On farm precision feeding of gestating sows based on energy and amino acids on farrowing performances and feeding behavior over three consecutive gestations.

Gestating sows are often fed a single diet throughout their gestation cycle, leading to situations of nutrients deficiency or excess at the individual level. The purpose of this study was to characterize, over 3 consecutive cycles, the impact of a precision feeding (PF), i.e. dietary supplies adjusted at individual level in terms of quantity (energy intake) and quality (standardized ileal digestible (SID) lysine (Lys) intake), on gestating sows' productive performance, feeding behavior, environmental outputs and health status compared with sows fed a conventional feeding (CF, i.e. fixed SID Lys intake). At the start of the trial, 2 batches of 20 Landrace × Large White gestating sows were allocated to one of the 2 feeding strategies (PF vs. CF), based on their parity (1, 2 or 3 and more), body weight (BW), and backfat thickness (BT) 3 days after insemination. The PF strategy consisted in mixing with automatic feeders 2 iso-energetic diets (9.8 MJ/kg of net energy with 3.3 and 8.5 g SID Lys / kg, respectively) in variable proportions at individual and daily levels, whereas for the CF strategy these proportions remained constant throughout gestation (73% and 27%, respectively, resulting in a SID Lys concentration of 4.7 g/kg). Sows were followed over 3 consecutive gestations and the sows remained allocated to the same strategy throughout the study. Some sows were culled before the end of the study and were replaced by other sows who therefore performed only 1 or 2 gestations during the study. Thus, 106 gestations and lactations from 51 sows were fully studied and their data analyzed. The PF strategy allowed the sows to reach more closely the expected BT values at farrowing across cycles than the CF strategy (P < 0.001). The PF sows consumed 16% less SID Lys per gestation than the CF sows (P < 0.001), resulting in a 4% improvement in N efficiency (P < 0.001), with no impact on performance at farrowing (P > 0.10). The sows consumed their daily ration in a single visit whatever the feeding strategy (P = 0.41), but CF sows spent more time in the feeder in cycle 2 and 3 (P < 0.001). Thus, compared to the CF strategy implemented by farmers, the individual and daily nutritional supplies implemented with the PF strategy were more efficient in enabling sows to achieve body condition objectives at farrowing over the long-term, also with a reduced SID Lys intake and an improved N efficiency without negative impact on farrowing performances.

Red flags for clinical suspicion of eosinophilic granulomatosis with polyangiitis (EGPA).

BACKGROUND: Eosinophilic granulomatosis with polyangiitis (EGPA), is a rare ANCA-associated systemic vasculitis. Its overlapping features with other vasculitic or eosinophilic diseases, and the wide and heterogeneous range of clinical manifestations, often result in a delay to diagnosis. OBJECTIVE: To identify red flags that raise a suspicion of EGPA to prompt diagnostic testing and to present an evidence-based clinical checklist tool for use in routine clinical practice. METHODS: Systematic literature review and expert consensus to identify a list of red flags based on clinical judgement. GRADE applied to generate a strength of recommendation for each red flag and to develop a checklist tool. RESULTS: 86 studies were included. 40 red flags were identified as relevant to raise a suspicion of EGPA and assessed by the experts as being clinically significant. Experts agreed that a diagnosis of EGPA should be considered in a patient aged ≥6 years with a blood eosinophil level >1000 cells/µL if untreated and >500 cells/µL if previously treated with any medication likely to have altered the blood eosinophil count. The presence of asthma and/or nasal polyposis should reinforce a suspicion of EGPA. Red flags of asthma, lung infiltrates, pericarditis, cardiomyopathy, polyneuropathy, biopsy with inflammatory eosinophilic infiltrates, palpable purpura, digital ischaemia and ANCA positivity, usually anti-myeloperoxidase, among others, were identified. CONCLUSION: The identification of a comprehensive set of red flags could be used to raise a suspicion of EGPA in patients with eosinophilia, providing clinicians with an evidence-based checklist tool that can be integrated into their practice.

Canopy cover negatively affects arboreal ant species richness in a tropical open habitat / A cobertura de dossel afeta negativamente a riqueza de formigas arborícolas em um hábitat tropical aberto

Abstract We tested the hypothesis of a negative relationship between vegetation characteristics and ant species richness in a Brazilian open vegetation habitat, called candeial. We set up arboreal pitfalls to sample arboreal ants and measured the following environmental variables, which were used as surrogate of environmental heterogeneity: tree richness, tree density, tree height, circumference at the base of the plants, and canopy cover. Only canopy cover had a negative effect on the arboreal ant species richness. Vegetation characteristics and plant species composition are probably homogeneous in candeial, which explains the lack of relationship between other environmental variables and ant richness. Open vegetation habitats harbor a large number of opportunistic and generalist species, besides specialist ants from habitats with high temperatures. An increase in canopy cover decreases sunlight incidence and may cause local microclimatic differences, which negatively affect the species richness of specialist ants from open areas. Canopy cover regulates the richness of arboreal ants in open areas, since only few ant species are able to colonize sites with dense vegetation; most species are present in sites with high temperature and luminosity. Within open vegetation habitats the relationship between vegetation characteristics and species richness seems to be the opposite from closed vegetation areas, like forests.

Resumo Nós testamos a hipótese de que há uma relação negativa entre as características da vegetação e a riqueza de espécies de formigas em habitats abertos como o candeial. Para isto, nós instalamos pitfalls arborícolas para a captura de formigas e mensuramos as seguintes variáveis ambientais: riqueza de árvores, densidade de árvores, altura de árvores, circunferência basal das plantas e cobertura de dossel. Somente a cobertura de dossel apresentou efeito negativo na riqueza de formigas arborícolas. Provavelmente, as características da vegetação e a composição de espécies de plantas são mais homogêneas no candeial, o que explica a ausência de relação entre a riqueza de formigas e as outras variáveis ambientais. Formações abertas abrigam um grande número de espécies oportunistas e generalistas, além de formigas especialistas de climas quentes. O aumento na cobertura de dossel diminui a incidência solar o que pode causar diferenças microclimáticas que afetam negativamente as espécies de formigas especialistas de hábitats abertos. A cobertura de dossel regula a riqueza de espécies de formigas arborícolas em áreas abertas e poucas espécies nestes locais estão aptas a colonizar locais com a vegetação densa. Assim, a maioria das espécies estão presentes em locais com alta temperatura e luminosidade. Em outras palavras, em hábitats de vegetação aberta a relação entre características da vegetação e a riqueza de espécies pode ser oposta em comparação ao que é encontrado em áreas que apresentam a vegetação mais fechada, como florestas.

Comunicación en salud como una herramienta más en la lucha contra los helmintos intestinales / Health communication as another tool in the fight against intestinal helminths

Las helmintiasis intestinales continúan siendo un problema de salud para una gran parte del mundo. La quimioterapia antihelmíntica aplicada en las comunidades logra disminuir la prevalencia e intensidad de estas infecciones; sin embargo, las cifras suelen regresar a valores similares poco tiempo después. Un enfoque integral en la lucha contra los helmintos intestinales con intervenciones que involucren a las comunidades, los sectores y a los decisores de salud ayudará a hacer decrecer la transmisión de los geohelmintos. Una estrategia de comunicación social, donde se tome en consideración a la audiencia, el mensaje que se llevará a esta, la fuente de procedencia del mensaje y el canal por el cual llegará a la audiencia propicia que el público conozca de las amenazas de estas infecciones y que aumente el nivel de percepción y su participación. La presente revisión aborda aspectos relacionados con la importancia de la capacitación de los trabajadores de la salud en comunicación social en salud y en la identificación de los problemas relacionados con el control de las helmintiasis intestinales en su comunidad. El uso de los métodos de comunicación puede influir positivamente en las decisiones individuales y comunitarias para disminuir el impacto de este problema en la salud de las poblaciones.

Analysis of polymorphism at site -174 G/C of interleukin-6 promoter region in multiple myeloma

It is well established that interleukin-6 (IL-6) is an essential growth factor for multiple myeloma (MM) and patients with increased IL-6 levels have a poor prognosis. In healthy subjects, the presence of the C allele at a polymorphic site (-174 G/C) of the IL-6 gene is related to low IL-6 levels. In view of the potential association of this particular polymorphism with IL-6 concentration, and the relevance of IL-6 in MM pathogenesis, the objective of the present study was to investigate the prevalence of IL-6 (-174 G/C) promoter polymorphism and its association with development of MM in Brazilian individuals. We investigated the prevalence of these alleles in 52 patients and 60 healthy subjects (matched by age, sex, and race) of a Brazilian population. Thirty patients were male (42.4 percent), 24 (46.2 percent) were white and the median age at diagnosis was 58.5 years (range: 28 to 84 years). To determine the IL-6 (-174 G/C) polymorphism, molecular analysis was performed by polymerase chain reaction followed by endonuclease restriction digestion. The genotype distributions observed in the group of patients were 4 percent CC, 42 percent GC and 54 percent GG. The C allele frequency was 0.25. These results were similar to the control group, suggesting no impact of this polymorphism on the susceptibility to MM.

Plasmablastic multiple myeloma is associated with increased vascular endothelial growth factor immunoexpression

The biologic basis of the negative prognosis of plasmablastic myeloma is not fully understood. To determine whether histologically aggressive multiple myeloma (MM) is associated with a more angiogenic marrow environment, bone marrow samples from 50 recently diagnosed MM patients were evaluated. Twelve percent (6/50) of patients presented plasmablastic MM, and this feature correlated with moderate/strong intensity of vascular endothelial growth factor staining of plasma cells (P = 0.036). Although plasmablastic MM was not associated with increasing of microvessel density, this new evidence of increased expression of vascular endothelial growth factor on plasmablasts suggests that the adverse prognosis conferred by plasmablastic disease may be due, at least in part, to secretion of this angiogenic cytokine, also suggesting that the subset of MM patients with plasmablastic features may derive particular benefit from antiangiogenic therapies.