Navegando por Palavras-chave "Nutrition, Public Health"

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    A intersetorialidade no Programa Bolsa Família o caso dos Morros de Santos
    (Universidade Federal de São Paulo (UNIFESP), 2020-12-08) Neves, Jose Anael [UNIFESP]; Medeiros, Maria Angélica Tavares de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introduction: The Brazilian Cash Transfer Program is the largest Conditional Cash Transfer Program in the world. It allocates monetary resources to Brazilian families in situations of poverty and extreme poverty and provides for intersectoral actions that must be agreed upon by municipal health, education and social assistance administrations. The integration of policies in favor of the Brazilian Cash Transfer Program is hardly known. Objective: To identify and analyze the intersectoral actions agreed upon by the health, education and social assistance sectors within the scope of the Brazilian Cash Transfer Program, in Morros de Santos, São Paulo, Brazil, recognizing their limits and potential, to subsidize interventions to improve this policy public. Methods: This is a cross-sectional research, with a quantitative and qualitative approach, developed in the region of Morros de Santos, SP, Brazil, between the years 2016 and 2017. Pregnant women, mothers and / or guardians of title and non the Brazilian Cash Transfer Program holders (n=380), in a representative sample of the Morros population; local managers and / or professionals from the health, education and social assistance services (n=14); and the central managers of the three sectors responsible for the operationalization of the Program (n=3). Seven similar scripts, adapted to the particularities of each group, were used to conduct the interviews. Quantitative data were analyzed using descriptive statistics, Chi Square or Fisher's exact test and multiple correspondence analysis. Content analysis was used for qualitative data. The study was approved by the Ethics Committee from Universidade Federal de São Paulo. Results: It was identified greater access of the Brazilian Cash Transfer Program families to health services, due to the conditionalities of the Program. In general, the inclusion or not in the Brazilian Cash Transfer Program affected 31% of the variability in the pattern of access to services. As for intersectoral actions, access between the Brazilian Cash Transfer Program holders and non-holders is low. It was found that the intersectoral actions were punctual, episodic and discontinuous, therefore, the intersectoriality does not seem to be a structuring principle of the Brazilian Cash Transfer Program actions at the study site. Even so, the interviewees recognized that the network of health, education and social assistance services available has the potential to11 redirect their practices regarding intersectorality. According to the review of the scientific literature, published between 2003 and 2020, there was a relationship with the Brazilian Cash Transfer Program with the reduction of child reduction and the increase of access to Primary Health Care services; expanding access to food, including in natura; increased school attendance and reduced dropout in basic education. Conclusion: The Bolsa Família Program has an important role in reducing inequities; however, the limited operationalization of intersectoriality, among other factors, may restrict the interruption of the cycle of intergenerational transmission of poverty.
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    Suplementação nutricional em pacientes com doença do neurônio motor/esclerose lateral amiotrófica
    (Universidade Federal de São Paulo (UNIFESP), 2003) Stanich, Patricia [UNIFESP]; Oliveira, Acary Souza Bulle [UNIFESP]
    A Doenca do Neuronio Motor (DNM) e uma doenca degenerativa, progressiva, irreversivel e incuravel, com envolvimento primario do motoneuronio. Dentre as formas de manifestacao, predominam a Esclerose Lateral Amiotrofica (ELA) e a Paralisia Bulbar Progressiva (PBP). Na evolucao clinica, a disfagia apresenta-se como um dos comprometimentos principais, levando a diminuicao da massa corporea, desidratacao e desnutricao. Associado a diminuicao da inGestão alimentar, observa-se o aumento da taxa de metabolismo basal e das necessidades nutricionais, determinando assim perda de peso. O reconhecimento da deplecao nutricional e intervencao precoce podem ser um diferencial no tratamento. Nesse trabalho foram estudados 20 pacientes com Doenca do Neuronio Motor (DNM)/Esclerose Lateral Amiotrofica (ELA), provenientes do Setor de Investigacao de Doencas Neuromusculares da Disciplina de Neurologia Clinica da Universidade Federal de São Paulo - Escola Paulista de Medicina (UNIFESP-EPM). O objetivo desse estudo foi descrever o estado nutricional dos pacientes com Doenca do Neuronio Motor (DNM) /Esclerose Lateral Amiotrofica (ELA), submetidos a suplementacao nutricional. Os pacientes receberam suplementacao nutricional durante seis meses consecutivos. Eles foram submetidos a avaliacao nutricional bimestral, com medidas antropometricas - peso, estatura, circunferencia do braco e dobra cutanea do triceps - e analise da composicao corporal atraves da bioimpedancia eletrica. O diagnostico de ELA foi estabelecido de acordo com -os criterios propostos pelo El Escorial, modificado era 1998, atraves do quadro clinico e do auxilio de exames como eletroneuromiografia, ressonancia magnetica e tomografia computadorizada. As idade variou entre 36 e 70 anos, com media de 55,0, mediana de 59,5 e desvio padrao de 12,4 anos. O tempo referido de doenca pelo paciente variou de 8 a 218 meses, com media de 31,5 meses. Quinze pacientes (75 por cento) apresentavam ELA como forma de manifestacao, sendo onze (73,3 por cento) do sexo masculino e 4 (26,6 por cento) do sexo feminino...(au)