Adaptações neuromusculares após um treinamento de caminhada em declive

Pós-graduação em Desenvolvimento Humano e Tecnologias - IBRC

Terapia celular no tratamento de feridas crônicas

Pós-graduação em Pesquisa e Desenvolvimento (Biotecnologia Médica) - FMB

Impact of muscle fatigue on mechanics and motor control of walking

Pós-graduação em Ciências da Motricidade - IBRC

Implante de células-tronco mesenquimais autólogas, associadas ao plasma rico em plaquetas em tendinites experimentais de equinos

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Anormalidades ultrassonográficas e radiográficas em joelhos de cavalos da raça Quarto de Milha da linhagem de apartação

Pós-graduação em Medicina Veterinária - FMVZ

Bem-estar animal e suas implicações na qualidade da carne bovina: diagnóstico da situação nos segmentos iniciais da cadeia produtiva no Estado de Mato Grosso

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Uso de escores prognósticos em crianças politraumatizadas na UTI Pediátrica da UNESP

Pós-graduação em Pediatria - FMB

Avaliação dos parâmetros gasométricos dos traumatizados durante o atendimento pré-hospitalar móvel

OBJECTIVE: To evaluate gasometric differences of severe trauma patients requiring intubation in prehospital care. METHODS: Patients requiring airway management were submitted to collection of arterial blood samples at the beginning of pre-hospital care and at arrival at the Emergency Room. We analyzed: Glasgow Coma Scale, respiratory rate, arterial pH, arterial partial pressure of CO2 (PaCO2), arterial partial pressure of O2 (PaO2), base excess (BE), hemoglobin O2 saturation (SpO2) and the relation of PaO2 and inspired O2 (PaO2/FiO2). RESULTS: There was statistical significance of the mean differences between the data collected at the site of the accident and at the entrance of the ER as for respiratory rate (p = 0.0181), Glasgow Coma Scale (p = 0.0084), PaO2 (p <0.0001) and SpO2 (p = 0.0018). CONCLUSION: tracheal intubation changes the parameters PaO2 and SpO2. There was no difference in metabolic parameters (pH, bicarbonate and base excess). In the analysis of blood gas parameters between survivors and non-survivors there was statistical difference between PaO2, hemoglobin oxygen saturation and base excess.

Orientações de alta: cartões padronizados ajudam na compreensão dos pacientes do pronto socorro?

OBJECTIVE: To determine whether the addition of discharge standard illustrated cards improves understanding of patients in the emergency room. METHODS: We conducted a prospective, randomized, interventional study with 228 patients discharged from the emergency department. All patients were interviewed and tested for the level of understanding of discharge instructions. Some of them received the intervention, with the standard cards, and another did not, constituting the control group. RESULTS: The average of followed discharge guidelines of the group that received the cards was higher than the control group, with statistical significance (p=0.009). When segregated by age, the group between 16 and 35 years of both sexes had the best average of followed guidelines, statistically, than the average of the control group (p=0.01). The difference between the mean orientations between the control group and the card for patients undergoing procedures was statistically significant (p=0.02); as for the stratification according to the number of procedures, the significance increases when that is equal to 1 (p=0.001) and decreased the more procedures were carried out. CONCLUSION: The introduction of discharge standard orientation cards was associated with improvement in the understanding of patients. Without replacing the verbal directions, which establishes dialogue and doctor-patient bonding, cards appear as auxiliary elements, facilitating understanding and care guidelines.

A lei seca cumpriu sua meta em reduzir acidentes relacionados à ingestão excessiva de álcool?

OBJECTIVE: To assess whether the Brazilian Driving Dry Law reached its goal after the three years following its enactment. METHODS: We onnducted a retrospective study of patients with craniofacial fractures who underwent surgery at a university hospital in two periods: before the Law (2005 to 2008) and after the Law (2008 to 2011). RESULTS: 265 patients (220 men and 45 women) were operated on during this period, 149 (56%) before and 116 (44%) after the Law, which indicates a reduction in the number of traumatisms (p=0.04). The age range between 19 and 40 years predominated in both periods. The main causes of traumas were car accidents, physical aggression and falls. Alcohol abuse was identified in 15.4% patients before and 19% patients after the enactment. The jaw and the maxillo-zygomatic complex were the most affected bones. CONCLUSION: The drop in the number of polytraumatized patients operated on at this institution in the three years following the Driving Dry Law was 22%, which is below the expected and desired percentage. These results must be compared to those of different services offering the same attendance type in order to compile data and enlarge statistics. The low index of reduction in the number of traumatisms and the report of alcohol abuse by several patients at the moment of trauma, even after the law, evidence the need of adopting stricter measures to control and punish violators.

Plasma rico em plaquetas empregado na cirurgia reconstrutiva em coelhos (Oryctolagus cuniculus): avaliação da exequibilidade da técnica, achados macroscópicos e histopatológicos

Pós-graduação em Cirurgia Veterinária - FCAV

Efeitos da suplementação da quercetina sobre o rendimento físico em esteira ergométrica e indicadores metabólicos do exercício exaustivo em atletas de futebol

Pós-graduação em Patologia - FMB

Efeito do consumo agudo de erva mate sobre o rendimento fisíco em esteira ergométrica e indicadores metabólicos da exaustão em jogadores profissionais de futebol

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

O efeito protetor contra o dano muscular: alternativas às contrações excêntricas máximas

Já é bem estabelecido que, após a realização de exercícios aos quais não se está acostumado, principalmente se esses envolverem contrações excêntricas, ocorre um processo conhecido como dano muscular (DM). Esse processo consiste na desorganização e/ou rompimento de células musculares graças a elevados níveis de estresse mecânico e/ou metabólico. Esse processo pode ser identificado pela manifestação de sintomas clássicos como dor muscular, diminuição da amplitude de movimento, perda de força e extravasamento de proteínas intracelulares para a corrente sanguínea, entre outros. Sabe-se que, após a ocorrência do DM, o músculo acometido se recupera e passa a ser mais resistente a esse fenômeno, apresentando respostas atenuadas desses sintomas. Recentemente, diferentes estratégias de proteção contra o DM que não envolvem a realização de contrações excêntricas máximas vêm sendo apresentadas, como a realização de contrações excêntricas submáximas, contrações isométricas, treinamento de flexibilidade e aumento da temperatura muscular previamente ao exercício. O objetivo do presente estudo foi revisar essas estratégias de proteção contra o DM para melhor entender esse fenômeno. Foram realizadas pesquisas em importantes bases de dados e, os artigos encontrados que forem relevantes ao tema serão revisados e didaticamente explanados ao longo do trabalho

Efeito protetor após sessões de exercício excêntrico: comparação entre membros superiores e inferiores

The objective of the present study was to compare in which part (lower limb or upper limb) the repeated bout effect has the greatest magnitude. Twelve males individuals with no recent (6 months) experience with resisted training participated in this study. The subjects were randomly divided into two groups (legs and arms) and came to the laboratory 5 times. 1st) adaptation to the dynamometer. 2nd) to perform one bout of eccentric exercise (EE) and provide markers such as isometric peak torque (IPT), delayed onset muscle soreness (DOMS) (both collected before and after the bout) and concentration of the creatine kinase (CK) enzyme in the blood (only before the bout). 3rd) 48 after the first bout the same markers were collected again. After 14 days, the methodologies used in the 2nd and 3rd visits to the laboratory were repeated respectively to determine the repeated bout effect. A significant decrease of IPT and a significant increase of CK and DOMS were found immediately after and 48 hours after the first bout of EE for the arms group. The legs group showed a significant increase in CK (48 hours after the EE) and DOMS (immediately after the EE) resulting from the first bout. In the arms group, the second bout did not cause significant increase in CK or DOMS on any of the situations, however, it provoked a decrease in force production immediately after the EE. The legs group showed a significant increase of DOMS immediately after the second bout of EE, which caused no significant increase in CK. The only marker in which the repeated bout effect happened for both groups was CK. No significant difference was found between the protections for both groups. Taking into account the results, it’s been discussed whether there is a relation between the susceptibility to muscle damage and the repeated bout effect, and also...(Complete abstract click electronic access below)