Introdução: A pesquisa qualitativa está intimamente relacionada com as experiências dos indivíduos, destacando-se a metodologia de Grupos Focais (GF) como uma de suas ferramentas. Assim, a abordagem da Síndrome do Intestino Irritável - sob a perspectiva da saúde mental e rebaixamento da qualidade de vida - valida-se como um tema sensível passível de debate através da utilização dos GF, haja vista seu potencial para criar um espaço acolhedor. Objetivo: Analisar a aplicação dos Grupos Focais na abordagem de assuntos sensíveis. Métodos: Trata-se de um estudo de caráter quali-quantitativo transversal que, mediante a pesquisa “Síndrome do Intestino Irritável em Estudantes de Medicina de uma Universidade Pública”, visa compreender a sintomatologia da doença entre os estudantes da instituição através da utilização dos Grupos Focais. Sendo assim, para direcionamento do debate, foram utilizados Grupos Focais, utilizando de perguntas inspiradas na Escala Hospitalar de Ansiedade e Depressão (HAD) e no questionário Short-Form 6 (SF-6D), o qual versa sobre a qualidade de vida. Resultados: Os resultados indicam que a pesquisa qualitativa permite a implantação de mais significado aos elementos quantitativos. A adesão à fase qualitativa da pesquisa foi baixa, sendo que muitos participantes desistiram por desconforto de debater hábitos intestinais. Durante as conversas individuais, criou-se um ambiente acolhedor, permitindo que os participantes se sentissem confortáveis em compartilhar detalhes de temas íntimos. Já nos GF, os participantes utilizaram o humor para falar sobre assuntos constrangedores. Os resultados indicam que os distúrbios gastrointestinais afetam a saúde mental e o desempenho acadêmico dos estudantes universitários. Considerações finais: Foi notória a alta significância da metodologia de Grupos Focais on-line, haja vista a obtenção detalhada de de informações sobre as perspectivas dos participantes, as quais são pertinentes ao resultado da pesquisa. Ademais, foi observado o Grupo Focal como um ambiente acolhedor, de partilha de assuntos intimistas e experiências.

Introduction: Qualitative research is closely related to individuals' experiences, with the methodology of Focus Groups (FG) standing out as one of its tools. Thus, the approach to Irritable Bowel Syndrome - from the perspective of mental health and decreased quality of life - is validated as a sensitive topic open to debate through the use of FGs, given its potential to create a welcoming space. Goals: To analyze the application of Focus Groups in addressing sensitive subjects. Methods: This is a cross-sectional qualitative-quantitative study that aims to understand the symptomatology of Irritable Bowel Syndrome among medical students of a public university through the use of Focus Groups, as part of the research project "Irritable Bowel Syndrome in Medical Students of a Public University". In order to guide the discussion, Focus Groups were conducted using questions inspired by the Hospital Anxiety and Depression Scale (HADS) and the Short-Form 6 (SF-6D) questionnaire, which assesses quality of life. Results: The results indicate that qualitative research allows for the incorporation of more meaning to quantitative elements. The adherence to the qualitative phase of the research was low, with many participants dropping out due to discomfort in discussing bowel habits. During individual conversations, a welcoming environment was created, allowing participants to feel comfortable in sharing details about intimate topics. In focus groups, participants used humor to discuss embarrassing subjects. The results indicate that gastrointestinal disorders affect the mental health and academic performance of university students. Final considerations: The high significance of the online Focus Group methodology was evident, given the detailed information obtained about the participants' perspectives, which are relevant to the research outcome. Furthermore, the Focus Group was observed as a welcoming environment for sharing intimate topics and experiences

The development of a method based on extraction induced by emulsion breaking (EIEB) aiming copper determination in gasohol using graphite furnace atomic absorption spectrometry (GF AAS) is reported. Emulsification of the gasohol samples was carried out using nitric acid solution, (1,1,3,3-tetramethylbutyl)phenyl-polyethylene glycol surfactant (Triton X-114), and ultrasound energy. The variables related to the extraction efficiency were optimized by multivariate approaches (two-level factorial fractional design and Doehlert design). The best results were obtained when the emulsion was formed with 5.0 mL of the sample, 0.200 mL of 2.4 mol L-1 HNO3, 0.100 mL of 10% Triton X-114 and 10 min of sonication. A fast and efficient emulsion breaking was performed at 90 ºC. A volume of 6.65 mL of the copper-rich hydroalcoholic phase was extracted, separated from the organic phase and analyzed. Under these conditions, the following analytical characteristics were obtained: 0.61 and 2.0 µg L-1 for limits of detection and quantification, respectively; precision (percentage of relative standard deviation, 10 µg L-1) of 2.8%; and analytical sensitivity of 0.011 L µg -1. Accuracy was assessed by spike tests, and values in the range of 95-110% were achieved. The method was applied in the determination of copper in Brazilian gasoline samples (gasohol with 27% ethanol).

Cloud point extraction (CPE) in association with graphite furnace atomic absorption spectrometry (GF AAS) was proposed for preconcentration and quantification of trace amounts of copper and cadmium in samples of saline produced formation water from petroleum exploration. The procedure was based on the formation of hydrophobic complexes of the analytes with 1,5-diphenylthiocarbazone (dithizone) in a micellar media of the surfactant (1,1,3,3-tetramethyl butyl) phenyl-polyethylene glycol (Triton X-114). Constrained mixture design was performed for the optimization of the proportions of the three solutions employed in the CPE: Triton X-114, dithizone, and buffer solution. Under the recommended conditions, the CPE GF AAS procedure allowed to obtain enrichment factors of 18 and 11 times, limits of quantification of 0.030 and 0.12 µg L-1 and precision, expressed as relative standard deviation (RSD, n = 8, 2.0 µg L-1), of 1.1 and 4.3% for copper and cadmium, respectively. The CPE GF AAS method was applied to the determination of copper and cadmium in samples of saline produced formation water from petroleum exploration, and its accuracy was accessed by analyzing certified reference material CASS-5 (Nearshore Seawater Reference Material for Trace Metals) from National Research Council (Canada).

Eight petroleum samples from Potiguar Basin were submitted for determination of saturated biomarkers by gas chromatography (fingerprint), liquid chromatography (saturates, aromatics, resins and asphaltenes), gas chromatography-mass spectrometry (GC-MS), nickel and vanadium by high resolution continuum source graphite furnace atomic absorption spectrometry (HR-CS GF AAS). The geochemical parameters provided information on type of depositional paleoenvironment in which organic matter that gave rise to each oil sample and level of thermal maturation reached by generating rocks that make up the Potiguar Basin were deposited. The relationships between the stable isotopes of carbon (δ13C) and between Ni and V concentrations of each petroleum sample were also evaluated. The evaluations separated for oil samples into two distinct groups. Group 1 formed by samples P1, P2, P5 and P8, with characteristics of generating rock that was deposited in a marine hypersaline environment. Group 2 composed of samples P3, P4, P6 and P7 with freshwater lacustrine depositional paleoenvironment, which were elucidated through the geochemical parameters studied. The hierarchical cluster analysis was presented as promising chemometric tool for characterization of petroleum samples in the according to their origin of the generating rock by ratio parameters of hopane/sterane , tetracyclic polyiprenoids/diastereomers and diastereos R+S/cholestane R+S.

A method for Cr(VI) speciation in synthetic saliva after releasing from orthodontic brackets, using silica nanoparticles organofunctionalized with (3-aminopropyl)triethoxysilane (APTES) for Cr(III)/Cr(VI) separation and GF AAS determination is proposed. Under the optimized conditions, Cr(VI) speciation was performed using 150 mg of silica organofunctionalized with 2.0% (v v-1) of APTES at pH 8. It was observed different sensitivity when calibrations of GF AAS were performed using Cr(III) or Cr(VI) as standard solutions. Consequently, calibrations using stoichiometric mixtures (Cr(III) + Cr(VI)) were used for total Cr determination and calibration using Cr(VI) was used only for the determination of this specie. The reliability of the proposed silica-APTES separation procedure and GF AAS determination was checked by addition of both species in synthetic saliva. Recoveries ranging from 97 to 110% were obtained. The repeatability, based on the relative standard deviation (RSD) inter days was less than 6%. A corrosion test was carried out on 20 orthodontic brackets from two different models, after immersion in synthetic saliva (pH=6.0) at 37 °C with agitation (125 rpm) for 24 h. It was observed that about 40% of the total chromium released from the analyzed orthodontic brackets was Cr(VI).

Methods for the development and validation for determination of iron and zinc in human serum and hair samples by graphite furnace atomic absorption spectrometry (GF AAS) were performed. Solubilization was immediate by manual agitation in both samples with a 10 mL volume sample plus deionized water. Optimum pyrolysis and atomization temperatures were obtained by pyrolysis and atomization temperature curves in both matrices. For serum samples, the best temperatures were 1400 and 2500 °C (Fe) and 700 and 1600 °C (Zn), respectively. For hair samples, the best temperatures were 1000 and 2400 °C (Fe) and 800 and 1600 °C (Zn), respectively. Permanent modifiers and zirconium presented best the results for Zn in both matrices and for Fe in serum. Permanent modifier Nb was best for hair Zn. Serum and hair values were in agreement with the certified values for analytes and certified samples. The determined values for serum Fe and hair certified samples were 1.40 ± 0.2 and 114 ± 18 mg L-1, respectively. For Zn certified reference materials (CRMs), the certified samples values were 1720 ± 32 µg L-1 and 172 ± 5 mg kg-1. Simple, accurate and precise, this method represents a cost-effective detection protocol suitable for sample analysis for diagnosis of micronutrient malnutrition.

The objective of this study was to analyze the effects of passive smoking, in soleus and gastrocnemius muscles associated with physical exercise by swimming during pregnancy and lactation of rats. Twenty-four rats were divided: GF (exposed to cigarette smoke), GC (control), GFN (underwent to the swimming program and exposed to cigarette smoke) and GN (underwent to the swimming program). On the first day of pregnancy procedure of exposure to cigarette smoke began, consisting in 30 minutes twice a day for six weeks. During the same period the swimming program began, which lasted 60 min every day untilthe 21st day of lactation. Soleus and gastrocnemius muscles, were obtained for histological, histochemical, morphometric analysis and fiber profiling. In histology, the groups GF and GFN showed infiltrations, necrotic and phagocytized fibers, centralized nuclei, splittings and coiling; in GN changes were observed due to exercise adaptations, infiltrations, sarcolemal lesion, polymorphic, atrophic and angular fibers. In the histochemical analysis of the groups GF and GFN there was enzymatic activity and amorphous formazan aggregates in subsarcolemmal positions, however in GN the same changes were found in lower frequency and intensity. In regard to the measureof the cross-sectionofmuscle fibers there weren't significant differences among the groups, as well as, in the frequency of types of fibers of the gastrocnemius. It is concluded that aerobic exercise is not enough to impede morphological and histochemical changes caused in an animal model of pregnant and lactating associated with smoking, and the stress not influence the types and size of muscle fibers.

EL objetivo fue analizar los efectos del tabaquismo pasivo sobre los músculos sóleo y gastrocnemio asociado con el entrenamiento corporal de natación durante la preñez y lactancia de ratas. Veinticuatro ratas se dividieron en grupos: GF (expuestos al humo de cigarrillo), GC (control), GFN (sometido al programa de natación y expuesto al humo del cigarrillo) y GN (sometido al programa de natación). El procedimiento de exposición al humo del cigarrillo comenzó primer día de preñez, durante 30 min dos veces al día por seis semanas. Durante el mismo período, comenzó el programa de natación, con una duración de 60 min todos los días hasta el día 21 de lactancia. Se extrajeron los músculos sóleo y gastrocnemio, y se realizó el análisis histológico, morfométrico histoquímico y de perfiles de fibra. En la histología, los grupos GF y GFN mostraron infiltraciones, fibras necróticas y fagocitadas, núcleos centralizados, divisiones y enrollamientos; en GN se observaron cambios debido a las adaptaciones de ejercicio tales como infiltraciones, lesión del sarcolema, y fibras polimórficas, atróficas y angulares. En el análisis histoquímico de los grupos GF y GFN hubo actividad enzimática y se formaron agregados amorfos en posiciones subsarcolemales; en el grupo GN se encontraron los mismos cambios en menor frecuencia e intensidad. No hubo diferencias en las medidas de las secciones transversales de las fibras musculares entre los grupos, así como en la frecuencia de los tipos de fibras del músculo gastrocnemio. Se concluye que el ejercicio aeróbico no es suficiente para impedir los cambios morfológicos e histoquímicos causados en un modelo animal de ratas preñadas en periodo de lactancia asociados con el tabaquismo, y el estrés no influye en el tipo y tamaño de las fibras musculares.

This paper describes the evaluation of a method for determination of Cd and Pb in xanthan gum samples by Graphite Furnace Atomic Absorption Spectrometry (GF AAS) using NH4H2PO4 as the chemical modifier. The sample preparation was performed using a reflux system adapted in the digestion tubes. With this system it was possible to increase the temperature of the digester block above the boiling point of the reaction medium, preventing loss of analyte and excessive evaporation of acids during heating. Samples were digested with HNO3 for 3 h in a digester block at 220 ºC. The limits of detection for Cd and Pb were 2.2 and 33.8 ng g-1, respectively. The RSDs for both analytes were, on average, lower than 5.0% and accuracy was verified by recovery tests, yielding values in the 83-100% range.

When AISI 316L stainless steels are submitted to the nitriding process at temperatures lower than 450 °C, a high nitrogen content expanded austenite phase is formed, which shows higher hardness and higher pitting corrosion resistance compared to the untreated material. As a result, this material becomes adequate for biomedical application. The conditions of the nitriding technique, such as gas mixture, pressure, time and temperature, play an important role in some properties of the modified layer, including: thickness, hardness and N concentration along the layer. This paper explores a set of six samples of AISI 316L, nitrided at different times and temperatures, whose properties show important differences. The aim of this research is to investigate the correlation between the nitrided layer thickness (in the range of 0.77 to 11 µm) with both X-ray patterns characteristics and hardness measurements, which used two distinct loads. The results of this study show that: whereas the 3.6 gf load was suitable to measure the real hardness for four of the nitrided layers showing thickness ≥ 2.9 µm, the 50 gf load measured a substrate contribution, probably even for the highest thickness, 11 µm. Moreover, analyzing different reflections of the X-ray patterns showed evidence of the clear consistency between the X-Ray depths and the nitrided layer thicknesses: if the layer thickness is lower than the penetration depth of X-rays, two phases (austenite and expanded substrate) are present. If the layer thickness is higher, only the austenite is observed. Finally, concerning the citotoxicity property, all the samples, nitrided or not, were approved in the test for biocompatibility, indicating their potential use for biomedical applications.

Este experimento objetivou analisar as alterações no comportamento espacial dos atributos do solo: matéria orgânica (MO), argila dispersa em água (ADA) e grau de floculação (GF) em áreas ocupadas com vegetação natural em regeneração e em pastagem. As amostras de solo foram coletadas na profundidade de 0,0-0,2 m em uma grade amostral com 64 pontos, espaçados 10 m. Os dados foram submetidos à análise descritiva e, em seguida, foi realizada a análise geoestatística. Observaram-se os maiores valores para ADA e os menores valores de GF na área de pastagem. Todos os atributos apresentam dependência espacial para as duas áreas em estudo, com ajuste dos modelos esférico e exponencial. A confecção dos mapas temáticos por meio da krigagem ordinária permitiu melhor visualização da distribuição espacial dos atributos de solo.

This experiment aimed to analyze changes in spatial behavior of the attributes of soil: clay dispersed in water (CDW), degree of flocculation (DF) and organic matter (OM) in areas occupied by native vegetation in natural regeneration and pasture. Soil samples were collected at a depth of 0.0-0.2 m in a grid with 64 sampling points, spaced at 10 m. The data were submitted to descriptive and geostatistics analysis. The highest values were observed for the CDW and the lowest values of DF in the pasture. All attributes show spatial dependence for the two areas of study, with adjustment of the spherical and exponential models. The preparation of thematic maps using the ordinary kriging allowed better visualization of the spatial variability of soil attributes.

This study evaluated the fracture resistance of teeth submitted to internal bleaching and restored with different non-metallic post. Eighty mandibular incisors were endodontically treated and randomly divided in 10 groups (n = 8): G1- restored with composite resin (CR), G2- CR + fiber-reinforced composite post (FRC, Everstick post, Sticktech) cemented with resin cement self-etch adhesive (RCS, Panavia F 2.0, Kuraray), G3- CR + FRC + self-adhesive resin cement (SRC, Breeze, Pentral Clinical), G4- CR+ glass fiber post (GF, Exacto Post, Angelus) + RCS, G5- CR + GF + SRC. The G6 to G10 were bleached with hydrogen peroxide (HP) and restored with the same restorative procedures used for G1 to G5, respectively. After 7 days storage in artificial saliva, the specimens were submitted to the compressive strength test (N) at 0.5 mm/min cross-head speed and the failure pattern was identified as either reparable (failure showed until 2 mm below the cement-enamel junction) or irreparable (the failure showed <2 mm or more below the cement-enamel). Data were analyzed by ANOVA and Tukey test (α = 0.05). No significant difference (p < 0.05) was found among G1 to G10. The results suggest that intracoronal bleaching did not significantly weaken the teeth and the failure patterns were predominately reparable for all groups. The non-metallic posts in these teeth did not improve fracture resistance.

O presente trabalho teve como objetivo avaliar as características de crescimento, produção e caracterizar alguns atributos de qualidade dos frutos do cultivar de bananeira-Figo-Cinza em dois ciclos de produção, nos anos de 2009 e 2010. Foram avaliadas características de crescimento, tais como altura da planta, circunferência do pseudocaule, número de folhas ativas, número de perfilhos e número de dias entre o florescimento e a colheita. Estas medidas foram feitas na emissão da inflorescência. Foram mensuradas também as características de produção, como peso do cacho, número de frutos, número de pencas, número, comprimento e diâmetro dos frutos da 2ª penca. Em relação à qualidade dos frutos, foram analisados os atributos físicos e químicos: textura; pH; acidez titulável e sólidos solúveis. O delineamento adotado foi o inteiramente casualisado, com dois tratamentos (ciclos), cinco repetições e duas plantas úteis por parcela experimental. Foi utilizado o teste de Tukey (P< 0,05) para a comparação entre as médias. Em geral, as características de crescimento e produção foram maiores no segundo ciclo, apresentando 134 dias do florescimento à colheita, circunferência do pseudocaule de 64,20 cm, altura de planta igual a 3,82 m e peso de cacho de 11,83 kg. Os atributos de qualidade não variaram entre os ciclos, exceto a textura, que foi maior no segundo ciclo, com valores médios de 993,31 gfcm-2.

The objective of this research was to evaluate the growth and the production characteristics, and to characterize the quality attributes of fruits of Figo Cinza cultivar in two production cycles, 2009 and 2010. Growth characteristics such as plant height, pseudostem circumference, number of actives leaves, number of suckers, number of days between flowering and harvest, were evaluated at the inflorescences emission. Production characteristics, such as bunch weight, number of fruits, number of hands and, number, length and diameter of the fruits of the 2nd bunch were also measured. For fruit quality the following physical and chemical characteristics were analyzed: firmness, pH, titratable acidity and soluble solids. The experimental design was completely randomized with two treatments (cycles), five replications and two plants per plot, and means were compared by Tukey test (P < 0.05). In general the characteristics of growth and production were higher in the second cycle, with 134 days from flowering to harvest, pseudostem circumference of 64.20cm, plant height of 3.82m and bunch weight of 11.83kg. The attributes of quality did not vary between cycles, but the texture was higher in the second cycle with an average of 993.31 gf cm-2.

OBJETIVO: avaliar a influência da fisioterapia realizada durante a radioterapia (RT) sobre a qualidade de vida (QV) de mulheres em tratamento para câncer de mama. MÉTODOS: ensaio clínico randomizado com 55 mulheres em tratamento radioterápico, sendo 28 alocadas no grupo submetido à fisioterapia (GF) e 27 no grupo controle sem fisioterapia (GC). A técnica fisioterápica utilizada para o GF foi a cinesioterapia para membros superiores, com emprego de 19 exercícios realizados ativamente, com uma série de dez repetições rítmicas ou alongamentos, englobando movimentos de flexão, extensão, abdução, adução, rotação interna e rotação externa dos ombros, isolados ou combinados. A QV foi avaliada por meio do Functional Assessment of Cancer Therapy-Breast (FACT-B) no início, no final da RT e seis meses após seu término. As sessões de fisioterapia começavam concomitantemente à RT, em média 90 dias após a cirurgia. RESULTADOS: não houve diferença entre os grupos para as subescalas: bem-estar físico (p=0,8), bem-estar social/familiar (p=0,3), bem-estar funcional (p=0,2) e subescala de mama (p=0,2) nos três momentos avaliados. A comparação da subescala emocional obtida nas três avaliações demonstrou melhor comportamento do GF em relação ao GC (p=0,01). Ambos apresentaram melhora na subescala de mama entre o início e final da RT (GF p=0,0004 e GC p=0,003). Houve melhora dos escores do FACT-B ao final da RT em ambos os grupos (GF p=0,0006 e GC p=0,003). No entanto, seis meses após a RT, esta melhora manteve-se somente no GF (p=0,005). A qualidade de vida avaliada ao longo do tempo pelo FACT B (p=0,004) e Trial Outcome Index (TOI) (soma das subescalas bem-estar físico, funcional e subescala de mama) foi melhor no GF (p=0,006). Não houve evidência de efeitos negativos associados aos exercícios. CONCLUSÕES: a realização de exercícios para membros superiores beneficiou a qualidade de vida durante e seis meses após a RT.

PURPOSE: to assess the influence of physiotherapy performed during radiotherapy (RT) on the quality of life (QL) of women under treatment for breast cancer. METHODS: this was a randomized clinical trial conducted on 55 women under RT treatment, 28 of whom were assigned to a group submitted to physiotherapy (PG) and 27 to the control group receiving no PG (CG). The physiotherapy technique used for PG was kinesiotherapy for the upper limbs using 19 exercises actively performed, with a series of ten rhythmic repetitions or stretching movements involving flexion, extension, abduction, adduction, internal and external shoulder rotation, separate or combined. QL was evaluated using the Functional Assessment of Cancer Therapy-Breast (FACT-B), at the beginning and at the end of RT and six months after the end of RT. The physiotherapy sessions were started concomitantly with RT, 90 days after surgery, on average. RESULTS: there was no difference between subgroups regarding the following subscales: physical well-being (p=0.8), social/family well-being (p=0.3), functional well-being (p=0.2) and breast subscale (p=0.2) at the three time points assessed. A comparison of the emotional subscale applied at the three evaluations demonstrated a better behavior of PG as compared to CG (p=0.01), with both groups presenting improvement on the breast subscale between the beginning and the end of RT (PG p=0.0004 and CG p=0.003). There was improvement in FACT-B scores at the end of RT in both groups (PG p=0.0006 and CG p=0.003). However, at the sixth month after RT, this improvement was maintained only in PG (p=0,005). QL assessed along time by the FACT B (p=0.004) and the Trial Outcome Index (TOI) (sums of the physical and functional well-being subscales and of the breast subscale) was better for PG (p=0.006). There was no evidence of negative effects associated with the exercises. CONCLUSIONS: the execution of exercises for the upper limbs was beneficial for QL during and six months after RT.

OBJETIVO: Verificar o efeito da realização de exercícios para o ombro durante a radioterapia na prevenção de complicações físicas loco-regionais: limitação da amplitude de movimento (ADM) e da capacidade funcional, circunferência do braço e aderência cicatricial. MÉTODOS: Sessenta e seis mulheres sem comprometimento de ADM de ombro no pós-operatório de cirurgia para câncer de mama com dissecção axilar completa foram alocadas em dois grupos, sendo 32 no grupo de fisioterapia (GF) (52,7±10,2 anos), o qual foi submetido a um programa de exercícios, e 34 no grupo controle (GC) (48±10,1 anos). A ADM do ombro, a circunferência e capacidade funcional dos membros superiores e a aderência cicatricial foram avaliados no início e no final da radioterapia e seis meses após seu término. RESULTADOS: O GF apresentou melhora da ADM de flexão e abdução entre a primeira e terceira avaliação (Flexão: de 164,77°±8,9° para 167,98°±9,5° e Abdução: 168,56°±10° para 175,62°±10,2°), o que não se observou no GC (Flexão: 167,06°±6° para 165,16°±9,2° e Abdução: 169,71°±10,1° para 169,53°±12,8°), demonstrando uma melhora significativa do GF em relação do GC (Flexão: p=0,02 e Abdução: p=0,004). A circunferência e a capacidade funcional foram similares entre os grupos e a frequência de aderência cicatricial no GC foi o dobro daquela observada no GF (48% e 24%, p=0,04). CONCLUSÕES: Esses resultados sugerem que exercícios para o ombro favorecem a manutenção da ADM de flexão e abdução de ombro e minimizam a incidência de aderência cicatricial em mulheres submetidas à radioterapia para tratamento por câncer de mama.

OBJECTIVE: To investigate the effect of shoulder exercises during radiotherapy in relation to prevention of locoregional physical complications: limitation of range of motion (ROM) and functional capacity, arm circumference and scar tissue adhesion. METHODS: Sixty-six women without shoulder ROM impairment following breast cancer surgery that included complete axillary dissection were allocated to one of two groups: 32 in the physical therapy group (PG) (52.7±10.2 years), who underwent an exercise program; and 34 in the control group (CG) (48±10.1 years). Shoulder ROM, upper-limb circumference and functional capacity and scar tissue adhesion were evaluated at the beginning and end of radiotherapy and six months after completing radiotherapy. RESULTS: The PG showed improvements in flexion and abduction ROM between the first and third evaluations (flexion from 164.77°±8.9° to 167.98°±9.5° and abduction from 168.56°±10.0° to 175.62°±10.2°), which was not observed in the CG (flexion from 167.06±06° to 165.16°±9.2° and abduction from 169.71°±10.1° to 169.53°±12.8°). There was a statistically significant increase in ROM in the PG in relation to the CG (flexion, p=0.02; and abduction, p=0.004). The circumference and functional capacity were similar between the groups and the frequency of scar tissue adhesion in the CG was twice that observed in the PG (48% versus 24%, p=0.04). CONCLUSIONS: These results suggest that shoulder exercises favor maintenance of flexion and abduction ROM of the shoulder and minimize the incidence of scar tissue adhesion in women undergoing radiotherapy for breast cancer treatment.

No presente estudo, foram comparados os efeitos da administração intravenosa de três soluções eletrolíticas comerciais sobre o equilíbrio ácido-base em cães desidratados experimentalmente por restrição hídrica e poliúria. Os animais foram aleatoriamente distribuídos em três grupos e tratados com três diferentes soluções eletrolíticas comerciais durante 12 horas: Ringer com lactato de sódio (RL), Ringer simples (RS) e Glicofisiológico (GF). Entre os tratamentos testados, a fluidoterapia intravenosa com solução de Ringer com lactato de sódio (RL) foi o tratamento que apresentou efeito alcalinizante, sinalizado por pequeno aumento nos valores do pH(a), cHCO3(aP), ctCO2(aP) e cBase(a), podendo ser utilizada no tratamento de animais com acidose metabólica de intensidade discreta a moderada. As soluções Ringer simples (RS) e glicofisiológica (GF) determinaram discreta diminuição na concentração de base titulável do sangue arterial (cBase), demonstrando efeito acidificante, o que as tornam uma opção para tratar cães com alcalose metabólica.

Three commercial intravenous electrolyte solutions were compared as for their effects on the blood acid-base status in dogs experimentally dehydrated by withholding water and inducing polyuria. Animals were randomly divided into three groups which were rehydrated with the following commercial electrolyte solutions during 12 hours: Lactate Ringer´s solution (RL), Ringer´s solution (RS) and a normal saline solution (0.9% sodium chloride) containing 5% dextrose (GF). The RL´s intravenous fluid therapy resulted in an alkalinizing effect demonstrated by a mild increase in arterial blood pH, ctCO2, bicarbonate (cHCO-3), and arterial blood base concentration (cBase) and, thus, can be used in animals exhibiting mild to moderate metabolic acidosis. In contrast, the RS and GF therapies led to a mild decrease in the concentration of arterial blood tritiable base (cBase) inducing an acidifying effect, which make them an option to treat dogs with metabolic alkalosis.