366 research outputs found

    Transcutaneous Electrical Nerve Stimulation In Dysphonic Women

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    Background: Studies indicate correlation between dysphonia and muscle tension. Aim: To evaluate bilaterally the electrical activity of the suprahyoid muscles (SH), sternocleidomastoid (SCM), and trapezius (T), the presence of pain and the voice, after applying transcutaneous electrical nerve stimulation (TENS). Method: Ten (10) women with nodules or bilateral mucus thickening, and phonation fissure. Volunteers were submitted to 10 TENS sessions (200μs and 10Hz) for 30 minutes. Pain was evaluated using an analogical visual scale; the voice was evaluated through laryngoscopy and through a perceptive-auditory and acoustic analysis; and the myoelectric signal was converted using the Root Media Square (RMS). Voice and EMG data gathering was performed during the production of the E/vowel and during spontaneous speech (SS). Statistical analysis: Shapiro-Wilk Test followed by the Wilcoxon Test, or t Student, or Friedman Test (p<0.05). Results: It was observed that the TENS decreased the RMS readings, pre and pos treatment, for the Right T (RT) (2.80 ± 1.36 to 1.77 ± 0.93), the Left T (LT) (3.62 ± 2.10 to 2.10 ± 1.06), the Left SCM (LSCM) (2.64 ± 0.69 to 1.94 ± 0.95), and the SH (11.59 ± 7.72 to 7.82 ± 5.95) during the production of the E/vowel; and for the RT (3.56 ± 2.77 to 1.93 ± 1.13), the LT (4.68 ± 2.56 to 3.09 ± 2.31), the Right SCM (RSCM) (3.94 ± 2.04 to 2.51 ± 1.87), and the LSCM (3.54 ± 1.04 to .12 ± 3.00) during SS. A relieve in pain was also observed. Regarding the voice analysis, there was a decrease in level of laryngeal injuries; no difference was observed during the production of the E/vowel in the perceptive-auditory analysis; there was a decrease in the level of dysphonia and hoarseness during SS. Conclusion: TENS is effective in improving the clinical and functional signs of dysphonic women.203189194Behrman, A., Common practices of voice therapists in the evaluation of patients (2005) J Voice, 19 (3), pp. 454-469Dromey, C., Nissen, S.L., Roy, N., Merrill, R.M., Articulatory changes following treatment of muscle tension dysphonia: Preliminary acoustic evidence (2008) J Speech Lang Hear Res, 51 (1), pp. 196-208Gillivan-Murphy, P., Drinnan, M.J., O'Dwyer, T.P., Ridha, H., Carding, P., The effectiveness of a voice treatment approach for teachers with self-reported voice problems (2006) J Voice, 20 (3), pp. 423-431Schneider, S.L., Sataloff, R.T., Voice therapy for the professional voice (2007) Otolaryngol Clin North Am, 40 (5), pp. 1133-1149Rubin, J.S., Blake, E., Mathieson, L., Musculoskeletal patterns in patients with voice disorders (2007) J Voice, 21 (4), pp. 477-484Sluka, K.A., Walsh, D.M., Transcutaneous electrical nerve stimulation: Basic science mechanisms and clinical effectiveness (2003) Pain, 4, pp. 109-121Penkner, K., Janda, M., Lorenzoni, M.A., A comparison of the muscular relaxation effect of TENS and EMG-biofeedback in patients with bruxism (2001) J Oral Rehabil, 28 (9), pp. 849-853Guimarães, B.T.L., A eletroestimulação nervosa transcutânea no relaxamento laríngeo (1992) Revista Lugar em FonoaudiologiaGuirro, R.R.J., Forti, F., Rodrigues-Bigaton, D., Proposal for electrical insulation of the electromyographic signal acquisition module (2006) Electromyogr Clin Neurophysiol, 46 (6), pp. 355-363Cram, J.R., Kasman, G.S., Haltz, J., (1998) Introduction to surface electromyography, , Aspen PubleshersBehlau, M., Azevedo, R., Pontes, P., Gonçalves, M.I.R., Constrição anteroposterior do vestíbulo laríngeo em indivíduos normais durante a fonação sustentada. (1998) Revista da Sociedade Brasileira de Fonoaudiologia, 2 (4), pp. 56-60Voz, B.M., (2001) O Livro do Especialista, , Rio de Janeiro: RevinterRodrigues, D., Oliveira, A.S., Bérzin, F., Effect of conventional TENS on pain and electromyographic activity of masticatory muscles in TDM patients (2004) Braz Oral Res, 18 (4), pp. 290-295Rodrigues, D., Oliveira, A.S., Bérzin, F., Effect of TENS on the activation pattern of the masticatory muscles in TMD patients (2004) Braz J Oral Sci, 13 (10), pp. 510-514Kamyszek G, Ketcham R, Garcia RJr, Radke J. Electromyographic evidence of reduce muscle activity when ULF-TENS is applied to the Vth and VIIth cranial nerves Cranio. 2001;19(3):162-8Guimaraes, B.T.L., Relaxamento laringeo com o uso da eletroestimulação nervosa transcutânea (Tens): Um estudo comparativo (2000) Revista Lugar em FonoaudiologiaChesterton, L.S., Barlas, P., Foster, N.E., Lundeberg, T., Wright, C.C., Caxter, G.D., Sensory stimulation (TENS): Effects of parameter manipulation on mechanical pain thresholds in healthy human subjects (2002) Pain, 99 (1-2), pp. 253-262Milne, S., Welch, V., Brosseau, L., Saginu, R.M., Shea, B., Tugwell, S., (2003) Transcutaneous electrical nerve stimulation (TENS) for chronic low back pain, , Oxford: The Cochrane LibraryCarrol, D., Moore, R.A., McQuay, H.J., Fairman, F., Trame'r, M., Leijon, G., (2003) Trancutaneous electrical nerve stimulation (TENS) for chronic pain, , Oxford: The Cochrane LibraryKöke, A.J.A., Schoutend, J.S.A.G., Lamerichs-Geelenc, M.J.H., Lipschc, J.S.M., Waltjec, E.M.H., Kleefa, M., Pain reducing effect of three types of transcutaneous electrical nerve stimulation in patients with chronic pain: A randomized crossover trial (2004) Pain, 108 (1-2), pp. 36-42Kalra, A., Urban, M.O., Sluka, K.A., Blockade of Opioid Receptors in Rostral Venral Medulla. Prevents Antihyperalgesia Produced by Transcutaneous Electrical Nerve Stimulation (TENS) (2001) J. Pharmacol Exp. Ther, 298 (1), pp. 257-263Kofler, M., Functional organization of exteroceptive inhibition following nociceptiva electrical fingertip stimulation in humans (2003) Clin Neurophysiol, 114 (6), pp. 973-980Kofler, M., Influence of trancutaneous electrical nerve stimulation on cutaneous silent periods in humans (2004) Neuroscience Letters, 360 (1-2), pp. 69-72Gonçalves, R.N., Ordenes, I.E.U., Rodrigues-Bigaton, D., Efeito indireto da TENS sobre os músculos cervicais em portadores de DTM. (2007) Fisioterapia em Movimento, 20 (2), pp. 83-90Ido, C., Rothenbuhler, R., Janz, L., Eletroestimulação nervosa trancutânea de baixa freqüência nos "tender points" dos pacientes fibromioálgicos juvenis. (2003) Rev Fisioter Univ. São Paulo, 10 (1), pp. 1-

    Heat stress and ACTH administration on cortisol and insulin-like growth factor I (IGF-I) levels in lactating Holstein cows

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    Physiological and productive responses were studied in five Holstein cows in thermal comfort (T1), stress by exogenous adrenocorticotropic hormone (ACTH) administration (T2) and heat stress (T3) to compare acute and punctual stress (ACTH) and prolonged stress (heat stress). During T1 and T2, cows were housed in a climatic-free stall barn. In T3, the animals were kept in a climatic room (air temperature of 37°C from 08:00 to 13:00 h, and of 26°C from 14:00 to 07:00 h) for 7 days. Milk yield, rectal temperature (RT), respiratory rate (RR) and blood samples were obtained before, during and after all treatments. In T1 at 08:00 h, RT and RR were below the upper critical limit. Simultaneously, cortisol and insulin growth-factor I (IGF-I) were within the normal limits. After ACTH administration (T2), cortisol significantly increased, reaching maximum levels at 60 min and returning to basal levels at 300 min. However, IGF-I was not affected. During T3, Holstein cows did not effectively dissipate their body temperature and RT, RR and cortisol significantly increased. There was a 26.6% reduction in milk production after heat stress (P < .05). Prolonged heat stress was more stressful and cows had higher levels of CORT in T3 than in T2 even before the increase in body temperature. Although the total amount of cortisol and IGF-I presented a negative and significant Pearson correlation (r = −0.79), IGF-I was not significantly influenced by heat stress or ACTH administration, and the relationship between IGF-I and heat stress remains controversial

    Fresh, hardened and thermal properties of coating mortars containing mineral additions and vermiculite

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    Efforts are made to alleviate thermal problems in buildings. The use of thermal mortars for coating with vermiculite as aggregate is used for this purpose, but the use with mineral additions is still scarce, especially the rheology through squeeze-flow. Thus, it was aimed to evaluate the behavior in fresh, hardened state and in the thermal conductivity of these mortars. Mortars containing Portland cement, lime, vermiculite, sand, and additions of metakaolin or ceramic brick waste, in the proportion of 1:1:6 (Cement: Lime: Sand), were evaluated. The sand was replaced by vermiculite in 40%, and the additions added in the proportion of 20% to the cement mass, and the water content determined with the spread obtained on the consistency table. Mixtures containing 20% mineral addition and 40% vermiculite proved to be feasible, reaching minimum values according to the respective standards

    Abrupt weaning type combined to stress during late pregnancy in sheep present economic losses on carcass and low testicular development in lambs

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    This study investigates the combined effect of the progressive or abrupt weaning after the stress during middle and late pregnancy on performance and development of lambs. Twenty-four male lambs were used, born from 18 Santa Ines ewes that were divided into three experimental groups. Pregnant ewes were submitted to the application of Lipolysaccharides E. coli (LPS) during the 70 th day of pregnancy (Ig; n=12) or at the 120 th day (Fg; n=8). Animals were kept as control (Cg; n=14). Lambs born in a 6 day interval were subjected to two types of weaning (Pw: progressive weaning; Aw: abrupt weaning at 45 days of age). Lamb data, including testicular development, yield carcass and economic cost were analyzed. Means were compared by F test and Student's t test (P0.05). The highest yields in gross margin was observed for the Cg group and the lowest for Fg (P0.05). On lambs’ testicular weight, Cg average value was higher than Fg (P0.05). The combined effect of LPS challenge as a simulated disease process during late pregnancy and abrupt weaning change the testicular weight and the yield carcass, resulting in economic losses

    Kinin b(1) receptor in adipocytes regulates glucose tolerance and predisposition to obesity

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    BACKGROUND: Kinins participate in the pathophysiology of obesity and type 2 diabetes by mechanisms which are not fully understood. Kinin B(1) receptor knockout mice (B(1) (-/-)) are leaner and exhibit improved insulin sensitivity. METHODOLOGY/PRINCIPAL FINDINGS: Here we show that kinin B(1) receptors in adipocytes play a role in controlling whole body insulin action and glucose homeostasis. Adipocytes isolated from mouse white adipose tissue (WAT) constitutively express kinin B(1) receptors. In these cells, treatment with the B(1) receptor agonist des-Arg(9)-bradykinin improved insulin signaling, GLUT4 translocation, and glucose uptake. Adipocytes from B(1) (-/-) mice showed reduced GLUT4 expression and impaired glucose uptake at both basal and insulin-stimulated states. To investigate the consequences of these phenomena to whole body metabolism, we generated mice where the expression of the kinin B(1) receptor was limited to cells of the adipose tissue (aP2-B(1)/B(1) (-/-)). Similarly to B(1) (-/-) mice, aP2-B(1)/B(1) (-/-) mice were leaner than wild type controls. However, exclusive expression of the kinin B(1) receptor in adipose tissue completely rescued the improved systemic insulin sensitivity phenotype of B(1) (-/-) mice. Adipose tissue gene expression analysis also revealed that genes involved in insulin signaling were significantly affected by the presence of the kinin B(1) receptor in adipose tissue. In agreement, GLUT4 expression and glucose uptake were increased in fat tissue of aP2-B(1)/B(1) (-/-) when compared to B(1) (-/-) mice. When subjected to high fat diet, aP2-B(1)/B(1) (-/-) mice gained more weight than B(1) (-/-) littermates, becoming as obese as the wild types. CONCLUSIONS/SIGNIFICANCE: Thus, kinin B(1) receptor participates in the modulation of insulin action in adipocytes, contributing to systemic insulin sensitivity and predisposition to obesity

    Evidence for a mixed mass composition at the `ankle' in the cosmic-ray spectrum

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    We report a first measurement for ultra-high energy cosmic rays of the correlation between the depth of shower maximum and the signal in the water Cherenkov stations of air-showers registered simultaneously by the fluorescence and the surface detectors of the Pierre Auger Observatory. Such a correlation measurement is a unique feature of a hybrid air-shower observatory with sensitivity to both the electromagnetic and muonic components. It allows an accurate determination of the spread of primary masses in the cosmic-ray flux. Up till now, constraints on the spread of primary masses have been dominated by systematic uncertainties. The present correlation measurement is not affected by systematics in the measurement of the depth of shower maximum or the signal in the water Cherenkov stations. The analysis relies on general characteristics of air showers and is thus robust also with respect to uncertainties in hadronic event generators. The observed correlation in the energy range around the `ankle' at lg(E/eV)=18.519.0\lg(E/{\rm eV})=18.5-19.0 differs significantly from expectations for pure primary cosmic-ray compositions. A light composition made up of proton and helium only is equally inconsistent with observations. The data are explained well by a mixed composition including nuclei with mass A>4A > 4. Scenarios such as the proton dip model, with almost pure compositions, are thus disfavoured as the sole explanation of the ultrahigh-energy cosmic-ray flux at Earth.Comment: Published version. Added journal reference and DOI. Added Report Numbe
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