Avaliação da atividade anti-helmíntica de extratos brutos de plantas da Floresta Amazônica e Mata Atlântica brasileira sobre Haemonchus contortus / Evaluation of the anti-helminthic activity of crude extracts from the Brazilian Amazon and Mata Atlântica plants against Haemonchus contortus

No mundo todo, as verminoses são causa de considerável prejuízo econômico na criação de ovinos. As perdas estão relacionadas ao retardo na produção, custos com tratamentos profiláticos e, em casos extremos, à morte dos animais. O objetivo deste trabalho foi verificar a ação anti-helmíntica de extratos vegetais sobre nematoides como alternativa terapêutica no tratamento da verminose em ovinos. Extratos orgânicos e aquosos foram obtidos de plantas nativas da Floresta Amazônica e Mata Atlântica, e foram testados na concentração de 100µg/mL em ensaios de toxicidade in vitro contra ovos de Haemonchus contortus e de 200µg/mL contra suas larvas. Na concentração estabelecida, apresentaram significante atividade relacionada à inibição de eclosão de ovos; em particular, o extrato orgânico de folhas e frutos de Trichilia sp. e o extrato aquoso dos órgãos aéreos de Phyllanthus attenuatus. Os resultados in vitro sugerem que extratos aquosos e orgânicos dessas plantas podem oferecer novas alternativas de controle da verminose em ovinos a partir de produtos naturais...

Helminthosis play a crucial role in small ruminant production leading to enormous economic losses particularly in areas where extensive grazing is practiced. It causes a loss of production through mortality, weight loss, reduced milk and wool production. Haemonchus contortus is a highly pathogenic small ruminant helminthes parasite, which is capable of causing acute diseases and high mortality. Therefore, there is an urgent need to seek alternative or complementary solutions to the control of parasitic nematodes of ruminants. The tropical forests concentrate the highest biodiversity in the world, particularly those located in Brazil, whose species richness is estimated to account for 20% of the total world richness and little is known about the chemical and pharmacological potentialities of Brazilian tropical forests. In this work, organic and aqueous extracts were tested on eggs and in the larval development test on Haemonchus contortus. The organic extract obtained from leaves and fruits of Trichilia sp. and the aqueous extract obtained from the aerial organs of Phyllanthus attenuates showed significant activity related to the inhibition of H. contortus egg eclosion. In vitro results suggest that both extracts, as well as eleven other active extracts, can offer alternatives in sheep worm control...

Utilization of a self-administered questionnaire to assess rectal function following prostate brachytherapy.

A sample of 209 consecutive prostate brachytherapy patients completed a self-administered questionnaire to evaluate bowel changes following treatment. With a median followup of 28 months, less than 20% of patients reported deterioration in bowel function.

Radioactive seed embolization to the lung following prostate brachytherapy.

Over the past decade, prostate brachytherapy has been increasingly utilized as definitive management for early stage carcinoma of the prostate gland. One risk of the procedure is pulmonary seed embolization. In this article we report the incidence and timing of seed migration. Pulmonary embolization of radioactive seeds occurs in approximately 20% of patients undergoing prostate brachytherapy. To date, no acute or delayed detrimental effects have been reported which are attributable to the pulmonary embolization of the seeds; nevertheless, it is imperative that patients and health care providers be cognizant of this possible event.

The role of urinary assessment scores in the nursing management of patients receiving prostate brachytherapy.

Nearly all patients experience some degree of urinary irritative or obstructive symptoms following brachytherapy for definitive treatment of early-stage prostate cancer. The American Urological Association (AUA) Symptom Index is a tool developed to measure urinary function and can be incorporated into postoperative nursing management. When this questionnaire is administered at regular intervals following surgery, the patient's urinary status can be assessed quickly and treatment changes made according to symptoms, with resultant improvement in comfort levels. The postoperative use of the AUA index is recommended for all nurses who care for patients undergoing prostate brachytherapy.

Efficacy of sildenafil citrate in prostate brachytherapy patients with erectile dysfunction.

OBJECTIVES: To ascertain the efficacy of sildenafil citrate (Viagra) in patients with erectile dysfunction (ED) either before or after prostate brachytherapy by an open-label, nonrandomized study. METHODS: Sixty-two patients who underwent prostate brachytherapy between March 1995 and July 1998, had ED either before or after brachytherapy, and were interested in treatment with sildenafil comprised the patient population. Clinical and treatment parameters evaluated for medication efficacy included patient age at brachytherapy and at medication administration, hypertension, diabetes, smoking history, onset of ED, potency status before implant, frequency of intercourse before brachytherapy (if potent), use of neoadjuvant hormonal manipulation, use of moderate dose external beam radiation therapy before implantation, choice of isotope, V100 (the percentage of the prostate volume receiving at least 100% of the prescribed minimal peripheral dose), and sildenafil dose. RESULTS: Fifty (80.6%) of 62 patients responded favorably to sildenafil. None of the treatment parameters predicted medication failure, and among the clinical parameters, only diabetes predicted failure (3 of 5) and only with borderline statistical validity (P = 0.046). CONCLUSIONS: Our results suggest brachytherapy-induced impotence is as amenable to sildenafil treatment as ED from other causes. In addition, our 80.6% success rate is comparable to reported results for patients who underwent bilateral nerve-sparing radical prostatectomy and significantly better than patients who underwent unilateral nerve-sparing or non-nerve-sparing approaches.

Nursing management of patients receiving brachytherapy for early stage prostate cancer.

New technologies used in the area of prostate brachytherapy have resulted in a resurgence of interest in this modality of therapy for early stage prostate cancer. Results of prostate brachytherapy have been reported to be as favorable as radical prostatectomy. Nursing care is multifaceted and necessitates a thorough understanding of brachytherapy techniques, sequelae, and radiation safety.