Valor nutricional da alimentação escolar oferecida em uma rede municipal de ensino

The aim of this study was to evaluate the nutritional value of school lunch preparations offered to children enrolled in municipal schools in Botucatu-SP. The macronutrients (proteins, lipids), calories, vitamins A and C, calcium, zinc, iron, magnesium and sodium, and dietary fiber were evaluated through assessment dietary software, according to menus offered. The observed data were compared with the standards established by PNAE /NSFP (National School Feeding Programme). The amounts of vitamins A (162.1 mg) and of the minerals magnesium (35.7 mg), zinc (1.6 mg) and iron (10.5 mg) were within the recommendations. However, low values for vitamin C (4.19 mg), calcium (29.8 mg), dietary fiber (3.66 g), and high concentrations of Na were observed. The results highlight the need for adjustments in the nutritional content of infant feeding, which represents supplement of significant importance in the diet of the pupils concerned.El objetivo de este estudio es evaluar el valor nutricional de los almuerzos escolares, ofrecidos a los niños matriculados en las escuelas municipales de Botucatu-SP. Se evaluaron los macronutrientes (proteínas, lípidos), energía, vitaminas A y C, calcio, zinc, hierro, magnesio y sodio, además de fibra dietética, a través del software de evaluación de la dieta. Los datos observados se compararon con las normas establecidas por el PNAE (Programa Nacional de Alimentación Escolar). Las cantidades de vitamina A (162,1 mg) y de los minerales magnesio (35,7 mg), zinc (1,6 mg) y hierro (10,5 mg) se encontraban dentro de las recomendaciones. Sin embargo, los valores bajos se observaron para la vitamina C (4,19mg), calcio (29,8mg), fibra dietética (3,66g) y altas concentraciones de sodio (622,8mg). Los resultados destacan la necesidad de ajustar el contenido nutricional de los preparativos de las comidas ofrecidas a los estudiantes, ya que representan una importante incorporación a la dieta diaria de la población afectada.O objetivo deste trabalho foi avaliar o valor energético e nutricional das preparações da merenda escolar oferecidas aos escolares matriculados na rede municipal de ensino de Botucatu-SP. Foram avaliados os macronutrientes (proteínas, lipídeos), energia, vitaminas A e C, cálcio, zinco, ferro, magnésio e o sódio, além da fibra alimentar, por meio de software para avaliação dietética, de acordo com cardápios oferecidos. Os dados observados foram comparados com os padrões estabelecidos pelo PNAE (Programa Nacional de Alimentação Escolar). As quantidades de vitamina A (162,1mg) e dos minerais magnésio (35,7mg), zinco (1,6mg) e ferro (10,5 mg) mostraram-se dentro das recomendações. Contudo, foram observados baixos valores para a vitamina C (4,19mg), para o cálcio (29,8mg) e para a fibra alimentar (3,66g); e altas concentrações de sódio (622,8mg). Os resultados evidenciam a necessidade de adequações no conteúdo nutricional das preparações oferecidas aos escolares, uma vez que estas representam significativo complemento na alimentação diária para a população em questão

TRY plant trait database – enhanced coverage and open access

Plant traits - the morphological, anatomical, physiological, biochemical and phenological characteristics of plants - determine how plants respond to environmental factors, affect other trophic levels, and influence ecosystem properties and their benefits and detriments to people. Plant trait data thus represent the basis for a vast area of research spanning from evolutionary biology, community and functional ecology, to biodiversity conservation, ecosystem and landscape management, restoration, biogeography and earth system modelling. Since its foundation in 2007, the TRY database of plant traits has grown continuously. It now provides unprecedented data coverage under an open access data policy and is the main plant trait database used by the research community worldwide. Increasingly, the TRY database also supports new frontiers of trait‐based plant research, including the identification of data gaps and the subsequent mobilization or measurement of new data. To support this development, in this article we evaluate the extent of the trait data compiled in TRY and analyse emerging patterns of data coverage and representativeness. Best species coverage is achieved for categorical traits - almost complete coverage for ‘plant growth form’. However, most traits relevant for ecology and vegetation modelling are characterized by continuous intraspecific variation and trait–environmental relationships. These traits have to be measured on individual plants in their respective environment. Despite unprecedented data coverage, we observe a humbling lack of completeness and representativeness of these continuous traits in many aspects. We, therefore, conclude that reducing data gaps and biases in the TRY database remains a key challenge and requires a coordinated approach to data mobilization and trait measurements. This can only be achieved in collaboration with other initiatives

The Changing Landscape for Stroke\ua0Prevention in AF: Findings From the GLORIA-AF Registry Phase 2

Background GLORIA-AF (Global Registry on Long-Term Oral Antithrombotic Treatment in Patients with Atrial Fibrillation) is a prospective, global registry program describing antithrombotic treatment patterns in patients with newly diagnosed nonvalvular atrial fibrillation at risk of stroke. Phase 2 began when dabigatran, the first non\u2013vitamin K antagonist oral anticoagulant (NOAC), became available. Objectives This study sought to describe phase 2 baseline data and compare these with the pre-NOAC era collected during phase 1. Methods During phase 2, 15,641 consenting patients were enrolled (November 2011 to December 2014); 15,092 were eligible. This pre-specified cross-sectional analysis describes eligible patients\u2019 baseline characteristics. Atrial fibrillation disease characteristics, medical outcomes, and concomitant diseases and medications were collected. Data were analyzed using descriptive statistics. Results Of the total patients, 45.5% were female; median age was 71 (interquartile range: 64, 78) years. Patients were from Europe (47.1%), North America (22.5%), Asia (20.3%), Latin America (6.0%), and the Middle East/Africa (4.0%). Most had high stroke risk (CHA2DS2-VASc [Congestive heart failure, Hypertension, Age  6575 years, Diabetes mellitus, previous Stroke, Vascular disease, Age 65 to 74 years, Sex category] score  652; 86.1%); 13.9% had moderate risk (CHA2DS2-VASc = 1). Overall, 79.9% received oral anticoagulants, of whom 47.6% received NOAC and 32.3% vitamin K antagonists (VKA); 12.1% received antiplatelet agents; 7.8% received no antithrombotic treatment. For comparison, the proportion of phase 1 patients (of N = 1,063 all eligible) prescribed VKA was 32.8%, acetylsalicylic acid 41.7%, and no therapy 20.2%. In Europe in phase 2, treatment with NOAC was more common than VKA (52.3% and 37.8%, respectively); 6.0% of patients received antiplatelet treatment; and 3.8% received no antithrombotic treatment. In North America, 52.1%, 26.2%, and 14.0% of patients received NOAC, VKA, and antiplatelet drugs, respectively; 7.5% received no antithrombotic treatment. NOAC use was less common in Asia (27.7%), where 27.5% of patients received VKA, 25.0% antiplatelet drugs, and 19.8% no antithrombotic treatment. Conclusions The baseline data from GLORIA-AF phase 2 demonstrate that in newly diagnosed nonvalvular atrial fibrillation patients, NOAC have been highly adopted into practice, becoming more frequently prescribed than VKA in Europe and North America. Worldwide, however, a large proportion of patients remain undertreated, particularly in Asia and North America. (Global Registry on Long-Term Oral Antithrombotic Treatment in Patients With Atrial Fibrillation [GLORIA-AF]; NCT01468701

Nutritional value of school meals offered in municipal network of education

The aim of this study was to evaluate the nutritional value of school lunch preparations offered to children enrolled in municipal schools in Botucatu-SP. The macronutrients (proteins, lipids), calories, vitamins A and C, calcium, zinc, iron, magnesium and sodium, and dietary fiber were evaluated through assessment dietary software, according to menus offered. The observed data were compared with the standards established by PNAE /NSFP (National School Feeding Programme). The amounts of vitamins A (162.1 mg) and of the minerals magnesium (35.7 mg), zinc (1.6 mg) and iron (10.5 mg) were within the recommendations. However, low values for vitamin C (4.19 mg), calcium (29.8 mg), dietary fiber (3.66 g), and high concentrations of Na were observed. The results highlight the need for adjustments in the nutritional content of infant feeding, which represents supplement of significant importance in the diet of the pupils concerned.</p

Frailty identification and management among Brazilian healthcare professionals: a survey

Background: National and international guidelines on frailty assessment and management recommend frailty screening in older people. This study aimed to determine how Brazilian healthcare professionals (HCPs) identify and manage frailty in practice. Methods: An anonymous online survey on the assessment and management of frailty was circulated virtually through HCPs across Brazil. Results: Most of the respondants used non-specific criteria such as gait speed (45%), handgrip strength (37.6%), and comprehensive geriatric assessment (33.2%). The use of frailty-specific criteria was lower than 50%. The most frequently used criteria were the Frailty Index (19.1%), Frailty Phenotype (13.2%), and FRAIL (12.5%). Only 43.5% felt confident, and 40% had a plan to manage frailty. In the multivariate-adjusted models, training was the most crucial factor associated with assessing frailty, confidence, and having a management plan (p<0.001 for all). Those with fewer years of experience were more likely to evaluate frailty (p=0.009). Being a doctor increased the chance of using a specific tool; the opposite was true for dietitians (p=0.03). Those who assisted more older people had a higher likelihood of having a plan (p=0.011). Conclusion: Frailty assessment was heterogeneous among healthcare professions groups, predominantly using non-specific criteria. Training contributed to frailty assessment, use of specific criteria, confidence, and having a management plan. This data informs the need for standardized screening criteria and management plans for frailty, in association with increasing training at the national level for all the HCPs who assist older people

Identification of genetic variants associated with Huntington's disease progression: a genome-wide association study

Huntington's disease is caused by a CAG repeat expansion in the huntingtin gene, HTT. Age at onset has been used as a quantitative phenotype in genetic analysis looking for Huntington's disease modifiers, but is hard to define and not always available. Therefore, we aimed to generate a novel measure of disease progression and to identify genetic markers associated with this progression measure

TRY plant trait database - enhanced coverage and open access

10.1111/gcb.14904GLOBAL CHANGE BIOLOGY261119-18

Expression of Interest for a Phase-II LHCb Upgrade: Opportunities in flavour physics, and beyond, in the HL-LHC era

https://cds.cern.ch/record/224431