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.

Functional Redundancy and Complementarities of Seed Dispersal by the Last Neotropical Megafrugivores

Background: Functional redundancy has been debated largely in ecology and conservation, yet we lack detailed empirical studies on the roles of functionally similar species in ecosystem function. Large bodied frugivores may disperse similar plant species and have strong impact on plant recruitment in tropical forests. The two largest frugivores in the neotropics, tapirs (Tapirus terrestris) and muriquis (Brachyteles arachnoides) are potential candidates for functional redundancy on seed dispersal effectiveness. Here we provide a comparison of the quantitative, qualitative and spatial effects on seed dispersal by these megafrugivores in a continuous Brazilian Atlantic forest. Methodology/Principal Findings: We found a low overlap of plant species dispersed by both muriquis and tapirs. A group of 35 muriquis occupied an area of 850 ha and dispersed 5 times more plant species, and 13 times more seeds than 22 tapirs living in the same area. Muriquis dispersed 2.4 times more seeds in any random position than tapirs. This can be explained mainly because seed deposition by muriquis leaves less empty space than tapirs. However, tapirs are able to disperse larger seeds than muriquis and move them into sites not reached by primates, such as large forest gaps, open areas and fragments nearby. Based on published information we found 302 plant species that are dispersed by at least one of these megafrugivores in the Brazilian Atlantic forest. Conclusions/Significance: Our study showed that both megafrugivores play complementary rather than redundant roles as seed dispersers. Although tapirs disperse fewer seeds and species than muriquis, they disperse larger-seeded species and in places not used by primates. The selective extinction of these megafrugivores will change the spatial seed rain they generate and may have negative effects on the recruitment of several plant species, particularly those with large seeds that have muriquis and tapirs as the last living seed dispersers. © 2013 Bueno et al.

Selective defaunation affects dung beetle communities in continuous Atlantic rainforest

Overhunting has caused severe decline or local extinction in many large-bodied mammals with direct consequences on plant regeneration, yet little is known about indirect impacts of selective defaunation on commensal species. Cascading effects of species extinction across dependent species groups are likely to occur in coprophagous beetles, because these invertebrates rely on mammal dung for food and nesting material. Both mammals and dung beetles provide important ecosystem services and cascading effects are likely to lead to rapid functional losses. In this study, we described changes in dung beetle communities across a gradient of selective defaunation in continuous Brazilian Atlantic rain forest. We compared the dung beetle assemblages in seven sites with different mammalian biomass and composition. The reduction in the mammalian biomass had a major effect on dung beetle communities by (1) increasing dung beetle abundance with decreasing overall mammal, primate and large mammal biomasses, (2) decreasing dung beetle species richness with decreasing overall mammal biomass and (3) decreasing dung beetle size with decreasing large mammal biomass. Moreover, our study demonstrated the importance of the composition of mammal communities in structuring dung beetle communities. This study documented how selective changes in mammalian biomass and composition affect dung beetle species communities, which in turn may have cascading consequences for the ecosystem. Since most of tropical ecosystems are facing dramatic changes in mammalian composition, it is urgent to evaluate the functional losses associated with such co-extinctions. © 2013 Elsevier Ltd.

Equine tendonitis therapy using mesenchymal stem cells and platelet concentrates: A randomized controlled trial

Introduction. Tendon injury is a major cause of lameness and decreased performance in athletic equines. Various therapies for tendonitis have been described; however, none of these therapies results in complete tissue regeneration, and the injury recurrence rate is high even after long recovery periods involving rest and physiotherapy. Methods. A lesion was induced with collagenase gel in the superficial digital flexor tendon in the center portion of the metacarpal region of eight equines of mixed breed. After two weeks, the lesions of the animals in the treated and control groups were treated through the intralesional administration of mesenchymal stem cells derived from adipose tissue (adMSCs) suspended in platelet concentrate (PC) and with phosphate buffered saline (PBS), respectively. Serial ultrasound analyses were performed every two weeks. After 16 weeks of therapy, a biopsy was performed for histopathological, immunohistochemical and gene expression (type I collagen (COL1A1), type III collagen (COL3A1), tenascin-C (TNC), tenomodulin (TNMD), and scleraxis (SCX)) analyses. Results: Differences in the ultrasound and histopathological analyses were observed between the groups. Improved results were reported in the group treated with adMSCs suspended in PC. There was no difference in the gene expression levels observed after the different treatments. The main results observed from the histopathological evaluation of the treated group were as follows: a prevention of the progression of the lesion, a greater organization of collagen fibers, and a decreased inflammatory infiltrate. A lack of progression of the lesion area and its percentage was observed in the ultrasound image, and increased blood flow was measured by Power Doppler. Conclusions: The use of adMSCs combined with PC for the therapy of experimentally induced tendonitis prevented the progression of the tendon lesion, as observed in the ultrasound examination, and resulted in a greater organization and decreased inflammation, as observed in the histopathological evaluation. These data demonstrate the therapeutic potential of this therapy for the treatment of equine tendonitis. © 2013 Carvalho et al.; licensee BioMed Central Ltd.

Clonagem e expressão da proteína E2 no vírus da hepatite C Humana: estudo da interação molecular E2-rLDL in vitro

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Análise proteômica diferencial de Trypanosoma cruzi na presença de substâncias extraídas de plantas da família piperaceae

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Avaliação do potencial tripanocida de substâncias extraídas da Família Piperaceae em formas epimastigotas de Trypanosoma cruzi

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

A contribuição do voto de autoexclusão na segurança transfusional

Pós-graduação em Pesquisa e Desenvolvimento (Biotecnologia Médica) - FMB

Epidemiologia das reações transfusionais imediatas no Hospital Amaral Carvalho de Jaú

Pós-graduação em Pesquisa e Desenvolvimento (Biotecnologia Médica) - FMB

Benchmarking nos processos de gestão de qualidade entre dois serviços de hemmoterapia

Pós-graduação em Pesquisa e Desenvolvimento (Biotecnologia Médica) - FMB

Educação continuada do Hospital Amaral Carvalho/UCAC: descrição/avaliação

Pós-graduação em Pesquisa e Desenvolvimento (Biotecnologia Médica) - FMB

Potencial imunogênico dos curativos bioativos: aspectos imunhematológicos e leucoplaquetários

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Avaliação da correlação entre aloimunização à antígenos eritrocitários e Sistema de histocompatibilidade (HLA) em pacientes com doença falciforme

Pós-graduação em Pesquisa e Desenvolvimento (Biotecnologia Médica) - FMB

Análise da perda volêmica em pacientes submetidos a expansão rápida de maxila assistida cirurgicamente

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Pesquisa do antígeno eritrocitário canino 1.1 em plaquetas de cão

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)