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Catálogo Taxonômico da Fauna do Brasil: Setting the baseline knowledge on the animal diversity in Brazil Brasil
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Boeger, Walter A.
; Valim, Michel P.
; Zaher, Hussam
; Rafael, José A.
; Forzza, Rafaela C.
; Percequillo, Alexandre R.
; Serejo, Cristiana S.
; Garraffoni, André R.S.
; Santos, Adalberto J.
; Slipinski, Adam
; Linzmeier, Adelita M.
; Calor, Adolfo R.
; Garda, Adrian A.
; Kury, Adriano B.
; Fernandes, Agatha C.S.
; Agudo-Padrón, Aisur I.
; Akama, Alberto
; Silva Neto, Alberto M. da
; Burbano, Alejandro L.
; Menezes, Aleksandra
; Pereira-Colavite, Alessandre
; Anichtchenko, Alexander
; Lees, Alexander C.
; Bezerra, Alexandra M.R.
; Domahovski, Alexandre C.
; Pimenta, Alexandre D.
; Aleixo, Alexandre L.P.
; Marceniuk, Alexandre P.
; Paula, Alexandre S. de
; Somavilla, Alexandre
; Specht, Alexandre
; Camargo, Alexssandro
; Newton, Alfred F.
; Silva, Aline A.S. da
; Santos, Aline B. dos
; Tassi, Aline D.
; Aragão, Allan C.
; Santos, Allan P.M.
; Migotto, Alvaro E.
; Mendes, Amanda C.
; Cunha, Amanda
; Chagas Júnior, Amazonas
; Sousa, Ana A.T. de
; Pavan, Ana C.
; Almeida, Ana C.S.
; Peronti, Ana L.B.G.
; Henriques-Oliveira, Ana L.
; Prudente, Ana L.
; Tourinho, Ana L.
; Pes, Ana M.O.
; Carmignotto, Ana P.
; Wengrat, Ana P.G. da Silva
; Dornellas, Ana P.S.
; Molin, Anamaria Dal
; Puker, Anderson
; Morandini, André C.
; Ferreira, André da S.
; Martins, André L.
; Esteves, André M.
; Fernandes, André S.
; Roza, André S.
; Köhler, Andreas
; Paladini, Andressa
; Andrade, Andrey J. de
; Pinto, Ângelo P.
; Salles, Anna C. de A.
; Gondim, Anne I.
; Amaral, Antonia C.Z.
; Rondón, Antonio A.A.
; Brescovit, Antonio
; Lofego, Antônio C.
; Marques, Antonio C.
; Macedo, Antonio
; Andriolo, Artur
; Henriques, Augusto L.
; Ferreira Júnior, Augusto L.
; Lima, Aurino F. de
; Barros, Ávyla R. de A.
; Brito, Ayrton do R.
; Romera, Bárbara L.V.
; Vasconcelos, Beatriz M.C. de
; Frable, Benjamin W.
; Santos, Bernardo F.
; Ferraz, Bernardo R.
; Rosa, Brunno B.
; Sampaio, Brunno H.L.
; Bellini, Bruno C.
; Clarkson, Bruno
; Oliveira, Bruno G. de
; Corrêa, Caio C.D.
; Martins, Caleb C.
; Castro-Guedes, Camila F. de
; Souto, Camilla
; Bicho, Carla de L.
; Cunha, Carlo M.
; Barboza, Carlos A. de M.
; Lucena, Carlos A.S. de
; Barreto, Carlos
; Santana, Carlos D.C.M. de
; Agne, Carlos E.Q.
; Mielke, Carlos G.C.
; Caetano, Carlos H.S.
; Flechtmann, Carlos H.W.
; Lamas, Carlos J.E.
; Rocha, Carlos
; Mascarenhas, Carolina S.
; Margaría, Cecilia B.
; Waichert, Cecilia
; Digiani, Celina
; Haddad, Célio F.B.
; Azevedo, Celso O.
; Benetti, Cesar J.
; Santos, Charles M.D. dos
; Bartlett, Charles R.
; Bonvicino, Cibele
; Ribeiro-Costa, Cibele S.
; Santos, Cinthya S.G.
; Justino, Cíntia E.L.
; Canedo, Clarissa
; Bonecker, Claudia C.
; Santos, Cláudia P.
; Carvalho, Claudio J.B. de
; Gonçalves, Clayton C.
; Galvão, Cleber
; Costa, Cleide
; Oliveira, Cléo D.C. de
; Schwertner, Cristiano F.
; Andrade, Cristiano L.
; Pereira, Cristiano M.
; Sampaio, Cristiano
; Dias, Cristina de O.
; Lucena, Daercio A. de A.
; Manfio, Daiara
; Amorim, Dalton de S.
; Queiroz, Dalva L. de
; Queiroz, Dalva L. de
; Colpani, Daniara
; Abbate, Daniel
; Aquino, Daniel A.
; Burckhardt, Daniel
; Cavallari, Daniel C.
; Prado, Daniel de C. Schelesky
; Praciano, Daniel L.
; Basílio, Daniel S.
; Bená, Daniela de C.
; Toledo, Daniela G.P. de
; Takiya, Daniela M.
; Fernandes, Daniell R.R.
; Ament, Danilo C.
; Cordeiro, Danilo P.
; Silva, Darliane E.
; Pollock, Darren A.
; Muniz, David B.
; Gibson, David I.
; Nogueira, David S.
; Marques, Dayse W.A.
; Lucatelli, Débora
; Garcia, Deivys M.A.
; Baêta, Délio
; Ferreira, Denise N.M.
; Rueda-Ramírez, Diana
; Fachin, Diego A.
; Souza, Diego de S.
; Rodrigues, Diego F.
; Pádua, Diego G. de
; Barbosa, Diego N.
; Dolibaina, Diego R.
; Amaral, Diogo C.
; Chandler, Donald S.
; Maccagnan, Douglas H.B.
; Caron, Edilson
; Carvalho, Edrielly
; Adriano, Edson A.
; Abreu Júnior, Edson F. de
; Pereira, Edson H.L.
; Viegas, Eduarda F.G.
; Carneiro, Eduardo
; Colley, Eduardo
; Eizirik, Eduardo
; Santos, Eduardo F. dos
; Shimbori, Eduardo M.
; Suárez-Morales, Eduardo
; Arruda, Eliane P. de
; Chiquito, Elisandra A.
; Lima, Élison F.B.
; Castro, Elizeu B. de
; Orlandin, Elton
; Nascimento, Elynton A. do
; Razzolini, Emanuel
; Gama, Emanuel R.R.
; Araujo, Enilma M. de
; Nishiyama, Eric Y.
; Spiessberger, Erich L.
; Santos, Érika C.L. dos
; Contreras, Eugenia F.
; Galati, Eunice A.B.
; Oliveira Junior, Evaldo C. de
; Gallardo, Fabiana
; Hernandes, Fabio A.
; Lansac-Tôha, Fábio A.
; Pitombo, Fabio B.
; Dario, Fabio Di
; Santos, Fábio L. dos
; Mauro, Fabio
; Nascimento, Fabio O. do
; Olmos, Fabio
; Amaral, Fabio R.
; Schunck, Fabio
; Godoi, Fábio S. P. de
; Machado, Fabrizio M.
; Barbo, Fausto E.
; Agrain, Federico A.
; Ribeiro, Felipe B.
; Moreira, Felipe F.F.
; Barbosa, Felipe F.
; Silva, Fenanda S.
; Cavalcanti, Fernanda F.
; Straube, Fernando C.
; Carbayo, Fernando
; Carvalho Filho, Fernando
; Zanella, Fernando C.V.
; Jacinavicius, Fernando de C.
; Farache, Fernando H.A.
; Leivas, Fernando
; Dias, Fernando M.S.
; Mantellato, Fernando
; Vaz-de-Mello, Fernando Z.
; Gudin, Filipe M.
; Albuquerque, Flávio
; Molina, Flavio B.
; Passos, Flávio D.
; Shockley, Floyd W.
; Pinheiro, Francielly F.
; Mello, Francisco de A.G. de
; Nascimento, Francisco E. de L.
; Franco, Francisco L.
; Oliveira, Francisco L. de
; Melo, Francisco T. de V.
; Quijano, Freddy R.B.
; Salles, Frederico F.
; Biffi, Gabriel
; Queiroz, Gabriel C.
; Bizarro, Gabriel L.
; Hrycyna, Gabriela
; Leviski, Gabriela
; Powell, Gareth S.
; Santos, Geane B. dos
; Morse, Geoffrey E.
; Brown, George
; Mattox, George M.T.
; Zimbrão, Geraldo
; Carvalho, Gervásio S.
; Miranda, Gil F.G.
; Moraes, Gilberto J. de
; Lourido, Gilcélia M.
; Neves, Gilmar P.
; Moreira, Gilson R.P.
; Montingelli, Giovanna G.
; Maurício, Giovanni N.
; Marconato, Gláucia
; Lopez, Guilherme E.L.
; Silva, Guilherme L. da
; Muricy, Guilherme
; Brito, Guilherme R.R.
; Garbino, Guilherme S.T.
; Flores, Gustavo E.
; Graciolli, Gustavo
; Libardi, Gustavo S.
; Proctor, Heather C.
; Gil-Santana, Helcio R.
; Varella, Henrique R.
; Escalona, Hermes E.
; Schmitz, Hermes J.
; Rodrigues, Higor D.D.
; Galvão Filho, Hilton de C.
; Quintino, Hingrid Y.S.
; Pinto, Hudson A.
; Rainho, Hugo L.
; Miyahira, Igor C.
; Gonçalves, Igor de S.
; Martins, Inês X.
; Cardoso, Irene A.
; Oliveira, Ismael B. de
; Franz, Ismael
; Fernandes, Itanna O.
; Golfetti, Ivan F.
; S. Campos-Filho, Ivanklin
; Oliveira, Ivo de S.
; Delabie, Jacques H.C.
; Oliveira, Jader de
; Prando, Jadila S.
; Patton, James L.
; Bitencourt, Jamille de A.
; Silva, Janaina M.
; Santos, Jandir C.
; Arruda, Janine O.
; Valderrama, Jefferson S.
; Dalapicolla, Jeronymo
; Oliveira, Jéssica P.
; Hájek, Jiri
; Morselli, João P.
; Narita, João P.
; Martin, João P.I.
; Grazia, Jocélia
; McHugh, Joe
; Cherem, Jorge J.
; Farias Júnior, José A.S.
; Fernandes, Jose A.M.
; Pacheco, José F.
; Birindelli, José L.O.
; Rezende, José M.
; Avendaño, Jose M.
; Duarte, José M. Barbanti
; Ribeiro, José R. Inácio
; Mermudes, José R.M.
; Pujol-Luz, José R.
; Santos, Josenilson R. dos
; Câmara, Josenir T.
; Teixeira, Joyce A.
; Prado, Joyce R. do
; Botero, Juan P.
; Almeida, Julia C.
; Kohler, Julia
; Gonçalves, Julia P.
; Beneti, Julia S.
; Donahue, Julian P.
; Alvim, Juliana
; Almeida, Juliana C.
; Segadilha, Juliana L.
; Wingert, Juliana M.
; Barbosa, Julianna F.
; Ferrer, Juliano
; Santos, Juliano F. dos
; Kuabara, Kamila M.D.
; Nascimento, Karine B.
; Schoeninger, Karine
; Campião, Karla M.
; Soares, Karla
; Zilch, Kássia
; Barão, Kim R.
; Teixeira, Larissa
; Sousa, Laura D. do N.M. de
; Dumas, Leandro L.
; Vieira, Leandro M.
; Azevedo, Leonardo H.G.
; Carvalho, Leonardo S.
; Souza, Leonardo S. de
; Rocha, Leonardo S.G.
; Bernardi, Leopoldo F.O.
; Vieira, Letícia M.
; Johann, Liana
; Salvatierra, Lidianne
; Oliveira, Livia de M.
; Loureiro, Lourdes M.A. El-moor
; Barreto, Luana B.
; Barros, Luana M.
; Lecci, Lucas
; Camargos, Lucas M. de
; Lima, Lucas R.C.
; Almeida, Lucia M.
; Martins, Luciana R.
; Marinoni, Luciane
; Moura, Luciano de A.
; Lima, Luciano
; Naka, Luciano N.
; Miranda, Lucília S.
; Salik, Lucy M.
; Bezerra, Luis E.A.
; Silveira, Luis F.
; Campos, Luiz A.
; Castro, Luiz A.S. de
; Pinho, Luiz C.
; Silveira, Luiz F.L.
; Iniesta, Luiz F.M.
; Tencatt, Luiz F.C.
; Simone, Luiz R.L.
; Malabarba, Luiz R.
; Cruz, Luiza S. da
; Sekerka, Lukas
; Barros, Lurdiana D.
; Santos, Luziany Q.
; Skoracki, Maciej
; Correia, Maira A.
; Uchoa, Manoel A.
; Andrade, Manuella F.G.
; Hermes, Marcel G.
; Miranda, Marcel S.
; Araújo, Marcel S. de
; Monné, Marcela L.
; Labruna, Marcelo B.
; Santis, Marcelo D. de
; Duarte, Marcelo
; Knoff, Marcelo
; Nogueira, Marcelo
; Britto, Marcelo R. de
; Melo, Marcelo R.S. de
; Carvalho, Marcelo R. de
; Tavares, Marcelo T.
; Kitahara, Marcelo V.
; Justo, Marcia C.N.
; Botelho, Marcia J.C.
; Couri, Márcia S.
; Borges-Martins, Márcio
; Felix, Márcio
; Oliveira, Marcio L. de
; Bologna, Marco A.
; Gottschalk, Marco S.
; Tavares, Marcos D.S.
; Lhano, Marcos G.
; Bevilaqua, Marcus
; Santos, Marcus T.T.
; Domingues, Marcus V.
; Sallum, Maria A.M.
; Digiani, María C.
; Santarém, Maria C.A.
; Nascimento, Maria C. do
; Becerril, María de los A.M.
; Santos, Maria E.A. dos
; Passos, Maria I. da S. dos
; Felippe-Bauer, Maria L.
; Cherman, Mariana A.
; Terossi, Mariana
; Bartz, Marie L.C.
; Barbosa, Marina F. de C.
; Loeb, Marina V.
; Cohn-Haft, Mario
; Cupello, Mario
; Martins, Marlúcia B.
; Christofersen, Martin L.
; Bento, Matheus
; Rocha, Matheus dos S.
; Martins, Maurício L.
; Segura, Melissa O.
; Cardenas, Melissa Q.
; Duarte, Mércia E.
; Ivie, Michael A.
; Mincarone, Michael M.
; Borges, Michela
; Monné, Miguel A.
; Casagrande, Mirna M.
; Fernandez, Monica A.
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; Ferreira Júnior, Nelson
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; Dellapé, Pablo M.
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; Rodrigues, Patrícia E. da S.
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; Singer, Randal A.
; Querino, Ranyse B.
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; Silva, Ricardo B.
; Kawada, Ricardo
; Dias, Ricardo M.
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; Constantin, Robert
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; Salvador, Rodrigo B.
; Marques, Rodrigo C.
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; Araujo, Rodrigo de O.
; Dios, Rodrigo de V.P.
; Johnsson, Rodrigo
; Feitosa, Rodrigo M.
; Hutchings, Roger W.
; Lara, Rogéria I.R.
; Rossi, Rogério V.
; Gerstmeier, Roland
; Ochoa, Ronald
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; Ale-Rocha, Rosaly
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; Tidon, Rosana
; Brito, Rosangela
; Pellens, Roseli
; Santos, Sabrina R. dos
; Santos, Sandra D. dos
; Paiva, Sandra V.
; Santos, Sandro
; Oliveira, Sarah S. de
; Costa, Sávio C.
; Gardner, Scott L.
; Leal, Sebastián A. Muñoz
; Aloquio, Sergio
; Bonecker, Sergio L.C.
; Bueno, Sergio L. de S.
; Almeida, Sérgio M. de
; Stampar, Sérgio N.
; Andena, Sérgio R.
; Posso, Sergio R.
; Lima, Sheila P.
; Gadelha, Sian de S.
; Thiengo, Silvana C.
; Cohen, Simone C.
; Brandão, Simone N.
; Rosa, Simone P.
; Ribeiro, Síria L.B.
; Letana, Sócrates D.
; Santos, Sonia B. dos
; Andrade, Sonia C.S.
; Dávila, Stephane
; Vaz, Stéphanie
; Peck, Stewart B.
; Christo, Susete W.
; Cunha, Suzan B.Z.
; Gomes, Suzete R.
; Duarte, Tácio
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; Marques, Taísa
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; Ruschel, Tatiana P.
; Rodrigues, Thaiana
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; Almeida, Thaís M. de
; Miranda, Thaís P.
; Freitas, Thales R.O.
; Pereira, Thalles P.L.
; Zacca, Thamara
; Pacheco, Thaynara L.
; Martins, Thiago F.
; Alvarenga, Thiago M.
; Carvalho, Thiago R. de
; Polizei, Thiago T.S.
; McElrath, Thomas C.
; Henry, Thomas
; Pikart, Tiago G.
; Porto, Tiago J.
; Krolow, Tiago K.
; Carvalho, Tiago P.
; Lotufo, Tito M. da C.
; Caramaschi, Ulisses
; Pinheiro, Ulisses dos S.
; Pardiñas, Ulyses F.J.
; Maia, Valéria C.
; Tavares, Valeria
; Costa, Valmir A.
; Amaral, Vanessa S. do
; Silva, Vera C.
; Wolff, Vera R. dos S.
; Slobodian, Verônica
; Silva, Vinícius B. da
; Espíndola, Vinicius C.
; Costa-Silva, Vinicius da
; Bertaco, Vinicius de A.
; Padula, Vinícius
; Ferreira, Vinicius S.
; Silva, Vitor C.P. da
; Piacentini, Vítor de Q.
; Sandoval-Gómez, Vivian E.
; Trevine, Vivian
; Sousa, Viviane R.
; Sant’Anna, Vivianne B. de
; Mathis, Wayne N.
; Souza, Wesley de O.
; Colombo, Wesley D.
; Tomaszewska, Wioletta
; Wosiacki, Wolmar B.
; Ovando, Ximena M.C.
; Leite, Yuri L.R.
.
ABSTRACT The limited temporal completeness and taxonomic accuracy of species lists, made available in a traditional manner in scientific publications, has always represented a problem. These lists are invariably limited to a few taxonomic groups and do not represent up-to-date knowledge of all species and classifications. In this context, the Brazilian megadiverse fauna is no exception, and the Catálogo Taxonômico da Fauna do Brasil (CTFB) (http://fauna.jbrj.gov.br/), made public in 2015, represents a database on biodiversity anchored on a list of valid and expertly recognized scientific names of animals in Brazil. The CTFB is updated in near real time by a team of more than 800 specialists. By January 1, 2024, the CTFB compiled 133,691 nominal species, with 125,138 that were considered valid. Most of the valid species were arthropods (82.3%, with more than 102,000 species) and chordates (7.69%, with over 11,000 species). These taxa were followed by a cluster composed of Mollusca (3,567 species), Platyhelminthes (2,292 species), Annelida (1,833 species), and Nematoda (1,447 species). All remaining groups had less than 1,000 species reported in Brazil, with Cnidaria (831 species), Porifera (628 species), Rotifera (606 species), and Bryozoa (520 species) representing those with more than 500 species. Analysis of the CTFB database can facilitate and direct efforts towards the discovery of new species in Brazil, but it is also fundamental in providing the best available list of valid nominal species to users, including those in science, health, conservation efforts, and any initiative involving animals. The importance of the CTFB is evidenced by the elevated number of citations in the scientific literature in diverse areas of biology, law, anthropology, education, forensic science, and veterinary science, among others. publications problem uptodate up date classifications context exception (CTFB http//fauna.jbrj.gov.br/, httpfaunajbrjgovbr http //fauna.jbrj.gov.br/ , jbrj gov br (http://fauna.jbrj.gov.br/) 2015 Brazil 80 specialists 1 2024 133691 133 691 133,69 125138 125 138 125,13 82.3%, 823 82 3 (82.3% 102000 102 000 102,00 7.69%, 769 7 69 (7.69% 11000 11 11,00 . 3,567 3567 567 (3,56 2,292 2292 2 292 (2,29 1,833 1833 833 (1,83 1,447 1447 447 (1,44 1000 1,00 831 (83 628 (62 606 (60 520 (52 50 users science health biology law anthropology education others http//fauna.jbrj.gov.br/ faunajbrjgovbr //fauna.jbrj.gov.br (http://fauna.jbrj.gov.br/ 201 8 202 13369 13 133,6 12513 12 125,1 82.3% (82.3 10200 10 00 102,0 7.69% 76 6 (7.69 1100 11,0 3,56 356 56 (3,5 2,29 229 29 (2,2 1,83 183 83 (1,8 1,44 144 44 (1,4 100 1,0 (8 62 (6 60 52 (5 5 http//fauna.jbrj.gov.br (http://fauna.jbrj.gov.br 20 1336 133, 1251 125, 82.3 (82. 1020 0 102, 7.69 (7.6 110 11, 3,5 35 (3, 2,2 22 (2, 1,8 18 (1, 1,4 14 4 ( 82. (82 7.6 (7. 3, (3 2, (2 (1 7. (7
2.
New occurrences of the endangered Notholebias minimus (Cyprinodontiformes: Rivulidae) in coastal plains of the State of Rio de Janeiro, Brazil: populations features and conservation Cyprinodontiformes (Cyprinodontiformes Rivulidae Janeiro Brazil
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Guedes, Gustavo Henrique Soares
; Luz, Carlos Henrique Pacheco da
; Mazzoni, Rosana
; Lira, Fábio Origuela de
; Araújo, Francisco Gerson
.
Abstract Notholebias minimus is an endangered annual killifish endemic to the coastal plains of the State of Rio de Janeiro, Brazil. This study aimed to present new occurrences in the Atlantic Forest biome, provide unprecedented population features (body and egg size, fecundity, sexual ratio, and length-weight relationship – LWR), and compare changes in land use and coverage between 1985 and 2021 in biotopes located inside and outside protected areas. Three new occurrence localities were found in shallow temporary wetlands with acidic pH (6.4 ± 0.2) and low concentrations of dissolved oxygen (2.0 ± 0.9 mg/L). Males and females total length ranged from 11.1 to 31 mm and 11 to 26 mm, respectively. Batch fecundity ranged from 18 to 40 oocytes (24.8 ± 8.8), corresponding to oocytes with sizes between 800–1,006 µm (905 ± 56). Males were significantly larger than females (W = 2193.5, p = 0.0067), but both sexes occurred in similar proportions (p = 0.472). LWR showed positive allometry (b = 3.18). Biotopes located within protected areas exhibited higher conservation. Our discoveries expand the knowledge about habitat and population features of N. minimus and reinforce the importance of establishing protected areas for the conservation of annual fish biotopes. Janeiro Brazil biome body size ratio lengthweight weight LWR, , LWR) 198 202 6.4 64 6 4 (6. 0.2 02 0 2 2.0 20 (2. 09 9 0. mg/L. mgL mg/L . mg L mg/L) 111 1 11. 3 respectively 24.8 248 24 8 (24. 8.8, 88 8.8 8.8) 8001006 800 006 800–1,00 905 (90 56. 56 56) W 21935 2193 5 2193.5 0.0067, 00067 0.0067 0067 0.0067) 0.472. 0472 0.472 472 0.472) b 3.18. 318 3.18 3.18) N 19 6. (6 2. (2 24. (24 8. 800100 80 00 800–1,0 90 (9 219 2193. 0006 0.006 047 0.47 47 3.1 ( 80010 800–1, 21 000 0.00 04 0.4 3. 8001 800–1 0.0 800–
Resumo Notholebias minimus é um peixe anual ameaçado de extinção, endêmico das planícies costeiras do Estado do Rio de Janeiro, Brasil. Neste estudo, objetivamos apresentar novas ocorrências no bioma Mata Atlântica, fornecer características populacionais inéditas (tamanho do corpo e dos ovos, fecundidade, proporção sexual e relação peso-comprimento), e comparar mudanças no uso e cobertura do solo entre 1985 e 2021 em biótopos localizados dentro e fora de unidades de conservação. Registramos três novos locais em áreas úmidas temporárias rasas com pH ácido (6,4 ± 0,2) e baixas concentrações de oxigênio dissolvido (2,0 ± 0,9 mg/L). O comprimento total de machos e fêmeas variou de 11,1 a 31 mm e de 11 a 26 mm, respectivamente. A fecundidade do lote variou entre 18–40 oócitos (24,8 ± 8,8), correspondendo a diâmetros entre 800–1.006 µm (905 ± 56). Os machos foram significativamente maiores que as fêmeas (W = 2193,5; p = 0,0067), mas ocorreram em proporções similares (p = 0,472). A relação peso-comprimento detectou alometria positiva (b = 3,18). Biótopos localizados dentro de áreas protegidas exibiram maior preservação ambiental. Nossas descobertas ampliam o conhecimento sobre as características do habitat e da população de N. minimus e reforçam a importância do estabelecimento de áreas protegidas para a conservação dos biótopos dos peixes anuais. extinção Janeiro Brasil estudo Atlântica tamanho ovos pesocomprimento, pesocomprimento peso , peso-comprimento) 198 202 6,4 64 6 4 (6, 0,2 02 0 2 2,0 20 (2, 09 9 0, mg/L. mgL mg/L . mg L mg/L) 111 1 11, 3 respectivamente 1840 18 40 18–4 24,8 248 24 8 (24, 8,8, 88 8,8 8,8) 8001006 800 006 800–1.00 905 (90 56. 56 56) W 2193,5 21935 2193 5 0,0067, 00067 0,0067 0067 0,0067) 0,472. 0472 0,472 472 0,472) b 3,18. 318 3,18 3,18) ambiental N anuais 19 6, (6 2, (2 184 18– 24, (24 8, 800100 80 00 800–1.0 90 (9 2193, 219 0006 0,006 047 0,47 47 3,1 ( 80010 800–1. 21 000 0,00 04 0,4 3, 8001 800–1 0,0 800–
3.
BRAZILIAN CONSENSUS STATEMENT ON VISCOSUPPLEMENTATION OF THE HIP (COBRAVI-Q)
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SOUSA, EDUARDO BRANCO DE
; HAMDAN, PAULO CÉSAR
; MENEGASSI, ZARTUR JOSÉ BARCELOS
; ALCHAAR, ADRIENI ANTUNES DO AMARAL
; TIEPPO, ANTONIO MARTINS
; SOUZA, CAIO GONÇALVES DE
; PINHEIRO, CARLOS BRUNO REIS
; ALMEIDA JÚNIOR, CYRO SCALA DE
; ROCHA, EDUARDO DE MELO CARVALHO
; CUNHA, FABIANO GONÇALVES
; PACHECO, IVAN
; REZENDE, MARCIA UCHÔA DE
; SOUZA, MÁRCIO PASSINI GONÇALVES DE
; BRITTO DA SILVA, MARCOS
; CAMPOS, GUSTAVO CONSTANTINO DE
.
RESUMO Objetivo: O Consenso Brasileiro de Viscossuplementação do Quadril visa gerar uma fonte referencial a partir do conhecimento teórico e da experiência clínica de especialistas da área. Métodos: Um painel multidisciplinar foi formado com quinze especialistas (médicos do esporte, ortopedistas, fisiatras e reumatologistas), com base na experiência clínica e acadêmica no uso da viscossuplementação do quadril. Foram elaboradas, discutidas e votadas doze afirmativas. Cada membro do painel deu um valor entre 0 e 10 numa escala tipo Likert, especificando seu nível de concordância com a afirmação. Resultados: O painel chegou a um consenso sobre diversos aspectos da viscossuplementação do quadril, destacando-se: a melhor indicação é para tratar artrose de quadril leve a moderada; pode ser indicada para casos graves; os resultados podem variar de acordo com o viscossuplemento utilizado; não deve ser realizada como procedimento isolado, mas em conjunto com outras medidas reabilitadoras e farmacológicas; a melhor técnica para infiltração no quadril deve se basear nas referências anatômicas combinadas com guiagem por imagem; a viscossuplementação do quadril é um procedimento custo-efetivo. Conclusão: A viscossuplementação é uma alternativa terapêutica segura e eficaz na osteoartrite do quadril, mesmo em casos graves. Recomenda-se o uso de métodos guiados. Nível de Evidência V, Opinião do Especialista.
ABSTRACT Objective: The Brazilian Consensus on Hip Viscosupplementation aims to generate a referential and consensual source from the theoretical knowledge and clinical experience of specialists in the field. Methods: A multidisciplinary panel was formed with 15 specialists (sports medicine, orthopedists, physiatrists and rheumatologists), based on clinical and academic experience in the use of viscosupplementation of the hip. 12 statements were prepared, discussed and voted. Each panelist gave a value between 0 and 10 on a Likert scale, specifying their level of agreement with the statement. Results: The panel reached a consensus on several aspects of viscosupplementation of the hip, with emphasis on the following statements: best indication is for mild to moderate hip arthrosis; it may be indicated in severe osteoarthritis; results may vary according to the characteristics of the viscosupplement used; Viscosupplementation should not be performed as an isolated procedure, but in conjunction with other rehabilitation and pharmacological measures; best injection technique should be based on anatomical references coupled with imaging guidance; it is a cost-effective procedure. Conclusion: Viscosupplementation is a safe and effective therapy for hip osteoarthritis, even in severe cases. Guided injection is recommended. Level of Evidence V, Expert Opinion.
4.
Práticas de ressuscitação volêmica em unidades de terapia intensiva brasileiras: uma análise secundária do estudo Fluid-TRIPS
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Freitas, Flavio Geraldo Rezende de
; Hammond, Naomi
; Li, Yang
; Azevedo, Luciano Cesar Pontes de
; Cavalcanti, Alexandre Biasi
; Taniguchi, Leandro
; Gobatto, André
; Japiassú, André Miguel
; Bafi, Antonio Tonete
; Mazza, Bruno Franco
; Noritomi, Danilo Teixeira
; Dal-Pizzol, Felipe
; Bozza, Fernando
; Salluh, Jorge Ibrahin Figueira
; Westphal, Glauco Adrieno
; Soares, Márcio
; Assunção, Murillo Santucci César de
; Lisboa, Thiago
; Lobo, Suzana Margarete Ajeje
; Barbosa, Achilles Rohlfs
; Ventura, Adriana Fonseca
; Souza, Ailson Faria de
; Silva, Alexandre Francisco
; Toledo, Alexandre
; Reis, Aline
; Cembranel, Allan
; Rea Neto, Alvaro
; Gut, Ana Lúcia
; Justo, Ana Patricia Pierre
; Santos, Ana Paula
; Albuquerque, André Campos D. de
; Scazufka, André
; Rodrigues, Antonio Babo
; Fernandino, Bruno Bonaccorsi
; Silva, Bruno Goncalves
; Vidal, Bruno Sarno
; Pinheiro, Bruno Valle
; Pinto, Bruno Vilela Costa
; Feijo, Carlos Augusto Ramos
; Abreu Filho, Carlos de
; Bosso, Carlos Eduardo da Costa Nunes
; Moreira, Carlos Eduardo Nassif
; Ramos, Carlos Henrique Ferreira
; Tavares, Carmen
; Arantes, Cidamaiá
; Grion, Cintia
; Mendes, Ciro Leite
; Kmohan, Claudio
; Piras, Claudio
; Castro, Cristine Pilati Pileggi
; Lins, Cyntia
; Beraldo, Daniel
; Fontes, Daniel
; Boni, Daniela
; Castiglioni, Débora
; Paisani, Denise de Moraes
; Pedroso, Durval Ferreira Fonseca
; Mattos, Ederson Roberto
; Brito Sobrinho, Edgar de
; Troncoso, Edgar M. V.
; Rodrigues Filho, Edison Moraes
; Nogueira, Eduardo Enrico Ferrari
; Ferreira, Eduardo Leme
; Pacheco, Eduardo Souza
; Jodar, Euzebio
; Ferreira, Evandro L. A.
; Araujo, Fabiana Fernandes de
; Trevisol, Fabiana Schuelter
; Amorim, Fábio Ferreira
; Giannini, Fabio Poianas
; Santos, Fabrício Primitivo Matos
; Buarque, Fátima
; Lima, Felipe Gallego
; Costa, Fernando Antonio Alvares da
; Sad, Fernando Cesar dos Anjos
; Aranha, Fernando G.
; Ganem, Fernando
; Callil, Flavio
; Costa Filho, Francisco Flávio
; Dall´Arto, Frederico Toledo Campo
; Moreno, Geovani
; Friedman, Gilberto
; Moralez, Giulliana Martines
; Silva, Guilherme Abdalla da
; Costa, Guilherme
; Cavalcanti, Guilherme Silva
; Cavalcanti, Guilherme Silva
; Betônico, Gustavo Navarro
; Betônico, Gustavo Navarro
; Reis, Hélder
; Araujo, Helia Beatriz N.
; Hortiz Júnior, Helio Anjos
; Guimaraes, Helio Penna
; Urbano, Hugo
; Maia, Israel
; Santiago Filho, Ivan Lopes
; Farhat Júnior, Jamil
; Alvarez, Janu Rangel
; Passos, Joel Tavares
; Paranhos, Jorge Eduardo da Rocha
; Marques, José Aurelio
; Moreira Filho, José Gonçalves
; Andrade, Jose Neto
; Sobrinho, José Onofre de C
; Bezerra, Jose Terceiro de Paiva
; Alves, Juliana Apolônio
; Ferreira, Juliana
; Gomes, Jussara
; Sato, Karina Midori
; Gerent, Karine
; Teixeira, Kathia Margarida Costa
; Conde, Katia Aparecida Pessoa
; Martins, Laércia Ferreira
; Figueirêdo, Lanese
; Rezegue, Leila
; Tcherniacovsk, Leonardo
; Ferraz, Leone Oliveira
; Cavalcante, Liane
; Rabelo, Ligia
; Miilher, Lilian
; Garcia, Lisiane
; Tannous, Luana
; Hajjar, Ludhmila Abrahão
; Paciência, Luís Eduardo Miranda
; Cruz Neto, Luiz Monteiro da
; Bley, Macia Valeria
; Sousa, Marcelo Ferreira
; Puga, Marcelo Lourencini
; Romano, Marcelo Luz Pereira
; Nobrega, Marciano
; Arbex, Marcio
; Rodrigues, Márcio Leite
; Guerreiro, Márcio Osório
; Rocha, Marcone
; Alves, Maria Angela Pangoni
; Alves, Maria Angela Pangoni
; Rosa, Maria Doroti
; Dias, Mariza D’Agostino
; Martins, Miquéias
; Oliveira, Mirella de
; Moretti, Miriane Melo Silveira
; Matsui, Mirna
; Messender, Octavio
; Santarém, Orlando Luís de Andrade
; Silveira, Patricio Júnior Henrique da
; Vassallo, Paula Frizera
; Antoniazzi, Paulo
; Gottardo, Paulo César
; Correia, Paulo
; Ferreira, Paulo
; Torres, Paulo
; Silva, Pedro Gabrile M. de Barros e
; Foernges, Rafael
; Gomes, Rafael
; Moraes, Rafael
; Nonato filho, Raimundo
; Borba, Renato Luis
; Gomes, Renato V
; Cordioli, Ricardo
; Lima, Ricardo
; López, Ricardo Pérez
; Gargioni, Ricardo Rath de Oliveira
; Rosenblat, Richard
; Souza, Roberta Machado de
; Almeida, Roberto
; Narciso, Roberto Camargo
; Marco, Roberto
; waltrick, Roberto
; Biondi, Rodrigo
; Figueiredo, Rodrigo
; Dutra, Rodrigo Santana
; Batista, Roseane
; Felipe, Rouge
; Franco, Rubens Sergio da Silva
; Houly, Sandra
; Faria, Sara Socorro
; Pinto, Sergio Felix
; Luzzi, Sergio
; Sant’ana, Sergio
; Fernandes, Sergio Sonego
; Yamada, Sérgio
; Zajac, Sérgio
; Vaz, Sidiner Mesquita
; Bezerra, Silvia Aparecida Bezerra
; Farhat, Tatiana Bueno Tardivo
; Santos, Thiago Martins
; Smith, Tiago
; Silva, Ulysses V. A.
; Damasceno, Valnei Bento
; Nobre, Vandack
; Dantas, Vicente Cés de Souza
; Irineu, Vivian Menezes
; Bogado, Viviane
; Nedel, Wagner
; Campos Filho, Walther
; Dantas, Weidson
; Viana, William
; Oliveira Filho, Wilson de
; Delgadinho, Wilson Martins
; Finfer, Simon
; Machado, Flavia Ribeiro
.
Revista Brasileira de Terapia Intensiva
- Métricas do periódico
RESUMO Objetivo: Descrever as práticas de ressuscitação volêmica em unidades de terapia intensiva brasileiras e compará-las com as de outros países participantes do estudo Fluid-TRIPS. Métodos: Este foi um estudo observacional transversal, prospectivo e internacional, de uma amostra de conveniência de unidades de terapia intensiva de 27 países (inclusive o Brasil), com utilização da base de dados Fluid-TRIPS compilada em 2014. Descrevemos os padrões de ressuscitação volêmica utilizados no Brasil em comparação com os de outros países e identificamos os fatores associados com a escolha dos fluidos. Resultados: No dia do estudo, foram incluídos 3.214 pacientes do Brasil e 3.493 pacientes de outros países, dos quais, respectivamente, 16,1% e 26,8% (p < 0,001) receberam fluidos. A principal indicação para ressuscitação volêmica foi comprometimento da perfusão e/ou baixo débito cardíaco (Brasil 71,7% versus outros países 56,4%; p < 0,001). No Brasil, a percentagem de pacientes que receberam soluções cristaloides foi mais elevada (97,7% versus 76,8%; p < 0,001), e solução de cloreto de sódio a 0,9% foi o cristaloide mais comumente utilizado (62,5% versus 27,1%; p < 0,001). A análise multivariada sugeriu que os níveis de albumina se associaram com o uso tanto de cristaloides quanto de coloides, enquanto o tipo de prescritor dos fluidos se associou apenas com o uso de cristaloides. Conclusão: Nossos resultados sugerem que cristaloides são usados mais frequentemente do que coloides para ressuscitação no Brasil, e essa discrepância, em termos de frequências, é mais elevada do que em outros países. A solução de cloreto de sódio 0,9% foi o cristaloide mais frequentemente prescrito. Os níveis de albumina sérica e o tipo de prescritor de fluidos foram os fatores associados com a escolha de cristaloides ou coloides para a prescrição de fluidos.
Abstract Objective: To describe fluid resuscitation practices in Brazilian intensive care units and to compare them with those of other countries participating in the Fluid-TRIPS. Methods: This was a prospective, international, cross-sectional, observational study in a convenience sample of intensive care units in 27 countries (including Brazil) using the Fluid-TRIPS database compiled in 2014. We described the patterns of fluid resuscitation use in Brazil compared with those in other countries and identified the factors associated with fluid choice. Results: On the study day, 3,214 patients in Brazil and 3,493 patients in other countries were included, of whom 16.1% and 26.8% (p < 0.001) received fluids, respectively. The main indication for fluid resuscitation was impaired perfusion and/or low cardiac output (Brazil: 71.7% versus other countries: 56.4%, p < 0.001). In Brazil, the percentage of patients receiving crystalloid solutions was higher (97.7% versus 76.8%, p < 0.001), and 0.9% sodium chloride was the most commonly used crystalloid (62.5% versus 27.1%, p < 0.001). The multivariable analysis suggested that the albumin levels were associated with the use of both crystalloids and colloids, whereas the type of fluid prescriber was associated with crystalloid use only. Conclusion: Our results suggest that crystalloids are more frequently used than colloids for fluid resuscitation in Brazil, and this discrepancy in frequencies is higher than that in other countries. Sodium chloride (0.9%) was the crystalloid most commonly prescribed. Serum albumin levels and the type of fluid prescriber were the factors associated with the choice of crystalloids or colloids for fluid resuscitation.
https://doi.org/10.5935/0103-507x.20210028
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5.
Registro Multicêntrico de Takotsubo (REMUTA) – Aspectos Clínicos, Desfechos Intra-Hospitalares e Mortalidade a Longo Prazo
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Almeida Junior, Gustavo Luiz Gouvêa de
; Mansur Filho, João
; Albuquerque, Denilson Campos de
; Xavier, Sergio Salles
; Pontes, Álvaro
; Gouvêa, Elias Pimentel
; Martins, Alexandre Bahia Barreiras
; Nunes, Nágela S. V.
; Carestiato, Lilian Vieira
; Petriz, João Luiz Fernandes
; Santos, Armando Márcio Gonçalves
; Bandeira, Bruno Santana
; Abufaiad, Bárbara Elaine de Jesus
; Pacheco, Luciana da Camara
; Oliveira, Maurício Sales de
; Ribeiro Filho, Paulo Eduardo Campana
; Sampaio, Pedro Paulo Nogueres
; Duque, Gustavo Salgado
; Camillis, Luiz Felipe
; Marques, André Casarsa
; Lourenço Jr, Francisco Carlos
; Palazzo, José Ricardo
; Costa, Cláudio Ramos da
; Silva, Bibiana Almeida da
; Zukowski, Cleverson Neves
; Garcia, Romulo Ribeiro
; Zonis, Fernanda de Carvalho
; Paula, Suzana Andressa Morais de
; Ferrari, Carolina Gravano Ferraz
; Rangel, Bruno Soares da Silva
; Ferreira, Roberto Muniz
; Mendes, Bárbara Ferreira da Silva
; Castro, Isabela Ribeiro Carvalho de
; Souza, Leonardo Giglio Gonçalves de
; Araújo, Luiz Henrique dos Santos
; Giani, Alexandre
.
Arquivos Brasileiros de Cardiologia
- Métricas do periódico
Resumo Fundamento A síndrome de takotsubo (takotsubo) é uma forma de cardiomiopatia adquirida. Dados nacionais sobre essa condição são escassos. O Registro REMUTA é o primeiro a incluir dados multicêntricos dessa condição no nosso país. Objetivo Descrever as características clínicas, prognóstico, tratamento intra-hospitalar e mortalidade hospitalar e em 1 ano de seguimento. Métodos Estudo observacional, retrospectivo, tipo registro. Incluídos pacientes internados com diagnóstico de takotsubo ou que desenvolveram esta condição durante internação por outra causa. Os desfechos avaliados incluíram fator desencadeador, análise dos exames, uso de medicações, complicações e óbito intra-hospitalar e em 1 ano de seguimento. O nível de significância adotado foi de 5%. Resultados Foram incluídos 169 pacientes, em 12 centros no Estado do Rio de Janeiro. A idade média foi de 70,9 ± 14,1 anos e 90,5% eram do sexo feminino; 63% dos casos foram de takotsubo primário e 37% secundário. Troponina I foi positiva em 92,5% dos pacientes e a mediana de BNP foi de 395 (176,5; 1725). Supradesnivelamento do segmento ST esteve presente em 28% dos pacientes. A fração de ejeção do ventrículo esquerdo teve mediana de 40 (35; 48)%. Observamos taxa de 25,7% de ventilação mecânica invasiva e 17,4% de choque. Suporte circulatório mecânico foi utilizado em 7,7%. A mortalidade intra-hospitalar foi de 10,6% e a mortalidade ao final de 1 ano foi de 16,5%. Takotsubo secundário e choque cardiogênico foram preditores independentes de mortalidade. Conclusão Os resultados do REMUTA mostram que takotsubo não se trata de patologia benigna como se pensava, especialmente no grupo de takotsubo secundário que acarreta elevada taxa de complicações e de mortalidade. (Arq Bras Cardiol. 2020; 115(2):207-216)
Abstract Background Takotsubo syndrome (TTS) is an acquired form of cardiomyopathy. National Brazilian data on this condition are scarce. The Takotsubo Multicenter Registry (REMUTA) is the first to include multicenter data on this condition in Brazil. Objective To describe the clinical characteristics, prognosis, in-hospital treatment, in-hospital mortality, and mortality during 1 year of follow-up. Methods This is an observational, retrospective registry study including patients admitted to the hospital with diagnosis of TTS and patients admitted for other reasons who developed this condition. Evaluated outcomes included triggering factor, analysis of exams, use of medications, complications, in-hospital mortality, and mortality during 1 year of follow-up. A significance level of 5% was adopted. Results The registry included 169 patients from 12 centers in the state of Rio de Janeiro, Brazil. Mean age was 70.9 ± 14.1 years, and 90.5% of patients were female; 63% of cases were primary TTS, and 37% were secondary. Troponin I was positive in 92.5% of patients, and median BNP was 395 (176.5; 1725). ST-segment elevation was present in 28% of patients. Median left ventricular ejection fraction was 40 (35; 48)%. We observed invasive mechanical ventilation in 25.7% of cases and shock in 17.4%. Mechanical circulatory support was used in 7.7%. In-hospital mortality was 10.6%, and mortality at 1 year of follow-up was 16.5%. Secondary TTS and cardiogenic shock were independent predictors of mortality. Conclusion The results of the REMUTA show that TTS is not a benign pathology, as was once thought, especially regarding the secondary TTS group, which has a high rate of complications and mortality. (Arq Bras Cardiol. 2020; 115(2):207-216)
https://doi.org/10.36660/abc.20190166
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6.
Variación en la interpretación radiológica y urológica de la tomografía computarizada para litiasis en el tracto urinario superior, en un hospital de referencia nacional
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Calvo-Vázquez, Iván
; Rodríguez-Rodríguez, Baudelio
; Hernández-Méndez, Erick Alejandro
; Bravo-López, Guadalupe Michel
; Sánchez-Aquino, Ulises Cristóbal
; Véliz-Cabrera, Gustavo Adolfo
; Martínez-Arroyo, Carlos
; Fernández-Noyola, Gerardo
; Morales-Montor, Jorge Gustavo
; Cantellano-Orozco, Mauricio
; Pacheco-Gahbler, Carlos
.
Abstract Objective: To compare the discrepancy in computed tomography (CT) interpretations between urologists and radiologists in relation to urolithiasis and determine whether it can affect treatment. Materials and methods: All the patients with a radiologic report of urolithiasis were analyzed, utilizing the Cohen’s kappa statistic and the Mann-Whitney U test, within the time frame of November 2017 to May 2018. Results: A total of 142 patients, made up of 56.3% men and 43.7% women, with a mean age of 46 years, were included in the study. The main indication for CT was pain (74.6%), the most frequently ordered CT was a non-contrast scan (82.4%), and 36.6% of the studies were bilateral. Stone size, HU, and ectasia grade were not present in the radiologic reports at 8.6%, 17.3%, and 12.3%, respectively. Overall concordance for stone size was 20% when there was more than one stone, and 55% when there was a single stone (p(0.001). Concordance was 77% when stone size was classified according to the AUA (p(0.001). Conclusions: There was considerable variation between the two specialties, emphasizing the need to utilize morphometry as a standardized method, thus obtaining a better, more accurate interpretation. It is important for the urologist to view the CT scan before deciding upon management. An estimated 31% of urologists rely solely on the report of the radiologist.
Resumen Objetivo: Comparar la discrepancia en las interpretaciones de tomografía computarizada (TC) entre urólogos y radiólogos para litiasis, determinando si podrían afectar el tratamiento. Material y Métodos: Se analizaron todos los pacientes con reporte radiológico de litiasis urinaria, desde noviembre 2017 a mayo 2018, utilizando el índice Kappa de Cohen y prueba de U de Mann Whitney. Resultados: 142 pacientes, 56.3% masculinos y 43.7% femeninos, edad media de 46 años, la mayor indicación de TC fue dolor (74.6%), siendo simple la más solicitada (82.4%), 36.6% bilateral. El tamaño del lito, las UH y el grado de ectasia no estaban presentes en el reporte radiológico en el 8.6%, 17.3% y 12.3% respectivamente. La concordancia para el tamaño total del lito fue del 20% si había más de 1 lito y 55% si había un lito único (p=<0.001). Al clasificarlos en una categoría de tamaño de acuerdo con la AUA se encontró una concordancia del 77% (p=<0.001). Conclusiones: Existe una variación importante entre ambas especialidades, enfatizando en la necesidad de utilizar la morfometría como método estandarizado, obteniendo una mejor y precisa interpretación, es importante que el urólogo revise la TC, antes de decidir un manejo, estimando que el 31% de los urólogos se basan solo en el informe de radiología.
https://doi.org/10.48193/rmu.v80i2.450
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7.
Extractos de los documentos de posicionamientos y recomendaciones mexicanas en enfermedades cardiovasculares y COVID-19
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Alcocer-Gamba, Marco A.
; Gutiérrez-Fajardo, Pedro
; Cabrera-Rayo, Alfredo
; Sosa-Caballero, Alejandro
; Piña-Reyna, Yigal
; Merino-Rajme, José A.
; Heredia-Delgado, José A.
; Cruz-Alvarado, Jaime E.
; Galindo-Uribe, Jaime
; Rogel-Martínez, Ulises
; González-Hermosillo, Jesús A.
; Ávila-Vanzzini, Nydia
; Sánchez-Carranza, Jesús A.
; Jímenez-Orozco, Jorge H.
; Sahagún-Sánchez, Guillermo
; Fanghänel-Salmón, Guillermo
; Albores-Figueroa, Rosenberg
; Carrillo-Esper, Raúl
; Reyes-Terán, Gustavo
; Cossio-Aranda, Jorge E.
; Borrayo-Sánchez, Gabriela
; Ríos, Manuel Odín de los
; Berni-Betancourt, Ana C.
; Cortés-Lawrenz, Jorge
; Leiva-Pons, José L.
; Ortiz-Fernández, Patricio H.
; López-Cuellar, Julio
; Araiza-Garaygordobil, Diego
; Madrid-Miller, Alejandra
; Saturno-Chiu, Guillermo
; Beltrán-Nevárez, Octavio
; Enciso-Muñoz, José M.
; García-Rincón, Andrés
; Pérez-Soriano, Patricia
; Herrera-Gomar, Magali
; Lozoya del Rosal, José J.
; Fajardo-Juárez, Armando I.
; Olmos-Temois, Sergio G.
; Rodríguez-Reyes, Humberto
; Ortiz-Galván, Fernando
; Márquez-Murillo, Manlio F.
; Celaya-Cota, Manuel de J.
; Cigarroa-López, José A.
; Magaña-Serrano, José A.
; Álvarez-Sangabriel, Amada
; Ruíz-Ruíz, Vicente
; Chávez-Mendoza, Adolfo
; Méndez-Ortíz, Arturo
; León-González, Salvador
; Guízar-Sánchez, Carlos
; Izaguirre-Ávila, Raúl
; Grimaldo-Gómez, Flavio A.
; Preciado-Anaya, Andrés
; Ruiz-Gastélum, Edith
; Fernández-Barros, Carlos L.
; Gordillo, Antonio
; Alonso-Sánchez, Jesús
; Cerón-Enríquez, Norma
; Núñez-Urquiza, Juan P.
; Silva-Torres, Jesús
; Pacheco-Beltrán, Nancy
; García-Saldivia, Marianna A.
; Pérez-Gámez, Juan C.
; Lezama-Urtecho, Carlos
; López-Uribe, Carlos
; López-Mora, Gerardo E.
; Rivera-Reyes, Romina
.
Abstract The recommendations in which the Mexican Society of Cardiology (SMC) in conjunction with the National Association of Cardiologists of Mexico (ANCAM) as well as different Mexican medical associations linked to cardiology are presented, after a comprehensive and consensual review and analysis of the topics related to cardiovascular diseases in the COVID-19 pandemic. Scientific positions are analyzed and responsible recommendations on general measures are given to patients, with personal care, healthy eating, regular physical activity, actions in case of cardio-respiratory arrest, protection of the patient and health personnel as well as precise indications in the use of non-invasive cardiovascular imaging, prescription of medications, care in specific topics such as systemic arterial hypertension, heart failure, arrhythmias and acute coronary syndromes, in addition to emphasizing electrophysiology, interventionism, cardiac surgery and in cardiac rehabilitation. The main interest is to provide the medical community with a general orientation on what to do in daily practice and patients with cardiovascular diseases in the setting of this unprecedented epidemiological crisis of COVID-19.
Resumen Se presentan las recomendaciones en las cuales la Sociedad Mexicana de Cardiología (SMC) en conjunto con la Asociación Nacional de Cardiólogos de México (ANCAM), así como diferentes asociaciones médicas mexicanas vinculadas con la cardiología, después de una revisión y análisis exhaustivo y consensuado sobre los tópicos relacionados con las enfermedades cardiovasculares en la pandemia de COVID-19, se analizan posturas científicas y se dan recomendaciones responsables sobre medidas generales a los pacientes, con cuidados personales, alimentación saludable, actividad física regular, acciones en caso de paro cardiorrespiratorio, la protección del paciente y del personal de salud así como las indicaciones precisas en el uso de la imagen cardiovascular no invasiva, la prescripción de medicamentos, cuidados en tópicos específicos como en la hipertensión arterial sistémica, insuficiencia cardiaca, arritmias y síndromes coronarios agudos, además de hacer énfasis en los procedimientos de electrofisiología, intervencionismo, cirugía cardiaca y en la rehabilitación cardiaca. El interés principal es brindar a la comunidad médica una orientación general sobre el quehacer en la práctica cotidiana y pacientes con enfermedades cardiovasculares en el escenario esta crisis epidemiológica sin precedentes de COVID-19.
https://doi.org/10.24875/acm.m20000057
445 downloads
8.
Manejo postoperatorio de catéter doble J en ureteroscopias, síntomas y complicaciones
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Muruato-Araiza, Jesús Sebastián
; Reyna-Blanco, Irving
; Jimenez-García, Aldo
; Martínez-Salas, Alan
; Lopez-Maguey, Roberto
; Hernandez-Mendez, Alejandro
; Cortes-Raygoza, Pascual
; Ortega-Gomez, Mario
; Calvo-Vázquez, Iván
; Navarro-Ruesga, Iñigo
; Santamaria-Orozco, Javier
; Fernandez-Noyola, Gerardo
; Cantellano-Orozco, Mauricio
; Martínez-Arroyo, Carlos
; Morales-Montor, Jorge Gustavo
; Pacheco-Gahbler, Carlos
.
Abstract Background: Currently, a double-J catheter is placed in 70% of patients that undergo ureteroscopy because it is believed to decrease obstruction secondary to ureteral edema or stone fragments. However, catheter placement is not innocuous, given that it can result in a variety of side effects, such as urinary frequency, urgency, hematuria, dysuria, and tenesmus, as well as increase costs. The aim of the present study was to evaluate current double-J catheter management in patients after ureteroscopy and the associated postoperative symptoms. Materials and methods: A retrospective study analyzing ureteroscopies performed at the Hospital Dr Manuel Gea Gonzalez throughout 2017 on patients above 18 years of age was conducted. Urology service re-admission frequency during the first postoperative week, the symptoms associated with double-J catheter use, and postoperative complications were evaluated. Results: A total of 105 ureteroscopies were registered. Male sex was predominant (55%) and semirigid ureteroscopies were the most prevalent procedures (71%). A double-J catheter was preoperatively placed in 69 patients and postoperatively placed in 41 patients. During follow-up, the patients with double-J catheter placement presented with associated symptoms warranting an emergency room visit. Pollakiuria was the only significant association found (p=0.001). Ninety-five patients were stone-free, 61 (64.2%) of whom had double-J catheter placement. Two patients with no catheter presented with residual stones. Conclusions: Of the 61 patients with double-J catheter, 57 (82%) presented with at least one symptom related to catheter placement. A total of 64.2% patients with a double-J catheter had uncomplicated ureteroscopy. Therefore, we believe it is necessary to conduct a randomized, prospective study with a larger number of patients to confirm the previously reported results and more clearly and objectively establish the indications for double-J catheter use at our hospital.
Resumen Antecedentes: Actualmente el 70% de los pacientes operados de ureteroscopia reciben colocación de catéter doble J debido a que se cree que disminuye la obstrucción secundaria a edema ureteral o a fragmentos de lito, pero la colocación no es inocua, ya que conlleva una gran variedad de efectos secundarios como frecuencia, urgencia, hematuria, disuria y tenesmo, así como un impacto económico. Nuestro objetivo es evaluar el manejo actual del catéter doble J en pacientes posoperados de ureteroscopia y los síntomas posquirúrgicos asociados. Materiales y métodos: Estudio retrospectivo de ureteroscopias realizadas en el Hospital Dr. Manuel Gea González durante el 2017 en pacientes mayores a 18 años. Se analizaron las frecuencias en readmisiones al servicio de urgencias durante la primera semana posoperatoria y los síntomas asociados al uso de catéter doble J, así como complicaciones posoperatorias. Resultados: Se registraron 105 ureteroscopias. El sexo masculino fue el predominante en hasta 55%; las ureteroscopias semirrígidas fueron las más prevalentes con un 71%. Se colocó preoperatoriamente catéter doble J en 69 pacientes y posoperatoriamente se colocaron en 41 pacientes. Durante el seguimiento los pacientes con colocación de catéter JJ refirieron síntomas asociados a la colocación del catéter, lo cual ameritó visita a urgencias, encontrando únicamente asociación significativa para polaquiuria (p=0.001). Se obtuvo un total de 95 pacientes libre de litiasis, de los cuales a 61 (64.2%) se les colocó catéter doble J y 2 quedaron con litiasis residual y sin catéter. Conclusiones: De los 61 pacientes que se les colocó catéter doble J, 57 (82%) presentaron al menos un síntoma relacionado con el catéter; el 64.2% fueron ureteroscopias no complicadas a las cuales se les colocaron catéter doble J, por lo que creemos necesario realizar un estudio prospectivo y aleatorizado con un mayor número de pacientes para confirmar los resultados previamente reportados y establecer de manera más clara y objetiva las indicaciones para el uso del catéter doble J en nuestro hospital.
719 downloads
9.
BRAZILIAN CONSENSUS STATEMENT ON VISCOSUPPLEMENTATION OF THE KNEE (COBRAVI)
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Campos, Gustavo Constantino de
; Sousa, Eduardo Branco de
; Hamdan, Paulo César
; Almeida Júnior, Cyro Scala de
; Tieppo, Antonio Martins
; Rezende, Marcia Uchôa de
; Alchaar, Adrieni Antunes do Amaral
; Pinheiro, Carlos Bruno
; Rocha, Eduardo de Melo Carvalho
; Cunha, Fabiano Gonçalves
; Pacheco, Ivan
; Vieira, Mário Sérgio Rossi
; Antonio, Sílvio Figueira
; Menegassi, Zartur José Barcelos
.
RESUMO Objetivo: O Consenso Brasileiro de Viscossuplementação visa gerar uma fonte referencial e consensual, a partir de levantamentos bibliográficos relevantes, do conhecimento teórico e da experiência clínica de especialistas de áreas afins para tratamento de viscossuplementação na osteoartrite do joelho, mitigando pontos críticos desse procedimento, como via de aplicação, indicação, eficácia e tolerabilidade. Métodos: Um painel multidisciplinar foi formado com dois médicos do esporte, seis ortopedistas, quatro fisiatras e dois reumatologistas, com base nas experiências clínica e acadêmica no uso da viscossuplementação. Foram elaboradas, discutidas e votadas 16 afirmativas. Cada membro do painel deu um valor entre zero e 10, em uma escala tipo Likert, especificando seu nível de concordância com a afirmação. Resultados: O painel chegou a um consenso sobre diversos aspectos da viscossuplementação, com destaque para as seguintes afirmativas: a melhor indicação é para artrose de joelhos leve a moderada; o uso prévio ou concomitante de hexacetonido de triancinolona intra-articular pode otimizar o efeito do ácido hialurônico; a viscossuplementação não deve ser realizada como procedimento isolado no tratamento da OA, mas em conjunto com outras medidas reabilitadoras e farmacológicas; promove efeito analgésico; anti-inflamatório; condroprotetor; e é custo-efetiva. Conclusão: Este consenso traz informações claras e servirá, como guia tanto para médicos quanto para as fontes pagadoras. Nível de evidência V, Consenso de especialistas.
ABSTRACT Objective: The aim of this consensus statement on viscosupplementation is to serve as a reference document based on relevant literature and clinical experience in the treatment of knee osteoarthritis using an intra-articular injection of hyaluronic acid, covering key aspects such as clinical indications, effectiveness, and tolerability. Methods: A multidisciplinary panel including two sports medicine physicians, six orthopedists, four physiatrists, and two rheumatologists were selected based on their clinical and academic experience of viscosupplementation. Sixteen statements were prepared and discussed, after which a vote was held. Each member of the panel gave a score between 0 and 10 on a Likert scale, specifying their level of agreement with the statement. Results: The panel reached a consensus on several issues. Specifically, the panel agreed that the best indication is for mild to moderate knee arthrosis; prior or concomitant use of intraarticular triamcinolone hexacetonide may optimize the effect of hyaluronic acid; viscosupplementation should not be performed as an isolated procedure but in conjunction with other rehabilitative and pharmacological measures; viscosupplementation has analgesic, anti-inflammatory, and chondroprotective effects; and viscosupplementation is cost-effective. Conclusion: This consensus statement provides clear information and guidance for both individuals and payers. Level of evidence V, Consensus statement.
https://doi.org/10.1590/1413-785220192704218616
4994 downloads
10.
Tumores de vejiga no uroteliales, como reto diagnóstico y terapéutico
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Reyna-Blanco, Irving
; Jiménez-García, Aldo
; Martínez-Salas, Alan
; Muruato-Araiza, Sebastián
; Herrerías Ordoñez, Andrea
; Morales-Montor, Gustavo
; Martínez-Arroyo, Carlos
; Fernández-Noyola, Gerardo
; Cantellano-Orozco, Mauricio
; Pacheco-Gahbler, Carlos
.
Abstract Background: Bladder cancer is generally classified as urothelial and non-urothelial. Non-urothelial bladder cancer accounts for less than 5% of all bladder tumors, and of those, 90% are of epithelial origin, including: squamous cell carcinoma, small cell carcinoma, and adenocarcinoma. The remaining 10% are non-epithelial in origin (lymphoma, paraganglioma, sarcoma, etc.) Aim: To present the experience at our hospital center with non-urothelial bladder cancer and describe the patient characteristics Materials and methods: A retrospective, descriptive study was conducted utilizing the medical records of patients with non-urothelial bladder cancer that were diagnosed and treated at our service within the time frame of 2004 to 2016, obtaining 7 cases. Results: Our study included 7 patients (5 men and 2 women) with a mean age of 46.8 years (range: 35-76 years). The main symptoms were hematuria (n = 4), lower urinary tract symptoms (n = 2), and mucosuria (n = 1). The histopathology reports stated: 3 cases of adenocarcinoma, 2 cases of squamous cell carcinoma, one case of paraganglioma, and one case of lymphoma. The most frequent location was the bladder dome. The following treatments were carried out: Adenocarcinoma (n = 3): partial cystectomy in 2 patients and only transurethral resection of the bladder (TURB) in one patient; Squamous cell carcinoma (n = 2): left nephroureterectomy + radical cystoprostatectomy in one patient, radical cystectomy + pelvic exenteration in one patient, both patients underwent adjuvant radiotherapy; Paraganglioma (n = 1): Robotic-assisted laparoscopic partial cystectomy in one patient; Lymphoma (n = 1): TURB + chemotherapy + radiotherapy in one patient. Two patients died from squamous cell carcinoma. Discussion: Due to the rareness of such cases, it is difficult to standardize treatment and histopathology. However, in general, surgery is the best therapeutic option to prevent recurrence and improve survival. Organ-sparing treatments with individualized adjuvant therapies according to histopathology are recommended in some cases. Conclusions: The management of non-urothelial bladder tumors is complex and requires a multidisciplinary team. Squamous cell tumors are the most aggressive, with a high probability of locoregional extension. Experience with those tumors is limited in Mexico.
Resumen Introducción: El cáncer de vejiga se clasifica en general como urotelial y no urotelial. El no urotelial representa menos del 5% de todos los tumores vesicales y de estos el 90% son de origen epitelial, incluyendo: carcinoma de células escamosas, de células pequeñas y adenocarcinoma. El 10% restante es de origen no epitelial (linfoma, paranganglioma, sarcoma, etc.). Objetivo: Presentar la experiencia del cáncer de vejiga no urotelial y describir las características de los pacientes en nuestra institución. Materiales y métodos: Estudio retrospectivo y descriptivo de expedientes de pacientes con cáncer vesical no urotelial, diagnosticados y tratados en nuestro servicio de 2004 al 2016, obteniendo 7 casos. Resultados: 7 pacientes, 5 hombres y 2 mujeres. Edad 53 años (35-76). Síntomas principales hematuria 4, STUI 2 y mucosuria 1 . Histopatología: adenocarcinoma 3, carcinoma epidermoide 2, paraganglioma 1 y linfoma 1. Localización mas frecuente: domo vesical. Tratamiento: Adenocarcinoma (3): Cistectomía parcial 2, solo RTUV 1. Carcinoma epidermoide (2): 1 nefroureterectomía izquierda + cistoprostatectomía radical, 1 cistectomía radical + exenteración pélvica, ambos casos con RT adyuvante; Paraganglioma: 1 Cistectomía parcial laparoscópica asistida por robot, Linfoma: 1 RTUV + Quimioterapia + radioterapia. 2 defunciones por carcinoma epidermoide. Discusión: Dada la poca frecuencia de estos casos es difícil la estandarización entre el tratamiento y la histopatología, pero en general la cirugía es la mejor opción terapéutica para evitar la recurrencia y mejorar supervivencia, en algunos casos se recomiendan terapias conservadoras de órgano con terapias adyuvantes personalizadas a la histopatología. Conclusiones: El manejo de los tumores vesicales no uroteliales es complejo y requiere de un equipo multidisciplinario. Los tumores más agresivos son epidermoides con alta posibilidad de extensión locorregional. La experiencia en México es limitada.
369 downloads
11.
Análisis prospectivo de la obesidad y el efecto de la cirugía bariátrica en la incontinencia urinaria
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Calvo-Vázquez, Iván
; Rodríguez-Rodríguez, Baudelio
; Hernández-Méndez, Erick Alejandro
; López-Bravo, Guadalupe Michel
; Ortega-González, Mario Enrique
; Cortes-Raygoza, Pascual
; Sánchez-Aquino, Ulises Cristóbal
; Véliz-Cabrera, Gustavo Adolfo
; Martínez-Arroyo, Carlos
; Fernández-Noyola, Gerardo
; Morales-Montor, Jorge Gustavo
; Cantellano-Orozco, Mauricio
; Pacheco-Gahbler, Carlos
.
Abstract Objective: To determine the presence of urinary incontinence in obese women and the postoperative effect of bariatric surgery at months 3, 6, and 12. Materials and methods: An observational, prospective, and longitudinal study was conducted on obese women that underwent bariatric surgery within the time frame of April to July 2017. Inferential statistics with a bivariate analysis were performed using the chi-square test. Results: Sixty-seven patients were included in the study. A total of 73.1% presented with some type of urinary incontinence. Their mean age was 42.7 years, mean preoperative weight was 108.3 kg, and mean body mass index was 42.7 kg/m2. The most frequent type of urinary incontinence was stress incontinence (55.1%), 65.3% of the patients presented with mild urinary incontinence, and quality of life was negatively affected in 30.6%. One year after surgery, mean body mass index was 30.9 kg/m2 and 13.4% of the patients continued to present with urinary incontinence, all of which were cases of stress incontinence. The postoperative improvement of urinary incontinence was statistically significant in relation to the three types of incontinence (p=0.001), frequency (p<0.001), and quality of life (p<0.001). Urinary incontinence was completely resolved in 81.6% of the patients. Conclusions: Weight loss after bariatric surgery greatly resolved urinary incontinence, showing that weight reduction should be considered a first-line therapy for managing that syndrome. The primary aim of bariatric surgery is to reduce cardiovascular morbidity, but the recovery from and/or improvement of urinary incontinence should be routinely evaluated, offering another important long-term benefit.
Resumen Objetivo: Determinar la incontinencia urinaria (IU) en mujeres con obesidad y el efecto 3, 6 y 12 meses después de la cirugía bariátrica. Materiales y Métodos: Entre abril y julio de 2017 se realizó un estudio observacional, prospectivo y longitudinal en mujeres con obesidad, sometidas a cirugía bariátrica, realizando análisis estadístico inferencial y bivariado mediante Chi Cuadrada. Resultados: Sesenta y siete pacientes en total, de las cuales 73.1% tenían algún tipo de IU. Edad de 42.7 años, peso prequirúrgico 108.3 kg e IMC de 42.7kg/m2. La incontinencia más frecuente fue de esfuerzo (55.1%), la IU leve apareció en el 65.3% y la afección en la calidad de vida en el 30.6%. Un año después, el IMC fue de 30.9 Kg/m2, con una persistencia de IU del 13.4%, todas de esfuerzo. La mejoría postquirúrgica de IU fue estadísticamente significativa para los tres tipos (p=0.001), frecuencia (p<0.001) y en la calidad de vida (p<0.001), obteniendo una resolución completa de 81.6%. Conclusiones: Confirmamos que la pérdida de peso posterior a la cirugía bariátrica tiene una gran resolución de la IU, debiendo considerarse como una terapia de primera línea. Aunque los objetivos principales de esta cirugía son disminuir las morbilidades cardiovasculares, la recuperación y/o mejoría de la IU debería ser evaluada rutinariamente, ofreciendo otro beneficio a largo plazo.
207 downloads
12.
Fotovaporización selectiva de la próstata con láser GreenLight XPS 180w y fibra Moxy: Seguridad y eficacia en pacientes con crecimiento prostático obstructivo en el Hospital General “Dr. Manuel Gea González”
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Calvo-Vázquez, Iván
; Rodríguez-Rodríguez, Baudelio
; Hernández-Méndez, Erick Alejandro
; Haddad-Servin, Alejandro
; Torres-Zazueta, José
; Cortés-Raygoza, Pascual
; Ortega-González, Mario Enrique
; Sánchez-Aquino, Ulises Cristóbal
; Véliz-Cabrera, Gustavo Adolfo
; Cantellano-Orozco, Mauricio
; Fernández-Noyola, Gerardo
; Martínez-Arroyo, Carlos
; Morales-Montor, Jorge Gustavo
; Pacheco-Gahbler, Carlos
.
Abstract Objective: To present our experience in relation to the safety and efficacy of the 180W Greenlight XPS laser for photoselective vaporization of the prostate. Materials and methods: A retrospective, observational, analytic, and descriptive study was conducted within the time frame of July 2014 to November 2017, evaluating technical aspects and preoperative and postoperative variables at 1, 3, and 6 months. Results: Fifty-five patients were included in the study. Their mean age was 69 years. A total of 49.1% presented with comorbidities, 14.5% with heart disease, and 20% with an ASA III. The preoperative parameters were: IPSS 14.5 points (5-35), Qmax 7.19 ml/sec (1.5-12), prostate volume 74 cc (29.2-130), PSA 5.7 ng/ml, and Foley catheter placement (54%). Laser use, time with catheter, previous infections, and previous biopsy were described, as were intraoperative complications (10.8%), postoperative complications (27.3%), Clavien-Dindo (C-D) I (80.2%), C-D II (6.6%), and C-D IIIa (13.2%). Postoperative control at 6 months was: Qmax 17.2 ml/sec (10.2-34.4) (p=0.01) and IPSS 4.2 points (0-19) (p=0.02). Surgical reintervention was performed in 3.6% of the patients, hospital stay was 1.5 days, and the mortality rate was 0%. Conclusions: Photoselective vaporization of the prostate with the GreenLight laser is a safe surgical technique with good results in high-risk surgical patient populations. Complications are similar to those when utilizing the gold standard, but patients taking anticoagulants and antiaggregants can be operated on with the technique and hospital stay is short. Studies with long-term follow-up are needed.
Resumen Objetivo: Presentar experiencia en seguridad y eficacia con el láser GreenLight XPS de 180w para fotovaporización selectiva de la próstata (FVP). Materiales y Métodos: Se realizó un estudio retrospectivo, observacional, analítico y descriptivo (de julio de 2014 a noviembre de 2017). Se evaluaron aspectos técnicos, así como variables pre y posquirúrgicas al primer mes, tercero y sexto. Resultados: 55 pacientes, media de 69 años, 49.1% con comorbilidades, 14.5% cardiopatías, asaiii 20%. Parámetros prequirúrgicos: ipss 14.5(5-35)pts, Qmax 7.19(1.5-12)ml/seg, volumen prostático 74(29.2-130)cc, ape de 5.7ng/ml, 54% portadores de sonda foley. Se describen parámetros de uso de láser, tiempo de sonda, infecciones previas y biopsia previa, complicaciones transoperatorias 10.8% y postoperatorias 27.3%, Clavien-Dindo (CV) I en 80.2%, cvii 6.6% y cviiia 13.2%. Controles postquirúrgicos 6 meses: Qmax 17.2(10.2-34.4)ml/seg (p=0.01) e ipss 4.2(0-19)pts (p=0.02). Reintervención quirúrgica 3.6%, 1.5 días de estancia intrahospitalaria y una mortalidad de 0%. Conclusiones: La cirugía fvp con GreenLight es una técnica quirúrgica segura, con buenos resultados en poblaciones de pacientes con alto riesgo quirúrgico, las complicaciones no son mayores que el estándar de oro, pero los pacientes con anticoagulantes y antiagregantes pueden ser operados con esta técnica, con poco tiempo de hospitalización. Se requiere seguimientos a largo plazo.
184 downloads
13.
Evaluación de la calidad de vida en pacientes con cáncer de pene sometidos a falectomía parcial
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Haddad-Servín, Alejandro
; Sánchez-Aquino, Ulises
; Véliz-Cabrera, Gustavo
; Viana-Álvarez, Guillermo
; López-Maguey, Roberto
; Calvo-Vázquez, Iván
; Hernández-Méndez, Erick Alejandro
; Ortega-González, Mario
; Cortes-Raygoza, Pascual
; Martínez-Salas, Alan
; Jiménez-García, Aldo
; Reyna-Blanco, Irving
; Muruato-Araiza, Sebastián
; María-Orozco, Javier Santa
; Navarro-Ruega, Iñigo
; Torres-Zazueta, José Manuel
; Martínez-Arroyo, Carlos
; Fernández-Noyola, Gerardo
; Morales-Montor, Jorge Gustavo
; Cantellano-Orozco, Mauricio
; Pacheco-Gahbler, Carlos
.
Abstract Background: Cancer of the penis accounts for less than 1% of all cancers affecting males. Nevertheless, it has a huge impact on the patients that present with it. Objective: To report on the quality of life, erectile function, and perception of self-esteem in patients that underwent partial phallectomy due to cancer of the penis. Materials and methods: An analytic, cross-sectional study was conducted that included 10 postoperative partial phallectomy patients. They were evaluated through the EORTC-QLQ-30 questionnaire (validated for the Mexican population), the International Index of Erectile Function-Short Form (IIEF-5), and the Rosenberg Self-Esteem Scale (SES). Results: The quality of life results, evaluated through the EORTC-QLQ-30 questionnaire, were lower than those for the general population in all 10 patients. In the IIEF-5 sexual activity evaluations, 5 of the 10 patients were sexually inactive, one patient had no deterioration of sexual activity, one patient had mild deterioration, and 3 patients had mild-to-moderate deterioration. Self-esteem, evaluated by the SES, was above average in 8 of the 10 patients, average in one patient, and below average in one patient. Conclusions: The results of the present study, determined through different scales, indicated that partial phallectomy as treatment for cancer of the penis affected patient quality of life and had repercussions on sexual function. Nevertheless, the self-esteem of the patients, despite their condition, was not affected and was even above average.
Resumen Introducción: El cáncer de pene representa menos del 1% del total de cánceres que afectan al género masculino; sin embargo, implica un gran impacto para el paciente por lo que esto representa. Objetivo: Reportar la calidad de vida, función eréctil y percepción de autoestima de los pacientes sometidos a falectomía parcial por cáncer de pene. Materiales y métodos: Estudio analítico de cohorte transversal. A 10 pacientes posoperados se les aplicó el cuestionario EORTC-QLQ-30 (validado para población mexicana), Índice Internacional de Función Eréctil 5 y SES (Cuestionario de Autoestima de Rosenberg). Resultados: De los 10 pacientes, la calidad de vida, evaluada con el cuestionario EORTC-QLQ-30, fue menor que los resultados de la población general; la actividad sexual, evaluada por la Escala IIEF-5, 5 de 10 pacientes eran sexualmente inactivos, 1 no tuvo deterioro, 1 tuvo un deterioro leve y 3 un deterioro leve-moderado; el autoestima, evaluada por la Escala de Autoestima de Rosenberg, 8 de 10 pacientes presentaron un autoestima arriba del promedio, 1 dentro del promedio y 1 baja autoestima. Conclusiones: Los resultados obtenidos, evaluados según las distintas escalas, indican que la Falectomía Parcial como tratamiento de Cáncer de Pene, afecta la calidad de vida y puede tener repercusiones respecto a la función sexual, sin embargo, la autoestima, pese a la condición de los pacientes, se muestra sin afección, incluso, mejor que el promedio.
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14.
Factores clínicos relacionados a sangrado en la nefrolitotomía percutánea
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Calvo-Vázquez, Iván
; Rodríguez-Rodríguez, Baudelio
; Hernández-Méndez, Erick Alejandro
; Sánchez-Aquino, Ulises Cristóbal
; Martínez-Arroyo, Carlos
; Fernández-Noyola, Gerardo
; Morales-Montor, Jorge Gustavo
; Cantellano-Orozco, Mauricio
; Pacheco-Gahbler, Carlos
.
Abstract Objective: To determine the factors associated with the decrease in hemoglobin and hematocrit in percutaneous nephrolithotomy. Materials and methods: Patients that underwent percutaneous nephrolithotomy within the time frame of January 2015 to January 2017 were included in the study. The factors associated with bleeding were analyzed using the Levene’s test, the Student’s t test, and inferential statistics. Results: Sixty-nine patients underwent percutaneous nephrolithotomy. The mean decrease in hemoglobin and hematocrit after the procedure was 1.17 g/dl and 2.56%, respectively. The statistically significant factors were: diabetes mellitus (Hb, p ≤ 0.001/Hct, p = 0.017), high blood pressure (p = 0.007/p = 0.050), stone morphology (p = 0.004/p = 0.003), stone area (p = 0.003/p = 0.003), number of tracts (p = 0.002/p = 0.012), and surgery duration (p ≤ 0.001/p = 0.010). Positive culture (p = 0.030) and stone size (p=0.028) were significant only in relation to the decrease in hematocrit. A total of 27.5% patients had undergone previous surgery, mean stone size was 3.26 cm, the lower calyx was the most frequently punctured (78.3%), mean tract length was 8.41cm, and mean surgery duration cutoff time was 140 min. In our study, diabetes mellitus (RR = 1.8, CI = 1.4-2.3), high blood pressure (RR = 2.12, CI = 1.5-2.8), stone morphology (RR = 1.9, CI = 1.5-2.5), stone area (RR = 1.8, CI = 1.19-2.7), surgical technique and number of tracts (RR = 1.7, CI = 1.4-2.1), and surgery duration (RR = 1.9, CI = 1.3 -2.8) were the risk factors associated with decreased Hb and Hct values in percutaneous nephrolithotomy. Conclusions: Percutaneous nephrolithotomy is a minimally invasive procedure for the treatment of kidney stones. In our study, the incidence of bleeding was low, and the transfusion rate was minimal, at 2.9%.
Resumen Objetivo: Determinar los factores asociados a la disminución de la hemoglobina y el hematocrito en NLPC Materiales y métodos: Se incluyeron pacientes sometidos a NLPC, de enero de 2015 a enero de 2017, se analizaron los factores asociados con el sangrado, con la prueba de Levene, prueba de la t de Student y estadística inferencial. Resultados: Un total de 69 pacientes fueron sometidos a NLPC. La disminución promedio de Hb 1.17g/dl y Hct 2.56% después de la operación. Los factores con significación estadística fueron: Diabetes Mellitus DM (Hb p= < 0.001/Hct p=0.017), Hipertensión (p=0.007/p=0.050), morfología de la piedra (p=0.004/p=0.003), área de la piedra (p=0.003/p=0.003), número de tractos (p=0.002/p=0.012) y tiempo quirúrgico (p= < 0.001/p=0.010). Cultivo positivo (p=0.030) y tamaño de piedra (p=0.028), solo significativo para la disminución del hematocrito. El 27.5% tuvo cirugía previa, el tamaño promedio de los litos fue de 3.26 cm, el cáliz inferior fue el que más se puncionó (78.3%), la longitud promedio del tracto fue de 8.41cm. Con un tiempo de corte quirúrgico de 140 min. En nuestro estudio, los pacientes con DM (RR=1.8, IC=1.4-2.3) e hipertensión (RR=2.12, IC=1.5-2.8) son el factor de riesgo relacionado con la disminución de Hb y Hct en NLPC, también morfología de litio (RR=1.9, IC=1.5-2.5), área de litio (RR=1.8, 1.19-2.7) y la técnica quirúrgica como número de tractos (RR=1.7, IC=1.4-2.1) y tiempo quirúrgico (RR=1.9, IC=1.3 -2.8). Conclusiones: La NLPC es un procedimiento mínimamente invasivo para el tratamiento de litiasis renal, con una baja incidencia de hemorragia y una tasa de transfusión mínima. En nuestro estudio, del 2.9%.
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15.
Carcinoma de células renales con translocación del cromosoma Xp11.2: reporte de un caso y revisión de la bibliografía
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López-Maguey, Roberto Patricio
; Trujillo-Ortiz, Luis
; Morales-Montor, Gustavo
; Pérez-Becerra, Rodrigo
; Staufert-Gutiérrez, Josette
; Pacheco-Gahbler, Carlos
; Parraguirre-Martínez, Sara
; Martínez-Hernández, Haydee
; Pérez Montiel Gómez, María Delia
.
Abstract BACKGROUND: Renal cell carcinoma with translocation on chromosome Xp11.2 was recognized in 2004 by the World Health Organization. That neoplasia is associated with different micro-arrangements, particularly of the TFE3 gene on the Xp11 chromosome. Prevalence of the translocation varies from 1-1.6% of all kidney tumors in the adult population. CLINICAL CASE: A 64-year-old woman presented with moderate left lumbar pain radiating to the ipsilateral upper quadrant two months prior to hospital admission. Computed tomography urogram identified a heterogeneous tumor at the lower pole and middle portion of the left kidney that measured 20 x 17 x 14 cm, with irregular edges and calcifications. There was bilateral perihilar lymph node enlargement adjacent to the aorta that anteriorly displaced the vena cava. Laboratory tests reported hemoglobin of 10g/dL and calcium of 9.2 mEq/dL. Open radical nephrectomy with para-aortic lymphadenectomy was performed, revealing abundant lymph nodes in the mesentery and in the contralateral renal hilum. Pathology study diagnosis was renal carcinoma with Xp11.2 translocation (immunohistochemistry positive for TFE-3), with metastasis to one lymph node. The patient is currently undergoing the fourth cycle of chemotherapy with pazopanib, with disease dissemination to the lungs, mesentery, and cervical region. CONCLUSION: Renal cell carcinoma with Xp11.2 translocation usually affects children and young adults. It does not cause symptoms and the kidney masses are painless. Given that the majority of cases are diagnosed at late stages, outcome is unfavorable.
Resumen ANTECEDENTES: El carcinoma renal con translocación del cromosoma Xp11.2 fue reconocido en 2004 por la Organización Mundial de la Salud. Esta neoplasia se asocia con diversos microarreglos, principalmente del gen TFE3 en el cromosoma Xp11. La prevalencia de la translocación varía de 1-1.6% de todos los tumores renales en la población adulta. CASO CLÍNICO: Paciente femenina de 64 años, que inició dos meses previos a su internamiento con dolor lumbar izquierdo, con irradiación al cuadrante superior ipsilateral de moderada intensidad. La urotomografía reportó un tumor en el polo inferior y en la parte media del riñón izquierdo, de 20 x 17 x 14 cm, de bordes irregulares, heterogéneo, con calcificaciones; crecimiento ganglionar perihiliar bilateral, adyacente a la aorta, que desplazaba en sentido anterior a la vena cava. Los exámenes de laboratorio reportaron hemoglobina 10g/dL y calcio 9.2 mEq/dL. Se llevó a cabo nefrectomía radical abierta con linfadenectomía (paraortica), donde se encontraron abundantes ganglios en el mesenterio y de manera contralateral en el hilio renal. El servicio de Patología estableció el diagnóstico de carcinoma renal con translocación Xp11.2 (inmunohistoquímica TFE-3 positivo), con metástasis a un ganglio. Actualmente se encuentra en el cuarto ciclo de quimioterapia con pazopanib, con enfermedad diseminada a pulmones, mesenterio y la región cervical. CONCLUSIÓN: El carcinoma de células renales con translocación del cromosoma Xp11.2 suele afectar a niños y adultos jóvenes, no provoca síntomas y las masas renales son indoloras. Puesto que la mayor parte se diagnostican en estadios avanzados, el pronóstico es desfavorable.
https://doi.org/10.24245/revmexurol.v78i5.1750
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