Valores normativos para o teste de sentar e levantar da cadeira de cinco repetições em idosos comunitários

TCC(graduação) - Universidade Federal de Santa Catarina. Araranguá. Fisioterapia.O teste de sentar e levantar da cadeira de cinco repetições (TSLC5rep) é de fácil administração, possui validação e confiabilidade. Valores de referência podem variar em populações com características sócio-demográficas e antropométricas distintas. O presente estudo buscou estabelecer valores normativos para o TSLC5rep em idosos comunitários de acordo com sexo e faixa etária. Os achados do presente estudo podem servir como estratégia de detecção de déficits funcionais iniciais, permitindo o direcionamento sobre a necessidade de intervenções precoces de reabilitação em idosos residentes no Brasil. Objetivo: Estabelecer valores normativos para o TSLC5rep em idosos comunitários. Métodos: Estudo transversal com amostragem aleatória, realizado com 308 idosos comunitários (60 anos ou mais) de ambos os sexos. O TSLC5rep foi realizado mensurando o tempo que o voluntário levou para levantar e sentar da cadeira por 5 repetições. A análise dos resultados do TSLC5rep foi realizada em percentis estratificados por sexo e faixa etária. Resultados: O desempenho no teste variou de 8,08s a 39,97s entre as mulheres e de 7,07s a 29,74s entre os homens. As mulheres apresentaram tempo médio para a realização do TSLC5rep de 14,88s (60-69 anos), 14,93s (70-79 anos) e 19,67s (80 anos ou mais), enquanto os homens apresentaram tempo médio de 12,56s (60-69 anos), 15,47s (70-79 anos) e 15,10s (80 anos ou mais). Conclusão: Os valores normativos estabelecidos podem ser utilizados para interpretação do TSLC5rep na prática clínica.The five-repetition sit-and-stand test (TSLC5rep) is easy to administer and has validation and high reliability. Reference values could vary in populations with distinct sociodemographic and anthropometric characteristics. The present study sought to establish normative values for the TSLC5rep in community-dwelling elderly people according to sex and age group. The findings of the study serve as a strategy for detecting early functional deficits, allowing guidance on the need for early rehabilitation interventions in elderly people living in Brazil. Objective: To establish normative values for the TSLC5rep in community-dwelling elderly. Methods: Cross-sectional study with sampling randomized study, carried out with 308 community-dwelling elderly people (60 years and over) of both sexes. The TSLC5rep was performed by measuring the time that the volunteer took to get up and sit down from the chair for 5 repetitions. The analysis of the TSLC5rep results was performed in percentiles stratified by sex and age group. Results: Test performance ranged from 8.08s to 39.97s among women and from 7.07s to 29.74s among men. Women had an average time to perform of TSLC5rep of 14.88s (60-69 years), 14.93s (70-79 years), and 19.67s (80 years and over), while men had a mean time of 12.56s (60-69 years), 15.47s (70-79 years) and 15.10s (80 years and over). Conclusion: The established normative values could be used to interpret the TSLC5rep in clinical practice

EXPERIÊNCIAS INTERDISCIPLINARES DA LINHA DO RURAL DA TURMA XIII DO PPGMADE: ELEMENTOS PARA COMPREENDER E INTERVIR NA COMPLEXA PROBLEMÁTICA SOCIOAMBIENTAL

Este artigo tem como objetivo principal analisar a prática do exercício interdisciplinar da Turma XIII da Linha Ruralidades, Ambiente e Sociedade do Programa de Pós-Graduação em Meio Ambiente e Desenvolvimento (PPGMade/UFPR). Sua justificativa se baseia na urgência e necessidade de construir pesquisas e práticas interdisciplinares, capazes de trazer novos elementos para compreender e intervir na complexa problemática socioambiental. Metodologicamente, consiste em uma análise do processo com base no relato da experiência do grupo, sistematizado no formato de um “projeto coletivo” sob a luz das teorias da interdisciplinaridade. Como resultado, destaca-se a caracterização das principais singularidades da abordagem metodológica do programa, especialmente a construção de um projeto coletivo e interdisciplinar que leva aos temas das teses individuais. Além disso, dificuldades na auto-organização dos discentes, falta de condições materiais, uma tendência de educação bancária e uma cultura de competição, que impera em boa parte do sistema de ensino brasileiro, foram diagnosticados como limites centrais do exercício em questão. Porém, ainda que contenha contradições, a experiência da Linha do Rural da Turma XIII é, ao menos, uma tentativa de rompimento com a hiperespecialização e construção de processos coletivos e interdisciplinares que pode servir como referência para outras práticas interdisciplinares, sobretudo aquelas vinculadas às questões socioambientais, como as discussões em torno do desenvolvimento sustentável

Malformações Arteriovenosa Cerebrais: uma revisão bibliográfica / Cerebral Arteriovenous Malformations: a bibliographic review

Esse estudo foi realizado com o intuito de realizar uma revisão sistemática dentro da literatura cientifica para poder melhor organizar o raciocínio clínicos quanto ao diagnóstico, tratamento e consequências de pacientes portadores de Malformações Arteriovenosa Cerebrais (MAV), uma vez que seu diagnóstico não é fácil de se realizar e a abordagem terapêutica varia de individuo em indivíduo. Contudo, entende-se que o MAV pode ser um dos diagnósticos diferenciais para tratamento de outras patologias através da apresentação da sintomatologia apresentadas pelo paciente admitidos em pronto atendimentos e que procuram clínicas de neurologia e/ou neurocirurgia para tratamento das sintomatologias mais brandas

Pervasive gaps in Amazonian ecological research

Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear un derstanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5–7 vast areas of the tropics remain understudied.8–11 In the American tropics, Amazonia stands out as the world’s most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepre sented in biodiversity databases.13–15 To worsen this situation, human-induced modifications16,17 may elim inate pieces of the Amazon’s biodiversity puzzle before we can use them to understand how ecological com munities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple or ganism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region’s vulnerability to environmental change. 15%–18% of the most ne glected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lostinfo:eu-repo/semantics/publishedVersio

Pervasive gaps in Amazonian ecological research

Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear understanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5,6,7 vast areas of the tropics remain understudied.8,9,10,11 In the American tropics, Amazonia stands out as the world's most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepresented in biodiversity databases.13,14,15 To worsen this situation, human-induced modifications16,17 may eliminate pieces of the Amazon's biodiversity puzzle before we can use them to understand how ecological communities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple organism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region's vulnerability to environmental change. 15%–18% of the most neglected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lost

Pervasive gaps in Amazonian ecological research

Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear understanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5,6,7 vast areas of the tropics remain understudied.8,9,10,11 In the American tropics, Amazonia stands out as the world's most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepresented in biodiversity databases.13,14,15 To worsen this situation, human-induced modifications16,17 may eliminate pieces of the Amazon's biodiversity puzzle before we can use them to understand how ecological communities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple organism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region's vulnerability to environmental change. 15%–18% of the most neglected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lost

Diagnosis and treatment of hypoparathyroidism: a position statement from the Brazilian Society of Endocrinology and Metabolism

ABSTRACT Objective To present an update on the diagnosis and treatment of hypoparathyroidism based on the most recent scientific evidence. Materials and methods The Department of Bone and Mineral Metabolism of the Sociedade Brasileira de Endocrinologia e Metabologia (SBEM; Brazilian Society of Endocrinology and Metabolism) was invited to prepare a document following the rules set by the Guidelines Program of the Associação Médica Brasileira (AMB; Brazilian Medical Association). Relevant papers were retrieved from the databases MEDLINE/PubMed, LILACS, and SciELO, and the evidence derived from each article was classified into recommendation levels according to scientific strength and study type. Conclusion An update on the recent scientific literature addressing hypoparathyroidism is presented to serve as a basis for the diagnosis and treatment of this condition in Brazil

Diagnosis and treatment of hypoparathyroidism: a position statement from the Brazilian Society of Endocrinology and Metabolism

<div><p>ABSTRACT Objective To present an update on the diagnosis and treatment of hypoparathyroidism based on the most recent scientific evidence. Materials and methods The Department of Bone and Mineral Metabolism of the Sociedade Brasileira de Endocrinologia e Metabologia (SBEM; Brazilian Society of Endocrinology and Metabolism) was invited to prepare a document following the rules set by the Guidelines Program of the Associação Médica Brasileira (AMB; Brazilian Medical Association). Relevant papers were retrieved from the databases MEDLINE/PubMed, LILACS, and SciELO, and the evidence derived from each article was classified into recommendation levels according to scientific strength and study type. Conclusion An update on the recent scientific literature addressing hypoparathyroidism is presented to serve as a basis for the diagnosis and treatment of this condition in Brazil.</p></div