Transitioning to peritoneal dialysis: it does not matter where you come from.

INTRODUCTION: Patients with end-stage renal disease (ESRD) frequently change renal replacement (RRT) therapy modality due to medical or social reasons. We aimed to evaluate the outcomes of patients under peritoneal dialysis (PD) according to the preceding RRT modality. METHODS: We conducted a retrospective observational single-center study in prevalent PD patients from January 1, 2010, to December 31, 2017, who were followed for 60 months or until they dropped out of PD. Patients were divided into three groups according to the preceding RRT: prior hemodialysis (HD), failed kidney transplant (KT), and PD-first. RESULTS: Among 152 patients, 115 were PD-first, 22 transitioned from HD, and 15 from a failing KT. There was a tendency for ultrafiltration failure to occur more in patients transitioning from HD (27.3% vs. 9.6% vs. 6.7%, p = 0.07). Residual renal function was better preserved in the group with no prior RRT (p < 0.001). A tendency towards a higher annual rate of peritonitis was observed in the prior KT group (0.70 peritonitis/year per patient vs. 0.10 vs. 0.21, p = 0.065). Thirteen patients (8.6%) had a major cardiovascular event, 5 of those had been transferred from a failing KT (p = 0.004). There were no differences between PD-first, prior KT, and prior HD in terms of death and technique survival (p = 0.195 and p = 0.917, respectively) and PD efficacy was adequate in all groups. CONCLUSIONS: PD is a suitable option for ESRD patients regardless of the previous RRT and should be offered to patients according to their clinical and social status and preferences.

Non-myeloma light chain cast nephropathy: a multicenter retrospective study on clinicopathological characteristics.

Not available.

One more step in solving the Chydorus puzzlea morphological comparison between Chydorus tilhoi Rey & Saint-Jeans, 1969 and Chydorus sphaericus (O.F. Mller, 1776) (Crustacea: Cladocera).

A number of species of Chydorus Leach, 1816 (Crustacea: Cladocera) need improvements in their taxonomy much more than any other genus within the family Chydoridae Dybowsky & Grochowski, 1894 emend. Frey, 1967, which makes the systematics of the genus still a puzzle that lacks several pieces. Here, we redescribe the African species Chydorus tilhoi Rey & Saint-Jeans, 1969 and compare its morphology with that of Chydorus sphaericus (O.F. Mller, 1776). The two taxa might be easily differentiated because C. tilhoi has a single and relatively large major head pore with a wide rim, labral keel elongated with a large spine, and postabdomen with postanal part elongated, narrowing distally and with denticles near its anal margin, organized in groups. These morphological traits are absent in C. sphaericus. Chydorus tilhoi and C. sphaericus also differ in the morphology of the first (Inner Distal Lobe setae), third (exopodite proportion), and fifth (exopodite shape) limbs. Based on the literature and our observations, the limb morphology of C. tilhoi has important similarities with that of C. breviceps, C. nitidulus and C. dentifer, and their translocation to a new genus seems to be a fundamental piece in the puzzle of Chydorus.

New records of Coronatella (Crustacea, Branchiopoda, Chydoridae) from Colombia with the first report of Coronatella undata and of the male of Coronatella monacantha / Novos registros de Coronatella (Crustacea, Branchiopoda, Chydoridae) na Colômbia com o primeiro relato de Coronatella undata e o macho de Coronatella monacantha

Biological samples obtained from a small temporary pond of northern Colombia yielded the first record Coronatella undata Sousa, Elmoor-Loureiro and Santos, 2015 and of the male of C. monacantha (Sars, 1901) for Colombia. In this study, the morphology of female of Coronatella undata and female and male of C. monacantha was described and compared to other species within the genus. C. undata was originally described from Brazil and, among the species of the Coronatella monacantha complex, seems to be closely related to C. acuticostata (Sars, 1903). C. undata shows some similarities with C. monacantha, but it can be identified by important diagnostic characters such as: 1) posterior-ventral corner of valve with two denticles, 2) seta on exopodite of trunk limb II rudimentary, 3) filter comb of trunk limb II with six setae, 4) ODL seta of trunk limb I shorter than longest seta of IDL. C. monacantha is the most reported species in the Neotropical region and the male most resemble C. paulinae Sousa, Elmoor-Loureiro & Santos, 2015 in relation to (i), length/wide of postabdomen ratio (ii) basal spine almost straight and (iii)) long basal spine reaching the mid-length of basal spine. However, they can be separated by (i) number of lateral seta on the antennule, (ii) postanal angle, (iii) position of gonopore (iv) presence of a denticle on posterior-ventral corner of valve.

Amostras biológicas obtidas de uma pequena lagoa temporária do norte da Colômbia proporcionaram o primeiro registro de Coronatella undata Sousa, Elmoor-Loureiro e Santos, 2015 e do macho de Coronatella monacantha (Sars, 1901) na Colômbia. Neste estudo, foi descrita a morfologia de fêmeas de C. undata e de fêmeas e machos de C. monacantha, comparando-a com outras espécies do gênero. Coronatella undata foi descrita originalmente no Brasil e, entre as espécies do complexo C. monacantha, parece estar intimamente relacionada com Coronatella acuticostata (Sars, 1903). Coronatella undata apresenta algumas semelhanças com C. monacantha, mas pode ser identificada por seus principais caracteres, tais como: 1) ângulo posterior ventral da valva com dois dentículos; 2) cerda rudimentar no exopodito do ramo do tronco II; 3) filtro da gnatobase do apêndice torácico II com seis cerdas; 4) cerda ODL do membro do tronco I mais curta que a cerda mais longa do IDL. Coronatella monacantha é a espécie mais relatada na região neotropical, e o macho se assemelha mais a Coronatella paulinae Sousa, Elmoor-Loureiro & Santos em relação à/ao: (i) razão comprimento / largura do pós-abdômen, (ii) espinho basal quase reto e (iii) espinho basal longo com a metade do comprimento do espinho basal. No entanto, eles podem ser separados pelo/pela: (i) número de cerdas laterais na antênula, (ii) ângulo postanal, (iii) posição do gonóporo e (iv) presença de dentículo no canto ventral posterior da valva.

New records of Coronatella (Crustacea, Branchiopoda, Chydoridae) from Colombia with the first report of Coronatella undata and of the male of Coronatella monacantha

Abstract Biological samples obtained from a small temporary pond of northern Colombia yielded the first record Coronatella undata Sousa, Elmoor-Loureiro and Santos, 2015 and of the male of C. monacantha (Sars, 1901) for Colombia. In this study, the morphology of female of Coronatella undata and female and male of C. monacantha was described and compared to other species within the genus. C. undata was originally described from Brazil and, among the species of the Coronatella monacantha complex, seems to be closely related to C. acuticostata (Sars, 1903). C. undata shows some similarities with C. monacantha, but it can be identified by important diagnostic characters such as: 1) posterior-ventral corner of valve with two denticles, 2) seta on exopodite of trunk limb II rudimentary, 3) filter comb of trunk limb II with six setae, 4) ODL seta of trunk limb I shorter than longest seta of IDL. C. monacantha is the most reported species in the Neotropical region and the male most resemble C. paulinae Sousa, Elmoor-Loureiro & Santos, 2015 in relation to (i), length/wide of postabdomen ratio (ii) basal spine almost straight and (iii)) long basal spine reaching the mid-length of basal spine. However, they can be separated by (i) number of lateral seta on the antennule, (ii) postanal angle, (iii) position of gonopore (iv) presence of a denticle on posterior-ventral corner of valve

Resumo Amostras biológicas obtidas de uma pequena lagoa temporária do norte da Colômbia proporcionaram o primeiro registro de Coronatella undata Sousa, Elmoor-Loureiro e Santos, 2015 e do macho de Coronatella monacantha (Sars, 1901) na Colômbia. Neste estudo, foi descrita a morfologia de fêmeas de C. undata e de fêmeas e machos de C. monacantha, comparando-a com outras espécies do gênero. Coronatella undata foi descrita originalmente no Brasil e, entre as espécies do complexo C. monacantha, parece estar intimamente relacionada com Coronatella acuticostata (Sars, 1903). Coronatella undata apresenta algumas semelhanças com C. monacantha, mas pode ser identificada por seus principais caracteres, tais como: 1) ângulo posterior ventral da valva com dois dentículos; 2) cerda rudimentar no exopodito do ramo do tronco II; 3) filtro da gnatobase do apêndice torácico II com seis cerdas; 4) cerda ODL do membro do tronco I mais curta que a cerda mais longa do IDL. Coronatella monacantha é a espécie mais relatada na região neotropical, e o macho se assemelha mais a Coronatella paulinae Sousa, Elmoor-Loureiro & Santos em relação à/ao: (i) razão comprimento / largura do pós-abdômen, (ii) espinho basal quase reto e (iii) espinho basal longo com a metade do comprimento do espinho basal. No entanto, eles podem ser separados pelo/pela: (i) número de cerdas laterais na antênula, (ii) ângulo postanal, (iii) posição do gonóporo e (iv) presença de dentículo no canto ventral posterior da valva.

Three new records of Cladocera (Crustacea: Branchiopoda) for the State of Maranhão, Northeastern Brazil.

Brazilian biodiversity is still poorly studied, especially in the northeast region of Brazil. In the state of Maranhão, the rich fauna is still under-explored in relation to the Cladocera, and this geographic area covers four biomes, which makes it an important field of research on the Cladocera community. In this work, the record of three species is reported: Dadaya macrops Sars, 1901 first record of the genus for the state, Simocephalus serrulatus (Koch, 1841) and Simocephalus latirostris (Stingelin, 1906). The work presents brief descriptions and illustrations of the morphology of the studied species.

Revision of the guttata-group of Alona s. lato leads to its translocation to Prendalona Sousa, Elmoor-Loureiro & Santos, 2018 (Cladocera: Anomopoda: Chydoridae).

Revision of the guttata-group of Alona s. lato justifies its translocation to the genus Prendalona Sousa, Elmoor-Loureiro & Santos, 2018. Emended diagnosis of the genus and diagnoses for all its species are provided. Prendalona belong to the Hexalona-clade of Alona s. lato, it is a sister-group of genus Flavalona Sinev & Dumont, 2016, but differs from the latter in: (1) minute lateral head pores without any pockets below, (2) absence of the genital process on male postabdomen, and (3) absence of inner setae on endites 1-2 of thoracic limb I. Morphology of North American P. barbulata (Megard, 1967) and widely distributed P. guttata (Sars, 1862) is investigated in detail for the first time. Prendalona julietae sp. nov.,sibling-species of P. guttata, is described from Brazil. Global diversity and distribution patterns of Prendalona are discussed.

Contribution to the knowledge of cladocerans fauna (Crustacea, Branchiopoda) from La Española lagoon, Colombia

Thirty-five cladocerans species are recorded from La Española lagoon in the Orinoquia region of Colombia; all are new records for Meta Department and 10 for Colombia. With the addition of these new reports, the total number of cladocerans for Colombia and the Meta department is increased by 124 and 38 species, respectively. The cladoceran fauna from the surveyed area is represented mainly by widespread species, commonly found in the Neotropical regions, but local morphological data are scarce in the regional literature. Brief diagnostic description of 18 species of cladoceran fauna recorded of the Meta department-Colombia are provided together with illustrations of taxonomically significant appendages, morphological remarks, notes on the variability of some species, and their distribution.

Se registran treinta y cinco especies de cladóceros de la laguna La Española en la región de la Orinoquia de Colombia; todos ellos son nuevos registros para el Departamento del Meta y 10 para Colombia. Con la incorporación de estos nuevos reportes, el número total de cladóceros para Colombia y el departamento del Meta se incrementa en 124 y 38 especies respectivamente. La fauna de cladóceros del área estudiada está representada principalmente por especies de amplia distribución y que se encuentran comúnmente en las regiones Neotropicales, pero los datos morfológicos locales son escasos en la literatura regional. Se proporcionan breves descripciones diagnosticas de 18 especies registradas para la fauna de cladóceros del departamento del Meta-Colombia, junto con ilustraciones de apéndices taxonómicamente significativos, comentarios morfológicos, notas sobre la variabilidad de algunas especies y su distribución.

Recovering from a renal vascular catastrophe: Case report.

Renal artery thrombosis is a rare vascular event that precipitates renal infarction. Although in up to one third of cases the etiology is not identified, renal artery lesions, cardioembolism and acquired thrombophilias are the main causes. A bilateral simultaneous idiopathic renal artery thrombosis is an unlikely coincidence. We present two cases of patients with acute bilateral renal artery thrombosis of unknown etiology. Cardiac embolism, acquired thrombophilia and occult neoplasm workups were negative. Both cases were temporarily hemodialysis-dependent and partially recovered renal function under conservative approach with systemic anticoagulation. Recommendations on optimal treatment for renal artery thrombosis are still lacking. We discuss the available options.

Contribución al conocimiento de Cladóceros de las charcas temporales al norte de Colombia / Contribution to knowledge of Cladocerans of temporary ponds to northern Colombia

Resumen Cuarenta y un taxones de Cladóceros fueron identificados en las charcas temporales en el curso de este estudio, de los cuales 15 son nuevos registros para el departamento de la Guajira y uno para Colombia. Con la adición de estos nuevos reportes se incrementa el total de cladóceras para Colombia y el departamento de La Guajira en 111 y 46 especies respectivamente. El departamento de La Guajira contiene el 41.44% de los taxones de cladóceros del territorio colombiano. Las charcas con mayor y menor riqueza fue la Ponderosa y la de Manaure con 37 y 2 especies respectivamente. También se proporcionan notas descriptivas, comentarios comparativos sobre morfología e ilustraciones para algunos taxones notables.

Abstract Forty-one Cladocera taxa were identified in temporary ponds during this study, of which 15 are new records for the department of La Guajira and one for Colombia. With the addition of these new reports, the total number of cladocerans for Colombia and La Guajira department is increased by 111 and 46 species respectively. La Guajira department comprises the 41.44 % of cladocera taxa of the Colombian territory. The pond with the greatest and lowest richness was Ponderosa and Manaure with 37 and 2 species respectively. Descriptive notes, comparative comments on morphology, and illustrations are also provided for some notable taxa.

New records of Coronatella (Crustacea, Branchiopoda, Chydoridae) from Colombia with the first report of Coronatella undata and of the male of Coronatella monacantha.

Biological samples obtained from a small temporary pond of northern Colombia yielded the first record Coronatella undata Sousa, Elmoor-Loureiro and Santos, 2015 and of the male of C. monacantha (Sars, 1901) for Colombia. In this study, the morphology of female of Coronatella undata and female and male of C. monacantha was described and compared to other species within the genus. C. undata was originally described from Brazil and, among the species of the Coronatella monacantha complex, seems to be closely related to C. acuticostata (Sars, 1903). C. undata shows some similarities with C. monacantha, but it can be identified by important diagnostic characters such as: 1) posterior-ventral corner of valve with two denticles, 2) seta on exopodite of trunk limb II rudimentary, 3) filter comb of trunk limb II with six setae, 4) ODL seta of trunk limb I shorter than longest seta of IDL. C. monacantha is the most reported species in the Neotropical region and the male most resemble C. paulinae Sousa, Elmoor-Loureiro & Santos, 2015 in relation to (i), length/wide of postabdomen ratio (ii) basal spine almost straight and (iii)) long basal spine reaching the mid-length of basal spine. However, they can be separated by (i) number of lateral seta on the antennule, (ii) postanal angle, (iii) position of gonopore (iv) presence of a denticle on posterior-ventral corner of valve.

Climate change and niche unfilling tend to favor range expansion of Moina macrocopa Straus 1820, a potentially invasive cladoceran in temporary waters.

Non-native species' introductions have increased in the last decades primarily due to anthropogenic causes such as climate change and globalization of trade. Moina macrocopa, a stress-tolerant cladoceran widely used in bioassays and aquaculture, is spreading in temporary and semi-temporary natural ponds outside its natural range. Here, we characterize the variations in the climatic niche of M. macrocopa during its invasions outside the native Palearctic range following introduction into the American continent. Specifically, we examined to what extent the climatic responses of this species have diverged from those characteristics for its native range. We also made predictions for its potential distribution under current and future scenarios. We found that the environmental space occupied by this species in its native and introduced distribution areas shares more characteristics than randomly expected. However, the introduced niche has a high degree of unfilling when displacing its original space towards the extension to drier and hotter conditions. Accordingly, M. macrocopa can invade new areas where it has not yet been recorded in response to warming temperatures and decreasing winter precipitation. In particular, temporary ponds are more vulnerable environments where climatic and environmental stresses may also lower biotic resistance. Supplementary Information: The online version contains supplementary material available at 10.1007/s10750-022-04835-7.

Richness and composition of Cladocera (Crustacea: Branchiopoda) in Brazilian rupestrian cerrados, with comments on distribution and taxonomy.

Several studies that involve a faunal survey of Cladocera in Brazil have been carried out in recent years; however, knowledge of the distribution and diversity of species of this group in semiterrestrial and aquatic bodies of rupestrian cerrado is still rare. The present study evaluated the richness and composition of cladoceran species in these environments in the central parts of the country. Samples were collected at nine sites of rupestrian cerrado from 2011 to 2012. In total, 47 cladocerans species were identified, belonging to six families, emphasizing the Chydoridae family with the greatest richness (32 species) and abundance. The species Bryospilus repens had its first record for the state of Goiás and the Brazilian Midwest. Other species were also recorded for the first time: Leberis davidi for the state of Minas Gerais, and Alona yara and Flavalona asymmetrica for the state of Bahia. This demonstrates that rupestrian cerrados are relevant for cladoceran diversity on a regional scale. Carrying out new inventories of cladocerans in similar phytophysiognomies could contribute significantly to the knowledge of the biodiversity of these animals in Brazil, in addition to providing updates on the geographic distribution of species already recorded in previous studies.

Identification key of Ctenopoda (Cladocera, Holopedidae, Sididae) taxa from Brazil with remarks on taxonomy and geographic distribution.

Using literature and field sampling data, we found that Brazilian fauna of the order Ctenopoda (Cladocera, Branchiopoda) was composed of twelve species, including the locally endemic Holopedium amazonicum and Sarsilantona behningi. In Brazil, Diapahanosoma (Neodiaphanosoma) bergamini was reported out of its type locality for the first time. Ctenopoda species were reported in all Hydrographic Regions in Brazil, however, the sampling effort was clearly distinct between many areas. These findings suggest the necessity of new faunal surveys in several parts of Brazil.

Examining the relation between the subjective and objective social status with health reported needs and health-seeking behaviour in Dande, Angola.

BACKGROUND: Assessing subjective social status (SSS) may be easily accommodated in the context of a Health and Demographic Surveillance System (HDSS). To our knowledge, no prior studies have examined the association of SSS and health in Angola. Subjective socioeconomic measures may provide a rapid assessment of a relevant social status construct, important for studying health inequalities. In this study, we addressed social determinants of health by examining the relationship between the subjective and objective social status, reported health and healthcare-seeking behaviour. METHODS: This research results from a cross-sectional study performed during 2015 in the Dande HDSS, in Angola. We tested the application of the MacArthur scale as a measure of SSS in a developing setting, in a sample of 12,246 households. First, we investigated its relation to objective socioeconomic indicators, and then we explored how subjective and objective social status associate with health reported needs and health-seeking behaviour of the surveyed population. Chi-square, ANOVA tests, and Receiver Operating Characteristics (ROC) Curves analysis were computed for testing relationships between subjective status ladder quartiles, sociodemographic and household characteristics. Logistic regression was used to examine the influence of subjective perception of status in self-reported health and health-seeking behaviour. RESULTS: Our findings suggest that the SSS follows a gradient distribution obtained with more objective socioeconomic indicators. Additionally, we found that subjective perception of status influence health needs reporting and health-seeking behaviour and its significant effect remained after controlling for the objective socioeconomic markers. Individuals standing in the second quartile of the social ladder have more odds of reporting illness and those in the highest quartiles of the ladder were twice more likely (OR = 2.23, 95% CI = 1.52-3.26) to seek help from formal health services than those at the bottom of the ladder. CONCLUSIONS: The MacArthur Scale is a valuable tool to measure SSS in the Dande HDSS, relevant for studying socioeconomic disparities and health inequalities. It is also an easier alternative to traditional measures such as income, usually difficult to measure in developing settings. The social perception of status should be considered as a complement with objective indicators when exploring social determinants of health.

A new species of Macrothrix (Crustacea, Branchiopoda, Macrothricidae) from the Neotropics with description of the marthae-group.

Publications of the last three decades demonstrated the existence of some compact species groups within the Macrothrix Baird genus (Cladocera: Macrothricidae). Many species were included in hirsuticornis-group, laticornis-group, rosea-triserialis-group and paulensis-group, but not in Macrothrix marthae group. It has a peculiar set of morphological traits not observed in any other species, so far. Studying material from Ribeira de Iguape River, Brazil, we found some individuals that resemble M. marthae, which represent a new species described herein. Macrothrix lourdesae sp. nov shares with M. marthae similar morphology of Inner Distal Lobe setae and the same modifications on the fourth and fifth limbs. The main difference between them is related to the number of setae in the exopodite of the third limb. Observing the high number of morphological traits shared, it is possible to indicate that M. lourdesae sp. nov and M. marthae form a separate species group within the genus.

GASTRECTOMY IN OCTOGENARIANS WITH GASTRIC CANCER: IS IT FEASIBLE?

BACKGROUND: The octogenarian population is expanding worldwide and demand for gastrectomy due to gastric cancer in this population is expected to grow. However, the outcomes of surgery with curative intent in this age group are poorly reported and it is unclear what matters most to survival: age, clinical status, disease´s stage, or the extent of the surgery performed. AIM: Evaluate the results of gastrectomy in octogenarians with gastric cancer and to verify the factors related to survival. METHODS: From prospective database, patients aged 80 years or older with histologically confirmed adenocarcinoma who had undergone gastrectomy with curative intent were selected. Factors related to postoperative complications and survival were studied. RESULTS: Fifty-one patients fulfilled the inclusion criteria. A total of 70.5% received subtotal gastrectomy and in 72.5% D1 lymphadenectomy was performed. Twenty-five (49%) had complications, in eleven major complications occurred (seven of these were clinical complications). Hospital length of stay was longer (8.5 vs. 17.8 days, p=0.002), and overall survival shorter (median of 1.4 vs. 20.5 months, p=0.009) for those with complications. D2 lymphadenectomy and the presence of postoperative complications were independent factors for worse overall survival. CONCLUSION: Octogenarians undergoing gastrectomy with curative intent have high risk for postoperative clinical complications. D1 lymphadenectomy should be the standard of care in these patients.