CUIDADO FARMACÊUTICO AO PACIENTE PORTADOR DE DOENÇA HEPÁTICA GORDUROSA NÃO ALCOÓLICA

O fácil acesso ao consumo alimentício não designa necessariamente uma dieta adequada da população, que ao se tornar inadequada em excesso pode causar distúrbios patológicos gastrointestinais como a obesidade, podendo ser sequenciada por alterações morfológicas e doenças crônicas, sendo uma delas a Esteatose Hepática ou Doença Hepática Gordurosa Não Alcoólica (DHGNA). O seguinte trabalho tem como objetivo aplicar o cuidado farmacêutico ao paciente portador de DHGNA. Remete-se a um estudo de caso do tipo descritivo, realizado com paciente do sexo feminino, residente da cidade de Quixadá-CE, com dados coletados através de variáveis e acompanhamento para complementação do estudo, posteriormente ocorreu a complementação do trabalho através de pesquisas bibliográficas realizadas nas bases BVS, Scielo e Google Acadêmico. Foram obedecidos os aspectos éticos exigidos na Resolução 466/12, mediante assinatura do Termo de Consentimento Livre e Esclarecido (TCLE).  Por fim, após a intervenção medicamentosa e nutricional, foi possível observar uma melhoria na manutenção da dignidade e prolongamento do tempo de vida da paciente, proporcionando o mínimo de sofrimento. O presente trabalho reforça o papel do farmacêutico visando a boa evolução do paciente, a otimização da terapia, a implementação dos cuidados e orientação correta quanto ao estado e a terapia requerida.

Approaches in biotechnological applications of natural polymers

Natural polymers, such as gums and mucilage, are biocompatible, cheap, easily available and non-toxic materials of native origin. These polymers are increasingly preferred over synthetic materials for industrial applications due to their intrinsic properties, as well as they are considered alternative sources of raw materials since they present characteristics of sustainability, biodegradability and biosafety. As definition, gums and mucilages are polysaccharides or complex carbohydrates consisting of one or more monosaccharides or their derivatives linked in bewildering variety of linkages and structures. Natural gums are considered polysaccharides naturally occurring in varieties of plant seeds and exudates, tree or shrub exudates, seaweed extracts, fungi, bacteria, and animal sources. Water-soluble gums, also known as hydrocolloids, are considered exudates and are pathological products; therefore, they do not form a part of cell wall. On the other hand, mucilages are part of cell and physiological products. It is important to highlight that gums represent the largest amounts of polymer materials derived from plants. Gums have enormously large and broad applications in both food and non-food industries, being commonly used as thickening, binding, emulsifying, suspending, stabilizing agents and matrices for drug release in pharmaceutical and cosmetic industries. In the food industry, their gelling properties and the ability to mold edible films and coatings are extensively studied. The use of gums depends on the intrinsic properties that they provide, often at costs below those of synthetic polymers. For upgrading the value of gums, they are being processed into various forms, including the most recent nanomaterials, for various biotechnological applications. Thus, the main natural polymers including galactomannans, cellulose, chitin, agar, carrageenan, alginate, cashew gum, pectin and starch, in addition to the current researches about them are reviewed in this article.. }To the Conselho Nacional de Desenvolvimento Cientfíico e Tecnológico (CNPq) for fellowships (LCBBC and MGCC) and the Coordenação de Aperfeiçoamento de Pessoal de Nvíel Superior (CAPES) (PBSA). This study was supported by the Portuguese Foundation for Science and Technology (FCT) under the scope of the strategic funding of UID/BIO/04469/2013 unit, the Project RECI/BBB-EBI/0179/2012 (FCOMP-01-0124-FEDER-027462) and COMPETE 2020 (POCI-01-0145-FEDER-006684) (JAT)

Measurement of the total activity concentrations of Libyan oil scale

Twenty-three oil scale samples obtained from the Libyan oil and gas industry production facilities onshore have been measured using high-resolution gamma-ray spectrometry with a shielded HPGe detector, the work being carried out within the Environmental Radioactivity Laboratory at the University of Surrey. The main objectives of this work were to determine the extent to which the predominant radionuclides associated with the uranium and thorium natural decay chains were in secular equilibrium with their decay progeny, also to compare differences between the total activity concentrations (TAC) in secular equilibrium and disequilibrium and to evaluate the measured activities for the predominant gamma-ray emitting decay radionuclides within the 232Th and 238U chains. The oil scale NORM samples did not exhibit radioactive equilibrium between the decay progeny and longer-lived parent radionuclides of the 238U and 232Th series

Measurement of the total activity concentrations of Libyan oil scale

Twenty-three oil scale samples obtained from the Libyan oil and gas industry production facilities onshore have been measured using high-resolution gamma-ray spectrometry with a shielded HPGe detector, the work being carried out within the Environmental Radioactivity Laboratory at the University of Surrey. The main objectives of this work were to determine the extent to which the predominant radionuclides associated with the uranium and thorium natural decay chains were in secular equilibrium with their decay progeny, also to compare differences between the total activity concentrations (TAC) in secular equilibrium and disequilibrium and to evaluate the measured activities for the predominant gamma-ray emitting decay radionuclides within the 232Th and 238U chains. The oil scale NORM samples did not exhibit radioactive equilibrium between the decay progeny and longer-lived parent radionuclides of the 238U and 232Th series

Impacto da intubação orotraqueal na deglutição do indivíduo pós-acidente vascular encefálico após cirurgia cardíaca

OBJETIVO:associar o grau de disfagia orofaríngea e o tempo de intubação orotraqueal no indivíduo pós-acidente vascular encefálico após cirurgia cardíaca.MÉTODOS:estudo clínico transversal descritivo, retrospectivo, realizado por meio da coleta de dados de protocolos e registros de prontuário, durante seis meses, em Hospital Público de Referência em Cardiologia. Foram analisados 25 protocolos e prontuários de indivíduos submetidos à cirurgia cardíaca, que evoluíram com acidente vascular encefálico e foram assistidos pela equipe de Fonoaudiologia. Os indivíduos foram divididos em dois grupos. O Grupo I (GI) constou de 10 indivíduos com intubação orotraqueal menor que 24 horas e o Grupo II (GII) de 15 indivíduos com intubação orotraqueal maior que 24 horas. Realizada avaliação clínica da deglutição e analisada a associação entre a classificação clínica do grau de comprometimento para disfagia e o tempo de intubação orotraqueal.RESULTADOS:verificou-se que no GI 40% apresentaram disfagia leve, 30% moderada e 20% grave. No GII 13,3% apresentaram disfagia leve, 33,3% moderada e 53,33% grave. Verificou-se associação linear significante entre o grau de disfagia e o tempo de IOT (p= 0,031), indicando que o número de indivíduos com disfagia moderada e grave foi maior no grupo com mais tempo de intubaçao.CONCLUSÕES:constatou-se que o tempo de intubação orotraqueal maior que 24 horas aumentou o grau da disfagia orofaríngea nesta população

Molecular characterization of the hepatitis B virus in autochthonous and endogenous populations in the Western Brazilian Amazon

INTRODUCTION: Hepatitis B virus (HBV) infection is a serious public health issue worldwide. Hepatitis B virus is classified into eight genotypes, varying from A to H, with distinct geographical distributions. In Brazil, the most frequent genotypes are A, D, and F. METHODS: This study aimed to characterize the HBV genotypes in cases of hepatitis B virus and hepatitis D virus (HDV) co-infections in an endemic area in the Western Brazilian Amazon. We analyzed 86 serum samples reactive for HBsAg from indigenous and non-indigenous populations obtained from previous serological surveys. RESULTS: Of the 86 reactive serum samples, 39 were found to be HBV-DNA-positive by semi-nested PCR. The genotypes were established by sequencing the amplified S gene region. We obtained 20 sequences classified into three genotypes: A, D, and F. Genotype A was the most frequent (60%), followed by D (35%) and F (5%). CONCLUSIONS: The distribution of the HBV genotypes reflected the pattern of historical occupation of the region

Chronic hepatitis B and D: prognosis according to Child-Pugh score

Objective: compare chronic hepatitis B patients to those superinfected with hepatitis D virus, according to Child-Pugh score regarding disease severity. Method: retrospective descriptive study, performed with 59 patients followed in the ambulatory, of which 22 (37.3%) were chronically infected with hepatitis B virus (Group HBV) and 37 (62.7%) superinfected with Delta virus (Group HBV+HDV)variables of sex, age and items of Child-Pugh score were collected by consulting medical records. Results: out of the patients, 57.6% were male, with a mean age of 30.5 years. Score A, which indicates lesser severity, was found in 100% of group HBV and 78.4% of group HBV+HDV. Score B, which indicates greater severity, was found only in group HBV+HDV in 21.6% of the patients. Conclusion: by means of the Child-Pugh score, it was observed that patients with superinfection by HDV tended to present a worse prognosis.Objetivo: comparar os pacientes com hepatite B crônica com superinfectados pelo vírus D segundo escore de Child-Pugh quanto à gravidade da doença. Método: estudo descritivo retrospectivo, realizado com 59 pacientes acompanhados em ambulatório, sendo 22 (37,3%) cronicamente infectados pelo vírus da hepatite B (Grupo VHB) e 37 (62,7%) com superinfecção por vírus Delta (Grupo VHB+VHD); foram coletadas variáveis quanto ao sexo, idade e referentes ao escore de Child-Pugh por meio de consulta a prontuários. Resultados: entre os pacientes 57,6% era do sexo masculino, com idade média de 30,5 anos. O escore A, que indica menor gravidade, foi encontrado em 100% do grupo VHB e 78,4% do grupo VHB+VHD. O escore B, que indica maior gravidade, foi encontrado apenas no grupo VHB+VHD em 21,6% dos pacientes. Conclusão: por meio do escore de Child-Pugh, observou-se que os pacientes com superinfecção por VHD tendem a apresentar pior prognóstico.Univ Fed Sao Paulo, Paulista Nursing Sch, Postgrad Program Nursing, Sao Paulo, BrazilUniv Fed Acre, Multidisciplinary Ctr Cruzeiro Do Sul, Cruzeiro Do Sul, Acre, BrazilUniv Fed Acre, Ctr Hlth & Sports Sci, Rio Branco, Acre, BrazilUniv Fed Sao Paulo, Paulista Nursing Sch, Dept Collect Hlth Nursing, Sao Paulo, BrazilUniv Fed Sao Paulo, Paulista Nursing Sch, Dept Clin & Surg Nursing, Sao Paulo, BrazilUniv Fed Sao Paulo, Paulista Nursing Sch, Postgrad Program Nursing, Sao Paulo, BrazilUniv Fed Sao Paulo, Paulista Nursing Sch, Dept Collect Hlth Nursing, Sao Paulo, BrazilUniv Fed Sao Paulo, Paulista Nursing Sch, Dept Clin & Surg Nursing, Sao Paulo, BrazilWeb of Scienc