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Acute Effect of Vertebral Manipulation Technique on the Autonomic Nervous System 椎体手法对自主神经系统的急性影响
Pub Date : 2024-01-01 DOI: 10.52600/2965-0968.bjcmr.2023.2.3.3-11
Ana Paula de Oliveira Marques, Carlos Eduardo Damasceno Lima, Lidiane Gomes da Silva, Lucivana de Sena Alves, José Evaldo Gonçalves Lopes Júnior, Edfranck Sousa Oliveira Vanderlei, E. D. Almeida e Neves
The term "stress" refers to the state induced by perceiving stimuli that trigger emotional and hormonal responses in the body's balance. In acute stress situations, adrenaline, neurotransmitters, and cortisol are released, causing systemic changes and physiological disruptions, keeping the body alert. Heart rate variability assesses the autonomic nervous system. Joint manipulation, involving high-speed, low-amplitude movements, was chosen based on the patient's dysfunction. The study aimed to assess the immediate effects of this technique on the sympathetic and parasympathetic systems, analyzing heart rate variability in university students in Fortaleza. This cross-sectional, randomized, quantitative study at the Ateneu University Center involved 20 participants divided into two groups: G1 – vertebral manipulation application and G2 – a control group with positioning only. Autonomic nervous system evaluation used a sensor connected to the earlobe and the Inner Balance app. Data was processed by Em Wave and Kubios software before and after manipulation. Range of motion was assessed using Kinovea software. Both groups experienced increased range of motion, with greater improvement in the manipulation group. Both groups showed increased parasympathetic activity and reduced sympathetic stress levels, possibly influenced by manipulation and touch, providing either nerve decompression or direct autonomic nervous system stimulation through touch.
所谓 "压力",是指在身体平衡过程中,因感知刺激而引发情绪和荷尔蒙反应的状态。在急性压力情况下,肾上腺素、神经递质和皮质醇会被释放出来,引起全身变化和生理紊乱,使身体保持警觉。心率变异可评估自律神经系统。关节手法涉及高速、低振幅运动,是根据患者的功能障碍选择的。研究旨在通过分析福塔莱萨大学生的心率变异性,评估该技术对交感和副交感神经系统的直接影响。这项在阿特纽大学中心进行的横断面、随机、定量研究涉及 20 名参与者,分为两组:G1组--应用椎体手法,G2组--仅进行定位的对照组。自律神经系统评估使用的是连接耳垂的传感器和 "内在平衡 "应用程序。操作前后的数据由 Em Wave 和 Kubios 软件处理。运动范围使用 Kinovea 软件进行评估。两组患者的活动范围都有所增加,而手法组的改善幅度更大。两组均显示副交感神经活动增加,交感神经压力水平降低,这可能是受到手法和触摸的影响,通过触摸提供神经减压或直接刺激自律神经系统。
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引用次数: 0
Foreign Bodies in Otorhinolaryngology among Teenagers and Adults observed in a Reference Hospital in Mozambique 在莫桑比克一家参考医院观察到的青少年和成人耳鼻喉科异物
Pub Date : 2024-01-01 DOI: 10.52600/2965-0968.bjcmr.2023.2.3.12-21
M. Dadá, Wai Yu Lai, Zulaikhah Mahomed Sidique Dadá, Abdul Habib Mahomed Dadá
Foreign bodies can affect physically and emotionally the patients and leads to significant financial expenses to people affected and to health services. This study aimed to characterize the epidemiological profile of patients with 14 or more years of age observed with foreign bodies at Oto-rhinolaryngology Service at quaternary reference hospital in Mozambique. An observational, descriptive study was carried out, using retrospective data from 1983-2009, from patients with 14 or more years old diagnosed with foreign bodies in otorhinolaryngology at quaternary reference hospital in Mozambique. Multiple sources of data were used to obtain information which was subsequently introduced in specifically created database and data analysis was mainly descriptive. A total of 1696 patient’s data were collected and analyzed. No gender differences were observed, and most cases were analyzed in age-group 30-39 years (23.93%). Cotton was the main foreign body (21.40%) among males and fish bones for females (52.53%). Ear was most common site among 15-39 years, while esophagus and pharynx was for 30-39 years group. The study includes 26 years of data representing important source of evidence. This evidence can contribute for the development and implementation of preventive and control strategies at population level and subject of health professionals training programs.
异物会影响患者的身体和情绪,给患者和医疗服务机构带来巨大的经济损失。本研究旨在了解莫桑比克四级参考医院鼻耳鼻喉科发现的 14 岁或 14 岁以上异物患者的流行病学特征。本研究利用1983-2009年间的回顾性数据,对莫桑比克四级参考医院耳鼻喉科确诊的14岁或14岁以上异物患者进行了观察性、描述性研究。研究人员利用多种数据来源获取信息,随后将这些信息纳入专门建立的数据库,数据分析主要是描述性的。共收集并分析了 1696 名患者的数据。没有发现性别差异,大多数病例的分析年龄段为 30-39 岁(23.93%)。男性异物主要是棉花(21.40%),女性异物主要是鱼骨(52.53%)。耳部是 15-39 岁年龄组中最常见的异物部位,而食道和咽部则是 30-39 岁年龄组中最常见的异物部位。这项研究包括 26 年的数据,是重要的证据来源。这些证据有助于制定和实施人口层面的预防和控制策略,也是卫生专业人员培训计划的主题。
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引用次数: 0
Toothbrush Swallow: A Scoping Review 牙刷吞咽:范围审查
Pub Date : 2023-12-21 DOI: 10.52600/2965-0968.bjcmr.2024.2.2.42-53
M. Dadá, Abdul Habib Mahomed Dadá, Zulaikhah Mahomed Sidique Dadá
The ingestion of foreign bodies is a frequent problem in the emergency services of hospitals, but the ingestion of a toothbrush is very rare and, because it is large, it entails potential complications. The objective of the present study was to investigate, through a scoping review, the etiology of toothbrush ingestion. This review intends to describe all clinical cases of toothbrush ingestion mentioned in the main databases. Initially, 136 studies were selected, 31 duplicate studies were excluded, resulting in a final sample of 32 articles in 114 minutes of work, divided into 28 sessions in the Rayyan application. Incidents with foreign bodies are common in Otolaryngology and Surgery practice, however, toothbrush swallow is rare. In this study it was found that most cases of toothbrush ingestion were intentional (bulimia, induction of vomiting and mental disorder) and the Toothbrushes that appear in the gastrointestinal tract are placed by the own patients accidentally or intentionally and rarely by someone else.
异物误食是医院急诊科经常遇到的问题,但牙刷误食却非常罕见,而且由于牙刷较大,可能会引起并发症。本研究的目的是通过范围综述调查牙刷吞食的病因。本综述旨在描述主要数据库中提及的所有牙刷误食临床病例。最初选取了 136 项研究,排除了 31 项重复研究,最终在 114 分钟的工作时间内选取了 32 篇文章作为样本,并在 Rayyan 应用程序中分为 28 个环节。在耳鼻喉科和外科实践中,异物事件屡见不鲜,但牙刷吞咽异物却很少见。在这项研究中发现,大多数牙刷吞食病例都是故意的(贪食症、诱导呕吐和精神失常),出现在胃肠道中的牙刷都是患者自己意外或故意放置的,很少是由他人放置的。
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引用次数: 0
Prevalence of Foreign Body Aspiration in a Mozambican Quaternary Care Hospital 莫桑比克一家四级护理医院的异物吸入率
Pub Date : 2023-12-19 DOI: 10.52600/2965-0968.bjcmr.2024.2.2.35-41
M. Dadá, Abdul Habib Mahomed Dadá, Zulaikhah Mahomed Sidique Dadá
The presence of a foreign body in the airways results in a stressful situation for the patient, family and doctors due to the serious symptoms it can cause and, if not handled correctly, can have a fatal outcome. The objective of this study is to characterize the profile of patients treated at the Mozambican quaternary hospital with foreign bodies in the airways. This is a retrospective cross-sectional study based on 5 years of hospital records of all patients diagnosed (or suspected) of the presence of foreign bodies in the airways. 88 patients were observed, the majority of whom were male (70.45%). The most common location of foreign bodies was in the bronchial tree (75%). The majority of bronchial FBs were located on the right side (75.76%). The most common symptoms were dyspnea (96.59%), followed by a sensation of foreign bodies in the throat (3.40%). In the presence of sudden dyspnea in a child, without a history of upper respiratory tract infection and without leukocytosis, it is necessary to consider foreign body.
气道异物会导致严重的症状,给患者、家属和医生带来压力,如果处理不当,还可能造成致命后果。本研究旨在了解在莫桑比克四级医院接受治疗的气道异物患者的特征。这是一项回顾性横断面研究,以五年来所有确诊(或怀疑)气道异物患者的住院记录为基础。共观察了 88 名患者,其中男性占大多数(70.45%)。异物最常见的位置是支气管树(75%)。大多数支气管异物位于右侧(75.76%)。最常见的症状是呼吸困难(96.59%),其次是喉咙有异物感(3.40%)。如果儿童突然出现呼吸困难,没有上呼吸道感染病史,也没有白细胞增多,就有必要考虑异物。
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引用次数: 0
Nocturnal Blood Pressure Patterns in Hypertensive patients with Obstructive Sleep Apnea Syndrome in Angola 安哥拉患有阻塞性睡眠呼吸暂停综合征的高血压患者的夜间血压模式
Pub Date : 2023-12-05 DOI: 10.52600/2965-0968.bjcmr.2024.2.2.25-34
Fátima Caetano, Humberto Morais, Edna Quintas, Lemuel Cordeiro, A. Sebastião, Vasco Sabino, Mário Conde
The main cardiovascular consequence of Obstructive Sleep Apnea Syndrome (OSAS) is arterial hypertension (AH), considered since 2003 a second cause of AH. This study aimed to evaluate nocturnal blood pressure patterns (BPP) in hypertensive patients with OSAS in Angola. A descriptive, cross-sectional observational study was carried out in a private clinic in Angola. Demographic and clinical variables, polysomnography, and ABPM parameters were included. Patients were classified as a dippers, non-dippers, and reverse dippers. One-way ANOVA test, Kruskal-Walli’s test, and chi-square test were used as appropriate. The sample consisted of 70 individuals: 39(55.7%) were male. The mean age was 53.63±9.14 years and the BMI was 35.82 ± 6.57 kg/m2. An association between patients with a past medical history of hypertension and BPP was found (p<0.05). Mean O2 saturation was significantly lower in the reverse dippers (p=0.25). Although insignificantly, the dippers were younger and less obese. In contrast, the proportion of smokers and diabetics was higher in the reverse dippers. No correlation was found between the apnea-hypopnea index, the mean blood pressure, and the Epworth sleepiness scale. In the present study, the prevalence of non-dipping and reverse dipping patterns was high. It needs to be confirmed with future prospective studies.
阻塞性睡眠呼吸暂停综合征(OSAS)的主要心血管后果是动脉高血压(AH),自2003年以来被认为是AH的第二大原因。本研究旨在评估安哥拉伴有OSAS的高血压患者夜间血压模式(BPP)。在安哥拉的一家私人诊所进行了一项描述性、横断面观察性研究。包括人口统计学和临床变量、多导睡眠图和ABPM参数。患者分为倾斜、非倾斜和反向倾斜。采用单因素方差分析、Kruskal-Walli检验和卡方检验。样本共70人,其中男性39人(55.7%)。平均年龄53.63±9.14岁,BMI为35.82±6.57 kg/m2。既往高血压病史与BPP之间存在相关性(p<0.05)。平均氧饱和度显著低于反向倾斜组(p=0.25)。尽管影响不大,但这些人更年轻,肥胖程度也更低。相反,吸烟者和糖尿病患者的比例在反向饮用者中更高。未发现呼吸暂停低通气指数、平均血压和爱普沃斯嗜睡量表之间存在相关性。在本研究中,非倾斜和反向倾斜模式的患病率很高。这需要在未来的前瞻性研究中得到证实。
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引用次数: 0
Uso de mídias sociais para monitorar o interesse em imunologia e chamar a atenção das pessoas para a saúde pública durante a pandemia de COVID-19 no Brasil 在巴西 COVID-19 大流行期间利用社交媒体监测人们对免疫学的兴趣并吸引人们关注公共卫生问题
Pub Date : 2023-11-27 DOI: 10.52600/2965-0968.bjcmr.2024.2.2.16-24
T. Pereira, Catarina Eugênia Menezes, Cinthia Moura Muritiba, Tamiris Azamor, Fabiana Gil Melgaço, Juliana Melgaço
A mídia social é uma boa ferramenta para monitorar o interesse público em ciência, saúde, política e economia. Durante a pandemia da COVID-19, o uso de “smartphones” e o conteúdo “on-line” aumentaram, uma vez que era necessário o distanciamento social, incluindo mudanças no sistema educativo. Considerando a preocupação das pessoas com sua saúde, este estudo teve como objetivo criar uma conta no Instagram® (@ConectaImuno) para disponibilizar conteúdo confiável em imunologia sobre respostas imunológicas às infecções naturais e vacinação, especialmente doenças virais. Os dados foram coletados pelo aplicativo entre março,2021-janeiro,2022, e foi possível observar características dos seguidores da conta, em sua maioria jovens adultos (18-34 anos) e mulheres(>70%). A localização geográfica variou, com os estados do Rio de Janeiro e São Paulo predominando até agosto,2021(> 40%), mas depois disso predominaram pessoas fora desses dois estados(>50%). Verificou-se também que o número de pessoas acompanhando o conteúdo triplicou ao longo do tempo, com correlação positiva entre número de seguidores, contas alcançadas e visualização das postagens. Finalmente, os dados sugerem que as redes sociais podem ser importantes para monitorar o interesse em tópicos científicos como a imunologia e a vacinação, atraindo a atenção dos jovens e ajudando a divulgar informações confiáveis sobre saúde pública.
社交媒体是监测公众对科学、健康、政治和经济的兴趣的良好工具。在 COVID-19 大流行期间,由于需要拉近社会距离,包括改变教育系统,智能手机和在线内容的使用有所增加。考虑到人们对自身健康的关注,本研究旨在创建一个 Instagram® 账户(@ConectaImuno),提供可靠的免疫学内容,介绍对自然感染和疫苗接种(尤其是病毒性疾病)的免疫反应。数据是在 2021 年 3 月至 2022 年 1 月期间通过该应用程序收集的,通过这些数据可以观察到该账户粉丝的特点,他们大多是年轻人(18-34 岁)和女性(超过 70%)。地理位置各不相同,2021 年 8 月之前以里约热内卢州和圣保罗州为主(>40%),之后则以这两个州以外的人为主(>50%)。研究还发现,随着时间的推移,关注内容的人数增加了两倍,关注人数、达到的账户数和帖子浏览量之间呈正相关。最后,数据表明,社交网络对于监测人们对免疫学和疫苗接种等科学话题的兴趣、吸引年轻人的关注以及帮助传播可靠的公共卫生信息非常重要。
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引用次数: 0
Spatial and Non-Spatial Attention Deficits in Neurodegenerative Diseases 神经退行性疾病的空间和非空间注意力缺陷
Pub Date : 2023-11-21 DOI: 10.52600/2965-0968.bjcmr.2024.2.2.3-15
Rafaela Iughetti da Costa, Arthur Holanda Dantas, Giulia Rebouças Pinheiro, Maria Clara Borges, Girão Peixoto, Antônio Kerlon, Araújo Lira, Lucas Almeida, Lara Maria Fujita, Vieira Lima, Camilla Costa Sallem, Letícia Passos, Chaves Capibaribe, Barros, Guilherme Dourado, Aragão Sá Araujo, Gabriela Fernandes, Pereira Filha, Emerson Leandro Correia de Souza, Luciano Barroso, Albuquerque Filho, Tulia Fernanda, Meira Garcia, Rafael Martin Barreiros, Lavínnya Yáskara de Aquino Matoso, Thaís Malta Romano, Beatriz Mazzer Zamoner, Roger Wilson Gonçalves de Oliveira, Paulo Guilherme Müller, Kelvin Corrêa, Miranda Alves, Karoliny de Lima Nardin, Bruna Capello Gervásio, Fernanda Susy Bessa, Menezes Cavalcante, Amanda Sampaio Alves, Sandra Isamar da, Silva Leandro, Júlio César, Claudino dos Santos
The prevalence of neurodegenerative diseases is on the rise due to the aging global population, leading to a significant increase in cognitive impairments characterized by progressive neuronal degeneration. Within these impairments, both spatial and non-spatial attention deficits have emerged as critical features that profoundly impact the quality of life. Spatial attention, crucial for the selective processing of sensory information, involves intricate neural networks, including the parietal and frontal lobes. This review, based on a narrative literature review, synthesizes current research on the neuropathological foundations of spatial and non-spatial attention deficits in various neurodegenerative diseases.
由于全球人口老龄化,神经退行性疾病的发病率呈上升趋势,导致以渐进性神经元退化为特征的认知障碍显著增加。在这些损伤中,空间和非空间注意力缺陷已成为严重影响生活质量的关键特征。空间注意力对感官信息的选择性处理至关重要,它涉及错综复杂的神经网络,包括顶叶和额叶。本综述以叙事性文献综述为基础,综合了当前关于各种神经退行性疾病中空间和非空间注意力缺陷的神经病理学基础的研究。
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引用次数: 0
A silenciosa Síndrome de Burnout em estudantes de odontologia: uma revisão integrativa 牙科学生的沉默倦怠综合征:一项综合综述
Pub Date : 2023-11-14 DOI: 10.52600/2965-0968.bjcmr.2024.2.1.26-34
João Victor Menezes do Nascimento, Pedro Henrique Mesquita do Nascimento, Larissa Pinheiro Barreto, Christiano Sampaio Gouvea, Natália Lucena de Sousa Albuquerque, Anizia Rodrigues de Queiroz Fernandes, Danilo Lopes Ferreira Lima
A Síndrome de Burnout é um distúrbio emocional que ocorre após um período prolongado de estresse interno relacionado ao estudo e/ou ao trabalho, provocando um esgotamento psicológico e físico, além de sentimentos de ineficácia e falta de realização, sendo muito prevalente em acadêmicos da área da saúde. O objetivo do presente estudo foi investigar, através de uma revisão integrativa, a prevalência e os fatores de risco da Síndrome de Burnout em estudantes de Odontologia. Para a pesquisa, foi escolhida a base de dados Pubmed, utilizando os seguintes descritores: (Students, Dental) AND (Burnout, Psychological) com o operador booleano “AND”. Em grande parte dos estudos, foi utilizado o Inventário de Burnout Maslach – Student Survey (MBI-SS) para mensurar os riscos de desenvolver o problema. O cansaço físico e psicológico, uma mudança negativa de atitude em relação aos pacientes e a si mesmo e a falta de realização pessoal estão relacionados com a depressão e altos níveis de ansiedade. A prevalência de Burnout em acadêmicos de Odontologia é considerada alta entre os autores citados. Há relação entre a Síndrome e o desempenho do estudante no curso, além de relatos de problemas familiares e a existência da ideia de desistência da faculdade.
职业倦怠综合征是一种情绪障碍,发生在与学习和/或工作相关的长期内部压力后,导致心理和身体疲惫,以及效率低下和缺乏成就的感觉,在健康领域的学者中非常普遍。本研究的目的是通过综合综述,调查倦怠综合征在牙科学生中的患病率和危险因素。在研究中,Pubmed数据库被选择,使用以下描述符:(学生,牙科)和(倦怠,心理)与布尔运算符“和”。在大多数研究中,马斯拉克倦怠量表-学生调查(MBI-SS)被用来衡量发展问题的风险。身体和心理疲劳,对病人和自己的消极态度的改变,以及缺乏个人成就感都与抑郁和高度焦虑有关。在上述作者中,牙科学者职业倦怠的患病率被认为很高。这种综合症与学生在课程中的表现、家庭问题的报告和大学退学的想法之间存在联系。
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引用次数: 0
Application of Manual Therapy in Adhesive Capsulitis: A Literature Review 手法治疗在黏附性囊炎中的应用:文献综述
Pub Date : 2023-10-31 DOI: 10.52600/2965-0968.bjcmr.2024.2.1.21-25
Karen Lorena Eugênio de Freitas Fernandes, Karine Rodrigues Cardoso, Rafaele Farias Bezerra, José Evaldo Gonçalves Lopes-Junior, Edfranck de Sousa Vanderlei, Eduardo de Almeida Neves
Adhesive capsulitis, a major contributor to musculoskeletal pain, predominantly affects the shoulder and is often associated with rotator cuff injuries. Manual therapy has emerged as an effective treatment for this condition, addressing limitations in range of motion, joint mechanical alterations, contractures and adhesions in the capsules or ligaments, and misalignment of bone surfaces. This study aimed to review the literature on the effects of manual therapy on adhesive capsulitis. Databases such as PubMed, Scielo, Lilacs, and PEDro were consulted, using keywords like tendinitis, adhesive capsulitis, and manual therapy, resulting in the identification of 180 articles. After applying exclusion criteria, 20 articles were selected, covering the period from October 2019 to March 2020. While cryotherapy and electrotherapy demonstrated effectiveness in treatment, manual therapy stood out for pain control, increased tissue flexibility, and improved range of motion. Techniques such as the McKenzie method, myofascial release, and low-amplitude, high-velocity joint manipulation were frequently mentioned. In summary, despite the lack of a consensus on the best protocol, physiotherapy, with its manual techniques, plays a pivotal role in the functional recovery of the complex shoulder joint.
粘连性囊炎是肌肉骨骼疼痛的主要原因,主要影响肩部,通常与肩袖损伤有关。手工治疗已成为治疗这种疾病的有效方法,可解决活动范围限制、关节机械改变、囊或韧带挛缩和粘连以及骨表面错位等问题。本研究旨在回顾手法治疗粘连性囊炎的文献。检索PubMed、Scielo、Lilacs、PEDro等数据库,使用肌腱炎、胶粘性囊炎、手工疗法等关键词,鉴定出180篇文献。在应用排除标准后,选择了20篇文章,涵盖时间为2019年10月至2020年3月。虽然冷冻疗法和电疗在治疗中表现出有效性,但手工疗法在控制疼痛、增加组织灵活性和改善活动范围方面表现突出。诸如McKenzie方法、肌筋膜松解和低振幅、高速关节操作等技术经常被提及。综上所述,尽管在最佳方案上缺乏共识,但物理治疗及其手工技术在复杂肩关节的功能恢复中起着关键作用。
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引用次数: 0
The role of Brazil in the training of Angolan Oncologists 巴西在安哥拉肿瘤学家培训中的作用
Pub Date : 2023-10-23 DOI: 10.52600/2965-0968.bjcmr.2024.2.1.18-20
Joao Wilson Rocha, Euclides Adjane Simão, Artur Fitela, Fábio da Silva
Not applicable.
不适用。
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引用次数: 0
期刊
Brazilian Journal of Clinical Medicine and Review
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