Abstract Nowadays, despite the implementation of new wind farms in Brazil, it still is difficult to form partnerships with companies in the sector, which significantly contributes to the gap in information provided by national literature and the lack of knowledge about the mechanical behavior of wind turbines subjected to transient wind effects. Therefore, through a Research and Development Project to optimize and improve modeling in wind systems, the Brazilian electric power company Eletrobras Furnas aims to facilitate the construction of smaller wind turbines to supply energy to regions far from the Brazilian coast that do not have high generation potential due to the incidence of low-speed winds. Two relevant aspects directly linked to the performance of this kind of structures are: (i) determining their natural frequency and (ii) ensuring that this frequency does not coincide with any external vibration frequency that the structure may experience in its lifetime. Wind turbines are complex systems with many degrees of freedom and their own frequencies associated with the respective mode shapes in which they naturally vibrate. These frequencies are inversely related to the mass and directly related to the stiffness of the structure. Thus, through numerical modeling using the Finite Element Method, the present article aims to list some of the main factors that can affect the prediction of the natural frequency of a real-scale wind turbine prototype and to evaluate its dynamic behavior, considering its rotor revolution frequency, its blade passing frequency and the wind characteristics of its operating area. Nowadays Brazil sector effects Therefore lowspeed low speed winds i (i ii (ii lifetime vibrate Thus Method realscale real scale area

ABSTRACT Caatinga is a biome unique to Brazil, where degradation caused by anthropogenic actions has led to loss of biodiversity and put many species at risk of extinction. The Ceará state is located within the Caatinga and has a rich avifauna. It comprises 433 species, including 13 species that are in danger of extinction, which are found in the Baturité Massif. The aim of this study was to investigate the frequency and diversity of enterobacteria in wild birds and determine their susceptibility to antimicrobials. Cloacal swab samples were collected from 50 individuals of 28 different species, including the Ceara Gnatheter (Conopophaga cearae) and the Red-necked Tanager (Tangara cyanocephala), which are classified as vulnerable (VU) by the Brazilian Ministry of the Environment. A total of 55 isolates belonging to 14 different species of Enterobacteriaceae were identified. Among them, Pantoea agglomerans and Escherichia coli were the most prevalent species with isolation rates of 36% and 26%, respectively. The highest rate of antimicrobial resistance found was to ampicillin (41.8%), followed by nalidixic acid (36.3%) and amoxicillin associated with clavulanic acid (32.7%). Drugs that presented best efficacy were tobramycin (96.4%), ciprofloxacin (92.6%), and tetracycline (90.9%). Multidrug resistance was observed in 23.5% of the analyzed strains. This research provides important information about the composition of the cloacal microbiota of wild birds in Mulungu, Brazil, as well as their health status. Additionally, these results demonstrate that they harbor multidrug-resistant strains of Enterobacteriaceae.

ABSTRACT BACKGROUND: Precisely determining the aspects related to an instrument's validity and reliability measures allows for greater assurance of the quality of the results. OBJECTIVES: To analyze the psychometric properties of The Providers Survey in the Brazilian context of mental health services. DESIGN AND SETTING: The instrument validation study was conducted in Montes Claros, Minas Gerais, Brazil. METHODS: The validation study was conducted using the Consensus-based Standards for the Selection of Health Measurement Instruments checklist to analyze its validity and reliability. RESULTS: A committee of expert judges performed content validation after which the Content Validity Index was calculated. Construct validation took place through Exploratory Factor Analysis using the Kaiser-Meyer-Olkin Test criterion and Bartlett's Sphericity Test. Reliability was verified using test-retest reliability. The significance level adopted for the statistical tests was 5% (P < 0.05). The final instrument comprised 54 questions. The Content Validity Index was 97%. Exploratory Factor Analysis identified a Kaiser-Meyer-Olkin index of 0.901 and Bartlett's Sphericity Test with P < 0.001. We obtained a Cronbach's alpha coefficient of 0.95 and an intraclass correlation coefficient of 0.849. CONCLUSIONS: The Providers Survey, translated and adapted into Portuguese, was named the Work Assessment Instrument for the Recovery of Mental Health. It presented adequate psychometric properties for evaluating work-related practices for the recovery of psychosocial care network users.

ABSTRACT BACKGROUND: Nutritional status and growth curves can affect cognitive development, increase the risk of infection, and contribute to the development of chronic diseases. Its etiology is related to food, socioeconomic, and maternal conditions. However, to date, no data on these parameters exist in the state of Goiás, Brazil. OBJECTIVE: To compare the nutritional status and growth curves of children and adolescents in the city of Goiânia, Goiás, Brazil. DESIGN AND SETTING: This was a cross-sectional study. A total of 529 individuals were recruited from a primary health center in the municipality. METHODS: To assess nutritional status, the sample was divided into three categories: 3–4, 5–10, and 11–19 years, with z-score classification considering body mass index for age. The classification of growth curves was performed considering the median height values for age, assuming two references: (a) young Brazilian population and (b) one recommended for international use. The independent sample T-test was used to compare anthropometric variables. RESULTS: The results showed that the classification of eutrophics represents a predominant percentage between both sexes (men: 03–04 = 55.4%; 05–10 = 57.6%; 11–19 = 53.5 % and women: 03–04 = 53.5%; 05–10 = 63.9%; 11–19 = 56.9%), and growth curves showed differences in specific periods in both sexes. CONCLUSIONS: It can be concluded that children and adolescents from the city of Goiânia present as predominance the eutrophic nutritional status, followed by the risk of overweight, underweight, obesity, and malnutrition of both sexes.

ABSTRACT Neuroleptic malignant syndrome (NMS) is a neurologic emergency potentially fatal. This rare side effect is most commonly associated with first-generation antipsychotics and less frequently with atypical or second-generation antipsychotics. The diagnosis relies on both clinical and laboratory criteria, with other organic and psychiatric conditions being ruled out. CASE REPORT: A 39-year-old female patient, who is institutionalized and completely dependent, has a medical history of recurrent urinary infections and colonization by carbapenem-resistant Klebsiella pneumoniae. Her regular medication regimen included sertraline, valproic acid, quetiapine, risperidone, lorazepam, diazepam, haloperidol, baclofen, and fentanyl. The patient began experiencing dyspnea. Upon physical examination, she exhibited hypotension and a diminished vesicular murmur at the right base during pulmonary auscultation. Initially, after hospitalization, she developed high febrile peaks associated with hemodynamic instability, prompting the initiation of antibiotic treatment. Despite this, her fever persisted without an increase in blood inflammatory parameters, and she developed purulent sputum, necessitating antibiotherapy escalation. The seventh day of hospitalization showed no improvement in symptoms, suggesting NNMS as a differential diagnosis. All antipsychotic and sedative drugs, as well as antibiotherapy, were discontinued, after which the patient showed significant clinical improvement. CONCLUSION: Antipsychotic agents are commonly employed to manage behavioral changes linked to various disorders. However, their severe side effects necessitate a high degree of vigilance, the cessation of all medications, and the implementation of supportive care measures. A prompt and accurate diagnosis of NMS is crucial to alleviating the severe, prolonged morbidity and potential mortality associated with this syndrome.

Abstract Background: This study compares Fascia Iliaca compartment (FI) block and Pericapsular Nerve Group (PENG) block for hip surgery. Methods: Pubmed, Embase and Cochrane were systematically searched in April 2022. Inclusion criteria were: Randomized Controlled Trials (RCTs); comparing PENG block versus FI block for hip surgery; patients over 18 years of age; and reporting outcomes immediately postoperative. We excluded studies with overlapped populations and without a head-to-head comparison of the PENG block vs. FI block. Mean-Difference (MD) with 95% Confidence Intervals (CI) were pooled. Trial Sequential Analyses (TSA) were performed to assess inconsistency. Quality assessment and risk of bias were performed according to Cochrane recommendations. Results: Eight RCTs comprising 384 patients were included, of whom 196 (51%) underwent PENG block. After hip surgery, PENG block reduced static pain score at 12h post-surgery (MD = 0.61 mm; 95% CI 1.12 to -0.09; p = 0.02) and cumulative postoperative oral morphine consumption in the first 24h (MD = -6.93 mg; 95% CI -13.60 to -0.25; p = 0.04) compared with the FI group. However, no differences were found between the two techniques regarding dynamic and static pain scores at 6 h or 24 h post-surgery, or in the time to the first analgesic rescue after surgery. Conclusion: The findings suggest that PENG block reduced opioid consumption in the first 24 h after surgery and reduced pain scores at rest at 12 h post-surgery. Further research is needed to fully understand the effects of the PENG block and its potential benefits compared to FI block. PROSPERO registration: CRD42022339628 PROSPERO registration: https://www.crd.york.ac.uk/prospero/display_record.php? RecordID=339628

The aim of this study was to preliminary evaluate the lipid profile alterations on Pitcairnia flammea leaves based on variations in solvent proportion and ultrasonic ice bath extraction time, followed by a lipid class-enriched analysis employing chemometric techniques. Ultra-high performance liquid chromatography coupled to electrospray ionization mass spectrometry (UHPLC-ESI-MS) was used to acquire raw data and MS-DIAL and MetaboAnalyst platforms were used to perform data preprocessing and statistical analysis. The statistical analysis of UHPLC-ESI-MS data in both ionization modes enabled the visualization of a trend distribution based on extraction time. Furthermore, we were able to establish that the solvent proportion had a greater impact on group separation in data samples extracted for 30 min versus 10 and 20 min. Moreover, diacylglycerol or/and lysophosphatidylcholine are lipid subclasses that can be favored depending on the extraction time in the mass spectrometry analyses using positive electrospray ionization mode.

ABSTRACT The intercropping between maize and forage species is an alternative commonly used within farming systems. Competition among crops may be a limiting factor in intercropping, compromising maize and forage yield. Although necessary, the literature does not provide satisfactory answers on the interaction of forage crops launched in the market recently, such as BRS Zuri, intercropped with maize. Therefore, techniques such as the use of herbicide subdoses come in as an option to suppress forage growth, making simultaneous cultivation feasible. Thus, the present study aimed to evaluate the effects of glyphosate herbicide subdoses on the development of Panicum maximum cv. BRS Zuri intercropped with Roundup Ready® (RR) maize and how this interaction reflects on the weed population, forage yield, and biometric and yield variables of maize. The experimental design was randomized blocks with treatments consisting of six subdoses of glyphosate herbicide (0, 48, 96, 240, 480, and 960 g acid equivalent [a.e.] ha-1) and maize in monoculture with four replications. For the conditions of this study, the dose of 480 g a.e. ha-1 of glyphosate may be an alternative since there was weed suppression and adequate forage development. Maize yield was not affected by the presence of forage.

RESUMO O consórcio entre milho e espécies forrageiras é uma alternativa comumente utilizada dentro dos sistemas agropecuários. A competição entre as culturas pode ser um fator limitante no consórcio, comprometendo a produção do milho e forragem. Embora necessário, a interação de forrageiras lançadas no mercado nos últimos anos, como a BRS Zuri consorciada com a cultura do milho, não fornece respostas satisfatórias na literatura. Por isso, técnicas como a utilização de subdoses de herbicida entra com uma opção a fim de suprimir o crescimento da forrageira, viabilizando o cultivo simultâneo. Assim, objetivou-se no presente estudo avaliar os efeitos de subdoses do herbicida glyphosate sobre o desenvolvimento de Panicum maximum cv. BRS Zuri consorciado com milho RR (Roundup Ready®) e como essa interação reflete na população de plantas daninhas, no rendimento da forrageira e nas variáveis biométricas e produtivas do milho. O delineamento foi em blocos casualizados, cujos tratamentos consistiram em seis subdoses do herbicida glyphosate (0, 48, 96, 240, 480 e 960 g equivalente ácido [e.a.] ha-1), além do milho em monocultivo com quatro repetições. Para as condições do presente estudo, a dose de 480 g e.a. ha-1 de glyphosate pode ser uma alternativa, visto que houve a supressão de plantas daninhas e um adequado desenvolvimento da forragem. Já o rendimento do milho não foi afetado pela presença da forrageira.

Polymer gel systems find applications in diverse areas, ranging from contact lenses to agriculture and oil production. In general, polyacrylamide (PAM) gels are produced by reaction with metallic (low temperatures) and organic (high temperatures) crosslinking agents. In this paper, given crescent environmental concerns, polyethyleneimine (PEI), an organic reactant, was chosen as the crosslinker of PAM, at 65 ºC. The effects of using a solution of water/glycerol as the solvent for preparing the gels and the addition of diethylenetriamine (DETA), a n-alkylamine, on the gelation kinetics and gel stability were evaluated. The data presented in this paper indicate that the solvent mixture provided a more controlled gelling behavior by delaying the gelation time. Also, diethylenetriamine acted both as an efficient anti-syneresis agent, improving gel stability, and by delaying the progress of gel strength.

Abstract Heterogeneous catalysts, especially those produced with functionalized clays, can be used for methyl transesterification at moderate temperatures. The use of bentonite clay functionalized by potassium compounds (KF, KOH, K2CO3, KCl and K2SO4) in the methyl transesterification of cottonseed oil is the object of the present study. The catalysts were produced by contacting aqueous solutions with the clay and subsequent drying. The catalysts were characterized by Hammett indicators to determine alkalinity. The methyl transesterification reactions were made in a flask with stirring and reflux at 70°C for 2 h. The performance evaluation of the reaction was carried out using regression between the absorption band area and the concentration of a biodiesel-oil mixture by infrared spectroscopy. The catalytic activity is directly associated with the alkaline character of the catalysts. The catalysts produced with KCl and K2SO4 did not show conversion in the methyl transesterification reaction, while the catalysts produced with KF, KOH and K2CO3 showed a conversion greater than 90%.

Abstract RCC using hematite as an aggregate has interesting characteristics for use in massive structures or structures for radiation shielding. In Brazil, there is a considerable amount of hematite ore tailings without practical use, which makes this material an environmental problem and a matter of public safety. Thus, the search for alternatives to use these tailings is a priority environmental concern. An RCC containment dam with hematite aggregate was constructed to protect the basin of the Barao de Cocais River, including the city of Barao de Cocais in the State of Minas Gerais in Brazil, from a possible rupture of the Sul Superior tailings dam in the Congo Soco iron mine. Approximately 150,000 m3 of RCC was deposited in three months. In this article, the results of the technological control tests during the construction of the containment are presented and compared with the results of the cores extracted after the construction, showing their coherence and strength performance compared with RCC using conventional aggregate. Also, studies related to the performance of radiation shielding of this RCC are presented. An attenuation of 10% of 1.6 MeV gamma radiation in relation to conventional concrete was observed.

Abstract Sampling is an important tool for gathering information about mineral deposits, helping to estimate the ore grade, and has great relevance at any stage of a mining project, to ensure reliable results and consequently, to project a better mining planning. There are several errors to which the sampling is exposed and among them we can mention the fundamental sampling error (FSE). This error cannot become zero as it is related to the constitutional heterogeneity of the ore, so it represents the minimum sampling error. This study applies Pierre Gy’s theory of sampling (TOS) to estimate the values of K and α sampling constants at different deposits of bauxite in Brazil and compare them with the calculated factors, then calculate the relative standard deviation of the fundamental sampling error s(FSE) based on the results of the heterogeneity test (HT) in each deposit. The deposits are located in: Barro Alto - State of Goiás, Juruti - State of Pará, and Poços de Caldas - State of Minas Gerais. The weathering process is the main reason of the alteration of the physical and chemical factors diversifying bauxites in Brazil and worldwide. However, when sampling is carried out correctly, the Gy’s formula becomes a powerful tool for improving mining processes as long as the factors are estimated correctly for each ore.

ABSTRACT Lettuce is a leafy vegetable sensitive to salinity, and under saline stress conditions it presents nutritional imbalance, mainly in calcium absorption. Thus, the objective was to evaluate the effect of enriching the nutrient solution with calcium nitrate in solutions prepared with saline water in the lettuce crop. A completely randomized design was used, with five treatments and four replicates. The treatments were represented by five nutrient solutions [S1 - standard nutrient solution (SNP); S2 - SNP + NaCl (3.5 dS m-1); S3 - S2 + Ca (NO3)2 (50% = 6.86 mmol L-1); S4 - S2 + Ca(NO3)2 (100% = 9.15 mmol L-1); S5 - S2 + Ca(NO3)2 (150% = 11.43 mmol L-1)] in lettuce from the curly group, cv. Elba. After preparing the nutrient solutions, the solutions had the following electrical conductivities: 1.8 (S1); 4.8 (S2); 5.4 (S3); 6.0 (S4); 6.6 (S5) dS m-1. Variables of growth, nutrition and postharvest quality of lettuce were evaluated. With the exception of stem diameter, number of total leaves, plant pH and vitamin C content, the other variables were affected by the extra addition of Ca(NO3)2 in the nutrient solutions. The lettuce cv Elba grown in coconut fiber is tolerant to the salinity of 4.8 dS m-1 (S2). In conditions where the use of saline water with 3.5 dS m-1 for the preparation of the nutrient solution is unavoidable, the use of extra doses of Ca(NO3)2 in the lettuce crop is not recommended.

RESUMO A alface é uma hortaliça folhosa sensível à salinidade, e em condições de estresse salino apresenta crescimento reduzido e desequilíbrio nutricional, principalmente na absorção de cálcio. Assim, objetivou-se avaliar o efeito do enriquecimento da solução nutritiva com nitrato de cálcio em soluções preparadas com água salina na cultura da alface. Utilizou-se o delineamento inteiramente casualizado, com cinco tratamentos e quatro repetições. Os tratamentos foram representados por cinco soluções nutritivas [S1 - solução nutritiva padrão (SNP); S2 - SNP + NaCl (3,5 dS m-1); S3 - S2 + Ca(NO3)2 (50% = 6,86 mmol L-1); S4 - S2 + Ca(NO3)2 (100% = 9,15 mmol L-1); S5 - S2 + Ca (NO3)2 (150% = 11,43 mmol L-1)] em alface do grupo crespa, cv. Elba. Após o preparo das soluções nutritivas, as soluções apresentaram as seguintes condutividades elétricas: 1,8 (S1); 4,8 (S2); 5,4 (S3); 6,0 (S4); 6,6 (S5) dS m-1. Foram avaliadas variáveis de crescimento, nutrição e qualidade pós-colheita da alface. Com exceção do diâmetro do caule, número de folhas totais, pH da planta e teor de vitamina C, as demais variáveis foram afetadas pela adição extra de Ca(NO3)2 nas soluções nutritivas. A alface cv. Elba cultivada em fibra de coco é tolerante à salinidade de 4,8 dS m-1 (S2). Em condições onde o uso de água salina com 3,5 dS m-1 para o preparo da solução nutritiva é inevitável, não é recomendado o uso de doses extras de Ca(NO3)2 na cultura da alface.

ABSTRACT Introduction: Accurate determination of glomerular filtration rate (GFR) is crucial for selection of kidney donors. Nuclear medicine methods are considered accurate in measuring GFR but are not always easily available. The four-variable Modification of Diet in Renal Disease (MDRD4), Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI), and Full Age Spectrum (FAS) formulas are common equations for estimating GFR and are recommended for initial assessment of kidney donors. The aim of this study was to evaluate the performance of these GFR estimation equations compared with technetium-99m diethylenetriaminepentaacetic acid ([99mTc]Tc-DTPA) clearance. Methods: We compared GFR estimation by [99mTc]Tc-DTPA clearance using a two-blood sample method with estimation by MDRD4, CKD-EPI, and FAS creatinine-based equations in a population of healthy potential kidney donors. Results: A total of 195 potential kidney donors (68.2% female; mean age 49 years, range 21–75 years) were included in this study. Mean [99mTc]Tc-DTPA measured GFR (mGFR) was 101.5 ± 19.1 mL/min/1.73 m2. All three equations underestimated the GFR value measured by [99mTc]Tc-DTPA (MDRD4: –11.5 ± 18.8 mL/min/1.73 m2; CKD-EPI: –5.0 ± 17.4 mL/min/1.73 m2; FAS: –8.3 ± 17.4 mL/min/1.73 m2). Accuracy within 30% and 10% of the measured GFR value was highest for CKD-EPI. Conclusion: The CKD-EPI equation showed better performance in estimating GFR in healthy potential kidney donors, proving to be a more accurate tool in the initial assessment of kidney donors. However, creatinine-based equations tended to underestimate kidney function. Therefore, GFR should be confirmed by another method in potential kidney donors.

RESUMO Introdução: Determinar precisamente a taxa de filtração glomerular (TFG) é crucial para seleção de doadores de rim. Métodos de medicina nuclear são considerados precisos na medição da TFG, mas nem sempre estão facilmente disponíveis. As fórmulas Modification of Diet in Renal Disease de 4 variáveis (MDRD4), Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI), e Full Age Spectrum (FAS) são equações comuns para estimar a TFG, sendo recomendadas para avaliação inicial dos doadores. Este estudo visou avaliar o desempenho destas equações de estimativa da TFG em comparação com o clearance do tecnécio-99m-ácido dietilenotriaminopentacético ([99mTc]Tc-DTPA). Métodos: Comparamos a TFG por clearance de [99mTc]Tc-DTPA usando um método com duas amostras de sangue com estimativa da TFG pelas equações MDRD4, CKD-EPI e FAS baseadas em creatinina em uma população de potenciais doadores saudáveis. Resultados: Incluiu-se 195 potenciais doadores de rim (68,2% mulheres; idade média de 49 anos, intervalo 21–75 anos). A TFG média medida por [99mTc]Tc-DTPA foi 101,5 ± 19,1 mL/min/1,73m2. As três equações subestimaram o valor da TFG medida por [99mTc]Tc-DTPA (MDRD4: –11,5 ± 18,8 mL/min/1,73 m2; CKD-EPI: –5,0 ± 17,4 mL/min/1,73 m2; FAS: –8,3 ± 17,4 mL/min/1,73 m2). A precisão dentro de 30% e 10% do valor da TFG medida foi maior para CKD-EPI. Conclusão: A equação CKD-EPI mostrou melhor desempenho na estimativa da TFG em potenciais doadores de rim saudáveis, revelando-se uma ferramenta mais precisa na avaliação inicial dos doadores. Entretanto, equações baseadas em creatinina tendem a subestimar a função renal. Portanto, a TFG deve ser confirmada por outro método em potenciais doadores.

ABSTRACT Introduction: The high rate of arteriovenous fistula maturation failure is a concern in a scenario of growing numbers of patients on hemodialysis. Non-vascular factors tied to maturation success have not been fully discussed. Methods: This prospective observational cohort study included patients with CKD on dialysis or pre-dialysis prescribed arteriovenous fistula creation for the first time in an ambulatory surgical center in Joinville, Brazil, from January 2021 to July 2021. Anthropometric aspects, sociodemographic characteristics, comorbidities, and vascular parameters observed in Doppler ultrasound were analyzed. Variables associated with maturation were analyzed in multivariate models by logistic regression. Results: Eighty-eight of 145 participants (60.1%) were males. Included patients had a median age of 59 years. Successful arteriovenous fistula maturation occurred in 113 (77.9%) patients. Factors such as increased BMI, hematocrit, arm circumference, and skinfold thickness were associated with lower chances of arteriovenous fistula maturation in univariate analysis. On the other hand, larger vein and artery diameter and fistulas in the more proximal portion of the arm were associated with higher maturation success. In multivariate analysis, smoking and larger skinfold and arm circumference were associated with lower chances of successful maturation. Increased systolic blood pressure and vein diameter were associated with greater chance of success. Conclusion: In addition to the vascular parameters assessed in Doppler ultrasonography, factors related to obesity and/or nutritional aspects may influence arteriovenous fistula maturation.

Resumo Introdução: A alta taxa de falha na maturação da fístula arteriovenosa é motivo de preocupação para o crescente número de pacientes em hemodiálise. Os fatores não vasculares não foram totalmente estudados em relação ao sucesso da maturação. Métodos: Estudo de coorte prospectivo, observacional de pacientes com DRC diálise ou pré-diálise encaminhados para a primeira criação de fístula arteriovenosa em um centro cirúrgico ambulatorial de Joinville, Brasil, de janeiro de 2021 a julho de 2021. Aspectos antropométricos, características sociodemográficas, comorbidades, além de fatores vasculares verificados pelo ultrassom Doppler. As variáveis associadas à maturação foram analisadas em modelos multivariados por regressão logística. Resultados: Dos 145 pacientes participantes, 88 (60,1%) eram homens, com idade mediana de 59 anos. Houve sucesso na maturação da fístula arteriovenosa em 113 (77,9%) pacientes. Fatores como aumento do IMC, hematócrito, circunferência do braço e valor das dobras cutâneas foram associados a menor chance de maturação da fístula arteriovenosa na análise univariada. Por outro lado, o maior diâmetro da veia e da artéria e fístulas na porção mais proximal do membro superior foram associados a maior sucesso de maturação. Na análise multivariada, tabagismo, maior dobra cutânea e circunferência do braço foram associados a menor chance de sucesso da maturação. O aumento da pressão arterial sistólica e o do diâmetro da veia foram associados a maior chance de sucesso. Conclusão: Além dos aspectos vasculares avaliados pela ultrassonografia Doppler, fatores relacionados à obesidade e/ou a aspectos nutricionais podem influenciar a maturação da fístula arteriovenosa.