Ulysses Fagundes

Condições de nutrição em crianças Kamaiurá: povo indígena do Alto Xingu, Brasil Central

Este estudo teve por objetivo avaliar o estado nutricional, incluindo a prevalencia de anemia, de criancas Kamaiura, povo indigena do Alto Xingu, Brasil Central. Foram estudadas 112 criancas menores de dez anos de idade em 2000/2001. O perfil do crescimento infantil foi descrito segundo a distribuicao dos indices altura/idade e peso/altura expressos em escore-z da populacao de referencia do National Center of Health Statistics - NCHS. Os diagnosticos de deficit de altura e da relacao peso/altura e o diagnostico de obesidade corresponderam, respectivamente, aos valores abaixo de -2 escores-z de altura/idade e peso/altura e aos valores acima de 2 escores-z de peso/altura. O diagnostico de anemia foi determinado a partir de concentracoes de hemoglobina serica inferiores a 11 g/dl para criancas entre seis meses e cinco anos de idade e inferiores a 11,5 g/dl para as criancas com idade entre cinco e dez anos incompletos, conforme recomendacao da OMS. Aproximadamente um terco das criancas apresentou deficit de crescimento, enquanto deficit de peso/altura e obesidade nao foram diagnosticados entre elas. A anemia esteve presente em mais da metade das criancas indias estudadas, 15% delas apresentando anemia grave. Ha necessidade de implementacao de acoes que visem a melhoria das condicoes socioambientais, de saude e nutricao desse povo indigena.

Avaliação antropométrica de adolescentes Kamayurá, povo indígena do Alto Xingu, Brasil Central (2000-2001)

Despite the proximity between indigenous groups in the Upper Xingu Region and Brazilian national society, studies have shown adequate weight-for-height and low height-for-age in indigenous children. Little is known about the nutritional status of indigenous adolescents. The present study aimed to evaluate the nutritional status of Kamayura adolescents. Anthropometric variables were collected from a sample of 65 adolescents (31 males and 34 females). Mean height was lower than both that of the Brazilian National Survey on Health and Nutrition and the reference population of the U.S. National Center for Health Statistics. There was a high rate of overweight in both males (38.7%) and females (23.5%), and one female adolescent was obese (2.9%). No overweight adolescent presented both the triceps and subscapular skinfolds above the 90th percentile. There were no cases of nutritional deficit among either male or female adolescents. Despite the high prevalence of overweight, the nutritional status of these adolescents is adequate, since the group presents low adiposity.

[Nutritional status and body composition of two South American native populations -- Alto Xingu and Ikpeng].

OBJECTIVES To assess the nutritional and body composition of two Brazilian indigenous populations by comparing their nutritional status. METHODS 95 children from Alto Xingu and 69 from Ikpeng were evaluated, ages ranged from 24 to 117 months. The study was performed in the Xingu Indigenous Park. Data collected were: age, weight, height, skin folds, arm circumference, resistance and reactance. The z-scores were calculated and classified according to the parameters defined by the National Center for Health Statistics (NCHS 2000). Shortness was defined as length or stature below -2, underweight as body mass index below -2, and overweight as body mass index above 2. RESULTS Among children from Alto Xingu, the prevalence of shortness was 8.4%, while among Ikpengs the prevalence was 37.7% (p < 0.001). Underweight was diagnosed in 12.5% of Ikpeng s children. Values of fat-free mass were greater for children from Alto Xingu and no case of obesity was found. CONCLUSION In this study, Ikpengs children showed higher incidences of short stature and low weight than the Altoxingus children. Data regarding body composition have greater values among children from Alto Xingu, thus we conclude that nutritional status among children from Alto Xingu is better than the one found among the Ikpengs children.

Avaliação nutricional de crianças com doença renal crônica

OBJECTIVE:Malnutrition is a frequent complication among children with renal diseases. Short stature is the main clinical sign. The aim of this study is to analyze the nutritional status of children with renal disease using anthropometry. METHODS: This cross sectional study enrolled 21 (43%) boys and 28 (57%) girls with age ranging from 5.3 to 19.5 years. They were divided in three groups based on their creatinine clearance (mL/min/1.73m2): Group 1, >37 (n=19); Group 2, between 15 and 37 (n=9) and Group 3, <15 (n=21). Weight and height were obtained in order to calculate the following indexes: Weight/age (W/A), height/age (H/A) and body mass index (BMI); then, Z scores were obtained. Malnutrition was defined as Z scores below -2. ANOVA test was used to compare groups. RESULTS: There were no differences among the groups for anthropometric data. 19 patients (38.8%) presented short-stature and 22 (44.8%) low-weight. Z scores were similar among groups relative to W/A, H/A and BMI values. W/A Z score values were: Group 1: -1.9±1.8; Group 2: -2.6±3.1 and Group 3: -2.5±1.4 (p=0.47). H/A Z scores values were: Group 1: -1.5±1.2; Group 2: -2.3±1.8 and Group 3: -2.1±1.1 (p=0.18). The calculated BMI Z scores were: Group 1: -1.2±1.4; Group 2: -1.7±3.9 and Group 3: -1.6±1.3 (p=0.82). 19 children presented short stature and 22 presented low weight. There were no differences between the studied groups. CONCLUSIONS: The sample presented high prevalence of malnutrition. Even considering the disease stage, there were no nutritional differences between the studied groups.

Financial cost of the admissions for simultaneous pancreas-kidney transplant in a Brazilian hospital.

PURPOSE To perform a cost analysis of simultaneous pancreas-kidney transplantation (SPKT) in a Brazilian hospital. METHODS Between January 2008 and December 2011, 105 consecutive SPKTs at the Hospital of Kidney and Hypertension in Sao Paulo were evaluated. We evaluated the patient demographics, payment source (public health system or supplementary system), and the impact of each hospital cost component. The evaluated costs were corrected to December 2011 values and converted to US dollars. RESULTS Of the 105 SPKT patients, 61.9% were men, and 38.1% were women. Eight patients died, and 97 were discharged (92.4%). Eighty-nine procedures were funded by the public health system. The cost for the patients who were discharged was

Component Analysis of Hospital Cost of Pancreas-Kidney Transplant and Correlations With Different Variables in a Brazilian Hospital

18.352.27; the cost for the deceased patients was

Evaluation of the nutritional status of Indian children from Alto Xingu, Brazil

18.449.96 (p = 0.79). The FOR for SPKT during this period was positive at

Avaliao nutricional de crianas com doena renal crnica

5,620.65. The costs were distributed as follows: supplies, 36%; administrative costs, 20%; physician fees, 15%; intensive care unit, 10%; surgical center, 10%; ward, 9%. CONCLUSION Mortality did not affect costs, and supplies were the largest cost component.

Avaliação nutricional de crianças com doença renal crônica Nutritional status of children with chronic renal failure

INTRODUCTION Simultaneous pancreas-kidney transplantation is associated with a high rate of complications when it is compared with transplantation of other organs; these increased complications can result in increased financial costs of the procedure. The objective of this study was to determine operating costs and financial results of simultaneous pancreas-kidney transplantation and its different variables in a Brazilian hospital. PATIENTS AND METHODS Between January 2008 and December 2011, the monthly costs of 105 patients were calculated. These patients were divided into 2 groups; the first consecutive 53 patients were labeled group I and the second set of 52 patients were labeled group II. The cost evaluation was made in US dollars. RESULTS A total of 89 patients corresponded to the public health system and 16 patients to the supplementary health system. The percentage of hospital discharge was 92.4%. There was an increase in operating room costs in group II compared with group I with no statistically significant difference (

Avaliação antropométrica de adolescentes Kamayurá, povo indígena do Alto Xingu,

18,749.33 for group I and