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Journal of Integrative Medicine ; (12): 329-337, 2022.
Article in English | WPRIM | ID: wpr-939891


OBJECTIVE@#This study evaluated the effectiveness of acupuncture treatment on postoperative pain in patients with degenerative lumbar spine disease, and explored the relationship between the postoperative analgesic effect of acupuncture and the sensation of acupuncture experienced by the patients.@*METHODS@#This retrospective study analyzed the medical records of 97 patients who had undergone an operation by the same surgeon due to degenerative lumbar disease. These patients were divided into acupuncture group (n = 32), patient-controlled analgesia (PCA) group (n = 27), and oral analgesia group (n = 38) according to the different postoperative analgesic methods. During their hospitalization, patients completed daily evaluations of their pain using a visual analogue scale (VAS), and injection times of supplemental meperidine were recorded. Also, the Chinese version of the Massachusetts General Hospital Acupuncture Sensation Scale (C-MASS) was used in the acupuncture group.@*RESULTS@#Each of the three treatment groups showed significant reductions in postoperative pain, as shown by reduced VAS scores. The acupuncture group, however, had less rebound pain (P < 0.05) than the other two groups. Both the acupuncture and PCA groups experienced acute analgesic effects that were superior to those in the oral analgesia group. In addition, the higher the C-MASS index on the second day after surgery, the lower the VAS score on the fourth day after surgery. There was also a significant difference in the "dull pain" in the acupuncture sensation.@*CONCLUSION@#The results demonstrated that acupuncture was beneficial for postoperative pain and discomfort after simple surgery for degenerative spinal disease. It is worth noting that there was a disproportionate relevance between the patient's acupuncture sensation and the improvement of pain VAS score.

Acupuncture Points , Acupuncture Therapy , Analgesia/methods , Analgesics/therapeutic use , Consensus , Humans , Pain, Postoperative/drug therapy , Prospective Studies , Retrospective Studies , Sensation
Article in Chinese | WPRIM | ID: wpr-927403


The paper introduces the placebo acupuncture simulation devices commonly used in clinical trial of acupuncture therapy. These devices are composed of Streitberger, Park, Takakura, Foam and Phantom acupuncture. Because acupuncture therapy is a kind of complex intervention, there are the controversies in methodology for the acupuncture placebo control of clinical trial. Placebo acupuncture may be an effective control, with a certain of specific therapeutic effect. The blinding effect of placebo acupuncture is highly questioned, specially, the sensation of deqi is hardly imitated during acupuncture. On these grounds, in this research, the suggestions has been proposed on the selection and the setting of placebo control in clinical trial of acupuncture therapy.

Acupuncture , Acupuncture Therapy/methods , Sensation
Rev. chil. obstet. ginecol. (En línea) ; 86(5): 497-501, oct. 2021.
Article in Spanish | LILACS-Express | LILACS | ID: biblio-1388688


INTRODUCCIÓN: Los trastornos sensitivos genitales y su relación con el maltrato psicológico en la pareja es un tema poco tratado en la literatura y, sin embargo, presente en la entrevista médica y psicológica. Aplica para aquellos casos en que no se aprecia alteración en la exploración física suficiente como para atribuirlo a causas orgánicas. OBJETIVO: Recopilar e integrar diferentes visiones acerca del síntoma de insensibilidad genital durante las relaciones sexuales, definir si este síntoma corresponde a una disfunción sexual e indagar sobre su relación con la violencia psicológica en la relación de pareja. MÉTODO: Revisión bibliográfica. Resultados: Los trastornos sensitivos cuya base orgánica es descartada no corresponderían a una disfunción sexual, sino más bien a una alteración sensorial disociativa como respuesta a una situación de violencia psicológica acompañada de violencia sexual en todos los casos. CONCLUSIONES: La insensibilidad genital es un tema que debe ser considerado al hacer la anamnesis de una paciente, para así ser derivada a un especialista con la intención de abordarlo de forma interdisciplinaria y, por ende, evaluar y diferenciar los elementos orgánicos y funcionales del síntoma.

INTRODUCTION: Genital sensory disorders and how they relate to psychological abuse in the couple is a topic that is scarcely address in the literature, however present it might be in medical and psychological interviews. It is often found in cases where there is no perceived sufficient alteration in physical examinations in order to attribute it to organic causes. OBJECTIVE: To collect and integrate different views regarding the symptom of genital insensitivity during sexual intercourse, define whether this symptom relates to sexual dysfunction and inquire about its connection with psychological violence in the couple. METHOD: Bibliographic assessment. Results: Sensory disorders, whose organic basis is ruled out, do not relate to sexual dysfunction but rather to a dissociative sensory alteration in response to a situation of psychological violence accompanied, in all cases, by sexual violence. CONCLUSIONS: Genital insensitivity is an issue that must be taken into account at the time of taking the patients medical history. This way, it can be referred to a specialist with the intention of addressing it in an interdisciplinary way and, therefore, evaluate and differentiate the organic and functional elements of the symptom.

Humans , Female , Sexual Dysfunction, Physiological/psychology , Intimate Partner Violence , Sensation , Sexual Dysfunction, Physiological/therapy , Sexuality
Rev. Ciênc. Plur ; 7(3): 43-60, set. 2021. ilus, tab
Article in Portuguese | LILACS, BBO | ID: biblio-1290808


Introdução:O Brasil está no ranking dos 10 países que mais desperdiçam alimentos no mundo, é também o 3º maior produtor de frutas. As cascas e sementes, que são desprezadas, podem ser utilizadas na alimentação por meio do aproveitamento integral de alimentos. Objetivo:Verificar características organolépticas de preparações culinárias elaboradas com farinha das sementes de melão cantaloupe (Cucumis melo L. var. reticulatus). Metodologia:O trabalho trata-se de um estudo piloto, em que foi elaborada farinha de sementes do melão utilizada na produção de dois coprodutos, bolo simples e torta de frango, elaborados com diferentes percentuais de farinha das sementes, sendo de 25%, 50% e 75% adicionada à farinha de trigo enriquecida com ferro e ácido fólico. Posteriormente foi realizada degustação das amostras para realização da avaliação das características organolépticas dos coprodutos elaborados. Resultados:As preparações feitas com farinha cuja constituição possuía 50% de farinha de sementes foram as comentadas na avaliação das características organolépticas, visto que eram mais palatáveis, em virtude da menor quantidade de resíduos, bem como apresentaram aroma e sabor mais agradáveis quando comparadas às amostras de 75% de farinha de sementes. Conclusões:Diante dos resultados observou-se que os participantes optaram pelos produtos que possuíam quantidade intermediária de resíduos de melão nas preparações, sendo os produtos cuja concentração era 50% de farinha de sementes, visto que não dificultavam a mastigação e deglutição, bem como não tiveram alterações significativas nas características organolépticas como aroma e sabor. Espera-se que em breve com a volta das atividades presenciais, a análise sensorial com provadores não treinados seja realizada para continuidade e conclusão do estudo (AU).

Introduction:Brazil is in the ranking of the 10 countries that most waste food in the world, it is also the 3rd largest fruit producer. The husks and seeds that are neglected can be used in food through the full use of food. Objective:To verify organoleptic characteristics of culinary preparations made with flour from cantaloupe melon seeds (Cucumis melo L. var. Reticulatus).Methodology:The work is a pilot study in which cantaloupe melon melon seed meal flour was used to produce two co-products, simple cake and chicken pie, made with different percentages of flour of the seeds, 25%, 50% and 75% being added to wheat flour enriched with iron and folic acid. Subsequently, samples were tasted to evaluate the organoleptic characteristics of the elaborated by-products.Results:The preparations made with flour whose constitution had 50% of seed meal were those mentioned in the evaluation of the organoleptic characteristics, since they were more palatable, due to the lower amount of residues, as well as presenting a more pleasant aroma and flavor when compared to 75% samples. of seed meal. Conclusions:In view of the results, it was observed that the participants opted for products that had an intermediate amount of melon residues in the preparations, being the products whose concentration was 50% ofseed meal, since they did not hinder chewing and swallowing, as well as had no significant changes in organoleptic characteristics such as aroma and flavor. It is expected that soon with the return of face-to-face activities, sensory analysis with untrained tasters will be carried out for the continuity and conclude of the study (AU).

Introducción: Brasil está en el ranking de los 10 países que más desperdician alimentos en el mundo, también es el 3er productor de frutas más grande. Las cáscaras y semillas que se descuidan se pueden utilizar en los alimentos mediante el uso completo de los alimentos.Objetivo: Verificar las características organolépticas de preparaciones culinarias elaboradas con harina de semillas de melón cantalupo (Cucumis melo L. var. Reticulatus).Metodología: El trabajo es un estudio piloto en el que se utilizó harina de melón cantalupo harina de semilla de melón para producir dos coproductos, bizcocho simple y pastel de pollo, elaborado con diferentes porcentajes de harina de las semillas, 25% , 50% y 75% se agrega a la harina de trigo enriquecida con hierro y ácido fólico. Posteriormente, se cantaron muestras para evaluar las características organolépticas de los subproductos elaborados. Resultados: Las preparaciones elaboradas con harina cuya constitución tenía 50% de harina de semillas fueron las mencionadas en la evaluación de las características organolépticas, ya que resultaron más palatables, por la menor cantidad de residuos, además de presentar un aroma y sabor más agradable al compararse con 75% de muestras de harina de semillas. Conclusiones:A la vista de los resultados, se observó que los participantes optaron por productos que presentaban una cantidad intermedia de residuos de melón en las preparaciones, siendo los productos cuya concentración era del 50% de harina de semillas, ya que no dificultaban la masticación yla deglución, así como no tuvo cambios significativos en las características organolépticas como aroma y sabor. Se espera que próximamente con el regreso de las actividades presenciales se realice un análisis sensorial com catadores no capacitados para continuar y concluir el estudio (AU).

Humans , Male , Female , Adult , Brazil/epidemiology , Cucumis melo , Whole Utilization of Foods , Sustainable Development Indicators , Food , Seeds , Sensation , Flour
Article in Chinese | WPRIM | ID: wpr-942531


Objective: To study the oropharyngeal sensory function by Current Perception Threshold(CPT) detection, to explore the detection method of oropharyngeal sensory function in normal population, and to analyze the possible influencing factors. Methods: Fifty-eight normal subjects were included prospectively in this study. Age, gender, body mass index (BMI) were collected. The age of the subjects ranged from 20 to 76 (43.27±13.52) years old. There were 34 females with 17 in childbearing period and 17 in menopause; and 24 males were included.In all the cases, 6 cases were in low BMI, 39 cases were in normal BMI, 10 cases were overweight and 3 cases were suffering from obesity. The CPT system of Neurometer was used to stimulate bilateral palatoglossal arch and tongue base.The current used was 2000 Hz, 250 Hz and 5 Hz respectively.The function of type Aβ, Aδ and C sensory nerve fibers were tested and the CPT values were recorded.The values were inversely proportional to pharyngeal sensation function.To evaluate the oropharyngeal sensory function of the subjects, the CPT values of each frequency at each testing point were compared. SPSS 25.0 software was used for statistical analysis. Results: The CPT value of palatoglossal arch was significantly lower than that of tongue base (t=-2.58,-2.65,-2.54,-2.47,-2.37,-2.77,P<0.05), 2 000 Hz>250 Hz>5 Hz, and there was no significant difference between left and right sides(t=-0.03,-0.51,-0.49,0.06,-0.16,0.13,P>0.05). The CPT value of male was slightly higher than that of female (t=0.92,1.55,0.27,0.78,1.44,1.26,0.35,0.77,1.27,0.24,0.78,0.96,P>0.05). The CPT values of women in childbearing period were significantly less than those in menopausal women (t=-3.90,-3.64,-2.14,-4.20,-4.28,-4.28,-3.52,-4.46,-3.41,-3.63,-4.66,-2.86,P<0.05). The CPT value increased with age, and the values of all frequency of 20 to 30 years old group was significantly lower than those of subjects over 40 years old at each point (The t values of bilateral palatoglossal arch at 2 000 Hz were -5.57,-6.22,-10.18,-11.00;the t values of bilateral palatoglossal arch at 250 Hz were -6.39,-8.79,-6.39,-15.61;the t values of bilateral palatoglossal arch at 5 Hz were -7.09, -5.57, -9.26, -15.23;the t values of tongue base at 2 000 Hz were -3.11,-3.88,-7.60,-8.55;the t values of tongue base at 250 Hz were -6.31,-10.59,-8.52,-10.60;the t values of tongue baseat 5 Hz were -6.69,-5.09,-8.70,-7.07,P<0.05).The values at all frequencies and testing points of 30-40 years old group were significantly lower than those of all subjects over 60 years old (The t values of bilateral palatoglossal arch at 2 000 Hz were -10.91,-12.42;the t values of bilateral palatoglossal arch at 250 Hz were -6.25,-10.87;the t values of bilateral palatoglossal arch at 5 Hz were -5.53,-11.01;the t values of tongue base at 2 000 Hz were -8.62,-10.12;the t values of tongue base at 250 Hz were -6.89,-7.82;the t values of tongue base at 5 Hz were -6.13,-6.48,P<0.05). Conclusions: CPT can be used to evaluate oropharyngeal sensory function. The sensitivity of tongue base is lower than that of palatoglossal arch, there is no significant difference in oropharyngeal sensory function between male and female,between left and right sides. There are many factors influencing oropharyngeal sensory function. Age, hormone level changes may affect the sensitivity of oropharyngeal sensory function.

Adult , Aged , Electric Stimulation , Female , Humans , Male , Middle Aged , Nerve Fibers , Pharynx , Sensation , Sensory Thresholds , Young Adult
Chinese Acupuncture & Moxibustion ; (12): 1063-1068, 2021.
Article in Chinese | WPRIM | ID: wpr-921010


OBJECTIVE@#To observe the moxibustion sensation and the clinical therapeutic effect of heat-sensitive moxibustion of two different suspension moxibustion methods and imitation moxibustion apparatus on mild to moderate knee osteoarthritis (KOA), and compare the therapeutic effect of different moxibustion methods.@*METHODS@#A total of 90 patients with mild to moderate KOA were randomized into a hand-held group (30 cases, 1 case dropped off), an imitation moxibustion apparatus group (30 cases) and a moxibustion shelf group (30 cases, 1 case dropped off). @*RESULTS@#The compositions of moxibustion sensation and numbers of moxibustion sensation types in individuals in the hand-held group and the moxibustion shelf group were richer, the moxibustion sensation intensity was higher than that in the imitation moxibustion apparatus group (@*CONCLUSION@#Heat-sensitive moxibustion can effectively treat knee osteoarthritis, while the different suspension moxibustion methods have an influence on clinical therapeutic effect, hand-held suspension moxibustion has the best efficacy.

Hot Temperature , Humans , Imitative Behavior , Moxibustion , Osteoarthritis, Knee/therapy , Sensation , Treatment Outcome
Rev. chil. ter. ocup ; 20(2): 43-57, dic. 2020. tab
Article in Spanish | LILACS | ID: biblio-1362900


Las relaciones entre las dificultades de aprendizaje y las disfunciones de integración sensorial están reportadas en la literatura norteamericana, aunque en Latinoamérica la información disponible es limitada. Por lo anterior, se orientan los objetivos de este estudio a aportar a la literatura que describe los problemas sensoriales en niños con dificultades de aprendizaje y del impacto del tratamiento basado en la teoría de integración sensorial. El método de tipo retrospectivo utilizó el análisis anónimo de datos de diecisiete estudiantes derivados a terapia ocupacional por presentar dificultades en el entorno escolar. Se aplicaron evaluaciones estandarizadas: el test de Integracion Sensorial y Praxis; y el Perfil Sensorial, que al inicio reconocieron disfunciones entre 53% y el 88% y en reevaluación entre el 27% y el 88% reflejando cambio positivo después del programa. El análisis de varianza ANOVA permitió precisar el efecto del programa y contribuyó a explicar la relación de los déficits del procesamiento sensorial con las dificultades académicas y de comportamiento.

The relationships between learning difficulties and sensory integration dysfunctions are reported in American literature, in Latin America the information available is limited, guiding the objectives of this study to contribute to literature describing sensory problems in children with learning difficulties and the impact of treatment based on sensory integration theory. The retrospective method, I use anonymous analysis of data from seventeen students derived to occupational therapy because they present difficulties in the school environment. The Sensory Integration and Praxis test and sensory profile were applied as a standardized evaluation, which initially recognized dysfunctions between 53% and 88% and in re-evaluation between 27% and 88% reflecting positive change after the program. The ANOVA variance analysis allowed to specify the effect of the program and helped explain the relationship of sensory processing deficits with academic and behavioral difficulties.

Humans , Male , Female , Child, Preschool , Child , Students , Learning Disabilities/rehabilitation , Sensation , Retrospective Studies , Analysis of Variance , Colombia , Learning Disabilities/diagnosis
Rev. chil. ter. ocup ; 20(2): 27-41, dic. 2020. tab, ilus, graf
Article in Spanish | LILACS | ID: biblio-1362766


La defensividad táctil es una de las disfunciones de integración sensorial que fueron tempranamente descritas por Jean Ayres (Lane, 2020). Sin embargo, para su diagnóstico se carece de instrumentos de evaluación basados en la observación del desempeño del niño, y en cambio, se suele utilizar casi exclusivamente el reporte de los padres por medio de cuestionarios sensoriales. Basado en diversos fundamentos teóricos se diseñó un procedimiento estructurado de observación clínica de la modulación táctil, compuesto por dos juegos con exposición a estímulos táctiles, el cual fue aplicado en contexto de práctica clínica privada, registrándose sus observaciones textualmente en fichas clínicas. El objetivo de esta investigación es describir los signos de defensividad táctil que pueden ser detectados con este procedimiento. Por medio de una pauta de análisis de 29 ítems de respuesta dicotómica, se examinaron retrospectivamente 83 fichas, de una población clínica de niños con y sin defensividad táctil, de 2 a 11 años de edad. Se comparó los resultados de una muestra de niños con defensividad táctil con otra de niños sin defensividad táctil, por medio de estadística descriptiva y pruebas no paramétricas. El desempeño de niños con defensividad táctil estadísticamente difiere de manera significativa del de niños sin defensividad táctil en el procedimiento de observación estudiado. Además, este instrumento puede contribuir con el proceso diagnóstico de defensividad táctil, por medio de la contabilización de indicadores para sugerir el diagnóstico, o de la identificación específica de algunos de ellos que serían más relevantes.

Tactile defensiveness is one of the first sensory integration dysfunctions described by Jean Ayres. However, for the diagnosis, evaluation procedures based on the observation of the child's performance are lacking, and instead, parents' reports are usually used almost exclusively. Based on several theoretical foundations, a structured procedure of clinical observations of tactile modulation was designed, consisting of two games that expose children to tactile stimuli. The observation was applied in a private clinic, using recording used for the purpose of documentation in clinical records. The objective of this research is to describe the tactile defensiveness signs that may be detected with this procedure. Through a guideline with 29 items of dichotomous response, 83 clinical records were retrospectively examined, from a clinical population of children with and without tactile defensiveness, aged 2 to 11 years. The results of a sample of children with tactile defensiveness were compared with another one of children without tactile defensiveness, through descriptive statistics and non-parametric tests. The performance of children with tactile defensiveness are significantly different from children without tactile defensiveness. In addition, this instrument can contribute to the diagnostic process of tactile defensiveness, through the analysis of indicators that suggest the diagnosis, or the specific identification of relevant signs of tactile defensiveness.

Humans , Male , Female , Child, Preschool , Child , Perceptual Defense , Sensation/physiology , Touch , Play and Playthings , Surveys and Questionnaires
Rev. chil. ter. ocup ; 20(2): 17-28, dic. 2020. tab
Article in Spanish | LILACS | ID: biblio-1362762


Objetivo. El Autoconcepto, la autoeficacia y la calidad de vida son variables que pueden verse afectadas en los niños/as por la presencia de un déficit de procesamiento sensorial (DPS). Este déficit se caracteriza por fallas en el procesamiento de las sensaciones que pueden ocasionar dificultades en el desempeño cotidiano. La presente investigación tuvo por objetivo determinar si existe diferencia en el autoconcepto, la autoeficacia y la calidad de vida de niños/as venezolanos/as entre 7 y 13 años con y sin DPS.Metodología. El presente es un estudio transversal, con diseño estadístico no experimental de comparación de medias mediante el estadístico t de Student. La muestra estuvo constituida por 98 niños/as de 7 a 13 años, de los cuales 38 (38,8%) estaban diagnosticados con déficit de procesamiento sensorial y 60 (61,2%) sin déficit. Resultados. Se evidenció que existen diferencias significativas en la autoeficacia académica, donde los niños/as con DPS mostraron puntajes medios menores; así como en el autoconcepto físico, donde los puntajes fueron menores en niños/as sin déficit. No se encontraron diferencias significativas en la calidad de vida de las dos muestras. Esta investigación permitió abrir una línea de investigación en el área de variables psicológicas que han sido poco estudiadas en niños/as con DPS, demostrando que esta condición impacta principalmente su percepción de autoeficacia.

Objective. Self-concept, self-efficacy and quality of life are variables that can be affected in children by the presence of a sensory processing deficit (DPS). This deficit is characterized by failures in the processing of sensations that can cause difficulties in daily performance. The objective of this study is to determine whether or not there is a significant difference in the self-concept, self-efficacy and quality of life of Venezuelan children between 7 and 13 years old with and without Sensory Processing Difficulties (SPD). Methodology. This is a cross-sectional study, with a non-experimental statistical design of comparison of means using the student's t-statistic. The sample consisted of 98 children from 7 to 13 years old, of whom 38 (38.8%) were diagnosed with sensory integration deficit and 60 (61.2%) without deficit. Results. There was evidence of significant differences in academic self-efficacy, where children with SPD showed lower mean scores; as well as in physical self-concept, where children without SPD attained lower scores. No significant differences were found in the quality of life of the samples. This study contributes to a line research in psychological variables that have been little studied in children with sensorial integration deficit, demonstrating that this condition mainly impacts their perception of self-efficacy.

Humans , Male , Female , Child , Adolescent , Quality of Life , Self Concept , Sensation/physiology , Sensation Disorders/physiopathology , Self Efficacy , Perception , Cross-Sectional Studies
Rev. chil. ter. ocup ; 20(2): 99-114, dic. 2020. tab
Article in Spanish | LILACS | ID: biblio-1363772


La presente revisión se centra en proporcionar una visión general de la literatura que identifica estudios enfocados en definir los patrones de procesamiento sensorial en niños menores de 3 años y los enfoques de intervención identificados en esta población. Durante la última década ha existido un crecimiento constante de la literatura relacionada con el procesamiento sensorial en los niños pequeños, sin embargo, la información disponible entre las diferentes publicaciones es aún limitada y segmentada. En esta revisión se recopilaron 15 artículos sobre los patrones de procesamiento sensorial en los niños pequeños y 10 artículos relacionados con los enfoques de intervención para un total de 25 artículos publicados entre 2007 y 2017. Del análisis de la información obtenida acerca de los patrones de procesamiento sensorial, surgieron los siguientes temas: el diagnóstico y los factores de riesgo, el tipo de disfunción del procesamiento sensorial y el impacto funcional. Entre los temas que surgieron al analizar los enfoques de intervención, se destaca la importancia de la familia como un tema general que abarca subtemas de intervención, tales como: estrategias sensoriales, capacitación de los padres e intervenciones grupales. Si bien es necesario continuar desarrollando investigaciones que amplíen nuestro conocimiento en relación con estos temas en general, la evidencia apoya la efectividad de la intervención temprana.

La presente revisión se centra en proporcionar una visión general de la literatura que identifica estudios enfocados en definir los patrones de procesamiento sensorial en niños menores de 3 años y los enfoques de intervención identificados en esta población. Durante la última década ha existido un crecimiento constante de la literatura relacionada con el procesamiento sensorial en los niños pequeños, sin embargo, la información disponible entre las diferentes publicaciones es aún limitada y segmentada. En esta revisión se recopilaron 15 artículos sobre los patrones de procesamiento sensorial en los niños pequeños y 10 artículos relacionados con los enfoques de intervención para un total de 25 artículos publicados entre 2007 y 2017. Del análisis de la información obtenida acerca de los patrones de procesamiento sensorial, surgieron los siguientes temas: el diagnóstico y los factores de riesgo, el tipo de disfunción del procesamiento sensorial y el impacto funcional. Entre los temas que surgieron al analizar los enfoques de intervención, se destaca la importancia de la familia como un tema general que abarca subtemas de intervención, tales como: estrategias sensoriales, capacitación de los padres e intervenciones grupales. Si bien es necesario continuar desarrollando investigaciones que amplíen nuestro conocimiento en relación con estos temas en general, la evidencia apoya la efectividad de la intervención temprana.

Humans , Child , Sensation , Child Development , Occupational Therapy/methods , Sensation Disorders/rehabilitation
Psicol. rev ; 29(1): 9-36, jun. 2020. tab, graf, ilus
Article in Spanish | LILACS, INDEXPSI | ID: biblio-1395888


Se evaluó las propiedades psicométricas de un instrumento para la valoración del proceso sensoperceptivo en niños con Trastorno del Espectro Autista (TEA) entre seis y once años del Estado Carabobo, Venezuela. Se trata de una investigación no experimental, de campo, con un nivel descriptivo. La muestra constó de 49 padres y/o representantes cuyos hijos se encontraban en terapia, así como a 15 terapeutas. Se realizó una guía de observación aplicada a 12 niños de la cual se sustrajo los indicadores más importantes para la valoración de la variable. Seguidamente, se confeccionaron 81 reactivos para el cuestionario de padres y 65 para el de terapeutas con un formato de respuesta policotómico, divididos en seis dimensiones correspondientes a las modalidades sensoriales y sub-dimensiones de la hipo-responsividad y la hiper-responsividad. Los cuestionarios fueron sometidos a juicio de experto, para posteriormente, aplicarse la prueba piloto a la muestra. Se utilizó la prueba Alfa de Cronbach para determinar la confiabilidad inicial, seguidamente se determinó el poder discriminativo de los reactivos, los que no pasaron la muestra fueron eliminados, finalizando con 51 ítems para padres y/o representantes, y 45 para terapeutas, resultando con una confiabilidad alta y muy alta para sus sub-dimensiones, exceptuado la hipo-responsividad visual en el de terapeutas.

Foram avaliadas as propriedades psicométricas de um instrumento utilizado para a avaliação do processo de sensopercepção de crianças com transtorno do espectro autista (TEA), entre seis e onze anos, do Estado de Carabobo, Venezuela. Trata-se de uma pesquisa não experimental, de campo, com nível descritivo. A amostra foi composta por 49 pais e/ou representantes cujos filhos estavam em terapia, bom como 15 terapeutas. Um roteiro de observação foi aplicado em 12 crianças, do qual foram retirados os indicadores mais impor-tantes para a avaliação da variável. Em seguida, 81 itens foram feitos para o questionário dos pais e 65 para o dos terapeutas com formato de resposta policotômica, divididos em seis dimensões correspondentes às modalidades sensoriais e sub-dimensões da hipo-responsividade e da hiper-responsividade. Os questionários foram submetidos a julgamento por especialistas e, posterior-mente, o questionário piloto foi aplicado na amostra. O teste Alfa de Cronbach foi usado para determinar a confiabilidade inicial, em seguida determinou-se o poder discriminativo dos itens. Aqueles que não passaram no teste piloto foram eliminados, terminando com 51 itens para os pais e/ou tutores e 45 para os terapeutas, resultando em uma confiabilidade alta e muito alta para as sub--dimensões, exceto pela hipo-responsividade visual dos terapeutas.

A instrument was evaluated in terms of psychometric properties for the asses-sment of the sensory perception processing in children with autism spectrum disorder (ASD), aged between six and eleven years, residents of Carabobo State, Venezuela. This is a non-experimental field research, with a descriptive level. The sample consisted of 49 parents and / or representatives whose children were in therapy, as well as 15 therapists. An observation guide was applied to 12 children, from which the most important indicators were subtracted for the evaluation of the variable. Then, 81 items were drawn up for the parents' questionnaire and 65 for the therapists with a poly-psychometric response format, divided into six dimensions corresponding to the sensory modalities and sub-dimensions of under-responsiveness and over-responsiveness. The questionnaires were submitted to expert judgment, prior to the pilot applied to the sample. The Cronbach's Alpha test was used to determine the initial reliability, then the discriminative power of the reagents was determined, those that did not pass the test were eliminated, ending with 51 items for parents and / or representatives, and 45 for therapists, resulting in a high and very high reliability for its sub-dimensions, except for the hypo-responsiveness of the therapists.

Humans , Male , Female , Child , Perception , Psychometrics/methods , Sensation , Surveys and Questionnaires , Evaluation Studies as Topic , Validation Studies as Topic , Autism Spectrum Disorder/psychology
J. psicanal ; 53(98): 41-50, jan.-jun. 2020. ilus
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-1154735


Embora as sessões de análise de modo não presencial já fossem uma realidade em alguns contextos, a pandemia causada pelo novo coronavírus faz com que os consultórios dos analistas se transformem em consultórios virtuais de forma abrupta. Desse modo, psicanalistas têm relatado uma sensação de cansaço muito maior ao fim de sessões realizadas nessa modalidade. Um dos fatores que acreditamos estejam relacionados a isso é a diferença de ritmo entre a sessão presencial e a não presencial - estas últimas tendem a ser mais aceleradas e tolerar menos silêncios, sob pena do risco de extinção do encontro analítico. Propomos assim uma reflexão sobre tais fatores, utilizando conceitos da Semiótica Tensiva, do linguista francês Claude Zilberberg, bem como da noção de enquadre como trabalhada por José Bleger e outros autores, construindo assim um trabalho interdisciplinar na interface da semiótica com a psicanálise.

Although remote psychoanalytical sessions were already a reality in certain situations, the covid-19 pandemic transformed the analyst's consulting rooms into virtual ones in a very unexpected and sudden way. Psychoanalysts have reported being more tired than normal at the end of remote sessions. One of the critical differences, that we perceive, between in-person and remote sessions, is that the latter tends to be more accelerated and also tends to tolerate less silent moments, which risks the extinction of the analytical meeting. Therefore, we propose a discussion about these factors using tensive semiotics concepts from the French semiotician Claude Zilberberg as well as using the notion of setting as developed by José Bleger and other authors, to develop an interdisciplinary paper between semiotics and psychoanalysis.

Aunque las sesiones de análisis no presenciales eran realidad en algunas situaciones, la pandemia causada por la covid-19 está transformando los consultorios de los analistas en consultorios virtuales de manera abrupta. Así, psicoanalistas están relatando una sensación de cansancio mucho mayor al final de las sesiones realizadas en esta modalidad. Uno de los factores que creemos estar relacionado a ello es la diferencia de ritmo entre la sesión presencial y la no presencial, porque las sesiones no presenciales tienen tendencia a ser más aceleradas y tolerar menos silencios bajo pena de riesgo de extinción del encuentro analítico. Proponemos una reflexión sobre tales fatores, usando conceptos de semiótica tensiva, del lingüista francés Claude Zilberberg, así como de la noción de encuadre como trabajada por José Bleger y otros autores, construyendo un trabajo interdisciplinar en la interfaz de la semiótica con la psicoanálisis.

Bien que les séances de psychanalyse non-présentielles fussent déjà d'actualité dans certains contextes, la pandémie causée par le covid-19 a soudainement transformé le cabinet du psychanalyste en cabinet virtuel, de sorte que les praticiens ont fait part d'une plus grande fatigue au terme des séances effectuées selon cette modalité. L'un des facteurs que nous y croyons liés est la différence de rythme entre les séances dites présentielles et celles dites non-présentielles, ces dernières tendant à être plus accélérées et à moins tolérer les silences sous peine d'encourir un risque d'extinction de la rencontre analytique. Nous proposons une réflexion sur ces facteurs, à l'aide des concepts de la sémiotique tensive du linguiste français Claude Zilberberg, ainsi que de la notion de cadre telle qu'elle est développée par José Bleger et d'autres auteurs, construisant par là un travail interdisciplinaire à l'interface de la sémiotique et de la psychanalyse.

Psychoanalysis , Sensation , Pandemics , Sadness , Coronavirus Infections
Rev. latinoam. psicol ; 52: 176-183, June 2020. tab
Article in English | LILACS, COLNAL | ID: biblio-1180945


Abstract Sexually transmitted infections (STIs), mainly HIV/AIDS, are acquired through risky sexual behaviors that have been associated with sexual sensation seeking. The purpose of this work is development a new scale for the assessment of sexual sensations seeking, with evidence of validity based on internal structure and relationship to other measures, for use in young people and adults in a Latin American context. An instrumental study was performed, with time-space sampling of students from the two Chilean cities with the highest rates of HIV. Final scale has 9 items to evaluate two dimensions: (1) sexual emotions seeking and (2) tendency to sexual boredom. The identified structure provides good levels of reliability and presents validity evidence, based on the internal structure of the test, using CFA and ESEM. Two-dimensional sexual sensation seeking scale evidence proper psychometric properties to evaluate the seeking for sexual sensations in equivalents samples.

Resumen Resumen Las infecciones de transmisión sexual (ITS), principalmente el VIH/SIDA, son adquiridas a través de comportamientos sexuales de riesgo que se han asociado con la búsqueda de sensaciones sexuales. El propósito de este trabajo es desarrollar un nuevo instrumento de medida para evaluar la búsqueda de sensaciones sexuales en jóvenes y adultos en Latinoamérica. Se realizó un estudio instrumental, con un muestreo espaciotemporal en estudiantes de las dos ciudades chilenas con mayores índices de VIH. La escala final contiene 9 ítems para evaluar dos dimensiones: (1) búsqueda de emociones sexuales y (2) tendencia al aburrimiento sexual. La estructura identificada proporciona niveles adecuados de confiabilidad y presenta evidencia de validez, basada en la estructura interna del test, utilizando AFC y ESEM. La Escala Bidimensional de Búsqueda de Sensaciones Sexuales evidencia propiedades psicométricas adecuadas para eva luar la búsqueda de sensaciones sexuales en muestras equivalentes.

Sensation , Acquired Immunodeficiency Syndrome , Sexually Transmitted Diseases , Emotions
Rev. odontol. UNESP (Online) ; 49: e20200070, 2020. tab
Article in Portuguese | LILACS, BBO | ID: biblio-1144881


Resumo Introdução A Doença de Parkinson (DP) resulta em condições clínicas desfavoráveis para a saúde bucal e não existe estudo publicado sobre dor ao tratamento odontológico em pacientes com DP. Objetivo Pesquisar associação entre características clínicas da DP e a intensidade de dor em decorrência de tratamentos odontológicos. Material e método Foi utilizada uma amostra consecutiva de 70 pacientes com DP, nos quais foram realizados 217 procedimentos odontológicos invasivos. Tempo de DP foi coletado do prontuário odontológico; estágio da DP foi definido por meio da escala de Hoehn e Yahr; défice cognitivo, por meio do Mini Exame do Estado Mental; depressão, por meio do Inventário de Depressão de Beck; e comprometimento motor, por meio da escala UPDRS/AVD. Os pacientes foram questionados se no último mês sentiram alguma sensação de dormência, formigamento, queimação ou dor bem como dificuldade para sentir cheiros ou gostos. A dor relacionada ao tratamento foi coletada por meio de uma escala numérica de dor com valores de 0 a 10. Resultado O nível de dor percebida pelos pacientes durante o tratamento odontológico não apresentou associação significativa com tempo de DP, estágio da DP, comprometimento motor nem ocorrência de depressão. Maior nível de dor foi estatisticamente mais frequente entre aqueles com défice cognitivo e aqueles que relataram a presença de maior número de sintomas sensitivos, sobretudo dormência e queimação. Conclusão A dor ao tratamento odontológico em pacientes com DP está associada aos sintomas não motores desses pacientes, especificamente o défice cognitivo e a presença de sintomas sensitivos.

Abstract Introduction Parkinson's disease (PD) results in unfavorable clinical conditions for oral health and there is no published study on pain during dental treatment in PD patients. Objective To investigate association between clinical characteristics of PD and the intensity of pain due to dental treatments. Material and method A consecutive sample of 70 patients with PD was used, in which 217 invasive dental procedures were performed. PD duration was collected from dental records; PD stage was defined using the Hoehn and Yahr scale; cognitive deficit, using the Mini Mental State Examination; depression, using the Beck Depression Inventory; and motor impairment, using the UPDRS-AVD scale. Patients were asked whether in the last month they felt any numbness, tingling, burning or pain sensation; as well as difficulty in smelling or tasting. Treatment-related pain was collected using a Numerical Pain Scale with values ranging from 0 to 10. Result the level of pain perceived by patients during dental treatment was not significantly associated with PD duration, PD stage, motor impairment or occurrence of depression. The frequency of patients who reported a higher level of pain was statistically higher among those with cognitive impairment and those who reported the presence of a greater number of sensory symptoms, especially numbness and burning. Conclusion Pain related to dental treatment in PD patients is associated with non-motor symptoms of these patients, specifically the cognitive impairment and the presence of sensory symptoms.

Humans , Male , Female , Aged , Parkinson Disease , Association , Dental Care , Pain, Procedural , Parkinson Disease/epidemiology , Sensation , Oral Health , Depression , Pain Perception , Cognitive Dysfunction , Mental Status and Dementia Tests
Article in English | WPRIM | ID: wpr-782067


3) of the pain in domains of tingling/prickling sensation (p=0.024), mechanical allodynia (p=0.027), sudden pain attacks (p=0.018), and thermal hyperalgesia (p=0.002) were significantly more frequent in NMOSD compared to MS patients. Among the patients experiencing pain with a neuropathic component, total pain-related interference (p=0.045) scores were significantly higher in NMOSD patients than in MS patients. In daily life, pain interfered with normal work (p=0.045) and relationships with other people (p=0.039) more often in NMOSD patients than in MS patients. Although pain medication was prescribed more frequently in NMOSD patients, the percentage of patients experiencing medication-related pain relief was lower in those patients.CONCLUSIONS: The severity of neuropathic pain and the pain-related interference in daily life were greater in NMOSD patients than in MS patients. Individualized analgesic management should be considered based on a comprehensive understanding of neuropathic pain in these patients.

Humans , Hyperalgesia , Korea , Multiple Sclerosis , Neuralgia , Neuromyelitis Optica , Referral and Consultation , Sensation , Sex Ratio
Ciênc. Saúde Colet. (Impr.) ; 25(supl.1): 2457-2460, Mar. 2020.
Article in English | LILACS | ID: biblio-1101067


Abstract Mental disorders (MD) are commonly comorbid with cardiovascular, metabolic, and some infectious diseases. Since the current SARS-CoV-2 epidemic is affecting the most multimorbid individuals, we might expect that the epidemic will be particularly problematic for people with MD. Understanding the burden of an outbreak on mental health is fundamental to effective action towards containing the spread of the disease, as psychopathology might reduce endurance during the lockdown. This can potentially reduce adhesion to ongoing treatment resulting in avoidable recurrence of a disorder. Additionally, there is the stress caused by the eminent risk of infection or economic uncertainty, especially in low-middle income settings. This is an overview on the expected influence of the COVID-19 on mental health from a research group that has not long ago been involved in the Zika epidemic. It aims to discuss the effects of the pandemic on a Low and Middle-Income country (LMIC), Brazil.

Resumo Os Transtornos Mentais (TM) são comorbidades comuns associadas a doenças cardiovasculares, metabólicas e algumas doenças infecciosas. Como a atual epidemia de SARS-CoV-2 está afetando mais os indivíduos multimórbidos, podemos esperar que a epidemia seja particularmente problemática para pessoas com TM. Compreender o ônus de um surto na saúde mental é fundamental para uma ação de contenção eficaz da propagação da doença, pois a psicopatologia pode reduzir a resistência durante o confinamento. Que pode potencialmente reduzir a adesão ao tratamento em andamento, resultando na recorrência evitável de um distúrbio. Além disso, há o estresse causado pelo risco eminente de infecção ou incerteza econômica, especialmente em ambientes de baixa e média renda. Esta é uma "overview" sobre a potencial influência do COVID-19 na saúde mental realizada por um grupo de pesquisa que não faz muito tempo esteve envolvido na epidemia de Zika. Ela tem como objetivo discutir os efeitos da pandemia do COVID-19 em um país de baixa e média renda, Brasil.

Humans , Pneumonia, Viral/psychology , Pneumonia, Viral/epidemiology , Mental Health , Coronavirus Infections/psychology , Coronavirus Infections/epidemiology , Developing Countries , Pandemics , Betacoronavirus , Sensation , Social Isolation , Bipolar Disorder/psychology , Bipolar Disorder/therapy , Brazil , Family , Caregivers , Coronavirus Infections , Dementia/nursing , Multimorbidity , Health Services Accessibility , Mental Disorders/psychology , Mental Disorders/drug therapy , Mental Disorders/epidemiology