RESUMOEm alguns criatórios os métodos de orquiectomia em eqüinos ainda são realizados por leigos e de forma empírica, sem atenção à higiene e a hemostasia preventiva dos vasos que compõem o cordão espermático, resultando muitas vezes em óbito do animal. O objetivo desse estudo foi avaliar a eficácia da abraçadeira de náilon, na orquiectomia em eqüinos, como método hemostático, possíveis complicações pós-operatórias e o custo do procedimento. Foram empregados 24 animais machos não castrados, sem raça definida (SRD), clinicamente saudáveis, com peso corporal variando entre 300 kg e 400 kg e faixa etária entre três a oito anos. Avaliou-se os resultados dos procedimentos cirúrgicos por meio de exames clínicos, hematológicos e a ocorrência de complicações trans e pós-operatórias. Além da presença de edema nos eqüinos de todos os grupos, ocorreu um óbito quando se utilizou o emasculador. A abraçadeira de náilon subjetivamente avaliada mostrou-se resistente a tração exercida no local da aplicação e quando comparada ao uso do emasculador e categute apresentou menor custo e reduziu o tempo de duração do procedimento.Descritores: castração, eqüino, hemostasia, poliamida náilon. ABSTRACTIn some horse breeding farms, the orchiectomy methods is still being practiced not scientifically by unprofessional people, without attention to hygiene and preventive hemostasy of the vessel from the spermatic cord, which usually results in death. The aim of this study was to evaluate the efficacy of the nylon clamp as an hemostatic method on the orchiectomy in equines, to describe possible post operative complications and the cost of the surgical procedure. 24 non castrated male equines, not defined breed, clinically health, between 300 and 400 kg of corporal weight and between three and eight years old were studied. The results of the surgical procedures were evaluated by clinical and hematologic exams and the occurrence of trans and post operative complications. There was edema in the animals of all groups and one death when the emasculator was employed. The nylon clamp was subjectively evaluated and have shown resistance to traction upon the place of the ligature when compared to the use the emasculator and catgut, lower cost and have decreased the time of surgical procedure. . Emprego da abraçadeira de náilon na orquiectomia em eqüinos.Acta Scientiae Veterinariae. 34: 261-266.
Introduction. Renal transplantation is the best treatment for end-stage renal disease, including when using expanded criteria donors (ECD) kidneys. However, these suboptimal kidneys should be evaluated rigorously to meet their usefulness. Opinions differ about the best way to evaluate them. Materials and Methods. We retrospectively reviewed kidneys from ECD harvested by a single academic institution between January 2008 and September 2013. Needle biopsies were performed at the time of the harvest when considered relevant by the transplant team. Two pathologists where responsible for their analysis; the Remuzzi classification has been used in all cases. Results. We evaluated 560 ECD kidneys. Biopsies were made in 197 (35.2%) organs, 20 of which were considered not usable and 36 good only for double transplantation. Sixty-three kidneys (11.3%) were discarded by the transplant team based on the biopsy result and clinical criteria. Donors who underwent a biopsy were older (P < .001) and had a worse glomerular filtration rate (GFR; P ¼ .001). Comparing donors approved and rejected by the biopsy, the rejected donors were heavier (P ¼ .003) and had a lower GFR (P ¼ .002). Cold ischemia time was longer for the biopsy group (P < .001). Regarding graft function, the biopsy overall score correlated with the transplant outcome in the short and long term. Separately, glomeruli and interstitium scores were correlated with recipient's GFR in the earlier periods (3 months; P ¼ .025 and .037), and the arteries and tubules correlated with GFR in the longer term (at 3 years P ¼ .004 and .010). Conclusion. The decision on the usability of ECD grafts is complex. At our center, we chose a mixed approach based on donor risk. Low-risk ECD do not require biopsy. In more complex situations, especially older donors or those with a lower GFR, prompted a pretransplant biopsy. The biopsy results proved to be useful as they relate to subsequent transplant outcomes, thereby allowing us to exclude grafts whose function would most probably be less than optimal.
“Covid Longo” é o termo utilizado para descrever uma doença encontrada em pessoas que se recuperaram da Covid 19, mas ainda relatam efeitos duradouros da infecção ou os sintomas usuais por muito mais tempo do que o esperado. O tratamento dessa afecção visa melhorar a capacidade funcional, aumentar a qualidade de vida, facilitar a reintegração social após a hospitalização, diminuir a fadiga, dispneia, ageusia e melhorar a capacidade de realizar atividades diárias. Sendo a avaliação de suma importância para a conduta do tratamento, o objetivo do presente estudo foi identificar, caracterizar e classificar os instrumentos de avaliação da capacidade funcional dos pacientes acometidos com o Covid Longo. Desse modo, foram realizadas buscas nas bases de dados PEDro, COCHRANE e PubMed, através dos descritores: “Long Covid”, “Post Covid syndrome”, “functional capacity”, “sequels Functional capacity tests” associados através dos operadores booleanos “AND” e “OR”. Obteve-se 101 artigos através das buscas nas bases, logo após aplicados os critérios de inclusão e exclusão foram incluídos 6 estudos para análise. Através da análise dos trabalhos, foram identificados 20 instrumentos de avaliação divididos entre escalas, questionários e testes funcionais que transitam nas especialidades de avaliação cardiorrespiratória, neurológica e musculoesquelética, direcionadas para o manejo do paciente pós-Covid 19. Conclui-se, portanto, que existe uma variedade de instrumentos de avaliação para o manejo do paciente pós-Covid 19, havendo uma prevalência na avaliação cardiopulmonar. Além da parte respiratória, no domínio de avaliação musculoesquelética, o instrumento mais utilizado foi o teste de preensão manual por dinamometria.
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