ABSTRACT Objectives: Within the tertiary-case database, the authors tested for differences in long-term continence rates (≥ 12 months) between prostate cancer patients with extraprostatic vs. organ-confined disease who underwent Robotic-Assisted Radical Prostatectomy (RARP). Method: In the institutional tertiary-care database the authors identified prostate cancer patients who underwent RARP between 01/2014 and 01/2021. The cohort was divided into two groups based on tumor extension in the final RARP specimen: patients with extraprostatic (pT3/4) vs. organ-confined (pT2) disease. Additionally, the authors conducted subgroup analyses within both the extraprostatic and organ-confined disease groups to compare continence rates before and after the implementation of the new surgical technique, which included Full Functional-Length Urethra preservation (FFLU) and Neurovascular Structure-Adjacent Frozen-Section Examination (NeuroSAFE). Multivariable logistic regression models addressing long-term continence were used. Results: Overall, the authors identified 201 study patients of whom 75 (37 %) exhibited extraprostatic and 126 (63 %) organ-confined disease. There was no significant difference in long-term continence rates between patients with extraprostatic and organ-confined disease (77 vs. 83 %; p = 0.3). Following the implementation of FFLU+ NeuroSAFE, there was an overall improvement in continence from 67 % to 89 % (Δ = 22 %; p < 0.001). No difference in the magnitude of improved continence rates between extraprostatic vs. organ-confined disease was observed (Δ = 22 % vs. Δ = 20 %). In multivariable logistic regression models, no difference between extraprostatic vs. organ-confined disease in long-term continence was observed (Odds Ratio: 0.91; p = 0.85). Conclusion: In this tertiary-based institutional study, patients with extraprostatic and organ-confined prostate cancer exhibited comparable long-term continence rates.

Abstract: The existence of early maladaptive schemas (EMS) is the core concept of Schema Therapy (ST). Several studies have demonstrated that EMSs are involved in many psychiatric disorders. The Young Schema Questionnaire is a self-report measure developed to assess the 18 EMSs and has long form (YSQ-L) and short form (YSQ-S) versions. It is currently in its third version (YSQ-S3). To the best of our knowledge, this is the first study that aims to validate the Italian version of YSQ-S3 according to the new proposed organization of EMSs into four domains. A non clinical sample of 1372 Italian population was involved in this research. Confirmatory Factor Analysis (CFA) was conducted to examine the latent structure of the YSQ-S3, including both first- and second-order structures. McDonald’s omega and intra-class correlation coefficients were calculated to evaluate internal consistency and test-retest reliability. Correlations between the YSQ-S3 and anxiety and mood symptoms were calculated to measure construct validity. McDonald’s omega of almost all EMSs were higher than 0.7, which indicated good internal reliability, and test-retest reliability was excellent. CFA supports the new proposed organization of EMSs into four domains. Regarding concurrent validity, each schema in the YSQ-S3 was highly correlated with anxiety and mood symptoms. The new four-domains model of the YSQ-S3 has demonstrated that it can be a useful and valid tool for clinicians and researchers in the self-report measurement of EMSs.

Resumen: La existencia de esquemas maladaptativos tempranos (EMTs) es el concepto central de Schema Therapy (ST). Varios estudios han demostrado que los EMS están involucrados en muchos trastornos psiquiátricos. El Young Schema Questionnaire es una medida de autoinforme desarrollada para evaluar los 18 EMTs y tiene versiones de forma larga (YSQ-L) y forma corta (YSQ-S). Actualmente se encuentra en su tercera versión (YSQ-S3). Hasta donde tenemos conocimiento, este es el primer estudio que tiene como objetivo validar la versión italiana del YSQ-S3 de acuerdo con la nueva organización propuesta de EMTs en cuatro dominios. Una muestra no clínica de 1372 estudiantes italianos participó en esta investigación. El análisis factorial confirmatorio (CFA) se realizó para examinar la estructura latente del YSQ-S3, incluidas las estructuras de primer y segundo orden. Se calcularon la omega coeficiente de McDonald y la correlación interclase para evaluar la consistencia interna y la fiabilidad test-retest. Las correlaciones entre el YSQ-S3 y la ansiedad y los síntomas del estado de ánimo se calcularon para medir la validez de constructo. El omega de McDonald de casi todos los EMTs fue superior a 0.7, lo que indicó una buena confiabilidad interna, y la confiabilidad test-retest fue excelente. CFA apoya la nueva organización propuesta de EMS en cuatro dominios. Con respecto a la validez concurrente, cada esquema en el YSQ-S3 estaba altamente correlacionado con la ansiedad y los síntomas del estado de ánimo. El nuevo modelo de cuatro dominios del YSQ-S3 ha demostrado que puede ser una herramienta útil y válida para los médicos e investigadores en la medición del autoinforme de los EMTs.

A workshop with 20 experts of diverse backgrounds from five countries in the Americas was convened for two-and-a-half days in March 2012 to discuss and develop a standardized methodology for assessing the economic cost of dengue. This article discusses a number of factors that contributed to the workshop's success, including: engaging the experts at various stages of the process; convening a multidisciplinary group to reduce expert bias and provide a more comprehensive and integrated approach; facilitating guided small- and large-group discussions; developing effective cross-cultural collectivism, trust, communication, and empathy across the expert panel; establishing clear lines of responsibilities within each group of experts; breaking down the complex issues into smaller and simpler ideas; providing ample background materials in multiple languages prior to the workshop. Challenges and areas for improvement are also covered.

Se convocó un taller con 20 expertos provenientes de diversos ámbitos de cinco países de las Américas con el propósito de analizar y elaborar un método normalizado de evaluación del costo económico del dengue; la duración del taller fue de dos días y medio en marzo del 2012. En el presente artículo se analizan diversos factores que contribuyeron al éxito del taller, entre ellos la vinculación de los expertos en diversas.

RESUMO O presente estudo objetivou analisar a composição florística atual da regeneração natural, contrastando-a com levantamentos anteriores pertencentes a um monitoramento iniciado em 1992, em fragmento de Floresta Estacional Semidecidual Montana, em Viçosa, MG. Os locais de estudo correspondem a dez sítios escolhidos em função das características fisiográficas declividade, exposição e posição topográfica do terreno. Foram estimados os índices de regeneração natural por espécie para cada classe de tamanho de planta (RNC) para obtenção do índice de regeneração natural total (RNT). Foram amostrados 3.516 indivíduos, pertencentes a 140 morfoespécies arbóreas, incluindo indivíduos de 10 cm a 3 m de altura e diâmetro a 1,3 m (DAP) menor que 5 cm. O maior número de indivíduos foi amostrado nas famílias Rubiaceae, Fabaceae Mimosoideae, Monimiaceae, Fabaceae Papilionoideae, mas as famílias mais ricas foram Fabaceae Caesalpinoideae, Fabaceae Papilionoideae, Euphorbiaceae, Lauraceae, Myrtaceae e Rubiaceae. As espécies que apresentaram os maiores RNTs foram: Psychotria sessilis, Siparuna guianensis, Anadenanthera peregrina e Piptadenia gonoacantha. Este monitoramento sugere uma substituição contínua de espécies de estágios iniciais de sucessão por outras de estágios mais avançados, demonstrando a importância da proteção dos fragmentos florestais remanescentes para a manutenção ou aumento da biodiversidade da região.

ABSTRACT The current study aimed to analyse the tree species natural regeneration floristic composition in a Mountain Seasonal Semideciduous Forest fragment in the domain of the Atlantic Forest, in southeastern Brazil (20°45’S, 42°55’W) in order to subsidize secondary natural forest management. Ten sites were selected based on their aspects, slopes and topographic positions. Natural regeneration indexes were estimated for each tree species per size classes to obtain the Total Natural Regeneration Index (TNR) for each species. It was sampled a total of 3,516 individuals of 140 tree species varying from 10 cm to 5 m height with diameter at the height of 1.3 m (DBH) smaller than 5 cm. The largest numbers of individuals were sampled in the families Rubiaceae, Fabaceae Mimosoideae, Monimiaceae, Fabaceae Papilionoideae, and the richest families were Fabaceae Caesalpinoideae, Fabaceae Papilionoideae, Euphorbiaceae, Lauraceae, Myrtaceae and Rubiaceae. Psychotria sessilis, Siparuna guianensis, Anadenanthera peregrina and Piptadenia gonoacantha presented the largest TNR. The comparison of the actual regeneration study with that of prior evaluations suggests a continuous substitution of species from initial to more advanced stages. These results indicate that the protection of the remaining forest fragments is important to maintain or improve the biodiversity in this region.

Visando contribuir para o conhecimento das estratégias devida de espécies em fragmentos florestais, foram determinadas as estruturas de tamanho e espacial de 13 espécies arbóreas do remanescente de floresta ciliar no Estado do Paraná, no Sul do Brasil (23"16'S e 51"01'W). Foram analisadas as espécies: Aspidosperma polyneuron Müll. Arg., Astronium graveolens Jacq. e Gallesia integrifolia (Spreng) Harms, (emergentes); Alseis floribunda Schott, Ruprechtia laxiflora Meisn. e Bougainvillea spectabilis Willd. (dossel, intolerantes à sombra); Machaerium paraguariense Hassl, Myroxylum peruiferum L. e Chrysophyllum gonocarpum (Mart. & Eichler exMiq.) Engl. (dossel, tolerantes à sombra); Sorocea bonplandii (Baill.) Bürger, Trichilia casaretti C. Dc, Trichilia catigua A. Juss. e Actinostemon concolor (Spreng.) Müll. Arg. (subosque). Analisou-se a estrutura de diâmetro de cada espécie. Para a análise do padrão espacial e correlação com adeclividade foram utilizados o Índice de Autocorrelação espacial de Moran e o Teste Parcial de Mantel, respectivamente. Os grupos das árvores emergentes e das espécies de subosque apresentaram as maiores e as menores variações na altura e no diâmetro e maior e menor área basal, respectivamente. Diferenças nas estruturas de diâmetro foram observadas entre as espécies emergentes e entre as espécies de dossel intolerantes à sombra. O padrão espacial variou entre as espécies de todos os grupos, exceto as espécies de subosque tolerantes à sombra. A topografia estava relacionada com a distribuição espacial de A. polyneuron, A. graveolens, A. floribunda, R. laxiflora, M. peruiferum e T. casaretti. A análise dos resultados indicou que para cada espécie a maioria dos indivíduos ocorriam em locais específicos, sugerindo que a diferenciação de nicho pode estar relacionada à estruturação desta comunidade arbórea.

Size structure and spatial arrangement of 13 abundant tree species were determined in a riparian forest fragment inParaná State, South Brazil (23"16'S and 51"01'W). The studied species were Aspidosperma polyneuron Müll. Arg., Astronium graveolens Jacq. and Gallesia integrifolia (Spreng) Harms (emergent species); Alseis floribunda Schott, Ruprechtia laxiflora Meisn. and Bougainvillea spectabilis Willd. (shade-intolerant canopy species); Machaerium paraguariense Hassl, Myroxylum peruiferum L. and Chrysophyllum gonocarpum (Mart. & Eichler ex Miq.) Engl. (shade-tolerant canopy species); Sorocea bonplandii (Baill.) Bürger, Trichilia casaretti C. Dc, Trichilia catigua A. Juss. and Actinostemon concolor (Spreng.) Müll. Arg. (understory small trees species). Height and diameter structures and basal area of species were analyzed. Spatial patterns and slope correlation were analyzed by Moran's / spatial autocorrelation coefficient and partial Mantel test, respectively. The emergent and small understory species showed the highest and the lowest variations in height, diameter and basal area. Size distribution differed among emergent species and also among canopy shade-intolerant species. The spatial pattern ranged among species in all groups, except in understory small tree species. The slope was correlated with spatial pattern for A. polyneuron, A. graveolens, A. floribunda, R. laxiflora, M. peruiferum and T. casaretti. The results indicated that most species occurredin specific places, suggesting that niche differentiation can be an important factor in structuring the tree community.

FUNDAMENTO: Leveduras do gênero Candida determinam colonização, infecções superficiais e infecções sistêmicas em imunodeprimidos. As várias apresentações da doença levam à necessidade de utilizar diferentes métodos diagnósticos e tratamentos. OBJETIVOS: Diferenciar as espécies de Candida e correlacioná-las com as regiões anatômicas. Avaliar a susceptibilidade a cetoconazol, fluconazol, itraconazol e anfotericina B. MÉTODOS: Foram avaliados 100 pacientes imunocompetentes com candidíase cutânea ou mucosa atendidos na Santa Casa de S. Paulo entre maio de 1999 e julho de 2001. Correlacionou-se a região acometida e a espécie de Candida, isolada através técnica CHROMagar Candida®. Avaliou-se a susceptibilidade das espécies a cetoconazol, fluconazol, itraconazol e anfotericina B, através do Etest®. RESULTADOS: C. albicans foi isolada em 76,0% dos materiais, C. krusei em 19% e C. tropicalis em 1%. Não houve correlação significante entre a região acometida e as espécies. A maioria das amostras mostrou susceptibilidade aos antifúngicos. CONCLUSÃO: C. albicans foi a espécie mais observada. A maioria das amostras de Candida mostrou-se susceptível aos antifúngicos.

BACKGROUND: Yeasts of the genus Candida create colonization, superficial infections and systemic infections in immunodeficient individuals. The presentations of the disease lead to the necessity of using various diagnostic methods and treatments. OBJECTIVES: To differentiate among the Candida species, correlate them with the anatomical region involved and evaluate in vitro susceptibility to ketoconazole, fluconazole, itraconazole and amphotericin B. METHODS: An evaluation of 100 cases of immunocompetent patients with cutaneous or mucous candidiasis attended at the Santa Casa de Sao Paulo Hospital from May 1999 to July 2001. This study attempted to correlate the site of the involvement and the Candida species, isolated using the CHROMagar Candida® technique. The species were evaluated using the Etest® antifungal susceptibility to ketoconazole, fluconazole, itraconazole and amphotericin B. RESULTS: C. albicans was isolated in 76% of the material, C. krusei in 19% and C. tropicalis in 1%. It was not possible to establish a significant correlation between the involved area and the species isolated. Most of the samples proved to be susceptible to the antifungals tested. CONCLUSIONS: C. albicans was the most commonly observed species. The majority of samples presented susceptibility to the tested antifungals.

No presente trabalho os autores descrevem os resultados obtidos com o uso da Própolis, em 10 pacientes, com idade entre 22 e 57 anos, portadores de úlceras crônicas de membros inferiores de diferentes etiologias. Analisam os resultados obtidos no que diz respeito a facilidade de seu uso, controle de infecção local e avaliação do processo de cicatrização.

In this study the authors describe the results obtained with Propolis or bee glue in 10 pacients (17 to 57 years old) suffering from cronic leg's ulcers of different etiologies. The authors analyse the results obtained related with the facility infection control and process healing's assessment.

In this study the authors describe the results obtained with Propolis or bee glue in 10 pacients (17 to 57 years old) suffering from cronic leg's ulcers of different etiologies. The authors analyse the results obtained related with the facility infection control and process healing's assessment.

No presente trabalho os autores descrevem os resultados obtidos com o uso da Própolis, em 10 pacientes, com idade entre 22 e 57 anos, portadores de úlceras crônicas de membros inferiores de diferentes etiologias. Analisam os resultados obtidos no que diz respeito a facilidade de seu uso, controle de infecção local e avaliação do processo de cicatrização.