Prevention of postoperative pulmonary complications through preoperative physiotherapy interventions in patients undergoing coronary artery bypass graft: literature review.

[Purpose] The purpose of this review is to identify which preoperative physiotherapy interventions are applied in patients undergoing Coronary Artery Bypass Graft. [Participants and Methods] A literature review was carried out using the databases EBSCOhost, Pubmed, LILACS, IBECS, Cochrane and PEDro. Taking into consideration the inclusion and exclusion criteria, 14 studies published in 2006-2017 about preoperative physiotherapy to Coronary Artery Bypass Graft in adults were selected. [Results] Preoperative physiotherapy included interventions such as inspiratory muscle training, aerobic exercise, education in breathing exercises and counselling. Most of the studies described a combination of these interventions illustrating benefits for patients as decreasing the risk of developing postoperative pulmonary complications, reducing the length of hospitalization as well as time to extubation, anxiety and depression. [Conclusion] Preoperative Physiotherapy in patients undergoing Coronary Artery Bypass Graft includes different interventions, and their effects have been evaluated mainly through a combination of them. These combined interventions, particularly those with an inspiratory muscle training component reduce postoperative pulmonary complications. More studies are needed to identify their impact for patients.

Detección de trastornos alimentarios en niños: adaptación lingüística y conceptual del Children's Eating Attitudes Test (CHEAT) / Detection of eating disorders in children: linguistic and conceptual adaptation of the Children´S Eating Attitudes Test (CHEAT)

Este estudio tiene como objetivo presentar la adaptación lingüística y conceptual del Children`s Eating Attitudes Test (ChEAT, Maloney, McGuire, & Daniels, 1988), uno de los instrumentos de screening más utilizados internacionalmente para detectar trastornos alimentarios (TA) en niños. Con este fin, se procedió a realizar una traducción del instrumento del idioma original -inglés- al idioma local-castellano-. Este primer borrador fue administrado a una primera prueba piloto con niños de entre 9 y 12 años, tras la cual se realizaron modificaciones en la mayoría de los reactivos a fin de adecuarlos al nivel de comprensión y a las expresiones lingüísticas propias de los niños de nuestro medio. A continuación, cinco expertos en TA analizaron el segundo borrador obtenido y evaluaron la adecuación de los ítems para detectar TA en niños. Por último se procedió a evaluar la versión final en una segunda prueba piloto con niños de entre 12 y 13 años. Se mantuvo dicha versión, dado que no se detectaron dificultades. Finalmente, puede concluirse que se cuenta con una adaptación lingüística y conceptualmente adecuada a niños y niñas de nuestro contexto cultural.

The purpose of this work is to present the linguistic and conceptual adaptation of the Children´s Eating Attitudes Test (ChEAT, Maloney, McGuire & Daniels, 1988), one of the best known screening instruments to detect eating disorders (ED) in children. With this end, a translation from the original language -english- to the local one -spanish- was performed. The first draft was tested with children between the ages of 9 to 12 years old, and after that some of the items had to be modified in order to obtain a reliable test of the understanding and linguistic expressions used by the local children. Next, five experts in ED analyzed a second draft and evaluated and assessed the adequacy of the items to evaluate ED in children. Last, a final test was conducted with children between the ages of 12 and 13 years old. This last version was approved due to the fact that there weren´t difficulties found. Finally, the conclusion was that now there is a conceptually adequate linguistic adaptation for children in our environment.