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The occupational roles of women with anorexia nervosa
Quiles-Cestari, Leila Maria;Ribeiro, Rosane Pilot Pessa;
Revista Latino-Americana de Enfermagem , 2012, DOI: 10.1590/S0104-11692012000200004
Abstract: this study’s objective was to understand how occupational roles of individuals with anorexia nervosa are configured. the sample was composed of a control group and 11 adult women with anorexia nervosa being cared for by the eating disorders care group in a hospital in ribeir?o preto, sp, brazil. socio-demographic and anthropometric data were collected and the role checklist was applied. the results revealed a significant loss of roles for women with anorexia nervosa in relation to the performance of the roles worker, friend, and amateur/hobbyist, supporting the idea that psychosocial harm may arise from this eating disorder. the evaluation of occupational roles in the treatment of eating disorders is an important strategy for planning occupational therapy activities and supporting the creation of healthier spaces to enable individuals to resume occupational roles, and acquire independence and autonomy.
A heran?a transgeracional nos transtornos alimentares: algumas reflex?es
Adami-Lauand, Christiane Baldin;Ribeiro, Rosane Pilot Pessa;
Psicologia USP , 2011, DOI: 10.1590/S0103-65642011005000030
Abstract: feeding is a complex object of study that involves many scientific areas. the goal of this research is to understand the meaning and the emotional experiences of feeding for mothers with daughters suffering from eating disorders. the theory was based on qualitative, descriptive and exploratory research. five mothers of young people who suffer from eating disorders took part in this study and attended meetings to have psychological support at grupo de assistência em transtornos alimentares do hospital das clínicas da faculdade de medicina de ribeir?o preto (grata-hcfmrp-usp) during the year of 2008. a semi-structured guide was used as an instrument to collect the data, and the interviews were recorded and written out verbatim. from the data analysis, it is thought that the difficulties these mothers have concerning feeding and the bonds built from the relation to their own mothers tended to be repeated with their daughters. the study suggests the existence of heritage that preceded them and crossed generations.
Efeito da atividade física associada à orienta??o alimentar em adolescentes obesos: compara??o entre o exercício aeróbio e anaeróbio
Sabia, Renata Viccari;Santos, José Ernesto dos;Ribeiro, Rosane Pilot Pessa;
Revista Brasileira de Medicina do Esporte , 2004, DOI: 10.1590/S1517-86922004000500002
Abstract: being a public health problem in modern society, obesity during adolescence is an increasingly universal disease that is turning into an epidemic. this study aimed to compare the effect of continuous aerobic and intermittent anaerobic physical exercise associated with nutritional orientation on weight reduction, body composition, biochemical measures and physical capacity of obese adolescents. 28 adolescents were investigated between 12 and 15 years old, and whose body mass index (bmi) is higher than 95 percent for age and gender. the volunteers were randomly distributed in two groups: walking continuous exercise (gec; n = 13) and running intermittent exercise (gei; n = 15) and were subject to a physical training program three times per week during 16 weeks, with duration from 20 to 40 minutes. nutritional orientation occurred once per week, in 60-minute group sessions, throughout the entire experiment. in the initial and final periods, weight and height were measured so as to calculate the bmi, as well as subcutaneous fold, arm (ac) and arm muscle circumference (amc), body composition by means of electric bioimpedance, biochemical serum analyses (glycemia and lipids), apart from the direct determination of maximum oxygen consumption (vo2max) and anaerobic threshold (lan) with a view to interpreting the physiological responses determined by aerobic and anaerobic training. in the two groups (gec, gei), anthropometric findings were decreased significant bmi and subcutaneous folds. in biochemical evaluation, a significant decrease occurred in gec with respect to hdl, ldl and total cholesterol serum levels, although still within normal values. values to hdl and triglicerids significant decrease in gei vo2max values increased significant in both groups. we concluded that the physical activity proposed for both gec and gei was sufficient and satisfactory, promoting weight decrease, better body composition and lipid levels, as well as an increase in the adolescent's aerobi
Práticas alimentares e situa??o social de famílias de crian?as desnutridas
Chuproski, Paula;Tsupa, Priscila Antunes;Fujimori, Elizabeth;Ribeiro, Rosane Pilot Pessa;Mello, Débora Falleiros de;
Revista da Escola de Enfermagem da USP , 2012, DOI: 10.1590/S0080-62342012000100007
Abstract: the objective of this study was to learn about the everyday eating behaviors and the social status of the families of malnourished children. this qualitative study involved eight families. data were collected by participant observation and semi-structured interviews. thematic analysis revealed the following themes: family eating; the family's social status and eating during childhood; and the presence of social programs and equipment. the family did not gather for meals and their food consisted basically of different sources of carbohydrates. fruits and vegetables were very limited and considered to be food choices that did not provide sustenance. differences were observed between the family's' and the children's' eating habits. social programs and equipment provided important support, especially regarding the positive attachment with institutions and professionals and following the children's health. the family's social status does not allow the offering of appropriate quantities and quality of food throughout the month, thus compromising the nutritional status of the children, who are deprived of appropriate foods of adequate nutritional value.
Hospitaliza o integral para tratamento dos transtornos alimentares: a experiência de um servi o especializado Inpatient treatment for eating disorders: the experience of a specialized service
Raphaela Fernanda Muniz Palma,José Ernesto dos Santos,Rosane Pilot Pessa Ribeiro
Jornal Brasileiro de Psiquiatria , 2013,
Abstract: OBJETIVO: Descrever as características da hospitaliza o integral para o tratamento de transtornos alimentares em um servi o especializado de Ribeir o Preto, SP. MéTODOS: Foram revisados todos os prontuários dos pacientes em seguimento pelo servi o, de 1982 até 2011, especialmente aqueles que tiveram indica o de interna o integral. Foram coletados dados sociodemográficos e referentes ao diagnóstico. RESULTADOS: No período referido, 186 pacientes receberam atendimento pelo servi o e, desses, 44,6% (n = 83) foram internados para tratamento. Ao longo do tempo, houve redu o na rela o atendimento/interna o, passando de 77,7% para 36,2% dos casos. A média de interna es foi de 1,9 ± 3,9 vezes, e 73,5% (n = 61) dos pacientes foram hospitalizados apenas uma vez. A dura o média da interna o, independentemente do número de hospitaliza es, foi de 70,6 ± 115,9 dias (varia o de 3 a 804 dias). A predominancia foi do sexo feminino, ra a branca, solteira, sem filhos e com idade média de 23,3 ± 10,8 anos. O diagnóstico predominante foi de anorexia nervosa (85,5%), sobretudo em seu tipo restritivo (54,2%). As indica es mais frequentes para interna o foram para realiza o de terapia nutricional (50,9%), seguida da investiga o do quadro clínico (30,1%) e por causa de depress o e/ou idea o suicida (10,9%). CONCLUS O: A hospitaliza o integral é uma modalidade terapêutica necessária para o tratamento desses quadros, e sua frequência foi considerada significativa, porém diminuiu ao longo do tempo. Esse resultado pode ser explicado pela tendência de desospitaliza o a partir da reforma psiquiátrica, do diagnóstico e tratamento mais precoces e da experiência adquirida pelos profissionais do servi o ao longo dos anos. OBJECTIVE: To describe the characteristics of inpatient treatment for eating disorders in a specialized service in Ribeirao Preto, SP. METHODS: We reviewed all the medical records of patients followed up for the service between 1982 and 2011, particularly those who received inpatient treatment. Sociodemographic data and related to diagnosis were collected. RESULTS: In the said period, 186 patients were treated by the service and 44.6% (n = 83) were hospitalized for treatment. A reduction was observed in hospitalization rates of 77,7% to 36,2% over time. The average hospitalization was 1.9 ± 3.9 times of which 73.5% (n = 61) patients were hospitalized only once. The mean duration of hospitalization, regardless of the number of hospitalizations was 70.6 ± 115.9 days (range 3-804 days). Most patients were female, Caucasian, unmarried, childless and with a
Estilo de vida e fatores de risco associados ao aumento da gordura corporal de mulheres
Fett,Carlos Alexandre; Fett,Waléria Christiane Rezende; Marchini,Júlio Sérgio; Ribeiro,Rosane Pilot Pessa;
Ciência & Saúde Coletiva , 2010, DOI: 10.1590/S1413-81232010000100019
Abstract: the objectives were to describe the association between body mass index (bmi, kg/m2), body composition and risk factors to metabolic diseases; observe the prevalence of metabolic syndrome and list the characteristics of overweight and obese women. voluntaries (n=50; bmi=31±6; age=36±11 years old), were evaluated regarding clinical examination, anthropometrics measurements, samples of blood and urine, resting energy expenditure and food register. phases in which they become obese in descending order: adulthood, pregnancy, adolescence, over 40 years old and after marriage. the odds to have one or more obese family members were 316%. they were anxious (60%), depressives (12%), compulsives (34%) and had sleep disturbance (32%). the odds to dyslipidemia was 28%, to hypertension was 25% and to glucose over 100 mg/dl 35%. they were in caloric deficit, but, nitrogen balance was positive. the metabolic syndrome was present in 25% of these women and was positively correlated with body fat indicators and age. the obesity of these women seems to be multifactorial with a family influence that could be caused by genetics and environment contributions. the emotional/physical balance should be influenced on this process.
Educa??o alimentar na obesidade: ades?o e resultados antropométricos
Bueno, Júlia Macedo;Leal, Francine Scochi;Saquy, Luciana Pereira Lima;Santos, Claudia Benedita dos;Ribeiro, Rosane Pilot Pessa;
Revista de Nutri??o , 2011, DOI: 10.1590/S1415-52732011000400006
Abstract: objective: the goal of this study was to evaluate the adherence of overweight subjects to a food education program and their anthropometric history from march, 2005 to december, 2007. methods: males and females aged 20 to 59 years from a public university community were included. the group received dietary advice, psychological support and performed special physical activities over a period of 10 weeks. sociodemographic information, weight, height and waist circumference were collected to calculate body mass index at baseline and end of the program. results: one-hundred and sixteen 41-year old subjects enrolled in the program; most of them were married (70.7%), had a high school diploma (49.1%), and were females (73.3%). half the subjects (50.0%) adhered to the program. the defaulters (65.5%) were overweight, with a mean body mass index of 33.4 kg/m2. the body mass index of the participants who completed the program decreased from 32.5 to 31.2kg/m2, with an average weight loss of 3.9% of their body weight; 37.9% lost >5.0% of their body weight. waist circumference also decreased from 102.1 to 98.6cm. conclusion: although adherence was low, the anthropometric history of those who remained in the program was satisfactory, suggesting that a combination of multi- and interdisciplinary actions can be effective for treating obesity.
Is Quintessence an Indication of a Time-Varying Gravitational Constant?  [PDF]
Christopher Pilot
Journal of High Energy Physics, Gravitation and Cosmology (JHEPGC) , 2019, DOI: 10.4236/jhepgc.2019.51003
Abstract: A model is presented where the quintessence parameter, w, is related to a time-varying gravitational constant. Assuming a present value of w = -0.98 , we predict a current variation of ?/G = -0.06H0, a value within current observational bounds. H0 is Hubble’s parameter, G is Newton’s constant and is the derivative of G with respect to time. Thus, G has a cosmic origin, is decreasing with respect to cosmological time, and is proportional to H0, as originally proposed by the Dirac-Jordan hypothesis, albeit at a much slower rate. Within our model, we can explain the cosmological constant fine-tuning problem, the discrepancy between the present very weak value of the cosmological constant, and the much greater vacuum energy found in earlier epochs (we assume a connection exists). To formalize and solidify our model, we give two distinct parametrizations of G with respect to “a”, the cosmic scale parameter. We treat G-1 as an order parameter, which vanishes at high energies; at low temperatures, it reaches a saturation value, a value we are close to today. Our first parametrization for G-1 is motivated by a charging capacitor; the second treats G-1(a) by analogy to a magnetic response, i.e., as a Langevin function. Both parametrizations, even though very distinct, give a remarkably similar tracking behavior for w(a) , but not of the conventional form, w(a) = w0 + wa(1-a) , which can be thought of as only holding over a limited range in “a”. Interestingly, both parametrizations indicate the onset of G formation at a temperature of approximately 7×1021 degrees Kelvin, in contrast to the ΛCDM model where G is taken as a constant all the way back to the Planck temperature, 1.42×1032 degrees Kelvin. At the temperature of formation, we find that G has increased to roughly 4×1020 times its current value. For most of cosmic evolution, however, our variable G model gives results similar to the predictions of the ΛCDM model, except in the very early universe, as we shall demonstrate. In fact, in the limit where w approaches -1, the expression, ?/G , vanishes, and we are left with the concordance model. Within our framework, the emergence of dark energy over matter at a scale of a ≈ 0.5 is that point where
A New Type of Phase Transition Based on the Clausius-Clapeyron Relation Involving a Change in Spatial Dimension  [PDF]
Christopher Pilot
Journal of High Energy Physics, Gravitation and Cosmology (JHEPGC) , 2019, DOI: 10.4236/jhepgc.2019.52016
Abstract: Using a space filled with black-body radiation, we derive a generalization for the Clausius-Clapeyron relation to account for a phase transition, which in-volves a change in spatial dimension. We consider phase transitions from dimension of space, n, to dimension of space, (n - 1), and vice versa, from (n - 1) to n -dimensional space. For the former we can calculate a specific release of latent heat, a decrease in entropy, and a change in volume. For the latter, we derive an expression for the absorption of heat, the increase in entropy, and the difference in volume. Total energy is conserved in this transformation process. We apply this model to black-body radiation in the early universe and find that for a transition from n = 4 to (n - 1) = 3, there is an immense decrease in entropy accompanied by a tremendous change in volume, much like condensation. However, unlike condensation, the volume change is not three-dimensional. The volume changes from V4, a four-dimensional construct, to V3, a three-dimensional entity, which can be considered a subspace of V4. As a specific example of how the equation works, we consider a transition temperature of 3 × 1027 Kelvin, and assume, furthermore, that the latent heat release in three-dimensional space is 1.8 × 1094 Joules. We find that for this transition, the internal energy densities, the entropy densities, and the volumes assume the following values (photons only). In four-dimensional space, we obtain, u4 = 1.15×10125 J m-4, s4 = 4.81×1097 J m-4 K-1, and V4 = 2.14×10-31 m4. In three-dimensional space, we have u3 = 6.13×1094 J m-3, s3 = 2.72×1067 J m-3 K-1, and V3 = 0.267 m3. The subscripts 3 and 4 refer to three-dimensional and four-dimensional quantities, respectively. We speculate, based on the tremendous change in volume, the explosive release of latent heat, and the magnitudes of the other quantities calculated, that this type of transition might
Proof That Spatial Transitions Release/Absorb Energy That Compactification Necessarily Leads to Changes in Volume, Energy and Entropy  [PDF]
Christopher Pilot
Journal of High Energy Physics, Gravitation and Cosmology (JHEPGC) , 2019, DOI: 10.4236/jhepgc.2019.52017
Abstract: Using simple box quantization, we demonstrate explicitly that a spatial transition will release or absorb energy, and that compactification releases latent heat with an attendant change in volume and entropy. Increasing spatial dimension for a given number of particles costs energy while decreasing dimensions supplies energy, which can be quantified, using a generalized version of the Clausius-Clapyeron relation. We show this explicitly for massive particles trapped in a box. Compactification from N -dimensional space to (N - 1) spatial dimensions is also simply demonstrated and the correct limit to achieve a lower energy result is to take the limit, Lw → 0, where Lw is the compactification length parameter. Higher dimensional space has more energy and more entropy, all other things being equal, for a given cutoff in energy.
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