Publications by authors named "Fernanda Mayrink Goncalves Liberato"

Background: After hysterectomy, women could experience pelvic floor dysfunction and negative impact on quality of life, which could be improved by pelvic floor muscle training.

Objective: To investigate effects of pelvic floor muscle training on urinary symptoms, vaginal prolapse, sexual function, pelvic floor muscle strength, and quality of life after hysterectomy.

Methods: Systematic review with meta-analyses of randomized controlled trials.

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Article Synopsis
  • The study aimed to evaluate the quality of randomized controlled trials (RCTs) that analyze injectable treatments for painful temporomandibular joint disorders after arthrocentesis, focusing on how well these interventions are described.
  • A total of 9,793 articles were screened, with 19 RCTs ultimately included in the analysis, revealing that important details about the interventions—such as modifications and who performed them—were often lacking.
  • The research found no correlation between the quality of intervention descriptions (TIDieR) and the overall methodological quality (PEDro) of the RCTs, suggesting that even well-conducted trials may not thoroughly report all necessary details for reproducibility.
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Objectives: To analyze the evolution of clinical and anthropometric characteristics of children and adolescents with cystic fibrosis (CF) over 24 months, including the period of the COVID-19 pandemic.

Methods: A longitudinal study with data collection from May 2018 to November 2020 in physical and electronic records from a pediatric reference center, including individuals with CF aged up to 18 years.

Results: The sample encompassed 72 individuals.

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  • The systematic review analyzed the effectiveness of non-invasive therapies, such as massage, shockwave therapy, and laser treatment, on adults with burn scars, focusing on pain and pruritus.
  • Results from 15 trials with 780 participants showed significant reductions in pain and pruritus intensity with these therapies, but only low-to-moderate evidence was found for improvements in elasticity and vascularization of scars.
  • The conclusion suggests that while non-invasive therapies can effectively manage pain and itching, their impact on scar's elasticity and blood flow is less certain.
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  • This study assessed the validity of the FACIT-Sp-12 scale, which measures spiritual wellbeing, in Brazilian adolescents facing chronic health issues.
  • It involved 301 participants with conditions like cancer and type 1 diabetes, utilizing various analytical methods to explore the scale's internal structure.
  • The results indicated that a one-dimensional model was more appropriate for the scale than the originally proposed two or three-factor models, showing strong reliability and goodness of fit.
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Background: Autonomic nervous system balance is altered in cystic fibrosis (CF), although its influence on physical fitness has been poorly explored.

Objective: This study aimed to evaluate the association of heart rate variability (HRV) with exercise capacity and levels of daily physical activity in children and adolescents with mild-to-moderate CF.

Methods: A cross-sectional study including individuals with CF aged 6-18 years, not under CFTR modulator therapy, was performed.

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Objective/background: Sleep disorders in cystic fibrosis may be present before daytime clinical manifestations, regardless of lung function impairment, affecting quality of life and disease progression. This study investigated the prevalence of obstructive sleep apnea in children and adolescents with cystic fibrosis and preserved lung function or mild impairment, and evaluated its association with clinical variables.

Methods: A systematic review with meta-analysis of prevalence was conducted, including observational studies with polysomnographies in patients with cystic fibrosis who presented mean lung function values > 60% predicted.

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Objective: To assess the association of sleep disorders with the findings of heart rate variability (HRV) in children and adolescents with cystic fibrosis (CF).

Methods: Cross-sectional study including children and adolescents aged six to 18 years with a clinical diagnosis of CF. Sociodemographic and clinical data were collected.

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Objective: To evaluate the presence of sleep disorders and its associations with exercise capacity and daily physical activity levels among children and adolescents with CF.

Methods: Children age 6-18 years with a diagnosis of CF were recruited. Information regarding sociodemographic profile, pulmonary function and nutritional status were collected.

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Objectives: To investigate the adherence and the self-reported barriers to general and respiratory exercises reported by individuals with cystic fibrosis (CF).

Study Design: An exploratory, experimental study.

Methods: Community-dwelling individuals aged 16 years and over, diagnosed with CF, who were accompanied in referral centers were included.

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Article Synopsis
  • Children and adolescents with cystic fibrosis (CF) often experience sleep disorders, including obstructive sleep apnea syndrome (OSAS) and nocturnal hypoxemia, which can occur before visible symptoms arise during the day.
  • The study found that the prevalence of OSAS was 32.3% and nocturnal hypoxemia was 29%, both linked to poorer lung function and increased healthcare needs, like longer hospital stays and more antibiotic use.
  • A significant relationship was identified between low nighttime oxygen saturation levels and decreased pulmonary function, indicating that sleep quality in CF patients is critical for overall health and recovery.
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