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BackgroundThe main purposes of primary care-based pharmaceutical services (PHCPS) in Brazil are to provide free access to medicines and pharmaceutical care to patients. Several obstacles hinder achieving their goals; thus, MedMinas Project aimed to evaluate the PHCPS, the supply system, and the use of medicines. This paper reflects on our experience designing, planning, and conducting the project, describing the issues yielded in the field and lessons learned.MethodsThis work consists of a mixed-methods study conducted in Minas Gerais, Southeastern Brazil. We adopted the principles of Rapid Evaluation Methods, employing a multistage stratified sampling for the quantitative and a purposeful sampling for the qualitative components, respectively, and a documentary research. Data sources included individuals (patients and professionals), prescriptions, dispensed medicines, and policy documents collected between April and October 2019. The quantitative data described in this paper were analysed by descriptive statistics and the qualitative by Thematic Content Analysis.ResultsA total of 26 municipalities varying from 37,784 to 409,341 inhabitants were included. The field team spent, on average, 16 days in each location. We interviewed 1019 respondents, of which 127 were professionals and 892 patients. The participation rate varied from 92 to 100%, depending on the respondent subgroup. Most interviews lasted between 45 min and one hour. Fieldwork challenges included participants’ enrolment, field team, interview processes, and project budget. The participants provided positive feedback and five main themes emerged from the interview experience (self-awareness, sense of gratitude, research value, access to findings, and benefits of the research). Additionally, we collected copies of 1072 documents and 2070 pieces of data from prescriptions filled and medicines dispensed at the PCP.ConclusionWe demonstrated the viability of conducting the MedMinas Project in an extensive geographic area within effective time frames that provided meaningful, high-quality data from multiple actors. The methods and lessons learned are valuable for researchers across various disciplines in similar urban settings in Brazil and other countries of low- and middle-income (LMIC).

Submitted by ISABELA CRISTINA DE SOUZA MARQUES null (isabelamarques@terra.com.br) on 2016-03-09T16:07:22Z No. of bitstreams: 2 tese isabela cristina de souza marques final.pdf: 6465517 bytes, checksum: 55023e7b2380abb38ca39b874f034c05 (MD5) tese isabela cristina de souza marques final.pdf: 6465517 bytes, checksum: 55023e7b2380abb38ca39b874f034c05 (MD5) Approved for entry into archive by Juliano Benedito Ferreira (julianoferreira@reitoria.unesp.br) on 2016-03-09T18:03:43Z (GMT) No. of bitstreams: 1 marques_ics_dr_jabo.pdf: 6465517 bytes, checksum: 55023e7b2380abb38ca39b874f034c05 (MD5) Made available in DSpace on 2016-03-09T18:03:43Z (GMT). No. of bitstreams: 1 marques_ics_dr_jabo.pdf: 6465517 bytes, checksum: 55023e7b2380abb38ca39b874f034c05 (MD5) Previous issue date: 2016-02-05 Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) O presente trabalho, teve como objetivo avaliar o potencial cicatricial do óleo de semente de maracujá. O óleo de semente de maracujá é um fitoterápico, inovador com grandes perspectivas para para acelerar o processo cicatricial de lesões cutâneas. Nesse estudo foram avaliados feridas de equinos e ratos Wistar. Foram feitas avaliações macroscópicas e microscópicas nos equinos e avaliação imunuistoquímica nos ratos Wistar. Nas primeiras avaliações macroscópicas e microscópicas nos equinos, pudemos notar a diferença entre o grupo controle e o grupo tratado com óleo de semente de maracujá, os resultados fora estatisticamente significativos, em relação ao grupo tratado com óleo de semente de maracujá. Quando feita a imunoistoquímica no material biológico coletado dos ratos, obtivemos um resultado significativo, estatisticamente comprovado, avaliando COX-2, TGFβ, VEGF, Alfa Actina, Fator VIII, CD68. São marcadores de extrema importância na evolução cicatricial. Com os resultados obtidos, pudemos comprovar que o fitoterápico, óleo de semente de maracujá é eficiente e a acelera o processo cicatricial. This study aimed to evaluate the healing potential of passion fruit seed oil. The passion fruit seed oil is a herbal, innovative with great prospects for to accelerate the healing process of skin lesions. In this study were evaluated wounds of horses and Wistar rats. Macroscopic and microscopic evaluations were done in horses and imunuistoquímica assessment in Wistar rats. In the first macroscopic and microscopic evaluations in horses, could tell the difference between the control group and the group treated with passion fruit seed oil, the results had been statistically significant, compared to the group treated with passion fruit seed oil. When done immunohistochemistry biological material collected from the mice, we obtained a significant result, demonstrated statistically evaluating COX-2, TGFb, VEGF, Actin alpha, Factor VIII, CD68. Markers are very important in scar evolution. With the results, we could confirm that the herbal medicine, passion fruit seed oil is efficient and speeds up the healing process. CNPq: 141919/2013

Made available in DSpace on 2014-06-11T19:23:41Z (GMT). No. of bitstreams: 0 Previous issue date: 2012-02-29Bitstream added on 2014-06-13T20:11:23Z : No. of bitstreams: 1 marques_ics_me_jabo_parcial.pdf: 44491 bytes, checksum: f0450a0b0b6cb03b5074188aaa336214 (MD5) Bitstreams deleted on 2014-08-22T14:57:05Z: marques_ics_me_jabo_parcial.pdf,Bitstream added on 2014-08-22T15:02:08Z : No. of bitstreams: 1 000691032.pdf: 814371 bytes, checksum: 1f375b4376ab2a7c9466d2dfabc8402f (MD5) Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) A cicatrização constitui um conjunto dinâmico de alterações teciduais importantes na manutenção da integridade do organismo, que abrange inflamação, quimiotaxia, proliferação celular, diferenciação e remodelação. A reparação das feridas cutâneas pode ser feita por dois diferentes procedimentos, ou seja, métodos cirúrgicos (dermorrafia ou enxertos de pele) ou por meio de métodos clínicos. Os fitoterápicos constituem uma forma de terapia medicinal que vem crescendo notadamente nestes últimos anos, principalmente dentro das indústrias farmacêuticas. Objetivou-se com este estudo avaliar a evolução cicatricial e o efeito cicatrizante da pomada formulada à base de óleo de semente de maracujá em três concentrações diferentes, sobre lesões realizadas experimentalmente em coelhos. Foram utilizados 18 coelhos, machos ou fêmeas, com peso entre 2kg e 2,5kg, adultos, subdivididos igualmente em três grupos A, B e C. As lesões induzidas do lado esquerdo foram tratadas com pomada a base de óleo de semente de maracujá, nas concentrações de 30% (Grupo A), 15% (Grupo B) e 7,5% (Grupo C), as lesões induzidas do lado direito foram tratadas com placebo (lanolina). As feridas foram avaliadas macroscópica e microscopicamente quanta à evolução do processo de regeneração cicatricial, durante 30 dias. Os resultados obtidos indicam que as lesões tratadas com pomada a base de óleo de semente de maracujá apresentaram resultados benéficos e rapidez no processo cicatricial. Nas lesões controle não foram obtidos os mesmo resultados Wound healing is a dynamic set of tissue alterations important in maintaining the integrity of the body, which includes inflammation, chemotaxis, cell proliferation, differentiation and remodeling. The repair of skin wounds can be made by two different procedures, surgical methods (dermorrafia or skin grafting) or by means of clinical methods. The herbal drugs are a form of medical therapy that has been growing remarkably in recent years, especially within the pharmaceutical industry. The objective of this study to evaluate the evolution of healing and the healing effect of ointment formulated on the basis of passion fruit seed oil at three different concentrations, performed on lesions in rabbits experimentally. 18 rabbits were used, males and females, weighing between 2 kg and 2.5 kg, adults, divided into three groups A, B and C. Induced lesions of the left side was treated with ointment base seed oil, passion fruit, in concentrations of 30% (Group A), 15% (Group B) and 7.5% (Group C), the lesions induced side right were treated with placebo (lanolin). The wounds were evaluated macroscopically and microscopically how the evolution of the regeneration process of healing, for 30 days. The results indicate that the lesions treated with ointment base passion fruit seed oil showed beneficial results and speed the healing process. Control lesions were not obtained the same results