Navegando por Palavras-chave "Anaemia"

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    The impact of training for day-care educators on childhood anaemia in nurseries: an institutional randomised clinical trial
    (Cambridge Univ Press, 2011-08-01) Konstantyner, Tulio [UNIFESP]; Taddei ,JosE Augusto de Aguiar Carrazedo [UNIFESP]; Oliveira, Mariana de Novaes [UNIFESP]; Palma, Domingos [UNIFESP]; Colugnati, Fernando A. B. [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); IPTI Res Inst Technol & Innovat
    Objective: To test the impact of training for educators on the health of children enrolled in public and philanthropic day-care nurseries.Design: A randomised, institutional, non-blind clinical trial was conducted. An educational intervention was performed in four day-care centres and the control group consisted of four other day-care centres. Interviews with the mothers, collection of blood from the children by digital puncture and anthropometry were performed. the chosen indicator for the improvement of health was anaemia (Hb <11 g/dl). An unconditional logistic regression model was set for the risk factors for anaemia, considering associations with P <= 0.05 as statistically significant.Setting: Eight day-care centres in the city of São Paulo, Brazil.Subjects: Two hundred and fifty-two children from day-care nurseries.Results: the children from the day-care centres that were not subject to intervention presented a 2.11 times greater risk (95% CI 1.04, 4.30; P=0.40) of having anaemia at the end of the study independent of the control variables (sex, age, time in the day-care centre, anaemia at the beginning of the study, maternal age, use of oral iron supplements, number of siblings, per capita family income, use of antibiotics and the necessity of avoidable hospitalisations) used in the construction of the final logistical model.Conclusions: the assessed educational intervention promoted significant changes in the health status of the children, reinforcing the importance of training for professionals who care for young children in day-care centres in developing countries in order to promote child health.
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    Postoperative intravenously administered iron sucrose versus postoperative orally administered iron to treat post-bariatric abdominoplasty anaemia (ISAPA): the study protocol for a randomised controlled trial
    (Biomed Central Ltd, 2016) Montano-Pedroso, Juan Carlos [UNIFESP]; Garcia, Elvio Bueno [UNIFESP]; Novo, Neil Ferreira [UNIFESP]; Veiga, Daniela Francescato [UNIFESP]; Ferreira, Lydia Masako [UNIFESP]
    Background: Anaemia and iron deficiency are common complications following post-bariatric abdominoplasty. Given the low oral absorbability of iron resulting from bariatric surgery, it has been hypothesised that postoperative intravenously administered iron supplementation could be used to treat anaemia and to prevent the development of iron deficiency in these patients. Methods/Design: In this multicentre open-label randomised clinical trial, 56 adult women undergoing post-bariatric anchor-line abdominoplasty will be allocated at a ratio of 1: 1 for postoperative supplementation with two intravenously administered applications of 200 mg of iron saccharate or postoperative supplementation with 100 mg of iron polymaltose complex administered orally, twice a day for 8 weeks. The primary outcome is the difference in mean haemoglobin levels between the two groups at eight postoperative weeks. Secondary outcomes evaluated at one, four and eight postoperative weeks include iron profile, reticulocyte count, overall quality of life measured using the Short-Form 36 Health Survey (SF-36) questionnaire, fatigue measured using the Functional Assessment of Chronic Illness Therapy - Fatigue (FACIT-F), adverse effects and postoperative complications. Discussion: This randomised clinical trial aims to evaluate the haematopoietic effectiveness of intravenously administered iron supplementation in patients undergoing post- bariatric abdominoplasty. A more effective recovery of haemoglobin levels could help improve the patients' quality of life and could provide an improved haematological status in preparation for the subsequent and frequent plastic surgeries these patients undergo.