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Bibliographic Details
Main Author:	Tiago Freire Martins
Format:	Artículo científico
Language:	pt
Published:	Universidade de Fortaleza 2017
Subjects:	Salud Dieta Prescrições Terapia nutricional
Online Access:	https://www.redalyc.org/articulo.oa?id=40851821014 https://www.redalyc.org/journal/408/40851821014/ https://www.redalyc.org/journal/408/40851821014/html/ https://www.redalyc.org/journal/408/40851821014/40851821014.epub https://www.redalyc.org/journal/408/40851821014/movil
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AVALIAÇÃO DA TERAPIA NUTRICIONAL ENTERAL EM PACIENTES CRÍTICOS DE UMA UNIDADE DE TERAPIA INTENSIVA Tiago Freire Martins Wilma Félix Campêlo Cláudia Machado Coelho Souza de Vasconcelos Eliane Mara Viana Henriques Salud Dieta Prescrições Terapia nutricional Objetivo: Avaliar a adequação da terapia nutricional enteral em pacientes críticos de uma Unidade de Terapia Intensiva. Métodos: Estudo observacional, descritivo, analítico e prospectivo realizado de fevereiro a maio de 2016 com pacientes entre 18 e 60 anos de idade, de ambos os sexos, internados na Unidade de Terapia Intensiva de um hospital da rede pública, na cidade de Fortaleza. Utilizou-se como instrumento de coleta o formulário adotado pela instituição para o preenchimento de dados relacionados à nutrição enteral e às causas do não fornecimento da dieta. Os dados foram analisados utilizando-se ANOVA seguido do teste de Tukey , com intervalo de confi ança de 95%. Resultados: Foram avaliados 35 pacientes, sendo 62,9% (n=22) do sexo masculino, com média de idade de 42,86±10,84 anos. As necessidades calóricas tiveram média de 1936,81Kcal±244,88Kcal, as calorias prescritas de 1083,49Kcal±363,24Kcal e as calorias recebidas de 876,0Kcal±389,97Kcal. A média das calorias prescritas representou 58,37% (p<0,001) da média das necessidades calóricas, e a média das calorias recebidas representou 77,79% (p<0,001) das calorias prescritas e 47,71% (p<0,001) das necessidades calóricas. Quanto às calorias prescritas, 75,6% encontravam- se inadequadas quando comparadas às necessidades calóricas, e com relação às calorias recebidas, 54,3% encontravam-se adequadas em relação à prescrição e 81,4% inadequadas em comparação as necessidades calóricas. A presença de resíduo gástrico foi o principal motivo da dieta não ser administrada em sua totalidade, representando 47,12% (n=49) das intercorrências. Conclusão: Observaram-se relevantes inadequações calóricas entre calorias prescritas, calorias recebidas e necessidades energéticas, sugerindo que os pacientes se encontravam com défi cits energéticos importantes. 2017 artículo científico 1806-1222 https://www.redalyc.org/articulo.oa?id=40851821014 https://www.redalyc.org/journal/408/40851821014/ https://www.redalyc.org/journal/408/40851821014/html/ https://www.redalyc.org/journal/408/40851821014/40851821014.epub https://www.redalyc.org/journal/408/40851821014/movil pt http://www.redalyc.org/revista.oa?id=408 Revista Brasileira em Promoção da Saúde application/pdf Universidade de Fortaleza Revista Brasileira em Promoção da Saúde (Brasil) Num.2 Vol.30

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// Anecdotal testing Today and Yesterday seems to indicate destroy() // is called by the garbage collector and everything is good. // Something to keep in mind though. return 0; } /** * Write function that is called when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ public function write($sessId, $data): bool { if ($this->writesDisabled) { return true; } return $this->saveSession($sessId, $data); } /** * A function that is called internally when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ abstract protected function saveSession($sessId, $data): bool; }

* * @return void */ public function writeClose() { // The assumption is that we're using PHP's ext/session. // session_write_close() will actually overwrite $_SESSION with an // empty array on completion -- which leads to a mismatch between what // is in the storage object and $_SESSION. To get around this, we // temporarily reset $_SESSION to an array, and then re-link it to // the storage object. // // Additionally, while you _can_ write to $_SESSION following a // session_write_close() operation, no changes made to it will be // flushed to the session handler. As such, we now mark the storage // object isImmutable. $storage = $this->getStorage(); if (! $storage->isImmutable()) { $_SESSION = $storage->toArray(true); session_write_close(); $storage->fromArray($_SESSION); $storage->markImmutable(); } } /** * Attempt to set the session name * * If the session has already been started, or if the name provided fails * validation, an exception will be raised. * * @param string $name * @return SessionManager * @throws Exception\InvalidArgumentException */ public function setName($name) { if ($this->sessionExists()) { throw new Exception\InvalidArgumentException( 'Cannot set session name after a session has already started'

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