Prevalência de factores de risco de desnutrição em pacientes hospitalizados na América Latina: uma análise nutritionDay 2016-2020

Hospital malnutrition is a complex international health issue described to be associated with worse patient outcomes and increased healthcare costs(1). A large proportion of patients is already found malnourished at the time of hospital admission, others develop malnutrition while in hospital, often as a complication associated with the disease. Malnutrition screening is crucial for identifying vulnerable patients who are nutritionally at risk already on admission, presenting well-known risk factors such as poor appetite, low food intake, history of unintentional weight loss or low body mass index (BMI).La desnutrición hospitalaria es un problema de salud complejo a nivel internacional, el cual, según se ha descrito, se asocia con peores desenlaces para los pacientes y costos más elevados para los sistemas de salud(1). Es grande la proporción de pacientes que llegan desnutridos al momento de su ingreso al hospital; otros desarrollan desnutrición durante su estancia hospitalaria como una complicación asociada con su patología. El tamizaje para desnutrición es crucial para identificar a aquellos pacientes con riesgo nutricional al momento de su ingreso, y los factores de riesgo bien conocidos son la falta de apetito, baja ingesta de alimento, historia de pérdida de peso no intencional o bajo índice de masa corporal (IMC)

fB and fBs with maximally twisted Wilson fermions

We present a lattice QCD calculation of the heavy-light decay constants fB and fBs performed with Nf = 2 maximally twisted Wilson fermions, at four values of the lattice spacing. The decay constants have been also computed in the static limit and the results are used to interpolate the observables between the charmand the infinite-mass sectors, thus obtaining the value of the decay constants at the physical b quark mass. Our preliminary results are fB = 191(14)MeV, fBs = 243(14)MeV, fBs/ fB = 1.27(5). They are in good agreement with those obtained with a novel approach, recently proposed by our Collaboration (ETMC), based on the use of suitable ratios having an exactly known static limit

Intraabdominal Intravascular Papillary Endothelial Hyperplasia (Masson's Tumor): A Rare and Novel Cause of Gastrointestinal Bleeding

Intravascular papillary endothelial hyperplasia (IPEH), or Masson's tumor, a rare benign vascular lesion, occurs mainly in the head, neck, and hands in the human population. Aberrant tumor locations have been rarely reported. We present a case of a patient with chronic abdominal pain and melena of variable severity due to a Masson's tumor, with no apparent Masson's tumor-associated comorbidities, along with a comprehensive review of the literature. Using PubMed, a search engine provided by the U.S. National Library of Medicine and the National Institutes of Health, we searched for all reports of Masson's tumor limited within the abdominal cavity. Furthermore, keywords such as ‘intravascular papillary endothelial hyperplasia’, ‘renal’, ‘gastrointestinal’, ‘hepatic’ and ‘intraabdominal’ were used to facilitate the search. We thus found fourteen cases of intraabdominal Masson's tumors published. Six (42.9%) of these were located in the renal vein, 4 (28.6%) were reported in the gastrointestinal tract, 1 (7.1%) in the adrenal gland, 1 (7.1%) in the liver, and 1 (7.1%) instance with multiple lesion sites including the renal hilum and retroperitoneum. Among these patients, 9 (64.3%) were female and 5 (35.7%) male, with a mean age of 38.9 years (7–69). IPEH is a reactive process, having three subtypes, all involving the proliferation of epithelial cells around a thrombus in the setting of venous stasis. In its pure form, the organized thrombus is solely localized within the vascular lumen. Mixed-form IPEH is formed in preexisting vascular lesions (such as arteriovenous malformation, hemangioma, pyogenic granuloma, etc.). The rarest form is the extravascular variety, which arises in hematomas often from recent trauma to the area. In its pure form, IPEH has a zero recurrence rate when an R0 resection is performed; all mixed and extravascular forms show the highest recurrence rates. The exact histogenesis of these epithelial cells remains a mystery and multiple theories have been offered. Although difficult to distinguish from malignant angiosarcomas solely on presentation and radiologic work-up, Masson's tumors occur more frequently in women, demonstrate no local invasion, do not metastasize, are commonly located intravascularly, and are associated with a significantly more favorable prognosis than angiosarcomas. Only four Masson's tumors have been reported in the gastrointestinal tract, two of these cases were related to microvascular thrombosis secondary to paroxysmal nocturnal hemoglobinuria and two were formed secondary to arteriovenous malformations. Our case lacked solitary evidence of either of these comorbidities. An incidental finding of an enlarged ovary, which was removed during our exploratory laparoscopy, plus strong demographic statistics that suggest women have an increased prevalence of this lesion may help support a hormonal theory of pathogenesis

Use of alkali activated high-calcium fly ash binder for kaolin clay soil stabilisation : physicochemical evolution

This study addresses the use of alkali activated high-calcium fly ash-based binder to improve engineering characteristics of soft clay-rich soils as an alternative to common stabilisers. The physico-chemical reaction sequence has been investigated by considering the binder alone and the binder mixed with kaolin. An insight into the reactivity evidenced that calcium-containing phases derived from high-calcium fly ash represent the reactive phases and, hence, pozzolanic activity is the dominant process. New compounds are formed, thenardite Na2SO4 and an amorphous silicate consisting of chains combined with calcium probably incorporating three-dimensional four-fold aluminium environments

Diagnostic accuracy of C-reactive protein and white blood cell counts in the early detection of inflammatory complications after open resection of colorectal cancer: a retrospective study of 1,187 patients

Purpose: Although widely used, there is a lack of evidence concerning the diagnostic accuracy of C-reactive protein (CRP) and white blood cell counts (WBCs) in the postoperative period. The aim of this study was to evaluate the diagnostic accuracy of CRP and WBCs in predicting postoperative inflammatory complications after open resection of colorectal cancer. Methods: In this retrospective study, clinical data and the CRP and WBCs, routinely measured until postoperative day5 (POD 5), were available for 1,187 patients who underwent colorectal cancer surgery between 1997 and 2009. Using the receiver-operating characteristic (ROC) methodology, the diagnostic accuracy was evaluated according to the area under the curve (AUC). Results: Three hundred forty-seven patients (29.2%; 95% CI, 26.7-31.9%) developed various inflammatory complications. Anastomotic leakage occurred in 8.0% (95% CI, 6.1-9.1%) of patients. The CRP level on POD 4 (AUC 0.76; 95% CI, 0.71-0.81) had the highest diagnostic accuracy for the early detection of inflammatory complications. With a cutoff of 123mg/l, the sensitivity was 0.66 (95% CI, 0.56-0.74), and the specificity was 0.77 (95% CI, 0.71-0.82). The diagnostic accuracy of the WBC was significantly lower compared to CRP. Conclusion: Measurement of CRP on POD 4 is recommended to screen for inflammatory complications. CRP values above 123mg/l on POD 4 should raise suspicion of inflammatory complications, although the discriminatory performance was insufficient to provide a single threshold that could be used to correctly predict inflammatory complications in clinical practice. WBC measurement contributes little to the early detection of inflammatory complications. Registered at www.clinicaltrials.gov (NCT01221324

B-physics from the ratio method with Wilson twisted mass fermions

We present a precise lattice QCD determination of the b-quark mass, of the B and Bs decay constants and first preliminary results for the B-mesons bag parameter. Simulations are performed with Nf = 2 Wilson twisted mass fermions at four values of the lattice spacing and the results are extrapolated to the continuum limit. Our calculation benefits from the use of improved interpolating operators for the B-mesons and employs the so-called ratio method. The latter allows a controlled interpolation at the b-quark mass between the relativistic data around and above the charm quark mass and the exactly known static limit.Comment: 7 pages, 4 figures, 1 table. Proceedings of the 30th International Symposium on Lattice Field Theory - Lattice 2012; June 24-29, 2012; Cairns, Australi

B-physics from lattice QCD...with a twist

We present a precise lattice QCD determination of the b-quark mass, of the B and Bs decay constants and first results for the B-meson bag parameters. For our computation we employ the so-called ratio method and our results benefit from the use of improved interpolating operators for the B-mesons. QCD calculations are performed with Nf = 2 dynamical light-quarks at four values of the lattice spacing and the results are extrapolated to the continuum limit. The preliminary results are mb(mb) = 4.35(12) GeV for the MSbar b-quark mass, fBs = 234(6) MeV and fB = 197(10) MeV for the B-meson decay constants, BBs(mb) = 0.90(5) and BB(mb) = 0.87(5) for the B-meson bag parameters.Comment: 6 pages, 3 figures. Proceedings of the 36th International Conference on High Energy Physics - ICHEP 2012; July 4-11 2012; Melbourne, Australi

B-physics computations from Nf=2 tmQCD

We present an accurate lattice QCD computation of the b-quark mass, the B and Bs decay constants, the B-mixing bag-parameters for the full four-fermion operator basis, as well as estimates for \xi and f_{Bq}\sqrt{B_q} extrapolated to the continuum limit and the physical pion mass. We have used Nf = 2 dynamical quark gauge configurations at four values of the lattice spacing generated by ETMC. Extrapolation in the heavy quark mass from the charm to the bottom quark region has been carried out using ratios of physical quantities computed at nearby quark masses, having an exactly known infinite mass limit.Comment: 7 pages, 4 figures, presented at the 31st International Symposium on Lattice Field Theory (Lattice 2013), 29 July - 3 August 2013, Mainz, German

f_B and f_Bs with maximally twisted Wilson fermions

We present a lattice QCD calculation of the heavy-light decay constants f_B and f_Bs performed with Nf=2 maximally twisted Wilson fermions, at four values of the lattice spacing. The decay constants have been also computed in the static limit and the results are used to interpolate the observables between the charm and the infinite-mass sectors, thus obtaining the value of the decay constants at the physical b quark mass. Our preliminary results are f_B=191(14) MeV, f_Bs=243(14) MeV, f_Bs/f_B=1.27(5). They are in good agreement with those obtained with a novel approach, recently proposed by our Collaboration (ETMC), based on the use of suitable ratios having an exactly known static limit.Comment: Proceedings of the 27th International Symposium on Lattice Field Theory (Lattice 2009), Beijing, China, 2009 July 26-31. 8 pages, 3 figure