Prescription, dispensation and marketing patterns of methylphenidate

OBJECTIVE To analyze the patterns and legal requirements of methylphenidate consumption. METHODS We conducted a cross-sectional study of the data from prescription notification forms and balance lists of drugs sales – psychoactive and others – subject to special control in the fifth largest city of Brazil, in 2006. We determined the defined and prescribed daily doses, the average prescription and dispensation periods, and the regional sales distribution in the municipality. In addition, we estimated the costs of drug acquisition and analyzed the individual drug consumption profile using the Lorenz curve. RESULTS The balance lists data covered all notified sales of the drug while data from prescription notification forms covered 50.6% of the pharmacies that sold it, including those with the highest sales volumes. Total methylphenidate consumption was 0.37 DDD/1,000 inhabitants/day. Sales were concentrated in more developed areas, and regular-release tablets were the most commonly prescribed pharmaceutical formulation. In some regions of the city, approximately 20.0% of the prescriptions and dispensation exceeded 30 mg/day and 30 days of treatment. CONCLUSIONS Methylphenidate was widely consumed in the municipality and mainly in the most developed areas. Of note, the consumption of formulations with the higher abuse risk was the most predominant. Both its prescription and dispensation contrasted with current pharmacotherapeutic recommendations and legal requirements. Therefore, the commercialization of methylphenidate should be monitored more closely, and its use in the treatment of behavioral changes of psychological disorders needs to be discussed in detail, in line with the concepts of the quality use of medicines.

The changing distribution of malaria in the Brazilian Amazon, 2003-2004 and 2008-2009

Introduction More than half of the malaria cases reported in the Americas are from the Brazilian Amazon region. While malaria is considered endemic in this region, its geographical distribution is extremely heterogeneous. Therefore, it is important to investigate the distribution of malaria and to determine regions whereby action might be necessary. Methods Changes in malaria indicators in all municipalities of the Brazilian Amazon between 2003-2004 and 2008-2009 were studied. The malaria indicators included the absolute number of malaria cases and deaths, the bi-annual parasite incidence (BPI), BPI ratios and differences, a Lorenz curve and Gini coefficients. Results During the study period, mortality from malaria remained low (0.02% deaths/case), the percent of municipalities that became malaria-free increased from 15.6% to 31.7%, and the Gini coefficient increased from 82% to 87%. In 2003, 10% of the municipalities with the highest BPI accumulated 67% of all malaria cases, compared with 2009, when 10% of the municipalities (with the highest BPI) had 80% of the malaria cases. Conclusions This study described an overall decrease in malaria transmission in the Brazilian Amazon region. As expected, an increased heterogeneity of malaria indicators was found, which reinforces the notion that a single strategy may not bring about uniformly good outcomes. The geographic clustering of municipalities identified as problem areas might help to define better intervention methods.

Education to a Healthy Lifestyle Improves Symptoms and Cardiovascular Risk Factors – AsuRiesgo Study

Background: Cardiovascular diseases are the current leading causes of death and disability globally. Objective: To assess the effects of a basic educational program for cardiovascular prevention in an unselected outpatient population. Methods: All participants received an educational program to change to a healthy lifestyle. Assessments were conducted at study enrollment and during follow-up. Symptoms, habits, ATP III parameters for metabolic syndrome, and American Heart Association’s 2020 parameters of cardiovascular health were assessed. Results: A total of 15,073 participants aged ≥ 18 years entered the study. Data analysis was conducted in 3,009 patients who completed a second assessment. An improvement in weight (from 76.6 ± 15.3 to 76.4 ± 15.3 kg, p = 0.002), dyspnea on exertion NYHA grade II (from 23.4% to 21.0%) and grade III (from 15.8% to 14.0%) and a decrease in the proportion of current active smokers (from 3.6% to 2.9%, p = 0.002) could be documented. The proportion of patients with levels of triglycerides > 150 mg/dL (from 46.3% to 42.4%, p < 0.001) and LDL cholesterol > 100 mg/dL (from 69.3% to 65.5%, p < 0.001) improved. A ≥ 20% improvement of AHA 2020 metrics at the level graded as poor was found for smoking (-21.1%), diet (-29.8%), and cholesterol level (-23.6%). A large dropout as a surrogate indicator for low patient adherence was documented throughout the first 5 visits, 80% between the first and second assessments, 55.6% between the second and third assessments, 43.6% between the third and fourth assessments, and 38% between the fourth and fifth assessments. Conclusion: A simple, basic educational program may improve symptoms and modifiable cardiovascular risk factors, but shows low patient adherence.

Larva de quinto estádio e pupa de Opsiphanes quiteria meridionalis Staudinger (Lepidoptera, Nymphalidae, Brassolinae)

É apresentada a descrição da larva de quinto estádio e pupa de Opsiphanes quiteria meridionalis Staudinger, 1877 de material proveniente do sul do Brasil. Os imaturos, exceto ovo, e o adulto são ilustrados. Larvas alimentam-se de Syagrus romanzoffiana (Cham.) Glassman (Arecaceae).

As borboletas Hesperiidae (Lepidoptera, Hesperioidea) do Distrito Federal, Brasil

Neste estudo é apresentada uma listagem atualizada com 335 espécies de borboletas Hesperiidae encontradas no Distrito Federal (Brasil central), incluindo dados da bibliografia, de várias coleções entomológicas e de coletas dos autores. Espécies de ocorrência apenas presumida não foram incluídas. Apresenta-se também uma lista suplementar com 32 espécies endêmicas do bioma Cerrado, das quais 27 foram encontradas no Distrito Federal.

Morfologia, comportamento, parasitismo e mecanismos de defesa dos imaturos de Heraclides anchisiades capys (Hübner)(Lepidoptera, Papilionidae)

Heraclides anchisiades capys é uma espécie comum de Papilionidae, cujas larvas se alimentam de várias espécies de Citrus spp. (Rutaceae). Neste estudo são descritas a morfologia e dados sobre a história natural dos imaturos através de ilustrações, incluindo fotografias em microscopia eletrônica de varredura.

Imaturos de Sarsina violascens (Herrich-Schäffer) (Lepidoptera, Noctuidae, Lymantriinae)

Imaturos de Sarsina violascens (Herrich-Schäffer) (Lepidoptera, Noctuidae, Lymantriinae). Sarsina violascens é uma espécie polífaga que eventualmente se alimenta de P. cattleianum Sabine (Myrtaceae) durante sua fase larval. Neste estudo são descritas a morfologia e o comportamento dos imaturos, com ilustrações, fotografias e imagens de microscopia eletrônica de varredura.

Butterflies (Lepidoptera, Papilionoidea and Hesperioidea) of the "Baixada Santista" region, coastal São Paulo, southeastern Brazil

Butterflies (Lepidoptera, Papilionoidea and Hesperioidea) of the "Baixada Santista" region, coastal São Paulo, southeastern Brazil. A list with 538 species of butterflies recorded in the Baixada Santista, São Paulo ( SE Brazil) is presented. Standard sampling protocols (i.e. with entomological nets) were followed. Baited traps were installed for fruit feeding species. Data from the literature and entomological collections were also considered in the total estimated species richness. The species richness recorded in the Baixada Santista region represents about 16% of the Brazilian butterfly fauna, and 34% of the known butterfly fauna for the state of São Paulo. The present list contains an appreciably higher number of species in comparison to other lists from similar biomes farther south, such as Blumenau in Santa Catarina, and Maquiné in Rio Grande do Sul.

External morphology of the adult of Dynamine postverta (Cramer) (Lepidoptera, Nymphalidae, Biblidinae) and patterns of morphological similarity among species from eight tribes of Nymphalidae

External morphology of the adult of Dynamine postverta (Cramer) (Lepidoptera, Nymphalidae, Biblidinae) and patterns of morphological similarity among species from eight tribes of Nymphalidae. The external structure of the integument of Dynamine postverta postverta (Cramer, 1779) is based on detailed morphological drawings and scanning electron microscopy. The data are compared with other species belonging to eight tribes of Nymphalidae, to assist future studies on the taxonomy and systematics of Neotropical Biblidinae.

Taxonomic review of Gallio Evans, 1955 (Lepidoptera, Hesperiidae, Hesperiinae): one less monotypic genus of Moncini

ABSTRACT Moncini is the tribe of Hesperiidae that comprises the greatest diversity of small, brown, hard to identify skippers. The group is peculiarly classified as having many monotypic genera, thus offering low informative value to its systematics. This study presents a review of the genus Gallio Evans, 1955, a genus formerly recognized as monotypic, and describes three new species, Gallio imperatriz sp. nov. from Maranhão, Brazil, Gallio furtadoi sp. nov. from Mato Grosso, Brazil and Gallio eti sp. nov. from Madre de Díos, Peru and Acre, Brazil (type locality). A lectotype for Vehilius carasta Schaus, 1902 is designated. Gallio is therefore redescribed and illustrations and diagnosis to its species are provided.

Immature stages of Hamadryas fornax fornax (Hübner) (Lepidoptera: Nymphalidae: Biblidinae)

ABSTRACT The external morphology and biology of the immature stages of Hamadryas fornax fornax (Hübner, [1823]) (Lepidoptera, Nymphalidae, Biblidinae) recorded on Dalechampia triphylla (Euphorbiaceae) in Curitiba, Paraná, Brazil are described. Morphological characters are illustrated and described, as a result of observations in scanning electron, stereoscope and optical microscopes, the last two attached to a camera lucida. Results are compared and discussed with immature stages of other species of Biblidinae.

External morphology of immature stages of Zaretis strigosus (Gmelin) and Siderone galanthis catarina Dottax and Pierre comb. nov., with taxonomic notes on Siderone (Lepidoptera: Nymphalidae: Charaxinae)

ABSTRACT The external morphology of immature stages of Zaretis strigosus (Gmelin, [1790]) and Siderone galanthis catarina Dottax and Pierre, 2009 comb. nov. from southern Brazil are described. Additionally, morphology of the adults and sequences of the mitochondrial gene cytochrome oxidase, subunit I, were analyzed in order to evaluate the taxonomy of Siderone galanthis Hübner, [1823]. Immatures were collected on Casearia sylvestris (Salicaceae) in Curitiba, Paraná, and Balneário Barra do Sul, Santa Catarina, Brazil, and reared at the laboratory. Morphological descriptions and illustrations are provided, based on observations through stereoscopic and optic microscopes attached to camera lucida; results are compared and discussed and immature stages of some other species of Charaxinae. The results indicates that the morphology of the immature stages of the studied species differ greatly from other Anaeini, representing a distinct lineage of leafwings butterflies. Morphology and molecular evidence indicate that S. nemesis mexicana Dottax and Pierre, 2009 and S. nemesis catarina Dottax and Pierre, 2009 are conspecific with S. galanthis (Cramer, 1775); additionally, S. thebais C. Felder and R. Felder 1862, S. nemesis var. confluens Staudinger, 1887, S. nemesis f. leonora Bargmann, 1928 and S. nemesis f. exacta Bargmann, 1929 are synonymized with S. galanthis galanthis (Cramer, 1775).

A new species of Aguna Williams (Lepidoptera, Hesperiidae) from Panamá belonging to the “claxon group”

ABSTRACT A new species of Aguna Williams, 1927 from Panamá is described: Aguna prasinus Siewert, Leviski, Mielke & Casagrande, sp. nov. Illustrations of adults and male genitalia are provided. A dichotomous key for the male Aguna species for the “claxon group” is also provided.

Parâmetros zootécnicos de juvenis de pacu alimentados a diferentes frequências de arraçoamento em tanques-rede

O objetivo deste trabalho foi avaliar o desempenho zootécnico e as características bromatológicas e hematológicas de pacus alimentados a diferentes frequências de arraçoamento. Três mil e duzentos peixes, com peso inicial médio de 65,9±2,36 g, foram distribuídos em 16 tanques-rede de 5 m³ de volume útil. Durante 65 dias, foram avaliadas quatro frequências de arraçoamento (tratamentos): T1, às 12:00 h; T2, às 8:00 e às 17:00 h; T3, às 8:00, 12:00 e 17:00 h; e T4, às 8:00, 11:00, 14:00 e 17:00 h. Utilizou-se o delineamento experimental inteiramente casualizado, com quatro repetições. Analisaram-se parâmetros de desempenho produtivo, índices de gordura visceral e hepatossomático, composição centesimal da carcaça e parâmetros hematológicos e bioquímicos. Quanto ao ganho de peso, as frequências T3 e T4 proporcionaram melhores resultados do que T1 e T2. Embora a proteína, o colesterol e os eritrócitos tenham apresentado diferenças entre os tratamentos, permaneceram dentro dos valores de referência para pacus cultivados em tanques-rede. A frequência de três arraçoamentos diários resultou em maior ganho de peso, em comparação aos demais tratamentos, sem interferir na saúde e na composição centesimal das carcaças dos animais.

Fenologia e acúmulo de graus-dia da videira 'Niagara Rosada' cultivada ao noroeste do estado de São Paulo

Este trabalho teve por objetivo avaliar a influência dos porta-enxertos 'IAC 766', 'IAC 572', 'IAC 313' e 'IAC 571-6' na duração dos estádios fenológicos e no acúmulo de graus- dia pela videira 'Niagara Rosada', cultivada em Votuporanga-SP. O delineamento estatístico utilizado foi em blocos inteiramente casualizados, com parcelas subdivididas, cinco repetições, sendo as parcelas representadas pelos porta-enxertos, e as subparcelas, pelos dois ciclos de produção. Após a poda da videira, foram realizadas avaliações dos estádios fenológicos, utilizando-se do critério de Eichhon e Lorenz (1984). Baseado nos estádios fenológicos, calculou-se a duração dos períodos: poda ao início da brotação; poda ao início do florescimento; poda ao início da frutificação; poda ao início da maturação dos cachos; poda ao início da colheita. Tomando-se por base a duração do ciclo da videira e as temperaturas médias diárias, calculou-se o acúmulo de graus-dia. Obteve-se maior duração do ciclo e do acúmulo de graus-dia da cultivar Niagara Rosada com os porta-enxertos 'IAC 572' e 'IAC 571-6', e a menor, com o porta-enxerto 'IAC 766'. Evidenciou-se a influência do clima na duração dos estádios fenológicos da videira.