10 research outputs found
Clinical And Laboratory Profile Of Pediatric And Adolescent Patients With Type 1 Diabetes
Objective: To evaluate clinical and laboratory profiles of patients with type 1 diabetes mellitus in three public hospitals in São Paulo, Brazil, since type 1 diabetes mellitus is a chronic illness that occurs mainly in the pediatric age group in the Brazilian population. Methods: Cross-sectional study with patients followed up in reference centers in São José do Rio Preto (FAMERP), Campinas (UNICAMP) and São Paulo (Conjunto Hospitalar do Mandaqui). Data about gender, age, diabetes duration, daily insulin dose, number of daily insulin injections, and glycosylated hemoglobin (HbA1c) were analyzed. Results: Two hundred and thirty-nine patients (131 females) were evaluated; mean age was 13.1±4.7 years and mean diabetes duration was 6.6±4.2 years. Daily insulin doses ranged from 0.1 to 1.78 units/kg/day (0.88±0.28), and 180 (74.7%) patients had two daily injections. HbA 1c ranged from 4.6 to 17.9% (10.0±2.3%). Conclusions: Although the hospitals included in this study are excellence centers for the follow-up of patients with diabetes in three municipalities in the state of São Paulo, one of the most developed states in Brazil, blood glucose control evaluated according to HbA1c was not adequate. Findings confirm that, despite the efforts of all the professionals involved, great challenges still lie ahead. Copyright © 2009 by Sociedade Brasileira de Pediatria.856490494Karvonen, M., Viik-Kajander, M., Moltchanova, E., Libman, I., LaPorte, R., Tuomilehto, J., Incidence of childhood type 1 diabetes worldwide. Diabetes Mondiale (DiaMond) Project Group (2000) Diabetes Care, 23, pp. 1516-1526Hoey, H., Aanstoot, H.J., Chiarelli, F., Daneman, D., Danne, T., Dorchy, H., Good metabolic control is associated with better quality of life in 2,101 adolescents with type 1 diabetes (2001) Diabetes Care, 24, pp. 1923-1928Danne, T., Mortensen, H.B., Hougaard, P., Lynggaard, H., Aanstoot, H.J., Chiarelli, F., Persistent differences among centers over 3 years in glycemic control and hypoglycemia in a study of 3,805 children and adolescents with type 1 diabetes from the Hvidøre Study Group (2001) Diabetes Care, 24, pp. 1342-1347The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. The Diabetes Control and Complications Trial Research Group. N Engl J Med. 1993;329:977-86Schmid, H., New options in insulin therapy (2007) J Pediatr (Rio J), 83, pp. S146-S154Effect of intensive diabetes treatment on the development and progression of long-term complications in adolescents with insulin-dependent diabetes mellitus: Diabetes Control and Complications Trial. Diabetes Control and Complications Trial Research Group. Group. J Pediatr. 1994;125:177-88Epidemiology of severe hypoglycemia in the diabetes control and complications trial. The DCCT Research Group (1991) Am J Med, 90, pp. 450-459Hypoglycemia in the Diabetes Control and Complications Trial. The Diabetes Control and Complications Trial Research Group (1997) Diabetes, 46, pp. 271-286Malerbi, D., Damiani, D., Rassi, N., Chacra, A.R., Niclewicz, E.D., Silva Filho, R., Posição de consenso da Sociedade Brasileira de Diabetes - Insulinoterapia intensiva e terapêutica com bombas de insulina. (2006) Arq Bras Endocrinol Metab, 50, pp. 125-135Rewers, M., Pihoker, C., Donaghue, K., Hanas, R., Swift, P., Klingensmith, G.J., Assessment and monitoring of glycemic control in children and adolescents with diabetes (2007) Pediatr Diabetes, 8, pp. 408-418Nathan, D.M., Cleary, P.A., Backlund, J.Y., Genuth, S.M., Lachin, J.M., Orchard, T.J., Intensive diabetes treatment and cardiovascular disease in patients with type 1 diabetes (2005) N Engl J Med, 353, pp. 2643-2653Mortensen, H.B., Robertson, K.J., Aanstoot, H.J., Danne, T., Holl, R.W., Hougaard, P., Insulin management and metabolic control of type 1 diabetes mellitus in childhood and adolescence in 18 countries. Hvidøre Study Group on Childhood Diabetes (1998) Diabet Med, 15, pp. 752-759Mendes, A.B., Fittipaldi, J.A., Neves, R.C., Chacra, A.R., Moreira Jr., E.D., Prevalence and correlates of inadequate glycaemic control: Results from a nationwide survey in 6,671 adults with diabetes in Brazil (2009) Acta Diabetol, , In pressEliaschewitz, F.G., Franco, D.R., Does brittle diabetes exist as a clinical entity? Arq Bras Endocrinol (2009) Metabol, 53, pp. 466-469Akbaş, S., Karabekiroǧlu, K., Ozgen, T., Tasdemir, G., Karakurt, M., Senses, A., Association between emotional and behavioral problems and metabolic control in children and adolescents with Type 1 diabetes (2009) J Endocrinol Invest, 32, pp. 325-329Grossi, S.A., Lottenberg, S.A., Lottenberg, A.M., Della Manna, T., Kuperman, H., Home blood glucose monitoring in type 1 diabetes mellitus (2009) Rev Lat Am Enfermagem, 17, pp. 194-200Crasto, W., Jarvis, J., Khunti, K., Davies, M.J., New insulins and new insulin regimens: A review of their role in improving glycaemic control in patients with diabetes (2009) Postgrad Med J, 85, pp. 257-26
Validação de poluentes fotoquímicos e inclusão do inventário de emissões no modelo de qualidade do ar WRF/CHEM, para a região metropolitana de São Paulo
Selection of Beauveria bassiana (Bals.) Vuill. and Metarhizium anisopliae (Metsch.) Sorok. for the control of the mite Mononychellus tanajoa (Bondar)
Are Breastfeeding And Complementary Feeding Of Children Of Adolescent Mothers Different From Those Of Adult Mothers? [a Amamentação E A Alimentação Complementar De Filhos De Mães Adolescentes São Diferentes Das De Filhos De Mães Adultas?]
Objectives: to study breastfeeding during the first year of life and the kind of complementary food provided at one year of life to children of adolescent mothers. To compare these data with breastfeeding and complementary food received by children of adult mothers. Method: a dual cohort was performed. Children we're selected from the files of CAISM/UNICAMP and assessed when they were one year old. This study consisted of 122 children born from adolescent mothers and 123 children born from adult mothers - full-term births, birthweight was 2,500 g or higher. When the children were one year old, the mothers were interviewed at home or at CIPED/UNICAMP. The results were compared using the chi-square test and the Fisher's test; α = 5%; the Kaplan-Meier method was used to analyze the duration of breastfeeding and the Wilcoxon test (Breslow) to compare the exclusive, predominant, full and total breastfeeding curves. Results: 94.3% of children of adolescent mothers and 95.9% of children of adult mothers left the maternity hospital being breastfed (p=0,544). The median exclusive breastfeeding duration for both groups was 90 days. After completing one year, 35.3% and 28.5% of children of adolescent and adult mothers, respectively, continued breastfeeding (p=0.254): only breastfeeding 11.5% × 8.9% and mixed feeding 23.8% × 19.5% (p=0.519). Meat intake by children of adolescent mothers was lower than that of children of adult mothers (13.9% × 26.0%; Fisher's test: p=0.031). With regard to egg intake, 11.5% × 19.5% of children of adolescent mothers and adult mothers did not eat egg but the results suggested that the egg intake of children of adolescent mothers was higher (p=0.082). Conclusions: duration and pattern of breastfeeding were similar between children of adolescent mothers and of adult mothers. The complementary nutrition was similar, except for a lower intake of meat and a higher intake of eggs among the children of adolescent mothers.794317324Guimarâes, E.B.M., (1992) Adolescência para Pais e Professores. 2a Ed., , Goiânia: EscalenoUzcátegui, O., El embarazo en la adolescente precoz (1997) Rev Obstet Ginecol Venez, 57, pp. 29-35Victora, C.G., Smith, P.G., Vaughan, J.P., Nobre, L.C., Lombardi, C., Teixeira, A.M., Evidence for protection by breast-feeding against infant deaths from infectious diseases in Brazil (1987) Lancet, 2 (8554), pp. 319-322Gouvêa, L.C., Aleitamento materno (1998) Distúrbios da Nutrição, pp. 15-31. , Nóbrega FJ, editor. Rio de Janeiro: RevinterPesquisa Nacional de Demografia e Saúde - 1996, , www.amamentacao.org.brLindblad, B.S., What are the most effective means of promoting exclusive breastfeeding? (2000) Acta Paediatr, 89, pp. 1405-1407Almroth, S., Mohale, M., Latham, M.C., Unnecessary water supplementation for babies: Grandmothers blame clinics (2000) Acta Paediatr, 89, pp. 1408-1413Innocenti Declaration on the protection, promotion and support of breastfeeding (1991) Ecol Food Nutr, 26, pp. 271-273Giugliani, E.R.J., O aleitamento materno na prática clínica (2000) J Pediatr (Rio J), 76 (SUPPL. 2), pp. 238-252Giugliani, E.R.J., Victoria, C.G., Alimentação complementar (2000) J Pediatr (Rio J.), 76 (SUPPL. 2), pp. 253-262Moura, E.F.A., Duração do período de aleitamento materno de crianças atendidas em ambulatório de pediatria (1997) J Pediatr (Rio J), 73, pp. 106-110Pedroso, G.C., (1996) Prevalência do Aleitamento Materno no Município de Embu (São Paulo), , no ano de [dissertação de mestrado]. São Paulo (SP): Escola Paulista de MedicinaMontrone, V.G., Arantes, C.I.S., Prevalência do aleitamento materno na cidade de São Carlos, São Paulo (2000) J Pediatr (Rio J), 76, pp. 138-142Kramer, M.S., Kakuma, R., Optimal duration of exclusive breastfeeding (2002) Cochrane Database Syst Rev, (1). , CD003517Cohen, R.J., Brown, K.H., Canahuati, J., Rivera, L.L., Dewey, K.G., Effects of age of introduction of complementary food on infant breast milk intake, total energy intake, and growth: A randomized intervention study in Honduras (1994) Lancet, 344, pp. 288-293Mehta, K.C., Specker, B.L., Bartholmey, S., Giddens, J., Ho, M.L., Trial on timing of introduction to solids and food type on infant growth (1998) Pediatrics, 102, pp. 569-573Burrows, R., Leiva, L., Bravo, R., Macho, L., Zvaighaft, A., Muzzo, S., Crecimiento y desarrollo de hijos de adolescentes de clase mediabaja. II Parte: 30 Meses de vida (1986) Rev Chil Pediatr, 57, pp. 491-496Carruth, B.R., Nevling, W., Skinner, J.D., Developmental and food profiles of infants born to adolescent and adult mothers (1997) J Adolesc Health, 20, pp. 434-444Frisancho, A.R., (1993) Anthropometric Standards for the Assessment of Growth and Nutritional Status. 4a Ed., , Ann Arbor: University of Michigan PressValenzuela, M.S., Abarca, B.C., Aillach, E.B., Aliste, V.C., Alvarado, C.S., Bocic, G.A., Primer año de vida en hijos de adolescentes (1987) Boletín del Hospital San Juan de Dios, 34, pp. 81-85Burrows, R., Carrasco, D., Muzzo, S., Crecimiento y desarrollo en hijos de adolescentes de clase media. Parte I (1985) Rev Chil Pediatr, 56, pp. 199-204Romero, M.I., Yetzen, G., Molina, R., Alarcón, G., González, E., Arestizábal, E., Caracteristicas del primer año de vida de hijos de madres adolescentes: Un estudio descriptivo de seguimiento (1984) Cuadernos Medico Sociales, 25, pp. 124-129Susin, L.R.O., Giugliani, E.R.J., Kummer, S.C., Maciel, M., Benjamin, A.C.W., Machado, D.B., Uma estratégia simples que aumenta os conhecimentos das mães em aleitamento materno e melhora as taxas de amamentação (1998) J Pediatr (Rio J), 74, pp. 368-376Bracco Neto, H., Taddei, J.A.A.C., Mudança de conhecimento de gestantes em aleitamento materno através de atividade educacional (2000) Revista Paulista de Pediatria, 18, pp. 7-14Primo, C.C., Caetano, L.C., A decisão de amamentar da nutriz: Percepção de sua mãe (1999) J Pediatr (Rio J), 75, pp. 449-455Giugliani, E.R., Issler, R.M., Justo, E.B., Seffrin, C.F., Hartmann, R.M., Carvalho, N.M., Risk factors for early termination of breastfeeding in Brazil (1992) Acta Paediatr, 81, pp. 484-487Caldeira, A.P., Goulart, E.M.A., A situação do aleitamento materno em Montes Claros, Minas Gerais: Estudo de uma amostra representativa (2000) J Pediatr (Rio J), 76, pp. 65-72Vieira, G.O., Glisser, M., Araújo, S.P.T., Sales, N.A., Indicadores do aleitamento materno na cidade de Feira de Santana, Bahia (1998) J Pediatr (Rio J), 74, pp. 11-16Bracco Neto, H., (1993) Implantação e Avaliação de Atividades de Incentivo ao Aleitamento Materno, Dirigida a Gestantes, em Unidades Básicas de Saúde, , [dissertação de mestrado]. São Paulo (SP): Escola Paulista de MedicinaMello, P.R.B., Pinto, G.R., Botelho, C., Influência do tabagismo na fertilidade, gestação e lactação (2001) J Pediatr (Rio J), 77, pp. 257-264Lima, M., Figueira, F., Ebrahim, G.J., Malnutrition among children of adolescent mothers in a squatter community of Recife, Brazil (1990) J Trop Pediatr, 36, pp. 14-1
Integration And Analysis Of Airborne Geophysical Data Through The Application Of Digital Imaging Processing Techniques And Unsupervised Classifications: The Example Of The Rio Das Velhas Greenstone Belt, Quadrilateral Ferrifero, Mg [integração E Análise De Dados Aerogeofísicos Por Meio Da Aplicação De Técnicas De Processamento Digital De Imagens E Classificação Não Supervisionada: O Exemplo Do Greenstone Belt Rio Das Velhas, Quadrilátero Ferrífero, Mg]
Poor outcrop and deep weathering characterize the Rio das Velhas Greenstone Belt in the southeastern from Brazil. This paper summarizes the use of high-density airborne survey for mineral exploration studies based on Interpretation enhancements of magnetic, radiometric and frequency domain electromagnetic data using image-processed methods and an unsupervised classification, The generated products provide new Insights and an excel lent tool for mapping and trace individual lithologlcal units, improving the information content of the single geophysical channels, The geophysical images were processed using different combinations, The best product was the analytical signal amplitude and inclination integrated by IHS transformation, Information extracted from this image maps the geology and lineament patterns at both regional and local scales. The K-means technique using ten classes was also applied to the geophysical data. These results enhance the lithologies mapped by the field geologists at the 1:100,000, Also shows important host rocks and different gold mineralized geological domains. Such domains host the known gold mineralization, illustrating the utility of these techniques to Improve the geological knowledge in the study area. © 2006 Sociedade Brasileira de Geofísica.244559572ALKMIM FF 8. 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Photoarylation of pyridines using aryldiazonium salts and visible light: an EDA approach
A metal-free methodology for the photoarylation of pyridines, in water, is described giving 2 and 4-arylated-pyridines in yields up to 96%. The scope of the aryldiazonium salts is presented showing important results depending on the nature and position of the substituent group in the diazonium salt, that is, electron-donating or electron-withdrawing in the ortho, meta, or para positions. Further heteroaromatics were also successfully photoarylated. Mechanistic studies and comparison between our methodology and similar metal-catalyzed procedures are presented, suggesting the occurrence of a visible-light EDA complex which generates the aryl radical with no need for an additional photocatalyst