Assessment of the tolerability and cycle control of two low-dose oral contraceptives: an open-label study

An open-label comparative study was conducted in nine centers in Brazil to evaluate the tolerability and cycle control of two low-dose oral contraceptives containing 20 mg ethynylestradiol/75 mg gestodene and 20 mg ethynylestradiol/150 mg desogestrel, during six treatment cycles. A total of 167 healthy sexually active women were enrolled (77 in the gestodene group and 90 in the desogestrel group) and 138 completed the six-cycle treatment period. A lipid and hemostatic profile was performed for a subgroup of first users. A total of 867 cycles were evaluated. Irregular bleeding did not occur in 95.4% of the cycles evaluated with gestodene and in 91.9% with desogestrel. Tolerability was good with both preparations but there was significantly more nausea in the desogestrel group. Cycle control was good with both preparations with a significantly lower incidence of irregular bleeding with gestodene when all cycles were considered. There were no clinically significant changes in the hemostatic profile. Lipid profile showed a trend to be more favorable after six cycles of treatment with both preparations. Women in the gestodene group did not present changes in the mean weight; in the desogestrel group there was a significant mean weight increase of 1 kg after six cycles of treatment. Compliance with treatment was good with both preparations. Results of this study demonstrated that low-dose preparations containing gestodene or desogestrel combined with 20 mg of ethynylestradiol are well-tolerated oral contraceptives that provide good cycle control.Realizou-se um estudo aberto comparativo em nove centros brasileiros para avaliar a tolerabilidade e o controle de ciclo obtido com o uso de dois contraceptivos orais de baixa dose contendo 20 mg etinilestradiol/75 mg gestodeno e 20 mg etinilestradiol/150 mg desogestrel, durante seis ciclos de tratamento. Foram selecionadas 167 mulheres saudáveis com vida sexual ativa (77 no grupo do gestodeno e 90 no grupo do desogestrel), das quais 138 completaram os seis ciclos de tratamento. Em um subgrupo de novas usuárias realizou-se também perfil lipídico e hemostático. Foram avaliados 867 ciclos no total. Ocorreu sangramento irregular em 4,6% dos ciclos com gestodeno e em 8,1% com desogestrel. A tolerabilidade a ambas preparações foi boa, mas houve significativamente mais náusea no grupo do desogestrel. O controle de ciclo foi bom com os dois contraceptivos, sendo que houve freqüência significativamente menor de sangramento irregular no grupo do gestodeno quando se leva em conta que todos os ciclos foram considerados. Não houve alterações clinicamente significativas no perfil hemostático. O perfil lipídico mostrou tendência a tornar-se mais favorável após seis ciclos de tratamento com as duas preparações. Não ocorreu alteração no peso médio das mulheres no grupo do gestodeno; no grupo do desogestrel houve aumento significativo no peso médio de aproximadamente 1 kg após seis meses de tratamento. A adesão ao tratamento foi boa com as duas preparações. Os resultados deste estudo mostram que preparações contendo baixa dose de gestodeno ou desogestrel associados a 20 mg de etinilestradiol são contraceptivos bem tolerados que permitem bom controle de ciclo, sem efeitos colaterais significantes.Universidade Federal de São Paulo (UNIFESP) Escola Paulista de MedicinaUniversidade Federal da Bahia Faculdade de MedicinaSecretaria Estadual de Saúde de Goiás Hospital Materno-InfantilUniversidade Federal do Ceará Faculdade de MedicinaUniversidade de São Paulo Faculdade de MedicinaFaculdade de Ciências Médicas do Espírito SantoUniversidade Federal do Pará Faculdade de MedicinaUniversidade Federal do Pernambuco Faculdade de MedicinaUniversidade Federal da Paraíba Faculdade de MedicinaUNIFESP, EPMSciEL

Nutritional Efficiency of Forest Species in Natural Regeneration of Tropical Forest in Brazil

The knowledge of the nutritional aspects of native species, mainly in natural regeneration, may be important for understanding their establishment, particularly in areas with low nutrient availability soils, such as tropical soils. This study aimed to determine the biological utilization efficiency (BUE) of the nutrients N, P, K, Ca, and Mg of forest species of natural regeneration in a Lowlands Dense Ombrophilous forest fragment in Pernambuco, Brazil. A phytosociological study of the fragment was carried out and were defined the ten species with the highest absolute density (AD). Three individuals per species were selected. The N, P, K, Ca, and Mg contents were determined in the sample leaves of the species, and the foliar biomass was determined “in loco”. Nine individuals of each species were collected according to the following diameter intervals at the base (DBs): DBsMg>K>Ca>N. The highest BUE of nutrients was of the species Protium heptaphyllum. In tropical soils of low natural fertility, the use of these species can be recommended in environmental reforestation projects. The difference in the nutritional demand of the forest species can indicate the planting of those with greater capacity of absorption and BUE of nutrients, being more efficient in areas of soils with low natural fertility like in the tropical forests