RESUMO Objetivo Descrever as características audiológicas e o tipo de intervenção tomada em casos de perda auditiva unilateral em crianças e adolescentes e analisar correlações entre o grau da deficiência auditiva, a indicação e o uso de auxiliares de audição. Método Estudo observacional, descritivo e retrospectivo, realizado com informações dos prontuários de 34 crianças e adolescentes com perda auditiva unilateral, atendidos em dois serviços de reabilitação auditiva de média complexidade, no período de 2016 a 2019. Realizou-se a análise estatística descritiva e inferencial dos dados. Resultados Predomínio de perda auditiva unilateral do tipo neurossensorial, de grau profundo à direita, pré-lingual com 20,6% de malformações. A intervenção mais adotada foi a indicação de prótese auditiva, porém o uso é baixo, independente do grau da perda. Houve associação entre o grau da perda auditiva e a decisão dos profissionais em indicar o uso dos dispositivos. Conclusão A indicação de próteses auditivas é a mais frequente e esta decisão é influenciada pelo grau da perda auditiva, sendo os aparelhos auditivos indicados para as perdas leves a severas, com uma maior divergência de condutas para as perdas profundas.

ABSTRACT Purpose To describe the audiological characteristics and the type of intervention chosen on unilateral hearing loss cases in children and adolescents as well as to analyze correlations between the degree of hearing loss, the indication and the use of electronic devices. Methods Observational, descriptive and retrospective study, carried out with information of 34 medical records from children and adolescents with unilateral hearing loss, assessed by two auditory rehabilitation services of medium complexity, throughout 2016 to 2019. Descriptive and Inferential statistical analysis were performed with the data. Results A predominance of profound sensorineural unilateral hearing loss in the right ear, of pre-lingual character, with 20.6% of malformations. The most adopted intervention was the hearing aid indication, although its use is low, regardless of the degree of the hearing loss. An association was found between the degree of the hearing loss and the healthcare professionals in indicating the use of the devices. Conclusion The indication of hearing aids is the most frequent and this decision is influenced by the degree of the hearing loss, in which the devices are mostly indicated for mild to severe losses, with bigger divergence of conduct for profound hearing losses.

The aim of this study was to determine the chemical variability of Allamanda cathartica flowers collected in different localities of Santa Catarina State, Brazil. Extractive solutions (25 samples) were analyzed by HPLC-DAD for the qualitative and quantitative profiles of the iridoid plumieride, the flavonoid rutin as well as total flavonoid content expressed in rutin. The chemical variability was evaluated by Principal Component Analysis (PCA) and Hierarchical Clustering Analysis (HCA). The samples demonstrated similar chromatographic profiles. In PCA analysis, Araquari samples AC01, AC08 and AC25 did not group with other samples obtained from other locations. In the HCA analysis, it was possible to observe hierarchially similar groups, generating 5 clusters. Group 5 (samples AC01, AC08 and AC25) presented lower similarity compared to the other groups. This dissimilarity can be explained by the amount of metabolites from each collection. Regarding the content of markers, it was observed a variation between 27 to 230 mg/g, 2.7 to 9.5 mg/g and 7.14 to 17.8 mg/g for plumieride, rutin, and total flavonoids, respectively. The samples from Araquari (AC01, AC08, AC25) presented the highest concentrations of chemical markers. Therefore, for reproducibility and standardization of A. cathartica flower extracts, it is important to determine the location and the plant cultivation conditions.

Resumo Objetivo: Verificar a presença das células-tronco mesenquimais (MSC) na área próxima ao nervo óptico de coelhos previamente lesado com álcool absoluto. Métodos: Os 12 coelhos da raça Nova Zelândia foram distribuídos em 2 lotes. Após sedação, cada olho do animal recebeu uma injeção retrobulbar de 1 ml de álcool absoluto em um dos olhos e de 1 ml de solução fisiológica 0,9% (SF) no olho contralateral. Após 15 dias deste procedimento inicial todos os olhos dos animais pertencentes ao lote A, receberam via retrobulbar, uma solução contendo MSC de tecido adiposo humano e previamente marcadas com Qdots,. Todos os olhos dos animais do lote B receberam solução PBS. Resultados: Após 15 dias desta última aplicação os animais foram sacrificados e as lâminas foram analisadas. A presença das MSC foi observada em 100% dos olhos dos animais do lote A. Conclusão: Os resultados sugerem que a marcação prévia das MSC com Qdots permitiu o acompanhamento das mesmas na região aplicada e em áreas mais internas do nervo óptico. A permanência de MSC após 15 dias de aplicação ao redor do nervo óptico sugere a viabilidade e possível participação das mesmas no processo de regeneração do tecido lesado. Nas condições deste estudo, a via de aplicação retrobulbar permitiu a mobilização das células tronco do local de aplicação até áreas centrais dos nervos ópticos nos animais do lote A, sugerindo que esta poderá ser uma via de acesso eficaz para as MSC no processo de regeneração de neuropatias ópticas.

Abstract Obtective: To verify the presence of mesenchymal stem cells (MSC) in the area close to the optic nerve of previously injured with absolute alcohol. Methods: Twelve New Zealand breed rabbits were divided into two groups, and after sedation, each eye of the animal received a retrobulbar injection of 1 ml of absolute ethanol in one eye, and 1 ml of physiological solution 0.9 % (PS) in the contralateral eye. After 15 days all eyes of animals belonging to group A, received via retrobulbar a solution containing MSCs from human adipose tissue (AT) and previously marked with Qdots, while all eyes of animals from group B received solution containing PBS. Results: The presence of MSC was observed in 100% of the eyes of the animals of group A and the more central areas near and into the optic nerve. Conclusion: The results suggest that the appointment of MSC with Qdots allowed their follow-up applied in the region and in the inner areas of the optic nerve. The MSC permanence after 15 days of application around the optic nerve suggests the feasibility and possible involvement of the same during the damaged tissue regeneration process. Under the conditions of this study, the route of retrobulbar application and the presence of the stem cells to the central areas of the optic nerves in animals of group A, suggests that this might be an effective approach for MSCs in regeneration process of optic neuropathies.

Abstract Solvents play important and critical role in natural product chemistry and could generate artefacts during the extraction and purification of metabolites from a biological matrix. This study aimed to correlate the chromatographic profile with biological activity of Ipomoea pes-caprae (L.) R. Br., Convolvulaceae, extracts obtained with hydroethanolic extraction. Thus, aerial parts of I. pes-caprae were extracted with different concentration of ethanol (50, 70 and 90°GL) and the obtained extracts were analysed by HPLC–UV. HPLC data were studied employing chemometrics to discriminate the samples. Moreover these samples were further characterized by using UPLC–QTOF/MS data. The extracts were also biomonitored through the paw-oedema and spontaneous nociception induced by trypsin in mice. Different chromatographic profiles were obtained and the exploratory analysis clearly revealed higher level of ethyl caffeate in extracts of lower strength of ethanol (50°GL). This compound was suggested to be an artefact formed by transesterification of caffeoylquinic acid derivatives present in the plant, once it was not observed when other solvents were employed. During the biological assay, only the extract obtained with ethanol 50°GL presented significant inhibition of inflammation (45 ± 9%) and nociception (24 ± 3%). Ethyl caffeate seems to be linked to the anti-inflammatory effect since it reduced 86 ± 5% of paw-oedema induced by trypsin. Artefacts could contribute to the biological activity of herbal preparations and consequently lead to misinterpretation of the results.

A simple and efficient microwave-assisted extraction process has been developed in order to extract plumieride from Allamanda cathartica flowers. The extracts have been obtained through microwave-assisted extraction (MAE) process with ethanol and ethyl acetate at different time, power and temperatures. Static maceration at room temperature with ethanol and ethyl acetate was obtained in order to compare the efficiency of extraction. HPLC method was validated to quantify plumieride in the extracts. The analyzed parameters: linearity (R2 = 0.999), precision (CV 3.3%), recovery (98%), specificity (97%), limit of detection (1 µg mL-1), and limit of quantification (2 µg mL-1) were satisfactory. The yield of plumieride reached 43% in the extracts under the optimal MAE conditions (10 min, 300W). Plumieride recoveries by conventional extraction method were 12% with ethanol and 22% with ethyl acetate. Time and power parameters on plumieride extraction yield was determined by applying a factorial design and surface plots. Ethanol was the best extractor solvent and it was possible to obtain high contents (52 mg g-1 of dry flowers) at optimized conditions. It can be concluded that MAE process has actual advantages over the conventional extraction method in terms of shorter time and higher efficiency to recover plumieride from A. cathartica flowers.

Abstract The essential oil of Chenopodium ambrosioides L., Amaranthaceae, was obtained by steam distillation in a Clevenger apparatus and characterization was performed using chromatographic and spectroscopic assays (GC-FID, GC/MS, 1H NMR). Two major compounds were identified: p-cymene (42.32%) and ascaridole (49.77%). The ethanolic extract and hydrolate were fractionated by liquid–liquid partitioning and the compounds were characterized by GC/MS. The essential oil, ethanol extract and fractions by partitioning with dicloromethane, ethyl acetate and butanol were tested in tumor cell lines (K562, NALM6, B15, and RAJI). Significant cytotoxic activity was found for essential oil (IC50 = 1.0 µg/ml) for RAJI cells and fraction dicloromethane (IC50 = 34.0 µg/ml) and ethanol extract (IC50 = 47.0 µg/ml) for K562 cells. The activity of the essential oil of C. ambrosioides is probably related to the large amount of ascaridol, since the other major compound, p-cymene, is recognized as a potent anti-inflammatory and has low cytotoxic activity.

The aim of this research was to evaluate the fractions obtained from the leaf, stem and roots of Allamanda schottii Pohl, Apocynaceae, responsible for the cytotoxicity, using several cell lines. Cytotoxicity was correlated with the season the part of the plant, and the major compounds were assessed. The ethanol extracts of leaves, stems and roots obtained at different seasons were evaluated in the human erythromyeloblastoid leukemia cell line (K562). Subsequently the ethanol extracts and dichloromethane fractions collected in winter were evaluated in mouse fibroblast cell line (Mus musculus) (L929), cervix adenocarcinoma (HeLa), human pre-B leukemia (Nalm6), as well as K562 cell line. The compounds plumericin, plumieride and ursolic acid isolated from ethanol extracts of the stems were evaluated in the same cell lines, as well as on breast adenocarcinoma cell line (MCF-7), and Mus musculus skin melanoma cell line (B16F10). The chromatographic profiles of the dichloromethane fractions were obtained by high performance liquid chromatography. The results revealed that the season during which A. schottii was collected, and the part of the plant analyzed, influence the cytotoxicity on the K562 cells tested. On the other hand the dichloromethane fractions, mainly from the stems and roots, are responsible for the cytoxicity on the cells tested. These results may be associated with the seasonal variation of plumericin in these parts of the plant. This information is in accordance with the HPLC analysis. The results clearly show the potential for the phytotherapeutic use of this species, and suggest that the cytotoxic activity observed may be due to the presence of plumericin, or to minor compounds not yet identified. The seasonal influence on the production of secondary metabolites was verified.

This paper evaluates CHCl3 and CH3OH extracts of the stem bark, branches and leaves of Drimys brasiliensis and drimane sesquiterpenes isolated from the stem bark against strains of Leishmania amazonensis and Leishmania braziliensis promastigotes and Plasmodium falciparum trophozoites. All of the extracts and compounds were tested in cell lines in comparison with reference standards and cell viability was determined by the XTT method. The CHCl3 and CH3OH extracts from the stem bark and branches yielded promising results against two strains of Leishmania, with 50% inhibitory concentrations (IC50) values ranging from 39-100 µg/mL. The CHCl3 extract of the stem bark returned IC50 values of 39 and 40.6 µg/mL for L. amazonensis and L. braziliensis, respectively. The drimanes were relatively effective: 1-β-(p-coumaroyloxy)-polygodial produced IC50 values of 5.55 and 2.52 µM for L. amazonensis and L. braziliensis, respectively, compared with 1-β-(p-methoxycinnamoyl)-polygodial, which produced respective IC50 values of 15.85 and 17.80 µM. The CHCl3 extract demonstrated activity (IC50 of 3.0 µg/mL) against P. falciparum. The IC50 values of 1-β-(p-cumaroyloxyl)-polygodial and 1-β-(p-methoxycinnamoyl)-polygodial were 1.01 and 4.87 µM, respectively, for the trophozoite strain. Therefore, the results suggest that D. brasiliensis is a promising plant from which to obtain new and effective antiparasitic agents.

This paper describes the isolation of five phytoconstituents from Marlierea tomentosa. The triterpenes α-amyrin (1) and β-amyrin (2), and the flavonoids quercitrin (3) and isoquercetin (4), were isolated from the leaves. The branches afforded the triterpene arjunolic acid (5). The antinociceptive activity of crude extract, fractions and compound 5 were tested using the writhing and formalin tests in mice. The crude extract, some fractions, particularly dichloromethane and butanol (leaves), ethyl acetate (branches) and arjunolic acid (5) (81.2% inhibition) were more active against the writhing test than the two reference drugs, acetylsalicylic acid and indomethacin.

A planta Plinia glomerata (Myrtaceae), popularmente conhecida como cabeludinha ou " jabuticaba-amarela" , ocorre amplamente no sul do Brasil e é cultivada como ornamental e frutífera comestível. O presente trabalho avaliou as propriedades antimicrobianas dos extratos, frações e substâncias puras isoladas da planta contra bactérias e fungos patogênicos. As concentrações inibitórias mínimas (CIM) foram determinadas através do método de diluição em ágar. As frações acetato de etila (AE) e fração aquosa (AQ) demonstraram a melhor atividade contra Staphylococcus aureus. A fração AQ também foi efetiva contra Escherichia coli. As substâncias puras, ácido 3,4,3’-trimetóxi-flavelágico-4’-O-glicosídeo e ácido 3,4,3’-trimetóxi-flavelágico foram inativas até a concentração de 500 µg/mL contra os microrganismos testados. Em relação aos resultados antifúngicos, os extratos metanólico (EM) e acetônico (EA) e a fração aquosa (AQ) mostraram boa atividade somente contra dermatófitos. Os resultados obtidos permitem concluir que a Plinia glomerata possui princípios ativos com ação antimicrobiana, sugerindo que outras substâncias da planta estão agindo contra os microrganismos indicados ou a existência de efeitos sinérgicos.

Plinia glomerata, commonly known as " yellow jaboticaba" or " cabelluda" occurs widely in south of Brazil. This work evaluated the antimicrobial properties of the extracts, fractions and isolated compounds of this plant against pathogenic microorganisms, bacteria and fungi. The minimal inhibitory concentration (MIC) was determined through the method of dilution in agar. The ethyl acetate (EtOAc) and aqueous fractions demonstrated the best activity against Staphylococcus aureus. The aqueous fraction also exhibited good activity against Escherichia coli. The pure substances 3,4,3’-trimethoxy-flavellagic-4’-O-glucose acid and 3,4,3’-trimethoxy-flavellagic acid were inactive up to 500 µg/mL. Regarding results against fungi, EA and EM extracts as well as AQ fraction showed good activity only against dermatophytes. The results suggest that P. glomerata produces active principles with antimicrobial activity, suggesting that other substances from the plant are acting against the microorganisms or the existence of synergic effects.

Brazil comes across medical services prosecution, formely limited to the industrialized countries. The study aimed to reflect upon the health care for older people in Brazil. Bibliographic research comprised between 1990 and 2006, in LILACS data base. In Brazil, although there are problems due to the poverty and lack of access to health by many people, and to the difficult access, illiteracy, instable economy, the investment in vaccines over the years and the support of technology propitiated the increase in life expectancy. This increase, however, resulted in more prevalence and incidence of diseases and chronic conditions that culminated, many times, with hospital internments and reinternments of older people. Factors involved in the internments are: Chronic degenerative diseases and, consequently, generated incapacities and lack adequate ambulatory services. Factors involved in the internments are: Seasons of the year; difficulties in attend UBS to controls and follow-up, using prescribed drugs and appropriate food, many times, by the dependence of a member of the family and illiteracy. The knowledge of factors included in the internments and re-internments make us responsible for making part of changes that make possible the better life quality to the elders of the future.

El Brasil si parece con una demanda para los servicios de la salud, restringido hace tiempo a los paises industrializados. El estudio tuvo por objetivo reflexionar con respecto de la salud del anciano en Brasil y analizar los factores involucrados en los internamientos y reinternamientos de ancianos en las instituciones de salud. Investigación bibliográfico con levantamiento bibliográfico comprendido entre los años 1990 y 2006 hecho en base de datos LILACS (Literatura Latinoamericana y del Caribe en Ciencias de la Salud). En Brasil, aunque existan muchos problemas en virtud de la pobreza y la falta de acceso a la salud por muchos, en virtud de difícil acceso, analfabetismo, economía inestable, la inversión en vacunas y campañas a lo largo de los años y el auxilio de la tecnología han proporcionado el aumento de la expectativa de vida. Ese aumento, sin embargo, ocasionó una mayor predominancia e incidencia de enfermedades y condiciones crónicas que culminan, muchas veces, con internamientos y reinternamientos hospitalarios de ancianos. Como factores involucrados en los internamientos: las enfermedades crónico-degenerativas y, consecuentemente incapacidades generadas y la falta de atención dispensarial adecuados. Como factores involucrados en los reinternamientos: las estaciones del año; dificultades de frecuentar Unidad Básica de Salud-UBS para control y acompañamiento, usar los medicamentos prescritos y alimentación adecuada, muchas veces, por depender de un pariente y analfabetismo. El conocimiento de los factores involucrados en los internamientos y reinternamientos nos hace responsables por intentar participar de cambios que posibiliten mejor calidad de vida a los ancianos del futuro.

O Brasil se depara com uma demanda por serviços médicos outrora restrita aos países industrializados. Estudo objetivou refletir sobre a assistência à saúde do idoso no Brasil e analisar os fatores envolvidos nas internações e reinternações de idosos nas instituições de saúde. Pesquisa bibliográfica compreendida entre 1990 e 2006, em base de dados LILACS. No Brasil, embora existam problemas em virtude da pobreza e falta de acesso à saúde por muitos, em virtude de difícil acesso, analfabetismo e economia instável, o investimento em vacinas ao longo dos anos e o auxílio da tecnologia propiciaram aumento da expectativa de vida. Esse aumento, entretanto, ocasionou maior prevalência e incidência de doenças e condições crônicas que culminam, muitas vezes, com internações e reinternações hospitalares de idosos. São fatores envolvidos nas internações: doenças crônico-degenerativas e, consequentemente incapacidades geradas e a falta de serviços ambulatoriais adequados. São fatores envolvidos nas reinternações: estações do ano; dificuldades de freqüentar UBS para controles e acompanhamento, fazer uso de medicamentos prescritos e alimentação adequada, muitas vezes, pela dependência de um familiar e analfabetismo. O conhecimento dos fatores envolvidos nas internações e reinternações nos tornam responsáveis por participar de mudanças que possibilitem melhor qualidade de vida aos idosos do futuro.

Três triterpenos pentacíclicos inéditos foram isolados da resina de Protium kleinii. Suas estruturas, 3-oxo-11beta,16beta-diidróxi-urs-12-eno (1), 3-oxo-11beta-hidróxi-urs-12-eno (2) e 3-oxo-11beta-hidróxi-olean-12-eno (3), foram elucidadas por espectroscopia de RMN. A administração sistêmica destes compostos (10-100 mg kg-1, i.p.) foi capaz de inibir tanto a primeira quanto a segunda fase da nocicepção induzida pela formalina em camundongos. Em adição, foram isolados os triterpenos conhecidos 3beta,16beta-dihidróxi-urs-12-eno (breina) (4) e uma mistura de alfa (5)- e beta-amirina (6).

Three novel pentacyclic triterpenes have been isolated from the resin of Protium kleinii and their structures elucidated by NMR spectroscopy as 3-oxo-11beta,16beta-dihydroxy-urs-12-ene (1), 3-oxo-11beta-hydroxy-urs-12-ene (2) and 3-oxo-11beta-hydroxy-olean-12-ene (3). The systemic administration of the above compounds (10-100 mg kg-1, i.p.) was able to inhibited both first and second phase of the formalin-induced nociception in mice. The known triterpenes 3beta,16beta-dihydroxy-olean-12-ene (brein) (4) and a mixture of alpha (5)- and beta-amyrin (6) were also found.

There are NMR data of ¹H and 13C of the iridoid plumieride, but controversy related to the assignments of the protons H-3 or H-10 and carbons C-6 or C-7 and C-3 or C-10 are described in the literature. There are a little discussion regarding to the resonance assignment of protons of the glycoside unity. Analysis based on 2D shift correlated NMR spectra (COSY, HETCOR, HETCORLR) and NOE difference ¹H NMR spectra allowed to assign unambigously the chemical shift of ¹H and 13C of plumieride which has been found in the literature with non coincident values.