Utilidad del C��lculo del Índice tobillo-brazo en pacientes no diab��ticos con factores de riesgo cardiovascular en la identificaci��n de pacientes de alto riesgo; Concordancia con tablas de riesgo cardiovascular (REGICOR y SCORE)

L���objectiu de l���estudi va ser la determinaci�� de la prevalen��a de malaltia arterial perif��rica mitjan��ant el c��lcul de l'��ndex turmell-bra�� (ITB) en pacients sense malaltia vascular associada, no diab��tics, amb 2 o m��s factors de risc cardiovascular (RCV); Determinant la seva concordan��a amb les taules de RCV de REGICOR i SCORE i veure quina d���elles classifica millor a aquests pacients. Es va seleccionar una mostra aleat��ria de pacients entre 50 i 65 anys. El resultat de l���estudi demostra que la prevalen��a ��s baixa i no s���estableix concordan��a entre les taules de RCV de REGICOR i SCORE i el c��lcul del ITB.

Evoluci��n del ��ndice espacial para la extensi��n JASPA sobre H2

El presente documento describe los trabajos realizados en el ��mbito del Proyecto Fin de Carrera de la titulaci��n de Ingenier��a Inform��tica de la Universitat Oberta de Catalunya para la creaci��n de un nuevo ��ndice espacial para la extensi��n JASPA sobre H2. En ��l se detallan el an��lisis y desarrollo realizados as�� como la documentaci��n generada durante su proceso de creaci��n.

Desarrollo de un ��ndice espacial para la extensi��n JASPA sobre H2

El presente trabajo tiene por objetivo ofrecer una soluci��n para la creaci��n de un ��ndice espacial para la extensi��n JASPA (Java SPAtial) sobre la base de datos H2. El algoritmo de indexaci��n elegido para la implementaci��n del ��ndice espacial ha sido el Rtree.La implementaci��n se ha realizado con el lenguaje de programaci��n Java lo que ha facilitado su integraci��n con la extensi��n JASPA y la base de datos H2, dado que ambos proyectos est��n codificados en el mismo lenguaje. El ��ndice es persistente en memoria secundaria en una tabla de la propia base de datos H2.La soluci��n que se propone est�� limitada a operaciones espaciales en dos dimensiones y es lo suficientemente flexible como para que no se haya necesitado modificar ni el c��digo fuente de JASPA, ni de H2. Adem��s, se ha previsto que el algoritmo de indexaci��n se pueda mejorar o sustituir f��cilmente.Por ��ltimo, se ha tenido en cuenta que el proceso de creaci��n y manipulaci��n de los ��ndices espaciales sea intuitivo y f��cil de usar.

Estudio longitudinal del Índice de masa corporal (IMC) en pacientes en di��lisis

Chronic renal failure is commonly related to hyponutrition, affecting approximately on third of patients with advanced renal failure. We carried out a longitudinal study to assess nutritional evolution of 73 patients on a regular hemodialysis program, assessing changes in the anthropometrical parameter body mass index (BMI) and its correspondence to biochemical nutritional parameters such as total protein (TP) levels and serum albumin (Alb). Every three months plasma TP and albumin levels were collected and BMI was calculated by the standard formula: post-dialysis weight in kg/height in m2. For classifying by BMI categories, overweight and low weight were defined according to the WHO Expert Committee. Studied patients had a mean age of 53 years, 43 were male and 30 were female patients. BMI in women was lower than that in men (p < 0.001), as well as TP (p < 0.001) and Alb (p < 0.001) levels. Mean BMI was 29.3 kg/m2. Three point two percent of the determinations showed low weight, 12.16% overweight, and 83.97% normal BMI. TP were normal in 90.76% and decreased in 9.24%. Alb was normal in 82.2% and low in 17.78%. After the follow-up time (21.6 months, minimum 18 months, maximum 53 months), the Kruskal-Wallis test did not show a statistically significant change for BMI but it did show a change for the biochemical parameters albumin and total proteins (p < 0.05): nutritional impairment in CRF patients is manifested on biochemical parameters (TP and Alb) with no reflection on anthropometrical data.

Estrategia para la mejora del indicador de prescripci��n en receta ���Índice sint��tico de calidad���

Secci��n "Buenas pr��cticas en gesti��n cl��nica"

Conozca su Índice de Masa Corporal (IMC para adultos)

Publicado en la p��gina web de la Consejer��a de Salud y Bienestar social: www.juntadeandalucia.es/salud (Consejer��a de Salud y Bienestar Social / Profesionales / Salud P��blica / Promoci��n de la Salud / Actividad F��sica y Alimentaci��n Equilibrada / Consejo diet��tico)

El ��ndice tobillo-brazo, factor pron��stico de eventos cardiovasculares en pacientes con isquemia cr��nica de extremidades inferiores.

INTRODUCCI��N: La asociaci��n entre la arteriopat��a perif��rica y los nuevos eventos cardiovasculares ya es conocida, no as��, en funci��n del Índice tobillo-brazo (ITB). OBJETIVOS: Identificar los valores a partir de los que un ITB patol��gico se correlaciona con la aparici��n de eventos cardiovasculares. PACIENTES Y M��TODOS: Se analiza el resgistro FRENA de pacientes a los que se realiza una ��nica medici��n del ITB. CONCLUSIONES: No hemos encontrado un valor a partir del cual el ITB se asocie significativamente a un peor pron��stico pero s�� una asociaci��n entre un ITB & 0.6 y el riesgo de IAM.

Estudio longitudinal del peso e ��ndice de masa corporal tras el trasplante renal durante 5 a��os de evoluci��n.

INTRODUCTION: Gain weight after transplantation is relatively common, also tends to be multifactorial and can be influenced by glucocorticoids and immunosuppressive medications, delayed graft function and cause serious health complications. OBJECTIVES: Assess changes in weight, degree of obesity and body mass index as well as the effect of immunosuppressive treatment over these 5 years after kidney transplantation. METHODS: The samples were 119 kidney transplant recipients, 70 men and 49 women, that attended the query post for five years. All patients were measured Pretransplant and post (from 1st year to the 5th year) weight, height and body mass index calculated by the formula weight/size2 relating it to immunosuppressive treatment taking. RESULTS: There is a considerable increase of body mass index, weight and degree of obesity in the first year after transplantation to increase more slowly in the next four years. The type of immunosuppressive treatment influence the weight and degree of obesity that occurs in this period of time. CONCLUSIONS: A high prevalence there are overweight and obesity after the transplant especially during the first year. A year patients earn an average of 6.6 kg in weight and an average of 2.5 kg/m2 in their BMI. During treatment should minimize doses of steroids and include dietary treatment and adequate physical exercise

Relaci��n entre la edad, el ��ndice de masa corporal, el grado de dependencia y la calidad de vida en pacientes con desnutrici��n tras un alta hospitalaria.

Introduction: The quality of life assessment means investigating how patients perceive their disease. Malnutrition-specific characteristics make patients more vulnerable, so it is important to know how these factors impaction patients��� daily life. Aim: To assess the quality of life in malnourished patients who have had hospital admission, and to determine the relationship of the quality of life with age, body mass index, diagnosis of malnutrition, and dependency. Method: Multicenter transversal descriptive study in 106 malnourished patients after hospital admission. The quality of life (SF-12 questionnaire), BMI, functional independency (Barthel index), morbidity, and a dietary intake evaluation were assessed. The relationship between variables was tested by using the Spearman correlation coefficient Results: The patients of the present study showed a SF-12 mean of 38.32 points. The age was significantly correlated with the SF-12 (r= -0.320, p= 0.001). The BMI was correlated with the SF-12 (r= 0.251, p= 0.011) and its mental component (r= 0.289, p= 0.03). It was also reported a significant correlation between the Barthel index and the SF-12 (r= 0.370, p< 0.001). Conclusions: The general health perception in malnourished patients who have had a hospital admission was lower than the Spanish mean. Moreover, the quality of life in these patients is significantly correlated with age, BMI and functional independency.

Osteoporosis e ��ndice de masa corporal en el trasplantado renal.

INTRODUCTION: frequently after kidney transplantation there is an increase in weight with a resulting high percent of obesity in these recipients. This combined with a rapid loss of bone mass, a higher prevalence of osteoporosis and fractures is evident than in normal populations. OBJECTIVES: to explore the relationship between body mass index (BMI) and prevalence of osteoporosis in a population of renal transplant recipients. METHODS: prospective longitudinal study design. The study was conducted on 306 kidney transplant recipients. The relationship between weigh and body mass index with femoral and lumbar osteopenia and osteoporosis prevalence at the moment of transplant and at 12 months post was explored. RESULTS: there was a high prevalence of overweight (35.6%) and obese (14.1%) recipients after renal transplant and 1 year after (42.2% and 24.2% respectively). Significant differences were found(p = 0.049) between the weight at the time of transplant and the presence of osteopenia or osteoporosis at the lumbar level one year after, the highest weights were in recipients with osteoporosis. The mean BMI was higher (p = 0.028) in osteoporotic patients (26.59 kg/m2) than in patients with osteopenia (24.23 kg/m2). CONCLUSION: results seem to be consistent with recent studies in the general population showing excessive weight as a possible factor detrimental to the bone health.

Estudio de la alb��mina s��rica y del ��ndice de masa corporal como marcadores nutricionales en pacientes en hemodi��lisis.

Background: Protein calorie malnutrition as well as systemic inflammation and metabolic disorders are common among patients with chronic renal failure undergoing renal replacement therapy (haemodialysis), which contributes to its morbidity and mortality. Aims: The aims of this work was to evaluate the nutritional status of patients in a hemodialysis treatment through the assessment of biochemical parameters nutritional as albumin, and anthropometric parameters of body mass index during ten years of follow up. Methods: In this work has been followed 90 patients of both sexes with chronic kidney disease who were treated with hemodialysis regularly on our unit for ten years. All patients were conducted quarterly measurements of plasma albumin (Alb), and other biochemical determinations, and anthropometric measurements of height, weight and body mass index calculated by the formula weight/height��, grouped n BMI < 23 kg/m2 and albumin levels <3.8 g/dl according to the consensus of the panel of experts of the International Society for renal Nutrition and metabolism. Results: During the 10 years all patients showed a significant decline in the biochemical parameters and the albumin, change in BMI does not presented significant changes in relation to malnutrition. Conclusions: Malnutrition in patients on dialysis is a fact patent, BMI does not correspond with the biochemical parameters were observed, for what nutritional impairment in these patients is mainly expressed by serum albumin.

Verifica����o da ocorr��ncia do efeito ��ndice no Ibovespa &#8211; 2004-2013

RESUMONo artigo, analisa-se a ocorr��ncia de retornos e volumes anormais para as a����es adicionadas ao Ibovespa entre 2004 e 2013, no contexto do efeito ��ndice, uma das anomalias de mercado mais antigas relatadas em finan��as, empregando-se a metodologia de estudo de evento. Diferentemente de outros estudos, encontram-se retornos anormais positivos pr��ximos aos dias que antecedem a data de efetiva����o do ��ndice �� nova carteira. Os resultados s��o invertidos para per��odos de estima����o superiores ��quele de apura����o do ��ndice. Os volumes s��o anormalmente altos. A n��o persist��ncia dos retornos anormais ao longo da janela de entrada �� coerente com a hip��tese de press��o de pre��os e pode ser considerada coerente com a forma de efici��ncia semiforte de mercado.

Avalia����o do impacto da produ����o cient��fica de programas selecionados de p��s-gradua����o em Administra����o por meio do ��ndice H

RESUMONeste trabalho, trata-se da mensura����o do impacto da produ����o cient��fica em Administra����o. Foram avaliados os N��cleos de Do centes Permanentes de seis programas brasileiros de p��s-gradua����o, al��m de quatro programas estrangeiros, para efeito de refer��ncia. Os indicadores de impacto foram coletados a partir da base de dados do Google Scholar, com o apoio de um softwareespec��fico. O indica dor utilizado na an��lise foi o ��ndice H, criado por Jorge H. Hirsch. Constatou-se consider��vel diversidade entre os programas e entre os pesquisadores de cada programa brasileiro. Apenas pequena parcela dos pesquisadores dos programas analisados apresenta ��ndices H pr��ximos daqueles considerados adequados na literatura sobre o tema. Advoga-se que o ��ndice H, combinado a outros indicadores de impacto, poderia ser utilizado para avaliar e definir a����es para aperfei��oamento dos programas locais de p��s-gradua����o em Admi nistra����o, visando aumentar seu impacto na ci��ncia.

Aterosclerosis c��rvico-cerebral subcl��nica: evaluaci��n del ��ndice REGICOR, el grosor ��ntima-media y el ��ndice tobillo-brazo en la detecci��n de sujetos en riesgo en la poblaci��n

La aterosclerosis c��rvico-cerebral es una de las principales causas de ictus isqu��mico, y por tanto, de morbimortalidad en nuestro medio. La detecci��n de la misma en su fase asintom��tica mediante instrumentos como la funci��n REGICOR, el grosor ��ntima-media y el ��ndice tobillo-brazo podr��a mejorar las estrategias de prevenci��n primaria. Comprobamos que, en nuestra cohorte de 933 sujetos sin antecedentes cardiovasculares, los tres factores (REGICOR���10, GIM���0.9, ITB��� 0.9) se asociaron de forma independiente con la presencia de aterosclerosis c��rvico-cerebral y de cualquier localizaci��n (extracraneal-intracraneal-combinada). La utilizaci��n conjunta de REGICOR e ITB podr��a facilitar el diagn��stico precoz de la aterosclerosis c��rvico-cerebral subcl��nica.

Índice de seguran��a t��cnica da equipe de enfermagem da pediatria de um hospital de ensino

O estudo teve por objetivo identificar o Índice de Seguran��a T��cnica (IST) da equipe de enfermagem da Unidade de Pediatria do Hospital Universit��rio da USP, no per��odo de 2001 a 2005. Os percentuais de cada tipo de aus��ncia, dos profissionais de enfermagem, foram obtidos junto ao Departamento de Enfermagem ou calculados com base nas equa����es propostas na literatura. O percentual de aus��ncias por folgas correspondeu ao maior percentual de cobertura dos trabalhadores de enfermagem. Os percentuais totais de aus��ncias n��o previstas foram inferiores ��queles referentes ��s aus��ncias previstas, contrariando o discurso das enfermeiras que relacionam esse tipo de aus��ncia como o principal respons��vel pela insufici��ncia de pessoal nas institui����es de sa��de. A varia����o dos ISTs apontou a import��ncia de serem realizadas avalia����es sistem��ticas das aus��ncias da equipe de enfermagem, assim como de se identificarem ��ndices espec��ficos das unidades, como subs��dio para a avalia����o do quadro de pessoal nas organiza����es de sa��de.