Effect of 655-nm Low-Level Laser Therapy on Exercise-Induced Skeletal Muscle Fatigue in Humans

Objective: To investigate if development of skeletal muscle fatigue during repeated voluntary biceps contractions could be attenuated by low-level laser therapy (LLLT). Background Data: Previous animal studies have indicated that LLLT can reduce oxidative stress and delay the onset of skeletal muscle fatigue. Materials and Methods: Twelve male professional volleyball players were entered into a randomized double-blind placebo-controlled trial, for two sessions (on day 1 and day 8) at a 1-wk interval, with both groups performing as many voluntary biceps contractions as possible, with a load of 75% of the maximal voluntary contraction force (MVC). At the second session on day 8, the groups were either given LLLT (655 nm) of 5 J at an energy density of 500 J/cm(2) administered at each of four points along the middle of the biceps muscle belly, or placebo LLLT in the same manner immediately before the exercise session. The number of muscle contractions with 75% of MVC was counted by a blinded observer and blood lactate concentration was measured. Results: Compared to the first session (on day 1), the mean number of repetitions increased significantly by 8.5 repetitions (+/- 1.9) in the active LLLT group at the second session (on day 8), while in the placebo LLLT group the increase was only 2.7 repetitions (+/- 2.9) (p = 0.0001). At the second session, blood lactate levels increased from a pre-exercise mean of 2.4 mmol/L (+/- 0.5 mmol/L), to 3.6 mmol/L (+/- 0.5 mmol/L) in the placebo group, and to 3.8 mmol/L (+/- 0.4 mmol/L) in the active LLLT group after exercise, but this difference between groups was not statistically significant. Conclusion: We conclude that LLLT appears to delay the onset of muscle fatigue and exhaustion by a local mechanism in spite of increased blood lactate levels.

Evaluation of pharmacotherapy on elderly residents of nursing homes in the north-east of Brazil

Data related to medication order and the use of medications was collected from 94 elderly medical records of two nursing homes of Aracaju (SE), The mean age was 83.2 (SD = 10.1), with most belonging to the females (63.8%). The prevalence of the use of drugs was 87.2% and the average of medicines consumed was equal to 2.7 (SD = 1.8), mainly with action in the cardiovascular and nervous systems. In this Study, the elderly population studied presented polypharmacy (18.1%), inappropriate use of drugs (28.7%) and double therapy (11.7%). Data showed the need for improvement and evaluation of the quality of pharmacotherapy to promote rational drug use in the elderly population.

North-East elevation, Lake Weyba House, Sunshine Coast

Bedroom pavilion on left, bath house pavilion centre and main pavilion on right.

North-East elevation, Lake Weyba House, Sunshine Coast

As seen from East, looking along pavilions. Bedroom pavilion and day bed alcove in foreground.

South-East elevation, Brannigan House, St Lucia, Brisbane

Facing rear of site.

South-East elevation, Brannigan House, St Lucia, Brisbane

Facing rear of site.

East elevation, Sunshine Beach House, Sunshine Coast

Part of eastern street elevation, with fenestrations, external shower, entrance and viewing deck.

East elevation, Sunshine Beach House, Sunshine Coast

Part of eastern street elevation, with fenestrations, external shower, entrance and viewing deck.

East elevation, Sunshine Beach House, Sunshine Coast

Part of eastern street elevation, with fenestrations.

East elevation, Sunshine Beach House, Sunshine Coast

Part of eastern street elevation, with fenestrations, external shower, entrance and viewing deck.

East elevation, Sunshine Beach House, Sunshine Coast

Part of eastern street elevation, with fenestrations, entrance, external shower and viewing deck.

East elevation, Sunshine Beach House, Sunshine Coast

Part of eastern street elevation, with fenestrations, entrance, external shower and viewing deck.

East elevation, Sunshine Beach House, Sunshine Coast

View of formal entrance to house, through garage.

East elevation, Sunshine Beach House, Sunshine Coast

Part of eastern street elevation, with fenestrations, external shower and entrance.

East elevation, Sunshine Beach House, Sunshine Coast

Part of eastern street elevation, with fenestrations.