[When to resume driving after primary total hip arthroplasty?] / ¿Cuándo se reanuda la conducción después del reemplazo total de cadera primario?

INTRODUCTION: the current literature relates the return to driving with multiple variables. For various reasons, the current data on the time to return to driving after a total hip arthroplasty (THA) are diverse and even contradictory. We have proposed the objective of determining the time required to drive a manual gear vehicle again in a group of patients who underwent primary THA through a posterolateral approach with focus on manual gear cars. MATERIAL AND METHODS: we have studied the functional results of 112 patients who underwent primary THA between January 2019 and January 2020 in a high level in Cadiz, Andalusia, Spain. RESULTS: the median return to driving was three weeks (IQR 2-4). We have identified that 89.3% of the patients were able to drive again before the sixth week after surgery and in 92% of the cases they did so feeling even safer than before the THA. CONCLUSION: we consider that after the sixth week of an THA it is safe to resume driving a vehicle.

INTRODUCCIÓN: la literatura actual relaciona el regreso a la conducción vehicular con múltiples variables. Sin embargo, los datos actuales sobre el tiempo de regreso a la conducción luego de una artroplastía total de cadera (ATC) son diversos e incluso contradictorios. Por lo tanto, nos hemos planteado el objetivo de determinar el tiempo requerido para volver a conducir en un grupo de pacientes sometidos a una ATC primaria mediante un abordaje posterolateral, centrándonos específicamente en vehículos de marcha manual. MATERIAL Y MÉTODOS: hemos estudiado los resultados clínico-funcionales de 112 pacientes sometidos a una ATC primaria entre Enero de 2019 y Enero de 2020 en un hospital de alta complejidad en Cádiz, Andalucía, España. RESULTADOS: la mediana del tiempo de regreso a la conducción fue de tres semanas (RIC 2-4). Hemos identificado que 89.3% de los pacientes pudo volver a conducir antes de la sexta semana posterior a la cirugía. Además, en 92% de los casos, los pacientes se sintieron aún más seguros al conducir después de la ATC que antes de la intervención. CONCLUSIÓN: consideramos que a la sexta semana de una ATC es seguro reanudar la conducción de un vehículo.

¿Cuándo se reanuda la conducción después del reemplazo total de cadera primario? / When to resume driving after primary total hip arthroplasty?

Resumen: Introducción: la literatura actual relaciona el regreso a la conducción vehicular con múltiples variables. Sin embargo, los datos actuales sobre el tiempo de regreso a la conducción luego de una artroplastía total de cadera (ATC) son diversos e incluso contradictorios. Por lo tanto, nos hemos planteado el objetivo de determinar el tiempo requerido para volver a conducir en un grupo de pacientes sometidos a una ATC primaria mediante un abordaje posterolateral, centrándonos específicamente en vehículos de marcha manual. Material y métodos: hemos estudiado los resultados clínico-funcionales de 112 pacientes sometidos a una ATC primaria entre Enero de 2019 y Enero de 2020 en un hospital de alta complejidad en Cádiz, Andalucía, España. Resultados: la mediana del tiempo de regreso a la conducción fue de tres semanas (RIC 2-4). Hemos identificado que 89.3% de los pacientes pudo volver a conducir antes de la sexta semana posterior a la cirugía. Además, en 92% de los casos, los pacientes se sintieron aún más seguros al conducir después de la ATC que antes de la intervención. Conclusión: consideramos que a la sexta semana de una ATC es seguro reanudar la conducción de un vehículo.

Abstract: Introduction: the current literature relates the return to driving with multiple variables. For various reasons, the current data on the time to return to driving after a total hip arthroplasty (THA) are diverse and even contradictory. We have proposed the objective of determining the time required to drive a manual gear vehicle again in a group of patients who underwent primary THA through a posterolateral approach with focus on manual gear cars. Material and methods: we have studied the functional results of 112 patients who underwent primary THA between January 2019 and January 2020 in a high level in Cadiz, Andalusia, Spain. Results: the median return to driving was three weeks (IQR 2-4). We have identified that 89.3% of the patients were able to drive again before the sixth week after surgery and in 92% of the cases they did so feeling even safer than before the THA. Conclusion: we consider that after the sixth week of an THA it is safe to resume driving a vehicle.

Scan factors and practices associated with radiation doses for chest CT: current Brazilian scenario.

The main purpose of this study was to compare the parameters of computed tomography (CT) and the corresponding patient doses undergoing chest CT scan examinations in different regions of Brazil, providing the current scenario of how these procedures are being carried out in the country as well as the patient dose distribution. Thirty institutions, across 17 states and the Federal District, participated in the survey. The evaluation included 30 multislice CTs of seven different models, manufactured by General Electric (GE) Healthcare. For each institution, data from 10 adult chest CT examinations, performed without contrast, were collected remotely. The analysis of the results showed a significant difference of the CTDIvolvalues, ranging from 1.1 mGy to 46.6 mGy in seven institutions. The mean value of CTDIvolwas higher than values found in the literature and the UK Reference Levels. It was also observed that, regardless of the region of the country, for the same CT model, different scanning parameters were used, which resulted in CTDIvolup to 5 times higher in some institutions. Repetitions of CT acquisitions and scouts with radiation field dimensions larger than the region of interest were found in 25% of chest examinations, resulting in higher absorbed doses. The results of this work show a mapping of the chest CT procedures, which enables the establishment of strategic plans for the country. In addition, each institution will be able to implement an appropriate optimization program and establish institutional reference levels.

Estratégias alimentares na larvicultura do peixe ornamental amazônico acará-severo (Heros severus) (Heckel, 1840) / Feeding strategies on larval rearing of severum (Heros severus) (Heckel, 1840), Amazonian ornamental fish

Com o presente estudo, objetivou-se avaliar o tempo de fornecimento de náuplios de artêmia e o período de transição alimentar para pós-larvas de acará-severo (Heros severus). Foram utilizadas 450 pós-larvas de acará-severo, distribuídas em 45 aquários, em delineamento inteiramente ao acaso, em esquema fatorial 3x5, com três repetições. Foram avaliados três períodos de fornecimento de náuplios de artêmia: zero, cinco e 10 dias. Além disso, foram testados cinco períodos de transição alimentar: um, dois, três, quatro e cinco dias, quando os animais receberam alimentação conjunta de náuplios de artêmia e dieta farelada. Ao final do experimento, os peixes foram contados, pesados e fotografados, para avaliação do desempenho produtivo e das variáveis morfométricas. Para todos os parâmetros avaliados, não foi constatada interação entre o tempo de fornecimento de artêmia e o período de transição alimentar. Os animais alimentados por 10 dias com náuplios de artêmia apresentaram os melhores resultados de desempenho e as maiores variáveis morfométricas. Os peixes que receberam alimentação conjunta por três dias apresentaram desenvolvimento satisfatório. Dessa forma, recomendam-se 10 dias de fornecimento de náuplios de artêmia e três dias de transição alimentar, antes de se iniciar o fornecimento exclusivo de dieta inerte para pós-larvas de acará-severo.(AU)

The aim of this study was to evaluate the supply time of artemia and the period of food transition to post-larvae of severum (Heros severus). A total of 450 post-larvae of severum were distributed in 45 aquaria, in a completely randomized design, in a 3x5 factorial scheme, with three replicates. Three feeding periods with artemia nauplii were evaluated: zero, five, and ten days. In addition, five feeding transitions were tested: one, two, three, four and five days, when the animals received joint feeding of artemia nauplii and dry diet. At the end of the experiment the fish were counted, weighed and photographed, to evaluate the productive performance and the morphometric variables. For all parameters evaluated, no interaction between the time of artemia supply and the feeding transition period was observed. Animals fed for 10 days with artemia nauplii showed the best performance results and the highest morphometric variables. The fish that received joint feeding for three days presented satisfactory development. Thus, 10 days of artemia nauplii supply and three days of feeding transition is recommended before starting the exclusive supply of diet inert to post-larvae of severum.(AU)

Fotoperíodo e frequência alimentar na larvicultura do peixe beta / Photoperiod and feeding frequency in the Siamese fighting fish hatchery

Com este trabalho, objetivou-se avaliar o crescimento, a uniformidade e a sobrevivência das larvas de Betta splendens, submetidas a diferentes fotoperíodos e frequências de alimentação. Foram distribuídos aleatoreamente 480 indivíduos (4,53mg ± 0,32 e 5,51 ± 0,58mm) em 48 recipientes plásticos (1L), com densidade de 10 larvas/ L. Foi utilizado um delineamento experimental inteiramente ao acaso, com quatro repetições, em arranjo fatorial 6x2, com seis fotoperíodos (0L:24E, 6L:18E, 12L:12E, 16L:8E, 20L:4E, 24L:0E) e duas frequências de alimentação (duas ou quatro vezes/ dia). Durante um período de 15 dias, as larvas foram alimentadas com náuplios de Artemia, na proporção de 800 náuplios/ larva/ dia. Larvas de beta submetidas aos fotoperíodos de 12L:12E e 16L:8E apresentaram o maior crescimento em peso (P<0,10), enquanto as que foram alimentadas quatro vezes ao dia apresentaram maior crescimento em comprimento e uniformidade (P<0,10). No entanto, os indivíduos que foram alimentados quatro vezes ao dia apresentaram menor sobrevivência quando submetidos aos fotoperíodos de 16L:8E, 20L:4E e 24L:0E (P<0,10). Por outro lado, as larvas submetidas aos fotoperíodos de 12L:12E, 16L:8E e 20L:4E apresentaram maior taxa de sobrevivência quando alimentadas duas vezes ao dia (P<0,10). Portanto, ao se preconizar maior crescimento, uniformidade e sobrevivência das larvas de Betta splendens, recomenda-se a realização da larvicultura dessa espécie sob o fotoperíodo de 12L:12E, com o fornecimento de náuplios de Artemia em duas alimentações diárias.(AU)

The aim of this study was to evaluate the growth, uniformity and survival of Betta splendens larvae, submitted to different photoperiods and feeding frequency. Four hundred and eighty individuals (4.53mg ± 0.32 and 5.51 ± 0.58mm) were randomly distributed into 48 plastic containers (1L) at a density of 10 larvae/L. A completely randomized design was used, with four replications in a factorial 6 x 2, six photoperiods (0L:24D, 6L:18D, 12L:12D, 16L:8D, 20L:4D, 24L:0D) and two feeding frequencies (two or four times a day). The larvae were fed performed with Artemia nauplii at averaging 800/ larvae/ day, for 15 days. Beta larvae subjected to photoperiod 12L:12D and 16L:8E showed the greatest weight gain (P<0.10), while those fed four times daily had greater length growth and uniformity (P<0.10). However, individuals fed four times daily had lower survival when subjected to photoperiod 16L:8E, 20L:4L and 24E:0D (P<0.10). On the other hand, larvae subjected to a photoperiod of 12L:12D, 16L:8L and 20L:4E showed higher survival rate when fed twice a day (P<0.10). Therefore, with the intention of better growth, uniformity and survival of Betta splendens larvae, it is recommended that the hatchery in this species be done under a photoperiod of 12L: 12D with supply of Artemia nauplii twice daily.(AU)