A propaganda de medicamentos: qualidade, diferença entre os países e recomendações para o uso racional. Uma revisão bibliográfica

Muitos fatores são responsáveis pelo consumo excessivo de medicamentos e pelo descumprimento a Política Nacional de Medicamentos, mas um que se mostra muito significativo nesse cenário é a promoção de medicamentos. Dessa forma o presente estudo propôs caracterizar a qualidade das promoções publicitárias de medicamentos. Realizou-se uma revisão bibliográfica sistemática, em que foi realizada uma coleta de dados, no período de agosto a setembro de 2012, nas bases Lilacs, e Pubmed/Bireme, disponíveis no portal: http://www.bireme.br. Os descritores escolhidos utilizados foram controle da publicidade de produtos OR publicidade de medicamentos OR propaganda AND Legislação de Medicamentos. Foram identificados 11 artigos que contemplavam os critérios de inclusão. Analisou-se as informações relacionadas à qualidade (informações mais frequentes, informações menos frequentes, princípios éticos de fidedignidade e veracidade da informação), irregularidades e as estratégias para melhoria das propagandas de medicamentos. Os estudos mostraram que as maiores deficiências na propaganda de medicamentos dizem respeito às informações sobre contra indicações, cuidados, advertências e reações adversas, agrupados como precauções gerais, e às referências bibliográficas, infringindo a legislação em diversos aspectos. Além disso, observou-se que o problema da qualidade da informação em propagandas de medicamentos é verificado em muitos países, mas principalmente em países em desenvolvimento. Assim torna-se necessário maior rigor da legislação na fiscalização dessas propagandas de medicamentos e maior atenção dos profissionais da saúde quanto a essa prática, tendo maior visão crítica sobre os materiais distribuídos á classe médica

Osteossarcoma apendicular: revisão de literatura

Osteosarcoma is the most common primary bone cancer in dogs. It affects most commonly dogs of big or giant breeds with 7 to 8 years and the etiology is unknown. Osteosarcoma is defined as a bone matrix-producing malignant mesenchymal tumor and has a predilection for the metaphyseal region of appendicular skeleton, however, it can affect axial skeleton and soft tissues. Distal radius is the most commonly affected site. The definitive diagnosis of osteosarcoma can be obtained with history, physical examination, radiographs and biopsy. Lung is the most common organ for metastatic disease. The mainly treatment for osteosarcoma is limb amputation and systemic chemotherapy for metastatic disease control. Limb-sparing surgery is a viable alternative to amputation for dogs with concomitant conditions that impede limb amputation. Palliative treatments for osteosarcoma have been studied such as local and systemic radiotherapy, immunotherapy and biphosphonates. This study has the objective of presenting the aspects of diagnosis and treatment for appendicular osteosarcoma

Dextrana: revisão sobre uso e possíveis aplicações industriais

O emprego significativo de polímeros na sociedade moderna causou um grande desenvolvimento tecnológico em torno de sua produção a partir do petróleo. Contudo a limitação crescente de disponibilidade e as altas sucessivas do preço do petróleo têm estimulado, cada vez mais, novas pesquisas no desenvolvimento de biopolímeros provenientes de recursos renováveis. O biopolímero dextrana tem origem da conversão do substrato promovida pela enzima dextranasacarase que é secretada por micro-organismos principalmente pertencentes à família Lactobacillaceae. O objetivo desta pesquisa tem por meio do levantamento bibliográfico reunir conteúdos relacionados ao biopolímero dextrana, a enzima dextranasacarase, os micro-organismos produtores e suas aplicações industriais. Devido a algumas características da dextrana (Hidrofobicidade, estabilidade, pureza e habilidade de formar soluções claras e estáveis, entre outras), a mesma apresenta um grande leque de aplicações na indústria farmacêutica, alimentícia, petroquímica e química. As pesquisas que vinculam a dextrana às aplicações industriais estão em plena expansão e sabendo que a produção de dextrana é proveniente de recursos naturais renováveis e de origem microbiana, o momento atual é favorável para um aumento de sua produção, causando a valorização deste biopolímero no mercado nacional e internacional

Resultados das intervenções educativas em farmacovigilância: uma revisão sistemática

A notificação espontânea por profissionais da saúde é o principal método de avaliação do risco/benefício da utilização de medicamentos, pois permite a análise da frequência, gravidade e expectativa dos eventos adversos a medicamentos (EAMs). No entanto, a principal limitação deste método é a subnotificação dos casos, causando grandes impactos na saúde pública, tais como gastos desnecessários para as instituições e diminuição da segurança do paciente. A fim de identificar técnicas de intervenção educativa efetivas no incentivo à notificação espontânea por profissionais da saúde nos diferentes níveis de atenção, realizou-se revisão sistemática nas bases de dados PUBMED, PAHO, LILACS e EMBASE no período de novembro de 2011 a janeiro de 2012, com posterior atualização em março de 2013, por meio da utilização de descritores científicos em farmacovigilância, buscando-se identificar estudos originais que avaliaram o impacto da intervenção educativa desenvolvida. Pela estratégia elaborada, foram identificados 101 artigos, dos quais 16 contemplaram os critérios de inclusão. A maioria dos estudos inclusos foram conduzidos na Europa (14), e a maioria das intervenções foi destinada ao nível terciário de atenção à saúde (11) e principalmente aos médicos (12). As técnicas efetivas de intervenção educativa identificadas foram multifacetadas, resultando no aumento do número absoluto, porcentagem ou taxa de notificação espontânea, além de melhorar a qualidade dos relatos de reações adversas a medicamentos (RAM): graves, inesperadas, relacionadas a medicamentos novos e com alta causalidade. Ademais, faz-se necessária educação permanente dos profissionais para maior adesão à farmacovigilância e contribuição para o gerenciamento de riscos

Revisão teórico bibliográfica sobre o espraiamento da nasalidade no português do Brasil com especial destaque para o dialeto paulista

O espraiamento da nasalização é um fenômeno observado desde estudos antigos sobre a língua portuguesa. Tanto com as consoantes nasais em posição de coda, quanto com elas em posição de onset, nota-se a interferência gerada nas vogais que as acompanham. O atual estudo aborda como eram percebidas e estudadas as nasais e seu espraiamento, demonstrando como a nasalização pode ser descrita, por seus segmentos fonéticos – demonstrando quais elementos a compõem – e por suas marcas suprassegmentais. Detalha-se também a importância de estudos realizados sobre a nasalidade dentro da geometria de traços. Faz-se levantamento geral do fenômeno do espraiamento da nasalidade, através de estudos gerais da nasalidade e da teoria fonética e fonológica relativa ao fenômeno

Ecologia de estradas em regiões neotropicais: revisão

The human development requires that urban and industrial centers to be interconnected, with different modes of transport, among which the land transport is the most important. The roads may cross sections of remnant forests, which contain considerable diversity of species. Besides habitat fragmentation, the roads can also hinder connectivity between different patches. This kind of impact is not very well known. We reviewed the literature on Road Ecology in the Neotropics, and its relation to conservation of the biodiversity. We considered 32 papers on this issue. We compiled what is known and what the direction to take, as well as failures to be avoid in the samples, for future studies involving Road Ecology. Despite the growing trend of this subject, flaws in the methods for this type of studies show that there is no standardization of sampling effort or of experimental design for these studies. We also found that there is a lack of study of some taxonomic classes. The simple animal roadkills records do not make clear the impacts of the roads. The necessity of different designs for specific taxonomic classes must be considered, in order to produce better quality data and reliable results. Animals can avoid roads, getting isolated and limited to smaller areas of life. The dispersal and colonization of exotic flora species are facilitated by roads. Nevertheless, it is not known how or at which scale, these invasions impact the local communities. Finally, we proposed a flowchart as a conceptual model illustrating the potential impacts of roads on biodiversity and ecology interactions

Square stepping exercise: uma revisão

Many studies inform that with aging process there’s a drop, not only in the cognitive functions, but also in the functional fitness. This drop can damage the old people’s daily activities, making them lose their independence. These declines can be softened with the practice of physical exercises. So, the aim of this study is to develop a systematic review in the literature which is the quantity of lectures done using the Square Stepping Exercise, we use a follow keyword “Square Stepping Exercise”. We performed a search in the following databases: PUBMED, Portal de Periódicos CAPES, Google Acadêmico e Catálogo Athena (acervo da Biblioteca de todos os campus da UNESP). Those procedures were complemented for manual searches in the references of the found lectures, like the access to the curriculum vitae, plataforma Lattes. There were analyzed articles, in Portuguese and English. Language were selected 11 studies (2 monografies, 1 masters lecture, 1 experience relatorie, 1 book chapter and 6 articles). The references found had improvement in motor and cognitive aspects. With this review, it was concluded that the SSE showed itself as a useful method to get better and/or maintain the analyzed aspects. It’s also necessary new studies with different populations, tips of analyse, periods of time and other aspects

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

Revisão sobre fármacos quirais e a sua importância na medicina atual

Aspects are discussed on the chirality of drugs and their action in the human body, the benefits of using a drug in enantiomerically pure form and why, even today, despite the risks, many drugs are marketed as racemic mixture. Among the methods of separation there is the High Performance Liquid Chromatography (HPLC) which can be given in different ways using chiral additives in the mobile phase as in the system of ligand exchange in the ion pair system and the system of cavity or inclusion. Note also the wide variety of chiral stationary phases available in the market that allow high specificity using them according to the need and purpose of the method. The review of the topic is extremely important since it is a matter of public interest world that brings into play issues and financial policies

Práticas alternativas e complementares no tratamento do câncer: revisão integrativa da literatura

O interesse no tema pela praticas alternativa e complementar na saúde vem aumentado, principalmente entre pacientes oncológicos, que buscam uma melhor qualidade de vida e algumas alternativas para amenizar os efeitos colaterais do tratamento convencional. Fazer uma revisão integrativa da produção científica em periódicos nacionais e internacionais, acerca das praticas integrativas e complementares no tratamento do paciente com câncer. Trata-se de uma revisão integrativa da literatura, indexada nas bases de dados MEDLINE e LILACS, no período de 2000 a 2010. Após exclusão daqueles que se repetiam entre as bases de dados e dos que não se encaixam nos critérios de inclusão, resultaram 19 artigos. A coleta de dados foi realizada nos meses de janeiro a março de 2011 por meio de um instrumento elaborado pela pesquisadora. Utilizou-se do aplicativo Microsoft Excel 2007 para organizar o banco referente aos dados quantitativos. Os dados quantitativos, referentes às variáveis da caracterização da produção científica, foram apresentados em tabelas e submetidos à análise estatística descritiva. A análise de conteúdo, na abordagem representacional e do tipo temática (Bardin, 1977) foi utilizada como estratégia metodológica qualitativa para organizar, sistematicamente, a produção do conhecimento. A caracterização do corpus de análise aponta uma produção majoritária de publicações internacionais (94,74%). A maior parte das publicações é oriunda dos Estados Unidos da América (EUA), correspondendo a 36,86% da amostra. O método qualitativo foi predominante (84,21%). Da análise temática emergiram quatro temas: Tema 1. Relação médico-paciente com o profissional da Medicina alternativa e complementar (MAC); Tema 2. Crenças e costumes relacionados ao uso das MACs; Tema 3. Variedades das MACs e suas interações...(Resumo completo, clicar acesso eletrônico abaixo)

Carvão (Sporisorium scitamineum) e podridão-abacaxi (Ceratocystis paradoxa) em cana-de-açúcar (Saccharum spp.): uma revisão

Sugarcane (Saccharum sp.) is an important grass cultivated in tropical and subtropical regions of the world, such as in Br, Ind, and Ch, and has its biomass being raw material for production of sugar, fuel ethanol, and some other derivatives. Fungal diseases infect sugarcane fields worldwide, damaging crops and thus, causing great economic losses. Fungal specialized structures act during all Pathogen-Host Relationship Cycle (PHRC) (survival, dissemination, infection, colonization, and reproduction of pathogen), maintaining fungal populations in cultivation soil, infecting plants in following crops and vegetative propagation of sugarcane by infected seeds may allow fungal transportation into regions where diseases haven’t occured before. Biotechnological methods and approaches have significantly contributed to understanding of the relationship among parasite and host, as to diseases management (control, detection, and prevention). Some techniques have daily applications in Agriculture, while others are only used in research and to breeding of host resistant varieties. Among notable diseases, smut (Sporisorium scitamineum) and pineapple disease (Ceratocystis paradoxa) are important because they cause damage and losses in sugarcane regions, although there are different periods for each one to occur. This work aims to review the PHRC for each patosystem, the biotechnological methods and approaches and its perspectives in the study and management of these diseases. As environment is an important factor to the effectiveness of PHRC, one chapter is dedicated to Global Climate Change (GCC) and its possible influences over these diseases in a longterm period

Efeito de intervenções não farmacológicas nos níveis de estresse em cuidadores de pacientes com doença de Alzheimer: uma revisão sistemática

Beside aging process comes the incidence of dementia and, among them Alzheimer's disease (AD) accounts for approximately 60% of cases. This disease is characterized as a neuropathology with unknown etiology that causes cognitive deficits and behavioral disorders. Caring for patients with AD can cause an overload, both physical and psychological, which can cause high levels of stress on the primary caregiver. It is necessary that the caregiver also receives attention and develop activities that promote health benefits, while providing moments of distraction from the task of caring. Nonpharmacological interventions may be favorable for improving health with consequent decreased on the levels of stress. The objective of this study was to conduct a systematic review of scientific papers that aimed to verify the effect of nonpharmacological interventions on stress levels in caregivers of patients with AD. To contamplate this goal was accomplished a systematic search in the following databases: Biological Abstracts, PsycINFO, PubMed/Medline, Web of Science, LILACS and SciELO. The following keywords and Boolean operators was used: “caregivers” OR “family” and “nonpharmacological interventions” OR “support groups” OR “therapies” AND “Alzheimer's disease” OR “Alzheimer's dementia” OR “Alzheimer” OR “elderly” AND “stress”. There were found 3studies that met inclusion criteria adopted for the present work, and none showed significant results for the variable stress. It is not possible to affirm, according to the studies, that nonpharmacologial interventions programs for caregivers of patients with AD are effective to influence and to control the stress. However, studies show benefits for other variables such as self-efficacy and confidence in relation to care... (Complete abstract click electronic access below)

Emoção e afetividade na aprendizagem: breve revisão bibliográfica

This work has as its theme the role of emotions and affectivity in learning, particularly in science learning, being developed from a literature review. We start from the idea that learning occurs through changes in the neural networks of each individual and that these changes are caused by a combination of genetic and biological factors also influenced by emotions and affectivity. We seek information on the functioning of the human brain, highlighting the neuroanatomy and neurocognition, to understand how the brain processes information, including the feelings and emotions experienced by the individual. Once we try to understand which roles are assigned to the feelings and emotions in different learning theories, emphasizing the cognitive and humanistic theories. Finally, we found some more recent contributions to the understanding of the learning process, to the field of neuroscience. We were led to conclude that there is great scope for research in applied neuroscience to education, since the work, especially in the national literature are still scarce

Pressão arterial em cães: uma revisão

The evaluation of blood pressure is an essential tool for veterinarian clinical practice and for monitoring anesthetized patients or patients in intensive care, because of its usefulness in diagnostics, treatment and monitoring of several diseases. Apart from the pathological factor, the blood pressure also suffers the influence of different variables, such as age, breed, gender, temperament (anxiety and stress especially during the treatment, “white coat syndrome”), disease state, physical activity and, with lower intensity, animal’s diet. One of the main indications of the evaluation of blood pressure is the observation of clinical changes resulting from hypertension in animals, which one is characterized by lesions in the nervous and cardiovascular systems, kidneys and eyes. Not least important, the evaluation of blood pressure is also essential in hypotensive states, which represent an imminent risk of death. The techniques used in measuring blood pressure correspond to invasive forms (direct) or non invasive (indirect), whose correlation has been the subject of study and improvement within the small animal clinic. Thus, the purpose of this review is emphasize the importance of measuring blood pressure within the veterinary clinic routine, studying the influence of variables associated or not with elevated blood pressure, comparing the different methods used to obtain the blood pressure

Enfermagem e o gerenciamento de custos: revisão sistemática nacional e internacional

Objectives: conduct a systematic review of national and international literature, to classify the types of production, comparing the two literatures and synthesize knowledge in the area. Method: Systematic Review of Literature, in the databases LILACS, CINAHL and MEDLINE for selection of articles in their entirety, the data extracted from the articles selected were: the study of bibliographic information (title, author, journal, place of study and year of publication), and general information (multidisciplinary production or specific area, language, type of study, type of population and contributions of the study). The categories established for classification of publications were: raising the cost of procedures/ interventions, economic evaluation of specific intervention, inclusion of nursing in the economic context, using cost as an important variable in the study. Results: The study included 39 publications, with 31% of national production and the remaining 69%, internationally. Most publications were classified according to category of economic evaluation of specific intervention, followed by the category of raising the cost of procedure / intervention, which fits the majority of national production. Human resources is shaped as an important variable for obtaining cost studies that proposed to make this calculation. Conclusion: The production of literature in nursing cost management is relevant in number of publications within the proposed period and is directed to different areas within this theme. There are significant differences in national and international literature: these last use more accurate methods, have more content theorized, use more the economic evaluation tools and related more costs with a amplified context. The production of such knowledge should continue as far as possible and putting that knowledge relating the current reality, in order to amplify the field of nursing and add value