RESUMEN
A hipospadia é oresultado de falha no desenvolvimento em que não ocorre a fusão normal das dobras genitais e intumescência genital, o que causa desenvolvimento anormal da uretra peniana, do pênis, prepúcio e/ou escroto. O objetivodeste relato é descrever um caso de hipospadia peniana de um canino macho, sem raça definida (SRD), de oito meses deidade, atendido no Hospital Veterinário da Universidade Federal Rural da Amazônia, na cidade de Belém/Pará, detalhando os procedimentos cirúrgico e anestésico utilizados para resolução do caso. Ao chegar ao hospital, o animal foi submetido ao exame físicoinicial no qual observou-se uma deformidade na região perianal por onde drenava a urina e uma abertura na região prepucial. A partir disso, foi solicitada a uretrocistografia retrógrada para complemento diagnóstico da hipospadia e seu comprometimento ao sistema urinário interno. Diante disso, foi realizado procedimento cirúrgico reconstrutivo e orquiectomia terapêutica, alcançando permitindoa resolução do caso e a recuperação completa do animal. Considerando que essa deformidade impossibilita a capacidadesexual generandi, a resolução recomendada é a cirúrgica, na qual o prognóstico é bom, possibilitando qualidade de vida ao animal.(AU)
Hypospadias is the result of developmental failure where normal fusion of the genital folds and genital tumescence does not occur, which causes abnormal development of the penile urethra, penis, foreskin and/or scrotum. The objective of this report is to describe a case of penile hypospadias in an eight-month-old male mixed breed (SRD) canine, treated at the Veterinary Hospital of the Federal Rural University of Amazônia, in the city of Belém/Pará, detailing the procedures surgical and anesthetic used for resolution of the case. Upon arrival at the hospital, the animal underwent an initial physical examination in which a deformity was observed in the perianal region through which urine drained and an opening in the preputial region. From this, a retrograde urethrocystography was requested to complement the diagnosis of hypospadias and its commitment to the internal urinary system. In view of this, a reconstructive surgical procedure and therapeutic orchiectomy were performed, allowing the resolution of the case and the complete recovery of the animal. Considering that this deformity prevents the sexual capacity generandi, the recommended resolution is surgery, in which the prognosis is good, allowing quality of life for the animal.(AU)
La hipospadias es el resultado de una falla en el desarrollo donde no ocurre la fusión normal de los pliegues genitales y la tumescencia genital, lo que provoca un desarrollo anormal de la uretra peneana, el pene, el prepucio y/o el escroto. El objetivo de este relato es describir un caso de hipospadias peneana en un canino macho mestizo (SRD) de ocho meses de edad, atendido en el Hospital Veterinario de la Universidad Federal Rural de Amazônia, en la ciudad de Belém/Pará, detallando los procedimientos quirúrgicos y anestésicos utilizados para la resolución del caso. A su llegada al hospital, el animal fue sometido a un examen físico inicial en el que se observó una deformidad en la región perianal por donde salía la orina y una abertura en la región prepucial. A partir de ello se solicitó cistouretrografía retrógrada para complementar el diagnóstico de hipospadias y su afectación en el sistema urinario interno. Ante esto, se realizó un procedimiento quirúrgico reconstructivo y orquiectomía terapéutica, que permitió la resolución del caso y la recuperación completa del animal. Teniendo en cuenta que esta deformidad imposibilita la capacidadgeneradi sexual, la resolución recomendada es la cirugía, en la que el pronóstico es bueno, permitiendo calidad de vida para el animal.(AU)
Asunto(s)
Animales , Masculino , Procedimientos Quirúrgicos Operativos/veterinaria , Uretra/anomalías , Hipospadias/diagnóstico , BrasilRESUMEN
Some significant compounds present in annatto are geranylgeraniol and tocotrienols. These compounds have beneficial effects against hyperlipidemia and chronic diseases, where oxidative stress and inflammation are present, but the exact mechanism of action of such activities is still a subject of research. This study aimed to evaluate possible mechanisms of action that could be underlying the activities of these molecules. For this, in silico approaches such as ligand topology (PASS and SEA servers) and molecular docking with the software GOLD were used. Additionally, we screened some pharmacokinetic and toxicological parameters using the servers PreADMET, SwissADME, and ProTox-II. The results corroborate the antidyslipidemia and anti-inflammatory activities of geranylgeraniol and tocotrienols. Notably, some new mechanisms of action were predicted to be potentially underlying the activities of these compounds, including inhibition of squalene monooxygenase, lanosterol synthase, and phospholipase A2. These results give new insight into new mechanisms of action involved in these molecules from annatto and Chronic®.
Asunto(s)
Dislipidemias , Tocotrienoles , Bixaceae , Carotenoides , Diterpenos , Simulación del Acoplamiento Molecular , Extractos Vegetales/farmacología , Tocotrienoles/farmacologíaRESUMEN
BACKGROUND: In Brazil, gastric cancer is the fourth most common malignancy among men and sixth among women. The cause is multivariate and the risks are well known. It has prognosis and treatment defined by the location and staging of the tumor and number of lymph nodes resected and involved. AIM: The Brazilian Consensus on Gastric Cancer promoted by ABCG was designed with the intention to issue guidelines that can guide medical professionals to care for patients with this disease. METHODS: Were summarized and answered 43 questions reflecting consensus or not on diagnosis and treatment that may be used as guidance for its multidisciplinary approach. The method involved three steps. Initially, 56 digestive surgeons and related medical specialties met to formulate the questions that were sent to participants for answers on scientific evidence and personal experience. Summaries were presented, discussed and voted in plenary in two other meetings. They covered 53 questions involving: diagnosis and staging (six questions); surgical treatment (35 questions); chemotherapy and radiotherapy (seven questions) and anatomopathology, immunohistochemistry and perspective (five questions). It was considered consensus agreement on more than 70% of the votes in each item. RESULTS: All the answers were presented and voted upon, and in 42 there was consensus. CONCLUSION: It could be developed consensus on most issues that come with the care of patients with gastric cancer and they can be transformed in guidelines.
Asunto(s)
Neoplasias Gástricas/diagnóstico , Neoplasias Gástricas/terapia , Brasil , HumanosRESUMEN
This work describes the construction and application of two amperometric sensors for sensitive UV-filter determination. The sensors were prepared using stainless steel electrodes in which polyaniline (PANI) was electrochemically polymerized in the presence of nickel (NiPcTS) or iron (FePcTS) tetrasulfonated phthalocyanines. The sensor surface characterizations were carried out using atomic force microscopy (AFM). The PANI/NiPcTS sensor was selective for the chemical UV-filter p-aminobenzoic acid (PABA) and the PANI/FePcTS sensor was selective for octyldimethyl-PABA (ODP), both in a mixture of tetrahydrofuran (THF) and 0.1 mol L(-1) H2SO4 at a volume ratio of 30 : 70, and with an applied potential of 0.0 mV vs. Ag|AgCl. A detailed investigation of the selectivity was carried out for both sensors, in order to determine their responses for ten different UV filters. Finally, each sensor was successfully applied to PABA or ODP quantification in sunscreen formulations and water from swimming pools.
Asunto(s)
Compuestos de Anilina/química , Técnicas de Química Analítica/instrumentación , Indoles/química , Metales/química , Acero Inoxidable/química , Rayos Ultravioleta , Electroquímica , Electrodos , Propiedades de Superficie , Factores de Tiempo , Agua/químicaRESUMEN
Trezentos e setenta e dois pacientes com tumores colo-retais tratados com intençäo curativa, entre janeiro de 1982 e janeiro de 1992, foram revistos para determinar-se o papel da colonoscopia e os resultados cirúrgicos em 30(8,1 por cento) pacientes com tumores múltiplos, comparando estes resultados com o grupo de lesöes únicas. A idade média dos pacientes era de 57(35-79) anos, sendo 20 homens e 10 mulheres. Dezenove pacientes tinham lesöes sincrônicas e os 11 restantes metacrônicas, sendo o reto e o cólon signóide os locais de apresentaçäo mais freqüentes (73 por cento). O diagnóstico pré-operatório correto foi realizado em 14 dos 19 pacientes com lesöes sincrönicas, e nos cinco pacientes restantes a näo realizaçäo de colonoscopia intra-operatória foi a causa de falha diagnóstica; três deles tinham lesöes previamente despercebidas ao enema baritado. Lesöes sincrônicas tendem a ser menos invasivas que as metacrônicas e a sobrevida de 5 anos (Kaplan-Meier) acha-se reduzida em pacientes com tumores múltiplos, 45 por cento versus 58 por cento, respectivamente (näo significante). Em pacientes com tumores colo-retais o exame do cólon deve ser completado através de colonoscopia intra-operatória, com o objetivo de excluir lesöes colônicas associadas e diminuir a incidência de lesöes metacrônicas "precoces"
Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Neoplasias Colorrectales/cirugía , Neoplasias Colorrectales/mortalidad , Cuidados IntraoperatoriosAsunto(s)
Humanos , Femenino , Embarazo , Salud Bucal , Embarazo , Flúor , Gingivitis , Enfermedades de la Boca , Odontología PreventivaRESUMEN
The authors refer to a rare case of digestive hemorrhage in pregnancy which was later diagnosticated as having been caused by a duodenal peptic ulcer. After this fact, a series of complications arose. Therefore, the doctors have opted for the interruption of pregnancy through a cesarean
Asunto(s)
Embarazo , Adulto , Humanos , Femenino , Úlcera Péptica Hemorrágica , Complicaciones del Embarazo , Úlcera Duodenal/complicacionesRESUMEN
Cento e seis cânceres de pele da face tratados por radioterapia em 97 pacientes foram revistos. A recorrência foi de 9,4% para todos os tumores; 1,2% para aos basocelulares e 30% para os epidermóides. Excluindo-se quatro casos graves de tumores epidermóides, os resultados cosméticos e de cura foram muito bons. Doses diárias baixas e maior número de aplicaçöes permitem resultados cosméticos melhores. Complicaçöes do tratamento em cinco casos (4,7%) näo foram significantes. A radioterapia deve ser considerada para o tratamento de locais especiais da face, como pálpebras, nariz e orelha (pelos melhores resultados apresentados)