Resposta da reeducação sensitiva no trajeto do nervo intercostobranquial em mulheres pós mastectomia, submetidas à linfadenectomia axiliar

O câncer de mama tem sido um dos maiores problemas de saúde pública, sendo responsável por alta taxa de incidência em mortalidade e morbidade, caracterizada como a segunda causa de morte entre as mulheres, mesmo como tratamento desta doença, o procedimento cirúrgico pode desenvolver comprometimentos emocionais e/ou físicos às pacientes como a alteração de sensibilidade. A fisioterapia desempenha um papel fundamental para a paciente, a reeducação sensitiva, pode oferecer estimulação dos receptores sensoriais, aumentando o seu limiar de sensibilidade. Embora compreendamos a participação dos nervos sensitivos na manutenção da resposta sensitiva, pouco se analisa a resposta da reeducação sensitiva no trajeto do nervo intercostobraquial (NICB) em sujeitos do sexo feminino pós-cirúrgico com queixa de hipoestesia. O presente estudo teve como objetivo verificar a resposta da reeducação sensitiva em mulheres submetidas à linfadenectomia axilar, pós mastectomia, avaliando a resposta nas diferentes técnicas de reeducação sensitiva como bolas, kit com diferentes texturas e drenagem linfática manual e verificar a permanência da resposta, após 3 meses. Sujeitos e método: Este estudo foi realizado no período de Agosto de 2004 a Novembro de 2006, no hospital estadual, na cidade de Santos-SP, composto por 120 pacientes do sexo feminino, submetidas à cirurgia de mama com esvaziamento axilar pela equipe médica representada por três mastologistas do referido hospital, que utilizam o mesmo procedimento cirúrgico para a preservação do NICB, subdivididas em quatro grupos de 30 pacientes cada. O GI (Estimulação sensitiva com bolas, sensiball, fisiobol e lisa), GII (com drenagem linfática), GIII (com Kit de diferentes texturas) e o GIV (Controle). A sensibilidade superficial foi avaliada por intermédio...The breast cancer has been a major public health problem and is responsible for high rate of incidence in mortality and morbidity, characterized as the second leading cause of death among women, even as treatment of this disease, the surgical procedure can develop emotional commitments and / or physical for patients and the amendment of sensitivity. The physiotherapy plays a key role for the patient, the reeducation sensitive, can provide sensory stimulation of receptors, increasing the threshold of sensitivity. While we understand the participation of sensitive nerves in the maintenance of sensory response, little is analyzes the response in the path of reeducation sensory of the intercostobrachial nerve (NICB) in individuals female post-surgical complaint with the hypoesthesia. This study aimed to ascertain the response of sensory reeducation in women subjected to linfadenectomia axillary, post mastectomy, evaluating the response in the various techniques of sensory reeducation as balls, kit with different textures and lymphatic drainage manual and check the permanence of response, after 3 months. Individuals and method: This study was carried out from August 2004 to November 2006, the state hospital in the city of Santos-SP, composed of 120 patients were female, submitted to surgery for breast with emptying axillary represented by the medical team mastologists by three of the hospital, using the same surgical procedure for the... (Complete abstract click electronic access below

Teaching of nature study and elementary science in primary schools

Thesis (M.Ed.)--University of Melbourne, 194

Fisioterapia no dermátomo do nervo intercostobraquial: estesiometria & avaliação convencional

The aim of this study was to assess the response of sensory reeducation in the ICB dermatome nerve (ICBDN) and its permanence after 3 months. It was a clinical study of 120 women who underwent breast surgery with axillary dissection and preservation of the ICBDN and divided into four equal groups (Ball, Lymphatic Drainage, kit textures and Control). Sensory evaluation with esthesiometry and the conventional methods, were applied in three stages. Only with the technique of lymphatic drainage, the patients' sensory (numbness) in the ICB dermatome nerve has shown improvement, remaining after 3 months.O objetivo deste estudo foi verificar a resposta da reeducação sensitiva, no dermátomo do nervo intercostobraquial (NICB) e sua permanência após 3 meses. Foi um estudo clínico em 120 mulheres submetidas à cirurgia mamária com linfadenectomia axilar e preservação do NICB, subdivididas em quatro grupos iguais (Bolas, Drenagem linfática, kit de texturas e Controle). A avaliação sensitiva com estesiômetro e do método convencional, foram aplicados em três momentos. Apenas com a técnica de drenagem linfática, houve melhora sensitiva (hipoestesia) no dermátomo do nervo ICB, permanecendo após 3 meses

Family health strategy: relevance to the functional capacity of older people

ABSTRACT Objective: to identify the functional capacity of older people based on their performance on basic activities of daily living. Method: a cross-sectional study, carried out through the record of the Family Health teams working in the urban area of a city in northern Minas Gerais, in 2015. To assess the functional capacity of 373 older people, the Katz Scale was applied, which includes dimensions on the performance of daily living activities. The interviews took place in the participants’ households. Results: of the total participants, 6.9% had some degree of dependence. Those aged over 80 years old and were living without a partner had about three times more chances of presenting higher levels of functional dependence. Conclusion: most older people enrolled in a Family Health Strategy had their functional capacity preserved

Suplementação de concentrado na fase pré-parto no desempenho produtivo e reprodutivo de cabras mantidas em pastagem de capim-tobiatã (Panicum maximum cv. Tobiatã)

Sixty goats (20 Alpine, 18 Anglo-Nubian, and 22 crossbred Boer), with average body weight 49.33 ± 1.41 kg, were raised on Panicum maximum cv. Tobiatã pasture with two different levels of concentrate supplementation, 300 (SL30) and 600 g kg-1 (SL60) of the daily requirements, and evaluated from the pre-mating season until an average of 110 days of lactation. Milk controls were performed every 14 days. The following milk production curve parameters were estimated: time to reach peak milk production (TP), peak milk production (PP) and milk production during the first 110 days of lactation (MP). The following milk components were determined: fat, protein, lactose, total solids (TS), defatted dry extract (DDE), urea nitrogen (UN) concentrations, and somatic cell count (SCC). Goat prolificacy and birth weight of the kids were also determined. Breed affected the lactation curve, with Alpine and Anglo- Nubian goats presenting higher TP, PP, and MP. Protein, TS, and DDE concentrations were also affected by breed, being higher for crossbred Boer goats. Milk fat, lactose concentrations, and the log of SCC were affected by the concentrate supplementation level, being higher for SL30, as well as by the breed, with crossbred Boer goats presenting higher fat concentrations and log of SCC, and crossbred Boer and Alpine goats presenting higher lactose concentrations. UN was affected by the stage of lactation. Prolificacy and birth weight were affected by breed and concentrate supplementation level, being higher for Anglo-Nubian and crossbred Boer goats with SL60. Kids from single births presented higher birth weights. The Anglo-Nubian breed presented good milk production and the best body condition, which might indicate the effectiveness of this production system, SL60 supplementation resulted in higher birth weight and prolificacy.Foram utilizadas 60 cabras (20 Alpina, 18 Anglo-Nubiana e 22 mestiças Boer), com peso corporal médio de 49,33±1,41kg, mantidas em pastagem com Panicum maximum cv. Tobiatã e suplementadas com dois níveis de concentrado: 300 (NS30) e 600 g kg-1 (NS60) das exigências diárias, avaliadas desde a pré-estação de monta, até, em média 110 dias de lactação. O controle leiteiro foi realizado a cada 14 dias, estimando-se as características da curva de produção: tempo para atingir o pico (TP), produção no pico (PP) e produção de leite até 110 dias de lactação (PL); os constituintes: gordura, proteína, lactose, sólidos totais (ST), extrato seco desengordurado (ESD), nitrogênio ureico (NU) e contagem de células somáticas (CCS); além da prolificidade das cabras e o peso ao nascer dos cabritos. O grupo racial influenciou a curva de lactação, sendo que as Alpinas e Anglo-Nubianas apresentaram maior TP, PP e PL. Os teores de proteína, ST e ESD foram influenciados pelo grupo racial, tendo as mestiças Boer apresentado maiores teores. Os teores de gordura, lactose e o log da CCS foram influenciados pelo tratamento, sendo o NS30 com maiores valores, e pelo grupo racial, tendo as mestiças Boer apresentado maiores valores para teores de gordura e log da CCS, e as mestiças Boer e as Alpinas maiores valores para a lactose. O NU foi influenciado pelo estádio da lactação. A prolificidade e o peso ao nascer foram influenciados pelo grupo racial e tratamento, sendo que as Anglo-Nubianas e mestiças Boer do NS60 apresentaram melhores resultados. Os cabritos de partos simples tiveram maiores pesos ao nascer. A raça Anglo-Nubiana pode ser indicada para esse sistema de produção, pela boa produção de leite e melhor condição corporal. A suplementação NS60 favoreceu o peso ao nascer e a prolificidade

Family health strategy: relevance to the functional capacity of older people

<div><p>ABSTRACT Objective: to identify the functional capacity of older people based on their performance on basic activities of daily living. Method: a cross-sectional study, carried out through the record of the Family Health teams working in the urban area of a city in northern Minas Gerais, in 2015. To assess the functional capacity of 373 older people, the Katz Scale was applied, which includes dimensions on the performance of daily living activities. The interviews took place in the participants’ households. Results: of the total participants, 6.9% had some degree of dependence. Those aged over 80 years old and were living without a partner had about three times more chances of presenting higher levels of functional dependence. Conclusion: most older people enrolled in a Family Health Strategy had their functional capacity preserved.</p></div

Diretriz da SBC sobre Diagnóstico e Tratamento de Pacientes com Cardiomiopatia da Doença de Chagas – 2023

Note: These guidelines are for information purposes and should not replace the clinical judgment of a physician, who must ultimately determine the appropriate treatment for each patient