ABSTRACT Objective: To evaluate the influence of maternal pre-pregnancy body mass index (BMI) and gestational weight gain (GWG) on blood glucose levels at diagnosis of gestational diabetes mellitus (GDM) and obstetric/neonatal outcomes. Subjects and methods: Retrospective cohort study including 462 women with GDM and singleton pregnancy delivered in our institution between January 2015 and June 2018 and grouped according to BMI/GWG. Results: The diagnosis of GDM was more likely to be established in the 1st trimester (T) in women with obesity than in normal-weight (55.8% vs 53.7%, p = 0.008). BMI positively and significantly correlated with fasting plasma glucose (FPG) levels in the 1stT (rs = 0.213, p = 0.001) and 2ndT (rs = 0.210, p = 0.001). Excessive GWG occurred in 44.9% women with overweight and in 40.2% with obesity (p < 0.001). From women with obesity, 65.1% required pharmacological treatment (p < 0.001). Gestational hypertension (GH) was more frequent in women with obesity (p = 0.016). During follow-up, 132 cesareans were performed, the majority in mothers with obesity (p = 0.008). Of the 17 large-for-gestational-age (LGA) birthweight delivered, respectively 6 and 9 were offsprings of women with overweight and obesity (p = 0.019). Maternal BMI had a predictive value only for macrosomia [aOR 1.177 (1.006-1.376), p = 0.041]. BMI and GWG positively correlated with birthweight (rs = 0.132, p = 0.005; rs = 0.188, p = 0.005). Conclusion: Maternal obesity is related with a major probability of diagnosis of GDM in 1stT, fasting hyperglycemia in 2ndT and a more frequent need for pharmacological therapy. Pre-gestational obesity is associated with GH, cesarean delivery and fetal macrosomia.

ABSTRACT Objective: To evaluate the influence of maternal pre-pregnancy body mass index (BMI) and gestational weight gain (GWG) on blood glucose levels at diagnosis of gestational diabetes mellitus (GDM) and obstetric/neonatal outcomes. Subjects and methods: Retrospective cohort study including 462 women with GDM and singleton pregnancy delivered in our institution between January 2015 and June 2018 and grouped according to BMI/GWG. Results: The diagnosis of GDM was more likely to be established in the 1st trimester (T) in women with obesity than in normal-weight (55.8% vs 53.7%, p = 0.008). BMI positively and significantly correlated with fasting plasma glucose (FPG) levels in the 1stT (rs = 0.213, p = 0.001) and 2ndT (rs = 0.210, p = 0.001). Excessive GWG occurred in 44.9% women with overweight and in 40.2% with obesity (p < 0.001). From women with obesity, 65.1% required pharmacological treatment (p < 0.001). Gestational hypertension (GH) was more frequent in women with obesity (p = 0.016). During follow-up, 132 cesareans were performed, the majority in mothers with obesity (p = 0.008). Of the 17 large-for-gestational-age (LGA) birthweight delivered, respectively 6 and 9 were offsprings of women with overweight and obesity (p = 0.019). Maternal BMI had a predictive value only for macrosomia [aOR 1.177 (1.006-1.376), p = 0.041]. BMI and GWG positively correlated with birthweight (rs = 0.132, p = 0.005; rs = 0.188, p = 0.005). Conclusion: Maternal obesity is related with a major probability of diagnosis of GDM in 1stT, fasting hyperglycemia in 2ndT and a more frequent need for pharmacological therapy. Pre-gestational obesity is associated with GH, cesarean delivery and fetal macrosomia.

A figura do supervisor assume-se como um dos principais factores protectores da experiência de estágio, emergindo como uma importante fonte de suporte emocional e/ou como um "amortecedor" do impacto gerado pela transição universidade-mundo do trabalho. Visando estudar a relação entre os estilos de supervisão, os níveis de satisfação do estagiário (em relação aos supervisores da universidade e da instituição de estágio) e a sua eventual relação com sintomatologia depressiva, foi realizado um estudo com 83 estagiários de Psicologia da Universidade do Minho, avaliados no final do seu estágio, através do Inventário de Estilos Supervisivos, do Questionário da Qualidade da Supervisão e do Inventário da Depressão de Beck. Os resultados revelam uma concordância na forma como estes avaliam ambos os supervisores em termos de estilo supervisivo e satisfação com a supervisão, surgindo uma maior satisfação associada a um estilo atractivo e orientado para a tarefa. No caso do supervisor da universidade, a periodicidade regular do seu acompanhamento emerge como uma variável importante, associando-se a maiores níveis de satisfação. Não foram encontradas correlações entre qualquer uma dessas variáveis e sintomatologia depressiva.

In this paper the supervisor is assumed as having a determinant role on the quality of the trainee's experience, acting as an important source of emotional support and as a "buffer" of the impact caused by the university-to-work transition. In an attempt to explore possible relationships between the supervisory styles, the supervisee's satisfaction (regarding the university and the field supervisor) and depressive symptomatology the authors carried out a study, at the University of Minho, involving 83 psychology trainees evaluated at the end of their practicum. The study was based on the Supervisory Styles Inventory, the Supervisee Satisfaction Questionnaire and the Beck's Depression Inventory. Results show conformity in the way trainees perceive both supervisors in terms of supervisory style and of satisfaction with their guidance and support. Greater satisfaction levels are related to the combination of an attractive and task oriented style. Concerning the university's supervisor, the periodicity of the meetings with this teacher emerges as an important variable: higher levels of satisfaction correspond to a more regular supervision. No connection was found in terms of these two variables and depressive symptoms.