324 resultados para demanda nutricional


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The proper mineral fertilization of guava orchards under intensive management, is a major factor in productivity and monitoring the nutritional status of the plants contributes to the efficiency of this agronomic practice. The aim of this study was to investigate different doses of nitrogen and potassium in the nutritional status of guava 'Paluma'. The experiment was conducted at Vista Alegre do Alto, Sao Paulo, in a 7 year old irrigated orchard, managed with fruiting pruning during four consecutive growing seasons. The soil is a dystrophic Ultisol. The experimental design was randomized blocks, in factorial, with four nitrogen doses (0, 0.5, 1 and 2 kg of N plant(-1)) and four of potassium (0, 0.55, 1.1 and 2.2 kg of K2O plant(-1)), with three replications. Nitrogen fertilization promoted increased levels of leaf N and Mn and the decrease in the levels of P and B; effects observed from the second to the fourth production cycle. Nitrogen fertilization increased the Ca and Mg levels, respectively, in the second and third cycle. Except for the first production cycle, K and Mn foliar concentrations increased with increasing potassium fertilization, whereas the levels of Mg, in the second and the fourth cycle, decreased as a function of fertilization.

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Strategies of cotton growth as row spacing and use of growth regulator are efficient when the knowledge of crop production potential as well as the amounts of nutrients content. The objective of this study was to evaluate the nutritional status of cotton DeltaOpal cultivar through leaf analysis of macronutrient, chlorophyll index and yield in relation to plant arrangement and managements of the growth regulator. The treatments consisted of plant arrangement: arrangement 1: 88,900 plant ha(-1) and row spacing at 0.9m, arrangement 2: 114,300 plant ha(-1) and row spacing at 0.7m, arrangement 3: 178,000 plant ha(-1) and row spacing at 0.45m; management of growth regulator (mepiquat chloride) at 1.0 L ha(-1) dose, concentration was50g L-1: a-no regulator application; b-single application at 70 days after emergency (d.a.e.); c-split application into four stages (35, 45, 55, and 65 d.a.e.). The reading reviews SPAD chlorophyll, leaf analysis of macronutrients and cotton yield were conducted in three agricultural years 2006/07, 2007/08 and 2008/09, under the experimental design of completely randomized blocks, in a 3x3 factorial scheme totaling up nine treatments with four replications. The reduction of row spacing and increasing plant density gives less absorption of potassium and sulfur by cotton crop. A single application of mepiquat chloride increase calcium leaf content. The split application of mepiquat chloride provides increased SPAD reading index, higher foliar magnesium concentration and highest seed cotton yield.

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In order to estimate the nutritional rehabilitation (NR) during admission of malnourished children with persistent diarrhea (PD) receiving standardized nutritional support (NS), we prospectively evaluated the weight, height, head circumference and arm measurements (AM) of 20 children, 19 below 1 year, admitted to the ward with weigh/age -2.89 to -5.21 standard deviation. Four infants comprised the death group (DG) and 16 survived (SG). The SG was separated, according to initial weight behavior, into weight gain (WG) or weight loss (WL). Compared to SG at admission, DG only had lower AM and more metabolic-infectious alterations (p<05). The survivors presented NR but this was evident for WL only when considering the minimum weight. DG received less calories than SG and weight loss during the pre-death period was higher than for WL (p<05). It was concluded that very altered AM, severe metabolic-infectious insults, low caloric input and high weight loss velocity are associated to bad prognosis; severely malnourished infants with PD began NR during hospitalization while receiving adequate NS, but minimum weight must be considered for this evaluation; AM must be obtained at admission, due to its prognostic value, and adequate NS as well as anthropometric follow-up during the hospital stay are essential.

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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Pós-graduação em Fisiopatologia em Clínica Médica - FMB

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Pós-graduação em Ciências da Motricidade - IBRC

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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O hiperparatireoidismo nutricional secundário é um distúrbio metabólico que acomete principalmente equídeos, mas pode se manifestar em caprinos e suínos. A etiologia está relacionada a alterações nas concentrações séricas de cálcio e fósforo devido à ingestão desbalanceada na dieta, levando a hipersecreção do paratormônio e consequente hiperparatireoidismo, que se manifesta por osteodistrofia fibrosa. A apresentação clássica é o aumento de volume, em geral bilateral e simétrico, dos ossos do crânio, sendo que o diagnóstico baseia-se principalmente na presença desta alteração. Entretanto, outros ossos também podem ser acometidos. Testes bioquímicos podem contribuir para o diagnóstico ao revelarem concentrações séricas de cálcio ionizado abaixo dos valores de referência e teor sérico de fósforo orgânico acima do normal, além de aumento na atividade da enzima fosfatase alcalina. Exames radiográficos demonstram opacidade óssea diminuída. O tratamento consiste principalmente na correção do desequilíbrio cálcio:fósforo na dieta e a profilaxia é de extrema importância a fim de se evitar prejuízos econômicos.

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Introduction: Secondary care in oral health in Brazil is still a little researched topic. Objective: The aim of this study was to analyze the resolution of dental services in SUS based on the referral to secondary attention and backreferral to primary attention. Methodology: It’s a descriptive, quantitative study that used secondary data collected from dental records of patients seen at Centre of Dental Specialties (Ceo) in a city of São Paulo State. Result: It was analyzed 1030 dental records. Just 1236 proceedings received referral to Ceo and among then, 86.4% showed the first attendance on Basic Health Unity (UBS) through spontaneous demand and 50.4% (n=623) received referral to endodontic treatment. There was evasion of 2.27% of studied population (n=28) on the first specialized consultation. Among 1208 proceedings that started the treatment in Ceo, 62.6% (n=757) were finalized and received back-referral to primary attention, that finalized 61.1% (n=463) of proceedings. To conclude the treatment, considering the time spent in Ceo and primary attention, there was variation according to specialty: periodontics – 62 days (sd ±68) and endodontics – 71 days (sd ±51.8), requiring 3 consultations in average, regardless specialty. Conclusion: The Centre of Dental Specialties gave referral and attention to the majority of demand, regardless specialty. However, there are many cases of evasion during dental treatment, alerting managers to develop methods to entice these patients, reducing service expenses and raising solvability of dental procedures previously initiated.

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Considering the importance of food and nutritional surveillance as part of a community's basic health care, our objective was to expose and discuss the educational experience of eleven municipalities of the state of São Paulo geared to build an attitude of nutritional security. The accounts were made in the form of workshops with the contribution of basic health care workers of each municipality, based on daily field worksheets and followed by an evaluation process, which used a semi-structured questionnaire. The results were classified into four categories. The methodology, based on the actual participation in the workshops was considered adequate, although some exposure and removal of personal inhibitions were necessary. These barriers were left behind with the aid of group dynamic exercises. Among the themes treated, anthropometry was highlighted because of insufficient technical know-how and standardization. An attitude towards nutritional surveillance was recognized by the health-care professionals as an important basis for the nutritional practice in order to attain food and nutritional security.

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Infection with hepatitis C virus is a worldwide public health problem it affects about 170 to 250 million people worldwide may lead to complications such as cirrhosis and hepatocellular carcinoma. Patients with chronic hepatitis C most often is inadequate nutrient intake, macro and micronutrients, which induces changes in nutritional status and lipid profi le. Supplementation with vitamin C has shown benefi t. Limited information is available on levels of vitamin C in this type of illness. The study aimed to evaluate the effect of regular intake of orange juice on the nutritional and dietetic of patients with chronic hepatitis C infection. The study enrolled 23 patients volunteers, 13 men and 10 women treated at the Special Health Service of Araraquara (SESA). They consumed for 8 weeks 500 mL.d-1 of pasteurized orange juice. At baseline and after 8 weeks of juice intake the patients were evaluated for anthropometric parameters. The dietary intervention with 500 mL.d-1 with orange juice during the 8 weeks did not alter the nutritional status of patients.

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Although the regular practice of physical exercise for the maintenance of the nutritional state and quality of life is important, it is not a common habit among the elderly, especially those of the lower income social bracket. The objective was to characterize and compare according to social-economic conditions and anthropometric indexes of the nutritional state of the elderly who regularly practice and those who do not practice exercises, offered at no cost, in the Northern zone of São José do Rio Preto-SP. In this study, 110 elderly women participated, of which 60 (group P) exercised regularly and 50 did not (group NP). Group P participated in a special gym program, free of charge, for at least 2 years, 2 to 3 times a week, one hour a day. Group NP was recruited from the same location as Group P. The comparison between the groups of elderly women was proportionately distributed according to marital status, level of education, means of locomotion, results of body mass index (IMC), waist to hip ratio (RCQ) and calf circumference, using the chi-square test. Comparisons were also made of average age, per capita family income, individual income, IMC, arm and triceps skin fold measured by t-Test. Differences were not found in all the comparisons made. The variables that stood out were the IMC (overweight) and RCQ (risk of chronic diseases) results, which were above what was expected, and the high frequency of walking and riding buses for both groups of elderly women (about 60%). We came to the conclusion that the low-intensity exercise program evaluated made no difference in the nutritional profi le of the elderly who also used walking as a means of getting around.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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The objective of this paper is: (a) to characterize behaviors of the 47 primary caregivers and their children who sought for psychological services, (b) to compare groups: abandonment x participants; boy x girl. The participants answered the interview inventory (RE-HSE-P), inventory (IHS-Del Prette) and scales (Rathus Assertiveness Scale and CBCL). For the results, 60% of the children presented behavior problems at clinical level. There is correlation between negative parenting practices and behavior problems and social skills among caregivers (HSE-P) and children. People who drop out psychological services, present lower frequence and quality of HSE-P and more behavior problems. There are not differences in comparisons between boys and girls. The results highlight the importance of evaluating clinical context, the contingent behaviors of parents and children employing different instruments in order to describe the relationship between behavior problem and potentialities of both interlocutors socially interacting.

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Objective and closed questions were applied to 15 - 21 years old individuals under regular resistance exercise practice and self-reported nutritional supplements users, approaching training practices, type of substance feed and socioeconomic characteristics. The data were treated by frequency around the mean value. Major difference was observed to the goal of improvement in physical fitness (Guaruja 21% and Bauru 9.6%), close to the muscle hypertrophic enhancements (Guaruja 22% and Bauru 19.2%), and health proposes (17.3%), which was only reported in the country city. The monthly employment with supplements was observed to be close to one hundred Real, in both regions (Guaruja 79% and Bauru 80%). Even, based on different purposes, the supplements feed practice was closed to the goals, showing a reliable referential of use, but done without appropriated professional care.