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Mastitis, an important disease in dairy cows, causes significant losses in herd profitability. Accurate diagnosis is crucial for adequate control. Studies using artificial intelligence (AI) models to classify, identify, predict, and diagnose mastitis show promise in improving mastitis control. This bibliometric review aimed to evaluate AI and bovine mastitis terms in the most relevant Scopus-indexed papers from 2011 to 2021. Sixty-two documents were analyzed, revealing key terms, prominent researchers, relevant publications, main themes, and keyword clusters. "Mastitis" and "machine learning" were the most cited terms, with an increasing trend from 2018 to 2021. Other terms, such as "sensors" and "mastitis detection", also emerged. The United States was the most cited country and presented the largest collaboration network. Publications on mastitis and AI models notably increased from 2016 to 2021, indicating growing interest. However, few studies utilized AI for bovine mastitis detection, primarily employing artificial neural network models. This suggests a clear potential for further research in this area.
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This paper proposes a time-series stochastic socioeconomic model for analyzing the impact of the pandemic on the regulated distribution electricity market. The proposed methodology combines the optimized tariff model (socioeconomic market model) and the random walk concept (risk assessment technique) to ensure robustness/accuracy. The model enables both a past and future analysis of the impact of the pandemic, which is essential to prepare regulatory agencies beforehand and allow enough time for the development of efficient public policies. By applying it to six Brazilian concession areas, results demonstrate that consumers have been/will be heavily affected in general, mainly due to the high electricity tariffs that took place with the pandemic, overcoming the natural trend of the market. In contrast, the model demonstrates that the pandemic did not/will not significantly harm power distribution companies in general, mainly due to the loan granted by the regulator agency, named COVID-account. Socioeconomic welfare losses averaging 500 (MR$/month) are estimated for the equivalent concession area, i.e., the sum of the six analyzed concession areas. Furthermore, this paper proposes a stochastic optimization problem to mitigate the impact of the pandemic on the electricity market over time, considering the interests of consumers, power distribution companies, and the government. Results demonstrate that it is successful as the tariffs provided by the algorithm compensate for the reduction in demand while increasing the socioeconomic welfare of the market.
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The main purposeof this study was to evaluate the characteristics of eggs produced by Japanese quails fed with guava extract.A total of 400 eggs collected from the quails fed with experimental diets, were distributed in a completely randomized design infactorial arrangement 4x4 with main effects including four dietary levels of guava extract(0, 3, 6 and 9 gkg-1)andfour storage periods (0, 9,18 and 27 days)totalizing 16 treatmentswith five replicates of five eggs. The eggs were produced by Japanese quails, fed with experimental diets. The diets were isonutritive formulated by corn-soybean basis. The eggs were stored for different periods, at the same conditions, to constitute the treatments. Theparameters evaluated were egg weight loss(g and %), yolk color, Haugh unit, specific gravity, eggshell thickness and pH of the yolk and albumen. Datawere submitted to ANOVA, and means were compared using Scott-Knotttest, using α= 0.05.The specific gravity of fresh eggs was better with the use of 6 g kg-1of guava extract in the diet. The use of 3 g kg-1of guava extractresulted in smaller eggshell thickness of fresh eggs. The Haugh unit was affectedjust by the storage periods. The dietary guava extract (3, 6 or9 g kg-1) increased the pH of albumen ineggs stored for 27 days. The use of 6 g kg-1 of guava extract in quails diet increase thespecific gravity in fresh eggs and increase the yolk color when the eggs are stored.
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Animales , Coturnix/fisiología , Coturnix/metabolismo , Huevos , PsidiumRESUMEN
The main purposeof this study was to evaluate the characteristics of eggs produced by Japanese quails fed with guava extract.A total of 400 eggs collected from the quails fed with experimental diets, were distributed in a completely randomized design infactorial arrangement 4x4 with main effects including four dietary levels of guava extract(0, 3, 6 and 9 gkg-1)andfour storage periods (0, 9,18 and 27 days)totalizing 16 treatmentswith five replicates of five eggs. The eggs were produced by Japanese quails, fed with experimental diets. The diets were isonutritive formulated by corn-soybean basis. The eggs were stored for different periods, at the same conditions, to constitute the treatments. Theparameters evaluated were egg weight loss(g and %), yolk color, Haugh unit, specific gravity, eggshell thickness and pH of the yolk and albumen. Datawere submitted to ANOVA, and means were compared using Scott-Knotttest, using α= 0.05.The specific gravity of fresh eggs was better with the use of 6 g kg-1of guava extract in the diet. The use of 3 g kg-1of guava extractresulted in smaller eggshell thickness of fresh eggs. The Haugh unit was affectedjust by the storage periods. The dietary guava extract (3, 6 or9 g kg-1) increased the pH of albumen ineggs stored for 27 days. The use of 6 g kg-1 of guava extract in quails diet increase thespecific gravity in fresh eggs and increase the yolk color when the eggs are stored.(AU)
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Animales , Coturnix/metabolismo , Coturnix/fisiología , Psidium , HuevosRESUMEN
The aim of this study was to evaluate the guava extract as an antioxidant additive in diets of Japanese quail breeders on the performance and eggs quality. The experiment was conducted at University Federal of Goias. A total of 384 Japanese quail breeders were used, distributed in four treatments, with six replicates, with a total of 12 females and four males in each replicate. The treatments were performed with four levels of guava extract in the diets (0.0%, 0.3%, 0.6% and 0.9%). The guava extract contained the ellagic acid, considered the guava antioxidant active principle. The diets were isonutritive. Feed and water were offered ad libitum. The experimental period was 84 days. Egg production, feed intake, feed conversion ratio, egg mass, body weight variation and egg quality were evaluated. The results were submitted to analysis of variance and regression analysis. The adopted probability was 5%. Egg production, feed intake, feed conversion ratio and egg mass were not influenced by the use of guava extract. The yolk and albumen height, the Haugh Unit and the yolk and albumen index decreased linearly as the levels of guava extract in the diet increased. The diameter of the albumen was higher with the use of 0.48% of guava extract in the diet. The yolk color was affected by the guava extract, presenting a darker color with 0.50% of guava extract in the diet. It was concluded that the guava extract used as an antioxidant additive does not improve the performance and egg quality of Japanese quails.(AU)
Objetivou-se avaliar o efeito do extrato de goiaba em dietas de matrizes de codornas japonesas (Coturnix japonica) sobre o desempenho produtivo e a qualidade dos ovos férteis. O experimento foi realizado na Universidade Federal de Goiás. Foram utilizadas 384 matrizes de codornas Japonesas, distribuídas em 4 tratamentos, com 6 repetições, total de 12 fêmeas e 4 machos em cada repetição. Os tratamentos foram quatro níveis de extrato de goiaba nas rações (0,0%, 0,3%, 0,6% e 0,9%). O extrato de goiaba continha 2,13% de ácido elágico, considerado um princípio antioxidante da goiaba. As rações foram isonutritivas. O período experimental foi de 84 dias. Foi avaliada a produção de ovos, consumo de ração, conversão alimentar, massa de ovos, ganho de peso e qualidade interna e externa dos ovos. Os resultados foram submetidos à análise de variância e de regressão com 5% de probabilidade. A utilização do extrato de goiaba não influenciou a produção de ovos, o consumo de ração, a conversão alimentar e a massa de ovos. A altura de gema e albúmen, a unidade Haugh e o índice de gema e de albúmen diminuíram linearmente à medida em que os níveis de extrato de goiaba na ração aumentaram. O diâmetro do albúmen foi maior com 0,48% de extrato de goiaba na ração. A coloração da gema foi influenciada pela utilização do extrato, apresentando coloração mais escura com 0,498% de extrato de goiaba na ração. Conclui-se que o extrato de goiaba não melhora o desempenho e qualidade dos ovos de codornas japonesas.(AU)
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Animales , Coturnix , Psidium , Ácido Elágico , Huevos , Yema de Huevo , Antioxidantes , Extractos Vegetales/administración & dosificación , Aditivos AlimentariosRESUMEN
The aim of this study was to evaluate the guava extract as an antioxidant additive in diets of Japanese quail breeders on the performance and eggs quality. The experiment was conducted at University Federal of Goias. A total of 384 Japanese quail breeders were used, distributed in four treatments, with six replicates, with a total of 12 females and four males in each replicate. The treatments were performed with four levels of guava extract in the diets (0.0%, 0.3%, 0.6% and 0.9%). The guava extract contained the ellagic acid, considered the guava antioxidant active principle. The diets were isonutritive. Feed and water were offered ad libitum. The experimental period was 84 days. Egg production, feed intake, feed conversion ratio, egg mass, body weight variation and egg quality were evaluated. The results were submitted to analysis of variance and regression analysis. The adopted probability was 5%. Egg production, feed intake, feed conversion ratio and egg mass were not influenced by the use of guava extract. The yolk and albumen height, the Haugh Unit and the yolk and albumen index decreased linearly as the levels of guava extract in the diet increased. The diameter of the albumen was higher with the use of 0.48% of guava extract in the diet. The yolk color was affected by the guava extract, presenting a darker color with 0.50% of guava extract in the diet. It was concluded that the guava extract used as an antioxidant additive does not improve the performance and egg quality of Japanese quails.
Objetivou-se avaliar o efeito do extrato de goiaba em dietas de matrizes de codornas japonesas (Coturnix japonica) sobre o desempenho produtivo e a qualidade dos ovos férteis. O experimento foi realizado na Universidade Federal de Goiás. Foram utilizadas 384 matrizes de codornas Japonesas, distribuídas em 4 tratamentos, com 6 repetições, total de 12 fêmeas e 4 machos em cada repetição. Os tratamentos foram quatro níveis de extrato de goiaba nas rações (0,0%, 0,3%, 0,6% e 0,9%). O extrato de goiaba continha 2,13% de ácido elágico, considerado um princípio antioxidante da goiaba. As rações foram isonutritivas. O período experimental foi de 84 dias. Foi avaliada a produção de ovos, consumo de ração, conversão alimentar, massa de ovos, ganho de peso e qualidade interna e externa dos ovos. Os resultados foram submetidos à análise de variância e de regressão com 5% de probabilidade. A utilização do extrato de goiaba não influenciou a produção de ovos, o consumo de ração, a conversão alimentar e a massa de ovos. A altura de gema e albúmen, a unidade Haugh e o índice de gema e de albúmen diminuíram linearmente à medida em que os níveis de extrato de goiaba na ração aumentaram. O diâmetro do albúmen foi maior com 0,48% de extrato de goiaba na ração. A coloração da gema foi influenciada pela utilização do extrato, apresentando coloração mais escura com 0,498% de extrato de goiaba na ração. Conclui-se que o extrato de goiaba não melhora o desempenho e qualidade dos ovos de codornas japonesas.
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Animales , Coturnix , Yema de Huevo , Huevos , Psidium , Ácido Elágico , Aditivos Alimentarios , Antioxidantes , Extractos Vegetales/administración & dosificaciónRESUMEN
In recent years, the demand for an increasingly aesthetic smile has been increasing in the clinical routine, due to this fact, countless patients look for treatments in order to improve the aesthetic appearance of your smile. It is denominated gingival smile, for individuals who present a gingival exposure with more than 3 mm during the act of smiling. Thus, among the possibilities of treatment for gingival smile, botulinum toxin has been widely used to promote a more harmonic smile. Thus, the objective of this work is to review the literature on the application of botulinum toxin in the treatment of gingival smile. The main advantages of using botulinum toxin as a therapeutic alternative for cases of gingival smile are the high tolerability of the patient, a low rate of complications, the ease of using the technique, and an almost immediate and natural effect. However, due to the disadvantage, it is possible to emphasize mainly in the short time of its effects, being necessary the maintenance. Thus, it is up to the dentist to perform a detailed anamnesis to select the most appropriate technique and promote the best treatment for the patient. (AU)
Nos últimos anos, a demanda por um sorriso cada vez mais estético vêm se tornando comum na rotina clínica. Devido a esse fato, inúmeros pacientes procuram por tratamentos com o intuito de melhorar a aparência estética do seu sorriso. Denomina-se sorriso gengival, indivíduos que apresentam uma exposição gengival com mais de 3 mm durante o ato de sorrir. Desse modo, dentre as possibilidades de tratamento para o sorriso gengival, a toxina botulínica tem sido muito utilizada para promover um sorriso mais harmônico do paciente de forma menos traumática. Assim, o objetivo deste trabalho é revisar a literatura sobre a aplicação da toxina botulínica no tratamento do sorriso gengival. As principais vantagens de se utilizar a toxina botulínica como alternativa terapêutica para os casos de sorriso gengival são a alta tolerância pelo paciente, baixo índice de complicações, facilidade de se empregar a técnica, efeito praticamente imediato e natural. Contudo, por desvantagem pode-se destacar principalmente a curto período de tempo de seus efeitos, sendo necessário a manutenção. Dessa forma, cabe ao cirurgião-dentista realizar uma anamnese minuciosa para selecionar a técnica mais adequada e promover o melhor tratamento para o paciente (AU)
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Sonrisa , Estética Dental , EncíaRESUMEN
Abstract The objective of the present study was to determine the effectiveness of the regular practice of traditional resistance training (RT) on systolic (SBP) and diastolic blood pressure (DBP) in normotensive elderly persons. A systematic review of randomized clinical trials and meta-analyses was performed. Searches were performed without language restrictions in different databases. Randomized clinical trials published from 1966 to 2010 that assessed the effects of traditional RT on resting blood pressure (BP) and/or for the treatment of high BP were included. Only studies that assessed the effects of traditional RT on elderly adults, regardless of the number of exercises, with the presence of a control group and comparisons between groups, were included. Twenty-nine studies were found, but only six met the inclusion criteria. The mean difference was used for meta-analysis, using a 95% confidence interval and a random effect model. Traditional RT induced a significant decrease in SBP (-6.63 mmHg; p=0.02) but not in DBP (-3.34 mmHg; p=0.11). These results suggest that traditional RT may be a non-pharmacological strategy for the control of BP in the elderly. AU
Resumo O objetivo deste estudo foi analisar a efetividade da prática regular do treinamento resistido (TR) tradicional sobre a pressão arterial sistólica (PAS) e diastólica (PAD) em idosos normotensos. Uma revisão sistemática de Ensaios Clínicos Aleatórios (ECAs) com metanálises foi adotada. A busca dos estudos foi realizada sem restrição por idioma em diferentes bases de dados. ECA sobre os efeitos do TR tradicional sobre o controle da PAS e PAD de repouso ou no tratamento e/ou manutenção da pressão arterial elevada publicados de 1966 a 2016 foram selecionados. Somente estudos com idosos que realizaram o sistema de TR tradicional, independente do número de exercícios, com a presença de grupo controle e com comparações entre grupos foram incluídos. Dos 29 estudos encontrados na literatura somente seis atenderam os critérios estabelecidos. Para a metanálise empregou-se a diferença da média, com intervalo de confiança de 95% e modelo de efeito aleatório. A prática do TR tradicional acarretou redução significante na PAS (-6,63 mmHg; p=0,02) mas não na PAD (-3,34 mmHg; p=0,11). Os resultados sugerem que o TR tradicional pode ser uma estratégia não farmacológica bastante interessante para o controle da pressão arterial em idosos. AU
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Humanos , Presión Arterial , Salud del Anciano , Entrenamiento de Fuerza , Metaanálisis , RevisiónRESUMEN
INTRODUCTION: The aims of this study were to determine the motor unit behavior of the erector spinae muscles and to assess whether differences exist between the dominant/nondominant sides of the back muscles. METHODS: Nine healthy women, aged 21.7 years (SD = 0.7), performed a back extension test. Surface electromyographic decomposition data were collected from both sides of the erector spinae and decomposed into individual motor unit action potential trains. The mean firing rate for each motor unit was calculated, and a regression analysis was performed against the corresponding recruitment thresholds. RESULTS: The mean firing rate ranged from 15.9 to 23.9 pps and 15.8 to 20.6 pps on the dominant and nondominant sides, respectively. However, the early motor unit potentials of the nondominant lumbar erector spinae muscles were recruited at a lower firing rate. CONCLUSIONS: This technique may further our understanding of individuals with back pain and other underlying neuromuscular diseases. Muscle Nerve 55: 28-34, 2017.
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Potenciales Evocados Motores/fisiología , Contracción Muscular/fisiología , Músculos Paraespinales/fisiología , Fenómenos Biomecánicos , Electromiografía , Femenino , Voluntarios Sanos , Humanos , Región Lumbosacra , Adulto JovenRESUMEN
Low back pain (LBP) is one of the most common causes of disability, and the Pilates method has been associated with improvements in symptoms. The purpose of this study was to assess the effectiveness of the Pilates method, when compared to general exercises, on pain and functionality after eight weeks (16 sessions, 2×/week) and a follow-up of three months, in subjects with non-specific chronic low back pain (NSCLBP). A randomised controlled trial composed of 22 subjects was proposed. Subjects were allocated into two groups: the Pilates group (PG) (n = 11) and the general exercise group (GEG) (n = 11). The PG protocol was based on the Pilates method and the GEG performed exercises to manage NSCLBP. There were no differences between the groups. When analysed over time, the GEG demonstrated improvements in functionality between baseline and the end of treatment (P = .02; Cohen'sd¯ = 0.34) and baseline and follow-up (P = .04; Cohen'sd¯ = 0.31). There were no differences between the Pilates and general exercises with regard to pain and functionality in NSCLBP subjects but general exercises were better than Pilates for increasing functionality and flexibility.
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Técnicas de Ejercicio con Movimientos/métodos , Terapia por Ejercicio/métodos , Dolor de la Región Lumbar/rehabilitación , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Factores de TiempoRESUMEN
ABSTRACTIntroduction:Muscle activity in soccer players can be measured by isokinetic dynamometer, which is a reliable tool for assessing human performance.Objectives:To perform isokinetic analyses and to determine which variables differentiate the under-17 (U17) soccer category from the professional (PRO).Methods:Thirty four players were assessed (n=17 for each category). The isokinetic variables used for the knee extension-flexion analysis were: peak torque (Nm), total work (J), average power (W), angle of peak torque (deg.), agonist/ antagonist ratio (%), measured for three velocities (60°/s, 120°/s and 300°/s), with each series containing five repetitions. Three Wilks' Lambda discriminant analyses were performed, to identify which variables were more significant for the definition of each of the categories.Results:The discriminative variables at 60°/s in the PRO category were: extension peak torque, flexion total work, extension average power and agonist/antagonist ratio; and for the U17s were: extension total work, flexion peak torque and flexion average power. At 120°/s for the PRO category the discriminant variables were: flexion peak torque and extension average power; for the U17s they were: extension total work and flexion average power. Finally at 300°/s, the variables found in the PRO and U17 categories respectively were: extension average power and extension total work.Conclusion:Isokinetic variables for flexion and extension knee muscles were able to significantly discriminate between PRO and U17 soccer players.
RESUMOIntrodução:A atividade muscular em jogadores de futebol pode ser medida por meio do dinamômetro isocinético, que é um instrumento confiável para avaliação do desempenho humano.Objetivos:Conduzir análises isocinéticas e discriminar quais variáveis diferenciam a categoria sub-17 (S17) da profissional (PRO).Métodos:Trinta e quatro jogadores de futebol (n=17 para cada categoria) foram avaliados. As variáveis isocinéticas utilizadas para a análise de extensão-flexão do joelho foram: pico de torque (Nm), trabalho total (J), potência média (W), ângulo de pico de torque (graus), razão agonista/antagonista (%), testadas em três velocidades (60°/s, 120°/s e 300°/s), com cada série contendo cinco repetições. Três análises discriminantes foram feitas usando o método Wilk's Lambda para identificar quais variáveis fariam uma discriminação significativa entre as duas categorias.Resultados:As variáveis discriminantes a 60°/s na categoria PRO foram: pico de torque extensores, trabalho total flexores, potência média de extensores e razão agonista/antagonista; e para os S17 foram: trabalho total de extensores, pico de torque de flexores e potência média de flexores. A 120°/s para a categoria PRO as variáveis discriminantes foram: pico de torque de flexores e potência média de extensores; para os S17 foram: trabalho total de extensores e potência média de flexores. A 300°/s, as variáveis encontradas para as categorias PRO e S17 foram, respectivamente: potência média de extensores e trabalho total de extensores.Conclusão:As variáveis isocinéticas para os músculos do joelho flexores e extensores foram capazes de fazer uma discriminação significativa entre jogadores de futebol PRO e S17.
RESUMENIntroducción:La actividad muscular en jugadores de fútbol puede ser medida por medio del dinamómetro isocinético, que es un instrumento confiable para evaluación del desempeño humano.Objetivos:Conducir análisis isocinéticos y discriminar qué variables diferencian la categoría sub-17 (S17) de la profesional (PRO).Métodos:Fueron evaluados treinta y cuatro jugadores de fútbol (n=17 para cada categoría). Las variables isocinéticas utilizadas para el análisis de extensión-flexión de la rodilla fueron: pico de torque (Nm), trabajo total (J), potencia media (W), ángulo de pico de torque (grados), razón agonista/antagonista (%), probadas en tres velocidades (60°/s, 120°/s y 300°/s), con cada serie conteniendo cinco repeticiones. Fueron realizados tres análisis discriminantes usando el método Wilk's Lambda para identificar qué variables harían una discriminación significativa entre las dos categorías.Resultados:Las variables discriminantes a 60°/s en la categoría PRO fueron: pico de torque extensores, trabajo total flexores, potencia media de extensores y razón agonista/antagonista; y para los S17 fueron: trabajo total de extensores, pico de torque de flexores y potencia media de flexores. A 120°/s para la categoría PRO las variables discriminantes fueron: pico de torque de flexores y potencia media de extensores; para los S17 fueron: trabajo total de extensores y potencia media de flexores. A 300°/s, las variables encontradas para las categorías PRO y S17 fueron, respectivamente: potencia media de extensores y trabajo total de extensores.Conclusión:Las variables isocinéticas para los músculos de la rodilla flexores y extensores fueron capaces de hacer una discriminación significativa entre jugadores de fútbol PRO y S17.
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Humanos , Odontología Basada en la Evidencia/normas , Teorema de Bayes , Benchmarking , Investigación Dental/normas , Investigación Dental/estadística & datos numéricos , Odontología Basada en la Evidencia/estadística & datos numéricos , Valor Predictivo de las Pruebas , Estándares de Referencia , Proyectos de Investigación/normas , Proyectos de Investigación/estadística & datos numéricos , Sensibilidad y EspecificidadRESUMEN
[Purpose] The aim of the present study was described the kinematic characteristics of gait in stroke patients with two different arteries involved. [Subjects and Methods] Two patients who had suffered a basilar (A) or middle (B) cerebral artery ischemic stroke were compared with a control (C). Seventeen inertial sensors were used with acquisition rate of 120â Hz. The participants walked 3 times on a 10 meter walkway. From the raw data, the three gait cycles from the middle of each trial were chosen and analyzed. [Results] During the stance phase, patients A and B had a lower hip angle at initial contact and maximum flexion angle during load response than the control. Patient A and the control subject had similar knee angle values at initial contact, and patient B presented a flexed position in the initial phase of the gait cycle. The maximum flexion angles during loading response were also higher for patient B. The sagittal plane excursion for the ankle joint was lower for patient B in comparison with the other subjects. [Conclusion] Differences during walking between patients who had stroke in different arteries may be related to an alternative compensatory strategy. Patient A and the control subject had similar gait cycle curves at all joints, while patient B showed a rigid synergic pattern.
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The positive effects of physical training on heart rate variability (HRV) in healthy adults are widely recognized; however, the responsiveness to training in healthy children has not yet been established. The aim of this study was to determine the influence of physical training on HRV in prepubertal healthy children. Systematic computerized searches were performed from 1950 to 2012 in the following databases: Medline, Embase, Cinahl, Lilacs, Scielo, SportDiscus, ProQuest; Web of Science; PEDro; Academic Search Premier and the Cochrane Library. The key words used were: heart rate variability, autonomic nervous system, exercise training, physical activity, continuous exercise, intermittent exercise, children, prepubescent, adolescents, and healthy. Although the database search initially identified 6,164 studies, after removing duplicates and excluding by title the number was 148, however, only 2 studies were included in this systematic review. The meta-analysis compared the experimental group (n = 29) with the control group (n = 28) for the HRV parameters: RR intervals, SDNN, RMSSD, pNN50, LF (log), HF (log), LF/HF and Total Power (log). The meta-analysis demonstrated similar HRV indices between both the experimental and control groups. In conclusion, the available results from randomized controlled trials do not support the hypothesis that physical training improves HRV in healthy children[AUQ2].
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Ejercicio Físico/fisiología , Frecuencia Cardíaca/fisiología , Sistema Nervioso Autónomo/fisiología , Niño , Humanos , Modelos EstadísticosAsunto(s)
Odontología Basada en la Evidencia/normas , Teorema de Bayes , Benchmarking , Investigación Dental/normas , Investigación Dental/estadística & datos numéricos , Odontología Basada en la Evidencia/estadística & datos numéricos , Humanos , Valor Predictivo de las Pruebas , Estándares de Referencia , Proyectos de Investigación/normas , Proyectos de Investigación/estadística & datos numéricos , Sensibilidad y EspecificidadRESUMEN
BACKGROUND: There is a lack of questionnaires in Brazilian Portuguese to evaluate patient-reported lower limb function. OBJECTIVE: To translate, cross-culturally adapt to the Brazilian population, and evaluate the psychometric properties of the Lower Extremity Functional Scale (LEFS). METHOD: The LEFS was translated by two independent assessors and back-translated to English. Then, the LEFS-Brazil was tested on 20 patients who answered the questionnaire in the cross-cultural adaptation phase. For the evaluation of the psychometric properties, 100 patients answered the questionnaire. The reliability was tested by two independent assessors. The Medical Outcomes Study 36-item from Health Survey (SF-36) was used as the criterion method for construct validity. The sensitivity to change was tested for four consecutive weeks. RESULTS: The internal consistency was α = 0.96. The intra-observer reliability was CCI (intraclass correlation coefficient) = 0.96 and CCI interobserver = 0.98; the Bland and Altman mean difference (d) intra-observer = -1.52 and d interobserver = 0.46. The correlation between the LEFS and SF-36 in the first week was the following: physical function r=0.82, physical role r=0.57, emotional role r=0.43 and mental health r=0.33. The LEFS was responsive when comparing the mean of the first week to the second, third and fourth weeks and comparing the second to the fourth week. The cut-off point was 11, and the area under the receiving operator curve was 0.96 95% CI [0.88;0.99], with sensitivity = 0.96, 1-specificity = 0 and standard error = 0.02. CONCLUSION: The LEFS-Brazil is reliable, valid and responsive.
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Extremidad Inferior/fisiopatología , Enfermedades Musculoesqueléticas/fisiopatología , Encuestas y Cuestionarios , Adulto , Brasil , Características Culturales , Femenino , Humanos , Masculino , Psicometría , Reproducibilidad de los Resultados , TraduccionesRESUMEN
BACKGROUND: There is a lack of questionnaires in Brazilian Portuguese to evaluate patient-reported lower limb function. OBJECTIVE: To translate, cross-culturally adapt to the Brazilian population, and evaluate the psychometric properties of the Lower Extremity Functional Scale (LEFS). METHOD: The LEFS was translated by two independent assessors and back-translated to English. Then, the LEFS-Brazil was tested on 20 patients who answered the questionnaire in the cross-cultural adaptation phase. For the evaluation of the psychometric properties, 100 patients answered the questionnaire. The reliability was tested by two independent assessors. The Medical Outcomes Study 36-item from Health Survey (SF-36) was used as the criterion method for construct validity. The sensitivity to change was tested for four consecutive weeks. RESULTS: The internal consistency was α = 0.96. The intra-observer reliability was CCI (intraclass correlation coefficient) = 0.96 and CCI interobserver = 0.98; the Bland and Altman mean difference () intra-observer = -1.52 and interobserver = 0.46. The correlation between the LEFS and SF-36 in the first week was the following: physical function r=0.82, physical role r=0.57, emotional role r=0.43 and mental health r=0.33. The LEFS was responsive when comparing the mean of the first week to the second, third and fourth weeks and comparing the second to the fourth week. The cut-off point was 11, and the area under the receiving operator curve was 0.96 95% CI [0.88;0.99], with sensitivity = 0.96, 1-specificity = 0 and standard error = 0.02. CONCLUSION: The LEFS-Brazil is reliable, valid and responsive. .
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Adulto , Femenino , Humanos , Masculino , Extremidad Inferior/fisiopatología , Enfermedades Musculoesqueléticas/fisiopatología , Encuestas y Cuestionarios , Brasil , Características Culturales , Psicometría , Reproducibilidad de los Resultados , TraduccionesRESUMEN
The aim of this study was to verify the benefits of an exercise program on functional capacity and balance in elderly community. A longitudinal study was conducted with 11 female subjects with mean age 77 (SD = 13) years. All individuals were evaluated at the beginning and at the end of the study by 'Berg' Balance Scale and 'Timed Up and Go' Test. Initially, the participants answered a questionnaire about the socio-demographics aspects, health conditions, falls and physical activity practice. Then, the subjects were submitted to a program of exercises for balance, strengthening and stretching muscles. The results of the 'Berg' Scale ranged from 46 to 56 points before the intervention, and from 50 to 56, after the intervention (p = 0.01). Individuals older than 75 years old had a better improvement (p = 0.04). In the 'Timed Up and Go' Test the percentage of improvement was 8.2% ( = 13.1; SD= 11.7). The exercise program showed a positive effect in improving risk factors of falls in the elderly community.
Objetivo deste estudo foi verificar os benefícios de um programa de exercícios físicos na capacidade funcional e equilíbrio de idosos. Foi realizado um estudo longitudinal com a participação de 11 indivíduos do gênero feminino, com idade média de 77 anos (DP = 13). Todos foram avaliados no início e final do estudo pela Escala de Equilíbrio de Berg e pelo teste Timed Up and Go . Inicialmente, as participantes responderam um questionário por meio de entrevista, que abordava aspectos sociodemográficos, condições de saúde, quedas e prática de atividade física. Na sequência, as idosas foram submetidas a um programa de exercícios de treino de equilíbrio, fortalecimento e alongamentos musculares. Os resultados da escala de Berg variaram de 46 a 56 pontos, antes da intervenção e de 50 a 56 após a intervenção (p = 0,01). Os sujeitos com mais de 75 anos tiveram melhora superior (p = 0,04). No teste Timed Up and Go o percentual de melhora foi de 8,2% ( = 13,1; DP = 11,7). O programa de exercícios desenvolvido apresentou efeito positivo na melhora dos fatores de risco de quedas em idosos.
Asunto(s)
Humanos , Femenino , Anciano , Accidentes por Caídas , Anciano , Factores de Riesgo , Equilibrio Postural , Terapia por Ejercicio , Ejercicios de Estiramiento MuscularRESUMEN
OBJECTIVE: To perform a systematic review with meta-analyses that evaluates the effectiveness of the Pilates method on the pain and functionality outcome in adults with non-specific chronic low back pain. DATA SOURCES: The search was performed in the following databases: Medline, Embase, AMED, Cinahl, Lilacs, Scielo, SportDiscus, ProQuest, Web of Science, PEDro, Academic Search Premier and the Cochrane Central Register of Controlled Trials from 1950 to 2011; the following keywords were used: 'Pilates', 'Pilates-based', 'back exercises', 'exercise therapy', 'low back pain', 'back pain' and 'backache'. REVIEW METHODS: The inclusion criteria were studies that assessed the effects of the Pilates method on patients with chronic low back pain. RESULTS: Five studies met the inclusion criteria. The total number of patients was 71 in the Pilates group and 68 in the control group. Pilates exercise did not improve functionality (standardized mean difference (SMD = -1.34; 95% confidence interval (CI) -2.80, 0.11; P = 0.07) or pain between Pilates and control groups (SMD = -1.99; 95% CI -4.35, 0.37; P = 0.10). Pilates and lumbar stabilization exercises presented no significant difference in functionality (mean difference (MD) = -0.31; 95% CI -1.02, 0.40; P = 0.39) or pain (MD = -0.31; 95% CI -1.02, 0.40; P = 0.39). CONCLUSION: The Pilates method did not improve functionality and pain in patients who have low back pain when compared with control and lumbar stabilization exercise groups.
Asunto(s)
Técnicas de Ejercicio con Movimientos , Terapia por Ejercicio/métodos , Dolor de la Región Lumbar/rehabilitación , Región Lumbosacra/fisiología , Bases de Datos Bibliográficas , Humanos , Región Lumbosacra/fisiopatología , Evaluación de Procesos y Resultados en Atención de SaludRESUMEN
A análise fotogramétrica pode ser feita por meio de diferentes programas computacionais. Assim, o objetivo do presente estudo foi avaliar a confiabilidade e usabilidade de três diferentes programas em uma análise fotogramétrica durante a flexão do quadril e discutir aspectos qualitativos e quantitativos de cada um deles. Participaram do estudo 26 voluntários do gênero masculino, com idade entre 19 e 30 anos (x=25,4 anos, DP=2,5) que realizaram o teste do sentar e alcançar por meio do banco de Wells adaptado. Marcadores cutâneos foram posicionados nos processos ósseos: trocânter maior do fêmur e espinha ilíaca anterossuperior. A aquisição da imagem foi realizada no limite máximo da execução do teste. Todos os programas apresentaram uma alta confiabilidade entre as medidas, além disso, foram apresentadas vantagens e desvantagens específicas na adoção de cada um deles. O programa SAPO foi considerado com maiores vantagens para utilização na prática profissional, no entanto, para realização de análises em pesquisas científicas todos os programas apresentam pontos que devem ser considerados antes da sua adoção.
The photogrammetric analysis can be done by using different softwares. Thus, the purpose of this study was to assess the reliability and the usability of three different softwares during the hip flexion photogrammetric analysis and to discuss the qualitative and quantitative aspects of each one. Twenty-six volunteers participated in this study with age between 19 and 30 years old (x=25.4 years, SD=2.5) who underwent the sit-to-reach test through adapted Wells´ bench. Reflective skin markers were positioned in the anterior superior iliac spine and greater trochanter. The image acquisition was collected in the maximum limit of test execution. All softwares showed a high reliability between measures, besides it was presented specifics advantages and disadvantages during adoption one of them. SAPO´s software was considered with major points for professional practice, although taking the analysis for scientific research all softwares demonstrated characteristics that must be taken into consideration before adopting them.