Primeiro registro de um raro peixe parasita Pseudostegophilus paulensis no rio Paranapanema e sua distribuição atual no Brasil

Pseudostegophilus paulensis Miranda Ribeiro 1918 is an endemic parasitic species from the state of São Paulo, southeastern Brazil, with few registered occurrences in databases (15 records). Here, we present the first record of P. paulensis in the middle portion of the Anhumas River, a tributary of the Paranapanema River right bank. Specimens were collected in two environments with different ecological characteristics (lotic water running over gravel sediment and semi-lotic water with silty sediment on the bottom). We also present an updated occurrence map of the species in Brazil. This new record of P. paulensis in the upper Paraná River basin extends the geographic distribution of the species to the South of the state of São Paulo.  Furthermore, important ecological information remains unknown due to the lack of data about this group, such as habitat niches, vertical migration, growth patterns, reproduction, and feeding behavior.Pseudostegophilus paulensis Miranda Ribeiro 1918 é uma espécie de peixe parasita endêmica do estado de São Paulo, sudeste do Brasil, com poucas ocorrências registradas em bancos de dados (15 registros). Aqui, apresentamos o primeiro registro de P. paulensis na porção média do rio Anhumas, afluente da margem direita do rio Paranapanema. Os espécimes foram coletados em dois ambientes com características ecológicas distintas (água lótica correndo sobre sedimento pedregulho e água semilótica com sedimento arenoso no fundo). Apresentamos também um mapa de ocorrência atualizado da espécie no Brasil. Este novo registro de P. paulensis na bacia do alto rio Paraná estende a distribuição geográfica da espécie para o sul do estado de São Paulo. Além disso, informações ecológicas importantes permanecem desconhecidas devido à falta de dados sobre esse grupo, como nichos de habitat, migração vertical, padrões de crescimento, reprodução e comportamento alimentar

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