Metastatic Urethral Melanoma: Case Report and Review of the Literature

Melanoma is a cancer that originates from melanocytes, is predominant in adults with white skin, represents 4% of skin cancers, and has high possibility of forming metastasis. This review reports on the case of a young man, age 36 years, previously diagnosed with melanoma. The patient complained of obstructive urinary symptoms and, while he was undergoing a cystoscopy, it was discovered that he had a lesion corresponding with metastatic melanoma of the prostatic urethra, which occluded almost the entire urethra and resulted in blocked urinary flow. He underwent a transurethral resection of the prostate, followed by resection of the lesion. After the procedure, he had good urinary flow and is currently on follow-up.Key words: Melanoma, Urethra, Urinary obstruction, Metastasis, Urethral melanomaPrimary malignant melanoma of the urethra is rare, representing < 1% of all melanomas^1,2; it is often misdiagnosed, which leads to delays in treatment.² The lethality is high, but its incidence is low. Prognosis is considered good if it is detected in its early stages.¹ In recent years, there have been great improvements in patient survival rates. In developed countries, the average estimated 5-year survival is 73%, whereas in developing countries, the average survival is 56%. The estimated world average is 69%.¹ Risk factors in order of importance are sensitivity to the sun, light skin, excessive sun exposure, history of skin cancer, family history of melanoma, congenital nevi, maturity, xeroderma pigmentosum, and dysplastic nevi.¹Individual management according to the clinical presentation is based on extrapolation of evidence for other melanoma treatments.² Due to low occurrence rates of urethral melanoma, the optimal therapy has not yet been established, and surgery remains the mainstay of primary therapy; adjuvant locoregional and systemic therapies are needed.² This article reports on the case of a young patient with metastatic melanoma in the urethra which led to urinary obstruction and urinary symptoms.     

An analysis of the impact of the Schistosomiasis Control Programme in Brazil

The impact of the Schistosomiasis Control Programme (PCE) in Brazil was analyzed, covering the period 1976 to 2003, using the following indicators: percentage of Schistosoma mansoni carriers detected among the population examined in the coproscopic surveys (PPS): mortality rate for schistosomiasis, per 100,000 inhabitants (TME): hospitalization rate for schistosomiasis, per 100,000 inhabitants (TIE): average age of deaths caused by schistosomiasis (IMOE). There was a 38.5% reduction in the PPS after the introduction of the PCE, attributed to the treatment of carriers. Even in hyper-endemic municipalities, such as Conde and Cuitegí, in the state of Paraíba, the PPS fell more than 50% after the first year of treatment. The parasitic burden of the carriers also decreased in the two municipalities. The TME was reduced by 63.4% and the TIE by 77.3%. The mortality rate was highest among the 50-and-above age group. The country's IMOE rose 32.3%. The IMOE was seen to be much lower in the state of Minas Gerais, where the PCE was only initiated in 1983, with very limited coverage.     

ON the influence of parameter theta- on performance of RBF neural networks trained with the dynamic decay adjustment algorithm

The dynamic decay adjustment (DDA) algorithm is a fast constructive algorithm for training RBF neural networks (RBFNs) and probabilistic neural networks (PNNs). The algorithm has two parameters, namely, theta(+) and theta(-). The papers which introduced DDA argued that those parameters would not heavily influence classification performance and therefore they recommended using always the default values of these parameters. In contrast, this paper shows that smaller values of parameter theta(-) can, for a considerable number of datasets, result in strong improvement in generalization performance. The experiments described here were carried out using twenty benchmark classification datasets from both Proben1 and the UCI repositories. The results show that for eleven of the datasets, the parameter theta(-) strongly influenced classification performance. The influence of theta(-) was also noticeable, although much less, on six of the datasets considered. This paper also compares the performance of RBF-DDA with theta(-) selection with both AdaBoost and Support Vector Machines (SVMs).     

Path analysis in fruits of the buriti (<Emphasis Type="Italic">Mauritia flexuosa</Emphasis> L. f) in populations from the Brazilian Middle North Region

The Mauritia flexuosa L.f. tree is of immense socioeconomic significance in the Brazilian Middle North Region for its manifold benefits, but mainly for its fruit. However, the potential of this species has still not been extensively studied. The objectives of this work were to study the phenotypic and genotypic correlations between the characteristics of the M. flexuosa fruits and to establish the direct and indirect effects of the secondary characteristics of the fruit on the pulp yield. Samples of ten fruits per genotype were gathered from four natural populations, from 240 different genotypes. These samples were assessed in terms of the fruit, almond and hull weights, equatorial and polar fruit diameters, and the fruit, almond and pulp, volumes, as well as the pulp yield. The genotypic correlations showed greater magnitude, higher than the phenotypic correlations, and both were significant and revealed equal signs. The indirect selection of the M. flexuosa genotypes with greater fruit weight and almond volume favored the increase in the pulp yield in this fruit species.     

Assessing factors influencing communities’ acceptability of mass drug administration for the elimination of lymphatic filariasis in Guyana

BackgroundGuyana is one of four countries in the Latin American Region where lymphatic filariasis (LF) remains endemic. In preparation for the introduction of a new triple drug therapy regimen (ivermectin, diethylcarbamazine, and albendazole (IDA)) in 2019, an acceptability study was embedded within sentinel site mapping in four regions to assess mass drug administration (MDA) coverage and compliance, acceptability, and perceptions about treatment and disease. The results from this survey would inform the rollout of IDA in Guyana in 2019.MethodsData collection for the study occurred in August 2019, using a validated questionnaire administered by trained enumerators. Across all regions, a total of 1,248 participants were sampled by the Filarial Mapping team. Four-hundred and fifty-one participants aged over 18 years were randomly selected for participation in an expanded acceptability questionnaire. All data were captured in Secure Data Kit (SDK).ResultsAcceptability was measured using a mean acceptability score. Unadjusted mean scores ranged from 24.6 to 29.3, with 22.5 as the threshold of acceptability. Regional variation occurred across many indicators of interest: self-rated understanding about LF, mechanisms of LF transmission, LF drug safety and history of treatment during MDA. Region IV (Georgetown) recorded higher knowledge about LF, but lower compliance and acceptability. Number of pills was not perceived as a concern.ConclusionAcceptability of MDA was good across all four regions under study. Results from this study set a baseline level for key indicators and acceptability, from which the acceptability of IDA can be measured. Regional variations across indicators suggest that localized approaches should be considered for social mobilization and MDA delivery to capture these contextual differences.     

Effects of intrapopulation phenotypic traits of invasive crayfish on leaf litter processing

Environmental gradients and competition influence aquatic macrophyte distribution in estuaries. The competition-to-stress hypothesis states that some species are excluded from lower estuaries (high salinity) due to abiotic stress and others from upper estuaries (low salinity) by competition. The growth of Crinum americanum L. and Spartina alterniflora Loisel. in monoculture (10:0/0:10) and mixed culture (5:5) under different salinity levels (4/12/26) was analysed by a laboratory experiment (3 cultures × 3 sediment types × 3 replicate) to understand the role of competition and salinity on the distribution of these species in a tropical estuary as well as to verify whether the competition-to-stress hypothesis explains their zonation. We tested the hypothesis that S. alterniflora is not established in the upper estuary due to the effect of competition with C. americanum, whereas the latter presents restrictions to high salinity and has greater competitive ability in the upper estuary. Our data confirm the competition-to-stress hypothesis but not as proposed originally. We conclude that abiotic stress (low nutrient availability) is responsible for the absence of S. alterniflora in the upper estuary and that the competition between the two species is responsible for the absence of C. americanum in the lower estuary.     

Length-weight relationships of fish species from oxbow lakes on the floodplain of the middle Purus River in western Brazilian Amazon

The length-weight relationship (LWRs) was estimated for eight fish species collected from oxbow lakes on the floodplain of the middle Purus River in western Brazilian Amazonia in January, May, and September 2012. The specimens were collected using 12 gillnets (80 m in length × 4 m in height, meshes of between 1.5 cm and 12.0 cm), which were set during both diurnal and nocturnal periods. The species had allometric coefficients (b) of between 2.92 and 3.37, and correlation coefficients (r²) ranging from 0.954 to 0.993 and we highlight that the work presents new data for literature.     

Tuberculosis patients co-infected with Mycobacterium bovis and Mycobacterium tuberculosis in an urban area of Brazil

In this cross-sectional study, mycobacteria specimens from 189 tuberculosis (TB) patients living in an urban area in Brazil were characterised from 2008-2010 using phenotypic and molecular speciation methods (pncA gene and oxyR pseudogene analysis). Of these samples, 174 isolates simultaneously grew on Löwenstein-Jensen (LJ) and Stonebrink (SB)-containing media and presented phenotypic and molecular profiles of Mycobacterium tuberculosis, whereas 12 had molecular profiles of M. tuberculosis based on the DNA analysis of formalin-fixed paraffin wax-embedded tissue samples (paraffin blocks). One patient produced two sputum isolates, the first of which simultaneously grew on LJ and SB media and presented phenotypic and molecular profiles of M. tuberculosis, and the second of which only grew on SB media and presented phenotypic profiles of Mycobacterium bovis. One patient provided a bronchial lavage isolate, which simultaneously grew on LJ and SB media and presented phenotypic and molecular profiles of M. tuberculosis, but had molecular profiles of M. bovis from paraffin block DNA analysis, and one sample had molecular profiles of M. tuberculosis and M. bovis identified from two distinct paraffin blocks. Moreover, we found a low prevalence (1.6%) of M. bovis among these isolates, which suggests that local health service procedures likely underestimate its real frequency and that it deserves more attention from public health officials.     

Rhodolith beds are major CaCO3 bio-factories in the tropical South West Atlantic

Rhodoliths are nodules of non-geniculate coralline algae that occur in shallow waters (<150 m depth) subjected to episodic disturbance. Rhodolith beds stand with kelp beds, seagrass meadows, and coralline algal reefs as one of the world's four largest macrophyte-dominated benthic communities. Geographic distribution of rhodolith beds is discontinuous, with large concentrations off Japan, Australia and the Gulf of California, as well as in the Mediterranean, North Atlantic, eastern Caribbean and Brazil. Although there are major gaps in terms of seabed habitat mapping, the largest rhodolith beds are purported to occur off Brazil, where these communities are recorded across a wide latitudinal range (2°N-27°S). To quantify their extent, we carried out an inter-reefal seabed habitat survey on the Abrolhos Shelf (16°50'-19°45'S) off eastern Brazil, and confirmed the most expansive and contiguous rhodolith bed in the world, covering about 20,900 km(2). Distribution, extent, composition and structure of this bed were assessed with side scan sonar, remotely operated vehicles, and SCUBA. The mean rate of CaCO(3) production was estimated from in situ growth assays at 1.07 kg m(-2) yr(-1), with a total production rate of 0.025 Gt yr(-1), comparable to those of the world's largest biogenic CaCO(3) deposits. These gigantic rhodolith beds, of areal extent equivalent to the Great Barrier Reef, Australia, are a critical, yet poorly understood component of the tropical South Atlantic Ocean. Based on the relatively high vulnerability of coralline algae to ocean acidification, these beds are likely to experience a profound restructuring in the coming decades.