Atuação do farmacêutico na identificação de reações adversas a medicamentos: relato de caso de neuropatia autonômica decorrente de tratamento com talidomida em paciente portador de mieloma múltiplo / The role of the pharmacist in the identification of adverse drug reactions: study case of an autonomic neuropathy resulting from treatment with thalidomide in a patient with multiple myeloma

As reações adversas a medicamentos são uma das maiores causas de morbimortalidade no mundo. Dentre essas, encontramos a neuropatia periférica, que muitas vezes está relacionada à própria doença, como o mieloma múltiplo, e em decorrência do uso de alguns medicamentos, como a talidomida. Este trabalho é referente à identificação de um possível caso de neuropatia periférica induzida por quimioterápico do tipo autonômica que foi identificado pelo farmacêutico durante uma consulta. O paciente apresentava um quadro de impotência sexual e constipação intestinal severas, com necessidade de retirada manual do conteúdo fecal. Após a suspensão do tratamento com a talidomida, o paciente apresentou remissão completa dos sintomas. A atuação do farmacêutico foi essencial para a identificação precoce, monitoramento e resolução do caso de modo a garantir a melhora na qualidade de vida do paciente

Adverse drug reactions are one of the major causes of morbidity and mortality in the world. Among these, peripheral neuropathy are often related to the disease itself, such as multiple myeloma, and due to the use of some medications, such as a thalidomide. This work is based on the identification of a possible case of autonomic-type chemotherapy-induced peripheral neuropathy indicated by a pharmacist during a pharmaceutical consultation. The patient presented sexual dysfunction and severe intestinal constipation, with manual withdrawal of fecal content. After suspending the treatment with thalidomide, the patient had a completely remission of symptoms. The performance of the pharmacist was essential for an early evaluation, monitoring and resolution of the case in order to guarantee an improvement in the quality of the patient's life

Alternativas metodológicas do teste de envelhecimento acelerado em sementes de coentro / Methodological alternatives for the accelerated aging test in coriander seeds

RESUMO: No presente trabalho, o objetivo foi adequar a metodologia do teste de envelhecimento acelerado para avaliação do potencial fisiológico de sementes de Coriandrum sativum L. Seis lotes de sementes foram utilizados, sendo submetidos aos testes de germinação, índice de velocidade de emergência, emergência de plântulas e envelhecimento acelerado, empregando-se os períodos de envelhecimento de 24, 48, 72 e 96 horas, na metodologia tradicional com água e com o uso de solução saturada e não saturada de cloreto de sódio (NaCl). O teste de envelhecimento acelerado, utilizando solução salina saturada na combinação 24 horas a 41ºC é adequado para avaliação do potencial fisiológico de sementes de coentro. O período de 48 horas para o método de envelhecimento acelerado, utilizando solução salina saturada ou não, também é eficaz na avaliação do vigor em sementes de coentro.

ABSTRACT: This study aimed to adapt the methodology of the accelerated aging test to assess the physiological seed of Coriandrum sativum L. Six batches of seeds were tested for germination, emergence rate index, seedling emergence and accelerated aging employing the aging periods of 24, 48, 72 and 96 hours, the traditional methodology with water and the use of unsaturated and saturated sodium chloride (NaCl) solutions. Accelerated aging test using saturated saline 24 hours in a combination with 41ºC, is adequate to evaluate the physiological potential of coriander seeds. The period of 48 hour for accelerated aging method using saturated saline or not, is also effective in the evaluation vigor test of coriander seeds.

Living in a same microhabitat should means eating the same food? Diet and trophic niche of sympatric leaf-litter frogs Ischnocnema henselii and Adenomera marmorata in a forest of Southern Brazil / Viver no mesmo ambiente significa comer o mesmo alimento? Dieta e nicho trófico dos anuros simpátricos de folhiço Ischnocnema henselii e Adenomera marmorata em uma floresta do sul do Brasil

In this study we analyzed diet composition, niche breadth and overlap of the two leaf-litter frogs Ischnocnema henselii and Adenomera marmorata. Frogs were collected in an Atlantic Rainforest area in the Reserva Natural Salto Morato, in Paraná State, Southern Brazil, using plots of 16 m2 established on forest floor. Ischnocnema henselii consumed 18 different types of prey and the diet of this species was composed predominantly by Hymenoptera (Formicidae) (15.4%), Araneae (13.83%), Orthoptera (6.15%) and Opiliones (6.15%), whereas Adenomera marmorata consumed 15 different types of prey and its diet was composed mainly by Hymenoptera (Formicidae) (45.7%), Acari (31.8%) and Blattodea (14.8%). The niche breadth of I. henselii was BA = 0.43 and that of A. marmorata was BA = 0.19. The diet of the two sympatric species of leaf-litter frogs was basically composed by arthropods and the trophic niche overlap among them did not differ from expected at random. The differences in prey consumption should potentially facilitate the coexistence of two sympatric frogs on the forest floor. Possibly, this difference of prey consumption partly reflects differences in jaw width, species-specific body size of the two species and the period of activity of these two species.

Neste estudo analisamos a composição da dieta e a amplitude e sobreposição do nicho trófico dos anuros de folhiço Ischnocnema henselii e Adenomera marmorata. Os anuros foram coletados em uma área de Mata Atlântica na Reserva Natural Salto Morato, no Estado do Paraná, Sul do Brasil, utilizando o método de parcelas de 16 m2 estabelecidas no chão da floresta. Ischnocnema henselii consumiu 18 diferentes tipos de presa e a dieta desta espécie foi composta predominantemente por Hymenoptera (Formicidae) (15,4%), Araneae (13,83%), Orthoptera (6,15%) e Opiliones (6,15%), enquanto Adenomera marmorata consumiu 15 diferentes tipos de presas e sua dieta foi composta principalmente por Hymenoptera (Formicidae) (45,7%), Acari (31,8%) e Blattodea (14,8%). A amplitude de nicho de I. henselii foi BA = 0,43 e de A.marmorata foi BA = 0,19. A dieta das duas espécies de anuros simpátricos do folhiço por nós estudadas foi composta basicamente de artrópodes e a sobreposição de nicho trófico entre elas não diferiu do esperado para ocorrer ao acaso. As diferenças no consumo de presas potencialmente devem facilitar a coexistência desses dois anuros simpátricos no chão da floresta. Possivelmente, esta diferença no consumo de presas em parte reflete diferenças na largura da mandíbula, no tamanho do corpo e no período de atividade dessas duas espécies.

Bond strength of adhesive luting agents to caries-affected dentin.

INTRODUCTION: The aim of this study was to evaluate the bond strength of adhesive luting agents to caries-affected dentin (CAD). METHODS: Forty human molars were sectioned to create dental slices presenting exposed occlusal dentin. Half of the samples were submitted to eight caries-induction demineralizing/mineralizing cycles. The pH-cycling model consisted of three hours in a demineralizing solution followed by 45 hours of immersion in a mineralizing solution. Dentin hardness was measured before and after the pH cycling. Resin cement cylinders were built up over the dentin surface using RelyX Unicem or RelyX ARC/Scotchbond Multipurpose Plus. The cement cylinders were submitted to shear load, and the data were analyzed using two-way analysis of variance (ANOVA) and Tukey test (p<0.05). Hardness data were also submitted to two-way ANOVA and Tukey test (p<0.05). The relationship of hardness vs bond strength was assessed via nonlinear regression analysis. RESULTS: Sound dentin (tested and used in caries induction) showed similar values of hardness and were superior to CAD. Both resin cements showed higher bond strength to sound dentin than to CAD. Independent of substrate, RelyX ARC showed the highest values of bond strength. A positive linear relationship between dentin hardness and bond strength was observed for both cements evaluated. CONCLUSIONS: The adhesive luting agents evaluated showed lower bond strength to CAD.

Epidemiological profile of individuals with American cutaneous leishmaniasis in Jequitinhonha Valley, Brazil

This study aimed to characterize the epidemiological profile of patients with American cutaneous leishmaniasis [ACL] in 34 municipalities in Jequitinhonha Valley, Minas Gerais, Brazil, registered from 2005 to 2010 with the Regional Health Superintendence, using data from the Brazilian Disease Notification Information System. Among 281 cases, 156 [55.5%] were included in the study. A statistically significant difference was found in ACL among men between 21 and 60 years of age [P = 0.034] in relation to women and other age groups. Analysing the male sample, a significant association was found between ACL and occupation [P = 0.04]. The cutaneous form occurred in 87.3% of cases. The medication most often employed was pentavalent antimony [87.3%], with cure achieved in 91.1% of cases. The epidemiological profile of ACL in the Jequitinhonha Valley is similar to that reported for other regions of Brazil, exhibiting a rural occupational nature and affecting men with low levels of schooling within the productive age

Rendimento e composição do óleo essencial de Piper aduncum L. cultivado em Manaus, AM, em função da densidade de plantas e épocas de corte / Yield and composition of the essential oil from Piper aduncum L, cultivated in Manaus, AM, regarding plant density and cutting period

A pimenta-de-macaco (Piper aduncum L. - Piperaceae) é uma espécie usada na medicina popular em quase todo o Brasil e apresenta alto teor de óleo essencial (2,5 a 4,0%) rico em dilapiol - éter fenílico com ação inseticida. O presente trabalho teve como objetivo contribuir para o sistema de cultivo da espécie P. aduncum nas condições de Manaus - AM. O experimento foi realizado na área experimental da Embrapa Amazônia Ocidental. O delineamento utilizado foi o de blocos casualizados com quatro repetições, cada repetição com quatro plantas na área útil. Sete densidades de plantas (0,5 m x 0,5 m; 1,0 m x 0,5 m; 1,0 m x 1,0 m; 1,5 m x 1,0 m; 1,5 m x 1,5 m; 2,0 m x 1,5 m e 2,0 m x 2,0 m, E1 a E7, respectivamente) e três épocas de corte (C1 - 6 meses após transplantio; C2 - rebroto de C1 aos 6 meses - plantas com idade de 12 meses, no campo; C3 - rebroto de C2 aos 6 meses - plantas com 18 meses, no campo), portanto em esquema fatorial. Foi observado que o segundo corte (C2) apresentou maior produção, no espaçamento E4. Não houve diferença estatística para o teor de óleo essencial em C1, independente da densidade de plantas. Com relação ao rendimento (produção) em óleo essencial, o melhor foi observado com o corte C2, nos espaçamentos E3 e E4, com 76,0 kg/ha e 88 kg/ha, respectivamente, contendo até 85,6% de dilapiol no óleo. Assim, a melhor condição de cultivo nas condições de teste foi observada para o período de corte C2 e espaçamentos de 1,0 m x 1,0 m, e de 1,0 m x 1,5 m.

Pimenta-de-macaco (monkey pepper - Piper aduncum L. - Piperaceae) is a species used in folk medicine throughout Brazil, containing an essential oil (2.5 to 4.0% yield) rich in dillapiole, an arylpropanoid with insecticide action. The objective of this research was to improve the cultivation system of P. aduncum in local conditions of Manaus, AM. The study was conducted in the experimental fields of Embrapa Western Amazon, and used randomized blocks with four replicates, each replicate with four plants in its testing area. Seven plant densities (0.5 m x 0.5 m; 1.0 m x 0.5 m; 1.0 m x 1.0 m; 1.5 m x 1.0 m; 1.5 m x 1.5 m; 1.5 m 2.0 m; 2.0 m x 2.0 m, E1 to E7 respectively) and three cutting periods (C1 - 6 months after transplanting, C2 - regrowth of C1 after 6 months (plants with 12 months in the field) and C3 - regrowth of C2 after 6 months (plants with 18 months in the field), therefore in a factorial scheme. A larger production was observed in the second cutting (C2) in the plant density E4. There were no statistical differences in the essential oil content in C1, regardless of densities. In relation to the essential oil yield, the best result was observed for the cutting period C2 in the E3 and E4 densities, 76.0 kg/ha and 88 kg/ha, respectively, with a dillapiole content of up to 85.6%. Therefore, the best cultivation condition according to the test was observed for the cutting after 12 months of transplantation and plant density of 1.0 m x 1.0 m or 1.5 m x 1.5 m.

[Cancer, fertility preservation and gonadotropins]. / Cancer, préservation de la fertilité et gonadotrophines.

The recent emergence of oncofertility raises the question of ovarian stimulation and its risks when performed for oocyte or/and embryo cryopreservation in a fertility preservation program. The relation between ovarian stimulation and cancer has been marked by the possible direct or indirect tumorigenic role for pituitary gonadotrophins in the tumorogenesis. Although the growth of many gonadal and extragonadal tumors is stimulated by gonadal sex hormones, whose production is regulated by gonadotrophins, there is still a lack of data to consider FSH and LH as tumor promoters. The purpose of this brief review is to present on one hand, the questions raised by the administration of exogenous gonadotrophins in cancer patients and on the other, to evaluate both experimental and clinical data about the possible relation between gonadotrophins and tumorogenesis.

[Anti-Müllerian hormone: player and marker of folliculogenesis]. / Hormone antimüllérienne: acteur et marqueur de la folliculogenèse.

All indicates that anti-Müllerian hormone (AMH), though initially studied for its importance on male development, plays an inhibiting role on the initial and cyclic processes of follicular recruitment. The aspects involved in its regulation are still poorly understood, but the oocyte, some steroids, and follicular development itself seem to be involved. In addition, AMH has become an important clinical marker of ovarian functioning for many reasons, including its exclusive production by granulosa follicles at many stages of development, its probable FSH independence, its low inter and intracycle variability and its reliable quantitative (qualitative?) relationship with ovarian follicles and their response to exogenous FSH. The growing interest in ovarian AMH incited us to review some important fundamental and clinical publications in this field.

Ontogenetic events in androgenesis of Brazilian barley genotypes.

This paper describes a simple procedure for obtention of barley (Hordeum vulgare L.) doubled haploid plants from Brazilian hybrid genotypes. Anatomical and histological examinations showed the reversion of barley pollen to an sporophytic mode of development. A sequence of mitosis led to the formation of multicellular pollen grains. Regeneration of plants occurred either by direct embryogenesis or callus formation followed by differentiation through direct embryogenesis or organogenesis. Plants were formed in the same medium used for induction dispensing an additional regeneration step. This procedure makes doubled haploid production simpler and faster. Plantlets were transferred to another medium for rooting and after that planted in pots with vermiculite and nutrient solution.