A Predictive Model of Postnatal Surgical Intervention in Children With Prenatally Detected Congenital Anomalies of the Kidney and Urinary Tract

The aim of this study was to identify predictive factors and develop a model to assess individualized risk of postnatal surgical intervention in patients with antenatal hydronephrosis. This is a retrospective cohort study of 694 infants with prenatally detected congenital anomalies of kidney and urinary tract with a median follow-up time of 37 months. The main event of interest was postnatal surgical intervention. A predictive model was developed using Cox model with internal validation by bootstrap technique. Of 694 patients, 164 (24%) infants underwent surgical intervention in a median age of 7.8 months. Predictors of the surgical intervention in the model were: baseline glomerular filtration rate, associated hydronephrosis, presence of renal damage and the severity of renal pelvic dilatation. The optimism corrected c statistic for the model was 0.84 (95%CI, 0.82–0.87). The predictive model may contribute to identify infants at high risk for surgical intervention. Further studies are necessary to validate the model in patients from other settings

Catfishes as prey items of Potamotrygonid stingrays in the Solimões and Negro rivers, Brazilian Amazon

In spite of the fact that catfish have rarely been reported as food items in the diets of freshwater stingrays, they are commonly observed in the stomach contents of species inhabiting the Solimões and Negro rivers in the Brazilian Amazon. The stomach contents of six rays from the Solimões River and 64 from the Negro River were analyzed, and catfishes (distributed among the families Callichthyidae, Cetopsidae, Doradidae and Loricariidae) were found in the stomach contents of four and 10 of these rays, respectively, comprising a frequency of occurrence of 20%. These data indicate a relevant participation of catfishes in the diets of potamotrygonid rays in the Amazon, and may reflect the regional diversity and abundance of Siluriformes in the region