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The Total Amount of Energy Delivered by A Brazilian Hospital Catering does not Meet Patient Requirements as Measured by Indirect Calorimetry

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Food and Nutrition Sciences 2011年第2期2卷 60-65页

作者： carolina ferreira nicoletti Tatiana Pereira Lima Roberta Deh Souza Santos Nancy Yukie Yamamoto Tanaka Vivian Marques Suen Julio Sergio Marchini Carla Barbosa Nonino 不详

The literature is controversial regarding the dietary recommendations for hospitalized patients in Brazil. Objective: We aimed to determine whether the energy content of the diet for hospitalized patients met their energy requirements measured by indirect calorimetry. Methods: Cross-sectional study conducted on adult hospitalized patients of both sexes. The prescription food was checked by reading the charts. Nutritional status was evaluated on the basis of weight, abdominal circumference (AbC), arm circumference (AC), body mass index and waist/hip ratio (WHR). The resting energy requirements of the patients were determined by indirect calorimetry. The diets offered were collected on 3 random non-consecutive days. Total nitrogen, lipid, water, ash and carbohydrate content of the menus were determined. Patients receiving a general or low-sodium diet by the oral route participated in the study. The Student T test was used to analyze the differences in energy expenditure between individuals. The association between gender and percent adequacy of the diet was calculated by the Fisher exact test. The level of significance was set at p < 0.05. Results: We studied 46 adult patients of both genders (29 women and 17 men) aged 45 ± 16 years. Anthropometric evaluation re-vealed a mean weight of 72 ± 26 kg, BMI of 28 ± 10 kg/m2. 78% of the patients received energy above their require-ments, with this value increasing to 82% when obese patients were excluded. Conclusion: Since the hospital diet is an important and often vital resource for the recovery of patients and in view of the high prevalence of undernutrition or obesity, it is fundamental to adjust it to the intra-hospital reality.

关键词： Hospital Diet Nutritional Needs Indirect Calorimetry Hospitalized Patients

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Perception of the Hospital Nutrition Service by Internal Clients: Example of the Results Obtained in the Area of Production of Pediatric Formulas and Enteral Diets

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Food and Nutrition Sciences 2016年第2期7卷 67-73页

作者： Nancy Yukie Yamamoto Tanaka Edgard Monforte Merlo carolina ferreira nicoletti Carla Barbosa Nonino Wilson Moraes Góes Roberta Novaes Fernando Fávero Júlio Sérgio Marchini Division of Nutrition and Dietetics Hospital das Cl&iacute nicas Faculty of Medicine of Ribeir&atilde o Preto University of S&atilde o Paulo S&atilde o Paulo Brasil Faculty of Economia e Administraç ã o of Ribeirã o Preto University of S&atilde o Paulo S&atilde o Paulo Brasil Department of Internal Medicine Faculty of Medicine of Ribeir&atilde o Preto University of S&atilde o Paulo S&atilde o Paulo Brasil Center of Information and Analysis Hospital das Cl&iacute nicas Faculty of Medicine of Ribeir&atilde o Preto University of S&atilde o Paulo S&atilde o Paulo Brasil

Aim: Client perception was important to indicate points requiring interventions or adjustments and to permit refinement of the services offered. This study aimed to determine the perception of internal clients regarding the quality of the service after integrating these items into the system of electronic prescription. Methods: We applied a questionnaire elaborated based on the SERVQUAL about the five dimensions of service quality (tangibility, reliability, responsiveness, safety, and empathy) with adaptation of the four-point Likert scale, ranging from “I fully disagree” to “I fully agree”. Results: The instrument was applied to 138 professionals, with a 56% return. Analysis revealed that the strong points were related to tangibility, safety and empathy, while the aspects related to reliability showed a lower score regarding time of delivery, occurrences and waste, and those related to responsiveness showed a lower score regarding service to be provided in a timely manner. The Cronbach Alpha Coefficient indicated that the investigation had a high degree of consistency and that the results could be considered reliable. Conclusion: Application of the adapted SERVQUAL questionnaire revealed that the perception of internal clients about the five quality dimensions after the changes made and provided valuable information for the scoring of aspects that still needed adjustment to improve interventions.

关键词： Nutrition Hospital Service Electronic Prescription Internal Clients Quality of Service Patient Care

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Nutritional therapy for hospitalized patients with COVID-19:A narrative and integrative review

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Journal of Intensive Medicine 2022年第4期2卷 249-256页

作者： Beatriz H.Grecco Paula A.O.Araújo-Rossi carolina F.nicoletti Department of Nutrition School of Public HealthUniversity of São PauloSão PauloSPBrazil Applied Physiology and Nutrition Research Group Rheumatology DivisionFaculty of MedicineUniversity of São PauloAv Dr Arnaldo 455São PauloSP 01246-903Brazil

Hospitalized patients affected by coronavirus disease 19(COVID-19)have a sustained pro-inflammatory state and recurrent gastrointestinal symptoms that correlate with a decline in the nutritional status,which is directly related to poor immune response and clinical *** therapy has proven crucial in COVID-19 treatment through the provision of adequate amounts of *** the beginning of the pandemic,medical societies have mobilized to provide practical nutritional guidelines to support decision-making;despite this,there are only a few studies dedicated to compiling the most relevant *** this narrative review,we aimed to summarize and stratify the current scientific literature on nutritional support for hospitalized COVID-19 *** carried out a literature review from three databases between January 2020 and July 2021,using nutrition therapy(or medical nutrition or enteral nutrition or parental nutrition or nutritional support)and COVID-19(SARS-CoV-2 infection)as the search *** those studies that evaluated adult hospitalized patients with admissions to wards,specific clinics,or intensive care units were *** nutritional intervention considered was that of specific nutritional support via oral,enteral,or parenteral modes.A total of 37 articles were *** general,the nutritional care provided to COVID-19 patients follows the same premises as for other patients,i.e.,it opts for the most physiological route and meets nutritional demands based on the clinical ***,some protocols that minimize the risk of contamination exposure for the health team have to be *** requirements varied from 15 kcal/kg/day to 30 kcal/kg/day and protein goals from 1.2 g/kg/day to 2 g/kg/*** both cases,the ramp protocol for increased supply should be *** cases of enteral therapy,ready-to-use diet and continuous mode are *** to refeeding syndrome is essential when parenteral n

关键词： COVID-19 Nutritional support Enteral nutrition Parenteral nutrition Energy requirement Protein supply

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Determination of Paraquat in Several Commercially Available Types of Rice

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Food and Nutrition Sciences 2018年第12期9卷 1368-1375页

作者： Thais Lopes Lima Maria Aparecida nicoletti Camila Munhoz Gabriel Ramos De Abreu Julia Zaccarelli Magalhaes Esther Lopes Ricci Ricci Paula A.Faria Waziry Júlia Nathalia Alves da Costa Ana carolina Nascimento Antonio AndréRinaldi Fukushima Universidade Sao Judas Tadeu-R.Taquari Sao Paulo/SPBrazil Departamento de Farmacia.Faculdade de Ciencias Farmaceuticas.Universidade de Sao Paulo Sao Paulo/SPBrazil Instituto de Ciencias da Saude Universidade Presbiteriana MackenzieRua da ConsolacaoSao Paulo/SPBrazil Departamento de Patologia Faculdade de Medicina Veterinaria e ZootecniaUniversidade de Sao PauloSao Paulo/SPBrazil New Southeastern University Fort LauderdaleFloridaUnited States of America Veterans Affairs Medical CenterMiamiFloridaUSA Faculdade Sao Bento-Largo de Sao Bento s/no-CentroSao Paulo-SPSao Paulo/SPBrazil

Introduction: Paraquat (1,1’-dimethyl-4,4’-bipyridine-dichloride) is a herbicide used to combat weeds and improve crop productivity. Its acute toxicity can cause fatal poisoning in humans and animals and several studies have shown a strong correlation between paraquat and Parkinson’s disease. Objective: To determine the concentration of paraquat in different types of rice in Brazil. Method: Paraquat quantification is based on a complexation reaction with sodium dithionite, which generates a blueish color compound, whose absorbance was read in a spectrophotometer at the 600 nm wavelength. Results: Five samples were found to be above the maximum allowed limit, while one sample had a concentration in the upper allowed limit. The method employed did not allow quantification of black rice. Conclusion: There is a need for identification of the type of pesticide used in each examined crop as well as their respective dates of remission in order to improve the safety of agricultural practices.

关键词： Paraquat Herbicide Rice

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