Estrutura populacional e biologia reprodutiva de Parastacus defossus (Crustacea: Decapoda: Parastacidae)

Este trabalho descreve a estrutura populacional e aspectos da biologia reprodutiva de Parastacus defossus Faxon, 1898, uma espécie com hábito fossorial que passa sua vida no interior de galerias subterrâneas. Aproximadamente 30 exemplares foram coletados mensalmente, de janeiro de 2003 a agosto de 2005 na região do Lami, Município de Porto Alegre, Rio Grande do Sul, Brasil. Registrou-se o comprimento mínimo, máximo e médio da carapaça de machos, fêmeas, juvenis e animais com ootestículo. Analisou-se a distribuição de freqüência por classes de tamanho, a proporção sexual, o recrutamento e o período reprodutivo. Foram amostrados um total de 766 exemplares, 315 machos (41,12%), 278 fêmeas (36,30%), 166 juvenis (21,67%) e sete animais com ootestículo (0,91%). Machos e fêmeas estiveram presentes durante todos os meses de amostragem e em todas as classes de tamanho, sendo que a maior freqüência de indivíduos foi registrada nas classes de tamanho ente 24 a 30 mm. A maior freqüência de juvenis foi observada na primavera/2003 e verão/2005. Diferenças significativas no tamanho de machos e fêmeas foram registradas apenas nas classes de tamanho entre 26-30 mm. A proporção sexual no período amostral foi de 1:0,88 (x² = 2,3; p > 0,05) e entre as classes de tamanho foram constatadas diferenças significativas nas classes de tamanho 26-28 mm (x² = 5,43; p < 0,05) e 28-30 mm (x² = 4,77; p < 0,05) de comprimento de carapaça, nas quais os machos foram mais freqüentes. Das 278 fêmeas coletadas, apenas 17 estavam ovígeras (6,11%), sendo a estação reprodutiva bem definida na primavera.<br>This study investigates the population structure and the reproductive biology of Parastacus defossus Faxon, 1898, a fossorial species that spends its life inside subterranean tunnels. Around 30 specimens were collected each month in the region of Lami, municipality of Porto Alegre, state of Rio Grande do Sul, Brazil, from January, 2003 to August, 2005. The minimum, the maximum, and the mean carapace length of males, females, juveniles and individuals with ootestis were recorded. The frequency distribution by size classes, the sexual proportion, the recruitment, and the reproductive period were analyzed. A total of 766 specimens were collected, from which 315 were males (41.12%), 278 were females (36.30%), 166 were juveniles (21.67%), and seven individuals had ootestis (0.91%). Males and females were present in all months and in all size classes. The highest frequency of individuals matched the size classes from 24 to 30 mm. The highest frequency of juveniles was recorded during the spring of 2003 and the summer 2005. Significant differences in the size of males and females were recorded in the size classes between 26 and 30 mm. The sex ratio between all males and females was 1:0.88 (x² = 2.3, p > 0.05). The proportion between males and females showed significant differences between the size classes 26-28 mm (x² = 5.43, p < 0.05) and 28-30 mm (x² = 4.77, p < 0.05) carapace length, were the number of males was highest. Of the 278 females, only 17 were ovigerous (6.11%) and the reproductive period was clearly restricted to the spring

Safety and efficacy of non-steroidal anti-inflammatory drugs to reduce ileus after colorectal surgery

Background: Ileus is common after elective colorectal surgery, and is associated with increased adverse events and prolonged hospital stay. The aim was to assess the role of non-steroidal anti-inflammatory drugs (NSAIDs) for reducing ileus after surgery. Methods: A prospective multicentre cohort study was delivered by an international, student- and trainee-led collaborative group. Adult patients undergoing elective colorectal resection between January and April 2018 were included. The primary outcome was time to gastrointestinal recovery, measured using a composite measure of bowel function and tolerance to oral intake. The impact of NSAIDs was explored using Cox regression analyses, including the results of a centre-specific survey of compliance to enhanced recovery principles. Secondary safety outcomes included anastomotic leak rate and acute kidney injury. Results: A total of 4164 patients were included, with a median age of 68 (i.q.r. 57\u201375) years (54\ub79 per cent men). Some 1153 (27\ub77 per cent) received NSAIDs on postoperative days 1\u20133, of whom 1061 (92\ub70 per cent) received non-selective cyclo-oxygenase inhibitors. After adjustment for baseline differences, the mean time to gastrointestinal recovery did not differ significantly between patients who received NSAIDs and those who did not (4\ub76 versus 4\ub78 days; hazard ratio 1\ub704, 95 per cent c.i. 0\ub796 to 1\ub712; P = 0\ub7360). There were no significant differences in anastomotic leak rate (5\ub74 versus 4\ub76 per cent; P = 0\ub7349) or acute kidney injury (14\ub73 versus 13\ub78 per cent; P = 0\ub7666) between the groups. Significantly fewer patients receiving NSAIDs required strong opioid analgesia (35\ub73 versus 56\ub77 per cent; P &lt; 0\ub7001). Conclusion: NSAIDs did not reduce the time for gastrointestinal recovery after colorectal surgery, but they were safe and associated with reduced postoperative opioid requirement

Safety of hospital discharge before return of bowel function after elective colorectal surgery

© 2020 BJS Society Ltd Published by John Wiley & Sons LtdBackground: Ileus is common after colorectal surgery and is associated with an increased risk of postoperative complications. Identifying features of normal bowel recovery and the appropriateness for hospital discharge is challenging. This study explored the safety of hospital discharge before the return of bowel function. Methods: A prospective, multicentre cohort study was undertaken across an international collaborative network. Adult patients undergoing elective colorectal resection between January and April 2018 were included. The main outcome of interest was readmission to hospital within 30 days of surgery. The impact of discharge timing according to the return of bowel function was explored using multivariable regression analysis. Other outcomes were postoperative complications within 30 days of surgery, measured using the Clavien–Dindo classification system. Results: A total of 3288 patients were included in the analysis, of whom 301 (9·2 per cent) were discharged before the return of bowel function. The median duration of hospital stay for patients discharged before and after return of bowel function was 5 (i.q.r. 4–7) and 7 (6–8) days respectively (P < 0·001). There were no significant differences in rates of readmission between these groups (6·6 versus 8·0 per cent; P = 0·499), and this remained the case after multivariable adjustment for baseline differences (odds ratio 0·90, 95 per cent c.i. 0·55 to 1·46; P = 0·659). Rates of postoperative complications were also similar in those discharged before versus after return of bowel function (minor: 34·7 versus 39·5 per cent; major 3·3 versus 3·4 per cent; P = 0·110). Conclusion: Discharge before return of bowel function after elective colorectal surgery appears to be safe in appropriately selected patients