This study analyzes the eating behavior and factors associated with the presence of disordered eating attitudes in patients undergoing bariatric surgery. It is a cross-sectional, descriptive, and ...analytical study conducted at a hospital in the Amazon region of Brazil. The Disordered Eating Attitude Scale reduced version (DEAS-s) was used to assess the risk of eating disorders and the Three-Factor Eating Questionnaire (TFEQ-R21) was used to characterize eating behavior. A total of 205 patients participated, with a mean age of 37.5 ± 8.6 years. The majority of participants were female (93.7%; p < 0.001), and the mean BMI was 45.3 ± 6.7 kg/m2. It was found that cognitive restraint had the highest mean (52.6 ± 19.9; p < 0.001). As for the DEAS-s, the question with the highest mean response was “spending one or more days without eating or consuming only liquids to lose weight” (2.80 ± 1.99). Female participants had a higher score for emotional eating (p = 0.016). Disordered eating attitudes showed a correlation with emotional eating and uncontrolled eating. These results suggest that candidates for bariatric surgery may have susceptibility to eating disorders. The importance of a multidisciplinary team conducting monitoring during the preoperative period is highlighted.
Purpose: To analyze the correlation between anxiety symptoms and perceived quality of life in women more than 24 months after undergoing bariatric surgery. Methods: Cross-sectional, descriptive and ...analytical study, carried out with women who underwent bariatric surgery after at least 24 months. To assess the level of anxiety symptoms, the Beck Inventory was used and to assess the perception of quality of life, the Item Short Form Healthy Survey was applied. Results: Of the 50 participants, 36.0% had reports indicative of moderate symptoms and 64.0% had severe symptoms of anxiety. The domains of quality of life that correlated with better perception were pain (p < 0.001), functional capacity (p = 0.013), general health status (p = 0.018), social aspects (p < 0.001), and mental health (p < 0.001). In linear regression, a significant inverse correlation was found between the general emotional component of quality of life and anxiety score (β = −0.546; CI −1.419; −0.559; p < 0.001) and between the general physical component of quality of life and anxiety score (β = −0.339; CI −0.899; −0.131; p = 0.010), both independent of weight regain and surgery time. Conclusions: It was observed that moderate to severe anxiety symptoms seem to interfere with the perception of quality of life, regardless of weight regain and surgery time.
Until this moment, no research has been found that has assessed adherence to online nutritional monitoring by adults with Diabetes Mellitus Type 1 (T1DM) during the pandemic. This article aims to ...analyze the association between eating habits and adherence to nutritional online care by adults with T1DM during social distancing because of the COVID-19 pandemic in Brazil. A cross-sectional study was carried out in July 2020. An online form was used to collect sociodemographic data, financial status, eating habits, carrying out online nutritional monitoring, and adherence to social distancing. Pearson's chi-squared test was performed with adjusted residual analysis and binomial logistic regression analysis (
< 0.05). Out of the 472 adults, only 8.9% had consulted with a nutritionist. Doing nutritional monitoring online during social distancing was associated with a reduction in the consumption of ultra-processed foods (
= 0.021), eating more servings of fruit (
= 0.036), and doing carbohydrate counting (CC) more frequently (
= 0.000). Doing nutritional monitoring online increased adherence to carbohydrate counting by 2.57 times and increased the consumption of fruits by 0.423 times. Therefore, nutritional monitoring, even if performed remotely, can influence the acquisition and maintenance of healthier eating habits, in addition to assisting adherence to the practice of CC.
Resumo Objetivo Identificar os usuários de um Centro de Atenção Psicossocial que apresentam dependência de cuidador e seus fatores associados. Métodos Estudo ecológico, com coleta de dados ...secundários de prontuários de pessoas que vivem com transtorno mental, ocorrida no ano de 2018 em um Centro de Atenção Psicossocial no Centro-Oeste brasileiro. Na análise, usou-se como variável dependente “necessidade de cuidador”. Resultados Na amostra de 360 prontuários, houve prevalência do sexo feminino (220; 61,1%), idade entre 35 a 59 anos (190; 52,8%), tempo de tratamento ≤5 anos (164; 45,6%), cuidado exercido por família/amigos (162; 45,0%), diagnóstico principal de transtornos psicóticos (128; 35,6%) e em uso de antipsicóticos (275; 76,4%). Na análise múltipla, permaneceram associadas as variáveis ter escolaridade não letrado/fundamental (p=0,041), possuir transtorno psicótico (p=0,009) e usar antidepressivo (p=0,026). Conclusão O estudo apontou que fatores como ser do sexo masculino, possuir escolaridade não letrado/fundamental, ter transtorno psicótico e fazer uso de antidepressivo possuem maiores índices para dependência de cuidados e devem ser considerados e investigados pela equipe dos Centros de Atenção Psicossocial.
Individuals undergoing bariatric Surgery (BS) may have long-term weight regain. There is a need to investigate factors that may be related to this and if they can interfere with Quality of Life ...(QOL). This study aims to evaluate the relationship between eating behavior, perception of QOL, and weight regain in women after 24 months of bariatric surgery. This was a transversal study with 50 adult women residents in the city of Belém, Brazil. Sociodemographic, anthropometric, eating behavior (Three-Factor Eating Questionnaire—TFEQ-21) and perception of QOL (Item Short Form Healthy Survey—SF-36) data were collected. In 60% (n = 30) there was weight regain (≥15%), with a mean weight regain of 23.3% (±18.4). Emotional eating was the most frequent pattern (p = 0.047). Regarding QOL, the functional capacity and limitation due to physical aspects domains had a better perception (p < 0.0001). Women without weight regain showed a better perception of the functional capacity aspects (p = 0.007), limitation due to physical aspects (p = 0.044), social aspects (p = 0.048), and general physical components (p = 0.016) and also had an inverse association with the perception of QOL in physical components (p = 0.008). Patterns of eating behavior and weight regain can damage the perception of QOL, especially physical capacity. Long-term follow-up is essential to evaluate the behavior of people who have undergone BS in order to prevent weight regain and QOL damage.
This work aimed to apply the ARIMA model to predict the under-reporting of new Hansen's disease cases during the COVID-19 pandemic in Palmas, Tocantins, Brazil. This is an ecological time series ...study of Hansen's disease indicators in the city of Palmas between 2001 and 2020 using the autoregressive integrated moving averages method. Data from the Notifiable Injuries Information System and population estimates from the Brazilian Institute of Geography and Statistics were collected. A total of 7035 new reported cases of Hansen's disease were analyzed. The ARIMA model (4,0,3) presented the lowest values for the two tested information criteria and was the one that best fit the data, as AIC = 431.30 and BIC = 462.28, using a statistical significance level of 0.05 and showing the differences between the predicted values and those recorded in the notifications, indicating a large number of under-reporting of Hansen's disease new cases during the period from April to December 2020. The ARIMA model reported that 177% of new cases of Hansen's disease were not reported in Palmas during the period of the COVID-19 pandemic in 2020. This study shows the need for the municipal control program to undertake immediate actions in terms of actively searching for cases and reducing their hidden prevalence.
To identify the socioeconomic, demographic, operational, and health service-related factors associated with the occurrence of leprosy in a hyperendemic State in North Brazil.
This is an ecological ...study based on secondary data from the Sistema de Informações de Agravos de Notificação in municipalities of the State of Tocantins from 2001 to 2012. Units of analysis were the 139 municipalities of the State. Negative binomial log linear regression models were used to estimate incidence rate ratios.
In bivariate analysis, the incidence rate ratios were significantly higher for municipalities with higher income ratio of the poorest 20.0% (1.47; 95%CI 1.19-1.81) and better Municipal Human Development Index (1.53; 95%CI 1.14-2.06). In multivariate analysis, the incidence rate ratios were significantly higher in municipalities with higher proportion of immigrants (1.31; 95%CI 1.11-1.55) and higher proportion of households with waste collection (1.37; 95%CI 1.11-1.69). There was a significant reduction in the incidence rate ratio with increased coverage of the Bolsa Família Program (0.98; 95%CI 0.96-0.99).
Control programs need to focus on activities in municipalities of greater social vulnerability with intersectoral investment for the improvement of the living conditions of the population.
Identificar fatores socioeconômicos, demográficos, operacionais e de serviços de saúde associados à ocorrência da hanseníase em um estado hiperendêmico do norte do Brasil.
Estudo ecológico com dados secundários do Sistema de Informações de Agravos de Notificação em municípios do estado do Tocantins de 2001 a 2012. As unidades de análise foram os 139 municípios do estado. Modelos de regressão log linear binomial negativa foram utilizados para estimar as razões de taxas de incidência.
Na análise bivariada, a razão de taxa de incidência foi significativamente maior para os municípios com maior razão de renda dos 20,0% mais pobres (1,47; IC95% 1,19-1,81) e melhor Índice de Desenvolvimento Humano Municipal (1,53; IC95% 1,14-2,06). Na múltipla, a razão de taxa de incidência foi significativamente superior em municípios com maior concentração de imigrantes (1,31; IC95% 1,11-1,55) e proporção de domicílios com coleta de lixo (1,37; IC95% 1,11-1,69). Houve redução significativa da razão de taxa de incidência com o aumento da cobertura do programa bolsa família (0,98; IC95% 0,96-0,99).
Os programas de controle precisam focar as atividades em municípios de maior vulnerabilidade social com investimentos intersetoriais para a melhoria das condições de vida da população.
Montebrasite is a lithium aluminum phosphate mineral with the chemical formula LiAlPO4(Fx,OH1-x) and considered a rare gemstone material when exhibiting good crystallinity. In general, montebrasite ...is colorless, sometimes pale yellow or pale blue. Many minerals that do not have colors contain hydroxyl ions in their crystal structures and can develop color centers after ionization or particle irradiation, examples of which are topaz, quartz, and tourmaline. The color centers in these minerals are often related to O- hole centers, where the color is produced by bound small polarons inducing absorption bands in the near UV to the visible spectral range. In this work, colorless montebrasite specimens from Minas Gerais state, Brazil, were investigated by electron paramagnetic resonance (EPR) for radiation-induced defects and color centers. Although γ irradiation (up to a total dose of 1 MGy) did not visibly modify color, a 10 MeV electron irradiation (80 MGy) induced a pale greenish-blue color. Using EPR, O- hole centers were identified in both γ- or electron-irradiated montebrasite samples showing superhyperfine interactions with two nearly equivalent 27Al nuclei. In addition, two different Ti3+ electron centers were also observed. From the γ irradiation dose dependency and thermal stability experiments, it is concluded that production of O- hole centers is limited by simultaneous creation of Ti3+ electron centers located between two equivalent hydroxyl groups. In contrast, the concentration of O- hole centers can be strongly increased by high-dose electron irradiation independent of the type of Ti3+ electron centers. From detailed analysis of the EPR angular rotation patterns, microscopic models for the O- hole and Ti3+ electron centers are presented, as well as their role in the formation of color centers discussed and compared to other minerals.
Due to 2019 coronavirus disease (COVID-19) pandemic, it was necessary to develop a vaccine able to reduce the severity of the disease, decreasing hospitalization and death. The approval of the ...emergency use of these immunizers brought concerns about monitoring possible adverse effects, including myocarditis. This study aimed to analyse the incidence of myocarditis after immunization against COVID-19. A systematic review was conducted using the PRISMA method, searching the bibliographic databases PubMed, Cochrane and Scielo, April 2022, with the following descriptors: covid-19 vaccine AND myocarditis AND adverse effect. Inclusion criteria were articles published in the last 5 years approaching review, systematic review and meta-analysis type that addressed the association of immunization against COVID-19 with the development of myocarditis, in English. A total of 162 articles were found and 24 were eligible.Vaccines can induce an immune response including antibodies production against pathogens. On account of COVID-19, vaccines were developed with different technologies such as messenger RNA and, as their side effect, myocarditis has been observed, mostly in young adults and male teenagers, days after immunization and usually after the second dose. Studies suggest that a possible cause for the male incidence of post-vaccine myocarditis would be the difference in sexual hormones in the immune response. More research should be carried out to understand better the risk-benefit ratio of COVID-19 vaccines, even though there are already reports where the benefits and effectiveness of vaccines against COVID-19 have been shown outweighing the risk of myocarditis.
Relationship between vaccines against coronavirus disease 2019 (COVID-19) and myocarditis Lorena Araujo Silva Dias1, Nathalia Monerat Pinto Blazuti Barreto1 1Faculty of Medicine, Centro Universitario ...de Volta Redonda, Volta Redonda-Brazil. Background: Due to 2019 coronavirus disease (COVID-19) pandemic, it was necessary to develop a vaccine able to reduce the severity of the disease, decreasing hospitalization and death. The approval of the emergency use of these immunizers brought concerns about monitoring possible adverse effects, including myocarditis. Objective: To analyse the incidence of myocarditis after immunization against COVID-19. Method: Systematic review using the PRISMA method, searching the bibliographic databases PubMed, Cochrane and Scielo, April 2022, with the following descriptors: covid-19 vaccine AND myocarditis AND adverse effect. Inclusion criteria were articles published in the last 5 years approaching review, systematic review and meta-analysis type that addressed the association of immunization against COVID-19 with the development of myocarditis, in English. A total of 162 articles were found and 24 were eligible. Discussion: Vaccines can induce an immune response including antibodies production against pathogens. Due to COVID19, vaccines were developed with different technologies such as messenger RNA and, as their side effect, myocarditis has been observed, mostly in young adults and male teenagers, days after immunization and usually after the second dose. Studies suggest that a possible cause for the male incidence of post-vaccine myocarditis would be the difference in sexual hormones in the immune response. Conclusion: More research should be carried out to understand better the risk-benefit ratio of COVID-19 vaccines, even though there are already reports where the benefits and effectiveness of vaccines against COVID-19 have been shown outweighing the risk of myocarditis.
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