Efectividad de la combinación magnetoterapia/laserterapia/homeopatía en el tratamiento del mioma uterino / Effectiveness of magnetic therapy/laser therapy/homeopathy combination in the treatment of uterine myoma

Fundamento: el fibroma uterino constituye un problema de salud que afecta a las mujeres en edad reproductiva, los tratamientos electivos, basados en la cirugía y la embolización de la arteria uterina, aunque reportan éxito, son invasivos y riesgosos.Objetivo: evaluar los efectos del tratamiento combinado de la magnetoterapia con laserterapia y homeopatía en mujeres con mioma uterino, remitidas a la consulta de medicina natural y tradicional del policlínico universitario Rafael Izquierdo”, entre julio de 2015 y marzo de 2016.Métodos: se realizó una intervención en 25 mujeres entre 20 y 49 años, con diagnóstico de mioma uterino, en el periodo de tiempo y área antes mencionados. Las pacientes se distribuyeron al azar en dos grupos, al primero le fue aplicada la terapia combinada y al segundo el tratamiento hormonal (medroxiprogesterona). El seguimiento se hizo de forma clínica y por ultrasonograma, a los tres y seis meses después de culminar el tratamiento.Resultados: a los seis meses el grupo estudio redujo el tamaño del tumor en 21,34 mm3, más que el control; en este último, a los tres meses el 7,7 por ciento redujo intensamente el tumor, mientras en el 92,3 por ciento fue moderada; a los seis meses los pacientes con reducción intensa se incrementaron al 30,8 por ciento; en el grupo de estudio solo el 16,7 por ciento alcanzaron la reducción intensa del tumor. En la reducción del tamaño del útero no existieron diferencias significativas entre ambos grupos. La evolución clínica fue superior en el grupo control.Conclusiones: la terapia hormonal mostró mejores resultados clínicos y ultrasonográficos; en ambos tratamientos se demostró inocuidad (AU)

Background: uterine fibroma is a health problem that affects women in reproductive age. Elective treatments based on surgery and uterine arterial embolization, although successful, are invasive and risky.Objective: to assess the effects of a combined treatment with magnetic therapy, laser therapy and homeopathy in women with uterine myoma referred to the department of natural and traditional medicine at “Rafael Izquierdo” Teaching Polyclinic from July 2015 to March 2016.Methods: an intervention study was carried out with 25 women of the 20 to 49 age group with a diagnosis of uterine myoma, in the place and during the period herein mentioned. Patients were distributed at random into two groups. The first group received a combined therapy, while the second group received hormonal treatment (medroxiprogesterone). Follow-up was conducted clinically and by ultrasound, at 3 and 6 months after the end of the treatment. Results: at 6 months of treatment, the study group reduced the tumor size in 21, 34 mm3, more than in the control group; the latter, at 3 months, reduced the tumor intensively in 7,7 percent, while 92,3 percent was moderate. At 6 months, the patients with intense reduction increased to 30,8 percent. In the study group only 16,7 percent reached the intense reduction of the tumor. Concerning the reduction of the uterus size there were no remarkable differences between the two groups. Clinical progress was higher in the control group.Conclusions: Hormonal therapy showed better clinical and ultrasonographic results; both treatments were Harmless (AU)

Toxicidade e repelência de extratos de plantas da caatinga sobre Tetranychus bastosi Tutler, Baker & Sales (Acari: Tetranychidae) em pinhão-manso / Toxicity and repellency of caatinga plant extracts on the Tetranychus bastosi Tutler, Baker & Sales in physic nut

RESUMO O objetivo deste trabalho foi avaliar o efeito repelente e a toxicidade dos extratos aquosos de Myracrodruon urundeuva Fr. All (Anacardiaceae), Croton blanchetianus Baill (Euphorbiaceae) e Ziziphus joazeiro Mart. (Rhamnaceae,) sobre o ácaro Tetranychusbastosi Tutler, Baker & Sales associado à cultura do pinhão- manso Jatropha curcas L. Para cada extrato as concentrações utilizadas foram 0, 5%, 10%, 15%, 20% e 25%. Avaliou-se, em teste sem chance de escolha, a mortalidade de fêmeas adultas de T. bastosi submetidas às diferentes concentrações de cada extrato. O delineamento estatístico foi o inteiramente casualizado, com seis tratamentos (testemunha e concentrações dos extratos) e 10 repetições. Os dados foram submetidos à análise de regressão. Também foi avaliado o efeito repelente dos referidos extratos sobre T. bastosi, nas concentrações supracitadas. Foi calculado o índice de repelência, percentual de repelência, classificação e índice de segurança. Os dados de percentual de repelência de adultos no tratamento e testemunha foram analisados pelo teste T de Student a 5% de probabilidade. De uma forma geral os extratos demonstraram efeito tóxico para adultos de T. bastosi nas concentrações testadas. O extrato de Z. joazeiro apresentou as maiores taxas de mortalidade (90%) média dos indivíduos. No que se refere à repelência destes extratos, todos os tratamentos se mostraram repelentes para fêmeas de T. bastosi, classificados como tratamentos repelentes, exceto para a dosagem de 5% do extrato de M. unrundeuva.

ABSTRACT The aim of this study was to evaluate the repellent effect and toxicity of aqueous extracts of M. urundeuva All Br. (Anacardiaceae), Crotonblanchetianus Baill( Euphorbiaceae ) and Ziziphus joazeiro Mart. (Rhamnaceae) on the mite Tetranychus bastosi Tutler, Baker & Sales associated with Jatropha curcas. For each extract, the concentrations used were 0, 5%, 10 %, 15 %, 20% and 25%. It was evaluated, at a no-choice test, the mortality of adult females of T. bastosi submitted to different concentrations of each extract. The experimental design was completely randomized with six treatments (control and concentrations of the extracts) and 10 repetitions. The data were subjected to regression analysis. The repellent effect of the extracts over the T. bastosi, in the concentrations already mentioned was also evaluated. The repellency index, percentage repellency, classification and safety index were assessed. The data of percentage repellency of adults in treatment and control were analyzed by the T test Student a 5% probability. In general, the extracts showed toxic effect on adults of T. bastosi for the concentrations tested. The extract of Z. joazeiro indicated d the highest average mortality rates (90 %) of individuals. Regarding the repellency of these extracts, all treatments have proved to be repellants for the females of T. bastosiclassified as repellent treatment, except for the 5% dose of the extract of M. unrundeuva.