Navegando por Autor "Navarro, Ricardo Scarparo"

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Achados de ultrassonografia 3D com Power Doppler em pacientes com sangramento uterino pós menopausa – uma revisão sistemática de literatura com metanálise
(Universidade Brasil, 2020) Domiciniano, Fabiana Alvarez; Fávero, Priscila Pereira; Navarro, Ricardo Scarparo
Introduction: Recently, 3D ultrasound findings with Power Doppler have been introduced as a diagnostic tool for Endometrial Cancer (EC). With this in mind, the main objective of this systematic review was to evaluate the findings of ultrasound power doppler - Endometrial Volume (LV), Vascular Flow Index (IFV), Vascularization Index (IV) and Flow Index (IF) - to determine whether these parameters can improve the detection of FB and estimate, from a meta-analysis, the combined mean values of these parameters for patients with benign and malignant findings. Method: We conducted a systematic review according to the preferred reporting item guidelines for systematic reviews and meta-analyzes (PRISMA) limited to the English, Portuguese and Spanish languages of studies published between January 2000 and January 2020. A combined estimate of the median The overall findings of the US with Power Doppler of patients in the benign and malignant group were calculated using a random effects model with inverse variance weighting and visualized using a Forest Plot. Results: 6 studies were included in this meta-analysis which resulted in a total of 652 women with uterine bleeding in the post-menopausal period. The combined mean endometrial volume estimate for women with benign findings was 4.51 mL (95% CI 3.10 - 5.91). The combined mean estimate for malignant findings was 8.42 mL (95% CI 6.11 - 10.74). The combined mean of VI in the benign group was 4.04 (95% CI 2.05 - 6.04) while in the malignant group it was 14.04 (95% CI 10.65 - 17.43). For the flow index, the combined mean for the benign group was 21.67 (95% CI 16.95 - 26.38). The combined mean for malignant findings was 27.84 (95% CI 22.78 - 32.90). Finally, for the VFI the combined mean for the endometriums with malignancy findings was 4.458 (95% CI 1.41 - 7.49). A statistically significant difference was found between the combined mean of the groups (p <0.001). Conclusion: To date, this is the first study that has proposed to estimate average values of 3D ultrasound findings with Power Doppler from the combination of studies described in the literature and it is also the first specific systematic review to include all data from the US 3D Power Doppler The combined average estimate of each of these parameters is extremely important for clinical practice.
Aplicativo para dispositivo móvel para avaliação da qualidade de vida de idosos
(Universidade Brasil) Grechi, Maria Sônia; Magalhães, Daniel Souza Ferreira; Navarro, Ricardo Scarparo; Baptista, Alessandra
Avaliação da descontaminação de máscaras de proteção facial utilizando radiação UV-C
(Universidade Brasil, 2022) Mota, Mara Soares de Almeida; Navarro, Ricardo Scarparo; Baptista, Alessandra
Infectious respiratory diseases (IRD) are predominantly transmitted by airborne droplets or aerosols between people with close interactions. IRDs have a high rate of mortality and transmission between populations. The use of face protection masks (FPM) are effective in reducing the transmission of IRDs. Different methods are used for surface decontamination. The physical method of decontamination with UV-C radiation has shown effective results in different areas. The aim of this in vitro study was to evaluate FPM decontamination using UV-C radiation. Quadrangular samples from the masks were contaminated with a suspension of 108 CFU/ml of E. coli, in exponential phase, with the aid of a spray bottle inside the laminar flow. Three types of masks were evaluated (n=9): Tricoline (cotton) (T), Surgical (S) and N95 (N) at different times of UV-C irradiation, with portable SURFACE UV® equipment (MMOptics, São Carlos, Brazil, ƛ= 254 nm), the distance of 1 cm from the surface of the samples, scanning mode, at times of 30s, 45s and 60 s. To evaluate the microbial reduction, the samples were immersed in a test tube containing sterile saline solution, submitted to mechanical agitation for microbial recovery, and subsequently performed serial dilutions in the order of 1:10. Aliquots of the suspensions were seeded on Mueller Hinton agar for final microbial counts. The experiment was carried out in triplicate. All data were analyzed for their distribution by the Shapiro-Wilk test. Parametric data were analyzed by ANOVA and Tukey test. Nonparametric data were analyzed using the Kruskal-Wallis and Wilcoxon test (p< 0.05). The study showed that UV-C radiation promoted effective decontamination of different models of FPM contaminated with E. coli. In Tricoline and Surgical the microbial reduction was observed in the time of 30 s and total decontamination in the times of 45 s and 60 s. In N95, total decontamination was observed at all irradiation times. The type of face protection mask influenced the effects of UV-C. The UV-C irradiation from 30 s onwards reduced the microbial load and from 45 s onwards promoted total decontamination in all types of masks tested.
Avaliação da eficácia da auriculoterapia a laser para tratamento de falta de olfato e paladar Pós-COVID-19: relatos de casos
(Universidade Brasil, 2023) Silva, Aline Roman Lima; Barros, Amanda Farage Frade; Navarro, Ricardo Scarparo
COVID-19 is an infectious disease caused by the new coronavirus known as severe acute respiratory syndrome 2 (SARS-CoV-2). The most common symptoms are: fever, dry cough, tiredness, muscle aches, sore throat, headache, nasal congestion, conjunctivitis, rashes, loss of smell and/or taste (anosmia and/or ageusia). The aim of this research was to evaluate the effects of laser in acuriculotherapy to treat patients with COVID-19 who presented with anosmia and/or ageusia. In this project to establish a clinical protocol, volunteers (n=12) with a rapid test or PCR test for COVID-19, treated, aged over 18 years, both genders, who had post-COVID-19 anosmia as sequelae, participated in this project. and/or ageusia. The volunteers were treated in the laser auriculotherapy group (ATL, n=6) or in the traditional auriculotherapy control group (ATT, n=6), once a week, for 10 weeks, totaling 10 sessions. In the ATL group, using portable low power diode laser equipment (Laser Duo®, MMOptics, São Carlos, Brazil), semiconductor diode active medium (GaAlAs and InGaAlP), with emission in the infrared wavelength (808 nm), energy of 3 J, fixed power of 100 mW, tip area of 0.03 cm2, dose of 100 J/cm2, time of 30 s in contact with the skin at each acupoint. In the ATT group using rapeseed or mustard fixed by adhesive tape, both groups in the points: SHEN MEN, KIDNEY, SYMPATHETIC, TONGUE, MOUTH, EXTERNAL NOSE, INTERNAL NOSE/PHARYNX, HEART AND LUNGS. They answered the clinical evaluation form and quality of life questionnaires (SF36) in the first and last session. Odor and taste tests composed of sweet, salty, sour, bitter and spicy foods were applied from a questionnaire with the “Likert” scale before and after each session. The ATL group, in the analysis of the mental health parameter related to the SF36, showed a statistically significant difference (p< 0.05) and it was possible to observe improvements in smell and taste of bitter and sour foods after treatment. The ATT group showed significant improvements regarding smell and salty taste. The treatments promoted an improvement and general well-being in the volunteers in both evaluated groups, and in the laser group it was possible to observe better statistically significant results. Laser auriculotherapy has the advantage of being a non-pharmacological, painless therapy with minimal side effects.
Avaliação do Óleo Ozonizado e da Fotobiomodulação no tratamento nos efeitos locais provocados pelo veneno da serpente Bothrops Jararacussu - Evaluation of Ozonized Oil and Photobiomodulation in the treatment of local effects caused by snake venom Bothrops Jararacussu
(Universidade Brasil, 2021) Fernandes, Jéssia Oliveira dos Santos; Cogo, José Carlos; Navarro, Ricardo Scarparo
The poisoning of the Bothrops jararacussu (jararacuçu) snake (B.jararacussu) causes local effects such as pain, swelling, inflammation, hemorrhage and myonecrosis. OBJECTIVE: The aim of this study was to evaluate the use of ozonized sunflower oil (OZO) associated or not with photobiomodulation (FBM) in the local effects promoted by Bothrops jararacussu venom. MATERIAL AND METHODS: Bothrops jararacussu venom was injected into the right gastrocnemius muscle (30 µg/50 µl NaCl 0.9%; i.m.) and the animals were euthanized 3 and 24 h later. The oil was ozonized using a corona generator (Ozone & Life® Model R&L1.5RM) and the FBM was used with the following parameters: Thera Laser, DMC®, red 685 nm, 4 J/cm2, 100 mW, 0.3 cm2, 1 .2 J, 12 s, spot. FBM was applied immediately after inoculation of the venom and OZO was also applied immediately after inoculation of the venom soaked in gauze for 15 minutes. In the control groups, the animals were injected with saline solution (NaCl 0.9%) and treated with OZO or FBM. In the groups injected with the venom, the animals were treated with OZO and FBM applied separately or together. The animals were anesthetized, the muscles removed, rinsed with PBS (phosphate buffer solution), fixed in 10% formaldehyde for 3 to 24 h, processed by routine histology techniques and stained with Hematoxylin and Eosin. The histological sections were analyzed under a light microscope and the cells counted and measured using the J imaging program. Necrotic and normal cells were evaluated, quantitative and morphometric analysis was performed, cellular edema was quantified by measuring the area and weight of the muscles and determined the levels of creatine kinase (CK) release. Data were submitted to ANOVA and Tukey-Kramer tests (p< 0.05). RESULTS: The results showed that the venom promotes myonecrosis of muscle cells characterized by edema and rupture of muscle cells. It promotes intracellular edema and CK release due to disruption of cell membranes. Treatment with FBM and OZO, applied separately, protects the muscle from the action of venom toxins, decreasing intracellular edema and decreasing CK release. OZO applied alone provided better protection than FBM. The association of FBM with OZO did not promote a synergistic effect in this protection. CONCLUSIONS: We conclude that due to the beneficial effects observed in these results, OZO can become an adjuvant treatment in poisoning. promoted by Bothrops jararacussu together with the antivenom, reducing the local harmful effects. This improvement is due to the therapeutic effects of OZO.
Avaliação do óleo ozonizado e da fotobiomodulação no tratamento nos efeitos locais provocados pelo veneno da serpente Bothrops Jararacussu
(Universidade Brasil, 2021) Fernandes, Jéssia Oliveira dos Santos; Navarro, Ricardo Scarparo; Cogo, José Carlos
The poisoning of the Bothrops jararacussu (jararacuçu) snake (B.jararacussu) causes local effects such as pain, swelling, inflammation, hemorrhage and myonecrosis. OBJECTIVE: The aim of this study was to evaluate the use of ozonized sunflower oil (OZO) associated or not with photobiomodulation (FBM) in the local effects promoted by Bothrops jararacussu venom. MATERIAL AND METHODS: Bothrops jararacussu venom was injected into the right gastrocnemius muscle (30 µg/50 µl NaCl 0.9%; i.m.) and the animals were euthanized 3 and 24 h later. The oil was ozonized using a corona generator (Ozone & Life® Model R&L1.5RM) and the FBM was used with the following parameters: Thera Laser, DMC®, red 685 nm, 4 J/cm2, 100 mW, 0.3 cm2, 1 .2 J, 12 s, spot. FBM was applied immediately after inoculation of the venom and OZO was also applied immediately after inoculation of the venom soaked in gauze for 15 minutes. In the control groups, the animals were injected with saline solution (NaCl 0.9%) and treated with OZO or FBM. In the groups injected with the venom, the animals were treated with OZO and FBM applied separately or together. The animals were anesthetized, the muscles removed, rinsed with PBS (phosphate buffer solution), fixed in 10% formaldehyde for 3 to 24 h, processed by routine histology techniques and stained with Hematoxylin and Eosin. The histological sections were analyzed under a light microscope and the cells counted and measured using the J imaging program. Necrotic and normal cells were evaluated, quantitative and morphometric analysis was performed, cellular edema was quantified by measuring the area and weight of the muscles and determined the levels of creatine kinase (CK) release. Data were submitted to ANOVA and Tukey-Kramer tests (p< 0.05). RESULTS: The results showed that the venom promotes myonecrosis of muscle cells characterized by edema and rupture of muscle cells. It promotes intracellular edema and CK release due to disruption of cell membranes. Treatment with FBM and OZO, applied separately, protects the muscle from the action of venom toxins, decreasing intracellular edema and decreasing CK release. OZO applied alone provided better protection than FBM. The association of FBM with OZO did not promote a synergistic effect in this protection. CONCLUSIONS: We conclude that due to the beneficial effects observed in these results, OZO can become an adjuvant treatment in poisoning. promoted by Bothrops jararacussu together with the antivenom, reducing the local harmful effects. This improvement is due to the therapeutic effects of OZO.
Avaliação dos efeitos da auriculoterapia e auriculoterapia a laser no tratamento das alterações de olfato e paladar pós Covid-19 - estudo clínico
(Universidade Brasil, 2023) Oliveira, Andreia de; Navarro, Ricardo Scarparo; Baptista, Alessandra
COVID-19 is an infectious disease caused by the new coronavirus, also known as severe acute respiratory syndrome virus 2 (SARS-CoV-2). There are characteristic systemic changes during the disease process, and post-COVID-19, called long COVID, we can highlight the sensory changes in smell and taste that directly interfere with individuals' quality of life. The objective of the study was to evaluate the effects of auriculotherapy (AT) and laser auriculotherapy (LAT) in the treatment of post-COVID- 19 changes in smell and taste. After approval by the CEP (5,357,603), acceptance and signing of the TCLE by the participants, with a positive PCR exam or self-test for COVID-19, treated, aged over 18 years, of both sexes, were randomly divided into groups : G1 (AT) (n=12) AT with mustard seeds; G2 (LAT) (n= 12) AT with low power laser (Laser Duo, MMOptics, São Carlos, Brazil) (808 nm, 3 J, 100 mW, 30 s, tip area 0.03 cm2, 3.33 W/cm2, 100 J/cm2); G3 (LAT placebo) (n= 12) LAT as in group 2, with a barrier at the exit of the laser beam emission; G4 (LAT tip) (n= 12) as in group 2, using acupuncture tip (808 nm, 3 J, 100 mW, 30 s, tip area 0.07 cm2, 1.43 W/cm2, 42.9 J/cm2) (MMOptics, São Carlos, Brazil). In all groups, AT was performed in contact with the skin on the ear at different acupoints (Shen Men, Kidney, Sympathetic, Tongue, Mouth, External Nose, Internal Nose/Pharynx, Heart, Lung), once a week, totaling 10 sessions. Participants were evaluated by anamnesis, Sensory Assessment Tests (SAT) of Smell and Taste before and after each session. The results showed for SAT smell and taste in the intragroup analysis in G1-AT, G2-LAT and G4-LAT tip there was a significant difference before and after treatments (p<0.05), in G3-LAT placebo smell there was no difference for sweet and salty (p>0.05) and there was a difference for bitter, sour, spicy (p>0.05); in G3-LAT placebo taste there was no significant difference (p>0.05) for all variables. For the intergroup analysis for SAT smell and taste: between the auriculotherapy groups (G1 AT, G2 LAT, G4 LAT tip) and G3 LAT placebo there were significant differences (p<0.05), between the auriculotherapy groups they were no differences (p>0.05) and the treatments promoted an effective increase in smell and taste values (p<0.05), the G3 LAT placebo group presented lower results than the treatments groups. It can be concluded that auriculotherapy and laser auriculotherapy were effective in treating changes in smell and taste after COVID-19; the different modalities of auriculotherapy - AT, LAT, LAT tip promoted recovery of smell and taste, with no differences between treatments; there were no placebo effects, the study proposes new therapeutic protocols of auriculotherapy and laser auriculotherapy in the treatment of changes in smell and taste after COVID-19; no side effects, non- pharmacological, non-invasive, painless, with greater patient acceptability.
Avaliação dos efeitos da desinfecção química e com radiação ultravioleta na estabilidade dimensional de diferentes materiais de moldagem odontológicos
(Universidade Brasil, 2021) Santos Neto, Antonio Vinicios dos; Navarro, Ricardo Scarparo
The disinfection of molds obtained with dental impression materials is within the biosafety protocols, in the control of cross-infection of microorganisms in dental offices, prosthesis laboratories, professionals and patients, being currently the target of greater attention due to the pandemic of COVID-19, with the implementation of alternative disinfection protocols and methods. The purpose of this study was to compare the effects of disinfection by ultraviolet radiation and chemical disinfection on dimensional stability of different dental molding materials. Acrylic resin mannequin molds with irreversible hydrocolloidal materials (alginate) (n = 25) and elastomer (condensation silicone) (n = 25) were used with different disinfection methods (n = 5): G1- negative control: no treatment, G2- Glutaraldehyde 2% (10 min), G3- Sodium hypochlorite 1% (10 min), G4- UV-C radiation (λ = 254 nm) (30 s), G5- Autoclave (positive control) (15 min). The molds after the treatments were cast with special plaster. After 24 h, the plaster models were measured by a calibrated, blinded researcher, with a caliper in determined places on the upper first molar: mesio-distal (MD-O) and vestibulo-lingual (VL-O) and buccal cervical-occlusal face (CV-B) and mesio-distal (MD-V). The data were tabulated and analyzed using the statistical tests of Kolmogorov-Smirnov, ANOVA one-way and Tukey tests (p <0.05). There were no statistically significant differences in the linear values of plaster models between chemical (Glutaraldehyde 2%, sodium hypochlorite 1%) and physical (UV-C radiation) disinfection methods with the control (p> 0.05), the autoclave showed a significant difference in relation to the control and the different methods of disinfection (p <0.05) with greater dimensional change for both impression materials. It can be concluded that the methods of chemical disinfection (Glutaraldehyde 2%, Sodium hypochlorite 1%) and physical (UV-C radiation) maintained the dimensional stability of the dental impression materials alginate and elastomer (condensation silicone).
Avaliação dos efeitos da fotobiomodulação sistêmica sobre os níveis de cortisol salivar
(Universidade Brasil) Trindade, Monaiza Moura; Navarro, Ricardo Scarparo; Magalhães, Daniel Souza Ferreira; Nunez, Silvia Cristina; Baptista, Alessandra
Dermatite induzida por produtos de higiene das mãos no contexto da pandemia de Covid-19
(Universidade Brasil, 2021) Almeida, Amanda Priscila; Nunez, Silvia Cristina; Navarro, Ricardo Scarparo
The COVID-19 pandemic ravaged the entire planet and important behaviors were reinforced by all health control agencies around the world, such as social distancing, the use of protective masks and hand hygiene, through washing with water and soap or application of alcohol gel. The aim of this study was to carry out an integrative review of the evidence in the literature on the characteristics of dermatitis induced by hand hygiene products in the context of the COVID-19 pandemic and to carry out a survey of information through a structured questionnaire on the behavior of the population and the hand hygiene care during 2020. An integrative review of articles was carried out, following the PICOS strategy, in Portuguese, English and Spanish, between December 2019 and April 2021, with the descriptors: contact dermatitis; hand dermatitis; hand disinfection; occupational dermatitis; occupational irritant hand dermatitis AND COVID-19; coronavirus; pandemic; pandemic; SARS-COV-2 with their corresponding terms in Portuguese and Spanish. The Boolean OR operator was applied between the terms. The search was performed in PubMed, MEDLINE, LILACS and Scielo databases. An electronic form was made available online to answer questions related to hand hygiene and cleaning habits within the context of the COVID-19 pandemic. According to the results, from the search for studies and with double and triple crossings, 557 articles were found, among these, 24 articles were selected related to the study topic. The answers to the questions were converted into numbers and the normality of the distribution of variables was tested using the Shapiro-Wilk test. The data obtained were analyzed by Student's t and Wilcoxon statistical tests and correlation analyzes were performed using the Pearson's Correlation Coefficient using the SPSS software (IBM SPSS Statistics for Windows, version 25.0.; IBM, Armonk, New York) in the interval 95% confidence. A total of 1027 responses to the questionnaire were obtained and it was observed that 21.4% of the participants had COVID-19 and 93% changed their hand hygiene habits after the pandemic, the habit of using alcohol gel was one of the biggest changes (83.1 %), 52.2% of the participants learned something new about cleaning their hands after the pandemic and 74.6% noticed a change in the skin on their hands after the onset of the pandemic. Among those interviewed, 8% had to seek medical help for problems with the skin on their hands. We can conclude that education measures on hand hygiene habits should persist as important public health actions and the quality of products used for hand hygiene should be a factor to be considered both by establishments that provide hygiene products and by purchased products by the users.
Dermatite induzida por produtos de higiene das mãos no contexto da pandemia de Covid-19
(Universidade Brasil, 2021) Almeida, Amanda Priscila; Navarro, Ricardo Scarparo; Nuñez, Silvia Cristina
The COVID-19 pandemic ravaged the entire planet and important behaviors were reinforced by all health control agencies around the world, such as social distancing, the use of protective masks and hand hygiene, through washing with water and soap or application of alcohol gel. The aim of this study was to carry out an integrative review of the evidence in the literature on the characteristics of dermatitis induced by hand hygiene products in the context of the COVID-19 pandemic and to carry out a survey of information through a structured questionnaire on the behavior of the population and the hand hygiene care during 2020. An integrative review of articles was carried out, following the PICOS strategy, in Portuguese, English and Spanish, between December 2019 and April 2021, with the descriptors: contact dermatitis; hand dermatitis; hand disinfection; occupational dermatitis; occupational irritant hand dermatitis AND COVID-19; coronavirus; pandemic; pandemic; SARS-COV-2 with their corresponding terms in Portuguese and Spanish. The Boolean OR operator was applied between the terms. The search was performed in PubMed, MEDLINE, LILACS and Scielo databases. An electronic form was made available online to answer questions related to hand hygiene and cleaning habits within the context of the COVID-19 pandemic. According to the results, from the search for studies and with double and triple crossings, 557 articles were found, among these, 24 articles were selected related to the study topic. The answers to the questions were converted into numbers and the normality of the distribution of variables was tested using the Shapiro-Wilk test. The data obtained were analyzed by Student's t and Wilcoxon statistical tests and correlation analyzes were performed using the Pearson's Correlation Coefficient using the SPSS software (IBM SPSS Statistics for Windows, version 25.0.; IBM, Armonk, New York) in the interval 95% confidence. A total of 1027 responses to the questionnaire were obtained and it was observed that 21.4% of the participants had COVID-19 and 93% changed their hand hygiene habits after the pandemic, the habit of using alcohol gel was one of the biggest changes (83.1 %), 52.2% of the participants learned something new about cleaning their hands after the pandemic and 74.6% noticed a change in the skin on their hands after the onset of the pandemic. Among those interviewed, 8% had to seek medical help for problems with the skin on their hands. We can conclude that education measures on hand hygiene habits should persist as important public health actions and the quality of products used for hand hygiene should be a factor to be considered both by establishments that provide hygiene products and by purchased products by the users.
Efeitos da indução de estresse mental na variabilidade da frequência cardíaca em atletas de Badminton
(Universidade Brasil, 2021) Carvalho, Jane Maria Silva; Navarro, Ricardo Scarparo
The objective of the study was to analyze the effects of mental stress induction on heart rate variability in Badminton athletes. The study is direct, descriptive, experimental, cross-sectional and quantitative, carried out with the 15 highest ranked in the State of Piauí, by the Brazilian Confederation of Badminton, in January 2019. The sample consisted of 8 women and 7 men, with the average age of 19 years-old (+2.85), where the majority belonged to the main category (53.33%), participated in international competitions (66.66%) in all modalities (80%). The athletes were submitted to a previous anamnesis, measurement of blood pressure (BP), evaluation of HRV and Computerized Stroop Test. The procedures started with the placement of the Polar® H10 transmitter for the evaluation of the HRV in the participants, who went through a 5 min adaptation moment, when their BP was measured. After another 5 minutes of rest and BP measurement again, the Stroop Test of TESTIPACS® was then applied and the HRV evaluation was completed. For the analysis of HRV, the intervals were fragmented into 1 min, so that possible changes in the signals could be observed and only the resting moment and application of the Stroop Test were considered. All procedures were approved by the Ethics and Research Committee of Centro Universitário Uninovafapi (PI) (#3147702). It can be observed that the stressful stimulus promoted an increase in the mean HR and a decrease in the mean of the RR intervals, which suggests a physiological response that reflects the activation of the cardiac autonomic function, also perceived in the reduction of the SDNN, RMSSD, NN50 and pNN50 components. The high stress index during the time of application of the Stroop Test corroborates the values of the increased SNS index. The components of the frequency domain showed an increase in LF and LF/HF and maintenance of HF, while in the results of the Poincaré graph, the values of SD1 and SD2 reduced and the SD2/SD1 ratio increased. In the correlation analyses, it is possible to notice that the performance regarding the reaction time of the Stroop test is directly proportional to the components RMSSD, NN50, pNN50 and to the PNS index, while the stress index is inversely proportional. The other components did not show statistical significance. It is possible to verify that the Stroop Test was able to generate physiological changes with important responses in HRV, but further studies are needed on the stressful effect on athletes, as they are frequently subjected to both physical and mental stress, and that this frequency can lead to long-term cardiac overload.
Efeitos da indução de estresse mental na variabilidade da frequência cardíaca em atletas de Badminton
(Universidade Brasil, 2021) Carvalho, Jane Maria Silva; Navarro, Ricardo Scarparo
The objective of the study was to analyze the effects of mental stress induction on heart rate variability in Badminton athletes. The study is direct, descriptive, experimental, cross-sectional and quantitative, carried out with the 15 highest ranked in the State of Piauí, by the Brazilian Confederation of Badminton, in January 2019. The sample consisted of 8 women and 7 men, with the average age of 19 years-old (+2.85), where the majority belonged to the main category (53.33%), participated in international competitions (66.66%) in all modalities (80%). The athletes were submitted to a previous anamnesis, measurement of blood pressure (BP), evaluation of HRV and Computerized Stroop Test. The procedures started with the placement of the Polar® H10 transmitter for the evaluation of the HRV in the participants, who went through a 5 min adaptation moment, when their BP was measured. After another 5 minutes of rest and BP measurement again, the Stroop Test of TESTIPACS® was then applied and the HRV evaluation was completed. For the analysis of HRV, the intervals were fragmented into 1 min, so that possible changes in the signals could be observed and only the resting moment and application of the Stroop Test were considered. All procedures were approved by the Ethics and Research Committee of Centro Universitário Uninovafapi (PI) (#3147702). It can be observed that the stressful stimulus promoted an increase in the mean HR and a decrease in the mean of the RR intervals, which suggests a physiological response that reflects the activation of the cardiac autonomic function, also perceived in the reduction of the SDNN, RMSSD, NN50 and pNN50 components. The high stress index during the time of application of the Stroop Test corroborates the values of the increased SNS index. The components of the frequency domain showed an increase in LF and LF/HF and maintenance of HF, while in the results of the Poincaré graph, the values of SD1 and SD2 reduced and the SD2/SD1 ratio increased. In the correlation analyses, it is possible to notice that the performance regarding the reaction time of the Stroop test is directly proportional to the components RMSSD, NN50, pNN50 and to the PNS index, while the stress index is inversely proportional. The other components did not show statistical significance. It is possible to verify that the Stroop Test was able to generate physiological changes with important responses in HRV, but further studies are needed on the stressful effect on athletes, as they are frequently subjected to both physical and mental stress, and that this frequency can lead to long-term cardiac overload.
Fotobiomodulação no tratamento de lesões por pressão: revisão sistemática com metanálise
(Universidade Brasil, 2021) Macedo, Suellen Pereira Rodrigues; Navarro, Ricardo Scarparo
Pressure sores (PS) are important causes of morbidity, especially in patients admitted to intensive care units. Besides having a high cost to the health system, it adds an additional risk for the patients because it imposes the loss of the skin constitutional barrier. Photobiomodulation (PBM) with low-level laser has been shown to be effective in the treatment of PS in different stages. There is no consensus on the protocols of irradiation parameters, wavelength, energy, dose, intervals between sessions. The objective of this study was to evaluate the effects of photobiomodulation in the treatment of pressure sores from a systematic review of literature and meta-analysis. This is a systematic review carried out according to the PRISMA guidelines, which included studies without restrictions on year and language of publication, published until January 2020. Randomized studies that compared the effects of low-level laser therapy with a control group in patients with pressure ulcers were included. The studies were analyzed, reported descriptively and combined in a meta-analysis, the heterogeneity of the studies was assessed and the combined Odds Ratio for total PS healing in the follow-up period and the combined mean percentage area reduction were calculated. Six randomized clinical trials were included in the qualitative analysis and five trials in the quantitative analysis. A total of 207 patients were randomized to either FBM or control. The studies reported PBM with low-level laser with different wavelengths within the therapeutic window, in the range of 600 nm (red), 800 nm and 900 nm (infrared). From these data, subgroup analysis was performed and the combined Odds Ratio for each band was calculated, and no statistically significant difference was found in the set of studies as a whole and in the subgroups (p> 0.05). Only two studies described the percentage of reduction of the PS area. Analysis of these combined data showed Odds Ratio values equal to 1.34 (95% CI 0.8 - 2.24; Z 1.11; p= 0.82) in favor of the PBM but without statistical significance (p> 0.05). Of the included studies, only PBM with low-level laser therapy using red laser (660 nm) promoted a significant difference in the reduction of PS (p< 0.05). It can be concluded that in the studies included, photobiomodulation with red low-level laser was effective in the healing process of pressure sores in stages 2 and 3. It is suggested to carry out other randomized clinical trials to analyze the parameters of photobiomodulation.
Lasers aplicados à frenectomia em pacientes pediátricos com anquiloglossia: uma revisão sistemática da literatura com metanálise
(Universidade Brasil, 2020) Nunes, José Edson Pavini; Navarro, Ricardo Scarparo
Ankyloglossia, or tongue stuck, is a condition in which the lingual frenulum is short, which can lead to problems with the nutritional suction of infants, inadequate breastfeeding, and which can cause fissures in the maternal nipples. Frenotomy or frenectomy can correct the restriction on the movement of the tongue and allow effective breastfeeding. Surgical intervention is performed with a scalpel, but in recent years the use of lasers in this procedure has increased. The aim of the study was to conduct a systematic review of high-powered lasers applied to frenectomy in pediatric patients diagnosed with ankyloglossia. In the methodology, a systematic literature review of randomized clinical studies with a score ≥ 6 on the PEDro scale (Physiotherapy Evidence Database) published in the PubMed, Cochrane and SciELO databases was performed. Studies were selected that evaluated the application of high-powered lasers in the surgical treatment of children with ankyloglossia, according to the PRISMA guidelines, using using descriptors: Ankyloglossia x Laser descriptors; Frenectomy x Laser; Phrenectomy x Ankyloglossia; Laser x Pediatric Dentistry; Ankyloglossia x treatment; Surgical Procedures x Ankyloglossia; Surgery x Lingual Frenulum; Surgery x Ankyloglossia, from clinical studies published from 2009 to 2019. The results showed that a total of 7 clinical studies were analyzed using high-power laser (diode or CO2) in frenectomy techniques. In 401 patients who underwent lingual frenectomy, superior benefits and results of the surgical technique with high-power laser compared to the conventional one with a scalpel were observed. It can be concluded that the lingual frenectomy surgery with high power lasers provides a more efficient and comfortable treatment for the infant patient compared to the conventional method, there is no consensus on the high power laser wavelength more suitable for the procedure and irradiation parameters.
Manual técnico em biossegurança na paramentação e desparamentação dos equipamentos de proteção individual dos profissionais de saúde que atuam na linha de frente à Covid-19
(Universidade Brasil, 2021) Abreu, Regiane Cristina Santos; Navarro, Ricardo Scarparo; Frade-Barros, Amanda Farage
The pandemic triggered by the new Corona virus (SARS-CoV-2), which causes COVID-19, has affected many healthcare professionals worldwide who have been infected, some of them progressing to death. The use of personal protective equipment is ensured as a measure to protect the health and safety of the worker. The preparation of this study aimed to build a technical manual for the attire and undressing of health professionals in the correct execution of the removal and placement of personal protective equipment in patient care with COVID19. The development of the study took place from August 2020 to May 2021. For systematization, the following inclusion criteria were established: article publications and scientific journals from 2015 to 2021 with contextualization on the proposed topic. As exclusion criteria: studies that did not cover the topic in question, articles that were outside the delimited years. Searches were also carried out in the journal Database and CAPES theses database for dissertations and theses on the proposed topic. Six articles were selected, 1 from 2015 and another 15 from 2020. An analysis was made of the materials found, texts and illustrations, allowing the selection of updated contents in the context and illustration, enabling the construction of informative texts. In this study, the “Technical manual on biosafety in the use of PPE for healthcare professionals who work on the front line in combating Covid-19” was developed, aimed at health professionals working on the front line in the fight against COVID-19. This manual will be made available in an e-book allowing the use of health professionals such as doctors, nurses, nutritionists, pharmacists, and physiotherapists.
Sífilis em gestantes: uma análise espacial no território Vale do Rio Guaribas/PI
(Universidade Brasil, 2020) Leal, Antonia Lucimary de Sousa; Marciano, Fernanda Roberta; Navarro, Ricardo Scarparo
Syphilis is a Sexually Transmitted Infection (STI) that is easy to diagnose. Its treatment is carried out in a simple and freeway, guaranteed by the Unified Health System (SUS), however, it still presents itself as a public health problem, due to its high incidence, associated comorbidities and, above all, due to its magnitude, mainly when presented in pregnant women, gestational syphilis (SG). Therefore, conducting a spatial analysis of this condition becomes relevant because it allows the exact determination of the geographic space where SG has a smaller and greater distribution within the studied territory, for this the compulsory notification acts as a thermometer indicating where there is a need for disease control, since the pregnant woman with syphilis not treated properly and in a timely manner can transmit the disease vertically to the fetus: Congenital Syphilis (SC), which can cause spontaneous abortion, premature birth, fetal and neonatal death, fetal malformation, deafness , blindness and mental disability. This research aims to analyze the distribution of cases of SG in the territory of Vale do Rio Guaribas/PI, from 2008 to 2018. It is an epidemiological survey with a spatial approach to the cases notified in the Information System for Notifiable Diseases ( SINAN). The data found were tabulated in the Excel program and presented in tables, graphs and a map was designed to view the SG scenario in the Vale do Rio Guaribas / PI Territory. The survey included all SG notifications. In the graphs, tables and map presented, it is feasible to observe the current scenario of SG distribution in the various municipalities that make up the Vale do Rio Guaribas/PI territory and to score a larger cluster of SG cases in the municipality of Picos, with high rates of detection proving efficient in the notification of the disease. However, many municipalities did not present any notification of the disease, suggesting, therefore, underreporting of cases. In several municipalities, there is a lower number of SG notifications than that of congenital syphilis (SC), evidencing the underreporting of SG. The study showed that municipalities have priority in their work, as they are at risk for the occurrence of the disease, making it necessary to raise the awareness of managers, training and health education of this population and health professionals