2 resultados para acceptance
em Repositório Científico da Universidade de Évora - Portugal
Resumo:
Polyphenols are widely present in fruits, vegetables, cereals and beverages. Their study gained scientific interest because of their beneficial effects on health. Although there is currently no official dietary recommendation for polyphenol intake, health professionals recommend the consumption of 5-8 daily portions of fruits and vegetables. This is not always achieved and, despite possible causes associated to practical schedule difficulties, the aversive bitter and astringent sensations associated to polyphenols may also lead to avoidance. As such, a better understanding on mechanisms responsible for differences among people, in polyphenol oral perception, is needed for promoting healthier choices. Saliva has been linked to polyphenol consumption. We have previously observed, in animal models, changes in salivary proteome induced by tannin-enriched diets. Moreover, differences in astringency perception were attributed to differences in salivary protein composition. In a recent experiment, we observed differences among individuals with dissimilar tannic-acid perception: people with high sensitivity for the oral sensations elicited by tannins have higher amounts of salivary cystatins and lower capacity to maintain their levels after tannic-acid ingestion. Additionally, and similarly to previous studies, salivary amylase was observed to be involved in tannin perception. In this presentation, oral cavity characteristics influencing the perception of polyphenol-containing foods will be discussed.
Resumo:
Este ensino clnico permitiu-nos prestar cuidados de enfermagem especializados a 16 homens com esquizofrenia em processo de reabilitao psicossocial. Na sua maioria so: adultos, solteiros, da regio sul de Portugal, com uma mdia de 9 anos de escolaridade, com histria de consumo de substncias (lcool, tabaco, haxixe, cocana, herona e anfetaminas), institucionalizados na Casa de Sade do Telhal (CST) h mais de 11 anos. Todos apresentam diagnsticos de enfermagem das vrias dimenses do adoecer, com exceo da dimenso comportamental excitatria, sendo os de maior prevalncia: Conhecimento sobre Processo de doena/Cuidados na doena/Tratamento, No Demonstrado; Cognio, Comprometida; Processo Social, Alterado; Autoestima, Diminuda. Foram desenvolvidos 4 programas de interveno: consulta de enfermagem de sade mental e psiquiatria (CESMP); atelier de estimulao cognitiva (AEC); programa de desenvolvimento de competncia intrapessoais, interpessoais e profissionais (PDCIIP); programa de psicoeducao (SABER+). A satisfao global com os programas foi superior a 7 (numa escala de 1 a 10) e os resultados que foram percebidos pela maioria dos reabilitandos situaram-se acima das suas expectativas iniciais. De uma forma geral, todos registaram ganhos: no desempenho cognitivo (em particular os que beneficiaram do AEC); na adaptao psicossocial nomeadamente ao nvel do insight; os reabilitandos que beneficiaram do programa SABER+ melhoraram ainda os comportamentos demonstrados de aceitao do estado de sade; no bem-estar psicolgico nomeadamente ao nvel da autoestima (sobretudo os que beneficiaram da CESMP e/ou do PDCIIP), dos afetos positivos e dos comportamentos de motivao; nos vrios domnios da qualidade de vida (QdV) medidos pelo WHOQOL-Bref em particular o domnio ambiental; todos elevaram o seu nvel de conhecimentos nos 3 eixos em que que se estruturou o programa de psicoeducao (processo da doena, cuidados na doena, tratamento da doena); na adeso medicao, sobretudo os que integraram o programa de psicoeducao, contudo todos tendem a necessitar de ajuda parcial para conseguir demonstrar conhecimento no cumprimento do esquema teraputico e esto envolvidos em treinos supervisionados de preparao e autoadministrao; ABSTRACT: This clinical training allowed us to provide skilled nursing care to 16 men with schizophrenia in a psychosocial rehabilitation setting. Most of these individuals are: adults, singles, from the southern region of Portugal, with an average of 9 years of schooling, with a history of substance abuse (alcohol, tobacco, cannabis, cocaine, heroin and amphetamines), institutionalized in Casa de Sade do Telhal (CST) for over 11 years. We find nursing diagnoses from all of the disease dimensions with the exception of excitatory behavioral dimension, being the most prevalent: "knowledge about disease process / care / treatment, not stated"; cognition, impaired", "social process, impaired, self-esteem, decreased". We developed 4 intervention programs: psychiatry and mental health nursing consultation (CESMP); atelier of cognitive stimulation (AEC); intrapersonal, interpersonal and professional competences training (PDCIIP); psychoeducation (SABER+). The overall satisfaction with the programs was above 7 (on a scale of 1 to 10) and the results noticed by most patients were above their initial expectations. All registered nursing results were: in cognitive performance (particularly those who benefited from the AEC); in psychosocial adaptation - especially in terms of insight; patients who benefited from the SABER+ program demonstrated improved further acceptance of their health condition, psychological well-being, particularly in terms of self-esteem (especially those who benefited from the CESMP and/or the PDCIIP), positive affects and motivation; in the different domains of quality of life (QoL) measured by WHOQOL-Bref in particular the environmental domain; every patients raised their level of knowledge in the 3 axes in which the psychoeducational program (SABER+) was structured (disease process, care and treatment); in medication adherence, especially those who benefited of the psychoeducational program, however all the patients tend to need partial help to demonstrate knowledge in meeting the therapeutic regimen and are involved in supervised training programs for preparation and self administration.
