Mini Nutritional Assessment predicts gait status and mortality 6 months after hip fracture.

The aim of the present study was to evaluate the Mini Nutritional Assessment (MNA), the Nutritional Risk Screening (NRS) 2002 and the American Society of Anesthesiologists Physical Status Score (ASA) as predictors of gait status and mortality 6 months after hip fracture. A total of eighty-eight consecutive patients over the age of 65 years with hip fracture admitted to an orthopaedic unit were prospectively evaluated. Within the first 72 h of admission, each patient's characteristics were recorded, and the MNA, the NRS 2002 and the ASA were performed. Gait status and mortality were evaluated 6 months after hip fracture. Of the total patients, two were excluded because of pathological fractures. The remaining eighty-six patients (aged 80·2 (sd 7·3) years) were studied. Among these patients 76·7 % were female, 69·8 % walked with or without support and 12·8 % died 6 months after the fracture. In a multivariate analysis, only the MNA was associated with gait status 6 months after hip fracture (OR 0·773, 95 % CI 0·663, 0·901; P= 0·001). In the Cox regression model, only the MNA was associated with mortality 6 months after hip fracture (hazard ratio 0·869, 95 % CI 0·757, 0·998; P= 0·04). In conclusion, the MNA best predicts gait status and mortality 6 months after hip fracture. These results suggest that the MNA should be included in the clinical stratification of patients with hip fracture to identify and treat malnutrition in order to improve the outcomes.

Vendredi ou Les Limbes du Pacifique de Michel Tournier: o mito de Robinson Crusoe inserido na narrativa contemporânea

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Robinson Crusoé, o único livro de Emílio

O artigo investiga os fundamentos do processo de leitura presente no Emílio, de Rousseau, de acordo com os princípios de utilidade e necessidade que sustentam esse “romance educativo”. O Robinson Crusoé, de Daniel Defoe, único livro recomendado pelo preceptor de Emílio, é analisado segundo a perspectiva da educação do “homem natural”. Palavras-chave: Rousseau; leitura; educação; Robinson Crusoé.

Do códice ao e-book DARNTON, Robert. A questão dos livros. Passado, presente e futuro. Tradução Daniel Pellizzari. SP: Companhia das Letras, 2010, 232p. DARNTON, Robert. A questão dos livros. Passado, presente e futuro. Tradução Daniel Pellizzari. SP: Companhia das Letras, 2010, 232p.

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

The plants by Daniel Rolander (c. 1723-1793) in Diarium Surinamicum (1754-1765) and herbaria

The manuscripts of Diarium Surinamicum by Daniel Rolander practically remained ignored and unpublished for over 240 years, till the recent publication of its translation into English, which occurred in 2008. In this, the names of species described and/or cited by Rolander were faithfully retained, hence preserving the indication of them without authorship, for the vast majority. In the present work, all the names of plants that were treated by Rolander in his journal, about 664, including by tradition the fungi and algae, are contextualised in relation to the authorship, reference to the publication of the protologue, pagination of citations/descriptions in the manuscripts and in the published translation, indication of probable misidentifications with possible alternative names, vernacular names, and related literature. Additionally, we searched for the vouchers collected by Rolander, scattered in several herbaria, which have been linked to the probable names and descriptions in the diary. Given the considerable time till the publication of these names, and by the lack of indication of their nomenclatural types in the English version, the great majority of the new species described by Rolander, which would have priority if published in due time, became invalid names according to the ICN. Nevertheless, the list of Rolandrian species here presented, from his work that has finally taken a place in the history of natural sciences, shows that he was also a competent botanist, besides being a skilled entomologist, having recognised and detailedly described many of the Surinamese plants hitherto unknown to science.