bluuebunny/crossref_metadata_2025 huggingface dataset:
Determination of TNF-a Gene Polymorphisms on Skeletal Pattern in Class II Malocclusion
Authors: Levy Simone Carvalho , Antunes Lívia Azeredo Alves , Abreu Julia Guimaraes Barcellos de , Nascimento Jullia Assis da Silva , Kuntz Ana Carolina , Fialho Walter Luis Soares , Rodrigues Amanda Silva , Teixeira Ellen Cardoso , Calasans-Maia José de Albuquerque , Araújo Marcelo Calvo de , Küchler Erika C. , Antunes Leonardo Santos
Published: April 2019

Abstract Bone development and growth is a non-going, life-long process, varying greatly among individuals and much of this variation could be modulated by genetic factors. The purpose of this study was to evaluate the association between the polymorphisms in the TNF-a gene and skeletal class II malocclusion. Single nucleotide polymorphisms in TNF-a (rs1799724; rs1800629) gene were studied in 79 skeletal class II malocclusion and 102 skeletal class I malocclusion subjects from Straight Wire Group of Studies on Orthodontics and Functional Orthopedics for Maxillary from Rio de Janeiro, Brazil. The Genotyping of these selected polymorphisms was carried out by TaqMan real-time PCR using genomic DNA extracted from buccal cells. All allele and genotype frequencies were compared between the groups using the PLINK® software in a free, in a dominant and in a recessive model using a chi-square test (p≤0.05). There was no significant association of TNF-a (rs1799724; rs1800629) genotype and allele distribution with skeletal class II malocclusion. Regardless of the dominant or recessive genetic model, the preferential genotype associations for rs1799724 and rs1800629 was insignificant. In conclusion, no evidence of association is apparent between genetic polymorphisms involving TNF-a and skeletal class II malocclusion or the position of the maxilla and mandible in the postero-anterior direction.
Failure Probability, Stress Distribution and Fracture Analysis of Experimental Screw for Micro Conical Abutment
Authors: Melo Filho Antonio Braulino de , Tribst João Paulo Mendes , Ramos Nathália de Carvalho , Luz Julio Nogueira , Jardini Maria Aparecida Neves , Borges Alexandre Luiz Souto , Santamaria Mauro Pedrine , Melo Renata Marques de
Published: April 2019

Abstract The aim of this study was to evaluate the failure probability of two types of abutment screws after compressive load and to analyze the stress distribution with finite element method. Sixty (60) single-tooth implant restorations were assembled on titanium implants (e-fix, A.S. Technology - Titanium Fix). The groups were divided into Conventional screw (Screw neck 1.5 ø mm) and Experimental screw (Screw neck constricted with 1.2 ø mm). Specimens were subjected to single load to failure with compressive test according ISO 14801. The fractured specimens were subjected to stereomicroscopy for measurement of remaining screws inside the implant and characterization of fracture origin. Representative specimens were analyzed by scanning electronic microscopy. For finite element method (FEM), an identical 3D model of the two in vitro test groups were used with similar conditions (30º, 100 N load). The stress in the abutment screw was analyzed by von-Mises criteria. The results of strength means were 4132.5 ± 76 MPa and 4528.2 ± 127.2 for conventional and experimental groups, respectively. During microscopy, the mean (mm) of the remaining screw piece inside the implants were 0.97 ± 0.23 and 1.32 ± 0.12 for conventional and experimental groups, respectively. In FEM, the conventional group showed stress concentered in an unfavorable region (peak of 39.23 MPa), while the experimental group showed more stress areas but less concentration than the conventional group (36.6 MPa). In using the tested experimental geometry, the abutment screw can have its strength improved, and the origin of failure can be more favorable to clinical resolution.
Top-100 Most Cited Dental Articles with Authors from Brazil
Authors: Gonçalves Ana Paula , Plá Ana Laura , Rodolfo Bruna , Nahsan Flavia Pardo , Correa Marcos Britto , Moraes Rafael Ratto de
Published: April 2019

Abstract This study analyzes the characteristics of the top-100 most cited articles published in international dental journals with at least one coauthor affiliated to Brazil. A search in Scopus database for articles published between 1996 and 2017 was carried out in the 178 journals belonging to the category “Dentistry" identified in SCImago Journals & Country Rank. From the top-100 most cited articles, variables related to the journal, article, and authors were collected. Annual citation averages (ACA) and relative citation ratios (RCR) were calculated. Data were analyzed descriptively. There were 75 original reports and 25 reviews in the sample. The number of citations ranged between 124 and 657 (mean=202, median=168). The papers were published in 31 different journals (46% in only four journals), none based in Brazil. The most frequent subjects (61%) were Dental Materials, Endodontics, and Periodontology, which accounted for 63.6% of the total citations. The subject with the highest ACA was Oral and Maxillofacial Surgery and the subject with the highest RCR was Oral Radiology. Only 12 articles were cited more than 300 times. International collaboration was present in 61 articles and funding was reported in 49 articles. The first author was from Brazil in 70% and corresponding author in 55% of the papers. Southeast (83%) and South (20%) were the regions of Brazil with most presence of coauthors. This top-100 list is presented to provide an overview of the most cited articles and aid in supporting further analyses regarding publication and citation behaviors of Brazilian dentistry.
Forage potential of Urochloa genotypes by using leaf anatomy
Authors: Mauri Janaína , Pereira Daniele Laís , Silva Gabrielle Avelar , Davide Lisete Chamma , Techio Vânia Helena , Souza Sobrinho Fausto , Pereira Fabricio José
Published: April 2019

ABSTRACT: The digestibility potential of leaves from forages depends on the amount of nutrition in their tissues, with low lignin deposition in the cell wall, mainly parenchyma and phloem. This research evaluated the leaf structure of different Urochloa genotypes and discussed its potential for evaluating digestibility. The cultivars U. brizantha, U. decumbens, U. ruziziensis and three clones of U. ruziziensis (1, 95 and 97), which are under development in breeding programs, were evaluated. Plants were grown under the recommended culture conditions for the Urochloa species. Plants were cut 60 days after sowing, and leaves were collected at 15 days of regrowth. Leaves were fixed in FAA 70 and further stored in 70% ethanol until being submitted to the usual microtechniques for the preparation of microscopy slides. The area of the tissues from the interveinal and midrib regions was measured using ImageJ software, and their proportions were calculated. In the interveinal region, the proportion of chlorophyll parenchyma was greater for U. decumbens and the Clone 1 genotypes. Urochloa brizantha and clones 95 and 97 showed a higher proportion of the vascular bundle compared to U. ruziziensis, U. decumbens and Clone 1. The proportion of the ground parenchyma in the midrib was greater in U. brizantha, Clone 95 and Clone 97. Thus, it can be concluded that the Clone 1 genotypes (from U. ruziziensis) showed leaf tissues (parenchyma and phloem) with higher digestibility potential; in addition, U. brizantha and U. decumbens showed a high percentage of xylem and sclerenchyma, which reduces their quality as forage.
South Brazilian farmers’ perceptions concerning sheep tail docking
Authors: Stamm Fabiana de Orte , Molento Marcelo Beltrão , Molento Carla Forte Maiolino
Published: April 2019

ABSTRACT: The objective of this study was to better understand farmers’ perceptions regarding sheep welfare and procedures concerning the tail docking of sheep in the state of Parana, Southern Brazil. The study was carried out via telephone interviews or personally with 146 sheep farmers. Twenty-eight farmers (19.2%) did not tail dock; the main reasons given were because they raised short-hair sheep breeds. One hundred and eighteen farmers docked their sheep tails (80.8%). The main reasons given were hygiene (61.0%), facilitated mating (42.4%), breed standards (29.7%), and esthetics (26.3%). Rubber ring was the main method used for tail docking. Although farmers in Parana recognized that sheep are sentient animals and that tail docking causes pain, anesthesia was used by only six (5.1%) farmers during the procedure of tail docking. Our results showed that farmers’ opinions on sheep tail docking are divergent. Farmers who perform tail docking must be encouraged to use anesthesia and analgesia, and to ponder on the real need for the practice. This statement seems especially relevant considering the fact that some farmers reported the viability of maintaining wool sheep with undocked tails and that they recognized the suffering involved in this procedure.
Occurrence of endo and hemoparasites in Sporophila caerulescens captured in the eastern region of the state of Acre, Brazil
Authors: Souza Leandro Siqueira de , Guilherme Edson , Andrade Angela Maria Fortes de , Santos Francisco Glauco de Araújo
Published: April 2019

ABSTRACT: Wild animals are hosts and reservoirs to many infectious agents, often unknown to the Scientific Community, which leads to serious health implications for natural and domestic environments. We conducted this research with the objective of diagnosing the occurrence of parasites of medical and veterinary interest in “coleirinhos” captured in the eastern region of the state of Acre, Brazil. We captured the specimens in August and September of 2017 using ornithological nets at the margins of Caeté river. We visually inspected the birds to evaluate the ectoparasites. Subsequently, we collected blood through a brachial vein puncture and rested the individuals in a cloth bag for 30 minutes to collect feces, after which we released them. Results of the visual inspection to detect and identify the ectoparasites were negative. Blood samples revealed the protozoan Haemoproteus sp., and the feces revealed cysts of Entamoeba histolytica and E. coli, oocysts of coccidia and eggs of Davaineidae. Coccidia was the most prevalent (69.2%) and abundant (34.15%) parasite reported. Parasites diagnosed in this study can promote the emergence of secondary infections in S. caerulescens individuals or other animals that are contaminated with these etiological agents, since, when migrating through different biomes of South America, other animal species can come into contact with these agents.
Composition of polyphenols of asparagus spears (Asparagus officinalis) and their antioxidant potential
Authors: Kobus-Cisowska Joanna , Szymanowska Daria , Szczepaniak Oskar Marek , Gramza-Michałowska Anna , Kmiecik Dominik , Kulczyński Bartosz , Szulc Piotr , Górnaś Paweł
Published: April 2019

ABSTRACT: The aim of this study was to examine the impact of cultivar and spear color on the composition of polyphenols in asparagus spears (Asparagus officinalis). The five genotypes (Schwetzinger Meisterschuss, Huchel’s Alpha, Gijnlim, Grolim and Eposs) and three growing conditions of asparagus spears (Asparagus officinalis) were investigated. The polyphenols were determined by applying the HPLC-DAD system. The obtained results were subjected to the principal component analysis. Among the analyzed asparagus samples cv. Grolim contained the highest amounts of phenolic acids and flavonols. The varied quantitative and qualitative composition of polyphenolics resulted most probably from changes occurring during vegetation, such as a lack of access to light in the case of white asparagus and limited access to light in purple asparagus. The scavenging activity on DPPH radicals by asparagus extract is dependent on the variety and color and was the greatest for green asparagus samples. Similar green extracts scavenged ABTS radicals to the highest degree. Results of this study suggested that asparagus may constitute a good source of natural antioxidants to be used in our diet as well as by industries for functional food formulations.
USE OF RUSSIAN AND AUSSIE CURRENT IN ISOMETRIC TETANIZATION OF THE QUADRICEPS FEMORIS
Authors: Montenegro Eduardo José Nepomuceno , Santos Karina Vilela dos , Alencar Geisa Guimarães de , Siqueira Gisela Rocha de , Maia Juliana Netto , Andrade Maria do Amparo
Published: April 2019

ABSTRACT Objectives: To qualitatively and quantitatively analyze the interaction of Russian and Aussie currents in isometric contraction of the quadriceps femoris muscle in the sensory, motor and pain tolerance spectra in healthy young women. Methods: The subjects were studied at a single point in time. A lower limb was selected at random to receive each current, and the electrodes were placed simultaneously on both legs, respecting 10 minutes between individual stimulation. Sensory, motor and pain-tolerance thresholds were assessed in quantitative (current density in mA/cm²) and qualitative (VAS) terms. Results: Subjects were 19 volunteers, aged 22.31 (1.29), with a BMI of 21.79 (1.78). The Aussie current reached the sensory threshold with significantly lower current density when compared with the Russian current for the same threshold. The results were significant in the overall group (treatment) for the two currents studied in terms of current density needed to reach the three thresholds. However, in the blocks (individually), there was significance only for the sensory threshold (p = 0.0126). Analysis of the perception of discomfort, assessed by VAS, was significant at the three time points for both currents, but in the comparison between these there was no significant difference. Conclusion: The Russian and Aussie currents are adequate in terms of the current density required to reach each threshold studied, and present differences between one another during interaction with the biological system, with the Aussie current necessitating less energy. However, in terms of perception of discomfort there are no significant differences between the two currents. Level of evidence III; Therapeutic studies - Investigating the results of treatment.
MUSCLE STRENGTH AND CAFFEINE SUPPLEMENTATION: ARE WE DOING MORE OF THE SAME?
Authors: Soares Edgard de Melo Keene Von Koenig , Garcia Giliard Lago , Molina Guilherme Eckhardt , Fontana Keila Elizabeth
Published: April 2019

ABSTRACT The purpose of this review was to examine in the current literature the advances made in terms of the effects of caffeine supplementation on maximum strength and its associated mechanisms since the publication of two important papers in 2010. Searches were carried out in the PubMed, Medline, Scielo and Web of Science databases for articles published after 2010. Sixteen studies were included based on inclusion and exclusion criteria. Five studies did not report changes in maximal voluntary strength (31.3%). Four of them used isometric muscle contractions, although this may not be a key factor because five other studies also used isometric contractions and reported ergogenic effects. Furthermore, these four studies evaluated small muscle groups and volunteers were not accustomed to consuming caffeine. Caffeine produced ergogenic effects in eleven of the sixteen studies analyzed (68.8%). None of the doses were clearly related to ergogenic effects; however, a dose of at least 3 mg/kg of caffeine is probably necessary. Caffeine ergogenicity was affected by various factors. There was a lack of standardized protocols and controls for intervening factors (e.g., circadian cycles and nutritional states), which could affect results. An ideal caffeine supplementation protocol that is useful for future research, athletes, and physical activity practitioners, has yet to be defined. A small advance made since 2010 involved a possible lack of gender difference; it would appear that caffeine supplementation affects men and women equally. Level of Evidence I; Systematic Review of Level I Studies.
FUNCTIONAL CAPACITY IN ADOLESCENT IDIOPATHIC SCOLIOSIS DURING THE POSTOPERATIVE PERIOD
Authors: Araujo Geferson da Silva , Saraiva Bruna Marques de Almeida , Sperandio Evandro Fornias , Toledo Filho Marcos de , Freira Jaqueline de Mesquita , Gotfryd Alberto Ofenhejm , Yamauchi Liria Yuri , Dourado Victor Zuniga , Vidotto Milena Carlos
Published: April 2019

ABSTRACT Introduction: Patients with Adolescent Idiopathic Scoliosis (AIS) show reduced exercise capacity during the Incremental Shuttle Walk Test (ISWT). However, we not know how patients behave in the late postoperative (LPO) period. Objective: The aim of this study was to evaluate the ISWT distance (ISWTD) and physiological responses during ISWT in AIS patients during the LPO period. Methods: We included 22 patients with AIS in the LPO period (SG) and 21 adolescents in the Control Group (CG). We assessed pulmonary function (FVC and FEV1). During ISWT, a gas analyzer was used to assess peak oxygen (VO2) and submaximal relations: Oxygen Uptake Efficiency Slope (OUES) and the breathing pattern (ΔVT/ΔlnVE). Results: Significantly lower values were observed in SG: VO2 (22 ± 5 vs. 27 ± 4), ISWTD (567 ± 94 vs.604 ± 86), FVC (2.70 ± 0.47 vs. 3.33 ± 0.52) and FEV1 (2.41 ± 0.46 vs. 2.84 ± 0.52). There were significant correlations between ISWTD and VO2/Kg (r = 0.80); between OUES and ΔVT/ΔlnVE (r = 0.65); and between the main thoracic curve with VO2/Kg (r= −0.61). Conclusion: AIS patients in the LPO period have significantly reduced exercise capacity associated with reduced lung function, residual spinal curve and cardiovascular deconditioning. Level of Evidence III; Prognostic Studies - Investigation of the effect of characteristic of a patient on the outcome of the disease.
CONCURRENT TRAINING AND TAURINE IMPROVE LIPID PROFILE IN POSTMENOPAUSAL WOMEN
Authors: Buonani Camila , Rossi Fabrício Eduardo , Diniz Tiego Aparecido , Fortaleza Ana Claúdia , Viezel Juliana , Picolo Malena Ricci , Fernandes Rômulo A. , Freitas Júnior Ismael Forte
Published: April 2019

ABSTRACT Introduction: Taurine plays an important role in metabolism and can positively influence body composition, since it is believed that in appropriate concentrations this amino acid (AA) can reduce perceived exertion, thereby delaying the onset of fatigue; however, the effect of this AA combined with concurrent training in postmenopausal women is unknown. Objective: To analyze the effects of concurrent training (aerobic+resistance) and taurine supplementation on the metabolic profile of postmenopausal women. Methods: Forty-three postmenopausal women were randomly divided into the following groups: Control (C [N=13]), Taurine (T [N = 8]), Taurine+Exercise (TE [N=13]), and Placebo+Exercise (E [N=9]). The supplemented groups received capsules corresponding to a daily taurine intake of 1.5 g. Concurrent training (CT) took place three times a week and consisted of 50 minutes of resistance training and 30 minutes of aerobic training. Body composition was assessed using DXA, in addition to biochemical profile analysis: triglycerides, total cholesterol, low-density lipoprotein cholesterol and high-density lipoprotein cholesterol. The intervention period lasted for eight weeks. Statistical significance was set at 5%. Results: The TE group presented a statistical reduction in terms of relative change in the percentage of total body fat (%) (−4.1±3.0) and trunk fat (%) (−4.4±3.9), with greater lean body mass (kg) gain (3.9±2.5) when compared to groups C (0.3±3.7, p=0.005; 0.8±4.3, p=0.024; −1.1±3.1, p<0.001; respectively) and T (1.2±3.4, p=0.004; 1.6±5.4, p=0.023; −1.2±2.9; p=0.002; respectively). The TE group presented a greater percentage reduction of total cholesterol (−5.8±7.1 mg/dl) when compared to group T (11.5±19.1 mg/dl). The TE group presented a significant decrease in LDL-c (−13.6±9.2 mg/dl) compared to groups C (3.5±13.9 mg/dl, p=0.014) and T (9.9±24.3 mg/dl, p=0.027). Conclusion: The combination of concurrent training and taurine supplementation promoted a reduction in total cholesterol and LDL-c levels in postmenopausal women. Level of Evidence I; Study type: Randomized clinical study.
EXTREME CONDITIONING TRAINING: ACUTE EFFECTS ON MOOD STATE
Authors: Pereira Emy Suelen , Krause Neto Walter , Calefi Atilio Sersun , Georgetti Mariana , Guerreiro Larissa , Zocoler Cesar Augustus Sousa , Gama Eliane Florencio
Published: April 2019

ABSTRACT Introduction: The search for strategies aimed at reducing daily stress is increasing in the current literature. As a result, several types of fitness training are constantly being investigated for their influence on mood states. However, we know little about strategies that use higher intensities. Objective: To investigate the acute effects of an extreme conditioning training (ECT) session on the mood states of individuals with or without prior experience in this type of training. Methods: Volunteers were divided into TRAINED (n = 10) and CONDITIONED (n = 10) groups, undergoing a single 9-minute ECT session. Mood states (BRUMS scale) were analyzed at baseline, immediately afterwards, and after 30 minutes. Results: Anger, confusion and tension were significantly reduced in both groups immediately afterwards and post 30 minutes. The TRAINED group showed a significant reduction in fatigue 30 minutes after the end of the session. Effect size for all variables was considered small to moderate. The TRAINED group had significantly increased vigor immediately after the end of the session compared to baseline. However, the CONDITIONED group had significantly reduced vigor 30 minutes afterwards, in comparison to baseline. The increase in vigor in the TRAINED group was considered moderate (ES = 0.68), while the decrease in vigor in the CONDITIONED group was considered major (ES = −0.88). Conclusion: An ECT session is powerful enough to induce significant, albeit small and moderate, changes in mood states in both trained and untrained individuals in this particular type of exercise. Level of evidence II, Therapeutic studies-investigation of treatment results.
STATE OF HEALTH AND PHYSICAL FITNESS OF CBF (BRAZILIAN SOCCER CONFEDERATION) REFEREES FROM THE STATE OF ESPÍRITO SANTO
Authors: Silva Vitor Loureiro da , Depizzol Carlos Eduardo do Rosário , Carletti Luciana , Vancini Rodrigo Luiz , Leopoldo Ana Paula Lima , Leopoldo André Soares
Published: April 2019

ABSTRACT Introduction: Studies indicate that the technical/tactical performance of soccer referees can be impacted by physical fitness and state of health. However, although they are routinely invited to take part in matches at national level, it is not yet clearly established whether referees who work in less prominent regions and soccer championships present the same levels of physical, technical and psychological preparation as referees from more important areas, such as the soccer teams of São Paulo and Rio de Janeiro. Within this context, no studies have evaluated the physical conditioning and health parameters of Brazilian Soccer Confederation (CBF) referees who work in Espírito Santo. Objective: To assess the health and physical fitness levels of CBF soccer referees from Espírito Santo. Methods: A cross-sectional study with 16 participants, 6 referees, and 10 assistant referees. The protocol lasted 12 weeks and consisted of the following analyses: general characteristics, body composition, flexibility, and biochemical and cardiorespiratory profiles. Results: The referees all fell under the age range (26 to 41 years) required by CBF and had good body composition and flexibility results. The cardiorespiratory assessment (rest and effort) of the referees indicated satisfactory physical fitness and consequently, low risk for cardiovascular diseases based on resting heart rate (HR) (64 ± 13 bpm), HR reserve (126 ± 18 bpm) and VO2max (45.3 ± 5.7 ml·kg−1·min−1), results similar to those seen in elite international referees. Regarding the biochemical assessment, the parameters analyzed were within the normal range. Conclusion: Despite the fact that referees from the state of Espírito Santo work in a region of lesser national significance and relevance in the soccer domain, they present satisfactory levels of physical fitness and health parameters to act with safety and precision in national competitions. Level of Evidence IV; Type of study: Case series.
VALIDATION OF SMARTPHONE FREE HEART RATE MONITORING APPLICATION DURING TREADMILL EXERCISE
Authors: Jaafar Zulkarnain , Murugan Aravind Kumar
Published: April 2019

ABSTRACT Objective: The number of people participating in leisure sports activities and amateur competitions has been rising sharply. Free smartphone heart rate monitoring applications are readily available for use; however, information on their accuracy during exercise is still limited. Therefore, the purpose of our study was to validate a smartphone free heart rate monitoring application during treadmill exercise in healthy individuals. Methods: This was a prospective experimental study testing the free heart rate app 'INSTANT HEART RATE: AZUMIO.' Twenty-seven healthy participants were requested to perform the treadmill task with four different workloads: walking at 2.0 mph, walking at 3.5 mph, jogging at 4.5 mph and running at 6.0 mph. Participants had to perform the exercises for 3 minutes for each workload, and heart rates were recorded using the smartphone app and ECG at rest, during the exercise and recovery periods at each 60-second interval. Results: Heart rates measured using the free smartphone app at rest, walking at 2.0 mph, brisk walking at 3.5 mph, slow jogging at 4.5 mph and recovery stage were accurate with correlation coefficient value ≥0.95 and standard error of estimate <1 bpm. However, the correlation values during running at 6 mph were inconsistent with a standard error of estimate >5 bpm. Conclusion: The free smartphone app that we tested accurately estimates heart rate at rest, during low to moderate intensity exercise and the recovery period, but becomes less consistent during high-intensity exercise, making this app suitable for use during indoor activities of low to moderate intensity. Level of evidence II; Diagnostic Studies - Investigating a diagnostic test.
PREVALENCE OF INJURIES IN BRAZILIAN RECREATIONAL STREET RUNNERS: META-ANALYSIS
Authors: Borel Wyngrid Porfirio , Elias Filho José , Diz Juliano Bergamaschine Mata , Moreira Poliana Fernandes , Veras Priscila Monteiro , Catharino Leonardo Lacerda , Rossi Bárbara Palmeira , Felício Diogo Carvalho
Published: April 2019

ABSTRACT Street running is an accessible, low-cost form of exercise. However, the occurrence of musculoskeletal injuries may hinder regular practice. This study aimed at estimating the prevalence of injuries in Brazilian street runners and the associated factors. A meta-analysis of Brazilian studies was performed to investigate the prevalence and risk factors of injuries in male and female recreational street runners aged ≥18 years. We excluded systematic review studies, research conducted on professional athletes or triathletes, and duplicate articles. The following databases were used: SciELO, LILACS, PubMed, Web of Science, and Google Scholar. Keywords such as “prevalence,” “injury,” “recreational street runners,” and “Brazil” were used. Prevalence analysis was performed using the random effect model, and a funnel plot was used to assess publication bias. Then the Begg-Mazumdar and Egger tests were applied to quantify the graph results. The Prevalence Critical Appraisal Instrument was used to evaluate the methodological quality of the studies. Associated factors were analyzed with meta-regression analysis. Twenty-three studies with 3,786 runners were included in the review. The prevalence of injury was 36.5% (95% confidence interval [CI] 30.8-42.5%), and a running distance per week greater than 20 km was a predictive variable of injuries. A higher prevalence of injuries was observed in men than in women (28.3%, 95% CI 22.5-35.0%), the knee was the most affected site of injury (32.9%, 95% CI 26.7-39.6%), and muscle injuries were the most frequent type of injury (27.9%, 95% CI 18.2-40.1%). This is the first national meta-analysis conducted to investigate the prevalence of injuries in recreational street runners. Although the prevalence of injuries was moderate, caution is required in terms of the weekly duration of running. Male runners are more susceptible, and muscle and knee injuries are the most common. Level of evidence II, Systematic reviewb of Level II Studies.
Defesas jesuítas da escravidão voluntária no Japão e no Brasil
Authors: Ehalt Rômulo da Silva
Published: April 2019

RESUMO O presente artigo analisa como missionários da Companhia de Jesus defenderam a escravidão voluntária de nativos brasileiros e japoneses no século XVI. Apesar de cada caso ter sido defendido com argumentos distintos, uma análise comparada mostra que tanto no Brasil quanto no Japão as defesas partiram de pressupostos semelhantes - ambas foram construídas a partir de leituras sobre princípios do direito natural, e envolveram discussões a respeito dos limites das condições definidas por Prierias para a legitimidade da escravidão voluntária. As diferenças entre os casos resultam das suas conjunturas históricas: no Brasil, o debate entre Caxa e Nóbrega ocorreu no contexto do tutiorismo, enquanto o caso japonês foi discutido durante a hegemonia da doutrina do probabilismo. Essa diferença torna-se fundamental para explicar os motivos da impossibilidade de defesa do primeiro caso, ao mesmo tempo que nos ajuda a entender a flexibilidade com a qual o segundo caso foi abordado.
Habilidade motora, sintomas depressivos e função cognitiva em pacientes pós-AVC
Authors: Yoshida Hélio Mamoru , Barreira Júlia , Fernandes Paula Teixeira
Published: April 2019

RESUMO Os objetivos deste estudo foram (1) caracterizar pacientes pós-AVC em relação à habilidade motora (HM), sintomas depressivos (SD) e função cognitiva (FC); (2) realizar comparações desses aspectos entre sexo, idade, nível de atividade física; e (3) correlacioná-los com o tempo pós-AVC. Avaliamos 135 sujeitos com idade média de 60 (±15) anos e tempo médio pós-AVC de 17 meses. Foram usados os seguintes instrumentos: questionário sociodemográfico, Protocolo de Habilidade Motora de Fugl-Meyer (HM), Inventário de Depressão de Beck (SD) e Mini Exame do Estado Mental (FC). O teste Mann-Whitney foi utilizado para comparação entre sexo, idade e prática de atividade física. O coeficiente de Spearman para verificar a correlação entre o tempo pós-AVC e as variáveis analisadas (HM, SD e FC). O grupo obteve uma média de 118,19 (±30,45) para HM, 9,93 (±7,14) para SD e de 21,7 (±5,43) para FC. Além disso, nossos resultados mostram que as mulheres apresentam maiores níveis de sintomas depressivos do que os homens, pacientes maiores de 50 anos apresentaram pior escore para FC. Não houve diferenças significativas entre pacientes praticantes e não praticantes de atividade física em relação à habilidade motora, sintomas depressivos e função cognitiva. Não foram encontradas correlações significativas entre o tempo pós-AVC e as variáveis analisadas. Nossos resultados contribuem para o planejamento e ações que busquem a melhora da qualidade de vida dos pacientes.
Tratamento de pacientes com dor lombar crônica inespecífica por fisioterapeutas: um estudo transversal
Authors: Desconsi Marcele Bueno , Bartz Patrícia Thurow , Fiegenbaum Taís Regina , Candotti Cláudia Tarragô , Vieira Adriane
Published: April 2019

RESUMO Estudos atuais têm investigado a orientação de tratamento que fisioterapeutas adotam no tratamento da dor lombar crônica inespecífica (DLCI) pela avaliação de suas atitudes e crenças. Porém, no Brasil, pouco se sabe sobre essa temática principalmente no contexto do Sistema Único de Saúde (SUS). O objetivo desse estudo foi descrever atitudes e crenças dos fisioterapeutas que atuam no SUS no tratamento de pacientes com DLCI e identificar a relação entre suas características demográficas e profissionais e as orientações de tratamento da DLCI. O estudo é de base populacional e transversal. Os dados foram coletados com um questionário demográfico e profissional e o questionário Pain Attitudes and Beliefs Scale for Physiotherapists. O estudo contou com 49 fisioterapeutas e os resultados evidenciaram maior concordância com crenças e atitudes relacionadas à orientação biomédica, sendo a pontuação nessa escala 15,5% maior que na comportamental, e uma correlação regular e positiva (p<0,05) entre o tempo de formação e a orientação de tratamento biopsicossocial. Concluí-se que houve predomínio de crenças biomédicas entre os fisioterapeutas que trataram a DLCI em pacientes do SUS. O estudo também demonstrou que os fisioterapeutas com maior tempo de formação foram aqueles que apresentaram maior influência da orientação biopsicossocial.
Validade e confiabilidade da versão brasileira do World Health Organization Disability Assessment Schedule em pessoas com cegueira
Authors: Silveira Laís Sampaio , Castro Shamyr Sulyvan , Leite Camila Ferreira , Oliveira Nuno Miguel Lopes , Salomão Angélica Emboaba , Pereira Karina
Published: April 2019

RESUMO O World Health Organization Disability Assessment Schedule (WHODAS 2.0) é uma ferramenta desenvolvida pela Organização Mundial de Saúde (OMS) para medir deficiência e incapacidade, apoiando o modelo da Classificação Internacional de Saúde, Incapacidade e Funcionalidade. A versão brasileira do WHODAS 2.0 foi traduzida e disponibilizada para uso pela OMS em 2015. Assim, este estudo pretende validar a versão brasileira do WHODAS 2.0 para uso em pessoas com cegueira. Participaram 56 pessoas com cegueira (idade média: 48,4±13,6 anos). Foram utilizadas duas ferramentas de avaliação: a versão de 36 itens do WHODAS 2.0 e o World Health Organization Quality of Life-bref (WHOQOL-abreviado). As propriedades psicométricas testadas foram consistência interna, teste-reteste e validade de critério. Houve boa confiabilidade teste-reteste (ICC≥0,63). Os valores de a de Cronbach mostraram boa consistência interna na maioria das áreas, exceto no subdomínio de atividades escolares ou de trabalho (a=0,55). A validade do critério foi adequada, com correlações moderadas entre os domínios do WHODAS 2.0 e áreas do WHOQOL-abreviado. Os resultados indicaram a validade do WHODAS 2.0 para avaliar a funcionalidade de pessoas com cegueira.
Prediction equation for the mini-mental state examination: influence of education, age, and sex
Authors: Mendes Liliane Patrícia de Souza , Malta Fernanda Ferreira , Ennes Thaís de Oliveira , Ribeiro-Samora Giane Amorim , Dias Rosângela Corrêa , Rocha Bianca Louise Carmona , Rodrigues Marina , Borges Larissa Faria , Parreira Verônica Franco
Published: April 2019

ABSTRACT The mini-mental state examination (MMSE) is a screening test used worldwide for identifying changes in the scope of cognition. Studies have shown the influence of education, age and sex in the MMSE score. However, in Brazil, the studies consider only one factor to score it. The aim of this study was to establish a prediction equation for the MMSE. An exploratory cross-sectional study was developed and trained researchers examined participants at the community. The volunteers were evaluated by the MMSE and also by the Geriatric Depression Scale (GDS). The MMSE score was the dependent variable. Age, educational level, sex, and GDS score were the independent variables. Multivariate regression analysis was used to determine the model of best prediction value for MMSE scores. A total of 250 participants aged 20-99 years, without cognitive impairment, were assessed. The educational level, age, and sex explained 38% of the total variance of the MMSE score (p<0.0001) and resulted in the following equation: MMSE=23.350+0.265(years of schooling)-0.042(age)+1.323(sex), in which female=1 and male=2. The MMSE scores can be better explained and predicted when educational level, age, and sex are considered. These results enhance the knowledge regarding the variables that influence the MMSE score, as well as provide a way to consider all of them in the test score, providing a better screening of these patients.
Desempenho isocinético de atletas de futsal sub-13 após a prática do protocolo Fifa 11+
Authors: Soares Abeli Tuane dos Santos , Teixeira Lilian Pinto , Lara Simone
Published: April 2019

RESUMO O objetivo deste estudo foi avaliar o desempenho isocinético da musculatura flexora e extensora do joelho de jogadores de futsal sub-13 após a prática de 18 semanas do protocolo Fifa 11+. Participaram 14 jogadores de futsal do sexo masculino com idade média de 12,58±0,66 anos. A avaliação da força foi realizada através do dinamômetro isocinético (Biodex System Pro 4™), nas velocidades de 60°/s, 180°/s e 300°/s, pré e pós-intervenção. O protocolo Fifa 11+ foi aplicado antes do início de cada treino regular, duas vezes por semana, durante 18 semanas, com duração aproximada de 25 minutos. Na análise pré-intervenção foi encontrada uma diferença entre o membro dominante e o não dominante superior a 10% no pico de torque de flexores e extensores a 60°/s e 180°/s, respectivamente. Já na análise pós-intervenção não foram encontradas tais assimetrias. Houve um aumento da relação agonista/antagonista no lado dominante na velocidade de 60°/s, pós-intervenção, aproximando-se do valor ideal proposto pela literatura (de 60%). Houve, ainda, aumento do desempenho isocinético dos atletas após a intervenção. Neste sentido, conclui-se que a aplicação de 18 semanas do protocolo Fifa 11+ promoveu uma melhora do desempenho isocinético das musculaturas extensoras e flexoras de joelho, além de diminuir as assimetrias musculares entre os membros em jovens atletas de futsal.
Desempenho muscular respiratório após 12 sessões de treinamento utilizando o aparelho Reformer do método Pilates
Authors: Santos Núbia Tomain Otoni dos , Souza Lara Andrade , Donzeli Marina Andrade , Oliveira Karoline Cipriano Raimundo de , Gasparini Andréa Licre Pessina , Bertoncello Dernival
Published: April 2019

RESUMO Analisar o desempenho muscular respiratório em praticantes de exercícios utilizando o aparelho Reformer do Método Pilates após um treinamento de 12 sessões. O estudo foi realizado com 24 voluntárias, adultas jovens, saudáveis, não tabagistas e não praticantes de exercício físico regular, divididas em Grupo Controle (GC) e Grupo Treinado (GT). Os dois grupos foram submetidos às avaliações inicial e final para análise do desempenho dos músculos respiratórios por meio da manovacuometria e da eletromiografia do músculo reto abdominal. Utilizou-se o teste de Shapiro-Wilk para verificar a normalidade dos dados. A análise de variância two-way foi empregada para as comparações entre os grupos (GT e GC) e os momentos (inicial e final). Para comparações múltiplas, utilizou-se o teste post-hoc de Scheffé. Os GC e GT foram pareados para idade e IMC e, para verificação de diferenças entre os grupos, utilizou-se o teste t pareado. Considerou-se p<0,05 para significância. Houve diferença significante (p=0,039) entre os valores iniciais (116,6 ± 12,8) e finais (120 ± 12,8) de PImáx no GT, assim como entre os valores iniciais (75,3 ± 12,4) e finais (89,3 ± 13,7) de PEmáx nesse mesmo grupo (p=0,0005). Para a eletromiografia houve diferença significante (p=0,03) entre o momento inicial (42,1 ± 15,8) e final (76,7 ± 37,1) do GT para o músculo reto abdominal esquerdo. Conclui-se que as doze sessões de Pilates utilizando o aparelho Reformer melhoraram o desempenho muscular respiratório, aumentando a força da musculatura inspiratória e expiratória.
Confiabilidade intra e interexaminador do questionário Perfil do Estilo de Vida Individual (PEVI) em indivíduos com dor musculoesquelética
Authors: Modenutte Gabriela de Souza , Martins Jaqueline , Hotta Gisele Harumi , Oliveira Anamaria Siriani de
Published: April 2019

RESUMO O objetivo do estudo foi testar todas as propriedades de confiabilidade do Perfil do Estilo de Vida Individual (PEVI) em pacientes com dor musculoesquelética. Participaram desse estudo 105 pacientes com dor musculoesquelética, recrutados de um serviço público de fisioterapia de nível secundário. O PEVI foi aplicado pelo Examinador 1 na avaliação inicial e pelo Examinador 2 após uma hora. Após três a sete dias da avaliação inicial, o Examinador 1 reaplicou o PEVI. O PEVI e seus componentes apresentaram consistência interna de 0,27 a 0,61 e valores de confiabilidade intra e interexaminador de moderado a excelente (CCI=0,68 a 0,90) e de moderado a quase perfeito (K=0,59 a 0,83). A porcentagem de concordância foi de 61% a 98%, o EPM do PEVI foi de 4,1 pontos e a MMD foi de 5,7 pontos. Concluímos que o PEVI é um instrumento confiável para avaliar o estilo de vida de pacientes com dor musculoesquelética.
Cicloergômetro na melhora da função motora grossa de crianças comparalisia cerebral: uma revisão sistemática com meta-anális
Authors: Catelli Amanda Marques , Gattino Laís Andrieli Ferreira , Campo Luigi Antônio da , Corrêa Philipe Souza , Cechetti Fernanda
Published: April 2019

RESUMO A paralisia cerebral é um grupo de desordens neurológicas causadora de inúmeros déficits, principalmente relacionados à função motora, comprometendo os movimentos e o seu controle seletivo. Dentre as diversas terapias disponíveis para tentar amenizar esse processo, o cicloergômetro aparece como um aparato estacionário que tem por finalidade facilitar a movimentação dos membros inferiores. Portanto, o objetivo deste estudo foi analisar os efeitos do cicloergômetro na função motora grossa de crianças com paralisia cerebral através da escala Gross Motor Function Measure (GMFM-66). Trata-se de uma revisão sistemática, com inclusão de ensaios clínicos randomizados publicados até julho de 2017. A busca foi realizada nas bases de dados: MEDLINE (PubMed), Physiotherapy Evidence Database (PEDro), SciELO e Embase. Para a avaliação da qualidade metodológica das investigações foi utilizada a escala da Cochrane Handbook. Foram selecionados artigos que aplicaram o cicloergômetro em crianças com paralisia cerebral, comparadas a crianças com paralisia cerebral no grupo-controle ou em outra intervenção, e que avaliaram a função motora grossa com a GMFM. A revisão incluiu três artigos e um total de 127 pacientes. Os resultados mostraram um aumento nos valores da GMFM-66, porém não significativo estatisticamente nem relevantes para uma melhora clínica. Por meio desta revisão sistemática, verificou-se uma grande heterogeneidade nos estudos que abordam esta área e que, apesar do incremento de valores no grupo que realizou o cicloergômetro, não houve diferença estatística quando comparado ao grupo-controle, demonstrando não beneficiar a função motora grossa dessa população quando avaliada pela GMFM66.
Queixas musculoesqueléticas no ombro: características dos usuários e dos atendimentos na atenção primária
Authors: Fayão Júlia Gonzalez , Libardoni Thiele de Cássia , Martins Jaqueline , Souza Cesário da Silva , Oliveira Anamaria Siriani de
Published: April 2019

RESUMO A dor no ombro representa a terceira principal queixa musculoesquelética da população. Afeta fatores físicos, psicológicos e econômicos do indivíduo. A atenção primária à saúde é essencial para a eficácia do cuidado dos pacientes acometidos. Este estudo é observacional transversal e obteve um perfil dos usuários e das consultas médicas com relato de dor no ombro durante um ano na atenção primária do município de Ribeirão Preto (SP). Foram analisados em prontuários os registros das consultas médicas agendadas e sem agendamento prévio. Nestes registros foram coletados dados dos pacientes que apresentaram queixas de dor musculoesquelética no ombro (dados sociodemográficos e características das consultas), que foram analisados de forma descritiva e pelos testes qui-quadrado de Pearson, razão de chance e regressão logística múltipla. A frequência de consultas médicas por queixa de dor no ombro foi de 9,2%. O perfil dos indivíduos que se queixaram de dor no ombro se caracterizava por mulheres, com idade avançada, casadas, alfabetizadas e que apresentavam alguma ocupação. As consultas em sua maioria tiveram retornos agendados, oferecimento de orientações terapêuticas e poucos encaminhamentos.
Problema crônico de coluna/dor nas costas em população quilombolas de região baiana, nordeste brasileiro
Authors: Teixeira Emille Prates , Mussi Ricardo Franklin de Freitas , Petroski Edio Luiz , Munaro Hector Luiz Rodrigues , Figueiredo Ana Claudia Morais Godoy
Published: April 2019

RESUMO O objetivo deste estudo foi estimar a prevalência de problemas crônicos de coluna ou dor nas costas (PCC/DC), os fatores sociodemográficos e de estilo de vida e as doenças crônicas associadas em adultos quilombolas. Foi realizado estudo epidemiológico, populacional e seccional, com amostra representativa de uma região de um estado nordestino. Os dados foram coletados por meio de entrevista com formulário padronizado. A análise estatística consistiu na regressão de Poisson robusta, com cálculo das razões de prevalência, intervalo de confiança (95%) e nível de significância inferior a 5%. A prevalência de PCC/DC foi de 50,5% (intervalo de confiança - IC95%: 47,1:53,9), independentemente associada ao grupo etário, à qualidade do sono, à saúde autorreferida, à deficiência locomotora e aos distúrbios osteomusculares relacionados ao trabalho (Dort). Houve maior probabilidade de exposição aos PCC/DC para os quilombolas com idade >40 anos, má qualidade do sono, pior saúde autorreferida, diagnóstico de Dort e deficiência locomotora.
Profissionais da saúde que atuam em ambiente hospitalar têm alta prevalência de fadiga e dorsalgia: estudo transversal
Authors: Tottoli Caroline Ribeiro , Toledo Aline Martins de , Silva Natasha Cyrino e , Araújo Wildo Navegantes de , Souza Renata da Nóbrega , Carregaro Rodrigo Luiz
Published: April 2019

RESUMO O objetivo foi caracterizar o ambiente de trabalho por meio da Norma Regulamentadora 17 do Ministério do Trabalho (NR-17); avaliar a fadiga residual e estimar o risco da sua exposição e a presença de desconforto musculoesquelético de profissionais da saúde que atuam em um hospital público. Trata-se de estudo transversal composto por duas etapas: (1) observação do ambiente de trabalho por meio da NR-17, adaptada em checklist; e (2) avaliação do desconforto e fadiga por meio de questionários. Os dados foram analisados descritivamente. A associação entre fadiga e desconforto foi verificada pelo qui-quadrado e o teste de Mann-Whitney comparou a idade, tempo de instituição e carga horária (horas/semana) entre os grupos estratificados (com fadiga/sem fadiga e com desconforto/sem desconforto). Foram avaliados 20 setores, dos quais a Farmácia teve a maior frequência de inadequação (83%) e a UTI Adulto mostrou-se o mais adequado (24% de itens inadequados). Verificou-se uma alta prevalência de desconforto, principalmente na coluna. A fadiga estava presente em mais de 70% dos profissionais. Indivíduos com maior idade apresentaram mais queixas de desconforto. O presente estudo demonstrou uma alta frequência de inadequações ergonômicas em ambiente de trabalho hospitalar, principalmente no setor da Farmácia e Ambulatório. A alta prevalência de desconforto na coluna e a fadiga demonstram a relevância de ações preventivas no ambiente hospitalar.