiber (p > 0.05). As well as the digestibility of dry matter, crude protein and neutral detergent fiber, the fecal weight, fecal nitrogen, retained nitrogen and nitrogen retained in relation to nitrogen ingested (p > 0.05). However, dry matter intake as a function of body weight and metabolic weight, urinary nitrogen, hemicellulose intake, and hemicellulose as a function of NDF, were higher in the Foragge Factor® treatment (p < 0.05). The inclusion of different additives in the extruded roughage improved nutritional parameters, without causing disturbances.

https://doi.org/10.4025/actascianimsci.v44i1.53447

Excess weight in adolescents and associated factors: data from the ERICA study
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Lima, Niedja Maria da Silva

; Leal, Vanessa Sá

; Oliveira, Juliana Souza

; Andrade, Maria Izabel Siqueira de

; Santos, Natália Fernandes dos

; Pessoa, Jussara Tavares

; Aquino, Nathalia Barbosa de

; Lira, Pedro Israel Cabral de

Jornal de Pediatria

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dec 2021, Volume 97 N. 6 Pages 676 - 684

Abstract: En | Text: En | PDF: En

Abstract Objective: To estimate the prevalence of excessive weight and to identify associations with socioeconomic, demographic, biological, and lifestyle factors in adolescents. Methods: It is a cross-sectional school-based study, with a stratified and complex sample. The evaluated individuals were adolescents (2404), aged 12-17 years old, participating in the Study of Cardiovascular Risk Factors in Adolescents (ERICA). Demographic, socioeconomic, biological, anthropometric, and lifestyle variables were assessed. Poisson regression was used to verify the association between excess weight and independent variables. Results: The prevalence of excessive weight was 26.3% in the study population, being 16.3% for overweight and 10% for obesity. In the multivariate analysis (hierarchical model), were associated with excessive weight: private education network, a higher number of televisions in the residence, eating habits related to the breakfast consumption, snacks purchase in the canteen, snacks in front to screens consumption and consumption of carbohydrates and lipids, in addition to age group (12-14 years) and sexual maturation (post-pubertal). Conclusions: The prevalence of excessive weight among the school adolescents studied is high, with a value higher than the national average and the results of previous studies with adolescents. Its distribution is associated with different factors, which are socioeconomic, demographic, biological, and related to lifestyle, reinforcing the complexity of this condition, which deserves a broad coping approach, involving not only individual efforts but social and public ones as well.

https://doi.org/10.1016/j.jped.2021.02.008 1 downloads

Morphometric measurements for sexual dimorphism in the Campolina horse breed
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Krebs, Lisia Castro

; Santos, Marina Monteiro de Moraes

; Siqueira, Maria Claudia

; Araujo, Brennda Paula Gonçalves de

; Oliveira, Leonardo Gomes

; Feitosa, Fabiany Sousa Costa

; Camargo, Gregório Miguel Ferreira de

; Oliveira, Chiara Albano de Araújo

; Costa, Raphael Bermal

; Schultz, Erica Beatriz

; Godoi, Fernanda Nascimento de

Pesquisa Agropecuária Brasileira

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2021, Volume 56 elocation e02148

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo: O objetivo deste trabalho foi distinguir o dimorfismo sexual de equinos da raça Campolina, por meio de medidas morfométricas, e classificá-los quanto ao sexo, tendo-se utilizado funções discriminantes. Foram mensurados 215 equinos, e avaliadas 39 medidas morfométricas. Realizaram-se análises de covariância e discriminante. Os machos foram mais altos e apresentaram peito mais largo, maior ângulo escapulo-umeral e maior pescoço, tanto em comprimento quanto em perímetro. As fêmeas apresentaram maior perímetro torácico, ancas mais largas e maior abertura dos ângulos coxo-solo e femorotibial. Em relação à classificação, as medidas de perímetros (85,58%) foram mais acuradas na diferenciação sexual do que as lineares (83,26%) e as angulares (73,02%). Quanto ao erro de classificação, do total de animais mensurados, de 10 a 20% das fêmeas foram categorizadas como machos. Além disso, de 11 a 38% dos machos foram categorizados como fêmeas. Conclui-se que, das 39 medidas morfométricas avaliadas, 22 são responsáveis pelo dimorfismo sexual em equinos da raça Campolina. As medidas de perímetros e lineares fornecem classificação mais assertiva para determinar o dimorfismo sexual. As medidas angulares mostram maiores erros de classificação em relação ao sexo dos equinos.

Abstract: The objective of this work was to distinguish the sexual dimorphism of horses of the Campolina breed, by morphometric measurements, and to classify them according to sex, using discriminating functions. Two-hundred and fifteen horses were measured, and 39 morphometric measurements were evaluated. The analysis of covariance and the discriminant analysis were performed. Males were taller and showed a wider chest, a greater scapular-humeral angle, and a larger neck, both in length and circumference. Females had a larger heart girth, wider hips, and a greater opening of the coxal-ground and femorotibial angles. Regarding classification, circumference measurements (85.58%) were more accurate in sexual differentiation than the linear (83.26%) and angular (73.02%) ones. As to classification error, of the total animals measured, 10 to 20% of the females were categorized as males. In addition, 11 to 38% of the males were categorized as females. It can be concluded that of the 39 morphometric measurements evaluated, 22 are responsible for sexual dimorphism in the Campolina horse breed. Circumference and linear measurements provide a more assertive classification to determine sexual dimorphism. Angular measurements show greater classification errors regarding the gender of the horses.

https://doi.org/10.1590/s1678-3921.pab2021.v56.02148 57 downloads

BIRTH WEIGHT AND OVERWEIGHT IN ADOLESCENTS: THE ERICA PROJECT IN THE CITY OF RECIFE, PERNAMBUCO
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Gomes, Kamilla Brianni de Araújo

; Leal, Vanessa Sá

; Oliveira, Juliana Souza

; Pereira, Crislaine Gonçalves da Silva

; Gonçalves, Fabiana Cristina Lima da Silva Pastich

; Andrade, Izabel Siqueira de

; Eickmann, Sophie Helena

; Lira, Pedro Israel Cabral de

; Lima, Marilia de Carvalho

Revista Paulista de Pediatria

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2021, Volume 39 elocation e2019380

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO Objetivo: Verificar a associação de parâmetros antropométricos ao nascer, variáveis socioeconômicas e biológicas, atividade física e estado nutricional parental com excesso de peso e obesidade abdominal de adolescentes. Métodos: Este estudo transversal foi realizado em 39 escolas públicas e privadas de Recife (PE). A amostra consistiu em 1.081 adolescentes entre 12 e 17 anos de idade, provenientes do Estudo de Riscos Cardiovasculares em Adolescentes (ERICA). Estabeleceram-se como variáveis de desfecho o índice de massa corpórea para a idade (IMC/I), a circunferência da cintura (CC) e a relação cintura/estatura (RCEst), enquanto as explanatórias foram o peso ao nascer, o índice ponderal de Röhrer (IPR), as variáveis biológicas e socioeconômicas, a atividade física e o estado nutricional dos pais. Estimaram-se as razões de prevalência (RP) brutas e ajustadas para as associações estudadas pela regressão de Poisson. Resultados: A regressão multivariada de Poisson mostrou que a variável mantida como significantemente associada ao excesso de peso na adolescência foi o excesso de peso materno, RP=1,86 (intervalo de confiança de 95% [IC95%] 1,09-3,17). O peso elevado ao nascer também permaneceu bastante associado à obesidade abdominal avaliada pela CC, RP=3,25 (IC95% 1,08-9,74). Conclusões: O peso elevado ao nascer constituiu marcador para a obesidade abdominal na adolescência; e o IMC materno elevado, para o excesso de peso.

ABSTRACT Objective: To verify the association of anthropometric parameters at birth, socioeconomic and biological variables, physical activity, and parental nutritional status with overweight and abdominal obesity in adolescents. Methods: A cross-sectional study was carried out on 39 public and private schools in Recife (state of Pernambuco, Brazil). The sample consisted of 1,081 teenagers aged from 12 to 17 years. Data were collected from the Study of Cardiovascular Risks in Adolescents (ERICA). Body mass index according to age (BMI-for-age), waist circumference (WC), and waist-to-height ratio (WtHR) were considered as outcome variables, whereas the explanatory variables were birth weight, Röhrer’s Ponderal Index (RPI), biological and socioeconomic variables, physical activity, and parental nutritional status. The crude and adjusted prevalence ratios (PR) for the studied association were estimated by Poisson Regression. Results: The multivariate Poisson regression showed that the variable that remained significantly associated with overweight in adolescence was maternal overweight, PR=1.86 (95% confidence interval [95%CI] 1.09-3.17). High birth weight also remained significantly associated with abdominal obesity assessed by WC, PR=3.25 (95%CI 1.0-9.74). Conclusions: High birth weight may be a marker for abdominal obesity in adolescence; and high maternal BMI, for overweight.

https://doi.org/10.1590/1984-0462/2021/39/2019380 674 downloads

Polymorphism in the BIEC2-808543 locus and its association with growth curve in Brasileiro de Hipismo horse breed
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Costa, Érica Cristina Xisto da

; Vieira, Ricardo Augusto Mendonça

; Glória, Leonardo Siqueira

; Soares, Maria Amélia Menck

Revista Brasileira de Zootecnia

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2021, Volume 50 elocation e20200214

Abstract: En | Text: En | PDF: En

ABSTRACT Our objective was to evaluate whether the single nucleotide polymorphism (SNP) BIEC2-808543, identified in some horse breeds, also occurs in the Brasileiro de Hipismo (BH) breed. In addition, we verified if this SNP is related to the growth curve profile of these animals for the variables body mass, height at withers, and height at croup, using nonlinear mixed models. For the DNA isolation, we collected blood samples from 167 young BH horses. We obtained the genotypes of these animals using the polymerase chain reaction-restriction fragment length polymorphism technique. For the association studies of this polymorphism with the growth curve in foals, we selected three traits: body mass, height at withers, and height at croup. Polymorphism C/T exists in BH horses and is significantly associated with the evaluated traits. Animals that presented the TT genotype were smaller and lighter when compared with animals of the CT and CC genotypes. By the Akaike information criterion, the model that best described the growth curve for the body mass variable is the Brody model associated with the power of the mean variance function. For the height at withers variable, the best-fit model was von Bertalanffy, adjusted without polymorphism effect in parameter b, associated with the asymptotic variance. For the height at croup trait, the model that best described the growth curve was Brody model, associated with asymptotic variance. This polymorphism represents a good molecular marker. Nonlinear models are promising for describing growth curves in horses, particularly by the possibility of associating SNP effects to model parameters.

https://doi.org/10.37496/rbz5020200214

Detection of Drug Resistant Mycobacterium Tuberculosis Strains Using Kit SIRE Nitratase®: a Multicenter Study
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Miranda, Silvana Spindola de

; Almeida, Isabela Neves de

; Mansur, Maria de Fátima Filardi Oliveira

; Figueredo, Lida Jouca de Assis

; Carvalho, Wânia da Silva

; Hadaad, João Paulo Amaral

; Diniz, Jaciara de Lourdes do Carmo Guimarães

; Groll, Andrea von

; Silva, Pedro Almeida da

; Lopes, Maria Luiza

; Santos, Marcelo Cordeiro dos

; Brito, Alexandra

; Mello, Fernanda Carvalho de Queiroz

; Malaquias, Thiago da Silva Santos

; Croda, Julio

; Pinhata, Juliana Maira Watanabe

; Oliveira, Rosângela Siqueira de

; Chimara, Erica

; Rossetti, Maria Lúcia

; Halon, Maria Laura

; Lourenço, Maria Cristina

; Medeiros, Reginalda Ferreira de Melo

; Montes, Fátima Cristina Onofre Fandinho

; Machado, Diana

; Viveiros, Miguel

; Kritski, Afrânio Lineu

Brazilian Archives of Biology and Technology

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2020, Volume 63 elocation e20190179

Abstract: En | Text: En | PDF: En

Abstract (1) Background: The Commercial Kit SIRE Nitratase® PlastLabor, is a drug susceptibility test kit used to detect Mycobacterium tuberculosis resistance to first-line TB treatment drugs. The present study aimed at evaluating its performance in a multicenter study. (2) Methods: To determine its accuracy, the proportion methods in Lowenstein Jensen medium or the BACTECTMMGITTM960 system was used as a gold standard. (3) Results: The study revealed that the respective accuracies of the kit with 190 M. tuberculosis clinical isolates, using the proportion methods in Lowenstein Jensen medium or BACTECTMMGITTM960 system as a gold standard, were 93.9% and 94.6%, 96.9% and 94.6%, 98.0% and 97.8%, and 98.0% and 98.9%, for streptomycin, isoniazid, rifampicin, and ethambutol, respectively. (4) Conclusion: Thus, the kit can rapidly screen resistance to streptomycin, isoniazid, rifampicin, and ethambutol. Additionally, it does not require sophisticated equipment; hence, it can be easily used in the laboratories of low and middle income countries.

https://doi.org/10.1590/1678-4324-2020190179 905 downloads

10.

ASSESSMENT OF NUTRITIONAL STATUS AND FREQUENCY OF COMPLICATIONS ASSOCIATED TO FEEDING IN PATIENTS WITH SPASTIC QUADRIPLEGIC CEREBRAL PALSY
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Sousa, Kamilla Tavares de

; Ferreira, Gabrielle Bemfica

; Santos, Amanda Torido

; Nomelini, Quintiliano Siqueira Schroden

; Minussi, Luciana Oliveira de Almeida

; Rezende, Érica Rodrigues Mariano de Almeida

; Nonato, Isabella Lopes

Revista Paulista de Pediatria

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2020, Volume 38 elocation e2018410

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO Objetivo: Correlacionar o estado nutricional com variáveis associadas ao tipo de dieta e via de alimentação de crianças e adolescentes com paralisia cerebral (PC) tetraparética espástica. Métodos: Estudo de corte transversal com 28 pacientes com idade ≤13 anos, atendidos pela equipe de nutrição do Ambulatório de Pacientes Especiais do Hospital de Clínicas de Uberlândia da Universidade Federal de Uberlândia (HC-UFU), entre julho de 2016 e janeiro de 2017, que apresentavam diagnóstico de PC tetraparética espástica. Os pacientes incluídos tiveram o termo de consentimento assinado pelo responsável legal. Avaliou-se o estado nutricional e coletaram-se dados sobre complicações alimentares, via de alimentação e tipo de dieta. Para descrição desses dados, foram utilizadas média e mediana; para análises de correlação, correlação de Spearman, sendo significante p<0,05. Resultados: Neste estudo, 75% dos pacientes utilizavam via alternativa para alimentação (sonda nasoenteral ou gastrostomia) e 57% eram eutróficos. As complicações mais frequentes foram disfagia orofaríngea, refluxo e obstipação intestinal. Não houve correlação entre ocorrência de complicações e estado nutricional. Observou-se correlação positiva entre dieta recebida e estado nutricional dos pacientes (0,48; p=0,01), sendo que indivíduos com adequada ingestão calórica e de macronutrientes apresentaram melhor classificação do estado nutricional. Conclusões: Os resultados obtidos reforçam a necessidade de orientações nutricionais contínuas para os pais/cuidadores das crianças do estudo, bem como a escolha de uma via de alimentação adequada a cada uma delas pela equipe multiprofissional, a fim de contribuir para a melhora do estado nutricional e da ingestão alimentar.

ABSTRACT Objective: To correlate the nutritional status with variables associated to the type of diet and feeding route of children and adolescents with spastic quadriplegic cerebral palsy (CP). Methods: This cross-sectional study included 28 patients aged ≤13 years old who presented a diagnosis of spastic quadriplegic CP and were followed by the nutrition team of the Outpatient Clinic for Special Patients of Hospital de Clínicas de Uberlândia - Universidade Federal de Uberlândia (HC-UFU), between July/2016 and January/2017. Consent forms were signed by the legal guardians. The nutritional status was evaluated and data on dietary complications food route and type of diet were collected. For the description of data, average and median values were used. Correlation was tested with Spearman’s index. Significance was set at p<0.05. Results: 75% of patients used alternative feeding routes (nasoenteral, catheter or gastrostomy), 57% were eutrophic. The most frequent complications were oropharyngeal dysphagia, reflux and intestinal constipation. No correlation was found between the occurrence of complications and the nutritional status. There was a positive correlation between the diet received and the patient’s nutritional status (0.48; p=0.01), i.e. individuals with adequate caloric and macronutrients intake had a better nutritional status. Conclusions: The results reinforce the need for continued nutritional guidance for the children’s parents/caregivers, as well as the choice of an adequate rout of feeding to each child by the multi-professional team, in order to contribute to improved nutritional status and adequate dietary intake.

https://doi.org/10.1590/1984-0462/2020/38/2018410 1933 downloads

11.

Social incentives for adherence to tuberculosis treatment
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Orlandi, Giovanna Mariah

; Pereira, Érica Gomes

; Biagolini, Rosângela Elaine Minéo

; França, Francisco Oscar de Siqueira

; Bertolozzi, Maria Rita

Revista Brasileira de Enfermagem

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oct 2019, Volume 72 N. 5 Pages 1182 - 1188

Abstract: En Es Pt | Text: En Es Pt | PDF: En | PDF: Es | PDF: Pt

ABSTRACT Objective: To analyze the influence of social incentives for adherence to tuberculosis (TB) treatment. Method: Qualitative study, in which 26 primary health care professionals of São Paulo were interviewed in 2015.Their testimonies were submitted to the speech analysis technique. The theoretical reference was the social determination of the health-disease process. Ethical procedures were observed. Results: TB is related to precarious living conditions. Incentives such as the basic food basket and transportation stipends are relevant for patients’ adherence to treatment, as well as to the create bonds between the patient and the health team. Final considerations: The incentives strengthened adherence to TB treatment. However, interventions in the context of public measures must transcend the remedial dimension and be guided towards the transformation of the TB situation, which means supporting processes that modify living conditions.

RESUMEN Objetivo: Analizar la influencia de los incentivos sociales en la adhesión al tratamiento de la tuberculosis (TB). Método: Estudio cualitativo, en el que 26 profesionales de la Atención Primaria a la Salud del municipio de São Paulo fueron entrevistados en 2015, y sus testimonios fueron sometidos a la técnica de análisis de discurso. El referencial teórico fue la determinación social del proceso salud-enfermedad. Se han resguardado los procedimientos éticos. Resultados: La TB se relaciona con las condiciones precarias de la vida, siendo que los incentivos como la canasta básica y la ayuda para el transporte son relevantes para la adhesión del paciente al tratamiento, así como para el vínculo entre el paciente y el equipo de salud. Consideraciones finales: Los incentivos fortalecen la adhesión al tratamiento de la TB. Sin embargo, las intervenciones en el marco de medidas públicas deben trascender la dimensión paliativa y orientarse para transformar la situación de la TB, lo que significa apoyar procesos que modifiquen las condiciones de vida.

RESUMO Objetivo: Analisar a influência de incentivos sociais na adesão ao tratamento da tuberculose (TB). Método: Estudo qualitativo, em que 26 profissionais da Atenção Primária à Saúde do município de São Paulo foram entrevistados em 2015, e seus depoimentos foram submetidos à técnica de análise de discurso. O referencial teórico foi a determinação social do processo saúde-doença. Os procedimentos éticos foram resguardados. Resultados: A TB está relacionada às condições precárias de vida, sendo que incentivos como a cesta básica e o vale-transporte são relevantes para a adesão do paciente ao tratamento, assim como para o vínculo entre o paciente e a equipe de saúde. Considerações finais: Os incentivos fortalecem a adesão ao tratamento da TB. Contudo, intervenções no âmbito de medidas públicas devem transcender a dimensão paliativa e orientarem-se para transformar a situação da TB, o que significa apoiar processos que modifiquem as condições de vida.

https://doi.org/10.1590/0034-7167-2017-0654 94 downloads

12.

Trichoscopy findings in dissecting cellulitis
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Melo, Daniel Fernandes

; Slaibi, Erica Bertolace

; Siqueira, Thais Marques Feitosa Mendes

; Tortelly, Violeta Duarte

Anais Brasileiros de Dermatologia

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oct 2019, Volume 94 N. 5 Pages 608 - 611

Abstract: En | Text: En | PDF: En

Abstract Dissecting cellulitis is an inflammatory, chronic, and recurrent disease of the hair follicles that mainly affects young Afro-descendent men. Trichoscopy is a method of great diagnostic value for disorders of the scalp. Clinical and trichoscopic findings of dissecting cellulitis are heterogeneous and may present features common to non-cicatricial and scarring alopecia. This article presents the trichoscopic findings of dissecting cellulitis that help in the diagnosis and consequent institution of the appropriate therapy and better prognosis of the disease.

https://doi.org/10.1016/j.abd.2019.09.006 523 downloads

13.

Social incentives for adherence to tuberculosis treatment
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Orlandi, Giovanna Mariah

; Pereira, Érica Gomes

; Biagolini, Rosângela Elaine Minéo

; França, Francisco Oscar de Siqueira

; Bertolozzi, Maria Rita

Revista Brasileira de Enfermagem

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oct 2019, Volume 72 N. 5 Pages 1182 - 1188

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

https://doi.org/10.1590/0034-7167-2017-0654 2807 downloads

14.

ERICA: age at menarche and its association with nutritional status
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Barros, Bruna de Siqueira

; Kuschnir, Maria Cristina Maria Caetano

; Bloch, Katia Vergetti

; Silva, Thiago Luiz Nogueira da

Jornal de Pediatria

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feb 2019, Volume 95 N. 1 Pages 106 - 111

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Objetivo: Estimar a média de idade de ocorrência da menarca e sua associação com o estado nutricional em adolescentes brasileiras. Métodos: Foram avaliados dados de meninas com 12 a 17 anos a partir de um estudo seccional de base escolar, com representatividade nacional e macrorregional, o ERICA (Estudo de Riscos Cardiovasculares em Adolescentes). Foram estimadas média e mediana de idade de ocorrência da menarca no Brasil, pelo método recordatório. A associação da idade da menarca com dados sociodemográficos e estado nutricional foi descrita como médias e seus respectivos IC95%. Análise de sobrevida foi utilizada para explorar a idade da menarca segundo categorias de estado nutricional e teste logrank foi utilizado para comparação das medianas. Análises bivariada e multivariada foram realizadas por meio da regressão de Cox para verificar a associação entre menarca e demais variáveis. Resultados: Foram avaliados 73.624 estudantes, 40.803 meninas, das quais 37.390 referiram ter apresentado menarca, sendo a média da idade de ocorrência de 11,71 anos e a mediana de 12,41 anos. As medianas da idade de ocorrência da menarca foram menores naquelas com sobrepeso e obesidade (p < 0,001). A análise multivariada evidenciou que excesso de peso (HR = 1,28, IC95% 1,21-1,36, p < 0,001) e estudar em escola privada (HR = 1,06, IC95% 1,02-1,10, p = 0,003) estão associados à menarca. Conclusões: Este foi o primeiro estudo brasileiro com representatividade nacional a estimar a média de idade de ocorrência da menarca. As adolescentes com excesso de peso apresentaram menarca em idade inferior às demais, mesmo após ajuste.Full English text available from: www.revespcardiol.org/en

Abstract Objective: To estimate the mean age at menarche and its association with nutritional status in Brazilian adolescents. Methods: The study sample included female adolescents aged 12–17 who participated in a multicenter, school-based, country-wide, cross-sectional study entitled The Study of Cardiovascular Risk in Adolescents (Estudo de Riscos Cardiovasculares em Adolescentes [ERICA]). Mean and median ages at menarche in Brazil were estimated. The association of age at menarche with sociodemographic data and nutritional status were described as means and their respective 95% confidence intervals. Survival analysis was used to assess the age at menarche according to nutritional status categories and the log-rank test was used to compare the medians. Bivariate and multivariate analyses were performed using Cox regression to verify the association between menarche and other variables. Results: A total of 73,624 students were evaluated, comprising 40,803 girls, of whom 37,390 reported menarche at a mean age of 11.71 years and a median of 12.41 years. Median age at menarche was lower in overweight and obese girls (p < 0.001). The multivariate analysis showed that excess weight (HR = 1.28; 95% CI 1.21–1.36; p < 0.001) and studying in a private school (HR = 1.06; 95% CI 1.02–1.10; p = 0.003) were associated with menarche. Conclusions: This is a pioneering study in Brazil with national and regional representativeness to estimate the mean and the median age of occurrence of menarche. Adolescents with excess weight had an earlier menarche than their peers, even after adjustment for confounding factors.

https://doi.org/10.1016/j.jped.2017.12.004 3266 downloads

15.

Ingestive behavior of dairy goats fed diets containing increasing levels of neutral detergent fiber and particle size using multivariate analysis
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Schultz, Erica Beatriz

; Amaral, Rafael Marzall do

; Glória, Leonardo Siqueira

; Silva, Fabyano Fonseca e

; Rodrigues, Marcelo Teixeira

; Vieira, Ricardo Augusto Mendonça

Acta Scientiarum. Animal Sciences

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2019, Volume 41 elocation e45870

Abstract: En | Text: En | PDF: En

ABSTRACT. The purpose of this study was to evaluate the effect of interaction between increasing neutral detergent fiber content and particle sizes on ingestive behavior of dairy goats. Forty-eight lactating, multiparous Saanen and Alpine goats, with average milk production of 1.4 ±0.57 kg d-1, around 60th ±12 day of lactation were distributed in a 3 x 4 factorial completely randomized design. The diets consisted: three particles sizes (02, 05 or 15 cm) and four levels of neutral detergent fiber (34, 41, 49 or 57% NDFf) from forage (Tifton 85 hay). The ingestive behavior was monitored during 24 hours. A regression and a multivariate time series cluster analysis were performed. No interaction was found (p > 0.05) between treatments. Feeding time was different according to the particle size, having an increasing linear effect. Rumination and idle times were not affected (p > 0.05). The temporal feeding behavior was clustered into two groups according to the profile of particle size of the diet. Rumination peaks were randomly distributed with more intense activity before morning and afternoon meals. The increase in NDFf content in the diet did not change the ingestive behavior. The multivariate cluster analysis in a time series data is useful to interpret animal feeding behavior.

https://doi.org/10.4025/actascianimsci.v41i1.45870 468 downloads

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