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- Diapositivos para apoio às aulas de ToxicologiaPublication . Braz, NídiaAs aulas introdutórias destinam-se à exposição dos conhecimentos básicos de Toxicologia: principais conceitos, objetivos e metodologias.
- Efeitos tóxicos - diapositivos de apoio às aulasPublication . Braz, NídiaNestas aulas recuperam-se conhecimentos básicos de fiosiologia e anatomia para se enquadrarem os efeitos biológicos do contacto com substâncias tóxicas.
- Toxicologia: consumos abusivos - diapositivos de apoio às aulasPublication . Braz, NídiaConsumos abusivos de drogas, medicamentos e outras substâncias.
- Tóxicos veiculados por alimentos - diapositivos de apoio às aulasPublication . Braz, NídiaCaracterização dos acidentes de intoxicação alimentar provocados por constituintes naturais dos alimentos e por ingestão de alimentos contaminados: - Toxinas de origem natural: produzidas por vegetais; produzidas por cogumelos; micotoxinas; substâncias tóxicas produzidas por animais; ficotoxinas; aminas biogénicas; toxinas de origem bacteriana;bactérias, vírus e parasitas patogénicos veiculados por alimentos. - Metais pesados. - Fitofármacos e medicamentos de uso veterinário; - Substâncias que resultam de processos de fabrico, conservação ou preparação dos alimentos.
- Self-care improvement after a pharmaceutical intervention in elderly type 2 diabetic patientsPublication . Nascimento, Tânia; Braz, Nidia; Gomes, Eurico; Fernandez-Arche, Angeles; De La Puerta, RocioDiabetes mellitus involves long-term complications that affect diabetic patients’ quality of life. The best way to prevent these complications is that patients achieve good metabolic control. In order to reach this goal, patients are requested to acquire daily behaviours (self-care). Such behaviours are sometimes hard to adhere, because they require changes in habits acquired over time. The aim of the present study is to evaluate the improvement on self-care after a pharmaceutical intervention on home regime patients. We performed a controlled experimental comparative study with a follow up of 6 months, on 87 patients, randomized in control group (n=43) and intervention group (n=44). We accessed sociodemographic and clinical data (glycaemic profile), as well as adherence to drug therapy and self-assessed care (before-after).In the intervention group, mean age was 74.2±5.4 years, and the median time of T2DM diagnosis was 14.7±8.5years. At the end of study, the decrease in fasting blood glucose was higher in the intervention group patients than that observed in the control group (50.2mg/dL), with statistically significant difference (p<0.05), as well as the decrease verified in HbA1c. In self-care adherence, alterations in the levels of adherence of the general nutrition and physical exercise dimensions became evident, with an increase in the number of days of adherence. On medication adherence statistically significant alterations (p<0.05) were also recorded. We can conclude that an individualized pharmaceutical intervention can improve self-care behaviours, as well as medication adherence, contributing to better metabolic control.
- Ageing and nutritional therapy adherence in type 2 diabetesPublication . Pinto, Ezequiel; Braz, NidiaThe prevalence of diabetes increases with age, which is also a determinant of nutrition therapy adherence. This descriptive study was conducted in a non-random sample of 66 patients aged between 47 and 75 years (M=61.5; SD=8.0) receiving health care in a Diabetes Clinic in the municipality of Faro, in the Portuguese region of the Algarve. We aimed to assess the association between age and the clinical characteristics of type 2 diabetes and to analyze the perceptions regarding the barriers to an adequate diet. Glycated hemoglobin (HbA1c) (r=-0.372, P<0.001) showed a negative correlation with age, suggesting that older patients have a better glucose control. Older age is also correlated with a higher number of daily meals (r=0.263) and lower intake of energy (r=-0.334), protein (r=-0.249), sugars (r=-0.301), and water (r=-0.223). Forty-six patients (69.7%) had a mean excess energy intake of 384 kcal (SD=630.2), when compared with individual nutritional energy estimated requirements. Excess energy intake was uncorrelated with age (r=-0.138, P=0.269). Older patients also seem more confused with the nutrition information they received (r=0.248) and feel that they need more advice on what is a proper diet (r=0.242). Nutrition education interventions in this population must be tailored in order to address these factors
- Lifelong learning on healthy cookingPublication . Carvalho, Ana Paula; Braz, Nídia; Pinto, Ezequiel; Caixinha, Mónica; Mateus, Maria PalmaIn order to promote health and prevent frailty in ageing through the adoption of healthy lifestyles, the Department of Dietetics and NutriFon is engaged in different actions improve eating habits.
- Viver bem com mais idadePublication . Braz, NidiaApresentam-se as principais condicionantes da saúde e qualidade de vida no envelhecimento (que evoluem e actuam com base no património genético de cada um e também na sua história de vida): afectos e relações sociais, alimentação adequada, exercício físico regular e segurança financeira. Além de se apontarem estratégias que a sociedade e as instituições devem optar para promover o envelhecimento saudável, propõe-se que usemos a informação acumulada ao longo da vida para envelhecer com sensatez e adaptemos o nosso ambiente e as nossas rotinas, dia a dia, à evolução continua que a idade nos proporciona.
- Global geriatric evaluation of the Algarve populationPublication . Braz, Nídia; Pais, Sandra; Cordeiro, Clara; Oliveira, Giovanna; Conde, MonserratThe ageing of population challenges communities to adapt and evolve to accommodate the needs of people that live longer (mostly out of work, either healthy, fragile or with chronic disease). Population ageing in the Algarve is higher than in overall Portugal. Studies on health conditions, frailty risk factors and elderly specific needs are undeveloped in Portugal and unknown in the Algarve. Objective To prepare a tool for Global Geriatric Evaluation, to be used in the “Survey of Health and Ageing in the Region of Algarve - SHARA”, a commitment to “European Innovation Partnership on Active and Healthy Ageing”. Methods A preliminary version of the screening tool, which includes well-known instruments to measure health condition (EASY-care), risk of fall (Tinetty), physical activity (Baecke’s modified questionnaire), nutritional condition (MNA), cognitive and depressive status (MMSE, Yesavage geriatric depression scale), together with socio-demographic characteristics, was applied to an independent sample of subjects from an elderly community centre - ARPI (“Associação de Reformados, Pensionistas e Idosos do Concelho de Faro”), with ages between 55 and 89. Results ARPI is mostly frequented by women, who either have risk of malnutrition or malnutrition incidence, a relevant risk of fall or are physically active. Those who live alone, show a higher risk of fall. Conclusions ARPI members are active, but with risk of malnutrition and fall, suggesting the relevance and importance of future interventions in these areas. The proposed screening tool showed to be adequate for the SHARA study, suitable to provide wider information on frailty.
- Das memórias à inovação: produção, pesca e consumos de peixe no AlgarvePublication . Braz, NídiaPartindo da nossa experiência académica1 e científica sobre a produção e transformação dos produtos da pesca, da recoleção e da aquicultura no Algarve, apresenta-se a perspectiva atual destes sectores. Corroborado por uma pesquisa bibliográfica, descrevem-se igualmente as práticas culinárias comuns às cozinhas tradicionais algarvias, no que diz respeito aos peixes, moluscos e mariscos, relevando a sua simplicidade, bem como a frugalidade das refeições a que dão origem e do padrão alimentar mediterrânico em que se integram. Apesar dos atuais constrangimentos da pesca, a comercialização de peixe fresco, a aquicultura, o fabrico de conservas e outros produtos, constituem uma vertente importante das novas oportunidades para o desenvolvimento. O dinamismo das iniciativas de comércio e indústria no sector da pesca, da aquicultura e da transformação de pescado no Algarve, assim como o reconhecimento das suas capacidades e perspectivas de futuro, perante um conjunto de consumidores, nacionais e internacionais, informados e exigentes, permite-nos acreditar na sua capacidade de inovação, ancorada na memória coletiva.