Desenvolvimento de um protocolo de dosimetria para o tratamento de total skin irradiation (TSI)

A técnica radioterápica Total Skin Irradiation (TSI), utilizada para tratamento de Micose Fungóide e doenças similares, apresenta grande complexidade na sua dosimetria e implementação nos Serviços de Radioterapia. No SUS – Sistema Único de Saúde - do Brasil, só há esse tratamento no Serviço de Radioterapia do Hospital das Clínicas da UNICAMP (Campinas) e no Instituto Nacional do Câncer (INCA) (Rio de Janeiro). O objetivo deste trabalho é o estudo e o desenvolvimento de um protocolo de controle de qualidade e dosimetria a ser implementado na técnica utilizada no Serviço de Radioterapia do Hospital de Clínicas da Universidade Estadual de Campinas (HC - UNICAMP). Todos os estudos e análises para a elaboração do protocolo foram baseados no Report 23[1] da AAPM – American Association of Physicists in Medicine - e no TRS-398[3] da IAEA – International Atomic Energy Agency. A metodologia e os resultados obtidos apresentam-se descritos neste relatório

Atenção farmacêutica: adesão ao tratamento

O trabalho se baseia em uma revisão bibliográfica de trabalhos da literatura que abordam o tema adesão ao tratamento medicamentoso. Segundo a Organização Mundial da Saúde, a efetividade do tratamento é caracterizada pela relação estabelecida em uma atmosfera na qual as alternativas terapêuticas são exploradas, o regime terapêutico é negociado, a adesão é discutida e o acompanhamento planejado. Para a manutenção da adesão ao tratamento, o paciente precisa ser esclarecido e auxiliado quanto suas próprias decisões. Além disso, é imprescindível entender as características do indivíduo, do processo de atendimento à saúde e de aspectos referentes aos elementos envolvidos. Portanto, faz-se necessário o conhecimento do farmacêutico sobre a importância da realização de intervenções personalizadas e com divisões de responsabilidades, que juntamente com a mudança de comportamento do profissional de saúde e com a existência de um sistema de saúde que garanta o acesso aos recursos terapêuticos irão contribuir para o aumento da adesão. Neste trabalho, a adesão ao tratamento em doenças crônicas tais como diabetes, epilepsia, hipertensão, tuberculose, e HIV/AIDS é avaliada, assim como as possíveis intervenções que visam o aumento da adesão e, consequentemente, proporcionam uma melhor qualidade de vida para o paciente.

Diagnóstico e tratamento de doença policística renal em gatos

The policystycal kidney disease that's a disease congenital autossomal dominant , no connected with the sex , what affect equally manly and females, especially the from race Persian and intersections with animals of that race. The polycystical kidney disease is broadcast the all issue from the individuals affected due at your character hereditary dominant. Yours signals clinical is linked together at the classic signals of Insufficiency Renal Account, such as: nefromegaly, poliury, anorexic, hematury and anemia , because in as much as the animals affected they tend developing this pathology among others secondary systemic problems . The means diagnostic, to ide ntify this pathology as varied, being used principally the of image, permitting a precociou diagnostic. Your treatment consists in master the symptoms caused by kidney insufficiencies Account and furnish, comfort and quality of life for the animals bearers, because it doesn’t have cur. Know the etiology, signals clinical, mediums diagnostic and the treatment is essential tools about to the screening of that disease and also to the future from race Persian and yours intersections obtained across her. The main objective this study was realize a bibliographic review about polycystical kidney disease linking a traditional forms of the diagnostic, treatment and control with new studies recently published about affected felines populations

Planejamento e síntese de novo candidato a fármaco útil para o tratamento de tumores sólidos

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Proliferação e Morte Celular (Apoptose) avaliadas em ratos Lewis após tratamento com mistura de praguicidas em baixas doses

The use of pesticides in Brazil has intensified over the years. And since 2009 it was ranked as the largest market for pesticides worldwide. The consequential diffuse contamination of the environment is therefore due to the increasing number of chemicals of different classes, origins and modes of action. Little is known about the action of pesticides on human health in situations of co-exposure. Possible toxic effects are not restricted to agricultural and industrial workers, but also the general population that may be exposed continuously to its residues in food and water. Although these pesticides are mostly present in the environment at low doses, it must be considered that possible cumulative or synergistic effects may occur when there are concurrent or sustained exposure for two or more of these agents, which can lead to late manifestation of subclinical damages, sometimes irreversible. Thus, the specific objective of this study was to assess the effect of carcinogenesis promotion of a mixture of pesticides at low doses and analyze the phenomena of cell proliferation and apoptosis in rat liver. A total of 50 male Lewis rats was separated into 5 groups for 8 weeks in a medium term hepatocarcinogenesis model. The three different classes of pesticides (dieldrin, dicofol, endosulfan, dichlorvos and permethrin), whose residues were detected by ANVISA during the period from 2001 to 2005 in tomatoes cultures, were added to the feed of rats initiated to hepatocarcinogenesis with diethylnitrosamine (DEN- 200mg/kg ip). We used two different mixtures, one with no toxic effects at doses (MEX1) referring to the NOEL (no-observed-effect level) and another at doses LOEL / LEL / LOAEL (Lowest-observed-effect level / Lowest-effect level / Lowest -observed-adverse-effect level), to the installation of adverse effects (MEX2), derived from chronic studies. All animals ...(Complete abstract click electronic access below)

Consultas de enfermagem com pacientes em tratamento para hepatite C

Infection with hepatitis C virus (HCV) is a worldwide problem of public health and who estimates 2.5% to 4.9% of infection by this virus among the population. This means that there are 3.9 to 7.6 million people at risk of developing cirrhosis or liver cancer. In Brazil, 20% to 58% of patients with chronic liver disease have antibodies to HCV (anti-HCV). To characterize the profile of patients undergoing treatment for hepatitis C in the Ambulatory General HC-FMB/UNESP, identify aspects of the disease and the phases of nursing process addressed during consultation. Transverse and descriptive study involving 38 patients undergoing treatment for Hepatitis C in Ambulatory General Area (Viral Hepatitis) in the period from July to September 2010. The population consisted of 38 patients, most of the males with completed higher education level, Catholic, married and aged predominantly between 41 and 60 years. Among the drugs used, we find the use of antihypertensive, antidepressant / anxiolytic and antidiabetic / hypoglycemic. With respect to specific medications used to treat hepatitis C, we found the use mainly of alfapeguinterferona 2b + ribavirin. The drugs used were complementary erythropoietin and filgastrim. There was a predominance of fibrosis 2 (F2) and genotype 1 (G1). Regarding the means of contamination, it was stressed blood transfusion and injection drug use. The most frequent drug reactions were decreased appetite, weight loss and discouragement. : The Nursing Process is considered a valuable tool in caring for patients with hepatitis C, because it works as identifying aspects of lifestyle, needs and potential of these patients and allows the deployment of humanized care strategies aimed at reduction of health hazards and improving the quality of life of these patients

Rodococose equina: uma revisão com ênfase na fisiopatogenia e tratamento

The rhodococcosis affects humans and animals. Equine are the most important species for rhodococcosis, which is considered the most debilitating disease in the creation of foals, leading to a mortality rates greater than 50% in this category. The disease is caused by Rhodococcus equi, a bacteria considered as a soil-born opportunistic microorganism, intracellular and ubiquitous. The disease in horses is manifested mainly in the form of pyogranulomatous pneumonia and less often in the form of enteric disorders and / or joint disorders. Transmission occurs mainly by ingestion of contaminated food and water, and inhalation in contaminated environment. The organism has mechanisms of evasion of the immune system, maintain viable in inside phagocytic cells, and induces piogranulomatous infections, leading to lesions of difficult treatment using conventional antimicrobials. Lipophilic drugs with good intracellular activity are required to successful treatment. The conventional treatment for foals is based on the combination of erythromycin and rifampin. However, there is a growing concern about the emergence of resistant strains, which makes increasingly studies on the development of alternative antimicrobials for therapy

Doenças osteoarticulares em pequenos animais

Osteoarticular diseases are very frequent in small animals, especially dogs. Osteoarthritis is the most common degenerative arthropathy in cats and dogs. It is one of the most important skeletal disease in small animals and it is divided into two broad classes: secondary and genetics. The secondary is originated from situations that can cause joint instability like as trauma, ligament problems and obesity among others. The gene for osteoarthritis comes from hereditary problems such as hip dysplasia, elbow dysplasia and other diseases that can cause articular instability. The hereditary osteoarticular diseases are important only because they can result in the osteoarthritis. It is important to prevent the joint instability and consequently the clinical signs that affect the quality of life of the animals. The most common clinical signs are intermittent claudication, a decrease in performance, reluctance to jump and climb ladders among others. To prevent the clinical signs or mitigate them, the treatments need to be focused on pain control and especially restoration of the affected joint. The treatments most used are the medical and surgery. Anti-inflammatory and analgesics are used in large scale for pain control and to inhibit inflammatory mediators. Furthermore, medical treatment includes weight reduction, physiotherapy and proper nutrition along with anti-inflammatory and analgesics. Surgical treatments are indicated if there is an inadequate response to medical treatment. Physiotherapy is often used in conjunction with other treatments. Besides the reduction of weight is essential and obesity is unacceptable. Cats also suffer from osteoarthritis, but the diagnosis is rarer than in dogs. Usually the cat’s owners relate the reluctance to jump and drop in performance with senility, and when the disease is diagnosed is already in... (Complete abstract click electronic access below)

Atualizações sobre o uso de óleo de peixe no tratamento de cardiopatia canina

There are cardiopathies that acometem the dogs, being able this being congenital or acquired and lately have grown the number of cases due to the increase of the life expectancy of these animals becoming each time more necessary prevention methods. In recent years innumerable research is being carried through to understand the influence of the fish oil in the cardiopathies. The fish oil ingestion, Omega 3, has shown beneficial effect in the prevention of cardiovascular illnesses in such a way in the men as in the animals. Such effect this related to the presence of acid greasy polyunsaturateds n-3, mainly acid the eicosapentaenóico (EPA) and acid the docosahexaenóico (DHA). These substances can be found in foods as marine cold water fish (salmon, tuna, sardine and Trout), hemp seeds and soy. The present study, therefore, it has as objective to carry through an update on the use of the fish oil in the treatment of cardiopathies in dogs

Análise da expressão gênica em resposta ao tratamento com Euphorbia tirucalli (Aveloz) em carcinoma epidermóide de laringe

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

Como estará a ingestão de sódio após uma sobrecarga de volume combinada ao tratamento com paroxetina?

Aortic regurgitation (AR) is still common in developing countries as secondary of rheumatic fever, and its incidence have increased in senile degenerative form. The AR develops severe myocardial hypertrophy. A common comorbidity associated with cardiovascular disease is depression. Among the most prescribed antidepressants in the world are the serotonin selective reuptake inhibitors (SSRIs). Central serotonergic pathways are involved with the inhibition of sodium intake and can be modify the excretion of this íon. Therefore, we investigated whether treatment with an antidepressants SSRI, the paroxetine, for four weeks can modfy the behavior of water and NaCl 0,3M intake, excretion of sodium and morphofunctional parameters of rats with AR induce. Wistar rats (280 - 300g) underwent surgery for AR (n=15) or control surgery (n=14). The AR was induced by retrograde puncture of valve leaflets. The animals were divided into 4 groups: AR + paroxetine (n=8), AR + control (n=7), control + paroxetine (n=7), control + control (n=7). From the 4th to the 8th week after inductuin of AR was administered paroxetine (10mg/kg pc) daily and subcutaneously. In the 4th and 8th week after induction of AR echocardiograms were performed to collect data morphofunctional. During the 4 weeks of treatment were analyzed intake of water and saline daily and once a week urine samples were collected for analysis by flame photometer of excretion of sodium and potassium. In the 10th week the animals were submitted to a challenge protocol hidromineral by combining furosemide (10 mg / kg bw) associated with the low dose of Captopril (5 mg / kg bw). During the challenged urine samples were collected for analysis by flame photometer of excretion of sodium and potassium at the time zero and after 2 hours of treatment. As a result we found that treatment with paroxetine in rats with AR determined an improvement in fractional shortening (shortening fraction: 52.7 ± 2.2% vs. RA ...

Uso subconjuntival de lipossomas com rapamicina e tacrolimus tópico no tratamento de ceratoconjuntivite seca em cães

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Sistema de avaliação e tratamento da coluna lombar com o uso de tração mecânica

Pós-graduação em Engenharia Mecânica - FEG

Estimulação elétrica com eletrodos não implantáveis no tratamento da bexiga hiperativa em adultos: revisão sistemática de ensaios clínicos randonizados

Pós-graduação em Bases Gerais da Cirurgia - FMB

A gestão de doenças infecto-contagiosas: o impacto do dengue na saúde pública

Os vírus do dengue possuem quatro sorotipos distintos (DENV 1-4) e a infecção por um sorotipo confere imunidade específica em longo prazo apenas para aquele sorotipo. O declínio e a reemergência de epidemias de dengue estão intimamente relacionadas com a migração populacional, o intercâmbio e a introdução de sorotipos, o aumento da população, a urbanização descontrolada, o aumento da infestação por mosquitos do gênero Aedes, que são vetores dos vírus e por mudanças na conjuntura política dos municípios. A doença configura-se como um grande problema de saúde pública e cerca de três bilhões de pessoas encontram-se em risco de contrair o vírus e, anualmente, milhões de casos de dengue são notificados, com aproximadamente 500 mil internações. O impacto econômico da doença não está direcionado apenas aos gastos diretamente relacionados ao tratamento, mas também, ao controle e à prevenção. Além disto, outros desdobramentos podem ocorrer, como gastos gerados por afastamento do trabalho no período de convalescença e por morte devido à infecção pelo vírus. As constantes trocas de equipes de prevenção e controle podem impactar negativamente a doença, favorecendo a dispersão do vetor e a manutenção do dengue no ambiente. Desta forma, o objetivo do trabalho é sistematizar as informações sobre o impacto do dengue na gestão dos recursos destinados a doenças infecto-contagiosas.