Nutritional status and quality of life in HIV-infected patients

Introduction: Nutritional status and the progression of the human immunodeficiency virus (HIV) are interlinked; though some studies have looked at the impact nutritional status has on quality of life (QoL) in patients with chronic diseases, few have studied this in HIV-infected individuals. Objective: To investigate the relationship between nutritional status and QoL in adults with a recent HIV diagnosis. Methods: Individuals with an HIV diagnosis performed in the fourteen months prior to a medical visit to one of Lisbon’s central hospitals were eligible. Nutritional status was assessed by anthropometry, body composition analysis, and dietary intake. QoL was assessed using the WHOQOLHIV-BREF questionnaire. Sociodemographic and clinical data were also considered. Results: Fifty-one subjects were eligible for enrollment; the majority were male, Caucasian, employed, single, and under highly active antiretroviral therapy (HAART). Lower QoL scores were observed in subjects with inadequate energy intakes, reported weight loss, and a high waist circumference in bivariate analysis (p < 0.05); the same variables influenced QoL negatively after adjusting for confounders in multivariate analysis (p < 0.05). Various sociodemographic characteristics such as level of education, age, gender, and current health problems also predicted QoL significantly (p < 0.05). Conclusion: Various aspects of nutritional status were responsible for the variations observed in QoL, suggesting a potential for nutritional intervention in improving QoL in this population.info:eu-repo/semantics/publishedVersio

Consecutive use of the 52 mg levonorgestrel-releasing intrauterine system: variations in bleeding patterns

Changes in bleeding patterns could influence the decisions of healthcare professionals to change the levonorgestrel-releasing intrauterine system (LNG-IUS) before 7 years of use, the recommended period of extended use. We evaluated changes in the bleeding patterns of users of the 52 mg LNG-IUS at the end of use of the first (IUS-1) and during the second device (IUS-2) use. We performed an audit of the medical records of all women who used two consecutive LNG-IUSs at the Family Planning clinic. We evaluated the sociodemographic/gynecological variables, the length of use, and the bleeding patterns reported in the reference periods of 90 days before removal of the IUS-1 and at the last return in use of IUS-2. We used the McNemar test to compare bleeding patterns. Statistical significance was established at p < 0.05. We evaluated 301 women aged (mean ± SD) 32 (±6.1) years, with lengths of use of 68.9 (±16.8) and 20.3 (±16.7) months for the IUS-1 and IUS-2, respectively. No pregnancies were reported. Bleeding patterns varied significantly among women who used the IUS-2 for ≥ 7 months to 6 years when compared the bleeding patterns reported in IUS-1 use. Eighty-nine out of 221 (40%) women maintained amenorrhea and infrequent bleeding; 66 (30%) evolved to bleeding patterns with light flow, and 66 (30%) maintained or evolved to heavy flow patterns (p = 0.012). No differences were observed among the 80 women with ≤ 6 months of use. Changes in bleeding patterns occur during the use of LNG-IUS and should not be decisive for the early replacement of the device424194199Variações no padrão de sangramento podem afetar a decisão de troca do sistema intrauterino de levonorgestrel (SIU-LNG) antes do período de uso estendido recomendado de 7 anos. Nós avaliamos mudanças no padrão de sangramento de usuárias ao final do uso do primeiro SIU-LNG 52 mg (SIU-1) e durante o uso do segundo dispositivo (SIU-2). Revisamos os prontuários de todas as mulheres que inseriram consecutivamente o SIU-LNG no ambulatório de Planejamento Familiar. Foram avaliadas as variáveis sociodemográficas/ginecológicas, o tempo de uso, e os padrões de sangramento relatados nos períodos de referência de 90 dias antes da remoção do SIU-1 e no último retorno em uso do SIU-2. Usamos o teste de McNemar para comparar os padrões de sangramento. A significância estatística foi estabelecida em p < 0,05. Analisamos os dados de 301 mulheres com idade (média ± desvio padrão [DP]) de 32 (±6,1) anos e tempo de uso de 68,9 (±16,8) e 20,3 (±16,7) meses para o SIU-1 e SIU-2, respectivamente. Nenhuma gravidez foi relatada. Os padrões de sangramento variaram significativamente durante o uso do SIU-2 (≥ 7 meses a 6 anos) em relação ao padrão relatado no SIU-1. Oitenta e nove das 221 (40%) mulheres mantiveram amenorreia e sangramento infrequente; 66 (30%) evoluíram para padrões de sangramento com fluxo leve e 66 (30%) mantiveram ou evoluíram para padrões de fluxo intenso (p = 0,012). Não foram observadas diferenças entre as 80 mulheres que utilizavam o SIU-2 há ≤ 6 meses. Mudanças nos padrões de sangramento ocorrem durante o uso do LNG-IUS e não devem ser decisivas para a troca precoce do dispositiv

A faixa de normalidade e alguns fatores relacionados ao ciclo menstrual das mulheres da Ilha de Santa Catarina

Trabalho de Conclusão de Curso - Universidade Federal de Santa Catarina, Centro de Ciências da Saúde, Departamento de Tocoginecologia, Curso de Medicina, Florianópolis, 199

Intensidade Do Trabalho Docente Estudo Sobre Professores Do Ensino Fundamental I Da Rede Estadual Paulista Na Cidade De Guarulhos

The Objective Of The Present Research Is To Comprehend The Work Intensity Considering The Transformations Taken Place In Teaching Labor Starting In The Decade Of 1980 On The State Of São Paulo Educational Network, Focusing On The City Of Guarulhos. The Transformations In The Organization And Labor Managing, On The Public And Private Sectors Alike, Have Accentuated The Process Of Fragmentation And Individualization Of Working Hours, As Well As Influencing The Stretching Of Work Day, Also Hitting Education . Such Transformations Affect The Process Of Precariousness Of Labor Conditions, Consensus On The Theme's Bibliography (Assunção; Oliveira, 2009; Apple, 1995; Enguita, 1991). Under This Perspective, Analysis Takes Place From Comparative Analysis Of Gepesco (2014) And Gestrado (2010-2015) Databases, Besides Qualitative Research, Through Focus Groups Interviews. From These Assumptions, This Research's Objective Is To Comprehend Labor Intensity And Its Implications To Work Representations And The Life Of AlphabeO Objetivo Da Presente Pesquisa É Compreender A Intensidade Do Trabalho, Considerando As Transformações Ocorridas No Trabalho Docente A Partir Da Década De 1980 Na Rede Pública Estadual Paulista, Com Foco Na Cidade De Guarulhos. As Transformações Na Organização E Na Gestão Laboral, Tanto No Setor Privado Quanto No Público, Acentuaram O Processo De Fragmentação E Individualização Do Tempo De Trabalho, Além De Influenciarem No Alongamento Da Jornada, Atingindo Também A Educação . Tais Transformações Incidem Sobre O Processo De Precarização Das Condições De Trabalho, Consenso Na Bibliografia Sobre O Tema (Assunção; Oliveira, 2009; Apple 1995; Enguita 1991). Sob Esta Perspectiva, A Investigação Ocorre Por Meio Da Análise Da Intensidade A Partir Do Banco De Dados Do Gepecso (2014) E Do Gestrado (2010 " 2015), Além De Pesquisa Qualitativa, Por Meio De Entrevistas Com Grupos Focais. Partindo Desses Pressupostos, O Objetivo Desta Pesquisa É Compreender A Intensidade Do Trabalho E Suas Implicações Para As RepresentaçõDados abertos - Sucupira - Teses e dissertações (2018

Comparison of nonlinear growth models and factors affecting body weight at different ages in Toy Poodles

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Reabilitação oral de paciente portador de deformidade orofacial ocasionada por neoplasia maligna

Brazil has the third biggest incidence of oral cavity cancer in the world. The malignant neoplasms, which attack head and neck region, have many treatment proposals, according to the tumor injury severity, medical history and patient age. When affecting maxilla they are typically treated through maxillectomy, which means partial or total maxilla removal. This procedure results in surgical defect that leads to oroantral communication. The rehabilitation of these patients can be done through prosthetic means with very good results, allowing adequate swallowing and speech condition and ensuring a better life quality and social reintegration for the surgery after-effects carriers as well. The objective of this work is to describe an oral rehabilitation case, installing an obturator conventional totally removable prosthesis, in a female patient at age of 69, who was diagnosed with squamous cell carcinoma moderately differentiated in the maxillary sinus region that extended to the vicinity areas (eyeball, zygomatic and palate), who was previously surgical treated with unilateral maxillectomy, even though without surgical reconstruction of the resulting defect. For patients with tumor injury clinical history, the techniques and molding material choice, as well as the surgical area neighboring tissues integrity care, require special attention and judicious procedure. The prosthesis allowed not only the function recovery, but also, the esthetics, enabling the patient social reintegration.Trabalho de Conclusão de Curso (Graduação)O Brasil tem a terceira maior incidência de câncer que afeta a cavidade oral do mundo. As neoplasias malígnas que acometem a região de cabeça e pescoço possuem diversas propostas de tratamento, de acordo com a severidade da lesão tumoral, história médica e idade do paciente. Quando afetam a maxila, são comumente tratadas por meio da maxilectomia, que consiste em remoção parcial ou total da maxila. Este procedimento resulta em um defeito cirúrgico, ocasionando comunicação bucossinusal. A reabilitação desses pacientes pode ser feita por meios protéticos com ótimos resultados, possibilitando uma adequada condição de deglutição e fala, garantindo uma melhor qualidade de vida e reintegração social aos portadores de sequelas cirúrgicas. O objetivo do trabalho é relatar um caso de reabilitação oral por meio da instalação de prótese removível total convencional obturadora, em paciente do sexo feminino, 69 anos de idade, diagnosticada com carcinoma epidermoide moderadamente diferenciado na região de seio maxilar estendendo-se para globo ocular, processo zigomático e palato, previamente tratada cirurgicamente com maxilectomia unilateral, sem reconstrução cirúrgica do defeito. Para pacientes com história clínica de lesão tumoral, a escolha das técnicas e materiais de moldagem, assim como os cuidados com a integridade dos tecidos vizinhos à área cirúrgica exigem atenção especial e condução criteriosa. A prótese possibilitou a devolução das funções estética, fonética e mastigação, permitindo a reintegração social da paciente

Characterization and damage of brick masonry

Series : Building pathology and rehabilitation, ISSN 2194-9832, vol. 2Clay brick is among the oldest used masonry materials. Given the technological evolutions since the industrial revolutions, old brick are much dif-ferent from todays’ bricks. This chapter provides a review on the chemical, physi-cal and mechanical properties of mortar, brick and masonry. In addition, a discus-sion on the possible causes of damage and the usage of expert systems in building diagnostics is also given

Prevalence of orofacial trauma in soccer players of a Brazilian club

Introduction: The objectives of the study were to evaluate the prevalence of orofacial injuries in soccer players of a Brazilian club, considering the category, the position in the field, and the most affected anatomic site, through medical records. Methods: A total of 126 charts of players from the base categories (sub-15, sub-17, and sub-20) and male and female professional categories from 2016 to 2018 were evaluated. It was considered inclusion criteria to be a soccer player hired by a club in the indicated period. The exclusion criteria of the study correspond to the medical records registered after the chronological date stipulated or that did not have the correct registry of the occurred trauma. Results: The data analyzed presented a moderate value in relation to the orofacial traumas prevalence, and 64.3% of the athletes of the club have some record type of trauma in the face. We observed that soft-tissue lacerations of the lips and dental fractures present the highest frequencies (73% and 27%, respectively). The positions of defender, striker, and midfield are the most susceptible to injuries (31%, 24%, and 23%, respectively). Conclusion: Dental and orofacial trauma are a problem commonly encountered in sports, being present also in collective sports, such as football. It was observed a moderate prevalence of injuries on the face, especially among the athletes who are ahead of the attack line, with lip lacerations and dental fractures being the most common events