A disciplina de Agroecologia no currículo dos cursos de graduação em Zootecnia no Brasil / The discipline of Agroecology in the curriculum of undergraduate courses in Animal Science in Brazil

O objetivo desta nota é caracterizar o grau de inserção da Agroecologia nos currículos dos cursos de graduação em Zootecnia ofertados nas instituições deensino superior públicas do Brasil, aferindo assim, a presença bem como a ausência de disciplinas em suas matrizes curriculares. Das 74 instituições brasileiras que ofertam cursos de graduação em Zootecnia, apenas 24 contém a Agroecologia em seus currículos. A oferta de disciplinas de Agroecologia e afins estão presentes em 16 unidades da federação, em todas as regiões do país.(AU)

The purpose of this noteis to characterize the degree of inclusion of Agroecology in the curricula of undergraduate courses in Zootechnics offered in public institutions of higher education in Brazil, thus assessing the presence as well as the absence of disciplines in their curricular matrices. Of the 74 Brazilian institutions that offer undergraduate courses in Zootechnics, only 24 have Agroecology in their curricula. The offer of Agroecology and related disciplines is present in 16 states, in all regions of the country.(AU)

Veterinarian's perceptions of animal euthanasia and the relation to their own mental health / Percepções do médico veterinário a respeito da eutanásia animal e a relação com sua saúde mental

Ethical and moral issues surround the practice of animal euthanasia, which often damages the veterinarian's mental health, leading to psychological problems and even suicide. This study aimed to evaluate veterinarians' perceptions about euthanasia and the possible implications of the practice for their mental health and seek to identify gaps in the training of these professionals. Data collection occurred by applying an online questionnaire sent to veterinarians working in the Brazilian territory. Among the 243 participants, 78% said they did not have classes that broadly addressed the practice of animal euthanasia and dysthanasia during undergraduate disciplines; in addition, 71% claimed that they did not address subjects such as medical ethics, psychology, mental health, and verbal communication. The vast majority (90%) considered not trained to deal with patient death, and 67% have already questioned whether the procedure was the best alternative. The presence of sadness after performing euthanasia was frequent among participants. Small animal clinicians were more susceptible to the presence of this feeling when compared to a veterinarian from other areas. Most veterinarians (86%) believed that the practice of animal euthanasia poses risks to the performer's mental health, and 89% claimed that it influences their mental health. 17% of the participants were using controlled medications during the research period. So, given these findings, it is evident that animal euthanasia negatively affects the mental health of those who perform it. Measures are needed to minimize the impacts arising from the practice, aiming to improve this population's health and well-being.

A prática da eutanásia animal é circundada por questões éticas e morais, o que resulta, muitas vezes, em prejuízo à saúde mental do veterinário, podendo levar ao desenvolvimento de problemas psíquicos e mesmo ao suicídio. O presente trabalho teve como objetivo avaliar as percepções do médico veterinário a respeito da eutanásia e as possíveis implicações da prática à sua saúde mental, além de buscar identificar lacunas acerca do tema na formação destes profissionais. A coleta dos dados ocorreu mediante aplicação de questionário online encaminhado a médicos veterinários atuantes no território brasileiro. Dentre os 243 participantes, 78% afirmaram não ter tido durante a graduação disciplinas que abordassem de forma ampla a prática da eutanásia e distanásia animal; além disso, 71% alegaram que conteúdos como ética médica, psicologia, saúde mental e comunicação verbal não foram tratados. A grande maioria (90%) considera não ter sido preparado para lidar com a morte de seus pacientes e 67% já questionaram se o procedimento era o melhor a se fazer naquele momento. Á presença de tristeza após realização de uma eutanásia apresentou-se de forma frequente entre os participantes. Os clínicos de pequenos animais mostraram-se mais suscetível à presença deste sentimento quando comparados aos veterinários de outras áreas. A maior parte dos médicos veterinários (86%) acredita que a prática da eutanásia animal pode oferecer riscos a saúde mental do realizador e 89% afirmam que a mesma pode ter influencia sobre sua saúde mental. Sendo que, 17% dos participantes estavam fazendo uso de medicamentos controlados durante o período da pesquisa. Diante desses achados, evidencia-se que a prática da eutanásia animal repercute negativamente na saúde mental de quem a executa, sendo necessárias medidas que minimizem os impactos advindos da prática, visando melhoria na saúde e bem-estar desta população.

Didactic biomodels in animal physiology learning: implementation in undergraduate veterinary medicine / Biomodelos didáticos no aprendizado da fisiologia animal: implementação em medicina veterinária de graduação

Didactic biomodels have been used as a learning tool for physiology teaching, they are three-dimensional functional -artificial models that seek an approximation to the organisms function, and also to help its understanding. Theobjective of this study was to explore the student`s learning experience through the implementation of didactic biomodels in two universities located in Bogotá city, the subject was physiology in an undergraduate population of veterinary medicine for a whole academic year. This method consisted in using different tools such as structured surveys, Metacognition formats, teamwork and characterization of the models according to the biological system. Results in general were positive and indicated the value ofdidactic biomodels as a learning method and to knowledge acquisition, the students valued high marks in teamwork as a complement in solving problems, likewise, the models that aroused more interest were those carried out in unconventional species and the nervous system.(AU)

Os biomodelos didáticos têm sido usados como ferramenta de aprendizado para o ensino da fisiologia, são modelos funcionais tridimensionais -artificiais que buscam uma aproximação com o funcionamento dos organismos, e também para ajudar sua compreensão. O objetivo deste estudo foi explorar a experiência de aprendizado do estudante através da implementação de biomodelos didáticos em duas universidades localizadasna cidade de Bogotá. Oassunto abordado foi fisiologia em uma população de graduandos de medicina veterinária durante um ano acadêmico. Este método consisteem utilizar diferentes ferramentas como pesquisas estruturadas, formatos de Metacognição, trabalhoem equipe e caracterização dos modelos de acordo com o sistema biológico. Os resultados foram positivos e indicaram o valor dos biomodelos didáticos como método de aprendizagem e para aquisição de conhecimento. Os estudantes valorizaram notas altas no trabalho em equipe comocomplemento na solução de problemas, da mesma forma, os modelos que despertaram mais interesse foram os realizados em espécies não convencionais e no sistema nervoso.(AU)

Histone epigenetic modifications and their relationship with cancer: a comparative medicine view / Modificações epigenéticas de histonas e sua relação com o câncer: uma visão da medicina comparada

ABSTRACT: Epigenetic modifications have become highly important in the study of cancer pathogenesis due to research showing that changes in the expression of DNA-associated proteins can affect gene expression but may be reversible after treatment. The changing histones are being studied on a large scale in medicine while recent studies also show this relationship in veterinary medicine. Histone deacetylation is related to tumor progression and overexpression of histone deacetylases (HDACs) is responsible for these changes. The silencing of tumor suppressor genes related to epigenetic changes favors tumor progression; however, using HDAC inhibitors has been shown to effectively reverse these histone changes while having anticancer effects. This research provided an overview of comparative medicine between humans and dogs concerning epigenetic changes while showing the physiological mechanisms and the relationship between cancer and epigenetics, specifically regarding histone acetylation and deacetylation. This overview should contribute to a better understanding of epigenetics and cancer and their relationship with new target-molecular therapies in veterinary medicine and the importance of such studies.

RESUMO: Mudanças epigenéticas assumiram importância na patogênese do câncer a partir de pesquisas que mostraram que mudanças na expressão de proteínas associadas ao DNA podem afetar a expressão gênica e podem ser reversíveis após o tratamento. As alterações nas histonas têm sido estudadas em larga escala na medicina, particularmente no câncer de mama, e estudos recentes mostram essa relação também na medicina veterinária. A desacetilação das histonas está relacionada à progressão tumoral e a superexpressão de histonas desacetilases (HDACs) é responsável por essas alterações. O silenciamento de genes supressores de tumor relacionados a alterações epigenéticas favorece a progressão tumoral, entretanto, o uso de inibidores de HDAC é eficaz em reverter as alterações nas histonas e tem efeitos anticâncer. Uma visão da medicina comparada entre humanos e cães em relação às alterações epigenéticas, será o objetivo deste trabalho, mostrando os mecanismos fisiológicos e a relação entre o câncer e a epigenética, especificamente com a acetilação e desacetilação de histonas. Essa visão contribuirá para um melhor entendimento da epigenética e do câncer, bem como a relação com as novas terapias moleculares-alvo na medicina veterinária e a importância dos estudos neste contexto.

Efficacy assessment of an intramammary formulation based on soluble polypyrrole in cows with experimentally induced mastitis / Avaliação da eficácia de uma formulação intramamária à base de polipirrol solúvel em vacas com mastite experimentalmente induzida

Considerando a necessidade de terapias alternativas para a mastite bovina, uma inflamação, normalmente de causa infecciosa, de alta prevalência e de alto impacto econômico nas fazendas leiteiras, avaliou-se a eficácia antimicrobiana, in vivo, de uma formulação intramamária à base de polipirrol (PPy) solúvel, um polímero condutor promissor para aplicações biomédicas, especialmente como potente antibacteriano. Neste ensaio, quartos mamários de vacas holandesas sadias (n = 8) foram inoculados com Staphylococcus aureus e tratados, por via intramamária, com formulação experimental à base de PPy solúvel (5%) e com formulação comercial à base de sulfato de gentamicina. O efeito desses tratamentos foi avaliado com a realização de lactoculturas, da Contagem Bacteriana Total (TBC), da Contagem de Células Somáticas (SCC) e da análise da composição do leite das amostras obtidas de quartos mamários, em sete momentos experimentais. Avaliação hematológica dos animais também foi realizada. A aplicação intramamária de três doses da formulação experimental à base de PPy solúvel resultou em maiores log/mL da TBC e da SCC quando comparadas ao grupo controle positivo e ao grupo que recebeu sulfato de gentamicina. A administração da formulação experimental não induziu alterações na composição do leite e nos parâmetros hematológicos. Alguns fatores farmacocinéticos e farmacodinâmicos do PPy solúvel podem ser atribuídos a ineficácia antimicrobiana da pomada experimental. Outras pesquisas devem ser realizados em prol do desenvolvimento de formulações que permitam a atuação antibacteriana do PPy solúvel no ambiente intramamário de vacas leiteiras.

Given the need for alternative therapies for bovine mastitis, an infectious disease of high prevalence and significant economic impact in dairy farms, this study evaluated the in vivo antimicrobial efficacy of an intramammary formulation based on soluble polypyrrole (PPy), a promising conductive polymer for biomedical applications, especially as an effective antimicrobial agent. In this assay, mammary quarters of healthy Holstein Friesian cows (n = 8) were inoculated with Staphylococcus aureus and treated, via the intramammary route, with an experimental formulation based on soluble PPy (5%) and a commercial formulation based on gentamicin sulfate. The effect of these treatments was evaluated based on milk cultures, Total Bacterial Count (TBC), Somatic Cell Count (SCC), and milk composition analysis of mammary quarter samples in seven experimental moments. In addition, hematological evaluations of the animals were also performed. The intramammary application of three levels of the experimental formulation based on soluble PPy resulted in higher log/mL of the TBC and SCC compared to a positive control group and a group that received gentamicin sulfate. The experimental formulation did not induce changes in milk composition or in hematological parameters. Certain factors related to pharmacokinetics, such as the type of carrier used in the formulation and the pharmacodynamics of soluble PPy, may have contributed to the antimicrobial ineffectiveness of the experimental formulation. The results of this study neither define nor decrease the antimicrobial potential of soluble PPy. Further research is required to develop formulations that enable the antibacterial action of soluble PPy in the intramammary environment of dairy cows.

Teaching of Veterinary Parasitology to University students in Trinidad, West Indies; are our local wildlife species neglected? / Ensino de parasitologia veterinária para estudantes universitários em Trinidad, Índias Ocidentais; nossas espécies selvagens locais são negligenciadas?

Abstract Parasites of veterinary importance have been heavily focused on domesticated livestock that was introduced into the neo-tropics. The text used in the teaching parasitology to veterinary students in Trinidad has only investigated the parasites of domesticated species. In the reviewed veterinary parasitology text no mention was made on the parasites that affect wild neo-tropical animals. Information on wild neo-tropical animals had to be sourced from texts on the management of wild life animals in the Neotropics. The texts that were reviewed in this document spanned from the mid-1950s to 2020. The information presented in this review reveals the exhaustive work done on the parasites of domesticated species but also revealed little information on neo-tropical animals with the potential for domestication. In conclusion, this review reveals the gap of information that is missing from parasitology texts used in the teaching of veterinary students. In the future these parasitology texts can be revised to include chapters on the parasites of neo-tropical animals with the potential for domestication. At present students that graduate from the veterinary parasitology course has little information on the parasites of animals which are present in their 'backyards'.

Resumo Parasitas de importância veterinária têm se concentrado fortemente em animais domésticos que foram introduzidos na região neotrópica. O texto usado no ensino de parasitologia para estudantes de veterinária em Trinidad investigou apenas os parasitas de espécies domesticadas. No texto de parasitologia veterinária revisado, nenhuma menção foi feita sobre os parasitas que afetam os animais selvagens neotropicais. As informações sobre animais selvagens neotropicais tiveram que ser obtidas a partir de textos sobre o manejo de animais selvagens nos Neotrópicos. Os textos revisados neste documento vão de meados da década de 1950 até 2020. As informações apresentadas nesta revisão revelam o trabalho exaustivo realizado sobre os parasitas de espécies domesticadas, mas também revelaram poucas informações sobre animais neotropicais com potencial para domesticação. Em conclusão, esta revisão revela a lacuna de informação que existe nos textos de parasitologia utilizados no ensino de estudantes de veterinária. No futuro, esses textos de parasitologia podem ser revisados ​​para incluir capítulos sobre os parasitas de animais neotropicais com potencial para domesticação. Atualmente, os alunos que se formam no curso de parasitologia veterinária têm poucas informações sobre os parasitas de animais que estão presentes em seus "quintais".

Erratum

On page 1, where the text reads:Luisa Cunha Carneiro1; João Paulo Elsen Saut2; Mariana de Oliveira Almeida2; Sara Pedrosa Franco Barbosa2; Erin Jane Williams3; Eneiva Carla Carvalho Celeghini11 Universidade de São Paulo, Faculdade de Medicina Veterinária e Zootecnia, Departamento de Reprodução Animal, Campus Fernando Costa, Pirassununga ­ SP, Brazil2 Universidade Federal de Uberlândia, Uberlândia ­ MG, Brazil3 University of Edinburgh, Roslin Institute e The Royal (Dick) School of Veterinary Studies, Edinburgh, ScotlandIt should read:Luisa Cunha Carneiro1; João Paulo Elsen Saut2,3; Mariana de Oliveira Almeida2; Sara Pedrosa Franco Barbosa2; Erin Jane Williams4; Hévila Dutra Barbosa de Cerqueira3; Eneiva Carla Carvalho Celeghini11 Universidade de São Paulo, Faculdade de Medicina Veterinária e Zootecnia, Departamento de Reprodução Animal, Campus Fernando Costa, Pirassununga ­ SP, Brazil2 Universidade Federal de Uberlândia, Uberlândia ­ MG, Brazil3 Universidad Austral de Chile, Facultad de Ciencias Veterinarias, Instituto de Ciencias Clínicas Veterinarias,Valdivia, Chile4 University of Edinburgh, Roslin Institute and The Royal (Dick) School of Veterinary Studies, Edinburgh, ScotlandOn page 2, where the text reads:How to cite: Carneiro LC, Saut JPE, Almeida MO, Barbosa SPF, Williams EJ, Celeghini ECC. The in vitro effects of n-3 fatty acids on immune response regulation of bovine ex vivo endometrial explants. Braz J Vet Res Anim Sci. 2023;60:e202442. https://doi.org/10.11606/issn.1678-4456.bjvras.2023.202442.It should read:How to cite: Carneiro LC, Saut JPE, Almeida MO, Barbosa SPF, Williams EJ, Cerqueira HDB, Celeghini ECC. The in vitro effects of n-3 fatty acids on immune response regulation of bovine ex vivo endometrial explants. Braz J Vet Res Anim Sci. 2023;60:e202442. https://doi.org/10.11606/issn.1678-4456.bjvras.2023.202442.The authors apologize for the errors.

Hemangiosarcoma in the vastus lateralis musculature of a bitch - sonographic findings

Background: A 10-year-old spayed bitch with hip dysplasia was referred for periarticular ultrasound evaluation. A poorly marginated structure of mixed echogenicity, predominantly hypoechoic, with heterogeneous echotexture, was identified in the vastus lateralis muscle of the right pelvic limb with increased stiffness, assessed using acoustic radiation force impulse (ARFI) elastography, compared to that of the adjacent muscle tissues, and intense vascularization by pulsed Doppler and contrast-enhanced ultrasound (CEUS). Guided biopsy was performed to confirm the diagnosis of hemangiosarcoma. The objective of this study was to describe B-mode ultrasound, CEUS, and ARFI findings of hemangiosarcoma in the vastus lateralis musculature of a bitch. Case: A 10-year-old spayed bitch Golden Retriever weighing 36 kg was evaluated for pelvic limb lameness. The patient presented with bilateral pain during hip extension. The primary diagnostic suspicion was degenerative joint disease and secondary hip dysplasia. The patient was referred for imaging evaluation of the hip joints (radiography and ultrasound) under anesthesia. Right lateral and ventrodorsal projections with the pelvic limbs extended were obtained to confirm the diagnosis. In the right pelvic limb, an amorphous hypoechoic structure with irregular contours and heterogeneous echotexture was observed in the vastus lateralis muscle. In ARFI elastography, it was possible to identify differences in tissue stiffness between healthy and compromised portions. Pulsed-wave Doppler evaluation demonstrated an arterial waveform pattern with a peak systolic velocity of 38.8 cm/s, end-diastolic velocity of 6.9 cm/s, pulsatility index of 1.76, and resistive index of 0.82. CEUS study identified a mean peak of 27.26 %, mean time to peak of 39.95 s, and mean transmission time of 49.96 s. The popliteal lymph node was hyperechoic and heterogeneous in B-mode. In ARFI elastography, the average stiffness was 2.52 m/s, and the CEUS obtained an average peak of 19.98%, average time to peak of 17.52 s, and mean transit time of 22.83 s. Doppler assessment revealed no clear vascularization in the lymph node. Thoracic radiography in 3 projections and abdominal ultrasonography were performed. Radiographic evidence of pulmonary nodules was not observed. On abdominal ultrasound evaluation, it was possible to identify changes in the spleen, which presented with splenomegaly, mixed echogenicity, and heterogeneous echotexture. The animal underwent ultrasound-guided muscle biopsy, which confirmed the presence of hemangiosarcoma in the muscle. The bitch was referred for splenectomy and lymphadenectomy of the right popliteal, which confirmed neoplastic involvement of the same neoplasm. Discussion: On B-mode ultrasound, the observed changes were similar to those in a report of hemangiosarcoma in the muscles of the chest wall in dogs, which contributed to the diagnosis. Although it was only one patient, ARFI elastography results suggest that muscle hemangiosarcoma tends to follow the same elastographic characteristics as malignant lesions in other tissues. Additionally, the popliteal lymph node had a stiffness suggestive of malignancy (mean 2.52 m/s) because it presented a similar result and greater elasticity of metastatic axillary lymph nodes in bitches (>2.5 m/s) and women (> 1.44 m/s) with breast tumor. With CEUS, it was possible to identify vascularization in the sentinel lymph node that was not visible by pulsed Doppler, and in muscle mass. The findings of this report provided relevant results on muscle hemangiosarcoma in a bitch and demonstrated that the information obtained with the association of imaging methods supported the malignancy criteria described in other studies.

Thromboembolism in a bitch - diagnosis by infrared thermography

Background: Thermography is a noninvasive, non-contact, painless, and non-ionizing imaging technique that records cutaneous thermal patterns generated by infrared emission of the surface. The surface heat is closely related to dermal microcirculation. Thromboembolism is responsible for important changes in the thermal pattern of the body surface due to physical obstruction of blood flow, being the main complication in immune-mediated hemolytic anemia. The aim of this paper is to report a dog with thrombus in his left forelimb secondary to idiopathic hemolytic anemia, whose diagnostic screening was performed through infrared thermography. Case: A 9-year-old mixed breed bitch was referred to a veterinary hospital with a history of emesis, diarrhea and dark-colored urine for 2 days. The complete blood count showed hypochromic macrocytic anemia (hematocrit [HTC] 28%, reference: 37 to 55%) with the presence of nucleated erythrocyte (14/100 leukocytes, reference: 0 to 5/100 leukocytes), polychromasia and spherocytes. Leukocytosis (28,300 mm³, reference: 6,000 to 17,000 mm³) by neutrophilia with left deviation and toxic granulations was also present, in addition to hemoglobinuria at urine exam. Therefore, treatment for immune-mediated hemolytic anemia (IMHA) was instituted. After 2 days, the animal returned with acute functional impairment of the left forelimb. Physical examination revealed that the limb was cold, without pulse, proprioception, reflexes, and deep pain. New blood analyses revealed decreased hematocrit (HTC 17%, reference: 37 to 55%), and increased total leukocyte number (57,000 mm3, reference: 6,000 to 17,000 mm³). Infrared thermography revealed an important temperature difference between the limbs, with the affected limb temperature considerably lower (31.3ºC) when compared to the contralateral limb (35.0ºC). Thermography showed the site of the thrombus in the medial portion of the limb (cephalic vein), where the catheter had been placed for fluid therapy. Due to the severity of the condition, the bitch was submitted to amputation surgery, which occurred without complications. The patient had a good response to treatment, with decreased signs of hemolysis and hypercoagulability. The medications were slowly withdrawn, and the clinical discharge occurred after 4 weeks. Discussion: In humans, thermography has been widely used in the assessment of thrombotic diseases, contributing to diagnosis, localization, and prognosis. In veterinary medicine, however, the use of this tool in the diagnosis of thromboembolism is still rare. The difference of 3.7°C between the affected and contralateral limb was objectively verified using thermography. A minimum difference of 2.4°C between limbs has high sensitivity and specificity for diagnosing thromboembolism and occurs due to the reduction in local blood flow. In the present case this tool was essential for the anatomical location of the thrombus, which was in the middle third of the forearm, and allowed an adequate surgical planning. It is known that the main complication of IMHA is thromboembolism. Its predisposing factors include venous stasis, endothelial damage, and hypercoagulability, being exacerbated by cage confinement, decubitus and presence of a peripheral venous catheter. The reported case corroborates at least one of these factors since it had a peripheral venous catheter in the left forelimb, which later showed absence of pulse, spinal reflexes, pain and proprioception. The thermography showed to be an objective, rapid and non-invasive tool to diagnose and precisely locate the thrombus, which allowed for adequate treatment and surgical planning for the case. To the best of our knowledge, this is the first report about use of thermography to diagnose thromboembolism secondary to immune-mediated hemolytic anemia in a dog.

In-house serological ELISA as a leishmaniosis diagnostic test: development and applications in canines from the western border of Brazil / ELISA "in house" para o diagnóstico de leishmaniose: desenvolvimento e aplicação em caninos da fronteira Oeste do Brasil

Leishmaniosis is a great public health problem affecting both humans and animals. The disease is caused by the protozoan Leishmania spp., which has a complex cycle involving a phlebotomine vector. The ELISA test (Enzyme-Linked Immunosorbent Assay) along with a chromatographic immunoassay was defined by the Brazil Health Ministry as the confirmatory screening protocol in 2011. Uruguaiana city is 630 km away from Porto Alegre, which makes it difficult to send samples and diagnose leishmaniasis, as well as receive quick results. In view of this, the present study evaluated an in-house indirect ELISA method compared to indirect immunofluorescence assay (IFA) and dual-path platform chromatographic immunoassay (DPP-BioManguinhos®) for the detection of an immune response to Leishmania spp. in canine species. The serological evaluation included 48 canines from the western border of Brazil (Uruguaiana and Barra do Quaraí city). Among the 48 canine samples tested, 18 were positive when using the ELISA technique, 19 were positive with IFA, and 17 were positive with rapid test DPP®. The ELISA technique showed a sensitivity/specificity of 83.3%/86.7% when compared to IFA and 100%/96.8% compared to DPP®. The present study showed a prevalence of 37.5%, demonstrating that the infection circulates in the studied population. It can be concluded that the ELISA technique was valuable for use in field conditions when performing screening tests in endemic areas.

A leishmaniose é um grande problema de saúde pública que afeta tanto humanos quanto animais. A doença é causada pelo protozoário Leishmania spp., que possui um ciclo complexo envolvendo um vetor flebotomíneo. O teste ELISA (Enzyme-Linked Immunosorbent Assay), juntamente com um imunoensaio cromatográfico, foi definido pelo Ministério da Saúde do Brasil como protocolo de triagem confirmatória em 2011. A cidade de Uruguaiana fica a 630 km de Porto Alegre, o que dificulta o envio de amostras e o diagnóstico da leishmaniose, além da demora para obter os resultados. Diante disso, o presente estudo teve como objetivo avaliar um método de ELISA indireto in-house comparado ao ensaio de imunofluorescência indireta (IFA) e imunoensaio cromatográfico de plataforma de dupla via (DPP-BioManguinhos®) para a detecção de uma resposta imune contra Leishmania spp. na espécie canina. A avaliação sorológica incluiu 48 caninos da fronteira oeste do Brasil (cidade de Uruguaiana e Barra do Quaraí). Das 48 amostras caninas testadas, 18 foram positivas na técnica de ELISA, 19 foram positivas com IFA e 17 foram positivas com o teste rápido DPP®. A técnica de ELISA apresentou sensibilidade/especificidade de 83,3%/86,7% quando comparada ao IFA e 100%/96,8% em relação ao DPP®. O presente estudo apresentou prevalência de 37,5%, demonstrando que a infecção circula na população estudada. Pode-se concluir que a técnica de ELISA foi valiosa para uso em condições de campo na realização de testes de triagem em áreas endêmicas.

Persistência do vítreo primário hiperplásico e catarata em cão / Persistence of hyperplastic primary vitreous and cataract in a dog

Background: Persistent hyperplastic primary vitreous is a rare ocular condition that is usually unilateral, formed when normal regression of the hyaloid vascular system does not occur. Diagnosis is possible through ultrasonography, by obtaining images that provide information and also serve as a differential diagnosis. Clinically the condition presents with signs of leukocoria, microphthalmia, and cataracts, and it can be further classified into 6 degrees according to the evolution. The objective of this work is to describe the case and treatment of a canine of the Pointer breed that presented opacity in both eyes, with diagnosis confirmed through ocular ultrasonography. Case: A 6-year-old male pointer dog, weighing 27 kg, was referred to the Veterinary Medical Teaching Hospital of the Federal University of Santa Maria (UFRGS), Santa Maria, RS - Brazil with a history of blindness. According to the owner, the animal's right eye has always been "white", since it was a puppy and the left eye began to present the same characteristic a short time ago. On ophthalmological examination, neither eye showed signs of ocular discomfort, the Schirmer's tear test was within the range expected for the species, fluorescein and threat tests were negative, and a positive pupillary reflex was observed in the left eye. The right eye had total corneal opacity associated with a chronic lesion and the presence of pigment cells in the medial portion of the eyeball, the opacity making it impossible to visualize the other internal structures of the eyeball. The left eye presented lens opacity. In the ultrasound of the right eye, there were several alterations, the presence of a triangular-shaped hyperechogenic structure in the vitreous chamber, a decrease in the depth of the anterior chamber, and the presence of abnormality in the development of the lens. The findings are compatible with and confirmed the diagnosis of PHPV. In the left eye, the ultrasound images indicated hyperechogenicity of the posterior and anterior poles of the lens, findings compatible with cataracts. Through the animal's history, complete ophthalmic examination, and use of ocular ultrasonography, it was possible to diagnose and differentiate the causes of the white eye in the patient. The preoperative screening was continued with an electroretinography examination, which showed a satisfactory electrical response for the retina of the left eye and an unsatisfactory electrical response for the retina of the right eye. Phacoemulsification surgery was performed to remove the cataract in the left eye with intraocular lens implantation. The positive threat reflex returned in this eye, with a return of visual acuity. Discussion: Persistent hyperplastic tunica lentis and persistent hyperplastic primary vitreous (PHTVL/PHPV) are congenital anomalies caused by a failure to regress the fetal hyaloid vasculature. These conditions are not common, but occur sporadically in dogs. The PHPV classification can be classified into degrees, based on the morphological aspect of the lesion. Following this classification scheme, the PHPV of the animal in question refers to the 6th degree of evolution. The total opacity of the cornea in the right eye was associated with the presence of a hyperplastic primary vitreous and the leukocoria in the left eye was due to the presence of a mature cataract. The conclusion of the diagnosis was only possible through ocular ultrasonography, which is very useful to differentiate the causes of ocular opacity and leukocoria, in addition to allowing complete evaluation of the intraocular structures and being considered an essential exam to confirm the diagnosis of PHPV.

Finite element analysis of a new intervertebral disc prosthesis developed for the canine cervical spine / Elementos finitos de uma nova prótese de disco intervertebral desenvolvida para a coluna cervical canina

Cervical spondylomyelopathy (CSM) is a disease that affects mostly large- and giant-breed dogs. It is characterized by abnormalities of the cervical spine that may cause damage to the spinal cord and nerve roots. Cervical disc arthroplasty has been proposed as a treatment option in veterinary medicine. The current study evaluated the main stresses in a novel canine vertebral disc prosthesis and vertebral bodies using finite element analysis. Two experimental groups were created based on the material used for the prosthesis: stainless steel group (SSG) and titanium alloy group (TAG). Vertebral and prosthetic average equivalents von-Mises stress (VMS) and minimum principal stress (MiPS) were assessed while compressive, tensile, and lateral bending shear loads were applied. The stainless steel group had greater VMS distribution on all the evaluated parameters while the titanium alloy group had greater MiPS. Stresses were more concentrated on the lateral and ventral surfaces of the vertebral bodies than on their endplates. The average prosthetic stresses were more concentrated on the bone/implant contact surface than on the prosthesis/screw interface. Maximum stresses were concentrated in the screws' cranial surface. The novel prosthesis allows even distribution along the vertebral body. Comparing prosthesis materials, titanium alloy was marginally superior regarding average stresses in all directions and should be less likely to suffer subsidence.

Espondilomielopatia cervical (EMC) é uma doença que geralmente afeta cães de raças grandes e gigantes. Ela é caracterizada por anormalidades da coluna cervical que podem causar danos à medula espinhal ou às raízes nervosas. Artroplastia cervical com prótese de disco tem sido proposta como opção de tratamento na medicina veterinária. O presente estudo teve como objetivo avaliar os principais estresses em uma nova prótese de disco intervertebral canina e corpos vertebrais por meio da análise de elementos finitos. Foram compostos dois grupos experimentais que representaram o material constituinte da nova prótese: grupos aço inoxidável (SSG) e o liga de titânio (TAG). Tensões equivalente de von-Mises (VMS) e tensão principal mínima (MiPS) média foram avaliadas sob forças de compressão, tração e torção para vértebras e prótese. O grupo SSG teve maior distribuição de VMS para todos parâmetros avaliados, enquanto o grupo TAG teve maior MiPS. Estresses estiveram mais concentrados nas superfícies lateral e ventral dos corpos vertebrais do que nas placas terminais. Os estresses médios da prótese foram mais concentrados na superfície de contato osso/implante do que na interface prótese/parafuso. Estresses máximos foram concentrados na superfície cranial do parafuso. A nova prótese permitiu distribuição uniforme do estresse ao longo do corpo vertebral. Comparando os materiais da prótese, a liga de titânio foi marginalmente superior quanto aos estresses médios em todas as direções, sendo menos provável que sofra afundamento da prótese.

Utilização de filamentos de ouro em pontos de acupuntura em lobo-guará (Chrysocyon brachyurus) com espondilose / Use of gold filaments in acupuncture points in maned wolf (Chrysocyon brachyurus) with spondylosis / Implantación de filamentos de oro en puntos de acupuntura en aguará guazú (Chrysocyon brachyurus) com espondilosis

Um lobo-guará (Chrysocyon brachyurus) macho com 15 anos de idade apresentou dificuldade ao se levantar e deitar, relutância ao caminhar e aspecto arqueado da coluna vertebral. Após contenção química, o paciente foi examinado e submetido a exames radiográficos e colheita de material biológico para análises laboratoriais. Os resultados dos exames apontaram um animal saudável, porém visualizaram-se espondiloses em coluna vertebral na região cervical e torácica. Foi iniciado protocolo para controle de dor, inflamação e uso de regenerador articular, a fim de estabilizar o quadro do paciente. Novo manejo foi agendado para implante de filamentos de ouro em pontos de acupuntura. Após essa terapia, o paciente foi acompanhado pela equipe veterinária, e alguns dias após o tratamento houve melhora do quadro clínico o animal deixou de apresentar dificuldade para caminhar, deitar, levantar e ficar em estação. O paciente retornou ao recinto, dividindo o local com a fêmea, e até o momento está assintomático.(AU)

A 15-year-old male maned wolf (Chrysocyon brachyurus) showed difficulty getting up and lying down, reluctance to walk and an arched aspect of the spine. After chemical containment, the patient underwent physical examination and was submitted to radiographic examens and collection of biological material for laboratory analysis. The test results indicated a healthy animal, but spondylosis was seen in the cervical and thoracic spine. A protocol was started to pain control, inflammation, and use of condroprotective to stabilize the patient's condition. A new management was scheduled for the implantation of gold filaments in acupuncture points. After this therapy, the patient was followed up by the veterinary team, and days after the treatment, there was an improvement in the clinical condition- the animal had no more difficulty walking, lying down, getting up and standing still. The patient returned to the enclosure, sharing the place with the female, and so far, the clinical signs presented are absent and/or reduced.(AU)

Un aguará guazú (Chrysocyon brachyurus) macho de 15 años mostró dificultad para levantarse y acostarse, renuencia a caminar y un aspecto arqueado de la columna vertebral. Después de la contención química, el paciente fue examinado y sometido a exámenes radiográficos y recolección de material biológico para análisis de laboratorio. Los resultados de la prueba indicaron un animal sano, pero se observó espondilosis en la columna cervical y torácica. Se inició protocolo de control del dolor, inflamación y uso de protectores articulares, con el fin de estabilizar el estado del paciente. Con el objetivo de brindar una mejor calidad de vida, ya que se trata de un animal salvaje, incapaz de realizar ordinariamente terapias invasivas, se implantaron filamentos de oro en puntos de acupuntura. Posteriormente a esta terapia, el paciente fue acompañado por el equipo veterinario, y dias después del tratamiento hubo una mejoría en el estado clínico - el animal no tuvo dificultad para caminar, acostarse, levantarse y estar de pie. El paciente regresó al recinto, compartiendo el lugar con una hembra, y hasta el momento los signos clínicos anteriormente presentados están ausentes y/o reducidos.(AU)

Relato de caso: tratamento de ferida perfurante no dígito de equino / Case report: treatment of a perforating wound in the equine digit / Caso clínico: tratamiento de una herida perforante en el dedo equino

Apesar dos avanços na medicina equina, certas condições de claudicação ainda representam um desafio significativo para os clínicos veterinários, especialmente quando se trata de afecções distais, como feridas perfurantes no casco do equino. Essas lesões podem afetar estruturas vitais, incluindo a articulação interfalângica distal, o osso navicular, a bolsa do osso navicular, o tendão flexor digital profundo, a bainha sinovial e a terceira falange. O presente estudo tem como objetivo esclarecer que um diagnóstico mais rápido e preciso das estruturas afetadas e do grau de lesões resultantes leva a um tratamento mais eficaz. Além disso, foi demonstrado que o tratamento convencional com antibióticos e anti-inflamatórios não esteroides sistêmicos -AINEs,em combinação com terapias alternativas, como campo magnético pulsado, laser classe III e Ozonioterapia, apresentou um efeito sinérgico com resultados excelentes.(AU)

Despite advances in equine medicine, certain claudication conditions still pose a significant challenge to veterinary clinicians, especially when it comes to distal affections such as puncture wounds on the equine hoof. These injuries can affect vital structures, including the distal interphalangeal joint, navicular bone, navicular bone pouch, deep digital flexor tendon, synovial sheath, and third phalanx. The present study aims to clarify that a more rapid and accurate diagnosis of the affected structures and the resulting degree of injury leads to more effective treatment. Furthermore, it was shown that conventional treatment with antibiotics and systemic non-steroidal anti-inflammatory drugs -NSAIDs, in combination with alternative therapies, such as pulsed magnetic field, class III laser and ozone therapy, presented a synergistic effect with excellent results.(AU)

A pesar de los avances en medicina equina, ciertas afecciones claudicantes siguen planteando un reto importante a los clínicos veterinarios, especialmente cuando se trata de afecciones distales como las heridas perforantes en el casco equino. Estas lesiones pueden afectar a estructuras vitales, como la articulación interfalángica distal, el hueso navicular, la bolsa del hueso navicular, el tendón flexor digital profundo, la vaina sinovial y la tercera falange. El presente estudio pretende aclarar que un diagnóstico más rápido y preciso de las estructuras afectadas y del grado de lesión resultante conduce a un tratamiento más eficaz. Además, se demostró que el tratamiento convencional con antibióticos y antiinflamatorios no esteroideos sistémicos -AINE, en combinación con terapias alternativas, como el campo magnético pulsado, el láser de clase III y la ozonoterapia, presentaban un efecto sinérgico con excelentes resultados.(AU)

Interatrial septal aneurysm associated with patent foramen ovale in a dog - case report / Aneurisma de septo interatrial associado a forame oval patente em cão - relato de caso

Atrial septal aneurysm (ASA) is a rare congenital deformity of variable clinical relevance, often reported in association with patent foramen ovale (PFO). Transthoracic Doppler echocardiography (TTE) is the first choice for diagnosis, but complementary techniques, such as microbubble contrast, should be used. Despite its importance, in Veterinary Medicine, there is little information related to the subject, and the present study is the second report of this condition in dogs. The objective was to report a case of ASA type IV LR associated with PFO in a Shar Pei bitch, diagnosed by a combined approach of transthoracic echocardiography backed by agitated saline solution (microbubbles). During clinical care, the owners reported episodes of seizures as their main complaint. Echocardiographic examination revealed a type 4 LR atrial septal aneurysm and left ventricular systolic dysfunction. The use of microbubble contrast showed right-to-left shunt, confirming PFO. The recommended treatment was medication. It was concluded that the rarity of ASA in dogs may be due to incomplete diagnoses and the transthoracic echocardiographic examination allows its analysis and classification. Furthermore, ASA can be found in animals with or without evidence of heart disease and it should be investigated in patients with neurological alterations.

O aneurisma do septo atrial (ASA) é uma rara deformidade congênita, de relevância clínica variável, frequentemente relatado em associação a forame oval patente (PFO). O ecodopplercardiograma transtorácico (TTE) é a primeira escolha para o diagnóstico, mas técnicas complementares, como o contraste por microbolhas, devem ser utilizadas. Apesar da importância, em medicina veterinária existe uma carência de informações relacionadas ao tema, sendo esse o segundo relato dessa condição em cão. Objetivou-se relatar um caso de ASA tipo IV LR, associado a PFO, em uma cadela Shar Pei, diagnosticado por uma abordagem combinada por ecodopplercardiograma transtorácico e costrastado com solução salina agitada (microbolhas). Ao atendimento clínico, os proprietários relataram, como queixa principal, episódios de crises convulsivas. O exame ecocardiográfico revelou aneurisma de septo atrial tipo 4 LR e disfunção sistólica em ventriculo esquerdo. A utilização de contraste por microbolhas constatou shunt direita-esquerda, confirmando PFO. O tratamento recomendado foi medicamentoso. Concluiu-se que a raridade do ASA em cães pode ser devido a diagnósticos incompletos, e o exame ecocardiográfico transtorácico permite sua análise e classificação. Ainda, ASA pode ser encontrado em animais com ou sem evidências de cardiopatia e sua investigação deve ser feita em pacientes com alterações neurológicas.

Use of smartphone messaging applications to increase diagnostic efficiency in veterinary diagnostic laboratories / Uso de aplicativos de mensagens de smartphones para aumentar a eficiência diagnóstica em laboratórios de diagnóstico veterinário

Many inconclusive diagnoses have been reported in studies carried out in veterinary diagnostic laboratories (VDLs). These inconclusive diagnoses are often associated with field veterinarians sending tissue samples and carcasses for histopathological examination. The use of social media in care has the potential as a tool for improvements in animal health. We evaluated the improvement in the rate of conclusive diagnoses in the VDL when using a messaging application for smartphones as a guidance tool for field veterinarians to refer animals and sample tissues for necropsy and histopathology. Veterinarians contacted the VDL team via a messaging app and forwarded videos, images, and clinical-epidemiological history. Based on this information, guidelines were created in real-time for contacting professionals about methods for collecting samples during necropsy and making diagnoses and scheduling visits to properties. The data obtained showed that smartphone messaging applications could be useful tools to expand the performance of VDLs and improve their diagnostic efficiency, especially when sending samples of animals that died is impossible due to certain sanitary conditions.

Muitos diagnósticos inconclusivos têm sido relatados em estudos realizados em laboratórios de diagnóstico veterinário (LDVs). Esses diagnósticos inconclusivos são frequentemente associados a veterinários de campo que enviam amostras de tecidos e carcaças para exame histopatológico. O uso das mídias sociais com cuidado tem potencial como ferramenta para melhorias na saúde animal. Avaliamos a melhora na taxa de diagnósticos conclusivos no LDV ao utilizar um aplicativo de mensagens para smartphones como ferramenta de orientação para veterinários de campo encaminharem animais e amostras de tecidos para necropsia e histopatologia. Os veterinários entraram em contato com a equipe do L por meio de um aplicativo de mensagens e encaminharam vídeos, imagens e histórico clínico-epidemiológico. Com base nessas informações, foram criadas orientações em tempo real para contato dos profissionais sobre métodos de coleta de amostras durante a necropsia e realização de diagnósticos, além do agendamento de visitas às propriedades. Os dados obtidos mostraram que os aplicativos de mensagens para smartphones podem ser ferramentas úteis para ampliar o desempenho dos VDLs e melhorar sua eficiência diagnóstica, principalmente quando o envio de amostras de animais que morreram é impossível devido a determinadas condições sanitárias.

Recurrent thyroid carcinoma in a dog - diagnosis by 18F-fluorodeoxyglucose positron emission tomography

Background: Thyroid tumor is a common endocrine tumor that accounts for up to 3.8% of all tumors in dogs. Most of them are malignant and usually nonfunctional in dogs. 18F-fluorodeoxyglucose positron emission tomography (FDG-PET) is an imaging modality that detects intracellular accumulation of radioactive deoxyglucose administered in the body and is used in combination with computed tomography to provide functional information with exact anatomical localization. It is used in human medicine to detect residual or recurrent head and neck neoplasm after treatments, such as surgical resection. This report describes the first case of diagnosing recurrent thyroid carcinoma (TC) through FDG-PET in a dog. Case: A 9-year-old castrated male Maltese dog presented with a palpable mobile mass in the right ventral cervical region. Radiography and ultrasonography (US) showed a radiopaque mass adjacent to the trachea, and the right thyroid gland was enlarged on computed tomography. The surgically excised mass was encapsulated and measured to be 2.3 × 1.0 × 3.4 cm (width x length x height) in size. Histopathologically, the mass was diagnosed as differentiated follicular TC, and gross and vascular invasions were observed. To prevent recurrence, postoperative carboplatin chemotherapy was performed for 5 months. Two months after completion of chemotherapy, a nodule of approximately 7 mm in diameter was detected in the thyroidectomy bed by US. FDG-PET scanning was performed as an effective means of evaluating the malignancy, local recurrence, and metastasis of differentiated follicular TC. The nodule had the dimensions of 2.8 × 5.9 × 8.6 mm, a maximum standardized uptake value (SUV) of 8.49, and a mean SUV of 5.6. The results of FDG-PET suggested the recurrence of TC; therefore, the second chemotherapy protocol using toceranib was applied for 16 months. After initiation of the 2nd chemotherapy, follow-up examinations were conducted approximately every 4 months. On the 134th day, although the nodule was not palpated, its size was observed to have increased to 5.0 × 3.8 × 13.6 mm on cervical US on the 232nd day, showing heterogeneous and hypoechoic parenchyma. On the 405th day, the tumor was enlarged to a size of 13.4 × 12.9 × 22 mm and identified as a lobular, amorphous shape, and its heterogeneity was increased. Moreover, 2 pulmonary nodules with well-defined margins were found on radiography in the left caudal lung lobe (9 × 10 mm and 12 × 12 mm [width × length]); thus, lung metastasis was suspected. On the 536th day, anorexia and lethargy occurred, and the dog was lost to follow-up. Discussion: In the present case, local recurrence of TC was suspected based on cervical US. Although US was useful as a screening tool, additional examinations were necessary for evaluating local invasiveness, malignancy, and nodal/distant metastasis. FDG-PET can detect recurrence at an early stage because it can sense increased tumor metabolism through physiologic absorption of FDG, even before the beginning of anatomic change in the lesion. Therefore, FDG-PET can assist in treatment planning and provide better prognosis. In humans, focal FDG uptake and a high maximum SUV in the thyroid gland on FDG-PET were associated with a higher risk of cancer. Because there was no evidence of neoplasia except the thyroid lesion during the FDG-PET examination, the tumor showed an increasingly malignant pattern of the thyroid gland on US during the follow-up period, and the metastatic pulmonary nodules were identified on the 650th day after the thyroidectomy, the present case was diagnosed as recurrent TC. This report describes the use of FDG-PET for diagnosing local recurrence of TC, pointing to FDG-PET as a potential strategy to evaluate loco-regional recurrence and distant metastasis of TC.

Seroepidemiology of leptospirosis in horses from Santarém, Pará / Soroepidemiologia de leptospirose em equinos da região de Santarém, Pará

Leptospirosis is an endemic zoonotic disease that is distributed worldwide, which has the potential to have health and economic impacts. Leptospira spp. is spiral-shaped and capable of infecting mammals, including horses, which may result in asymptomatic or clinical forms. Therefore, the current study aimed to analyze the frequency of anti-Leptospira antibodies in serum samples from horses from Santarém, Pará, Brazil. For that purpose, 88 blood samples from horses without a history of leptospirosis vaccination were serologically evaluated through the microscopic agglutination technique (MAT) with a 13 serovars, belonging to ten different serogroups. There were 58 samples that were seropositive (65.90%), which included 28 samples seropositive for Pyrogenes (48.3%), 24 for Autumnalis (41.4%), 18 for Icterohaemorrhagiae (31.0%), and 16 for Grippotyphosa (27.6%). Even without clinical suspicion of leptospirosis or a history of vaccination, the horses showed different frequency of seropositivity. Considering the well-known impact of leptospirosis in human and animal health, our results are important to establish preventive measures to reduce the economic loss in equine production as well as a reduction in public health risk.

Leptospira spp. é a bactéria causadora da leptospirose, uma doença endêmica, distribuída mundialmente, de caráter zoonótico responsável por gerar impacto sanitário e também econômico. Esse microrganismo, com característica espiralada, infecta mamíferos, dentre eles, os equinos. Estes animais, podem apresentar a doença na forma assintomáticos ou clínica. Desta forma, o atual estudo objetivou analisar amostras equinas na região de Santarém- Pará. Analisou-se 88 amostras de animais que não apresentavam histórico de vacinação contra a leptospirose, através da técnica da Microaglutinação Microscópica (MAT), utilizando um painel de13 sorovares, pertencentes a dez diferentes sorogrupos. Desses animais, 58 foram soropositivos (65,90%), distribuídos em 28 (48,3%) amostras soro reagentes para Pyrogenes, 24 (41,4%) para Autumnalis, 18 (31%) para Icterohaemorrhagiae e 16 (27,6%) para Grippotyphosa. Mesmo não havendo suspeita de leptospirose, os animais apresentaram diferentes frequências sorológicas. Considerando-se o conhecido impacto da leptospirose na saúde humana e animal, nossos resultados apontam que é de suma importância estabelecer medidas de prevenção para reduzir perdas econômicas e não oferecer riscos à saúde pública.

Bloqueio do plexo braquial guiado por neuroestimulação elétrica em jabuti piranga (Chelonoidis carbonarius) submetido à intervenção cirúrgica em membro torácico: Relato de caso / Brachial plexus block guided by electrical neurostimulation in a tortoise (Chelonoidis carbonarius) undergoing surgical intervention in the forelimb: Case report

A anestesia local tem sido recomendada para intervenções cirúrgicas quando se procura evitar a anestesia geral do animal com o intuito de minimizar os riscos, que podem ocorrer durante o aprofundamento do plano anestésico, além de promover uma rápida recuperação. O presente trabalho descreve o caso de um jabuti piranga (C. carbonarius) submetido à contenção química associada a bloqueio anestésico em plexo braquial para realização da excisão cirúrgica de um abcesso em membro tórácico direito, sendo apresentadas considerações sobre a aplicabilidade desta técnica em quelônios com destaque para os cuidados a serem tomados pelo anestesista durante a intervenção.(AU)

Local anesthesia has been recommended for surgical interventions when trying to avoid the need of general anesthesia of the animal and to minimize any risks that may occur during the deepening of the anesthetic plane, in addition to promoting a quick recovery. The present work describes the case of a tortoise (C. carbonarius) submitted to chemical restraint associated whit anesthesic blockage in the brachial plexus during surgical intervention to remove an abscess in the right thoracic limb, presenting considerations about the applicability of this technique in chelonians, with emphasis on the care to be taken by the anesthesiologist during the intervention.(AU)

B-mode and Doppler ultrasound of bitches' kidneys with mammary neoplasia submitted to adjuvant chemotherapy / Ultrassonografia modo-B e Doppler dos rins de cadelas com neoplasias mamárias submetidas à quimioterapia adjuvante

Mammary neoplasia represents the most frequently diagnosed type of neoplasia in bitches. Although surgical removal is the procedure of choice for therapeutic management, chemotherapy protocols appear as important allies and adjuvants. Despite the great advances that have occurred in the field of cancer therapy, the systemic repercussions of these drugs still impose important limitations on their use. In this sense, the development of increasingly targeted therapeutic protocols and preventive monitoring of patients represent important strategies to avoid possible complications - among them, Acute Kidney Injury (AKI). Routinely, ultrasound evaluation is used to identify morphological or metastatic variations in abdominal cavity organs. Acting complementary to the B-mode evaluation, Doppler mapping proves to be efficient in recognizing alterations in vascular hemodynamics. Therefore, the objective of the present study was to evaluate the use of B-mode and Doppler ultrasound to identify renal morphological and hemodynamic alterations in bitches with mammary neoplasia submitted to adjuvant chemotherapy protocols that associate gemcitabine with carboplatin. Thirteen bitches were included, without distinction of breed and between seven and 13 years of age. The animals were evaluated ultrasonographically at two different times during three consecutive chemotherapy cycles: before (T0) and one and a half hours after each cycle (T1), for 42 days. No morphological changes were observed in B-mode throughout the chemotherapy protocol. However, the Doppler velocimetry indices demonstrated statistical differences before (T0) and after (T1) the administration of the drugs. It was concluded that Doppler ultrasound could be used as a complementary method for monitoring the renal response of patients exposed to nephrotoxic drugs and potentially causing renal injury.

As neoplasias mamárias representam o tipo de neoplasma mais frequentemente diagnosticado em fêmeas da espécie canina. Embora a remoção cirúrgica seja o procedimento de eleição para a conduta terapêutica, os protocolos quimioterápicos aparecem como importantes aliados e adjuvantes. Apesar dos grandes avanços ocorridos na área da terapia oncológica, as repercussões sistêmicas destes fármacos ainda impõem importantes limitações ao seu uso. Neste sentido, o desenvolvimento de protocolos terapêuticos cada vez mais direcionados e o monitoramento preventivo dos pacientes representam estratégias importantes para evitar possíveis complicações - dentre elas, a injúria renal aguda (IRA). Rotineiramente, a avaliação ultrassonográfica é utilizada para identificação de variações morfológicas ou metastáticas em órgãos da cavidade abdominal. Atuando de forma complementar à avaliação em modo-B, o mapeamento Doppler mostra-se eficiente no reconhecimento de alterações na hemodinâmica vascular. Portanto, o objetivo do presente estudo foi avaliar a utilização da ultrassonografia modo-B e Doppler como método para identificação de alterações morfológicas e hemodinâmicas renais em cadelas com neoplasias mamárias submetidas a protocolos quimioterápicos adjuvantes que associam a gencitabina à carboplatina. Foram incluídas 13 fêmeas caninas, sem distinção quanto a raça e com idades entre sete e 13 anos. Os animais foram avaliados ultrassonograficamente em dois momentos distintos durante três ciclos quimioterápicos consecutivos: antes (T0) e uma hora e meia após a realização de cada ciclo (T1), totalizando 42 dias. Não foram observadas alterações morfológicas em modo-B ao longo do protocolo quimioterápico. Entretanto, os índices dopplervelocimétricos demonstraram diferenças estatísticas antes (T0) e após (T1) a administração dos fármacos. Concluiu-se que a ultrassonografia Doppler pode ser utilizada como método complementar para o monitoramento da resposta renal de pacientes expostos a fármacos nefrotóxicos e potencialmente causadores de injúrias renais.