O controle de preensão em pinça em adultos jovens: efeito da posição do punho

The human hand is the focus of inumerous research studies. Human individuals are capable of performing manual tasks beyond the ability of any other animal. Such large motor ability is due in part to contact surface of the pulp thumb in opposition to the other fingers. Evidences in the literature show that the position of the upper limb influences the ability of hand strength and control. Specifically, the position of the wrist has great influence on the production of pinch strength. The main objective of this study was to investigate the influence of wrist position on the pinch grip with the thumb in opposition to the index finger. Participants of the present study were 21 undergraduate students, 10 men and 11 women. Participants performed a pinch grip task in three wrist positions - maximum flexion, maximum extension and neutral - on two force conditions - 20% and 40% of maximum voluntary contraction (MVC). MVC was measured in two attempts in each of the three positions of the wrist for a period of three seconds, and the trial of the best result was used as the parameter for task performance. In each trial participants maintained the force production at position for 10 seconds. All participants performed each test condition four times, and the first was used as a familiarization trial and discarded from further analysis. In all trials visual feedback online was provided. Results of both group gender showed variability was similar for force production. Men were stronger than women, but this difference was not significant and both produced on the average more strength in the neutral wrist position than in flexion or extension. In the extended position participants were significantly less variable than in the flexion and neutral positions. We obtained a significant positive correlation between weight and pinch force...(Complete abstracts click electronic access below)

O trabalho do enfermeiro na vigilância à saúde da criança sob o olhar da gestão da Atenção Básica à Saúde

This study aimed at apprehending and analyzing the perspective of Primary Health Care managers concerning nurses’ work in Children’s Health Surveillance in a city in São Paulo state. The study population consisted of eight professionals from different professional categories with direct activity in the city’s management of the population’s Health Surveillance. It is a descriptive, qualitative study. Data were collected by means of recorded semi-structured interviews. The framework used for data analysis was the thematic Content Analysis Method. The results were systematized into three themes: 1- Managers’ conceptualizations concerning Children’s Health Surveillance and its application in practice; 2- Managers’ perspectives concerning nurses’ work in Children’s Health Surveillance; 3- Qualification of Children’s Health Surveillance under the view of the municipal management. The conceptualizations concerning Children’s Health Surveillance that were apprehended showed to be convergent as they indicated this model’s appropriateness to identify and prioritize children’s care in vulnerability conditions in the territory where they live. However, some managers did not include, in their statements, health promotion aspects as one of the cornerstones of their managerial action. Nurses were considered to be fundamental in the Children’s Health Surveillance process due to their competencies and responsibilities undertaken in this health provision level. The main difficulties for adequate implementation of Children’s Health Surveillance in Primary Health Care and the proposal to overcome them were pointed out. It was concluded that, under the managers’ perspectives, nurses can greatly contribute to Children’s Health Surveillance in Primary Health Care as members of the health care team; however, to that end, they need professional qualification, structural conditions and institutional support with that regard

Reprodutibilidade do pico de torque isocinético e da taxa de desenvolvimento de força dos músculos rotadores internos do ombro em nadadores

A natação é um esporte praticado em um meio que oferece grande resistência ao deslocamento do atleta que necessita realizar grande força com a articulação do ombro durante as braçadas sendo, desse modo, de fundamental importância a avaliação da força desta articulação. São poucos os estudos que avaliam a força desta articulação em nadadores visando o desempenho esportivo. OBJETIVO: Verificar a reprodutibilidade do pico de torque (PT) e da taxa de desenvolvimento de força (TDF) dos rotadores internos do ombro em nadadores. MÉTODOS: Foram analisados 10 nadadores que realizaram 5s de contração isométrica, 5 contrações concêntricas em baixa velocidade (60°/s), e 5 contrações concêntricas em alta velocidade (180°/s). Foram determinados o PT e a TDF dos membros dominante e não-dominante. Após um intervalo de uma semana, os indivíduos foram testados novamente, sob as mesmas condições do primeiro teste, e foi avaliado o grau de confiabilidade. RESULTADOS: Os valores de PT foram similares entre as tentativas (p > 0,05). O coeficiente de correlação intraclasse (CCI) do PT isométrico foi de 0,76 e 0,85 (p < 0,05), na contração isocinética a 60º/s foi de 0,56 (p > 0,05) e 0,90 (p < 0,05) e na contração isocinética a 180º/s foi de 0,84 e 0,76 (p < 0,05), para o membro dominante e não dominante respectivamente. A TDF pico não foi significantemente diferente entre os testes para ambos os membros (p > 0,05), porém não houve correlação significante entre os testes para ambos os membros (p > 0,05). CONCLUSÃO: Conclui-se que o teste isocinético de rotação interna do ombro em nadadores apresenta boa reprodutibilidade para a determinação do PT. Não foi observada boa reprodutibilidade para a TDF pico, provavelmente pelo baixo número de voluntários

A cunha do ciclo de fácies do Grupo Guatá (Eopermiano) na margem sub-aflorante do norte paranaense

A wedge facies cycle it‟s a body of sedimentary rock, bounded above and below by unconformity and which represents a transgressive-regressive cycle of deposition. This cycle is formed by the following succession of facies: non-marine (N), transitional-coarse texture, and marine-fine texture; The objective of this study have been members of the sandstones and Triumph Siderópolis, seconded by rare calcareous sandstones and very thin limb Paraguaçu. Through analysis of facies in wells testified by CPRM, it was possible to group on facies successions and set the standard stacking. The Triunfo Member consists of three cycles of facies, lithology whose standard indicates a vertical arrangement ''type'' tuning up, other words, a component sandy bottom in the form of '' box'', followed by components sandy-clayey and clayey-carbonaceous (1st and 2nd cycle) and / or shale and limestone (3rd cycle), represented by the base member Paraguaçu. The first cycle only occurs on NF-5 wells and NF-6 in the form of Onlap channel dug in post-Itararé group. The cycle II also reaches wells NF-4 and NF-3 to the north, while the cycle III reaches the southern area, well NF-9. The member Paraguaçu, well PP-25 is predominantly clay-síltico, also stand out limestones and sandstones. The limestones are not coastal marine organisms probably connected with the algae and cyanobacteria, the sandstones are fine-textured, very thin and coastal deposition environment. The member Siderópolis, well NF-2 consists of a sandstone fluvial-estuarine deployed in the valley section, and succeeded by sandstones and siltstones bioturbed, they have linked the transgression of the Fm. Palermo

Morfologia e expressão dos MRF’s no músculo esquelético de ratos submetidos a estímulo atrófico e recuperação por treinamento físico

Recent research advances in understanding the cellular and molecular mechanisms that underlie the processes of hypertrophy and atrophy. This may contribute to development of effective therapeutic strategies to attenuate or block the loss of muscle tissue associated with aging and pathological conditions. In this context, myogenic factors that control the activity of satellite cells have been studied to better understand the events involved in the recovery of muscle mass. Among them, we highlight the Myogenic Regulatory Factors (MRFs), which have been described as potential mediators of muscle growth. The objectives of this study evaluated the morphofunctional adaptations and gene expression of MRFs (MyoD and myogenin) in skeletal muscle (soleus) subjected to an atrophic stimulus followed by physical training. It was used 64 male Wistar rats (80 days, 250 to 300 g), divided into 8 groups (n = 8): C: control animals a week, I: Animals immobilized a week, C3: control animals 3 days; R3: Animals immobilized and recovered for 3 days, T3: Animals immobilized and submitted to exercise for 3 days; C7: Animals controls 7 days; R7: Animals immobilized and subsequently recovered by 7 days, T7: Animals immobilized and subsequently subjected to exercise for 7 days. Initially, the animals in groups I, R3, R7, T3 and T7, were submitted to 7 days of immobilization of the hind limb. Muscle atrophy was confirmed after a direct statistical comparison of the values of cross-sectional area (CSA) of muscle fibers studied in animals in groups I and C, sacrificed immediately after the immobilization period. Then, the groups T3 and T7 were submitted a rehabilitation program with muscle aerobic exercise (swimming) for 3 and 7 days respectively. The groups C, C3 and C7 were kept without stimulus atrophic and were not subjected to exercise. At the end of the experiment, the animals were sacrified and the soleus muscle removed. The quantitative analysis of gene expression ...

Síntese de pró-fármaco recíproco derivado do ácido micofenólico

O transplante de órgãos é um processo em que se transferem tecidos e/ou órgãos sólidos de um doador vivo ou cadavérico para um hospedeiro. A resposta imune aos aloantígenos, antígenos de um membro da mesma espécie, do doador, caracteriza o processo de rejeição de órgãos. As reações de hipersensibilidade são causadas por respostas imunes controladas inadequadamente, como na formação de complexos antígeno-anticorpo circulantes no Lúpus Eritematoso Sistêmico, ou direcionadas ao tecido do paciente, por resposta de anticorpos, como na Febre Reumática Aguda, e por resposta linfocitária, como na Esclerose Múltipla. A terapia farmacológica para transplantes de órgãos e para reações de hipersensibilidade se baseia na utilização de fármacos imunossupressores, como a prednisona, ciclosporina, anticorpos monoclonais, ácido micofenólico e azatioprina. A talidomida, fármaco com propriedades inibidoras da produção de Fator de Necrose Tumoral Alfa em monócitos, atua como imunossupressor e anti-inflamatório, com atividade de interesse para o tratamento destas condições. Nesse contexto, foi sintetizada, purificada e caracterizada a estrutura química de um novo pró-fármaco planejado para atuar com mecanismo duplo de ação a saber: inibição da inosina 5’-monofosfato desidrogenase e da produção do fator de necrose tumoral alfa.

Efeito agudo de uma sessão de exercícios aeróbios e resistidos na pressão arterial de indivíduos normotensos e hipertensos pertencentes ao Programa de Atividade Física na UBS e PSF do município de Rio Claro-SP

A hipertensão arterial (HA) é fator de risco para o desenvolvimento de doenças cardiovasculares, uma forma de prevenção seria a adoção de um estilo de vida mais ativo.O estudo tem como objetivo verificar se uma sessão de exercícios resistidos e aeróbios provoca efeito hipotensivo em indivíduos normotensos e hipertensos sendo a P.A aferida antes e depois dos exercícios. Participaram do estudo 29 indivíduos, normo e hipertensos, com idade média de 54,96 anos ( ± 9,56 ), todos participantes do projeto de atividade física para diabéticos e hipertensos, desenvolvido pelo NAFES da UNESP – Rio Claro. A aula constituiu-se de aquecimento e alongamento (10 min), parte principal (40 min) dividida por: Caminhada (10 min), exercícios resistidos de membro superior utilizando halteres de um quilo (10 min), caminhada (10 min) e exercícios resistidos de membros inferiores com peso corporal (10 min), finalizando com volta calma(10 min). A Pressão Arterial foi aferida através de aparelho digital de pulso Fuzzy LOGIC, Model 3001, BioLand em repouso(M1), ao termino(M2), 30 minutos pós-exercícios(M3) e 4 horas após o termino dos exercícios(M4). Os dados foram analisados por meio do ANOVA para análises repetidas, através do programa Statistic 7.0 e significância de p<0,05. A analise estatística mostrou que na pressão sistólica não houve diferença significante do M1(137,6 ±17,1mmHg) para o M3(133,9 ±18,8mmHg) enquanto que na pressão diastólica observou-se diferença significativa do M1(84,7 ±9,3mmHg) para o M4(80,7 ±11.2mmHg). Conclusão: Houve efeito hipotensor após exercícios apenas na pressão diastólica, já na pressão sistólica não ocorreu mudança significativa embora todos os valores pós exercícios tenham diminuído, tanot na sistólica quanto na diastólica.

Osteossarcoma apendicular: revisão de literatura

Osteosarcoma is the most common primary bone cancer in dogs. It affects most commonly dogs of big or giant breeds with 7 to 8 years and the etiology is unknown. Osteosarcoma is defined as a bone matrix-producing malignant mesenchymal tumor and has a predilection for the metaphyseal region of appendicular skeleton, however, it can affect axial skeleton and soft tissues. Distal radius is the most commonly affected site. The definitive diagnosis of osteosarcoma can be obtained with history, physical examination, radiographs and biopsy. Lung is the most common organ for metastatic disease. The mainly treatment for osteosarcoma is limb amputation and systemic chemotherapy for metastatic disease control. Limb-sparing surgery is a viable alternative to amputation for dogs with concomitant conditions that impede limb amputation. Palliative treatments for osteosarcoma have been studied such as local and systemic radiotherapy, immunotherapy and biphosphonates. This study has the objective of presenting the aspects of diagnosis and treatment for appendicular osteosarcoma

A ocorrência de bullying no futebol e sua influência no abandono esportivo

The objective of this study is verify the occurrence of bullying in soccer and if this phenomenon can be considered a possible cause of the abandonment of this sport. The sample consisted of 143 male athletes, aged between 15 and 18 years old, all of whom competed in the Copa São Paulo de Futebol Júnior in 2011. The results show that most athletes have practiced, suffered and observed bullying in soccer, but the minority has fear of being assaulted on the team and few thought to stop playing because of this social phenomenon. It is suggested that more studies be conducted in this area and that the sport psychologist and coach provide to the team a better living and training structure, and the athletes should be united, avoid jokes that exceeding the limits offending another member of the group and make everyone feel comfortable in that place, not influencing the individual or collective performance

Interpretação da fadiga muscular por meio da eletromiografia durante corrida em esteira

O presente estudo teve como objetivo identificar a fadiga muscular por meio da amplitude e freqüência do sinal eletromiográfico (EMG) do músculo vasto lateral (VL) e reto femoral (RF) do membro inferior direito, durante protocolo incremental de corrida em esteira e nas contrações isométricas submáximas realizadas no início e após cada velocidade. Participaram deste estudo 07 voluntários saudáveis, do gênero masculino, experientes em corrida na esteira, com idade média de 25 anos (± 4,3), sem antecedentes de doenças músculo-esqueléticas nos membros inferiores e de antropometria semelhante. Foram realizadas três contrações isométricas voluntárias máximas (CIVM = 100%) de extensão do joelho para posterior determinação da contração submáxima de 50% da CIVM (CI-50%). O protocolo de corrida foi composto de um aquecimento de 5 minutos (9 km/h), e após iniciou-se o teste com velocidade inicial de 10 km/h e incremento de 1 km/h a cada 3 minutos, até a exaustão voluntária, havendo uma pausa entre cada velocidade de aproximadamente 2 minutos. Antes do início da corrida e após cada velocidade realizou-se uma contração isométrica com 50% da CIVM (CI-50%) de 5s de duração. No sinal eletromiográfico coletado durante a corrida, os valores de RMS (Root Mean Square) dos músculos VL e RF foram obtidos no período correspondente a um ciclo completo da passada a 10% e 100% do tempo analisado (120 segundos finais de cada velocidade) por meio de rotina específica (Matlab). No sinal eletromiográfico coletado durante as CI-50% (5s), os valores de RMS e FM (freqüência mediana) foram obtidos no período de 1s (intervalo de 1 a 2s). A normalidade dos dados foi determinada através do teste de Shapiro-Wilk. Utilizou-se teste-t de Student para amostras pareadas, e o nível de significância (p) adotado foi de p<0,05. Os resultados...(Resumo completo, clicar acesso eletrônico abaixo)

Análise de variáveis eletromiográficas e cinemáticas em protocolo incremental de corrida na esteira

Muscle fatigue is described as a cause of injuries among the many related to the running practice. Therefore, the purpose of this study was to analyze the behavior of the amplitude (RMS) and median frequency (MF) of EMG signal of the iliocostalis (CI), rectus femoris (RF), vastus lateralis (VL), vastus medialis (VM) biceps femoris (long head) (BFCL), tibialis anterior (TA) and gastrocnemius (lateral) (LNG) from the right lower limb, and the behavior of the parameters of amplitude (AP) and frequency (PF) spent in different percentages of the maximum speed during incremental protocol of treadmill running. 10 volunteers participated in this study, athletes, male, aged between 18 and 30 years with no history of injury in lower limbs and similar anthropometry. The protocol consisted of a treadmill test with initial velocity of 10 km.h-¹ and increments of 1 km.h-¹ each three minutes until volitional exhaustion, without rest interval. Synchronized collections were made of electromyographic and kinematic data. The signals were obtained through an acquisition module of biological signals (Telemyo 900 - Noraxon - USA) and software (Myoresearch - Noraxon - USA) calibrated with a sampling frequency of 1000 Hz, gain 2000 times. The raw data were filtered with a 60Hz notch filter, high pass and low pass 20Hz to 500Hz. To capture the image was used a digital video recorder (model NV-GS320, PANASONIC brand), and for image scanning and kinematic data collection was used the software Peak Motus 9.0 (ViconPeak). To obtain the values of RMS and FM analyzed the last ten passes of each speed through a specific routine (Matlab). To obtain these variables AP (m) and FP (stride I min) were analyzed for the last ten past each speed, using specific software (Peak Motus 9.0). After verification of data normality (Shapiro-Wilk) and homogeneity of the data (Levene), the comparison ...(Complete abstract click electronic access below)

Participação da família no tratamento de paciente em diálise peritoneal

Dramatic changes occur in the lives of patients on peritoneal dialysis and his family life, changing lifestyle, professional and social activities. Considering the important role of family in treatment, is crucial for nurses to know how these families perceive their role as caregivers and their difficulties and needs, in the process of peritoneal dialysis. The approach chosen for the study was the phenomenological method, based on Merleau-Ponty, who proposes to understand the human experience, from the description of those who lived it. The study findings show that in the beginning of treatment, family members, feel impacted with the disease severity and eager to become responsible for maintenance treatment, fearing not match the expectations.Guided by staff, appear confident in taking care and deal with the difficulties and complications of treatment, supported by professionals. However, resent the great changes in their social activities and work, his life turns out to be quite limited, due to the dedication to a sick family member. Many feel overwhelmed because they are not supported by other family members. Some envision a future outlook for renal transplant, others seem skeptical, given the long waiting list, especially when advanced age of the sick family member. These results suggest the need for individualized attention to family caregivers, and to encourage the family to organize itself and develop a joint work. In this sense, the design of health care, taking care with the focus of the family, it seems highly appropriate in preparing the plan of family orientation, this is defined as a dynamic unity, which, working in harmony, can contribute positively in the treatment of health a sick member

Análise da assimetria na corrida de aproximação de diferentes tipos de chute no futsal

Existe uma lacuna na literatura no que diz respeito chutes no futsal, ainda mais em relação as diferenças entre membros contralaterais. Portanto o objetivo do estudo foi analisar e comparar os parâmetros espaço-temporais da corrida de aproximação e de desempenho (precisão e velocidade da bola) de chutes realizados com o membro dominante e membro não dominante para diferentes tipos de chutes no futsal, separadamente para a bola em posição estacionária e para a bola em deslocamento. Participaram do estudo cinco jogadores destros e cinco jogadores sinistros de futsal da equipe adulta da UNESP – Campus Rio Claro. Os participantes realizaram 10 chutes com a bola parada e 10 chutes com a bola em deslocamento, sendo que em cada situação 5 chutes foram realizados com o membro dominante (MD) e os outros 5 chutes com o membro não dominante (MND). Para a bola parada os chutes foram realizados na marca do tiro livre (10 m distante do gol). Para bola em deslocamento foi utilizada uma rampa para padronizar a velocidade de chegada da bola. Os participantes foram instruídos a realizar o chute com o dorso do pé o mais forte que conseguir, tendo como objetivo acerta um alvo de 1m² posicionado no centro do gol. Os chutes foram filmados por seis câmeras digitais JVC® modelo GR9800u, ajustadas com freqüência de aquisição de 120 Hz, shutter a 1/250, white balance e o foco definido de forma manual. Foram fixados marcadores nas proeminências ósseas dos membros inferiores direito e esquerdo dos participantes. As variáveis dependentes foram: velocidade da corrida de aproximação; distância do pé de suporte para a bola; ângulo de aproximação para a bola; distância do participante para a bola; velocidade da bola; e comprimento e largura do passo durante a corrida de aproximação. As variáveis foram comparadas através de análise de variância (ANOVA) com medidas repetidas e com fator... (Resumo completo, clicar acesso eletrônico abaixo)

Análise das respostas de atributos sísmicos dos carbonatos barremiano, albiano e neógeno no campo de Bonito, bacia de Campos - RJ

The Bonito oil field, located on southwest of Campos Basin-RJ, has been explored since 1982. The main reservoir is composed by calcarenites of Quissamã Formation (Macaé Group) from Albian, but two other carbonate levels are present on the field, firsts is Coqueiros Formation (Aptian) and the second Siri Member (Oligo-Miocene). In this context and considering that carbonates reservoirs are a challenge for exploratory geoscientists, since the difficulty on recognize the effective reservoir distribution. This work aim to characterize the geophysical/geological facies based on seismic attributes responses, related to reservoir geometrical distribution, for the tree carbonates intervals on Bonito oil Field. A tree dimensional interpretation of the levels has been developed, based on well cross correlation and a 3D seismic interpretation, resulting on the stratigraphic and structural framework of the field, which showed a NE-SW fault trend controlling the Aptian carbonates reservoirs, and halocnetics structures showing a structural trap on Albian carbonates reservoirs. The definition of the structural/ stratigraphic framework possibly the seismic attributes calculations over the reservoir intervals. To select the best response in comparison with the reservoir distribution, obtained by seismic interpretation, the attributes response were compared with isopachs maps of each carbonate stratigraphic level. The attributes Maximum Amplitude, Maximum Magnitude and Rms Amplitude showed a good answer to reservoir distribution. The Rms Amplitude also showed a good correlation with physical rock properties, like RHOB bulk density, for the Albian and Aptian carbonates, as consequence it is possible make a characterization of reservoir distribution based on seismic attribute answer

Aspectos clínicos e cirúrgicos do osteossarcoma canino

Osteosarcoma is the primary osseous neoplasia frequently diagnosed in dogs and it’s the main answerable for more than 85% of the neoplasias origened from the skeleton. The average age of onset of the lesion is 7 years, especially in large breeds and giant, with males being more affected than females. In general, 75% of osteosarcomas develop in the appendicular skeleton and 25% in the axial. The forelimbs are more affected than the hindlimbs, since support 60% of body weight. The osteosarcoma diagnosis is made by the analys of the animal’s clinic historic, detailed physique exams, blood exams alkaline phosphatase, xray exams, cytology, biopsy. The treatment of choice is the amputation associated to the chemotherapy. However, in some cases the member is preserved by the allograft technic. The chemotherapy associated to the surgery reduces the total load of the tumor, lengthens the interval of the life and improves the quality of pacient’s life. The most used medicines are cisplatin and doxorubicin. They can be used in separated or associated ways. The prognostic of dogs with osteosarcoma is reserved