Light emitting diode (LED) therapy reduces local pathological changes induced by Bothrops asper snake venom.

The therapeutic effect of the Light Emitting Diode (LED) treatment in two wavelengths (635 or 945 nm) was evaluated in the local pathological alterations induced by Bothrops asper snake venom. Mice received irradiation of infrared LED (120 mW, 945 nm) or red LED (110 mW, 635 nm) applied immediately, 1 and 2 h after venom injection. LED treatment reduced edema formation in the plantar region and gastrocnemius muscle and significantly reduced neutrophil migration and hyperalgesia after the venom injection. Also, both infrared LED and red LED treatment significantly reduced myonecrosis, as revealed by muscle CK and plasma CK levels. Histological analysis corroborated the reduction in the extent of venom-induced myonecrosis. In conclusion, our data demonstrates that PBM with LED light in both red and infrared wavelengths, when applied after envenomation in mice, reduces the extent of myotoxicity, edema, inflammatory infiltrate and hyperalgesia, suggesting that photobiomodulation is a potential therapeutic approach that should be further investigated for the treatment of local effects of Bothrops snakebite.

Low-intensity laser therapy improves tetanic contractions in mouse anterior tibialis muscle injected with Bothrops jararaca snake venom

Abstract Introduction Envenomation by Bothrops snakes can produce local pain, edema, hemorrhage and myonecrosis. However, standard antivenom therapy is generally ineffective in neutralizing these effects so that alternative methods of treatment have been investigated. In experimental animals, low-level laser therapy (LLLT) attenuates the local effects of Bothrops venoms, but the benefits of LLLT on muscle function after envenomation are unclear. In this study, we examined the influence of LLLT on the contractile activity of mouse skeletal muscle injected with venom from Bothrops jararaca, the principal cause of snakebite in southeastern Brazil. Methods Twenty-seven male mice were used. Mice were injected with venom (40 μg in 50 μl) in the right anterior tibialis muscle, after which the muscle tendon was exposed, connected to an isometric transducer and subjected to a resting tension of 1 g. A bipolar electrode was attached to the tibial nerve for electrical stimulation. The mice were randomly allocated to five groups: A – Control (n = 3), B – Venom 3 h (n = 6), C – Venom 9 h (n = 6), D – Venom + Laser 3 h (n = 6), E – Venom + Laser 9 h (n = 6). Results The two groups that received LLLT post-venom showed improved muscle contraction and contracture in relation to muscle treated with venom alone. Conclusion These results indicate that LLLT can improve muscle function after damage induced by B. jararaca venom.

Effect of low-level laser therapy (GaAlAs - λ660 nm) on muscle function

Introduction:Low-level laser therapy (LLLT) is effective in preventing fatigue and in stimulating the microcirculation and cellular activity. In this study, we examined the effect of LLLT on injured tibial muscle in vivo by assessing muscle function during fatigue.MethodsTwenty-four male mice were used. Each mouse received an injection of sterile 0.9% saline solution (50 µL) in the right tibialis anterior muscle, after which the tendon of the muscle was exposed, connected to an isometric transducer and subjected to a resting tension of 1 g. A bipolar electrode was attached to the tibial nerve for electrical stimulation. The mice were randomly allocated to one of two groups: G1 (control: 3 h – n=8 and 9 h – n=5) and G2 (treated with GaAlAs laser, λ660 nm, 35 mW, 0.6 J, 17 s: 3 h – n=6 and 9 h – n=5).ResultsIn G1 mice, the amplitude of the tetanic contracture in response to induced fatigue remained unchanged during six consecutive tetani. The amplitude of the tetanic contractions in response to electrical stimulation (4-8 mV) was also unchanged. These results indicated muscle intactness in response to the load imposed by tetanus. In G2 mice, there was an increase in the amplitude of contraction after 3 h and 9 h when compared to G1 at 83% tetanus.ConclusionThese results indicate that exposure of muscle to LLLT enhanced the contractile force and increased the resistance to muscle fatigue without causing morphological damage to cellular structures.

[Effect of resistance exercise intradialytic in renal patients chronic in hemodialysis].

INTRODUCTION: Patients with chronic kidney disease (CKD) when subjected to resistance exercise (RE) show substantial improvements in many functions, especially those related to the cardiovascular system, respiratory, muscular and quality of life (QOL). There are no evaluations of the impact of exercise simple and feasible in patients with CKD associated with Diabetes Mellitus (DM) during the intradialytic period. Thus, patients with CKD and submit to the DM + RE during hemodialysis. OBJECTIVE: To study the role of resistance exercise in the treatment and quality of life in patients undergoing chronic hemodialysis (HD). METHODS: 15 patients in each group: 1: DM with CKD and RE; 2: DM + CKD sedentary; 3: CKD + RE and 4: DRC sedentary. They were evaluated during eight weeks, with RE three times a week. PARAMETERS: Laboratory assessments, muscle strength testing (FM) and QV (SF-36). RESULTS: RE induced improvement in glucose and FM with subtle but significant changes in urea, or even in the K (p < 0.0001). It was an improvement in the impact assessment of QOL parameters (p < 0.001) with the RE, such as Functional Capacity, Physical Aspect, Reduction of Pain (in general), General Health, Vitality, Social Function, Emotional State and Mental Health. CONCLUSION: The RE program (simple and feasible) during intradialytic clinical parameters changed FM and a significant improvement in QOL assessment were observed. The impact on QOL was important for the patient, including those involving improvement in level of family and social relationships when subjected to RE.

Efeito do exercício resistido intradialítico em pacientes renais crônicos em hemodiálise / Effect of resistance exercise intradialytic in renal patients chronic in hemodialysis

INTRODUÇÃO: Pacientes com doença renal crônica (DRC) quando submetidos ao exercício resistido (ER) apresentam substancial melhorias de muitas funções, em especial os relacionados ao sistema cardiovascular, respiratório, muscular e na qualidade de vida (QV). Não existem avaliações do impacto de exercício simples e factíveis em pacientes com DRC associada ao Diabetes Mellitus (DM) durante o período intradialítico. OBJETIVO: Estudar o papel do exercício resistido no tratamento e na qualidade de vida em pacientes submetidos à hemodiálise crônica (HD). Assim, submetemos pacientes com DRC e DM ao ER durante a hemodiálise. MÉTODOS: Quinze pacientes em cada grupo: 1: DM com DRC submetidos ao ER; 2: DM com DRC sedentários; 3: DRC e ER e, 4: DRC sedentários. Avaliações durante oito semanas, com ER três vezes na semana. Avaliação laboratorial, teste de força muscular (FM) e QV (SF-36). RESULTADOS: O ER induziu melhoria na glicemia e na FM com discretas, mas significantes alterações na uréia e, K (p < 0,0001). Foi de impacto a melhoria na avaliação dos parâmetros de QV (p < 0,001) com o ER, como a Capacidade Funcional, o Aspecto Físico, redução das Dores (de uma maneira geral), Saúde Geral, Vitalidade, a Função Social, Estado Emocional e na Saúde Mental. Conclusão: O programa de ER (simples e factível) no período intradialítico alterou parâmetros clínicos, na FM e uma significante melhoria na avaliação da QV. O impacto na QV foi importante para o paciente, inclusive envolvendo melhoria em nível familiar e de relacionamento social quando submetidos ao ER.

INTRODUCTION: Patients with chronic kidney disease (CKD) when subjected to resistance exercise (RE) show substantial improvements in many functions, especially those related to the cardiovascular system, respiratory, muscular and quality of life (QOL). There are no evaluations of the impact of exercise simple and feasible in patients with CKD associated with Diabetes Mellitus (DM) during the intradialytic period. Thus, patients with CKD and submit to the DM + RE during hemodialysis. OBJECTIVE: To study the role of resistance exercise in the treatment and quality of life in patients undergoing chronic hemodialysis (HD). METHODS: 15 patients in each group: 1: DM with CKD and RE; 2: DM + CKD sedentary; 3: CKD + RE and 4: DRC sedentary. They were evaluated during eight weeks, with RE three times a week. Parameters: Laboratory assessments, muscle strength testing (FM) and QV (SF-36). RESULTS: RE induced improvement in glucose and FM with subtle but significant changes in urea, or even in the K (p < 0.0001). It was an improvement in the impact assessment of QOL parameters (p < 0.001) with the RE, such as Functional Capacity, Physical Aspect, Reduction of Pain (in general), General Health, Vitality, Social Function, Emotional State and Mental Health. CONCLUSION: The RE program (simple and feasible) during intradialytic clinical parameters changed FM and a significant improvement in QOL assessment were observed. The impact on QOL was important for the patient, including those involving improvement in level of family and social relationships when subjected to RE.

Effects of photobiostimulation on edema and hemorrhage induced by Bothrops moojeni venom.

Antivenom (AV) treatment has been ineffective in neutralizing the severe local fast-developing tissue damage following snake-bite envenoming. We studied the effectiveness of low-level laser (LLL) and light-emitting diode (LED) irradiation alone or in combination with AV in reducing local edema formation and hemorrhage induced by Bothrops moojeni venom (BmV) in mice. Edema formation was induced by injection of 1 µg per paw of BmV into the right paw and was evaluated before and at several intervals after BmV intraplantar injection. Hemorrhagic activity was evaluated after intradermal injection of 20 µg of BmV by measuring the diameter of the hemorrhagic area on the inner side of the skin. The site of BmV injection was irradiated by LLL or LED 30 min after BmV inoculation. AV was also administered intravenously 30 min after BmV injection. Irradiation with LLL at a wavelength of 685 nm and a dose of 2.2 J/cm(2) and with a red LED and an infrared LED at wavelengths of 635 nm and 945 nm, respectively, and a dose of 4 J/cm(2) reduced edema formation and hemorrhage induced by BmV (p < 0.05). The combined AV and LLL or LED treatment showed the same reduction as LLL or LED irradiation separately. In conclusion, both LLL and LED irradiation reduced venom-induced local effects even though symptoms were already present. Thus, the effect of phototherapy in reducing local effects induced by BmV may be clinically relevant.

Efeito da terapia LED (Light Emitting Diode) na mionecrose e edema induzidos pelo veneno a serpente Bothrops jararaca, no músculo gastrocnêmio / Effect of LED (Light Emission Diode) therapy on edema formation and myonecrosis induced by Bothrops jararaca snake venom, on gatrocnemius muscle

Introdução: O envenenamento causado pela serpente Bothrops jararaca induz, de modo geral, um quadro fisiopatológico caracterizado por reações locais imediatas, com hemorragia, mionecrose, edema e dor, que não é revertido pelo tratamento com o antiveneno. Objetivo: Neste trabalho avaliou-se a capacidade da terapia LED (Light EmitionDiode) para diminuir o edema e a mionecrose causada pelo veneno de B. jararaca. Método: Foram utilizados camundongos wiss machos injetados com veneno de B. jararaca (2 mg/kg) no músculo gastrocnêmio. O edema foi avaliado nos tempos 3 e 24 h após a injeção do veneno ou salina. O aumento do edema foi expresso como a diferença do volume do peso úmido e peso seco, dos músculos tratados com o veneno, comparado com o volume do músculo contralateral (controle). A mionecrose foi avaliada através da quantificação da enzima creatino quinase no tempo de 3 h e da análise histológica dos músculos 3 e 24 h após a injeção do veneno. Os animais foram tratados com os LEDs (LED infravermelho, potência de 120 mW, À 945 nm, densidade de energia de 4 J/cm2, tempo de irradiação de 38 s e área of 1,2 cm2; LED vermelho potência de 110 mW, À 635 nm, densidade de energia de 4 J/cm2, tempo de irradiação de 41 s e área de 1,2 cm2) nos tempos: imediatamente e 2 horas após a injeção do veneno. Resultados: O edema muscular causado pelo veneno de B. jararaca foi significativamente reduzido pelos dois tratamentos utilizados: LED vermelho 20 e 11% e LED infravermelho: 29 e 19%, às 3 e 24 h respectivamente, quando comparado com os animais tratados com o veneno. O tratamento com o LED não modificou a mionecrose causada pelo veneno. Conclusões: A terapia LED foi eficaz em reduzir o edema muscular, no entanto, a mionecrose não foi afetada pelo tratamento com os LEDs. Desta maneira, a terapia com o LED pode contribuir, ao menos em parte, como uma alternativa ao tratamento atual, adicionado a terapia disponível com antivenenos, não efetiva contra os efeitos locais.

Introduction: Envenoming caused by Bothrops jararaca venom induces, in general, a physiopatologic reaction characterized by immediate local reactions, with hemorrhage, mionecrosis, edema and pain, which are not reverted by thetreatment with antivenenom. Objetive: In this work, it was evaluated the capacity of LED (Light Emition Diode) therapy to diminish the edema formation and mionecrosis, caused by Bothrops jararaca venom. Methods: Swiss mice had been injected with B. jararaca venom (2 mg/kg) in the gastrocnemius muscle. Edema was evaluated at 3 and 24 after the injection of the venom or saline. The increase on edema formation was expressed as the difference betweethe humid and dry weight, of the muscles injected with the poison, compared with the volume of the contralateral muscle (control). Mionecrosis was evaluated through the quantification of the creatine kinase enzyme at 3 h and by histologic analysis of the muscle, 3 and 24 h after the injection of the venom. The animais had been treated with the LE(infra-red: power of 120 mW, li 945 nm, density of energy of 4 J/cm2, time of irradiation of 38 s and area of 1,2 cm2; Red LED: power of 110 mW, li 635 nm, density of energy of 4 J/cm 2, time of irradiation of 41 s and area of 1,2 cm 2) applied: immediately and 2 h after the venom injection. Results: Muscular edema caused by the B. jararaca venom was significantly reduced by the two treatments: Red LED: 20 and 11% and infrared LED: 29 and 19%, to 3 and 24 t;respectively, when compared with the animais treated with venom. The treatment with the LED did not modify the mionecrosis caused by the venom. Conclusion: LED therapy was efficient in reducing muscular edema, however, mionecrosis was not affected by these treatment. In this way, the LED therapy can contribute, at least in part, as an alternative added to the available therapy with antivenoms, which are not effective against the local effect.

Anti-inflammatory effect of low-level laser and light-emitting diode in zymosan-induced arthritis.

OBJECTIVE: The aim of this work was to investigate the effect of low-level laser therapy (LLLT) and light-emitting diode (LED) on formation of edema, increase in vascular permeability, and articular joint hyperalgesia in zymosan-induced arthritis. BACKGROUND DATA: It has been suggested that low-level laser and LED irradiation can modulate inflammatory processes. MATERIAL AND METHODS: Arthritis was induced in male Wistar rats (250-280 g) by intra-articular injection of zymosan (1 mg in 50 microL of a sterile saline solution) into one rear knee joint. Animals were irradiated immediately, 1 h, and 2 h after zymosan administration with a semiconductor laser (685 nm and 830 nm) and an LED at 628 nm, with the same dose (2.5 J/cm(2)) for laser and LED. In the positive control group, animals were injected with the anti-inflammatory drug dexamethasone 1 h prior to the zymosan administration. Edema was measured by the wet/dry weight difference of the articular tissue, the increase in vascular permeability was assessed by the extravasation of Evans blue dye, and joint hyperalgesia was measured using the rat knee-joint articular incapacitation test. RESULTS: Irradiation with 685 nm and 830 nm laser wavelengths significantly inhibited edema formation, vascular permeability, and hyperalgesia. Laser irradiation, averaged over the two wavelengths, reduced the vascular permeability by 24%, edema formation by 23%, and articular incapacitation by 59%. Treatment with LED (628 nm), with the same fluence as the laser, had no effect in zymosan-induced arthritis. CONCLUSION: LLLT reduces inflammatory signs more effectively than LED irradiation with similar irradiation times (100 sec), average outputs (20 mW), and energy doses (2 J) in an animal model of zymosan-induced arthritis. The anti-inflammatory effects of LLLT appear to be a class effect, which is not wavelength specific in the red and infrared parts of the optical spectrum.

Effect of low-level laser therapy in the myonecrosis induced by Bothrops jararacussu snake venom.

OBJECTIVE: The aim of this work was to investigate the capacity of low-level laser therapy (LLLT) alone or in combination with antivenom (AV) to reduce myonecrosis induced by Bothrops jararacussu snake venom. BACKGROUND DATA: Myonecrosis is the most pronounced local effect caused by B. jararacussu venom. AV therapy and other first-aid treatments do not reverse these local effects. MATERIAL AND METHODS: Male Swiss mice were used. Myonecrosis was induced by injection of 0.6 mg/kg of B. jararacussu venom in the right gastrocnemius muscle and was evaluated at 3 or 24 h after venom injection. The site of venom administration was irradiated for 29 s with a low power semiconductor laser (685 nm) at a dose of 4.2 J/cm(2). Intravenous AV therapy (0.5 mL dose) was administered at different times: 30 min before venom injection or 0, 1, or 3 h afterward. Both AV therapy and LLLT treatments were duplicated in mice groups killed at 3 or 24 h. RESULTS: B. jararacussu venom caused a significant myonecrotic effect 3 and 24 h after venom injection. LLLT significantly reduced myonecrosis by 83.5% at 24 h (p < 0.05) but not at 3 h, and AV therapy alone was ineffective for reducing myonecrosis at 3 and 24 h. CONCLUSION: Only LLLT significantly reduced myonecrosis of the envenomed muscle, suggesting that LLLT is a potentially therapeutic approach for treating the local effects of B. jararacussu venom.

Effect of low-level laser therapy in the inflammatory response induced by Bothrops jararacussu snake venom.

This article reports the effect of low-level laser therapy (LLLT) on the edema formation and leukocyte influx caused by Bothrops jararacussu snake venom as an alternative treatment for Bothrops snakebites. The inflammatory reaction was induced by injection of 0.6 mg/kg of B. jararacussu venom, in gastrocnemius muscle. Cell influx and edema were evaluated at 3 or 24h after venom injection. Mice were irradiated at the site of injury by a low-level laser (685 nm) with a dose of 4.2J/cm(2). A therapy that combines LLLT and antivenom was also studied. B. jararacussu venom caused a significant edema formation 3 and 24h after its injection, and a prominent leukocyte infiltrate composed predominantly of neutrophils at 24h after venom inoculation. LLLT significantly reduced edema formation by 53% and 64% at 3 and 24h, respectively, and resulted in a reduction of neutrophils accumulation (P<0.05). The combined therapy showed to be more efficient than each therapy acting separately. In conclusion, LLLT significantly reduced the edema and leukocyte influx into the envenomed muscle, suggesting that LLLT should be considered as a potentially therapeutic approach for the treatment of the local effects of Bothrops species.

Viagem ao vale da morte: estudo psicológico sobre mulheres mastectomizadas por câncer de mama

Verifica a validade da utilização de teorias importadas na abordagem das características de personalidade de mulheres mastectomizadas por câncer na mama. Submete 33 mulheres mastectomizadas, com idade entre 46 e 85 anos, a uma bateria de testes psicológicos (Inventário do Estilo de Vida, Teste das Pirâmides Coloridas, Desenho da Figura Humana e Procedimento de Desenhos-Estórias) e as técnicas desenvolvidas por outras áreas do conhecimento: do jornalismo, as leituras direta e indireta (Medina, 1989); do cinema o travelling de Godard; da óptica, a câmara lúcida; da epistemologia, os fenômenos da ressonância e repercussão (Bachelard). Após avaliar os aspectos dinâmicos da personalidade e os discursos, propõe um método trágico-fenomenológico de circunspecção do olhar amoroso ao objeto do saber. Detecta ampla quantidade de conteúdos psicológicos relacionados a mastectomia não mencionados pela bibliografia nacional e estrangeira, tais como o fato da negação não se referir a morte, mas a falta de sentido que imprime a vida e que o processo que se instala é o de melancolia e não de luto. Conclui salientando a necessidade de elaboração de uma técnica de abordagem psicoterapêutica mais adequada às necessidades reais das mulheres mastectomizadas (AU)

Centro de atenção psicossocial - projeto terapêutico - novas perspectivas para a saúde mental do município de Panambi - RS / New perspectives for the mental health of Panambi - RS

O trabalho aborda a atenção à saúde mental no município de Panambi, Rio Grande do Sul e as mudanças decorrentes da reforma psiquiátrica