102 research outputs found
Resultados Da Colpofixação Sacroespinal Associada A Colporrafia Anterior Para O Tratamento Do Prolapso De CĂșpula Vaginal
To evaluate the results of sacrospinous colpopexy surgery associated with anterior colporrhaphy for the treatment of womeN with post-hysterectomy vaginal vault prolapse. Methods This prospective study included 20women with vault prolapse, PelvicOrgan Prolapse Quantification System (POP-Q) stage ℠2, treated between January 2003 and February 2006, and evaluated in a follow-up review (more than one year later). Genital prolapse was evaluated qualitatively in stages and quantitatively in centimeters. Prolapse stage < 2 was considered to be the cure criterion. Statistical analysis was performed using the Wilcoxon test (paired samples) to compare the points and stages of prolapse before and after surgery. Results Evaluation of the vaginal vault after one year revealed that 95% of subjects were in stage zero and that 5% were in stage 1. For cystocele, 50% were in stage 1, 10% were in stage 0 (cured) and 40% were in stage 2. For rectocele, three women were in stage 1 (15%), one was in stage 2 (5%) and 16 had no further prolapse. The most frequent complication was pain in the right buttock, with remission of symptoms in all three cases three months after surgery. Conclusions In this retrospective study, the surgical correction of vault prolapse using a sacrospinous ligament fixation technique associatedwith anterior colporrhaphy proved effective in resolving genital prolapse. Despite the low complication rates, there was a high rate of cystocele, which may be caused by posterior vaginal shifting due to either the technique or an overvaluation by the POP-Q system. © 2016 by Thieme PublicaçÔes Ltda, Rio de Janeiro, Brazil.382778
Right circumcaval ureter and double right renal vein in the Brazilian shorthair cat (Felis catus): two case reports
Variations of the renal veins are well described in the literature, although variations concerning the ureter are considered a rare finding in cats. The circumcaval ureter is one of the rarest variations of the ureter and is characterised by a loop of the ureter posterior to the caudal vena cava. This variant is also known as preureteral vena cava and retrocaval ureter. It is thought to be caused by a deviation during embryonic development of the aforementioned vein. Due to its rarity, there are scarce reports of the circumcaval ureter in cats, and its association with two renal veins makes it less common as well. These variations should be preoperatively identified in order to avoid complications in kidney transplants, ureteral surgeries and cystoscopies, for instance. The present work aims to report two cases of a circumcaval ureter with two renal veins in two different Brazilian shorthair cats (Felis catus)
Soil organisms in organic and conventional cropping systems.
Apesar do crescente interesse pela agricultura orgĂąnica, sĂŁo poucas as informaçÔes de pesquisa disponĂveis sobre o assunto. Assim, num Argissolo Vermelho-Amarelo distrĂłfico foram comparados os efeitos de sistemas de cultivo orgĂąnico e convencional, para as culturas do tomate (Lycopersicum esculentum) e do milho (Zea mays), sobre a comunidade de organismos do solo e suas atividades. As populaçÔes de fungos,bactĂ©rias e actinomicetos, determinadas pela contagem de colĂŽnias em meio de cultura, foram semelhantes para os dois sistemas de produção. A atividade microbiana, avaliada pela evolução de CO2, manteve-se superior no sistema orgĂąnico, sendo que em determinadas avaliaçÔes foi o dobro da evolução verificada no sistema convencional. O nĂșmero de espĂ©cimes de minhoca foi praticamente dez vezes maior no sistema orgĂąnico. NĂŁo foi observada diferença na taxa de decomposição de matĂ©ria orgĂąnica entre os dois sistemas. De modo geral, o nĂșmero de indivĂduos de microartrĂłpodos foi superior no sistema orgĂąnico do que no sistema convencional, refletindo no maior Ăndice de diversidade de Shannon. As maiores populaçÔes de insetos foram as da ordem Collembola, enquanto para os ĂĄcaros a maior população foi a da superfamĂlia Oribatuloidea. IndivĂduos dos grupos Aranae, Chilopoda, Dyplopoda, Pauropoda, Protura e Symphyla foram ocasionalmente coletados e de forma similar entre os sistemas
Utilização de tĂ©cnicas multivariadas na avaliação da divergĂȘncia genĂ©tica entre clones de palma forrageira (Opuntia ficus-indica Mill.)
Distribuição volumétrica e espectro de gotas de bicos hidråulicos de jato plano de faixa expandida XR11003
Evidence for a mixed mass composition at the `ankle' in the cosmic-ray spectrum
We report a first measurement for ultra-high energy cosmic rays of the
correlation between the depth of shower maximum and the signal in the water
Cherenkov stations of air-showers registered simultaneously by the fluorescence
and the surface detectors of the Pierre Auger Observatory. Such a correlation
measurement is a unique feature of a hybrid air-shower observatory with
sensitivity to both the electromagnetic and muonic components. It allows an
accurate determination of the spread of primary masses in the cosmic-ray flux.
Up till now, constraints on the spread of primary masses have been dominated by
systematic uncertainties. The present correlation measurement is not affected
by systematics in the measurement of the depth of shower maximum or the signal
in the water Cherenkov stations. The analysis relies on general characteristics
of air showers and is thus robust also with respect to uncertainties in
hadronic event generators. The observed correlation in the energy range around
the `ankle' at differs significantly from
expectations for pure primary cosmic-ray compositions. A light composition made
up of proton and helium only is equally inconsistent with observations. The
data are explained well by a mixed composition including nuclei with mass . Scenarios such as the proton dip model, with almost pure compositions, are
thus disfavoured as the sole explanation of the ultrahigh-energy cosmic-ray
flux at Earth.Comment: Published version. Added journal reference and DOI. Added Report
Numbe
Desempenho agronĂŽmico e qualidade de sementes de crambe em diferentes Ă©pocas e profundidades de semeadura
Produção de biomassa de erva-cidreira [Lippia alba (Mill.) N.E.Br.] sob adubação com composto de capim elefante inoculado e sem inoculação de actinomicetos
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