641 research outputs found

    Efetividade da estimulação diafragmática elétrica transcutânea na força muscular respiratória, volumes e capacidades pulmonares: revisão sistemática

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    Introduction: Transcutaneous electrical diaphragmatic stimulation (TEDS) is to stimulate the diaphragm, through rhythmic electrical stimulation short promoting a negative pleural pressure that can influence both the ventilation and in venous return and cardiac output, representing another important tool for respiratory therapy. Objective: To analyze the outcomes of the application of TEDS on respiratory muscle strength and lung volumes and capacities. Methods: Through a systematic review of the literature, clinical trials published between 2003 and 2013 were analyzed The search involved the LILACS, SciELO, MEDLINE and PEDro database, using the keywords diaphragm, respiratory muscles and physical therapy crossed with the descriptor electrical stimulation. Results: Six studies totaling 105 subjects, aged between 20 and 75 years and showed that the use of TEDS caused a significant increase (p <0,05) in maximal inspiratory pressure (MIP) and maximal expiratory pressure were included maximum (MEP), tidal volume (VT) and the volumes of inspiratory and expiratory reserve. Conclusion: The TEDS promotes an increase in respiratory muscle strength and in some lung volumes in healthy subjects and / or patients with chronic diseases or post-operative recovery.Introdução: A estimulação diafragmática elétrica transcutânea (EDET) consiste em estimular o diafragma, por meio de estímulos elétricos rítmicos de curta duração promovendo uma pressão intrapleural negativa que pode influenciar tanto na ventilação pulmonar quanto no retorno venoso e no débito cardí- aco, representando mais uma importante ferramenta para a fisioterapia respiratória. Objetivo: Analisar os desfechos da aplicação da EDET na força muscular respiratória e nos volumes e capacidades pulmonares. Métodos: Por meio de uma revisão sistemática da literatura, foram analisados ensaios clínicos publicados entre 2003 e 2013. A busca envolveu as bases de dados LILACS, SciELO, MedLine e PEDro, usando os descritores “diaphragm”, “respiratory muscles” e “physical therapy” em cruzamento com o descritor “electrical stimulation”. Resultados: Foram incluídos 6 estudos, que somaram 105 indivíduos, com idade variando entre 20 e 75 anos, e que demonstraram que a utilização da EDET causou incremento significativo (p <0,05) da pressão inspiratória máxima (PImáx) e da pressão expiratória máxima (PEmáx), do volume corrente (VC) e dos volumes de reserva inspiratório e expiratório. Conclusão: A EDET promove aumento na força muscular respiratória e em alguns volumes pulmonares, em indivíduos saudáveis e/ ou pacientes com doenças crônicas ou em pós-operatório de cirurgias

    WFPC2 Observations of the Hubble Deep Field-South

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    The Hubble Deep Field-South observations targeted a high-galactic-latitude field near QSO J2233-606. We present WFPC2 observations of the field in four wide bandpasses centered at roughly 300, 450, 606, and 814 nm. Observations, data reduction procedures, and noise properties of the final images are discussed in detail. A catalog of sources is presented, and the number counts and color distributions of the galaxies are compared to a new catalog of the HDF-N that has been constructed in an identical manner. The two fields are qualitatively similar, with the galaxy number counts for the two fields agreeing to within 20%. The HDF-S has more candidate Lyman-break galaxies at z > 2 than the HDF-N. The star-formation rate per unit volume computed from the HDF-S, based on the UV luminosity of high-redshift candidates, is a factor of 1.9 higher than from the HDF-N at z ~ 2.7, and a factor of 1.3 higher at z ~ 4.Comment: 93 pages, 25 figures; contains very long table

    The Hubble Deep Field South Flanking Fields

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    As part of the Hubble Deep Field South program, a set of shorter 2-orbit observations were obtained of the area adjacent to the deep fields. The WFPC2 flanking fields cover a contiguous solid angle of 48 square arcminutes. Parallel observations with the STIS and NICMOS instruments produce a patchwork of additional fields with optical and near-infrared (1.6 micron) response. Deeper parallel exposures with WFPC2 and NICMOS were obtained when STIS observed the NICMOS deep field. These deeper fields are offset from the rest, and an extended low surface brightness object is visible in the deeper WFPC2 flanking field. In this data paper, which serves as an archival record of the project, we discuss the observations and data reduction, and present SExtractor source catalogs and number counts derived from the data. Number counts are broadly consistent with previous surveys from both ground and space. Among other things, these flanking field observations are useful for defining slit masks for spectroscopic follow-up over a wider area around the deep fields, for studying large-scale structure that extends beyond the deep fields, for future supernova searches, and for number counts and morphological studies, but their ultimate utility will be defined by the astronomical community.Comment: 46 pages, 15 figures. Images and full catalogs available via the HDF-S at http://www.stsci.edu/ftp/science/hdfsouth/hdfs.html at present. The paper is accepted for the February 2003 Astronomical Journal. Full versions of the catalogs will also be available on-line from AJ after publicatio

    Rescue of DNA damage after constricted migration reveals a mechano-regulated threshold for cell cycle.

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    Migration through 3D constrictions can cause nuclear rupture and mislocalization of nuclear proteins, but damage to DNA remains uncertain, as does any effect on cell cycle. Here, myosin II inhibition rescues rupture and partially rescues the DNA damage marker γH2AX, but an apparent block in cell cycle appears unaffected. Co-overexpression of multiple DNA repair factors or antioxidant inhibition of break formation also exert partial effects, independently of rupture. Combined treatments completely rescue cell cycle suppression by DNA damage, revealing a sigmoidal dependence of cell cycle on excess DNA damage. Migration through custom-etched pores yields the same damage threshold, with ∼4-µm pores causing intermediate levels of both damage and cell cycle suppression. High curvature imposed rapidly by pores or probes or else by small micronuclei consistently associates nuclear rupture with dilution of stiff lamin-B filaments, loss of repair factors, and entry from cytoplasm of chromatin-binding cGAS (cyclic GMP-AMP synthase). The cell cycle block caused by constricted migration is nonetheless reversible, with a potential for DNA misrepair and genome variation

    The posttraumatic stress disorder project in Brazil: neuropsychological, structural and molecular neuroimaging studies in victims of urban violence

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    <p>Abstract</p> <p>Background</p> <p>Life trauma is highly prevalent in the general population and posttraumatic stress disorder is among the most prevalent psychiatric consequences of trauma exposure. Brazil has a unique environment to conduct translational research about psychological trauma and posttraumatic stress disorder, since urban violence became a Brazilian phenomenon, being particularly related to the rapid population growth of its cities. This research involves three case-control studies: a neuropsychological, a structural neuroimaging and a molecular neuroimaging study, each focusing on different objectives but providing complementary information. First, it aims to examine cognitive functioning of PTSD subjects and its relationships with symptomatology. The second objective is to evaluate neurostructural integrity of orbitofrontal cortex and hippocampus in PTSD subjects. The third aim is to evaluate if patients with PTSD have decreased dopamine transporter density in the basal ganglia as compared to resilient controls subjects. This paper shows the research rationale and design for these three case-control studies.</p> <p>Methods and design</p> <p>Cases and controls will be identified through an epidemiologic survey conducted in the city of São Paulo. Subjects exposed to traumatic life experiences resulting in posttraumatic stress disorder (cases) will be compared to resilient victims of traumatic life experiences without PTSD (controls) aiming to identify biological variables that might protect or predispose to PTSD. In the neuropsychological case-control study, 100 patients with PTSD, will be compared with 100 victims of trauma without posttraumatic stress disorder, age- and sex-matched controls. Similarly, 50 cases and 50 controls will be enrolled for the structural study and 25 cases and 25 controls in the functional neuroimaging study. All individuals from the three studies will complete psychometrics and a structured clinical interview (the Structured Clinical Interview for DSM-IV and the Clinician-Administered PTSD Scale, Beck Anxiety Inventory, Beck Depression Inventory, Global Assessment of Function, The Social Adjustment Scale, Medical Outcomes Study 36-Item Short-Form Health Survey, Early Trauma Inventory, Clinical global Impressions, and Peritraumatic Dissociative Experiences Questionnaire). A broad neuropsychological battery will be administered for all participants of the neuropsychological study. Magnetic resonance scans will be performed to acquire structural neuroimaging data. Single photon emission computerized tomography with [(99m)Tc]-TRODAT-1 brain scans will be performed to evaluate dopamine transporters.</p> <p>Discussion</p> <p>This study protocol will be informative for researchers and clinicians interested in considering, designing and/or conducting translational research in the field of trauma and posttraumatic stress disorder.</p
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