Implantação de stent autoexpansível para tratamento de estenose uretral em cão: relato de caso / Implantation of self-expanding stent for treatment of urethral stenosis in dog - case report

O stent endovascular autoexpansível pode ser utilizado como forma de tratamento para estenose uretral em cães. O stent de nitinol é composto por uma liga de níquel e titânio que permite mudanças em suas estruturas sob a influência da temperatura corporal e tem excelente biocompatibilidade na uretra canina. Este estudo relata o caso de um cão, sem raça definida, 14 anos de idade, com histórico de disúria há duas semanas, diagnosticado com grande quantidade de cálculos e microcálculos na bexiga, no colo vesical e na uretra prostática, também cistite e hiperplasia prostática. Depois de tratamento para cistite, orquiectomia e cistotomia para retirada dos cálculos, porém sem melhora clínica após 30 dias de acompanhamento, com o paciente apresentando disúria, foi realizada uretrocistografia retrógrada, que evidenciou estenose da uretra prostática. Esse paciente foi encaminhado para procedimento de implantação de um stent de nitinol na uretra prostática. Imediatamente após o procedimento e até o presente momento, o paciente apresenta micção espontânea, sem qualquer sinal de disúria, sendo este o primeiro relato no Brasil do uso dessa técnica.(AU)

The endovascular stent is used for treatment of urethral stricture in dogs. The nitinol stent is composed by nickel and titanium alloy that allows changes in its structures under the influence of body temperature and has excellent biocompatibility in the canine urethra. This study aims to report a case of a 14 - year - old male dog without defined breed with dysuria for two weeks. Ultrasonographic evaluation revealed microcalculi and calculi in bladder, prostatic urethral obstruction and prostatic hyperplasia. Cystotomy was performed to remove uroliths, but after 30 days of hospitalization there was no clinical improvement. A double-contrast retrograde urethrocystography was performed and showed persistence of prostatic urethral obstruction. The pacient was submitted to a new surgery to place a self-expanding nitinol stent and presented spontaneous urination after the procedure. This is the first report of this technique in Brazil.(AU)

Cadmium effects on early development of chick embryos.

The toxic potential of cadmium (Cd) is well-documented for young and adult vertebrates, but it is still poorly understood in the early stages of development. In this study, cadmium effects were investigated on Gallus gallus embryos after injection of CdCl(2) (5µM and 50µM) within the egg air chamber, and incubation for 48 and 72h. After exposure, morphological and enzymatic analyses for glucose-6-phosphate dehydrogenase (G6PDH) and glutathione S-transferase (GST) were performed. Critical morphological abnormalities occurred after exposure to the highest concentration of cadmium, mainly in the cephalic region, indicating the powerful teratogenic effect of Cd to chick embryos. Cd exposure did not alter enzymatic activities when compared to the control group, but the levels of G6PDH activity were highest in older embryos at stage 19, indicating that antioxidant defenses are not so robust in the earliest embryo stages.

Influence of the halothane gene (HAL) on pork quality in two commercial crossbreeds.

We evaluated the effect of the halothane (HAL) gene on the quality of pork in domestic pigs. Half-carcasses from two different commercial pig (Sus domestica) crossbreeds were analyzed, 46 of which were homozygous dominant (HAL(NN)) and 69 of which were heterozygous (HAL(Nn)) for the halothane gene. The measures included backfat thickness, lean meat percentage, carcass weight, pH 24 h after slaughtering, color, and drip loss; DNA was extracted from the haunch muscle. Swine with the HAL(Nn) genotype had less backfat thickness and higher lean meat percentages than swine with the HAL(NN) genotype. Yet, swine with the HAL(Nn) genotype had lower quality meat than those with the HAL(NN) swine. The pH at 24 h was lower in HAL(Nn) swine. The meat color was paler in HAL(Nn) animals, the drip loss was greater in those animals bearing the n allele, and the amount of intramuscular fat was not related to the halothane genotype. We conclude that bearers of the recessive allele of the halothane gene produce more meat, but with quality parameters that are inferior to those sought by consumers and industry.

Influence of Chinese breeds on pork quality of commercial pig lines.

We compared carcass and meat quality of pigs from the same sire line and two different dam lines, one that included Chinese breeds and one that did not. Line A consisted of 1/4 Landrace, 1/2 Large White, 1/8 Chinese breeds (Meishan, Fengjing, Jiaxing), and 1/8 Large White, Duroc and Pietrain, and line B consisted of 1/2 Large White and 1/2 Pietrain. The animals (N = 144) were slaughtered at a live weight of 108 kg. Backfat thickness, percentage of lean meat, pH 24 h after slaughter, meat color, percentage of drip loss, and percentage of intramuscular fat were measured and compared using analysis of variance in a completely randomized design; the BioEstat 5.0 test was applied for the comparison of means at a significance level of 5% for all analyses. Backfat was significantly lower for line A (12.78 mm) than for line B (15.90 mm). The pH measured 24 h after slaughter was significantly lower in line A (5.68) compared to line B (5.84). Percent lean meat was significantly higher for line A (61.21%) compared to line B (59.72%). Percentage drip loss was significantly higher in line A (2.73%) than in line B (2.23%). Percentage intramuscular fat and meat color were not significantly different between the lines. The inclusion of Chinese breeds produced a higher percentage of lean meat and reduced fat thickness, along with increased heterosis, which are important characteristics for breeding programs.

PIT1 gene polymorphism in Pietrain and Large White pigs after divergent selection.

We examined the polymorphisms in the PIT1 gene of 103 pigs and compared their frequencies in the maternal and paternal lineages of the Pietrain and Large White breeds, which have undergone divergent selection for over 30 years. DNA samples extracted from the blood of these animals were amplified by PCR and genotyped by RFLP, using the restriction enzyme RsaI. The data were analyzed with the chi-square test. We found that 57.3% of the animals were genotype AB, among which 26.2% were of the Large White paternal lineage, 18.5% the Pietrain paternal lineage and 12.6% the Pietrain maternal lineage. The AA genotype appeared in 20.4%, of which 7.8% were Large White, 4.8% the Pietrain paternal lineage and 7.8% the Pietrain maternal lineage. BB was observed in 22.3% (6.8% were of the Large White paternal lineage, 9.7% of the Pietrain paternal lineage and 5.8% of the Pietrain maternal lineage). The allele frequencies were 49.0% A and 51.0% B allele. When we examined the Pietrain maternal and paternal lineages, we found that the PIT1 gene had been fixed in the paternal lineage, suggesting that the B allele is associated with low body fat and improved muscle development when compared to the maternal lineage. However, no significant differences were found between the Pietrain and Large White paternal lineages.

Melanogenesis in dermal melanocytes of Japanese Silky chicken embryos.

The Japanese Silky chicken (SK) shows dermal and visceral hyperpigmentation. This study characterizes ultrastructurally the melanin granules developing in dermal melanocytes of the dorsal skin of SK, in an attempt to better understand the processes of melanogenesis in these permanently ectopic cells. The steps of melanogenesis are similar to those described for epidermal melanocytes, with melanosomes going from stage I to IV but, in SK, the maturation occurs in the cell body, as well as in the cytoplasmic processes. At stage III, the deposition of melanin is cumulative and can aggregate in rounded structures, which combine to turn into the mature granule. The final destiny of mature melanosomes is still unclear, although it was observed that dermal macrophages can accumulate melanin granules in their phagosomes. Even with the close proximity between melanocytes and other dermal cells, the transference of melanosomes was not observed. Our findings indicate that melanogenesis in dermal melanocytes in SK has the same morphological characteristics found in epidermal melanocytes, but the functional aspect still remains to be elucidated.

Obese gene polymorphism in Pietrain and Large White pigs after a divergent selection.

The aim of the present study was to identify polymorphisms in the leptin gene of 112 pigs and compare the maternal and paternal lineage of Pietrain and Large White breeds that underwent a divergent selection for over 30 years. DNA samples extracted from the blood of these animals were amplified by polymerase chain reaction and genotyped by restriction fragment length polymorphism using the restriction enzyme HinfI. The data were statistically analyzed by the chi-square test. The results showed that 87.5% of the animals were genotype TT, where 31.25% were Large White paternal lineage, 31.25% were Pietrain paternal lineage and 25% were Pietrain maternal lineage. The TC genotype appeared in 12.5%, where 10% were Large White, 0.5% were Pietrain paternal lineage and 2% were of the same maternal lineage breed; CC was not observed. As for the allele frequency, 93.75% of the T and 6.25% of the C allele were found. In Pietrain maternal and paternal lineages, it could not be determined that the Obese gene had been fixed in the maternal lineage. However, in the Pietrain and Large White paternal lineages there was a statistically significant difference, suggesting that the C allele is associated with growth and daily weight gain and that the low frequency of C in the Pietrain lineage is related to low rate of body fat, a typical feature of this breed.

Suitability of the NNIS index for estimating surgical-site infection risk at a small university hospital in Brazil.

OBJECTIVES: To detect the occurrence of surgical-site infection (SSI) in our study sample, using the traditional variables of the National Nosocomial Infection Surveillance (NNIS) index with a locally modified cut-off point for the "T time" defining length of surgical procedure; to compare the modified and the traditional NNIS index under the hypothesis that a cut-off point discriminating procedures of short and long duration, based upon the actual experience of the study sample, can adequately predict the risk of SSI. DESIGN: A retrospective chart review of 9,322 patients undergoing surgical procedures in the period January 1993 to December 1998. SETING: A small university hospital (UH) in southern Brazil. RESULTS: The composite index using the local sample procedure-duration cut-off point (UH-index) performed better than any of the individual components of the composite index (anesthesia risk index and surgical-wound class [SWC]). The UH-index also predicted adequately the risk of SSI when compared to the traditional NNIS index, particularly when stratifying by SWC. CONCLUSIONS: A modified NNIS index, using the sample cut-off point, can adequately predict the risk of SSI in a given population. Further studies are needed to compare and validate the NNIS index of risk for populations other than those of the NNIS-participating hospitals. Larger samples using different hospitals with similar characteristics are needed to investigate the risk of SSI associated with specific operations.

Aplicabilidade do índice de risco do sistema NNIS na prediçäo da incidência de infecçäo do sítio cirúrgico (ISC) em um hospital universitário no sul do Brasil / Suitability of the NNISS risk index to predict the incidence of Surgical Site Infection (SSI) on a university hospital in Florianópolis, South Brazil

OBJETIVO: Investigar a aplicabilidade da metodologia do sistema NNIS em um hospital universitário brasileiro, por meio da avaliaçäo do modelo preditivo de ISC que deu origem ao índice de medida de risco intrínseco. CASUISTICA E MÉTODO: Foi conduzida uma revisäo retrospectiva dos prontuários de 9.322 pacientes submetidos a procedimento cirúrgico no período de janeiro de 1993 a dezembro de 1998. Os dados foram coletados utilizando a opçäo detalhada do componente de vigilância do paciente cirúrgico do sistema NNIS. Foi calculada a incidência de ISC de acordo com as diferentes categorias individuais dos componentes do índice de risco NNIS (Classe de Ferida, escore ASA e duraçäo da cirurgia). A força da associaçäo entre cada um destes fatores e a ocorrência de ISC foi medida pelo coeficiente Gamma de Goodman-Kruskal (G). RESULTADOS: O escore ASA mostrou-se o melhor preditor de ISC entre os componentes individuais do índice de risco (G=0.49). O índice composto mostrou ser um melhor preditor de ISC do que classe de ferida e teve um poder preditivo semelhante ao do ASA (G=0.50). CONCLUSÕES: O grau de associaçäo entre o índice NNIS e a ocorrência de ISC encontrada no presente estudo está em consonância com os resultados relatados por outros autores e mostrou-se adequado para a avaliaçäo do risco de infecçäo cirúrgica em nossos pacientes. Amostras utilizando diferentes hospitais com características semelhantes säo necessárias para avaliar o risco associado com procedimentos cirúrgicos específicos

[Suitability of the Hospital Infection National Surveillance System (NNISS) risk index for the prediction of the incidence of surgical site infection at a university hospital in Florianopolis, South Brazil]. / Aplicabilidade do índice de risco do sistema NNIS na predição da incidência de infecção do sítio cirúrgico (ISC) em um hospital universitário no sul do Brasil.

BACKGROUND: The NNIS risk index has been largely recommended because it consists of a simple additive scale. Nevertheless, it has been seldom validated in populations other than the NNIS participating hospitals OBJECTIVES: To investigate the occurrence of Surgical Site Infection ( SSI ) using the traditional variables of the NNIS Index, and to approach the suitability of this methodology when applied to a smaller public university hospital (HU/UFSC) in Florianópolis, South Brazil. METHODS: A retrospective chart review of 9322 patients undergoing surgical procedures in the period of January 1993 to December 1998. RESULTS: The composite index showed to be a better predictor of SSI than Surgical Wound class (SWc) and presented a predictive power comparable to the ASA index. ASA together with length of surgery seemed to be the main contributors for the final performance of the composite index. CONCLUSIONS: The composite index using the variables of the traditional NNIS system showed to adequately predict the risk of SSI in our university hospital. Larger samples using different hospitals with similar characteristics are needed to approach the risk of SSI associated to specific surgical procedures.