Evaluation of nutritional indicators and body composition in patients with advanced liver disease enrolled for liver transplantation

PURPOSE: Malnutrition is prevalent in patients with advanced liver disease (LD) related to multifactorial causes. Fluid retention can underestimate the nutritional status based on anthropometric measures. We evaluated nutritional indicators and body composition (BC) in patients with liver cirrhosis and correlated them with LD severity. METHODS: Forty three patients with LD enrolled for liver transplantation were evaluated by Anthropometric measures, subjective evaluation (Global Assessment of Nutritional Status - SGA) and biochemical indicators. Single-frequency electrical bioimpedance (SFE-BIA) was used to evaluate body composition (BC). It measured resistance (R), reactance (Xc) and the phase angle (PA). LD severity was estimated by Child-Pugh and Meld criteria (Model for End-Stage Liver Disease). RESULTS: Child-Pugh index between patients was 7.11±1.70 and Meld was 12.23±4.22. Arm Circumference, Arm Muscle Circumference and Arm Muscle Area, SGA, hemoglobin, hematocrit and albumin showed better correlation with disease severity. Xc and PA showed correlation both with Meld and Child-Pugh score when BC were evaluated. PA was depleted in 55.8% of the patients. CONCLUSIONS: Diagnosis of malnutrition varied according to the method. Global assessment of nutritional status showed better correlation with disease severity than with objective methods. Single-frequency electrical bioimpedance for body composition analysis in cirrhotic patients must be cautiously used; however, primary vectors seems to be valid and promising in clinical practice.

Analysis of quality indicators of central sterile supply departments at accredited public hospitals

O objetivo do estudo foi descrever e analisar os indicadores de qualidade de Centros de Material e Esterilização de hospitais públicos acreditados do Estado de São Paulo e sua gestão pelos responsáveis do setor. Trata-se de um estudo de casos múltiplos, onde são apresentados os dados interligados de três hospitais acreditados num relatório de casos cruzados. Os dados foram coletados por entrevista semiestruturada com o responsável e por visita técnica com análise documental. Os resultados constatam a dificuldade dos responsáveis em pontuar os indicadores específicos do setor e os referidos foram os de produção e pesquisa de satisfação do cliente que não retratam a qualidade efetiva do serviço, pois são fragmentados, sem consolidação de resultados na busca de melhorias, o que sugere baixa especificidade e baixa sensibilidade dos critérios da Organização Nacional de Acreditação à realidade deste setor.

Predictive capacity of anthropometric indicators for abdominal fat in the oldest old

Cardiovascular diseases are a growing public health problem that affects most people over the age of 65 years and abdominal obesity is one of the risk factors for the development of these diseases. There are several methods that can be used to measure body fat, but their accuracy needs to be evaluated, especially in specific populations such as the elderly. The aim of this study was to assess the accuracy of anthropometric indicators to estimate the percentage of abdominal fat in subjects aged 80 years or older. A total of 125 subjects ranging in age from 80 to 95 years (83.5 ± 3), including 79 women (82.4 ± 3 years) and 46 men (83.6 ± 3 years), were studied. The following anthropometric indicators were used: body mass index (BMI), waist circumference (WC), waist-hip ratio (WHR), and waist-to-height ratio (WHtR). The percentage of abdominal fat was measured by DEXA. Sensitivity and specificity were analyzed using an ROC curve. The sensitivity, specificity and AUC were 0. 578, 0. 934 and 0. 756 for BMI, respectively; 0.703, 0.820 and 0.761 for WC; 0.938, 0.213 and 0.575 for WHR, and 0.984, 0.344 and 0.664 for WHtR. BMI and WC were the anthropometric indicators with the largest area under the curve and were therefore more adequate to identify the presence or absence of abdominal obesity.

Otimização de planos de manutenções de componentes de sistemas de distribuição de energia elétrica centrados em confiabilidade

Pós-graduação em Engenharia Elétrica - FEIS

Influence of creatine supplementation on indicators of glucose metabolism in skeletal muscle of exercised rats

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

Erosion of an active fault scarp leads to drainage capture in the Amazon region, Brazil

Far from the continental margin, drainage basins in Central Amazonia should be in topographic steady state; but they are not. Abandoned remnant fluvial valleys up to hundreds of square kilometers in size are observed throughout Amazonia, and are evidence of significant landscape reorganization. While major Late Miocene drainage shifts occurred due to initiation of the transcontinental Amazon River, local landscape change has remained active until today. Driven either by dynamic topography, tectonism, and/or climatic fluctuations, drainage captures in Amazonia provide a natural experiment for assessing the geomorphic response of low-slope basins to sudden, capture related base-level falls. This paper evaluates the timing of geomorphic change by examining a drainage capture event across the Baependi fault scarp involving the Cuieiras and TarumA-Mirim River basins northwest of the city of Manaus in Brazil. A system of capture-related knickpoints was generated by base-level fall following drainage capture; through numerical modeling of their initiation and propagation, the capture event is inferred to have occurred between the middle and late Pleistocene, consistent with other studies of landscape change in surrounding areas. In low-slope settings like the Amazon River basin, base-level fall can increase erosion rates by more than an order of magnitude, and moderate to large river basins can respond to episodes of base-level fall over timescales of tens to hundreds of thousands of years. Copyright (c) 2013 John Wiley & Sons, Ltd.

Spatial Distribution of the Risk of Dengue and the Entomological Indicators in Sumare, State of Sao Paulo, Brazil

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

Functional traits of selected mangrove species in Brazil as biological indicators of different environmental conditions

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Prototype Fault Current Limiter Using Transformer and a Modular Device of YBCO Coated Conductor

A superconducting fault current limiter (SCFL) consisted of a transformer with low reactance connected to the power line and with the secondary winding short-circuited by a modular superconducting limiter device with 16 elements connected in series was constructed and tested. The designed coupling transformer has low dispersion reactance in order to limit the voltage drop in the power line within the range of 5 % to 10 %. The experimental results showed that an insertion of a 0.125 Omega resistance limited the peak current to a factor of 2.5 times of the unlimited current. The power dissipation reached 39 kW during 100 ms, with an energy density of 380 J/cm(3). Based on these results, the SCFL will be further tested in a 3 MVA (15 kV/380 V) generator for currents up to 10 kA.

Indicators of the risk mechanics for Class-I and Class-II amalgam and composite resin restorations

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

Fast fault section estimation in distribution control centers using adaptive genetic algorithm

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

Assessment of the relationship between entomologic indicators of Aedes aegypti and the epidemic occurrence of dengue virus 3 in a susceptible population, São José do Rio Preto, Sao Paulo, Brazil

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

Performance measurement and indicators for water supply management: review and international cases

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Modeling of hydraulic and energy efficiency indicators for water supply systems

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)