Background Malnutrition is prevalent in trauma victims because of intense muscle wasting triggered by traumatic events and is a mortality risk. The Academy of Nutrition and Dietetics–American Society for Parenteral and Enteral Nutrition (AND‐ASPEN) tool has the potential to diagnose malnutrition in this population. This study aims to evaluate this criterion as a malnutrition diagnostic tool and as a hospital mortality predictor in critically ill trauma patients. Methods We performed an observational prospective cohort study from April 2015 to February 2017 in a Brazilian hospital. Patients were >18 years old, remained in the intensive care unit (ICU) >48 hours, and had completed data regarding the recommended clinical characteristics (RCCs) for malnutrition. The main exposure of interest was malnutrition assessed by a specialist dietitian using AND‐ASPEN. The primary outcome was all causes of mortality during hospital stay. Secondary outcome was the RCCs assessment, to predict malnutrition and hospital mortality. Results Included were 414 trauma patients. Malnutrition prevalence was 26.8% at ICU admission. The main analysis showed that malnutrition increases mortality chances 1.96 times (95% CI, 1.13–3.30; P = .015). Secondary analysis showed that all 5 RCCs were significantly associated with malnutrition. The only RCC associated with mortality was energy intake (odds ratio 1.5; 95% CI, 1.1–2.0; P = .008). Conclusions AND‐ASPEN criterion is a feasible and accurate method to recognize malnutrition and predict hospital mortality when applied by trained dietitians for the critical care trauma population. Further studies are needed considering patient subgroups such as obese and elderly.

Many countries have reported an increase in breast cancer incidence in young women. The current study's objective was to explore breast cancer distribution in women less than 50 years of age in Brazil. A descriptive study on breast cancer incidence (selected cities) and mortality (Brazil and selected cities) in 2002-2004 was carried out, and the results were compared with those from other countries. The study also analyzed the trend in hospital morbidity and incidence rates for breast cancer. Porto Alegre (Rio Grande do Sul State) showed the highest incidence rates (17.9 and 165.5/100,000 in the 15-39 and 40-49-year age strata, respectively). Regarding mortality, Belo Horizonte (Minas Gerais State) showed the highest rate in the 15-39-year group and Porto Alegre in the 40-49-year group (2.8 and 25.5/100,000). Hospital admissions and incidence rates for breast cancer suggest a change in epidemiological distribution. The results reveal an epidemiological pattern of breast cancer in young Brazilian women with regional distribution characteristics.

Background To reduce bird fatalities from millions of window collisions each year in North America, it is important to understand how design and landscape elements relate to collision risk. The current study extends prior research that found that buildings near ornamental pear trees (Prunus calleryana) and buildings with mirrored windows significantly increased odds of collisions among eight buildings on the University of Utah campus in winter. The previous study found bird-friendly glass was not related to collision risk, although only one fatality occurred at two buildings with ORNILUX® ultraviolet (UV) or fritted windows. We reasoned that extending data collection to include fall might provide a better test of efficacy. We tested the following three hypotheses: (1) Buildings with mirrored windows would experience more collisions, replicating the original study; (2) the addition of fall migration data would reveal fewer collisions at the buildings with bird-friendly windows; (3) the danger of pear tree proximity would be heightened in winter, when fruit is ripe enough to appeal to frugivores, especially the Cedar Waxwings (Bombycilla cedrorum) that frequent these trees. Methods Trained observers monitored buildings three times per week in Fall (September 12 to October 27, 2019) and Winter (October 29, 2019 to January 24, 2020). Collisions were photographed and documented in the iNaturalist University of Utah Bird Window Collision Project. Results There were 39 total collisions, from 0 to 14 per building.Using generalized estimating equations, buildings near pear trees had 3.33-fold increased odds, mirrored windows had 5.92-fold increased odds, and bird-friendly windows had an 84% lower odds (Odds ratio = 0.16) of bird window collisions when analyzed separately; all were statistically significant (p < 0.01). A test of all possible combinations of risk and protective factors revealed that the best fit model included pear trees (odds = 2.31) and mirrored windows (odds = 2.33). A separate analysis tested the pear tree by season interaction model; it yielded the deadliest combination, with 40-fold increased odds for buildings near pear trees in winter season. Discussion This research provides the first peer-reviewed evidence found for the efficacy of bird-friendly fritted windows and ORNILUX ® UV windows in buildings. In addition, it replicated a study that established the dangers of mirrored windows and fruiting pear trees near buildings. These risks were especially dangerous to Cedar Waxwings, who constituted 62.2% of the identifiable window collision victims. This research highlights how building risks depend on window design, landscape choices, species, and season. If replicated, analyses of risk factors can help identify buildings that require mitigation to make existing windows less deadly. Results also support the installation of bird-friendly glass in new or renovated buildings to reduce fatalities.

Objective: to analyze the temporal trend of leukemia mortality in children and adolescents under 20 years old, in Brazilian state capitals and Federal District, between 1980 and 2015. Methods: this was a descriptive time series study; age-standardized leukemia mortality rates were calculated; the Prais-Winsten regression model was used. Results: leukemia mortality rates fell from 2.73 to 1.58 per 100,000 inhabitants aged under 20 years in the period studied (annual percentage variation of-7.06%: 95%CI-8.61;5.49), with differences between capitals; there was a reduction in magnitude in all age groups-0-4 years (9.

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