Biomechanical repercussion of sitting posture on lumbar intervertebral discs: A systematic review.

BACKGROUND: The static sitting position contributes to increased pressure on the lumbar intervertebral disc, which can lead to dehydration and decreased disc height. OBJECTIVE: To systematically investigate the of sitting posture on degeneration of the lumbar intervertebral disc. MATERIALS AND METHODS: One researcher carried out a systematic literature search of articles with no language or time limits. Studies from 2006 to 2018 were found. The searches in all databases were carried out on January 28, 2022, using the following databases: Pubmed, Scopus, Embase, Cochrane, and Physiotherapy Evidence Database (PEDro) databases, and for the grey literature: Google scholar, CAPES Thesis and Dissertation Bank, and Open Grey. The acronym PECOS was used to formulate the question focus of this study: P (population) - male and female subjects; E (exposure) - sitting posture; C (comparison) - other posture or sitting posture in different periods; O (outcomes) - height and degeneration of the lumbar intervertebral disc(s), imaging exam; and S (study) - cross-sectional and case control. RESULTS: The risk of bias was in its moderate totality in its outcome: height and degeneration of the lumbar intervertebral disc(s) - imaging. Of the four selected studies, three found a decrease in the height of the disc(s) in sitting posture. CONCLUSION: The individual data from the manuscripts suggest that the sitting posture causes a reduction in the height of the lumbar intervertebral disc. It was also concluded that there is a need for new primary studies with a more in-depth design and sample size.

Glucose may Contribute to Retrieval and Reconsolidation of Contextual Fear Memory Through Hippocampal Nr4a3 and Bdnf mRNA Expression and May Act Synergically with Adrenaline.

Adrenaline (Ad) and glucose released into the bloodstream during stress may strengthen contextual fear memory. However, no previous studies have detached the effects of glucose from Ad in this paradigm. Using Ad-deficient mice, we aimed to evaluate the effect of glucose on contextual fear memory when endogenous Ad is absent. Fear conditioning was performed in wild-type (WT) and Ad-deficient mice (129 × 1/SvJ) administered with glucose (30 or 10 mg/kg; i.p.) or/and Ad (0.01 mg/kg; i.p.) or vehicle (0.9% NaCl; i.p.). Catecholamines were quantified using HPLC-ED. Real-time qPCR was used to assess mRNA expression of hippocampal genes. WT and Ad-deficient mice display increased contextual fear memory when administered with glucose both in acquisition and context days when compared to vehicle. Also, Nr4a3 and Bdnf mRNA expression increased in glucose-administered Ad-deficient mice. Sub-effective doses of glucose plus Ad administered simultaneously to Ad-deficient mice increased contextual fear memory, contrary to independent sub-effective doses. Concluding, glucose may be an important part of the peripheral to central pathway involved in the retrieval and reconsolidation of fear contextual memories independently of Ad, possibly due to increased hippocampal Nr4a3 and Bdnf gene expression. Furthermore, Ad and glucose may act synergically to strengthen contextual fear memory.

Peripheral electrical stimulation on neuroplasticity and motor function in stroke patients: a systematic review and meta-analysis.

INTRODUCTION: The use of electrotherapy has been presented as a great resource for the professional physiotherapist in the most diverse pathologies. Stroke is a neurological condition responsible for sequelae such as hemiplegia that directly impair the quality of life of patients. OBJECTIVE: This study aimed to review the literature on the effects of electrotherapeutic resources on motor function and neuroplasticity in individuals with post-stroke sequelae. MATERIALS AND METHODS: 2427 articles were found in databases according to search criteria for each base according to the included descriptors (EndNote Web). After exclusion of duplicate articles, automatically and manually, Phase 1 was performed - reading of titles and abstracts of 1626 articles according to eligibility criteria by two blinded reviewers using the programme Rayyan QCRI (Qatar Computing Research Institute), conflicts were resolved in consensus between the two reviewers. Thus, 13 articles were selected for Phase 2-13 articles were selected for reading in full, leaving 8 articles in this review. To assess the quality of bias of the selected studies, the PEDro Scale was used. RESULTS: In the assessment of neuroplasticity, statistically significant results were found in two studies (p < 0.05). However, the effects of electrostimulation stood out significantly in the motor function of these individuals (p < 0.05). It can be considered with neuroplasticity, since improved functionality can be related to electrostimulation-induced neuroplasticity. Conclusions Electrostimulation is able to promote neuroplasticity and increase motor function, generating positive effects in the treatment of individuals with post-stroke sequelae.

Insulin enhances contextual fear memory independently of its effect in increasing plasma adrenaline.

AIMS: Adrenaline enhances contextual fear memory consolidation possibly by activating liver ß2-adrenoceptors causing transient hyperglycaemia. Contrastingly, insulin-induced hypoglycaemia may culminate in blood adrenaline increment, hidering the separation of each hormone's action in contextual fear memory. Therefore, an adrenaline-deficient mouse model was used aiming to investigate if contextual fear memory consolidation following insulin administration requires or not subsequent increases in plasma adrenaline, which occurs in response to insulin-induced hypoglycemia. MAIN METHODS: Fear conditioning was performed in wild-type (WT) and adrenaline-deficient (Pnmt-KO) male mice (129 × 1/SvJ) treated with insulin (2 U/kg, intraperitoneal (i.p.)) or vehicle (0.9 % NaCl (i.p.)). Blood glucose was quantified. Catecholamines were quantified using HPLC with electrochemical detection. Quantitative real-time polymerase chain reaction was used to assess mRNA expression of hippocampal Nr4a1, Nr4a2, Nr4a3, and Bdnf genes. KEY FINDINGS: Insulin-treated WT mice showed increased freezing behaviour when compared to vehicle-treated WT mice. Also, plasma dopamine, noradrenaline, and adrenaline increased in this group. Insulin-treated Pnmt-KO animals showed increased freezing behaviour when compared with respective vehicle. However, no changes in plasma or tissue catecholamines were identified in insulin-treated Pnmt-KO mice when compared with respective vehicle. Furthermore, insulin-treated Pnmt-KO mice presented increased Bdnf mRNA expression when compared to vehicle-treated Pnmt-KO mice. SIGNIFICANCE: Concluding, enhanced freezing behaviour after insulin treatment, even in adrenaline absence, may indicate a key role of insulin in contextual fear memory. Insulin may cause central molecular changes promoting contextual fear memory formation and/or retrieval. This work may indicate a further role of insulin in the process of contextual fear memory modulation.

Emotional Dysregulation Mediates the Association Between Unsupportive Maternal Socialization Strategies of Overjoy and Psychopathological Symptoms in Adolescent Boys but not Girls.

Mothers play an important role in the emotion socialization of their teenage children, with implications for psychological adjustment. However, studies on maternal socialization of positive emotions in adolescence are still scarce and inconclusive. In this study, we aim to deepen our understanding on the association between unsupportive maternal socialization strategies of overjoy and internalization but also externalization symptoms as mediated by emotion dysregulation, and moderated by adolescents' gender. The study was conducted with 418 adolescents (M age = 14.75; 57.7% girls). Moderated mediation analysis indicated the effect of punishment and override of overjoy on internalization (punishment: b = 1.38, 95% CI [0.63, 2.31]; override: b = 1.36, 95% CI [0.59, 2.31]) and externalization (punishment: b = 0.71, 95% CI [0.20, 1.34]; override: b = 0.77, 95% CI [0.26, 1.46]) was mediated by emotional dysregulation in the case of boys. Contrary to expectations, for girls this effect was not found, indicating that further analysis are required.

Cryotherapy in Knee Arthroplasty: Systematic Review and Meta-Analysis.

Total knee arthroplasty is performed to relieve knee pain and disability related to end-stage osteoarthritis. Cryotherapy is used as an analgesic method, reducing the intraarticular temperature. The objective of this study was to review the literature on the efficacy of cryotherapy in knee arthroplasty. A total of 700 articles were found in databases according to the search criteria for each database and the included descriptors (EndNote Web). After exclusion of duplicate articles, automatically and manually, Phase 1 was performed-reading of titles and abstracts of 375 articles according to the eligibility criteria by two blinded reviewers using the Rayyan QCRI (Qatar Computing Research Institute) program, conflicts were resolved in consensus between the 2 reviewers. Thus, 21 articles were selected for Phase 2-reading in full, leaving 5 articles for this review. The Cochrane instrument Rob 2 was used to assess the quality of bias of the selected studies, and RevMan 5.4.1 was used for meta-analysis. The age of study participants ranged from 51 to 74 years. The sample size ranged from 37 to 389 subjects, with a total of 648 subjects. The risk of bias was almost entirely high and moderate for all endpoints: pain, range of motion (ROM), and function. There was a decrease in pain level and as secondary endpoints ROM and functionality, there were divergences between studies. It can be concluded that although cryotherapy is indicated to reduce pain in the postoperative period of knee arthroplasty, studies have many methodological biases and the meta-analysis performed could not confirm the effects; therefore, more primary studies are needed to better understand the effects.

Molecular pathways underlying sympathetic autonomic overshooting leading to fear and traumatic memories: looking for alternative therapeutic options for post-traumatic stress disorder.

The sympathoadrenal medullary system and the hypothalamic-pituitary-adrenal axis are both activated upon stressful events. The release of catecholamines, such as dopamine, norepinephrine (NE), and epinephrine (EPI), from sympathetic autonomic nerves participate in the adaptive responses to acute stress. Most theories suggest that activation of peripheral ß-adrenoceptors (ß-ARs) mediates catecholamines-induced memory enhancement. These include direct activation of ß-ARs in the vagus nerve, as well as indirect responses to catecholamine-induced glucose changes in the brain. Excessive sympathetic activity is deeply associated with memories experienced during strong emotional stressful conditions, with catecholamines playing relevant roles in fear and traumatic memories consolidation. Recent findings suggest that EPI is implicated in fear and traumatic contextual memories associated with post-traumatic stress disorder (PTSD) by increasing hippocampal gene transcription (e.g., Nr4a) downstream to cAMP response-element protein activation (CREB). Herein, we reviewed the literature focusing on the molecular mechanisms underlying the pathophysiology of memories associated with fear and traumatic experiences to pave new avenues for the treatment of stress and anxiety conditions, such as PTSD.

A Novel Approach to Charcoal Fine Waste: Sustainable Use as Filling of Polymeric Matrices.

Most composites produced come from fossil fuel sources. Renewable strategies are needed for the production of composites. Charcoal fines are considered waste and an alternative for the production of biocomposites. The charcoal fines resulting from the pyrolysis of any biomass are an efficient alternative for the production of green composites. Studies to understand how the pyrolysis parameters influence the properties of this material for the production of biocomposites are necessary. Charcoal has a high carbon content and surface area, depending on final production temperatures. This study aims to evaluate charcoal fines as potential reinforcing agents in biocomposites. This study investigated for the first time charcoal fines from three pyrolysis temperatures (400, 600, and 800 °C) to identify the most suitable charcoal for use as a raw material in the production of carbon biocomposites with 30% by weight incorporated into a polyester matrix composite. Apparent density, porosity, morphology, and immediate chemical composition and Fourier transform infrared spectroscopy (FTIR) and X-ray photoelectron spectroscopy (XPS) of charcoal fines were evaluated. The charcoal fines produced at 800 °C showed interesting potential as polymeric matrix fillers due to their higher porosity (81.08%), fixed carbon content (96.77%), and hydrophobicity. The biocomposites were analyzed for flexural and tensile strength and scanning electron microscopy. The results revealed an improvement in resistance at elevated temperatures, especially at 800 °C, with higher breaking strength (84.11 MPa), modulus of elasticity (4064.70 MPa), and traction (23.53 MPa). Scanning electron microscopy revealed an improvement in morphology, with a decrease in roughness at 800 °C, which caused greater adhesion to the polyester matrix. These results revealed a promising new biocomposite compared to other natural lignocellulosic polymeric composites (NLFs) in engineering applications.

KiloHertz currents on aspects of muscle function: A scoping review.

BACKGROUND: Neuromuscular electrical stimulation (NMES) with kiloHertz currents (kHz) is a resource used in rehabilitation for producing muscle contractions with functional objectives, resulting from the optimization of the performance of aspects of muscle function (AOMF). However, parameters such as inadequate frequency, phase duration, amplitude, and therapy time may limit the effectiveness of NMES by the absence of adequate stimuli to generate positive adaptations in the AOMF. This study aimed to present an overview of the effectiveness and dosimetry of NMES by kHz on AOMF, such as torque and hypertrophy, in healthy people. METHODS: The study was outlined as a scoping review. From the search, 3892 studies were found of which were incorporated into Rayyan software for exclusion of duplicates and further selection by titles and abstracts, which resulted in 33 articles for this review. RESULTS: According to the included studies, kHz can increase torque and generate hypertrophy. Only the studies with Russian current showed hypertrophy gains. Dosimetry was not always detailed in the studies, which hinders stipulating optimal parameters for kHz. CONCLUSION: From this review, it is concluded that NMSC by kHz is a valid resource to optimize AOMF, although the dosimetric parameters are still inconsistent.

Strategies for talent engagement and retention of Brazilian Nursing professionals.

OBJECTIVE: To reflect on how human resource health managers and talent managers may engage and retain experienced nursing professionals in Brazil. METHODS: Reflection based on studies on global and Brazilian-specific nursing professionals and retention, before and during the COVID-19 pandemic. RESULTS: The pandemic worsened working conditions for all health professionals. Nursing professionals were particularly affected. Nurses have been viewed as "heroes" and "essential" frontline workers during the COVID-19 pandemic. However, despite the universal praise for their efforts, it seems uncertain if they were actually considered and managed like talent. FINAL CONSIDERATIONS: In order to develop a sustainable healthcare system supported by sufficient experienced nursing talent, healthcare human resource managers and talent managers must develop and implement impactful nursing talent retention and engagement strategies. We highlight possible strategies targeting experienced nursing talent that will help to sustain the Brazilian healthcare system, post-pandemic.

Strategies for talent engagement and retention of Brazilian Nursing professionals

ABSTRACT Objective: To reflect on how human resource health managers and talent managers may engage and retain experienced nursing professionals in Brazil. Methods: Reflection based on studies on global and Brazilian-specific nursing professionals and retention, before and during the COVID-19 pandemic. Results: The pandemic worsened working conditions for all health professionals. Nursing professionals were particularly affected. Nurses have been viewed as "heroes" and "essential" frontline workers during the COVID-19 pandemic. However, despite the universal praise for their efforts, it seems uncertain if they were actually considered and managed like talent. Final considerations: In order to develop a sustainable healthcare system supported by sufficient experienced nursing talent, healthcare human resource managers and talent managers must develop and implement impactful nursing talent retention and engagement strategies. We highlight possible strategies targeting experienced nursing talent that will help to sustain the Brazilian healthcare system, post-pandemic.

Sotalol Treatment may Interfere With Retrieval, Expression, and/or Reconsolidation Processes Thus Disrupting Traumatic Memories in a Post-Traumatic Stress Disorder Mice Model.

The processes by which fear memory is encoded, consolidated, and re-consolidated are extremely complex and appear to require the release of stress hormones, especially adrenaline (AD). AD improves contextual fear memory, acting specifically on peripheral ß2-adrenoceptors. Propranolol (peripheral and central ß-adrenoceptor antagonist) treatment was shown to prevent post-traumatic stress disorder (PTSD) development and reduce its symptoms. However, propranolol has several side effects. Thus, we aimed to evaluate if sotalol (a peripheral ß-adrenoceptor antagonist) treatment interferes with retrieval, expression, and/or reconsolidation of traumatic memories in a validated mice model that mimics the signs/symptoms of PTSD, thus intending to decrease them. Female mice were induced with PTSD following an established protocol. Sotalol (2.0 mg/kg) or vehicle were administered on days 2, 7, and 14. The percentage of freezing was calculated, and behavioral tests were carried out. Catecholamines in plasma were quantified by HPLC with electrochemical detection. Quantitative real-time polymerase chain reaction (qPCR) was used to evaluate mRNA expression of NR4A family genes in hippocampus. Following the submission of the animals to the same aversive context on days 2, 7, and 14, sotalol-treated mice exhibited significant less freezing behavior. In the elevated plus-maze test, the time spent and number of entries in the open arms, and total arm entries were increased in sotalol-treated mice. Also, the light-dark transition test revealed higher time spent, number of transitions to the light, and total number of transitions in sotalol-treated mice. Moreover, plasma AD was significantly decreased in sotalol-treated mice. On day 14, sotalol-treated mice exhibited a decrease in mRNA expression of Nr4a1 in the hippocampus. In conclusion, in PTSD mice model, sotalol appears to decrease traumatic memories and anxiety-like behavior, probably due to a decrease in peripheral adrenergic activity, which influences traumatic memories. The effects of sotalol upon re-exposure to the traumatic context may be consistent with interference in the retrieval, expression, and/or reconsolidation processes of contextual traumatic memory, resulting in a long-term reduction of PTSD symptoms and signs. The decreased Nr4a1 mRNA expression in the hippocampal formation may be crucial for these mice to develop diminished traumatic contextual memories after sotalol therapy in PTSD.

Comparison between Russian and Aussie currents in the grip strength and thickness muscles of the non-dominant hand: A double-blind, prospective, randomized-controlled study.

OBJECTIVES: This study aims to compare the Russian and Aussie currents in the force gain and hypertrophy of the forearm muscles responsible for the grip. PATIENTS AND METHODS: This double-blind, prospective, randomized-controlled study included a total of 30 healthy women (mean age: 20.2±1.7 years; range, 18 to 25 years) between May 2018 and July 2018. The participants were randomly divided into three groups: control group (CG, n=10), Aussie current group (ACG, n=10), and Russian current group (RCG, n=10). All three groups underwent a force test with a gripping dynamometer and the collection of images of the superficial and deep flexor muscles of the fingers with diagnostic ultrasound. The CG received a fictious current stimulus, while the other two groups received the designated stimuli from their currents. Further evaluations were performed after 24 h of the 12th application of the current. RESULTS: For grip, there were no significant differences in the moment of evaluation and interaction, while the effect size yielded certain points to advantages of force gain for the group using the RCG. The thickness of the superficial muscles showed a significant difference for the first evaluation between CG and RCG (p=0.014) and between RCG and ACG (p=0.010), indicating a larger effect size for RCG. CONCLUSION: Our study results show that the Russian current is proven to be the mode which yields the most optimal results.

Functional stability despite anthropogenic influences on the ichthyofauna of a tropical bay.

Classifying species into groups based on taxonomic relationship and functions are objective approaches to evaluate environmental and anthropogenic influences on coastal fishes. We evaluated temporal (1993-1995 and 2012-2015) changes in the taxonomic and functional indices in three zones of a tropical bay heavily impacted over the recent decades. We tested the hypothesis that both indices decrease over time as result of the environmental degradation. A decrease in the taxonomic richness and abundance was observed mainly of the inner zone. The functional structure remained relatively stable, but the functional originality decreased significantly between the two periods. This functional loss is of particular concern because the loss of species with unique treats may generate a series of ecosystem damage. This information tells us that the use of functional indices is essential to complement taxonomic assessments and to detect a more detailed understanding of the real dimension of biodiversity loss in impacted environments.

Hierarchical partitioning of fish diversity and scale-dependent environmental effects in tropical coastal ecosystems.

The spatial structure of the fish diversity and site-scale and landscape-scale environmental effects were investigated across hierarchical levels in tropical coastal ecosystems. Total diversity (γ) was hierarchically partitioned into α and ß components using both the additive and multiplicative methods. A model selection based on the AICc was applied to generalized linear mixed models relating diversity measures to environmental variables and including random effects for hierarchical levels and season. Short-term seasonal effects were negligible. Spatial effects were more relevant at the site level and negligible at the subregion level, due to the high spatial heterogeneity and the natural pooling of ecosystems, respectively. Site-scale environmental effects were more relevant at the subregion level, with eutrophic conditions (continental influence) favoring the species richness (α and γ) and higher absence of species (ßA) in oligotrophic conditions (marine influence). At the system level, the positive effect of the distance from the ocean on γ and higher ßA in oligotrophic conditions reinforced the positive continental influence on fish diversity. Environmental homogenization processes were most likely associated with the negative effect of the pasture cover on α at the system level, and γ and ßA at the site level. The negative effect of the forest cover on the later diversity measure evidenced its relevance to maintain richer but more similar assemblages, whereas the positive continental influence was most likely due to the loss of stenohaline marine species. This study evidenced that disentangling spatial, land use, and marine vs. continental effects on diversity components is critical to understand the primary determinants of the fish diversity in tropical coastal ecosystems.

Aplicação da estimulação elétrica nervosa transcutânea em indivíduos com disfunção temporomandibular: ensaio clínico randomizado / Application of transcutaneous nervous electric stimulation in individuals with temporomandibular dysfunction: randomized clinical trial

INTRODUÇÃO: A fisioterapia dispõe de vários recursos para o tratamento da disfunção temporomandibular, como a estimulação elétrica nervosa transcutânea (TENS), mas com muitas variações nos protocolos e parâmetros dosimétricos. OBJETIVO: Analisar a eficácia da estimulação elétrica nervosa transcutânea (TENS), com duração de fase e frequência fixas, na analgesia e funcionalidade de disfunções temporomandibulares. MÉTODOS: A amostra foi composta por 20 indivíduos, separados em grupo tratado e placebo, ao longo de 2 semanas de tratamento, avaliados pelo Questionário de Sintomas Mandibulares e Hábitos Orais, analisando dor e função articular. RESULTADOS: Ambos os grupos apresentaram redução na dor e escore geral, comparados ao momento préintervenção, para a função, apenas o TENS apresentou redução dos valores, mas, não houve diferenças entre os grupos. CONCLUSÃO: TENS não foi diferente do placebo no controle da dor porém, promoveu a melhora funcional nos voluntários.

INTRODUCTION: Physiotherapy has several resources for the treatment of temporomandibular dysfunction, such as transcutaneous electrical nerve stimulation (TENS), but with many variations in protocols and dosimetric parameters. OBJECTIVE: To analyze the efficacy of transcutaneous electrical nerve stimulation (TENS), with fixed phase duration and frequency, in the analgesia and functionality of temporomandibular disorders. METHODS: The sample consisted of 20 individuals, separated in a treated group and placebo, during 2 weeks of treatment, evaluated by Questionnaire on Mandibular Symptoms and Oral Habits, analyzing pain and joint function. RESULTS: Both groups presented reduction in pain and general score, compared to the pre-intervention moment, for the function, only the TENS showed a reduction of the values, but there were no differences between the groups. CONCLUSION: TENS was not different from placebo in pain control, however, it promoted functional improvement in volunteers.

Uso do laser de baixa potência em estrias de distensão: ensaio clínico randomizado controlado / Use of low level laser therapy in striae distensae: a randomized controlled trial

OBJETIVOS: Avaliar os efeitos da laserterapia de baixa potência (660 nm) no tratamento de estrias albas. MÉTODOS: Foi realizado um ensaio clínico randomizado com 20 mulheres divididas por igual em grupo controle e grupo tratamento. Para inclusão elas deveriam possuir estrias albas em região glútea e aceitar participar do estudo. Os critérios de exclusão foram: realização de outro tratamento para estrias, estado gravídico, uso de esteroides, tabagismo, diagnóstico de câncer, áreas hemorrágicas na pele, diagnóstico de epilepsia, diagnóstico de trombose, ou qualquer alteração cognitiva. Foram realizadas 12 aplicações de laser 660 nm, durante quatro semanas. Após mais quatro semanas de seguimento, foi realizada uma reavaliação. Após cada aplicação foram feitas fotos da região para avaliação do tamanho das estrias por meio de planimetria digitalizada, que avalia a porcentagem de área ocupada pelas estrias. Para essa avaliação foram utilizadas as fotos por ocasião da primeira aplicação (AV1), da sexta (AV2), da 12ª (AV3) e da última avaliação, após quatro semanas do término do tratamento (AV4). Foram realizadas também avaliações qualitativas por tato (profundidade) e inspeção visual (tonalidade e tamanho). RESULTADOS: A análise pela planimetria demonstrou que não houve diferença entre a área ocupada pelas estrias quando se compararam as diversas avaliações do mesmo grupo, até a AV3. Porém na AV4 (quatro semanas após a última aplicação de laser) do grupo tratamento, houve diminuição estatisticamente significativa da área de estrias em relação à AV1. No grupo controle, não houve diferença entre AV4 e as outras avaliações. Na comparação entre os dois grupos, não houve diferença nas três primeiras avaliações. Porém na AV4 o grupo tratamento mostrou menor área das estrias em relação ao grupo controle. Na análise qualitativa o grupo tratado apresentou menor visibilidade e menor profundidade das estrias ao tato. CONCLUSÕES: A terapia com 12 sessões de laser de baixa potência durante quatro semanas teve efeito positivo no tratamento de estrias albas, com os resultados tornando-se evidentes somente quatro semanas após a última aplicação. O laser de 660nm mostrou-se um método não invasivo, indolor e de rápida aplicação.

AIMS: To analyze the effects of low-level laser therapy (660nm) in the treatment of striae alba. METHODS: A randomized clinical trial was conducted with 20 women equally divided into a control group and a treatment group. For inclusion, they should have striae alba in the gluteal region and accept to participate in the study. Exclusion criteria were other treatment for striae, pregnancy, steroid use, smoking, cancer diagnosis, hemorrhagic areas on the skin, diagnosis of epilepsy, diagnosis of thrombosis, or any cognitive impairment. Twelve applications of 660 nm laser were performed for four weeks. After another four weeks of follow-up, a reevaluation was performed. After each application, photos were taken from the region to evaluate the size of the striae by means of scanned planimetry, which calculates the percentage of area occupied by the striae. For this evaluation, the photos taken at the first application (AV1), the sixth (AV2), the 12th (AV3) and the last evaluation, after four weeks of treatment completion (AV4), were used. Qualitative evaluations were also performed by touch (depth) and visual inspection (hue and size). RESULTS: The analysis by planimetry showed that there was no difference between the area occupied by the striae when comparing the various evaluations of the same group, until the AV3. However in AV4 (four weeks after the last laser application) of the treatment group, there was a statistically significant decrease of the stria area in relation to AV1. In the control group, there was no difference between AV4 and the other evaluations. In the comparison between the two groups, there was no difference in the first three evaluations. However in AV4 the treatment group showed a smaller area of the striae in relation to the control group. In the qualitative analysis the treated group had lower visibility and less depth of the striae to the touch. CONCLUSIONS: Therapy with 12 sessions of low-level laser for four weeks had a positive effect on the treatment of striae alba, with results becoming evident only four weeks after the last application. The 660 nm laser showed to be a non-invasive, painless and fast-applied method.

Taxonomic and functional distinctness of the fish assemblages in three coastal environments (bays, coastal lagoons and oceanic beaches) in Southeastern Brazil.

Several species of marine fish use different coastal systems especially during their early development. However, these habitats are jeopardized by anthropogenic influences threatening the success of fish populations, and urgent measures are needed to priorize areas to protect their sustainability. We applied taxonomic (Δ+) and functional (X+) distinctiveness indices that represent taxonomic composition and functional roles to assess biodiversity of three different costal systems: bays, coastal lagoons and oceanic beaches. We hypothesized that difference in habitat characteristics, especially in the more dynamism and habitat homogeneity of oceanic beaches compared with more habitat diversity and sheltered conditions of bays and coastal lagoons results in differences in fish richness and taxonomic and functional diversity. The main premise is that communities phylogenetically and functionally more distinct have more interest in conservation policies. Significant differences (P < 0.004) were found in the species richness, Δ+ and X+ among the three systems according to PERMANOVA. Fish richness was higher in bays compared with the coastal lagoons and oceanic beaches. Higher Δ+ was found for the coastal lagoons compared with the bays and oceanic beaches, with the bays having some values below the confidence limit. Similar patterns were found for X+, although all values were within the confidence limits for the bays, suggesting that the absence of some taxa does not interfere in functional diversity. The hypothesis that taxonomic and functional structure of fish assemblages differ among the three systems was accepted and we suggest that coastal lagoons should be priorized in conservation programs because they support more taxonomic and functional distinctiveness.

Perfil de pacientes acompanhados pela comissão interdisciplinar de tratamento de feridas / Profile of patients followed by the interdisciplinary wound care commission

Objetivo: identificar o perfil de pacientes acompanhados pela Comissão Interdisciplinar de Tratamento de Feridas (CITRAFE). Método: estudo exploratório, descritivo, tipo documental, de abordagem quantitativa, realizado em 84 prontuários. Em seguida, analisou-se como prosseguiu a adesão de meios terapêuticos utilizados pela CITRAFE para evolução das feridas e reabilitação dos pacientes através de formulário estruturado. A tabulação dos dados foi realizada no Excel 2010 e os resultados apresentados em tabelas. Resultados: as pessoas mais acometidas por lesões traumáticas eram do sexo masculino entre 20 e 40 anos. As lesões se caracterizaram com exposição de músculo, osso ou tendões, além de necrose, fibrina e sinais de infecção. A gaze com biguanida e a espuma com prata foram os produtos mais utilizados. Ao final do tratamento, 61,9% dos pacientes realizaram enxerto, 11,9% tiveram a cicatrização da lesão e 4,8% realizaram retalho de pele. Conclusão: identificou-se que o perfil dos pacientes acompanhados pela CITRAFE é predominantemente do sexo masculino, em idade reprodutiva, internados nas unidades de traumatologia. Os membros inferiores são os mais afetados, na maior parte com lesões extensas, necessitando de cuidados especializados.

Inter-annual changes in fish communities of a tropical bay in southeastern Brazil: What can be inferred from anthropogenic activities?

We assessed inter-annual changes in fish assemblages of a tropical bay which experienced a heavily industrialized process in the last decades. A highly significant difference in community structure among the bay zones, and a decrease in fish richness and abundance over time were found. Changes in fish richness and abundance between the two first (1987-1988 and 1993-1995) and the two latter time periods (1998-2001 and 2012-2013) were sharpest in the inner bay zone, the most impacted bay area, and in the middle zone, whereas the outer zone remained comparatively stable over time. These changes coincided with increased metal pollution (mainly, Zn and Cd) in the bay and with the enlargement of the Sepetiba Port. Spatial changes in the fish community structure among the bay zones were related to differences in salinity, transparency and depth with this latter variable acting as a buffer stabilizing temporal community changes.