Mitral valve surgery after failed transcatheter edge-to-edge repair: a review and word of caution.

PURPOSE OF REVIEW: As transcatheter edge-to-edge mitral valve repair (TEER) evolves and indications broaden to include younger and lower surgical risk patients, it is essential to understand TEER failure trends and potential impact on subsequent mitral valve surgery, especially when pertaining to feasibility of durable valve reconstruction as opposed to de-novo repair. RECENT FINDINGS: Results of the two largest series analysing mitral valve surgery following TEER have demonstrated remarkably low repairability rates with consequent need for valve replacement. Post TEER surgery was associated with high early and late mortalities, likely as a reflection of patient baseline characteristics and acuity of surgery. Presence and correction of concomitant cardiac pathologies were a frequent finding. Centre and surgeon volumes were important factors in optimizing the likelihood of salvage repair and reducing perioperative risks. SUMMARY: Surgical mitral valve repair in reference centres remain the gold standard and the most durable treatment for degenerative mitral disease with excellent perioperative safety outcomes. Given the high likelihood of needing high-risk mitral valve replacement when TEER fails, consideration for potentially less durable transcatheter alternatives should be taken with caution in younger or lower surgical risk patients.

Full-sib progenies show greater genetic diversity than half-sib progenies in sour passion fruit: an approach by ssr markers.

BACKGROUND: Genetic variability is the most important parameter in plant breeding based on selection. There is a need for morpho-agronomic and molecular characterization of Passiflora species, to exploit their genetic resources more efficiently. No study has yet been carried out to compare half-sib and full-sib families in relation to the magnitude of the genetic variability obtained in them, and then to elucidate the advantages or disadvantages of each one. METHODS AND RESULTS: In the present study, SSR markers were used to evaluate the genetic structure and diversity of half-sib and full-sib progenies of sour passion fruit. Two full-sib progenies (PSA and PSB), and a half-sib progeny (PHS), together with their parents, were genotyped with a set of eight pairs of SSR markers. Discriminant Analysis of Principal Components (DAPC) and Structure software were used to study the genetic structure of the progenies. The results indicate that the half-sib progeny has lower genetic variability, although it has higher allele richness. By the AMOVA most of the genetic variability was found within the progenies. Three groups were clearly observed in the DAPC analysis, while two hypothetical groups (k = 2) were observed in the Bayesian approach. The PSB progeny showed a high genetic mixture between the PSA and PHS progenies. CONCLUSION: Lower genetic variability is found in half-sib progenies. The results obtained here allow us to suppose that the selection within full-sib progenies will possibly provide better estimates of genetic variance in sour passion fruit breeding programs, since they provide greater genetic diversity.

Nutritive value of fermented soybean grains for ruminants.

Fermented soybean grain (FSBG) is considered improper to use as a protein source in animal nutrition, since it is assumed that defects cause changes on its chemical composition and favor mycotoxins production, but chemical composition data does not support this theory and in vivo studies are missing. Thus, this study aimed to evaluate the effects of FSBG in feedlot lamb diets. For that, two types of FSBG (partially fermented and completely fermented, PFSBG and CFSBG) and one standard soybean grain (SSBG) were obtained and evaluated alone or as a component of experimental diets by in vitro and in vivo studies, where FSBG totally replaced SSBG in feedlot lamb diets, which was included in the experimental diets in 17.4% on dry matter basis as protein source. Before the studies, both soybeans were sent to a specialized laboratory where no mycotoxins were detected. As a result, lower DM and carbohydrate contents but higher crude protein, fiber, and indigestible NDF contents were measured in CFSBG than in SSBG. Furthermore, both types of FSBG showed lower digestibility in vitro dry matter (IVDMD) than SSBG when evaluated separately; however, when evaluated in experimental diets, the substitution of SSBG for FSBG did not affect IVDMD. It was also observed that FSBG also had less rumen-degradable protein than SSBG (mean 47.9 vs 86.4%). In the in vivo study, FSBG did not affect nutrient intake, apparent digestibility, or animal performance (i.e., average daily gain and carcass gain). Thus, mycotoxins-free FSBG may be an alternative to totally replace SSBG in feedlot lamb diets.

Hypoalgesic Effects of Transcutaneous Electrical Nerve Stimulation Combined With Joint Manipulation: A Randomized Clinical Trial.

OBJECTIVE: The objective of this study was to compare the hypoalgesic effects of isolated or combined use of transcutaneous electrical nerve stimulation (TENS) and cervical joint manipulation (JM) in asymptomatic participants. METHODS: One hundred and forty-four healthy participants aged 18 to 30 years old were randomly assigned to 1 of 4 groups (n = 36 per group): active TENS + active JM, active TENS + placebo JM, placebo TENS + active JM, and placebo TENS + placebo JM. Active or placebo TENS was applied to the dominant forearm. JM was applied to the C6-7 segments. The pressure pain threshold was measured pre- and postintervention and after 20 minutes on the forearm and tibialis anterior of the dominant side. RESULTS: Segmental hypoalgesia was greater in the group active TENS + active JM compared with active TENS + placebo JM (P = .002), placebo TENS + active JM (P < .0001), and placebo TENS + placebo JM (P < .0001). For the extrasegmental hypoalgesia, active TENS + active JM had greater hypoalgesic effect compared with active TENS + placebo JM (P = .033), placebo TENS + active JM (P = .002), and placebo TENS + placebo JM (P < .0001). CONCLUSION: TENS and JM produced hypoalgesia when used alone and, when the treatments were combined, a higher segmental and extrasegmental hypoalgesic effect was obtained in asymptomatic participants.

Noncomplex ventricular arrhythmia associated with greater freedom from recurrent ectopy at 1 year after mitral repair surgery.

Objective: The effect of mitral valve (MV) surgery on the natural history of ventricular arrhythmia (VA) in patients with arrhythmic MV prolapse remains unknown. We sought to evaluate the cumulative incidence of VA at 1 year after surgical mitral repair. Methods: A retrospective review of progressively captured data identified 204 consecutive patients who underwent elective MV repair for significant degenerative mitral regurgitation as a first-time cardiovascular intervention in a quaternary reference center between January 2018 and December 2020. A subset of 62 consecutive patients with diagnosed arrhythmic MV prolapse was further evaluated for recurrent VA after MV repair. Results: The median age was 62 years (range, 27-77 years) and 26 of 62 (41.9%) were female. The median time from initial mitral regurgitation/MV prolaspe diagnosis-to-referral was 13.8 years (interquartile range [IQR], 5.4-25) and from VA diagnosis-to-referral was 8 years (IQR, 3-10.6). Using the Lown-Wolf classification, complex VA (Lown grade ≥3) was identified in 36 of 62 patients (58%) at baseline, whereas 8 of 62 (13%) had a cardioverter/defibrillator implanted for primary (4/8) or secondary (4/8) prevention. Left ventricular myocardial scar was confirmed in 23 of 34 (68%) of patients scanned at baseline. The prevailing valve phenotype was bileaflet Barlow (59/62; 95.2%). All patients underwent surgical MV repair by the same team. Surgical repair was stabilized with an annuloplasty prosthesis (median size 36 mm [IQR, 34-38]). Concomitant procedures included tricuspid valve repair (51/62; 82.3%), cryo-maze ± left atrial appendage exclusion (14/62, 23%), and endocardial cryoablation of VA ectopy (4/62; 6.5%). The 30-day and 1-year freedom from recurrent VA were 98.4% and 75.9%, respectively. Absent VA after mitral repair was uniformly observed in patients with minor VA at baseline. Absent VA after mitral repair was uniformly observed in patients with minor VA preoperatively. Complex baseline VA was the strongest predictor of recurrent VA (hazard ratio, 10.8; 95% confidence interval, 1.4-84.2; P = .024), irrespective of myocardial fibrosis. Conclusions: In a series of 62 consecutive patients operated electively for arrhythmic mitral prolapse, VA remained undetected in 75.9% of patients at 1 year. Freedom from recurrent VA was greater among patients without complex VA preoperatively, whereas baseline Lown grade ≥3 was the strongest independent risk factor for recurrent VA at 1 year. These findings attest to the importance of early recognition and prompt referral of patients with mitral prolapse and progressive VA to specialty interdisciplinary care.

Accuracy of infrared thermography of the masticatory muscles for the diagnosis of myogenous temporomandibular disorder.

OBJECTIVE: The purpose of this study was to evaluate the accuracy of infrared thermography of the central point of the masseter and anterior temporalis muscles for the diagnosis of myogenous temporomandibular disorder (TMD). METHODS: This is an observational study of university women with and without TMD. Through the use of the Research Diagnostic Criteria for Temporomandibular Disorders, 104 women were divided into a TMD group (n = 52) and control group (n = 52). All volunteers had their masseter and anterior temporalis muscles evaluated by infrared thermography. The receiver operating characteristic (ROC) curve was used to determine the accuracy of diagnosis (area under the ROC curve), the best cut-off point, sensitivity, and specificity. RESULTS: No significant differences were observed (P > .05) in the skin surface temperature of the masticatory muscles, when the groups were compared. With regard to the ROC curve, the area under the curve was lower than the recommended for all the muscles tested, ranging from 0.433 to 0.502. CONCLUSION: The findings of this study suggest that infrared thermography of the masticatory muscles is not an accurate instrument for the myogenous TMD diagnosis.

Accuracy and reliability of infrared thermography in the diagnosis of arthralgia in women with temporomandibular disorder.

OBJECTIVE: The purpose of this study was to determine the accuracy and reliability of infrared thermography in the diagnosis of arthralgia in women with temporomandibular disorder. METHODS: Thirty women aged between 18 and 40 years were recruited for the study. The Research Diagnostic Criteria for Temporomandibular Disorders was used to allocate the volunteers to the control group (n = 15) and arthralgia group (n = 15). Both groups were submitted to infrared thermography of the temporomandibular joint (TMJ), followed by a punctual analysis of the images. The Mann-Whitney U test was used for the comparison of skin surface temperature between groups. The intraclass correlation coefficient was calculated to determine the reliability of the infrared image analysis. The receiver operating characteristic curve was used to determine the accuracy of the diagnosis. RESULTS: Skin temperature was significantly greater over the left (P = .004) and right (P = .012) TMJ in the arthralgia group. The intraclass correlation coefficient ranged from 0.841 to 0.874. The area under the receiver operating characteristic curve ranged from 0.598 to 0.675. CONCLUSION: Excellent intrarater and interrater reliability was found in the analysis of the infrared images of the TMJ. However, infrared thermography demonstrated a low accuracy in the diagnosis of arthralgia in women with temporomandibular disorder.

Validation of the Portuguese Version of the Kansas City Cardiomyopathy Questionnaire-12.

The Kansas City Cardiomyopathy Questionnaire-12 (KCCQ-12) is a simple, feasible, and sensitive questionnaire developed in English for assessing the health status (symptoms, function, and quality of life) of patients with heart failure (HF). We aimed to assess the internal consistency and construct validity of the Portuguese version of KCCQ-12. We administered the KCCQ-12, the Minnesota Living Heart Failure (MLHFQ), and the New York Heart Association (NYHA) classification by telephone. Internal consistency was assessed with Cronbach's Alpha (α-Cronbach) and construct validity with correlations to the MLHFQ and NYHA. Internal consistency was high (α-Cronbach = 0.92 for the Overall Summary score and 0.77-0.85 for the subdomains). Construct validity was supported by finding high correlations between the KCCQ-12 Physical Limitation and the Symptom Frequency domains with the physical domain of the MLHFQ (r = -0.70 and r = -0.76, p < 0.001 for both) and the Overall Summary scale with NYHA classifications (r = -0.72, p < 0.001). The Portuguese version of KCCQ-12 has high internal consistency and shows a convergent construct validity with other measures quantifying the health status of patients with chronic HF and can be used confidently in Brazil for research and clinical care.

Assessment of the upper trapezius muscle temperature in women with and without neck pain.

OBJECTIVE: The purpose of the study was to analyze the upper trapezius muscle temperature using thermography in women with and without neck pain. METHODS: Thirty-six female university students were classified through the Neck Disability Index (NDI) into 2 groups: the neck pain group comprised 18 volunteers diagnosed with mild disability, and the control group, 18 healthy volunteers. All subjects were submitted to evaluation by thermography, which registered the skin surface temperature of the upper bilateral trapezius muscle. Student t test and Mann-Whitney U test were used for the comparison between the groups, and the Spearman correlation coefficient was used for the appropriate correlations between the NDI score and the temperature values. A significance level of 5% was set. RESULTS: No significant difference was found between the groups regarding the temperature values of the upper left (P = .565) and right (P = .917) trapezius muscles, as well as in comparisons of temperature asymmetry (P = .542). In addition, no significant association was found between the study variables (P > .05). CONCLUSION: Women with neck pain, diagnosed with mild disability by NDI, did not present with reduction or asymmetry of upper trapezius muscle temperature when compared with a group without neck pain.

Leadless pacemaker implantation under direct visualization during valve surgery.

OBJECTIVE: The leadless cardiac pacemaker is typically implanted percutaneously and has been widely used for patients who have already undergone valve surgery. We sought to determine the feasibility and safety of implanting the leadless pacemaker under direct visualization during valve surgery. METHODS: We performed a retrospective analysis of consecutive adult patients (n = 15) who underwent implantation of a leadless pacemaker under direct visualization at the time of valve surgery. Indications for single-chamber pacing were sick sinus syndrome with pauses (53.3%), atrial fibrillation with slow ventricular rates (13.3%) or complete heart block (6.6%), and elevated risk for postoperative heart block (26.6%). Leadless pacemaker performance and pacing percentage were assessed. RESULTS: Patients' age was 67.5 ± 17 years, 6 patients (40%) were male, and 14 patients (93%) had atrial fibrillation. Isolated tricuspid valve replacement was performed in 5 patients (33.3%), and the remainder underwent multivalve surgery that included concomitant tricuspid valve repair/replacement. In 93% of the patients (n = 14), the immediate post-cardiopulmonary bypass pacing thresholds were normal (≤2.0 V at 0.24 ms) and normalized in the remaining patient by the next morning. The impedance/sensing values were normal and stable through follow-up (151 ± 119 days) in all patients. Reliable leadless pacemaker performance allowed for deferral of temporary epicardial wires in 11 patients (73%). There were no procedural complications or device malfunction. CONCLUSIONS: Leadless cardiac pacemaker implantation during valve surgery is feasible and safe. This hybrid approach to pacing may simplify the perioperative management of patients undergoing valve surgery who have an indication for single-chamber pacing.

Job satisfaction of the nursing team in intensive care units.

OBJECTIVE: to evaluate job satisfaction and its relationship with the personal and professional characteristics of the nursing team. METHOD: a descriptive and cross-sectional study with 163 nursing workers from the intensive care units of a teaching hospital. For data collection, the Brazilian version of the Job Satisfaction Survey and a personal and professional characterization form were used. Data were analyzed using descriptive statistics, comparisons and correlations. RESULTS: the professionals demonstrated ambivalence for job satisfaction in a global way and concerning the communication domain. They were satisfied with the supervision, co-workers, and nature of work, while dissatisfied with other domains. There was a correlation between the intention to stay in the job and the majority of the Job Satisfaction Survey domains, except for co-workers and operating procedures, and a correlation between time working at the unit and at the institution with the domains pay, contingent rewards, and supervision. CONCLUSION: there was an ambivalence regarding job satisfaction and the variables intention of stay in the job and time working at the unit and at the institution were correlated with job satisfaction concerning the domains pay, contingent rewards, and supervision.

A Table Mounted Cardiopulmonary Bypass System for Pediatric Cardiac Surgery.

Systemic inflammatory response and hemodilution are prominent factors associated with cardiopulmonary bypass and result in increased morbidity and mortality in children. Miniaturized systems have evolved to decrease such effects and restrict use of blood products, especially in the neonatal population. We have developed a table mounted cardiopulmonary bypass system that allows closer proximity of the system to the patient with consequent decrease in priming volumes, hemodilution, and its associated effects, and contributes to development into an ideally bloodless surgical approach.

[Platelet indices in chronic alcoholic liver disease patients with thrombocytopenia]. / Indices plaquetários em indivíduos com doença hepática alcoólica crônica.

AIM: To detect alterations in platelet indices in patients with chronic alcoholic liver disease and thrombocytopenia, and its correlation with other haematological parameters. METHODS: We studied 65 individuals separated in two groups: controls (n = 35) and chronic alcoholic liver disease patients with thrombocytopenia (n = 30). The control group was age and gender matched with patients group. In all, controls and patients, a haematological evaluation was done, including platelets indices. RESULTS: In the patients group we found a low number of erythrocytes, leucocytes and platelet when we compare with controls. The same is true when we compare haemoglobin, hematocrit and absolute count of lymphocyte and neutrophil. The mean globular volume, mean globular haemoglobin and red cell distribution width where significantly higher in patients group. Platelet indices showed a statistical significant increased in platelet distribution width and decreased in platelet crit in the patient group. No differences where found on mean platelet volume between the two groups. Correlation between platelet number and other haematological parameters was found. CONCLUSION: Chronic alcoholic liver disease patients showed a decrease in all haematopoietic cell lines, probably associated with hypersplenism found in those patients. Additionally to the numeric alterations the erythrocyte and platelets showed morphologic alteration revelled by respective indices.

The reading contracts in the advertising discourse of health communication campaigns: an analysis of the "I know. Do you know?" campaign / Os contratos de leitura no discurso publicitário de campanhas de comunicação em saúde: uma análise da campanha "Eu sei. Você sabe?"

Introduction: In view of the syphilis epidemic that Brazil is experiencing and the need to strengthen the discourse on preventing this sexually transmitted infection (STI), the campaign "Eu sei, você sabe?" (I know. Do you know?) was conducted for dissemination of the pieces on social media. Objective: The of aim of this study was to perform a qualitative descriptive analysis of the posts published on the social network Instagram of the National Campaign to Fight Syphilis 2020-21 aimed at young people. Methods: The analysis performed was based on the method suggested by Eliseo Véron and aimed to establish relationships between the "reading contracts" offered and the processes of focusing (strong direct relevance) and defocusing (interdiscursive relevance) acting in the messages with the results of the communication indicator "Reach/Exposure". Results: The analysis was conducted from October 2020 to April 2021. In all, 31 cards were published. Among them, eight publications presented in their content a discourse directed at young people including individuals in the 20-29 age bracket. In general, the pieces provided a common proposal of visual structuring and aimed to address the deficiencies identified in previous campaigns developed and presented in the perspective of the project itself, as well as the propositions established by control agencies for dealing with syphilis in Brazil. Conclusion: Some hypotheses raised on the basis of the analysis were as follows. There is the possibility that the distinction between grammars of production and recognition produce negotiations or resistance to the meaning of the interpellation contained in the theme "Sífilis. Eu sei. Você sabe?" Even if the characters presented in the cards did not include some specific audiences, such as young transgenders, the language offered can generate empathy in these audiences. The production strategies of cards with a more visual aesthetic and added to a predominantly graphic distribution of important information possibly contributed to a greater reach/impact on the social network audience.

Introdução: Diante da epidemia de sífilis vivida pelo Brasil e tendo em vista a necessidade de fortalecer o discurso de prevenção dessa infecção sexualmente transmissível, realizou-se a campanha "Eu sei. Você sabe?", voltada para divulgação das peças nas redes sociais digitais. Objetivo: Este trabalho objetiva realizar análise qualitativa descritiva das postagens publicadas na rede social Instagram da Campanha Nacional de Combate à Sífilis 2020-21, destinadas ao público jovem. Métodos: A análise realizada baseia-se na metodologia sugerida por Eliseo Véron e visa estabelecer relações entre os contratos de leitura ofertados e os processos de focalização (pertinência forte direta) e desfocalização (pertinência interdiscursiva) atuantes nas mensagens com os resultados do indicador de comunicação alcance/exposição. Resultados: A análise adotou o recorte temporal de outubro/2020 até abril/2021. Ao todo 31 cards foram publicados. Entre eles, oito publicações apresentaram em seu conteúdo um discurso direcionado ao público jovem, como também personagens na faixa etária entre 20 e 29 anos. De maneira geral, as peças trazem uma proposta comum de estruturação visual e visam contemplar as deficiências identificadas em campanhas anteriores desenvolvidas e apresentadas na perspectiva do próprio projeto, bem como das proposições estabelecidas por órgãos de controle para o enfrentamento da sífilis no Brasil. Conclusão: Algumas hipóteses levantadas com base na análise realizada: há a possibilidade de que a distinção entre gramáticas de produção e reconhecimento produza negociações ou resistências ao sentido da interpelação contida no tema "Sífilis. Eu sei. Você sabe?"; mesmo que as personas apresentadas nos cards não englobem alguns públicos específicos, como jovens transgêneros, a linguagem ofertada pode gerar empatia nesses públicos; as estratégias de produção de cards com estética mais visual e somados a uma distribuição das informações importantes predominantemente gráfica possivelmente contribuíram para maior alcance/impacto no público das redes sociais.

Initial Surgical Experience with Aortic Valve Repair: Clinical and Echocardiographic Results.

INTRODUCTION: Due to late complications associated with the use of conventional prosthetic heart valves, several centers have advocated aortic valve repair and/or valve sparing aortic root replacement for patients with aortic valve insufficiency, in order to enhance late survival and minimize adverse postoperative events. METHODS: From March/2012 thru March 2015, 37 patients consecutively underwent conservative operations of the aortic valve and/or aortic root. Mean age was 48±16 years and 81% were males. The aortic valve was bicuspid in 54% and tricuspid in the remaining. All were operated with the aid of intraoperative transesophageal echocardiography. Surgical techniques consisted of replacing the aortic root with a Dacron graft whenever it was dilated or aneurysmatic, using either the remodeling or the reimplantation technique, besides correcting leaflet prolapse when present. Patients were sequentially evaluated with clinical and echocardiographic studies and mean follow-up time was 16±5 months. RESULTS: Thirty-day mortality was 2.7%. In addition there were two late deaths, with late survival being 85% (CI 95% - 68%-95%) at two years. Two patients were reoperated due to primary structural valve failure. Freedom from reoperation or from primary structural valve failure was 90% (CI 95% - 66%-97%) and 91% (CI 95% - 69%-97%) at 2 years, respectively. During clinical follow-up up to 3 years, there were no cases of thromboembolism, hemorrhage or endocarditis. CONCLUSIONS: Although this represents an initial series, these data demonstrates that aortic valve repair and/or valve sparing aortic root surgery can be performed with satisfactory immediate and short-term results.

Uso e apropriação da avenida perimetral/Paulo Luís Da Assunção: Transformações na sociabilidade urbana / Use and appropriation of perimetral Avenue / Paulo Luís Da Assunção: Transformations in urban sociability

Esta pesquisa buscou analisar as formas de apropriação da Avenida Perimetral/Paulo Luís da Assunção, quais equipamentos de lazer as pessoas mais utilizam, quais os horários esses usuários frequentam o espaço e os fatores que afetam a permanência neles. Trata-se de uma pesquisa qualitativa de caráter exploratório, foi utilizada a triangulação para a realização da análise e interpretação dos dados. A partir dos resultados, constatou-se que as principais atividades desenvolvidas na Avenida são circulação, lazer, como conversar, brincar, jogar bola, tomar tereré, exercitar-se, entre outros. Conclui-se que a revitalização da Avenida trouxe benefícios para a população, como espaços para as práticas de esporte e lazer, embelezamento dos bairros, segurança e tranquilidade para a população, configurando espaços de sociabilidade, promovendo encontros, estabelecendo vínculos e relações de amizade.

This research sought to analyze the forms of appropriation of Perimetral Avenue/Paulo Luís da Assunção, which leisure facilities people use the most, what time these users attend the space and the factors that affect their permanence in them. It is a qualitative research of exploratory character, the triangulation was used for the accomplishment of the analysis and interpretation of the data. From the results, it was verified that the main activities developed in the Avenue are circulation, leisure, such as talking, playing, playing ball, taking tereré, exercising, among others. It is concluded that the revitalization of the Avenue brought benefits to the population, as spaces for sports and leisure practices, neighborhood beautification, security and tranquility for the population, configuring spaces of sociability, promoting meetings, establishing bonds and friendly relations.

Women with more severe degrees of temporomandibular disorder exhibit an increase in temperature over the temporomandibular joint.

AIM: The purpose of the present study was to correlate the degree of temporomandibular disorder (TMD) severity and skin temperatures over the temporomandibular joint (TMJ) and masseter and anterior temporalis muscles. MATERIALS AND METHODS: This blind cross-sectional study involved 60 women aged 18-40 years. The volunteers were allocated to groups based on Fonseca anamnestic index (FAI) score: no TMD, mild TMD, moderate TMD, and severe TMD (n = 15 each). All volunteers underwent infrared thermography for the determination of skin temperatures over the TMJ, masseter and anterior temporalis muscles. The Shapiro-Wilk test was used to determine the normality of the data. The Kruskal-Wallis test, followed by Dunn's test, was used for comparisons among groups according to TMD severity. Spearman's correlation coefficients were calculated to determine the strength of associations among variables. RESULTS: Weak, positive, significant associations were found between FAI score and skin temperatures over the left TMJ (rs = 0.195, p = 0.009) and right TMJ (rs = 0.238, p = 0.001). Temperatures over the right and left TMJ were significantly higher in groups with more severe TMD (p < 0.05). CONCLUSION: FAI score was associated with skin temperature over the TMJ, as determined by infrared thermography, in this sample. Women with more severe TMD demonstrated a bilateral increase in skin temperature.

The chronicity of myogenous temporomandibular disorder changes the skin temperature over the anterior temporalis muscle.

The aim of the present study was to investigate the correlation between the chronicity of myogenous temporomandibular disorder (TMD) and skin temperature over the masseter and anterior temporalis muscles. A blind, cross-sectional study was carried out involving 30 women with myogenous TMD, aged 18-40 years (mean of 23.60 ± 5.12 years). The volunteers were recruited from the university community. The Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) was used for the diagnosis of TMD and the determination of chronicity. The volunteers were also submitted to infrared thermography to measure absolute skin temperature over the masseter and anterior temporalis muscles and determine their temperature asymmetries. A significant association was found between duration of TMD and temperature asymmetry of the anterior temporalis muscle (rs = 0.224, p = 0.034). The present findings demonstrate that chronicity of myogenous TMD changes the skin temperature over the anterior temporalis muscle.

Job satisfaction of the nursing team in intensive care units / Satisfação no trabalho da equipe de enfermagem em unidades de terapia intensiva / Satisfacción en el trabajo del equipo de enfermería en unidades de terapia intensiva

Objective: to evaluate job satisfaction and its relationship with the personal and professional characteristics of the nursing team. Method: a descriptive and cross-sectional study with 163 nursing workers from the intensive care units of a teaching hospital. For data collection, the Brazilian version of the Job Satisfaction Survey and a personal and professional characterization form were used. Data were analyzed using descriptive statistics, comparisons and correlations. Results: the professionals demonstrated ambivalence for job satisfaction in a global way and concerning the communication domain. They were satisfied with the supervision, co-workers, and nature of work, while dissatisfied with other domains. There was a correlation between the intention to stay in the job and the majority of the Job Satisfaction Survey domains, except for co-workers and operating procedures, and a correlation between time working at the unit and at the institution with the domains pay, contingent rewards, and supervision. Conclusion: there was an ambivalence regarding job satisfaction and the variables intention of stay in the job and time working at the unit and at the institution were correlated with job satisfaction concerning the domains pay, contingent rewards, and supervision.

Objetivo: avaliar a satisfação no trabalho e sua relação com as características pessoais e profissionais da equipe de enfermagem. Método: estudo descritivo e transversal com 163 trabalhadores da enfermagem de unidades de terapia intensiva de um hospital de ensino. Para a coleta de dados, foi utilizada a versão brasileira do Job Satisfaction Survey e uma ficha de caracterização pessoal e profissional. Analisaram-se os dados por meio de estatística descritiva, comparações e correlações. Resultados: os profissionais demonstraram ambivalência para satisfação no trabalho de forma global e para o domínio comunicação. Estavam satisfeitos no que tange a supervisão, colaboradores e natureza do trabalho e insatisfeitos quanto aos demais domínios. Houve correlação entre intenção de permanecer no trabalho e a maioria dos domínios do Job Satisfaction Survey, com exceção de colaboradores e condições operacionais, e entre o tempo de trabalho na unidade, e na instituição, com os domínios remuneração, recompensas e supervisão. Conclusão: houve ambivalência em relação à satisfação no trabalho e quanto às variáveis intenção de permanecer no trabalho e tempo de trabalho na unidade e na instituição apresentaram correlação com satisfação profissional para os domínios remuneração, recompensa e supervisão.

Objetivo: avaliar la satisfacción en el trabajo y su relación con las características personales y profesionales del equipo de enfermería. Método: estudio descriptivo y transversal con 163 trabajadores de enfermería de unidades de terapia intensiva en un hospital escuela. Para la recolección de datos, se utilizó la versión brasileña del Job Satisfaction Survey y una ficha de caracterización personal y profesional. Se analizaron los datos por medio de estadística descriptiva, comparaciones y correlaciones. Resultados: los profesionales mostraron ambivalencia para la satisfacción en el trabajo de forma global y para el dominio de la comunicación. Estaban satisfechos por lo que se refiere a la supervisión, colaboradores y naturaleza del trabajo, e insatisfechos en cuanto a los demás dominios. Se observó correlación entre la intención de permanecer en el trabajo y la mayoría de los dominios del Job Satisfaction Survey, excepto de los dominios colaboradores y condiciones operativas, y la correlación entre el tiempo de trabajo en la unidad y en la institución con los ámbitos de la remuneración, las recompensas y la supervisión. Conclusión: Se verificó ambivalencia en relación a la satisfacción y las variables intención de permanecer en el trabajo, y tiempo de trabajo en la unidad y en la institución se correlacionaron con satisfacción en el trabajo para los dominios remuneración, recompensa y supervisión.