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.

Epidemiological features of esophageal cancer. Squamous cell carcinoma versus adenocarcinoma

PURPOSE: To analyze the epidemiological features of patients with esophageal cancer according to the histopathological types: squamous cell carcinoma or adenocarcinoma. METHODS: A total of 100 patients with esophageal cancer, being 50 squamous cell carcinomas and 50 adenocarcinomas were analyzed for demographics, nutritional factors, lifestyle habits, benign pathological conditions associated, like Barrett's esophagus and megaesophagus, tumor stage and survival rates. The nutritional factors evaluated included body mass index, percent weight loss, hemoglobin and albumin serum levels. RESULTS: Esophageal cancer occurred more often in men over 50 years-old in both histological groups. No significant differences on age and gender were found between the histological groups. Squamous cell carcinoma was significantly more frequent in blacks than adenocarcinoma. Alcohol consumption and smoking were significantly associated with squamous cell carcinoma. Higher values of body mass index were seen in patients with adenocarcinoma. Barrett's esophagus was found in nine patients (18%) with adenocarcinoma, and megaesophagus in two patients (4%) with squamous cell carcinoma. The majority of patients were on stages III and IV in both histological groups. The mean survival rates were 7.7 ± 9.5 months for patients with squamous cell carcinoma and 8.0 ± 10.9 months for patients with adenocarcinoma. No significant differences on tumor stage and survival rates were detected between the histological groups. CONCLUSION: Epidemiological features are distinct for the histopathological types of esophageal cancer. Squamous cell carcinoma is associated with black race, alcohol and smoking, while adenocarcinoma is related to higher body mass index, white race and Barrett's esophagus.

Desempenho e hematologia de tilápias-do-nilo alimentadas com Saccharomyces cerevisiae e vacinadas contra Streptococcus agalactiae

The objective of this work was to evaluate the inter-relationship between dietary supplementation with Saccharomyces cerevisiae cell wall and vaccination against Streptococcus agalactiae, and its effect on the productive performance and hematological variables of Nile tilapia (Oreochromis niloticus). Eighty-four Nile tilapia were distributed in 12 fiber boxes (n=7), in a 2x2x3 factorial arrangement, corresponding to two levels of supplementation with yeast cell wall, two types of inoculation, and three evaluation times. Fish were fed during 77 days. Vaccination of fish was done 60 days after feeding started. Fifteen days after vaccination, all fish were subjected to challenge with live strain of S. agalactiae, and 6, 24, and 48 hours after the challenge, blood was collected from the caudal vein for evaluations. Fish fed with supplemented diets show greater weight gain and specific growth rate, and the interaction between the diet and vaccination effects results in higher hematocrit, hemoglobin, and leukocyte rates.

Pesque-solte: pesca repetitiva, variáveis hematológicas e parasitismo no peixe híbrido tambacu

The objective of this work was to evaluate the hematological and parasitological responses of tambacu (Colossoma macropomum x Piaractus mesopotamicus) subjected to catch-and-release stress and to different stocking densities in a catch-and-release system. Two hundred and ten fish with mean initial weight of 785.33±152.02 g and mean total length of 34.43±2.21 cm were maintained in ponds and divided into three groups: without fishing and low density (G1), with fishing and low density (G2), and with fishing and high density (G3). No significant differences were observed between the mean values for hemoglobin concentration, erythrocyte number, differential counting of leukocytes, and glucose. The fish from the G3 group showed higher parasite and thrombocyte numbers, and lower weight gain and hematocrit. The activity of catch-and-release, associated with high stocking density, can disrupt organic balance and animal performance, favoring parasitosis.

Vitamina D em mulhers adultas fumantes e ex-fumantes: ingestão, concentração sérica e associação com variáveis ecocardiográficas

Pós-graduação em Fisiopatologia em Clínica Médica - FMB

Polimorfismo XmnI e haplótipos do gene beta globina e suas relações com os níveis de hemoglobina Fetal em beta talassemia

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Plasma rico e plaquetas (PRP) aplicado na artroplastia total do joelho

Pós-graduação em Pesquisa e Desenvolvimento (Biotecnologia Médica) - FMB

Síntese e avaliação farmacológica de novos compostos híbridos úteis para tratamento das complicaçôes da anemia falciforme

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

Electrocardiographic evaluation and serum cardiac troponin I levels in anemic dogs with blood parasitosis

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

Genetic and biochemical markers of hydroxyurea therapeutic response in sickle cell anemia

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Rapid preparation of alpha-FeOOH and alpha-Fe2O3 nanostructures by microwave heating and their application in electrochemical sensors

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Different fasting periods in tiletamine-zolezepam-anethetized cats: Glycemia, recovery, blood-gas and cardiorrespiratory parameters

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

Subgingival biodiversity in subjects with uncontrolled type-2 diabetes and chronic periodontitis

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

Action of Brazilian propolis on hematological and serum biochemical parameters of Blue-fronted Amazons (Amazona aestiva, Linnaeus, 1758) in captivity

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

The effects of different inspired oxygen fractions on gas exchange and Tei-index of myocardial performance in propofol-anesthetized dogs

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)