Repositório RCAAP

The survival of newborn preterm and very low birth weight (VLBW) infants has increased in recent decades and preterm delivery has been touted as a stressor in relation to maternal emotional balance. Mothers of VLBW have higher incidence of anxiety and depressive symptoms, as well as poorer perception of well-being than mothers of full-term newborns. This study examined the intensity of depressive symptoms in mothers of VLBW infants during the initial 12 months after childbirth and the association of these symptoms with sociodemographic characteristics, maternal quality of life and infants clinical characteristics. Mothers of VLBW infants (gestational age &#8804; 34 weeks; birth weight < 1.500 g) admitted to a neonatal intensive care unit (NICU) were invited to participate in a longitudinal study. Mothers responded to the Beck Depression Inventory (BDI) and WHOQOL-BREF four times over 12 months to assess the presence and intensity of depressive symptoms and quality of life, respectively. At mother s discharge, 83 mothers participated, and then, 60, 56 and 40 mothers were interviewed after three, six and 12 months post-delivery, respectively. The BDI (median; P25-P75) scores were higher at discharge (9.0; 6-19) compared to those obtained three (6.0; 3.0-12.0) (p = 0.02), six (6.0; 2.0-10.0) (p < 0.01) and 12 months (5.0; 3.7-11.2) (p < 0.01) post-delivery (p < 0.05). An association was observed between the BDI scores and the absence of a stable marital status, many previous fetal or postnatal losses, a lower total WHOQOL-BREF score, a longer infants length of hospital stay and the presence of bronchopulmonary dysplasia (BPD). Mothers of VLBW infants, particularly single women, had more intense depressive symptoms at the time of their discharge and were more vulnerable to negative effects on their quality of life.

Purpose:To evaluate pain and stress in the face of vibrocompression (VC) and secretion aspiration (SA) in babies. Methods:A clinical transversal, exploratory, controlled, prospective and randomized study with twenty babies having respiratory infection. The variables relating to heart rate (HR), respiratory frequency (f), Peripheral Oxygen Saturation (SpO2) and Neonatal Pain Scale - NIPS were evaluated before, during and after the techniques. Alpha - Amylase (AA) and Salivary Cortisol (CS) were carried out at rest, at 5\', at 20\' and at 40\'. Results:The FC (heart rate) rose during SA (p=0.0057); f did not change (p=0.8212); SpO2 reduced during SA (p=0.0001); NIPS represented pain during SA (p=0,0142), AA showed no difference; SC increased during SA (p=0.0001), with higher averages after 20\' and 40\'. At VC these variables did not change. Conclusion:SA changed HR, SpO2, NIPS, and SC, proving itself to be painful, while VC did not produce pain or stress in babies.

Introduction: Cerebral palsy patients often have dysfunction of the gastrointestinal tract and eosinophilic esophagitis can be present. Objective: The aim of this study is to describe medical records of pediatric patients with cerebral palsy related to eosinophilic esophagitis. Methods: Cross-sectional, retrospective and descriptive study that evaluates the medical records data of pediatric patients with diagnosis of cerebral palsy and eosinophilic esophagitis in a tertiary center of Pediatric Gastroenterology between August 2005 and August 2013. Results: A hundred and thirty-one patients with cerebral palsy were followed in Ambulatório de Gastroenterologia Pediátrica da Universidade Federal de Uberlândia. Seven had eosinophilic esophagitis associated. The age ranged from 70 to 156 months with a mean average of 104.7 months. The age of detection of esophageal eosinophilia ranged from 23 to 112 months, with a mean of 52.3 months. Five of seven patients filled the criteria for eosinophilic esophagitis. Conclusion: Gastrointestinal disorders are the major chronic problem in most of children with cerebral palsy. The investigation of eosinophilic esophagitis should be done regularly in those patients, once this entity could overlap other gastrointestinal diseases.

Purpose: To evaluate and characterize the heart rate variability (HRV) during a six-minute walk test (6MWT) in chronic heart failure patients (CHF) on beta-blocker treatment and analyze their quality of life (QOL) through appropriate questionnaires. Methods: Seventeen volunteers were divided into two groups: CHF group (CHFG, n=7, 47±14.9 years old) and control group (CG, n=10, 55±12.9 years old). The participants performed two 6MWT with a 20 minute interval and the RR interval was recorded, beat to beat, for HRV analysis by linear and nonlinear methods. Were assessed the 36-item Short-Form Health Survey (SF-36) in both groups and the Minnesota Living with Heart Failure Questionnaire (MLHFQ) in CHFG. The Mann-Whitney test, Spearman correlation and covariance analysis were used in the statistical analysis. Results: During the 6MWT, the CHFG showed greater complexity of HRV (p<0.03) compared to CG. In the assessment of QoL by SF-36 no statistical significance was found between the groups. Conclusions: The CHFG showed greater complexity of HRV during the 6MWT and a similar performance to the CG during submaximal exercise. Registration clinicaltrials.gov: NCT01736137

Introduction: between physical wounds caused by accidents and violence, the fractures take an evident place as they are common injuries, requiring long rehabilitation time for the victims to return to their daily activities and demanding an specialized hospital attend. Aim: to know epidemiological and clinical features of patients with fractures motivated by external causes in Uberlândia, MG. Material and method: it was done by collecting data from medical records from 1600 patients having fractures by external causes (accidents and violence), attended at Hospital de Clínicas de Uberlândia from January to December of 2003. Results: major of victims (1146; 71.6%) was attended at 09:00 a.m. to 09:00 p.m. period with quite homogeneity in the distribution of days of the week and months of the year, predominating the male ones (1090; 68.1%); 781 (48.8%) patients were at the range of 20 to 49 years old. From the whole, 1475 (92.2%) patients were victims of accidents, being falls (721; 48.9%) the most common, mainly the same level (484; 67.1%), and traffic accidents (553; 37.5%), mainly by motorcycle (279; 50.5%). On violence cases (125; 7.8%), predominated aggressions (113; 90.4%), mainly that using body strength (41; 36.3%). From the total of 2.063 episodes of bones/bones groups fractures, the most attained anatomical structures on accident cases (1910; 92.6%) were upper (841; 44.0%) and lower (686; 35.9%) limbs mainly with radius (309; 16.2%), femur (204; 10.7%) and tibia (177; 9.3%) fractures; on violence cases (153; 7.4%) were upper limbs (59; 38.6%) and cranium (58; 37.9%) mainly involving mandible (20; 13.1%), metacarpi(us) (18; 11.8%), nasal and ulna (14; 9.2% each). On majority of the 1600 cases (1166; 72.9%), only one bone was fractured. It was necessary 845 (52.8%) hospitalizations from which 610 (72.2%) patients stayed at the hospital until seven days. Among the 82 complication episodes directly related to fractures, verified in 79 (4.9%) patients, the most common were that related to synthesis material (40; 48.8%); 23 (1.4%) sequel cases occurred, with 14 (60.9%) amputations, and 35 (2.2%) obits, 26 (74.3%) of them occurred after 24 hours from injury, specially caused by falls (15; 57.7%). Conclusions: the people most attained by accidents and violence have between 20 and 39 years old and are male. They receive care most frequently from 09:00 a.m. to 03:00 p.m. of all days of the week and all months of the year. The accidents that most causes fractures are falls, especially that from the same level, and traffic accidents, mainly by motorcycle; between violence, the most common is aggression using body strength. Majority of cases, only one bone is fractured; between the accidents victims, the fractures occur mainly in upper and lower limbs involving especially radius and femur; among the violence victims, they occur in upper limbs and cranium, especially in mandible and metacarpi(us). Major of patients needs hospitalization and to stay at the hospital during a period of until a week. The complications are generally post-operative ones and related to synthesis materials. The most common sequels are amputations. The lethality is higher between fall victims.

The high prevalence of hospital protein-energy malnutrition is associated with several factors, including implemented dietary conducts. Most hospitalized patients receive oral diets as their only source of nutrition. Study objectives were to evaluate the consumption of oral diets, the presence of reasons for not ingesting or incomplete food intake, and the evolution of the nutritional status of adult patients admitted to the Hospital de Clínicas, Universidade Federal de Uberlândia (HC-UFU). It was also objective of the study, analyze the general oral diet (GOD) served to inpatients in HC-UFU. The study was prospective, observational and descriptive for the inpatients, and prospective, descriptive, with semi-quantitative/qualitative approach for the food of the hospital GOD. Patients were included in the first 48 hours of hospitalization and maintained in follow-up throughout the period of hospital stay in the internal medicine ward. The supply, intake, minimum and adjusted energy needs (MEN; AEN) and minimum and adjusted protein needs (MPN; APN), and the reasons for not ingesting or incomplete food intake were assessed daily using the 24h Food Record form. The nutritional status of patients was assessed by anthropometric measurements (weight, height, body mass index) and Subjective Global Assessment (SGA). GOD was evaluated during 28 consecutive days, it was performed the weighing of each food served in the styrofoam lunch boxes of the lunch (n=3/day) and dinner (n=3/day) of the four implemented menus. The food options served in snacks (breakfast, afternoon snack and dinner) were not heavy because the portions are standard and known. Tables of nutritional composition were used to calculate the total energy value (TEV) and the energy distribution of macronutrients (percentage) of the food meals served daily, as well as to quantify the portions of foods from different food groups. Twenty-three patients who did not have a classification of malnutrition in the first 48 hours of hospitalization (SGA A) were included in the study, it corresponded to 204 days of follow-up. The supplied oral diets were sufficient to meet the AEN in 148 days (72.5%) and the APN in 80 days (39.2%). Dietary intake was insufficient to meet the AEN in 100 days (49%) and the APN in 156 days (76%). The mean intake of energy and/or protein was lower than the MEN and MPN for 7 patients (30.4%) and smaller than the AEN and APN for 21 patients (91.3%). A large number of reasons for not ingesting or incomplete food intake (n=1193) were reported, of which 1119 (93.8%) was present in food records of days in which food intake was below that adjusted need. The most common reasons were \"fasting\" (27.1%), \"lack of appetite\" (18.1%), \"satiety\" (13.4%) and \"sensory characteristics of food\" (9.1%). At the end of the follow-up period, one patient changed the classification of nutritional status of AGS A to AGS B, and 16 patients (69.6%) showed loss of body weight (-1.4±1.2kg). Negative associations were observed for \"difference between total energy intake and AEN\" and the number of \"reasons for not ingesting or incomplete food intake\" ( &#61554; =-0.7268; p-value<0.0000), and \"difference between the total amount of protein intake and APN\" and the number of \"reasons for not ingesting or incomplete food intake\" ( &#61554; =-0.8381; pvalue< 0.0000). And positive associations for \"difference between total energy intake and AEN\" and \"weight difference\" ( &#61554; =0.5034; p-value=0.0143), and \"difference between the total amount of protein intake and NPA\" and the number of \"weight difference\" ( &#61554; =0.6441; p-value=0.0009). In assessing the GOD, which presented TEV of the average offer of 2396.53±152.55 kcal/day, the mean energy distribution was adequate for protein (13.47%), carbohydrates (65.08%) and lipids (22%). Variable energy supply (percentage of TEV) was identified at breakfast (15.57%-20.61%), lunch (26.19%-36.59%), dinner (22.21%-31.06%), afternoon snack and supper (8.41%-15.50%). The period of overnight fasting was up to 13h. Regarding food groups, the supply was excessive for beans, meat/eggs, oils/fats/oilseed and sugar/sweets, and deficient for fruit/juices, legumes/vegetables, milk/derivatives. The supply of oral diets and the food intake of energy and protein were insufficient to meet the needs adjusted of considerable proportion of patients. The reasons that interfere the adequate food intake should be investigated and implemented measures to reduce them. It is essential to characterize the quantitative/qualitative aspects of GOD served to inpatients. Reducing the period of overnight fasting, as well as adjustments in the supply of food groups and in the food fractionation can contribute to better meet the nutritional needs and preventing the onset/worsening of nutritional deficiencies.

The aim of this study was to develop a Portuguese version for the \"Satisfaction with Social Participation\" item banks of the Patient-Reported Outcomes Measurement Information System (PROMIS®). This system represents the current \"state of the art\" in Health Related Quality of Life researches (HRQoL) as it allows efficient, valid and responsive measures related to diseases or chronic conditions that affects HRQoL. These item banks are grounded in Item Response Theory (IRT) and can be adapted to the unique characteristics of different clinical populations with the possibility of computerized adaptive testing (CAT) which enhances precision and concision to measures, reducing the respondent burden. The Brazilian version was obtained by iterative steps of translation and back translation, bilingual reviewers committee and pre-testing in the target population. The universal approach and harmonization between the different languages guided all the translation process which culminated in a cultural and linguistically appropriate version for applying in the Brazilian context.

Fundação de Amparo a Pesquisa do Estado de Minas Gerais

Constipation is a serious public health problem that afflicts thousands of patients worldwide. It is believed that with the modern lifestyle, followed by constant stress and inadequate eating habits, the incidence of constipation will increase considerably in coming decades. Constipation is caused by abnormal functioning of the digestive tract which is not yet fully elucidated. It is known that the enteric nervous system is responsible for sensory and motor functions of the digestive tract, which makes it work in perfect sync and perform peristalsis, promoting proper transit of the bolus and subsequently fecal mass. The vast majority of pathologies afflicting the gastrointestinal tract are originated from disturb in specific neurons in the enteric nervous system and probably the same happens with constipation. Hence, the objective of this study was, by immunohistochemistry, to characterize and compare the expression of several neuropeptides of the enteric nervous system in patients with constipation and individuals not constipated. The results showed that among the various types of neurons studied, constipated patients have fewer neurons expressing calretinin and choline acetyltransferase, characteristic neuropeptides from afferent neurons and excitatory neurons engines. We believe that these results can help in future treatment techniques and prevention of constipation.

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior

Introduction - Osteoarthritis (OA) is a chronic disease, usually characterized by pain, which is associated with reduced muscle strength, disability and progressive loss of function how to walk, climb stairs and other tasks of the lower limbs, the knee being the most affected joint. Objective -To identify the levels of pain, the proprioceptive acuity and the pattern of muscle recruitment during stair ascent and descent in elderly patients with osteoarthritis (OA) compared to healthy subjects. Methods - The study participants included 11 healthy elderly subjects (7 women and 4 men) and 31 elderly patients with knee OA (19 women and 12 men). The functional capacity was assessed by the Western Ontario and McMaster Universities (WOMAC) osteoarthritis index; the pain was evaluated by Wong-Baker faces pain rating scale (WBS) and pressure pain threshold (PPT); the proprioceptive acuity was based on the joint position sense; and the electromyographic (EMG) activity of the major muscles of the lower limb were evaluated during a task of stair ascent and descent of 15 cm. Results - Higher scores were found in the WOMAC index and WBS whereas lower scores were seen in PPT in patients with knee OA compared to healthy subjects. In contrast, there were no significant differences in the proprioceptive acuity based on position sense and EMG results of most muscles analyzed between the groups. Conclusion - We conclude that although the pain was present in subjects with OA, both subjective and objective way, it did not influence the variables analyzed, showing no differences in proprioceptive acuity and pattern of muscle recruitment during stair ascent and descent between healthy and OA subjects.

Evaluate the predictive capacity of associated index: airway occlusion pressure x respiratory rate/ tidal volume (P 0.1 x f/VT) regarding to weaning from mechanical ventilation (MV) in patients with traumatic brain injury (TBI).The associated index was measured after spontaneous breathing trials (SBT) for 30 minutes, ventilation mode with pressure support (PSV), 7 cmH2O of pressure support (PS) and positive end expiratory pressure (PEEP) of 5 cmH2O (PS above PEEP) and its accuracy and its components was evaluated using the area on the ROC curve (AUC). The f/VT index showed significance between the groups who were successful or unsuccessful weaning (p = .03), presenting moderate accuracy with AUC = 0.75 (p < .01). The P 0.1x f/VT index did not increase the accuracy of its components. There was no difference between the evaluated indexes with respect to type of artificial airway (AA) used. The evaluation of the predictive capacity demonstrated that f/VT obtained moderate accuracy and together with P 0.1 and its associated index can be used to evaluate the weaning of patients with TBI regardless of the AA, since there was no statistically significant difference between their accuracies.

This study aimed to evaluate the perception and concordance between child\' and caregiver\' reports about the oral health-related quality of life ( OHRQoL ) of children submitted to dental treatment and whose parents were submitted or not to dental treatment. Eight to ten- yrold children were submitted to preventive / curative treatment in a Basic Unit of Family Healt, and were divided into two groups : group 1 , treatment of children and caregivers; group 2 , treatment of children only. Children were clinically examined by a single trained examiner , who verified dental caries experience ( DMFT / dmft ) and the presence of malocclusions. Brazilian Portuguese version of the Child Perceptions Questionnaire ( CPQ8 - 10 ) and the Parental - Caregiver Perceptions Questionnaire ( P - CPQ ) were used to evaluate the child\' and caregiver\' perceptions of the child\' OHRQoL, respectively. The clinical examination and the self application of the questionnaires were used before and after 6 months of treatment . Data were analyzed using descriptive statistics ( chi-square) , the Shapiro - Wilk , Wilcoxon , Mann - Whitney tests and intraclass correlation coefficient ( ICC). The magnitude of the difference / concordance between child and caregiver was calculated using the effect size (ES). 48.6 % of caregivers of group 1 had 2 years of schooling and 8.6 % of group 2 ( p < 0.05 ) . There was significant increase in DMFT after treatment for group 2 ( 1.7 vs. 2.1 , p < 0.01 ) . Both groups had lower CPQ8 - 10 scores at post- treatment. At baseline, P- CPQ scores were lower than CPQ8 -10 scores , as opposed to post- treatment for both groups. In group 1 , there was concordance between children and caregivers at baseline and posttreatment, but just at posttreatment for group 2 . The effective participation of caregivers and their choice for the dental treatment option for dental treatment may be related to higher levels of education , the maintenance of oral health status of children and more positive perception about the child\' OHRQoL after dental treatment, as well as higher agreement between them.

Fibromyalgia (FM) is characterized by painful body regions, non-restorative sleep, fatigue, mood disturbances and depression. Evidence has shown that FM is closely associated with overweight and obesity development. In addition, sleep disorders which include frequent awakenings, daytime sleepiness, shorter duration and sleep efficiency are frequent and highly uncomfortable in these patients. At present, the relationship between the occurrence of overweight and obesity and the sleep pattern is poorly described in the literature. The objective of the present study was to investigate the relationship between obesity and sleep pattern in women with FM. Participated in the study a total of 100 adult female patients with a prior medical diagnosis of fibromyalgia. Body mass, height (to calculate body mass index) were assessed, besides the measurement of waist circumference. The diet quality was evaluated using a 24-hour dietary recall with subsequent determination of the Healthy Eating Index (AHEI). Subjective analyses of daytime sleepiness (Epworth Sleepiness Scale) and sleep quality (Pittsburgh Sleep Quality) were performed. The results demonstrate an obesity rate of 41% of all women studied (56.1% were sleepy and 43.9% weren t sleepy, p=0.04). Obese women showed a greater level of sleepiness when compared with non-obese (10.2 and 7.0, respectively; p=0.004), but no there were no differences in relation to sleep time (6.9 and 6.6, respectively, p=0.41) and sleep quality (12.5 and 12.6, respectively, p=0.94). Sleepy women showed a greater weight gain after the diagnosis of fibromyalgia when compared with nonsleepy women (11.7 kg and 6.4kg, respectively; p=0.04). A positive and significant correlation between BMI and sleepiness (r=0.35, p=0.02) was also found. In multivariate logistic regression, moderate or severe sleepiness (ESS >12) was associated with obesity (odds ratio=3.44, 95% confidence interval: 1.31-9.01, p=0.04). These results demonstrate an important association between sleepiness and FM, suggesting that the occurrence of obesity may be involved with sleepiness in these patients.

Nosocomial infections (NIs) are responsible for significant rates of morbidity and mortality in Neonatal Intensive Care Units (NICUs), even resulting in prolonged hospitalization and increased hospital costs. The bloodstream infections associated with catheters (CA-BSI) are frequent, often fatal and costly, particularly in the group of newborns with low weight units in developing countries like Brazil. The aim of the study was to determine the incidence of neonatal hospital BSI, as well as the etiology and antimicrobial resistance profile, analyze the characteristics of infected neonates and to investigate the pathogenesis of these infections in newborns admitted to the NICU critics of the Clinical Hospital of the Federal University of Uberlândia-MG. The prospective cohort study was conducted between January/2011 and December/2011. In the total, 264 neonates were investigated using CVC through surveillance \"National Healthcare Safety Network.\" Blood cultures were performed using an automated method (BACTEC / VITEK ®) in the microbiology laboratory of the hospital. Additionally, cultures were performed nasal mucosa, intestinal, skin at the insertion site, and barrel tip CVC. The incidence of infection of the bloodstream associated with and related to the CVC was 16.7 and 4.4 / CVC 1000 days, respectively. The incidence of BSI associated with the use of CVC was higher (32%) in neonates weighing 1001-1500g. As in BSI associated with CVC, the PICC was responsible for the higher frequency (78.5%) of CVC-related BSI, especially also for weight range of 1001 to 1500 g. The main agent of sepsis with microbiological diagnosis was Staphylococcus epidermidis (51%), followed by S. aureus (10.6%), Gram-negative bacilli (21.27%), Candida albicans (7.54%) and Candida tropicalis (2.12%). Of the 43 neonates with BSI, 24 showed some correlation with the sites: skin, cannon tip of CVC and intestine differing routes of acquisition likely to BSI in intraluminal, extraluminal, indeterminate and likely intestinal translocation. Altogether, 96 neonates were collected in sites nostril and perianal region. Of these, about 36.7% were colonized in the nostril and 56.0% in the intestine, at least one of the collections. The gram positive were more frequent in the nostril, with the main representative Streptococcus epidermis (77.3%). Perianal the gram negative bacilli predominated 48.6%, followed by 35.8% Yeasts . The use of total parenteral nutrition, use of PICC and CVC type of CVC usage time &#8805; 16 days were statistically independent risk factors for the development of BSI. A incidence rate of neonatal hospital BSI was 25.3%, being sepsis the main infectious syndrome.

Introduction: Food Allergy (FA) is defined as an adverse effect to health resulting from a specific immune response, this being exaggerated immune response to food proteins absorbed through the permeable intestinal mucosa. This immune response may be mediated by immunoglobulin E (IgE) or cell-mediated (non-IgE-mediated) or a mixture of both. Objective: Characterize the population of patients with FA treated in the Clinic of FA the Hospital of Clinics the Federal University of Uberlândia (HC/ UFU). Methods: This is a descriptive, observational and retrospective study, being held patient charts and calculating z-score anthropometric indices of patients with FA attended at HC/UFU. Results: Data Sector Statistics and Hospital Information HC/UFU recorded 389 records of patients seen at the clinic of FA in the period from February 1, 2009 to January 31, 2012. These, 35 (8.99%) records were discarded because patients had not undergone any query or medical record. Of the 354 patients who were evaluated by doctors at the clinic, 228 (64.4%) had a confirmed diagnosis of FA, whereas the diagnosis of FA was excluded in 126 (35.6%) remaining. In the research, no association was found between sex, gestational age, mode of delivery, duration of breast feeding and age at introduction of complementary protein-based milk cow with the development of FA formulas. The clinical manifestations associated with FA, which had a higher frequency were nausea, vomiting and regurgitation (49.6%), followed by cramping, abdominal pain and distension (44.3%) and urticaria and dermatitis (37.7%). Diagnosed as allergens that showed higher frequency foods were cow\'s milk (92.5%), hen´s egg (26.7%) and soy (17.9%). The distribution of z - scores for weight for age, height for age and body mass index for age of all patients with FA indicated eutrophic with adequate weight for age and height for age appropriate. Conclusion: Most outpatients had confirmed diagnosis of AA, and is associated with the further development of gastrointestinal symptoms in patients with allergic IgE mediated not. Cow\'s milk, hen\'s egg, and soy were the major food allergens found in IgE allergies measure IgE mediated and not mixed. Furthermore, the research found no association between the duration of breastfeeding with the development of AA. And patients with AA had a higher anthropometric involvement associated with the risk of malnutrition and / or short stature compared to the group without AA.

Fundação de Amparo a Pesquisa do Estado de Minas Gerais

Food allergy is an adverse health effect arising in any immune response that occurs reproducibly on an exposure to a given food. This allergy has shown significant increase in recent decades, with a prevalence estimated around 6-8% in the pediatric age group. Although the most frequent element that causes food allergy is cow milk, allergies triggered by soy, egg, fish, peanuts, wheat, corn, rice and seafood are also possible. The estimated range of self-reported food allergy prevalence is from 3% to 35%. Therefore, this study intends to know the prevalence of reported food allergy diagnosed by parents and that prevalence diagnosed health professionals, as well as major food and clinical manifestations in preschool children enrolled in municipal daycare centers from Uberlândia, Minas Gerais, Brazil. Concerning the methods, it is an epidemiological study in children from 24 to 59 months who were enrolled in municipal daycare centers from Uberlândia, with a self-administered questionnaire that was used to evaluate the prevalence of food allergy related by parents; subsequently, children with a suspecting food allergy were invited to a clinical and laboratory evaluation, in order to know the real prevalence of food allergy. According to the results, from 13,841 children enrolled, 8,031 parents responded the questionnaire. The prevalence of food allergy reported by parents was 17.6%, and the incidence of asthma, rhinitis and dermatitis was significantly higher in the group of children with reported food allergy (p = < 0.0001). The main foods mentioned were cow milk, pork, fruit, chocolate and chicken egg, and associated symptoms were red spots (54.2%), vomit (39.6%), diarrhea (32.1%), abdominal pain (31.4%), mouth and eyes edema (17.5%) and nose secretion (10.6%). The prevalence of food allergy was in 0.59% of preschool children, which 0.35% had IgE -mediated reactions and 0.24% non- IgE mediated reactions. The egg was the main food allergen, reaching 0.34% of preschool children, followed by cow milk (0.21%), wheat and pork meat (0.06%), corn, mustard, honey and fish (0.03%). The main symptoms were red spots and itching (52.6%), diarrhea (42%), eyes edema and abdominal pain (36.8%). It was concluded that the prevalence of food allergy reported by parents and confirmed food allergy prevalence are similar to those found in the literature, showing a strong association with allergic diseases (asthma, atopic dermatitis and allergic rhinitis). The main foods reported by parents confirm the eating habits from the researched area. Several studies have reported that regional and cultural influences interfere on the food allergens types. Thus, most of the foods associated with food allergy in this study such as milk, egg, wheat, corn, fish, pork meat, mustard and honey were described in the world literature. A significant number of children excluded food allergen without a medical diagnosis of food allergy.

Conselho Nacional de Desenvolvimento Científico e Tecnológico

This study aimed to investigate the psychosocial status, nutritional patterns and subjective measures of sleep among female nursing professionals between shift work. The study included 221 nursing, divided into three groups: day (n = 112), night (n = 55) and day-night (n = 54). Volunteers underwent the following evaluations: nutritional assessment (3-day 24 hours recall), anthropometric variables (weight, height, body mass index, waist circumference and hip circumference); psychological profile of anxiety (state trait anxiety inventory - STAI) and profile of humor (questionnaire BRUMS); identification of chronotype, sleep quality (Pittsburgh Sleep Quality Index - PSQI) and sleepiness (Epworth Scale - ESS). It was observed a total hours of work per week significantly higher in night and day-night groups, when compared to day group (p<0.0005). It was found a higher proportion of night workers with increased WHR (> 0.8) compared to the other two groups. Daytime sleepiness was significantly higher in the night group compared to day-night group (p=0.02). Inadequate dietary habits were observed for both groups. Protein and fat intake was significantly higher in the night group compared to the other two groups analyzed (p=0.01). Cholesterol intake was significantly lower on day-night group compared to day and night groups (p=0.04). Furthermore, a positive and significant correlation between work hours per week and state (STAI-S) and trait (STAI-T) anxiety scores was found (r=0.11 and 0.15 for STAI-S e STAI-T, respectively; p<0.05). A high prevalence of unhealthy results was observed among shift works in nursing, especially in food intake, nutritional status and sleep patterns. These observations indicate the need for monitoring and tracking of health status to minimize the negative effects attributed to this dynamic of work.