Extracorporeal Shockwave Therapy (ESWT) has had a wide use in rehabilitation, and has presented positive effects in the treatment of unaesthetic affections. The objective of the present study was to search, in the literature, the mechanisms of action and the physiological aspects of shockwaves acting on the biological tissue to improve the condition of cellulite and localized fat. The systematic review of the literature was carried out in the period of September 2016 to February 2017 based on the bibliographic databases such as Lilacs, Medline, PubMed, and SciELO. Fifteen articles were identified in that systematic review, three of which were excluded as they did not make the complete access to the article available or the theme investigated did not encompass the objective of the study. The revision demonstrated that extracorporeal shockwaves present relevant effects on the biological tissue, which leads to the restructuring of skin properties and subcutaneous tissue, thus clinically improving the aspects of cellulite and localized fat.

A 47-y-old man was bitten by a reduviid bug from the Zelus Fabricius, 1803 genus, which was hidden inside a rubber-coated boot. The bite caused immediate and sharp pain, followed by local edema and constant pruritus for 15 d. Pain and fever within the first 24 h were managed with analgesics as needed, and resolution was complete and without sequelae after 21 d.

In the past centuries, the human body was undervalued; nowadays, however, it is overvalued, and thus the manifestation of the dissatisfactions regarding the body has been increasing. Most of the time, these dissatisfactions are related to cellulite, which is most common in women. Its treatment is one of the challenges which encourage the development of new therapeutic modalities, among them the shockwave therapy. Objective. To evaluate the efficacy of ESWT in the treatment of cellulite in gluteus and posterior of thigh. Method. This is a prospective and comparative study, in which volunteer women who attended the criteria of inclusion were selected and who were subjected to 10 sessions of ESWT. The following were performed as an evaluation method: anthropometry, perimetry, skin viscoelasticity with the Cutometer®, thickness of hypodermis with diagnostic ultrasound, analysis of the scale of severity of cellulite (CSS), and quality of life by the Celluqol® questionnaire. The evaluations occurred before the first session (baseline), after 6 and 10 sessions, and during a follow-up of 3 months after the last session. The statistical test applied was the ANOVA one-way with post hoc of Tukey (P-value < 0.05). Results. There was significant improvement (P<0.05) for CSS, for the variable referring to gross elasticity and skin deformation ability evaluated in the Cutometer® and improvement of quality of life represented by Celluqol®. The result was maintained particularly in the follow-up of 3 months after the end of the treatment. Conclusion. The results presented demonstrated the effectiveness and safety of ESWT in the treatment of cellulite and in the decrease of the degrees, improvement of the aspect of the skin, and reestablishment of quality of life. This trial is registered with ClinicalTrials: NCT03275259.

Potential of biologic fungicide in controlling late blight of tomatoThis study aimed to compare the efficiency of chemicals and biological agents in the alternative control of P. infestans in tomato hybrid Silvety. The experiment was carried out in the experimental area of the State University of Southwest Bahia, Brazil in a randomized block design with five treatments and four replications. The experimental unit consisted of 12 plants. The treatments (T) were: T1) nonsprayed check; T2) Trichoderma harzianum; T3) Trichoderma longibrachiatum; T4) metalaxyl-M + mancozeb; T5) propamocarb hydrochloride + fluopicolide, and T6) dimetamorph. Besides the evaluation of disease severity, the following variables were evaluated: number of fruits per plant, mean fruit weight and yield. The severity assessments were used to calculate area under the disease curve of the late blight progress (AACPR). The results were submitted to analysis of variance and to the Tukey test (5%). The chemical fungicides, regardless of their mode of action, gave a greater protection against late blight. Hydrochloride propamocarbe + fluopicolide and metalaxyl-M + mancozeb resulted in the lowest rates of disease foliar area, 2.6 and 4.36%, respectively, 65 days after transplant (DAT). The biological control agents T. harzianum and T. longibrachiatum showed protective efficiency against the late blight until 58 DAT. Propamocarbe + fluopicolide had the lowest value of the AACPR (31.50) and an average increase of 47% in productivity in relation to the nonsprayed treatment.