These findings suggest that TTNS is effective in the treatment of LUTS in patients with PD, reducing urgency and nocturia episodes and improving urodynamic parameters as well as symptom scores measured by the OAB-V8 and health-related quality-of-life scores measured by the ICIQ-SF.

PFMT is an effective approach to treat LUTD in female with MS.

Individuals with MUI and UUI in adult life were more likely to have a history of enuresis in childhood than those with SUI.

The mass densities of 2000 urines from children and 2000 urines from adults were determined with the new test strip, Multistix SG, and the results were compared with osmolality measurements. Normal urinary Parameters were investigated for possible interference with the test strip reading. Variations in the pH and ionic composition of urine considerably influenced the test strip reading, whereas nonionic compounds, such äs glucose and urea, showed practically no interference. For patients on a normal diet and without metabolic diseases, the new test strip is more appropriate than urometry for the determination of the mass density of the Zusammenfassung: Bei 2000 Urinen von Kindern und bei 2000 Urinen von Erwachsenen wurde die Dichte des Urins durch den neuen Teststreifen Multistix SG bestimmt und mit den Ergebnissen der Osmometrie verglichen, Interferenzen der Teststreifenanzeige durch physiologische Urinbestandteile wurden ausführlich untersucht. Es ergab sich ein erheblicher Einfluß des Urin-pH und der ionalen Zusammensetzung auf das Teststreifenergebnis. Dagegen interferierten nichtionische Bestandteile wie Glucose und Harnstoff praktisch nicht. Die Dichte des Urins bei Patienten mit üblicher gemischter Kost und ohne Störungen im Säuren-BasenHaushalt kann mit dem neuen Teststreifen besser untersucht werden als mit der Urometrie.

Objective:To verify and compare the results of behavioral modification plus pelvic floor muscle training and behavioral modifications plus oxybutynin chloride in children with nonmonosymptomatic enuresis.Methods:A total of 47 children were randomized using opaque and sealed envelopes sequentially numbered. Group I was composed of 21 children who underwent antimuscarinic treatment (oxybutynin), and Group II was composed of 26 patients who underwent pelvic floor muscle training. Both groups were instructed as to behavioral modifications.Results:The voiding diary results were compared each month between Groups I and II. In the first month of treatment, children in Group I presented 12.2 dry nights, 13.4 in the second month, and 15.9 in the last month. In Group II, the results were: 14.9 dry nights in the first month, 20.8 dry nights in the second and 24.0 dry nights in the last month. There was a significant difference between the groups in second and third months.Conclusion:Pelvic floor exercises associated with behavioral changes were more effective than pharmacological treatment in children with urinary incontinence.

Objective To compare the results of the standard urotherapy alone and associated with pelvic floor muscle training alone, and in combination with oxybutynin in treatment of nonmonosymptomatic nocturnal enuresis. Methods A total of 38 children aged 5 to 10 years were randomized into three groups: Group I (n=12) that was submitted to standard urotherapy; Group II (n=15), standard urotherapy associated with pelvic floor muscle training; and Group III (n=11), standard urotherapy associated with pelvic floor muscle training and oxybutynin; the treatment lasted 12 weeks. The assessment tools used were playful bladder diary, and a 48-hour bladder diary, before and after treatment. After 2 years, patients were assessed by telephone using a standardized questionnaire. Results The data of children from the three groups were homogeneous at baseline. After 12-week treatment, all children showed improved symptoms and signs of nonmonosymptomatic nocturnal enuresis, but the differences were not significant among the groups. After 2 years, the three groups showed maintenance of treatment results, but no differences among them. Conclusion All treatment modalities were effective regarding improved enuresis and lower urinary tract symptoms, but the sample was not large enough to show differences among groups.

No Brasil Eucalyptus tem sido um gênero muito cultivado por apresentar características comerciais desejáveis, haja vista que da maioria das espécies se aproveita a celulose, madeira e óleos essenciais. Assim, este estudo objetivou realizar uma compilação de dados acerca da expansão da eucaliptocultura no Brasil na última década e seus impactos socioambientais. Foi realizada uma revisão da literatura mediante consulta de livros e artigos científicos das bases eletrônicas Scielo, Periódicos CAPES e EBSCO Discovery Service (EDS). A demanda do mercado externo nos últimos 20 anos posicionou o Brasil em patamares elevados no contexto mundial de produção de celulose e fez com que houvesse uma grande expansão da área plantada de eucalipto no Brasil na última década. As atividades das fases de implantação, manutenção e colheita da eucaliptocultura, resultam em modificações das condições socioambientais outrora existente no local. Entre os impactos benéficos está a contribuição positiva à economia nacional, pois, gera um incremento comercial, com produtos de consumo interno e para exportação, impostos e empregos para a população. Entre os impactos adversos estão o empobrecimento da biodiversidade local, degradação ambiental e conflitos no meio rural e urbano. Para minimizar esses impactos adversos é necessária a implementação de uma gestão ambiental ecologicamente correta, com a identificação das características e condições de conservação ambientais locais (como, proximidade de áreas de vegetação ripária, biodiversidade local, tipos de clima e solo, declividade do terreno, disponibilidade hídrica da bacia hidrográfica), da estrutura fundiária pré-existente e implementação de um conjunto de ações mitigadoras para cada impacto adverso.

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