Leaf and stem morphoanatomy of Petiveria alliacea

Petiveria alliacea is a perennial herb native to the Amazonian region and used in traditional medicine for different purposes, such as diuretic, antispasmodic and anti-inflammatory. The morphoanatomical characterization of the leaf and stem was carried out, in order to contribute to the medicinal plant identification. The plant material was fixed, freehand sectioned and stained either with toluidine blue or astra blue and basic fuchsine. Microchemical tests were also applied. The leaf is simple, alternate and elliptic. The blade exhibits paracytic stomata on the abaxial side, non-glandular trichomes and dorsiventral mesophyll. The midrib is biconvex and the petiole is plain-convex, both traversed by collateral vascular bundles adjoined with sclerenchymatic caps. The stem, in incipient secondary growth, presents epidermis, angular collenchyma, starch sheath and collateral vascular organization. Several prisms of calcium oxalate are seen in the leaf and stem.

Stem and leaf morphoanatomy of Maytenus ilicifolia

Maytenus ilicifolia is a woody medicinal plant, employed mainly for its antiulcerogenic properties. The stem and leaf morphoanatomy has been studied, aiming to supply knowledge for the pharmacognostic and taxonomic species identification. The vegetative material was fixed, freehand sectioned and stained according to usual microtechniques. The stem organization, in secondary growth, shows periderm beneath the remaining epidermis, conspicuous sclerenchymatic ring in the cortex and cambium forming phloem outside and xylem inside. The leaf is simple, alternate and lanceolate and has sparsely spiny teeth along the margin. Epidermal cells containing calcium oxalate crystals, thick cuticle that forms cuticular flanges, dorsiventral mesophyll and amphicrival bundle in the midrib and petiole are observed.

Wound infections in pediatric surgery: a study of 575 patients in a university hospital

Surgical wound infections (WI) remain a significant source of postoperative morbidity. This epidemiologic study was undertaken to determine retrospectively the incidence of postoperative WI in children in a university hospital and include critical comparisons of pediatric surgery WI rates between different international reports. As few data exist on postoperative WIs in pediatric patients, in contrast to numerous reports in adults, all infants and children undergoing operations in the pediatric surgical service in our institution during a 7-year period were reviewed for development of a WI, a total of 537 patients who underwent 575 operations. WIs occurred in 39 cases (6.7%). Clean wounds (56.8% of patients) had an infection rate of 2.7%, clean-contaminated (23.1%) 10.5%, contaminated (12.9%) 13.5%, and dirty/infected (7.2%) 14.6%. Increasing duration of operation ( P < 0.001), contamination at operation ( P < 0.001), and a new element in the operation - a resident or intern - ( P < 0.001) were all associated with a higher incidence of infection, despite efforts at infection-control practices including improved sterilization methods and barriers, surgical technique, and availability of antimicrobial prophylaxis. The total incidence of wound infection in this population was comparable to that in other reports. Comparing children who developed a wound infection with those who did not, there were no significant differences in age, sex, American Society of Anesthesiologists preoperative assessment score, length of preoperative hospitalization, location of operation (intensive care unit vs operating room), the presence of a coexisting disease or remote infection, or the use of perioperative antibiotics. These baseline data may aid in forming strategies to lower the risk of WI in children. Our results suggest that WIs in children are related more to factors at operation than to the patients overall physiologic status.