The present study showed the importance of physical activity practice in the preoperative stage on the outcomes of coronary artery bypass surgery. The patients physically active had a shorter hospital length of stay and a lower number of both trans- and postoperative complications within 1 year. The cardiac surgery promoted the patients' change of habits, increasing the number of physically active patients during the 1-year follow-up.

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RESUMO -O propósito deste estudo foi avaliar, através de uma série de casos, a relação entre tensão neural adversa do nervo mediano (TNAm) e o parâmetro eletrofisiológico em 38 pacientes com sintomas da s í n d rome do túnel do carpo (STC), submetidos a estudos de condução nervosa (ECN). As principais medidas foram a TNAm obtida no teste de provocação de tensão neural (TPTN) e parâmetros dos ECN, dividindose os braços avaliados em três grupos: normal, com alteração eletrofisiológica sem gravidade e com alteração e l e t rofisiológica grave. Correlação significante entre TNAm e parâmetros dos ECN foram encontrados (p<0,05), bem como entre a TNAm e os três grupos definidos pela alteração eletrofisiológica (r s = + 0 . 4 3 7 , p=0,002). Va l o res de TNAm foram significantemente maiores nos braços com diagnóstico eletro f i s i o l ó g i c o (p=0,007). Sugere-se que a TNAm tem participação na fisiopatologia da STC, indicando o uso de procedimentos terapêuticos que diminuam ou previnam a tensão neural.PALAVRAS-CHAVE: síndrome do túnel do carpo, teste de tensão do membro superior, condução nervosa, terapia manual.Relationship between adverse neural tension and nerve conduction studies in patients with symptoms of the carpal tunnel syndrome ABSTRACT -The purpose of this study was to evaluate, through a series of cases, the relationship between the adverse neural tension of median nerve (ANTm) and the electrophysiological involvement in 38 patients with symptoms of the carpal tunnel syndrome (CTS), submitted to nerve conduction studies (NCS). The main measures had been ANTm (in degrees) obtained through the test of neural tension pro v o c a t i o n (TNTP) and parameters of the NCS, divided into three groups: normal, without severe electro p h y s i o l o g i c a l alteration and with severe electrophysiological alteration. Significant correlations were found between ANTm and parameters of the NCS (p<0.05), as well as between ANTm and the three groups defined by the electrophysiologic alteration (r s =+0.437, p=0.002). The TNAm values were significantly higher in the arms with electrophysiologic diagnoses (p=0.007). It is suggested that the ANTm does have a participation in the physiopathology of the CTS, and the useof therapeutical pro c e d u res that diminish the development of neural tension.KEY WORDS: carpal tunnel syndrome, upper limb tension test, nerve conduction, manual therapy.A síndrome do túnel do carpo (STC) é considerada a mais comum entre as neuropatias por compre s s ã o . Causada por pressão elevada no túnel do carpo, o que produz isquemia no nervo mediano, re s u l t a n d o em parestesia, dor e compromentimento na estru t u r a de mielina com alterações eletrofisiológicas nos estudos de condução nervosa (ECN) 1 -3 . Quando há isquemia prolongada, ocorre lesão axonal e a disfunção n e rvosa pode ser irreversível, levando a prejuízo funcional da mão 4 -6 . Incidência de 0,1% a 1,5% é encontrada na população geral norte-americana 7,8 , sendo realizadas aproximadamente 450000 ciru rgias de

Introduction: Part of the prognosis of hospitalized patient depends on nutritional status and the safety and efficacy of the feeding administration route. Therefore, the aim of this study was to identify data on the indication of nasoenteric tube (NET) prescription to analyze the profile of these patients. Methods: A retrospective cross-sectional study was carried out with data collection in medical records of patients over 18 years of age, of both sexes, treated at the Emergency Adult Service (EAS), using NET. Results: there was a predominance of females (51.9%); neurological disease was the most prevalent underlying disease, and 57.8% had more than one diagnosed disease. Malnutrition, bronchopneumonia, and dysphagia were present in 23.6%, 27% and 40% of the cases, respectively. There was a request for speech-language evaluation in only 8.7% of the patients. And 80.7% did not use NET prior to emergency care. Regarding the indications for the use of NET by group of underlying disease, low food intake was the most prevalent clinical reason described in the medical records, followed by dysphagia, with a higher prevalence of patients taking NET for nutritional reasons. There was no justification for prescription in 15.2% of the sample. There was an association between the variables bronchopneumonia and dysphagia (p = 0.01). Conclusion: It was verified that in the studied population there are risk factors for dysphagia. The analysis of the population profile in the present study contributed to increased knowledge and information about this population regarding the criteria for indication of the use of the alternative route.

objectIve. To compare the Cleveland Clinical Score and EuroSCORE when evaluating patients submitted to elective CABGS in Rio Grande do Sul, RS, Brazil. Methods. This was a cohort study of 202 patients given CABGS between January 2006 and March 2007. Surgical risk was categorized according to the Cleveland Clinic Score and the EuroSCORE as low, medium or high. The incidence of deaths was measured over a 60-day period. results. The mean age of patients was 62±10 years and 134 (66%) of them were men. A correlation was observed between the scores for classifying patients into different levels of risk. According to the Cleveland Clinic score and the EuroSCORE, respectively, patients were categorized as follows: 142(70.3%) and 155(76.7%) low risk patients, 56(27.7%) and 43(21.3) intermediate risk patients and 4(2%) and 4(2%) high risk patients; with a Kaplan correlation coefficient of 0.432; p0.001. Thirteen (13, 6.4%) patients died during the first 60 days after surgery. There was a correlation between greater incidence of death and higher risk categories for both the Cleveland Clinic score and the EuroSCORE. Deaths occurred in the Cleveland and EuroSCORE risk groups, respectively, as follows: 6 (4.4%) and 7 (4.5%) in the low risk group; 5 (8.9%) and 5 (11.6%) in the intermediate risk group and 2 (50%) 3 1(25%) in the high risk group. Observed sensitivity for surgical mortality prediction was 72.5% and 66.5% for the Cleveland score and EuroSCORE respectively. conclusIon. The Cleveland Clinic and EuroSCORE surgical risk prediction instruments are both moderately effective for predicting mortality among elective CABGS patients.