Experimental model of nephropathy associated with diabetes mellitus in mice.

PURPOSE: Nontransmissible chronic diseases, such as diabetes mellitus (DM) and nephropathy, affect a significant portion of the population, often treated due to injuries that require healing and regeneration. To create an experimental model of associated comorbidities, for healing and regeneration studies, protocols for induction of nephropathy by ischemia and reperfusion (I/R) and induction of DM by injection of streptozotocin (STZ) were associated. METHODS: Sixty-four mice (Mus musculus), female, adult, Swiss strain, weighing approximately 20 g, were divided into four groups: G1: control (n = 24), G2: nephropathy group (N) (n = 7), G3, DM (n = 9), and G4: N+DM (n = 24). Arteriovenous stenosis (I/R) of the left kidney was performed as the first protocol. The animals received a hyperlipidemic diet for 7 days after the injection of STZ (150 mg/kg, via i.p.) and an aqueous glucose solution (10%) for 24 h. The animals in the G3 and G4 groups were observed for 14 days before receiving the diet and STZ. The evolution of nephropathy was observed using a urine test strip and the DM, through the analysis of blood glucose with a reagent strip on a digital monitor. RESULTS: The ischemic induction protocols of nephropathy and DM with STZ, associated, were sustainable, low-cost, and without deaths. There were alterations compatible with initial renal alterations, in the first 14 days, such as increased urinary density, pH alteration, presence of glucose, proteins and leukocytes, when compared to the control group. DM was confirmed by the presence of hyperglycemia 7 days after induction and its evolution after 14 days. The animals in the G4 group showed constant weight loss when compared to the other groups. It was possible to observe morphological alterations in the kidneys submitted to I/R, regarding coloration, during surgery and after the end of the observation period, in the volume and size of the left kidney, when compared to the contralateral kidney. CONCLUSIONS: It was possible to induce nephropathy and DM associated in the same animal, in a simple way, confirmed with rapid tests, without losses, providing a basis for future studies.

Experimental model of nephropathy associated with diabetes mellitus in mice

Purpose: Nontransmissible chronic diseases, such as diabetes mellitus (DM) and nephropathy, affect a significant portion of the population, often treated due to injuries that require healing and regeneration. To create an experimental model of associated comorbidities, for healing and regeneration studies, protocols for induction of nephropathy by ischemia and reperfusion (I/R) and induction of DM by injection of streptozotocin (STZ) were associated. Methods: Sixty-four mice (Mus musculus), female, adult, Swiss strain, weighing approximately 20 g, were divided into four groups: G1: control (n = 24), G2: nephropathy group (N) (n = 7), G3, DM (n = 9), and G4: N+DM (n = 24). Arteriovenous stenosis (I/R) of the left kidney was performed as the first protocol. The animals received a hyperlipidemic diet for 7 days after the injection of STZ (150 mg/kg, via i.p.) and an aqueous glucose solution (10%) for 24 h. The animals in the G3 and G4 groups were observed for 14 days before receiving the diet and STZ. The evolution of nephropathy was observed using a urine test strip and the DM, through the analysis of blood glucose with a reagent strip on a digital monitor. Results: The ischemic induction protocols of nephropathy and DM with STZ, associated, were sustainable, low-cost, and without deaths. There were alterations compatible with initial renal alterations, in the first 14 days, such as increased urinary density, pH alteration, presence of glucose, proteins and leukocytes, when compared to the control group. DM was confirmed by the presence of hyperglycemia 7 days after induction and its evolution after 14 days. The animals in the G4 group showed constant weight loss when compared to the other groups. It was possible to observe morphological alterations in the kidneys submitted to I/R, regarding coloration, during surgery and after the end of the observation period, in the volume and size of the left kidney, when compared to the contralateral kidney. Conclusion: It was possible to induce nephropathy and DM associated in the same animal, in a simple way, confirmed with rapid tests, without losses, providing a basis for future studies.

Effect of electrophysical resources on healing of neurotendinous injury in an experimental model of type I diabetes and kidney disease.

PURPOSE: To evaluate and describe the effect of electrophysical resources laser therapy (LLLT), intravascular laser blood irradiation (ILIB), and cryotherapy on the healing process of neurotendinous injury, as well as possible systemic changes, in the experimental model of type 1 diabetes associated with kidney injury. METHODS: The animals were randomized into four groups: G1) healthy control with untreated injury; G2) healthy control with injury and treatment; G3) disease control with untreated lesion; G4) disease with injury and treatment. Furthermore, the treated groups were divided into three, according to the type of treatment. All animals were induced to neurotendinous injury and treated according to the therapeutic protocols. Healing and inflammation were analyzed by semiquantitative histopathological study. RESULTS: It was observed in sick animals treated with cryotherapy and ILIB reduction of inflammatory exudate, presence of fibroblasts and organization of collagen, when compared to the effects of LLLT. Moreover, there was reduction in glycemic levels in the group treated with ILIB. CONCLUSIONS: Cryotherapy promoted reduction in inflammatory exudate and organization of collagen fibers, in addition to the absence of signs of tissue necrosis, in the groups treated with and without the disease. ILIB therapy showed the same findings associated with significant reduction in glycemic levels in the group of diseased animals. The application of LLLT showed increased inflammatory exudate, low organization of collagen fibers and low sign of tissue degeneration and necrosis. This study in a model of associated diseases (diabetes and kidney disease) whose effects of electrophysical resources studied after neurotendinous injury allows us to verify histopathological variables suggestive of patients with the same comorbidities.

The effect of combined curcumin-mediated photodynamic therapy and artificial skin on Staphylococcus aureus-infected wounds in rats.

Healing wounds represent a major public health problem, mainly when it is infected. Besides that, the antibiotics misuse and overuse favor the development of bacterial resistance. This study evaluated the effects of antimicrobial photodynamic therapy (aPDT) combined with artificial skin on disinfection of infected skin wound in rats. Twenty-four Wistar rats were randomly distributed into 4 groups (n = 6): (i) control-untreated; (ii) aPDT-treated with curcumin-mediated aPDT (blue light); (iii) artificial skin-treated with artificial skin alcohol-based; and (iv) aPDT plus artificial skin-treated with aPDT associated with artificial skin alcohol-based. For the in vivo model, a full-thickness biopsy with 0.80 cm was performed in order to inoculate the microorganism Staphylococcus aureus (ATCC 25923). The aPDT was performed with a curcumin gel and a blue LED light (450 nm, 80 mW/cm2) at the dose of 60 J/cm2 and the treatment with alcohol-based artificial skin was done with the topical application of 250 µL. Additional animals were submitted to aPDT combined with the artificial skin. After treatments, the number of colony-forming units (CFU) and the damage area were determined. Data were analyzed by two-way repeated measures ANOVA and Tukey tests. The highest reduction of the bacterial viability was observed in the PDT plus artificial skin group (4.14 log10), followed by artificial skin (2.38 log10) and PDT (2.22 log10) groups. In addition, all treated groups showed higher relative area of wound contraction (36.21% for the PDT, 38.41% for artificial skin, and 35.02% for PDT plus artificial) in comparison with the control group. These findings provide evidence for the positive benefits of aPDT with blue light and curcumin associated with artificial skin to decontaminate and accelerate the wound contraction.

Variation of the Penetration Effort in an Artificial Tissue by Hypodermic Needles.

Fear of injection-related pain is a drawback to injectable therapy. Hypodermic injections are a cause for great anxiety and reduced adherence to the subcutaneous application of insulin for glycemic control in diabetics or in the treatment of multiple sclerosis, increasing the risk of complications and mortality. Injured or sick people have to undergo several daily injections, forcing them to rotate the veins and regions used to recover from the trauma caused by the perforation of the skin, tissue, muscles, veins, and arteries. People who suffer from type 1 diabetes mellitus (DM1) need to have their glycemic control 3 to 5 times a day and to take insulin up to 3 times a day. In both cases, the patient needs to perforate the skin. To quantify the pain perceived by the patients depends on the evaluation of each patient and therefore is subjective. This study aims to understand the application and self-application of hypodermic injections and decrease pain during its application and the phobia of the patient, following the reasoning that the lower the effort to penetrate the needle, the less trauma in the tissue and therefore the pain provoked. For that, it was analyzed how some of the characteristics of the needle can influence the sensation of pain in the injection. The needle penetration effort was measured in an artificial tissue (substitute skin model) for different cannula diameters, roughness, depth of penetration, lubrication, and angles of the perforating tip bevel. This study aimed to find alternatives to facilitate the application and self-application of hypodermic injections, increase safety and comfort, and reduce the pain intensity perceived by the patient. To do this, the bevel of needles used repeatedly was analyzed in the profile projector and SEM to verify the loss of the profile or the formation of burrs that could hamper the penetration or traumatize the tissue during the reuse of needles. It has also been mechanically analyzed, which can be done to prevent that the needles used in the subcutaneous application do not inadvertently reach the muscle. The greater penetration effort observed in the needles with greater angle of the bevel is responsible for the patient's perception of pain.

O uso do laser de baixa potência por enfermeiro no tratamento de lesões cutâneas e orais / The use of low power laser by nurses in the treatment of cutaneous and oral lesions / El uso del láser de baja potencia por enfermero en el tratamiento de lesiones cutáneas y orales

Objetivo: Analisar a produção científica nacional e internacional acerca da utilização da laserterapia pelo enfermeiro no tratamento de lesões cutâneas e orais. Métodos: Tratou-se de uma revisão integrativa realizada nas bases de dados SciELO, Lilacs, Pubmed e Bdenf, nos últimos sete anos, utilizando os seguintes descritores: laser, feridas, lesões por pressão, mucosite oral, fissuras mamárias e enfermagem. Resultados: Não foram localizados artigos científicos nas bases de dados pesquisadas, utilizando os descritores laser, mucosite oral, fissuras mamárias e enfermagem. Foram localizados 83 artigos científicos e, selecionados 4, que se adequaram à temática laserterapia, feridas, lesões por pressão e enfermagem. Conclusão: Embora o Conselho Federal de Enfermagem tenha aprovado a utilização da laserterpia para tratamento de lesões cutâneas e orais, enfatiza- se a necessidade dos enfermeiros se capacitarem em laserterapia, visando ao tratamento de lesões, pois o laser de baixa potência representa um tratamento promissor para acelerar o reparo tecidual.(AU)

Objective: To analyze the national and international scientific production about the use of laser therapy by the nurse in the treatment of cutaneous and oral lesions. Methods: An integrative review of SciELO, Lilacs, Pubmed and Bdenf databases was performed in the last seven years using the following descriptors: laser, wounds, pressure lesions, oral mucositis, breast fissures and nursing. Results: No scientific articles were found in the databases searched, using the laser descriptors, oral mucositis, breast fissures and nursing. A total of 83 scientific articles were selected, and 4 selected, which were adapted to the topic of laser therapy, wounds, pressure lesions and nursing. Conclusion: Although the Federal Nursing Council approved the use of lasertherapy for the treatment of cutaneous and oral lesions, it is emphasized the need of nurses to be trained in laser therapy, aiming at the treatment of injuries, since the low power laser represents a promising treatment to accelerate tissue repair.(AU)

Objetivo: Analizar la producción científica nacional e internacional acerca de la utilización de la láserterapia por el enfermero en el tratamiento de lesiones cutáneas y orales. En los últimos siete años, se utilizaron los siguientes descriptores: láser, heridas, lesiones por presión, mucositis oral, fisuras mamarias y enfermería. Métodos: Se trata de una revisión integrativa realizada en las bases de datos SciELO, Lilacs, Pubmed y Bdenf. Resultados: No se localizaron artículos científicos en las bases de datos investigadas, utilizando los descriptores láser, mucositis oral, fisuras mamarias y enfermería. Se localizaron 83 artículos científicos y, seleccionados 4, que se adecuaron a la temática láserterapia, heridas, lesiones por presión y enfermería. Conclusion: Aunque el Consejo Federal de Enfermería ha aprobado la utilización de la láserterpia para el tratamiento de lesiones cutáneas y orales, se enfatiza la necesidad de que los enfermeros se capaciten en láserterapia, buscando el tratamiento de lesiones, pues el láser de baja potencia representa un tratamiento prometedor para acelerar la reparación del tejido.(AU)

Thermography applied during exercises with or without infrared light-emitting diode irradiation: individual and comparative analysis.

OBJECTIVE: The aim of our study was to evaluate the cutaneous temperature during an exercise on a treadmill with or without infrared light-emitting diode (LED) irradiation in postmenopausal women. BACKGROUND DATA: Thermography is an imaging technique in which radiation emitted by a body in the middle and far infrared spectrum is detected and associated with the temperature of the body's surface. MATERIALS AND METHODS: Eighteen postmenopausal women were randomly divided into two groups: (1) the LED group, which performed the exercises on a treadmill associated with phototherapy (n=9) and; (2) the exercise group, which performed the exercises on a treadmill without additional phototherapy (n=9). The irradiation parameters for each women's thigh were: array of 2000 infrared LEDs (850 nm) with an area of 1,110 cm(2), 100 mW, 39 mW/cm(2), and 108 J/cm(2) for 45 min. The submaximal constant-speed exercise on the treadmill at intensities between 85% and 90% maximal heart rate (HRmax) with or without phototherapy were performed during 45 min, to perform the thermographic analysis. Thermography images were captured before the exercise (t=0), after 10, 35, and 45 min of exercising (t=10, t=35, and t=45) and at 5 min post-exercising (t=50). RESULTS: The LED group showed an increased cutaneous thigh temperature during the exercise (from 33.5±0.8°C to 34.6±0.9°C, p=0.03), whereas the exercise group showed a reduced cutaneous temperature (from 33.5±0.6 to 32.7±0.7°C, p=0.02). The difference between the groups was significant (p<0.05) at t=35, t=45, and t=50. CONCLUSIONS: These data indicate an improved microcirculation, and can explain one possible mechanism of action of phototherapy associated with physical exercises.

Phototherapy and resistance training prevent sarcopenia in ovariectomized rats.

The aim of this study was to histologically and biochemically analyze the effects of light-emitting diode therapy (LEDT) associated with resistance training to prevent sarcopenia in ovariectomized rats. Forty female Wistar rats (12 months old, 295-330 g) were bilaterally ovariectomized and divided into four groups (n = 10 per group): control-sedentary (C), resistance training (T), LEDT-sedentary (L), and LEDT plus resistance training (LT). Trained rats performed a 12-week water-jumping program (3 days per week) carrying a load equivalent to 50-80% of their body mass strapped to their back. Depending on the group protocol, the LED device (850 nm, 100 mW, 120 J/cm(2), spot size 0.5 cm(2)) was used either as the only method or after the resistance training had been performed. The device was used in the single point contact mode (for 10 min). The irradiated region was the center of the greater trochanter of the right femur and the middle third of the rectus femoris muscle was subsequently analyzed histomorphometrically. Significant increases (p < 0.05) were noted for the muscle volume of the T (68.1 ± 19.7%), the L (74.1 ± 5.1%), and the LT (68.2 ± 11.5%) groups compared to the C group (60.4 ± 5.5%). There were also significant increases in the concentrations of IGF-1, IL-1, and TNF-α in the muscles of the treated groups (p < 0.05). Animals in the LT group showed a significant increase in IL-6 compared to T, L, and C groups (p < 0.05). These findings suggest that resistance training and LEDT can prevent sarcopenia in ovariectomized rats.

Infrared LED irradiation applied during high-intensity treadmill training improves maximal exercise tolerance in postmenopausal women: a 6-month longitudinal study.

Reduced aerobic fitness is associated with an increased risk of cardiovascular diseases among the older population. The aim of this study was to investigate the effects of LED irradiation (850 nm) applied during treadmill training on the maximal exercise tolerance in postmenopausal women. At the beginning of the study, 45 postmenopausal women were assigned randomly to three groups, and 30 women completed the entire 6 months of the study. The groups were: (1) the LED group (treadmill training associated with phototherapy, n = 10), (2) the exercise group (treadmill training, n = 10), and (3) the sedentary group (neither physical training nor phototherapy, n = 10). The training was performed for 45 min twice a week for 6 months at intensities between 85% and 90% maximal heart rate (HRmax). The irradiation parameters were 39 mW/cm(2), 45 min and 108 J/cm(2). The cardiovascular parameters were measured at baseline and after 6 months. As expected, no significant differences were found in the sedentary group (p ≥ 0.05). The maximal time of tolerance (Tlim), metabolic equivalents (METs) and Bruce stage reached significantly higher values in the LED group and the exercise group (p < 0.01). Furthermore, the HR, double product and Borg score at isotime were significantly lower in the LED group and in the exercise group (p < 0.05). However, the time of recovery showed a significant decrease only in the LED group (p = 0.003). Moreover, the differences between before and after training (delta values) for the Tlim, METs and HR at isotime were greater in the LED group than in the exercise group with a significant intergroup difference (p < 0.05). Therefore, the infrared LED irradiation during treadmill training can improve maximal performance and post-exercise recovery in postmenopausal women.

Photobiomodulation on the angiogenesis of skin wounds in rats using different light sources.

OBJECTIVE: The aim of this study was to compare the angiogenic effects of laser and light-emitting diode (LED) illumination on wounds induced in rats, with varied fluence. BACKGROUND DATA: The LED is an alternative light source that accelerates wound healing, and its efficiency concerning the angiogenic effect was compared to low-level laser therapy (LLLT). METHODS: The experimental model consisted of a circular wound inflicted on the quadriceps of 120 rats, using a 15-mm-diameter "punch." Animals were divided randomly into five groups: two groups of laser, with dosages of 5 and 20 J/cm(2), respectively, two groups of LED, also with dosages of 5 and 20 J/cm(2), and a control group. Six hours after wound infliction, the treated groups received the diverse applications accordingly and were irradiated every 24 h. Angiogenesis was studied through histomorphometry on days 3, 7, 14, and 21 after the wounds were inflicted. RESULTS: On days 3, 7, and 14, the proliferation of blood vessels in all irradiated groups was superior in comparison to those of the control group (p < 0.05). Treatment with fluence of 5 J/cm(2) was better than the laser group with 20 J/cm(2) on day 21. CONCLUSION: Red LLLT and LED demonstrated expressive results in angiogenesis. Light coherence was shown not to be essential to angiogenesis. However, further studies are needed in order to investigate the photobiomodulatory effects of LED in relation to LLLT in various biological tissues.