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Search Results: 1 - 10 of 408563 matches for " Fernando José de Nóbrega "
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Medida de energia total do leite materno de m?es de trigêmeos, gêmeos e filhos únicos
Severine, Ariane Nadólskis;Nóbrega, Fernando José de;Juliano, Yara;Novo, Neil Ferreira;
Revista Paulista de Pediatria , 2008, DOI: 10.1590/S0103-05822008000200010
Abstract: objective: to compare the total energy of the human milk of mothers of triplets, twins and single-children. methods: a cross-sectional and controlled study with mothers from the human milk bank of hospital israelita albert einstein was performed. six samples of triplet, 13 of twin and 17 of only-child mother's milk were analyzed. the milk samples were collected according to the brazilian human milk banks network techniques and procedures and were analyzed by creamatocrit method. the results were compared by kruskal-wallis variance test. results: the total milk energy from triplets mothers was statistically higher (median - 651kcal/l) than single-child mothers (560kcal/l) (p<0.05). the milk of twin mothers and of single child mothers, regarding energy content, were similar. the triplet neonates presented lower birth weight (median-1344g) when compared to single neonates (1975g) (p<0.01). there was no significant difference among the studied groups regarding maternal age and gestational age. conclusions: the present study, the first addressing this subject in literature, indicates a higher value of total energy in milk from triplets' mothers. however, further studies are necessary to clarify the mechanisms of this finding.
Mother/child bond in mothers of overweight and eutrophic children: depression and socioeconomic factors
Patricia Vieira Spada,Maria Arlete Meil Escriv?o,Fernando José de Nóbrega,Yára Juliano
Einstein (S?o Paulo) , 2011,
Abstract: Objective: To verify the presence of depression, age, level of schooling, occupation, marital status, number of children and nutritional status (maternal and of the child) in mothers of overweight and eutrophic children and relate the data to mother/child bonding. Methods: A total of 120 mothers of children aged up to 10 years participated; 30 of them were overweight and 30 were eutrophic (low-income bracket); 30 were overweight and 30 eutrophic (high-income bracket). The control group was composed of eutrophic children paired according to sex, age, level of schooling, and social condition. Data collection was made through interviews. The assessment instruments were: Mother/Child Bonding Assessment Protocol and Beck Depression Inventory. The nutritional classification was defined by calculation of the body mass index, as per the curves of the World Health Organization. For statistics, McNemar, χ2, and Fisher’s exact tests were used. A 5% level of rejection of the null hypothesis was set. Results: There was no significant result between mother/child bonding and the variables studied, or between the presence of depression and level of schooling, marital status, occupation, and maternal nutritional status. Nevertheless, mothers of eutrophic children (high-income bracket) showed less depression than mothers of eutrophic children (low-income bracket). Mothers with three or more children displayed more depression than mothers with less than three children. Mothers under 30 years of age showed more depression than mothers aged 30 years or older. Conclusion: There was no significant result between mother/child bonding and the variables studied, but the bond was compromised in all mothers of the sample. There was a significant result regarding the presence of depression.
Atua??o multiprofissional e a saúde mental de gestantes
Falcone,Vanda Mafra; M?der,Custódia Virginia de Nóbrega; Nascimento,Christianne Freitas Lima; Santos,Joacira Mota Matos; Nóbrega,Fernando José de;
Revista de Saúde Pública , 2005, DOI: 10.1590/S0034-89102005000400015
Abstract: objective: to identify non-psychotic affective disorders in pregnant women, to intervene by means of psychoprophylactic groups, and to evaluate possible alterations following intervention. methods: one-hundred and three pregnant women (71 adults and 32 adolescents) were seen at a community program in the paraisópolis neighborhood in the city of sao paulo, southeastern brazil. we used the following instruments: self reporting questionnaire and beck depression inventory. ten weekly two-hour meetings were held, addressing the link between mother and fetus and subjects related to mother and child, and answering mother's doubts. we used the chi-squared test (c2) to compare mental health before and after the intervention, with a significance level of p<0.05. results: affective disorders were found in 45 pregnant women (43.7%) before the intervention and in 23 (22.3%) after the intervention. the impact of the intervention on affective disorders was statistically significant (p=0.001). twenty-one women (20.4%) showed depression before the intervention, and 13 (12.6%) after the intervention, a non-significant difference (p=0.133). conclusions: multiprofessional care can prevent, detect, and treat affective disorders during pregnancy in both adults and adolescents.
Altera??es do segmento posterior na microftalmia: relato de casos
Novelli, Fernando José De;Nóbrega, Mário Junqueira;Rosa, Evandro Luis;Bortolotto, Cristina Martins Faria;Kuntz, Joyce;
Arquivos Brasileiros de Oftalmologia , 2009, DOI: 10.1590/S0004-27492009000500020
Abstract: microphthalmos is a developmental ocular disorder defined as a small eyeball. the condition can be associated with abnormalities of anterior and posterior segments. the most common anterior characteristics include corneal opacities, angle-closure and a shallow anterior chamber and cataract. the main findings of posterior segment are uveal effusion, retinal folds, abnormalities of macular capillar vascularization, absence of foveal depression and peripheral retinoschisis. three patients with microphthalmos were assisted and their oct features of posterior segment were analyzed. the first case had uveal effusion syndrome, choroidal and retinal detachment treated with parcial sclerectomy at the four quadrants. the other case presented with neurosensory retinal fold at fovea and papillomacular area in both eyes without involvement of retinal pigment epithelium layer and choriocapillaris. the third patient showed absence of foveal depression. the main diferencial diagnosis for this condition is foveal hypoplasia.
Suplemento artesanal oral: uma proposta para recupera??o nutricional de crian?as e adolescentes com cancer
Alves, Fernanda Rodrigues;Garófolo, Adriana;Maia, Priscila dos Santos;Nóbrega, Fernando José de;Petrilli, Antonio Sergio;
Revista de Nutri??o , 2010, DOI: 10.1590/S1415-52732010000500004
Abstract: objective the aim of this study was to evaluate the impact of homemade oral supplements on the nutritional recovery of patients with mild or severe malnutrition or at nutritional risk. methods eight recipes of homemade oral supplements containing 30% to 35% of the total energy expenditure were proposed. the patients with severe malnutrition (group b) received the oral supplement for 2 weeks and the others for 4 weeks (group a). oral supplementation with homemade supplements was compared with oral supplementation with store-bought supplements, investigated earlier with a protocol with the same design. results homemade oral supplements contain much lower amounts of certain micronutrients but are five times cheaper than store-bought supplements. in group a, 88% of the patients taking homemade oral supplements and 84% of the patients taking store-bought supplements responded positively to supplementation. in group b, 22% of the patients taking homemade oral supplements and 25% of the patients taking store-bought supplements recovered. the difference was not significant. the impact of store-bought supplementation on the triceps skinfold thicknesses and arm circumferences of the patients in group a was greater than that obtained with homemade supplements. in group b, the effect on triceps skinfold thickness was not significant (p=0.16). patients taking homemade or store-bought oral supplements presented similar protein and energy intakes and improvements in nutritional status. only the body composition of patients in group a taking store-bought oral supplements was better. conclusion the results obtained by this study suggest that the therapeutic use of homemade oral supplements is an alternative capable of promoting the nutritional recovery of cancer patients, especially those who cannot afford store-bought supplements.
Impact of the application of neurolinguistic programming to mothers of children enrolled in a day care center of a shantytown
Miranda, Cláudio Torres de;Paula, Cristiane Silvestre de;Palma, Domingos;Silva, Edina Mariko Koga da;Martin, Denise;Nóbrega, Fernando José de;
Sao Paulo Medical Journal , 1999, DOI: 10.1590/S1516-31801999000200004
Abstract: context: of the members of a family, the mother is without doubt the most important one, which provides justification for including an evaluation of her mental health as one of the variables to be considered as determining factors in each child?s level of development. objective: to assess the impact of the application of neurolinguistic programming (nlp) on child development, home environment and maternal mental health. design: randomised controlled trial. setting: the study included children enrolled in the municipal day care center of a shantytown in the city of s?o paulo. participants: 45 pairs of mothers and respective children between 18 and 36 months of age. main measurements: children?s development (bayley scales); home environment variation (home); and maternal mental health (srq). comparison between before and after the intervention was made in terms of children?s psychomotor development, home environment and maternal mental health. intervention: application of the nlp technique to the experimental group and comparison with a control group. 1 - experimental (eg), consisting of 23 children submitted to intervention by nlp; and 2 - control (cg), with 22 children with no intervention. length of intervention: 15 sessions of nlp. results: 37 children remained in the study (eg = 10, cg = 27). variations in mental development (or 1.21, ic 95% 0.0 to 23.08) in their home environment (wilcoxon): p = 0.96 (before) and p = 0.09 (after); in maternal mental health: p = 0.26, 2 df. conclusions: there was a trend that indicated positive effects on the home environment from the intervention.
Addition of magnetic markers for non-destructive evaluation of polymer composites
Fulco, Ana Paula Pereira;Melo, José Daniel Diniz;Paskocimas, Carlos Alberto;Medeiros, Suzana Nóbrega de;Machado, Fernando Luis de Araujo;Rodrigues, Alexandre Ricalde;
Materials Research , 2011, DOI: 10.1590/S1516-14392011005000071
Abstract: polymer composite pipes are an appealing option as a substitute for conventional steel pipes, particularly due to their inherent corrosion resistance. however, the composite pipes currently used do not allow non-destructive evaluation (nde) using instrumented devices which operate with magnetic sensors. the present work aims at the development of polymer composites with the addition magnetic markers to allow the application non-destructive evaluation techniques which use magnetic sensors. glass-polyester composite flat, circular plates were fabricated with the addition of ferrite particles (barium ferrite and strontium ferrite) and four types of notches were introduced on the plates' surfaces. the influence of these notches on the measured magnetic properties of each material was measured. x-ray diffraction (xrd), x-ray fluorescence (xrf) and brunauer, emmett, and teller (bet) nitrogen adsorption were used for the characterization of the ferrite particles. particle dispersion in the polymer matrix was analyzed by scanning electron microscopy (sem). according to the results, a particular variation in magnetic field was detected over the region surrounding each type of notch. the results suggest that the proposed technique has great potential for damage detection in polymer composites using magnetic sensors and thus constitute a valuable contribution which may ultimately lead to the development of non-destructive evaluation techniques for assessing the structural integrity polymer composite pipes.
Aspectos clínicos e tomográficos dos microburacos maculares
Novelli, Fernando José de;Maia Júnior, Otacílio de Oliveira;Nóbrega, Mário Junqueira;Garrido Neto, Theodomiro;Takahashi, Walter Yukihiko;
Arquivos Brasileiros de Oftalmologia , 2009, DOI: 10.1590/S0004-27492009000100007
Abstract: purpose: to describe the clinical aspects and evaluate optical coherence tomography of macular microholes. methods: seven patients were assessed (8 eyes) with microholes of the macula. all patients underwent complete eye examination, fundus photography, fluorescent angiography and oct-3 imaging. results: ages ranged from 26 to 69 years. six patients were female (85.7%) and five of them had microhole in the right eye. the presenting symptom was decrease in visual acuity (71.3%) and central scotoma in (14.3%). five eyes (71.4%) had no defects shown by fluorescent angiography. a defect in the outer retina was demonstrated in all eyes on optical coherence tomography. the lesions were nonprogressive. conclusion: macular microholes are small lamellar defects in the outer retina. the condition is nonprogressive, generally unilateral and compatible with good visual acuity. fundus biomicroscopy associated with an optical coherence tomography are the main elements in the diagnosis and study of this pathology.
Tratamento da desnutri??o em crian?as hospitalizadas em S?o Paulo
Sarni, Roseli Oselka Saccardo;Souza, Fabíola Isabel Suano de;Catherino, Priscila;Kochi, Cristiane;Oliveira, Fernanda Luisa Ceragioli;Nóbrega, Fernando José de;
Revista da Associa??o Médica Brasileira , 2005, DOI: 10.1590/S0104-42302005000200018
Abstract: aim:to study anthropometric development, nutritional support and mortality rate of malnourished children hospitalized in a referral center methods: in a retrospective study we surveyed 98 hospitalized malnourished children (zw<-2) with no chronic disease. data collected was: birth weight, gestational age, length of exclusive breast feeding, diagnosis at admission, formula used (type, delivery route and feeding tolerance) and length of stay. weight and height were controlled at admission and discharge. to classify and evaluate nutritional rehabilitation we used the z-score: weight-for-age (zw), height-for-age (zh), weight-for-height (zw/h). the nutritional therapy used was based on the world health organization (who) guidelines, with minor modifications. all chosen formulas were industrialized: lactose-free polymeric formula (plf) for children with diarrhea, low lactose polymeric formula (pll) for children without diarrhea and cow's milk hydrolysate (cmh) for sepsis or chronic diarrhea. at the rehabilitation phase, all children were given the pll formula. statistical analysis: student's t and chi-square tests. results: the median of age and length of stay were 9.8 months and 17 days, respectively and the mortality rate was of 2%. diarrhea and/or pneumonia were diagnosed at admission in 81.6% of the children. an improvement of 17.3 % zw, 82.7 % zh and 92.2 % zw/h was observed. plf was more frequently given at admission (47.4%) while cmh was given to only 7.4% of the children. twenty-four percent of the children were tube fed and 5.1 % received parenteral nutrition. tolerance of the initial formula was considered good in 66.7% of cases. conclusions: the who guidelines were effective in the nutritional therapy of severely malnourished hospitalized children, resulting in good nutritional rehabilitation with low mortality rates.
Tratamento de Crian?as com Desnutri??o Grave Utilizando o Protocolo da OMS: Experiência de um Centro de Referência, S?o Paulo/Brasil Tratamento de crian?as com desnutri??o grave
Saccardo Sarni,Roseli Oselka; Suano de Souza,Fabíola Isabel; Catherino,Priscila; Kochi,Cristiane; Ceragioli Oliveira,Fernanda Luisa; Nóbrega,Fernando José;
Archivos Latinoamericanos de Nutrición , 2005,
Abstract: to describe the main causes for internation and associated diseases in severe malnourished children. to evaluate mortality rate, anthropometric development and nutritional therapy with the use of world health organization guidelines (who) were assessed. in a cross-sectional retrospective study 191 hospitalized malnourished children were assessed. to classify and evaluate nutritional rehabilitation z-score was used: weight-for-age (zw), height-for-age(zh) and weight-for-height(zwh). the children were divided in three groups (g): gi (primary malnutrition-30,9%), gii (secondary malnutrition-51,7%) and giii (children who were admitted as gi but during internation had an identified chronic disease-12%). nutritional therapy used was based on who guidelines, with slight modifications. the formulas chosen were all industrialized: lactose-free polymeric formula (plf) for children with diarrhea, low lactose polymeric formula (pll) for children without diarrhea and cow?s milk hydrolysate (h) for sepsis or chronic diarrhea. in the rehabilitation phase, all the children used pll formula. statistical analysis: student?s, chi-square tests, simple linear regression. the median age and mortality rate were 10,3 months and 4,2%, respectively. the gi and gii children were older than giii (11vs12vs7months,p=0,02) and had shorter length of stay (20vs22vs37days,p=0,010). mortality risks in giii were twice as frequent as in gi+gii. pneumonia, diarrhea and poor weight gain were the main diagnosis at admission. tubes were used more frequently in gii+giii than gi (p=0,004). parenteral nutrition was indicated in 5,7% of children, more often in giii than gi+gii (p=0,037). tolerance of the initial formula wasn?t satisfactory in 20% of the children. an improvement of 87% zwh, 74,1% zw and 22% was observed. zw in gi and zwh in giii were the indices that showed the most effective gain during hospital stay. the modified who guidelines were effective in the multiprofessional treatment of malnourished
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