Poética da cabaça: fruto de tradição, arte e comunicação

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Hydroxyurea in the sickle cell anemia: toxicity and effectiveness

Objective: to evaluate the use of hydroxyurea with regard to effectiveness and toxicity in people with sickle cell anemia. Method: this is a retrospective descriptive study, developed with 57 medical records of patients with sickle cell anemia, treated at the University Hospital Center of Campo Grande (Mato Grosso do Sul, Brazil), from 1993 to 2005. Inclusion criteria: electrophoresis of hemoglobin in medical record; regular use of drugs, for an average of 196 weeks; dosage; and hematological analyses before starting treatment. Exclusion criteria: living with other hemoglobinopathies. The variables evaluated were: neutrophils count; platelets; leukocytes; hemoglobin; time using hydroxyurea; drug response to the optimal dosage; and number and type of episodes of hospitalization. The research protocol was approved by the Ethics Committee of Universidade Federal de Mato Grosso do Sul, under the Protocol 645. Results: of the 57 medical records, 3 cases were evaluated. Comparing the hematological values, according to Portaria 872, enacted on 11/12/2002, it was found that: cases A, B, and C present an use of hydroxyurea (500 mg/day) for four years, with an average of 196 weeks. Case A, female, decreased painful episodes and frequency of hospitalization, keeping hematological values with no toxicity. In Case B, female, there was one hospitalization due to pain crises and important hemolysis. It stood out, in case C, male, neutropenia with hematological values < 2,000/mm3 . Conclusion: in the cases analyzed, we observed a drop in the number of hospitalizations with the decrease in painful crises from three to one a year, and there was no toxicity with regard to the dosage and time using hydroxyurea, in all three cases. For more comprehensive results, one suggests further study on this therapy with significant samples of this clientele.

O adolescente, tráfico de drogas e função paterna

The involvement of adolescents as workers in the trafficking of illicit drugs has increased in recent decades in Brazil, and perhaps the world, making them also victims and perpetrators of violent acts related to this activity. Given the above, we conducted research – that now present some results in this article – on such subjects. Basically, we pretend to understand if they had, throughout its history, references to the authority that contributed to its entry in that class. The teens were chosen social stratum of low income and working on trafficking. We conducted interviews / conversations with these individuals and analyzed according to the perspective of psychoanalysis extramural. We conclude that, for them, such activity is a possible route in our society, to gain social recognition and feeling of belonging to the adult world and the society of consumers.