Abundance, habitat use and diet of Callicebus nigrifrons Spix (Primates, Pitheciidae) in Cantareira State Park, São Paulo, Brazil Abundância, uso do habitat e dieta de Callicebus nigrifrons É. Geoffroy (Primates, Pitheciidae) no Parque Estadual da Cantareira, São Paulo, Brasil

Between april 2005 and May 2006, according to the pressuposts of line transect methodology, census were carried to estimate abundance and population density of Callicebus nigrifrons Spix, 1823 (Pitheciidae) in Cantareira State Park, State of São Paulo, southeastern Brazil (23&deg;23'42"S, 46&deg;35'27"W). After 275.80 Km of census sampling effort, the titis were the second most abundant primate species, presenting an abundance index of 1.4 groups for each 10 km walked and a density estimate of 12.21 ind./km² (ranging between 8.45 a 17.63 ind./km²). The collection of ancillary data during the census allowed the determination of diet and habitat use by the titis groups, and results show a relative adaptability to disturbed habitats.<br>Entre abril de 2005 e maio de 2006, através de censos seguindo os pressupostos da metodologia de transecção linear, foram estimadas a densidade populacional e abundância de Callicebus nigrifrons Spix, 1823 (Pitheciidae) no Parque Estadual da Cantareira, Estado de São Paulo, Sudeste do Brasil (23&deg;23'42"S, 46&deg;35'27"W). Com um esforço amostral de 275,8 km de censos, os sauás foram a segunda espécie de primata mais abundante, apresentando um índice de abundância de 1,4 grupos para cada 10 km percorridos e uma estimativa de densidade de 12,21 ind./km² (variando de 8,45 a 17,63 ind./km²). A coleta de dados auxiliares durante os censos possibilitou a verificação da dieta e uso do hábitat pelos grupos de Callicebus, e os resultados evidenciaram uma relativa adaptabilidade à ambientes perturbados

Body mass index and complications following major gastrointestinal surgery: A prospective, international cohort study and meta-analysis

Aim Previous studies reported conflicting evidence on the effects of obesity on outcomes after gastrointestinal surgery. The aims of this study were to explore the relationship of obesity with major postoperative complications in an international cohort and to present a metaanalysis of all available prospective data. Methods This prospective, multicentre study included adults undergoing both elective and emergency gastrointestinal resection, reversal of stoma or formation of stoma. The primary end-point was 30-day major complications (Clavien–Dindo Grades III–V). A systematic search was undertaken for studies assessing the relationship between obesity and major complications after gastrointestinal surgery. Individual patient meta-analysis was used to analyse pooled results. Results This study included 2519 patients across 127 centres, of whom 560 (22.2%) were obese. Unadjusted major complication rates were lower in obese vs normal weight patients (13.0% vs 16.2%, respectively), but this did not reach statistical significance (P = 0.863) on multivariate analysis for patients having surgery for either malignant or benign conditions. Individual patient meta-analysis demonstrated that obese patients undergoing surgery formalignancy were at increased risk of major complications (OR 2.10, 95% CI 1.49–2.96, P < 0.001), whereas obese patients undergoing surgery for benign indications were at decreased risk (OR 0.59, 95% CI 0.46–0.75, P < 0.001) compared to normal weight patients. Conclusions In our international data, obesity was not found to be associated with major complications following gastrointestinal surgery. Meta-analysis of available prospective data made a novel finding of obesity being associated with different outcomes depending on whether patients were undergoing surgery for benign or malignant disease

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