Resumo: O estudo sistemático de um instrumento musical não é uma tarefa simples e implica numa demanda física e emocional difícil de imaginar por quem não se dedica a essa atividade. Pesquisadores reconhecem que tal demanda afeta significativamente a carreira do músico instrumentista e pesquisas importantes têm sido conduzidas sobre este assunto. Diante deste contexto, este artigo apresenta um estudo dos fundamentos da biomecânica da postura e suas implicações na performance da flauta. A partir da conceituação da postura normal, considerando o centro de gravidade corporal, a musculatura da estática e a postura normal em pé e sentada, foram elencados os aspectos fundamentais da biomecânica da postura na performance da flauta e as alterações posturais inerentes à sua performance. A conclusão do artigo é que se essas alterações posturais, próprias da performance, não forem conscientizadas pelo flautista, a qualidade da execução e a longevidade de sua carreira poderão ficar seriamente comprometidas. Palavras-chave:Música e biomecânica; postura; flauta; performance; saúde do músico.The fundamentals of posture's biomechanics and their implications on the performance of the flute Abstract: The systematic practice of a musical instrument is not a simple issue and involves physical and emotional demands which are difficult to understand by those who are not engaged with this activity. Researchers recognize that such demand may significantly affect the musician's career. Important studies have been conducted on this subject. Given this context, this paper presents a study of the fundamentals of the posture's biomechanics and their implications on the performance of the flute. From the concept of normal posture (gravity of body center, the static muscle, and the normal posture -standing and seated), the fundamental aspects of the posture's biomechanics during flute's performance, and the inherent postural changes in this performance were considered. Results show that if the flutists unaware of the inherent postural changes during the flute's performance, may have the quality of his performance and the longevity of his career seriously compromised.
Objetivo: Analisar as repercussões da pandemia de Sars-Cov-2 no número de coletas de material citopatológico de colo de útero no Brasil. Métodos: Estudo retrospectivo, transversal, a partir da plataforma DATASUS, os dados coletados correspondem ao período entre janeiro de 2019 a dezembro de 2020. Foi analisado o número de coletas de exame de Papanicolaou por unidade da federação, percentuais relativos dos estados e das regiões sociodemográficas do Brasil. O impacto da COVID-19 no número de procedimentos realizados pelo Sistema Único de Saúde em 2020 foi mensurado estatisticamente pela comparação com o ano de 2019 por meio do teste não paramétrico Wilcoxon Signed Rank (α=0,01). Resultados: Observou-se queda de 67% (p<0,001) na realização do procedimento em todo o território nacional. Todas as macrorregiões do Brasil foram afetadas sendo a Sul com o menor impacto observado, declínio em 38% (p<0,001). As demais macrorregiões apresentaram quedas superiores a 50% (p<0,001). Não houve correlação estatística entre as coletas de citopatológico e o número de casos COVID-19 por 100 mil habitantes nos estados. Conclusão: A pandemia de COVID-19 reduziu estatisticamente o número de ações relacionadas ao exame Papanicolaou e possivelmente a identificação das lesões precursoras ou relacionadas ao câncer cervical em 2020.
Introduction Migraine is a chronic disease and affects about 15% of the World population. It is the second most disabling disease among young adults. Pathophysiology has not yet been fully clarified, but there is evidence for genetic alterations that cause a state of hyperexcitability and metabolic alterations that make the central nervous system more susceptible to external stimuli. Objective To present the evolution of a diagnosis of headache with aura treated with drugs and the results obtained. Methods Data collected through complete anamnesis. Results/Case report Woman, 26 years old, student, white, with hypothyroidism, denies smoking and alcohol consumption. Reports practicing physical activity and maintaining a healthy diet. Complains of headache for 9 years, with increased intensity and frequency. At the age of 18, period of onset of pain, frequency was every 10-15 days, with a maximum duration of one day and visual changes. She was using oral contraceptive pill (OCP) and dipyrone, without neurological consultation. At the age of 20, the use of OCP ceased, with worsening of the frequency and intensity of pain, the patient sought specialized medical care. Neurologist diagnosed migraine with aura triggered by stress. As treatment, he prescribed 50 mg/day of topiramate divided into two doses and alprazolam 0.5 mg, with return in 60 days. Reports no improvement and there was an increase in topiramate dosage to 100 mg and alprazolam dosage to 1 mg/day. There was relative improvement for an approximate period of 4 months. Patient returned to daily pain, with episodes of throbbing pain, with exacerbated photo and phonophobia, need for hospital care twice a month and beginning of concentration problems. In hospital care, reports having received tramal, profenid and dramin. (To see the complet abstract, please, check out the PDF.)
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