Estudo comparativo da letalidade hospitalar da leptospirose entre pacientes pediátricos e adultos de diferentes grupos etários

O objetivo principal foi comparar a letalidade hospitalar da leptospirose entre pacientes pediátricos (; 19 anos), levando em consideração gênero, função renal, duração dos sintomas e icterícia. Prontuários de 1016 pacientes foram revistos. Análise comparativa foi restrita a 840 pacientes (100 pediátricos, 740 adultos) com informações sobre as variáveis incluídas na análise. Entre estes pacientes 81,4% eram do sexo masculino e 91,5% apresentavam icterícia à admissão. A letalidade da leptospirose foi 14,4%. A razão entre número de pacientes que morreram e número de pacientes que sobreviveram, ajustada para gênero, icterícia, duração de sintomas, uréia sérica e creatinina sérica foi quase quatro vezes maior no grupo adulto do que no pediátrico (odds ratio (OR) = 3,94; intervalo de confiança de 95% = 1,19-13,03, p = 0,029). Em adultos, idade mais avançada foi também significantemente e independentemente associada com maior risco de morte (p ;19 years) patients, taking into account gender, renal function, duration of symptoms and jaundice. Medical records of 1016 patients were reviewed. Comparative analysis was restricted to 840 patients (100 pediatric, 740 adults) with recorded information on the variables included in the analysis. Among these patients 81.7% were male and 91.5% were icteric. The case-fatality rate of leptospirosis was 14.4%. The odds of death adjusted for gender, jaundice, duration of symptoms, serum urea and serum creatinine were almost four times higher for the adult than for the pediatric group (odds ratio (OR) = 3.94; 95% confidence interval = 1.19-13.03, p = 0.029). Among adults, increased age was also significantly and independently associated with increased risk of death (p < 0.01). Older patients were also more often treated by dialysis. In conclusion, the data suggest that the in-hospital case fatality rate of leptospirosis is higher for adults than for children and adolescents, even after taking into account the effects of several potential risk factors of death. Among adults, older age was also strongly and independently associated with higher risk of death

Origem das artérias celíaca e mesentérica cranial, por tronco comum, em carneiros da raça Corriedale

It was described the origin o f the coeliac and cranial mesenteric arteries from a single stem in 27 cases (31,04% ± 4,6) out o f a total o f 87 Corriedale sheep.Foi observada a origem das artérias celíaca e mesentérica cranial, por tronco comum, em 27 casos (31,04% ± 4,6) de um total de 87 carneiros da raça Corriedale

Total lenght o f the intestines in asinines

It was studied the total length of the intestinal tract and its several segments in adults asinines of the Pega race 10 male and 10 female. That study allowed them to establish the following average valves: Small intestine 9.24m ± 1.30 Caecum 0.81m ± 0.08 Great colon : 2.71m ± 0.39 Small colon plus rectum 1.54m ± 0.16 Total length of the intestines : 14.31m ± 1.64O estudo do comprimento total do intestino, bem como dos seus diversos segmentos, realizado em asininos, adultos, da raça Pega, 10 machos e 10 fêmeas, permitiu aos AA. Estabelecer os seguintes valores médios: intestino delgado:  9,24 ±1,30 ceco:  0,81±0,08 colon maior:  2,71±0,39 colon terminal mais reto:  1,54±0,16 comprimento total:  14,31±1,6

2010 report of the Brazilian dialysis census

INTRODUCTION: National chronic dialysis data are fundamental for treatment planning. OBJECTIVE: To report data of the annual survey of the Brazilian Society of Nephrology about patients with chronic renal failure who were on dialysis in 1 July, 2010. METHODS: A national survey based on data from the country's dialysis centers. Data collection was performed by using a questionnaire filled out online by the dialysis centers. RESULTS: 340 (53.3%) centers answered the questionnaire. National data were estimated for the overall dialysis population. In July 2010, the estimated total number of patients on dialysis was 92,091. The estimated prevalence and incidence rates of end-stage chronic kidney disease patients on maintenance dialysis were 483 and 100/million population, respectively. The estimated number of patients starting a dialysis program in 2010 was 18,972. The annual crude mortality rate was 17.9%. Of those on maintenance dialysis, 30.7% were aged 65 years or older, 90.6% were on hemodialysis and 9.4% on peritoneal dialysis, 35,639 (38.7%) were on a kidney transplant waiting list, 28% were diabetics, 34.5% had serum phosphorus levels > 5.5 mg/dL, and 38.5% had hemoglobin levels 5,5 mg/dL e 38,5%, hemoglobina < 11 g/dL. O cateter venoso era usado como acesso vascular em 13,6% dos pacientes em hemodiálise. CONCLUSÕES: A prevalência de pacientes em diálise tem apresentado aumento progressivo. Os dados dos indicadores da qualidade diálise de manutenção melhoraram em relação a 2009 e destacam a importância do censo anual para o planejamento da assistência dialítica.Universidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina Departamento de MedicinaUniversidade Federal da Bahia Faculdade de Medicina da Bahia Departamento de MedicinaUniversidade Federal do Rio Grande Faculdade de Medicina Departamento de Medicina InternaUniversidade Federal Fluminense Faculdade de Medicina Departamento de Medicina ClínicaFaculdade de Medicina do ABC Departamento de MedicinaUNIFESP, EPM, Depto. de MedicinaSciEL

Brazilian Chronic Dialysis Survey 2013 - Trend analysis between 2011 and 2013

Introduction: National chronic dialysis data have had impact in the treatment planning. Objective: To report data of the annual survey of the Brazilian Society of Nephrology about chronic kidney disease patients on dialysis in July 2013 and compare with 2011-12. Methods: A survey based on data of dialysis units from the whole country. The data collection was performed by using a questionnaire filled out on-line by the dialysis units. Results: Three hundred thirty four (51%) of the dialysis units in the country answered the questionnaire. In July 2013, the total estimated number of patients on dialysis was 100,397. The estimated prevalence and incidence rates of chronic maintenance dialysis were 449 (range: 284 in the North region and 622 in the South) and 170 patients per million population, respectively. The estimated number of new patients starting dialysis in 2013 was 34,161. The annual gross mortality rate was 17.9%. For prevalent patients, 31.4% were aged 65 years or older, 90.8% were on hemodialysis and 9.2% on peritoneal dialysis, 31,351 (31.2%) were on a waiting list of renal transplant, 30% were diabetics, 17% had PTH levels > 600 pg/ml and 23% hemoglobin 600 pg/ml e 23% hemoglobina < 10 g/dl. Cateter venoso era usado como acesso em 15,4% dos pacientes em hemodiálise. Conclusão: O número absoluto de pacientes em diálise tem aumentado 3% ao ano nos últimos 3 anos. As taxas de prevalência e incidência de pacientes em diálise ficaram estáveis, e a taxa de mortalidade tendeu a diminuir em relação a 2012. Houve tendência a melhor controle da anemia e dos níveis de PTH.Universidade Federal de São Paulo (UNIFESP)Universidade Federal da BahiaUniversidade Federal do Rio Grande do SulUniversidade Federal FluminenseFaculdade de Medicina do ABCUNIFESPSciEL

Capacidade do rúmen de ovinos (Ovis aries) da raça Corriedale

The capacity o f the rumen has been mesured in 40 male adult Corriedale sheeps. The mean obtained is 8.750 liters.Foi medida a capacidade do rúmen de 40 carneiros machos, adultos, da raça Corriedale, obtendo-se a média de 8,750 litros. Os valores máximo e mínimo encontrados correspondem, respectivamente, a 14,700 e 4,950 litros

Capacity of the reticulum in Corriedale sheep

The capacity of the reticulum was mesured in 40 male adult Corriedale sheep. The mean obtained was 0.780 liters.Foi medida a capacidade do retículo em 40 ovinos machos, adultos, da raça Corriedale, obtendo-se a média de 0,780 litros