Transtorno afetivo bipolar: perfil farmacoterapêutico e adesão ao medicamento

This cross-sectional and descriptive study aimed to verify the adherence of patients with Bipolar Affective Disorder (BAD) to medication and to identify possible causes of adherence and non-adherence to medication according to the pharmacotherapeutic profile. The study was carried out in a mental health service in a city in the interior of the state of Sao Paulo. Participants included 101 patients with BAD. Structured interviews and the Morisky-Green test were used for data collection, and the Statistical Package for Social Science was employed for data analysis. Most subjects (63%) did not adhere to medication. Although there were no significant differences between the adherent and non-adherent groups for the researched variables, the use of polypharmacotherapy and complex treatment regimens was observed in treatment for BAD. In practice, implementing strategies to improve the adherence of patients to medication treatment remains a challenge.

Viabilidade do uso de placas de granito como lajes em edificações

Placas de granitos são amplamente empregadas no revestimento de pisos na forma de ladrilhos assentados com argamassa industrializada. Recentemente, tem crescido o interesse no uso de sistemas não aderentes (sem argamassa) com placas de rocha. Porém, na literatura muito pouco foi publicado a respeito. O presente trabalho avaliou as propriedades físico-mecânicas de três granitos com grande aceitação comercial, e determinou as espessuras necessárias para estas das placas serem usadas como lajes de 200 cm de largura por 300 cm de comprimento, apoiadas pelas quatro extremidades em vigas de concreto. As propriedades testadas para o projeto estrutural das placas de granito foram: resistência à compressão, resistência à flexão por três pontos, módulo de elasticidade e coeficiente de Poisson. Foram também determinados o coeficiente de atrito e a resistência à abrasão profunda para a avaliação do desempenho do piso, de acordo com o uso e o ambiente de exposição,. Os resultados indicaram que o charnockito Verde Labrador deve ser usado com espessura de 30 mm, restrita a ambientes internos. O sienogranito e o monzogranito podem ser empregados em ambientes internos e externos. As placas do monzogranito Cinza Castelo devem possuir espessura de 20 mm, e as do sienogranito Vermelho Brasília devem possuir 30 mm de espessura.

Connexin and pannexin (hemi) channels in the liver

The liver was among the first organs in which connexin proteins have been identified. Hepatocytes harbor connexin32 and connexin26, while non-parenchymal liver cells typically express connexin43. Connexins give rise to hemichannels, which dock with counterparts on adjacent cells to form gap junctions. Both hemichannels and gap junctions provide pathways for communication, via paracrine signaling or direct intercellular coupling, respectively. Over the years, hepatocellular gap junctions have been shown to regulate a number of liver-specific functions and to drive liver cell growth. In the last few years, it has become clear that connexin hemichannels are involved in liver cell death, particularly in hepatocyte apoptosis. This also holds true for hemichannels composed of pannexin1, a connexin-like protein recently identified in the liver. Moreover, pannexin1 hemichannels are key players in the regulation of hepatic inflammatory processes. The current paper provides a concise overview of the features of connexins, pannexins and their channels in the liver.