Journal of Clinical and Experimental Research in Cardiology

Objective: To evaluate the impact of myocardial revascularization surgery on upper and lower limb ROM. Introduction: The surgical procedure for myocardial revascularization (MRI) may compromise chest stability, compliance and range of motion (ROM) of the shoulder joint due to sternotomy and knee joint due to saphenectomy. Methodology: This is a prospective cohort study, performed with a group of patients submitted to cardiac surgery. In the preoperative period the ROM was evaluated through a goniometer, for flexion, horizontal abduction and vertical abduction of the right and left shoulder, as well as evaluation of the flexo-extension movement of the right knee. On the day of discharge from the Intensive Care Unit, the patients were reassessed. Results: Twenty patients were evaluated during the time of the study. The majority were men 14 (70%), with a mean age of 60 ± 10 years. Regarding ROM, it was verified that all the movements presented a significant reduction in the postoperative period. The right shoulder flexion (75 ± 11ºvs66 ± 8º, p = 0, p <0.01), right shoulder abduction (155 ± 17º vs127 ± 22º, p < (P = 0.02), right vertical abduction (142 ± 24º vs117 ± 22º, p <0.01), left vertical abduction (142 ± 24º vs121 ± 22º, p = 0), left horizontal abduction (79 ± 9º vs70 ± 5º, p=0,02), Knee flexion (100 ± 14º vs75 ± 19º, p <0.01) and knee extension (94 ± 13º vs79 ± 15º, p <0.01). Conclusion: It can be concluded that the surgery promote reduction of the range of joint motion in this sample of patients submitted to myocardial revascularization

Impact of Myocardial Revascularization on the Range of Joint Motion of the Superior and Inferior Members

Introduction: The surgical procedure for myocardial revascularization (MRI) may compromise chest stability, compliance and range of motion (ROM) of the shoulder joint due to sternotomy and knee joint due to saphenectomy. Objective: To evaluate the impact of myocardial revascularization surgery on upper and lower limb ROM Methodology: This is a prospective cohort study, performed with a group of patients submitted to cardiac surgery. In the preoperative period the ROM was evaluated through a goniometer, for flexion, horizontal abduction and vertical abduction of the right and left shoulder, as well as evaluation of the flexo-extension movement of the right knee. On the day of discharge from the Intensive Care Unit, the patients were reassessed. Results:Twenty patients were evaluated during the time of the study. The majority were men 14 (70%), with a mean age of 60 ± 10 years. Regarding ROM, it was verified that all the movements presented a significant reduction in the postoperative period. The right shoulder flexion (75 ± 11ºvs66 ± 8º, p = 0, p &lt;0.01), right shoulder abduction (155 ± 17º vs127 ± 22º, p &lt; (P = 0.02), right vertical abduction (142 ± 24º vs117 ± 22º, p &lt;0.01), left vertical abduction (142 ± 24º vs121 ± 22º, p = 0), left horizontal abduction (79 ± 9º vs70 ± 5º, p=0,02), Knee flexion (100 ± 14º vs75 ± 19º, p &lt;0.01) and knee extension (94 ± 13º vs79 ± 15º, p &lt;0.01). Conclusion: It can be concluded that the surgery promote reduction of the range of joint motion in this sample of patients submitted to myocardial revascularization.</jats:p

Pollen analysis of Holocene sediments from the Poço das Antas National Biological Reserve, Silva Jardim, Rio de Janeiro, Brazil

The Poço das Antas National Biological Reserve is located in Rio de Janeiro State, southeast Brazil. This paper presents information on past environmental characteristics of the area through pollen analysis. Two sedimentary columns were collected and five samples were selected for radiocarbon dating. The following ages of the columns from bottom to top were detected: column 1 - 1.20-1.16 m: 6080 ±40 years BP, 0.775-0.735 m: 4090 ±40 years BP, 0.385-0.345 m: 1880 ±80 years BP; column 2 - 1.22-1.18 m: 3520 ±40 years BP, 0.23-0.19 m: 1810 ±40 years BP. Three samples from column 1 and two samples from column 2 were selected for pollen analysis: 1.20 m, 0.77 m and 0.37 m of column1 and 1.22 m and 0.21 m of column 2. Chemical treatment followed standard methodology. The palynological analysis shows that around 6080 years BP the study area was dominated by a rain forest and from around 4090 years BP the vegetation changed to a fragmented forest, restricted to low hills and surrounded by an open area of grassland and pioneer plants, swamps and peat areas. The pollen assemblage of the samples 3520, 1880 and 1810 years BP suggest the permanence of this kind of vegetation between 4000 years BP and the actual.<br>A Reserva Biológica de Poço das Antas localiza-se no Estado do Rio de Janeiro, na região sudeste do Brasil. O presente estudo teve por objetivo fornecer informações a respeito de características ambientais pretéritas da área por meio de análises palinológicas. Foram coletadas duas colunas de sedimentos e cinco amostras foram selecionadas para datação pelo método de radiocarbono, revelando as seguintes idades, da base ao topo dos testemunhos: coluna 1 - 1,20-1,16 m: 6080 ± 40 anos AP, 0,775-0,735 m: 4090 ± 40 anos AP e 0,38-0,34 m: 1880 ± 80 anos AP; coluna 2 - 1,22-1,18 m: 3520 ± 40 anos AP e 0,23-0,19 m, 1810 ± 40 anos AP. Foram retiradas três amostras da coluna 1 e duas da coluna 2 para análise palinológica: 1,20 m, 0,77 e 0,37 m da coluna 1 e 1,22 m e 0,21 m da coluna 2. O tratamento químico foi baseado em metodologia padrão de preparação de amostras palinológicas. A análise palinológica indica que em torno de 6080 anos AP a área de estudo era dominada pela Floresta Ombrófila e que, por volta de 4090 anos AP, a vegetação tinha mudado para uma floresta fragmentada, restrita às baixas colinas circundadas por áreas de campo aberto, pantanosas e turfosas. A permanência desse tipo de vegetação entre 4000 anos AP e o atual é sugerida pelas amostras datadas de 3520,1880 e 1810 anos AP

Incorporação das ciências sociais na produção de conhecimentos sobre trabalho e saúde Incorporation of the social sciences in the production of knowledge about work and health

Este artigo apresenta uma revisão bibliográfica sobre a influência das ciências sociais para a superação de concepções reducionistas de relação trabalho-saúde, nas duas últimas décadas. Trata-se de um tipo de diagnóstico da produção científica, no qual destacam-se: as contribuições para a caracterização da saúde do trabalhador, como campo de conhecimento e de intervenção, e para a análise da política e das práticas das instituições públicas; as abordagens compreensivas e as questões de gênero. Efetuou-se um levantamento de artigos de periódicos indexados e de dissertações e teses de pós-graduação. Foram consultados: o banco de dissertações e teses da Coordenação de Aperfeiçoamento do Ensino Superior e do Instituto Brasileiro de Informação em Ciência e Tecnologia; a Biblioteca Virtual em Saúde da Biblioteca Regional de Medicina e o site do Scientific Electronic Library On-line. Constatou-se a predominância de estudos sobre temáticas específicas e determinadas categorias de trabalhadores, em contraposição a tentativas de abordagens totalizadoras. Apesar dos notáveis avanços em termos de conhecimento, existe carência significativa de investigações sobre segmentos da população trabalhadora que apresentam maior vulnerabilidade social.<br>This article presents a bibliographical revision on the influence of the social sciences to overcome the reducing conceptions of relationship work-health, in the last two decades. It is a type of diagnosis of the scientific production, in which outstanding aspects are: the contributions for the characterization of the worker’s health, as knowledge field and of intervention, and for the analysis of the politics and of the practices of the public institutions; the comprehensive approaches and gender questions. It was conducted an assessment of indexed journals and masters degree dissertations and doctoral thesis. It was consulted: the bank of dissertations and thesis organized by the Coordination of Improvement of the Higher Education and for the Brazilian Institute of Information in Science and Technology; the Virtual Library in Health of the Regional Library of Medicine and Scientific Electronic site On-line Library. It was verified the predominance of studies on specific themes and certain categories of workers, in opposition to attempts of totalizing approaches. In spite of the outstanding progresses in knowledge terms and of enlargement of study objects, significant lack of investigations exists on segments of the working population that present larger social vulnerability