Abstract

O presente artigo tem por objetivo estudar comparativamente os projetos pedagógicos institucionais de três universidades da Região Sudeste do Brasil que participam do Projeto de Pesquisa intitulado O significado de ser pedagogo para os alunos do novo curso de Pedagogia-Licenciatura, com propósito de compreender o processo de construção dos respectivos Projetos Pedagógicos, a partir das exigências estabelecidas pelas Diretrizes Curriculares, aprovadas pela Resolução CNE/CP nº. 1/2006. Definiram-se, para tanto, três categorias de análise como critérios para o estudo: a) o significado de ser pedagogo no projeto pedagógico; b) o projeto pedagógico e o currículo; e, c) a nova legislação e o projeto pedagógico. Como resultado reconheceu-se que o cuidado com a legislação é explicitado diferentemente em cada projeto pedagógico, dependendo fundamentalmente dos propositores.

Highlights

  • An increase in body weight is one of the main problems faced by women in the first year after a diagnosis of breast cancer.[1,2,3] This increase in weight may be progressive and prolonged, lasting for more than a year after the end of treatment.[4]

  • The final regression model for the change in body weight demonstrated that the women who were exposed to chemotherapy treatment, and to chemotherapy associated with radiotherapy, had the largest mean increase in body weight (2.47 kg and 5.21 kg, respectively)

  • Weight gain was associated with chemotherapy treatment either alone or in combination with radiotherapy

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Summary

Introduction

An increase in body weight is one of the main problems faced by women in the first year after a diagnosis of breast cancer.[1,2,3] This increase in weight may be progressive and prolonged, lasting for more than a year after the end of treatment.[4] Besides playing an important role in the etiology of breast cancer,[5] weight gain during or after adjuvant treatment has been associated with an increased risk of recurrence and co-morbidities.[1,6]. Recent studies that support the International Guidelines which provide targeted recommendations for women at risk of the recurrence of breast cancer and attempt to prevent co-morbidities as a consequence of treatment, have proposed three final recommendations which are to: limit exposure to alcohol, moderate calorie intake and, most importantly, adhere to a balanced diet (especially postmenopausal women) to avoid weight gain.[7]. The reason for this body weight gain has still not been well established, adjuvant chemotherapy treatment seems to be a major determinant.[8, 9] Adjuvant chemotherapy has been found to be a strong clinical predictor of weight gain in women with early-stage breast cancer, which is independent of age, nodal status, body mass index (BMI) and reported calorie intake at diagnosis.[10, 11] Further observations need to be made regarding factors associated with weight gain in breast cancer patients from the epidemiological point of view.[7,12]

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