CoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel Superior / A Aroeira do SertÃo (Myracrodruon urundeuva AllemÃo) à uma planta medicinal utilizada popularmente no tratamento de problemas ginecolÃgicos, tais como Cervicite, Vaginites e Ectopias, cuja forma farmacÃutica de creme vaginal à de 15%; utilizada a mais de uma dÃcada pelo Programa FarmÃcias Vivas. Objetivou-se estudar o perfil de utilizaÃÃo e a eficÃcia do creme de Aroeira em ginecologia; notificar e quantificar possÃveis reaÃÃes adversas a fitoterÃpicos. Trata-se de estudo observacional, prospectivo, de tipo aberto e nÃo comparativo de utilizaÃÃo de medicamentos. Desenvolvido em um Centro de SaÃde, pertencente à regional IV de Fortaleza-CE. O estudo foi composto por 33 mulheres que receberam indicaÃÃo e prescriÃÃo de uso do creme vaginal de Aroeira, sendo que apenas 18 completaram todas as fases do estudo. Os dados foram coletados entre janeiro e junho de 2008, mediante acompanhamento de mulheres que concluÃram o estudo. Utilizou-se como tÃcnica a entrevista individual prà e pÃs-tratamento; a reuniÃo de informaÃÃes clÃnicas fornecidas pela ginecologista responsÃvel, alÃm de um formulÃrio para registro dos dados clÃnicos. Os resultados demonstraram que nenhuma reaÃÃo adversa foi relatada e o creme mostrou-se efetivo no tratamento das patologias diagnosticadas (Cervicites e Ectopias). Conclui-se, assim, que os achados corroboram todos os efeitos farmacolÃgicos jà detectados em relaÃÃo à aroeira e que esta nÃo acarreta nenhum tipo de reaÃÃo adversa, confirmando, dessa forma, o que preconiza as diretrizes da nova PolÃtica Nacional de Plantas Medicinais, voltadas para a saÃde da mulher. / The Brazilian Peppertree (Myracrodruon urundeuva AllemÃo) is a medicinal plant popularly known in the treatment of gynecological problems, such as cervicitis, vaginitis and ectopies, which pharmaceutical form in cream is 15%, used for more than ten years by the Live Pharmacy Program. One aimed to study the use and efficiency of Brazilian Peppertree in gynecology; record and quantify possible adverse and phytotherapic reactions. It is an observatory, prospective study, of the open type and non comparative of medicine use. Developed in a Health Unit, from regional IV in Fortaleza-CE. The study was composed by 33 women that received indication and prescription of Brazilian Peppertreeâs vaginal cream, but only 18 completed all the phases of the study. The data were collected between January and June 2008, by accompaniment of women who concluded the study. One used as technique the individual interview pre and post treatment; the use of clinical information given by the responsible gynecologist, besides a form to record the clinical data. The results demonstrated that no adverse reaction was reported and that the cream was effective in the treatment of the diseases (Cervicitis and Ectopies). One concludes, thus, that the findings confirm all the pharmacological effects already detected concerning the Brazilian Peppertree and that it does not cause any adverse reaction, confirming, this way, what preaches the new National Policy of Medicinal Plants, regarding womenâs health.

L’ischémie aigüe (restriction de la perfusion suite à l’infarctus du myocarde) induit des changements majeurs des propriétés électrophysiologique du tissu ventriculaire. Dans la zone ischémique, on observe une augmentation du potassium extracellulaire qui provoque l’élévation du potentiel membranaire et induit un "courant de lésion" circulant entre la zone affectée et saine. Le manque d’oxygène modifie le métabolisme des cellules et diminue la production d’ATP, ce qui entraîne l’ouverture de canaux potassique ATP-dépendant. La tachycardie, la fibrillation ventriculaire et la mort subite sont des conséquences possibles de l’ischémie. Cependant les mécanismes responsables de ces complications ne sont pas clairement établis. La création de foyer ectopique (automaticité), constitue une hypothèse intéressante expliquant la création de ses arythmies. Nous étudions l’effet de l’ischémie sur l’automaticité à l’aide d’un modèle mathématique de la cellule ventriculaire humaine (Ten Tusscher, 2006) et d’une analyse exhaustive des bifurcations en fonction de trois paramètres : la concentration de potassium extracellulaire, le "courant de lésion" et l’ouverture de canaux potassiques ATP-dépendant. Dans ce modèle, nous trouvons que seule la présence du courant de lésion peut entrainer une activité automatique. Les changements de potassium extracellulaire et du courant potassique ATP-dépendant altèrent toutefois la structure de bifurcation. / Acute ischemia (restriction in blood supply to part of the heart which can result in myocardial infarction) induces major changes in the electrophysiological properties of the ventricular tissue. Extracellular potassium concentration increases in the ischemic zone, leading to an elevation of the resting membrane potential that creates an “injury current” between the infarcted and the healthy zone. In addition, the lack of oxygen impairs the metabolic activity of the myocytes and decreases ATP production, thereby affecting ATP-sensitive potassium channels. A frequent complication of myocardial infarction is tachycardia, fibrillation and sudden cardiac death, but the mechanisms underlying their initiation are still debated. One hypothesis is that these arrhythmias may be triggered by abnormal automaticity. We have investigated the effect of ischemia on myocyte automaticity by performing a comprehensive bifurcation analysi(fixed points, cycles and their stability) of a human ventricular myocyte model (Ten Tusscher, 2006) as a function of three ischemia-relevant parameters: extracellular potassium, injury current, and ATP-sensitive potassium current. In this single-cell model, we found that automatic activity was possible only in the presence of an injury current. Changes in extracellular potassium and ATP-sensitive potassium current significantly altered the bifurcation structure as a function of IS, including the occurrence of early-after-depolarization. The results provide a sound basis for studying higher-dimensional tissue structures representing an ischemic heart.

L’ischémie aigüe (restriction de la perfusion suite à l’infarctus du myocarde) induit des changements majeurs des propriétés électrophysiologique du tissu ventriculaire. Dans la zone ischémique, on observe une augmentation du potassium extracellulaire qui provoque l’élévation du potentiel membranaire et induit un "courant de lésion" circulant entre la zone affectée et saine. Le manque d’oxygène modifie le métabolisme des cellules et diminue la production d’ATP, ce qui entraîne l’ouverture de canaux potassique ATP-dépendant. La tachycardie, la fibrillation ventriculaire et la mort subite sont des conséquences possibles de l’ischémie. Cependant les mécanismes responsables de ces complications ne sont pas clairement établis. La création de foyer ectopique (automaticité), constitue une hypothèse intéressante expliquant la création de ses arythmies. Nous étudions l’effet de l’ischémie sur l’automaticité à l’aide d’un modèle mathématique de la cellule ventriculaire humaine (Ten Tusscher, 2006) et d’une analyse exhaustive des bifurcations en fonction de trois paramètres : la concentration de potassium extracellulaire, le "courant de lésion" et l’ouverture de canaux potassiques ATP-dépendant. Dans ce modèle, nous trouvons que seule la présence du courant de lésion peut entrainer une activité automatique. Les changements de potassium extracellulaire et du courant potassique ATP-dépendant altèrent toutefois la structure de bifurcation. / Acute ischemia (restriction in blood supply to part of the heart which can result in myocardial infarction) induces major changes in the electrophysiological properties of the ventricular tissue. Extracellular potassium concentration increases in the ischemic zone, leading to an elevation of the resting membrane potential that creates an “injury current” between the infarcted and the healthy zone. In addition, the lack of oxygen impairs the metabolic activity of the myocytes and decreases ATP production, thereby affecting ATP-sensitive potassium channels. A frequent complication of myocardial infarction is tachycardia, fibrillation and sudden cardiac death, but the mechanisms underlying their initiation are still debated. One hypothesis is that these arrhythmias may be triggered by abnormal automaticity. We have investigated the effect of ischemia on myocyte automaticity by performing a comprehensive bifurcation analysi(fixed points, cycles and their stability) of a human ventricular myocyte model (Ten Tusscher, 2006) as a function of three ischemia-relevant parameters: extracellular potassium, injury current, and ATP-sensitive potassium current. In this single-cell model, we found that automatic activity was possible only in the presence of an injury current. Changes in extracellular potassium and ATP-sensitive potassium current significantly altered the bifurcation structure as a function of IS, including the occurrence of early-after-depolarization. The results provide a sound basis for studying higher-dimensional tissue structures representing an ischemic heart.