The Spiritism as therapy in the health care in the epilepsy

Objective: to present a brief history of Spiritism, the vision of epilepsy by Spiritism, and the potential of spirituality and religiosity care as complementary and coadjutants treatments in epilepsy. Method: this is a brief review about the impact of faith, spirituality, and religiosity, particularly the Spiritism philosophy as complementary treatment to neurological disorders (particularly focusing on epilepsy) and mental health. We conduct a review of published articles (about religion/spirituality and epilepsy) in the Pubmed and SciELO databases. Conclusion: the exercise of spirituality and religiosity can be a positive coping strategy to support the traditional therapy of patients with epilepsy and other neurological disorders. However, it is necessary to demystify myths and beliefs about the epilepsy and improve knowledge about this important health dimension among professionals, patients, and caregivers to explore their full treatment and supportive potential.Univ Fed Espirito Santo, Ctr Phys Educ & Sports, Vitoria, Espirito Santo, BrazilUniv Fed Goias, Dance & Phys Educ Coll, Sect Human & Exercise Physiol, Goiania, Go, BrazilUniv Fed Sao Paulo, Paulista Sch Nursing, Dept Nursing, Sao Paulo, BrazilUniv Fed Sao Paulo, Dept Physiol, Sao Paulo, BrazilUniv Fed Sao Paulo, Paulista Sch Nursing, Dept Nursing, Sao Paulo, BrazilUniv Fed Sao Paulo, Dept Physiol, Sao Paulo, BrazilWeb of Scienc

Benefits and risks of the practice of leisure and/or sportive physical activity by people with epilepsy

Epilepsy is the most common chronic neurological disorder in the world. Pharmacological treatment is essential in the majority of cases. However, nonpharmacologic therapies such as regular physical activity have been studied in the treatment of epilepsy. It was well established that the regular physical activity provides benefits on physical fitness and health. However, people with epilepsy are often discouraged from participating in physical activity programs. This reluctance derived from overprotection of health's professionals and relatives, because there are fears that the practice of physical activity may predispose individuals to traumatic injury or that fatigue resulting from physical effort can precipitate a seizure. Growing evidence shows that regular physical activity is beneficial for individuals with epilepsy, with few findings showing an increase in seizure frequency or risk of injury when the disease is pharmacologically controlled. Therefore, the purpose of this review is to present the possible risks and benefits of regular physical activity for people with epilepsy.A epilepsia é o distúrbio neurológico crônico mais comum no mundo. O tratamento farmacológico é essencial na maioria dos casos. Entretanto, terapias não farmacológicas, como a prática de atividade física regular, vêm sendo estudadas para o tratamento complementar desse distúrbio. Já está bem estabelecido que programas de atividade física promovem benefícios sobre a aptidão física e a saúde. Contudo, pessoas com epilepsia frequentemente são desencorajadas a participar desses programas. Essa relutância origina-se da proteção excessiva dos profissionais da saúde e familiares, pois existe o receio que a prática de atividade física possa predispor os indivíduos a lesões traumáticas ou que a fadiga resultante do esforço físico possa precipitar uma nova crise epiléptica. Evidências crescentes mostram que a prática de atividade física é benéfica para pessoas com epilepsia, havendo poucos achados mostrando o aumento da frequência de crises ou do risco de lesão quando a doença está farmacologicamente controlada. Portanto, o objetivo da presente revisão é apresentar os possíveis riscos e benefícios da prática de atividade física por pessoas com epilepsia.Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Universidade Federal de São Paulo (UNIFESP)UNIFESPUNIFESPSciEL

Avaliação do esforço físico intenso em indivíduos com epilepsia do lobo temporal

People with epilepsy have been discouraged from participating in physical activity due to the fear that it will exacerbate seizures. Although the beneficial effect of aerobic exercise in people with epilepsy, little objective evidence regarding the intensity of exercise has been reported. We investigated the effect of incremental physical exercise to exhaustion in people with epilepsy. Seventeen persons with temporal lobe epilepsy and twenty one control healthy subjects participated in this study. Both groups were submitted to echocolordoppler and electrocardiogram at rest and during physical effort. None of patients reported seizures during physical effort or in the recovery period of ergometric test. Both groups presented physiological heart rate and blood pressure responses during the different stages of the ergometric test. Only few patients presented electrocardiography or echocardiography alterations at rest or during effort. In conclusion, this work suggests that physical effort to exhaustion is not a seizure-induced component.Pessoas com epilepsia têm sido desencorajadas a participar de atividades físicas por medo que o exercício físico possa exacerbar as crises epilépticas. Apesar dos efeitos benéficos do exercício físico aeróbico em pessoas com epilepsia, informações em relação à intensidade do exercício têm sido pouco estudadas. Neste estudo, investigamos o efeito do exercício físico incremental até a exaustão (teste ergométrico) em pessoas com epilepsia. Dezessete pessoas com epilepsia do lobo temporal e vinte e um indivíduos saudáveis (controles) participaram do estudo. Os dois grupos foram submetidos a ecocardiograma e eletrocardiograma em repouso e durante o esforço físico. Nenhum indivíduo com epilepsia apresentou crises durante o esforço físico ou no período de recuperação do teste ergométrico. Ambos os grupos apresentaram respostas fisiológicas da frequência cardíaca e pressão arterial durante os diferentes estágios do teste de esforço. Somente algumas pessoas com epilepsia apresentaram alterações ecocardiográficas e eletrocardiográficas em repouso ou durante o esforço. Em conclusão, este estudo sugere que o esforço físico exaustivo parece não ser um componente indutor de crises epilépticas.Universidade de Mogi das Cruzes Núcleo de Pesquisas TecnológicasUniversidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina Disciplina de Neurologia ExperimentalUniversidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina Departamento de FisiologiaUNIFESP, EPM, Disciplina de Neurologia ExperimentalUNIFESP, EPM, Depto. de FisiologiaSciEL

Low levels of maximal aerobic power impair the profile of mood state in individuals with temporal lobe epilepsy

Objetivo: Investigar a correlação entre aptidão cardiorrespiratória e variáveis de estado de humor em indivíduos com epilepsia do lobo temporal (ELT). Método: Indivíduos com ELT (n = 20) e controles saudáveis (C, n = 20) foram avaliados. Administraram-se questionários para avaliar o estado de humor (POMS) e nível de atividade física habitual (BAECKE). Avaliou-se a aptidão cardiorrespiratória por teste incremental máximo. Resultados: Pessoas com ELT apresentaram menor aptidão cardiorrespiratória; elevados níveis de transtornos do humor; e menor nível de vigor, quando comparadas ao grupo C. Observou-se correlação negativa significativa entre os níveis de tensão-ansiedade e a potência aeróbica máxima. Conclusão: O baixo nível de aptidão cardiorrespiratória pode modificar o estado de saúde de indivíduos com ELT e pode ser considerado fator de risco para o desenvolvimento de transtornos de humor.Objective: To investigate the correlation between cardiorespiratory fitness and mood state in individuals with temporal lobe epilepsy (TLE). Method: Individuals with TLE (n = 20) and healthy control subjects (C, n = 20) were evaluated. Self-rating questionnaires were used to assess mood (POMS) and habitual physical activity (BAECKE). Cardiorespiratory fitness was evaluated by a maximal incremental test. Results: People with TLE presented lower cardiorespiratory fitness; higher levels of mood disorders; and lower levels of vigor when compared to control health subjects. A significant negative correlation was observed between the levels of tension-anxiety and maximal aerobic power. Conclusion: Low levels of cardiorespiratory fitness may modify the health status of individuals with TLE and it may be considered a risk factor for the development of mood disorders.Centro Nacional de Física de Partículas, Astropartículas y Nuclear (CPAN)Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP

Evaluation of arterial pressure measurements comparing traditional and gold standard methods

OBJECTIVE: Evaluating arterial pressure measurements comparing the traditional and the gold standard methods in an emergency public service. METHODS: Cross-sectional study, in which arterial systolic, diastolic, mean and pulse pressure measurements obtained by nursing professionals by means of the traditional method were compared with those obtained using the gold standard technique. RESULTS: Study participants were 229 patients, 69% were women and the mean age was 50 years. The comparison between the two methods showed that the mean value of the arterial systolic, diastolic, mean and pulse pressures was higher using the gold standard technique. CONCLUSION: Divergences were found between the measurements obtained using the recommended technique and the risk classification.OBJETIVO: Avaliar as medidas de pressão arterial comparando o método tradicional e o padrão-ouro em um serviço público de pronto atendimento. MÉTODOS: Estudo transversal no qual as medidas das pressões arteriais sistólica, diastólica, média e de pulso aferidas pelos profissionais da enfermagem pelo método tradicional foram comparadas com aquelas realizadas de acordo com o padrão-ouro. RESULTADOS: Foram incluídos 229 clientes, 69% do sexo feminino e a média de idade foi de 50 anos. A comparação entre os dois métodos mostrou que o valor médio das pressões sistólica, diastólica, média e de pulso foi maior utilizando-se a técnica padrão-ouro. CONCLUSÃO: Houve divergências entre as medidas realizadas pela técnica recomendada e pela classificação de risco.Universidade Federal de São Paulo (UNIFESP) Escola Paulista de EnfermagemUNIFESP, EPESciEL

YouTube as a Source of Information About Physical Exercise During COVID-19 Outbreak

Context: Physical inactivity levels in the course of the corona virus disease 2019 (COVID-19) outbreak increased significantly. Our aim was to address how the information related to the physical exercise and COVID-19 posted on YouTube reaches the general public during COVID-19 outbreak. Evidence Acquisition: For this, research was carried out crossing the terms covid 19 and physical exercise in the YouTube database. The search was conducted only in the English language and was established/closed on April 26th (2020) to June 26th (2020) in order to observe the dynamics of video production on YouTube. Results: The main terms and concepts mentioned in the analysis of YouTube videos were COVID-19, pandemic, quarantine, social isolation and distance, physical activity, physical exercise, home-based physical exercise, physical inactivity, sedentary lifestyle, and mental health. The information was posted and supported by renowned health and physical exercise experts and entities. The recommendations for physical exercise in the current scenario focused on programs that require little equipment and space (carried out indoors and at home) and at low cost in an attempt to maintain and improve physical and mental health from different population groups. Conclusions: Information about COVID-19 and exercise was growing and progressive throughout the pandemic on YouTube. However, care and guidance are needed in using the information provided by YouTube as a source of reference for the practice of physical exercise during the COVID-19 outbreak

Presença da translocação 2NVS e herança da resistência à brusone em trigo

The objective of this work was to evaluate the effect of the presence of 2NVS translocation on the inheritance of wheat resistance to head blast, in F2 segregating lines from two biparental crosses. The IPF 86766 and 'Santa Fe' genotypes were used as female parents (both 2NVS carriers), and 'BRS 404', as the common male parent (non 2NVS carrier). Using a mixture of three isolates of Pyricularia oryzae Triticum, wheat spikes and rachises were evaluated for bleaching severity at five (%BS_5dpi) and seven days post-inoculation (%BS_7dpi), as well as for the number of infection points (IPR) and pathogen sporulation (SPO). Chi-square analyses showed that segregation follows a 3:1 Mendelian hypothesis, with a major locus with a dominant allele: %BS_7dpi for IPF 86766 x 'BRS 404' and IPR for 'Santa Fe' x 'BRS 404'. Therefore, this is the first known study to show that the 2NVS translocation responsible for resistance to head blast is a major locus with a dominant allele. In a controlled environment, 'BRS 404' shows bleaching severity and SPO similar with those occurring on IPF 86766 and 'Santa Fe'.O objetivo deste trabalho foi avaliar o efeito da presença da translocação 2NVS sobre a herança da resistência de trigo à brusone, em linhagens segregantes F2 de dois cruzamentos biparentais. Os genótipos IPF 86766 e 'Santa Fe' foram usados como genitores femininos (ambos portadores da 2NVS), e 'BRS 404', como genitor masculino comum (não portador da 2NVS). A partir da mistura de três isolados de Pyricularia oryzae Triticum, espigas e ráquis de trigo foram avaliadas quanto à severidade de branqueamento aos cinco (%BS_5dpi) e aos 7 dias após inoculação (%BS_7dpi), bem como quanto ao número de pontos de infecção (IPR) e à esporulação do patógeno (SPO). Análises de qui-quadrado mostraram que a segregação segue a hipótese mendeliana 3:1, com um loco de efeito maior, com alelo dominante: %BS_7dpi para IPF 86766 x 'BRS 404' e IPR para 'Santa Fe' x 'BRS 404'. Portanto, este é o primeiro estudo conhecido a mostrar que a translocação 2NVS responsável pela resistência à brusone de trigo é um loco principal com um alelo dominante. Em condições controladas de ambiente, 'BRS 404' apresenta severidade de branqueamento e SPO similares às que ocorrem em IPF 86766 e 'Santa Fe'

Exercise science in high school biology textbook

The content of high school textbooks related to physical activity and exercise is of utmost importance because physical activity and exercise are considered important tools in maintaining and improving health. Our objective was to analyze the presence and quality of exercise science content in high school biology textbooks approved by the National Textbook Plan. A guiding document was developed to enable the analysis of the textbooks. The topics investigated were: I) the extent of content related to exercise science; II) misconceptions about exercise science; III) health benefits attributed to exercise. The academic qualifications of the textbook authors were also analyzed. All analyzed textbooks (n = 9) featured some degree of exercise science content. In addition, ~67% of textbooks analyzed had at least one misconception regarding exercise science, the most common being related to biochemistry and muscle physiology. Also, 93.8% of the authors had undergraduate degrees in biological sciences; 43.8% had doctoral degrees. In conclusion, all high school biology textbooks presented content related to exercise science; however, most of them presented at least one misconception regarding exercise science. Thus, we suggest that the Brazilian National Textbook Plan should improve the criteria for analyzing biology textbooks. Level of Evidence III; Economic and decision analyses - Development of an economic or decision model. Keywords: Physical Activity; Physical Exercise; Health Promotion; Hypertension; Health Educatio

Comparison of physiological and psychobiological acute responses between high intensity functional training and high intensity continuous training

Little is known about the physiological and psychobiological responses that occur during and after high intensity functional training (HIFT). We compared physiological and psychobiological responses during and after a HIFT session with a high intensity continuous training (HICT) session. Twenty-one trained and healthy men were submitted to 20-min session of HIFT and HICT on separate days. The heart rate, blood lactate concentration [Lac], levels of state anxiety, rates of perceived exertion (RPE) and perceived discomfort (RPE-D), and affective valence were measured. Exercise intensity of the HICT was adjusted to the mean heart rate obtained in the HIFT session. The highest heart rate in the training sessions was significantly higher in HIFT (mean ​± ​standard deviation [SD]: [187 ​± ​9] bpm) than in HICT (mean ​± ​SD: [178 ​± ​8] bpm, p ​< ​0.001). The [Lac] was significantly higher immediately after the HIFT (median [interquartile range (IQR)]: 6.8 [4.4] mmol/L) than the HICT (median [IQR]: 3.2 [1.9], p ​= ​0.021) and 10 ​min after (median [IQR]: HIFT ​= ​6.8 [4.9] mmol/L, HICT ​= ​2.9 [2.4] mmol/L, p ​= ​0.003). The RPE was also significantly higher in the HIFT (median [IQR]: HIFT ​= ​20 [2], HICT ​= ​15 [5], p ​= ​0.009). The physiological and psychobiological responses compared between HIFT and HICT sessions are similar, except for the higher heart rate obtained during the sessions, [Lac] and RPE. Probably, the results found for the higher heart rate obtained during the sessions, [Lac] and RPE may be explained by the higher participation of the anaerobic glycolytic metabolism during the HIFT session