Medical wastes management in the south of Brazil.

In developing countries, solid wastes have not received sufficient attention. In many countries, hazardous and medical wastes are still handled and disposed together with domestic wastes, thus creating a great health risk to municipal workers, the public and the environment. Medical waste management has been evaluated at the Vacacai river basin in the State of Rio Grande do Sul, Brazil. A total of 91 healthcare facilities, including hospitals (21), health centers (48) and clinical laboratories (22) were surveyed to provide information about the management, segregation, generation, storage and disposal of medical wastes. The results about management aspects indicate that practices in most healthcare facilities do not comply with the principles stated in Brazilian legislation. All facilities demonstrated a priority on segregation of infectious-biological wastes. Average generation rates of total and infectious-biological wastes in the hospitals were estimated to be 3.245 and 0.570 kg/bed-day, respectively.

Dietary management in urolithiasis in the dog.

Struvite uroliths are found more frequently than other types of uroliths in the urinary tracts of dogs. Medical dissolution of struvite uroliths with a Swedish calculolythic diet has been evaluated. The palatability of the diet was good and only two out of a total of 69 dogs in the study could not be maintained on the diet because of diarrhea. In 19 of 33 dogs medically treated, the uroliths were dissolved over a period of one to 6 months (mean time 2.5 months). In the remaining dogs uroliths were surgically removed, and calculolytic diet was postoperatively given. Consumption of the calculolytic diet was in most cases associated with a lowered specific gravity and pH of the urine. A representative case report of medical dissolution of struvite uroliths located in the urinary bladder of a 9 year-old female cocker spaniel with a history of recurrent urolithiasis is described. It is concluded that the Swedish calculolytic diet can be used successfully to dissolve struvite in adults dogs.