Evaluation of Thermally Treated Calotropis Procera Fiber for the Removal of Crude Oil on the Water Surface.

Biosorbents have been highlighted as an alternative method for the removal of contaminants from spills or leaks of oil and its derivatives, since they are biodegradable, are highly available, low-cost, and have a good sorption capacity. This research investigated the sorption capacity of Calotropis procera fiber in natura (CP) and thermally treated (150 °C and 200 °C) for crude oil removal and recovery. The oil sorption tests were carried out in a dry and water (layer) static systems. The assays revealed that CP fiber has excellent hydrophobic-oil properties and good crude oil sorption capacity, about 75 times its own weight (76.32 g/g). The results of the treated fibers, CPT150 and CPT200, showed oil sorption capacities (in 24 h) higher than CP, between 94.31-103.37 g/g and 124.60-180.95 g/g, respectively. The results from sample CPT200 showed that it can be an excellent biosorbent for the removal of crude oil and other derivatives due to its high hydrophobicity, great reuse/resorption capacity, and ability to retain oil within the fiber lumens. Thus, it can be applied in the recovery, cleaning, and removal of petroleum products and its derivatives from spills and leaks in the future.

Impact of antibiotic therapy in severe community-acquired pneumonia: Data from the Infauci study.

Antibiotic therapy (AT) is the cornerstone of the management of severe community-acquired pneumonia (CAP). However, the best treatment strategy is far from being established. To evaluate the impact of different aspects of AT on the outcome of critically ill patients with CAP, we performed a post hoc analysis of all CAP patients enrolled in a prospective, observational, multicentre study. Of the 502 patients included, 76% received combination therapy, mainly a ß-lactam with a macrolide (80%). AT was inappropriate in 16% of all microbiologically documented CAP (n=177). Hospital and 6months mortality were 34% and 35%. In adjusted multivariate logistic regression analysis, combination AT with a macrolide was independently associated with a reduction in hospital (OR 0.17, 95%CI 0.06-0.51) and 6months (OR 0.21, 95%CI 0.07-0.57) mortality. Prolonged AT (>7days) was associated with a longer ICU (14 vs. 7days; p<0.001) and hospital length of stay (LOS) (25 vs. 17days; p<0.001). Combination AT with a macrolide may be the most suitable AT strategy to improve both short and long term outcome of severe CAP patients. AT >7days had no survival benefit and was associated with a longer LOS.

Large protein as a potential target for use in rabies diagnostics.

Rabies is a zoonotic viral disease that remains a serious threat to public health worldwide. The rabies lyssavirus (RABV) genome encodes five structural proteins, multifunctional and significant for pathogenicity. The large protein (L) presents well-conserved genomic regions, which may be a good alternative to generate informative datasets for development of new methods for rabies diagnosis. This paper describes the development of a technique for the identification of L protein in several RABV strains from different hosts, demonstrating that MS-based proteomics is a potential method for antigen identification and a good alternative for rabies diagnosis.

Perceção do apoio familiar do idoso institucionalizado com dependência funcional / Perception on the family support given to institutionalized aged in a state of functional dependency / Percepción del apoyo familiar del adulto mayor institucionalizado con dependencia funcional

Introdução: Os cuidados formais, prestados aos idosos dependentes, não podem ser desligados do apoio que os familiares proporcionam. Neste aspeto, os cuidados prestados por profissionais de saúde concorrem, lado a lado, com os cuidados informais prestados pelos familiares, para um apoio holístico ao idoso. Por conseguinte, o maior conhecimento do grau de dependência do idoso e do tipo de apoio prestado pela família poderá contribuir para uma melhor adequação dos cuidados ao idoso. Objetivos: Avaliar o apoio prestado pela família a idosos com dependência institucionalizados; descrever o grau de dependência dos idosos. Método: Foi realizado um estudo descritivo exploratório de corte, com idosos dependentes e institucionalizados, de uma região do Norte de Portugal; recorreu-se a uma amostra não probabilística racional (n=111). Foi utilizado um questionário organizado em três grupos: grupo I - caracterização sociodemográfica; grupo II- índice de Barthel; grupo III- Inventário da Perceção de Suporte Familiar. Resultados: Evidenciou-se que a maior parte dos idosos recebem sempre, ou quase sempre, apoio das suas famílias e esse apoio salientou-se na dimensão adaptação familiar. O perfil dos participantes caracteriza-se pela predominância de mulheres com grau grave ou moderado de dependência. Conclusões: Idosos dependentes institucionalizados têm apoio das suas famílias. Salientou-se a continuidade de laços afetivos com os idosos mesmo não coabitando com as suas famílias.

Introduction: Formal care offered to dependent old adults cannot be unlinked from the support which family members provide. In this sense, the care provided by health professionals converges with the informal care provided by family members, creating a holistic support to the old adult. Therefore, a greater knowledge on the degree of dependence of the old adult and on the characteristics of the informal care provided by the family members can contribute to a better care for these adults. Objectives: To assess the support provided by the family members of institutionalized old adults in a state of dependency, and describe the degree of this dependency. Methods: This is a descriptive and cut-exploratory study on institutionalized old adults in a state of dependency, from a region of northern Portugal. The sample was non-random rational (n = 111). The used questionnaire-instrument was organized in three areas: group I included the demographic characterization; the group II included the Barthel index, and the group III included the Family Support Perception Inventory. Results: It was evidenced that the majority of old adults always, or almost always, receive support from their families, which highlighted the dimension of Family Adaptation. The profile of the participants is characterized by a predominance of women with a severe or moderate degree of dependency. Conclusions: Institutionalized old adults in a state of dependency have support from their families. Though living separately, the continuity of affective links between these adults and their families was highlighted.

Introducción: Los cuidados formales ofrecidos a los adultos mayores dependientes, no se pueden desligar del apoyo que los familiares proporcionan. En este aspecto, los cuidados ofrecidos por profesionales de la salud convergen, lado a lado, con los cuidados informales prestados por los familiares, para un apoyo holístico al adulto mayor. Por consiguiente, el mayor conocimiento sobre el grado de dependencia del adulto mayor y del tipo de apoyo dado por la familia, podrá contribuir para una mejor adecuación de los cuidados del adulto mayor. Objetivos: Evaluar el apoyo prestado por la familia a los adultos mayores con dependencia institucionalizados; describir el grado de dependencia de los adultos mayores. Métodos: Se realizó un estudio descriptivo exploratorio de corte, con adultos mayores dependientes institucionalizados, de una región del norte de Portugal, se recurrió a una muestra no probabilística racional (n=111). Fue utilizado un cuestionario organizado en tres grupos: grupo I caracterización demográfica; grupo II índice de Barthel; grupo III Inventario de Percepción de Apoyo Familiar. Resultados: Se evidenció que la mayor parte de los adultos mayores siempre reciben, o casi siempre, apoyo de sus familias y ese tipo de apoyo sobresalió en la dimensión de adaptación familiar. El perfil de los participantes se caracteriza por la predominancia de mujeres con un grado grave o moderado de dependencia. Conclusiones: Los Adultos mayores dependientes institucionalizados tienen apoyo de sus familias. Se destacó la continuidad de los lazos afectivos con los adultos mayores, a pesar de no cohabitar con sus familias.

Intake, digestibility, performance, and nitrogen metabolism of feedlot-finished young bulls () fed diets containing peanut cake.

This aim of this study was to evaluate the use of peanut cake as a dietary substitute for soybean meal and to determine the effects on intake, apparent digestibility, performance, and N metabolism in feedlot-finished young bulls. Thirty-two young Nellore bulls with an average initial BW of 390 ± 43.5 kg were distributed in a completely randomized design and individually housed in stalls. The young bulls were fed Tifton 85 hay and 4 concentrate mixes containing 0, 33, 66, or 100% peanut cake replacing soybean meal. The diets were formulated to be isonitrogenous, containing 150 g/kg CP, and isocaloric (65% TDN), to have a 40:60 forage:concentrate ratio, and were provided as a total mixed ration. The experiment lasted 90 d and data were collected every 28 d. Blood and urine samples were taken during the last 6 d. Intakes of DM ( = 0.005), OM ( = 0.006), CP ( = 0.002), NDF ( = 0.022), nonfiber carbohydrates ( = 0.002), and TDN ( = 0.018) linearly decreased as the dietary inclusion of peanut cake in the diet was increased. Conversely, intake and ether extract digestibility linearly increased ( < 0.035). The average daily weight gain decreased ( = 0.015) as the peanut cake levels were increased. Plasma urea N decreased (linearly; = 0.005). Peanut cake may not be used to replace soybean meal in the diet of young feedlot-finished Nellore bulls.

Thesis Abstract Fermented milk elaborated with Camellia sinensis.

This study aimed to develop and to characterize fermented dairy beverage formulated with Camellia sinensis. The infusion was elaborated with the addiction of dehydrated leaves of C. sinensis in whey (1g/100g) which added in sweetened milk (10% sucrose w/w) coagulated by Streptococcus salivarius subspecies thermophilus and Lactobacillus delbrueckii subspecies bulgaricus in proportions of 10, 20, 30 and 40% (v/w). The control treatment consisted of yogurt added with sucrose (10% w/w). Analysis were performed to quantify dry mass, moisture, ash, protein, fat, sodium, acidity, total quantification of lactic acid bacteria, total antioxidant activity and viscosity at the initial time of production and at 15 and 30 days of storage. Chromatographic determination of volatile compounds and sensory tests of acceptance and consumption intention were conducted at the initial time of production. Dry matter content, moisture, ash and total count of lactic acid bacteria from fermented milk drink formulations were not significantly affected by the amount of infusion of C. sinensis. However, the content of protein, fat and sodium were significantly lower with the increase of the proportion of infusion incorporated into the product. Significant reduction in apparent viscosity occurs with the increase in the amount of infusion added. The total antioxidant activity of the formulations was significantly higher as higher were the amount of added infusion. The addition of infusion contributed to the diversification of volatile aroma and taste makers in the product. The formulation of fermented dairy drink with addition of 30% infusion C. sinensis was better evaluated in sensory tests, with greater acceptance and greater consumer intent of consumption.

Production and quality of beef from young bulls fed diets supplemented with peanut cake.

Peanut cake is a biodiesel byproduct that has been tested as an alternative feed additive for use in cattle production. This study aimed to assess the importance of dietary peanut cake inclusion for young bull growth rate, beef production, and beef quality. In total, 32 Nellore young bulls individually housed in stalls with a mean initial body weight of 390±43.5kg were distributed in a completely randomized design for the experiment. The animals were fed Tifton 85 hay and one of four concentrate mixtures with 0, 33, 66 or 100% peanut cake instead of soybean meal. There was a linear reduction (P<0.05) in the slaughter weight and hot carcass weight and a quadratic effect (P<0.05) on the beef texture. No alterations occurred in the physicochemical characteristics of the longissimus thoracis; however, changes were observed (P<0.05) in the longissimus thoracis fatty acid profile. The replacement of soybean meal with peanut cake at levels up to 100% in the diet of feedlot-finished young bulls promotes a beneficial increase in the levels of PUFAs and the following nutraceutical compounds: conjugated linoleic acid (CLA) and Ω3 and Ω6 fatty acids.

Peanut cake as a substitute for soybean meal in the diet of goats.

This study aimed to test the hypothesis that peanut cake can substitute for soybean meal in the feed of ruminants on the basis of the intake, performance, digestion, and serum urea and glucose concentration in crossbred Boer × indigenous goat kids. Forty intact vaccinated and dewormed crossbred Boer × indigenous goat kids (average age = 5 mo, average BW = 15.6 ± 2.7 kg) were used. The goats were fed Tifton-85 (Cynodon dactylon) hay and concentrate mixes of corn bran, soybean meal, premix mineral, and peanut cake substituted for soybean meal at rates of 0.0%, 33.33%, 66.67%, and 100%. The animals were confined for 62 d, and the digestibility trial was performed from d 27 to 31 of confinement. Samples of orts and feces were quantified and collected from each animal during this period. On the d 32 of confinement, a blood sample was taken from animals to measure urea N and glucose. Data were analyzed with a regression model. Substitution of soybean meal with peanut cake in the diet of the animals resulted in a reduction in intake of DM (P = 0.02), CP (P = 0.03), NDF (P = 0.03), nonfiber carbohydrate (NFC; P = 0.01), and TDN (P = 0.02) and an increase in intake of ether extract (P < 0.001). The total and daily average weight gains decreased (P = 0.02) with substitution, whereas G:F was not influenced (P = 0.11). With the exception of ether extract digestibility, which increased (P < 0.001) with substitution, digestibility of DM (P = 0.13), OM (P = 0.18), CP (P = 0.54), NDF (P = 0.20), and NFC (P = 0.73) was not influenced by diets. The concentration of serum urea N was influenced quadratically by the postprandial time for treatments with 33.33%, 66.67%, and 100.00% substitution. Peanut cake is not a complete, equal substitute for soybean meal in goat feed. However, peanut cake may represent an eventual replacer able to reduce goat producers' dependence on traditional ingredients in the feed of growing goat kids.

Impact of infection on admission and of the process of care on mortality of patients admitted to the Intensive Care Unit: the INFAUCI study.

A prospective, cohort, clinical, observational study was performed in 14 Intensive Care Units (ICUs) to evaluate the contemporary epidemiology, morbi-mortality and determinants of outcome of the population with an infection on admission. All 3766 patients admitted during a consecutive 12-month period were screened. Their median age was 63 [26-83], 61.1% were male and 69.8% had significant comorbidities. On admission to the ICU 1652 patients (43.9%) had an infection, which was community acquired in 68.2% (one-fifth with healthcare-associated criteria) and ward-acquired in the others. Roughly half presented to the ICU with septic shock. As much as 488 patients with community-acquired infections were deemed stable enough to be first admitted to the ward, but had similar mortality to unstable patients directly admitted to the ICU (35.9% vs. 35.1%, p 0.78). Only 48.3% of this infected population had microbiological documentation and almost one-quarter received inappropriate initial antibiotic therapy. This, along with comorbidities, was a main determinant of mortality. Overall, infected patients on admission had higher mortality both in the ICU (28.0% vs. 19.9%, p <0.001) and in the hospital (38.2% vs. 27.5%, p <0.001) and even after being discharged to the ward (14.2% vs. 9.6%, p <0.001). Also, patients not infected on admission who acquired an infection in the ICU, had an increased risk of dying in the hospital (odds ratio 1.41 [1.12-1.83]). Consequently, infection, regardless of its place of acquisition, was associated with increased mortality. Improving the process of care, especially first-line antibiotic appropriateness, and preventing ICU-acquired infections, may lead to better outcomes.

Comportamento ingestivo e respostas fisiológicas de novilhos submetidos a dietas com torta de amendoim / Intake behavior and physiological responses of steer fed with peanut cake diets

Objetivou-se avaliar a substituição do farelo de soja por torta de amendoim no concentrado da dieta de novilhos, por meio do comportamento ingestivo e respostas fisiológicas. Foram utilizados cinco novilhos, dispostos em um quadrado latino 5 x 5. As dietas foram compostas de feno de tifton, milho moído, farelo de soja e torta de amendoim, constituídas de zero (100 por centode farelo de soja), 25, 50, 75 e 100 por cento de substituição por torta de amendoim no concentrado. Os níveis de torta de amendoim não influenciaram (P>0,05) as eficiências de ingestão e ruminação da matéria seca e da fibra em detergente neutro. Em relação às atividades comportamentais, o único parâmetro em que se observou efeito da substituição foi o número de períodos de ócio no turno da manhã (P<0,05), no qual se constatou efeito linear crescente. A taxa de secreção salivar e a quebra de partículas foram semelhantes, pois não houve efeito (P>0,05) das dietas sobre as características de mastigação. Como não houve efeito (P>0,05) das dietas sobre as frequências respiratória, cardíaca e a temperatura retal, o calor endógeno produzido pela fermentação ruminal foi equivalente. A torta de amendoim, por conter aflatoxinas, quando fornecida em alta relação volumoso x concentrado, pode substituir o farelo de soja na dieta de novilhos, pois ocasiona comportamento ingestivo e respostas fisiológicas semelhantes...

This study aimed to evaluate the replacement of soybean meal with peanut cake in the concentrate of steer diets through intake behavior and physiological responses. Five steers, arranged in a 5 x 5 latin square design were used. The diets were composed of Tifton hay, ground corn, soybean meal and peanut cake, made from zero (100 percent soybean meal), 25, 50, 75 and 100 percent replacement for peanut cake in the concentrate. The levels of peanut cake did not influence (P>0.05) the intake and rumination efficiencies of dry matter and fiber in neutral detergent. Regarding the behavioral activities, the only parameter that observed a substitution effect was the number of idle periods in the morning shift (P<0.05) which had an increasing linear effect. The rate of salivary secretion and the particle breakdown were similar, because there was no effect (P>0.05) of the diets on the chewing characteristics. As there was no effect (P>0.05) of the diets on the respiratory rate, heart rate and rectal temperature, the endogenous heat produced by rumen fermentation was equivalent. The peanut cake, by containing aflatoxin, when provided in high roughage x concentrate rate, can replace soybean meal in the steers' diet because it causes similar intake behavior and physiological responses...

Chemical composition and dry matter digestibility of sugar cane oxide treated with calcium / Composição química e digestibilidade da matéria seca da cana-de-açúcar tratada com óxido de cálcio

The aim of this study was to identify the most adequate level of calcium oxide (CaO) in the treatment of sugar cane by evaluating the chemical composition and in vitro digestibility of dry matter. The sugar cane was homogenized with CaO levels 0, 0.75, 1.5, 2.25, 3.0, 3.75 and 4.5 percent, in natura matter, for 24 hours. The dry matter and mineral matter increased, while the organic matter of the sugar cane decreased (P <0.05) linearly as a result of the CaO levels. The CaO had no effect on the levels of crude protein and ether extract. The phosphorus concentration remained unchanged, but there was a significant increase (P<0.05) in the calcium content. The contents of neutral detergent fiber, acid detergent fiber and cellulose decreased linearly with the levels of CaO. The average levels of indigestible dry matter and indigestible neutral detergent fiber significantly decreased with increasing levels of CaO. The results showed that the in vitro dry matter digestibility (IVDMD) was different between fresh sugar cane and sugar cane with added levels of CaO from 1.5 percent. The IVDMD and nutritional value of the sugar cane was improved by adding 1.5 percent CaO based on fresh content...

O objetivo foi identificar o nível mais adequado de óxido de cálcio (CaO) no tratamento da cana-de-açúcar por meio da avaliação da composição química e a digestibilidade in vitro da matéria seca. A cana-de-açúcar foi homogeneizada adicionando os níveis de CaO 0; 0,75; 1,5; 2,25; 3,0; 3,75 e 4,5 por cento em porcentagem de matéria natural, por 24 horas. Os teores de matéria seca e matéria mineral aumentaram, ao passo que o teor de matéria orgânica da cana-de-açúcar diminuiu (P<0,05) de forma linear em função dos níveis de CaO. Não houve efeito dos níveis do CaO sobre o teor de proteína bruta e extrato etéreo. Os teores médios de fósforo mantiveram-se inalterados, porém ocorreu um aumento (P<0,05) no teor de cálcio. Os teores de fibra em detergente neutro, fibra em detergente ácido e celulose diminuíram linearmente em função dos níveis de CaO. Os teores médios da matéria seca indigestível e da fibra em detergente neutro indigestível tiveram redução significativa com o aumento dos níveis de CaO. Os resultados da digestibilidade in vitro da matéria seca (DIVDM) mostraram-se diferentes entre cana-de-açúcar in natura e a com níveis de CaO. Níveis de CaO a partir de 1,5 por cento melhoram o valor nutritivo e a DIVDM da cana-de-açúcar...

Genetic linkage analysis identifies Pas1 as the common locus modulating lung tumorigenesis and acute inflammatory response in mice.

Selective breeding for the acute inflammatory response (AIR) generated two mouse lines characterized by maximum (AIRmax) and minimum (AIRmin) responses, explained by the additive effect of alleles differentially fixed in quantitative trait loci (QTLs). These mice also differ in their susceptibility to lung tumorigenesis, raising the possibility that the same loci are involved in the control of both phenotypes. To map the QTLs responsible for the different phenotypes, we carried out a genome-wide linkage analysis using single-nucleotide polymorphism arrays in a pedigree consisting of 802 mice, including 693 (AIRmax × AIRmin)F2 intercross mice treated with urethane and phenotyped for AIR and lung tumor multiplicity. We mapped five loci on chromosomes 4, 6, 7, 11 and 13 linked to AIR (logarithm of odds (LOD)=3.56, 3.52, 15.74, 7.74 and 3.34, respectively) and two loci linked to lung tumor multiplicity, on chromosomes 6 and 18 (LOD=12.18 and 4.69, respectively). The known pulmonary adenoma susceptibility 1 (Pas1) locus on chromosome 6 was the only locus linked to both phenotypes, suggesting that alleles of this locus were differentially fixed during breeding and selection of AIR mice. These results represent a step toward understanding the link between inflammation and cancer.

Fracionamento de carboidratos e degradabilidade ruminal da cana-de-açúcar tratada com óxido de cálcio / Fractioning Fractioning of carbohydrates and rumen degradability of sugar cane treated with calcium oxide

Avaliaram-se o fracionamento de carboidratos e a degradabilidade in situ da matéria seca (MS) e da fibra em detergente neutro (FDN) da cana-de-açúcar tratada com óxido de cálcio (CaO). Foram testadas as porcentagens de 0; 0,75; 1,5; 2,25; 3,0; 3,75 e 4,5% de CaO, e o material testemunha (cana-de-açúcar in natura) para a avaliação do fracionamento de carboidratos, e as porcentagens de 0; 1,5; 3,0 e 4,5% de CaO para a avaliação da degradabilidade in situ da MS e da FDN. O CaO foi adicionado em pó na cana-de-açúcar, em porcentagem da matéria natural, por 24 horas. A porcentagem de inclusão de CaO na cana-de-açúcar proporcionou valores mais baixos para teores de carboidratos totais (CT) comparados aos valores da cana-de-açúcar in natura. Observou-se crescimento linear das frações A+B1 e B2, e redução na fração C da cana-de-açúcar em função da porcentagem de CaO. Os maiores valores de fração insolúvel potencialmente degradável da MS e menores de fração indigestível (Ip) da FDN foram observados na cana-de-açúcar com 3,0 e 4,5% de CaO. A adição de 3,0 e 4,5% de CaO na cana-de-açúcar promove diminuição da fração indigestível dos carboidratos e melhores taxas de degradação ruminal tanto da MS quanto da FDN.

Were evaluated the fractioning of carbohydrates and in situ dry matter (DM) and neutral detergent fiber (NDF) of sugarcane treated with calcium oxide (CaO). Levels 0, 0.75, 1.5, 2.25, 3.0, 3.75 and 4.5% CaO, and the material witness (sugarcane in nature) were tested for the assessment of fractioning of carbohydrates and levels 0, 1.5, 3.0 and 4.5% CaO for the evaluation of in situ DM and NDF. The levels of CaO were added in powder form, as a percentage of natural matter in sugarcane for 24 hours. The inclusion levels of CaO in sugarcane showed lower values for the total carbohydrates (TC) when compared with sugarcane in natura. A linear growth of the fractions A + B1 and B2 was observed, as well as a decrease in C fraction of sugarcane depending on the levels of CaO. The highest values of insoluble fraction potentially degradable in rumen and the lower values of NDF indigestible fraction (Ip) were observed in sugarcane with 3.0 and 4.5% CaO. The addition of 3.0 and 4.5% CaO to sugarcane decreased the indigestible carbohydrates fraction and promotes better rates of ruminal degradation of both DM and NDF.

Kinetic studies of recombinant rabies virus glycoprotein (RVGP) cDNA transcription and mRNA translation in Drosophila melanogaster S2 cell populations.

Recombinant rabies virus glycoprotein (RVGP) was expressed in cell membranes of stably transfected Drosophila S2 cells using constitutive and inducible promoters. Although with quantitative differences of RVGP expression in both systems, the cDNA transcription, as evaluated by relative RVGP mRNA levels measured by qRT-PCR, sustained the amount of RVGP producing cells and the RVGP volumetric (ΠRVGP) productivity. At the transition to the stationary cell growth phase, once the cell culture slowed down its rate of multiplication, an accumulation of RVGP mRNA and RVGP was clearly observed in both cell populations. Nevertheless, cell cultures performed under sub-optimal temperatures indicated that an envisaged increase in the RVGP production is not only dependent on cell growth rate, but essentially on optimal cell metabolic state.

Rhabdomyolysis: risk factors and incidence in polytrauma patients in the absence of major disasters.

PURPOSE: Rhabdomyolysis is a syndrome caused by musculoskeletal tissue damage that leads to the release of large amounts of intracellular elements, which particularly affect renal function. The most common causes are severe trauma, ischemia, surgical procedures, and drug abuse. We aimed to determine the incidence of rhabdomyolysis by measuring muscle injury markers (CK, myoglobin), to identify pre/post-admission as well as iatrogenic risk factors for rhabdomyolysis in severe polytrauma, to clarify the relevance of orthopedic injuries and surgical treatment in the onset/worsening of rhabdomyolysis, and to correlate risk factors with its main complication-acute renal failure (ARF). METHODS: Prospective study of severe polytrauma patients (Injury Severity Score (ISS) >15), with CK and myoglobin values measured at admission and after 24, 48, and 72 h. Peak values, variations between admission and peak, and variations between admission and day 3 were all determined. The correlations of those values with the onset of ARF and other negative outcomes were assessed. RESULTS: A total of 57 consecutive patients with a median ISS of 29 were included. ARF was present in 20 patients (38 %). CK-0 level was correlated with male gender (p < 0.027) and ISS (0.014); Mb-0 level was correlated with hypovolemic shock (0.003) and skeletal fracture (p < 0.043). CK-max was correlated with surgery (p < 0.038) and surgery duration (p < 0.014); Mb-max was correlated with surgery (p < 0.002) and anesthesia duration (p < 0.005). Δ-CK was correlated with surgery (p < 0.01) and surgery duration (p < 0.017), and Δ0-3-CK was correlated with surgery (p < 0.042). Logistic regression analysis found relationships between Δ0-3-CK and both ICU admission (p < 0.003) and MODS (p < 0.012), and between Mb-max and ARF (p < 0.034). CONCLUSION: We found that a large number of factors are implicated in CK and Mb variations. Rhabdomyolysis is a very frequent complication, but increase in CK marker alone does not seem to be correlated with the incidence of ARF. Therefore, Mb level should be considered in this group of patients.

Comportamento ingestivo e respostas fisiológicas de cabritos alimentados com dietas contendo torta de girassol oriunda da produção de biodiesel / Ingestive behavior and physiological responses of goats fed with diets containing sunflower cake from biodiesel production

Avaliou-se o efeito de dieta com torta de girassol, oriunda da produção de biodiesel, sobre o comportamento ingestivo e a resposta fisiológica de 32 cabritos ½ sangue Boer, não castrados, com peso médio inicial de 15,3±3,2kg e idade média de 135 dias. Utilizou-se delineamento inteiramente ao acaso, com quatro tratamentos 0; 8; 16 e 24% de inclusão da torta de girassol e oito repetições. O tempo despendido com ruminação, ócio e mastigação total não foi influenciado pela dieta, e observou-se efeito linear crescente sobre o tempo de ingestão em min/período e em min/dia. A eficiência de ingestão e ruminação da matéria seca e da fibra em detergente neutro também não diferiu entre dietas. Quanto às respostas fisiológicas, as frequências respiratória e cardíaca e as temperaturas retal e superficial não sofreram influência da dieta. Concluiu-se que a torta de girassol pode ser incluída até 24% da matéria seca em dietas de cabritos ½ sangue Boer sem comprometer o comportamento ingestivo e os parâmetros fisiológicos desses animais. O fornecimento de dietas com até 24% de matéria seca de torta de girassol não interfere no estresse calórico de cabritos.

The effect of diets with sunflower cake originated from biodiesel production on the ingestive behavior and physiological responses of 32 crossbred Boer goats, noncastrated, with initial weight of 15.3±3.2 kg and mean age of 135 days was evaluated. A completely randomized design with four treatments (0, 8, 16 and 24% of sunflower cake inclusion) and eight replicates was used. The rumination and idling times and the total chewing time were not affected by diets, but the ingestion time (min/period and min/day) had an increasing linear effect. The rumination and ingestion efficiencies of dry matter and neutral detergent fiber also did not differ among diets. Regarding the physiological responses of animals, the heart and respiratory frequencies and the surface and rectal temperatures were not influenced by diets. Sunflower cake can be included up to 24% DM in diets of crossbred Boer goats without compromising the ingestive behavior and physiological parameter of these animals. Under the climatic conditions evaluated the supply of diets with up to 24% DM of sunflower cake does not mitigate or enhance the heat stress in kids.

Knowledge and behavior among health professionals in relation to cadaveric organ donation and transplantation: a questionnaire-based analysis in Portuguese hospitals.

OBJECTIVE: To assess knowledge and behavior relative to cadaveric organ donation and transplantation among physicians and nurses working at nine Portuguese hospitals. METHODS: This prospective study between May and October 2009 included 495 questionnaires that were returned among 840 that were delivered, a 59% response rate. The transplant questionnaire comprised three main sections: section 1, sociodemographic-professional variables of the participants with nine questions; section 2, generic questions on organ donation and transplantation with 12 questions; and section 3 evaluated knowledge with 20 specific questions on organ donation and transplantation. RESULTS: Sixty-one percent of the participants were females, with 40% of the overall cohort between 31 and 40 years old; 62% married; 63% working in the emergency department; and 78% nurses. Although 78% of the participants stated that they had undergone specific training on organ donation and transplantation, 62% felt that they needed more training. The reasons evoked for the low rate of donation included difficulties in initiating the process of organ donation, in diagnosing cerebral death and in obtaining necessary human resources. There were no significant differences in knowledge between physicians and nurses concerning specific organ donation and transplantation issues. Having had specific training on organ donation and transplantation was significantly associated with correct answers to several questions, including those pertaining to knowledge of the national legislation on organ donation and transplantation. CONCLUSIONS: The present study showed a lack of specific knowledge and training on organ donation and transplantation issue. It also suggested that for hospital staff to successfully act as initiators of the organ procurement process, more information and education are necessary. This effort could significantly increase the rate of organ donation and transplantation in Portugal.

Association study by genetic clustering detects multiple inflammatory response loci in non-inbred mice.

We tested the possibility to map loci affecting the acute inflammatory response (AIR) in an (AIRmax × AIRmin) F2 intercross mouse population derived from non-inbred parents, by association analysis in the absence of pedigree information. Using 1064 autosomal single nucleotide polymorphisms (SNPs), we clustered the intercross population into 12 groups of genetically related individuals. Association analysis adjusted for genetic clusters allowed to identify two loci, inflammatory response modulator 1 (Irm1) on chromosome 7 previously detected by genetic linkage analysis in the F2 mice, and a new locus on chromosome 5 (Irm2), linked to the number of infiltrating cells in subcutaneous inflammatory exudates (Irm1: P=6.3 × 10(-7); Irm2: P=8.2 × 10(-5)) and interleukin 1 beta (IL-1ß) production (Irm1: P=1.9 × 10(-16); Irm2: P=1.1 × 10(-6)). Use of a polygenic model based on additive effects of the rare alleles of 15 or 18 SNPs associated at suggestive genome-wide statistical threshold (P<3.4 × 10(-3)) with the number of infiltrating cells or IL-1ß production, respectively, allowed prediction of the inflammatory response of progenitor AIR mice. Our findings suggest the usefulness of association analysis in combination with genetic clustering to map loci affecting complex phenotypes in non-inbred animal species.