Efeito de exercícios de pilates clínico no controlo postural de jovens adultos com dor lombar não específica

Introdução: Os efeitos a longo prazo de exercícios de Pilates têm sido bem documentados, não entanto os seus efeitos imediatos no controlo postural estático e dinâmico de jovens adultos com dor lombar não específica permanecem por desvendar. Objetivo: Avaliar os efeitos imediatos de uma sessão composta por 4 exercícios de Pilates Clínico no controlo postural estático e dinâmico de jovens adultos com dor lombar não específica. Métodos: 46 estudantes universitários com dor lombar não específica participaram no estudo randomizado e controlado. Os participantes foram randomizados para um grupo de Pilates (n = 23, 10 do sexo masculino, idade: 21,8 ± 3,2 anos; peso: 64,5 ± 11,5 kg; altura: 1,70 ± 0,1 m) e um grupo controlo (n = 23, 9 do sexo masculino; idade: 22,8 ± 3,6 anos; peso: 62,5 ± 9,9 kg; altura: 1,68 ± 0,1 m). O controlo postural estático foi avaliado com uma plataforma de forças e o controlo postural dinâmico com o Star Excursion Balance Test, antes e depois da intervenção ou período de repouso. Para avaliar o controlo postural estático, os participantes estavam em posição ortostática, o mais quietos possível durante 90s, com os olhos fechados em superfície instável. A intervenção durou 20 minutos e consistiu em 4 exercícios de Pilates Clínico: single leg stretch (nível 1), pelvic press (nível 1), swimming (nível 1) e kneeling opposite arm and leg reach. Resultados: No momento de avaliação inicial, não foram encontradas diferenças estatisticamente significativas entre os grupos em nenhuma das variáveis. Após a intervenção, o grupo Pilates melhorou em todos as variáveis do controlo postural estático (COPx: 5,7 ± 1,0 para 5,1 ± 0,7 cm, p = 0,005; COPy: 4,4 ± 1,0 para 3,8 ± 0,7 cm, p < 0,001; comprimento total: 255,2 ± 55,9 para 210,5 ± 42,7 cm, p < 0,001 ; área: 11,5 ± 3,4 para 9,7 ± 2,7 cm2, p = 0,002 e velocidade : 2,8 ± 0,6 para 2,3 ± 0,5 cm/s, p < 0,001) e no Star Excursion Balance Test (anterior: 65,3 ± 8,3 para 68,6 ± 6,4%, p = 0,001; póstero-medial: 82,6 ± 11,7 para 89,5 ± 9,7%, p < 0,001; póstero-lateral: 83,9 ± 11,0 para 87,6 ± 10,2%, p < 0,001 e composite: 86,2 ± 12,4 para 91,1 ± 11,0%, p < 0,001). O grupo de controlo só melhorou na velocidade (2,8 ± 0,5 para 2,6 ± 0,5 cm/s, p = 0,009) e comprimento total (248,5 ± 45,3 para 237,3 ± 47,2 cm, p = 0,009) no controlo postural estático. No entanto, as melhorias no grupo Pilates foram significativamente maiores do que as do grupo de controlo. Conclusão: Os exercícios de Pilates Clínico melhoraram, no imediato, o controlo postural estático e dinâmico em jovens adultos com dor lombar não específica.

Colonic lipomas. Three surgical techniques for three different clinical cases

Colonic lipomas larger than 2 cm in diameter are likely to be symptomatic. In some cases a complication is the first clinical sign. Massive lower intestinal bleeding or obstruction, acute bleeding, prolapse or perforation or, rarely, acute intussusception with intestinal obstruction require urgent surgery. Diagnosis is often made following colonoscopy, which can also have a therapeutic role. Imaging procedures such as CT has a secondary role. Patients with small asymptomatic colonic lipomas need regular follow up. For larger (diameter > 2 cm) and/or symptomatic lipomas, resection should be considered, although the choice between endoscopic or surgical resection remains controversial. We believe that even lipomas > 2 cm can safely be removed by endoscopic resection. If surgery is indicated, we consider laparoscopy to be the ideal approach in all patients for whom minimally invasive surgery is not contraindicated.

Estudio del Secado de Anacardo (Anacardium occidentale L.) mediante Secador Solar de Radiación Directa

MACHADO, Antônio V. et al. Estudio del Secado de Anacardo (Anacardium occidentale L.) mediante Secador Solar de Radiación Directa. Información Tecnológica, v. 21, n. 1, p. 31-37, 2010.

Aspects of the fishery and biology of the African catfish Clarias gariepinus (Burchell, 1822) amidst environmental changes in Lake Wamala (Uganda)

Environmental changes are some of the factors that affect fisheries and biological characteristics of fishes. The African catfish Clarias gariepinus (Burchell, 1822) has biological characteristics that enable it to persist under various stressful environmental conditions. However, few studies have examined how the African catfish responds to conditions created by a changing climate. The study examined some of the fishery and biological characteristics of African catfish in Lake Wamala (Uganda) to provide an understanding of their response to changing climatic conditions using data for the period 1950 - 2013. Temperature around the lake increased by 0.02ºC/year since 1980, commensurate with the regional trend, while rainfall was above average since 1996, except in 2004 and 2008. Lake depth was strongly positively correlated with rainfall (r =0.83, n= 6, p<0.05) up to 2000, after which, lake depth decreased amidst increase in rainfall. The contribution of African catfish increased from 20% to 85% and 17% to 78% respectively to commercial and experimental catches respectively between 1975 and 2013 despite the decrease in lake depth. The modal total length, condition factor, food, and fecundity did not change. Only size at first maturity decreased from 37.5 to 30 cm TL in females and 39.5 to 34.2 cm TL in males between 1999/2000 and 2012/2013. The biological characteristics of the African catfish were comparable with those of the same species in other lakes and remained relatively stable. The results suggested that the African catfish has the capacity to persist and/or adjust appropriately under conditions created by climate variability and change, and if properly managed, can sustain the fisheries of Lake Wamala.

Ecologia reprodutiva do peixe-donzela, Stegastes fuscus cuvier, 1830 (osteichthyes: pomacentridae) em arrecifes rochosos da praia de Búzios, Rio Grande do Norte, Brasil

The reproductive ecology of fish plays a key role both for rational exploitation methods and for protective measures of natural stocks. The purpose of this study was to analyze the reproductive aspects of the damsel-fish, Stegastes fuscus, during October 2004 to September 2005, in the coastal rocky reefs of Búzios Beach, Nísia Floresta, RN. Fish were captured using hooks and hand nets, during low tide. Reproduction was determined using sexual ratio, mean length of first maturation (L50), absolute fecundity and macroscopic characteristics of gonads. The following parameters were related to gonadosomatic index (GSI): condition factor (CF), hepatosomatic index (HSI), rain fall and temperature. In relation to sex distribution, it was observed that 78% were females and 22% were males. The L50 was 6.2 cm for females and 7.0 for males. Average fecundity was 6832 oocytes. Results showed that S. fuscus had better body condition in the months prior to spawning, particularly during initial and intermediate stages of maturation. Five stages of gonadal maturation were identified through macroscopic analysis: immature, in maturation, mature, spent and resting. The HSI was inversely related to the GSI. This was possibly due to the reproductive cycle of this species which was associated to the dry period of this region. During this period, low rain fall and high temperatures provide an propitious reproductive condition for the study species

A pilot study on the productivity and behavior of the gestating sow housed in a flex stall

Animal welfare is a controversial topic in modern animal agriculture, partly because it generates interest from both the scientific community and the general public. The housing of gestating sows, particularly individual housing, is one of the most critical concerns in farm animal welfare. We hypothesize that the physical size of the standard gestation stall may limit movement and evoke demands and challenges on the sow to affect the physiological and psychological well-being of the individually housed sow. Thus, improvements in the design of the individual gestation stall system that allow more freedom to move, such as increasing stall width or designing a stall that could accommodate the changing size of the pregnant sow, may improve sow welfare. The objective of this pilot study was to evaluate the effects of a width adjustable stall (FLEX) on productivity and behavior of dry sows. The experiment consisted of 3 replications (block 1, n=4 sows; block 2, n=4 sows; block 3, n=8 sows), and multi-parious sows were allotted to either a FLEX stall or standard gestation stall for 1 gestation period. Sow mid-girth (top of the back to bottom of the udder) was measured 5-6 times throughout gestation to determine the best time points for FLEX stall width expansions. FLEX stall width was adjusted according to mid-girth measurements, and expanded to achieve an additional 2 cm of space between the bottom of the sow’s udder and floor of the stall so that sows could lie in full lateral recumbency without touching the sides of the stall. Productivity data recorded included: sow body weight (BW) and BW gain, number of piglets born and born alive, proportions of piglets stillborn, mummified, lost between birth and weaning, and weaned, and litter and mean piglet birth BW, weaning BW, and average BW gain from birth-to-weaning. Lesions were recorded on d 21 and d 111 of gestation. Sub-pilot behavior data were observed and registered for replicate 1 sows using continuous video-records for the l2 hour lights on period (period 1, 0600-1000; period 2, 1000-1400; period 3, 1400-1800) prior FLEX stall adjustment and 12 hour lights on period post adjustment on d 21, 22, 23, 43, 44, 45, 93, 94, 95. A randomized complete block design with a 2 × 2 factorial arrangement for treatments was used to analyze sow productivity and performance traits. Data were analyzed using the Mixed Models procedure of SAS. A preliminary analysis of data means and numerical trends was used to analyze sow behavior measurements. Sows housed in a FLEX stall had more (P < 0.05) total born and a tendency for more piglets born alive (P = 0.06) than sows housed in a standard stall. Sow body weight also tended to be higher (P = 0.06) for sows housed in a FLEX stall compared to sows housed in a standard stall. There were numerical trends for mean durations of sit, lay, lay (OUT), and eat behaviors to be greater for sows housed in a FLEX stall compared with sows housed in a standard stall. The mean duration of lay (IN) behavior tended to be numerically less for sows housed in a FLEX stall compared with sows housed in a standard stall. There were numerical trends for the mean durations of stand and drink behaviors to be greater for sows housed in a standard stall compared with sows housed in a FLEX stall. The mean frequencies of postural changes and mean durations of oral-nasal-facial and sham-chew behaviors were numerically similar between types of gestation stall. Mean durations and numerical trends indicate that time of day influenced all of the behaviors assessed in this study. The results of this pilot study indicate that the adjustable FLEX stall may affect sow productivity and behavior differently than the standard gestation stall, and thus potentially improve sow well-being. Future research should continue to compare the new FLEX stall design to current housing systems in use and examine physiological traits and immune status in addition to behavioral and productivity traits to assess the effects that this housing system has on the overall welfare of the gestating sow.

Interventions for dysphagia in acute stroke (Review)

Background It is unclear how dysphagic patients should be fed and treated after acute stroke. Objectives The objective of this review was to assess the effect of different management strategies for dysphagic stroke patients, in particular how and when to feed, whether to supplement nutritional intake, and how and whether to treat dysphagia. Search strategy We searched the Cochrane Stroke Group trials register, Medline, Embase, ISI, and existing review articles.We contacted researchers in the field and equipment manufacturers. Date of the most recent searches: March 1999. Selection criteria Unconfounded truly or quasi randomised controlled trials in dysphagic patients with acute/subacute (within 3 months) stroke. Data collection and analysis Three reviewers independently applied the trial inclusion criteria. Two reviewers assessed trial quality and extracted the data. Main results Percutaneous endoscopic gastrostomy (PEG) versus nasogastric tube (NGT) feeding: two trials (49 patients) suggest that PEG reduces end-of-trial case fatality (Peto Odds Ratio, OR 0.28, 95% CI 0.09 to 0.89) and treatment failures (OR 0.10, 95% CI 0.02 to 0.52), and improves nutritional status, assessed as weight (Weighted Men Difference, WMD +4.1 kg, 95% CI -4.3 to +12.5), mid-arm circumference (WMD +2.2 cm, 95% CI -0.5 to +4.9) or serum albumin (WMD + 7.0 g/l, 95% CI +4.9 to +9.1) as compared with NGT feeding; two larger studies are ongoing. Timing of feeding: no completed trials; one large study is ongoing. Swallowing therapy for dysphagia: two trials (85 patients) suggest that formal swallowing therapy does not significantly reduce end-of-trial dysphagia rates (OR 0.55, 95%CI 0.18 to 1.66). Drug therapy for dysphagia: one trial (17 patients); nifedipine did not alter end-of-trial case fatality or the frequency of dysphagia. Nutritional supplementation: one trial (42 patients) found a non-significant trend to a lower case fatality, and significantly increased energy and protein intake; one large trial is ongoing and data is awaited from two other studies. Fluid supplementation: one trial (20 patients) found that supplementation did not alter the time to resolution of dysphagia. Authors’ conclusions Too few studies have been performed, and these have involved too few patients. PEG feeding may improve outcome and nutrition as compared with NGT feeding. Further research is required to assess how and when patients are fed, and the effect of swallowing or drug therapy on dysphagia.

Vocal differentiation parallels development of auditory saccular sensitivity in a highly soniferous fish

Vocal differentiation is widely documented in birds and mammals but has been poorly investigated in other vertebrates, including fish, which represent the oldest extant vertebrate group. Neural circuitry controlling vocal behaviour is thought to have evolved from conserved brain areas that originated in fish, making this taxon key to understanding the evolution and development of the vertebrate vocal-auditory systems. This study examines ontogenetic changes in the vocal repertoire and whether vocal differentiation parallels auditory development in the Lusitanian toadfish Halobatrachus didactylus (Batrachoididae). This species exhibits a complex acoustic repertoire and is vocally active during early development. Vocalisations were recorded during social interactions for four size groups (fry: <2 cm; small juveniles: 2-4 cm; large juveniles: 5-7 cm; adults >25 cm, standard length). Auditory sensitivity of juveniles and adults was determined based on evoked potentials recorded from the inner ear saccule in response to pure tones of 75-945 Hz. We show an ontogenetic increment in the vocal repertoire from simple broadband-pulsed 'grunts' that later differentiate into four distinct vocalisations, including low-frequency amplitude-modulated 'boatwhistles'. Whereas fry emitted mostly single grunts, large juveniles exhibited vocalisations similar to the adult vocal repertoire. Saccular sensitivity revealed a three-fold enhancement at most frequencies tested from small to large juveniles; however, large juveniles were similar in sensitivity to adults. We provide the first clear evidence of ontogenetic vocal differentiation in fish, as previously described for higher vertebrates. Our results suggest a parallel development between the vocal motor pathway and the peripheral auditory system for acoustic social communication in fish.

Tuberculosis de la glándula parótida

Hoy en día la tuberculosis es una de las más importantes infecciones reemergentes en el mundo. Hasta un 20% de las formas de presentación son extratorácicas. Sin embargo, la presencia de tuberculosis a nivel parotídeo es infrecuente incluso en países subdesarrollados, donde la incidencia de esta enfermedad es mayor. Presentamos un paciente de 83 años que acude por tumoración en región parotídea de 4 semanas de evolución sin antecedentes personales. La exploración clínica revela una masa en cola de parótida izquierda de aproximadamente 3 × 2 cm, no dolorosa a la palpación y sin evidencia de adenopatías a nivel cervical. Tras el estudio radiológico y punción con aguja fina, no se obtienen datos concluyentes, por lo que se procede a realizar exéresis. Se envía muestra para estudio de PCR, se confirma diagnóstico de tuberculosis parotídea. Tras recibir quimioterapia antituberculosa complementaria, el paciente es dado de alta por remisión de la enfermedad.

Alterações causadas por incêndio florestal na composição de espécies de uma floresta primária no sudoeste da Amazônia brasileira.

A floresta amazônica é impactada por agressões antrópicas e pelas mudanças climáticas. Devido à alta umidade retida a floresta amazônica é considerada imune a queimadas, todavia, sob condições climáticas extremas torna-se vulnerável. Este estudo objetiva avaliar os impactos de incêndios florestais ocorridos na grande seca de 2005 sobre a composição de espécies de uma floresta natural primária sob manejo florestal, localizada no estado do Acre. Foram implantadas 40 parcelas amostrais permanentes de 400 m2 cada e monitorados os efeitos do fogo em árvores lenhosas, palmeiras e cipós em três níveis de amostragem: I - DAP ≥ 5 cm; II - 5 cm > DAP ≥ 2 cm; e III - DAP < 2 cm e altura ≥ 1 m. Foram efetuadas cinco avaliações entre novembro de 2005 e janeiro de 2009. Os resultados mostraram que quanto menor o tamanho das árvores, maiores são as taxas de mortalidade e as alterações na estrutura das espécies. Ainda que tenha havido aumento de 42,5% no número de espécies na regeneração (Nível III), o monitoramento revelou expressiva redução nos demais níveis de amostragem (15,6% no Nível I; 32,3% no Nível II; 28,8% nos níveis I e II juntos e 16,1% nos três níveis juntos), indicando que a floresta foi modificada quanto à sua composição de espécies.

Idade e crescimento do tubarão-crocodilo, Pseudocarcharias kamoharai, no Oceano Atlântico

Dissertação de Mestrado, Biologia Marinha, Faculdade de Ciências e Tecnologia, Universidade do Algarve, 2014

Estudio de la aspiración manual endouterina en el aborto incompleto en el Hospital Vicente Corral Moscoso y elaboración de un autoinstructivo para multimedia

El estudio se realizó en el servicio de Ginecología del Hospital Vicente Corral Moscoso con la finalidad de valorar la aspiración manual endouterinacomo técnica de tratamiento del aborto incompleto, establecer las normas de atención y elaborar un autoinstructivo en multimedia para difundir la técnica. Con un diseño descriptivo incluye a 50 pacientes con diagnóstico de aborto incompleto y menorrea de hasta 12 semanas. El procedimiento se basó en esta secuencia: 1) ingreso de la paciente con diagnóstico de abortos incompletos; 2) examen físico: abdominal, pélvico y ginecológico; 3) firma del consentimiento informado; 4) procedimiento de antisepsia; 5) anestesia con bloqueo local paracervical con idocaina al 1sin epitefrina; 6) realización de la aspiración manual; y 7) administración de antiinflamatorios esteroides por vía oral en caso necesario. Resultados: las cánulas más usadas fueron de 10 a 12 mm porque en el 92de los pacientes la dilatación cervical estuvo entre 1 y 2 cm. El dolor durante el procedimiento fue de leve a moderado en el 86. El volumen promedio de restos corrónicos fue de 16.18=7.48 ml y el promedio del volumen de sangrado fue de 8.08 =5.8ml. El 70de los pacientes se encontraban cursando un embarazo entre 9 y 12 semana. El tiempo quirúrgico fue de 13.13=2.68 minutos y la permanencia en el hospital fue de 2 a 13.8 horas con un promedio de 4.8=5.8 horas. Consclusiones: la aspiración manual endouterina para el tratamiento de aborto incompleto, menor a 12 semanas de gestación, es una técnica sencilla y eficaz que se puede realizar en pacientes ambulatorias

Ecologia reprodutiva do peixe-donzela, Stegastes fuscus cuvier, 1830 (osteichthyes: pomacentridae) em arrecifes rochosos da praia de Búzios, Rio Grande do Norte, Brasil

The reproductive ecology of fish plays a key role both for rational exploitation methods and for protective measures of natural stocks. The purpose of this study was to analyze the reproductive aspects of the damsel-fish, Stegastes fuscus, during October 2004 to September 2005, in the coastal rocky reefs of Búzios Beach, Nísia Floresta, RN. Fish were captured using hooks and hand nets, during low tide. Reproduction was determined using sexual ratio, mean length of first maturation (L50), absolute fecundity and macroscopic characteristics of gonads. The following parameters were related to gonadosomatic index (GSI): condition factor (CF), hepatosomatic index (HSI), rain fall and temperature. In relation to sex distribution, it was observed that 78% were females and 22% were males. The L50 was 6.2 cm for females and 7.0 for males. Average fecundity was 6832 oocytes. Results showed that S. fuscus had better body condition in the months prior to spawning, particularly during initial and intermediate stages of maturation. Five stages of gonadal maturation were identified through macroscopic analysis: immature, in maturation, mature, spent and resting. The HSI was inversely related to the GSI. This was possibly due to the reproductive cycle of this species which was associated to the dry period of this region. During this period, low rain fall and high temperatures provide an propitious reproductive condition for the study species

Lattice Boltzmann Modeling and Specialized Laboratory Techniques to Determine the Permeability of Megaporous Karst Rock

The Pleistocene carbonate rock Biscayne Aquifer of south Florida contains laterally-extensive bioturbated ooltic zones characterized by interconnected touching-vug megapores that channelize most flow and make the aquifer extremely permeable. Standard petrophysical laboratory techniques may not be capable of accurately measuring such high permeabilities. Instead, innovative procedures that can measure high permeabilities were applied. These fragile rocks cannot easily be cored or cut to shapes convenient for conducting permeability measurements. For the laboratory measurement, a 3D epoxy-resin printed rock core was produced from computed tomography data obtained from an outcrop sample. Permeability measurements were conducted using a viscous fluid to permit easily observable head gradients (~2 cm over 1 m) simultaneously with low Reynolds number flow. For a second permeability measurement, Lattice Boltzmann Method flow simulations were computed on the 3D core renderings. Agreement between the two estimates indicates an accurate permeability was obtained that can be applied to future studies.

Estudio del impacto de las dismetrías leves en las presiones plantares y variables oscilométricas en niños y adolescentes de la Comunidad de Madrid

La diferencia de longitud de las extremidades, o anisomelia, se define como una condición en la que alguno de los miembros, bien superior o inferior, es notablemente desigual frente al otro. Cuando esta diferencia se detecta en las extremidades inferiores, se conoce como discrepancia en la longitud de las extremidades inferiores (DLEEII, en inglés: LLD, “Leg Length Discrepancy” o LLI, “Leg Length Inequality”) o también dismetría de piernas o del miembro inferior (DM). Las DLEEII son bastante frecuentes en la población adulta, con una prevalencia que se encuentra entre el 40% y el 70% y una magnitud media de desigualdad anatómica mayor de 2 cm en aproximadamente un 0,1% de la misma. Si bien diversas teorías establecen que una DLEEII altera la postura corporal de una persona afectando a determinadas actividades de la vida diaria y pueden ser causa de trastornos del aparato locomotor, no existe un criterio unánime sobre la magnitud de DLEEII necesaria para inducir una respuesta en la postura, así como suponer un impacto clínico. Por otro lado existen estudios que sugieren que la edad de inicio puede ser un factor determinante y que los niños pueden compensar una DLEEII más fácilmente que los adultos que han experimentado su repentina aparición...