Magnifying chromoendoscopy is a reliable method in the selection of rectal neoplasms for local excision.

PURPOSE: Adequate staging of early rectal neoplasms is essential for organ-preserving treatments, but magnetic resonance imaging (MRI) frequently overestimates the stage of those lesions. We aimed to compare the ability of magnifying chromoendoscopy and MRI to select patients with early rectal neoplasms for local excision. METHODS: This retrospective study in a tertiary Western cancer center included consecutive patients evaluated by magnifying chromoendoscopy and MRI who underwent en bloc resection of nonpedunculated sessile polyps larger than 20 mm, laterally spreading tumors (LSTs) [Formula: see text] 20 mm, or depressed-type lesions of any size (Paris 0-IIc). Sensitivity, specificity, accuracy, and positive and negative predictive values of magnifying chromoendoscopy and MRI to determine which lesions were amenable to local excision (i.e., [Formula: see text] T1sm1) were calculated. RESULTS: Specificity of magnifying chromoendoscopy was 97.3% (95% CI 92.2-99.4), and accuracy was 92.7% (95% CI 86.7-96.6) for predicting invasion deeper than T1sm1 (not amenable to local excision). MRI had lower specificity (60.5%, 95% CI 43.4-76.0) and lower accuracy (58.3%, 95% CI 43.2-72.4). Magnifying chromoendoscopy incorrectly predicted invasion depth in 10.7% of the cases in which the MRI was correct, while magnifying chromoendoscopy provided a correct diagnosis in 90% of the cases in which the MRI was incorrect (p = 0.001). Overstaging occurred in 33.3% of the cases in which magnifying chromoendoscopy was incorrect and 75% of the cases in which MRI was incorrect. CONCLUSION: Magnifying chromoendoscopy is reliable for predicting invasion depth in early rectal neoplasms and selecting patients for local excision.

Early and late postoperative inflammatory and collagen deposition responses in three different meshes: an experimental study in rats.

PURPOSE: Although meshes reduce abdominal hernia recurrence, they increase the risk of inflammatory complications. This study aimed to compare the early and late postoperative inflammation and collagen deposition responses induced by three meshes. METHODS: Rats were allocated into three groups. In group I, a polypropylene (PP) mesh was implanted in the abdominal wall. In groups II and III, PP + polyglactin (PP + PG) and PP + titanium (PP + TI) meshes were employed, respectively. On the seventh (7th) postoperative day, collagen deposition and inflammation were evaluated, and immunohistochemistry was performed on abdominal wall biopsies. These data were compared with those obtained on the fortieth (40th) postoperative day in a previous study. RESULTS: The early inflammatory responses were the same in all groups. With time, it decreased in group I (p = 0.047) and increased in group II (p = 0.003). Group I exhibited early elevated VEGF (p < 0.001), COX2 (p < 0.001), and collagen (p = 0.023) levels, and group II exhibited the most severe inflammatory tissue response. On the 40th postoperative day, the VEGF (p < 0.001) and collagen (p < 0.005) were reduced as compared with the 7th postoperative day in all groups. CONCLUSIONS: Belatedly, the inflammatory reaction decreased in PP mesh group and increased in PP + PG mesh group. The PP mesh induced early great elevations in VEGF, COX2 and collagen levels, whereas the PP + PG mesh caused severe tissue inflammation with small elevation in these levels. PP + TI mesh induced inflammatory response levels between the others. In conclusion, the inflammatory response depends on the mesh density and also the mesh material with clinical implications.

Seletividade fisiológica de inseticidas utilizados em cultura cafeeira sobre ovos e adultos de Cryptolaemus montrouzieri Mulsant / Physiologic selectivity of pesticides used on coffee plantations on eggs and adults of Cryptolaemus montrouzieri Mulsant

Em cafeeiros, a associação de inimigos naturais com produtos fitossanitários seletivos é uma importante estratégia no manejo de pragas. O objetivo do presente estudo foi avaliar os efeitos letais e subletais de produtos fitossanitários utilizados na cultura cafeeira sobre ovos e adultos de Cryptolaemus montrouzieriMulsant em laboratório. Os bioensaios foram realizados sob 25 ± 2º C, UR de 70 ± 10% e fotofase de 12h. Os inseticidas utilizados e suas respectivas dosagens de aplicação, em g ou mL de i.a. L-1 foram: tiametoxam (0,5), imidacloprido (0,7), óleo mineral (13,3), endossulfam (2,63) e dimetoato (0,48). A testemunha foi composta apenas por água destilada. A aplicação dos produtos foi realizada por meio de torre de Potter. Avaliaram-se a viabilidade de ovos, a sobrevivência dos espécimes e os efeitos dos compostos sobre os parâmetros reprodutivos do predador. Tiametoxam provocou prolongamento na duração do período embrionário (7,1 dias) em ovos tratados e junto com imidacloprido foram classificados como nocivos, seguidos do endossulfam e dimetoato que apresentaram toxicidade intermediária e do óleo mineral que foi seletivo. Em função da seletividade do óleo mineral, pode-se recomendá-lo visando à compatibilização com o predador C. montrouzieri em programas de manejo integrado de pragas na cultura cafeeira.

On coffee plantations, the association between selective compounds and natural enemies composes an important tool for the pest management. The objective of this study was to evaluate some pesticides used on coffee plantations in regard to their lethal and sublethal effects on eggs and adults of Cryptolaemus montrouzieri Mulsant under laboratory conditions. The bioassays were carried out in the Laboratory of Selectivity Studies, Department of Entomology of the Universidade Federal de Lavras ­ UFLA, Brazil, under controlled conditions (climatic chamber) at 25 ± 2º C, RH of 70 ± 10% with a 12 h photophase. The pesticides and doses in g or mL of i.a. L-1 were: thiamethoxam (0.5), imidacloprid (0.7), mineral oil (13.3), endosulfan (2.63) and dimethoate (0.48). Distilled water was used as a control. The sprayings of the pesticides were accomplished using a Potter's tower. The parameters evaluated were: specimen survival after the application of the compounds, oviposition and eggs viability. Thiamethoxam, imidacloprid and endosulfan were the most harmful to the treated individuals. When sprayed on eggs, thiamethoxam increased the embryonic period length (7.1 days). Mineral oil was the only compound that did not affect the reproduction of C. montrouzieri. In function of the selectivity presented by mineral oil, it can be recommended to be used in integrated pest management on coffee plantations in association with this predator.