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Item Photobiomodulation applied in post-surgical female-to-male surgery: case report(Erciyes Üniversitesi) Arisawa, Emilia Angela Lo Schiavo; Martins, Rodrigo Álvaro Lopes; Martins, Patrícia Sardinha Leonardo Lopes; Meneguzzo, Daiane Thais; Arisawa, Ana Amélia Lo Schiavo; Gallagher, SidhbhPhotobiomodulation (PBM) is an emerging medical technology with therapeutic effects that reduce or inhibit inflammatory mediators and cytokines, decreasing pain and local edema. However, the number of papers reporting the application of PBM in the post-surgical period is still scarce. This case report aims to evaluate the action of PBM applied after bilateral mastectomy with free nipple grafts regarding collateral effects such as pain, edema and hematoma. Patients underwent breast surgery with free nipples grafts. PBM sessions were applied 5, 24, 48 and 72 hours after surgery using a diode laser Platinum 4 equipment with four wavelengths (650, 810, 915 and 980 nm). Total energy applied was 1080 Joules distributed in six minutes of laser application over lymph node areas and the suture region. Both patients (A and B) related pain relief after PBM sessions (5, 24, 48 and 72 hours) after surgery. Also nipple sensitivity and overflow of reddish-color were reduced after 72h. The application of PBM reduced pain intensity and nipples hypersensitivity, suggesting reduction of inflammatory process. The benefits reported in this study suggest the indication of this complementary therapy to cosmetic procedures for transgender people.Item Non-thermal plasma applied to treating diabetic foot(CDRR Editors) Arisawa, Emilia Angela Lo Schiavo; Cardoso, Juliana Cunha; Vieira, Lucia; Oliveira, Rauirys Alencarde deObjective: Evaluate the effects of non-thermal plasma therapy (NTP) for the treatment of diabetic foot injuries in two patients, considering the evolution of the steps of the healing process, pain sensitivity, and quality of life. Methodology: Lesions in the lower limbs of two patients with Diabetes mellitus (DM) with similar anatomical location and dimensions were treated, one patient with controlled DM and the other classified as uncontrolled DM. The application of NTP was performed for 10 minutes, 3 times a week in direct contact with the lesions. The same protocol was applied in both clinical cases to allow a reliable evaluation of the healing process. Results and Discussion: The lesions presented progressive regression until their complete regeneration (100%), without the development of infections during treatment. Conclusion: The results obtained in the two clinical cases allow us to attest that the NTP application in the treatment of diabetic foot injuries resulting from DM constituted an important therapeutic tool for the evolution of the healing process of these injuries, with a significant reduction in the lesion area in a short period of time. The definition of the ideal treatment protocol depends on the expansion of the number of studies and the increase of the studied population.Item Intervenção de musicoterapia nos sinais vitais de crianças com transtorno do espectro autista: Estudo piloto(CDRR Editors) Magalhães, Juliana Macêdo; Batista, Pedro Venicius de Sousa; Arisawa, Emilia Angela Lo SchiavoObjetivo: Avaliar os sinais vitais de crianças com transtorno do espectro autista no contexto de intervenção de musicoterapia. Métodos: Estudo piloto experimental de intervenção de musicoterapia, desenvolvido no nordeste do Brasil. Sete crianças com transtorno do espectro autista foram avaliadas, distribuída em três para intervenção de musicoterapia e quatro sem intervenção. Os dados foram analisados utilizando testes não paramétricos. Resultados: As crianças apresentavam média de idade de oito anos, com maioria do sexo masculino. Descritivamente houve redução nos sinais vitais de 3,7% na saturação de O2, diminuição de 3,3 mmHg na pressão arterial sistólica e aumento de 5,0 bpm na frequência cardíaca no grupo que passou por intervenção de musicoterapia. O grupo sem intervenção apresentou aumento médio de 0,5% na saturação de O2 e de 2,5 mmHg na pressão arterial diastólica. Conclusão: Conclui-se que os efeitos da musicoterapia nos sinais vitais foram indicativos de respostas satisfatórias para as crianças com autismo.