O almoço escolar, sendo uma das principais refeições do dia alimentar das crianças e jovens, assume um papel preponderante no aporte das suas necessidades energéticas e nutricionais, bem como no ...desenvolvimento de comportamentos alimentares e estilos de vida saudáveis.
O Projeto de Otimização das Dietas Escolares (P0DE) pretende atuar nas escolas do distrito de Viana do Castelo com o objetivo de garantir a oferta de refeições variadas e nutricionalmente equilibradas.
Constitui propósito do presente trabalho averiguar o cumprimento das capitações estabelecidas pelo P0DE nas escolas aderentes ao mesmo, utilizando dados referentes a 3 anos letivos.
Foram analisadas 323 refeições fornecidas em 9 escolas, procedendo‐se ao cálculo do desvio relativo entre as capitações oferecidas às crianças e as capitações estipuladas pelo P0DE.
Os resultados mostraram um défice no fornecimento de peixe e guarnição de hortícolas, bem como uma excessiva oferta de carne, guarnição de cereais e derivados, tubérculos e leguminosas, sal de adição e gordura de adição no prato. Relativamente ao desvio médio da refeição completa à referência (RMSD), encontraram‐se diferenças estatisticamente significativas nas capitações entre diversos tipos de ementas, métodos de confeção e escolas.
Este trabalho demonstra que a simples definição de capitações não garante o adequado aporte nutricional das refeições, sendo crucial uma monitorização contínua.
The school lunch, being one of the main meals of the daily children and young people food intake, plays a very important role in the contribution of their energetic and nutritional needs, as well as in the development of food behaviours and healthy life styles.
The Project of Optimization of School Diets (Projeto de Otimização das Dietas Escolares–P0DE) intends to act in the schools of the Viana do Castelo district with the objective of ensuring the offer of varied and nutritionally balanced meals.
The purpose of this work is to evaluate the accomplishment of the portions established by the P0DE in the schools that joined the project, using data that refer to three school years.
323 meals provided in nine schools have been analysed, proceeding to the calculation of the relative deviation between the quantities of food portions offered to the children and the quantities established by the P0DE.
The results showed a deficit in the supply of fish and vegetables, as well as an oversupply of meat, cereals and cereals products, potato and pulses, added salt and added fat in the dish. Concerning the mean deviation of the full meal to the reference (RMSD), significant statistical differences between several types of menus, preparation methods and schools were found.
This work shows that the simple definition of portions doesn’t ensure the appropriate nutritional contribution of meals, thus being crucial a continuous monitoring
Descriptive study which purpose is to know how the patient/client perceives the communication that happens in the nursing process. Interviews have been performed with patients from specialized ...Clinicai Units of the hospital where this research have been developed. The analysis of their contents allows the extraction of the following categories: “make”, “doesn’t make”, “technical speech”, “social speech”, “a short speech”. These categories reveal that when the nurse-patient communication happens, it takes place in nursing actions, on a verbal and a non verbal manner, but in a inadequate manner, because it doesn’t reflect nursing interpersonal competence in communication. The patient is not allowed to express what he is experiencing, thinking or feeling about it. It is necessary that the nursing team be oriented and prepared about the importance of the association of the conscious use of the adequate OR therapeutic communication in his nursing practice, as a way of living.
Macroeconomía-AF133-201502 Perea Del Aguila De D Azevedo Ivette Giovanna; Yaya Espinoza Ada Liliana; Choza Carro Jose Miguel ... Dissertation
La Macroeconomía nos afecta a todos ya sea en el hogar en la empresa en el país y en el mundo en general es por eso que toda persona instruída debe tener un conocimiento básico del tema; éste nos ...ayuda a comprender las repercusiones que tienen en la empresa las principales variables macroeconómicas como son el PBI inflación empleo déficit fiscal balanza de pagos etc.El curso desarrolla la competencia general de "Manejo de la información" al nivel 1.
To compare the level of physical activity (PA), exercise capacity, and body composition before and after infliximab-induced clinical remission in patients with Crohn's disease (CD).
This prospective ...longitudinal study evaluated 44 adult outpatients with active CD before infliximab administration and 24 weeks after infliximab therapy. The patients were evaluated for PA in daily life, exercise capacity, muscle strength, and body composition.
38 (86.4%) patients achieved infliximab-induced remission at 24 weeks and presented an increment in the number of steps taken of 1092 (7440±2980 vs. 6348±3177, respectively; p=0.006). The inactive time was reduced when compared to the baseline value (454.2±106.3 vs. 427.9±97.8, respectively; p=0.033). There was no difference in the distance walked before and after infliximab therapy, while there was an increase in the fat mass index in responders to infliximab compared to the baseline (19.1±7.6 vs. 14.9±5.8; p=0.001).
Infliximab-induced remission was shown to be effective for increasing physical activity by improving the number of steps and reducing inactive time. The maintenance of clinical remission associated with incentives to regular PA may contribute to making these patients reach an ideal level of PA.
Protein-energy malnutrition in Crohn's disease (CD) has been reported in 20 to 92% of patients, and is associated with increased morbidity and mortality and higher costs for the health system. ...Anti-TNF drugs are a landmark in the clinical management, promoting prolonged remission in patients with CD. It is believed that the remission of this disease leads to nutritional recovery. The effect of biological therapy on body composition and nutritional status is unclear.
Prospective study of body assessment by bioelectrical impedance method in patients with moderate to severe CD undergoing treatment with infliximab. The main outcome was the body composition before and after 6 months of anti-TNF therapy.
There was a predominance of females (52%) with a mean age of 42±12 years. Most patients were eutrophic at baseline and remained so. There was an increase in all parameters of body composition after anti-TNF treatment: BMI (22.9±3.2 versus 25±3.8; p=0.005), waist circumference (88.1±6.7 versus 93.9±7.7; p=0.002), lean mass index (17.5±2.2 versus 18.2±2.3; p=0.000) and fat mass index (5.5±2.3 versus 6.8±2.3; p=0.000). Phase angle remained unchanged (6.2 versus 6.8; p=0.94).
After therapy with IFX, all components of body composition increased, except for phase angle. The substantial increase in fat mass index and waist circumference led to concern regarding cardiovascular risk and, thus, to the need for further studies.
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