RESUMEN
BACKGROUND: Primary human papillomaviruses (HPV) cervical cancer screening can be strengthened by offering home-collection of biological specimen as a valuable option to increase screening coverage. As recommended by World Health Organization (WHO), screening programs should consider whether the inclusion of HPV self-sampling as a complementary option within their existing screening algorithms could address the gaps in current coverage. However, few HPV screening tests are validated for self-sampling according to international guidelines. This study aimed to test a self-sampling-based screening strategy, complementary to the main screening program based on clinician-collected cervical samples. The study took place in Trieste, Italy, and it aimed to evaluate the feasibility of self-testing at home under an opt-in system during COVID-19 pandemic in order to exploit self-sampling to reduce the screening delay generated by the lockdown. METHODS: 500 women, who should have received the screening call in 2020, were asked, via phone call, to participate in the study. To whom agreed, a home-collection kit, including a vaginal dry swab for specimen collection, was sent. The recipients performed the sample self-collection and sent back the swab through traditional mail using a prepaid envelope. Once received by the hospital, the samples were analyzed with HPV Selfy (Ulisse BioMed, Italy), a CE-IVD HPV screening test specifically validated for self-collection. Results were further compared using cobas® 4800 HPV (Roche, Switzerland). RESULTS: 80% women sent back their swab, showing one of the highest return rate obtained in comparable studies. 34 HPV-positive women were followed up and underwent the Pap test, that revealed 8 low squamous intraepithelial lesions (LSIL) cases, later triaged to colposcopy. HPV Selfy was confirmed to be an adequate test for self-sampling-based screening. CONCLUSIONS: This study further confirmed the feasibility of self-test at home screening strategy based on self-sampling with an opt-in system as a support method to enhance cervical cancer screening coverage in Italy. Enrolled women showed a high appreciation for this approach. HPV Selfy test demonstrated to be a valuable assay for cervical cancer screening based on home self-collection. TRIAL REGISTRATION: ASUGI Trieste n. 16008/2018 and amendment 02-11/09/2020.
Asunto(s)
Infecciones por Papillomavirus , Neoplasias del Cuello Uterino , Femenino , Humanos , Masculino , Neoplasias del Cuello Uterino/diagnóstico , Neoplasias del Cuello Uterino/epidemiología , Infecciones por Papillomavirus/diagnóstico , Infecciones por Papillomavirus/patología , Detección Precoz del Cáncer , Pandemias , Papillomaviridae , Manejo de Especímenes/métodosRESUMEN
Foi feita uma investigação anatômica dos órgãos vegetativos de Plectranthus ornatus, "boldo miúdo" e Plectranthus amboinicus, "malvariço", da família Lamiaceae. Foram estudados o limbo foliar, pecíolo e caule destas duas espécies. Ambas apresentam limbo foliar com tricomas tectores, com tricomas glandulares pedicelados em P. amboinicus e pedicelados e sésseis em P. ornatus. Justifica-se esta investigação, pelo fato de se tratar de espécies utilizadas, popularmente, como fitoterápico.
An anatomical study of the vegetative organs of Plectranthus ornatus, "boldo miúdo" and Plectranthus amboinicus, "malvariço" was made. Both show non-glandular trichomes on the foliar leaf. In P. ornatus, there are pedunculate glandular trichomes and in P. amboinicus, sessile and pedunculate glandular trichomes. This study is justified by the popular utilization of both species as phytotherapeutic agents.
RESUMEN
Foi realizado um estudo anatômico de três espécies medicinais da família Bignoniaceae, típicas de cerrado, em risco de extinção, a saber: Anemopaegma arvense, Jacaranda decurrens e Zeyheria montana, provenientes de Botucatu. Para isto, realizaram-se cortes transversais de caule, limbo e pecíolo e paradérmicos de limbo. Os cortes, corados diferencialmente com azul de alcian e fucsina básica, foram objeto de estudo e descrição anatômica. As três espécies mostram adaptações anatômicas a ambiente xerofítico, representadas por mesofilo foliar compactado, cutícula espessa (Anemopaegma e Jacaranda) e abundante aquisição de tricomas tectores (Zeyheria).
The anatomy of three medicinal species belonging to the Bignoniaceae family, from savanna-like formation and in risk of extinction, was studied. They were: Anemopaegma arvense, Jacaranda decurrens and Zeyheria montana, from Botucatu. Hand-made transversal sections of stem, foliar leaf and petiole and paradermal sections of foliar leaf, differentially stained with alcian blue and basic fuchsin, were studied and described anatomically. The three species show anatomical adaptations to xerophytic environment, expressed by compaction of foliar mesophyll, thickened cuticle (Anemopaegma and Jacaranda) and acquisition of abundant non-glandular trichomes (Zeyheria).
Asunto(s)
Bignoniaceae/anatomía & histología , Plantas Medicinales , FarmacognosiaRESUMEN
Rubus rosaefolius Sm., Rosaceae, is a shrub with compound leaves, recurvate prickles, white flowers and aggregate fruit, popularly known as sylvan strawberry. The present research concerns its botany (macroscopic and microscopic studies), phytochemistry and antimicrobial properties. The presence of antraquinones, saponins, flavonoids, alkaloids and tannins on stem, root and leaves, were confirmed by specific phytochemical tests. Antimicrobial activity of aqueous and hydroalchoolic fractions were tested against E. coli, S. aureus, P. aeruginosa and C. albicans. The hydroalchoolic fraction revealed antimicrobial activity against all species tested and the aqueous fraction inhibited the growth of S. aureus and C. albicans.
