158 research outputs found

    Does The Pain Disturb The Respiratory Function After Heart Surgeries? [a Dor Interfere Na Função Respiratória Após Cirurgias Cardíacas?]

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    Objective: The postoperative pain after heart surgeries had been often reported. Meager reports about respiratory function and pain correlation had been reported. The aim of this study is to assess the pain intensity and location during hospital stay and its effect on respiratory function in patients undergone elective heart surgery. Methods: Respiratory function (lung volumes, respiratory muscle strength and peak expiratory flow) was assessed at the preoperative and postoperative times (1, 3 and 5 days) by ventilometer, manovacuometer and peak flow meter measurements. The assessment of pain intensity was performed with a visual analogue scale for pain. Results: The majority of pain site was on sternotomy incision (50% of patients) and the intensity was higher at the first postoperative day (8.32 by visual scale measurement). All respiratory variables remained lower than to preoperative period at fifth postoperative time (P >0.05), with exception for respiratory rate. The pain and maximal inspiratory pressure showed a negative correlation at the first postoperative day (P = 0.019). Conclusion: Postoperative pain decreased respiratory function in patients precluding deep inspirations, in special, at the first postoperative day.244490496Arcêncio, L., Souza, M.D., Bortolin, B.S., Fernandes, A.C.M., Rodrigues, A.J., Évora, P.R.B., Cuidados pré e pós-operatórios em cirurgia cardiotorácica: Uma abordagem fisioterapêutica (2008) Rev Bras Cir Cardiovasc, 23 (3), pp. 400-410Schuller, D., Morrow, L.E., Pulmonary complications after coronary revascularization (2000) Curr Opin Cardiol, 15 (5), pp. 309-315Mueller, X.M., Tinguely, F., Tevaearai, H.T., Ravussin, P., Stumpe, F., von Segesser, L.K., Impact of duration of chest tube drainage on pain after cardiac surgery (2000) Eur J Cardiothorac Surg, 18 (5), pp. 570-574Brasil, L.A., Gomes, W.J., Salomão, R., Buffolo, E., Inflammatory response after myocardial revascularization with or without cardiopulmonary bypass (1998) Ann Thorac Surg, 66 (1), pp. 56-59Mueller, X.M., Tinguely, F., Tevaearai, H.T., Revelly, J.P., Chioléro, R., von Segesser, L.K., Pain location, distribution, and intensity after cardiac surgery (2000) Chest, 118 (2), pp. 391-396Goldwasser, R., Farias, A., Freitas, E.E., Saddy, F., Amado, V., Okamoto, V.I.I.I., Consenso Brasileiro de Ventilação Mecânica: Desmame e interrupção da ventilação mecânica. Sociedade Brasileira de Pneumologia e Tisiologia (2007) J Bras Pneumol, 33 (SUPPL. 2), pp. S128-S136Yang, K.L., Tobin, M.J., A prospective study of indexes predicting the outcome of trials of weaning from mechanical ventilation (1991) N Engl J Med, 324 (21), pp. 1445-1450Miller, M.R., Dickinson, S.A., Hitchings, D.J., The accuracy of portable peak flow meters (1992) Thorax, 47 (11), pp. 904-909Black, L.F., Hyatt, R.E., Maximal respiratory pressures: Normal values and relationship to age and sex (1969) Am Rev Respir Dis, 99 (5), pp. 696-702Gift, A.G., Visual analogue scales: Measurement of subjective phenomena (1989) Nurs Res, 38 (5), pp. 286-288Borges, J.B.C., Ferreira, D.L.M.P., Carvalho, S.M.R., Martins, A.S., Andrade, R.R., Silva, M.A.M., Avaliação da intensidade de dor e da funcionalidade no pós-operatório de cirurgia cardíaca (2006) Rev Bras Cir Cardiovasc, 21 (4), pp. 393-402Leguisamo, C.P., Freitas, M.F., Maciel, N.F., Donato, P., Avaliação da dor e da função pulmonar em pacientes submetidos à cirurgia de revascularização miocárdica (2007) Fisioter Bras, 8 (1), pp. 14-18Markou, A.L., van der Windt, A., van Swieten, H.A., Noyez, L., Changes in quality of life, physical activity, and symptomatic status one year after myocardial revascularization for stable angina (2008) Eur J Cardiothorac Surg, 34 (5), pp. 1009-1015Greszta, E., Sieminska, M.J., Relationship of preoperative anxiety- state and anxiety-trait in patients qualified for coronary artery bypass graft surgery to the perception of postoperative pain and other pain complaints (2008) Ann Acad Med Stetin, 54 (1), pp. 157-163Giacomkazzi, C.M., Lagni, V.B., Monteiro, M.B., A dor pós- operatória como contribuinte do prejuízo na função pulmonar em pacientes submetidos à cirurgia cardíaca (2006) Rev Bras Cir Cardiovasc, 21 (4), pp. 386-392Wynne, R., Botti, M., Postoperative pulmonary dysfunction in adults after cardiac surgery with cardiopulmonary bypass: Clinical significance and implications for practice (2004) Am J Crit Care, 13 (5), pp. 384-393Cipriano Jr, G., Camargo Carvalho, A.C., Bernardelli, G.F., Tayar Peres, P.A., Short-term transcutaneous electrical nerve stimulation after cardiac surgery: Effect on pain, pulmonary function and electrical muscle activity (2008) Interact Cardiovasc Thorac Surg, 7 (4), pp. 539-543Guizilini, S., Gomes, W.J., Faresin, S.M., Carvalho, A.C.C., Jaramillo, J.I., Alves, F.A., Efeitos do local de inserção do dreno pleural na função pulmonar no pós-operatório de cirurgia de revascularização do miocárdio (2004) Rev Bras Cir Cardiovasc, 19 (1), pp. 47-54Ng, C.S., Wan, S., Yim, A.P., Arifi, A.A., Pulmonary dysfunction after cardiac surgery (2002) Chest, 121 (4), pp. 1269-1277Barbosa, R.A.G., Carmona, M.J.C., Avaliação da função pulmonar em pacientes submetidos à cirurgia cardíaca com circulação extracorpórea (2002) Rev Bras Anestesiol, 52 (6), pp. 689-699Silva, N.L.S., Piotto, R.F., Barboza, M.A.I., Croti, U.A., Braile, D.M., Inalação de solução salina hipertônica como coadjuvante da fisioterapia respiratória para reversão de atelectasia no pós-operatório de cirurgia cardíaca pediátrica (2006) Rev Bras Cir Cardiovasc, 21 (4), pp. 468-471Magnusson, L., Zemgulis, V., Wicky, S., Tydén, H., Thelin, S., Hedenstierna, G., Atelectasis is a major cause of hypoxemia and shunt after cardiopulmonary bypass: An experimental study (1997) Anesthesiology, 87 (5), pp. 1153-1163Romanini, W., Muller, A.P., Carvalho, K.A.T., Olandoski, M., Faria-Neto, J.R., Mendes, F.L., Os efeitos da pressão positiva intermitente e do incentivador respiratório no pós-operatório de revascularização miocárdica (2007) Arq Bras Cardiol, 89 (2), pp. 105-110Milgrom, L.B., Brooks, J.A., Qi, R., Bunnell, K., Wuestfeld, S., Beckman, D., Pain levels experienced with activities after cardiac surgery (2004) Am J Crit Care, 13 (2), pp. 116-125Fiore Jr, J.F., Chiavegato, L.D., Denehy, L., Paisani, D.M., Faresin, S.M., Do directed cough maneuvers improve cough effectiveness in the early period after open heart surgery? Effect of thoracic support and maximal inspiration on cough peak expiratory flow, cough expiratory volume, and thoracic pain (2008) Respir Care, 53 (8), pp. 1027-1034Tonella, R.M., Araújo, S., Silva, A.M.O., Estimulação elétrica nervosa transcutânea no alívio da dor pós-operatória relacionada com procedimentos fisioterapêuticos em pacientes submetidos a intervenções cirúrgicas abdominais (2006) Rev Bras Anestesiol, 56 (6), pp. 630-64

    Stomatal responses of Eucalyptus species to elevated CO2 concentration and drought stress

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    Five species of Eucalyptus (E. grandis, E. urophylla, E. camaldulensis, E. torelliana, and E. phaeotrica), among the ten species most commonly used in large scale plantations, were selected for studies on the effects of elevated CO2 concentration [CO2] and drought stress on stomatal responses of 2.5-month old seedlings. The first three species belong to the subgenus Smphyomyrtus, whereas the fourth species belongs to the subgenus Corymbia and E. phaeotrica is from the subgenus Monocalyptus. Seedlings were grown in four pairs of open-top chambers, arranged to have 2 plants of each species in each chamber, with four replications in each of two CO2 concentrations: 350 ± 30 mumol mol-1 and 700 ± 30 mumol mol-1. After 100 days in the chambers, a series of gas exchange measurements were made. Half the plants in each chamber, one plant per species per chamber, were drought-stressed by withholding irrigation, while the remaining plants continued to be watered daily. Drought stress decreased stomatal conductance, photosynthesis and transpiration rates in all the species. The effect of drought stress on stomatal closure was similar in both [CO2]. The positive effects of elevated [CO2] on photosynthesis and water use efficiency were maintained longer during the stress period than under well-watered conditions. The photosynthetic rate of E. phaeotrica was higher even in the fourth day of the drought stress. Drought stress increased photoinhibition of photosynthesis, as measured by chlorophyll fluorescence, which varied among the species, as well as in relation to [CO2]. The results are in agreement with observed differences in stomatal responses between some eucalyptus species of the subgenera Symphyomyrtus and Monocalyptus

    eta-prime photoproduction on the proton for photon energies from 1.527 to 2.227 GeV

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    Differential cross sections for the reaction gamma p -> eta-prime p have been measured with the CLAS spectrometer and a tagged photon beam with energies from 1.527 to 2.227 GeV. The results reported here possess much greater accuracy than previous measurements. Analyses of these data indicate for the first time the coupling of the etaprime N channel to both the S_11(1535) and P_11(1710) resonances, known to couple strongly to the eta N channel in photoproduction on the proton, and the importance of j=3/2 resonances in the process.Comment: 6 pages, 3 figure

    Single Spin Asymmetry ANA_N in Polarized Proton-Proton Elastic Scattering at s=200\sqrt{s}=200 GeV

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    We report a high precision measurement of the transverse single spin asymmetry ANA_N at the center of mass energy s=200\sqrt{s}=200 GeV in elastic proton-proton scattering by the STAR experiment at RHIC. The ANA_N was measured in the four-momentum transfer squared tt range 0.003t0.0350.003 \leqslant |t| \leqslant 0.035 \GeVcSq, the region of a significant interference between the electromagnetic and hadronic scattering amplitudes. The measured values of ANA_N and its tt-dependence are consistent with a vanishing hadronic spin-flip amplitude, thus providing strong constraints on the ratio of the single spin-flip to the non-flip amplitudes. Since the hadronic amplitude is dominated by the Pomeron amplitude at this s\sqrt{s}, we conclude that this measurement addresses the question about the presence of a hadronic spin flip due to the Pomeron exchange in polarized proton-proton elastic scattering.Comment: 12 pages, 6 figure

    Evolution of the differential transverse momentum correlation function with centrality in Au+Au collisions at sNN=200\sqrt{s_{NN}} = 200 GeV

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    We present first measurements of the evolution of the differential transverse momentum correlation function, {\it C}, with collision centrality in Au+Au interactions at sNN=200\sqrt{s_{NN}} = 200 GeV. {\it C} exhibits a strong dependence on collision centrality that is qualitatively similar to that of number correlations previously reported. We use the observed longitudinal broadening of the near-side peak of {\it C} with increasing centrality to estimate the ratio of the shear viscosity to entropy density, η/s\eta/s, of the matter formed in central Au+Au interactions. We obtain an upper limit estimate of η/s\eta/s that suggests that the produced medium has a small viscosity per unit entropy.Comment: 7 pages, 4 figures, STAR paper published in Phys. Lett.

    Complete measurement of three-body photodisintegration of 3He for photon energies between 0.35 and 1.55 GeV

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    The three-body photodisintegration of 3He has been measured with the CLAS detector at Jefferson Lab, using tagged photons of energies between 0.35 GeV and 1.55 GeV. The large acceptance of the spectrometer allowed us for the first time to cover a wide momentum and angular range for the two outgoing protons. Three kinematic regions dominated by either two- or three-body contributions have been distinguished and analyzed. The measured cross sections have been compared with results of a theoretical model, which, in certain kinematic ranges, have been found to be in reasonable agreement with the data.Comment: 22 pages, 25 eps figures, 2 tables, submitted to PRC. Modifications: removed 2 figures, improvements on others, a few minor modifications to the tex

    Measurement of the Deuteron Structure Function F2 in the Resonance Region and Evaluation of Its Moments

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    Inclusive electron scattering off the deuteron has been measured to extract the deuteron structure function F2 with the CEBAF Large Acceptance Spectrometer (CLAS) at the Thomas Jefferson National Accelerator Facility. The measurement covers the entire resonance region from the quasi-elastic peak up to the invariant mass of the final-state hadronic system W~2.7 GeV with four-momentum transfers Q2 from 0.4 to 6 (GeV/c)^2. These data are complementary to previous measurements of the proton structure function F2 and cover a similar two-dimensional region of Q2 and Bjorken variable x. Determination of the deuteron F2 over a large x interval including the quasi-elastic peak as a function of Q2, together with the other world data, permit a direct evaluation of the structure function moments for the first time. By fitting the Q2 evolution of these moments with an OPE-based twist expansion we have obtained a separation of the leading twist and higher twist terms. The observed Q2 behaviour of the higher twist contribution suggests a partial cancellation of different higher twists entering into the expansion with opposite signs. This cancellation, found also in the proton moments, is a manifestation of the "duality" phenomenon in the F2 structure function
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