462 resultados para MACHO


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Pictures of the Watoto wa Lwanga project, the efforts of the Brothers of St. Charles Lwanga not only to rehabilitate Nairobi's street children, but to prevent slum children from ending up in the streets. Features life in the slums, the situation of the street children, the efforts of the social workers to involve the children's parents, the various reception centers, the vocational school, the Boy's Town Ruai Residential School, the community of the Brothers of St. Charles Lwanga as well as interviews with former street children and with various directors and benefactors of the project.

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Para el estudio de la gametogénesis, escala de madurez y estimación de la talla de primera madurez gonadal de “navaja” Tagelus dombeii, las muestras procedieron de las zonas Caleta de Parachique y Las Delicias, y fueron colectadas a bordo de embarcaciones marisqueras por buzos artesanales, durante Enero – Diciembre del año 2009. La zona para tomar las muestras comprendieron desde los grados 05º 40' 33.3'' (LS) hasta 05º 49' 21.8'' (LS). En el estudio de la gametogénesis, se observó que los ovarios presentaron tres tipos de ovocitos: ovocito inmaduro (OI), ovocito en maduración (OEM) y ovocito maduro (OM), además del ovocito atrésico (OA) para las hembras, mientras que para los machos las células sexuales encontradas fueron: espermatogonio = SG, espermatocito = SC y espermatozoide = SP. La escala microscópica de madurez gonadal para “navaja” T. dombeii fue establecida con seis estadios, siendo estos: Virginal = 0, Reposo = I, En Maduración = II, Maduro =III, Desovante/Expulsante = IV y Recuperación = V. Así mismo, se estableció, que la talla de primera madurez gonadal es de 61 mm de longitud total (LT) para las hembras y 58 mm para machos, obteniendo un promedio de 58 mm LT. Mientras que la talla de primer desove/expulsión fue de: 67 mm (LT) para hembras y 66 mm LT para machos siendo promedio para ambos sexos de 66 mm LT. Además, se reporta la capacidad de T. dombeii de cambiar el sexo de hembra a macho (hermafroditismo protógino).

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Since 1999 Colombia has experienced dramatic increases in emigration, particularly the emigration of women towards the U.S. as fiancées of U.S. citizens or residents. Parallel to this trend is the increased number of websites facilitating these Colombian-American matches. This dissertation investigates the agency of Colombian women and American men who pursue romantic courtship through the services of International Marriage Brokers (IMBs) from the “Gendered Geographies of Power” (GGP) framework of analysis. It examines how both groups’ social locations, their positioning in multiple axes of differentiation including gender, nationality and social class, affects how and why they exert their agency across and within different geographic scales. Most importantly, it investigates the role the imagination plays (imagination work) in both men and women’s agency, an aspect of the GGP framework that has been under-researched and theorized to date. The research also finds that this imagination work is promoted and cultivated in deeply gendered ways by IMBs seeking to profit off this transnational courtship. ^ Employing data collected via interviews and content analysis of IMBs’ websites, the dissertation analyzes comparatively the expectations each group (women, men and IMBs) bring to their imagination work and experiences of the courtship marketplace. A central question posed and answered in the dissertation is “What do women and men courting each other in cyberspace seek and do they find it?” The dissertation finds that the men seek “traditional” women and the women seek “liberated” less “macho” men. Ironically, the men find Colombian women who are among the most “liberated” women in their homeland but who downplay this aspect of themselves in order to strategically find a more modern man and migrate abroad where they expect to find greater personal and professional opportunities.^

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Since 1999 Colombia has experienced dramatic increases in emigration, particularly the emigration of women towards the U.S. as fiancées of U.S. citizens or residents. Parallel to this trend is the increased number of websites facilitating these Colombian-American matches. This dissertation investigates the agency of Colombian women and American men who pursue romantic courtship through the services of International Marriage Brokers (IMBs) from the “Gendered Geographies of Power” (GGP) framework of analysis. It examines how both groups’ social locations, their positioning in multiple axes of differentiation including gender, nationality and social class, affects how and why they exert their agency across and within different geographic scales. Most importantly, it investigates the role the imagination plays (imagination work) in both men and women’s agency, an aspect of the GGP framework that has been under-researched and theorized to date. The research also finds that this imagination work is promoted and cultivated in deeply gendered ways by IMBs seeking to profit off this transnational courtship. Employing data collected via interviews and content analysis of IMBs’ websites, the dissertation analyzes comparatively the expectations each group (women, men and IMBs) bring to their imagination work and experiences of the courtship marketplace. A central question posed and answered in the dissertation is “What do women and men courting each other in cyberspace seek and do they find it?” The dissertation finds that the men seek “traditional” women and the women seek “liberated” less “macho” men. Ironically, the men find Colombian women who are among the most “liberated” women in their homeland but who downplay this aspect of themselves in order to strategically find a more modern man and migrate abroad where they expect to find greater personal and professional opportunities.

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The Amazon savannas occur as isolated patches throughout extensive areas of forest in the states of Amapá, Amazonas, Pará, and Roraima. There is a considerable variation in the composition of anuran assemblages in the localities and phytophysiognomies of Amazon savannas and given the absence of studies on reproductive behavior, a systematic and geographically wide sampling has been carried out in the Amapá savanna, located in the Eastern Amazon. The study was conducted in a savanna area in the state of Amapá to examine the composition, ecology, and reproductive behavior of anuran amphibians. We carried out 24 field trips in each phytophysiognomy (gramineous-woody savana, gramineous-herbaceous-woody savana, park savana, and arboreal savanna); for analysis of reproductive behavior observations were made during the period January to December 2013, lasting four consecutive days. Samples were collected by active and acoustic search along 20 plots of 100x50 meters. Twenty-one anuran species were recorded, of which four are new records for the state of Amapá: Dendropsophus walfordi, Scinax fuscomarginatus, Pseudopaludicola boliviana e Elachistocleis helianneae. The KruskalWallis ANOVA revealed significant differences between richness and species diversity in the phytophysiognomies (p < 0.05). The Bray-Curtis similarity coefficient divided the phytophysiognomies into three groups: arboreal savana, gramineous-woody savanna and gramineous-herbaceous-woody savanna, and park savanna. According to the non-metric multidimensional scaling, the structure of the anuran community resulted in a separation into three phytophysiognomies, with significant differences in the structure of communities (ANOSIM, R = 0.823; p < 0.001). In the study of community ecology, the results obtained for spatial, temporal, and trophic niche breadth suggest that the assemblage of anurans of the Amapá savanna is not composed of predominantly generalist species. Also, the presence of other specialist anurans may explain the processes of speciation associated with the isolation of habitats, resulting in heterogeneity and spatial discontinuity in the phytophysiognomies with open formations. The null model analysis revealed that the community is structured based on temporal and trophic niche, indicating a significant influence of contemporary ecological factors on the assemblage. The absence of structure based on spatial niche might be explained by the spatial segregation in the distribution and occupation of anurans in the different phytophysiognomies of the Amapá savanna. Regarding the reproductive behavior of anurans, 11 species were classified as having a long breeding season, intrinsically associated with the rainy season and the reproductive mode of most species that lay egg clutches in lentic water bodies. Six reproductive modes were recorded and parental care was observed in Leptodactylus macrosternum and L. podicipinus, whose reproductive mode is characterized by foam nests. Regarding behavioral reproductive strategies, calling males were observed in all species of anurans, satellite males were recorded only for D. walfordi, Hypsiboas multifasciatus, S. nebulosus and S. fuscomarginatus; active search for females was observed for Phyllomedusa hypochondrialis and L. fuscus, and male displacement was recorded only for Rhinella major and R. margaritifera. Of the reproductive behaviors observed, throat and vocal sac display is associated with courtship and territorial behavior exhibited by males. In addition to courtship behavior, visual signals associated with courtship strategies were recorded for the anurans of the Amapá savanna.

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Duas espécies de borboletas miméticas Heliconius erato e Heliconius melpomene apresentam coloração similar. Tal similaridade pode atuar confundindo o reconhecimento de seus co-específicos no momento da escolha de parceiros sexuais. As duas espécies possuem um conjunto de variações sutis na cor de suas asas que são compartilhadas por ambas espécies, como os pontos vermelhos encontrados acima da faixa amarela. Em H. erato variações na cor de suas asas são exclusivas da espécie como os red raylets e pontos amarelos na região distal da asa posterior. Acredita-se que tais variações fenotípicas auxiliem no reconhecimento de seus co-específicos, para tanto, o presente estudo tem por intuito verificar se as duas espécies envolvidas na análise reconhecem seus co-específicos. Experimentos com modelos que contemplaram variações sutis foram montados e apresentados aos machos de H. erato e H. melpomene. Em cada experimento foi verificado a probabilidade relativa de aproximação do macho ao modelo. O teste de likelihood indicou que as diferenças sutis encontradas nos padrões de asas de H. erato e H. melpomene podem atuar como pistas de reconhecimento de indivíduos da mesma espécie. Sendo que a espécie H. erato pode ser considerada um discriminador mais refinado no reconhecimento, e ambas as espécies selecionaram modelos que possuem variações médias, indicando seleção normalizadora para a escolha do padrão de asa. Podemos concluir, que a cor e, principalmente, os padrões sutis na variação da cor são utilizados como um sinal usado por borboletas no reconhecimento de seus co-específicos.

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The study of birds represents an important tool for the understanding of the processes involved in behavioral and morphological patterns. The species we have studied belongs to Thamnophilidae family, the third largest family restricted to the Neotropic ecozone. They are popularly known as antbirds and comprise 209 species. A large portion of the species has cryptic behavior, making the acoustic communication an important tool for maintaining contact among birds. Herpsilochmus pectoralis Sclater 1857 has evident sexual dimorphism, measured between 10 and 12 cm height and it is found in forest fragments in the Northeast and it is also categorized as vulnerable to extinction process. This study was conducted in three sandbank fragments on the east coast of the state of Rio Grande do Norte, Brazil. With the help of tape recordings between 2006 and 2012 it was possible to describe and characterize the sing of H. pectoralis. The sing from male birds has more and longer length than the female sing (16% of dimorphism). No differences were found in the dominant frequency between the sexes. We describe four types of calls from this species repertoire. Through capturing with ornithological nets between 2009 and 2012 it was possible to describe and compare the morphology of H. pectoralis. The species have shown lower corporal mass in the dry season. The young birds showed morphometric similarities in comparison to adults. The species has no accentuated dimorphism in their morphometric characteristics. The young ones with flying capabilities have morphometric characteristics of adults, even though they do not show a characteristic adult plumage. The moult pattern in the species is a characteristic of tropical birds, but it shows short reproductive period, typical of temperate species. Even being in the tropical region, the species suffers with seasonal rainfall, which influences their reproductive phenology and moult (remex and rectrix) cycle. Thus, this dissertation provides information on the biology of H. pectoralis to support the understanding of the relationship of this species to the environment and also to know the variations of morphology and vocal aspects, in order to understand patterns and general characteristics of Thamnophilidae.

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In marmosets, it was observed that the synchrony among circadian activity profiles of animals that cohabite in family groups is stronger than those of the same sex and age of different families. Inside the group, it is stronger between the younger ones than between them and their parents. However, the mechanisms involved in the social synchrony are unknown. With the aim to investigate the synchronization mechanisms involved in the synchrony between the circadian activity profiles during cohabitation in pairs of marmosets, the motor activity was continuously registered by the use of actmeters on three dyads. The pairs were maintained in two different conditions of illumination: light-dark cycle LD 12:12 (LD cohabitation I – 21 days), and thereafter in LL (~350 lux). Under LL, the pairs were submitted to four experimental situations: 1. Cohabitation (LLJ I – 24 days), 2. Removal of one member of the pair to another room with similar conditions (LLS I – 20 days), 3. Reintroduction of the separated member in the cage of the first situation (LLJ II – 30 days) and 4. Removal of a member from each pair to another experimental room (LLS II – 7 days), to evaluate the mechanisms of synchronization. Ultimately, the members of each pair were reintroduced in the cage and were kept in LD cycle 12:12 (LDJ II – 11 days). The rhythms of pairs free-ran in LL, with identical periods between the members of each pair during the two stages of cohabitation. In the stages in which the animals were separated, only the rhythms of two females free-ran in the first stage and of three animals in the second one. In those conditions, the rhythms of animals of each pair showed different endogenous periods. Besides, during cohabitation in LD and LL, the members of each pair showed a stable phase relationship in the beginning of the active phase, while in the stages in which the animals were separated it was noticed a breaking in the stability in the phase relationships between the circadian activity profiles, with an increase in the difference in the phase angles between them. During cohabitation, at the transition between LD and LL, all animals showed free-running rhythms anticipating progressively the beginning and the end of the active phase in a phase similar to the previous condition, showing signs of entrainment to the previous LD. While in the posterior stages this was observed in only three animals between: LLT I and LLS I, and LLT II and LLS II, evidencing signs of entrainment to social cues between the members of each pair. On the other hand, one animal delayed progressively between LLT I and LLS I, three animals delayed between LLS I and LLT II, and three animals between LLT II and LLS II, perhaps by entrainment to the animals maintained outdoors in the colony. Similar process was observed in four animals between LLS II and LDT II, indicating entrainment to LD. In the transition between LLS I and LLT II, signs of masking was observed in the rhythm of a female in response to the male and in another pair in the rhythm of the male in regard to that of the female. The general and maximum correlations in the circadian activity profiles were stronger during cohabitation in LD and LL than in the absence of social contact in LL, evidencing the social effect. The cohabiting pairs had higher values of the maximum correlation in LD and LL than when the profiles were correlated to animals of different cages, with same or different sexes. Similar results were observed in the general correlation. Therefore, it is suggested that cohabitation induces a strong synchrony between circadian activity profiles in marmosets, which involves entrainment and masking. Nevertheless, additional studies are necessary to evaluate the effect of social cues on the synchronization of the circadian rhythm in pairs of marmosets in the absence of external social cues in order to confirm this hypothesis.

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Advanced age may become a limiting factor for the maintenance of rhythms in organisms, reducing the capacity of generation and synchronization of biological rhythms. In this study, the influence of aging on the expression of endogenous periodicity and synchronization (photic and social) of the circadian activity rhythm (CAR) was evaluated in a diurnal primate, the marmoset (Callithrix jacchus). This study had two approaches: one with longitudinal design, performed with a male marmoset in two different phases: adult (three years) and older (9 y.o.) (study 1) and the second, a transversal approach, with 6 old (♂: 9.7 ± 2.0 y.o.) and 11 adults animals (♂: 4.2 ± 0.8 y.o.) (study 2). The evaluation of the photic synchronization involved two conditions in LD (natural and artificial illuminations). In study 1, the animal was subjected to the following stages: LD (12:12 ~ 350: ~ 2 lx), LL (~ 350 lx) and LD resynchronization. In the second study, the animals were initially evaluated in natural LD, and then the same sequence stages of study 1. During the LL stage in study 2, the vocalizations of conspecifics kept in natural LD on the outside of the colony were considered temporal cue to the social synchronization. The record of the activity was performed automatically at intervals of five minutes through infrared sensor and actimeters, in studies 1 and 2, respectively. In general, the aged showed a more fragmented activity pattern (> IV < H and > PSD, ANOVA, p < 0.05), lower levels of activity (ANOVA, p < 0.05) and shorter duration of active phase (ANOVA, p < 0.05) in LD conditions, when compared to adults. In natural LD, the aged presented phase delay pronounced for onset and offset of active phase (ANOVA, p < 0.05), while the adults had the active phase more adjusted to light phase. Under artificial LD, there was phase advance and greater adjustment of onset and offset of activity in relation to the LD in the aged (ANOVA, p < 0.05). In LL, there was a positive correlation between age and the endogenous period () in the first 20 days (Spearman correlation, p < 0.05), with prolonged  held in two aged animals. In this condition, most adults showed free-running period of the circadian activity rhythm with  < 24 h for the first 30 days and later on relative coordination mediated by auditory cues. In study 2, the cross-correlation analysis between the activity profiles of the animals in LL with control animals kept under natural LD, found that there was less social synchronization in the aged. With the resubmission to the LD, the resynchronization rate was slower in the aged (t-test; p < 0.05) and in just one aged animal there was a loss of resynchronization capability. According to the data set, it is suggested that the aging in marmosets may be related to: 1) lower amplitude and greater fragmentation of the activity, accompanied to phase delay with extension of period, caused by changes in a photic input, in the generation and behavioral expression of the CAR; 2) lower capacity of the circadian activity rhythm to photic synchronization, that can become more robust in artificial lighting conditions, possibly due to the higher light intensities at the beginning of the active phase due to the abrupt transitions between the light and dark phases; and 3) smaller capacity of non-photic synchronization for auditory cues from conspecifics, possibly due to reducing sensory inputs and responsiveness of the circadian oscillators to auditory cues, what can make the aged marmoset most vulnerable, as these social cues may act as an important supporting factor for the photic synchronization.

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Advanced age may become a limiting factor for the maintenance of rhythms in organisms, reducing the capacity of generation and synchronization of biological rhythms. In this study, the influence of aging on the expression of endogenous periodicity and synchronization (photic and social) of the circadian activity rhythm (CAR) was evaluated in a diurnal primate, the marmoset (Callithrix jacchus). This study had two approaches: one with longitudinal design, performed with a male marmoset in two different phases: adult (three years) and older (9 y.o.) (study 1) and the second, a transversal approach, with 6 old (♂: 9.7 ± 2.0 y.o.) and 11 adults animals (♂: 4.2 ± 0.8 y.o.) (study 2). The evaluation of the photic synchronization involved two conditions in LD (natural and artificial illuminations). In study 1, the animal was subjected to the following stages: LD (12:12 ~ 350: ~ 2 lx), LL (~ 350 lx) and LD resynchronization. In the second study, the animals were initially evaluated in natural LD, and then the same sequence stages of study 1. During the LL stage in study 2, the vocalizations of conspecifics kept in natural LD on the outside of the colony were considered temporal cue to the social synchronization. The record of the activity was performed automatically at intervals of five minutes through infrared sensor and actimeters, in studies 1 and 2, respectively. In general, the aged showed a more fragmented activity pattern (> IV < H and > PSD, ANOVA, p < 0.05), lower levels of activity (ANOVA, p < 0.05) and shorter duration of active phase (ANOVA, p < 0.05) in LD conditions, when compared to adults. In natural LD, the aged presented phase delay pronounced for onset and offset of active phase (ANOVA, p < 0.05), while the adults had the active phase more adjusted to light phase. Under artificial LD, there was phase advance and greater adjustment of onset and offset of activity in relation to the LD in the aged (ANOVA, p < 0.05). In LL, there was a positive correlation between age and the endogenous period () in the first 20 days (Spearman correlation, p < 0.05), with prolonged  held in two aged animals. In this condition, most adults showed free-running period of the circadian activity rhythm with  < 24 h for the first 30 days and later on relative coordination mediated by auditory cues. In study 2, the cross-correlation analysis between the activity profiles of the animals in LL with control animals kept under natural LD, found that there was less social synchronization in the aged. With the resubmission to the LD, the resynchronization rate was slower in the aged (t-test; p < 0.05) and in just one aged animal there was a loss of resynchronization capability. According to the data set, it is suggested that the aging in marmosets may be related to: 1) lower amplitude and greater fragmentation of the activity, accompanied to phase delay with extension of period, caused by changes in a photic input, in the generation and behavioral expression of the CAR; 2) lower capacity of the circadian activity rhythm to photic synchronization, that can become more robust in artificial lighting conditions, possibly due to the higher light intensities at the beginning of the active phase due to the abrupt transitions between the light and dark phases; and 3) smaller capacity of non-photic synchronization for auditory cues from conspecifics, possibly due to reducing sensory inputs and responsiveness of the circadian oscillators to auditory cues, what can make the aged marmoset most vulnerable, as these social cues may act as an important supporting factor for the photic synchronization.

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Cada indivíduo apresenta uma respostas comportamental diferente diante de um desafio ambiental, muitas vezes mesmo quando comparado a outro indivíduo da mesma espécie, sexo e idade, essas diferenças são chamadas tipos comportamentais e quando consistentes ao longo do tempo caracterizam uma síndrome comportamental ou personalidade animal. Evidências apontam que a personalidade animal pode interferir na aptidão reprodutiva do indivíduo. Tendo isso em vista, no presente estudo machos e fêmeas adultos de Betta splendens foram observados em três contextos (exploratório, social e avaliação de risco), para identificar a existência de tipos comportamentais e diferenças entre os sexos nos tipos comportamentais nessa espécie. Os indivíduos foram classificados em três níveis em cada contexto: contexto social (social; intermediário e não-social), contexto exploratório (explorador, intermediário e não-explorador) e avaliação de risco (bold, intermediário e shy). Após essa classificação, machos sociais e nãosociais, exploradores e não-exploradores de coloração vermelha e azul foram utilizados no experimento de escolha de parceiro pelas fêmeas. Nossos resultados apontam que a maioria dos indivíduos testados possui fenótipos intermediários para os três contextos avaliados, e uma minoria de machos e fêmeas apresentaram tipos comportamentais. E a análise de correlação mostra que machos e fêmeas se comportaram de modo diferente em relação aos contextos. No experimento de escolha de parceiro, os resultados mostram que os tipos comportamentais da fêmea e do macho influenciam no processo de escolha de parceiro e que, mesmo na presença de pistas visuais (coloração corporal dos machos), o tipo comportamental continua sendo importante no processo de escolha.

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Cada indivíduo apresenta uma respostas comportamental diferente diante de um desafio ambiental, muitas vezes mesmo quando comparado a outro indivíduo da mesma espécie, sexo e idade, essas diferenças são chamadas tipos comportamentais e quando consistentes ao longo do tempo caracterizam uma síndrome comportamental ou personalidade animal. Evidências apontam que a personalidade animal pode interferir na aptidão reprodutiva do indivíduo. Tendo isso em vista, no presente estudo machos e fêmeas adultos de Betta splendens foram observados em três contextos (exploratório, social e avaliação de risco), para identificar a existência de tipos comportamentais e diferenças entre os sexos nos tipos comportamentais nessa espécie. Os indivíduos foram classificados em três níveis em cada contexto: contexto social (social; intermediário e não-social), contexto exploratório (explorador, intermediário e não-explorador) e avaliação de risco (bold, intermediário e shy). Após essa classificação, machos sociais e nãosociais, exploradores e não-exploradores de coloração vermelha e azul foram utilizados no experimento de escolha de parceiro pelas fêmeas. Nossos resultados apontam que a maioria dos indivíduos testados possui fenótipos intermediários para os três contextos avaliados, e uma minoria de machos e fêmeas apresentaram tipos comportamentais. E a análise de correlação mostra que machos e fêmeas se comportaram de modo diferente em relação aos contextos. No experimento de escolha de parceiro, os resultados mostram que os tipos comportamentais da fêmea e do macho influenciam no processo de escolha de parceiro e que, mesmo na presença de pistas visuais (coloração corporal dos machos), o tipo comportamental continua sendo importante no processo de escolha.

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La hernia perineal es una patología que se presenta en el macho de la especie canina de forma casi exclusiva, apareciendo de forma muy esporádica en la hembra y el gato, pero no se presenta en las otras especies domésticas. Se ha descrito en la especie humana sobre todo asociada a cirugías agresivas del abdomen caudal y siempre en relación a trastornos del suelo pélvico. En el perro la hernia perineal se produce por un fallo del diafragma pélvico, en el que destaca la atrofia y a veces la total desaparición del M. elevador de ano de forma uni- o bilateral. La debilidad-ausencia-desaparición de este músculo conduce a un posicionamiento más caudal de todos los órganos contenidos en el canal pélvico, vejiga, próstata, uretra post prostática, grasa periprostática y recto. Aparece en un rango muy amplio de edades aunque su tendencia más frecuente es alrededor de los 7-8 años de edad. Las manifestaciones clínicas de la hernia varían en función de la gravedad y antigüedad del proceso; el síntoma más frecuente es el estreñimiento y la deformación (tumefacción) de la fosa isquiática, pero se han descrito también la diarrea paradójica, vómitos y hasta la anuria obstructiva. La etiología de la hernia perineal esta poco clara, aunque existen diferentes hipótesis relacionadas con fenómenos que producen estreñimiento como hipertrofia prostática, o la existencia de quistes prostáticos y/o paraprostáticos. También se ha relacionado con saculitis o con la existencia de hernias inguinales. Otras teorías han relacionado la hernia con trastornos hormonales, desequilibrios entre receptores de andrógenos/estrógenos. Recientemente se la ha relacionado con la producción de relaxina en los quistes prostáticos y por último se la ha relacionado con alteraciones neurológicas del plexo pudendo. Pero lo cierto es que los porcentajes de perros con enfermedad prostática son muy altos sobre todo a partir de los 7- 8 años de edad y la incidencia de la hernia es muy baja. Tampoco todos los animales que padecen la hernia tienen quistes prostáticos y existen muchos animales con grandes quistes que no la desarrollan. En resumen, esta afección parece ser multifactorial aunque la lesión es siempre la misma, la debilidad progresiva del diafragma y la falta de funcionalismo hace el resto. Respecto a la cirugía ofrece también dificultades, se han descrito varias técnicas y las que mejores resultados ofrecen son las basadas en la elevación del obturador interno. No obstante en ocasiones este músculo también se encuentra atrofiado y la restauración del plano anatómico no es todo lo sólida que se desearía por lo cual se añade a la elevación del obturador, la utilización de mallas de polipropileno, la sobreposición del m. glúteo caudal, del músculo semitendinoso o la fijación intrabdominal de la vejiga, colon y conductos deferentes. A pesar de todo las recidivas siguen presentándose, aunque cada vez en menor porcentaje según las técnicas desarrolladas con posterioridad.