Resumo Analisou-se a viabilidade técnica e ambiental da Erythrina poeppigiana para produzir compensados com os adesivos: fenol-formaldeído (FF); uréia-formaldeído (UF) e poliuretano à base de mamona (PU). Avaliou-se as propriedades física e mecânica: densidade aparente, teor de umidade, absorção de água, inchamento em espessura, resistência ao cisalhamento e flexão estática. Os testes apontaram a viabilidade da eritrina para produção de compensados não estruturais. A avaliação ambiental, através dos indicadores, quantificação da energia embutida e emissão de CO 2 e, demonstrou que os pain compensado produzido com adesivo PU teve melhor desempenho que os painéis com FF e UF. O tratamento T1 (FF) apresentou maior energia embutida, o T2 (UF) a maior emissão de CO 2 e. A viabilidade técnica e ambiental da eritrina para produzir compensados pode promover o desenvolvimento socioeconômico regional, ambientalmente sustentável, com vantagens em relação aos compensados estrangeiros, bem como ao desempenho ambiental. Analisouse Analisou se adesivos fenolformaldeído fenol formaldeído uréiaformaldeído uréia UF (UF PU. . (PU) Avaliouse Avaliou mecânica aparente umidade água espessura estática estruturais indicadores T (FF regional sustentável estrangeiros (PU

Abstract The study analyzed the technical and environmental feasibility of using Erythrina poeppigiana to produce plywood with different adhesives: phenol-formaldehyde (PF), urea-formaldehyde (UF), and castor oil-based polyurethane (PUA). The physical and mechanical properties of the plywood were evaluated, including apparent density, moisture content, water absorption, thickness swelling, shear resistance, and static bending. Tests proved erythrina’s suitability for non-structural plywood production. The environmental impact of the production process was also evaluated, using embedded energy and CO2e emissions as indicators. The results showed that plywood produced with PU adhesive had better environmental performance compared to panels with FF and UF adhesives. T1 treatment (PF) had the highest embodied energy, while T2 (UF) had the highest CO2e emission. Overall, the study suggests that using erythrina to produce plywood can be a viable option for promoting regional socioeconomic development while also being environmentally sustainable and presents an advantage over foreign plywood in terms of environmental performance. adhesives phenolformaldehyde phenol formaldehyde PF, PF , ureaformaldehyde urea UF, oilbased oil based PUA. PUA . (PUA) evaluated density content absorption swelling resistance bending erythrinas s nonstructural non structural COe CO e indicators T (PF (UF emission Overall (PUA

Resumen Introducción: Las investigaciones han demostrado la importancia de diferenciar el trastorno por déficit de atención con hiperactividad (TDAH) de las quejas subjetivas de dificultades de atención. En ambos casos existe una manifestación clínica que afecta diferencialmente a mujeres y hombres. Este estudio evaluó las posibles relaciones entre los síntomas conductuales y emocionales, el diagnóstico de TDAH, las quejas atencionales y el sexo en adultos jóvenes de entre 18 y 25 años. Método: Utilizando un diseño transversal, examinamos las relaciones entre tres grupos (diagnosticados con TDAH, quejas atencionales y controles) en una muestra de 232 participantes (Mediaedad = 20.38 años, DEedad = 1.81 años; 52 % mujeres). Empleamos la escala de Autoinforme de TDAH en Adultos y la prueba Toulouse Pieron para clasificar a los participantes entre grupos; para medidas de síntomas conductuales/emocionales utilizamos el inventario multifásico de personalidad de Minnesota-2 - Forma reestructurada (MMPI-2-RF), por medio de las escalas de Alto Orden y las Somáticas/ Cognitivas. Resultados: El análisis multivariado de varianza (Manova) mostró una relación significativa entre el grupo y las variables del MMPI-2-RF después de controlar el sexo (p < 0.01). Las pruebas post hoc indicaron diferencias entre grupos en todas las variables, excepto en quejas de dolor de cabeza. Además, las comparaciones entre hombres y mujeres revelaron diferencias significativas en la disfunción conductual y emocional y en las quejas gastrointestinales. Conclusión: Los hallazgos resaltan la importancia de realizar un diagnóstico que no se base únicamente en una lista de síntomas y signos, sino que también tenga en cuenta las diferencias de sexo, las alteraciones emocionales/conductuales y las conexiones asociadas con una mayor rumiación en adultos jóvenes, lo cual puede influir en el sesgo de autoevaluación y contribuir a una sobreestimación o subestimación de la sintomatología del TDAH.

Abstract Introduction: Research has shown the importance of differentiating Attention Deficit Hyperactivity Disorder (ADHD) from subjective complaints of attention difficulties. In both cases, there is a clinical manifestation that differentially affects women and men. This study assessed the potential relationships among Behavioural and Emotional Symptoms, ADHD Diagnosis, Attentional Complaints, and Sex in Young Adults between 18 and 25 years of age. Method: Using a cross-sectional design, we examined the relationships across three groups (diagnosed with ADHD, attentional complaints, and controls) in a sample of 232 participants (Meanage = 20.38 years, SDage = 1.81 years; 52% women). We employed the Adult ADHD Self Report Scale and the Toulouse Pieron Test to classify participants among groups; for measures of behavioural/emotional symptoms using the Minnesota Multiphasic Personality Inventory-2 - Restructured Form (MMPI-2-RF), through High-Order and Somatic/Cognitive Scales. Results: Multivariate Analysis of Variance (MANOVA) revealed a significant relationship between group membership and the MMPI-2-RF variables after controlling for sex (p < 0.01). Post hoc tests indicated group differences across all variables except for Head Pain Complaints. Additionally, comparisons between men and women revealed significant differences in Behavioural and Emotional Dysfunction, and Gastro-Intestinal Complaints. Conclusion: The findings highlight the importance of making a diagnosis that is not only based on a list of symptoms and signs but also takes into account differences in sex, emotional/behavioural alterations, and associated connections to increased rumination in young adults, which may influence self-assessment bias and contribute to overestimation or underestimation of ADHD symptomatology.

Resumen El manejo del dolor posoperatorio en cirugía de cadera se cataloga como severo y su inadecuado control conduce a complicaciones que aumentan la morbimortalidad de los pacientes. El bloqueo PENG se postula como una técnica analgésica segura, ahorradora de opioides, que otorga un nivel analgésico adecuado. El objetivo de este estudio es analizar acerca de la eficacia, seguridad y el lugar terapéutico del bloqueo PENG en cirugía de cadera. Para ello, se hace una revisión narrativa utilizando distintas bases de datos como PubMed y la biblioteca Cochrane. En todos los estudios analizados se observó un adecuado control del dolor posoperatorio con el uso del bloqueo PENG, con reducción en las escalas de evaluación del dolor y en el consumo de opioides en las primeras horas del posoperatorio. También se evidenciaron mejores resultados en comparación con otros bloqueos regionales. Los efectos adversos fueron escasos, y ninguno se catalogó como grave. El bloqueo PENG aporta numerosas ventajas con escasos efectos adversos para cirugía de cadera. Es necesario continuar estudiando este bloqueo, solo o en combinación con otras técnicas regionales, e incluirlo en protocolos de analgesia, estandarizarlo y estudiar sus resultados en escenarios más controlados.

Abstract Postoperative pain management in hip surgery is classified as severe and its inadequate control leads to complications that increase patient morbidity and mortality. The PENG block is advocated as a safe, opioid-sparing analgesic technique, which provides an adequate level of analgesia. The purpose of this study is to analyze about the efficacy, safety and therapeutic appropriateness of the PENG block in hip surgery. To this end, a narrative review is conducted using various databases such as PubMed and the Cochrane library. In all of the studies analyzed, an adequate postoperative pain control was achieved using the PENG block, with reduction in pain assessment scales and opioid consumption in the first postoperative hours. Improved results were also seen as compared with other regional blocks. There were few adverse effects and none of them was classified as severe. The PENG block contributes with numerous advantages and few adverse effects for hip surgery. Further studies are needed on this block, whether alone or in combination with other regional techniques, so as to include it in analgesia protocols, developing a standardized approach and study the outcomes in more controlled settings.

Abstract Introduction Eagle syndrome is a rare and an often misdiagnosed entity in otorhinolaryngology. Objective To determine the efficacy of the surgical treatment for Eagle syndrome. Methods The present prospective study included 25 patients who presented with complaints of pain in the throat, ear, and neck, as well as difficulty and/or pain while swallowing; they were assessed for Eagle syndrome. As per patient profile, we performed a clinical assessments along with orthopantomograms (OPGs), three-dimensional computed tomography (3D CT) scans, and cone beam computed tomography (CBCT). Pain was assessed pre- and postoperatively through the Numerical Rating Scale-11 (NRS-11), whose score ranges from 0 to 10. Microscopic tonsillo-styloidectomy was performed in cases in which the conservative treatment failed to relieve pain. Results The mean age of the entire study population was of 36.08 ± 7.19 years, and the male-to-female ratio was of 1.08:1. Referred otalgia was the commonest (44%) complaint. Radiologically, out of 25 patients, 20 patients presented elongated styloid processes. The longest symptomatic styloid process measured radiographically was of 64.7 mm while the shortest was of 28.2 mm. Out of 20 patients, 12 underwent surgery. The postoperative pain assessment through the NRS-11 was performed on day 0 (3.83 ± 0.83), day 7 (1.5 ± 0.52), week 4 (0.5 ± 0.52), and week 12 (0.41 ± 0.51). By 12 weeks, 7 patients were symptom-free, while 5 patients still reported mild pain. Conclusion Eagle syndrome associated with an elongated styloid process is not a rarity, but it often goes undiagnosed. Microscopic tonsillo-styloidectomy shows excellent results in the management of patients with Eagle syndrome. otorhinolaryngology 2 throat ear neck andor or swallowing profile OPGs, OPGs , (OPGs) threedimensional three dimensional 3D D CT scans CBCT. CBCT . (CBCT) pre Scale11 Scale 11 Scale-1 NRS11, NRS11 NRS (NRS-11) 10 tonsillostyloidectomy tonsillo styloidectomy 3608 36 08 36.0 719 19 7.1 years maletofemale male female 1.081. 1081 1.08 1. 1 1.08:1 44% 44 (44% complaint Radiologically processes 647 64 64. 282 28 28. surgery NRS-1 3.83 383 3 83 (3.8 0.83, 083 0.83 0.83) 1.5 15 (1. 0.52, 052 0.52 52 0.52) 0.5 05 (0. 0.41 041 41 (0.4 0.51. 051 0.51 51 0.51) weeks symptomfree, symptomfree symptom free, free symptom-free rarity undiagnosed (OPGs (CBCT Scale1 Scale- NRS1 (NRS-11 360 36. 71 7. 081 1.081 108 1.0 1.08: (44 6 NRS- 3.8 38 8 (3. 0.8 (1 0. (0 0.4 04 (NRS-1 (4 3. (3 ( (NRS- (NRS

Resumen Objetivo: El coronavirus del síndrome respiratorio agudo grave de tipo 2 (SARS-CoV-2) causa un gran espectro de síntomas, dentro de los que se incluyen manifestaciones gastrointestinales como náuseas, vómito, diarrea y dolor abdominal. El objetivo del presente estudio fue evaluar si la presencia o no de dichos síntomas gastrointestinales podía estar relacionada con una progresión más grave de la enfermedad, entendida como muerte, necesidad de manejo en unidad de cuidados intensivos, ventilación mecánica o coinfección bacteriana. Pacientes y métodos: Se realizó un estudio observacional analítico de tipo cohorte con pacientes con covid-19 confirmado con síntomas gastrointestinales y un grupo comparador sin síntomas gastrointestinales. Los pacientes incluidos debían ser mayores de 18 años, que acudieran por sintomatología sugestiva de covid-19 y que se les confirmara el diagnóstico mediante una prueba de reacción en cadena de la polimerasa. Resultados: Se analizó a un total de 414 pacientes que cumplieron con los criterios de selección y se encontró que la mortalidad solo está influenciada por la edad, mientras que la ventilación mecánica y la necesidad de manejo en la unidad de cuidados intensivos están relacionadas con el perfil de función hepática. Sin embargo, no se encontró ninguna diferencia en cuanto a la gravedad con respecto a los pacientes que sí presentaron síntomas gastrointestinales frente a los que no tenían síntomas. Conclusiones: Los síntomas gastrointestinales de manera individual no representan un riesgo de progresión de la enfermedad por SARS-CoV-2; sin embargo, sí se debería incluir dentro de la valoración inicial de estos pacientes los niveles de alanina-aminotransferasa (ALT), aspartato-aminotransferasa (AST) y bilirrubina directa (BD), pues aportan un valor en cuanto al pronóstico según los resultados de nuestro estudio.

Abstract Objective: Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) causes a wide range of symptoms, including gastrointestinal manifestations such as nausea, vomiting, diarrhea, and abdominal pain. This study aimed to evaluate whether the presence or absence of these gastrointestinal symptoms could be associated with more severe disease progression, defined as death, the need for intensive care unit (ICU) management, mechanical ventilation, or bacterial coinfection. Patients and Methods: An analytical observational cohort study was conducted with confirmed COVID-19 patients with gastrointestinal symptoms and a comparison group without gastrointestinal symptoms. Patients included were over 18 years old, presented with symptoms suggestive of COVID-19, and had the diagnosis confirmed by a polymerase chain reaction test. Results: A total of 414 patients who met the selection criteria were analyzed, and it was found that mortality was influenced only by age, while mechanical ventilation and the need for ICU management were related to liver function profile. However, no difference in severity was found between patients with gastrointestinal symptoms and those without. Conclusions: Gastrointestinal symptoms alone do not represent a risk for the progression of SARS-CoV-2 disease, however, levels of alanine aminotransferase (ALT), aspartate aminotransferase (AST), and direct bilirubin (DB) should be included in the initial assessment of these patients, as they provide prognostic value according to the results of our study.

ABSTRACT Purpose: To analyze the prevalence of lower urinary tract symptoms (LUTS) in patients who survived moderate and severe forms of COVID-19 and the risk factors for LUTS six months after hospitalization. Materials and Methods: In this prospective cohort study, patients were evaluated six months after hospitalization due to COVID-19. LUTS were assessed using the International Prostate Symptom Score. General health was assessed through the Hospital Anxiety and Depression Scale and the EQ5D-L5 scale, which evaluates mobility, ability to perform daily activities, pain and discomfort and completed a self-perception health evaluation. Results: Of 255 participants, 54.1% were men and the median age was 57.3 [44.3 – 66.6] years. Pre-existing comorbidities included diabetes (35.7%), hypertension (54.5%), obesity (30.2%) and physical inactivity (65.5%). One hundred and twenty-four patients (48.6%) had a hospital stay >15 days, 181 (71.0%) were admitted to an ICU and 124 (48.6%) needed mechanical ventilation. Median IPSS was 6 [3-11] and did not differ between genders. Moderate to severe LUTS affected 108 (42.4%) patients (40.6% men and 44.4% women; p=0.610). Nocturia (58.4%) and frequency (45.9%) were the most prevalent symptoms and urgency was the only symptom that affected men (29.0%) and women (44.4%) differently (p=0.013). LUTS impacted the quality of life of 60 (23.5%) patients with women more severely affected (p=0.004). Diabetes, hypertension, and self-perception of worse general health were associated with LUTS. Conclusions: LUTS are highly prevalent and bothersome six months after hospitalization due to COVID-19. Assessment of LUTS may help ensure appropriate diagnosis and treatment in these patients. Purpose (LUTS COVID19 COVID 19 COVID-1 Methods study COVID19. 19. Score EQ5DL5 EQDL EQ5D L5 EQ D L EQ5D-L scale mobility activities selfperception self perception evaluation Results 25 participants 541 54 1 54.1 573 57 3 57. 44.3 443 44 [44. 66.6 666 66 years Preexisting Pre existing 35.7%, 357 35.7% , 35 7 (35.7%) 54.5%, 545 54.5% 5 (54.5%) 30.2% 302 30 2 (30.2% 65.5%. 655 65.5% . 65 (65.5%) twentyfour twenty four 48.6% 486 48 (48.6% 15 >1 days 18 71.0% 710 71 0 (71.0% 12 ventilation 311 11 [3-11 genders 10 42.4% 424 42 4 (42.4% 40.6% 406 40 (40.6 444 44.4 p=0.610. p0610 p p=0.610 610 p=0.610) 58.4% 584 58 (58.4% 45.9% 459 45 9 (45.9% 29.0% 290 29 (29.0% (44.4% p=0.013. p0013 p=0.013 013 (p=0.013) 23.5% 235 23 (23.5% p=0.004. p0004 p=0.004 004 (p=0.004) Diabetes Conclusions COVID1 COVID- DL EQ5DL EQD 54. 44. [44 66. 35.7 (35.7% 54.5 (54.5% 30.2 (30.2 65.5 (65.5% 48.6 (48.6 > 71.0 (71.0 31 [3-1 42.4 (42.4 40.6 (40. p061 p=0.61 61 58.4 (58.4 45.9 (45.9 29.0 (29.0 (44.4 p001 p=0.01 01 (p=0.013 23.5 (23.5 p000 p=0.00 00 (p=0.004 [4 35. (35.7 (54.5 30. (30. 65. (65.5 48. (48. 71. (71. [3- 42. (42. 40. (40 p06 p=0.6 58. (58. 45. (45. 29. (29. (44. p00 p=0.0 (p=0.01 23. (23. (p=0.00 [ (35. (54. (30 (65. (48 (71 [3 (42 (4 p0 p=0. (58 (45 (29 (44 (p=0.0 (23 (35 (54 (3 (65 (7 ( p=0 (5 (2 (p=0. (6 p= (p=0 (p= (p

ABSTRACT Foundation: The assessment of pain requires the use of valid and reliable scales that allow identifying its presence, intensity and characteristics, for better management and treatment. Objective: To determine the scales’ validity and reliability for assessing pain in the Intensive Care Unit at the Paquito González Cueto University Pediatric Hospital in Cienfuegos. Methods: An instrument validation study was carried out from January to November 2023. The Wong Baker scale and the visual analogue scale were chosen; face, legs, activity, crying and consolation scale (Face, Legs, Activity, Cry and Consolability), and Pain Indicator Behaviors Scale. Linguistic and cultural adaptation, content validation, internal consistency, temporal stability, construct and criterion validity were carried out. Kendall's W concordance coefficient (content validity), Bartlett's sphericity test and Kaiser's normalization criterion (construct validity), Pearson's correlation coefficient (temporal stability) and global Cronbach's Alpha coefficient (internal consistency) were calculated. Results: The scales are understandable from linguistic and cultural analysis. Content validation with agreement coefficient of Kendall's W 0.233. Construct validity with Kaiser Meyer Olkim (KMO) 0.902 and Bartlett chi square test of sphericity= 1921.253. Temporal stability with Pearson correlation coefficient 0.827 and 0.917. Internal consistency with global Cronbach's Alpha coefficient 0.861. Conclusions: The scales reflect valid conditions and criteria in the assessment of pain in the Pediatric Intensive Care Unit.

RESUMEN Fundamento: La valoración del dolor requiere de la utilización de escalas válidas y confiables, que permitan identificar su presencia, intensidad y características, para su mejor manejo y tratamiento. Objetivo: Determinar la validez y confiabilidad de las escalas para la valoración del dolor en la Unidad de Cuidados Intensivos en el Hospital Pediátrico Universitario Paquito González Cueto de Cienfuegos. Métodos: Se realizó un estudio de validación de instrumentos, de enero a noviembre de 2023. Se escogieron la escala de Wong Baker, la escala visual analógica; escala rostro, piernas, actividad, llanto y consuelo (Face, Legs, Activity, Cry and Consolability), y Escala de conductas indicadoras de dolor. Se realizó la adaptación lingüística y cultural, la validación de contenido, consistencia interna, estabilidad temporal, validez de constructo y de criterio. Se calculó el coeficiente de concordancia W de Kendall (validez de contenido), prueba de esfericidad de Bartlett y criterio de normalización de Kaiser (validez de constructo), coeficiente de correlación de Pearson (estabilidad temporal) y coeficiente Alfa de Cronbach global (consistencia interna). Resultados: Las escalas son comprensibles desde el análisis lingüístico y cultural. Validación de contenido con coeficiente de concordancia de W de Kendall 0,233. Validez de constructo con Kaiser Meyer Olkim (KMO) 0,902 y prueba de esfericidad de Bartlett chi cuadrado= 1921,253. Estabilidad temporal con coeficiente de correlación de Pearson 0,827 y 0,917. Consistencia interna con coeficiente Alfa de Cronbach global 0,861. Conclusiones: Las escalas reflejan condiciones y criterios válidos en la valoración del dolor en la Unidad de Cuidados Intensivos Pediátricos.

Abstract: The adequate management of postoperative pain in pediatric patients is an important part of the practice in anesthesiology; there are multiple techniques and ways to correctly evaluate it as well as give it the most optimal treatment, among which there are different categories of drugs as well as non-invasive techniques. pharmacological, in addition to newer forms such as ultrasound-guided regional blocks, some examples are the rectus sheath block, ilioinguinal block, erector spinae block, transverse abdominal block among others that can help in proper pain management and so on. Reduce the excessive use of medications, reduce hospitalization days and intra-hospital costs.

Resumen: El adecuado manejo del dolor postoperatorio en pacientes pediátricos es una parte importante de la práctica en la anestesiología; existen múltiples técnicas y formas de evaluarlo correctamente para brindar el tratamiento más óptimo, entre las cuales existen distintas categorías de fármacos y técnicas no farmacológicas, además de formas más novedosas como los bloqueos regionales guiados por ultrasonido. Algunos ejemplos son el bloqueo de la vaina de los rectos, bloqueo ilioinguinal, bloqueo del erector espinal, bloqueo transverso abdominal, entre otros que pueden ayudar en el manejo adecuado del dolor y así disminuir el uso excesivo de medicamentos, disminuir los días de hospitalización y los costos intrahospitalarios.

Summary Objective To analyze associations between anxiety and postsurgical clinical outcomes in patients who underwent minimally invasive lumbar decompression surgery in addition to comparing symptoms of anxiety and depression before and after surgery. Methods This prospective cohort study of patients who underwent minimally invasive lumbar decompression surgery. Clinical outcomes were measured before and 6 months after surgery using the Visual Analog Scale (VAS), Global Perceived Effect of Change (GPE), Hospital Anxiety and Depression Scale (HADS), and Oswestry Disability Index (ODI). Based on the presurgical anxiety score, patients were categorized into anxious and non-anxious patients, and the outcomes were compared. Results The patients of both groups obtained similar results concerning the clinical outcomes evaluated. Preoperative HADS scores decreased significantly 6 months after surgery in both anxiety (8.70 ± 3.48 vs. 5.75 ± 3.91) and depression (6.95 ± 3.54 vs. 5.50 ± 2.99). The VAS scale for the back (-2.8 ± 3.64) and legs (-5.5 ± 3.5) showed a reduction in pain. Conclusion Minimally invasive lumbar decompression surgery promoted clinical and functional improvement, not being affected by preoperative anxiety symptoms. Mental health indicators showed a significant reduction in symptoms 6 months after surgery. VAS, , (VAS) GPE, GPE (GPE) HADS, (HADS) ODI. ODI . (ODI) score nonanxious non compared evaluated 8.70 870 8 70 (8.7 348 3 48 3.4 vs 575 5 75 5.7 3.91 391 91 6.95 695 95 (6.9 354 54 3.5 550 50 5.5 2.99. 299 2.99 2 99 2.99) 2.8 28 (-2. 3.64 364 64 55 (-5. 35 pain improvement (VAS (GPE (HADS (ODI 8.7 87 7 (8. 34 4 3. 57 5. 3.9 39 9 6.9 69 (6. 29 2.9 2. (-2 3.6 36 (-5 8. (8 6. (6 (- (

Resumo Objetivo Analisar associações entre ansiedade e desfecho clínico pós-cirúrgico em pacientes que realizaram a cirurgia de descompressão lombar minimamente invasiva, além de comparar sintomas de ansiedade e depressão antes e após a cirurgia. Métodos Trata-se de um estudo de coorte prospectiva de pacientes que realizaram a cirurgia de descompressão lombar minimamente invasiva. Os desfechos clínicos foram mensurados antes e 6 meses após a cirurgia, utilizando a escala visual analógica de dor (EVA); Global Perceived Effect of Change (GPE); Hospital Anxiety and Depression Scale (HADS) e o Oswestry Disability Index (ODI). A partir do escore de ansiedade précirúrgico, os pacientes foram categorizados em pacientes ansiosos e não ansiosos e os desfechos comparados. Resultados Os pacientes de ambos os grupos obtiveram resultados similares em relação aos desfechos clínicos avaliados. Os escores HADS pré-operatório diminuíram significantemente 6 meses após a cirurgia, tanto em ansiedade (8,70 ± 3,48 vs. 5,75 ± 3,91) quanto em depressão (6,95 ± 3,54 vs. 5,50 ± 2,99). Houve redução da dornaescalaEVA dascostas(-2,8 ± 3,64) e das pernas (-5,5 ± 3,5). Conclusão A cirurgia de descompressão lombar minimamente invasiva promoveu melhora clínica e funcional, não sendo afetada por sintomas pré-operatórios de ansiedade. Os indicadores de saúde mental evidenciaram redução significativa dos sintomas 6 meses após a cirurgia. póscirúrgico pós cirúrgico Tratase Trata se EVA (EVA) GPE (GPE) (HADS ODI. ODI . (ODI) précirúrgico comparados avaliados préoperatório pré operatório 8,70 870 8 70 (8,7 348 3 48 3,4 vs 575 5 75 5,7 3,91 391 91 6,95 695 95 (6,9 354 54 3,5 550 50 5,5 2,99. 299 2,99 2 99 2,99) dascostas2,8 dascostas28 dascostas 2,8 dascostas(-2, 3,64 364 64 55 (-5, 3,5. 35 3,5) funcional préoperatórios operatórios (EVA (GPE (ODI 8,7 87 7 (8, 34 4 3, 57 5, 3,9 39 9 6,9 69 (6, 29 2,9 dascostas2 dascostas2, 28 2, dascostas(-2 3,6 36 (-5 8, (8 6, (6 dascostas(- (- ( dascostas(

Abstract Objective To verify the prevalence of musculoskeletal pain in amateur golfers in the State of São Paulo, Brazil. Methods The present is a cross-sectional study performed from September 2019 to March 2020 in golf clubs affiliated to Federação Paulista de Golfe (São Paulo Golf Federation). Federation players were evaluated regarding data on golf practice and sport routine by a main investigator, though an assessment form with multiple-choice questions, to determine sample characteristics and recent pain intensity by the Visual Analogue Scale. Results Approximately 359 amateur golfers were analyzed. The prevalence of pain was of 55.15% (95% confidence interval [95%CI]: 50.0% to 60.3%); the average pain intensity according to the VAS was moderate (mean ± standard deviation: 5.21 ± 2.04; odds ration [OR]: 47,98%). The golfer's age range was significantly associated with the presence of pain (p < 0.05). The highest prevalence estimate of pain was of 68.80% in the age group between 30 and 39 years (OR: 7,33; 95%CI: 2,26 to 23,85; p = 0,0009). The segments most affected by pain were the upper limbs (65.66%), followed by the spine (59.09%) and the lower limbs (32.83%). Conclusion There is a high prevalence rate of pain in Brazilian amateur golfers, especially in younger players in the age group between 30 and 39 years. Brazil crosssectional cross sectional 201 202 Federation. . Federation) investigator multiplechoice multiple choice questions Scale 35 analyzed 5515 55 15 55.15 95% 95 (95 95%CI 95CI CI [95%CI] 500 50 0 50.0 60.3% 603 60 3 60.3%) mean deviation 521 5 21 5.2 2.04 204 2 04 OR [OR] 47,98%. 4798 47,98% 47 98 47,98%) golfer s 0.05. 005 0.05 05 0.05) 6880 68 80 68.80 (OR 7,33 733 7 33 226 26 2,2 23,85 2385 23 85 0,0009. 00009 0,0009 0009 0,0009) 65.66%, 6566 65.66% , 65 66 (65.66%) 59.09% 5909 59 09 (59.09% 32.83%. 3283 32.83% 32 83 (32.83%) 20 551 1 55.1 9 (9 [95%CI 50. 60.3 6 52 5. 2.0 [OR 479 47,98 4 00 0.0 688 8 68.8 7,3 73 22 2, 23,8 238 0000 0,000 000 656 65.66 (65.66% 59.09 590 (59.09 328 32.83 (32.83% 55. ( 60. 2. 47,9 0. 68. 7, 23, 0,00 65.6 (65.66 59.0 (59.0 32.8 (32.83 47, 0,0 65. (65.6 59. (59. 32. (32.8 0, (65. (59 (32. (65 (5 (32 (6 (3

Resumo Objetivo Verificar a prevalência de dores musculoesqueléticas em golfistas amadores do estado de São Paulo. Métodos Este é um estudo transversal realizado de setembro de 2019 a março de 2020 em clubes de golfe afiliados à Federação Paulista de Golfe. Jogadores federados foram avaliados quanto a dados da prática de golfe e da rotina esportiva por um investigador principal, por meio de um formulário de avaliação com questões de múltipla escolha, para a determinação das características da amostra e da intensidade da dor recente pela Escala Visual Analógica (EVA). Resultados Cerca de 359 golfistas amadores foram analisados. A prevalência de dor foi de 55,15% (intervalo de confiança de 95% [IC95%]: 50,0% a 60,3%); a intensidade média da dor segundo a EVA foi moderada (média ± desvio padrão: 5,21 ± 2,04; razão de probabilidades [odds ratio, OR, em inglês]: 47,98%). A faixa etária dos golfistas esteve significativamente associada à presença de dor (p < 0,05). A maior estimativa de prevalência de dor foi de 68,80% na faixa etária de 30 a 39 anos (OR: 7,33; IC95%: 2,26 a 23,85; p = 0,0009). Os segmentos mais acometidos por dor foram os membros superiores (65,66%), seguidos da coluna (59,09%) e dos membros inferiores (32,83%). Conclusão Há uma alta taxa de prevalência de dor em golfistas amadores brasileiros, especialmente em jogadores mais jovens, na faixa etária de 30 a 39 anos. Paulo 201 202 Golfe principal escolha EVA. . (EVA) 35 analisados 5515 55 15 55,15 intervalo 95 IC95% IC95 IC [IC95%] 500 50 0 50,0 60,3% 603 60 3 60,3%) padrão 521 5 21 5,2 2,04 204 2 04 odds ratio OR inglês inglês] 47,98%. 4798 47,98% 47 98 47,98%) 0,05. 005 0,05 05 0,05) 6880 68 80 68,80 (OR 7,33 733 7 33 226 26 2,2 23,85 2385 23 85 0,0009. 00009 0,0009 0009 0,0009) 65,66%, 6566 65,66% , 65 66 (65,66%) 59,09% 5909 59 09 (59,09% 32,83%. 3283 32,83% 32 83 (32,83%) brasileiros jovens 20 (EVA 551 1 55,1 9 IC9 [IC95% 50, 60,3 6 52 5, 2,0 479 47,98 4 00 0,0 688 8 68,8 7,3 73 22 2, 23,8 238 0000 0,000 000 656 65,66 (65,66% 59,09 590 (59,09 328 32,83 (32,83% 55, [IC95 60, 47,9 0, 68, 7, 23, 0,00 65,6 (65,66 59,0 (59,0 32,8 (32,83 [IC9 47, 65, (65,6 59, (59, 32, (32,8 [IC (65, (59 (32, (65 (5 (32 (6 ( (3

INTRODUCTION: The Occupational Therapy Association of South African commissioned a task team to gather evidence that would inform upcoming National Health policies on the role and practice of occupational therapists. This rapid review aimed to identify level 1 and 2 peer reviewed published evidence that describes occupational therapists' practice and intervention in all types of burn injuries, at all levels of care, and for all age groups. METHOD: Using the South African Department of Health template and the Cochran Rapid Reviews method guide, a search for level 1 and 2 evidence sourced articles from CINAHL (EBSCO), MEDLINE (EBSCO), the Cochrane Library (Wiley) and OTSeeker data bases through the Stellenbosch University library with hand searching of references in the selected articles. Rayyan was used for the screening and selection of articles. The CASP appraisal tool was used for risk bias and quality assessment of the selected articles. Data was captured in Excel and Word, and analysed and synthesised in Microsoft Excel and Taguette. Results were presented in the form of an online workshop to stakeholders and discussions and questions incorporated into the discussion and conclusion of this review. RESULTS: Eleven articles were selected and their quality assessed. Seven categories of evidence of occupational therapy interventions were extracted from selected articles: pain, oedema, scaring and abnormal skin sensations, joints and range of motion, psycho-social and functional impact of burn injuries, the education of burn injury victims and their families, and vocational rehabilitation. All interventions took place in healthcare facilities. Nine articles referred to occupational therapists working in multi-disciplinary teams. Occupational therapist worked with children and adult burn injury victims and with a variety of type of burn injury from acute to post discharge phases CONCLUSION: There is level 1 and 2 evidence confirming occupational therapy intervention with burn injury victims with all ages and at all stages of injury within healthcare facilities. None of the evidence found is from the South African context. Such levels of evidence are needed to promote occupational therapy intervention in primary, preventative and community contexts. IMPLICATIONS FOR PRACTICE: Internationally there is level 1 and 2 evidence that confirms occupational therapists are members of multi-disciplinary teams addressing the functional ability and participation in activities of burn injury victims. None of this evidence is from South Africa. As a matter of priority, South African clinical occupational therapy practice and intervention within the field of burn injury, need to be researched and disseminated as level 1 and 2 evidence.

ABSTRACT Objective: To describe the chronology, evolution and impact of global research into chronic postoperative pain. Materials and methods: A bibliometric study was conducted using the Scopus database. A structured search was designed and validated, thereby allowing the collection of metadata, which were analyzed through the Bibliometrix package of the R programming language. The study involved the description of the general characteristics, evolution and calculation of impact metrics of global research into chronic postoperative pain. Results: The study included 1,496 documents, which spanned from 1983 to 2023. Original articles accounted for 70.7 % (n =1,059) of the total output, followed by reviews (n = 357; 23.8 %). There was an international collaboration rate of 15.6 %, and there has been sustained growth in output since 1983, with a sharp increase in the last 13 years, 2022 being the most prolific one (n =191 published documents). It was identified that Canada and Denmark lead the impact of global research and have the most productive authors and institutions. However, the United States is the most prolific country because it leads significant collaboration, mainly with European and Latin American countries. Neuropathic pain, risk factor assessment and pain management were identified as some of the most frequent topics. Over the past approximately 10 years, there has been persistent interest in research on quality of life, prediction, prevention, and risk factor assessment. Recently, there has been interest in studying pain in video-assisted thoracoscopic surgery and developing predictive models. Conclusions: The study revealed sustained growth in global research on chronic postoperative pain over the past 40 years. Such growth has been mainly led by Canadian and Danish institutions, despite the United States being the most prolific country. Moreover, there has been a significant transition in the studied topics, moving from the use of drugs and identification of risk factors to the study of predictive models, data systematization, and video-assisted surgery.

RESUMEN Objetivo: Describir la cronología, evolución e impacto de la investigación global sobre el dolor crónico posoperatorio. Materiales y métodos: Estudio bibliométrico que utilizó la base de datos Scopus. Se diseñó y validó una búsqueda estructurada que permitió la recolección de metadatos, los cuales se analizaron a través del paquete Bibliometrix del lenguaje de programación R. Se realizó la descripción de las características generales, la evolución y el cálculo de métricas de impacto de la investigación global sobre el dolor crónico postoperatorio. Resultados: Se incluyeron 1496 documentos, con una ventana de tiempo entre 1983 y 2023. El 70,7 % (n = 1059) de la producción total fueron artículos originales, seguido de revisiones (n = 357; 23,8 %). Existió una colaboración internacional del 15,6 %, y, desde 1983, ha existido un crecimiento sostenido de la producción, con un incremento marcado en los últimos 13 años, donde el 2022 fue el año más fecundo (n = 191 documentos publicados). Se identificó que Canadá y Dinamarca lideran el impacto de la investigación global, y cuentan con los autores e instituciones más prolíficas. Sin embargo, Estados Unidos es el país más productivo, ya que lidera una importante colaboración, esencialmente junto a países europeos y latinos. Se encontró que el dolor neuropático, la valoración de factores de riesgo y el manejo del dolor son algunos de los tópicos más frecuentes. En los últimos 10 años, aproximadamente, ha existido un interés persistente en la investigación sobre calidad de vida, predicción, prevención y valoración de factores de riesgo. Últimamente, ha existido especial interés en el estudio del dolor en cirugía toracoscópica videoasistida y construcción de modelos de predicción. Conclusiones: Se reveló un crecimiento sostenido en la investigación global sobre dolor crónico postoperatorio, en los últimos 40 años. Dicho crecimiento ha estado liderado esencialmente por instituciones canadienses y danesas, a pesar de que se ha considerado a Estados Unidos como el país más prolífico. Asimismo, ha existido una transición importante en los tópicos estudiados, se ha pasado del uso de fármacos y determinación de factores de riesgo al estudio de modelos de predicción, sistematización de datos y cirugía videoasistida.

Introduction: People with colorectal cancer (CRC) can present adverse effects, impairing the quality of life related to health (HRQoL). Objective: To validate the QLQ-CR29 module for the assessment of HRQoL, in Chile. Materials and method: Cross-sectional study that included 170 people with CRC. The internal consistency and construct validity (hypothesis tests) were analyzed. Results: 117 patients (68.8%) were evaluated before surgery and 53 (31.2%) after tumor resection. The internal consistency of the QLQCR29 was α = 0.838. The proposed hypotheses were confirmed: The patients evaluated before surgery complained more of "blood/mucus in the stool", "abdominal pain", "hair loss" and "abdominal swelling", while the patients evaluated after presented more "fecal incontinence" (p < 0.05). Before surgery, patients with rectal cancer presented higher values of "urinary frequency", "frequency of stools", "pain in the buttocks", "taste problems" and "embarrassment"; while those with colon cancer complained more of "blood/mucus in stool" (p < 0.05). After surgery, patients with CCR had higher "stool frequency", "flatus" and "embarrassment" (p = 0.004) compared with those with colon cancer (p < 0.05). Ostomized patients presented more "fecal incontinence" and "embarrassment" (p < 0.001). Low significant correlations were observed between most of the dimensions of the QLQ CR29 with the dimensions of the QLQ C30. Conclusion: The Chilean version of the QLQ CR29 module is adequate to assess HRQoL in people with CRC.

Resumen Introducción: Personas con cáncer colorrectal (CCR) pueden presentar efectos adversos, perjudicando la calidad de vida relacionada a la salud (CVRS). Objetivo: Validar el módulo QLQ CR29 para evaluación de la CVRS, en Chile. Materiales y método: Estudio transversal que incluyó 170 personas con CCR. Se analizaron la consistencia interna y validez de constructo del instrumento con test de hipótesis. Resultados: 117 personas (68,8%) fueron evaluadas antes de la cirugía y 53 (31,2%) después de la cirugía. La consistencia interna del QLQ CR29 fue α = 0,838. Fueron comprobadas las hipótesis planteadas: Los pacientes evaluados antes de la cirugía se quejaron más de "sangre/mucosidad en las heces", "dolor abdominal", "pérdida de cabello" e "hinchazón abdominal", mientras que los pacientes evaluados después presentaron más "incontinencia fecal" (p < 0,05). Antes de la cirugía, los pacientes con cáncer de recto CCR presentaron mayores valores de "frecuencia urinaria", "frecuencia de deposiciones", "dolor en las nalgas", "problemas con el gusto" y "vergüenza"; mientras que aquellos con cáncer de colon que se quejaban más de "sangre/mucosidad en las heces" (p < 0,05). Después de la cirugía, los pacientes con cáncer de recto tenían mayor "frecuencia de deposiciones", "eliminación de gases" y "vergüenza" (p = 0,004) en comparación con los con cáncer de colon (p < 0,05). Los pacientes ostomizados presentaron más "incontinencia fecal" y "vergüenza" (p < 0,001). Fueron observadas correlaciones positivas y negativas bajas entre la mayoría de las dimensiones del QLQ CR29 con las dimensiones del QLQ C30. Conclusión: La versión chilena del módulo QLQ CR29 es adecuada para evaluar la CVRS en personas con CCR.

Abstract Objective: Parkinson's disease (PD) presents as a chronic condition with symptoms that worsen over time. Many PD patients experience pain at some point during their illness. This complaint is often overlooked because PD is primarily a motor disorder. The main objective is to assess the prevalence and the most frequent type of pain in this population, as well as its relation to common neuropsychiatric factors. Methods: A cross-sectional study was conducted including 196 patients diagnosed with PD. The variables analyzed included age, gender, smoking, alcohol consumption, anxiety, depression, antiparkinsonian treatment (levodopa, dopaminergic agonists, monoamine oxidase inhibitors, and amantadine), intake of antidepressants or antipsychotics, age of symptom onset, age of diagnosis, years of progression, total MDS-UPDRS 3.3 score, total MDS-UPDRS score, MDS-non-motor symptom scores, Hamilton depression and anxiety scales, and montreal Cognitive Assessment. Results: Our patient cohort consisted of 115 males (58.7%) and 81 females (41.3%), with a mean age of 63.56 ± 11.88. The mean disease duration was 7.18 ± 4.9 years. The most common type of pain was musculoskeletal pain, present in 66.7%, followed by radicular pain (24.2%), pain related to fluctuations (22.7%), chronic pain (20.7%), nocturnal pain (17.2%), discoloration, edema, or swollen pain (14.6%), and orofacial pain (5.6%). Conclusions: From the study carried out, it can be observed that the most common type of pain was musculoskeletal pain, followed by radicular pain. Pain patients had a significant association with depression and anxiety due to the intensity of pain.

Resumen Objetivo: La enfermedad de Parkinson (EP) se presenta como una enfermedad crónica con síntomas que empeoran con el tiempo. Muchos pacientes con EP experimentan dolor en algún momento de su enfermedad. Esta dolencia a menudo se pasa por alto porque la EP es principalmente un trastorno motor. El objetivo principal es evaluar la prevalencia y el tipo más frecuente de dolor en esta población, así como su relación con factores neuropsiquiátricos comunes. Métodos: Se realizó un estudio transversal que incluyó 196 pacientes diagnosticados de enfermedad de Parkinson. Las variables analizadas incluyeron edad, sexo, tabaquismo, consumo de alcohol, ansiedad, depresión, tratamiento antiparkinsoniano (levodopa, agonistas dopaminérgicos, inhibidores de la MAO, amantadina), ingesta de antidepresivos o antipsicóticos, edad de inicio de los síntomas, edad de diagnóstico, años de evolución, puntuación total MDS-UPDRS 3.3, puntuación total MDS-UPDRS, puntuaciones MDS-NMS, escalas de depresión y ansiedad de Hamilton y MoCA. Resultados: Nuestra cohorte de pacientes estaba formada por 115 varones (58.7%) y 81 mujeres (41.3%), con una edad media de 63.56 ± 11.88 años. La duración media de la enfermedad fue de 7.18 ± 4.9 años. El tipo de dolor más frecuente fue el musculoesquelético, presente en el 66,7%, seguido del dolor radicular (24.2%), el dolor relacionado con fluctuaciones (22.7%), el dolor crónico (20.7%), el dolor nocturno (17.2%), el dolor por decoloración, edema o hinchazón (14.6%) y el dolor orofacial (5.6%). Conclusiones: Del estudio realizado se observa que el tipo de dolor más frecuente fue el musculoesquelético, seguido del radicular. Los pacientes con dolor presentaron una asociación significativa con depresión y ansiedad debido a la intensidad del dolor.

Abstract Introduction: children with juvenile idiopathic arthritis (JIA) experience periods of pain and immobility that affect their physical capacities. Objectives: to describe reference values for the 1-minute sit to stand test (1-STS) in children with JIA as an assessment of aerobic-functional capacity and lower limb muscle strength. Materials and methods: an observational study was conducted, including 15 children with JIA aged between 5 and 16 years. Their performance in the 1-STS was assessed. Results: a significant positive correlation was found between the 1-STS and the 6-Minute Walk Test (r=0,56; p=0,03), as well as with the Functional Capacity Index (CAPFUN) (r=0,54; p=0,03). No significant correlations were observed between the Childhood Health Assessment Questionnaire (CHAQ) and the 1-STS (r=-0,21; p=0,44), nor with the Juvenile Arthritis Disease Activity Score (JADAS-10) (p=0,83). Conclusions: the 1-STS appears promising for assessing aerobic-functional capacity and lower limb muscle strength in children with oligoarticular JIA.

Resumen Introducción: los niños con artritis idiopática juvenil (AIJ) experimentan períodos de dolor e inmovilidad que afectan sus capacidades condicionales. Objetivos: describir los valores de referencia para el 1-minute Sit-to-Stand Test (1-STS; test de 1 minuto de sentarse y pararse) en niños con AIJ como evaluación de la capacidad aeróbico-funcional y de la fuerza muscular de los miembros inferiores (MMII). Materiales y métodos: se realizó un estudio observacional que incluyó a 15 niños con AIJ de entre 5 y 16 años. Se evaluó su rendimiento en el 1-STS. Resultados: se encontró una correlación positiva significativa entre el 1-STS y el test de la marcha de 6 minutos (r=0,56; p=0,03), como con el índice de capacidad funcional (CAPFUN) (r=0,54; p=0,03). No se observaron correlaciones significativas entre el Childhood Health Assessment Questionnaire (CHAQ) y el 1-STS (r=-0,21; p=0,44), tampoco con el Juvenile Arthritis Disease Activity Score (JADAS-10) (p=0,83). Conclusiones: el 1-STS parece prometedor para medir la capacidad aeróbico-funcional y la fuerza muscular de los miembros inferiores en niños con AIJ oligoarticular.