[The Participation of the Nutritionist in Primary Health Care in a Large Urban Center].

[The participation of the nutritionist in Primary Health Care in a large urban center].

Filed under: Rehab Centers

Cien Saude Colet. 2012 Dec; 17(12): 3289-300
Cervato-Mancuso AM, Tonacio LV, Silva ER, Vieira VL

Nutritionists are important professionals for ensuring the implementation of health promotion, treatment and rehabilitation. However, their participation in primary healthcare from a quantitative standpoint is limited. The city of São Paulo has experienced an uneven urbanization process triggering new problems of insecurity in terms of food and nutrition. This article analyzes the performance of the primary healthcare nutritionist in a large urban center. It is a quantitative study that used data from the Municipal Health Department, population data of São Paulo and a semi-structured questionnaire applied in individual interviews. All regions of the city are found to have fewer nutritionists than the recommendation of the Federal Council of Nutritionists. There are 123 nutritionists in the basic healthcare network and 51 in the Family Health Support Nuclei (FHSN) (57.3%). Each nutritionist from the FHSN accompanies 7.1 family health strategy teams on average. The age groups corresponding to children are less frequently seen by nutritionists. Comparing the activities, the transition from a model of primary health care focused on individual care to a model that prioritizes group care was observed.
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Reply to Letter to the Editor: Concerns About Standards of Reporting Clinical Trials: An RCT Comparing the Bobath Concept and Motor Relearning Interventions for Rehabilitation of Stroke Patients as an Exemplar.

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Physiother Res Int. 2012 Nov 22;
Langhammer B, Stanghelle JK

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Aphasia and herpes virus encephalitis: a case study.

Filed under: Rehab Centers

Sao Paulo Med J. 2012; 130(5): 336-41
Soares-Ishigaki EC, Cera ML, Pieri A, Ortiz KZ

CONTEXT: Meningoencephalitis early in life, of any etiology, is a risk factor for development of subsequent sequelae, which may be of physical, psychiatric, behavioral or cognitive origin. Anomia is a language abnormality frequently found in such cases, and other language deficits are rarely described. The aim of this study was to describe the cognitive and linguistic manifestations following a case of herpetic meningoencephalitis in a 13-year-old patient with eight years of schooling. CASE REPORT: The patient underwent a speech-language audiology assessment nine months after the neurological diagnosis. The battery of tests included the Montreal-Toulouse Language Assessment test protocol (MT Beta-86, modified), the description from the Cookie Theft task of the Boston Diagnostic Aphasia Examination (BDAE), an informal assessment of the patient’s logical and mathematical reasoning, and the neuropsychological subtests from the WAIS-III scale, which assess working memory. The patient presented mixed aphasia, impairment of short-term memory and working memory, and dyscalculia. This case also presented severe cognitive and linguistic deficits. Prompt diagnosis is crucial, in order to enable timely treatment and rehabilitation of this neurological infection and minimize the cognitive deficits caused by the disease.
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