Subject(s)
Humans , Respiration Disorders , Sleep Wake Disorders , COVID-19 , Sleep Apnea Syndromes , PandemicsABSTRACT
Este estudo investigou a relação entre hábitos de sono e indicadores de saúde mental na infância relatados por cuidadores, além de buscar evidências de validade e precisão da adaptação para o Brasil do Children's Sleep Habits Questionnaire (CSHQ). Participaram 60 crianças, entre 4 e 10 anos, de uma escola pública da região central de São Paulo, em 2019. A média geral no CSHQ-BR foi 49,08. Não houve diferenças de sexo nos escores do CSHQ e do Strengths and Difficulties Questionnaire (SDQ). Houve correlações positivas e significativas entre o CSHQ e o SDQ, especificamente entre dificuldades, parassonias e distúrbios respiratórios do sono com problemas emocionais e hiperatividade. Hábitos de sono explicaram 23% da variância no SDQ. O coeficiente alfa de Cronbach do CSHQ-BR foi 0,75, indicando consistência interna adequada. Esses achados apontam evidências de validade e precisão do CSHQ-BR. Hábitos de sono estão associados a indicadores de problemas emocionais e comportamentais.
This study investigated the relationship between sleep habits and mental health indicators in childhood reported by caregivers, in addition to seeking evidence of validity and reliability of the Children Sleep Habits Questionnaire (CSHQ), Brazilian version (CSHQ-BR). Sixty children participated, between 4 and 10 years old, from a public school in the central region of São Paulo, in 2019. The overall mean of the CSHQ-BR score was 49.08. There were no differences between sex in the CSHQ and the Strengths and Difficulties Questionnaire (SDQ) scores. Positive and significant correlations were observed between the CSHQ and the SDQ, specifically between difficulties, parasomnias, sleep-disordered breathing with emotional problems, and hyperactivity. Sleep problems explain 23% of the variance of the SDQ scores. The Cronbach's Alpha Coefficient was 0.75, indicating adequate internal consistency. These findings point to evidence of the validity and accuracy of the CSHQ-BR. Sleep habits are associated with indi-cators of emotional and behavioral problems
Se investigó la relación entre hábitos de sueño y indicadores de salud mental infantil reportados por cuidadores, además de buscar evidencia de validez y precisión de la adaptación del Cuestionario de Hábitos de Sueño Infantil (CSHQ) para Brasil. En 2019 participaron 60 niños de 4 a 10 años de una escuela pública de la región central de São Paulo. El promedio general en el CSHQ-BR fue 49,08. No hubo diferencias de género en las puntuaciones del CSHQ y del Cuestionario de Fortalezas y Dificultades (SDQ). Hubo correlaciones positivas y significativas entre CSHQ y SDQ, específicamente entre dificultades, parasomnias y trastornos respiratorios del sueño con problemas emocionales e hiperactividad. Hábitos de sueño explicaron 23% de la variación en el SDQ. El coeficiente alfa de Cronbach de CSHQ-BR fue 0,75, indicando una consistencia interna adecuada. Estos hallazgos apuntan evidencia de validez y precisión del CSHQ-BR. Hábitos de sueño están asociados con indicadores de problemas emocionales y de comportamiento.
Subject(s)
Humans , Male , Female , Child, Preschool , Child , Sleep , Child , Mental Health , Respiration Disorders , Sleep Apnea Syndromes , Surveys and QuestionnairesABSTRACT
Resumen Introducción: La presentación clínica de neumonía por COVID-19 ha sido bien documentada; sin embargo, sus repercusiones a largo plazo son aún motivo de investigación. Objetivo: Evaluar la recuperación laboral, clínica y funcional respiratoria, a 3 meses del egreso de pacientes hospitalizados por neumonía por SARS-CoV-2, en relación con la terapia ventilatoria recibida. Pacientes y Métodos: Se analizó una cohorte prospectiva de 116 pacientes con neumonía por COVID-19 del Hospital Naval Almirante Nef de Viña del Mar, con seguimiento clínico y funcional respiratorio 3 meses después de su alta. Resultados: Mediana del seguimiento: 100 días. Constitución de la cohorte: 75 hombres, mediana de edad 60 años, 50% obesos, 34,5% fumadores y 13,8% con comorbilidad respiratoria. 16% recibió rehabilitación. Se reportó disnea en 48,3% y fatigabilidad en 33,6%. Solo 54,8% retornó al trabajo. El 65,2% que utilizó oxigenoterapia (O2) volvió a trabajar comparado con 44% que utilizó cánula nasal de alto flujo (CNAF) y 33,3% con ventilación mecánica invasiva (VMI). Mayoritariamente el grupo de O2 volvió a la vida normal en comparación con CNAF y VMI (71,4 versus 17,5% y 11,1% respectivamente). La función pulmonar fue normal en 39 pacientes (33,6%). La serie que volvió a vida normal tuvo mayor porcentaje de DLCO y test de caminata de 6 minutos normales. En comparación con la serie O2, la serie CNAF tuvo mayor frecuencia de alteración de DLCO (OR = 5) seguido por la serie VMI (OR = 3,6). Conclusión: A 3 meses de seguimiento, se evidenció ausentismo laboral, persistencia de síntomas y alteración funcional respiratoria (DLCO), especialmente en quienes recibieron soporte ventilatorio adicional a oxigenoterapia.
Introduction: The clinical presentation of COVID-19 pneumonia has been well documented; however, its long-term repercussions are still a matter of investigation. Objective: to evaluate the occupational, clinical and functional respiratory recovery, 3 months after the discharge of patients hospitalized for SARS-CoV-2 pneumonia, in relation to the ventilatory therapy received. Patients and Methods: A prospective cohort of 116 patients with COVID-19 pneumonia from Hospital Naval Almirante Nef (Viña del Mar, Chile) was analyzed, with clinical and functional respiratory follow-up at 3 months after being discharged. Results: Median follow-up: 100 days. Composition of the cohort: 75 men, median age 60 years-old, 50% obese, 34.5% smokers and 13.8% with respiratory comorbidity. 16% received rehabilitation. Dyspnea was reported in 48.3% and fatigue in 33.6%. Only 54.8% returned to work. 65.2% who used oxygen therapy (O2) returned to work compared to 44% who used high-flow nasal cannula (HFNC) and 33.3% with invasive mechanical ventilation (IMV). Mostly the O2 group returned to normal life compared to HFNC and VMI (71.4 versus 17.5% and 11.1% respectively). Lung function was normal in 39 patients (33.6%). The series that returned to normal life had higher percentage of normal DLCO and six-minute walk test. Compared to the O2 series, the CNAF series had a higher frequency of DLCO alteration (OR = 5) followed by the VMI series (OR = 3.6). Conclusion: At 3 months of follow-up, absenteeism from work, persistence of symptoms and respiratory functional alteration (DLCO) were evident, especially in those who received ventilatory support in addition to oxygen therapy.
Subject(s)
Humans , Male , Female , Middle Aged , Respiration Disorders/rehabilitation , COVID-19/complications , COVID-19/rehabilitation , Oxygen Inhalation Therapy , Patient Discharge , Respiration, Artificial , Respiration Disorders/physiopathology , Prospective Studies , Follow-Up Studies , Recovery of Function , Absenteeism , Return to WorkABSTRACT
En el rotafolio encontrará conceptos básicos sobre la salud respiratoria y la tuberculosis, sus síntomas, su forma de contagio y las medidas preventivas a realizar en la familia y el domicilio
Subject(s)
Respiration Disorders , Tuberculosis , Tuberculosis, Multidrug-Resistant , Disease PreventionABSTRACT
Resumen El aumento de la expectativa de vida de niños y adolescentes con enfermedades respiratorias crónicas ha llevado a implementar estrategias como la rehabilitación respiratoria (RR). El presente artículo profundiza en las distintas indicaciones de la RR en distintos niveles de atención médica, distinto grado de dependencias tecnológicas y diversas patologías como: Fibrosis Quística, Bronquiolitis Obliterante, Enfermedades Neuromusculares, anomalías de caja torácica y escoliosis.
The increase in the life expectancy of children and adolescents with chronic respiratory diseases has led to implement strategies such as respiratory rehabilitation (RR). This article delves into the different indications of RR at different levels of medical care, different level of technological dependencies and different pathologies such as: Cystic Fibrosis, Bronchiolitis Obliterans, Neuromuscular Diseases, Rib cage abnormalities and Scoliosis.
Subject(s)
Humans , Child , Adolescent , Respiration Disorders/rehabilitation , Respiratory Therapy , Bronchiolitis Obliterans/rehabilitation , Chronic Disease , Cystic Fibrosis/rehabilitationABSTRACT
La publicación, cuyos contenidos se agrupan en cinco sesiones: sesión 1, "Prácticas y entornos para mantener la salud respiratoria"; sesión 2, "Conociendo la tuberculosis"; sesión 3, "Prevenimos la tuberculosis"; sesión 4, "Importancia de la adherencia al tratamiento de la tuberculosis"; sesión 5 "¡Nos preparamos para nuestras visitas domiciliarias!" en el caso de la modalidad presencial y "¡Nos preparamos para acompañar a la Persona Afectada por Tuberculosis - PAT y su familia!" en la modalidad virtual. Asimismo, se plantea desde el enfoque del aprendizaje de adultos, elaborado para la modalidad presencial y modalidad virtual, a partir de una metodología activa participativa. Las sesiones consideran diversas dinámicas, cuya aplicación es flexible por lo que pueden adaptarse de acuerdo a las características de cada grupo
Subject(s)
Patient Escort Service , Respiration Disorders , Respiratory Tract Infections , Tuberculosis , Health Knowledge, Attitudes, Practice , Health Personnel , Tuberculosis, Multidrug-Resistant , Community Health Workers , Patient-Centered Care , Health PromotionABSTRACT
La cartilla, a través de fichas pedagógicas, te brinda información sobre los conceptos básicos de la salud respiratoria y todo lo que necesitas saber como agente comunitario para que realices la promoción de la salud a las personas afectadas con tuberculosis, a sus familias y la comunidad de su entorno inmediato
Subject(s)
Patient Escort Service , Respiration Disorders , Respiratory Tract Infections , Tuberculosis , Tuberculosis, Multidrug-Resistant , Community Health Workers , Patient-Centered Care , Disease Prevention , Health PromotionABSTRACT
This study describes the spontaneous and experimental salinomycin poisoning associated with the use of florfenicol and warns about the effects of the administration of antibiotics to animals that receive ionophores in the feed as growth promoters. A batch with 1,200 finishing pigs fed a diet containing 30ppm of salinomycin received florfenicol (60ppm via feed) to control respiratory diseases. Twenty-seven pigs had difficulty walking, tip-toe walking, muscle tremors, and anorexia seven days after the start of treatment. Twenty-two animals died, 10 recovered, and two were sent to the Laboratory of Animal Pathology of CAV-UDESC to be necropsied. The experimental reproduction of the disease was carried out to clarify the possible influence of florfenicol on salinomycin poisoning using 12 pigs divided into four groups with three animals each, treated for 16 days with diets containing no additives (Group 1), 50ppm of salinomycin (Group 2), 40ppm of florfenicol (Group 3), and 50ppm of salinomycin and 40ppm of florfenicol (Group 4). Only animals in Group 4 became ill. The clinical disease was reproduced from the ingestion of 24.67mg/kg/LW of salinomycin and 19.74mg/kg/LW of florfenicol. Both natural and experimental salinomycin poisoning associated with the use of florfenicol caused a condition of myopathy characterized in histology by hyaline degeneration and floccular necrosis of skeletal fibers, with macrophage infiltrate, associated with the figures of regeneration in skeletal muscles and multifocal areas of the proliferation of fibroblasts, being more intense in the longissimus dorsi and semimembranosus muscles. Therefore, florfenicol can cause the accumulation of ionophore salinomycin in the animal organism, resulting in a condition of toxic myopathy.(AU)
O presente trabalho descreve as intoxicações espontânea e experimental por salinomicina associada ao uso de florfenicol e alerta sobre os efeitos da administração de antibióticos aos animais que recebem ionóforos na ração como promotores de crescimento. Um lote com 1.200 suínos em fase de terminação, alimentados com ração contendo 30ppm de salinomicina, recebeu florfenicol (60ppm via ração) para o controle de doenças respiratórias. Sete dias após o início do tratamento, 27 suínos apresentaram dificuldade de locomoção, "caminhar em brasa", tremores musculares e anorexia. Vinte e dois animais morreram, 10 recuperaram-se e dois foram encaminhados ao Laboratório de Patologia Animal (CAV-UDESC) para serem necropsiados. Para esclarecer a possível influência do florfenicol na toxicidade da salinomicina foi realizada a reprodução experimental da doença utilizando 12 suínos, divididos em 4 grupos com 3 animais cada, tratados por 16 dias com rações contendo: Grupo 1 = sem aditivos, Grupo 2 = 50ppm de salinomicina, Grupo 3 = 40ppm de florfenicol e Grupo 4 = 50ppm de salinomicina e 40ppm de florfenicol. Somente os animais do Grupo 4 adoeceram. A doença clínica foi reproduzida a partir da ingestão de 24,67mg/kg/PV de salinomicina e 19,74 mg/kg/PV de florfenicol. Tanto a intoxicação natural quanto a experimental por salinomicina associada ao uso de florfenicol provocaram um quadro de miopatia caracterizado na histologia por degeneração hialina e necrose flocular das fibras esqueléticas, com infiltrado macrofágico, associada às figuras de regeneração na musculatura esquelética e áreas multifocais de proliferação de fibroblastos, sendo mais intensas nos músculos longissimus dorsi e semimembranoso. Conclui-se que, o florfenicol tem a capacidade de ocasionar o acúmulo do ionóforo salinomicina no organismo animal, resultando em um quadro de miopatia tóxica.(AU)
Subject(s)
Animals , Poisoning/veterinary , Sus scrofa , Myotoxicity/etiology , Ionophores/toxicity , Anti-Bacterial Agents/toxicity , Respiration Disorders/veterinary , Diet/veterinary , Animal FeedABSTRACT
This study describes the spontaneous and experimental salinomycin poisoning associated with the use of florfenicol and warns about the effects of the administration of antibiotics to animals that receive ionophores in the feed as growth promoters. A batch with 1,200 finishing pigs fed a diet containing 30ppm of salinomycin received florfenicol (60ppm via feed) to control respiratory diseases. Twenty-seven pigs had difficulty walking, tip-toe walking, muscle tremors, and anorexia seven days after the start of treatment. Twenty-two animals died, 10 recovered, and two were sent to the Laboratory of Animal Pathology of CAV-UDESC to be necropsied. The experimental reproduction of the disease was carried out to clarify the possible influence of florfenicol on salinomycin poisoning using 12 pigs divided into four groups with three animals each, treated for 16 days with diets containing no additives (Group 1), 50ppm of salinomycin (Group 2), 40ppm of florfenicol (Group 3), and 50ppm of salinomycin and 40ppm of florfenicol (Group 4). Only animals in Group 4 became ill. The clinical disease was reproduced from the ingestion of 24.67mg/kg/LW of salinomycin and 19.74mg/kg/LW of florfenicol. Both natural and experimental salinomycin poisoning associated with the use of florfenicol caused a condition of myopathy characterized in histology by hyaline degeneration and floccular necrosis of skeletal fibers, with macrophage infiltrate, associated with the figures of regeneration in skeletal muscles and multifocal areas of the proliferation of fibroblasts, being more intense in the longissimus dorsi and semimembranosus muscles. Therefore, florfenicol can cause the accumulation of ionophore salinomycin in the animal organism, resulting in a condition of toxic myopathy.
O presente trabalho descreve as intoxicações espontânea e experimental por salinomicina associada ao uso de florfenicol e alerta sobre os efeitos da administração de antibióticos aos animais que recebem ionóforos na ração como promotores de crescimento. Um lote com 1.200 suínos em fase de terminação, alimentados com ração contendo 30ppm de salinomicina, recebeu florfenicol (60ppm via ração) para o controle de doenças respiratórias. Sete dias após o início do tratamento, 27 suínos apresentaram dificuldade de locomoção, "caminhar em brasa", tremores musculares e anorexia. Vinte e dois animais morreram, 10 recuperaram-se e dois foram encaminhados ao Laboratório de Patologia Animal (CAV-UDESC) para serem necropsiados. Para esclarecer a possível influência do florfenicol na toxicidade da salinomicina foi realizada a reprodução experimental da doença utilizando 12 suínos, divididos em 4 grupos com 3 animais cada, tratados por 16 dias com rações contendo: Grupo 1 = sem aditivos, Grupo 2 = 50ppm de salinomicina, Grupo 3 = 40ppm de florfenicol e Grupo 4 = 50ppm de salinomicina e 40ppm de florfenicol. Somente os animais do Grupo 4 adoeceram. A doença clínica foi reproduzida a partir da ingestão de 24,67mg/kg/PV de salinomicina e 19,74 mg/kg/PV de florfenicol. Tanto a intoxicação natural quanto a experimental por salinomicina associada ao uso de florfenicol provocaram um quadro de miopatia caracterizado na histologia por degeneração hialina e necrose flocular das fibras esqueléticas, com infiltrado macrofágico, associada às figuras de regeneração na musculatura esquelética e áreas multifocais de proliferação de fibroblastos, sendo mais intensas nos músculos longissimus dorsi e semimembranoso. Conclui-se que, o florfenicol tem a capacidade de ocasionar o acúmulo do ionóforo salinomicina no organismo animal, resultando em um quadro de miopatia tóxica.
Subject(s)
Animals , Anti-Bacterial Agents/toxicity , Poisoning/veterinary , Ionophores/toxicity , Myotoxicity/etiology , Sus scrofa , Diet/veterinary , Animal Feed , Respiration Disorders/veterinaryABSTRACT
Debido a que el bruxismo es un hábito oral prevalente entre los niños y un potencial destructor de los tejidos orales, el presente estudio tuvo como objetivo investigar la relación entre las infecciones por Enterobius vermicularis y el bruxismo entre los niños de un preescolar en la provincia de Junin. La muestra estuvo conformoda por 96 niños de 4 a 6 años. El bruxismo se investigó en base a los informes de los padres sobre el rechinar de dientes por la noche, la calidad del sueño y aspectos clínicos tanto intraorales como extraorales relacionados con la afección. El análisis de datos involucró estadísticas descriptivas, chi-cuadrado de Pearson. La prevalencia de bruxismo fue de 65,62%. Se observó a través del índice de BEWE en los infantes con bruxismo y parasitados por E. vermicularis que el 30,15% se diagnóstico defecto evidente con pérdida de tejido duro menor. No se evidenció asociación estadísticamente significativa entre el bruxismo y el parsitismo por E. vermicularis. Con base en los presentes hallazgos, la prevalencia del bruxismo del sueño fue significativo(AU)
Because bruxism is a prevalent oral habit among children and a potential destroyer of oral tissues, the present study aimed to investigate the relationship between Enterobius vermicularis infections and bruxism among children of a preschool in the province of Junin. The sample consisted of 96 children from 4 to 6 years old. Bruxism was investigated based on parental reports of nighttime teeth grinding, sleep quality, and both intraoral and extraoral clinical aspects related to the condition. Data analysis involved descriptive statistics, Pearson's chi-square. The prevalence of bruxism was 65.62%. It was observed through the BEWE index in infants with bruxism and parasitized by E. vermicularis that 30.15% were diagnosed with an obvious defect with minor hard tissue loss. No statistically significant association was found between bruxism and E. vermicularis parasitism. Based on the present findings, the prevalence of sleep bruxism was significant(AU)
Subject(s)
Humans , Male , Female , Child, Preschool , Child , Bruxism , Child, Preschool , Enterobiasis , Tooth Wear , Parasitic Diseases , Respiration Disorders , Sleep Wake Disorders , EnterobiusABSTRACT
Cell aging is an extremely complex process, which is characterized by mitochondrial structural dysfunction, telomere shortening, inflammatory microenvironment, protein homeostasis imbalance, epigenetic changes, abnormal DNA damage and repair, etc. Aging is usually accompanied by structural and functional damage of tissues and organs which further induces the occurrence and development of aging-related diseases. Aging includes physiological aging caused by increased age and pathological aging induced by a variety of factors. Noteworthy, as a target organ directly contacting with the outside air, lung is more prone to various stimuli, causing pathological premature aging which is lung aging. Studies have found that there is a certain proportion of senescent cells in the lungs of most chronic respiratory diseases. However, the underlying mechanism by which these senescent cells induce lung senescence and their role in chronic respiratory diseases is still obscure. This paper focuses on the causes and classification of lung aging, the internal mechanism of lung aging involved in chronic respiratory diseases, and the application of anti-aging treatments in chronic respiratory diseases. We hope to provide new research ideas and theoretical basis for the clinical prevention and treatment in chronic respiratory diseases.
Subject(s)
Humans , Aging/pathology , Cellular Senescence , Lung/pathology , Lung Diseases/pathology , Respiration Disorders/pathology , Telomere , Telomere ShorteningABSTRACT
The nervous system and the immune system are relatively independent but interactional, and neuro-immune regulation is very important for the respiratory system to resist external harmful stimuli and to maintain homeostasis. Neuro-immune interaction is involved in the occurrence and development of respiratory diseases, and is essential for monitoring and modulating inflammation and tissue repair. This article summaries the neuro-immune regulation of respiratory system and discusses its role in respiratory diseases, aiming to provide a theoretical basis for further understanding the crosstalk between the nervous and immune systems, to explore the underlying mechanism in respiratory diseases, and to provide new thoughts for the prevention and treatment of respiratory diseases.
Subject(s)
Humans , Homeostasis , Immune System , Inflammation , Nervous System , Neuroimmunomodulation , Respiration DisordersABSTRACT
Las enfermedades neuromusculares (ENM) afectan los distintos componentes de la unidad motora. Desde el diagnóstico deben ser seguidos por un equipo interdisciplinario, donde el neumólogo pediátrico desempeña un papel importante en la valoración de la pérdida de fuerza muscular cuando afecta a la musculatura respiratoria o de la vía aérea superior. Objetivos: conocer las diferentes enfermedades neuromusculares atendidas en el Centro Hospitalario Pereira Rossell, analizar las características de la población y describir los resultados de los principales estudios solicitados por la policlínica de neumológica pediátrica. Metodología: estudio descriptivo, analítico y retrospectivo de los pacientes con enfermedad neuromuscular atendidos en el Centro Hospitalario Pereira Rossell entre el 1/6/2006 y el 31/12/2019. Resultados: las patologías neuromusculares más frecuentemente encontradas fueron distrofias musculares, miopatías, distrofia miotónica de Steinert y atrofia muscular espinal. No tienen diagnóstico definitivo 21/73 pacientes. La espirometría mostró una alteración restrictiva en la mayoría de los pacientes. Para descartar trastornos respiratorios del sueño se realizó oximetría nocturna con gasometría al despertar. La hipoventilación nocturna y las apneas obstructivas fueron las alteraciones encontradas. En 12/73 se inició ventilación no invasiva. Conclusiones: los pacientes con ENM experimentan un deterioro progresivo de la función respiratoria que contribuye a una elevada tasa de morbimortalidad. La evaluación y seguimiento regular de la función respiratoria junto con estudios de sueño, son fundamentales para el inicio oportuno de ventilación no invasiva.
Neuromuscular diseases (NMD) affect the different components of the motor system. As of diagnosis, they should be followed by an interdisciplinary team, in which pediatric pulmonologists play an important role in assessing the loss of muscle strength when NMD affects the respiratory or upper airway muscles. Objectives: to learn about the different neuromuscular diseases treated at the Pereira Rossell Hospital Center, to analyze the characteristics of this population and to describe the results of the main studies requested by the pediatric pulmonology clinic. Methodology: descriptive, analytical and retrospective study of patients with neuromuscular disease treated at the Pereira Rossell Hospital Center between 6/1/2006 and 12/31/2019. Results: the most frequent neuromuscular pathologies were muscular dystrophies, myopathies, Steinert's myotonic dystrophy and spinal muscular atrophy. 21/73 patients did not have a definitive diagnosis. Spirometry showed a restrictive alteration in most of the patients. To rule out respiratory sleep disorders, nocturnal oximetry with blood gas was performed upon awakening, with nocturnal hypoventilation and obstructive apneas being the alterations found. In 12/73 non-invasive ventilation was applied. Conclusions: patients with NMD experience a progressive deterioration of respiratory function that contributes to a high rate of morbidity and mortality. Regular evaluation and monitoring of respiratory function, along with sleep studies, are essential for the timely initiation of non-invasive ventilation.
As doenças neuromusculares (DNM) afetam os diferentes componentes da unidade motora. Desde o diagnóstico, os pacientes devem ser acompanhados por uma equipe interdisciplinar, onde o pneumologista pediátrico desempenha um papel importante na avaliação da perda de força muscular quando atinge a musculatura respiratória ou das vias aéreas superiores. Objetivos: conhecer as diferentes doenças neuromusculares tratadas no Centro Hospitalar Pereira Rossell, analisar as características desta população e descrever os resultados dos principais estudos solicitados à policlínica de pneumologia pediátrica. Metodologia: estudo descritivo, analítico e retrospectivo de pacientes com doenças neuromusculares atendidos no Centro Hospitalar Pereira Rossell entre 01/06/2006 e 31/12/2019. Resultados: as patologias neuromusculares mais encontradas foram distrofias musculares, miopatias, distrofia miotônica de Steinert e atrofia muscular espinhal. 21/73 pacientes não tiveram um diagnóstico definitivo. A espirometria mostrou alteração restritiva na maioria dos pacientes. Para afastar distúrbios respiratórios do sono, foi realizada oximetria noturna com gasometria ao despertar, sendo a hipoventilação noturna e as apneias obstrutivas as alterações encontradas. Em 12/73 foi iniciada ventilação não invasiva. Conclusões: os pacientes com DNM experimentam uma deterioração progressiva da função respiratória que contribui para uma alta taxa de morbidade e mortalidade. A avaliação regular e o monitoramento da função respiratória, juntamente com os estudos do sono, são essenciais para o início oportuno da ventilação não invasiva.
Subject(s)
Humans , Male , Female , Infant, Newborn , Infant , Child, Preschool , Child , Adolescent , Neuromuscular Diseases/classification , Neuromuscular Diseases/epidemiology , Respiration Disorders/etiology , Respiration Disorders/therapy , Uruguay/epidemiology , Cross-Sectional Studies , Retrospective Studies , Noninvasive Ventilation , Neuromuscular Diseases/complications , Neuromuscular Diseases/diagnosisABSTRACT
Objetivo: a presente revisão almeja fornecer à prática clínico-odontológica e ao meio científico uma compreensão atualizada acerca da correlação entre as alterações posturais geradas pela presença de distúrbios respiratórios e as desordens temporomandibulares (DTMs). Revisão de literatura: foi realizada uma busca entre o período de 2005 a 2021 nas seguintes bases de dados: Medline (via PubMed), Portal de Periódicos Capes e Scopus, utilizando-se dos termos "temporomandibular joint; temporomandibular disorders; posture control; postural control; breathing". Como resultado, foram encontrados 4.384 documentos, que foram analisados por títulos, resumos, texto completo e critérios de elegibilidade, até se chegar ao total de 5 estudos a serem incluídos nesta revisão. Considerações finais: os principais fatores observados foram a associação das DTMs com condições como padrão de respiração do tipo bucal, postura anterior da cabeça, hiperatividade de músculos acessórios da respiração, rotação posterior da mandíbula e apneia obstrutiva do sono. Os estudos ressaltaram a necessidade da abordagem completa desses pacientes, visto que os papéis dos distúrbios respiratórios e das alterações posturais podem representar desafios no diagnóstico e no tratamento das DTMs.(AU)
Objective: this review aims to provide to the clinical dental practice and the scientific community an updated understanding of the correlation between postural changes generated by the presence of respiratory disorders and temporomandibular joint disorders (TMD). Literature review: a search was carried out covering the period from 2005 to 2021 in the following databases: Medline (via PubMed), Portal de Periódicos Capes and Scopus using the terms temporomandibular joint; temporomandibular disorders; posture control; postural control; breathing. As a result, 4,384 documents were obtained and shortlisted by title, abstracts, full text and eligibility criteria, resulting in the five studies included in this review. Final considerations: the main factors observed were the association of TMD with conditions as mouth breathing, anterior head posture, hyperactivity of accessory breathing muscles, posterior rotation of the jaw and obstructive sleep apnea. The studies underscored the need for a complete approach to these patients, given that the role of respiratory disorders and postural changes may represent a challenge in the diagnosis and treatment of TMD.(AU)
Subject(s)
Humans , Respiration Disorders/physiopathology , Temporomandibular Joint Disorders/physiopathology , Postural Balance/physiology , Temporomandibular Joint/physiopathology , Respiratory Muscles/physiopathologyABSTRACT
Introducción: El aumento de prevalencia de trastornos respiratorios del sueño (TRS) y su relación con obesidad e hipertensión arterial (HTA) ha sido poco explorado en adolescentes. El objetivo de este estudio fue investigar la prevalencia de TRS y ronquido en esta población y analizar su asociación con obesidad e HTA. Población y métodos: Se realizó un estudio descriptivo de corte transversal en una muestra de adolescentes. Se realizaron mediciones de peso, talla, perímetro de cintura y cuello, tensión arterial, y el Cuestionario de Sueño Pediátrico (PSQ, por su sigla en inglés). Resultados: Participaron 826 adolescentes, 58 (7 %) presentaron TRS (varones: 5,8 %; mujeres: 8 %) y 80 (9,7 %) se consideraron roncadores (varones: 10,4 %; mujeres: 9,1 %). Se detectaron sobrepeso y obesidad en 216 (26,2 %) y 149 (18 %) sujetos, respectivamente. Una mayor proporción de sujetos con obesidad presentaron TRS con respecto a quienes no tenían obesidad (12,8 % versus 5,8 %; p = 0,004). La misma asociación fue encontrada para el ronquido (18,2 % versus 7,8 %; <0,001). El 24,6 % dormía menos de 8 horas por día. El 12,6 % presentó valores compatibles con HTA, con una asociación significativa con obesidad y horas de sueño. Conclusión: Se observó una prevalencia elevada de TRS y ronquido en adolescentes y una asociación entre obesidad e HTA, que pone de manifiesto la importancia de abordar esta problemática de manera temprana a fin de evitar complicaciones
ntroduction: The increased prevalence of sleep-disordered breathing (SDB) and its association with obesity and hypertension (HTN) have not been thoroughly explored in adolescents. The objective of this study was to investigate the prevalence of SDB and snoring in this population and analyze its association with obesity and HTN. Population and methods: This was a descriptive, cross-sectional study in a sample of adolescents. Weight, height, waist and neck circumference, and blood pressure were measured, and the Pediatric Sleep Questionnaire (PSQ) was administered. Results: A total of 826 adolescents participated, 58 (7 %) had SDB (males: 5.8 %; females: 8 %), and 80 (9.7 %) were considered snorers (males: 10.4 %; females: 9.1 %). Overweight and obesity were detected in 216 (26.2 %) and 149 (18 %) participants, respectively. A higher proportion of subjects with obesity had SDB compared to those who were not obese (12.8 % versus 5.8 %; p = 0.004). The same association was observed with snoring (18.2 % versus 7.8 %; p < 0.001). Also, 24.6 % slept less than 8 hours a day and 12.6 % had values compatible with HTN, with a significant association with obesity and sleep hours. Conclusion: A high prevalence of SDB and snoring was observed in adolescents, together with an association with obesity and HTN, which highlights the relevance of addressing this problem in an early manner in order to prevent complications
Subject(s)
Humans , Male , Female , Adolescent , Sleep Apnea Syndromes , Sleep Wake Disorders , Respiration Disorders , Snoring , Epidemiology, Descriptive , Prevalence , Cross-Sectional Studies , Surveys and Questionnaires , Overweight , HypertensionSubject(s)
Humans , Pandemics , Anesthesiologists , COVID-19 , Respiration Disorders , Health SystemsABSTRACT
El síndrome de apneas e hipoapneas obstructivas del sueño se asocia con una disminución de la calidad de vida, bajo rendimiento escolar y, hasta en el 40% de los niños, trastornos de conducta como hiperactividad, enuresis, ansiedad y depresión. Varios estudios demostraron que la adenoamigdalectomía es efectiva para mejorar o resolver los trastornos respiratorios del sueño. Si bien esta cirugía tiene resultados beneficiosos, no está exenta de riesgos. El dolor y el sangrado posoperatorio son las dos causas principales de morbilidad. Otras complicaciones de la cirugía son las náuseas y los vómitos posoperatorios, el retraso en la alimentación, la deshidratación, la otalgia referida, los cambios en la voz y, raras veces, la muerte.En este artículo se realizan recomendaciones sobre el cuidado posoperatorio de los niños con adenoamigdalectomía
Obstructive sleep apnea and hypopnea syndrome is associated with decreased quality of life, poor school performance and, in up to 40% of children, behavioral problems such as hyperactivity, enuresis, anxiety and depression. Several studies have shown that adenoamygdalectomy is effective in improving or resolving sleep-disordered breathing. While this surgery has beneficial results, it is not without risks. Postoperative pain and bleeding are the two main causes of morbidity. Other complications of surgery include postoperative nausea and vomiting, delayed feeding, dehydration, referred earache, voice changes, and, rarely, death. Recommendations on postoperative care for children undergoing adenoamygdalectomy are mentioned in this article.
Subject(s)
Humans , Male , Female , Child , Tonsillectomy , Adenoidectomy , Postoperative Complications , Respiration Disorders , Adenoids/surgery , Sleep Apnea, ObstructiveABSTRACT
BACKGROUND@#Ambient fine particle (PM@*METHODS@#A time-stratified case-crossover design was used to analyze YLL from respiratory diseases in the elderly related to ambient PM@*RESULTS@#Each 10 μg/m@*CONCLUSIONS@#Birth season which reflects the early-life PM