ABSTRACT
This is a literature review with the objective of presenting scientific evidence about the therapeutic importance of the use of Anacardium humile for the treatment of infected skin wounds. Retrospective and analytical study carried out from 1999 to 2021, in the Bireme, UpToDate, Pubmed and Scielo databases. The association of the descriptors “Phytotherapy” was used; “Cerrado and Pantanal Plants”; “Wounds contaminated by bacteria”; “elastic fibers”. Of the 248 articles analyzed, 36 were included in the review because they met the inclusion criteria. Among the results, it was evidenced that the conventional treatments, although effective (the gold standard being Sulfadiazine 1% silver), present toxicity to human keratinocytes and fibroblasts, with this, it is concluded that further research will be necessary to prove the effectiveness of new treatment options or association of herbal medicines with treatment.
ABSTRACT
Abstract Peacock bass Cichla temensis is an important species at the Amazon basin, since commercial, subsistence and recreational fisheries simultaneously exploit it. Cichla temensis is the preferred species by recreational fishers and it has been strongly exploited, mainly at the Negro river, the second largest tributary of the Amazon River. It was used data from experimental fisheries, collected at the middle stretch of Negro river, which were coupled with previously published data on its population dynamics, to run a yield per recruit model and build scenarios of sustainable fisheries. The results showed that the age of the first catch is a key variable to successful management of the peacock bass stocks at this region.
Resumo O tucunaré Cichla temensis é uma importante espécie de peixe da bacia Amazônica, uma vez que esta espécie é simultaneamente explotada pela pesca comercial e de subsistência. Além disso, é preferida pelos pescadores esportivos que atuam na região do rio Negro, o segundo maior afluente do rio Amazonas. Foram usados dados de pescarias experimentais, coletados no trecho médio do rio Negro. Estes dados foram vinculados a outros dados, previamente publicados, sobre sua dinâmica populacional, para executar um modelo de rendimento por recruta e, dessa forma, construir cenários para pesca sustentável dessa espécie. Os resultados mostraram que a idade da primeira captura é uma variável chave para gerenciar, com sucesso, os estoques de tucunarés nesta região.
Subject(s)
Animals , Cichlids , Rivers , Brazil , Population Dynamics , FisheriesABSTRACT
Nocardiose é causada por bactérias do gênero Nocardia do subgrupo Actinomycetos, que são Gram-positivas aeróbicas, filamentosas e podem apresentar ramificações. O diagnóstico baseia-se na presença de lesão inflamatória, com o microrganismo morfologicamente compatível, associada ao isolamento e à identificação microbiológica e molecular. Este trabalho tem por objetivo relatar um caso de nocardiose em canino, que desenvolveu inflamação piogranulomatosa peritoneal seis meses após ovariossalpingo-histerectomia. O animal apresentava hipertermia, distensão abdominal, taquipneia, polidipsia, hiporexia, mucosas hipocoradas e fezes pastosas. Os achados laboratoriais evidenciaram anemia leve e leucocitose por neutrofilia com desvio à esquerda e hipoalbuminemia. Uma massa na região mesogástrica e efusão peritoneal foram evidenciadas por meio da ultrassonografia abdominal. O líquido foi classificado como exsudato piogranulomatoso, e o animal submetido à laparotomia exploratória para lavagem abdominal e remoção da massa. Após procedimentos terapêuticos, ocorreu piora clínica e óbito. Peritonite piogranulomatosa foi a principal alteração anatomopatológica a qual foi associada à Nocardia spp. Molecularmente, a espécie isolada se aproxima da N. concava, por meio da análise filogenética. Essa espécie já foi descrita como causa de infecção em humanos na Ásia, no entanto não há registros na literatura na espécie canina, sendo este o primeiro relato.(AU)
Nocardiosis is caused by an aerobic, gram-positive, ramificated and filamentous bacteria of the Nocardia genus, subgroup Actinomycetos. The diagnosis is based on the presence of the inflammatory lesions with the morphologically compatible microorganism associated with microbiological and molecular isolation and identification. The objective of this work is to report a case of nocardiosis in a canine that developed peritoneal pyogranulomatous inflammation six months after ovariosalpingohisterectomy. The animal had hyperthermia, abdominal distention, tachypnea, polydipsia, hyporexia, hypocorous mucosae and pasty feces. The laboratory findings revealed mild anemia and leukocytosis due to neutrophilia with left deviation and hypoalbuminemia. A mass in the mesogastric region and peritoneal effusion were evidenced by abdominal ultrasonography. The fluid was classified as pyogranulomatous exudate and the animal underwent exploratory laparotomy for abdominal lavage and mass removal. Despite the therapeutic procedures and clinical alterations the dog died. Piogranulomatous peritonitis was the main anatomopathological alteration which was associated with Nocardia spp. Molecularly, the isolated species approaches the N. concava species through phylogenetic analysis. This specie was described as a cause of infection in humans in Asia; however, there are no records in literature on the canine species, being this the first report.(AU)
Subject(s)
Animals , Female , Dogs , Peritonitis/surgery , Peritonitis/diagnosis , Peritonitis/veterinary , Nocardia Infections/diagnosis , Nocardia Infections/veterinaryABSTRACT
The aim of this study was to relate the serum concentration IL-6, IGF-1, leptin and estrogen in non-castrated bitches with or without overweight and early stage mammary carcinomas. Forty-three bitches were divided into four groups, two groups without mammary carcinomas with and without overweight, and two groups with mammary carcinomas with and without overweight. Overweight bitches, with or without mammary carcinomas, were statistically different from bitches by ideal weight, in relation to ECC, IMCC and body fat percentages (P< 0.0001). There was a positive correlation between ECC and IMCC (P< 0.0001), ECC and % GC (P< 0.0001), and IMCC and % GC (P< 0.0001). A positive correlation was found between serum leptin and IL-6 (P= 0.0451) and leptin and IGF-1 (P= 0.05). A positive correlation (P= 0.0053) between ECC and leptin was found in the analysis of body evaluation methods and serum concentrations, and a negative correlation between ECC and IL-6 (P= 0.0435). Among the fat percentage and the leptin concentration, there was a positive correlation (P= 0.0016), as found between the IMCC and leptin (P= 0, 0209). In this study, no association was observed between excessive weight and the presence of early stage mammary carcinomas.(AU)
Este estudo teve por objetivo relacionar a concentração sérica de IL-6, IGF-1, leptina e estrógeno, em cadelas não castradas com ou sem excesso de peso, e carcinomas mamários em estágio inicial. Quarenta e três cadelas foram divididas em quatro grupos, sendo dois de cadelas sem carcinomas mamários, com e sem excesso de peso, e dois de cadelas com carcinomas mamários, com e sem excesso de peso. Cadelas com excesso de peso, com ou sem carcinomas mamários, foram estatisticamente diferentes de cadelas em peso ideal, em relação às avaliações corporais de ECC, IMCC e percentual de gordura corpórea (P<0,0001). Foi observada uma correlação positiva entre ECC e IMCC (P<0,0001), ECC e %GC (P<0,0001), e IMCC e %GC (P<0,0001). As análises de estrógeno, leptina, IL-6 e IGF-1 não apresentaram diferenças estatísticas entre os grupos. Demonstrou-se correlação positiva entre as concentrações séricas de leptina e IL-6 (P=0,0451) e leptina e IGF-1 (P=0,05). Encontrou-se correlação positiva entre ECC e leptina (P=0,0053) e negativa entre ECC e IL-6 (P=0,0435). Entre o percentual de gordura e leptina encontrou-se correlação positiva (P=0,0016), assim como entre IMCC e leptina (P=0,0209). Neste estudo, não se observou associação entre excesso de peso e a presença de carcinomas mamários em estadio inicial.(AU)
Subject(s)
Animals , Female , Dogs , Mammary Neoplasms, Animal/diagnosis , Leptin/analysis , Dogs/metabolism , Overweight/veterinary , Insulin-Like Growth Factor I , Interleukin-6ABSTRACT
Medical education in Chile has a good research productivity. National educators are skilled in complex curricular design processes and in didactic innovation. However, the question of what it means to be doctor in a society that moves towards interculturality, has not been addressed thoroughly. Using the structure of a clinical record, we outline our critical view about the relationship between medical education and diversity. To describe the medical history, we refer to some variables of the training process such as the Hegemonic Model of Medicine, the epistemological beliefs of the students, the hidden curriculum and the educational environment. Then, the empirical evidence of the clinical picture, diagnosis and internationally recommended treatment is described, to end with a local therapeutic proposal.
Subject(s)
Humans , Male , Female , Cultural Diversity , Education, Medical, Undergraduate/standards , Students, Medical , Chile , Curriculum/standards , Cultural Competency , Minority GroupsABSTRACT
El esteatocistoma múltiple corresponde a una entidad cuya lesión elemental es el quiste cutáneo, lesión de carácter benigno y de muy baja frecuencia, en la mayoría de los casos su presentación es esporádico, originado en la unidad pilosebácea. Su principal diagnóstico diferencial corresponde al quiste velloso eruptivo. El diagnóstico se obtiene a través de la conjunción entre la clínica con la histopatología. Actualmente se dispone de varias alternativas para su tratamiento. En la literatura está descrita su asociación con el Síndrome de Gardner, el cual tiene un carácter autosómico dominante. Es posible encontrar: poliposis, osteomas, hipertrofía congénita del epitelio pigmentario de la retina y quistes cutáneo. Se presenta a continuación un caso de un paciente de sexo masculino de 17 años con un esteatocistoma múltiple.
Steatocystoma multiplex is a disorder of very low frequency whose principal characteristic is benign cutaneous cysts originating in the pilosebaceous unit. Most cases present sporadically. The differential diagnosis is principally eruptive villous hair cyst. Diagnosis is reached by considering both the clinical picture and the histology. There are several treatment alternatives. Its association with Gardner´s syndrome, an autosomal dominant trait, is described in the literature. It may be accompanied by polyposis, osteomas, congenital hypertrophy of the retinal pigment epithelium and cutaneous cysts. We present the case of a 17 year old male patient with steatocystoma multiplex.
ABSTRACT
An 8-year-old domestic short hair female cat initially presented with bilateral uveitis with pseudotumoral appearance. The patient tested negative for feline immunodeficiency virus (FIV), feline leukemia virus (FeLV) and Toxoplasma gondii. Histopathology of a granulomatous lesion on the upper left conjunctiva revealed amastigotes compatible with Leishmania spp. Aqueous humor was aspired and the diagnosis was confirmed after isolation of promastigotes cultivated in biphasic NNN medium and by positive polymerase chain reaction (PCR) for Leishmania infantum. Treatment with allopurinol (10mg/kg/ BID/PO) was commenced and a natural insect repellent was prescribed. Six months of treatment with allopurinol associated with the initial topical medications helped to improve ocular signs. Leishmaniasis should be considered as a differential diagnosis in cats presenting uveitis with pseudotumoral appearance. To our knowledge, this is the first report of feline leishmaniasis with ocular manifestation in Brazil, in which diagnosis was confirmed by aqueous humor analysis.(AU)
Uma gata, sem raça definida, de oito anos de idade, foi atendida inicialmente com uveíte bilateral, com aparência pseudotumoral em íris. Foi realizado teste para o vírus da imunodeficiência felina (FIV), da leucemia felina (FeLV) e de Toxoplasma gondii, obtendo-se resultados negativos. O exame histopatológico da conjuntiva superior do olho esquerdo revelou amastigotas compatíveis com Leishmania spp. Foi realizada paracentese, e promastigotas foram isoladas no humor aquoso, cultivadas em meio NNN bifásica. Reação em cadeia da polimerase (PCR) confirmou diagnóstico positivo para Leishmania infantum. Tratamento com alopurinol (10mg/kg/BID/PO) foi iniciado, e um repelente natural de insetos foi prescrito. Seis meses de tratamento com alopurinol associado aos medicamentos tópicos iniciais ajudaram a melhorar os sinais oculares. Leishmaniose deve ser considerada como um diagnóstico diferencial nos gatos que apresentam uveíte com aparência pseudotumoral de íris. Até o presente momento, este é o primeiro relato de leishmaniose felina com manifestação exclusivamente ocular da doença no Brasil cujo diagnóstico foi confirmado por meio de análise de humor aquoso.(AU)
Subject(s)
Animals , Cats , Cats/microbiology , Leishmania infantum/microbiology , Uveitis/diagnosis , AllopurinolABSTRACT
Canine mammary neoplasms (CMNs) are the most frequent lesions and in female dogs. However, studies correlating pathological criteria with clinical evolution in female dogs with mammary neoplasms are scarce. The present study aims to present epidemiological, clinical-pathological and overall survival data to help establish the prognosis and understand the biological behavior of CMNs. A total of 1539 cases were included (85% malignant and 13% benign). Tumor size was an important prognostic factor and was associated with overall patient survival (P< 0.0001). Most dogs diagnosed with malignant neoplasms (83%) had initial clinical staging, although 17% had regional or distant metastases at the time of diagnosis and lower overall survival (P< 0.0001). Carcinoma in mixed tumor was the most frequent histological type and had a better prognosis. Solid carcinomas, micropapillary carcinomas and carcinosarcomas were considered histological types with aggressive biological behavior and were associated with a worse prognosis and lower overall survival (P< 0.0001).(AU)
Neoplasias mamárias caninas (NMCs) são as lesões mais frequentes em cadelas. Estudos que correlacionam os critérios patológicos com a evolução clínica em cadelas com neoplasias mamárias são escassos. Este estudo objetiva apresentar dados epidemiológicos, clínico-patológicos e de sobrevida global fornecendo informações que auxiliam a estabelecer o prognóstico e a compreender o comportamento biológico de NMCs. Foram incluídos 1539 casos, 85% malignos e 13% benignos. O tamanho tumoral foi um importante fator prognóstico, sendo associado com a sobrevida global das pacientes (P<0,0001). A maioria das cadelas diagnosticadas com neoplasias malignas (83%) apresentavam estadiamentos clínicos iniciais, enquanto 17% apresentavam metástases regionais ou à distância no momento do diagnóstico, denotando menor sobrevida global (P<0,0001). O carcinoma em tumor misto foi o tipo histológico mais frequente e de melhor prognóstico. Os carcinomas sólidos, carcinomas micropapilares e carcinossarcomas foram considerados tipos histológicos de comportamento biológico agressivo, sendo associados a pior prognóstico e menor sobrevida global (P<0,0001).(AU)
Subject(s)
Animals , Female , Dogs , Breast Neoplasms/diagnosis , Breast Neoplasms/epidemiology , Survival AnalysisABSTRACT
Feline Injection Site-Associated Sarcoma (FISS) is a neoplasm that implies in reduction of quality of life and overall survival in feline patients. A retrospective study of 13 cases of FISS was conducted to evaluate the efficacy of surgical treatment associated to chemotherapy with doxorubicin or carboplatin. Local recurrence occurred in all patients. Patients treated with surgery and chemotherapy presented a longer overall survival and disease-free interval when compared to those that solely received surgical treatment, although no statistical significance was observed (p= 0.3360 and 0.7506, respectively). Surgery remains as the main option for FISS treatment. Further prospective studies with larger samples are warranted to investigate the benefit of chemotherapy for this neoplasm.(AU)
O Sarcoma de Aplicação Felino (SAF) é uma neoplasia associada a redução na qualidade de vida e sobrevida global. O objetivo deste estudo foi avaliar a eficácia da quimioterapia associada à cirurgia no manejo do SAF. Estudo retrospectivo de 13 pacientes com SAF submetidos à cirurgia isolada ou associada a quimioterapia com carboplatina ou doxorrubicina. Recorrência local ocorreu em todos os pacientes. Pacientes tratados com cirurgia e quimioterapia apresentaram maior sobrevida global e intervalo livre de doença quando comparados àqueles que receberam apenas tratamento cirúrgico, mas não foi observada diferença estatística (p=0,3360 e 0,7506, respectivamente). A cirurgia continua sendo a principal opção para o tratamento do SAF. Estudos prospectivos são necessários para investigação do real benefício da quimioterapia para esta neoplasia.(AU)
Subject(s)
Animals , Cats , Carboplatin/therapeutic use , Chemotherapy, Adjuvant/veterinary , Doxorubicin/therapeutic use , Sarcoma/surgery , Sarcoma/therapy , Neoplasms, Connective and Soft Tissue/veterinaryABSTRACT
Abstract Peacock bass Cichla temensis is an important species at the Amazon basin, since commercial, subsistence and recreational fisheries simultaneously exploit it. Cichla temensis is the preferred species by recreational fishers and it has been strongly exploited, mainly at the Negro river, the second largest tributary of the Amazon River. It was used data from experimental fisheries, collected at the middle stretch of Negro river, which were coupled with previously published data on its population dynamics, to run a yield per recruit model and build scenarios of sustainable fisheries. The results showed that the age of the first catch is a key variable to successful management of the peacock bass stocks at this region.
Resumo O tucunaré Cichla temensis é uma importante espécie de peixe da bacia Amazônica, uma vez que esta espécie é simultaneamente explotada pela pesca comercial e de subsistência. Além disso, é preferida pelos pescadores esportivos que atuam na região do rio Negro, o segundo maior afluente do rio Amazonas. Foram usados dados de pescarias experimentais, coletados no trecho médio do rio Negro. Estes dados foram vinculados a outros dados, previamente publicados, sobre sua dinâmica populacional, para executar um modelo de rendimento por recruta e, dessa forma, construir cenários para pesca sustentável dessa espécie. Os resultados mostraram que a idade da primeira captura é uma variável chave para gerenciar, com sucesso, os estoques de tucunarés nesta região.
ABSTRACT
The aim of this report is to describe the first histopathological, immunohistochemical, and clinical characteristics of a feline glycogen-rich clear cell carcinoma (GRCCC). A Persian queen was admitted with mammary gland tumors and underwent radical unilateral mastectomy. Overall survival was considered 33 days and death was due to clinical evolution of the disease. Microscopic evaluation demonstrated epithelial cells arranged in a predominantly solid pattern, tumor cells presented an ample, granular, and foamy clear cytoplasm, and moderate cellular pleomorfism. The presence of cytoplasmatic glycogen was confirmed through diastase digestion followed by PAS staining. Histopathological and histochemical findings lead to the diagnosis of GRCCC with regional metastases.(AU)
O objetivo deste relato de caso é descrever as características clínicas, histopatológicas e imuno-histoquímicas do primeiro carcinoma mamário de células claras rico em glicogênio em felino. Uma gata persa foi atendida com tumores na glândula mamária e foi submetida à mastectomia radical unilateral. A sobrevida livre de doença foi considerada 33 dias, e o óbito foi devido à evolução da doença. A avaliação microscópica demonstrou células epiteliais arranjadas em um padrão predominantemente sólido, as células tumorais apresentaram um citoplasma claro, amplo, granular e espumoso e pleomorfismo celular moderado. A presença do glicogênio citoplasmático foi confirmada pela digestão pela diástase, seguida da coloração de PAS. Achados histopatológicos e histoquímicos levaram ao diagnóstico de carcinoma de células claras rico em glicogênio felino com metástase regional.(AU)
Subject(s)
Animals , Cats , Adenocarcinoma, Clear Cell/veterinary , Glycogen/analysis , Mammary Neoplasms, Animal/pathology , Amylases/analysisABSTRACT
Abstract We evaluated three mathematical procedures to estimate the parameters of the relationship between weight and length for Cichla monoculus: least squares ordinary regression on log-transformed data, non-linear estimation using raw data and a mix of multivariate analysis and fuzzy logic. Our goal was to find an alternative approach that considers the uncertainties inherent to this biological model. We found that non-linear estimation generated more consistent estimates than least squares regression. Our results also indicate that it is possible to find consistent estimates of the parameters directly from the centers of mass of each cluster. However, the most important result is the intervals obtained with the fuzzy inference system.
Resumo Empregamos três procedimentos matemáticos, regressão com mínimos quadrados ordinários com dados log-transformados, estimação não-linear e uma combinação de análise multivariada e lógica fuzzy para estimar os parâmetros da relação peso × comprimento para Cichla monoculus. Nosso objetivo foi apresentar uma abordagem alternativa que considere as incertezas inerentes ao modelo. Observamos que as estimativas da estimação não-linear foram mais consistentes que as obtidas por regressão linear sobre dados log-transformados. Nossos resultados também mostraram que é possível obter estimativas dos parâmetros diretamente dos centros de máximos formados dos grupos por uma análise de agrupamento k-means. No entanto, os resultados mais importantes foram os intervalos obtidos com o sistema de inferência fuzzy.
Subject(s)
Animals , Body Weight , Fuzzy Logic , Models, BiologicalABSTRACT
We present a case of a 20 years old woman who consults for amenorrhea and mild hyperprolactinemia. Within the functional study hypopituitarism was discover and MRI showed a cystic lesion with ring enhancement. Transsphenoidal resection was performed, showing purulent material. Cultures were positive for MSSA and Neisseria cinerea. Antibiotic treatment was started completing 21 days. She evolved without relapse but did not recovered pituitary function.
Subject(s)
Humans , Female , Young Adult , Abscess/surgery , Abscess/diagnosis , Hypopituitarism/surgery , Hypopituitarism/diagnosis , Abscess/drug therapy , Anti-Bacterial Agents/therapeutic use , Hypopituitarism/drug therapy , Neisseria cinerea/isolation & purificationABSTRACT
It is currently accepted that superoxide anion (O2•−) is an important mediator in pain and inflammation. The role of superoxide anion in pain and inflammation has been mainly determined indirectly by modulating its production and inactivation. Direct evidence using potassium superoxide (KO2), a superoxide anion donor, demonstrated that it induced thermal hyperalgesia, as assessed by the Hargreaves method. However, it remains to be determined whether KO2 is capable of inducing other inflammatory and nociceptive responses attributed to superoxide anion. Therefore, in the present study, we investigated the nociceptive and inflammatory effects of KO2. The KO2-induced inflammatory responses evaluated in mice were: mechanical hyperalgesia (electronic version of von Frey filaments), thermal hyperalgesia (hot plate), edema (caliper rule), myeloperoxidase activity (colorimetric assay), overt pain-like behaviors (flinches, time spent licking and writhing score), leukocyte recruitment, oxidative stress, and cyclooxygenase-2 mRNA expression (quantitative PCR). Administration of KO2 induced mechanical hyperalgesia, thermal hyperalgesia, paw edema, leukocyte recruitment, the writhing response, paw flinching, and paw licking in a dose-dependent manner. KO2 also induced time-dependent cyclooxygenase-2 mRNA expression in the paw skin. The nociceptive, inflammatory, and oxidative stress components of KO2-induced responses were responsive to morphine (analgesic opioid), quercetin (antioxidant flavonoid), and/or celecoxib (anti-inflammatory cyclooxygenase-2 inhibitor) treatment. In conclusion, the well-established superoxide anion donor KO2 is a valuable tool for studying the mechanisms and pharmacological susceptibilities of superoxide anion-triggered nociceptive and inflammatory responses ranging from mechanical and thermal hyperalgesia to overt pain-like behaviors, edema, and leukocyte recruitment.
Subject(s)
Animals , Male , Mice , /drug effects , Hyperalgesia/chemically induced , Inflammation/chemically induced , Nociceptive Pain/chemically induced , Superoxides/pharmacology , Analgesics, Opioid/therapeutic use , Antioxidants/therapeutic use , /therapeutic use , /genetics , Edema/chemically induced , Hindlimb , Hot Temperature , Hyperalgesia/drug therapy , Inflammation/drug therapy , Nociceptive Pain/drug therapy , Pain Measurement/methods , Peroxidase/drug effects , Real-Time Polymerase Chain Reaction , Reactive Oxygen Species/metabolism , Skin/drug effects , Time Factors , Transcription, Genetic/drug effectsABSTRACT
La base del tratamiento de la disfunción eréctil (DE) son los inhibidores de la fosfodiesterasa 5, disponibles mayoritariamente para dosificación a demanda. En 2008 la FDA aprobó el Tadalafilo 5 mg de uso diario. OBJETIVO: Evaluar la efectividad del Tadalafilo 5 mg de uso diario para el tratamiento de la DE y la satisfacción de los pacientes frente a su uso. PACIENTES Y METODOS: Se reclutaron pacientes con DE entre Junio de 2011 y Mayo de 2012. Se registraron datos sociodemográficos, clínicos y andrológicos. La DE se clasificó según el puntaje del cuestionario IIEF. Todos los pacientes iniciaron tratamiento diario con Tadalafilo 5 mg y fueron reevaluados luego de un mes. La satisfacción y calidad de vida se evaluó con cuestionarios validados (EDITS, SEAR y GAQ). Para el análisis estadístico se consideró significativo un P<0.05.RESULTADOS: Se reclutaron 49 pacientes con edad promedio de 59,9 +/- 8,8 años. Un 14,3 por ciento presentaba DE severa, 36,7 por ciento moderada, 36,7por ciento leve-moderada y 12,2 por ciento leve. Al mes de tratamiento, el puntaje IIEF aumentó significativamente (P<0.0005), encontrándose un 18,4 por ciento sin DE, 53,1 por ciento con DE leve, 28,6 por ciento con DE leve-moderada y ninguno con DE moderada o grave. El 87,7 por ciento de los pacientes refirió mejores erecciones y el 81,6 por ciento una mejor capacidad para mantener la relación sexual. La satisfacción global con el tratamiento fue de 64,1 por ciento. CONCLUSIÓN: El tratamiento diario con Tadalafilo 5 mg es efectivo para el manejo de la DE y se asocia a niveles adecuados de satisfacción y confianza al cabo de un mes de tratamiento.
The base of the treatment of erectile dysfunction (ED) are the phosphodiesterase-5 inhibitors, mostly available for on demand dosing. In 2008, the FDA approved Tadalafil 5mg for daily use. OBJECTIVE: To evaluate the effectiveness of Tadalafil 5 mg daily dose for the treatment of ED and the patients satisfaction with its use. PATIENTS AND METHODS: Patients with ED were enrolled between June 2011 and May 2012. Sociodemographic, clinical and andrologic data was recorded. The severity of ED was classified according to the score of the IIEF questionnaire. All patients started daily treatment with Tadalafil 5 mg and were reevaluated after one month. Satisfaction and quality of life was assessed using validated questionnaires (EDITS, SEAR and GAQ). A P<0.05 was considered significant in all statistical analysis. RESULTS: A total of 49 patients were enrolled, with mean age of 59.9 +/- 8.8 years. A 14.3 ´percent suffered severe ED, 36.7 percent moderate, 36.7 percent mild-moderate and 12.2 percent mild. After one month, the IIEF score significantly increased (P<0.0005), finding a 18.4 percent of patients without ED, 53.1 percent with mild ED, 28.6 percent with mild-moderate ED and no cases with moderate or severe ED. 87.7 percent of patients reported better erections and 81.6 percent stated a better capacity to maintain erections during. The global satisfaction rate with the treatment was of 64.1 percent. CONCLUSION: The treatment with daily dose of Tadalafil 5 mg is effective for the management of ED and is associated with adequate levels of satisfaction and confidence after one month of use.
Subject(s)
Humans , Male , Adult , Middle Aged , Aged, 80 and over , Erectile Dysfunction/psychology , Erectile Dysfunction/drug therapy , Phosphodiesterase Inhibitors/administration & dosage , Tadalafil/administration & dosage , Quality of Life , Surveys and Questionnaires , Follow-Up Studies , Patient SatisfactionABSTRACT
Con el fin de proteger al organismo de condiciones estresantes, tales como cambios de osmolaridad y de temperatura, además de actuar como pantalla protectora en contra de los rayos ultravioleta (UV). Se ha observado que ciertos anfibios han desarrollado pigmentación en su encéfalo como una posible protección ante el aumento de la radiación UV, causada por el daño en la capa de ozono, la cual estaría alterando al ecosistema. En este trabajo se describe la presencia de pigmentación en el encèfalo de X. laevis durante el desarrollo larvario y su posible función protectora frente a la radiación UV. Para ello, se recolectaron individuos de diferentes estados larvarios, los que fueron obtenidos de distintas localidades de la región de Valparaíso (V región, Chile), para ser procesados con el método corriente H-E y el método de Lillie. En los análisis se pudo evidenciar que la pigmentación correspondía a melanina, que se encontraría en la membrana denominada leptomeninge, la cual recubre al encéfalo y estaría actuando como un filtro protector para evitar daños a nivel del desarrollo en el sistema nervioso de estos anuros. En suma, los rayos UV como agentes deletéreos estarían estimulando la producción de eumelanina en la leptomeninge de estos anfibios, para proteger parte del SNC (encéfalo), como al individuo en sí de posibles alteraciones teratogénicas y/o mutagénicas.
It has been observed that certain amphibians have developed pigmentation in brain as a possible increased protection against UV radiation, caused by damage to the ozone layer, which would alter the ecosystem. In this paper we describe the presence of pigment in the brain of X. laevis during larval development and possible protective function against UV radiation. To do this, we collected individuals at various larval stages, which were obtained from different locations in Valparaiso (V Region, Chile), to be processed with HE and the method of Lillie. In the analysis it was evident that pigmentation corresponded to melanin, which would be in the membrane called leptomeninges, which covers the brain and would be acting as a protective filter to prevent damage to the level of development in the nervous system of these frogs. In addition, UV rays would be deleterious agents stimulating production of eumelanin in the leptomeninges of these amphibians, to protect the CNS (brain), and the individual itself of potential teratogenic or mutagenic alterations.
Subject(s)
Humans , Animals , Brain , Melanins/physiology , Ultraviolet Rays/adverse effects , Xenopus laevisABSTRACT
El cáncer de próstata representa un grave problema de salud en el mundo occidental. Actualmente disponemos de diferentes alternativas terapéuticas para el cáncer localizado, por lo que cobra gran importancia la calidad de vida (CDV) de los pacientes al momento de ofrecerles las diferentes modalidades de tratamiento. Nuestro objetivo consistió en evaluar la calidad de vida de los pacientes con cáncer de próstata localizado antes y después de ser tratados mediante prostatectomía radical, analizando su evolución a través del tiempo.Estudio de cohorte abierta prospectivo con una duración de dos años (estudio aún no concluido). Se incluyeron un total de cuarenta pacientes sometidos a prostatectomía radical por cáncer de próstata localizado en el servicio de Urología de dos instituciones de salud. Se evaluaron parámetros de CDV (potencia sexual, continencia urinaria y defecatoria) mediante la aplicación del cuestionario UCLA-PCI previo al tratamiento, y luego de la cirugía a los 3 y 6 meses. Se utilizó T-student para la comparación de medias, estableciendo como significativo un p < 0,05. Mediante análisis multivariado se estudiaron factores protectores de recuperación precoz de las diferentes funciones. Fueron reclutados un total de cuarenta pacientes, todos con un seguimiento mínimo de seis meses. La media de edad fue de 64.9 años (rango 44-78; DE: 8.5). En la evaluación de los 3 meses, se obtuvo una caída significativa en la función urinaria (74.7 v/s 58.4; p=0.046) y sexual (55.9 v/s 25.98; p=0.001) con respecto al basal. El ámbito evaluado que presentó el mayor deterioro a los tres meses, fue la función sexual, observándose una caída promedio de un 78.2 por ciento con respecto a la evaluación inicial. De los tres ámbitos evaluados, la función urinaria (74.7 v/s 73.1; p=0.83) y defecatoria (80.1 v/s 85.8; p=0.86) muestran una recuperación significativa a los seis meses, con respecto a la medición inicial, no así, la función sexual (25.98 v/s 30,5; p=0.89)...
Prostate cancer is asignificant health problem in Western countries. Use of PSA has increased significantly the number of tumors diagnosed in early stages. Men undergo different therapeutics methods can generallyexpect excellent long-term survival, thus consideration of health related quality of life (HRQOL) after treatment is of great importance. Our objective was to evaluate HRQOL after radical prostatectomy in men with localized prostate cáncer. Prospective open cohort study with duration of two years (study ongoing). A total of 40 patients undergoing radical prostatectomy were prospectively enrolled at two institutions (Clinica Las Condes and Hospital San Borja) between august 2011 and december 2011. HRQOL parameters were evaluated (sexual potency, urinary continence and bowel function) by applying the UCLA-PCI questionnaire before treatment and after surgery at 3 and 6 months. T-student was used to compare means. A p value <0.05 was considered statistically significantRESULTS: A total of forty patients were recruited with a minimum follow up of six months. The mean age was 64.9 years (range 44-78, SD: 8.5). The evaluation conducted at three months showed a significant decline in urinary function (74.7 v / s 58.4, P = 0.046) and sexual (55.9 v / s 19.2; p = 0,001) compared to baseline...
Subject(s)
Humans , Male , Adult , Middle Aged , Quality of Life , Prostatic Neoplasms/surgery , Prostatectomy/methods , Prostatectomy/psychology , Surveys and Questionnaires , Prospective Studies , Prostatic Neoplasms/physiopathology , Recovery of FunctionABSTRACT
INTRODUCCIÓN: La ureterolitectomía endoscópica (URS) es una técnica validada para el manejo de cálculos ureterales, ya que tiene alto poder resolutivo y es poco invasiva. El desarrollo de instrumentos flexibles ha facilitado el manejo endoscópico de los cálculos en uréter medio y proximal. El objetivo de este trabajo es describir la experiencia de nuestro centro en URS. Material y metodos: Análisis retrospectivo de las URS realizadas en nuestro centro entre Diciembre 2009 y Mayo 2012. Se consignaron las características del cálculo, el método de fragmentación, la efectividad del procedimiento y las complicaciones. Se utilizaron los ureteroscopios semirrígido Wolf (6,0-9,5 Fr) y flexible Karl Storz Flex X2. Resultados: Se revisaron 102 ureteroscopías, 85 con ureteroscopio semirrígido y 17 con flexible. Los cálculos tuvieron un promedio de 5,7 mm y 642 UH. El 89,4 por ciento de los cálculos resueltos mediante URS semirrígida se localizaban en uréter distal y 52,9 por ciento de los resueltos con URS flexible en uréter proximal. Se realizó litotripsia con láser Holmium en un 25,9 por ciento y 70,6 por ciento de los casos con URS semirrígida y flexible, respectivamente. Se utilizó litotripsia pneumática en un 4,7 por ciento de los casos de URS semirrígida. En URS semirrígida y flexible, la tasa de stone-free + fragmentos < 2 mm fue de 89,4 por ciento y 88,2 por ciento, respectivamente. Sólo hubo una complicación en nuestra serie (infección urinaria febril en 1 caso con URS flexible). La mediana de hospitalización fue de 1 día (rango 1-5 días). Conclusion: Nuestros resultados reafirman a la URS como una técnica eficaz, segura y poco invasiva para el tratamiento de los cálculos ureterales.
INTRODUCTION: The endoscopic ureterolithotomy (URS) is a validated technique for the management of ureteral calculi, which is highly resolutive and minimally invasive. The development of flexible instruments has facilitated the endoscopic management of stones in the mid and proximal segments of the ureter. The aim of this paper is to describe the experience of our center in endoscopic ureterolithotomy. Material and methods: Retrospective analysis of URS performed at our center between December 2009 and May 2012. We recorded the characteristics of the stones, the fragmentation method, the effectiveness of the procedure and complications. The Wolf semi-rigid (6.0 to 9.5 Fr) and the flexible Karl Storz Flex X2 ureteroscopes were used. RESULTS: We reviewed 102 URS, 85 with semi-rigid and 17 with flexible ureteroscope. The calculi were 5.7 mm and 642 HU in average. 89.4 percent of the stones treated with a semi-rigid URS were localized in the distal ureter and 52.9 percent of the calculi treated with a flexible URS were in the proximal ureter. Holmium laser lithotripsy was performed in 25.9 percent and 70.6 percent of the cases of semi-rigid and flexible URS, respectively. Pneumatic lithotripsy was used in 4.7 percent of the semi-rigid URS. In semi-rigid and flexible URS, the rate of stone-free + fragments < 2 mm was 89.4 percent and 88.2 percent, respectively. There was only one complication in our series (febrile urinary tract infection in 1 case of flexible URS). The median length of stay was 1 day (range 1-5 days). CONCLUSION: Our results confirm that URS is an effective, safe and minimally invasive treatment for ureteral calculi.
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Ureteral Calculi/surgery , Ureteroscopy/methods , Retrospective Studies , Ureterolithiasis/surgeryABSTRACT
Avaliaram-se resultados de 1100 transferências de embriões, realizadas de novembro de 2008 a fevereiro de 2009, em um programa comercial de produção de embriões. Foram utilizados embriões ½ Holandês/Gir (n=139) e ¾ Holandês/Gir (n=961) de qualidade um e oitavo dia (D8) para transferência a fresco. As receptoras foram novilhas ½ Nelore/Simental, sincronizadas, usando-se o protocolo: dia zero (D0) - introdução do dispositivo intravaginal com 1g de progesterona + 2mg de benzoato de estradiol (BE); dia 5 (D5) - aplicação de 150μg de D-cloprostenol (PGF2α) + 400UI de gonadotrofina coriônica equina (eCG); dia 8 (D8) ‒ remoção do dispositivo intravaginal; e dia 9 (D9) ‒ aplicação de 1mg de BE. Foram analisados os efeitos do grupo genético, o estágio de desenvolvimento e o tempo de cultivo do embrião, o lado do corpo lúteo (CL), o touro, o número de inovulações prévias realizadas em cada receptora e a sequência de horas de serviço gastas para realizar as inovulações sobre as taxas de prenhez e de perda da gestação. Apenas o tempo de cultivo do embrião influenciou a taxa de prenhez. Conclui-se que, ao utilizar embriões de excelente qualidade, um grande número de transferências de embriões pode ser executado por dia, sem comprometer a viabilidade da técnica de transferência.
We evaluated the results from 1100 embryo transfers performed from November 2008 to February 2009 by a commercial embryo transfer company. ½ Holstein/Gir (n = 139) or ¾ Holstein/Gir (n= 961) embryos in a grade of 1 and the eighth day (D8) for fresh transfer were used. The heifer recipients were ½ Nelore/Simmental, synchronized using the following protocol: Day zero (D0) - intravaginal device with 1g of progesterone + 2mg of estradiol benzoate (EB); Day five (D5) - application of 150μg of D-Cloprostenol (PGF2α) + 400UI of equine chorionic gonadotropin (eCG); Day eight (D8) - progesterone device removal and Day nine (D9) - application of 1mg of EB. The effects of genetic group, embryo's stage of development and cultivation time, side of the corpus luteum (CL), bull, number of previous transfers in each recipient and sequence of hours spent with transfer on the pregnancy rate and loss of gestation were analyzed. Only the embryo's cultivation time influenced the pregnancy rate. It is concluded that if using high quality embryos, a larger number of embryo transfers can be executed per day without compromising the viability of technology transfer.
Subject(s)
Animals , Cattle , Embryo, Mammalian/embryology , Pregnancy/physiology , Cattle/classification , Fertilization in Vitro/methodsABSTRACT
O objetivo do presente trabalho foi avaliar a eficácia de glyphosate e 2,4-D, isolados e em mistura, no controle de Commelina villosa. Foram estudadas duas metodologias de avaliação de absorção de herbicidas em oito intervalos de tempo para a lavagem (simulando chuva após a aplicação) e corte (simulando abortamento, como estratégia de defesa) das folhas: 2, 4, 6, 8, 12, 24 e 48 horas após a aplicação dos herbicidas, além de um tratamento sem lavagem ou corte das folhas, em delineamento experimental inteiramente casualizado com quatro repetições, dispostos em um esquema fatorial 3 x 7 + 1 (três herbicidas x sete períodos horas após a aplicação). Os herbicidas e doses testados foram: glyphosate (1.440 g ha-1), 2,4-D (720 g ha-1) e a mistura glyphosate + 2,4-D (1.080 + 720 g ha-1). A simulação de chuva interferiu de forma negativa no controle das plantas com o herbicida glyphosate. O controle com o herbicida 2,4-D foi influenciado apenas no período de 2 horas. Os períodos de simulação de chuva não influenciaram no controle das plantas com a mistura de glyphosate + 2,4-D. Para o estudo com corte das folhas tratadas, todos os tratamentos independente do período para corte das folhas foram influenciados de forma negativa no controle, sendo que as plantas apresentaram rebrotas quando tratadas com o herbicida 2,4-D isolado.
Efficacy of glyphosate and 2,4-d in the control of Commelina Villosa. The aim of this study was to evaluate the efficacy of glyphosate and 2,4-D alone and in combination, in the control of Commelina villosa. We studied two methodologies for evaluating herbicide absorption in eight time intervals for washing (simulating rainfall after application) and cutting of leaves (simulating abortion as a defense strategy): 2, 4, 6, 8, 12, 24 and 48 hours after herbicide application, and a treatment without washing or cutting the leaves in a completely randomized design with four replications in a 3 x 7 + 1 factorial design (three herbicides x seven periods hours after application). Herbicides and doses tested were: glyphosate (1,440 g ha-1), 2,4-D (720 g ha-1) and a mixture of glyphosate + 2,4-D (1,080 + 720 g ha-1). The simulation of rain interfered negatively in the plant control with glyphosate. The control with the herbicide 2,4-D was affected only for the period of 2 hours. Periods of rain simulation did not influence the control of plants with a mixture of glyphosate + 2,4-D. For the study with the cutting of treated leaves, all treatments regardless of the period of cutting the leaves were influenced negatively in terms of plant control, the plants showing regrowth when treated with 2,4-D alone.