Anatomía segmentaria del recto. Nuevo enfoque / Anatomy segmentation of the rectal. New approach

RESUMEN Se actualizó la clasificación anatómica del tumor de recto, con la revisión de varios tratados sobre anatomía. El estudio de la morfología interna del recto reconoce la formación de anchos pliegues. La formación de anchos pliegues de mucosas transversales, denominadas válvulas: una válvula inferior a 7 cm del ano, otra a 2 cm. Más arriba con una forma de media luna y la tercera a 11 cm del ano. Como estas válvulas son pliegues mucosos sin localización precisa no pueden ser consideradas como puntos anatómicos para segmentación del recto. De esta manera, la segmentación rectal como el límite entre recto superior e inferior se sitúa en la reflexión peritoneal; en el diagnóstico de tumores rectales la definición de su situación anatómica es importante para la conducta terapéutica, ya que el recto inferior tiene su origen embriológico en el proctodeo (ectoblástica) y puede ser más sensible a las radiaciones y los tumores del recto superior son tumores que se originan de tejido de formación entoblástica, las radiaciones producen lesiones del peritoneo y de otros órganos de la cavidad pelviana. La segmentación rectal es importante para el estadio locorregional del tumor y para la definición de un esquema de tratamiento adecuado. En primer lugar, establece el concepto anatómico de localización de un tumor de recto inferior, se diagnóstica con un tacto rectal, si es tocable es del recto inferior. En segundo lugar, define cuáles son los estudios complementarios para saber el estadio de la enfermedad y establece los parámetros anatómicos necesarios para la indicación del tratamiento neoadyuvante (AU).

SUMMARY To present a recent an anatomic classification of rectal tumor localization. Review of many anatomy treaties. The rectal internal morphology studies recognize the formation of thick folds of transversal mucosa thick folds named valves: a low valve to 7 cm from anus. Another is to 2 cm upper with a half moon form, a third one to 11 cm from anus. As this valves are mucosal folds without a clear localization they can't be consider as anatomical points to the rectum segment. Therefore, the rectal segmentation as the limit between up and low rectum, is located in the peritoneal reflection. In the rectal tumors diagnosis definition of it's anatomic situation is important for the therapeutic behavior, because the low rectum has its embryologic origin in the Proctodeum (ectoblastic). It can be more sensitive to the radiation the up rectum tumors are originated from the formation entoblast tissue (endoblast) the radiations cause peritoneal injuries and other pelvic cavity organs. The rectal segmentation is important for the locate-regional tumor stadium and for the appropriate treatment definition. In first place, establish the anatomic concept of the low rectal tumor localization. In second place defines which are the complementary for the new adjuvant indication (AU).

Habilidad de "Describir" para el aprendizaje de las malformaciones congénitas / Ability to "Describe" for the learning of congenital malformations

Introducción: El programa de la disciplina Embriología que se imparte en la República de Angola, como parte del currículo de la carrera de Medicina fue elaborado y desarrollado en Cuba. El medio donde se desarrolló el proceso docente y las características del sistema de salud no son las mismas para lo cual fue concebido. Es importante desarrollar en los estudiantes, no solo las habilidades de promoción y prevención de los defectos, presentes en los objetivos de la disciplina, también, habilidades de identificación y descripción morfológica de los defectos congénitos, para la confección adecuada de la historia clínica en las disciplinas clínicas. Objetivo: Determinar el nivel de desarrollo que alcanzan los estudiantes cuando aplican la habilidad de Describir al utilizar un algoritmo para el aprendizaje de las malformaciones congénitas. Material y Método: Se elaboró un algoritmo basado en el método embriológico; se aplicó en las preguntas iníciales de los seminarios a los estudiantes de segundo año de Medicina en el curso académico 2012, en la Facultad de Medicina de Cabinda en la República de Angola. Conclusiones: Las acciones elaboradas para el desarrollo de la habilidad "Describir" en el estudio de las malformaciones congénitas, permitió al estudiante apropiarse de un conocimiento teórico-morfológico de las características de estos defectos, en la medida que el estudiante aplicó las acciones del algoritmo de esta habilidad adquirió mayor nivel de desarrollo en la habilidad(AU)

Introduction: The syllabus for the Embryology discipline, which is taught in the Republic of Angola as part of the curriculum of the Medical Education was drawn up and developed in Cuba. The environment in which the teaching process developed and the characteristics of the health care system are not the same for which it was conceived. It is not only important to develop students´ skills for the promotion and prevention of defects that are present in the objectives of the discipline, but also identification skills and morphological description of congenital defects for an adequate drawing up of the clinical history in the clinical disciplines. Objective: To determine the level of development reached by the students when they apply the skill of describing using an algorithm for the learning of congenital malformations. Material and Method: An algorithm based on the embryological method was developed; and the initial questions asked in the seminars given to Second Year Medical Students were used in the Medical School of the University of Cabinda in the Republic of Angola during the 2012 Academic Year. Conclusions: The actions developed for the ability to Describe in the study of congenital malformations allowed the student to get a theoretical morphological knowledge of the characteristics of the defects; on the extent to which the student applied the actions of the algorithm, he acquired a higher level of skill development(AU)

In vitro production of bovine embryos: cumulus/granulosa cell gene expression patterns point to early atresia as beneficial for oocyte competence

In vitro production (IVP) of bovine embryos has become widespread technology implemented in cattle breeding and production. Here, we review novel data on cumulus/granulosa cell gene expression, as determined by RNAseq on cellular material from pooled follicular fluids at the single animal level, and relate these finding to previous data on oocyte developmental competence and ultrastructure. The cumulus/granulosa cell gene expression patterns indicate that early follicular atresia is associated with increased blastocyst yield and this hypothesis is supported by previous data on oocyte competence and ultrastructure.

In vitro production of bovine embryos: cumulus/granulosa cell gene expression patterns point to early atresia as beneficial for oocyte competence

In vitro production (IVP) of bovine embryos has become widespread technology implemented in cattle breeding and production. Here, we review novel data on cumulus/granulosa cell gene expression, as determined by RNAseq on cellular material from pooled follicular fluids at the single animal level, and relate these finding to previous data on oocyte developmental competence and ultrastructure. The cumulus/granulosa cell gene expression patterns indicate that early follicular atresia is associated with increased blastocyst yield and this hypothesis is supported by previous data on oocyte competence and ultrastructure.(AU)

Blastocyst classification systems used in Latin America: is a consensus possible?

OBJECTIVE: To identify different blastocyst classification systems used by embryologists in Latin American countries and evaluate the possibility of establishing a consensus among these countries. METHODS: An E-mail survey was carried out through the Latin American Network of Assisted Reproduction (REDLARA) aimed at embryologists from assisted reproduction centers in Latin countries. RESULTS: Sixty surveys were collected from 12 Latin American countries, of which 66.7% had >10years of professional practice as embryologists. Seven different blastocyst classification systems were reported, of which 5 have previously been described in the literature. CONCLUSION: Although the group of embryologists surveyed use different blastocyst classification systems, most in this group consider that the embryo score system should be unified in their countries as well as in the region.

Mice embryology: a microscopic overview.

In this work, we studied the embryology of mice of 12, 14, and 18 days of gestation by gross observation, light microscopy, and scanning electron microscopy. Grossly, the embryos of 12 days were observed in C-shaped region of the brain, eye pigmentation of the retina, first, second, and third pharyngeal arches gill pit nasal region on the fourth ventricle brain, cervical curvature, heart, liver, limb bud thoracic, spinal cord, tail, umbilical cord, and place of the mesonephric ridge. Microscopically, the liver, cardiovascular system and spinal cord were observed. In the embryo of 14 days, we observed structures that make up the liver and heart. At 18 days of gestation fetuses, it was noted the presence of eyes, mouth, and nose in the cephalic region, chest and pelvic region with the presence of well-developed limbs, umbilical cord, and placenta. Scanning electron microscopy in 18 days of gestation fetuses evidenced head, eyes closed eyelids, nose, vibrissae, forelimb, heart, lung, kidney, liver, small bowel, diaphragm, and part of the spine. The results obtained in this work describe the internal and external morphology of mice, provided by an integration of techniques and review of the morphological knowledge of the embryonic development of this species, as this animal is of great importance to scientific studies.

Teaching embryology using models construction in practical classes / La enseñanza de embriología usando la construcción de modelos en las clases prácticas

Recently, the curriculum and the educational methodologies associated with health sciences courses are being reviewed and adapted. Pre-clinical sciences, such as anatomy and embryology are as well subjected to those changes. In human embryology courses it is common to use models to represent the different phases of development to facilitate learning, since the students can see and touch the models, obtaining knowledge by analogies. The purpose of the present study was to investigate if the construction of models by the students during practical embryology classes would improve or facilitate their learning. One year after the classes, 60 students answered a questionnaire with nine objective questions, including spaces for suggestions and observations. The student's responses suggested that the construction of models contributed to their learning.

Recientemente, el plan de estudios y las metodologías educativas asociadas a los cursos de ciencias de la salud están siendo revisados y adaptados. Ciencias pre-clínicas tales como la Anatomía y la Embriología son también sometidas a cambios. En los cursos de Embriología Humana, es común el uso de modelos para representar las diferentes fases del desarrollo, y así facilitar el aprendizaje, ya que los estudiantes pueden ver y tocar los modelos, así se realiza la obtención de conocimientos por medio de analogías. El propósito del presente estudio fue investigar si la construcción de modelos por parte de los estudiantes, durante las clases prácticas de Embriología, mejora o facilita su aprendizaje. Después de un año, 60 estudiantes respondieron a un cuestionario con nueve preguntas objetivas, incluidos los espacios para sugerencias y observaciones. De acuerdo con las respuestas de los estudiantes, la construcción de modelos han contribuido a su aprendizaje.

Economic aspects of applying reproductive technologies to dairy herds

Reproduction continues to be a critical component to maintain a dairy farm economically viable. For every farm and for every cow, there is an optimum time for pregnancy, which is mostly influenced by level of production, persistency of lactation, and parity. In general, as production decreases, lactation number increases, and persistency of lactation decreases, cows should be bred sooner postpartum and pregnancy obtained early in lactation. The voluntary waiting period is determined based on the desired interval postpartum to pregnancy and the pregnancy rate of the farm. As pregnancy rates increase, the voluntary waiting period can be delayed, particularly when milk production is high. Studies in the literature have compared several breeding strategies to obtain a pregnant cow. In general, pregnancies obtained by artificial insemination are cheaper than those originated by natural service. The major reason is that AI programs result in similar or better reproductive performance and are cheaper to implement than natural service programs because of the high costs of acquiring and feeding bulls. Within the AI program, those that incorporate timed AI for first insemination followed by detection of estrus result in lowest median days open and more profit per cow, and the benefits of improving reproduction are greater when milk prices ar e low. The use of embryo technologies as a breeding program for lactating dairy cows, with the aim to improve reproductive performance, is only attractive when the differential in fertility relative to AI is large. In most cases, AI programs have to result in very poor fertility (<15%) for the typical results from embryo transfer (40-45% pregnancy) to be economically attractive at current costs. For dairy heifers, there is littl e justification to incorporate timed AI programs when detection of estrus is excellent, above 70%; however, for farms with detection of estrus below 60%, either timed AI for first AI followed by detection of estrus or timed AI alone improve reproductive performance and reduce the cost per pregnancy.

Economic aspects of applying reproductive technologies to dairy herds

Reproduction continues to be a critical component to maintain a dairy farm economically viable. For every farm and for every cow, there is an optimum time for pregnancy, which is mostly influenced by level of production, persistency of lactation, and parity. In general, as production decreases, lactation number increases, and persistency of lactation decreases, cows should be bred sooner postpartum and pregnancy obtained early in lactation. The voluntary waiting period is determined based on the desired interval postpartum to pregnancy and the pregnancy rate of the farm. As pregnancy rates increase, the voluntary waiting period can be delayed, particularly when milk production is high. Studies in the literature have compared several breeding strategies to obtain a pregnant cow. In general, pregnancies obtained by artificial insemination are cheaper than those originated by natural service. The major reason is that AI programs result in similar or better reproductive performance and are cheaper to implement than natural service programs because of the high costs of acquiring and feeding bulls. Within the AI program, those that incorporate timed AI for first insemination followed by detection of estrus result in lowest median days open and more profit per cow, and the benefits of improving reproduction are greater when milk prices ar e low. The use of embryo technologies as a breeding program for lactating dairy cows, with the aim to improve reproductive performance, is only attractive when the differential in fertility relative to AI is large. In most cases, AI programs have to result in very poor fertility (<15%) for the typical results from embryo transfer (40-45% pregnancy) to be economically attractive at current costs. For dairy heifers, there is littl e justification to incorporate timed AI programs when detection of estrus is excellent, above 70%; however, for farms with detection of estrus below 60%, either timed AI for first AI followed by detection of estrus or timed AI alone improve reproductive performance and reduce the cost per pregnancy.(AU)

Embryotoxicity following repetitive maternal exposure to scorpion venom

Although it is a frequent accident in a few countries, scorpion envenomation during pregnancy remains scarcely studied. In the present study, the effects of repetitive maternal exposure to Buthus occitanus tunetanus venom are investigated and its possible embryotoxic consequences on rats. Primigravid rats received a daily intraperitoneal dose of 1 mL/kg of saline solution or 300 µg/kg of crude scorpion venom, from the 7th to the 13th day of gestation. On the 21st day, the animals were deeply anesthetized using diethyl-ether. Then, blood was collected for chemical parameter analysis. Following euthanasia, morphometric measurements were carried out. The results showed a significant increase in maternal heart and lung absolute weights following venom treatment. However, the mean placental weight per rat was significantly diminished. Furthermore, blood urea concentration was higher in exposed rats (6.97 ± 0.62 mmol/L) than in those receiving saline solution (4.94 ± 0.90 mmol/L). Many organs of venom-treated rat fetuses (brain, liver, kidney and spleen) were smaller than those of controls. On the contrary, fetal lungs were significantly heavier in fetuses exposed to venom (3.2 ± 0.4 g) than in the others (3.0 ± 0.2 g). Subcutaneous blood clots, microphthalmia and total body and tail shortening were also observed in venom-treated fetuses. It is concluded that scorpion envenomation during pregnancy potentially causes intrauterine fetal alterations and growth impairment.(AU)

Transporte de oócitos bovinos em meio de maturação por diferentes períodos de tempo sem controle da atmosfera gasosa / Transport of bovine oocytes in maturation medium for different periods of time whithout controlled gaseous atmosphere

Avaliou-se a viabilidade do transporte de oócitos em meio quimicamente definido, e analisou-se a necessidade da adição ou não de hormônios neste meio. Os oócitos do grupo-controle (0h) foram maturados por 24h em estufa de CO2, e os dos grupos experimentais foram transportados em incubadora portátil. No experimento I, as taxas de clivagem foram similares (P>0,05) para os grupos 0h (59,7 por cento), 3h (53,5 por cento) e 9h (48,8 por cento), e houve redução nos grupos 6h (46,1 por cento) e 12h (43,8 por cento). Essas taxas foram semelhantes entre os grupos 3h, 6h, 9h e 12h. A produção de blastocistos não foi diferente (P>0,05) para os grupos 0h (38,0 por cento), 3h (32,3 por cento), 6h (27,3 por cento) e 9h (24,8 por cento), e houve redução no grupo 12h (18,9 por cento). Essas taxas foram semelhantes entre os grupos 6h, 9h e 12h. No experimento II, não houve diferença (P>0,05) entre as taxas de clivagem para os grupos 0h (71,4 por cento), 3h (70,3 por cento), 6h (56,0 por cento) com hormônios, e os grupos 3h (64,8 por cento) e 6h (54,1 por cento) sem hormônios. A produção de blastocistos foi similar (P>0,05) para os grupos 0h (46,1 por cento), 3h com hormônios (45,8 por cento) e 3h sem hormônios (41,1 por cento), porém houve redução nos grupos 6h com hormônios (35,5 por cento) e 6h sem hormônios (33,5 por cento). Essas taxas foram semelhantes entre os grupos 3h sem hormônios e 6h com e sem hormônios. Estes resultados indicam que é possível otransporte de oócitos bovinos por um período de até nove horas, e que a adição de hormônios neste meio não influencia os índices de clivagem e de blastocistos.

The viability of the transport of the bovine oocytes was evaluated in chemically defined medium and the need for the addition or not of hormones in this medium was analyzed. The oocytes in the control group (0h) were matured for 24h in CO2 incubator, and in experimental groups they were transported in portable incubator. In experiment I, the cleavage rates were similar (P>0.05) to the groups 0h (59.7 percent), 3h (53.5 percent), and 9h (48.8 percent), but they decreased in groups 6h (46.1 percent) and 12h (43.8 percent), however, these rates were similar among the groups 3h, 6h, 9h, and 12h. The production of blastocysts was not different (P>0.05) for groups 0h (38.0 percent), 3h (32.3 percent), 6h (27.3 percent), and 9h (24.8 percent), but there was a reduction in the 12h group (18.9 percent). These rates were similar among the groups 6h, 9h and 12h. In experiment II, no significant difference (P>0.05) was observed among the rates of cleavage for the groups 0h (71.4 percent), 3h with (70.3 percent) and without hormones (64.8 percent), and 6h with (56.0 percent) and without hormones (54.1 percent). The production of blastocysts was similar (P>0.05) for groups 0h (46.1 percent) and 3h with (45.8 percent) and without hormones (41.1 percent), but decreased in groups 6h with (35.5 percent) and without hormones (33.5 percent). These rates were similar among the groups 3h without, 6h with and without hormones. These results indicate the possibility of the transport of bovine oocytes up to 9h, and the addition of hormones in this medium does not influence the rates of cleavage and blastocysts.

Transporte de oócitos bovinos em meio de maturação por diferentes períodos de tempo sem controle da atmosfera gasosa / Transport of bovine oocytes in maturation medium for different periods of time whithout controlled gaseous atmosphere

Avaliou-se a viabilidade do transporte de oócitos em meio quimicamente definido, e analisou-se a necessidade da adição ou não de hormônios neste meio. Os oócitos do grupo-controle (0h) foram maturados por 24h em estufa de CO2, e os dos grupos experimentais foram transportados em incubadora portátil. No experimento I, as taxas de clivagem foram similares (P>0,05) para os grupos 0h (59,7 por cento), 3h (53,5 por cento) e 9h (48,8 por cento), e houve redução nos grupos 6h (46,1 por cento) e 12h (43,8 por cento). Essas taxas foram semelhantes entre os grupos 3h, 6h, 9h e 12h. A produção de blastocistos não foi diferente (P>0,05) para os grupos 0h (38,0 por cento), 3h (32,3 por cento), 6h (27,3 por cento) e 9h (24,8 por cento), e houve redução no grupo 12h (18,9 por cento). Essas taxas foram semelhantes entre os grupos 6h, 9h e 12h. No experimento II, não houve diferença (P>0,05) entre as taxas de clivagem para os grupos 0h (71,4 por cento), 3h (70,3 por cento), 6h (56,0 por cento) com hormônios, e os grupos 3h (64,8 por cento) e 6h (54,1 por cento) sem hormônios. A produção de blastocistos foi similar (P>0,05) para os grupos 0h (46,1 por cento), 3h com hormônios (45,8 por cento) e 3h sem hormônios (41,1 por cento), porém houve redução nos grupos 6h com hormônios (35,5 por cento) e 6h sem hormônios (33,5 por cento). Essas taxas foram semelhantes entre os grupos 3h sem hormônios e 6h com e sem hormônios. Estes resultados indicam que é possível otransporte de oócitos bovinos por um período de até nove horas, e que a adição de hormônios neste meio não influencia os índices de clivagem e de blastocistos.(AU)

The viability of the transport of the bovine oocytes was evaluated in chemically defined medium and the need for the addition or not of hormones in this medium was analyzed. The oocytes in the control group (0h) were matured for 24h in CO2 incubator, and in experimental groups they were transported in portable incubator. In experiment I, the cleavage rates were similar (P>0.05) to the groups 0h (59.7 percent), 3h (53.5 percent), and 9h (48.8 percent), but they decreased in groups 6h (46.1 percent) and 12h (43.8 percent), however, these rates were similar among the groups 3h, 6h, 9h, and 12h. The production of blastocysts was not different (P>0.05) for groups 0h (38.0 percent), 3h (32.3 percent), 6h (27.3 percent), and 9h (24.8 percent), but there was a reduction in the 12h group (18.9 percent). These rates were similar among the groups 6h, 9h and 12h. In experiment II, no significant difference (P>0.05) was observed among the rates of cleavage for the groups 0h (71.4 percent), 3h with (70.3 percent) and without hormones (64.8 percent), and 6h with (56.0 percent) and without hormones (54.1 percent). The production of blastocysts was similar (P>0.05) for groups 0h (46.1 percent) and 3h with (45.8 percent) and without hormones (41.1 percent), but decreased in groups 6h with (35.5 percent) and without hormones (33.5 percent). These rates were similar among the groups 3h without, 6h with and without hormones. These results indicate the possibility of the transport of bovine oocytes up to 9h, and the addition of hormones in this medium does not influence the rates of cleavage and blastocysts.(AU)

Anther and pollen development in some species of Poaceae (Poales) / Desenvolvimento da antera e do grão de pólen em espécies de Poaceae (Poales)

Anther and pollen development were studied in Olyra humilis Nees, Sucrea monophylla Soderstr, (Bambusoideae), Axonopus aureus P. Beauv., Paspalum polyphyllum Nees ex Trin. (Panicoideae), Eragrostis solida Nees, and Chloris elata Desv. (Chloridoideae). The objective of this study was to characterise, embryologically, these species of subfamilies which are considered basal, intermediate and derivate, respectively. The species are similar to each other and to other Poaceae. They present the following characters: tetrasporangiate anthers; monocotyledonous-type anther wall development, endothecium showing annular thickenings, secretory tapetum; successive microsporogenesis; isobilateral tetrads; spheroidal, tricellular, monoporate pollen grains with annulus and operculum. Nevertheless, the exine patterns of the species studied are distinct. Olyra humilis and Sucrea monophylla (Bambusoideae) show a granulose pattern, whereas in the other species, it is insular. In addition, Axonopus aureus and Paspalum polyphyllum (Panicoideae) have a compactly insular spinule pattern, while Chloris elata and Eragrostis solida (Chloridoideae) show a sparsely insular spinule pattern. The exine ornamentation may be considered an important feature at the infrafamiliar level.(AU)

O desenvolvimento da antera e do grão de pólen de Olyra humilis Nees, Sucrea monophylla Soderstr. (Bambusoideae), Axonopus aureus P. Beauv., Paspalum polyphyllum Nees ex Trin. (Panicoideae), Eragrostis solida Nees and Chloris elata Desv. (Chloridoideae) foi estudado visando caracterizar embriologicamente essas espécies de subfamílias consideradas basal, intermediária e derivada, respectivamente. As espécies são similares entre si e entre as demais Poaceae. Apresentam os seguintes caracteres: anteras tetrasporangiadas; desenvolvimento da parede da antera do tipo monocotiledôneo, endotécio com espessamento de parede anelar, tapete secretor; microsporogênese sucessiva; tétrades isobilaterais; grãos de pólen esféricos, tricelulares, monoporados, com anel e opérculo. Por outro lado, o padrão de ornamentação da exina do grão de pólen é distinto. Olyra humilis e Sucrea monophylla (Bambusoideae) apresentam padrão granuloso e as demais espécies padrão insular. Axonopus aureus e Paspalum polyphyllum (Panicoideae) apresentam espínulos densamente agrupados, enquanto Chloris elata e Eragrostis solida (Chloridoideae) espínulos esparsamente agrupados. A ornamentação da exina dos grãos de pólen pode ser considerada caráter importante a nível infrafamiliar.(AU)