[Myocardial infarction, stroke, and psoriasis: A systematic review of observational studies]. / Infarctus du myocarde, accident vasculaire cérébral et psoriasis : une revue systématique des études observationnelles.

Patients with psoriasis can have higher rates of hypertension, diabetes mellitus 2, and dyslipidemia. This study aimed to assess the association between psoriasis, myocardial infarction (MI), and stroke. A systematic review was carried out using PubMed/Medline, EMBASE, and LILACS databases searching for observational studies that assessed stroke and/or MI in patients diagnosed with psoriasis vulgaris compared to non-psoriatic patients. A total of 649 articles were identified but only 15 were included in the study. Although there were studies that have observed a significant positive association between psoriasis and MI or stroke, an almost equal number of studies showed no statistically significant association. The relationship between psoriasis and ischemic cardiovascular events is still controversial and it is difficult to establish psoriasis as the etiology of these events.

Interaction between the impact of the Coronavirus disease 2019 pandemic and demographic characteristics on sexual/erectile dysfunction in Latin America: cross-sectional study

ABSTRACT Aim: Our objective was to investigate whether there is an interaction between the COVID-19 pandemic, demographic characteristics and erectile/sexual (E/S) function in individuals from Latin America. Materials and Methods: Cross-sectional study which included Latin American individuals over 18 years old, recruited through social media and interviewed between July and August 2020 by online surveys (Google Forms) in Portuguese and Spanish languages. The E/S function was evaluated through the following questionnaires: Simplified International Index of Erectile Function (IIEF-5) and Female Sexual Function Index (FSFI); while post-traumatic stress disorder (PTSD) triggered by the COVID-19 pandemic was assessed through the Impact of Event Scale Revised (IES-R). The data was analyzed by T Student, bivariate and multivariate logistic regression, with significance determined by the Wald test (p<0.05), using the R software v4.0. Results: Out of the 2016 individuals that responded to the survey, 1986 were included and 743 of them presented E/S dysfunction. PTSD occurrence was greater among people with E/S dysfunction when compared to those without E/S dysfunction, in the total score (males: IES-R=26.54[±19.17] and females: IES-R=35.92[±19.25]) and also in the three domains. It was found that those who do not live with a partner were 74% more likely to have E/S dysfunction, but living with a partner during the pandemic had a greater impact on E/S function. Conclusion: A negative interaction between the impact of the COVID-19 pandemic and erectile/sexual function of the Latin American population was observed, with greater implications among the individuals who live with their partners.

Interaction between the impact of the Coronavirus disease 2019 pandemic and demographic characteristics on sexual/erectile dysfunction in Latin America: cross-sectional study.

AIM: Our objective was to investigate whether there is an interaction between the COVID-19 pandemic, demographic characteristics and erectile/sexual (E/S) function in individuals from Latin America. MATERIALS AND METHODS: Cross-sectional study which included Latin American individuals over 18 years old, recruited through social media and interviewed between July and August 2020 by online surveys (Google Forms) in Portuguese and Spanish languages. The E/S function was evaluated through the following questionnaires: Simplified International Index of Erectile Function (IIEF-5) and Female Sexual Function Index (FSFI); while post-traumatic stress disorder (PTSD) triggered by the COVID-19 pandemic was assessed through the Impact of Event Scale Revised (IES-R). The data was analyzed by T Student, bivariate and multivariate logistic regression, with significance determined by the Wald test (p<0.05), using the R software v4.0. RESULTS: Out of the 2016 individuals that responded to the survey, 1986 were included and 743 of them presented E/S dysfunction. PTSD occurrence was greater among people with E/S dysfunction when compared to those without E/S dysfunction, in the total score (males: IES-R=26.54[±19.17] and females: IES-R=35.92[±19.25]) and also in the three domains. It was found that those who do not live with a partner were 74% more likely to have E/S dysfunction, but living with a partner during the pandemic had a greater impact on E/S function. CONCLUSION: A negative interaction between the impact of the COVID-19 pandemic and erectile/sexual function of the Latin American population was observed, with greater implications among the individuals who live with their partners.

Mental Health Training Programs for Non-Health Professionals and Volunteers Working with Asylum Seekers and Refugees: A Scoping Review Protocol.

The number of people forcibly displaced worldwide is increasing. It is an imperative challenge to provide mental health training for non-health professionals and volunteers who work with those vulnerable populations. The objective is to identify mental health training programs for non-health professionals and volunteers, without mental health training, to work with asylum seekers or refugees in any context. Literature about mental health training programs for adults, non-health professionals and volunteers without mental health training, working, or who have worked, or will work, with asylum seekers or refugees will be considered. Literature published in English, Swedish, Portuguese, Spanish, and French will be considered. Literature reporting training programs exclusively for professionals or volunteers in the health or mental health domains will be excluded. The following electronic databases will be searched: MEDLINE, CINAHL, PsycINFO, Psychology & Behavioral Sciences Collection, SCOPUS, ERIC, RCAAP, and OPEN GREY. Other sites to be searched: ClinicalTrials, UNHCR, IOM, WHO, Save the Children, IMISCOE, and IFRC. The screening process will entail two steps carried out by two independent reviewers: firstly, screening by title and abstract, and secondarily, by full text. Data will describe the literature according to the review research questions that were defined following the PPC mnemonic, and presented graphically with a narrative.

Nevo azul no aparato ungueal: relato de um caso / Blue nevus of the nail apparatus: a case report

A discromia azul das unhas possui vários diagnósticos diferenciais. Crescimento da lesão, distrofia ungueal associada e extensão periungueal requerem avaliação para excisão cirúrgica. Mulher, 27 anos, apresentava mancha azulada, semicircular, ocupando cerca de 50% da lúnula, sem alteração da lâmina suprajacente, com pequena alteração da porção distal da unha, com camadas do tipo "onicosquizia localizada", sem história prévia de trauma ou sangramento. Realizada avulsão parcial da placa e biópsia excisional por saucerização da lesão fortemente pigmentada. O exame histopatológico foi compatível com nevo azul. Sugere-se que, neste caso, o nevo se situasse em posição submatricial, não interferindo, portanto, na coloração da lâmina ungueal

Blue nail dyschromia has several differential diagnoses. Lesion growth, associated nail dystrophy, and nail extension require evaluation for surgical excision. We report the case of a 27-year-old woman presenting a bluish, semicircular stain, occupying about 50% of the lunula. The patient presented no changes in the overlying lamina, small alteration of the distal nail portion, localized onychoschizia-type layers, and no previous trauma or bleeding history. We performed partial avulsion of the plaque and shave biopsy, evidencing an intensely pigmented lesion. Histopathological examination was compatible with blue nevus. In this case, the nevus should be located in the sub-matricial position, thus not interfering with the nail plate color

Trabalho noturno e seus efeitos na saúde dos trabalhadores da área de segurança / Night work and its effects on the health of safety workers

Este estudo empírico e qualitativo teve como objetivo conhecer os efeitos do trabalho noturno na saúde dos trabalhadores da área de segurança, para isto verificou os principais impactos do trabalho na sua saúde e realizou um levantamento dos seus motivos para a escolha da profissão. Vinte trabalhadores da área de Segurança pública e privada responderam entrevista semiestruturada acerca do trabalho noturno e os impactos na saúde dos profissionais e questionário sociodemográfico. Suas respostas foram processadas no software IRAMUTEQ, cuja classificação hierárquica descendente as dividiu em quatro classes, fatores motivadores e desmotivadores para o trabalho noturno, atividades fora do horário de trabalho e repercussões do trabalho na vida pessoal. Os resultados apontam que as queixas de cansaço físico e psíquico, estresse, desregulação do ciclo do sono e impactos nos relacionamentos sociais estão associados aos processos de adoecimento e sofrimento físicos e psíquicos no trabalho noturno.

This empirical and qualitative study aimed to Know the effects of night work on the health of workers in the safety area, for this it verified the main impacts of the work on their health and conducted a survey of their reasons for choosing the profession. Twenty public and private security workers answered a semi-structured interviews about night work and the health impacts of professionals and sociodemographic questionnaire.Their answers were processed in the IRAMUTEQ software, whose descending hierarchical classification divided them into four classes, motivating and demotivating factors for night work,activities outside of Working hours and repercussions of work on personal life. The results indicate that complaints of physical and psychic tiredness, stress, sleep cycle dysregulation and impacts on social relationships are associated with the processes of physical and mental illness and suffering at night work.

Pedagogia da natação: análise das atividades realizadas em aulas para crianças / Swimming pedagogy: analysis of class activities for children / Pedagogía de la natación: análisis de las actividades realiza-das en clases para niños

Considerando a importância da diversidade de experiências motoras aquáticas para a melhor relação do indivíduo com o ambiente, o presente estudo teve como objetivo analisar as ativi-dades realizadas na iniciação de crianças à natação. Ao longo deste estudo foram identificadas e analisadas as atividades propostas por professores em 36 aulas, observadas de modo siste-mático. Dentre os resultados, das 36 aulas de 8 professores, 33 continham atividades de téc-nicas de nado, em um total de86 exercícios somados e realizados 134 vezes. Conclui-se que há a necessidade de se repensar a pedagogia da natação, pois a predominância no cenário atu-al é o ensino técnico dos quatro estilos competitivos antes mesmo do indivíduo se tornar in-dependente edemonstrar competência no meio aquático.

Considering the importance of the diversity ofaquatic motor experiences for the best relation-ship between the subject and the environment, the present study aimed to analyze the activi-ties performed in the initiation of children to swimming. Throughout this study, the activities proposed by teachers in 36 classes observed in a systematic way were identified and analyzed. Among the results, of the 36 classes, of eight teachers, 33 contained swimming technique ac-tivities, in 86 exercises added and performed 134 times. It is concluded that there is a need to rethink the pedagogy of swimming, because the predominance in the current scenario is the technical teaching of the four competitive strokes, before the individual becomes independent and demonstrate competence in the aquatic environment.

Considerando la importancia de la diversidad de experiencias motoras acuáticas para la mejor relación del individuo con el ambiente, el presente estudio tuvo como objetivo analizar las actividades realizadas en la iniciación de niños a la natación. A lo largo de este estudio fueron identificadas y analizadas las actividades propuestas por profesores en 36 aulas observadas de modo sistemático. Entre los resultados, de las 36 aulas, de ocho profesores, 33 contenían acti-vidades de técnica de nado, en un total de 86 ejercicios sumados y realizados 134 veces. Se concluye que hay la necesidad de repensar lapedagogía de la natación, pues la predominancia en el escenario actual es la enseñanza técnica de los cuatro estilos competitivos, antes de que el individuo se independice y demuestre competencia en el medio acuático.

Gait and functionality of individuals with visual impairment who participate in sports.

BACKGROUND: Individuals with visual impairment (VI) have often been observed to walk slower than individuals with unimpaired vision. These observations might be confounded by typical low levels of physical activity and greater sedentary behavior in individuals with VI than the overall population. RESEARCH QUESTION: Here, we compared gait and balance measures between individuals with VI who participate in disability sports, and activity level matched sighted individuals. METHODS: We assessed static balance, anthropometry, self-selected walking speed, locomotion rehabilitation index, and lower limb muscular endurance; and applied physical activity level and fear of falling questionnaires. RESULTS: Individuals with VI who participate in disability sports, self-selected a similar walking speed (1.29 ±â€¯0.26 m/s) as active sighted individuals (1.39 ±â€¯0.21 m/s). Locomotor rehabilitation index and muscular endurance of lower limbs were also similar between groups. Individuals with VI presented lower static balance (42.0 ±â€¯17.0s) than the sighted control group (45.0 ±â€¯0s) when the controls were tested with their eyes open. However, no difference was found when the controls were tested with their eyes closed (30.3 ±â€¯17.0s). Furthermore, individuals with VI showed a greater fear of falling. SIGNIFICANCE: In conclusion, individuals with VI who participate in disability sports, as goalball and football, walk with similar self-selected walking speeds as active sighted individuals, but have slightly worse static balance and fear of falling.

Diffuse pulmonary ossification: A case report.

Diffuse pulmonary ossification (DPO) is a rarely diagnosed entity that may present with characteristic imaging features. It is listed in the differential diagnosis of lung parenchymal calcifications and should be considered by the radiologist if the appropriate findings are identified. We report a case of DPO secondary to mitral stenosis in a patient whose severe cardiac pathology lead to death few weeks after a chest CT was done. To date, there are no specific treatments with proved benefit in this pathology.

Distance exercised during submaximal training on race winnings for Thoroughbred racehorses / Distância percorrida durante treinamento submáximo sobre rendimentos de cavalos de corrida da raça Puro Sangue Inglês

Evaluations of the physical fitness of Thoroughbred racehorses have been correlated with race earnings, but few reports exist about the influence of the distance exercised during training on both physical conditioning indices and financial productivity. During one training season sixteen claiming Thoroughbred horses were subjected to submaximal training and monitored by a global positioning system (GPS) coupled to a heart rate monitor. After initial and single monitoring, the horses were distributed into two groups of eight individuals each; one group exercised short distances (SD) between 1600 and 1900m, while the other exercised long distances (LD) between 2000 and 2350m. The duration (min) and mean and maximal velocities (ms-1)attained during each session were determined, as well as the difference in distances exercised (m) between official races and each training session. Blood lactate concentration ([LA]) during recovery was also determined. Student's t-test was used for a non-paired analysis, with P≤0.05 considered significant. The winnings (USD) of each horse were correlated with the peak heart rate (HRpeak) attained during the training session. The distances exercised in the training sessions were greater in relation to the official races distances by 24.7% and 40% for SD and LD, respectively. Lactatemia did not differ between the groups. The HRpeak obtained during the training session was lower in LD group. The velocity at which the heart rate reached 200 bpm (V200) was higher in LD group. There was a moderate correlation (r= 0.42) between the highest winnings and lowest HRpeak. The horses that ran longer distances during their submaximal training session had better cardiac conditioning and tendency to increase financial productivity.

Avaliações da aptidão física de cavalos Puro Sangue Inglês (PSI) têm sido correlacionadas com o ganho financeiro, mas a influência da distância percorrida durante o treinamento, tanto sobre índices de condicionamento físico como na produtividade financeira tem sido pouco relatada. Monitoraram-se, por meio de global positioning system (GPS) acoplado a frequencímetro, numa temporada de treinamento, dezesseis equinos da raça PSI, de uma mesma categoria, submetidos a treinamento submáximo. Após o monitoramento inicial e único de uma sessão de treino, os equinos foram distribuídos em dois grupos de oito componentes (DC e DL) diferenciados de acordo com a distância percorrida durante cada sessão de treino, sendo DC para distância curta e DL para distância longa. Dessa maneira, DC e DL percorreram distâncias entre 1600-1900 e 2000-2350 metros, respectivamente. Determinaram-se o tempo e as velocidades médias e máximas atingidas (m s-1), bem como a diferença entre as distâncias percorridas (m) entre as corridas oficiais e as sessões. A produção de lactato sanguíneo durante a recuperação foi quantificada. Empregou-se teste t de student para análise não pareada, sendo P≤0,05. Correlacionaram-se os ganhos financeiros (USD) de cada cavalo com afrequência cardíaca de pico (FCpico) atingidas durante as sessões. As distâncias percorridas nos treinos foram maiores em relação às corridas oficiais em 24,7% e 40% para DC e DL, respectivamente. A lactatemia não diferiu entre os grupos. A frequência cardíaca de pico (FCpico) obtida durante as sessões foi menor para o grupo DL. A velocidade que a frequência cardíaca atingiu 200 bpm (V200) foi maior para DL. Houve correlação moderada entre os maiores ganhos financeiros e menores FCpico. Os cavalos que treinaram maiores distâncias durante sessões de treinamento submáximo tiveram melhor condicionamento cardíaco e maior produtividade financeira.

Accuracy of the estimation of glomerular filtration rate within a population of critically ill patients.

BACKGROUND: Accuracy of glomerular filtration rate (GFR) estimates has been questioned and several authors recommend routine use of measured renal creatinine clearance (CLCR) as a surrogate of GFR in the intensive care unit (ICU). Our purpose was to compare estimates of GFR using Cockroft-Gault (CG), Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) and Modification of Diet in Renal Disease Study (MDRD) equations with 8h-CLCR, within a population of critically ill patients with a wide range of measured CLCR. METHODS: Through a prospective, observational study of 54 patients with normal serum creatinine (sCr) admitted to ICU, daily 8h-CLCR (reference method) and GFR estimates (644 paired samples) were matched and compared. Augmented renal clearance (ARC) was defined as 8h-CLCR >130 ml/min/1.73 m(2). RESULTS: No significant difference was found between mean 8h-CLCR (135.5 ml/min/1.73 m(2)) and CG equation (135.7 ml/min/1.73 m(2)), but significant differences (p < 0.01) were found for the MDRD (124.4 ml/min/1.73 m(2)) and CKD-EPI (107.6 ml/min/1.73 m(2)) equations. Correlation between 8h-CLCR and all estimates was weak (R = 0.2, 0.19 and 0.34, respectively). We observed poor agreement in terms of precision (40.9, 39.8 and 33.4%, respectively). Analysing subgroups, we observed that all equations significantly underestimated 8h-CLCR >120 ml/min/1.73 m(2) and overestimated 8h-CLCR <120 ml/min/1.73 m(2) (p < 0.05). The incidence of ARC patients was 55.6%. CONCLUSIONS: Estimates of GFR using CG, CKD-EPI and MDRD formulae are flawed in the critically ill with normal sCr, significantly underestimating renal function in those with ARC and overestimating it in those with normal or decreased 8h-CLCR. Globally, the population exhibited ARC on more than half of the ICU admission days.

Técnica para avaliação da pressão arterial pulmonar de equinos durante o exercício progressivo em esteira rolante / Technique for pulmonary arterial pressure measurement in horses during the incremental exercise on a treadmill

The aim of this study was to illustrate the surgical implantation of Swan Ganz introducers into the jugular vein, as well as the pulmonary artery cannulation procedure using ten mixed breed (MB) adult horses. We also proposed to demonstrate pulmonary arterial pressure (PAP) values measured through the implanted Swan Ganz during one incremental submaximal exercise test performed on a treadmill. Surgical implantation of the Swan Ganz introducers has demonstrated to be easy and quick to perform. None of the animals showed signs of discomfort following the surgery and ergometric test was carried out as proposed. PAP increased proportionally with exercise intensity, and the major average values were recorded at the higher effort time points. The PAP average values increased (P<0.05) when treadmill speed reached 7.5m/s (39±3mmHg) and 8.5m/s (41±3mmHg), comparing to average values at rest (26±3mmHg). However, the PAP values observed at the maximal effort performed by the MB horses of this trial (41±3mmHg), are under the values described for other breeds at similar effort tests. The technique described in the present study contributes for the standardization of research protocols using arterial pulmonary access via Swan Ganz catheter implantation in horses. The ergometric test was effective to promote PAP changes according to the effort, showing PAP values for MB horses that can guide further investigations.

Objetivou-se ilustrar a técnica cirúrgica de implantação de introdutores para cateter de Swan Ganz na veia jugular, bem como o procedimento de canulação da artéria pulmonar de dez equinos adultos sem raça definida (SRD). Realizando medidas através do cateter de Swan Ganz implantado, objetivou-se ainda demonstrar os valores de pressão arterial pulmonar (PAP) durante um teste de esforço progressivo de intensidade submáxima realizado em esteira rolante. A técnica cirúrgica de implantação de introdutores para o cateter de Swan Ganz empregada, demonstrou-se de fácil e rápida realização. Os animais não apresentaram complicações frente ao introdutor implantado e o teste ergométrico foi realizado conforme proposto. A PAP se elevou ao longo do exercício seguindo o incremento de velocidade, sendo os maiores valores médios observados nos momentos de maior intensidade do esforço. Os valores médios de PAP aumentaram (p<0,05) às velocidades de 7,5m/s (39±3 mmHg) e 8,5m/s (41±3 mmHg), quando comparados aos valores mensurados no repouso (26±3mmHg). Entretanto, os valores de PAP encontrados no máximo de esforço realizado pelos equinos SRD deste ensaio (41±3mmHg), encontram-se abaixo dos valores descritos para outras raças para a mesma intensidade de esforço. A descrição detalhada da técnica ilustrada no presente trabalho, pode contribuir substancialmente na padronização de protocolos experimentais que propõem o acesso arterial pulmonar por meio da implantação de cateter de Swan Ganz em equinos. O teste ergométrico proposto foi eficaz em promover variações de PAP de acordo com o esforço realizado, demonstrando valores para equinos SRD que poderão ser usados como base para futuras avaliações.

Long-term facial artery catheter implantation for serial arterial blood sampling and invasive arterial blood pressure measurement in horses.

The purpose of this investigation was to evaluate surgical catheter implantation in the facial artery of horses and the long-term maintenance of such arteries using heparin and ascorbic acid as filling solution. Nine horses were implanted with a polyurethane catheter. The catheters were flushed with a heparin/ascorbic acid solution every 8h and remained patent for 25 days. Arterial blood samples were collected twice a day, and one exercise test that included serial blood samples and arterial pressure recordings was performed on a treadmill. Polyurethane catheters surgically implanted in the facial artery can be kept patent by filling with a heparin/ascorbic acid solution and provide convenient invasive arterial access in horses which is suitable for use for serial blood sampling and blood pressure recordings, even during exercise on treadmill.

Fast volumetric registration method for tumor follow-up in pulmonary CT exams.

An oncological patient may go through several tomographic acquisitions during a period of time, needing an appropriate registration. We propose an automatic volumetric intrapatient registration method for tumor follow-up in pulmonary CT exams. The performance of our method is evaluated and compared with other registration methods based on optimization techniques. We also compared the metrics behavior to inspect which metric is more sensitive to changes due to the presence of lung tumors.

Ehlers-Danlos syndrome type IV in association with a (c.970G>A) mutation in the COL3A1 gene.

The Ehlers-Danlos syndrome type IV (EDS-IV) is a hereditary, autosomal dominant disease that causes a defect in the procollagen III synthesis, which results in a structural modification in this protein. An awareness of the disease is of vital importance for the optimal outcome, since the affected individuals have a high risk of vascular, intestinal and uterine rupture. It's a disease with great clinical variability and the diagnosis is confirmed by detection of a mutation in the gene encoding collagen type III. The authors present a case report of a patient who appeared at the emergency ward with acute abdomen and hypovolemic shock after spontaneous aortic rupture. The diagnosis was confirmed after genetic study that identified a mutation in the (c.970G>A) in the COL3A1 gene, only reported once in the literature in a family with internal carotid dissections in some of its members. It's the first time that this mutation is reported in association with the EDS-IV. The authors also make a brief review of the clinical, genetic and molecular characteristics of this syndrome.

Rosai-Dorfman disease manifesting as a mediastinal mass with calcifications.

Sinus histiocytosis with massive lymphadenopathy, also known as Rosai-Dorfman disease, is a rare entity predominantly affecting children and young adults, characterized in 95% of patients by painless bilateral cervical limphadenopathy. We report the case of a 30-year-old female with an anterior mediastinal mass due to lymph node enlargement, which showed calcifications on computed tomography. To our knowledge, calcification in lymphadenopathy, as is present in this case, has never been described in Rosai-Dorfman disease.

Sarcoidosis: a less common presentation.

The clinical presentation of sarcoidosis is diverse and in over 90% of patients there is pulmonary involvement. The most common features of the radiographic findings at the time of diagnosis are bilateral hilar lymphadenopathy and pulmonary infiltration. The authors report the case of a young female patient who presented with multiple bilateral nodular shadows on chest radiograph. Surgical biopsy revealed non-necrotizing granulomas with occasional multinucleated giant cells compatible with sarcoidosis. Although this was a case of stage III pulmonary disease, the patient was asymptomatic, lung function tests were normal and there were no signs of extrathoracic involvement. Spontaneous remission occurred without treatment as shown on high resolution CT scan follow-up, one year later.

Atresia retal em neonatos de eqüideos (PAP)

Atresia retal em potros neonatos é a ausência congênita dessa porção final do intestino decorrente de interrupção ou anormalidades no desenvolvimento embriológico do reto. Esta enfermidade caracteriza-se por interrupção do reto próxima à junção mucocutânea, cuja etiologia mais provável é o acidente vascular intra-uterino. O diagnóstico pode ser feito por meio de exames físico, laboratorial, radiografias abdominais contrastadas, laparoscopia e proctoscopia. Os achados de exame clínico mais consistente é a presença de dor abdominal durante as primeiras 24 horas de vida, ausência de eliminação de mecônio mesmo depois de repetidos enemas. Não existe tratamento clínico para esta enfermidade, sendo necessária correção cirúrgica o mais precoce possível por meio de laparotomia exploratória ou videolaparoscopia. Complicações pós-operatórias como deiscência dos pontos de anastomose podem ocorrer devido à diferença de diâmetro entre as alças intestinais, levando o animal a óbito. Ainda não está estabelecida a forma de controle desta enfermidade devido à incerteza em sua etiologia, porém, recomenda-se não utilizar o animal que apresente esta enfermidade para fins reprodutivos, além de sua progenitora.

Mammary adenocarcinoma in a mare

A non-lactating 17-year-old grey barren Mangalarga Marchador mare was referred to the Large Animal Veterinary Hospital of the Federal Rural University of Rio de Janeiro (UFRRJ), presenting enlargement of the mammary gland. The owner reported that the animal had a lesion in the mammary gland for at least two years, diagnosed and treated as chronic mastitis. Initially only the right gland was involved, presenting ulceration and exudation on the cutaneous surface. After 20 months, the left gland also became affected. The diagnosis of tubulo-papillary adenocarcinoma was based on the typical microscopic lesions. This work shows the importance of the histopathological examination in the differential diagnosis between the neoplasms and the chronic inflammation in the mammary gland of mares, as well as, to show that the cytological examination cannot detect the tumor, in case the puncture is made in areas of secondary infection.

Uma égua tordilha, Mangalarga Marchador, de 17 anos, não-lactante e não-prenhe, foi encaminhada ao Hospital de Grandes Animais da Universidade Federal Rural do Rio de Janeiro, com histórico de mastite crônica há dois anos. No início da lesão, apenas a glândula mamária direita estava muito aumentada, com exsudação sero-hemorrágica e ulcerada. Após 20 meses, a mama esquerda também estava comprometida. A égua foi tratada para mastite crônica, porém o exame histopatológico revelou tratar-se de um adenocarcinoma túbulo-papilar. Este trabalho evidencia a importância do exame histopatológico no diagnóstico diferencial entre neoplasias e inflamação crônica da mama de éguas, uma vez que o exame citopatológico pode não detectar o tumor, quando a punção é feita em áreas de infecção secundária.

Fístulas e outras anomalias congênitas dos tratos digestivo e urinário em um potro / Fistulae and other congenital anomalies of the urinary and digestive tract in a colt

Descrevem-se fístulas uretrorretal, vesicorretal, uretroperianal, retoperianal e cecorretal congênitas em um potro de três meses que eliminava urina em jatos pela uretra peniana, pelo ânus e pelas quatro fístulas. A necropsia, a bexiga encontrava-se aderida ao peritônio, ao íleo, ao ceco e à musculatura da parede abdominal e estava repleta de fezes e exsudato caseoso. Adicionalmente, observaram-se persistência do úraco, uretrite supurativa e dilatação da uretra pélvica, com formação de saco cego ventral. Este tipo de malformação ainda não havia sido descrito em eqüinos no Brasil.

A three month-old Mangalarga Marchador colt, that eliminated urine in jets through the penian urethra, anus and through four fistulae in the perianal area. Post-mortem examination revealed that the fistulae communicated the pelvic urethra and the bladder to the rectum and the rectum and the pelvic urethra to the perianal area. Additionally, there were cecorectal fistula, persistence of the urachus and dilatation of the pelvic urethra, with a ventral blind sack. The bladder was filled with caseous exudate and feces and showed adherences with the peritonium, ileum and cecum, as well as with the muscles of the abdominal wall. This malformation type still had not been described in equine in Brazil.