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array:24 [ "pii" => "S1807593222018051" "issn" => "18075932" "doi" => "10.6061/clinics/2012(06)20" "estado" => "S300" "fechaPublicacion" => "2012-06-01" "aid" => "1805" "copyright" => "CLINICS" "copyrightAnyo" => "2012" "documento" => "article" "crossmark" => 0 "licencia" => "https://creativecommons.org/licenses/by-nc/3.0/" "subdocumento" => "fla" "cita" => "Clinics. 2012;67:673" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => array:19 [ "pii" => "S1807593222018063" "issn" => "18075932" "doi" => "10.6061/clinics/2012(06)21" "estado" => "S300" "fechaPublicacion" => "2012-06-01" "aid" => "1806" "copyright" => "CLINICS" "documento" => "article" "crossmark" => 0 "licencia" => "https://creativecommons.org/licenses/by-nc/3.0/" "subdocumento" => "fla" "cita" => "Clinics. 2012;67:675" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:9 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">READERS OPINION</span>" "titulo" => "Anesthesia-related mortality in children: the better we know the patient, the better we can predict it" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "675" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Eduardo Mekitarian Filho" "autores" => array:1 [ 0 => array:2 [ "nombre" => "Eduardo Mekitarian" "apellidos" => "Filho" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1807593222018063?idApp=UINPBA00004N" "url" => "/18075932/0000006700000006/v1_202212011548/S1807593222018063/v1_202212011548/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S180759322201804X" "issn" => "18075932" "doi" => "10.6061/clinics/2012(06)19" "estado" => "S300" "fechaPublicacion" => "2012-06-01" "aid" => "1804" "copyright" => "CLINICS" "documento" => "article" "crossmark" => 0 "licencia" => "https://creativecommons.org/licenses/by-nc/3.0/" "subdocumento" => "fla" "cita" => "Clinics. 2012;67:669-71" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">READERS OPINION</span>" "titulo" => "A familial rearrangement(3;5;9) with paternal and maternal transmission leading to a duplication 3p/deletion 5p infant" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "669" "paginaFinal" => "671" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig2" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1264 "Ancho" => 774 "Tamanyo" => 118360 ] ] "descripcion" => array:1 [ "en" => "<p id="spara20" class="elsevierStyleSimplePara elsevierViewall">FISH karyotype analyses of the patient (a) and his balanced mother (b-d). a: The 3p subtel probe (<span class="elsevierStyleItalic">green</span>) hybridized to both the normal 3 and the der(9). b: The 5p subtel probe (<span class="elsevierStyleItalic">green</span>) hybridized to both the normal 5 and the der(3). c: The combined cri du chat (<span class="elsevierStyleItalic">green/red</span>)/Sotos (<span class="elsevierStyleItalic">green</span>) probe confirmed the translocation of 5p15.2→pter onto 3p24.3; i.e., the der(3) had both 5p or cri du chat signals, whereas the der(5) exhibited only the 5q35 Sotos signal. d: The ABL (<span class="elsevierStyleItalic">red</span>)/BCR probe (<span class="elsevierStyleItalic">green</span>) hybridized to both the normal 9 and the der(5) and to both copies of chromosome 22. DAPI counterstained images are on the <span class="elsevierStyleItalic">right</span>.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Horacio Rivera, María G Domínguez" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Horacio" "apellidos" => "Rivera" ] 1 => array:2 [ "nombre" => "María G" "apellidos" => "Domínguez" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S180759322201804X?idApp=UINPBA00004N" "url" => "/18075932/0000006700000006/v1_202212011548/S180759322201804X/v1_202212011548/en/main.assets" ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">READERS OPINION</span>" "titulo" => "Cardiorespiratory parameters before and after acupuncture: observations in a healthy and diseased state" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "673" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Vikram Mohan, Srijit Das" "autores" => array:2 [ 0 => array:3 [ "nombre" => "Vikram" "apellidos" => "Mohan" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">I</span>" "identificador" => "af1" ] ] ] 1 => array:4 [ "nombre" => "Srijit" "apellidos" => "Das" "email" => array:1 [ 0 => "drsrijit@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">II</span>" "identificador" => "af2" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "c1" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Universiti Teknologi MARA, Faculty of Health Sciences, Department of Physiotherapy, Puncak Alam, Malaysia" "etiqueta" => "I" "identificador" => "af1" ] 1 => array:3 [ "entidad" => "Universiti Kebangsaan Malaysia, Faculty of Medicine, Department of Anatomy, Jalan Raja Muda Abd Aziz, Kuala Lumpur, Malaysia" "etiqueta" => "II" "identificador" => "af2" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "c1" "etiqueta" => "*" "correspondencia" => "Tel.: 006-03-92897263" ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="para10" class="elsevierStylePara elsevierViewall">We read the paper titled “Acupuncture and exercise capacity: A case report” by Nascimento RC et al with great interest (<a class="elsevierStyleCrossRef" href="#bib1">1</a>). The results of the study demonstrated that acupuncture is an efficient tool for improving the exercise capacity of an individual.</p><p id="para20" class="elsevierStylePara elsevierViewall">However, some portions of the methodology remain unclear, and we would like to highlight some published data regarding the treadmill cardiopulmonary exercise test. Basically, a treadmill is a piece of equipment used to measure the status of the heart and is used as a diagnostic and prognostic measurement when the appropriate protocol is selected. We are interested in identifying the ramp protocol used by the authors. Additionally, it would be interesting to know whether the subjects completed the protocol before and after acupuncture treatment. For future case reports or studies, we suggest that the subjects recruited for a program to improve health and well-being need to undergo specific protocols, such as the Bruce or modified Bruce protocol, depending on the design of the exercise program (<a class="elsevierStyleCrossRef" href="#bib2">2</a>).</p><p id="para30" class="elsevierStylePara elsevierViewall">Commenting on the results, the authors reported that the patient showed improvement in his exercise capacity following acupuncture treatment. We would like to comment on the effect of the study on two types of clinical subjects. First, when the techniques are applied to neurological subjects (those paralyzed and semiconscious), oxygen consumption and other variables can improve. Similarly, when these techniques are applied to cardiac patients (those diagnosed as hypertensive), negative effects can occur. Physiologically, the amount of oxygen consumption may cause the heart to become stressed following acupuncture therapy. Under such conditions, the heart needs to pump more blood to cope with the demand, which may increase the heart rate and in turn increase blood pressure. Therefore, it can be said that the results of the study would be desirable for a particular population to increase exercise capacity when it is cautiouslxy used for patients with stable vital parameters.</p><p id="para40" class="elsevierStylePara elsevierViewall">Overall, this is an interesting case report for discussion that may benefit individuals who attend a program to improve their well-being. The authors and the editor need to be applauded for highlighting such an innovative treatment for exercise capacity.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:1 [ "nota" => "<p class="elsevierStyleNotepara" id="cenpara10">No potential conflict of interest was reported.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "REFERENCES" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "cebibsec10" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Acupuncture and exercise capacity: a case report" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => """ RC Nascimento \n \t\t\t\t\t\t\t\t """ 1 => """ CA Hossri \n \t\t\t\t\t\t\t\t """ 2 => """ O Berwanger \n \t\t\t\t\t\t\t\t """ 3 => """ VO Carvalho \n \t\t\t\t\t\t\t\t """ ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.6061/clinics/2012(02)18" "Revista" => array:8 [ "tituloSerie" => "Clinics" "fecha" => "2012" "volumen" => "67" "numero" => "2" "paginaInicial" => "193" "paginaFinal" => "194" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22358248" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S1473309915003552" "estado" => "S300" "issn" => "14733099" ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Evaluation of a new standardized ramp protocol: the BSU/Bruce Ramp protocol" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => """ LA Kaminsky \n \t\t\t\t\t\t\t\t """ 1 => """ MH Whaley \n \t\t\t\t\t\t\t\t """ ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/00008483-199811000-00006" "Revista" => array:7 [ "tituloSerie" => "J Cardiopulm Rehabil" "fecha" => "1998" "volumen" => "18" "numero" => "6" "paginaInicial" => "438" "paginaFinal" => "444" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9857276" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/18075932/0000006700000006/v1_202212011548/S1807593222018051/v1_202212011548/en/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/18075932/0000006700000006/v1_202212011548/S1807593222018051/v1_202212011548/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1807593222018051?idApp=UINPBA00004N" ]
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