Billroth I Technique Application After Resection of Gastric Leiomyoma in a Dog

Background: Gastric neoplasia is rare, corresponding to less than 1% of cases, with a lower prevalence of those involving smooth muscle tissues. In these cases, clinical signs worsen in the occurrence of pyloric obstruction, leading to clinical manifestations such as chronic emesis. The exeresis of the neoplasm is promoted as a therapeutic measure to reestablish gastrointestinal flow. There partial gastrectomy followed by gastroduodenal anastomosis, using the Billroth I technique, is among the available surgical techniques. The therapeutic success of the Billroth I technique after pylorectomy was reported in a dog with gastric leiomyoma.Case: Canine, poodle, 9 years old, 9.5 kg, with a history of chronic vomiting starting three months ago, progressive weight loss, and melena, previously treated by another Veterinarian as idiopathic gastroenteritis. The physical evaluation of the animal showed a state of normal consciousness, body score 4/9, pale ocular and oral mucous membranes, respiratory rate 20 mpm, heart rate 166 bpm, a rectal temperature of 37.9 °C, and dehydration degree of 8.0%. Blood count showed normocytic normochromic anemia and leukocytosis with shift to the right. Radiographic and endoscopic examinations were not noteworthy. Endoscopic biopsy after a histopathological evaluation showed no cellular or tissue atypia. On the other hand, abdominal ultrasound assessment revealed thickening with loss of echotexture and definition of the muscular layer of the gastric wall, pyloric and duodenum region compatible with benign antral muscle hypertrophy and/or pyloric neoplasia. The animal worsened five days after the initial treatment, with progressive episodes of emesis and melena, opting for an exploratory laparotomy. A mass of firm consistency measuring approximately 2.5 × 6.0 cm in diameter was found in the pyloric region, opting for a pylorectomy. The excised fragment was sent for histopathological examination. Then, gastroduodenal anastomosis was performed using the Billroth I technique. After the surgery, a pasty diet was introduced orally, without using gastroenteric tubes. Dry food was offered ten days after the surgical procedure. The animal returned for clinical reevaluation on the fifteenth day and was clinically well. Histopathological examination revealed a diagnosis of gastric leiomyoma.Discussion: The casuistry of gastric neoplasia in dogs has a low incidence, with an occurrence of less than 1%, with adenocarcinoma being the most common type. However, there are less frequent reports of other gastric neoplasia, such as smooth muscle tumors. Abdominal ultrasonography is indicated for the diagnosis of gastrointestinal changes, proof of which ultrasonography was of paramount importance in this case. The surgical procedure of pylorectomy guaranteed a margin of one centimeter, meeting the principles of oncological surgery. Absorbable monofilament suture materials are the choice for the synthesis stage in hollow organs, being used in this case. The most-reported expected complications of gastrointestinal surgeries aiming at removing neoplasms are vomiting, anorexia, melena, hematochezia, hematemesis, necrosis with anastomotic ulceration, and, consequently, septic peritonitis, which were not reported in this case. The life expectancy of patients with gastric neoplasia is quite variable, with longer survival in cases of benign neoplasia. Therefore, the type of neoplasia in this case, together with the appropriate choice of therapy and the appropriate performance of the technique, was important for the good result achieved

Lipid and sodic monensin sources in the rumen fermentation, kinetics and degradability

O objetivo deste trabalho foi avaliar a degradabilidade, a fermentação e a cinética ruminal de dietas com caroço de algodão ou sal de cálcio de ácidos graxos, como fontes de gordura, acrescidos de monensina sódica, e verificar o efeito da última em dietas com caroço de algodão. Quatro novilhos Nelore, canulados no rúmen, foram submetidos a um experimento em delineamento quadrado latino 4x4. Os tratamentos consistiram de três dietas com monensina (sal de cálcio graxo, caroço de algodão e controle) e uma dieta com caroço de algodão sem monensina. Os períodos de incubação foram de 0, 3, 6, 12, 24, 48, 72 e 96 horas, e o líquido ruminal foi colhido nos horários 0, 1,5, 2, 3, 4, 6, 8, 12 e 24 horas depois da alimentação. As dietas com caroço de algodão apresentaram maior degradabilidade da fibra em detergente neutro e maior teor de proteína bruta. A dieta com caroço de algodão e monensina apresentou maior taxa de passagem líquida e turnover ruminal. Não houve diferença entre as dietas quanto ao pH, amônia ruminal e ácidos graxos voláteis. As fontes de gordura, sal de cálcio de ácidos graxos e caroço de algodão não apresentaram efeito deletério no rúmen. A utilização de monensina afeta a degradabilidade, a cinética e a fermentação ruminal, quando se utiliza caroço de algodão na dieta.The objective of this work was to evaluate degradability in the rumen, fermentation and kinetics of diets with whole cottonseed or calcium salt of fatty acid, used as fat sources, with sodium monensin, as well as to verify the monensin effect on diet with cottonseed. Treatments consisted of three diets with monensin (control, calcium salt of fatty acid and cottonseed) and one diet with cottonseed without monensin. The incubation periods were 0, 3, 6, 12, 24, 48, 72 and 96 hours, and the ruminal liquid was sampled 0, 1.5, 2, 3, 4, 6, 8, 12 and 24 hours after feeding. Diets with cottonseed showed the highest degradability of the neutral detergent fiber and crude protein. Diets containing cottonseed with monensina showed the highest liquid passage and turnover. There were no differences, between the diets, related to ruminal pH, ammonia and volatile fatty acids. The fat sources, calcium salt of fatty acid and whole cottonseed, showed no deleterious effects of the fat on the rumen environment. The inclusion of monensin affects the degradability, rumen kinetics and fermentation, when high concentrate diets with fat as whole cottonseed is fed

Physiological and biochemical evaluation of different types of recovery in national level Paralympic powerlifting

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As particularidades clínicas da otite média: Clinical features of otitis media

A otite média é um processo inflamatório de evolução abrupta, acompanhado pelo quadro clínico típico de inflamação na orelha média, sendo sua incidência prevalente em crianças, culminando em leves repercussões clínicas, mas que deve ser adequadamente diagnosticada e tratada. Este evento clínico pode ser agudo, subagudo ou crônico com aparições típicas, evolução e manejo clínico diferenciados. O seguinte artigo é uma revisão narrativa de literatura que visa analisar a respeito das principais particularidades clínicas da Otite Média. Diante das informações coletadas, pode se elucidar que a otite média é o fator causal para implicações negativas e antibioticoterapia em crianças, logo é essencial medidas para diagnose precoce para evitar repercussões na saúde destes

Exploring deeper genetic structures: Aedes aegypti in Brazil

Aedes aegypti, being the principal vector of dengue (DENV1 to 4), chikungunya and Zika viruses, is considered as one of the most important mosquito vectors. In Brazil, despite regular vector control programs, Ae. aegypti still persists with high urban density in all the states. This study aimed to estimate the intra and inter population genetic diversity and genetic structure among 15 Brazilian populations of Ae. aegypti based on 12 microsatellite loci. A total of 510 specimens were analyzed comprising eight locations from northern (Itacoatiara, Manaus, Novo Airão, Boa Vista, Rio Branco, Porto Velho, Guajará-Mirim and Macapá), three from southeastern (Araçatuba, São José de Rio Preto and Taubaté), one from southern (Foz do Iguaçu), one from central west (Cuiabá) and two from northeastern (Campina Grande and Teresina) regions of Brazil. Genetic distances (pairwise values of F ST and Nm) and the analysis of molecular variance (AMOVA) were statistically significant, independent of geographic distances among the sites analyzed, indicating that them are under a complex dynamic process that influence the levels of gene flow within and among regions of the country. Bayesian analysis in STRUCTURE revealed the existence of two major genetic clusters, as well as there was genetic substructure within them; these results were confirmed by AMOVA, BAPS and DAPC analyses. This differentiation is the cumulative result of several factors combined as events of multiple introduction, passive dispersal, environmental and climatic conditions, use of insecticides, cycles of extinction and re-colonization followed by microevolutionary processes throughout the country. Isolation by distance also contributed to this differentiation, especially among geographically closer localities. These genetic differences may affect its vector competence to transmit dengue, chikungunya, Zika and the response to vector control programs. © 201

Fontes de lipídeos e monensina na alimentação de novilhos Nelore e sua relação com a população de protozoários ciliados do rúmen Effects of feeding monensin and different sources of fat on the ruminal population of ciliate protozoa in Nellore steers

Quatro novilhos Nelore, fistulados e canulados no rúmen, foram distribuídos em um delineamento quadrado latino 4 x 4, para avaliar o caroço de algodão e o sal de cálcio de ácidos graxos como fontes de gordura assim como o efeito da monensina em dietas com caroço de algodão, sobre a população de protozoários ciliados e o pH do rúmen. Os tratamentos experimentais foram: dieta controle (CTRL), dieta com sal de cálcio de ácidos graxos (SC), dieta com caroço de algodão (CA) e dieta com caroço de algodão sem monensina (CASM). Amostras do conteúdo ruminal foram colhidas às 0, 2, 4, 6 e 8 horas após a alimentação. Foi utilizada câmara de contagem de Sedgwick-Rafter com capacidade de 1mL e microscópio ótico comum provido de retículo com área de 0,4362 mm², para identificação dos gêneros de ciliados. Não houve diferença entre os tratamentos para o pH do rúmen. Os tratamentos com caroço de algodão reduziram todos os gêneros de protozoários ciliados, em especial de Entodinium, provavelmente pela gordura liberada. Os protozoários dos gêneros Diplodinium, Epidinium e Eudiplodinum e o número total de protozoários foram os únicos que sofreram influência do tempo de alimentação. Sais de cálcio de ácidos graxos foram suficientemente inertes no ambiente ruminal, não afetando o número de protozoários ciliados no rúmen de bovinos Nelore. A utilização de monensina em dietas contendo caroço de algodão e alto concentrado não influenciou o número de protozoários ciliados no rúmen de bovinos Nelore.Four ruminally and duodenally cannulated Nellore steers were assigned to a 4 x 4 latin square to study the effects of feeding monensin (M) and different sources of fat on the ruminal population of ciliate protozoa and ruminal pH. The experimental diets contained (DM basis) 19% of sugar cane and were supplemented with M [control (CTRL)], M plus calcium salts of fatty acids (CSFA), M plus whole cottonseed (MWCS), or only WCS. Ruminal contents were sampled at 0, 2, 4, 6, and 8 hours post-feeding. In order to identify the ciliate protozoa a Sedgwick-Rafter count cell and an optic microscope with slide area of 0.4362 mm² were used. No significant differences in ruminal pH were observed among diets. Both cottonseed treatments (MWCS and WCS) reduced the ruminal population of the ciliate protozoa investigated, mainly the Entodinium, possibly because of the slow release of fat. Ruminal counts of Diplodinium, Epidinium, Eudiplodinium, and total protozoa were all affected by time post-feeding. Calcium salts of fatty acids seemed to be inert in the ruminal environment because no significant changes were observed in the protozoa counts. Moreover, feeding CRTL and MWCS diets to Nellore steers did not change the ruminal population of ciliate protozoa in this trial