bluuebunny/crossref_metadata_2025 huggingface dataset:
Current trends in the pharmacotherapy of diabetic retinopathy
Authors: Kumar B , Gupta SK , Saxena R , Srivastava S
Published: February 2014

Diabetic retinopathy (DR) is one of the most debilitating disorders of microvasculature of the retina and one of the leading causes of vision loss among the working class worldwide. At present, intravitreal anti-inflammatory (corticosteroids) and anti-angiogenesis (anti-Vascular Endothelial Growth Factor) agents are being used as wide options for the pharmacotherapy of DR and diabetic macular edema (DME). Anti-inflammatory agents (Triamcinolone acetonide and other agents) have shown evidence-based clinical benefits in various randomized clinical trials for the treatment of DR and DME, and also shown improvement in best corrected visual acuity. However, direct intravitreal injections are associated with serious side-effects like cataract and elevation of Intra Ocular Pressure. Despite this, corticosteroid therapy has been effective for DR and DME, therefore current focus is on the development of novel intravitreal steroid delivery devices that release a small quantity over a prolonged period of time. In addition to corticosteroids, anti-angiogenic agents are found to be effective for the treatment of DR and DME. The most popular target of these agents is the subfamily of proteins known as VEGF, whose over-expression is believed to play a role in numerous diseases including DR and Age-related Macular Degeneration. Intravitreal bevacizumab (Avastin®) and Ranibizumab (Lucentis®) are gaining popularity as a clinical adjunct to panretinal photocoagulation in patients with proliferative DR. Moreover, Lucentis has been recently approved by the United States Food and Drug Administration for macular edema following retinal vein occlusion. Further, systemic agents (specially, hypoglycemic, hypolipidemic and anti-hypertensive agents) have shown beneficial results in reducing the progression of DR. In conclusion, it can be stated that for the present scenario systematic use of available pharmacotherapy as an adjunct to laser photocoagulation, which is gold standard therapy, can be a useful tool in the prevention of vision loss from DR and related disorders. This article summarizes the up-to-date developments in the pharmacotherapy of DR. Method- Literature search was done on online database, Pubmed, Google Scholar, clinitrials.gov and browsing through individual ophthalmology journals and leading pharmaceutical company websites.
Regadenoson
Authors: Bengalorkar GM , Bhuvana K , Sarala N , Kumar TN
Published: February 2014

Single-photon emission computerized tomography for myocardial perfusion imaging (MPI) is a non-invasive technique. MPI is performed by subjecting the patient to exercise or by using a pharmacological stress agent. Regadenoson is a selective A2A adenosine receptor agonist used when MPI with exercise is contraindicated. It binds to the A2A receptor and stimulates adenylate cyclase, resulting in increased cAMP, which phosphorylates protein kinase A thereby opening the ATP-dependant potassium channels leading to hyperpolarization in the coronary vascular smooth muscle. After a single bolus dose of regadenoson 400 μg, a peak plasma concentration (Cmax) of 13.6 ng/mL is attained in 1-4 min, with a terminal half-life of 2 h. It has a quick onset, short duration sufficient enough for hyperemic response, with comparable efficacy to adenosine, but with fewer side-effects. The adverse effects of this drug are dyspnea, headache, flushing, chest pain and atrioventricular block. Regadenoson is used for MPI in patients with co-morbid conditions like mild-to-moderate reactive airway disease, obstructive lung disease and renal impairment.
Swiss cheese ventricular septal defect with myocarditis - A rare coexistence in a neonate
Authors: Saboo AR , Vijaykumar R , Malik S , Warke C
Published: February 2014

Myocarditis is defined as acute inflammation of the myocardium, usually following a non-specific flu-like illness, and encompasses a wide range of clinical presentations ranging from mild or subclinical disease to heart failure. We report a 12-day-old healthy full-term neonate who presented with abrupt onset of congestive cardiac failure (CCF) following a viral prodrome. Examination revealed persistent sinus tachycardia, lymphocytosis, gross cardiomegaly, nonspecific electrocardiogram changes with echocardiography showing Swiss cheese ventricular septal defect (VSD). VSD alone very rarely presents as early-onset cardiac failure in the absence of other precipitating factors like anemia, sepsis, hypoglycemia etc. Myocarditis, however, can mimic VSD and can present as fulminant cardiac failure in an otherwise healthy newborn. Myocarditis is usually diagnosed based on circumstantial evidence such as a recent viral infection and the sudden onset of cardiac dysfunction while ruling out other diagnostic possibilities. Elevated troponin T level is one of the most crucial noninvasive diagnostic modalities. Several trials have concluded that levels >0.055 ng/ml are statistically significant for diagnosing myocarditis in children. In our case an abrupt onset of cardiac failure following a viral prodrome and markedly elevated cardiac troponin T without sepsis and in the presence of normal coronary anatomy clinched the diagnosis of myocarditis. An early and aggressive treatment for CCF along with regular long-term follow-up plays a key role in the management of myocarditis. Role of high-dose Intravenous immunoglobulin in myocarditis has been studied by many trials with different outcomes. This is the first case report showing coexistence of VSD with myocarditis in a neonate presenting as early-onset acute cardiac failure. The report highlights the importance of screening for myocarditis in all previously normal babies presenting primarily with cardiogenic symptoms even if a structural heart disease is coexistent early in life. A simplified algorithm for work-up of CCF in a neonate is proposed.
Cases of human fascioliasis in India
Authors: Ramachandran J , Ajjampur SSR , Chandramohan A , Varghese GM
Published: February 2014

This report presents two cases of human fascioliasis from different states in India. Although only few cases of human fascioliasis have been reported from India previously, both these cases were encountered within a span of three months at this tertiary care centre. Case 1 had significant symptoms with episodes of fever, abdominal pain and eosiniphilia and underwent multiple diagnostic procedures before the correct diagnosis was reached. Case 2, who had few symptoms, had fascioliasis diagnosed with minimal evaluation. These different presentations seen at two ends of the clinical spectrum of disease along with findings of peripheral eosinophilia, and radiological findings led to a presumptive diagnosis that was then confirmed by microscopic examination of bile. Morphometric analysis of ova from these cases was suggestive of infestation with F. gigantica or a F. gigantica-like hybrid. Both patients were treated with triclabendazole which was imported from Geneva. The need to be aware of the possibility of occurrence of this disease and the inclusion of drugs used for treating the disease, in the Indian drug list, should be emphasized.
Comparison of the Lysis Centrifugation Method with the Conventional Blood Culture Method in Cases of Sepsis in a Tertiary Care Hospital
Authors: Parikh Harshal R , De Anuradha S , Baveja Sujata M
Published: February 2014

Introduction: Physicians and microbiologists have long recognized that the presence of living microorganisms in the blood of a patient carries with it considerable morbidity and mortality. Hence, blood cultures have become critically important and frequently performed test in clinical microbiology laboratories for diagnosis of sepsis

Objectives: To compare the conventional blood culture method with the lysis centrifugation method in cases of sepsis.

Materials and Methods: Two hundred nonduplicate blood cultures from cases of sepsis were analyzed using two blood culture methods concurrently for recovery of bacteria from patients diagnosed clinically with sepsis – the conventional blood culture method using trypticase soy broth and the lysis centrifugation method using saponin by centrifuging at 3000 g for 30 minutes.

Results: Overall bacteria recovered from 200 blood cultures were 17.5%. The conventional blood culture method had a higher yield of organisms, especially Gram positive cocci. The lysis centrifugation method was comparable with the former method with respect to Gram negative bacilli. The sensitivity of lysis centrifugation method in comparison to conventional blood culture method was 49.75% in this study, specificity was 98.21% and diagnostic accuracy was 89.5%. In almost every instance, the time required for detection of the growth was earlier by lysis centrifugation method, which was statistically significant. Contamination by lysis centrifugation was minimal, while that by conventional method was high. Time to growth by the lysis centrifugation method was highly significant (P value 0.000) as compared to time to growth by the conventional blood culture method.

Conclusion: For the diagnosis of sepsis, combination of the lysis centrifugation method and the conventional blood culture method with trypticase soy broth or biphasic media is advocable, in order to achieve faster recovery and a better yield of microorganisms.
Blood Donation in Nigeria: Standard of the Donated Blood
Authors: Benedict Nwogoh , Augustina Awodu Omolade , Nosakhare Bazuaye Godwin
Published: February 2014

Objective: The objective was to determine the basic hematological parameters of remunerated blood donors in Benin City and to compare them with those of voluntary donors.

Materials and Methods: This is a prospective study conducted in a tertiary health facility in Benin City. Pretransfusion samples were obtained from blood bags after gentle mixing and analyzed for hematological parameters. Samples were analyzed using the hematology autoanalyzer MODEL SYSMEX KN21.

Result: A total of 215 samples were obtained comprising 160 remunerated (paid) and 55 voluntary donor samples. In the paid donors, the mean hemoglobin concentration (Hb) and hematocrit (HCT) 7.7±2.9 and 28.8±8.5 respectively. This was significantly lower than those of voluntary donors who had 13.9±1.2 and 42.2±3.3 with P < 0.001. The mean values of the red cell counts (RBC), white cell counts (WBC), mean cell volume (MCV), mean corpuscular hemoglobin (MCH), and mean corpuscular hemoglobin concentration (MCHC) were significantly lower in paid donors as P-values were <0.001. MCV was significantly low but not compared to the other parameters as P=0.04. There was no significant difference in the platelet count.

Conclusion: Paid donors in Benin City have significantly lower hematological parameters than controls.
Spinal Tuberculosis (Pott's disease) Mimicking Paravertebral Malignant Tumor in a Child Presenting with Spinal Cord Compression
Authors: Emir Suna , Erdem Arzu Y , Demir Hacı A , Kaçar Ayper , Tunç Bahattin
Published: February 2014

Paravertebral tumors may interfere with the radiological and clinical features of spinal tuberculosis. We report a case of a 3-year-old boy with spinal tuberculosis who was initially misdiagnosed as having a paraspinal tumor. The diagnosis of tuberculosis was made on the basis of intraoperative findings and confirmed by histopathology. This case highlights the importance of awareness of the different radiographic features of spinal tuberculosis, which can mimic a spinal malignancy. In order to avoid delayed diagnosis, pediatricians and radiologists must be aware of spinal tuberculosis, which may interfere with other clinical conditions.
Rapid Identification and Drug Susceptibility Testing of Mycobacterium tuberculosis: Standard Operating Procedure for Non-Commercial Assays: Part 3: Colorimetric Redox Indicator Assay v1.3.12
Authors: Singh Sarman , Kumar Parveen , Sharma Shreya , Mumbowa Francis , Martin Anandi , Durier Nicolas
Published: February 2014

The previous two standard operating procedures (SOPs) related to the culture and drug susceptibility testing (DST) of Mycobacterium tuberculosis with the microscopic observation drug susceptibility assay (Part 1) and nitrate reductase assay (Part 2). The present SOP is devoted to a third non-commercial culture and DST method known as colorimetric redox indicator assay (CRI). As its name indicates, the CRI detects the ability of the M. tuberculosis to reduce the colored oxidation-reduction indicator when added to a liquid culture of M. tuberculosis, after exposing the growth to different anti-mycobacterial drugs. The change in the color of the indicator denotes the proportionate number of viable Mycobacteria in the medium. The identification and DST results can be obtained in 7-8 days. This SOP document has been developed through the culture and DST subgroup of the STOP tuberculosis (TB) Partnership New Diagnostic Working Group. It is intended for laboratories that would want to use or already use this rapid non-commercial method for culture identification and DST of M. tuberculosis, notably in resource-constraint settings in Asia and Africa.
Limited Sets and Bibasic Sequences
Authors: Ghenciu Ioana
Published: February 2014

Bibasic sequences are used to study relative weak compactness and relative norm compactness of limited sets.
Corneal Pachymetry measured with Pentacam and CorvisST in Normal and Keratoconic Eyes
Authors: González-Méijome Jose M , Lopes-Ferreira Daniela , Rico-del-Viejo Laura , Neves Patrícia , Ferreira Helena , Salgado-Borges José
Published: February 2014

Purpose

To evaluate the agreement of pachymetry data provided by a new instrument to measure intraocular pressure (IOP) and the corneal biomechanical response with the values provided by Pentacam in healthy and keratoconic eyes.

Methods

Fifty-four right eyes from 54 healthy patients (32 females, 22 males) and 82 eyes from 43 keratoconus patients (20 females, 23 males) were included in the study. All patients were evaluated with Pentacam and CorvisST (Oculus, Wetzlar, Germany) in random order in the same session. CorvisCCT was compared to Pentacam pachymetry in at the corneal center (PentacamCCT) and at the thinnest point (PentacamMinCT).

Results

Average pachymetry provided by CorvisST was 534 ± 34 microns in the healthy population and 476 ± 56 microns in the population with keratoconus. Pachymetric values obtained with Pentacam were highly correlated between them as well as with the Corvis value in both groups, but the correlation coefficients were higher in the healthy group.

Conclusion

Corvis pachymetry can be used interchangeably with Pentacam thinnest point pachymetry in healthy corneas. However, in keratoconic corneas, the difference between both parameters will be higher as the disease progresses and increases the difference between Pentacam pachymetry at cornea center and at the thinnest point.

How to cite this article

González-Méijome JM, Lopes-Ferreira D, Rico-del-Viejo L, Neves P, Ferreira H, Salgado-Borges J. Corneal Pachymetry measured with Pentacam and CorvisST in Normal and Keratoconic Eyes. Int J Kerat Ect Cor Dis 2013;2(3):104-107.
Double Descemet Membrane Forming a Double Anterior Chamber
Authors: Graffi Shmuel , Naftali Modi
Published: February 2014

Purpose

To report a case of double descemet membrane forming a double anterior chamber following ‘Big bubble’ DALK converted to PKP.

Results

A 52-year-old man with keratoconus underwent DALK operation converted to PKP due to macro perforation of the descemet membrane. On the postoperative evaluation a remnant of the host's descemet membrane formed a double anterior chamber. After a few months with no intervention, an attempt to deflect a thickened descemet membrane had failed, making entrance into the anterior chamber in order to excise the membrane inevitable. Two years following the second surgery a graft endothelial failure and cataract formation was documented, leading to a second corneal transplantation and lens implantation.

Conclusion

Double DM is an unusual condition following a DALK procedure which was converted into PKP. In the above case this complication resulted in multiple procedures and graft failure. We believe that early interventions such as gas injection or YAG laser could have resulted in a more favorable outcome.

How to cite this article

Graffi S, Naftali M. Double Descemet Membrane Forming a Double Anterior Chamber. J Kerat Ect Cor Dis 2013;2(3):129-132.
Corneal Neovascularization and Lipid Keratopathy after Intacs SK in Keratoconus
Authors: Barbara Ramez , Zadok David , Barbara Adel , Gutfreund Shay
Published: February 2014

Intacs have yielded positive results for the treatment of keratoconus in terms of reducing the keratometry readings astigmatism and spherical equivalent and consequently improving the uncorrected and best corrected visual acuity. Intacs severe keratoconus (SK) are new design of Intacs with a smaller optical zone (6 mm) and oval shape, they are indicated for severe keratocnus.

Pannus is one of the complications of Intacs, as it has never been reported after Intacs SK.

We report on corneal neovascularization in the corneal periphery which developed few months after Intacs SK implantation in the cornea of a young female who suffered from advanced keratoconus. The uncorrected visual (UCVA) acuity was satisfactory and the Intacs SK where not removed. Four years after the implantation she presented to our clinic complaining about eye irritation and photophobia, lipid keratopathy was observed.

We gave here the choice of explanting the Intacs SK or to try to treat the neovascularization by subconjunctival Avastin, she preferred the second option because of a satisfactory UCVA (0.9).

Avastin was injected in the subconjunctival, 10 weeks later Avastin and Kenelog were injected in the subconjunctival, few days after the second injection perforation and melting developed in the cornea, the patient underwent a tectonic graft and few months later penetrating keratoplasty with no intraoperative or postoperative complications.

How to cite this article

Barbara A, Zadok D, Gutfreund S, Barbara R. Corneal Neovascularization and Lipid Keratopathy after Intacs SK in Keratoconus. J Kerat Ect Cor Dis 2013;2(3):133-138.
Cognitive Changes in Menopause
Authors: Banu Laila Arjumand
Published: February 2014

During menopause, women undergo many changes in their mind and body, building a sense of insecurity. Though the main symptoms are Hot flushes, osteoporosis, cardiovascular and urogenital, but the cognitive functions, like speeching tasks, processing of unfamiliar information, complex problem solving, delayed recall, mental flexibility, and perceptional manipulation tasks, tend to decline. This decline is lesser in women, who have been more mentally and physically active in their youth.

How to cite this article

Banu LA. Cognitive Changes in Menopause. J South Asian Feder Menopause Soc 2013;1(2):80-81.
Coronary Heart Disease in South-Asian Women
Authors: Gooneratne MDP
Published: February 2014

With the demographic transition in the South-Asian region coronary heart disease in post menopausal women is a major challenge. Women with myocardial infarction often have atypical presentation and have a higher mortality. In South-Asia there is high prevalence of coronary heart disease among women and there is an increasing incidence in both urban and rural areas. While obesity and lack of exercise contribute largely to traditional risk factors in South-Asian women in midlife, nontraditional newer risk factors seem to play a major role in increased prevalence and mortality. Early prevention strategies targeting diet, physical exercise and mental stress are important in preventing further increase of coronary heart disease in South- Asian women.

How to cite this article

Gooneratne MDP. Coronary Heart Disease in South-Asian Women. J South Asian Feder Menopause Soc 2013;1(2):84-87.
Impact and Cost Effectiveness of Routine Intraoperative Transthoracic and Transesophageal Echocardiography on Surgical Decision Making in Pediatric Cardiac Surgery
Authors: Madhavan J Sethu , Ghuman BPS , Mishra Abhi , Arya VK , Kumar Bhupesh , Jayant Aveek , Negi Sunder , Tandon Yamini
Published: February 2014

Introduction

Congenital heart diseases (CHD) present with wide spectrum of lesions leading to diagnostic dilemmas and it is quite possible to miss correct diagnosis during preoperative transthoracic echocardiography (TTE) in an inadequately sedated child, especially in a busy outpatient setting. It is a routine practice in our center to do baseline TTE after induction of anesthesia followed by pre and postcardiopulmonary bypass (CPB) transesophageal echocardiography (TEE) in all CHD patients thus helping us review our surgical plan.

Materials and methods

All pediatric patients <18 years undergoing cardiac surgery from January 2013 to December 2013 at our tertiary care center in whom perioperative echocardiograhy was done were included. Appropriate sized TTE and TEE probes were used with the Philips iE33 echocardiography platform (Philips, Andover, MA).

Results

Out of total 352 pediatric cardiac surgical patients, perioperative echocardiography was done in 347(98.5%) patients. Baseline TTE showed new findings leading to change in surgical plan in 11 (3.1%) patients while additional new findings in baseline TEE were seen in 9 (2.6%). Post bypass TEE showed residual lesions requiring a CPB rerun in 19 (5.5%) patients. Intraoperative echocardiography was found to be cost effective with an estimated savings per patient of ₹ 3950 to 5373($61 - 83).

Conclusion

Intraoperative echocardiography is an important tool in armamentarium of perioperative physician which can be used to review diagnosis and help to formulate an informed surgical plan. Post-bypass transesophageal echocardiography is also useful as it identifies the residual lesions and establishes anatomical correction, which ultimately translates to lesser redo surgeries and a better postoperative outcome.

How to cite this article

Mishra A, Madhavan JS, Ghuman BPS, Raj R, Kumar A, Dutta V, Negi S, Tandon Y, Kumar A, Arya VK, Kumar B, Jayant A, Puri GD. Impact and Cost Effectiveness of Routine Intraoperative Transthoracic and Transesophageal Echocardiography on Surgical Decision Making in Pediatric Cardiac Surgery. J Perioper Echocardiogr 2014;2(1):3-9.
High spectral resolution ozone absorption cross-sections – Part 2: Temperature dependence
Authors: Serdyuchenko A. , Gorshelev V. , Weber M. , Chehade W. , Burrows J. P.
Published: February 2014

Abstract. We report on the temperature dependence of ozone absorption cross-sections measured in our laboratory in the broad spectral range 213–1100 nm with a spectral resolution of 0.02–0.24 nm (full width at half maximum, FWHM) in the atmospherically relevant temperature range from 193 K to 293 K. The temperature dependence of ozone absorption cross-sections was established using measurements at eleven temperatures. This investigation is superior in terms of spectral range and number of considered temperatures compared to the previous studies. The methodology of the absolute broadband measurements, experimental procedures and spectra processing were described in our companion paper together with the associated uncertainty budget. In this paper, we report in detail on our data below room temperature and compare them with literature data using direct comparisons as well as the standard approach using a quadratic polynomial in temperature fitted to the cross-section data.
How much snow falls on the Antarctic ice sheet?
Authors: Palerme C. , Kay J. E. , Genthon C. , L'Ecuyer T. , Wood N. B. , Claud C.
Published: February 2014

Abstract. Climate models predict Antarctic precipitation to increase during the 21st century, but their present day Antarctic precipitation differs. A fully model-independent climatology of the Antarctic precipitation characteristics, such as snowfall rates and frequency, is needed to assess the models, but was not available so far. Satellite observation of precipitation by active spaceborne sensors has been possible in the polar regions since the launch of CloudSat in 2006. Here we use CloudSat products to build the first multi-year model-independent climatology of Antarctic precipitation. The mean snowfall rate from August 2006 to April 2011 is 171 mm yr−1 over the Antarctic ice sheet north of 82° S. The ECMWF ERA Interim dataset agrees well with the new satellite climatology.
Os jogos cooperativos na Educação Física escolar: favorecimento das relações interpessoais
Authors: Fonseca Fernando Richardi da , Silva Emília Amélia Pinto Costa
Published: February 2014

Resumo
Objetivo: Analisar as relações interpessoais de escolares do quarto e quinto ano, antes e depois da utilização de jogos cooperativos durante as aulas de Educação Física e no recreio. Métodos: Participaram do estudo 11 estudantes, com idade entre 7 e 12 anos, de uma escola da cidade de Mafra (SC). Foi utilizado o teste sociométrico objetivo, em seguida, realizada uma análise descritiva das respostas. As representações gráficas foram obtidas por meio do software Ciber Test, versão 8.1.1. Resultados: Os resultados obtidos demonstraram uma diminuição no número de avaliações negativas dos alunos aos demais colegas, após a vivência dos jogos cooperativos nas aulas de Educação Física, sugerindo a melhora nas relações entre os estudantes, tanto nas aulas de Educação Física quanto no recreio. Conclusão: Os jogos podem ser utilizados nas aulas, para estimular o autoconhecimento, a interação, a cooperação e o respeito entre os alunos.
Qualidade de vida de idosos participantes em programa de reabilitação cardiovascular: uma revisão sistemática
Authors: Neves Laura Maria Tomazi , Cipriano Junior Gerson , Matheus João Paulo Chieregato
Published: February 2014

Introdução: A participação em programas de reabilitação cardiovascular pode apresentar importância significativa na QV de idosos cardiopatas. Objetivo: Analisar o impacto da reabilitação cardiovascular na qualidade de vida do idoso. Métodos: Realizou-se uma revisão sistemática com pesquisa bibliográfica de ensaios clínicos publicados até outubro de 2011, nos idiomas inglês, português, espanhol e italiano, em quatro bases de dados (BVS, Medline, PEDro, Cochrane), com estratégia de cruzamento dois a dois dos termos “reabilitação cardiovascular” ou “reabilitação cardíaca” e “qualidade de vida”. Resultados: Dos 684 trabalhos localizados, 675 foram excluídos por não serem ensaios clínicos com população-alvo idosa (idade ≥ 60 anos), não terem como desfecho a qualidade de vida ou não estarem nos idiomas citados. Conclusão: Verificou-se, nesta revisão, que a participação em programas de reabilitação cardiovascular produziu impacto positivo na qualidade de vida de idosos, sendo o benefício superior em indivíduos com idade avançada.
Infrared thermography in adolescents with Osgood-Schlatter Disease
Authors: Freitas Priscilla Da Silva , Robinson Caroline Cabral , Barreto Rodrigo Py Gonçalves , Zaro Milton Antonio , Da Rosa Luis Henrique Telles , Silva Marcelo Faria
Published: February 2014

Introduction: Thermography has been used to monitor musculoskeletal disorders, but no study has assessed thermal patterns of anterior tibial tuberosity inflammation that occurs in Osgood-Schlatter Disease (OSD). Objective: To investigate the patterns of knee temperature in adolescents with and without OSD. Methods: Twenty adolescents were separated into two groups: one comprising individuals with OSD and a control in which none had OSD. An infrared image of the knees was recorded after 15 minutes of acclimatization in a temperature-controlled environment, and the maximum absolute knee temperature and the temperature difference (T) between knees were obtained. Results: The maximum knee temperature in the OSD group was significantly higher (p = 0.008) than the highest recorded knee temperature in the control group. The T between knees was significantly higher (p = 0.007) in the OSD group than in the control group. Conclusion: Adolescents with OSD present knee thermal asymmetry and hyper-radiant patterns in the affected knee, these alterations are prominent enough to be detected thermographically through infrared imaging.
Análise da qualidade de vida de idosos frequentadores de oficinas de informática
Authors: Silveira Michele Marinho da , Tavares Graziela Morgana Silva , Zuppa Carina , Portuguez Mirna Wetters , Silva Filho Irênio Gomes da , De Carli Geraldo Attilio , Pasqualotti Adriano , Colussi Eliane Lucia
Published: February 2014

Objetivo: Analisar a qualidade de vida de idosos frequentadores de oficinas de informática (OINFO). Métodos: Participaram 92 indivíduos na terceira idade, divididos em dois grupos: grupo I composto por 23 frequentadores de OINFO, e grupo II constituído por 69 sujeitos, que não participavam de OINFO. Utilizaram-se como instrumentos um questionário sociodemográfico e a escala de qualidade de vida WHOQOL-Bref. Os dados foram analisados no programa SPSS® (versão 17.0). Para a análise do WHOQOL, aplicou-se o teste “t” na amostra independente, já nas variáveis sociodemográficas foi utilizado o Qui-quadrado. Resultados: Houve diferença significativa nos domínios físico (p
Avaliação do conhecimento do paciente em programas de reabilitação cardíaca no Nordeste e Sul do Brasil
Authors: Ghisi Gabriela Lima de Melo , Santos Rafaella Zulianello dos , Felipe Thiago Renee , Knackfuss Maria Irany , Benetti Magnus
Published: February 2014

Introdução: A educação do paciente em reabilitação cardíaca é eficaz quando há informações precisas sobre o que os participantes sabem a respeito do seu estado de saúde e fatores relacionados. Objetivo: Avaliar o conhecimento do paciente coronariano sobre sua condição, comparando dois programas privados de reabilitação. Métodos: Duas amostras de pacientes coronarianos participantes de programas de reabilitação cardíaca no Nordeste e no Sul do Brasil foram comparados transversalmente. O conhecimento dos participantes foi avaliado por meio do questionário CADE-Q, validado psicometricamente em um estudo anterior. Os dados foram analisados por estatística descritiva, Qui-quadrado, testes “t” e Anovas. Resultados: Os pacientes do Sul apresentaram conhecimento médio total estatisticamente maior do que o dos voluntários do Nordeste, destacando-se fisiopatologia e sinais e sintomas. Conclusão: Embora as amostras tenham sido semelhantes, há diferenças entre o conhecimento dos pacientes do Sul e o dos voluntários do Nordeste, que devem ser levadas em consideração, quando programas de educação forem elaborados.
Efeito do treinamento com pesos sobre a rigidez arterial
Authors: Vieira Luiz Giovane Umpierre , Gonçalves Cássio Gustavo Santana , Queiroz Andréia Cristiane Carrenho
Published: February 2014

Objetivo: Analisar os estudos clínicos e randomizados que avaliaram os efeitos do treinamento com pesos sobre a rigidez arterial. Método: Realizou-se um levantamento bibliográfico nas bases de dados Medline e SciELO, sem limitação de ano. Analisando-se títulos e resumos foram selecionados os artigos relevantes, sendo escolhidos dez trabalhos. Resultados: Oito estudos avaliaram jovens; e dois, indivíduos de meia-idade/idosos. A maior parte das pesquisas apresentou manutenção ou aumento da rigidez arterial após treinamento com pesos, somente uma mostrou redução. Dos seis estudos que empregaram treino de alta intensidade, cinco observaram aumento da rigidez arterial. Conclusão: Sugere-se que características individuais e de protocolo de treinamento podem modular a resposta de rigidez arterial. Assim, a alta intensidade do treino parece influenciar no aumento da rigidez arterial, enquanto a intensidade leve/moderada estaria associada à manutenção ou redução dessa rigidez.
Intervenção motora em escolares com indicativo de transtorno do desenvolvimento da coordenação – TDC
Authors: Silva Eva Vilma Alves da , Contreira Andressa Ribeiro , Nascimento Erika Morgana Felix do , Capistrano Renata , Beltrame Thais Silva
Published: February 2014

Objetivo: Avaliar a aplicação de um programa de intervenção motora em escolares com indicativo de transtorno do desenvolvimento da coordenação. Métodos: Participaram 14 escolares com idades entre 10 e 11 anos, sendo divididos em grupo experimental e grupo controle. Para avaliar o desenvolvimento motor, foi utilizada a Bateria para Avaliação do Movimento de Crianças 2 (MABC-2). As intervenções ocorreram num período de 12 semanas, e as sessões foram realizadas três vezes por semana, com duração de 45 minutos. Para análise dos resultados, foi utilizado o teste não paramétrico Wilcoxon, o nível de significância adotado foi p
A utilização da computação móvel na armazenagem de dados de paciente em atendimentos domiciliares de saúde
Authors: Figueiredo Márcia Cançado , Jardim Lucas Eduardo , Barone Dante Augusto Couto , Wink Gabriel Lamb
Published: February 2014

Introdução: As tecnologias de informação e comunicação aliadas à computação móvel possibilitam novas formas de conhecimento e maior qualidade no cuidado em saúde. Objetivos: Utilizar um novo software para dispositivos móveis no levantamento epidemiológico de saúde de usuários cadastrados na Unidade Básica de Saúde Augusta Meneguine no Município de Viamão (RS). Métodos: Para a coleta das informações, utilizou-se questionário padronizado, registrando-se os dados por meio do programa. Resultados: Verificou-se que quase metade dos usuários sobrevivia com renda entre um e dois salários mínimos, um quarto da população era obesa e os percentuais de usuários com presença de cárie dentária e com edentulismo parcial ou total foram elevados. Conclusões: Pode-se constatar que a computação móvel agregou potencialidades à prática do cuidado em saúde. Ao traçar o perfil da população em questão, constata-se que esta apresenta níveis socioeconômicos e de saúde extremamente precários.
Acesso aos serviços de fisioterapia e sua utilização por idosos com dor lombar
Authors: Amorim Juleimar Soares Coelho , Silva Silvia Lanziotti Azevedo da , Pereira Leani Souza Máximo , Dias Rosângela Côrrea
Published: February 2014

Introdução: O envelhecimento da população brasileira tem-se traduzido em desafios e demandas para os serviços de reabilitação. Objetivo: Analisar o acesso aos serviços de fisioterapia ambulatorial e o uso destes pelos idosos com dor lombar, e aferir sua satisfação com esses serviços. Métodos: Realizou-se um estudo longitudinal, com idosos divididos em três grupos e investigados em entrevista presencial e por contatos telefônicos (follow up 1, seis semanas, e follow up 2, três meses). Resultados: Entre os 76 participantes, 85,5% não faziam uso do serviço, sendo 61,8% encaminhados pelo médico. Após três meses, os principais motivos para não fazer fisioterapia foram: fila de espera (34%), repouso (30,2%) e uso de analgésicos (50%). Entre os que conseguiram acesso, a satisfação foi avaliada de bom a ótimo. A Anova demonstrou não haver diferença significativa entre os três grupos referente às variáveis analisadas. Conclusão: Evidenciou-se alta dificuldade de acesso à fisioterapia devido à fila de espera.
Ritual de iniciação aos comportamentos de risco na adolescência
Authors: Santos Ana Raquel Mendes dos , Oliveira Luciano Machado Ferreira T. , Silva Emília Amélia Pinto Costa da , Dabbicco Penélopy , Souza Maíra Da Rocha Melo , Caminha Iraquitan De Oliveira , Freitas Clara Maria Silvestre Monteiro de
Published: February 2014

Introdução: Os atos iniciáticos aos comportamentos de risco podem ser compreendidos como experiências vividas ou condutas adotadas que servem para afirmar a vinculação do adolescente como membro de um grupo de pares. Objetivos: Identificar a idade de iniciação aos comportamentos de risco e os fatores sociodemográficos associados à iniciação precoce dessas práticas em adolescentes escolares do Estado de Pernambuco. Métodos: Realizou-se um estudo epidemiológico transversal, com uma amostra de 6.264 adolescentes escolares de Pernambuco. Utilizou-se o instrumento Global School-Based Student Health Survey. Resultados: A idade de iniciação aos comportamentos de risco (consumo de álcool, cigarros, drogas ilícitas e atividade sexual precoce) foi entre 14 e 15 anos. Observou-se que os rapazes iniciaram a vida sexual mais precocemente que as moças (p
Impacto da prática regular de exercício físico na qualidade de vida de diabéticos tipo 2
Authors: Ferreira Neta Jacy Souto Maior , Tavares Marcelo Caetano de Azevedo , Cruz Pedro Weldes da Silva , Lucena Juliana D'Fátima Lira , De Souza Fabiane Priscila Leite , Vancea Denise Maria Martins
Published: February 2014

Introdução: Diabetes Mellitus (DM) é um grupo de doenças metabólicas, caracterizado por hiperglicemia. A prática de exercício físico é um método eficaz na redução dos riscos da diabetes, pois promove melhorias nos níveis glicêmicos, controla os níveis de estresse e aumenta a autoestima, melhorando a qualidade de vida dos portadores. Objetivo: Avaliar o impacto da prática de exercício físico sobre a qualidade de vida de diabéticos tipo 2. Métodos: Participaram do estudo 27 diabéticos tipo 2, alunos do Projeto Doce Vida – Programa de Exercício Físico Supervisionado para Diabéticos da ESEF/UPE. O programa de exercício físico teve duração de três meses, o instrumento de coleta foi o questionário DQOL-Brasil. Resultados: Os achados evidenciaram a satisfação dos diabéticos com a vida social, com as amizades e com o tratamento atual; 44,4% relataram que estão “muito satisfeitos”. Conclusão: A prática regular de exercício físico causou um impacto positivo na qualidade de vida de diabéticos tipo 2.
Comparação de perfil epidemiológico e necessidades clínicas entre gêneros de usuários de Unidades de Saúde da Família do município de São Carlos – SP
Authors: Driusso Patricia , Moccellin Ana Silvia , Sato Tatiana De Oliveira , Fabbro Márcia Regina Cangiani , Mascarenhas Sílvia Helena Zem , Salvini Tânia De Fátima
Published: February 2014

Introdução: Na atenção à saúde, é preciso considerar diferenças entre gêneros e identificar a prevalência de problemas e de necessidades de saúde. Objetivo: Comparar o perfil epidemiológico e as necessidades clínicas entre homens e mulheres usuários das Unidades de Saúde da Família (USF) do município de São Carlos (SP). Métodos: Realizou-se estudo transversal descritivo, no qual foram entrevistados 5.963 usuários. Utilizou-se um questionário para caracterizar as condições de saúde. Os dados foram analisados de forma descritiva e por meio do teste Qui-Quadrado. Resultados: As mulheres apresentam maior prevalência de hipertensão, diabetes, anemia e distúrbios endócrinos e utilizam mais os serviços de saúde. Os homens apresentam maiores índices de alcoolismo e drogadição. As mulheres têm mais interesse em ações de prevenção de doenças e promoção de saúde. Conclusão: As USFs devem enfatizar ações voltadas à saúde do homem, pois a baixa prevalência de queixas sugere desconhecimento e falta de cuidados nesta população.
Respostas metabólicas e inflamatórias após infusão de insulina para a avaliação endotelial venosa
Authors: Moraes Maicom Borges , Franco Ozeia Simões , Teixeira André De Oliveira , Pereira Ana Paula Cardoso , Cruz Jeferson Mendes , Mazza Sheynara Emi Ito , Paulitsch Felipe Da Silva , Signori Luís Ulisses
Published: February 2014

Objetivo: Avaliar as alterações no perfil lipídico, na glicose, na insulina e nos marcadores inflamatórios após infusão endovenosa de doses de insulina usadas para a avaliação da função endotelial. Método: A amostra foi composta por 13 voluntários saudáveis, com idade de 25 (±4,7) anos e índice de massa corporal de 24,8 (±2,1) kg/m2. As coletas de dados foram realizadas em jejum de 12 horas (basal) e após o término da infusão do hormônio. A insulina regular (Insunorm R) foi infundida a uma taxa de 0,3 mL/min, em sete doses crescentes (entre 2,5 a 100 µU/mL, por seis minutos cada) perfazendo um total de 705 µU. Resultados: O colesterol total, triglicerídeos, HDLc, LDLc, glicose, insulina, proteína C ultrassensível e o fibrinogênio não se modificaram (p > 0,05) após a infusão endovenosa do hormônio. Conclusão: Estas doses de insulina podem ser empregadas na avaliação da vasodilatação dependente do endotélio em adultos saudáveis.
Variante genética da interleucina-1α em idosos portadores de doença periodontal
Authors: Shimizu Raíssa Rossito , Braga Miula Portelinha , Moura Sandra Kiss , Pires Oliveira Deise A. A. , Oliveira Rodrigo Franco , Carvalho Rodrigo Varella de , Maciel Sandra Mara , Poli-Frederico Regina Célia
Published: February 2014

Introdução: Fatores genéticos contribuem para o risco de doença periodontal (DP) em idosos. Objetivo: Avaliar a associação entre a perda de inserção e o polimorfismo no gene da interleucina-1α em idosos. Métodos: Participaram do estudo 110 idosos (idade média: 67,26 ± 4,9 anos), sendo 52,7% do gênero feminino. A presença de DP foi diagnosticada por meio do índice de perda da inserção periodontal, segundo critérios da Organização Mundial de Saúde. O polimorfismo genético foi analisado por meio da reação em cadeia da polimerase, seguida da clivagem por NcoI. Resultados: Não foi encontrada associação estatisticamente significante entre o polimorfismo no gene da IL-1α e a perda de inserção (teste do Qui-quadrado p>0,05). Este achado sugere que este polimorfismo pode não ser um fator genético que contribua para o desenvolvimento da doença periodontal. Conclusões: O polimorfismo genético na posição -899 do gene IL-1α pode não influenciar a prevalência e/ou severidade da DP em idosos.
Influência da informação sensorial sobre a dor e o centro de pressão na osteoartrite de joelho
Authors: Nascimento Marina Minardi , Pegoretti Kátia Solidéia , Prada Lídia Maria , Grossi Débora Bevilaqua
Published: February 2014

Introdução: A osteoartrite (OA) é uma doença degenerativa caracterizada por perda da cartilagem articular e sintomas de diminuição da propriocepção, força muscular e dor. A bandagem parece ser um bom recurso para diminuir a dor na OA e pode influenciar no controle postural. Objetivos: Verificar se o uso de bandagem infrapatelar influencia a oscilação corporal e a dor em indivíduos com OA de joelho. Métodos: Dez indivíduos com OA de joelho realizaram apoio unipodal nas condições com e sem bandagem. Os dados do centro de pressão (CP) foram obtidos pela plataforma de força e analisados pela área da elipse de confiança e a dor foi avaliada pela Escala Visual Analógica. Resultados: Tanto o deslocamento do CP quanto a dor não resultaram em diferença significativa entre as condições com e sem bandagem. Conclusão: A bandagem não aliviou a dor e não alterou o controle postural de indivíduos com OA de joelho.
Jak zkoumat koalice v Radě EU? Analýza výzkumných přístupů ke koaličnímu chování v Radě EU
Authors: Kaniok Petr , Kuchyňková Petra
Published: February 2014

Both in the Czech and European contexts, the Council of the EU is a relatively frequent subject of interest in political science research. A substantial amount of work (both in the tradition of qualitative and quantitative research) focuses especially on the process of coalition building and the impact and functioning of the different levels of the Council. This theoretical discussion analyzes the possibilities which both the qualitative and quantitative approaches offer concerning research dealing with the coalition behavior of one concrete EU member state. In doing so, it takes into account various specifics which characterize the Council of the EU and which substantially influence the behavior of its member states. The paper concludes that the qualitative approach (while being to a substantial degree complementary to the quantitative tradition) offers better tools for an analysis focusing on the coalition behavior of one member state than its quantitative counterpart. One of the reasons lies in the nature of our research which deals with the process of promoting the interests of the Czech Republic in the EU Council, with a special emphasis on coalition building and searching for compromises.
Neprispôsobiví Rómovia a slušná väčšina? Spravodajský diskurz po násilných udalostiach na severe Českej republiky 2011
Authors: Kluknavská Alena , Zagibová Lenka
Published: February 2014

The paper analyses the news discourse on Roma minority during the violent incidents and the following anti-Roma protests in the north part of the Czech Republic in 2011. It focuses on news reports relating to the Roma in three most-read Czech newspapers between August 8, 2011 and September 8, 2011. The study adheres to the discourse analysis and is undertaken in three stages. In first step we introduce a general characterization of the news and the context of the unrests as presented by the media. This is followed by the analysis of the extent to which the media emphasize the ethnicity and generalize the “Roma” criminality. In third step a dichotomy in relation to the majority and the Roma minority (us vs. them) is analysed. The analysis points to systematic „othering“ and stereotyping of Roma minority in the selected newspapers. Results show that the media emphasized the ethnicity of Roma actors involved in the attacks and generalized given incidents as continuing „Roma“ criminality. Moreover, the newspapers tended to present the situation either as „the last drop“ of the tensions between two groups (majority population and Roma minority) or as a consequence of the problems with the criminality of „unadaptable“ citizens, meaning the Roma. These discursive practices can lead to deepening of racial stereotypes in the society, but they can also contribute to the formation of favourable discoursive opportunity structure, hence favourable context for parties of the far right, which are characteristic of their nationalistic, racist and xenophobic rhetoric and actions.
Peter Emerson: Defining Democracy. Voting Procedures in Decision-Making, Elections and Governance
Authors: Brunclík Miloš
Published: February 2014

Knižní recenze
Lukáš Linek: Kam se ztratili voliči? Vysvětlení vývoje volební účasti v České republice v letech 1990−2010
Authors: Nový Michal
Published: February 2014

Knižní recenze
Análise contextual da consulta de enfermagem na visita domiciliar às pessoas com lesão medular
Authors: Coura Alexsandro Silva , Enders Bertha Cruz , Menezes Rejane Maria Paiva de , França Inacia Sátiro Xavier de
Published: February 2014

The objective of the study was to analyze the contextual elements that influence the development of the home nursing consultation to individuals with spinal cord injury. A narrative review was conducted in the SciELO, IBECS, LILACS and PubMed data bases. Data were analyzed according to contextual analysis that proposes four layers of interactive contextual relations. These were examined and the analysis enabled the comprehension of the phenomenon (immediate, specific, general and metacontextual). The data were presented in thematic categories: the peculiarities of nursing consultation to people with spinal cord injury (immediate contextual level); the difficulties in assisting people with spinal cord injury (specific contextual level); beliefs, values and psychosocial repercussions of the individual when faced with the spinal injury (general contextual level); and the legal capital of individuals with spinal cord injury: from legislation to ministerial norms (metacontext).The meaning of the phenomenon derived from the analysis enabled its sharing and application in nursing practices.