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  1 / 11208 MEDLINE  
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[PMID]:29403333
[Au] Autor:Leffler CT; Letocha CE; Pierson K; Schwartz SG
[Ad] Endereço:Department of Ophthalmology, Virginia Commonwealth University, Richmond.
[Ti] Título:Aspiration of cataract in 1815 in Philadelphia, Pennsylvania.
[So] Source:Digit J Ophthalmol;23(4):4-7, 2017.
[Is] ISSN:1542-8958
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:We present and discuss the previously unrecognized evidence for the possible introduction of cataract extraction by aspiration into modern Western medicine on March 26, 1815, in Philadelphia, Pennsylvania, by surgeon Philip Syng Physick. On this date, he successfully extracted a cataract by suction through a tube, according to newspaper reports written by the patient, an attorney who sought a patent on the suction device. Aspects of the patient's account are confirmed by supporting evidence from the medical community and by a cataract instrument set attributed to Physick, which includes a cannula attached to a syringe. The evidence suggests that Physick was the first to reintroduce cataract aspiration to Western medicine.
[Mh] Termos MeSH primário: Extração de Catarata/história
Catarata/história
[Mh] Termos MeSH secundário: História do Século XIX
Seres Humanos
Philadelphia
Sucção/história
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE; PORTRAITS
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180207
[St] Status:MEDLINE
[do] DOI:10.5693/djo.01.2017.10.001


  2 / 11208 MEDLINE  
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[PMID]:29489659
[Au] Autor:Yao Z; Tian W; Xu X; Huang Q; Zhao Y
[Ad] Endereço:Department of General Surgery, Jinling Hospital, Southern Medical University, Nanjing, Jiangsu, China.
[Ti] Título:An innovative method for placing a double-lumen irrigation-suction tube in the management of abdominal infection: A case report.
[So] Source:Medicine (Baltimore);97(9):e0048, 2018 Mar.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Currently, the use of double-lumen irrigation-suction tube for drainage has become increasingly more common. However, the insertion process is complex, and the position of the double cannula placed in this manner is not accurate. We developed a method for placing the drainage tube and use it in the treatment of an abdominal infection. PATIENT CONCERNS: A 51-year-old man with an abdominal infection due to colonic anastomotic fistula was admitted. Routine laboratory tests revealed an elevated white blood cell count (17 × 10/L) and C-reactive protein level (78 mg/L). Computed tomography (CT) revealed that the peritoneal cavity was filled with fluid. DIAGNOSES: The patient was diagnosed with colonic anastomosis fistula by gastrointestinal radiography. Abdominal infection was diagnosed based on CT scan, inflammatory markers, and patient signs and symptoms. INTERVENTIONS: Two punctures were performed. After skin expansion, the source of infection was drained with a suction catheter (diameter = 1.0 cm) under continuous negative pressure of 150 to 200 millibars, along with continuous saline irrigation at 300 mL/h. OUTCOMES: Pus in the abdomen drained completely. The abdominal infection was controlled. There were no adverse events. LESSONS: Abdominal infection in fistulas is a fatal disease. The main therapeutic target is full drainage at an early stage. Precise positioning of the tube, continuous negative pressure irrigation and drainage are key points in the treatment.
[Mh] Termos MeSH primário: Abscesso Abdominal/terapia
Sucção/métodos
[Mh] Termos MeSH secundário: Abscesso Abdominal/etiologia
Doenças do Colo/complicações
Seres Humanos
Fístula Intestinal/complicações
Masculino
Meia-Idade
Sucção/instrumentação
Irrigação Terapêutica/instrumentação
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180301
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000010048


  3 / 11208 MEDLINE  
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[PMID]:27776379
[Au] Autor:Kadihasanoglu M; Kilciler M; Atahan O
[Ad] Endereço:Department of Urology, Istanbul Training and Research Hospital, Istanbul Turkey.
[Ti] Título:Endoscopic Treatment of Renal Hydatid Cyst with Percutaneous Access through an All Seeing Needle.
[So] Source:Aktuelle Urol;47(6):494-496, 2016 12.
[Is] ISSN:1438-8820
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:A 44-year-old woman, who had had left flank pain for the previous 3 months, was treated successfully for renal hydatid cyst disease by using an endoscopic technique with percutaneous access through an all seeing needle. Abdominal ultrasonography showed a Gharbi type III cyst in the lower pole of the left kidney. Computerised tomography of the abdomen revealed a bulky solid-cystic mass with calcified and well-defined wall and daughter cyst without contrast enhancement. The patient, who refused any renal operation, underwent a percutaneous intervention with access through an all seeing needle access. There were no intraoperative or early postoperative complications. To our knowledge, this is the first published report of this minimally invasive percutaneous access technique through an all seeing needle.
[Mh] Termos MeSH primário: Equinococose/cirurgia
Nefropatias/cirurgia
Procedimentos Cirúrgicos Minimamente Invasivos/instrumentação
Agulhas
Nefrostomia Percutânea/instrumentação
[Mh] Termos MeSH secundário: Adulto
Albendazol/uso terapêutico
Terapia Combinada
Equinococose/diagnóstico por imagem
Desenho de Equipamento
Feminino
Fluoroscopia
Seres Humanos
Nefropatias/diagnóstico por imagem
Sucção/instrumentação
Tomografia Computadorizada por Raios X
Ultrassonografia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
F4216019LN (Albendazole)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180207
[Lr] Data última revisão:
180207
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE


  4 / 11208 MEDLINE  
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[PMID]:29210760
[Au] Autor:Sweet M; Armbruster D; Bainbridge E; Reiner B; Tan A; Chipps E
[Ad] Endereço:Newborn Intensive Care Unit, Nationwide Children's Hospital at The Ohio State University Wexner Medical Center, Columbus (Mss Sweet, Bainbridge, and Reiner and Drs Armbruster and Chipps); and College of Nursing, The Ohio State University, Columbus (Drs Tan and Chipps).
[Ti] Título:A Pilot Study of Responses to Suctioning Among Neonates on Bubble Nasal Continuous Positive Airway Pressure.
[So] Source:Adv Neonatal Care;17(6):E3-E11, 2017 Dec.
[Is] ISSN:1536-0911
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Maintenance of a patent airway while the neonate is on nasal continuous positive airway pressure (nasal CPAP) requires vigilant monitoring and oral/nasopharyngeal suctioning. Currently, no evidence-based guidelines for safe suctioning in neonates while on bubble nasal CPAP have been published. PURPOSE: (1) To characterize the clinical and behavioral responses of neonates on bubble nasal CPAP in a level III neonatal intensive care unit following routine oral and nasopharyngeal suctioning. METHODS: This pilot study has a 1-sample within-subject repeated-measures design in which neonates (N = 16) served as their own control. Data on a neonate's physiological and behavior measures (heart rate, respiratory rate, oxygen saturation [SaO2], and Premature Infant Pain Profile [PIPP] score) were collected before, during, and after the completion of suctioning sequence. FINDING/RESULTS: A total of 16 neonates with a mean gestational age of 29.76 weeks and an average day of life of 3.4 were enrolled. The infant's heart rates did not differ significantly (P = .51) across the suctioning sequence. There were no statistical significant changes in the average respiratory rate across the suctioning sequences (P = .79). SaO2 demonstrated a drop between baseline and after each suctioning (P < .001). The PIPP score demonstrated a precipitous increase throughout the procedure (P < .001). On average, it took 9.5 seconds (SD = 4.9) to complete the suctioning sequences. IMPLICATIONS FOR PRACTICE: Our results suggest that the guideline tested is safe and tolerated by infants. IMPLICATIONS FOR RESEARCH: This guideline should be tested in a larger sample and with neonates on other nasal CPAP systems.
[Mh] Termos MeSH primário: Pressão Positiva Contínua nas Vias Aéreas/efeitos adversos
Recém-Nascido Prematuro
Enfermagem Neonatal
Dor/enfermagem
Síndrome do Desconforto Respiratório do Recém-Nascido/terapia
[Mh] Termos MeSH secundário: Seres Humanos
Unidades de Terapia Intensiva Neonatal
Dor/etiologia
Medição da Dor
Projetos Piloto
Sucção/efeitos adversos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180201
[Lr] Data última revisão:
180201
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171207
[St] Status:MEDLINE
[do] DOI:10.1097/ANC.0000000000000442


  5 / 11208 MEDLINE  
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[PMID]:28455725
[Au] Autor:Cakmakci E; Celebi I; Ozal ST; Eksioglu AS; Kolcak O; Dogru M
[Ad] Endereço:Department of Radiology, Dr. Sami Ulus Children's Health and Diseases Training and Research Hospital, Ankara, Turkey. em_sel74@hotmail.com.
[Ti] Título:Can ultrasonography-guided aspiration and steroid injection treat reflux venous blood flow around symptomatic Baker's cysts? Our short-term experience.
[So] Source:Radiol Med;122(9):690-695, 2017 Sep.
[Is] ISSN:1826-6983
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The aim of the current study was to investigate the efficacy of ultrasonography-guided aspiration treatment with concomitant steroid injection on relieving reflux blood flow in veins located next to symptomatic Baker's cyst. METHODS: All patients were examined by ultrasonography at administration and 1 month follow-up after intervention. Puncture and aspiration of the cyst, as well as injection of 1 ml dexamethasone were performed by the same radiologist. Compression on popliteal vein and vena saphena parva and the degrees of reflux before and after treatment were recorded. RESULTS: Twenty-six patients were included in the study. An overall reduction of the cyst's size was observed in all patients of the study group. Reduction of the cyst size is more evident during the 1st week, which was observed by a slight enlargement during the 1st and the 3rd months controls. CONCLUSION: Ultrasonography-guided puncture, aspiration and steroid injection seems to yield promising outcomes in terms of relieving venous reflux flow around simple Baker's cysts.
[Mh] Termos MeSH primário: Cisto Popliteal/terapia
Ultrassonografia de Intervenção
[Mh] Termos MeSH secundário: Adulto
Idoso
Terapia Combinada
Dexametasona/administração & dosagem
Feminino
Glucocorticoides/administração & dosagem
Seres Humanos
Masculino
Meia-Idade
Punções
Sucção
Resultado do Tratamento
Ultrassonografia Doppler em Cores
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Glucocorticoids); 7S5I7G3JQL (Dexamethasone)
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171208
[Lr] Data última revisão:
171208
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170430
[St] Status:MEDLINE
[do] DOI:10.1007/s11547-017-0771-5


  6 / 11208 MEDLINE  
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[PMID]:28976432
[Au] Autor:Patterson TE; Boehm C; Nakamoto C; Rozic R; Walker E; Piuzzi NS; Muschler GF
[Ad] Endereço:1Departments of Orthopaedic Surgery (T.E.P., N.S.P., and G.F.M.) and Biomedical Engineering (T.E.P., C.B., C.N., R.R., E.W., N.S.P., and G.F.M.), Cleveland Clinic, Cleveland, Ohio.
[Ti] Título:The Efficiency of Bone Marrow Aspiration for the Harvest of Connective Tissue Progenitors from the Human Iliac Crest.
[So] Source:J Bone Joint Surg Am;99(19):1673-1682, 2017 Oct 04.
[Is] ISSN:1535-1386
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The rational design and optimization of tissue engineering strategies for cell-based therapy requires a baseline understanding of the concentration and prevalence of osteogenic progenitor cell populations in the source tissues. The aim of this study was to (1) define the efficiency of, and variation among individuals in, bone marrow aspiration as a means of osteogenic connective tissue progenitor (CTP-O) harvest compared with harvest from iliac cancellous bone, and (2) determine the location of CTP-Os within native cancellous bone and their distribution between the marrow-space and trabecular-surface tissue compartments. METHODS: Eight 2-mL bone marrow aspiration (BMA) samples and one 7-mm transcortical biopsy sample were obtained from the anterior iliac crest of 33 human subjects. Two cell populations were obtained from the iliac cancellous bone (ICB) sample. The ICB sample was placed into αMEM (alpha-minimal essential medium) with antibiotic-antimycotic and minced into small pieces (1 to 2 mm in diameter) with a sharp osteotome. Cells that could be mechanically disassociated from the ICB sample were defined as marrow-space (IC-MS) cells, and cells that were disassociated only after enzymatic digestion were defined as trabecular-surface (IC-TS) cells. The 3 sources of bone and marrow-derived cells were compared on the basis of cellularity and the concentration and prevalence of CTP-Os through colony-forming unit (CFU) analysis. RESULTS: Large variation was seen among patients with respect to cell and CTP-O yield from the IC-MS, IC-TS, and BMA samples and in the relative distribution of CTP-Os between the IC-MS and IC-TS fractions. The CTP-O prevalence was highest in the IC-TS fraction, which was 11.4-fold greater than in the IC-MS fraction (p < 0.0001) and 1.7-fold greater than in the BMA fraction. However, the median concentration of CTP-Os in the ICB (combining MS and TS fractions) was only 3.04 ± 1.1-fold greater than that in BMA (4,265 compared with 1,402 CTP/mL; p = 0.00004). CONCLUSIONS: Bone marrow aspiration of a 2-mL volume at a given needle site is an effective means of harvesting CTP-Os, albeit diluted with peripheral blood. However, the median concentration of CTP-Os is 3-fold less than from native iliac cancellous bone. The distribution of CTP-Os between the IC-MS and IC-TS fractions varies widely among patients. CLINICAL RELEVANCE: Bone marrow aspiration is an effective means of harvesting CTP-Os but is associated with dilution with peripheral blood. Overall, we found that 63.5% of all CTP-Os within iliac cancellous bone resided on the trabecular surface; however, 48% of the patients had more CTP-Os contributed by the IC-MS than the IC-TS fraction.
[Mh] Termos MeSH primário: Células da Medula Óssea
Ílio/citologia
Sucção
Coleta de Tecidos e Órgãos/métodos
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Artroplastia de Quadril
Transplante de Medula Óssea
Feminino
Seres Humanos
Masculino
Meia-Idade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171021
[Lr] Data última revisão:
171021
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171005
[St] Status:MEDLINE
[do] DOI:10.2106/JBJS.17.00094


  7 / 11208 MEDLINE  
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[PMID]:28868600
[Au] Autor:Gelsomino M; Tsouras T; Millar I; Fock A
[Ad] Endereço:Hyperbaric Medicine Service, The Alfred Hospital, Melbourne, Victoria, Australia.
[Ti] Título:A pleural vacuum relief device for pleural drain unit use in the hyperbaric environment.
[So] Source:Diving Hyperb Med;47(3):191-197, 2017 Sep.
[Is] ISSN:1833-3516
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: When a standard water-seal pleural drain unit (PDU) is used under hyperbaric conditions there are scenarios where excessive negative intrapleural pressure (IPP) and/or fluid reflux can be induced, risking significant morbidity. We developed and tested a pleural vacuum relief (PVR) device which automatically manages these risks, whilst allowing more rapid hyperbaric pressure change rates. METHODS: The custom-made PVR device consists of a one-way pressure relief valve connected in line with a sterile micro filter selected for its specific flow capacity. The PVR device is designed for connection to the patient side sampling port of a PDU system, allowing inflow of ambient air whenever negative pressure is present, creating a small, controlled air leak which prevents excessive negative pressure. The hyperbaric performance of a Pleur-Evac A-6000 intercostal drain was assessed with and without this added device by measuring simulated IPP with an electronic pressure monitor connected at the patient end of the PDU. IPP readings were taken at 10, 15, 20 and 30 cmH2O of suction (set on the drain unit) at compression rates of 10, 30, 60, 80, 90 and 180 kPa·min⁻¹ to a pressure of 280 kPa. RESULTS: At any compression rate of > 10 kPa·min⁻¹, the negative IPP generated by the Pleur-Evac A-6000 alone was excessive and resulted in back flow through the PDU water seal. By adding the PVR device, the generated negative IPP remains within a clinically acceptable range, allowing compression rates of at least 30 kPa·min⁻¹ with suction settings up to -20 cmH2O during all phases of hyperbaric treatment. CONCLUSIONS: The PDU PVR device we have developed works well, minimising attendant workload and automatically avoiding the excessive negative IPPs that can otherwise occur. This device should only be used with suction.
[Mh] Termos MeSH primário: Tubos Torácicos
Drenagem/instrumentação
Desenho de Equipamento
Oxigenação Hiperbárica
[Mh] Termos MeSH secundário: Pressão
Sucção/instrumentação
Vácuo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171012
[Lr] Data última revisão:
171012
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170905
[St] Status:MEDLINE


  8 / 11208 MEDLINE  
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[PMID]:28822399
[Au] Autor:Bridges LC; Torrent DJ; Mosquera C; Bard MR
[Ti] Título:Chest Tube Removal in Simple Pneumothorax: Does Water-Seal Duration Matter?
[So] Source:Am Surg;83(8):901-905, 2017 Aug 01.
[Is] ISSN:1555-9823
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Timing of chest tube (CT) removal after transition from suction to water-seal (WS) varies when treating traumatic simple pneumothoraces (PTXs). Longer periods of WS may identify slow-occurring PTXs reducing CT replacement, whereas shorter periods may expedite patient disposition and have associated cost savings. Prior studies support the need for an interval of WS. We compare durations of WS, looking at rates of CT reinsertion. A 10-year retrospective review on trauma patients with a simple PTX requiring a CT was performed. WS duration of 1 to 8 hours (short - SG) versus 18 to 36 hours (long - LG) were compared. Univariate analysis and multivariate logistic regression were used. Of the 2000 patient charts reviewed, 209 met the criteria, with 43 in the SG and 166 in the LG. Patient demographics and mechanism of injury were similar. There was no difference in CT replacement [6.9% (SG) vs 4.8% (LG), P 0.59]. Logistic regression revealed an increase in CT replacement if the patient ever had positive pressure ventilation (OR 4.1, CI 1.1-17, P 0.04) and if returned to suction from WS (OR 6.3, CI 1.2-28, P 0.03). Short intervals of WS do not increase CT reinsertion while decreasing the total time and morbidity associated with CT.
[Mh] Termos MeSH primário: Tubos Torácicos
Remoção de Dispositivo
Pneumotórax/terapia
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Estudos Retrospectivos
Sucção
Fatores de Tempo
Água
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
059QF0KO0R (Water)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170914
[Lr] Data última revisão:
170914
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170821
[St] Status:MEDLINE


  9 / 11208 MEDLINE  
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[PMID]:28781210
[Au] Autor:Hadad E; Wiser I; Rosenthal A; Landau G; Ziv E; Heller L
[Ad] Endereço:Department of Plastic Surgery, Assaf Harofeh Medical Center, Zerifin, Affiliated to the Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel. Electronic address: eranha1@gmail.com.
[Ti] Título:Suction drains in esthetic breast implant exchange are associated with surgical site infections: A retrospective cohort study.
[So] Source:J Plast Reconstr Aesthet Surg;70(11):1635-1640, 2017 Nov.
[Is] ISSN:1878-0539
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND AND OBJECTIVE: Surgical site infection (SSI) following esthetic breast implant exchange occurs in up to 2% of procedures. The effect of suction drains on SSI risk in these cases remains controversial. This study aimed to assess the SSI risk in the presence of suction drains after esthetic exchange of breast implants. METHODS: This is a retrospective cohort study of patients undergoing esthetic breast implant exchange between 2012 and 2015. SSI was determined according to the definition of the Center for Disease Control and Prevention. Multivariate analysis using a logistic regression model to identify independent risk factors for SSI was performed. RESULTS: A total of 256 women (504 breasts) met the inclusion criteria and were included in the study. The mean age was 44 ± 11 years. The mean operative time was 93 ± 40 min. The mean implant age at the time of the exchange was 10.3 ± 6.5 years. Suction drains were used in 229 breasts (45.4%) and were removed after 6 ± 7 days. Twenty (4%) breasts were diagnosed with SSI, of which 17 had suction drains. Suction drain use and days until drain removal were associated with a higher risk of SSI (85.0% vs. 43.8%, p < 0.001; 6.97 days vs. 12.07 days, p < 0.001, respectively). The use of suction drains remained an independent risk factor for SSI after adjustment for age, smoking, and previous capsular contracture (OR = 10.66, CI 95% 2.42-46.82). CONCLUSIONS: Suction drain use in esthetic breast implant exchange is associated with an increased risk of SSI. Surgeons should carefully consider using suction drains in selected cases only.
[Mh] Termos MeSH primário: Implantes de Mama/efeitos adversos
Drenagem/instrumentação
Mamoplastia/efeitos adversos
Infecção da Ferida Cirúrgica/prevenção & controle
[Mh] Termos MeSH secundário: Adulto
Drenagem/efeitos adversos
Feminino
Seguimentos
Seres Humanos
Israel/epidemiologia
Masculino
Estudos Retrospectivos
Fatores de Risco
Sucção/efeitos adversos
Infecção da Ferida Cirúrgica/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170808
[St] Status:MEDLINE


  10 / 11208 MEDLINE  
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[PMID]:28586661
[Au] Autor:Huertas V; Bellwood DR
[Ad] Endereço:College of Science and Engineering, James Cook University, Townsville, QLD 4811, Australia.
[Ti] Título:Mucus-secreting lips offer protection to suction-feeding corallivorous fishes.
[So] Source:Curr Biol;27(11):R406-R407, 2017 Jun 05.
[Is] ISSN:1879-0445
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Of the 6,000 reef fish species, only 128 feed on corals [1,2]. Despite being widely available on tropical reefs, corals appear to represent a particularly challenging trophic resource, with mucus- and nematocyst-laden tissues spread over a sharp coral skeleton. Here we report that coral-feeding tubelip wrasses use highly modified lips to suck material from the coral surface. These lips have a specialized mushroom-like lamellar epithelium that secretes mucus. This mucus may facilitate suction and reduce damage by nematocysts in a manner akin to anemonefishes. The remarkable lip specializations observed in tubelip wrasses highlight the potential role of soft tissues in shaping the trophic ability of fishes.
[Mh] Termos MeSH primário: Antozoários
Glândulas Exócrinas/metabolismo
Comportamento Alimentar
Peixes/fisiologia
Lábio/fisiologia
[Mh] Termos MeSH secundário: Animais
Peixes/classificação
Muco/metabolismo
Sucção
[Pt] Tipo de publicação:LETTER
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170607
[St] Status:MEDLINE



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