Objective: To determine whether the use of licit and illicit drugs, the use of antibiotics, medicinal plants and drugs acting on the central nervous system are risk factors for structural fetal changes. Methods: Case-control study, conducted between July 2017 and October 2018, in a public fetal medicine hospital. The case population consisted of 202 pregnant women of fetuses with structural malformations and the control population of 80 pregnant women. A questionnaire was applied before the ultrasound evaluation, in order to analyze the clinical and epidemiological data. Results: The ingestion of amoxicillin (OR: 0.35), spiramycin (OR: 0.05), passionflower (OR: 0.09) and sertraline (OR: 0.18) showed a negative association, with indicative of protection against malformations fetal structures. There was an inappropriate use of folic acid and high consumption of medications. Conclusion: The use of alcohol, cigarettes, illicit drugs, antibiotics, medicinal plants and drugs that act on the central nervous system did not define an increased risk for structural fetal malformations. However, it demonstrates the lack of awareness about the importance of family planning and the dangers of using drugs during pregnancy.
Highlights
Fractures of the scapula are rare, especially in the lateral angle.
Computed tomography helps to classify fracture types.
Fractures with risk of bipartition is indicated surgical fixation.
Objective: To identify the effect of this training on exercise tolerance in people with COPD and on the prognosis of the disease. Method: Nine elderly patients with COPD (COPDG) and nine healthy elderly (HG), were avaluated before and after physical training to: six-minute walk test (6MWT), incremental test (ICT), body composition and test 1 repetition maximum (1RM), it was avaluated also in COPDG the BODE index. The training consisted of thirty minutes of aerobic training and three sets of fifteen repetitions of resistance training in leg press horizontal with 40-60% of 1RM, with an interval of five minutes for recovery. Three weekly sessions were held for six weeks. Results: In COPDG, there was a significant increase in the distance covered and an improvement in the BODE index. Conclusion: The 6-week CPT evidence to be effective in improving exercise tolerance in both elderly COPD subjects and the prognosis of disease.
Descriptors: Pulmonary disease chronic obstructive; Physical education and training; Exercise tolerance; Elderly.
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