OBJETIVO: O presente estudo teve como objetivo comparar a qualidade da dieta de indivíduos expostos e não expostos a um programa de reeducação alimentar. MÉTODOS: Foi realizado estudo transversal, envolvendo 100 indivíduos, com idade média de 40,7, DP=12,4 anos e índice de massa corporal médio de 27,4, DP=4,7kg/m². Foram avaliados dois grupos: um grupo com 54 indivíduos expostos a um programa de reeducação alimentar por 18 meses (grupo E) e um grupo composto por 46 indivíduos sem orientação nutricional prévia nos últimos 6 meses (grupo-controle). Ambos os grupos foram submetidos a avaliação antropométrica (peso, estatura, índice de massa corporal e circunferência da cintura) e do consumo alimentar (dois recordatórios alimentares de 24 horas). A análise dietética foi realizada no software Avanutri®, e a qualidade da dieta foi estimada pelo Índice de Alimentação Saudável adaptado para a população brasileira. RESULTADOS: A pontuação no Índice de Alimentação Saudável, adaptado para a população brasileira, foi maior no grupo E do que no grupo-controle (M=97,0, DP= 6,2 vs M=84,2, DP=15,2; p<0,001). Em relação às categorias de classificação desse índice, os grupos diferiram quanto ao percentual de indivíduos com dieta de boa qualidade (29,6% dos indivíduos do grupo E vs 17,4% dos indivíduos do grupo-controle) e de má qualidade (0% no grupo E vs 10,9% no grupo-controle). Os indivíduos expostos ao programa de reeducação alimentar apre-sentaram maior pontuação para vegetais, frutas, laticínios, colesterol e variedade, assim como menor pontuação para óleos e açúcares, em comparação ao grupo-controle. CONCLUSÃO: Indivíduos expostos ao programa de reeducação alimentar apresentaram dieta com melhor qualidade do que indivíduos sem acompanhamento nutricional prévio. Tais achados reforçam a importância da educação nutricional na promoção da alimentação saudável.
I have reviewed clinical trials that provide data relative to the comparative rates, means, or odds ratio of jaundiced normal breast-fed newborns vs jaundiced normal formula-fed newborns. A pooled analysis of 12 studies revealed moderate jaundice (serum bilirubin level, greater than or equal to 12 mg/dL) in 514 of 3,997 breast-fed vs 172 of 4,255 formula-fed newborns. An analysis of six of these 12 studies demonstrated severe jaundice (serum bilirubin level, greater than or equal to 15 mg/dL) in 54 of 2,655 breast-fed vs ten of 3,002 formula-fed newborns. Eleven of 13 studies found breast-fed newborns to have a higher mean serum bilirubin level. One study of 12,023 newborns found a significant (odds ratio, 1.80) relationship between breast-feeding and jaundice of the newborn. In conclusion, breast-feeding is one common cause of jaundice in normal newborns in the first week of life and beyond.
As Unidades de Alimentação e Nutrição (UANs) constituem importantes setores dentro das empresas onde estão estabelecidas. Mais ainda, em se tratando de hospitais, onde o fornecimento de alimentos destina-se ao preparo de dietas especializadas que visam à recuperação e tratamento dos pacientes. Dentre os objetivos das UANs em uma organização hospitalar, verifica-se como prioridade o fornecimento de alimentação adequada, balanceada e segura. SUMMARY THE SUPPLY OF FRUITS AND VEGETABLES FOR FOOD AND NUTRITION HOSPITALS UNITS.The food and vegetables supply to hospitals is an important part of food supply channel. This supply demands, among others, high patterns of quality, including size, shape, origin, low levels of residuals and pesticides, as well as the accomplishment of hygiene and sanitary rules. The aim of this study was to evaluate the current process of food and vegetables supply for the hospitals and to verify the efficiency of such process, according to the needs and requirements of hospital units. The methodology was a case-series study. The hospital situated in the City of Porto Alegre, Rio Grande do Sul, Brazil and a central of store and distribution of food and vegetables, as well as its suppliers were analysed. The results demonstrate that the hospitals have a great concern regarding the current supply method and, in addition, that they prefer a specialized one. In reference to suppliers, it was verified the non-observance of factors considered as indispensable by hospitals. These include, for instance, the control for use of pesticides, the hygiene and sanitary conditions, the origin and the transportation. In conclusion, it was verified that the current supply is not efficient, that it occurs in an inappropriate way and that it does not assist the most of the hospital supply requirements. It is suggested the implementation of the hazard analysis and critical control points, the good practice of manufacturing, the supply chain management, and a cooperative approach to optimize the food and vegetable supply.
Aims This paper describes a case presentation of a process for using peer evaluation to identify and select new nursing leaders in hospital settings. Background A reliable method for identifying emerging leaders has yet to be defined. Often, it is based only on managerial observation and evaluation, and does not involve staff opinion. Methods We developed a three‐tiered selection process consisting of: confidential peer voting, head nurse recommendations and a personal interview. Results Forty‐three potential leaders were enrolled in our leadership training workshop. Twelve graduates of this workshop were chosen to fill leadership positions in the hospital. Conclusions Peer recognition of potential nursing leaders might serve as a critical component in the process of selecting future nursing leaders. Implications for nursing management Combining peer evaluation with structured leadership selection may be beneficial for the early recognition of future nursing leaders. This approach is not commonly used in the leader identification and selection process. It may contribute to a sense of trust between management and staff, and promote transparency as well as legitimacy in the selection process.
We examine interrater reliability for scoring the Rorschach Performance Assessment System (R-PAS) in a sample of 89 adolescents ( MAge = 13.2, SD = 1.01) from Brazil using exact agreement intraclass correlations coefficient (ICCs) for the 60 protocol-level scores that are the focus of interpretation. The first author completed or reviewed all of the primary coding, and seven R-PAS proficient psychologists trained at different sites independently produced secondary coding. Overall, excellent agreement was found ( M ICC = 0.89; SD = 0.09). When averaged across this study and three other comparison studies, stronger reliability was present, in general, for commonly coded variables ( M = 0.87) as opposed to rare or infrequent variables ( M = 0.78). In addition, 78.3% of the variables showed excellent interrater reliability and an additional 20.0% had good reliability. The results also showed that the ICCs for most variables had low variability across studies, suggesting clear coding guidelines. However, variables with higher ICC variability across studies indicated domains where it would be desirable to expand guidelines with more detailed parameters. Overall, the findings indicate excellent interrater reliability for the great majority of codes and present solid grounds for future research on interrater reliability with R-PAS.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
334 Leonard St
Brooklyn, NY 11211
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.