Topical Antiedematogenic Activity of the Essential Oil of Psidium brownianum Mart. (OEPB) in Murine Ear Edema Models.

Psidium brownianum Mart is reported in the literature by antinociceptive and antioxidant activities, indicating that this species' secondary metabolites might be used to control inflammatory processes. The present study aimed to characterize the topical antiedematogenic activity of the essential oil of Psidium brownianum Mart. (OEPB) in ear edema models by different inflammatory agents. Female Swiss mice (25-35 g) and Wistar albino rats (200-300 g) were used throughout tests (n=6/group) on acute or chronic edema models induced by single and multiple topical applications. The OEPB is administered topically pure or at a concentration of 100 or 200 mg/mL. The antiedematogenic mechanism of OEPB was analyzed by administering capsaicin, arachidonic acid, histamine, and phenol at the best effective dose (200 mg/mL). The results showed a significant reduction of edema-induced single (28.87 %) and multiple (50.13 %) applications of croton oil compared to the negative control group. Regarding potential mechanisms of action, OEPB (200 mg/mL) inhibited the development of edema triggered by capsaicin (29.95 %), arachidonic acid (22.66 %), phenol (23.35 %), and histamine (75.46 %), suggesting an interference with the histaminergic pathway. These results indicate that OEPB presents a topical antiedematogenic effect in acute and chronic murine models, possibly interfering with inflammatory pathways triggered by mediators such as histamine.

Characterization of the vasodilator effect of eugenol in isolated human umbilical cord arteries.

Eugenol (EUG) is a phenylpropanoid widely used in the food and cosmetic industries. It is commonly referred to in the literature by its biological activities such as antioxidant, anti-inflammatory, antimicrobial, and relaxing in organs of laboratory animals, especially in rodent vessels. However, its vasorelaxant potential in human tissue, has not been investigated. Thus, this study characterizes the vasodilatory effect of EUG in the human umbilical artery (HUA). HUAs were isolated, cleaned, sectioned (3-4 mm) and placed in an organ bath (10 mL Krebs Henseleit, 37 °C; and carbogenic mixture). EUG (100-1400 µM), obtained total relaxation of electromechanical contractions induced by KCl (60 mM), and pharmacomechanical contractions (30-1200 µM), induced by serotonin (10 µM) and by histamine (10 µM), showing statistically significant concentrations: 600 µM, 400 µM and 200 µM, and EC50 values: 759.8 ± 6.5 µM, 229.9 ± 7.9 and 279.0 ± 3.4 µM, respectively. EUG (1200 and 1400 µM) prevented the contraction promoted by BaCl2 (0.1-30 mM), similar to the effects of nifedipine (10 µM), sugesting the involvement of EUG in blocking VOCCs. In the presence of tetraethylammonium (10 µM), EUG (30-1200 µM) did not produce a total relaxation (88.6%), suggesting that an alternative pathway where potassium channels, may partially mediate EUG effect. In the presence of 4-aminopyridine (1 mM), glibenclamide (10 µM), and tetraethylammonium (1 mM), EUG relaxed HUAs 100%, although the pharmacological potency was statistically altered, demonstrating the participation of K+ channels (Kv, KATP, BKCa). Our data indicates that EUG has a vasorelaxant effect on HUAs, had a greater pharmacological potency in the serotoninergic pathway, showing effective participation of VOCCs and a partial modulation of K+ channels. These data suggest new possibilities for the use of EUG in human vascular dysfunctions, such as preeclampsia. More studies are necessary to confirm the safety and effectivity in future treatments.

Pharmacological screening of the phenolic compound caffeic acid using rat aorta, uterus and ileum smooth muscle.

Caffeic acid is a phenolic compound widely found in commonly consumed foods such as pears, apples and coffee, and is pharmacologically known for its antioxidant, anti-inflammatory and anti-asthmatic properties. However, its relaxant activity in the aorta, uterus and ileum smooth muscle has not been investigated. This study aimed to comparatively evaluate the effect of caffeic acid on smooth muscle from different organs (aorta, uterus and ileum), and the contractions of this different organ were induced by different agonists. The organ bath technique was used, where the organs were placed in different cuvettes with 10 mL of Tyrode solution for 1 h to stabilize, then, myometrial, intestinal strip and aortic ring contractions were evoked using different contractile agonists (KCl 60 mM, PHE 0.1 µM, OT 10-2 IU/mL, CCh 10-6 M and BaCl2 0.1-30 mM); increasing concentrations of caffeic acid (0.03-7 mM) were administered in the experimental preparations. In the presence of KCl (60 mM), caffeic acid caused relaxations with the following EC50 values: 2.7 ± 0.26 mM/mL (aorta), 5.7 ± 0.71 mM/mL (uterus) and 2.1 ± 0.39 mM/mL (ileum). When in the presence of different agonists, PHE (0.1 µM) for the aorta, OT (10-2 IU/mL) for the uterus and CCh (10-6 M) for the ileum, caffeic acid caused relaxations with EC50 values of: 2.7 ± 0.31 mM/mL; 2.2 ± 0.34 mM/mL and 2.0 ± 0.28 mM/mL, respectively. The inhibitory effect of caffeic acid on serotonergic (aorta and uterus) and muscarinic receptors (uterus and ileum), as well as its possible involvement with L-type Ca2+ channels, was also observed. This study reports the pharmacological characterization of caffeic acid on smooth muscle from different organs, for which caffeic acid was more potent in the ileum. A diverse understanding of its performance as a possible therapeutic product is attributed to its relaxant effect.

Relaxant Effect of Monoterpene (-)-Carveol on Isolated Human Umbilical Cord Arteries and the Involvement of Ion Channels.

Carveol is a monoterpene present in the structure of many plant products. It has a variety of biological activities: antioxidant, anticancer and vasorelaxation. However, studies investigating the effect of monoterpenoids on human vessels have not yet been described. Thus, the present study aimed to characterize the effect of (-)-carveol on human umbilical arteries (HUAs). HUA ring preparations were isolated and subjected to isometric tension recordings of umbilical artery smooth muscle contractions. (-)-Carveol exhibited a significant vasorelaxant effect on KCl and 5-HT-induced contractions, obtaining EC50 values of 344.25 ± 8.4 and 175.82 ± 4.05 µM, respectively. The participation of calcium channels in the relaxation produced by (-)-carveol was analyzed using vessels pre-incubated with (-)-carveol (2000 µM) in a calcium-free medium, where the induction of contractions was abolished. The vasorelaxant effect of (-)-carveol on HUAs was reduced by tetraethylammonium (TEA), which increased the (-)-carveol EC50 to 484.87 ± 6.55 µM. The present study revealed that (-)-carveol possesses a vasorelaxant activity in HUAs, which was dependent on the opening of calcium and potassium channels. These results pave the way for further studies involving the use of monoterpenoids for the vasodilatation of HUAs. These molecules have the potential to treat diseases such as pre-eclampsia, which is characterized by resistance in umbilical arteries.

Myorelaxant action of the Dysphania ambrosioides (L.) Mosyakin & Clemants essential oil and its major constituent α-terpinene in isolated rat trachea.

This study aimed to investigate the myorelaxant action of the Dysphania ambrosioides essential oil (EODa) and its major constituent α-terpinene on tracheal smooth muscle isolated from rats. In tracheal smooth muscle ex vivo, in organ baths, isometric contractions recordings were done in order to evaluated the effect of EODa (1-1000 µg/mL) and α-terpinene (1-3000 µg/mL) on the following parameters: basal tone, contractions evoked by potassium (KCl 60 mM), acetylcholine (ACh 10 µM) or serotonin (5-HT 10 µM). The EODa and its major constituent α-terpinene, did not statistically alter basal tone; however, they induced myorelaxant effects on top of contractions induced by KCl, ACh and 5-HT. EODa and α-terpinene also inhibited the contractions induced by barium in presence of High [K+] (80 mM). The data suggest that the relaxation induced by these agents is caused by the inhibition of L-type VGCC, inhibiting the inward Ca2+ current through these channels, but does not exclude the possibility of participation of other mechanisms. Results from this study also suggest the EODa, due to their efficacy on relaxation of the respiratory tract, posses a therapeutic potential as a antispasmodic agent for respiratory tract.

Pharmacological applications of farnesol (C15H26O): a patent review.

Introduction: Farnesol (C15H26O) is a sesquiterpene alcohol found in essential oils. This substance is reported to have different pharmacological activities such as antimicrobial, antitumor and antioxidant effects, as well as actions in different body systems.Areas covered: This study aimed to analyze pharmaceutical patents containing this substance in their formulations. Patent search was carried out through the WIPO (World Intellectual Property Organization), LatiPat and INPI (National Institute of Industrial Property) electronic banks using the following descriptors and combinations: 'farnesol', 'pharmaceutical product', 'pharmacology' and 'pharmacy'.Expert opinion: Primary research identified 54 patents, from which 17 were selected for the final analysis after applying the inclusion criteria. The selected patents referred to products presenting different pharmaceutical activities of interest such as the prevention and treatment of diseases affecting the dermis, central nervous and cardiovascular systems, diseases caused by different microorganisms and cancers, among others. A minority of the articles included in this review reported the type of farnesol isomer that was investigated, this becoming a major limitation for the development of future pharmaceutical products. With the completion of this study, farnesol presents itself as a potential agent with pharmacological application both in the prevention and treatment of different diseases.

Antinociceptive activity of the Psidium brownianum Mart ex DC. leaf essential oil in mice.

Chronic pain management has several adverse effects and research looking for new and effective pain management drugs posing lower undesirable effects is necessary. Given the above, the pharmacological investigation of medicinal plants significantly contributes to the dissemination of plant-derived therapeutics. The aim of this study was to evaluate the antinociceptive activity of the Psidium brownianum Mart ex DC. leaf essential oil (PBEO) and the participation of the opioid pathway in this effect in mice. Swiss Mus musculus male mice were tested using acute nociception models (acetic acid induced abdominal contortions, formalin, capsaicin and hot plate tests). The possible myorelaxant action of the PBEO was tested using the rotarod test. The essential oil reduced animal nociception in chemical and heat models, with this action being devoid of a myorelaxant effect. Naloxone (2 mg/kg, intraperitoneally - i.p.) partially antagonized the PBEO activity, possibly acting via opioid receptors. The results obtained provide evidence that the traditional Psidium brownianum use may be effective for pain treatment.

Effects of the Hyptis martiusii Benth. leaf essential oil and 1,8-cineole (eucalyptol) on the central nervous system of mice.

The aim of this study was to characterize the central effects of the Hyptis martiusii leaf essential oil (OEHM) and 1,8-cineole (eucalyptol) using behavioral animal models. Gas chromatography coupled to mass spectrometry (GC/MS) was used to characterize the chemical compounds present in the OEHM. For the behavioral tests, female Swiss mice treated with the OEHM (25, 50, 100 and 200 mg/kg, i.p.) and 1,8-cineole (50 mg/kg, i.p.) were used and subjected to the following tests: open field, elevated cross maze, rotarod, sodium pentobarbital- or ethyl ether-induced sleep time, pentylenetetrazol-induced convulsions, haloperidol-induced catalepsy, and ketamine-induced hyperkinesia. GC/MS analysis identified 20 constituents with the majority of them being monoterpenes and sesquiterpenes, with eucalyptol (1,8-cineol), the major sample compound (25.93%), standing out. The results showed the OEHM (25, 50 100 and 200 mg/kg, i.p.) and its major compound (50 mg/kg, i.p.) reduced animal motility in the open field test, increased pentobarbital- and ethyl ether-induced sleep time, as well as death latency in the pentylenetetrazole-induced convulsion model. However, the tested compounds were devoid of anxiolytic-like and myorelaxant activity. In addition, the OEHM (100 and 200 mg/kg, i.p.) and 1,8-cineole (50 mg/kg, i.p.) potentiated haloperidol-induced catalepsy and reduced ketamine-induced hyperkinesia. Taken together, the results suggest the OEHM has important hypnotic-sedative and antipsychotic-like effects, which appear to be due to the monoterpene 1,8-cineole, the major compound identified in the essential oil.

Toxicological and pharmacologic effects of farnesol (C15H26O): A descriptive systematic review.

The objective of the present study was to perform a systematic review (SR) composed of preclinical and clinical studies which investigated the toxicological and pharmacologic effects of farnesol [Molecular formula: C15H26O; IUPAC: (3,7,11-Trimethyl-2,6,10-dodecatrien-1-ol]. This SR was performed according to PRISMA guidelines. Literature research was performed using PubMed, MEDLINE, Scopus and Web of Science databases using the descriptor combinations: "farnesol and pharmacological effect" and "farnesol and toxicology". The inclusion criteria used were original articles from preclinical and clinical studies investigating the pharmacological and toxicological effects of farnesol, published between January 1960 and December 2017 which were written in English, Portuguese and Spanish. Primary research identified 414 articles, from which 76 articles were selected for final analysis following the inclusion criteria. After grouping, 51.32 and 22.37% of the articles investigated the antimicrobial and antitumor effect, respectively. Methodological biases have been observed both in pre-clinical studies with non-human animals and in clinical trials, mainly in group allocation and blinding. This SR is the first study developed to compile the studies concerning the pharmacological and toxicological effects of farnesol. This study concludes that farnesol possesses different pharmacological and toxicological features, which permit its use as an active or a coadjuvant drug.

Tocolytic activity of the Lippia alba essential oil and its major constituents, citral and limonene, on the isolated uterus of rats.

The species Lippia alba (Mill.) N. E. Brown belongs to the Verbenaceae family. It is abundant and grows spontaneously throughout the Brazilian territory. Popularly known as "erva-cidreira", it is widely used because of its sedative, carminative and analgesic properties. The objective of this study was to investigate the mechanism of action of the L. alba essential oil (EOLa) and its major constituents citral and limonene, on isolated rat uterus muscle. To evaluate the EOLa, citral and limonene effect, cumulative concentrations curves for EOLa and citral (1-600 µg/mL) and for limonene (1-1200 µg/mL) were constructed from contractions of rat uterine strips under a 1 g tension. EOLa, citral and limonene dose-dependently relaxed myometrial preparations pre-contracted with 60 mM KCl, 10-2 IU/mL oxytocin, serotonin (10 µM), or ACh (10 µM). The results demonstrate that the EOLa, citral and limonene cause relaxation of the uterine smooth muscle. These results suggest that the relaxation induced by EOLa, citral and limonene is caused by inhibition of L-type VOCC, inhibiting the Ca2+ current through these channels, although other mechanisms of action are likely to contributing to relaxant activity. There was no involvement of K+ channels (BKca, KATP, KV) or cyclooxygenase on the relaxation promoted by EOLa. Then studies of the tocolytic effects of EOLa, citral and limonene may yield new insights into their therapeutic use.

Antiparasitic Activity and Essential Oil Chemical Analysis of the Piper Tuberculatum Jacq Fruit.

With the increase of neglected diseases such as leishmaniasis and Chagas disease, there was a need for the search for new therapeutic alternatives that reduce the harm caused by medicine available for treatment. Thus, this study was performed to investigate the antiparasitic activity of the essential oil from the fruits of Piper tuberculatum Jacq, against lines of Leishmania braziliensis (MHOM/CO/88/UA301), Leishmania infantum (MHOM/ES/92/BCN83) and Trypanosoma cruzi (LC-B5 clone). Before running protocols, an analysis of the chemical composition of essential oil was conducted, which presented monoterpenes and sesquiterpenes. As major constituents, ß-pinene and α-pinene were identified. Regarding to antiparasitic activity, the essential oil had an EC50 values of 133.97 µg/mL and 143.59 µg/mL against variations promastigotes of L. infantum and L. braziliensis, respectively. As for trypanocidal activity, the oil showed EC50 value of 140.31 µg/mL against epimastigote form of T. cruzi. Moreover, it showed moderate cytotoxicity in fibroblasts with LC50 value of 204.71 µg/mL. The observed effect may be related to the presence of terpenes contained in the essential oil, since it has its antiparasitic activity proven in the literature.

Antiulcerogenic activity of the hydroalcoholic extract of leaves of Annona muricata Linnaeus in mice.

Annona muricata Linnaeus, popularly known as "graviola" and also called soursop, is a species typical of countries with a tropical climate, and it is used in folk medicine as an anticancer, analgesic and antispasmodic agent. The aim of the present study was to validate the gastroprotective activity of the hydroalcoholic extract of the leaves of A. muricata (HEAM) and to investigate the underlying mechanisms of action for this effect. Gastric lesions were induced in mice by absolute ethanol, acidified ethanol or indomethacin. Before, the animals were pretreated with saline, omeprazole or HEAM orally at doses of 50-400 mg/kg. To determine the mechanism of action of the extract, we investigated, using specific inhibitors, the involvement of nitric oxide (NO), prostaglandins (PGEs), ATP-dependent K+ channels and α2-noradrenergic receptors. HEAM showed significant antiulcer activity against lesions induced by absolute ethanol, acidified ethanol or indomethacin, which was mediated by endogenous gastric prostaglandins.

Avaliação da atividade moduladora e citotóxica do óleo essencial das folhas de Hyptis martiusii Benth / Evaluación de la actividad moduladora y citotóxica del aceite esencial de las hojas de Hyptis martiusii Benth / Assessment of Modulatory and Cytotoxic Activity of the Essential Oil in Hyptis Martiusii Benth Leaves

Resumo Introdução: a espécie Hyptis martiusii Benth, comumente chamada de "cidrera del campo", têm múltiplas propriedades biológicas, como ser inseticida, antifúngica e anti-inflamatória. O objetivo deste estudo foi investigar a atividade moduladora do óleo essencial das folhas frescas de Hyptis martiusii em associação com diferentes antibióticos contra as bactérias Staphylococcus aureus, Escherichia coli e Pseudomonas aeruginosa, e avaliar a atividade citotóxica da espécie. Materiais e métodos: o estudo utilizou a concentração inibitória mínima (CIM) como uma forma de avaliar a modulação com uma inoculação de 100 microlitros de cada estirpe bacteriana. As provas de citotoxicidade se realizaram mediante cultivo in vitro de células do tecido conectivo de camundongo (fibroblastos de mamíferos). Resultados: a pesquisa demonstrou que o óleo essencial das folhas de Hyptis martiusii Benth (OEHM) apresenta sinergismo só em associação com os antibióticos gentamicina e imipenem contra as bactérias Pseudomonas aeruginosa e Escherichia coli. No entanto, apresenta antagonismo em associação com amicacina, gentamicina e imipenem contra as três bactérias estudadas. Para além da ciprofloxacina não demonstrou resultados relevantes. Em relação com a atividade citotóxica, a concentração letal média (LC50) expôs um valor de 263,12 [ig/ml. Conclusão: finalmente, revelou-se que a H. martiusii apresenta atividade citotóxica sinérgica contra as bactérias avaliadas.

Resumen Introducción: la especie Hyptis martiusii Benth, comúnmente llamada "cidreira do campo", tiene múltiples propiedades biológicas, como ser insecticida, antifúngica y antiinflamatoria. El objetivo de este estudio fue investigar la actividad moduladora del aceite esencial de las hojas frescas de Hyptis martiusii en asociación con diferentes antibióticos contra las bacterias Staphylococcus aureus, Escherichia coli y Pseudomonas aeruginosa, y evaluar la actividad citotóxica de la especie. Materiales y métodos: el estudio utilizó la concentración mínima inhibitoria (CMI) como una forma de evaluar la modulación con una inoculación de 100 microlitros de cada cepa bacteriana. Las pruebas de citotoxicidad se realizaron mediante cultivo in vitro de células de tejido conectivo de ratón (fibroblastos de mamíferos). Resultados: la investigación demostró que el aceite esencial de las hojas de Hyptis martiusii Benth (OEHM) presenta sinergismo solo en asociación con los antibióticos gentamicina e imipenem contra las bacterias Pseudomonas aeruginosa y Escherichia coli. Sin embargo, presenta antagonismo en asociación con amikacina, gentamicina e imipenem contra las tres bacterias estudiadas. Además de la ciprofloxacina, no demostró resultados relevantes. En relación con la actividad citotóxica, la concentración letal media (CL50) exhibió un valor de 263,12 [ig/ml. Conclusión: finalmente, se reveló que la H. martiusii presenta actividad citotóxica sinérgica contra las bacterias evaluadas.

Abstract Introduction: The species Hyptis martiusii Benth. commonly called "cidreira do campo" has multiple biological properties, such as antifungal, anti-inflammatory, and insecticide. The aim of this study was to investigate the modulating activity of the essential oil of the fresh leaves of Hyptis martiusii in association with different antibiotics against the bacteria Staphylococcus aureus, Escherichia coli and Pseudomonas aeruginosa, as also the cytotoxic activity of this species. Materials and methods: The study used the MIC (minimum inhibitory concentration) as a way of assessing the modulation using an inoculation of 100 microliters of each bacterial strain. The cytotoxicity tests were conducted using in vitro culture of mouse connective tissue cells (fibroblasts of mammals). Results: The research demonstrated that the essential oil from leaves of Hyptis martiusii Benth (OEHM) presented synergism only when associated with the antibiotics gentamicin and imipenem against the bacteria Pseudomonas aeruginosa and Escherichia coli. However, it presented antagonism in association with amikacin, gentamicin and imipenem against the three studied bacteria. In addition to the ciprofloxacin showed no relevant results. In relation to the cytotoxic activity the lethal concentration (LC50) exhibited a value of 263.12 [ig/ml. Conclusion: Ultimately it was established, that H. Martiusii presents a synergistic cytotoxic activity against the evaluated bacteria.

Anti-inflammatory and anti-edematogenic action of the Croton campestris A. St.-Hil (Euphorbiaceae) essential oil and the compound ß-caryophyllene in in vivo models.

BACKGROUND: Inflammation makes up a set of vascularized tissue reactions acting in the defense of the body against harmful stimuli. Natural products are a lower cost alternative with better benefit, often used in popular medicine in the treatment of inflammatory processes. Several species from the genus Croton have scientifically proven anti-inflammatory action. PURPOSE: This study aims to analyze the chemical composition of the Croton campestris A. St.-Hil essential oil (EOCC), derived from fresh leaves, as well as to evaluate the anti-inflammatory potential and the possible mechanisms of action of the EOCC and its constituent ß-caryophyllene. METHODS: The assays were performed in in vivo models of acute and chronic inflammation. Initially, the chemical composition of the EOCC was determined and its oral toxicity was evaluated, followed by the evaluation of its topical antiedematogenic effect through acute and chronic ear edema induced by Croton oil. For the systemic verification of an anti-inflammatory action, the abdominal contortions, formalin test, paw edema induced by carrageenan, dextran, histamine and arachidonic acid models, as well as a peritonitis test, vascular permeability and granuloma assays were performed. RESULTS: The evaluation of the essential oil chemical composition revealed the presence of ß-caryophyllene (15.91%), 1,8-cineol (16.98%) and germacrene-D (14.51%) as its main constituents. The EOCC had no relevant clinical toxicity on oral administration, with an LD50 of more than 5000 mg/kg. The tested substances showed anti-inflammatory action in the abdominal contortions, paw edema induced by carrageenan, dextran, histamine and arachidonic acid models, the formalin test, peritonitis test and vascular permeability; however, ß-caryophyllene had no significant effect on the granuloma assay. This suggests as a hypothesis that both substances tested showed significant influence on the arachidonic acid and histamine pathway reducing edema in these models. CONCLUSION: The tested substances have a clinically safe profile, additionally the EOCC and ß-caryophyllene presented relevant anti-inflammatory activity. This study supports the hypothesis that ß-caryophyllene, in association with other constituents present in the EOCC such as 1,8-cineole, contributed to the anti-inflammatory effect observed, in addition to suggesting that one of the mechanisms of action probably involves the inhibition of cytokines with the involvement of the arachidonic acid and histamine pathways.

Diagnóstico e tratamento do câncer infantil: implicações para a vida do cuidador / Diagnóstico y tratamiento del cáncer infantil: implicaciones para la vida del cuidador / Diagnosis and treatment of children cancer: implications in the caregiver's life

Introdução: Apesar dos grandes avanços na terapia oncológica, o câncer ainda é uma doença de diagnóstico estritamente interligado ao medo da morte que exerce grande impacto sobre a criança afetada e sua família, em razão dos estigmas e mitos presentes na sociedade. Em todos os casos, os cuidadores necessitam realizar mudanças drásticas nas suas vidas em função do tratamento da criança com câncer. Objetivo: compreender as implicações para a vida do cuidador familiar frente ao diagnóstico e tratamento da criança com câncer. Métodos: estudo descritivo e exploratório, com utilização de abordagem qualitativa, tendo como sujeitos da pesquisa, cuidadores familiares de crianças diagnosticadas com câncer. Resultados: A partir da análise dos dados coletados emergiram 10 categorias temáticas que esboçaram as alterações ocorridas na vida do cuidador durante o período de diagnóstico e tratamento da criança com câncer. Conclusões: Os cuidadores são submetidos a diversas alterações em suas rotinas cotidianas, indo desde a confirmação do diagnóstico, até a finalização do tratamento e podem afetar sobremaneira, a sua qualidade de vida, uma vez que o cuidado dispensado à criança precisa ser estabelecido de maneira integral(AU)

Introducción: a pesar de importantes avances en la terapia contra el cáncer, el cáncer sigue siendo una enfermedad de diagnóstico relacionada con el temor de la muerte y ejerce un gran impacto en los niños afectados y sus familias, debido a los estigmas y mitos presentes en el imaginario de la sociedad. En todos los casos, los cuidadores necesitan hacer cambios profundos en sus vidas debido al tratamiento de niños con cáncer. Objetivo: comprender las implicaciones para la vida de los cuidadores ante el diagnóstico y tratamiento de niños con cáncer. Métodos: se realizó un estudio descriptivo, utilizando un enfoque cualitativo, teniendo como sujetos de la investigación a los cuidadores familiares de niños diagnosticados con cáncer. Resultados: a partir del análisis de los datos se obtuvieron 10 categorías temáticas que describen los cambios en la vida del cuidador durante el diagnóstico y tratamiento de niños con cáncer. Conclusiones: los cuidadores sufren varios cambios en su rutina diaria, que van desde la confirmación del diagnóstico a la finalización del tratamiento y pueden afectar en gran medida la calidad de vida, ya que el cuidado de los niños en tratamiento oncológico debe establecerse de una manera integral(AU)

Introduction: Despite the important advances in cancer therapy, the disease remains a diagnostic disease related to the fear of death, and has a great impact on affected children and their families, due to the stigma and myths present in the societal imaginary. In all cases, caregivers need to make profound changes in their lives because of the treatment of children with cancer. Objective: To understand the implications in the caregivers' life of the diagnosis and treatment of children with cancer. Methods: A descriptive study was carried out, using a qualitative approach, having the family caregivers of children diagnosed with cancer as subjects of the investigation. Results: From the analysis of the data 10 thematic categories were obtained, which describe the changes in the caregivers' life during the diagnosis and treatment of children with cancer. Conclusions: Caregivers undergo several changes in their daily routine, ranging from diagnosis confirmation to treatment completion, and they can greatly affect quality of life, since caring for children under cancer treatment must be established in a comprehensive integral way(AU)

Perfil Epidemiológico de Usuários de um Centro de Atenção Psicossocial em Pernambuco, Brasil / Epidemiological Profile of a Psychosocial Care Center's Users in Pernambuco, Brazil

Para garantir a ressocialização e a cidadania de pacientes, com doenças psíquicas, é preciso conhecê-los em seu contexto familiar, social e comunitário e, assim, traçar uma rede de atenção que assista às suas necessidades. A presente pesquisa teve por objetivo identificar o perfil epidemiológico dos usuários de um C entro de Atenção Psicossocial CAPS I, em Exu, Pernambuco, Brasil. Os dados foram coletados de formulários sociais, epidemiológicos e clínicos disponíveis no serviço. As informações colhidas foram analisadas se utilizando o pacote estatístico SPSS versão 21.0 e os dados foram apresentados, por meio de gráficos e tabelas de frequências simples absolutas e relativas, com variáveis sociais e epidemiológicas e clínicas. Houve entre 35,6% dos pacientes com internações psiquiátricas antes da adesão ao serviço oferecido no CAPS, ocorrendo após o início do tratamento uma significativa redução (89,8%) nos casos de reinternação. A maioria (64,4%) dos pacientes possui antecedentes familiares com diagnóstico positivo. A patologia prevalente, tanto na hipótese diagnóstica (13,6%), quanto no diagnóstico atual (11,9%) foi F 20 - Esquizofrenia. O total de 79,7% dos pacientes permanece ativo no serviço e 64,4% sob modalidade semi-intensiva. As variáveis clínicas indicam a importância do tratamento na melhoria das condições clínicas dos usuários. A característica de antecedentes familiares indica a hereditariedade dos distúrbios mentais. Apesar da lacuna nas informações, constatou-se a Esquizofrenia e suas formas como doença mais prevalente. As informações dos prontuários precisam ser anotadas, valorizadas e utilizadas para traçar o plano terapêutico mais apropriado para cada indivíduo. (AU)

To ensure the rehabilitation and citizenship of patients with mental illness, it is necessary to know them in their family, social and community context, and thus define a care network to assist their needs. This study aimed to identify the Users' epidemiological profile of the Psychosocial Care Center (PCC) in Exú, Pernambuco, Brazil. Data were collected through socio-demographic and clinical forms available on the service. The information collected was analyzed using the statistical package SPSS version 21.0, and the data were presented through graphs and tables of simple absolute and relative frequencies, with socio-epidemiological and clinical variables. There was between 35.6% of psychiatric hospitalizations before subscribing to the service offered in PCC, occurring after the beginning of the treatment a significant reduction (89.8%) in cases of readmission. The majority (64.4%) of the patients had a family history with a positive diagnosis. The prevalent pathology in diagnostic hypothesis (13.6%) and the current diagnosis (11.9%) was F 20 - Schizophrenia. The total of 79.7% of patients remain active in service and 64.4% under semi-intensive mode. The clinical variables indicate the importance of treatment in improving the users' clinical conditions. The characteristic of family history indicates the inheritance of mental disorders. Despite the gaps in information, it was found Schizophrenia and their forms the most prevalent disease. The information from medical records need to be valued and used to define the most appropriate treatment plan for each user. (AU)

Modulação in vitro da atividade antibiótica pelo óleo essencial dos frutos de Piper tuberculatum Jacq / Modulación in vitro de la actividad antibiótica por el aceite esencial de frutos de Piper tuberculatum Jacq / In vitro modulation of the antibiotic activity of essential oil from fruits of Piper tuberculatum Jacq

Introdução: Piper tuberculatum Jacq., popularmente conhecida como pimenta-longaou pimenta-d'Arda, é utilizada empiricamente no tratamento de doenças respiratórias (asma, bronquite e tosse) e digestivas (dores abdominais e diarreias). Na literatura é descrita com importantes atividades anti-inflamatória, antimicrobiana, antileucêmico e anti-helmíntica. Objetivos: avaliar a atividade moduladora do óleo essencial dos frutos de P. tuberculatum (OEPT) em associação com diferentes antibióticos frente à Staphylococcus aureus, Escherichia coli e Pseudomona aeruginosa. Metodos: Os frutos (frescos) de P. tuberculatum foram coletados em Barbalha/CE e submetidos à hidrodestilação em aparelho tipo Clevenger para ser extraído o óleo essencial, após a extração o óleo essencial foi tratado com sulfato de sódio anidro para eliminação da umidade residual. A avaliação da atividade antibacteriana e modulação (em resistência bacteriana) frente às cepas de S. aureus (SA358), E. coli (EC27) e P. aeruginosa (PA03) foram determinadas pelo método de microdiluição para identificar a concentração inibitória mínima (CIM), realizada em triplicata. CIM de ≤ 256 µg/mL foi considerado clinicamente relevante. Resultados: a atividade antibacteriana do OEPT exibiu um CIM de ≥ 1024 µg/mL contra as cepas de bactérias de padrão resistente a múltiplas drogas. Na avaliação da atividade moduladora, o OEPT antagonizou o efeito da amicacina contra E. coli e S. aureus, mas teve efeito sinérgico contra P. aeruginosa. Combinado com a getamicina o óleo exibiu antagonismo frente a E. coli, no entanto não apresentou resultado relevante contra S. aureas e P. aeruginosa. A associação do OEPT com o antibiótico imipenem resultou efeito mais relevante, apresentando sinergismo para todas as bactérias avaliadas, por outro lado, em associação com ciprofloxacino não apresentou efeito significante em relação ao controle. Conclusão: O OEPT apresentou uma melhor atividade quando associado ao imipenem frente todas as bactérias avaliadas, mostrando ser uma possível alternativa no desenvolvimento de novos fármacos com atividade antibacteriana advindos de produtos fitoterápicos(AU)

Introducción: Piper tuberculatum Jacq. popularmente conocida como pimenta-longa o pimenta-d'Arda, se utiliza empíricamente en el tratamiento de enfermedades respiratorias (asma, bronquitis y tos) y digestivas (dolor abdominal y diarrea). En la literatura es describe con importantes actividades antiinflamatorias, antimicrobianas, antileucémicas y antihelmínticas. Objetivo: evaluar la actividad moduladora de los aceites esenciales de frutos de P. tuberculatum (AEPT) en asociación con diferentes antibióticos contra Staphylococcus aureus, Escherichia coli y Pseudomona aeruginosa. Metodología: los frutos (frescos) de P. tuberculatum fueron recolectados en Barbalha/CE y sometidos a hidrodestilación en un equipo Clevenger, para extraer el aceite essencial (AEPT), el cual, una vez extraído, fue tratado con sulfato de sodio anhidro para eliminar la humedad residual. Se evaluó su actividad antibacteriana contra las cepas de S. aureus (SA358), E. coli (EC27) y P. aeruginosas (PA03). Empleando el método de microdilución se determinó la concentración inhibitoria mínima (CIM), con tres réplicas por cada tratamiento. Un valor de CIM ≤ 256 µg/mL se considera clínicamente relevante. Resultados: la actividad antibacteriana del AEPT exhibió una CIM ≥ 1024 µg/mL contra las cepas estándar de bacterias resistentes a múltiples fármacos. En efecto, la actividad AEPT antagoniza el efecto de amikacina contra E. coli y S. aureus, pero tenía un efecto sinérgico contra P. aeruginosa. Combinado con la getamicina el aceite exhibió antagonismo contra E. coli, sin embargo no presentó resultado relevante ante S. aureus y P. aeruginosa. La asociación de AEPT con el antibiótico imipenem resultó el efecto más relevante, mostrando sinergismo frente a todas las bacterias evaluadas. Por el contrario, en asociación con ciprofloxacina no mostró ningún efecto significativo con respecto al control. Conclusión: el AEPT presentó una mejor actividad cuando se asoció a imipenem, frente todas las bacterias evaluadas, demostrando ser una posible alternativa en el desarrollo de nuevos fármacos con actividad antimicrobiana, a partir de productos herbarios(AU)

Introduction: Piper tuberculatum Jacq., commonly known as pimenta-longa or pimenta-d'Arda, is empirically used to treat respiratory conditions (asthma, bronchitis and coughing) and digestive disorders (abdominal pain and diarrhea). Reference may be found in the literature to outstanding antiinflammatory, antimicrobial, antileukemic and antihelmintic activity. Objective: Evaluate the modulatory activity of essential oils from fruits of P. tuberculatum (AEPT) combined with various antibiotics againstStaphylococcus aureus, Escherichia coli and Pseudomona aeruginosa. Methods: Fresh fruits of P. tuberculatum were collected in Barbalha, CE, and subjected to hydrodistillation in a Clevenger set to extract the essential oil (AEPT). The oil extracted was then treated with anhydrous sodium sulfate to eliminate residual humidity. Antibacterial activity was evaluated against strains of S. aureus (SA358), E. coli (EC27) and P. aeruginosas (PA03). Minimum inhibitory concentration (MIC) was determined by the microdilution method, with three replications for each treatment. A MIC ≤ 256 µg/mL was considered to be clinically relevant. Results: Antibacterial activity of AEPT displayed a MIC of ≥1024 µg/mL against standard strains of multi-drug resistant bacteria. In fact, activity of AEPT antagonized the effect of amikacin against E. coli and S. aureus, but had a synergic effect against P. aeruginosa. Combined with gentamicin, the oil exhibited antagonism against E. coli, but no relevant result was obtained against S. aureus and P. aeruginosa. Combination of AEPT with the antibiotic imipenem had the most relevant effect, displaying synergism against all the bacteria evaluated. However, in combination with ciprofloxacin it did not show any significant effect with respect to the control. Conclusion: AEPT displayed better activity against all the bacteria evaluated when combined with imipenem, proving to be a possible alternative for the development of new herbal drugs with antimicrobial activity(AU)

Gastroprotective and ulcer healing effects of hydroethanolic extract of leaves of Caryocar coriaceum: Mechanisms involved in the gastroprotective activity.

This work aimed to determine the chemical fingerprint of hydroethanolic extract of leaves of Caryocar coriaceum (HELCC) and the gastroprotective activity. The chemical fingerprint of HELCC was analyzed by HPLC-DAD, to quantify total phenols and flavonoids were carried out by Folin-Ciocalteu reagent and aluminum chloride assay, while in vitro antioxidant activity was evaluated by the DPPH method. The methods used to determine pharmacological activity were: gastroprotective screening test in classical models of induced acute and chronic gastric lesions and physical barrier test. Further assays were performed to demonstrate the involvement of NO, prostaglandins, ATP-dependent potassium channels, TRPV, noradrenergic α2 receptors, histamines, and opioids. The DPPH method demonstrated the antioxidant activity of the extract, in vitro, explained by the presence of polyphenols and flavonoids. Oral administration of the extract, previously dissolved in deionized water, at a dose of 100 mg/kg decreased the lesions induced by indomethacin, acidified ethanol, ethanol and acetic acid by 75.0, 72.8, 69.4 and 86.2% respectively. It was demonstrated that opioid receptors, α2-adrenergic receptors and primary afferent neurons sensitive to capsaicin were involved in the mechanism of gastric protection, in addition to the contribution of NO and prostaglandins. The results show that extract is a promising candidate for the treatment of gastric ulcers.

Avaliação da atividade anti-Leishmania e anti-Trypanosoma do extrato etanólico das folhas de Annona squamosa L / Evaluation of the anti-leishmania and anti-trypanosoma activity of ethanolic extract from the leaves of Annona squamosa L

As doenças parasitárias, também chamadas de “doenças negligenciadas”, continuam sendo uma grande dificuldade para o desenvolvimento social e econômico dos países mais pobres. Podemos citar como exemplo dessas doenças, a leishmaniose e a doença de Chagas. A leishmaniose é causada por parasitas do gênero Leishmania e afeta cerca de 12 milhões de pessoas. A doença de Chagas, causada pelo protozoário Trypanosoma cruzi, causa aproximadamente 50.000 mortes por ano. Os fármacos disponíveis para o tratamento dessas doenças são altamente tóxicos, sendo este um dos motivos que leva à busca por drogas eficazes e seguras para seus tratamentos. As folhas da Annona squamosa, espécie da família Annonaceae, já foram descritas na literatura por suas atividades hepatoprotetora, antiparasitária, pesticida e antimicrobiana. Nesse estudo avaliamos a atividade anti-leishmania e tripanocida do extrato etanólico das folhas de Annona squamosa L. (EEAS) em formas promastigota do parasita Leishmania braziliensis e Leishmania infantum e epimastigota de Trypanosoma cruzi, além de avaliar a atividade citotóxica em fibroblasto. Os resultados demonstram que o extrato apresentou uma melhor atividade contra Leishmania infantum e Leishmania brasiliensis quando comparados com Trypanosoma cruzi; e que apresentou uma maior toxicidade nas concentrações de 500 e 1000 μg/ml, com mortalidade dos fibroblastos de aproximadamente 85% e 100%, respectivamente. Esse estudo aponta para uma perspectiva terapêutica alternativa que se mostrou eficaz frente aos parasitas aqui estudados, exceto a forma epimastigota de Trypanosoma cruzi. Com relação aos testes de citotoxicidade fazem-se necessários novos testes, uma vez que apresentou um alto nível de toxicidade, viabilizando assim futuros ensaios in vivo.

The parasitic diseases, also calls by “neglected diseases”, continue being a major difficulty for the social and economic development of the poorest countries. We can cite as an example of these diseases, the leishmaniasis and the Chagas disease. Leishmaniasis is caused by parasites of the genus Leishmania and affects about 12 million people. The Chagas disease, caused by the protozoan Trypanosoma cruzi, causes approximately 50,000 deaths per year. The drugs available for the treatment of these diseases are highly toxic, being this one of the reasons that leads to the search for effective and safe drugs for their treatments. The leaves of the Annona squamosa, species of the family Annonaceae, have already been described in the literature by their hepatoprotective activities, antiparasitic, pesticide and antimicrobial. In this study we assessed the activity tripanocidal and antileishmania of ethanolic extract from the leaves of Annona squamosa L. (EEAS) in promastigota forms of the parasite Leishmania braziliensis and Leishmania infantum and epimastigota of Trypanosoma cruzi, in addition to evaluating the cytotoxic activity in fibroblasts. The results demonstrate that the extract presented a better activity against Leishmania infantum and Leishmania brasiliensis when compared with Trypanosoma cruzi; and which presented a greater toxicity at concentrations of 500 and 1000 μg/ml, with mortality of fibroblasts of approximately 85% and 100%, respectively. This study points to an alternative therapeutic perspective that showed effective against the parasites here studied, except the epimastigota form of Trypanosoma cruzi. With relation to cytotoxicity tests are required new tests, once presented a high level of toxicity, thus enabling future in vivo assays.

Cuidador de criança com câncer: religiosidade e espiritualidade como mecanismos de enfrentamento / Cuidador del niño con cáncer: religiosidad y espiritualidad como mecanismos de afrontamiento / Children caregiver with cancer: religiosity and spirituality as coping mechanisms

Introdução: Apesar dos grandes avanços na terapia oncológica, o câncer ainda se apresenta como uma doença de diagnóstico relacionado ao medo da morte que causa sofrimento na criança afetada e sua família. Em todos os casos, os cuidadores passam por mudanças drásticas nas suas vidas e sofrem diante do tratamento da criança com câncer, assim, buscam estratégias de apoio que os ajude a enfrentar essa situação adversa. Objetivo: Investigar o papel da religiosidade e da espiritualidade como mecanismo de enfrentamento utilizado pelos cuidadores familiares diante do câncer infantil. Materiais e Métodos: O local onde foi realizada a pesquisa foi o Instituto de Apoio à Criança com Câncer, no município de Barbalha (CE). Os sujeitos foram cuidadores familiares e o instrumento para coleta de dados foi uma entrevista semiestruturada. Os dados foram analisados mediante a Análise Temática. Resultados: Os dados coletados foram aglomerados em duas categorias temáticas: a fé como fonte de apoio nos momentos delicados do tratamento e as expectativas para o término do tratamento. Discussão: Os relatos evidenciaram o uso da religiosidade e da espiritualidade como componentes inerentes ao enfrentamento do câncer infantil por cuidadores familiares. Conclusões: A busca pela religião e o uso da espiritualidade pelos cuidadores está muito presente diante do enfrentamento do câncer infantil. Desse modo, o profissional de saúde deve ser uma fonte de respeito e de apoio às crenças, à religião e aos valores dos cuidadores familiares.

Introducción: A pesar de los grandes avances en el tratamiento del cáncer, el cáncer todavía se presenta como una enfermedad de diagnóstico relacionado con el miedo de la muerte, que causa sufrimiento en el niño afectado y su familia. En todos los casos, los cuidadores viven cambios drásticos en sus rutinas durante en el tratamiento de niños con cáncer, por lo tanto, buscan a estrategias de apoyo para ayudar a afrontar esta situación adversa. Objetivo: Investigar el papel de la religión y de la espiritualidad como un mecanismo de defensa utilizado por los cuidadores familiares para lidiar con el cáncer infantil. Materiales y Métodos: La investigación se realizó en el Instituto de Apoyo a Niños con Cáncer en el municipio de Barbalha (CE). Los participantes fueron los cuidadores familiares y el instrumento para recogida de datos fue una entrevista semi-estructurada. Los datos fueron analizados mediante Análisis Temático. Resultados: Los datos fueron organizados en dos temas: la fe como una fuente de apoyo en momentos delicados de tratamiento y las expectativas para el final del tratamiento. Discusión: Los discursos mostraron el uso de la religión y de la espiritualidad como componentes inherentes a hacer frente al cáncer de la niñez por los cuidadores familiares. Conclusiones: La religión y la espiritualidad están muy presentes durante el enfrentamiento del cáncer infantil por los cuidadores. Así, profesionales de la salud deben ser una fuente de respeto y apoyo a las creencias, la religión y los valores de los cuidadores familiares.

Introduction: Although there have been great advances in oncologic therapy, cancer still presents itself as a diagnostic disease related to the fear of death, which causes pain in the affected child and her family. In any case, caregivers experience drastic changes in their routines and suffer during the treatment of children with cancer, so seek support strategies that helps them to confront this adverse situation. Objective: To investigate the role of religion and spirituality as a coping mechanism used by family caregivers front of childhood cancer. Materials and Methods: The place where the research was conducted was the Institute for the Support of Children with Cancer in the municipality of Barbalha (CE). The subjects were family caregivers and the instrument for data collection was one semi-structured interview. Data were analyzed by a Thematic Analysis. Results: Data were crowded into two themes: faith as a source of support in delicate moments of treatment and expectations for the end of treatment. Discussion: Reports showed the use of religion and spirituality as components inherent in coping with childhood cancer by family caregivers. Conclusions: The search for the religion and the use of spirituality by caregivers is very present during the confrontation of childhood cancer. Thus, health professionals should be a source of respect and support the beliefs, religion and values of family caregivers.