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1.
Braz. j. biol ; 81(3): 611-620, July-Sept. 2021. tab, graf
Artigo em Inglês | LILACS | ID: biblio-1153383

RESUMO

Abstract The present study analyzed the volatile compounds emitted by Glycine max (cv. FT-Cristalina-RCH) soybean plants: healthy plants and plants damaged mechanically or by the Mexican soybean weevil Rhyssomatus nigerrimus. The SPME method was used to compare the volatile profile of soybean plants in four different conditions. The volatile profile of G. max plants infested by R. nigerrimus was qualitatively and quantitatively different from that of healthy and mechanically damaged plants. Emission of 59 compounds was detected in the four treatments. Of these compounds, 19 were identified by comparison of the Kovats index, mass spectrum and retention times with those of synthetic standards. An increase in concentration of the volatiles (Z)-3-hexenyl acetate and the compound 1-octen-3-ol was observed when the soybean plants were mechanically damaged. The compounds mostly produced by the soybean plant during infestation by male and female R. nigerrimus were 1-octen-3-ol, 6-methyl-5-hepten-2-one, (E)-β-ocimene, salicylaldehyde, unknown 10, linalool, methyl salicylate, (Z)-8-dodecenyl acetate (ester 5), ketone 2 and geranyl acetone. Behavioral effects of the identified compounds during the insect-plant interaction and their conspecifics are discussed.


Resumo O presente estudo analisou os compostos voláteis emitidos pelas plantas de soja Glycine max (cv. FT-Cristalina-RCH): plantas e plantas sadias danificadas mecanicamente ou pelo gorgulho da soja mexicana Rhyssomatus nigerrimus. O método SPME foi utilizado para comparar o perfil volátil de plantas de soja em quatro diferentes condições. O perfil volátil das plantas de G. max infestadas por R. nigerrimus foi qualitativa e quantitativamente diferente do das plantas saudáveis e danificadas mecanicamente. Foi detectada, nos quatro tratamentos, emissão de 59 compostos, dos quais 19 foram identificados por comparação do índice de Kovats, espectro de massa e tempos de retenção com aqueles de padrões sintéticos. Um aumento na concentração dos voláteis acetato de (Z)-3-hexil e do composto 1-octeno-3-ol foi observado quando as plantas de soja foram mecanicamente danificadas. Os compostos produzidos principalmente pela planta de soja durante a infestação por R. nigerrimus macho e fêmea foram 1-octeno-3-ol, 6-metil-5-hepteno-2-ona, (E)-β-ocimeno, salicilaldeído, desconhecido 10, linalol, salicilato de metila, acetato de (Z)-8-dodecenila (éster 5), cetona 2 e geranil acetona. Foram discutidos os efeitos comportamentais dos compostos identificados durante a interação inseto-planta e seus coespecíficos.


Assuntos
Animais , Masculino , Feminino , Gorgulhos , Glycine max
2.
Braz J Biol ; 81(3): 611-620, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-32935818

RESUMO

The present study analyzed the volatile compounds emitted by Glycine max (cv. FT-Cristalina-RCH) soybean plants: healthy plants and plants damaged mechanically or by the Mexican soybean weevil Rhyssomatus nigerrimus. The SPME method was used to compare the volatile profile of soybean plants in four different conditions. The volatile profile of G. max plants infested by R. nigerrimus was qualitatively and quantitatively different from that of healthy and mechanically damaged plants. Emission of 59 compounds was detected in the four treatments. Of these compounds, 19 were identified by comparison of the Kovats index, mass spectrum and retention times with those of synthetic standards. An increase in concentration of the volatiles (Z)-3-hexenyl acetate and the compound 1-octen-3-ol was observed when the soybean plants were mechanically damaged. The compounds mostly produced by the soybean plant during infestation by male and female R. nigerrimus were 1-octen-3-ol, 6-methyl-5-hepten-2-one, (E)-ß-ocimene, salicylaldehyde, unknown 10, linalool, methyl salicylate, (Z)-8-dodecenyl acetate (ester 5), ketone 2 and geranyl acetone. Behavioral effects of the identified compounds during the insect-plant interaction and their conspecifics are discussed.


Assuntos
Gorgulhos , Animais , Feminino , Masculino , Glycine max
3.
Artigo em Inglês | LILACS-Express | LILACS, VETINDEX | ID: biblio-1467473

RESUMO

Abstract The present study analyzed the volatile compounds emitted by Glycine max (cv. FT-Cristalina-RCH) soybean plants: healthy plants and plants damaged mechanically or by the Mexican soybean weevil Rhyssomatus nigerrimus. The SPME method was used to compare the volatile profile of soybean plants in four different conditions. The volatile profile of G. max plants infested by R. nigerrimus was qualitatively and quantitatively different from that of healthy and mechanically damaged plants. Emission of 59 compounds was detected in the four treatments. Of these compounds, 19 were identified by comparison of the Kovats index, mass spectrum and retention times with those of synthetic standards. An increase in concentration of the volatiles (Z)-3-hexenyl acetate and the compound 1-octen-3-ol was observed when the soybean plants were mechanically damaged. The compounds mostly produced by the soybean plant during infestation by male and female R. nigerrimus were 1-octen-3-ol, 6-methyl-5-hepten-2-one, (E)--ocimene, salicylaldehyde, unknown 10, linalool, methyl salicylate, (Z)-8-dodecenyl acetate (ester 5), ketone 2 and geranyl acetone. Behavioral effects of the identified compounds during the insect-plant interaction and their conspecifics are discussed.


Resumo O presente estudo analisou os compostos voláteis emitidos pelas plantas de soja Glycine max (cv. FT-Cristalina-RCH): plantas e plantas sadias danificadas mecanicamente ou pelo gorgulho da soja mexicana Rhyssomatus nigerrimus. O método SPME foi utilizado para comparar o perfil volátil de plantas de soja em quatro diferentes condições. O perfil volátil das plantas de G. max infestadas por R. nigerrimus foi qualitativa e quantitativamente diferente do das plantas saudáveis e danificadas mecanicamente. Foi detectada, nos quatro tratamentos, emissão de 59 compostos, dos quais 19 foram identificados por comparação do índice de Kovats, espectro de massa e tempos de retenção com aqueles de padrões sintéticos. Um aumento na concentração dos voláteis acetato de (Z)-3-hexil e do composto 1-octeno-3-ol foi observado quando as plantas de soja foram mecanicamente danificadas. Os compostos produzidos principalmente pela planta de soja durante a infestação por R. nigerrimus macho e fêmea foram 1-octeno-3-ol, 6-metil-5-hepteno-2-ona, (E)--ocimeno, salicilaldeído, desconhecido 10, linalol, salicilato de metila, acetato de (Z)-8-dodecenila (éster 5), cetona 2 e geranil acetona. Foram discutidos os efeitos comportamentais dos compostos identificados durante a interação inseto-planta e seus coespecíficos.

4.
J Fish Dis ; 36(5): 467-81, 2013 May.
Artigo em Inglês | MEDLINE | ID: mdl-23167612

RESUMO

Salmonid fish viruses, such as infectious haematopoietic necrosis virus (IHNV), are responsible for serious losses in the rainbow trout and salmon-farming industries, and they have been the subject of intense research in the field of aquaculture. Thus, the aim of this work is to study the antiviral effect of milk-derived proteins as bovine caseins or casein-derived peptides at different stages during the course of IHNV infection. The results indicate that the 3-h fraction of casein and α(S2) -casein hydrolysates reduced the yield of infectious IHNV in a dose-dependent manner and impaired the production of IHNV-specific antigens. Hydrolysates of total casein and α(S2) -casein target the initial and later stages of viral infection, as demonstrated by the reduction in the infective titre observed throughout multiple stages and cycles. In vivo, more than 50% protection was observed in the casein-treated fish, and the kidney sections exhibited none of the histopathological characteristics of IHNV infection. The active fractions from casein were identified, as well as one of the individual IHNV-inhibiting peptides. Further studies will be required to determine which other peptides possess this activity. These findings provide a basis for future investigations on the efficacy of these compounds in treating other viral diseases in farmed fish and to elucidate the underlying molecular mechanisms of action. However, the present results provide convincing evidence in support of a role for several milk casein fractions as suitable candidates to prevent and treat some fish viral infections.


Assuntos
Antivirais/farmacologia , Caseínas/farmacologia , Doenças dos Peixes/prevenção & controle , Vírus da Necrose Hematopoética Infecciosa/efeitos dos fármacos , Infecções por Rhabdoviridae/veterinária , Truta , Animais , Bovinos , Linhagem Celular , Cromatografia Líquida de Alta Pressão , Doenças dos Peixes/imunologia , Doenças dos Peixes/virologia , Vírus da Necrose Hematopoética Infecciosa/imunologia , Perciformes , Infecções por Rhabdoviridae/imunologia , Infecções por Rhabdoviridae/prevenção & controle , Infecções por Rhabdoviridae/virologia , Espectrometria de Massas por Ionização por Electrospray , Espectrometria de Massas em Tandem
5.
Actas urol. esp ; 31(10): 1189-1192, nov.-dic. 2007. ilus, tab
Artigo em Es | IBECS | ID: ibc-058386

RESUMO

El uso de diuréticos del asa esta muy extendido en la práctica medica. Con un amplio margen de seguridad, poseen efectos adversos que deben ser tenidos en cuenta para evitarlos o reconocerlos en cuanto aparecen. La ototoxicidad asociada a la furosemida es, en principio, excepcional y remite con la supresión del tratamiento, aunque se ha descrito cofosis permanente por lesión coclear


Loop diuretics are quite often used in medical practice. In spite of a wide security, there are several adverse events that should be known, in order to be early recognised as soon as they appear. Ototoxicity associated to furosemide is infrequent and reversible. However, permanent deafness associated with furosemide administration has been previously reported


Assuntos
Feminino , Pessoa de Meia-Idade , Humanos , Diuréticos/efeitos adversos , Diuréticos/uso terapêutico , Furosemida/efeitos adversos , Furosemida/toxicidade , Doença Iatrogênica/epidemiologia , Cistectomia/métodos , Perda Auditiva/complicações , Corticosteroides/uso terapêutico , Neoplasias da Bexiga Urinária/complicações , Neoplasias da Bexiga Urinária/cirurgia , Diuréticos/toxicidade , Otopatias/complicações , Furosemida/administração & dosagem , Furosemida , Furosemida/uso terapêutico , Metilprednisolona/uso terapêutico , Pentoxifilina/uso terapêutico , Prednisona/uso terapêutico
6.
7.
J Dairy Sci ; 90(11): 4966-73, 2007 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-17954735

RESUMO

A total of 107 different peptides, all derived from alphaS1-, alphaS2-, and beta-casein, were identified in different fractions of artisan or industrial Manchego cheese at 4 and 8 mo of ripening, and their sequences were examined. Most of these peptides are described for the first time in Manchego cheese. Taste characteristics (umami and bitter) were assigned based on their AA sequence and the position of these AA within the sequence. The umami taste was predominant in all fractions analyzed by the panelists, and the peptides EQEEL, QEEL, and EINEL, containing a high number of glutamic residues, were found within the fractions. However, in several fractions described as having umami characteristics, no peptides responsible for this taste were detected. Therefore, compounds other than peptides seem to be involved in the umami properties of water-soluble extracts lower than 1,000 Da of Manchego cheese.


Assuntos
Queijo/análise , Espectrometria de Massas/métodos , Peptídeos/análise , Animais , Queijo/normas , Cromatografia Líquida de Alta Pressão/métodos , Feminino , Humanos , Masculino , Peptídeos/química , Paladar , Fatores de Tempo
8.
J Dairy Sci ; 90(11): 5001-3, 2007 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-17954738

RESUMO

Water-soluble fractions from Protected Denomination of Origin Manchego cheese, with molecular weight <1,000 Da, were fractionated using gel permeation chromatography and studied using both instrumental and sensorial analysis. In 2 of the fractions, panelists detected a floral, rose-like flavor. Analysis of these fractions by gas chromatography-mass spectrometry after simultaneous distillation extraction with dichloromethane identified 2-phenylethanol and phenylacetaldehyde as the compounds responsible for this flavor.


Assuntos
Queijo/análise , Paladar , Acetaldeído/análogos & derivados , Acetaldeído/análise , Cromatografia Gasosa-Espectrometria de Massas/métodos , Humanos , Álcool Feniletílico/análise , Água/química
9.
Actas Urol Esp ; 31(6): 587-92, 2007 Jun.
Artigo em Espanhol | MEDLINE | ID: mdl-17896554

RESUMO

OBJECTIVE: We present the first cases of our robotic radical prostatectomy with Da Vinci (RRPdaV) that corresponds to the learning curve (LC) of the surgeon that has initiated with this technique. METHODS: We reviewed the first 20 patients that underwent RRPdaV, performed by an expert surgeon, without previous laparoscopic training, but with a wide experience in retropubic and perineal prostatectomy (HV). We analyzed: Surgical time, blood loss, conversion rate, intra and postoperative complications, hospital stay and days of bladder catheterization. Also: rates and location of surgical margins, as well as functional outcomes with an average follow up of 10 months. RESULTS: Mean operating time was 140 minutes (100-211) and blood loss 180 mL (80-360), and none required a blood transfusion. There were no intraoperative complications and neither any conversion to open surgery. The only postoperative outstanding fact was mean hospital stay were 3,35 days. (3-5). We had 6 cases of positive surgical margins (30%). The most frequent location was postero-lateral. Eighteen out of 20 patients (90%) were early totally continent, 2 (10%) required the use of one pad during the first six months due slight stress incontinence that stopped spontaneously. From 20 cases, two of them (10%) had preoperative erectile dysfunction; 12 out of the remaining 18 (66.6%) preserved potency at review and 6 (33.4%) had postoperative erectile dysfunction. CONCLUSIONS: It has been demonstrated that robotic surgery for radical prostatectomy is clearly an advantage technique (easy maneuver although it is a minimally invasive technique, comfortable and ergonomic position for the surgeon, 3D visualization and short learning curve). The RRPDAv learning curve is significantly shorter if the surgeon has a wide previous surgical experience in open and/or laparoscopic surgery.


Assuntos
Adenocarcinoma/cirurgia , Laparoscopia/métodos , Prostatectomia/métodos , Neoplasias da Próstata/cirurgia , Robótica/instrumentação , Adenocarcinoma/complicações , Adenocarcinoma/patologia , Idoso , Perda Sanguínea Cirúrgica , Disfunção Erétil/epidemiologia , Disfunção Erétil/etiologia , Humanos , Aprendizagem , Tempo de Internação/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Procedimentos Cirúrgicos Minimamente Invasivos , Complicações Pós-Operatórias/epidemiologia , Prostatectomia/instrumentação , Neoplasias da Próstata/complicações , Neoplasias da Próstata/patologia , Estudos Retrospectivos , Fatores de Tempo , Resultado do Tratamento , Incontinência Urinária/epidemiologia , Incontinência Urinária/etiologia
10.
Actas urol. esp ; 31(8): 932-934, sept. 2007. ilus
Artigo em Es | IBECS | ID: ibc-056347

RESUMO

El mielolipoma extra-adrenal es raro, son tumores benignos compuestos de material hematopoyetico y tejido graso. Pero, estos tumores pueden presentarse con hemorragia, aunque suelen ser asintomático. Generalmente se descubren de forma casual con el estudio de otras patologías. Presentamos el caso clínico de un paciente que a raíz de estudio de dolor lumbar se diagnostica de mielolipoma pararrenal


Extra-adrenal myelolipomas are rare bening tumours that are componed of mature fat cells and myeloid elements. These lesions are usually asyntomatic and often found incidentally on radiographic studies. We report a case of extra-adrenal perirenal myelolipoma


Assuntos
Masculino , Pessoa de Meia-Idade , Humanos , Mielolipoma/complicações , Mielolipoma/diagnóstico , Mielolipoma/cirurgia , Hipercolesterolemia/complicações , Nefrectomia/métodos , Laparoscopia/métodos , Hematopoese/fisiologia , Hematopoese Extramedular/fisiologia , Neoplasias Renais/diagnóstico , Neoplasias Renais/cirurgia , Diabetes Mellitus/complicações , Imageamento por Ressonância Magnética/métodos , Diagnóstico Diferencial , Neoplasias Renais/complicações , Neoplasias Renais
11.
Actas urol. esp ; 31(6): 587-592, jun. 2007. ilus, tab
Artigo em Es | IBECS | ID: ibc-055613

RESUMO

Objetivo: Presentamos los primeros casos de nuestra serie de prostatectomía radical robótica con Da Vinci (PRRdaV), que corresponden a la curva de aprendizaje (CA) del cirujano que se ha iniciado en la técnica. Métodos: Se revisan los 20 primeros pacientes sometidos a PRRdaV y realizados por un cirujano experto, sin entrenamiento laparoscópico previo, pero con amplia experiencia en prostatectomía radical retropúbica y perineal (HV). Se analiza: tiempo operatorio, pérdidas hemáticas, tasa de conversión, complicaciones intra y postoperatorias, estancia hospitalaria y días de sonda vesical. También: las tasas y la localización de los márgenes positivos, así como los resultados funcionales con un seguimiento medio de 10 meses. Resultados: La media de tiempo operatorio fue de 140 minutos (100-211) y la pérdida hemática media de 180 mL (80- 360), no requiriendo transfusión sanguínea en ningún caso. No se presentaron complicaciones intraoperatorias, y tampoco ninguna reconversión. Como acontecimientos postoperatorios sólo destaca una retención aguda urinaria tras retirada de sonda vesical. La estancia hospitalaria media fue 3,35 días (3-5). Se obtuvieron 6 casos con márgenes quirúrgicos positivos (30%). La localización más frecuente fue postero-lateral. Dieciocho de los 20 pacientes (90%) son completamente continentes de forma precoz, 2 (10%) requirieron utilizar una compresa de seguridad durante los 6 primeros meses por incontinencia leve de esfuerzo que se resolvió espontáneamente. De los 20 casos, 2 de ellos (10%) presentaban disfunción eréctil preoperatoria; de los 18 restantes, 12 (66.6%) conservaban potencia en el momento de la revisión y 6 (33.4%) presentaron disfunción eréctil postoperatoria. Conclusiones: La prostatectomía radical mediante cirugía robótica se ha demostrado claramente ventajosa (excelente maniobrabilidad para una técnica mínimamente invasiva, postura más cómoda y anatómica, visión tridimensional y corta curva de aprendizaje). Una amplia experiencia quirúrgica previa en cirugía abierta y/o laparoscópica, acortan de forma significativa esta curva de aprendizaje de la PRRdav


Objective: We present the first cases of our robotic radical prostatectomy with Da Vinci (RRPdaV) that corresponds to the learning curve (LC) of the surgeon that has initiated with this technique. Methods: We reviewed the first 20 patients that underwent RRPdaV, performed by an expert surgeon, without previous laparoscopic training, but with a wide experience in retropubic and perineal prostatectomy (HV). We analyzed: Surgical time, blood loss, conversion rate, intra and postoperative complications, hospital stay and days of bladder catheterization. Also: rates and location of surgical margins, as well as functional outcomes with an average follow up of 10 months. Results: Mean operating time was 140 minutes (100-211) and blood loss 180 mL (80-360), and none required a blood transfusion. There were no intraoperative complications and neither any conversion to open surgery. The only postoperative outstanding fact was mean hospital stay were 3,35 days. (3-5). We had 6 cases of positive surgical margins (30%). The most frequent location was postero-lateral. Eighteen out of 20 patients (90%) were early totally continent, 2 (10%) required the use of one pad during the first six months due slight stress incontinence that stopped spontaneously. From 20 cases, two of them (10%) had preoperative erectile dysfunction; 12 out of the remaining 18 (66.6%) preserved potency at review and 6 (33.4%) had postoperative erectile dysfunction. Conclusions: It has been demonstrated that robotic surgery for radical prostatectomy is clearly an advantage technique (easy maneuver although it is a minimally invasive technique, comfortable and ergonomic position for the surgeon, 3D visualization and short learning curve). The RRPDAv learning curve is significantly shorter if the surgeon has a wide previous surgical experience in open and/or laparoscopic surgery


Assuntos
Masculino , Humanos , Prostatectomia/métodos , Robótica/métodos , Laparoscopia/métodos , Neoplasias da Próstata/cirurgia , Perda Sanguínea Cirúrgica/estatística & dados numéricos , Antígeno Prostático Específico/análise
12.
Actas Urol Esp ; 31(10): 1189-92, 2007.
Artigo em Espanhol | MEDLINE | ID: mdl-18314661

RESUMO

Loop diuretics are quite often used in medical practice. In spite of a wide security, there are several adverse events that should be known, in order to be early recognised as soon as they appear. Ototoxicity associated to furosemide is infrequent and reversible. However, permanent deafness associated with furosemide administration has been previously reported.


Assuntos
Diuréticos/efeitos adversos , Otopatias/induzido quimicamente , Furosemida/efeitos adversos , Feminino , Humanos , Pessoa de Meia-Idade
13.
Rev Esp Enferm Dig ; 98(3): 216-7, 2006 Mar.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-16737421
14.
Rev. esp. enferm. dig ; 98(3): 216-217, mar. 2006. ilus
Artigo em Es | IBECS | ID: ibc-047058

RESUMO

No disponible


Assuntos
Feminino , Idoso , Humanos , Hemobilia/diagnóstico
15.
J Food Prot ; 67(9): 1914-20, 2004 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-15453581

RESUMO

The hydrolysis of crude egg white with pepsin, trypsin, and chymotrypsin produced peptides with angiotensin-converting enzyme (ACE) inhibitory properties. These peptides were mainly derived from the proteolysis of ovalbumin. The most active hydrolysates were obtained after treatment with pepsin (50% inhibitory concentration [IC50], 55.3 microg/ml), with the fraction having a molecular mass lower than 3,000 Da giving the highest ACE inhibitory activity (IC50, 34.5 microg/ml). Nine subfractions were collected from the fraction with a molecular mass lower than 3,000 Da using semipreparative reversed-phase high-performance liquid chromatography. Considerable ACE inhibitory activity (IC50 < 40 microg/ml) was found in three of them. These subfractions were analyzed by reversed-phase high-performance liquid chromatography-tandem mass spectrometry, and 14 peptides were identified. These sequences were synthesized, and their ACE inhibitory activities were measured. Among the identified peptides, two novel sequences with potent ACE inhibitory activity were found. The amino acid sequences of these inhibitors were identified as Arg-Ala-Asp-His-Pro-Phe-Leu and Tyr-Ala-Glu-Glu-Arg-Tyr-Pro-Ile-Leu and showed IC50 values of 6.2 and 4.7 microM, respectively.


Assuntos
Angiotensina I/metabolismo , Inibidores da Enzima Conversora de Angiotensina/farmacologia , Proteínas do Ovo/metabolismo , Fragmentos de Peptídeos/farmacologia , Sequência de Aminoácidos , Inibidores da Enzima Conversora de Angiotensina/isolamento & purificação , Animais , Anti-Hipertensivos/isolamento & purificação , Anti-Hipertensivos/farmacologia , Cromatografia Líquida de Alta Pressão , Quimotripsina/química , Quimotripsina/metabolismo , Hidrólise , Concentração Inibidora 50 , Dados de Sequência Molecular , Peso Molecular , Ovalbumina/química , Ovalbumina/metabolismo , Ovalbumina/farmacologia , Pepsina A/química , Pepsina A/metabolismo , Fragmentos de Peptídeos/química , Fragmentos de Peptídeos/isolamento & purificação , Tripsina/química , Tripsina/metabolismo
16.
Arch Esp Urol ; 50(6): 609-15, 1997.
Artigo em Espanhol | MEDLINE | ID: mdl-9412361

RESUMO

OBJECTIVE: To describe the filling and voiding urinary dynamics of enterocystoplasty and continent urinary diversion. METHODS: The different behaviour of the tubularized and detubularized intestinal segments and the different sphincteric lesions related with various surgical techniques are described. The possible causes of incontinence are discussed and the literature briefly reviewed. RESULTS/CONCLUSIONS: We underscore the importance of detubularizing the intestinal segment and preserving the sphincteric system as far as possible. Furthermore, voiding using abdominal pressure may cause post void residual urine, dilatation of the neobladder and renal changes. If warranted, self-catheterization should be performed.


Assuntos
Doenças da Bexiga Urinária/fisiopatologia , Doenças da Bexiga Urinária/cirurgia , Coletores de Urina , Urodinâmica , Humanos , Intestinos/transplante
17.
Arch Esp Urol ; 49(8): 819-23, 1996 Oct.
Artigo em Espanhol | MEDLINE | ID: mdl-9065279

RESUMO

OBJECTIVES: To determine the usefulness of preoperative hormone therapy in patients with organ-confined prostatic carcinoma undergoing radical prostatectomy. METHODS: 7 patients with localized prostatic carcinoma are presented. All patients were submitted to radical prostatectomy; 4 had been randomly selected for preoperative hormone therapy. RESULTS: Histological examination showed no nodal involvement in all cases. The tumor could not be identified (Po) in two of the four patients who received hormone therapy. The other two patients were staged down; the Gleason score remained unchanged in one and increased in the other. The patients who did not receive preoperative hormone therapy showed concordant clinical and pathological stages, except one in whom infiltration of the prostatic capsule was observed. No difference was found concerning the facility in performing surgery between the treated and untreated patients. CONCLUSIONS: Hormonal deprivation eliminated the tumor burden in two cases that might have been completely hormone sensitive, with no correlation in the pretreatment histological grade. Clinical downstaging is achieved by this treatment modality. However, further studies in larger series comparing the percentages of downstaging, histological downgrading, absence of tumor cells in the surgical specimen and impact on survivorship are warranted.


Assuntos
Adenocarcinoma/cirurgia , Antagonistas de Androgênios/uso terapêutico , Flutamida/uso terapêutico , Hormônio Liberador de Gonadotropina/análogos & derivados , Prostatectomia , Neoplasias da Próstata/cirurgia , Idoso , Terapia Combinada , Humanos , Masculino , Pessoa de Meia-Idade , Indução de Remissão
18.
Actas Urol Esp ; 19(10): 777-82, 1995.
Artigo em Espanhol | MEDLINE | ID: mdl-8801782

RESUMO

Twenty four patient with neurogenic bladder undergoing vesical enlargement were pre-operatively evaluated to determine the need to perform also an anti-incontinence technique. None of them had such a technique performed, so as to control whether our prediction was correct. Each patient had one or more video-urodynamic studies performed to evaluate adjustment and the likely vesical hyperreflexia, critical incontinence pressure, and the presence of leaks with cough and cervicourethral morphology at different filling times. Critical incontinence pressure and presence of contrast leaks with cough, the latter demanded with moderate intravesical pressures, have been the parameters which better predicted the likely incontinence, with reliability over 90%. With regard to myelodysplastic bladders, the study shows the relevance of the detrusor as a cause of incontinence and sustains the practice of implementing only the cervical cuff without the remaining components when the artificial sphincter is chosen as the anti-incontinence technique, when the likely cause, whether sphincter or detrusor, is unclear at the time of considering vesical enlargement.


Assuntos
Complicações Pós-Operatórias/prevenção & controle , Bexiga Urinaria Neurogênica/cirurgia , Incontinência Urinária/prevenção & controle , Adolescente , Adulto , Criança , Humanos , Valor Preditivo dos Testes , Cuidados Pré-Operatórios
19.
Actas Urol Esp ; 19(10): 789-94, 1995.
Artigo em Espanhol | MEDLINE | ID: mdl-8801784

RESUMO

Report of a case of renal and urinary tract leishmaniasis in a 61-year old male patient. The ureteral lesion responded favourably to treatment, unlike the renal one which required conservative surgery. Review of the literature stressing the fact that no other case has been found of kidney and urinary tract involvement. It is concluded that in the future, at least in those areas with a high prevalence of leishmaniasis, this condition should be taken into account as differential diagnosis when facing a toxic picture with renal involvement of the calyceal ecstasies type.


Assuntos
Leishmaniose Visceral/diagnóstico , Infecções Urinárias/diagnóstico , Humanos , Masculino , Pessoa de Meia-Idade
20.
Arch Esp Urol ; 48(4): 339-42, 1995 May.
Artigo em Espanhol | MEDLINE | ID: mdl-7598543

RESUMO

OBJECTIVES: Conservative management of iatrogenic urethro-rectal fistula is discussed and the literature briefly reviewed. METHODS/RESULTS: The patient's only symptom was rectal voiding, which he considered was not enough to justify an operation. At one-year follow up, patient condition remains unchanged. CONCLUSION: Patients with urethro-rectal fistula and a competent bladder neck, whose only symptom is rectal voiding, can be managed conservatively if the patient refuses an operation.


Assuntos
Doença Iatrogênica , Fístula Retal/etiologia , Doenças Uretrais/etiologia , Fístula Urinária/etiologia , Idoso , Humanos , Masculino , Fístula Retal/diagnóstico , Fístula Retal/cirurgia , Recusa do Paciente ao Tratamento , Doenças Uretrais/diagnóstico , Doenças Uretrais/cirurgia , Fístula Urinária/diagnóstico , Fístula Urinária/cirurgia
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