BackgroundNeuromuscular electrostimulation has become a promising issue in cardiovascular rehabilitation. However there are few articles published in the literature regarding neuromuscular electrostimulation in patients with heart failure during hospital stay.MethodsThis is a randomized controlled pilot trial that aimed to investigate the effect of neuromuscular electrostimulation in the walked distance by the six-minute walking test in 30 patients admitted to ward for heart failure treatment in a tertiary cardiology hospital. Patients in the intervention group performed a conventional rehabilitation and neuromuscular electrostimulation. Patients underwent 60 minutes of electrostimulation (wave frequency was 20 Hz, pulse duration of 20 us) two times a day for consecutive days until hospital discharge.ResultsThe walked distance in the six-minute walking test improved 75% in the electrostimulation group (from 379.7 ± 43.5 to 372.9 ± 46.9 meters to controls and from 372.9 ± 62.4 to 500 ± 68 meters to electrostimulation, p<0.001). On the other hand, the walked distance in the control group did not change.ConclusionThe neuromuscular electrostimulation group showed greater improvement in the walked distance in the six-minute walking test in patients admitted to ward for compensation of heart failure.
In this paper we propose to study the role of psychosocial variables in affect in adult patients undergoing orthodontic treatment, considering that affect is a key variable in treatment adherence. Seventy-four patients (average age 33,24 ± 10,56) with metal multibracket-fixed orthodontic treatment were included. Patients were assessed twice. The first stage, at the beginning of treatment, included assessment of dental impact (Psychosocial Impact of Dental Aesthetics Questionnaire), trait anxiety (State-Trait Anxiety Inventory), self-esteem (Rosenberg's self-esteem scale), and self-efficacy (General Self-efficacy Scale). In the second stage, 6 months later, positive and negative affect towards treatment was assessed using the Positive and Negative Affect Scale. Dental social impact differentiates between patients with high and low negative affect, while self-efficacy differentiates between patients with high and low positive affect. Trait anxiety and self-esteem differentiate between both types of affect (positive and negative). Trait anxiety and self-esteem (when trait anxiety weight is controlled) are significant predictor variables of affective balance. These results have important practical implications, because it seems essential to adopt a bio-psychosocial model incorporating assessment methods focusing on day-to-day changes in mood and well-being.
NIVS/BiPAP showed beneficial effects on exercise tolerance and dyspnea. It was safe and well tolerated by HF patients and should be considered for inclusion in cardiac rehabilitation programs.
RESUMOIntrodução: A Insuficiência Cardíaca (IC) pode ser caracterizada como uma síndrome clínica capaz de causar disfunções hemodinâmicas importantes no organismo. Os tecidos acometidos secretam substâncias especificas, denominadas biomarcadores. Esses biomarcadores são ferramentas para avaliação do prognóstico e para o diagnóstico da insuficiência cardíaca. Objetivo: Compreender a importância dos biomarcadores cardíacos como indicadores prognósticos na prática cardiológica. Métodos: Revisão Sistemática da Literatura, que tem por finalidade aplicar métodos de seleção e elegibilidade de escolha de periódicos que sejam explícitos e sistematizados. A busca dos artigos ocorreu nas bases de dados PUBMEB, Scielo e BVS. A razão de confiabilidade foi realizada por meio da aplicação do protocolo PRISMA. Resultados: A amostra foi constituída por um total de 15 artigos pertencentes a literatura nacional e internacional. Discussão: Reconhecidos como biomarcadores, o NT-proBNP/BNP, endostatina, genes relacionados a monócitos, o GDF-15, estão associados a piores prognósticos desses pacientes com IC e podem ser utilizados ainda como preditores em outras patologias, como na doença renal crônica. Conclusão: Tais evidências tornam clara a importância dos biomarcadores cardíacos no prognóstico, identificação de fenotipagem e preditores na IC, além de diagnóstico de eventos cardíacos. A maioria deles possuem alta sensibilidade, são métodos não invasivos, disponíveis e não operadores dependentes.
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