Pemphigus foliaceus patients (Fogo Selvagem) treated with kinesiotherapy presented lower levels of proinflammatory cytokines.

Fogo Selvagem (FS) is a rare autoimmune disease characterized by acantholysis and inflammation of the epidermis. It was evidenced in this disease the increase of proinflammatory cytokines levels which can be influenced by physical activities. Kinesiotherapy, as physiotherapeutic interventions, was associated improvement levels of the quality of live, mainly the pain. Understanding the impact of such methodology in immunology of the FS, may constitute an alternative and effective approach. We compare the levels of serum cytokines and chemokines between nine patients with FS submitted to kinesiotherapy for 12 weeks and ten patients not submitted to kinesiotherapy. The kinesiotherapy was composed by self-stretching followed by a resistance training for upper and lower limbs. The protocol was carried out in three sections of eight to ten repetitions with 70% of the maximum load measured by test maximum of ten repetitions. After strengthening period patients performed a passive stretching. The training sessions lasted 50 min and were performed 3 times a week at least 12 weeks. Cytokines and chemokines were assessed in plasma using enzyme-linked immunosorbent assay and/or cytometric bead array. Patients with FS were being kinesiotherapy presented minors levels of interferon-γ, interleukin (IL)-17, IL-22, and IL-15 when compared to those not submitted to kinesiotherapy. No differences were observed for the detection of the chemokines chemokine ligand (CCL)-2, CCL-3, CCL-5, CCL-11, C-X-C motif chemokine 8 (CXCL-8), and CXCL-10. These results suggest that kinesiotherapy had a positive impact on inflammatory markers that are associated with disease worsening in FS.

Effects of Spiritist "passe" (Spiritual healing) on stress hormone, pain, physiological parameters and length of stay in preterm newborns: a randomized, double-blind controlled trial.

Background Among the practices of complementary medicine used to treat several diseases is the Spiritist "passe (SP)." Experimental studies have demonstrated the effectiveness of this energy therapies in reducing anxiety in adults. However, studies evaluating the effects of the "passe" energy therapy on health outcomes in newborns (NBs) are lacking. The aim of this study was to evaluate the effects of SP on stress hormone levels, pain, physiological parameters and length of stay in NBs. Methods NBs were randomly allocated into two groups: intervention (3 days SP sessions, n=13) and control (3 days sham sessions, n=12). Results In the SP group, respiratory frequency (RF) was found significantly lower (p<0.05), and reduction of heart rate and length of stay were observed, without statistical differences. While in the control, there was higher tendency of cortisol levels (p=0.05). Conclusions In this pilot study, RF reduced and prevented the elevation of the salivary cortisol concentration in preterm NBs receiving the SP compared with the control group.

Efeitos do passe espírita sobre a resposta hematológica e complicações de recém-nascidos hospitalizados: ensaio clínico randomizado / Effect of the spiritist ''passe'' (spiritual healing) on the hematological response and complications of hospitalized newborns: a randomized clinical Trial / Efectos del pase espírita sobre la respuesta hematológica y complicaciones de los recién nacidos internados: ensayo clínico randomizado

Objetivo: Avaliar a resposta hematológica e complicações no período de hospitalização de recém-nascidos submetidos ao passe espírita e à imposição de mãos com intenção de cura. Método: Ensaio clínico randomizado, duplo cego. 24 recém-nascidos foram aleatoriamente designados para o grupo experimental, que recebeu passe espírita durante 10 minutos, três dias consecutivos, e grupo controle que recebeu imposição de mãos com intenção de cura, de duração igual. Os resultados foram avaliados por meio de hemograma antes e após as intervenções e complicações durante a internação hospitalar. Resultados: Nos recém-nascidos do grupo passe espírita houve diferenças significativamente menores na dosagem de eritrócitos totais, hemoglobina e níveis de neutrófilos, maiores nos valores totais e percentagem de linfócitos e nos escores de plaquetas (p<0,05). Referente às complicações, no controle 30,7% utilizaram antibiótico e 15,4% drogas vasoativas comparado com apenas 18,2% uso de antibióticos no grupo exposto ao passe espírita. Conclusões: Maior imunidade, baseado no aumento da contagem de linfócitos, e menor incidência de complicações no período de hospitalização foram observadas em recém-nascidos expostos ao passe espírita comparados à imposição de mãos com intenção de cura (AU).

Objective: To evaluate the hematological response and complications during hospitalization of newborns who were submitted to a Spiritist ''passe'' and laying on of hands aiming the healing. Method: Randomized clinical trial, double blind. 24 newborns were randomly. The experimental group was submitted to a Spiritist ''passe'' for three consecutive days, 10 minutes a day. The control group was submitted to a curative laying on of hands with the same duration. The results were evaluated using a complete blood count collected before and after the interventions, and detecting the number of complications during hospitalization. Results: The newborns who were submitted to Spiritist ''passe'' showed a smaller decrease of their microhematocrit, hemoglobin and neutrophils level, an increase of their total values and percentagem of lymphocyte and platelets (p<0,05). Concerning complications during hospitalization, in the control group 30,7% used antibiotics and 15,4% vasoactive drugs compared to only 18,2% of antibiotic use in the group exposed to Spiritist "passe". Conclusions: Increased immunity, based on increased lymphocyte count, and lower incidence of complications during the hospitalization period were observed in newborns exposed to Spiritist "passe" compared to imposing hands with intent to cure (AU).

Objetivo: Evaluar la respuesta hematológica y las complicaciones durante la internación hospitalaria de los recién nacidos sometidos a pase espírita y la imposición de manos con intención de curar. Métodos: Ensayo clínico aleatorizado, doble ciego. 24 recién nacidos fueron asignados aleatoriamente al grupo experimental, que recibió pase espírita durante 10 minutos, três días consecutivos y el grupo control que recibió la imposición de manos con la intención de curar, con la misma duración. Los resultados se evaluaron mediante hemograma antes y después de las intervenciones y complicaciones durante la internación hospitalaria. Resultados: Se encontró en el grupo experimental diferencias significativamente menores en eritrocitos totales, la hemoglobina y neutrófilos y mayores en los valores totales y en las porcentaje de linfocitos entre grupos y plaquetas (p<0,05). En el grupo control 30,7% utilizaron antibiótico y 15,4% drogas vasoactivas comparado con apenas 18,2% uso de antibióticos en el grupo expuesto al pase espírita. Conclusiones: Mayor inmunidad, basada en el aumento del recuento de linfocitos, y menor incidencia de complicaciones en el período de hospitalización fueron observadas en recién nacidos expuestos al pase espírita comparados a la imposición de manos con intención de curación (AU).

Uma análise psicanalítica da compulsão e da impulsão a partir da perspectiva do gozo e do ato / A psychoanalytic analysis of compulsion and impulsion fromthe perspective of the jouissance and the act

O artigo propõe uma compreensão e uma diferenciação dos conceitos de compulsão eimpulsão a partir da perspectiva do gozo e do ato, tal como entendidos por Freud e Lacan. Nossoobjetivo é refletir acerca das implicações clínicas das relações entre gozo, ato e sintoma paraa direção do tratamento de pacientes que manifestam impulsões e compulsões. Pretendemos,com isso, destacar as contribuições que o psicanalista pode oferecer ao trabalho de uma equipemultidisciplinar voltada para o tratamento de transtornos alimentares.

The aim of this paper is to understand and differentiate the concepts of impulsion andcompulsion from the perspective of the jouissance and the act as expounded by Freud and Lacan.Our goal is to consider the clinical implications of the relationship between jouissance, act, andsymptom for the treatment direction of patients who manifest impulsions and compulsions. Weintend, therefore, to highlight the contributions that can be offered by the psychoanalyst to the workof a multidisciplinary team focused on the treatment of eating disorders.