Elevated Blood Pressure and Obesity in Childhood: A Cross-Sectional Evaluation of 4,609 Schoolchildren

Background: The incidence of obesity in children is increasing worldwide, primarily in urbanized, high-income countries, and hypertension development is a detrimental effect of this phenomenon. Objective: In this cross-sectional study, we evaluated the prevalence of excess weight and its association with high blood pressure (BP) in schoolchildren. Methods: Here 4,609 male and female children, aged 6 to 11 years, from 24 public and private schools in Maringa, Brazil, were evaluated. Nutritional status was assessed by body mass index (BMI) according to cutoff points adjusted for sex and age. Blood pressure (BP) levels above 90th percentile for gender, age and height percentile were considered elevated. Results: The prevalence of excess weight among the schoolchildren was 24.5%; 16.9% were overweight, and 7.6% were obese. Sex and socioeconomic characteristics were not associated with elevated BP. In all age groups, systolic and diastolic BP correlated with BMI and waist and hip measurements, but not with waist-hip ratio. The prevalence of elevated BP was 11.2% in eutrophic children, 20.6% in overweight children [odds ratio (OR), 1.99; 95% confidence interval (CI), 1.61-2.45], and 39.7% in obese children (OR, 5.4; 95% CI, 4.23-6.89). Conclusion: Obese and overweight children had a higher prevalence of elevated BP than normal-weight children. Our data confirm that the growing worldwide epidemic of excess weight and elevated BP in schoolchildren may also be ongoing in Brazil.

Clinical Differences between Subtypes of Atrial Fibrillation and Flutter: Cross-Sectional Registry of 407 Patients

Introduction:Atrial fibrillation and atrial flutter account for one third of hospitalizations due to arrhythmias, determining great social and economic impacts. In Brazil, data on hospital care of these patients is scarce.Objective:To investigate the arrhythmia subtype of atrial fibrillation and flutter patients in the emergency setting and compare the clinical profile, thromboembolic risk and anticoagulants use.Methods:Cross-sectional retrospective study, with data collection from medical records of every patient treated for atrial fibrillation and flutter in the emergency department of Instituto de Cardiologia do Rio Grande do Sul during the first trimester of 2012.Results:We included 407 patients (356 had atrial fibrillation and 51 had flutter). Patients with paroxysmal atrial fibrillation were in average 5 years younger than those with persistent atrial fibrillation. Compared to paroxysmal atrial fibrillation patients, those with persistent atrial fibrillation and flutter had larger atrial diameter (48.6 ± 7.2 vs. 47.2 ± 6.2 vs. 42.3 ± 6.4; p < 0.01) and lower left ventricular ejection fraction (66.8 ± 11 vs. 53.9 ± 17 vs. 57.4 ± 16; p < 0.01). The prevalence of stroke and heart failure was higher in persistent atrial fibrillation and flutter patients. Those with paroxysmal atrial fibrillation and flutter had higher prevalence of CHADS2 score of zero when compared to those with persistent atrial fibrillation (27.8% vs. 18% vs. 4.9%; p < 0.01). The prevalence of anticoagulation in patients with CHA2DS2-Vasc ≤ 2 was 40%.Conclusions:The population in our registry was similar in its comorbidities and demographic profile to those of North American and European registries. Despite the high thromboembolic risk, the use of anticoagulants was low, revealing difficulties for incorporating guideline recommendations. Public health strategies should be adopted in order to improve these rates.

Optimization of radial jets mixing in cross-flow of combustion chambers using computational fluid dynamics

Cross-Flow, Radial Jets Mixing, Temperature Homogenization, Optimization, Combustion Chamber, CFD

Lexico-grammatical variation in the use of REQUEST strategies in Indian and British "letters to the editor" : a cross-cultural pragmatic study

Magdeburg, Univ., Fak. für Geistes-, Sozial- und Erziehungswiss., Diss., 2009

Galectin-3: A Link between Myocardial and Arterial Stiffening in Patients with Acute Decompensated Heart Failure?

Abstract Background: Heart failure is accompanied by abnormalities in ventricular-vascular interaction due to increased myocardial and arterial stiffness. Galectin-3 is a recently discovered biomarker that plays an important role in myocardial and vascular fibrosis and heart failure progression. Objectives: The aim of this study was to determine whether galectin-3 is correlated with arterial stiffening markers and impaired ventricular-arterial coupling in decompensated heart failure patients. Methods: A total of 79 inpatients with acute decompensated heart failure were evaluated. Serum galectin-3 was determined at baseline, and during admission, transthoracic echocardiography and measurements of vascular indices by Doppler ultrasonography were performed. Results: Elevated pulse wave velocity and low arterial carotid distensibility are associated with heart failure in patients with preserved ejection fraction (p = 0.04, p = 0.009). Pulse wave velocity, carotid distensibility and Young’s modulus did not correlate with serum galectin-3 levels. Conversely, raised galectin-3 levels correlated with an increased ventricular-arterial coupling ratio (Ea/Elv) p = 0.047, OR = 1.9, 95% CI (1.0‑3.6). Increased galectin-3 levels were associated with lower rates of left ventricular pressure rise in early systole (dp/dt) (p=0.018) and raised pulmonary artery pressure (p = 0.046). High galectin-3 levels (p = 0.038, HR = 3.07) and arterial pulmonary pressure (p = 0.007, HR = 1.06) were found to be independent risk factors for all-cause mortality and readmissions. Conclusions: This study showed no significant correlation between serum galectin-3 levels and arterial stiffening markers. Instead, high galectin-3 levels predicted impaired ventricular-arterial coupling. Galectin-3 may be predictive of raised pulmonary artery pressures. Elevated galectin-3 levels correlate with severe systolic dysfunction and together with pulmonary hypertension are independent markers of outcome.

Cross-talk of protein kinase B (PKB/Akt) with the transcription factor NFAT and the Src kinase Fyn in T lymphocytes

Magdeburg, Univ., Fak. für Naturwiss., Diss., 2010

Motor and cognitive development of selected Egyptian and German primary school aged children : a cross-cultural study

Magdeburg, Univ., Fak. für Humanwiss., Diss., 2013

Improving TCP Performance on CSMA/CA Connections

In IP networks, most of packets, that have been dropped, are recovered after the expiration of retransmission timeouts. These can result in unnecessary retransmissions and needless reduction of congestion window. An inappropriate retransmission timeout has a huge impact on TCP performance. In this paper we have proved that CSMA/CA mechanism can cause TCP retransmissions due to CSMA/CA effects. For this we have observed three wireless connections that use CSMA/CA: with good link quality, poor link quality and in presence of cross traffic. The measurements have been performed using real devices. Through tracking of each transmitted packet it is possible to analyze the relation between one-way delay and packet loss probability and the cumulative distribution of distances between peaks of OWDs. The distribution of OWDs and the distances between peaks of OWDs are the most important parameters of tuning TCP retransmission timeout on CSMA/CA networks. A new perspective through investigating the dynamical relation between one-way delay and packet loss ratio depending on the link quality to enhance the TCP performance has been provided.

Cross-frequency coupling tracks motor automization and execution in the human motor system

Magdeburg, Univ., Fak. für Naturwiss., Diss., 2014

Episodes of the life and death of thin fluid membranes : patterns and dynamics at the cross-over from two to three dimensions

Otto-von Guericke-Universität Magdeburg, Fakultät für Naturwissenschaften, Dissertation, 2016

Correlações entre as concentrações de nutrientes, alumínio e sódio nas folhas de "coast cross nº 1" e a análise física e química de um latossol vermelho amarelo: I. Concentrações de nutrientes nas folhas em função das frações granulométricas do solo

Foi realizado um levantamento em 41 áreas de um solo classificado como Latossol Vermelho Amarelo, com amostragens de solo e de folhas da forrageira "Coast Cross nº 1" objetivando o estudo de correlações entre as concentrações de nutrientes, alumínio e sódio nas folhas e as análises físicas do solo. Os autores observaram que a concentração de potássio nas folhas correlaciona-se negativamente com a fração silte do solo. A concentração de cobre nas folhas correlaciona-se negativamente com a fração areia fina e positivamente com argila. Ferro, manganês, zinco, sódio, boro e alumínio não apresentam correlações entre as suas concentrações foliares e os teores de argila no solo.

Correlações entre as concentrações de nutrientes, alumínio e sódio nas folhas de "Coast Cross nº 1" e a análise física e química de um Latossolo vermelho amarelo II: Concentração de nitrogênio e fósforo

Foi realizado um levantamento em 41 pontos de um Latossolo Vermelho Amarelo, com amostragem de solo e folhas da forrageira "Coast Cross Nº 1", objetivando o estudo de correlações entre as concentrações de nutrientes, alumínio e sódio nas folhas e as análises químicas do solo. As folhas foram secas e analisadas para N, P. As amostras de solo foram secas e analisadas pelos seguintes métodos: índices pH (água e CaCl2 0,01 M), matéria orgânica (digestão úmida) , P, K, B, Cu, Fe, Mn, Zn e Na pelo extrator de Mehlich. P através de resina iônica. Ca, Mg e Al pelo KC1 1 N. As frações granulométricas foram dispersas por NaOH 0,1 Ne separadas pelo método da pipeta. Foram observadas correlações entre as concentrações de elementos nas folhas e as determinações no solo. Nitrogênio nas folhas correlacionou-se negativamente com fósforo do solo e positivamente com manganês e enxofre. Fósforo nas folhas correlacionou-se negativamente com cálcio do solo.

Gastrite espontânea do camondongo e cogumelos do gênero Geotrichum Link

Slight acute catarrhal gastritis associated with fungi of the genus Geotrichum LINK was found to occur in apparently healthy white mice. This is of practical importance considering that the mouse is extensively employed in experimental work on nutrition.

A Methodology to measure shareholder value orientation and shareholder value creation aimed at providing a research basis to investigate the link between both magnitudes

Does shareholder value orientation lead to shareholder value creation? This article proposes methods to quantify both, shareholder value orientation and shareholder value creation. Through the application of these models it is possible to quantify both dimensions and examine statistically in how far shareholder value orientation explains shareholder value creation. The scoring model developed in this paper allows quantifying the orientation of managers towards the objective to maximize wealth of shareholders. The method evaluates information that comes from the companies and scores the value orientation in a scale from 0 to 10 points. Analytically the variable value orientation is operationalized expressing it as the general attitude of managers toward the objective of value creation, investment policy and behavior, flexibility and further eight value drivers. The value creation model works with market data such as stock prices and dividend payments. Both methods where applied to a sample of 38 blue chip companies: 32 firms belonged to the share index IBEX 35 on July 1st, 1999, one company represents the “new economy” listed in the Spanish New Market as per July 1st, 2001, and 5 European multinational groups formed part of the EuroStoxx 50 index also on July 1st, 2001. The research period comprised the financial years 1998, 1999, and 2000. A regression analysis showed that between 15.9% and 23.4% of shareholder value creation can be explained by shareholder value orientation.

The missing link in key sectors analysis

In general terms key sectors analysis aims at identifying the role, or impact, that the existence of a productive sector has in the economy. Quite a few measures, indicators and methodologies of varied complexity have been proposed in the literature, from multiplier sums to extraction methods, but not without debate about their properties and their information content. All of them, to our knowledge, focus exclusively on the interdependence effects that result from the input-output structure of the economy. By so doing the simple input-output approach misses critical links beyond the interindustry ones. A productive sector’s role is that of producing but also that of generating and distributing income among primary factors as a result of production. Thus when measuring a sector’s role, the income generating process cannot and should not be omitted if we want to better elucidate the sector’ economic role. A simple way to make the missing income link explicit is to use the SAM (Soci