Clinicopathologic features and outcome of mycophenolate-induced colitis in renal transplant recipients

Reports on the clinical course of mycophenolic acid (MPA)-related colitis in kidney transplant recipients are scarce. This study aimed at assessing MPA-related colitis incidence, risk factors, and progression after kidney transplantation. All kidney transplant patients taking MPA who had colonic biopsies for persistent chronic diarrhea, between 2000 and 2012, at the Kidney Transplantation Unit of Botucatu Medical School Hospital, Brazil, were included. Cytomegalovirus (CMV) immunohistochemistry was performed in all biopsy specimens. Data on presenting symptoms, medications, immunosuppressive drugs, colonoscopic findings, and follow-up were obtained. Of 580 kidney transplant patients on MPA, 34 underwent colonoscopy. Colonoscopic findings were associated with MPA usage in 16 patients. The most frequent histologic patterns were non-specific colitis (31.3%), inflammatory bowel disease (IBD)-like colitis (25%), normal/near normal (18.8%), graft-versus-host disease-like (18.8%), and ischemia-like colitis (12.5%). All patients had persistent acute diarrhea and weight loss. Six of the 16 MPA-related diarrhea patients (37.5%) showed acute dehydration requiring hospitalization. Diarrhea resolved when MPA was switched to sirolimus (50%), discontinued (18.75%), switched to azathioprine (12.5%), or reduced by 50% (18.75%). No graft loss occurred. Four patients died during the study period. Late-onset MPA was more frequent, and no correlation with MPA dose or formulation was found.

Evaluation of the chemical composition and colour in long-life tomatoes (Lycopersicon esculentum Mill) dehydrated by combined drying methods

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

The Humidity in a Drager Primus Anesthesia Workstation Using Low or High Fresh Gas Flow and With or Without a Heat and Moisture Exchanger in Pediatric Patients

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

Overexpression of the activated form of the AtAREB1 gene (AtAREB1 Delta QT) improves soybean responses to water deficit

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Preservation of wild feline semen by freeze-drying: experimental model

According to the Convention on International Trade in Endangered Species, 36 wild feline species are threatened by extinction or severely endangered, and to save them is the target of several conservation programs. This study aimed to assess the viability of the freeze-drying technique for domestic cat sperm cells, with the ultimate goal of transferring this technology to the wild feline species. The domestic cat is an excellent experimental model for wild felids. It is in this scenario that the freeze-drying process (low-temperature vacuum dehydration) of sperm cells shows its value in preserving male cats' germplasm. Results from membrane and DNA integrity analysis are promising and validates the use of frozen-dried sperm samples in intracytoplasmic sperm injections (ICSIs). Further studies are still necessary to evaluate the ICSI embryo production using domestic cat frozen-dried sperm and the possibility of using such technology with wild felines.

Aspectos Nutricionais na Doença Renal Crônica em Cães

It is understood by Chronic Renal Failure (CRF) or Stage IV Chronic Kidney Disease (CKD) the morbid state in which there is a substantial and irreversible loss of functional capacity, metabolic and endocrine function in both kidneys, leading to a framework of dehydration, azotemia, electrolyte imbalance, anemia, uremic syndrome, secondary hyperparathyroidism, among other conditions that make the patient's life without treatment unfeasible. An adequate nutritional support to patients with CKD at any stage aims to maintain a good clinical condition and an attempt to delay the progression of the disease. The basis of a diet for patients with CKD is the restriction in this protein being of high biological value, low-phosphorus, high energy density, fiber and antioxidants combined with a good dietary practices that allow the patient a good quality of life

Síntese e caracterização do complexo de lantânio (III) e indometacina no estado sólido

In this study, the drug indomethacin, a non-steroidal anti-inflammatory indoleacetic acid derivative and the complex of indomethacin and lanthanum (III) in solid form were synthesized and characterized by Thermogravimetry (TGA), Differential Thermal Analysis (DTA), Differential Scanning Calorimetry (DSC) and powder X-ray diffractometry (XRD), infrared vibrational spectroscopy by diffuse reflectance (FTIR) and complexometric titration with EDTA. With the TG curves it was possible to determine the stoichiometry of the complex as La(Ind)3·3.5H2O where Ind is the drug indomethacin. The result of thermal analyzes provided information on the thermal stability, enthalpy of dehydration and thermal behavior of the compounds. The infrared spectrum and with the aid of theoretical calculations suggests that the indomethacin is coordinated by the carboxylate group in the bidentate mode

Exames laboratoriais importantes no diagnóstico da Piometra canina

Canine Pyometra is a uterine disease that occurs in sexually mature bitches, with higher incidence in nulliparous and animals over 4 years and is characterized by presenting an accumulation of pus in the uterine lumen, usually occurring in diestrus. Laboratory tests are important tools for the detection of metabolic abnormalities associated with sepsis and renal function, which are serious consequences of pyometra. In blood the main findings are normochromic non-regenerative anemia, presence of dehydration, and sometimes thrombocytopenia. The WBC count may be normal but most often occurs a neutrophilic leukocytosis with a left shift, monocytosis and the presence of toxic neutrophils. In less than 1 / 3 of the animals the presence of azotemia is present and a density lower than 1035 is detected in the urine of almost 90% of bitches which may be in normal range at the onset of the desease. Urinary protein loss is rare but the protein may be elevated in the reagent strip due to urinary contamination by uterine secretion. The increase of gamma-glutamyltransferase (GGT), alkaline phosphatase (ALP), aspartate aminotransferase (AST) and creatine kinase (CK) may be present, indicating disorders in the liver. Currently, additional laboratory tests are being studied for the diagnosis of pyometra and its prognosis, such as the measurement of C-reactive protein and fibrinogen for monitoring the recovery of the inflammatory process and the urine electrophoresis to characterize the origin of proteinuria in these animals . The aim of this work is to review the literature on the main laboratory tests that aid the diagnosis of Pyometra

Estudo termoanalítico de complexos do fármaco Ibuprofeno com lantanídeos (III) leves no estado sólido com exceção do promécio

This Final Paper had as it main goal to make a thermoanalytical study of lighter trivalent lanthanides (Lanthanum, Cerium, Praseodymium, Neodymium, Samarium and Europium) with the Ibuprofen ligand (nonsteroidal anti-inflammatory) that have a general formula LnL3.nH2O, on solid state, where Ln are the Lanthanides, L is the Ibuprofen ligand and n = number of water molecules of hydration that went from 1,0 to all the compounds. In order to characterize this compounds, it has been used the thermoanalytical techniques TG-DTA (thermogravimetry - Diferential Thermal Analysis) and DSC (Diferential Scanning Calorimetry), Fourier transformed infrared spectroscopy (FTIR) and complexometric titration with EDTA. Through the TG-DTA technique, it has been possible to set the thermal stability of the compounds, the number of thermal decomposition steps and temperatures that ocurred that also provided stoichiometry to the synthesized compounds. The DSC technique has shown the enthalpy of dehydration of the samarium and europium compounds, it was not possible to see it in the other compounds due to a endothermic peak on the DSC curve not being formed. In the case of neodymium, a thermal event ocurred, in which it could be a oxidative decarboxylation right after the dehydration. The infrared was utilised to study the carboxilate groups streches, and so, suggest a ligand metals compound coordination, that to this present paper has been a bidentade bridged coordenation. At last, the complexometric tritation was used to very the ammount of metal present in each compound, and so, verify if the proposed stoichiometry was according to the theory

Projeto de um sistema anaeróbico para estabilização de lodo e recuperação de energia

The treatment of domestic and industrial effluents through Wastewater Treatment Plants (WTPs) generates a residue termed sewage sludge, rich in organic matter, high-volume, occasionally containing pathogens and heavy metals. The sludge generation can minimize the benefits brought by the treatment of sewage, because this residue does not always receive appropriate treatment before final disposal. The disposal is another problem related to sludge. Landfills generally does not have physical space and alternatives such as the use in agriculture requires an intense treatment that could be in many cases operational or economic unfeasible. The objective of this work is the theoretical research about the processes of stabilization of the sludge by anaerobic digestion and the methanogenic activity during the process. Through analysis of each step and contemplating each relevant factor in anaerobic digestion process in order to optimize them, we proposed a theoretical model of reactors capable of stabilize the sludge, reduce its volume and eliminate pathogens. The obtained configuration consists of two anaerobic reactors connected in series. The first one operates in the range mesophilic temperature (35 ° C) and has higher hydraulic retention time (25 days) working primarily in the stabilization of organic matter present in the sludge and producing biogas, whereas the second one operates in the thermophilic range (55 ° C) in order to eliminate pathogens, and to reduce the volume. The hydraulic retention time in the second reactor is lower (10 days). Both mesophilic and thermophilic processes were efficient in what was proposed, promoting the stabilization of organic matter present in the sludge and significant reduction of pathogens. As a final step with the sludge previously digested, it is indicated a final dehydration... (Complete abstract click electronic access below)

Falência renal aguda em pequenos animais

The pets, mostly dogs and cats are susceptible to a variety of situations that can lead to acute kidney failure, such as infection and intoxication, besides other common causes such as dehydration or other pre-existing diseases. The abrupt decrease in renal function in these animals characterizes a severe clinical condition and requires specialized veterinary medical care since it increases the death. Early diagnosis is an important factor for the survival of these animals and so is the appropriate treatment. New technologies on diagnosis and treatment of serious diseases in veterinary medicine have made acute renal failure successfully reversed by hemodialysis in cases where conventional therapy may not be effective. In cases like that, hemodialysis treatment may be the only chance of survival for the animals, which makes this therapy more and more important and necessary, especially in referral centers of veterinary assistance

Cetoacidose diabética em pequenos animais

Diabetic ketoacidosis (DKA) is one of the most serious complications of Diabetes Mellitus (DM) in small animals (SILVA, 2006). It is an acute metabolic disorder, potentially fatal, both in humans and in dogs and cats with DM (BRUYETTE, 1997), being related, mostly, to insulin-dependent diabetics (CHASTAIN, 1981; HUME et al., 2006). DKA is a medical emergency characterized by extreme metabolic abnormalities, including hyperglycemia, metabolic acidosis, ketonemia, dehydration and electrolyte loss (MACINTIRE, 2006) and its diagnosis may be established basically by the detection of ketonuria and metabolic acidosis (NELSON, 2009). The primary purposes of the treatment of DKA are intravascular volume restoration, dehydration, acid-base and electrolyte’s imbalances correction and blood glucose concentration reduction (BOYSEN, 2008). The treatment’s success depends of the clinical status at the time of diagnosis and of the introduction of an appropriate therapy to the conditions of each patient (CHASTAIN, 1981)

Desidratação de lodo proveniente de ETA através de tubos geotexteis

Currently exists a growing concern for the preservation of the environment Around the world, the environmental awareness in Brazil has strengthened during the past two decades. This concern in Brazil arises from the creation of mechanisms of supervision and punishment on the part of the environmental agencies. In order to meet the pertinent legislation many public and private companies have performed dehydration of waste generated in the process of treatment of industrial effluents, waste water and water treatment in order to reduce transport and disposal costs. The use of geotextile tubes has proven technically and economically feasible to be applied in various situations from water treatment to mining tailings. This work presents the solution adopted for an environmental liability in water treatment plant through the use of geotextile tubes to reduce the water content of the disposal. We evaluated the size distribution curves, Atterberg limits, and chemical composition of the residue. Found high concentrations of aluminum in the waste which would characterize environmental pollution if disposed off directly in nature with no treatment

Deslocamento de abomaso em vacas leiteiras

The genetic selection and the nutritional management to improve milk production make the dairy cattle more susceptible to the development of diseases, such as the abomasal displacement. It is the most frequently detected abomasal problem and it is the main cause of abdominal surgeries in dairy cattle. It is a multifactorial disease that occurs mainly in dairy cattle of high production during the puerperium. The abomasal displacement can occur to the right (DAD) or to the left (DAE), being the former more frequent than the latter. It is related to feeding management and occurs in animals that also have other diseases such as hypocalcaemia, ketosis and retained placenta. The disease causes economical losses in dairy cattle because of the costs with treatment, reduction of production, increase of the interval between the parturition, loss of body weight, early discard of the matrix and mortality. The most usual clinical signs are apathy, dehydration, low to serious ruminal timpanismo (gas accumulation in the abomasum) with reduction or lack of motility, liquid splash sound during the ballottement of the right flank, metallic sound to percussion, presence of a structure similar to distended viscera in the thorax or in the paralombar cavity on the side corresponding to the displacement, and liquefied, dark, scarce and fetid feces. The treatment is surgical, and the most used technique is the omentopexy on the left flank. The hidroelectrolytic correction must be performed and the concomitant diseases must be treated. The prophylaxis consists of adequate nutrition and pre-parturition management, besides reduction of stress and other diseases of the puerperium

Alterações ultrassonográficas na pancreatite aguda canina

Pancreatitis is a predominantly disease of the exocrine pancreas, which occurs commonly in dogs. Acute pandreatitis is reversible, with the removal of the primary cause, whereas chronic pancreatitits is irreversible, with histopathological changes, such as atrophy and fibosis that occurs from persistent inflammation. In dogs, clinicl signs ranging among abdominal pain and anorexia until potential insufficiency of various organs and Disseminated Intravascular Coagulation. In general, dogs with acute illness presents vomiting, anorexia, abdominal pain and several degrees of dehydration, collapse and shock. The caim of this monograph is evaluate ultrassound changes in dogs with panceatitis. Ultrassound is a valuable technique to evaluate exocrine pancreas, with association with another diagnostic modalities will be able to increase the preciosion of the diagnosis