Using alternative or direct anthropometric measurements to assess risk for malnutrition in nursing homes.

AbstractObjectiveThe aim of this study was to use the Malnutrition Universal Screening Tool (MUST) to assess the applicability of alternative versus direct anthropometric measurements for evaluating the risk for malnutrition in older individuals living in nursing homes (NHs).MethodsWe conducted a cross-sectional survey in 67 NHs in Tuscany, Italy. We measured the weight, standing height (SH), knee height (KH), ulna length (UL), and middle-upper-arm circumference of 641 NH residents. Correlations between the different methods for calculating body mass index (BMI; using direct or alternative measurements) were evaluated by the intraclass correlation coefficient and the Bland-Altman method; agreement in the allocation of participants to the same risk category was assessed by squared weighted kappa statistic and indicators of internal relative validity.ResultsThe intraclass correlation coefficient for BMI calculated using KH was 0.839 (0.815–0.861), whereas those calculated by UL were 0.890 (0.872–0.905). The limits of agreement were ±6.13 kg/m2 using KH and ±4.66 kg/m2 using UL. For BMI calculated using SH, 79.9% of the patients were at low risk, 8.1% at medium risk, and 12.2% at high risk for malnutrition. The agreement between this classification and that obtained using BMI calculated by alternative measurements was “fair-good.”ConclusionWhen it is not possible to determine risk category by using SH, we suggest using the alternative measurements (primarily UL, due to its highest sensitivity) to predict the height and to compare these evaluations with those obtained by using middle-upper-arm-circumference to predict the BMI

Validación del índice compuesto DAPSA (Disease Activity for Psoriatic Arthritis) en una cohorte de pacientes con artritis psoriásica en Argentina y determinación de sus valores de corte

Objetivos: Validar el índice DAPSA en pacientes con Artritis Psoriásica (APs) en Argentina, comparar su rendimiento con índices compuestos y con la ultrasonografía (US) y establecer valores de corte

Lower Jurassic to Early Paleogene Intraplate Contraction in Central Patagonia

Breakup and dispersion stages of Gondwana were ruled by crustal extension. In Patagonia, this regime was associated with the opening of extensional basins from the Jurassic onwards, a process that was interrupted by the Andean orogeny. New data generated from the hydrocarbon exploration allowed identifying Jurassic to Eocene contractional deformations, previously not registered in central Patagonia. We summarize in this chapter evidence for five compressional events intercalated with the extensional regime that affected central Patagonia from the Early Jurassic to the Paleogene. These events, denominated ?C1?, ?C2?, ?C3?, ?C4? and ?C5? acted diachronicronously producing tectonic inversion of the Jurassic-Cretaceous depocenters. The first three contractional pulses occurred during the Jurassic while the two remaining were late Lower Cretaceous and early Paleogene. The origin of this compressive activity would be linked to different processes that comprehend from thermal weakening of the crust produced by expansion of the thermal anomaly of Karoo in Mid to Late Jurassic times; the southwards continental drift since the Early Jurassic; the ridge-push generated by the opening of Wedell Sea since Mid Jurassic times; and two mid ocean ridge collisions during the Cretaceous.Fil: Navarrete Granzotto, César Rodrigo. Universidad Nacional de la Patagonia "San Juan Bosco"; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Gianni, Guido Martin. Universidad Nacional de San Juan. Facultad de Ciencias Exactas, Físicas y Naturales. Instituto Geofísico Sismológico Volponi; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Echaurren Gonzalez, Andres. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria. Instituto de Estudios Andinos "Don Pablo Groeber". Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Instituto de Estudios Andinos "Don Pablo Groeber"; ArgentinaFil: Folguera Telichevsky, Andres. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria. Instituto de Estudios Andinos "Don Pablo Groeber". Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Instituto de Estudios Andinos "Don Pablo Groeber"; Argentin