The results show that approximately 50% of the municipalities evaluated are in a positive situation in relation to the local procurement for PNAE. However, the number of municipalities that did not publish the public call or not signed the contract is still important and deserves attention of the sectors involved.
-Background -Disturbance in chewing, swallowing and digestive motility may predispose to feeding and nutritional abnormalities in patients with Rett syndrome. Objective -To evaluate the dietary habits, nutritional status and the prevalence of constipation in patients with classical Rett syndrome. Methods -Twenty seven female patients between the ages of 2.6 and 21.8 years were studied. The following parameters were evaluated: food register, weight, height and intestinal movement characteristics. Weight and height were compared with the National Center for Health Statistics standards. Results -The inability to ingest solid foods was observed in 80.8% of the patients. A height-to-age deficit was observed in 13 (48.1%) of the girls, being more intense in patients at stage IV. Weight-for-height deficit was found in 10 (37.0%) patients, 15 (55.6%) showed normal weight and 2 (7.4%) were overweight for their height. The median ingestion of energy, according to weight-for-height, was equal to 106.6%. Insufficient iron ingestion was observed in 63.0% and insufficient calcium in 55.6% of the patients. Constipation was verified in 74.1% of the patients and did not show a relationship with the quantity of fiber in the diet. Conclusion -Various nutritional problems, as well as, intestinal constipation were observed in these patients with Rett syndrome, and they must be considered in the multidisciplinary therapeutic planning of these individuals.
Schwartzman F. Linking the National School Feeding Programme (PNAE) with family farming: characterization of the direct sales and of the changes to family farmers in municipalities of Sao Paulo state.
The results show that approximately 50% of the municipalities evaluated are in a positive situation in relation to the local procurement for PNAE. However, the number of municipalities that did not publish the public call or not signed the contract is still important and deserves attention of the sectors involved.
Hortas escolares pedagógicas têm sido reconhecidas como uma estratégia de promoção da saúde e da educação efetiva que possibilitam um aprendizado significativo sobre temas como sistemas alimentares, alimentação saudável, ecologia e cultura regional. No município de São Paulo, a utilização das hortas escolares pedagógicas aparece inserida no “Plano de Introdução Progressiva dos Alimentos Orgânicos ou de base Agroecológica no Programa de Alimentação Escolar (PAE) do Município de São Paulo” como instrumento a ser implementado, sendo prevista a realização de formações, dentro da temática, para as escolas públicas. O objetivo deste trabalho foi monitorar e descrever o processo de implantação de hortas pedagógicas nas escolas públicas da cidade de São Paulo que receberam o curso de “Hortas Pedagógicas - Escolas Mais Orgânicas” no ano de 2016. Os dados foram coletados por meio de dois questionários eletrônicos enviados para as escolas e para os participantes do curso. Foi encontrada maior frequência de hortas ativas em relação ao restante das escolas do município, sendo que nestes locais a horta geralmente também tinha uma utilização pedagógica. A falta de insumos, espaço adequado e envolvimento da equipe escolar foram descritos como os principais desafios para a implantação e manutenção das hortas pedagógicas. Para o sucesso do projeto, foi observada significativa importância do envolvimento de toda a comunidade escolar, da presença do tema das hortas dentro de discussões curriculares e a realização de formações nas escolas.DOI: 10.12957/demetra.2018.34062
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