A two-centre experience of transanal total mesorectal excision

Aim: Transanal total mesorectal excision (TaTME) offers a promising alternative to the standard surgical abdominopelvic approach for rectal cancer. The aim of this study was to report a two-centre experience of this technique, focusing on the short-term and oncological outcome. Method: From May 2013 to May 2015, 40 selected patients with histologically proven rectal adenocarcinoma underwent TaTME in two institutions and were prospectively entered on an online international registry. Results: Forty patients (80% men, mean body mass index 27.4 kg/m2) requiring TME underwent TaTME. Procedures included low anterior resection (n = 31), abdominoperineal excision (n = 7) and proctocolectomy (n = 2). A minimally invasive approach was attempted in all cases, with three conversions. The mean operation time was 368 min and 16 patients (40%) had a synchronous abdominal and transanal approach. There was no mortality and 16 postoperative complications occurred, of which 68.8% were minor. The median length of stay was 7.5 (3–92) days. A complete or near-complete TME specimen was delivered in 39 (97.5%) cases with a mean number of 20 lymph nodes harvested. R0 resection was achieved in 38 (95%) patients. After a median follow-up of 10.7 months, there were no local recurrences and six (15%) patients had developed distant metastases. Conclusion: TaTME appears to be feasible, safe and reproducible, without compromising the oncological principles of rectal cancer surgery. It is an attractive option for patients for whom laparoscopy is likely to be particularly difficult. These encouraging results should encourage larger studies with assessment of long-term function and the oncological outcome

Estudos sobre a nutrição mineral do arroz: VIII. marcha de absorção de macronutrientes na variedade IAC-25

Rice plants, IAC 25 variety, were grown in nutrient solution; samples were taken for analysis at different intervals, namely 21, 50, 79, 91 and 112 days after germination. Main conclusions were the following: (1) both dry matter production and accumulation of macronutrients as a function of time were described by typical sigmoide curves; (2) in the period between the second and third sampling the rate for both processes reached maximum values; (3) dilution effects were observed in the content of all the elements except Ca; (4) Ca also was the only macronutrien which does not seem to be translocated from leaves for grainfiling.Foram estudadas, em condições controladas, a acumulação de matéria seca e a acumulação de macronutrientes pela variedade de arroz IAC 25. Como regra verificou-se que a acumulação de matéria seca e de macronutrientes obedeceu a sigmoides típicas, ambos os processos ocorendo com maior velocidade no período aproximado de 5O-9O dias após a germinação

Eficiência dos testes COPAN (Microplate e Single) na detecção de resíduos de antimicrobianos no leite Efficacy of COPAN (Microplate and Single kits) in detection of antimicrobials residues in milk

Avaliou-se a eficiência dos testes microbiológicos COPAN (Microplate e Single) para detecção de resíduos de 13 antimicrobianos inoculados em leite isento de resíduos. Foram utilizadas quatro concentrações, sendo a primeira equivalente à metade do limite de detecção declarado pelo fabricante (C1); a segunda equivalente ao limite máximo de resíduos (LMR) estabelecido pela legislação brasileira (C2); a terceira equivalente ao limite de detecção declarado pelo fabricante (C3); e a quarta equivalente ao dobro do limite de detecção declarado pelo fabricante (C4). Os testes apresentaram 100% de sensibilidade na detecção de amoxicilina, ampicilina, cloxacilina, penicilina, tilosina, sulfadiazina, sulfametoxazol, e 96,7% na detecção de oxacilina para as concentrações informadas pelo fabricante como limite de detecção. Em relação às concentrações estabelecidas pela legislação brasileira, verificou-se que os testes foram capazes de detectá-las para a maioria dos antimicrobianos avaliados. Os testes não se mostraram eficientes na detecção das concentrações estabelecidas pela legislação para eritromicina, oxitetraciclina, tetraciclina, trimetoprim e gentamicina (Microplate).<br>The efficacy of the microbiological kits COPAN (Microplate and Single) for detection of antimicrobials residues was tested. Thirteen drugs were inoculated into milk without residues at four concentration levels: C1 - half of the detection threshold declared by the manufacturer, C2 - the maximum residues threshold established by the Brazilian legislation, C3 - the detection threshold declared by the manufacturer, and C4 - two fold the detection threshold declared by the manufacturer. The tests showed 100% efficient in detection of amoxicillin, cloxacillin, penicillin, tilosin, sulfadiazine, and sulfa methoxazol; and 96.7% for oxacillin considering the concentration stated by the manufacturer as threshold level. Regarding the concentrations established by the Brazilian legislation, all tested kits were able to detect most of the evaluated antimicrobials. The kits were not efficient in detection of the concentration levels established by the Brazilian legislation for erythromycin, oxytetracyclin, tetracyclin, trimetoprim, and gentamycin (Microplate)