{"id":13283,"date":"2019-03-23T20:50:52","date_gmt":"2019-03-23T19:50:52","guid":{"rendered":"http:\/\/serveiseducatius.xtec.cat\/tarragones\/?p=13283"},"modified":"2019-04-27T08:51:03","modified_gmt":"2019-04-27T06:51:03","slug":"trics13_ajuanes","status":"publish","type":"post","link":"https:\/\/serveiseducatius.xtec.cat\/tarragones\/dinamitzacio\/trics\/trics13_ajuanes\/","title":{"rendered":"Podem alentir l&#8217;ELA?"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-5353\" title=\"Anna Juanes Fern\u00e1ndez\" src=\"https:\/\/serveiseducatius.xtec.cat\/tarragones\/wp-content\/uploads\/usu549\/2019\/03\/trics13_ajuanes.jpg\" alt=\"Anna Juanes Fern\u00e1ndez\" width=\"150\" height=\"200\" \/><strong><span style=\"color: #808080;\"><em>T\u00edtol:\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/em><\/span><\/strong><strong>Alimentaci\u00f3: Podem alentir l&#8217;ELA<\/strong><br \/>\n<strong><em><span style=\"color: #808080;\">Autor\/a:\u00a0\u00a0\u00a0\u00a0<\/span><\/em><\/strong><strong> Anna Juanes Fern\u00e1ndez<\/strong><br \/>\n<strong><em><span style=\"color: #808080;\">Tutor\/a:\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/em><\/strong>Mercedes P\u00e9rez Alc\u00e1ntara<br \/>\n<strong><em><span style=\"color: #808080;\">Modalitat:\u00a0\u00a0<\/span><\/em><\/strong>Ci\u00e8ncies i tecnologia: Ci\u00e8ncies de la Salut<br \/>\n<strong><em><span style=\"color: #808080;\">\u00c0rea:\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/em><\/strong>Medicina<br \/>\n<strong><em><span style=\"color: #808080;\">Centre:\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/em><\/strong>Ins Els Pallaresos<br \/>\n<strong><em><span style=\"color: #808080;\">Localitat:\u00a0\u00a0\u00a0<\/span><\/em><\/strong>Els Pallaresos<\/p>\n<h6><strong>Objectius:<\/strong><\/h6>\n<ol>\n<li>Demostrar que \u00e9s possible alentir l\u2019Esclerosi Lateral Amiotr\u00f2fica mitjan\u00e7ant l\u2019alimentaci\u00f3.<\/li>\n<li>Aprendre quin tipus d\u2019alimentaci\u00f3 \u00e9s l\u2019adequada per als sans i per als malalts d\u2019aquesta malaltia.<\/li>\n<li>Desenvolupar una aplicaci\u00f3 (App) per adaptar una dieta beneficiosa per a la malaltia de l\u2019ELA a la vida quotidiana del malalt i als seus gustos.<\/li>\n<li>Entendre com afecta la malaltia tant als malalts com als familiars i als professionals. Aprendre la seva evoluci\u00f3.<\/li>\n<\/ol>\n<h6><strong>Hip\u00f2tesi:<\/strong><\/h6>\n<p style=\"text-align: justify;\">1. Potser la combinaci\u00f3 de nutrients que es fa en l\u2019alimentaci\u00f3 en persones amb Esclerosi Lateral Amiotr\u00f2fica (ELA) \u00e9s un recurs que ajuda a que la malaltia avanci m\u00e9s lentament.<br \/>\n2. Potser es pot facilitar la manera d\u2019adaptar l\u2019alimentaci\u00f3 als pacients per a que no sigui un problema que s\u2019hagi d\u2019ajustar a les necessitats d\u2019aquests.<\/p>\n<h6><strong>El proc\u00e9s:<\/strong><\/h6>\n<p style=\"text-align: justify;\">Primerament vaig fer una recerca i tria de les fonts fiables que em servirien pel meu treball i m\u00e9s tard vaig sintetitzar la informaci\u00f3 te\u00f2rica de la malaltia. Aquesta part del proc\u00e9s em va portar bastant de temps, ja que s&#8217;ha de contrastar molta informaci\u00f3 de diferents webs i llibres i despr\u00e9s sintetitzar la que \u00e9s m\u00e9s \u00fatil per al camp en el que est\u00e0s fent la recerca.<br \/>\nSeguidament, vaig buscar entesos en el tema i persones que haguessin passat per aix\u00f2 per a fer-les una entrevista. Va ser dif\u00edcil trobar especialistes disposats a ajudar, perqu\u00e8 molts dels correus que vaig enviar per a solicitar una entrevista no van ser contestats. Per\u00f2 finalment vaig poder fer les entrevistes a una fisioterapeuta que havia tractats pacients amb la malaltia i a un familiar de un pacient d&#8217;ELA.<br \/>\nA continuaci\u00f3, despr\u00e9s d&#8217;haver adquirit tots els coneixements que vaig poder amb la part m\u00e9s te\u00f2rica(la malaltia, l&#8217;alimentaci\u00f3, l&#8217;adaptaci\u00f3 d&#8217;aquesta a la malaltia, etc.), vaig iniciar el desenvolupament de l&#8217;aplicaci\u00f3. Vaig decidir fer-ho amb l&#8217;appinventor, una web que et permet crear aplicacions per a dispositius Android mitjan\u00e7ant la creaci\u00f3 d&#8217;uns controls i el disseny de l&#8217;aplicaci\u00f3. El principi va ser un proc\u00e9s una mica lent, perqu\u00e8 havia d&#8217;aprendre com funcionaven els controls que hauria d&#8217;afegir en aquesta aplicaci\u00f3 per\u00f2 un cop apr\u00e8s com funcionava tot, tot va anar m\u00e9s r\u00e0pid i amb menys errors.<br \/>\nCom a \u00faltima part, vaig fer un rep\u00e0s de tot el treball i de l&#8217;aplicaci\u00f3 de manera que funcion\u00e9s tot, no m&#8217;hagu\u00e9s deixat res, no hi haguessin errors ortogr\u00e0fics, etc.<\/p>\n<h6><strong>Conclusions:<\/strong><\/h6>\n<p style=\"text-align: justify;\">L\u2019ELA, \u00e9s una malaltia de la que no se\u2019n coneix la causa i, per tant, encara no se n\u2019ha trobat cura. Hi ha m\u00e8todes per alentir els s\u00edmptomes d\u2019aven\u00e7 de la malaltia (com mantenir la for\u00e7a muscular i els m\u00fasculs actius o alguns f\u00e0rmacs dels que hem parlat anteriorment com el Riluzole) per\u00f2 l\u2019alimentaci\u00f3 que porten els pacients no provoca un alentiment directe en la malaltia, sin\u00f3 que prev\u00e9 malalties que s\u2019associen a l\u2019ELA quan l\u2019alimentaci\u00f3 no est\u00e0 adequada (com per exemple la malnutrici\u00f3 o malalties carencials) i que aquestes podrien provocar un aven\u00e7 en l\u2019ELA i associar-hi m\u00e9s problemes de salut. Per tant, una alimentaci\u00f3 adequada al pacient individualment (tant en textura com en els nutrients que aporta) pot evitar malalties que, associades a l\u2019ELA puguin causar m\u00e9s problemes al pacient i, per tant, accelerar-li la malaltia. D\u2019aquesta manera la primera hip\u00f2tesi d\u2019aquest treball queda descartada, ja que no afecta directament, sin\u00f3 que ho fa indirectament.<br \/>\nPer tant, l\u2019aplicaci\u00f3 creada ajudar\u00e0 a que l\u2019alimentaci\u00f3 d\u2019aquest pacient estigui perfectament adaptada a les seves necessitats i als familiars per a que els sigui m\u00e9s f\u00e0cil escollir una recepta adequada amb els ingredients desitjats i que, a m\u00e9s, sigui saludable i equilibrada. L\u2019aplicaci\u00f3 s\u2019ha pogut desenvolupar sense gaireb\u00e9 problemes i, per tant, la segona hip\u00f2tesi queda confirmada: s\u2019ha pogut desenvolupar una manera m\u00e9s f\u00e0cil i interactiva d\u2019adaptar l\u2019alimentaci\u00f3 a la malaltia sense que hagi de suposar un problema com podria ser haver de comprar expressament uns ingredients en concret per a desenvolupar les receptes adaptades.<br \/>\nAquest treball m&#8217;ha perm\u00e8s aprendre molt sobre la malaltia tractada, sobre temes de salut i medicina, sobre la investigaci\u00f3 i recerca, i, sobretot, m&#8217;ha ajudat a veure com \u00e9s el m\u00f3n de la medicina i a confirmar que \u00e9s al que en un futur em vull dedicar.<\/p>\n<h6><strong>Bibliografia:<\/strong><\/h6>\n<ul>\n<li>Real Academia Nacional de Medicina. <span style=\"color: #808080;\"><strong>Diccionario de t\u00e9rminos m\u00e9dicos<\/strong><\/span>. Editoriam m\u00e9dica Panamericana<\/li>\n<li>Dr. Juan Rod\u00e9s, Dr. Josep Maria Piqu\u00e9, Dr. Antoni Trilla i molts altres doctors de l&#8217;Hospital Cl\u00ednic i de la Fundaci\u00f3 BBVA. <span style=\"color: #808080;\"><strong>Libro de la salud del Hospital Cl\u00ednic de Barcelona y la Fundaci\u00f3n BBVA<\/strong><\/span>. Editorial Nerea S.A.<\/li>\n<li>Merck Sharp &amp; Dohme. <span style=\"color: #808080;\"><strong>Nuevo manual Merck de informaci\u00f3n m\u00e9dica general<\/strong><\/span>. Editorial Oceano<\/li>\n<li>David Peters. <span style=\"color: #808080;\"><strong>Manual de enfermedades comunes, medicina complementaria y alimentaci\u00f3n sana<\/strong><\/span>. Editorial Blume<\/li>\n<li>Dorland. <span style=\"color: #808080;\"><strong>Dorland Diccionario enciclop\u00e9dico ilustrado de Medicina 30\u00aa edici\u00f3n<\/strong><\/span>. Editorial: S.A. ELSEVIER ESPA\u00d1A<\/li>\n<\/ul>\n<h6><strong>Llocs Web:<\/strong><\/h6>\n<ul>\n<li><a href=\"https:\/\/ffluzon.org\/wp-content\/uploads\/2017\/02\/Guias_con_gusto.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Gu\u00edas con gusto &#8211; Fundaci\u00f3n Francisco Luz\u00f3n<\/a><\/li>\n<li><a href=\"http:\/\/ai2.appinventor.mit.edu\" target=\"_blank\" rel=\"noopener noreferrer\">Appinventor<\/a><\/li>\n<li><a href=\"http:\/\/canalsalut.gencat.cat\/ca\/detalls\/article\/disfagia\" target=\"_blank\" rel=\"noopener noreferrer\">Canal Salut &#8211; Disf\u00e0gia<\/a><\/li>\n<li><a href=\"http:\/\/ramondecangas.com\/la-nutricion-influye-y-mucho-en-el-cerebro\/\" target=\"_blank\" rel=\"noopener noreferrer\">La nutrici\u00f3n influye mucho en el cerebro<\/a><\/li>\n<li><a href=\"http:\/\/www.hawking.org.uk\/\" target=\"_blank\" rel=\"noopener noreferrer\">Stephen Hawking<\/a><\/li>\n<li><a href=\"http:\/\/www.alsa.org\/en-espanol\/qu-es-la-ela.html\" target=\"_blank\" rel=\"noopener noreferrer\">ALSA<\/a><\/li>\n<li><a href=\"http:\/\/www.fundela.es\/ela\/tratamiento-de-rehabilitacion\/\" target=\"_blank\" rel=\"noopener noreferrer\">FUNDELA &#8211; Tratamiento y rehabilitaci\u00f3n<\/a><\/li>\n<li><a href=\"https:\/\/dietamediterranea.com\/\" target=\"_blank\" rel=\"noopener noreferrer\">Dieta Mediterr\u00e0nia<\/a><\/li>\n<li><a href=\"https:\/\/www.mayoclinic.org\/es-es\/diseases-conditions\/dysphagia\/symptoms-causes\/syc-20372028\" target=\"_blank\" rel=\"noopener noreferrer\">Mayo Clinic &#8211; Disf\u00e0gia<\/a><\/li>\n<li><a href=\"https:\/\/www.nutritioncare.org\/About_Clinical_Nutrition\/Que_es_la_Nutricion_Enteral\/\" target=\"_blank\" rel=\"noopener noreferrer\">Nutritioncare &#8211; Nutrici\u00f3n enteral<\/a><\/li>\n<\/ul>\n<h6><strong>Presentaci\u00f3:<\/strong><\/h6>\n<ul>\n<li><a href=\"http:\/\/prezi.com\/cmz7hw1loipg\/?utm_campaign=share&amp;utm_medium=copy&amp;rc=ex0share\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>Alimentaci\u00f3: Podem alentir l&#8217;ELA<\/strong><\/a><\/li>\n<\/ul>\n<h6><strong>Fotos:<\/strong><\/h6>\n<div id=\"1234\" style=\"width: 600px; height: 400px; display: none;\"><img decoding=\"async\" src=\"https:\/\/serveiseducatius.xtec.cat\/tarragones\/wp-content\/uploads\/usu549\/2019\/03\/trics13_imatge1_ajuanes.jpg\" data-link=\"https:\/\/serveiseducatius.xtec.cat\/tarragones\/wp-content\/uploads\/usu549\/2019\/03\/trics13_imatge1_ajuanes.jpg\" \/><br \/>\n<script type=\"text\/javascript\" src=\"https:\/\/cdn.jsdelivr.net\/jquery\/1.12.3\/jquery.min.js\"><\/script><br \/>\n<script>\n (MyGalleries=(typeof MyGalleries === 'undefined' ? [] : MyGalleries)).push({gallId:'#1234',autoplay:true,lightbox:true,debug:false,popupLinks:true});\n if(typeof GalleryLoaded === 'undefined'){\n  GalleryLoaded = jQuery(function(){\n   jQuery.ajax({url:'https:\/\/cdn.jsdelivr.net\/galleria\/1.4.2\/galleria.min.js',dataType:'script',cache:true}).done(function(){\n    Galleria.loadTheme('https:\/\/cdn.jsdelivr.net\/galleria\/1.4.2\/themes\/classic\/galleria.classic.js');\n    for(var n in MyGalleries){\n     Galleria.run(MyGalleries[n].gallId, MyGalleries[n]);\n     jQuery(MyGalleries[n].gallId).css('display','block');\n    }\n   });\n  });\n }\n<\/script><\/div>\n<p>&nbsp;<\/p>\n<div><sup><em>Foto 1.- Pantalla d&#8217;Inici de l&#8217;aplicaci\u00f3 que vaig crear per al TDR en la web de l&#8217;appinventor.<\/em><\/sup><\/div>\n<h6><strong>Desc\u00e0rregues:<\/strong><\/h6>\n<ul>\n<li><a href=\"https:\/\/www.dropbox.com\/s\/vwd1vvx3m0ydo2v\/trics13_fitxer_Dieta%20Ela_Anna_Juanes_Fern%C3%A1ndez.apk?dl=0\" target=\"_blank\" rel=\"noopener\">Fitxer APK de l&#8217;aplicaci\u00f3 per smartphone Android: Dieta Ela<\/a><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Anna Juanes Fern\u00e1ndez<\/p>\n","protected":false},"author":1,"featured_media":13287,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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