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A criminologia ‘queer’ e o abolicionismo penal transviado
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Martins, Alexandre Nogueira

Dilemas: Revista de Estudos de Conflito e Controle Social

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aug 2022, Volume 15 N. 2 Pages 693 - 714

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

O artigo tem por objetivo apresentar uma genealogia da criminologia queer e do abolicionismo penal queer. Buscando compreender como se tornou possível o estabelecimento desses campos, mostra-se como a sexualidade constituiu a história do pensamento criminológico. Ao lado e além da crítica criminológica queer, apresentam-se reflexões sobre o abolicionismo penal queer como um conjunto de práticas e teorias de dissidentes sexuais e de gênero críticos aos caminhos de reforço do sistema penal. Expõe-se, ao final, como produções brasileiras podem ser lidas como parte da criminologia e/ou abolicionismo queer.

Queer Criminology and Queer Penal Abolitionism aims to present a genealogy of the emergence of queer criminology and queer penal abolitionism. Seeking to understand how the establishment of these fields became possible, we situate the ways in which sexuality constituted the history of criminological thought. Alongside and beyond queer criminological critique, we reflect on queer penal abolitionism as a set of practices and theories of sexual and gender dissidents critical to the path of reinforcing the penal system. At last, we state how Brazilian productions can be read as part of queer criminology and/or abolitionism.

https://doi.org/10.4322/dilemas.v15n2.44938

Web-based exercise interventions for patients with depressive and anxiety disorders: a systematic review of randomized controlled trials
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Carneiro, Lara

; Rosenbaum, Simon

; Ward, Philip B.

; Clemente, Filipe M.

; Ramirez-Campillo, Rodrigo

; Monteiro-Júnior, Renato S.

; Martins, Alexandre

; Afonso, José

Brazilian Journal of Psychiatry

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jun 2022, Volume 44 N. 3 Pages 331 - 341

Abstract: En | Text: En | PDF: En

Objective: The number of people suffering from depression and/or anxiety has increased steadily due to the coronavirus disease 2019 (COVID-19) pandemic. In this context, web-based exercise interventions have emerged as a potential treatment strategy. The objective of this study was to synthetize evidence from randomized controlled trials regarding the effects of web-based exercise interventions on patients with depressive and/or anxiety disorders. Methods: Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed. Six databases were searched (Cochrane Library, EBSCO, PubMed, SciELO, Scopus, and Web of Science), and eligible articles were identified according to a PICOS inclusion-exclusion approach (participants with depressive or anxiety disorders; web-based exercise interventions; active or passive control group; assessment of changes in depressive or anxiety disorders; randomized design). Primary outcomes were depressive and/or anxiety symptoms. The quality of evidence was assessed with Grading of Recommendations Assessment, Development, and Evaluation. Results: Of 7,846 search results, three studies met the inclusion criteria (172 participants between 18 and 65 years of age, 95.9% women). The web-based exercise interventions lasted 8-12 weeks and involved endurance training, yoga, or combined endurance and strength training. The comparators involved non-exercise controls or active controls. Compliance rates were low. Web-based exercise interventions were not superior to controls regarding anxiety symptoms, and only one study found benefits for depressive symptoms (p ≤ 0.05). The quality of the cumulative evidence was low. Conclusion: The available data regarding the effects of web-based exercise interventions on depression and/or anxiety symptoms is scarce, the risk of bias is high, and the quality of the cumulative results is low. Currently, no clear recommendations can be provided. Registration number: PROSPERO CRD42021225938.

https://doi.org/10.1590/1516-4446-2021-2026

Internal training and match load quantification of one-match week schedules in female first league Portugal soccer team
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Fernandes, Renato

; Oliveira, Rafael

; D. Martins, Alexandre

; Moreira de Brito, João

Cuadernos de Psicología del Deporte

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dec 2021, Volume 21 N. 3 Pages 126 - 138

Abstract: En Pt Es | Text: En Pt Es | PDF: En | PDF: Pt | PDF: Es

ABSTRACT Training load (TL) quantification allow coaches to a better load management during training sessions to be in the best physical fitness to the next match. The aim of this study was to compare session rated of perceived exertion (s-RPE) and Hooper Index (HI) between training and match days from the same women's Portuguese League team. Sixteen players with a mean±SD age, height and weight of 24.0±2.9 years, 164±4.1 cm and 58.5±8.2 kg, respectively, participated in this study. The participants completed ≥80% of the training sessions during 2019/20 in-season. Data was collected through the s-RPE and the HI that measured sleep quality, fatigue, stress, and muscle soreness (DOMS). Data was analysed in relation to the number of days away from the competitive one-match week (i.e., match day minus, MD-) with three training sessions a week (MD-5; MD-4; MD-2). The study analysed data from a total of 12 matches and 45 training sessions with repeated measures ANOVA, p≤0.05. Results showed differences between MD-5 (85.2±0.3min) vs MD-4 (87.2±0.4min) vs MD-2 (80.6±0.6min) vs MD (62.8±4.9min), all p<0.05; s-RPE showed higher values on MD-5 (503.8±19.0au) vs MD-4 (473.2±14.8au) vs MD-2 (362.1±12.1au) vs MD (468.2±40.5au); HI showed higher values on MD-5 (13.4±0.5au) vs MD-4 (13.4±0.4au) vs MD-2 (12.7±0.5au) vs MD (11.9±0.4au); DOMS revealed difference between MD-4 vs MD-2 (3.1±0.2 vs 2.7±0.2au), p<0.05. It was shown that there is a higher TL on MD-5 and MD-4 compared with MD-2. Results from HI showed that sleep, fatigue, stress and DOMS was well fair controlled by coaches and staff.

RESUMO A quantificação da carga de treino (CT) permite aos treinadores uma melhor gestão da carga dos jogadores durante as sessões de treino para que estejam na melhor condição física para o próximo jogo. O objetivo deste estudo foi comparar os valores da perceção subjetiva de esforço (s-RPE) e o Índice Hooper (HI) entre dias de treino e de jogo numa equipa feminina de Futebol da principal Liga feminina portuguesa. Participaram neste estudo dezasseis jogadoras com média ± DP de idade, altura e peso de 24,0 ± 2,9 anos, 164 ± 4,1 cm e 58,5 ± 8,2 kg, respetivamente. As participantes completaram ≥80% das sessões de treino durante a temporada de 2019/20. Os dados avaliados foram o s-RPE e o HI que mediu a qualidade do sono, fadiga, stresse e dor muscular (DOMS). Os dados foram recolhidos através do s-RPE e do IH que avaliaram a qualidade do sono, fadiga, stress e dor muscular (DOMS). Os dados foram analisados em relação ao número de dias para o jogo competitivo (ou seja, dia de jogo menos, MD-) com três sessões de treino por semana (MD-5; MD-4; MD-2). O estudo analisou 12 jogos e 45 sessões de treino através de medidas repetidas ANOVA, p≤0,05. Os resultados mostraram diferenças entre MD-5 (85,2±0,3min) vs MD-4 (87,2±0,4min) vs MD-2 (80,6±0,6min) vs MD (62,8±4,9min), todos p<0,05; s-RPE mostrou valores mais altos em MD-5 (503,8±19,0au) vs MD-4 (473,2±14,8au) vs MD-2 (362,1±12,1au) vs MD (468,2±40,5au); HI mostrou valores mais altos em MD-5 (13,4±0,5au) vs MD-4 (13,4±0,4au) vs MD-2 (12,7±0,5au) vs MD (11,9±0,4au); DOMS revelou diferença entre MD-4 vs MD-2 (3,1±0,2 vs 2,7±0,2au), p<0,05. Foi demonstrado que existe uma maior CT no MD-5 e MD-4 em comparação com o MD-2. Os resultados do HI mostraram que o sono, fadiga, stress e DOMS foi bem controlado pelos treinadores e staff.

RESUMEN La cuantificación de la carga de entrenamiento (TL) permite a los entrenadores gestionar la carga durante el entrenamiento con el objetivo de estar en la mejor forma física para la próxima competición. El propósito de este estudio fue comparar la Percepción Subjetiva de Esfuerzo (s-RPE) y el Índice Hooper (HI) entre deportes y partidos de un solo equipo de fútbol de la principal liga femenina portuguesa. En este estudio participaron dieciséis jugadores con una media ± DE edad, altura y peso de 24,0 ± 2,9 años, 164 ± 4,1 cm y 58,5 ± 8,2 kg, respectivamente. Los participantes completaron ≥80% de las sesiones de entrenamiento durante la temporada 2019/20. Los datos evaluados fueron s-RPE y HI, que midieron la calidad de la grasa, la fatiga, el estrés y el dolor muscular (DOMS). Los datos se analizaron en relación con el número de días durante un microciclo competitivo (semana de juego), es decir, menos día de juego (MD-) con tres sesiones de entrenamiento por semana (MD-5; MD-4; MD-2). El estudio analizó datos para un total de 12 juegos y 45 sesiones de entrenamiento con ANOVA de medidas repetidas, p≤0,05. Los resultados mostraron diferencias entre MD-5 (85,2 ± 0,3min) vs MD-4 (87,2 ± 0,4min) vs MD-2 (80,6 ± 0.6min) vs MD (62,8 ± 4,9min), todos p <0,05; s-RPE mostró valores más altos en MD-5 (503,8 ± 19,0ua) vs MD-4 (473,2 ± 14,8ua) vs MD-2 (362,1 ± 12,1ua) vs MD (468, 2 ± 40,5ua); El HI mostró valores más altos en MD-5 (13,4 ± 0,5ua) frente a MD-4 (13,4 ± 0,4ua) frente a MD-2 (12,7 ± 0,5ua) frente a MD (11, 9 ± 0,4ua); DOMS reveló diferencias entre MD-4 vs MD-2 (3,1 ± 0,2 vs 2,7 ± 0,2ua), p<0,05. Se ha demostrado que existe una mayor carga de entrenamiento en el MD-5 y MD-4 en comparación con el MD-2. Los resultados de HI mostraron que la grasa, la fatiga, el estrés y DOMS estaban bien controlados por el equipo técnico y los jugadores.

Attention-deficit/hyperactivity disorder and brain metabolites from proton magnetic resonance spectroscopy: a systematic review and meta-analysis protocol
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Vidor, Marcos Vinícius

; Panzenhagen, Alana Castro

; Martins, Alexandre Ribeiro

; Cupertino, Renata Basso

; Bandeira, Cibele Edom

; Rohde, Luis Augusto

; Rovaris, Diego Luiz

; Bau, Claiton Henrique Dotto

; Grevet, Eugênio Horácio

Trends in Psychiatry and Psychotherapy

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mar 2021, Volume 43 N. 1 Pages 1 - 8

Abstract: En | Text: En | PDF: En

Abstract Despite major advances in the study of the brain, investigations on neurochemistry in vivo still lack the solid ground of more established methods, such as structural and functional magnetic resonance imaging. Proton magnetic resonance spectroscopy (MRS) is a technique that might potentially fill in this gap. Nevertheless, studies using this approach feature great methodological heterogeneity, such as varying voxel of choice, differences on emphasized metabolites, and absence of a standardized unit. In this study, we present a methodology for creating a systematic review and meta-analysis for this kind of scientific evidence using the prototypical case of attention-deficit/hyperactivity disorder. Systematic review registration: International Prospective Register of Systematic Reviews (PROSPERO), CRD42018112418.

https://doi.org/10.47626/2237-6089-2019-0111 364 downloads

Comparison between subarachnoid morphine and femoral nerve block for analgesia after knee ligament reconstruction: a randomized clinical trial
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Fiorentin, Joana Zulian

; Martins, Alexandre Vieira

; Cañola, Juan Manuel Vélez

; Gutierrez, Linda Cecilia

; Perches, Fábio

; Sakae, Thiago Mamôru

; Tenório, Sérgio Bernardo

Revista Brasileira de Anestesiologia

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dec 2020, Volume 70 N. 6 Pages 613 - 619

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Justificativa e objetivos Não há consenso sobre qual é a técnica ideal para prover analgesia em reconstruções ligamentares de joelho. Objetivou‐se comparar a intensidade da dor pós‐operatória desses pacientes sob diferentes modalidades de analgesia. Método Ensaio clínico randomizado e controlado de pacientes submetidos à reconstrução do ligamento cruzado anterior com tendões flexores entre dezembro de 2013 e 2014. Todos os pacientes foram submetidos a raquianestesia e analgesia de resgate com tramadol. Compararam‐se os grupos C, M, R0,375 e R0,25; aos quais se ofertou apenas a técnica anteriormente descrita, morfina subaracnóidea (100 µg) ou bloqueio de nervo femoral com 25 mL de ropivacaína 0,375% e 0,25%, respectivamente. Avaliou‐se intensidade da dor em 6, 12 e 24 horas, idade, sexo, analgesia de resgate, reações adversas e satisfação. Resultados Entre os 83 pacientes elegíveis, observou‐se predomínio do sexo masculino (85,7%) entre 28 e 31 anos. O Grupo C solicitou mais opioide (27,3%) do que os demais grupos, sem significância quando comparados. Não houve diferenças significativas na intensidade da dor em 6, 12 e 24 horas. Houve maior incidência de retenção urinária no Grupo M (23,8%) do que no R0,375 (0%) e de bloqueio motor prolongado do quadríceps no Grupo R0,375 (30%) do que nos Grupos M e C (0%), com significância estatística (p< 0,05). Conclusão Não houve diferença na intensidade da dor pós‐operatória nos pacientes submetidos à reconstrução de ligamento cruzado anterior com tendões flexores sob as modalidades analgésicas avaliadas, apesar do predomínio de retenção urinária no Grupo M e bloqueio motor no Grupo R0,375.

Abstract Background and objectives There are no consensus of the ideal technique to provide analgesia in knee ligament reconstructions. The aim of this study was to compare the intensity of postoperative pain in these patients under different modalities of analgesia. Method Randomized and controlled clinical trial of patients undergoing reconstruction of the Anterior Cruciate Ligament (ACL) with flexor tendons between December 2013 and 2014. All patients underwent spinal anesthesia and rescue analgesia with tramadol. The groups C, M, R0,375 and R0,25 was compared with only the previously described technique, subarachnoid morphine (100░µg), or Femoral Nerve Block (BNF) with 25░mL of 0.375% ropivacaine and 0.25%, respectively. Pain intensity at 6, 12 and 24░hours, age, sex, rescue analgesia, adverse reactions and satisfaction were evaluated. Results Among the 83 eligible patients, a predominance of males (85.7%) was observed, between 28 and 31 years. The group C requested more opioid (27.3%) than the other groups, without significance when compared. There were no significant differences in pain intensity at 6, 12 and 24░hours. There was a higher incidence of urinary retention in the M group (23.8%) than in the R0,375 (0%) and prolonged quadriceps motor block in the R0,375 group (30%) than in the M and C groups (0%), with statistical significance (p░<░0.05). Conclusion There was no difference in the intensity of postoperative pain in patients submitted to ACL reconstruction with flexor tendons under the analgesic modalities evaluated, despite the predominance of urinary retention in the M group and motor block in the R0,375 group.

https://doi.org/10.1016/j.bjane.2019.10.007 377 downloads

Seed traits of species from South Brazilian grasslands with contrasting distribution
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Martins, Alexandre Cristante

; Marchioretto, Rafaella Migliavacca

; Vieira, Ariane Tonetto

; Stiehl-Alves, Eudes Maria

; Santos, Eliane Kaltchuk dos

; Souza-Chies, Tatiana Teixeira de

Acta Botanica Brasilica

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dec 2020, Volume 34 N. 4 Pages 730 - 745

Abstract: En | Text: En | PDF: En

ABSTRACT South Brazilian grasslands are among the most species-rich grasslands worldwide yet they have been suffering ongoing degradation due to land-use. Little is known about the reproductive ecology of the native species of these grasslands. Thus, our goal was to characterize seed traits and germination requirements of three native species of the tribe Tigridieae (Iridaceae, Iridoideae) due to its richness in the Pampa biome and the contrasting morphology, cytogenetics, and geographic distributions of its representatives. We tested if closely related species possess similar seed traits and whether species with wider distributions have broader germination requirements. Seed production and mass were estimated, and morphological analyses, germination experiments and viability tests were performed. Principal component analysis (PCA) was used to describe correlations between seed traits and species’ distributions. Germination was assessed using time-to-event analysis and the Cox model. All seed traits differed among the analyzed species/cytotypes. Final germination percentage (FGP) averaged 39.1 % and with overall viability of 89.9 %. Germination tests showed that seeds benefit from negative photoblasty. Species/cytotypes with wider distributions and heavier and larger seeds generally had better germination performances than narrower distributed species/cytotypes with lighter and smaller seeds.

https://doi.org/10.1590/0102-33062020abb0012 455 downloads

Registro Multicêntrico de Takotsubo (REMUTA) – Aspectos Clínicos, Desfechos Intra-Hospitalares e Mortalidade a Longo Prazo
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Almeida Junior, Gustavo Luiz Gouvêa de

; Mansur Filho, João

; Albuquerque, Denilson Campos de

; Xavier, Sergio Salles

; Pontes, Álvaro

; Gouvêa, Elias Pimentel

; Martins, Alexandre Bahia Barreiras

; Nunes, Nágela S. V.

; Carestiato, Lilian Vieira

; Petriz, João Luiz Fernandes

; Santos, Armando Márcio Gonçalves

; Bandeira, Bruno Santana

; Abufaiad, Bárbara Elaine de Jesus

; Pacheco, Luciana da Camara

; Oliveira, Maurício Sales de

; Ribeiro Filho, Paulo Eduardo Campana

; Sampaio, Pedro Paulo Nogueres

; Duque, Gustavo Salgado

; Camillis, Luiz Felipe

; Marques, André Casarsa

; Lourenço Jr, Francisco Carlos

; Palazzo, José Ricardo

; Costa, Cláudio Ramos da

; Silva, Bibiana Almeida da

; Zukowski, Cleverson Neves

; Garcia, Romulo Ribeiro

; Zonis, Fernanda de Carvalho

; Paula, Suzana Andressa Morais de

; Ferrari, Carolina Gravano Ferraz

; Rangel, Bruno Soares da Silva

; Ferreira, Roberto Muniz

; Mendes, Bárbara Ferreira da Silva

; Castro, Isabela Ribeiro Carvalho de

; Souza, Leonardo Giglio Gonçalves de

; Araújo, Luiz Henrique dos Santos

; Giani, Alexandre

Arquivos Brasileiros de Cardiologia

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aug 2020, Volume 115 N. 2 Pages 207 - 216

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Fundamento A síndrome de takotsubo (takotsubo) é uma forma de cardiomiopatia adquirida. Dados nacionais sobre essa condição são escassos. O Registro REMUTA é o primeiro a incluir dados multicêntricos dessa condição no nosso país. Objetivo Descrever as características clínicas, prognóstico, tratamento intra-hospitalar e mortalidade hospitalar e em 1 ano de seguimento. Métodos Estudo observacional, retrospectivo, tipo registro. Incluídos pacientes internados com diagnóstico de takotsubo ou que desenvolveram esta condição durante internação por outra causa. Os desfechos avaliados incluíram fator desencadeador, análise dos exames, uso de medicações, complicações e óbito intra-hospitalar e em 1 ano de seguimento. O nível de significância adotado foi de 5%. Resultados Foram incluídos 169 pacientes, em 12 centros no Estado do Rio de Janeiro. A idade média foi de 70,9 ± 14,1 anos e 90,5% eram do sexo feminino; 63% dos casos foram de takotsubo primário e 37% secundário. Troponina I foi positiva em 92,5% dos pacientes e a mediana de BNP foi de 395 (176,5; 1725). Supradesnivelamento do segmento ST esteve presente em 28% dos pacientes. A fração de ejeção do ventrículo esquerdo teve mediana de 40 (35; 48)%. Observamos taxa de 25,7% de ventilação mecânica invasiva e 17,4% de choque. Suporte circulatório mecânico foi utilizado em 7,7%. A mortalidade intra-hospitalar foi de 10,6% e a mortalidade ao final de 1 ano foi de 16,5%. Takotsubo secundário e choque cardiogênico foram preditores independentes de mortalidade. Conclusão Os resultados do REMUTA mostram que takotsubo não se trata de patologia benigna como se pensava, especialmente no grupo de takotsubo secundário que acarreta elevada taxa de complicações e de mortalidade. (Arq Bras Cardiol. 2020; 115(2):207-216)

Abstract Background Takotsubo syndrome (TTS) is an acquired form of cardiomyopathy. National Brazilian data on this condition are scarce. The Takotsubo Multicenter Registry (REMUTA) is the first to include multicenter data on this condition in Brazil. Objective To describe the clinical characteristics, prognosis, in-hospital treatment, in-hospital mortality, and mortality during 1 year of follow-up. Methods This is an observational, retrospective registry study including patients admitted to the hospital with diagnosis of TTS and patients admitted for other reasons who developed this condition. Evaluated outcomes included triggering factor, analysis of exams, use of medications, complications, in-hospital mortality, and mortality during 1 year of follow-up. A significance level of 5% was adopted. Results The registry included 169 patients from 12 centers in the state of Rio de Janeiro, Brazil. Mean age was 70.9 ± 14.1 years, and 90.5% of patients were female; 63% of cases were primary TTS, and 37% were secondary. Troponin I was positive in 92.5% of patients, and median BNP was 395 (176.5; 1725). ST-segment elevation was present in 28% of patients. Median left ventricular ejection fraction was 40 (35; 48)%. We observed invasive mechanical ventilation in 25.7% of cases and shock in 17.4%. Mechanical circulatory support was used in 7.7%. In-hospital mortality was 10.6%, and mortality at 1 year of follow-up was 16.5%. Secondary TTS and cardiogenic shock were independent predictors of mortality. Conclusion The results of the REMUTA show that TTS is not a benign pathology, as was once thought, especially regarding the secondary TTS group, which has a high rate of complications and mortality. (Arq Bras Cardiol. 2020; 115(2):207-216)

https://doi.org/10.36660/abc.20190166 1217 downloads

Escores Prognósticos de Mortalidade na Cirurgia Cardíaca para Endocardite Infecciosa
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Martins, Alexandre Bahia Barreiras

; Lamas, Cristiane da Cruz

Arquivos Brasileiros de Cardiologia

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mar 2020, Volume 114 N. 3 Pages 525 - 529

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

https://doi.org/10.36660/abc.20200070 633 downloads

Physiological demands of archery: effect of experience level
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Borges, Thiago Oliveira

; Moreira, Alexandre

; Bacurau, Reury Frank

; Magalhães, Fernando Henrique

; Capitani, Caroline Dario

; Martins, Alexandre Nunes

; Mochizuki, Luis

; Aoki, Marcelo Saldanha

Revista Brasileira de Cineantropometria & Desempenho Humano

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2020, Volume 22 elocation e72276

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo O entendimento da fadiga durante a competição de Tiro com Arco pode auxiliar na otimização da rotina de treinamento de atletas em diferentes níveis competitivos. Este estudo investigou o efeito do nível de experiência do atleta sobre as respostas fisiológicas, durante competição simulada de Tiro com Arco para um atleta de elite (EA) e um arqueiro iniciante (NA). Esforço percebido, concentração de lactato e glicose sanguínea, força de preensão manual e eletromiografia foram registrados no início, após cada série e, 30-min após a simulação. O EA apresentou maior força de preensão manual para ambos braços, valor de média RMS constantemente mais baixo (Baseline 0,279V e 12ª série 0,221V, -20,7%), e valor de MF estável no decorrer da competição (Baseline 146Hz a 12a série 140Hz). O NA demonstrou menor força de preensão manual, aumento na RMS após a 6a série até o final da competição (Baseline 0,387V, 6a 0,576V, and 12a série 0,720V, +46,2%) e pequena diminuição na MF da 6ª até o final da 12ª série (2a série 122Hz, 4a série 127Hz, 6a série 112Hz e 12a série 117Hz, - 4,1%). Assim, todos os marcadores relacionados a fadiga apresentaram resposta discreta na simulação de competição de Tiro com Arco, com maior magnitude no NA, em comparação com EA. Este estudo apresentou as demandas fisiológicas da competição simulada de Tiro com Arco, no formato oficial, permitindo que treinadores e cientistas do esporte possam tomar decisões com maior confiança sobre estratégias de competição e treinamento.

Abstract The understanding of fatigue development during Archery competition would guide sports scientists, coaches and athletes on how to optimize the training routines of athletes from different competitive levels. This study investigated the effect of expertise level on physiological responses, during simulated archery competition (double-round 70m, 12 series, 6 arrows for an elite Brazilian Archer (EA) and a Novice Archer (NA). Ratings of perceived exertion, blood lactate and glucose, handgrip strength and electromyography were registered at the beginning, after each set from the 2nd to the 12tharrow and, 30-min after the competition simulation. The EA showed a greater handgrip strength for both arms, a constant lower mean RMS value (Baseline 0.279V and 12th set 0.221V, -20.7%), and a stable MF value throughout the competition (Baseline 146Hz to 12th set 140Hz). The NA showed a smaller handgrip strength, an increase in RMS after the 6th set towards the end of the competition (Baseline 0.387V, 6th 0.576V, and 12th set 0.720V, +46.2%) and a minor decrease in MF from the 6th to the end of 12th set (2nd set 122Hz, 4th set 127Hz, 6th set 112Hz and 12th set 117Hz, - 4.1%). In summary, all the fatigue-related markers showed a mild response to the Archery competition simulation, although a greater magnitude was observed in the NA, compared to the EA. This study reported the physiologic demands of an Archery simulated competition, in an official format, allowing coaches and sport scientists to draw more confident decisions on competition strategy and training design.

https://doi.org/10.1590/1980-0037.2020v22e72276 546 downloads

10.

USO DE MEDICAMENTOS EM CRIANÇAS DE ZERO A CINCO ANOS DE IDADE RESIDENTES NO MUNICÍPIO DE TUBARÃO, SANTA CATARINA
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Maniero, Hellen Karoline

; Martins, Alexandre Alvares

; Melo, Angelita Cristine

; Paz, Leonardo Petrus da Silva

; Schraiber, Rosiane de Bona

; Galato, Dayani

Revista Paulista de Pediatria

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dec 2018, Volume 36 N. 4 Pages 437 - 444

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO Objetivo: Analisar o perfil de utilização de medicamentos em crianças de zero a cinco anos de idade. Métodos: Estudo transversal baseado em entrevistas realizadas em domicílio com cuidadores (pais, tios ou avós) das crianças cadastradas em dez unidades de Estratégia Saúde da Família (ESF), distribuídas em diferentes pontos geográficos do município de Tubarão, Santa Catarina. Resultados: Foram entrevistados 350 cuidadores, cujas crianças sorteadas possuíam, em média, 2,6 anos de idade. Destas, 56,9% utilizaram, pelo menos, um medicamento nos 15 dias anteriores à entrevista, sendo que 31,1% foram expostas à automedicação e 35,7% utilizaram, pelo menos, um medicamento obtido por prescrição atual. O uso de medicamentos foi associado à faixa etária de até 24 meses, consulta periódica com pediatra e diagnóstico de doenças agudas e doenças crônicas. Entre as crianças medicadas, 19,1% foram expostas a pelo menos um medicamento de forma inadequada (considerando dose, intervalo entre doses ou período de tratamento). Quanto ao armazenamento, 55,2% dos medicamentos estavam guardados em lugar inseguro, ou seja, ao acesso das crianças, e 32,0% em locais inadequados, por estarem expostos a luz, calor ou umidade. Ainda, 45,2% estavam sem bula, 38,9% sem embalagem secundária e 1,6% fora do prazo de validade. Conclusões: As crianças estudadas apresentam uma frequência elevada de uso de medicamentos, devendo ser incentivadas ações que visem ao uso seguro e racional de fármacos nessa população.

ABSTRACT Objective: To analyze the context of drug use in children aged zero to five years old. Methods: Cross-sectional study based on interviews conducted at home with caregivers (parents, uncles or grandparents) of the children enrolled in ten Family Health Strategy units across different geographical points of the city of Tubarão, Santa Catarina, Brazil. Results: A total of 350 caregivers were interviewed, whose children’s mean age was 2.6 years. Of these, 56.9% had used at least one drug in the 15 days prior to the interview, 31.1% had been exposed to self-medication and 35.7% had used at least one medication obtained by current prescription. The use of medication was associated with the age range up to 24 months, periodic consultation with pediatricians and diagnosis of chronic and acute diseases. Among medicated children, 19.1% inappropriately had been exposed to at least one medication (considering dose, dose interval or period of treatment). Regarding medication storage, 55.2% of interviewees stored them in unsafe places that could be accessed by children and 32.0% in inappropriate places, with exposure to light, heat or humidity. Moreover, 45.2% of the interviewees stored drugs out of their packages, 38.9% without secondary packaging, and 1.6% of drugs had expired date. Conclusions: Drug use is high among children in this age range, and actions aimed at the safe and rational use of these substances in this population should be encouraged.

https://doi.org/10.1590/1984-0462/;2018;36;4;00008 2495 downloads

11.

Randomized trial of radiofrequency ablation versus conventional surgery for superficial venous insufficiency: if you don’t tell, they won’t know
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Mendes, Cynthia de Almeida

; Martins, Alexandre de Arruda

; Fukuda, Juliana Maria

; Parente, José Ben-Hur Ferraz

; Munia, Marco Antonio Soares

; Fioranelli, Alexandre

; Teivelis, Marcelo Passos

; Varella, Andrea Yasbek Monteiro

; Caffaro, Roberto Augusto

; Kuzniec, Sergio

; Wolosker, Nelson

Clinics

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nov 2016, Volume 71 N. 11 Pages 650 - 656

Abstract: En | Text: En | PDF: En

OBJECTIVES: This study compared radiofrequency ablation versus conventional surgery in patients who had not undergone previous treatment for bilateral great saphenous vein insufficiency, with each patient serving as his own control. METHOD: This was a randomized controlled trial that included 18 patients and was carried out between November 2013 and May 2015. Each of the lower limbs of each patient was randomly assigned to undergo either radiofrequency ablation or conventional surgery. Clinical features (hyperpigmentation, hematoma, aesthetics, pain, skin burn, nerve injury, and thrombophlebitis) were evaluated at one week, one month, and six months postoperatively. Hemodynamic assessments (presence of resection or occlusion of the great saphenous vein and recurrent reflux in the sapheno-femoral junction and in the great saphenous vein) were performed at one month, six months, and 12 months postoperatively. The independent observer (a physician not involved in the original operation), patient, and duplex ultrasonographer were not made aware of the treatment done in each case. Clinicaltrials.gov: NCT02588911. RESULTS: Among the clinical variables analyzed, only the aesthetic evaluation by the physicians was significant, with radiofrequency ablation being considered better than conventional surgery (average, 0.91 points higher: standard deviation: 0.31; 95% confidence interval: -1.51, -0.30; p=0.003). However, in our study, we observed primary success rates of 80% for radiofrequency ablation and 100% for conventional surgery. CONCLUSIONS: If the physician is not required to inform the patient as to the technique being performed, the patient will not be able to identify the technique based on the signs and symptoms. Our study revealed that both techniques led to high levels of patient satisfaction, but our results favor the choice of conventional surgery over radiofrequency ablation, as patients who underwent conventional surgery had better hemodynamic assessments.

https://doi.org/10.6061/clinics/2016(11)06 1061 downloads

12.

Carbon dioxide contrast medium for endovascular treatment of ilio-femoral occlusive disease
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Mendes, Cynthia de Almeida

; Martins, Alexandre de Arruda

; Teivelis, Marcelo Passos

; Kuzniec, Sergio

; Varella, Andrea Yasbek Monteiro

; Fioranelli, Alexandre

; Wolosker, Nelson

Clinics

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oct 2015, Volume 70 N. 10 Pages 675 - 679

Abstract: En | Text: En | PDF: En

OBJECTIVES:Compare the use of carbon dioxide contrast medium with iodine contrast medium for the endovascular treatment of ilio-femoral occlusive disease in patients without contraindications to iodine.MATERIALS AND METHODS:From August 2012 to August 2014, 21 consecutive patients with ilio-femoral occlusive disease who were eligible for endovascular treatment and lacked contraindications to either iodine contrast or carbon dioxide were randomized into the carbon dioxide or iodine groups and subjected to ilio-femoral angioplasty.We analyzed the feasibility of the procedures, the surgical and clinical outcomes, the procedure lengths, the endovascular material costs, the contrast costs and the quality of the angiographic images in each group.RESULTS:No conversions to open surgery and no contrast media related complications were noted in either group. A post-operative femoral pulse was present in 88.9% of the iodine group and 80% of the carbon dioxide group. No differences in procedure length, endovascular material cost or renal function variation were noted between the groups. Four patients in the carbon dioxide group required iodine supplementation to complete the procedure. Contrast media expenses were reduced in the carbon dioxide group. Regarding angiographic image quality, 82% of the carbon dioxide images were graded as either good or fair by observers.CONCLUSIONS:The use of carbon dioxide contrast medium is a good option for ilio-femoral angioplasty in patients without contraindications to iodine and is not characterized by differences in endovascular material costs, procedure duration and surgical outcomes. In addition, carbon dioxide has lower contrast expenses compared with iodine.

https://doi.org/10.6061/clinics/2015(10)03 1120 downloads

13.

Public private partnership in vascular surgery
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Mendes, Cynthia de Almeida

; Martins, Alexandre de Arruda

; Teivelis, Marcelo Passos

; Kuzniec, Sérgio

; Wolosker, Nelson

einstein (São Paulo)

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sep 2014, Volume 12 N. 3 Pages 342 - 346

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Objetivo Descrever e analisar os resultados de parceria público-privada entre o Ministério da Saúde e um hospital privado em projeto de assistência e pesquisa científica na área de cirurgia endovascular. Métodos: Foram analisados fluxos, custos e resultados clínicos dos pacientes atendidos numa parceria público-privada entre abril de 2012 e julho de 2013. Todos os pacientes foram operados, ficaram pelo menos um dia na unidade de terapia intensiva do hospital privado e participaram de um protocolo de pesquisa para comparação entre dois contrastes endovenosos para cirurgia endovascular (contraste iodado e dióxido de carbono). Resultados Foram realizados 62 procedimentos endovasculares em 57 pacientes provenientes do sistema público. Os gastos hospitalares e com material endovascular mostraram-se significativamente maiores em relação ao que é pago pelo Sistema Único de Saúde (SUS) em dois dos três grupos de doenças estudados. Entre os pacientes ambulatoriais, o intervalo médio entre a consulta e a cirurgia foi de 15 dias e, nos internados, 7 dias. Todos os procedimentos foram bem sucedidos, sem conversão para cirurgia aberta. O novo contraste estudado, o dióxido de carbono, mostrou-se eficaz e mais barato. Conclusão O tempo de espera dos pacientes entre indicação cirúrgica e sua realização foi significativamente reduzido. Parcerias público-privadas podem trazer agilidade no atendimento dos pacientes do SUS, permitindo também geração de conhecimento científico.

Objective To describe and analyze the results of a public-private partnership between the Ministry of Health and a private hospital in a project of assistance and scientific research in the field of endovascular surgery. Methods: The flows, costs and clinical outcomes of patients treated in a the public-private partnership between April 2012 and July 2013 were analyzed. All patients underwent surgery and stayed at least one day at the intensive care unit of the private hospital. They also participated in a research protocol to compare two intravenous contrast media used in endovascular surgery (iodinated contrast and carbon dioxide). Results A total of 62 endovascular procedures were performed in 57 patients from the public healthcare system. Hospital and endovascular supplies expenses were significantly higher as compared to the amount paid by the Unified Health System (SUS - Sistema Único de Saúde) in two out of three disease groups studied. Among outpatients, the average interval between appointment and surgery was 15 days and, in hospitalized patients 7 days. All procedures were successful with no conversion to open surgery. The new contrast medium studied - carbon dioxide – was effective and cheaper. Conclusion The waiting time for patients between indication and accomplishment of surgery was significantly reduced. Public-private partnerships can speed up care of patients from public health services, and generate and improve scientific knowledge.

https://doi.org/10.1590/s1679-45082014gs3029 2359 downloads

14.

Influence of mental practice and movement observation on motor memory, cognitive function and motor performance in the elderly
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Altermann, Caroline D. C.

; Martins, Alexandre S.

; Carpes, Felipe P.

; Mello-Carpes, Pâmela B.

Brazilian Journal of Physical Therapy

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apr 2014, Volume 18 N. 2 Pages 201 - 209

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

CONTEXTUALIZAÇÃO: Com o envelhecimento, é importante a manutenção da função motora e cognitiva para garantir autonomia e qualidade de vida. Durante a aquisição de habilidades motoras é necessário que o idoso seja capaz de compreender o objetivo das atividades propostas e, para isso, a prática física e mental, assim como a demonstração, são estratégias usadas para o indivíduo aprender os movimentos.OBJETIVOS: Verificar a influência da prática mental e da observação do movimento sobre a memória motora e a relação entre a função cognitiva e o desempenho motor na execução de uma sequência de movimentos digitais em idosos.MÉTODO: Estudo transversal, realizado com 45 jovens e 45 idosos. Foram utilizados: Miniexame do Estado Mental (MEEM); Inventário de Preferência Manual de Edinburgh e Tarefa Motora Digital (composta por fase de treino, intervalo e teste). Os sujeitos foram divididos em três subgrupos: controle, prática mental e observação do movimento.RESULTADOS: Observou-se que idosos parecem depender mais da prática mental para a aquisição de uma memória motora e, na comparação do desempenho entre as faixas etárias, houve diferença no tempo de execução; nos idosos, observou-se correlação negativa entre o escore do MEEM e o tempo de execução e o número de erros na tarefa motora.CONCLUSÕES: Para idosos, a prática mental parece favorecer o desempenho motor, assim como existe uma relação significativa entre a função cognitiva e o aprendizado e execução de novas habilidades motoras.

BACKGROUND: With aging, it is important to maintain cognitive and motor functions to ensure autonomy and quality of life. During the acquisition of motor skills, it is necessary for the elderly to understand the purpose of the proposed activities. Physical and mental practice, as well as demonstrations, are strategies used to learn movements.OBJECTIVES: To investigate the influence of mental practice and the observation of movement on motor memory and to understand the relationship between cognitive function and motor performance in the execution of a sequence of digital movements in the elderly.METHOD: This was a cross-sectional study conducted with 45 young and 45 aged subjects. The instruments used were Mini-Mental State Examination (MMSE), Manual Preference Inventory and a Digital Motor Task (composed of a training of a sequence of movements, an interval and a test phase). The subjects were divided into three subgroups: control, mental practice and observation of movement.RESULTS: The elderly depend more strongly on mental practice for the acquisition of a motor memory. In comparing the performances of people in different age groups, we found that in the elderly, there was a negative correlation between the MMSE score and the execution time as well as the number of errors in the motor task.CONCLUSIONS: For the elderly, mental practice can advantage motor performance. Also, there is a significant relationship between cognitive function, learning and the execution of new motor skills.

https://doi.org/10.1590/S1413-35552012005000150 9499 downloads

15.

Determinação de ascarel em óleo isolante de transformadores
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Antonello, Izoldir

; Humeres, Eduardo

; Souza, Ivan Gonçalves de

; Debacher, Nito Angelo

; Martins, Alexandre Rios

Química Nova

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jun 2007, Volume 30 N. 3 Pages 709 - 711

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

The contamination level of silicon oil used as insulation liquid in high-voltage transformers by ascarel (PCBs) is above those permitted by the Brazilian law. Thus new techniques able to detect ascarel, with low operational costs, are very attractive. The present work proposes an analysis of the contamination levels of silicon oil using the following techniques: naphthalene anion radical reaction for ascarel dechlorination; and potentiometry with an ion-selective electrode for chloride ion determination. The data obtained with the proposed methodology agree well with those from the official methodology, (method IEC 61619).

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