The influence of a whole body vibration in pelvic floor muscles in continente women : a randomized controlled clinical trial

Orientadores: Cássio Luís Zanettini Riccetto, Simone Botelho PereiraTese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciências MédicasResumo: Objetivo: Investigar o efeito da vibração do corpo inteiro (VCI) sobre a funcionalidade dos músculos do assoalho pélvico (MAP) em mulheres continentes. Método: Ensaio clínico controlado randomizado e simples cego, realizado com 70 mulheres continentes, avaliadas por meio de palpalção digital, segundo a Escala Modificada de Oxford e eletromiografia de superfície (EMGs) através de uma sonda endovaginal. Durante a avaliação, todas as mulheres receberam orientações quanto às estruturas anatômicas, função e controle dos MAP para as atividades diárias e foram alocadas aleatoriamente em dois grupos, com duração de cinco semanas consecutivas: Grupo vibração do corpo inteiro ¿ G_VCI (n=35): realizaram um protocolo de três séries de exercícios em posturas estáticas sobre uma plataforma vibratória, com frequência de 20Hz, intensidade de P5, duas vezes por semana, com duração de 30 minutos cada, totalizando 10 sessões supervisionadas. Grupo Controle - G_C (n=35): receberam orientações durante a avaliação e foram reavalidas após cinco semanas consecutivas, como as mulheres do grupo G_VCI. Para análise estatística foram utilizados os testes Wilcoxon e Mann-Whitney. Resultados: Após cinco semanas, o G_VCI apresentou aumento significativo quando avaliado por palpação digital (p<0.0001) e houve diferença quando foi comparado ao G_C (p=0,0002). Entretanto, não houve alteração significativa da atividade eletromiográfica dos MAP, em ambos os grupos (G_VCI: p=0,06 e G_C: p=0,29). Além disso, não foi observada diferença significativa na EMGs entre os grupos (p=0,60). Conclusão: A vibração de corpo inteiro promoveu aumento da força muscular avaliada pela palpação digital, porém não modificou a atividade eletromiográficaAbstract: Aim: To evaluate the effects of a whole body vibration exercise protocol (WBV) on continent women¿s pelvic floor muscle (PFM). Methods: A controlled randomized clinical and single blind study, was conducted with 70 women, assessed by both digital palpation (Oxford modified scale) and surface electromyography (sEMG) through a transvaginal probe. During assessment, the participants received guidance about PFM¿s anatomical structures, function and control and were randomly allocated into two groups, for five consecutive weeks. The whole body vibration group (WBV_G - n = 35) performed a protocol three sets of exercises in static positions on a vibrating platform (20Hz frequency, intensity P5), twice a week for 30 minutes each, totaling 10 supervised sessions. The control group (C_G - n = 35), was orally instructed about the relevance of training pelvic floor muscles during the evaluation and was reassessed after five consecutive weeks, as well as the women in the treated group. Fisher exact, Qi Square, Wilcoxon and Mann-Whitney were used for statistical analysis. Results: After five weeks, the WBV_GI increased significantly when assessed by digital palpation (p <0.0001) and there was difference as compared to C_G (p=0.0002). However, there was no significant increase in PFM electromyographic activity, in any of the two groups (WBV: p=0.06 and C_G: p=0.29). Moreover, there was not any statistically significant difference between groups by sEMG (p=0.60). Conclusion: The whole body vibration increased the muscle strength assessed by digital palpation without significant EMG activity enhancementDoutoradoFisiopatologia CirúrgicaDoutora em Ciências01-P-1744/2016CAPE

Círculos de Construção de Paz:

No local em que a comunidade está localizada e, no contexto dos pré-adolescentes e adolescentes de uma escola municipal, há convivência diária com violência e situações de risco em variados níveis, fatores que afetam a saúde mental destes jovens e prejudicam seu desenvolvimento global. Muitos desses fatores são estruturais e de difícil alteração, pois advêm das condições materiais e políticas que afetam um grande contingente populacional. O propósito desta intervenção foi o de constituir um espaço de vivência e formação humana durante o período de contraturno na escola, um espaço de autoconhecimento e autocuidado para os pré-adolescentes e adolescentes, onde eles sejam estimulados a explorar as formas como têm lidado com as adversidades e desafios da vida e também desenvolver novas habilidades emocionais

Training through gametherapy promotes coactivation of the pelvic floor and abdominal muscles in young women, nulliparous and continents

Several studies have been investigated co-activation can enhance the effectveness of PFM training protocols allowing preventive and therapeutic goals in pelvic floor dysfunctions. The objective of the present study was to investigate if an abdominal-pelvic protocol of training (APT) using gametherapy would allow co-activation of PFM and transversus abdominis/oblique internal (TrA/OI) muscles. Twenty-five nulliparous, continent, young females, with median age 24.76 (±3.76) years were evaluated using digital palpation (DP) of PFM and surface electromyography of PFM and TrA/OI simultaneously, during maximal voluntary contraction (MVC), alternating PFM and TrA/OI contraction requests. All women participated on a supervised program of APT using gametherapy, that included exercises of pelvic mobilization associated to contraction of TrA/OI muscles oriented by virtual games, for 30 minutes, three times a week, in a total of 10 sessions. Electromyographic data were processed and analyzed by ANOVA - analysis of variance. When MVC of TrA/OI was solicited, it was observed simultaneous increase of electromyographic activity of PFM (p=0.001) following ATP. However, EMG activity did not change significantly during MVC of PFM. Training using gametherapy allowed better co-activation of pelvic floor muscles in response to contraction of TrA, in young nulliparous and continent women424779786COORDENAÇÃO DE APERFEIÇOAMENTO DE PESSOAL DE NÍVEL SUPERIOR - CAPESFUNDAÇÃO DE AMPARO À PESQUISA DO ESTADO DE MINAS GERAIS - FAPEMIGnão temAPQ-02199-1

KOMBI TECA CONSTRUINDO O CAMINHO PARA A LIBERDADE

Universidade Regional Integrada do Alto Uruguai e das Missões- UR

Intra and inter-rater reliability study of pelvic floor muscle dynamometric measurements

The aim of this study was to evaluate the intra and inter-rater reliability of pelvic floor muscle (PFM) dynamometric measurements for maximum and average strengths, as well as endurance. A convenience sample of 18 nulliparous women, without any urogynecological complaints, aged between 19 and 31 (mean age of 25.4±3.9) participated in this study. They were evaluated using a pelvic floor dynamometer based on load cell technology. The dynamometric evaluations were repeated in three successive sessions: two on the same day with a rest period of 30 minutes between them, and the third on the following day. All participants were evaluated twice in each session; first by examiner 1 followed by examiner 2. The vaginal dynamometry data were analyzed using three parameters: maximum strength, average strength, and endurance. The Intraclass Correlation Coefficient (ICC) was applied to estimate the PFM dynamometric measurement reliability, considering a good level as being above 0.75. The intra and inter-raters' analyses showed good reliability for maximum strength (ICCintra-rater1=0.96, ICCintra-rater2=0.95, and ICCinter-rater=0.96), average strength (ICCintra-rater1=0.96, ICCintra-rater2=0.94, and ICCinter-rater=0.97), and endurance (ICCintra-rater1=0.88, ICCintra-rater2=0.86, and ICCinter-rater=0.92) dynamometric measurements. The PFM dynamometric measurements showed good intra- and inter-rater reliability for maximum strength, average strength and endurance, which demonstrates that this is a reliable device that can be used in clinical practice.1929710

Survivorship and walking behavior of Inquilinitermes microcerus (Termitidae: Termitinae) in contact with host workers and walls from host nest

Constrictotermes sp. nests are frequently inhabited by colonies of Inquilinitermes microcerus. In this association, I. microcerus colonies usually establish their colonies spatially isolated from Constrictotermes colonies. Here, we investigated whether the apparent spatial isolation of I. microcerus colonies in Constrictotermes nests should be related to their needs (e.g. feeding) in relation to the central part of the nest or to a possible stress provoked by the presence of the host. For this, survival and walking behavior bioassays were performed to test the hypothesis that the survivorship of inquilines is: (i) reduced in the presence of host, mainly of those from different nests, (ii) increased in contact with inner walls compared with external walls; and that the distance walked and walking velocity of inquiline is: (iii) increased in the presence of the host and (iv) reduced in contact with the internal walls compared with external walls of host nest. The mean time to death of inquiline workers is lower in contact with host (independently from the same or different nest) compared with control and the mean time to death of inquiline workers is lower in contact with external walls of host nest compared with control group and the inner walls. The distance walked and walking velocity of inquiline workers in contact with their hosts (from the same or different nest) did not differ from control, however, these parameters were reduced when workers were in contact with inner and external walls compared with control. In general, our results showed that I. microcerus adopt behavioral strategies to avoid perception by its host

Evaluation of inhibitory effects of Trichoderma asperellum metabolites on mycelial growth of Sclerotinia sclerotiorum

Common bean (Phaseolus vulgaris L.) is an economically important food commodity in Brazil. However, it can suffer serious damage by white mould disease caused by the pathogen Sclerotinia sclerotiorum. Species of the genus Trichoderma can act as biocontrol agents against of this pathogen. This study describes the identification based on morphological, MALDI-TOF MS and molecular analysis of these 29 Trichoderma sp. isolates and their in vitro antagonistic behaviour against S. sclerotiorum. In order to evaluate the disease incidence greenhouse experiments were also performed using bean seedling. According to the results obtained, MALDI-TOF MS technique was appropriate for all Trichoderma species identification confirming the morphological and molecular-based identifications through analysis of rDNA ITS sequence data. In vitro inhibition experiments showed that 38% of Trichoderma isolates colonised the entire surface of the medium (grade 1 evaluation score) in dual cultures against S. sclerotiorum. Pathogen exposition to non-volatile metabolites produced by Trichoderma resulted in the inhibition of their mycelia growth between c.a. 83 and 100%. Moreover, 19 Trichoderma isolates enabled a total suppression of disease in bean seedlings when evaluated in greenhouse experiments. Two Trichoderma isolates identified as Trichoderma asperellum (CEN201 and CEN162) were responsible to the highest rates of growth promotion in bean plants, which ranged from 26 to 34%. The MALDI-TOF technique was appropriate for species designation for the majority of Trichoderma species, confirming most molecular-based identifications through analysis of rDNA ITS sequence data

Identification and phylogeny of Trichoderma species by MALDI-TOF analysis and characterization of antagonistic activities against Sclerotinia scleroti

Common bean (Phaseolus vulgaris L.) is an economically important food commodity in Brazil. However, it can suffer serious damage by white mould disease caused by the pathogen Sclerotinia sclerotiorum. Species of the genus Trichoderma can act as biocontrol agents against of this pathogen. This study describes the identification based on morphological, MALDI-TOF MS and molecular analysis of these 29 Trichoderma sp. isolates and their in vitro antagonistic behaviour against S. sclerotiorum. In order to evaluate the disease incidence greenhouse experiments were also performed using bean seedling. According to the results obtained, MALDI-TOF MS technique was appropriate for all Trichoderma species identification confirming the morphological and molecular-based identifications through analysis of rDNA ITS sequence data. In vitro inhibition experiments showed that 38% of Trichoderma isolates colonised the entire surface of the medium (grade 1 evaluation score) in dual cultures against S. sclerotiorum. Pathogen exposition to non-volatile metabolites produced by Trichoderma resulted in the inhibition of their mycelia growth between c.a. 83 and 100%. Moreover, 19 Trichoderma isolates enabled a total suppression of disease in bean seedlings when evaluated in greenhouse experiments. Two Trichoderma isolates identified as Trichoderma asperellum (CEN201 and CEN162) were responsible to the highest rates of growth promotion in bean plants, which ranged from 26 to 34%. The MALDI-TOF technique was appropriate for species designation for the majority of Trichoderma species, confirming most molecular-based identifications through analysis of rDNA ITS sequence data

EDENTULISMO E AUTOPERCEPÇÃO EM SAÚDE BUCAL EM IDOSOS DE UM MUNICÍPIO DO NORDESTE BRASILEIRO / EDENTULISM AND SELF-PERCEPTION IN ORAL HEALTH IN ELDERLY PEOPLE FROM A CITY IN THE NORTHEAST OF BRAZIL

Introdução: Países do mundo todo vem passando por um rápido processo de envelhecimento, devido ao aumento da expectativa de vida. Nesse sentido, são necessárias estratégias específicas para a população idosa, que garantam a manutenção da saúde bucal, capacidade funcional e autonomia. Objetivo: avaliar o edentulismo, uso e necessidade de prótese dentária e a autopercepção em saúde bucal em idosos do município de São Luís (MA). Métodos: Estudo transversal descritivo realizado com idosos de ambos os gêneros, com idade entre 60 e 95 anos, atendidos no Centro de Atenção Integrada à Saúde do Idoso (CAISI). O uso e a necessidade de prótese dentária foram avaliados por dois examinadores, utilizando espelho bucal (OMS/1999). A autopercepção em saúde bucal foi avaliada utilizando o questionário Geriatric Oral Health Assessment Index (GOHAI), proposto por Atchison e Dolan (1990). Resultados: Foram examinados 91 idosos sendo 72,5% do gênero feminino e 27,4% do gênero masculino; 47,0% utilizavam prótese superior. Na arcada inferior, 19,0% faziam uso de prótese parcial removível, 21,0% prótese total e 2,0% a combinação de prótese parcial fixa, removível e total. A necessidade de prótese superior e inferior foi observada, em 54,9% e 41,7% dos idosos, respectivamente. Quanto a escolaridade 36,2% tinham ensino médio completo e 16,4% tinham até um salário mínimo e 80,2% não possuíam automóvel. Conclusão: A prevalência do edentulismo nos idosos avaliados foi considerada alta. A maioria não fazia uso de prótese embora necessitassem de prótese em ambas arcadas e auto percebiam sua saúde bucal como ruim.Palavras-chave: Saúde bucal. Odontogeriatria. Autopercepção.AbstractIntroduction: Countries all around the world have been undergoing a rapid process of aging due to increased life expectancy. In this sense, specific strategies for the elderly are required, in order to guarantee the maintenance of oral health, functional capacity and autonomy. Objective: To evaluate edentulism, dental prosthesis use and necessity and self-perceived oral health in the elderly from São Luís, Maranhão, Brazil. Methods: The sample consisted of elderly of both genders, aged from 60 to 95 years old, treated at the “Center for Integrated healthcare for the elderly” (CAISI, in Portuguese). The use and necessity for dental prosthesis was evaluated by two examiners using a dental mirror (WHO/1999). Self-perceived oral health was assessed using the Geriatric Oral Health Assessment Index (GOHAI) questionnaire, proposed by Atchison and Dolan (1990). Results: 91 elderly people were examined, 72.5% females and 27.47% males. 47.0% used some kind of upper dental prosthesis. In the lower arch, 19.0% used removable partial dentures, 21.0% used complete dentures and 2.0% used the combination of fixed partial denture, removable partial denture and complete denture. The need for lower and upper dental prosthesis was observed in 54.9% and 41.7% of participants, respectively. 36.2% completed high school, 16.48% received up to a minimum wage and 80.2% had no car. Conclusion: Edentulism prevalence in elderly subjects was considered high. The majority did not use prosthesis, although requiring prostheses in both arches. Their oral health was self-perceived as poor.Keywords: Oral Health. Geriatric Dentistry. Perception