ABSTRACT Purpose: Kidney stones are one of the most common urological diseases worldwide. The size and location of the stone are the most important factors in determining the most suitable treatment options. The aim of this review was to evaluate the displacement of lower pole stones. Methods: Three studies assessing the efficacy of translocating kidney stones from the lower pole of the kidney to other locations during retrograde intrarenal surgery published in the last 20 years were included. A systematic search was conducted in the PubMed, Embase, Latin American and Caribbean Health Sciences Literature (LILACS), and Web of Science databases using the following search terms: “Lower pole,” “Lithotripsy.” Meta-analysis was performed using Review Manager version 5.4. Results: Stone-free rates were improved through displacement (odds ratio – OR = -0.15; 95% confidence interval–95%CI -0.24–-0.05; p = 0.002; I2 = 21%), but at the cost of increased surgical duration (mean difference = -12.50; 95%CI -24.06–-0.95; p = 0.03; I2 = 94%). Although this represents a potentially negative outcome, the improvement in clearance rates justifies the additional investment of time and effort. Conclusions: Displacement of lower pole kidney stones for subsequent lithotripsy brings significant benefits in terms of stone-free rate, with no difference in laser energy usage. However, it results in increased surgical time. Despite these factors, the benefits to patients undergoing the procedure are substantial.

ABSTRACT Purpose: In Brazil, healthcare services traditionally follow a fee-for-service (FFS) payment system, in which each medical procedure incurs a separate charge. An alternative reimbursement with the aim of reducing costs is diagnosis related group (DRG) remuneration, in which all patient care is covered by a fixed amount. This work aimed to perform a systematic review followed by meta-analysis to assess the effectiveness of the Budled Payment for Care Improvement (BPCI) versus FFS. Methods: Our work was performed following the items of the PRISMA report. We included only observational trials, and the primary outcome assessed was the effectiveness of FFS and DRG in appendectomy considering complications. We also assessed the costs and length of hospital stay. Meta-analysis was performed with Rev Man version 5.4. Results: Out of 735 initially identified articles, six met the eligibility criteria. We demonstrated a shorter hospital stay associated with the DRG model (mean difference = 0.39; 95% confidence interval – 95%CI – 0.38–0.40; p < 0.00001; I2 = 0%), however the hospital readmission rate was higher in this model (odds ratio = 1.57; 95%CI 1.02–2.44, p = 0.04; I2 = 90%). Conclusions: This study reveals a potential decrease in the length of stay for appendectomy patients using the DRG approach. However, no significant differences were observed in other outcomes analysis between the two approaches.

O novo ensino médio permite ao estudante, num currículo de vários tópicos, que escolha a área de ciência e tecnologia, onde estão presentes habilidades sobre radiações/radioatividade. Trata-se de um tema que envolve diversas aplicações para a sociedade, como para a área médica, onde é possível diagnosticar e tratar doenças, bem como aplicações industriais e a produção de energia elétrica livre da emissão de gases estufa. No entanto, a forma como a radiação ionizante tem sido tratada pela mídia tende a afastar o jovem estudante do ensino médio dessa área da ciência. Devido à importância do tema, este trabalho traz uma proposta alternativa para o novo ensino médio, onde o ensino vai se dar de uma forma crítica, relativamente aprofundada e não tendenciosa. O material pode ser acessado online através do link https://sites.google.com/unicamp.br/radschool/.

The new high school allows the student, in a curriculum of various topics, to choose the area of science and technology, where skills on radiation/radioactivity are present. It is an issue that involves several applications for society, such as for the medical area, where it is possible to diagnose and treat diseases, as well as industrial applications and the production of electricity free from the emission of greenhouse gases. However, the way in which ionizing radiation has been treated by the media tends to drive young high school students away from this area of science. Due to the importance of the theme, this work presents an alternative proposal for the new high school, where teaching will take place in a critical, relatively in-depth and non-biased way. The material can be accessed through the link https://sites.google.com/unicamp.br/radschool/.

Abstract In Vitro Embryo Production (IVP) is widely used to improve the reproductive efficiency of livestock animals, however increasing the embryo development rates and pregnancy outcomes is still a challenge for some species. Thus, the lack of biological knowledge hinders developing specie-specific IVP protocols. Therefore, the contributions of RNA-seq to generate relevant biological knowledge and improve the efficiency of IVP in livestock animals are reviewed herein.

Resumo Objetivo: Avaliar a relação entre testosterona sérica total (TT) e grau do câncer de próstata (CP) e o efeito da raça e de características demográficas sobre essa associação. Método: Foram analisados 695 pacientes submetidos a prostatectomia radical (PR), dos quais 423 tinham medidas dos níveis séricos de TT. Os pacientes foram classificados como portadores de hipogonadismo ou eugonadismo com base em dois limites de testosterona: limite 1 (300 ng/dL) e limite 2 (250 ng/dL). Avaliou-se a relação entre nível de TT e escore Gleason (GS) ≥ 7 em amostras de PR. Os resultados foram avaliados por análises univariada e multivariada, com ajuste para raça e outros fatores prognósticos demográficos. Resultados: Do total de 423 pacientes, 37,8% apresentavam hipogonadismo com base no limite 1, e 23,9% com base no limite 2. Os pacientes com hipogonadismo, independentemente do limite de referência, tiveram uma chance maior de GS ≥ 7 (OR 1,79, p=0,02 e OR 2,08, p=0,012, respectivamente). Na análise multivariada, após ajuste para idade, TT, índice de massa corporal (IMC) e raça, baixo TT (p=0,023) e idade (p=0,002) foram considerados fatores de risco independentes para GS ≥ 7. Entre os indivíduos negros, baixo TT sérico foi mais preditivo de doença de alto grau em comparação com os brancos (p=0,02). Conclusão: O hipogonadismo é independentemente associado a escores mais altos de GS no CP localizado. O efeito dessa associação é significativamente mais pronunciado entre homens negros, o que poderia explicar, em parte, as características agressivas do CP observadas nessa população.

Summary Objective: To evaluate the relation between serum total testosterone (TT) and prostate cancer (PCa) grade and the effect of race and demographic characteristics on such association. Method: We analyzed 695 patients undergoing radical prostatectomy (RP), of whom 423 had serum TT collected. Patients were classified as having hypogonadism or eugonadism based on two thresholds of testosterone: threshold 1 (300 ng/dL) and threshold 2 (250 ng/dL). We evaluated the relation between TT levels and a Gleason score (GS) ≥ 7 in RP specimens. Outcomes were evaluated using univariate and multivariate analyses, accounting for race and other demographic predictors. Results: Out of 423 patients, 37.8% had hypogonadism based on the threshold 1 and 23.9% based on the threshold 2. Patients with hypogonadism, in both thresholds, had a higher chance of GS ≥ 7 (OR 1.79, p=0.02 and OR 2.08, p=0.012, respectively). In the multivariate analysis, adjusted for age, TT, body mass index (BMI) and race, low TT (p=0.023) and age (p=0.002) were found to be independent risk factors for GS ≥ 7. Among Black individuals, low serum TT was a stronger predictor of high-grade disease compared to White men (p=0.02). Conclusion: Hypogonadism is independently associated to higher GS in localized PCa. The effect of this association is significantly more pronounced among Black men and could partly explain aggressive characteristics of PCa found in this race.

RESUMO A área de pesquisa localiza-se no Estado de Minas Gerais, Brasil, entre os municípios de Pedro Leopoldo, Matozinhos, Lagoa Santa e Sete Lagoas até os limites do Rio das Velhas como limite oriental. Está inserida no Cráton São Francisco, onde afloram sedimentos argilo-arenosos carbonatados do Grupo Bambuí, na Bacia do São Francisco. Apesar do conhecimento geológico desenvolvido anteriormente, a região carece de um trabalho de integração e detalhamento dessas informações. Por esse motivo, o objetivo principal foi contribuir na qualidade da cartografia geológica, da distribuição espacial e da geometria estrutural. Assim, foram realizados um mapeamento geológico, fotointerpretação e avaliação de 270 perfis litológicos de poços. Foi possível estabelecer uma nova perspectiva geológica da região, com obtenção do mapa geológico detalhado de Sete Lagoas, 14 seções geológicas cruzadas e um modelo geológico conceitual. O estudo mostrou que a área se encontra em um contexto geológico de borda de bacia, apresentando uma geometria condicionada por sistema de horsts e grábens. Essa característica estrutural deslocou sequências estratigráficas posicionando-as lado a lado, com sequências litológicas de idades distintas.

ABSTRACT The study area is located in the state of Minas Gerais, Brazil, among the municipalities of Pedro Leopoldo, Matozinhos, and Sete Lagoas, with Velhas River as the eastern boundary. It is located in the São Francisco Craton, where carbonated argillo-arenaceous sediments are emplaced giving origin to the Bambuí Group, in the São Francisco Basin. Despite the geological knowledge previously developed, the region needs work on integration and detailing of such information. For this reason, the main objective was to contribute to the quality of the geologic cartography, the spatial distribution, and the structural framework geometry. Thus, geologic mapping, aerial photography interpretation, and evaluation of 270 lithologic well profiles were carried out. It was possible to establish a new geologic perspective of the region by obtaining the detailed geologic map of the municipality of Sete Lagoas, 14 geologic cross sections, and a geologic conceptual model. The study showed that the area is within a basin border, presenting a geometry conditioned by horst and graben system controlled by faulting. This structural feature displaced stratigraphic sequences positioning them side by side with lithologic sequences with different ages.

A avaliação da contaminação ambiental por Bacillus cereus foi realizada em 90 amostras de ar ambiente e em 96 amostras de superfícies de bancadas e de equipamentos, de dois restaurantes institucionais. O microrganismo foi detectado em 84,4% e 44,8% das amostras de ar ambiente e de superfícies, respectivamente. O potencial enterotoxigênico dos isolados foi investigado através da reação da polimerase em cadeia (PCR) para os genes hblA, hblD e hblC (que codificam a hemolisina BL) e para os genes nheA, nheB e nheC (que codificam a enterotoxina não hemolítica - NHE). De um total de 70 isolados investigados, 14,3% foram positivos para os três genes da HBL e 12,8% foram positivos para os três genes da NHE. A produção de NHE também foi verificada através do Bacillus Diarrhoeal Enterotoxin Visual Immunoassay (kit BDE-VIA; Tecra). Os resultados obtidos com o kit revelaram que 61,4% dos 70 isolados são produtores de NHE.

Ninety air samples and ninety six samples from benches and equipments surfaces were collected in two food services for investigation of Bacillus cereus contamination sources and characterization of strains toxin profiles. B. cereus was detected in 84.4% and 44.8% from air samples and samples from benches and equipments surfaces, respectively. The potential of enterotoxin production was investigated using polymerase chain reaction (PCR) methods for genes hblA, hblD e hblC (encoding hemolysin BL) and for genes nheA, nheB and nheC (encoding non-hemolytic enterotoxin - NHE). From 70 isolates investigated 14.3% were positive for the three HBL encoding genes and 12.8% were positive for the three NHE encoding genes. The Bacillus Diarrhoeal Enterotoxin Visual Immunoassay (BDE-VIA; Tecra) also was used for NHE detection. The results obtained with BDE-VIA revealed that 61.4% from the 70 strains are NHE producers.

Desde 1980, está-se estudando a epidemiologia e o controle da esquistossomose mansônica no Município de Pedro de Toledo (Estado de São Paulo, Brasil). Em 1980 a prevalência avaliada por exame de fezes (método de Kato-Katz) foi de 22,8%. Estatisticamente, ao nível de 5%, não houve diferença nas prêvalencias observadas nas zonas rural e urbana. A intensidade de infecção foi baixa (média geométrica de 58,5 ovos por grama de fezes). As maiores prevalências e intensidades de infecção foram registradas na faixa etária de 5 a 29 anos. Geralmente a transmissão da endemia verificou-se durante o lazer. Apenas 0,4% de B. tenagophila mostraram-se positivos para cercárias de S. mansoni. A maioria dos portadores era assintomático. O programa de controle foi intensificado após avaliação dos dados de 1980, resultando em diminuição acentuada da prevalência de 22,8% em 1980 para 6%. Esta prevalência residual vem se mantendo até 1987. Agora iniciamos estudos para investigar as possíveis causas dessa prevalência residual.

The epidemiology and control of schistosomiasis mansoni in the Municipality of Pedro de Toledo (State of S. Paulo, Brazil) since 1980, has been studied. In 1980 the prevalence evaluated by stool exams (Kato-Katz method) was 22.8% and no statistical difference at 5.0% level was observed between rural and urban zones. The intensity of infection was low (58.5 eggs/g of faeces); the highest prevalence and intensity of infection rates were observed within the group of from 5 to 29 years of age, respectively. The transmission of schistosomiasis usually occurred during leisure time. The majority of the carriers of the parasite were asymptomatic. Of the B. tenagophila examined only 0.4% were found to be infected. The control programme has been intensified from 1981 on resulting in a sharp decrease in the prevalence from 22.8% in 1980 to 6% at the present time. This result shows that, in spite of the control programme there is a residual human prevalence. A beginning has been made on the investigation into the possible causes of this residual prevalence (6.0% was maintained through out 1987).

Desde 1980, está-se estudando a epidemiologia e o controle da esquistossomose mansônica no Município de Pedro de Toledo (Estado de São Paulo, Brasil). Em 1980 a prevalência avaliada por exame de fezes (método de Kato-Katz) foi de 22,8%. Estatisticamente, ao nível de 5%, não houve diferença nas prêvalencias observadas nas zonas rural e urbana. A intensidade de infecção foi baixa (média geométrica de 58,5 ovos por grama de fezes). As maiores prevalências e intensidades de infecção foram registradas na faixa etária de 5 a 29 anos. Geralmente a transmissão da endemia verificou-se durante o lazer. Apenas 0,4% de B. tenagophila mostraram-se positivos para cercárias de S. mansoni. A maioria dos portadores era assintomático. O programa de controle foi intensificado após avaliação dos dados de 1980, resultando em diminuição acentuada da prevalência de 22,8% em 1980 para 6%. Esta prevalência residual vem se mantendo até 1987. Agora iniciamos estudos para investigar as possíveis causas dessa prevalência residual.

The epidemiology and control of schistosomiasis mansoni in the Municipality of Pedro de Toledo (State of S. Paulo, Brazil) since 1980, has been studied. In 1980 the prevalence evaluated by stool exams (Kato-Katz method) was 22.8% and no statistical difference at 5.0% level was observed between rural and urban zones. The intensity of infection was low (58.5 eggs/g of faeces); the highest prevalence and intensity of infection rates were observed within the group of from 5 to 29 years of age, respectively. The transmission of schistosomiasis usually occurred during leisure time. The majority of the carriers of the parasite were asymptomatic. Of the B. tenagophila examined only 0.4% were found to be infected. The control programme has been intensified from 1981 on resulting in a sharp decrease in the prevalence from 22.8% in 1980 to 6% at the present time. This result shows that, in spite of the control programme there is a residual human prevalence. A beginning has been made on the investigation into the possible causes of this residual prevalence (6.0% was maintained through out 1987).