298 research outputs found

    Feeding Disorders In Children With Gastro-esophageal Reflux Disease

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    Background: feeding/eating disorders are frequent in pediatric patients and, in some cases, can be associated to an upper digestive motility disorder. Gastro-esophageal reflux is, nowadays, considered a risk factor for the development of feeding/eating disorders. Aim: to verify the occurrence of feeding/eating disorders in patients with Gastro-Esophageal Reflux Disease (GERD) determined by the 24-H esophageal pH monitoring evaluation. Method: an analytical observational cross-sectional study of the stomathognatic system and feeding/eating behavior in healthy children and in children with GERD. Results: 25 children (ages 45,68 ± 34,22 months; mean ± SD) with the diagnosis of GERD determined by the 24-H esophageal pH monitoring evaluation and 40 children (ages 60,65 ± 36,07 months; mean ± SD) randomized from their school group. The criteria for the pH monitoring were: vomiting, regurgitation, wheezing and recurrent pneumonia. There was no significant difference in age mean between groups. Children with GERD presented an significantly higher frequency (p<0.05) of feeding/eating problems (F/EP) and of oral motor-sensory disturbances (sucking, chewing and swallowing). Behavioral F/EP was present in 44% of the cases and oral motor-sensory F/EP in 80%. About 64% of the children had a history of feeding/eating complaints, 36% presented an extended feeding/eating time, 68% presented problems in the development of the oral feeding patterns and 60% presented alterations in the nasal breathing pattern. Conclusion: children with GERD presented a higher prevalence of behavioral and stomathognatic feeding/eating problems when compared to healthy children.1915966AHMAD, I., BATH, A.J.G., Acid reflux management: ENT perspective (2004) J. Laryngol. Otol, 118, pp. 25-30. , Birmingham UK, v, janBURKLOW, K. A.PHELPS, A. N.SCHULTZ, J.MCCONNELL, K.RUDOLPH, C. Classifying complex pediatric feeding disorders. J. Pediatr. Gastroenterol. Nutr., Philadelphia, v. 27, n. 2, p. 143-147, ago. 1998CATTONI, D.M., ANDRADE, D.R.F., ZACKIEWICZ, D.M., NEIVA, F.C.B., Levantamento da consistência do alimento recebido no primeiro ano de vida (2001) R. Soc. Bras. Fonoaudiol, 6 (1), pp. 59-64. , São Paulo, v, junCOOPER, P.J., WHELAN, E., WOOLGAR, M., MORRELL, J., MURRAY, L., Association between childhood feeding problems and maternal eating disorder: Role of the family environment (2004) Br. J. Psychiatry, 184, pp. 210-215. , Londres, v, marDELLERT, S.F., HYAMS, S.J., WILLIAM, R.T., GEERTSMA, A., Feeding resistance and gastroesophageal reflux in infancy (1993) J. Pediatr. Gastroenterol. Nutr, 17 (1), pp. 66-71. , Philadelphia, v, aprDOUGLAS, J.E., BYRON, M., Interview data on severe behavioral eating difficulties in young children (1996) Arch. Dis. Child, 75 (4), pp. 304-308. , Nova York, v, octFERRIOLI, E., OLIVEIRA, R.B., MATSUDA, N.M., BRAGA, F.J., DANTAS, R.O., Aging, esophageal motility and gastroesophageals reflux (1998) J. Am. Geriatr. Soc, 46 (12), pp. 1534-1537. , Nova York, v, decGILLESPIE, A.H., ACTERBERG, C.L., Comparison of family interaction patterns related to food and nutrition (1989) J. Am. Diet. Assoc, 89 (4), pp. 509-512. , Chicago, v, abrGOLDANI, H.A.S., (1999) Motilidade do trato digestivo superior em crianças com problemas de alimentação e refluxo gastroesofágico, , 99 f. Tese Doutorado em puericultura e pediatria, Faculdade de Medicina, Universidade de São Paulo. Ribeirão PretoJUNQUEIRA, P.COSTA, M. M. B. Protocolo para avaliação videofluoroscópica da dinâmica da fase oral da deglutição de líquido. Pró-Fono R. Atual. Cient., Carapicuíba (SP), v. 13, n. 2, p. 165-168, set. 2001JUNQUEIRA, P. A. de S.FRANCESCO, R. C. D.TREZZA, P.ZERATTI, F. E.FRIZZARINI, R.FARIA, M. E. J. de. Alterações funcionais do sistema estomatognático pré e pós-adenoamigdalectomia. Pró-Fono R. Atual. Cient., Carapicuíba (SP), v. 4, n. 1, p. 17-22, jan.-abr. 2002MADEIRA, I.R., AQUINO, L.A., Problemas de abordagem dificil: "não come" e "não dorme (2003) J. Pediatr, 79 (SUPL. 1), pp. S43-S54. , Rio de Janeiro, v, mayMANIKAN, R., PERLMAN, J.A., Pediatric feeding disorder (2000) J. Clin. Gastroenterol., New York, 30 (1), pp. 34-46. , janMARCHESAN, I.Q., (1998) Uma visão compreensiva das práticas fonoaudiológicas: A influência da alimentação no crescimento e desenvolvimento craniofacial e nas alterações miofuncionais, , São Paulo: Pancast, 238 pMARCHESAN, I.Q., Avaliação e terapia dos problemas da respiração (1998) Fundamentos da fonoaudiologia: Aspectos clínicos da motricidade oral, pp. 23-26. , Rio de Janeiro: Guanabara KooganMEIRA, R. R. S. Refluxo gastroesofágico: uma demanda na clínica pediátrica e a intervenção fonoaudiológica. In: MARCHESAN, I. Q.ZORZI, J. L.GOMES, I. C. D. (Org). Tópicos em fonoaudiologia. São Paulo: Lovise, 1998. p. 479-487MORALLES, R. C. O. Sucção, deglutição e mastigação fisiológicas. In: MORALLES, R. C. O. Terapia de regulação orofacial: conceito RMC. São Paulo: Memnon, 2002. p. 45-56MORRIS, S.E., KLEIN, M.D., (2000) Pre-feeding skills: A comprehensive resource for mealtime development, pp. 31-41. , 2. ed. Arizona USA, Therapy Skill BuildersMOTTA, A. R.COSTA, H. O. de O. A mastigação no período intertransicional da dentição mista. R. Dent. Press. Ortodon. Ortoped. Facial, Maringá (PR), v. 7, n. 5, p. 77-86, set-out. 2002NELSON, S.P., CHEN, E.H., SYNIAR, G.M., CHRISTOFFEL, K.K., One-year follow-up of symptoms of gastroesophageal reflux during infancy (1998) Pediatrics, 102, pp. 1470-1481. , Springfield, v, dezRABINOWITZ, S.S., PIECUCH, S., JIBLY, R., GOLDSMITH, A., SCHWARZ, S.M., Optimizing the diagnosis of gastroesophageal reflux in children with otolaryngologic symptoms (2003) Int. J. Pediatr. Otorhinolaryngol, 67 (6), pp. 621-626. , Amsterdam, v, junRAMSAY, M., GISEL, E.G., McCUSKER, J., BELLAVANCE, F., PLATT, R., Infant sucking ability, nonorganic failure to thrive, maternal characteristics, and feeding practices: A prospective cohort study (2002) Dev. Med. Child. Neurol, 44 (6), pp. 405-414. , London, v, junRICHTER, J.E., Ear, nose and throat and respiratory manifestations of gastro-esophageal reflux disease: An increasing conundrum (2004) Eur. J. Gastroenterol. Hepatol, 16 (9), pp. 837-845. , London, v, sepROMMEL, N., DE MEYER, A.M., FEENSTRA, L., VEEREMAN-WAUTERS, G., The complexity of feeding problems in 700 infants and young children presenting to a tertiary care institution (2003) J. Pediatr. Gastroenterol. Nutr, 37 (1), pp. 75-84. , New York, v, marRUDOLPH, C.D., MAZUR, L.J., LIPTAK, G.S., BAKER, R.D., BOYLE, J.T., COLLETTI, R.B., GERSON, W.T., WERLIN, S.L., Guidelines for evaluation and treatment of gastroesophageal reflux in infants and children: Recommendations of the North American Society for Pediatric Gastroenterology and Nutrition (2001) J. Pediatr. Gastroenterol. Nutr, 32 (SUPPL. 2), pp. S1-31. , New York, vRUDOLPH, C.D., LINK, D.T., Feeding disorder in infants and children (2002) Pediatr. Clin. North Am, 49 (1), pp. 97-112. , Philadelphia, v, febSOMANI, S.K., GHOSHAL, U.C., SARASWAT, V.A., AGGARWAL, R., MISRA, A., KRISHNAMI, N., NAIK, S.R., Correlation of esophageal pH and motor abnormalities with endoscopic severity of reflux esophagius. Dis. Esophagus (2004) New York, 17 (1), pp. 58-62. , aprSOUZA, L. P. de.BITAR, M. L. Alimentação de lactentes com refluxo gastresofágico (RGE). Pró-Fono R. Atual. Cient., Barueri (SP), v. 15, n. 2, p. 117-124, ago. 2003STAIANO, A., Food refusal in toddlers with chronic diseases (2003) J. Pediatr. Gastroenterol. Nutr, 37 (3), pp. 225-227. , Philadelphia, v, sepSTRUDWICK, S. Gastro-oesophageal reflux and feeding: the speech and language therapist's perspective. Int. J. Pediatr. Otorhinolaryngol., Amsterdam, v. 67, n. 1, p. S101-S102, dec. 2003. suppl. 1SUSS-BURGHART, H., Feeding disorders and failure to thrive in small and/ or handicapped children (2000) Z. Kinder Jugendpsychiat. Psychother, 28 (4), pp. 285-296. , Alemanha, v, novTUCHMAN, D. N. Disorders of deglutition. In: WALKER, W. A.DURIE, P. R.HAMILTON, J. R.WALKER-SMITH, J. A.WATKINS, J. B. Pediatric Gastrintestinal Disorders. Ontário (Canadá): BC Decker Inc Hamilton, 2000. p. 277-288YUAN, Q.WINTER, H. S. Gastroesophageal reflux in children. In: FASS, R. GERD: dyspepsia. Filadélfia: Hanley & Belfus Inc, 2004. p. 289-25

    MAXIMUM NUMBER OF REPETITIONS, TOTAL WEIGHT LIFTED AND NEUROMUSCULAR FATIGUE IN INDIVIDUALS WITH DIFFERENT TRAINING BACKGROUNDS

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    The aim of this study was to evaluate the performance, as well as neuromuscular activity, in a strength task in subjects with different training backgrounds. Participants (n = 26) were divided into three groups according to their training backgrounds (aerobic, strength or mixed) and submitted to three sessions: (1) determination of the maximum oxygen uptake during the incremental treadmill test to exhaustion and familiarization of the evaluation of maximum strength (1RM) for the half squat; (2) 1RM determination; and (3) strength exercise, four sets at 80�0of the 1RM, in which the maximum number of repetitions (MNR), the total weight lifted (TWL), the root mean square (RMS) and median frequency (MF) of the electromyographic (EMG) activity for the second and last repetition were computed. There was an effect of group for MNR, with the aerobic group performing a higher MNR compared to the strength group (P = 0.045), and an effect on MF with a higher value in the second repetition than in the last repetition (P = 0.016). These results demonstrated that individuals with better aerobic fitness were more fatigue resistant than strength trained individuals. The absence of differences in EMG signals indicates that individuals with different training backgrounds have a similar pattern of motor unit recruitment during a resistance exercise performed until failure, and that the greater capacity to perform the MNR probably can be explained by peripheral adaptations

    Assessment of Constructed Wetlands’ Potential for the Removal of Cyanobacteria and Microcystins (MC-LR)

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    Microcystis blooms and the subsequent release of hepatotoxic microcystins (MCs) pose a serious threat to the safety of water for human and livestock consumption, agriculture irrigation, and aquaculture worldwide. Microcystin-LR (MC-LR), the most toxic variant of MCs, has been widely detected in a variety of environments such as water, sediments, plants, and many aquatic organisms.info:eu-repo/semantics/publishedVersio

    Growth inhibitory effects of 3′-nitro-3-phenylamino nor-beta-lapachone against HL-60: A redox-dependent mechanism

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    AbstractIn this study, the cytotoxicity, genotoxicity and early ROS generation of 2,2-dimethyl-(3H)-3-(N-3′-nitrophenylamino)naphtho[1,2-b]furan-4,5-dione (QPhNO2) were investigated and compared with those of its precursor, nor-beta-lapachone (nor-beta), with the main goal of proposing a mechanism of antitumor action. The results were correlated with those obtained from electrochemical experiments held in protic (acetate buffer pH 4.5) and aprotic (DMF/TBABF4) media in the presence and absence of oxygen and with those from dsDNA biosensors and ssDNA in solution, which provided evidence of a positive interaction with DNA in the case of QPhNO2. QPhNO2 caused DNA fragmentation and mitochondrial depolarization and induced apoptosis/necrosis in HL-60 cells. Pre-treatment with N-acetyl-l-cysteine partially abolished the observed effects related to the QPhNO2 treatment, including those involving apoptosis induction, indicating a partially redox-dependent mechanism. These findings point to the potential use of the combination of pharmacology and electrochemistry in medicinal chemistry

    Integrated Health Service Delivery Networks And Tuberculosis Avoidable Hospitalizations: Is There A Relation Between Them In Brazil?

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    The early identification of the Breathing Symptoms within the scope of Primary Health Care is recommended, and is also one of the strategies of national sanitary authorities for reaching the elimination of tuberculosis. The purpose of this study is to consider which attributes and which territories have shown the most significant progress in Primary Health Care, in terms of coordination of Health Care Networks, and also check if those areas of Primary Health Care that are most critical regarding coordination, there were more or less cases of avoidable hospitalizations for tuberculosis. Methods: This is an ecological study that uses primary and secondary data. For analysis, coropletic maps were developed through the ArcGIS software, version 10.2. There was also the calculation of gross annual and Bayesian rates for hospitalizations for tuberculosis, for each Primary Health Care territory. Results: There were satisfactory results for attributes such as Population (n = 37; 80.4 %), Primary Health Care (n = 43; 93.5 %), Support System (n = 45; 97.8 %); the exceptions were Logistics System (n = 32; 76.0 %) and Governance System, with fewer units in good condition (n = 31; 67.3 %). There is no evidence of any connection between networks' coordination by Primary Health Care and tuberculosis avoidable admissions. Conclusion: The results show that progress has been made regarding the coordination of the Health Care Networks, and a positive trend has been shown, even though the levels are not excellent. It was found no relationship between the critical areas of Primary Health Care and tuberculosis avoidable hospitalizations, possibly because other variables necessary to comprehend the phenomena. © 2016 Popolin et al.16

    Age-related shift in LTD is dependent on neuronal adenosine A(2A) receptors interplay with mGluR5 and NMDA receptors

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    Synaptic dysfunction plays a central role in Alzheimer's disease (AD), since it drives the cognitive decline. An association between a polymorphism of the adenosine A2A receptor (A2AR) encoding gene-ADORA2A, and hippocampal volume in AD patients was recently described. In this study, we explore the synaptic function of A2AR in age-related conditions. We report, for the first time, a significant overexpression of A2AR in hippocampal neurons of aged humans, which is aggravated in AD patients. A similar profile of A2AR overexpression in rats was sufficient to drive age-like memory impairments in young animals and to uncover a hippocampal LTD-to-LTP shift. This was accompanied by increased NMDA receptor gating, dependent on mGluR5 and linked to enhanced Ca(2+) influx. We confirmed the same plasticity shift in memory-impaired aged rats and APP/PS1 mice modeling AD, which was rescued upon A2AR blockade. This A2AR/mGluR5/NMDAR interaction might prove a suitable alternative for regulating aberrant mGluR5/NMDAR signaling in AD without disrupting their constitutive activity

    Search for direct production of charginos and neutralinos in events with three leptons and missing transverse momentum in √s = 7 TeV pp collisions with the ATLAS detector

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    A search for the direct production of charginos and neutralinos in final states with three electrons or muons and missing transverse momentum is presented. The analysis is based on 4.7 fb−1 of proton–proton collision data delivered by the Large Hadron Collider and recorded with the ATLAS detector. Observations are consistent with Standard Model expectations in three signal regions that are either depleted or enriched in Z-boson decays. Upper limits at 95% confidence level are set in R-parity conserving phenomenological minimal supersymmetric models and in simplified models, significantly extending previous results

    Jet size dependence of single jet suppression in lead-lead collisions at sqrt(s(NN)) = 2.76 TeV with the ATLAS detector at the LHC

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    Measurements of inclusive jet suppression in heavy ion collisions at the LHC provide direct sensitivity to the physics of jet quenching. In a sample of lead-lead collisions at sqrt(s) = 2.76 TeV corresponding to an integrated luminosity of approximately 7 inverse microbarns, ATLAS has measured jets with a calorimeter over the pseudorapidity interval |eta| < 2.1 and over the transverse momentum range 38 < pT < 210 GeV. Jets were reconstructed using the anti-kt algorithm with values for the distance parameter that determines the nominal jet radius of R = 0.2, 0.3, 0.4 and 0.5. The centrality dependence of the jet yield is characterized by the jet "central-to-peripheral ratio," Rcp. Jet production is found to be suppressed by approximately a factor of two in the 10% most central collisions relative to peripheral collisions. Rcp varies smoothly with centrality as characterized by the number of participating nucleons. The observed suppression is only weakly dependent on jet radius and transverse momentum. These results provide the first direct measurement of inclusive jet suppression in heavy ion collisions and complement previous measurements of dijet transverse energy imbalance at the LHC.Comment: 15 pages plus author list (30 pages total), 8 figures, 2 tables, submitted to Physics Letters B. All figures including auxiliary figures are available at http://atlas.web.cern.ch/Atlas/GROUPS/PHYSICS/PAPERS/HION-2011-02

    Measurement of the polarisation of W bosons produced with large transverse momentum in pp collisions at sqrt(s) = 7 TeV with the ATLAS experiment

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    This paper describes an analysis of the angular distribution of W->enu and W->munu decays, using data from pp collisions at sqrt(s) = 7 TeV recorded with the ATLAS detector at the LHC in 2010, corresponding to an integrated luminosity of about 35 pb^-1. Using the decay lepton transverse momentum and the missing transverse energy, the W decay angular distribution projected onto the transverse plane is obtained and analysed in terms of helicity fractions f0, fL and fR over two ranges of W transverse momentum (ptw): 35 < ptw < 50 GeV and ptw > 50 GeV. Good agreement is found with theoretical predictions. For ptw > 50 GeV, the values of f0 and fL-fR, averaged over charge and lepton flavour, are measured to be : f0 = 0.127 +/- 0.030 +/- 0.108 and fL-fR = 0.252 +/- 0.017 +/- 0.030, where the first uncertainties are statistical, and the second include all systematic effects.Comment: 19 pages plus author list (34 pages total), 9 figures, 11 tables, revised author list, matches European Journal of Physics C versio
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