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Nivel de empatía en estudiantes de odontología de una universidad paraguaya durante la atención a pacientes en el marco de la pandemia por COVID-19, 2021
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Morel-Barrios, Milner

; Diaz-Reissner, Clarisse

Revista del Nacional (Itauguá)

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jun 2022, Volume 14 N. 1 Pages 18 - 29

Abstract: Es En | Text: Es En | PDF: Es | PDF: En

RESUMEN Introducción: la empatía es definida como la habilidad que pueden asumir las personas para ponerse en lugar de otros, de ahí que resulta lógico pensar que es uno de los ejes centrales en la relación odontólogo-paciente. Objetivo: determinar el nivel empatía en estudiantes de la Facultad de Odontología de la Universidad Nacional de Asunción en el año 2021. Metodología: estudio observacional descriptivo de corte transversal. Los participantes fueron evaluados mediante la Escala de Empatía Médica de Jefferson, además se recabaron datos sociodemográficos. Se aplicó la prueba estadística Chi cuadrado de Pearson y el Test Exacto de Fisher con un nivel de confianza del 95 %. Resultado: participaron 125 estudiantes del tercero al quinto año, el 56 % residía en Asunción, con una edad promedio de 23 ± 2 años. La empatía promedio fue de 91,46 (DE = 9,48). La mayoría de los estudiantes tuvo un nivel de empatía bajo (68,8 %) en el componente “Cuidado con compasión”, alto (89,6 %) en el componente “Toma de perspectiva” y media (66,4 %) en el componente “Ponerse en el lugar del otro”. El 71,2 % tuvo nivel medio de empatía global. No se encontró asociación del nivel de empatía con sexo (p=1,00) ni curso académico (p=0,56). Conclusión: la mayoría de los estudiantes presentaron nivel medio de empatía; siendo alto para la toma de perspectiva, medio para ponerse en el lugar del otro y bajo para el cuidado de compasión.

ABSTRACT Introduction: empathy is defined as the ability that people assume to put themselves in the place of others, then is logical to think that is one of the central points in the dentist-patient relationship. Objective: to determine the level of empathy in students of the Facultad de Odontología of Universidad Nacional de Asunción in the year 2021. Methodology: it was a cross-sectional descriptive observational study. The participants were evaluated using the Jefferson Medical Empathy Scale, and sociodemographic data were also collected. Pearson's Chi square statistical test and Fisher's Exact Test were applied with a confidence level of 95 %. Result: 125 students of third to fifth year participated, 56 % resided in Asunción, with an average age of 23 ± 2 years. The mean empathy was 91,46 (SD = 8,48). Most of the students presented low empathy (68.8 %) in the "Care with Compassion" component, high (89.6 %) in relation to "Perspective Taking", and medium (66.4 %) regarding to “put yourself in the place of the other”. The 71.2 % had a medium level of global empathy. No association was found between the level of empathy and gender (p=1.00) or academic year (p=0.56). Conclusion: most of the students presented a medium level of empathy, being high for perspective taking, medium for putting yourself in another's place, and low for compassionate care.

https://doi.org/10.18004/rdn2022.jun.01.018.029

Poliarteritis nodosa sistémica y cutánea en niños
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Morel, Zoilo

; Melgarejo, Patricia

; Franco, Marco

; Delgadillo, Pedro

Revista Paraguaya de Reumatología

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dec 2018, Volume 4 N. 2 Pages 52 - 57

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

ABSTRACT Polyarteritis Nodosa (PAN) is defined as necrotizing arteritis of medium or small arteries without glomerulonephritis or vasculitis in arterioles, capillaries, or venules, and not associated with antineutrophil cytoplasmic antibodies (ANCA). PAN is more frequent in adults, with the same presentation in both genders. We present the case of a 13-year-old boy with prolonged fever, arthralgias, myositis, lower limb edema, generalized petechial and ecchymotic lesions, deep vein thrombosis in the left leg, ischemia with subsequent necrosis of the left thumb, with diagnosis of systemic PAN; He received treatment with corticosteroids, IVIG and cyclophosphamide, with clinical improvement. The second case corresponds to a 9-year-old male, with acute fever, abdominal pain, nausea, vomiting, palpable nodules and petechiae in the lower and upper limbs, livedo reticularis in the lower limbs, with diagnosis of PANc, having received only corticoids, with excellent evolution.

RESUMEN La Poliarteritis Nodosa (PAN) se define como la arteritis necrotizante de arterias de mediano y pequeño calibre, sin glomerulonefritis o vasculitis en arteriolas, capilares o vénulas, y sin asociación a anticuerpos anticitoplasma de neutrófilos (ANCA). La PAN es más frecuente en adultos, con igual presentación en ambos sexos. Se presenta el caso de un niño de 13 años de edad, con fiebre prolongada, artralgias, miositis, edema de miembros inferiores, lesiones petequiales y equimóticas generalizadas, trombosis venosa profunda en pierna izquierda, isquemia con posterior necrosis del dedo pulgar izquierdo, con diagnóstico de PAN sistémica; recibió tratamiento con corticoides, IGIV y ciclofosfamida, con mejoría clínica y posterior alta. El segundo caso corresponde a un varón de 9 años de edad, con cuadro de fiebre, dolor abdominal, náuseas, vómitos, nódulos palpables y petequias en miembros inferiores y superiores, livedo reticularis en miembros inferiores, artritis en tobillos, con diagnóstico de PANc, habiendo recibido solamente corticoides, con excelente evolución.

https://doi.org/10.18004/rpr/2018.04.02.52-57 236 downloads

Medicina defensiva en Servicios de Urgencias del Hospital Central del Instituto de Previsión Social
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Franco Britos, Marco Antonio

; Denis, Amado

; Morel Ayala, Zoilo

; Solalinde, María Del Carmen

; Ferreira Gaona, Marta

; Díaz Reissner, Clarisse

Revista Virtual de la Sociedad Paraguaya de Medicina Interna

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mar 2018, Volume 5 N. 1 Pages 25 - 35

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

ABSTRACT Objective: To determine the degree of defensive medicine practiced in the Emergency Services of the Hospital Central of the Instituto de Previsión Social, Asunción-Paraguay. Methods: A validated Likert-type self-assessment questionnaire was administered to emergency care physicians. Variables related to sex, age, specialization, years of practice, previous legal background and work shifts were explored. Results: Two hundred and twenty physicians from eight Emergency Services were evaluated, 82% practiced defensive medicine. The male doctors showed a more defensive behavior (p=0.1). Emergentology, Traumatology and Orthopedics were the specialties with the highest practice of defensive medicine (100%). Gynecology and Obstetrics had the highest number of demands. Conclusion: Defensive medicine is presented in a high percentage in the Emergency Services because 82% of doctors practice some degree of it, being higher in males and in the specialties Emergentology, Traumatology and Orthopedics

RESUMEN Objetivo: determinar el grado de medicina defensiva que se practica en los Servicios de Urgencias del Hospital Central del Instituto de Previsión Social, Asunción-Paraguay. Métodos: se administró un cuestionario de autoevaluación de tipo Likert validado, a los médicos de atención de emergencia; se exploraron variables relacionadas al sexo, edad, especialización, años de práctica, antecedentes legales previos y turnos de trabajo. Resultados: se evaluó a 220 médicos de 8 Servicios de Urgencias, el 82% practicaba medicina defensiva. Los médicos varones mostraron un comportamiento más defensivo (p=0,1). Emergentología, Traumatología y Ortopedia fueron las especialidades con mayor práctica de medicina defensiva (100%). Ginecología y Obstetricia tuvo el mayor número de demandas. Conclusión: la medicina defensiva se presenta en un alto porcentaje en los Servicios de Urgencias pues 82% de los médicos practican algún grado de la misma, siendo mayor en varones y en las especialidades Emergentología y Traumatología y Ortopedia

https://doi.org/10.18004/rvspmi/2312-3893/2018.05(01)25-035 581 downloads

Arteritis de Takayasu en un niño. Reporte de caso
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Morel, Zoilo

; Marecos, Gladis

; Avila, Gabriela

; Franco, Marco

; Allo, Natalia

; Almada, Natalia

; Garcete, Silvia

; Chamorro, Luis

Pediatría (Asunción)

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apr 2017, Volume 44 N. 1 Pages 56 - 61

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

ABSTRACT Introduction: Takayasu arteritis is a systemic vasculitis of autoimmune etiology, which mainly affects large vessels such as the aorta and its main branches. It is uncommon in pediatric age, with range between 10 and 18 years, with predominance of the female sex. Clinical Case: A 13-year-old boy with asthenia, multiple syncope, weight loss, intermittent claudication and progressive respiratory difficulty of 4 months of evolution. Hypotrophic, marked pallor, profuse sweating, superior limbs cold and without palpable pulses; Lower limbs with palpable pulses, where high blood pressure values are found (240/70 mmHg). Laboratory analysis reveals anemia, with a normal immunological profile. The involvement of the aorta, carotid and renal vessels by images is confirmed. Satisfactory evolution with the treatment established.

RESUMEN Introducción: La arteritis de Takayasu es una vasculitis sistémica, de etiología autoinmune, que afecta principalmente a grandes vasos como la Aorta y sus ramas principales. Es poco frecuente en edad pediátrica, siendo la franja etaria más afectada la comprendida entre 10 y 18 años, con predominio del sexo femenino. Caso Clínico: Se presenta el caso de un varón de 13 años de edad, con astenia, síncopes en varias ocasiones, pérdida de peso, claudicación intermitente y dificultad respiratoria progresiva de 4 meses de evolución, hipotrófico, con palidez marcada, sudoración profusa, extremidades superiores frías y sin pulsos palpables; miembros inferiores tibios con pulsos palpables, en donde se constata cifras tensionales elevadas (240/70mmHg). A través de los análisis de laboratorio se constata anemia, con perfil inmunológico normal. Se confirma afectación de la aorta, carótidas y vasos renales por imágenes. Evolución satisfactoria con el tratamiento instaurado.

https://doi.org/10.18004/ped.2017.abril.56-61 795 downloads

Sesquiterpenoids from Nectandra megapotamica (Lauraceae)
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Oliveira, Carolina Q.

; Morandini, Liziane B.

; Pedroso, Marcelo

; T. Neto, Alexandre

; Silva, Ubiratan F.

; Mostardeiro, Marco A.

; Dalcol, Ionara I.

; Morel, Ademir F.

Journal of the Brazilian Chemical Society

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jan 2017, Volume 28 N. 1 Pages 21 - 29

Abstract: En | Text: En | PDF: En

Five sesquiterpenoid oxides, named nectandrene A, B, C, D, and E, were isolated from the essential oil of the leaves of Nectandra megapotamica. Their structures were elucidated by spectroscopic analysis, and the relative configurations were proposed by their nuclear Overhauser effect (NOESY) spectrum. Three of these isolated compounds displayed significant antimicrobial activity; the compound most active had minimal inhibitory concentration (MIC) values between 3.12 and 25.0 μg mL-1 against some tested bacteria, and antifungal activity with MIC values between 12.5 and 25.0 μg mL-1.

https://doi.org/10.5935/0103-5053.20160141 613 downloads

O caminho incerto das Luzes francesas: o abade De Pradt e a Independência brasileira.
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Morel, Marco

Almanack

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aug 2016, N. 13 Pages 112 - 129

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo O objetivo deste artigo é analisar a presença das obras do abade De Pradt nos espaços públicos da política do Brasil durante o processo de independência deste país. Ao mesmo tempo, discute-se algumas das ideias principais desse importante publicista francês.

Abstract The aim of this article is to analyze the Works of De Pradt among the public spaces of political discussion in Brazil during its Independence process. At the same time, it presents some of the most important ideas of this importante french author.

https://doi.org/10.1590/2236-463320161306 1545 downloads

Brazilian Response to Global End TB Strategy : The National Tuberculosis Research Agenda
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Kritski, Afranio

; Barreira, Draurio

; Junqueira-Kipnis, Ana Paula

; Moraes, Milton Ozorio

; Campos, Maria Martha

; Degrave, Wim Mauritz

; Miranda, Silvana Spindola

; Krieger, Marco Aurelio

; Chimara, Erica

; Morel, Carlos

; Dalcolmo, Margareth Pretti

; Maciel, Ethel Leonor Noia

; Evangelista, Maria do Socorro Nantua

; Villa, Teresa Scatena

; Sanchez, Mauro

; Costa, Fernanda Dockhorn

; Queiroz, Inacio

; Oliveira, Martha Maria

; Souza Junior, Ruy

; Silva, Jose Roberto Lapa e

; Ruffino-Netto, Antonio

Revista da Sociedade Brasileira de Medicina Tropical

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feb 2016, Volume 49 N. 1 Pages 135 - 145

Abstract: En | Text: En | PDF: En

https://doi.org/10.1590/0037-8682-0330-2015 3881 downloads

Limonin Derivatives: Synthesis Using Methodology in Solution and Heterogeneous Medium and Evaluation of the Antimicrobial Activity
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Tavares, Luciana C.

; Fernandes, Tanize S.

; Ilha, Vinicius

; Neto, Alexandre T.

; Santos, Eveline W. dos

; Burrow, Robert A.

; Duarte, Fábio A.

; Flores, Erico M. M.

; Silva, Ubiratan F.

; Mostardeiro, Marco A.

; Morel, Ademir F.

Journal of the Brazilian Chemical Society

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jan 2016, Volume 27 N. 1 Pages 161 - 178

Abstract: En | Text: En | PDF: En

We herein described the preparation of a novel series of limonin derivatives (modification in A-ring), which was synthesized efficiently using methodology in solution as well as in heterogeneous medium (K-10). In addition, we obtained derivatives by inserting the 1,2,3-triazole nucleus via click reaction and also prepared derivatives from reactions with limonin-7-oxime. All compounds were submitted to investigation of the antimicrobial activity against a collection of microorganisms. The results of the antimicrobial activity, in general, demonstrated that a relevant number of synthetic derivatives presented higher activity than the natural product.

https://doi.org/10.5935/0103-5053.20150266 1211 downloads

FLORISTIC COMPARISON BETWEEN TWO TREE COMMUNITIES ASSOCIATED WITH HABITAT DESCRIPTOR VARIABLES
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Morel, Jean Daniel

; Santos, Rubens Manoel dos

; Fontes, Marco Aurélio Leite

; Garcia, Paulo Oswaldo

; Souza, Fernanda Maria de

CERNE

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dec 2015, Volume 21 N. 4 Pages 601 - 616

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO O conhecimento sobre a influência das variáveis ambientais é essencial para que se compreenda os padrões ecológicos atuantes sobre a vegetação. Este trabalho comparou a composição florística de duas comunidades florestais localizadas em diferentes altitudes. Associada a essa comparação, foi utilizada uma metodologia onde variáveis descritoras do ambiente foram escalonadas e interpretadas junto ao conjunto biótico amostrado. Através de uma matriz, com a pontuação dada em campo para variáveis físicas, bióticas, da estrutura da vegetação e de antropização, e de outra, contendo as espécies amostradas, análises multivariadas foram utilizadas. Constatou-se que as comunidades diferem floristicamente entre as diferentes altitudes e que a metodologia utilizada indicou variáveis importantes para a caracterização ecológica dos ambientes amostrados.

ABSTRACT The knowledge about the influence of habitat variables is essential to understand the underlying ecological patterns in vegetation. This study compared the floristic composition of two forest communities located in different altitudes. Associated with this comparison, we used a methodology where habitat descriptor variables were scaled and interpreted by the biotic set sampled. We constructed one matrix with scores given to physical, biotic, vegetation, and anthropogenic variables in the field and one matrix with the species sampled and performed multivariate analyses. We found that the floristic communities differ between the different altitudes and that the methodology used showed significant variables for the ecological characterization of the sampled habitat.

https://doi.org/10.1590/01047760201521041934 1192 downloads

10.

"Milonga que va borrando fronteras": Las políticas del patrimonio: un análisis del tango y su declaración como patrimonio cultural inmaterial de la humanidad
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Morel, Hernán

Intersecciones en antropología

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jul 2011, Volume 12 N. 1 Pages 163 - 176

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

This work focuses on some of the aspects of the development strategies related to the integration of the different cultural spheres. Specially, after the neoliberal wave occurred during 1990's, a new strategy in the development agenda aroused the intensification of values regarding the cultural diversity and the local inheritance. Thus, within a framework of inheritance policies, new conceptualization and the managing ways around the so-called "Intangible Cultural Inheritance" were established. Nevertheless, these impulses co-exist with merchandising processes that give a new value to the idea of inheritance in the light of certain interests at present. Based on these guidelines, we are interested in addressing the revaluation of tango in their articulation with the public policies of the City of Buenos Aires. Specifically, in this work we propose to analyze the activation and patrimonial construction of tango from the recent declaration issued by the international body of UNESCO. In this way, we observe the political dimensions as well as the effects of power that these patrimonial activations supose.

En este trabajo analizaremos algunos aspectos de las estrategias de desarrollo vinculadas a la integración de esferas culturales. En particular, luego del neoliberalismo de la década del noventa, una nueva estrategia en la agenda del desarrollo destaca la puesta en valor de la diversidad cultural y los patrimonios locales. De este modo, en el marco de las políticas patrimoniales se consolidan nuevas conceptualizaciones y formas de gestión en torno al denominado "Patrimonio Cultural Inmaterial". Sin embargo, estos impulsos coexisten con procesos de mercantilización que resignifican el valor de dicho patrimonio a la luz de ciertos intereses del presente. Sobre la base de estos lineamientos, nos interesa abordar la revalorización del tango en su articulación con políticas oficiales en la Ciudad de Buenos Aires. Específicamente, en este trabajo nos proponemos analizar la activación y la construcción patrimonial del tango a partir de la reciente declaratoria emanada desde el organismo internacional de la UNESCO que instituye al tango como "Patrimonio Cultural Inmaterial de la Humanidad". De esta forma, observamos las dimensiones políticas y los efectos de poder que estas activaciones patrimoniales suponen.

779 downloads Cited 6 times in SciELO

11.

Novas perspectivas sobre a presença francesa na Bahia em torno de 1798
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Jancsó, István

; Morel, Marco

Topoi (Rio de Janeiro)

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jun 2007, Volume 8 N. 14 Pages 206 - 232

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

A publicação e análise da correspondência e de um Projeto de invasão da Bahia enviados pelo capitão da Marinha Antoine-René Larcher ao Diretório da República Francesa em 1797 permitem conhecer, sob novos ângulos, os episódios da chamada Conjuração Baiana, tanto pela abrangência social dos conspiradores, quanto por dimensões até então desconhecidas pela historiografia de projetos efetivamente inseridos numa perspectiva mais ampla de tentativas de expansão da Revolução Francesa.

The analysis of correspondence now available on a Plan for the Invasion of Bahia, sent by naval captain Antoine-René Larcher to the Directorate of the French Republic in 1797, sheds new light on episodes of the so-called Bahian Conspiracy, as much with respect to the conspirators' social penetration as in regard to aspects of wideranging attempts to to expand the French Revolution previously unknown to historiography.

https://doi.org/10.1590/2237-101X008014007 4027 downloads

12.

New perspectives on the French presence in Bahia in 1798
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Jancsó, István

; Morel, Marco

; O'Neill, Eoin Paul

Topoi: Revista de História

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2007, Volume 3 N. se

Abstract: En | Text: En | PDF: En

The analysis of correspondence now avaiable on a Plan for the Invasion of Bahia, sent by naval captain Antoine-René Larcher to the Directorate of the French Republic in 1797, sheds new light on episodes of the so-called Bahian Conspiracy, as much with respect to the conspirators' social penetration as in regard to aspects of wideranging attempts to the expand the French Revolution previously unknown to historiography.

4289 downloads

13.

Papéis incendiários, gritos e gestos: a cena pública e a construção nacional nos anos 1820-1830
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Morel, Marco

Topoi (Rio de Janeiro)

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jun 2002, Volume 3 N. 4 Pages 39 - 58

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

A proliferação de manifestações como papéis chamados de incendiários, além de vozes, gritos e gestos nas ruas da capital do Império (Rio de Janeiro) nas décadas de 18201830, marca uma série de transformações e também permanências dos espaços públicos na polis. Da mesma forma, a sala do Teatro, na Corte, aparece como cena desta teatralização da política, em meio a tais expressões manuscritas, verbais e gestuais (que permanecem após a consolidação da imprensa periódica). Em geral elas continham aquilo que não podia ser impresso (ou mesmo falado) dentro dos limites vigentes e, ainda, permitiam envolver setores mais amplos do que o público habitualmente leitor ou redator. Destaca-se a importância de tais manifestações públicas para a política vivida no cotidiano, numa sociedade caracterizada pela comunicação oral e visual e num momento de construção da ordem nacional. As fontes utilizadas são: relatos de diplomatas franceses e jornais da época.

The spreading of public demonstrations, through papers that were named "incendiary", besides voices, screams and gestures in the streets of the capital of the Empire (Rio de Janeiro) in the decades of 1820/1830, mark a series of transformations and also the consolidation of the public spaces in the polis. In the same way, the Theater Room, in the Court, appears as a scene for this dramatization of politics, amid such handwritten, verbal and bodily expressions (which ended up remaining after the consolidation of the daily press). In general, they contained everything that could not be put into print (or even spoken) considering the set limits of that time and, yet, made it possible to reach wider sectors of the population than just the ones that were used to reading or writing. It highlights the importance of such public manifestations for the everyday politics, in a society characterized by the oral and visual communication and at the moment of the building up of the National order.

https://doi.org/10.1590/2237-101X003004002? 1500 downloads

14.

Diterpenos isolados de Humirianthera ampla. Miers.
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Graebner, Ilmar Bernardo

; Morel, Ademir Farias

; Burrow, Robert A.

; Mostardeiro, Marco Aurélio

; Ethur, Eduardo Miranda

; Dessoy, Emilia C. M.

; Scher, Alessandro

Revista Brasileira de Farmacognosia

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2002, Volume 12 Suppl. 1 Pages 80 - 81

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

From Humirianthera ampla, Icacinaceae, were isolated a phthalate, lupeol, β-sitosterol, glycosyl- sitosterol, one known annonalide diterpene and two new diterpenes named Humirianthol and Acrenol. Humirianthol and Acrenol were determined by 1D and 2D NMR spectroscopic techniques to be 3 β, 20:14 β, 16-diepoxy-3 α, 15 α-dihydroxy-7-pimaren-19, 6 β-olide and 3 β, 20-epoxi-3 α, 15, 16-trihydroxy-7-pimaren-19, 6 β-olide, respectively. Acrenol has antimicrobial activity.

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