Thesis (M.A.) -- Mahidol University, 1978.

Thesis (M.A.) -- Mahidol University, 1978.

Thesis (M.A.)--Mahidol University, 1982.

The purpose of this study was to determine if post-operative serum albumin and percentage of weight loss improved in patients who received formalized pre-operative nutrition counseling. Nutrition intervention was measured quantitatively. A retrospective review of records was conducted on 77 RYGB patients (68 female subjects and 9 male subjects), ages 21-64, during January 2001 through January 2006. The results indicated that patients who received pre-operative nutrition intervention had better clinical outcomes of serum albumin than those with no nutrition intervention from a registered dietitian. However, outcomes regarding percentage of weight loss varied. Both pre-operatively and at the 3 month post-operative visit the weight of subjects who received nutrition intervention seemed to be increasing by the 6 month post-operative visit the subjects with no nutrition intervention had lost more weight.

Submitted by Ana Lúcia Torres (bfmhuap@gmail.com) on 2017-09-28T12:43:48Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) DISSERTAÇÃO MONIQUE BABINSKI_Pós Defesa 2016 SEM APENDICES (1).pdf: 1899605 bytes, checksum: 5667910f275aadea7cc77dcc4a1ea0c1 (MD5) / Approved for entry into archive by Ana Lúcia Torres (bfmhuap@gmail.com) on 2017-09-28T12:44:09Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) DISSERTAÇÃO MONIQUE BABINSKI_Pós Defesa 2016 SEM APENDICES (1).pdf: 1899605 bytes, checksum: 5667910f275aadea7cc77dcc4a1ea0c1 (MD5) / Made available in DSpace on 2017-09-28T12:44:09Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) DISSERTAÇÃO MONIQUE BABINSKI_Pós Defesa 2016 SEM APENDICES (1).pdf: 1899605 bytes, checksum: 5667910f275aadea7cc77dcc4a1ea0c1 (MD5) Previous issue date: 2016 / Complexo Hospitalar de Niterói / O objetivo deste estudo foi avaliar os efeitos da restrição proteica e calórica materna durante a lactação, analisando se haveria recuperação, o conhecido “catch-up” das dimensões morfológicas femorais após a restauração da dieta nutricional. Ao nascimento da ninhada, as progenitoras foram divididas nos seguintes grupos: Controle (C) com dieta a 23% de proteína ad libitum; Restrição Proteico-Calórica (RPC) com dieta a 8% de proteína e Restrição Calórica (RC) com dieta a 23% de proteína, em quantidades restritas de acordo com a ingestão do grupo RPC. Após o desmame, todos os filhotes foram separados das mães e receberam livre acesso a uma dieta padrão de laboratório contendo 23% de proteína, até 180 dias, quando os ratos foram eutanasiados. O fêmur foi excisado e as dimensões femorais macroscópicas foram medidas usando pontos anatômicos pré-estabelecidos. Após a morfometria macroscópica, os fêmures foram fixados em formol 10% (24h) e descalcificados por EDTA. Foram realizadas secções transversais de 10μm de espessura no terço médio diafisário dos espécimes, corados com HE e levados ao microscópio para análise qualitativa e histomorfometria da cortical óssea. Os resultados morfométricos macroscópicos mostraram que a maioria das medidas nos grupos de RC e RPC foram significativamente menores do que no grupo controle. As maiores reduções ocorrendo no grupo de RPC e com várias anormalidades histoarquiteturais, eg., diminuição da área cortical e aumento da área medular. Cortical com lacunas aumentadas significativamente nos grupos RC e RPC. Nossos resultados mostram que a restrição proteico-calórica durante a lactação leva a uma recuperação incompleta na idade adulta. O fêmur mostrou redução significativa na maior parte dos parâmetros macro e microscópicos nos dois grupos tratados, em particular o grupo RPC, quando comparado com o grupo C / The aim of this study was to evaluate the effects of maternal protein and energy restriction during lactation, analyzing on morphological dimensions whether there was catch-up growth through normative nutrition restored, as well as on mechanical axis of femur of the offspring at adulthood. At parturition, Wistar rat dams were randomly assigned to the following groups: 1) control group (C) - free access to a standard laboratory diet containing 23 % protein, 2) protein-energy restricted group (PER) - free access to an isoenergetic, protein-restricted diet containing 8 % protein, and 3) energy-restricted group (ER) – fed with restricted amounts of a standard laboratory diet. At weaning, all pups were separated of dams and received free access to a standard laboratory diet containing 23% protein until 180 days, when the rats were anesthetized and sacrificed. The dimensions of excised pup femur were measured directly using pre-established anatomical points. After macroscopic morphometry, the femurs were fixed in 10% formalin (24h) and decalcified by EDTA. Cross sections of 10μm thickness were made in the middle third (diaphyseal) of the specimens stained with HE and taken to the microscope for qualitative analysis and histomorphometry of cortical bone. Morphometric analysis of the femur (macroscopic) showed that most of the measurements in the ER and PER groups were significantly lower than in the control group, with the greatest reductions occurring in the PER group and several histoarchitectural abnormalities, e.g., decrease in cortical area and increased medullary area. Cortical bone with gaps increased significantly in ER and PER groups. Our results show that protein and energy restriction during lactation leads to an incomplete catch-up growth in adulthood. The femur showed significant reduction in most of the parameters in the two treated groups, particularly the PER group, when compared to the control group