Blepharocheilodontic (BCD) syndrome: Expanding the phenotype?

We describe affected individuals in three generations of a family and another sporadic case, all Brazilian patients, with a combination of signs that diagnose the BCD syndrome. In addition to the cardinal signs, the sporadic case has hypothyroidism and imperforate anus, which was observed previously in one patient. The broadened phenotype and the possibility of involvement of p63 and IRF6 genes in this condition are discussed. © 2003 Wiley-Liss, Inc.

Rectovaginal fistula with anal atresia in 5 dogs

Five dogs with rectovaginal fistula and atresia ani that had been treated by surgical correction of the malformations were studied retrospectively. Ages at presentation varied from 1 to 3 months and weight from 350 g to 7.5 kg. The histories included voiding of feces through the vulva, with or without tenesmus, usually observed after weaning. Artesia ani, presence of feces in the vaginal canal, abdominal distention, and discomfort on abdominal palpation were observed during clinical examination. Also, 3 dogs had partial tail agenesis. In all dogs, the rectovaginal fistula was isolated and transected, the vulvar and rectal defects were closed separately, and the atresia ani was repaired. Normal defecation was restored, but 1 dog had fecal incontinence that subsequently resolved. One dog died 2.5 months postoperatively, and follow-up was done on the others for periods ranging from 1.6 year to 7.7 years. Surgical correction in dogs with rectovaginal fistula and atresia ani may result in a favorable outcome, if it is done early.

Anovulvar cleft and vaginal prolapse-hyperplasia in a bitch

This report presents the case of a nine-month-old bitch with incomplete occlusion of the skin and mucosa between the anus and dorsal commissure of the vulva. This anomaly, known as anovulvar cleft, was associated with a vaginal prolapse-hyperplasia. Anovulvar cleft is a rare condition in bitches and is caused by incomplete closure of the dorsal urogenital folds. Anovulvar cleft can lead to clitoritis, abrasion, dryness and devitalisation of the smooth exposed mucosa. Surgery can correct the condition. In the present study, surgical resection of the hyperplasic vaginal tissue associated with perineoplasty using an inverted V-shaped incision showed excellent results. An ovariohysterectomy was also performed to prevent recurrence of the vaginal prolapse-hyperplasia. © 2007 British Small Animal Veterinary Association.

Equine Perineal and Vulvar Conformation Correction Using a Modification of Pouret's Technique

An incompetent vulvar seal leads to reproductive failure, and a surgical intervention might be required. The present paper describes modifications to Pouret's surgery. We suggest the use of a simple interrupted vertical mattress suture, which avoids seroma. Eighteen Brazilian Jumping Horse mares, older than 20 years and barren for 3-5 consecutive years, underwent modified Pouret's surgery. A horizontal skin incision of 3-4 cm was made half way between the anus and upper commissure of the vulva. The submucosal and connective tissue were dissected, and the rectovaginal shelf was split horizontally by sectioning the muscular and ligamentous connections between the anus, vulva, caudal portion of the rectum, and vagina until the vulva was oriented vertically. The wound was changed from a horizontal plane to a vertical plane by placing the suture vertically using approximately eight interrupted U sutures distributed in two layers with polyamide thread. The modified Pouret's surgical technique provided a perfect coaptation of the vulvar lips and a correct perineal position. Those mares that presented with horizontally tipped vulvar lips due to advanced age and stretching of the pelvic tissues by multiple foaling had their vulvas replaced. Also, the surgical procedure was easy to perform. As to fertility, of the 18 initial mares, 14 were inseminated, and all became pregnant. Thus, it was possible to conclude that the anatomical changes performed throughout the surgical procedure predisposed to a better vulvar coaptation, correcting the pneumovagina. © 2013 Elsevier Inc. All rights reserved.

Estudo citocolposcópico anorretal em pacientes com lesões cervicais intraepiteliais de alto grau

Pós-graduação em Ginecologia, Obstetrícia e Mastologia - FMB

Prevenção e diagnóstico de lesões HPV induzidas e carcinoma anal em mulheres atendidas na rede básica de saúde da cidade de Botucatu pelo método escovado do canal anal

Pós-graduação em Bases Gerais da Cirurgia - FMB

Metáforas do universo lexical português e italiano das zonas erógenas: ânus, nádegas, pênis, seios, testículos e vulva

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Alimentação, distribuição espacial e sazonal das espécies de Arius (Siluriformes : Ariidae) do estuário amazônico

Pertencente a ordem dos Siluriformes, a família Ariidae compreende os bagres marinhos e estuarinos os quais distribuem-se pelas costas de todos os continentes, habitando áreas costeiras de região tropical e subtropical, onde vivem em águas de pouca profundidade, com fundo arenoso ou lodoso. No estuário Amazônico, no estado do Pará, encontram-se 7 espécies pertencentes ao gênero Anus (A. couma, A. parkeri, A. rugispinis, A. quadriscutis, A. grandicassis, A. phrygiatus e A. proops). O objetivo deste estudo é identificar os hábitos alimentares, sobreposição alimentar e espacial, distribuição espacial e sazonal das espécies de Anus (Siluriformes, Ariidae) do Estuário Amazônico. As coletas foram realizadas durante o período de agosto a outubro de 1996, de fevereiro a abril e agosto a outubro de 1997. Os indivíduos foram capturados com rede de fundo sem porta da frota piramutabeira do estuário Amazônico. Existem dois grupos de espécies do gênero Anus: as espécies que se alimentam de crustáceos (A. rugispinis, A. quadriscutis, A. grandicassis, A. phrygiatus e A. proops) e as espécies que se alimentam de peixes (A. couma, A. parken). Com relação a sobreposição alimentar todas as espécies apresentam um certo grau sobreposição alimentar assim como a sobreposição espacial. A. couma e A. phrygiatus estão mais abundantes nos estratos de profundidade entre 5-10 m e A. rugispinis, A quadriscutis, A. grandicassis, A. parkeri e A. proops nos estrato de 10-20 m. A. phrygiatus é a única espécie que apresenta maior abundância durante o inverno e as demais espécies aparecem tanto no verão como no inverno

Variação sazonal e espacial da estrutura de comunidades dos peixes demersais da Região de Foz dos Rios Amazonas e Tocantins - PA (0º 10'S - 2º30'N; 47º50'W - 50º30'W) - Brasil

A composição, abundância e freqüência de ocorrência das espécies de peixes demersais do estuário amazônico foram estudadas em três áreas delimitadas pelos estratos de profundidade de 5 — 10 m, 10 — 20 m e 20 — 50m. Os objetivos principais deste estudo foram de comparar a diversidade, abundância e distribuição das espécies de peixes demersais, nestas três áreas, durante um ciclo hidrológico, e avaliar a influência dos fatores ambientais sobre a estrutura da comunidade. As amostragens foram feitas a bordo de dois navios da frota industrial piramutabeira, com uma rede de arrasto sem porta, em seis cruzeiros com duração de quinze dias cada, divididos entre os períodos seco (entre março e abri1/97) e chuvoso (entre agosto e setembro/97). Foram capturadas 91 espécies em 237 amostragens, sendo que as famílias Sciaenidae e Ariidae foram as mais diversificadas, representando juntas 25% do número de espécies. Todas as espécies de arlideos com ocorrência na região foram muito abundantes. As espécies mais abundantes numericamente no inverno foram Macrodon ancylodon (Sciaenidae) (56,2%) e Brachyplatystoma vaillantii (Pimelodidae) (13,6%), e no verão Macrodon ancylodon (31%) e Stellifèr rastrifer (15,8) (Sciaenidae). Na área delimitada pelas isóbatas de 5 a 10 m (área 1), Brachyplatystoma vaillantii (Pimelodidae) e Macrodon ancylodon (Sciaenidae) foram as mais abundantes em ambos os períodos. O mesmo aconteceu para Macrodon ancylodon e Stellifer rastrifer (Sciaenidae) na área definida pelas isóbatas de 10 a 20 m (área 2), e para iviacrodon ancylodon (Sciaenidae) e Bagre bagre (Ariidae) na área delimitada pelas isóbatas de 20 a 50 m (área 3). As espécies mais freqüentes nas amostragens foram Macrodon ancylodon (Sciaenidae) (40,9%) e Anchoa spinifer (Engraulididae) (35%) no inverno, e Ivlacrodon ancylodon (Sciaenidae) (45,6%) e Anus grandicassis (Ariidae) (38,4%) no verão. Na área 1 Brachyplatystoma vaillantii e Brachypialystorna flavicans (Pimelodidae) tiveram maior freqüência de ocorrência nas amostragens, para os dois períodos; o mesmo acontecendo para Macrodon ancylodon (Sciaenidae) e Bagre bagre (Ariidae), na área 2; e para Macrodon ancylodon (Sciaenidae) e Anchoa spinifer (Engraulididae), na área 3. As espécies dominantes foram: Macrodon ancylodon (Sciaenidae), no inverno (56% dos exemplares coletados); e Macrodon ancylodon, Stellifér rastrifer (Sciaenidae) e Anus quadriscutis (Afiidae) no verão, que representaram 61% das capturas. Na área 1 dominaram Brachyplatystoma vaillantii (Pimelodidae) e Macrodon ancylodon (Sciaenidae) (73%), no inverno e, no verão, as duas espécies já citadas mais Anus grandicassis (Ariidae) (53%). Na área 2 foram dominantes apenas Macrodon ancylodon (Sciaenidae) (64%) no inverno, e Macrodon ancylodon e Stellifèr rastrifer (Sciaenidae) (53%) no verão e, na área 3, apenas il/lacrodon ancylodon (Sciaenidae) (70% no inverno e 49% no verão). Os padrões de distribuição foram principalmente influenciados pela salinidade. A área 1 apresentou a maior diversidade e eqüitabilidade em relação ás outras. Na área 2 a riqueza de espécies foi maior e, na área 3, houve uma maior dominância. Três assembléias de peixes foram identificadas na região: uma composta de espécies de águas continentais que exploram as áreas rasas entre 5 a 20 m; outra é composta de espécies resistentes ao gradiente salino, com ampla distribuição no estuário, principalmente na faixa dos 10 a 20 m; e a terceira é composta de espécies marinhas que se distribuem pelas áreas mais profundas do estuário, desde os 10 até a faixa dos 50 m.

Treinamento esfincteriano anal: estudo transversal em crianças de 3 a 6 anos de idade

Pós-graduação em Pediatria - FMB

Brazilian Angiostrongylus cantonensis haplotypes, ac8 and ac9, have two different biological and morphological profiles

Angiostrongylus cantonensis is the etiologic agent of eosinophilic meningoencephalitis in humans. Cases have been recorded in many parts of the world, including Brazil. The aim of this study was to compare the differences in the biology and morphology of two different Brazilian haplotypes of A. : ac8 and ac9. A significantly larger number of L1 larvae eliminated in the faeces of rodents at the beginning of the patent period was observed for ac9 haplotype and compared to the total of L1 larvae eliminated, there was a significant difference between the two haplotypes. The ac9 haplotype showed a significant difference in the proportion of female and male specimens (0.6:1), but the same was not observed for ac8 (1.2:1). The morphometric analysis showed that male and female specimens isolated from ac8 haplotype were significantly larger with respect to body length, oesophagus length, spicule length (male) and distance from the anus to the rear end (female) compared to specimens from ac9. The morphological analysis by light microscopy showed little variation in the level of bifurcations at the lateral rays in the right lobe of the copulatory bursa between the two haplotypes. The biological, morphological and morphometric variations observed between the two haplotypes agree with the observed variation at the molecular level using the cytochrome oxidase subunit I marker and reinforce the possible influence of geographical isolation on the development of these haplotypes.

Induced reproduction and early development histology of Oscar Astronotus ocellatus (Agassiz, 1831)

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

Redescription of Parotocinclus bahiensis (Miranda-Ribeiro, 1918) (Pisces, Ostariophysi, Loricariidae)

Microlepidogaster bahiensis Miranda-Ribeiro (1918), assigned to Parotocinclus Eigenmann & Eigenmann, 1889, by Garavello (1977), was described in a short and uninformative way which does not allow for its distinction from other species of Parotocinclus; besides, the two syntypes of the species are regarded as lost. For these reasons a neotype is herein designated and a detailed description of the species is presented based on topotypes. The species is characterized by the combination of the following features: scapular bridge almost completely exposed ventrally, arrector fossae, when present, small or very reduced; abdomen covered by 5-7 wide lateral plates on each side and very small platelets in between, leaving abundant naked areas surrounding them; a small group of larger plates in front of anus; caudal peduncle ellipsoid in cross section; total plates in median series 21-23; longitudinal series with 23-26 plates; 18-29 teeth on premaxillary and 12-24 on dentary; it can also be distinguished by its characteristic caudal-fin color pattern. Features that allow us to assign the species to Parotocinclus and a hypothesis about its relationships with other species of the genus are also presented.

Performance of surveillance cultures at different body sites to identify asymptomatic Staphylococcus aureus carriers

The objective was to evaluate the performance of surveillance cultures at various body sites for Staphylococcus aureus colonization in pregnant women and newborns (NB) and the factors associated with nasal colonization. For NB, 4 sites were evaluated: nares, oropharynx, perineum, and umbilical stump (birth, third day, and weekly). For pregnant women, 4 sites during labor: anterior nares, anus, perineum, and oropharynx. Nasally colonized patients were compared with colonized only extranasally. Colonization was 53% of 392 pregnant women (methicillin-resistant S. aureus [MRSA]: 4%) and 47% of 382 NB (MRSA: 9%). For newborn patients, the best body site was the umbilical stump (methicillin-susceptible S. aureus [MSSA]: 64%; MRSA: 68%) and the combination of nares + umbilical (MSSA: 86%; MRSA: 91%). Among pregnant women, the best body site was the anterior nares (MSSA: 59%; MRSA: 67%) and the combination of nares + oropharynx (MSSA: 83%; MRSA: 80%). A smaller number of household members were associated with MRSA carriage in pregnant women (2.2 +/- 0.6 versus 3.6 +/- 1.8; P = 0.04). In conclusion, multiple culture sites are needed. Control programs based on surveillance cultures may be compromised. (C) 2012 Elsevier Inc. All rights reserved.

HPV type infection in different anogenital sites among HIV-positive Brazilian women

Abstract Objectives To evaluate the prevalence of human papillomavirus (HPV) types, and risk factors for HPV positivity across cervix, vagina and anus, we conducted a study among 138 women with human immunodeficiency virus (HIV). Goal Compare the prevalence of different HPV types and the risk factors for HPV positivity in three sites. Results The most frequently detected HPV types in all sites were, in decreasing order, HPV16, 53, 18, 61 and 81. Agreement between the cervix and vagina was good (kappa 0.60 – 0.80) for HPV16 and 53 and excellent (Kappa > 0.80) for HPV18 and 61. HPV positivity was inversely associated with age for all combinations including the anal site. Conclusion In HIV positive women, HPV18 is the most spread HPV type found in combinations of anal and genital sites. The relationship of anal to genital infection has implications for the development of anal malignancies. Thus, the efficacy of the current HPV vaccine may be considered not only for the cervix, but also for prevention of HPV18 anal infection among immunossuppressed individuals.