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Experience of more than 3000 cycles of Brazilian women using the contraceptive vaginal ring (nuvaring<sup>®</sup>)

Open Journal of Obstetrics and Gynecology 2014年第1期4卷 10-15页

作者： denise leite maia monteiro Ricardo Vasconcelos Bruno Zuleide A. F. Cabral Célia Regina da Silva Danielle Bittencourt Sodré Barmpas Nádia Cristina Pinheiro Rodrigues Gynecology and Obstetrics Department Universidade do Estado do Rio de Janeiro (UERJ) Rio de Janeiro Brazil Gynecology and Obstetrics Department Universidade Federal de Mato Grosso (UFMT) Cuiabá Brazil Obstetrics Department Maternidade Escola Universidade Federal do Rio de Janeiro (ME-UFRJ) Rio de Janeiro Brazil Ongoing MSc at UERJ Rio de Janeiro Brazil Public Health Researcher of Instituto Oswaldo Cruz (FIOCRUZ)/Universidade do Estado do Rio de Janeiro (UERJ) Rio de Janeiro Brazil Reproduction Department Institutode Ginecologia Universidade Federal do Rio de Janeiro (UFRJ) Rio de Janeiro Brazil

Objective: To evaluate the profile of the Brazilianvaginal ring user, reasons for choosing it, satisfaction, menstrual pattern, tolerability, efficacy, side effects and reasons for discontinuation. Methods: We reviewed the files of 148 users who attended the Hospital de Jacarepaguáand private clinics, between 2005 and 2011, in a total of 3107 cycles. Kaplan-Meier survival curves and regression models were used in statistical analysis. Results: The profile was: single, nulligravida, 30 years (mean) and with university education. The previous contraception used was mostly the oral hormonal contraception (75.7%). Women chose the ring for: practicality (32.4%), forgetting the pill (32.4%) and irregular vaginal bleeding (13.5%). The satisfaction degree was 80.5% (119). There were good cycle control and no pregnancies. Thirty-eight patients discontinued the use (25.7%). The main reasons were wish for pregnancy (6%), spotting (3.4%) and increased vaginal discharge (2.7%). At the end of the first year, use of the greatest reduction of continuity probability was observed (19.3%). Women with side effects were 68% less likely to be satisfied with the method than those without (p-value Conclusion: Nuvaring®is an excellent contraceptiveoption due to its sefficacy, cycle control, tolerability, practicality and safety.

关键词： Vaginal Ring Hormonal Contraception Efficacy Tolerability

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Phytochemical Analysis and Antifungal Activity of Extracts from Leaves and Fruit Residues of Brazilian Savanna Plants Aiming Its Use as Safe Fungicides

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Natural Products and Bioprospecting 2016年第4期6卷 195-204页

作者： Caroline Alves Breda Alessandra Marcon Gasperini Vera Lucia Garcia Karin maia monteiro Giovana Anceski Bataglion Marcos Nogueira Eberlin Marta Cristina Teixeira Duarte School of Food Engineering State University of CampinasUNICAMPMonteiro Lobato Street80BaraōGeraldoCampinasSaōPaulo 13083-862Brazil Microbiology Division of Research Center for Chemistry Biology and Agriculture–CPQBAUniversity of CampinasUNICAMPAlexandre Cazelatto Street999BetelPaulı´niaSaöPaulo 13148-218Brazil Organic Chemistry and Pharmaceutical Division of Research Center for Chemistry Biology and Agriculture–CPQBAUniversity of CampinasUNICAMPAlexandre Cazelatto Street999BetelPaulíniaSaöPaulo 13148-218Brazil Pharmacology and Toxicology Division of Research Center for Chemistry Biology and Agriculture–CPQBAUniversity of CampinasUNICAMPAlexandre Cazelatto Street999BetelPaulíniaSaöPaulo 13148-218Brazil ThoMSon Mass Spectrometry Laboratory Institute of ChemistryState University of CampinasUNICAMPCampinasSaōPaulo 13084-971Brazil

The increasing demand for safe food without preservatives or pesticides residues has encouraged several studies on natural products with antifungal activity and low *** this study,ethanolic extracts from leaves and fruit residues(peel and seeds)of three Brazilian savanna species(Acrocomia aculeata,Campomanesia adamantium and Caryocar brasiliense)were evaluated against phytopathogenic ***,the most active extract was chemically characterized by ESI-MS and its oral acute toxicity was *** from ***(pequi)peel and leaves were active against Alternaria alternata,Alternaria solani and Venturia pirina with minimal inhibitory concentrations between 350 and 1000 lg/*** incorporated in solid media,these extracts extended the lag phase of *** and *** and reduced the growth rate of *** peel extract showed better antifungal activity and their ESI-MS analysis revealed the presence of substances widely reported as antifungal such as gallic acid,quinic acid,ellagic acid,glucogalin and *** oral acute toxicity was relatively low,being considered safe for use as a potential natural fungicide.

关键词： Brazilian savanna fruits Residues Natural fungicides Phytopathogens

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Enterobacteria and Vibrio from Macrobrachium amazonicum prawn farming in Fortaleza,Ceará,Brazil

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Asian Pacific Journal of Tropical Medicine 2016年第1期9卷 24-28页

作者： Débora de Souza Collares maia Castelo-Branco Jamille Alencar Sales Raimunda Samia Nogueira Brilhante Glaucia Morgana de Melo Guedes Yago Brito de Ponte Celia Maria de Souza Sampaio Tereza de Jesus Pinheiro Gomes Bandeira José Luciano Bezerra Moreira Lucas Pereira de Alencar Manoel de Araújo Neto Paiva Rossana de Aguiar Cordeiro André Jalles monteiro Waldemiro de Aquino Pereira-Neto José Júlio Costa Sidrim Marcos Fábio Gadelha Rocha Department of Pathology and Legal Medicine Postgraduate Program in Medical MicrobiologySpecialized Medical Mycology CenterFederal University of Ceará School of Veterinary Medicine Postgraduate Program in Veterinary SciencesState University of Ceará Department of Statistics and Applied Mathematics Federal University of Ceará

Objective:To investigate the isolation of enterobacteria associated with Macrobrachium amazonicum(***) farming and evaluate the in vitro antimicrobial susceptibility of Vibrio ***:Strains were isolated from female *** prawns and environmental and hatchery *** assays were used to identify bacterial genera and those belonging to the genus Vibrio were submitted to further analyses for species identification,through Vitek 2 automated system and *** test was performed according to Clinical Laboratory Standards ***:The following genera of enlerobacteria were recovered:Enterobacter(n=11),Citrobacter(n=10),Proteus(n=2),Serratia(n=2),Kluyvera(n=2),Providencia(n=2),Cedecea(n=1),Escherichia(n=1).Edwardsiella(n=1) and BulliauxeUa(n=1).As for Vibrio,three species were identified:Vibrio cholerae non-O1/non-O139(n=4).Vibrio vulnificus(***)(n=1) and Vibrio mimicus(n=1).Vibrio *** minimum inhibitory concentrations values within the susceptibility range established by Clinical Laboratory Standards Institute for almost all antibiotics,except for ***,which presented intermediate profile to ***:Enterobacteria do not seem to be the most important pathogens associated with *** farming,whereas the recovery of Vibrio *** larviculture,with emphasis on Vibrio cholerae and ***,deserves special attention due to their role as potentially zoonotic aquaculture-associated ***,the intermediate susceptibility of *** to ampicillin reflects the importance of monitoring drug use in prawn farming.

关键词： Prawn Water Enterobacteria Vibrio Antibiotics

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Urinary Incontinence in Pregnant Women: Integrative Review

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Open Journal of Nursing 2016年第3期6卷 229-238页

作者： Eveliny Silva Martins Ana Karina Bezerra Pinheiro Priscila de Souza Aquino Mônica Oliveira Batista Oriá Régia Christina Moura Barbosa Castro Diego Jorge maia Lima Karízia Vilanova Andrade Carla Suellen Pires de Sousa Sâmia monteiro Holanda Department of Nursing Federal University of Ceará Fortaleza Brazil Department of Nursing State University of Ceará Fortaleza Brazil

Objective: To characterize the scientific production related to the impact of urinary incontinence on quality of life of pregnant women. Method: An integrative review carried out from September 2014 to May 2015. The search was conducted in six databases, and a final sample of seventeen publications was presented. The data were presented in tables. Results: Incontinence related factors are: Being older, second pregnancy, multiparity, constipation, smoking, and obesity. Stress incontinence is the most occurring in pregnant women, causing an adverse impact on quality of life. Discussion: It is for health professionals who try to create effective coping strategies for minimizing consequences generated by the accidental loss of urine. Conclusion: Urinary incontinence affects the mother’s life, resulting in social, behavioral, physical and emotional harm, taking this woman to be excluded from society and feel insecure about their health.

关键词： Urinary Incontinence Quality of Life Pregnant Women

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Neurological and behavioral manifestations of cerebral malaria:An update

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World Journal of Translational Medicine 2014年第1期3卷 9-16页

作者： Marta Chagas monteiro Fabio Rodrigues Oliveira Gedeo Batista Oliveira Pedro Roosevelt Torres Romo Cristiane Socorro Ferraz maia Programa de Pós-Gradua??o em Ciências Farmacêuticas Instituto de Ciências da Sau?deUniversidade Federal do ParáRua Augusto CorrêaCampus Universitário do GuamáBelémPA 66075900Brazil Program in Pharmaceutical Sciences Faculty of Pharmacy Laboratory of inflammation and behavior Federal University of Pará/UFPABelémPA 66075900Brazil Programa de Pós-Gradua??o em Ciências da Saúde Universidade Federal de Ciências da Saúde de Porto AlegrePorto AlegreRS 90050170 Brazil

Neglected tropical diseases are a group of tropical diseases endemic in poor countries even though medical treatment and cures are available. They are considered a global health problem due to the severity of the physiological changes they induce in their hosts. Malaria is a disease caused by Plasmodium sp. that in its cerebral form may lead to acute or long-term neurological deficits, even with effective antimalarial therapy, causing vascular obstruction, reduced cerebral blood flow and many other changes. However, Plasmodium falciparum infection can also develop into a cerebral malaria(CM) disease that can produce neurological damage. This review will discuss the mechanisms involved in the neuropathology caused by CM, focusing on alterations in cognitive, behavior and neurological functions in human and experimental models.

关键词： Malaria Cerebral malaria Neuropathology Plasmodium sp Plasmodium falciparum

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