Biomedical subjects

J Colaço

Publications and source records attributed to J Colaço.

6 recordsLinked to original sources

PubMed2007

Comparison of the efficacy and tolerability of solifenacin succinate with or without previous use of trospium chloride.

Overactive bladder syndrome (OBS) is described as urinary urgency with or without incontinence, usually with increased daytime frequency and nocturia in the absence of another identifiable pathological process. Nowadays and despite other alternative therapies, the mainstay of OBS is still the pharmacological approach, mainly with anti-muscarinic drugs. To compare the efficacy of a 30-day solifenacin succinate (5 mg OD) treatment with or without previous medication with trospium chloride, a prostective open, two-arm, parallel group study was conducted for 5 weeks in 40 patients with OBS. The primary endpoint was patient self-assessment of improvement after 30 days of medication. Secondary endpoints included the reduction of the daily number of voids and urgency or involuntary leakage episodes. Adverse reactions and therapeutic stoppage were also evaluated. To be included in the trospium chloride treatment group, patients were required to have been treated with such drug for 1 to 6 months before the present study. Evaluation and efficacy assessment were accomplished using a 3-day bladder diary and an urgency severity scale (USS). Safety assessment was done by recording all the patients' complaints after starting medication. A total of 40 patients were enrolled for this study, 19 without previous medication and 21 who had already tried trospium chloride. Two patients from the non-previous medication group were excluded. Globally, there was a statistically significant reduction for the USS (2.73-->1.73), the daily number of voids (9.5-->7.0), of urgency episodes (9.1-->4.0) and of involuntary leakage episodes (3.6-->1.0) over the 24 h. Six patients had no improvement, four from the previous trospium chloride group and two from the non-previous medication group. Three patients reported side effects, two cases of dry mouth and one case of constipation. One patient dropped out of the treatment due to an unspecified intolerance. Solifenacin succinate 5 mg seems to be effective concerning patients' self-assessment of improvement and decrease in the mean number of daily voids, urgency episodes and incontinence episodes. This was reported both in patients who have already been medicated with trospium chloride and those who have never taken any kind of medication. Regarding side effects, solifenacin is quite well-tolerated in both groups.

Aged↗

PubMed2006

The accuracy of seven mathematical functions in modeling dairy cattle lactation curves based on test-day records from varying sample schemes.

Daily milk yield over the course of the lactation follows a curvilinear pattern, so a suitable function is required to model this curve. In this study, 7 functions (Wood, Wilmink, Ali and Schaeffer, cubic splines, and 3 Legendre polynomials) were used to model the lactation curve at the phenotypic level, using both daily observations and data from commonly used recording schemes. The number of observations per lactation varied from 4 to 11. Several criteria based on the analysis of the real error were used to compare models. The performance of models showed few discrepancies in the comparison criteria when daily or 4-weekly (with first test at days in milk 8) data by lactation were used. The performance of the Wood, Wilmink, and Ali and Schaeffer models were highly affected by the reduction of the sample dimension. The results of this work support the idea that the performance of these models depends on the sample properties but also shows considerable variation within the sampling groups.

Animals↗

PubMed2005

Genetic parameter estimates of portuguese dairy cows for milk, fat, and protein using a spline test-day model.

A spline animal model was fitted to 152,103 test-day milk, fat, and protein yield records from 14,423 first-lactation cows. The models included age at calving and the herd-test-month as fixed effects. Model fitting was carried out using Restricted Maximum Likelihood with ASREML. For milk yield, the heritability at 18 d in milk was 0.19, which increased to the maximum estimated value of 0.23 at midlactation and then decreased. On average, milk, fat, and protein yield heritabilities were 0.22, 0.14, and 0.19, respectively. For milk yield, all correlations were positive and ranged from 0.54 to 0.99 for the genetic component and from 0.32 to 0.78 for the phenotypic component. Genetic correlations were higher than phenotypic ones. For fat and protein yields, all genetic correlations were positive, ranging from 0.43 to 0.99. The phenotypic correlations for fat yield had the lowest correlations of the 3 traits. Curves of estimated breeding values for milk, fat, and protein over lactation had positive deviations from mean curves for sires with high genetic merit, but there was considerable variability in the shapes of the curves for different sires. More research is needed to compare the spline function with other mathematical functions used as submodels of lactation curve.

Animals↗

PubMed2004

[Burch colposuspension].

OBJECTIVE: This study was undertaken to evaluate the subjective success rates, and complications, of Burch colposuspension. DESIGN: A retrospective review. SAMPLE: Fortynine women undergoing surgery - Burch colposuspension - for genuine stress incontinence, between 1994 and 2000, were reviewed. METHODS: Choice of surgical procedure was made on the basis of clinical and urodynamic findings and physician preference. The subjective cure rate was determined by means of historical report and defined as no or occasional stress or urge incontinence (< one episode per week). Clinical follow-up started six weeks after the surgical procedure and continued for one to seven years. RESULTS: Thirty-six (73.5%) of the 49 women submitted to Burch colposuspension were subjectively cured of the stress urinary incontinence and three (6,1%) had improvement with mainly urge incontinence, while ten (19.2%) operations failed (n= 52). CONCLUSION: Burch colposuspension is an effective and safe procedure for women with urinary stress incontinence (even after retropubic continence surgery).

Adult↗

PubMed2004

Prediction of daily and lactation yields of milk, fat, and protein using an autoregressive repeatability test day model.

We evaluated the accuracy of an autoregressive multiple-lactation test day (ATD) model to predict missing test day yields of milk, fat, and protein to obtain cumulative 305-d records for cows with incomplete or in-progress lactations. The data consisted of more than one million observations of daily yields on test days in the first 3 lactations of over 75,000 Portuguese Holstein cows. Differences between actual (estimates from complete lactations using the test interval method) and ATD-predicted 305-d yields were negligible and smaller than those predicted by the test interval method. The ATD procedure tended to slightly underestimate cumulative lactation yields, whereas the test interval method substantially overestimated them. Smaller differences obtained by the ATD procedure resulted in less biased estimates of lactation yield, which also implies greater accuracy. As expected, the correlations between actual and predicted lactation yields increased with the number of test days from 0.831 to 0.997. Average correlations (by parity) between actual and ATD-predicted yields ranged from 0.977 to 0.984. Correlations between actual test day yields and corresponding predicted yields exceeded 0.5 for up to 7 time-intervals from the last test day yield used to predict cumulative yield of projected lactations. These correlations indicate the good predictive ability of the ATD method. From a producer's viewpoint, these advantages underwrite management because most on-farm selection decisions are based on the producing abilities of cows. Implementation of ATD methodology does not require special computing capability and is easily transferable to the farm level.

Animals↗

PubMedDate not supplied

[SAFYRE. A new concept for adjustable minimally invasive sling for female urinary stress incontinence].

INTRODUCTION: SAFYRE is a new readjustable and minimally invasive sling for the treatment of stress urinary incontinence (SUI). Attempts to restore the normal suburethral hammock using an anatomical approach have been made in recent years. The authors report their experience with this device, which associates the efficacy of slings with readjustability. MATERIAL AND METHODS: A total of 100 consecutive patients with clinical and urodynamic diagnosis of SUI underwent SAFYRE sling procedure. The age range was from 40 to 71, mean age 63 years. Seventy-five patients (75%) presented previous failed anti-incontinence procedures. Physical clinical examination, stress test, pad use and a urodynamic study were performed before the surgery. All the patients presented symptoms of SUI and 30% also reported mild urgency. RESULTS: The average follow up period was 14 months (12-30 months). The mean operative time was of 25 minutes. Dystopia repair was performed whenever necessary, during the same procedure. The average hospital stay was 24 hours. In 3% of the implants, bladder perforation occurred. During the postoperative period, 26 patients developed urgency symptoms. During that follow up period, 92% were found to be continent, 3% reported an improvement and 5% were dissatisfied. CONCLUSION: SAFYRE is a safe and quick procedure that allows for postoperative readjustment. This technique may be an attractive alternative if the good result obtained so far proves to be long lasting.

Adult↗