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1.
Rev. CEFAC ; 26(1): e2823, 2024. tab
Artigo em Inglês | LILACS-Express | LILACS | ID: biblio-1529406

RESUMO

ABSTRACT This study aimed to verify the use of photobiomodulation in swallowing difficulties in individuals who had a severe form of COVID-19. This case report was based on a quasi-experimental, quantitative study, with primary data collected from a non-probabilistic sample of 13 adults (aged ≥ 19 to < 60 years) of both sexes, who had the severe form of COVID-19. Swallowing was assessed with the Dysphagia Risk Assessment Protocol, and the intervention used photobiomodulation. Descriptive statistics were used. It was found that all research participants' risk for dysphagia in water and pudding swallowing tests improved from before to after the intervention. It can be concluded that photobiomodulation had positive results in speech-language-hearing practice to treat swallowing difficulties in adults who were affected by the severe form of COVID-19, intubated, tracheostomized, and needed an alternative feeding route, as the swallowing difficulties improved.


RESUMO O objetivo foi verificar o uso da fotobiomodulação na dificuldade de deglutição em indivíduos que desenvolveram a forma grave da COVID-19. Trata-se de um relato de casos, a partir de um estudo quase experimental, quantitativo, com coleta de dados primários e com amostra não probabilística, realizado com 13 indivíduos adultos (idade ≥ 19 a < 60 anos) de ambos os sexos, que tiveram a forma grave da COVID-19. Foi realizada a avaliação da deglutição pelo Protocolo de Avaliação para o Risco de Disfagia (PARD) e a intervenção com fotobiomodulação. Foi utilizada a estatística descritiva. Verificou-se que todos os participantes da pesquisa apresentaram melhora no risco para disfagia no teste de deglutição de água e de alimento pastoso do momento pré para o pós-intervenção. Pode-se concluir que a utilização da fotobiomodulação na prática fonoaudiológica para tratar a dificuldade de deglutição dos adultos que foram acometidos pela forma grave da COVID-19, intubados, traqueostomizados e necessitaram fazer uso de via alternativa de alimentação, trouxe resultados positivos, com melhora da dificuldade de deglutição.

2.
Rev. enferm. UERJ ; 30: e70535, jan. -dez. 2022.
Artigo em Inglês, Português | LILACS-Express | LILACS | ID: biblio-1418503

RESUMO

Objetivo: analisar a associação entre as cargas de trabalho e os desgastes à saúde dos trabalhadores atuantes durante a pandemia da COVID-19 em Unidades Básicas de Saúde. Método: estudo quantitativo, descritivo, transversal, com 132 trabalhadores da equipe médica e de enfermagem, em Unidades Básicas de Saúde de 14 Estados Brasileiros e Distrito Federal. A coleta de dados ocorreu de agosto a novembro de 2020, através de um questionário on-line. Realizou-se estatística descritiva e teste Qui-quadrado de Pearson. Resultados: as cargas de trabalho mais identificadas foram as secreções (81,8%), posições incômodas (72,7%), acidente com perfurocortantes (76,5%), medo da contaminação pela COVID-19 (64,3%), excesso de trabalho (56,8%) e conflitos (47,7%), obtendo-se associações estatísticas significativas com os desgastes à saúde. Conclusão: as cargas de trabalho geram desgastes à saúde, por vezes despercebidos durante o cotidiano de prática laboral, mas que podem ser agravados, caso essa relação não seja identificada.


Objective: to analyze the association of workloads and health deterioration in workers during the COVID-19 pandemic in Basic Health Units. Method: quantitative, descriptive, and cross-sectional study, with 132 workers of a medical and nursing staff, in Basic Health Units in 14 Brazilian states and the Federal District. Data collecting was carried out from August to November 2020, through online questionnaire. It has been carried out a descriptive statistic and Pearson Qui-squared test. Results: the workloads that were most identified were secretions (81,8%), uncomfortable positions (72,7%), accidents with sharp instrument (76,5%), fear of contamination by COVID-19 (64,3%), work overload (56,8%) and conflicts (47,7%), obtaining significant statistical associations with health damage. Conclusion: the workloads generate strain on health, sometimes unnoticed during the daily work practice, but which can be aggravated if this relationship is not identified.


Objetivo: analizar la asociación entre las cargas de trabajo y los desgastes a la salud de los trabajadores actuantes durante la pandemia del COVID-19 en Unidades Básicas de Salud. Método: estudio cuantitativo, descriptivo, transversal, junto a 132 trabajadores del equipo médico y de enfermería, en Unidades Básicas de Salud de 14 Estados Brasileños y el Distrito Federal. La recolección de datos tuvo lugar de agosto a noviembre de 2020, mediante un cuestionario en línea. Se realizó una estadística descriptiva y la prueba Chi-cuadrado de Pearson. Resultados: las cargas de trabajo más identificadas fueron: secreciones (81,8%), posiciones incómodas (72,7%), accidente con objetos punzantes (76,5%), miedo de la contaminación por COVID-19 (64,3%), exceso de trabajo (56,8%) y conflictos (47,7%). Se obtuvieron asociaciones estadísticas significativas con los desgastes a la salud. Conclusión: las cargas de trabajo generan desgastes a la salud que son, a veces, inadvertidos, durante la práctica laboral diaria, pero que puede agravarse si no se identifica esta relación.

3.
Nat Prod Res ; 36(4): 1129-1133, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33291984

RESUMO

Copaifera pubiflora Benth oleoresin (CPO) is used as an anti-inflammatory, wound healing, and antimicrobial. This paper reports the cytotoxic, anti-inflammatory, and antinociceptive activities of CPO. CPO (10 mg/kg) did not affect locomotor capacity in the open-field and rotarod tests and was not cytotoxic to CHO-k1, THP-1, and L929 cell lines. It was active in the formalin test at 3 mg/kg by 86 ± 3% and 96 ± 3%, respectively, for the first and second phases. At 10 mg/kg, CPO inhibited 90 ± 7%, the pain in the mechanical hyperalgesia test. In the tail-flick test, CPO at 3 mg/kg affected the tail-flick latencies in mice by 77 ± 20%, which in combination with naloxone was only partially reduced. At 3 mg/kg CPO inhibited 80 ± 12% the carrageenan-induced paw edema, and at 3 mg/kg it reduced by 91 ± 5% the nociception on acetic acid-induced abdominal writhing. Therefore, CPO possesses anti-inflammatory and antinociceptive activities.


Assuntos
Analgésicos , Fabaceae , Analgésicos/farmacologia , Analgésicos/uso terapêutico , Animais , Anti-Inflamatórios/farmacologia , Anti-Inflamatórios/uso terapêutico , Edema/induzido quimicamente , Edema/tratamento farmacológico , Camundongos , Extratos Vegetais/farmacologia , Extratos Vegetais/uso terapêutico
4.
Chem Biodivers ; 18(9): e2100288, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34227213

RESUMO

Seven phenolic compounds (ferulic acid, caffeic acid, 4-methoxycinnamic acid, 3,4-dimethoxycinnamic acid, 3-hydroxy-4-methoxybenzaldehyde, 3-methoxy-4-hydroxypropiophenone and 1-O,2-O-digalloyl-6-O-trans-p-coumaroyl-ß-D-glucopyranoside), a flavanonol (7-O-methylaromadendrin), two lignans (pinoresinol and matairesinol) and six diterpenic acids/alcohol (19-acetoxy-13-hydroxyabda-8(17),14-diene, totarol, 7-oxodehydroabietic acid, dehydroabietic acid, communic acid and isopimaric acid) were isolated from the hydroalcoholic extract of a Brazilian Brown Propolis and characterized by NMR spectral data analysis. The volatile fraction of brown propolis was characterized by CG-MS, composed mainly of monoterpenes and sesquiterpenes, being the major α-pinene (18.4 %) and ß-pinene (10.3 %). This propolis chemical profile indicates that Pinus spp., Eucalyptus spp. and Araucaria angustifolia might be its primary plants source. The brown propolis displayed significant activity against Plasmodium falciparum D6 and W2 strains with IC50 of 5.3 and 9.7 µg/mL, respectively. The volatile fraction was also active with IC50 of 22.5 and 41.8 µg/mL, respectively. Among the compounds, 1-O,2-O-digalloyl-6-O-trans-p-coumaroyl-ß-D-glucopyranoside showed IC50 of 3.1 and 1.0 µg/mL against D6 and W2 strains, respectively, while communic acid showed an IC50 of 4.0 µg/mL against W2 strain. Cytotoxicity was determined on four tumor cell lines (SK-MEL, KB, BT-549, and SK-OV-3) and two normal renal cell lines (LLC-PK1 and VERO). Matairesinol, 7-O-methylaromadendrin, and isopimaric acid showed an IC50 range of 1.8-0.78 µg/mL, 7.3-100 µg/mL, and 17-18 µg/mL, respectively, against the tumor cell lines but they were not cytotoxic against normal cell lines. The crude extract of brown propolis displayed antimicrobial activity against C. neoformans, methicillin-resistant Staphylococcus aureus, and P. aeruginosa at 29.9 µg/mL, 178.9 µg/mL, and 160.7 µg/mL, respectively. The volatile fraction inhibited the growth of C. neoformans at 53.0 µg/mL. The compounds 3-hydroxy-4-methoxybenzaldehyde, 3-methoxy-4-hydroxypropiophenone and 7-oxodehydroabietic acid were active against C. neoformans, and caffeic and communic acids were active against methicillin-resistant Staphylococcus aureus.


Assuntos
Antibacterianos/farmacologia , Antimaláricos/farmacologia , Antineoplásicos Fitogênicos/farmacologia , Compostos Fitoquímicos/farmacologia , Própole/química , Animais , Antibacterianos/biossíntese , Antibacterianos/química , Antimaláricos/química , Antimaláricos/metabolismo , Antineoplásicos Fitogênicos/biossíntese , Antineoplásicos Fitogênicos/química , Abelhas , Brasil , Linhagem Celular Tumoral , Sobrevivência Celular/efeitos dos fármacos , Cryptococcus neoformans/efeitos dos fármacos , Ensaios de Seleção de Medicamentos Antitumorais , Humanos , Staphylococcus aureus Resistente à Meticilina/efeitos dos fármacos , Testes de Sensibilidade Microbiana , Testes de Sensibilidade Parasitária , Compostos Fitoquímicos/biossíntese , Compostos Fitoquímicos/química , Plasmodium falciparum/efeitos dos fármacos , Pseudomonas aeruginosa/efeitos dos fármacos , Staphylococcus aureus/efeitos dos fármacos
5.
Chem Res Toxicol ; 34(4): 1024-1033, 2021 04 19.
Artigo em Inglês | MEDLINE | ID: mdl-33720704

RESUMO

Propolis is one of the most widely used products in traditional medicine. One of the most prominent types of Brazilian propolis is the red one, whose primary botanical source is Dalbergia ecastaphyllum (L.) Taub. Despite the potential of Brazilian red propolis for developing new products with pharmacological activity, few studies guarantee safety in its use. The objective of this study was the evaluation of the possible toxic effects of Brazilian red propolis and D. ecastaphyllum, as well as the cytotoxicity assessment of the main compounds of red propolis on tumoral cell lines. Hydroalcoholic extracts of the Brazilian red propolis (BRPE) and D. ecastaphyllum stems (DSE) and leaves (DLE) were prepared and chromatographed for isolation of the major compounds. RP-HPLC-DAD was used to quantify the major compounds in the obtained extracts. The XTT assay was used to evaluate the cytotoxic activity of the extracts in the human fibroblast cell line (GM07492A). The results revealed IC50 values of 102.7, 143.4, and 253.1 µg/mL for BRPE, DSE, and DLE, respectively. The extracts were also evaluated for their genotoxic potential in the micronucleus assay in Chinese hamster lung fibroblasts cells (V79), showing the absence of genotoxicity. The BRPE was investigated for its potential in vivo toxicity in the zebrafish model. Concentrations of 0.8-6.3 mg/L were safe for the animals, with a LC50 of 9.37 mg/L. Of the 11 compounds isolated from BRPE, medicarpin showed a selective cytotoxic effect against the HeLa cell line. These are the initial steps to determine the toxicological potential of Brazilian red propolis.


Assuntos
Dalbergia/química , Extratos Vegetais/farmacologia , Própole/farmacologia , Animais , Brasil , Células Cultivadas , Relação Dose-Resposta a Droga , Humanos , Estrutura Molecular , Extratos Vegetais/química , Extratos Vegetais/isolamento & purificação , Própole/química , Própole/isolamento & purificação , Peixe-Zebra
6.
J Ethnopharmacol ; 271: 113883, 2021 May 10.
Artigo em Inglês | MEDLINE | ID: mdl-33508366

RESUMO

ETHNOPHARMACOLOGICAL RELEVANCE: Copaifera species folkloric names are "copaíbas, copaibeiras, copaívas or oil stick", which are widely used in Brazilian folk medicine. Among all ethnopharmacological applications described for Copaifera spp oleoresins, their anti-inflammatory effect stands out. However, the knowledge of anti-inflammatory and antinociceptive properties of Copaifera pubiflora Benth is scarce. AIM OF THE STUDY: To investigate the cytotoxic, anti-inflammatory, and antinociceptive activities of C. pubiflora oleoresin (CPO), and its major compound ent-hardwickiic acid (HA). MATERIAL AND METHODS: The phosphatase assay was used to evaluate the cytotoxicity of CPO and HA in three different cell lines. CPO and HA doses of 1, 3, and 10 mg/kg were employed in the biological assays. The assessment of motor activity was performed using open-field and rotarod tests. Anti-inflammatory activity of CPO and HA was assessed through luciferase assay, measurement of INF-γ, IL-1ß, IL-6, IL-10, and TNF-α in a multi-spot system with the immortalized cell line THP-1, zymosan-induced arthritis, and carrageenan-induced paw edema. Acetic acid-induced abdominal writhing and formalin tests were undertaken to evaluate the antinociceptive potential of CPO and HA. In addition, the evaluation using carrageenan was performed to investigate the effect of CPO in pain intensity to a mechanical stimulus (mechanical hyperalgesia), using the von Frey filaments. A tail-flick test was used to evaluate possible central CPO and HA actions. RESULTS: In the cytotoxicity evaluation, CPO and HA were not cytotoxic to the cell lines tested. CPO and HA (10 mg/kg) did not affect animals' locomotor capacity in both open-field and rotarod tests. In the luciferase assay, CPO and HA significantly reduced luciferase activity (p < 0.05). This reduction indicates a decrease in NF-κB activity. HA and CPO decreased INF-γ, IL-1ß, IL-6, IL-10, and TNF-α at 24 and 72 h in the multi-spot system. In zymosan-induced arthritis, CPO and HA decreased the number of neutrophils in the joint of arthritic mice and the number of total leukocytes (p < 0.05). In experimental arthritis HA significantly decreased joint swelling (p < 0.05). CPO and HA also increased the mechanical threshold during experimental arthritis. HA and CPO significantly inhibited the carrageenan-induced paw edema, being the doses of 10 mg/kg the most effective, registering maximum inhibitions of 58 ± 8% and 76 ± 6% respectively, p < 0.05. CPO and HA reduced the nociceptive behavior in both phases of formalin at all tested doses. The highest doses tested displayed inhibitions of 87 ± 1% and 72 ± 4%, respectively, p < 0.001, in the first phase, and 87 ± 1% and 81 ± 2%, respectively, p < 0.001, in the second phase. Oral treatment of CPO and HA (1, 3, 10 mg/kg) significantly reduced the nociceptive response in acetic acid-induced abdominal writhings, and the 10 mg/kg dose was the most effective with maximum inhibitions of 86 ± 2% and 82 ± 1%, respectively, p < 0.001. Both HA and CPO significantly decreased the intensity of mechanical inflammatory hyper-nociception on carrageenan-induced hyperalgesia at all tested doses, and 10 mg/kg was the most effective dose with maximum inhibitions of 73 ± 5% and 74 ± 7%, respectively, p < 0.05.CPO increased the tail-flick latencies in mice, and concomitant administration of naloxone partially reduced its effect. CONCLUSIONS: CPO and HA may inhibit the production of inflammatory cytokines by suppressing the NF-κB signaling pathway, resulting in anti-inflammatory and antinociceptive activities.


Assuntos
Analgésicos/uso terapêutico , Anti-Inflamatórios/uso terapêutico , Artrite Experimental/tratamento farmacológico , Diterpenos/uso terapêutico , Edema/tratamento farmacológico , Fabaceae/química , Extratos Vegetais/uso terapêutico , Ácido Acético/toxicidade , Analgésicos/farmacologia , Animais , Anti-Inflamatórios/farmacologia , Artrite Experimental/induzido quimicamente , Comportamento Animal/efeitos dos fármacos , Brasil , Carragenina/toxicidade , Linhagem Celular , Citocinas/metabolismo , Diterpenos/isolamento & purificação , Diterpenos/farmacologia , Edema/induzido quimicamente , Formaldeído/toxicidade , Humanos , Hiperalgesia/induzido quimicamente , Hiperalgesia/tratamento farmacológico , Locomoção/efeitos dos fármacos , Medicina Tradicional , Camundongos , Camundongos Endogâmicos BALB C , NF-kappa B/metabolismo , Extratos Vegetais/farmacologia , Zimosan/toxicidade
7.
Naunyn Schmiedebergs Arch Pharmacol ; 394(1): 49-57, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-32780226

RESUMO

The p-coumaric acid is a phenolic compound present in large quantities in the extract of Baccharis dracunculifolia DC, a Brazilian medicinal plant used to treat gastric ulcer. Given the necessity for finding new chemical components capable of accelerating gastric healing, in this study, the effects of the p-coumaric acid were evaluated in the acetic acid-induced ulcer model in rats, where histological, inflammatory, and oxidative parameters were analyzed. The healing property was also evaluated in the scratch assay on fibroblast cells (L929) and the cytotoxicity of p-coumaric acid was assessed in both L929 and human gastric adenocarcinoma (AGS) cells by MTT assay. The treatment with p-coumaric acid (10 mg/kg, p.o.) for 7 days, twice a day, decreased by 44.6% the acetic acid-induced gastric ulcer compared with the vehicle-treated group. The vehicle control-treated group showed a larger extension of the ulcer base and an extensive damage into the mucosa and submucosa layers, which were mitigated by the treatment with p-coumaric acid. This beneficial effect was also associated with increased levels of mucin and reduced glutathione, decreased amount of lipid hydroperoxides, and increased superoxide dismutase and catalase activities without interfering with the activity of myeloperoxidase in the gastric tissue. The compound promoted the restructuring of the cell monolayer in the scratch test and did not show toxicity in the L929 cell line, while reduced the viability of the AGS, a lineage of human gastric adenocarcinoma. Thus, p-coumaric acid may be considered a natural source for the treatment of gastric ulcers, by reinforcing protective factors of gastric mucosa and by accelerating gastric healing.


Assuntos
Antiulcerosos/uso terapêutico , Ácidos Cumáricos/uso terapêutico , Úlcera Gástrica/tratamento farmacológico , Ácido Acético , Animais , Antiulcerosos/farmacologia , Baccharis/química , Catalase/metabolismo , Linhagem Celular , Proliferação de Células/efeitos dos fármacos , Sobrevivência Celular/efeitos dos fármacos , Ácidos Cumáricos/isolamento & purificação , Ácidos Cumáricos/farmacologia , Modelos Animais de Doenças , Feminino , Mucosa Gástrica/efeitos dos fármacos , Mucosa Gástrica/metabolismo , Mucosa Gástrica/patologia , Glutationa/metabolismo , Humanos , Camundongos , Peroxidase/metabolismo , Fitoterapia , Ratos , Úlcera Gástrica/induzido quimicamente , Úlcera Gástrica/metabolismo , Úlcera Gástrica/patologia , Superóxido Dismutase/metabolismo
8.
Phytochem Anal ; 32(3): 404-411, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-32901989

RESUMO

INTRODUCTION: Propolis is widely used in folk medicine, and many factors can affect its chemical composition, including abiotic factors that can influence plants and bees. Therefore, analytical methods are powerful techniques in the quality control of such products. OBJECTIVE: Develop and validate an analytical method for quantifying volatile compounds in Brazilian brown propolis, and evaluate its biological activities. METHODS: A gas chromatography flame ionisation detector (GC-FID) analytical method was validated, attending the parameters of international validation guidelines as ANVISA 2017 and ICH 2005, for quantification of compounds present in volatile oils from propolis. Evaluation of cytotoxic, antimicrobial, and leishmanicidal activities of the oil. RESULTS: The compounds 1,8-cineole, terpinen-4-ol, α-copaene, ß-caryophyllene, γ-muurolene, nerolidol, spathulenol, and γ-palmitolactone were isolated from the volatile fraction of a Brazilian brown propolis and used in the method validation. All the validation parameters of the method were satisfactory. The volatile fraction displayed a significant leishmanicidal activity, with half maximal inhibition concentration (IC50 ) = 21.3 µg/mL against amastigote forms and IC50 = 25.1 µg/mL against promastigote forms of Leishmania amazonensis. The oil also displayed an antibacterial effect by inhibiting the growth of Streptococcus mutans and Staphylococcus aureus at 25 µg/mL and 50 µg/mL, respectively, but it was not cytotoxic against AGP-01, He-La and CHO-K1cell lines, with IC50 > 100 µg/mL. CONCLUSION: The GC-FID method can be a useful tool in the quality control of propolis material. The southeast brown propolis showed a high chemical complexity in its volatile fraction, which displayed leishmanicidal activity and bactericidal activity.


Assuntos
Anti-Infecciosos , Óleos Voláteis , Própole , Animais , Antibacterianos/farmacologia , Anti-Infecciosos/farmacologia , Abelhas , Brasil , Cromatografia Gasosa , Óleos Voláteis/farmacologia , Própole/farmacologia
9.
J Chem Ecol ; 46(2): 150-162, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31872313

RESUMO

The botanical source of Brazilian green propolis (BGP) is Baccharis dracunculifolia DC, which interacts not only with Apis mellifera, but also with galling insects. In the last decade, because of green propolis´ important biologic activities, the international demand for BGP overcame the production capacity, consequently, new approaches are required to increase this production. Hence, the understanding of the chemical ecology interactions of B. dracunculifolia with galls and bees in field conditions may provide insights to increase BGP's production. A "bee pasture" experiment aiming to better understand this plant-insect interaction was therefore performed. For that, 48 B. dracunculifolia individuals, being 24 females and 24 males, were cultivated and investigated for the following parameters: (1) phenolic and volatile compounds in both B. dracunculifolia leaves and green propolis, (2) environmental variables, (3) visiting rate by bees, (4) time of resin collection, and (5) number of galls. Regression analyses by independent linear mixed-effect models were run to correlate phenolic and volatile compounds concentration with the environmental and field variables. Significant differences in chemical profile and field variables were observed between male and female plants. Male plants showed higher infestation by galling insects while female plants showed higher number of visiting bees, time of resin collection and terpenes concentration, contributing to the differences observed in the field. The obtained results suggest that increasing the percentage of female B. dracunculifolia plants in the field may attract more bees and therefore enhance propolis production.


Assuntos
Baccharis/química , Abelhas/fisiologia , Própole/química , Animais , Baccharis/metabolismo , Comportamento Animal/efeitos dos fármacos , Cromatografia Líquida de Alta Pressão , Feminino , Masculino , Espectrometria de Massas , Fenol/análise , Fenol/química , Fenol/farmacologia , Folhas de Planta/química , Folhas de Planta/metabolismo , Tumores de Planta/parasitologia , Própole/análise , Própole/farmacologia , Compostos Orgânicos Voláteis/análise , Compostos Orgânicos Voláteis/química , Compostos Orgânicos Voláteis/farmacologia
10.
Rev. enferm. UFSM ; 9: [19], jul. 15, 2019.
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1024673

RESUMO

Objetivo: conhecer como o familiar cuidador enfrenta a internação hospitalar do paciente adulto. Método: pesquisa descritiva e exploratória de cunho qualitativo realizada em abril de 2018 em um Hospital Universitário no sul do Brasil. Participaram 20 familiares acompanhantes. Os dados foram coletados por meio de entrevistas e submetidos à Análise Temática. Resultados: os sentimentos apresentados em relação à internação foram de preocupação, ansiedade, medo da morte e tranquilidade. A família elegeu um dos familiares para ser o principal cuidador ou realizou revezamento. Às vezes o cuidador necessitou pedir dispensa do trabalho para cuidar, outros familiares se dedicaram aos aspectos do viver fora do hospital e a família expandiu-se. Considerações Finais: é importante direcionar a assistência ao familiar cuidador, contemplando a humanização, a criação de vínculo e a comunicação, pois ele é o maior aliado dos membros da equipe de saúde no hospital.


Objective: know how the family caregiver faces the hospitalization of the adult patient. Method: descriptive and exploratory qualitative research conducted in April 2018 at a University Hospital in southern Brazil. Twenty family caregiver participated. Data were collected through interviews and subjected to Thematic Analysis. Results: The feelings presented regarding hospitalization were worry, anxiety, fear of death and tranquility. The family elected one of the family members to be the primary caregiver or took turns. Sometimes the caregiver needed to take time off to care, other family members dedicated themselves to aspects of living outside the hospital, and the family expanded. Final Considerations: It is important to direct care to the family caregiver, contemplating humanization, bonding and communication, as he is the greatest ally of the health team members in the hospital.


Objetivo: saber cómo el cuidador familiar enfrenta la hospitalización del paciente adulto. Método: investigación cualitativa descriptiva y exploratoria realizada en abril de 2018 en un Hospital Universitario en el sur de Brasil. Participaron veinte familiares acompañantes. Los datos fueron recolectados a través de entrevistas y sometidos a análisis temático. Resultados: Los sentimientos presentados con respecto a la hospitalización fueron preocupación, ansiedad, miedo a la muerte y tranquilidad. La familia eligió a uno de los miembros de la familia para ser el cuidador principal o se turnó. A veces, el cuidador necesitaba tomarse un tiempo libre para cuidar, otros miembros de la familia se dedicaron a aspectos de la vida fuera del hospital y la familia se expandió. Consideraciones finales: es importante dirigir la atención al cuidador familiar, contemplando la humanización, el vínculo y la comunicación, porque él es el mejor aliado de los miembros del equipo de salud en el hospital.


Assuntos
Humanos , Pacientes , Família , Enfermagem , Cuidadores , Hospitais
11.
Biofactors ; 45(3): 479-489, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30974027

RESUMO

Baccharis dracunculifolia is a medicinal plant native to southeastern Brazil and is the main botanical source used by bees (Apis mellifera) in the manufacture of green propolis and display similar gastroprotective action and chemical profile. This article reports the healing gastric ulcer activity of the hydroethanolic extract of B. dracunculifolia (HEBD) in an acetic acid-induced ulcer model. In addition to the extract, the isolated compounds ferulic acid, p-coumaric acid, caffeic acid, baccharin, and aromadendrin-4'-O-methyl ether were also assayed. HEBD at a dose of 300 mg/kg reduced the ulcerated area by 49.4% after treatment for 7 days, twice a day. Histological analyses revealed that the margins and base of the ulcer obtained significant regeneration, and periodic acid Schiff base staining showed a 78.2% increase in the mucin levels. The action on the enzymatic antioxidant system demonstrated an increased activity of superoxide dismutase and glutathione-S-transferase, in addition to raising glutathione reduced levels and myeloperoxidase activity. HEBD did not show cytotoxicity in the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenylterazole bromine test. In vitro, HEBD inhibited the H+ /K+ -ATPase enzyme and showed antioxidant activity in the 2,2 diphenyl-1-picryllydrazyl test. Regarding the isolated compounds, oral administration of p-coumaric acid (15 mg/kg) reduced the ulcerated area by 66.2%. The results suggest that HEBD recovers the gastric ulcerated tissue, raising mucus and antioxidant enzyme levels, and reducing the H+ /K+ -ATPase activity. In addition, the findings confirm that p-coumaric acid is a pivotal bioactive compound on the gastric healing effects elicited by HEBD. © 2019 BioFactors, 45(3):479-489, 2019.


Assuntos
Baccharis/química , Extratos Vegetais/uso terapêutico , Propionatos/metabolismo , Úlcera Gástrica/tratamento farmacológico , Animais , Antioxidantes/metabolismo , Catalase/metabolismo , Ácidos Cumáricos , Glutationa/metabolismo , Ratos , Ratos Wistar , ATPase Trocadora de Sódio-Potássio/metabolismo , Úlcera Gástrica/metabolismo , Superóxido Dismutase/metabolismo
12.
Biomed Chromatogr ; 33(2): e4412, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30367498

RESUMO

Copaifera is a tree that produces an oleoresin that has great historical and economic importance. These oleoresins display several pharmacological properties, such as anti-inflammatory and antimicrobial, among others. The commercialization of Copaifera oleoresin occurs, in many cases, without any quality control, which facilitates its adulteration. Validated analytical methods can provide a safe quality control. In this work, the 800 Automatic Spinning Band Distillation equipment was used to perform the fractionation of the volatile oils obtained by hydrodistillation of Copaifera multijuga, C. paupera, C. Publifora and C. langsdorffii, aiming to isolate and purify the major compounds present in these oils. For purification, classical column chromatography was used, furnishing six isolated sesquiterpenes. The sesquiterpenes were used as standards in the development and validation of the method by GC-FID. The evaluated parameters were selectivity, linearity, precision, accuracy and robustness and they are all in accordance with ANVISA and International Conference on Harmonization guidelines. The developed method is reliable for the quantification of sesquiterpenes in Copaifera oleoresins. Both volatile oils and isolated sesquiterpenes had their minimum inhibitory concentration determined against strains of Gram-negative and Gram-positive bacteria and yeasts. Copaifera langsdorffi oleoresin was the only one active against all of the evaluated microorganisms, displaying good antimicrobial potential.


Assuntos
Anti-Infecciosos/isolamento & purificação , Cromatografia Gasosa/métodos , Destilação/métodos , Fabaceae/química , Óleos Voláteis/isolamento & purificação , Anti-Infecciosos/análise , Anti-Infecciosos/química , Anti-Infecciosos/farmacologia , Bactérias/efeitos dos fármacos , Candida/efeitos dos fármacos , Limite de Detecção , Modelos Lineares , Óleos Voláteis/análise , Óleos Voláteis/química , Óleos Voláteis/farmacologia , Extratos Vegetais/química , Reprodutibilidade dos Testes
13.
J Ethnopharmacol ; 226: 82-89, 2018 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-30107246

RESUMO

ETHOPHARMACOLOGICAL RELEVANCE: The propolis is extensively used in folk medicine in natura or to prepare pharmaceutical formulations since ancient time to improve health or prevent diseases, among them gastrointestinal disorders. Aiming to contribute in the scientific validation about the popular use of Brazilian Green propolis (BGP) against gastritis and gastric ulcer, this work evaluated the antiulcer potential of isolated compounds from BGP, three prenylated p-coumaric acid derivatives and two flavonoids, respectively named: 3,5 diprenyl-4-hydroxycinnamic acid (artepillin C) (1), 3-prenyl-4-dihydroxycinnamoiloxy cinnamic acid (baccharin) (2), 3-prenyl-4-hydroxycinnamic acid (drupanin) (3), aromadendrin-4'-O-methyl-ether (4) and kaempferide (5). MATERIAL AND METHODS: The compounds were characterized by nuclear magnetic resonance and mass spectrometry. Their gastroprotective effects were evaluated against ethanol/HCl- and indomethacin-induced ulcer in mice. Further, histological, histochemical, oxidative and inflammatory parameters were analyzed at ulcerated tissue. Acid antisecretory activities also were also assessed. RESULTS: Compound 2 did not reduce the ethanol/HCl- induced ulcer at 30 mg/kg (p.o), whereas the minimum oral gastroprotective doses of 1, 3, 4 and 5 were 0.3, 0.3, 3 and 3 mg/kg, respectively. Besides, these compounds prevented ethanol/HCl-induced ulcer by intraperitoneal route, as well as indomethacin-induced ulcer by oral route. The gastroprotection was accompanied by normalization of superoxide dismutase, catalase and glutathione-S-transferase activities and reduction in myeloperoxidase activity. Moreover, the compounds 4 and 5 increased the gastric mucin content and 1 reduced TNF amount. Furthermore, 1, 3, 4 and 5 decreased volume, pH, total acidity and pepsin activity of the gastric juice from rats. CONCLUSIONS: Together, our findings showed a diversified mode of action elicited by 1, 3, 4 and 5 on the gastroprotection and contribute to explain the anti-ulcer activity reported for BGP.


Assuntos
Antiulcerosos/uso terapêutico , Própole/química , Úlcera Gástrica/tratamento farmacológico , Animais , Cinamatos/uso terapêutico , Etanol , Flavonoides/uso terapêutico , Ácido Clorídrico , Indometacina , Quempferóis/uso terapêutico , Masculino , Camundongos , Fenilpropionatos/uso terapêutico , Própole/uso terapêutico , Úlcera Gástrica/induzido quimicamente
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