Atenção integral à saúde da comuindade escolar - AISCE: atenção à fala do escolar

Anais do 35º Seminário de Extensão Universitária da Região Sul - Área temática: SaúdeEm uma aquisição típica de linguaguem do Português Brasileiro, a fonologia é estabilizada aos 5 anos de idade. Crianças que possuem alguma dificuldade na aquisição da fonologia, podem ser diagnosticadas com transtorno fonológico – substituições e omissões de fonemas na fala da criança. O objetivo do estudo é identificar crianças com transtorno fonológico e buscar uma possível ação para solucionar as suas dificuldades. A aquisição fonológica é verificada através do Instrumento de Avaliação Fonológica – IAF aplicado com os estudantes entre 5 e 10 anos de idade, de ambos os sexos, dos jardins e séries iniciais da Escola Municipal de Ensino Fundamental Décio Martins da Costa, em Porto Alegre. As falas foram caracterizadas em normal ou alterada, quando alterada, diferenciada entre Transtorno Fonológico ou Transtorno Fonético. Foram realizadas 229 coletas de fala, onde 41% (94 crianças) apresentaram alteração. A origem mais comum foi Transtorno Fonológico, sendo o processo fonológico mais comum Redução de Encontro Consonantal – REC. Através de ações como esta, busca-se a promoção e prevenção em saúde no contexto da escola, visando a melhoria de qualidade de vida em aspectos de educação e saúd

ESTUDO COMPARATIVO DA COMPOSIÇÃO QUÍMICA, ÁCIDOS GRAXOS E COLESTEROL DE LEITES DE BÚFALA E VACA

The aim of this work was compare the buffaloes and cow’s milk quality. The samples were from cross buffaloes (Jaffarabadi x Murrah) and cow’s (Frisian x Zebu), collected from 2012 April to June.Was determined milk chemical composition (lactose, fat, protein, total solid and milk solids), physical characteris- tics (pH, density and milk acidity). The data were submitted to variance analyze, using F - test (P<0.05). The buffaloes present more level of the fat, protein, lactose, milk solids than cows. In relations to hipercholester- olemics fatty acids, the buffaloes presented hight level to the C16:0 and Lower levels of c12 and c14 than cows. Higher levels to the vacenic and rumenic acid were observed in buffaloes Milk than cows. In spite of a higher content of saturated fatty acids, the milk of water buffaloes showed lower ratio n6/n3 and lower choles- terol when compared to cow. The milk of buffalo and cow showed adequate nutritionally These results indi- cate the need for the creation of specific legislation for the buffalo milk

Guidance on mucositis assessment from the MASCC Mucositis Study Group and ISOO: an international Delphi studyResearch in context

Summary: Background: Mucositis is a common and highly impactful side effect of conventional and emerging cancer therapy and thus the subject of intense investigation. Although common practice, mucositis assessment is heterogeneously adopted and poorly guided, impacting evidence synthesis and translation. The Multinational Association of Supportive Care in Cancer (MASCC) Mucositis Study Group (MSG) therefore aimed to establish expert recommendations for how existing mucositis assessment tools should be used, in clinical care and trials contexts, to improve the consistency of mucositis assessment. Methods: This study was conducted over two stages (January 2022–July 2023). The first phase involved a survey to MASCC-MSG members (January 2022–May 2022), capturing current practices, challenges and preferences. These then informed the second phase, in which a set of initial recommendations were prepared and refined using the Delphi method (February 2023–May 2023). Consensus was defined as agreement on a parameter by >80% of respondents. Findings: Seventy-two MASCC-MSG members completed the first phase of the study (37 females, 34 males, mainly oral care specialists). High variability was noted in the use of mucositis assessment tools, with a high reliance on clinician assessment compared to patient reported outcome measures (PROMs, 47% vs 3%, 37% used a combination). The World Health Organization (WHO) and Common Terminology Criteria for Adverse Events (CTCAE) scales were most commonly used to assess mucositis across multiple settings. Initial recommendations were reviewed by experienced MSG members and following two rounds of Delphi survey consensus was achieved in 91 of 100 recommendations. For example, in patients receiving chemotherapy, the recommended tool for clinician assessment in clinical practice is WHO for oral mucositis (89.5% consensus), and WHO or CTCAE for gastrointestinal mucositis (85.7% consensus). The recommended PROM in clinical trials is OMD/WQ for oral mucositis (93.3% consensus), and PRO-CTCAE for gastrointestinal mucositis (83.3% consensus). Interpretation: These new recommendations provide much needed guidance on mucositis assessment and may be applied in both clinical practice and research to streamline comparison and synthesis of global data sets, thus accelerating translation of new knowledge into clinical practice. Funding: No funding was received