Terminologia da ausculta pulmonar utilizada em publicações médicas brasileiras, no período de janeiro de 1980 a dezembro de 2003

Abstract

Objective: To evaluate the appropriateness of the use of auscultation terminology in Brazilian respiratory diseaserelated medical journals published between January of 1980 and December of 2003. Methods: A descriptive study was conducted, evaluating three medical journals: the Jornal de Pneumologia (Journal of Pulmonology), Jornal de Pediatria (Journal of Pediatrics) and Revista Brasileira de Medicina (Brazilian Journal of Medicine). Original articles and case reports about respiratory diseases were selected, and auscultation terminology was extracted from these articles. The appropriateness of terms used to describe adventitious sounds was assessed. Results: We found that the inappropriate use of terms was more frequent when intermittent sounds were described than when continuous sounds were described (87.7% versus 44.0%; p = 0.0000). No significant difference was observed between the inappropriate use of terms by pulmonologists and that observed for other specialists (56.5% versus 62.0%; p = 0.26). In addition, there were no significant differences among the various regions of the country or between the periods prior to and after the dissemination of international nomenclature. Conclusion: Inappropriate use of pulmonary auscultation terms describing adventitious sounds remains common and widespread in Brazilian medical publications.

Spatial genetic structure of Stryphnodendron adstringens (MART.) COVILLE (Leguminosae-Mimosoideae) using SSR markers

“…Table 1 shows the correlogram of S. adstringens indicating that the distances, among individuals of Botucatu State Forest, from 0 to 33 and from 99 to 132 meters have presented spatial structure. According to Sebbenn [6]is common in tropical species, similarities until 100 meters; therefore to collect high variability of S. adstringens it is important obeyed distance up to 132 meters.…”

“…The forest fragments of Stryphnodrendron adstringens have disappeared because of the high rate of Brazilian Savannah deforestation for commercial purposes, such as eucalypt, citrus, soy bean, and sugar cane crops that have been intensely cultivated on those areas [1]. Economically, S. adstringens is important for manufacture industries of paints and tanneries, but also is utilized for therapy against ulcer, scurvy, and for antiseptic and healing purposes [2].…”

Accuracy of chest auscultation in detecting abnormal respiratory mechanics in the immediate postoperative period after cardiac surgery

“…Chest auscultation performed with a traditional (acoustic) stethoscope is a practical, inexpensive method of diagnosing and monitoring abnormalities of the respiratory system in clinical practice. 1 - 3 Although routinely used by health care professionals for the evaluation of patients with cardiopulmonary disorders, chest auscultation has some important limitations: it is a subjective tool; it requires good hearing acuity and a high level of experience on the part of the health care professional in order to detect adventitious sounds 4 ; the nomenclature for respiratory sounds is not standardized 5 ; acoustic stethoscopes are not ideal instruments to detect respiratory sounds because they can modify sounds within the spectrum of clinical interest 6 ; and there is significant interobserver variability. 7 Despite those limitations, chest auscultation is presently applied to assess the respiratory function of mechanically ventilated patients and the findings are therefore employed in the decision-making process for patient care.…”