Review of the efficacy and safety of cryoablation for the treatment of small renal masses

Purpose: Small renal masses are increasingly being discovered incidentally on imaging for another reason. The standard of care of these masses involves excision by open or laparoscopic techniques. Recently, ablative techniques, such as radiofrequency ablation (RFA) and cryoablation, have taken a more prominent role in the treatment algorithm of these masses. We evaluate the effectiveness and safety of cryoablation to treat renal tumours. Methods: A review of the literature was conducted. There was no language restriction. Studies were obtained from the following sources: the Cochrane Library, PUBMED, EMBASE and LILACS. Results: There was no clinical trial identified in the literature. Thus, we described the results from 23 case series and retrospective studies with a reasonable sample size (number of reported patients in each study ≥30), with a total of 2104 analyzed tumours from 2038 patients. There was wide variability in the outcomes reported, but success rates were generally good. Follow-up was generally short, but some series reported outcomes at 5 years. The most common complications reported were hemorrhage (some of the patients requiring transfusion), perinephric hematoma and urine leaks. Conclusion: Cryoablation presents a feasible treatment for patients with small renal masses. Only short-term data are available and, as such, meaningful conclusions regarding long-term cancer control cannot be made. More rigorous studies are needed. © 2013 Canadian Urological Association.

Sequential Sampling Plan for Tenuipalpus heveae Baker (Acari: Tenuipalpidae) on Rubber Tree

The objective of the present study was to develop a sequential sampling plan for the decision-making process to control Tenuipalpus heveae Baker (Acari: Tenuipalpidae), an important pest of the rubber tree crop. The experimental area was represented by 1,000 plants of the RRIM 600 clone divided in 100 plots with 10 plants each. Leaves were collected and the number of mites determined under laboratory conditions. The sequential sampling plan was developed in accordance with the Sequential Test Likelihood Ratio. The value 0.10 was pre-established for α and β representing type I and type II errors, respectively. The level of control adopted was six mites per 12 cm2. The operating characteristic curve and the curve of maximum expected sample were determined. Two lines were generated: the upper one, when the condition for chemical control is recommended (S1 = 23.3080 + 2.1972); and the lower, when chemical control is not recommended (S0 = -23.3080 + 2.1972). Sample size for the decision-making process to control T. heveae requires 6 to 18 plants. © 2013 Sociedade Entomológica do Brasil.

Estudo do perfil metabólico em crianças com distúrbios respiratórios obstrutivos do sono

Pós-graduação em Bases Gerais da Cirurgia - FMB

Estudo do comportamento reológico de suspensões argilosas da Formação Corumbataí

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Absorção de água, germinação e dormência de sementes de mucuna preta

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Efeito do tempo de irradiação sobre a efetividade da desinfecção em microondas de uma resina para reembasamento

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Regressão Simplex aplicada a delineamentos de mistura e utilização do Algoritmo Boosting

In the composition of this work are present two parts. The first part contains the theory used. The second part contains the two articles. The first article examines two models of the class of generalized linear models for analyzing a mixture experiment, which studied the effect of different diets consist of fat, carbohydrate, and fiber on tumor expression in mammary glands of female rats, given by the ratio mice that had tumor expression in a particular diet. Mixture experiments are characterized by having the effect of collinearity and smaller sample size. In this sense, assuming normality for the answer to be maximized or minimized may be inadequate. Given this fact, the main characteristics of logistic regression and simplex models are addressed. The models were compared by the criteria of selection of models AIC, BIC and ICOMP, simulated envelope charts for residuals of adjusted models, odds ratios graphics and their respective confidence intervals for each mixture component. It was concluded that first article that the simplex regression model showed better quality of fit and narrowest confidence intervals for odds ratio. The second article presents the model Boosted Simplex Regression, the boosting version of the simplex regression model, as an alternative to increase the precision of confidence intervals for the odds ratio for each mixture component. For this, we used the Monte Carlo method for the construction of confidence intervals. Moreover, it is presented in an innovative way the envelope simulated chart for residuals of the adjusted model via boosting algorithm. It was concluded that the Boosted Simplex Regression model was adjusted successfully and confidence intervals for the odds ratio were accurate and lightly more precise than the its maximum likelihood version.

Distribuição espacial e plano de amostragem seqüencial de ácaros fitófagos na cultura da seringueira [Hevea brasiliensis (Wild. Ex Adr. de Juss.) Müell.Arg.]

Pós-graduação em Agronomia - FEIS

Síntese e caracterização da cerâmica 'Ti IND. x''('Sm IND. 0,2''Ce IND. 0,8') IND. (1-x)''O IND. (2-Б) para aplicação como anodo em células a combustível de óxido sólido

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Ferrita de bário: preparação de fases dopadas com cobalto, titânio e estanho

Pós-graduação em Química - IQ

Resposta pressórica, hormonal e vascular ao treinamento físico aeróbico supervisionado em hipertensos essenciais não medicados

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Prevalência e aspectos clínicos de doenças gengivais de origem imune e influência da placa bacteriana na melhora dos sinais e sintomas de lesões gengivais de líquen plano bucal

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Partículas magnéticas: ferrita de ítrio 'Y IND. 3''FE IND. 5''O IND. 12' (YIG) recoberta com sílica ('SIO IND. 2')

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Independência funcional de idosos no pós-operatório de cirurgia de fêmur proximal: papel do cuidador

Pós-graduação em Saúde Coletiva - FMB

Influência do sistema cardiorrespiratório na capacidade funcional de exercício em gestantes com pré-eclâmpsia

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)