CORRELAÇÃO ENTRE OBESIDADE/SOBREPESO E PRESSÃO ARTERIAL ELEVADA EM ESCOLARES DE UMA CIDADE DO INTERIOR DE SÃO PAULO

Physical exercise is a non-pharmacological alternative to act on the indicators of the metabolic syndrome (MS). Functional resistance training (FRT), recruits a greater number of muscle groups, which can lead to greater energy expenditure. Therefore, the aim of this study was to analyze the correlation between the basal metabolic rate (BMR) and the heart rate variability (HRV) in FRT in individuals with MS. The study was a non-randomized clinical trial consisting of 32 subjects who had MS and were divided into functional resistance training group (FRTG) and control group (CG). The HRV was collected with a cardiofrequency meter, the vagal indices were selected and the analysis of BMR was performed by bioimpedance. Correlation was observed for the HF index with BMR only prior to FRT. Therefore, there is no significant correlation between vagal indices and BMR in individuals with MS after performing RFT.O exercício físico é uma alternativa não farmacológica para agir sobre os indicadores da síndrome metabólica (SM). O treinamento resistido funcional (TRF) recruta maior número de grupos musculares o que pode acarretar maior gasto energético. Portanto, o objetivo desse estudo foi analisar a correlação entre a taxa metabólica basal (TMB) e a variabilidade da frequência cardíaca (VFC) no TRF em indivíduos com SM.  O estudo foi um ensaio clínico não randomizado, composto de 32 indivíduos com SM que foram divididos em grupo treinamento resistido funcional (GTRF) e grupo controle (GC). A VFC foi coletada com um cardiofrequencímetro sendo selecionados os índices vagais e para a análise da TMB foi utilizado a bioimpedância. Foi observado correlação para o índice HF com a TMB somente antes do TRF. Portanto, não existe correlação significativa entre os índices vagais e a TMB em indivíduos com SM após a realização do TRF

CORRELAÇÃO ENTRE OBESIDADE/SOBREPESO E PRESSÃO ARTERIAL ELEVADA EM ESCOLARES DE UMA CIDADE DO INTERIOR DE SÃO PAULO

Introduction: Currently the Brazilian pediatric population has been exposed to risk factors caused by physical inactivity and poor diet, resulting in an increase in the Body Mass Index (BMI), which can lead to vascular problems even in childhood. Objectives: to verify the influence of BMI on pressure levels. Methods: The sample consisted of 61 children of both sexes, chronological age between six and seven years and regularly enrolled / attending school. These children were evaluated in their respective hemodynamic variables (systolic and diastolic blood pressure), body weight, height.. Results: Mean and standard deviation of participants' ages were 7 (± 0.3) years, SBP had 89.4 (± 10) and DBP of 57 (± 6.9), eutrophic patients had 88, 7 (± 1.1) for SBP and 56 (± 5) for DBP and for those with Overweight / Obesity (SO) 109 (± 5) for SBP and 70.7 (± 8.2) for PAD, with p value = 0.0001, Pearson's correlation for BMI with SBP and DBP was moderate for both, but with beta of 1.53 in linear regression for SBP and 0.96 for DBP. Conclusion: BMI directly influences systolic and diastolic blood pressure levels and the control of overweight / obesity is necessary at the initial ages of life.Introdução: Na atualidade a população pediátrica brasileira vem sendo exposta a fatores de risco causados pela inatividade física e má alimentação em consequente aumento do Índice de Massa Corporal (IMC), o que pode levar a problemas vasculares mesmo na infância. Objetivos: verificar a influência no IMC nos níveis pressóricos. Métodos: A amostragem foi composta por 61 crianças de ambos os sexos, idade cronológica entre seis e sete anos e regularmente matriculados/frequentando a escola. Estas crianças foram avaliadas em suas respectivas variáveis hemodinâmicas (pressão arterial sistólica e diastólica), peso corporal, estatura. Resultados: A média e desvio padrão de idade dos participantes foi de 7 (± 0,3) anos, sendo a PAS teve de 89,4 (± 10) e PAD de 57 (± 6,9), os eutróficos tiveram 88,7 (± 1,1) para PAS e 56 (± 5) para a PAD e para os com Sobrepeso/Obesidade (SO) 109 (± 5) para a PAS e 70,7 (± 8,2) pata PAD, com valor de p=0,0001, já a correlação de Pearson para o IMC com PAS e a PAD foi moderada para ambas, porém com beta de 1,53 na  regressão linear para PAS e de 0,96 para a PAD. Conclusão: O IMC influência diretamente nãos níveis pressóricos sistólicos e diastólicos e que o controle do sobrepeso/obesidade faz necessário nas idades iniciais de vida

Sistema de Vigilância Alimentar e Nutricional: tendência temporal da cobertura e estado nutricional de adultos registrados, 2008-2019

Objective: To analyze temporal trend of Food and Nutrition Surveillance System (SISVAN) coverage and nutritional status of adults followed up in Primary Health Care in Brazil, 2008-2019. Methods: Ecological time series study with data from Brazilian macro-regions. Annual percent change in nutritional status classification and total coverage were estimated by Prais-Winsten regression. Results: 115,034,534 records were identified in the period. The coverage was from 5.0% in 2008 to 10.6% in 2019, with an annual change of 8.4% (95% confidence interval [95%CI] 6.7;10.0). Obesity showed an increasing trend between 2008 and 2019, with an annual change of 6.4% (95%CI 5.3;7.3), as did overweight (1.8% – 95%CI 1.2;2.5). Underweight (-7.0% – 95%CI -8.0;-6.1) and eutrophy (-3.8% – 95%CI -4.1;-3.4) decreased in the period. Conclusion: An improvement in SISVAN coverage was identified, but accompanied by an increase in overweight and obesity.Objetivo: Analizar la tendencia temporal de la cobertura del Sistema de Vigilancia Alimentaria y Nutricional (SISVAN) y del estado nutricional de los adultos acompañados en la Atención Primaria de Brasil, 2008-2019. Métodos: Estudio de series temporales ecológico con datos de macrorregiones brasileñas. La variación porcentual anual del estado nutricional y la cobertura total se estimaron mediante regresión de Prais-Winsten. Resultados: Fueran 115.034.534 registros en el periodo. La cobertura pasó del 5,0% en 2008 al 10,6% en 2019, con una variación anual del 8,4% (intervalo de confianza del 95% [IC95%]: 6,7;10,0). La obesidad mostró tendencia creciente entre 2008 y 2019, con variación anual del 6,4% (IC95% 5,3;7,3), al igual que el sobrepeso (1,8% – IC95% 1,2;2,5). El bajo peso (-7,0% – IC95% -8,0;-6,1) y la eutrofia (-3,8% – IC95% -4,1;-3,4) disminuyeron en el periodo. Conclusión: Se identificó mejora en la cobertura del SISVAN, pero acompañada de un aumento del sobrepeso y la obesidad.Objetivo: Analisar a tendência temporal da cobertura do Sistema de Vigilância Alimentar e Nutricional (SISVAN) e do estado nutricional, entre adultos acompanhados na Atenção Primária à Saúde do Brasil, 2008-2019. Métodos: Estudo ecológico de séries temporais, sobre dados das macrorregiões brasileiras. A variação percentual anual da classificação do estado nutricional e da cobertura total foi estimada pela regressão de Prais-Winsten. Resultados: Foram identificados 115.034.534 registros no período. A cobertura passou de 5,0% em 2008 para 10,6% em 2019, com variação anual de 8,4% (intervalo de confiança de 95% [IC95%] 6,7;10,0). A obesidade apresentou tendência crescente entre 2008 e 2019, com variação anual de 6,4% (IC95% 5,3;7,3), assim como o sobrepeso (1,8%– IC95% 1,2;2,5). Já o baixo peso (-7,0% – IC95% -8,0;-6,1) e a eutrofia (-3,8% – IC95% -4,1;-3,4) decresceram no período. Conclusão: Identificou-se melhora na cobertura do SISVAN, tendo-se observado aumento de excesso de peso e obesidade na população estudada

Ultrastructural aspects of cranial and peripheric nerves of cronically diabetic and malnourished rats: a short biochemical panorama

Diabetes Mellitus is one of the most common causes of neuropathies, which can be caused by molecular imbalances that impair metabolic pathways. Studies in rats showed the importance of sirtuins (SIRT), deacetylases that use NAD+ as a cofactor, which have a widespread function in metabolism, and their relation when food deprived or calorie restricted. Additionally, diabetic neuropathy presents different structural biomarkers that cause morphological alterations in fibers that can be partially treated. SIRT1 is the principal sirtuin, which acts on hypothalamus, liver, kidney, among other organs, up regulating or down regulating the expression of some genes or enzymes crucial in the process of glucose absorption

Childhood Depression in Family Narratives

BACKGROUND: The family narratives are true contextual cues in the representation of the experiences of illness of depressive child. The family members use healthcare services in an attempt to understand the disease so that describe the everyday practices in the living with the child. OBJECTIVE: This original article aims to present childhood depression with its various nuances and its many consequences in the family context. METHODS: The universe of this study involved 24 families in the age group ranging from 45 to 70 years who searched the care services at Children's Psychosocial Care Center (CAPSi). Through the records, a survey of the family members was performed, from case reports, in the course of medical and psychological consultations. This is a purposive sample, which was selected by approximation the inclusion criteria, a sample of 12 family members of both sexes. The attention focused on the use of narrative interview - which is recognized as a genre of sociolinguistic research - fully recorded. RESULTS: The family member has its convivial trajectory with the disease through a specific identity and enunciation with the child. The family narratives show up symbolic portraits to the rescue of the guiding elements of the depressive situation. The family narratives are shown as spaces of reinterpretation of pain and psychological distress. The disorder explained in the narratives of childhood depression inserted in understanding plays a crucial role in exposing the intensity of pain and psychological distress. CONCLUSION: It is fundamental important in clinical care the psychiatric practice inserted into the historical and social context of the family members who have their own living narrative with the disease

Sistema de controle interno da administração pública na União Europeia e no Brasil

- Divulgação dos SUMÁRIOS das obras recentemente incorporadas ao acervo da Biblioteca Ministro Oscar Saraiva do STJ. Em respeito à Lei de Direitos Autorais, não disponibilizamos a obra na íntegra.- Localização na estante: 351.9(81+4) S622

Electroconvulsive therapy use in adolescents: a systematic review

Abstract\ud \ud \ud \ud Background\ud \ud Considered as a moment of psychological vulnerability, adolescence is remarkably a risky period for the development of psychopathologies, when the choice of the correct therapeutic approach is crucial for achieving remission. One of the researched therapies in this case is electroconvulsive therapy (ECT). The present study reviews the recent and classical aspects regarding ECT use in adolescents.\ud \ud \ud \ud Methods\ud \ud Systematic review, performed in November 2012, conformed to the PRISMA statement.\ud \ud \ud \ud Results\ud \ud From the 212 retrieved articles, only 39 were included in the final sample. The reviewed studies bring indications of ECT use in adolescents, evaluate the efficiency of this therapy regarding remission, and explore the potential risks and complications of the procedure.\ud \ud \ud \ud Conclusions\ud \ud ECT use in adolescents is considered a highly efficient option for treating several psychiatric disorders, achieving high remission rates, and presenting few and relatively benign adverse effects. Risks can be mitigated by the correct use of the technique and are considered minimal when compared to the efficiency of ECT in treating psychopathologies

Ebola: an international public health emergency

The outbreak of Ebola in West Africa could become one of the worst infectious-disease-driven humanitarian crises of recent times. With more than 3000 deaths since the first case was confirmed in March 2014, the international community has recognized Ebola as a public health emergency of international concern and a clear threat to global health security. The complexity of dealing with this Ebola outbreak has highlighted the need for traditional actors, such as WHO and the CDC, to embrace the wider health and humanitarian community. The epidemic reinforces the need for nations to investment in health infrastructure and disease surveillance to keep pace with other developments in Africa. If Ebola arrives in high-income and middleincome nations, it should be contained quickly. The crisis shows the importance of sufficient levels of multilateral funding for WHO. The world needs a strong WHO, with the financing and political influence to fulfil its historic mission

Répteis da Ilha de Santa Catarina

Guia fotográficoNeste guia fotográfico apresentamos as 43 espécies de lagartos, serpentes, anfisbaenias e tarturugas registradas na Ilha de Santa Catarina, região insular do município de Florianópolis, Santa Catarina. Além do nome cientifico, incluimos o nome popular, status de conservação e para as serpentes, destacamos aquelas que podem oferecer riscos de acidente.FAPES