Orientador: Sergio Tadeu Martins Marba / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas / Made available in DSpace on 2018-08-08T00:24:59Z (GMT). No. of bitstreams: 1 Moura_MonicaBarthelsonCarvalhode_M.pdf: 1974404 bytes, checksum: f66d3899041444039f1356215d0843ac (MD5) Previous issue date: 2006 / Resumo: O objetivo deste estudo foi verificar a tendência secular de permanência hospitalar de recém-nascidos sadios e = 2.500 gramas em uma maternidade de grande porte em Campinas (Hospital Maternidade de Campinas) e sua modificação com algumas variáveis maternas e do recém-nascido. Foi um estudo descritivo, analítico, retrospectivo, realizado através de dados dos prontuários de pacientes nascidos vivos entre os anos de 1951 a 2000, com uma amostra de 5001 recém-nascidos, selecionada através de sorteio, dentre a população total incluindo todos os anos do período de estudo. A variável dependente foi o tempo de permanência hospitalar e as independentes foram peso de nascimento, idade materna, tipo de parto e categorias de internação. Para analisar a tendência secular do tempo de permanência hospitalar em função do ano de nascimento, bem como sua associação com as variáveis independentes, foi utilizado análise de regressão linear com estimação pelo método dos quadrados mínimos. O nível de significância adotados para os testes estatísticos foi de 5%. A média de tempo de permanência hospitalar do binômio mãe-filho na maternidade em 1951 foi de 123 horas e em 1970, já havia diminuído para 55, 8 horas. O tempo de permanência Hospitalar não variou com o peso de nascimento, a idade materna e a categoria de internação, variando apenas com o tipo de parto. Concluiu-se que houve um decréscimo vertiginoso no tempo de permanência hospitalar no período de 1951 a 1970 independente do peso de nascimento, da idade materna e das categorias de internação, variando apenas com o tipo de parto, as cesáreas apresentaram queda mais significativa do tempo de internação, destes recém- nascido / Abstract: The objective of this research was to become known the secular tendency of lenght of perinatal hospital stay in healthy newborns, with birth weight more than 2.500g in a big hospital of Campinas (Hospital Maternidade de Campinas). It was a descriptive, analitic and retrospective study, analyzing prontuary datas of pacients that have been borned from 1951 to 2000. They have been choosen by picking them up from the total population during all years. The dependent variable has been the lenght of stay and the independents have been birth weight, maternal age, kind of delivery and economic categories. To analyse the secular tendency of length of stay for each year and associate it with the independent variables, it has been used linear regression analysis. The significance level was 5%. The middle time of length of stay for mother and newborn, in 1951, was 123 hours and in 1970, was 55,8 hours.The variables: birth weight, maternal age and economic categories haven't change hospitalar permanency, only kind of delivery has interwied in this process. Conclusion: the length of stay has decreased significantly between 1951 to 2000. Birth weight, maternal age and economic categories haven't interviewed in this process. Only the kind of delivery, the cesareans have been decreased significantly during 1951 to 2000 / Mestrado / Pediatria / Mestre em Saude da Criança e do Adolescente

No description available.

Lui Yat Chi. / Publication date from spine. / Thesis (M.Phil.)--Chinese University of Hong Kong, 1995. / Includes bibliographical references (leaves 93-103). / Acknowledgment --- p.1 / Abstract --- p.2 / Chapter Chapter 1 --- Introduction --- p.3 / Chapter 1.1 --- Background --- p.3 / Chapter 1.2 --- Review of previous epidemiological studies of congenital abnormalities --- p.3 / Chapter 1.2.1 --- Limitation in comparing data with different studies --- p.4 / Chapter 1.3 --- Objectives --- p.4 / Chapter Chapter 2 --- Definition --- p.7 / Chapter 2.1 --- Terminology and definition --- p.7 / Chapter 2.1.1 --- The definition of clinical abnormality --- p.9 / Chapter 2.1.2 --- The current concepts in major and minor anomalies --- p.10 / Chapter 2.1.3 --- The definition of major and minor anomalies --- p.10 / Chapter 2.2 --- Major anomalies and minor anomalies --- p.11 / Chapter Chapter 3 --- Subjects and Methodology --- p.16 / Chapter 3.1 --- The introduction of methodology --- p.16 / Chapter 3.1.1 --- Background --- p.16 / Chapter 3.1.2 --- Different Methodologies and their limitations --- p.16 / Chapter 3.2 --- Methods --- p.17 / Chapter 3.2.1 --- Setting --- p.17 / Chapter 3.2.2 --- Design of the research data recording sheet --- p.18 / Chapter 3.2.3 --- Training --- p.18 / Chapter 3.2.3.1 --- "Training in paediatrics, orthopaedic and clinical genetic centre" --- p.18 / Chapter 3.2.3.2 --- End of training period --- p.19 / Chapter 3.2.4 --- Data Collection --- p.19 / Chapter 3.2.4.1 --- Subject selection --- p.19 / Chapter 3.2.4.2 --- Examination Procedures --- p.20 / Chapter 3.2.4.3 --- Cross checking of the examination --- p.25 / Chapter 3.2.4.4 --- Other sources of information --- p.25 / Chapter 3.3 --- Problems in screening --- p.26 / Chapter 3.4 --- Selection of variables --- p.26 / Chapter 3.5 --- Statistical analysis --- p.27 / Chapter Chapter 4 --- Results --- p.28 / Chapter 4.1 --- Sub-Classification of the newborn infants --- p.28 / Chapter 4.2 --- Weights and Measures --- p.29 / Chapter 4.2.1 --- Result --- p.29 / Chapter 4.2.2 --- Supplement (statistical analysis of Table 4， 5 & 6) --- p.30 / Chapter 4.3 --- The incidence of congenital abnormalities in Newborn Chinese --- p.31 / Chapter 4.4 --- Relationship between incidence of abnormalities and sex --- p.47 / Chapter 4.4.1 --- Result --- p.47 / Chapter 4.5 --- Relationship between incidence of abnormalities and maternal age --- p.53 / Chapter 4.5.1 --- Result --- p.53 / Chapter 4.5.2 --- Supplement (statistical analysis of Table 19) --- p.54 / Chapter 4.5.3 --- Supplement (statistical analysis of Table 21 & 22) --- p.56 / Chapter 4.6 --- Relationship between incidence of abnormalities and parity --- p.58 / Chapter 4.6.1 --- Result --- p.58 / Chapter 4.7 --- Relationship between incidence of abnormalities and mode of delivery --- p.59 / Chapter 4.7.1 --- Result --- p.59 / Chapter 4.7.2 --- Supplement (statistical analysis of Table 23 & 24) --- p.59 / Chapter 4.8 --- Other correlations --- p.62 / Chapter 4.8.1 --- Relationship between incidence of abnormalities and mode of delivery --- p.62 / Chapter 4.8.2 --- Supplement (statistical analysis of Table 25 & 26) --- p.63 / Chapter Chapter 5 --- Discussion --- p.65 / Chapter 5.1 --- Comparative prevalence of congenital anomalies among different studies --- p.65 / Chapter 5.2 --- Comparison of incidence of specific major abnormalities in different survey --- p.68 / Chapter 5.3 --- Relationship between abnormalities and different factors --- p.70 / Chapter 5.3.1 --- Maternal age --- p.70 / Chapter 5.3.2 --- Parity --- p.71 / Chapter 5.3.3 --- Mode of delivery --- p.72 / Chapter 5.4 --- Other correlations --- p.72 / Chapter 5.5 --- The prevalence of birth defects among different systems in this survey --- p.72 / Chapter 5.5.1 --- Central nervous system --- p.72 / Chapter 5.5.2 --- Cardiovascular system --- p.76 / Chapter 5.5.3 --- Alimentary system --- p.79 / Chapter 5.5.4 --- Musculoskeletal system --- p.81 / Chapter 5.5.4.1 --- Supplement (statistical analysis of Table Y) --- p.82 / Chapter 5.5.5 --- Multiple syndrome --- p.86 / Chapter Chapter 6 --- Conclusion --- p.89 / Chapter 6.1 --- Limitations and Benefits --- p.90 / Chapter 6.2 --- Future direction --- p.92 / References --- p.93 / Appendix --- p.104

Diss. (sammanfattning) Linköping : Univ., 2004. / Härtill 5 uppsatser.

This research was designed to assess 7-week-old infants' preference for infant directed and adult directed talk. (IDT and ADT) using the infant controlled habituation/dishabituation looking procedure. Infants were presented with short audio recordings of either a female or a male speaking in IDT during habituation and ADT during dishabituation or the reverse. In the control conditions, the stimulus did not change. Infants demonstrated preference for IDT over ADT in both male and female speaker conditions. They also demonstrated preference for the female speaker used in this study over the male speaker. Interactions among the dependent variables (first three looks), and the independent variables (infant gender, and style of speaking as well as infant gender, and speaker gender), suggest that the preference might not be as robust as the preference found in infants over 4 months. Evidence for discrimination between IDT and ADT was inferred from the between group demonstration of preference, but no evidence of within infant discrimination was found. Because the evidence suggests that 7-week-old infants demonstrate weaker preference for IDT over ADT than do infants of 4 months, it is assumed that infant preferences follow a developmental sequence. Thus, it is possible that developing preferences are influenced by experiential factors. / Arts, Faculty of / Psychology, Department of / Graduate

Nyfödda barn som är kroniskt eller tillfälligt sjuka upplever multipla invasiva och vävnadsskadande procedurer på akutmottagningar och intensivvårdsavdelningar. Smärtsamma procedurer är en risk för hjärnskador hos den nyfödde. Den här litteraturstudien hade som syfte att beskriva den smärtlindrande effekten av sockerlösning i samband med smärtsamma procedurer hos nyfödda samt att beskriva möjliga komplement till administrering av sockerlösning. Vidare var syftet att beskriva de valda artiklarnas design. Artiklarna hämtades från databasen PubMed genom sökord i olika kombinationer. Undersökningsgruppen var tillfälligt sjuka samt friska nyfödda barn. Artiklarna bearbetades noggrant genom att läsas igenom med fokus på resultatdelen. Resultatet av de granskade artiklarna visar att sockerlösningen har en god effekt på smärta hos nyfödda när den jämförs med placebo eller sterilt vatten. I studier som jämfört sockerlösningen med metoder som att den nyfödda fick suga, fick värme eller hud mot hud så har sockerlösningen en sämre effekt på smärta hos nyfödda. Ett resultat talade helt emot att använda sig av sockerlösning till nyfödda i smärtlindrande syfte. Komplement till sockerlösning i smärtlindrande syfte, som t ex att den nyfödda fick värme, hud mot hud eller fick suga tillsammans med sockerlösning gav bättre effekter än att ge endast sockerlösning. Resultatet visade även att bröstmjölk (inte genom amning) har en sämre effekt jämfört med sockerlösning avseende smärta, men när den nyfödda fick amma visades det motsatta. Författarens tredje frågeställning beskriver ett resultat där de flesta studier har en liknande design, dock ser strukturen för hur man presenterat sin design olika ut mellan de olika studierna. / Newborn babies who are chronically or temporarily ill are experiencing multiple invasive and noxious procedures in emergency rooms and intensive care units. Painful procedures are a risk of brain damage in newborn. This literature review aims to describe the analgesic effect of the sugar solution during painful procedures in neonates and to describe possible complement to the administration of sugar solution. A further aim was to describe the selected articles design. Studies retrieved from the database PubMed by keywords in various combinations. The study group was temporarily ill and healthy babies. Articles were processed carefully by being read with a focus on results section. The results of the reviewed articles show that the sugar solution has a good effect on pain in newborns when compared with placebo or sterile water. In studies that compared the sugar solution with methods that newborn babies were sucking, got heat or skin to skin so the sugar has a worse effect on pain in neonates. One result speaks totally against the use of sugar solution to newborn for pain-relieving. Complement to the sugar solution in purpose of pain relief, such as the newborn got warmth, skin to skin or got sucking in combination with sugar solution provides better effects than giving only the sugar solution. A result also show that breast milk (not through breastfeeding) has a worse effect than sugar solution in pain, but when the newborn babies were breast-feeds the opposite was shown. The author`s third question describes a performance were most studies has a similar design, but the structure of how it has been presented differs between the different studies.

Para descrever a incidência, fatores de risco e evolução clínica da sepse neonatal hospitalar por Klebsiella spp. foi realizado um estudo retrospectivo e prospectivo de 45 neonatos com sepse e Klebsiella spp. na hemocultura. A taxa geral de sepse hospitalar por Klebsiella spp foi de 3,7%, identificando K. pneumoniae (91%), K. oxytoca (9%), e 55,6% de cepas multirresistentes. Os principais fatores de risco foram uso prévio de antibióticos, prematuridade, baixo peso e catéter central. Houve complicações em 28,9% dos casos, com mortalidade de 11%. A sepse por Klebsiella spp. foi freqüente nas unidades neonatais, com taxa elevada de complicações e mortalidade, principalmente na infecção por cepas multirresistentes / In order to describe the incidence, risk factors and clinical evolution of hospital-origin sepsis by Klebsiella spp. in neonatal units, a retrospective and prospective study of 45 neonates with sepsis and Klebsiella spp. at the hemoculture was carried out.The overall hospital sepsis rate by Klebsiella spp. was 3.7%, with the identification of K. pneumoniae (91%), K. oxytoca (9%) and 55.6% of multi-resistant strains. The main risk factors were previous antibiotic use, prematurity, low weight and central catheter.There were complications in 28.9% of the cases, with a mortality rate of 11%.The sepsis by Klebsiella spp. was frequent at the neonatal units, with a high rate of complications and mortality, especially in multi-resistant strain infections

Tanto na formação de enfermeiros como na capacitação de profissionais que atuam na assistência ao pré-termo, há escassez de material didático-pedagógico sobre semiotécnica e semiologia. A revisão da literatura sugere que este tema seja ministrado aos alunos, utilizando tecnologia que permita a aproximação máxima da realidade. Desta forma, é importante elaborar estratégias e instrumentos que apresentem, gradativamente, a complexidade e a especificidade do recém-nascido prétermo. Na era da informática, vislumbra-se as inúmeras possibilidades do uso do computador na educação. Assim, o objetivo do presente estudo é desenvolver e validar um software educacional sobre a semiotécnica e semiologia do recém-nascido pré-termo. Para tal, utilizou-se o referencial pedagógico da problematização e a metodologia de desenvolvimento de software de Bernardo. O software foi desenvolvido utilizando tecnologia avançada, informatizada, interativa e com simulações. Por meio de recursos de hipertexto apresenta-se uma série de mídias integradas, como fotos, figuras, vídeos e sons. O conteúdo foi organizado em quatro partes: 1. apresentação, que inclui também a justificativa e o objetivo do software educativo e uma lista das abreviaturas utilizadas; 2. semiotécnica, contendo conceitos teóricos e práticos das técnicas de inspeção, palpação, percussão e ausculta utilizadas na avaliação clínica; 3. semiologia, contendo aspectos conceituais e históricos, o contexto da avaliação clínica na unidade neonatal (o recém-nascido pré-termo, o avaliador, o ambiente e a família) e os tipos de avaliação (ao nascimento, de transição e sistemática). A avaliação clínica sistemática foi organizada por necessidades humanas básicas (psicobiológica-oxigenação, circulação, termorregulação, alimentação e hidratação, eliminação, integridade tecidual, sono e repouso, sexualidade e percepção sensorial; psicossocial-segurança, amor e aceitação, gregária e atenção; e psicoespiritual); 4. simulações, com 143 questões de múltipla escolha e respectivos feedback de resposta certa ou errada, visando testar os conhecimentos adquiridos com o uso do software, que são apresentadas aleatoriamente, considerando-se que houve aprendizado adequado quando o estudante acertar pelo menos 70% das questões. O software apresenta também os links galeria, referências e ficha técnica. A validação de conteúdo e aparência do software foi feita com a participação de três especialistas em informática, dois técnicos em audiovisual e onze enfermeiros (docentes e enfermeiros assistenciais). A grande maioria dos itens avaliados no software recebeu conceitos bom e muito bom de mais de 70% dos avaliadores, sendo portanto validado sua aparência e seu conteúdo. Assim, consideramos que o produto desenvolvido Resumo está adequado para ser disponibilizado para uso no ensino de enfermagem sobre a semiotécnica e semiologia do recém-nascido pré-termo, inserido no referencial pedagógico da problematização. / In nursing education as well as in preterm care professional training, there is a lack of didactical-pedagogical material on physical examination. A literature review suggests that this theme be presented to students with the help of technology that permits the closest possible approximation of reality. Hence, it is important to elaborate strategies and instruments that gradually present the complexity and specificity of preterm infants. In the age of informatics, the use of computers in education offers countless possibilities. This study aims to develop and validate an educational software on physical examination of preterm infants. We used the problematizing pedagogical reference framework and Bernardo s software development methodology. The software was developed through advanced interactive computer technology and simulations. Hypertext resources were used to present a series of integrated media, such as pictures, figures, videos and sound fragments. The content was organized in four parts: 1. the presentation, which also included the justification and objective of the educational software, and a list of used abbreviations; 2. semiological techniques, containing theoretical and practical concepts of inspection, palpation, percussion and auscultation techniques used in clinical assessment; 3. semiology, discussing conceptual and historical aspects, the context of clinical assessment at the neonatal unit (preterm infant, evaluator, environment and family) and assessment types (at birth, transition and systematic assessment). Systematic clinical assessment was organized according to basic human needs (psychobiological-oxygenation, circulation, thermoregulation, feeding and hydration, elimination, tissue integrity, sleep and rest, sexuality and sensory perception; psychosocial-security, love and acceptance, gregarious and attention; and psychospiritual); 4. simulations, covering 143 multiple choice questions and the respective feedback on right or wrong answers, with a view to testing the knowledge acquired through the software, in a random presentation. Learning was considered adequate if the student answered correctly at least 70% of questions. The software also presents links to gallery, references and technical card. Content and face validation involved three informatics specialists, two audiovisual technicians and eleven nurses (faculty members and clinical nurses). More than 70% of the experts assessed a large majority of the assessed software items as good or very good, so that its face and contents were validated. Thus, we consider that the developed product is adequate for use in nursing teaching about physical examination of preterm infants, in the context of the problematizing pedagogical reference framework.

Introdução: Os recém-nascidos (RNs) compõem uma população vulnerável à dor, e a vivência repetida desta experiência pode resultar em prejuízos para seu desenvolvimento. Estudos retratam realidade alarmante vivenciada na Unidade de Terapia Intensiva Neonatal (UTIN), onde o número de procedimentos dolorosos realizados diariamente é expressivo. Objetivo geral: verificar a incidência de dor durante os primeiros sete dias de internação na UTIN. Objetivos específicos: determinar a prevalência da dor; identificar o tipo e a frequência de procedimentos invasivos aos quais os RN são submetidos, e verificar as medidas não farmacológicas e farmacológicas implementadas no alívio da dor. Metodologia: Estudo retrospectivo e longitudinal composto por todos os RNs internados na UTIN durante período de 12 meses. Das 188 internações ocorridas, 15 foram excluídas conforme os critérios estabelecidos e houve 2 perdas, o que resultou em 171 internações referentes a 150 RNs. A coleta dos dados foi realizada em impresso próprio por meio de leitura dos prontuários e a presença de dor foi avaliada com base na escala NIPS (Neonatal Infant Pain Scale) e presença de anotação de enfermagem sugestiva de dor. Para a análise estatística, utilizou-se o programa Statistical Package for the Social Sciences (SPSS) e foi adotado nível de significância de 5%. Resultados: Os RNs foram submetidos à média de 6,6 procedimentos invasivos por dia, e os mais frequentes foram punção de calcâneo (35,75%) e aspiração de vias aéreas (26,02%). Somente 3,6% dos procedimentos foram realizados sob analgesia ou sedação realizadas especificamente para sua realização. Apenas 32,5% dos registros de dor (NIPS ou anotação de enfermagem sugestiva de dor) resultaram na adoção de condutas para seu alívio, e os fármacos mais administrados para esta finalidade foram: o hidrato de cloral, o midazolam e a dipirona. As intervenções não farmacológicas mais frequentes foram a sucção não nutritiva e o posicionamento ventral. Conclusões: Em 50,3% das internações foi realizado, ao menos, 1 registro de dor, conforme a aplicação da NIPS, ou a anotação de enfermagem sugestiva de dor. A associação da NIPS com anotação de enfermagem sugestiva de dor implicou em melhores índices de intervenção. Contudo, a presença de dor, de acordo com a NIPS, não resultou em maiores taxas de intervenção para seu alívio. / Introduction: Newborns are vulnerable to pain, and repeated experiences can result in damage to their development. Studies portray an alarming reality experienced in the Neonatal Intensive Care Unit (NICU), where the number of painful procedures performed daily is significant. General aim: To determine the incidence of pain during the first seven days in the NICU. Specific aims: To determine the prevalence of pain; identify the type and frequency of invasive procedures to which newborns are subjected, and verify the non-pharmacological and pharmacological measures implemented to relieve it. Methodology: Retrospective study composed of all newborns admitted to the NICU for 12 months. Of the 188 admissions, 15 were excluded according to the criteria established, and there were two losses, which resulted in 171 hospitalizations related to 150 newborns. Data collection was carried out in a printed form by reading their records, and the presence of pain was evaluated based on the NIPS (Neonatal Infant Pain Scale) and records suggestive of pain reported by the nursing staff. Statistical analysis was performed using the Statistical Package for Social Sciences (SPSS) and a 5% significance level was adopted. Results: Newborns underwent an average of 6.6 invasive procedures per day, and the most frequent ones were heel lancing (35.75%) and airways aspiration (26.02%). Solely 3.6% of the procedures were performed under analgesia or sedation specifically made for its realization, and only 32.5% of pain records (NIPS or nursing records indicating pain) resulted in the adoption of conducts to its relief, and the drugs most administered for this purpose were: Chloral Hydrate, Midazolam and dipyrone. The most frequent non-pharmacological interventions were non-nutritive sucking and ventral position. Conclusions: In 50.3% of admissions, there was at least 1 record of pain according to NIPS or nursing records indicating pain. The association of NIPS with nursing records indicating pain resulted in better rates of intervention. However, the presence of pain according to NIPS did not result in higher intervention rates for its relief.

by Susan Sau Han Lui. / Thesis (Ph.D.)--Chinese University of Hong Kong, 1992. / Includes bibliographical references (leaves [141]-158). / Chapter CHAPTER ONE : --- INTRODUCTION --- p.1-5 / Chapter CHAPTER TWO : --- LITERATURE REVIEW / Chapter 2.1 --- Methods of Studying Energy Intake - Dietary Assessment --- p.6-17 / Chapter 2.2 --- Energy Intake and Growth of Children --- p.18-31 / Chapter 2.2.1 --- Energy Intake and Growth Studies of Children in Other Countries / Chapter 2.2.2 --- Energy Intake and Growth Studies in Hong Kong Children / Chapter 2.3 --- Methods for Measuring Energy Expenditure --- p.31-43 / Chapter 2.3.1 --- Direct Calorimetry / Chapter 2.3.2 --- Indirect Calorimetry / Chapter 2.3.3 --- Heart Rate Method / Chapter 2.3.4 --- Doubly-labbeled Water (DLW) Method / Chapter 2.4 --- Energy Expenditure Studies in Children --- p.43-48 / Chapter 2.4.1 --- Energy Expenditure of Normal Children / Chapter 2.4.2 --- Energy Expenditure for Obese Children / Chapter 2.4.3 --- Energy Expenditure for Malnorished Children / Chapter 2.4.4 --- Other Energy Expenditure Data / Chapter CHAPTER THREE : --- A STUDY OF ENERGY INTAKE AND GROWTH FROM BIRTH TO TWO YEARS / Chapter 3.1 --- Introduction --- p.49-50 / Chapter 3.2 --- Objectives --- p.50 -51 / Chapter 3.3 --- Methodology --- p.51-69 / Chapter 3.3.1 --- The Nutritional Research Team / Chapter 3.3.2 --- Study Outline / Chapter 3.3.3 --- The Recruitment / Chapter 3.3.4 --- Study Plan / Chapter 3.3.5 --- The First and Subsequent Visits / Chapter 3.3.6 --- Measurement of Dependent Variables - Anthropometric Measurements / Chapter 3.3.7 --- Measurement of Independent Variables from Nutrient Intakes / Chapter 3.3.8 --- Other Independent Variables Considered Related to Growth Variation / Chapter 3.3.9 --- Physical and Biochemical Examination / Chapter 3.3.10 --- Data Analysis / Chapter 3.3.11 --- Summary of the approach / Chapter 3.4 --- Descriptive Results --- p.69 -84 / Chapter 3.4.1 --- Demographic Data / Chapter 3.4.2 --- General Characteristics of the Children Studied / Chapter 3.4.3 --- Growth / Chapter 3.4.4 --- Dietary Intake / Chapter 3.5 --- Result of Statistical Analysis of Variables influencing Growth --- p.84-101 / Chapter 3.5.1 --- Variables Affecting the Attained Standard Deviation Scores (Z scores) / Chapter 3.5.2 --- Variables Affecting the Change in Relative Positions of Growth Standard Deviation Scores (Z Scores) / Chapter 3.5.3 --- Variables Associated with Lower Attained Growth Standard Deviation Scores (Z scores) / Chapter 3.6 --- Discussion --- p.101 -115 / Chapter 3.6.1 --- Descriptive Data / Chapter 3.6.2 --- Whether the Variation of Growth Can be Explained by Energy Intake / Chapter 3.6.3 --- Whether the Variation of Growth Can be Explained by Other Variables / Chapter CHAPTER FOUR : --- ENERGY EXPENDITURE STUDY / Chapter 4.1 --- Introduction --- p.116 / Chapter 4.2 --- Subjects --- p.116-118 / Chapter 4.3 --- Methodology --- p.118 -123 / Chapter 4.3.1 --- Clinical and Anthropometric Assessments / Chapter 4.3.2 --- Dietary Assessment / Chapter 4.3.3 --- Assessment of Energy Expenditure / Chapter 4.4 --- Results --- p.123 -127 / Chapter 4.4.1 --- Background Characteristics / Chapter 4.4.2 --- Dietary Intake / Chapter 4.4.3 --- Energy Expenditure / Chapter 4.4.4 --- Comparison of Energy Intake and Expenditure / Chapter 4.4.5 --- Comparison with Other Studies / Chapter 4.5 --- Discussion --- p.127 -132 / Chapter 4.5.1 --- Subjects / Chapter 4.5.2 --- Energy Intake and Expenditure / Chapter 4.5.3 --- Comparison with Other Studies / Chapter 4.5.4 --- Summary / Chapter CHAPTER FIVE : --- CONCLUSIONS / Chapter 5.1 --- Pattern of Growth --- p.133 / Chapter 5.2 --- Energy Intake and Energy Expenditure of Children in Hong Kong --- p.134 / Chapter 5.3 --- Variables Affecting Growth --- p.134-136 / Chapter 5.4 --- Implications of the Study Design and Methodology 136 - --- p.138 / Chapter 5.5 --- Implication and Application of the Growth and Energy Intake Standards --- p.138-140