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1.
Arch Endocrinol Metab ; 65(6): 730-738, 2021 Nov 24.
Artigo em Inglês | MEDLINE | ID: mdl-34762779

RESUMO

OBJECTIVE: Identifying significant fibrosis is crucial to evaluate the prognosis and therapeutic interventions in patients with nonalcoholic fatty liver disease (NAFLD). We assessed the performance of acoustic radiation force impulse (ARFI) elastography, APRI, FIB-4, Forns, NFS and BARD scores in determining liver fibrosis in severe obesity. METHODS: A prospective study included 108 patients undergoing bariatric surgery. Liver biopsy specimens were obtained intraoperatively and classified according to the NAFLD Activity Score. Patients were assessed with serological markers and shear wave velocity of the liver was measured with the Siemens S2000 ultrasound system preoperatively. Optimal cut-off values were determined using the area under the receiver operating characteristic curves (AUROC). RESULTS: In the entire cohort prevalence of NAFLD was 80.6%, steatohepatitis 25.9% and significant fibrosis 19.4%. The best tests for predicting significant fibrosis were FIB-4 and Forns scores (both AUROC 0.78), followed by APRI (AUROC 0.74), NFS (AUROC 0.68), BARD (AUROC 0.64) and ARFI (AUROC 0.62). ARFI elastography was successful in 73% of the patients. Higher body mass index (BMI) correlated with invalid ARFI measurements. In patients with BMI < 42 kg/m2, ARFI showed 92.3% sensitivity and 82,6% specificity for the presence of significant fibrosis, with AUROC 0.86 and cut-off 1.32 m/s. CONCLUSION: FIB-4 and Forns scores were the most accurate for the prediction of significant fibrosis in bariatric patients. Applicability and accuracy of ARFI was limited in individuals with severe obesity. In patients with BMI < 42 kg/m2, ARFI elastography was capable for predicting significant fibrosis with relevant accuracy.


Assuntos
Técnicas de Imagem por Elasticidade , Hepatopatia Gordurosa não Alcoólica , Obesidade Mórbida , Acústica , Biópsia , Humanos , Fígado/diagnóstico por imagem , Fígado/patologia , Cirrose Hepática/diagnóstico por imagem , Cirrose Hepática/patologia , Hepatopatia Gordurosa não Alcoólica/diagnóstico por imagem , Hepatopatia Gordurosa não Alcoólica/patologia , Obesidade Mórbida/complicações , Obesidade Mórbida/diagnóstico por imagem , Estudos Prospectivos , Curva ROC , Fatores de Risco
2.
Int J Biometeorol ; 64(12): 2185-2194, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-32918600

RESUMO

The principal focus of this study was to describe how the coat characteristics could affect the heat exchanges in animals managed in a hot environment. The Morada Nova ewes were monitored once a month, during 10 consecutive months, in three commercial flocks. Initially, an analysis was performed to measure the differences regarding the coat color in the thermoregulation mechanisms. The animals were grouped into 4 different groups according to coat tonality, as follows: dark red animals (group 1, N = 23), intermediate red color (group 2, N = 27), light red animals (group 3, N = 30), and white-coated animals (group 4, N = 30). The data were collected from 1100 to 1400 h, after the animals were exposed to 30 min of direct sunlight. The cluster analysis was performed considering the hair structural characteristics such as coat thickness (CT, cm), hair length (HL, mm), hair diameter (HD, m), and number of hairs (NH, hairs per unit area), after that these clusters were compared in relation to thermoregulatory mechanisms that include rectal temperature (RT, °C), respiratory rate (RR, breaths min-1), cutaneous evaporation (CE, °C), and respiratory evaporation (RE, W m-2). The groups were characterized and compared using mean and standard deviation, and the differences between the clusters were compared using the Tukey test with a 5% probability of error. In relation to coat color, no differences were found in groups 1, 2, and 3 regarding the activation of the thermoregulation mechanisms. The most different was observed in the totally white coat that presented different thermoregulatory responses as the highest sweating rate. White-coated animals showed a non-pigmented epidermis, and the hair structure is responsible to promote skin protection as necessary, such as a dense coat (1242.7 hair cm-2), long hair (14.2 mm), and thicker coat (7.38 mm). In red-coated animals, the hair structure favored heat loss to the environment, such as short hairs, less thick coat, and less hairs per square centimeter. All evaluated animals showed the rectal temperature within the reference limits for the ovine species, regardless of the coat color. In the analysis of clusters related to the physical structure of hair, it was possible to observe that the animals with thick hair, short hair, and less dense coat tended to have a higher capacity to eliminate heat through their respiratory rate and showed less intense heat loss by cutaneous evaporation. We verified that coat color presents a direct influence on the hair structure and the activation of mechanisms related to thermoregulation.


Assuntos
Regulação da Temperatura Corporal , Termotolerância , Animais , Cor , Feminino , Cabelo , Temperatura Alta , Ovinos
3.
J Therm Biol ; 84: 83-91, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31466794

RESUMO

Long-term assessments of bio-thermal responses in a hair coat sheep breed were performed to investigate the effect of the thermal environment on their physiological performance and thermal balance. Twelve healthy non-lactating Morada Nova ewes (3 ±â€¯1.2 years old, body mass 32.7 ±â€¯3.7 kg) were assigned in two 12 × 12 latin square designs (from 07:00 to 19:00 h and from 19:00 to 07:00 h, respectively) for assessments of their bio-thermal responses during 24 consecutive days. There was a monophasic pattern in the ambient temperature (TA), which ranged between 21 and 38 °C, thereby exposing the ewes to different levels of surrounding TA over the day and influencing several of their bio-thermal responses (P = 0.0001). Their body temperatures (i.e., rectal, skin, and hair coat surface temperatures) gradually increased (P = 0.0001) from 04:00 h. The mean peak for rectal temperature (39.3 °C) was recorded at 19:00 h, while for skin and hair coat surface temperatures it occurred at 13:00 and 14:00 h, respectively. The sensible heat loss by long wave radiation and surface convection exceeded the metabolism of ewes when the TA was below 24 °C, which usually occurred between 24:00 and 06:00 h. During exposure to higher ambient temperatures, the sheep increased respiratory evaporative heat loss, without panting. In conclusion, the sheep regulated rectal temperature within a relatively narrow range of 1.4 °C over 24 h, and appear to be well adapted to coping with heat. Minimum 24 h body temperature was correlated with minimum TA, indicating that heat conservation strategies are likely to be important for Morada Nova sheep in a tropical biotype at night, when rates of sensible heat loss exceed the heat generated by metabolism.


Assuntos
Regulação da Temperatura Corporal , Ovinos/fisiologia , Animais , Clima , Feminino , Umidade , Ventilação Pulmonar , Taxa Respiratória , Temperatura , Pressão de Vapor
4.
Int J Biometeorol ; 62(9): 1635-1644, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30003337

RESUMO

The present paper aimed to show the thermoregulatory responses of locally adapted Morada Nova sheep with different coat colors that were exposed to direct solar radiation in an equatorial semiarid region. Animals were classified into four groups according to the coat color as follows: (1) dark red, (2) intermediate red, (3) light red, and (4) white coats. Forty Morada Nova ewes were observed in for 7 consecutive months. The experimental variables measured were rectal temperature (RT), skin surface temperature (ST), respiratory rate (RR), skin surface evaporation (CE), respiratory evaporation (RE), and heat exchange by convection (HC) and radiation (R). Data were collected from 1100 to 1400 h after the animals were exposed to 30 min direct sunlight. The results showed that all groups maintained homeothermy. The RR was higher in the animals of groups 1 to 3, which also showed higher values for ST when compared to the white-coated animals. Sensible heat exchange mechanisms were not important for heat loss, and R was a significant source of heat gain from the environment for the animals. Groups 1, 2, and 3 used RR more intensely than group 4 (P value = 0.001); however, CE was higher for the white-coated animals. It was concluded that Morada Nova sheep are well adapted to the semiarid environment, regardless of coat color.


Assuntos
Regulação da Temperatura Corporal , Pigmentação , Ovinos/fisiologia , Animais , Brasil , Clima , Cor , Feminino , Tempo (Meteorologia)
5.
Int J Biometeorol ; 59(5): 551-9, 2015 May.
Artigo em Inglês | MEDLINE | ID: mdl-25085700

RESUMO

This paper presents a new thermal stress index for dairy cows in inter-tropical regions, with special mention to the semi-arid ones. Holstein cows were measured for rectal temperature (T R), respiratory rate (F R) and rates of heat exchange by convection (C), radiation (R), skin surface evaporation (E S) and respiratory evaporation (E R) in the north eastern region of Brazil, after exposure to sun for several hours. Average environmental measurements during the observations were air temperature (T A) 32.4 °C (24.4-38.9°), wind speed (U) 1.8 m.s(-1) (0.01-11.0), relative humidity 63.6 % (36.8-81.5) and short-wave solar radiation 701.3 W m(-2) (116-1,295). The effective radiant heat load (ERHL) was 838.5 ± 4.9 W m(-2). Values for the atmospheric transmittance (τ) were also determined for tropical regions, in order to permit adequate estimates of the solar radiation. The average value was τ = 0.611 ± 0.004 for clear days with some small moving clouds, with a range of 0.32 to 0.91 in the day period from 1000 to 1300 hours. Observed τ values were higher (0.62-0.66) for locations near the seacoast and in those regions well-provided with green fields. Effects of month, location and time of the day were all statistically significant (P < 0.01). A total of 1,092 data were obtained for cows exposed for 1 to 8 h to sun during the day; in 7 months (February, March, April, July, August, September and November), 4 days per month on the average. A principal component analysis summarised the T R, F R, C, R, E S and E R measurements into just one synthetic variable (y 1); several indexes were then obtained by multiple regression of y 1 on the four environmental variables and its combinations, by using Origin 8.1 software (OriginLab Corp.). The chosen equation was the index of thermal stress for cows, ITSC = 77.1747 + 4.8327 T A - 34.8189 U + 1.111 U (2) + 118.6981 P V - 14.7956 P V (2) - 0.1059 ERHL with r (2) = 0.812. The correlations of ITSC with T R, F R, C, E S, R and E R were 0.275, 0.255, -0.493, -0.647, -0.818 and 0.075, respectively. Correlations of the index with the physiological variables are presented, and ITSC is compared to three other indexes.


Assuntos
Regulação da Temperatura Corporal/fisiologia , Bovinos/fisiologia , Resposta ao Choque Térmico/fisiologia , Resposta ao Choque Térmico/efeitos da radiação , Energia Solar , Clima Tropical , Animais , Regulação da Temperatura Corporal/efeitos da radiação , Brasil , Clima , Ecossistema , Doses de Radiação , Taxa Respiratória/fisiologia , Taxa Respiratória/efeitos da radiação
6.
Int J Biometeorol ; 59(8): 1025-33, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-25336109

RESUMO

Notwithstanding the solar radiation is recognized as a detrimental factor to the thermal balance and responses of animals on the range in tropical conditions, studies on the amount of thermal radiation absorbed by goats therein associated with data on their production and heat exchange are still lacking. Metabolic heat production and the heat exchange of goats in the sun and in the shade were measured simultaneously, aiming to observe its thermal equilibrium. The results showed that black goats absorb twice as much as the white goats under intense solar radiation (higher than 800 W m(-2)). This observation leads to a higher surface temperature of black goats, but it must not be seen as a disadvantage, because they increase their sensible heat flow in the coat-air interface, especially the convection heat flow at high wind speeds. In the shade, no difference between the coat colours was observed and both presented a lower absorption of heat and a lower sensible heat flow gain. When solar radiation levels increases from 300 to 1000 W m(-2), we observed an increase of the heat losses through latent flow in both respiratory and cutaneous surface. Cutaneous evaporation was responsible for almost 90 % of the latent heat losses, independently of the coat colour. Goats decrease the metabolic heat production under solar radiation levels up to 800 W m(-2), and increase in levels higher than this, because there is an increase of the respiratory rate and of the respiratory flow, but the fractions of consumed oxygen and produced carbon dioxide are maintained stable. The respiratory rate of black goats was higher than the white ones, under 300 W m(-2) (55 and 45 resp min(-1)) and 1000 W m(-2) (120 and 95 resp min(-1), respectively). It was concluded that shade or any protection against solar radiation levels above 800 Wm(-2) is critical to guarantee goat's thermal equilibrium. Strategies concerning the grazing period in accordance with the time of the day alone are not appropriate, because the levels of radiation depend on the latitude of the location.


Assuntos
Regulação da Temperatura Corporal , Cabras/fisiologia , Temperatura Alta , Animais , Dióxido de Carbono/metabolismo , Masculino , Consumo de Oxigênio , Taxa Respiratória , Luz Solar
7.
Int J Biometeorol ; 56(5): 927-32, 2012 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-22006421

RESUMO

The present study aimed to evaluate evaporative heat transfer of dairy cows bred in a hot semi-arid environment. Cutaneous (E(S)) and respiratory (E(R)) evaporation were measured (810 observations) in 177 purebred and crossbred Holstein cows from five herds located in the equatorial semi-arid region, and one herd in the subtropical region of Brazil. Rectal temperature (T(R)), hair coat surface temperature (T(S)) and respiratory rate (F(R)) were also measured. Observations were made in the subtropical region from August to December, and in the semi-arid region from April to July. Measurements were done from 1100 to 1600 hours, after cows remained in a pen exposed to the sun. Environmental variables measured in the same locations as the animals were black globe temperature (T(G)), air temperature (T(A)), wind speed (U), and partial air vapour pressure (P(V)). Data were analysed by mixed models, using the least squares method. Results showed that average E(S) and E(R) were higher in the semi-arid region (117.2 W m(-2) and 44.0 W m(-2), respectively) than in the subtropical region (85.2 W m(-2) and 30.2 W m(-2), respectively). Herds and individual cows were significant effects (P < 0.01) for all traits in the semi-arid region. Body parts did not affect T(S) and E(S) in the subtropical region, but was a significant effect (P < 0.01) in the semi-arid region. The average flank T(S) (42.8°C) was higher than that of the neck and hindquarters (39.8°C and 41.6°C, respectively). Average E(S) was higher in the neck (133.3 W m(-2)) than in the flank (116.2 W m(-2)) and hindquarters (98.6 W m(-2)). Coat colour affected significantly both T(S) and E(S) (P < 0.01). Black coats had higher T(S) and E(S) in the semi-arid region (41.7°C and 117.2 W m(-2), respectively) than white coats (37.2°C and 106.7 W m(-2), respectively). Rectal temperatures were almost the same in both subtropical and semi-arid regions. The results highlight the need for improved management methods specific for semi-arid regions.


Assuntos
Regulação da Temperatura Corporal , Bovinos/fisiologia , Animais , Indústria de Laticínios , Clima Desértico , Feminino , Temperatura Alta , Taxa Respiratória
8.
Int J Biometeorol ; 54(1): 5-11, 2010 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-19543921

RESUMO

The goal of the present paper was to assess a method for estimating the thermal radiation absorbed by dairy cows (0.875 Holstein-0.125 Guzerath) on pasture. A field test was conducted with 472 crossbred dairy cows in three locations of a tropical region. The following environmental data were collected: air temperature, partial vapour pressure, wind speed, black globe temperature, ground surface temperature and solar radiation. Average total radiation absorbed by animals was calculated as R(abs) = 640.0 +/- 3.1 W .m(-2). Absorbed short-wave radiation (solar direct, diffuse and reflected) averaged 297.9 +/- 2.7 W m(-2); long wave (from the sky and from terrestrial surfaces) averaged 342.1 +/- 1.5 W m(-2). It was suggested that a new environmental measurement, the effective radiant heat load (ERHL), could be used to assess the effective mean radiant temperature (T*(mr)). Average T*(mr) was 101.4 +/- 1.2 degrees C, in contrast to the usual mean radiant temperature, T(mr) = 65.1 +/- 0.5 degrees C. Estimates of T*(mr) were considered as more reliable than those of T (mr) in evaluating the thermal environment in the open field, because T (mr) is almost totally associated only with long wave radiation.


Assuntos
Regulação da Temperatura Corporal/fisiologia , Regulação da Temperatura Corporal/efeitos da radiação , Bovinos/fisiologia , Exposição Ambiental/análise , Eficiência Biológica Relativa , Energia Solar , Contagem Corporal Total/métodos , Animais , Bioensaio/métodos , Simulação por Computador , Temperatura Alta , Modelos Biológicos , Vento
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