Objective: To compare religious coping (RC) in patients with COPD and healthy individuals, as well as to determine whether RC is associated with demographic characteristics, quality of life, depression, and disease severity in the patients with COPD. Methods: This was a cross-sectional study conducted between 2014 and 2016, involving outpatients with moderate to severe COPD seen at one of two hospitals in Fortaleza, Brazil, as well as gender- and age-matched healthy controls. The Brief RCOPE scale assessed RC in all of the participants. We also evaluated the COPD group patients regarding symptoms, quality of life, and depression, as well as submitting them to spirometry and a six-minute walk test. Results: A total of 100 patients were evaluated. The mean age was 67.3 ± 6.8 years, and 54% were men. In the COPD group, the mean positive RC score was significantly higher than was the mean negative RC score (27.17 ± 1.60 vs. 8.21 ± 2.12; p = 0.001). The mean positive RC score was significantly higher in women than in men (27.5 ± 1.1 vs. 26.8 ± 2.8; p = 0.02). Negative RC scores were significantly higher in the COPD group than in the control group (p = 0.01). Negative RC showed an inverse association with six-minute walk distance (6MWD; r = −0.3; p < 0.05) and a direct association with depressive symptoms (r = 0.2; p < 0.03). Positive RC correlated with none of the variables studied. Multiple regression analysis showed that negative RC was associated with 6MWD (coefficient = −0.009; 95% CI: −0.01 to −0.003). 6MWD explained the variance in negative RC in a linear fashion. Conclusions: Patients with COPD employ negative RC more often than do healthy individuals. Exercise capacity and depressive symptoms are associated with negative RC.

ResumoO transplante é uma intervenção terapêutica utilizada no tratamento de indivíduos com doenças terminais do fígado. Os pacientes candidatos ao transplante geralmente já apresentam alteração da função hepática que, associada ao procedimento cirúrgico, pode provocar sérias modificações da funcionalidade, em especial as cardiorrespiratórias. A Fisioterapia tem papel importante no pré e pós-operatório de transplante de fígado, tendo em vista à preservação da funcionalidade e o retorno precoce as atividades laborais e pessoais. Este estudo realizou uma revisão bibliográfica narrativa e integrativa sobre a atuação fisioterapêutica no transplante hepático. Foi realizado um levantamento nas bases virtuais de dados eletrônicas, Bireme (MedLine e Lilacs), nas línguas portuguesa e inglesa, utilizando como palavra-chave "transplante hepático", utilizada de forma isolada ou em associação com o descritor "fisioterapia". Foram encontrados 598 artigos. Somente 3 atenderam aos critérios de inclusão. Embora a Fisioterapia seja de extrema importância nos casos de transplante hepático, poucos são os estudos publicados relacionados ao tema, sugerindo a necessidade premente de mais pesquisas na área. Palavras-chave:

<p>The aim of the study was to investigate the postural and load distribution symmetries in preschool children. The sample consisted of 67 preschool children with a median age of 54.00 ± 5.06 months. Postural parameters such as the horizontal alignment of the head, the acromion and Antero Superior Iliac Spines (ASIS), the angles between the acromial and ASIS, frontal, Q, knee and ankle and horizontal asymmetry of the scapula in relation to T3 were evaluated by photogrammetry. The baropodometry was used to identify the distribution of plantar pressure, while the medial arch of the foot was analyzed by photographic image. The median, standard deviation and the symmetry ratio were calculated for each parameter considered symmetry values greater than 90%. The Pearson’s or Spearman’s correlation were used between the parameters analyzed. There was asymmetric for postural and load distribution parameters for both genders and a null correlation between the symmetry of the surface and foot morphology and negative weak correlation significant between of the load foot and the front angle of the lower limb symmetries. The presence of asymmetries, postural and/or of load distribution, observed in early childhood suggest the importance of monitoring the postural and foot load parameters in the long term, preventing future postural and biomechanical alterations.</p>

BACKGROUND: Fatigue is highly prevalent in end stage liver disease, the studies about its association with exercise capacity in cirrhotic patients before liver are scarse. OBJECTIVE: In this study, we evaluated fatigue in 95 in end stage liver disease patients awaiting transplantation, compared to healthy volunteers, and tested the association between exercise capacity and fatigue. METHODS: Cross-sectional study of patients with chronic liver disease treated at a referral center in Fortaleza, Brazil. Fatigue was quantified with the Fatigue Severity Scale. The patients were submitted to the 6-min walk test, the 6-min step test, the Hospital Anxiety and Depression Scale, C-reative protein measurement and hematocrit count, measurement of dyspnea among other tests. Fatigue data were obtained from healthy individuals for comparison with patients. RESULTS: The mean age of patients was 45.9±12.3 years, and 53.7% were male. Fatigue, anxiety and depression levels were higher among end stage liver disease patients than among controls. A negative correlation was observed between 6 min step test and Fatigue Severity Scale score (r= -0.2; P=0.02) and between hematocrit count and Fatigue Severity Scale score (r= -0.24; P=0.002). Dyspnea on the Borg scale and fatigue were positively correlated (r=31; P=0.002). In the multivariate analysis, low 6-min step test values and high levels of dyspnea were associated with fatigue. CONCLUSION: Fatigue was more prevalent and severe in end stage liver disease patients than in healthy controls. Low 6MST values and high levels of dyspnea were associated with fatigue in this scenario.