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Biomedical subjects

M C Vasconcellos

Publications and source records attributed to M C Vasconcellos.

12 recordsLinked to original sources

Efficacy and safety of combined piroxicam, dexamethasone, orphenadrine, and cyanocobalamin treatment in mandibular molar surgery.

Third molar extraction is a common procedure frequently accompanied by moderate or severe pain, and involves sufficient numbers of patients to make studies relatively easy to perform. The aim of the present study was to determine the efficacy and safety of the therapeutic combination of 10 mg piroxicam, 1 mg dexamethasone, 35 mg orphenadrine citrate, and 2.5 mg cyanocobalamin (Rheumazin) when compared with 20 mg piroxicam alone (Feldene) in mandibular third molar surgery. Eighty patients scheduled for removal of the third molar were included in this randomized and double-blind study. They received (vo) Rheumazin or Feldene 30 min after tooth extraction and once daily for 4 consecutive days. Pain was determined by a visual analogue scale and by the need for escape analgesia (paracetamol). Facial swelling was evaluated with a measuring tape and adverse effects and patient satisfaction were recorded. There was no statistically significant difference in facial swelling between Rheumazin and Feldene (control group). Both drugs were equally effective in the control of pain, with Rheumazin displaying less adverse effects than Feldene. Therefore, Rheumazin appears to provide a better risk/benefit ratio in the mandibular molar surgery. Since the side effects resulting from nonsteroidal anti-inflammatory drug administration are a severe limitation to the routine use of these drugs in clinical practice, our results suggest that Rheumazin can be a good choice for third molar removal treatment.

Adolescent↗

The control of the schistosome-transmitting snail Biomphalaria glabrata by the plant Molluscicide Euphorbia splendens var. hislopii (syn milli Des. Moul): a longitudinal field study in an endemic area in Brazil.

Under laboratory conditions, latex from Euphorbia splendens has shown promise as a plant molluscicide for control of Biomphalaria species, intermediate hosts for Schistosoma mansoni. The purpose of this study was to evaluate its efficiency under field conditions. Application of filtered latex at 12 ppm to one stream in an endemic rural area in Minas Gerais state, Brazil, in September 1995, did result in a reduction in snail density as compared to an untreated stream but the snail population recovered quickly. However, two applications with a two-week interval of unfiltered E. splendens latex at 5 ppm in November 1996 in the same stream resulted in complete disappearance of B. glabrata and snails did not reappear until the 14th month after the applications. In the control stream, without treatment, the snails were found during all months. Laboratory studies confirmed that unfiltered latex is a more potent molluscicide than filtered latex. Considering the advantages of the latex such as its low toxicity to other aquatic animals and its photobiodegradability, as well as the simple method of application, this natural product is promising as an effective molluscicide.

Animals↗

[Occurrence of Achatina fulica in the Vale do Paraíba, Rio de Janeiro state, Brazil].

The first occurrence of the Achatina fulica, an intermediate host of Angiostrongylus cantonensis, the etiological agent of meningoencephalic angiostrongiliasis, is reported in Resende municipality, Brazil. In the five visited localities, snails were found living freely, and the larvae of this parasite was not seen in any of them. The finding of A. fulica in the area may be related to its commercialization as a food item and embodies the possibility of new focus.

Angiostrongylus cantonensis↗

[Pediatric cardiopulmonar resuscitation]

OBJECTIVE: To present the main aspects of pediatric cardiopulmonary resuscitation.METHOD: The articles on pediatric cardiorespiratory arrest and cardiopulmonary resuscitation were revised, by Medline and Lilacs systems. Books and dissertations were also analyzed. Only the most important articles were included in this review.RESULTS: The relevant aspects related to diagnosis and epidemiology of pediatric cardiac arrest were described. The sequence of actions on cardiopulmonary resuscitation were emphasized. The basic and advanced life support techniques were described and the age differences were highlighted.CONCLUSION: The knowledge of the content of this review provides more effectiveness to cardiopulmonary resuscitation. The anoxic period of time of children in cardiac arrest can be reduced and a better prognosis can be thus achieved.

Journal Article↗

Perspectives of using Euphorbia splendens as a molluscicide in schistosomiasis control programs.

A total of 1,426 species of plants had been tested in order to find out a vegetal-derived molluscicide against the vectors of Schistosoma mansoni. Euphorbia splendens is one of the most promising molluscicides. In this article we briefly present the main aspects that have to be considered to use this plant as a molluscicide, which include some agricultural aspects and operational methods for application. This can be done by the extraction of the active principles (millaminas) present in the latex or in the raw juice obtained through total maceration of plants. The culture of E. splendens, which spreads out by vegetative sprouts, showed an annual average growth of 30 cm. After 1.5 years the average productivity of crude latex with a DL90 of 12 ppm concentration, was 1 liter by 8m2 by cultivated area. This amount is enough to treat a volume of water of 97,200 liters. A comparative analysis between the cost of snail control through synthetic molluscicides was carried out based upon the data presented by Jobim (1979) for six controlling methods in several countries, and some cost aspects for E. splendens. This analysis was done considering a geographic parameter expressed by the index cubic meters of treated habitat per square kilometer, from which we can obtain an estimate dimension of the geographic area to be cultivated with E. splendens necessary to treat the same volume of water treated by synthetic molluscicides.

Animals↗

Toxicological study of the molluscicidal latex of Euphorbia splendens: irritant action on skin and eye.

Aqueous solutions of the molluscicidal latex of Euphorbia splendens are irritant to the rabbit eye in concentrations higher than 0.35% and to the rabbit skin in concentrations higher than 0.5%. Although this irritant potential does not preclude its use as a molluscicide, special precautions are recommended for handling and application of the product and the hazard of skin tumor-promoting potential should be carefully investigated before its use for schistosomiasis vector control.

Animals↗

Evaluation of the genotoxic activity and acute toxicity of Euphorbia splendens latex, a molluscicide for the control of schistosomiasis.

1. The latex of Euphorbia splendens var. hislopii has a molluscicidal action at low concentration (LD90 less than 1.5 ppm or 1.5 micrograms/ml) against the vector snails of schistosomiasis. 2. In the present study, the latex in natura or after lyophilization was submitted to the Ames test and the chromotest to evaluate genotoxicity, to the Microtox System to determine acute toxicity, and to the Chinese hamster ovary cell assay (CHO) to measure cytotoxicity. 3. The latex had no mutagenic activity in the presence or absence of S9 toward the TA98 and TA100 strains of Salmonella typhimurium (Ames test) at concentrations up to 200 microliters/plate (in natura) and of 200 micrograms/plate (lyophilized). The lyophilized latex had no genotoxic activity (Chromotest) and no acute toxic effect on Photobacterium phosphoreum at concentrations up to 445 micrograms/ml, whereas the sample in natura had a toxic effect with an EC50 of 148,000 microliters/l (or ppm). In the CHO/cytotoxicity assay, the lyophilized latex had no cytotoxic effect in quantities up to 200 micrograms. 4. The latex was found to have no acute toxicity or mutagenic activity at the concentrations of 10 to 12 micrograms/ml (or ppm) that are being proposed for molluscicidal use in the field.

Animals↗

Evaluation of the molluscicidal properties of Euphorbia splendens var. hislopii (N.E.B.) latex: experimental test in an endemic area in the State of Minas Gerais, Brazil.

Following the positive results obtained regarding the molluscicidal properties of the latex of Euphorbia splendens that were corroborated in laboratory and field tests under restricted conditions, a field study was conducted in experimental streams located in an endemic area. After recording the average annual fluctuations of vectors in three streams, a solution of E. splendens latex at 12 ppm was applied in stream A, a solution of niclosamide at 3 ppm that was applied in stream B and a third stream (C) remained untreated for negative control. Applications of E. splendens and niclosamide resulted in a mortality of 100% among the snails collected in the streams A and B. No dead snails were found in the negative control stream. A monthly follow-up survey conducted during three consecutive months confirmed the return of vectors to both experimental streams treated with latex and niclosamide. This fact has called for a need to repeat application in order to reach the snails that remained buried in the mud substrate or escaped to the water edge, as well as, newly hatched snails that did not respond to the concentration of these molluscicides. Adults snails collected a month following treatment led us to believe that they had migrate from untreated areas of the streams to those previously treated.

Animals↗

[The patients' perception about their illness: a pilot study].

This preliminary study aims at inquiring the patients' perceptions about their own illness process. Therefore, 19 clinical inpatients from the Hospital de Clínicas de Porto Alegre interviewed. After a qualitative data analysis, it was observed that in a medical consultation there are, at least, two perspectives concerning the illness process. First, the physician's perspective, taking into account systems and organs structural and/or functional abnormalities (disease), and second, the patient's perspective, based on her or his perception of events that occur when getting sick (illness). In addition, the patient's perspective generally presents a preoccupation with the etiology of the disease. Keeping in mind these different viewpoints, it is crucial to establish the medical-patient dialog, aiming at reaching a better relationship between the patient and her/his physician.

Adult↗