scholarly journals Handgrip strength as an instrument for assessing the risk of malnutrition and inflammation in hemodialysis patients

2020 ◽  
Author(s):  
Caroline Finger Sostisso ◽  
Mayara Olikszechen ◽  
Melissa Nihi Sato ◽  
Miriam de Aguiar Souza Cruz Oliveira ◽  
Scheila Karam
Keyword(s):  
Odds Ratio ◽  
Screening Tool ◽  
Nutritional Assessment ◽  
Handgrip Strength ◽  
Hemodialysis Patients ◽  
The Other ◽  
Arm Circumference ◽  
The Relationship ◽  
The City ◽  
Inflammation Score

Abstract Indroduction: Establishing which parameters to use for diagnosing malnutrition in hemodialysis patients is a challenge in clinical practice. The handgrip strength (HGS) has stood out as a method of assessing nutritional status. Thus, the aim of this study was to determine the cut-off point for HGS in the assessment of the risk of malnutrition and inflammation in HD patients, and its association with other parameters. Methods: Study carried out in hemodialysis units in the city of Curitiba, Brazil. We obtained the cut-off point of the HGS through the ROC curve, using the malnutrition and inflammation score (MIS) as a reference. We checked the relationship (Odds ratio) between the variables “MIS” and “HGS” with the other study variables using the multivariate analysis (logistic regression). Results: We assessed 238 patients (132 men), between 18 and 87 years of age (median = 59). The HGS cut-off point for diagnosing malnutrition and inflammation according to the reference used was <14.5 kg for women, and <23.5 kg for men. According to the HGS criteria, malnourished patients were older (OR = 0.958), with lower arm circumference (OR = 1.328) and higher scores in the malnutrition and inflammation score (OR = 0.85). Conclusion: HGS was significantly correlated with other nutritional assessment parameters. These results suggest that HGS is a valid screening tool to identify the risk of malnutrition and inflammation in hemodialysis patients.

scholarly journals Tribal Factor in Libya: Metamorphoses after Qaddafi Epoch (2011-2020)

2021 ◽  
Vol 65 (9) ◽  
pp. 118-129
Author(s):  
Y. Zinin
Keyword(s):  
National Identities ◽  
The Other ◽  
Tribal Identity ◽  
Political Forces ◽  
Divided Society ◽  
Current Events ◽  
Systemic Crisis ◽  
The Relationship ◽  
The City

The overthrow of M. Gaddafi with the assistance of NATO in October 2011 led to the collapse of the vertical of power and institutions of the state and sentenced Libya to a deep systemic crisis. The article examines the peculiarities and role of the tribal factor in the current events in Libya, a country with deeply divided, multi-composite societies (DDS). It is characterized by tribal, regional, racial and ethnoreligious diversity. With 90% of its population having tribal roots, the number of tribes passes 140. This diversity has left its mark on the course of events, affected the struggle for power. The author sums up the shifts that have taken place in the tribal segment of society in recent decades. The rush of members of different tribes to the city led to their fragmentation, diminution of their former structure. The bonds of kinship, the spirit of solidarity, the traditional behaviour of the tribesmen have been to different extents eroded. However, the influence of a tribe or genus that play the role of a bonding society remains essential. This was especially evident after the advent of dual power in 2014, the author assumes. The two poles of domination – Tripoli and Tobruk are trying to play this card to their advantage. On the other hand, the security vacuum caused by the fall of the regime spontaneously filled forces, including regional tribal groups. The scholar tracks how various tribal councils and other entities here and there take on the functions of maintaining resilience and order, ending infighting, returning hostages, etc. In doing so, they often turn to the traditional usual right – Urf. The author agrees with a number of Libyan scholars and other foreign researchers that there are now some signs of a breeding tribal identity in Libya. At the same time, this process is multi–directional, as in Libya, a country with a deeply divided society, tribes can both engage in conflicts and contribute to their peaceful denouement. The researcher draws attention to the fact that the relationship between tribalism and Islamists is rather contradictory. The latter use to argue that “Islam is the solution to all problems.” But their entry into the arena of politics in Libya after October 2011 did not prevent the de facto collapse of the country and the growth of sectarian standoff. And that according to the author divides society and plays into the hands of certain political forces. In this atmosphere, tribal polarization and the general alienation of society are at risk of growth. The author analyzes the relations between tribal and national identities in a country where the process of consolidation of the population into a single nation has not yet been completed.

Pergamum as Paradigm

2005 ◽  
Author(s):  
Bernhard Weisser
Keyword(s):  
Roman Empire ◽  
The Other ◽  
Asia Minor ◽  
Solid Base ◽  
Local Elites ◽  
Geographical Mobility ◽  
Imperial Period ◽  
Imperial Family ◽  
The Relationship ◽  
The City

The Editors of this Book Requested a study of an individual city to contrast with the broader regional surveys. This contribution attempts to demonstrate the advantages of a fuller exploration of the specific context of a civic coinage by focusing on selected issues from the coinage of Pergamum— alongside Ephesus and Smyrna one of the three largest cities in the Western part of Asia Minor. In the Julio-Claudian period Pergamum’s coin designs were dominated by the imperial succession and the city’s first neocorate temple (17 BC–AD 59). In AD 59 Pergamum’s coinage stopped for more than two decades. When it resumed under Domitian (AD 83) new topics were continuously introduced until the reign of Caracalla (AD 211–17). These included gods, cults, heroes, personifications, architecture, sculpture, games, and civic titles. After Caracalla the city concentrated on a few key images, such as Asclepius or the emperor. At the same time, coin legends— especially civic titles—gained greater importance. This trend continued until the city’s coinage came to an end under Gallienus (AD 253–68). The overall range of Pergamum’s coin iconography was broadly similar to that of other cities in the East of the Roman empire. Coins of Pergamum from the imperial period fall into (at least) sixty-four issues, the most diverse of which employed twenty different coin types. In all, around 340 different types are currently known. They provide a solid base from which to explore various relationships. These include the relationship between coin obverses and reverses, as well as the place of an individual coin type within its own issue, and within the city’s coinage as a whole. Coin designs could allude to objects and events within Pergamum itself, or focus on the city’s connections with the outside world: with small neighbouring cities, with the other great cities within the province of Asia, or with Rome and the imperial family. Communication via the medium of civic coinage was in the first instance presumably directed towards the citizens of Pergamum. At the same time coinage also reflected developments outside the city. Social and geographical mobility was encouraged by an imperial system which allowed distinguished members of local elites access to the highest military and administrative posts.

Ruta N, an island of innovation in Medellín’s downtown

2020 ◽  
Vol 35 (5) ◽  
pp. 419-439
Author(s):  
Lehyton Arenas ◽  
Miguel Atienza ◽  
José Francisco Vergara Perucich
Keyword(s):  
Economic Growth ◽  
The Other ◽  
Primary Data ◽  
Community Members ◽  
The Relationship ◽  
The City

This article discusses the contribution of innovation centres in nearby neighbourhoods based on primary data. This paper involves the study of the case of Ruta N in Medellín to expose the relationship between a consolidated neighbourhood and new innovation facilities. Ruta N was founded after the implementation of a city-level policy for innovation intended to secure the economic growth of a former deprived area of the city. This innovation attracted local and international creative entrepreneurs to Medellín’s downtown but with inconsistent results. The analysis revealed that Ruta N rarely interacts with the nearby neighbourhood, thus restricting its potential to contribute to the community. Instead, it is perceived that Ruta N takes advantage of the neighbourhood to meet the needs of Ruta N users, not the other way around. As a result, community members argue that Ruta N could promote potential conflicts in the area.

scholarly journals Studi Awal Pemanfaatan Kanal Jongaya dan Panampu Sebagai Transportasi Air di Kota Makassar

2019 ◽  
Vol 4 (2) ◽  
pp. 122
Author(s):  
Ahmad Dahlan ◽  
Slamet Trisutomo
Keyword(s):  
Swot Analysis ◽  
Urban Infrastructure ◽  
The Other ◽  
Feasibility Analysis ◽  
Transport Sector ◽  
Urban Drainage ◽  
Urban Water ◽  
Traffic Jam ◽  
The Relationship ◽  
The City

Perkembangan jumlah kendaraan yang pesat di kota Makassar tidak diimbangi oleh pembangunan infrastruktur perkotaan khususnya pada sektor transportasi sehingga menimbulkan kemacetan, oleh karena itu dibutuhkan langkah-langkah strategis untuk menyelesaikan permasalahan tersebut salah satunya dengan mengembangkan transportasi alternatif dengan melihat potensi yang ada. Kota Makassar memiliki kanal Jongaya dan Panampu yang letaknya berada ditengah kota, membelah kota Makassar dari utara hingga selatan dan berfungsi sebagai drainase perkotaan. Penelitian ini bertujuan untuk mengungkap potensi dan masalah pada kanal jongaya dan panampu dalam perspektif pemanfaatannya sebagai transportasi air perkotaan, dan juga melihat hubungannya dengan moda transportasi lainnya dengan menentukan titik perhentian atau halte pada jalur kanal. Analisis yang digunakan dalam penelitian ini yaitu analisis kelayakan pelayaran kanal, analisis SWOT untuk kondisi lingkungan kanal, dan analisis penentuan lokasi halte. Dari hasil analisis tersebut dihasilkan beberapa kesimpulan yang akan menjadi rekomendasi atau arahan yang harus dilakukan sebelum melakukan kegiatan perencanaan transportasi pada kanal jongaya dan panampu Kota Makassar.  The rapid growth in the number of vehicles in the city of Makassar is not matched by the development of urban infrastructure especially in the transport sector, causing traffic jam. Therefore, it takes strategic steps to resolve these problems, one of them by developing alternative transportation by seeing the potential that exists. Makassar has Jongaya and Panampu canal that is located in the center of the city, divides the city from north to south and serves as urban drainage. This study aims to uncover the potential and problems of the Panampu and Jongaya canal in perspective of it’s utilization as urban water transport, and also to see the relationship with the other transport modes by defining stop spots on the canal path.  The analysis used in this research are, feasibility analysis of the canal for shipping, SWOT analysis for the environmental contition of the canal, and siting analysis for stops location. From this analysis, produced some conclusions that will become a recommendation or a referral that must be followed prior to the transportation planning activities in Panampu and Jongaya canal in Makassar.

scholarly journals Correlation Analysis of Cognitive Impairment And Malnutrition In Elderly Patients With Chronic Heart Failure

2021 ◽  
Author(s):  
Hong Liang ◽  
Xiaoping Li ◽  
Wei Lv ◽  
Kexin Zhang ◽  
Jiyan Leng
Keyword(s):  
Heart Failure ◽  
Cognitive Impairment ◽  
Cognitive Function ◽  
Chronic Heart Failure ◽  
Elderly Patients ◽  
Odds Ratio ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Fat Free Mass ◽  
Arm Circumference

Abstract Aims: The purpose of this study was to evaluate the correlation between cognitive impairment (CI) and malnutrition in elderly patients with chronic heart failure (CHF) and to determine the relationship between different nutritional indexes and cognitive impairment in patients with chronic heart failure.Methods and results: We examined the correlation between CI and nutritional indicators in elderly hospitalized patients with CHF. The nutritional status of patients was evaluated by Mini Nutritional Assessment（MNA), anthropometric assessment indicators, human component analysis indicators and laboratory tests indicators. Use of the Min-mental state examinatsion (MMSE) to evaluate cognitive function. The study included 184 heart failure patients aged 60 or older. According to the international common cognitive function assessment scale, the patients were divided into CI group and not CI group. In terms of nutrition, compared with those without CI, patients with CI had lower MNA score, Body mass index (BMI), arm circumference, calf circumference, fat free mass, upper arm muscle circumference, lymphocytes absolute value, hemoglobin, hematocrit, albumin, prealbumin, and cholesterol (P < 0.001). Among them, albumin (odds ratio [OR]=0.767, P < 0.05), arm circumference (odds ratio [OR]=0.614; P < 0.05), MNA score (odds ratio [OR]=0.675; P < 0.001) was significantly correlated with CI in elderly patients with CHF, and We found that the AUC was the largest when the three indexes were combined to draw the ROC curve (AUC: 0.935).Conclusions: Our findings emphasize that malnutrition is common in the elderly population, and that it is strongly associated with cognitive decline. Identifying and treating malnutrition is essential for all older people.

scholarly journals The university, the city and the clown: A theological essay on solidarity, mutuality and prophecy

2015 ◽  
Vol 71 (3) ◽  
Author(s):  
Stephan De Beer
Keyword(s):  
Public University ◽  
The Other ◽  
The Public ◽  
The One ◽  
The University ◽  
The Relationship ◽  
The City ◽  
Liberation Theologian

This essay is informed by five different but interrelated conversations all focusing on the relationship between the city and the university. Suggesting the clown as metaphor, I explore the particular role of the activist scholar, and in particular the liberation theologian that is based at the public university, in his or her engagement with the city. Considering the shackles of the city of capital and its twin, the neoliberal university, on the one hand, and the city of vulnerability on the other, I then propose three clown-like postures of solidarity, mutuality and prophecy to resist the shackles of culture and to imagine and embody daring alternatives.

The Relationship between Subjective and Objective Scales on CTS Symptom Severity Using a Self-Administered Questionnaire

2002 ◽  
Vol 46 (13) ◽  
pp. 1137-1141
Author(s):  
Dongjoon Kong ◽  
Andris Freivalds ◽  
Milind J. Kothari ◽  
Sanjiv H. Naidu
Keyword(s):  
Factor Analysis ◽  
Symptom Severity ◽  
Screening Tool ◽  
Correlation Coefficients ◽  
The Other ◽  
Wrist Flexion ◽  
Mechanical Problem ◽  
Highly Correlated ◽  
The Relationship ◽  
Self Administered Questionnaire

A group of 39 CTS patients with 60 affected hands participated in the study. A self-administered questionnaire developed by Levine et al. (1993) and nerve conduction measures (NCS) were used. The factor analysis showed a consistent result with previous studies: Primary (numbness, tingling, and nocturnal symptoms) and Secondary (pain, weakness, and clumsiness) symptoms. Peason's correlation coefficients showed that two primary symptoms (numbness and tingling) were highly correlated ( p <.05) with NCS results while the other symptoms were not. Among the primary symptoms, only nocturnal symptoms did not show any significant correlation with NCS results. The nocturnal symptoms could be more of a mechanical problem of wrist flexion at night and not a reflection of nerve slowing at night versus daytime but still was a good measure of CTS. The primary symptoms could be used as a potential screening tool for early CTS in the workplace.

scholarly journals On the experience of the urban landscape: A commentary on Siegfried Lenz’s "Von der Wirkung der Landschaft auf den Menschen"

2019 ◽  
Vol 2 (4-5) ◽  
pp. 35-45
Author(s):  
Piotr Szczepański
Keyword(s):  
Urban Landscape ◽  
The Other ◽  
The Subject ◽  
The Relationship ◽  
The City

The aim of this paper is to characterize the relation between the urban  landscape (the image of the city) and the subject. The landscape is understood here in two ways: as something alien, excluding, and hostile, but also as something that gains new features when in contact with the Other. For it can be said, paraphrasing Siegfried Lenz’s famous statement on the relation between man and landscape, that the city is being created through us. The relationship between the residents and the urban landscape has a reciprocal character, in which “I” places itself in relation to a certain “you.”

Sign in / Sign up

Export Citation Format

Share Document