Initiation of breast feeding and duration of any breast feeding are known to differ by ethnic group, but there are limited data on differences in exclusive breast feeding. This study aimed to determine if there are ethnic differences in the initiation and duration of any and exclusive breast feeding. METHODS: Breast-feeding data were obtained from a subsample of 1365 women recruited to a multi-ethnic cohort study (Born in Bradford) between August 2008 and March 2009. Poisson regression was used to investigate the impact of socio-economic, life style and birth factors on ethnic differences in the prevalence of breast feeding. RESULTS: Compared with white British mothers, initiation of breast feeding was significantly higher in all ethnic groups and this persisted after adjustment for socio-economic, life style and birth factors [Pakistani: prevalence rate ratio (PRR) = 1.19 (95% confidence interval 1.10, 1.29); Other South Asian: PRR = 1.29 (1.18, 1.42); Other ethnicities: PRR = 1.33 (1.21, 1.46)]. There were no differences in exclusive breast feeding at 4 months [Pakistani: PRR = 0.77 (0.54, 1.09); Other South Asian: PRR = 1.55 (0.99, 2.43); Other ethnicities: PRR = 1.50 (0.88, 2.56)]. Any breast feeding at 4 months was significantly higher in mothers of all non-white British ethnicities [Pakistani: PRR = 1.27 (1.02, 1.58); Other South Asian: PRR = 1.99 (1.52, 2.62); Other ethnicities: 2.45 (1.86, 3.21)]. CONCLUSIONS: Whilst women of ethnic minority groups were significantly more likely to initiate breast feeding and continue any breast feeding for 4 months compared with white British women, the rates of exclusive breast feeding at 4 months were not significantly different once socio-economic, life style and birth factors were accounted for.

No / A significant number of people in the UK experience chronic pain, resulting in high levels of suffering and reduced quality of life. Management of chronic pain is complex, time consuming and not always successful. Good communication between patients and healthcare professionals is essential to ensure realistic treatment plans and outcomes can be negotiated. Accurate assessment is also key, and nurses play a fundamental role in ensuring patients with chronic pain receive the most appropriate care.

In disseminating information about health issues, government health departments and NGOs use, inter alia, written health texts. In a country like South Africa, these texts are generally written by medical experts and thereafter translated into the languages of the people. One of these languages is Zulu, which is spoken by the majority of South Africans. A large percentage of Zulu speakers are illiterate or semi-literate, especially in the rural areas. For this reason, Zulu translators have to use ‘simple’ language that these readers would understand when translating English texts into Zulu. Translators are expected to use strategies that can deal with non-lexicalized, problematic or other related terms that appear in health texts, as well as geographical and cultural constraints. This study focuses on the strategies used by Zulu translators in an attempt to make translated Zulu health texts accessible to the target readership. The investigation includes the use of self-administered questionnaires for respondents from two of South Africa’s nine provinces, where Zulu speakers are found (Gauteng and KwaZulu-Natal), to determine whether the health texts do reach the target readership. Focus groups, semi-structured interviews and other complementary techniques were used to collect data from the selected respondents. Furthermore, a parallel concordance called ParaConc was used to extract and analyse data from the corpus as compiled for the present study, in an attempt to investigate the strategies used to make the translated health texts easier to read. The study uncovers various strategies which are used when translating English health texts into Zulu. These strategies include the use of loan words, paraphrasing, cultural terms and so on. In future, the use of ParaConc can be broadened to investigate newly discovered translation strategies, with the aim of making health texts more accessible to the target readers. Furthermore, this software programme can also be used to study translation strategies as used in other types of texts, for example journalistic texts. / Linguistics / D. Litt. et Phil. (Linguistics (Translation Studies))

In disseminating information about health issues, government health departments and NGOs use, inter alia, written health texts. In a country like South Africa, these texts are generally written by medical experts and thereafter translated into the languages of the people. One of these languages is Zulu, which is spoken by the majority of South Africans. A large percentage of Zulu speakers are illiterate or semi-literate, especially in the rural areas. For this reason, Zulu translators have to use ‘simple’ language that these readers would understand when translating English texts into Zulu. Translators are expected to use strategies that can deal with non-lexicalized, problematic or other related terms that appear in health texts, as well as geographical and cultural constraints. This study focuses on the strategies used by Zulu translators in an attempt to make translated Zulu health texts accessible to the target readership. The investigation includes the use of self-administered questionnaires for respondents from two of South Africa’s nine provinces, where Zulu speakers are found (Gauteng and KwaZulu-Natal), to determine whether the health texts do reach the target readership. Focus groups, semi-structured interviews and other complementary techniques were used to collect data from the selected respondents. Furthermore, a parallel concordance called ParaConc was used to extract and analyse data from the corpus as compiled for the present study, in an attempt to investigate the strategies used to make the translated health texts easier to read. The study uncovers various strategies which are used when translating English health texts into Zulu. These strategies include the use of loan words, paraphrasing, cultural terms and so on. In future, the use of ParaConc can be broadened to investigate newly discovered translation strategies, with the aim of making health texts more accessible to the target readers. Furthermore, this software programme can also be used to study translation strategies as used in other types of texts, for example journalistic texts. / Linguistics and Modern Languages / D. Litt. et Phil. (Linguistics (Translation Studies))

Text in Afrikaans / This study is aimed at the development of a guiding framework for fathers and their adolescent sons by focusing on male identity as the main binding factor in the relationship between father a and son. The establishment, as well as the confusion regarding male identity, have been stated as starting point and problem statement of the study. The need regarding the way in which the father and son can be guided within this dynamic relationship in order to establish male identity, has been stated as motivation for the study. The need regarding the guidance of fathers and their sons was thus the primary aim with the research question, namely what the most applicable factors in a guiding framework should be that would guide fathers and their sons in order to support the formation of male identity within the sons. The research methodology that has been followed, was from a Gestalt perspective as meta theoretical assumption from which qualitative, explorative and descriptive strategies were followed. The qualitative strategy consisted of an auto-ethnography and semi-structured interviews. The trustworthiness of the research has been strengthened by a quantitative component of the research by utilizing questionnaires, after which data was collected and analysed. A purposive sample was drawn that included respondents from the Drakenstein municipal area in the Boland district. Categories that were identified from data from the semi-structured interviews, as well as indicators from the questionnaires, have been integrated, from which propositions were constructed. Six themes and resulting guiding strategies were presented in the form of a guiding framework. / Hierdie studie is gerig op die ontwikkeling van 'n begeleidingsraamwerk vir vaders en hulle adolessente seuns deur te fokus op manlike identiteit as die samebindende faktor in die verhouding tussen vader en seun. Die vestiging, asook die verwarring ten opsigte van manlike identiteit, is as vertrekpunt en probleemstelling vir die studie gestel. Die behoefte ten opsigte van die manier waarop vader en seun binne hierdie dinamiese verhouding begelei kan word ten einde manlike identiteit te vestig, is as motivering vir die studie gestel. Die behoefte aan begeleiding vir vaders en huile seuns was dus die primere doel met 'n navorsingsvraag, naamlik wat die mees toepaslike faktore sal wees wat in 'n begeleidingsraamwerk aan vaders en hulle seuns leiding sal bied ten einde die vorming van manlike identiteit by die seuns te ondersteun. Die navorsingsmetodologie wat gevolg is, was vanuit die Gestaltperspekief as metateoretiese aanname waaruit kwalitatiewe, verkennende en beskrywende strategies gevolg is. Die kwalitatiewe strategie het bestaan uit 'n outoetnografie en semi-gestruktureerde onderhoude. Die vertrouenswaardigheid van die navorsing is deur 'n kwantitatiewe komponent van die navorsing versterk deur vraelyste te benut waarna data ingesamel en geanaliseer is. 'n Doelgerigte steekproef is getrek, wat respondente ingesluit het uit die Drakenstein munisipale gebied in die Boland distrik. Kategoriee wat vanuit die data van die semi-gestruktureerde onderhoude geidentifiseer is, asook indikatore vanuit die vraelyste, is geintegreer waaruit proposisies saamgestel is. Ses temas en voortspruitende begeleidingstrategiee is aangebied in die vorm van 'n begeleidingsraamwerk. / Social Work / D.Diac. (Spelterapie)

Text in German with summaries in German and English / Zusammenfassung Die vorliegende empirische Forschungsstudie hat es sich zur Aufgabe gestellt, das Predigtverstandnis der baptistischen und mennonitischen Aussiedlerfreikirchen im heutigen Deutschland darzustellen. Da es keine von diesen Freikirchen veroffentlichten Dokumente zur Predigtlehre gibt, musste hier empirisch geforscht werden. Hierbei kamen anerkannte empirische Methoden zur Anwendung, die eine moglichst grosse Objektivitat bzgl. der Sammlung und der Analyse von Umfrage-Daten gewahrleisten sollen, damit die Ergebnisse des Weiteren ein moglichst reprasentatives Bild der Gesamtsituation der genannten Freikirchen bzgl. ihres Predigtverstandnisses in den Gottesdiensten darzustellen vermogen. Die Ergebnisse mehrerer zyklisch-triangularer Umfragen bzgl. des Predigtverstandnisses genannter Gemeinden werden dann diskutiert unter Berucksichtigung des prominentesten deutschen evangelikalen Predigtansatzes. Da diese Forschungsarbeit jedoch nicht einfach nur einem wissenschaftlich-theoretischen Interesse dienen soll, sollen ihre Ergebnisse auch fur die zukunftige Gemeindearbeit von Nutzen sein. Abstract The present empiric research study aims to present the current concept of preaching in the Russian-German Baptist and Mennonite Free Evangelical Churches in Germany. As these churches have not published documents concerning their preaching concept, this study has to be based on empiric research. For this purpose acknowledged empirical methods were applied which vouch for as much objectivity as possible in the collection and analysis of data. The subsequent aim was that the results thereof represent as much as possible an accurate picture of the current situation of these Free Churches with regard to their understanding of preaching in their services. The conclusions to various cyclic-triangular questionnaires regarding the understanding of preaching in these churches are then discussed against the background of a German evangelical homiletic concept. Since this study does not just serve a theoretical research interest, its conclusions are thought to be of use for future work within these churches. / Christian Spirituality, Church History and Missiology / M.Th. (Missiology)

The study sought to explore the influence of gastrointestinal symptoms in female respondents with emetophobia disorder, panic disorder with agoraphobia and obsessive compulsive disorder. The research assessed a sample of sixty respondents which formed part of three groups which were recruited from clinical and online support groups. The age ranged from twenty to forty-five years. Non-probability quota sampling was employed. A non-experimental research design was implemented in order to make comparisons between these groups’ association of gastrointestinal symptoms and the occurrence of possible vomiting. The differential research strategy determined whether a statistically significant difference existed. The groups were assessed on the Gastrointestinal Symptom Score (2005) and the Patient Assessment of Upper Gastrointestinal Symptom Severity Index (2004). The research aimed to determine whether empirical support exists for the Cognitive Behavioural Model of Emetophobia by Boschen (2007). / Psychology / M.A. (Psychology)

INTRODUÇÃO: A dependência química engloba alterações comportamentais, cognitivas e fisiológicas. A impulsividade está presente em muitos transtornos psiquiátricos. Sobre a impulsividade na dependência química de cocaína, os estudos existentes são relativamente novos. A Estimulação Magnética Transcraniana de repetição (EMTr) é um método capaz de neuromodular o cérebro. Este estudo avaliou os efeitos da EMTr sobre a impulsividade em dependentes de cocaína. MÉTODOS: Em um estudo randomizado, duplamente encoberto, 25 pacientes diagnosticados pelo DSM-IV-TR foram tratados com EMTr de alta frequência ativa (1250 pulsos/dia) ou EMTr placebo. O tratamento consistiu em 1 mês de aplicação de EMTr seguido de 2 meses em acompanhamento ambulatorial semanal em um grupo de prevenção de recaídas. Os pacientes foram avaliados antes do início do tratamento com EMTr (T0) e após o término das aplicações (T1), através dos instrumentos: The Shorter PROMIS Questionnaire, The Schalling Impulsivity Scale e The Leeds Dependence Questionnaire. RESULTADOS: 25 pacientes foram tratados e a análise dos dados demonstraram redução nos índices de impulsividade em ambos os grupos ao longo do tempo, porém, quando comparados entre si, os valores de interação não se mostraram significativos. CONCLUSÃO: Os efeitos da EMTr não diferiram em eficácia terapêutica na redução da impulsividade em dependentes de cocaína, com o efeito ativo correspondendo com o placebo / INTRODUCTION: Chemical addiction involves behavioral, cognitive and physiological alterations. Impulsivity is present in many psychiatric disorders. Studies about impulsivity and cocaine chemical addiction are relatively new. Transcranial Magnetic Stimulation (EMTr) is a method capable of neuromodulation the brain. This study evaluated the effects of EMTr over impulsivity in cocaine addicts. METHODS: This is a randomized doubly covert study with 25 patients diagnosed by the DSM-IV-TR who were treated with active high frequency EMTr (1250 pulses/day) or placebo. Treatment was consisted of one month of application of EMTr followed by 2 months of clinical follow-up in a relapse prevention group. Patients were evaluated before the treatment with EMTr (T0) and after the end of the applications (T1), through the instruments: The Shorter PROMIS Questionnaire, The Schalling Impulsivity Scale and The Leeds Dependence Questionnaire. RESULTS: 25 patients were treated and data analysis showed a reduction in the levels of impulsivity in both groups throughout the time. However, group comparisons did not show statistical differences. CONCLUSION: EMTr\'s effects did not differ in terms of therapeutical efficacy in the reduction of impulsivity in cocaine addicts

Realizamos estudo prospectivo randomizado para comparar cinco métodos específicos de avaliação funcional do ombro e uma avaliação genérica da saúde em pacientes operados de capsuloplastia e descompressão subacromial associado à reparação do manguito rotador. Foram estudados 30 pacientes de cada grupo, avaliados no período entre cinco a seis meses após o tratamento cirúrgico com os questionários dos Cirurgiões Americanos de Ombro e Cotovelo(ASES), Sistema de Pontuação do Ombro de Constant & Murley (CONSTANT), Folha de Classificação da Reparação de Bankart (ROWE), Teste Simples de Ombro (SST), Escala de Avaliação do Ombro da Universidade de Califórnia - Los Angeles (UCLA) e o Questionário Genérico de Avaliação de Qualidade de Vida (SF-36). A idade no grupo de \"Descompressão\" variou de 44 a 77 anos (média 59,2) e no grupo de \"Capsuloplastia\" foi de 17 a 65 anos (média de 31,4). Em relação ao sexo, o grupo da \"Descompressão\" foi predominantemente feminino e no grupo da \"Capsuloplastia\" foi predominante o sexo masculino. As médias da pontuação no grupo de \"Capsuloplastia\" são maiores que no \"Descompressão\" (93,6 e 71,7 respectivamente). A variabilidade dos escores observado no grupo \"Capsuloplastia\" (89,1 a 100) é inferior ao do grupo \"Descompressão\" (65,1 a 95,9). Não existe uma forte concordância entre os resultados obtidos pelos diferentes questionários (variação de zero a 0,51). A média nos oito domínios do SF-36 no grupo \"Descompressão\" foi de 70,8 variando de 60,4 (Vitalidade) a 89,2 (Aspectos Sociais). Para o grupo \"Capsuloplastia\" a média foi de 91,2 variando de 83,4 (Saúde Mental) a 96,6 (Aspectos Emocionais). Nos coeficientes de correlação linear de Pearson, não foi detectada associação linear entre a escala de CONSTANT e SF-36 no grupo \"Descompressão\" e entre ROWE e SF-36 no grupo \"Capsuloplastia\". Em ambos os grupos a maior correlação encontrada foi entre os questionários UCLA e ASES (0,900 na \"Descompressão\" e 0,893 na \"Capsuloplastia\"). Concluiu-se que nas cirurgias de descompressão subacromial o questionário UCLA foi o mais completo mostrando maior confiabilidade e reprodutibilidade e para as capsuloplastias o método ROWE apresentou maior confiabilidade, reprodutibilidade e praticidade. / A prospective randomized study was realized to compare methods of both disease specific and generic health status of shoulder\'s functional assessment in patients after operative treatment of subacromial decompression associated a repair of a tear of the rotator cuff and capsuloplasty. The thirty patients in each group were studied and at follow-up five to six months later, with the following questionnaires: American Shoulder and Elbow Surgeons Shoulder Evaluation Form (ASES), Constant-Murley Shoulder Scoring System (CONSTANT), Rating Sheet for Bankart Repair (ROWE), Simple Shoulder Test (SST), University of California at Los Angeles Shoulder Rating Scale (UCLA) and the Short Form-36 (SF-36). The age in Decompression group was greater than Capsuloplasty group and the gender of first group was predominantly consisted of women and in the second group was men. The scores averages of Capsuloplasty group were higher than Decompression group (93,6 and 71,7 respectively). The variability of the scores observed in the Capsuloplasty group, 89,1 to 100,0 was less than in the Decompression group, 65,1 to 95,9. A strong interrater reliability between the questionnaires does not exist - variation 0 to 0,51. The average in the eight domains of SF-36 in Decompression group was 70,8 [range 60,4 (Vitality) to 89,2 (Social Aspect)]. In Capsuloplasty group the average was 91,2 [range 83,4 (Mental Health) to 96,6 (Emotional Aspect) ]. Pearson\'s coefficient analysis, shows that the correlation between CONSTANT and SF-36 was not detect, and in Capsuloplasty was not detect in ROWE and SF-36. In both groups Capsuloplasty (0,893) and Decompression (0,900), a strong correlation between UCLA and ASES were observed. It follows that to subacromial decompression surgery, UCLA shows more reliability and in Capsuloplasty, the Rowe method shows more applicability.

O presente estudo teve como objetivo descrever a dieta e o estado nutricional de uma população com síndrome coronariana aguda no Projeto Estratégia de Registro da Insuficiência Coronariana (Projeto ERICO) na unidade de emergência do Hospital Universitário da Universidade de São Paulo e estimar o número de óbitos em decorrência de doenças cardiovasculares em um ano de acompanhamento desses pacientes. Foram selecionados 290 pacientes de uma população de 841 indivíduos com diagnóstico de síndrome coronariana aguda. Foram avaliados dados demográficos, IMC e variáveis de nutrição a partir de um Questionário de Frequência Alimentar previamente validado e posterior análise do Índice de Qualidade da Dieta Revisado. As variáveis de nutrição utilizadas foram valor calórico total, carboidrato, proteína, lipídeo, ácidos graxos polinsaturados, ácidos graxos monoinsaturados, ácidos graxos saturados, ácidos graxos trans, ácidos graxos linolênico, ácidos graxos linoléico, colesterol e fibras. O cálculo do valor nutritivo dos alimentos consumidos e registrados foi realizado utilizando o programa Virtual Nutri com banco de dados de alimentos da tabela de composição química da United States Departement of Agriculture. Com exceção do colesterol e fibras, todas as variáveis tiveram seus valores absolutos e ajustados para a dieta descritos nas análises. Para a avaliação da qualidade da dieta, foi utilizado o Índice de Qualidade da Dieta Revisado e análise dos 12 componentes que caracterizam diferentes aspectos de uma dieta saudável. Cada componente foi avaliado e uma pontuação foi atribuída variando de zero a vinte. Os valores intermediários foram calculados proporcionalmente à quantidade de alimento consumido. Os indivíduos que possuíram ingestão igual ou superior ao nível recomendado atingiram a pontuação máxima (cinco, dez ou 20 pontos), a depender do componente em questão. No final, a pontuação de todos os componentes foi somada gerando o Índice de Qualidade da Dieta revisado. O valor máximo do Índice de Qualidade da Dieta Revisado é 100 pontos. As variáveis dependentes foram os três tipos de síndrome coronariana aguda: angina instável, infarto agudo do miocárdio sem elevação e infarto agudo do miocárdico com elevação do segmento ST no eletrocardiograma de repouso e para a análise de sobrevida, o óbito após um ano de arrolamento a partir da data de entrada no Hospital Universitário. Para análise dos dados foi feita inicialmente uma análise exploratória dos dados, mostrada em forma de tabelas, gráficos e medidas descritivas, com o intuito de obter uma visualização. Para mensuração do nível de associação entre variáveis nominais (sexo e etnia) com o tipo de síndrome coronariana aguda, foi utilizado o teste de quiquadrado de Pearson. As variáveis contínuas foram categorizadas de acordo com o valor de corte estabelecido na literatura, independente da distribuição dos dados na amostra e para estas, também foi aplicado o teste qui-quadrado com nível de significância (alfa) de 5%, excetuando-se o valor energético total que utilizou a mediana da população. Os dados categóricos foram representados em frequências absoluta (n) e relativa (%). As variáveis quantitativas foram submetidas ao teste Kolmogorov-Smirnov para verificar o grau de aderência à distribuição normal. O teste de variância Levene foi utilizado para analisar a homocedasticidade. As variáveis quantitativas foram descritas por frequências, medidas de tendência central e de dispersão. Os dados paramétricos foram representados por média e desvio padrão e comparados por análise de variância para medidas não repetidas (one way ANOVA) com teste post-hoc de Bonferroni para comparação de três variáveis e teste-T não pareado para comparação de duas variáveis. Os dados foram analisados de acordo com o gênero. Os dados não paramétricos foram representados por mediana e comparados com o teste de Kruskal-Wallis com post-hoc Dunn para comparação de três variáveis e teste de Mann-Whitney para duas variáveis. Para analisar a relação do tipo de síndrome coronariana aguda (variável dependente) com as variáveis de nutrição foi feita uma análise de regressão logística binária, considerando a angina instável e IAM sem supra como uma variável e IAM com supra como outra variável dependente. As análises de regressão foram utilizadas para estimar a odds ratio e intervalo de confiança. Análises não ajustadas foram conduzidas para as variáveis separadamente. As variáveis de cada bloco foram analisadas simultaneamente usando o método Enter. Utilizou-se a abordagem da análise de sobrevivência considerando como evento de interesse o óbito com a probabilidade acumulada de sobrevida em dias. Nenhum paciente perdeu o seguimento durante a duração do estudo. Para a análise de tempo desde o dia de internação até a data de última ligação foi utilizado, inicialmente, o estimador produto limite de Kaplan Meier. Na análise univariada das variáveis qualitativas, para verificar a influência do Índice de Qualidade da Dieta Revisado no óbito, realizou-se a construção de curvas Kaplan-Meier e a comparação estatística foi feita pelo teste log-rank. O tempo de sobrevida foi determinado, contado em dias, entre o dia de entrada no Hospital Universitário e a data de óbito. O nível de significância estabelecido para a análise foi de 0,05. As curvas de Kaplan-Meier foram apresentas segundo o tercil de Índice de Qualidade da Dieta Revisado. A digitação e codificação das informações coletadas foram realizadas no programa Excel; posteriormente os dados foram analisados estatisticamente pelo programa SPSS versão 17.0. Os procedimentos para o desenvolvimento deste estudo respeitaram as diretrizes e normas que regulamentam as pesquisas envolvendo seres humanos, aprovadas pela Resolução n° 169, de 10 de outubro de 1996, do Conselho Nacional de Saúde. Desta forma, no banco de dados da pesquisa principal está mantido o anonimato e a confidencialidade dos dados. A maior parte dos indivíduos foram homens adultos com etnia branca, com sobrepeso e diagnóstico IAM sem supra. A dieta média foi considerada hipercalórica, hipoglicídica, normoprotéica e hiperlipídica com aumento da quantidade do valor calórico total em relação ao aumento da gravidade de síndrome coronariana aguda e relação inversa para proteína. Em relação aos micronutrientes, as quantidades foram adequadas para ácidos graxos polinsaturados, ácidos graxos monoinsaturados, ácidos graxos trans e colesterol e consumos abaixo do recomendado para ácidos graxos linolênicos e ácidos graxos linoleicos. O colesterol teve aumento de consumo médio em relação ao aumento da gravidade de síndrome coronariana aguda, enquanto ácidos graxos polinsaturados, ácidos graxos linoleicos e ácidos graxos trans tiveram aumento em relação à diminuição da gravidade da síndrome coronariana aguda. Além disso, qualidade da dieta necessita melhorar. Para os componentes cereal total, carne e derivados, leguminosas, leite e derivados, óleo e gorduras e sódio, o aumento dos mesmos, aumentou em relação à gravidade da doença. Não foi observada relação com a gravidade de síndrome coronariana aguda para os outros componentes, nem mesmo com a pontuação total do Índice de Qualidade da Dieta Revisado. Os valores médios mais baixos em relação à pontuação total foram para os componentes cereal integral, leite e derivados e gordura saturada enquanto os mais altos foram vegetal total, óleo e derivados e sódio / The present study aimed to describe the diet and nutritional status of a population with acute coronary syndrome in the Project Strategy Registry of Coronary Insufficiency (ERICO study) at the emergency unit of the University Hospital of the University of São Paulo and estimate the number of deaths in due to cardiovascular diseases in one year follow up of these patients. It was selected 290 patients from a population of 841 individuals diagnosed with acute coronary syndrome. It was evaluated variables of demographics, BMI and nutritional variables from a Food Frequency Questionnaire previously validated and further analysis of the Brazilian Healthy Eating Index-Revised. The variables used were total caloric value, carbohydrate, protein, fat, polyunsaturated fatty acids, monounsaturated fatty acids, saturated fatty acids, trans fatty acids, linolenic fatty acids, linoleic fatty acids, cholesterol and fiber. The calculation of the nutritional value of consumed foods was performed using the Virtual Nutri software with the food chemical composition of United States Departement of Agriculture database. With the exception of cholesterol and fiber, all variables and their absolute values described in the analyzes were adjusted to the diet. For the quality of the diet evaluation, the Brazilian Healthy Eating Index-Revised was used with its analysis of the 12 components featuring different aspects of a healthy diet was used. Each component was evaluated and was assigned with a score ranging from zero to twenty. Intermediate values were calculated in proportion to the amount of food consumed. Individuals who had intake with the limit or above the recommended level reached the maximum score (five, ten or 20 points ), according to the component in question . In the end, the scores of all components were added generating the Brazilian Healthy Eating Index-Revised. The maximum value of the Brazilian Healthy Eating Index-Revised is 100 points. The dependent variables were the three types of acute coronary syndrome: unstable angina, acute myocardial infarction STEMI and NSTEMI and for the survival analysi , death after one year of enrollment from the entry date into the University Hospital. For the data analysis, an exploratory analysis was first done and shown in tables, charts and descriptive measures. The level of association between nominal variables (gender and ethnicity) with the type of acute coronary syndrome was measured with the chi-squared test. Continuous variables were categorized according to the cutoff value established in the literature, regardless of the data distribution in the sample and for these, the chi- squared test with a significance level (alfa) of 5% was also applied, excepting the total caloric value which was used with the median value of the population. Categorical data were presented as absolute (n) and relative (%) frequencies. Quantitative variables were assessed by Kolmogorov-Smirnov test to check the level of normal distribution. The variance of Levene\'s test was used to analyze the homoscedasticity. Quantitative variables were described by frequencies, central tendency and dispersion measures. Parametric data were expressed as mean and standard deviation and compared by one way analysis of variance (one way ANOVA) and for post hoc analysis, Bonferroni test was used for comparison of three variables and Student\'s t-test was used for comparison of two variables. The data was analyzed according to gender. The non-parametric data were expressed by median and compared with the Kruskal-Wallis test with its post hoc called Dunn test to compare three variables. The Mann-Whitney test was used to compare two variables. The relationship of the type of acute coronary syndrome (dependent variable) with the variables of nutrition was examined with the binary logistic regression analysis of binary logistic regression, considering the unstable angina and NSTEMI myocardial infarction as a single variable and STEMI myocardial infarction as another dependent variable. Regression analyzes were used to estimate odds ratios and confidence intervals. Unadjusted analyzes were performed separately for the variables. The variables in each group were analyzed simultaneously using the Enter method. We used the approach of survival analysis as the event of interest considering death with a cumulative probability of survival expressed in days. No patients had follow-up lost during the study. It was considered the day of admission at the hospital until the last call date for the time analysis and the Kaplan-Meier method was estimated. To verify the influence of the Brazilian Healthy Eating Index-Revised in death, there was the construction of Kaplan-Meier curves and statistical comparison was done by log-rank test. The level of significance for the analysis was 0.05. The typing and encoding data were performed in Excel and subsequently the data were statistically analyzed using SPSS version 17.0. The procedures for the development of this study are complied with the guidelines and rules that regulate research involving human subjects, approved by 169 Resolution from October 10, 1996 by the National Board of Health. By this way, the database of the research maintained its anonymity and its confidentiality of the data. Most subjects were adults, men, with white ethnicity, overweight diagnosis and with NSTEMI acute myocardial. The average of diet was considered hypercaloric, hypoglycemic, with normal protein value and high in fat with increased amounts of the total caloric value in relation to the increased severity of acute coronary syndrome and inverse relation to protein value. Regarding micronutrients, the quantities were appropriate for polyunsaturated fatty acids, monounsaturated fatty acids, trans fatty acids and cholesterol intakes below the recommended level for linolenic fatty acids and linoleic fatty acids. The cholesterol had increased average consumption in relation to increased severity of acute coronary syndrome, whereas polyunsaturated fatty acids, linoleic fatty acids and trans fatty acids were increased in relation to reducing the severity of acute coronary syndrome. Furthermore, diet quality needs to improve. For full cereal components, meat products, legumes, dairy products, oils and fats and sodium, an increase of them increased the severity of the disease. There wasn\'t relationship with the severity of acute coronary syndrome for the other components, not even with the total score of the Brazilian Healthy Eating Index-Revised. The lowest average values for the total score were components for whole grain, dairy and saturated fat while the highest were the total vegetable oil and derivatives and sodium