Wild cashew Anacardium occidentale L., used locally for food and medicinals, occurs in coastal restinga vegetation in northeastern Brazil. Leaf and bark hydroethanolic extracts from four populations in Piauí state were studied for secondary metabolites, estimation of total phenolics and flavonoids (UV‐Vis spectrophotometry), identification of the selected phenolic compound gallic acid (HPLC), antioxidant (DPPH) assays and estimates of antibacterial activity (agar diffusion, MIC, MBC). Results varied between populations and between leaf and bark. Alkaloids, flavonoids, organic acids, phenolics, reducing sugars, saponins and triterpenoids were observed. Total phenolics and flavonoids levels exceeded those of domesticated cashew (phenolics mg GAE g‐1: leaves 235.6–521.6, bark 430.5–546.3; flavonoids mg QE g‐1: leaves 22.1–30.8, bark 22.3–27.1). Presence of gallic acid was confirmed. Antioxidant IC50 values (DPPH inhibition) ranged from 45.81 to 88.53 µg/mL. Gram‐positive bacterial growth was inhibited (MIC 62.5–250 [‐500] µg/mL in Staphylococcus aureus [sensitive and MRSA strains], S. epidermidis, S. saprophyticus; MIC 500–2000 µg/mL in Streptococcus mutans). Bactericidal activity was observed in two populations (MBC 500–1000 µg/mL). The results corroborate studies of cerrado forms indicating that wild populations are richer in bioactive compounds than domesticated forms and highlight the need to conserve their habitats.
RESUMO Objetivo: descrever a criação e implantação do serviço ambulatorial de fisioterapia pélvica pelo Sistema Único de Saúde. Método: este estudo constitui um relato de experiência, de caráter descritivo, da criação, implantação e atendimentos do serviço ambulatorial de fisioterapia pélvica no hospital estadual Getúlio Vargas em Teresina, Piauí, entre 2017 e 2020. Resultados: os atendimentos contemplaram 156 pessoas, com quantitativo de 20 a 40 atendimentos por paciente. A incontinência urinária foi a disfunção mais prevalente. Foram criados direcionamentos para a avaliação e tratamento baseados em evidências científicas e nos recursos disponíveis. A intervenção fisioterapêutica oferecida trouxe ganho de força muscular perineal e redução da perda urinária, atestando que a fisioterapia pode ser uma estratégia efetiva e de baixo custo. O serviço contou ainda com equipe de voluntários provenientes do núcleo de educação permanente do hospital e uma
The aim of this study was to evaluate pelvic floor functionality and sexual function in pregnant women. The study was characterized as a descriptive and transversal research. The population consisted of 19 pregnant women, living in Parnaíba/PI. The women's assessment instruments were the evaluation and identification form that contained sociodemographic data, clinical history, obstetric and urogynecological data; the NEW PERFECT scheme was used to assess the functionality of the pelvic floor muscles and the Female Sexual Function Index (FSFI) to assess sexual function. Mean age was 25.95 (± 3.54) years, mean pelvic floor muscle strength was 2.47 (± 1.28); resistance was 4.31 (± 2.99) seconds; the number of repetitions of the contractions maintained was 2.63 (± 1.6) times; and rapid contractions were 5.05 (± 2.87) contractions. Sexual function according to the FSFI totaled a score of 25.61. In this study, it was possible to infer important deficiencies and limitations regarding strength, coordination, control and activation of the pelvic floor muscles. As in the sexual function domain, the FSFI result indicates possible dysfunctions with an emphasis on the hypoactivity of sexual desire.
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