Urethral catheter removal 7 or 14 days after radical retropubic prostatectomy: clinical implications and complications in a randomized study

PURPOSE: To evaluate the hypothesis that a 7-day period of indwelling catheter after radical retropubic prostatectomy is effective and safe without the need of performing cystography. METHODS: In the period from January of 2000 to July of 2002, 73 patients underwent radical retropubic prostatectomy, and these patients were prospectively randomized in 2 groups: Group 1-37 patients who had the urethral catheter removed 7 days after the procedure, and Group 2-36 patients who had the catheter removed 14 days after the surgery. The 2 groups were similar, the surgeons and the technique were the same, and no cystography was performed to evaluate the presence of leaks. RESULTS: Two patients in Group 1 had bleeding and clot retention after having the catheter taken out in the seventh postoperative day and were managed by putting the catheter back in for 7 more days. Two patients in Group 2 developed bladder neck stricture and were treated by bladder neck incision with success. The continence rate was the same, with 2 cases of incontinence in each group. About 2 pads a day were used by the patients with incontinence. The average follow-up was 17.5 months (12-36 months). No urinary fistula, urinoma, or pelvic abscesses developed after catheter removal. Two patients were excluded from the analysis of this series: 1 died with a pulmonary embolus in the third postoperative day, and 1 developed a urinary suprapubic fistula before catheter withdrawal, which was maintained for 16 days. CONCLUSION: Withdrawal of the urethral catheter 7 days after radical retropubic prostatectomy, without performing cystography, has a low rate of short-term complications that are equivalent to withdrawal 14 days after the surgery.

Geological control of Podocnemis expansa and Podocnemis unifilis nesting areas in Rio Javaés, Bananal Island, Brazil

The distribution of the nests of Podocnemis expansa (Amazon turtle) and Podocnemis unifilis (yellow-spotted side neck turtle) along the point bars of the Javaés River in Bananal Island, demonstrates a clear preference of these chelonians for differentiated geological environments, in respect to the morphology, grain size or height of the nests in relation to the level of the river. The topographical distribution and the differences in the grain size of the sediments that compose the point bars of the river, originated from the multiple sedimentary processes, and make possible the creation and separation of different nesting environments. Each turtle species takes advantage of the place that presents physiographic characteristics appropriate to the hatching success of their eggs. The superposition of the P. expansa and P. unifilis nest placement areas is rare. The P. expansa nests are concentrated on the central portion of the beaches where successive depositional sedimentary events produced sandy banks more than 3.3 m above the river water level. The P. unifilis nests are distributed preferentially in the upstream and downstream portions along the point bars where the sandy deposits rarely surpass 1.5 m at the moment of laying. P. expansa nests located on the beaches of fine to medium sized sand hatch in a mean of 68 days, while those incubated on beaches of medium to coarse sand size take a mean of 54 days to hatch.

Predation of bat (Molossus molossus: Molossidae) by the centipede Scolopendra viridicornis (Scolopendridae) in Southern Amazonia

Centipedes are opportunistic carnivore predators, and large species can feed on a wide variety of vertebrates, including bats. The aim of this study was to report the third record of bat predation by centipedes worldwide, the first record in the Amazon region, while covering aspects of foraging, capture and handling of prey. We observed the occurence in a fortuitous encounter at Cristalino State Park, located in the Amazon region of the state of Mato Grosso, Brazil. The attack took place in a small wooden structure, at about three meters from the floor, and was observed for 20 minutes. During the observation, the centipede stung the neck and abdominal region of the bat several times, grabbing the prey with its 15 pairs of front legs while hanging from the ceiling with its hind legs. This type of observation suggests that vertebrates can be important preys for invertebrates such as giant centipedes, both for its nutritional composition and for the amount of energy available in a single prey.

Risk Factors for Cardiovascular Disease, Metabolic Syndrome and Sleepiness in Truck Drivers

Abstract Background: Truck driver sleepiness is a primary cause of vehicle accidents. Several causes are associated with sleepiness in truck drivers. Obesity and metabolic syndrome (MetS) are associated with sleep disorders and with primary risk factors for cardiovascular diseases (CVD). We analyzed the relationship between these conditions and prevalence of sleepiness in truck drivers. Methods: We analyzed the major risk factors for CVD, anthropometric data and sleep disorders in 2228 male truck drivers from 148 road stops made by the Federal Highway Police from 2006 to 2011. Alcohol consumption, illicit drugs and overtime working hours were also analyzed. Sleepiness was assessed using the Epworth Sleepiness Scale. Results: Mean age was 43.1 ± 10.8 years. From 2006 to 2011, an increase in neck (p = 0.011) and abdominal circumference (p < 0.001), total cholesterol (p < 0.001), triglyceride plasma levels (p = 0.014), and sleepiness was observed (p < 0.001). In addition, a reduction in hypertension (39.6% to 25.9%, p < 0.001), alcohol consumption (32% to 23%, p = 0.033) and overtime hours (52.2% to 42.8%, p < 0.001) was found. Linear regression analysis showed that sleepiness correlated closely with body mass index (β = 0.19, Raj2 = 0.659, p = 0.031), abdominal circumference (β = 0.24, Raj2 = 0.826, p = 0.021), hypertension (β = -0.62, Raj2 = 0.901, p = 0.002), and triglycerides (β = 0.34, Raj2 = 0.936, p = 0.022). Linear multiple regression indicated that hypertension (p = 0.008) and abdominal circumference (p = 0.025) are independent variables for sleepiness. Conclusions: Increased prevalence of sleepiness was associated with major components of the MetS.

Raça de galinhas "piracicaba" I: hereditariedade dos caracteres pescoço pelado e plumagem preta

The characters naked neck and black plumage proved to be due to single genes in a group of chicks growing at the Poultry Department of "Luiz de Queiroz" School of Agriculture, Piracicaba, Brasil. The two characters segregate independently and the animals with known genetical constitution will be used in the formation of a local breed.

Raça de galinha "P P P P" (Pescoço Pelado Preta Piracicaba) III - Efeitos da consanguinidade

Four years of inbreeding and its effects on fertility, hatchability, viability and egg production in the new bred "PPPP" (Pescoço Pelado Preta Piracicaba) (naked neck and black plumage, Piracicaba) were reported in this paper. It was observed a decrease in fertility, hatchability, viability and egg production as the inbreeding increases. The black plumage naked neck homozygozous chickens are now submitted to a system of uncontrolled mating in the hope that the natural selection will reduce some of the undesirable factors providing abundant material for pedigree control.

Nota sôbre o gênero Mononchus de nematódeos predadores

Seven species of the nematode genus Mononchus Bastian, 1865, were found in the State of São Paulo, Brazil. Such are: M. subsimilis Cobb, 1917; M. ibitiensis Carvalho, 1951; M. piracicabae Lordello, 1953; M. risoceiae Carvalho, 1955; M. soutoi Carvalho, 1956; M. coronatus Carvalho, 1956; and M. jairi n. sp. Outside the State, the following species have been found: M. papillatus (Bastian, 1865) Cobb, 1916; M. monhystera Cobb, 1917; M. muscorum (Dujardin, 1845) Cobb, 1916; M. gymnolaimus (Cobb, 1893) Cobb, 1916; M. consimilis Cobb, 1917; M. trichurus Cobb, 1917; M. reversus Cobb, 1917; and M. dentatus Cobb, 1917 (LORDELLO, 1953). This field of investigation has scarcely been touched and additional collections will doubtless add new forms to the number of species known as yet. M. jairi n. sp. most closely resembling species is M. monhystera Cobb, 1917, from which it differs in having: a) labial region more expanded, set off from neck by a broad shallow depression; b) anterior portion of the pharynx-wall rather thinner and directed outward; and, c) smaller dimensions (788.0-924.0: 1,100.0 micros).

Sobre um gênero e três espécies de nematóides da família Dorylaimidae

This paper deals with one genus and three species of dorylaimid nematodes found inhabiting soil in Brazil, as follows: Eudorylaimus ibiti Lordello, 1965. Closely resembling E. ibiti are E. humilis (Thorne & Swanger, 1936) Andrássy, 1959, E. diadematus (Cobb, 1936) Andrássy, 1959, and E. santosi (Meyl, 1957) Andrássy, 1959. it differs from E. humilis in the following aspects: a) longer and thicker body (1,126.0-1,520.8: 1,000 microns; a=21.0-26.0 : a= 31); b) less prominent lips; and, c) tail terminus decidedly acute; differs from E. diadematus in having: a) less prominent lips; b) posterior region of body ventrally concave; and, c) a different organization in the walls of the pre-rectum; differs from E. santosi in having: a) longer body (1,126.0-1,520.8 : 900-1,000 microns); b) spear with undiscernible aperture; c) a different organization in the guiding-ring of spear; and, d) caudal papillae closer together and located in front of the middle of the tail. Mesodorylaymus pizai Lordello, 1965. M. pizai most closely resembling species is M. mesonyctius (Kreis, 1930) Andrássy, 1959, from which it differs in having: a) lip region amalgamated, continuous with neck contour (lateral view); b) males with 11-12 supplements; and, c) females with longitudinal vulva. Metaporcelaimus Lordello, 1965. This genus differs from Aporcelaimus Thorne & Swanger, 1936, in having oesophagus made up of three regions, a cardia like structure being seen between the posterior and middle parts. Type species: M.mombucae Lordello, 1965.

Ganglioneuroma da região cervical

A case of ganglioneuroma in the neck of a girl sixteen years old first noticed at the age of fifteen months is reported. The tumor successfully removed at operation has the size of an orange and is in relation by its internal surface with the trachea, oesophagus and vertebral column. Anteriorly it is crossed by the left common carotid and internal jugular vein which are meanwhile dissociated. Although this suggests an origin from the pneumogastric nerve no convincing proof of such an origin was obtained.

A new species of Amphisbaena from the state of Amazonas, Brasil (Reptilia, Amphisbaenia, Amphisbaenidae)

Amphisbaena hugoi, sp. n., from the site of the Balbina hydroelectric dam, in the state of Amazonas (01º53'S, 59º28'W), is sufficiently characterized by having (one specimen known): 4 preanal pores; 225 body annuli; 36 tail annuli, with autotomy constriction on the 13th annulus, 16 dorsal and 18 ventral segments to a midbody annulus; body color patter a brown back and a white belly, clearly demarcated, anteriorly at the level of the lateral sulcus, posteriorly one and then two scales below it, with a thin light line on the lateral sulcus, a white cap on the head, dorsally extending onto the neck; autotomy annulus ventrally brown-colored.

Recent advances in pharmacologic study of natural anticancer agents in China

In this paper a number of anticancer agents of natural origin will be presented. Hydroxycamtothecin (HCPT) was found to produce a strong inhibitory action on a variety of animal tumors. It is also effective for treatment of patients with gastric carcinoma, liver carcinoma, tumor of head and neck or leukemia. Pharmacologic studies showed that it could depress S phase of tumor cells significantly and cause formation of cellular chromatid breaks. By means of alkaline elution and nick translation methods it has been proved that HCPT induced DNA singlo strand breaks remarkably. Homoharringyonine (hhrt) was shown to be effective against acute leukemia. Recent experiments in tumor-bearing mice inidcated that (HHRT) could diminish tumor metastasis. Using molecular hybridization technique it was demonstrated that (HHRT) decreased the content of c-myc RNA in the cytoplasm but not in the nuclei. Lycobetaine (LBT) poddrddrf dytnh inhibitory effects on a number of ascites tumors. In clinical trials it was against ovarian and gastric carcinomas. It is able to intercalate into DNA. Oxalysine (OXL) is a new antibiotic and shown to be effective against tumor metastatis. When used in combination with 5-FU, its anticancer action could be enhanced. Other natural compounds such as indirubin, ß-elemene, irisquinone, oridonine, norcantharidin and PSP have been also found to possess antitumor action.

The role of the New Trauma and Injury Severity Score (NTRISS) for survival prediction

The objective of this study was to verify if replacing the Injury Severity Score (ISS) by the New Injury Severity Score (NISS) in the original Trauma and Injury Severity Score (TRISS) form would improve the survival rate estimation. This retrospective study was performed in a level I trauma center during one year. ROC curve was used to identify the best indicator (TRISS or NTRISS) for survival probability prediction. Participants were 533 victims, with a mean age of 38±16 years. There was predominance of motor vehicle accidents (61.9%). External injuries were more frequent (63.0%), followed by head/neck injuries (55.5%). Survival rate was 76.9%. There is predominance of ISS scores ranging from 9-15 (40.0%), and NISS scores ranging from 16-24 (25.5%). Survival probability equal to or greater than 75.0% was obtained for 83.4% of the victims according to TRISS, and for 78.4% according to NTRISS. The new version (NTRISS) is better than TRISS for survival prediction in trauma patients.

Usage of Calendula officinalis in the prevention and treatment of radiodermatitis: a randomized double-blind controlled clinical trial

OBJECTIVE To evaluate the efficacy of Calendula officinalis in relation to Essential Fatty Acids for the prevention and treatment of radiodermatitis. METHOD This is a randomized double-blind controlled clinical trial with 51 patients with head and neck cancer in radiotherapy treatment divided into two groups: control (27) and experimental (24). RESULTS There is statistically significant evidence (p-value = 0.0120) that the proportion of radiodermatitis grade 2 in Essential Fatty Acids group is higher than Calendula group. Through the Kaplan-Meier survival curve we observed that Essential Fatty Acids group has always remained below the Calendula group survival curve, due to the lower risk of developing radiodermatitis grade 1, which makes the usage of Calendula more effective, with statistical significance (p-value = 0.00402). CONCLUSION Calendula showed better therapeutic response than the Essential Fatty Acids in the prevention and treatment of radiodermatitis. Brazilian Registry of Clinical Trials: RBR-237v4b.