7 research outputs found

    Malnutrition as assessed by nutritional risk index is associated with worse outcome in patients admitted with acute decompensated heart failure: an ACAP-HF data analysis

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    Malnutrition is common at hospital admission and tends to worsen during hospitalization. This controlled population study aimed to determine if serum albumin or moderate and severe nutritional depletion by Nutritional Risk Index (NRI) at hospital admission are associated with increased length of hospital stay (LOS) in patients admitted with acute decompensated heart failure (ADHF). Serum albumin levels and lymphocyte counts were retrospectively determined at hospital admission in 1740 consecutive patients admitted with primary and secondary diagnosis of ADHF. The Nutrition Risk Score (NRI) developed originally in AIDS and cancer populations was derived from the serum albumin concentration and the ratio of actual to usual weight, as follows: NRI = (1.519 Ă— serum albumin, g/dL) + {41.7 Ă— present weight (kg)/ideal body weight(kg)}. Patients were classified into four groups as no, mild, moderate or severe risk by NRI. Multiple logistic regressions were used to determine the association between nutritional risk category and LOS

    Long-term survival of adult Arctic grayling (Thymallus arcticus) in the Kuparuk River, Alaska

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    Author Posting. © National Research Council Canada, 2004. This article is posted here by permission of National Research Council Canada for personal use, not for redistribution. The definitive version was published in Canadian Journal of Fisheries and Aquatic Sciences 61 (2004): 1954-1964, doi:10.1139/F04-126.In many long-lived species such as Arctic grayling (Thymallus arcticus), population growth rate is most sensitive to changes in adult survival probabilities. Understanding the factors that regulate adult survival in this species should provide insight into the population dynamics of this and other long-lived Arctic species. Using the program MARK, we analyzed 17 years of mark–recapture data to estimate survival rates for Arctic grayling in the Kuparuk River, Alaska, from 1985 to 2000. Mean annual survival rates overall ranged from 0.39 to 1.0 and averaged 0.71 ± 0.05 for resident and 0.75 ± 0.05 for nonresident fish. Spending the summer in the more productive fertilized zone of the experimental reach had no influence on survival despite higher productivity on all trophic levels and consistently higher growth rates in Arctic grayling. None of the environmental (stream temperature, discharge, winter severity, and incidence of drought) or population parameters (growth, condition factor, and mean fish size) that we examined explained significant amounts of variance in survival rates. The lack of responsiveness of survival to annual environmental conditions was unexpected and suggests that multiyear factors or life history tactics that maintain survival at the expense of growth and fecundity likely determine survival.This research was supported by National Science Foundation grants OPP-9911278 and DEB-9810222 in conjunction with the Long-term Ecological Research Program

    Postulated intermediates and activated complexes in the permanganate ion oxidation of organic compounds

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