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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">Asthma is a chronic respiratory disease characterized by increased bronchial responsiveness&#44; reversible airflow obstruction&#44; and bronchial inflammation&#44; which is considered the main physiopathogenic aspect of the disease&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;2</span></a> The World Health Organization estimates that 235 million people suffer from asthma worldwide&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">Posture is defined as a balanced arrangement of the body structures determined by the position of all the body segments at a given moment&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> In normal postural alignment&#44; the muscles and joints are expected to be in a state of equilibrium while exhibiting minimal effort and overload&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> The postural stance associated with thorax hyperinflation might induce a series of compensations involving the vertebral column and the scapular belt and pelvic girdle&#46; Thus&#44; patients with chronic respiratory diseases may develop changes in posture and balance&#46;<a class="elsevierStyleCrossRefs" href="#bib0030"><span class="elsevierStyleSup">6&#8211;9</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Patients with asthma exhibit excessive respiratory muscle recruitment in response to airflow obstruction&#44; which results in adaptive hypertrophy&#46;<a class="elsevierStyleCrossRefs" href="#bib0030"><span class="elsevierStyleSup">6&#44;7</span></a> Because these muscles are repeatedly under tension&#44; they become shorter and lose flexibility&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">10</span></a> However&#44; since there is a biomechanical interdependence in the human locomotor system&#44; any mechanical abnormality in the thoracic cage influences the overall body mechanics&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">11</span></a> In this sense&#44; postural assessment is of fundamental importance for the diagnosis&#44; planning&#44; and monitoring of the progress and results of physical therapy&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Obesity is a common condition among adults with asthma and is usually associated with symptom exacerbation and use of oral corticosteroids&#46;<a class="elsevierStyleCrossRefs" href="#bib0060"><span class="elsevierStyleSup">12&#44;13</span></a> Obese asthmatic individuals exhibit reduced pulmonary function and poorer quality of life than eutrophic patients&#46;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">14</span></a> Population-based studies suggest that high values of body fat and low values of fat-free mass &#40;FFM&#41; are predictors of mortality that are independent of the underlying disease&#46;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">15</span></a> In addition&#44; the percentages of fat mass &#40;FM&#41; and FFM directly correlate with pulmonary function&#46; It has been demonstrated that weight loss and body mass index &#40;BMI&#41; reduction is associated with improvement in pulmonary function&#46;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">16</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">Asthma might cause systemic repercussions due to its severity and the effects of treatment&#46;<a class="elsevierStyleCrossRefs" href="#bib0060"><span class="elsevierStyleSup">12&#44;13</span></a> Our hypothesis is that&#44; in adults with asthma&#44; the changes in respiratory mechanics and obesity interfere with body posture&#46; We believe that knowledge about the impact of pulmonary function abnormalities and obesity on body posture can help prevent postural impairments in these patients&#46; Thus&#44; our primary objective was to assess the correlation between pulmonary function and posture&#46; Secondarily&#44; we aimed to investigate the correlation between body composition and body posture in this group of patients&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Methods</span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Patients</span><p id="par0030" class="elsevierStylePara elsevierViewall">We conducted a cross-sectional study with adult patients recruited at the Newton Bethlem Community Health Clinic in the city of Rio de Janeiro&#44; Brazil&#46; Patients aged 18&#8211;50 years old who were diagnosed with asthma were included&#46; Patients who were ex-smokers&#44; used psychotropic drugs or had a history of respiratory comorbidities were excluded&#46; The present study was approved &#40;n&#176; 012&#47;2011&#41; by the Ethics Committee of the institution&#44; and all participants signed informed consent forms&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Measurements</span><p id="par0035" class="elsevierStylePara elsevierViewall">Postural assessment was performed by means of photogrammetry using the postural assessment software &#40;PAS&#41; &#40;FAPESP Virtual Incubator&#44; SP&#44; Brazil&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">17</span></a> Coordinates of anatomical points &#40;right and left tragus&#44; right and left acromion&#44; right and left greater trochanter of the femur&#44; and spinous processes of the seventh cervical and third thoracic vertebrae&#41; were labeled with passive markers &#40;styrofoam balls attached with double-sided adhesive tape&#41;&#44; and photographs of the anterior&#44; posterior&#44; and right and left lateral views were taken for all participants&#46; Then&#44; the photographs were transferred to a compatible microcomputer and analyzed&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">The following tests were performed using the computerized <span class="elsevierStyleItalic">Collins Plus Pulmonary Function Testing Systems</span> &#40;Warren E&#46; Collins&#44; Inc&#46;&#44; Braintree&#44; MA&#44; USA&#41;&#58; spirometry&#44; whole-body plethysmography&#44; measurement of diffusing capacity for carbon monoxide &#40;DLco&#41;&#44; and assessment of respiratory muscle strength&#46; All spirometric tests followed the standards and interpretation of the American Thoracic Society &#40;ATS&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">18</span></a> Pereira&#39;s &#40;spirometry&#41; and Neder&#39;s &#40;lung volumes&#44; D<span class="elsevierStyleInf">LCOsb</span>&#44; and muscle strength&#41; equations were used for interpreting functional parameters&#46;<a class="elsevierStyleCrossRefs" href="#bib0095"><span class="elsevierStyleSup">19&#8211;22</span></a></p><p id="par0045" class="elsevierStylePara elsevierViewall">Body composition was analyzed using a bioelectrical impedance device &#40;BIA 310e&#44; Biodynamics&#44; Seattle&#44; WA&#44; USA&#41;&#46; The participants were instructed to rest for 5<span class="elsevierStyleHsp" style=""></span>min before the exam&#46; During the test they were barefoot&#44; away from metallic objects&#44; and stood with their feet 15&#8211;30<span class="elsevierStyleHsp" style=""></span>cm apart&#46;<a class="elsevierStyleCrossRef" href="#bib0115"><span class="elsevierStyleSup">23</span></a> Two electrodes were placed on the dorsum of the right hand&#44; and two were placed on the dorsum of the right foot&#46; Resistance and reactance were calculated and used to estimate FFM&#46; The selected equation has been previously validated for Brazilian individuals&#58; FFM<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#8722;4&#46;104<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>&#40;0&#46;518<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>height<span class="elsevierStyleSup">2</span>&#47;resistance&#41;<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>&#40;0&#46;231<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>weight&#41;<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>&#40;0&#46;130<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>reactance&#41;<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>&#40;4&#46;229<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>gender&#58; male<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44; female<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0115"><span class="elsevierStyleSup">23</span></a></p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Data analysis</span><p id="par0050" class="elsevierStylePara elsevierViewall">Data are given as median and interquartile ranges &#40;25&#37; and 75&#37; percentiles&#41; or as frequencies &#40;percentages&#41;&#46; Because the Shapiro&#8211;Wilk test determined that the variables were not distributed normally&#44; correlations were assessed with Spearman&#39;s test&#46; Analysis was performed using SigmaStat for Windows&#44; version 3&#46;5 &#40;Systat Software&#44; Inc&#46;&#44; Chicago&#44; IL&#44; USA&#41;&#46; Statistical significance was established as <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#46;</p></span></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Results</span><p id="par0055" class="elsevierStylePara elsevierViewall">Of the forty-six patients with asthma who were initially screened&#44; 12 were excluded for the following reasons&#58; declining to participate &#40;3&#41;&#44; associated restrictive disease &#40;4&#41;&#44; inability to perform the pulmonary function testing &#40;4&#41;&#44; and death &#40;1&#41;&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">The anthropometric&#44; body composition&#44; and pulmonary function data are described in <a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#44; and postural assessment data are shown in <a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a>&#46; Although there was a slight discrepancy between the mean values of the right and left sides&#44; the differences investigated with PAS were not statistically significant &#40;<span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0065" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#tbl0015">Table 3</a> describes the correlation between body composition and postural assessment&#44; whereas <a class="elsevierStyleCrossRef" href="#tbl0020">Table 4</a> shows the correlation between pulmonary function and postural assessment&#59; only the statistically significant data are shown in both tables&#46; A significant correlation was found between postural deviations and indicators of bronchial obstruction&#44; including reduction of the ratio of forced expiratory volume in 1<span class="elsevierStyleHsp" style=""></span>s to forced vital capacity &#40;FEV<span class="elsevierStyleInf">1</span>&#47;FVC&#41;&#44; reduction of the peak expiratory flow &#40;PEF&#41;&#44; increased total lung capacity &#40;TLC&#41; and residual volume &#40;RV&#41;&#44; and increased airway resistance &#40;<span class="elsevierStyleItalic">R</span><span class="elsevierStyleInf">aw</span>&#41;&#46; Postural assessment parameters also exhibited significant correlation with respiratory muscle strength measurements&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><elsevierMultimedia ident="tbl0020"></elsevierMultimedia></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Discussion</span><p id="par0070" class="elsevierStylePara elsevierViewall">The main findings of the present investigation were that&#44; in adult patients with asthma&#44; there is a close association between postural deviations and airways obstruction variables&#44; including &#8216;air trapping&#8217; and hyperinflation&#46; Also&#44; both respiratory muscle strength and body composition contribute to the abnormalities in body posture&#46; To the best of our knowledge&#44; this study is the first to assess the relationship between pulmonary function&#44; posture&#44; and body composition in this group of patients&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall">Posture assessment in a standing position has been increasingly used in clinical practice&#44; as the body alignment observation can be used to plan and monitor physical therapy treatments&#46; Photogrammetry by means of the PAS has been used to assess the correlations between posture&#44; pulmonary function&#44; and body composition&#46;<a class="elsevierStyleCrossRefs" href="#bib0120"><span class="elsevierStyleSup">24&#8211;26</span></a></p><p id="par0080" class="elsevierStylePara elsevierViewall">Compared to normal values&#44;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> we found forward head posture and increased lumbar lordosis among asthmatic individuals&#44; as well as bilateral hip and knee flexion&#46; Although a slight discrepancy was found between the right- and left-side values&#44; the variables investigated by PAS did not exhibit significant differences &#40;<span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41;&#46; This relative symmetry can be justified because asthma affects the lungs diffusely and patients with comorbidities which might cause lateral posture deviations were excluded from the present study&#46;</p><p id="par0085" class="elsevierStylePara elsevierViewall">With regard to body composition&#44; some postural changes such as the horizontal alignment of head and lower limb frontal angle correlated positively with BMI and negatively with FM &#40;&#37;&#41;&#44; whereas the angle of the knee exhibited a significant positive correlation with FFM&#46; The associations between body composition and postural deviations in the lower half of the body were probably because of the greater distribution of body fat in the hips&#46; This distribution pattern of body fat &#40;gynoid pattern obesity&#41; is a common finding among females&#44; who represent the majority of our sample because of the higher prevalence of asthma among female adults&#46;<a class="elsevierStyleCrossRefs" href="#bib0135"><span class="elsevierStyleSup">27&#44;28</span></a> Interestingly&#44; Beckett et al&#46;<a class="elsevierStyleCrossRef" href="#bib0135"><span class="elsevierStyleSup">27</span></a> showed that the asthma is associated with weight gain in women but not in men&#44; independent of physical activity&#59; thus&#44; we think that this finding may have influenced our results&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall">Robles-Ribeiro et al&#46;<a class="elsevierStyleCrossRef" href="#bib0145"><span class="elsevierStyleSup">29</span></a> observed that adult patients with mild to severe asthma exhibit several postural changes&#46; They also noted that shoulder protraction in these patients increased as PEF decreased&#46; However&#44; the present study did not find a correlation between these postural changes and pulmonary function&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">When assessing the correlation between postural variables and respiratory maximum pressures&#44; we found a prevalence of chest and pelvic changes &#40;trunk vertical alignment &#8211; right&#47;trunk vertical alignment &#8211; left&#59; horizontal alignment of the pelvis &#8211; right&#47;horizontal alignment of the pelvis &#8211; left&#59; right hip angle&#47;left hip angle&#41;&#44; which were negatively correlated with MIP and MEP&#46; Abdominal weakness is known to exacerbate lumbar lordosis in children&#44; mainly due to alterations of the oblique and transverse abdominal muscles&#46;<a class="elsevierStyleCrossRef" href="#bib0150"><span class="elsevierStyleSup">30</span></a> This group of muscles plays an important role in vertebral stabilization and forced expiration&#59; therefore&#44; it interferes with MEP measurements&#46; In the present study we observed the same phenomenon in adults&#46;</p><p id="par0100" class="elsevierStylePara elsevierViewall">Boulay et al&#46;<a class="elsevierStyleCrossRef" href="#bib0155"><span class="elsevierStyleSup">31</span></a> observed that the postural behavior of the hyperinflated thorax induces a series of compensations in the thoracic spine&#44; pelvic girdle&#44; and scapular belt because the diaphragm becomes rectified and shortened&#46; Because the diaphragm is directly connected to the endothoracic fascia&#44; thoracic hyperinflation might results in the increase of thoracic kyphosis&#46; We cannot claim that thoracic kyphosis was increased in our sample because the postural assessment software does not analyze this variable&#46; However&#44; we can confirm that&#44; due to the connection of the diaphragm to other thoracic muscles such as the iliopsoas&#44; transverse abdominals&#44; and quadratus lumborum&#44; asthma may lead to pelvic anteversion and lumbar hyperlordosis&#44; which was observed in our sample of patients with asthma and also correlated with lung volumes&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">11</span></a> When evaluating the static lung volumes and <span class="elsevierStyleItalic">R</span><span class="elsevierStyleInf">aw</span> in patients with asthma&#44; the most striking phenomenon is the &#8216;air trapping&#8217; that is the consequence of a delayed alveolar emptying&#46; The TLC can also be increased due to the loss of elastic recoil&#46; Another mechanism involved in TLC increase is the shortening of the expiratory time in patients with asthma&#44; so that inspiration begins before air is entirely expelled from the lungs&#46; These findings might explain the correlations of TLC and <span class="elsevierStyleItalic">R</span><span class="elsevierStyleInf">aw</span> with the modifications of vertical alignment of the trunk observed in the present study&#46;</p><p id="par0105" class="elsevierStylePara elsevierViewall">Unlike Boulay et al&#46;<a class="elsevierStyleCrossRef" href="#bib0155"><span class="elsevierStyleSup">31</span></a>&#44; we did not find a correlation between pelvic misalignment and lung volume&#46; However&#44; we did observe a negative correlation of pelvic misalignment with muscle strength and peak flow&#44; and we observed higher values on the right side for all variables&#46; Our hypothesis is that there is a difference in the extent of pulmonary parenchyma damage&#46; Greater alveolar destruction in one lung results in increased &#8216;air trapping&#8217; and consequent rectification and shortening of the ipsilateral diaphragm&#44; intercostal&#44; and abdominal muscles&#46; These one-sided changes might favor muscle imbalance and result in pelvic unleveling&#46;</p><p id="par0110" class="elsevierStylePara elsevierViewall">Increased DLco has been described in patients with asthma&#44; including those with stable disease&#46;<a class="elsevierStyleCrossRefs" href="#bib0160"><span class="elsevierStyleSup">32&#44;33</span></a> Several mechanisms have been proposed as possible explanations for this abnormality&#44; including increased perfusion of lung apices due to increased pulmonary arterial pressure or more negative pleural pressure as a consequence of bronchial narrowing&#46;<a class="elsevierStyleCrossRef" href="#bib0160"><span class="elsevierStyleSup">32</span></a> In the present study&#44; we did not find any correlations among DLco&#44; body composition&#44; or postural disorders&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">A critical analysis of the results and their limitations is appropriate&#46; Respiratory and peripheral muscle strength and body composition are affected by oral steroid use&#44; which is commonly prescribed to patients with asthma&#46; Therefore&#44; such medications might be a confounding factor&#46; Due to the lack of a control group&#44; we could not establish the influence of corticosteroids in the investigated sample&#46; In addition&#44; the present study is a cross-sectional analysis&#46; It only indicates associations&#44; it does not establish of cause-effect relationships&#46; However&#44; because there are few published studies regarding body posture of this group of patients&#44; we believe that our results are an important contribution to the field&#46;</p><p id="par0120" class="elsevierStylePara elsevierViewall">In conclusion&#44; our study demonstrates that adult patients with asthma exhibit specific postural disorders such as thoracic hyperkyphosis and lumbar hyperlordosis&#46; These postural abnormalities correlate with patients&#8217; pulmonary function and body composition&#46; The assessment of postural variables may provide a better pulmonary rehabilitation approach for these patients&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Ethical disclosures</span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Protection of human and animal subjects</span><p id="par0125" class="elsevierStylePara elsevierViewall">The authors declare that the procedures followed were in accordance with the regulations of the relevant clinical research ethics committee and with those of the Code of Ethics of the World Medical Association &#40;Declaration of Helsinki&#41;&#46;</p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Confidentiality of data</span><p id="par0130" class="elsevierStylePara elsevierViewall">The authors declare that they have followed the protocols of their work center on the publication of patient data and that all the patients included in the study received sufficient information and gave their written informed consent to participate in the study&#46;</p></span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">Right to privacy and informed consent</span><p id="par0135" class="elsevierStylePara elsevierViewall">The authors have obtained the written informed consent of the patients or subjects mentioned in the article&#46; The corresponding author is in possession of this document&#46;</p></span></span><span id="sec0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0120">Authorship&#47;collaborators</span><p id="par0145" class="elsevierStylePara elsevierViewall">V&#237;vian Pinto de Almeida&#44; Fernando Silva Guimar&#227;es&#44; Sara Lucia Silveira de Menezes&#44; Thiago Thomaz Mafort and Agnaldo Jos&#233; Lopes contributed to the conception and project&#44; article review and approval of the final version of the manuscript&#46; Vanessa Joaquim Ribeiro Mo&#231;o carried out the analysis and interpretation of data&#44; article review and approval of the final version of the manuscript&#46;</p></span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0125">Conflicts of interest</span><p id="par0140" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
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        "resumen" => "<span class="elsevierStyleSectionTitle" id="sect0010">Aim</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Asthma may result in postural disorders due to increased activity of accessory respiratory muscles and hyperinflation&#46; Our primary objective was to assess the correlation between pulmonary function and posture in adult patients with asthma&#46; Secondarily&#44; we aimed to study the correlation between body composition and body posture in this group of patients&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0015">Method</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">This was a cross-sectional study including 34 patients with asthma who were subjected to postural assessment &#40;photogrammetry&#41;&#44; pulmonary function testing &#40;spirometry&#44; whole-body plethysmography&#44; diffusing capacity for carbon monoxide&#44; and respiratory muscle strength&#41;&#44; and body composition estimation by means of bioelectrical impedance&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Most patients were female &#40;70&#46;6&#37;&#41; with a median age of 32&#46;5 years &#40;range&#58; 23&#8211;42 years old&#41;&#46; We found a significant correlation between horizontal alignment of head &#40;anterior view&#41; and the ratio of forced expiratory volume in 1<span class="elsevierStyleHsp" style=""></span>s to forced vital capacity &#40;FEV<span class="elsevierStyleInf">1</span>&#47;FVC&#59; <span class="elsevierStyleItalic">&#961;</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#8722;0&#46;37&#59; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;03&#41;&#44; total lung capacity &#40;TLC&#59; <span class="elsevierStyleItalic">&#961;</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;42&#59; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;01&#41;&#44; and residual volume &#40;RV&#59; <span class="elsevierStyleItalic">&#961;</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;45&#59; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41;&#46; Bronchial obstruction and respiratory muscle strength variables also correlated with postural assessment measures on the right and left lateral views&#46; Both body mass index and the percentage of fat mass were correlated with horizontal alignment of head&#44; horizontal alignment of the pelvis&#44; and the frontal angle of the lower limbs&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0025">Conclusion</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Adult patients with asthma exhibit specific postural disorders that correlate with pulmonary function and body composition&#46; The assessment of postural variables may provide a better pulmonary rehabilitation approach for these patients&#46;</p>"
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      "pt" => array:2 [
        "titulo" => "Resumo"
        "resumen" => "<span class="elsevierStyleSectionTitle" id="sect0035">Objetivos</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">A asma pode resultar em altera&#231;&#245;es posturais causadas pelo aumento da atividade da musculatura acess&#243;ria&#44; respirat&#243;ria e insufla&#231;&#227;o pulmonar&#46; Nosso objetivo prim&#225;rio foi avaliar a correla&#231;&#227;o entre fun&#231;&#227;o pulmonar e postura em pacientes adultos com asma&#46; Como segundo objetivo buscou-se estudar a correla&#231;&#227;o entre composi&#231;&#227;o corporal e postura neste grupo de pacientes&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0040">M&#233;todos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Foi realizado um estudo transversal onde 34 pacientes com asma se submeteram &#224; avalia&#231;&#227;o da an&#225;lise postural &#40;fotogrametria&#41;&#44; fun&#231;&#227;o pulmonar &#40;espirometria&#44; pletismografia de corpo inteiro&#44; medi&#231;&#227;o da capacidade de difus&#227;o do CO e for&#231;a muscular respirat&#243;ria&#41; e composi&#231;&#227;o corporal atrav&#233;s da bioimped&#226;ncia el&#233;trica&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">A maioria dos pacientes era do sexo feminino &#40;70&#44;6&#37;&#41;&#44; com mediana da idade de 32&#44;5 anos &#40;varia&#231;&#227;o&#58; 23-42 anos&#41;&#46; O alinhamento horizontal da cabe&#231;a &#40;vista anterior&#41; correlacionou de forma significante com as seguintes vari&#225;veis&#58; rela&#231;&#227;o entre o volume expirat&#243;rio m&#225;ximo no primeiro segundo e a capacidade vital for&#231;ada &#40;VEMS&#47;CVF&#41; &#40;&#961; &#61; &#8722;0&#44;37&#59; P &#61; 0&#44;03&#41;&#59; capacidade pulmonar total &#40;CPT&#41; &#40;&#961; &#61; 0&#44;42&#59; P &#61; 0&#44;01&#41;&#59; e volume residual &#40;VR&#41; &#40;&#961; &#61; 0&#44;45&#59; P &#60; 0&#44;001&#41;&#46; Os indicadores de obstru&#231;&#227;o br&#244;nquica e for&#231;a muscular respirat&#243;ria correlacionaram-se tamb&#233;m com as medidas de avalia&#231;&#227;o postural obtidas em vista lateral direita e esquerda&#46; Tanto o &#237;ndice de massa corporal quanto o percentual de massa gorda correlacionaram-se com alinhamento horizontal da cabe&#231;a&#44; alinhamento horizontal da p&#233;lvis e &#226;ngulo frontal do membro inferior&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0050">Conclus&#245;es</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Pacientes asm&#225;ticos adultos apresentam altera&#231;&#245;es posturais espec&#237;ficas que correlacionam com a fun&#231;&#227;o pulmonar e com a composi&#231;&#227;o corporal&#46; A avalia&#231;&#227;o das medidas posturais pode fornecer uma melhor abordagem para a reabilita&#231;&#227;o pulmonar nestes pacientes&#46;</p>"
      ]
    ]
    "NotaPie" => array:2 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Almeida VP&#44; Guimar&#227;esa FS&#44; Mo&#231;oa1 VJR&#44; Menezesa SLS&#44; Mafortb TT&#44; Lopes AJ&#46; Correla&#231;&#227;o entre fun&#231;&#227;o pulmonar&#44; postura e composi&#231;&#227;o corporal em pacientes com asma&#46; Rev Port Pneumol&#46; 2013&#59;19&#58;204&#8211;210&#46;</p>"
      ]
      1 => array:2 [
        "etiqueta" => "&#9674;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0010">Role in the study&#58; Analysis and interpretation of data&#44; revising the article&#44; and final approval of the version of manuscript&#46;</p>"
      ]
    ]
    "multimedia" => array:4 [
      0 => array:7 [
        "identificador" => "tbl0005"
        "etiqueta" => "Table 1"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "tabla" => array:2 [
          "leyenda" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Results expressed as median &#40;interquartile range&#41; or number &#40;&#37;&#41;&#46;</p><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">BMI&#58; body mass index&#59; FFM&#58; fat-free mass&#59; FM&#58; fat mass&#59; FVC&#58; forced vital capacity&#59; FEV<span class="elsevierStyleInf">1</span>&#58; forced expiratory volume in 1<span class="elsevierStyleHsp" style=""></span>s&#59; MIP&#58; maximal inspiratory pressure&#59; MEP&#58; maximal expiratory pressure&#59; PEF&#58; peak expiratory flow&#59; TLC&#58; total lung capacity&#59; RV&#58; residual volume&#59; <span class="elsevierStyleItalic">R</span><span class="elsevierStyleInf">aw</span>&#58; airway resistance&#59; DLco&#58; diffusing capacity for carbon monoxide&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Variables&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Values&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sex &#40;female&#47;male&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">24&#47;10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Age &#40;years&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">32&#46;5 &#40;23&#8211;42&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">BMI &#40;kg&#47;m<span class="elsevierStyleSup">2</span>&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">25&#46;3 &#40;22&#46;2&#8211;31&#46;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">FFM &#40;kg&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">45&#46;4 &#40;39&#8211;51&#46;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">FM &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">33&#46;2 &#40;28&#46;6&#8211;33&#46;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">FVC &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">94 &#40;79&#8211;104&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">FEV<span class="elsevierStyleInf">1</span> &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">73&#46;5 &#40;52&#8211;84&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">FEV<span class="elsevierStyleInf">1</span>&#47;FVC &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">70&#46;5 &#40;30&#8211;82&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">PEF &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">61&#46;5 &#40;42&#8211;77&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">MIP &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">53&#46;3 &#40;34&#46;1&#8211;66&#46;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">MEP &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">54&#46;2 &#40;43&#46;7&#8211;76&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">TLC &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">120 &#40;103&#8211;125&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">RV &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">138 &#40;113&#8211;216&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">RV&#47;TLC &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">131 &#40;105&#8211;165&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">R</span><span class="elsevierStyleInf">aw</span> &#40;cm<span class="elsevierStyleHsp" style=""></span>H<span class="elsevierStyleInf">2</span>O&#47;L&#47;s&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;58 &#40;1&#8211;2&#46;80&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">DLco &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">99&#46;5 &#40;89&#8211;114&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
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                0 => "xTab505701.png"
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        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Anthropometry&#44; body composition&#44; and data on the pulmonary function of the investigated sample &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>34&#41;&#46;</p>"
        ]
      ]
      1 => array:7 [
        "identificador" => "tbl0010"
        "etiqueta" => "Table 2"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "tabla" => array:2 [
          "leyenda" => "<p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Results expressed as median &#40;interquartile range&#41; or number &#40;&#37;&#41;&#46;</p><p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">HHA &#40;AV&#41;&#44; head &#8211; horizontal alignment &#40;anterior view&#41;&#59; LLFA&#44; lower limbs frontal angle&#59; HA&#44; hip angle&#59; TVA&#44; trunk &#8211; vertical alignment&#59; PHA&#44; pelvis &#8211; horizontal alignment&#59; KA&#44; knee angle&#59; AA&#44; ankle angle&#46;</p>"
          "tablatextoimagen" => array:2 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Variables&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Values&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">HHA &#40;AV&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;65 &#40;2&#46;20&#8211;3&#46;70&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
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                0 => "xTab505698.png"
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            1 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Right&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Left&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">HHA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">39&#46;3 &#40;35&#46;8&#8211;45&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">39&#46;5 &#40;36&#46;5&#8211;45&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">LLFA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#46;90 &#40;1&#46;40&#8211;7&#46;30&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">4&#46;40 &#40;0&#46;50&#8211;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">87&#46;4 &#40;82&#46;9&#8211;90&#41;&nbsp;\t\t\t\t\t\t\n
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                  """
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