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  1. Article ; Online: Fatores que interferem na duração do aleitamento materno de crianças na Região Metropolitana do Cariri cearense

    Aline Muniz Cruz Tavares / Fernanda Ribeiro da Silva / Maria Auxiliadora Macedo Callou / Rejane Ferreira da Silva. / Monise Pricila Salviano de Morais / Élida Mara Braga Rocha

    Demetra, Vol 15, Iss 0, Pp e47367-e

    2020  Volume 47367

    Abstract: Introduction: Exclusive Breastfeeding (EBF) is a fundamental dietary practice for the promotion of maternal and child health. Unfortunately, the rates for EBF in Brazil are still below that recommended by the World Health Organization. Objective: To ... ...

    Abstract Introduction: Exclusive Breastfeeding (EBF) is a fundamental dietary practice for the promotion of maternal and child health. Unfortunately, the rates for EBF in Brazil are still below that recommended by the World Health Organization. Objective: To analyze the factors that interfere in the duration of breastfeeding of children living in the metropolitan region of Cariri, Ceará. Method: Descriptive cross-sectional study, with a quantitative approach, carried out in the Metropolitan Region of Cariri, Ceará. The sample consisted of 177 children between 6 and 23 months of age. The data were collected through questionnaires containing information about the socioeconomic and demographic conditions of the family and child health. Statistical analyses were performed using the software Statistical Package for the Social Sciences, proceeding to the data descriptive analysis, application of the Chi-Square test, Odds Ratios (OR), 95% Confidence Interval (95% CI) and respective values of p were calculated by multinomial logistic regression. Results: The mean EBF length was 4.33 (± 1.98) months, only 38.9% of the evaluated children were exclusively breastfed until 6 months of life. In the multivariate logistic regression analysis, a greater chance of adequate EBF length was verified in families with <1/4 minimum wage (OR: 2.270 95% CI 1.104 - 4.666, p = 0.026). Conclusion: EBF in the municipalities evaluated is still unsatisfactory according to the recommendations recommended by health entities. Low per capita income was the determining factor for the proper practice of EBF in the lives of infants.
    Keywords aleitamento materno. desmame. lactente. estratégia de saúde da família ; Agriculture (General) ; S1-972 ; Public aspects of medicine ; RA1-1270
    Subject code 310
    Language English
    Publishing date 2020-10-01T00:00:00Z
    Publisher Universidade do Estado do Rio de Janeiro
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Design, Assessment, and Validation of a Questionnaire to Estimate Food-Dependent Exercise-Induced Anaphylaxis Prevalence in Latin American Population

    Jhonatan González-Santamaría / Jesús Gilberto Arámburo-Gálvez / Carlos Eduardo Beltrán-Cárdenas / José Antonio Mora-Melgem / Oscar Gerardo Figueroa-Salcido / Giovanni Isaí Ramírez-Torres / Feliznando Isidro Cárdenas-Torres / Itallo Carvalho Gomes / Tatiane Geralda André / María Auxiliadora Macêdo-Callou / Élida Mara Braga Rocha / Noé Ontiveros / Francisco Cabrera-Chávez

    Healthcare, Vol 8, Iss 519, p

    2020  Volume 519

    Abstract: There are no epidemiological data about food-dependent exercise-induced anaphylaxis (FDEIA) in Latin America. Our aim was to design, assess, and validate a questionnaire to identify potential FDEIA cases and/or estimate its prevalence by self-report. ... ...

    Abstract There are no epidemiological data about food-dependent exercise-induced anaphylaxis (FDEIA) in Latin America. Our aim was to design, assess, and validate a questionnaire to identify potential FDEIA cases and/or estimate its prevalence by self-report. Questions were included in the instrument to address the main symptoms of FDEIA, type/intensity of physical activity, and anaphylaxis. The instrument’s clarity, comprehension and repeatability were evaluated. These evaluations were carried out by Hispanic people (Argentinians/Colombians/Mexicans/Peruvians), including nine individuals with medical diagnosis of FDEIA, and Brazilians. The Flesch–Kincaid score was calculated using the INFLESZ software. The instrument was translated from Spanish to Brazilian Portuguese following the translation back-translation procedure. The participants rated the two versions of the questionnaire as clear and comprehensible (three-point ordinal scale) and very easy to understand [0.33; average (scale 0–10)]. For these evaluations, the Kendall’s W coefficient showed strong agreement among raters (W = 0.80; average). The Flesch–Kincaid score was 63.5 in average (documents considered as readable). The Cohen’s Kappa coefficient showed almost perfect agreement in repeatability (0.88; average). The validation process of two versions of an instrument, used to identify potential FDEIA cases, was successfully carried out and it was found applicable to Latin American countries for generating epidemiological data.
    Keywords food-dependent exercise-induced anaphylaxis ; survey studies ; questionnaire design ; Medicine ; R
    Subject code 690
    Language English
    Publishing date 2020-11-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Prevalence of Adverse Reactions to Gluten and People Going on a Gluten-Free Diet

    Jesús Gilberto Arámburo-Gálvez / Carlos Eduardo Beltrán-Cárdenas / Tatiane Geralda André / Itallo Carvalho Gomes / María Auxiliadora Macêdo-Callou / Élida Mara Braga-Rocha / Elaine Aparecida Mye-Takamatu-Watanabe / Vivian Rahmeier-Fietz / Oscar Gerardo Figueroa-Salcido / Marcela de Jesus Vergara-Jiménez / Lilian Karem Flores-Mendoza / Noé Ontiveros / Francisco Cabrera-Chávez

    Medicina, Vol 56, Iss 163, p

    A Survey Study Conducted in Brazil

    2020  Volume 163

    Abstract: Background: The prevalence of gluten-related disorders (GRD) and adherence to a gluten-free diet (GFD) remains unknown in Brazilian population and there is no published information on the scientific literature about the proportion of Brazilians that were ...

    Abstract Background: The prevalence of gluten-related disorders (GRD) and adherence to a gluten-free diet (GFD) remains unknown in Brazilian population and there is no published information on the scientific literature about the proportion of Brazilians that were diagnosed with a gluten-related disorder. Thus, the aim of this work was to estimate the prevalence of GRDs and adherence to a GFD by self-report in adult Brazilian population. Materials and Methods: A questionnaire-based cross-sectional study was conducted in two Brazilian cities. Results: The response rate was 93.2% (1630/1749). The self-reported prevalence rates were (95% CI): adverse reactions to gluten 10.06% (8.64–11.62); gluten sensitivity 2.33% (1.65–3.18); physician-diagnosed celiac disease 0.3% (0.09–0.71); non-celiac gluten sensitivity 1.71% (1.14–2.47); wheat allergy 0.79% (0.42–1.36); adherence to gluten-free diet 7.48% (6.25–8.87); gluten avoiders 15.21% (13.5–17.05). Among those who were following a GFD ( n = 122), 65.6% ( n = 80) of them reported that they did not develop symptoms after wheat/gluten ingestion and 50% ( n = 61) were following the diet without medical/dietitian advice. The main motivation for following a GFD in the self-reported and non-self-reported gluten sensitivity groups were the symptoms triggered after wheat/gluten ingestion (86.8%) and weight control (57.1%), respectively. Conclusions: Implementation of programs to increase awareness about GRDs among healthcare professionals and giving scientifically sound information to the general population about the risks and benefits for following a GFD are desirable actions in Brazil. The results also add to the growing body of evidence for highlighting the under-diagnosis of GRD and the trend for following a GFD in Latin America.
    Keywords celiac disease ; NCGS ; wheat allergy ; gluten-free diet ; self-report ; survey studies ; Medicine (General) ; R5-920
    Subject code 150
    Language English
    Publishing date 2020-04-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: HEPATOTOXICIDADE INDUZIDA PELO PARACETAMOL E A UTILIZAÇÃO DO NOMOGRAMA DE RUMACK-MATTHEW PARA AVALIAR A TERAPÊUTICA COM N-ACETILCISTEÍNA

    José Guedes da Silva Júnior / Natália da Silva Diniz de Souza Santos / Hallysson Douglas Andrade de Araújo / Bruno Dyogenis Cecilio Sá / José Adelson Alves do Nascimento Júnior / Nadine Gabryella Pontes Maciel / Sílvia Renata Ribeiro Araújo / Victor Felipe da Silva Araújo / Maria Auxiliadora Macêdo Callou / Talyta Valéria Siqueira do Monte

    Revista Uningá, Vol 56, Iss

    2019  Volume 4

    Abstract: O paracetamol ou acetaminofeno pertence à classe dos anti-inflamatórios não esteroidais (AINEs) e é atualmente um dos fármacos de venda livre mais popular e consumido no mundo. Este medicamento apresenta um bom perfil de segurança quando usado em doses ... ...

    Abstract O paracetamol ou acetaminofeno pertence à classe dos anti-inflamatórios não esteroidais (AINEs) e é atualmente um dos fármacos de venda livre mais popular e consumido no mundo. Este medicamento apresenta um bom perfil de segurança quando usado em doses terapêuticas. No entanto, em casos de super-dosagem, intoxicação grave e insuficiência hepática podem ocorrer. O metabólito responsável pelos efeitos tóxicos é N-acetil-p-benzoquinonaimina (NAPQI), que após depleção dos níveis de glutationa (GSH), liga-se covalentemente a macromoléculas causando lesão nos hepatócitos. Visando disponibilizar um material fundamentado teoricamente no qual está descrito em detalhes os mecanismos que levam a hepatotoxicidade, os principais fatores que estão envolvidos nesse processo e uma solução imediata e eficaz na tentativa de reverter o quadro, foi realizada uma revisão bibliográfica utilizando material extraído das bases de dados SciElO (Scientific Electronic Library Online), BVS (Biblioteca Virtual em Saúde), Google Acadêmico e PubMed, como forma de explicar os eventos responsáveis por desencadear a toxicidade, como também medidas que podem ser tomadas diante de um paciente intoxicado com acetaminofen. Contudo, a obtenção de níveis séricos de paracetamol dentro 4-24 horas permite fazer uma estimativa da gravidade da intoxicação baseado no nomograma de Rumack-Matthews, que é um parâmetro utilizado para iniciar ou não o tratamento com N-acetilcisteína (NAC), antídoto padrão empregado em situações de overdose causado por paracetamol. Assim, a terapia antidotal de NAC visa fornecer a cisteína necessária para a síntese hepática de glutationa. Palavras-chave: Hepatotoxicidade, Paracetamol, (NAPQI), Glutationa, N-acetilcisteína e anti-inflamatórios (AINE).
    Keywords Hepatotoxicidade ; Paracetamol ; NAPQI ; Glutationa ; N-acetilcisteína ; anti-inflamatórios (AINE) ; Biology (General) ; QH301-705.5 ; Nursing ; RT1-120
    Language English
    Publishing date 2019-11-01T00:00:00Z
    Publisher Editora Uningá
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Translation, Cultural Adaptation, and Evaluation of a Brazilian Portuguese Questionnaire to Estimate the Self-Reported Prevalence of Gluten-Related Disorders and Adherence to Gluten-Free Diet

    Jesús Gilberto Arámburo-Gálvez / Itallo Carvalho Gomes / Tatiane Geralda André / Carlos Eduardo Beltrán-Cárdenas / María Auxiliadora Macêdo-Callou / Élida Mara Braga Rocha / Elaine Aparecida Mye-Takamatu-Watanabe / Vivian Rahmeier-Fietz / Oscar Gerardo Figueroa-Salcido / Feliznando Isidro Cárdenas-Torres / Noé Ontiveros / Francisco Cabrera-Chávez

    Medicina, Vol 55, Iss 9, p

    2019  Volume 593

    Abstract: Background : A Spanish version of a questionnaire intended to estimate, at the population level, the prevalence rates of self-reported gluten-related disorders and adherence to gluten-free diets has been applied in four Latin American countries. However, ...

    Abstract Background : A Spanish version of a questionnaire intended to estimate, at the population level, the prevalence rates of self-reported gluten-related disorders and adherence to gluten-free diets has been applied in four Latin American countries. However, idiom issues have hampered the questionnaire application in the Brazilian population. Thus, the aim of the present study was to carry out a translation, cultural adaptation, and evaluation of a Brazilian Portuguese questionnaire to estimate the self-reported prevalence of gluten-related disorders and adherence to gluten-free diets in a Brazilian population. Materials and Methods : Two bilingual Portuguese–Spanish health professionals carried out the translation of the original Spanish version of the questionnaire to Brazilian-Portuguese. Matching between the two translations was evaluated using the WCopyFind.4.1.5 software. Words in conflict were conciliated, and the conciliated version of the Brazilian Portuguese instrument was evaluated to determine its clarity, comprehension, and consistency. A pilot study was carried out using an online platform. Results : The two questionnaires translated into Brazilian Portuguese were highly matched (81.8%–84.1%). The questions of the conciliated questionnaire were clear and comprehensible with a high agreement among the evaluators ( n = 64) (average Kendall’s W score was 0.875). The participants did not suggest re-wording of questions. The answers to the questions were consistent after two applications of the questionnaire (Cohen’s k = 0.869). The pilot online survey yielded low response rates (9.0%) highlighting the need for face-to-face interviews. Conclusions : The translation and evaluation of a Brazilian Portuguese questionnaire to estimate the self-reported prevalence rates of gluten-related disorders and adherence to gluten-free diets was carried out. The instrument is clear, comprehensible, and generates reproducible results in the target population. Further survey studies involving face-to-face interviews are warranted.
    Keywords celiac disease ; gluten-free diet ; gluten-related disorders ; NCGS ; self-report ; survey studies ; Medicine (General) ; R5-920
    Subject code 150
    Language English
    Publishing date 2019-09-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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