Effectiveness of Mechanical Horse-Riding Simulators on Postural Balance in Neurological Rehabilitation: Systematic Review and Meta-Analysis

Mechanical horse-riding simulators consist of a device that mimics the movement of a real horse, generating between 50 and 100 three-dimensional physical movements (forward and back, left and right, up and down). The main objective of this study is to analyze the effectiveness of mechanical horse-riding simulators to improve postural balance in subjects with neurological disorders. The search was conducted during January-March 2019 in PubMed, Physiotherapy Evidence Database (PEDro), Cochrane, Web of Science, CINAHL, and Scopus. The methodological quality of the studies was evaluated through the PEDro scale. A total of seven articles were included in this systematic review, of which four contributed information to the meta-analysis. Statistical analysis showed favorable results for balance in stroke patients, measured by the Berg Balance Scale (standardized mean difference (SMD) = 3.24; 95%; confidence interval (CI): 1.66-4.83). Not conclusive results were found in sitting postural balance, measured using the Gross Motor Function Measure-66 (GMFM-66) Sitting Dimension, in patients with cerebral palsy. Most studies have shown beneficial effects on postural balance compared with conventional physical therapy. However, due to the limited number of articles and their low methodological quality, no solid conclusions can be drawn about the effectiveness of this therapy

FALANDO DE SEXUALIDADE NO ENSINO MÉDIO INTEGRADO

O presente artigo tem como objetivo apresentar alguns resultados parciais de uma investigação em nível de mestrado sobre as percepções dos discentes do Ensino Médio Integrado em relação à prática afetivo-sexual, infecções sexualmente transmissíveis e o uso dos métodos contraceptivos. Trata-se de um estudo do tipo descritivo e exploratório com abordagem quantitativa que envolveu 155 discentes regularmente matriculados no Ensino Médio Integrado aos cursos Técnicos em Alimentos, Meio Ambiente e Zootecnia. Os resultados apontam que 43,87% já iniciaram a vida sexual, sendo aos 14,5 anos a média de idade da primeira relação. Os dados sinalizam para a emergência da inserção no currículo integrado, do discurso da educação sexual

Effectiveness of Virtual Reality on Functional Performance after Spinal Cord Injury: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

A spinal cord injury (SCI) usually results in a significant limitation in the functional outcomes, implying a challenge to the performance of activities of daily living. The main aim of this study is to analyze the effectiveness of virtual reality to improve functional performance in patients with SCI. The search was performed between October and December 2019 in Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medline, Cochrane Central Register of Controlled Trials, Physiotherapy Evidence Database (PEDro), PubMed, Scopus, Web of Science, and Embase. The methodological quality of the studies was evaluated through the PEDro scale, and the risk of bias was evaluated with the Cochrane collaboration's tool. Seven articles were included in this systematic review, and five of them in the meta-analysis. Statistical analysis showed favorable results for functional performance in control group performing conventional therapy, measured by the functional independence measure (standardized mean difference (SMD)= -0.70; 95% confidence interval: -1.25 to -0.15). Results were inconclusive for other outcomes. Most studies have not shown beneficial effects on functional performance compared with conventional physical therapy. The results obtained showed that virtual reality may not be more effective than conventional physical therapy in improving functional performance in patients with SCI

Estoques de carbono e nitrogênio de um Neossolo Quartzarênico sob cultivo de fruteiras irrigadas na região do semi-árido do Brasil

Soil organic matter accumulation provides benefits to soil productivity and reduces atmospheric carbon concentration. However, little is known about the accumulation of C and N by sandy soils under perennial irrigated crops in semiarid regions. The objective of this study was to evaluate the effect of irrigated fruit orchard cultivation on the stocks of soil organic carbon (SOC) and total nitrogen (N) of an Arenosol/Quartzpsament from Paraipaba-CE, Semiarid Brazil. Soil samples were taken from irrigated orchards of banana (Musa ssp.), cashew (Anacardium ocidentale), guava (Psidium guajava), bullock's heart (Annona reticulata), mango (Mangifera indica), and sapote (Manilkara zapota) in the wetted-bulb and non-irrigated area between the plant rows. Additional samples were collected from adjacent areas under secondary Caatinga forest, and under a 2-year-old deforested area. Sampling depths were: 0-0.1, 0.1-0.2, and 0.2-0.4 m. The highest contents of SOC and N were found in the surface layer. The soil bulk density did not change in depth. The stocks of SOC and total N under secondary forest at 0-0.40 m layer were 27.6 and 2.4 Mg ha-1, respectively. Caatinga Forest conversion into fruit orchard cultivation led to a decrease of 5 to 23% and 4 to 21% on SOC and N stocks, respectively. Compared to other soil uses, sapote and bullock's heart contributed for a lower decrease of SOC and N stocks after deforestation. Guava, bullock's heart, mango and sapote contributed for improving the SOC stratification index.O acúmulo de matéria orgânica beneficia a produtividade do solo e reduz a concentração do carbono atmosférico. Entretanto, pouco é sabido a respeito do acúmulo de C e N em solos arenosos cultivados com culturas perenes irrigadas em regiões semi-áridas. O objetivo deste trabalho foi avaliar o efeito do cultivo de fruteiras irrigadas nos estoques de C e N de um Neossolo Quartzarênico em Paraipaba, CE. Foram coletadas amostras na linha e na entrelinha de pomares irrigados de banana, caju, manga, sapoti, goiaba e graviola. Em áreas adjacentes sob vegetação de Caatinga hipoxerófila e após dois anos de desmatamento foram coletadas amostras adicionais. As profundidades de amostragem foram: 0 a 0.1, 0.1 a 0.2 e 0.2 a 0.4 m. Os teores de C e N no solo foram mais altos na camada superficial (0 a 0.1 m). Não houve efeito da profundidade de amostragem sobre a densidade do solo. Os estoques de C e N na área com vegetação de Caatinga na camada de 0 a 0.4 m foram de 27,6 and 2,4 Mg ha-1, respectivamente. A retirada da vegetação natural e o cultivo das fruteiras levaram a reduções de 5 a 23% e 4 a 21% nos estoques de C e N do solo, respectivamente. As culturas do sapoti e da graviola contribuíram para o aumento dos estoques de C e N após a retirada da vegetação natural. As culturas da goiaba, graviola, manga e sapoti contribuíram para a melhoria do índice de estratificação deste solo

Clozapine prescription trends in Brazil in the last decade

Objective: Clozapine is a second-generation antipsychotic indicated for treatment-resistant schizophrenia. Studies in several countries have shown a low rate of clozapine use despite the fact that approximately 30% of schizophrenia cases are treatment-resistant. In Brazil, few studies have addressed the frequency and variety of antipsychotic use in individuals diagnosed with schizophrenia (ICD F20). The objective of this study was to measure the rates of clozapine use in this population in the last decade using Brazilian Ministry of Health data. Methods: Prescriptions made between 2010 and 2020 in all 26 states and the Federal District registered at the Outpatient Information System Database from the Brazilian Health System (SIASUS) were evaluated. Results: A total of 25,143,524 prescriptions were recorded in this period, with clozapine representing 8.86% of all antipsychotics. The most frequently prescribed antipsychotic for patients with schizophrenia was olanzapine (35.8%), followed by quetiapine (27.5%). From 2010 to 2020, the rate of clozapine prescriptions in Brazil increased from 7.2% to 10.9%. Conclusions: Despite a slight increase in prescriptions in the last decade, clozapine is still underutilized in Brazil

Virtual Reality Systems for Upper Limb Motor Function Recovery in Patients With Spinal Cord Injury: Systematic Review and Meta-Analysis

Background: Patients with spinal cord injury (SCI) usually present with different motor impairments, including a deterioration of upper limb motor function (ULMF), that limit their performance of activities of daily living and reduce their quality of life. Virtual reality (VR) is being used in neurological rehabilitation for the assessment and treatment of the physical impairments of this condition. Objective: A systematic review and meta-analysis was conducted to evaluate the effectiveness of VR on ULMF in patients with SCI compared with conventional physical therapy. Methods: The search was performed from October to December 2019 in Embase, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Scopus, Medline, Physiotherapy Evidence Database (PEDro), PubMed, and Cochrane Central Register of Controlled Trials. The inclusion criteria of selected studies were as follows: (1) comprised adults with SCI, (2) included an intervention with VR, (3) compared VR intervention with conventional physical therapy, (4) reported outcomes related to ULMF, and (5) was a controlled clinical trial. The Cochrane Collaboration's tool was used to evaluate the risk of bias. The RevMan 5.3 statistical software was used to obtain the meta-analysis according to the standardized mean difference (SMD) and 95% CIs. Results: Six articles were included in this systematic review. Four of them contributed information to the meta-analysis. A total of 105 subjects were analyzed. All of the studies used semi-immersive or nonimmersive VR systems. The statistical analysis showed nonsignificant results for the Nine-Hole Peg Test (SMD -0.93, 95% CI -1.95 to 0.09), muscle balance test (SMD -0.27, 95% CI -0.82 to 0.27), Motricity Index (SMD 0.16, 95% CI -0.37 to 0.68), Jebsen-Taylor Hand Function Test (JTHFT) subtests (writing, SMD -0.10, 95% CI -4.01 to 3.82; simulated page turning, SMD -0.99, 95% CI -2.01 to 0.02; simulated feeding, SMD -0.64, 95% CI -1.61 to 0.32; stacking checkers, SMD 0.99, 95% CI -0.02 to 2.00; picking up large light objects, SMD -0.42, 95% CI -1.37 to 0.54; and picking up large heavy objects, SMD 0.52, 95% CI -0.44 to 1.49), range of motion of shoulder abduction/adduction (SMD -0.23, 95% CI -1.48 to 1.03), shoulder flexion/extension (SMD 0.56, 95% CI -1.24 to 2.36), elbow flexion (SMD -0.36, 95% CI -1.14 to 0.42), elbow extension (SMD -0.21, 95% CI -0.99 to 0.57), wrist extension (SMD 1.44, 95% CI -2.19 to 5.06), and elbow supination (SMD -0.18, 95% CI -1.80 to 1.44). Favorable results were found for the JTHFT subtest picking up small common objects (SMD -1.33, 95% CI -2.42 to -0.24). Conclusions: The current evidence for VR interventions to improve ULMF in patients with SCI is limited. Future studies employing immersive systems to identify the key aspects that increase the clinical impact of VR interventions are needed, as well as research to prove the benefits of the use of VR in the rehabilitation of patients with SCI in the clinical setting

Is Virtual Reality Effective for Balance Recovery in Patients with Spinal Cord Injury? A Systematic Review and Meta-Analysis

Virtual reality (VR) is an emerging tool used in the neurological rehabilitation of patients with spinal cord injury (SCI), focused on recovering balance, mobility, and motor function, among other functional outcomes. The main objective of this study was to analyze the effectiveness of VR systems to recover balance in patients with SCI. The literature search was performed between October and December 2019 in the following databases: Embase, Web of Science, CINAHL, Scopus, Medline, Physiotherapy Evidence Database (PEDro), PubMed, and the Cochrane Central Register of Controlled Trials. The methodological quality of each study was assessed using the Spinal Cord Injury Rehabilitation Evidence (SCIRE) system and the PEDro scale, while the risk of bias was analyzed by the Cochrane Collaboration's tool. A total of 12 studies, involving 188 participants, were included in the systematic review, of which two were included in the meta-analysis. Statistical analysis showed favorable results for balance measured by the modified Functional Reach Test (standardized mean difference (SMD) = 3.42; 95% confidence interval: 2.54 to 4.29) and by the t-shirt test (SMD= -2.29; 95% confidence interval: -3.00 to -1.59). The results showed that VR interventions provided potential benefits, in addition to conventional physical therapy, to recover balance in patients with SCI

Cultivo orgânico do mamoeiro 'Baixinho de Santa Amália' em diferentes ambientes de proteção.

Mudas de mamoeiro da cv. Baixinho de Santa Amália (grupo 'Solo') foram transplantadas para três estruturas contíguas: (a) estufa com cobertura de plástico, (b) estufa sombreada com cobertura adicional de sombrite (30%, sobre o plástico) e (c) telado com cobertura exclusiva de sombrite (30%), estabelecendo-se, ao lado, uma área de cultivo em ambiente natural. Nas estufas, as partes laterais e frontais foram revestidas com tela antiafídica. No momento do transplantio e a intervalos mensais subseqüentes, durante o primeiro ano de cultivo, as plantas foram avaliadas em relação a: altura, diâmetro basal do tronco, número de folhas ativas e área foliar. O manejo e tratos culturais empregados obedeceram às normas técnicas constantes da legislação nacional relativa à agricultura orgânica. Desde a primeira colheita, foram contados e pesados todos os frutos produzidos. Em comparação ao ambiente natural, os cultivos protegidos proporcionaram aumentos na altura da planta além de 20%; nas estufas, particularmente naquela sem cobertura adicional de sombrite, ocorreram efeitos de aumento do diâmetro basal do tronco (30%), índice de enfolhamento (20%) e área foliar (36%); o cultivo orgânico do mamoeiro no interior das estufas possibilitou acréscimos altamente significativos no desenvolvimento e na produção de frutos orgânicos de padrão comercial (67% em peso e 49% em número). Deve-se ressaltar, ainda, que a cultivar Baixinho de Santa Amália não alcançou, após a última colheita quantificada, o limite máximo do teto das estufas (4,5m), o que lhe permitiu um ciclo produtivo superior a 24 meses nessas estruturas de proteção

Entropy based routing for mobile, low power and lossy wireless sensors networks

[EN] Routing protocol for low-power and lossy networks is a routing solution specifically developed for wireless sensor networks, which does not quickly rebuild topology of mobile networks. In this article, we propose a mechanism based on mobility entropy and integrate it into the corona RPL (CoRPL) mechanism, which is an extension of the IPv6 routing protocol for low-power and lossy networks (RPL). We extensively evaluated our proposal with a simulator for Internet of Things and wireless sensor networks. The mobility entropy-based mechanism, called CoRPL+E, considers the displacement of nodes as a deciding factor to define the links through which nodes communicate. Simulation results show that the proposed mechanism, when compared to CoRPL mechanism, is effective in reducing packet loss and latency in simulated mobile routing protocol for low-power and lossy networks. From the simulation results, one can see that the CoRPL+E proposal mechanism provides a packet loss reduction rate of up to 50% and delays reduction by up to 25% when compared to CoRPL mechanism.The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This research was funded by SIDIA Institute of Science and Technology, by Coordenacao de Aperfeicxoamento de Pessoal de Nivel Superior (CAPES), by Fundacao de Amparo a Pesquisa do Estado do Amazonas (FAPEAM)-support programs (Programa Primeiros Projetos (PPP) and Programa de Tecnologia da Informacao na Amazonia (PROTI)-Amazonia-Mobilidade), by Camara Tecnica de Reconstrucao e Recuperacao de Infraestrutura (CT-INFRA) of Ministerio da Ciencia, Tecnologia, Inovacoes e Comunicacoes(MCTI)/Conselho Nacional de Desenvolvimento Cientifico e Tecnologico (CNPq), and by Secretaria de Estado de Ciencia, Tecnologia e Inovacao Amazonas (SECTI-AM) and Government of Amazon State, Brazil.Carvalho, C.; Mota, E.; Ferraz, E.; Seixas, P.; Souza, P.; Tavares, V.; Lucena Filho, W.... 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Brazilian solar saltworks - ancient uses and future possibilities

Coastal solar saltworks of Brazil are exploited for sea salt, which becomes progressively concentrated by evaporation. This study aimed to review the current and new potential uses of these systems, in order to provide more dynamic for this activity. The first evaporation ponds are also used for artisanal fisheries, ensuring the livelihood of many families. All the brine rich in secondary salts (bittern) can be widely used by the chemical industry, while the Brazil shows an incipient production of "flower of salt", a salt with distinct characteristics with higher market value than sodium chloride. On the other hand, the saltponds have a high potential for management and obtaining of large populations of Artemia spp., purifying the brine through the action as biological filter. This microcrustacean occurs naturally in intermediate salinity ponds, being commonly used in aquaculture. Species of microalgae and halobacteria found in the saltworks are employed for extraction of beta-carotene and glycerol, used in an extensive list of products with high commercial value. These ecosystems represent refuge zones for many species of migratory birds, becoming imperative to promote the conservation of these hypersaline wetlands