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Search Results: 1 - 10 of 327830 matches for " Margarita; Atalah S. "
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Evaluación del programa de tratamiento de lactantes en riesgo nutricional en la Región Metropolitana
Fernández A.,Margarita; Atalah S.,Eduardo;
Revista chilena de pediatría , 2001, DOI: 10.4067/S0370-41062001000400007
Abstract: in 1993 the ministry of health changed the diagnostic criteria and defined new regulations for treating children at risk of malnutrition. objective: to evaluate the impact and factors associated with the nutritional evolution of babies enrolled in this programme. patients and methods: a retrospective study of a cohort of 174 babies, aged between 6 and 18 months, treated at 6 outpatient departments in santiago. using clinical files the nutritional evolution and recovery rate were assessed using: a) biomedical history (birth weight, age of enrolment, co-morbidity, milk feeding and weaning), b) compliance with treatment and quality of attention, c) social characteristics of the home (age and education formal of the mother and conjugal status). we describe the model that best explains the nutritional evolution using multivariate analysis. results: 42.47% of at risk babies for weight/height regained a normal nutritional status, 15.9% deteriorated, without differences in the ratio weight/height compared to that of enrollment. factors best explaining the evolution were maternal age (or 1.8 ci 1.8-3.4 p < 0.05 in women less than 25), and conjugal status (or 3.0 ci 1.5-6.0 p < 0.001 for solitary mothers or with an unstable conjugal status). conclusions: the programme had little effect on the nutritional recuperation of the child. it is necessary to revise some of the protocol and to improve the quality of the supplements used.
Calidad de la atención de los menores de dos a?os controlados en el programa de riesgo de desnutrir en el Gran Santiago
Fernández A.,Margarita; Atalah S.,Eduardo;
Revista chilena de pediatría , 2000, DOI: 10.4067/S0370-41062000000600004
Abstract: objective: to evaluate the accomplishment of ministerial norms in the diagnosis and treatment of children at risk of malnutrition. patients and methods: a retrospective study of a cohort of 189 children aged between 6 and 18 months in the metropolitan area with a weight for age index between -1 and -2 sd. using medical records the percentage of children fulfilling ministerial norms were evaluated in three health services. an attention quality index including 14 activities defined by the norms was made and the nutritional evolution during the intervention period was evaluated. results: 35% of children received their 1st atention within the time stipulated. 3 out of 6 activities considered in the diagnosis obtained a high accomplishment. being less in parents anthropometry (23%), analysis of socio-economic status (57%) and morbidity (65%). good accomplishment of treatment norms was proven except for home visits (7%), referrals (54%) and social consultations (60%). there were significant differences between health services, p < 0.001. the average attention quality index was 10.4 + 1.7, the maximum being 14. only 45% of cases had a satisfactory outcome. conclusion: there is low accomplishment of certain activities of ministerial norms that must improve with greater training and supervision. some aspects of these norms should be reviewed and modified
Evaluación del programa de tratamiento de lactantes en riesgo nutricional en la Región Metropolitana Evaluation of a programme treating babies with nutritional risk in the Metropolitan Region
Margarita Fernández A.,Eduardo Atalah S.
Revista chilena de pediatría , 2001,
Abstract: Antecedentes: en 1993 el Ministerio de Salud cambió los criterios de diagnóstico y definió nuevas normas para el tratamiento de los ni os con riesgo de desnutrir. Objetivo: evaluar el impacto y los factores asociados a la evolución nutricional de lactantes beneficiarios del programa de tratamiento del riesgo de desnutrir. Pacientes y método: estudio retrospectivo de una cohorte de 174 lactantes de 6 a 18 meses de edad intervenidos en 6 Consultorios de Santiago. A partir de los registros clínicos se evaluó evolución nutricional y tasa de recuperación en función de: a) antecedentes biomédicos (peso de nacimiento, edad de ingreso, morbilidad, lactancia, ingesta); b) cumplimiento de normas de tratamiento y calidad de la atención; y c) características sociales de los hogares (edad y escolaridad de la madre, tipo de unión). Se exploró el modelo que mejor explicara la evolución nutricional mediante análisis multivariado. Resultados: el 42,47% de los ni os en riesgo por peso/edad recuperó el estado nutricional, mientras que el 15,9% lo deterioró, sin diferencias en función de la relación peso/talla al ingreso. Los factores que mejor explicaron la evolución nutricional fueron edad de la madre (OR 1,8 IC 1,0-3,4 p < 0,05 en mujeres menores de 25 a os) y tipo de unión (OR 3,0 IC 1,5-6,0 p < 0,001 para madres solas o con unión inestable). Conclusiones: el programa tiene un bajo efecto en la recuperación nutricional; es necesario revisar algunas normas de tratamiento y mejorar la calidad nutricional del suplemento utilizado. In 1993 the Ministry of Health changed the diagnostic criteria and defined new regulations for treating children at risk of malnutrition. Objective: to evaluate the impact and factors associated with the nutritional evolution of babies enrolled in this programme. Patients and Methods: a retrospective study of a cohort of 174 babies, aged between 6 and 18 months, treated at 6 outpatient departments in Santiago. Using clinical files the nutritional evolution and recovery rate were assessed using: a) biomedical history (birth weight, age of enrolment, co-morbidity, milk feeding and weaning), b) compliance with treatment and quality of attention, c) social characteristics of the home (age and education formal of the mother and conjugal status). We describe the model that best explains the nutritional evolution using multivariate analysis. Results: 42.47% of at risk babies for weight/height regained a normal nutritional status, 15.9% deteriorated, without differences in the ratio weight/height compared to that of enrollment. Factors best explaining t
Calidad de la atención de los menores de dos a os controlados en el programa de riesgo de desnutrir en el Gran Santiago Quality of the nutritional attention in children under 2 years old enrolled in the "risk of malnutrition programme" in Santiago, Chile
Margarita Fernández A.,Eduardo Atalah S.
Revista chilena de pediatría , 2000,
Abstract: Objetivo: evaluar el cumplimiento de las normas del Ministerio de Salud de diagnóstico y tratamiento del lactante con riesgo de desnutrir. Material y método: estudio retrospectivo de una cohorte de 189 lactantes de 6 a 18 meses de edad con peso para la edad entre -1 y -2 DE. Se evaluó el cumplimiento de las normas ministeriales en tres Servicios de Salud y se construyó un índice de calidad de atención incluyendo 14 actividades. Resultados: 35% de los ni os recibió su primera atención nutricional en el plazo estipulado. Se observó un cumplimiento superior al 85% en tres de las 6 acciones normadas en el diagnóstico, siendo menor para antropometría de los padres (23%), análisis de la situación socioeconómica (57%) y de la morbilidad (65%). Se comprobó buen cumplimiento de las normas de tratamiento, salvo en visitas domiciliarias (7%), derivaciones (54%) y consulta social (60%). La antropometría de los padres y el plazo para la primera atención mostraron diferencias significativas por servicios de salud (p < 0,001). El índice promedio de calidad de atención fue 10,4 ± 1,7 sobre un máximo de 14. La tasa de recuperación del riesgo nutricional fue inferior al 50%. Conclusiones: existe un bajo cumplimiento de algunas actividades, déficit en la oportunidad de atención, ausencia de un enfoque más preventivo y de una política de seguimiento de casos críticos. Se pueden mejorar las deficiencias observadas con mayor autonomía, capacitación, auditoría, coordinación y supervisión. Objective: to evaluate the accomplishment of ministerial norms in the diagnosis and treatment of children at risk of malnutrition. Patients and methods: a retrospective study of a cohort of 189 children aged between 6 and 18 months in the Metropolitan area with a weight for age index between -1 and -2 SD. Using medical records the percentage of children fulfilling ministerial norms were evaluated in three health services. An attention quality index including 14 activities defined by the norms was made and the nutritional evolution during the intervention period was evaluated. Results: 35% of children received their 1st atention within the time stipulated. 3 out of 6 activities considered in the diagnosis obtained a high accomplishment. Being less in parents anthropometry (23%), analysis of socio-economic status (57%) and morbidity (65%). Good accomplishment of treatment norms was proven except for home visits (7%), referrals (54%) and social consultations (60%). There were significant differences between health services, p < 0.001. The average attention quality index was 10.4 + 1.7, the maxi
Una nueva referencia internacional de crecimiento infantil
Eduardo Atalah S
Revista chilena de pediatría , 2007,
Abstract:
Abstract
Eduardo Atalah S
Revista Cubana de Investigaciones Biom??dicas , 2007,
Abstract:
Obesidad materna y riesgo reproductivo
Atalah S,Eduardo; Castro S,René;
Revista médica de Chile , 2004, DOI: 10.4067/S0034-98872004000800003
Abstract: background:the prevalence of obesity in school children and pregnant women, a known risk factor of the reproductive cycle, has increased significantly over the last few years. aim: to analyze the association between maternal obesity and the outcome of pregnancy and newborn health. to quantify the attributable population risk of obesity in relation to negative events of pregnancy. material and methods: a prospective study in 883 pregnant women of 6 public health centers in santiago. weight, height, arm circumference, skinfold thicknesses, body mass index (bmi) and fat mass were determined in each trimester. maternal socio demographic history, smoking habits, incidence of diseases during pregnancy, labor and newborn characteristics were analyzed. logistic regressions of multiple factors were used to determine nutritional and non-nutritional variables associated to negative events, to determine the population attributable risk of each variable that the model retained. results: controlling the effect of other variables, a bmi ?30 or initial body fat mass ?35% determined a greater risk for assisted labor with an odds ratio (or) of 1.9 (95% confidence interval (ci) 1.3-2.9), gestational diabetes with an or of 6.4 (95% ci 2.1-19.6), hypertension with an or of 7.8 (95% ci 3.0-20.4), late fetal mortality with an or of 3.4 (95% ci 1.2-10.0), p <0.001. the risk was mostly associated with the initial maternal nutritional status and in a lesser degree, with the weight gained during pregnancy. conclusions: maternal obesity is an important risk factor during pregnancy. the prenatal control obesity could reduce approximately 10% of the cesarean sections and late fetal deaths and half of the hypertension and gestational diabetes cases (rev méd chile 2004; 132: 923-30)
Obesidad materna y riesgo reproductivo Maternal obesity and reproductive risk
Eduardo Atalah S,René Castro S
Revista médica de Chile , 2004,
Abstract: Background:The prevalence of obesity in school children and pregnant women, a known risk factor of the reproductive cycle, has increased significantly over the last few years. Aim: To analyze the association between maternal obesity and the outcome of pregnancy and newborn health. To quantify the attributable population risk of obesity in relation to negative events of pregnancy. Material and methods: A prospective study in 883 pregnant women of 6 public health centers in Santiago. Weight, height, arm circumference, skinfold thicknesses, body mass index (BMI) and fat mass were determined in each trimester. Maternal socio demographic history, smoking habits, incidence of diseases during pregnancy, labor and newborn characteristics were analyzed. Logistic regressions of multiple factors were used to determine nutritional and non-nutritional variables associated to negative events, to determine the population attributable risk of each variable that the model retained. Results: Controlling the effect of other variables, a BMI 30 or initial body fat mass 35% determined a greater risk for assisted labor with an odds ratio (OR) of 1.9 (95% confidence interval (CI) 1.3-2.9), gestational diabetes with an OR of 6.4 (95% CI 2.1-19.6), hypertension with an OR of 7.8 (95% CI 3.0-20.4), late fetal mortality with an OR of 3.4 (95% CI 1.2-10.0), p <0.001. The risk was mostly associated with the initial maternal nutritional status and in a lesser degree, with the weight gained during pregnancy. Conclusions: Maternal obesity is an important risk factor during pregnancy. The prenatal control obesity could reduce approximately 10% of the cesarean sections and late fetal deaths and half of the hypertension and gestational diabetes cases (Rev Méd Chile 2004; 132: 923-30)
Estado nutricional en escolares chilenos según la referencia NCHS y OMS 2007
Atalah Samur,E.; Loaiza,S.; Taibo,M.;
Nutrición Hospitalaria , 2012,
Abstract: background: in 2007, who published a new reference for assessing the nutritional status of children and adolescents aged 5 to 19 years, including body mass index (bmi) by sex and age. objective: to compare the nutritional assessment by bmi in schoolchildren and adolescents using the actual chilean ministry of health norm (nchs) and the new who reference 2007. material and methods: retrospective cohort study of 117,745 newborns, with nutritional assessment on first year of basic education (1997) and later in high education (2005). we analyzed the nutritional status according to bmi for age in relation to the nchs references and who 2007, in standard deviations (sd) and percentiles. we analyzed the agreement between the different references with the kappa index. results: there were small differences in the nutritional classification in first grade (6,4 ± 0,3 years) between the three references. underweight prevalence was slightly higher with both who references, overweight with who in standard deviation and obesity with who percentiles, at first grade of high school (14,4 ± 0,3 years). the main difference was in relation to classification of obesity (≥ percentile 95), where 43,9% of obese by who percentiles were considered overweight with nchs (87,3% concordance kappa 0,75). conclusions: the diagnostic concordance between the three criteria was the order of 90%. there are some differences between nchs and who, and between both who reference, depending on the cutoff point used. the adoption of one or other reference should depend on the biological hazards associated with it.
Tendencia de la lactancia materna en el Servicio de Salud Metropolitano Sur
Ilabaca M.,Juan; Atalah S.,Eduardo;
Revista chilena de pediatría , 2002, DOI: 10.4067/S0370-41062002000200004
Abstract: background: in the last decade, several programs have promoted breastfeeding and different approaches have been proposed to evaluate results. objective: to evaluate the prevalence of breastfeeding and its evolution between 1993 and 1999 in infants under 12 months who attended to the urban health care services of the southern metropolitan health service (smhs). material and methods: prevalence survey in 519 infants under 12 months and under control in 8 health care services of the smhs and comparison with previous surveys (1993 and 1996). analysis of food data from regular registries (rmc) between 1994 and 1999. results: according to the survey, 47% of infants had exclusive breastfeeding (eb), 10% had predominant breastfeeding and 9,2% had supplemented breastfeeding. more than 80% had some kind of breastfeeding in the first semester and 50% of the eb to the six month. according to rmc, eb to the six month showed an steady increase between 1994 and 1995 but afterwards it declined slightly. according to surveys, tendency was similar but in the first month an increase was observed in 1999. conclusions: the positive tendency of breastfeeding would have stabilized in recent years. actions on training need to be reinforced for health staff. the prevalence surveys represent a good alternative to evaluate tendencies
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