DESCRITORES ABSTRACTThis study aimed to verify the association between self-care ability and sociodemographic factors of people with spinal cord injury (SCI). It was a cross-sectional study, conducted in 2012, in all 58 Basic Health Units of Natal/RN, Brazil. Seventythree subjects completed a sociodemographic form andSelf-Care Agency Scale. Statistical analyses were performed using SPSS,including Cronbach's Alpha, Chi-square, Fisher's and contingency coefficient tests. The Cronbach's alpha was 0.788. The result verified that sex (p = 0.028), religion (p <0.001), education (p = 0.046), current age (p = 0.027), SCI time (p = 0.020) and the SCI type (p = 0.012) were variables associated with self-care ability of the subjects. It was concluded that sociodemographic factors may interfere with the self-care ability of persons with SCI, and nurses should consider this aspect during the execution of the nursing process.

PURPOSE: to identify changes in the food intake patterns among overweight children and teenagers, treated at a reference medical centre. METHOD: the method used is that of a cohort study, between April 2010 and April 2011. A total of 109 children and teenagers, either obese or overweight, took part in the study. The population was divided into two subgroups depending on the permanence period (more than 6 months, and less than 6 months off the treatment). The chi-square test and logistic regression were carried out. RESULTS: the group which had been longer off the treatment tended to consume more soft drinks, pasta and fried foods, and less fruit and vegetables. The group with less time showed an improvement, with a reduction of consumption of soft drinks and other goodies. There was confirmation of an increased risk for consumption of soft drinks, pasta and goodies in general, as also detachment from the treatment in adolescence. CONCLUSIONS: The group with a longer period of monitoring has had a positive change in food intake frequency. The main contribution made by this study is that of showing that multiprofissional treatment, including some nursing care, is efficient in progressively changing the food intake of children and adolescents who are overweight.

OBJECTIVE: to analyze the association between the presence of Acantose nigricans and metabolic changes in overweight adolescents, so as to ascertain the relevance of the identification of this marker in the nursing consultation. METHOD: a cross-sectional study undertaken between April 2009 and April 2010 with 118 adolescents who were service users of the Center for Child Obesity in Campina Grande in the Brazilian State of Paraíba (PB). The presence of Acantose nigricans, and the subjects' anthropometric measurements, were investigated. The following exams were made: insulin, triglycerides, HDL-Cholesterol, Glucose and the homeostatic model of assessment (HOMA-IR). RESULTS: there was association between the presence of Acantose nigricans and participants with insulin resistance (p=0.008), metabolic syndrome (p=0.031), elevated triglycerides (p=0.045) and altered HDL (p=0.002). CONCLUSIONS: the suggestion is supported that the detection/identification of Acantose nigricans may be used in the nursing consultation as a tool for identifying overweight adolescents with greater risk of metabolic changes.

ABSTRACT. The male participation in the process of breastfeeding needs to be encouraged as it can contribute significantly to the prevention of early weaning. In this sense, this research aimed to identify a parent's knowledge about breastfeeding. This is an exploratory and descriptive study with a qualitative approach, performed in the Family Health Strategy in Bom Jesus, Rio Grande do Norte State, Brazil. Data were collected through semi-structured interview with the guiding question: what is your understanding of breastfeeding? The population was 15 men with aged over 18 years old and preserved mental faculties, who lived with his wife and the child under one year of age and performed development and growth consultations in the Family Health Strategy. The interviews were conducted in place previously defined parent. The information was organized as content analysis Bardin, giving rise to two categories and analyzed according to the symbolic interacionism. It was observed that parents of participating antenatal clinics have more knowledge about it and recognize the benefits of breastfeeding in this way can encourage their wives in order to exclusive breastfeeding.Keywords: breastfeeding, father, nursing, primary health care.Conhecimento do homem sobre aleitamento materno RESUMO. Participação do homem no processo da amamentação pode colaborar de forma significativa para a prevenção do desmame precoce. Esta pesquisa teve o objetivo de identificar o conhecimento do pai sobre o aleitamento materno. Trata-se de um estudo exploratório e descritivo, com abordagem qualitativa, realizado em uma Unidade de Saúde da Família, em um município do interior do Rio Grande do Norte, Brasil. Os dados foram obtidos por meio de entrevista semiestruturada, com a seguinte questão norteadora: qual o seu entendimento sobre a amamentação? A população foi composta por 15 pais, com idade acima dos 18 anos e faculdades mentais preservadas; que residiam com a esposa e o filho menor de um ano de idade; e que realizavam a consulta de puericultura na Unidade Básica de Saúde. As entrevistas foram realizadas em local previamente definido pelo genitor. As informações foram organizadas segundo Bardin, dando origem a duas categorias e analisadas de acordo com o Interacionismo Simbólico. Observou-se que a maioria dos entrevistados tem conhecimento sobre o assunto e reconhece os benefícios da amamentação, desta forma conseguem incentivar suas esposas com vistas ao aleitamento materno exclusivo.Palavras-chaves: lactente, pai, enfermagem, atenção primária à saúde.

The nursing intervention guided by Intervention Mapping allows actions based on theories, community participation, school/service bonds, and care continuity.

The objective of this study was to reflect on the causes of obesity beyond physical, genetic and biological factors. It is based on the understanding of the human condition and its associated economic and social relationships, derived from Hannah Arendt's Theory of The Human Condition and relevant literature. The satiety-need cycle and the technological advances of modern society cause consumerism, a sedentary lifestyle that affects children´s health and nutritional education, and an increase of body fat in people. The causes of obesity surpass the direct results of excessive caloric intake and indicate the need to consider the person's social and economic context. Health professionals need to understand the existing relationship of the self with the socioeconomic, cultural, and political factors that determine obesity in children and adolescents.

El objetivo fue validar el contenido del instrumento de enfermería para la detección de adolescentes con sobrepeso en la escuela. Estudio metodológico llevado a cabo en tres etapas: creación del “Formulario para la detección de adolescentes con sobrepeso en la escuela”; evaluación psicométrica por especialistas; modificación del instrumento de acuerdo con las recomendaciones. Las pruebas estadísticas de Kappa y Chi-Quadrado fueron utilizadas en el análisis. Las frecuencias positivas de los criterios psicométricos fueron ≥80%, con algunas diferencias de concordancia entre los especialistas (p&lt;0,001). Algunos criterios presentaron pobre concordancia (k=0,20-0,39) y otros sin concordancia (k=0). El ítem de evaluación física tuvo valor Kappa 1 em todos los criterios. Después de hacer las alteraciones, todos los criterios tuvieron alta concordancia (K=1), con exención del ítem “Perfil sociodemográfico y datos generales”. El instrumento fue considerado de contenido válido y útil para la identificación del diagnóstico de enfermería de sobrepeso y para la implementación del proceso de enfermería en esa población

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