Comparação entre as necessidades energéticas prescritas e administradas a pacientes em terapia nutricional enteral

Objective: evaluating the adequacy, prescription and energy supply of enteral nutrition therapy in hospitalized patients. Methods: was performed a retrospective survey of the evolution of TNE protocol of 59 patients hospitalized in a general hospital in Marília / SP / BR. Data collected included gender, age, clinical diagnosis, anthropometric and dietary data related to the prescribed dietary formula, route and method of administration of the enteral nutrition, the daily volume prescribed and administered, the daily amount of energy required and offered in the diet, as well as possible complications. Body mass index (BMI), triceps skinfold (TSF) and arm muscle circumference (AMC) were used to establish the nutritional status of the patients. The adequacy of ENT was done according to the daily energy requirement compared to the average energy received during the daily use of ENT. Results: The average found to the BMI was 21.4 kg/m 2, and no differences were found comparing male and female. The data for TSF and AMC were different between genders (p<0.05) and suggest a more severe muscle mass in relation to adipose tissue. The averaged to the energy requirements was 1642 kcal/day but the average of energy prescribed was 1045 kcal/day and the amount offered was 1035 kcal/day. There was a significant difference between the necessity and the supplied energy offered through enteral nutrition (p=0.00) as well between the energy required and prescribed (p =0.00), both were shorter than the necessity. There was no significant difference (p>0.05) in energy supply, volume of enteral nutrition prescribed and administered among eutrophic, underweight or overweight patients. Conclusion: The results of this study indicate that the prescription and energy supply were not based on the needs of these patients, causing a significant energy deficit, which can lead to worsening of the nutritional status of the same. In hospitalized patients in use of ENT, the energy requirement must be made by a qualified professional within the multidisciplinary team, based on the needs of each patient.

Las reformas energéticas en América Latina

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Las reformas energéticas y el uso eficiente de la energía en el Perú

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Contaminação microbiana das soluções de processamento radiográfico: Risco de infecção cruzada

Objective: To evaluate the microbial contamination in samples of radiographic developing and fixing solutions, radiographic processing water, dental unit waterlines and dental office's external water supply. Methods: Samples of 50 private dental offices and 20 dental offices of the School of Dentistry de Araçatuba-UNESP were collected. The samples were subjected to neutralization of the residual inhibitory agents followed by pre-enrichment in peptone water and EVA broth and were inoculated in selective and non-selective culture media. The DNA of the samples was extracted and the presence of superinfectant microorganisms was evaluated by PCR. The differences in the prevalence of the microorganisms in the samples of the solutions were analyzed by repeated-measures analysis of variance for category data, while the Chi-Square and Mann-Whitney tests were used to evaluate the existence of associations between the total number of heterotrophic microorganisms and infection control protocols. The significance level was set at 5%. Results: Samples of radiographic fixing solution presented a remarkably less frequent contamination than radiographic developing solution and radiographic processing water. The latter exhibited microorganisms typically originated from the oral microbiota and human skin as well as microorganisms frequently found in dental unit waterlines. There was less contamination of radiographic processing water in the dental offices where the x-ray film packets were disinfected before processing or were covered by a plastic film. Additionally, all samples of dental office's external water supply were drinkable. Conclusion: Covering the x-ray film packets with a plastic film protection barrier was proven the best manner to reduce the contamination of the evaluated solutions.

Crescimento e desordem nutricional em pimenteira malagueta cultivada em soluções nutritivas suprimidas de macronutrientes

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Fontes energéticas associadas ao farelo de girassol ou à ureia em dietas para novilhos

The objective of this study was to evaluate the performance and carcass traits of steers fed corn or citrus pulp associated with sunflower meal or urea. Diets were composed of two energy sources (corn grain and citrus pulp) associated with two protein sources (soybean meal and urea), resulting in four treatments in forage:concentrate ratio of 40:60. It were used 24 steers, 1/2 Angus × 1/2 Nellore (18 months old and 329 kg BW) distributed in a completely randomized design which were finished in feedlot for 80 days. It were evaluated the intake, average daily gain and carcass traits of the animals. Intake of dry matter (DMI), crude protein (CPI) and neutral detergent fiber (NDFI) were affected (p<0.05) by diets. The diet with citrus pulp and urea (PU) showed the lowest (p<0.05) DMI (8.30 kg), CPI (1.03 kg) and NDFI (3.31 kg). The average daily weight gain (ADG) followed the behavior of DMI, NDFI and CPI and the lowest value (p<0.05) was observed for animals fed diet PU. Regarding carcass traits, diets containing corn associated with urea (MU) or sunflower meal (MFG) and citrus pulp associated with sunflower meal (PFG), provided the highest (p<0.05) carcass cold weights (238.37, 247.26 and 237.14 kg, respectively). However, the lowest cold carcass dressing percentage (p<0.05) was obtained in diet MU (50.57%). The association of citrus pulp with urea should not be performed when citrus pulp partially or totally replace corn as energy source in diets, because possibly this association promote an energy deficit resulting in lower performance and worse carcass traits of animals finished in feedlot.

Soluções auto-similares das equações de Navier-Stokes em Lp-Fraco

Pós-graduação em Matemática - IBILCE

Semigrupos de operadores lineares limitados: soluções Mild e Weak

Pós-graduação em Matemática - IBILCE

Políticas energéticas: consideraciones técnicas sobre las opciones de los países en desarrollo con déficit de petróleo

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Representação de linhas de transmissão monofásicas por meio de variáveis de estado: comparação das soluções numérica e analítica

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Soluções da equação de Fokker-Planck para um potencial isoespectral ao potencial de Morse

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Melhoramento das condições de hidratação da levedura seca instantânea de panificação por tratamentos com soluções de aditivos

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Avaliação da influência do selante de superfície sobre a translucidez de resina composta. Efeito de tempos e soluções

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Espaço e identidade visual: uma investigação sobre soluções de design para empresas

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Influência de soluções irrigadoras na resistência adesiva de pinos de fibra de vidro utilizando cimento resinoso: avaliação através do teste de push-out

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)