Greater level of physical activity associated with better cognitive function in hemodialysis in end stage renal disease

Patients with chronic kidney disease (CKD) have a lower exercise tolerance and poor functional capacity, carry on a sedentary lifestyle. Another important change found in patients with CKD is cognitive dysfunction. Physical inactivity has been associated with cognitive dysfunction in the general population, but few studies have evaluated this association in CKD. To assess the association between physical activity and cognitive function in patients with CKD on hemodialysis (HD). We evaluated 102 patients undergoing HD. The participants completed the International Physical Activity Questionnaire, which assesses the level of physical activity and the Mini Mental State Examination, used for cognitive screening. Patients were divided into three groups according to their level of physical activity (GI: active/GII: irregularly active/GIII: sedentary). It was applied logistic regression analysis and adopted as outcome variable the presence of cognitive impairment and preserving as independent variables those with a probability of statistical difference between groups of less than 0.1. It was considered statistically significant when p less than 0.05. The groups were similar in age, duration of HD, and smoking. Statistically significant difference regarding race, body mass index, diabetes mellitus, underlying disease and degree of cognitive impairment. Regarding laboratory data, the groups differed in terms of creatinine, glucose, hemoglobin and hematocrit. There was significant association with better physical activity and cognitive function, even adjusting for confounding variables. the highest level of physical activity was associated with better cognitive function in CKD patients undergoing HD.

Potentiation of epidural lidocaine by co-administering tramadol by either intramuscular or epidural route in cats

This study investigated the analgesic and systemic effects of intramuscular (IM) versus epidural (EP) administration of tramadol as an adjunct to EP injection of lidocaine in cats. Six healthy, domestic, shorthair female cats underwent general anesthesia. A prospective, randomized, crossover trial was then conducted with each cat receiving the following 3 treatments: EP injection of 2% lidocaine [LEP; 3.0 mg/kg body weight (BW)]; EP injection of a combination of lidocaine and 5% tramadol (LTEP; 3.0 and 2.0 mg/kg BW, respectively); or EP injection of lidocaine and IM injection of tramadol (LEPTIM; 3.0 and 2.0 mg/kg BW, respectively). Systemic effects, spread and duration of analgesia, behavior, and motor blockade were determined before treatment and at predetermined intervals afterwards. The duration of analgesia was 120 ± 31 min for LTEP, 71 ± 17 min for LEPTIM, and 53 ± 6 min for LEP (P < 0.05; mean ± SD). The cranial spread of analgesia obtained with LTEP was similar to that with LEP or LEPTIM, extending to dermatomic region T13-L1. Complete motor blockade was similar for the 3 treatments. It was concluded that tramadol produces similar side effects in cats after either EP or IM administration. Our findings indicate that EP and IM tramadol (2 mg/kg BW) with EP lidocaine produce satisfactory analgesia in cats. As an adjunct to lidocaine, EP tramadol provides a longer duration of analgesia than IM administration. The adverse effects produced by EP and IM administration of tramadol were not different. Further studies are needed to determine whether EP administration of tramadol could play a role in managing postoperative pain in cats when co-administered with lidocaine after painful surgical procedures.

Experimental model of intestinal endometriosis: pilot study

Aims: The objective of this study is to create an experimental model of intestinal endometriosis in pigs, which might allow better understanding of deep infiltrating endometriosis and development of new treatment techniques. As secondary objective, we intend to create endometrial implants accessible by transrectal ultrasonography (TRUS). Study Design: Surgical experimental study in swine. Place and Duration of Study: This study was performed at the Instituto de Ensino e Pesquisa do Hospital Sírio-Libanês, São Paulo, Brazil, between January 2012 and December 2012. Methodology: Two sexually mature female minipigBR pigs underwent two laparotomies (each animal). The first laparotomy was performed to implant two fragments of autologous endometrium in the rectal wall. The second one was performed thirty days later to visualize, measure and obtain tissue of the site of the implants for histopathology study. A TRUS study was performed prior to the second surgery. The Institution’s Animal Utilization Study Committee approved the study. Results: In the first laparotomy a 5-cm segment of right uterine horn was resected. The endometrium was separated from the myometrium through sub-endometrial saline injection. Two endometrial fragments (1.0 x 2.0 cm) were dissected and sutured in the intra peritoneal anterior rectal wall of the animals. Thirty days later, all implants were identified during preoperative TRUS. “En-bloc” resection of the intestinal segment with the implants was performed during the second surgery. The autologous implants of endometrium invaded the muscular layer in one of the two animals. Conclusion: We demonstrated that the creation of an animal model of deep infiltrating endometriosis with intestinal involvement is feasible through a simple surgical technique. We believe that this model can be applied in experimental and clinical studies but further studies are necessary to refine the technique.

Evaluation of Palmistichus elaeisis Delvare & LaSalle (Hymenoptera: Eulophidae) as parasitoid of the Sarsina violascens Herrich-Schaeffer (Lepidoptera: Lymantriidae)

This is the first report on the parasitoid Palmistichus elaeisis, genus Eulophidae, found in the field parasitizing pupae of defoliating eucalyptus. Lepidopterous pests occur in eucalyptus plantations in Brazil, reaching high population levels. Due to the complexity of pest control in eucalyptus forests, alternative control methods have been proposed, for instance biological control through use of parasitoids. Natural enemies play an important role in regulating host populations because their larvae feed on the eggs, larvae, pupae or adults of other insects. The parasitic Hymenoptera are important agents in biological control programs against forest pests, and may provide economic and environmental benefits. The generalist endoparasitoid Palmistichus elaeisis Delvare and LaSalle, 1993 (Hymenoptera: Eulophidae) can develop in its host’s pupae, which overcome the host’s physiology and can therefore be used for biological control of agricultural and forest pests. This study aimed to evaluate the impact of P. elaeisis as a pupal parasitoid of S. violascens in providing a potential alternative to chemical control of the pest and creation of an alternative host. The experiment was developed in the Laboratory for Biological Control of Forest Pests, Universidade Estadual Paulista "Julio Mesquita Filho”. Parasitoids used in this test were originally collected on pupae of E. eucerus. (Lepidoptera: Riodinidae) in eucalyptus plantations at Lençois Paulistas, São Paulo state, Brazil, in 2011. Thereafter, a laboratory culture has been maintained, using pupae of Spodoptera frugiperda (J. E. Smith) (Lep.: Noctuidae) as hosts. S. violascens eggs were collected in a eucalyptus clonal plantation in Sao Paulo state (Brazil). Larvae were reared under ambient conditions on Eucalyptus urophylla S.T. Blake (Myrtaceae) leaves. The following parameters were determined: parasitism level, numbers of emerged and non-emerged parasitoids and duration of egg-adult cycle. The S. violascens pupae were dissected to evaluate the non-emerged parasitoids. The parasitism level reached 100%, with a 100% emergence rate. It was verified that 113.2±0.8 parasitoids emerged per individual pupa versus only 0.7±0.1 that did not emerge. The P. elaeisis egg-adult cycle was 20.3±0.6 days in S. violascens pupae. This opens new perspectives for utilizing this parasitoid in biological control programs against caterpillars important to forestry. Sarsina violascens in Brazil.