Trabalho de Conclusão de Curso - TCC

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Alimentação para prevenção do câncer de mama: produção de uma tecnologia educacional
(Centro Universitário do Estado do Pará, 2022) Gonçalves, Maria Helena Monteiro; Moraes, Yasmin de Fatima Brito de Oliveira; Figueiredo, Sandra Maria dos Santos; http://lattes.cnpq.br/8530470051297070; Mori, Rejane Maria Sales Cavalcante; http://lattes.cnpq.br/0068497734511867; Almeida, Viviane dos Santos Viana de; http://lattes.cnpq.br/2965839727561530
According to the Ministry of Health, cancer (CA) derives from multiple cumulative effects, due to disordered cell growth in the presence of neoplastic agents, as normal cells multiply naturally, responding to the body's needs, cancerous grow uncontrollably, forming abnormal cells, invading and compromising organs and tissues. Nutrition can be a great ally in preventing the development of the disease, since the consumption of foods rich in fiber, vegetables, fruits and “good” fats is a preventive factor, but it can be considered a risk factor, if the consumption of processed foods, deli meats, red meat, among others, is excessive. To develop an educational technology (ET) for users of primary health care on food for the prevention of breast cancer. Review study with a qualitative approach, carried out through methodological development, divided into two stages: integrative literature review (ILR) and production of ET, which is a digital booklet. The protective factors identified were the consumption of natural or minimally processed foods, such as vegetables, fruits, grains, seasonings and spices. While the excessive consumption of red meat, whole milk and derivatives rich in fat, deli meats, soft drinks, industrialized foods are considered risk factors. After the survey and organization of significant topics, the development of the booklet was started, with easy understanding content, containing in its extension the use of images and adequate textual content. In view of what has been explained, it is essential to produce educational technologies that allow subsidizing health actions to prevent breast CA.
Alterações nutricionais em pacientes oncológicos hospitalizados: um estudo de revisão
(Centro Universitário do Estado do Pará, 2021) Mendonça, Luana Reis; Vasconcellos, Vitória Cristina de Matos; Campos, Jamilie Suelen dos Prazeres; http://lattes.cnpq.br/4508719756740232; Figueiredo, Sandra Maria dos Santos; http://lattes.cnpq.br/8530470051297070; Marques, Simone do Socorro Fernandes; http://lattes.cnpq.br/0651248478895645
This study consists of a review of nutritional risk indicators in hospitalized cancer patients. It aims to analyze the indicators of nutritional risk in hospitalized cancer patients as well as to identify the prevalence of nutritional risk among cancer patients and investigate the factors that may be related to the nutritional risk of these patients. The methodology was carried out through a descriptive study, literature review in Portuguese and English. The search was carried out from March to May 2021, for articles published from 2011 to 2021. As a result, it was found that most studies indicated more than 40% of nutritional risk, this is because patients do notfeed enough to meet their energy needs, which can be due to a series of factors, such as the underlying disease, pain, nausea, vomiting, anxiety, inappetence, dysphagia, depression, functional incapacity, aggressive treatments and even the hospital environment. Furthermore, when they affect the digestive tract, they increase the risk of malnutrition, mainly due to the low food intake resulting from symptoms and the presence of cancer, often of an obstructive nature. Therefore, through the results of several studies analyzed, it was concluded that nutritional risk and malnutrition are prevalent conditions in hospitalized cancer patients, thus observing a high percentage, due to several factors found.
Conhecimento sobre boas práticas por manipuladores de um lactário de um hospital público em Belém-PA
(Centro Universitário do Estado do Pará, 2021) Silva, Luana Freitas e; Ozela, Cilea Maria dos Santos; Figueiredo, Sandra Maria dos Santos; http://lattes.cnpq.br/8530470051297070; http://lattes.cnpq.br/3869556585803094; Silva, Suely Maria Ribeiro da; http://lattes.cnpq.br/2211014646147942; Gaspar, Daniela Pinheiro; http://lattes.cnpq.br/9245835771527449
The aim of this study was to evaluate the knowledge about good practices of handlers in a lactation service in Belém PA. It was an descriptive, transversal study with a qualitative approach. Data collection was carried out after approval by the Research Ethics Committee Opinion No. 3,817,272 (CEP) of the Santa Casa de Misericórdia Foundation of Pará (FSCMP) through the direct application of a semi-open questionnaire containing eight questions, referring to good specific handling practices for dairy. The study included 13 handlers in the morning, afternoon and evening working in the lactation unit, who agreed to participate in the research, by signing the Informed Consent Form (FICF), which was carried out during the month of November in 2020 in a lactation Hospital located at the Hospital Fundação Santa Casa de Misericórdia in Belém PA. Data were processed in the IRAMUTEQ® software and descriptively analyzed using the word cloud method. The characterization of the participants, the majority 92% were female. With an average age of 45 years (standard deviation ± 8.2). This research allowed us to know, through basic lexicography, the most frequent vocabulary through the speeches, pointed out more specific to the handlers' understanding of questions related to good handling and hygiene practices in the lactation service. It was evident to analyze that most handlers have knowledge in the items handling and personal hygiene, use of protective equipment. They showed insufficient knowledge, difficulties in understanding the conservation of formulas. Therefore, despite having a certain knowledge, it is necessary to observe, if there is the execution of the activities in practice, they are carried out properly. Continuous monitoring is necessary. And soon the correction of inadequacies being indispensable when necessary.
Consumo alimentar de gestantes de alto risco: uma revisão integrativa da literatura
(Centro Universitário do Estado do Pará, 2021) Costa, Elaini dos Santos da; Rosa, Rayssa Teixeira; Ozela, Cilea Maria dos Santos; Almeida, Viviane dos Santos Viana de; http://lattes.cnpq.br/2965839727561530; http://lattes.cnpq.br/3869556585803094; Figueiredo, Sandra Maria dos Santos; http://lattes.cnpq.br/8530470051297070; Moura, Carla Acatauassú Ferreira de; http://lattes.cnpq.br/4504006993667915
Appropriate availability of nutrients and a balanced diet are essential for the gestational period (FERNANDES, 2019). Search in literature for results that discuss about the pattern of eating habits in high-risk pregnancy. A review research was made in the databases of MEDLINE (International Literature in Health Sciences); LILACS – Latin-American and Caribbean Literature in Health Sciences; Cochrane Collaboration PMC (PubMed Central); Scielo; Virtual Health Library (BVS) and Google Scholar. As an inclusion criterion, articles published in full, online, in Portuguese and English in the period from January 2015 to 2021, were selected. As exclusion criterion, articles not relevant to the research for the defined descriptors. At first, 151 articles were found, among those, 9 which met the research objective, were selected. From the results, it was possible to notice that eating habits influence the mother’s health during the gestational period, and also the baby’s health in a short or long term. The study allowed us to verify that the variety of articles covering the specific objectives of the research is relatively low, which are based on relating food consumption with the complications that arise during pregnancy and understanding the importance of nutritional status during this period. Among the articles found, the most mentioned complications were Gestational Diabetes Mellitus (GDM) and Pregnancy-Specific Hypertensive Disease (DHEG). Therefore, based on the assessment of these data, it is plausible to state that the presence of healthy eating habits during the gestational period are extremely important to prevent the development of gestational complications.
Cuidado nutricional na hipertensão arterial: produção de tecnologia educativa para gestantes
(Centro Universitário do Estado do Pará, 2022) Lima, Alice Silva; Uchôa, Ana Carolina Santos; Figueiredo, Sandra Maria dos Santos; http://lattes.cnpq.br/8530470051297070; Almeida, Viviane dos Santos Viana de; http://lattes.cnpq.br/2965839727561530; Mori, Rejane Maria Sales Cavalcante; http://lattes.cnpq.br/0068497734511867
Arterial hypertension and its complications are the main causes of maternal mortality during pregnancy, and monitoring during prenatal care is essential. To develop an educational technology (ET) for pregnant women on nutritional care in hypertension, as a prevention and control tool. A qualitative study of methodological development was carried out, which took place through an integrative literature review, with the selection of 7 studies and then the production of an ET. Consumption of green vegetables, fish, cereals, whole grains, nuts, fruits, vegetable oils, milk, dairy products, orange vegetables, fortified foods such as flour and dairy alternatives, and lean meats, showed a protective relationship against the development of gestational hypertension. The most related micronutrients in the prevention of hypertensive disorders in pregnancy were magnesium, iron, folate, iodine, potassium, calcium and vitamin D. Afterwards, the ET was prepared, of the digital booklet type, based on what was evidenced by the studies. There is little availability of studies related to the topic addressed, making it important to carry out more research on this topic. The biggest obstacle found was the lack of studies that explain the physiological mechanisms involved in the interaction between nutrients/food and the pathophysiology of gestational hypertension, in order to justify the beneficial (or harmful) properties of foods for better control of hypertension during pregnancy. Thus, based on the literature review carried out, it was possible to develop an educational technology on the knowledge that pregnant women need to acquire about nutritional care in gestational hypertension.
Desenvolvimento de planilhas eletrônicas como ferramenta de apoio ao discente no atendimento nutricional
(Centro Universitário do Estado do Pará, 2022) Oliveira, Wagner Rossi de; Figueiredo, Sandra Maria dos Santos; http://lattes.cnpq.br/8530470051297070; Gaspar, Daniela Pinheiro; http://lattes.cnpq.br/9245835771527449; Moreira, Jorvana Stanislav Brasil; http://lattes.cnpq.br/2045604189371660
Information Technology (IT) have generated profound changes in pedagogical practices in the classroom. The insertion of this new reality in universities is a natural and necessary process. If applied correctly, they can contribute to more effective learning and greater motivation to learn among students. The present study was developed in two stages, where it sought to identify in the literature software-type technologies with educational potential, for nutrition students through an integrative literature review, so that an educational software could be developed, based on electronic spreadsheets, of the open simulator type, as an instrument to support the construction of knowledge in higher education in nutrition. Data collection was carried out between the months of December 2021 to March 2022, in the databases: Portal Scientific Electronic Library Online (SciELO); Virtual Health Library of the Ministry of Health (BVS) and Google Scholar. Original articles were included that answered the guiding question of this review, available in full, published in Portuguese or English. The final sample consisted of nine articles, which were published between 2016 and 2012. They show the potential of using software for teaching and learning, since four of them were based on spreadsheets, while four studies were authoring software. For the construction of the software, the recursive development methodology was used. The technology was developed using Microsoft Excel software, and allows the user to carry out nutritional anamnesis activities, anthropometric calculations, calculation of nutritional indexes and energy needs, quantification of macronutrients and micronutrients of a food plan from a table of nutritional composition of food and household measures. The development of the tool was successfully achieved, with that it is expected to assist the student in the steps of nutritional care.
Desenvolvimento de tecnologia educativa para pessoas com doença renal crônica em hemodiálise
(Centro Universitário do Estado do Pará, 2021) Ferreira, Diane Vitória Lopes; Matos, Quédema Bianca Sousa; Figueiredo, Sandra Maria dos Santos; http://lattes.cnpq.br/8530470051297070; Sirotheau, Ana Cláudia Araújo Dinelly; http://lattes.cnpq.br/1157003247383282; Almeida, Viviane dos Santos Viana de; http://lattes.cnpq.br/2965839727561530
Chronic kidney disease (CKD) is the permanent loss of kidney function, recognized as a global public health problem. Hemodialysis, in turn, is a type of dialysis treatment that adopts renal replacement therapy (RRT), which uses a artificial membrane as a filter. To develop an educational technology for support the nutritional care of people with Chronic Kidney Disease, who are in hemodialysis treatment. A qualitative survey of the descriptive-exploratory was carried out. The survey was conducted in February 2021 at the Clinic Uronefro, after approval by the Ethics and Research Committee (ERC) of the University Center of the State of Pará (CESUPA). Twenty patients from the clinic, adults, who had been undergoing hemodialysis for at least 6 months. It was possible to notice that most participants were male in the age range of 41 to 50, 60% were unemployed, 35% presented family income higher than 5,000 and high school of complete education. Regarding nutritional guidance, it was possible to reveal that 100% of patients received guidance by a professional Nutritionist, and guidance given was the reduction in the intake of foods rich in potassium, phosphorus, sodium and liquids, but they still had doubts about some nutrients, preparations and foods. Later, they were asked if they were afraid of consuming any food and 65% answered yes and the most cited foods were shrimp and crab, starfruit and red meat. The present study has assessed the knowledge of the patient's experimented with feeding on dialysis, so the data has served as a subsidy for the digital-shared scale, material was designed in a didactic form, facilitating understanding, aiding to bring knowledge and more options for the proper feed.
Desmame precoce: causas e consequências na vida do lactente: revisão de literatura
(Centro Universitário do Estado do Pará, 2021) Moura, Lana Tayná de Oliveira Tolkesdorf; Ozela, Cilea Maria dos Santos; http://lattes.cnpq.br/3869556585803094; Figueiredo, Sandra Maria dos Santos; http://lattes.cnpq.br/8530470051297070; Almeida, Viviane dos Santos Viana de; http://lattes.cnpq.br/2965839727561530
Breast milk is considered the ideal food for babies as it meets all their nutritional and physiological needs, reducing morbidity and mortality in the first phase of life. Although daily scientific studies prove its effectiveness, only 39% of babies up to six months are exclusively breastfed worldwide. The interruption of EBF within the first 6 months of the baby's life is pointed out as the concept of early weaning. Identify the factors that influence the occurrence of early weaning. The present work can be defined as a systematic literature review. For the execution of the work, searches were carried out for original scientific articles and books on breastfeeding, breastfeeding, breast milk, human milk and early weaning. Of the 61 articles used in the construction of the work, 13.11% had outcomes that demonstrate relevance for responding to the general and specific objective, both established at its beginning. By analyzing the studies, it is possible to say that early weaning is still prevalent and may be caused by several factors that are closely linked to the breastfeeding woman. The present work, through the scientific bias, finds that several factors contribute to the occurrence of the interruption of exclusive breastfeeding, causing the infant to wean early.
Doença de Alzheimer: nutrientes para a prevenção uma revisão da literatura
(Centro Universitário do Estado do Pará, 2023) Costa, Bruno Renan Costa da; Figueiredo, Sandra Maria dos Santos; http://lattes.cnpq.br/8530470051297070; Ozela, Cilea Maria dos Santos; http://lattes.cnpq.br/3869556585803094; Campos, Jamilie Suelen dos Prazeres; http://lattes.cnpq.br/4508719756740232
Alzheimer's disease (AD) is a degenerative, progressive and irreversible dementia that gradually compromises the individual's cognitive level and, in the long term, affects the entire organism. aging. It is expected that as the world's population ages, the number of people living with dementia will triple from 50 million to 152 million by 2050. Many studies have shown an important role for nutrients in reducing the risk of dementia and delaying the onset of dementia. cognitive decline. To identify the main nutrients that can help prevent Alzheimer's disease. This study is a literature review, in which a search was carried out in the databases: LILACS, MEDLINE, SCIELO, BIREME and PUBMED, using the terms Alzheimer's disease, food, nutrients, prevention, between years from 2010 to 2022, using as inclusion criteria articles available in full in Portuguese, Spanish or English. 170 references were found in the searched databases, however, only 17 articles were selected, following the inclusion and exclusion criteria. Food in the prevention of Alzheimer's Disease proved to be a somewhat encouraging path. Nutrients such as omega-3, vitamins E, C and complex B have been highlighted when ingested in the recommended amounts.
Elaboração de tecnologia educativa sobre o método Babylead Weaning (BLW) para profissionais de saúde: produção baseado em evidências científicas
(Centro Universitário do Estado do Pará, 2021) Andrade, Arielle Cristiana Nogueira de; Figueiredo, Sandra Maria dos Santos; Sirotheau, Ana Cláudia Araújo Dinelly; http://lattes.cnpq.br/1157003247383282; http://lattes.cnpq.br/8530470051297070; Ozela, Cilea Maria dos Santos; http://lattes.cnpq.br/3869556585803094; Almeida, Viviane dos Santos Viana de; http://lattes.cnpq.br/2965839727561530
The Baby-Lead Weaning (BLW) method was devised by the British researcher and nurse Gill Rapley, who defends the offer of solid foods to the baby, presented in the form of sticks or sticks since the beginning of complementary feeding (CA). According to Rapley, BLW is a method that encourages parents to trust the infant's innate ability to self-feed. The choice of how and how much to eat the foods offered is made by the child more actively, without direct interference from the caregiver, taking advantage of the baby's curiosity and exploration phase. To develop an educational manual on the Baby-Lead Weaning (BLW) method for health professionals. The methodology applied was qualitative, divided into three stages, integrative literature review, summary of knowledge and production of educational technology. The construction of the technology was carried out from the survey of evidence through an integrative review. 136 works were found, after reading the abstracts, 123 were excluded that did not address the focus of the theme and the repeated ones, and 12 works were then selected. After summary, 6 main themes were identified: appropriation of knowledge by professionals, necessary knowledge, lack of knowledge, risk/disadvantages of choosing the BLW method and benefits of using the method, and to favor the correct handling food introduction with the BLW method the final step was the production of the manual. It is considered that the manual built for guidance on the BLW method, serves as an educational support for health professionals, especially the nutritionist of primary health care (PHC), in the introduction of complementary feeding.
Estado nutricional de crianças menores de doze anos portadoras de leucemia: uma revisão bibliográfica
(Centro Universitário do Estado do Pará, 2022) Silva, Gabrieli Pantoja Soares da; Barbosa, Lavínia Souza; Ozela, Cilea Maria dos Santos; http://lattes.cnpq.br/3869556585803094; Figueiredo, Sandra Maria dos Santos; http://lattes.cnpq.br/8530470051297070; Moura, Carla Acatauassú Ferreira de; http://lattes.cnpq.br/4504006993667915
Leukemia corresponds to the most common type of cancer in childhood. According to data from the National Cancer Institute (INCA). Leukemias account for 33% of all malignant diseases affecting children, and are thus the most common disease in the world. When it comes to leukemia in pediatric cancer patients, cases of malnutrition correlate with the higher number of infection, greater likelihood of recurrences, lower therapeutic response and lower survival rates, such as the early diagnosis of childhood cancer, is essential for the chances of healing and the percentage of survival to be greater. Thus, the nutritional status of children under 12 years old with leukemia and to indicate how nutritional risk factors may affect the treatment of children. Therefore, through a qualitative literature review, descriptive and explanatory type, searches were made through scientific articles published in recognized platforms and that make available up to date information on the subject under study. Based on the results found, the studies demonstrate that the eating habits adopted by children in treatment of leukemia, are influencing nutritional risk factors. These influences originated from the habits related to the period of treatment of leukemia.
Estado nutricional e inflamatório de pacientes com doença renal crônica em estágio inicial de hemodiálise e após seis meses de tratamento
(Centro Universitário do Estado do Pará, 2021) Goldim, Tainah Ratis; Figueiredo, Sandra Maria dos Santos; http://lattes.cnpq.br/8530470051297070; Almeida, Viviane dos Santos Viana de; http://lattes.cnpq.br/2965839727561530; Mori, Rejane Maria Sales Cavalcante; http://lattes.cnpq.br/0068497734511867
Non-communicable chronic diseases have grown in recent years, and with it kidney disease due to the prevalence of diabetes and high blood pressure. This can be acute or chronic, the first being reversible and the second irreversible, where the patient needs renal replacement therapy. With the progression of the disease, the nutritional and inflammatory status are compromised. Diet therapy is one of the main pillars for the treatment and control of the disease. To identify the nutritional status and laboratory tests of chronic kidney patients undergoing hemodialysis at baseline and after six months of treatment. Characterize the studied population. Identify associated diseases presented by chronic kidney patients on hemodialysis. Assess the nutritional and inflammatory status of chronic kidney patients and their relationship with the duration of hemodialysis. Analyze laboratory tests performed at the beginning and after six months of treatment. The research was of a quantitative descriptive cross-sectional type, took place in a private hemodialysis clinic in Belém and electronic medical records of adults and elderly of both genders who were in the beginning of hemodialysis treatment from January to August 2020 were evaluated with survey of height, weight, biochemical tests and associated diseases. The medical records of 30 patients were evaluated, 70% male, 50% presenting associated SAH and DM as the main comorbidity. Regarding nutritional status, the highest prevalence among the elderly was underweight with 43%, followed by eutrophic status with 38% and, in relation to adults, eutrophic status had the highest amount with 44%, followed by overweight with 33 % after six months of treatment. In addition, there was no significant difference, as the p-value was 0.0654 and 0.6768 between the nutritional and inflammatory status when compared to the reference values, but there was a change in the nutritional status after six months of treatment for some patients . For some tests, the result was significant, such as for hematocrit, albumin and calcium, which had a p-value <0.0001, hemoglobin with a p-value of 0.0005, pre urea with a p-value of 0.0320 and PCR with p -value of 0.0037. The assessment was significant for some indicators, but it would need to increase the variable length of treatment in order to be able to more accurately monitor the evolution of these patients.
Estado nutricional e qualidade alimentar de nutrizes: uma revisão bibliográfica
(Centro Universitário do Estado do Pará, 2021) Costa, Keren Nascimento; Luz, Marcela Silveira da; Ozela, Cilea Maria dos Santos; http://lattes.cnpq.br/3869556585803094; Figueiredo, Sandra Maria dos Santos; http://lattes.cnpq.br/8530470051297070; Moura, Carla Acatauassú Ferreira de; http://lattes.cnpq.br/4504006993667915
The breastfeeding phase is the period when the woman is in an intense metabolic process state, and it is necessary to offer proper nutritional assistance in order to meet her needs, because the choices and food intake will influence her physiological state significantly. Therefore, the objective of this study was to perform a literature review about the nutritional status and quality of the diet of nursing mothers in the last 5 years. In order to do so, researches in databases such as Scientific Eletronic Library Online - Scielo, PubMed, National Center for Biotechnology Information – NCBI and Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES journal portal, were made. Articles published within 2015 to 2020, that addressed the theme: nutritional status of nursing mothers and the characteristic of their diet, were selected. In order to obtain a better understanding, the articles selected were gathered and the data were organized in charts consisting of title, the year and country of the research, objective and main conclusions of each study. In this work, it was possible to verify that in all studies, the majority of nursing mothers were overweight or obese, and in relation to quality of the nursing mothers’ diets, in most studies the interviewees were not eating properly. In view of the points presented, it is noticeable the importance of the role of the health professional in relation to the care of the woman before and after labor. Hence, it is highlighted the need for more works addressing the theme, because this way it is possible to better understand the reality of the population and scientifically comprehend its aspects, so that a better multi-professional attendance is performed.
Fatores de risco no desenvolvimento de diabetes gestacional
(Centro Universitário do Estado do Pará, 2022) Souza, Isabelle Cardoso de; Ozela, Cilea Maria dos Santos; Marques, Simone do Socorro Fernandes; http://lattes.cnpq.br/0651248478895645; http://lattes.cnpq.br/3869556585803094; Figueiredo, Sandra Maria dos Santos; http://lattes.cnpq.br/8530470051297070; Gaspar, Daniela Pinheiro; http://lattes.cnpq.br/9245835771527449
Diabetes Mellitus (DM) is defined as a disease resulting from endocrine-metabolic abnormality, which is classified as an absolute deficiency of the hormone insulin or resistance to its action that triggers high levels of serum glucose, which leads to interference entry of glucose into the cell, increasing the plasmatic concentration. Being characterized by being a common metabolic problem during pregnancy, with a prevalence of 3 to 25% of pregnancies, becoming defined as an intolerance to carbohydrates, in various degrees. To identify the risk factors that influence the development of gestational diabetes. This work can be defined as a systematic literature review. For the execution of the work, original scientific articles were searched on gestational diabetes mellitus, high-risk pregnancy, glycemic control and risks of gestational diabetes. Carrying out the analysis of the studies, it is possible to say that the risk factors in the development of gestational diabetes mellitus are caused by several reasons, among them the analyzed studies verified that the majority of the women who presented gestational diabetes mellitus during their pregnancy, presented factors risk factors such as overweight/obesity both pre-pregnancy and during pregnancy, in addition to maternal age (over 30 years), number of pregnancies, family history (1st-degree relatives) and history of gestational diabetes in another pregnancy. The present work, through the scientific bias, finds that several factors contribute to the risk of gestational diabetes mellitus, among them are overweight, obesity, maternal age, excess weight gain during pregnancy, number of pregnancies and deliveries, family history and history of another pregnancy.
Incentivo ao aleitamento materno: elaboração de uma tecnologia educacional para gestantes
(Centro Universitário do Estado do Pará, 2022) Morais, Thaissa Ferreira; Figueiredo, Sandra Maria dos Santos; http://lattes.cnpq.br/8530470051297070; Ozela, Cilea Maria dos Santos; http://lattes.cnpq.br/3869556585803094; Gaspar, Daniela Pinheiro; http://lattes.cnpq.br/9245835771527449
Exclusive breastfeeding (EBF) is a fundamental measure to protect and promote health. The World Health Organization (WHO) and the United Nations Children's Fund (UNICEF) have made efforts to protect, promote and support EBF, so that mothers can establish and maintain this practice until the recommended period. The work in question had the objective of producing a game-like educational technology for pregnant women, with a view to encouraging EBF. Descriptive, qualitative research, carried out in two stages, initially there was an integrative literature review and then the development of the game entitled “Amor de Peito”. From the synthesis of scientific evidence it was possible to identify the factors that lead to early weaning, which were: the use of bottles and pacifiers, breast complications, return to work or studies, early food introduction, low milk production and the belief in weak milk. Such axes-themes guided the elaboration of the game, with important information for the pregnant women's knowledge. The production of evidence-based educational technology proved to be a successful strategy for the development of a tool to prevent early weaning to mediate health education practices.
Prevalência de insegurança alimentar em famílias ribeirinhas da comunidade Usina Vitória – Barcarena/PA
(Centro Universitário do Estado do Pará, 2023) Baima, Flávia Pinheiro da Silva; Gaspar, Daniela Pinheiro; http://lattes.cnpq.br/9245835771527449; Campos, Jamilie Suelen dos Prazeres; http://lattes.cnpq.br/4508719756740232; Figueiredo, Sandra Maria dos Santos; http://lattes.cnpq.br/8530470051297070
Food and Nutritional Security (FNS) is approached from a multidimensional and integrative perspective, being intrinsically related to the promotion of the human right to food. However, riverside communities stand out as groups that face significant challenges in this context. To analyze the prevalence and factors associated with food and nutritional insecurity among families in the Usina Vitória community in Barcarena/PA. This is a quantitative and qualitative cross-sectional study carried out using a socioeconomic and demographic questionnaire and the Brazilian Food Insecurity Scale (EBIA), with 52 families totaling 180 people selected as participants. The prevalence of severe food insecurity was found in 35% of the population examined, and moderate in 29%. In 100% of families with more than five children, as well as in households with more than four people, food insecurity was observed. It was found that 63% of families were headed by women. As for education, primary education predominated with 61%. These results highlight the need for an in-depth analysis of current social, economic and food security policies, with a focus on meeting the needs of people experiencing moderate and severe food insecurity. The majority of the population has a fragile socio-demographic and economic profile, which characterizes the condition of food insecurity, mainly social and economic factors, such as family composition and income of just one minimum wage. The low level of education found also contributes to reducing the chances of better remuneration and professional opportunities. It is necessary to reformulate social programs, increase awareness about financial and nutritional education, as well as promote policies aimed at reducing income inequality. Furthermore, this data can be used to inform decision-making and directing resources to address food insecurity in different population groups.
A prevalência do aleitamento materno em recém-nascidos pré-termo e suas dificuldades: revisão integrativa da literatura
(Centro Universitário do Estado do Pará, 2022) Souza, Ana Carolina Neves de; Pires, Mikelly Britto; Ozela, Cilea Maria dos Santos; http://lattes.cnpq.br/3869556585803094; Almeida, Viviane dos Santos Viana de; http://lattes.cnpq.br/2965839727561530; Figueiredo, Sandra Maria dos Santos; http://lattes.cnpq.br/8530470051297070
Exclusive Breastfeeding (EBF) until the sixth month of life, recommended by the World Health Organization (WHO), is the ideal food for promoting healthy growth and development. Especially when it comes to preterm newborns (PTNBs), they are the ones who benefit most from breastfeeding. However, despite presenting several benefits, breastfeeding has not yet reached the recommended and expected rate in Brazil, a fact that can be explained by the limitations and difficulties of newborns and mothers. Therefore, the general objective of this study was to identify the prevalence of breastfeeding in preterm newborns. Therefore, through an integrative literature review, searches were carried out for articles published in the last ten years, in the following databases: Scielo, LILACS and PubMed, using the descriptors "Breastfeeding in premature newborns", "Early weaning" , "Breastfeeding difficulties in preterm infants" and "Prevalence of breastfeeding in preterm infants". Initially, 430 articles were found, after reading the abstracts, 45 articles were selected. Those selected in full, who answered the guiding questions, totaled 13. From the results found, it was observed that there are a decrease in the prevalence of breastfeeding in preterm infants, especially after hospital discharge. Difficulties such as physiological immaturity, fear, insecurity, lack of early contact between mother and child, factors that compromise the structure of the breast and lack of guidance were the most reported for breastfeeding. Factors such as cesarean delivery, duration of mechanical ventilation, double pregnancy, extreme prematurity, greater complications during hospitalization, use of pacifiers and younger age of mothers were identified as risk factors for the interruption of breastfeeding in premature infants. Support strategies for mothers, from prenatal care to post-discharge follow-up, are still needed. In addition to the training of health professionals, in order to develop an empathetic look at the situation experienced by the mother, to support and assist them efficiently.

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