Navegando por Assunto "Uso de medicamentos"

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Acesso aberto (Open Access)
Atividade antifúngica da nimesulida isolada ou em associação com a terbinafina contra fungos dermatófitos e seu provável mecanismo de ação in vitro
(Universidade Federal do Pará, 2015) MATOS, Rafaelle Fonseca de; MONTEIRO, Marta Chagas; http://lattes.cnpq.br/6710783324317390
The dermatophytes has shown resistance to current antifungal agents such as Terbinafine, and this has led to research into new compounds as an alternative therapy. Thus, this study evaluated the action of non-steroidal antiinflamatory (NSAIDs) Nimesulide isolated and combined with Terbinafine against dermatophytes, dependence on Prostaglandins this mechanism of action and the effect of Nimesulide in the production of urease and fungal viability. The tests based were on CLSI, clinical and laboratory standards institute - reference method for microdilution test ground for antifungal susceptibility against filamentous fungi (M38-A standard). For clinical isolates of the species Trichophyton mentagrophytes, Trichophyton rubrum, Epidermophyton floccosum and Microsporum canis, the minimum inhibitory concentration (MIC) and minimum fungicidal concentration (MFC) varied in the range> 400 ug / ml -> 0.112 g / ml. However, the results showed that the concentration of 0.002 mg / ml of Nimesulide was able to inhibit the growth of T. mentagrophytes ATCC 9533 and the concentration of 0.008 mg / ml was fungicidal for the same strain. Same values were find for Terbinafine on this strain. The inhibition of fungal growth by Nimesulide was reverse with application of exogenous prostaglandin E2 (PGE2). The urease test showed that T. mentagrophytes ATCC 9533 produces the enzyme, but no inhibition of fungal viability. In the nimesulide / Terbinafine association inhibition occurred in a ratio of 9: 1, or 0.0002 g / ml of Terbinafine and 0.0018 ug / ml of Nimesulide inhibited fungal growth but this result was the indifferent Fractional inhibition index. Nimesulide showed antifungal activity against dermatophytes in low concentrations, but other studies must be performed with the aid of molecular modeling to improve the targeting compound.
Acesso aberto (Open Access)
Avaliação da adesão à terapia medicamentosa em hipertensos de unidades de saúde do distrito DAGUA no município de Belém-Pará
(Universidade Federal do Pará, 2012-08-30) SOUSA, Patrick Luis Cruz de; SILVA, Marcos Valério Santos da; http://lattes.cnpq.br/0379783635000306; ANDRADE, Marcieni Ataíde de; http://lattes.cnpq.br/8514584872100128
Adherence to pharmacotherapy in several chronic diseases, especially hypertension (SH), has great importance for the prevention, reduction and control of diseases and complications, thus reducing cardiovascular morbidity and mortality. Evaluate the modifiable and non-modifiable factors that contribute to a better adherence to medication in patients DAGUA district in Belém-PA, can serve as the basis for qualification of pharmaceutical care, clinical management, public politics, actions and plans in services public health in order to improve patient compliance. We conducted a descriptive transversal observational and quantitative analysis with a random sample of 227 patients enrolled in the program HIPERDIA, from March 2010 to August 2011, where we assessed the knowledge and the degree of adherence to drug therapy using the tests Morisky and Green (TMG) and the Batalla test relating to socioeconomic, lifestyle, and esquipe health service and patient-related factors. The study population was characterized predominantly by women (69.5%) aged above 60 years (44.5%), mixed race (48%), married (44.9%), retired (43.6%) and with low educational level, being (55.1%) with incomplete primary education. Of the total persons (63.46%) had uncontrolled blood pressure. Not adhere to treatment (66.9%) according to test Morisky and Green (72.38%) by the test Batalla.
Acesso aberto (Open Access)
Emprego do cloridrato de xilazina e do maleato de acepromazina na exteriorização do pênis de búfalos (Bubalus bubalis, Lin.)
(Universidade Federal do Pará, 2004) BITTENCOURT, Ruth Helena Falesi Palha de Moraes; VALE, William Gomes; http://lattes.cnpq.br/7486151987920142
Acesso aberto (Open Access)
Medicamentos utilizados no controle da hipertensão no Distrito Administrativo DAGUA em Belém, PA
(Universidade Federal do Pará, 2012) RODRIGUES, Luiz Mário Pará; SILVA, Marcos Valério Santos da; http://lattes.cnpq.br/0379783635000306; ANDRADE, Marcieni Ataíde de; http://lattes.cnpq.br/8514584872100128
The Hypertension is a condition associated with high morbidity and mortality with low control rates, one of the most important public health problems in the world. This is a descriptive exploratory study of cross-sectional and observational nature, conducted in five health units DAGUA Administrative District, located in the city of Belém, in the period between March 2010 and August 2011. Research also conducted a study where information was transcribed document, for forms of research. This study sought to ascertain the logistics supply and usage profile of drugs to control blood pressure in administrative district DAGUA. Therefore, we investigated the sociodemographic profile of program participants HIPERDIA, what medications provided by the municipal health for the treatment of hypertension, as well as the logistics employed by the municipality to access to them. The study population was characterized as mostly elderly, with low education and predominantly made up of browns. It was observed that 53.78% of patients makes use of monotherapy and 46.22% polytherapy. Captopril uses only 36.84%. 65.31% of patients who polytherapy using the combination of captopril and hydrochlorothiazide. There was no significant correlation between the socioeconomic aspects of the participants and the control of blood pressure levels. Knowledge about hypertension did not influence the results of the PA. 51.96% of patients had uncontrolled control blood pressure. Due to the lack of supply of drugs in health facilities and the socioeconomic profile of the users, the Popular Pharmacy Program in Brazil presents itself as an important strategy for the access of patients to their treatment. Finally, summarizing the findings, it was observed that the logistics cycle of Pharmaceutical Care in Belém - especially in the stages of planning, purchasing and dispensing drugs - does not respect the current legal framework which regulates the National Pharmaceutical Care. It was noted the lack of standardization of drugs scheduled to units located in the same region, in addition to the large difference between the conditions of purchase of medicines compared to other bids, arriving to generate price differences of up to 3000%. We conclude that the technical management of pharmaceutical care in the city of Belém is ineffective and inefficient for the care of patients with Hypertension.
Acesso aberto (Open Access)
Perfil de utilização de antimicrobianos em pacientes idosos de um hospital universitário de Belém
(Universidade Federal do Pará, 2015-02-23) SOUSA, Kassio Cardoso; SILVA, Marcos Valério Santos da; http://lattes.cnpq.br/0379783635000306; ANDRADE, Marcieni Ataíde de; http://lattes.cnpq.br/8514584872100128
The medicine progress and improvement in general life conditions of the population led to the increase of life expectancy and contributed to population aging. There are important clinical characteristics in elderly people as the fact that those individuals show a series of alterations which interfere directly in the pharmacokinetics’ processes. The medicines constitute the most used treatments within health services, in the knowledge that, in developing countries, around 30% of the health resources are destined to those products. In that way Studies of Medicines Use are important strategic tools for the rationalization of the drugs’ use. That being so this research has as a goal to investigate the profile of prescription and use of antimicrobials for elderly persons interned in the clinics: medical clinics, clinics of infectious and parasitic diseases, the intensive treatment center and the surgical clinic of the academic Hospital João Barros Barreto (HUJBB) in the period from 2009 to 2012, aiming for observing the initiatives directed to the patient security regarding the antimicrobials use. It consists in a transversal study, observational and characteristically descriptive. The sample was composed of 299 recorded and interned patients who received the treatment with at least one antimicrobial on a regular basis. In relation to the socio-demographic profile of the elderly patients admitted in the HUJBB during the studying period, it was noticed that the most frequent gender was the feminine with 44%, and the average of the internship duration was of 18,90 days, and the most frequent age range stood between 60 and 70 years old with 46,15%, the civil status was married with 52,21%, declaring themselves ―pardos*‖ (69,90%), coming from the capital city (72,24%) and with an internship duration until 30 days utmost (82,94%). About the profile of prescription and use of antimicrobials for the elderly patients, was spotted that the cephalosporin category of third generation was the most proscribed with 29,94%, followed by the quinolones with 17,15% and Macrolides with 9,30%. Among the 23 antimicrobials found in the medicals prescriptions, the ceftriaxone was the most used with 20,13% followed by the ceftazidime with 10,50% and the clarithromycin with 9,85%. The most frequent pathologies reached the respiratory tract with: DPOC (10,16%), bronchiectasis infecting (8,07%) and pneumonia (4,30%) and the most frequent administration route used for elderly people was the intravenous with 84%. Combining the infection state of the respiratory tract (28,13%) with the most frequent use of antimicrobials of the cephalosporin category and the quinolones’ one, 47,09% were totalized. As for the clinical state outcome, 72% of the patients were discharged. The prescription profile for the rational use of antimicrobials for elderly people is provided in the advocated directives for the rational use of the medicines, as well as intended for the patient security.