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Addition of respiratory exercises to conventional rehabilitation for children and adolescents with cerebral palsy:a systematic review and meta-analysis

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World Journal of Pediatrics 2023年第4期19卷 340-355页

作者： Thálita Raysa de Lima Crispim Mansueto Gomes Neto Tafnes Rayane Lima Crispim Renivaldo Batista Dias Maria Déborah Monteiro de Albuquerque Micheli Bernardone Saquetto paulo André Freire Magalhães Research Group of Neonatal and Pediatric Physical Therapy Baby GrUPEPetrolinaPernambucoBrazil Postgraduate Program in Rehabilitation and Functional Performance PPGRDFUniversidade de PernambucoRodovia BR 203Km 2 S/N.Vila EduardoPetrolinaPernambuco56328-900Brazil Research Group of Physiotherapy Department of Physical TherapyUniversidade Federal da BahiaSalvadorBrazil Posgraduate Program in Medicine and Health SalvadorBahiaBrazil

Background Respiratory dysfunctions are an important cause of morbidity and death in cerebral palsy(CP)*** exercises in addition to conventional rehabilitation have been suggested to improve respiratory status in CP *** objective of this systematic review and meta-analysis was to verify the effects of the addition of respiratory exercises to conventional rehabilitation on pulmonary function,functional capacity,respiratory muscle strength,gross motor function and quality of life in children and adolescents with *** We searched for randomized controlled clinical trials in PubMed/Medline,Lilacs,SciELO,EMBASE and Physi-otheraphy Evidence(pedro)from their inception until July 2022 without language *** that included respiratory exercises(breathing exercise program;feedback respiratory training;incentive spirometer exercise;inspiratory muscle training;and combination of respiratory exercises+incentive spirometer exercise)in combination with conventional rehabilitation for children and adolescents with CP were evaluated by two independent *** mean difference(MD)and 95%confidence interval(CI)were estimated by random effect *** Ten studies met the eligibility criteria,including 324 children aged from 6 to 16 *** meta-analysis showed an improvement in inspiratory muscle strength of 22.96 cmH2O(18.63-27.27,n=55)and pulmonary function of 0.60(0.38-0.82,n=98)for forced vital capacity(L);0.22(0.06-0.39,n=98)for forced expiratory volume at 1 second(L);and 0.50(0.05-0.04,n=98)for peak expiratory flow(L/min).Functional skills in daily living activities improved in the intervention ***'assistance of daily living activities,functional capacity,gross motor function and expiratory muscle strength showed a nonsignificant *** well-being and acceptance and functioning domains improved in only one *** Emerging data show significant enhancements in inspiratory muscle stren

关键词： Breathing exercises Cerebral palsy Inspiratory muscle training Pediatrics Rehabilitation Respiratory exercise

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Healthcare Professionals’ Adherence to Contact Precautions at a Maternal and Child Teaching Hospital

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Open Journal of Nursing 2023年第12期13卷 839-854页

作者： Lucas Eduardo Luizão Marli de Carvalho Jericó Angela Silveira Gagliardo Calil Viviane Decicera Colombo Oliveira Alexandre Lins Werneck Ingrid de Campos Truzzi Eliana Ofelia Lapa Rodriguez Maria Rita Rodrigues Vieira pedro paulo de Carvalho Jericó Medical School in Sã o Jose do Rio Preto S&#227o Jose do Rio Preto Brazil Federal University of Sergipe Sergipe Brazil

Background: Healthcare-associated infections affect hundreds of millions of patients worldwide. Children have greater susceptibility to healthcare-associated infections due to the immaturity of their immune system. Contact precautions aim to promote safety, protection and prevention of contamination. Thus, the objective of this study was to verify adherence to contact precaution measures, as well as compliance to the use of personal protective equipment. Methods: This cross-sectional observational study was carried out from July to October 2019 using a checklist to evaluate health professionals’ adherence to hand hygiene procedures and the use of gloves and surgical gowns when assisting children on contact precautions. Results: A total of 941 observations were carried out in a total of 300.532 hours. Hand hygiene was performed before and after contact with the patient in 58.84% and 75.09% of the cases, respectively and a surgical gown was used in 86.40% of the cases. The use of gloves was the variable most adhered to by professionals (87.57%). Intensive care unit professionals were the care workers who most complied with the regulation regarding hand hygiene after contact with the patient (p = 0.009) and the use of the surgical gown (p < 0.001). The correct hand hygiene technique was the recommendation with least adherence. Non-compliance to the hand hygiene technique was statistically significant among intensive care unit professionals (p = 0.002). Conclusions: Adherence to hand hygiene before contact with the patient and compliance with the hand hygiene technique were neglected by most professionals. However, there was good adherence to the use of surgical gloves and gowns, as well as high compliance to the techniques of removing these items. .

关键词： Hospital Infection Universal Precautions Patient Safety Pediatric Nursing Isolation of Patients Microbial Drug Resistance

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Anomalous behaviour detection using one-class support vector machine and remote sensing images: a case study of algal bloom occurrence in inland waters

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International Journal of Digital Earth 2021年第7期14卷 921-942页

作者： pedro Henrique Moraes Ananias Rogério Galante Negri Graduate Program in Natural Disasters UNESP/CEMADENSão Josédos CamposSão PauloBrazil Sciences Technology Institute São Paulo State University(UNESP)São Josédos CamposSão PauloBrazil

Algal blooms are a frequent subject in scientific discussions and are the focus of many recent studies,mainly due to their adverse effect on *** the lack of ground truth data and the need to develop tools for their detection and monitoring,this research proposes a novel method to automate *** derived from multi-temporal image series processing,spectral indices and classification with Oneclass Support Vector Machine(OC-SVM)are used in this *** from multi-spectral sensors on Landsat-8 and MODIS were acquired through the Google Earth Engine API(GEE API).In order to evaluate our method,two bloom detection case studies(Lake Erie(USA)and Lake Taihu(China))were *** were made with methods based on spectral index ***,to demonstrate the performance of the OC-SVM classifier compared to other machine learning methods,the proposal was adapted to be used with a Random Forest(RF)classifier,having its results added to the *** situ measurements show that the proposed method delivers highly accurate results compared to spectral index thresholding ***,a drawback of the proposal refers to its higher computational *** application of the new method to a real-world bloom case is demonstrated.

关键词： Remote sensing spectral indices unsupervised classification anomalies algal bloom detection

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Rainfall variability in the Brazilian northeast biomes and their interactions with meteorological systems and ENSO via CHELSA product

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Big Earth Data 2019年第4期3卷 315-337页

作者： Washington Luiz Félix Correia Filho JoséFrancisco De Oliveira-Júnior Dimas De Barros Santiago paulo Miguel De Bodas Terassi paulo Eduardo Teodoro Givanildo De Gois Claudio JoséCavalcante Blanco pedro Henrique De Almeida Souza Micejane da Silva Costa Heliofábio Barros Gomes paulo JoséDos Santos Institute of Atmospheric Sciences(ICAT) Federal University of Alagoas(UFAL)MaceióBrazil Postgraduate Program in Biosystems Engineering(PGEB) Federal Fluminense University(UFF)NiteróiBrazil Postgraduate Program in Meteorology Unidade Acadêmica de Ciências Atmosféricas(UACA)Federal Universityof Campina Grande(UFCG)Campina GrandeBrazil Postgraduate Program in Physical Geography University of São Paulo(USP)São PauloBrazil Federal University of Mato Grosso do Sul(UFMS) Chapadão do SulBrazil fSchool of Industrial Metallurgical Engineering of Volta Redonda Technological CenterUniversidade Federal Fluminense(UFF)Volta RedondaBrazil Faculty of Sanitary and Environmental Engineering(FAESA/ITEC) Federal University of Pará(UFPA)BelémBrazil

Brazilian biomes are home to a significant portion of the world’s biodiversity,with a total of 14%of existing species and still concentrate 20%of the world’s water ***,changes in biomes have a direct impact on rainfall patterns and water *** on this,the objective was to evaluate the variability of rainfall in the four existing biomes in the Northeast Brazil(NEB)and their interaction with the ENSO climate variability mode and regional scale meteorological systems via CHELSA *** this,monthly rainfall data were used from 1979 to 2013,with a spatial resolution of 1 km×1 km of the CHELSA product,and seasonal and annual rainfall patterns were extracted via *** was found that the rainy season in the Amazon,Caatinga and Cerrado biomes occurred between January and April,with varying intensities,except for the Atlantic *** seasonality patterns are associated with the NEB meteorological systems,with emphasis on ITCZ(all Biomes),UTCV(Amazon,Caatinga and Cerrado),Frontal Systems(extreme south of Caatinga,Cerrado and Atlantic Forest)and EWD/TWD in the(Atlantic Forest).In the inter-annual scale,the remarkable influence of ENSO was verified,mainly in the years 1983,1985,1989,1993,1998,2009 and *** is noteworthy that 1985 was the wettest year of the period,with a surplus in all biomes,while the driest year differs between the Amazon(1983),Atlantic Forest and Caatinga(1993)and Cerrado(2012)*** study via orbital product in NEB showed that anthropogenic processes and natural variability interfere with the forms of rain interception in the biomes and hence in rainfall patterns and water recycling in NEB.

关键词： Phytophysiognomy rainfall inter-annual variability water recycling climate change land use and occupation

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Acrylic Customized X-Ray Positioning Stent for Prospective Bone Level Analysis in Long-Term Clinical Implant Studies

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Open Journal of Radiology 2013年第3期3卷 136-142页

作者： Ana Messias Joao paulo Tondela Salomao Rocha Rita Reis pedro Nicolau Fernando Guerra Department of Dentistry Faculty of MedicineUniversity of CoimbraCoimbraPortugal

Objectives: This paper describes a technique to produce individualized X-ray positioning devices for intraoral digital imaging of dental implants with long-term stability. Materials and Methods: An X-ray positioning device was built for Gendex? Visualix? eHD sensor, using the Dentsply rinn XCP-DS? system individualized by the incorporation of the bite piece within an acrylic stent to perform successive standardized radiographs to 16 patients. X-ray tube stabilization was achieved with polivinylsiloxane. Series of 3 radiographs were taken to each patient in different moments. Specific linear measurements as the implant diameter (mesio-distal width) and the height between consecutive threads (thread pitch) were made to all radiographs to determine the reproducibility and accuracy of the procedure. Results: The intraclass correlation coefficient for the mesio-distal width was 0.964 [(0.920 - 0.986) 95% CI] (p 0.00156 mm for the test value of 3.3 (p = 0.9), -0.00026 mm for 0.8 (p = 0.96) and 0.0124 for 4.125 (p = 0.72), respectively, after the application of a magnification correction factor. Conclusion: The device produced reproducible images in different moments and was suitable for comparative clinical examinations of marginal bone as it was convenient to perform reliable linear measurements.

关键词： Dental Radiovisiography Radiograph Dental Implant Outcome Measurement Errors Reproducibility of Results

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P2X7 receptor blockade decreases inflammation,apoptosis,and enteric neuron loss during Clostridioides difficile toxin A-induced ileitis in mice

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World Journal of Gastroenterology 2022年第30期28卷 4075-4088页

作者： Ana A Q A Santos Deiziane V S Costa Danielle A Foschetti Antoniella S G Duarte Conceicao S Martins pedro M G Soares Patricia Castelucci Gerly A C Brito Department of Morphology School of MedicineFederal University of CearaFortaleza 60430-170CearaBrazil Department of Physiology and Pharmacology School of MedicineFederal University of CearáFortaleza 60430-170CearaBrazil Department of Pathology and Legal Medicine School of MedicineFederal University of CearaFortaleza 60430-170CearaBrazil Department of Morphology(UFC) Federal University of CearaFortaleza 60430-170CearaBrazil Department of Anatomy Institute of Biomedical SciencesUniversity of São PauloSao Paulo 05508-270Brazil Department of Morphology Federal University of CearaFortaleza 60140-170CearaBrazil

Clostridioides difficile(***)is the most common pathogen causing health care-associated *** TcdA and TcdB have been shown to activate enteric neurons;however,what population of these cells is more profoundly influenced and the mechanism underlying these effects remain *** To characterize a specific population of TcdA-affected myenteric neurons and investigate the role of the P2X7 receptor in TcdA-induced ileal inflammation,cell death,and the changes in the enteric nervous system in *** Swiss mice were used to model TcdA-induced ileitis in ileal loops exposed to TcdA(50μg/Loop)for 4 *** investigate the role of the P2X7 receptor,Brilliant Blue G(50 mg/kg,i.p.),which is a nonspecific P2X7 receptor antagonist,or A438079(0.7μg/mouse,i.p.),which is a competitive P2X7 receptor antagonist,were injected one hour prior to TcdA *** samples were collected to analyze the expression of the P2X7 receptor(by quantitative real-time polymerase chain reaction and immunohistochemistry),the population of myenteric enteric neurons(immunofluorescence),histological damage,intestinal inflammation,cell death(terminal deoxynucleotidyltransferasemediated dUTP-biotin nick end labeling),neuronal loss,and S100B synthesis(immunohistochemistry).RESULTS TcdA upregulated(P<0.05)the expression of the P2X7 receptor gene in the ileal tissues,increasing the level of this receptor in myenteric neurons compared to that in control *** with the control mice indicated that TcdA promoted(P<0.05)the loss of myenteric calretinin+(Calr)and choline acetyltransferase+neurons and increased the number of nitrergic+and Calr+neurons expressing the P2X7 *** of the P2X7 receptor decreased TcdAinduced intestinal damage,cytokine release[interleukin(IL)-1β,IL-6,IL-8,and tumor necrosis factor-α],cell death,enteric neuron loss,and S100B synthesis in the mouse *** Our findings demonstrated that TcdA induced the upregulation of the P

关键词： Clostridioides difficile Clostridioides difficile toxin A P2X7 receptor Enteric nervous system Enteric neuron Enteric glia

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3D segmentation and visualization of lung and its structures using CT images of the thorax

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Journal of Biomedical Science and Engineering 2013年第11期6卷 1099-1108页

作者： pedro P.Reboucas Filho paulo Cesar Cortez Victor Hugo C.de Albuquerque Industry Area Federal Institute of Education Science and Technology of CearaMaracanauBrazil Teleinformatic Engineering Department Federal University of CearáFortalezaBrazil Graduate Program in Applied Informatics University of FortalezaFortalezaBrazil

Computing systems have been playing an important role in various medical fields, notably in image diagnosis. Studies in the field of Computational Vision aim at developing techniques and systems capable of detecting various illnesses automatically. What has been highlighted among the existing exams that allow diagnosis aid and the application of computing systems in parallel is Computed Tomography (CT). CT enables the visualization of internal organs, such as the lung and its structures. Computational Vision systems extract information from the CT images by segmenting the regions of interest, and then recognize and identify details in those images. This work focuses on the segmentation phase of CT lung images with singularity-based techniques. Among these methods are the region growing (RG) technique and its 3D RG variations and the thresholding technique with multi-thresholding. The 3D RG method is applied to lung segmentation and from the 3D RG segments of the lung hilum, the multi-thresholding can segment the blood vessels, lung emphysema and the bones. The results of lung segmentation in this work were evaluated by two pulmonologists. The results obtained showed that these methods can integrate aid systems for medical diagnosis in the pulmonology field.

关键词： 3D Region Growing Lungs segmentation COPD Pulmonary Structure Visualization Computed Tomography

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Molecular characterization of an extensively drug-resistant Acinetobacter baumannii isolated from a corn culture soil

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Pedosphere 2021年第6期31卷 973-976页

作者： Joao pedro Rueda FURLAN Eliana Guedes STEHLING Departamento de Analises Clinicas Toxicologicas e BromatologicasFaculdade de CienciasFarmaceuticas de Ribeirao PretoUniversidade de Sao Paulo(USP)Ribeirao Preto SP 14040-903(Brazil)

Dear Editor,Soil is the most biodiverse habitat on Earth and it has been estimated that one gram of soil can contain up to one billion bacterial cells(Fierer,2017).The microorganisms of soil produce a wide variety of ... 详细信息

关键词： soil corn culture

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Piezomagnetic vibration energy harvester with an amplifier

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Theoretical & Applied Mechanics Letters 2023年第6期13卷 481-483页

作者： João pedro Norenberg Americo Cunha Jr Piotr Wolszczak Grzegorz Litak Department of Mechanical Engineering São Paulo State UniversityIlha SolteiraSPBrazil Department of Applied Mathematics Rio de Janeiro State UniversityRio de JaneiroRJBrazil Department of Automation Lublin University of TechnologyLublinPoland

We study the effect of an amplification mechanism in a nonlinear vibration energy harvesting system where a ferromagnetic beam resonator is attached to the vibration source through an additional linear spring with a *** beam moves in the nonlinear double-well potential caused by interaction with two *** piezoelectric patches with electrodes attached to the electrical circuit support mechanical energy transduction into electrical *** results show that the additional spring can improve energy *** changing its stiffness,we observed various *** the point of the optimal stiffness of the additional spring,the power output is amplified a few times depending on the excitation amplitude.

关键词： Nonlinear energy harvesting Piezoelectric Displacement amplifier Bistable potential

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Evaluation of the Implementation of a Low Emission Zone in Lisbon

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Journal of Environmental Protection 2012年第9期3卷 1188-1205页

作者： Francisco Ferreira pedro Gomes Ana Cristina Carvalho Hugo Tente Joana Monjardino Helena Brás paulo Pereira CENSE—Center for Environmental and Sustainability Research Faculdade de Ciências e Tecnologia Universidade Nova de Lisboa Caparica Portugal DCEA-FCT/UNL—Departmento de Ciências e Engenharia do Ambiente Faculdade de Ciências e Tecnologia Universidade Nova de Lisboa Caparica Portugal

The city of Lisbon, like many others in the EU region, introduced a Low Emission Zone (LEZ) as a tool for improving air quality in its city centre. This kind of emission reduction schemes is always controversial since it might lead to significant changes in the daily behaviours of its inhabitants. In order to evaluate the effects of the measure, an estimation of the impact of the introduction of the Lisbon LEZ was performed. Real traffic counting and fleet characterization combined with CORINAR-based emission inventory methodology allowed to estimate the impacts of three different scenarios applied to the “business as usual” condition (current vehicle fleet) ranging from “no circulation from non- compliant vehicles” to an “aggressive fleet renewal”. Results highlight the high percentage of atmospheric emissions of PM10 and NOx that might result from certain fleets like taxis and buses, especially because there was an emphasis in standardized/normalized estimations (emissions per 1000 vehicles) in order to allow different strategic approaches. The total reduction of PM10 emissions associated to each scenario vary between 6 ***-1 (scenario 2) and 8 ***-1 (scenario 1), or 25% and 34% less emissions. In terms of NOxemission reductions vary between 6 ***-1 (scenario 2) and 57 ***-1 (scenario 1), or 1% and 7% less emissions. The Lisbon LEZ is therefore much more efficient in reducing PM10 emissions compared to NOx. Major reduction in PM10 and NOx emissions are to be expected with a moderate intervention in the (relatively old) taxi fleet in Lisbon while for passenger cars the impact is limited. However in absolute terms and due to its urban mileage passenger cars should also continue being included in Lisbon LEZ. Simultaneously, an effort in the increase of dedicated lanes for public transport should be made, for further reductions in PM10 and NOx emissions.

关键词： Low Emission Zone PM10 NOx Euro Standards

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