Abstract Background Chronic kidney disease (CKD) is a global health problem with rising prevalence, morbidity, mortality, and associated costs. Early identification and risk stratification are key to ...preventing progression to kidney failure. However, there is a paucity of data on practice patterns of kidney function assessment to guide the development of improvement strategies, particularly in lower-income countries. Methods A retrospective observational analysis was conducted in a nationwide laboratory database in Brazil. We included all adult patients with at least one serum creatinine assessment between June 2018 and May 2021. Our primary objective was to determine the proportion of patients with estimated glomerular filtration rate (eGFR) evaluations accompanied by predicted levels of urinary albumin-to-creatinine ratio (pACR) assessments within 12 months. Results Out of 4,5323,332 serum creatinine measurements, 42% lacked pACR measurements within 12 months. Approximately 10.8% of tests suggested CKD, mostly at stage 3a. The proportion of serum creatinine exams paired with pACR assessment varied according to the CKD stage. Internal Medicine, Cardiology, and Obstetrics/Gynecology were the specialties requesting most of the creatinine tests. Nephrology contributed with only 1.1% of serum creatinine requests for testing. Conclusion Our findings reveal that a significant proportion of individuals with a creatinine test lack an accompanying urinary albuminuria measurement in Brazil, contrary to the recommendations of the international guidelines. Non-Nephrologists perform most kidney function evaluations, even among patients with presumable advanced CKD. This highlights the urge to incorporate in clinical practice the early detection of CKD and to encourage more collaborative multidisciplinary care to improve CKD management.
Ocular manifestations of psoriasis Cruz, Natasha Ferreira Santos da; Brandão, Larissa Silva; Cruz, Sérgio Ferreira Santos da ...
Arquivos brasileiros de oftalmologia,
06/2018, Letnik:
81, Številka:
3
Journal Article
Recenzirano
Odprti dostop
We aimed to report the ocular manifestations observed in patients with psoriasis.
Patients were included and referred to our ophthalmology clinic from dermatology clinics of Universidade do Estado do ...Pará between October 2013 and August 2014. Clinical interviews were conducted to identify relevant epidemiological data, clinical features, and treatment details, and data were recorded using the same protocol. Subsequent dermatological examinations were performed and disease severity was rated using the Psoriasis Area and Severity Index and the Dermatological Life Quality Index. Complete eye examination was conducted, including visual acuity, biomicroscopy, tonometry, fundoscopy, Schirmer I test, tear breakup time, rose bengal staining, ocular surface disease index, and glaucoma tests.
In total, we included 43 patients with psoriasis and 86 controls. Patients with psoriasis had statistically higher incidences of dry eye (16.28%), likely dry eye (32.56%), and blepharitis (16.28%). Furthermore, the rose bengal and ocular surface disease tests were more abnormal in patients with psoriasis (p<0.05).
Patients with psoriasis should undergo regular eye exams, regardless of risk factors, to monitor for the progression of symptomatic or asymptomatic ocular manifestations.
INTRODUCTION:This study was conducted to compare the pulmonary function and the body composition between trimesters of pregnancy and, to determine the variables correlated to the peak expiratory flow ...(PEF) and the expiratory flow between 25% and 75% of vital capacity (FEF25%75%).
METHODS:A cross-sectional study examined 120 healthy low-risk pregnant women in the three trimesters of pregnancy, measured by spirometry and multisegmental electrical impedance. Women between the fifth and 40th gestational week, ages between 18-35 years, singletons, and sedentary were included. Smokers, individuals with cardio-respiratory diseases, neurological and chest deformities were excluded.
RESULTS:The vital capacity, the expiratory volume in one second, the peak expiratory flow and expiratory flow between 25% and 75% of vital capacity decreased with the progression of pregnancy, the multiple linear regression analysis showed that height and maternal age were associated with PEF, being responsible for explaining 14.7% of its variability. The prepregnancy weight explained 6.5% of the variability of the FEF25%75%. The multiple linear regression analysis showed that height and maternal age were associated with PEF, explaining 14.7% of its variability.
CONCLUSION:This study showed that the volumes and lung capacity in healthy pregnant women do not seem to change with the progress of pregnancy. The pre-pregnancy weight was related to the FEF25%75%. Height and maternal age had greater influence on PEF changes, while the body composition and obstetric variables did not influence it.
Os cenários de escassez hídrica recorrentes e a disponibilidade limitada trazem à tona a necessidade de monitoramento e gestão de água mais eficientes. Um dispositivo inteligente com energia ...renovável para monitoramento do consumo de água e detecção de vazamentos é uma ferramenta importante que pode auxiliar a redução de perdas e desperdícios em edificações. O procedimento metodológico foi composto pela identificação dos componentes para o desenvolvimento do protótipo inteligente de detecção de vazamentos, elaboração da programação do microcontrolador e posterior instalação para uso. A pesquisa foi realizada no Campus central da Universidade Federal de Campina Grande (UFCG). O protótipo foi desenvolvido utilizando linguagem de programação própria do Arduino, microcontrolador tipo NodeMCU com Wi-Fi integrado, sensor de fluxo do tipo turbina com contagem de pulsos, bateria recarregável e alimentação por energia solar via painel fotovoltaico, além dos acessórios necessários ao funcionamento, com custo total de R$ 159,98, valor viável diante dos ganhos econômicos e ambientais advindos com a detecção de padrões de consumos em horários no qual não há atividades no local. O protótipo inteligente funcionou satisfatoriamente e automação detectou perdas de até 1,96% na edificação estudada, o equivalente a 12,81 litros no dia 30 de outubro de 2021. Como conclusão, é possível validar o uso do protótipo para monitoramento de consumo de água e detecção de vazamentos em edificações, sendo uma ferramenta aplicável e de baixo custo para auxiliar na gestão de água em edificações.
Objectives: to describe and compare the mean values of the body composition and the peak expiratory flow (PEF) in primigravidae and multigravidae and, to determine its correlation with obstetric, ...anthropometric and body composition variables.
Method: it was performed a cross-sectional study of 120 healthy pregnant women at low risk, including 77 primigravidae and 43 multigravidae. The PEF was measured by spirometry and the body composition by multisegmental electrical impedance. The unpaired t test was used to compare the groups and the Pearson correlation test was used to determine the association between PEF and independent variables. A multiple linear regression was used to estimate the relationship between the dependent variable, the PEF and the independent variables.
Results: the body composition variables in multigravidae women showed higher values compared to the primigravidae, being statistically significant, except for fat mass. In primigravidae, the PEF was correlated significantly with maternal age and height. In multigravidae, the PEF was correlated with maternal age, height, pre-pregnancy and current weight, total body water, extracellular water, fat mass, lean mass and fat-free mass. A Multiple linear regression analysis showed that, in primigravidae, height and maternal age were associated with PEF, being responsible for explaining 14.5% of its variability. The current weight and the maternal age explained 42.3% of peak flow variability in multigravidae.
Conclusion: The PEF seemed to be influenced by the number of pregnancies. Changes were observed in relation to the body composition, as it was evidenced in correlation with the PEF in multigravidae women.
Keywords: Pregnancy. Spirometry. Weight gain.
Objective: The objective was to know the risk behavior of independent elderly people in DST / HIV / AIDS prevention.
Method: Exploratory study with quantitative data approach. Sample was composed of ...24 independent elderly people without diagnosis. An elaborate semi-structured interview script was used. The data were analyzed by descriptive statistics, using chi-square and Pearson correlation coefficient. Results: We found 87% female, age group between 60-69 years (62%) and marital status widow (43%).Of the sample, 87% reported knowing the means of transmission of the virus, 79% reported not using condoms and all had some sexual intercourse without the use of condoms.The analysis between the dependent variable "knows how to transmit HIV" and independent "condom use" showed statistical significance (p = 0.014).
Conclusion: It can be inferred that there was a high risk behavior for HIV / AIDS virus acquisition in this sample, since they did not use condoms in their sexual practices, even if they had knowledge about the forms of virus transmission.
Descriptors: Aging. Risk groups. HIV. Elderly.
O abastecimento de água é um serviço essencial, contudo, o país ainda não alcançou a universalização ao acesso. Apesar do elevado percentual de atendimento nas áreas urbanas existem muitos problemas ...quali-quantitativos. Os pequenos municípios frequentemente vivenciam essa realidade. Esse trabalho estuda a vulnerabilidade do serviço de abastecimento do município Alagoa Grande localizado no semiárido paraibano. A metodologia usa critérios multiescala para identificar a influência de condições psicológicas, operacionais e socioeconômicas sobre o abastecimento de água a partir de análise espacializada, utilizando o SIG QGIS e diretrizes para gestão hídrica local. Os resultados apontam a altimetria e a distância aos reservatórios de distribuição que mais interferem no risco de desabastecimento. Soluções alternativas podem ser atenuantes aos danos causados. Além disso, programas de apoio a comunidades de baixa renda e plano de saneamento são medidas importantes para melhorar a gestão e a disponibilidade integral de água para a população.
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