OBJETIVO: investigar a possível relação do Pico de Fluxo Expiratório (PFE) com o Tempo Máximo de Fonação (TMF) em pacientes asmáticos. MÉTODOS: a pesquisa enfocou 16 indivíduos com o diagnóstico de asma pura, sendo 9 do gênero feminino e 7 do gênero masculino, atendidos no serviço ambulatorial de pneumologia do Hospital Júlia Kubitschek em BH. A equipe de pneumologia diagnosticou, classificou a asma e realizou o teste PFE. Posteriormente os pacientes foram submetidos à extração de tempo Máximo de Fonação (TMF) para os sons /a/, /i/, /u/, /e áfono/, /e sonoro/, /s/ e /z/. RESULTADOS: dos pacientes atendidos havia 12,50% (2) com asma tratada, 18,75% (3) com asma persistente leve, 43,75% (7) com asma persistente moderada, 6,25% (1) com asma moderada grave e 18,75% (3) com asma persistente grave. Foi observado que quando o TMF encontrava-se reduzido ocorria também uma redução do PFE e quando havia um aumento do TMF era encontrado no PFE valor também maior. CONCLUSÃO: foi possível observar uma associação e uma correlação entre as medidas TMF e PFE que sugerem uma relação direta dessas medidas.
The present investigation suggested that, among family and school-related matters, having divorced parents and not falling asleep easily were two predictors, even if weak, of a child's self-report of SB.
Background:
Eyelid dermatochalasis is an abnormal distention of the upper eyelid. This article presents a new classification of the lateral dermatochalasis (LDC) of the upper eyelids, which compares the pre- and post-blepharoplasty results and matches its results with those of the well-established Jacobs classification (JEC).
Methods:
LDC classification includes four degrees: grade zero—absence of dermatochalasis; grade 1—lower edge of dermatochalasis above the intersection of the lacrimal caruncle with the edge of the upper eyelid; grade 2—between the intersection of the lacrimal caruncle with the edge of the upper eyelid and the lower edge of the iris at the pupillary midpoint; and grade 3—lower edge of dermatochalasis below the lower edge of the iris. This study was conducted in 100 dermatochalasis cases in patients between 38 and 79 years of age (mean = 59.3) and submitted to upper blepharoplasty.
Results:
No statistically significant association was found between the LDC and JEC methods (P = 0.583). In both classifications, the eyelid dermatochalasis was reduced after blepharoplasty (P < 0.001). However, changes in the degrees of dermatochalasis before blepharoplasty were detected in 100% by LDC, and 41% by JEC. The degree of improvement of dermatochalasis observed by LDC after blepharoplasty showed greater specificity.
Conclusions:
This new classification, LDC, is specific for the lateral eyelid dermatochalasis, which is based on exact anatomical points, and is easy to perform. LDC is superior to JEC, easy to be applied, and effective and specific in detecting variations in dermatochalasis after blepharoplasty.
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