ABSTRACT
SummaryOvarian biopsies from five health adult monkeys were collected by exploratory laparotomy. Preantral follicles (primordial, primary, and secondary) were classified as normal or degenerated and submitted to morphometric analysis in which granulosa cell counts and the areas of follicles, oocytes, and oocyte nuclei were measured. Ovarian fragments were also immunolabelled for the quantitative analysis of VEGFA and CD31 protein expression in the ovarian tissue and in the preantral follicles. In total, 213 preantral follicles was examined for morphometry and morphological classification. From this total, 20 (9.4%) were follicles enclosing two or more oocytes, i.e. multi-oocyte follicles (MOFs). From the 193 follicles enclosing only one oocyte, 46.3% were classified as primordial, 24,1% as transition, 23.3% as primary, and 6.3% as secondary follicles. The mean number of granulosa cells surrounding primordial, transition, primary, and secondary follicles was 9.2, 12.1, 18.7, and 45.3, respectively. Increase in oocyte diameter was observed from primary to secondary follicles, while the oocyte nucleus increased only when follicles reached the secondary stage. The expression of CD31 was strong in vessels, corpus luteum, and in normal oocytes and granulosa cells from preantral follicles at all developmental stages. Likewise, VEGFA expression was observed in vessels and preantral follicles (granulosa cells, the oocyte and the oocyte nucleus). We characterized the morphology, and morphometry and expression of angiogenic factors in normal and atretic preantral follicles from Sapajus apella. This description can support the analysis of follicular quality and survival after procedures such as transplantation and cryopreservation.
Subject(s)
Cebinae , Ovarian Follicle/cytology , Ovarian Follicle/physiology , Platelet Endothelial Cell Adhesion Molecule-1/metabolism , Vascular Endothelial Growth Factor A/metabolism , Animals , Cell Count , Female , Granulosa Cells/cytology , Immunohistochemistry/methodsABSTRACT
The aim of this study was to evaluate the application of the eye drop administration technique by elderly. This is a transversal study conducted in the of ophthalmology in the Medical Specialties Center of Aracaju. The study included 90 patients using eye drops, aged between 60 and 75 years old. First, the patient eye drop instillation technique was observed; after, an interview was performed with questions about the same aspects related to the administration of eye drops. The semi-structured questionnaire also included sociodemographic data and information on guidance received regarding the technique of administration. It was found that the majority of the elderly showed deviations from the proper technique of application of eyedrops in the observation and interview, respectively: they did not compressed the lacrimal region (97.8%, 96.7%), they did not keep their eyes closed for about two minutes (94.4%, 82.2%), they did not instilled the drops into the conjunctival sac (75.4%, 77.8%) and they allowed the eyedropper tip touch the eye (44.4%, 31.1%). We observed a statistically significant correlation between educational level and contact of the eyedropper tip with the eye (p = 0.010) during the observation. Among those who consulted with the doctor, only 28.2% had received information and those of whom were attended at the pharmacy, only 2.3% received counseling. Thus, it is important that health professionals instruct their patients, especially the elderly, about the correct eye drop instillation technique regardless how long it has been used and also according to the educational level of each patient...
O objetivo do presente trabalho foi avaliar a aplicação da técnica de administração de colírios por idosos, Trata-se de um estudo transversal realizado no setor de oftalmologia do Centro de Especialidades Médicas de Aracaju, Participaram do estudo 90 usuários de colírios, com faixa etária entre 60 e 75 anos, Primeiramente, fez-se a observação da técnica de administração do colírio realizada pelo paciente, em seguida, fez-se uma entrevista com perguntas sobre os mesmos aspectos referentes à administração do colírio, O questionário semiestruturado utilizado incluiu também dados sócio-demográficos e informação sobre orientação recebida quanto à técnica de administração, Constatou-se que a maior parte dos idosos apresentou desvios da técnica adequada de aplicação do colírio na observação e entrevista, respectivamente: não comprimiram a região lacrimal (97,8%, 96,7%), não mantiveram os olhos fechados por cerca de dois minutos (94,4%, 82,2%), não instilaram o colírio no saco conjuntival (75,4%, 77,8%) e fizeram contato da extremidade do frasco com o olho (44,4%, 31,1%), Foi observada associação estatisticamente significativa entre a escolaridade e o contato da extremidade do frasco com o olho (p = 0,010) durante a observação, Dentre aqueles que consultaram o médico, somente 28,2% relataram terem recebido orientação e dentre os que foram atendidos na farmácia, apenas 2,3% foram orientados, Diante do exposto, é importante que os profissionais da saúde orientem os pacientes, em especial os idosos, a respeito do modo correto de administração de colírio independentemente do tempo de uso do mesmo e de forma apropriada ao nível de instrução de cada paciente...
Subject(s)
Humans , Male , Female , Aged , Health of the Elderly , Medication Errors , Ophthalmic Solutions , Pharmaceutical Services , Instillation, DrugABSTRACT
O objetivo do estudo é avaliar o efeito da reestruturação da Assistência Farmacêutica (AssistFar) no município de Aracaju-SE. Foi realizado um estudo retrospectivo longitudinal, de fevereiro a junho de 2011. Para avaliação da Assistência Farmacêutica foi utilizado um banco de dados documental, gerado pelo "Sistema de Controle de Administração de Materiais" e aplicaram-se os indicadores do Instrumento de Auto-Avaliação para o Planejamento da Assistência Farmacêutica (IAPAF) do ?Planejar é Preciso?, que aborda tópicos de acordo com o ?Ciclo da Assistência Farmacêutica?. A aplicação do instrumento foi realizada em três momentos na prática da AssistFar no município de Aracaju. Para análise de cada indicador levou-se em consideração os níveis de qualidade classificados de 1 a 3, sendo o nível 3 o melhor estágio. A maioria dos resultados evidenciou o fortalecimento da gestão após a criação de procedimentos e a inclusão de estratégias de monitoramento dos indicadores de avaliação no plano municipal de saúde. As etapas de institucionalização dos serviços perante a gestão foram as que apresentaram os melhores resultados. Enquanto que a etapa de prescrição foi considerada a mais crítica do processo. Os dados mostram que a falta de ações de desenvolvimento da AssistFar contribuíram para a presença de resultados insatisfatórios, principalmente nas etapas de prescrição e dispensação, sinalizando a necessidade de elaborar uma estratégia de gestão que vise sua reformulação. Neste cenário, é preciso incorporar às equipes de saúde mais farmacêuticos que atuem em todas as etapas da AssistFar, promovendo uma gestão racional de medicamentos...
The objective of the study was to evaluate the effect of the restructuring of Pharmaceutical Services (AssistFar) in the city of Aracaju (capital of Sergipe, Brazil). We conducted a retrospective, longitudinal survey, from February to June 2011. A document database generated by the "Materials Management Control System" was analyzed, to assess the pharmaceutical services, by applying the indicators of the Self-Assessment Instrument for Pharmaceutical Services Planning (IAPAF) that are defined in the government-proposed" Planning is Necessary" method, which covers topics referring to the various steps in the "Cycle of Pharmaceutical Services". This instrument was applied to three stages in the practice of AssistFar in the city of Aracaju, within the study period. For each indicator, the quality of each step was graded from 1 to 3, level 3 being the best. Most results showed a strengthening of management after the establishment of procedures and inclusion of strategies for monitoring the quality indicators, for the municipal health plan. Steps towards the institutionalization of management services showedthe best results. In contrast, the step of prescription was considered the most critical of the Cycle. The data showed that the lack of AssistFar development actions contributed to the unsatisfactory results, especially in the steps of prescribing and dispensing, signaling the need to develop a management strategy that aims to recast it. In this scenario, it will be necessary to involve the health teams, plus the pharmacists, in the work at all stages of AssistFar, promoting the rational management of medicines...
Subject(s)
Humans , Pharmaceutical Services , Local Health Systems/organization & administrationABSTRACT
AIM OF STUDY: To analyze the quality of prescriptions in a hospital in Brazil. METHODS: A cross-sectional pilot study of the quality of prescriptions of adult patients admitted at the cardiovascular ward. Data were collected with the help of a structured form developed by the researchers based on related literature, with items about medications and completeness of prescriptions. The form was divided into four categories of prescription quality indicators: prescription type, legibility and readability of handwriting, and completeness. MAIN OUTCOME MEASURES 100 patients participated in the study, with ages between 20 and 94 years (mean of 67.12 ± 16.6 years), We analyzed 5,030 on 496 prescriptions for 100 patients. Of 11% the handwriting was considered to be less legible and 17% considered illegible. In terms of readability, a high incidence of medications were prescribed by their brand names (89%), and 13,707 abbreviations (mean of 27.6 per prescription) were used mainly to refer to the route of administration (31%), concentration (27%), and indications for use (20%). In relation to completeness, 471 (95%) prescriptions were considered incomplete, mainly medication data. CONCLUSION: The quality indicators used in this study revealed a high rate of prescription problems and errors.
Subject(s)
Cardiology Service, Hospital/statistics & numerical data , Drug Prescriptions/statistics & numerical data , Pharmacy Service, Hospital/statistics & numerical data , Quality of Health Care/statistics & numerical data , Adult , Aged , Aged, 80 and over , Brazil , Clinical Competence , Comprehension , Cross-Sectional Studies , Handwriting , Hospitals, Private/statistics & numerical data , Humans , Medication Errors/prevention & control , Middle Aged , Pilot Projects , Terminology as Topic , Young AdultABSTRACT
Clinic-epidemiological data in canine infection by Hepatozoon canis were reported. Apatia, anorexia, prostaction, weight loss and muscle pain were the most-common clinical recognized signs. Blood smear was used as diagnosis method for the detection of H. canis gamonts in the neutrophils. Anaemia, leucocytosis, monocytosis and lymphopenia were observed in the haematological exams. Imidocarb dipropionate associated with tetracyclines and sulfamethoxasole-trimethoprim were used in therapy.
Subject(s)
Animals , Male , Female , Dogs , Epidemiology , Protozoan InfectionsABSTRACT
Propionibacterium acnes as immunostimulant in oral canine papillomatosis treatment in 16 animals was studied. Regression of the pappiloma started being observed after the second aplication, with complete resolution in all dogs after the sixth aplication. These results suggest the use of P. acnes as an alternative in oral canine papillomatosis therapy
Subject(s)
Animals , Female , Male , Dogs , Papilloma , Propionibacterium acnesABSTRACT
The spectrophotometric assay based on aluminum chloride complex formation is one of the most commonly analytical procedures applied to flavonoid content determination. However, only a few optimization studies on the reaction conditions were done so far. The present work aims to the investigation of aluminum chloride concentration and reaction time effects on the spectrophotometric behavior of different flavonoids. The effects of both variation factors were studied by Central Composite Design and Response Surface Analysis methodology. The absorption data analysis showed that the effects of reaction time and reagent concentration on the absorption maximum are intricate and specific. A clear relationship between spectrophotometric behavior and flavonoid type or particular structure patterns could not be established.
