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Resumo Fundamento O interesse pela hipertensão em crianças e adolescentes aumentou desde a atualização do sistema de classificação da pressão arterial para comparar com o sistema de classificação dos adultos, alterando a terminologia de “normal alta” para “pré-hipertensão”. Objetivo O objetivo deste estudo foi analisar a associação da modulação autonômica cardíaca com os níveis pressóricos dos adolescentes. Métodos 203 adolescentes foram agrupados de acordo com a pressão arterial sistólica (PAS) e a pressão arterial diastólica (PAD). Um grupo foi caracterizado como pré-hipertensão, e o outro como normotenso. Foram coletadas características antropométricas, cardiovasculares e de qualidade do sono. Inicialmente, os dados foram submetidos ao teste de normalidade Kolmogorov-Smirnov . As variáveis quantitativas contínuas foram analisadas por meio do teste T de Student não pareado. Para análise das variáveis categóricas, foi utilizado o teste qui-quadrado. Um modelo de regressão logística foi realizado. O nível de significância estabelecido foi p<0,05. Os dados foram expressos como média ± desvio padrão e intervalo de confiança. O software R foi utilizado para análise dos dados. O tamanho do efeito foi calculado com a fórmula de Cohen. Resultados O grupo pré-hipertensão apresentou aumento da entropia de Shannon e diminuição da variância total. Além disso, no modelo de regressão logística, os adolescentes deste grupo tiveram 1,03 mais chances de ter a entropia de Shannon afetada quando a PAS foi ajustada ao gênero, maturação sexual, tempo escolar, idade, circunferência da cintura e qualidade do sono. Conclusão Nossos dados mostram que a modulação autonômica pode desempenhar um papel importante no desenvolvimento da pressão arterial elevada em adolescentes ao controlar fatores como tempo escolar e qualidade do sono.

Abstract Background The interest regarding hypertension among children and adolescents has increased since the blood pressure rating system was updated to be compared with the adult rating system, changing the terminology from “normal high” to “prehypertension”. Objective This study aimed to analyze the association between cardiac autonomic modulation and pressure levels of adolescents. Methods 203 adolescents were grouped according to systolic blood pressure (SBP) and diastolic blood pressure (DBP). One group was characterized as prehypertension, and the other as normotensive. Anthropometric, cardiovascular and sleep quality characteristics were collected. Initially, the data were submitted to the Kolmogorov-Smirnov normality test. Continuous quantitative variables were analyzed using the unpaired Student t-test. For the analysis of categorical variables, a chi-square test was used. A logistic regression model was performed. The level of significance was set at p<0.05. The data were expressed as mean ± standard deviation and confidence interval. The R software was used for data analysis. The effect size was calculated using the Cohen’s formula. Results The prehypertension group showed an increase in Shannon entropy and a decrease in total variance. Also, in the logistic regression model, adolescents in this group were 1.03 times more likely to have Shannon entropy’s affected when SBP was adjusted for gender, sexual maturation, school time, age, waist circumference, and sleep quality. Conclusion Our data show that autonomic modulation may play an important role in the development of elevated blood pressure in adolescents, when controlling for other factors, such as school time and sleep quality.

https://doi.org/10.36660/abc.20200093 73 downloads

Luts-V: A new simplified score for assessing lower urinary tract symptoms in men
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Silva, Caroline Santos

; Araujo, Ueslei Menezes de

; Alvaia, Mateus Andrade

; Freitas, Kátia Santana

; Tiraboschi, Taciana Leonel Nunes

; Gomes, Cristiano Mendes

; Bessa Júnior, José de

International braz j urol

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Jun 2021, Volume 47 Nº 3 Páginas 525 - 532

Resumo: En | Texto: En | PDF: En

ABSTRACT Objectives: Develop and validate a new and simplified score for evaluating the lower urinary tract symptoms in men. Materials and methods: We modified the existing visual prostate symptom score, including changes in the images, sequence, and new alternatives, resulting in a new visual score (LUTS visual score-LUTS-V). For the validation of the new tool, we used the International Prostatic Symptom Score as the gold-standard and the new LUTS-V to 306 men. The total IPSS score and the total LUTS-V score of each subject were evaluated to determine the agreement between the two instruments. ROC curve was used to evaluate the diagnostic accuracy and best cut-off of LUTS-V. Sensitivity, specificity, and diagnostic odds ratios were used to describe the diagnostic properties. Results: The mean age of the participants was 59 [52-87] years. There was a significant correlation between LUTS-V and IPSS. (r=0.72 (p <0.0001). The Bland-Altman analyzes demonstrate good agreement between the two questionnaires (bias=5.6%). LUTS-V demonstrated excellent diagnostic accuracy in detecting the most serious cases with an area under the ROC curve of 83% [78-87%] 95% CI. p <0.001). LUTS-V >4 was the best threshold, with a sensitivity of 74% and specificity of 78%. Conclusions: LUTS-V is a simple, self-administered tool with a significant discriminatory power to identify subjects with moderate to severe LUTS and may represent a useful instrument for the diagnosis and follow-up of men with urinary symptoms.

https://doi.org/10.1590/s1677-5538.ibju.2020.0278 278 downloads

Cheerleader injuries: a Brazilian cross-sectional study
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Marolde, Isabela Bianchini

; Carvalho, Cristiano

; Serrão, Paula Regina Mendes da Silva

Motriz: Revista de Educação Física

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2021, Volume 27 elocation e1021002321

Resumo: En | Texto: En | PDF: En

Abstract Aim: This study aimed to characterize the types, frequency, body locations, and activities related to cheerleading injuries. Methods: This was an Internet-based survey among Brazilian cheerleaders at the competitive national level. Data collected from participants included information about previous injuries (number, location, anatomical structure), age, sex, height, weight, occupation, cheerleading position, number of years of experience, and frequency and hours of training per week. The significance level was set at α = 0.05. Results: In total, 113 cheerleaders answered the online questionnaire, and 230 injuries were reported. The most affected anatomical site was the wrist with 14.8% of the injuries, followed by the ankle (11.3%), and the hand and fingers (9.1%). There is a direct association between the occurrence of injuries and experience cheerleading practice (p = 0.002). Conclusions: There is a considerable number of injuries in cheerleading, mostly occurring in the upper limbs. Specific preventative education or training could be directed at these athletes, with an emphasis on reducing upper limb injuries.

https://doi.org/10.1590/s1980-65742021002321 80 downloads

Methodological aspects of the anthropometric assessment in the Brazilian National Survey on Child Nutrition (ENANI-2019): a population-based household survey
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Anjos, Luiz Antonio dos

; Ferreira, Haroldo da Silva

; Alves-Santos, Nadya Helena

; Freitas, Maiara Brusco de

; Boccolini, Cristiano Siqueira

; Lacerda, Elisa Maria de Aquino

; Castro, Inês Rugani Ribeiro de

; Mariz, Virginia Gaissionok

; Tavares, Bruno Mendes

; Gigante, Denise Pretucci

; Kac, Gilberto

Cadernos de Saúde Pública

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2021, Volume 37 Nº 8 elocation e00293320

Resumo: Pt En Es | Texto: Pt En Es | PDF: Pt | PDF: En | PDF: Es

Resumo: Este artigo apresenta aspectos metodológicos da avaliação antropométrica do estado nutricional de crianças menores de cinco anos e suas mães biológicas, e as estratégias utilizadas para o treinamento e a coleta de dados do Estudo Nacional de Alimentação e Nutrição Infantil (ENANI-2019). O ENANI-2019 é um inquérito populacional de base domiciliar realizado em 123 municípios dos 26 estados da Federação e o Distrito Federal. As medidas antropométricas coletadas foram a massa corporal e o comprimento/estatura. Os equipamentos foram adquiridos segundo a sua capacidade e precisão de medida, portabilidade e custo-benefício após ampla pesquisa de mercado. Utilizaram-se procedimentos estabelecidos internacionalmente e descritos em manuais, vídeos e material de apoio desenvolvidos para o estudo por um grupo de especialistas. Os entrevistadores foram treinados para a realização das medidas antropométricas e avaliados segundo o erro técnico de medição, que foi considerado adequado (0,30cm) para as medidas de comprimento/estatura das crianças. Os erros de medição foram identificados e os entrevistadores retreinados quando necessário. Nas 14.558 crianças identificadas, foram obtidas medidas de massa corporal e o comprimento/estatura em duplicata em 13.835 e 13.693 crianças, respectivamente. Os aspectos metodológicos padronizados serão úteis para estudos populacionais futuros e foram fundamentais para se obter maior grau de confiabilidade dos dados na geração de evidências atualizadas sobre a avaliação antropométrica do estado nutricional de crianças brasileiras menores de cinco anos, possibilitando novas perspectivas para o desenvolvimento de políticas públicas.

Abstract: The article presents methodological aspects of anthropometric assessment of nutritional status in children under five years of age and their biological mothers. It discusses the strategies used for training and data collection in the Brazilian National Survey on Child Nutrition (ENANI-2019). ENANI-2019 is a population-based household survey conducted in 123 municipalities in Brazil’s 26 states and the Federal District. The anthropometric measurements were body mass and length/stature. The equipment was purchased according to its measurement capacity and precision, portability, and cost-benefit ratio after an extensive market search. The study used internationally established procedures described in manuals, videos, and support material developed for the study by a group of experts. The interviewers were trained to perform the anthropometric measurements and were assessed according to technical measurement error, which was considered adequate (0.30cm) for the children’s length/stature measurements. Measurement errors were identified, and the interviewers were retrained when necessary. Of the 14,558 children in the sample, body mass and length/stature measurements were taken in duplicate in 13,835 and 13,693 children, respectively. The standardized methodological aspects will be helpful in future population studies and were essential for obtaining greater reliability in the data for generating current evidence on the anthropometric assessment of the nutritional status of Brazilian children under five years of age, allowing new perspectives for public policy development.

Resumen: Este artículo presenta aspectos metodológicos de la evaluación antropométrica en el estado nutricional de niños menores de cinco años y sus madres biológicas, y las estrategias utilizadas para el entrenamiento y la recogida de datos del Estudio Nacional de Alimentación y Nutrición Infantil (ENANI-2019). El ENANI-2019 es una encuesta poblacional de base domiciliaria, realizada en 123 municipios de los 26 estados de la Federación y el Distrito Federal. Las medidas antropométricas recogidas fueron la masa corporal y la longitud/estatura. Los equipos se adquirieron según su capacidad y precisión de medida, portabilidad y coste-beneficio, tras una amplia investigación de mercado. Se utilizaron los procedimientos establecidos internacionalmente y descritos en manuales, vídeos y material de apoyo, desarrollados para el estudio por un grupo de especialistas. Los entrevistadores fueron entrenados para la realización de las medidas antropométricas, y fueron evaluados según el error técnico de medición, que fue considerado adecuado (0,30cm) para las medidas de longitud/estatura en los niños. Los errores de medición fueron identificados y los entrevistadores, reentrenados cuando era necesario. En los 14.558 niños identificados, se obtuvieron medidas de masa corporal y longitud/estatura por duplicado en 13.835 y 13.693 niños, respectivamente. Los aspectos metodológicos estandarizados serán útiles para estudios poblacionales futuros y fueron fundamentales para que se obtuviera un mayor grado de confiabilidad de los datos, así como en la generación de evidencias actualizadas sobre la evaluación antropométrica del estado nutricional de niños brasileños menores de cinco años, posibilitando nuevas perspectivas para el desarrollo de políticas públicas.

https://doi.org/10.1590/0102-311x00293320

Methodological aspects of the anthropometric assessment in the Brazilian National Survey on Child Nutrition (ENANI-2019): a population-based household survey
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Anjos, Luiz Antonio dos

; Ferreira, Haroldo da Silva

; Alves-Santos, Nadya Helena

; Freitas, Maiara Brusco de

; Boccolini, Cristiano Siqueira

; Lacerda, Elisa Maria de Aquino

; Castro, Inês Rugani Ribeiro de

; Mariz, Virginia Gaissionok

; Tavares, Bruno Mendes

; Gigante, Denise Pretucci

; Kac, Gilberto

Cadernos de Saúde Pública

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2021, Volume 37 Nº 8 elocation e00293320

Resumo: Pt En Es | Texto: Pt En Es | PDF: Pt | PDF: En | PDF: Es

https://doi.org/10.1590/0102-311x00293320 71 downloads

Influence of Family History of Diabetes on Cardiac Autonomic Dysfunction of Adolescents
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Dias-Filho, Carlos Alberto Alves

; Soares Jr, Nivaldo de Jesus

; Dias, Carlos José

; Ferreira, Andressa Coelho

; Sena, Carlan da Silva

; Brito-Monzani, Janaína de Oliveira

; Andrade, Rafael Martins

; Vieira, Adeilson Serra Mendes

; Pinto, Leandro Moraes

; de Carvalho, Wellington Roberto G.

; Mostarda, Cristiano Teixeira

International Journal of Cardiovascular Sciences

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Jul 2020, Volume 33 Nº 4 Páginas 360 - 367

Resumo: En | Texto: En | PDF: En

Abstract Background To evaluate cardiac autonomic modulation of adolescents with a family history of diabetic parents. Objective This study aims to evaluate the influence of a family history of diabetes on cardiac autonomic modulation. Methods This is an analytical and cross-sectional study on adolescents between 11 and 18 years of age, of both genders, who were divided into group with a family history of diabetes and a control group without a family history of diabetes. The study protocol consisted of the analysis of heart rate variability, blood pressure, anthropometric measurements, and body composition. Also, by using questionnaires, level of physical activity, sexual maturation, and sleep quality were evaluated. Normality of data distribution was tested using the Kolmogorov-Smirnov test. Then, statistical significance was evaluated using the Student's t-test, and the Cohen’s teste was used for calculation of the effect size. The level of significance adopted in the statistical analysis was 5%. Results When the group of individuals with a family history of diabetes was compared with the control group, statistically significant differences were observed in the variables the standard deviation of the NN time series interval (SDNN) (43.9 ± 2.2 vs. 53.5 ± 2.6 ms), the square root of the quadratic differences (RMSSD) (41.9 ± 3.3 vs. 52.4 ± 3.2 ms), standard deviation of beat-to-beat instantaneous variability (SD1) (29.7 ± 2.3 vs. 37.1 ± 2.3 ms), long-term standard deviation of continuous RR intervals (SD2) (. 54.1 ± 2.6 vs. 66.66 ± 3.5 ms), and in low frequency (LF) (496.0 ± 49.5 vs. 728 ± 71.6 ms2) and high frequency (HF) (1050.0 ± 120.4 vs. 737.4 ± 98.5 ms2) in the frequency domain. Conclusions Global autonomic modulation is decreased in adolescents with a family history of diabetes. We also observed a decrease in vagal activity in this group. So, sympathetic autonomic modulation is predominant in this population. (Int J Cardiovasc Sci. 2020; [online].ahead print, PP.0-0)

https://doi.org/10.36660/ijcs.20180064 274 downloads

Prevalence of priapism in individuals with sickle cell disease and implications on male sexual function
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Alvaia, Mateus Andrade

; Maia, Heros Aureliano Antunes da Silva

; Nelli, Alana de Medeiros

; Guimarães, Carina Oliveira Silva

; Carvalho, Evanilda Souza de Santana

; Netto, José Murillo Bastos

; Miranda, Eduardo de Paula

; Gomes, Cristiano Mendes

; Bessa Júnior, José de

einstein (São Paulo)

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2020, Volume 18 elocation eAO5070

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

RESUMO Objetivo Avaliar aspectos epidemiológicos do priapismo em pacientes com doença falciforme e o impacto desses aspectos na função sexual de adultos. Métodos Trata-se de estudo transversal, que incluiu indivíduos com doença falciforme acompanhados em um centro de referência. Os participantes responderam a um questionário estruturado acerca das características sociodemográficas e eventos de priapismo. A função sexual foi avaliada por meio de dois instrumentos validados, a Escala de Rigidez de Ereção e um sobre satisfação com a vida sexual. Resultados Foram entrevistados 64 indivíduos com média de idade de 12 (7-28) anos. A prevalência de priapismo foi de 35,9% (23/64). O episódio mais precoce ocorreu aos 2 anos de idade e o mais tardio, aos 42 anos. A projeção estatística foi de que 71,1% desses sujeitos teriam pelo menos um episódio de priapismo ao longo da vida. Pacientes adultos com episódios de priapismo (10/23) apresentaram função erétil significativamente pior Escala de Rigidez de Ereção de 2 [1-3]; p=0,01 e estavam menos satisfeitos com a vida sexual 3 [3-5]; p=0,02. Conclusão O priapismo manifesta-se desde a infância, e episódios graves estão associados a dano cavernoso, prejuízo na qualidade da ereção e menor satisfação sexual.

ABSTRACT Objective To evaluate epidemiological aspects of priapism in patients with sickle cell disease, and these aspects impact on adult sexual function. Methods This was a cross-sectional study including individuals with sickle cell disease who were evaluated at a reference center for sickle cell. Participants completed a structured questionnaire about their sociodemographic characteristics and priapism events. Sexual function was assessed using validated two instruments, the Erection Hardness Score and one about the sex life satisfaction. Results Sixty-four individuals with median aged of 12 (7 to 28) years were interviewed. The prevalence of priapism was 35.9% (23/64). The earliest priapism episode occurred at 2 years of age and the latest at 42 years. The statistical projection was that 71.1% of individuals of the study would have at least one episode of priapism throughout life. Patients with episodes of priapism (10/23) had significantly worse erectile function Erection Hardness Score of 2 [1-3]; p=0.01 and were less satisfied with sexual life 3 [3-5]; p=0.02. Conclusion Priapism is usually present in childhood, and severe episodes are associated with cavernous damage, impairment in the quality of the erection, and lower sexual satisfaction.

https://doi.org/10.31744/einstein_journal/2020ao5070 1069 downloads

Effectiveness of the automated drug dispensing system: systematic review and meta-analysis
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Carvalho, Márglory Fraga de

; Marques, Juliana Mendes

; Marta, Cristiano Bertolossi

; Peregrino, Antônio Augusto de Freitas

; Schutz, Vivian

; Silva, Roberto Carlos Lyra da

Revista Brasileira de Enfermagem

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2020, Volume 73 Nº 5 elocation e20180942

Resumo: Pt En Es | Texto: Pt En Es | PDF: Pt | PDF: En | PDF: Es

RESUMO Objetivos: comparar a efetividade do sistema automatizado de distribuição descentralizada de medicamentos por armário. Métodos: trata-se de estudo de efetividade embasado por revisão sistemática, norteada pela questão: Para pacientes internados em unidades hospitalares, o uso de dispensário eletrônico é efetivo para a redução de erros de medicação comparado à dispensação manual por dose unitária? O conjunto da evidência foi avaliado pelo Grading of Recommendations Assessment, Development and Evaluation, sendo o instrumento Preferred Reporting Items for Systematic Reviews and Meta-Analyses usado no relatório. Resultados: a amostra foi composta por 15 estudos e nenhum deles comparou diretamente as tecnologias, contudo, a metanálise revelou que não existe diferença de efetividade entre elas [OR 1.03 IC 95% (0,12 - 8,99)]. Conclusões: conclui-se que a recomendação é fraca a favor do dispensário eletrônico.

ABSTRACT Objectives: to compare the effectiveness of the decentralized automated drug dispensing system with pockets. Methods: an effectiveness study based on a systematic review guided by the question: for patients admitted to hospital units, is the use of automated drug dispensing effective for reducing medication errors when compared to manual unit dose dispensing? The evidence was evaluated by the Grading of Recommendations Assessment, Development and Evaluation and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses instrument, used in the report. Results: the sample was composed of 15 studies and none of them directly compared both technologies; however, the meta-analysis showed that there is no difference in effectiveness between them [OR 1.03 95%CI (0,12 - 8,99)]. Conclusions: the conclusion is that the recommendation in favor of the automated dispensing system is weak.

RESUMEN Objetivos: comparar la eficacia del sistema automatizado de distribución descentralizada de medicamentos por armario. Métodos: se trata de un estudio de efectividad basado en una revisión sistemática guiada por el tema: Para los pacientes ingresados en los hospitales, ¿el uso del dispensario electrónico es eficaz para reducir errores de medicación en comparación con la dispensación manual por dosis unitaria? El conjunto de la evidencia se evaluó según los sistemas GRADE (evaluación de la calidad de la evidencia y graduación de la fuerza de las recomendaciones) y PRISMA (elementos de informes preferidos para los protocolos de revisión sistemática y metaanálisis) usado en el informe. Resultados: la muestra estaba compuesta de 15 estudios y ninguno comparó directamente las tecnologías; sin embargo, el metaanálisis mostró que no existe diferencia de la eficacia entre ellas [OR 1.03 IC 95% (0,12 - 8,99)]. Conclusiones: se ultima que la recomendación es débil a favor del dispensario electrónico.

https://doi.org/10.1590/0034-7167-2018-0942 2686 downloads

Effectiveness of the automated drug dispensing system: systematic review and meta-analysis
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Carvalho, Márglory Fraga de

; Marques, Juliana Mendes

; Marta, Cristiano Bertolossi

; Peregrino, Antônio Augusto de Freitas

; Schutz, Vivian

; Silva, Roberto Carlos Lyra da

Revista Brasileira de Enfermagem

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2020, Volume 73 Nº 5 elocation e20180942

Resumo: En Es Pt | Texto: En Es Pt | PDF: En | PDF: Es | PDF: Pt

https://doi.org/10.1590/0034-7167-2018-0942 29 downloads

10.

Testicular needle aspiration: Is it a safe method for breeding soundness evaluation in bulls?
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Crespilho, André Maciel

; Ferreira, Cristiano Silva

; Bastos, Yolanda Henrichs Garcia Bandeira

; Guasti, Priscilla Nascimento

; Nascimento, José Carlos

; Guimarães, Kátia de Oliveira Pimenta

; Agopian, Rafael Garabet

; Gomes, Gustavo Mendes

; Peixoto Jr, Kleber da Cunha

Animal Reproduction

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Out 2019, Volume 16 Nº 4 Páginas 880 - 886

Resumo: En | Texto: En | PDF: En

Abstract The aim of this study was to evaluate the impact of successive bovine testicular punctures using different needle sizes. Fifteen bulls were submitted to testicular needle aspiration (TNA) in the left and right testis using 18-gauge (40×12mm) or 22-gauge (25×7mm) needles, respectively, once every 30 days. Animals were randomly divided into three groups, which were submitted to bilateral orchiectomy two days after the last puncture. Group 1 (G1): only one puncture (n=5); Group 2 (G2): three consecutive punctures in a period of three months (n=5); Group 3 (G3): six consecutive punctures in a period of 6 months (n=5). Fragments from the medial portion of the testicular parenchyma were excised and fixed in Bouin’s fluid for histological analysis. No differences were observed in the percentage of seminiferous tubules degeneration between G1, G2 and G3 (P>0.05). Higher amounts of erythrocyte were found in G1 and G2 groups compared to G3, in the intra- and intertubular tissue (P<0.05). There was no interaction between the needle gauge and the occurrence of testicular damage in animals submitted to one (G1) or three (G2) punctures. However, a higher percentage of tubular degeneration was associated to 18-gauge compared to 22-gauge fine needles in G3. In conclusion, multiple testicular needle aspiration can be safely conducted using fine needles. Large needles are recommended only for a single TNA, since multiple punctures may result in increased tubular degeneration and compromise testicular architecture and functionality.

https://doi.org/10.21451/1984-3143-ar2019-0007 1457 downloads

11.

Prevalence of enuresis and its impact in quality of life of patients with sickle cell disease
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Mrad, Flávia Cristina de Carvalho

; Nelli, Alana de Medeiros

; Alvaia, Mateus de Andrade

; Maia, Heros Aureliano Antunes da Silva

; Guimarães, Carina Oliveira Silva

; Carvalho, Evanilda Souza de Santana

; Gomes, Cristiano Mendes

; Netto, José Murillo Bastos

; Bessa Junior, José de

International braz j urol

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Set 2019, Volume 45 Nº 5 Páginas 974 - 980

Resumo: En | Texto: En | PDF: En

ABSTRACT Introduction Evidence indicates an increase in the prevalence of enuresis in individuals with sickle cell disease. The present study aims to evaluate the prevalence and impact of enuresis on quality of life in individuals with sickle cell disease. Materials and Methods This cross-sectional study evaluated individuals with sickle cell disease followed at a reference clinic, using a questionnaire designed to evaluate the age of complete toilet training, the presence of enuresis and lower urinary tract, and the impact on quality of life of these individuals. Results Fifty children presenting SCD (52% females, mean age ten years) were included in the study. Of those, 34% (17/50) presented as HbSC, 56% with HbSS (28/50), 2% Sα-thalassemia (1/5) and 8% the type of SCD was not determined. The prevalence of enuresis was 42% (21/50), affecting 75% of subjects at five years and about 15% of adolescents at 15 years of age. Enuresis was classified as monosymptomatic in 33.3% (7/21) and nonmonosymptomatic in 66.6% (14/21) of the cases, being primary in all subjects. Nocturia was identified in 24% (12/50), urgency in 20% (10/50) and daytime incontinence 10% (5/50) of the individuals. Enuresis had a significant impact on the quality of life of 67% of the individuals. Conclusion Enuresis was highly prevalent among children with SCD, and continues to be prevalent throughout early adulthood, being more common in males. Primary nonmonosymptomatic enuresis was the most common type, and 2/3 of the study population had a low quality of life.

https://doi.org/10.1590/s1677-5538.ibju.2019.0026 806 downloads

12.

Estimated intensity and acute cardiovascular response to a single exercise session guided by the fitness app Sworkit® Personal Trainer
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Vieira, Adeilson Serra Mendes

; Silva-Filho, Antonio Carlos

; Dutra-Macêdo, Sara Raquel

; Dias, Carlos José

; Rodrigues, Bruno

; Mostarda, Cristiano Teixeira

Motriz: Revista de Educação Física

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2019, Volume 25 Nº 2 elocation e101904

Resumo: En | Texto: En | PDF: En

Abstract Aim: The aim of the present study was to evaluate the effect of an exercise session prescribed by the Sworkit® Personal Trainer application on hemodynamic and autonomic responses. Methods: The sample consisted of 11 men classified as sedentary according to IPAQ. The exercises were randomly selected by the app Sworkit® Personal Trainer, using the pre-built program "Light Warm-Up Cardio" (see supplementary material). Heart rate and perceived exertion data were collected every minute during an exercise session. Blood pressure and heart rate variability were measured Pre, Post, 30 min, 12h, 24 h, and 48h after exercise. Heart rate and rate of perceived exertion were collected during the 30 minutes exercise. Results: Hemodynamic responses showed differences in heart rate and systolic blood pressure: Post, 12 h and 24 h compared to Pre. We also found significant statistical differences in the heart rate variability indexes when comparing Post, 30min to 48h versus Pre, indicating modifications in the autonomic modulation post-exercise. The perceived exertions scale remained between 13-14 during the exercise. Heart rate was 149 ± 5.26 (80 ± 5% of HRmax) during the 30min exercise, indicating a moderate to vigorous intensity. Conclusion: We concluded that a single exercise session guided by the Sworkit® Personal Trainer application could generate autonomic changes in up to 12 hours, presenting a moderate to vigorous intensity in 30 minutes of exercise for sedentary men.

https://doi.org/10.1590/s1980-6574201900020009 909 downloads

13.

Association between renal cysts and abdominal aortic aneurysm: A case-control study
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Veiga, Hélio Miguel de Azevêdo Bião

; Silva, Leandro José Correia da

; Bellucci, Carlos Henrique Suzuki

; Santos, Marcus Vinicius Miranda dos

; Tiraboschi, Ricardo Brianezi

; Paschoalin, Victor Pereira

; Borba, Lucas

; Gomes, Cristiano Mendes

; Bastos-Netto, José Murillo

; Bessa Junior, José de

Revista da Associação Médica Brasileira

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Ago 2017, Volume 63 Nº 8 Páginas 681 - 684

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

Resumo Objetivo: Avaliar uma possível associação entre presença de cistos renais simples (CRS) e aneurisma aórtico abdominal (AAA). Método: Em um estudo de caso versus controle com sujeitos com idade > 50 anos, avaliamos a prevalência de CRS detectados por tomografia computadorizada (TC). Comparamos os achados de 91 pacientes consecutivos com AAA oriundos da Divisão de Cirurgia Vascular com 396 pacientes sem AAA, randomicamente selecionados e ajustados por idade e gênero dentre 3.186 pacientes consecutivos que se submeteram a TC abdominal. Cisto simples foi definido como lesão hipodensa oval ou arredondada com paredes finas, maiores do que 4 mm em TC sem realce contrastual ou septação. Pacientes foram considerados com AAA quando o diâmetro da aorta era maior que 3,0 cm. Resultados: Pacientes com AAA e sem AAA eram semelhantes quanto a idade (67,9±8,41 vs. 68,5±9,13 anos) (p=0,889) e gênero (71,4 vs. 71,2% dos indivíduos masculinos, respectivamente) (p=0,999). Não havia diferença de prevalência de CRS entre casos e controles. Dentre indivíduos com AAA, 38 (41,8%; [IC95% 32,5-52,6]) tinham cistos renais, comparados com 148 (37,4%; [IC95% 32,7-42,2]) no grupo controle (p=0,473), com uma razão de prevalência (RP) de 1,16 (IC95% 0,80-1,68). Conclusão: Não observamos diferenças significativas na prevalência de CRS entre pacientes com AAA e controles. Nossos resultados sugerem que presença de CRS não é fator de risco ou preditor para AAA.

Summary Objective: To investigate the positive association between the presence of simple renal cysts (SRCs) and abdominal aortic aneurysm (AAA). Method: In a retrospective case-control study including subjects aged > 50 years, we evaluated the incidence of SRCs on computed tomography (CT) scan. We compared 91 consecutive patients with AAA referred from the Division of Vascular Surgery and 396 patients without AAA, randomly selected after being matched by age and gender from 3,186 consecutive patients who underwent abdominal CT. SRC was defined as a round or oval low-attenuation lesion with a thin wall and size > 4 mm on CT without obvious evidence of radiographic enhancement or septations. Patients were considered as having AAA if the size of aorta was greater than 3.0 cm. Results: Patients with AAA and without AAA were similar in terms of age (67.9± 8.41 vs. 68.5±9.13 years) (p=0.889) and gender (71.4 vs. 71.2% of male subjects, respectively) (p=0.999). There was no difference in the prevalence of SRC between case and controls. Among individuals with AAA, 38 (41.8%; [95CI 32.5-52.6]) had renal cysts compared to 148 (37.4%; [95CI 32.7-42.2]) in the control group (p=0.473), with a prevalence ratio (PR) of 1.16 (95CI 0.80-1.68). Conclusion: We found no significant differences in the prevalence of SRCs among patients with AAA and controls. Our findings suggest that the presence of SRCs is not a risk factor or a marker for AAA.

https://doi.org/10.1590/1806-9282.63.08.681 981 downloads

14.

Overactive bladder – 18 years – Part II
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Truzzi, Jose Carlos

; Gomes, Cristiano Mendes

; Bezerra, Carlos A.

; Plata, Ivan Mauricio

; Campos, Jose

; Garrido, Gustavo Luis

; Almeida, Fernando G.

; Averbeck, Marcio Augusto

; Fornari, Alexandre

; Salazar, Anibal

; Dell’Oro, Arturo

; Cintra, Caio

; Sacomani, Carlos Alberto Ricetto

; Tapia, Juan Pablo

; Brambila, Eduardo

; Longo, Emilio Miguel

; Rocha, Flavio Trigo

; Coutinho, Francisco

; Favre, Gabriel

; Garcia, José Antonio

; Castaño, Juan

; Reyes, Miguel

; Leyton, Rodrigo Eugenio

; Ferreira, Ruiter Silva

; Duran, Sergio

; López, Vanda

; Reges, Ricardo

International braz j urol

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Abr 2016, Volume 42 Nº 2 Páginas 199 - 214

Resumo: En | Texto: En | PDF: En

ABSTRACT Traditionally, the treatment of overactive bladder syndrome has been based on the use of oral medications with the purpose of reestablishing the detrusor stability. The recent better understanding of the urothelial physiology fostered conceptual changes, and the oral anticholinergics – pillars of the overactive bladder pharmacotherapy – started to be not only recognized for their properties of inhibiting the detrusor contractile activity, but also their action on the bladder afference, and therefore, on the reduction of the symptoms that constitute the syndrome. Beta-adrenergic agonists, which were recently added to the list of drugs for the treatment of overactive bladder, still wait for a definitive positioning – as either a second-line therapy or an adjuvant to oral anticholinergics. Conservative treatment failure, whether due to unsatisfactory results or the presence of adverse side effects, define it as refractory overactive bladder. In this context, the intravesical injection of botulinum toxin type A emerged as an effective option for the existing gap between the primary measures and more complex procedures such as bladder augmentation. Sacral neuromodulation, described three decades ago, had its indication reinforced in this overactive bladder era. Likewise, the electric stimulation of the tibial nerve is now a minimally invasive alternative to treat those with refractory overactive bladder. The results of the systematic literature review on the oral pharmacological treatment and the treatment of refractory overactive bladder gave rise to this second part of the review article Overactive Bladder – 18 years, prepared during the 1st Latin-American Consultation on Overactive Bladder.

https://doi.org/10.1590/S1677-5538.IBJU.2015.0367 2297 downloads

15.

Overactive bladder – 18 years – part I
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Truzzi, Jose Carlos

; Gomes, Cristiano Mendes

; Bezerra, Carlos A.

; Plata, Ivan Mauricio

; Campos, Jose

; Garrido, Gustavo Luis

; Almeida, Fernando G.

; Averbeck, Marcio Augusto

; Fornari, Alexandre

; Salazar, Anibal

; Dell'Oro, Arturo

; Cintra, Caio

; Sacomani, Carlos Alberto Ricetto

; Tapia, Juan Pablo

; Brambila, Eduardo

; Longo, Emilio Miguel

; Rocha, Flavio Trigo

; Coutinho, Francisco

; Favre, Gabriel

; Garcia, José Antonio

; Castaño, Juan

; Reyes, Miguel

; Leyton, Rodrigo Eugenio

; Ferreira, Ruiter Silva

; Duran, Sergio

; López, Vanda

; Reges, Ricardo

International braz j urol

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Abr 2016, Volume 42 Nº 2 Páginas 188 - 198

Resumo: En | Texto: En | PDF: En

ABSTRACT Abstract: Overactive bladder syndrome is one of the lower urinary tract dysfunctions with the highest number of scientific publications over the past two decades. This shows the growing interest in better understanding this syndrome, which gathers symptoms of urinary urgency and increased daytime and nighttime voiding frequency, with or without urinary incontinence and results in a negative impact on the quality of life of approximately one out of six individuals – including both genders and almost all age groups. The possibility of establishing the diagnosis just from clinical data made patients' access to specialized care easier. Physiotherapy resources have been incorporated into the urological daily practice. A number of more selective antimuscarinic drugs with consequent lower adverse event rates were released. Recently, a new class of oral drugs, beta-adrenergic agonists has become part of the armamentarium for Overactive Bladder. Botulinum toxin injections in the bladder and sacral neuromodulation are routine modalities of treatment for refractory cases. During the 1st Latin-American Consultation on Overactive Bladder, a comprehensive review of the literature related to the evolution of the concept, epidemiology, diagnosis, and management was conducted. This text corresponds to the first part of the review Overactive Bladder 18-years.

https://doi.org/10.1590/S1677-5538.IBJU.2015.0365 3261 downloads

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