Fatores de risco para o desenvolvimento de distúrbios alimentares: um estudo em universitárias Risk factors in the development of eating disorders: study in a group of college women

Este trabalho buscou identificar, em mulheres universitárias, aquelas que apresentavam fatores de risco para o desenvolvimento de distúrbios alimentares. Aplicou-se o questionário Eating Attitudes Test em 221 mulheres (114 estudantes de nutrição e 107 estudantes de outras áreas não relacionadas à saúde). Os resultados indicaram que 22,17% das estudantes apresentaram fatores de risco para o desenvolvimento de distúrbio alimentar, sendo que no grupo de alunas da nutrição o percentual foi maior (25,43%) do que no grupo de estudantes de outros cursos (18,69%). Embora a diferença não tenha sido significativa, as futuras nutricionistas podem estar inseridas em um ambiente mais favorável ao desenvolvimento de distúrbios alimentares.<br>This work studied a group of 221 college women, to identify those who presented risk factors compatible with the development of eating disorders. The Eating Attitudes Test was applied to 221 women (114 nutrition students and 107 students from other areas, unrelated to the health field). Results indicated that 22.17% of the group presented risk factors in the development of an eating disorder. Nutrition students presented a higher percentage (25.43%) than the other students (18.69%), but this difference was not significant. However, women who study nutrition may be exposed to an environment more propitious to the development of eating disorders

Predictors for anastomotic leak, postoperative complications, and mortality after right colectomy for cancer: Results from an international snapshot audit

Background: A right hemicolectomy is among the most commonly performed operations for colon cancer, but modern high-quality, multination data addressing the morbidity and mortality rates are lacking. Objective: This study reports the morbidity and mortality rates for right-sided colon cancer and identifies predictors for unfavorable short-term outcome after right hemicolectomy. Design: This was a snapshot observational prospective study. Setting: The study was conducted as a multicenter international study. Patients: The 2015 European Society of Coloproctology snapshot study was a prospective multicenter international series that included all patients undergoing elective or emergency right hemicolectomy or ileocecal resection over a 2-month period in early 2015. This is a subanalysis of the colon cancer cohort of patients. Main Outcome Measures: Predictors for anastomotic leak and 30-day postoperative morbidity and mortality were assessed using multivariable mixed-effect logistic regression models after variables selection with the Lasso method. Results: Of the 2515 included patients, an anastomosis was performed in 97.2% (n = 2444), handsewn in 38.5% (n = 940) and stapled in 61.5% (n = 1504) cases. The overall anastomotic leak rate was 7.4% (180/2444), 30-day morbidity was 38.0% (n = 956), and mortality was 2.6% (n = 66). Patients with anastomotic leak had a significantly increased mortality rate (10.6% vs 1.6% no-leak patients; p 65 0.001). At multivariable analysis the following variables were associated with anastomotic leak: longer duration of surgery (OR = 1.007 per min; p = 0.0037), open approach (OR = 1.9; p = 0.0037), and stapled anastomosis (OR = 1.5; p = 0.041). Limitations: This is an observational study, and therefore selection bias could be present. For this reason, a multivariable logistic regression model was performed, trying to correct possible confounding factors. Conclusions: Anastomotic leak after oncologic right hemicolectomy is a frequent complication, and it is associated with increased mortality. The key contributing surgical factors for anastomotic leak were anastomotic technique, surgical approach, and duration of surgery