Avaliação muscular isocinética do quadríceps em indivíduos com doença pulmonar obstrutiva crónica

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Maria Pereira, Helena Santa-Clara, Ernesto Pereira, Sérgio Simões, Índia Remédios, João Cardoso, José Brito, Jan Cabri, Bo Fernhall" "autores" => array:9 [ 0 => array:2 [ "nombre" => "Ângela Maria" "apellidos" => "Pereira" ] 1 => array:2 [ "nombre" => "Helena" "apellidos" => "Santa-Clara" ] 2 => array:2 [ "nombre" => "Ernesto" "apellidos" => "Pereira" ] 3 => array:2 [ "nombre" => "Sérgio" "apellidos" => "Simões" ] 4 => array:2 [ "nombre" => "Índia" "apellidos" => "Remédios" ] 5 => array:2 [ "nombre" => "João" "apellidos" => "Cardoso" ] 6 => array:2 [ "nombre" => "José" "apellidos" => "Brito" ] 7 => array:2 [ "nombre" => "Jan" "apellidos" => "Cabri" ] 8 => array:2 [ "nombre" => "Bo" "apellidos" => "Fernhall" ] ] ] ] ] "idiomaDefecto" => "pt" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915300696?idApp=UINPBA00004E" "url" => "/08732159/0000001600000005/v1_201509151505/S0873215915300696/v1_201509151505/pt/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S0873215915300672" "issn" => "08732159" "doi" => "10.1016/S0873-2159(15)30067-2" "estado" => "S350" "fechaPublicacion" => "2010-09-01" "aid" => "2" "copyright" => "Sociedade Portuguesa de Pneumologia/SPP" "documento" => "simple-article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "edi" "cita" => "Rev Port Pneumol. 2010;16:709-15" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1864 "formatos" => array:3 [ "EPUB" => 205 "HTML" => 993 "PDF" => 666 ] ] "pt" => array:9 [ "idiomaDefecto" => true "cabecera" => "Editorial/Editorial" "titulo" => "Importância de factores extrapulmonares – depressão, fraqueza muscular, qualidade de vida – na evolução da DPOC" "tienePdf" => "pt" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "709" "paginaFinal" => "715" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Role of extra-pulmonary factors – depression, muscle weakness, health-related quality of life – in DPOC evolution" ] ] "contienePdf" => array:1 [ "pt" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Fátima Rodrigues" "autores" => array:1 [ 0 => array:2 [ "nombre" => "Fátima" "apellidos" => "Rodrigues" ] ] ] ] ] "idiomaDefecto" => "pt" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915300672?idApp=UINPBA00004E" "url" => "/08732159/0000001600000005/v1_201509151505/S0873215915300672/v1_201509151505/pt/main.assets" ] "pt" => array:15 [ "idiomaDefecto" => true "cabecera" => "Artigo Original/Original Article" "titulo" => "Avaliação muscular isocinética do quadríceps em indivíduos com doença pulmonar obstrutiva crónica" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "717" "paginaFinal" => "736" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Luciana Vieira, Martim Bottaro, Rodrigo Celes, Carlos Alberto de Assis Viegas, César Augusto Melo e Silva" "autores" => array:5 [ 0 => array:4 [ "nombre" => "Luciana" "apellidos" => "Vieira" "email" => array:1 [ 0 => "lutavernard@yahoo.com.br" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "1" "identificador" => "af0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cr0005" ] ] ] 1 => array:3 [ "nombre" => "Martim" "apellidos" => "Bottaro" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "2" "identificador" => "af0010" ] ] ] 2 => array:3 [ "nombre" => "Rodrigo" "apellidos" => "Celes" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "2" "identificador" => "af0010" ] ] ] 3 => array:3 [ "nombre" => "Carlos Alberto" "apellidos" => "de Assis Viegas" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "3" "identificador" => "af0015" ] ] ] 4 => array:3 [ "nombre" => "César Augusto Melo" "apellidos" => "e Silva" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "1" "identificador" => "af0005" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Fisioterapeuta, Centro de Fisioterapia, Hospital Universitário de Brasília/Physiotherapist, Physiotherapy Unit, Hospital Universitário de Brasília" "etiqueta" => "1" "identificador" => "af0005" ] 1 => array:3 [ "entidad" => "Educador físico, Programa de Graduação em Educação Física, Universidade de Brasília/Physical Educator, Graduate Programme in Physical Education, Universidade de Brasília" "etiqueta" => "2" "identificador" => "af0010" ] 2 => array:3 [ "entidad" => "Médico, Serviço de Pneumologia, Hospital Universitário de Brasília/Physician, Pulmonology Unit, Hospital Universitário de Brasília" "etiqueta" => "3" "identificador" => "af0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cr0005" "etiqueta" => "*" "correspondencia" => "Correspondência/Correspondence to: SQS 402 Bloco R Apartamento 301 Asa Sul, CEP: 70236-180 – Brasília/DF – Brasil, Telefone: 55-61-35327956" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Isokinetic muscle evaluation of quadriceps in patients with chronic obstructive pulmonary disease" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2010-06-02" "fechaAceptado" => "2010-06-08" "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec570252" "palabras" => array:4 [ 0 => "Doença pulmonar obstrutiva crónica" 1 => "força muscular" 2 => "teste isocinético" 3 => "padrões de referência" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec570253" "palabras" => array:4 [ 0 => "Chronic obstructive pulmonary disease" 1 => "muscle strength" 2 => "isokinetic test" 3 => "reference standards" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "Contexto: A debilidade muscular tem impacto significativo na qualidade de vida do indivíduo com doença pulmonar obstrutiva crónica (DPOC), correlacionando-se com o número de exacerbações e a mortalidade. Medir a força muscular torna-se, portanto, de extrema importância. A ausência de padronização quanto ao número de séries e intervalo de recuperação no protocolo de avaliação isocinética pode gerar resultados díspares, dificultando a compreensão e a comparação a entre os estudos. Objectivo: Análise do efeito de duas séries e três intervalos de repouso na medida de força isocinética do quadríceps, a fim de identificar o protocolo adequado para a realização do teste. Métodos: Indivíduos com DPOC grave ou muito grave realizaram três testes isocinéticos para avaliação da musculatura extensora do joelho, à velocidade angular de 60°·s−1, com intervalos de recuperação de 30, 60 ou 120 segundos. Cada teste consistiu em duas séries de cinco repetições, nas quais foram mensurados pico de torque, trabalho total e índice de fadiga. Resultados: Nos 20 indivíduos estudados (66,1±7,4 anos, 70±10,8kg, 167,4±± 6,2cm, VEF1 36,5±10,1% do predito) não houve diferença significativa nos valores de pico de torque, trabalho total e índice de fadiga, independente do número de séries ou da duração do intervalo de recuperação entre elas. Conclusão: Em indivíduos com DPOC grave ou muito grave, a força muscular do quadríceps pode ser avaliada por meio de protocolo isocinético composto por uma série de contracções com cinco repetições; se forem realizadas duas séries, 30 segundos de intervalo entre elas é suficiente para garantir a recuperação muscular.Rev Port Pneumol 2010; XVI (5): 717-736" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "Rationale: Muscle debility has a significant impact on health-related quality of life in subjects with chronic obstructive pulmonary disease (COPD), and is correlated to exacerbation and even mortality. Assessing muscle strength is extremely relevant. Lack of standardisation in numbers of sets and rest interval in isokinetic test protocol can lead to distinct results, making comprehension and comparisons among studies difficult. Aim: To analyse the effect of two sets and three different rest intervals on isokinetic strength measurement of quadriceps tests, in order to define the adequate test protocol. Methods: Subjects with severe or very severe COPD underwent three isokinetic tests to evaluate knee extensor muscle strength, at an angular velocity of 60°·s−1, with rest intervals of 30, 60 and 120 seconds. Each test consisted of two sets of five repetitions, during which peak torque, total work and fatigue index were measured. Results: In 20 studied subjects (66.1±7.4years, 70±10.8kg, 167.4±6.2cm, FEV1 36.5±10.1%), there were no significant differences in peak torque, total work and fatigue index, independent of number of sets or rest interval between sets. Conclusion: In subjects with severe or very severe COPD, quadriceps muscle strength can be evaluated by an isokinetic protocol with one set of five repetitions. If two sets are performed, a rest interval of 30 seconds is enough to ensure muscle recovery between sets.Rev Port Pneumol 2010; XVI (5): 717-736" ] ] "lecturaRecomendada" => array:1 [ 0 => array:3 [ "vista" => "all" "titulo" => "Bibliografia/Bibliography" "seccion" => array:1 [ 0 => array:2 [ "vista" => "all" "bibliografiaReferencia" => array:57 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Systemic manifestations and comorbidities of COPD" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "P.J. Barnes" 1 => "B.R. 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Maltais" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1164/rccm.2107031" "Revista" => array:6 [ "tituloSerie" => "Am J Respir Crit Care Med" "fecha" => "2002" "volumen" => "166" "paginaInicial" => "809" "paginaFinal" => "813" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12231489" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bb0060" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Fraqueza muscular esquelética e intolerância ao exercício em pacientes com doença pulmonar obstrutiva crónica" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "K.R. Silva" 1 => "K.T. Marrara" 2 => "D.M. Marino" 3 => "V.A. DiLorenzo" 4 => "M. Jamami" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Rev Bras Fisioter" "fecha" => "2008" "volumen" => "12" "paginaInicial" => "169" "paginaFinal" => "175" ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bb0065" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Skeletal muscle function in COPD" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "R. Casaburi" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "2000" "volumen" => "117" "paginaInicial" => "267s" "paginaFinal" => "271s" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10843945" "web" => "Medline" ] ] ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bb0070" "etiqueta" => "14." 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Artigo Original/Original Article

Avaliação muscular isocinética do quadríceps em indivíduos com doença pulmonar obstrutiva crónica

Isokinetic muscle evaluation of quadriceps in patients with chronic obstructive pulmonary disease

Luciana Vieira1,

Corresponding author

lutavernard@yahoo.com.br

Correspondência/Correspondence to: SQS 402 Bloco R Apartamento 301 Asa Sul, CEP: 70236-180 – Brasília/DF – Brasil, Telefone: 55-61-35327956

, Martim Bottaro2, Rodrigo Celes2, Carlos Alberto de Assis Viegas3, César Augusto Melo e Silva1

1 Fisioterapeuta, Centro de Fisioterapia, Hospital Universitário de Brasília/Physiotherapist, Physiotherapy Unit, Hospital Universitário de Brasília

2 Educador físico, Programa de Graduação em Educação Física, Universidade de Brasília/Physical Educator, Graduate Programme in Physical Education, Universidade de Brasília

3 Médico, Serviço de Pneumologia, Hospital Universitário de Brasília/Physician, Pulmonology Unit, Hospital Universitário de Brasília

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        "titulo" => "Isokinetic muscle evaluation of quadriceps in patients with chronic obstructive pulmonary disease"
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        "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Contexto&#58;</span> A debilidade muscular tem impacto significativo na qualidade de vida do indiv&#237;duo com doen&#231;a pulmonar obstrutiva cr&#243;nica &#40;DPOC&#41;&#44; correlacionando-se com o n&#250;mero de exacerba&#231;&#245;es e a mortalidade&#46; Medir a for&#231;a muscular torna-se&#44; portanto&#44; de extrema import&#226;ncia&#46; A aus&#234;ncia de padroniza&#231;&#227;o quanto ao n&#250;mero de s&#233;ries e intervalo de recupera&#231;&#227;o no protocolo de avalia&#231;&#227;o isocin&#233;tica pode gerar resultados d&#237;spares&#44; dificultando a compreens&#227;o e a compara&#231;&#227;o a entre os estudos&#46; <span class="elsevierStyleBold">Objectivo&#58;</span> An&#225;lise do efeito de duas s&#233;ries e tr&#234;s intervalos de repouso na medida de for&#231;a isocin&#233;tica do quadr&#237;ceps&#44; a fim de identificar o protocolo adequado para a realiza&#231;&#227;o do teste&#46; <span class="elsevierStyleBold">M&#233;todos&#58;</span> Indiv&#237;duos com DPOC grave ou muito grave realizaram tr&#234;s testes isocin&#233;ticos para avalia&#231;&#227;o da musculatura extensora do joelho&#44; &#224; velocidade angular de 60&#176;<span class="elsevierStyleHsp" style=""></span>&#183;<span class="elsevierStyleHsp" style=""></span>s<span class="elsevierStyleSup">&#8722;<span class="elsevierStyleHsp" style=""></span>1</span>&#44; com intervalos de recupera&#231;&#227;o de 30&#44; 60 ou 120 segundos&#46; Cada teste consistiu em duas s&#233;ries de cinco repeti&#231;&#245;es&#44; nas quais foram mensurados pico de torque&#44; trabalho total e &#237;ndice de fadiga&#46; <span class="elsevierStyleBold">Resultados&#58;</span> Nos 20 indiv&#237;duos estudados &#40;66&#44;1<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>7&#44;4 anos&#44; 70<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>10&#44;8<span class="elsevierStyleHsp" style=""></span>kg&#44; 167&#44;4<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>&#177; 6&#44;2<span class="elsevierStyleHsp" style=""></span>cm&#44; VEF<span class="elsevierStyleInf">1</span> 36&#44;5<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>10&#44;1&#37; do predito&#41; n&#227;o houve diferen&#231;a significativa nos valores de pico de torque&#44; trabalho total e &#237;ndice de fadiga&#44; independente do n&#250;mero de s&#233;ries ou da dura&#231;&#227;o do intervalo de recupera&#231;&#227;o entre elas&#46; <span class="elsevierStyleBold">Conclus&#227;o&#58;</span> Em indiv&#237;duos com DPOC grave ou muito grave&#44; a for&#231;a muscular do quadr&#237;ceps pode ser avaliada por meio de protocolo isocin&#233;tico composto por uma s&#233;rie de contrac&#231;&#245;es com cinco repeti&#231;&#245;es&#59; se forem realizadas duas s&#233;ries&#44; 30 segundos de intervalo entre elas &#233; suficiente para garantir a recupera&#231;&#227;o muscular&#46;</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010&#59; XVI &#40;5&#41;&#58; 717-736</span></p></span>"
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        "titulo" => "Abstract"
        "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rationale&#58;</span> Muscle debility has a significant impact on health-related quality of life in subjects with chronic obstructive pulmonary disease &#40;COPD&#41;&#44; and is correlated to exacerbation and even mortality&#46; Assessing muscle strength is extremely relevant&#46; Lack of standardisation in numbers of sets and rest interval in isokinetic test protocol can lead to distinct results&#44; making comprehension and comparisons among studies difficult&#46; <span class="elsevierStyleBold">Aim&#58;</span> To analyse the effect of two sets and three different rest intervals on isokinetic strength measurement of quadriceps tests&#44; in order to define the adequate test protocol&#46; <span class="elsevierStyleBold">Methods&#58;</span> Subjects with severe or very severe COPD underwent three isokinetic tests to evaluate knee extensor muscle strength&#44; at an angular velocity of 60&#176;<span class="elsevierStyleHsp" style=""></span>&#183;<span class="elsevierStyleHsp" style=""></span>s<span class="elsevierStyleSup">&#8722;<span class="elsevierStyleHsp" style=""></span>1</span>&#44; with rest intervals of 30&#44; 60 and 120 seconds&#46; Each test consisted of two sets of five repetitions&#44; during which peak torque&#44; total work and fatigue index were measured&#46; <span class="elsevierStyleBold">Results&#58;</span> In 20 studied subjects &#40;66&#46;1<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>7&#46;4<span class="elsevierStyleHsp" style=""></span>years&#44; 70<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>10&#46;8<span class="elsevierStyleHsp" style=""></span>kg&#44; 167&#46;4<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>6&#46;2<span class="elsevierStyleHsp" style=""></span>cm&#44; FEV<span class="elsevierStyleInf">1</span> 36&#46;5<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>10&#46;1&#37;&#41;&#44; there were no significant differences in peak torque&#44; total work and fatigue index&#44; independent of number of sets or rest interval between sets&#46; <span class="elsevierStyleBold">Conclusion&#58;</span> In subjects with severe or very severe COPD&#44; quadriceps muscle strength can be evaluated by an isokinetic protocol with one set of five repetitions&#46; If two sets are performed&#44; a rest interval of 30 seconds is enough to ensure muscle recovery between sets&#46;</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010&#59; XVI &#40;5&#41;&#58; 717-736</span></p></span>"
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Article information

ISSN: 08732159
Original language: Portuguese

DOI:10.1016/S0873-2159(15)30068-4

The statistics are updated each day

Year/Month	Html	Pdf	Total

2024 November	2	7	9
2024 October	25	34	59
2024 September	0	8	8
2024 August	42	35	77
2024 July	39	30	69
2024 June	34	32	66
2024 May	27	31	58
2024 April	33	32	65
2024 March	38	30	68
2024 February	22	28	50
2024 January	23	35	58
2023 December	26	24	50
2023 November	18	21	39
2023 October	20	41	61
2023 September	21	26	47
2023 August	17	25	42
2023 July	18	21	39
2023 June	22	29	51
2023 May	32	29	61
2023 April	22	15	37
2023 March	25	30	55
2023 February	27	23	50
2023 January	20	17	37
2022 December	21	30	51
2022 November	33	38	71
2022 October	33	26	59
2022 September	22	37	59
2022 August	33	34	67
2022 July	21	42	63
2022 June	20	32	52
2022 May	35	39	74
2022 April	23	31	54
2022 March	37	30	67
2022 February	27	34	61
2022 January	27	38	65
2021 December	21	38	59
2021 November	31	30	61
2021 October	28	46	74
2021 September	31	35	66
2021 August	20	24	44
2021 July	30	20	50
2021 June	15	34	49
2021 May	34	31	65
2021 April	38	53	91
2021 March	51	18	69
2021 February	49	14	63
2021 January	26	15	41
2020 December	34	11	45
2020 November	37	20	57
2020 October	29	18	47
2020 September	75	24	99
2020 August	46	24	70
2020 July	60	20	80
2020 June	49	15	64
2020 May	39	16	55
2020 April	51	13	64
2020 March	61	9	70
2020 February	37	17	54
2020 January	46	13	59
2019 December	46	25	71
2019 November	55	16	71
2019 October	52	16	68
2019 September	48	25	73
2019 August	47	15	62
2019 July	30	23	53
2019 June	36	11	47
2019 May	42	22	64
2019 April	53	21	74
2019 March	47	9	56
2019 February	43	6	49
2019 January	52	17	69
2018 December	23	6	29
2018 November	5	0	5
2018 October	4	6	10
2018 September	11	7	18
2018 August	50	21	71
2018 July	32	24	56
2018 June	56	18	74
2018 May	39	25	64
2018 April	44	27	71
2018 March	42	43	85
2018 February	19	8	27
2018 January	28	17	45
2017 December	18	19	37
2017 November	27	19	46
2017 October	22	13	35
2017 September	18	12	30
2017 August	23	18	41
2017 July	14	16	30
2017 June	20	25	45
2017 May	33	12	45
2017 April	12	5	17
2017 March	16	61	77
2017 February	15	2	17
2017 January	12	8	20
2016 December	16	7	23
2016 November	10	3	13
2016 October	9	6	15
2016 September	2	8	10
2016 August	4	1	5
2016 July	3	2	5
2016 June	0	1	1
2016 April	6	22	28
2016 March	4	8	12
2016 February	8	8	16
2016 January	12	9	21
2015 December	6	6	12
2015 November	5	1	6
2015 October	2	2	4

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