Publications by authors named "Torres-Castro R"

Article Synopsis
  • The study focuses on comparing methods for normalizing electromyographic signals from respiratory muscles in both healthy individuals and those with Amyotrophic Lateral Sclerosis (ALS).
  • 67 subjects (50 healthy and 17 with ALS) were analyzed during various breathing maneuvers to measure muscle activity.
  • The results indicated that for healthy individuals, maximal voluntary isometric contraction (MVIC) was the best method for assessing inspiratory muscle activity, while in ALS patients, the maximum nasal inspiratory pressure (SNIP) maneuver was more effective for inspiratory muscle normalization.
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Article Synopsis
  • This study investigates the prevalence of cardiovascular risk factors in children and adolescents during the COVID-19 pandemic using the Life's Essential 8 domains.
  • It analyzed 62 studies involving over 1.5 million participants from 42 countries, focusing on factors like diet, physical activity, and obesity.
  • The findings reveal significant prevalence rates of poor diet (26.69%), inadequate physical activity (70.81%), and other health issues, indicating a need for early prevention strategies to improve cardiovascular health.
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Aim: To determine reference values and propose prediction equations for respiratory muscle strength, maximal inspiratory pressure (MIP), maximal expiratory pressure (MEP), and endurance by means of maximal voluntary ventilation (MVV) in healthy Brazilian adults.

Methods: Anthropometric data, level of physical activity, pulmonary function, and respiratory muscle strength and maximal voluntary ventilation of 243 participants (111 men and 132 women) aged 20 to 80 years were assessed at three cities in the southeast and northeast region of Brazil.

Results: Mean maximal respiratory pressures and MVV were higher in men (MIP = 111.

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Objective: Describe the survival, sociodemographic and clinical characteristics of subjects with disorders of consciousness in a reference rehabilitation center, in a developing country.

Methods: Patients with disorders of consciousness (DoC) caused by acquired neurological injuries, admitted between the years 2002-2018 in a neurorehabilitation center. Extracted data covered demographics, clinical details, survival time, and discharge information.

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Article Synopsis
  • Evidence-based practice (EBP) is essential for informed clinical decisions in healthcare, highlighting the need for assessing and improving practitioners' skills in Latin America.
  • A study involving 448 respiratory health professionals revealed moderate to high levels of EBP knowledge and application, influenced by factors like training and access to research literature.
  • The research identified institutional barriers to EBP implementation, suggesting opportunities for improvement in this field among healthcare providers in the region.
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Rationale: Intensive care unit-acquired weakness (ICUAW) is common in critically ill patients, characterized by muscle weakness and physical function loss. Determining risk factors for ICUAW poses challenges due to variations in assessment methods and limited generalizability of results from specific populations, the existing literature on these risk factors lacks a clear and comprehensive synthesis.

Objective: This overview aimed to synthesize risk factors for ICUAW, categorizing its modifiable and nonmodifiable factors.

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Background And Objective: Patients with pulmonary hypertension (PH) may present with hypoxaemia at rest or during daily activities. There is no epidemiological data on the prescription of long-term oxygen therapy (LTOT) in patients with PH. The study sought to analyse the prevalence and incidence of LTOT prescription among patients with pulmonary arterial hypertension (PAH) or chronic thromboembolic pulmonary hypertension (CTEPH) in Spain and to determine predictors for this prescription.

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Purpose Of Review: To provide timely and relevant insights into the complex relationship between pulmonary vascular disease (PVD) and chronic lung disease (CLD), focusing on the causative and consequential dynamics between these conditions.

Recent Findings: There are shared pathogenic mechanisms between pulmonary arterial hypertension (PAH) and group 3 pulmonary hypertension, including altered expression of mediators and growth factors implicated in both conditions. Factors such as hypoxia, hypoxemia, and hypercapnia also contribute to pulmonary vascular remodelling and endothelial dysfunction.

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The sit-to-stand test provides insight into age-related functional capacity; however, there are various variants of sit-to-stand, and we do not know which of these better discriminates against age-related functional capacity. Our study aimed to compare the age-related functional capacity in older people by evaluating sit-to-stand power variants, using young individuals as a reference. A cross-sectional study was conducted in 102 adults (57 women) aged 60-80 and 105 adults (54 women) aged 20-30.

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Background: Chronic cough is a frequent reason for seeking consultation with primary care providers. The recent widespread adoption of virtual care offers a promising alternative that can be used to optimize the assessment and management of this condition. The objective of this review was to map and identify the strategies used to assess and/or manage chronic cough virtually, and to explore their impact on cough severity and patient satisfaction with virtual care.

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Objectives: The conduct of systematic reviews (SRs) and overviews share several similarities. However, because the unit of analysis for overviews is the SRs, there are some unique challenges. One of the most critical issues to manage when conducting an overview is the overlap of data across the primary studies included in the SRs.

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Background: Most patients with haematological malignancies who undergo allogeneic haematopoietic stem cell transplant (HSCT) receive chemotherapy before the transplant to control the disease. Certain chemotherapy drugs can cause lung toxicity. Conversely, in patients with chronic respiratory conditions, the 6-min walking test (6MWT) and the desaturation-distance ratio (DDR) have demonstrated prognostic significance.

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Introduction: Obesity is a chronic medical condition that affects, among others, the cardiovascular and respiratory systems. Interventions for its treatment focus on sustained weight reduction and general health improvement, leaving respiratory management aside. Our objective was to determine the effects of inspiratory muscle training (IMT) in patients with obesity.

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Background: COVID-19 has been one of the most critical public health challenges of recent decades. This disease develops severely in one in five patients, and approximately 5% require admission to a critical care unit. Due to the impact of the sequelae, the Post-COVID-19 Functional Status Scale (PCFS) was developed.

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Background: Exercise intolerance, muscle weakness, dyspnoea, and fatigue are frequent complications in symptomatic sarcoidosis patients. Pulmonary rehabilitation improves exercise capacity, symptoms, and quality of life in patients with chronic respiratory diseases. Our objective was to systematically determine the effects of pulmonary rehabilitation in patients with sarcoidosis.

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Introduction: Maximal inspiratory and expiratory pressures (PImax/PEmax) reference equations obtained in healthy people are needed to correctly interpret respiratory muscle strength. Currently, no clear cut-off points defining respiratory muscle weakness are available. We aimed to establish sex-specific reference equations for PImax/PEmax in a large sample of healthy adults and to objectively determine cut-off points for respiratory muscle weakness.

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Article Synopsis
  • A study examined post-COVID-19 patients to assess their functional capacity and exertional desaturation upon hospital discharge, focusing on factors like high-flow nasal cannula use and prolonged hospitalization.* -
  • Out of 381 participants, about 51% experienced exertional desaturation, and significant associations were found between this condition and the use of high-flow nasal cannulas, hospital stays longer than 10 days, and instances of pulmonary embolism.* -
  • Overall, the majority of patients displayed reduced functional capacity, as measured by the 1-minute sit-to-stand test, highlighting the impact of severe COVID-19 on recovery outcomes.*
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Pulmonary hypertension (PH) is a common complication of chronic lung diseases, particularly in chronic obstructive pulmonary disease (COPD) and interstitial lung diseases (ILD) and especially in advanced disease. It is associated with greater mortality and worse clinical course. Given the high prevalence of some respiratory disorders and because lung parenchymal abnormalities might be present in other PH groups, the appropriate diagnosis of PH associated with respiratory disease represents a clinical challenge.

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Article Synopsis
  • * The methodology involves a comprehensive search of multiple databases and two independent reviewers for study selection, data extraction, and quality appraisal to evaluate the overlap and justification for existing SRs.
  • * Ethical concerns are minimal as the study does not involve human subjects, but it aims for rigor and systematic analysis to provide reliable insights into the quality and consistency of findings in early mobilization research.
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Background: Studies exploring long COVID condition (LCC) in low- and middle-income countries are scarce. Further characterization of LCC patients experiencing activity limitations and their associated healthcare use is needed. This study aimed to describe LCC patients' characteristics, its impact on activities, and associated healthcare use in Latin America (LATAM).

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Background: Given the beneficial effects of exercise in different populations and the close relationship between healthy ageing and sleep quality, our objective was to determine if physical exercise delivered through a structured program improves sleep quality in older adults.

Methods: Embase, PubMed/MEDLINE, Web of Science, and Cochrane Register of Clinical Trials (CENTRAL) were searched to 15 January 2023. Studies that applied physical exercise programs in older adults were reviewed.

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Introduction: One of the most conflicting methodological issues when conducting an overview is the overlap of primary studies across systematic reviews (SRs). Overlap in the pooled effect estimates across SRs may lead to overly precise effect estimates in the overview. SRs that focus on exercise-related interventions are often included in overviews aimed at grouping and determining the effectiveness of various interventions for managing specific health conditions.

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