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Search Results: 1 - 10 of 297543 matches for " Nilian; Cremonezi J "
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VARIATION IN THE ENERGY AND MACRONUTRIENT CONTENTS OF TEXTURE MODIFIED HOSPITAL DIETS
Viganó C,Patricia; Silva S,Nilian; Cremonezi J,Camila; Vannucchi P,Guilherme; Campanelli M,Marta;
Revista chilena de nutrición , 2011, DOI: 10.4067/S0717-75182011000400008
Abstract: objective: to compare the nutritional content of the main meals of a normal hospital diet with those of texture modified diets (soft, puréed and liquid). methodoloogy: the ash, moisture, macronutrient and energy contents of the foods comprising the main meal of the hospital diets were determined. the values were calculated per capita for each food item comprising the diets and then added up in order to estimate the total amount of energy and macronutrients supplied by main meal. results: compared with the normal diet, the puréed and liquid diets presented higher moisture content as well as reduced content of energy (31.4% and 39.9%, respectively), protein (45.4% and 79.8% ,respectively) and lipid (41% and 76%, respectively). conclusion: texture modified diets exhibit lower energy and macronutrient content, the main changes being detected for the liquid diet, which might imply an insufficient micronutrient supply.
VARIATION IN THE ENERGY AND MACRONUTRIENT CONTENTS OF TEXTURE MODIFIED HOSPITAL DIETS VARIACIóN EN LA ENERGíA Y CONTENIDO DE MACRONUTRIENTES DE DIETAS HOSPITALARIAS CON TEXTURA MODIFICADA
Patricia Viganó C,Nilian Silva S,Camila Cremonezi J,Guilherme Vannucchi P
Revista Chilena de Nutricíon , 2011,
Abstract: Objective: To compare the nutritional content of the main meals of a normal hospital diet with those of texture modified diets (soft, puréed and liquid). Methodoloogy: The ash, moisture, macronutrient and energy contents of the foods comprising the main meal of the hospital diets were determined. The values were calculated per capita for each food item comprising the diets and then added up in order to estimate the total amount of energy and macronutrients supplied by main meal. Results: Compared with the normal diet, the puréed and liquid diets presented higher moisture content as well as reduced content of energy (31.4% and 39.9%, respectively), protein (45.4% and 79.8% ,respectively) and lipid (41% and 76%, respectively). Conclusion: Texture modified diets exhibit lower energy and macronutrient content, the main changes being detected for the liquid diet, which might imply an insufficient micronutrient supply. Objetivo: Comparar la composición nutricional de las comidas principales en la dieta hospitalaria en general con los de las dietas modificadas para la consistencia (blanda, puré y líquida). Metodología: Se determinó el contenido de cenizas, humedad, nutrientes y energía de los alimentos de la comida principal de las dietas hospitalarias recogidas. Los valores fueron convertidos a cantidades per cápita establecidas para cada alimento de cada dieta y sumados con el fin de estimar el total ofrecido por la comida principal. Resultados: Las dietas líquida y puré tuvieron más humedad, reducción de 41 a 76.0% del contenido de grasas, reducción de 45.4 a 79.8% del contenido proteico y de 31.9 a 39.9% de la energía total. Conclusión: Las dietas de consistencia modificada presentaron una reducción en el contenido de energía y macronutrientes, encontrándose los principales cambios en la dieta líquida, lo que culminó en una probable disminución de la ingesta de micronutrientes.
METABOLIC AND NUTRITIONAL INTERFACES IN POLYCYSTIC OVARY SYNDROME: CONSIDERATIONS REGARDING OBESITY AND DIETARY MACRONUTRIENTS INTERFACES NUTRICIONALES Y METABóLICAS EN EL SíNDROME DEL OVARIO POLICíSTICO: EL PAPEL DE LA OBESIDAD Y DE LOS MACRONUTRIENTES DE LA DIETA
Fernanda Rodrigues de O. P.,Camila Cremonezi J,Flávia Troncon R,Izabel de Arruda L
Revista Chilena de Nutricíon , 2009,
Abstract: Polycystic ovary syndrome (PCOS) is one of the most common endocrine disorders among women at reproductive age. Its classical form is characterized by menstrual irregularities, chronic anovulation, infertility, and hyperandrogenism. The prevalence of obesity is high among women with POS and its causes have not been fully clarified. Hypotheses have been raised suggesting the possible presence of both abnormal energy expenditure and a reduced response of the gastrointestinal hormones responsible for the control of food ingestión, especially ghrelin. The specific effects of diet composition on POS have been little explored. It has been suggested that po-lyunsaturated fatty acids may improve insulin sensitivity and that high-protein diets may potentiate weight loss and improve reproductive function. However, current evidence is insufficient to determine the optimum composition of a diet for POS patients. The dietary conduct should focus on weight loss to be achieved with nutritionally complete and balanced diets. El Síndrome del Ovario Poliquístico (SOP) es un desorden endocrino que ocurre entre las mujeres en edad reproductiva. Se caracteriza por irregularidad menstrual, anovulación crónica, infertilidad e hiperandrogenismo. La prevalencia de la obesidad es alta entre mujeres con el SOP y sus causas aún no están esclarecidas. Anormalidades en el gasto energético y en la respuesta disminuida de las hormonas gastrointestinales responsables por el control de la ingestión alimentaria, especialmente la grelina son posibles hipótesis para explicar la obesidad asociada al SOP. Los efectos de la composición dietética en el SOP aún están poco explorados. Es posible que los ácidos grasos poliinsaturados (PUFA) mejoran la sensibilidad insulínica y que dietas hiperproteicas potencializan la pérdida de peso y mejoran la función reproductiva. Sin embargo, las evidencias actuales no son suficientes para determinar las características dietéticas mas adecuadas para el SOP. La conducta dietética debe enfocar la pérdida de peso con dietas nutricionalmente completas y balanceadas.
METABOLIC AND NUTRITIONAL INTERFACES IN POLYCYSTIC OVARY SYNDROME: CONSIDERATIONS REGARDING OBESITY AND DIETARY MACRONUTRIENTS
Rodrigues de O. P.,Fernanda; Cremonezi J,Camila; Troncon R,Flávia; de Arruda L,Izabel; Wanda D,Rosa; García Ch,Paula;
Revista chilena de nutrición , 2009, DOI: 10.4067/S0717-75182009000300010
Abstract: polycystic ovary syndrome (pcos) is one of the most common endocrine disorders among women at reproductive age. its classical form is characterized by menstrual irregularities, chronic anovulation, infertility, and hyperandrogenism. the prevalence of obesity is high among women with pos and its causes have not been fully clarified. hypotheses have been raised suggesting the possible presence of both abnormal energy expenditure and a reduced response of the gastrointestinal hormones responsible for the control of food ingestión, especially ghrelin. the specific effects of diet composition on pos have been little explored. it has been suggested that po-lyunsaturated fatty acids may improve insulin sensitivity and that high-protein diets may potentiate weight loss and improve reproductive function. however, current evidence is insufficient to determine the optimum composition of a diet for pos patients. the dietary conduct should focus on weight loss to be achieved with nutritionally complete and balanced diets.
Tumores malignos de cuero cabelludo: En el Hospital Oncológico Padre Machado, aspectos epidemiológicos
Rodríguez,Argimiro; Brice?o,Josefa María; Rincón,Nilian; Pérez,Alberto;
Revista Venezolana de Oncología , 2005,
Abstract: objectives: the purpose of this study is to evaluate our experience with scalp tumours regarding clinical and epidemiological data, at the plastic surgery and head and neck services of the hospital oncologico ?padre machado?. these neoplasms can be either primary or secondary malignancies. methods: we carried out a retrospective study, analyzing the medical charts of the patients with a diagnosis of malignant scalp tumours admitted to o from 1993 to 1999. sex, histologic type, tumour size, location, resective procedure, reconstructive methods, complications and locorregional recurrence were registered. results: we analyzed a total of 70 medical charts of patients with malignant scalp tumours. 42 were male and 28 female. the most frequent tumour locations were parietal (21.4 %), parietoccipital (15.7 %), frontal (11.4 %) and occipital (11.4 %). epidermoid carcinoma was diagnosed in 28.6 % of cases. basaloid carcinoma in 24.3 % and metastatic tumours were found in 20 % of cases. 51.4 % of these patients were treated with wide local excision; 11.4 % required bone resection. the only complications registered were facial paralysis (one patient) and bone exposure in other. local failure was reported in patients with basaloid cell carcinoma. conclusion: malignant scalp tumours are mostly epidermoid and basal cell carcinomas. metastatic lesion must always be considered. a previous biopsy is crucial for ruling out this diagnosis and plan further treatment.
Tumores malignos de cuero cabelludo: En el Hospital Oncológico Padre Machado, aspectos epidemiológicos
Argimiro Rodríguez,Josefa María Brice?o,Nilian Rincón,Alberto Pérez
Revista Venezolana de Oncología , 2005,
Abstract: OBJETIVOS: El objetivo del presente trabajo ha sido conocer los aspectos epidemiológicos de los tumores del cuero cabelludo, diagnosticados en los servicios de Cirugía Plástica y Cabeza y Cuello del Hospital Oncológico Padre Machado. Estas neoplasias pueden ser primarias o secundarias. MéTODOS: El dise o del estudio es de tipo retrospectivo. Se revisaron los registros de anatomía patológica con diagnósticos de tumores malignos de cuero cabelludo desde 1993 hasta 1999. Se registraron los datos por edad, sexo, tipo histológico, tama o tumoral, ubicación del tumor, tipo de resección, reconstrucción, complicaciones, recidivas. RESULTADOS: Se obtuvieron 70 historias de pacientes con diagnóstico de tumor maligno de cuero cabelludo. De estos, 42 resultaron masculinos y 28 femeninos. Las regiones anatómicas del cuero cabelludo mayormente afectadas fueron, parietal (21,4 %), parietooccipital (15,7 %), frontal y occipital por separado (11,4 %) respectivamente. El tipo histológico predominante fue el carcinoma epidermoide con 28,6 % seguido por el basocelular 24,3 %, destacándose el adenocarcinoma metastático con 20 %. En el 51,4 % se realizó resección local amplia y en 11,4 % se incluyó tabla ósea y duramadre. Recidiva a los 5 a os en un paciente con carcinoma basocelular. CONCLUSIóN: Los tumores malignos de cuero cabelludo son predominantemente carcinomas epidermoides y basocelulares, hay que recalcar la necesidad de realizar en todos los casos una biopsia previa. OBJECTIVES: The purpose of this study is to evaluate our experience with scalp tumours regarding clinical and epidemiological data, at the Plastic Surgery and Head and Neck Services of the Hospital Oncologico “Padre Machado”. These neoplasms can be either primary or secondary malignancies. METHODS: We carried out a retrospective study, analyzing the medical charts of the patients with a diagnosis of malignant scalp tumours admitted to o from 1993 to 1999. Sex, histologic type, tumour size, location, resective procedure, reconstructive methods, complications and locorregional recurrence were registered. RESULTS: We analyzed a total of 70 medical charts of patients with malignant scalp tumours. 42 were male and 28 female. The most frequent tumour locations were parietal (21.4 %), parietoccipital (15.7 %), frontal (11.4 %) and occipital (11.4 %). Epidermoid carcinoma was diagnosed in 28.6 % of cases. Basaloid carcinoma in 24.3 % and metastatic tumours were found in 20 % of cases. 51.4 % of these patients were treated with wide local excision; 11.4 % required bone resection. The only complications register
Prevalence of indeterminate human immunodeficiency virus western blot results in pregnant women attended at a public hospital in Presidente Prudente, Brazil
Cremonezi, Denise;Mesquita, Paulo Eduardo de;Rom?o, Marisa Menezes;Prestes-Carneiro, Luiz Euribel;
Brazilian Journal of Infectious Diseases , 2005, DOI: 10.1590/S1413-86702005000600009
Abstract: the aids epidemic is spreading rapidly among women worldwide, offering increasing opportunities for vertical transmission of hiv. in brazil, the prevalence of hiv infection among pregnant women is less than 1%. therefore, the positive predictive value of an hiv eia test tends to be lower than the more frequent indeterminate western blot result. pregnant women receiving antenatal care, from 2000 to 2004, at a public secondary hospital in the city of presidente prudente, s?o paulo, brazil, were systematically screened for hiv by means of two distinct eia tests, in order to determine the prevalence of indeterminate western blot results among pregnant women showing discordance in both hiv eia tests and indirect immunofluorescence assay. confirmatory indirect immunofluorescence was performed on material for all women with positive results in both eia tests. whenever there were positive results in eia and iia, the applicant was retested by the initial screening assay. only those not showing concordance in results in eia and iaa had a western blot performed. the viral load was measured in pregnant women with positive or indeterminate western blot results. out of 9,786 sera, 105 (1.0%) were positive in the two hiv eia screening tests, confirmed by indirect immunofluorescence. among these women, western blot was interpreted as indeterminate in 11 (0.1%) cases and their viral load was <50 copies/ml. we found a prevalence of 0.1% hiv indeterminate western blots in pregnant women from presidente prudente and the surrounding region; none of these pregnant women had positive hiv viral loads.
Determination of temperature variation during the individual steps of the production of hospital diets of modified consistency
Monteiro,T. H.; Souza Santos,R. De; Cremonezi Japur,C.; Neves Campanelli Mar?al Vieira,M.;
Nutrición Hospitalaria , 2011,
Abstract: background & aim: many disease outbreaks of food origin are caused by foods prepared in food service and nutrition units of hospitals, affecting hospitalized patients who, in most cases, are immunocompromised and therefore at a higher risk of severe worsening of their clinical status. the aim of this study was to determine the variations in temperature and the time-temperature factor of hospital diets. methods: the time and temperature for the preparation of 4 diets of modified consistency were determined on 5 nonconsecutive days in a hospital diet and nutrition unit at the end of preparation and during the maintenance period, portioning and distribution at 3 sites, i.e., the first, the middle and the last to receive the diets. results and discussion: all foods reached an adequate temperature at the end of cooking, but temperature varied significantly from the maintenance period to the final distribution, characterizing critical periods for microorganism proliferation. during holding, temperatures that presented a risk were reached by 16.7% of the meats and 59% of the salads of the general diet, by 16.7% of the garnishes in the bland diet and by 20% of the meats and garnishes in the viscous diet. the same occurred at the end of distribution for 100% of the hot samples and of the salads and for 61% of the desserts. none of the preparations remained at risk temperature for a time exceeding that established by law. conclusion: the exposure to inadequate temperature did not last long enough to pose risks to the patient.
PORCIONAMENTO E CONSUMO DE SALADAS POR MULHERES COM DIETA GERAL EM UNIDADE DE INTERNA O HOSPITALAR
Patricia Viganó CONTRI,Camila Cremonezi JAPUR,Edson Zangiacomi MARTINEZ,Marta Neves Campanelli Mar?al VIEIRA
Alimentos e Nutri??o , 2010,
Abstract: Avaliar o porcionamento e o consumo de saladas em mulheres com prescri o de dieta geral em uma unidade de interna o hospitalar. Durante 3 dias foi avaliado o consumo de saladas de 38, 36 e 40 mulheres, respectivamente. A quantidade consumida foi calculada pela diferen a entre o total ofertado e os restos dos pratos das pacientes avaliadas. A varia o do porcionamento foi caracterizada e comparada com a por o padr o da institui o (30g). No terceiro dia, foi aplicado um questionário estruturado em 27 pacientes, a fi m de descrever hábito de consumir salada e satisfa o em rela o à quantidade e aos aspectos sensoriais, por uma escala de avalia o subjetiva de Likert, avaliada por análise de correspondência. O consumo médio variou de 75 a 88% do total oferecido. Houve varia o do porcionamento médio em rela o ao padr o nos três dias, com oferta de -47,4% em um dia e +33,1% em outro. O consumo diário de saladas foi relatado por 92% das mulheres, sustentado pela ingest o intra-hospitalar e evidenciado pela aceita o total da por o oferecida por 81% delas. Em rela o à satisfa o, a quantidade de salada oferecida foi o item que teve maior grau de insatisfa o (“ruim”); variedade e sabor tiveram satisfa o regular; e temperatura, consistência e aspecto visual apresentaram maior grau de satisfa o (“bom”). Houve varia o no porcionamento entre os dias e consumo total da por o pela maioria das mulheres. A quantidade padronizada de saladas para a dieta geral foi considerada baixa, de acordo com a avalia o da satisfa o das participantes do estudo.
Determination of temperature variation during the individual steps of the production of hospital diets of modified consistency Determinación de las variaciones de temperatura durante los distintos pasos de la producción de las dietas del hospital con modificación en la consistencia
T. H. Monteiro,R. De Souza Santos,C. Cremonezi Japur,M. Neves Campanelli Mar?al Vieira
Nutrición Hospitalaria , 2011,
Abstract: Background & aim: Many disease outbreaks of food origin are caused by foods prepared in Food Service and Nutrition Units of hospitals, affecting hospitalized patients who, in most cases, are immunocompromised and therefore at a higher risk of severe worsening of their clinical status. The aim of this study was to determine the variations in temperature and the time-temperature factor of hospital diets. Methods: The time and temperature for the preparation of 4 diets of modified consistency were determined on 5 nonconsecutive days in a hospital Diet and Nutrition Unit at the end of preparation and during the maintenance period, portioning and distribution at 3 sites, i.e., the first, the middle and the last to receive the diets. Results and discussion: All foods reached an adequate temperature at the end of cooking, but temperature varied significantly from the maintenance period to the final distribution, characterizing critical periods for microorganism proliferation. During holding, temperatures that presented a risk were reached by 16.7% of the meats and 59% of the salads of the general diet, by 16.7% of the garnishes in the bland diet and by 20% of the meats and garnishes in the viscous diet. The same occurred at the end of distribution for 100% of the hot samples and of the salads and for 61% of the desserts. None of the preparations remained at risk temperature for a time exceeding that established by law. Conclusion: The exposure to inadequate temperature did not last long enough to pose risks to the patient. Antecedentes y objetivos: muchas epidemias de origen alimentario están causadas por alimentos preparados en las unidades de alimentación y nutrición de los hospitales y afectan a pacientes hospitalizados que, en su mayoría, están inmunodeprimidos y presentan, por lo tanto, un mayor riesgo de empeoramiento grave de su estado clínico. El objetivo de este estudio fue determinar las variaciones en la temperatura y el factor tiempo-temperatura en las dietas de los hospitales. Métodos: se determinó el tiempo y la temperatura de preparación de 4 dietas de consistencia modificada durante 5 días consecutivos en una Unidad de alimentación y nutrición, al final de la preparación y durante el periodo de mantenimiento, racionamiento y distribución en 3 sitios, es decir, el primer sitio en recibir la dieta, el intermedio y el último. Resultados y discusión: todos los alimentos alcanzaron una temperatura adecuada al final de su preparación, pero la temperatura varió significativamente desde su periodo de mantenimiento hasta su distribución final, caracteri
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