Prebiotic-resistant starch supplementation may be a good strategy to reduce inflammation, oxidative stress and uremic toxins in CKD patients.

The study evaluated the effect of resistant starch enriched cookies supplementation on the mRNA expression of nuclear transcription factors involved with inflammation and uremic toxins levels produced by the gut microbiota in hemodialysis patients.

BACKGROUND: Small and medium-sized enterprises (SMEs) face greatest difficulty in managing occupational risks compared to large enterprises. Limited resources, little knowledge about risk management process and deficiencies in organizational processes are often pointed in the literature as important obstacles to occupational safety and health (OSH) performance in SMEs. However, external factors can also be of paramount importance, such as the economic crisis. Because under specific scenarios OSH conditions may deteriorate in SMEs, is important to establish effective indicators. OBJECTIVE: This study aims to identify OSH performance indicators within the context of SMEs. METHODS: To identify the indicators, a literature review was carried out on different studies published in scientific journals in the OSH field between 2008 and October 2018 using the Scopus, ScienceDirect, Web of Science and PubMed databases. RESULTS: As a result, 14 management and organization OSH indicators applied to SMEs were identified, along with 5 at individual OSH indicators. CONCLUSION: The indicators were discussed in relation to its applicability to assess OSH performance, as well as their reliability. Future research should be done to assess the identified indicators in SMEs.