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1.
Microbiol Res ; 274: 127435, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-37331053

RESUMO

Soybean-maize are cultivated in different management systems, such as no-tillage and pastures, which presents potential to add organic residues, and it can potentially impacts the soil microbial community present in these systems. Thus, this study aimed to examine the effects of different soybean-maize management practices on the diversity and composition of soil microbial communities. Specifically, 16 S rRNA amplicon sequencing was used to investigate whether the use of pasture species in a fallowing system influences microbial communities in a soybean-maize rotation system, as compared to conventional tillage and no-tillage systems. The results indicate that the inclusion of the pasture species Urochloa brizantha in soybean-maize management systems leads to distinct responses within the soil microbial community. It was found that different soybean-maize management systems, particularly those with U. brizantha, affected the microbial community, likely due to the management applied to this pasture species. The system with 3 years of fallowing before soybean-maize showed the lowest microbial richness (∼2000 operational taxonomic units) and diversity index (∼6.0). Proteobacteria (∼30%), Acidobacteria (∼15%), and Verrucomicrobia (∼10%) were found to be the most abundant phyla in the soil under tropical native vegetation, while soils under cropland had an increased abundance of Firmicutes (∼30% to ∼50%) and Actinobacteria (∼30% to ∼35%). To summarize, this study identified the impacts of various soybean-maize management practices on the soil microbial community and emphasized the advantages of adding U. brizantha as a fallow species.


Assuntos
Microbiota , Solo , Solo/química , Zea mays/microbiologia , Glycine max , Microbiologia do Solo
2.
Chemosphere ; 313: 137417, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-36460149

RESUMO

Chromium (Cr) contamination can affect microorganisms in the soil, but the response of the microbial community in the rhizosphere of plants grown in Cr-contaminated soils is poorly understood. Therefore, this study assessed the microbial community, by amplicon sequencing, in the rhizosphere of maize and cowpea growing in uncontaminated (∼6.0 mg kg-1 Cr) and Cr-contaminated soils (∼250 mg kg-1 Cr). Comparing Cr-contaminated and uncontaminated soils, the microbial community in the maize rhizosphere clustered separately, while the microbial community in the cowpea rhizosphere did not present clear clustering. The microbial richness ranged from ∼5000 (rhizosphere in Cr-contaminated soil) to ∼8000 OTUs (in uncontaminated soil). In the comparison of specific bacterial groups in the rhizosphere of maize, Firmicutes were enriched in Cr-contaminated soil, including Bacilli, Bacillales, and Paenibacillus. Cowpea rhizosphere showed a higher abundance of six microbial groups in Cr-contaminated soil, highlighting Rhizobiales, Pedomicrobium, and Gemmatimonadetes. The microbial community in both rhizospheres presented a similar proportion of specialists comparing uncontaminated (2.2 and 3.4% in the rhizosphere of maize and cowpea, respectively) and Cr-contaminated soils (1.8 and 3.2% in the rhizosphere of maize and cowpea, respectively). This study showed that each plant species drove differently the microbial community in the rhizosphere, with an important effect of Cr-contamination on the microbial community assembly.


Assuntos
Microbiota , Poluentes do Solo , Vigna , Cromo/análise , Rizosfera , Zea mays , Microbiologia do Solo , Bactérias , Solo , Firmicutes , Poluentes do Solo/análise
3.
J Sex Med ; 8(2): 497-503, 2011 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-20722779

RESUMO

INTRODUCTION: Chronic pelvic pain (CPP) is one of the most frequent symptoms in women of reproductive age. This is an enigmatic clinical condition that results from the complex interactions of physiological and psychological factors with direct impact on the social, marital, and professional lives of women. AIM: To evaluate the quality of life and sexual satisfaction of women who suffer from CPP with or without endometriosis. METHOD: Forty-nine patients who had been diagnosed with endometriosis and 35 patients with CPP diagnosed with another gynecological condition, all 84 of whom were treated at the Chronic Pelvic Pain and Endometriosis Clinic at Universidade Federal de São Paulo (UNIFESP) from January to July of 2008. The controls were 50 healthy women from the Family Planning Clinic at UNIFESP. MAIN OUTCOME MEASURES: World Health Organization Quality of Life Assessment-Bref (WHOQOL-BREF) quality of life questionnaire and the Golombok-Rust Inventory of Sexual Satisfaction (GRISS). RESULTS: No statistically significant differences were observed between the groups with CPP symptoms, in either the results from the WHOQOL-BREF or in the GRISS questionnaire. In both questionnaires, differences were observed when the two groups of symptomatic women were compared with the group of healthy women. CONCLUSION: CPP caused by endometriosis or other gynecological conditions leads to a significant reduction of quality of life and sexual satisfaction.


Assuntos
Endometriose/psicologia , Dor Pélvica/psicologia , Qualidade de Vida/psicologia , Comportamento Sexual/psicologia , Adolescente , Adulto , Estudos Transversais , Feminino , Humanos , Pessoa de Meia-Idade , Satisfação Pessoal , Estatísticas não Paramétricas , Inquéritos e Questionários , Adulto Jovem
4.
Environ Sci Pollut Res Int ; 28(45): 64295-64306, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34304356

RESUMO

The process of composting has been proposed as a biological alternative to improve the quality of tannery sludge (TS) by the action of microbial communities. However, there is limited knowledge about the dynamic of these microbial communities during the composting process. This study assessed the responses of bacterial and archaeal communities during TS composting using the 16S rRNA sequencing. The composting process occurred within 90 days, and samples of compost were collected on day 7 (d7; mesophilic stage), 30 (d30; thermophilic stage), 60 (d60; cooling stage), and 90 (d90; maturation stage). The results showed a succession of microbial phyla during the composting with enrichment of Synergistetes, WS1, and Euryarchaeota at the mesophilic stage, while at the thermophilic stage, there was an enrichment of Hydrogenedentes, WPS-2, Chloroflexi, and Deinococcus-Thermus. At the cooling stage, there was an enrichment of Kiritimatiellaeota, and at the maturation stage, there was an enrichment of Entotheonellaeota, Dadabacteria, Nitrospirae, Dependiatiae, and Fibrobacteres. When analyzing the drivers influencing microbial communities, Cr and pH presented more negative correlations with general phyla. In contrast, S, C, K, temperature, and N presented more positive correlations, while Ni, Cd, and P showed fewer correlations. According to niche occupancy, we observed a decreased proportion of generalists with a consequently increased proportion of specialists following the composting process. This study showed that different stages of the composting present a specific microbial community structure and dynamics, which are related to some specific composting characteristics.


Assuntos
Archaea , Bactérias , Compostagem , Resíduos Industriais , Archaea/genética , Bactérias/genética , RNA Ribossômico 16S/genética , Esgotos , Solo , Curtume
5.
Sci Total Environ ; 789: 147945, 2021 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-34051496

RESUMO

Soil microbial communities act on important environmental processes, being sensitive to the application of wastes, mainly those potential contaminants, such as tannery sludge. Due to the microbiome complexity, graph-theoretical approaches have been applied to represent model microbial communities interactions and identify important taxa, mainly in contaminated soils. Herein, we performed network and statistical analyses into microbial 16S rRNA gene sequencing data from soil samples with the application of different levels of composted tannery sludge (CTS) to assess the most connected nodes and the nodes that act as bridges to identify key microbes within each community. The network analysis revealed hubs belonging to Proteobacteria in soil with lower CTS rates, while active degraders of recalcitrant and pollutant chemical hubs belonging to Proteobacteria and Actinobacteria were found in soils under the highest CTS rates. The majority of classified connectors belonged to Actinobacteria, but similarly to hubs taxa, they shifted from metabolic functional profile to taxa with abilities to degrade toxic compounds, revealing a soil perturbation with the CTS application on community organization, which also impacted the community modularity. Members of Actinobacteria and Acidobacteria were identified as both hub and connector suggesting their role as keystone groups. Thus, these results offered us interesting insights about crucial taxa, their response to environmental alterations, and possible implications for the ecosystem.


Assuntos
Compostagem , Solo , RNA Ribossômico 16S/genética , Esgotos , Microbiologia do Solo
6.
Sci Rep ; 11(1): 19619, 2021 10 04.
Artigo em Inglês | MEDLINE | ID: mdl-34608181

RESUMO

Accurately mapping individual tree species in densely forested environments is crucial to forest inventory. When considering only RGB images, this is a challenging task for many automatic photogrammetry processes. The main reason for that is the spectral similarity between species in RGB scenes, which can be a hindrance for most automatic methods. This paper presents a deep learning-based approach to detect an important multi-use species of palm trees (Mauritia flexuosa; i.e., Buriti) on aerial RGB imagery. In South-America, this palm tree is essential for many indigenous and local communities because of its characteristics. The species is also a valuable indicator of water resources, which comes as a benefit for mapping its location. The method is based on a Convolutional Neural Network (CNN) to identify and geolocate singular tree species in a high-complexity forest environment. The results returned a mean absolute error (MAE) of 0.75 trees and an F1-measure of 86.9%. These results are better than Faster R-CNN and RetinaNet methods considering equal experiment conditions. In conclusion, the method presented is efficient to deal with a high-density forest scenario and can accurately map the location of single species like the M. flexuosa palm tree and may be useful for future frameworks.

7.
Sci Rep ; 10(1): 7694, 2020 05 06.
Artigo em Inglês | MEDLINE | ID: mdl-32376948

RESUMO

The use of herbicides is important for controlling weeds in crops. However, they can present impacts on soil properties, such as biological properties. In this study, we evaluated the responses of soil microbial biomass and enzymes activity to the application of the herbicides imazethapyr and flumioxazin and their mixture in an experiment under laboratory conditions, using soils with a different history of use. Soil microbial biomass C (MBC) decreased, while microbial biomass N (MBN) was not affected after the application of the herbicides as compared to the control. Soil respiration, respiratory quotient, and dehydrogenase (DHA) activity increased significantly after the application of the herbicides compared to the control. The hydrolysis of fluorescein diacetate (FDA) was not significantly different between the control and the herbicide treatments. The principal response curve showed the largest initial effects for the flumioxazin, followed by imazethapyr and their mixture. Flumioxazin had a different influence on soil respiration and respiratory quotient than imazethapyr and their mixture. Finally, the effects of herbicides on soil microbial biomass and enzymes are short-term as we observed recovery in the biological parameters over time.


Assuntos
Benzoxazinas/farmacologia , Biomassa , Herbicidas/farmacologia , Microbiota/efeitos dos fármacos , Ácidos Nicotínicos/farmacologia , Ftalimidas/farmacologia , Microbiologia do Solo , Oxirredutases/metabolismo , Solo
8.
Environ Sci Pollut Res Int ; 27(33): 41885-41892, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32700272

RESUMO

Composting has been recommended as a suitable alternative for recycling wastes and could improve tannery sludge (TS) before its use. However, the long-term application of composted tannery sludge (CTS) may bring concerns about its effects on soil properties and, consequently, on plants and environment, mainly when considering Cr contamination. In this study, we summarize the responses of soil chemical and biological parameters in a 10-year study with yearly applications of CTS. Chemical and biological parameters were assessed in soil samples, and the multivariate analysis method principal response curve (PRC) was used to show the temporal changes in all the biological and chemical properties caused by CTS. The PRC analysis showed different long-term response patterns of chemical and biological parameters according to the rates of CTS. Interestingly, Cr content increased strongly in the first 5 years and only increased slightly in the following 5 years. The yearly applications of CTS changed the biological and chemical parameters of the soil, negatively and positively, respectively. Organic matter, K and P, increased during the 10 years of application, while soil pH and Cr concentration increased, and soil microbial biomass and enzymes activity decreased.


Assuntos
Compostagem , Poluentes do Solo , Esgotos , Solo , Microbiologia do Solo , Poluentes do Solo/análise
9.
Sci Rep ; 8(1): 11755, 2018 08 06.
Artigo em Inglês | MEDLINE | ID: mdl-30082922

RESUMO

The application of composted tannery sludge (CTS) has promoted shifts in soil chemical properties and, therefore, can affect the soil bacterial community. This study assessed the effect of the CTS on the soil bacterial community over time. The CTS was applied at five rates (0, 2.5, 5, 10 and 20 t/ha), and the bacterial community was evaluated for 180 days. The principal curve response (PRC) analysis showed that the most abundant phyla were not influenced by the CTS rates over time, while the analysis of the bacterial community showed that some of the less abundant phyla were influenced by the CTS rates. Similarly, the PRC analysis for the bacterial classes showed the significant effect of the CTS rates. The redundancy analyses for the bacterial phyla and classes showed the relationship between the significant chemical properties and the bacterial community of the soil after the CTS amendment over time. Therefore, there was a shift in the bacterial community over time with the application of the composted tannery sludge. Our study has shown that the less abundant bacterial groups were more influenced by the CTS than the most abundant bacterial groups and that these bacterial groups were driven by soil chemical properties, primarily chromium (Cr) and the soil pH.


Assuntos
Bactérias/metabolismo , Esgotos/microbiologia , Poluentes do Solo/análise , Curtume , Cromo/análise , Resíduos Industriais/análise , Solo
10.
Commun Biol ; 1: 135, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30272014

RESUMO

Biodiversity underlies ecosystem functioning. While aboveground biodiversity is often well studied, the belowground microbiome, in particular protists, remains largely unknown. Indeed, holistic insights into soil microbiome structures in natural soils, especially in hyperdiverse biomes such as the Brazilian Cerrado, remain unexplored. Here, we study the soil microbiome across four major vegetation zones of the Cerrado, ranging from grass-dominated to tree-dominated vegetation with a focus on protists. We show that protist taxon richness increases towards the tree-dominated climax vegetation. Early successional habitats consisting of primary grass vegetation host most potential plant pathogens and least animal parasites. Using network analyses combining protist with prokaryotic and fungal sequences, we show that microbiome complexity increases towards climax vegetation. Together, this suggests that protists are key microbiome components and that vegetation succession towards climax vegetation is stimulated by higher loads of animal and plant pathogens. At the same time, an increase in microbiome complexity towards climax vegetation might enhance system stability.

11.
Contraception ; 76(1): 45-8, 2007 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-17586136

RESUMO

PURPOSE: This prospective noncomparative observational study evaluated the clinical symptoms, body weight and blood pressure of 38 adolescents receiving a monthly injectable contraceptive containing estradiol valerate 5 mg and norethisterone 50 mg. METHODS: The volunteers, aged 16-19 years, were examined monthly during 1 year and asked about the following symptoms at baseline: dysmenorrhea, headache, breast tenderness, leg pain and irritability. RESULTS: There was a constant and gradual decline in each of the above symptoms over time, and there was a statistically significant difference between symptoms reported at the first visit and subsequent appointments. Body weight and blood pressure did not change significantly during the 1-year period. No pregnancies were observed. CONCLUSION: These findings suggest that monthly injectable contraception with estradiol valerate 5 mg/norethisterone 50 mg represents a highly effective and well-tolerated contraceptive for teens.


Assuntos
Anticoncepcionais Femininos/administração & dosagem , Estradiol/análogos & derivados , Noretindrona/administração & dosagem , Adolescente , Serviços de Saúde do Adolescente , Peso Corporal , Brasil , Anticoncepcionais Femininos/efeitos adversos , Esquema de Medicação , Estradiol/administração & dosagem , Estradiol/efeitos adversos , Feminino , Humanos , Injeções Intramusculares , Noretindrona/efeitos adversos , Estudos Prospectivos
12.
Contraception ; 75(3): 204-8, 2007 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-17303490

RESUMO

INTRODUCTION: This prospective observational study evaluated the bleeding patterns of women using a vaginal ring releasing 120 microg of etonogestrel and 15 microg of ethinyl estradiol daily, over a continuous period of 84 days followed by 7 ring-free days. METHODS: The study enrolled 75 volunteers aged 18 to 37 years. Sixty-two (82.8%) recorded their menstrual cycles during 1 year. RESULTS: At the end of the study, 85.5% had adequate menstrual patterns (two to four bleeding episodes, none lasting 10 days or more, with a range of bleeding-free intervals not exceeding 17 days), 9.7% had infrequent bleeding, 1.6% reported prolonged bleeding episodes, 1.6% had frequent bleeding and 1.6% had irregular bleeding. CONCLUSION: Only 5 of the initial 75 patients discontinued the method due to bleeding. Among these 75 women, dissatisfaction with bleeding patterns was not a frequent reason given for discontinuation of the contraceptive vaginal ring.


Assuntos
Anticoncepcionais Femininos/farmacologia , Dispositivos Anticoncepcionais Femininos/efeitos adversos , Desogestrel/farmacologia , Etinilestradiol/farmacologia , Distúrbios Menstruais/epidemiologia , Menstruação/efeitos dos fármacos , Adolescente , Adulto , Combinação de Medicamentos , Estrogênios/farmacologia , Feminino , Humanos , Distúrbios Menstruais/etiologia , Estudos Prospectivos
13.
Contraception ; 73(6): 594-7, 2006 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-16730490

RESUMO

PURPOSE: This prospective observational study evaluated the bleeding patterns of adolescents receiving a monthly injectable contraceptive containing norethisterone enanthate 50 mg plus estradiol valerate 5 mg. MATERIALS AND METHODS: The study enrolled 73 volunteers aged between 14 and 19 years; of these patients, 38 (52%) recorded their menstrual cycles during 1 year. RESULTS: After 1 year of using the contraceptive, most of the 38 women (71.1%) had adequate menstrual patterns (two to four bleeding episodes; none lasting 10 days or longer; with a range of bleeding-free intervals not exceeding 17 days), 23.7% reported prolonged bleeding episodes, 2.6% had irregular bleeding and 2.6% had amenorrhea. Only 1 of the 38 teenagers is known to have discontinued the method due to bleeding. Among these 38 adolescents, dissatisfaction with bleeding patterns was not a frequent reason given for discontinuation of the monthly injectable contraceptive.


Assuntos
Anticoncepcionais Femininos/administração & dosagem , Estradiol/análogos & derivados , Menstruação/efeitos dos fármacos , Noretindrona/análogos & derivados , Adolescente , Adulto , Anticoncepcionais Femininos/efeitos adversos , Combinação de Medicamentos , Estradiol/administração & dosagem , Feminino , Humanos , Injeções Intramusculares , Distúrbios Menstruais/induzido quimicamente , Noretindrona/administração & dosagem , Cooperação do Paciente , Estudos Prospectivos
14.
Rev Assoc Med Bras (1992) ; 62(5): 454-7, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27656856

RESUMO

Menopause is an endocrine phenomenon characterized by gradual estrogen decline. This is a stage in a woman's life in which contraception is extremely important as the risks associated with pregnancy and childbirth increase, both maternal issues associated with higher incidence of comorbidities and issues related to fetal abnormalities, mitochondrial abnormalities, or genetic syndromes. On the other hand, there is a growing number of women who have postponed motherhood and need effective contraception, but without prolonging the return to fertility. Long-acting reversible contraceptives (LARCs), low-dose oral hormonal contraceptives and non-oral contraceptives are preferred. The levonorgestrel-releasing intrauterine system is a very good alternative that can maintain endometrial protection after menopause. Definitive methods such as tubal ligation and vasectomy are options for couples that already have their offspring. In this review, we present evidence for contraceptive indication and the effects of hormonal methods on climacteric including options for contraception, control of bleeding during perimenopause and of climacteric symptoms, as well as the transition from such methods to hormone therapy if indicated.


Assuntos
Anticoncepção/métodos , Serviços de Planejamento Familiar/métodos , Menopausa/fisiologia , Reprodução/fisiologia , Fatores Etários , Anticoncepcionais Femininos/uso terapêutico , Feminino , Humanos , Fatores de Risco , Fatores de Tempo
15.
Contraception ; 71(2): 118-21, 2005 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-15707561

RESUMO

The study evaluated the effects of the long-term use of a combined oral hormonal contraceptive containing 30 microg ethinyl estradiol and 75 microg gestodene in adolescents. Thirty-three volunteers, aged from 14 to 19 years, who used the oral contraceptive for three consecutive years, were studied. Evaluation of total cholesterol, high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C) and triglycerides was made before use and after 1, 2 and 3 years. During the 3-year study period, total cholesterol, HDL-C, LDL-C and triglyceride levels were significantly higher than previous measurements, but average values did not exceed the normal range. Compared to the first year, the second- and third-year cholesterol, HDL-C, LDL-C and triglyceride levels were not significantly different.


Assuntos
Anticoncepcionais Orais Combinados/farmacologia , Metabolismo dos Lipídeos/efeitos dos fármacos , Adolescente , Adulto , HDL-Colesterol/sangue , HDL-Colesterol/metabolismo , LDL-Colesterol/sangue , LDL-Colesterol/metabolismo , Anticoncepcionais Orais Combinados/administração & dosagem , Etinilestradiol/administração & dosagem , Etinilestradiol/farmacologia , Feminino , Humanos , Lipídeos/sangue , Norpregnenos/administração & dosagem , Norpregnenos/farmacologia , Fatores de Tempo , Resultado do Tratamento , Triglicerídeos/sangue , Triglicerídeos/metabolismo
16.
Ciênc. rural (Online) ; 48(8): e20170910, 2018. tab, graf
Artigo em Inglês | LILACS | ID: biblio-1045182

RESUMO

ABSTRACT: The aim of this study was to evaluate the biochemical responses of maize, under saline stress, inoculated with Bacillus subtilis. Four levels of salinity were assessed: 0mM, 50mM, 100mM, and 200mM of sodium chloride (NaCl). Saline conditions influenced negatively maize growth. However, the inoculation of B. subtilis improved the plant growth at highest level of NaCl. Chlorophyll content decreased while proline increased in inoculated plants submitted to highest salt levels. Also, B. subtilis increased the relative water content in leaves. B. subtilis improves the plant growth under salinity and ameliorates the biochemical damages in maize.


RESUMO: O objetivo do estudo foi avaliar a resposta bioquímica do milho, sob stresse salino, inoculado com Bacillus subtilis. Quatro níveis de salinidade foram avaliados: 0mM, 50mM, 100mM e 200mM de cloreto de sódio (NaCl). Condições salinas influenciaram negativamente o crescimento do milho. Entretanto, a inoculação com B. subtilis melhorou o crescimento das plantas no maior nível de NaCl. O teor de clorofila decresceu enquanto que a prolina aumentou em plantas submetidas aos níveis salinos e inoculadas com B. subtilis. B. subtilis também aumentou o conteúdo de agua foliar. A inoculação com B. subtilis promove melhor crescimento das plantas sob salinidade e atenua os danos bioquímicos no milho.

17.
Contraception ; 83(4): 336-9, 2011 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-21397091

RESUMO

BACKGROUND: This prospective noncomparative observational study evaluated the clinical aspects of adolescents who received an etonogestrel implant within 6 months of delivery. STUDY DESIGN: The study population comprised 44 adolescents managed at the Family Planning Sector of São Paulo Federal University. The implant was inserted, on average, 102 days after delivery and patients were followed during 1 year. At each monthly visit to the clinic, the participants were weighed, had their blood pressure measured and were asked to report on symptoms experienced during the last 30 days. RESULTS: Approximately one-third (38.6%) of the participants reported symptoms, mostly headaches. There were no complaints of dysmenorrhea, breast tenderness or lower leg edema throughout the 12 months of follow-up. Mean body weight dropped 1.2 kg on average, from 56.4 kg at implant insertion to 55.3 kg at the end of the 1-year period. Body mass index also decreased 0.5 kg/m(2) on average, although these changes did not reach statistical significance. Systolic and diastolic blood pressure remained unchanged throughout the study period. There were no pregnancies and none of the participants discontinued the method (528 women-months). CONCLUSION: These findings suggest that the etonogestrel implant is a safe and effective contraceptive method that is well accepted by adolescents after a pregnancy.


Assuntos
Anticoncepção/métodos , Anticoncepcionais Femininos/administração & dosagem , Desogestrel/administração & dosagem , Adolescente , Pressão Sanguínea/efeitos dos fármacos , Peso Corporal/efeitos dos fármacos , Distribuição de Qui-Quadrado , Implantes de Medicamento , Feminino , Humanos , Estudos Prospectivos , Inquéritos e Questionários
18.
Rev. Assoc. Med. Bras. (1992, Impr.) ; 62(5): 454-457, Sept.-Oct. 2016.
Artigo em Inglês | LILACS | ID: lil-794915

RESUMO

SUMMARY Menopause is an endocrine phenomenon characterized by gradual estrogen decline. This is a stage in a woman's life in which contraception is extremely important as the risks associated with pregnancy and childbirth increase, both maternal issues associated with higher incidence of comorbidities and issues related to fetal abnormalities, mitochondrial abnormalities, or genetic syndromes. On the other hand, there is a growing number of women who have postponed motherhood and need effective contraception, but without prolonging the return to fertility. Long-acting reversible contraceptives (LARCs), low-dose oral hormonal contraceptives and non-oral contraceptives are preferred. The levonorgestrel-releasing intrauterine system is a very good alternative that can maintain endometrial protection after menopause. Definitive methods such as tubal ligation and vasectomy are options for couples that already have their offspring. In this review, we present evidence for contraceptive indication and the effects of hormonal methods on climacteric including options for contraception, control of bleeding during perimenopause and of climacteric symptoms, as well as the transition from such methods to hormone therapy if indicated.


Resumo O climatério é um fenômeno endócrino caracterizado pelo gradativo declínio estrogênico. Esta é uma fase da vida da mulher em que a contracepção tem crescente importância, uma vez que crescem os riscos no ciclo gravídico-puerperal, seja por questões maternas, associadas à maior incidência de comorbidades, seja por questões ligadas a malformações fetais, anormalidades mitocondriais ou síndromes genéticas. Por outro lado, é cada vez maior o número de mulheres que tem postergado a maternidade, necessitando de contracepção eficiente; porém, que não prolongue o retorno à fertilidade. Dá-se preferência para métodos contraceptivos de longa duração (LARC), baixas doses hormonais orais e administradas por vias não orais. O sistema intrauterino liberador de levonorgestrel é ótima alternativa, podendo manter proteção endometrial na pós-menopausa. Os métodos definitivos, como laqueadura e vasectomia, são opções para o casal com prole constituída. Nesta revisão apresentamos evidências para indicação e efeitos dos métodos hormonais no climatério, como opções contraceptivas, para controle de sangramento perimenopausa e de sintomas climatéricos, bem como a transição destes para a terapia hormonal quando indicada.


Assuntos
Humanos , Feminino , Reprodução/fisiologia , Menopausa/fisiologia , Anticoncepção/métodos , Serviços de Planejamento Familiar/métodos , Fatores de Tempo , Fatores de Risco , Fatores Etários , Anticoncepcionais Femininos/uso terapêutico
19.
Contraception ; 81(3): 223-5, 2010 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-20159178

RESUMO

BACKGROUND: Oral contraceptives used for extended periods of time have been extensively studied because of their potential benefits; however, there have been few publications on extended regimens of vaginal contraceptive rings. The aim of this study was to evaluate the clinical symptoms, body weight and blood pressure changes in women using the vaginal ring continuously over a 1-year period. STUDY DESIGN: This prospective cohort evaluated clinical aspects (dysmenorrhea, headache, breast tenderness, leg pain and irritability), body weight and blood pressure changes in 75 women (18-37 years of age) using a vaginal ring releasing 120 mcg of etonogestrel and 15 mcg of ethinyl estradiol daily, over a continuous period of 84 days, followed by a 7-day ring-free interval, during 1 year. The chi-square, Wilcoxon and paired t tests were used to analyze differences in the outcomes of interest. RESULTS: Compared to pre-enrollment status, at the end of the study period, the patients reported significantly less dysmenorrhea and irritability, a nonsignificant decrease in breast tenderness, leg pain and headaches. Blood pressure measurements remained unchanged. Although weight and body mass index increased significantly among users, they remained within the expected biological variation range. CONCLUSION: The vaginal ring used on an extended regimen is a well-tolerated contraceptive method and also offers noncontraceptive benefits.


Assuntos
Dispositivos Anticoncepcionais Femininos/efeitos adversos , Desogestrel/administração & dosagem , Desogestrel/efeitos adversos , Etinilestradiol/administração & dosagem , Etinilestradiol/efeitos adversos , Adolescente , Adulto , Distribuição de Qui-Quadrado , Esquema de Medicação , Dismenorreia/tratamento farmacológico , Estrogênios/administração & dosagem , Estrogênios/efeitos adversos , Feminino , Cefaleia/induzido quimicamente , Humanos , Estudos Prospectivos , Fatores de Tempo , Resultado do Tratamento , Aumento de Peso/fisiologia
20.
Contraception ; 82(3): 256-9, 2010 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-20705154

RESUMO

BACKGROUND: The increasing rate of teenage pregnancies is a challenge to health professionals. New contraceptive methods have been developed to try to improve adherence in this group of patients. The study was conducted to evaluate the bleeding pattern, efficacy and discontinuation rate of etonogestrel implant (68 mg) inserted in postpartum adolescents. STUDY DESIGN: The study population comprised 44 postpartum adolescents managed at the Family Planning Sector of São Paulo Federal University. The implant was inserted, on average, 102 days after delivery. Patients were followed prospectively during four 90-day periods. RESULTS: All 44 patients completed the 12 months of follow-up, resulting in a study discontinuation rate of 0%. No implants were removed. There were no pregnancies during the study. After 1 year of use, frequent and prolonged bleeding were reported by less than 5% of the patients and amenorrhea occurred in 38.6% of the users. Laboratory parameters indicated a significant increase in hemoglobin and hematocrit among users. CONCLUSION: These findings suggest that the etonogestrel implant is a safe and effective contraceptive method that is well accepted by adolescents after a pregnancy.


Assuntos
Anticoncepção/métodos , Anticoncepcionais Femininos/administração & dosagem , Desogestrel/administração & dosagem , Hemorragia Pós-Parto/etiologia , Período Pós-Parto , Adolescente , Distribuição de Qui-Quadrado , Anticoncepcionais Femininos/efeitos adversos , Desogestrel/efeitos adversos , Implantes de Medicamento , Feminino , Humanos , Hemorragia Pós-Parto/induzido quimicamente , Gravidez , Estudos Prospectivos
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