Coronavirus disease-2019 (COVID-19) is a respiratory tract infection caused by the recent identified severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). This viral infection emerged in late 2019 from an outbreak of unexplained pneumonia in Wuhan, China.Frequent reported symptoms include fever, dry cough and shortness of breath. [1][2][3][4] Over the first months of 2020, SARS-CoV-2 infection has quickly spread worldwide through human populations, leading to a global health emergency. On 11 March 2020, the World Health Organization (WHO) officially declared COVID-19 as a global
Context: Multisystem Inflammatory Syndrome in Children (MISC) is a newly and rising condition, particularly in SARS-CoV-2 high transmission communities. Objective: Analyze current literature and reported cases of MISC, concerning its clinical spectrum, complications associated, therapeutic strategies and distinguishing features of other clinical syndromes. Data Sources: Extensive literature research was performed in MEDLINE (trough PubMed), Scopus and Web of Science from December 2019 to December 2020.Study Selection: First analysis included all article titles and abstracts screening to identify relevant studies and second analysis included a full text screening of previous selected studies. Eligibility was assessed independently by two authors and disagreements were resolved by discussion and consensus. Data Extraction: Data were extracted on MISC definition, demographic data, clinical features, diagnostic tests, laboratory analysis andimaging, therapeutical approach and outcomes. Results: Common symptoms included: gastrointestinal (70%), rash (57%) and cardiovascular (52% with shock). Notable differences with Kawasaki Disease were identified including age, clinical presentation and cardiac involvement. 30% presented positive SARS-CoV-2 2 reverse transcription polymerase chain reaction and 51% positive serologies. 62% received intravenous immunoglobulin and 42% glucocorticoids. 62% required intensive care, 21 children died (<2%). Severe presentations were associated with neurological symptoms, hepatitis and acute kidney injury. Limitations: As a recently documented disease, there was limited prospective and follow-up studies, therefore disregarding long-term sequelae and prognosis. Conclusions: MISC raises concern on its severe cardiac involvement at presentation, with frequent intensive care and immunomodulatory therapy need. Short term outcomes seem to be favorable, with cardiac disfunction recovery and low mortality rates.
Introduction: Respiratory dysfunction is the main cause of death in Parkinson's disease (PD) patients and bronchoaspiration pneumonia is the most common clinical respiratory complication. Objective: To assess respiratory function of elderly with PD in mild to moderate phase of the disease. Methods: A cross-sectional study was carried. Elderly in 2 to 3 PD Hoehn & Yahr stage have participated. A single researcher has evaluated maximal inspiratory pressure (MIP), maximal expiratory pressure (MEP), thoracoabdominal amplitude, forced vital capacity (FVC) and expiratory volume in the first second (FEV1). Results: Sixty elderly have participated and their all spirometry and manovacuometry parameters presented significant differences (p < 0.05) comparing with predicted values, except for FVC (p = 0.25). Only umbilical level did not reach normal values on cirtometry parameters. Patients classified as a restrictive disorder presented significant decrease in thoracic expandability. However the participants classified as an obstructive disorder showed significant decrease in expiratory muscle strength and peak expiratory flows. Conclusion: Elderly in mild or moderate phase of PD presented reduction in respiratory parameters. Spirometry showed to be an important tool to evaluate respiratory function and to indicate the modality of respiratory exercise. Our results suggest the indication of thoracic flexibility exercises for patient with PD classified as restrictive disorder and strength exercise of respiratory muscles for those classified as obstructive disorder.
It is recommended that patients with Parkinsons disease (PD) perform physical exercise throughout their lives. Exercise should slow disease progression and motivate the patient. Objective: Verify and compare the motivation of elderly with PD submitted to functional training, stationary bicycle exercise and exergame. Method: A randomized clinical trial was developed at a referral center. Group 1 (G1) performed functional training, group 2 (G2) trained with stationary bicycle and group 3 (G3) played on Xbox 360 with Kinect sensor. At the end of training, an interview was conducted by a single non-blind investigator to evaluate patient motivation about therapeutic exercise programs they were submitted to. For each question there were four answers options: I was not motivated, I was not very motivated, I was motivated and I was very motivated. The variables were summarized in median and interquartile range and in absolute and relative frequencies. The Pearson Chi-square test was used for statistical inference. The level of significance was 5% (p <0.05). Fifty-three older people with PD have participated. Results: Many participants have reported that exercise (G1: 72%, G2: 53%, G3: 44%) and the physiotherapist (G1: 83%, G2: 76%, G3: 94%) were very motivating. Only two participants of G2 rated exercise as not very motivating. However, no significant difference was found between the three groups. Conclusion: Older individuals with PD considered functional training, bicycle exercise and exergame as motivating modalities of physical exercise.
Este artigo tem por objetivo discutir a palatalização das oclusivas alveolares no português brasileiro, focalizando a análise da variedade palatalizante de Fortaleza (Ceará) e das variedades não palatalizantes de Afonso Bezerra e Guamaré (Rio Grande do Norte). Os pressupostos teóricos adotados são os Modelos Multirrepresentacionais (BYBEE, 2001; PIERREHUMBERT, 2001). Os resultados indicam que a palatalização de oclusivas alveolares é um fenômeno em expansão no português brasileiro. Sugerimos que o que é tradicionalmente referido como fenômeno de palatalização de oclusivas alveolares envolve relações complexas e interconectadas entre vários padrões sonoros. Nessa perspectiva, o detalhe fonético e os padrões de difusão lexical do fenômeno são cruciais para a reorganização da gramática fonológica.
RESUMO Este texto expõe questões de uma pesquisa institucional em andamento que tem como objetivo investigar os sentidos da docência na educação das crianças de zero a três anos. A partir da perspectiva da pesquisa-formação, adotou como estratégias metodológicas encontros quinzenais com professoras de bebês de diferentes creches públicas, tendo em vista construir espaços de interlocução, construção de enunciados e perspectivas docentes sobre ser professora de bebês. Os sentidos da docência constituem-se na capacidade de reconhecimento do bebê como outro que altera e reconduz ações cotidianas, como escuta e compreensão ativas, na perspectiva do cuidado ético, o que se destaca, nesta pesquisa, nas relações que envolvem o cuidado corporal.
ResumoAs inclusões de sulfeto de ferro são indesejáveis no aço, pois são responsáveis por causar o fenômeno de fragilização a quente. A relação entre manganês e enxofre se torna de plena importância para o entendimento desse fenômeno. O presente trabalho teve como objetivo indicar a relação entre Manganês (Mn) e Enxofre(S) mais adequada para a não ocorrência deste fenômeno, e explicar a influência dessa relação nas propriedades dos aços C-Mn. Estudou-se um aço C-Mn com a relação Mn/S 50% menor do que a relação visada na Companhia Siderúrgica Nacional(CSN). Palavras-chave: Manganês; Fragilização a quente; Ductilidade a quente. STUDY OF HOT SHORTNESS IN STEEL PRODUCED IN COMPANHIA SIDERÚRGICA NACIONAL AbstractThe iron sulfide inclusions in steel are undesirable because they are responsible for causing the hot shortness phenomenon. The ration between manganese and sulfur becomes full of importance for the understanding of this phenomenon. This study aimed to explore the ration between manganese (Mn) and sulfur (S) to the non-occurrence of this phenomenon along as the influence of this relationship on the properties of C-Mn steels. One steel was evaluated with respect to Mn/S 50% lower than the target relation in the Companhia Siderurgica Nacional.
ResumoEste artigo focaliza a formação de professores a partir do que estabelece a LDB/1996. O ponto central da discussão é como garantir, no viés da formação inicial, a compreensão da especificidade da Educação Infantil tendo como mote o enfoque nas crianças e não nos conteúdos. O texto analisa registros de estudantes estagiários(as) de Prática de Ensino da Educação Infantil e das professoras-orientadoras desta disciplina no curso de Pedagogia em uma universidade pública do Rio de Janeiro. Neste propósito, aponta reflexões, caminhos e desafios a partir de uma experiência de formação inicial de professores na universidade, em que se destaca a discussão da identidade da docência na Educação Infantil.Palavras-chave: Educação Infantil; Formação de professores; Práticas pedagógicas. EDUCACIÓN INFANTIL TRAS LDB/1996: FORMACIÓN INICIAL DE PROFESORES Y PRÁCTICAS PEDAGÓGICAS AbstractEste artículo se centra en la formación de profesores a partir de que establece la LDB/1996. El eje de la discusión es como garantizar, en el sesgo de la formación inicial, la comprensión de la especificidad de la Educación Infantil bajo el enfoque en los niños y no en los contenidos. El texto analiza registros de estudiantes practicantes de la Práctica de Enseñanza de la Educación Infantil y de las profesoras orientadoras de esta asignatura en el curso de Pedagogía en una universidad pública de Rio de Janeiro. De esta manera, se apuntan reflexiones, caminos y desafíos a partir
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