New Methodology for Modifying Sodium Montmorillonite Using DMSO and Ethyl Alcohol.

Modified clays with organic molecules have many applications, such as the adsorption of pollutants, catalysts, and drug delivery systems. Different methodologies for intercalating these structures with organic moieties can be found in the literature with many purposes. In this paper, a new methodology of modifying Sodium Montmorillonite clays (Na-Mt) with a faster drying time was investigated by X-ray diffraction (XRD), Fourier transform infrared spectroscopy (FTIR), BET, and thermogravimetric analysis (TG and DTG). In the modification process, a mixture of ethyl alcohol, DMSO, and Na-Mt were kept under magnetic stirring for one hour. Statistical analysis was applied to evaluate the effects of the amount of DMSO, temperature, and sonication time on the modified clay (DMSO-SMAT) using a 23-factorial design. XRD and FTIR analyses showed the DMSO intercalation into sodium montmorillonite Argel-T (SMAT). An average increase of 0.57 nm for the interplanar distance was found after swelling with DMSO intercalation. BET analysis revealed a decrease in the surface area (from 41.8933 m2/g to 2.1572 m2/g) of Na-Mt when modified with DMSO. The porosity increased from 1.74 (SMAT) to 1.87 nm (DMSO-SMAT) after the application of the methodology. Thermal analysis showed a thermal stability for the DMSO-SMAT material, and this was used to calculate the DMSO-SMAT formula of Na[Al5Mg]Si12O30(OH)6 · 0.54 DMSO. Statistical analysis showed that only the effect of the amount of DMSO was significant for increasing the interlayer space of DMSO-SMAT. In addition, at room temperature, the drying time of the sample using this methodology was 30 min.

Electric hand warmer versus observation to avoid discomfort during scalp cooling for chemotherapy-induced alopecia prevention: a randomized study.

Chemotherapy-induced alopecia (CIA) is a challenge in the management of cancer patients. Scalp cooling (SC) leads to reduction in CIA, however it is associated with significant adverse events, leading to 3-13% discontinuation rates. This pilot study evaluated the role of Electric Hand Warmers (EHW) on thermal (TC), sensorial (SCo) and general comfort (GC) in patients with breast cancer (BC) undergoing chemotherapy and SC to reduce CIA. Patients were randomly assigned to EHW use or observation. TC, SCo and GC were evaluated after each chemotherapy infusion. Favorable outcomes in both TC and SCo defined a positive result on GC. We analysed the impact of age, alopecia, chemotherapy regimen and EHW use in the different comfort scales using a Logistic Regression (LR) model. Forty women with early breast cancer were randomly assigned to EHW (n = 20) or observation (n = 20) during neo(adjuvant) chemotherapy. Median age was 53 years. In the EHW arm, favorable thermal response was reported by 79% versus 50% in the control arm (odds ratio [OR] 3.79, p < 0.001). SCo was satisfactory in 82% in the EHW arm versus 74% in the control arm (OR 1.62, p = 0.1). Overall, 73% in the EHW arm had favorable GC versus 44% in the control arm (OR 3.4, p < 0.001). Age, alopecia, and chemotherapy regimen did not impact on comfort measures. Conclusion: Our study suggests that the use of an EHW has a consistent favorable impact on TC and GC of BC patients under SC technology to prevent CIA.

Notas sobre a memória em Assim falou Zaratustra: contribuições à leitura do dinamismo psicológico / Notes on memory in Thus Spoke Zarathustra: contributions to the interpretation of psychological dynamism

O presente artigo sustenta a distinção entre dois esquemas possíveis de uso de conteúdos rememorados. Entendemos que a memória é determinante no processo clínico e, para que se possa empregá-la em uma acepção terapêutica, deve ser observada em sua caracterização qualitativa. Nestes termos, com o intuito de apontar a distinta natureza de modos possíveis de rememoração, sugerimos a aproximação de dois modelos extraídos da filosofia de Friedrich Nietzsche. Notadamente, focamos sobre elementos de um dinamismo psicológico no qual a memória está associada a traços específicos do caráter. Tal distinção pode ser percebida em Assim falou Zaratustra, quando o filósofo alemão apresenta dentre tantos personagens dois que nos interessam em particular: o Santo e Zaratustra. Trataremos, portanto, da diferenciação entre estes dois tipos. Cada um, ao seu modo, emprega um uso próprio da memória ao elaborar a vivência psicológica de suas experiências. Pretende-se, assim, mostrar que o estatuto distinto no qual se inscrevem tais memórias serve como índice de diagnóstico e interpretação de diferentes modos de existência.

The present article argues the distinction between two possible models concerning the usage of remembered contents. Memory is determinant in the clinical process and, in order to apply it in terms of therapy, it must be observed in its qualitative characterization. In these terms, aiming at pointing out the difference between possible modes of recollection, I suggest that two models from Friedrich Nietzsche's philosophy be taken into consideration. In particular, my focus lies on elements of a psychological dynamism in which memory comes to be associated with certain character traits. Such distinction can be studied in Thus spoke Zarathustra, in which the German philosopher presents two characters, among many others, which pertain especially to my point: the saint and Zarathustra himself. This paper will deal, therefore, with the differences between these two types. Each of them employs, in their own fashion, a particular usage of memory to elaborate on the psychological aspect of their experiences. I intend, thus, to show that the distinct patterns in which these memories are classified serve as an index of diagnosis and interpretation concerning different modes of existence.

Extracellular lipase production by Yarrowia lipolytica under magnetic fields.

This study aimed at estimating cultivation conditions to enable Yarrowia lipolytica NNRL Y-1095 to produce extracellular lipase and at evaluating the influence of magnetic fields (MF) on the lipase production and on its catalytic conditions. Culture conditions of carbon sources and surfactant defined to produce extracellular lipase were 10 g L-1 glucose, 15 g L-1 olive oil and 2 g L-1 Triton X-100. The highest lipase activity (34.8 U mL-1) was reached after 144 h when MFs were applied from 72 to 144 h of culture. It corresponds to an increase of 287.5% by comparison with the highest lipase activity in the control culture. MF application from 72 to 144 h did not change the optimal temperature of lipase, which was 37 °C, by comparison with the control. However, the optimal pH of the control was 7.0 while the one of lipase produced with MF was 8.0. Findings highlighted that the presence of MFs led to increase in synthesis of lipase by Y. lipolytica, with changes in the catalytic profile. This is one of the first studies of MF application to Y. lipolytica NRRL Y-1095 cultures to produce lipase.

The Revised PENIS Score and proposal of the PACKAGE Checklist: a meta-epidemiologic study on penile amputation and replantation.

INTRODUCTION: Penile amputation causes severe physical and psychosocial distress. Microsurgical implementation in penile replantation is presumed to be superior to surgical repair. This assumption has been difficult to verify. OBJECTIVES: The purpose of this study was threefold: (1) to produce an updated review of penile replantation, substantiated by the largest sample size to date; (2) to appraise the comparative value of the novel PENIS Score and propose the PACKAGE Checklist, a guide for standardization of future case reports and reviews; and (3) to improve confusing terminology and recommend the standardization of vocabulary. METHODS: A literature review assessed 432 full-text case reports in 20 languages and identified 123 microsurgical and 40 surgical cases of penile replantation. The novel PENIS Score stratified penile amputations based on 5 criteria: position along the shaft, extension through the penis, neurovascular repair, ischemia time and type, and severed edge condition and contamination. For the outcome measurements, a Kendall tau coefficient evaluated the association between each PENIS criterion for short-term postoperative complications and 3 outcome measures: erection, urination, and sensation. RESULTS: Less than half of surgical reports on penile replantation are sufficiently detailed to complete all PENIS Score criteria. The viability of microsurgical and surgical replantation was equivalent at 92% and 94%, respectively. A statistically significant correlation was found between microsurgical repair and the return of sensation but not with nerve repair. Return of sensation with nerve repair was 51%, and microsurgical replantation without nerve repair was 42%; both were significantly higher than the 14% for surgical replantation. Preservation of a skin bridge was associated with a 40% reduction in severe postoperative complications. CONCLUSION: Microsurgical replantation is superior in return of sensation, with or without nerve repair. Implementing the PACKAGE Checklist and PENIS Score will help inform case reports and reviews.

Magnetic fields as inducer of glutathione and peroxidase production by Saccharomyces cerevisiae.

Glutathione (GSH) and peroxidase (POD) are biomolecules of interest in the global market; thus, it is desirable to seek ways to increase their production. Magnetic field (MF) application is one of the technologies used in cultivation that has shown promising results to increase bioproducts. Therefore, this study aimed at evaluating the influence of MFs on GSH and POD production by Saccharomyces cerevisiae ATCC 7754. Different periods of MF application (35 mT) were evaluated over 72 h. The highest GSH production was reached in 48 h of cultivation in assays MF 0-24 (155.32 ± 9.12 mg L-1) and MF 0-72 (149.27 ± 3.62 mg L-1), which showed an increase of 121.9 % and 113 %, respectively, by comparison with the control without any MF application. The highest POD activity was achieved when MFs were applied throughout the culture (36.31 U mg-1) and POD productivity of 0.72 U mg-1 h-1. MF application throughout cultivation proved to be a promising strategy since all responses increased, i.e., GSH concentration, GSH productivity, POD activity, and POD productivity increased 113.7 %, 113 %, 20.4 %, and 28.6 %, respectively. This study is one of the first to consider MFs as a viable and low-cost alternative to produce GSH and POD in bioprocesses.

Update on the application of magnetic fields to microalgal cultures.

Several studies have shown that any magnetic field (MF) applied to microalgae modifies its cultivation conditions and may favor biomolecule production since it interacts with the microorganisms and affect their growth. As a result, there are changes in concentrations and compositions of biomass and biomolecules. This review aims at updating MF applications to microalga cultures that were reported by studies conducted in the last 5 years. It shows the main studies that reached positive results of carbohydrate, lipid, protein and pigment production. Effects of MFs may be positive, negative or null, depending on some factors, such as intensity, exposure time, physiological state of cells and application devices. Therefore, this review details cultivation conditions used for reaching high concentration of biomolecules, explains the action of MFs on microalgae and describes their applicability to the biorefinery concept.

Opioid usage differs significantly following ureteroscopy and shockwave lithotripsy, while development of long-term usage is positively correlated with total days' supply and total MME supplied.

PURPOSE: This study evaluated possible predictors of long-term opioid usage among patients with ureteric stones who received ureteroscopy (URS) or shockwave lithotripsy (SWL). We also assessed opioid usage characteristics of URS and SWL recipients. MATERIALS AND METHODS: This retrospective study used IQVIA PharMetrics® Plus for Academics administrative claims database from years 2006-2020 to identify patients with a diagnosis of kidney or ureteral stones who were treated with either SWL or URS. We performed unadjusted bivariate analyses to compare opioid use characteristics of URS and SWL recipients, and performed logistic regression to determine demographic and clinical factors associated with becoming a long-term opioid user. RESULTS: The study population consisted of opioid naive individuals having a diagnosis of a kidney stone who underwent URS (N = 9407) or SWL (N = 4894). About 6.7% (N = 964) of study subjects were long-term opioid users. Unadjusted bivariate associations showed that compared to non-long-term opioid users, long-term opioid users had significantly greater total days' supply, total morphine milliequivalents (MME) supplied, and claims per month. A similar trend was observed for URS (vs. SWL) recipients. However, compared to SWL recipients, URS recipients had 14.3% (1.2-25.6%; p = 0.034) lower odds of becoming long-term users. Total days' supply (OR: 1.041 (95% CI 1.030-1.052; p < 0.001) and total MME supplied (OR 1.001 (95% CI 1.000-1.001; p < 0.001) were significantly associated with long-term usage. CONCLUSION: Higher total days' supply and total MME supplied as well as SWL were identified as risk factors for becoming long-term opioid users.

Differential Effects of Atrazine on Chlorophyceae Species and Association with Morphology, Photosynthesis, Chlorophyll Content, and Glutathione-S-Transferase Activity.

Atrazine is a herbicide widely used in the control of weeds in crops such as corn, sugar cane, and sorghum. It is often found in aquatic environments, where it can potentially endanger nontarget organisms such as microalgae. The present study evaluated atrazine toxicity to seven different species of Chlorophyceae and the tolerance of the species to the herbicide was related to morphological, photosynthetic, chlorophyll-a content and the activity of the glutathione-S-transferase enzyme (GST). The comparison of median effect concentration (EC50) values for growth inhibition indicates higher toxicity of atrazine for Pseudopediastrum boryanum and Desmodesmus communis, intermediate toxicity for Ankistrodesmus densus, Chlamydomonas puliminiorfes, and Raphidocelis subcapitata, and lower toxicity for Kirchneriella lunaris and Ankistrodesmus falcatus (EC50: 38, 42, 66, 103, 248, 1004, and 1585 µg L-1 atrazine, respectively). Principal component analysis (PCA) with algal characteristics suggested that the atrazine-sensitive algae P. boryanum and D. communis were positively associated with photosynthetic levels and negatively associated with GST activity and chlorophyll-a concentration. The PCA also suggested that the atrazine-tolerant algae A. falcatus and K. lunaris were positively associated with morphological parameters, where the larger the cell size, the more tolerant. Although it is difficult to associate a single characteristic of algae as the key factor determining the tolerance to atrazine, results presented in this work indicate that the cell area, the photosynthetic parameters (mainly saturating irradiance), chlorophyll-a content, and the biotransformation by GST in combination may be potential predictors for the differential tolerance of Chlorophyceae species to the herbicide. Environ Toxicol Chem 2022;41:1675-1685. © 2022 SETAC.

Grafting Area Reduction in Peyronie's Disease Surgery: Comparative Assessment Between Double Y Vs iGrafter APP Using 3D-Printed Penile Models.

BACKGROUND: The use of plaque incision and graft techniques (PIG) for the treatment of severe Peyronie's disease (PD), may lead to erectile dysfunction (ED); graft size is 1 of the contributing factors for post-PIG ED. Recently the iGrafter software APP was introduced using a mathematical algorithm to distribute the incisions along the penile length resulting in a smaller grafting area. AIM: Compare 2 PIG techniques, the Double-Y(DY) and iGrafter, in 3 main aspects: (i) Total grafting area; (ii) The variation in calculating the grafting to be used; (iii) time to perform the PIG. METHODS: Six urologists with expertise in sexual medicine performed both techniques twice using four 3-D validated training models for PD with a standard 60° uniplanar dorsal curvature. OUTCOMES: The graft areas and operative partial and total time for each step of the operation were recorded for each procedure. Unpaired t-test and the coefficient of variation for graft area across surgeons was calculated comparing both techniques. RESULTS: For all surgeons, the use of iGrafter resulted in 2 grafts, for the DY technique in 1 graft. Overall, TT for the iGrafter was significantly longer than for DY technique (49.4 ± 11 vs 40.7 ± 5.7 minute; P = .02), The iGrafter grafting area was significantly smaller (11.6 ± 1.2 vs 23.3 ± 5.4 cm2; P: .01), representing a 50.2% area reduction when compared to the DY. The variation of graft area, using the iGrafter also yielded a more consistent graft across all surgeons (CV = 10.56% vs 23.28%). CLINICAL SIGNIFICANCE: The iGrafter, when compared to DY technique, reduced the graft area by 50%, which potentially means less erectile dysfunction. STRENGTHS AND LIMITATIONS: Our study eliminates anatomical variations found in a real clinical case making it possible to compare surgical techniques with the same penile anatomy. However, the 3D-printed model cannot replicate the living human tissue property preventing a simulation close to actual surgery. CONCLUSION: The use of the iGrafter software for PIG surgery has shown to be a promising technique for severe PD management resulting in smaller graft size (about 50% smaller when compared to the DY), although it might be more time-consuming. Tourchi A, Nascimento B, de Freita Miranda A, et al. Grafting Area Reduction in Peyronie's Disease Surgery: Comparative Assessment Between Double Y Vs iGrafter APP Using 3D-Printed Penile Models. J Sex Med 2022;19:669-675.

Penile autoamputation with successful reimplant a case report and new preoperatory mnemonic classification system: P.E.N.I.S.

Genital self-mutilation is a rare condition. Psychiatric disease and accidents are the most common causes. We a case of genital amputation connected to religious delusions known as Klingsor Syndrome. Due to the scarcity of cases, each author describes the amputation injuries ununiformly, making the comparison of the cases difficult. We propose an anatomical pre-operatory score: The P.E.N.I.S.* score, it is an innovative pre-operative 5-grade score that aims to standardize the injury classification. Penile self-amputations are rare; medical literature lacks standardized classification that permits comparison between cases described. The P.E.N.I.S. score can be a helpful tool to fill this current gap.

Estratégias de prevenção de lesões por pressão facial ocasionadas pelo uso da posição prona / Strategies for the prevention of facial pressure injuries caused by the use of the prone position / Estrategias de prevención de lesiones por presión facial ocasionadas por el uso de la posición prona

Objetivo:Identificar as principais estratégias para prevenção de lesões por pressão faciais ocasionadas pelo uso de posição prona. Métodos:Revisão integrativa de literatura, realizada durante o mês de março de 2021. Foram pesquisados artigos nas bases de dados da MEDLINE, LILACS, BDENF e IBECS. Os artigos selecionados foram redigidos nos idiomas inglês, português e espanhol, entre 2016 e 2021. Foram excluídos os duplicados e os que não incluíam a temática abordada. Inicialmente, foram identificados 29 artigos. Após a aplicação dos critérios de inclusão e exclusão, resultaram 10 artigos para análise. Resultados: Das complicações relacionadas ao uso de posição prona, 10 (100%) dos estudos abordam a lesão por pressão como a principal complicação dessa manobra terapêutica. Quanto às estratégias de prevenção, os estudos analisados citam a mudança de decúbito associada ao uso de coxim e hidrocolóides como principais métodos preventivos. Conclusão: Foram identificadas as seguintes estratégias de prevenção de lesão por pressão facial pelo uso de posição prona: mudança de decúbito em tempos pré-estabelecidos; uso de dispositivos que proporcionam alívio de pontos de pressão, tais como os coxins e hidrocolóides; e a utilização de materiais de baixo custo e fácil acesso, como esponjas cirúrgicas adaptadas, respeitando as estruturas anatômicas de cada paciente.

Objective:Identify the main strategies for preventing facial pressure injuries caused by the use of the prone position. Methods: Integrative literature review, carried out during the month of March 2021. Articles were searched in the MEDLINE, LILACS, BDENF and IBECS databases. The selected articles were written in English, Portuguese and Spanish, between 2016 and 2021. Duplicates and those that did not include the topic addressed were excluded. Initially, 29 articles were identified. After applying the inclusion and exclusion criteria, 10 articles resulted for analysis. Results: Of the complications related to the use of the prone position, 10 (100%) of the studies address the pressure injury as the main complication of this therapeutic maneuver. As for prevention strategies, the studies analyzed cite the change in position associated with the use of pads and hydrocolloids as the main preventive methods. Conclusion: The following strategies to prevent facial pressure injury by using the prone position were identified: change of decubitus at pre-established times; use of devices that provide relief from pressure points, such as pads and hydrocolloids; and the use of low-cost and easily accessible materials, such as adapted surgical sponges, respecting the anatomical structures of each patient.

Objetivo:Identificar las principales estrategias para la prevención de lesiones por presión faciales ocasionadas por el uso de posición prona. Métodos: Revisión integrativa de literatura, realizada durante el mes de marzo del 2021. Fueron investigados artículos en las bases de datos de MEDLINE, LILACS, BDENF e IBECS. Los artículos seleccionados fueron redactados en los idiomas inglés, portugués y español, entre el 2016 y el 2021. Fueron excluidos los duplicados y los que no incluían la temática abordada. Inicialmente, fueron identificados 29 artículos. Después de la aplicación de los criterios de inclusión y exclusión, resultaron 10 artículos para análisis. Resultados: De las complicaciones relacionadas al uso de la posición prona, 10 (100%) de los estudios abordan la lesión por presión como la principal complicación de esta maniobra terapéutica. Con respecto a las estrategias de prevención, los estudios analizados citan el cambio de decúbito asociada al uso de apoyo e hidrocoloides como principales métodos preventivos. Conclusión: Fueron identificadas las siguientes estrategias de prevención de lesión por presión facial por el uso de posición prona: cambio de decúbito en tiempos preestablecidos; uso de dispositivos que proporcionan alivio de puntos de presión, tales como los apoyos e hidrocoloides; y la utilización de materiales de bajo costo y fácil acceso, como esponjas quirúrgicas adaptadas, respetando las estructuras anatómicas de cada paciente.

Penile shortening complaints in males with erectile dysfunction: a narrative review on penile lengthening procedures during penile prosthesis surgery.

Patients complaining of short penile length pose a challenge in urology practice. Those men who present seeking penile lengthening surgery usually overestimate 'normal' penile length, and may in often cases relate their penile length with the degree of masculinity and self-esteem. Penile prosthetic devices are the gold standard treatment of erectile dysfunction (ED) after failure of conservative options. Penile shortening is the most prevalent long-term complaint after successful inflatable penile prosthesis (IPP) placement. This has a significant impact on patient's overall satisfaction and quality of life. Using PubMed, we performed a thorough literature review of the current procedures of preservation or enhancement of penile length as well as reported perioperative protocols in patients undergoing penile prosthesis (PP) insertion. Keywords used were "penile lengthening", "penile enhancement", "penile girth", "inflatable penile prosthesis" and "glans augmentation". Several surgical techniques can be offered in the setting of penile shortening concurrently with PP insertion, e.g., sub-coronal approach of PP placement, sliding technique, modified sliding technique (MoST), multiple-slide technique (MuST), and tunica mesh expansion procedure (TMEP). Adjuvant techniques can also improve subjective penile length include, ventral phalloplasty, suprapubic lipectomy, suspensory ligament release and use of expanding penile implants. Preoperative protocols including use of a vacuum erectile device, traction therapy also seem to improve postoperative outcomes, minimizing postoperative pain, and encouraging the early device use. Currently, there is no consensus among experts on a particular lengthening procedure or when they can be performed to optimize outcomes. Furthermore, it is imperative to set proper expectations before surgery, with extensive patient and partner counseling. When used in the properly selected patient, penile lengthening procedures show promising results with minimal complication rates.

Glutathione S-transferase activity in aquatic macrophytes and halophytes and biotransformation potential for biocides.

Glutathione S-transferase (GST) participates in the biotransformation of many xenobiotics including biocides. Its activity in plants is generally associated with their phytoremediation capabilities. Biocides have been used in agriculture and antifouling paints and they represent risks for the aquatic environment. The present study aimed to: (1) evaluate the basal GST activity in roots, stems, and leaves from thirteen plants (eleven aquatic macrophytes and two halophytes) collected at South Brazil wetlands; (2) estimate the biotransformation potential of Nothoscordum gracile for five biocides using competitive kinetic assays with 1-chloro-2,4-dinitrobenzene (CDNB), a typical GST substrate. The N. gracile, Spartina alterniflora and Cakile maritima presented the highest GST activities among the tested plants. The Lineweaver-Burk plot obtained from the GST competitive kinetic assays confirmed that the biocides chlorothalonil, 4,5-dichloro-N-octyl-3(2H)-isothiazolone (DCOIT), dichlofluanid, and diuron, but not irgarol, compete with the substrate CDNB for GST. Chlorothalonil and DCOIT showed the lowest IC20 values (11.1 and 10.6 µM, respectively), followed by dichlofluanid (38.6 µM) and diuron (353.1 µM). The inhibition of GST-CDNB activity by 100 nM biocide was higher for chlorothalonil, DCOIT, and dichlofluanid (46.5, 49.0, and 45.1%, respectively) than for diuron (6.5%) and irgarol (2.2%). The present study indicates plant species that have significant GST activity and could be potentially used for phytoremediation. The competitive kinetic tests suggest that among the five biocides that were tested, chlorothalonil, DCOIT, and dichlofluanid are probably preferred for biotransformation via GST in plant.

Presence of SARS-CoV-2 RNA in Semen-Cohort Study in the United States COVID-19 Positive Patients.

On 31 December 2019, China informed the World Health Organization they were facing a viral pneumonia epidemic of a new type of Coronavirus. Currently, 10 months later, more than 43,000,000 people have been infected, and about 1,150,000 deceased worldwide from the disease. Knowledge about the virus is updated daily, and its RNA was isolated from several human secretions, e.g., throat, saliva, pulmonary alveolar washing, and feces. So far, only one publication found the presence of SARS-CoV-2 in semen. In this 5-month cross-sectional study, we recruited 15 patients diagnosed with a positive nasal swab for SARS-CoV-2 with no or mild symptoms in our institution. A semen sample after a shower was retrieved and tested for viral RNA in the semen. The samples were tested for the viral RNA with RT-PCR with two different genetic probes. The samples were re-tested 24 h after the first test to confirm the results. The SARS-Cov-2 viral RNA was present in 1/15 patients [6.66%] in our sample. Even in a small sample, the RNA from SARS-CoV-2 can be isolated from human semen. This information should alert the scientific community and public health officials about a possible new form of transmission of the disease and long-term clinical effects on the population.

Concurrent Penile Prosthesis and Artificial Urinary Sphincter versus Penile Prosthesis and Male Sling: A National Multi-Institutional Analysis of National Surgical Quality Improvement Program Database Comparing Postoperative Morbidity.

PURPOSE: We aimed to assess the 30-day morbidity in patients undergoing combined insertion of penile prosthesis (PP) and artificial urinary sphincter (AUS) vs. PP and male sling (MS). MATERIALS AND METHODS: The National Surgical Quality Improvement Program database was queried to identify patients who underwent placement of AUS or MS combined with PP. Patient demographics, postoperative morbidity including complications, readmission and reoperation rates were recorded. Student t-test and chi-square or Fischer's exact test were used as appropriate. RESULTS: Forty-one patients met selection criteria between 2010 and 2016. Overall, 26 patients received PP and AUS vs. 15 that received PP and MS. Average age was similar in both groups (64.8±6.6 years vs. 62.3±6.3 years, p=0.254). Diabetes mellitus was more prevalent in PP+MS group compared to AUS+PP group (46.7% vs. 11.5%, p=0.022). Average length of stay was higher in PP+AUS group compared to PP+MS group (2.2±0.6 days vs. 1.8±0.4 days, p=0.017). Postoperative morbidity was reported in four patients in PP+AUS group. No reported complications in PP+MS group. In PP+AUS group, complications included one patient who developed urinary tract infection, one developed surgical site infection, readmission in two for postoperative infection, and one return to the operating room. No reported prosthesis explantation or revision in either groups. CONCLUSIONS: Our results showed that 30-day morbidity was recorded in the PP+AUS group and none in the PP+MS group. The complication and readmission rates remain comparable to the previous reports in both groups.

Changing Trends in Management Following Artificial Urinary Sphincter Surgery for Male Stress Urinary Incontinence: An Analysis of the National Surgical Quality Improvement Program Database.

OBJECTIVE: To characterize the safety and practice patterns of artificial urinary sphincter (AUS) placement on a population level. Increasingly AUS implantation has shifted to be an outpatient surgery; however, there is a lack of large-scale research evaluating factors associated with early (≤ 24 hours) versus late (>24 hours) discharges and complications in men following AUS placement. We utilized the National Surgical Quality Improvement Program (NSQIP) database to identify and compare factors and outcomes associated with each approach. METHODS: NSQIP database was queried for men undergoing AUS placement between 2007 and 2016. Patients were classified as either early discharge (ED ≤ 24 hours) and late discharge (LD > 24 hours). Baseline demographics, operating time, and complications were compared between the 2 groups. Multivariate logistic regression evaluated factors associated with discharge timing and 30-day complications. RESULTS: A total of 1176 patients were identified and were classified as ED in 232 and LD in 944 patients. Operative time was shorter in ED (83 minutes) compared to LD (95 minutes, P < .001). Hypertension was more prevalent among LD patients (60.3% vs 69.1% for ED and LD respectively, P < .001). The 30-day complication rate was similar in both groups (ED: 4.3% vs LD: 3.4%, P = .498). Multivariable analysis revealed that surgery after 2012 was associated with ED (OR = 3.66, P < .001). CONCLUSION: At the national level, there are no differences in postoperative morbidity between early and late discharges. There is a trend toward more ED, specifically after 2012. A prospective study on the feasibility and safety of outpatient AUS is needed.

Acolhimento de familiares de pacientes com COVID-19 em unidades de terapia intensiva / Accommodation of families of patients with COVID-19 in intensive care units

Objetivo: Relatar e refletir a experiência de discentes de enfermagem sobre a prática do acolhimento de familiares de pacientes com COVID-19 em uma Unidades de Terapia Intensiva.Método: Trata-se de um relato de experiênciacom subsídio teórico-reflexivo,desenvolvido em um hospital privado de Teresina-PI, no período entre abril e maio de 2021. Adotou-se os pressupostos de Peplau na Teoria das Relações Interpessoais como arcabouço teórico.Resultados: Foi possível a identificação das quatro fases preconizadas por Pepalu no acolhimento realizado pelas discentes, visto que a teoria prioriza a melhorias terapêuticas do ser cuidado, ressaltando assim queum acolhimento de forma humanizadapotencializa o fortalecimento dos fatores de enfrentamento do processo de adoecimento. Conclusão: Foi percebido os frutos positivos do vínculo terapêutico entre a família e a equipe assistencial.O que sugere o impacto deste estudo, no sentido de direcionar boas práticas em saúde, endossadas pelas de Humanização.

Objective: To report and reflect the experience of nursing students on the practice of welcoming family members of patients with COVID-19 in an Intensive Care Unit. Method:This is an experience report with theoretical-reflective subsidy, developed in a private hospital in Teresina-PI, inthe period between April and May 2021. Peplau's assumptions in the Theory of Interpersonal Relations were adopted as a theoretical framework . Results:It was possible to identify the four phases recommended by Pepalu in the embracement performed by the students, as the theory prioritizes therapeutic improvements of the person being cared for, thus emphasizing that a humanized embracement enhances the strengthening of the factors for coping with the illness process. Conclusion:The positive results of the therapeutic bond between the family and the care team were perceived. Which suggests the impact of this study, in the sense of directing good practices in health, endorsed by those of Humanization.

Bactericidal Pectin/Chitosan/Glycerol Films for Food Pack Coatings: A Critical Viewpoint.

Pectin and chitosan films containing glycerol (Gly) at 5, 10, 15, 20, 30, and 40 wt % were prepared in an aqueous HCl solution (0.10 M) by the solvent evaporation method. The unwashed film (UF) containing 40 wt % Gly (UF40) had elongation at break (ε, %) of 19%. Washed films (WFs) had high tensile strength (σ > 46 MPa) and low elongation at break (ε, <5.0%), enabling their use in food packaging applications. The polymers' self-assembling occurred during the washing, increasing the stiffness. The XPS analysis suggests that some HCl is lost during the drying process, resulting in a low acid content on the UF surfaces. The UF40 (at 5.0 mg/mL) exhibits cytocompatibility toward mammalian cells and antimicrobial and anti-adhesive properties against Escherichia coli. The remaining HCl in the UF40 can be a disadvantage for food packaging applications; the UF40 (∅ = 8.5 mm; 55 µm thickness) releases H3O+/HCl, reducing the pH to approximately 3.0 when kept in 200 mL distilled water for approximately 30 min. Therefore, we propose the use of UF40 to coat commercial food packaging. The UF40 has low permeability to water vapor and oxygen and works as a barrier against ultraviolet light. The UF40 is also colorless and completely transparent. The UF40 maintained tomatoes' structural integrity for 18 days at room temperature with no oxidation or microorganism contamination. This paper presents a critical viewpoint concerning chitosan-based films with antimicrobial activities.

Increased lipid synthesis in the culture of Chlorella homosphaera with magnetic fields application.

This study aimed to investigate the influence of different intensities (15, 30 and 60 mT) and exposure times (1 h d-1, 24 h d-1) of magnetic fields (MF) on the stimulation of lipid synthesis by the microalga Chlorella homosphaera. The growth and biochemical characterization of protein, carbohydrate and lipid content were determined. Biomass concentration increased by 20.6% (30 mT, 1 h d-1) and 12.4% (60 mT, 1 h d-1) in the presence of MF. However, biomass decreased by 33.0% (15 mT, 1 h d-1) in relation to control cultivation (CC). The stress caused by the MF application stimulated lipid synthesis and biomass production. In all evaluated conditions, MF application showed a positive effect on lipid production; the application of 60 mT or 30 mT for 1 h d-1 increased lipid productivity by 108.4% and 135.1%, respectively. MF application with ferrite magnets was thus efficient to stimulate lipid synthesis.