Precision phase angle control with transmissive etching stop film

Previously, the authors have proposed a generalized model for estimating the distribution law parameters of luminosity of space objects, assuming that not only successful but also unsuccessful measurement results are taken into account. Estimation was done on the data of observations under similar conditions: phase angle, range, sensibility of the telescope. The algorithm under such limitations was tested on model data and real measurements. Therefore, obtained results showed that algorithm did not fit for cases of changing range of space objects. In this work, the new algorithm, that allows to merge information from different ranges to the observed space object, is proposed. In this case, luminosity values are reduced to the ones at a reference distance of 1000 km considering sensibility of the telescope. To obtain estimates of the parameters the Cramer-Mises-Smirnov criterion is used. This algorithm was tested on model data and results of its work on real data were obtained. The data showed correct work of the algorithm and also confirmed the practicability of organization the registration of unsuccessful measurements.

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P1583UTILITY OF THE GLOBAL LEADERSHIP INITIATIVE ON MALNUTRITION CRITERIA FOR THE DETECTION OF MALNUTRITION AND DECLINE IN PHYSICAL FUNCTION AND ADL IN JAPANESE AMBULATORY HEMODIALYSIS PATIENTS

Nephrology Dialysis Transplantation ◽

10.1093/ndt/gfaa142.p1583 ◽

2020 ◽

Vol 35 (Supplement_3) ◽

Author(s):

Haruka Ito ◽

Shohei Yamamoto ◽

Manae Harada ◽

Takaaki Watanabe ◽

Yuta Suzuki ◽

...

Keyword(s):

Physical Function ◽

Phase Angle ◽

Handgrip Strength ◽

Hemodialysis Patients ◽

Global Leadership ◽

Analysis Of Covariance ◽

Nutritional Risk ◽

Calf Circumference ◽

Risk Of Death ◽

Cumulative Score

Abstract Background and Aims In patients who undergo hemodialysis (HD), malnutrition is a frequent complication associated with higher risk of death, extended hospital stay, physical limitation, and decline of activities of daily living (ADL). Therefore, proper assessment for malnutrition in this population is important for effective disease management. The Global Leadership Initiative on Malnutrition (GLIM) released new criteria for diagnosing and grading malnutrition. Nevertheless, only very few studies have investigated malnutrition prevalence on the basis of the GLIM criteria in hemodialysis patients. Hence, the usefulness of the GLIM criteria’s application in hemodialysis patients remains unclear. The aims of this study were (1) to examine whether malnutrition diagnosed on the basis of the GLIM criteria will produce equivalent results with that diagnosed with the use of existing nutritional indicators and (2) to evaluate the association between the GLIM criteria and decline of physical function and ADL in Japanese patients on HD. Method This cross-sectional study included a total of 185 outpatients who undergo HD three times a week. We measured the existing nutritional indicators (GNRI, MNA-SF, phase angle, mid-arm muscle circumference, and calf circumference), physical function (Fried Scale, handgrip strength, usual gait speed, Short Physical Performance Battery, and physical activity), and ADL status (cumulative score of Barthel Index and instrumental ADL). On the basis of the GLIM criteria, the patients were classified into two groups (no malnutrition and malnutrition). In addition, in case of nutritional risk, nutritional assessment was performed by evaluation of the phenotypic (unintentional weight loss, low BMI, and/or reduced muscle mass) and etiologic (reduced intake or assimilation and/or inﬂammatory response) factors. Malnutrition was diagnosed if a patient has one or more of these items. The analysis of covariance (ANCOVA) was performed to examine the association between the GLIM criteria and existing nutritional indicators, physical function, and ADL status. Results Malnutrition was diagnosed in 41.1% of the participants based on the GLIM criteria. In contrast, on the basis of the existing nutritional indicators (GNRI, MNA-SF, phase angle, mid-arm muscle circumference, and calf circumference), malnutrition was diagnosed in 22.2%, 58.3%, 48.6%, 57.9%, and 54.6%, respectively. The ANCOVA results, adjusted for the patient’s characteristics, revealed that the malnutrition group had significantly lower score than the non-malnutrition group in the existing nutritional indicators (all P < 0.001) (Figure). Furthermore, the malnutrition group had significantly higher Fried Scale scores, lower handgrip strength results, and lower ADL status than the non-malnutrition group, even after potential confounder adjustment (all P < 0.05). Conclusion The GLIM criteria could be one of the useful tools for screening the risk of malnutrition, frailty, lower handgrip strength, and lower ADL status in patients who undergo HD.

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Phase angle values, a good indicator of nutritional status, are associated with median value of hemoglobin rather than hemoglobin variability in hemodialysis patients

Renal Failure ◽

10.1080/0886022x.2020.1870137 ◽

2021 ◽

Vol 43 (1) ◽

pp. 327-334

Author(s):

Do Hyoung Kim ◽

Dong-Jin Oh

Keyword(s):

Nutritional Status ◽

Phase Angle ◽

Hemodialysis Patients ◽

Hemoglobin Variability

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