Eicosapentaenoic acid- and docosahexaenoic acid-rich fish oil in sow and piglet diets modifies blood oxylipins and immune indicators in both, sows and suckling piglets.

Over the last decades, genetic selection has increased sows' litter size. Consequently, there is a high proportion of piglets born with low weight which are vulnerable. Their viability may potentially be enhanced through early nutrition. The aim of the current study was to evaluate whether including a fish oil rich in eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) in the diets of the sow and piglets was able to increase concentrations of anti-inflammatory molecules in their blood. Thirty-six sows, in four consecutive batches, were randomly assigned to either a control diet with animal fat (15 g/kg in gestation and 30 g/kg in lactation) or an n-3 long-chain fatty acid (n-3 LCFA) diet from insemination until the end of lactation. From day 11 of lactation, piglets were also offered a diet containing 30 g/kg of animal fat or n-3 LCFA. To prepare the n-3 LCFA diet, 15 g/kg or 30 g/kg of animal fat in the control diet were replaced by an equivalent amount of solid fish oil for sows and piglets, respectively. All the sows were sampled for serum and plasma at day 108 of gestation and at weaning. Additionally, only for the first batch of sows, blood samples were also obtained at weaning from the two lightest (>800 g) and the two heaviest birth weight piglets in each litter. Serum fatty acids (FAs) were quantified by gas chromatography, plasma oxylipins by ultra-HPLC-MS and plasma immunoglobulins (Ig) and cytokines by ELISA. The n-3 LCFA diet increased the concentrations of n-3 FAs in gestating and lactating sows and in piglets (P < 0.001, P < 0.001 and P = 0.011, respectively), particularly EPA (P < 0.001, P < 0.001 and P < 0.001, respectively) and DHA (P < 0.001, P < 0.001 and P < 0.001, respectively), and also their oxygenated derivatives. In addition, fish oil increased plasma IgM in gestating and lactating sows (P = 0.014 and P = 0.008, respectively), interleukin (IL) 6 in sows at weaning (P = 0.012), and IL1ß in piglets (P = 0.018). Birth BW of piglets, regardless of diet, slightly influenced some of the n-6-derived oxylipins. In conclusion, fish oil addition in diets increased the blood concentrations of n-3 FAs and their oxygenated derivatives, some of which have anti-inflammatory activity, in gestating and lactating sows and piglets, IgM in gestating and lactating sows, IL6 in lactating sows and IL1ß in piglets.

Fish oil rich in eicosapentaenoic acid and docosahexaenoic acid in sow diets modifies oxylipins and immune indicators in colostrum and milk.

Colostrum and milk are the first nutrient sources for newborn piglets. In addition, n-3 fatty acids (FAs) and their oxygenated derivatives (oxylipins) have the capacity to modulate immune components. The aim of the current study was to include a fish oil rich in eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) in sow diets to promote an increase of anti-inflammatory molecules in colostrum and milk to benefit piglets. Thirty-six sows were randomly assigned from insemination to the end of lactation to either a control diet with animal fat (15 g/kg in gestation and 30 g/kg in lactation) or an n-3 diet in which animal fat was totally (gestation) or half (lactation) replaced by an equivalent amount of solid fish oil. Performance of sows and piglets was monitored during the study. Colostrum and milk samples were obtained after the birth of the first piglet and at weaning, respectively. From all samples (n = 18 per treatment), FAs were quantified by gas chromatography and immunoglobulins and cytokines by ELISA. Three samples per treatment were randomly selected to analyse oxylipin composition by liquid chromatography-tandem mass spectrometry. In colostrum and in milk, the n-3 FA (P = 0.020 and P < 0.001), particularly EPA (P < 0.001 and P < 0.001) and DHA (P < 0.001 and P < 0.001), and also their oxygenated derivatives were increased in samples from sows fed n-3 diet. Fish oil had no effect on immunoglobulin concentrations, but reduced tumour necrosis factor α (TNFα) (P = 0.011) and a tendency to reduce interleukin 10 (IL10) (P = 0.059) were observed in milk. In conclusion, fish oil in sow diets increased n-3 FA, particularly EPA and DHA, and their oxygenated derivatives in colostrum and milk, reducing TNFα and IL10 in milk.

Outcome of radiosurgery treatment with a linear accelerator in patients with trigeminal neuralgia. / Resultados de la aplicación de radiocirugía con acelerador lineal en pacientes con neuralgia del trigémino.

INTRODUCTION: An overview of the effectiveness of radiosurgery in patients diagnosed with trigeminal neuralgia with an analysis of potential predictors of good outcome. METHODS: All patients treated with linear accelerator radiosurgery between 2004 and 2011 were analysed. A dose of 60Gy dose was administered 1 to 2mm from the root entry zone with a maximum isodose of 20% delivered to the brainstem. Clinical results for pain control and any side effects were analysed at 12 and 36 months (BNI score). RESULTS: The study included 71 patients (mean follow-up 50.5 months). Pain improvement at 12 months was observed in 68.11% of the total (28.98% with BNI score i-ii; 39.12% with BNI score iii) and at 36 months in 58.21% (23.88% BNI score i-ii; 34.32% BNI score iii). Average recovery time was 3.69 months and the relapse rate was 44.68%. Patients with typical pain displayed statistically significant differences in improvement rates at 12 and at 36 months (P<047 and P<.002). Onset of improvement was analysed using Kaplan-Meyer plots. Statistically significant differences were observed between patients with typical and atypical pain at 36 months (P<.012) in Kaplan-Meyer plots. Side effects were recorded in 15 patients (20.89%), including 9 cases of facial numbness (13.43%); only 2 cases were clinically relevant (2.98%). CONCLUSION: According to our results, radiosurgery is an effective treatment for trigeminal neuralgia, with few side effects. Typical pain seems to be a good predictor of pain relief.

[Perceived quality in hospitals of the Andalusia Healthcare System. The case of neurosurgery departments]. / Calidad percibida en hospitales del Servicio Sanitario Andaluz. El caso de los servicios de neurocirugía.

OBJECTIVE: To analyse the characteristics of the perceived quality in hospitals of the Andalusia healthcare system and compare this with that in Andalusian Neurosurgery departments. MATERIAL AND METHODS: Randomised surveys, adjusted for working age, were performed in Andalusia using a telephone questionnaire based on the SERVQUAL model with the appropriate modification, with the subsequent selection of a subgroup associated with neurosurgery. Perceived quality was classified as; technical, functional and infrastructure quality. RESULTS: The overall satisfaction was 76.3%. Frequency analysis found that variables related to the technical quality (good doctors, successful operations, trained staff, etc.) obtained more favourable outcomes. Those related to time (wait, consulting, organizing schedules) obtained worse outcomes. The care of families variables obtained poor results. There was no difference between the overall Andalusian healthcare system and neurosurgery departments. In the mean analysis, women and older people gave more favourable responses, especially for variables related to infrastructure quality. In the "cluster" analysis, there were more favourable responses by elderly people, with no differences in gender (P<.009). CONCLUSIONS: There is no difference in perceived quality between the Andalusian healthcare system overall and neurosurgery departments. The perceived quality of the Andalusian healthcare system is higher in the elderly people. The analysis of perceived quality is useful for promoting projects to improve clinical management.

Effect of reducing dietary protein and lysine on growth performance, carcass characteristics, intramuscular fat, and fatty acid profile of finishing barrows.

Intramuscular fat is an important quality trait in pork. Lysine and protein have been reported to influence this trait, but most studies have modified both factors simultaneously. In this study, the effects of dietary Lys and protein were investigated in finishing pigs to determine if either of the 2 factors alone or in combination influence the deposition of intramuscular fat. One hundred and four barrows (Landrace × Duroc) were fed 1 of 4 experimental diets, including control protein-control Lys (CPCL), control protein-low Lys (CPLL), low protein-control Lys (LPCL), and low protein-low Lys diets (LPLL) with 10 pens per treatment and 2 or 3 pigs per pen. Pigs fed CPLL showed a trend to decrease feed efficiency (P < 0.10) compared with those fed CPCL, but pigs fed LPLL performed similarly to the CPCL pigs, indicating that CP levels can be reduced to 12% for pigs between 62 and 97 kg and to 9.8% afterward without negative effects on performance. In the longissimus thoracis, intramuscular fat increased in pigs fed LPCL or CPLL (P < 0.05) compared with CPCL. In the semimembranosus muscle, intramuscular fat was reduced in pigs fed LPLL compared with those fed CPLL (P < 0.05), and the same trend was observed in the longissimus thoracis (P < 0.10). Dietary protein reduction tended to increase back fat thickness (P < 0.10) and reduced SFA and MUFA (P < 0.05) and PUFA, particularly in subcutaneous fat (P < 0.05), whereas the effect on MUFA in the longissimus thoracis was less pronounced. A reduction of n-3 FA (P < 0.05) and PUFA (P < 0.01) in the semimembranosus muscle and in the liver, respectively, was observed when the level of dietary protein was reduced. These results indicate that the effect of a reduction of dietary protein and Lys on growth and intramuscular fat is not independent, and reduction of protein, while maintaining Lys, may improve meat quality without impairing performance.

Dietary conjugated linoleic acid modify gene expression in liver, muscles, and fat tissues of finishing pigs.

The aim of this study was to investigate underlying mechanisms of dietary conjugated linoleic acid (CLA) on lipid metabolism in various tissues of pigs. Sixteen gilts (73 ± 3 kg) were fed a control (containing sunflower oil) or an experimental diet in which 4% of sunflower oil was replaced by CLA, and slaughtered at an average BW of 117 ± 4.9 kg. Transcription of peroxisome proliferator-activated receptor alpha (PPARα), peroxisome proliferator-activated receptor gamma (PPARγ), fatty acid synthase (FAS), sterol regulatory element binding protein (SREBP1), acetyl-CoA carboxylase (ACC), lipoprotein lipase (LPL), delta-6-desaturase (D6D), and stearoyl CoA desaturase (SCD) were determined by real-time PCR in longissimus thoracis (LT) and semimembranosus (SM) muscles, LT subcutaneous and SM intermuscular fat, and in the liver. Fatty acid (FA) composition was analyzed using gas chromatography in these tissues, except for SM intermuscular fat. Dietary CLA increased PPARγ in LT muscle (P < 0.05), whereas CLA reduced PPARα transcription in all tissues studied (P < 0.05) with the exception of intermuscular fat. Transcription of genes related to FA synthesis was reduced by CLA in SM muscle and liver (SREBP1, both P < 0.1; ACC, P < 0.01 in SM; and FAS, P < 0.01 in liver), whereas CLA reduced (P < 0.05) LPL and D6D transcriptions in SM muscle and reduced (P < 0.05) SCD in liver but increased (P < 0.05) SCD in LT muscle and intermuscular fat. Saturated FA were increased in all studied tissues (P < 0.01), while monosaturated and polyunsaturated FA were reduced in a tissue-specific way by CLA. It was concluded that dietary CLA affected transcription of genes and fat metabolism in a tissue-specific manner.

Redox potential of cecum content of growing pigs and its relation with pH and VFA concentration.

Digestive microflora is partly responsible for physiological gut conditions. Measurements of redox potential (Eh) and pH of digesta may give a basis for understanding microbial activity and dynamics of fermentation. However, few studies have assessed the Eh of the gastrointestinal tract of pigs. Twenty-four pigs of 30 kg BW were slaughtered to measure Eh and pH of cecum content in situ and to obtain samples of ileum, cecum, and colon contents for VFA determinations. Pigs had previously been fed with a nonmedicated starter feed for 5 wk. Measurements of Eh and pH were recorded first at 2 min and then at 5-min intervals for 35 min to estimate kinetics and the delay to reach stabilization of the Eh value. Cecum Eh rapidly decreased (P < 0.001) from -115 to -180 mV after 15 min of insertion of the electrodes and then slowly decreased until -185 mV at 35 min. Cecal pH started at 5.74 and decreased (P < 0.01) slowly afterwards until 5.53 after 35 min. The Eh value after stabilization was negatively correlated (r = -0.64; P < 0.001) with final pH. Acetic, propionic, and butyric acids accounted for 58.7, 24.0, and 12.8%, respectively, of total VFA production of cecum content. The VFA production of ileal content was lower (P < 0.001) when compared to cecum or colon (50.8, 142.1, and 130.8 µmol/g, respectively) and a higher proportion of formic and lactic acids was detected (32.3 and 27.0%, respectively). Proportions of acetic and propionic acids were negatively (r = -0.53; P < 0.01) and positively (r = 0.66; P < 0.001) correlated with Eh, respectively. In conclusion, Eh measured after stabilization seemed to be a meaningful predictor of hindgut fermentative activity.