Effectiveness of short sprint interval training in women with major depressive disorder: a proof-of-concept study.

Background: High-intensity intermittent training has emerged as an option for treating major depressive disorder (MDD). However, short sprint training (sSIT), an efficient HIIT modality, has not been tested yet for this purpose. The sSIT has been proven to induce the same metabolic adaptations, with the advantage of promoting lower muscle fatigue than other HIIT protocols. Methods: Seventeen adult women diagnosed with moderate/severe MDD were randomly allocated into a sSIT group (n=9) or a control condition (n=8). The sSIT group completed, over two weeks, six 6-10-min sessions which consisted of 3-12 "all out" sprints of 5 s interspersed with low-intensity recovery of 30-45 s. The week before and after the intervention, both groups were evaluated with the Hamilton Depression Rating Scale of 21-itens (HAM-D21), and for physical fitness and incidental physical activity. Results: The sSIT group exhibited significant improvements for HAM-D21 scores (24.6±8.2 vs. 16.8±10.1), maximum aerobic power (140±15 vs. 155±15 W), countermovement jump (13.0±3.4 vs. 14.9±3.1 cm), % of body fatness (32.4±4.4 vs. 29.3±3.8%), and 4-days number of steps (13,626±11,309 vs. 16,643±15,371) after the training period when compared to the control group. Conclusion: Less than 1 hour of a sSIT protocol over two weeks have demonstrated to reduce depressive symptoms, while improving aerobic fitness and body composition, and increasing incidental physical activity in a sample of women diagnosed with MDD.

A Rapid Review of Randomized Trials Assessing the Effects of High-Intensity Interval Training on Depressive Symptoms in People with Mental Illness.

OBJECTIVE: to systematically search for randomized controlled trials comparing the effects of high-intensity interval training (HIIT) protocols vs. control without exercise or other exercise protocols, in patients with mental disorders experiencing depressive symptoms, and to provide some guidance based on the current HIIT literature to improve further interventions. METHODS: we searched for relevant studies, published by 18 August 2022 on PubMed, Embase, PsycINFO and SPORTDiscus databases, that used a HIIT protocol, involving adults (≥18 years) with a diagnosis of a mental disorder, participating in a HIIT or a control condition, and assessed for depressive symptoms. RESULTS: Four studies accounting for 108 participants (n HIIT = 55; n comparison groups = 53) met the inclusion criteria. Three out of the four studies included found significant improvements of depressive symptoms after 12 days to 8 weeks of intervention. However, there were no differences to other forms of low-to-moderate continuous exercise in 2/3 studies. CONCLUSIONS: The limited evidence suggests the effectiveness of HIIT interventions for improving depressive symptoms in people with mental illness. However, HIIT was not superior to other exercise treatments, although a trend for its superiority may be recognized. A number of methodological issues should be considered in further interventions to better characterize and identify the most efficient HIIT modalities for the treatment of depressive symptoms in these patients.

[Cement embolism in the vena cava after pedicle screw augmentation]. / Zementembolie in die V. cava nach Pedikelschraubenaugmentation.

After a fall a 52-year-old female patient suffered an unstable fracture of lumbar vertebral body 3 and a stable fracture of thoracic vertebral body 12 without neurological deficits. In addition to the balloon kyphoplasty of thoracic vertebral body 12, percutaneous fixator internal instrumentation of lumbar vertebral bodies 2-4 was carried out with cement-augmented pedicle screws. Cement leakage into the inferior vena cava occurred. After the onset of detachment of the cement parts, we decided on an endovascular removal using the sling technique. The postinterventional course was uncomplicated.

Morphology, development and heterochrony of the carapace of giant amazon river turtle podocnemis expansa (testudines, podocnemidae) / Morfologia, desenvolvimento e heterocronia da carapaça da tartagura da amazônia, podocnemis expansa (testudines, podocnemidae)

With aim to report the ontogeny of the osseous elements of the carapace in Peurodiras, 62 embryos and 43 nestlings of Podocnemis expansa were collected and submitted to the clearing and staining technique of bones and cartilages and study of serial histological slices. The carapace has mixed osseous structure of endo and exoskeleton, formed by 8 pairs of costal bones associated with ribs, 7 neural bones associated with neural arches, 11 pairs of peripheral bones, 1 nuchal, 1 pygal and 1 suprapygal. This structure begins its formation in the beginning of stage 16 with the ossification of the periosteal collar of the ribs. With exception of the peripheral bones, the other ones begin their ossification during the embrionary period. In histologic investigation it was found that the costal bones and neural bones have a close relation to the endoskeleton components, originating themselves as intramembranous expansions of the periosteal collar of the ribs and neural arches, respectively. The condensation of the mesenchyme adjacent to the periosteal collar induces the formation of spikes that grow in trabeculae permeated by fibroblasts below the dermis. The nuchal bone also ossifies in an intramembranous way, but does not show direct relation to the endoskeleton. Such information confirms those related to the other Pleurodira, mainly with Podocnemis unifilis, sometimes with conspicuous variations in the chronology of the ossification events. The formation of dermal plates in the carapace of Pleurodira and Criptodira follow the same pattern.

Com objetivo de relatar a ontogenia dos elementos ósseos da carapaça em Pleurodiras, coletaram-se 62 embriões e 43 filhotes de Podocnemis expansa que foram submetidos à técnica de clareamento e coloração dos ossos e cartilagens e pelo estudo cortes histológicos seriados. A carapaça possui estrutura óssea mista de endo e exoesqueleto, sendo formada por 8 pares de ossos costais associados às costelas, 7 ossos neurais associados aos arcos vertebrais, 11 pares de ossos periféricos, 1 nucal, 1 pigal e 1 supra-pigal. Esta estrutura começa sua formação no início do estágio 16 com a ossificação do colar periostal das costelas. Com exceção dos ossos periféricos, os demais iniciam sua ossificação durante o período embrionário. A investigação histológica explicitou que os ossos costais e neurais possuem uma estreita relação com componentes do endoesqueleto, originando-se como expansões intramembranosas do colar periostal das costelas e dos arcos neurais, respectivamente. A condensação do mesenquima adjacente ao colar periostal induz a formação de espiculas que crescem em trabéculas permeadas por fibroblastos abaixo da derme. O osso nucal, também se ossifica de maneira intramembranosa mas não apresenta relação direta com o endoesqueleto. Tais informações corroboram àquelas relatadas para os demais Pleurodiras, principalmente com Podocnemis unifilis, outrora com variações conspícuas na cronologia dos eventos de ossificação. A formação das placas dérmicas da carapaça em Pleurodira e Criptodira seguem um mesmo padrão.

Poisoning by Ipomoea asarifolia in lambs by the ingestion of milk from ewes that ingest the plant.

Two experiments, each with 10 pregnant ewes (8 treated and 2 controls) were performed to determine if nursing lambs of lactating ewes become intoxicated when the ewes ingest Ipomoea asarifolia but do not show clinical signs themselves. In the first experiment the sheep grazed I. asarifolia in the field while in the second, sheep were maintained in individual bays consuming dry I. asarifolia at 10% and 20% into their ration. In both experiments the lambs remained confined, consuming only their mother's milk. Four of 8 lambs in the grazing experiment and the 4 nursing lambs from the ewes given 20% I. asarifolia showed signs of I. asarifolia poisoning. These results confirm that the tremorgenic compound of I. asarifolia or its toxic metabolites are eliminated in milk and can intoxicate nursing lambs.

Caracterização comparativa do intestino das espécies da Ordem Xenarthra / Comparative characterization of the intestine of species from the Xenarthra Order

O sucesso na manutenção de uma espécie depende de vários fatores entre eles a eficiência digestiva, sendo assim parâmetros morfométricos do tubo digestório são necessários para o conhecimento dos processos digestivos dos alimentos no organismo animal além de indicar a preferência alimentar de uma espécie. Este trabalho visou descrever morfologicamente os intestinos delgado e grosso, órgãos do sistema digestório de representantes da ordem Xenarthra a fim de fornecer subsídios para a avaliação da dieta e realização de procedimentos clínicos nestes animais, sejam eles de vida livre ou de cativeiro. Foram utilizados 7 espécimes entre preguiças-de-coleira (Bradypus torquatus), tatu-verdadeiro (Dasypus novemcinctus) e tamanduá-bandeira (Myrmecophaga tridactyla). Todos as amostras foram processadas seguindo procedimentos de rotina efetuados nos laboratórios de Anatomia Animal e Histologia da FZEA/USP. Os intestinos de B. torquatus se apresentaram curtos e simples, enquanto que nos exemplares de D. novemcintus e M. tridactyla o intestino era longo e com algumas peculiaridades. No duodeno de todos os espécimes notamos a presença das glândulas de Brünner e estruturas para aumentar a superfície de absorção. Apenas em preguiças, o mesentério mantém o jejuno preso à parede dorsal da cavidade abdominal. O íleo representou a menor porção nas preguiças e tatus, exceto em tamanduáque apresentava o íleo como a maior parte depois do jejuno. O ceco em tatus e tamanduás apresentavam tamanho considerável e a presença de glândulas na mucosa, nestas espécies destacamos a funcionalidade do ceco, uma vez que este se apresentou repleto de restos alimentares. Na mucosa do cólon de todos os espécimes, haviam criptas de Lieberkühn, sendo mais numerosas em D. novemcinctus e M. tridactyla. Apenas em B. torquatus, o reto apresentou maior diâmetro e rigidez em relação ao cólon. No reto de todas as espécies estudadas, a superfície glandular era numerosa e com grande quantidade de células caliciformes, que produzem muco, para facilitar a defecação. Nossos resultados demonstram que a conformação e estruturas do sistema digestório reflete mais o tipo de alimentação e necessidades digestórias do animal do que à família que ele pertence.(AU)

Morphometric parameters of the digestive tract are required for an understanding of the digestive processes of the food in the animal organism, besides indicating the feeding preference of specie. This study aimed to describe morphologically the small and large intestines, organs of the digestive system of representatives of Xenarthra order to provide data for the evaluation of diet and conduct clinical procedures in these animals, whether free-living or captive. At this research, were used in total 7 specimens from three-toed sloths (Bradypus torquatus), nine-banded armadillo (Dasypus novemcinctus) and giant anteater (Myrmecophaga tridactyla). The intestines of B. torquatus were short and simple, but at the specimens of D. novemcintus and M. tridactyla the intestines were long and had some peculiarities. We notice the presence of Brunner's glands and structures to increase the surface absorption at the duodenum of all specimens. Only in B. torquatus, we notice that the mesentery remains the jejune attached to the dorsal wall of the abdominal cavity. The ileum represented the lower portion of the intestines in all studied specimens except in M.tridactyla. The cecum in D. novemcinctus and M. tridactyla showed considerable size, glands at the mucosa and was full of food debris, indicating that it was functional. In the mucosa of the colon of all specimens had crypts of Lieberkühn, being more numerous in D. novemcinctus and M. tridactyla. Only in B. torquatus, the rectum showed greater diameter and stiffness compared to the colon. In all species studied, we notice a large glandular surface and lots of goblet cells that produce mucus to facilitate defecation. Our results demonstrate that the conformation and structure of the digestive system reflects more the kind of diet and digestive needs of the animal, than to the family he belongs.(AU)

Osteologia do neurocrânio de Iguana iguana iguana (Squamata: Iguanidae) / Neurocranium osteology of Iguana iguana iguana (Squamata: Iguanidae)

O crânio representa o segmento com conspícuas adaptações que, nos lagartos, podem ser conservativas ou impulsionadas por pressões seletivas. Objetivando subsidiar o conhecimento morfológico dos répteis, fornecemos uma descrição detalhada dos ossos que formam o neurocrânio de Iguana iguana iguana com base na análise de três esqueletos secos de espécimes adultos. O crânio da referia espécie possui características basais entre os lagartos sem o fechamento das aberturas cranianas e formato geral triangular. As estruturas ósseas que formam a base craniana apresentam muitas fusões, principalmente no assoalho. Na face caudal o exoccipital e o opistótico estão fundidos e formam o otoccipital, que contribui para a formação dos terços laterais do côndilo occipital. A parte central do côndilo é formada pelo supraoccipital. Fusões e estruturas esqueléticas presentes em Iguana são similares aos demais lagartos. Não foram descritas autapomorfias no neurocrânio para esta espécie.(AU)

Skull represents the segment with conspicuous adaptations that, in lizards, may be conservative or promoted by selective pressures. The aim of assisting the morphological knowledge of reptiles, we provide a detailed description of the neurocranium of Iguana iguana iguana based on analysis of three dried adult skeletons. The skull of this species has basal characteristics in lizards without closure of cranial openings and general triangular shape. Bony structures that form the caudal base have many fusions, especially on the floor. In the caudal face the exoccipital and the opisthotic are fused and form the otooccipital, which contributes to the formation of the lateral part of the condyle. The central part is formed by the condyle supraocciopital. Fusions and skeletal structures in Iguana are similar to other lizards. There are no autopomorphies in the neurocranium for this species.(AU)

Distribuição dos brônquios lobares dos pulmões do veado-catingueiro Mazama gouazoubira / Distribution of lobar bronchi of the lungs of brown brocket deer Mazama gouazoubira

Este estudo teve como objetivo descrever a lobação do pulmão do veado-catingueiro Mazama gouazoubira. Dois animais da espécie, obtidos post mortem por atropelamento em rodovia, foram utilizados para o estudo, obedecendo aos critérios da Lei Vigente (Lei 1.153/95). Através da dissecação, a pele foi completamente removida e os animais foram fixados em solução de formaldeído a 10 porcento. Através de um acesso ventral, o bloco de vísceras foi removido e posteriormente os pulmões foram dissecados do bloco por uma secção na região torácica da traqueia e de outras estruturas do hilo pulmonar. Os pulmões e a árvore brônquica foram dissecados, fotografados, as imagens foram registradas com câmera fotográfica digital (Câmera Sony a200, 10.2mpx). Os pulmõesapresentaram-se unidos pelas estruturas que penetravam a região do hilo pulmonar, o pulmão direito do veado-catingueiro mostrou ser composto pelos lobos cranial (segmento cranial e segmento caudal), médio, caudal e acessório. O pulmão esquerdo apresentou apenas lobo cranial (segmentado em parte cranial e parte caudal) e lobo caudal. A árvore brônquica se inicia emergindo para o pulmão direito um brônquio traqueal acima da bifurcação da traqueia que sequencialmente serão denominados de brônquios principais direito e esquerdo, os quais no nível do hilo pulmonar penetram nos pulmões direito e esquerdo respectivamente. Os pulmões e árvore brônquica de M. gouazoubira apresentaram a mesma descrição anatômica de outros ruminantes, como bubalinos, ovinos e bovinos.

The study aimed to describe the lung lobation of the brown brocket deer, Mazama gouazoubira. Two animal of the species, obtained postmortem by trampling on the highway, were used for the study, according to criteria of the Governing Law (1.153/95). The skin was completely removed and the animals were fixed in 10 percent formaldehyde. The viscera were removed and the lungs were dissected by a section of the block in the thoracic trachea and other structures of the pulmonary hilum. The lungs and bronchial tree were dissected, photographed and the images were recorded with a digital camera (Sony a200 Camera, 10.2mpx). The lungs showed themselves united by structures that penetrate the region of the pulmonary hilum, the right lung was found to be composed of the cranial lobes (segment cranial and caudal segment), middle, caudal and accessory. The left lung showed only cranial lobe (segmented into the cranial and caudal part) and caudal lobe. The bronchial tree begins emerges to the right lung one tracheal bronchus above the bifurcation of the trachea that are sequentially named right and left main bronchi, which at the level of the pulmonary hilum penetrate the left and right lungs respectively. The lungs and bronchial tree of M. gouazoubira showed the same anatomical description of other ruminants, like buffaloes, sheep and cattle.

Anatomia comparativa da dura-máter de Sapajus libidinosus / Comparative anatomy of dura-mater of Sapajus libidinosus

O Sapajus libidinosus é um primata do novo mundo popularmente conhecido como macaco-prego, geograficamente distribuído por todo território sul-americano, possui características de inquietude e habilidade de manipulação de ferramentas para a obtenção de alimentos. Este estudo teve por objetivo descrever a morfologia dos seios da dura-máter de Sapajus libidinosus numa perspectiva comparativa. Foram utilizados um total de 3 animais adultos e machos oriundos da Universidade Federal de Goiás e fixados em solução aquosa de formaldeído 10%. No encéfalo de S. libidinosus, foi possível observar a fissura longitudinal, profunda e que divide o mesmo em dois hemisférios, esquerdo e direito. O lobo parietal e frontal apresenta-se relativamente lisoencefálico, mas com giros e sulcos bem definidos e no lobo occipital nota-se a predominância do aspecto lisencefálico. Nota-se a presença de 8 seios da dura-máter, que corresponde de modo geral às descrições para outros primatas como Pan, Papio e homem. Notamos a presença dos seios sagital dorsal, seio sagital ventral, seio transverso, seio reto, seio sigmóide, seio temporal e seio basilar, que são semelhantes a Pan, Papio e homem, a presença do seio parietal semelhante à Saimiri sciureus e a ausência do seio occipital, assim como em Macaca mullata. No macaco prego não foram observados os seios intracavernosos, seio esfenoparietal, seio petroso superior, seio petroso inferior, sendo estes descritos em Pan, Papio e Homem. Sendo assim, estes dados demonstram uma possível maior proximidade evolutiva entre Papio e Pan em relação ao homem do que o macaco Sapajus.

Sapajus libidinosus is a new World primate commonly known as capuchin monkey, geographically distributed throughout South America, has characteristics of restlessness and ability to manipulate tools to obtain food. This study aimed to describe the morphology of the dural sinuses of S. libidinosus through a comparative perspective. We used 3 adult male from the Federal University of Goiás, Brazil, fixed in aqueous 10% formaldehyde. The longitudinal fissure in the brain extends deeply and divides the organ into two left right hemispheres, The frontal and parietal lobe presents relatively smooth surface, but with well-defined gyri and sulci. In the occipital lobe, however, smooth surface aspect prevails. We observed eight sinuses of the dura mater, sagittal dorsal, ventral sagittal, transverse, straight, sigmoid, basilar and temporal which corresponds generally to the descriptions of other primates as Pan, Papio and man. Furthermore, parietal sinus similar to Saimiri sciureus and absence of sinus occipital, as in Macaca mullata, were also recorded. In the capuchin monkey, intracavernous, sphenoparietal, superior petrosal and inferior petrosal sinuses, which are described in Pan, Papio and Man, were absent. Taken together, these data point to a possible grater evolutionary proximity to man of Papio and Pan as compared to Cebus.

Origem e distribuição do nervo isquiático no veado-catingueiro (Mazama gouazoubira) / Origin and distribution of the sciatic nerve in catingueiro-deer (Mazama gouazoubira)

This study aimed to describe the origin and distribution of the sciatic nerve in catingueiro-deer (Mazama gouazoubira). Two animals of the species, obtained post mortem by trampling on the highway, were used for the study meeting the requirements of the Governing Law (1.153/95). By dissection the skin was completely removed and the animals were fixed in aqueous 10% formaldehyde solution. Through dorsolateral access, superficial gluteal muscle, biceps femoris muscle and gluteus medius muscle were cut at their insertion and folded, to view the origin and distribution of the sciatic nerve on both sides of the animals. Images were recorded with a digital camera (Sony a200 Camera, 10.2mpx) and results were described based on Veterinary Anatomical Nomina. The source data of the sciatic nerve in both specimens showed that the nerve originates from the ventral branches of S1 and L6, and could have contribution from S2. After its emergence through the greater sciatic foramen on both the sides, the sciatic nerve supplies branches to gluteus medius muscle, gluteus deep muscle, superficial gluteal muscle, gluteobiceps muscle, biceps femoris muscle, semimembranosus muscle, semitendinosus muscle and gastrocnemius muscle. Near the mid-thigh the sciatic nerve divides into the tibial nerve and common peroneal nerve which innervate the muscles of the distal hind limb. Moreover, the cutaneous nerve flow can cause the common peroneal nerve or tibial nerve. In conclusion, in Mazama gouazoubira specimens studied, the sciatic nerve originated from the ventral branch of spinal L6 and S1, which may or may not have the contribution from S2. In its distribution stem originate the gluteal nerve, the caudal femoral cutaneous nerve and muscular branches, which together innervate the muscles gluteus medius, gluteus deep, superficial gluteal, gluteobiceps, biceps femoris, semitendinosus, semimembranosus, adductor and gastrocnemius. Distally the sciatic nerve bifurcates into the common peroneal and tibial nerve, which innervates the distal hind limb.

Este estudo teve como objetivo descrever a origem e a distribuição do nervo isquiático no veado-catingueiro (Mazama gouazoubira). Dois animais da espécie, obtidos post mortem por atropelamento em rodovia, foram utilizados para o estudo, obedecendo aos critérios da Lei Vigente (Lei 1.153/95). Através da dissecação, a pele foi completamente removida e os animais foram fixados em solução aquosa de formaldeído a 10%. Através de um acesso dorso-lateral, os músculos glúteo superficial, bíceps femoral e glúteo médio foram seccionados no seu local de inserção e rebatidos. Desta forma foi possível visualizar a origem e a distribuição do nervo isquiático, em ambos os antímeros dos animais. As imagens foram registradas com câmera fotográfica digital (Câmera Sony a200, 10.2mpx) e os resultados foram descritos com base na Nomina Anatômica Veterinária. Os dados da origem do nervo isquiático nos dois espécimes estudados mostraram que esta ocorre a partir dos ramos ventrais de L6 e S1, podendo ter contribuição de S2. Após a sua emergência pelo forame isquiático maior, em ambos os antímeros, o nervo isquiático fornece ramos para suprir os músculos glúteo médio, glúteo profundo, glúteo superficial, gluteobíceps, bíceps da coxa, semimembranoso, semitendinoso e gastrocnêmio. Próximo ao meio da coxa o nervo isquiático divide-se em nervo tibial e nervo fibular comum os quais inervam os músculos da região distal do membro pélvico. Além disso, o nervo cutâneo caudal da sura pode se originar dos nervos fibular comum ou do nervo tibial. Em conclusão, nos espécimes de Mazama gouazoubira estudados, o nervo isquiático teve sua origem a partir dos ramos ventrais espinais de L6 e S1, podendo ou não ter a contribuição de S2. Na sua distribuição originam-se o nervo glúteo caudal, o nervo cutâneo femoral caudal e ramos musculares, que, conjuntamente inervam os músculos glúteo médio, glúteo profundo, glúteo superficial, gluteobíceps, bíceps da coxa, semitendinoso, semimembranoso, adutor e gastrocnêmio. Distalmente o nervo isquiático bifurca-se Em nervo tibial e fibular comum, os quais inervam a porção distal do membro pélvico.

Origem e distribuição anatômica do nervo isquiático de mão-pelada (Procyon cancrivorus) / Origin and anatomical distribution of ischiatic nerve in the crab-eating raccoon (Procyon cancrivorus)

O nervo isquiático é considerado o maior nervo do corpo, pertence tanto ao plexo sacral quanto ao lombossacral em carnívoros, continuando até a extremidade distal do membro pélvico, recebe fiibras dos ramos ventrais do sexto e sétimo nervos lombares e do primeiro nervo sacral. O objetivo do presente estudo é descrever a distribuição do nervo isquiático em mão-pelada (Procyon cancrivorus) e comparar com dados literários de animais domésticos e silvestres. Os animais são procedentes de coleta em rodovias, entre as cidades de Goiânia e Jataí, principalmente na BR 364 ou BR 060. (mortos por acidente) e fiixados em solução aquosa, a 10 por cento de formaldeído. Doados ao Museu de Anatomia Humana e Comparada da UFG (Universidade Federal de Goiás, Campus de Jataí, Proc.CAJ-287/2008). As dissecações e documentação fotográfiica permitiram observar a distribuição do nervo isquiático. O nervo isquiático de mão-pelada inerva o membro pélvico passando entre os músculos glúteo médio e profundo, emitindo ramos para a musculatura da região glútea e da coxa, respectivamente, para os músculos glúteo médio, glúteo bíceps, semimembranáceo, semitendíneo, bíceps femoral, gêmeos, quadrado femoral e adutor magno, emitindo nervo cutâneo lateral e caudal da sura para suprir a pele na superfiície lateral e caudal da perna, respectivamente. Próximo ao meio da coxa bifurca-se em nervo tibial e nervo fiibular comum. O conhecimento anatômico da origem e distribuição do nervo is quiático em mão pelada quando comparado com animais domésticos, silvestres e de fazenda, mostram um padrão de inervação semelhante entre os espécimes.

The ischiatic nerve is the largest nerve in the body, belongs both to the sacral and lumbosacral plexus in carnivores, continuing until the distal hind limb, and receives fibers from the ventral branch of the sixth and seventh lumbar nerves and the first sacral nerve. We aim to describe the distribution of the sciatic nerve in raccoon (Procyon cancrivorus) and compare with data of literary domestic and wild animals. The animals are coming to collect on highways (killed by accident) and subjected to fixation in aqueous solution, 10 percent formaldehyde. The dissection and photographic documentation (Sony α200 camera, 10.2mpx) shows the distribution of the sciatic nerve. The ischiatic nerve of raccoon innervates the hind limb passing between the middle and deep gluteal muscles, giving off branches to the muscles of the buttock and thigh, respectively, for the gluteus medius, gluteus biceps, semimembranosus, semitendinosus, biceps femoris, twins, quadratus femoris and adductor magnus, sending the lateral cutaneous nerve of the thickness and flow to supply the skin on the lateral surface of the leg and tail, respectively. Near the middle of the thigh nerve bifurcates into the tibial and peroneal nerve. The anatomical knowledge of the pattern of nervous raccoon (Procyon cancrivorus) is of fundamental importance in research to refer to the distribution of the ischiatic nerve, and show no disagreement with the corresponding data in the literature of domestic carnivores.

Individual patient data meta-analysis of enoxaparin vs. unfractionated heparin for venous thromboembolism prevention in medical patients.

BACKGROUND: Unfractionated heparin (UFH) and low-molecular-weight heparin (LMWH) are both recommended for venous thromboembolism (VTE) prophylaxis in hospitalized medical patients. OBJECTIVE: To perform an individual patient data meta-analysis to evaluate the relative efficacy and safety of the LMWH enoxaparin and UFH in preventing VTE in hospitalized medical patients. METHODS: Randomized clinical trials comparing subcutaneous enoxaparin (4000 IU once-daily) and UFH (5000 IU subcutaneous two- or three-times daily) for VTE prevention were identified by a systematic search. Individual patient data were obtained from each eligible trial. RESULTS: Overall, four trials were eligible, including 3600 patients randomized to receive enoxaparin (n = 1799) or UFH (n = 1801). Median patient age was 71 years, and 49.3% were female. Compared with UFH, enoxaparin was associated with risk reductions of 37% for total VTE [relative risk (RR) 0.63, 95% confidence interval (CI) 0.51-0.77] and 62% for symptomatic VTE (RR 0.38, 95% CI 0.17-0.85) at day 15. RR for total VTE in stroke and non-stroke patients was 0.59 (95% CI 0.47-0.74) and 0.87 (95% CI 0.51-1.50), respectively. Major bleeding rates were consistently low and similar between treatment groups at day 15 (RR 1.13, 95% CI 0.53-2.44). There was a trend towards reduced risk for mortality in patients receiving enoxaparin (RR 0.83, 95% CI 0.64-1.08), compared with UFH. CONCLUSIONS: Enoxaparin significantly reduces VTE in hospitalized medical patients, compared with UFH, without increasing the risk for major bleeding, and was associated with a trend towards reduced all-cause mortality.

Histomorfometria das meninges encefálicas de ratos Wistar em diferentes faixas etárias / Histomorphometry of encephalic meninges of Wistar rats in different bands

O desenvolvimento do sistema nervoso é bastante complexo, existindo poucos estudos sobre a organização dos envoltórios cerebrais relacionados ao crescimento encefálico. Utilizando como modelo experimental o rato, analisaram-se os diferentes aspectos estruturais e morfométricos da paquimeninge e leptomeninge durante o processo de envelhecimento. Foram utilizados quatro grupos de ratos em diferentes faixas etárias e analisadas as meninges em microscopias de luz e eletrônica. Verificamos que o grupo de ratos adultos apresentou uma maior área de fibras colágenas tanto do tipo I e quanto do tipo III, em relação aos outros grupos. Encontramos também que as fibras colágenas do tipo III em todos os grupos analisados ocupam uma maior área quando comparados com as fibras do tipo I. Os resultados revelam que a coloração de Weigert Oxona, que mostra fibras elásticas, elaunínicas e oxitalânicas, apresentou uma diferença estatisticamente maior de fibras quando comparados com as colorações de Weigert e Verhoeff, que mostra fíbras elaunínicas e elásticas, respectivamente. Os resultados ultra-estruturais demonstraram a presença de muitos fibroblastos e mitocôndrias tanto na paquimeninge como nas leptomeninges dos grupos de ratos neonatos e adultos, indicativo de alta atividade celular e conseqüentemente, intensa formação de tecido conjuntivo. Como as fibras colágenas do tipo III atuam na manutenção da estrutura de tecidos delicados e expansíveis, o estudo mostra que as funções das meninges encefálicas não estão relacionadas apenas com a resistência a trações e tensões a que estão sujeitas o encéfalo. Mas também a função relacionada com a distensibilidade dos vasos meníngeos e cerebrais de acordo com a necessidade do aporte sanguíneo em diversas funções específicas regionais do tecido nervoso.

The development of the nervous system is very complex and there are few studies about the organization of the brain envoltories related to the encephalus growing. Using the rat as an animal model, it was proposed to evaluate the several structural aspects of paquimeninge and leptomeninge in different ages. It was used 4 groups of different ages and processed according to the techniques of the light and transmission microscopy. It was verified that the adult rats present a higher area of collagen fibers of type I and III, if compared to the others groups. It was found that, the collagen fibers of type III occupy, in all analyzed groups, a higher area when compared to type I fibers. The results reveal that the Weigert Oxona's staining, which shows elastics, elauninics, and oxitalanics fibers, showed a statistically difference when compared to the Weigert's staining and Verhoeff's staining that show elauninics and elastics fibers, respectively. The ultra-structural aspects demonstrated the presence of many fibroblasts and mitochondria in the paquimeninge and also in the leptomeninges of the neonats and adults groups, indicating the high cellular activity and consequently, an intense formation of conjunctive tissue. As collagen fibers of type III acting on the structural maintenance of delicate and expansive tissues, the study shows that the function of the encephalic meninges are not only related to the to resistance to tractions and tensions that the encephalus is subjected. But also the function related to the distensibility of the meningeos and brain vases according to the sanguineous apport in several specific functions of the nervous system.

[Pulmonary hypertension due to left heart disease: recommendations of the Cologne Consensus Conference 2010]. / Pulmonale Hypertonie bei Linksherzerkrankungen: Empfehlungen der Kölner Konsensus-Konferenz 2010.

The 2009 European Guidelines on Diagnosis and Treatment of Pulmonary Hypertension have been adopted for Germany. While the guidelines contain detailed recommendations regarding pulmonary arterial hypertension (PAH), they contain only a relatively short paragraph on other, much more frequent forms of PH such as PH due to left heart disease. Despite the lack of data, targeted PAH treatments are increasingly being used for PH associated with left heart disease. This development is of concern. On the other hand, PH is a frequent problem that is highly relevant for morbidity and mortality in patients with left heart disease, so that it may be speculated whether selected patients may benefit from targeted PH therapy. It that sense, the practical implementation of the European Guidelines in Germany requires the consideration of several specific issues and already existing novel data. This requires a detailed commentary to the guidelines, and in some aspects an update already appears necessary. In June 2010, a Consensus Conference organized by the PH working groups of the German Society of Cardiology (DGK), the German Society of Respiratory Medicine (DGP) and the German Society of Pediatric Cardiology (DGPK) was held in Cologne, Germany. This conference aimed to solve practical and controversial issues surrounding the implementation of the European Guidelines in Germany. To this end, a number of working groups was initiated, one of which was specifically dedicated to PH due to left heart disease. This commentary summarizes the results and recommendations of this working group.

Resting alveolar gas tensions as a mortality prognosticator in chronic heart failure.

BACKGROUND: Increased end-tidal oxygen (ET-O(2)) and decreased end-tidal carbon dioxide (ET-CO(2)) gas tensions are noninvasively measurable correlates of ventilatory inefficiency, leading to increased ventilatory requirements relative to gas exchange among patients with chronic heart failure (CHF). We investigated the prognostic value of ET-O(2) and ET-CO(2) as predictors of CHF mortality. METHODS: We measured resting ET-O(2) and ET-CO(2) electrochemically in 134 patients with symptomatic CHF in the supine position. We used Kaplan-Meier analysis, Cox proportional hazard models, and receiver operating characteristic curves to test our hypothesis. RESULTS: At a median follow-up of 16.5 months, 32 patients had died. ET-O(2) levels were increased (P = .001) and ET-CO(2) levels decreased (P = .002) with increased New York Heart Association class (I-IV). Survivors showed lower ET-O(2) (121 vs 118 mm Hg; P = .021) and higher ET-CO(2) (33.2 vs 32.1 mm Hg; P = .032) levels than nonsurvivors. Patients with ET-O(2) values ≥121 mm Hg and/or ET-CO(2) values <31 mm Hg had an increased risk of death with hazard ratios of 2.93 (95% confidence interval [CI], 1.43-6.01) and 2.47 (95% CI, 1.23-4.97), respectively. Kaplan-Meier estimates for follow-up mortality with ET-O(2) ≥121 mm Hg and/or ET-CO(2) <31 mm Hg were 83.8% (vs 60.1%; P = .0014) and 80.3% (vs 60.2%; P = .0061), respectively. Areas under the receiver operating characteristic curves for prediction of death with ET-O(2) and ET-CO(2) were both significant and similar to that of echocardiographic left ventricular function. CONCLUSIONS: In CHF, high levels of ET-O(2) and low levels of ET-CO(2) are associated with increased mortality. We suggest that the measurements may be useful prognostic markers for risk stratification.