We compared the best fit of 2models of the metabolic syndrome, both of which included the triglyceride-tohigh- density lipoprotein cholesterol ratio, HOMA-IR index, and mean arterial blood pressure, but differed in that one of them used GSK923295 waist circumference, whereas the other used the waist circumferenceto- height ratio. A metabolic syndrome

index (MSI) was constructed and its association with aerobic capacity, daily physical activity and muscle strength was estimated.

Results: The single-factor model that included waist circumference was a better indicator of goodness of fit. The MSI was inversely associated with aerobic capacity and muscle strength.

Conclusions: This study confirms that a single factor underlies the concept of metabolic syndrome; including the waist circumference-to-height ratio does not result in improvements over the model in which waist circumference alone is considered, and the development of a quantitative MSI may be useful for the quantification of cardiometabolic risk in clinical

practice. (C) 2010 Sociedad Espanola de Cardiologia. Published by Elsevier Espana, S. L. All rights reserved.”
“Vaginal evisceration is a rare gynecologic complication with less than 100 cases reported in the literature. We present a case of vaginal evisceration in a woman with multiple previous surgeries including a sacrocolpopexy. Vaginal mesh grafts have to be applied properly during sacrocolpopexy.”
“The effects of AG-881 high salinity conditions (up to 30 g CX-6258 in vivo NaCl L(-1)) on the efficiency and activity of the Anammox process were studied in a sequencing batch reactor. The use of the estimated maximum Specific Anammox

Activity (SAA) was evaluated as a monitoring parameter of the performance of the process. The SAA values obtained from biomass adapted under the same salinity conditions and collected from the reactor could be used to calculate the maximum capacity of the system and, therefore, to predict its efficiency at a certain operation condition. Batch assays carried out with non-adapted and adapted Anammox biomass at different salt concentrations indicated a stimulatory effect on the SAA at concentrations up to 6 and 15 g NaCl L(-1) while higher salt concentrations caused a decrease in the activity. The addition of salt enhanced the aggregation of Anammox biomass in granules with a consequent decrease in the Sludge Volumetric Index from 80 to 25 mL g VSS(-1). The system was able to treat a nitrite loading rate around 0.32 g NO(2)(-)-N L(-1) d(-1) when salt concentrations of 15 g L(-1) of NaCl were present in the feeding, with nitrogen removal efficiencies of 99%. The Anammox process exhibited high resistance to the presence of high NaCl concentrations being then recommended to remove nitrogen from effluents with high salt concentrations.