TEMPERATURAS DE EXPOSITORES DE ALIMENTOS E QUALIDADE HIGIÊNICO- SANITÁRIA EM RESTAURANTE SELF-SERVICE, NA CIDADE DE ITAPACI-GO

Introdução: A modernidade proporciona as pessoas um ritmo acelerado diário fazendo com que os hábitos de vida e alimentares, sejam modificados por vários elementos. Tornando-se, cada vez maior o número de pessoas que se alimentam fora de casa. A comida em restaurante tipo self-service aparece como uma forma de oferecer à população uma refeição mais variada, mais barata e que se assemelha à comida caseira. Por essa razão é imprescindível que se tenha todo um controle do procedimento produtivo que abrange essa modalidade de serviço, obtendo o controle das qualidades de higiene das instalações, dos manipuladores e o controle da temperatura. Sendo assim, este estudo teve como objetivo avaliar temperatura de expositores e qualidade higiênico-sanitárias de alimentos, em dois restaurantes tipo self-service, na cidade de Itapaci – GO. Metodologia: Trata-se de um estudo de campo de caráter qualitativo e quantitativo realizado no período de agosto a setembro de 2015 em dois restaurantes do tipo self-service em Itapaci-GO. Resultados e discussões: Foram identificados 100% das coletas, que os alimentos observados nos estabelecimentos pesquisados, estavam em temperaturas inadequadas, apresentaram-se fora da legislação estabelecida a RDC n° 216\2004. A média de temperatura para os alimentos quentes foi a recomendação mínima de 60°C e as preparações frias inferior a 10°C. Conclusão: Conclui-se que os restaurantes self-service analisados possuem falhas na distribuição de seus alimentos, favorecendo o desenvolvimento de microrganismos patogênicos. Portanto, esta irregularidade é considerada crítica na oferta de alimento seguro, com possibilidade de comprometer a qualidade dos alimentos e em seguida ocasionar riscos à saúde do consumidor. Palavras-chaves: Qualidade higiênico-sanitárias. Manipuladores de alimentos. Check-list

Entrepreneurship for reinsertion, social innovation and sustainability

Entrepreneurship is an effective way of overcoming conjunctural factors; it is also a dignifying solution for all business-oriented people. This study aims to answer the following question: how to enable the social reinsertion of therapeutic communities’ graduates by resorting to the concepts of entrepreneurship? It also aims to investigate the  skills of individuals cared for at therapeutic centers and who are in the final stage of drug addiction treatment, attempting to promote their social reintegration, job creation and sustainable income. To achieve this goal, this study’s  specific objectives are: (1) present the practical applicability of entrepreneurial concepts as sustainable economic activities; (2) characterize the fundamental aspects for the development of entrepreneurial skills considering contextualized reality drawing on Bloom’s Taxonomy; (3) suggest re-adequacy of social reintegration public policies, considering the concepts of social innovation with sustainability. Here, Case Study Method and procedures such as instrumentalization of an introductory workshop, development of participants’ skills; gathering, analysis and interpretation of data are applied. As a result, thirty graduates from therapeutic communities had the chance to get in touch with the concepts of entrepreneurship as a tool for their social reinsertion. It is expected that this outcome may contribute to the improvement in their quality of life, considering that the study is based on factual reality and that its findings can be reproduced in situations of similar reality. This work is relevant to both public and private entities engaged with social responsibility and sustainability.&nbsp

Diagnóstico de enfermería : deterioro de la integridad tisular identificada en ancianos, en la estrategia de salud de la familia

A exposição da pele a agentes agressivos implica no aparecimento de feridas que comprometem o bem estar. Em idosos,pode levar ao adoecimento e instalação de agravos que reduzirão a qualidade de vida. A avaliação do enfermeiro ao portador de feridas revela-se essencial e visa promover condições de adequada cicatrização dos tecidos. Este estudo objetivou identificar a ocorrência de integridade tissular prejudicada, os tipos de feridas mais frequentes e os produtos utilizados para o tratamento. Estudo descritivo, quantitativo, realizado em 2009, com 27 idosos portadores de integridade tissular prejudicada,cadastrados em estratégias de saúde da família de um município do interior de Goiás. Foram realizadas consultas de enfermagem com avaliação do estado de saúde e da ferida. Mediante análise dos dados identificou-se que 74,0% dos idosos eram do sexo feminino, 70,3% tinham entre 60 a 69 anos e 33,3% eram casados. O tipo de ferida mais frequente foi a úlcera venosa (66,6%). Os participantes apresentaram até três patologias associadas, sendo que 66,6% eram portadores de diabetes e 55,5% de insuficiência venosa. O AGE consistiu no produto mais utilizado pelos indivíduos. A avaliação criteriosa do enfermeiro contribui para um planejamento coerente com as necessidades da população e atuação segura do enfermeiro. __________________________________________________________________________________ ABSTRACTThe skin exposition to aggressive agents results in the appearance of wounds that commit the well being of patients. In the elderly, this may lead to sickening and installation of hazards that will reduce the life quality of this population. The nurse`s evaluation of a patient who presents skin wounds reveals itself essential and aims the promotion of adequate conditions to the tissue`s healing process. This research had as objective identify the occurrence of impaired tissue integrity, the most frequent types of wounds and the products used in treatment. Descriptive and quantitative study, in which took part 27 elderly patients with impaired tissue integrity, all registered in family health strategies of a municipality in the state of Goias in 2009. An evaluation of the health and wound status was made during nursing consults. Through the analysis of data it was identified that 74,0% of the patients were female, 70,3% were between 60 to 69 years-old and 33,3% were married. Most frequent type of wound was the venous ulcer (66,6%). The participants presented up to the associated pathologies, in such a way that 66,6% had diabetes and 55,5% had venous insufficiency. The most utilized product by the patients was the AGE. The nurse`s criterious evaluation contributes to a planning made according to the population`s needs and safe actuation of the nursing professional. __________________________________________________________________________________ RESUMENLa exposición de la piel a agentes agresivos tiene como consecuencia la aparición de heridas que comprometen el bienestar. En ancianos puede llevar a la enfermedad y a la instalación de molestias que reducen la calidad de vida de esa población. La evaluación que el enfermero efectúa sobre el portador de heridas se revela esencial y tiene como objetivo promover condiciones de adecuada cicatrización de los tejidos. La pesquisa tuvo como objetivo identificar el deterioro de la integridad tisular, los tipos de heridas mas frecuentes y los productos utilizados para el tratamiento. Estudio descriptivo, cuantitativo, realizado en 2009, en 27 ancianos portadores de deterioro en la integridad tisular, cadastrados en estrategias de salud de la familia del municipio en el estado de Goiás. Fueron realizadas consultas de enfermería con evaluaciones del estado de salud y de la herida. A través del análisis de los datos, se identifico que 74,0% de los ancianos eran del sexo femenino, 70,3% tenían entre 60 y 69 años y 33,3% estaban casados. El tipo de herida mas frecuente fue la úlcera venosa (66,6%). Los participantes presentaron hasta tres patologías asociadas, siendo que 66,6% eran portadores de diabetes y 55% de insuficiencia venosa. El AGE fue el producto mas utilizado por los individuos. La evaluación cuidadosa del enfermero contribuye para una planificación coherente con las necesidades de la población y para la actuación segura del enfermero

Dinâmica de carbono e nitrogênio em um sistema agroflorestal sucessional na região neotropical

The present study aimed to assess the effect of fourteen years of implementation of a successional and biodiverse agroforestry system (AFS) in a degraded agricultural field located in the Cerrado region of Central Brazil on the carbon and nitrogen dynamics. To track short term soil N dynamics we sampled instantaneous soil N rates in four seasonal periods (wet-dry, dry, dry-wet, wet) and to track long term C and N dynamics we measured C and N stable isotopes in the plant-litter-soil system. As additional data we determined the aboveground biomass; resorption rates of foliar and, soil C and N stocks.  The measured aboveground biomass was 19.2 Mg C ha-1. The mean resorption rate of foliar N was 49.3%. C:N ratio was 20.4 ± 1.4 and 14.2 ± 0.32 in the litter layer and the topsoil, respectively. Soil N-NH4+ was predominant over N-NO3-. After 40 days, the cumulative N-N2O emission was 0.33 kg ha-1. The mean C and N stocks were 3.8 Mg N ha-1 and 43.6 Mg C ha-1, respectively. The averaged soil δ15N was 6.8‰. Soil δ13C was -20.3‰. After 14 years of implementation, approximately 40% of the total C in the topsoil (0-20 cm depth) was derived from the AFS biomass input, predominantly from the C3 photosynthetic pathway. The studied biodiverse AFS that replaced a degraded agricultural field in the Cerrado region showed to be responsive both in terms of soil and plant C and N pools and fluxes.O presente estudo teve como objetivo avaliar o efeito de quatorze anos de implementação de um sistema agroflorestal (SAF) sucessional e biodiverso em uma área agrícola degradada localizada na região de Cerrado do Brasil Central sobre a dinâmica de carbono e nitrogênio. Para verificar a dinâmica de N no curto prazo foram feitas medidas das taxas de transformação de N no solo em quatro períodos sazonais (chuva-seca, seca, seca-chuva e chuva) e para determinar a dinâmica de C e N no longo prazo foram analisadas as razões isotópicas de C e N no sistema planta-serapilheira-solo. Além disso, os seguintes parâmetros foram medidos: biomassa acima do solo, taxas de retranslocação de N foliar, e estoques de C e N no solo. A biomassa acima do solo foi de 19,2 Mg C ha-1. A taxa média de reabsorção de N foliar foi de 49,3%. A relação C:N foi de 20,4 ± 1,4 e 14,2 ± 0,32 na camada de serapilheira e na camada superficial do solo, respectivamente. O N-NH4 + do solo foi predominante sobre o N-NO3-. Após 40 dias, a emissão cumulativa de N-N2O foi de 0,33 kg ha-1. Os estoques médios de C e N foram de 3,8 Mg N ha-1 e 43,6 Mg C ha-1, respectivamente. O valor médio de δ15N do solo foi de 6,8‰, enquanto o valor médio de δ13C no solo foi de -20,3‰. Após 14 anos de implementação, aproximadamente 40% do C total na camada superficial do solo (0-20 cm de profundidade) mostrou ser derivado da entrada de biomassa oriunda do SAF, que é predominantemente do tipo fotossintético C3. O SAF estudado, que substituiu um campo agrícola degradado na região do Cerrado, mostrou-se responsivo tanto em termos de estoques e fluxos de C e N do solo e da planta

Limitations and Management of Static-guided Endodontics Failure

Endodontic treatment in severely calcified canals is always a challenging task because it can result in accidents such as deviations or perforations. Recently, guided endodontics has become an alternative approach for pulp canal calcification, facilitating the location of root canals more predictably through the combined use of cone-beam computed tomographic imaging, oral scanning, and endodontic access guides. Although several reports have shown that guided endodontics is safer, faster and can be performed without an operating microscope and by less experienced operators, the technique has limitations, and iatrogenesis may occur. This article describes the limitations of static-guided endodontics and possible causes of failures. In the present case, not fixing the guide to the bone and inaccuracies generated by manually performing mesh merger software led to root perforation. Endodontic microsurgery was effective in resolving this case and should be considered the treatment of choice when guided endodontics cannot be used safely or when it fails

Effect of the Active Aging-in-Place–Rehabilitation Nursing Program: A Randomized Controlled Trial

Abstract: (1) Background: It is of great importance to promote functional capacity and positive lifestyles, since they contribute to preventing the progression of frailty among the older adults. The aim of this study was to evaluate the effect of active aging-in-place–rehabilitation nursing program (AAP-RNP) on the functional capacity and lifestyles of frail older adults. (2) Methods: This was a single-blinded, two-group, randomized, controlled trial of 30 frail older people enrolled at a Health-care unit in Portugal between 2021 and 2022. The duration of the program was 12 weeks, and the sessions took place at the participants’ homes. We used as instruments the Tilburg Frailty Indicator; Fried frailty phenotype; Senior Fitness Test battery; Barthel Index; Lawton Index; handgrip strength measurement; Tinetti Index; Individual lifestyle profile; and Borg’s perception of effort. (3) Results: Post-program, there was an improvement in multidimensional and physical frailty, functional capacity, balance, and perceived exertion (p < 0.05) in the experimental group. Among the older adults’ lifestyles, we observed significant improvements in physical activity habits, relational behavior, and stress management. (4) Conclusions: Rehabilitation nurses have a relevant role, and the AAP-RNP seems to be effective in improving functional capacity and lifestyles in frail older adults.info:eu-repo/semantics/publishedVersio

PPAR-γ/IL-10 axis inhibits MyD88 expression and ameliorates murine polymicrobial sepsis

Polymicrobial sepsis induces organ failure and is accompanied by overwhelming inflammatory response and impairment of microbial killing. Peroxisome proliferator-activated receptor (PPAR)-γ is a nuclear receptor with pleiotropic effects on lipid metabolism, inflammation, and cell proliferation. The insulin-sensitizing drugs thiazolidinediones (TZDs) are specific PPAR-γ agonists. TZDs exert anti-inflammatory actions in different disease models, including polymicrobial sepsis. The TZD pioglitazone, which has been approved by the U.S. Food and Drug Administration, improves sepsis outcome; however, the molecular programs that mediate its effect have not been determined. In a murine model of sepsis, we now show that pioglitazone treatment improves microbial clearance and enhances neutrophil recruitment to the site of infection. We also observed reduced proinflammatory cytokine production and high IL-10 levels in pioglitazone-treated mice. These effects were associated with a decrease in STAT-1-dependent expression of MyD88 in vivo and in vitro. IL-10R blockage abolished PPAR-γ-mediated inhibition of MyD88 expression. These data demonstrate that the primary mechanism by which pioglitazone protects against polymicrobial sepsis is through the impairment of MyD88 responses. This appears to represent a novel regulatory program. In this regard, pioglitazone provides advantages as a therapeutic tool, because it improves different aspects of host defense during sepsis, ultimately enhancing survival

Multidimensional Frailty and Lifestyles of Community-Dwelling Older Portuguese Adults

Abstract: (1) Background: Lifestyles are referred to as conditioning factors for the frailty of older adults. However, there are few studies that explore its association. The objective of the present study is to analyze the association between sociodemographic, clinical, and lifestyle factors of older adults people with multidimensional frailty. (2) Methods: Descriptive and correlational study carried out with older adults people registered in a Health Unit in Portugal. Data were collected through a sociodemographic and clinical questionnaire and application of the Individual Lifestyle Profile and Tilburg Frailty Index to assess the lifestyles and multidimensional frailty of older adults, respectively. This last instrument, being of a multidimensional nature, assesses not only physical, but also psychological and social frailty, with a cut-off point of 6. (3) Results: Of the 300 older adults who participated, most were female (60.3%) and had a mean age of 81.34 6.75 years. Moreover, 60.3% of the sample were frail older adults. Gender, marital status, number of household members, number of chronic diseases, number of daily medications, self-perception of health status and lifestyle and use of a walking device were associated with multidimensional frailty (p 0.001). Healthy eating habits, physical activity, relational behaviour, preventive behaviour, and stress management were significantly associated with lower physical, psychological, and social frailty (p 0.001). (4) Conclusions: When community health workers are aware of multidimensional frailty predictors and their components, they can intervene early and, consequently, delay the onset and progression of frailty in older adults.info:eu-repo/semantics/publishedVersio

Conhecimento dos enfermeiros sobre o novo protocolo de ressuscitação cardiopulmonar

Objetivo: Avaliar o conhecimento de enfermeiros sobre o atendimento à parada cardiorrespiratória (PCR), suporte básico e avançado de vida cardiovascular, tendo como base as novas diretrizes de Ressuscitação Cardiopulmonar (RCP) da American Heart Association (AHA) do ano de 2015. Métodos: Trata-se de um estudo descritivo de abordagem quantitativa, realizado no hospital escola de um município do interior de Minas Gerais, através da aplicação de um questionário fechado, elaborado pelas pesquisadoras. Os dados coletados foram processados pelo Statistical Package for the Social Sciences (SPSS) versão 20. Resultados: Participaram do estudo 19 enfermeiros. O número de acertos dos participantes no questionário oscilou entre 0 a 100%, com média de 4,2 e desvio padrão de 3,2. Foi classificado, como conhecimento satisfatório, o número de acertos superior e/ou igual a 70% e o conhecimento insatisfatório, o número inferior a 70%. Apenas 26,4% dos enfermeiros obtiveram conhecimento satisfatório. Conclusão: Constatou-se que enfermeiros não possuem conhecimento satisfatório sobre as mudanças propostas pelas novas diretrizes de RCP da AHA de 2015