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.
Objetivo: O presente estudo objetiva avaliar a presença de incontinência urinária em mulheres com câncer de mama no início do tratamento quimioterápico. Métodos: Estudo descritivo exploratório e de corte longitudinal, realizado no Hospital União Oeste Paranaense de Estudos e Combate ao Câncer. Para avaliação da Incontinência Urinária foi utilizado o International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF). Para análise de correlação foi utilizado o Coeficiente de Correlação de Pearson. Resultados: Participaram do estudo 20 mulheres, com idade média de 53,8±7,1 anos. Quando abordado as respostas do ICIQ-SF, a média encontrada foi de 1,6±0,9 pontos, o que significa baixo impacto da incontinência urinária na vida das participantes. Conclusão: Apesar do baixo impacto de incontinência urinária em mulheres com câncer de mama no inicio do tratamento quimioterápico adjuvante, é de extrema importância avaliar a presença da incontinência urinária.
Introdução: A DPOC é caracterizada pela presença de obstrução ao fluxo aéreo, não totalmente reversível, sendo essa limitação geralmente progressiva. Objetivo: O estudo visou correlacionar a função pulmonar, qualidade de vida e grau de dispneia em pacientes com DPOC. Metodologia: A amostra foi composta por 30 pacientes. A prova de função pulmonar foi realizada através da espirometria. Para avaliar a QV foi utilizado o questionário AQ20 e para avaliar o grau de dispneia foi utilizado a MRC. Resultados: Houve diferença estatisticamente significativa, entre a média do questionário AQ20 e a escala que avalia o grau de dispneia MCR (p= 0,092). Não observamos diferença estatisticamente significativa entre a classificação da DPOC no que se referem às variáveis, escore do questionário de AQ20 e escala MCR. Conclusão: Em nosso estudo, ao analisar o grau de obstrução em pacientes DPOC com o AQ20, concluímos que, à medida que a intensidade de dispneia aumenta, a QV encontra-se mais prejudicada. A validação e a utilização de questionários de QV e escalas que medem a intensidade de dispneia são de fundamental importância para se avaliar a relação saúde-qualidade de vida nos pacientes portadores da DPOC.
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