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It is necessary to understand the relationship between different models of exercise periodization and the reduction of cardiovascular risk in adults with obesity. The aim of this study was to verify the effect of two periodization models of combined training on the cardiovascular risk of adults with obesity of both sexes. A randomized clinical trial was conducted with adults of both sexes with obesity. They were divided into three groups: control group (CG), non-periodized combined training group (NG), and combined training group with linear periodization (PG). The NG and PG groups underwent physical exercise training regimen for 16 weeks, in three weekly sessions of 60 min each, with the volume and intensity equalized. Cardiovascular risk was measured by the overall Framingham risk score (FRS). Generalized estimation equations and individual responsiveness analyses were used, stratified by sex. A statistically significant reduction in FRS was observed only in men of the NG (pre: 2.50 ± 0.56; post: 0.50 ± 1.02; p-value = 0.001). There was no statistically significant intervention effect on the women's cardiovascular risk. It was found that, regardless of sex, subjects in the control group mostly presented results of increased cardiovascular risk. In contrast, those belonging to the exercise groups, if not reduced, at least stabilized the chances of suffering a cardiovascular event in the next ten years after 16 weeks of combined training. Sixteen weeks of non-periodized combined training were sufficient to reduce cardiovascular risk in men with obesity. Both periodization models were important to stabilize the risk of developing a cardiovascular disease in the next 10 years.
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Enfermedades Cardiovasculares , Obesidad , Humanos , Masculino , Femenino , Obesidad/complicaciones , Obesidad/terapia , Enfermedades Cardiovasculares/prevención & control , Enfermedades Cardiovasculares/epidemiología , Adulto , Persona de Mediana Edad , Factores de Riesgo de Enfermedad Cardiaca , Terapia por Ejercicio/métodos , Ejercicio FísicoRESUMEN
OBJECTIVE: To verify the association between exercise and free time sport types and binge drinking in a large sample of adults. METHODS: Data of 718,147 adults from the "Surveillance of Risk and Protection Factors for Chronic Diseases by Telephone Survey" were used. We described the demographic and behavioral variables, and negative binomial regression analyzed the association between exercise and free time sport types and binge drinking adjusted by demographics variables, body mass index status, and television time. RESULTS: Outdoor walking/running was the most common exercise reported (20.0%, 95% confidence interval [CI], 19.8%-20.2%), followed by team sports (8.1%; 95% CI, 8.0%-8.2%) and strengthening (8.0%; 95% CI, 7.9%-8.1%). The prevalence of binge drinking for each exercise and free time sport type ranged from 6.9% (water aerobics) to 31.9% (team sports). Participants engaging in strengthening (prevalence ratio = 1.12; 95% CI, 1.04-1.21, P = .002) and team sports (prevalence ratio = 1.11; 95% CI, 1.07-1.17, P < .001) were more likely to binge drink more frequently in the past 30 days than inactive participants. CONCLUSIONS: It appears that the participants' profile plays an important role in the underlying social context of this association. Participants with more frequent strengthening and less frequent team sports practice, who were primarily younger and single, were more likely to binge drink frequently.
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Consumo Excesivo de Bebidas Alcohólicas , Deportes , Humanos , Adulto , Consumo Excesivo de Bebidas Alcohólicas/epidemiología , Ejercicio Físico , Etanol , Recolección de Datos , Consumo de Bebidas Alcohólicas/epidemiologíaRESUMEN
O objetivo do estudo foi verificar modificações na prevalência de atividade física (AF) e desigual-dades em idosos acompanhados antes e após o período de distanciamento social causado pela CO-VID-19. Trata-se de estudo prospectivo conduzido na zona urbana da cidade de Pelotas-Rio Grande do Sul, onde idosos foram acompanhados no ano de 2019/20 e 2021/22. A prevalência de AF foi avaliada através do IPAQ nos domínios do lazer e deslocamento avaliados de forma conjunta. Foram classificados como ativos fisicamente aqueles que realizavam ≥ 150 min/sem. As covariáveis/estra-tificadores avaliadas foram sexo, idade, cor da pele, classe econômica, escolaridade e morbidades. As desigualdades simples foram avaliadas através das diferenças e das razões da prevalência de AF e as desigualdades complexas através do índice de desigualdade (SII) e o índice de concentração (CIX). Os resultados indicaram que houve redução da prevalência de AF de 2019/20 para 2021/22 e que essas modificações ocorreram em todos os grupos populacionais, variando em termos de magnitude de declínio. O SII mostrou aumento da desigualdade entre os mais pobres em comparação aos mais ricos e redução da desigualdade em relação à idade, escolaridade e morbidades. Concluiu-se que a redução da AF ocorreu em todos os grupos populacionais. Em termos de desigualdades, houve aumento em termos de classe econômica e, nos casos de redução da desigualdade, tal mudança foi em virtude da diminuição de AF entre as categorias que eram mais ativas, sendo necessário políticas de saúde para resgatar níveis adequados de AF na população estudada
This study aimed to verify the modification in the physical activity prevalence (PA) and possible inequalities in older individuals monitored before and after social distancing due to COVID-19. This is a prospective study conducted in the urban area of Pelotas-Rio Grande do Sul, where the elderly was followed up in 2019/20 and 2021/22. The prevalence of PA was assessed using the IPAQ in the domain of leisure time and commuting evaluated together. Older people who performed ≥150 min/week were classified as physically active. The covariates/stratifiers assessed were sex, age, skin color, economic class, schooling, and morbidity. Simple inequalities were assessed through differences and ratios for the prevalence of PA and complex ine-qualities through the inequality index (SII) and the concentration index (CIX). The results indicated that there was a reduction in the prevalence of PA among the participants from 2019/20 to 2021/22 and that these changes occurred regardless of population characteristics. The SII showed an increase in PA inequality among the poorest compared to the richest individuals and a reduction in inequalities about age, education, and morbidities. It is concluded that the reduction in PA occurred similarly regardless of the covariates/stratifiers evaluated, that there was an increase in inequality in PA among the less economically favored, and that the reduction in inequality occurred especially from the reduction in PA, requiring health policies to rescue adequate levels of PA in the studied population
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Humanos , Masculino , Femenino , Anciano , Anciano , Ejercicio Físico , COVID-19 , Estudios de CohortesRESUMEN
ABSTRACT The aim of this study was to verify the association between the degree of wisdom and the level of leisure-time physical activity (PA) of students from a federal public school in southern Brazil. Observational cross-sectional study with 462 young people of both sexes between 15 and 18 years old. Data collection was performed using a self-administered questionnaire on the REDCap platform. The independent variable was the "level of leisure PA" (inactive, insufficiently active, and physically active) and the outcome was the "degree of wisdom" evaluated through a validated questionnaire (SD-WISE7). There was a linear trend towards an increase in the wisdom score according to the level of PA. This trend and significant association continued in the adjusted analysis, with active students averaging 1.84 points more in the wisdom score compared to inactive students. In conclusion, the wisest young people are also the most physically active young people. In view of the potential beneficial effects, current studies may consider wisdom as a possible mediator of PA with health outcomes.
RESUMO O objetivo deste estudo foi verificar a associação entre o grau de sabedoria e o nível de atividade física de lazer (AF) de alunos de uma escola pública federal do sul do Brasil. Estudo observacional de corte transversal com 462 jovens de ambos os sexos entre 15 e 18 anos de idade. A coleta de dados foi realizada por meio de um questionário autoaplicável na plataforma REDCap. A variável independente foi o "nível de AF de lazer" (inativo, insuficientemente ativo e ativo fisicamente) e o desfecho foi a "grau de sabedoria" avaliados por meio de questionários validados. Observou-se tendência linear de aumento do escore de sabedoria conforme o nível de AF. Essa tendência e associação significativa se manteve na análise ajustada, com os ativos tendo em média 1.84 pontos a mais no escore de sabedoria em comparação aos inativos. Em conclusão, os jovens mais sábios também são os jovens mais ativos fisicamente. Tendo em vista os potenciais efeitos benéficos, os estudos atuais podem considerar a sabedoria como um possível mediador da AF com desfechos em saúde.
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The relationship between cities, globalization and mobility has produced recurring urban challenges over time. This article examines how mobility networks can turn global cities into Pandemic Gateways. Our hypothesis is that global cities became the gateway by which COVID-19 was introduced to many countries through the hypermobility of infected international travelers. To assess this transmission mechanism, we assembled data about the population and COVID-19 cases in global cities and their associated countries, comparing their infection rates on a fixed date. We demonstrate that most global cities followed a common pattern in the pace and intensity of COVID-19's spread during the first wave of the pandemic. Among our global cities sample, 75% served as the gateway through which COVID-19 was diffused within their respective countries. This trend reached 90% in a subset based upon the urban hierarchy among global cities. Hypermobility, which we demonstrate contributed to the mechanism by which global cities diffused COVID-19 initially, is also correlated with the global cities hierarchy, as supported by air travel data. Our findings suggest the need to appreciate why global cities can serve as gateways of pandemic diffusion, while also seeking to understand why some did not function in this way.
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BACKGROUND: The flea toad Brachycephalus sulfuratus was recently described from southeastern and southern Brazil. In its description, the authors overlooked previous records of flea toads that had been identified as "Brachycephalus sp. nov." and B. hermogenesi occurring in the same regions, which could suggest the possibility of up to three flea toads coexisting in southern Brazil. In addition, B. sulfuratus is characterized by substantial phenotypic variability, to an extent that compromises its current diagnosis with respect to its congener B. hermogenesi. Therefore, the current state-of-affairs regarding the geographical distribution of these two species and the identification of previously known populations is hitherto uncertain. Our goals are to reassess previous records of flea toads attributable to B. hermogenesi, B. sulfuratus and "Brachycephalus sp. nov.", considering the description of B. sulfuratus, and to review the diagnosis of B. sulfuratus. METHODS: A critical analysis of the species identity of flea toad specimens attributable to B. hermogenesi, B. sulfuratus, or to a potentially undescribed species from southeastern and southern Brazil was based either on the analysis of morphology or on their advertisement calls. These analyses include our independent examinations of specimens and, when not possible, examinations of published descriptions. To allow for a consistent comparison of advertisement calls between B. hermogenesi and B. sulfuratus, we made recordings of both species, including in the type locality of the former. RESULTS: We found that morphological and call characters originally proposed as diagnostic for B. sulfuratus in relation to B. hermogenesi vary intraspecifically. Live individuals with ventral yellow spots correspond to B. sulfuratus; individuals without yellow spots can be either B. sulfuratus or B. hermogenesi. In preservative, they are indistinguishable. Previous records of Brachycephalus sp. nov. correspond to B. sulfuratus. We propose that the reduced number of notes per call and the presence of only isolated notes in the call of B. sulfuratus, as opposed to a high number of notes per call with isolated notes and note groups in the call of B. hermogenesi, as the only diagnostic characters between them. Regarding their distributions and based in our assessment, only B. sulfuratus occurs in southern Brazil, without any overlap with B. hermogenesi. There is a narrow gap between the distributions of these species around the southeast of the city of São Paulo. Our revision also revealed that some records previously attributed to B. hermogenesi in Rio de Janeiro and north São Paulo represent a distinct, unidentified flea toad that is not B. sulfuratus. Both species occur side by side in Corcovado, São Paulo, a locality from where five paratypes of B. hermogenesi were obtained. Biogeographic events that might have led to vicariance between B. hermogenesi and B. sulfuratus are discussed.
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O objetivo desse estudo foi verificar a concordância na velocidade da marcha (VM) a partir dos testes de caminhada de seis minutos (6MWT) e de quatro metros (4MWT) em mulheres diabéticas tipo 2 (DM2). Os testes foram realizados antes e após intervenção de 12 semanas com exercícios físicos. O 4MWT foi realizado em espaço de quatro metros, sendo o resultado do teste medido como o tempo gasto (segundos) no percurso. O 6MWT foi realizado em modelo de ir e vir em uma distância de 15 metros e o resultado foi a distância total (metros) percorrida. Os resultados foram padronizados para velocidade de deslocamento (m/s). Para avaliar a concordância (6MWTpré x 4MWTpré) e (6MWTpósx 4MWTpós), utilizou-se o teste de Bland-Altman (B-A) e o coeficiente de concordância de correlação de Lin. O nível de significância aceito para o estudo foi α 5%. Foram medidas 39 mulheres, com idade média de 58,79 ± 10,03 anos e diagnóstico de DM2 a 8,64 ± 8,53 anos. Verificou-se, pelo teste de B-A, diferenças na VM dos testes de -0,001 ± 0,19 m/s (IC95%: -0,37 a 0,37 m/s) no início e 0,02 ± 0,21 m/s (IC95%: -0,39 a 0,42 m/s) ao final e concordância de 0,60 (IC95%: 0,41 a 0,79; p < 0,001) e 0,52 (IC95%: 0,31 a 0,73; p < 0,001) pré e pós, respectivamente, pelo coeficiente de concordância de correlação Lin. Através dos dados obtidos, sugere-se que os dois testes podem ser utilizados para avaliar a VM das mulheres DM2, porém o 6MWT apresentou maior reprodutibilidade para detectar mudanças na VM ao longo do tempo
This study aimed to test the agreement in the gait speed (GS) between the 6-minute walk test and the 4-me-ter gait speed (6MWT - 4MWT) in type 2 diabetic women (T2DM). The tests were performed before and after a 12-week physical exercise intervention. The 4MWT was performed in a space of four meters, with results based on the time spent (seconds) to complete a 4-meter distance. The 6MWT was carried out similar to a yo-yo test in 15 meters and the result was operationalized by the total distance (meters) covered. The results of the tests were standardized as speed (m/s). To evaluate agreements (6MWTbefore x 4MWTbefore) and (6MWTafter x 4MWTafter), Bland-Altman (B-A), and Lin's agreements were used. The level of significance was set at 5%. A total of 39 women were evaluated, mean age 58.79 ± 10.03 years, diagnosis of diabetes at 8.64 ± 8.53 years.The B-A test showed a mean difference in GS of -0.001 ± 0.19 m/s (95%CI: -0.37 to 0.37 m/s) before and 0.02 ± 0.21 m/s (95%CI: -0.39 to 0.42 m/s) after, and Lin's agreements of 0.60 (95%CI: 0.41 to 0.79; p < 0.001) and 0.52 (95%CI: 0.31 to 0.73; p < 0.001) before and after, respectively. Based on our data it is suggested that the two tests can be used to evaluate the GS of T2DM women, but the 6MWT was more reproductible to detect changes in GS over time
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Humanos , Femenino , Adulto , Persona de Mediana Edad , Anciano , Anciano de 80 o más Años , Diabetes Mellitus Tipo 2/diagnóstico , Prueba de Paso/métodos , Análisis de la Marcha/métodos , Factores Socioeconómicos , Escala de Fujita-Pearson , Velocidad al CaminarRESUMEN
Resumo Esta pesquisa teve por objetivo traçar um panorama da atual configuração da pós-graduação stricto sensu da educação física brasileira; analisar as condições e possibilidades de expansão das subáreas sociocultural e pedagógica; e analisar a configuração do Qualis Periódicos da área 21, referente ao quadriênio 2013-2016. O estudo teve um caráter exploratório e seguiu os princípios epistemológicos e metodológicos da pesquisa qualitativa, usou prioritariamente a análise documental. Concluiu-se que as lógicas epistemológicas e avaliativas que vigoraram na área 21 nas últimas avaliações, principalmente por referendar um Qualis Periódicos predominantemente biológico, têm obstruído as condições e possiblidades de expansão das subáreas sociocultural e pedagógica.
Abstract This research's goal is to paint a picture of the post graduation studies, stricto sensu, of brazilian physical education; analyzing conditions and possibilities of expansion of it's sociocultural and pedagogical subareas; analyzing "area 21" "Qualis Periodicos" condition, concerning the period between 2013-2016. This study has an exploratory approach and followed the methodological and epistemological method of qualitative research, using mainly documental data. Concludes, that the epistemological logic and the evaluations enforced in "area 21" during the periods evaluated, expecially those that enforced a biological predominant "Qualis Periódico" have been obstructing the conditions and possibilities of expansion of the sociocultural and pedagogical subareas.
Resumen El presente trabajo tiene como objetivo trazar un panorama de la actual configuración de los estudios de posgrado, stricto sensu, de la educación física brasileña; analizar condiciones y posibilidades de expansión de las subáreas sociocultural y pedagógica, y analizar la configuración del sistema Qualis Periódicos del área 21, en relación con el cuatrienio 2013-2016. Este estudio tiene carácter exploratorio, obedece principios epistemológicos y metodológicos de investigación cualitativa, y utiliza principalmente el análisis documental. Se concluye que las lógicas epistemológicas y de evaluación que se llevaron a cabo en el área 21 durante las últimas evaluaciones, especialmente aquellas que reforzaban un Qualis Periódico predominantemente biológico, obstruyeron las posibilidades de expansión de las subáreas sociocultural y pedagógica.
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RESUMO Este artigo versa sobre a análise da compressibilidade dos resíduos sólidos urbanos (RSUs) do antigo vazadouro da Marambaia, localizado no município de Nova Iguaçu, Rio de Janeiro, que operou como um lixão durante o período de 1987 a 2003, quando foi encerrado e remediado. O estudo foi levado a cabo por meio de dados de monitoramento de recalque superficial, obtidos por meio de marcos superficiais de 2008 a 2015. As medidas de recalques foram analisadas à luz dos seguintes modelos de compressibilidade: Sowers, Meruelo, Ling et al. e Oweis. Os resultados do monitoramento apresentaram valores de recalques entre 79 e 204 mm, representando deformações na faixa de 0,16 a 0,41% em relação à altura inicial do maciço. Os modelos Sowers, Meruelo e Ling et al apresentaram valores de recalques relativamente próximos, evidenciando que, embora diferentes conceitualmente, podem ser usados para prever recalques em longo prazo com boa aproximação. O modelo de Oweis é o mais elaborado dos modelos analisados e o que apresentou valores mais elevados de recalques.
ABSTRACT This paper deals with the analysis of the compressibility of the old Marambaia dumping grounds' MSW, located at Nova Iguaçu City (Rio de Janeiro) that was used as a waste dump from 1987 until 2003, when it was closed and remediated. The study was carried out based on superficial settlement monitoring data of reference points between 2008 and 2015. These data were analyzed considering the following compressibility models: Sowers, Meruelo, Ling et al. and Oweis. The results of the monitoring showed settlement values between 79 and 204 mm representing deformations in the range of 0.16 to 0.41% with regards to the of the landfill's initial height. The models of Sowers, Merueloand Ling et al. render settlement values that are relatively close; revealing that, although being different in conception, both can be used to predict long-term settlements with a good approximation. The model of Oweis is the most elaborated of all models analyzed and predicted the greatest values for settlement.
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BACKGROUND: Retinal tears complicating the course of a posterior vitreous detachment (PVD) may be unique or multiple, and when multiple they may occur simultaneously or subsequently at different moments in the evolution of a PVD. The purpose of our study was to analyze the prevalence of subsequent retinal tears (SRT) in patients with a PVD, and to identify possible risk factors for SRT. METHODS: One hundred and seventy six eyes in 165 consecutive patients that presented one or more retinal tears in the evolution of a symptomatic PVD, with a minimum follow-up of 12 months, were retrospectively evaluated. The primary outcome measure was to characterize the clinical features associated with SRT formation against those eyes with non-subsequent retinal tear (NSRT-retinal tear/s diagnosed at initial examination) formation. For that purpose, this cohort of patients was divided into two different groups: group 1 included eyes presenting one or multiple retinal tears only at initial examination (NSRT), and group 2 eyes that progressed to a further retinal tear/s (SRT) during follow-up. RESULTS: Group 1 comprised 154 eyes from 145 patients, 48.7% males and 51.3% females with a mean age of 56.9 ± 14.0 years (range = 15-89); 17.2% of patients had a previous retinal tear or retinal detachment in the fellow eye; mean number of retinal tears per eye 1.42 ± 0.8 (range = 1-5); 20.8% presented bilateral retinal tears; 59.1% were myopic eyes (p < 0.05). Group 2 comprised 22 eyes from 20 patients; mean age was 53.3 ± 13.6 years (range = 30-69); 63.6% were male (p = 0.13), and 7 patients (31.8%) had a history of SRT or retinal detachment in the fellow eye (p = 0.13). The mean number of retinal tears per eye was 1.36 ± 0.5 (range = 1-2); bilateral retinal tears were noted in 18.2% of eyes; 86.4% were myopic eyes (p = 0.01); 81.8% occurred within a 120 days-period following diagnosis of the first retinal tear. CONCLUSIONS: Multiple retinal tears may be diagnosed in the evolution of a PVD. SRT are most frequently observed in myopic patients, and are usually symptomatic. Follow-up must extend for at least 4 months after the initial symptoms.
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Miopía/complicaciones , Perforaciones de la Retina/epidemiología , Desprendimiento del Vítreo/complicaciones , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Modelos Logísticos , Masculino , Persona de Mediana Edad , Prevalencia , Perforaciones de la Retina/etiología , Estudios Retrospectivos , Factores de Riesgo , Adulto JovenRESUMEN
Introduccion: La videocolonoscopía es el principal método de diagnóstico, tratamiento y seguimiento en patologías colorectales. La perforación colónica en endoscopía terapeútica es una complicación infrecuente pero debe ser evaluada y tratada rapidamente cuando aparece ya que puede presentar una morbimortalidad elevada. Objetivo: Valorar resultado de tratamiento conservador no quirúrgico en perforaciones colónicas post polipectomía endoscópica. Materiales y Métodos: Se realizó un estudio retrospectivo observacional descriptivo sobre base de datos prospectiva en el Sanatorio del Salvador y en el centro privado Unidad Digestiva Baistrocchi de la ciudad de Córdoba, desde enero del año 2012 a diciembre del 2017. Resultados: Sobre un total de 1606 procedimientos intervencionistas, se presentaron 9 perforaciones. El síntoma más frecuente fue el dolor abdominal, seguido de distensión, defensa muscular, reacción peritoneal y fiebre. Se realizaron radiografía de abdomen y tomografía computada a todos los casos con diagnóstico presuntivo para corroborar los hallazgos clínicos. Se realizó internación, reposo gástrico, control estricto de parámetros clínicos y antibioticoterapia para flora colónica. Se analizó diariamente evolución decidiendo conducta a seguir. El tratamiento conservador fue satisfactorio en un 87% de los casos. Conclusión: La perforación colónica postpolipectomía es una complicación inevitable, de menor incidencia en especialistas entrenados. Conociendo los síntomas de presentación, realizando un correcto examen físico y seguimiento clínico puede realizarse tratamiento conservador exitoso en aquellos pacientes clínicamente estables y de riesgo moderado. (AU)
Background: Videocolonoscopy has become the main tool for diagnostic and treatment of colorrectal diseases. Perforation after therapeutic colonoscopy is an uncommon complication but it must be treated quickly beacause of it´s high rate of morbidity and mortality. Aims: To evaluate rate of success of non quirurgical treatment in postpolipectomy perforations. Methods: A retrospective observational study was performed over a prospective database of 11062 colonoscopy fulfilled between january 2012 and december 2017. Results: We had 9 perforations. The most common symptom was abdominal pain, followed by distension, peritonism and fever. All pacients with presumpitve diagnoses were studied with computed tomography and plain chest radiography. The management was conservative in all cases. The standard treatment was endovenous antibiotics, nil-by-mouth regimen, fluids and hospitalization in common floor. Conservative treatment was successful in 87% of our cases. Conclusions: postpolipectomy perforation is inevitable, nevertheless, has lower incidence in specialized physicians. Knowledge about symptoms and having a close follow up of potencial patients may allow us to improve rates of success in conservative management. (AU)
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Humanos , Masculino , Femenino , Persona de Mediana Edad , Anciano , Anciano de 80 o más Años , Colonoscopía/métodos , Colon/lesiones , Tratamiento Conservador , Enfermedad Iatrogénica , Complicaciones Intraoperatorias , Reoperación , Estudios Retrospectivos , Estudios de Seguimiento , Resultado del Tratamiento , Perforación Intestinal , Intestino Grueso/lesiones , Antibacterianos/uso terapéuticoRESUMEN
Este estudo objetivou verificar a prevalência e os fatores associados aos sintomas psicológicos do envelhecimento masculino em uma amostra representativa de homens com idade igual ou superior a 40 anos, residentes na zona urbana do município de Pelotas, Rio Grande do Sul, Brasil. Foi realizado um estudo transversal de base populacional, incluindo 421 homens que residiam na zona urbana do município. Para medir os sintomas psicológicos do envelhecimento foi utilizada a dimensão psicológica da escala AMS (The Aging Male´s Symptoms Scale). Considerou-se como tendo sintomas aqueles homens que apresentaram sintomas moderados e graves. A prevalência dos sintomas psicológicos do envelhecimento masculino foi de 42,3% (IC95% 37,4%-47,1%) e, após controle para fatores de confusão, apenas a variável autopercepção de saúde permaneceu associada ao desfecho. Concluiu-se que a prevalência de sintomas psicológicos na população masculina é elevada e afetada pela percepção de saúde. Políticas de saúde pública aliadas ao aumento de hábitos de vida saudáveis poderiam minimizar esta prevalência e proporcionar melhor qualidade de vida a homens de meia idade e idosos. (AU)
This study aimed to identify the prevalence and associated factors from psychological symptoms of aging male's in a representative sample of men with 40 years or older living in the urban area of Pelotas, Rio Grande do Sul, Brazil. A population-based cross-sectional study including 421 men living in urban area. To evaluate the psychological symptoms of aging male's was used the psychological dimension of the AMS scale (The Aging Male's Symptoms Scale). It was considered as having psychological symptoms men who had moderate to severe symptoms. The prevalence of psychological symptoms of aging male's was 42.3% (CI95% 37.4% -47.1%), and after controlling for confounding factors health self-rated remained associated with the outcome. We conclude that the prevalence of psychological symptoms in older males is high, and affects their perception of health. Public health policies coupled with increased healthy lifestyle habits could minimize the prevalence, and provide better quality of life for middle-age and older men. (AU)
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Humanos , Masculino , Adulto , Persona de Mediana Edad , Anciano , Envejecimiento/psicología , Salud del Hombre/estadística & datos numéricos , Autoimagen , Estudios Transversales , Psicología , Signos y SíntomasRESUMEN
Climatic droplet keratopathy (CDK) is an acquired degenerative disease predominantly affecting males over 40 years old. It results in progressive corneal opacities usually affecting both eyes. CDK is multifactorial and its etiology remains unknown. Our recent findings are consistent with CDK pathology being driven by environmental factors with oxidative stress playing an important role (e.g.,, contributing to lipid peroxidation) rather than climate factors. The changes in corneal lipid composition affected by environmental factors remain understudied. The purpose of this study was to systematically investigate phospholipids profile (phosphatidylcholine [PC] and phosphatidylserine [PS]) in corneas from CDK patients using tandem mass spectrometry. Samples from CDK areas and from non-affected areas were obtained from patients diagnosed with CDK who underwent cataract surgery, were subjected to lipid extraction using a modified Bligh and Dyer method; protein concentrations were determined using the Bradford's method. Lipids were identified and subjected to ratiometric quantification using TSQ Quantum Access Max triple quadrupole mass spectrometer, using appropriate class specific lipid standards. All phospholipid classes showed lower total amounts in affected areas compared to control areas from CDK's corneas. Comparative profiles of two phospholipid classes (PC, PS) between CDK areas and control areas showed several common species between them. We also found a few unique lipids that were absent in CDK areas compared to controls and vice versa. Lower amount of phospholipids in CDK areas compared to control areas could be attributed to the lipid peroxidation in the affected corneal regions as a consequence of increased oxidative stress. J. Cell. Biochem. 118: 3920-3931, 2017. © 2017 Wiley Periodicals, Inc.
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Córnea/metabolismo , Enfermedades de la Córnea/metabolismo , Estrés Oxidativo , Fosfolípidos/metabolismo , Córnea/patología , Enfermedades de la Córnea/patología , Humanos , Masculino , Persona de Mediana EdadRESUMEN
Mountains of the Brazilian Atlantic Forest can act as islands of cold and wet climate, leading to the isolation and speciation of species with low dispersal capacity, such as the toadlet species of the genus Brachycephalus. This genus is composed primarily by diurnal species, with miniaturized body sizes (<2.5 cm), inhabiting microhabitats in the leaf litter of montane forests. Still, little is known about the geographical distribution, altitudinal range, and ecological limits of most Brachycephalus species. In this study, we review the available data on the geographical and altitudinal distribution of Brachycephalus based on occurrence records compiled from literature and museums, both for the genus as a whole and separately for the three recently proposed groups of species (ephippium, didactylus, and pernix). The final ensemble dataset comprised 333 records, 120 localities, 28 described species, and six undescribed ones. Species were recorded in six relief units, the richest of which being the Serra do Mar, with 30 species. When the Serra do Mar is subdivided into three subunits, Northern, Central and Southern Serra do Mar, the number of species increase from north to the south, with records of six, nine, and 16 species, respectively. We were able to estimate the extent of occurrence of nearly half of the described species, and the resulting estimates indicate that many of them show remarkably small ranges, some of which less than 50 ha. Brachycephalus species are present from sea level to roughly 1,900 m a.s.l., with the highest richness being found between 751 and 1,000 m a.s.l. (21 spp.). The species with the broadest altitudinal range were B. didactylus (1,075 m) and Brachycephalus sp. 1 (1,035 m), both in the didactylus group, and B. ephippium (1,050 m), of the ephippium group. The broadest altitudinal amplitude for species of the pernix group was recorded for B. brunneus (535 m). The lowest altitudinal records for the pernix group were at 845 m a.s.l. in the state of Paraná and at 455 m a.s.l. in the state of Santa Catarina. The altitudinal occurrence in the pernixspecies group seems to decrease southward. Syntopy between species is also reviewed.
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ABSTRACT BACKGROUND AND OBJECTIVES: In light of the social and economic impact caused by pain and the evidences of benefits provided by physical activity to individuals affected by this unpleasant sensation, this study aimed at evaluating the prevalence of selfreported musculoskeletal pain and at determining its association with the level of physical activity of males aged 40 years or above, dwellers of the urban zone of the city of Pelotas-RS. METHODS: This is an observational, cross-sectional and population-based study. The level of physical activity was measured by means of leisure and commuting sections of the International Physical Activities Questionnaire, being classified as insufficiently active those with scores below 150 minutes/week. To evaluate pain self-perception, a question of the Aging Male's Symptoms Scale was used. Those reporting moderate, severe and intense pain were classified as having pain. RESULTS: The prevalence of pain self-perception was 27.0% (CI95% 22.7 - 31.3) and was significantly associated to the level of physical activity (p<0.001). Males performing 150 minutes/ week or more of physical activity had 60% protection against pain report as compared to those not reaching this cutoff point, being that this result was maintained significant even after adjustment for confounding factors (p=0.02). CONCLUSION: This study has shown that reaching physical activity recommendations may be a protection against musculoskeletal pain perception among studied males.
RESUMO JUSTIFICATIVA E OBJETIVOS: Frente ao impacto social e econômico que a dor causa e aos indícios dos benefícios proporcionados pela prática de atividade física em indivíduos acometidos por essa sensação desagradável, o objetivo deste estudo foi avaliar a prevalência de dor musculoesquelética autorrelatada e determinar a associação dessa variável com o nível de atividade física em homens de 40 anos de idade ou mais, residentes na zona urbana da cidade de Pelotas-RS. MÉTODOS: O estudo caracteriza-se como observacional, transversal de base populacional. O nível de atividade física foi mensurado por meio das sessões de lazer e deslocamento do Questionário Internacional de Atividades Físicas, sendo classificados como insuficientemente ativos aqueles com escore inferior a 150 minutos/semana. Para avaliar a autopercepção da dor utilizou-se uma questão da escala The Aging Male's Symptoms Scale. Foram classificados como tendo dores aqueles que relataram sentir dores moderadas, graves e intensas. RESULTADOS: A prevalência de autopercepção de dor foi de 27,0% (IC95% 22,7 - 31,3) e esteve significativamente associada ao nível de atividade física (p<0,001). Os homens que realizaram 150 minutos/semana ou mais de atividade física apresentaram uma proteção de 60% contra o relato de dor quando comparados aos que não atingiam esse ponto de corte, sendo que esse resultado se manteve significativo após ajuste para os fatores de confusão (p=0,02). CONCLUSÃO: O presente estudo demonstrou que atingir as recomendações de atividade física pode representar proteção contra a percepção da dor musculoesquelética nos homens estudados.
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The eye and skin may offer critical clues to the diagnosis of a varied spectrum of metabolic diseases from endocrine origin and their different stages of severity, such as diabetes mellitus and Graves disease. On the other hand, such entities may compromise the eye and visual function severely, and awareness of these possible associations is an important step in their diagnosis and management. A large number of less common endocrine diseases may also have significant ocular/visual or skin involvement. Often the etiologic relationship between the endocrine metabolic disease and the ocular compromise is unknown, but diverse pathogenetic mechanisms may act through a common pathologic pathway producing ocular damage, as occur in diabetic retinopathy. This review emphasizes the ocular and skin manifestations of different metabolic diseases of endocrine origin.
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Diabetes Mellitus Tipo 1/complicaciones , Diabetes Mellitus Tipo 2/complicaciones , Oftalmopatías/etiología , Enfermedades de las Paratiroides/complicaciones , Enfermedades de la Hipófisis/complicaciones , Enfermedades de la Piel/etiología , Enfermedades de la Tiroides/complicaciones , Enfermedades de las Glándulas Suprarrenales/complicaciones , Síndrome de Cushing/complicaciones , HumanosRESUMEN
As metabolism is controlled by the input of genes and the environment, metabolic disorders result from some disturbance in the interaction between genes and environmental factors. Many metabolic disorders consist in congenital enzyme deficiencies, also known as "inborn errors of metabolism," that may be disabling or cause severe illness and death and are predominantly inherited in an autosomal recessive fashion. The deposit in cells and tissues of storage substances from errors in metabolic processes may produce a wide variety of disorders affecting different organs and functions, with different degrees of severity, and often present around the time of birth or early childhood. Distinctive ocular and skin manifestations accompany many metabolic diseases and may provide clues for their diagnosis and evolution.
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Oftalmopatías/etiología , Errores Innatos del Metabolismo/complicaciones , Enfermedades de la Piel/etiología , Errores Innatos del Metabolismo de los Aminoácidos/complicaciones , Amiloidosis/complicaciones , Gota/complicaciones , Humanos , Síndrome de Lesch-Nyhan/complicaciones , Proteinosis Lipoidea de Urbach y Wiethe/complicaciones , Enfermedades por Almacenamiento Lisosomal/complicaciones , Porfirias/complicacionesRESUMEN
Este estudo objetivou identificar as verbas por tipo e modalidade de bolsas de ensino e pesquisa concedidas pelo CNPq entre 2005 e 2014 nas grandes áreas de conhecimento, especialmente a de Ciências da Saúde com foco na subárea da Educação Física. As buscas ocorreram no mês de março de 2015 e realizadas no painel de investimentos do CNPq (http://www.cnpq.br/painel-de-investimentos) para informações sobre bolsas e no site da CAPES para identificar os cursos de pós-graduação. Foram investidos R$813.435.000,00 nas diferentes modalidades de bolsa, principalmente produtividade em pesquisa (30,0%). A área de Ciências da Saúde foi a quinta em termos de recebimento de verbas (11,0%). Entre as subáreas das Ciências da Saúde, a Medicina foi a que mais recebeu bolsas de ensino e pesquisa (38%) e a Educação Física ficou em sétimo lugar (4,0%). As subáreas que mais cresceram em investimentos no período analisado foram a Fisioterapia/Terapia Ocupacional (775%) e a Educação Física (738%), sendo esta última a sétima das subáreas em recebimento de bolsas de produtividade. Entretanto, foi a quarta em termos de crescimento de investimentos. Do total de bolsas de ensino e pesquisa, 64,3% foram destinadas a pesquisadores da região Sudeste, 15,4% na região Sul e 14,6% no Nordeste. Em contrapartida, apenas 4,1% para a região Centro-oeste e 1,6% a pesquisadores da região Norte.
The aim of the present study was to evaluate funding of the Brazilian Research Council (CNPq) via scholarships between 2005 and 2014 in Health Sciences and particularly in the sub-area of Physical Education. The search for scholarships was carried out in March, 2015 in the investments panel of the CNPq website (http://www.cnpq.br/painel-de-investimentos), as well as in the CAPES website to identify programs. Total funding was BRL 813,435,000.00; the main type of scholarship was the "research productivity" (30.0%). Health Sciences field placed fifth according to the total amount (11.0%). Within this field, Medicine received the biggest share of scholarships and funding (38%) while Physical Education placed seventh (4.0%). The sub-areas with the highest increases in funding were Physiotherapy/Occupational Therapy (775%) and Physical Education (738%). Physical Education ranked seventh in the receipt of productivity scholarships, but was the fourth in terms of growth in the number of scholarships. Of all scholarships, 64.3% were given to researchers in the Southeast region, 15.4% to South region and 14.6% to Northeast. On the other hand, only 4.1% were awarded to researchers from Center-west region and 1.6% to North region.
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Investigación , Brasil , Educación , Inversiones en SaludRESUMEN
Three new species of Melanophryniscus are described from the Serra do Mar mountain range of the state of Santa Catarina, southern Brazil. All species are found at intermediate to high altitudes and share phytotelm-breeding as their reproductive strategy. The new species are distinguished from other phytotelm-breeding Melanophryniscus based on different combinations of the following traits: snout-vent length, presence of white and/or yellow spots on forearms, mouth, belly and cloaca, pattern and arrangement of warts, and presence and number of corneous spines. The discovery of these species in a rather restricted geographical area suggests that the diversity of phytotelm-breeding species of Melanophryniscus might be severely underestimated. The conservation status of these species is of particular concern, given that one of them is at risk of extinction not only due to its restricted habitat, but also because of anthropogenic disturbances.