Validade preditiva de equações de referência para força de preensão manual em homens brasileiros de meia idade e idosos

The objective of this study was to verify the predictive validity of reference equations for hand grip strength (HGS) in middle-aged and elderly Brazilian men. We evaluated 60 men with age of 58.7±8.6 years, height 168.7±8.0 cm, body mass 67.9±13.0 kg, and body mass index 23.7±4.0 kg/m², utilizing the gold standard equipment for evaluation of HGS and following all methodological recommendations of the American Society of Hand Therapists (ASTH). The results of the Bland-Altman diagram for the dominant hand (DH) had a mean error (bias) of -8.4% (95%CI -51.6-34.7). The Bland-Altman diagram for the non-dominant hand (NDH) had a mean error (bias) of 1.4% (95%CI -47.1-49.8). The calculation of Cronbach's alpha was 0.69 for the DH and 0.59 for the NDH. The intraclass correlation coefficient was 0.52 (95%CI 31-68) for the DH and 0.42 (95%CI 20-60) for the NDH. We therefore conclude that the reference equations for HGS evaluated in this study has low predictive validity for a population of Brazilian men middle-aged and elderly, and may lead to a misinterpretation of the results.O objetivo deste estudo foi verificar a validade preditiva das equações de referência para predição da força de preensão manual (FPM) em homens brasileiros de meia idade e idosos. Foram avaliados 60 homens com idade de 58,7±8,6 anos (50-84 anos), estatura 168,7±8,0 cm, massa corporal 67,9±13,0 kg e índice de massa corporal 23,7±4,0 kg/m², utilizando equipamento 'padrão-ouro' na avaliação da FPM e seguindo todas as recomendações metodológicas preconizadas pela American Society of Hand Therapists (ASHT). Os resultados do diagrama de Bland-Altman para mão dominante (MD) apresentam um erro médio (viés) de -8,4% (IC95% -51,6-34,7). Já o diagrama de Bland-Altman para mão não dominante (MND) apresenta um erro médio (viés) de 1,4% (IC95% -47,1-49,8). O cálculo de Cronbach's alpha para a MD foi de 0,69 e 0,59 para MND. O coeficiente de correlação intraclasse para MD foi 0,52 (IC95% 31-68) e de 0,42 (IC95% 20-60) para a MND. Concluímos que as equações para predição analisadas neste estudo, para uma população de homens brasileiros de meia idade e idosos, apresentou baixa validade preditiva, o que pode gerar erros de interpretação dos resultados

Effect of peripheral muscle fatigue during the testing of handgrip strength.

Introduction: Muscle fatigue is a phenomenon associated with physical work. It is common in endurance sports, physical fitness tests and daily activities. Some tests can be directly affected by the effect of eripheral muscle fatigue, including the handgrip strength (HGS) test, which is considered baseline measure for assessing the functionality of the hand. Objectives: a) verify the effect of peripheral muscle fatigue (between trials) during the testing of HGS, with a 60-second recovery interval; b) to analyze whether there is a difference in considering the mean value obtained in three trials or the best result as the final result. Materials and methods: The final sample comprised 1,279 men. We followed the standard methodology and used a hydraulic hand dynamometer. Results: There were statistically significant differences (P elt; 0.05) in the dominant hand among all the trials: first (46.5 ± 8.6 Kgf), second (46.4 ± 8.5 Kgf) and third (46.1 ± 8.6 Kgf); and also in the non-dominant hand: first (44.9 ± 8.4 Kgf), second (44.5 ± 8.3 Kgf) and third (44.0 ± 8.3 Kgf). We also found statistically significant differences (P elt; 0.05) between the two ways of considering the final result. For the dominant hand, the mean of the three attempts was 46.3 ± 8.3 Kgf and the best result was 48.1 ± 8.5 Kgf, whereas for the non-dominant hand, these results were 44.5 ± 8.2 Kgf and 46.0 ± 8.2 kgf, respectively. Conclusion: Peripheral muscle fatigue directly interferes in the final result. A significant reduction in strength levels occurs in course of the assessment. The best result is frequently obtained at the first trial, which indicates that the highest value obtained should be considered as the final result

Effect of peripheral muscle fatigue during the testing of handgrip strength

Introduction Muscle fatigue is a phenomenon associated with physical work. It is common in endurance sports, physical fitness tests and daily activities. Some tests can be directly affected by the effect of peripheral muscle fatigue, including the handgrip strength (HGS) test, which is considered baseline measure for assessing the functionality of the hand. Objectives a) verify the effect of peripheral muscle fatigue (between trials) during the testing of HGS, with a 60-second recovery interval; b) to analyze whether there is a difference in considering the mean value obtained in three trials or the best result as the final result. Materials and methods The final sample comprised 1,279 men. We followed the standard methodology and used a hydraulic hand dynamometer. Results There were statistically significant differences (P < 0.05) in the dominant hand among all the trials: first (46.5 ± 8.6 Kgf), second (46.4 ± 8.5 Kgf) and third (46.1 ± 8.6 Kgf); and also in the non-dominant hand: first (44.9 ± 8.4 Kgf), second (44.5 ± 8.3 Kgf) and third (44.0 ± 8.3 Kgf). We also found statistically significant differences (P < 0.05) between the two ways of considering the final result. For the dominant hand, the mean of the three attempts was 46.3 ± 8.3 Kgf and the best result was 48.1 ± 8.5 Kgf, whereas for the non-dominant hand, these results were 44.5 ± 8.2 Kgf and 46.0 ± 8.2 kgf, respectively. Conclusion Peripheral muscle fatigue directly interferes in the final result. A significant reduction in strength levels occurs in course of the assessment. The best result is frequently obtained at the first trial, which indicates that the highest value obtained should be considered as the final result

Analysis of the Performance of Transporting Soybeans from Mato Grosso for Export: A Case Study of the Tapajós-Teles Pires Waterway

The inefficiency of Brazil&rsquo;s logistics system to handle the outflow of farm products impairs the sector&rsquo;s performance. From the economic perspective, the high freight rates put the country&rsquo;s agricultural sector at a competitive disadvantage in the global market. Besides this, the reliance on highway transport causes problems of an environmental (high CO 2 emissions) and social nature (large occurrence of accidents). As an alternative to this dependence, Brazil has an extensive network of actually and potentially navigable rivers that could serve as a key element to improve the performance of the agricultural sector. Therefore, the objective of this study is to analyze the possible influence of the Tapaj&oacute;s-Teles Pires Waterway on the sustainable performance of 19 Brazilian soybean export routes, using data envelopment analysis (DEA). Of these, only three would use the Tapaj&oacute;s-Teles Pires Waterway, which is not yet in operation. The origins of the routes are four soybean-producing centers located in Mato Grosso, the Brazilian state that produces the most soybeans, destined for 12 seaports. The inputs considered are Accident Cost and CO2 Emissions, while the output is Cargo Carried per US$. For this, we use the DEA-VRS (Variable Return Scale) input-oriented model. The results obtained from the DEA model revealed satisfactory performance of the routes using the Tapaj&oacute;s-Teles Pires Waterway from three of the four production centers. In Campo Novo do Parecis, some 16% (471 km) of the route is composed of highways and the rest of the waterway (84%, 1576 km). In Sorriso, only 3% (85 km) of the route consists of highways, while waterway transport is responsible for 97% (2388 km), and in Quer&ecirc;ncia, 24.55% of the route to the Port of Barcarena consists of highways. The use of these routes and the combination of the two transport modes presented the best efficiency indexes, making development of the waterway a key element to improve the outflow of soybeans for export. The results of this study may help Brazilian authorities to define public policies and apply resources to improve the deficiencies of the transportation system, which can lead to a better balance of the Brazilian transportation matrix

Giants of the Amazon: how does environmental variation drive the diversity patterns of large trees?

For more than three decades, major efforts in sampling and analyzing tree diversity in South America have focused almost exclusively on trees with stems of at least 10 and 2.5 cm diameter, showing highest species diversity in the wetter western and northern Amazon forests. By contrast, little attention has been paid to patterns and drivers of diversity in the largest canopy and emergent trees, which is surprising given these have dominant ecological functions. Here, we use a machine learning approach to quantify the importance of environmental factors and apply it to generate spatial predictions of the species diversity of all trees (dbh ≥ 10 cm) and for very large trees (dbh ≥ 70 cm) using data from 243 forest plots (108,450 trees and 2832 species) distributed across different forest types and biogeographic regions of the Brazilian Amazon. The diversity of large trees and of all trees was significantly associated with three environmental factors, but in contrasting ways across regions and forest types. Environmental variables associated with disturbances, for example, the lightning flash rate and wind speed, as well as the fraction of photosynthetically active radiation, tend to govern the diversity of large trees. Upland rainforests in the Guiana Shield and Roraima regions had a high diversity of large trees. By contrast, variables associated with resources tend to govern tree diversity in general. Places such as the province of Imeri and the northern portion of the province of Madeira stand out for their high diversity of species in general. Climatic and topographic stability and functional adaptation mechanisms promote ideal conditions for species diversity. Finally, we mapped general patterns of tree species diversity in the Brazilian Amazon, which differ substantially depending on size class

V diretriz da Sociedade Brasileira de Cardiologia sobre tratamento do infarto agudo do miocárdio com supradesnível do segmento ST

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V diretriz da Sociedade Brasileira de Cardiologia sobre tratamento do infarto agudo do miocárdio com supradesnível do segmento ST

Resumo não disponíve