Pub Date : 2020-06-30DOI: 10.17921/2447-8938.2020v22n2p107-112
Luiz Fernando Tadano Miguita, A. Conti, R. R. Almeida-Pedrin, Fábio Pinto Guedes, Diego Luiz Tonello, Graziela Hernandes Volpato, L. C. Filho
Abstract This study aimed at modifying the method for obtaining an axial cut of the maxilla, considering the palatine anatomy, for evaluation of the maturation stage of the midpalatal suture (MPS) and to compare this modified method with the original one.The sample consisted of 84 cone-beam computed tomography (CBCT) scans of 40 boys and 44 girls, aged 11 to 15 years. The files were exported to the Nemotec Dental Studio program, which was used to obtain axial cuts of the maxilla so as to follow the palatine anatomy, keeping the buccal and nasal cortical bones centralized and equidistant. Two previously calibrated evaluators classified the axial images of the MPS into 5 maturational stages (A, B, C, D, and E) according to suture morphology. Kappa test was used to test intra and inter-examiner agreement and the sign test was used to compare the results of this study with those from the original method. Statistical significance level was set at 0.05%. The kappa values for intra and inter-examiner agreement were 0.88 and 0.69, respectively. The modified method was able to evaluate the MPS maturation status and could demonstrate stages of maturation in more detail than the original method. Classification of the MPS maturation with the curved suture axial cut of this method is similar to the original method, with the advantage of allowing evaluation of maturation in the midline of the palate, even when the palate was curved and/or thick. Keywords: Sutures. Maxilla. Palatal Expansion Technique. Resumo Este estudo visou modificar o metodo para a obtencao de um corte axial da maxila, considerando a anatomia do palato, para avaliacao da maturacao da sutura palatina (SPM) e para comparar este metodo modificado com o original. A amostra foi composta de 84 tomografias computadorizadas (TCFC) de 40 meninos e 44 meninas, com idades entre 11 a 15 anos. Os arquivos foram exportados para o programa Nemotec Dental Studio, que foi usado para obter cortes axiais da maxila de modo a acompanhar a anatomia do palato, mantendo a cortical ossea vestibular e nasal centralizada e equidistante. Dois avaliadores previamente calibrados, classificaram as imagens axiais da SPM em 5 fases de maturacao (A, B, C, D, e E) de acordo com a morfologia da sutura. O Teste Kappa foi usado para testar concordância intra e inter-examinador e o teste do sinal foi utilizado para comparar os resultados deste estudo com os do metodo original. O nivel de significância estatistica foi de 0,05%. Os valores de kappa para concordância intra e inter-examinador foram 0,88 e 0,69, respectivamente. O metodo modificado foi capaz de avaliar o estagio de maturacao da SPM e pode demonstrar estagios de maturacao em mais detalhe do que o metodo original. A classificacao da maturacao da SPM com o corte axial curvo deste metodo e semelhante ao metodo original, com a vantagem de permitir a avaliacao da maturacao na linha media do palato, mesmo quando o palato for curvo e/ou espesso. Palavras-chave: Sut
摘要本研究旨在结合腭解剖结构,对上颌轴向切口的获取方法进行改进,以评估中腭缝合(MPS)的成熟阶段,并将改进后的方法与原方法进行比较。样本包括84个锥形束计算机断层扫描(CBCT), 40个男孩和44个女孩,年龄在11到15岁之间。这些文件被导出到Nemotec Dental Studio程序中,该程序用于获得上颌骨的轴向切割,以遵循腭的解剖结构,保持颊和鼻皮质骨集中和等距。两名先前校准的评估者根据缝合形态将MPS轴向图像分为5个成熟阶段(A、B、C、D和E)。采用Kappa检验检验被试内部和被试之间的一致性,并采用符号检验比较本研究结果与原方法的结果。统计学显著性水平设为0.05%。审查员内部和审查员之间的一致性kappa值分别为0.88和0.69。与原方法相比,改进后的方法能够更好地评价MPS的成熟状态,并能更详细地展示MPS的成熟阶段。该方法的弯曲缝合轴向切口对MPS成熟的分类与原始方法相似,其优点是即使上颚弯曲和/或厚,也可以评估上颚中线的成熟程度。关键词:缝合。上颌骨。腭扩张术。恢复上上颌中轴部后门牙矫正术,考虑腭解剖术,腭侧成熟后门牙矫正术(SPM)和腭侧比较后门牙矫正术(原形)。计算机层析成像(TCFC)对40个menmenas和44个menmenas进行了综合分析,对11个menmenas和15个menmenas进行了综合分析。在Nemotec牙科工作室中,我们找到了一种方法,即颌轴、上颌轴、腭解剖、骨皮质、前庭和鼻中央等距离。该方法采用预校正、分类成像、轴向数据SPM、5个成熟阶段(A、B、C、D、e)、形态学数据缝合线。O证人Kappa信息自由usado对位testar concordancia内部e inter-examinador e O证人做窦的信息自由utilizado对位comparar os resultados deste estudo com os metodo原始。美国国家统计局(ncia)的统计数据显示,这一比例为0.05%。2009年、1988年和2009年、2009年和2009年,分别为:对现有的成熟系统的可用性进行方法修改,对现有的成熟系统的可用性进行验证,对原始系统的可用性进行验证。一种经典的双轴曲线咖啡/双轴曲线咖啡/双轴曲线咖啡/双轴曲线咖啡/双轴曲线咖啡/双轴曲线咖啡/双轴曲线咖啡/双轴曲线咖啡/双轴曲线咖啡。Palavras-chave: Suturas。Maxila。帕拉蒂纳扩展技术。
{"title":"Modification of the Maxilla Axial Cut for Tomographic Evaluation of Midpalatal Suture Maturation","authors":"Luiz Fernando Tadano Miguita, A. Conti, R. R. Almeida-Pedrin, Fábio Pinto Guedes, Diego Luiz Tonello, Graziela Hernandes Volpato, L. C. Filho","doi":"10.17921/2447-8938.2020v22n2p107-112","DOIUrl":"https://doi.org/10.17921/2447-8938.2020v22n2p107-112","url":null,"abstract":"Abstract \u0000This study aimed at modifying the method for obtaining an axial cut of the maxilla, considering the palatine anatomy, for evaluation of the maturation stage of the midpalatal suture (MPS) and to compare this modified method with the original one.The sample consisted of 84 cone-beam computed tomography (CBCT) scans of 40 boys and 44 girls, aged 11 to 15 years. The files were exported to the Nemotec Dental Studio program, which was used to obtain axial cuts of the maxilla so as to follow the palatine anatomy, keeping the buccal and nasal cortical bones centralized and equidistant. Two previously calibrated evaluators classified the axial images of the MPS into 5 maturational stages (A, B, C, D, and E) according to suture morphology. Kappa test was used to test intra and inter-examiner agreement and the sign test was used to compare the results of this study with those from the original method. Statistical significance level was set at 0.05%. The kappa values for intra and inter-examiner agreement were 0.88 and 0.69, respectively. The modified method was able to evaluate the MPS maturation status and could demonstrate stages of maturation in more detail than the original method. Classification of the MPS maturation with the curved suture axial cut of this method is similar to the original method, with the advantage of allowing evaluation of maturation in the midline of the palate, even when the palate was curved and/or thick. \u0000Keywords: Sutures. Maxilla. Palatal Expansion Technique. \u0000Resumo \u0000Este estudo visou modificar o metodo para a obtencao de um corte axial da maxila, considerando a anatomia do palato, para avaliacao da maturacao da sutura palatina (SPM) e para comparar este metodo modificado com o original. A amostra foi composta de 84 tomografias computadorizadas (TCFC) de 40 meninos e 44 meninas, com idades entre 11 a 15 anos. Os arquivos foram exportados para o programa Nemotec Dental Studio, que foi usado para obter cortes axiais da maxila de modo a acompanhar a anatomia do palato, mantendo a cortical ossea vestibular e nasal centralizada e equidistante. Dois avaliadores previamente calibrados, classificaram as imagens axiais da SPM em 5 fases de maturacao (A, B, C, D, e E) de acordo com a morfologia da sutura. O Teste Kappa foi usado para testar concordância intra e inter-examinador e o teste do sinal foi utilizado para comparar os resultados deste estudo com os do metodo original. O nivel de significância estatistica foi de 0,05%. Os valores de kappa para concordância intra e inter-examinador foram 0,88 e 0,69, respectivamente. O metodo modificado foi capaz de avaliar o estagio de maturacao da SPM e pode demonstrar estagios de maturacao em mais detalhe do que o metodo original. A classificacao da maturacao da SPM com o corte axial curvo deste metodo e semelhante ao metodo original, com a vantagem de permitir a avaliacao da maturacao na linha media do palato, mesmo quando o palato for curvo e/ou espesso. \u0000Palavras-chave: Sut","PeriodicalId":15873,"journal":{"name":"Journal of Health Science","volume":"84 1","pages":"107-112"},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89592973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-06-30DOI: 10.17921/2447-8938.2020v22n2p171-176
T. Stocco, Y. Nakagima, Lorrane Nascimento dos Santos
Closed kinetic chain exercises have been employed in rehabilitation and muscle strengthening programs, such as squatting. During the movement of the squat dynamic valgus, a change that affects all kinematics of the lower limb, tends to become exacerbated, necessitating adaptations in order to minimize the biomechanical disorder. Although studies have shown the effectiveness of squatting exercises, there is a lack of evidence to demonstrate, comparatively, the effectiveness of different adaptations in the decrease of dynamic valgus. The objective of the study was to evaluate to identify the efficacy of different adaptations in squatting exercise in the reduction of dynamic valgus. Therefore, study volunteers (n = 30) performed three types of squats: free squatting, squatting with elastic band and squatting with verbal command. The dynamic valgus wasmeasured by the knee frontal plane projection angle during the squatting movements, through captured images and analyzed by the software Tracker and ImageJ. Despite more cases in women, in both sexes, free squatting presented greater cases of medicalization of the knee than in comparison to the other two adaptations. Although both squat adaptations presented positive results, only squatting with verbal command showed a significant reduction of the dynamic valgus pointing out that this is the best adaptation treated. Keywords: Genu Valgum. Exercise Therapy. Motor Activity. Resumo Exercicios de cadeia cinetica fechada vem sendo empregados em programas de reabilitacao e fortalecimento muscular, como e o caso do agachamento. Durante o movimento de agachamento o valgo dinâmico, alteracao que afeta toda cinematica do membro inferior, tende a se tornar exacerbado, sendo necessarias adaptacoes com o intuito de minimizar o disturbio biomecânico. Embora estudos tenham mostrado a eficacia dos exercicios de agachamento, faltam evidencias que demonstrem, comparativamente, a efetividade de diferentes adaptacoes na minimizacao do valgo dinâmico. O objetivo do estudo foi identificar a eficacia de diferentes adaptacoes na execucao do exercicio de agachamento na reducao do valgo dinâmico. Para tanto, os voluntarios do estudo (n=30) tres tipos de agachamentos: agachamento livre, agachamento com banda elastica e agachamento com comando verbal. O valgo dinâmico foi mensurado mediante o ângulo de projecao no plano frontal do joelho durante os movimentos de agachamento, atraves de imagens capturadas e posteriormente analisadas pelos softwares Tracker e ImageJ. Apesar de mais casos em mulheres, em ambos os sexos, o agachamento livre apresentou maiores casos de medicalizacao do joelho do que nas outras duas adaptacoes. Embora ambas adaptacoes de agachamento apresentaram resultados positivos, apenas o agachamento com comando verbal apresentou reducao significativa do valgo dinâmico, apontando ser esta a melhor adaptacao tratada. Palavras-chaves: Geno Valgo. Terapia por Exercicio. Atividade Motora.
闭合动力链练习已被用于康复和肌肉强化项目,如深蹲。在深蹲动态外翻的运动过程中,影响下肢所有运动学的变化往往会加剧,需要适应以尽量减少生物力学障碍。虽然有研究表明深蹲运动的有效性,但缺乏证据表明,相对而言,不同的适应在减少动态外翻方面的有效性。该研究的目的是评估和确定不同的适应下蹲运动在减少动态外翻的功效。因此,研究志愿者(n = 30)进行了三种类型的深蹲:自由深蹲、带松紧带深蹲和口头命令深蹲。采用深蹲运动时膝关节正面平面投影角度测量动态外翻,通过采集图像,利用Tracker和ImageJ软件进行分析。尽管在女性中有更多的病例,但与其他两种适应方式相比,自由下蹲更容易导致膝关节的医学化。虽然两种深蹲适应都有积极的结果,但只有口头指令下的深蹲能显著减少动态外翻,这表明这是最好的适应。关键词:缬草;运动疗法。运动的活动。简历练习(resume exerciciicis)是一种专业的电影技术训练项目,主要用于肌肉运动,肌肉运动,肌肉运动和肌肉运动。 mico - mico, alteracao que afeta toda cinematica do membro - inferior, tende - torar - exacerbado, sendo -必需品adaptacoes - comto直观地最小化干扰生物- mico - mico。对不同的适应性进行了比较,并对不同的适应性进行了有效的分析,从而使不同的适应性最小化。目的:探讨不同适应条件下不同运动方式对人体运动的影响。Para to, os voluntarios do estudo (n=30),三种形式的agachamentos: agachamento live, agachamento com bananda elastica, agachamento com comando verbal。O valgo dino microsofi mensurado mediante O ngulo de projecto no plano front do joelho durante O imimento de agachamento,图像捕获和图像分析的图像捕获和跟踪软件Tracker e ImageJ。这些主要原因包括:男性、女性、男性、女性、男性、女性、女性、女性、女性、女性、女性、女性、女性、女性、女性、女性和女性。Embora amtacoes de agachamento呈递阳性结果,agachamento呈递阳性结果,apbora amachamento呈递阳性结果,apbora amachamento呈递阳性结果,apbora amachamento呈递阳性结果,apbora amachamento呈递阳性结果,apbora amachamento呈递阳性结果。Palavras-chaves: Geno Valgo。运动障碍。Atividade Motora。
{"title":"Comparative Analysis of the Effect of the Different Adaptations of the Squat Exercise on the Knee Frontal Plane Projection Angle","authors":"T. Stocco, Y. Nakagima, Lorrane Nascimento dos Santos","doi":"10.17921/2447-8938.2020v22n2p171-176","DOIUrl":"https://doi.org/10.17921/2447-8938.2020v22n2p171-176","url":null,"abstract":"Closed kinetic chain exercises have been employed in rehabilitation and muscle strengthening programs, such as squatting. During the movement of the squat dynamic valgus, a change that affects all kinematics of the lower limb, tends to become exacerbated, necessitating adaptations in order to minimize the biomechanical disorder. Although studies have shown the effectiveness of squatting exercises, there is a lack of evidence to demonstrate, comparatively, the effectiveness of different adaptations in the decrease of dynamic valgus. The objective of the study was to evaluate to identify the efficacy of different adaptations in squatting exercise in the reduction of dynamic valgus. Therefore, study volunteers (n = 30) performed three types of squats: free squatting, squatting with elastic band and squatting with verbal command. The dynamic valgus wasmeasured by the knee frontal plane projection angle during the squatting movements, through captured images and analyzed by the software Tracker and ImageJ. Despite more cases in women, in both sexes, free squatting presented greater cases of medicalization of the knee than in comparison to the other two adaptations. Although both squat adaptations presented positive results, only squatting with verbal command showed a significant reduction of the dynamic valgus pointing out that this is the best adaptation treated. \u0000 \u0000Keywords: Genu Valgum. Exercise Therapy. Motor Activity. \u0000 \u0000Resumo \u0000Exercicios de cadeia cinetica fechada vem sendo empregados em programas de reabilitacao e fortalecimento muscular, como e o caso do agachamento. Durante o movimento de agachamento o valgo dinâmico, alteracao que afeta toda cinematica do membro inferior, tende a se tornar exacerbado, sendo necessarias adaptacoes com o intuito de minimizar o disturbio biomecânico. Embora estudos tenham mostrado a eficacia dos exercicios de agachamento, faltam evidencias que demonstrem, comparativamente, a efetividade de diferentes adaptacoes na minimizacao do valgo dinâmico. O objetivo do estudo foi identificar a eficacia de diferentes adaptacoes na execucao do exercicio de agachamento na reducao do valgo dinâmico. Para tanto, os voluntarios do estudo (n=30) tres tipos de agachamentos: agachamento livre, agachamento com banda elastica e agachamento com comando verbal. O valgo dinâmico foi mensurado mediante o ângulo de projecao no plano frontal do joelho durante os movimentos de agachamento, atraves de imagens capturadas e posteriormente analisadas pelos softwares Tracker e ImageJ. Apesar de mais casos em mulheres, em ambos os sexos, o agachamento livre apresentou maiores casos de medicalizacao do joelho do que nas outras duas adaptacoes. Embora ambas adaptacoes de agachamento apresentaram resultados positivos, apenas o agachamento com comando verbal apresentou reducao significativa do valgo dinâmico, apontando ser esta a melhor adaptacao tratada. \u0000Palavras-chaves: Geno Valgo. Terapia por Exercicio. Atividade Motora.","PeriodicalId":15873,"journal":{"name":"Journal of Health Science","volume":"157 1","pages":"171-176"},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83224577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Egbe, Antor O. Ndep, P. Imohi, Kingsley Obase, Frank Eyam, B. Edu
Introduction: A hotspot is a geographical location having evidence of high STIs/HIV prevalence, and/or behaviors that put people at high risk of becoming infected. Therefore, Nigeria, with almost two million people living with HIV, could be considered a giant “hotspot.” The main aim was to describe how the geospatial clustering of newly diagnosed HIV-infected adults in Cross River State helps define new “hotspots.”Methods: Secondary data collected between January 2020 and March 2020, identified and mapped around a presumed hotspot’s radius of influence (ROI), were analyzed using a “Hotspot Analysis” plugin in QGIS software. With a sample size of 3019, both seropositive and seronegative results were geo-referenced and the resultant map was analyzed to determine HIV-positive clusters.Results: From the 3019 spatial locations mapped, 720 (23.9%) were positive cases. Of these, 328 (45.6%) were thus estimated as being associated with the presumed hotspots. The remaining 392 (54.4%) were positive cases identified outside of the ROI of the originally presumed hotspots. The total number of mapped HIV testing services (HTS) points (both negative and positive cases) within the hotspot ROI was 1319, while those outside of the hotspot ROI were 1700.Conclusion: Unique hotspots where social gatherings occur tended to have a wider ROI. Targeted testing in these hard-to-reach communities is recommended.
{"title":"Geospatial clustering of newly diagnosed HIV infected adults in Cross River State helps define new “hotspots”","authors":"M. Egbe, Antor O. Ndep, P. Imohi, Kingsley Obase, Frank Eyam, B. Edu","doi":"10.17532/jhsci.2020.912","DOIUrl":"https://doi.org/10.17532/jhsci.2020.912","url":null,"abstract":"Introduction: A hotspot is a geographical location having evidence of high STIs/HIV prevalence, and/or behaviors that put people at high risk of becoming infected. Therefore, Nigeria, with almost two million people living with HIV, could be considered a giant “hotspot.” The main aim was to describe how the geospatial clustering of newly diagnosed HIV-infected adults in Cross River State helps define new “hotspots.”Methods: Secondary data collected between January 2020 and March 2020, identified and mapped around a presumed hotspot’s radius of influence (ROI), were analyzed using a “Hotspot Analysis” plugin in QGIS software. With a sample size of 3019, both seropositive and seronegative results were geo-referenced and the resultant map was analyzed to determine HIV-positive clusters.Results: From the 3019 spatial locations mapped, 720 (23.9%) were positive cases. Of these, 328 (45.6%) were thus estimated as being associated with the presumed hotspots. The remaining 392 (54.4%) were positive cases identified outside of the ROI of the originally presumed hotspots. The total number of mapped HIV testing services (HTS) points (both negative and positive cases) within the hotspot ROI was 1319, while those outside of the hotspot ROI were 1700.Conclusion: Unique hotspots where social gatherings occur tended to have a wider ROI. Targeted testing in these hard-to-reach communities is recommended.","PeriodicalId":15873,"journal":{"name":"Journal of Health Science","volume":"30 1","pages":"125-134"},"PeriodicalIF":0.0,"publicationDate":"2020-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81521831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
George Borja de Freitas, Pierre Gomes de Morais Silva, Jalber Almeida dos Santos, Luiz Roberto Coutinho Manhães Júnior, Paula Bernardon
Introduction: Dental surgeries involving structures adjacent to the mandibular canal require greater knowledge of the intraosseous path, anatomical structure, and its variables, reducing the risk of injuries to this region. This research aimed to verify on the panoramic radiographs the anatomical characteristics of the mandibular canal, as well as to analyze and classify its pathways.Methods: The classification of anatomical variations of the mandibular canal was divided into four types: Class A (inferior direction); Class B (mesial direction); Class C (alveolar direction); and Class D (retromolar direction). The sample consisted of 500 exams, 207 (41.4%) males and 293 (58.6%) females, with a mean age of 29.51 years.Results: A prevalence of 30 anatomical variations of the mandibular canal was observed. The most prevalent classifications were Class B (43.6%) followed by Class C (23.1%) and D (33.3%). In no case was the presence of bifid canals classified as Class A. The anatomical variations of the mandibular canal appeared both unilaterally and bilaterally, in which unilaterally the prevalence was on the left side (50%), on the right side (20%), and bilaterally (30%).Conclusions: According to the results obtained in this study, a prevalence of 6% of bifid mandibular canals was found. The most prevalent types of the bifid canal were Class B and Class D, and the highest occurrence of bifid mandibular canals was left unilateral. It is concluded that the appearance of mandibular canal anatomical variations in panoramic radiographs is frequent and that additional care must be taken to approach the region.
{"title":"Prevalence and classification of anatomical variations of mandibular canal in panoramic radiographies","authors":"George Borja de Freitas, Pierre Gomes de Morais Silva, Jalber Almeida dos Santos, Luiz Roberto Coutinho Manhães Júnior, Paula Bernardon","doi":"10.17532/jhsci.2020.888","DOIUrl":"https://doi.org/10.17532/jhsci.2020.888","url":null,"abstract":"Introduction: Dental surgeries involving structures adjacent to the mandibular canal require greater knowledge of the intraosseous path, anatomical structure, and its variables, reducing the risk of injuries to this region. This research aimed to verify on the panoramic radiographs the anatomical characteristics of the mandibular canal, as well as to analyze and classify its pathways.Methods: The classification of anatomical variations of the mandibular canal was divided into four types: Class A (inferior direction); Class B (mesial direction); Class C (alveolar direction); and Class D (retromolar direction). The sample consisted of 500 exams, 207 (41.4%) males and 293 (58.6%) females, with a mean age of 29.51 years.Results: A prevalence of 30 anatomical variations of the mandibular canal was observed. The most prevalent classifications were Class B (43.6%) followed by Class C (23.1%) and D (33.3%). In no case was the presence of bifid canals classified as Class A. The anatomical variations of the mandibular canal appeared both unilaterally and bilaterally, in which unilaterally the prevalence was on the left side (50%), on the right side (20%), and bilaterally (30%).Conclusions: According to the results obtained in this study, a prevalence of 6% of bifid mandibular canals was found. The most prevalent types of the bifid canal were Class B and Class D, and the highest occurrence of bifid mandibular canals was left unilateral. It is concluded that the appearance of mandibular canal anatomical variations in panoramic radiographs is frequent and that additional care must be taken to approach the region.","PeriodicalId":15873,"journal":{"name":"Journal of Health Science","volume":"2 1","pages":"133-138"},"PeriodicalIF":0.0,"publicationDate":"2020-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90886913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Natalia M. Velasco-Nieves, A. Fakoya, Shannon Matthew, Wirda Zafar, M. Zafar, Kevin Alonso Milla, Sushanth Yerra, Abayomi Gbolahan Afolabi, T. McCracken
Surgical procedures on the thyroid are usually complicated by damage to the parathyroid glands, the external branch of superior laryngeal nerves, inferior laryngeal nerves, and hematoma due to vascular injury and the chance of residual thyroid tissue being left in case of cancer and Graves' disease, and the presence of anatomical variations. In this study, we describe the presence of a levator glandulae thyroideae that could misguide surgeons during surgical procedures.
{"title":"Anatomical Variation of the Thyroid Gland - Levator glandulae thyroideae: A Case Report","authors":"Natalia M. Velasco-Nieves, A. Fakoya, Shannon Matthew, Wirda Zafar, M. Zafar, Kevin Alonso Milla, Sushanth Yerra, Abayomi Gbolahan Afolabi, T. McCracken","doi":"10.17532/jhsci.2020.904","DOIUrl":"https://doi.org/10.17532/jhsci.2020.904","url":null,"abstract":"Surgical procedures on the thyroid are usually complicated by damage to the parathyroid glands, the external branch of superior laryngeal nerves, inferior laryngeal nerves, and hematoma due to vascular injury and the chance of residual thyroid tissue being left in case of cancer and Graves' disease, and the presence of anatomical variations. In this study, we describe the presence of a levator glandulae thyroideae that could misguide surgeons during surgical procedures.","PeriodicalId":15873,"journal":{"name":"Journal of Health Science","volume":"83 1","pages":"173-175"},"PeriodicalIF":0.0,"publicationDate":"2020-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73423821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-05-28DOI: 10.17921/2447-8938.2020V22N1P24-30
Bernardo Pedro Matsimbe, César Milagres da Silva, L. Nhantumbo, Siomara Aparecida da Silva
Abstract The reference values are very useful to distinguish, in this case, the performance of coordination of technical skills and motor skills with ball, allowing an evaluation to be performed in order to help in the teaching-learning-training process. The aim of this study was to propose reference values of ball coordination of basketball-specific skills and motor skills for the teaching-learning-coaching process of the Mozambican children and youth athlete. A total of 165 young men and women aged 15 to 16 years old were evaluated, being 99 male (15.7±0.46) and 66 females (15.48±0.50). Of this universe, 30 athletes were an integral part of the national team under-16 teams that participated in the African Championship of Basketball (Afrobasket'2017) being 15 athletes by sex. For the motor skills evaluation (cardiopulmonary resistance), displacement velocity, abdominal strength and endurance, upper limb resistance, upper limb explosive force, static vertical propulsion, vertical propulsion with counter-movement, agility, flexibility; for coordination with ball pass, dribble, throw and defensive lateral slide tests were evaluated A significant (p˂0.05) effect of sex was evident in all tests except displacement velocity and throwing ability. Based on the results found, the reference values of motor skills and basketball-specific skills for the teaching-learning-coaching process of the Mozambican child-youth athlete were established according to gender and it was possible to find the sampled athletes within the proposed cut-off points. Keywords: Exercise. Physical Endurance. Athletes. Resumo Os valores de referencia sao de ampla utilidade por diferenciar, neste caso, o desempenho da coordenacao com bola das habilidades tecnicas e das capacidades motoras, permitindo que seja feita uma avaliacao de forma a auxiliar no processo de ensino-aprendizagem-treinamento. O objetivo deste estudo foi propor valores de referencia da coordenacao com bola das habilidades especificas do basquetebol e das capacidades motoras para o processo de ensino-aprendizagem-treinamento do atleta infanto-juvenil mocambicano. Foram avaliados 165 jovens de ambos os sexos com idade entre 15 e 16 anos, sendo 99 masculinos (15,7±0,46) e 66 femininos (15,48±0,50). Deste universo, 30 atletas eram parte integrante das selecoes nacionais de sub-16 que participaram do campeonato africano de basquetebol (Afrobasket´2017) sendo 15 atletas por sexo. Foram avaliadas as seguintes capacidades motoras (resistencia cardiorrespiratoria), velocidade de deslocamento, forca e resistencia abdominal, resistencia dos membros superiores, forca explosiva dos membros superiores, impulsao vertical estatico, impulsao vertical com contra movimento, agilidade, flexibilidade); e para a coordenacao com bola foram avaliadas as seguintes habilidades tecnicas (passe, drible, lancamento e deslize defensivo lateral). O sexo evidenciou um efeito significativo (p˂0,05) em todos os testes, exceto os testes de velo
摘要本案例中,参考值对于区分技术技能的协调性和带球运动技能的表现是非常有用的,可以进行评价,以帮助在教-学-训的过程中进行评价。本研究旨在探讨莫三比克青少年运动员篮球专项技术和运动技能的球协调对其教-学-教过程的参考价值。共对165例15 ~ 16岁青年男女进行评估,其中男性99例(15.7±0.46),女性66例(15.48±0.50)。在这个世界中,30名运动员是参加非洲篮球锦标赛(Afrobasket'2017)的国家队16岁以下代表队的组成部分,按性别划分为15名运动员。用于运动技能评价(心肺阻力)、位移速度、腹部力量和耐力、上肢阻力、上肢爆发力、静态垂直推进、垂直推进与反运动、敏捷性、柔韧性;在传球、运球、投掷和防守侧滑的协调性测试中,除位移速度和投掷能力外,性别对所有测试的影响均显著(p小于0.05)。根据所发现的结果,根据性别确定了莫桑比克儿童青少年运动员的运动技能和篮球专项技能在教学-学习-教练过程中的参考值,并且可以在建议的截断点内找到抽样运动员。关键词:运动。身体的耐力。运动员。参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:参考价值:前言:目的探讨青少年篮球运动员运动能力、运动能力、运动员运动能力、运动员运动能力、运动员运动能力、运动员运动能力、运动员运动能力、运动员运动能力、运动员运动能力、运动员运动能力、运动员运动能力、运动员运动能力、运动员运动能力、运动员运动能力、运动员运动能力、运动员运动能力、运动员运动能力、运动员运动能力、运动员运动能力、运动员运动能力、运动员运动能力、运动员运动能力、运动员运动能力、运动员运动能力、运动员运动能力、运动员运动能力、运动员运动能力、运动员运动能力、运动员运动能力、运动员运动能力、运动员运动能力、运动员运动能力、运动员运动能力、运动员运动能力、运动员运动能力、运动员运动能力、运动员运动能力、运动员运动能力、运动员运动能力等。有孔虫165只,男性99只(15.7±0.46),女性66只(15.48±0.50)。在全球范围内,30名运动员参加了非洲篮球比赛(affrobasket´2017),参加了15名运动员参加了非洲篮球比赛。有孔肺活肿和有孔肺活肿(心肺阻力)、脱位速度、腹部阻力、上膜阻力、上膜爆发力、垂直静止冲力、垂直反运动冲力、敏捷性、柔韧性);E para a coordination acao(协调、协调、协调、协调、协调、协调、协调、协调、协调、协调、协调、协调、协调、协调、协调、协调、协调、协调、协调。O sexo evidenciou嗯efeito significativo (p˂0 05)em todos os睾丸,睾丸exceto os de velocidade de deslocamento e habilidade de lancamento。一个参与方的结果是“结果”、“价值”、“参考”、“能力”、“能力”、“特殊”、“篮球”、“训练”、“训练”、“训练”、“训练”、“训练”、“训练”、“训练”、“训练”、“训练”、“训练”、“训练”、“训练”、“训练”、“训练”、“训练”、“训练”、“训练”、“训练”。Palavras-chave: Exercicio。雷西斯滕西亚运动。Atletas。
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Pub Date : 2020-05-28DOI: 10.17921/2447-8938.2020V22N1P18-23
Paulo Cardoso Lins Filho, Danielle Ferreira Sobral de Souza, Rafael Antonio de Oliveira Ribeiro, P. Nascimento, Alexandre Batista Lopes do Nascimento, H. Teixeira
Abstract The purpose of this study was to clinically evaluate the bond systems Adper Single Bond 2 (3M ESPE) and Ambar (FGM) associated or not with previous dentin treatment with grape seed extract (Vitis vinifera) for cervical dentin hypersensitivity (HD) treatment. To evaluate dental sensitivity degree tactile and evaporative stimuli were used. After stimuli exposure patients were asked to associate sensitivity experienced to a verbal pain scale, ranging from zero to three. Twenty patients were pre-selected, among which 10 were invited to participate in the study according to inclusion criteria, from those patients were evaluated an amount of 20 teeth with HD, which were classified according to the degree of sensitivity presented, following: Grade 1 = 8 (40%), Grade 2 = 6 (30%) and Grade 3 = 6 (30%). Teeth were randomly distributed among the 4 material groups evaluated, so that each group had n = 5. After bond application, the sample was reexposed to stimuli for up to 3 weeks. Significant reduction in pain sensitivity was observed in all four groups, all materials showed immediate and up to 3 weeks efficacy in HD control. It is possible to conclude that the products tested were able to satisfactorily control cervical dentin hypersensitivity. Keywords: Dentin Sensitivity. Adhesives. Grape Seed Extract. Resumo O objetivo do presente estudo foi avaliar clinicamente os sistemas adesivos convencionais Adper Single Bond 2 (3M ESPE) e Ambar (FGM) associados ou nao ao tratamento previo da dentina com extrato de semente de uva (Vitis vinifera) rico em proantocianidinas no controle da hipersensibilidade dentinaria (HD) cervical. Para avaliar os graus de sensibilidade dentinaria foram utilizados estimulos mecânico e evaporativo. Em seguida a exposicao aos estimulos os pacientes associavam a sensibilidade experienciada a um dos graus de uma escala verbal de dor, variando de zero a tres. Foram triados 20 pacientes, dentre os quais 10 tornaram-se elegiveis para participacao na pesquisa de acordo com criterios de inclusao pre-estabelecidos, destes pacientes foram avaliados na pesquisa 20 dentes com HD, estes foram classificados de acordo com o grau de sensibilidade apresentado, resultando na seguinte distribuicao: Grau 1 = 8 (40%), Grau 2 = 6 (30%) e Grau 3 = 6 (30%). Os dentes foram distribuidos de forma aleatoria entre os 4 grupos de materiais avaliados, de modo que cada grupo tivesse n=5. Apos a aplicacao dos materiais foi feito o controle com reexposicao aos estimulos por ate 3 semanas. Foi observada diminuicao significativa da sensibilidade dolorosa em todos os quatro grupos, todos os materiais mostraram eficacia imediata e ate 3 semanas no controle de HD. Podemos concluir que os produtos testados foram capazes de controlar satisfatoriamente a hipersensibilidade dentinaria cervical. Palavras-chave: Sensibilidade da Dentina. Adesivos. Extrato de Sementes de Uva.
摘要本研究的目的是临床评价黏结系统Adper Single bond 2 (3M ESPE)和Ambar (FGM)是否与既往用葡萄籽提取物(Vitis vinifera)治疗牙本质过敏(HD)相关。采用触觉刺激和蒸发刺激评价牙敏程度。在刺激暴露后,患者被要求将他们所经历的敏感性与口头疼痛量表联系起来,范围从0到3。预选20例患者,其中10例根据纳入标准被邀请参加研究,从这些患者中评估20颗HD牙的数量,根据所呈现的敏感性程度进行分类:1级= 8(40%),2级= 6(30%),3级= 6(30%)。将牙齿随机分配到评估的4个材料组中,每组n = 5。粘合后,样品再次暴露于刺激长达3周。在所有四组中均观察到疼痛敏感性的显著降低,所有材料在HD控制中均显示出即时和长达3周的疗效。这是可能的结论,产品测试能够令人满意地控制颈牙本质过敏。关键词:牙本质敏感性;粘合剂。葡萄籽提取物。摘要:目的探讨常规牙周炎单键2 (3M ESPE)和Ambar (FGM)联合治疗牙周炎前病变、乳牙炎(Vitis vinifera)、乳牙炎前病变、乳牙炎前病变、乳牙炎前病变、乳牙炎前病变、乳牙炎前病变(HD)的临床疗效。帕拉avaliar os格劳de sensibilidade dentinaria有孔虫utilizados estimulos mecanico e evaporativo。对患者的感知体验、感知体验、感知体验、感知体验、感知体验、感知体验、感知体验、感知体验、感知体验、感知体验、感知体验、感知体验、感知体验、感知体验、感知体验、感知体验、感知体验、感知体验、感知体验、感知体验、感知体验、感知体验、感知体验。有孔虫20例,有孔虫10例,有孔虫20例,有孔虫20例,有孔虫20例,有孔虫20例,有孔虫20例,有孔虫20例,有孔虫分类,有孔虫20例,有孔虫分类,有孔虫30例,有孔虫30例,有孔虫1例= 8例(40%),有孔虫2例= 6例(30%),有孔虫3例= 6例(30%)。3个有孔分布的有孔分布的有孔分布的有孔分布的有孔分布的有孔分布的有孔分布的有孔分布的有孔分布的有孔分布的有孔分布的有孔分布的有孔分布的有孔分布的有孔分布的有孔分布的有孔分布的有孔分布的有孔分布的有孔分布的有孔分布。Apos是一种应用程序,可用于控制com的再暴露,并可用于估计3种信号。结果表明:四分之一组的数据敏感性显著降低,四分之一组的数据敏感性最高,三分之一组的数据敏感性最高,三分之一组的数据敏感性最高。我们的结论是,我们的产品睾丸有孔的capazes控制满意的高敏感性牙龈炎颈椎病。牙本质敏感。Adesivos。extra de Sementes de Uva。
{"title":"Evaluation of Bond Systems Associated or not to Grape Seed Proanthocyanidin in Cervical Dentinary Hypersensitivity Control","authors":"Paulo Cardoso Lins Filho, Danielle Ferreira Sobral de Souza, Rafael Antonio de Oliveira Ribeiro, P. Nascimento, Alexandre Batista Lopes do Nascimento, H. Teixeira","doi":"10.17921/2447-8938.2020V22N1P18-23","DOIUrl":"https://doi.org/10.17921/2447-8938.2020V22N1P18-23","url":null,"abstract":"Abstract \u0000The purpose of this study was to clinically evaluate the bond systems Adper Single Bond 2 (3M ESPE) and Ambar (FGM) associated or not with previous dentin treatment with grape seed extract (Vitis vinifera) for cervical dentin hypersensitivity (HD) treatment. To evaluate dental sensitivity degree tactile and evaporative stimuli were used. After stimuli exposure patients were asked to associate sensitivity experienced to a verbal pain scale, ranging from zero to three. Twenty patients were pre-selected, among which 10 were invited to participate in the study according to inclusion criteria, from those patients were evaluated an amount of 20 teeth with HD, which were classified according to the degree of sensitivity presented, following: Grade 1 = 8 (40%), Grade 2 = 6 (30%) and Grade 3 = 6 (30%). Teeth were randomly distributed among the 4 material groups evaluated, so that each group had n = 5. After bond application, the sample was reexposed to stimuli for up to 3 weeks. Significant reduction in pain sensitivity was observed in all four groups, all materials showed immediate and up to 3 weeks efficacy in HD control. It is possible to conclude that the products tested were able to satisfactorily control cervical dentin hypersensitivity. \u0000Keywords: Dentin Sensitivity. Adhesives. Grape Seed Extract. \u0000Resumo \u0000O objetivo do presente estudo foi avaliar clinicamente os sistemas adesivos convencionais Adper Single Bond 2 (3M ESPE) e Ambar (FGM) associados ou nao ao tratamento previo da dentina com extrato de semente de uva (Vitis vinifera) rico em proantocianidinas no controle da hipersensibilidade dentinaria (HD) cervical. Para avaliar os graus de sensibilidade dentinaria foram utilizados estimulos mecânico e evaporativo. Em seguida a exposicao aos estimulos os pacientes associavam a sensibilidade experienciada a um dos graus de uma escala verbal de dor, variando de zero a tres. Foram triados 20 pacientes, dentre os quais 10 tornaram-se elegiveis para participacao na pesquisa de acordo com criterios de inclusao pre-estabelecidos, destes pacientes foram avaliados na pesquisa 20 dentes com HD, estes foram classificados de acordo com o grau de sensibilidade apresentado, resultando na seguinte distribuicao: Grau 1 = 8 (40%), Grau 2 = 6 (30%) e Grau 3 = 6 (30%). Os dentes foram distribuidos de forma aleatoria entre os 4 grupos de materiais avaliados, de modo que cada grupo tivesse n=5. Apos a aplicacao dos materiais foi feito o controle com reexposicao aos estimulos por ate 3 semanas. Foi observada diminuicao significativa da sensibilidade dolorosa em todos os quatro grupos, todos os materiais mostraram eficacia imediata e ate 3 semanas no controle de HD. Podemos concluir que os produtos testados foram capazes de controlar satisfatoriamente a hipersensibilidade dentinaria cervical. \u0000Palavras-chave: Sensibilidade da Dentina. Adesivos. Extrato de Sementes de Uva.","PeriodicalId":15873,"journal":{"name":"Journal of Health Science","volume":"27 1","pages":"18-23"},"PeriodicalIF":0.0,"publicationDate":"2020-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73086499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-05-28DOI: 10.17921/2447-8938.2020V22N1P48-55
Eloise Werle de Almeida, Bruno Marson Malagodi, A. Carraro, Marcia Greguol
Abstract The climacteric period is characterized by a series of hormonal changes that can result in the gain of adipose tissue and generate symptoms such as hot flashes, excessive sweating and psychological disorders. However, it is not clear yet how this process occurs in women with visual impairment. Thus, this study evaluated the body composition, physical activity level and climacteric symptoms in women with visual impairment. For this, 19 women answered questionnaires to evaluate the habitual practice of physical activity and the characteristics and symptoms of climacteric and menopause. Anthropometric variables and body composition were also evaluated. The data were treated by means of descriptive statistics, Student's t-test and Pearson's correlation test, adopting a significance level of 5% (p <0.05). As a result, the majority of the participants were classified as active, however, the means of Body mass index, abdominal circumference and fat percentage were above the recommended health parameters. The climacteric symptoms presented by women with visual impairment were similar to the complaints of women without disabilities. Some physical symptoms such as dizziness, headaches, muscle and joint pain may have a greater influence of factors related to visual impairment, such as high muscle tone to maintain posture, and therefore deserve special attention. It reinforces the need for greater dissemination of information for visually impaired women so that they be informed and deal more positively with the climacteric and menopause phases. Keywords: Climacteric. Disease Prevention. Women's Health. Resumo O periodo do climaterio caracteriza-se por uma serie de alteracoes hormonais que podem resultar no ganho de tecido adiposo e gerar sintomas como ondas de calor, sudorese excessiva e desordens psicologicas. No entanto, ainda nao e claro como este processo acontece nas mulheres com deficiencia visual. Assim, esta pesquisa avaliou a composicao corporal, o nivel de atividade fisica e os sintomas do climaterio em mulheres com deficiencia visual. Para isso, 19 mulheres responderam questionarios para avaliacao da pratica habitual de atividade fisica e das caracteristicas e sintomas do climaterio e menopausa. Foram tambem avaliadas variaveis antropometricas e composicao corporal. Os dados foram tratados por meio de estatistica descritiva, teste t-student e teste de correlacao de Pearson, adotando-se significância de 5% (p < 0,05). Como resultados, a maioria das participantes foi classificada como ativa, no entanto, as medias de Indice de Massa Corporal, circunferencia abdominal e percentual de gordura estavam acima dos parâmetros recomendados para a saude. Os sintomas do climaterio apresentados pelas mulheres com deficiencia visual foram semelhantes as queixas das mulheres sem deficiencia. Alguns sintomas fisicos como tonturas, dores de cabeca, musculares e articulares podem ter maior influencia de fatores relacionados a deficiencia visual, como
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Abstract Duchenne Muscular Dystrophy (DMD) is the most common type of dystrophy. The care provided to the patient with DMD is exhausting and can affect the quality of life (QoL) of caregivers. The objective of the study was to describe the QoL of family caregivers of patients with DMD, relating to sociodemographic and clinical aspects of the patients. This is a cross-sectional quantitative study performed at a rehabilitation institution in Goiânia, Goias. The sample consisted of 30 family caregivers and their patients with DMD. The instruments applied were: sociodemographic questionnaire; Scale Vignos; and Quality of Life Measure of the World Health Organization (WHOQOLbref). The mean age of the caregivers was 39.20 and the patients were 14.07 years. Most of the caregivers were female, had primary or secondary education. Symptoms of the disease began on average at 3.87 years of age. The mean score in the Vignos Scale was 7.13. The psychological domain of the WHOQOLbref had the highest mean (66.11%) and the lowest environment (55.52%). There was a negative correlation between the age of onset of symptoms and the psychological domain (r = -0.44; p = 0.01). There was a significant relationship between the transport medium and the environment domain (p = 0.05). Family caregivers present moderate QOL. The earlier the patients initiate the more favorable symptoms is the psychological aspect of the caregiver's QOL, suggesting that the earlier the diagnosis is the better the caregiver's QoL. Keywords: Quality of Life. Caregivers. Muscular Dystrophy, Duchenne. Resumo A Distrofia Muscular de Duchenne (DMD) e o tipo de distrofia mais comum. O cuidado prestado ao paciente com DMD e desgastante e pode afetar a qualidade de vida (QV) dos cuidadores. O estudo teve como objetivo descrever a QV de cuidadores familiares de pacientes com DMD, relacionando com aspectos sociodemograficos e clinicos dos pacientes. Trata-se de um estudo quantitativo, transversal, realizado em uma instituicao de reabilitacao de Goiânia - Goias. A amostra foi composta por 30 cuidadores familiares e seus pacientes com DMD. Os instrumentos aplicados foram: questionario sociodemografico; Escala Vignos; e Medida de Qualidade de Vida da Organizacao Mundial de Saude (WHOQOL- bref). A media de idade dos cuidadores foi de 39,20 e dos pacientes de 14,07 anos. A maioria dos cuidadores era do sexo feminino, possuia ensino fundamental ou medio. Os sintomas da doenca iniciaram em media com 3,87 anos de idade. A media da pontuacao na Escala Vignos foi de 7,13. O dominio psicologico do WHOQOL- bref apresentou maior media (66,11%) e o meio ambiente a menor (55,52%). Houve correlacao negativa entre a idade de inicio dos sintomas e o dominio psicologico (r=-0,44;p=0,01). Houve relacao significativa entre o meio de transporte e o dominio meio-ambiente (p=0,05). Os cuidadores familiares apresentam moderada QV. Quanto mais cedo os pacientes iniciam os sintomas mais favoravel e o aspecto psicologico da QV
杜氏肌营养不良症(DMD)是最常见的营养不良类型。为DMD患者提供的护理是令人筋疲力尽的,并可能影响护理者的生活质量(QoL)。本研究的目的是描述DMD患者的家庭照顾者的生活质量,涉及患者的社会人口学和临床方面。这是一项横断面定量研究,在戈亚斯州goi尼亚的一家康复机构进行。样本包括30名家庭照顾者及其DMD患者。采用的工具有:社会人口调查问卷;Vignos规模;和世界卫生组织(WHOQOLbref)的生活质量衡量标准。护理人员平均年龄39.20岁,患者平均年龄14.07岁。大多数照顾者是受过小学或中学教育的女性。这种疾病的症状平均开始于3.87岁。Vignos量表平均得分为7.13分。WHOQOLbref的心理域均值最高(66.11%),环境域最低(55.52%)。出现症状的年龄与心理领域呈负相关(r = -0.44;P = 0.01)。输运介质与环境域之间存在显著相关关系(p = 0.05)。家庭照护者生活质量中等。患者越早出现症状,照顾者生活质量的心理方面越有利,提示越早诊断照顾者生活质量越好。关键词:生活质量;护理人员。肌肉萎缩症,杜氏症。resume A distribufia Muscular de Duchenne (DMD)是一种常见的分布性肌肉。在QV (quality - de - vida)指南指南之后,指南指南的内容将被删除。本研究的共同目的是探讨糖尿病患者的亲属关系、社会人口学与临床患者的关系和关系方面的QV指导。定量的、横向的、可实现的、可实现的、可实现的、可实现的、可实现的、可实现的、可实现的、可实现的、可实现的。一个由30名熟悉DMD的患者组成的小组。应用工具:社会人口问题;Escala Vignos;(e)世界卫生组织生活质量媒体(WHOQOL-简称)。一个媒体组织为39,20人提供了指导,为14,07人提供了患者。大多数人都是女性主义者,可能是女性主义者,也可能是女性主义者。该公司的数据显示,在2013年,该公司在中国的媒体数量为3,87。2013年7月7日,埃斯卡拉·维格诺斯的一份媒体报告。WHOQOL-简要介绍了主要媒体(66,11%)和主要媒体(55,52%)。患者的心理健康状况与患者的心理健康状况呈负相关(r=-0,44;p= 0.01)。有相对显著的中心,以交通运输和管理的环境(p=0,05)。我们的指导老师熟悉现代的QV。QV对患者的临床诊断有重要意义,QV对患者的临床诊断有重要意义,QV对患者的临床诊断有重要意义,QV对患者的诊断有重要意义。palavras - have: Vida资格赛。Cuidadores。杜氏肌肉分布。
{"title":"Quality of Life of Family Caregivers of Patients with Duchenne Muscular Dystrophy","authors":"Lorrane Caroline de Oliveira, Iriana Moraes Eduardo, Thaísa Fernandes Souza, Lorena Gomes de Medeiros, Cejane Oliveira Martins Prudente, Maysa Ferreira Martins Ribeiro","doi":"10.17921/2447-8938.2020V22N1P56-60","DOIUrl":"https://doi.org/10.17921/2447-8938.2020V22N1P56-60","url":null,"abstract":"Abstract \u0000Duchenne Muscular Dystrophy (DMD) is the most common type of dystrophy. The care provided to the patient with DMD is exhausting and can affect the quality of life (QoL) of caregivers. The objective of the study was to describe the QoL of family caregivers of patients with DMD, relating to sociodemographic and clinical aspects of the patients. This is a cross-sectional quantitative study performed at a rehabilitation institution in Goiânia, Goias. The sample consisted of 30 family caregivers and their patients with DMD. The instruments applied were: sociodemographic questionnaire; Scale Vignos; and Quality of Life Measure of the World Health Organization (WHOQOLbref). The mean age of the caregivers was 39.20 and the patients were 14.07 years. Most of the caregivers were female, had primary or secondary education. Symptoms of the disease began on average at 3.87 years of age. The mean score in the Vignos Scale was 7.13. The psychological domain of the WHOQOLbref had the highest mean (66.11%) and the lowest environment (55.52%). There was a negative correlation between the age of onset of symptoms and the psychological domain (r = -0.44; p = 0.01). There was a significant relationship between the transport medium and the environment domain (p = 0.05). Family caregivers present moderate QOL. The earlier the patients initiate the more favorable symptoms is the psychological aspect of the caregiver's QOL, suggesting that the earlier the diagnosis is the better the caregiver's QoL. \u0000Keywords: Quality of Life. Caregivers. Muscular Dystrophy, Duchenne. \u0000Resumo \u0000A Distrofia Muscular de Duchenne (DMD) e o tipo de distrofia mais comum. O cuidado prestado ao paciente com DMD e desgastante e pode afetar a qualidade de vida (QV) dos cuidadores. O estudo teve como objetivo descrever a QV de cuidadores familiares de pacientes com DMD, relacionando com aspectos sociodemograficos e clinicos dos pacientes. Trata-se de um estudo quantitativo, transversal, realizado em uma instituicao de reabilitacao de Goiânia - Goias. A amostra foi composta por 30 cuidadores familiares e seus pacientes com DMD. Os instrumentos aplicados foram: questionario sociodemografico; Escala Vignos; e Medida de Qualidade de Vida da Organizacao Mundial de Saude (WHOQOL- bref). A media de idade dos cuidadores foi de 39,20 e dos pacientes de 14,07 anos. A maioria dos cuidadores era do sexo feminino, possuia ensino fundamental ou medio. Os sintomas da doenca iniciaram em media com 3,87 anos de idade. A media da pontuacao na Escala Vignos foi de 7,13. O dominio psicologico do WHOQOL- bref apresentou maior media (66,11%) e o meio ambiente a menor (55,52%). Houve correlacao negativa entre a idade de inicio dos sintomas e o dominio psicologico (r=-0,44;p=0,01). Houve relacao significativa entre o meio de transporte e o dominio meio-ambiente (p=0,05). Os cuidadores familiares apresentam moderada QV. Quanto mais cedo os pacientes iniciam os sintomas mais favoravel e o aspecto psicologico da QV","PeriodicalId":15873,"journal":{"name":"Journal of Health Science","volume":"14 1","pages":"56-60"},"PeriodicalIF":0.0,"publicationDate":"2020-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87383370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-05-28DOI: 10.17921/2447-8938.2020V22N1P61-71
D. D. Nascimento, B. Petriz, Larissa Prego, S. A. Souza, J. Prestes
Abstract Blood flow restriction (BFR) exercise is an effective approach for increasing muscle mass and muscle strength. However, it remains unclear if the magnitude of those positive adaptations will lead to similar responses for hemodynamic variables in hypertensive subjects. The present systematic review aimed to assess the effects of exercise with and without BFR on acute and chronic hemodynamic and cardiovascular responses in hypertensive subjects. Studies published between 2000 and 2019 were included. Randomized controlled trials (RCTs) and non-randomized trials (NRCTs) which evaluated hemodynamic and cardiovascular response in hypertensive subjects practicing exercise with BFR or those comparing hemodynamic and cardiovascular response during exercise with and without BFR were also eligible. A literature research of English and non-English-language articles for review was conducted across PubMed and Science Direct databases, including reference lists of relevant papers. Level of evidence was determined according to the criteria described by Oxford Center for Evidence-Based Medicine. In addition, risk of bias was assessed using the modified version of Downs and Black checklist. Four studies were included involving 60 participants; from those, three were NRCTs and one was a RCT. Three studies included in this review evaluated the effect of resistance training with and without BFR and only one the effect of aerobic exercise. The score on Downs and Black checklist was 11. The main findings were that the included patients’ characteristics were not clearly reported, and all the revised studies contained significant methodological limitations. Thus, all studies were classified as being of poor methodological quality. In addition, the evidence level provided in all the revised studies was level IIb only (i.e. poor-quality studies). Considering the limited available evidence, no definitive recommendation about BFR exercise in hypertensive subjects can be addressed due to the weak methodological design of the studies. Keywords: Resistance Training. Hypertension. Vascular Occlusion. Blood Flow Restriction. Resumo O exercicio fisico com restricao do fluxo sanguineo (RFS) e uma abordagem eficaz para o aumento da massa muscular e forca muscular. No entanto, ainda nao esta claro se a magnitude dessas adaptacoes positivas levara a respostas semelhantes para as variaveis hemodinâmicas e cardiovasculares em individuos hipertensos. A presente revisao sistematica objetivou avaliar os efeitos do exercicio fisico com e sem RFS sobre respostas hemodinâmicas e cardiovasculares agudas e cronicas em hipertensos. Estudos publicados entre 2000 e 2019 foram incluidos. Ensaios clinicos randomizados e nao-randomizados em que avaliaram a resposta hemodinâmica e cardiovascular em hipertensos que praticavam exercicio fisico com RFS ou aqueles que compararam a resposta hemodinâmica e cardiovascular durante o exercicio com e sem RFS tambem foram elegiveis. Uma pesquisa bi
血流量限制(BFR)运动是增加肌肉质量和肌肉力量的有效方法。然而,目前尚不清楚这些积极适应的程度是否会导致高血压受试者血液动力学变量的类似反应。本系统综述旨在评估有和没有BFR的运动对高血压受试者急性和慢性血流动力学和心血管反应的影响。纳入了2000年至2019年发表的研究。随机对照试验(rct)和非随机试验(NRCTs)评估高血压受试者在使用BFR进行运动时的血流动力学和心血管反应,或比较使用和不使用BFR进行运动时的血流动力学和心血管反应。通过PubMed和Science Direct数据库对英文和非英文文章进行文献研究,包括相关论文的参考文献列表。证据水平是根据牛津循证医学中心描述的标准确定的。此外,使用改良版Downs和Black检查表评估偏倚风险。包括四项研究,涉及60名参与者;其中3个是nrct, 1个是随机对照试验。本综述中包括的三项研究评估了有和没有BFR的阻力训练的效果,而有氧运动的效果只有一项。在Downs和Black检查表上得分是11分。主要发现是纳入的患者的特征没有明确的报道,所有修订的研究都存在显著的方法学局限性。因此,所有研究都被归类为方法学质量差的研究。此外,所有修订研究提供的证据水平仅为IIb级(即低质量研究)。考虑到现有的证据有限,由于研究的方法学设计薄弱,对高血压受试者进行BFR运动没有明确的建议。关键词:抗阻训练;高血压血管闭塞。血流限制。resume (resume) O (exercise ficicio) O (exercise fiscal) O (exercise fiscal) O (limit) O (flux blood blood, RFS) O (blood blood blood) O (blood blood blood) O (blood blood blood) O (blood blood blood)因此,在高血压患者中,不同类型的血凝素、血凝素、心血管疾病患者对左旋阳性反应的适应程度不同。本研究的目的是探讨运动对高血压患者血液代谢、心血管疾病和心血管疾病反应的影响。Estudos publicados entre 2000和2019论坛包括。临床随机对照研究:随机对照研究:心血管高血压患者的血管内皮素与反应性血液流变学研究;临床随机对照研究:运动血管内皮素与反应性血液流变学研究;运动血管内皮素与反应性血液流变学研究;本文对《公共医学与科学指南》的文献基础进行了修订,包括文献相关参考文献列表。牛津循证医学中心(Oxford Center for Evidence-Based Medicine)的研究人员描述说,没有证据表明,在诊断和诊断标准方面存在缺陷。因此,一个合格的资格证书的资格证书的有效性,并提出了一个反修改的数据列表,以核实唐斯和布莱克。论坛包括四分之一的工作室,涉及60名参与者。然而,临床随机化和非随机化之间的关系,在临床随机化和非随机化之间存在一定的差异。这些研究包括:室内运动、室内运动、室内运动、室内运动、室内运动、室内运动、室内运动、室内运动、室内运动。11月11日,唐斯和布莱克的一份名单上列出了一份核实名单。本研究的主要内容是研究过程的特点,包括研究过程的特点、研究过程的修正、研究方法的局限性和方法的重要性。在此基础上,提出了一种新的分类方法。因此,我们没有证据表明,我们有必要对我们的研究成果进行修订,并对我们的研究成果进行修订(我们的研究成果,我们的研究成果)。Considerando作为poucas evidencias disponiveis, nenhuma recomendacao definitiva尤其o exercicio达到com RFS em individuos hipertensos颇得ser abordada devido ao fraco desenho metodologico dos estudos。palavras - have: Treinamento resistdo。Hypertensao。Oclusao血管。对Fluxo Sanguineo进行限制。
{"title":"Effects of Blood Flow Restriction Exercise on Hemodynamic and Cardiovascular Response in Hypertensive Subjects: a systematic review","authors":"D. D. Nascimento, B. Petriz, Larissa Prego, S. A. Souza, J. Prestes","doi":"10.17921/2447-8938.2020V22N1P61-71","DOIUrl":"https://doi.org/10.17921/2447-8938.2020V22N1P61-71","url":null,"abstract":"Abstract \u0000Blood flow restriction (BFR) exercise is an effective approach for increasing muscle mass and muscle strength. However, it remains unclear if the magnitude of those positive adaptations will lead to similar responses for hemodynamic variables in hypertensive subjects. The present systematic review aimed to assess the effects of exercise with and without BFR on acute and chronic hemodynamic and cardiovascular responses in hypertensive subjects. Studies published between 2000 and 2019 were included. Randomized controlled trials (RCTs) and non-randomized trials (NRCTs) which evaluated hemodynamic and cardiovascular response in hypertensive subjects practicing exercise with BFR or those comparing hemodynamic and cardiovascular response during exercise with and without BFR were also eligible. A literature research of English and non-English-language articles for review was conducted across PubMed and Science Direct databases, including reference lists of relevant papers. Level of evidence was determined according to the criteria described by Oxford Center for Evidence-Based Medicine. In addition, risk of bias was assessed using the modified version of Downs and Black checklist. Four studies were included involving 60 participants; from those, three were NRCTs and one was a RCT. Three studies included in this review evaluated the effect of resistance training with and without BFR and only one the effect of aerobic exercise. The score on Downs and Black checklist was 11. The main findings were that the included patients’ characteristics were not clearly reported, and all the revised studies contained significant methodological limitations. Thus, all studies were classified as being of poor methodological quality. In addition, the evidence level provided in all the revised studies was level IIb only (i.e. poor-quality studies). Considering the limited available evidence, no definitive recommendation about BFR exercise in hypertensive subjects can be addressed due to the weak methodological design of the studies. \u0000Keywords: Resistance Training. Hypertension. Vascular Occlusion. Blood Flow Restriction. \u0000Resumo \u0000O exercicio fisico com restricao do fluxo sanguineo (RFS) e uma abordagem eficaz para o aumento da massa muscular e forca muscular. No entanto, ainda nao esta claro se a magnitude dessas adaptacoes positivas levara a respostas semelhantes para as variaveis hemodinâmicas e cardiovasculares em individuos hipertensos. A presente revisao sistematica objetivou avaliar os efeitos do exercicio fisico com e sem RFS sobre respostas hemodinâmicas e cardiovasculares agudas e cronicas em hipertensos. Estudos publicados entre 2000 e 2019 foram incluidos. Ensaios clinicos randomizados e nao-randomizados em que avaliaram a resposta hemodinâmica e cardiovascular em hipertensos que praticavam exercicio fisico com RFS ou aqueles que compararam a resposta hemodinâmica e cardiovascular durante o exercicio com e sem RFS tambem foram elegiveis. Uma pesquisa bi","PeriodicalId":15873,"journal":{"name":"Journal of Health Science","volume":"66 1","pages":"61-71"},"PeriodicalIF":0.0,"publicationDate":"2020-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83852084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}