Distribuição configurada pela artéria celíaca em papagaios-verdadeiros (Amazona aestiva) / Configured distribution of the celiac artery in blue-fronted amazon (Amazona aestiva)

Foram descritas a origem e a distribuição da artéria celíaca em 20 papagaios-verdadeiros (Amazona aestiva), por meio do preenchimento do sistema arterial com solução de látex corado, fixado em solução de formol, para posterior dissecação de seus ramos colaterais. Como primeiro ramo, a artéria célica emitiu a artéria proventricular dorsal, que seguiu para o ventrículo como artéria gástrica dorsal e, em seguida, enviou a artéria proventricular ventral, que em 85 por cento dos exemplares se originou diretamente da artéria celíaca, ou do seu ramo esquerdo em 15 por cento. Em 25 por cento dos casos, a artéria esplênica foi emitida antes da bifurcação em ramo esquerdo e direito. O ramo esquerdo foi responsável pela origem de ramos proventriculares, ramos pilóricos, artéria esplênica e artéria proventricular ventral, a qual emitiu ramos ao proventrículo e ao esôfago. A artéria celíaca também originou as artérias gástrica ventral e gástrica esquerda, que foram responsáveis pela emissão da artéria hepática esquerda. O ramo direito emitiu artérias esplênicas - que variaram de uma a sete -, duodenal - destinada ao segmento mais caudal da alça ascendente do duodeno, hepática direita - para o lobo direito do fígado. Em seu segmento terminal, o ramo direito dividiu-se em artérias gástrica direita - para o ventrículo -, pancreaticoduodenal - para o pâncreas, alças ascendente e descendente do duodeno e segmentos cranial do íleo e caudal do jejuno. A irrigação determinada pela artéria celíaca nos papagaios segue o que é proposto para aves de outros gêneros, apresentando divergências como ausência das artérias vesicular e ileocecal, bem como da vesícula biliar e ceco.

This research was performed aiming to describe the origin and the distribution of the celiac artery in 20 blue fronted amazon (Amazona aestiva), through the completion of their circulatory system with an aqueous solution of colored latex, followed by fixation in formol for later dissection of the collateral branches. The first branch emitted the proventricular dorsal artery that headed to the ventricle as gastric dorsal artery and next emitted the proventricular ventral artery which originated on the celiac artery in 85 percent of the cases and in 15 percent had its origin on the left branch of the celiac artery. In 25 percent of the cases the splenic artery was emitted before the bifurcation on left and right branches. The left branch was responsible for the origin of the proventricular branches, piloric branches, splenic artery and proventricular artery, which emitted branches to the proventricle and esophagus. The celiac artery also emitted the gastric ventral artery and left gastric. The right branch emitted splenic arteries (that varied from a number of seven); duodenal bound for the more caudal segment of the ascendant segment of the duodenum and the right hepatica to the right liver lobe. On its terminal segment the right branch was divided into right gastric arteries to the ventricle and pancreaticduodenal to the pancreas, ascendant and descendant braces of the duodenum and to the cranial segments of the ileum and caudal of the jejune. The irrigation provided by the celiac artery in parrots remains the same as described for other bird genders showing as divergences: the lack of vesicular arteries and ileocecal as well the gall bladder and the cecos.

Tripolifosfato de sódio e hexametafosfato de sódio na prevenção do cálculo dentário em cães / Sodium tripolyphosphate and sodium hexametaphosphate in preventing dental calculus accumulation in dogs

Avaliou-se o efeito de dois fosfatos, tripolifosfato de sódio (TPF) e hexametafosfato de sódio (HMF), incorporados à ração seca sob diferentes formas, como cobertura do grânulo da ração e no interior da massa da ração, na prevenção do desenvolvimento de cálculo dentário em 25 cães. O delineamento experimental utilizado foi inteiramente ao acaso, com cinco tratamentos e cinco repetições. Os tratamentos experimentais foram: 1) ração seca; 2) ração seca com TPF incorporado na cobertura do grânulo da ração; 3) ração seca com TPF incorporado na massa da ração; 4) ração seca com HMF incorporado na cobertura do grânulo da ração; 5) ração seca com HMF incorporado na massa da ração. Os animais receberam as dietas por um período experimental de 90 dias e, após esse período, foram submetidos à avaliação da área de cálculo dentário formado. A inclusão do HMF na ração seca, tanto na cobertura dos grânulos como no interior da massa, e do TPF, como cobertura dos grânulos, reduziu o acúmulo de cálculo dentário em cães, comparada à dieta sem adição de fosfatos. O HMF foi o fosfato mais eficiente, ao reduzir o acúmulo de cálculo dentário em até 47 por cento. As formas de inclusão do HMF na ração não influenciaram o acúmulo de cálculo dentário. Houve redução do desenvolvimento de cálculo dentário pela incorporação do TPF como cobertura do grânulo da ração, comparada à inclusão deste fosfato no interior da massa da ração. Conclui-se que os fosfatos incorporados na ração seca reduzem o acúmulo de cálculo dentário em cães.

The effect of dry food treated with sodium tripolyphosphate (TPP) or sodium hexametaphosphate (HMP), as kibble coated or added into the interior of the kibble on the accumulation of dental calculus in 25 dogs was evaluated. The study used a completely randomized design with five treatments and five repetitions. The experimental treatments were: 1) dry food; 2) dry food coated with TPP; 3) dry food with TPP incorporated into the interior of the kibble; 4) dry food coated with HMP; 5) dry food with HMP incorporated into the interior of the kibble. The animals received the diets for a 90-day experimental period, and then, the teeth were clinically examined for the presence of calculus. The inclusion of HMP in the dry food, as kibble coated or added into the interior of the kibble, and the inclusion of TPP as kibble coated reduced the accumulation of dental calculus compared to the control group without anti-calculus agents. HMP was the most efficient phosphate, reducing the accumulation of dental calculus in 47 percent. The forms of HMP inclusion in the dry food exerted no significant effect upon calculus formation. However, there was a reduction of calculus accumulation when TPF was incorporated as coating of the kibble, compared to the inclusion of this phosphate into the interior of the kibble. It was concluded that phosphates incorporated in the dry food reduce the accumulation of dental calculus in dogs.

Preimplantation exposure to high insulin-like growth factor I concentrations results in increased resorption rates in vivo.

BACKGROUND: Women with polycystic ovarian syndrome suffer increased rates of miscarriage. Elevated insulin and insulin-like growth factor I (IGF-I) concentrations have been implicated. Here, we hypothesize that the high concentrations of IGF-I result in miscarriage, represented by decreased normal pregnancy rates and increased resorption rates in a mouse model. METHODS: In-vitro studies: 2-cell embryos were cultured in either 1.3 or 130 nmol/l IGF-I; or 500 nmol/l IGF-I receptor (IGF-IR) sense and antisense oligoprobes for 72 h. Embryos were then transferred into pseudo-pregnant ICR females. In-vivo studies: IGF-I-containing slow-release pellets or mock pellets were implanted within the uterine horn in ICR female mice. For both studies, the recipient females were killed on day 14.5 and the numbers of normal implantation sites versus resorption sites were recorded. RESULTS: In-vitro studies: blastocysts cultured in low IGF-I exhibited significantly higher normal implantation rates than blastocysts cultured in high IGF-I concentrations (P < 0.01). Blastocysts cultured in IGF-IR sense oligoprobes exhibited a significantly higher normal implantation rate than blastocysts cultured in antisense oligoprobes. In-vivo studies: mice implanted with IGF-I-containing pellets exhibited significantly lower normal implantation rates as compared with mock-pellet controls (P < 0.01). CONCLUSIONS: High preimplantation IGF-I concentrations in vitro or in vivo lead to increased resorption rates in the mouse.

Successful in vitro fertilization pregnancy after conservative management of endometrial cancer.

OBJECTIVE: To report a successful IVF pregnancy in an infertile couple after conservative treatment of endometrial cancer. DESIGN: Case report and literature review. SETTING: University teaching hospital. PATIENT(S): A 29-year-old infertile white woman. MAIN OUTCOME MEASURE(S): Successful pregnancy after conservative management of endometrial cancer. INTERVENTION(S): Grade 1 endometrial adenocarcinoma diagnosed at hysteroscopy, followed by dilatation and curettage (D&C). On follow-up D&C, pathologic examination was normal after high-dose progesterone therapy. The patient subsequently underwent an IVF cycle with transfer of three blastocysts. RESULT(S): The patient delivered triplets by cesarean section. Laparoscopic-assisted vaginal hysterectomy and bilateral salpingo-oophorectomy was then done. No residual endometrial cancer was evident in the hysterectomy specimen, but a 1.1-cm cystic mixed endometrioid and clear cell-type adenocarcinoma was discovered in the left ovary. The patient is doing well after 3 cycles of chemotherapy; her CA-125 level is normal. The triplets are also doing well. CONCLUSION(S): In carefully chosen situations, deferring surgery in infertile patients with endometrial cancer may be a viable option permitting subsequent successful pregnancy.

Reduction of ovarian torsion 1 week after embryo transfer in a patient with bilateral hyperstimulated ovaries.

OBJECTIVE: To report a rare case of unilateral ovarian torsion 1 week after embryo transfer in a patient with bilateral hyperstimulated ovaries. DESIGN: Case report and literature review. SETTING: Reproductive Endocrine division in a university teaching hospital. PATIENT(S): Infertility patients undergoing IVF-ET. INTERVENTION(S): Laparoscopic reduction of adnexa 1 week after ET. MAIN OUTCOME MEASURE(S): Successful preservation of the affected adnexa. RESULT(S): Delivery of 3.324 kg male infant with preservation of the affected ovary. CONCLUSION(S): Untwisting of the affected ovary at laparoscopy without aspiration reduction of cystic masses is appropriate. The outcome of the pregnancy (even very early) in patients with torsion of the adnexa may be favorable after a laparoscopic unwinding of the affected adnexa.

Early diagnosis of ectopic pregnancy: can we do it accurately using a biochemical profile?

We wanted to evaluate the utility of seven biochemical markers in the early diagnosis of ectopic pregnancy. Women with pain and bleeding suspicious for ectopic pregnancy were evaluated prospectively. Each woman had a transvaginal sonogram and serum determination of beta-human chorionic gonadotropin (beta-hCG), progesterone, estradiol (E2), creatine phosphokinase (CPK), CA-125, 17-hydroxyprogesterone, and androstenedione. The women were grouped in two ways, and there was considerable overlap between the two groups. One grouping included those with <45 days of amenorrhea, and the other included those whose beta-hCG was <2500 mIU/ml. Each marker was analyzed by univariate and multivariate logistic regression to see which could best distinguish ectopic pregnancies from nonectopic pregnancies. In the group of women with <45 days of amenorrhea, ectopic pregnancies were distinguished by a low progesterone and a high CPK. None of the other biochemical markers were significantly associated with ectopic pregnancy in the multivariate logistic regression analysis. A receiver operating characteristic (ROC) curve was constructed for the CPK/progesterone ratio. As an example of different cut points, a CPK/progesterone ratio >15 was 87% sensitive and 83% specific in the diagnosis of ectopic pregnancy. In the group of women with beta-hCG <2500 mIU/ml, the only biochemical marker found to be significantly associated with ectopic pregnancy was CPK. An ROC curve was constructed for CPK in this group. As an example of different cut points, a CPK >70 had a 78% sensitivity and 81% specificity in the diagnosis of ectopic pregnancy. We conclude that the CPK/progesterone ratio is helpful in those women with <45 days of amenorrhea, and serum CPK levels are helpful in women whose beta-hCG is <2500 mIU/ml. Although serum levels of CPK and the ratio of CPK/progesterone are the most helpful in making the diagnosis of early ectopic pregnancy, they are not good enough to be used alone in clinical practice.