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.

Viabilidade econômica da utilização dos resíduos da bananicultura na alimentação de cordeiros confinados

Aimed to analyze the economic feasibility of replacing hay Cynodon spp by hay banana crop residues in diet of lambs. We used 25 Santa Inês lambs, with an average age of five months and an average initial weight of 26.5kg, distributed in a completely randomized design with five treatments (40% hay Cynodon spp. + 60% concentrate, 20% hay banana leaf and 20% of Cynodon spp. + 60% concentrate, 40% of banana leaf hay + 60% concentrate, 20% hay pseudostem of banana and 20% of Cynodon spp. + 60% concentrate, 40% hay pseudostem of banana + 60% concentrate). After 69 days of experiment the animals were slaughtered. Possession of the cost of each diet and consumption of animals was calculated economic feasibility. Treatment with 40% of banana leaf hay + 60% concentrate showed the best economic indicators, based on the highest net income, the higher rate of return to higher profitability and marketing of live animals or slaughtered. The inclusion of banana crop residues in the diet of growing lambs increases the economic viability of the activity.

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.

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)

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)

Produtividade da cana-de-açúcar e definição de zonas específicas de manejo do solo

The correct spatial intervention in the administration of the plantation, arising from specific areas of soil mapping, can increase your productivity as well as profitability and yields in agriculture. The spatial and Pearson's relationships between sugarcane attributes and chemical attributes of a Typic Tropustalf were studied in the growing season of 2010, in Suzanapolis, State of Sao Paulo, Brazil (20 degrees 27'33 '' S lat.; 51 degrees 08'05 '' W long.), in order to obtain the attributes that had the best sugarcane productivity relationship. To this end, a geostatistical grid containing 118 sample points was installed for soil and plant data collection in an area of 10.5 ha with the third crop cut. The productivity of sugarcane (PRO) represented the attribute of the plant, while the attributes of the soil were: K+, Ca+2, Mg+2 and organic matter at depths of 0-0.20 m and 0.20-0.40 m. Relationships were calculated between the PRO and the attributes of the soil. Semivariograms were adjusted for all attributes, obtaining the respective krigings and the cross-validations. It was also made the cokrigings between the PRO and the soil attributes. The levels of the soil organic matter, for their evident substantial correlations, Sperman's Rho and spatial, with the productivity of sugarcane, are indicators of two specific areas of soil management strongly associated with the productivity of sugarcane. In such zones this productivity varies between 75.8-94.7 t ha(-1) and 101.0-119.9 t ha(-1), when the levels of organic matter respectively are 12.7-14.5 g dm(-3) (0-0.20 m) and 11.8-12.8 g dm(-3) (0.20-0.40 m).

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

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

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)

Tempos, movimentos e qualidade da operação de colheita mecanizada de soja em função do formato de talhões

Pós-graduação em Agronomia (Ciência do Solo) - FCAV

Análise econômica da produção de soja rr2 pro e soja rr1: estudo de caso no Estado de Mato Grosso

Pós-graduação em Agronomia (Energia na Agricultura) - FCA

Irrigation and intercropping with macadamia increase initial arabica coffee yield and profitability

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)