The efficacy of a well-operated day care center in providing better nutrition to poor children in Brazil was assessed. We collected data for 9 months from 180 under-five children attending a day care center located in a slum. Every working day each child received at least 100% of the age-group recommended dietary allowances plus iron fortified milk and, every six months, treatment for helminth infections. Statistical analyses were restricted to the 168 children (93%) who had measurements from at least five months. As outcome variables, weight-for-height, height-for-age, and weight-for-age Z scores were dichotomized so that a Z score < -1 indicated a child was at risk of malnutrition. We examined the proportion of children at nutritional risk in each month and used multivariate statistical techniques to adjust for confounding and to account for intra-subject correlation. The percentage of children at nutritional risk decreased over time, from 10.1% to 3.4% for weight for height, 29.8% to 15.2 % for weight for age, and from 50.0% to 44.8% for height for age. Most of the reduction took place between the third and fourth months of enrollment. The correlated data models for the three dichotomized outcomes showed a two to three-fold reduction in the occurrence of wasting and underweight. We concluded that attendance to well-operated daycare protects against nutritional risk, and approximately four months are required for a benefit to be seen.

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OBJETIVO: Identificar fatores associados à alteração da linguagem entre variáveis sociais e nutricionais de pré-escolares. MÉTODOS: Estudo transversal realizado com 126 crianças com idade entre 6 meses e 6 anos da região sul do município de São Paulo. Utilizou-se o Teste de Triagem de Desenvolvimento de Denver II para detectar risco de linguagem. O resultado do teste foi comparado com as seguintes variáveis: idade, gênero, escolaridade da mãe, estado nutricional da criança, número e ordem de nascimento dos filhos e anemia. Os resultados receberam análise estatística. RESULTADOS: Segundo o teste de Denver II, dos 126 sujeitos da pesquisa 18,3% apresentaram risco para linguagem e 9,5% anemia. Não houve diferença entre os grupos risco e não risco para as variáveis idade, estado nutricional, escolaridade da mãe e gênero. Para as variáveis número de filhos, ordem de nascimento e presença de anemia, ao contrário, houve diferença entre os grupos risco e não risco. CONCLUSÃO: O maior risco para aquisição e desenvolvimento de linguagem centrou-se no grupo de anêmicos, filhos mais velhos e com menos de quatro irmãos. Estudos semelhantes são fundamentais para detectar possíveis alterações no desenvolvimento da linguagem e, consequentemente, na aprendizagem e futuro desempenho social da criança.

With the results obtained, it was noticed that the socio-economical level does not seem to influence the epidemiology of the Candida sp. and pointed to a balance in terms of numbers of this agent in Maringá, Paraná, Brazil.

OBJECTIVE: To characterize the motorcycle accidents occurred in the city of São Paulo, SP, Brazil in the year 2013, with emphasis on information about hospital admissions from SIH/SUS. METHODS: This is a retrospective cross-sectional study. The study covered 5,597 motorcyclists traumatized in traffic accident during the year 2013 occurred in the city of São Paulo. A survey was conducted using secondary data from the Information System of Hospitalization Health System (SIH/SUS). RESULTS: In 2013, in the city of São Paulo there were 5,597 admissions of motorcyclists traumatized in traffic accidents, of which 89.8% were male. The admission diagnosis were: leg fracture, femur fracture, and intracranial injury. CONCLUSION: This study confirms other preliminary studies on several points, among which stands out the highest prevalence of male young adults. Level of Evidence II, Retrospective Study.