Cultural adaptation and validation of the "Kidney Disease and Quality of Life - Short Form (KDQOL-SF™ 1.3)" in Brazil

The objective of the present study was to translate the Kidney Disease Quality of Life - Short Form (KDQOL-SF™1.3) questionnaire into Portuguese to adapt it culturally and validate it for the Brazilian population. The KDQOL-SF was translated into Portuguese and back-translated twice into English. Patient difficulties in understanding the questionnaire were evaluated by a panel of experts and solved. Measurement properties such as reliability and validity were determined by applying the questionnaire to 94 end-stage renal disease patients on chronic dialysis. The Nottingham Health Profile Questionnaire, the Karnofsky Performance Scale and the Kidney Disease Questionnaire were administered to test validity. Some activities included in the original instrument were considered to be incompatible with the activities usually performed by the Brazilian population and were replaced. The mean scores for the 19 components of the KDQOL-SF questionnaire in Portuguese ranged from 22 to 91. The components "Social support" and "Dialysis staff encouragement" had the highest scores (86.7 and 90.8, respectively). The test-retest reliability and the inter-observer reliability of the instrument were evaluated by the intraclass correlation coefficient. The coefficients for both reliability tests were statistically significant for all scales of the KDQOL-SF (P < 0.001), ranging from 0.492 to 0.936 for test-retest reliability and from 0.337 to 0.994 for inter-observer reliability. The Cronbach's alpha coefficient was higher than 0.80 for most of components. The Portuguese version of the KDQOL-SF questionnaire proved to be valid and reliable for the evaluation of quality of life of Brazilian patients with end-stage renal disease on chronic dialysis.

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Estudo da influência de diferentes parâmetros na produção de enzimas líticas

O presente trabalho visou o estudo do efeito de diferentes variáveis na produção de β-1,3 glucanases, proteases e de quitinases pela linhagem Cellulosimicrobium cellulans 191, em meios de cultivo A, B e C, respectivamente. Foram realizados planejamentos fatoriais 2³, e os fatores estudados foram: pH inicial, temperatura e agitação dos frascos. No planejamento experimental para a produção de β-1,3 glucanase em meio de cultivo A foi verificada maior produção da enzima (0,64 U.mL-1) com pH inicial de 8,5 após 24 horas de fermentação a 33 ºC e 200 rpm. Os parâmetros pH, agitação dos frascos e interação entre todos os parâmetros foram estatisticamente significativos. No planejamento experimental para a produção de protease em meio de cultivo B foi verificada maior produção da enzima (4,25 U.mL-1) com pH inicial de 6,5 após 30 horas de fermentação a 20 ºC e 200 rpm. O pH foi o único parâmetro estatisticamente significativo. No planejamento experimental para a produção de quitinase em meio de cultivo C foi verificada maior produção da enzima (7,06 U.mL-1) com pH inicial de 5,5 após 72 horas de fermentação a 25 ºC e 200 rpm. Todos os parâmetros estudados e suas interações foram estatisticamente significativos. Os coeficientes de determinação, as análises de variância e os teste F demonstraram que os modelos de primeira ordem obtidos foram considerados estatisticamente significativos adotando um nível de confiança de 95%.

Estimate of dietary intake of chloropropanols (3-MCPD and 1,3-DCP) and health risk assessment

Chloropropanols, including 3-monochloropropane-1,2-diol (3-MCPD) and 1,3-dichloropropan-2-ol (1,3-DCP), comprise a group of chemical contaminants with carcinogenic and genotoxic properties. They have been found in a variety of processed foods and food ingredients, such as hydrolyzed vegetable protein, soy sauce, cereal-based products, malt-derived ingredients, and smoked foods. This study aimed to assess the dietary exposure to 3-MCPD and 1,3-DCP in Brazil and verify whether the presence of these substances in foods could represent health risks. The intake was calculated by combining data on food consumption, provided by the Consumer Expenditure Survey 2008-2009, with the levels of contaminant occurrence determined by gas chromatography-mass spectrometry. The exposure to 3-MCPD ranged from 0.06 to 0.51 µg.kg bw-1.day-1 considering average and high consumers, while the intake of 1,3-DCP was estimated to be 0.0036 µg.kg bw-1.day-1 in the worst case scenario evaluated. Based on these results, it was verified that the Brazilians' exposure to chloropropanols does not present a significant health risk. However, the consumption of specific foods containing high levels of 3-MCPD could exceed the provisional maximum tolerable daily intake of 2 µg.kg bw-1 established for this compound and, therefore, represent a potential concern.