Downloads | Faça seu cadastro | Esqueci minha senha | Login
|
|
|
|
|
|
|
|
Ver minhas compras
Banner Artigos
 

 
[1][2][3][4] próximo »
Total de 30 registro(s)
29/12/2011 - Formulário de Fitoterápicos Farmacopeia Brasileira

 

Primeira edição do Formulário de Fitoterápicos da Farmacopeia Brasileira, que aborda as normas de manipulação e padroniza as formulações. Neste documento há informações sobre a forma correta de preparo, indicações e restrições de uso de cada espécie, o que fornecerá maior conhecimento e segurança para os profissionais da área para a utilização destes produtos na prática clínica.

 

Esse e vários outros artigos serão abordados no Curso de Extensão FITOTERAPIA APLICADA À PRÁTICA NUTRICIONAL. Inscreva-se e atualize-se!

 

Clique aqui para fazer o download do PDF

03/10/2011 - Artigo 2: Bariatric Surgery-A Systematic Review and Meta-analysis

 

Bariatric Surgery: A Systematic Review and Meta-analysis

Henry Buchwald et al.

 

Context About5%of the US population is morbidly obese. This disease remains largely refractory to diet and drug therapy, but generally responds well to bariatric surgery.

Objective To determine the impact of bariatric surgery on weight loss, operative mortality outcome, and 4 obesity comorbidities (diabetes, hyperlipidemia, hypertension, and obstructive sleep apnea).

Data Sources and Study Selection Electronic literature search of MEDLINE, Current Contents, and the Cochrane Library databases plus manual reference checks of all articles on bariatric surgery published in the English language between 1990 and 2003. Two levels of screening were used on 2738 citations.

Data Extraction A total of 136 fully extracted studies, which included 91 overlapping patient populations (kin studies), were included for a total of 22094 patients. Nineteen percent of the patients were men and 72.6% were women, with a mean age of 39 years (range, 16-64 years). Sex was not reported for 1537 patients (8%). The baseline mean body mass index for 16 944 patients was 46.9 (range, 32.3-68.8).

Data Synthesis A random effects model was used in the meta-analysis. The mean (95% confidence interval) percentage of excess weight loss was 61.2% (58.1%-64.4%) for all patients; 47.5% (40.7%-54.2%) for patients who underwent gastric banding; 61.6% (56.7%-66.5%), gastric bypass; 68.2% (61.5%-74.8%), gastroplasty; and 70.1% (66.3%-73.9%), biliopancreatic diversion or duodenal switch. Operative mortality (_30 days) in the extracted studies was 0.1% for the purely restrictive procedures, 0.5% for gastric bypass, and 1.1% for biliopancreatic diversion or duodenal switch. Diabetes was completely resolved in 76.8% of patients and resolved or improved in 86.0%. Hyperlipidemia improved in 70% or more of patients. Hypertension was resolved in 61.7% of patients and resolved or improved in 78.5%. Obstructive sleep apnea was resolved in 85.7% of patients and was resolved or improved in 83.6% of patients.

Conclusions Effective weight loss was achieved in morbidly obese patients after undergoing bariatric surgery. A substantial majority of patients with diabetes, hyperlipidemia, hypertension, and obstructive sleep apnea experienced complete resolution or improvement.

 

 

Esse e vários outros artigos serão abordados no Curso CIRURGIA BARIÁTRICA: Como atuar em equipe. Inscreva-se e atualize-se!

 

Clique aqui para fazer o download do PDF

03/10/2011 - Artigo 1: Nutrient deficiencies secondary to bariatric surgery

 

Nutrient deficiencies secondary to bariatric surgery

Jacqueline I. Alvarez-Leite

 

Purpose of review

The number of adolescent and adult patients submitting to bariatric surgery is increasing rapidly around the world. This review describes the literature published in the last few years concerning nutritional deficiencies after bariatric surgery as well as their etiology, incidence, treatment and prevention.

Recent findings

Although bariatric surgery was first introduced in the 1950s, safe and successful surgical management has progressed over the last two decades and longer post-surgical follow-up data are now available. Most of the patients undergoing malabsorptive procedures will develop some nutritional deficiency, justifying mineral and multivitamin supplementation to all postoperatively. Nutrient deficiency is proportional to the length of absorptive area and to the percentage of weight loss. Low levels of iron, vitamin B12, vitamin D and calcium are predominant after Roux-en-Y gastric bypass. Protein and fatsoluble vitamin deficiencies are mainly detected after biliopancreatic diversion. Thiamine deficiency is common in patients with frequent vomiting. As the incidence of these deficiencies progresses with time, the patients should be monitored frequently and regularly to prevent malnutrition.

Summary

Nutritional deficiencies can be prevented if a multidisciplinary team regularly assists the patient. Malnutrition is generally reverted with nutrient supplementation, once it is promptly diagnosed. Especial attention should be given to adolescents, mainly girls at reproductive age who have a substantial risk of

developing iron deficiency. Future studies are necessary to detect nutrient abnormalities after new procedures and to evaluate the safety of bariatric surgery in younger obese patients.

 

Esse e vários outros artigos serão abordados no Curso CIRURGIA BARIÁTRICA: Como atuar em equipe. Inscreva-se e atualize-se!

 

Clique aqui para fazer o download do PDF

29/12/2010 - Artigo sobre Interações Medicamentosas dos Fitoterápicos

 

PRINCIPAIS INTERAÇÕES NO USO DE MEDICAMENTOS FITOTERÁPICOS

AUTORES: NICOLETTI, Maria Aparecida et al.

Esse artigo aborda interações de fitoterápicos, como: Alcachofra (Cynara scolymus L.), Camomila (Matricaria recutita L.), Castanha da Índia (Aesculus hippocastanum L.), Erva-cidreira (Melissa officinalis L.), Gengibre (Zingiber officinale Rosc.), dentre outros.

Esse e vários outros artigos serão abordados no Curso de Extensão FITOTERAPIA APLICADA À PRÁTICA NUTRICIONAL. Inscreva-se e atualize-se!

 

Clique aqui para fazer o download do PDF

29/12/2010 - Artigo sobre Ervas Medicinais

 

Global Harmonization of Herbal Health Claims

AUTOR: MAHADY, Gail B.

RESUMO

Over the past decade, herbal medicine has become a topic of increasing global importance, with both medical and economic implications. In developing countries, as much as 80% of the indigenous populations depends on traditional systems of medicine and medicinal plants as their primary source of healthcare. Within the European Community, herbal medicines represent an important share of the pharmaceutical market, with annual sales in the range of US$7 billion. In the United States, the sale of herbal products has skyrocketed from $200 million in 1988 to .$3.3 billion in 1997. Such widespread use of botanicals throughout the world has raised serious questions concerning the quality, safety and efficacy of these products. Thus, accurate scientific assessment of herbal medicine is a prerequisite for global harmonization of herbal health claims. In 1995, as part of its overall global strategy of "Health for All" and due to numerous requests from the member states, the Traditional Medicine Program of the WHO began the extensive task of reviewing the world's scientific literature of commonly used herbal medicines and publishing this information in monographs. The WHO monographs are technical reviews of the quality, safety and efficacy of commonly used herbal medicines and are intended primarily to harmonize the proper use of herbal medicines throughout the world.

Esse e vários outros artigos serão abordados no Curso de Extensão FITOTERAPIA APLICADA À PRÁTICA NUTRICIONAL. Inscreva-se e atualize-se!

 

Clique aqui para fazer o download do PDF

09/06/2010 - Artigo 6_Resistência Insulínica x Diabetes

 

Obesity, Insulin Resistance, Diabetes, and Cardiovascular Risk in Children

 

Autores: STEINBERGER, Julia; DANIELS Stephen R.

 

Atherosclerotic cardiovascular disease is the No. 1 killer in the adult population of Western societies, but the pathological processes and risk factors associated with its development have been shown to begin during childhood. Obesity plays a central role in the insulin resistance syndrome, which includes hyperinsulinemia, hypertension, hyperlipidemia, type 2 diabetes mellitus, and an increased risk of atherosclerotic cardiovascular disease. The incidence of type 2 diabetes reported in children has increased alarmingly.

 

Leia mais…

 

Esse e vários outros artigos serão discutidos no curso RESISTÊNCIA INSULÍNICA. Inscreva-se!

 

Clique aqui para fazer o download do PDF

09/06/2010 - Artigo 5_Resistência Insulínica x Doenças Cardiovasculares

 

Insulin Resistance and Cardiovascular Disease Risk Factors in Children of Parents With the Insulin Resistance (Metabolic) Syndrome

 

Autores: PANKOW, James S. et al.

 

OBJECTIVE— To evaluate whether children of parents with the insulin resistance syndrome (IRS) themselves have greater insulin resistance and unfavorable patterns of cardiovascular disease (CVD) risk factors.

RESEARCH DESIGN AND METHODS— This cross-sectional study included 220 white and 36 black children aged 11–15 years identified through a school-based blood pressure screening program, along with 378 of their parents. Measures of insulin resistance (glucose disposal per minute per kilogram of lean body mass in a euglycemic-hyperinsulinemic clamp [Mlbm] and fasting insulin), adiposity, and other CVD risk factors were compared in children with and without a parental history of IRS, defined according to the National Cholesterol Education Program Adult Treatment Panel III consensus definition.

RESULTS— Compared with children in whom neither parent had IRS, children who had at least one parent with the syndrome had statistically significantly lower meanMlbm (12.1 vs. 13.6 mg _ kg–1 _ min–1; P _ 0.04) and higher fasting insulin (geometric means 99 vs. 76 pmol/l; P _ 0.01) after adjustment for sex, race, age, and Tanner stage. Mean BMI, waist circumference, waist-to-hip ratio, triceps and subscapular skinfolds, and percentage of body fat were also significantly higher in children of an affected parent, but there were no significant differences in lipid or blood pressure levels between the two groups.

CONCLUSIONS— Insulin resistance and obesity may be the earliest manifestations of IRS in children with a parental history of the syndrome.

 

Esse e vários outros artigos serão discutidos no curso RESISTÊNCIA INSULÍNICA. Inscreva-se!

 

Clique aqui para fazer o download do PDF

09/06/2010 - Artigo 4_Resistência Insulínica x Doenças Cardiovasculares

 

Insulin resistance and triglyceride/HDLc index are associated with coronary artery disease

 

Autores: BERTOLUCI, Marcelo C et al.

 

Abstract

Background: Insulin-resistance is associated with cardiovascular disease but it is not used as a marker for disease in clinical practice.

Aims: To study the association between the homeostatic model assessment (HOMA-IR) and triglyceride/HDLc ratio (TG/HDLc) with the presence of coronary artery disease in patients submitted to cardiac catheterization.

Methods: In a cross-sectional study, 131 patients (57.0 ± 10 years-old, 51.5% men) underwent clinical, laboratory and angiographic evaluation and were classified as No CAD (absence of coronary artery disease) or CAD (stenosis of more than 30% in at least one major coronary artery).

Results: Prevalence of coronary artery disease was 56.7%. HOMA-IR and TG/HDLc index were higher in the CAD vs No CAD group, respectively: HOMA-IR: 3.19 (1.70-5.62) vs. 2.33 (1.44-4.06), p = 0.015 and TG/HDLc: 3.20 (2.38-5.59) vs. 2.80 (1.98-4.59) p = 0.045) - median (p25-75). After a ROC curve analysis, cut-off values were selected based on the best positive predictive value for each variable: HOMA-IR = 6.0, TG/HDLc = 8.5 and [HOMA-IR×TG/HDLc] = 28. Positive predictive value for coronary artery disease for HOMA-IR>6.0 was 82.6%, for TG/HDLc>8.5 was 85.7% and for [HOMA-IR×TG/HDLc]>28 was 88.0%. Adjusted relative risk (age, gender, diabetes, body mass index, systolic blood pressure) for the presence of coronary artery disease was: for HOMA-IR>6.0, 1.47 (95.CI: 1.06-2.04, p = 0.027), for TG/HDLc>8.5, 1.46 (95% CI:1.07-1.98), p = 0.015) and for [HOMA-IR × TG/HDLc] >28, 1.64 (95%CI: 1.28-2.09), p < 0.001).

Conclusions: Increased HOMA-IR, TG/HDLc and their product are positively associated with angiographic coronary artery disease, and may be useful for risk stratification as a high-specificity test for coronary artery disease.

 

 

Esse e vários outros artigos serão discutidos no curso RESISTÊNCIA INSULÍNICA. Inscreva-se!

 

Clique aqui para fazer o download do PDF

[1][2][3][4] próximo »
Total de 30 registro(s)

 

E-mail: falecom@grannutrille.com.br - Twitter: www.twitter.com/grannutrille - Facebook: GranNutrille Empresa
Copyright © 2012 GranNutrille ®. Todos direitos reservados.