Aplicación de la terapia manual en un paciente con patología de hombro

Cuando alguna de las estructuras que componen el hombro se ve alterada, se presentan múltiples patologías que alteran las actividades de la vida diaria debido a su importante acción dentro de la funcionalidad de los miembros superiores, en las cuales resulta difícil identificar la causa exacta, debido a la gran cantidad de estructuras involucradas en esta región y a la vecindad de las mismas. Es entonces, como a través de este proyecto de aplicación se hará una descripción del proceso de evaluación y tratamiento desarrollado desde la Terapia Manual en una patología específica de hombro, dando a conocer los resultados de esta forma especializada de tratamiento fisioterapéutico. Así mismo, se hará una pequeña recopilación teórica en cuanto a la anatomía, biomecánica y patología de hombro así como a los conceptos básicos de la Terapia Manual, necesarios para comprender el proceso desarrollado con el proyecto.

Viabilidade técnica e econômica da criação do serviço de tv comunitária, incluindo análise do projeto de lei em tramitação 2701/97

Consultoria Legislativa - Área XIV - Comunicação Social, Informática, Telecomunicações, Sistema Postal, Ciência e Tecnologia.

Changes in neutrophil surface receptor expression, degranulation, and respiratory burst activity after moderate- and high-intensity exercise

Intense exercise stimulates the systemic release of a variety of factors that alter neutrophil surface receptor expression and functional activity. These alterations may influence resistance to infection after intense exercise. The aim of this study was to examine the influence of exercise intensity on neutrophil receptor expression, degranulation (measured by plasma and intracellular myeloperoxidase concentrations), and respiratory burst activity. Ten well-trained male runners ran on a treadmill for 60 min at 60% [moderate-intensity exercise (MI)] and 85% maximal oxygen consumption [high-intensity exercise (HI)]. Blood was drawn immediately before and after exercise and at 1 h postexercise. Immediately after HI, the expression of the neutrophil receptor CD16 was significantly below preexercise values (P < 0.01), whereas MI significantly reduced CD35 expression below preexercise values (P < 0.05). One hour after exercise at both intensities, there was a significant decline in CD11b expression (P < 0.05) and a further decrease in CD16 expression compared with preexercise values (P < 0.01). CD16 expression was lower 1 h after HI than 1 h after MI (P < 0.01). Immediately after HI, intracellular myeloperoxidase concentration was less than preexercise values (P < 0.01), whereas plasma myeloperoxidase concentration was greater (P < 0.01), indicating that HI stimulated neutrophil degranulation. Plasma myeloperoxidase concentration was higher immediately after HI than after MI (P < 0.01). Neutrophil respiratory burst activity increased after HI (P < 0.01). In summary, both MI and HI reduced neutrophil surface receptor expression. Although CD16 expression was reduced to a greater extent after HI, this reduction did not impair neutrophil degranulation and respiratory burst activity.

Venous leg ulcer recurrence : deciphering long term patient adherence to preventive treatments and activities

To better understand long term adherence to self-care activities to prevent the recurrence of venous leg ulcers, participants (n=80) were recruited to a prospective longitudinal study after experiencing healing of a venous leg ulcer. Data on demographics, health, psychosocial measures and adherence to prevention strategies (compression therapy, leg elevation and lower leg exercise) were collected every three months for one year after healing. Multivariable regression modelling was used to identify the factors that were independently associated with adherence. Over the year, a significant decline in adherence to all three strategies was observed, predominantly between 6–12 months after healing (p<0.01). Several factors were associated with adherence to more than one preventive activity. Regular follow-up care and a history of multiple previous ulcers were related to improved adherence (p<0.05), while scoring at higher risk for depression and restricted mobility were related to decreasing adherence over time (p<0.05). Patients with osteoarthritis had significantly reduced adherence to compression hosiery (p=0.026). These results provide information to assist care providers plan strategies for prevention of recurrent venous leg ulcers; and suggest a need for regular follow-up care which addresses both the physical and mental health of this population.

Structure of the Monosodium Salt of D-Glucose 6-Hydrogenphosphate

Na+.C6HI209 P-, Mr=282.1, monoclinic, e2~, a=5-762(1), b=7.163(2), c=12.313(1)A, fl= 99.97 (1) °, U= 500.5 A 3, Z= 2, D m = 1.86, D x = 1.87 Mg m -s, Cu Ka, 2 = 1.5418 A, /a = 3-3 mm -1, F(000) = 292, T= 300 K, final R for 922 observed reflections is 0-042. The phosphate ester bond, P-O(6), is 1.575 (5)A, slightly shorter than the P~O bond in monopotassium phosphoenolpyruvate [1.612 (6) A] [Hosur & Viswamitra (1981). Acta Cryst. B37, 839-843]. The pyranose sugar ring takes a 4C 1 chair conformation. The conformation about the exocyclic C(5)-C(6) bond is gauche-trans. The endocyclic C-O bonds in the glucose ring are nearly equal with C(5)-O(5) = 1.435 (8) and C(1)-O(5) = 1.436 (9) A. The sodium ion has seven near neighbours within a distance of 2.9 A. The crystal structure is stabilized by hydrogen bonds between the O atoms of symmetryrelated molecules.

Structure of 7-ethylamino-6-methyl-4-trifluoromethylcoumarin

C13H12F3NO2, M(r) = 271.2, triclinic, P1BAR, a = 5.029 (2), b = 7.479 (2), c = 17.073 (5) angstrom, alpha = 97.98 (2), beta = 95.54 (3), gamma = 103.62 (3)-degrees, V = 612.4 (4) angstrom 3, Z = 2, D(m) = 1.463, D(x) = 1.471 g cm-3, lambda(Mo K-alpha) = 0.71069 angstrom, mu = 1.23 cm-1, F(000) = 280, T = 298 K, final R value is 0.041 for 2047 observed reflections with \F(omicron)\ greater-than-or-equal-to 6-sigma(\F(omicron)\). The N-C(sp2) bond length is 1.356 (2) angstrom. The N and C atoms of the ethylamino group deviate by < 0.15 angstrom from the plane of the aromatic ring. Short intramolecular contacts, C(3)...F(17) 2.668 (3) angstrom [H(3)...F(17) 2.39 (2) angstrom, C(3)-H(C3)...F(17) 98 (1)-degrees], C(5)...F(18) 3.074 (3) and C(5)...F(19) 3.077 (3) angstrom exist in the structure. The crystal structure is stabilized by intermolecular N-H...O hydrogen bonds with N(12)-H(N12) 0.79 (3), H(N12)...O(11)' 2.36 (3), N(12)...O(11)' (x - 1, y + 1, z) 3.105 (3) angstrom and N(12)-H(N12)...O(11)' 155 (2)-degrees.

Revisiting the Mechanism of the Triosephosphate Isomerase Reaction: The Role of the Fully Conserved Glutamic Acid 97 Residue

An analysis of 503 available triosephosphate isomerase sequences revealed nine fully conserved residues. Of these, four residues-K12, H95, E97 and E165-are capable of proton transfer and are all arrayed around the dihydroxyacetone phosphate substrate in the three-dimensional structure. Specific roles have been assigned to the residues K12, H95 and E165, but the nature of the involvement of E97 has not been established. Kinetic and structural characterization is reported for the E97Q and E97D mutants of Plasmodium falciparum triosephosphate isomerase (Pf TIM). A 4000-fold reduction in k(cat) is observed for E97Q, whereas the E97D mutant shows a 100-fold reduction. The control mutant, E165A, which lacks the key catalytic base, shows an approximately 9000-fold drop in activity. The integrity of the overall fold and stability of the dimeric structure have been demonstrated by biophysical studies. Crystal structures of E97Q and E97D mutants have been determined at 2.0 angstrom resolution. In the case of the isosteric replacement of glutamic acid by glutamine in the E97Q mutant a large conformational change for the critical K12 side chain is observed, corresponding to a trans-to-gauche transition about the C gamma-C delta (chi(3)) bond. In the E97D mutant, the K12 side chain maintains the wild-type orientation, but the hydrogen bond between K12 and D97 is lost. The results are interpreted as a direct role for E97 in the catalytic proton transfer cycle. The proposed mechanism eliminates the need to invoke the formation of the energetically unfavourable imidazolate anion at H95, a key feature of the classical mechanism.

Composición química de la biomasa verde y amonificada pasto Gamba (Andropogon gayanus, Kunth), cv CIAT-612, en inicio de floración, Santa Rosa, Sabana Grande, Managua, Nicaragua

Se llevó a cabo un estudio con el objetivo de determinar el mejoramiento de la composición química de la biomasa verde y tratada con Urea como proceso de amonificación. El pasto utilizado fue el Gamba (Andropogon gayanus Kunth), cv CIAT-621 el cual se encontraba en etapa fenológica de pansoneo. El muestreo se realizó durante el mes de noviembre del año 2009 en la Finca Santa Rosa, Universidad Nacional Agraria. Managua, Nicaragua. Los tratamiento consistieron en cuatro niveles de aplicación de Urea; 0, 1, 3 y 5 % en base al forraje verde a tratar, diluido en 0.5 lt de agua, y almacenados en bolsas de polietileno durante 21 días a temperatura ambiente. El diseño utilizado fue un DCA (Diseño completo al Azar) con tres repeticiones. Las variables de estudio para cada tratamiento fueron, porcentajes de; materia seca, proteína cruda, fibra ácido detergente (FAD), fibra neutro detergente (FND), calcio y fósforo. Se realizaron análisis de varianza (ANDEVA) y separaciones de medias, usando Duncan (P<0.05). Para el análisis estadístico las variables codificadas en porcentajes se transformaron, según, arco seno 2 p (Arco seno de dos veces la raíz cuadrada de la proporción). Los resultados encontrados demuestran diferencias significativas (P ≤ 0.05) para las variables Proteína Cruda (PC), Fibra Neutro y Ácido Detergente (FND, FAD), Calcio y Fósforo. La PC varío de 2.22 % a 6.07 % para 0 % y 5 % de Urea respectivamente, mientras la FND disminuyó de 78.47 % a 73.16 % para 0 y 3 % respectivamente. La FAD disminuyo de 52.46 % a 47.72 % para 0 y 3 % de inclusión de Urea. Los minerales evaluados presentaron una tendencia inversa con los tratamientos de Urea, Incrementándose el Ca desde el tratamiento testigo(0.65 %) hasta 1.24 % para 0 y 5 % de Urea. El Fósforo disminuyo de 0.21 % para el testigo a 0.14 % para 1 % de Urea.. Se concluye que el tratamiento de 3 % de Urea es el más recomendado para la amonificación de forraje verde en etapa fonológica de inicio de floración del Andropogon gayanus Kunth y que la tecnología de amonificación en verde ejerce un efecto positivo en el mejoramiento de la calidad del forraje.

Sapientia, 1970, Vol. XXV, nº 97 (número completo)

Contenido: El hecho y la norma / Octavio N. Derisi – El Nuevo Mundo en la filosofía de la historia de Vico / Alberto Caturelli – Los comentarios de Santo Tomás y de Roberto Grosseteste a la “Física” de Aristóteles / Celina A. Lértora Mendoza – Descartes : cuestiones gnoseológicas / Augusto Furlán – Notas y comentarios -- Bibliografía

Teología, 2008, Tomo XLV nº 97 (número completo)

Nota del Director -- Breve exposición de la hermenéutica analógica / Mauricio Beuchot -- ¿Fin de la antropología alma-cuerpo? / Lucio Florio -- Michel de Certeau : recorridos por el "creer" y sus constelaciones contemporáneas / Marcelo González -- Justicia, caridad y solidaridad en la DSI / Gustavo Irrazábal -- "Las palabras del Grito" / Hugo Rodolfo Safa -- Grupo de estudio bíblico judío cristiano / Víctor M. Fernández -- Una aproximación al acompañamiento espiritual en San Juan de la Cruz -- El lenguaje de la vida en la estética hildegardiana / Cecilia Inés Avenatti de Palumbo -- Reflexiones sobre la experiencia religiosa durante la crisis de identidad de la adolescencia / Julio V. Maffei -- Catalina de Siena : su teología hecha biografía / Gabriela María Di Renzo -- Espiritualidad sanante : salud y espiritualidad en Anselm Grün / Mónica Cristina Ukaski -- El legado póstumo de José Carlos Barcellos / Alberto Toutin -- Notas bibliográficas

Audiências públicas como instrumento de democracia deliberativa: estudo de caso do PL nº 612/07, lei das sacolas

Monografia (especialização) – Curso de Política e Representação Parlamentar, Câmara dos Deputados, Centro de Formação, Treinamento e Aperfeiçoamento (Cefor), 2013.