European Network of Trainees in Obstetrics and Gynaecology-ENTOG Exchange 2017: an experience report from Slovenia outlining the different trainee situations around Europe.

PURPOSE: The European Network of Trainees in Obstetrics and Gynaecology (ENTOG) is a non-profit, independent organisation that represents young trainees in obstetrics and gynaecology around Europe. At present, ENTOG has 32 member countries. The organisation was founded in 1997 and shall assure the exchange of experiences between young physicians all over Europe. The aim is to improve the quality of traineeship in all participating countries and consequently enhance the standards for women's healthcare. METHODS: This article reports about the experiences of trainees during the ENTOG Exchange 2017 in Slovenia and gives an overview of the trainee situations in different ENTOG member countries. RESULTS: The ENTOG exchange in Slovenia was a unique opportunity to get insights to the Slovenian medical system. Reflecting about their training situations, the participants found considerable differences in the training of young gynaecologists throughout Europe. CONCLUSIONS: Working on the ENTOG goal of raising the quality of training is still highly relevant. The ENTOG exchange is an excellent way to build a network among trainees and stimulate their commitment to improve women's healthcare in their home countries and beyond.

Performance of Nellore calves in tropical pasture consuming different types of concentrated supplements / Desempenho de bezerros Nelore em pastagem tropical consumindo diferentes tipos de suplementos concentrados

The use of different types of concentrated supplements on the performance of Nellore calves grazing Urochloa brizantha cv. Marandu in the dry season was evaluated. The experiment was conducted on 24 ha divided into 12 paddocks. Seventy-two calves with initial body weight (BW) 176±14kg for 140 days of experiment were used. Evaluated treatments included: Mineral, Salt+urea (mineral with 30% urea), Protein (supplementation with 45% crude protein (CP) and 46% total digestible nutrients (TDN)); and Protein+energy (with 28% CP and 73% TDN). The Mineral, Salt+urea, and Protein were offered ad libitum, and the Protein+energy 5g/kg BW. Protein+energy showed the highest (P< 0.05) intake (3.66g/kg BW) followed by the Protein (1.61), Salt+urea (0.36), and Mineral (0.32). The two latter supplements were not significantly different (P> 0.05). The highest (P< 0.05) average daily gain (ADG, kg/day) was observed in the Protein+energy (0.074). Average daily gains for the Protein and Salt+urea (0.014 and -0.024, respectively) were not significantly different (P> 0.05), but were significantly higher (P< 0.05) than the Mineral (-0.085). Therefore, during the dry season, to prevent the loss of bovine weight the supplements must supply in addition to minerals, also energy, non-protein nitrogen (NNP), and true protein.(AU)

Foi avaliada a utilização de tipos de suplementos concentrados sobre o desempenho de bezerros Nelore em pasto de Urochloa brizantha cv. Marandu na época seca. O experimento foi conduzido em 24ha divididos em 12 piquetes. Foram utilizados 72 bezerros com peso corporal (PC) inicial de 176±14kg por 140 dias de experimento. Os tratamentos foram: mineral, mineral+ureia (mineral com 30% de ureia); proteinado (suplemento com 45% de PB e 46% de nutrientes digestíveis totais (NDT)); suplemento energético (suplemento com 28% de PB e 73% de NDT). Mineral, mineral+ureia e proteinado foram fornecidos ad libitum, e o suplemento proteico-energético 5g/kg de PC. O consumo do suplemento (g/kg de PC) foi maior (P<0,05) para o suplemento proteico-energético (3,66), seguido por proteinado (1,61), mineral+ureia (0,36) e mineral (0,32). Esses dois últimos não diferiram entre si (P>0,05). O maior (P<0,05) GMD (kg/dia) foi para o suplemento proteico-energético (0,074), seguido por proteinado e mineral+ureia (0,014 e -0,024, respectivamente), que não diferiram entre si (P>0,05). Todos estes foram superiores (P<0,05) ao mineral (-0,085). Assim, durante a época seca, para prevenir a perda de peso de bovinos, os suplementos devem fornecer, além de minerais, energia, nitrogênio não proteico (NNP) e proteína verdadeira.(AU)

Depression of hypoxic pulmonary vasoconstriction by sodium nitroprusside and nitroglycerine.

The pulmonary vasoconstrictor response to the unilateral administration of 7% oxygen was studied in 10 anaesthetized dogs in which the lungs were mechanically ventilated. The distribution of blood flow between the two lungs was measured continuously by recording the radioactivity in the mixed expired gas from each lung during the infusion i.v. of xenon-133. Infusions of nitroglycerine and sodium nitroprusside which produced the same decrease in mean aortic pressure produced similar decreases in hypoxic pulmonary vasoconstriction. The reduction in arterial PO2 during unilateral hypoxia was greater when the hypoxic vasoconstrictor response was depressed by drugs than it was during the control periods, although mixed venous PO2 was unchanged. It is concluded that both drugs may cause hypoxaemia by increasing the blood flow to alveoli with a low ventilation/perfusion ratio.

Calcium-parathyroid hormone-vitamin D axis and metabolic bone disease in chronic viral liver disease.

BACKGROUND: The main process involved in hepatic osteodystrophy seems to be osteoporosis, but decreased 25-hydroxylation of vitamin D might lead to osteomalacia and secondary hyperparathyroidism. METHODS AND RESULTS: We studied bone mineral density (BMD) by using DEXA-Expert Lunar, biochemical markers of bone turnover and calcium-parathyroid hormone (PTH)-vitamin D axis in 100 patients with chronic viral hepatitis secondary to hepatitis C virus: 49 non-cirrhotic (NCir) and 51 with cirrhosis (Cir) confirmed by liver biopsy and/or clinical and biochemical features. When compared to the age-matched population, 25% of the patients had low BMD at the lumbar spine (LS), 26.2% at Ward's triangle, 15.5% at the femoral neck (FN), and 20.2% at the trochanter. No difference was found either between Cir and NCir groups or between sexes. Urinary N-telopeptide was increased in 31.86% of the patients, and negatively correlated with BMD at the LS and trochanter (P < 0.02). Serum bone-specific alkaline phosphatase was elevated in 21% of the patients and negatively correlated with BMD at the trochanter and Ward's triangle (P < 0.02). Fasting 25-hydroxyvitamin D was low in only three Cir patients, with no difference between the Cir and NCir groups, but it was higher in men (51.8 +/- 16.0 ng/mL) compared to women (40.4 +/- 14.4 ng/mL; P = 0.001). Fasting serum calcium was lower in Cir than NCir patients, P = 0.019. Fasting intact PTH was elevated in 42% of the patients, but the mean serum levels were similar in Cir and NCir groups. CONCLUSION: We found no evidence of vitamin D deficiency, but cannot exclude the participation of PTH in the high bone turnover and bone loss in the population with chronic viral hepatitis.