First experience with a supercharged pedicled jejunal interposition for esophageal replacement after caustic ingestion in a middle-income Latin American country.

Caustic or corrosive substance ingestion that results in severe esophageal and gastric lacerations frequently requires surgical management. The most common sequelae after an upper gastrointestinal tract caustic injury include non-responding luminal strictures, which are subject to esophageal replacement. Late corrective surgery may include esophagectomy with gastric pull-up and jejunal or colonic interpositions. Although long-segment esophageal reconstruction with jejunum is technically feasible and has demonstrated good outcomes, the complexity of the surgery has precluded the widespread use of this procedure in low- and middle-income countries. This document summarizes the most relevant aspects of caustic ingestion surgical management and describes the first Latin American experience in the reconstruction of an esophageal-gastric caustic injury using a pedicled jejunal interposition, as a viable and functional option in mid- and lower-income countries with well-established Thoracic Surgery departments and microsurgery access.

How omnivory affects the survival and choices of earwig Doru luteipes (Scudder) (Dermaptera: Forficulidae)? / Como a onivoria afeta a sobrevivência e escolhas da tesourinha Doru luteipes (Scudder) (Dermaptera: Forficulidae)?

Doru luteipes (Scudder, 1876) is an omnivorous predator that finds different food resources in the corn plant: eggs of Spodoptera frugiperda (J.E. Smith, 1797), uredospores of Puccinia polysora (Underw, 1897), and pollen. Knowing the survival and food preferences of this predator is essential to define its relevance as a biological control agent. We hypothesize that the foraging behavior and predatory capacity of D. luteipes may be affected when several food resources, especially eggs of S. frugiperda, uredospores of P. polysora, and pollen are concurrently in the same plant. The survival of D. luteipes in the nymph stage and their preference among food resources, often available in corn plants, were determined. To verify the survival of D. luteipes, newly hatched nymphs were fed exclusively with 1- uredospores of P. polysora, 2- eggs of S. frugiperda, 3- corn pollen, 4- a combination of uredospores + eggs, and 5- artificial diet (control). In another experiment, nymphs and adults of D. luteipes with 24 and 48 hours of fasting were individually released in the center of a container with four diets: 1- uredospores of P. polysora, 2- eggs of S. frugiperda, 3- corn pollen, 4- artificial diet, and maintained for 10 minutes, to evaluate the food choice and feeding time. The exclusive feeding with S. frugiperda eggs caused low nymph survival (8%), but the combination of P. polysora uredospores + S. frugiperda eggs allowed 58.3% survival. D. luteipes preferred feeding during the nighttime and the most significant proportions of choices by nymphs and adults were for pollen and diet, with adults spending more time eating pollen. These findings indicate that the trophic choices of D. luteipes are relevant to understand its contribution as an agent to control pest insects and fungal diseases in corn.

Doru luteipes (Scudder, 1876) é um predador onívoro, que encontra na planta do milho diferentes recursos alimentares: ovos de Spodoptera frugiperda (J.E. Smith, 1797), uredósporos de Puccinia polysora (Underw, 1897) e pólen. Para definição da relevância desse predador como agente de controle biológico, conhecer a sobrevivência e preferência alimentar é essencial. Nós hipotetizamos que o comportamento de forrageamento e a capacidade de predação de D. luteipes podem ser afetados quando uma mesma planta oferece ovos, uredósporos e pólen, concomitantemente. A sobrevivência de D. luteipes na fase de ninfa e sua preferência entre os recursos alimentares, frequentemente disponíveis nas plantas de milho, foram determinados. Para verificar a sobrevivência de D. luteipes, ninfas recém eclodidas foram alimentadas exclusivamente com 1- uredósporos de P. polysora, 2- ovos de S. frugiperda, 3- pólen de milho, 4- combinação de uredósporos + ovos e 5- dieta artificial (controle). Em outro experimento, ninfas e adultos de D. luteipes com 24 e 48 horas de jejum foram liberadas individualmente, em recipientes contendo quatro dietas: 1- uredósporos de P. polysora, 2- ovos de S. frugiperda, 3- pólen de milho, 4- dieta artificial e mantidas durante 10 min, sendo avaliados a escolha pelo alimento e o tempo de alimentação. A alimentação exclusiva com ovos de S. frugiperda ocasionou baixa sobrevivência das ninfas (8%), porém a combinação de uredósporos de P. polysora + ovos de S. frugiperda possibilitou sobrevivência de 58,3%. D. luteipes preferiu se alimentar durante o período noturno e as maiores proporções de escolhas das ninfas e dos adultos ocorreram no pólen e na dieta, sendo que os adultos gastaram mais tempo se alimentando de pólen. Estas descobertas indicam que as escolhas tróficas de D. luteipes são relevantes para compreender sua contribuição como agente de controle de insetos-praga e doença fúngicas em milho.

How omnivory affects the survival and choices of earwig Doru luteipes (Scudder) (Dermaptera: Forficulidae)?

Abstract Doru luteipes (Scudder, 1876) is an omnivorous predator that finds different food resources in the corn plant: eggs of Spodoptera frugiperda (J.E. Smith, 1797), uredospores of Puccinia polysora (Underw, 1897), and pollen. Knowing the survival and food preferences of this predator is essential to define its relevance as a biological control agent. We hypothesize that the foraging behavior and predatory capacity of D. luteipes may be affected when several food resources, especially eggs of S. frugiperda, uredospores of P. polysora, and pollen are concurrently in the same plant. The survival of D. luteipes in the nymph stage and their preference among food resources, often available in corn plants, were determined. To verify the survival of D. luteipes, newly hatched nymphs were fed exclusively with 1- uredospores of P. polysora, 2- eggs of S. frugiperda, 3- corn pollen, 4- a combination of uredospores + eggs, and 5- artificial diet (control). In another experiment, nymphs and adults of D. luteipes with 24 and 48 hours of fasting were individually released in the center of a container with four diets: 1- uredospores of P. polysora, 2- eggs of S. frugiperda, 3- corn pollen, 4- artificial diet, and maintained for 10 minutes, to evaluate the food choice and feeding time. The exclusive feeding with S. frugiperda eggs caused low nymph survival (8%), but the combination of P. polysora uredospores + S. frugiperda eggs allowed 58.3% survival. D. luteipes preferred feeding during the nighttime and the most significant proportions of choices by nymphs and adults were for pollen and diet, with adults spending more time eating pollen. These findings indicate that the trophic choices of D. luteipes are relevant to understand its contribution as an agent to control pest insects and fungal diseases in corn.

Resumo Doru luteipes (Scudder, 1876) é um predador onívoro, que encontra na planta do milho diferentes recursos alimentares: ovos de Spodoptera frugiperda (J.E. Smith, 1797), uredósporos de Puccinia polysora (Underw, 1897) e pólen. Para definição da relevância desse predador como agente de controle biológico, conhecer a sobrevivência e preferência alimentar é essencial. Nós hipotetizamos que o comportamento de forrageamento e a capacidade de predação de D. luteipes podem ser afetados quando uma mesma planta oferece ovos, uredósporos e pólen, concomitantemente. A sobrevivência de D. luteipes na fase de ninfa e sua preferência entre os recursos alimentares, frequentemente disponíveis nas plantas de milho, foram determinados. Para verificar a sobrevivência de D. luteipes, ninfas recém eclodidas foram alimentadas exclusivamente com 1- uredósporos de P. polysora, 2- ovos de S. frugiperda, 3- pólen de milho, 4- combinação de uredósporos + ovos e 5- dieta artificial (controle). Em outro experimento, ninfas e adultos de D. luteipes com 24 e 48 horas de jejum foram liberadas individualmente, em recipientes contendo quatro dietas: 1- uredósporos de P. polysora, 2- ovos de S. frugiperda, 3- pólen de milho, 4- dieta artificial e mantidas durante 10 min, sendo avaliados a escolha pelo alimento e o tempo de alimentação. A alimentação exclusiva com ovos de S. frugiperda ocasionou baixa sobrevivência das ninfas (8%), porém a combinação de uredósporos de P. polysora + ovos de S. frugiperda possibilitou sobrevivência de 58,3%. D. luteipes preferiu se alimentar durante o período noturno e as maiores proporções de escolhas das ninfas e dos adultos ocorreram no pólen e na dieta, sendo que os adultos gastaram mais tempo se alimentando de pólen. Estas descobertas indicam que as escolhas tróficas de D. luteipes são relevantes para compreender sua contribuição como agente de controle de insetos-praga e doença fúngicas em milho.

How omnivory affects the survival and choices of earwig Doru luteipes (Scudder) (Dermaptera: Forficulidae)? / Como a onivoria afeta a sobrevivência e escolhas da tesourinha Doru luteipes (Scudder) (Dermaptera: Forficulidae)?

Abstract Doru luteipes (Scudder, 1876) is an omnivorous predator that finds different food resources in the corn plant: eggs of Spodoptera frugiperda (J.E. Smith, 1797), uredospores of Puccinia polysora (Underw, 1897), and pollen. Knowing the survival and food preferences of this predator is essential to define its relevance as a biological control agent. We hypothesize that the foraging behavior and predatory capacity of D. luteipes may be affected when several food resources, especially eggs of S. frugiperda, uredospores of P. polysora, and pollen are concurrently in the same plant. The survival of D. luteipes in the nymph stage and their preference among food resources, often available in corn plants, were determined. To verify the survival of D. luteipes, newly hatched nymphs were fed exclusively with 1- uredospores of P. polysora, 2- eggs of S. frugiperda, 3- corn pollen, 4- a combination of uredospores + eggs, and 5- artificial diet (control). In another experiment, nymphs and adults of D. luteipes with 24 and 48 hours of fasting were individually released in the center of a container with four diets: 1- uredospores of P. polysora, 2- eggs of S. frugiperda, 3- corn pollen, 4- artificial diet, and maintained for 10 minutes, to evaluate the food choice and feeding time. The exclusive feeding with S. frugiperda eggs caused low nymph survival (8%), but the combination of P. polysora uredospores + S. frugiperda eggs allowed 58.3% survival. D. luteipes preferred feeding during the nighttime and the most significant proportions of choices by nymphs and adults were for pollen and diet, with adults spending more time eating pollen. These findings indicate that the trophic choices of D. luteipes are relevant to understand its contribution as an agent to control pest insects and fungal diseases in corn.

Resumo Doru luteipes (Scudder, 1876) é um predador onívoro, que encontra na planta do milho diferentes recursos alimentares: ovos de Spodoptera frugiperda (J.E. Smith, 1797), uredósporos de Puccinia polysora (Underw, 1897) e pólen. Para definição da relevância desse predador como agente de controle biológico, conhecer a sobrevivência e preferência alimentar é essencial. Nós hipotetizamos que o comportamento de forrageamento e a capacidade de predação de D. luteipes podem ser afetados quando uma mesma planta oferece ovos, uredósporos e pólen, concomitantemente. A sobrevivência de D. luteipes na fase de ninfa e sua preferência entre os recursos alimentares, frequentemente disponíveis nas plantas de milho, foram determinados. Para verificar a sobrevivência de D. luteipes, ninfas recém eclodidas foram alimentadas exclusivamente com 1- uredósporos de P. polysora, 2- ovos de S. frugiperda, 3- pólen de milho, 4- combinação de uredósporos + ovos e 5- dieta artificial (controle). Em outro experimento, ninfas e adultos de D. luteipes com 24 e 48 horas de jejum foram liberadas individualmente, em recipientes contendo quatro dietas: 1- uredósporos de P. polysora, 2- ovos de S. frugiperda, 3- pólen de milho, 4- dieta artificial e mantidas durante 10 min, sendo avaliados a escolha pelo alimento e o tempo de alimentação. A alimentação exclusiva com ovos de S. frugiperda ocasionou baixa sobrevivência das ninfas (8%), porém a combinação de uredósporos de P. polysora + ovos de S. frugiperda possibilitou sobrevivência de 58,3%. D. luteipes preferiu se alimentar durante o período noturno e as maiores proporções de escolhas das ninfas e dos adultos ocorreram no pólen e na dieta, sendo que os adultos gastaram mais tempo se alimentando de pólen. Estas descobertas indicam que as escolhas tróficas de D. luteipes são relevantes para compreender sua contribuição como agente de controle de insetos-praga e doença fúngicas em milho.

Initial assessment of framework for delivery of elective orthopaedic surgery in the United Kingdom following the COVID-19 pandemic.

PURPOSE: In light of the COVID-19 pandemic, a framework for safe provision of elective orthopaedic surgery must be developed in order to restore and maintain activity. The aim of this study was to explore patient attitudes to surgery and theatre efficiency as a result of the COVID-19 pandemic and assess a potential framework for the delivery of such services. METHODS: Prospectively collected data on theatre timings and procedures completed per session used to assess theatre efficiency comparing June 2019 to June 2020. Information on patient compliance with 14-day household isolation and attitudes to surgery were collected prospectively over a seven-week period using a questionnaire. Follow-up data were collected via telephone consultation a minimum of two weeks after discharge. RESULTS: Significant reduction in the number of points per session (p = 0.02) with a mean of 3.19 in 2019 and 2.42 in 2020. Only 18 of 31 patients were compliant with pre-operative isolation with individual failures accounting for four of 13 and failures by household members accounting for nine. Impact of COVID-19 and precautions on patient anxiety was mixed. No patients required symptomatic COVID-19 swab post-operatively. CONCLUSION: With the restrictions of COVID-19, there are significant problems with theatre efficiency, in effect losing an operation a list. Furthermore, compliance with pre-operative isolation was poor but to the best of our knowledge no patients became unwell from COVID-19 post-operatively. Additional strategies will be required to reinstate an effective elective orthopaedic service, especially as the nation heads into another wave.

Fungivory: a new and complex ecological function of Doru luteipes (Scudder) (Dermaptera: Forficulidae) / Fungivoria: uma nova e complexa função ecológica de Doru luteipes (Scudder) (Dermaptera: Forficulidae)

We report the discovery that the earwig predator Doru luteipes (Scudder, 1876) (Dermaptera: Forficulidae) feed on Puccinia polysora Underw uredospore, the causal agent of Southern Rust of Corn (SRC), which is a primary disease affecting the maize crop in Brazil. We performed experiments in laboratory and greenhouse to test the effect of D. luteipes (1st/2nd and 3rd/4th instars, and adults) fungivory on the P. polysora uredospore concentration. All trials showed a significant reduction of the initial concentration of uredospore. There was a reduction in uredospore concentration with increase in number of D. luteipes feeding on them. We also tested the uredospore consumption by quantifying its percentage in the feces of D. luteipes. Nymphs of the 2nd, 4th instar and adults fed 88%, 85%, and 83.8% of the uredospore, respectively. For nymphs of the 3rd instar, the percentage of uredospore consumption (75.6%) was statistically significant compared with the other groups. In greenhouse experiment, at twenty-eight days after plant inoculation with 9.9 x 104 uredospores, the percentage of uredospore consumption was 81.7%. Our results confirmed the fungivory of D. luteipes on P. polysora uredospore. This is the first report of D. luteipes fungivory, which may play an important role in the biological control of P. polysora in corn.

Relatamos a descoberta de que o predador Doru luteipes (Scudder, 1876) (Dermaptera: Forficulidae) se alimenta de uredosporos de Puccinia polysora Underw, o agente causal da ferrugem polisora que é uma doença primária que afeta a cultura do milho no Brasil. Realizamos experimentos em laboratório e em casa de vegetação para testar o efeito da fungivoria de D. luteipes (1º/2º e 3º/4º iìstares e adultos) sobre a concentração de uredosporos de P. polysora. Todos os ensaios mostraram uma redução significativa da concentração inicial de uredosporos. Houve uma redução na concentração de uredosporos com o aumento do número de D. luteipes alimentando-se deles. Também testamos o consumo de uredosporos quantificando sua porcentagem nas fezes de D. luteipes. Ninfas do 2º e 4º ínstar, assim como adultos, alimentaram-se de 88%, 85% e 83,8% dos uredosporos, respectivamente. Para ninfas do 3º ínstar, a porcentagem de consumo de uredosporos (75,6%) foi estatisticamente significativo em comparação com os outros grupos. No experimento em casa de vegetação, aos 28 dias após a inoculação das plantas com 9,9 x 104 uredosporos, a porcentagem de consumo de uredosporos foi de 81,7%. Nossos resultados confirmaram a fungivoria de D. luteipes em uredosporos de P. polysora. Este é o primeiro relato de fungivoria de D. luteipes, que pode ter papel importante no controle biológico de P. polysora em milho.

Fungivory: a new and complex ecological function of Doru luteipes (Scudder) (Dermaptera: Forficulidae)

Abstract We report the discovery that the earwig predator Doru luteipes (Scudder, 1876) (Dermaptera: Forficulidae) feed on Puccinia polysora Underw uredospore, the causal agent of Southern Rust of Corn (SRC), which is a primary disease affecting the maize crop in Brazil. We performed experiments in laboratory and greenhouse to test the effect of D. luteipes (1st/2nd and 3rd/4th instars, and adults) fungivory on the P. polysora uredospore concentration. All trials showed a significant reduction of the initial concentration of uredospore. There was a reduction in uredospore concentration with increase in number of D. luteipes feeding on them. We also tested the uredospore consumption by quantifying its percentage in the feces of D. luteipes. Nymphs of the 2nd, 4th instar and adults fed 88%, 85%, and 83.8% of the uredospore, respectively. For nymphs of the 3rd instar, the percentage of uredospore consumption (75.6%) was statistically significant compared with the other groups. In greenhouse experiment, at twenty-eight days after plant inoculation with 9.9 x 104 uredospores, the percentage of uredospore consumption was 81.7%. Our results confirmed the fungivory of D. luteipes on P. polysora uredospore. This is the first report of D. luteipes fungivory, which may play an important role in the biological control of P. polysora in corn.

Resumo Relatamos a descoberta de que o predador Doru luteipes (Scudder, 1876) (Dermaptera: Forficulidae) se alimenta de uredosporos de Puccinia polysora Underw, o agente causal da ferrugem polisora que é uma doença primária que afeta a cultura do milho no Brasil. Realizamos experimentos em laboratório e em casa de vegetação para testar o efeito da fungivoria de D. luteipes (1º/2º e 3º/4º iìstares e adultos) sobre a concentração de uredosporos de P. polysora. Todos os ensaios mostraram uma redução significativa da concentração inicial de uredosporos. Houve uma redução na concentração de uredosporos com o aumento do número de D. luteipes alimentando-se deles. Também testamos o consumo de uredosporos quantificando sua porcentagem nas fezes de D. luteipes. Ninfas do 2º e 4º ínstar, assim como adultos, alimentaram-se de 88%, 85% e 83,8% dos uredosporos, respectivamente. Para ninfas do 3º ínstar, a porcentagem de consumo de uredosporos (75,6%) foi estatisticamente significativo em comparação com os outros grupos. No experimento em casa de vegetação, aos 28 dias após a inoculação das plantas com 9,9 x 104 uredosporos, a porcentagem de consumo de uredosporos foi de 81,7%. Nossos resultados confirmaram a fungivoria de D. luteipes em uredosporos de P. polysora. Este é o primeiro relato de fungivoria de D. luteipes, que pode ter papel importante no controle biológico de P. polysora em milho.

Fungivory: a new and complex ecological function of Doru luteipes (Scudder) (Dermaptera: Forficulidae) / Fungivoria: uma nova e complexa função ecológica de Doru luteipes (Scudder) (Dermaptera: Forficulidae)

We report the discovery that the earwig predator Doru luteipes (Scudder, 1876) (Dermaptera: Forficulidae) feed on Puccinia polysora Underw uredospore, the causal agent of Southern Rust of Corn (SRC), which is a primary disease affecting the maize crop in Brazil. We performed experiments in laboratory and greenhouse to test the effect of D. luteipes (1st/2nd and 3rd/4th instars, and adults) fungivory on the P. polysora uredospore concentration. All trials showed a significant reduction of the initial concentration of uredospore. There was a reduction in uredospore concentration with increase in number of D. luteipes feeding on them. We also tested the uredospore consumption by quantifying its percentage in the feces of D. luteipes. Nymphs of the 2nd, 4th instar and adults fed 88%, 85%, and 83.8% of the uredospore, respectively. For nymphs of the 3rd instar, the percentage of uredospore consumption (75.6%) was statistically significant compared with the other groups. In greenhouse experiment, at twenty-eight days after plant inoculation with 9.9 x 104 uredospores, the percentage of uredospore consumption was 81.7%. Our results confirmed the fungivory of D. luteipes on P. polysora uredospore. This is the first report of D. luteipes fungivory, which may play an important role in the biological control of P. polysora in corn.

Relatamos a descoberta de que o predador Doru luteipes (Scudder, 1876) (Dermaptera: Forficulidae) se alimenta de uredosporos de Puccinia polysora Underw, o agente causal da ferrugem polisora que é uma doença primária que afeta a cultura do milho no Brasil. Realizamos experimentos em laboratório e em casa de vegetação para testar o efeito da fungivoria de D. luteipes (1º/2º e 3º/4º iìstares e adultos) sobre a concentração de uredosporos de P. polysora. Todos os ensaios mostraram uma redução significativa da concentração inicial de uredosporos. Houve uma redução na concentração de uredosporos com o aumento do número de D. luteipes alimentando-se deles. Também testamos o consumo de uredosporos quantificando sua porcentagem nas fezes de D. luteipes. Ninfas do 2º e 4º ínstar, assim como adultos, alimentaram-se de 88%, 85% e 83,8% dos uredosporos, respectivamente. Para ninfas do 3º ínstar, a porcentagem de consumo de uredosporos (75,6%) foi estatisticamente significativo em comparação com os outros grupos. No experimento em casa de vegetação, aos 28 dias após a inoculação das plantas com 9,9 x 104 uredosporos, a porcentagem de consumo de uredosporos foi de 81,7%. Nossos resultados confirmaram a fungivoria de D. luteipes em uredosporos de P. polysora. Este é o primeiro relato de fungivoria de D. luteipes, que pode ter papel importante no controle biológico de P. polysora em milho.

Probiotic supplementation affects IGF-1 and leptin levels in Nile tilapia hepatopancreatic tissue / Suplementação com probiótico afeta os níveis de IGF-1 e leptina no tecido hepatopancreático de tilápias-do-nilo

This work aimed to assess the effect of the probiotic strain, Lactobacillus plantarum, on the levels of leptin, IGF-1 and their receptors on the hepatopancreatic tissues of Nile tilapia (Oreochromis niloticus) and then correlate fish growth performance and gut microbiological parameters. Fish juveniles (±23g) were reared in a recirculation system with constant aeration and temperature (25°C). They were distributed into six polyethylene tanks (45L) and fed twice a day at 5% of the tank biomass with the respective diets: control (commercial diet without probiotic) and supplemented with L. plantarum inoculum (1 x 108 CFU mL-1), both in triplicate. After 30 days of feeding, L. plantarum-fed fishes showed greater weekly growth rate, final weight, and feed conversion rate, in addition to higher count of lactic-acid bacteria and lower count of pathogenic bacteria in the intestinal tract, when compared to the control group. The immunostaining intensity for IGF-1 and leptin hormones was lower after L. plantarum supplementation than in the control group, with no change in the level for receptors. This reduction could implicate important changes in fish metabolism and homeostasis.(AU)

O presente trabalho teve como objetivo avaliar o efeito da cepa probiótica Lactobacillus plantarum sobre os níveis de leptina, IGF-1 e seus receptores no tecido hepatopancreático de tilápia-do-nilo (Oreochromis niloticus) e correlacionar com o desempenho zootécnico e os parâmetros microbiológicos intestinais dos peixes. Juvenis de tilápia-do-nilo (±23g) foram distribuídos em seis tanques de polietileno (45L) conectados a um sistema de recirculação, com aeração e temperatura constantes (25°C). Os peixes foram alimentados duas vezes ao dia, a 5% da biomassa do tanque, com as respectivas dietas: controle (dieta comercial sem probiótico) e suplementada com L. plantarum (1 x 108 UFC mL-1), ambas em triplicata. Após 30 dias de cultivo, os peixes alimentados com L. plantarum apresentaram maiores ganho de peso semanal, peso final e conversão alimentar, bem como maior contagem de bactérias ácido-láticas e menor contagem de bactérias patogênicas no trato intestinal das tilápias alimentadas com dieta probiótica, em comparação ao grupo controle. A intensidade da imunomarcação para os hormônios IGF-1 e leptina foi menor com a suplementação de L. plantarum do que no grupo controle, sem alterar os níveis de seus receptores. Essa redução pode implicar mudanças importantes no metabolismo e na homeostase dos peixes.(AU)

Phoretic mites (Rhinoseius spp. ) in Apodiformes from Cerrado and Pantanal Biomes in midwestern Brazil / Ácaros Foréticos (Rhinoseius spp. ) em Apodiformes dos Biomas Cerrado e Pantanal no Centro-Oeste do Brasil

Abstract Nasal mites are commonly found in hummingbirds (Apodiformes). In most cases, endoparasitic mites were reported to parasitize the respiratory system, particularly the anterior nasal chambers, larynx, trachea, lungs, and the air and conjunctival sacs. However, some mites are only carried by hummingbirds, because flowers serving as a nutrient source for these small mites, such as for Apodiformes, a tropical nectar-feeding in their natural habitat. From August 2012 to May 2014, humminbirds were captured using mist nets, and examined for the presence of nasal mites (identified according to specific keys) in the Pantanal, and Cerrado biomes, from the Mato Grosso state, midwestern Brazil. Overall, 76 Apodiform specimens, from the Trochilidae family were captured, and 20 female nasal mites, identified as being from the Rhinoseius genus, were collected from eight hosts (10.5%), of the following species: Amazilia fimbriata, Amazilia versicolor, Eupetonema macroura, and Thalurania furcata. The Rhinoseius spp. has been reported on, in many ecosystems in the Americas, including Brazil, however, this is the first report on Apodiformes from the Pantanal biome. Phoretic mites are not responsible for direct damage to the population of Apodiformes, as they are not pathogenic. However, they compete for food with hummingbirds and decrease the quantity of food available in the environment. They also affect the reproductive dynamics of plants, feed on pollen, and interfere with the intricacies of the biodiversity where they live.

Resumo Os ácaros nasais são comumente encontrados em beija-flores (Apodiformes). Na maioria dos casos, os ácaros foram relatados como endoparasitas, parasitando o sistema respiratório, particularmente as câmaras nasais anteriores, a laringe, a traqueia, os pulmões e os sacos aéreos e conjuntivais. No entanto, alguns ácaros são transportados apenas por beija-flores, pois flores servem como fonte de nutrientes para esses pequenos ácaros, assim como para Apodiformes tropicais alimentados de néctar em seu habitat natural. De agosto de 2012 a maio de 2014, beija-flores foram capturadas com redes de neblina e examinadas quanto à presença de ácaros nasais (identificados de acordo com chaves específicas) nos biomas Pantanal e Cerrado, no estado do Mato Grosso, Centro-Oeste do Brasil. No total, 76 exemplares Apodiformes da família Trochilidae foram capturados e 20 fêmeas de ácaros nasais, identificados como pertencentes ao gênero Rhinoseius, foram coletados de oito hospedeiros (10,5%), das seguintes espécies: Amazilia fimbriata, Amazilia versicolor, Eupetonema macroura e Thalurania furcata. Rhinoseius spp. foi relatado em muitos ecossistemas nas Américas, incluindo o Brasil, no entanto, este é o primeiro relato em Apodiformes do bioma Pantanal. Os ácaros foréticos não são responsáveis ​​por danos diretos à população de Apodiformes, pois não são patogênicos. No entanto, eles competem por comida com beija-flores e diminuem a quantidade de comida disponível no ambiente. Eles também afetam a dinâmica reprodutiva das plantas, se alimentam de pólen e interferem nas interações da biodiversidade em que vivem.

The impact of consumption of ultra-processed foods on the nutritional status of adolescents / Impacto del consumo de alimentos ultraprocesados en el estado nutricional de adolescentes

ABSTRACT Because of its composition, ultra-processed foods can contribute to excess weight. The objective of the study was to verify the association between the consumption of ultra-processed foods and overweight in adolescents. We conducted a cross-sectional study with 617 adolescents. Sociodemographic, anthropometric and food consumption data were evaluated. Linear regression analyses were used to verify the association. Ultra-processed foods presented higher proportions of carbohydrates, lipids and saturated fat in relation to the total diet consumed. However, this food group had a lower proportion of proteins and fibers. Intake of ultra-processed foods was more frequent in females and being overweight was positively associated with the ingestion of ultra-processed foods. The high consumption of ultra-processed foods can contribute to weight gain. Therefore, the reduction of consumption of ultra-processed foods should be encouraged to improve eating habits.

RESUMEN Debido a su composición, los alimentos ultraprocesados pueden contribuir al exceso de peso. El objetivo del estudio fue verificar la asociación entre el consumo de alimentos ultraprocesados y el sobrepeso en adolescentes. Estudio transversal con 617 adolescentes. Se evaluaron los datos sociodemográficos, antropométricos y de consumo de alimentos. Se usaron análisis de regresión lineal para verificar la asociación. Los alimentos ultraprocesados presentaron mayores proporciones de carbohidratos, lípidos y grasas saturadas en relación con la dieta total consumida. Sin embargo, este grupo de alimentos tenía una menor proporción de proteínas y fibras. La ingesta de ultraprocesados fue más frecuente en las mujeres y el sobrepeso se asoció positivamente con la ingestión de alimentos ultraprocesados. El alto consumo de alimentos ultraprocesados puede contribuir al aumento de peso. Por lo tanto, se debe fomentar la reducción del consumo de alimentos ultraprocesados para mejorar los hábitos alimenticios.

Post-nephrectomy diaphragmatic hernia. Increase suspicion and decrease morbi-mortality: two cases report.

Post-nephrectomy diaphragmatic hernia is an extremely rare condition. The symptoms may be acute or latent and will depend on the herniated organ, which makes it difficult to suspect. Therefore, it is necessary to know about this type of iatrogenic hernia to avoid a delay in diagnosis. A radiological confirmation with computed tomography and early surgical treatment greatly decreased the morbidity and mortality. We report two cases: a 76-year-old male, who underwent a right nephrectomy 18 days prior due to a renal carcinoma; and a 59-year-old woman, who underwent the procedure 4 years prior due to left renal atrophy.

Evaluation of the amount of nanoparticles emitted in welding fume from stainless steel using different shielding gases.

The primary objective of this study was to correlate the emission of macro and nanoparticles released during the process of metal inert gas/metal active gas (MIG/MAG) of stainless steel with different gas mixtures. Using different gas mixtures with different heat inputs, it was possible to determine fume formation rates and surface areas of nanoparticles with alveolar lung deposition capacity. It was found, how the various transfer modes and the type of gas protection, in particular, the percentage of active elements in the chemical composition of the gas, affect the amount of fumes generated and also the generation of nanoparticles with a high capacity of deposition. The spray transfer mode always shows higher values of nanoparticles surface area, unlike the fume formation rates. Among the tested mixtures 82%Ar + 18%CO2 generates higher emissions of nanoparticles as well as fume formation rates.

Phoretic mites (Rhinoseius spp.) in Apodiformes from Cerrado and Pantanal Biomes in midwestern Brazil

Abstract Nasal mites are commonly found in hummingbirds (Apodiformes). In most cases, endoparasitic mites were reported to parasitize the respiratory system, particularly the anterior nasal chambers, larynx, trachea, lungs, and the air and conjunctival sacs. However, some mites are only carried by hummingbirds, because flowers serving as a nutrient source for these small mites, such as for Apodiformes, a tropical nectar-feeding in their natural habitat. From August 2012 to May 2014, humminbirds were captured using mist nets, and examined for the presence of nasal mites (identified according to specific keys) in the Pantanal, and Cerrado biomes, from the Mato Grosso state, midwestern Brazil. Overall, 76 Apodiform specimens, from the Trochilidae family were captured, and 20 female nasal mites, identified as being from the Rhinoseius genus, were collected from eight hosts (10.5%), of the following species: Amazilia fimbriata, Amazilia versicolor, Eupetonema macroura, and Thalurania furcata. The Rhinoseius spp. has been reported on, in many ecosystems in the Americas, including Brazil, however, this is the first report on Apodiformes from the Pantanal biome. Phoretic mites are not responsible for direct damage to the population of Apodiformes, as they are not pathogenic. However, they compete for food with hummingbirds and decrease the quantity of food available in the environment. They also affect the reproductive dynamics of plants, feed on pollen, and interfere with the intricacies of the biodiversity where they live.

Resumo Os ácaros nasais são comumente encontrados em beija-flores (Apodiformes). Na maioria dos casos, os ácaros foram relatados como endoparasitas, parasitando o sistema respiratório, particularmente as câmaras nasais anteriores, a laringe, a traqueia, os pulmões e os sacos aéreos e conjuntivais. No entanto, alguns ácaros são transportados apenas por beija-flores, pois flores servem como fonte de nutrientes para esses pequenos ácaros, assim como para Apodiformes tropicais alimentados de néctar em seu habitat natural. De agosto de 2012 a maio de 2014, beija-flores foram capturadas com redes de neblina e examinadas quanto à presença de ácaros nasais (identificados de acordo com chaves específicas) nos biomas Pantanal e Cerrado, no estado do Mato Grosso, Centro-Oeste do Brasil. No total, 76 exemplares Apodiformes da família Trochilidae foram capturados e 20 fêmeas de ácaros nasais, identificados como pertencentes ao gênero Rhinoseius, foram coletados de oito hospedeiros (10,5%), das seguintes espécies: Amazilia fimbriata, Amazilia versicolor, Eupetonema macroura e Thalurania furcata. Rhinoseius spp. foi relatado em muitos ecossistemas nas Américas, incluindo o Brasil, no entanto, este é o primeiro relato em Apodiformes do bioma Pantanal. Os ácaros foréticos não são responsáveis por danos diretos à população de Apodiformes, pois não são patogênicos. No entanto, eles competem por comida com beija-flores e diminuem a quantidade de comida disponível no ambiente. Eles também afetam a dinâmica reprodutiva das plantas, se alimentam de pólen e interferem nas interações da biodiversidade em que vivem.

Síndrome antifosfolípido catastrófico: caso clínico / Catastrophic antiphospholipid syndrome: clinical case

El síndrome antifosfolípido (SAF) fue descrito y caracterizado durante la segunda mi-tad del siglo XX inicialmente como un fenómeno protrombótico secundario en con-texto de otras enfermedades del tejido conectivo, principalmente lupus. Sin embargo, el estudio de pacientes con enfermedad primaria impulsó a distintos consensos, tan-to clínicos como de laboratorio para su correcta identificación. Entre los pacientes con SAF destaca la forma de presentación catastrófica, de baja prevalencia, pero impor-tante por su mal pronóstico, caracterizada por el compromiso de múltiples sistemas en corto tiempo. Presentamos el caso de una paciente del Hospital Clínico San Borja-Arriarán con diag-nóstico de SAF primario, que presentó en su evolución la forma catastrófica. Este caso sirve de base para una revisión del proceso diagnóstico del SAF en relación a otras patologías reumatológicas y las características propias del SAF catastrófico.

Antiphospholipid syndrome (APS) was described and characterized during the second half of the 20th century initially as a secondary prothrombotic phenome-non in the context of other connective tissue diseases, mainly lupus. However, the study of patients with primary disease prompted different consensus, both clin-ical and laboratory for their correct identification. Among patients with APS, the catastrophic presentation is of low prevalence, but important because of its poor prognosis, characterized by the commitment of multiple systems in a short time. We present the case of a patient from the San Borja-Arriaran Clinic Hospital with di-agnosis of primary APS, which presented the catastrophic form in its evolution. This case serves as a basis for a review of the diagnostic process of APS in relation to other rheumatologic pathologies and the characteristics of catastrophic APS.

Endoparasites of wild animals from three biomes in the State of Mato Grosso, Brazil / Endoparasitas de animais silvestres de três biomas do Mato Grosso, Brasil

The population of wild animals is regulated by many biotic and abiotic factors, and parasites are a biotic factor that affects the dynamic and density of host populations. From 2002 to 2014, 62 wild animals from the biomes Pantanal, Amazon, and "Cerrado" (or Savanna), which died in attendance in the veterinary hospital or have been road-killed, underwent necropsy for parasitological examination. Overall, 36 species of parasites were identified from 24 host species. Among the parasites, the most prevalent order was Oxyurida (29.1%), followed by Strongylida (20.9%), Spirurida (19.4%), Ascaridida (16.2%), Pentastomida (3.2%), Echinostomida (3.2%), Gygantorhynchia (3.2%), Rhabditida (1.6%), Plagiorchiida (1.6%), and Monilimorfida (1.6%), especially nematodes, which have more biotic potential and is more easily adapted to the environment than other classes. The occurrence of endoparasites was observed more frequently in endothermic than ectothermic animals, and herein is reported eleven new host occurrences for endoparasites in wild animals. The study has contributed to the knowledge on the biodiversity of parasites in wild animals from three biomes in central-western Brazil.(AU)

Populações de animais selvagens são reguladas por diversos fatores bióticos e abióticos, e parasitas são um fator biótico que afetam a dinâmica e a densidade de populações. De 2002 até 2014, 62 animais silvestres provenientes dos biomas Pantanal, Amazônia e Cerrado, que vieram a óbito no atendimento do hospital veterinário ou foram encontrados atropelados em rodovias, foram submetidos à necropsia parasitológica. Ao todo 36 espécies de parasitas foram identificadas em 24 espécies de hospedeiros. Entre os parasitas, a ordem mais prevalente foi Oxyurida (29,1%), seguida por Strongylida (20,9%), Spirurida (19,4%), Ascaridida (16,2%), Pentastomida (3,2%), Echinostomida (3,2%), Gygantorhynchia (3,2%), Rhabditida (1,6%), Plagiorchiida (1,6%) e Monilimorfida (1,6%), destacando-se os nematódeos, por seu maior potencial biótico e facilidade de adaptação ao meio do que as demais classes. A maior ocorrência de endoparasitas foi observada em animais endotérmicos que ectotérmicos, e este estudo registra onze novas ocorrências de hospedeiros para endoparasitas de animais selvagens. O estudo contribui para o conhecimento da biodiversidade de parasitas em animais silvestres dos três biomas do Centro-Oeste do Brasil.(AU)

Effects of feeding a spray-dried multivalent polyclonal antibody preparation on feedlot performance, feeding behavior, carcass characteristics, rumenitis, and blood gas profile of Brangus and Nellore yearling bulls.

The objective of this study was to evaluate the effects of replacing monensin (MON) with a spray-dried multivalent polyclonal antibody preparation (PAP) against several ruminal microorganisms on feedlot performance, carcass characteristics, feeding behavior, blood gas profile, and the rumenitis incidence of Brangus and Nellore yearling bulls. The study was designed as a completely randomized design with a 2 × 2 factorial arrangement, replicated 6 times (4 bulls per pen and a total of 24 pens), in which bulls ( = 48) of each biotype were fed diets containing either MON fed at 300 mg/d or PAP fed at 3 g/d. No significant feed additive main effects were observed for ADG ( = 0.27), G:F ( = 0.28), HCW ( = 0.99), or dressing percentage ( = 0.80). However, bulls receiving PAP had greater DMI ( = 0.02) and larger ( = 0.02) final LM area as well as greater ( < 0.01) blood concentrations of bicarbonate and base excess in the extracellular fluid than bulls receiving MON. Brangus bulls had greater ( < 0.01) ADG and DMI expressed in kilograms, final BW, heavier HCW, and larger initial and final LM area than Nellore bulls. However, Nellore bulls had greater daily DMI fluctuation ( < 0.01), expressed as a percentage, and greater incidence of rumenitis ( = 0.05) than Brangus bulls. In addition, Brangus bulls had greater ( < 0.01) DMI per meal and also presented lower ( < 0.01) DM and NDF rumination rates when compared with Nellore bulls. Significant interactions ( < 0.05) between biotype and feed additive were observed for SFA, unsaturated fatty acids (UFA), MUFA, and PUFA concentrations in adipose tissues. When Nellore bulls were fed PAP, fat had greater ( < 0.05) SFA and PUFA contents but less ( < 0.01) UFA and MUFA than Nellore bulls receiving MON. For Brangus bulls, MON led to greater ( < 0.05) SFA and PUFA and less ( < 0.05) UFA and MUFA than Brangus bulls fed PAP. Feeding a spray-dried PAP led to similar feedlot performance compared with that when feeding MON. Spray-dried PAP might provide a new technology alternative to ionophores.

Aditivos alimentares na dieta de bovinos confinados / Feed additives in feedlot diets

O objetivo do presente trabalho foi avaliar o efeito da inclusão do preparado de anticorpos policlonais (PAP) e/ou da monensina sódica (MON) sobre o desempenho, as características da carcaça, o perfil de ácidos graxos da carcaça (PAG) e a concentração de lipoproteínas sanguíneas (CLS) de bovinos confinados. O delineamento experimental foi inteiramente ao acaso, em arranjo fatorial 2 x 2, com medidas repetidas no tempo, sendo os fatores a inclusão ou não de MON e PAP avaliados em dois períodos, em que 72 bovinos machos da raça Brangus, não castrados, foram alocados em 24 baias (três animais/baia), totalizando seis repetições por tratamento. Não foi observado efeito (P>0,05) da inclusão do PAP para nenhuma das varáveis de desempenho e características de carcaça. Contudo, foi observado efeito (P<0,05) da inclusão de MON, em que animais que receberam MON apresentaram maiores ganho de peso diário (1,666 vs. 1,552), ganho de peso total (179,95 vs. 167,68), peso vivo final (474,86 vs. 459,61), peso de carcaça quente (248,46 vs. 240,20), melhor conversão alimentar (5,57 vs. 5,79) e reduzido custo para ganhar um quilo de peso vivo (3,06 vs. 3,18). Ainda não foi observado efeito principal (P>0,05) dos aditivos para o PAG e a CLS. Assim, a inclusão do PAP não foi boa alternativa à substituição da MON. Por outro lado, a inclusão do PAP não afetou negativamente os itens estudados.

This study was designed to test the effects of polyclonal antibody preparation (PAP) against several rumen bacteria and/or monensin (MON) on feedlot performance, carcass characteristics, fatty acid profile and blood lipoprotein concentrations in yearling bulls. Seventy-two Brangus yearling bulls were distributed in a completely randomized design with 2 x 2 factorial arrangements of treatments with six replications; factors were the inclusion or not of PAP or MON, measured over two phases. No significant (P>0.05) PAP main effects were observed for any of the feedlot performance and carcass trait variables. However, significant (P>0.05) MON main effects were observed, where animals receiving MON had higher (P<0.05) average daily gain (1.666 vs. 1.552), total weight gain (179.95 vs. 167.68), final body weight (474.86 vs. 459.61), hot carcass weight (248.46 vs. 240.20), better feed: gain ratio (5.57 vs. 5.79) and better cost to gain one kilo of body weight (3.06 vs. 3.18). No significant (P>0.05) main effects due to feed additives were observed for carcass fatty acid profile and blood lipoprotein concentrations. Therefore, the inclusion of PAP was not a good alternative to replace MON. On the other hand, feeding PAP did not negatively impact the items studied.

Effects of feeding a multivalent polyclonal antibody preparation on feedlot performance, carcass characteristics, rumenitis, and blood gas profile in Bos indicus biotype yearling bulls.

The objective of this study was to evaluate effects of feeding monensin (MON) or a multivalent polyclonal antibody preparation (PAP) against several rumen microorganisms on feedlot performance, carcass characteristics, blood gas profile, and rumenitis of Bos indicus biotype (BT) yearling bulls. The study was designed as a completely randomized design with a 3 × 2 factorial arrangement, replicated 4 times, in which 32 yearling bulls of each of 3 BT evaluated (3-way-cross, TC; Canchim, CC; and Nellore, NE) were fed diets containing either MON at 300 mg·d(-1) or PAP at 10 mL·d(-1) across 3 different periods. No significant (P > 0.10) feed additive (FA) main effects were observed for any of the feedlot performance variables and carcass characteristics with the exception of dressing percentage. Yearling bulls receiving PAP had a decreased (P = 0.047) dressing percentage when compared with yearling bulls receiving MON. Significant (P < 0.05) BT main effects were observed for all feedlot performance variables and carcass characteristics with the exception of kidney-pelvic fat expressed in kilograms (P = 0.49) and LM lipids content (P = 0.45). Crossbred yearling bulls (TC and CC) had greater (P < 0.001) ADG, DMI in kilograms, DMI as % of BW, and improved (P = 0.001) G:F when compared with NE yearling bulls. A tendency (P = 0.072) for a FA main effect was observed for rumenitis scores, in which yearling bulls receiving PAP had lesser rumenitis scores than those receiving MON. When the data were disposed as frequency percentage, 55.6% and 45.7% of the rumens from yearling bulls fed PAP and MON were scored between 0 and 1, respectively (0 = no lesions, 10 = severe lesions). Likewise, a significant BT main effect was observed (P = 0.008), where NE yearling bulls had greater rumenitis scores than those of crossbred yearling bulls (TC and CC). No significant FA main effects were observed (P > 0.10) for any of the fatty acids measured in the subcutaneous adipose tissue, with the exception that yearling bulls receiving MON had greater (P < 0.05) concentrations of palmitic acid (16:0), margaric acid (17:0), docosapentaenoic acid (22:5), and docosahexaenoic acid (22:6) than those yearling bulls receiving PAP. Feeding PAP tended to decrease incidence of rumen lesions and led to similar feedlot performance compared with feeding MON. Thus, PAP is a new technology that presents a possible alternative for ionophores.

[Specific considerations on the prescription and therapeutic interchange of statins]. / Consideraciones específicas en la prescripción e intercambio terapéutico de estatinas.

OBJECTIVE: The pharmaceutical industry currently offers six different statins in Spain and there is one more soon to be available. Choosing the most appropriate drug and dose is determined by the therapeutic target (reduction in LDL-C levels). Statin doses that decrease LDL-C at the same percentage are considered equivalent. Evaluating the pharmacokinetic characteristics of each statin can be useful when setting selection criteria, helping to determine which statin may be more appropriate for a patient based on their individual characteristics and on the other co-administered drugs. METHODS: We reviewed the pharmacokinetics properties of each statin and its possible involvement in drug interactions. RESULTS: CYP3A4 was responsible for the metabolism of lovastatin, simvastatin and atorvastatin; fluvastatin depends on CYP2C9; P-glycoprotein is responsible for decreased atorvastatin, pravastatin, simvastatin and lovastatin concentrations. The OATPA1B1 transporter involved in all statins' access to the hepatocyte, except for fluvastatin, is essential for rosuvastatin and pravastatin. These circumstances cause those drugs inhibiting or inducing isoenzymes or transporters' activity not to have the same effect on the different statins. CONCLUSION: The pharmacokinetics is important when choosing the best statin and could be a limitation in the use of interchange therapeutic programmes when other drugs are present.