Exercícios perineais supervisionados e cone vaginal no tratamento da incontinência urinária feminina

Pós-graduação em Ginecologia, Obstetrícia e Mastologia - FMB

Descrição de duas novas técnicas cirúrgicas para o tratamento de prolapso vaginal em vacas zebuinas: vaginectomia parcial e vaginopexia dorsal

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Ovariohisterectomia por videocirurgia (via NOTES vaginal híbrida), celiotomia ou miniceliotomia em cadelas

The elective ovariohysterectomy (OH) is the most frequent procedures performed in dogs. In this study was used three groups of seven animals each (GI, GII, and GIII) that was undergone to three elective OH techniques: (i) mini-celiotomy (Snook-hook technique), (ii) hybrid Natural Orifice Translumenal Endoscopic Surgery (NOTES), and (iii) celiotomy (conventional surgery). The surgical techniques were compared considering the surgery time, trans and postoperative complications, technical difficulties, postoperative pain, surgical bleedind and some vital parameters as: heart rate (FC), respiratory rate (), rectal temperature, invasive blood pressure (PVI) and central venous pressure (PVC). The OH by hybrid vaginal NOTES was the technique with the lowest post-surgical discomfort score and the lowest surgical bleeding, although its surgical time was higher compared to the conventional and the hook (mini-celiotomy) modalities.

A comparison of microbiological and molecular detection of vaginal Lactobacillus spp. between mares and women

A possible explanation for endometritis in mares is ascendant contamination from the vagina. The presence of Lactobacillus spp. is considered to be important in women for a healthy vaginal environment; however, there are few studies in mares related to the presence of Lactobacillus in the vaginal flora of healthy mares. The present work aims to determine the occurrence of Lactobacillus spp. in the vaginal micro-environment of mares. A total of 35 crossbred multiparous mares, aged between 4 and 12 years, with no history of reproductive problems and with healthy reproductive tracts, were used. Two vaginal swabs were obtained from the mares during estrus for Lactobacillus isolation and PCR evaluation. Ten human female volunteers, aged between 24 and 35 years, sexually active, with no history of gynecological diseases and treatments in the past two years were used. Lactobacillus spp. were isolated from 5.7% of the mares' vaginal samples and from 90% of the women's vaginal samples. Lactobacillus DNA was detected by PCR in 22.9% of the mares' vaginal samples and in all of the vaginal samples from the healthy women. The primers used here were demonstrated to have in silico specificity for the detection of L. equi (AB425924.1), L. pantheris (DQ471798.1) and L. mucosae (DQ471799.1), but they did not anneal on Enterococcus faecalis (EU887827.1) or E. faecium (EU887814.1). In conclusion, this study showed a low occurrence of Lactobacillus spp. in mares, suggesting that this bacterium may not play a fundamental role in the equilibrium of the vaginal micro- environment of normal mares.

Compression waves and kinetic energy losses in collisions between balls and rods of different lengths

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Nanotechnological Strategies for Vaginal Administration of Drugs-A Review

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Avaliação da liberação, permeação e retenção na mucosa vaginal in vitro de formulação proposta para o tratamento da candidíase vaginal

A pesquisa de novas substâncias com atividade anti-Candida é importante devido à ocorrência de resistência por parte de algumas destas espécies aos antifúngicos usuais. Araújo e colaboradores (2009) comprovaram a atividade antifúngica do extrato de Syngonanthus nitens e torna-se relevante a proposta de formulações e o estudo destas. O objetivo geral deste trabalho foi a avaliação da liberação, permeação e retenção na mucosa vaginal in vitro de formulação (creme) contendo o extrato de Syngonanthus nitens, em comparação com outra formulação proposta (gel), para averiguar qual das formulações apresenta mais vantagens para o tratamento da candidíase. Foi validado um método analítico para quantificação do extrato de S. nitens por espectrofotômetro UV-VIS utilizando o padrão luteolina. Os parâmetros analíticos utilizados para avaliar a credibilidade do método analítico foram: seletividade e especificidade, linearidade, limite de quantificação, precisão, exatidão e robustez. O método analítico proposto mostrou-se satisfatório: apresentou seletividade e especificidade; linearidade (os pontos obtidos nas concentrações de 5 a 30 µg/mL apresentaram-se lineares e com um ótimo coeficiente de correlação linear: 0,99996); precisão e exatidão; robustez; e o limite de quantificação foi de 0,5 µg/mL, com coeficiente de variação menor que 5%. Além disso, foram realizados testes de estabilidade preliminar e estudos reológicos, e a formulação creme apresentou resultados adequados para o uso proposto e também apresentou estabilidade. Os ensaios de liberação demonstraram que ambas as formulações apresentam cinética de liberação conforme o modelo de Higuchi, ou seja, a velocidade de liberação do fármaco da matriz do sistema se dá por difusão controlada. Os resultados mostram que as duas formulações apresentam perfil de liberação muito... (Resumo completo, clicar acesso eletrônico abaixo)

Desenvolvimento e validação de método bioanalítico por difusão em ágar para determinação da potência do fenticonazol creme vaginal

O nitrato de fenticonazol é um derivado imidazólico de amplo espectro de ação contra patógenos dermatófitos, como Malassezia furfur e leveduras, a principal delas Candida albicans. É necessário que se possa garantir a qualidade dos medicamentos produzidos. O controle de qualidade é uma ferramenta que assegura a qualidade, eficácia e segurança desses produtos até o momento de sua utilização e faz-se necessário que métodos analíticos sejam desenvolvidos e validados para o doseamento desses fármacos. A grande importância dos métodos microbiológicos utilizados no controle de qualidade de fármacos com atividade antimicrobiana é demonstrar sua atividade biológica por meio de seu efeito inibitório no crescimento de micro-organismo. A diminuição da atividade antimicrobiana ou potência pode indicar alguma alteração sutil na molécula, que é pouco detectável em um método analítico físico-químico. O objetivo deste trabalho foi desenvolver e validar o método microbiológico difusão em ágar para o produto nitrato de fenticonazol creme vaginal. O método de difusão em ágar foi desenvolvido utilizando meio de cultura ágar Sabouraud e cepa de Candida albicans ATCC 64548 como micro-organismo teste. Para o ensaio foi utilizado o delineamento 3 x 3, conforme preconiza a Farmacopeia Brasileira (2010). A validação do método proposto demonstrou linearidade entre os diâmetros dos halos de inibição e o logaritmo da concentração na faixa de 50,0 a 200,0 μg/mL. O método obteve resultados precisos e lineares com r2=1. A exatidão foi comprovada pelo intervalo de tolerância de 98,83%, dentro dos limites permitidos. O método foi validado de maneira satisfatória, podendo ser utilizado em análises do Controle de Qualidade deste fármaco.

Performance da contração muscular do assoalho pélvico de primíparas que realizaram parto vaginal ou parto cesárea

Pós-graduação em Ginecologia, Obstetrícia e Mastologia - FMB

Effect of short training on vaginal fluid microscopy (wet mount) learning

Objective: Is it feasible to learn the basics of wet mount microscopy of vaginal fluid in 10 hours?Materials and Methods: This is a pilot project wherein 6 students with different grades of education were invited for being tested on their ability to read wet mount microscopic slides before and after 10 hours of hands-on training. Microscopy was performed according to a standard protocol (Femicare, Tienen, Belgium). Before and after training, all students had to evaluate a different set of 50 digital slides. Different diagnoses and microscopic patterns had to be scored. kappa indices were calculated compared with the expert reading. Results: All readers improved their mean scores significantly, especially for the most important types of altered flora (p < .0001). The mean increase in reading concordance (kappa from 0.64 to 0.75) of 1 student with a solid previous experience with microscopy did not reach statistical significance, but the remaining 5 students all improved their scores from poor performance (all kappa < 0.20) to moderate (kappa = 0.53, n = 1) to good (kappa > 0.61, n = 4) concordance. Reading quality improved and reached fair to good concordance on all microscopic items studied, except for the detection of parabasal cells and cytolytic flora. Conclusions: Although further improvement is still possible, a short training course of 10 hours enables vast improvement on wet mount microscopy accuracy and results in fair to good concordance of the most important variables of the vaginal flora compared to a reference reader.

Usefulness of vaginal cytology tests in women with previous hysterectomy for benign diseases: assessment of 53,891 tests

Objective. To assess the value of vaginal screening cytology after hysterectomy for benign disease.Methods. This cross-sectional study used cytology audit data from 2,512,039 screening tests in the metropolitan region of Campinas from 2000 to 2012; the object was to compare the prevalence of abnormal tests in women who had undergone a hysterectomy for benign diseases (n = 53,891) to that of women who had had no hysterectomy. Prevalence ratios (95% confidence intervals, 95% Cl) were determined, and chi-square analysis, modified by the Cochrane-Armitage test for trend, was used to investigate the effects of age.Results. The prevalence of atypical squamous cells (ASC), low-grade squamous intraepithelial lesion (LSIL), and high-grade squamous intraepithelial lesion or squamous-cell carcinoma (HSIL/SCC) was 0.13%, 0.04% and 0.03%, respectively, in women who had undergone hysterectomy, and 0.93%, 0.51% and 0.26% in women who had not undergone hysterectomy. The prevalence ratios for ASC, LSIL and HSIL/SCC were 0.14(0.11-0.17), 0.08 (0.06-0.13) and 0.13 (0.08-020), respectively, in women with a hysterectomy versus those without. For HSIL/SCC, the prevalence ratios were 0.09 and 029, respectively, for women <50 or >= 50 years. The prevalence rates in women with a previous hysterectomy showed no significant variation with age.Conclusion. The prevalence rates of ASC, LSIL and HSIL/SCC were significantly lower in women with a previous hysterectomy for benign disease compared with those observed in women with an intact uterine cervix. This study reinforces the view that there is no evidence that cytological screening is beneficial for women who have had a hysterectomy for benign disease. (C) 2015 Elsevier Inc. All rights reserved.

A curcumin-loaded liquid crystal precursor mucoadhesive system for the treatment of vaginal candidiasis

Women often develop vaginal infections that are caused primarily by organisms of the genus Candida. The current treatments of vaginal candidiasis usually involve azole-based antifungals, though fungal resistance to these compounds has become prevalent. Therefore, much attention has been given to molecules with antifungal properties from natural sources, such as curcumin (CUR). However, CUR has poor solubility in aqueous solvents and poor oral bioavailability. This study attempted to overcome this problem by developing, characterizing, and evaluating the in vitro antifungal action of a CUR-loaded liquid crystal precursor mucoadhesive system (LCPM) for vaginal administration. A low-viscosity LCPM (F) consisting of 40% wt/wt polyoxpropylene-(5)-polyoxyethylene-(20)-cetyl alcohol, 50% wt/wt oleic acid, and 10% wt/wt chitosan dispersion at 0.5% with the addition of 16% poloxamer 407 was developed to take advantage of the lyotropic phase behavior of this formulation. Notably, F could transform into liquid crystal systems when diluted with artificial vaginal mucus at ratios of 1:3 and 1:1 (wt/wt), resulting in the formation of F30 and F100, respectively. Polarized light microscopy and rheological studies revealed that F behaved like an isotropic formulation, whereas F30 and F100 behaved like an anisotropic liquid crystalline system (LCS). Moreover, F30 and F100 presented higher mucoadhesion to porcine vaginal mucosa than F. The analysis of the in vitro activity against Candida albicans revealed that CUR-loaded F was more potent against standard and clinical strains compared with a CUR solution. Therefore, the vaginal administration of CUR-loaded LCPMs represents a promising platform for the treatment of vaginal candidiasis.

Avaliação proteômica do conteúdo vaginal em resposta ao tratamento da vaginose bacteriana

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Carcinoma de células escamosas em assoalho vaginal de um bovino nelore associado a metástase em pulmão: relato de caso

The squamous cell carcinoma (SCC) is a neoplasm that affect pets and production animals and it’s very common in tropical countries like Brazil; develops in sparsely pigmented, stratified squamous epithelium and in mucosal surfaces exposed Ultraviolet action. The SCC is quite infiltrative but rarely causes metastases. Its occurrence in the female reproductive tract is recognized in the literature on cattle breeds from Europe. This case was a female bovine, Nelore, adult, who was referred to the "Hospital Veterinário Luiz Quintiliano de Oliveira" with dark brown fluid leakage and putrid odor, associated with ulcerative growth of the vagina. Because the extent of injury, the animal was euthanized and taken to the necropsy, which was observed on board structure, ulcerated and pus in the vaginal floor, infiltrated into the pelvic cavity to the serosa of the uterine body. The microscopic findings were detected neoplastic proliferation of epithelial cells in the floor and vaginal metastases in the lung parenchyma, and classified the primary tumor and metastasis as squamous cell carcinoma moderately differentiated.