Dyslipidemia and Glucose Profile: Metabolic and Nutritional Changes in Obese Women with Nomadic Routine in a Military Hospital / Dislipidemia e Perfil Glicídicos: Alterações Metabólicas e Nutricionais de Mulheres Obesas com Rotina Nômade em um Hospital Militar

Background: Obesity is a highly disabling comorbidity, being considered a risk factor for chronic diseases, especially cardiovascular diseases. This metabolic alteration is closely related to lifestyle, food consumption, and physical inactivity. Amid a nomadic routine psychological disorders prevail.Objective: To establish the relationship between dyslipidemia and changes in glucose metabolism in obese women in a nomadic routine.Methods: 86 women were assisted. Of these, 54 had completed a follow-up at the nutrition service outpatient clinic of a Military Hospital in the Area from September 2019 to June 2020. Retrospective data collected were as follows: socioeconomic and anthropometric data, food consumption, and biochemical profile (p<0.05).Results: The age group was 31-49 years (68.52%). The seasonality caused by nomadism generated depression, anxiety, and binge eating, conditions worsened by cardiovascular risk factors, namely, systemic arterial hypertension (55.56%), heart failure (35.19%), and diabetes mellitus (44.44%). As for the nutritional diagnosis, 47.2% were grade 1 obese, with 91 kg average weight. Average values for high-density lipoprotein were low, at 45.98 mg/dl; fasting glucose was 107.04 mg/dl. It was observed that prediabetic patients with changes in glycated hemoglobin tended to have change in lipid metabolism. Diabetic diagnoses related to lower dyslipidemic change.Conclusion: The best way to treat and prevent dyslipidemia and diabetes mellitus are lifestyle changes. Glucose intolerance directly affects care toward nutrition and the lifestyle. Background: Obesity is a highly disabling comorbidity, being considered a risk factor for chronic diseases, especially cardiovascular diseases. This metabolic alteration is closely related to lifestyle, food consumption, and physical inactivity. Amid a nomadic routine psychological disorders prevail.Objective: To establish the relationship between dyslipidemia and changes in glucose metabolism in obese women in a nomadic routine.Methods: 86 women were assisted. Of these, 54 had completed a follow-up at the nutrition service outpatient clinic of a Military Hospital in the Area from September 2019 to June 2020. Retrospective data collected were as follows: socioeconomic and anthropometric data, food consumption, and biochemical profile (p<0.05).Results: The age group was 31-49 years (68.52%). The seasonality caused by nomadism generated depression, anxiety, and binge eating, conditions worsened by cardiovascular risk factors, namely, systemic arterial hypertension (55.56%), heart failure (35.19%), and diabetes mellitus (44.44%). As for the nutritional diagnosis, 47.2% were grade 1 obese, with 91 kg average weight. Average values for high-density lipoprotein were low, at 45.98 mg/dl; fasting glucose was 107.04 mg/dl. It was observed that prediabetic patients with changes in glycated hemoglobin tended to have change in lipid metabolism. Diabetic diagnoses related to lower dyslipidemic change.Conclusion: The best way to treat and prevent dyslipidemia and diabetes mellitus are lifestyle changes. Glucose intolerance directly affects care toward nutrition and the lifestyle. 

TMAO e a relação com doença cardiovascular: idoso e seus aspectos fisiológicos/ TMAO and the relationship with cardiovascular disease: the elderly and their physiological aspects

Introdução: O N-óxido-trimetilamina (TMAO) é uma toxina urêmica estimulada após fermentação da colina, fosfatidilcolina e L-carnitina que acorre na microbiota intestinal (MI). Os aspectos do MI no idoso, arriscam-se a estar relacionado ao processo de envelhecimento, visto que demonstra uma microbiota altamente versátil. O processo de envelhecimento, envolve retrocesso fisiológico gradual que acomete a maioria dos sistemas biológicos. Atualmente, o Acidente Vascular Cerebral (AVC) e infarto agudo do miocárdio (IAM), são os principais agravante da mortalidade em todo o mundo, responsável por grande parte das internações em idosos e adultos.Objetivo: o objetivo desse estudo é descrito um relacionado ao caso, em que se avaliou uma correlação entre a doença cardiovascular, uma elevada concentração de TMAO e os aspectos fisiológicos do idoso. Métodos: Foi realizado um relato de caso em que se aborda a descrição do caso e usada. Resultados e discussão: O diagnóstico nutricional apontou eutrofia, com massa muscular preservada apesar da idade, entretanto, ao avaliar CB e exame físico foi possível detectar possível perda de peso involuntária, devido ao excesso de gordura abdominal e excesso de gordura em PCT. O paciente apresenta nível baixo de TMAO na admissão hospitalar de reabilitação, porém nível elevado após o período de trinta e cinco dias de intervenção dietética.A intervenção com fibra mix (solúvel e insolúvel) não regule o TMAO na corrente sanguínea, sendo divergente a outros que afirmam que a microbiota intestinal é modulada por meio de prébioticos e consequentemente ocorre a toxinas urêmicas que elevam ou TMAO sanguíneo

práticas artísticas no ensino básico e secundário

Educação Artística: integrar a inovação. A educação artística apresenta-se como um território a re-cartografar, numa atualização tão rápida quanto aquela que ocorre no campo artístico. As propostas publicadas neste número 11 da Revista Matéria-Prima trazem essa diversidade de abordagens, com novidades conceptuais que estabelecem as devidas relações entre educação e cidadania, participação, sustentabilidade, cultura visual, e também com alguma atenção sobre os debates pós-coloniais e as questões de género. Os 16 artigos reunidos neste 11º número da Revista Matéria-Prima trazem a realidade operativa quer na formação de professores e quer na formulação dos discursos pedagógicos, suas justificações e suas propostas alternativas.As propostas apresentadas devolvem o debate ao terreno, e alargam-no. Provocam as periferias, convocam abordagens diferenciadas sobre o tema da arte e da educação. Em todas elas a proposta de crescimento através da arte, que hoje implica cada vez mais cidadania, crítica, criatividade, interligação, comprometimento, participação.info:eu-repo/semantics/publishedVersio

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Respiratory muscular strength decrease in children with mylomeningocele

Study Design. Case-control study.Objective. To evaluate respiratory muscle force in children with myelomeningocele. Summary of Background Data. Myelomeningocele is a common spinal cord malformation with limitations linked to central nervous system lesions and abnormalities in respiratory movements. Despite this, little attention has been given to evaluating respiratory muscle force in these patients.Methods. Children with myelomeningocele aged between 4 and 14 years ( myelomeningocele group; MG, n = 20) were studied and compared with healthy children ( control group; CG, n = 20) matched for age and gender. Respiratory muscular force was evaluated by maximum inspiratory ( Pimax) and expiratory ( Pemax) pressures.Results. Groups were similar for age [ CG = 8 ( 6 - 13) = MG = 8 ( 4 - 14), P > 0.05]; gender, and body mass index [ CG = 17.4 ( 14.1 - 24.7) x MG = 19.2 ( 12.6 - 31.9), P > 0.05]. The lumbosacral region was predominantly affected ( 45%). Maximum respiratory pressures were significantly higher in CG than MG ( Pimax = CG: similar to 83 +/- 21.75 > MG: -54.1 +/- 23.66; P MG: + 64.6 +/- 26.97; P = 0.01). Patients with upper spinal lesion ( UL) had lower maximum respiratory pressure values than those with lower spinal lesion ( LL), [Pimax ( UL = - 38.33 +/- 11.20 cm H2O x LL = - 60.85 +/- 24.62 cm H2O), P < 0.041 and Pemax ( UL = + 48 +/- 20.82 cm H2O x LL + 71.71 +/- 26.73 cm H2O), P = 0.067]).Conclusion. Children with myelomeningocele at the ages studied presented reduced respiratory muscle force with more compromise in upper spinal lesion

Pressurized OCC (oxy-coal combustion) process ideally flexible to the thermal load

Background: Despite widespread use of the incremental shuttle walk distance (ISWD), there are no reference equations for predicting it. Objectives: We aimed to evaluate ISWD in healthy subjects and to establish a reference equation for its prediction. Methods: 131 Brazilian individuals (61 males; 59 +/- 10 years) performed 2 walk tests in a 10-m long corridor. We assessed height, weight, body mass index, forced expiratory volume in 1 s, forced vital capacity and self-reported physical activity. Results: Mean ISWD was greater in males than in females (606 +/- 167 vs. 443 +/- 117 m; p < 0.001). ISWD correlated significantly (p < 0.05) with age (r = -0.51), height (r = 0.54) and weight (r = 0.20). A predictive model including age, height, weight and gender explained 50.3% of the ISWD variance. in an additional group of 20 subjects prospectively studied, the difference between measured and predicted ISWD was not statistically significant (534 +/- 84 vs. 552 +/- 87 m, respectively), representing 97 +/- 12% of the predicted value calculated with our reference equation for ISWD. Conclusions: This reference equation including demographic and anthropomorphic attributes could be useful for interpreting the walking performance of patients with chronic diseases that affect exercise capacity. Copyright (C) 2010 S. Karger AG, Base

NEOTROPICAL ALIEN MAMMALS: a data set of occurrence and abundance of alien mammals in the Neotropics

Biological invasion is one of the main threats to native biodiversity. For a species to become invasive, it must be voluntarily or involuntarily introduced by humans into a nonnative habitat. Mammals were among first taxa to be introduced worldwide for game, meat, and labor, yet the number of species introduced in the Neotropics remains unknown. In this data set, we make available occurrence and abundance data on mammal species that (1) transposed a geographical barrier and (2) were voluntarily or involuntarily introduced by humans into the Neotropics. Our data set is composed of 73,738 historical and current georeferenced records on alien mammal species of which around 96% correspond to occurrence data on 77 species belonging to eight orders and 26 families. Data cover 26 continental countries in the Neotropics, ranging from Mexico and its frontier regions (southern Florida and coastal-central Florida in the southeast United States) to Argentina, Paraguay, Chile, and Uruguay, and the 13 countries of Caribbean islands. Our data set also includes neotropical species (e.g., Callithrix sp., Myocastor coypus, Nasua nasua) considered alien in particular areas of Neotropics. The most numerous species in terms of records are from Bos sp. (n = 37,782), Sus scrofa (n = 6,730), and Canis familiaris (n = 10,084); 17 species were represented by only one record (e.g., Syncerus caffer, Cervus timorensis, Cervus unicolor, Canis latrans). Primates have the highest number of species in the data set (n = 20 species), partly because of uncertainties regarding taxonomic identification of the genera Callithrix, which includes the species Callithrix aurita, Callithrix flaviceps, Callithrix geoffroyi, Callithrix jacchus, Callithrix kuhlii, Callithrix penicillata, and their hybrids. This unique data set will be a valuable source of information on invasion risk assessments, biodiversity redistribution and conservation-related research. There are no copyright restrictions. Please cite this data paper when using the data in publications. We also request that researchers and teachers inform us on how they are using the data

NEOTROPICAL CARNIVORES: a data set on carnivore distribution in the Neotropics

Mammalian carnivores are considered a key group in maintaining ecological health and can indicate potential ecological integrity in landscapes where they occur. Carnivores also hold high conservation value and their habitat requirements can guide management and conservation plans. The order Carnivora has 84 species from 8 families in the Neotropical region: Canidae; Felidae; Mephitidae; Mustelidae; Otariidae; Phocidae; Procyonidae; and Ursidae. Herein, we include published and unpublished data on native terrestrial Neotropical carnivores (Canidae; Felidae; Mephitidae; Mustelidae; Procyonidae; and Ursidae). NEOTROPICAL CARNIVORES is a publicly available data set that includes 99,605 data entries from 35,511 unique georeferenced coordinates. Detection/non-detection and quantitative data were obtained from 1818 to 2018 by researchers, governmental agencies, non-governmental organizations, and private consultants. Data were collected using several methods including camera trapping, museum collections, roadkill, line transect, and opportunistic records. Literature (peer-reviewed and grey literature) from Portuguese, Spanish and English were incorporated in this compilation. Most of the data set consists of detection data entries (n = 79,343; 79.7%) but also includes non-detection data (n = 20,262; 20.3%). Of those, 43.3% also include count data (n = 43,151). The information available in NEOTROPICAL CARNIVORES will contribute to macroecological, ecological, and conservation questions in multiple spatio-temporal perspectives. As carnivores play key roles in trophic interactions, a better understanding of their distribution and habitat requirements are essential to establish conservation management plans and safeguard the future ecological health of Neotropical ecosystems. Our data paper, combined with other large-scale data sets, has great potential to clarify species distribution and related ecological processes within the Neotropics. There are no copyright restrictions and no restriction for using data from this data paper, as long as the data paper is cited as the source of the information used. We also request that users inform us of how they intend to use the data