OBJECTIVE To evaluate the effects of low-level laser therapy isolated and associated with Calendula officinalis oil in treating diabetic foot ulcers. METHOD An experimental, randomized, controlled, prospective, interventional clinical case study using a quantitative approach. The sample consisted of 32 diabetic patients of both genders. Participants were randomly divided into four groups. Doppler Ultrasound evaluation of the Ankle-Brachial Index, brief pain inventory and analog pain scale were performed at baseline and after 30 days. RESULTS Reduced pain was observed in the Low-level laser therapy and Low-level laser therapy associated with Essential Fatty Acids groups (p<0.01). Regarding the Ankle-Brachial Index and Doppler Ultrasound, all groups remained stable. By analyzing lesion area reduction, Low-level laser therapy associated with Essential fatty acids group showed a significance of p=0.0032, and the Low-level laser therapy group showed p=0.0428. CONCLUSION Low-level laser therapy, performed alone or associated with the Calendula officinalis oil was effective in relieving pain and accelerating the tissue repair process of diabetic foot.

PURPOSE:To evaluate the effects of the low-level laser therapy applying Laser on the tissue repair in ulcer carriers due to diabetes. METHODS:Sixteen type II diabetic patients, ulcer carriers in the lower limbs, participated in the research from which eight were in the control group and eight were submitted to the low-level laser therapy with a pulsed wave form, visible ray, wave length of 632.8 nm, mW peak power, (Laser -HTM). The application time was of 80 (4J/cm2 ) seconds. The application was punctual without contact (approximately 1mm of distance), the pen being held in a perpendicular position related to the wound, in equidistant points. There were 12 appointments, of which three were done weekly in alternated days. Photograph records and an application of the brief inventory of pain were done before and after 30 days of follow-up. RESULTS:There was a significant decrease in the size of the wound when compared to the control group (p<0.05). The pain was also reported as having an intense improvement in the treated group. CONCLUSION:The low-level laser treatment seems to be an efficient method, viable, painless and of low costs concerning the tissue repair ulcers in a diabetic foot.

Obese women presented lower concentrations of erythrocytary zinc than the control group. The study demonstrated a probable influence of the inflammatory process on metabolism of zinc in obese patients.

Objetivo: Comparar Qualidade de Vida, sintomas osteomioarticulares e sobrecargas em cuidadores de idosos. Métodos: Trata-se de um estudo epidemiológico, observacional, descritivo, transversal e quantitativo, cuja amostra foi composta por setenta e seis indivíduos de ambos os sexos e com idade entre 18 e 55 anos, alocados em dois grupos, cuidadores formais (Grupo A) e cuidadores familiares (Grupo B). Os dados foram coletados com os questionários WHOQOL-BREF, QNSO e EZBI. Resultados: A Qualidade de Vida Geral (QVG) foi maior no Grupo A que no B. A sobrecarga leve concentrou-se majoritariamente no Grupo B e a sobrecarga grave no Grupo A. Nos sintomas musculoesqueléticos, o Grupo A sofreu acometimentos de região lombar, dorsal e ombros. Houve afastamentos por acometimento na região lombar, dorsal e ombros. No Grupo B, houve acometimentos de região lombar, ombros e dorsal. Não ocorreram afastamentos neste grupo, apesar de ter sofrido maiores sobrecargas e ter sido mais exposto a sintomas musculoesqueléticos e menor QVG, por executar suas atividades de forma anônima, sem vínculo formal no desempenho de suas funções. Conclusão: O Grupo A sofreu menos desgastes, afastando-se mais de atividades laborais, enquanto o Grupo B sofreu mais desgastes e sobrecargas, contudo com ausência de afastamentos.

An ulcer is an injury that affects the skin and has many causes. Healing is a way of protecting the body against any infectious agent that tries to infect you through the wound. Low level laser (LLL) in the treatment of ulcers, aims at maintaining the stability of the physiological process of tissue repair and ultrasound (US) acts by increasing the elasticity of tissue and scarring. The aim of this study was to analyze the effects of LLL and US in wound healing of ulcers induced in mice. In this experimental study, a sample of 36 guinea pigs was divided into 6 groups of 6 mice, 2 groups as control (C7) and (C14), 2 treated with laser (GL7) and (GL14) and the others 2 treated with ultrasound (GU7) and (GU14). The ulcer was induced and after 7 days, 6 mice from each group were sacrificed to obtain the histological sections for analysis, and the remaining 6 mice from each group continued under treatment and in day 14, they were sacrificed to obtain histologic specimens while macroscopic image was also carried out. Three aspects were analyzed, the percentage of wound regression where it was observed that there was a significant difference in the first 7 days. Regarding the inflammatory process, it was observed that in the first 7 days GL7 and GU7 improved significantly and within 14 days of the experimental period GU14 showed a significant difference when compared to C14. The number of fibroblasts present in the GL at 7 days showed a significant difference compared to the others, and at 14 days, the US group had a significant difference compared to the other groups. Thus, it was evident that the US had more effective results with anti-inflammatory action, better organization and increased deposition of collagen and fibroblasts. Therefore, it can be concluded that other studies are consistent with this taking into account the laser must be used during the early days of the initial healing process and the US during the end of this process.

PURPOSE:To analyze the effects of the low-level laser therapy in the acute myositis induced in rats. METHODS:Fifteen male Wistar rats (Rattus norvegicus) were randomly distributed into three categories: control group (C), induced Myositis without treament (MI) and treated induced myositis (MT), for the experimental period of seven days. The induction of the acute myositis was done with 1% acetic acid by intramuscular route. The rats belonging to the experimental group had daily treatment through the GaAs (gallium arsenide) laser, with 904,0 nm length, and 45 mW peak power, with 3J/cm 2 , applied for 5 minutes on the animals' right posterior limb. RESULTS:In the MT group there was a statistic significant decrease in the number of inflammatory cells, related to the MI group (p<0.05), increase in the fibroblastic proliferation, when compared to groups C and MI related to MT group (p<0.01) and statistic significant edema regression (p=0.0400) in the MT group. CONCLUSION:The low-level laser therapy was efficient in the reduction of the inflammatory process, increase of the fibroblastic proliferation and the reduction of the edema.

A Síndrome Pós-Covid-19 (SPC) ou Covid longa (CL) é uma condição clínica oriunda da infecção pelo SARS-CoV-2 que algumas pessoas experimentam após o término da Covid- 19, com variedade de sintomas como fadiga, dor crônica, falta de ar, disfunção cognitiva, perda do olfato, tonturas, dores de cabeça e transtorno de ansiedade e estresse pós-traumático, impactando na qualidade de vida. Pacientes com doenças inflamatórias e autoimunes como Fibromialgia (FM) representam um grupo particularmente vulnerável ao desenvolvimento da CL devido alteração do Sistema Nervoso Autônomo (SNA), uso de glucocorticoides e do isolamento e sedentarismo impostos pela pandemia intensificarem dores crônicas, alterações emocionais e do sono. O objetivo desse estudo foi relatar um caso de SPC em paciente portador de FM com protocolo de tratamento composto por acupuntura e liberação miofascial no ambulatório de um hospital público em Teresina-PI. Os dados foram coletados com os instrumentos Depression Anxiety Stress (DASS-21), Mini Exame do Estado Mental (MEEM), Questionário Nórdico de Sintomas Osteomusculares (QNSO), Questionário de Avaliação de Qualidade de Vida (WHOQOL-BREF), Índice de Qualidade de Sono de Pittsburgh (PSQI), Escala Visual Analógica (EVA) e Algometria. Os resultados mostraram redução dos níveis de estresse, ansiedade e depressão, diminuição das dores musculares, aumento do LDP com redução do afastamento das atividades rotineiras, impactando na melhora da qualidade de vida geral e do sono. Conclui-se que o tratamento com acupuntura associada à liberação miofascial se apresenta como alternativa eficaz para melhoria da SPC em paciente portadora de FM.

OBJETIVO: Avaliar a qualidade de vida e a sensibilidade dos pés de pacientes diabéticos.MÉTODOS: Estudo quantitativo, transversal, com 40 portadores de diabetes tipo 2. Utilizou-se o questionário SF-36 e os monofilamentos de Semmes-Weinstein. Os dados foram coletados após a avaliação neurológica, tabulados e analisados por meio do software Statistica 7.0 StatSoft©. Para comparar os grupos de indivíduos com alterações sensitivas com o grupo que não possuía alterações sensitivas foi utilizado o teste não-paramétrico U de Mann-Whitney. Foram considerados significantes os valores de p≤0,05.RESULTADOS: Dos 40 sujeitos, 62,5% eram mulheres, com idade média de 57±9,8 anos. O índice de massa corporal foi de 26,4±3,4 kg/m2 e o tempo de diagnóstico da doença foi de 8,9±7,7 anos. Notou-se que os aspectos emocionais (com e sem alteração sensitiva média de 52,0% e 87,5%, respectivamente) e físicos (com e sem alteração sensitiva média de 47,7% e 71,9%, respectivamente) foram os que apresentaram maior diferença, embora, não estatisticamente significante.CONCLUSÕES: A qualidade de vida dos pacientes sem alteração sensitiva foi melhor em relação à maioria dos domínios. Não houve alteração na qualidade de vida comparada ao comprometimento sensorial estatisticamente significante, mas na maioria dos domínios do SF-36 os pacientes sem alteração sensitiva apresentaram melhor qualidade de vida.