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Article ; Online: Digital pharmacists: the new wave in pharmacy practice and education.

Silva, Rafaella de Oliveira Santos / de Araújo, Dyego Carlos Souza Anacleto / Dos Santos Menezes, Pedro Wlisses / Neves, Eugênio Rodrigo Zimmer / de Lyra, Divaldo Pereira

International journal of clinical pharmacy

2022 Volume 44, Issue 3, Page(s) 775–780

Abstract: Pharmacists now face the biggest challenges in the history of the profession: the use of digital technologies in pharmacy practice and education and the outbreak of coronavirus disease 2019. Worldwide, pharmaceutical care and pharmacy education via ... ...

Abstract	Pharmacists now face the biggest challenges in the history of the profession: the use of digital technologies in pharmacy practice and education and the outbreak of coronavirus disease 2019. Worldwide, pharmaceutical care and pharmacy education via digital technologies have significantly increased and will be incorporated into patient care and the teaching-learning process, respectively. Thus, in this new era of pharmacy practice and education, curricula should promote the development of specific competencies for the cognitive, conscious, and effective use of digital tools. This requires the training of "disruptive" educators, who are capable of using teaching-learning methods adapted to the digital environment and educational processes suitable for stimulating the use of effective disruptive technologies. This commentary argues that the pharmacy profession can no longer wait for the slow integration of digital technologies into pharmacy practice and education.
MeSH term(s)	COVID-19/epidemiology ; Education, Pharmacy ; Humans ; Pharmaceutical Services ; Pharmacists/psychology ; Pharmacy
Language	English
Publishing date	2022-04-05
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	2601204-2
ISSN	2210-7711 ; 2210-7703 ; 0928-1231
ISSN (online)	2210-7711
ISSN	2210-7703 ; 0928-1231
DOI	10.1007/s11096-021-01365-5
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Article ; Online: Factors contributing to the incident occurrence of security related to drug use in intensive care / Fatores que contribuem para a ocorrência de incidentes relacionados à terapia medicamentosa em terapia intensiva

Éder Luís Arboit / Silviamar Camponogara / Tânia Bosi de Souza Magnago / Janete de Souza Urbanetto / Carmem Lúcia Colomé Beck / Luiz Anido Anacleto da Silva

Revista de Pesquisa : Cuidado é Fundamental Online, Vol

2021 Volume 12

Abstract: Objetivo: identificar os fatores que contribuem para a ocorrência de incidentes relacionados à terapia medicamentosa em terapia intensiva, sob a ótica dos trabalhadores de enfermagem. Métodos: pesquisa descritivo-exploratória, com abordagem qualitativa ... ...

Abstract	Objetivo: identificar os fatores que contribuem para a ocorrência de incidentes relacionados à terapia medicamentosa em terapia intensiva, sob a ótica dos trabalhadores de enfermagem. Métodos: pesquisa descritivo-exploratória, com abordagem qualitativa realizada em um hospital do Sul do Brasil. Os participantes foram quinze trabalhadores de enfermagem. A coleta de dados ocorreu entre fevereiro e março de 2014, por meio de entrevista semiestruturada, sendo os dados analisados por meio de Análise de Conteúdo. Resultados: os dados foram agrupados em duas categorias: Incidentes de segurança relacionados aos fatores institucionais/organizacionais, que evidencia aspectos ligados à organização e processo de trabalho e, Incidentes de segurança relacionados aos fatores humanos, apontando aspectos relativos a assistência de enfermagem. Conclusão: vários fatores institucionais/organizacionais e humanos contribuem para a ocorrência de incidentes de segurança relacionados à terapia medicamentosa, devendo, tanto os trabalhador quanto as instituições, implementar estratégias para minimizar tais eventos.
Keywords	Enfermagem ; Erros de Medicação ; Segurança do Paciente ; Unidades de Terapia Intensiva ; Medicine ; R ; Nursing ; RT1-120
Language	English
Publishing date	2021-05-01T00:00:00Z
Publisher	Universidade Federal do Estado do Rio de Janeiro
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Factors contributing to the incident occurrence of security related to drug use in intensive care / Fatores que contribuem para a ocorrência de incidentes relacionados à terapia medicamentosa em terapia intensiva

Éder Luís Arboit / Silviamar Camponogara / Tânia Bosi de Souza Magnago / Janete de Souza Urbanetto / Carmem Lúcia Colomé Beck / Luiz Anido Anacleto da Silva

Revista de Pesquisa : Cuidado é Fundamental Online, Vol

2021 Volume 12

Abstract	Objetivo: identificar os fatores que contribuem para a ocorrência de incidentes relacionados à terapia medicamentosa em terapia intensiva, sob a ótica dos trabalhadores de enfermagem. Métodos: pesquisa descritivo-exploratória, com abordagem qualitativa realizada em um hospital do Sul do Brasil. Os participantes foram quinze trabalhadores de enfermagem. A coleta de dados ocorreu entre fevereiro e março de 2014, por meio de entrevista semiestruturada, sendo os dados analisados por meio de Análise de Conteúdo. Resultados: os dados foram agrupados em duas categorias: Incidentes de segurança relacionados aos fatores institucionais/organizacionais, que evidencia aspectos ligados à organização e processo de trabalho e, Incidentes de segurança relacionados aos fatores humanos, apontando aspectos relativos a assistência de enfermagem. Conclusão: vários fatores institucionais/organizacionais e humanos contribuem para a ocorrência de incidentes de segurança relacionados à terapia medicamentosa, devendo, tanto os trabalhador quanto as instituições, implementar estratégias para minimizar tais eventos.
Keywords	Enfermagem ; Erros de Medicação ; Segurança do Paciente ; Unidades de Terapia Intensiva ; Medicine ; R ; Nursing ; RT1-120
Language	English
Publishing date	2021-05-01T00:00:00Z
Publisher	Universidade Federal do Estado do Rio de Janeiro
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Factors contributing to the incident occurrence of security related to drug use in intensive care / Fatores que contribuem para a ocorrência de incidentes relacionados à terapia medicamentosa em terapia intensiva

Éder Luís Arboit / Silviamar Camponogara / Tânia Bosi de Souza Magnago / Janete de Souza Urbanetto / Carmem Lúcia Colomé Beck / Luiz Anido Anacleto da Silva

Revista de Pesquisa : Cuidado é Fundamental Online, Vol

2021 Volume 12

Abstract	Objetivo: identificar os fatores que contribuem para a ocorrência de incidentes relacionados à terapia medicamentosa em terapia intensiva, sob a ótica dos trabalhadores de enfermagem. Métodos: pesquisa descritivo-exploratória, com abordagem qualitativa realizada em um hospital do Sul do Brasil. Os participantes foram quinze trabalhadores de enfermagem. A coleta de dados ocorreu entre fevereiro e março de 2014, por meio de entrevista semiestruturada, sendo os dados analisados por meio de Análise de Conteúdo. Resultados: os dados foram agrupados em duas categorias: Incidentes de segurança relacionados aos fatores institucionais/organizacionais, que evidencia aspectos ligados à organização e processo de trabalho e, Incidentes de segurança relacionados aos fatores humanos, apontando aspectos relativos a assistência de enfermagem. Conclusão: vários fatores institucionais/organizacionais e humanos contribuem para a ocorrência de incidentes de segurança relacionados à terapia medicamentosa, devendo, tanto os trabalhador quanto as instituições, implementar estratégias para minimizar tais eventos.
Keywords	Enfermagem ; Erros de Medicação ; Segurança do Paciente ; Unidades de Terapia Intensiva ; Medicine ; R ; Nursing ; RT1-120
Language	English
Publishing date	2021-05-01T00:00:00Z
Publisher	Universidade Federal do Estado do Rio de Janeiro
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Cooperative and structural relationships of the trimeric Spike with infectivity and antibody escape of the strains Delta (B.1.617.2) and Omicron (BA.2, BA.5, and BQ.1).

de Souza, Anacleto Silva / de Souza, Robson Francisco / Guzzo, Cristiane Rodrigues

Journal of computer-aided molecular design

2023 Volume 37, Issue 12, Page(s) 585–606

Abstract: Herein, we conducted simulations of trimeric Spike from several SARS-CoV-2 variants of concern (Delta and Omicron sub-variants BA.2, BA.5, and BQ.1) and investigated the mechanisms by which specific mutations confer resistance to neutralizing antibodies. ...

Abstract	Herein, we conducted simulations of trimeric Spike from several SARS-CoV-2 variants of concern (Delta and Omicron sub-variants BA.2, BA.5, and BQ.1) and investigated the mechanisms by which specific mutations confer resistance to neutralizing antibodies. We observed that the mutations primarily affect the cooperation between protein domains within and between protomers. The substitutions K417N and L452R expand hydrogen bonding interactions, reducing their interaction with neutralizing antibodies. By interacting with nearby residues, the K444T and N460K mutations in the Spike
MeSH term(s)	Humans ; Antibodies, Neutralizing ; COVID-19 ; Hydrogen Bonding ; Linear Models ; Mutation
Chemical Substances	Antibodies, Neutralizing
Language	English
Publishing date	2023-10-04
Publishing country	Netherlands
Document type	Editorial ; Research Support, Non-U.S. Gov't
ZDB-ID	808166-9
ISSN	1573-4951 ; 0920-654X
ISSN (online)	1573-4951
ISSN	0920-654X
DOI	10.1007/s10822-023-00534-0
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Article ; Online: Factors contributing to the incident occurrence of security related to drug use in intensive care / Fatores que contribuem para a ocorrência de incidentes relacionados à terapia medicamentosa em terapia intensiva

Éder Luís Arboit / Silviamar Camponogara / Tânia Bosi de Souza Magnago / Janete de Souza Urbanetto / Carmem Lúcia Colomé Beck / Luiz Anido Anacleto da Silva

Revista de Pesquisa : Cuidado é Fundamental Online, Vol 12, Iss 0, Pp 1030-

2020 Volume 1036

Abstract	Objetivo: identificar os fatores que contribuem para a ocorrência de incidentes relacionados à terapia medicamentosa em terapia intensiva, sob a ótica dos trabalhadores de enfermagem. Métodos: pesquisa descritivo-exploratória, com abordagem qualitativa realizada em um hospital do Sul do Brasil. Os participantes foram quinze trabalhadores de enfermagem. A coleta de dados ocorreu entre fevereiro e março de 2014, por meio de entrevista semiestruturada, sendo os dados analisados por meio de Análise de Conteúdo. Resultados: os dados foram agrupados em duas categorias: Incidentes de segurança relacionados aos fatores institucionais/organizacionais, que evidencia aspectos ligados à organização e processo de trabalho e, Incidentes de segurança relacionados aos fatores humanos, apontando aspectos relativos a assistência de enfermagem. Conclusão: vários fatores institucionais/organizacionais e humanos contribuem para a ocorrência de incidentes de segurança relacionados à terapia medicamentosa, devendo, tanto os trabalhador quanto as instituições, implementar estratégias para minimizar tais eventos.
Keywords	enfermagem ; erros de medicação ; segurança do paciente ; unidades de terapia intensiva ; Medicine ; R ; Nursing ; RT1-120
Language	English
Publishing date	2020-08-01T00:00:00Z
Publisher	Universidade Federal do Estado do Rio de Janeiro
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Evaluation of physicochemical properties as supporting information on quality control of raw materials and veterinary pharmaceutical formulations.

Anacleto, Sara da Silva / Borges, Marcella Matos Cordeiro / de Oliveira, Hanna Leijoto / Vicente, Andressa Reis / de Figueiredo, Eduardo Costa / de Oliveira, Marcone Augusto Leal / Borges, Bárbara Juliana Pinheiro / de Oliveira, Marcelo Antonio / Borges, Warley de Souza / Borges, Keyller Bastos

Journal of pharmaceutical analysis

2018 Volume 8, Issue 3, Page(s) 168–175

Abstract: This study aimed to show that the physicochemical proprieties obtained by Fourier transform infrared spectroscopy (FTIR), thermogravimetry (TG), and scanning electronic microscopy (SEM) can be useful tools for evaluating the quality of active ... ...

Abstract	This study aimed to show that the physicochemical proprieties obtained by Fourier transform infrared spectroscopy (FTIR), thermogravimetry (TG), and scanning electronic microscopy (SEM) can be useful tools for evaluating the quality of active pharmaceutical ingredients (APIs) and pharmaceutical products. In addition, a simple, sensitive, and efficient method employing HPLC-DAD was developed for simultaneous determination of lidocaine (LID), ciprofloxacin (CFX) and enrofloxacin (EFX) in raw materials and in veterinary pharmaceutical formulations. Compounds were separated using a Gemini C
Language	English
Publishing date	2018-01-17
Publishing country	China
Document type	Journal Article
ISSN	2214-0883
ISSN (online)	2214-0883
DOI	10.1016/j.jpha.2018.01.001
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Article ; Online: Potential performance of a 0 h/1 h algorithm and a single cut-off measure of high-sensitivity troponin T in a diverse population: main results of the IN-HOPE study.

de Barros E Silva, Pedro G M / Ferreira, Ana Amaral / Malafaia, Felipe / Tavares Reis, Antonielle Figueiredo Macedo / Sznejder, Henry / Lopes Junior, Augusto Celso De Araujo / Agostinho, Camila Anacleto / Fonseca, Luiz Henrique de Oliveira / Okitoi, Débora Vieira Donini / Correa, Celso Musa / Zincone, Eduardo / Cury, Marcelo Paiva / Rosa, Gustavo Augusto Lopes / Ribeiro, Henrique Barbosa / Soeiro, Alexandre de Matos / de Oliveira, Carlos Alexandre Lemes / Kuusberg, Guilherme Capelli / Ohe, Louis Nakayama / Souza, Douglas de Oliveira /

Manfredi, Adriana Bertolami / Martins, Amanda Francisco / Sampaio, Pedro Paulo Nogueres / Vaz, Thiago Baganha / Franco, Luciana Ferreira / Ferreira, Carlos Eduardo Dos Santos / Lopes, Renato Delascio

European heart journal. Acute cardiovascular care

2023 Volume 12, Issue 11, Page(s) 755–764

Abstract: Aims: Chest pain is a major cause of medical evaluation at emergency department (ED) and demands observation to exclude the diagnosis of acute myocardial infarction (AMI). High-sensitivity cardiac troponin assays used as isolated measure and by 0- and 1- ...

Abstract	Aims: Chest pain is a major cause of medical evaluation at emergency department (ED) and demands observation to exclude the diagnosis of acute myocardial infarction (AMI). High-sensitivity cardiac troponin assays used as isolated measure and by 0- and 1-h algorithms are accepted as a rule-in/rule-out strategy, but there is a lack of validation in specific populations. Methods and results: The IN-HOspital Program to systematizE Chest Pain Protocol (IN-HOPE study) is a multicentre study that prospectively included patients admitted to the ED due to suspected symptoms of AMI at 16 sites in Brazil. Medical decisions of all patients followed the standard approach of 0 h/3 h protocol, but, in addition, blood samples were also collected at 0 and 1 h and sent to a central laboratory (core lab) to measure high-sensitivity cardiac troponin T (hs-cTnT). To assess the theoretical performance of 0 h/1 h algorithm, troponin < 12 ng/L with a delta < 3 was considered rule-out while a value ≥ 52 or a delta ≥ 5 was considered a rule-in criterion (the remaining were considered as observation group). The main objective of the study was to assess, in a population managed by the 0 h/3 h protocol, the accuracy of 0 h/1 h algorithm overall and in groups with a higher probability of AMI. All patients were followed up for 30 days, and potential events were adjudicated. In addition to the prospective cohort, a retrospective analysis was performed assessing all patients with hs-cTnT measured during the year of 2021 but not included in the prospective cohort, regardless of the indication of the test. A total of 5.497 patients were included (583 in the prospective and 4.914 in the retrospective analysis). The prospective cohort had a mean age of 57.3 (± 14.8) and 45.6% of females with a mean HEART score of 4.0 ± 2.2. By the core lab analysis, 74.4% would be eligible for a rule-out approach (45.3% of them with a HEART score > 3) while 7.3% would fit the rule-in criteria. In this rule-out group, the negative predictive value for index AMI was 100% (99.1-100) overall and regardless of clinical scores. At 30 days, no death or AMI occurred in the rule-out group of both 0/1 and 0/3 h algorithms while 52.4% of the patients in the rule-in group (0 h/1 h) were considered as AMI by adjudication. In the observation group (grey zone) of 0 h/1 h algorithm, GRACE discriminated the risk of these patients better than HEART score. In the retrospective analysis, 1.091 patients had a troponin value of <5 ng/L and there were no cardiovascular deaths at 30 days in this group. Among all 4.914 patients, the 30-day risk of AMI or cardiovascular death increased according to the level of troponin: 0% in the group < 5 ng/L, 0.6% between 5 and 14 ng/L, 2.2% between 14 and 42 ng/L, 6.3% between 42 and 90 ng/L, and 7.7% in the level ≥ 90 ng/L. Conclusion: In this large multicentre study, a 0 h/1 h algorithm had the potential to classify as rule-in or rule-out in almost 80% of the patients. The rule-out protocol had high negative predictive value regardless of clinical risk scores. Categories of levels of hs-cTn T also showed good accuracy in discriminating risk of the patients with a very favourable prognosis for cardiovascular death in the group with value < 5 ng/L. Clinicaltrials.gov: NCT04756362.
MeSH term(s)	Female ; Humans ; Middle Aged ; Algorithms ; Biomarkers ; Chest Pain/diagnosis ; Chest Pain/etiology ; Emergency Service, Hospital ; Myocardial Infarction/diagnosis ; Myocardial Infarction/epidemiology ; Prospective Studies ; Retrospective Studies ; Troponin I ; Troponin T ; Male ; Adult ; Aged
Chemical Substances	Biomarkers ; Troponin I ; Troponin T
Language	English
Publishing date	2023-07-14
Publishing country	England
Document type	Multicenter Study ; Journal Article
ZDB-ID	2663340-1
ISSN	2048-8734 ; 2048-8726
ISSN (online)	2048-8734
ISSN	2048-8726
DOI	10.1093/ehjacc/zuad082
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Article ; Online: Cooperative and structural relationships of the trimeric Spike with infectivity and antibody escape of the strains Delta (B.1.617.2) and Omicron (BA.2, BA.5, and BQ.1)

Souza, Anacleto Silva de / Souza, Robson Francisco de / Guzzo, Cristiane Rodrigues

bioRxiv

Abstract: Herein, we simulated the trimeric Spike of the variants B.1.617.2, BA.2, BA.5 and BQ.1 for 300 ns. We derived mechanisms by which the substitutions K417N, L452R, N444T and N460K may favor resistance to neutralizing antibodies. The K417N and L452R ... ...

Abstract	Herein, we simulated the trimeric Spike of the variants B.1.617.2, BA.2, BA.5 and BQ.1 for 300 ns. We derived mechanisms by which the substitutions K417N, L452R, N444T and N460K may favor resistance to neutralizing antibodies. The K417N and L452R contribute to the expansion of the networks of hydrogen bonding interactions with neighboring residues, decreasing their capacity to interact with neutralizing antibodies. The SpikeBQ.1 possesses two unique K444T and N460K mutations that expand the network of hydrogen bonding interactions. This lysine also contributes one novel strong saline interaction and both substitutions may favor resistance to neutralizing antibodies. We also investigated how the substitutions D614G, P681R, and P681H impact Spike structural conformations and discuss the impact of these changes to infectivity and lethality. The prevalent D614G substitution plays a key role in the communication between the glycine and the residues of a β-strand located between the NTD and the RBD, impacting the transition between up- and down-RBD states. The P681R mutation, found in the Delta variant, favors intra- and inter-protomer correlations between the subunits S1 and S2. Conversely, in Omicron sub-variants, P681H decreases the intra- and inter-protomer long-range interactions within the trimeric Spike, providing an explanation for the reduced fusogenicity of this variant. Taken together, our results enhance the knowledge on how novel mutations lead to changes in infectivity and reveal mechanisms by which SARS-CoV-2 may evade the immune system.
Keywords	covid19
Language	English
Publishing date	2023-03-07
Publisher	Cold Spring Harbor Laboratory
Document type	Article ; Online
DOI	10.1101/2023.03.06.531335
Database	COVID19

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Article ; Online: Quantitative structure-activity relationships, molecular docking and molecular dynamics simulations reveal drug repurposing candidates as potent SARS-CoV-2 main protease inhibitors.

de Souza, Anacleto Silva / de Souza, Robson Francisco / Guzzo, Cristiane Rodrigues

Journal of biomolecular structure & dynamics

2021 Volume 40, Issue 21, Page(s) 11339–11356

Abstract: The current outbreak of COVID-19 is leading an unprecedented scientific effort focusing on targeting SARS-CoV-2 proteins critical for its viral replication. Herein, we performed high-throughput virtual screening of more than eleven thousand FDA-approved ... ...

Abstract	The current outbreak of COVID-19 is leading an unprecedented scientific effort focusing on targeting SARS-CoV-2 proteins critical for its viral replication. Herein, we performed high-throughput virtual screening of more than eleven thousand FDA-approved drugs using backpropagation-based artificial neural networks (
MeSH term(s)	Acarbose ; Angiotensin Amide ; Dihydrostreptomycin Sulfate ; Drug Repositioning ; Enviomycin ; Fenoterol ; Molecular Docking Simulation ; Molecular Dynamics Simulation ; Protease Inhibitors/pharmacology ; Quantitative Structure-Activity Relationship ; SARS-CoV-2/drug effects ; Antiviral Agents/pharmacology
Chemical Substances	3C-like proteinase, SARS-CoV-2 (EC 3.4.22.-) ; Acarbose (T58MSI464G) ; Angiotensin Amide (53-73-6) ; Dihydrostreptomycin Sulfate (T7D4876IUE) ; Enviomycin (XU299C23A2) ; Fenoterol (22M9P70OQ9) ; laninamivir (B408IW3GL5) ; naratriptan (QX3KXL1ZA2) ; Protease Inhibitors ; Antiviral Agents
Language	English
Publishing date	2021-08-09
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	49157-3
ISSN	1538-0254 ; 0739-1102
ISSN (online)	1538-0254
ISSN	0739-1102
DOI	10.1080/07391102.2021.1958700
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