Objectives: The aim of this study was to verify and analyze the existence of chronic adaptations of lung function in freediving fishermen whose occupation is artisanal fishing. Material and Methods: This was a cross-sectional study involving 11 breath-hold diving fishermen and 10 non-breath-hold diving fishermen (control) from the village of Bitupitá in the municipality of Barroquinha (Ceará -Brazil). Anthropometric measurements, chest and abdominal circumferences as well as spirometric and respiratory muscle strength tests were conducted according to the specifications of the American Thoracic Society/European Respiratory Society (ATS/ERS). In order to compare the measured values versus the predicted values, Student t test was used in the case of parametric test and Wilcoxon test in the case of nonparametric test. To compare the inter-group means Student t test was used for parametric test and Mann-Whitney test for the nonparametric one. The level of significance was set at α = 5%. Results: The forced vital capacity (FVC) (4.9±0.6 l vs. 4.3±0.4 l) and forced expiratory volume in 1 s (FEV 1 ) (4.0±0.5 l vs. 3.6±0.3 l) were, respectively, higher in the group of divers compared to the control group (p ≤ 0.05). Furthermore, in the group of free divers, the measured FVC, FEV 1 and FEV 1 /FVC ratios were significantly greater than the predicted ones. No differences were found between the measured respiratory pressures. Conclusions: These results indicate that breath-hold diving seems to produce chronic adaptations of the respiratory system, resulting in elevated lung volumes with no airway obstruction.
Introdução: A disfunção temporomandibular (DTM) é uma subclassificação das disfunções musculoesqueléticas e apresenta etiologia indefinida. Seus sintomas mais comuns são a dor orofacial e a diminuição da mobilidade articular da boca, sensações que reduzem a qualidade de vida de seu portador. A fisioterapia surge como um importante método terapêutico, e entre os métodos comumente utilizados existe a terapia manual. Objetivo: Realizar uma revisão da literatura sobre a efetividade das condutas terapêuticas manuais no tratamento da DTM. Materiais e métodos: Realizou-se uma busca nas bases eletrônicas de dados Lilacs, SciELO, Medline e Pubmed, reunindo ensaios clínicos do período de 2004 a 2014 que documentassem as condutas terapêuticas manuais, isoladas ou associadas, utilizadas no tratamento da DTM em adultos. Resultados: Foram revisados onze artigos, referentes à intervenção da terapia manual na DTM, dos quais nove são nacionais e dois internacionais. Os estudos apontaram eficácia da terapia manual no alívio da sintomatologia dolorosa, melhora do padrão de contração da musculatura mastigatória e restauração da mobilidade articular através dos métodos utilizados no tratamento, e relataram que a significância do resultado foi obtida a partir da associação das técnicas manuais a outras terapias, como recursos eletrofísicos e drogas. Conclusões: A partir do estudo, é possível observar que a terapia manual apresenta resultados satisfatórios no tratamento de pacientes com DTM e que a associação da terapia manual com outros recursos terapêuticos potencializa os efeitos obtidos no tratamento desses pacientes, apresentando resultados mais significativos. Palavras-chave: Articulação temporomandibular; síndrome da disfunção temporomandibular; transtornos da articulação temporomandibular; fisioterapia. Introduction: Temporomandibular disorder (TMD) is a subclassification of musculoskeletal dysfunctions and have unknown etiology. Its most common symptoms are orofacial pain and decreased joint mobility of the mouth, sensations that reduce the quality of life of its bearer. Physical therapy appears as an important therapeutic method, and among the methods commonly used, exist the manual therapy. Objective: To conduct a literature review on the effectiveness of manual therapeutic approaches in the treatment of TMD. Materials and methods: We conducted a search in the electronic databases of data Lilacs, SciELO, Medline, and Pubmed gathering clinical trials from 2004 to 2014 which documented manual therapeutic conducts, isolated or associated, used for treating TMD in adults. Results: Eleven articles referring to the intervention of manual therapy in TMD were reviewed, of which nine are Brazilian and two are international. The studies showed effectiveness of manual therapy in relieving painful symptoms, improvement of the pattern of contraction of the masticatory musculature, and restoration of joint mobility through the methods used in the treatment and reported that the significance of the results was obtained from the association...
Constipação intestinal e uso de opioide Rev Bras Promoç Saúde, Fortaleza, 30(2): 275-282, abr./jun., 2017 275Constipação intestinal e uso de opioide "analgesic opioids", "constipation" and "pain" in English, Portuguese and Spanish, correlated ABSTRACT Objective: To investigate the impact of Opioid-Induced Constipation (OIC) in the literature through the identifi cation of the risk factors, symptoms and treatments. Methods: We carried out a review of scientifi c publications available in the Virtual Health Library (VHL), the Scientifi c Electronic Library Online (SciELO), the Latin-American and Caribbean Center on Health Sciences Information (LILACS) and the Medical Literature Analysis and Retrieval System Online (MEDLINE) databases. The search was carried out using the descriptors
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