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Citation ABSTRACTBackground/Objectives: In Brazil, the National Program of School Feeding (PNAE), was created with the objective of meeting the nutritional needs of students, guaranteeing the adequate growth and development of children, and assuring quality sanitation of the food offered. With the intent to guarantee a high level of sanitation of the food offered in the educational field, Good Manufacturing Practices (GMPs) were also instituted. The objective of this study was to evaluate the GMPs employed to produce the food offered in the Rio Branco -AC school system's daycares and pre-schools. Methods: The study was undertaken in 15 schools and 6 public daycares, corresponding with 50% of the total number of schools that admit preschoolers. A "List of Verification of Good Practices in School Feeding and Nutrition" was employed, and a final score was obtained for each school, through which the school was classified by the degree of health risk that it presented. Results: In the 21 schools studied, inadequacies in all analyzed criteria were observed. When classified according to general health risks, 81% of the schools presented moderate health risks and 19% presented high health risks. The most scrutinized criteria were "Controlled Temperature Equipment,""Buildings and Installations,""Processes and Production," and "Sanitation of the Environment." The main problems detected were related to inadequate sanitation of the hands (90.48%) on the part of the food handlers; the absence of mandatory Good Practices and Standard Operational Procedures Manual (POP) (100%), and the absence of fans in the production area (95.24%). Conclusions:The main problems identified in the evaluated school feeding production units were related to inadequate physical unit structures and the incorrect handling of the foods on the part of those involved in the production process. Therefore, the importance of continued training about Good Fabrication Practices (BPFs), the presence of nutritionists in sufficient numbers during the production process, and a restructuring of the physical space within the food production units need to be highlighted.

Objetivo: Identificar os padrões alimentares e verificar a prevalência de doenças crônicas segundo esses padrões na população de Rio Branco, Acre. Método: Trata-se de um inquérito com 1.701 adultos no município de Rio Branco. Utilizaram-se o questionário quantitativo de frequência alimentar (QFA) e os padrões alimentares obtidos por análise fatorial. Resultados: Na análise fatorial, foram identificados cinco padrões: ultraprocessados e doces; frutas; tradicional; verduras e legumes; e saladas e condimentos. Os resultados sugerem que o consumo de ultraprocessados e doces é mais prevalente em homens (58,6%; p-valor: 0,004), na idade entre 18 a 39 anos (64,4%; p-valor: <0,001), com maior escolaridade (62,9%; p-valor: 0,001), praticantes de atividade física (62,8%; p-valor: <0,001), não fumantes (56,0%; p-valor: 0,027) e portadores de hipertrigliceridemia (43,7%; p-valor: <0,001), hipercolesterolemia (45,2%; p-valor: <0,001) e síndrome metabólica (42,9%; p-valor: 0,012). Conclusão: Ressalta-se a necessidade de consolidar programas e ações com enfoque no consumo alimentar saudável, especialmente entre os homens, jovens, com maior escolaridade visando à redução de doenças como hipertrigliceridemia, hipercolesterolemia e síndrome metabólica.

O presente estudo objetiva construir e validar o conteúdo do instrumento de sistematização da continuidade do cuidado, mediante plano multiprofissional de alta. Foram realizadas as seguintes etapas: levantamento bibliográfico nas bases de dados Pubmed e BVS; construção do instrumento; validação do conteúdo por 20 especialistas, segundo técnica Delphi, e análise e consolidação dos itens do instrumento, sendo calculado o índice de concordância para os itens linguagem, pertinência, relevância, organização, clareza e aplicabilidade. A concordância entre os avaliadores variou de 85,0 a 100,0%, com uma concordância global de 94,2% para o modelo inicial. Foram incluídas dez (23,2%) variáveis e 31 itens (72,0%) sofreram modificações. Após a validação do plano, o instrumento permaneceu com 11 domínios e 55 itens. Este estudo favoreceu o planejamento para uma alta eficaz, por meio do uso de instrumento validado, para a obtenção de uma assistência multiprofissional de qualidade.

The objective was identify the risk factors associated with the failure to total energy value. A prospective cohort study was conducted in an intensive care unit with 87 patients receiving exclusive enteral nutrition therapy. The Kaplan-Meier and Cox regression analysis were used to evaluate the results. Regarding the patients, 35.6% were aged between 31 and 50 years, and 58.6% were males. At the end of the third day, 70.8% reached the total recommended energy value. Postoperative patients (HR: 7.09; 95% CI: 2.02-24.81), hemodynamically unstable patients (HR: 5.97; 95% CI: 1.11-31.99) and those who were fasting for the performance of tests (HR: 4.95; 95% CI: 1.01-24.61) presented a greater risk of not reaching the recommended value. The number of patients who achieved the total energy value was adequate, but can be optimized by the evaluation of these identified factors.