948 resultados para 6 minutes walk test
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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FUNDAMENTO: Ausência de estudos na literatura validando equações preditivas da frequência cardíaca máxima (FCmáx) em crianças e adolescentes. OBJETIVO: Analisar a validade das equações preditivas da FCmáx 220 - idade e 208 - (0,7 x idade) em meninos com idades entre 10 e 16 anos. MÉTODOS: Um teste progressivo de esforço máximo foi realizado em 69 meninos com idades entre 10 e 16 anos, aparentemente saudáveis e ativos. A velocidade inicial do teste foi de 9 km/h com incrementos de 1 km/h a cada três minutos. O teste foi mantido até a exaustão voluntária, considerando-se como FCmáx a maior frequência cardíaca atingida durante o teste. A FCmáx medida foi comparada com os valores preditos pelas equações 220 - idade e 208 - (0,7 x idade) através da ANOVA, medidas repetidas. Resultados: Os valores médios da FCmáx (bpm) foram: 200,2 ± 8,0 (medida), 207,4 ± 1,5 (220 - idade) e 199,2 ± 1,1 (208 - (0,7 x idade)). A FCmáx predita pela equação 220 - idade foi significantemente maior (p < 0,001) que a FCmáx medida e que a FCmáx predita pela equação (208 - (0,7 x idade)). A correlação entre a FCmáx medida e a idade não foi estatisticamente significativa (r = 0,096; p > 0,05). CONCLUSÃO: A equação 220 - idade superestimou a FCmáx medida e não se mostrou válida para essa população. A equação 208 - (0,7 x idade) se mostrou válida apresentando resultados bastante próximos da FCmáx medida. Estudos futuros estudos com amostras maiores poderão comprovar se a FCmáx não depende da idade para essa população, situação em que o valor constante de 200 bpm seria mais apropriado para a FCmáx.
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O Limiar Anaeróbio (Lan) pode ser determinado por protocolos que utilizam concentrações fixas de lactato sanguíneo como o OBLA (Onset of Blood Lactate Accumulation) e os que utilizam procedimentos mais individualizados, como o Lactato Mínimo (Lacmin). Independente do método, a mensuração da capacidade aeróbia através do Lan nesses casos exige a utilização de equipamentos sofisticados, além do elevado custo por atleta, o que torna sua aplicação limitada. Como alternativa, um dos testes não invasivos mais empregados no meio esportivo é o de 12 minutos proposto por Cooper. O objetivo principal do presente estudo foi comparar a intensidade de exercício obtida pelo teste de 12min com as intensidades correspondentes ao Lan obtido pelo protocolo adaptado ao de Tegtbur et al. (1993) (Lac minat) e pelo OBLA em futebolistas profissionais. Para tanto participaram 16 atletas pertencentes a uma equipe profissional filiada à série A3 do futebol paulista. Cada atleta foi avaliado nos três protocolos, com intervalo mínimo de 48 e máximo de 72 horas. Os resultados mostraram diferença (p < 0,05) entre as velocidades (km.h-1) obtidas pelo teste de Cooper (15,09 ± 0,94) e OBLA (14,28 ± 1,02); entretanto, esses testes apresentaram correlação significativa. Cooper e OBLA não apresentaram correlação com o Lac minat, mas as velocidades foram similares com esse protocolo. Dessa maneira, a partir da análise de regressão entre os valores de Cooper e OBLA foi possível determinar uma equação de correção que permita, através do teste de Cooper, a obtenção da intensidade correspondente ao Lan determinado pelo OBLA em futebolistas profissionais.
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OBJETIVO: Verificar a validade e a reprodutibilidade de uma versão em português do Chronic Respiratory Questionnaire (CRQ) em pacientes com DPOC. MÉTODOS: A versão em português do CRQ (fornecida pela Universidade de McMaster, detentora dos direitos do questionário) foi aplicada a 50 pacientes portadores de DPOC (32 homens; 70 ± 8 anos; VEF1 = 47 ± 18% predito) em dois momentos, com intervalo de uma semana. O CRQ tem quatro domínios (dispneia, fadiga, função emocional e autocontrole) e foi aplicado em formato de entrevista. O Saint George's Respiratory Questionnaire (SGRQ), já validado em português, foi utilizado como o critério de validação. A espirometria e o teste da caminhada de seis minutos (TC6) foram realizados para a análise das correlações com os valores do CRQ. RESULTADOS: Não foram observadas diferenças significativas entre a aplicação e a reaplicação do CRQ (p > 0.05 para todos os domínios). O coeficiente de correlação intraclasse entre a aplicação e a reaplicação foi de 0,98; 0,97; 0,98 e 0,95 para os domínios dispneia, fadiga, função emocional e autocontrole, respectivamente. O coeficiente alfa de Cronbach foi 0,91. Os domínios do CRQ se correlacionaram significativamente com os domínios do SGRQ (-0.30 < r < -0.67; p < 0,05). Não houve correlação entre as variáveis espirométricas e os domínios do CRQ e nem entre esses domínios e o TC6, exceto para o domínio fadiga (r = 0,30; p = 0,04). CONCLUSÕES: A versão em português do CRQ demonstrou ser reprodutível e válida em pacientes brasileiros portadores de DPOC.
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Background: We describe an experimental model for transanal endorectal pull-through surgery using the method of de]a Torre and Ortega that can be used for training purposes in experimental laboratories.Methods: Ten rabbits were submitted to the transanal endorectal pull-through technique of de la Torre and Ortega. Animals were randomly selected in the Botucatu School of Medicine experimental laboratory. Animals weighted between 2800 and 4400 g. Colons were not prepared, and antibiotic therapy was not used; dipyrone(1) was administered postoperatively for analgesic purposes. We standardized resected segment size, recorded surgical time, and observed Survival and possible complications for 1 month.Results: All animals survived the initial follow-up period without infection. Bowel movements returned quickly, and all animals were evacuating regularly within the first 24 hours. Mean surgical time was 48.6 minutes.Conclusions: the experimental model proposed in this study is very useful for training and improving surgical techniques using the method of de la Torre and Ortega. The rabbit is an excellent animal for this surgery because of its size and postoperative resistance. (c) 2005 Elsevier B.V. All rights reserved.
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Statement of problem. Acrylic resin denture teeth soften upon immersion in water, and the heating generated during microwave sterilization may enhance this process.Purpose. Six brands of acrylic resin denture teeth were investigated with respect to the effect of microwave sterilization and water immersion on Vickers hardness (VHN).Material and Methods. The acrylic resin denture teeth (Dentron [D], Vipi Dent Plus [V], Postaris [P], Biolux [B], Trilux [T], and Artiplus [A]) were embedded in heat-polymerized acrylic resin within polyvinylchloride tubes. For each brand, the occlusal surfaces of 32 identical acrylic resin denture posterior teeth were ground flat with 1500-grit silicon carbide paper and polished on a wet polishing wheel with a slurry of tin oxide. Hardness tests were performed after polishing (control group, C) after polishing followed by 2 cycles of microwave sterilization at 650 W for 6 minutes (MwS group), after polishing followed by 90-day immersion in water (90-day Wim group), and after polishing followed by 90-day storage in water and 2 cycles of microwave sterilization (90-day Wim + MwS group). For each specimen, 8 hardness measurements were made and the mean was calculated. Data were analyzed with a 2-way analysis of variance followed by the Bonferroni procedure to determine any significance between pairs of mean values (alpha=.01).Results: Mircrowave sterilization of specimens significantly decreased (P <.001) the hardness of the acrylic resin denture tooth specimens P (17.8 to 16.6 VHN, V (18.3 to 15.8 VHN), T (17.4 to 15.3 VHN), B (16.8 to 15.7 VHN), and A (17.3 to 15.7 VHN). For all acrylic resin denture teeth, no significant differences in hardness were found between the groups Mws, 90-day Wim, and 90-day Wim + MwS, with the exception of the 90-day Wim + MwS tooth A specimens (14.4 VHN), which demonstrated significant lower mean values (P <.001) than the 90-day Wim (15.8 VHN) and MwS (15.7 VHN) specimens.Conclusions. For specimens immersed in water for 90 days, 2 cycles of microwave sterilization had no effect on the hardness of most of the acrylic resin denture teeth.
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Exploratory behavior is done by animals to increase their interaction to the environment after be stimulated by curiosity, when animal feels that is in a secured place. The objective of this study was to evaluate exploratory behavior of foals front of introduction of new objects in their environment. Four foals and mares were observed in seven day sections of 60 minutes each one, always with a new object. No differences were verified about frequencies of looking, going to or touching into foals and mares. Total time of touching was 45,6 minutes, divided in 64 touches, mainly in first 20 minutes of each observation. However there is no statistical difference into solitary or impaired approaches and in impaired approaches there is no differences into foals or mares initiatives, foals done more solitary approaches than mares. Four animals touched the objects in first place, suggesting predisposition to this position based in individual differences. So, we concluded that new objects can stimulate similarly foals and mares to exhibit exploratory behavior, but foals show more manipulation activity, suggesting that are more curious than mares and predisposition to touch objects first depends of individual differences.
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Influence of cutting instruments and The aim of this study was to analyze the hybrid layer in noncarious dentin prepared by different cutting instruments and restored with composite resin. The cavities were randomly prepared in 40 specimens using a high-speed diamond bur (KG Sorensen 1013) and an ultrasonic tip (CVDentus C22). The cavities were restored with composite resin by varying the adhesive system between the Adper™ Single Bond (2 x 1 system, primer+adhesive) and the Prompt L-Pop™ (3 x 1 system, self-etching). The restorations were hemisected longitudinally and analyzed in the SEM (Scanning electron microscopy) in order to evaluate the hybrid layer and resinous tags characteristics, using scores ranging from 1 to 6. The Pearson test revealed a high correlation coefficient and good significance levels for both intra- and inter-raters values (r=0.90). The data were statistically analyzed using the Mann-Whitney test (P≤0.05). A larger proportion of regular hybrid layers with numerous tags were observed in the dentin prepared using the high-speed diamond burs and restored with a 2 × 1 adhesive system. Alternatively, the 3 × 1 adhesive system promoted the generation of a thin hybrid layer with few tags. After preparation using an ultrasonic tip revealed few or no tags after the preparation and 2 × 1 or 3 × 1 adhesive system application. The high-speed diamond burs produced a dentin surface that was more favorable to restorative material adhesion than the ultrasonic tips, regardless of the adhesive system used.
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Background: Early trauma care is dependent on subjective assessments and sporadic vital sign assessments. We hypothesized that near-infrared spectroscopy-measured cerebral oxygenation (regional oxygen saturation [rSO 2]) would provide a tool to detect cardiovascular compromise during active hemorrhage. We compared rSO 2 with invasively measured mixed venous oxygen saturation (SvO2), mean arterial pressure (MAP), cardiac output, heart rate, and calculated pulse pressure. Methods: Six propofol-anesthetized instrumented swine were subjected to a fixed-rate hemorrhage until cardiovascular collapse. rSO 2 was monitored with noninvasively measured cerebral oximetry; SvO2 was measured with a fiber optic pulmonary arterial catheter. As an assessment of the time responsiveness of each variable, we recorded minutes from start of the hemorrhage for each variable achieving a 5%, 10%, 15%, and 20% change compared with baseline. Results: Mean time to cardiovascular collapse was 35 minutes ± 11 minutes (54 ± 17% total blood volume). Cerebral rSO 2 began a steady decline at an average MAP of 78 mm Hg ± 17 mm Hg, well above the expected autoregulatory threshold of cerebral blood flow. The 5%, 10%, and 15% decreases in rSO 2 during hemorrhage occurred at a similar times to SvO2, but rSO 2 lagged 6 minutes behind the equivalent percentage decreases in MAP. There was a higher correlation between rSO 2 versus MAP (R =0.72) than SvO2 versus MAP (R =0.55). Conclusions: Near-infrared spectroscopy- measured rSO 2 provided reproducible decreases during hemorrhage that were similar in time course to invasively measured cardiac output and SvO2 but delayed 5 to 9 minutes compared with MAP and pulse pressure. rSO 2 may provide an earlier warning of worsening hemorrhagic shock for prompt interventions in patients with trauma when continuous arterial BP measurements are unavailable. © 2012 Lippincott Williams & Wilkins.
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The objective of the present study consisted of describing dam and calf suckling behaviour of Curraleiro Pé Duro cattle. In this study, 38 mother-offspring pairs and one mother-offspring-orphan trio were observed for 10 hours daily during three consecutive days spaced every four months over a period of one year. After identification,theanimalswereobserved under field conditions where calf posture and the number of sucklingepisodes(NS),meansucklingduration(MSD),total suckling duration per day (TSD) as well as natural weaning of these animals were recorded. The model assessed the effects of calf sex and age as well as feeding time. Suckling episodes (70.6%) had a duration of one to five minutes and the calf that suckled in the inverted parallel position had greater chances of success during suckling (99.5%); the younger animals had a shorter mean suckling duration (4.0±0.6 minutes) than the older ones (7.5±1.2 minutes) but they showed a higher number of suckling episodes (6.29±1.00 vs. 1.33±0.04 feeds in 10 hours for young and older calves). Only the factor age in the firstthree months was significant for NS,MSD,and TSD;males and females had similar suckling episode length and distribution. While these animals show some traits similar to other cattle breeds such as feeding their calves early in the morning and late in the afternoon, the dams spend large periods of the day away from their calves and suckling is more frequent but for shorter periods of time compared with other breeds. Other unique features such as allo-suckling and formation of day-long crèches are observed in this breed. © 2013 Sociedade Brasileira de Zootecnia;.
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Pós-graduação em Bases Gerais da Cirurgia - FMB
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Pós-graduação em Fisioterapia - FCT
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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)