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The Impact of Chronic Pelvic Pain in Women

International Journal of Clinical Medicine 2013年第10期4卷 421-427页

作者： Adriana Peterson Mariano Salata Romao Ricardo Gorayeb Gustavo Salata Romao Omero Benedicto Poli-Neto antonio alberto nogueira Department of Gynecology and Obstetrics School of Medicine of Ribeirao PretoUniversity of Sao PauloRibeirao PretoSPBra-zil Department of Neurosciences and Behavioral Sciences School of Medicine of Ribeirao PretoUniversity of Sao PauloRibeirao PretoSPBrazil Federal University of Sao Carlos SPBrazil Department the Surgery and Anatomy University HospitalFaculty of Medicine of Ribeirao PretoUniversity of São PauloRibeirao PretoSPBrazil Department of the Surgery and Anatomy Uni-versity HospitalFaculty of Medicine of Ribeirao PretoUniversity of Sao PauloRibeirao PretoSPBrazil.

Chronic pelvic pain (CPP) is a prevalent condition with a significant impact on the personal, social, professional and marital life of women. It is a complex condition that may have no specific causal diagnosis or may be associated with multiple diagnoses, frequently involving treatment failure. The definition of health care strategies fundamentally depends on the way women live with this condition. Thus, the objective of the present study is to learn how women with CPP experience their diagnosis and the meaning they attribute to it. A qualitative study was conducted by interviewing a focus group of 11 women. The content of the interviews was recorded and fully transcribed, and the speeches were interpreted by Bardin’s content analysis. The topics most frequently dealt with in the interview were diagnosis, beginning of pain, worsening and improving factors, marital and interpersonal relationships, interference with daily activities, association with emotional aspects, and perspectives for the future. It could be perceived how much these women need to be better heard and how much the association between psychic and physical questions must be visualized by the professionals who provide care for them. The approach used by professionals from different areas, when properly structured, can minimize the problem of the division of a sick person into separate parts. Psychological care is very important, especially in relation to the discovery of more effective strategies for living with pain.

关键词： Lived Experience Chronic Pelvic Pain Qualitative Method Women’s Health

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Impact of Chronic Pelvic Pain on Female Sexual Function

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International Journal of Clinical Medicine 2013年第3期4卷 178-182页

作者： Adriana Peterson Mariano Salata Romao Ricardo Gorayeb Gustavo Salata Romao Omero Benedicto Poli-Neto antonio alberto nogueira Department of Neurosciences and Behavioral Sciences School of MedicineUniversity of Sao PauloSao PauloBrazil Department of Gynecology and Obstetrics School of MedicineUniversity of Sao PauloSao PauloBrazil Federal University of Sao Carlos Sao CarlosBrazil Department of Surgery and Anatomy University HospitalFaculty of Medicine of Ribeirao PretoUniversity of São PauloRibeirao PretoBrazil

The objective of the present study was to determine the prevalence of sexual dysfunction and depression in women with chronic pelvic pain (CPP). A case-control study was conducted on 66 women, 36 of them with CPP and 30 without this diagnosis. Depression was evaluated using the Beck Depression Inventory (BDI) and sexual dysfunction was evaluated using the Female Sexual Function Index (FSFI). Data were analyzed statistically by the Mann-Whitney test, Fisher exact test, chisquare test, and Spearman correlation test. Regarding sociodemographic data, no significant differences were detected between populations with respect to the variables studied (age, schooling, number of children, income, salary, and marital status), indicating group homogeneity and thus increasing the reliability of the data. A cut-off of 26.55 points was used to calculate the total score for sexual function. In the group of women with CPP, 94.4% were at high risk for sexual dysfunction. Comparison of FSFI scores showed that the domains of sexual function, such as orgasm, lubrication and pain differed significantly between women with and without CPPP. Correlations were detected between the following items: orgasm × age (r = -0.01904), orgasm × number of children (r =-0. 00947), orgasm × body mass index (BMI) (r =-0.00 955), relationship × age (r = 0.03952), income × relationship (r =-0.014680), relationship × number of children (r =-0.03623), depression × relationship (r =-0.16091), desire × age (r = -0.45255), desire × number of children (r = -0.01824), lubrication × excitement (r = 0.04198), and lubrication × BMI (r = -0.01608). The prevalence of depression detected in the present study was 38.9% among women with pain and 3.3% among control women. It was observed that women with CPP suffer a negative interference regarding sexual function compared to controls. Thus, it can be seen that a specific approach related to sexuality is extremely important within the context of women with CPP. Depression

关键词： Chronic Pelvic Pain Sexual Function Depression Women

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Occupational Performance of Women with Chronic Pelvic Pain and the Potential of Coping as an Unassisted Intervention

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International Journal of Clinical Medicine 2018年第9期9卷 737-749页

作者： Omero Benedicto Poli-Neto Raquel Verceze Bortolieiro Júlio Cesar Rosa-e-Silva Francisco Jose Candido-dos-Reis antonio alberto nogueira Department of Gynecology and Obstetrics Ribeirao Preto Medical SchoolUniversity of Sao PauloRibeirao PretoSPBrazil

Objective: To assess the satisfaction and occupational performance of women with chronic pelvic pain and to discuss unassisted intervention strategies by the occupational therapist for the care of these patients. Methods: A case-control study was conducted on 75 women with chronic pelvic pain and 75 apparently healthy women. The study was approved by the Research Ethics Committee of the institution and all subjects gave written informed consent to participate. Pain intensity was determined using a visual analogue scale and each patient was submitted to psycho-metric assessment using the Patient Health Questionnaire, the Self-Reporting Questionnaire of Psychiatric Screening and the Tampa Scale of Kinesiophofobia in their Brazilian version. The main outcomes regarding occupational performance and satisfaction were evaluated using the Canadian Measure of Occupational Performance. Results: The performance and satisfaction scores of women with chronic pelvic pain were significantly lower than those of healthy women. The presence of pain and kinesophobia was directly and independently correlated with low performance and satisfaction scores regardless of ethnicity, marital status, schooling, or psychometric scores. Conclusion: women with chronic pelvic pain present significant impairment of satisfaction and occupational performance. Coping is a potential unassisted intervention strategy to be applied to this population by occupational therapists.

关键词： Coping Occupational Therapy Performance Resilience Satisfaction

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Tailoring Resorption Rates and Osteogenic Response in Xeno-Hybrid Bone Grafts: The Effect of Added Gelatins

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Engineering 2022年第6期8卷 197-208页

作者： Hao Zhu Havard Jostein Haugen Giuseppe Perale Janne Elin Reseland Liebert Parreiras nogueira antonio Gonzalez Cantalapiedra Fernando Maria Guzon Munoz Maria Permuy Mendana Felice Betge Stale Petter Lyngstadaas Jun Xiao Department of Orthopedic Surgery Tongji HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430030China Department of Biomaterials Institute of Clinical DentistryUniversity of OsloOslo 0317Norway Industrie Biomediche Insubri SA Mezzovico-Vira 6805Switzerland Ludwig Boltzmann Institute for Experimental and Clinical Traumatology Vienna 1200Austria Faculty of Biomedical Sciences University of Southern SwitzerlandLugano 6900Switzerland Faculty of Veterinary University of Santiago de CompostelaLugo 27002Spain

Bone defects resulting from trauma,surgery,congenital malformations,and other factors are among the most common health problems *** current strategies such as autografts and allografts are recognized as the most successful treatments for stimulating bone regeneration,limitations such as graft source and complications still ***?is a xeno-hybrid bone graft(made from bovine bone matrix,poly(L-lactic-co-e-caprolactone),and gelatin)with a positive clinical record for bone *** this study,the formulation for designing xeno-hybrid bone grafts using gelatins from different sources(bovine-and porcine-derived gelatin,with bone grafts named SBN and SPK,respectively)was investigated,and the biological responses were evaluated in vitro and in *** results demonstrate that gelatins from both bovine and porcine sources can be loaded onto SmartBone?successfully and safely,withstanding the aggressive manufacturing *** bone cell responses were observed in *** was found to enhance osteocalcin secretion while SPK was found to upregulate osteopontin from human *** vivo,both bone grafts promoted osteogenesis,but SPK degraded earlier than *** findings suggest that SBN and SPK provide different yet comparable solutions for optimizing the bone resorption and regeneration *** xeno-hybrid bone grafts possess ideal potential for bone defect repairing.

关键词： Bone graft Xeno-hybrid Gelatin source Resorption Bone regeneration

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Retrospective Epidemiological Analysis of Colles’ Fracture in Patients Admitted in Fernandes Távora Hospital

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Open Journal of Epidemiology 2023年第1期13卷 16-23页

作者： Yuri Borges Morais antonio Valterno nogueira Pinheiro antonio Valterno nogueira Pinheiro Filho Liana Alves de Freitas Soares Borges Maria Suelly nogueira Pinheiro Rian Vilar Lima Letícia Pinheiro Pontes Lia Camurça Costa Igor Castelo Branco Fontenele Costa Velko Veras Pereira de Matos Filho Professor da Faculdade de Medicina Centro Universitário Christus UNICHRISTUS Fortaleza Brasil Instituto Superior de Ciências Biomédicas—ISCB Universidade Estadual do Ceará UECE Fortaleza Brasil Departamento de Cirurgia Hospital Fernandes Távora HFT Fortaleza Brasil Faculdade de Medicina Universidade de Fortaleza UNIFOR Fortaleza Brasil Faculdade de Medicina Centro Universitário Christus UNICHRISTUS Fortaleza Brasil Faculdade de Medicina Universidade Federal do Ceará UFC Fortaleza Brasi

Background: Colles’ fracture is a type of fracture of the distal third of the radius and its most common cause is falling from patient’s own height and, epidemiologically, it is more common in the elderly. Objectives: The main objective of this study is to analyze the epidemiology of Colles’ fracture retrospectively, in patients admitted to Fernandes Távora Hospital. Materials and Methods: This retrospective study conducted at the Fernandes Távora Hospital used 1030 radiographic images of patients with wrist fractures. Results: (After a careful analysis) It was found that this type of fracture occurred with a greater frequency in age groups of 50 to 69, 60 to 69, and 40 to 49 years old, which corresponds to 59.5% of patients and the most affected sex were females (51.1%). Conclusion: The study concluded that this type of bone injury is more common in people aged 40 to 69 years old, especially in women, because of their geometry and bone composition. It is evident that Colles’ fracture impacts the life of the affected person, therefore, an adequate diagnosis and treatment having utmost importance.

关键词： Fracture Colles’ Fracture Epidemiology

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Effectiveness of Acupuncture on Pain, Physical Function and Health-Related Quality of Life in Patients with Rheumatoid Arthritis: A Systematic Review of Quantitative Evidence

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Chinese Journal of Integrative Medicine 2019年第9期25卷 704-709页

作者： Susana Seca Diana Miranda Daniela Cardoso Bernice nogueira Henry J.Greten antonio Cabrita Manuel Alves Rodrigues Faculty of Medicine University of CoimbraInstitute of Science Biomedicine Abel Salazar University of Porto Porto PortugalHeidelberg School of Chinese Medicine Heidelberg Germany Institute of Science Biomedicine Abel Salazar University of Porto Porto Portugal Health Sciences Research Unit:Nursing (UICISA: E) Nursing School of Coimbra (ESEnfC) Portugal Centre for Evidenee Based Practice: A Joanna Briggs Institute Centre of Excellence Coimbra Portugal School of Health Sciences Macao Polytechnic Institute Macao SAR China Institute of Science Biomedicine Abel Salazar University of PortoHeidelberg School of Chinese Medicine Heidelberg Germany Faculty of Medicine University of Coimbra Portugal Health Sciences Research Unit: Nursing (UICISA:E) Nursing School of Coimbra (ESEnfC)Portugal Centre for Evidence Based Practice: A Joanna Briggs Institute Centre of Excellence Portugal

Objective: To identify and synthesize the most recent available evidence of effectiveness of acupuncture on pain, physical function and health-related quality of life(HRQoL) in patients with rheumatoid arthritis(RA). Methods: A comprehensive search of 12 Western and Chinese databases was undertaken from their inception up to end of 2016. Randomized controlled trials(RCTs), concerning patients with RA treated with needle acupuncture, written in English, Portuguese, German or Chinese were included. Primary outcomes included pain, physical function and HRQoL. Secondary outcomes included morning stiffness, functional impairment, number of tender and swollen joints and serum concentrations of inflamatory markers. Methodological quality was assessed by three independent reviewers using the standardized critical appraisal instrument from the Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument. Results: Twenty-two studies met the inclusion criteria. Of those, 9 studies were excluded after assessment of their methodological quality. The remaining 13 original RCTs included 974 patients. Ten of these studies published in China, showed favorable statistical significant effects of acupuncture in relieving symptoms of RA compared with controls. Conclusions: Evidence suggests that acupuncture interventions may have a positive effect in pain relief, physical function and HRQo L in RA patients. However, due to the heterogeneity and methodologic limitations of the studies included in this systematic review, evidence is not strong enough to produce a best practice guideline.

关键词： acupuncture rheumatoid arthritis quality of life pain physical function randomized clinical trial

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Optimal and synchronized germination of Robinia pseudoacacia,Acacia dealbata and other woody Fabaceae using a handheld rotary tool:concomitant reduction of physical and physiological seed dormancy

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Journal of Forestry Research 2018年第2期29卷 283-290页

作者： Nuria Pedrol Carolina G.Puig antonio Lo′pez-nogueira Maria Pardo-Muras Luis Gonzalez Pablo Souza-Alonso Department of Plant Biology and Soil Science Faculty of BiologyUniversity of VigoUniversity Campus36310 VigoSpain

The Fabaceae(legume family) is one of the largest families of plants with a worldwide distribution and a major role in agriculture and in agroforestry.A hard seed coat impermeable to water is a typical feature of several *** dormancy delays and reduces germination so that mechanical,physical and chemical scarification methods have been classically used to break seed dormancy of many *** evaluate the effectiveness of a methodology to scarify seeds of several woody Fabaceae of ecological and economical importance,including Robinia pseudoacacia and Acacia dealbata and the shrubs Cytisus scoparius,*** and Ulex *** describe the optimized use of a handheld rotary tool(HRT),and compare its effectiveness with other scarification methods reported to break dormancy such as boiling or dry *** germination and/or speed of germination were enhanced after the application of the HRT,with germination percentages significantly higher than those achieved by other methods of *** on a thorough literature review,a mode of action for the HRT is suggested which could operate by breaking the physical and physiological dormancy of treated seeds through thecombined action of coat abrasion and moderate *** these results,we recommend the application of this rapid,effective,low-cost and highly reproducible HRT method to break seed dormancy and enhance germination of these species and others with similar dormancy constraints.

关键词： Combinational dormancy Hardcoat Rotary tool Scarification Temperature

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Gas Exchanges and Biological Nitrogen Fixation in Soybean under Water Restriction

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American Journal of Plant Sciences 2014年第26期5卷 4011-4017页

作者： Paula Cerezini antonio Eduardo Pípolo Mariangela Hungria Marco antonio nogueira Department of Agronomy Universidade Estadual de Londrina Londrina Brazil Embrapa Soybean Londrina Brazil

Biological nitrogen fixation (BNF) in soybean is vulnerable to drought;however, there are genotypic variations among soybean cultivars regarding the ability to keep BNF under moderate water restriction. The aim of this study was to evaluate parameters related to gas exchanges and regulation of BNF in soybean genotypes BNF drought-tolerant (R01-581F and R01-416F), or drought-susceptible (CD 215 and BRS 317), submitted to adequate water supply or restriction between 45 and 55 days after emergence. We searched for traits associated with tolerance/susceptibility to drought, which might be useful in the selection of drought-tolerant soybean genotypes. Plant biomass was not affected under water restriction, but the number and dry weight of nodules reduced by 33% and 12%, respectively, in the average of genotypes. Drought-tolerant genotypes were more effective in maintaining gas exchanges under water restriction. Under water restriction, all genotypes increased the concentration of ureides in nodules, but only the susceptible genotypes showed that in leaves. The maintenance of gas exchanges and N metabolism regulation under water restriction in genotype R01-581F suggests that these parameters may be used to characterize soybean genotypes that can be sources of drought tolerance in genetic breeding programs.

关键词： Bradyrhizobium Drought Glycine max Photosynthesis Ureides

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Soybean Seed Co-Inoculation with <i>Bradyrhizobium</i>spp. and <i>Azospirillum brasilense</i>: A New Biotechnological Tool to Improve Yield and Sustainability

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American Journal of Plant Sciences 2015年第6期6卷 811-817页

作者： Mariangela Hungria Marco antonio nogueira Ricardo Silva Araujo Embrapa Soja Londrina Brazil Total Biotecnologia Indústria e Comércio Ltda Curitiba Brazil

Legume nodulation by rhizobia can supply crops with nitrogen and reduce environmental impacts caused by chemical fertilization. The soybean crop in Brazil is an impressive example of how biological N2 fixation can be employed with a plant species of high economic value. However, the development of more productive cultivars, along with the increasing global climatic changes demand agricultural practices to become more productive and yet more environmentally friendly. Plant growth-promoting rhizobacteria (PGPR) are highly beneficial to agriculture worldwide, acting in plant nutrition, protection, and growth stimulation. Azospirillum is, certainly, the most employed PGPR in the world, but little is known about its interaction with rhizobia, when both are applied to legume seeds. We have evaluated the co-inoculation of bradyrhizobia and azospirilla on soybean seeds under different soil and climate conditions in Brazil. Our results demonstrated that co-inoculation is efficient and beneficial to the crop, and promotes yield increases without adding any chemical N fertilizers even in soils where established populations of soybean bradyrhizobia exist. The strategy of co-inoculation thus represents a new biotechnological tool to improve soybean yield without adding any chemical N fertilizers, thus contributing to current practices of sustainability in agriculture.

关键词： Soybean Azospirillum Bradyrhizobium Inoculation Yield

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Simulated Experiments for Teaching CAD Techniques Using Analytic and Finite Element Solutions of Electromagnetic Two-Dimensional Problems with Longitudinal Symmetry

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Journal of Electromagnetic Analysis and Applications 2019年第6期11卷 79-99页

作者： antonio Flavio Licariao nogueira Rodolfo Lauro Weinert Leonardo Jose Amador Salas Maldonado Santa Catarina State University JoinvilleBrazil

The paper describes an approach to teaching low-frequency electromagnetic CAD techniques to undergraduate students pursuing a degree course in electrical engineering. The simulated experiments make use of a two-dimensional open-access software based on the finite-element method. At the laboratory meetings, the problems are initially solved analytically. Upon this, students learn how to create the numeric model and how to define the sequence of field problems that lead to the required solution. Simulation tasks based on a force-producing electromagnet are used to introduce numeric techniques to determine magnetic field distribution, evaluation of energy storage and generation of magnetic forces. The nature of the magnetic force generated in the air gaps of the C-core electromagnet is explained in detail. Magnetic forces are calculated by the classical and weighted versions of the method of Maxwell stress tensor. The paper provides all the basic elements required for further exploration of devices with longitudinal symmetry.

关键词： Actuators Electromagnetic Engineering Education Energy Storage Finite Element Method Magnetic Forces

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