Formación postgradual en el área cardiopulmonar en Brasil

Este proyecto de Aplicación Práctica (PAP) presenta el perfil de formación y de desempeño del fisioterapeuta del Brasil, específicamente en la ciudad de Sao Paulo, en el área Neumofuncional. Lo anterior surge como producto de la oportunidad de realizar los programas Académicos de Campo en Rehabilitación Cardiaca y Rehabilitación Pulmonar en el Centro de Rehabilitación Cardiopulmonar Lar Escola San Francisco de la Universidad Federal de Sao Paulo UNIFESP en el Instituto de Corazón y Pulmón (INCOR) de la Universidad de Sao Paulo (USP) durante un período de cuatro meses.

Protocolo para la evaluación fisioterapéutica inicial y final de pacientes ambulatorios que ingresan a programas de rehabilitación cardiaca fase II

se hace necesario proponer un protocolo con el que se pretende dar las pautas para la valoración fisioterapéutica inicial y final del paciente ambulatorio que ingresa a un programa de rehabilitación cardiaca Fase II, ésta incluye la aplicación de pruebas para evaluar la capacidad funcional, la calidad de vida y los factores de riesgo cardiovascular. Esta evaluación, facilitará el planteamiento de objetivos y la implementación deestrategias de intervención de acuerdo a las necesidades encontradas, así como permitir el seguimiento de los resultados alcanzados. Este análisis puede servir comoherramienta de motivación para el paciente porque es un modo de resumir susprogresos, poniendo de manifiesto tanto aquellas áreas en las que el paciente hahecho un buen trabajo, como aquellas en las que el paciente debe realizar suscambios adicionales para acercarse más al objetivo.

Running Pace Decrease during a Marathon Is Positively Related to Blood Markers of Muscle Damage

Background: Completing a marathon is one of the most challenging sports activities, yet the source of running fatigue during this event is not completely understood. The aim of this investigation was to determine the cause(s) of running fatigue during a marathon in warm weather. Methodology/Principal Findings: We recruited 40 amateur runners (34 men and 6 women) for the study. Before the race, body core temperature, body mass, leg muscle power output during a countermovement jump, and blood samples were obtained. During the marathon (27 uC; 27% relative humidity) running fatigue was measured as the pace reduction from the first 5-km to the end of the race. Within 3 min after the marathon, the same pre-exercise variables were obtained. Results: Marathoners reduced their running pace from 3.5 6 0.4 m/s after 5-km to 2.9 6 0.6 m/s at the end of the race (P,0.05), although the running fatigue experienced by the marathoners was uneven. Marathoners with greater running fatigue (. 15% pace reduction) had elevated post-race myoglobin (1318 6 1411 v 623 6 391 mg L21; P,0.05), lactate dehydrogenase (687 6 151 v 583 6 117 U L21; P,0.05), and creatine kinase (564 6 469 v 363 6 158 U L21; P = 0.07) in comparison with marathoners that preserved their running pace reasonably well throughout the race. However, they did not differ in their body mass change (23.1 6 1.0 v 23.0 6 1.0%; P = 0.60) or post-race body temperature (38.7 6 0.7 v 38.9 6 0.9 uC; P = 0.35). Conclusions/Significance: Running pace decline during a marathon was positively related with muscle breakdown blood markers. To elucidate if muscle damage during a marathon is related to mechanistic or metabolic factors requires further investigation.

Programa de preparación física para controlar el desequilibrio muscular lumbo-pelvico como factor de riesgo de la pubalgia en los jugadores de la categoría sub 21 del club deportivo los millonarios

El presente trabajo es el resultado de un exhaustivo proceso investigativo a cerca de los factores de riesgo que predisponen al futbolista de alta competencia a padecer una entidad patológica severamente incapacitante como es la Pubalgia, la cual interfiere en el desempeño del mismo. Inicialmente el trabajo se centra en la revisión y comprensión de los conceptos básicos relacionados con salud, perfil del fisioterapeuta, actividad física, altas demandes cinéticas, anatomía y biomecánica normal de la Pélvis y sus alteraciones, definición de la Pubalgia, los principales factores de riesgo tanto intrínsecos como extrínsecos y el manejo médico y fisioterapéutico de esta entidad patológica.

Recursos pesqueiros oriundos da pesca artesanal no reservatório de jurumirim, rio Paranapanema, Alto Paraná, Brasil

The aim of this paper was to evaluate the artisanal fisheries in the village of fishermen of Bairro da Ponte, Jurumirim reservoir. Data were collected using production forms which were filled daily by a data collector, in 2005 and 2006. The fishery yield was estimated at 15.7 kg ha(-1) year(-1), the average yield was 12.5 t year(-1) and catch per unit effort (CPUE) was 10.5 kg fisherman(-1) day(-1). We recorded 26 species of landed fish in this activity, being the "traira" (Hoplias malabaricus) the most landed fish in terms of biomass with 6,158.5 kg, representing 24.5%, of the total landed. Seasonally, the CPUE ranged from 14.5 kg fisherman(-1) day(-1) in summer/2005 to 9.0 kg fisherman(-1) day(-1) in spring/2006. The average CPUE by type of fish also showed a marked seasonality. In summer of 2005 and 2006, "curimbata" was the most landed fish, with CPUE kg fisherman(-1) day(-1) of 6.9 and 6.2, respectively. The "piavas" were the most landed fish in autumn with CPUE of 2.4 (year 2005) and 2.3 (year 2006) kg fisherman(-1) day(-1), and "traira" in winter with CPUE ranging from 3.0 to 4.0 kg fishrman(-1) day(-1), in 2005 and 2006, respectively. The mathematical modeling of simple linear regression indicated positive relationships between the monthly fish production and the number of boats in activity and of fishing trips. The study concluded that fishing is sustained only by native species; with marked seasonality for catching fish and that the area of fishing examined of the Jurumirim reservoir is among the most productive areas of the Upper Parana basin.

Analysis of artisanal fisheries in two reservoirs of the upper Paraná River basin (Southeastern Brazil)

We compared the artisanal fisheries, in terms of catch strategies, productivity, and gross per capita income, at two reservoirs: The Barra Bonita (an eutrophic reservoir with some introduced species), and the Jurumirim (an oligotrophic reservoir, with no introduced species). Published data and structured interviews with fishers were used to evaluate fishing activity, fish biomass, and the financial performance of the fisheries. In the Barra Bonita Reservoir we analysed data from 745 fishing trips, from which 86,691.9 kg of fish were landed, with a mean CPUE of 62.4 kg/fisher-1 day-1. The main type of fish caught was tilapia (71,513.5 kg; CPUE of 51.5 kg/fisher-1 day-1), which constituted 82.5% of the biomass caught. In the Jurumirim Reservoir, we analysed data from 2,401 fishing trips, from which 25,093.6 kg of fish were landed, with a mean CPUE of 10.4 kg/fisher-1 day-1. The main type of fish caught was traíra (6,158.6 kg; CPUE of 2.6 kg/fisher-1 day-1), which constituted 24.5% of the biomass caught. Ordination analysis (PCA) indicated that there was a difference in composition between the fishing reservoirs and ANCOVA showed that there was a significant difference in fish production between the reservoirs. A Student's t-test showed that fishers in the Barra Bonita Reservoir had a significantly higher gross per capita income than those from the Jurumirim Reservoir. Although the Barra Bonita Reservoir has a higher fish production and the fishers earn a higher gross per capita income, we recommend the Jurumirim Reservoir as a model for artisanal fishery management because fishing activity in this reservoir is viable in the long term and such a model would promote conservation and sustainability. This contrasts with the Barra Bonita Reservoir, in which the fishery is not viable in the long term, due to environmental problems caused by artificial eutrophication and the introduction of alien species. It is also noted that in many countries, management of fisheries based on exotic species has not been viable in the long term. © 2013 Sociedade Brasileira de Ictiologia.

Magnetic properties, grain sizes, XRF Scanner Data of sediment core GeoB9307-3

Geochemical and mineralogical proxies for paleoenvironmental conditions have the underlying assumption that climate variations have an impact on terrestrial weathering conditions. Varying properties of terrigenous sediments deposited at sea are therefore often interpreted in terms of paleoenvironmental change. Also in gravity core GeoB9307-3 (18° 33.99' S, 37° 22.89' E), located off the Zambezi River, environmental changes during Heinrich Stadial 1 (HS 1) and the Younger Dryas (YD) are accompanied by changing properties of the terrigenous sediment fraction. Our study focuses on the relationship of variability in the hydrological system and changes in the magnetic properties, major element geochemistry and granulometry of the sediments. We propose that changes in bulk sedimentary properties concur with environmental change, although not as a direct response of climate driven pedogenic processes. Spatial varying rainfall intensities on a sub-basin scale modify sediment export from different parts of the Zambezi River basin. During humid phases, such as HS 1 and the YD, sediment was mainly exported from the coastal areas, while during more arid phases sediments mirror the hinterland soil and lithological properties and are likely derived from the northern Shire sub-basin. We propose that a de-coupling of sedimentological and organic signals with variable discharge and erosional activity can occur.

Grain-size analysis and geochemistry of sediment core GeoB13602-1

Grain-size, terrigenous element and rock magnetic remanence data of Quaternary marine sediments retrieved at the NW African continental margin off Gambia (gravity core GeoB 13602-1, 13°32.71' N, 17°50.96'W) were jointly analyzed by end-member (EM) unmixing methods to distinguish and budget past terrigenous fluxes. We compare and cross-validate the identified single-parameter EM systems and develop a numerical strategy to calculate associated multi-parameter EM properties. One aeolian and two fluvial EMs were found. The aeolian EM is much coarser than the fluvial EMs and is associated with a lower goethite/hematite ratio, a higher relative concentration of magnetite and lower Al/Si and Fe/K ratios. Accumulation rates and grain sizes of the fluvial sediment appear to be primarily constrained by shore distance (i.e., sea-level fluctuations) and to a lesser extent by changes in hinterland precipitation. High dust fluxes occurred during the Last Glacial Maximum (LGM) and during Heinrich Stadials (HS) while the fluvial input remained unchanged. Our approach reveals that the LGM dust fluxes were ~7 times higher than today's. However, by far the highest dust accumulation occurred during HS 1 (~300 g m**-2 yr** -1), when dust fluxes were ~80 fold higher than today. Such numbers have not yet been reported for NW Africa, and emphasize strikingly different environmental conditions during HSs. They suggest that deflation rate and areal extent of HSs dust sources were much larger due to retreating vegetation covers. Beyond its regional and temporal scope, this study develops new, in principle, generally applicable strategies for multi-method end-member interpretation, validation and flux budgeting calibration.

Grain-size analyses and bulk chemistry determined in surface sediment samples along the Chilean continental margin in the Southeast Pacific Ocean

Physical, chemical, and mineralogical properties of a set of surface sediment samples collected along the Chilean continental slope (21-44°S) are used to characterise present-day sedimentation patterns and sediment provenance on the Chilean margin. Despite the presence of several exceptional latitudinal gradients in relief, oceanography, tectonic evolution, volcanic activity and onshore geology, the present-day input of terrigenous sediments to the Chilean continental margin appears to be mainly controlled by precipitation gradients, and source-rock composition in the hinterland. General trends in grain size denote a southward decrease in median grain-size of the terrigenous (Corganic, CaCO3 and Opal-free) fraction, which is interpreted as a shift from aeolian to fluvial sedimentation. This interpretation is supported by previous observations of southward increasing bulk sedimentation rates. North-south trends in sediment bulk chemistry are best recognised in the iron (Fe) and titanium (Ti) vs. potassium (K) and aluminium (Al) ratios of the sediments that most likely reflect the contribution of source rocks from the Andean volcanic arc. These ratios are high in the northernmost part, abruptly decrease at 25°S, and then more or less constantly increase southwards to a maximum at ~40°S.

Stable oxygen isotope ratios and grain size analyses of sediment cores from the Propeller Mound, Northeast Atlantic

The first detailed stratigraphic record from a deep-water carbonate mound in the Northeast Atlantic based on absolute datings (U/Th and AMS 14C) and stable oxygen isotope records reveals that its top sediment sequences are condensed by numerous hiatuses. According to stable isotope data, mainly sediments with an intermediate signal are preserved on the mound, while almost all fully glacial and interglacial sediments have either not been deposited or have been eroded later. The resulting hiatuses reduce the Late Pleistocene sediment accumulation at Propeller Mound to amounts smaller than the background sedimentation. The hiatuses most likely result due to the sweeping of the mound in turn with the re-establishment of vigour interglacial circulation patterns after sluggish current regimes during glacials. Thus, within the discussion if internal, fluid-driven or external environmentally driven processes control the evolution of such carbonate mounds, our findings for Propeller Mound clearly point to environmental forcing as the dominant mechanism shaping deep-water carbonate mounds in the NE Atlantic during the Late Pleistocene and Holocene.

An environmental magnetic study, sedimentological and numerical methods around Tauranga Harbour, New Zealand

Magnetic iron minerals are widespread and indicative sediment constituents in estuarine, coastal and shelf systems. We combine environmental magnetic, sedimentological and numerical methods to identify magnetite-enriched placer-like zones in a complex coastal system and delineate their formation mechanisms. Magnetic susceptibility and remanence measurements on 245 surficial sediment samples collected in and around Tauranga Harbour, the largest barrier-enclosed tidal estuary of New Zealand, reveal several discrete enrichment zones controlled by local hydrodynamic conditions. Active magnetite enrichment takes place in tidal channels, which feed into two coast-parallel nearshore magnetite-enriched belts centered at water depths of 6-10 m and 10-20 m. A close correlation between magnetite content and magnetic grain size was found, where higher susceptibility values are associated within coarser magnetic crystal sizes. Two key mechanisms for magnetite enrichment are identified. First, tide-induced residual currents primarily enable magnetite enrichment within the estuarine channel network. A coast-parallel, fine sand magnetite enrichment belt in water depths of less than 10 m along the barrier island has a strong decrease in magnetite content away from the southern tidal inlet and is apparently related to active coast-parallel transport combined with mobilizing surf zone processes. A second, less pronounced, but more uniform magnetite enrichment belt at 10-20 m water depth is composed of non-mobile, medium-coarse-grained relict sands, which have been reworked during post-glacial sea level transgression. We demonstrate the potential of magnetic methods to reveal and differentiate coastal magnetite enrichment patterns and investigate their formative mechanisms.

Geochemistry on water profiles from the Kara Sea

As a part of the Russian-German project "Siberian River-Runoff (SIRRO)" the major element composition of the dissolved load and the major and trace element composition of particulate load and bottom sediment of the Yenisei River and Estuary were analyzed and examined in context of the basin lithology and climate. In addition, the processes controlling the transformation of the river load in the estuarine mixing zone were investigated. The chemical composition of the dissolved and particulate load of the Yenisei fluvial endmember is generally comparable to that of other major world rivers. The dissolved load is chiefly controlled by carbonate weathering and the chemical composition of the river suspended particulate matter (SPM) is similar to that of the North American Shale Composite (NASC), which represents the weathering product of the upper continental crust. The Chemical Index of Alteration (CIA) of the Yenisei SPM amounts to 71, which indicates moderate chemical weathering. With regard to the SPM geochemistry, the Yenisei occupies an intermediate position between the adjacent rivers Khatanga and the Lena. Drastic changes in the composition of the river load are seen in the mixing zone between fresh and salt water. While dissolved Na, Ca, Mg, K, CI, S04, F, Br, Sr and HC03 behave conservatively, dissolved Fe is completely removed from solution at very low salinities. Particulate Mn exhibits a pronounced mid-salinity minimum concomitant with a maximum of dissolved Mn, which is probably related to suboxic conditions in the area of the so-called "marginal filter", where highest turbidities are found. The Mn-minimum in SPM is paralleled by depletions of the elements Ba, Zn, Cd, Ni, Cu and V, which can be associated with manganese particles. The estuarine bottom sediments are composed of mud and sand and the sedimentological parameters of the bottom sediments have to be considered for the interpretation of the bulk geochemical data. The chemical composition of the mud is comparable to the SPM, whereas the sand is relatively enriched in Si/Al, Ba/Al, Zr/Al and Sr/Al ratios and depleted in transition metals.

Climatic records of the late Holocene from sediment core GeoB9504-3 off Senegal

High-resolution climatic records of the late Holocene along the north-west African continental margin are scarce. Here we combine sediment grain size, elemental distribution and mineral assemblage data to trace dust and riverine sources at a shallow-marine sediment depocentre in the vicinity of the Senegal River mouth. The aim is to understand how these terrigenous components reflect climate variability during the late Holocene. Major element contents were measured and mineral identification was performed on three sub-fractions of our sediment core: (i) fluvial material <2 µm, (ii) aeolian material of 18-63 µm and (iii) a sub-fraction of dual-origin material of 2-18 µm. Results show that more than 80% of the total Al and Fe terrigenous bulk content is present in the fluviogenic fraction. In contrast, Ti, K and Si cannot be considered as proxies for one specific source off Senegal. The Al/Ca ratio, recording the continental river runoff, reveals two dry periods from 3010 to 2750 cal a BP and from 1900 to 1000 cal a BP, and two main humid periods from 2750 to 1900 cal a BP and from 1000 to 700 cal a BP. The match between (i) intervals of low river runoff inferred by low Al/Ca values, (ii) reduced river discharge inferred by integrated palynological data from offshore Senegal and (iii) periods of enhanced dune reactivation in Mali confirms this interpretation.

Age model, isotope analyses, geochemical measurements and grain size analyses of sediment core GeoB9508-5 from the Senegal River Mouth

The influence of the large-scale ocean circulation on Sahel rainfall is elusive because of the shortness of the observational record. We reconstructed the history of eolian and fluvial sedimentation on the continental slope off Senegal during the past 57,000 years. Our data show that abrupt onsets of arid conditions in the West African Sahel were linked to cold North Atlantic sea surface temperatures during times of reduced meridional overturning circulation associated with Heinrich Stadials. Climate modeling suggests that this drying is induced by a southward shift of the West African monsoon trough in conjunction with an intensification and southward expansion of the midtropospheric African Easterly Jet.