Reganho de peso em mulheres após cirurgia metabólica e bariátrica: estudo qualitativo no Brasil

Introduction: Due to the increased number of bariatric surgeries over the years, aspects contributing or hindering the achievement of outcomes, among them weight regain, have acquired increased significance. Psychological factors directly influence on this unwanted situation, but there are few studies and controversies about the degree of participation of these factors. We propose a qualitative investigation to analyze the meanings of weight regain after surgery among women and how these factors influence this outcome. Method: This study uses the clinical-qualitative method, by means of a semi-structured interview with open questions in an intentional sample, closed by saturation, with eight women who underwent surgery at the Bariatric Surgery Outpatient Clinic of Hospital das Clínicas, Universidade Estadual de Campinas (UNICAMP), in the state of São Paulo, Brazil. Results: A feeling of defeat and failure emerges with weight regain, which contributes to social isolation; there is no regret, but gratitude for the surgery; among patients, there is a sense of feeling rejected greater than a rejection that actually exists. Conclusion: We found out the need for further qualitative studies that help the health team to better understand the dynamic psychological factors involved in the meaning of weight regain after bariatric surgery among women, in order to adopt appropriate conducts to deal with this problem.Due to the increased number of bariatric surgeries over the years, aspects contributing or hindering the achievement of outcomes, among them weight regain, have acquired increased significance. Psychological factors directly influence on this unwanted sit363140146sem informaçãosem informaçã

Extracción asistida por ultrasonidos del aceite de semillas de ciruelas rojas (Spondias purpurea L.): perfil fenólico, ácidos grasos y caracterización química de la torta, residuo de la extracción del aceite

The ultrasound-assisted method was used to extract oil from the red mombin seed, mainly aiming to analyze yield. A multivariate analysis served to define optimized parameters (6.46 minutes and S/S ratio of 1:23.10 mass:volume) for ultrasound-assisted extraction (UAE) with the objective of maximizing yield, using the response surface methodology (RSM) and desirability graph with central variables and axial points determined by the central composite rotatable design (CCRD). In addition to the optimization of oil extraction, oil was chemically characterized in terms of antioxidant capacity and nutritional aspects to test the quality and chemical characteristics of red mombin seed oil extraction residue (cake). Analyses showed 32% unsaturated fatty acids, such as palmitoleic acid, linolelaidic acid, and α-linolenic acid, and the presence of phenolic compounds, especially catechin. High dietary fiber content and the presence of phenolic compounds, such as chlorogenic acid, vanillin, and gallic acid, were found in the cake, which allows the possibility of incorporating this material into food products.Se utilizó el método asistido por ultrasonido para extraer el aceite de semillas de ciruelas rojas, principalmente con el objetivo de analizar el rendimiento. Un análisis multivariante permitió la elección de los parámetros óptimos (6.46 minutos y una relación S/S de 1:23.10 masa:volumen) para extracción asistida por ultrasonido (EAU) con el objetivo de maximizar el rendimiento, utilizando la metodología de superficie de respuesta (RSM) y un gráfico de optimización, con variables centrales y puntos axiales determinados por el diseño giratorio de compuesto central (CCRD). Además de la optimización de la extracción del aceite, éste se caracterizó químicamente con respecto a la capacidad antioxidante y los aspectos nutricionales, para probar la calidad y las características químicas la torta, residuo de la extracción del aceite de semilla de ciruela roja. Los análisis mostraron un 32% de ácidos grasos insaturados, como el palmitoleico, linolelaídico y ácido α-linolénico, y la presencia de compuestos fenólicos, especialmente catequina. En la torta se encontró un alto contenido de fibra dietética y la presencia de compuestos fenólicos, como ácido clorogénico, vainillina y ácido gálico, lo que permite la posibilidad de incorporar este material en los productos alimenticios

Vacuum polarization by a global monopole with finite core

We investigate the effects of a $(D+1)$-dimensional global monopole core on the behavior of a quantum massive scalar field with general curvature coupling parameter. In the general case of the spherically symmetric static core, formulae are derived for the Wightman function, for the vacuum expectation values of the field square and the energy-momentum tensor in the exterior region. These expectation values are presented as the sum of point-like global monopole part and the core induced one. The asymptotic behavior of the core induced vacuum densities is investigated at large distances from the core, near the core and for small values of the solid angle corresponding to strong gravitational fields. In particular, in the latter case we show that the behavior of the vacuum densities is drastically different for minimally and non-minimally coupled fields. As an application of general results the flower-pot model for the monopole's core is considered and the expectation values inside the core are evaluated.Comment: 22 pages, 4 figures, misprint is corrected, discussion is added, figures are change

Assessment Of Visual Health Campaign Activities At Schools - Teachers' Perception

Purpose: 1) To assess the opinion of teachers involved in visual screening of school-age children and their referral to ophthalmologic examination within the "Eye-to-Eye National Campaign for Visual Disorders Prevention and Rehabilitation" (Campanha Nacional de Prevenção e Reabilitação Visual Olho no Olho); 2) To identify the teachers' perception with respect to the training received for conducting the campaign. Methods: A descriptive study has been conducted, based on data recorded from the application of a questionnaire to 1,517 elementary school teachers working in public schools in 27 Brazilian states. The following items were examined: received orientation, use of educational videos and handbooks, supplied explanations, difficulties, questions and overall campaign assessment. Results: 82.0% of the teachers stated they had received orientation and 92.0% stated they had read the "Teacher Orientation Manual", Among those who received orientation, 47.0% stated it had been supplied by school officials; 30.0%, by healthcare agents, and 23.0% by ophthalmologists. In the self-assessment of performance, 58.0% reported no difficulties; 32.0% reported questions concerning the campaign activities and the professionals who most frequently asked to provide clarification were those from the State Education Agency (38.0%), followed by the school director (20,0%), Conclusions: Most teachers considered themselves adequately trained and oriented to take part in the campaign. Teachers' training was provided by administrative officials, previously trained by ophthalmologists ("multiplying effect") and the small percentage of questions raised indicated the validity of the procedure. Concerns have been raised as to the information about the ophthalmologic examination, transportation of the children and delivery of glasses. This kind of program always presents some difficulties and requires adjustments. It should, indeed, be improved, perhaps through a closer involvement of the community and families during its development.702239245Krueguer EA. Prevenção da cegueira na infância. Planejamento. Arq Bras Oftalmol. 1969;32(1):23-5Toledo, S.A., (1938) Cooperação da escola primária no combate ao tracoma, pp. 134-138. , São Paulo: Revista Os Tribunais;Castro, R.S., Correção óptica em escolares e condição de uso dos óculos. [tese (2001), Campinas: Faculdade de Ciências Médicas da Universidade Estadual de Campinas;Kara-José, N., Ferrarini, M.L., Temporini, E.R., Avaliação do desenvolvimento do plano de oftalmologia sanitária escolar em três anos de sua aplicação no Estado de São Paulo (1977) Arq Bras Oftalmol, 40 (1), pp. 9-15Conselho Brasileiro de Oftalmologia: 60 anos de CBOlivro demonstrativogestão 1999-2001. São Paulo:CBO2001Alves, M.R., Kara-José, N., Manual de Orientação ao professor (1998) Campanha Nacional de Reabilitação Visual "Olho no Olho", , São Paulo: Impresa Oficial;Oliveira, R.C.S., José, N.K., Arieta, C.E.L., Manual da boa visão do escolar: Solucionando dúvidas sobre o olho e a visão (2001) São PauloBrasília: Conselho Regional de Oftalmologia, , Ministério da Educação;Brasileiro de Oftalmologia, C., Ofício - CBO da Campanha "Olho no Olho (2001) Quadro analítico dos resultados finais e parciais 2001, , São Paulo: CBO;José, N.K., organizador, (1996) Prevenção da cegueira por catarata, pp. 55-80. , Campinas: Unicamp;Kara-Jos, C., Gonçalves, E.R., Carvalho, R.S., organizadores, (2006) Olho no olho: Campanha nacional de prevenção à cegueira e reabilitação visual do escolar, , Rio de Janeiro: Cultura Médica;Temporini, E.R., Kara-José, N., Rigolizzo, H.B., Envolvimento de pessoal da comunidade em projeto de detecção de ambliopia em pré-escolares (1983) Arq Bras Oftalmol, 46 (3), pp. 85-89Alves, M.R., Temporini, E.R., Kara-José, N., Atendimento oftalmológico de escolares do sistema público de ensino no município de São Paulo: Aspectos médico-sociais (2000) Arq Bras Oftalmol, 63 (5), pp. 359-363Russ, H.H.A., Temporini, E.R., Kara-José, N., Impacto da Campanha Olho no Olho em escolas de ensino fundamental: Percepção do pessoal de ensino (2004) Arq Bras Oftalmol, 67 (2), pp. 311-321Temporini, E.R., Kara-José, N., Taiar, A., Ferrarini, M.L., Validade da aferição da. acuidade visual realizada pelo professor em escolares de 1a a 4a séries de primeiro grau de uma escola pública do município de São Paulo, Brasil (1977) Rev Saúde Pública, 11, pp. 229-237Brasileiro de Oftalmologia, C., (1998) Ofício CBO: "Orientações Gerais aos Coordenadores Estaduais, Municipais e demais participantes da Campanha", , São Paulo: CBO;Temporini, E.R., Percepção de professores do sistema de ensino do Estado de São Paulo sobre seu preparo em saúde do escolar (1988) Rev Saúde Pública, 22 (5), pp. 411-421Cavalcante, S.M., José, N.K., Temporini, E.R., Percepção de pais de escolares da 1a série do ensino fundamental a respeito da campanha Olho no Olho 2000, na cidade de Maceió-Alagoas (2004) Arq Bras Oftalmol, 67 (1), pp. 87-91Abud, A.B., Ottaiano, J.A.A., Aspectos socioeconômicos que influenciam no comparecimento ao exame oftalmológico de escolares com alterações visuais (2004) Arq Bras Oftalmol, 67 (5), pp. 773-77

Exclusive processes in electron - ion collisions

The exclusive processes in electron-ion ($eA$) interactions are an important tool to investigate the QCD dynamics at high energies as they are in general driven by the gluon content of the target, which is strongly subject to parton saturation effects. In this paper we compute the cross sections for the exclusive vector meson production as well as the deeply virtual Compton scattering (DVCS) relying on the color dipole approach and considering the numerical solution of the Balitsky-Kovchegov equation including running coupling corrections (rcBK). The production cross sections obtained with the rcBK solution and bCGC parametrization are very similar, the former being slightly larger.Comment: 6 pages, 4 figure

One step forward towards the development of eco-friendly antifouling coatings: Immobilization of a sulfated marine-inspired compound

Marine biofouling represents a global economic and ecological challenge and few eco-friendly antifouling agents are available. The aim of this work was to establish the proof of concept that a recently synthesized nature-inspired compound (gallic acid persulfate, GAP) can act as an eco-friendly and effective antifoulant when immobilized in coatings through a non-release strategy, promoting a long-lasting antifouling effect. The synthesis of GAP was optimized to provide quantitative yields. GAP water solubility was assessed, showing values higher than 1000 mg/mL. GAP was found to be stable in sterilized natural seawater with a half-life (DT50) of 7 months. GAP was immobilized into several commercial coatings, exhibiting high compatibility with different polymeric matrices. Leaching assays of polydimethylsiloxane and polyurethane-based marine coatings containing GAP confirmed that the chemical immobilization of GAP was successful, since releases up to fivefold lower than the conventional releasing systems of polyurethane-based marine coatings were observed. Furthermore, coatings containing immobilized GAP exhibited the most auspicious anti-settlement effect against Mytilus galloprovincialis larvae for the maximum exposure period (40 h) in laboratory trials. Overall, GAP promises to be an agent capable of improving the antifouling activity of several commercial marine coatings with desirable environmental properties.This research was funded by national funds through the Foundation for Science and Technology (FCT) within the scope of research unit grants to CIIMAR (UIDB/04423/2020 and UIDP/04423/2020), to BioISI (UIDB/04046/2020 and UIDP/04046/2020) and under the project PTDC/AAG-TEC/0739/2014 (reference POCI-01-0145-FEDER-016793) supported through national funds provided by FCT and the European Regional Development Fund (ERDF) via the Programa Operacional Factores de Competitividade (POFC/COMPETE) programme and the Reforçar a Investigação, o Desenvolvimento Tecnológico e a Inovação (RIDTI; project 9471)

Constraining the nuclear gluon distribution in eAeA processes at RHIC

A systematic determination of the gluon distribution is of fundamental interest in understanding the parton structure of nuclei and the QCD dynamics. Currently, the behavior of this distribution at small $x$ (high energy) is completely undefined. In this paper we analyze the possibility of constraining the nuclear effects present in $xg^A$ using the inclusive observables which would be measured in the future electron-nucleus collider at RHIC. We demonstrate that the study of nuclear longitudinal and charm structure functions allows to estimate the magnitude of shadowing and antishadowing effects in the nuclear gluon distribution.Comment: 6 pages, 3 eps figure