We hypothesized that tumor DNA copy number alterations would allow the identification of molecular pathways involved in SCLC progression. Array comparative genomic hybridization was performed on DNA extracted from 46 formalin-fixed paraffin-embedded SCLC tissue specimens. Genomic profiling of tumor and sex-matched control DNA allowed the identification of 70 regions of copy number gain and 55 regions of copy number loss. Using molecular pathway analysis, we found a strong enrichment in these regions of copy number alterations for 11 genes associated with the focal adhesion pathway. We verified these findings at the genomic, gene expression and protein

GW2580 level. Focal Adhesion Kinase (FAK), one of the central genes represented in this pathway, was commonly expressed in SCLC tumors and constitutively phosphorylated in SCLC cell lines. Those were poorly adherent to most CYT387 in vitro substrates but not to laminin-322. Inhibition of FAK phosphorylation at Tyr(397) by a small-molecule inhibitor, PF-573,228, induced a dose-dependent decrease of adhesion and an increase of spreading in SCLC cell lines on laminin-322. Cells that tended to spread also showed a decrease in focal adhesions, as demonstrated by a decreased vinculin expression. These results support the concept that pathway analysis of genes in regions of copy number alterations may uncover molecular mechanisms of disease progression

and demonstrate a new role of FAK and associated adhesion pathways selleckchem in SCLC. Further investigations of FAK at the functional level may lead to a better understanding of SCLC progression and may have therapeutic implications.

Oncogene (2010) 29, 6331-6342; doi:10.1038/onc.2010.362; published online 30 August 2010″
“Malignant pleural mesothelioma (MPM) is a highly aggressive neoplasm primarily arising from surface serosal cells of the pleura and is strongly associated with asbestos exposure. Patients with MPM often develop pleural fluid as initial presentation. However, cytological diagnosis using pleural fluid is usually difficult and has limited utility. A useful molecular marker for differential diagnosis particularly with lung cancer (LC) is urgently needed. The aim of the present study was to investigate the diagnostic value of soluble mesothelin-related protein (SMRP) in pleural fluid. Pleural fluids were collected from 23 patients with MPM, 38 with LC, 26 with benign asbestos pleurisy (BAP), 5 with tuberculosis pleurisy (TP) and 4 with chronic heart failure (CHF), and the SMRP concentration was determined. All data were analyzed by using non-parametric two-sided statistical tests. The median concentration of SMRP in MPM, LC, BAP, TP and CHF were 11.5 (range 0.90-82.80), 5.20 (0.05-36.40), 6.65 (1.45-11.25), 3.20 (1.65-6.50) and 2.03 (1.35-2.80) nmol/l, respectively. The SMRP concentration was significantly higher in MPM than in the other diseases (P=0.001).

1 mmHg, respectively, (p<0.00).

IDKA/DW were decreased from 3.26 +/- 1.6 to 2.97 +/- 1.63 % in HD group (p>0.05). LVMI and LAI were not increased in both groups. Conclusion: Strict salt and volume control in ESRD patients after assessment of hydration status with either using BCM or echocardiography provides better management of volume control Dinaciclib leading to more precise cardiovascular protection.”
“Atrial fibrillation (AF) increases the risk of stroke. New anticoagulation agents have recently provided alternative and promising approaches. This paper reviews the current state of anticoagulation therapy in AF patients, focusing on various clinical scenarios and on comparisons, where possible, between western and eastern populations.”
“Autism is a neurodevelopmental disorder characterized by three core symptom domains: ritualistic-repetitive behaviors, impaired social interaction, and impaired communication and language development. Recent studies have highlighted etiologically relevant

recurrent copy number changes in autism, such as 16p11.2 deletions and duplications, as well as a significant role for unique, novel variants. We used Affymetrix 250K GeneChip Microarray technology (either NspI or StyI) to detect microdeletions and duplications in a subset of children from the Autism Genetic Resource Exchange (AGRE). In order to enrich our sample for potentially pathogenic CNVs we selected children with autism who Kinase Inhibitor Library solubility dmso had additional features

suggestive of chromosomal loss associated with developmental disturbance (positive criteria filter) but who had normal cytogenetic testing (negative criteria filter). We identified families with this website the following features: at least one child with autism who also had facial dysmorphology, limb or digit abnormalities, or ocular abnormalities. To detect changes in copy number we used a publicly available program, Copy Number Analyser for GeneChip (R) (CNAG) Ver. 2.0. We identified novel deletions and duplications on chromosomes 1q24.2, 3p26.2, 4q34.2, and 6q24.3. Several of these deletions and duplications include new and interesting candidate genes for autism such as syntaxin binding protein 5 (STXBP5 also known as tomosyn) and leucine rich repeat neuronal 1 (LRRN1 also known as NLRR1). Lastly, our data suggest that rare and potentially pathogenic microdeletions and duplications may have a substantially higher prevalence in children with autism and additional developmental anomalies than in children with autism alone.”
“The Quercus genus includes several species and presents a huge genetic variability. In the last decades, studies regarding genetic diversity and molecular characterisation in Quercus emerged. In this work, we intend to characterise nine Quercus species at cytogenetic and molecular levels.

Although these

structured stories limit complete disclosure, students may still achieve benefits by engaging in emotional disclosure and personal reflection.”
“Efficiency of antibacterial chemotherapy is gradually more challenged by the emergence of pathogenic strains exhibiting high levels of antibiotic resistance. Pore-forming antimicrobial peptides (PF-AMPs) such as alamethicin (Alm) are therefore in the focus of extensive research efforts. In the present study, an artificial neural network (ANN)-based quantitative structure-activity relationship (SAR) modeling of membrane phospholipids vs. PF-AMPs, in context to membrane fluidity and surface charge, was carried out. We observed that the potency of PF-AMPs depends on the fatty acyl chain and

polar HDAC cancer head group of phospholipids. Alm showed surface interactions with zwitterionic phospholipids however could penetrate deeper inside the hydrophobic core of anionic membranes. Here, the resistance developed in bacterial cells was coupled to membrane fluidity and surface charge, and simultaneously, these principles could be applied for combating resistance against PF-AMPs. The correlation coefficient between observed CR and predicted CR using ANN was found to be 0.757. Thus, ANN could be used as a reliable modeling method for predicting CR, given CX-6258 the structure of the biomimetic membrane in terms of membrane fluidity and surface charge. Fully explored mechanisms of resistance, a forward modeling step in the design cycle of AMPs, can be cross-linked to the inward modeling using ANN to complete the peptide design cycle. The SAR between membrane phospholipids and PF-AMPs MLN8237 molecular weight could furnish valuable information regarding their design to provide us efficacious peptides against premier pathogens. So far, this is the only report available to predict and quantify interactions of PF-AMPs with membrane phospholipids.”
“Not long after coronary artery bypass grafting surgery was described, several reports presented follow-up angiographic data on large cohorts of patients, demonstrating

that approximately one-half of saphenous vein grafts fail within 10 to 15 years of surgery and that graft failure is associated with worse clinical outcomes. Three processes are responsible for vein graft failure. Thrombosis, intimal hyperplasia and accelerated atherosclerosis contribute to graft failure in the acute, subacute and late postoperative periods, respectively. Studies have shown that perioperative antiplatelet therapy can reduce early thrombosis and graft failure. As in native coronaries, intensive lipid lowering can attenuate the process of atherosclerosis in vein grafts. Intimal hyperplasia in the vein graft is thought to be an adaptation of the vein to higher pressures in the arterial circulation.

We used particle swarm optimization to optimize the ANN structure and initial weights (IW) for each patient and treatment fraction. Prediction accuracy is evaluated using the 1D superior-inferior lung-tumor motions of 29 lung cancer selleck kinase inhibitor patients for system delays of 120-520 ms, in increments

of 80 ms. The result is compared with four different scenarios: (1), (2) ANN structure optimization + with/without IW optimization, and (3), (4) no ANN structure optimization + with/without IW optimization, respectively. An additional simulation is performed to assess the value of optimizing the ANN structure for each treatment fraction.\n\nResults: For 120-520 ms system delays, mean RMSE values (ranges 0.0-2.8 mm from 29 patients) of 0.5-0.9 mm are observed, respectively. Using patient specific ANN structures, a 30%-60% decrease in mean RMSE values is observed as a result of IW optimization, alone. No significant advantages in prediction performance are observed, however, by optimizing for each fraction.\n\nConclusions: A new ANN-based lung-tumor motion predictor is developed for MRI-based intrafractional tumor tracking. The prediction accuracy of our predictor is evaluated using a realistic simulated MR imaging rate and system delays. For 120-520 ms system delays, mean RMSE values of 0.5-0.9 mm (ranges ON-01910 supplier 0.0-2.8 mm from 29 patients) are achieved. Further, the advantage of patient specific

ANN structure and IW in lung-tumor motion prediction is demonstrated by a 30%-60% decrease in mean RMSE values. (C) 2012 American

Association of Physicists in Medicine. [http://dx.doi.org.library.tamiu.edu:2048/10.1118/1.4730294]“
“Echinacea purpurea is a widely used plant immunomodulator with a selective immunomodulatory effect depending on the dilution of the initial preparation. In low doses, it causes selective induction of pro- and anti-inflammatory cytokines. The results recommend this preparation in a wide range of concentrations for adequate correction of the immune system work aimed at restoring the Th1/Th2 balance in various diseases.”
“Background: Psychologically traumatic events can affect anybody, but consequences of psychological birth trauma for the mother are very profound, extensive BEZ235 datasheet and unforgettable. Furthermore, the mother’s response not only touches the mother, but also affects the child, the father and the society. The objective of this study was to explore the mothers’ response to psychological birth trauma.\n\nObjectives: Psychological birth trauma is a complex matter as the length of a women’s life and mother’s responds can be present through different psychological and physical ways. In this regard, the mothers suffer from its consequences, but they do not know what is going on? Mothers are getting worse every day by “the silent effects of the psychological phenomena.

Methods Ten SOTRs were administered cycles of low-dose oral capecitabine (0.51.5g/m2 per day) for days 1 to 14 of a 21-day treatment cycle. Measurements (skin screenings, laboratory and toxicity monitoring) were performed every 1 to 3months. Incidence rates of squamous cell carcinoma (SCC) before and during treatment were determined and compared using the Wilcoxon signed-rank test. Results The average incidence rate (mean +/- SD) of SCC before treatment (0.56 +/- 0.28 SCCs/month, range 0.171.17 SCCs/month) declined to 0.16 +/- 0.11 SCCs/month (range 00.33 SCCs/month) during the first 12months of treatment (mean reduction 68 +/- 30.0%, range 0100%, p<.005). Reduction in

actinic keratosis was observed. Common side effects included fatigue, nausea, hand-and-foot syndrome, gout, and poor renal function. Seven of 10 participants required dose adjustment, and two of these were discontinued from the study drug because of 5-Fluoracil price side effects. Limitations Case series design, small observational population. Conclusions SOTRs experienced a clinically and statistically significant decline in incident SCCs during treatment with low-dose oral capecitabine, with varying degrees of side effects. Larger randomized trials will determine the dose and efficacy of capecitabine for adjuvant treatment find more of

NMSC in SOTRs.”
“A Gram-staining-negative, strictly aerobic, non-motile, rod-shaped and flexirubin-type-pigmented strain, THG C4-1(T), was isolated from green tea leaves https://www.selleckchem.com/products/LBH-589.html in Jangheung-gun, Republic of Korea. Strain THG C4-1(T) grew well at 20-30 degrees C, at pH 7.0-7.5

and in the absence of NaCl on nutrient agar. Based on 16S rRNA gene sequence comparisons, strain THG C4-1(T) was most closely related to Chryseobacterium taiwanense Soil-3-27(T) (97.7%), C. hagamense RHA2-9(T) (97.2%), C. gregarium P 461/12(T) (97.2%), C. ginsenosidimutans THG 15(T) (97.1%), C. taeanense PHA3-4(T) (97.0%) and C. daeguense K105(T) (97.0%), but DNA DNA relatedness between strain THG C4-1(T) and its closest phylogenetic neighbours was below 21 %. The DNA G+C content was 41.7 mol%. The only isoprenoid quinone detected in strain THG C4-1(T) was menaquinone 6 (MK-6). The major component of the polyamine pattern was sym-homospermidine. The major polar lipids were phosphatidylethanolamine and unidentified aminolipids. The major fatty acids were iso-C-15:0, iso-C-17:0 3-OH and iso-C-17:1 omega 9c. These data supported the affiliation of strain THG C4-1(T) to the genus Chryseobacterium. The results of physiological and biochemical tests enabled strain THG C4-1(T) to be differentiated genotypically and phenotypically from recognized species of the genus Chryseobacterium. Therefore, the novel isolate represents a novel species, for which the name Chryseobacterium camelliae sp. nov. is proposed, with THG C4-1(T) (=KACC 16985(T)=JCM 18745(T)) as the type strain.

(c) 2008 Elsevier B.V. All rights reserved.”
“Background and objectives:

In this paper we analyze the lipid profile of a cohort of patients attended in different tertiary hospitals with acute coronary syndrome (angor pectoris or acute myocardial infarction).\n\nPatients and methods: We have analysed different variables of patients with acute coronary syndrome, related with the prevalence learn more and grade of main cardiovascular risk factors, and related with different treatments. We have analysed the lipid profile, and stratified the results according with the status of the first acute coronary event or recurrent coronary event.\n\nResults: Patients with recurrent disease showed lower levels of total cholesterol and LDL-c, and similar levels of HDL-c and triglycerides in relation with patients with a first event.\n\nConclusions: We found similar HDL-c and triglycerides levels in both groups of patients meaning that, despite a standard statins treatment, patients with a first coronary event did not modify such a lipid profile. It is necessary to do a more intensive therapeutic effort over all the lipid fractions with the aim to reduce the recurrences of coronary events. (C) 2010 Elsevier Espana, S.L. All rights reserved.”
“P>Objectives:\n\nIncreased

exposure of emergency medicine (EM) residents to rural rotations may enhance recruitment LY2835219 to rural areas. This study sought to characterize the availability and types of rural CRM1 inhibitor rotations in EM residency programs and to correlate rotation type with rural practice after graduation.\n\nMethods:\n\nProgram directors from all 126 Accreditation Council for Graduate Medical Education (ACGME)-accredited EM residency programs with at least 2 years of graduates were surveyed. Directors were asked about availability of rural rotations, categorized as:

1) required, 2) elective (with or without predesignated sites), or 3) not available. Completion of rotations and initial practice location after graduation by rotation type were compared.\n\nResults:\n\nThe 111 (88%) directors reported 2,380 graduates over the past 2 years. Rural rotations were required by six (5%) programs, elective at 92 (83%), and not available at 13 (12%). Overall, 197 (8%) residents completed a rural rotation during residency, and 160 (7%) selected their initial job in a rural area. More residents completed an elective rural rotation in programs with versus without a predesignated site (7% vs. 4%, respectively). EM residency graduates were more likely to select a rural job when rural rotations were required (22%), compared to other options: predesignated (7%) or no predesignated (6%) elective or not available (7%; p < 0.001).

This review summarizes target antigens in colorectal and renal cell carcinoma, discusses some of the vaccine approaches in development, and details the results of pivotal phase III trials evaluating therapeutic vaccines in patients with advanced colorectal and renal cell carcinoma. Finally, some of the

challenges with vaccine development for colorectal and renal cell carcinoma are described.”
“Heat shock and other environmental TGF-beta inhibitor stresses rapidly induce transcriptional responses subject to regulation by a variety of post-translational modifications. Among these, poly(ADP-ribosyl)ation and sumoylation have received growing attention. Here we show that the SUMO E3 ligase PIASy interacts with the poly(ADP-ribose) polymerase PARP-1, and that PIASy mediates heat shock-induced poly-sumoylation of PARP-1. Furthermore, PIASy, and hence sumoylation, appears indispensable for full activation of the inducible HSP70.1 gene. Chromatin immunoprecipitation experiments show that PIASy, SUMO and the SUMO-conjugating enzyme Ubc9 are rapidly recruited to the HSP70.1 promoter upon buy C59 heat shock, and that they are subsequently released with kinetics similar to PARP-1. Finally, we provide evidence that the SUMO-targeted ubiquitin ligase RNF4 mediates heat-shock-inducible ubiquitination of PARP-1, regulates the stability of PARP-1, and, like PIASy, is a positive regulator of HSP70.1 gene activity. These results, thus,

point to a novel mechanism for regulating PARP-1 transcription function, and suggest crosstalk between sumoylation and RNF4-mediated ubiquitination in regulating gene expression in response to heat shock. LY294002 chemical structure The EMBO Journal (2009) 28, 3534-3548. doi:10.1038/emboj.2009.279; Published online 24 September 2009″
“Objective. To assess disability in systemic sclerosis (SSc) longitudinally and to identify disease-specific determinants, after accounting for informative patient dropout.\n\nMethods. We performed a multicenter, longitudinal

study of 745 patients with SSc followed in the Canadian Scleroderma Research Group registry. Disability was assessed using the Health Assessment Questionnaire (HAQ). Longitudinal changes in disability were modeled using statistical approaches accounting for various levels of patient dropout.\n\nResults. In all the models, disability in SSc worsened over time. The magnitude of the worsening was small when patient dropout was assumed to be completely at random (increase in the HAQ of 0.022, 95% CI 0.002-0.042, per year). After accounting for different levels of informative patient dropout, the increase in the HAQ ranged from 0.039 (95% CI 0.018-0.061) per year to 0.071 (95% CI 0.048-0.094) per year. Thus, using the most conservative of these estimates, this was equivalent to an increase in the HAQ of 0.12 over 3 years. The disease correlates found to be most closely associated with disability were diffuse disease and breathing problems.\n\nConclusion.

Unilateral oophorectomy implies a significant reduction of the ovarian follicular reserve. Thus, one might expect that the time to menopause is shortened by several years in women who have

undergone unilateral oophorectomy. A retrospective cohort study of 23 580 Norwegian women who were included in the population-based HUNT2 Survey during the years 19951997. Data were obtained by two self-administered questionnaires at study inclusion. Cox proportional hazard models were used to estimate BMS-777607 inhibitor relative risks of menopause according to unilateral oophorectomy status with and without adjustment for birth cohort, parity, smoking, body mass index (BMI) and age at menarche. Women who had undergone unilateral oophorectomy were younger at

menopause [mean 49.6 years; 95 confidence interval (CI): 49.250.0] than women without unilateral oophorectomy (mean 50.7 years; 95 CI: 50.650.8) (P 0.001). The crude relative risk of menopause was 1.28 (95 CI: 1.151.42) and remained similar after adjustment for the study factors above (adjusted relative risk 1.27; 95 CI: 1.141.41). In addition, recent birth cohort and high BMI were associated with higher age at menopause. Information on unilateral oophorectomy was based on self-reports. Some women may therefore have been misclassified. Although the effect of unilateral oophorectomy on the age at menopause is similar to that of smoking, it is weaker NCT-501 Metabolism inhibitor than anticipated from the loss of ovarian follicular reserve. Thus, compensatory mechanisms may occur in the remaining ovary. The present study was supported by the South East Health Region Norway (grant no. 2739100). None of the authors has a conflict

of interest.”
“Background: Canadians of Chinese descent, represent one of the fastest growing visible minority groups in Canada, (as well as the second largest), but relatively little is known about the clinical features of heart failure (HF) in Chinese-Canadian versus non-Chinese Canadian patients. Methods: We conducted a population-based analysis of urban patients hospitalized in Ontario, Canada for the first time with a most responsible diagnosis of HF between April 1, 1995 and March 31, 2008. Among the 99,278 patients, 1,339 (1.3%) were classified as Chinese using a previously BI 6727 solubility dmso validated list of Chinese surnames. Through linkage to other administrative databases, we compared the clinical characteristics, pharmacological management, and outcomes of Chinese versus non-Chinese HF patients. Results: Ischemic heart disease was identified as the possible etiology of HF in a greater proportion of non-Chinese patients (47.7% vs. 35.3%; p smaller than 0.001) whereas hypertension (26.1% vs. 16.1%; p smaller than 0.001) and valvular heart disease (11.6% vs. 7.2%; p smaller than 0.001) were relatively more common in Chinese patients. Chinese patients were prescribed angiotensin-converting enzyme (ACE) inhibitors less frequently (57.5% vs. 66.4%, p smaller than 0.

We report a case of CRS diagnosed by 3D and 4D ultrasound examination at 14 weeks of gestation in a diabetic patient.”
“The eat well be active Community Programs (ewba) aimed to prevent obesity among children aged click here 0-18 years in two Australian communities from 2006 to 2010. ewba was a multi-strategy intervention in children’s settings. The evaluation was quasi-experimental, including a before and after survey with intervention (INT) and non-randomised comparison (COMP) communities. Outcome measures included BMI-z score (zBMI) and overweight/obesity prevalence in children aged 4-5 years; and zBMI, waist circumference (WC) z-score and overweight/obesity prevalence

in children aged10-12 years. After 3 years, among the 4-5 years old, mean zBMI was significantly lower in both INT (-0.20, p smaller than 0.05) and COMP (-0.15, p smaller than 0.05), however, changes were not significantly different between INT and COMP. There was a larger reduction in overweight/obesity prevalence in INT (-6.3 %) compared to COMP (-3.7 %) (p Autophagy Compound Library solubility dmso smaller than 0.05, chi (2) test). In the 10-12 years old, mean zBMI did not change significantly in INT or COMP. There was a significant reduction in WC

z-score in INT (-0.17, p smaller than 0.05) but not in COMP (-0.10, p = NS), although not significantly different between INT and COMP (p = 0.092). These findings suggest that the ewba community intervention had a moderate impact, showing modest improvements in weight status at 3-year follow-up.”
“All-trans retinoic acid (ATRA), a component of standard therapy for acute promyelocytic leukemia (APL), is associated with potentially serious but treatable adverse effects involving numerous organ systems, including rare skeletal muscle involvement. Only a handful of cases of ATRA-induced myositis in children have been reported, and none in the radiology literature. We present such a case in a 15-year-old boy with APL, where recognition of imaging findings played a crucial role in making the diagnosis and facilitated

prompt, effective treatment.”
“Many primary care practices are changing the roles played by the members of their health care teams. The purpose of this article is to describe some of these new roles, using find more the authors’ preliminary observations from 25 site visits to high-performing primary care practices across the United States in 2012-2013. These sites visits, to practices using their workforce creatively, were part of the Robert Wood Johnson Foundation-funded initiative, The Primary Care Team: Learning From Effective Ambulatory Practices. Examples of these new roles that the authors observed on their site visits include medical assistants reviewing patient records before visits to identify care gaps, ordering and administering immunizations using protocols, making outreach calls to patients, leading team huddles, and coaching patients to set self-management goals.

The PAs were soluble in common polar aprotic solvents at room temperature whereas the aromatic PIs were dissolved by heating at 60 degrees C.”
“For the past few years, bacteria that are grown in high-salt environment have Napabucasin nmr been a focus of extremophiles research. They are distributed widely in different habitats and possess unique physiological properties. In this study, we obtained 97 halophilic or halotolerant eubacteria from saline-alkali soil in Shache County, Xinjiang Province, China, by selective media. Phylogenetic analysis of the partial sequences indicated that the isolates were affiliated with 19 genera of three orders.

All 97 strains were screened for amylase, lipase, gelatinase and cellulase. Twenty-five strains were lipase producers, 27 gelatinase producers, 31 amylase producers, and none were cellulase producers. Combined hydrolytic activities were detected in some strains. Twenty-one isolates Selleckchem RSL-3 presented with two or more activities, but only five isolates presented with three hydrolytic activities. For the tolerability tests of amylase and lipase, we found that most of the isolates presented the highest amylase activity at 10% NaCl, pH 7.0 and 40 degrees C, and the highest lipase activity at 5-10% NaCl, pH 8.0 and 30 degrees C.”
“Little is known about the main features of the emergent population of PP. Our objective was to determine the clinical,

care and social characteristics of a multi-institutional population of PP, by means of a cross-sectional study including a reference population of hospital-based PP from 36 hospitals. The main clinical, functional, mental and social features and their associated factors were assessed: 1632 PP (53% SN-38 males, mean age 77.9 +/- 9.8 years) were included.

An informal caregiver was required by 52% (78% of caregivers were close female relatives). The mean inclusion criteria (Cat): were 2.7 +/- 0.8 (49.5% presented >= 3 Cat). The most frequent inclusion Cat were heart (77.5%), lung (45.6%), neurological (38.2%), and kidney diseases (32.2%), whereas the mean of other comorbidities was 4.5 +/- 2.7 per PP. The mean Charlson comorbidity index (CCI) was 4; 47.6%, and 52.4% presented dyspnea >3 on the NYHA, and on the MRC, respectively; nearly 19% required home oxygen therapy, 19% had suffered >1 fall in previous year, and 11% suffered an active neoplasia. The mean hospital admissions in last 12/3 months, and chronically prescribed drugs were 2/1, and 8 +/- 3, respectively. More than 70% presented obesity, while 60% had hypoalbuminemia. The basal/inclusion Barthel index (BI) score was 69 +/- 31/58 +/- 34 (BI score < 60 was present in 31.5%/44%, respectively); and the mean Pfeiffer score was 2.94 +/- 3.2 (43% answered with >= 3 errors). More than half of the subjects were at risk or already had established social problems.