Herbal medicines are widely used in our community. A survey of Australian consumers indicated that 60% had used complementary and/or alternative medicines in the past year with the majority not informing their doctor that they were using herbal medicines. Little is known about the potentially serious consequences of interactions between herbal and conventional medicines. Warfarin has an important role in treating people with heart disease, yet it has a narrow therapeutic range, is highly bound to plasma proteins, and is metabolised by cytochrome P450. This creates the potential for life-threatening interactions with other drugs and foods leading to excessive bleeding. Hence, warfarin is one of the most frequently investigated drugs for interaction studies. Early clinical reports suggest that there exists the potential for an interaction between warfarin and four herbal medicines: St John�s wort, ginseng, ginkgo and ginger. However, these herb-drug combinations have never been conclusively studied. The two clinical studies conducted as part of this research had an identical study design. Twenty-four healthy male subjects were recruited into the two separate studies. This was an open label, three-way crossover randomised study in twelve healthy male subjects, who received a single 25 mg dose of warfarin alone or after 14 days pre-treatment with St John�s wort, or 7 days pre-treatment with ginseng. Dosing with St John�s wort or ginseng was continued for 7 days after administration of the warfarin dose in study I or who received a single 25 mg dose of warfarin alone or after 7 days pre-treatment with recommended doses of ginkgo or ginger from single ingredient products of known quality. Dosing with ginkgo or ginger was continued for 7 days after administration of the warfarin dose in study II. Platelet aggregation, international normalised ratio (INR) of prothrombin time, warfarin enantiomer protein binding, warfarin enantiomer concentrations in plasma and S-7-hydroxywarfarin concentration in urine were measured in both studies. Statistical comparisons were made using ANOVA and 95% confidence interval (CI) for mean value and 90% CI for geometric mean ratio value are reported. n study I, the mean (95% CI) apparent clearance of S-warfarin after warfarin alone or with St John�s wort or ginseng were, respectively, 198 (174 � 223) ml/h, 269 (241 � 297) ml/h and 220 (201 � 238) ml/h. The respective apparent clearances of R-warfarin were 110 (94 � 126) ml/h, 142 (123 � 161) ml/h and 119 (106 � 131) ml/h. The mean ratio of apparent clearance for S-warfarin was 1.29 (1.16-1.46) and for R-warfarin was 1.23 (1.11-1.37) when St John�s wort was co-administered. The mean ratio of AUC0-168 of INR was 0.79 (0.70 - 0.95) when St John�s wort was co-administered. The urinary excretion ratio of S-7-hydroxywarfarin after administration of warfarin alone was 0.04 (0.03 � 0.06) mg/h and there was no significant difference following treatment with either St John�s wort 0.03 (0.02 � 0.04) mg/h or ginseng 0.03 (0.02 � 0.04) mg/h. The ratio of geometric means for S-7-hydroxywarfarin UER was 0.82 (0.61-1.12) for St John�s wort, and 0.68 (0.50-0.91) for ginseng. St John�s wort and ginseng did not affect the apparent volumes of distribution or protein binding of warfarin enantiomers. In study II, the mean (95% CI) apparent clearance of S-warfarin after warfarin alone, with ginkgo or ginger were 189 (167 � 210) ml/h, 200 (173 � 227) ml/h and 201 (171 � 231) ml/h, respectively. The respective apparent clearances of R-warfarin were 127 (106 � 149) ml/h, 126 (111 � 141) ml/h and 131 (106 � 156) ml/h. The mean ratio of apparent clearance for S-warfarin was 1.05 (0.98 -1.12) and for R-warfarin was 1.00 (0.93 -1.08) when co-administered with ginkgo. The mean ratio of AUC0-168 of INR was 0.93 (0.81 -1.05) when co-administered with ginkgo. The mean ratio of apparent clearance for S-warfarin was 1.05 (0.97 -1.13) and for R-warfarin was 1.02 (0.95 -1.10) when co-administered with ginger. The mean ratio of AUC0-168 of INR was 1.01 (0.93 -1.15) when co-administered with ginger. The urinary excretion ratio (UER) of S-7-hydroxywarfarin after administration of warfarin alone was 0.04 (0.03 � 0.05) mg/h and there was no significant difference following treatment with either ginkgo 0.04 (0.03 � 0.04) mg/h or ginger 0.03 (0.02 � 0.04) mg/h. The ratio of geometric means for S-7-hydroxywarfarin UER was 1.07 (0.69-1.67) for ginkgo, and 1.00 (0.64-1.56) for ginger. Ginkgo and ginger did not affect the apparent volumes of distribution or protein binding of either S-warfarin or R-warfarin. In conclusion, St John�s wort significantly induced the apparent clearance of both S-warfarin and R-warfarin, which in turn resulted in a significant reduction in the pharmacological effect of rac-warfarin. Ginseng, ginkgo and ginger at recommended doses affect neither clotting status, nor the pharmacokinetics or pharmacodynamics of either S-warfarin or R-warfarin in healthy subjects.

O gengibre é uma das especiarias mais importantes e amplamente utilizadas no mundo. Atualmente, a maior produção desta cultura concentra-se nos estados do sul do Brasil, sendo grande parte destinada para exportação. A geração de renda e a manutenção da variabilidade genética do gengibre são feitas principalmente pela agricultura familiar. Portanto, com o objetivo de continuar incrementando a diversidade genética do gengibre e contribuir com uma adoção rápida de variedades com melhor rendimento, adaptadas às características dos campos dos agricultores, e com resistência à principal doença desta cultura (Fusariose), este trabalho visou selecionar genótipos de gengibre do banco de germoplasma da ESALQ/USP com características relacionadas às prioridades dos agricultores do vale de Caraguatatuba - Ubatuba e que possuam algum nível de resistência a Fusarium oxysporum. Para tal, esta pesquisa foi dividida em duas partes. Primeiramente, desenvolveu-se um processo de melhoramento genético participativo, onde os agricultores ajudaram a identificar as prioridades de seleção de gengibre, procurando características que sejam adequadas às suas necessidades e na identificação da sintomatologia de fusariose mediante escala de notas. Na segunda parte, foi feita uma seleção de genótipos promissores por meio de avaliações em campo e casa de vegetação, através de uma análise de interação genótipo x ambiente. Os resultados mostraram que as prioridades de melhoramento escolhidas pelos agricultores foram resistência a doenças e pragas, altos rendimentos, estabilidade no tempo, variedades que consigam suprir necessidades de venda in natura e industrializado e com capacidade de atender diferentes tipos de mercado. Dentre os genótipos avaliados pelos agricultores, foram selecionados os genótipos G7, G16, G20, G22, G29, G31, G33, G47, G49, G51, G53, G58, G61 e G66 como resistentes e com características agronômicas promissoras. Nas avaliaçãoes de campo e casa de vegetação observou-se que dos 49 genótipos analisados, G47 apresentou o maior nível de resistência, enquanto que G11, G23, G30, G43 e G64, foram identificados como genótipos resistentes. Desses genótipos selecionados como resistentes apenas os genótipos G23 e G64 foram promissores, apresentando estabilidade na resistência, produção, formação de perfilhos, e caracteres qualitativos de interesse agronômico. Entre os genótipos selecionados mediante melhoramento clássico e os selecionados com melhoramento participativo houve apenas uma coincidência na seleção (G47) referente à sintomatologia, mas ao ser testado para estabilidade referente à doença, este genótipo apresentou alta inestabilidade no tempo, não se mostrando adequado para recomendação como variedade resistente. Dessa forma, novos estudos deverão ser desenvolvidos visando testar estes genótipos em outros ambientes. / Ginger is the most important and widely used spice in the world. Currently, the greater production of this crop is focused in the southern states of Brazil, where most of the production is destined for export. The generation of income and the maintenance of genetic variability of ginger are provided mainly by family farming. Therefore, with the objective to continue increasing genetic diversity of ginger and contribute with a rapid adoption of varieties with better yield, adapted to farmers\' fields characteristics, and resistance to the main disease of this crop (fusariosis), this work aimed at selecting ginger genotypes from the germplasm bank of ESALQ/USP with characteristics related to the priorities of the farmers from Caraguatatuba-Ubatuba Valley, presenting some level of resistance to Fusarium oxysporum. Therefore, this research was divided in two parts. First, a participatory breeding process was developed, where farmers helped to identify the priorities of selection in ginger, searching for features that are appropriate to their needs and to identify the symptoms of Fusarium by grading scale. In the second part, a selection was made of promising genotypes through evaluations in the field and in a greenhouse, through an analysis of genotype x environment interaction. Results showed that the farmers’ breeding priorities were resistance to diseases and pests, high income, stability in time, varieties that are able to meet sales requirements both in natura and industrialized, including ability to supply different market types. Among the genotypes evaluated by the farmers, the genotypes G7, G16, G20, G22, G29, G31, G33, G47, G49, G51, G53, G58, G61 and G66 were selected as being resistant and with promising agronomic characteristics. In the field and greenhouse evaluations, it was observed that from the 49 genotypes analyzed, genotype G47 showed the highest level of resistance, while G11, G23, G30, G43 and G64, and were identified as resistant genotypes. From these genotypes selected as resistant only G23 and G64 were promising, showing stability in resistance, production, tillers production, and qualitative traits of agronomic interest. Among the genotypes selected by classical breeding and those selected through participatory breeding, there was only one coincidence in the selection (G47) related to symptoms, but when tested for disease stability, it presented high instability in time, not being suitable for recommendation as a resistant variety. Thus, further studies should be developed aiming to test these genotypes in other environments.

A functional beverage, designed to be cardio-protective, was formulated, using a blend of juices of cranberry (Vaccinium macrocarpon L), blueberry (Vaccinium angustifolium Aiton.), apple (Malus domestica L.), ginger (Zingiber officinale Roscoe) and selected cardio-protective ingredients. Membrane filtration enhanced the antioxidant properties of the fruit juices. Ultrasound-assisted water extract of ginger showed potential antioxidant activities. The selected fruit juice combination, 50% blueberry; 12.5% cranberry; and 37.5% apple, showed higher consumer acceptability. Incorporation of functional ingredients at 10% RDI and 2% (v/v) ginger extract did not affect the sensory properties of the beverage. Phenolic concentration, FRAP value, and % LDL oxidation inhibition of the formulation were 1024 mg GAE/L, 3114 mg TE/L and 45%, respectively. Diet supplementation with the formulation resulted in lower serum and liver lipid levels in spontaneously hypotensive rats. Blood pressure was reduced by the formulation after two but not four weeks supplementation.

Title page, table of contents and abstract only. The complete thesis in print form is available from the University of Adelaide Library. / The aim of the work described in this thesis was initially to screen the ethanol extracts of eleven Indonesian ginger species (Zingiberaceae family) for anticancer activity. MCF-7 breast and HT-29 colon cancer cells were used for the investigations. Extracts of Zingiber aromaticum and Boesenbergia pandurata were found to be the most active species, similar to that of Curcuma langa which has been shown to possess anticancer activity in vitro and in vivo (Aruna and Sivaramakrishnan, 1992; Azuine and Bhide, 1992). These two active species were then further investigated. Bioactive compounds from the species were isolated and identified using various chromatography procedures and nuclear magnetic resonance (NMR) and their anticancer activities were further tested on MCF-7 breast and HT-29 colon cancer cells including cell cycle analysis and measurements of apoptosis. The ethanol extracts of these two active species were also investigated using the AOM-induced colon cancer model in rats. The antiinflammatory activity of the ethanol extract of Z. aromaticum was also investigated using dextran sulfate sodium (DSS) induced ulcerative colitis (UC) in rats. The inhibitory activity of ethanol extracts of rhizomes of 11 ginger species was initially tested against MCF-7 breast and HT-29 colon cancer cells using colorimetric tetrazolium salt (MTT) assay. Ethanol extracts of eight species (Amommum cardamomum, C. longa, C. mangga, C. xanthorrhiza, Boesenbergia pandurata, Zingiber aromaticum, Z. officinale, Z. cassumunar) showed a strong inhibitory effect on the growth of the cancer cells with the IC50 concentrations between 100-100 g/ml. The ethanol extract of Curcuma aeruginosa was less active (IC5o between 100-120 g/ml) and extracts of Kaempferia galangal and K. rotunda had no effect on the growth of either cell lines at concentrations up to 250 g/ml. Ethanol extract of C. longa was used as a comparison since curcumin, an active compound isolated from this species, has had demonstrated its anticancer activity in vitro, in vivo and is currently undergoing clinical trial against colon cancer (Greenwald, et al., 2001; Sharma et al., 2001). Extracts of Z. aromaticum and B. pandurata had very strong inhibitory activity similar to the extract of C. longa. Curcumin was not detectable in either Z. aromaticum or B. pandurata. The ethanol extracts of the active species were not toxic on human skin fibroblast cells (SF 3169). The ethanol extracts of Z. aromaticum and B. pandurata were further fractionated using two different solvents by reversed phase preparative HPLC. Fraction A was eluted with a mobile phase containing 5% vlv aqueous methanol containing 0.025% v/v trifluoroacetic acid (TFA) and fraction B was eluted with 100% methanol. The inhibitory activity of fractions was then investigated against HT-29 colon cancer cells and assayed using the MTT assay. Zerumbone, a sesquiterpenoid compound was isolated from fraction B of the extract of Z. aromaticum and a chalcone derivative, panduratin A was isolated from fraction B of the extract of B. pandurata. Curcumin was in fraction A of extract of C. longa. The anticancer activity of zerumbone and panduratin A was investigated using MCF-7 breast. HT-29 and CaCo-2 colon cancer cells. The inhibitory activity of the active compounds was assessed using the MTT assay. The ICso of zerumbone in each of the cell lines was about 10 uM and of curcumin on HTU29 cells was 25 uM. The IC50 of panduratin A in HT-29 cells was 16 uM and in MCF-7 cells was 9 uM. Zerumbone and panduratin A showed antiproliferative effects by alteration of the DNA distribution in the cell cycle and induction of apoptosis. HT-29 cells treated with zerumbone at concentrations of 10 -25 uM or panduratin A at concentrations of 9 -65 uM for 24 h were stained with propidium iodide (PI) to determine cell cycle distribution and analysed using FACScan flow cytometry. The proportion of cells in the S phase was reduced from 18.7% in untreated cells to 10.2% in HT-29 cells after treatment with zerumbone at 10 uM to 3.1% at 25 uM. Cells in the G2 phase increased from 18.5% at 10 uM to 40% at a concentration of 25 uM. Panduratin A increased the proportion of cells in the GO/G1 phase from 33% of untreated cells to 71% after treatment with 65 uM for 24 h. Panduratin A slightly reduced the proportion of cells in S phase and cells in G2/M phase also decreased from 36,8% in untreated cells to 15.4% at 65 M. Apoptosis was determined using double labelled (Annexin-V-Fluos and PI) and then evaluated using FACScan Flow Cytometry. Morphological features of apoptosis were also examined using DiffQuick stain and fluorescent Hoechst 3355 and 4,6-diamino-2-phenylindole (DAPI). Zerumbone induced apoptosis in HT-29 cells in a dose dependent rnanner, At 48 h, 2% of cells treated with 10 M of zerumbone underwent apoptosis, which increased to 8% when treated with 50 M, Panduratin A at 28 M increased the number of cells undergoing apoptosis from 2,2% to 16.7% when treated with a concentration of 65 M. The ethanolic extracts of Z. aromaticum and B. pandurata were also investigated using the azoxymethane (AOM) induced aberrant crypt foci (ACF) model of colon cancer in rats in a short and long term study. Ethanolic extracts of C. tonga and curcumin were used as comparison. The basal diet used throughout all animal studies in this thesis was a semi-purified AIN-93 G diet (Reeves et aI., 1993). ACF were induced by two doses (15 mg/kg BW) subcutaneously of AOM one week apart and ACF were visualised in the formalin fixed colon using methylene blue stain. The ACF study was run over a short (5 weeks) and long (13 weeks) experiments. Diets containing ethanol extracts prepared from the equivalent of 2% (w/w) dried rhizome of Z. aromaticum, B. pandurate or C. tonga in a short term study did not affect the formation of ACF in rats compared to those in the control diet group. The ACF formation in a short term study was dominated by small numbers of aberrant crypts (1 or 2) per focus. It is suggested that large ACF (4 or more ACs/focus) are better predictors of colon cancer (Uchida et aI., 1997; Jenab et aI., 2001). Diets containing ethanol extracts of the equivalent of 4% by weight of dried rhizomes of Z. aromaticum, B. pandurata, C. longa were investigated over 13 week study, Total ACF were significantly reduced by Z. aromaticum extract (0.34%) in the diet (down 21%, p<0.05) relative to rats fed the control diet. A similar reduction was observed with C, longa extract (0.86%) in the diet (down 24%, p<0.01) and with 2000 ppm curcumin. There was no significant different in small ACFs (1-2 ACs/ focus) between dietary treatments. The number of foci containing 3-4 ACs/focus was significantly reduced (35%, p<0,001) in animals fed the Z. aromaticum extract and 34% (p<0.001) of animals fed the C. tonga extract. The total number of ACF containing 5 or more ACs per focus of animals fed 0.34% Z. aromaticum extract was 41 % lower than control (p<0.05) and for 0.86 % C. tonga extract was 22% (not significant). A diet containing extract (0.56%) of B. pandurata did not significantly affect the formation of ACF compared to the control AIN group. The concentration of zerumbone in the Z.aromaticum extract diet was assayed at 300 ppm, and of curcumin in the C. tonga extract diet was also 300 ppm. The concentration of panduratin A was not assayed in the diet due to late identification of the active compound. The antiinflammatory activity of ethanol extract of Z. aromaticum was investigated using dextran sulfate sodium (DSS) induced ulcerative colitis in rats. Sulfasalazine, a widely used compound to treat inflammatory bowel disease (IBD) in humans was used as the positive control. Diets containing ethanol extracts (0.34% and 0.68%) prepared from the equivalent of 4% and 8% by weight of dried rhizomes of Z. aromaticum were given to the animals throughout the experiment. On day three, rats were given 2% DSS in drinking water for 5 d and then just water for 3 d and then were killed. During the DSS treatment rats were maintained in metabolic cages, body weight, food and fluid intake and clinical symptoms such as consistency of stools and blood in faeces were recorded daily. There was slight but not significant reduction in the body weight of rats fed 0.68% extract of Z. aromaticum in the diet due to reduced food consumption. The extract of Z. aromaticum (0.34%) and sulfasalazine suppressed clinical signs of ulcerative colitis. Eleven percent of the controls were hemoccult positive on day 2 after DSS administration, which progressed further by day three with 67% being hemoccult positive and 100 % on day five. By comparison, blood appeared on day 3 of rats treated with diet containing 0.34% and 0.68% extract of Z. aromaticum and 0.05% sulfasalazine, and only 33%, 67% and 22%, of rats being hemoccult positive on day 5 respectively. The disease activity index (DAI) of rats fed diet containing 0.34% extract of Z. aromaticum was about 0.4 and similar to those which were fed with diet containing sulfasalazine. The DAI of untreated rats was 1.4. The crypt score of rats fed the extract of Z. aromaticum was slightly reduced but it was not significantly different from those of untreated rats. Other histological scores were not significantly different between dietary treatments. Extract of Z. aromaticum significantly decreased the content of PGE-2 in colon tissue compared to that of untreated animals. There was a reduction of TX8-2 content in colonic tissue of rats fed with extracts of Z. aromaticum but this was not significant. The activity of myeloperoxidase (MPO) activity in the colonic tissue of rats fed with sulfasalazine was significantly lower than that of the untreated controls and those which fed with extracts of Z. aromaticum. The results from the studies performed in this thesis showed that extract of Z. aromaticum which contains an active sesquiterpenoid zerumbone have anticancer and antiinflammatory activity suggesting that the extract may have benefits as a chernopreventative agent. However further studies are needed to elucidate their other pharmacological actions. Panduratin A showed potential anticancer activity in cell culture in vitro. However an extract of B. pandurata did not have effect on the AOM-induced colon cancer model. Different cancer models such as breast and prostate cancer could be used to further investigate the anticancer activity of extract of B. pandurata and panduratin A and to elucidate their mechanism. / http://proxy.library.adelaide.edu.au/login?url= http://library.adelaide.edu.au/cgi-bin/Pwebrecon.cgi?BBID=1097849 / Thesis (Ph.D.) -- University of Adelaide, Dept of Medicine, 2003

Thesis (MNutr)--Stellenbosch University, 2012. / ENGLISH ABSTRACT: Background: Nausea and vomiting during pregnancy (NVP) is a common medical condition. Due to possible harmful side-effects that conventional medicine may pose to the fetus, many mothers choose not to use it, and are left helpless against NVP. There is a need for alternative treatment to relieve NVP symptoms. Objectives: This systematic review (SR) investigated current evidence regarding ginger for the treatment of NVP. The primary objective was to assess the effectiveness of ginger in treating NVP. The secondary objective was to assess the safety of ginger during pregnancy, by identifying adverse events or side-effects. Search strategy: Electronic search of bibliographic databases (1966-February 2011). Selection criteria: Randomized controlled trials (RCTs) of the efficacy of ginger by any route, as treatment for NVP in pregnant women regardless of their age or stage of pregnancy. Data collection and analysis: The principal investigator and independent reviewer individually identified relevant studies, extracted data and assessed trial quality. Data analysis was performed using the RevMan5 software. Differences at the level of p<0.05 were considered to be statistically significant. Results: Eleven RCTs involving 1176 pregnant women were included. The quality of evidence was low, hence the high risk of bias and imprecision of results. Ginger significantly improved the symptoms of nausea when compared to placebo, when comparing the results of this SR to past SRs, and taking into account a meta-analysis performed on two relatively large included studies (mean difference (MD) 1.20, 95% confidence interval (CI) 0.56-1.84, p=0.0002, I2=0%). However, another meta-analysis on two smaller studies indicated no significant improvement in nausea. Ginger did not significantly improve nausea when compared to vitamin B6 (MD 0.34, 95% CI -1.52-2.20, p=0.7, I2=91%). Similarly, ginger did not significantly reduce the number of vomiting episodes during NVP, when compared to placebo, although there was a trend towards improvement (MD 0.72, 95% CI -0.03-1.46, p=0.06, I2=71%). Subgroup analyses performed seemed to favor the lower daily dosage of <1500mg ginger to possibly be more effective for the relief of nausea. Ginger did not pose a significant risk for spontaneous abortion when compared to placebo (RR 3.14, 95% CI 0.65-15.11, p=0.15; I2=0%), or to vitamin B6 (RR 0.49, 95% CI 0.17-1.42, p=0.19, I2=40%). Similarly, ginger did not pose a significant risk for the side effects of heartburn or drowsiness when compared to placebo or vitamin B6. When compared to dimenhydrinate, ginger posed a smaller risk for drowsiness (RR 0.08, 95% CI 0.03-0.18) and no increased risk for heartburn. Conclusions: This review suggests potential benefits of ginger in reducing nausea symptoms in pregnancy (bearing in mind the limited number of studies, variable outcome reporting and quality of evidence). Ginger did not have a significant impact on vomiting episodes, nor pose a risk for side effects or adverse events during pregnancy. Based on evidence from this SR, ginger could be considered a harmless and possibly effective alternative option for women suffering from the symptoms of NVP. Large RCTs are necessary to confirm the possible benefit of ginger as treatment for NVP. / AFRIKAANSE OPSOMMING: Agtergrond: Naarheid en vomering tydens swangerskap (NVS) is ‘n algemene mediese toestand. As gevolg van moontlike skadelike newe-effekte wat konvensionele medikasie kan veroorsaak vir die fetus, vermy baie moeders dit en word hulpeloos gelaat teen NVS. Dus is daar behoefte aan alternatiewe behandeling vir NVS. Doelwitte: Hierdie sistematiese literatuuroorsig (SO) het huidige literatuur ondersoek wat verband hou met gemmer vir behandeling van NVS. Die primêre doelwit was om effektiwiteit van gemmer as behandeling vir NVS te assesseer. Die sekondêre doelwit was om veiligheid van gemmer tydens swangerskap te assesseer, deur ongunstige gebeure en newe-effekte te identifiseer. Soektogstrategie: Elektroniese soektog van bibliografiese databasisse (1966-Februarie 2011). Seleksiekriteria: Verewekansigde gekontrolleerde proewe (RCTs) van gemmer deur enige roete as behandeling van NVS, in swanger vroue ongeag ouderdom of stadium van swangerskap. Dataversameling en –analise: Die hoof navorser en ‘n onafhanklike hersiener het individueel relevante studies geidentifiseer, data ekstraksie onderneem en studie-kwaliteit geassesseer. Data-analise is uitgevoer deur die RevMan5 sagteware te gebruik. Verskille by die vlak van p<0.05 was beskou as statisties betekenisvol. Hoof resultate: Elf RCTs waarby 1176 swanger vroue betrokke was, is ingesluit. Die studie-kwaliteit was swak, dus die hoë risiko vir sydigheid en onakkuraatheid van resultate. Gemmer het beduidend die simptome van naarheid verbeter in vergelyking met plasebo, wanneer die resultate van hierdie SO met vorige SO’s vergelyk word, en die meta-analise in ag geneem word wat op twee relatiewe groot ingeslote studies uitgevoer is (gemiddelde verskil (MD) 1.20, 95% vertrouens interval (VI) 0.56-1.84, p=0.0002,I2=0%). Kontrasterend, het ‘n ander meta-analise van twee kleiner studies geen beduidende verbetering in naarheid aangedui nie. Gemmer het nie beduidend naarheid verbeter wanneer dit met vitamien B6 vergelyk word nie (MD 0.34, 95% VI -1.52-2.20, p=0.7, I2=91%). Soortgelyk, het gemmer nie die aantal vomerings-episodes verminder, in verglyking met plasebo nie, maar daar was wel ‘n neiging na verbetering (MD 0.72, 95% VI -0.03-1.46, p=0.06, I2=71%). Die subgroup-analise blyk ten gunste te wees van die laer daaglikse dosis van <1500mg gemmer om meer effektief te wees vir die behandeling van naarheid. Gemmer het nie ‘n beduidende risiko ingehou vir spontane aborsie, wanneer dit vergelyk word met plasebo (relatiewe risiko (RR) 3.14, 95% VI 0.65-15.11,p=0.15;I2=0%), of vitamien B6 nie (RR 0.49, 95% VI 0.17-1.42,p=0.19;I2=40%). Soortgelyk, het gemmer nie ‘n beduidende risiko ingehou vir newe-effekte van sooibrand of duiseligheid, wanneer dit vergelyk word met plasebo of vitamien B6 nie. Wanneer dit vergelyk word met dimenhidrinaat, het gemmer ‘n kleiner risiko ingehou vir duiseligheid (RR 0.08, 95% VI 0.03-0.18) en geen verhoogde risiko vir sooibrand nie. Gevolgtrekkings: Hierdie SO dui ‘n potensiële voordeel van gemmer aan in vermindering van naarheid tydens swangerskap (inagnemend van die klein hoeveelheid studies, wisselende uitkomste-rapportering en studie-kwaliteit). Gemmer het nie ‘n beduidnede impak gehad op vomerings-episodes nie, en ook nie ‘n risiko ingehou vir newe-efekte of ongunstige gebeure tydens swangerskap nie. Volgens bewyse uit hierdie SO, kan gemmer beskou word as ‘n skadelose en moontlike effektiewe alternatiewe opsie vir vroue wat lei aan NVP. Grootskaalse RCTs is nodig om die moontlike voordeel van gemmer as behandeling vir NVS te bevestig.

Made available in DSpace on 2014-06-11T19:24:37Z (GMT). No. of bitstreams: 0 Previous issue date: 2009-06-03Bitstream added on 2014-06-13T19:31:21Z : No. of bitstreams: 1 aguiar_aps_me_sjc.pdf: 8684529 bytes, checksum: e814a40a28773405e7138bea772d1c21 (MD5) / A proposta desta pesquisa foi avaliar se o preparo biomecânico (PBM) com extrato glicólico de gengibre 20% e hipoclorito de sódio 2,5% (NaOCl), seguido da medicação intracanal com clorexidina gel 2%, hidróxido de cálcio, hidróxido de cálcio associado à clorexidina gel 2% são efetivos sobre Candida albicans, Enterococcus faecalis, Escherichia coli e sua endotoxina em canais radiculares.Foram utilizados 72 dentes humanos unirradiculados, divididos em 6 grupos experimentais (n= 12) de acordo com a solução irrigadora (gengibre 20% ou NaOCl 2,5%) utilizada no preparo biomecânico e medicação intracanal (hidróxido de cálcio + soro fisiológico; hidróxido de cálcio + clorexidina gel 2%; clorexidina gel 2%).Foram realizadas coletas do conteúdo do canal radicular para confirmação de contaminação (coleta de confirmação), imediatamente após a instrumentação (1ª coleta), após 7 dias do preparo biomecânico (2ª coleta), imediatamente após 14 dias da ação da medicação intracanal (3ª coleta) e 7 dias após remoção da medicação (4ª coleta). Para todas as coletas foram realizados os seguintes testes: a) avaliação da atividade antimicrobiana pela semeadura e contagem UFC/mL de cada microrganismo; b) análise do conteúdo de endotoxina verificada pelo teste lisado de amebócitos de Limulus. Todos os resultados foram submetidos à análise de variância ANOVA, com nível de significância de 5%, e pelo teste de Dunn. Verifica-se que o NaOCl foi capaz de eliminar os microrganismos após PBM; O gengibre reduziu significantemente o número de bactérias e eliminou Candida albicans. As duas soluções irrigadoras (NaOCl e gengibre) reduziram significantemente endotoxinas mas não foram capazes de eliminá-las. As medicações intracanais foram eficazes na redução de microrganismos... / The purpuse of this research was to evaluate the biomechanical preparation (PBM) with glycolic extract of ginger and 20% sodium hypochlorite 2.5% (NaOCl), followed by intracanal medication with 2% chlorhexidine gel, calcium hydroxide, hydroxide calcium associated with chlorhexidine gel 2% is effective on Candida albicans, Enterococcus faecalis, Escherichia coli and endotoxin in root canals. Seventy two single-rooted human teeth was used and divided into 6 experimental groups (n = 12) according to the irrigating solution (ginger 20% or NaOCl 2.5%) used in the biomechanical preparation and intracanal medication (calcium hydroxide + saline, calcium hydroxide + 2% chlorhexidine gel, chlorhexidine gel 2%). Sampling was done of the contents of the root canal to confirm contamination (collect of confirmation), immediately after the instrumentation (1st collect), after 7 days of biomechanical preparation (2nd collect) and after 14 days of the action of intracanal medication (3rd collect) and 7 days after removal of the medication (4th collect ). For all collections were performed the following tests: a) evaluation of antimicrobial activity by sowing and counting CFU / mL of each microorganism b) analyzing the content of endotoxin checked the test of amebócitos of Limulus lysate. All results were submitted to analysis of variance ANOVA, with significance level of 5%, and the test of Dunn. It appears that the NaOCl was able to eliminate the microorganisms after PBM; The ginger significantly reduced the number of bacteria and Candida albicans eliminated. Both irrigating solutions (NaOCl and ginger) significantly reduced endotoxin but were unable to eliminate them. The intracanais medications were effective in the reduction of microorganisms, eliminating... (Complete abstract click electronic access below)

Made available in DSpace on 2014-06-11T19:24:46Z (GMT). No. of bitstreams: 0 Previous issue date: 2010-02-26Bitstream added on 2014-06-13T18:21:12Z : No. of bitstreams: 1 prato_ts_me_sjrp.pdf: 515823 bytes, checksum: dff0ef89ae69dd0566fd4ef56349801d (MD5) / O gengibre, rizoma da Zingiber Officinale Roscoe, é muito utilizado na alimentação por sua pungência e sabor característico, na fabricação de diversos produtos e bebidas e como ingrediente em preparados alimentícios in natura ou processado. Alguns dos principais compostos que contribuem para o aroma e a pungência do gengibre, gingeróis e shogaóis, são também responsáveis por algumas propriedades medicinais e terapêuticas. Este trabalho propôs-se investigar o processo de desidratação do gengibre fatiado quanto à influência da temperatura e vácuo sobre os compostos pungentes, principalmente o 6-gingerol e 6-shogaol e quanto à cinética de secagem em secador de bandejas sob convecção forçada. Para tanto, foram realizados ensaios em secador convencional de bandejas à pressão atmosférica e em secador sob vácuo com ar de secagem nas temperaturas de 50, 60 e 70ºC. Os dados obtidos permitiram a construção e a modelagem das curvas de secagem e o cálculo da taxa de secagem ao longo do processo. Amostras coletadas durante o processo foram analizadas por espectrofotometria direta e por cromatografia líquida de alta eficiência para obter os perfis de concentração dos gingeróis totais, 6-gingerol e 6-shogaol. Os resultados mostraram a influência da temperatura do ar de secagem, com as mais altas atingindo umidades mais baixas do gengibre em períodos de tempo mais curtos e apresentando taxas de secagem iniciais constantes mais elevadas. Boa parte da secagem ocorreu sob taxa decrescente e com grandes contrações e encolhimentos. Os dados experimentais de umidade versus tempo foram melhor ajustados pelo modelo de Midilli et al. O teor de gingeróis totais no gengibre in natura variou de 4,88 a 6,83 mg (g-gengibre fresco) -1 , com perfis crescentes ao longo da secagem, enquanto o teor de 6-gingerol (pico de absorção à 278 nm e retenção 9,2 minutos) variou... / Ginger, rhizome from Zingiber Officinale Roscoe, is greatly appreciated by its pungency and characteristic flavor, as ingredient in food and beverage processing and in home cooking fresh or processed. Some of the main compounds which contributed to the aroma and pungency to ginger, gingerols and shogaols, are also responsible for some health and therapeutic properties. This research proposed to investigate the dehydration process of sliced ginger, the influence of temperature and vacuum on pungent compounds, mainly 6- gingerol and 6-shogaol, and to determine the drying kinetics in cabinet drier under forced air convection. Experiments were conduct in a conventional cabinet drier at atmospheric pressure and in a vacuum drier using air at temperatures of 50, 60 and 70ºC. Data obtained allowed the drying curves to be drawn and modeled, as well as to calculate the drying rate over the entire process. Samples collected during the process were analyzed by direct spectrophotometry and by high efficiency liquid chromatography, in order to get the concentration profile, respectively, of total gingerols, 6-gingerol and 6-shogaol. The results showed strong temperature effects on the drying process, with highest temperatures giving lowest moisture contents in shortest process times and presenting initial higher and constant drying rates. Most part of the drying time has occurred under falling drying rates and with noticeable contractions and shrinkage of the ginger slices. The experimental data of moisture as a function of drying time were best fitted to the four parameter model of Midilli et al. The total gingerols content in the fresh ginger varied from 4.88 to 6.83 mg (g-fresh ginger) -1 , with increasing profiles during drying, while the content of 6-gingerol (absorption peak at 278 nm and retention time 9.2 min) varied from 0.99 to 1.17 mg (g-ginger) -1 on drying under vacuum, with... (Complete abstract click electronic access below)

Made available in DSpace on 2015-03-26T13:37:43Z (GMT). No. of bitstreams: 1 texto completo.pdf: 3609057 bytes, checksum: 2af9cc974a8ec672a5fb592087febb51 (MD5) Previous issue date: 2010-02-26 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / The rhizome of ginger (Zingiber officinale R.) is one of the most important spices in the world due to its use as feedstock in the food industry, pharaceuticals and cosmetics. The brazilian export of ginger has increased in recent years despite the damage caused by decay of rhizomes. Still unknown are the main etiological agents associated with postharvest rot of ginger in Brasil, a prerequisite for the development of na integrated management program for diseases. This study aimed conduct a survey of fungi and bacteria associated with postharvest decay of ginger rhizomes. Rhizomes to rot symptoms were sampled in 2006 and 2009, in Santa Leopoldina, ES, and in Santa Maria de Jetiba, ES, in packing-house. Another sample was selected in 2008 in Santa Leopoldina, ES, in five farms during the harvest. The samples were sent to the UFV Department of Plant Pathology, for isolation, identification and pathogenicity tests of fungi and bacteria. In the packing-house, it was found the presence of Acremonium murorum, Acrostalagmus luteo-albus, Fusarium graminearum, Fusarium oxysporum, Lasiodiplodia theobromae and Sclerotium rolfsii, and all these were able to cause rot in the rhizomes. In the collection in the field, it was found the average incidence in ginger rhizomes 74 % of F. oxysporum, 31% of F. graminearum, 21% of Fusarium solani, 5% of Nigrospora oryzae, 6% of Fusarium semitectum and of Nigrospora sphaerica, 4% of Alternaria tenuissima, 3% of Penicillium commune, Verticillium sp. (1) and Verticillium sp. (2), 2% of A. luteo-albus, Aspergillus niger, Chaetomium sp. and Epicoccum sp., and 1%of Curvularia geniculata and Mucor hiemalis, for the five properties. Fungi collected in the field capable of causing decay in rhizomes were Acrostalagmus luteo-albus, Fusarium graminearum and Fusarium oxysporum. The occurrence of F. graminearum was considered of great importance because this species known to produce mycotoxins. In this sample, we identified bacteria that cause soft rot in 5% of the rhizomes of ginger, four isolates identified as Enterobacter cloacae subsp. cloacae and one isolate identified as Pseudomonas fluorescens. Enterobacter cloacae subsp. cloacae indicated a probable contamination of fecal origin. Join as the x first occurrence in the world of Fusarium graminearum and Pseudomonas fluorescens causing rot in ginger rhizomes, and the first occurrence in Brasil of Acremonium murorum, Acrostalagmus luteo-albus, Lasiodiplodia theobromae and Sclerotiumrolfsii causing rhizome rot ginger. / O rizoma de gengibre (Zingiber officinale R.) constitui uma das especiarias mais importantes do mundo devido ao uso como matéria-prima na indústria de alimentos, fármacos e cosméticos. A exportação do gengibre brasileiro tem aumentado nos últimos anos apesar dos danos decorrentes das podridões de rizomas. Ainda são desconhecidos os principais agentes etiológicos associados às podridões pós-colheita de gengibre no Brasil, requisito para o desenvolvimento de um programa de manejo integrado de doenças. O presente trabalho teve como objetivo realizar um levantamento de fungos e bactérias associados às podridões pós-colheita de rizomas de gengibre. Rizomas com sintomas de podridões foram amostrados em 2006 e 2009, em Santa Leopoldina, ES e em Santa Maria de Jetibá, ES, em packinghouse. Outra amostragem foi realizada em 2008, em Santa Leopoldina, ES, em cinco propriedades rurais, durante a colheita. As amostras foram encaminhadas ao departamento de Fitopatologia da UFV, para isolamento, identificação e testes de patogenicidade de fungos e bactérias. Em packing-house, constatou-se a presença de Acremonium murorum, Acrostalagmus luteo-albus, Fusarium graminearum, Fusarium oxysporum, Lasiodiplodia theobromae e Sclerotium rolfsii, e todos estes foram capazes de causar podridão em rizomas. Na coleta em campo, verificou-se a incidência média nos rizomas de gengibre de 74% de F. oxysporum, 31% de F. graminearum, 21% de Fusarium solani, 5% de Nigrospora oryzae, 6% de Fusarium semitectum e de Nigrospora sphaerica, 4% de Alternaria tenuissima, 3% de Penicillium commune, Verticillium sp. (1) e Verticillium sp. (2), 2% de A. luteoalbus, Aspergillus niger, Chaetomium sp. e Epicoccum sp., e 1% de Curvularia geniculata e Mucor hiemalis, para as cinco propriedades amostradas. Os fungos capazes de causar podridões em rizomas coletados em campo foram A. luteo-albus, F. graminearum e F. oxysporum. A ocorrência de F. graminearum foi considerada de grande importância, pois esta espécie é conhecidamente produtora de micotoxinas. Nesta amostragem, foram identificadas bactérias causadoras de podridão-mole em 5% dos rizomas de gengibre, 4 isolados identificados como viii Enterobacter cloacae subsp. cloacae e 1 isolado identificado como Pseudomonas fluorescens. Enterobacter cloacae subsp. cloacae indicou uma provável contaminação de origem fecal. Registra-se como a primeira ocorrência, no mundo, de Fusarium graminearum e de Pseudomonas fluorescens causando podridão em rizomas de gengibre, e a primeira ocorrência, no Brasil, de Acremonium murorum, Acrostalagmus luteo-albus, Lasiodiplodia theobromae e Sclerotium rolfsii causando podridão em rizomas de gengibre.

Orientador: Marcia Carneiro Valera / Banca: Carlos Henrique Ribeiro Camargo / Banca: Brenda Paula Figueiredo de Almeida Gomes / Resumo: A proposta desta pesquisa foi avaliar se o preparo biomecânico (PBM) com extrato glicólico de gengibre 20% e hipoclorito de sódio 2,5% (NaOCl), seguido da medicação intracanal com clorexidina gel 2%, hidróxido de cálcio, hidróxido de cálcio associado à clorexidina gel 2% são efetivos sobre Candida albicans, Enterococcus faecalis, Escherichia coli e sua endotoxina em canais radiculares.Foram utilizados 72 dentes humanos unirradiculados, divididos em 6 grupos experimentais (n= 12) de acordo com a solução irrigadora (gengibre 20% ou NaOCl 2,5%) utilizada no preparo biomecânico e medicação intracanal (hidróxido de cálcio + soro fisiológico; hidróxido de cálcio + clorexidina gel 2%; clorexidina gel 2%).Foram realizadas coletas do conteúdo do canal radicular para confirmação de contaminação (coleta de confirmação), imediatamente após a instrumentação (1ª coleta), após 7 dias do preparo biomecânico (2ª coleta), imediatamente após 14 dias da ação da medicação intracanal (3ª coleta) e 7 dias após remoção da medicação (4ª coleta). Para todas as coletas foram realizados os seguintes testes: a) avaliação da atividade antimicrobiana pela semeadura e contagem UFC/mL de cada microrganismo; b) análise do conteúdo de endotoxina verificada pelo teste lisado de amebócitos de Limulus. Todos os resultados foram submetidos à análise de variância ANOVA, com nível de significância de 5%, e pelo teste de Dunn. Verifica-se que o NaOCl foi capaz de eliminar os microrganismos após PBM; O gengibre reduziu significantemente o número de bactérias e eliminou Candida albicans. As duas soluções irrigadoras (NaOCl e gengibre) reduziram significantemente endotoxinas mas não foram capazes de eliminá-las. As medicações intracanais foram eficazes na redução de microrganismos... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: The purpuse of this research was to evaluate the biomechanical preparation (PBM) with glycolic extract of ginger and 20% sodium hypochlorite 2.5% (NaOCl), followed by intracanal medication with 2% chlorhexidine gel, calcium hydroxide, hydroxide calcium associated with chlorhexidine gel 2% is effective on Candida albicans, Enterococcus faecalis, Escherichia coli and endotoxin in root canals. Seventy two single-rooted human teeth was used and divided into 6 experimental groups (n = 12) according to the irrigating solution (ginger 20% or NaOCl 2.5%) used in the biomechanical preparation and intracanal medication (calcium hydroxide + saline, calcium hydroxide + 2% chlorhexidine gel, chlorhexidine gel 2%). Sampling was done of the contents of the root canal to confirm contamination (collect of confirmation), immediately after the instrumentation (1st collect), after 7 days of biomechanical preparation (2nd collect) and after 14 days of the action of intracanal medication (3rd collect) and 7 days after removal of the medication (4th collect ). For all collections were performed the following tests: a) evaluation of antimicrobial activity by sowing and counting CFU / mL of each microorganism b) analyzing the content of endotoxin checked the test of amebócitos of Limulus lysate. All results were submitted to analysis of variance ANOVA, with significance level of 5%, and the test of Dunn. It appears that the NaOCl was able to eliminate the microorganisms after PBM; The ginger significantly reduced the number of bacteria and Candida albicans eliminated. Both irrigating solutions (NaOCl and ginger) significantly reduced endotoxin but were unable to eliminate them. The intracanais medications were effective in the reduction of microorganisms, eliminating... (Complete abstract click electronic access below) / Mestre

Resumo: O gengibre, rizoma da Zingiber Officinale Roscoe, é muito utilizado na alimentação por sua pungência e sabor característico, na fabricação de diversos produtos e bebidas e como ingrediente em preparados alimentícios in natura ou processado. Alguns dos principais compostos que contribuem para o aroma e a pungência do gengibre, gingeróis e shogaóis, são também responsáveis por algumas propriedades medicinais e terapêuticas. Este trabalho propôs-se investigar o processo de desidratação do gengibre fatiado quanto à influência da temperatura e vácuo sobre os compostos pungentes, principalmente o 6-gingerol e 6-shogaol e quanto à cinética de secagem em secador de bandejas sob convecção forçada. Para tanto, foram realizados ensaios em secador convencional de bandejas à pressão atmosférica e em secador sob vácuo com ar de secagem nas temperaturas de 50, 60 e 70ºC. Os dados obtidos permitiram a construção e a modelagem das curvas de secagem e o cálculo da taxa de secagem ao longo do processo. Amostras coletadas durante o processo foram analizadas por espectrofotometria direta e por cromatografia líquida de alta eficiência para obter os perfis de concentração dos gingeróis totais, 6-gingerol e 6-shogaol. Os resultados mostraram a influência da temperatura do ar de secagem, com as mais altas atingindo umidades mais baixas do gengibre em períodos de tempo mais curtos e apresentando taxas de secagem iniciais constantes mais elevadas. Boa parte da secagem ocorreu sob taxa decrescente e com grandes contrações e encolhimentos. Os dados experimentais de umidade versus tempo foram melhor ajustados pelo modelo de Midilli et al. O teor de gingeróis totais no gengibre in natura variou de 4,88 a 6,83 mg (g-gengibre fresco) -1 , com perfis crescentes ao longo da secagem, enquanto o teor de 6-gingerol (pico de absorção à 278 nm e retenção 9,2 minutos) variou... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: Ginger, rhizome from Zingiber Officinale Roscoe, is greatly appreciated by its pungency and characteristic flavor, as ingredient in food and beverage processing and in home cooking fresh or processed. Some of the main compounds which contributed to the aroma and pungency to ginger, gingerols and shogaols, are also responsible for some health and therapeutic properties. This research proposed to investigate the dehydration process of sliced ginger, the influence of temperature and vacuum on pungent compounds, mainly 6- gingerol and 6-shogaol, and to determine the drying kinetics in cabinet drier under forced air convection. Experiments were conduct in a conventional cabinet drier at atmospheric pressure and in a vacuum drier using air at temperatures of 50, 60 and 70ºC. Data obtained allowed the drying curves to be drawn and modeled, as well as to calculate the drying rate over the entire process. Samples collected during the process were analyzed by direct spectrophotometry and by high efficiency liquid chromatography, in order to get the concentration profile, respectively, of total gingerols, 6-gingerol and 6-shogaol. The results showed strong temperature effects on the drying process, with highest temperatures giving lowest moisture contents in shortest process times and presenting initial higher and constant drying rates. Most part of the drying time has occurred under falling drying rates and with noticeable contractions and shrinkage of the ginger slices. The experimental data of moisture as a function of drying time were best fitted to the four parameter model of Midilli et al. The total gingerols content in the fresh ginger varied from 4.88 to 6.83 mg (g-fresh ginger) -1 , with increasing profiles during drying, while the content of 6-gingerol (absorption peak at 278 nm and retention time 9.2 min) varied from 0.99 to 1.17 mg (g-ginger) -1 on drying under vacuum, with... (Complete abstract click electronic access below) / Orientador: Roger Darros Barbosa / Coorientador: Mieko Kimura / Banca: Joel Fernando Nicoleti / Banca: José Antônio Gomes Vieira / Mestre