Effects of expanded allocation programmes and organ and recipient quality metrics on transplant-related costs in kidney transplantation - an institutional analysis.

Expansions of donor pools have a controversial impact on healthcare expenditures. The aim of this study was to investigate the emerging costs of expanded criteria donor (ECD) kidney transplantations (KT) and to identify independent risk factors for increased transplant-related costs. We present a retrospective explorative analysis of hospital costs and reimbursements of KTs performed between 2012 and 2016 in a German university hospital. A total of 174 KTs were examined, including 92 (52.9%) ECD organ transplantations. The ECD group comprised 43 (24.7%) 'old-for-old' transplantations. Median healthcare costs were 19 570€ (IQR 18 735-27 405€) in the standard criteria donor (SCD) group versus 25 478€ (IQR 19 957-29 634€) in the ECD group (+30%; P = 0.076). 'Old-for-old' transplantations showed the highest healthcare expenditures [26 702€ (19 570-33 940€)]. Irrespective of the allocation group, transplant-related costs increased significantly in obese (+6221€; P = 0.009) and elderly recipients (+6717€; P = 0.019), in warm ischaemia time exceeding 30 min (+3212€; P = 0.009) and in kidneys with DGF or surgical complications (+8976€ and +10 624€; both P < 0.001). Transplantation of ECD organs is associated with incremental costs, especially in elderly and obese recipients. A critical patient selection, treatment of obesity before KT and keeping warm ischaemia times short seem to be crucial, in order to achieve a cost-effective KT regardless of the allocation group.

Effects of chitin and chitosan from cricket and shrimp on growth and carcass performance of broiler chickens.

Majority of the studies on the effect of chitin and chitosan on growth and carcass characteristics of broiler chickens has concentrated more on shrimp chitin and shrimp chitosan, and often with contradictory results. Therefore, the objective of this present study is to evaluate and compare the effect of dietary chitin and chitosan from cricket and shrimp on growth performance, carcass, and organ characteristics of broiler chickens. One hundred fifty-day-old male Cobb500 broiler chicks of similar average weight were randomly allotted into one of the five dietary treatments with three replicates. Treatment 1 (T1) chicks were fed basal diet only (control), treatment 2 and 3 (T2 and T3) chicks were given basal diet with 0.5 g/kg diet of cricket chitin and cricket chitosan, respectively, while treatment 4 and 5 (T4 and T5) chicks were served basal diet with 0.5 g/kg diet of shrimp chitin and shrimp chitosan respectively. No significant variation occurred between cricket chitin and shrimp chitin, although data on growth performance were higher in cricket chitin, but growth performance varied significantly between cricket chitosan and shrimp chitosan. This study revealed that cricket chitin at 0.5 g/kg significantly improved growth performance, carcass quality, and organ characteristics of broilers more than chitosan. Birds fed basal diet alone, although gained more weight, also accumulated more fat having the poorest feed conversion ratio (FCR) and the highest mortality. However, carcass of birds fed cricket chitin was the leanest and thus economically beneficial as they consumed the least amount of feed with the best FCR.

Effects of Moringa oleifera leaves as a substitute for alfalfa meal on nutrient digestibility, growth performance, carcass trait, meat quality, antioxidant capacity and biochemical parameters of rabbits.

This contribution reports the effects of Moringa oleifera leaves (MOLs) meal on the growth performances, nutrient digestibility, carcass trait, meat quality, antioxidant capacity and biochemical parameters of growing New Zealand white rabbits. The MOL was substituted for alfalfa meal at levels of 0, 10%, 20% and 30% to obtain respective diets MOL0, MOL10, MOL20 and MOL30. Each treatment was replicated five times with 10 rabbits per replicate. Results showed the average daily weight gain (ADWG) and feed conversion ratio (FCR) of rabbits fed MOL20 diet were significantly better (p < 0.05) than those of other three dietary groups. Liver and spleen index of rabbits fed MOL20 and MOL30 diets was significantly higher (p < 0.05) than that of the groups fed with lower M. oleifera leaves (MOL0, MOL10). The meat drip loss of rabbits fed with diet MOL10 was significantly lower (p < 0.05) than that of rabbits fed other diets. All rabbits fed MOL dietary groups had lower (p < 0.05) shear force of longissimus dorsi than the group without M. oleifera leaves. No significant differences were found in the digestibility of crude fibre (CF), crude fat (EE), ash, crude protein (CP) and nitrogen-free extract (NFE) among the dietary groups. Moringa oleifera leaves also have a significant impact on serum albumin (ALB), low-density lipoprotein cholesterol (LDLC), triiodothyroxine (T3 ) and tetraiodothyroxine (T4 ) values and the activity of superoxide dismutase (SOD) and catalase (CAT) in serum and liver. The results indicated that M. oleifera leaves could be developed as a good feed source, and it not only could substitute for alfalfa meal well but also has a significant effect on growth performance, meat quality, antioxidant and biochemical parameters of rabbits.

Performance and economy of production of broilers fed Siam weed (Chromolaena odorata) leaf meal (SWLM).

A 49-day feeding trial was conducted to determine the effect of Siam weed leaf meal (SWLM)-based diets on growth, organ, and carcass weight characteristics and economics of production of broilers. Proximate biochemical composition of SWLM and the appropriate inclusion level of SWLM for optimum productivity were also determined. Ninety-six-day-old Chi broiler chicks were randomly divided into 4 groups of 24 birds, and each group replicated three times. Each group was assigned to one experimental diet in a completely randomized design marked T1 (0%), T2 (4%), T3 (8%), and T4 (12%). Proximate biochemical results revealed that SWLM is rich in protein (20.52%) and minerals (9.29%). Birds on diets T1 and T2 had similar (p > 0.05) final live weights (FLW), which were higher (p < 0.05) than those on diets T3 and T4. Birds on diet T2 had the highest (p < 0.05) daily feed intake (DFI) and daily weight gain (DWG), while birds on diet T1 had the best feed conversion ratio (FCR) followed by birds on diet T2. The result of quadratic model regression analyses showed that SWLM levels of 1.48, 1.50, 1.47, and 1.56% supported optimum final live weight, DFI, DWG, and FCR. There were no significant (p > 0.05) differences in the dressing percentage, but there were significant differences in the carcass weight between birds on diet T4 and the other three diets. Similarly, pancreas and spleen had similar (p > 0.05) weights across the treatments. There was significant difference (p < 0.05) between birds on diets T1 and T4 in gizzard weight. Cost-benefit ratio was influenced (p < 0.05) with T4 birds having better income of US$1 per US$10.18 invested. It is concluded that SWLM is rich in essential nutrients and therefore suitable for inclusion in broiler diets at level not beyond 2% for best final live weight, daily weight gain, and thigh weight.

Carcass and body organ characteristics of broilers supplemented with dietary sodium and sodium salts under a phase feeding system.

The effect of sodium and sodium salts on carcass and body organ characteristics of broilers under a four phase feeding program were investigated. A basal diet (0.08% dNa with NaCl) was formulated and one of two sources of dNa (NaHCO3 and Na2SO4) were supplemented to obtain four different percentages of dNa (0.17, 0.26, 0.35, and 0.44%) for each treatment. There was a linear decrease in dressing percentage (DP) with source × level interaction (p ≤ 0.001), while there was a linear increase in breast yield and thigh yield with increasing dNa supplementation (p ≤ 0.001). Chicks fed 0.35% NaHCO3 and 0.44% dNa Na2SO4 supplemental salts had lower abdominal fat (p ≤ 0.04). Chicks that received increasing levels of dNa (from 0.17 to 0.44%) showed increasing gizzard weight (p ≤ 0.002) and decreasing spleen weight (p ≤ 0.02). When both salts were supplemented at 0.26% dNa, the chicks showed their lowest bursa weight (p ≤ 0.001). Consequently, chicks at higher dNa showed an increase in breast and thigh meat yield, and increasing capacity of their digestive organ. The higher levels of dNa should be tested with other cations and anions to fully understand acid base homoeostasis.