Selective suprascapular and axillary nerve block provides adequate analgesia and minimal motor block. Comparison with interscalene block

Shoulder arthroscopic surgeries evolve with intense postoperative pain. Several analgesic techniques have been advocated. The aim of this study was to compare suprascapular and axillary nerve blocks in shoulder arthroscopy using the interscalene approach to brachial plexus blockade. According to the technique used, sixty-eight patients were allocated into two groups: interscalene group (IG, n=34) and selective group (SG, n=34), with neurostimulation approach used for both techniques. After appropriate motor response, IG received 30 mL of 0.33% levobupivacaine in 50% enantiomeric excess with adrenalin 1:200,000. After motor response of suprascapular and axillary nerves, SG received 15 mL of the same substance on each nerve. General anesthesia was then administered. Variables assessed were time to perform the blocks, analgesia, opioid consumption, motor block, cardiovascular stability, patient satisfaction and acceptability. Time for interscalene blockade was significantly shorter than for selective blockade. Analgesia was significantly higher in the immediate postoperative period in IG and in the late postoperative period in SG. Morphine consumption was significantly higher in the first hour in SG. Motor block was significantly lower in SG. There was no difference between groups regarding cardiocirculatory stability and patient satisfaction and acceptability. Failure occurred in IG (1) and SG (2). Both techniques are safe, effective, and with the same degree of satisfaction and acceptability. The selective blockade of both nerves showed satisfactory analgesia, with the advantage of providing motor block restricted to the shoulder.

Can geometric indices of heart rate variability predict improvement in autonomic modulation after resistance training in chronic obstructive pulmonary disease?

Chronic obstructive pulmonary disease (COPD) is associated with autonomic dysfunctions that can be evaluated through heart rate variability (HRV). Resistance training promotes improvement in autonomic modulation; however, studies that evaluate this scenario using geometric indices, which include nonlinear evaluation, thus providing more accurate information for physiological interpretation of HRV, are unknown. This study aimed to investigate the influence of resistance training on autonomic modulation, using geometric indices of HRV, and peripheral muscle strength in individuals with COPD. Fourteen volunteers with COPD were submitted to resistance training consisting of 24 sessions lasting 60 min each, with a frequency of three times a week. The intensity was determined as 60% of one maximum repetition and was progressively increased until 80% for the upper and lower limbs. The HRV and dynamometry were performed at two moments, the beginning and the end of the experimental protocol. Significant increases were observed in the RRtri (4·81 ± 1·60 versus 6·55 ± 2·69, P = 0·033), TINN (65·36 ± 35·49 versus 101·07 ± 63·34, P = 0·028), SD1 (7·48 ± 3·17 versus 11·04 ± 6·45, P = 0·038) and SD2 (22·30 ± 8·56 versus 32·92 ± 18·78, P = 0·022) indices after the resistance training. Visual analysis of the Poincare plot demonstrated greater dispersion beat-to-beat and in the long-term interval between consecutive heart beats. Regarding muscle strength, there was a significant increase in the shoulder abduction and knee flexion. In conclusion, geometric indices of HRV can predict improvement in autonomic modulation after resistance training in individuals with COPD; improvement in peripheral muscle strength in patients with COPD was also observed.

Bone Ceramic® at implants installed immediately into extraction sockets in the molar region: an experimental study in dogs

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

Análise da rotação ombro-quadril e co-contração muscular do tronco durante um movimento de rotação axial com manuseio de carga

Pós-graduação em Engenharia Mecânica - FEG

Caracterização biomecânica da conduta motora remada básica de passeio do esporte stand up paddle

Pós-graduação em Engenharia Mecânica - FEG

Estudo da resistência à tração de cápsulas e troqueis metálicos cimentados, em função de alívio e retenção para o cimento

Pós-graduação em Odontologia Restauradora - ICT

Características da carcaça e alometria dos tecidos de cabritos F1 Boer × Saanen

Com o objetivo de avaliar as características de carcaça e a alometria dos cortes comerciais e dos tecidos de cabritos F1 Boer × Saanen, 35 animais foram abatidos ao atingirem 5, 10, 15, 20 e 25 kg de peso vivo (PV). A dieta dos animais foi composta de leite de vaca nos primeiros 49 dias e ração à vontade do sétimo dia até o abate. Os cortes foram obtidos após o resfriamento da carcaça e a perna foi dissecada em músculo, osso e gordura. O PV teve efeito linear decrescente no rendimento de carcaça fria e na área de olho-de-lombo por kg de carcaça. Os pesos de perna, paleta e pescoço em relação à carcaça fria decresceram linearmente, mas houve efeito quadrático sobre o rendimento de costelas e lombo. O crescimento de paleta, pescoço e perna foi isométrico (b=1) ao do corpo, enquanto o das costelas e do lombo foi mais lento (b¹ 1). Os músculos da perna cresceram igualmente, a gordura mais lenta e os ossos mais rapidamente que a perna, enquanto o desenvolvimento da gordura subcutânea foi mais tardio que o da intermuscular. Para obtenção de carcaça de 8 a 11 kg com rendimento superior a 44%, boa proporção de músculo e gordura com menor perda durante o resfriamento, recomenda-se abater os animais com PV entre 20 e 25 kg, mas, se o objetivo for carcaça de menor peso, o abate dos animais deve ser feito ao final do aleitamento com aproximadamente 10 kg de peso corporal.

Frontal sinus recognition for human identification

Many methods based on biometrics such as fingerprint, face, iris, and retina have been proposed for person identification. However, for deceased individuals, such biometric measurements are not available. In such cases, parts of the human skeleton can be used for identification, such as dental records, thorax, vertebrae, shoulder, and frontal sinus. It has been established in prior investigations that the radiographic pattern of frontal sinus is highly variable and unique for every individual. This has stimulated the proposition of measurements of the frontal sinus pattern, obtained from x-ray films, for skeletal identification. This paper presents a frontal sinus recognition method for human identification based on Image Foresting Transform and shape context. Experimental results (ERR = 5,82%) have shown the effectiveness of the proposed method.

A relação das tendinopatias do manguito rotador com as atividades cotidianas: uma contribuição para o design ergonômico

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Estudo comparativo de restos fósseis e recentes de Amphisbaenia: abordagens filogenéticas, paleoecológicas, paleobiogeográficas

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Influência de movimentos oculares sacádicos no equilíbrio postural de idosos praticantes de vôlei adaptado e idosos sedentários

Pós-graduação em Desenvolvimento Humano e Tecnologias - IBRC

Indicadores biomecânicos do karate de alto nível

Pós-graduação em Desenvolvimento Humano e Tecnologias - IBRC

Avaliação da redução de matéria orgânica do tratamento do efluente líquido deextração de fécula de mandioca por processo de biodigestão anaeróbia.

The aim of this paper was to evaluate the efficiency of the treatment of cassava wastewater, separately from the root washing water, by means of ascending flux anaerobic digesters, with separation of the phases, without temperature control or addition of chemical products and to evaluate its suitability by means of its physical and chemical characteristics for throwing in receiving body, public sewage system or application in fertilization and irrigation. After reactors had been stabilized, essays were conducted varying feeding flow with 8.0, 12.0 and 16.0 Ld-1 corresponding to a hydraulic retention time of 8.17, 5.44 and 4.08 days, respectively. The best reduction for organic load reduction were obtained with hydraulic retention times (HRT) of 8.17 and 5.44 days with mean efficiencies of 89.8 and 90.9%, respectively.

Capacidade de força dos membros superiores em competidores de montaria em touros

This study did evaluate the handgrip strength capacity of bull riding practitioners and recreational practitioners in order to obtain parameters of the muscular fitness of subjects undertaken this sports practice. Twenty right-handed subjects were grouped into bull riding athletes (10 individuals at AMT: 174.5 ± 5.2 cm of height, 78.9 ± 12 kg of body weight, 24.7 ± 6.1 years, and 13,8 ± 2.4% for body fat) and non-athletes (10 subjects n-AMR: 178.5 ± 7.3 cm of height, 81.2 ± 8.8kg of body weight, 21.7 ± 2.3 years, and 13.8 ± 1.9% of body fat). They were underwent to protocols of handgrip strength evaluation by a standard and specific dynamometry (simulating a bull riding posture) of right (DPD e DED) e left (DEP e DEE) hands. The dynamic force values from one repetition to maximum test (1RM) were either obtained in conventional load-based system for upper limbs exercises. The values were compared by the test-t for independent data, assuming ρ ≤ 0.05. The relationship between the values of strength from handgrip and dynamic exercises were drawn by Pearson correlation. The results of the AMT to DPD (43.8 ± 6.8kgf), DPE (39.4 ± 7.7kgf), DED (44.9 ± 5.6kgf), and DEE (39.8 ± 8.3kgf). For the n-AMT in DPD (47.0 ± 3.0kgf), DPE (42.2 ± 6.1kgf), DED (49.2 ± 1.5kgf), and DEE (46.2 ± 4.1kgf). Significant difference was observed between DED and DEE. The strength tests of 1RM at bench press (73.2 ± 12.0kg and 82.0 ± 12.0kg), arm-curl (45.2 ± 8.9kg and 43.8 ± 8.9kg), triceps pulley (67.0 ± 6.3kg and 72.0 ± 6.3kg), and pulley (73.5 ± 8.5kg and 73.7 ± 7.5kg) for groups n-AMT and AMT did not showed differences. Correlations were showed between all handgrip tests and elbow flexor force for AMT, and between DPD and elbow extensor, abductor, adductor and extensor of shoulder for n-AMT. influences to the performance of the force dynamometry. It could be concluded that handgrip force and dynamic strength of upper limbs did not were putative responses for bull riding practice.

A influência da carga imposta pela mochila escolar em alunos do ensino fundamental e médio: uma contribuição para estudos ergonômicos

This cross-sectional study aimed to evaluate the load carried by students in primary and secondary schools, state Vespasian /MG, and quantify the percentage established between backpack weight and body mass of these young people carry every day. The study included 916 students of both genders. Ages ranged from 10-19 years. 541 students (59.06%) carried the load backpack ranging from 10.02 to 33.43% of his body mass. Students with younger age, female students and those who opted for the backpack model designed dorsal attachment tended to carry a load higher than 10% of his body weight. 224 (24.45%) students complain of back pain and shoulder. It was concluded that the cargo is inadequate from the point of view of biomechanics and ergonomics, especially for younger individuals and females, since they are in growth phase, and this exposes them to an overhead increased risk of spinal injuries, with consequent repercussions in adulthood.