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1.
Braz. j. otorhinolaryngol. (Impr.) ; 87(3): 274-282, May-Jun. 2021. graf
Artigo em Inglês | LILACS | ID: biblio-1285692

RESUMO

Abstract Introduction Postoperative dysphonia is mostly caused by vocal fold scarring, and careful management of vocal fold surgery has been reported to reduce the risk of scar formation. However, depending on the vocal fold injury, treatment of postoperative dysphonia can be challenging. Objective The goal of the current study was to develop a novel prophylactic regenerative approach for the treatment of injured vocal folds after surgery, using biodegradable gelatin hydrogel microspheres as a drug delivery system for basic fibroblast growth factor. Methods Videoendoscopic laryngeal surgery was performed to create vocal fold injury in 14 rabbits. Immediately following this procedure, biodegradable gelatin hydrogel microspheres with basic fibroblast growth factor were injected in the vocal fold. Two weeks after injection, larynges were excised for evaluation of vocal fold histology and mucosal movement. Results The presence of poor vibratory function was confirmed in the injured vocal folds. Histology and digital image analysis demonstrated that the injured vocal folds injected with gelatin hydrogel microspheres with basic fibroblast growth factor showed less scar formation, compared to the injured vocal folds injected with gelatin hydrogel microspheres only, or those without any injection. Conclusion A prophylactic injection of basic fibroblast growth factor -containing biodegradable gelatin hydrogel microspheres demonstrates a regenerative potential for injured vocal folds in a rabbit model.


Resumo Introdução A disfonia pós-operatória é causada principalmente por cicatrizes nas pregas vocais. Tem sido relatado que o manejo cuidadoso da cirurgia das pregas vocais reduz o risco de formação de cicatriz. No entanto, a depender da lesão da prega vocal, o tratamento da disfonia pós-operatória pode ser desafiador. Objetivo Desenvolver uma nova abordagem regenerativa profilática para o tratamento de pregas vocais lesionadas após a cirurgia, com microesferas biodegradáveis de hidrogel de gelatina como sistema de administração de medicamentos para o Fator Básico de Crescimento de Fibroblastos (bFGF). Método A cirurgia laríngea videoendoscópica foi feita para criar lesão nas pregas vocais em 14 coelhos. Imediatamente após esse procedimento, microesferas biodegradáveis de hidrogel de gelatina com bFGF foram injetadas na prega vocal. Duas semanas após a injeção, as laringes foram excisadas para avaliação da histologia das pregas vocais e do movimento da mucosa. Resultados A presença de função vibratória deficiente foi confirmada nas pregas vocais lesionadas. A histologia e a análise de imagem digital demonstraram que as pregas vocais lesionadas injetadas com microesferas de hidrogel de gelatina com bFGF apresentaram menor formação de cicatriz, em comparação com as pregas vocais lesionadas injetadas apenas com microesferas de hidrogel de gelatina ou aquelas sem injeção. Conclusão Uma injeção profilática de microesferas biodegradáveis de hidrogel de gelatina com bFGF demonstra um potencial regenerativo para pregas vocais lesionadas em um modelo de coelho.


Assuntos
Animais , Prega Vocal/cirurgia , Gelatina , Coelhos , Fator 2 de Crescimento de Fibroblastos , Hidrogéis , Microesferas
2.
Rev. Ateneo Argent. Odontol ; 64(1): 18-21, 2021. ilus
Artigo em Espanhol | LILACS | ID: biblio-1248258

RESUMO

Biomaterial de tercera generación con una tasa de degradabilidad en la zona perirradicular y del foramen apical, con una velocidad similar a la que emplea el organismo para formar tejido calcificado y sellar biológicamente el extremo apical del diente. Mediante el recurso tecnológico de la microencapsulación se produce la liberación lenta y controlada de Ca2+ retenido en la superficie y en el interior de las microesferas de alginato de calcio, sin que se modifique de manera significativa las propiedades reológicas básicas del biomaterial de obturación de conductos, tales como la compresibilidad, plasticidad, extensibilidad, fluidez, viscosidad cinemática, viscosidad de compresión y endurecimiento por trabajo (AU)


Third-generation biomaterial with a degradability rate in the periradicular area and the apical foramen, with a speed similar to that used by the body to form calcified tissue and biologically seal the apical end of the tooth. Through the technological resource of microencapsulation, the slow and controlled release of Ca2+ retained on the surface and inside the calcium alginate microspheres is produced, without significantly modifying the basic rheological properties of the duct sealing biomaterial, such as compressibility, plasticity, extensibility, flowability, kinematic viscosity, compression viscosity, and work hardening (AU)


Assuntos
Humanos , Doenças Periapicais/terapia , Materiais Restauradores do Canal Radicular/uso terapêutico , Materiais Biocompatíveis , Reologia , Compostos de Cálcio , Ápice Dentário , Composição de Medicamentos , Alginatos/química , Microesferas
3.
Braz. J. Pharm. Sci. (Online) ; 56: e18414, 2020. tab, graf
Artigo em Inglês | LILACS | ID: biblio-1249155

RESUMO

Tolmetin sodium (TS) is a powerful non-steroidal mitigating drug for the treatment of rheumatoid joint inflammation, osteoarthritis, and adolescent rheumatoid joint pain. In addition to its gastrointestinal (GIT) problems, TS has a short biological half-life (1 hr). In a trial to overcome these side effects and control the rate of (TS) release, chitosan coated alginate microspheres are recommended. A Box-Behnken experimental design was employed to produce controlled release microspheres of TS in the sodium alginate and chitosan copolymers (Alg-Ch) by emulsification internal gelation methodology. The effect of critical formulation variables namely, drug to polymer ratio (D:P ratio), speed of rotation and span 80% on drug encapsulation efficiency (% EE), drug release at the end of 2 hours (Rel2) and drug release at the end of 8 hours (Rel8) were analyzed using response surface modeling. The parameters were assessed using the F test and mathematical models containing only the significant terms were generated for each parameter using multiple linear regression analysis. The produced microspheres were spherical in shape with extensive pores at D:P ratio 1:1 and small pores at a drug to polymer ratio (D:P ratio) 1:3. Differential scanning calorimetry (DSC) affirmed the steady character of TS in microspheres and revealed their crystalline form. All formulation variables examined exerted a significant influence on the drug release, whereas the speed emerged as a lone factor significantly influencing % EE. Increasing the D: P ratio decreases the release of the drug after two and 8 hours. The increase in speed results in an increase in drug release after two and eight hours. The drug release from the microspheres followed zero order kinetics. TS Alg-Ch microspheres exhibited a significant anti-inflammatory effect on incited rat paw edema after eight hours. These results revealed that the internal gelation technique is a promising method to control TS release and eradicate GIT side effects using Alg-Ch copolymers.


Assuntos
Tolmetino/análise , Quitosana/análise , Alginatos/análise , Microesferas , Varredura Diferencial de Calorimetria/métodos , Preparações Farmacêuticas , Artralgia/patologia , Liberação Controlada de Fármacos , Inflamação/patologia , Articulações/patologia
4.
Braz. J. Pharm. Sci. (Online) ; 56: e18748, 2020. tab, graf
Artigo em Inglês | LILACS | ID: biblio-1285513

RESUMO

Conventional drug formulations are incapable of adequate delivery of proteins and peptides for therapeutic purposes. As these molecules have very short biological half-life, multiple dosing is required to achieve the desirable therapeutic effects. Microspheres are able to encapsulate proteins and peptide in the polymeric matrix while protecting them from enzymatic degradation. In this study Bovine Serum Albumin (BSA) matrix type microspheres were fabricated using Polylactide-co-glycolide (PLGA) by double emulsion solvent evaporation method. The effects of variables such as homogenizer speed, molecular weight of polymer and the effect of pH of the water phases, were investigated against factors such as drug loading, encapsulation efficiency, morphology, size, drug distribution and release profile of the microspheres. Results, suggested that an increase in homogenization speed leads to a decrease in microsphere size. The increase in homogenization speed also caused a significant effect on the release profile only when higher molecular weight of polymer had been used.. The pH change of the internal aqueous phase led to modification of surface morphology of spheres to a porous structure that significantly increased the total amount of released protein. Integrity of protein structure was intact as shown by SDS-PAGE. According to the results, it can be concluded that we achieved a reproducible method regarding controlled protein delivery for different sizes of particles.


Assuntos
Técnicas In Vitro/métodos , Preparações Farmacêuticas/análise , Proteínas , Microesferas , Soroalbumina Bovina/administração & dosagem , Eficiência/classificação , Eletroforese em Gel de Poliacrilamida/instrumentação , Emulsões
5.
Braz. J. Pharm. Sci. (Online) ; 55: e17536, 2019. tab, graf
Artigo em Inglês | LILACS | ID: biblio-1055294

RESUMO

Tadalafil, a long-acting PED-5 inhibitor, is commonly used for the treatment of pulmonary arterial hypertension (PAH). However, its efficacy and clinical application are severely limited by the poor water solubility, low bioavailability and a series adverse effects (e.g. headaches, indigestion). In this study, tadalafil was prepared and loaded into biodegradable PLGA (poly(lactic-co-glycolic acid)) microspheres (TDF-PLGA-MS) via emulsification-solvent evaporation. The resulting microspheres were processed into pulmonary inhalant by freeze drying. The TDF-PLGA-MS was spherical and uniform, with an average particle diameter ~10.29 µm. The encapsulation efficiency and drug loading yield of TDF-PLGA-MS were 81.68% and 8.52%, respectively. The investigation of micromeritics showed that the TDF-PLGA-MS had low moisture content. The fluidity of powders was relatively good. The aerodynamic diameter and emptying rate of microspheres powders were 3.92 µm and 95.41%, respectively. Therefore, the microspheres powders were easy to be atomized, and can meet the requirements of pulmonary administration. In vitro release results showed that the microspheres group released slowly. The cumulative release in 24 h and 10 d was 46.87% and 84.06%, respectively. The in vitro release profile of TDF-PLGA-MS was in accordance with the Weibull model. The results of Pharmacokinetics showed that tadalafil from microspheres slowly released into the blood after intratracheal instillation. The pulmonary drug residue in 0.5 h was 3.5 times compared with solution group. The residual concentration in lung after 10d was still higher than that of solution group in 48 h. The t1/2β and MRT0-∞ were 3.10 times and 3.96 times that of solution group, respectively. Moreover, the Cmax and AUC of drug residues in lung ​​were 3.48 times and 16.36 times that of solution group, respectively. The results of tissue distribution showed that the Re in lung was 16.358, which indicated the lung targeting. In conclusion, the TDF-PLGA-MS for pulmonary administration in this study can significantly improve the pulmonary targeting, increase efficacy of tadalafil and reduce other non-target organs toxicity. This study will have an important clinical significance for PAH patients who need long-term drug therapy.


Assuntos
Farmacocinética , Tadalafila/efeitos adversos , Hipertensão Arterial Pulmonar/tratamento farmacológico , Microesferas , Pacientes/classificação , Solubilidade/efeitos dos fármacos , Técnicas In Vitro/instrumentação , Preparações Farmacêuticas/administração & dosagem , Tratamento Farmacológico , Pulmão
6.
Braz. oral res. (Online) ; 33: e086, 2019. tab, graf
Artigo em Inglês | LILACS | ID: biblio-1019605

RESUMO

Abstract Treatment of patients with bisphosphonate usage is a significant concern for oral surgeons because it interferes with jaw bone turnover and regeneration. In case of adverse effects manifesting related to bisphosphonate use, oral surgeons are usually treating and keep the patient's symptoms under control. In this study, we aimed to investigate a new treatment protocol for medication-related osteonecrosis of the jaw (MRONJ). This treatment protocol consisted of administering human parathyroid hormone (hPTH) loaded chitosan microspheres which were prepared by ionotropic gelation method or/and the prepared microspheres were suspended in a poloxamer gel. After in-vitro optimization studies, the efficacy of the chosen formulations was evaluated in-vivo studies. Zoledronic acid was administered daily to forty-eight adult female Sprague-Dawley rats, divided into four experimental groups, at a daily concentration of 0.11 mg/kg over three weeks to induce the MRONJ model. At the end of this period, maxillary left molar teeth were extracted. In the first group, the subjects received no treatment. In the negative control group, poloxamer hydrogel containing empty microspheres were immediately applied to the soft tissues surrounding the extraction socket. The treatment group-1 was treated with local injections of poloxamer hydrogel containing hPTH. The treatment group-2 was treated with a single local injection of poloxamer hydrogel containing hPTH-loaded chitosan microspheres. Both treatment groups received a total of 7 µg of hPTH at the end of the treatment protocol. Our study demonstrates successful attenuation of MRONJ through a local drug delivery system combined with hPTH, as opposed to previously attempted treatment strategies.


Assuntos
Humanos , Animais , Feminino , Hormônio Paratireóideo/farmacologia , Quitosana/farmacologia , Conservadores da Densidade Óssea/farmacologia , Maxila/efeitos dos fármacos , Hormônio Paratireóideo/uso terapêutico , Ratos Sprague-Dawley , Poloxâmero/administração & dosagem , Poloxâmero/química , Modelos Animais , Preparações de Ação Retardada , Quitosana/uso terapêutico , Conservadores da Densidade Óssea/efeitos adversos , Conservadores da Densidade Óssea/uso terapêutico , Osteonecrose da Arcada Osseodentária Associada a Difosfonatos , Osteonecrose da Arcada Osseodentária Associada a Difosfonatos/tratamento farmacológico , Ácido Zoledrônico/efeitos adversos , Maxila/patologia , Microesferas
7.
J. appl. oral sci ; 27: e20180051, 2019. tab, graf
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-975887

RESUMO

Abstract The efficacy of whitening toothpastes is questionable and controversial. Clinicians, patients and researchers have expressed concern with whitening toothpastes due to the risk of wearing the dental structure and the potential for disappointment if the advertised cosmetic results are not achieved. Objective: This study compared the whitening performance of toothpastes with different whitening technologies after initial and continued use. Material and Methods: Ninety bovine incisors were stained using a concentrated solution of black tea. They were randomly distributed into 6 groups, according to the toothpaste whitening technology: activated charcoal (B&W), blue covarine (WAD), hydrogen peroxide (LWA), microbeads (Oral B 3D White Perfection - 3DW) and optimized abrasives (XW4D). They were compared to a traditional toothpaste without a whitening agent (TA - control). Specimens underwent a brushing machine with controlled pressure, time and temperature. A calibrated examiner measured the color using a VITA-Classical scale before the first brushing cycle (T0), after the first brushing cycle (TI), and after a brushing cycle that simulates continuous use (TCU). Whitening performance was evaluated by the difference of shades (ΔSGU) between T0-TI and T0-TCU timepoints, using the Kruskal-Wallis and Dunn's non-parametric test. The Wilcoxon test was used to evaluate the cumulative effect (α=0.05). Results: Statistically significant differences were observed between toothpastes in both TI and TCU (p<0.05). The time of use also had a significant effect (p<0.05). Conclusion: Only WAD and 3DW showed whitening performance after the first use (TI). The greatest whitening performance after continuous use was obtained by WAD, followed by LWA and 3DW. The use of conventional toothpaste (TA) promotes no tooth whitening. Clinical relevance: Microbead abrasives (3DW) and blue covarine (WAD) were the active technology tested that presented the best global tooth whitening performance.


Assuntos
Animais , Bovinos , Clareamento Dental/métodos , Cremes Dentais/química , Carvão Vegetal/química , Isoindóis/química , Clareadores Dentários/química , Peróxido de Hidrogênio/química , Metaloporfirinas/química , Microesferas , Valores de Referência , Propriedades de Superfície , Fatores de Tempo , Dente/efeitos dos fármacos , Escovação Dentária/métodos , Distribuição Aleatória , Reprodutibilidade dos Testes
8.
Comun. ciênc. saúde ; 28(1): 79-84, jan. 2017. ilus
Artigo em Português | LILACS | ID: biblio-972652

RESUMO

Os biomateriais nanoestruturados têm se destacado como elementos estratégicos para a medicina regenerativa devido à sua grande área específica, a sua característica de atuar como veículo portador e libera dor de fatores de crescimento, células e pela sua mobilidade no plasma, no meio extra e intra-celular. Nos últimos anos, a equipe executora deste estudo, constituída por pesquisadores do CBPF, UFF, UFRJ e INMETRO têm concentrado seus esforços no desenvolvimento de novos fosfatos de cálcio na forma nanoestruturada e com substituições iônicas para uso clí nico. Estas características potencializam a bioabsorção do material e sua eficiência na regeneração tecidual, bem como seu uso como nanocarreador de biomoléculas (proteínas, peptídeos, fatores de crescimento e fármacos). Neste estudo foi produzido e avaliado clinicamente um novo biomaterial para a regeneração óssea, seguindo o princípio de “quality by desing”, visando aumentar sua eficiência em procedimentos clínicos específicos tais como o tratamento do edentulismo...


Assuntos
Humanos , Fosfatos de Cálcio , Nanotecnologia , Transplante Ósseo , Bioengenharia , Durapatita , Microesferas , Regeneração Óssea , Seio Maxilar
9.
Braz. J. Pharm. Sci. (Online) ; 53(4): e00212, 2017. tab, graf, ilus
Artigo em Inglês | LILACS | ID: biblio-889429

RESUMO

ABSTRACT Etodolac is a non-steroidal anti-inflammatory drug (NSAID) and approved by USFDA as a COX2 inhibitor. Although etodolac therapy provides clinical benefits, it is associated with upper gastrointestinal (GI) tract complications also. Etodolac loaded gum Katira microsphere (ELGKM) was prepared by W1/O/W2 emulsion solvent evaporation technique. The gastric irritation properties of orally administered pure etodolac, ELGKM and blank microspheres (without etodolac) were evaluated in experimental rats treated for 6 days. The stomach examination and biochemical investigation of stomach tissue of treated rats indicated that ELGKM formulation remarkably reduced ulcerogenecity as compared to pure etodolac. The anti-inflammatory activities of pure etodolac and ELGKMs were ascertained by the implantation of cotton pellets in rats for 6 days. Based on the results, ELGKMs showed significant anti-inflammatory activities (P<0.01) as compared to control group. The cotton pellets test suggested that ELGKM formulation retained more anti-inflammatory properties among the groups. The hematological changes, biochemical analysis and histopathological studies of subacute toxicity in rats revealed that ELGKM were the effective sustained release formulation in the treatment of chronic pain and inflammation. In conclusion, the physicochemical characterization, pharmacological and toxicological studies suggest that ELGKMs may represent as a potential candidate for sustained drug delivery (10-12 hours) in chronic joint pain related diseases with remarkably diminished gastrointestinal side effects.


Assuntos
Animais , Masculino , Coelhos , Ratos , Tragacanto/uso terapêutico , Evaporação/métodos , Etodolac/análise , Etodolac/uso terapêutico , Microesferas , Trato Gastrointestinal Superior/patologia
10.
Braz. J. Pharm. Sci. (Online) ; 53(4): e00242, 2017. tab, graf, ilus
Artigo em Inglês | LILACS | ID: biblio-889432

RESUMO

ABSTRACT Flurbiprofen (FLB), a NSAID, widely used for preventing pain generally for arthritis or dental problems. In this study, FLB loaded chitosan microspheres were prepared by ionotropic gelation method. In this method, microspheres were formed by dropping chitosan solutions containing FLB into sodium alginate solutions including sodium tripolyphosphate (TPP). A variety of formulation parameters like drug:polymer ratio, drug concentration, polymer's molecular weight, polymer concentration, pH and the concentration of TPP solutions, drying method and stirring time were analyzed. The dissolution studies were performed in a shaking water bath in pH 7.4 phosphate buffer saline (PBS) at 37 °C. Laser diffractometer was used for particle size analysis, and scanning electron microscope (SEM) was used for morphological properties. Drug loading and loading efficiency were calculated by using UV spectrophotometer. The particles obtained were spherical with 0.7-1.3 mm size range, and the loading efficiency was approximately 21-79%. The dissolution studies conducted revealed that drug:polimer ratio and the polymer type and concentration affected the drug release from microspheres. It was observed that increasing the polymer concentration, polymer's molecular weight and TPP concentration decreased the FLB release from microspheres, which was according to Higuchi kinetics.


Assuntos
Flurbiprofeno/análise , Quitosana/agonistas , Microesferas , Liberação Controlada de Fármacos
11.
Braz. j. pharm. sci ; 52(4): 603-612, Oct.-Dec. 2016. tab, graf
Artigo em Inglês | LILACS | ID: biblio-951888

RESUMO

ABSTRACT Glutaraldehyde (GTA) has been extensively used as a gelatin crosslinking agent, however, new natural ones have been suggested as more biocompatible. Polyphenols are possible candidates and the flavonols, such as rutin (RUT), also exhibit potential synergism with sunscreens and antioxidant agents used in cosmetics. In this work, gelatin microspheres (M0) were obtained and crosslinked with GTA 10 mM (MG) or RUT 10 mM (MR), dissolved in acetone:NaOH 0,01M (70:30 v/v). MG exhibited crosslinking extent of 54.4%. Gelatin, M0, MG and MR did not elicit any signs of skin damage, regarding the formation of erythema, the barrier function disruption and negative interference in the stratum corneum hydration. Oily dispersions containing M0, MG or MR, isolated or combined with benzophenone-3 or octyl methoxycinnamate, suggested that the microspheres, at a 5.0% w/w, had no additional chemical or physical photoprotective effect in vitro. Crosslinking with RUT had occurred, but in a lower degree than GTA. Microspheres had not improved sun protection parameters, although, non-treated gelatin interfered positively with the SPF for both UV filters. The in vivo studies demonstrated that these materials had very good skin compatibility.


Assuntos
Rutina/efeitos adversos , Glutaral/efeitos adversos , Gelatina/análise , Microesferas , Protetores Solares , Produtos Biológicos/farmacologia , Cosméticos/classificação
12.
Braz. j. infect. dis ; 20(4): 342-348, July-Aug. 2016. graf
Artigo em Inglês | LILACS | ID: biblio-828118

RESUMO

Abstract A natural and biocompatible fibrin microsphere is one of the most promising dual delivery vehicle as compared to other traditionally designed delivery modalities. It represents sustained delivery of encapsulated drug and is easily biodegradable in the blood circulation. In the present study, we evaluated the systemic augmentation of the antifungal activity of amphotericin B loaded in fibrin microsphere (AMB-fibrin microsphere) against cryptococcosis in Swiss albino mice. Mice infected with Cryptococcus neoformans were treated with 0.5 mg/kg AMB-fibrin microsphere that was given alternately for 7 days. The antifungal potential of AMB-fibrin microsphere was assessed on the basis of reduction of cfu count in the systemic circulation and various vital organs of infected mice. The formulation was found to be highly effective in reducing intracellular pathogen from the experimental animals where fibrin microsphere significantly controlled the release of amphotericin B for longer time duration. The AMB-fibrin microsphere chemotherapy was significantly more effective than free amphotericin B in reducing the fungal burden and showed better survival efficacy (p < 0.05). The current study demonstrating the use of novel amphotericin B loaded fibrin microsphere not only imparts protection to the encapsulated amphotericin B but also offers an effective strategy to decrease the drug associated toxicities.


Assuntos
Animais , Feminino , Ratos , Fibrina/administração & dosagem , Anfotericina B/administração & dosagem , Criptococose/tratamento farmacológico , Cryptococcus neoformans , Antifúngicos/administração & dosagem , Fatores de Tempo , Modelos Animais de Doenças , Microesferas
13.
J. bras. nefrol ; 36(4): 502-511, Oct-Dec/2014. tab, graf
Artigo em Português | LILACS | ID: lil-731153

RESUMO

Introdução: São escassos estudos dos custos dos insumos consumidos em hemodiálise e, dentre estes gastos, os compostos que compõem o dialisato estão entre os valores considerados como representativos nessa terapia. Contudo, não foram encontrados estudos que orientem sobre o comportamento de custos dessas soluções. Objetivo: O objetivo do artigo é avaliar se há desperdício no consumo de soluções alcalinas em hemodiálise ambulatorial e, consequentemente, a possibilidade de redução no custo a partir da simulação de padronização no processo de estabelecimento do fluxo do dialisato nos períodos entre turnos em sessões de hemodiálise ambulatorial. Métodos: Partindo de um estudo observacional analítico, foi realizada uma simulação de 20 cenários, sendo 10 estabelecidos pela padronização dos processos de controle no fluxo do dialisato nos intervalos das sessões. A combinação dos dados foi realizada tomando por base os preços de três fornecedores de soluções alcalinas líquidas ou em pó. Resultados: Observou-se, dentre os cenários com processos padronizados, uma variação entre 7,7% e 33,3% de economia no custo da solução alcalina (em pó ou líquida), pela redução do desperdício. Conclusão: É possível refrear o desperdício no uso de soluções alcalinas, tanto em pó quanto líquidas e, consequentemente, seus custos, a partir da padronização na redução do fluxo de dialisato durante os intervalos verificados entre os turnos na hemodiálise ambulatorial. Todavia, estes resultados estão condicionados ao comprometimento de profissionais de saúde, principalmente no que tange ao exercício da supervisão e controle das atividades ...


Introduction: There are few studies about costs of inputs used in hemodialysis and among these expenditures, the compounds that make up the dialysate are one of the values considered as representative of this therapy. However, there aren’t costs studies that guiding solutions. Objective: The objective of this article is discuss whether there is wasteful of alkaline solutions in ambulatory hemodialysis and hence the possibility of reduction in cost from the standardization process simulation of establishment of dialysate flow in periods between shifts in hemodialysis outpatients. Methods: Starting from an observational analytic, a simulation was performed twenty case scenarios, which ten cases established by standardizing processes control on the dialysate flow in recession. The combination of data was performed using as a basis the prices of three suppliers of alkali liquid or powder. Results: It was observed among the scenarios with standardized processes, ranging between 7.7% and 33.3% savings in the alkaline solution cost (powder or liquid), by reducing waste. Conclusion: It is possible to restrain the wasteful use of alkaline solutions, both powder and liquid. Consequently, its cost from the patterning on reducing the flow of dialysate during the intervals between shifts observed in the outpatient hemodialysis. However, these results are conditional upon the commitment of health professionals, mainly to supervision exercise and control of activities in quality function deployment. .


Assuntos
Fusarium/metabolismo , Ouro/metabolismo , Cloretos/metabolismo , Compostos de Ouro/metabolismo , Junções Intercelulares , Microesferas , Nanotecnologia
14.
Recife; s.n; 2014. 183 p. ilus, tab.
Tese em Português | LILACS | ID: lil-719864

RESUMO

A leishmaniose visceral canina (LVC) e uma doença parasitária causada por protozoários do gênero Leishmania, principalmente por Leishmania infantum. A epidemiologia da doença varia de região para região e o entendimento dos fatores associados à infecção em cães pode ajudar na elaboração de medidas de controle mais específicas. O diagnóstico sorológico da infecção sofreu mudanças importantes nos últimos anos com a introdução do TR-DPP® e do estabelecimento de novos critérios de diagnóstico (TR-DPP® + EIE-LVC) pelo Ministério da Saúde. Dentro desse contexto, no presente estudo objetivou-se estudar a epidemiologia da LVC no município de Goiana, estado de Pernambuco, nordeste do Brasil. Para tal, realizaram-se testes sorológicos (TR-DPP® e EIE-LVC) e análise clínico-epidemiológica em 360 cães semi e domiciliados, de ambos os sexos, raças e idades variadas, nos distritos de Atapuz, Tejucupapo e Pontas de Pedra no referido município. No TR-DPP®47 (13,1 por cento) animais foram reagentes, onde se observou associação significativa dos resultados com os seguintes sinais clínicos: alopecia, lesões na pele paresia e linfonodomegalia. Já no EIE-LVC 21 (5,8 por cento) animais foram reagentes, havendo associação significativa entre a classificação clínica dos animais, condição corporal, alopecia, lesões na pele, secreção ocular, paresia e linfonodomegalia. Já de acordo com o critério do Ministério da Saúde do Brasil, apenas 15 (4,2 por cento) animais foram classificados como positivos. De fato, verificou-se uma fraca concordância (Kappa = 0,39) entre os dois testes sorológicos. Conclui-se que a LVC encontra-se estabelecida em Goiana e que o uso do TR-DPP® como teste de triagem e do EIE-LVC como teste confirmatório pode levar a perda de cães infectados, uma vez que cães positivos do TR-DPP® são negativos no EIE-LVC e vice-versa.


Assuntos
Antígenos Virais/isolamento & purificação , Antígenos Virais , Western Blotting , Ensaio de Imunoadsorção Enzimática , Hepacivirus , HIV , Vírus Linfotrópico T Tipo 1 Humano , Microesferas , Vacinas Sintéticas , Seleção do Doador , Sensibilidade e Especificidade , Testes Sorológicos
15.
Electron. j. biotechnol ; 16(6): 6-6, Nov. 2013. ilus, tab
Artigo em Inglês | LILACS | ID: lil-696547

RESUMO

Background: β-Glucosidase is known as an effective catalyst for the hydrolysis of various glycosides and immobilization is one of the most efficient strategies to improve its activity recovery and properties. Results: Crosslinking-adsorption-crosslinking method was employed to immobilize β-glucosidase into chitosan beads and response surface methodology (RSM) was used to optimize the immobilized conditions of the maximum activity recovery. Enzyme concentration and adsorption time were found to be significant influence factors, and the maximum activity recovery (50.75%) obtained from response surface methodology was in excellent agreement with experimental value (50.81%). Furthermore, various characteristics of immobilized β-glucosidase were evaluated. Compared to the free β-glucosidase, the immobilized enzyme exhibited broader pH and temperature ranges, enhanced thermal stability, better storage stability and reusability and higher accessibility of the substrate to the immobilized β-glucosidase. Conclusion: Response surface methodology (RSM) was proved to be much economical for optimum immobilization of β-glucosidase into chitosan beads.


Assuntos
beta-Glucosidase/metabolismo , Quitosana/metabolismo , Enzimas Imobilizadas/metabolismo , Temperatura , Estabilidade Enzimática , Cinética , Adsorção , Reagentes de Ligações Cruzadas , Concentração de Íons de Hidrogênio , Microesferas
16.
Semina cienc. biol. saude ; 34(2): 159-166, jul.-dez. 2013. tab
Artigo em Português | LILACS | ID: lil-726424

RESUMO

Microesferas de liberação prolongada de diclofenaco de sódio (DFS) foram preparadas empregando o acetobutirato de celulose (ABC) para obtenção da matriz polimérica. Buscando modular a velocidade de liberação do fármaco, a adição de Poloxamer 188 na formulação foi testada, com diferentes proporções de ABC: Pluronic F68 (1:0; 9:1; 3:1 e 1:1). Com exceção da formulação contendo ABC e Pluronic F68 na proporção de 1:1, as outras formulações testadas conduziram à formação de partículas esféricas de tamanho micrométrico. Quando a misturaA BC: Pluronic F68 (1:1) foi empregada, ocorreu à precipitação de uma massa polimérica, sendo este efeito relacionado à elevada concentração do polímero hidrofílico na preparação. Quando comparado com as microesferas preparadas unicamente com ABC, o teor e a eficiência de encapsulação aumentaram com o acréscimo de Poloxamer 188 às formulações. Efeito semelhante foi observado na avaliação da velocidade de liberação do fármaco em meio tampão fosfato pH 7,5. Enquanto as microesferas preparadas apenas com ABC conduziram à liberação de 25% do fármaco encapsulado após 12 horas de ensaio, as microesferas preparadas com relação ABC:Pluronic 9:1 e 3:1 conduziram à liberação de 30% e 70% do fármaco, respectivamente.


Extended-release microspheres containing sodium diclofenac were prepared using the cellulose acetate butyrate (CAB) to obtain the polymer matrix. Looking modulate the rate of drug release, the addition of Poloxamer 188 at different concentrations into formulations was tested in order to obtain CAB to Poloxamer ratio of 1:0, 9:1, 3:1 and 1:1. Excepting for the formulation containing CAB and Poloxamer 1:1, the other formulations resulted in formation of spherical particles of micrometer size range. When the mixture CAB:Poloxamer (1:1) was employed, the precipitation of a polymeric mass occorred, and this effect was related to the high concentration of the hydrophilic polymer in the preparation. When compared to the microspheres prepared only with CAB, the drug content and the encapsulation efficiency increased with the addition of Poloxamer 188 in the formulations. A similar effect was observed in the evaluation of the rate of drug release in pH 7.5 phosphate buffer. While the microspheres prepared with CAB led to release of 25% of the encapsulated drug after 12 hours of testing, the microspheres prepared with CAB: Poloxamer 9:1 and 3:1 resulted in release of 30% and 70% of the drug, respectively.


Assuntos
Diclofenaco , Microesferas , Poloxâmero
17.
Braz. j. pharm. sci ; 49(4): 873-888, Oct.-Dec. 2013. ilus, tab
Artigo em Inglês | LILACS | ID: lil-704120

RESUMO

The objective of this study was to formulate an oral sustained release delivery system of sodium diclofenac(DS) based on sodium alginate (SA) as a hydrophilic carrier in combination with chitosan (CH) and sodium carboxymethyl cellulose (SCMC) as drug release modifiers to overcome the drug-related adverse effects and to improve bioavailability. Microspheres of DS were prepared using an easy method of ionotropic gelation. The prepared beads were evaluated for mean particle size, entrapment efficiency, swelling capacity, erosion and in-vitro drug release. They were also subjected to various studies such as Fourier Transform Infra-Red Spectroscopy (FTIR) for drug polymer compatibility, Scanning Electron Microscopy for surface morphology, X-ray Powder Diffraction Analysis (XRD) and Differential Scanning Calorimetric Analysis (DSC) to determine the physical state of the drug in the beads. The addition of SCMC during the preparation of polymeric beads resulted in lower drug loading and prolonged release of the DS. The release profile of batches F5 and F6 showed a maximum drug release of 96.97 ± 0.356% after 8 h, in which drug polymer ratio was decreased. The microspheres of sodium diclofenac with the polymers were formulated successfully. Analysis of the release profiles showed that the data corresponds to the diffusion-controlled mechanism as suggested by Higuchi.


O objetivo deste estudo foi elaborar um sistema de entrega de oral de liberação sustentada de diclofenaco sódico (DS) com base em alginato de sódio (SA), como um transportador hidrofílico em combinação com quitosana (CH) e carboximetilcelulose de sódio (SCMC) como modificadores de liberação de fármaco para diminuir os efeitos adversos e melhorar a biodisponibilidade. Prepararam-se microesferas de DS usando um método fácil de geleificação ionotrópica. Avaliaram-se os grânulos preparados quanto ao tamanho médio de partícula, eficiência de compressão, inchaço in vitro, erosão e capacidade de liberação de fármacos. Estes tammbém foram submetidos a vários estudos, como espectrometria no infravermelho com transformada de Fourier (FTIR) para compatibilidade de fármaco e polímero, microscopia eletrônica de varredura para morfologia de superfície, análise de difração de raios-X (XRD) do pós e análise calorimétrica diferencial de varredura (DSC) para determinar o estado físico do fármaco nos grânulos. A adição de SCMC durante a preparação de grânulos do polímero resultou em fármacos com menor carga de fármaco e liberação prolongada do DS. O perfil de liberação dos lotes F5 e F6 apresentou máximo de fármaco liberado de 96,97±0,356% após 8 h após o que a proporção do fármaco no polímero foi diminuída. As microesferas de diclofenaco de sódio com os polímeros foram formuladas com sucesso. A análise dos perfis de liberação mostrou que os dados correspondem ao mecanismo de difusão controlada, como sugerido por Higuchi.


Assuntos
Diclofenaco/análise , Microesferas , Polímeros/análise , Alginatos/análise , Geleificantes
18.
Clinics ; 67(7): 793-798, July 2012. ilus, graf, tab
Artigo em Inglês | LILACS | ID: lil-645453

RESUMO

OBJECTIVE: The aim of this study was to investigate bone repair after the implantation of vancomycin-loaded poly-L-lactic acid/poly-ethylene oxide microspheres compared with vancomycin-unloaded poly-L-lactic acid/poly-ethylene oxide microspheres. METHODS: Poly-L-lactic acid/poly-ethylene oxide microspheres were implanted in rat tibiae and evaluated for periods of 2, 4, 8, and 12 days and 4, 8, 16, and 32 weeks. The groups implanted with vancomycin-loaded and vancomycin-unloaded microspheres were compared. Histopathologic (semi-quantitative) and histomorphometric analyses were performed to evaluate the bone formation process. RESULTS: During the first period (second day), fibrin and hemorrhaging areas were observed to be replaced by granulation tissue around the microspheres. Woven bone formation with progressive maturation was observed. All of the histopathological findings, evaluated by a semi-quantitative assay and a quantitative analysis (percentage of bone formation), were similar between the two groups. CONCLUSION: Vancomycin-loaded poly-L-lactic acid/poly-ethylene oxide microspheres are a good bone substitute candidate for bone repair. Local antibiotic therapy using vancomycin-loaded poly-L-lactic acid/poly-ethylene oxide microspheres should be considered after the microbiological evaluation of its efficacy.


Assuntos
Animais , Masculino , Ratos , Substitutos Ósseos/uso terapêutico , Ácido Láctico/uso terapêutico , Osteogênese/fisiologia , Polietilenoglicóis/uso terapêutico , Polímeros/uso terapêutico , Fraturas da Tíbia/cirurgia , Vancomicina/uso terapêutico , Materiais Biocompatíveis , Microesferas , Ratos Wistar , Fatores de Tempo , Fraturas da Tíbia/patologia
19.
Rev. bras. anestesiol ; 62(2): 228-234, mar.-abr. 2012. ilus, tab
Artigo em Português | LILACS | ID: lil-618207

RESUMO

JUSTIFICATIVA E OBJETIVOS: A duração do efeito dos anestésicos locais (AL) pode ser ampliada pela sua incorporação aos sistemas de liberação prolongada como microesferas. No entanto, a possibilidade de que os sistemas de liberação prolongada de AL sejam neurotóxicos não tem recebido a devida atenção na literatura. Este estudo teve o objetivo de investigar os efeitos de microesferas de ácido poliláctico-co-glicólico puras, preenchidas com bupivacaína em excesso enantiomérico de 50 por cento ou com bupivacaína (BP), assim como os efeitos da bupivacaína em excesso enantiomérico de 50 por cento em nervo ciático de ratos Wistar. MÉTODO: Os ratos foram alocados em quatro grupos de acordo com o tempo de avaliação (dois, quatro, seis e oito dias) e denominados conforme a solução injetada sobre o nervo ciático: microsferas com bupivacaína em excesso enantiomérico de 50 por cento (MBE), microesferas com bupivacaína (MB); microesferas puras (MP) e bupivacaína em excesso enantiomérico de 50 por cento (BE). RESULTADOS: Nos cortes histológicos semifinos observou-se distribuição regular homogênea nas fibras de colágeno no endoneuro e nenhuma alteração degenerativa dos axônios ou das bainhas de mielina foi constatada. Nos cortes ultrafinos foram observados axônios mielinizados e fibras de Remak de aspecto normal com axoplasma apresentando distribuição homogênea de neurofilamentos e microtúbulos. A análise histomorfométrica dos axônios não revelou diferença significativa entre os diâmetros dos axônios dos grupos estudados.


BACKGROUND AND OBJECTIVES: The duration of Local Anesthetic (LA) effects can be expanded by its incorporation into systems of sustained release microspheres. However, the possibility that LA sustained release systems are neurotoxic has not received due attention in literature. The objective of this study was to investigate the effects of pure microspheres of poly(lactic-co-glycolic acid), filled with 50 percent enantiomeric excess bupivacaine or bupivacaine (BP), as well as the effects of 50 percent enantiomeric excess bupivacaine in the sciatic nerve of Wistar rats. METHODS: The rats were allocated into four groups according to the evaluation time (two, four, six, and eight days) and nominated according to the injected solution on the sciatic nerve: Microspheres with 50 percent Enantiomeric excess Bupivacaine (MEB), Microspheres with Bupivacaine (MB), Pure Microspheres (PM), and 50 percent Enantiomeric excess Bupivacaine (EB). RESULTS: In semi-fine histologic sections, no regular homogeneous distribution of collagen fibers in the endoneurium or degenerative changes of axons and myelin sheaths were observed. In ultrathin sections, we found myelinated axons and normal Remak fibers with axoplasm showing homogeneous distribution of neurofilaments and microtubules. Histomorphometric analysis of axons revealed no significant difference between the axon diameters of the studied groups.


JUSTIFICATIVA Y OBJETIVOS: La duración del efecto de los anestésicos locales (AL), puede ser ampliada por su incorporación a los sistemas de liberación prolongada como microesferas. Sin embargo, la posibilidad de que los sistemas de liberación prolongada de AL sean neurotóxicos, no ha recibido la debida atención en la literatura. Este estudio tuvo el objetivo de investigar los efectos de microesferas de ácido poliláctico-co-glicólico puras, rellenados con bupivacaína en exceso enantiomérico de 50 por ciento o con bupivacaína (BP), como también los efectos de la bupivacaína en exceso enantiomérico de 50 por ciento en nervio ciático de ratones Wistar. MÉTODO: Los ratones se dividieron en cuatro grupos de acuerdo con el tiempo de evaluación (dos, cuatro, seis y ocho días), y fueron denominados conforme a la solución inyectada sobre el nervio ciático: microesferas con bupivacaína en exceso enantiomérico de 50 por ciento (MBE), microesferas con bupivacaína (MB); microesferas puras (MP) y bupivacaína en exceso enantiomérico de 50 por ciento (BE). RESULTADOS: En los cortes semifinos se observó la distribución regular homogénea en las fibras de colágeno en el endoneuro y no se comprobó ninguna alteración degenerativa de los axones o de las vainas de mielina. En los cortes ultrafinos fueron observados axones mielinizados y fibras de Remak de aspecto normal con axoplasma presentando una distribución homogénea de neurofilamentos y microtúbulos. El análisis histomorfométrico de los axones no reveló diferencias significativas entre los diámetros de los axones de los grupos estudiados.


Assuntos
Animais , Masculino , Ratos , Anestésicos Locais/farmacologia , Bupivacaína/farmacologia , Microesferas , Nervo Isquiático/efeitos dos fármacos , Testes de Toxicidade Aguda , Anestésicos Locais/administração & dosagem , Bupivacaína/administração & dosagem , Ratos Wistar , Nervo Isquiático/patologia
20.
Braz. j. pharm. sci ; 48(1): 17-30, Jan.-Mar. 2012. ilus, tab
Artigo em Inglês | LILACS | ID: lil-622885

RESUMO

Gastric emptying is a complex process, one that is highly variable and that makes in vivo performance of drug delivery systems uncertain. A controlled drug delivery system with prolonged residence time in the stomach can be of great practical importance for drugs with an absorption window in the upper small intestine. The main limitations are attributed to the inter- and intra-subject variability of gastro-intestinal (GI) transit time and to the non-uniformity of drug absorption throughout the alimentary canal. Floating or hydrodynamically controlled drug delivery systems are useful in such applications. Various gastroretentive dosage forms are available, including tablets, capsules, pills, laminated films, floating microspheres, granules and powders. Floating microspheres have been gaining attention due to the uniform distribution of these multiple-unit dosage forms in the stomach, which results in more reproducible drug absorption and reduced risk of local irritation. Such systems have more advantages over the single-unit dosage forms. The present review briefly addresses the physiology of the gastric emptying process with respect to floating drug delivery systems. The purpose of this review is to bring together the recent literature with respect to the method of preparation, and various parameters affecting the performance and characterization of floating microspheres.


O esvaziamento gástrico é um processo complexo, com elevada variabilidade e responsável pela incerteza do desempenho dos medicamentos in vivo. Dessa forma, os sistemas de liberação modificada de fármacos, com tempo de residência prolongado no estômago, em especial, considerando aqueles fármacos com janela de absorção na porção superior do intestino delgado, apresentam fundamental importância. As principais limitações relativas à absorção do fármaco são, no geral, atribuídas à variabilidade inter e intra-paciente do tempo de trânsito gastro-intestinal (GI) e da não-uniformidade da absorção do fármaco na extensão do canal alimentar. Assim, justifica-se a utilização dos sistemas flutuantes ou hidrodinâmicos de liberação de fármacos. Vários medicamentos gastrorretentivos estão disponibilizados no mercado e incluem comprimidos, cápsulas, pílulas, filmes laminados, microesferas flutuantes, grânulos e pós. As microesferas flutuantes apresentam maior destaque em função da distribuição granulométrica uniforme dessas formulações de dose múltipla. Como resultado, a absorção do fármaco apresenta maior reprodutibilidade e os riscos associados à irritação local são reduzidos. Tais sistemas apresentam maior vantagem quando comparado às formulações de dose única. A presente revisão tem como objetivo apresentar as publicações recentes referentes aos métodos de preparação, os vários parâmetros que afetam o desempenho e a caracterização das microesferas flutuantes. Além disso, o presente trabalho aborda a fisiologia do processo de esvaziamento gástrico no que se refere aos sistemas flutuantes de liberação de fármacos.


Assuntos
Fármacos Gastrointestinais/análise , Microesferas , Liberação Controlada de Fármacos , Esvaziamento Gástrico
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