Apparent metabolizable energy and ileal amino acid digestibility of commercial soybean meals of different origins in broilers.

We studied the chemical composition and the in vivo AMEn content and apparent (AID) and standardized (SID) ileal digestibility of CP and amino acids (AA) of 27 samples of soybean meals (SBM) from Argentina (ARG), Brazil (BRA), and USA, collected in Spain. On 88% DM basis, the BRA meals had more CP (46.9 vs. 46.0 and 45.9%; P < 0.05) and less sucrose (5.21 vs. 6.28 and 6.47%; P < 0.001) and stachyose (4.20 vs. 4.66 and 4.78%; P < 0.05) than the USA and ARG meals. Urease activity, protein dispersibility index, KOH protein solubility, and trypsin inhibitor activity values, were higher for the USA meals than for the South American meals (P < 0.05). In the in vivo trial, broilers received a common crumble diet from 0 to 16 d of age and then, their respective experimental diets (53% of a N-free diet and 47% of each of the 27 SBM tested) in mash form, for 5 d. The AMEn (2,334 vs. 2,282 and 2,277 kcal/kg; P = 0.062) and the AID (87.3 vs. 86.7 and 86.4%; P = 0.054) and SID (91.9 vs. 91.2 and 90.8%; P < 0.05) of the protein, were greater for the USA meals than for the ARG and BRA meals. In fact, the SID of Lys (93.5 vs. 93.0 and 92.1%; P < 0.001) and of the sum of Lys, Met, Thr, Trp, and Cys (91.4 vs. 91.0 and 90.2%; P < 0.05) were greater for the USA meals than for the ARG and BRA meals. In summary, the chemical composition, protein quality indicators, AMEn content, and ileal digestibility of the CP and the AA of the SBM, varied with the country of origin of the soybeans. In order to increase the accuracy of the feed formulation process, the composition and nutrient content of commercial batches of SBM, by country of origin should be controlled and periodically updated.

Mathematical modeling of cardio-oncology: Modeling the systemic effects of cancer therapeutics on the cardiovascular system.

Cardiotoxicity is a common side-effect of many cancer therapeutics; however, to-date there has been very little push to understand the mechanisms underlying this group of pathologies. This has led to the emergence of cardio-oncology, a field of medicine focused on understanding the effects of cancer and its treatment on the human heart. Here, we describe how mechanistic modeling approaches have been applied to study open questions in the cardiovascular system and how these approaches are being increasingly applied to advance knowledge of the underlying effects of cancer treatments on the human heart. A variety of mechanistic, mathematical modeling techniques have been applied to explore the link between common cancer treatments, such as chemotherapy, radiation, targeted therapy, and immunotherapy, and cardiotoxicity, nevertheless there is limited coverage in the different types of cardiac dysfunction that may be associated with these treatments. Moreover, cardiac modeling has a rich heritage of mathematical modeling and is well suited for the further development of novel approaches for understanding the cardiotoxicities associated with cancer therapeutics. There are many opportunities to combine mechanistic, bottom-up approaches with data-driven, top-down approaches to improve personalized, precision oncology to better understand, and ultimately mitigate, cardiac dysfunction in cancer patients.

Influence of the calcium and nutrient content of the prelay diet on egg production, egg quality, and tibiae mineralization of brown egg-laying hens from 16 to 63 wk of age.

The influence of the Ca and nutrient content of the diet fed from 16 to 19 wk of age, on egg production, egg quality, and tibiae mineralization, was studied in brown egg-laying hens from 16 to 63 wk of age. The experimental design was completely randomized with 4 prelay diets organized as a 2 × 2 factorial with 2 levels of Ca (2.5 vs. 3.8%) and 2 standardized ileal digestible Lys (g/kg) to AMEn (Mcal/kg) ratios (DLys:ME; 2.84 vs. 3.13) as main effects. From 20 to 63 wk of age, all hens received a common diet with 2.75 Mcal AMEn/kg, 0.75% DLys, and 3.8% Ca. Each treatment was replicated 18 times and the experimental unit was a cage with 10 hens. Hen production and egg quality traits were measured by period (4 wk), feeding phase (prelay and lay), and cumulatively (16-63 wk of age) and tibiae mineralization was measured at 63 wk of age. During the prelay phase, an increase in Ca delayed egg production (P = 0.065), reduced feed intake (P < 0.05), and increased BW gain (P < 0.01) and percentage of shell of the egg (P < 0.05). An increase in the DLys:ME ratio increased feed intake (P < 0.01) and reduced egg size (P < 0.01). Nutrient content of the prelay diets did not affect hen production during the lay phase, except egg weight that increased (P < 0.05) in hens previously fed the low DLys:ME ratio. Eggshell quality (weight, percentage, strength, and thickness) in this phase was better (P < 0.05) in hens previously fed 3.8% Ca. Cumulatively (16-63 wk of age), hens fed the high Ca prelay diets had better shell quality but tibiae mineralization was not affected. In conclusion, an increase in Ca content of the prelay diet from 2.5 to 3.8% improved shell quality for the entire egg cycle without showing any negative effect on hen production.

[The Epidemiological Profile Of Smoking Among Men In Uniform At Camp Almamy Samory Touré]. / Le Profil Epidemiologique Du Tabagisme Chez Les Hommes En Uniforme Au Camp Almamy Samory Toure.

INTRODUCTION: Smoking, a major preventable cause of morbidity and mortality is a real public health problem in the world. THE OBJECTIVE: was to establish the epidemiological profile of smoking among soldiers at Camp Almamy Samory Touré. METHOD: This was a descriptive cross-sectional study lasting 6 months in 2018 at Camp Almamy Samory Touré in Conakry including all serving soldiers, without distinction of age, sex, residence and who accepted freely to participate. RESULTS: We investigated 384 soldiers, including 287 smokers, a prevalence of 75% and 97 non-smokers, 25%. The most represented age group was 31-40 years 25.5% with an average age of 38.95 ± 9.36 years. They were all male (100%) and the majority resided in Conakry 96.61%. The level of education was secondary followed by higher and primary respectively: 38.54%; 24.48% and 23.70%. Married people were more numerous 39.58% followed by single people 34.11%. The average age of onset of smoking among our soldiers was 18.86 ± 3.42 years. Leisure places 26.48% were the main place of initiation to tobacco smoking. The 38.46% of the military smoke 11-20 wicks of cigarettes per day. During the study, 55.93% of soldiers wanted to quit smoking now. CONCLUSION: The prevalence of smoking among soldiers at Camp Almamy Samory Touré in Conakry remains very high with a young and male predominance. Nearly ¾ of the soldiers surveyed had smoked in the past and places of leisure were the main place of initiation to tobacco smoking. However, more than half of the soldiers now wanted to quit smoking after a good knowledge of the toxic effects of this practice.

INTRODUCTION: Le tabagisme, une cause majeure évitable de morbidité et de mortalité est un véritable problème de santé publique dans le monde. L'OBJECTIF: était d'établir le profil épidémiologique du tabagisme chez les militaires au Camp Almamy Samory Touré. MÉTHODE: Il s'agissait d'une étude transversale descriptive d'une durée de 6 mois en 2018 au Camp Almamy Samory Touré de Conakry incluant tous les militaires en activité, sans distinction d'âge, de sexe, de résidence et qui ont accepté librement de participer. RÉSULTATS: Nous avions enquêté sur 384 militaires dont 287 fumeurs soit une prévalencede75% et 97 non-fumeurs25%. La tranche d'âge la plus représentée était de 31-40 ans25,5% avec un âge moyen de 38,95 ± 9,36 ans. Ils étaient tous masculins (100%) et résidaient en majorité à Conakry 96,61%. Le niveau d'instruction était le secondaire suivi du supérieur et du primaire respectivement : 38,54% ; 24,48%et 23,70%. Les mariés étaient plus nombreux39,58% suivis des célibataires34,11%. L'âge moyen du début de tabagisme chez nos militaires était18,86 ± 3,42 ans. Les lieux de loisir 26,48% étaient le principal endroit d'initiation de fumer le tabac. Les 38,46% des militaires fument 11-20 mèches de cigarettes par jour. Pendant l'étude 55,93% des militaires souhaitaient arrêter maintenant le tabac. CONCLUSION: La prévalence du tabagisme chez les militaires au Camp Almamy Samory Touré de Conakry reste très élevée avec une prédominance jeune et masculine. Près de ¾ des militaires enquêtés ont fumé dans le passé et les lieux de loisir ont été le principal endroit d'initiation de fumer le tabac. Cependant plus de la moitié des militaires souhaitaient arrêter maintenant le tabac après une bonne connaissance avérée des effets toxiques de cette pratique.

Influence of the energy concentration and the standardized ileal digestible lysine content of the diet on performance and egg quality of brown-egg laying hens from 18 to 41 weeks of age.

The influence of the energy and the standardized ileal digestible lysine (DLys) content of the diet on egg production and egg quality, was studied in brown-egg laying hens from 18 to 41 wk of age. The experimental design was completely randomized with 10 treatments organized as a 2 × 5 factorial with 2 energy concentrations (2,750 and 2,800 kcal AMEn/kg) and 5 levels of DLys (values varied from 0.66 to 0.78% and 0.67 to 0.79%, for the low and high energy diets, respectively). Each treatment was replicated 10 times (10 hens per replicate). The data were analyzed using the MIXED procedure of SAS with energy concentration and DLys content of the diets as main effects. In addition, the effects of the DLys on the variables studied were partitioned into its lineal and quadratic components. From 18 to 21 wk of age (pre-peak phase), diet composition had limited effects on egg production. From 22 to 41 wk of age (peak phase), however, an increase of 50 kcal AMEn/kg diet increased egg weight (P < 0.05) and tended to improve energy intake (P = 0.083) and feed conversion ratio (P = 0.074). An increase in DLys improved linearly (P < 0.001) egg production, egg weight, egg mass, feed conversion, and energy conversion ratio, and tended to increase BW gain (P = 0.074). Diet composition did not any affect egg quality trait except shell strength that increased linearly (P < 0.05) with increases in the DLys. Cumulatively (18-41 wk of age), egg weight increased (P < 0.05) as the energy and the DLys content of the diet increased. In summary, an increase in energy and DLys content of the diet had limited effects on egg production during the prepeak phase but improved egg production, feed conversion ratio, and BW gain during the peak phase. The data indicate that hens require at least 839 mg DLys/d to maximize egg production in the peak production phase.

Effect of beak trimming at hatch and the inclusion of oat hulls in the diet on growth performance, feed preference, exploratory pecking behavior, and gastrointestinal tract traits of brown-egg pullets from hatch to 15 weeks of age.

The influence of infrared beak trimming at hatch (IRBT) and the inclusion of oat hulls (OH) in the diet on growth performance, feed preference, exploratory pecking behavior, and gastrointestinal tract (GIT) development, was studied in brown-egg pullets from 0 to 15 wk of age. The experimental design was completely randomized with 4 treatments arranged as a 2 × 2 factorial with IRBT (sham vs. treated) and OH inclusion (0 vs. 3%) as main effects. Each treatment was replicated 20 times and the experimental unit was a cage with 10 pullets. Feed intake (FI), BW gain, feed conversion ratio (FCR), energy intake (EI, kcal AMEn/d), and energy conversion ratio (ECR, kcal AMEn/g of BW gain) were determined by feeding period (0 to 6, 7 to 10, and 11 to 15 wk of age) and cumulatively. Particle size preference was measured at 7 wk and exploratory pecking behavior of the pullets and at 8 to 14 wk of age. From 0 to 6 wk of age, beak trimming decreased FI (P < 0.01) and increased pullet mortality (P < 0.001) but did not affect BW gain. From 0 to 15 wk of age, OH inclusion improved BW uniformity (P = 0.090) but impaired FCR (P < 0.05) without showing any effect on BW gain or ECR. Preference for coarse particles was greater for the sham than for the treated pullets. Beak trimming and OH feeding reduced (P < 0.05) the exploratory pecking behavior of the pullets from 8 to 12 wk of age but not thereafter. Oat hulls increased the relative weights of the full gizzard and intestines at all ages (P < 0.05). In summary, beak trimming did not affect pullet performance at 15 wk of age or GIT development at any age. Oat hulls improved GIT development at all ages but did not affect BW or ECR. Both beak treatment and OH inclusion affected particle size preference and reduced the exploratory pecking behavior of the birds.

Influence of the energy and digestible lysine contents of the diet on performance and egg quality traits of brown-egg laying hens from 19 to 59 weeks of age.

The influence of nutrient density and standardized ileal digestible lys (DLys) content of the diet on egg production and egg quality traits, was studied in brown-egg laying hens from 19 to 59 wk of age. The experimental design was completely randomized with eight treatments arranged as a 2×4 factorial with two AMEn concentrations (2,680 and 2,780 kcal/kg) and four levels of DLys (0.68, 0.72, 0.76, and 0.80%). Each treatment was replicated nine times and the experimental unit was a cage with nine hens. Hen production, egg components (proportion of albumen, yolk, and shell), egg quality traits (Haugh units, egg shell strength, and incidence of broken, dirty, and shell-less eggs) were measured by period (28 d) and cumulatively. Data were analyzed as a completely randomized design with energy concentration, level of DLys, and their interactions as main effects. In addition, the effects of the level of DLys on the variables studied, were partitioned into its linear and quadratic components. No interactions between AMEn and DLys content of the diet were detected for any of the traits studied and therefore, only main effects are presented. An increase in the AMEn concentration of the diet from 2,680 to 2,780 kcal/kg increased energy intake (P < 0.05) and egg weight (P < 0.001) and improved feed conversion ratio (P < 0.05). An Increase in DLys from 0.68 to 0.80% did not affect the number of eggs produced but increased linearly egg weight (P < 0.01) and egg mass production (P < 0.05). Diet did not affect egg quality. In conclusion, an increase in the AMEn content of the diet from 2,680 to 2,780 kcal/kg increased egg weight and improved feed efficiency. Laying hens require no more than 744 mg DLys/d (corresponding to 0.68% DLys) to optimize egg production. However, when the objective is to maximize egg weight, hens should consume at least 843 mg DLys/d (corresponding to 0.76% D Lys).

The length of the feed restriction period affects eating behavior, growth performance, and the development of the proximal part of the gastrointestinal tract of young broilers.

We studied the effects of restricting the access to feed on the anticipatory eating behavior, growth performance, and the development of the proximal part of the gastrointestinal tract (GIT) in broilers. The experiment consisted in physical restriction of the access of broilers to feed for 0, 4, 6, or 8 h per day from 7 to 19 D of age. At 10, 13, 16, and 19 D of age, immediately before the start of the feed restriction (FR) period, 2 birds per cage were euthanized to evaluate crop and gizzard development. The experimental design was completely randomized, and the linear (L) and quadratic (Q) effects of fasting length on growth performance and GIT traits were determined. In addition, the effect of broiler age on GIT development was studied. From 7 to 19 D of age, ADFI (L, Q; P ≤ 0.05) and BW gain (L; P ≤ 0.01) decreased as the length of the FR period increased, with most of the differences observed with 6 or more hours of fasting. However, feed conversion ratio was not affected by FR length. The relative weight of the crop (% BW) and its fresh content increased (L; P ≤ 0.001) and the moisture of the digesta (%) decreased (L; P ≤ 0.001) as the FR period increased. The DM content (g) of the crop increased with FR, with most of the differences observed with 6 or more hours of fasting (L, Q; P ≤ 0.001). At 19 D of age, the Lactobacillus spp. count in the crop increased (L; P ≤ 0.05) with increase in the FR period. Fasting did not affect any gizzard trait at any age. In summary, physical restriction of the access to feed for 6 h or more reduced BW gain but did not affect feed conversion ratio in broilers from 7 to 19 D of age. Feed restriction for 4 to 8 h stimulated the anticipatory feeding behavior and crop development in broilers.

Influence of egg weight and inclusion of oat hulls in the diet on digestive tract traits and growth performance of brown pullets reared under stress conditions.

We studied the influence of pre-hatch egg weight (EW) and the inclusion of oat hulls (OH) in the diet on gastrointestinal tract (GIT) traits and growth performance of pullets reared under stress conditions early in life. There were 14 treatments organized as a 7 × 2 factorial with 7 EW groups (47.0 to 54.0 g differing in 1 g between groups) and 2 inclusion levels of OH in the diet (0 vs. 3%). The pullets were reared under a series of stresses early in life (no access to feed for extended time post-hatching, reduced accessibility to feed and water at arrival to the farm, reduced ambient temperature at night, low light intensity, and hot-blade beak trimming at 18 D of age). Feed intake, BW gain, and FCR were measured by period (0 to 5, 5 to 10, and 10 to 16 wk of age) and cumulatively. Data were analyzed as a completely randomized design with EW and OH inclusion as main effects. In addition, EW effect was partitioned into linear and quadratic components. The stress conditions applied affected similarly the growth and GIT development of the pullets, independent of EW. An increase in EW increased BW at hatch and at 5 wk of age linearly (P < 0.05), but no effects were detected thereafter. Oat hulls inclusion increased ADFI and impaired FCR (P < 0.05) from 0 to 5 wk of age but did not affect energy efficiency at any age. At 5 wk of age, the relative weight (% BW) of the GIT decreased linearly (P < 0.05) with increases in EW and increased with OH inclusion (P < 0.05). Oat hulls inclusion increased the relative weight of the gizzard at all ages (P < 0.01). In conclusion, egg weight did not affect pullet growth from hatch to 16 wk of age. Independent of the initial BW of the pullets, OH inclusion improved gizzard development at all ages without affecting growth performance.

Insoluble fiber sources in mash or pellets diets for young broilers. 2. Effects on gastrointestinal tract development and nutrient digestibility1.

The effects of feed form and dietary fiber on the development of the gastrointestinal tract (GIT) and nutrient digestibility were studied in broilers at 8 and 21 d of age. The experiment included 14 treatments arranged as a 2 × 7 factorial with 2 feed forms (mash vs. pellet) and 7 diets that consisted in a low fiber diet and 6 extra diets resulting from the combination of 3 insoluble fiber sources [oat hulls (OH), rice hulls, and sunflower hulls] and 2 levels of inclusion (2.5 and 5.0%). Pelleting decreased the relative weight (% BW) of the full GIT, and empty gizzard (P < 0.001) and the relative length (cm/kg empty BW) of the small intestine and ceca (P < 0.001) and increased full crop (P < 0.001) and liver (P < 0.05) weights. Fiber inclusion increased the empty weight and the fresh digesta content of the gizzard (P < 0.001) but had limited and inconsistent effects on the weight of the full GIT or the length of the small intestine and ceca. Gizzard pH decreased with mash feeding and fiber inclusion (P < 0.001). Pelleting decreased ether extract retention (P < 0.05) but did not affect N retention or AMEn of the diets. Fiber inclusion improved nutrient retention (P < 0.05 to P < 0.001) with more pronounced effects with OH than with sunflower hulls or rice hulls inclusion. The AMEn of the diets increased (P < 0.05) with 2.5% of fiber inclusion but no extra benefits were obtained with a further increase to 5.0%. Starch ileal digestibility increased with mash feeding (P < 0.001) and fiber supplementation (P < 0.05). In summary, pelleting increases full crop weight and gizzard pH and decreased full gizzard weight and starch ileal digestibility. Moderate amounts of insoluble fiber, especially OH, increases gizzard weight, reduces gizzard pH, and improves nutrient digestibility in young broilers.

Influence of grinding size of the main cereal of the diet on egg production and eggs quality of brown egg laying hens from 33 to 65 weeks of age.

The influence of grinding size of the main cereal of the diet on production and egg quality traits was studied in brown hens from 33 to 65 wk of age. The experiment was completely randomized with 6 treatments arranged as a 3 × 2 factorial with 3 main cereals (barley, corn, and wheat) and 2 grinding size of the cereal (6 and 10 mm screen). Each treatment was replicated 11 times (10 hens/replicate). Diets were isonutritive and contained 2,740 kcal/kg AMEn and 16.8% CP. Egg production, ADFI, egg weight, and feed conversion ratio (FCR) were determined by period (4 wk) and for the entire experiment. Egg quality traits (percentage of undergrades, Haugh units, thickness, strength, color of the shell, and proportion of albumen, yolk, and shell) were measured also by period. No interactions between main cereal and grinding size of the main cereal of the diet were observed for any of the traits studied. Feed intake, egg production, and BW gain were not affected by diet or grinding size. Eggs were heavier (P < 0.01) in hens fed barley than in hens fed corn or wheat, probably because of the higher fat content of the barley diets. Also, FCR tended to improve in hens fed barley compared with hens fed corn or wheat (P = 0.07). Diet did not affect any of the egg quality traits studied. In summary, barley and wheat conveniently supplemented with enzymes, can be used in substitution of corn at levels of up to 55% in diets for laying hens, without any adverse effect on egg production or egg quality traits. Moreover, the substitution of corn by a combination of barley and supplemental fat increased egg size. Consequently, the inclusion of one or other cereal in the diet will depend primarily on their relative cost. Within the range studied, screen size (6 vs. 10 mm) of the cereal had limited effects on hen production.

Dynamic cerebral autoregulation is impaired during submaximal isometric handgrip in patients with heart failure.

The incidence of neurological complications, including stroke and cognitive dysfunction, is elevated in patients with heart failure (HF) with reduced ejection fraction. We hypothesized that the cerebrovascular response to isometric handgrip (iHG) is altered in patients with HF. Adults with HF and healthy volunteers were included. Cerebral blood velocity (CBV; transcranial Doppler, middle cerebral artery) and arterial blood pressure (BP; Finometer) were continuously recorded supine for 6 min, corresponding to 1 min of baseline and 3 min of iHG exercise, at 30% maximum voluntary contraction, followed by 2 min of recovery. The resistance-area product was calculated from the instantaneous BP-CBV relationship. Dynamic cerebral autoregulation (dCA) was assessed with the time-varying autoregulation index estimated from the CBV step response derived by an autoregressive moving-average time-domain model. Forty patients with HF and 23 BP-matched healthy volunteers were studied. Median left ventricular ejection fraction was 38.5% (interquartile range: 0.075%) in the HF group. Compared with control subjects, patients with HF exhibited lower time-varying autoregulation index during iHG, indicating impaired dCA ( P < 0.025). During iHG, there were steep rises in CBV, BP, and heart rate in control subjects but with different temporal patterns in HF, which, together with the temporal evolution of resistance-area product, confirmed the disturbance in dCA in HF. Patients with HF were more likely to have impaired dCA during iHG compared with age-matched control subjects. Our results also suggest an impairment of myogenic, neurogenic, and metabolic control mechanisms in HF. The relationship between impaired dCA and neurological complications in patients with HF during exercise deserves further investigation. NEW & NOTEWORTHY Our findings provide the first direct evidence that cerebral blood flow regulatory mechanisms can be affected in patients with heart failure during isometric handgrip exercise. As a consequence, eventual blood pressure modulations are buffered less efficiently and metabolic demands may not be met during common daily activities. These deficits in cerebral autoregulation are compounded by limitations of the systemic response to isometric exercise, suggesting that patients with heart failure may be at greater risk for cerebral events during exercise.

Particle size affects short-term preference behavior of brown-egg laying hens fed diets based on corn or barley.

We studied the influence of particle size of the main cereal of the diet on preference behavior by laying hens. Diets formed a 2 × 5 factorial with 2 main cereals (corn vs. barley) and 5 grinding sizes of the cereal (4, 6, 8, 10, and 12 mm screen). Each treatment was replicated 5 times (10 hens each). After a fasting period of 8 h, hens received their respective experimental diets from 06.00 to 14.00 hours. The geometric mean diameter (GMD) and the geometric standard deviation of the residuals in the feeder were determined every 2 hours. In addition, CP, ash, and Ca contents of the feeds were determined at the start and at the end of the experimental period. The experimental design was completely randomized with data analyzed as repeated measures with particle size and cereal as main effects. The GMD of the original feeds increased with increases in screen size and was greater for the barley than for the corn diets. The difference in GMD between the original diets and the residuals measured at 2 h intervals decreased as the experiment progressed (P < 0.001 for the interaction). Crude protein, ash, and Ca concentrated in the coarse fraction of the original diets and of the uneaten feed, an effect more pronounced for the minerals. Independent of the coarseness of the feed sieve, ash and Ca contents were higher in the uneaten feed at 14.00 h than in the original diets. Hens showed a clear preference for coarse particles irrespective of the concentration of CP, ash, or Ca in the different fractions of the diets. Data showed that birds under-consumed Ca during the morning, a period in which the requirements for mineral deposition are low. In summary, hens showed a significant preference for coarser particles, an effect that was more evident when the cereals were ground coarse. Hens, however, did not show any preference for consuming those feed fractions with greater CP, ash, or Ca contents.

Cerebral hemodynamics with intra-aortic balloon pump: business as usual?

OBJECTIVE: Intra-aortic balloon pump (IABP) is commonly used as mechanical support after cardiac surgery or cardiac shock. Although its benefits for cardiac function have been well documented, its effects on cerebral circulation are still controversial. We hypothesized that transfer function analysis (TFA) and continuous estimates of dynamic cerebral autoregulation (CA) provide consistent results in the assessment of cerebral autoregulation in patients with IABP. APPROACH: Continuous recordings of blood pressure (BP, intra-arterial line), end-tidal CO2, heart rate and cerebral blood flow velocity (CBFV, transcranial Doppler) were obtained (i) 5 min with IABP ratio 1:3, (ii) 5 min, starting 1 min with the IABP-ON, and continuing for another 4 min without pump assistance (IABP-OFF). Autoregulation index (ARI) was estimated from the CBFV response to a step change in BP derived by TFA and as a function of time using an autoregressive moving-average model during removal of the device (ARI t ). Critical closing pressure and resistance area-product were also obtained. MAIN RESULTS: ARI with IABP-ON (4.3 ± 1.2) were not different from corresponding values at IABP-OFF (4.7 ± 1.4, p = 0.42). Removal of the balloon had no effect on ARI t , CBFV, BP, cerebral critical closing pressure or resistance area-product. SIGNIFICANCE: IABP does not disturb cerebral hemodynamics. TFA and continuous estimates of dynamic CA can be used to assess cerebral hemodynamics in patients with IABP. These findings have important implications for the design of studies of critically ill patients requiring the use of different invasive support devices.

Cerebral blood flow autoregulation in ischemic heart failure.

Patients with ischemic heart failure (iHF) have a high risk of neurological complications such as cognitive impairment and stroke. We hypothesized that iHF patients have a higher incidence of impaired dynamic cerebral autoregulation (dCA). Adult patients with iHF and healthy volunteers were included. Cerebral blood flow velocity (CBFV, transcranial Doppler, middle cerebral artery), end-tidal CO2 (capnography), and arterial blood pressure (Finometer) were continuously recorded supine for 5 min at rest. Autoregulation index (ARI) was estimated from the CBFV step response derived by transfer function analysis using standard template curves. Fifty-two iHF patients and 54 age-, gender-, and BP-matched healthy volunteers were studied. Echocardiogram ejection fraction was 40 (20-45) % in iHF group. iHF patients compared with control subjects had reduced end-tidal CO2 (34.1 ± 3.7 vs. 38.3 ± 4.0 mmHg, P < 0.001) and lower ARI values (5.1 ± 1.6 vs. 5.9 ± 1.0, P = 0.012). ARI <4, suggestive of impaired CA, was more common in iHF patients (28.8 vs. 7.4%, P = 0.004). These results confirm that iHF patients are more likely to have impaired dCA compared with age-matched controls. The relationship between impaired dCA and neurological complications in iHF patients deserves further investigation.

Influence of particle size of the main cereal of the diet on egg production, gastrointestinal tract traits, and body measurements of brown laying hens1.

The influence of the screen size used to grind the main cereal of the diet on egg production, gastrointestinal tract (GIT) development, and body measurements was studied in hens from 17 to 49 wk of age. Diets formed a 2 × 5 factorial with 2 main cereals (corn vs. barley) and 5 screen sizes of the cereal (4, 6, 8, 10, and 12 mm). Each treatment was replicated 5 times. No interactions between main cereal and screen size were observed for any of the traits studied. Cereal type and screen size did not affect feed intake, egg production, BW gain, or quality traits of the eggs. Eggs tended to be larger (P = 0.092) in hens fed the barley diet than in hens fed the corn diet. Also, feed conversion ratio tended to increase (P = 0.081) when the cereal of the diet was ground with a 4-mm screen as compared with the average of the other diets. At 49 wk of age, the relative weight (% BW) of the GIT and gizzard was greater (P < 0.05) in hens fed barley than in hens fed corn. An increase in the screen size increased linearly the relative weight of the GIT (P = 0.089), gizzard (P < 0.01), and liver (P = 0.056). None of the other GIT traits or body measurements was affected by the main cereal or the screen size. In summary, barley can substitute up to 45% of the corn in diets for laying hens without any adverse effect on egg production. Therefore, the use of one or other cereal will depend on their relative cost. An increase in screen size improved gizzard development but had little effect on hen productivity. Within the range studied, the size of the screen used for grinding the cereal had little effect on hen productivity, although the use of a 4-mm screen might increase feed conversion ratio and gizzard development.

Effects of the inclusion of sunflower hulls in the diet on growth performance and digestive tract traits of broilers and pullets fed a broiler diet from zero to 21 d of age. A comparative study1.

The effects of including 3% sunflower hulls (SFH) in the diet on growth performance, nutrient retention (TTAR), and gastrointestinal tract (GIT) traits were studied in chicks from zero to 21 d of age. Four treatments that resulted from the combination of 2 chicken lines (female broilers vs. brown pullets) and 2 levels of SFH (zero vs. 3%) were used. The control diet contained 2,980 kcal AMEn/kg, 1.25% digestible Lys, and 8.7% neutral detergent fiber. The experimental diet included 3% SFH at the expense (wt:wt) of the whole diet. Growth performance, TTAR of nutrients, and the AMEn of the diet were greater (P = 0.097 to P < 0.001) in broilers than in pullets. In absolute terms, all the organs of the GIT were heavier (P < 0.001) and the small intestine and cecum were longer (P < 0.001) in broilers than in pullets. At 21 d of age, however, the relative weight (% BW) of all the organs of the GIT (P < 0.001) and the relative length (cm/kg BW) of the small intestine and cecum (P < 0.01) were greater in pullets. Gizzard pH (P < 0.001), total short chain fatty acids concentration in the cecum (P = 0.098), and villus height (P < 0.001) and crypt depth (P < 0.05) of the ileum mucosa were higher in broilers. The inclusion of SFH increased (P < 0.05) the AMEn content of the diet but did not affect bird performance, moisture content of the excreta, or the concentration and profile of fatty acids in the cecum. Dietary SFH increased gizzard weight and reduced gizzard pH (P < 0.001) at both ages. In conclusion, broilers had better growth performance, nutrient retention, and ileum absorptive capacity than pullets. The inclusion of 3% SFH at the expense of the control diet did not have any negative effect on chick performance and, in fact, increased gizzard weight, reduced gizzard pH, and improved the energy content of the diet.

Effect of level of fiber of the rearing phase diets on egg production, digestive tract traits, and body measurements of brown egg-laying hens fed diets differing in energy concentration.

This research studied the effects of additional fiber in the rearing phase diets on egg production, gastrointestinal tract (GIT) traits, and body measurements of brown egg-laying hens fed diets varying in energy concentration from 17 to 46 wk of age. The experiment was completely randomized with 10 treatments arranged as a 5 × 2 factorial with 5 rearing phase diets and 2 laying phase diets. During the rearing phase, treatments consisted of a control diet based on cereals and soybean meal and 4 additional diets with a combination of 2 fiber sources (cereal straw and sugar beet pulp, SBP) at 2 levels (2 and 4%). During the laying phase, diets differed in energy content (2,650 vs. 2,750 kcal AMEn/kg) but had the same amino acid content per unit of energy. The rearing diet did not affect any production trait except egg production that was lower in birds fed SBP than in birds fed straw (91.6 and 94.1%, respectively; P < 0.05). Laying hens fed the high energy diet had lower feed intake (P < 0.001), better feed conversion (P < 0.01), and greater BW gain (P < 0.05) than hens fed the low energy diet but egg production and egg weight were not affected. At 46 wk of age, none of the GIT traits was affected by previous dietary treatment. At this age, hen BW was positively related with body length (r = 0.500; P < 0.01), tarsus length (r = 0.758; P < 0.001), and body mass index (r = 0.762; P < 0.001) but no effects of type of diet on these traits were detected. In summary, the inclusion of up to 4% of a fiber source in the rearing diets did not affect GIT development of the hens but SBP reduced egg production. An increase in the energy content of the laying phase diet reduced ADFI and improved feed efficiency but did not affect any of the other traits studied.

IgG and IgM glycosylation patterns in patients undergoing image-guided tumor ablation.

BACKGROUND: Image-guided tumor ablation is a technique whereby needle-like applicators are placed directly into solid tumors under guidance typically with computed tomography or ultrasound. Changes in IgG and IgM antibody glycosylation were studied during ablation-induced immune response to cancer, and the use of glycosylation as a biomarker for diagnosis, prognosis and disease treatment was examined. METHODS: Plasma from 27 tumor patients was collected immediately before, after and for 6 months following ablation. IgG and IgM antibodies were isolated by use high-throughput chromatography, and analyzed by hydrophilic liquid chromatography. Thorough identification of glycan structures in each chromatography peak was performed by nano-liquid chromatography electrospray ionization mass spectrometry. RESULTS: Although antibody glycosylation was found to vary with cancer type, discernable patterns of change based on the successful treatment of tumors by ablation were not identified. One patient with renal clear cell carcinoma and poor disease outcome had unexpectedly high amount of oligomannose IgG glycans during the whole period of monitoring. In contrast, IgM antibodies did not follow the same pattern. CONCLUSIONS: These findings suggest that glycosylation patterns are indicative of an immune system that is unable to prevent different types of cancer, rather than products of the immunostimulatory response to the ablation of tumor itself. Analyses of the outcome effect suggested that IgG glycosylation and IgM glycosylation are not associated with tumor ablation. GENERAL SIGNIFICANCE: Present work opens a new way for parallel determination of glycosylation changes of both IgG and IgM antibodies by use of high-throughput methods, and their future use as biomarkers for disease diagnosis and prognosis. This article is part of a Special Issue entitled "Glycans in personalised medicine" Guest Editor: Professor Gordan Lauc.