RESUMO
Rehabilitation improves the functional prognosis of patients after a neurologic lesion, and tendency is to begin rehabilitation as soon as possible. This review focuses on the interest and the feasibility of very early rehabilitation, initiated from critical care units. It is necessary to precisely assess patients' impairments and disabilities in order to define rehabilitation objectives. Valid and simple tools must support this evaluation. Rehabilitation will be directed to preventing decubitus complications and active rehabilitation. The sooner rehabilitation is started; the better functional prognosis seems to be.
Assuntos
Doenças do Sistema Nervoso/reabilitação , Atividades Cotidianas , Cognição/fisiologia , Cuidados Críticos , Depressão/diagnóstico , Depressão/etiologia , Depressão/psicologia , Avaliação da Deficiência , Humanos , Vida Independente , Limitação da Mobilidade , Doenças do Sistema Nervoso/complicações , Doenças do Sistema Nervoso/psicologia , Exame Neurológico , Testes Neuropsicológicos , Postura/fisiologia , Prognóstico , Testes de Função Respiratória , Tromboembolia/complicaçõesRESUMO
The purpose of this study was to determine the prevalence of back pain in school children and the role of several contributing factors; 1178 school children of both sexes answered a previously validated questionnaire. The cumulative prevalence of back pain was 51.2%. Lumbar and leg pain, and thoracic pain were more common. After multivariate analysis, five qualitative variables were correlated with back pain with a statistical, significant positive correlation with age, previous back injury, volley-ball, female sex and time spent watching television.
Assuntos
Dor nas Costas/epidemiologia , Adolescente , Adulto , Fatores Etários , Dor nas Costas/etiologia , Criança , Feminino , Humanos , Atividades de Lazer , Masculino , Análise Multivariada , Prevalência , Fatores de Risco , Fatores Sexuais , Inquéritos e QuestionáriosRESUMO
pH induced changes of bacteriostatic activity of nalidixic, pipemidic and oxolinic acids have been studied in vitro by the determination of minimal inhibitory concentrations (MIC), on 9 different species and 172 strains, at pH 5, 6, 7 and 8 and with increasing antibiotic concentrations. The bacteriostatic activity of nalidixic acid is higher at acid pH and conversely the bacteriostatic effects of pipemidic and oxolinic acids are enhanced at basic pH. The relationship between pH and MIC seems to be more dependent on the type of the micro-organism than on the antibiotic which is tested. A study of the bactericidal effect of quinolones on E. Coli and Pr. Morganii has shown a sharp increase of bactericidal activity at basic pH. These results support the idea that alkalinization is a useful addition to the treatment of severe urinary infections by quinolones.
