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Fernández-Pérez P, Leirós-Rodríguez R, Marqués-Sánchez MP, Martínez-Fernández MC, de Carvalho FO, Maciel LYS. Effectiveness of physical therapy interventions in women with dyspareunia: a systematic review and meta-analysis. BMC Womens Health 2023; 23:387. [PMID: 37482613 PMCID: PMC10364425 DOI: 10.1186/s12905-023-02532-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2022] [Accepted: 07/08/2023] [Indexed: 07/25/2023] Open
Abstract
BACKGROUND Dyspareunia is defined as the occurrence of pain during or after sexual intercourse, which directly affects physical, sexual, and mental health. This condition can lead to depression, anxiety, and low self-esteem in women who experience it. OBJECTIVES The aim of this research was to evaluate the effectiveness of physical therapy interventions for the treatment of female dyspareunia. DESIGN A systematic review and meta-analysis was conducted. METHOD Search of publications was conducted in Scopus, Medline, Pubmed, Cinahl and Web of Science. Treatment effects were defined as standardized mean difference and their 95% confidence intervals. Statistical heterogeneity was assessed using Crohan's Q test and quantified using the I2 index. RESULTS Of the 19 articles selected, six applied multimodal physiotherapy treatments; five, electrotherapy; three, Thiele's massage; two, interdisciplinary interventions or pelvic floor muscle training; and one, extracorporeal shockwave therapy. The meta-analysis showed significant results for the variables pain and quality of life with the interventions based on electrotherapy and electrotherapy combined with pelvic floor muscle training. These interventions did not show significant results for the improvement of sexual function. CONCLUSIONS Physiotherapy techniques are effective and procedures have been identified with reliable results in improving pain and quality of life in patients with dyspareunia. One of the most important aspects is the strengthening of the perineal musculature and the application of Transcutaneous Electrical Nerve Stimulation. Furthermore, manual trigger point release therapy and Thiele massage, optimize and guarantee the reduction of pain intensity. PROSPERO REGISTRATION CRD42021236155.
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Affiliation(s)
- Paula Fernández-Pérez
- Nursing and Physical Therapy Department, University of Leon, Astorga Ave, 24401 Ponferrada, Spain
| | - Raquel Leirós-Rodríguez
- SALBIS Research Group, Nursing and Physical Therapy Department, University of Leon, Astorga Ave, 24401 Ponferrada, Spain
| | - Mª Pilar Marqués-Sánchez
- SALBIS Research Group, Nursing and Physical Therapy Department, University of Leon, Astorga Ave, 24401 Ponferrada, Spain
| | | | | | - Leonardo Y. S. Maciel
- Physical Therapy Department of Lagarto, Universidade Federal de Sergipe, Gov. Marcelo Déda Ave, São José, Lagarto 49400-000 Brazil
- Faculty of Sport, Research Centre in Physical Activity, Health and Leisure (CIAFEL), University of Porto, R. Dr. Plácido da Costa 91, 4200-450 Porto, Portugal
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de Souza Araújo AA, Quintans-Júnior LJ, Heimfarth L, Schimieguel DM, Corrêa CB, de Moura TR, Cavalcante RCM, Grespan R, de Souza Siqueira Quintans J, dos Santos DM, da Silva DN, de Oliveira YLM, de Franca MNF, da Conceição Silva M, de Sá DLF, de Carvalho FO, de Souza MF, de Oliveira Góes MA, Santos VS, Martins-Filho PR. Dynamics of SARS-CoV-2 seroprevalence during the first year of the COVID-19 pandemic in the Northeast region of Brazil. Pathog Glob Health 2023; 117:505-512. [PMID: 36094065 PMCID: PMC10262788 DOI: 10.1080/20477724.2022.2121366] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022] Open
Abstract
In this household-based seroepidemiological survey, we analyzed the dynamics of SARS-CoV-2 seroprevalence during the first year of the COVID-19 pandemic in Sergipe State, Northeast Brazil, the poorest region of the country. A total of 16,547 individuals were tested using a rapid IgM-IgG antibody test and fluorescence immunoassay (FIA). Seroprevalence rates were presented according to age, sex, and geographic region. A comparative analysis was performed between the results obtained in July 2020 (peak of the first wave), August - November 2020 (end of the first wave), and February - March 2021 (beginning of the second wave). Seroprevalence rates in the three phases were estimated at 9.3% (95% CI 8.5-10.1), 12.0% (95% CI 11.2-12.9) and 15.4% (95% CI 14.5-16.4). At the end of the first wave, there was a rise in seroprevalence in the countryside (p < 0.001). At the beginning of the second wave, we found an increase in seroprevalence among women (p < 0.001), adults aged 20 to 59 years (p < 0.001), and the elderly (p < 0.001). In this phase, we found an increase in estimates both in metropolitan areas and in the countryside (p < 0.001). This study showed an increase in SARS-CoV-2 seroprevalence over the first year of the pandemic, with approximately one in six people having anti-SARS-CoV-2 antibodies at the beginning of the second wave of COVID-19. Furthermore, our results suggest a rapid spread of COVID-19 from metropolitan areas to the countryside during the first months of the pandemic.
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Affiliation(s)
- Adriano Antunes de Souza Araújo
- Department of Pharmacy, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil
- Health Sciences Graduate Program, Federal University of Sergipe, Aracaju, Sergipe, Brazil
- Graduate Program in Pharmaceutical Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil
| | - Lucindo José Quintans-Júnior
- Health Sciences Graduate Program, Federal University of Sergipe, Aracaju, Sergipe, Brazil
- Graduate Program in Pharmaceutical Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil
- Department of Physiology, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil
| | - Luana Heimfarth
- Health Sciences Graduate Program, Federal University of Sergipe, Aracaju, Sergipe, Brazil
| | - Dulce Marta Schimieguel
- Department of Pharmacy, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil
- Graduate Program in Pharmaceutical Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil
| | - Cristiane Bani Corrêa
- Health Sciences Graduate Program, Federal University of Sergipe, Aracaju, Sergipe, Brazil
- Department of Morphology, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil
| | - Tatiana Rodrigues de Moura
- Health Sciences Graduate Program, Federal University of Sergipe, Aracaju, Sergipe, Brazil
- Department of Morphology, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil
| | | | - Renata Grespan
- Department of Physiology, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil
- Graduate Program in Physiological Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil
| | - Jullyana de Souza Siqueira Quintans
- Health Sciences Graduate Program, Federal University of Sergipe, Aracaju, Sergipe, Brazil
- Department of Physiology, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil
| | | | - Danilo Nobre da Silva
- Health Sciences Graduate Program, Federal University of Sergipe, Aracaju, Sergipe, Brazil
| | | | | | | | - Darla Lorena Freitas de Sá
- Graduate Program in Pharmaceutical Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil
| | | | | | - Marco Aurélio de Oliveira Góes
- Government of Sergipe State, State Health Department, Aracaju, Sergipe, Brazil
- Department of Medicine, Federal University of Sergipe, Lagarto, Sergipe, Brazil
| | - Victor Santana Santos
- Health Sciences Graduate Program, Federal University of Sergipe, Aracaju, Sergipe, Brazil
- Department of Medicine, Federal University of Sergipe, Lagarto, Sergipe, Brazil
| | - Paulo Ricardo Martins-Filho
- Health Sciences Graduate Program, Federal University of Sergipe, Aracaju, Sergipe, Brazil
- Investigative Pathology Laboratory, Federal University of Sergipe, Aracaju, Sergipe, Brazil
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Martins-Filho PR, dos Santos JTDC, Rezende MS, de Carvalho FO, dos Reis ÉS, Barboza WDS, Cavalcante TF, dos Santos CA, Quintans-Júnior LJ, Grespan R, Corrêa CB, de Moura TR, Schimieguel DM, Quintans JDSS, de Souza Araújo AA. Prevalence of SARS-CoV-2 infection among urban cleaning and solid waste management workers during transmission of the Omicron variant in Brazil. Epidemiol Health 2023; 45:e2023025. [PMID: 36822192 PMCID: PMC10586922 DOI: 10.4178/epih.e2023025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2022] [Accepted: 01/18/2023] [Indexed: 02/25/2023] Open
Abstract
This study estimated the prevalence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in urban cleaning and solid waste management workers during the transmission of the Omicron variant in one of the poorest regions of Brazil (the state of Sergipe). Nasopharyngeal swabs were collected from 494 workers, and the presence of SARS-CoV-2 RNA was tested by quantitative reverse-transcriptase polymerase chain reaction. Data on socio-demographic characteristics, comorbidities, vaccination status, mask use, and use of public transport to commute to the workplace were collected. The prevalence with a 95% confidence interval (CI) was calculated from the proportion of SARS-CoV-2 positive cases among the total number of individuals tested. The prevalence ratio (PR) with a 95% CI was the measure of association used to evaluate the relationship between SARS-CoV-2 infection and the exposure variables. The prevalence of SARS-CoV-2 infection was 22.5% (95% CI, 19.0 to 26.4). Individuals under the age of 40 had a higher prevalence of infection (PR, 1.53; 95% CI, 1.03 to 2.30) as well as those who did not believe in the protective effect of vaccines (PR, 1.78; 95% CI, 1.05 to 2.89). Our results indicate the need for better guidance on preventive measures against coronavirus disease 2019 among urban cleaning and solid waste management workers.
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Affiliation(s)
| | | | | | | | | | | | | | - Cliomar Alves dos Santos
- Government of Sergipe State, Health Foundation Parreiras Horta, Central Laboratory of Public Health (LACEN/SE), Aracaju, Brazil
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Asensio-Olea L, Leirós-Rodríguez R, Marqués-Sánchez MP, de Carvalho FO, Maciel LYS. Efficacy of percutaneous electrolysis for the treatment of tendinopathies: A systematic review and meta-analysis. Clin Rehabil 2022; 37:747-759. [PMID: 36583575 DOI: 10.1177/02692155221144272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
OBJECTIVE To evaluate the efficacy of percutaneous electrolysis for the treatment of patients with tendinopathies. DATA SOURCES A systematic search of publications was conducted in Pubmed, Cinahl, Medline, Scopus and Web of Science. METHODS The Oxford 2011 Levels of Evidence and the Jadad scale were used to assess the quality of studies. The mean and standard deviation were obtained for each study group and used to calculate the effect size. The DerSimonian and Laird method was used to develop a random-effects model. RESULTS Of the 14 articles, four applied percutaneous electrolysis to the knee, three to the shoulder, three to the elbow, two to the hip and two to the ankle and foot. A meta-analysis on intensity of pain (evaluated with algometer and the Visual Analogue Scale) was performed on studies comparing percutaneous electrolysis with a control group, indicating that the groups treated with percutaneous electrolysis had better results (p = 0.01). Although percutaneous electrolysis did not overcome the analgesic effect achieved by corticosteroid injections. CONCLUSIONS The percutaneous electrolysis is effective for the treatment of tendinopathies. The combination of this technique with eccentric training has proven to be one of the most effective treatments to date for improving pain. PROSPERO Registration: CRD42021230005.
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Affiliation(s)
- Laura Asensio-Olea
- Nursing and Physical Therapy Department, University of Leon, Ponferrada, Spain
| | - Raquel Leirós-Rodríguez
- SALBIS Research Group, Nursing and Physical Therapy Department, University of Leon, Ponferrada, Spain
| | - Mª Pilar Marqués-Sánchez
- SALBIS Research Group, Nursing and Physical Therapy Department, University of Leon, Ponferrada, Spain
| | | | - Leonardo Y S Maciel
- Physical Therapy Department of Lagarto, 74391Universidade Federal de Sergipe, São José, Lagarto, Brazil.,Research Centre in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sport, University of Porto, Porto, Portugal
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Rosário Ferreira ME, Santos de Andrade AV, Ferreira Queiroz AA, Martins-Filho PR, de Aquino Neves EL, Oliveira de Carvalho F, de Souza Araujo AA, Ramos Silva É, Santos Nunes P. COVID-19 and obesity: a systematic review and meta-analysis on the pre-existing clinical conditions, COVID-19 symptoms, laboratory findings and clinical outcomes. EXCLI J 2022; 20:1610-1614. [PMID: 35024019 PMCID: PMC8743833 DOI: 10.17179/excli2021-4226] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/21/2021] [Accepted: 11/22/2021] [Indexed: 12/22/2022]
Affiliation(s)
| | | | | | | | | | - Fernanda Oliveira de Carvalho
- Health Sciences Graduate Program, Federal University of Sergipe, Aracaju, Sergipe, Brazil.,Federal University of Sergipe, University Hospital (HU-UFS/EBSERH), Aracaju, Sergipe, Brazil
| | | | - Érika Ramos Silva
- Health Sciences Graduate Program, Federal University of Sergipe, Aracaju, Sergipe, Brazil
| | - Paula Santos Nunes
- Health Sciences Graduate Program, Federal University of Sergipe, Aracaju, Sergipe, Brazil
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Costa TMDS, Oliveira EDS, Silva BVSD, Melo EBBD, Carvalho FOD, Duarte FHDS, Dantas RAN, Dantas DV. Massage for pain relief in newborns submitted to puncture: systematic review. Rev Gaucha Enferm 2022; 43:e20220029. [DOI: 10.1590/1983-1447.2022.20220029.en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2022] [Accepted: 05/16/2022] [Indexed: 11/30/2022] Open
Abstract
ABSTRACT Objective To analyze in the scientific literature the effects of massage on pain relief in newborns submitted to puncture. Method Systematic review with meta-analysis performed in October 2020, using PubMed, Web of Science, CINAHL, Scopus, Cochrane and Gale databases. Studies without time frame were included, which used massage as the main technique for relieving neonatal pain during puncture. Data were extracted using standardized forms and the synthesis of results occurred in a descriptive way. Results From the 12 studies included, massage was effective in pain relief in 83.3% of the studies. The comparative meta-analysis of massage versus routine care that assessed duration of crying obtained a statistically significant result (p = 0.0002; 95% CI -85.51 to -27.09). Conclusion Massage contributes to neonatal pain relief by reducing pain score and reducing crying time in newborns submitted to puncture.
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Costa TMDS, Oliveira EDS, Silva BVSD, Melo EBBD, Carvalho FOD, Duarte FHDS, Dantas RAN, Dantas DV. Massagem para alívio da dor em recém-nascidos submetidos a punção: revisão sistemática. Rev Gaucha Enferm 2022. [DOI: 10.1590/1983-1447.2022.20220029.pt] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
RESUMO Objetivo Analisar na literatura científica os efeitos da massagem no alívio da dor em recém-nascidos submetidos a punção. Método Revisão sistemática com meta-análise realizada em outubro de 2020, utilizando as bases PubMed, Web of Science, CINAHL, Scopus, Cochrane e Gale. Incluíram-se estudos sem delimitação de recorte temporal, que utilizaram massagem como principal técnica para o alívio da dor neonatal durante a punção. Os dados foram extraídos através de formulários padronizados e a síntese dos resultados ocorreram de forma descritiva. Resultados Dos 12 estudos incluídos, a massagem foi eficaz no alívio da dor em 83,3% dos estudos. A meta-análise comparativa da massagem versus cuidados de rotina que avaliou duração do choro obteve resultado estatisticamente significativo (p = 0,0002; IC 95% -85,51 a -27,09). Conclusão A massagem contribui para o alívio da dor neonatal através da redução do escore de dor e redução do tempo de choro em recém-nascidos submetidos a punção.
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dos Santos Moraes TL, de Farias JMF, Rezende BS, de Carvalho FO, Santiago MS, Porto ES, Doria FM, Santana KCS, Gomes MV, Leite VS, Madruga RETTA, dos Santos Maciel LY, Andrade JD, de Farias Neto JP, Aidar FJ, da Silva Junior WM. Limited Mobility to the Bed Reduces the Chances of Discharge and Increases the Chances of Death in the ICU. Clin Pract 2021; 12:8-16. [PMID: 35076492 PMCID: PMC8788280 DOI: 10.3390/clinpract12010002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2021] [Revised: 12/06/2021] [Accepted: 12/15/2021] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND Progressive mobility in the ICU has been recommended; however, the definitions of low, moderate, and high mobility in the ICU still diverge between studies. Therefore, our objective was to classify the mobility of the sample from verticalization and active withdrawal from the bed, and from that, to analyze the chances of discharge, death, and readmission to the ICU. MATERIALS AND METHODS This is an observational and retrospective study that consults the medical records of individuals admitted to the ICU of the University Hospital of Sergipe (HU/SE) between August 2017 and August 2018. Mobility level was classified based on the Intensive Care Unit Mobility Scale (IMS). RESULTS A total of 121 individuals were included. The mean age was 61.45 ± 16.45, being 53.7% female. Of these, 28 (23.1%) had low mobility, 33 (27.3%) had moderate mobility, and 60 (49.6%) had high mobility. Individuals with low mobility were 45 times more likely to die (OR = 45.3; 95% CI = 3.23-636.3) and 88 times less likely to be discharged from the ICU (OR = 0.22; 95% CI = 0.002-0.30). CONCLUSION Those who evolved with low mobility had a higher chance of death and a lower chance of discharge from the ICU. Moderate and high mobility were not associated with the investigated outcomes.
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Affiliation(s)
- Talita Leite dos Santos Moraes
- Graduate Program in Physical Education, Federal University of Sergipe (PPGEF-UFS), São Cristovão 49100-000, SE, Brazil; (J.M.F.d.F.); (B.S.R.); (M.S.S.); (F.J.A.); (W.M.d.S.J.)
| | - Joana Monteiro Fraga de Farias
- Graduate Program in Physical Education, Federal University of Sergipe (PPGEF-UFS), São Cristovão 49100-000, SE, Brazil; (J.M.F.d.F.); (B.S.R.); (M.S.S.); (F.J.A.); (W.M.d.S.J.)
| | - Brunielly Santana Rezende
- Graduate Program in Physical Education, Federal University of Sergipe (PPGEF-UFS), São Cristovão 49100-000, SE, Brazil; (J.M.F.d.F.); (B.S.R.); (M.S.S.); (F.J.A.); (W.M.d.S.J.)
| | | | - Michael Silveira Santiago
- Graduate Program in Physical Education, Federal University of Sergipe (PPGEF-UFS), São Cristovão 49100-000, SE, Brazil; (J.M.F.d.F.); (B.S.R.); (M.S.S.); (F.J.A.); (W.M.d.S.J.)
| | - Erick Sobral Porto
- Department of Medicine, Tiradentes University (UNIT), Aracaju 49032-490, SE, Brazil;
| | - Felipe Meireles Doria
- Group of Studies and Research of Performance, Sport, Health and Paralympic Sports (GEPEPS), Federal University of Sergipe (UFS), São Cristovão 49100-000, SE, Brazil;
| | | | - Marcel Vieira Gomes
- Program of Traumatology and Orthopaedics, Federal University of Sergipe (UFS), São Cristovão 49100-000, SE, Brazil; (M.V.G.); (V.S.L.)
| | - Victor Siqueira Leite
- Program of Traumatology and Orthopaedics, Federal University of Sergipe (UFS), São Cristovão 49100-000, SE, Brazil; (M.V.G.); (V.S.L.)
| | | | | | - Juliana Dantas Andrade
- University Hospital, Federal University of Sergipe (HU/UFS), Aracaju 49060-108, SE, Brazil; (F.O.d.C.); (J.D.A.)
| | | | - Felipe J. Aidar
- Graduate Program in Physical Education, Federal University of Sergipe (PPGEF-UFS), São Cristovão 49100-000, SE, Brazil; (J.M.F.d.F.); (B.S.R.); (M.S.S.); (F.J.A.); (W.M.d.S.J.)
| | - Walderi Monteiro da Silva Junior
- Graduate Program in Physical Education, Federal University of Sergipe (PPGEF-UFS), São Cristovão 49100-000, SE, Brazil; (J.M.F.d.F.); (B.S.R.); (M.S.S.); (F.J.A.); (W.M.d.S.J.)
- University Hospital, Federal University of Sergipe (HU/UFS), Aracaju 49060-108, SE, Brazil; (F.O.d.C.); (J.D.A.)
- Department of Physiotherapy, Federal University of Sergipe (UFS), São Cristovão 49100-000, SE, Brazil;
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de Carvalho FO, Silva JPR, Silva ÉR, de Albuquerque Júnior RLC, Nunes PS, de Souza Araújo AA. Would carvacrol be a supporting treatment option effective in minimizing the deleterious effects of COVID-19? Naunyn Schmiedebergs Arch Pharmacol 2021; 394:2471-2474. [PMID: 34669001 PMCID: PMC8526353 DOI: 10.1007/s00210-021-02170-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2021] [Accepted: 10/12/2021] [Indexed: 12/04/2022]
Abstract
The pathophysiological process of the disease, Covid-19, is mediated by innate immunity, with the presence of macrophages responsible for secreting type 1 and 6 interleukins (IL), tumor necrosis factor (TNF) leading to dilation of endothelial cells with a consequent increase in capillary permeability. The treatment of this disease has been much discussed, but the variability in the clinical picture, the difficulties for diagnosis and treatment, especially of those patients who have the most severe clinical condition of the disease. Immunization is an effective tool for controlling the spread and overload of health services, but its effectiveness involves high investments in the acquisition of inputs, development of vaccines, and logistics of storage and distribution. These factors can be obstacles for countries with lower economic, technological, and infrastructure indexes. Reflecting on these difficulties, we raised the possibility of adjuvant therapies with imminent research feasibility, as is the case with the use of carvacrol, a monoterpenic phenol whose has biological properties that serve as a barrier to processes mediated by free radicals, such as irritation and inflammation, due to its antioxidant action. Many authors highlighted the activity of carvacrol as a potent suppressor of COX-2 expression minimizing the acute inflammatory process, decreasing the release of some pro-inflammatory mediators such as IL-1β, TNF-α, PGE2. Anyway, the benefits of carvacrol are numerous and the therapeutic possibilities too. With this description, the question arises: would carvacrol be a supporting treatment option, effective in minimizing the deleterious effects of Covid-19? There is still a lot to discover and research.
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Affiliation(s)
- Fernanda Oliveira de Carvalho
- Health Sciences Graduate Center of Universidade Federal de Sergipe-UFS, São Cristóvão, SE, Brazil. .,Hospital Universitário de Sergipe (HU-UFS / EBSERH), Aracaju, SE, Brazil. .,Núcleo de Pós-Graduação Em Ciências da Saúde, Universidade Federal de Sergipe-UFS, Cidade Universitária Prof. "José Aloísio de Campos", Av. Marechal Rondon, s/n Jardim Rosa Elza, CEP 49.100-000, São Cristovão, SE, Brazil.
| | | | - Érika Ramos Silva
- Health Sciences Graduate Center of Universidade Federal de Sergipe-UFS, São Cristóvão, SE, Brazil.,Núcleo de Pós-Graduação Em Ciências da Saúde, Universidade Federal de Sergipe-UFS, Cidade Universitária Prof. "José Aloísio de Campos", Av. Marechal Rondon, s/n Jardim Rosa Elza, CEP 49.100-000, São Cristovão, SE, Brazil.,Physiotherapy Department, Universidade Federal de Sergipe-UFS, Lagarto, SE, Brazil
| | | | - Paula Santos Nunes
- Health Sciences Graduate Center of Universidade Federal de Sergipe-UFS, São Cristóvão, SE, Brazil.,Morphology Department, Universidade Federal de Sergipe-UFS, São Cristóvão, SE, Brazil
| | - Adriano Antunes de Souza Araújo
- Health Sciences Graduate Center of Universidade Federal de Sergipe-UFS, São Cristóvão, SE, Brazil.,Pharmacy Graduate Center, Universidade Federal de Sergipe-UFS, São Cristóvão, SE, Brazil
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10
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Silva EAP, Santos DM, de Carvalho FO, Menezes IAC, Barreto AS, Souza DS, Quintans-Júnior LJ, Santos MRV. Monoterpenes and their derivatives as agents for cardiovascular disease management: A systematic review and meta-analysis. Phytomedicine 2021; 88:153451. [PMID: 33483251 DOI: 10.1016/j.phymed.2020.153451] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/10/2020] [Revised: 11/16/2020] [Accepted: 12/22/2020] [Indexed: 06/12/2023]
Abstract
BACKGROUND Monoterpenes are one of the most studied plant's secondary metabolites, they are found abundantly in essential oils of aromatic plants. They also have a great range of pharmacological properties, such as antihypertensive, bradycardic, antiarrhythmic and hypotensive. In the face of the burden caused by cardiovascular disease (CVDs) worldwide, studies using monoterpenes to assess their cardiovascular effects have increased over the years. PURPOSE This systematic review aimed to summarize the use of monoterpenes in animal models of any CVDs. METHODS PubMed, SCOPUS, LILACS and Web of Science databases were used to search for articles that used monoterpenes, in any type of administration, to treat or prevent CVDs in animal models. The PRISMA guidelines were followed. Two independent researchers extracted main characteristics of studies, methods and outcomes. Data obtained were analyzed qualitatively and quantitatively. RESULTS At the ending of the search process, 33 articles were selected for the systematic review. Of these, 17 articles were included in the meta-analysis. A total of 16 different monoterpenes were found for the treatment of hypertension, myocardial infarction, pulmonary hypertension, cardiac hypertrophy and arrhythmia. The main actions include hypotension, bradycardia, vasodilatation, antiarrhythmic, and antioxidant and antiapoptotic properties. From our data, it can be suggested that monoterpenes may be a significant source for new drug development. However, there is still a need to apply these knowledge into clinical research and a long path to pursue before putting them in the market. CONCLUSION The variability of cardiovascular effects demonstrated by the monoterpenes highlighted them as a promising candidates for treatment or prevention of CVDs. Nevertheless, studies that investigate their biological sites of action needs to be further encouraged.
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Affiliation(s)
- Eric Aian P Silva
- Department of Physiology, Universidade Federal de Sergipe, Av. Marechal Rondon, S/N, Cidade Universitaria, São Cristovao-SE, 49100-000, Brazil; Biotechnology Graduate Program - Rede Nordeste de Biotecnologia (RENORBIO), Universidade Federal de Sergipe, Av. Marechal Rondon, S/N, Cidade Universitaria, São Cristovao-SE, 49100-000, Brazil
| | - Danillo M Santos
- Department of Physiology, Universidade Federal de Sergipe, Av. Marechal Rondon, S/N, Cidade Universitaria, São Cristovao-SE, 49100-000, Brazil; Health Sciences Graduate Program, Universidade Federal de Sergipe, Rua Claudio Batista S/N, Sanatorio, Aracaju-SE, 49.060-100, Brazil
| | - Fernanda Oliveira de Carvalho
- Department of Physiology, Universidade Federal de Sergipe, Av. Marechal Rondon, S/N, Cidade Universitaria, São Cristovao-SE, 49100-000, Brazil; Health Sciences Graduate Program, Universidade Federal de Sergipe, Rua Claudio Batista S/N, Sanatorio, Aracaju-SE, 49.060-100, Brazil
| | - Igor A Cortes Menezes
- Hospital de Clínicas, Universidade Federal do Paraná, Rua General Carneiro, 181, Curitiba-PR, 80060-900, Brazil
| | - André S Barreto
- Department of Health Education, Universidade Federal de Sergipe, Av. Governador Marcelo Deda, 13, Centro, Lagarto-SE, CEP 49400-000, Brazil
| | - Diego S Souza
- Department of Anesthesiology, University of Arizona, Tucson, AZ, USA
| | - Lucindo J Quintans-Júnior
- Department of Physiology, Universidade Federal de Sergipe, Av. Marechal Rondon, S/N, Cidade Universitaria, São Cristovao-SE, 49100-000, Brazil; Health Sciences Graduate Program, Universidade Federal de Sergipe, Rua Claudio Batista S/N, Sanatorio, Aracaju-SE, 49.060-100, Brazil
| | - Márcio R V Santos
- Department of Physiology, Universidade Federal de Sergipe, Av. Marechal Rondon, S/N, Cidade Universitaria, São Cristovao-SE, 49100-000, Brazil; Health Sciences Graduate Program, Universidade Federal de Sergipe, Rua Claudio Batista S/N, Sanatorio, Aracaju-SE, 49.060-100, Brazil; Biotechnology Graduate Program - Rede Nordeste de Biotecnologia (RENORBIO), Universidade Federal de Sergipe, Av. Marechal Rondon, S/N, Cidade Universitaria, São Cristovao-SE, 49100-000, Brazil.
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Barros Almeida I, Garcez Barretto Teixeira L, Oliveira de Carvalho F, Ramos Silva É, Santos Nunes P, Viana Dos Santos MR, Antunes de Souza Araújo A. Smart Dressings for Wound Healing: A Review. Adv Skin Wound Care 2021; 34:1-8. [PMID: 33443918 DOI: 10.1097/01.asw.0000725188.95109.68] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
OBJECTIVE To provide an overview of sensors incorporated into wound dressings that can be used to assess and manage healing parameters. DATA SOURCES Authors conducted an extensive literature search of the Science Direct, Scopus, MEDLINE-PubMed, and Web of Science databases. STUDY SELECTION A total of 587 studies that evaluated dressings used to manage wound healing parameters were identified in the search, but only 16 met all of the review criteria and were included in the final analysis. DATA EXTRACTION Chronic wounds were the most common type of injury among studies. Six articles involved a wireless transmission system. DATA SYNTHESIS All studies evaluated the physical and chemical characteristics of the dressings. CONCLUSIONS This review demonstrates the lack of studies examining wound dressing sensors. New studies are required to assess sensors that allow not only wound monitoring, but also the application of drugs in a single dressing, providing a better and more cost-effective treatment for wounds.
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Affiliation(s)
- Isabella Barros Almeida
- At the Federal University of Sergipe, Sanatório, Aracaju, Brazil, Isabella Barros Almeida, PhD, is a physician; Luciana Garcez Barretto Teixeira, MS, is a doctoral student; Fernanda Oliveira de Carvalho, PhD, is a physiotherapist; Érika Ramos Silva, PhD, is Professor, Department of Physiotherapy; Paula Santos Nunes, PhD, is Professor, Department of Morphology; Márcio Roberto Viana dos Santos, PhD, is Professor, Department of Morphology; and Adriano Antunes de Souza Araújo, PhD, is Professor, Department of Pharmacy. The authors have disclosed no financial relationships related to this article. Submitted July 19, 2020; accepted in revised form September 25, 2020
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de Almeida FEO, do Carmo Santana AK, de Carvalho FO. Multidisciplinary care in Amyotrophic Lateral Sclerosis: a systematic review and meta-analysis. Neurol Sci 2021; 42:911-923. [PMID: 33443670 DOI: 10.1007/s10072-020-05011-2] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2020] [Accepted: 12/17/2020] [Indexed: 12/11/2022]
Abstract
Multidisciplinary care (MDC) has been the most recommended approach for symptom management in amyotrophic lateral sclerosis (ALS) but there is conflicting evidence about its effectiveness on survival and quality of life (QoL) of ALS patients. We conducted a systematic review to determine the effects of multidisciplinary care compared to general neurological care in survival and quality of life of ALS patients. A comprehensive literature search using Scopus, MEDLINE-PubMed, Cochrane, Web of Science, PEDro, and Science Direct was undertaken. Studies related to multidisciplinary care or general neurological care in ALS patients that assessed survival and quality of life and were published in the period up to and including January 2020 were included. A total of 1192 studies were initially identified, but only 6 were included. All studies that investigated survival showed and advantage of MDC over NC, and this benefit was even greater for bulbar onset patients. A meta-analysis was performed and showed a mean difference of 141.67 (CI 95%, 61.48 to 221.86), indicating that patients who received MDC had longer survival than those who underwent NC (p = 0.0005). Concerning QoL, only one study found better mental health scores related to QoL for patients under MDC. Multidisciplinary care is more effective than general neurology care at improving survival of patients with ALS, but only improves mental health outcomes related to quality of life of these patients.
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Affiliation(s)
| | | | - Fernanda Oliveira de Carvalho
- Sergipe University Hospital of Universidade Federal de Sergipe-UFS, Aracaju, SE, Brazil. .,Health Sciences Graduate Center of Universidade Federal de Sergipe-UFS, São Cristóvão, SE, 49100-000, Brazil.
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de Carvalho FO, Silva ÉR, Gomes IA, Santana HSR, do Nascimento Santos D, de Oliveira Souza GP, de Jesus Silva D, Monteiro JCM, de Albuquerque Júnior RLC, de Souza Araújo AA, Nunes PS. Anti-inflammatory and antioxidant activity of carvacrol in the respiratory system: A systematic review and meta-analysis. Phytother Res 2020; 34:2214-2229. [PMID: 32249518 DOI: 10.1002/ptr.6688] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2019] [Revised: 03/13/2020] [Accepted: 03/19/2020] [Indexed: 11/10/2022]
Abstract
Carvacrol is a monoterpene present in the essential oil of a number of plants and has been widely used in traditional medicine because it is considered to have a range of therapeutic effects including in relation to respiratory disease. To conduct a systematic review and meta-analysis to assess the anti-inflammatory and antioxidant activities of carvacrol when used in the treatment of respiratory disorders. A comprehensive literature search using Scopus, MEDLINE-PubMed, Cochrane and Web of Science was undertaken. Papers related to the anti-inflammatory or antioxidant properties of carvacrol in the treatment of an injury in the respiratory system in in vivo studies and published in the period up to and including August 2019. A total of 152 studies were initially identified, with only 17 meeting the inclusion criteria. Five of the studies were performed in humans, and 12 were performed in rodents. Among the 17 studies included in the systematic review, we performed the meta-analysis with nine of the studies with animals. Carvacrol had a positive effect on the reduction of interleukin (IL)-1β, IL-4, IL-8 and malondialdehyde (MDA); however, the analysis indicated that carvacrol had no effect on IL-6 and tumor necrosis factor alpha (TNF-α), probably due to the methodological quality of the studies and their heterogeneity. Current evidence supports the antioxidant and anti-inflammatory effects of carvacrol, but its relationship with the reduction of some inflammatory mediators in animals with lung injury needs further elucidation.
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Affiliation(s)
| | - Érika Ramos Silva
- Physiotherapy Department, Universidade Federal de Sergipe-UFS, Lagarto, Brazil
| | - Isla Alcântara Gomes
- Institute of Technology and Research of Universidade Tiradentes, Aracaju, Brazil
| | | | | | | | | | | | | | - Adriano Antunes de Souza Araújo
- Health Sciences Graduate Center, Universidade Federal de Sergipe-UFS, São Cristóvão, Brazil.,Pharmacy Graduate Center, Universidade Federal de Sergipe-UFS, São Cristóvão, Brazil
| | - Paula Santos Nunes
- Health Sciences Graduate Center, Universidade Federal de Sergipe-UFS, São Cristóvão, Brazil
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Felipe FA, de Carvalho FO, Silva ÉR, Santos NGL, Fontes PA, de Almeida AS, Garção DC, Nunes PS, de Souza Araújo AA. Evaluation instruments for physical therapy using virtual reality in stroke patients: a systematic review. Physiotherapy 2020; 106:194-210. [DOI: 10.1016/j.physio.2019.05.005] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2018] [Indexed: 10/26/2022]
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Rosa Silva JP, Santiago Júnior JB, Dos Santos EL, de Carvalho FO, de França Costa IMP, Mendonça DMFD. Quality of life and functional independence in amyotrophic lateral sclerosis: A systematic review. Neurosci Biobehav Rev 2020; 111:1-11. [PMID: 31917162 DOI: 10.1016/j.neubiorev.2019.12.032] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2018] [Revised: 11/08/2019] [Accepted: 12/29/2019] [Indexed: 12/11/2022]
Abstract
Amyotrophic Lateral Sclerosis (ALS) leads to functional capacity decline, generating great impact in quality of life. Quality of life is directly related to physical integrity and functional independence. This systematic review aimed to analyze treatment protocols and their outcomes from clinical trials with focus on ALS rehabilitation that evaluated the effects on quality of life and functional independence from their intervention process. A literature search was conducted through MEDLINE-PubMed, Science Direct, Web of Science and Scopus databases. A total of 3630 articles were identified. Eleven studies met the inclusion criteria. They focused on different aspects of quality of life or functional independence, which are: respiratory care, mental health, communication skills and exercises. Use of bipap and inspiratory muscle training, anxiety and depression, communication devices implementation and exercises safety and tolerability were considered as key points. However, the drastic evolution of the disease is a limiting factor to the perception of quality of life improvement by patients. Further studies should be done to validate the benefits on patients' quality of life.
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Affiliation(s)
- Jéssica Paloma Rosa Silva
- Department of Physical Therapy, Federal University of Sergipe, Lagarto, SE, Brazil; Laboratory of Neurobiology of Degenerative Diseases of the Nervous System, Department of Biosciences, Federal University of Sergipe, Itabaiana, SE, Brazil
| | - José Bomfim Santiago Júnior
- Laboratory of Neurobiology of Degenerative Diseases of the Nervous System, Department of Biosciences, Federal University of Sergipe, Itabaiana, SE, Brazil
| | - Elizabete Lima Dos Santos
- Laboratory of Neurobiology of Degenerative Diseases of the Nervous System, Department of Biosciences, Federal University of Sergipe, Itabaiana, SE, Brazil
| | - Fernanda Oliveira de Carvalho
- Department of Physical Therapy, Federal University of Sergipe, Lagarto, SE, Brazil; Health Sciences Post-Graduation Nucleus, Federal University of Sergipe, SE, Brazil
| | | | - Deise Maria Furtado de Mendonça
- Laboratory of Neurobiology of Degenerative Diseases of the Nervous System, Department of Biosciences, Federal University of Sergipe, Itabaiana, SE, Brazil.
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Silva ER, de Carvalho FO, Teixeira LGB, Santos NGL, Felipe FA, Santana HSR, Shanmugam S, Quintans Júnior LJ, de Souza Araújo AA, Nunes PS. Pharmacological Effects of Carvacrol in In vitro Studies: A Review. Curr Pharm Des 2019; 24:3454-3465. [PMID: 30280662 DOI: 10.2174/1381612824666181003123400] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2018] [Revised: 09/26/2018] [Accepted: 09/28/2018] [Indexed: 11/22/2022]
Abstract
Carvacrol has a high therapeutic potential, with in vitro studies showing promising results in different cellular models using a variety of methodological designs. Therefore, the objective of this study was to conduct a systematic review to analyze the pharmacological effects of carvacrol in in vitro studies. A comprehensive search of the literature was made using four databases: Science Direct, Scopus, MEDLINE-PubMed, and Web of Science using different combinations of the following keywords: carvacrol, drug therapy, therapeutic uses, in vitro study. The search of the databases was for studies conducted in the period up to and including September 2016. A total of 3,269 studies were initially identified, with only 31 meeting the inclusion criteria. The included studies contained a variety of in vitro models able to determine the properties of Carvacrol. The following properties of Carvacrol were identified: antimicrobial (7 studies), bactericidal (4), bactericidal and antifungal (1), antiinflammatory (4), anticancer (4), mutagenic (4), antioxidant (3), antifungal (3), antidepressant (1), as a modulator of nerve impulses (1) and an immunological modulator (1). The In vitro studies with Carvacrol included in this review showed a diversity of models and confirmed the therapeutic potential of this product in relation to several diseases.
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Affiliation(s)
- Erika Ramos Silva
- Health Sciences Post-Graduate Program, Federal University of Sergipe, Claudio Batista St s/n, CEP 49060-100, Aracaju, SE, Brazil
| | - Fernanda Oliveira de Carvalho
- Health Sciences Post-Graduate Program, Federal University of Sergipe, Claudio Batista St s/n, CEP 49060-100, Aracaju, SE, Brazil
| | - Luciana Garcez Barretto Teixeira
- Health Sciences Post-Graduate Program, Federal University of Sergipe, Claudio Batista St s/n, CEP 49060-100, Aracaju, SE, Brazil
| | - Nayara Gomes Lima Santos
- Health Sciences Post-Graduate Program, Federal University of Sergipe, Claudio Batista St s/n, CEP 49060-100, Aracaju, SE, Brazil
| | - Fernanda Araújo Felipe
- Health Sciences Post-Graduate Program, Federal University of Sergipe, Claudio Batista St s/n, CEP 49060-100, Aracaju, SE, Brazil
| | | | - Saranavan Shanmugam
- Health Sciences Post-Graduate Program, Federal University of Sergipe, Claudio Batista St s/n, CEP 49060-100, Aracaju, SE, Brazil
| | - Lucindo José Quintans Júnior
- Health Sciences Post-Graduate Program, Federal University of Sergipe, Claudio Batista St s/n, CEP 49060-100, Aracaju, SE, Brazil
| | - Adriano Antunes de Souza Araújo
- Health Sciences Post-Graduate Program, Federal University of Sergipe, Claudio Batista St s/n, CEP 49060-100, Aracaju, SE, Brazil
| | - Paula Santos Nunes
- Health Sciences Post-Graduate Program, Federal University of Sergipe, Claudio Batista St s/n, CEP 49060-100, Aracaju, SE, Brazil
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Borges JMDM, de Carvalho FO, Gomes IA, Rosa MB, Sousa ACS. Antiplatelet agents in perioperative noncardiac surgeries: to maintain or to suspend? Ther Clin Risk Manag 2018; 14:1887-1895. [PMID: 30323611 PMCID: PMC6178938 DOI: 10.2147/tcrm.s172591] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023] Open
Abstract
BACKGROUND When prescribing antiplatelet agents, physicians face the challenge of protecting patients from thromboembolic events without inducing bleeding damage. However, especially in the perioperative period, the use of these medications requires a carefully balanced assessment of their risks and benefits. OBJECTIVE To conduct a systematic review to check whether the antiplatelet agent is to be maintained or suspended in the perioperative period of noncardiac surgeries. SEARCH STRATEGY A comprehensive literature search using Science Direct, Scopus, MEDLINE-PubMed, and Web of Science was undertaken. SELECTION CRITERIA Clinical trials of noncardiac surgeries with patients taking regular anti-platelet therapy, published between 2013 and 2018. RESULTS A total of 1,302 studies were initially identified, with only four meeting the inclusion criteria. The selected studies were conducted in different countries such as, including India (2), Serbia (1), and the USA (1). The age group was similar in all studies, from 61 to 75 years. The most frequent surgery was related to tooth extraction and transurethral resection of bladder cancer. There was a group of patients who used single antiplatelet agents and groups who used single therapy and double therapy. Acetylsalicylic acid was the common drug in all studies. CONCLUSION It was concluded that the clinical trials were classified as good quality and that it was not necessary to suspend antiplatelet therapy prior to surgical procedures such as dental extraction and transurethral resection of bladder cancer. It should be noted that it is necessary to jointly evaluate the type of antiplatelet agent, the thrombotic risk of the patient, and the hemorrhagic risk of the surgical procedure.
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Affiliation(s)
- Juliana Maria Dantas Mendonça Borges
- Nucleus of Post-Graduation in Health Sciences, Federal University of Sergipe, São Cristóvão, Brazil,
- Nucleus of Pharmacy, Tiradentes University, Aracaju, Brazil,
| | | | - Isla Alcântara Gomes
- Nucleus of Post-Graduation in Pharmaceutical Sciences, Federal University of Sergipe, São Cristóvão, Brazil
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de Menezes AF, Oliveira de Carvalho F, Barreto RSS, de Santana Silva B, Shanmugam S, Gurgel RQ, de Souza Araújo AA. Pharmacologic Treatment of Vitiligo in Children and Adolescents: A Systematic Review. Pediatr Dermatol 2017; 34:13-24. [PMID: 27878842 DOI: 10.1111/pde.13024] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
BACKGROUND The true pathogenic mechanism of vitiligo is still unknown. About half of the patients with this disease have onset before the age of 20 years, making it a serious dermatologic disorder in childhood. OBJECTIVES The objective of this study was to review the literature in a systematic way and identify the main pharmacologic treatments and outcomes in children and adolescents with vitiligo. METHODS Four databases-the National Library of Medicine (MEDLINE-PubMed), Web of Science, Scopus, and Latin American and Caribbean Health Sciences (LILACS)-were used for the search up to January 2015. All electronic search titles, selected abstracts and full-text articles were independently reviewed by a minimum of two reviewers. RESULTS There were 15 articles from 13 different countries: 3 were retrospective and 12 were prospective; the number of participants in the studies varied between 9 and 400, ages ranged from 0 to 18 years, and the duration of disease ranged from 1 to 17 years. The most commonly used drugs were tacrolimus alone (or combined with clobetasol), pimecrolimus, corticosteroids, and calcipotriol. Treatment duration ranged from 10 days to 6 months with a topical route of administration. CONCLUSIONS The main outcome measurements were morphometric analysis performed using a computer program, hematologic or biochemical change, and photography (predominant). It is unclear which was the most effective treatment for vitiligo, however, it was found that these therapies are all promising in the treatment of the disease. With proper care, disease control and repigmentation, even if partial, can be achieved.
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Affiliation(s)
| | | | - Rosana S S Barreto
- Núcleo de Pós-Graduação em Medicina, Universidade Federal de Sergipe-UFS, Aracaju, SE, Brazil
| | - Bruno de Santana Silva
- Núcleo de Pós-Graduação em Medicina, Universidade Federal de Sergipe-UFS, Aracaju, SE, Brazil
| | - Saravanan Shanmugam
- Núcleo de Pós-Graduação em Medicina, Universidade Federal de Sergipe-UFS, Aracaju, SE, Brazil
| | - Ricardo Queiroz Gurgel
- Núcleo de Pós-Graduação em Medicina, Universidade Federal de Sergipe-UFS, Aracaju, SE, Brazil
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de Menezes AF, Shanmugam S, Gomes IA, de Carvalho FO, Quintans-Júnior LJ, Gurgel RQ, de Santana Silva B, Serafini MR, Araújo AADS. Synthetic drugs for the treatment of vitiligo: a patent review (2010–2015). Expert Opin Ther Pat 2016; 26:1175-1187. [DOI: 10.1080/13543776.2016.1215434] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
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de Melo Costa ACS, Pereira Ramos KP, Serafini MR, de Carvalho FO, Teixeira LGB, Garcao DC, Shanmugam S, de Souza Araujo AA, Nunes PS. Products with Natural Components to Heal Dermal Burns: A Patent Review. Recent Pat Biotechnol 2015; 9:168-175. [PMID: 27185501 DOI: 10.2174/1872208310666160517114832] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2016] [Revised: 04/15/2016] [Accepted: 04/18/2015] [Indexed: 06/05/2023]
Abstract
BACKGROUND Burns are a global public health problem, and non-fatal burn injuries are a leading cause of morbidity. The scale of the problem has led researchers to seek to develop new prod- ucts (both synthetic and natural) for use in the treatment of burn lesions. OBJECTIVE The aim of this study was to examine all patents in databases between 2010 and 2015 related to natural prod- ucts for the treatment of burn-related wounds that targeted tissue repair and healing. METHOD The search term "burn" and the code A61K36/00 (plant and other natural derivatives used in medicinal prepara- tions) from the international classification of patents were used to identify treatments. RESULTS The search was performed in the WIPO, ESPACENET and USPTO databases. The highest number of patent ap- plications was found in the WIPO data base (617), followed by ESPACENET(23) and USPTO(6). The USA and China were the countries with the most patent applications, and 2008 was the year that had the highest number of applications. Patent applications written in Spanish, English and Portuguese and that were published between 2010 and 2015 were se- lected. 559 patent applications in other languages, and 63 that did not result in the creation of new products between 2010 and 2015 were excluded and the remaining 13 patents application were selected for full reading of the text. CONCLUSION Through this study we were able to identify and summarize the new active natural compounds that can be used in the treatment of burns, both in terms of tissue recovery and analgesia.
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Affiliation(s)
| | | | | | | | | | | | | | | | - Paula Santos Nunes
- Department of Morphology, Federal University of Sergipe, MarechalRondom Avenue s/n, CEP 49100-000, Sao Cristovao-SE, Brazil.
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