Changes of FeNO, CRP and PCT levels in patients with bronchial asthma complicated with sleep apnea syndrome in Shanghai / 公共卫生与预防医学

Objective The changes and risk factors of FeNO, CRP and PCT in patients with bronchial asthma complicated with sleep apnea syndrome (SAS) in Shanghai area were analyzed to provide theoretical basis for the prevention and treatment of SAS in patients with bronchial asthma. Methods A total of 436 patients with bronchial asthma admitted to our hospital from January 2019 to June 2022 were selected and divided into control group and experimental group according to whether SAS occurred during hospitalization. The experimental group was divided into three subgroups according to the apnea hypopnea index (AHI) values: mild group (AHI>15 times /h or 15 times /h or 28 kg/m2(OR=5.629),allergic rhinitis(OR=6.166)and neck circumference>40 cm(OR=5.265)were independent risk factors for SAS in patients with bronchial asthma(P<0.05);Pearson correlation analysis showed that AHI was positively correlated with serum FeNO,CRP and PCT levels in patients with bronchial asthma and SAS(r=0.471,0.436,0.502,P<0.05). Conclusions Patients with old bronchial asthma in Shanghai area have a higher risk of SAS, and the severity of the disease is positively correlated with the levels of FeNO, CRP and PCT. In particular, obese patients with allergic rhinitis should be given early intervention to reduce the risk of SAS.

Serum IgE, TNF-α and FeNO levels in children with acute attack of bronchial asthma and their correlation with disease severity in Chengdu / 公共卫生与预防医学

Objective To analyze the levels of IgE,TNF-α and FeNO in children with acute attack of bronchial asthma and their correlation with the severity of bronchial asthma, so as to provide theoretical basis for clinical evaluation of bronchial asthma. Methods A total of 547 children with acute bronchial asthma treated in Chengdu Women and Children's Central Hospital from January 2020 to December 2020 were selected and divided into mild group (n=287), moderate group (n=186) and severe group (n=74) according to the severity of their disease. All the children's symptoms were controlled after treatment. The serum IgE, TNF-α and FeNO levels in the experimental group were compared between the acute attack stage and the clinical control stage. Spearman correlation analysis was used to analyze the correlation between the serum IgE, TNF-α and FeNO levels and the severity of the disease. ROC curve of children with bronchial asthma was drawn to analyze the differential diagnosis value of serum IgE, TNF-α and FeNO levels in children with acute bronchial asthma. Results The levels of IgE, TNF-α and FeNO in acute stage were significantly higher than those in clinical control stage (P<0.05). The levels of serum IgE, TNF-α and FeNO in severe group were higher than those in mild and moderate groups significantly (P<0.05). The levels of serum IgE, TNF-α and FeNO in moderate group were higher than those in mild group significantly (P<0.05). Spearman correlation analysis showed that serum IgE, TNF-α and FeNO water were positively correlated with the severity of bronchial asthma (r=0.419 , 0.438 , 0.502 , P<0.05). ROC curve analysis showed that the AUC, sensitivity, accuracy and specificity of serum IgE, TNF-α and FeNO levels combined in diagnosing the severity of bronchial asthma in patients with acute attack was 0.938 (95% CI: 0.912-0.982 ), 83.47%, 92.06%, 94.28%. Conclusion The level of serum IgE, TNF-α and FeNO in children with acute attack of bronchial asthma is closely related to the severity of the disease, and combined detection of the three can be used to evaluate the severity of the disease in children.

Rhinophototherapy, an alternative treatment of allergic rhinitis: Systematic review and meta-analysis / Rinofototerapia, uma alternativa para o tratamento de rinite alérgica: revisão sistemática e metanálise

Abstract Introduction: Allergic rhinitis is a chronic inflammatory disease of the nasal mucosa, mediated by immunoglobulin E, affecting 1 in 6 individuals. The treatment aims at attaining symptomatic control with minimal side effects, a requirement for new alternative therapies, including phototherapy, as it has an immunosuppressive and immunomodulatory effect. Objective: To identify the effectiveness of phototherapy in the treatment of allergic rhinitis through a meta-analysis. Methods: We searched Web of Science, Scielo, PubMed, SCOPUS, PEDro, and LILACS databases, using the terms: ''intranasal irradiation'', ''phototherapy'' and ''allergic rhinitis''. The R software Metafor package was used for the meta-analysis and the effect size was calculated for each symptom individually. Results: All symptoms decreased considerably after phototherapy: rhinorrhea (ES• = -1.35; p < 0.0001; I2 = 91.84%), sneezing (ES• = -1.24; p < 0.0001; I2 = 91.43%), nasal pruritus (ES• = -1.10; p < 0.0001; I2 = 91.43%); nasal obstruction (ES• = -1.11; p < 0.0001; I2 = 91.88%). The effects were more significant in perennial allergic rhinitis than in the seasonal type. Conclusion: Considering the effect size and the statistical significance attained in our study, rhinophototherapy showed to be an effective treatment for reducing the nasal symptom scores triggered by AR.

Resumo Introdução: A rinite alérgica é uma doença inflamatória crônica da mucosa nasal, imunomediada por imunoglobulina E, que afeta 1/6 dos indivíduos. O tratamento visa o controle dos sintomas com efeitos colaterais mínimos, uma prerrogativa para novas terapias alternativas, como a fototerapia, por apresentar efeitos imunossupressor e imunomodulador. Objetivo: Identificar, mediante uma metanálise, a eficácia da fototerapia no tratamento da rinite alérgica. Método: Usamos as bases de dados: Web of Science, Scielo, PubMed, SCOPUS, PEDro e LILACS, com os termos de busca: intranasal irradiation, phototherapy, allergic rhinitis. Para a metanálise foi usado o pacote metafor do software R, o tamanho do efeito foi calculado para cada sintoma separadamente. Resultados: Todos os sintomas apresentaram diminuição significante após a fototerapia: coriza (ES =-1,35; p < 0,0001; I2 = 91,84%), espirros (ES =-1,24; p < 0,0001; I2 = 91,43%), prurido nasal (ES =-1,10; p < 0,0001; I2 = 91,43%); obstrução nasal (ES =-1,11; p < 0,0001; I2 = 91,88%), com efeitos mais expressivos na rinite alérgica perene do que na rinite alérgica sazonal. Conclusão: Considerando-se a magnitude do efeito e a significância estatística alcançadas em nosso estudo, a rinofototerapia demonstrou-se um tratamento eficaz para a redução dos escores dos sintomas nasais desencadeados pela rinite alérgica.

Intake, digestibility, ingestive behavior and performance of goats fed spineless cactus genotypes resistant to carmine cochineal / Consumo, digestibilidade, comportamento ingestivo e desempenho de caprinos alimentados com genótipos de palma forrageira resistentes à cochonilha-do-carmim

The objective was to evaluate the intake and digestibility of nutrients, ingestive behavior, and performance of goats fed with spineless cactus genotypes resistant to carmine cochineal (Miúda or Orelha de Elefante Mexicana (OEM). Thirty castrated male goats, without defined breed, aged 12 to 14 months, with an average body weight of 19.0±2.8kg, were distributed in a completely randomized design among three treatments (Control - Tifton hay, Miúda, and OEM) and ten replicates; the initial weight was considered as the covariate. The intake of organic matter (OM), neutral detergent fiber (NDF) was highest in the control treatment, while the intake of NFC was higher in the OEM diet. Treatments containing forage cactus showed the highest digestibility of DM, OM, and NFC. The animals fed the control diet spent more time on rumination and total chewing, but the time spent feeding or feeding efficiency, and performance did not differ. The use of spineless cactus genotypes resistant to carmine cochineal (Miúda and Orelha de Elefante Mexicana) in a diet for goats, in the amount of 450g/kg of DM does not interfere with the performance of the animals and improves the digestibility of OM and NFC.(AU)

Objetivou-se com o presente estudo avaliar o consumo e a digestibilidade de nutrientes, o comportamento ingestivo e o desempenho de caprinos alimentados com genótipos de palma forrageira resistentes à cochonilha-carmim (miúda ou orelha-de-elefante-mexicana (OEM). Trinta cabritos machos, castrados, sem raça definida, com idades entre 12 e 14 meses e peso corporal médio de 19,0±2,8kg, foram distribuídos em delineamento inteiramente ao acaso, em três tratamentos (controle - feno de tifton; miúda e OEM) e 10 repetições; o peso inicial foi considerado a covariável. O consumo de matéria orgânica (MO) e de fibra em detergente neutro (FDN) foi maior no tratamento controle; enquanto a ingestão de CNF foi maior na dieta OEM. Tratamentos contendo palma forrageira apresentaram as maiores digestibilidades de MS, MO e CNF. Os animais alimentados com a dieta controle gastaram mais tempo em ruminação e em mastigação total, mas o tempo gasto com alimentação ou a eficiência alimentar e o desempenho não diferiram. A utilização de genótipos de palma forrageira resistentes à cochonilha-carmim (miúda e orelha-de-elefante-mexicana) na dieta de caprinos, na quantidade de 450g/kg de MS, não interfere no desempenho dos animais e melhora a digestibilidade de MO e CNF.(AU)

Mathematical models to adjust the parameters of in vitro cumulative gas production of diets containing preserved Gliricidia / Modelos matemáticos para ajuste dos parâmetros de produção cumulativa de gás in vitro de dietas contendo Gliricídia conservada

ABSTRACT: This study examined the use of the Gompertz, Groot, monomolecular, Richards and two-compartment-logistic mathematical models to investigate the kinetics of in vitro gas production of diets composed of combinations of Gliricidia hay or silage. In addition, the effects of Gliricidia hay or silage inclusion on the in vitro cumulative gas production of these diets were evaluated. Rumen fermentation kinetics were analyzed by the in vitro cumulative gas production methodology. The model parameters were estimated using the Gauss Newton method, with the exception of the Richards model, which was used by Marquardt's algorithm. Model fit was assessed using the determination coefficient, F test for parameters identity, concordance correlation coefficient, root mean square error of prediction, and decomposition of mean square error of prediction into mean error, systematic bias and random error. The models were compared for accuracy (pairwise mean square error of prediction) and precision (delta Akaike's information criterion). All model evaluation and comparison statistics were calculated using Model Evaluation System software version 3.2.2. The Groot and Richards models did not differ from each other (P>0.05) and were the most precise and accurate (P<0.05). Therefore, the Groot model was selected due to its better accuracy and precision and easier access to the parameters. The inclusion of Gliricidia silage in the diet resulted in an increase in the time to obtain the maximum rate of degradation and in the time after incubation when half of the asymptotic level was reached. The Groot model is recommended to estimate the average curve. Dietary inclusion of Gliricidia silage alters the gas production curve due to the longer time required for the diet to reach the maximum rate of degradation, this can increase the time the diet remains in rumen and promote a reduction in the consumption.

RESUMO: Objetivou-se avaliar os modelos matemáticos Gompertz, Groot, monomolecular, Richards e logístico bicompartimental para estudar a cinética de produção de gás in vitro de dietas compostas de combinações de feno ou silagem de Gliricídia. Além disso, avaliou-se os efeitos da inclusão de feno ou silagem de Gliricídia sobre a produção cumulativa de gás in vitro destas dietas. A cinética de fermentação ruminal foi avaliada pela metodologia de produção cumulativa de gás in vitro. Os parâmetros dos modelos foram estimados usando o método de Gauss Newton, com exceção do modelo de Richards, que foi usado algoritmo de Marquardt. O ajuste dos modelos foi avaliado por meio do coeficiente de determinação, teste F para a identidade dos parâmetros, coeficiente de correlação e concordância, raiz quadrada do quadrado médio do erro da predição e a decomposição do quadrado médio do erro da predição em erro médio, vício sistemático e erro aleatório. Os modelos foram comparados quanto à acurácia (quadrado médio da predição pareado) e quanto à sua precisão (critério de informação delta de Akaike). Todas as estatísticas de avaliação e comparação dos modelos foram calculadas usando o software Model Evaluation System versão 3.2.2. Os modelos de Groot e Richards não diferiram entre si (P>0.05) e foram os mais precisos e acurados (P<0.05). Portanto, modelo de Groot foi selecionado devido apresentar melhor acurácia e precisão e apresentar maior facilidade na obtenção dos parâmetros. A inclusão da silagem de Gliricídia na dieta, resultou em elevação no tempo para obtenção da máxima taxa de degradação e no tempo após a incubação em que metade do nível assintótico foi atingido. Recomenda-se a utilização do modelo de Groot para estimativa da curva média. A inclusão da silagem de Gliricídia altera a curva de produção de gás devido o maior tempo necessário para que a dieta atingisse a máxima taxa de degradação, isso pode elevar o tempo de permanência da dieta no rúmen e promover redução no consumo.

Rol de la fracción espirada de oxido nítrico en el niño con diagnóstico de asma bronquial / Role of the exhaled fraction of nitric oxide in children with diagnosis of bronchial asthma

El asma es la enfermedad respiratoria crónica pediátrica más frecuente. En la mayoría de los niños se caracteriza por inflamación de la vía aérea de tipo eosinofílica alérgica. La fracción espirada de óxido nítrico (FENO) es un biomarcador de inflamación eosinofílica de vía aérea, su medición es no invasiva y fácil de realizar y ha sido evaluado en los últimos años para su aplicación clínica en el diagnóstico y tratamiento del asma en niños y adultos. Esta revisión abordará el origen anatómico y bioquímico del FENO, aspectos prácticos de su medición, valores de referencia y su aplicación clínica en el diagnóstico y tratamiento del asma pediátrico.

Asthma is the most common pediatric chronic disease characterized in most children by allergic eosinophilic airway inflammation. The exhaled fraction of nitric oxide (FENO) is a biomarker of eosinophilic airway inflammation, constituting a non-invasive and easy-to-perform test that has been evaluated in recent years for its clinical application in the diagnosis and treatment of asthma in children and adults. This review will address the anatomical and biochemical origin of FENO, practical aspects of its measurement, reference values and its clinical application in the diagnosis and treatment of pediatric asthma.

Testicular and seminal evaluation of goats fed hay Cenostigma pyramidale / Avaliação testicular e seminal de caprinos alimentados com feno de Cenostigma pyramidale

This study aimed to assess the possible occurrence of reproductive changes in male goats associated with ingestion of Cenostigma pyramidale hay. Sixteen animals divided into two experimental groups, G1 and G2 (control group) were used. Animals in G1 received 2% of forage, based on live weight (LW), composed of 100% of C. pyramidale, and animals in G2 received 2% of Panicum maximum "Massai' grass hay, based on LW. Both groups received 1% of concentrated feed supplementation based on LW, along with mineralized salt and water ad libitum. The goats were subjected to weighing, testicular biometry, and semen and blood collection every 30 days. After 120 days, the animals were castrated and their testes were collected. Testicular measurements were performed and fragments were collected for histological processing to determine the gonadosomatic index (GSI), diameter of the seminiferous tubules, height of the germinal epithelium (HGE), volumetric proportion and volume of the testicular parenchyma components, total length of the seminiferous tubules, length of the seminiferous tubules per gram of testis, and leydigosomatic and tubulosomatic indexes. The data were evaluated for normality using the Student's t-test. Data with normal distribution were assessed using analysis of variance (ANOVA) and the non-parametric data were evaluated using the Kruskal-Wallis test, both at 5% probability. Statistically significant differences (p<0.05) were observed for GSI (G1=0.48 ±0.08 and G2=0.34 ±0.09) and HGE (G1=52.95 ±2.99 and G2=.47.63 ±2.67) between treatments. Consumption of C. pyramidale hay increased LW and, consequently, testicular weight, contributing to high GSI. In conclusion, ingestion of C. pyramidale has no toxic effect on the testicular, seminal and histological parameters of goat testis. Due to its nutritional characteristics, consumption of this plant improves animal body development. Because C. pyramidale is adapted to semi-arid regions, it can be an alternative source of feed for goats during periods of shortage.(AU)

Para avaliar a possível ocorrência de alterações reprodutivas em caprinos machos associado ao consumo de Cenostigma pyramidale, foram utilizados 16 animais divididos em dois grupos experimentais, G1 e G2 (grupo controle). Animais pertencentes ao G1 receberam 2% de volumoso, com base no peso vivo (PV), constituído de 100% de C. pyramidale e o G2 receberam 2%, com base no PV, de feno de Panicum maximum 'Massai'. Todos os grupos receberam 1%, com base no PV, de suplementação concentrada, além de sal mineralizado e água ad libitum. A cada 30 dias os animais eram submetidos à pesagem, biometria testicular e coletas de sêmen. O sêmen foi avaliado quanto ao volume, turbilhonamento, vigor, motilidade, concentração espermática, defeitos maiores, menores e totais. Após 120 dias os animais foram castrados e os testículos coletados. Foram realizadas as mensurações testiculares e coletados fragmentos para o processamento histológico, para determinação do índice gonadossomático, diâmetro dos túbulos seminíferos, altura do epitélio germinativo, proporção volumétrica e volume dos componentes do parênquima testicular, comprimento total dos túbulos seminíferos, comprimento de túbulo seminífero por grama de testículo, índices leydigossomático e tubulossomático. Os dados foram avaliados quanto à normalidade pelo teste t de Student, os dados com distribuição normal foram analisados por análise de variância com 5% de probabilidade e os não paramétricos, pelo teste de Kruskal-Wallis, a 5% de probabilidade. Houve diferenças significativas (p<0,05) para índice gonadossomático (G1=0,48±0,08 e G2=0,34±0,09) e altura do epitélio germinativo (G1=52,95±2,99 e G2=47,63±2,67) entre os tratamentos. O feno de catingueira promoveu aumento no peso corporal e consequentemente maior peso testicular, o que contribui para elevação do IGS. Concluiu-se que o consumo da C. pyramidale não possui efeito tóxico sobre os parâmetros testiculares, seminais e histológicos do testículo dos caprinos e que a planta, por suas características nutricionais promoveu melhora no desenvolvimento corporal dos animais e por ser uma planta adaptada ao clima do semiárido, se constitui uma fonte alternativa de alimentação para esta categoria animal, durante períodos de escassez de alimento.(AU)

Embryonic loss, abortion, and malformations in ewes caused by the ingestion of hay leaves of Cenostigma pyramidale / Perda embrionária, aborto e malformações em ovinos por ingestão de Cenostigma pyramidale na forma fenada

Determining if reproductive failures in ewes at the semiarid region in the state of Bahia are related to the consumption of the species Cenostigma pyramidale (Tul.) Gagnon & G.P. Lewis, and this study was developed using pregnant ewes divided into six groups: G1, G2, G3, G4 with six animals each, G5 and G6 with ten animals. Each group received fence leaves in the proportion of 1%, 2%, 0.5%, and 0.25% of live weight (LW) respectively; G5 and G6, with ten animals each, receiving 0.25% and 0.5% of the LW, respectively, and the Control Group, comprising 16 ewes, were grass feeding (Cynodon dactylon). Ewes from G1 to G4 were the same, except for two, and started ingestion of the plant four days after ending of natural mating on the 80th day of gestation, while those regarding from G5 to G6 groups started ingestion on the 26th day of gestation ending on the 98 day. The ultrasonographic test was performed weekly. In G1 ewes (1%), there was an embryonic loss on the 32nd and 39th days of gestation and abortion on the 46th day. In G2 (2%), the embryo loss was earlier (on the 26th day of gestation), and abortion on the 46th day of gestation. In G3 group (0.5%), there was an embryonic loss around the 40th day of gestation. In G4 group (0.25%), it was observed the occurrence of one death lamb with bone malformations. In G6 (0.5%), abortion occurred later (108 days), followed by retained placenta. This was also verified in G5 group (0.25%). The presence of fetal malformation was found in death lambs born in G4 group, born alive from G5 and G6 groups, and one aborted from G6. In G5 and G6 groups, there were also genetic alterations on surviving lambs. In addition to these results, recurrent estrus was observed without gestation in G1, G2, G3, and G4 ewes. From the Control Group, 13 normal lambs were born without genetic alterations; furthermore, concerning a quadruple birth, three lambs were born dead. The results infer that species of C. pyramidale in low doses causes reproductive losses in pregnant ewes, therefore it is not recommended for sheep diet over the first 60 days of gestation.(AU)

Para determinar se falhas reprodutivas em ovelhas na região semiárida da Bahia estão relacionadas ao consumo de Cenostigma pyramidale (Tul.) Gagnon & G.P. Lewis, foi realizado um estudo utilizando-se ovelhas prenhes divididas em seis grupos e dois Grupos Controle. Os grupos G1, G2, G3 e G4 com seis animais cada. Cada grupo recebeu folhas fenadas na proporção de 1%, 2%, 0,5% e 0,25% do peso vivo (PV) respectivamente; G5 e G6, com 10 animais cada, que receberam 0,25% e 0,5% do PV respectivamente. Os Grupos Controle foram alimentados com ração e capim (Cynodon dactylon). Ovelhas dos grupos 1 a 4 iniciaram ingestão da planta quatro dias após monta natural com término aos 80 dias de gestação, enquanto as dos grupos 5 a 6 iniciaram ingestão no 26º dia de gestação com término aos 98 dias. Avaliação ultrassonográfica foi realizada semanalmente. Nos animais do G1 (1%), verificou-se perda embrionária aos 32 e 39 dias de gestação, e aborto aos 46 dias. Nos do G2 (2%) a perda embrionária foi mais precoce (26 dias), e aborto aos 46 dias. No G3 (0,5%), houve perda embrionária em torno dos 40 dias. No G4 (0,25%), verificou-se ocorrência de natimorto com malformações aos 150 dias de gestação. No G6 (0,5%) o aborto ocorreu mais tardiamente (108 dias), seguido de retenção de placenta. Essa ocorrência também foi verificada no G5 (0,25%). A presença de malformação fetal foi encontrada em fetos natimorto do G4, nascidos vivos do G5 e G6, e um abortado do G6. No G5 e G6 também foram observadas alterações de aprumos em cordeiros sobreviventes. Do Grupo Controle nasceram 13 borregos normais, porém uma ovelha apresentou gestação quádrupla com três natimortos. Os resultados inferem que C. pyramidale fenada em baixas doses causa perdas reprodutivas em ovelhas gestantes, não sendo por isso recomendada para a dieta de ovelhas durante os primeiros 60 dias de gestação.(AU)

Clinical biochemistry profile of American Quarter Horse broodmares fed Tifton-85 (Cynodon spp. ) hay and haylage / Perfil bioquímico clínico de matrizes Quarto de Milha alimentadas com feno e haylage Tifton 85 (Cynodon spp. )

The conservation of haylage (a pre-dried feed) can be challenging, since there is an increased risk of mould growth, which can contaminate this foodstuff with mycotoxins. However, when the hygienic quality is secured, haylage enhances grass palatability and provide enough supply of dry matter throughout the year. Due to the lack of information regarding its effect on blood parameters in horses fed exclusively with this foodstuff, the aim of this study is to provide information regarding its use in comparison to hay and ensure that it does not affect horses' biochemical profile. Twelve Quarter Horse broodmares were distributed into two groups, each fed with Tifton-85 (Cynodon spp.) hay or haylage for a period of 28 days, and the biochemical profile was done in five different times (T0 before the experiment started and, chronologically, seven days apart - T1, T2, T3 and T4), It was analyzed total protein (TP) and its fractioning; enzymes alanine aminotransferase, aspartate aminotransferase and γ-glutamyl-transferase; endogenous catabolism products urea and creatinine; and ions calcium and phosphorus. Mycotoxins in haylage were also investigated and remained below the legislation thresholds. Only TP was higher in the last sampling (T4) of the haylage group, which may be related to the foodstuff's higher protein digestibility. No differences were observed between serum enzymes, urea, creatinine and Ca/P from both experimental groups. Haylage has proven to be safe, when well prepared for horses, without causing impairing side effects, as shown by the normal serum biochemistry parameters presented in this study.(AU)

A conservação do haylage (alimento pré-seco) pode ser desafiadora, considerando o aumento do risco de crescimento de fungos, com consequente produção de micotoxinas. Entretanto, quando a qualidade da higiene e armazenamento é assegurada, o haylage aumenta a palatabilidade da forragem e fornece suplemento de matéria seca suficiente ao longo do ano. Devido à falta de informação relativa aos efeitos dessa alimentação nos parâmetros sanguíneos de equinos alimentados exclusivamente com essa dieta, o objetivo do presente estudo é avaliar o perfil bioquímico sanguíneo dos equinos após administração da haylage em comparação com feno. Doze matrizes Quarto de Milha foram distribuídas em dois grupos, cada um recebendo feno ou haylage de Tifton 85 (Cynodon spp.) por um período de 28 dias. O perfil bioquímico foi realizado em cinco tempos (T) diferentes (T0, antes do início do experimento e cronologicamente, a cada sete dias após o fornecimento das dietas - T1, T2, T3 e T4) para análise de proteína total (PT) e seu perfil fracionado, das enzimas alanina aminotransferase, aspartato aminotransferase, γ-glutamil-transferase, dos produtos de catabolismo creatinina e ureia e, dos íons cálcio e fósforo. Micotoxinas no haylage foram investigadas e mantiveram-se abaixo dos limites determinados pela legislação brasileira. O perfil bioquímico revelou, somente, elevação da PT em T4 no grupo que recebeu haylage, o que pode estar relacionado à sua maior digestibilidade proteica. Nenhuma diferença foi observada nos outros parâmetros estudados em ambos os grupos experimentais. Conclui-se que Haylage é comprovadamente seguro, quando bem preparado para equinos, sem causar efeitos na saúde geral, conforme demonstrado pelos exames bioquímicos no presente estudo.(AU)

Value of Exhaled Nitric Oxide and FEF(25–75) in Identifying Factors Associated With Chronic Cough in Allergic Rhinitis

PURPOSE: Chronic cough in allergic rhinitis (AR) patients is common with multiple etiologies including cough variant asthma (CVA), non-asthmatic eosinophilic bronchitis (NAEB), gastroesophageal reflux-related cough (GERC), and upper airway cough syndrome (UACS). Practical indicators that distinguish these categories are lacking. We aimed to explore the diagnostic value of the fraction of exhaled nitric oxide (FeNO) and forced expiratory flow at 25% and 75% of pulmonary volume (FEF(25–75)) in specifically identifying CVA and NAEB in these patients. METHODS: Consecutive AR patients with chronic cough were screened and underwent induced sputum, FeNO, nasal nitric oxide, spirometry, and methacholine bronchial provocation testing. All patients also completed gastroesophageal reflux disease questionnaires. RESULTS: Among 1,680 AR patients, 324 (19.3%) were identified with chronic cough, of whom 316 (97.5%) underwent etiology analyses. Overall, 87 (27.5%) patients had chronic cough caused by NAEB, 78 (24.7%) by CVA, 16 (5.1%) by GERC, and 81 (25.6%) by UACS. Patients with either NAEB or CVA (n = 165, in total) were further assigned to a common group designated as CVA/NAEB, because they both responded to corticosteroid therapy. Receiver operating characteristic curves of FeNO revealed obvious differences among CVA, NAEB, and CVA/NAEB (area under the curve = 0.855, 0.699, and 0.923, respectively). The cutoff values of FeNO at 43.5 and 32.5 ppb were shown to best differentiate CVA and CVA/NAEB, respectively. FEF(25–75) was significantly lower in patients with CVA than in those with other causes. A FEF(25–75) value of 74.6% showed good sensitivity and specificity for identifying patients with CVA. CONCLUSIONS: NAEB, CVA, and UACS are common causes of chronic cough in patients with AR. FeNO can first be used to discriminate patients with CVA/NAEB, then FEF(25–75) (or combined with FeNO) can further discriminate patients with CVA from those with CVA/NAEB.

The Role of Airway Inflammation in Asthma

@#Uncontrolled airway inflammation contributes to persistent asthma symptoms and risks of exacerbations and airway remodelling. many asthma patients are non-adherent to inhaled corticosteroid (ICS) treatment and have a discordance between subjective symptom perception versus actual control of asthma, i.e. airway inflammation. Objective measurements of airway inflammation, e.g. fENO and sputum cell count quantification can aid clinical management. Nonetheless, there are many limitations in the tests’ availability and interpretation. Hence, these tests are used mainly for difficult-to-treat or severe airway diseases. In the 2019 Global Initiative for Asthma (GINA) strategy report, short-acting beta-agonist (SABA) monotherapy is no longer recommended in Step 1 and ICS is recommended across all asthma severity to emphasize the importance of controlling airway inflammation. Doctors should discuss and recommend the most appropriate ICS therapy (dosing regimen and inhaler device) that is acceptable to the patient, to promote adherence. Appropriate use of ICS is crucial in achieving the management targets of asthma: maintenance symptom control and prevention of asthma risks.

Indoor Air Quality (IAQ) in Preschools and Its Association with Respiratory Inflammation among Pre-schoolers

Abstract@#Introduction: Children spend most of the time indoors and make them easily exposed to indoor air contaminants. Exposure to poor indoor air quality has led to various health problem especially, respiratory-related illness. This study is intended to determine the relationship between indoor air pollutants exposure and the airway inflammation among children aged 5 to 6 years old in selected preschools from mid-2015 until mid-2016. Methods: Four hours of indoor air quality assessment had been conducted at six preschools in Puchong district (urban area) and six preschools in Hulu Langat district (suburban area) of Selangor. The respiratory inflammation among 120 healthy preschool children had been assessed using non-invasive biomarker of Fractional Exhale Nitric Oxide (FeNO). Meanwhile, respiratory symptoms and information on possible residential air pollutant exposures were obtained from a standardized questionnaire. Results: The indoor air quality measurement demonstrated significant high concentration air pollutants (PM0.1, PM2.5, PM10, VOCs) at the preschools in the urban as compared to preschools in the suburban area(p < 0.05). Besides, PM2.5 was found to be significantly associated with respiratory inflammation (FeNO value) measured (p<0.05). Conclusion: The exposure of PM0.1, PM2.5, and PM10 had increased occurrences of respiratory inflammation and respiratory symptoms among susceptible populations like children.

Yield, structural composition and nutritive characteristics of ryegrass cultivars used to haymaking in lowland soils / Rendimento, composição estrutural e características nutritivas de cultivares de azevém utilizadas para fenação em solos de várzea

This research aimed to evaluate the dry matter yield, structural composition and nutritive characteristics of diploid and tetraploid annual ryegrass cultivars on different phenological development to haymaking on lowland soils. The experimental design was developed based on randomized blocks with split plots, four cultivars of annual ryegrass (BRS Ponteio and FEPAGRO São Gabriel, diploid; INIA Escorpio and KLM 138, tetraploid), and three phenological crop phases (vegetative, pre-blossoming and blossoming). Were evaluated, dry matter yield, leaf:stem ratio, leaf weight ratio, tiller population density, specific leaf area, crude protein, neutral detergent fiber, and acid detergent fiber. All data were submitted to analysis of variance and the means were compared by Tukey-Kramer test (p< 0,05). Highest forage mass is obtained with harvest in blossoming stage. Tetraploid cultivars present better leaf proportion and higher content of crude protein during vegetative stage. The decrease the in concentration of protein with the change of phenological stage is less evident on diploid cultivars. The vegetative stage enables harvest forage with high nutritional value, with lower production of biomass.

O objetivo do trabalho foi avaliar o rendimento de matéria seca, composição estrutural e características nutritivas de cultivares de azevém anual, diploides e tetraploides em diferentes estádios fenológicos, para fenação, em solos de várzea. O delineamento experimental foi de blocos ao acaso, com parcelas divididas, com quatro cultivares de azevém anual (BRS Ponteio e FEPAGRO São Gabriel, diploides; INIA Escorpio e KLM 138, tetraploides) e três estádios fenológicos (vegetativo, pré-florescimento e florescimento). Foram avaliadas: rendimento de matéria seca, relação folha/colmo, razão de peso foliar, densidade populacional de perfilhos, área foliar específica, proteína bruta, fibra em detergente neutro e fibra em detergente ácido. Os dados foram submetidos à análise de variância e as médias comparadas pelo teste Tukey-Kramer (p <0,05). A maior massa de forragem é obtida com a colheita no estádio de florescimento. As cultivares tetraploides apresentam melhor proporção foliar e maior teor de proteína bruta durante o período vegetativo. A diminuição na concentração de proteína, com a mudança de estádio fenológico é menos evidente nas cultivares diploides. O estágio vegetativo possibilita a colheita de forragem com alto valor nutricional, mas com menor produção de biomassa.

Effects of NaCl on plant growth and antioxidant activities in fenugreek (Trigonella Foenum Graecum L. ) / Efeitos da NaCl no crescimento e capacidade antioxidante por feno-grego (Trigonella Foenum Graecum L. )

Fenugreek is used as a spice, vegetable and a important medicinal crops cultivated throughout the world. Since antioxidant properties have been linked to health benefits of natural products, such properties were studied salt concentrations (0, 50, 100,150 and 200 mM NaCl) effect on plant growth mineral contents composition, antioxidant responses and phenolilc contents. Results showed a reduction of dry weights of leaves stems and roots growth. These changes were associated with decreased in water content, K+ and Ca2+ concentrations and a highly increased in Na+ and Clcontents in different organs. Catalase, guaiacol peroxidase activities and total phenolic content significantly increased in fenugreek leaves. Data reported here revealed the variation of phenolic compound contents at different organs in the presence of salt, who suggested the use of Fenugreek in commercial and economic applications.

O feno-grego é usado como especiaria, vegetal e uma importante cultura medicinal cultivada em todo o mundo. Como as propriedades antioxidantes têm sido associadas aos benefícios à saúde dos produtos naturais, tais propriedades foram estudadas quanto ao efeito das concentrações de sal (0, 50, 100, 150 e 200 mM de NaCl) no crescimento das plantas, composição do conteúdo mineral, respostas antioxidantes e teores fenólicos. Os resultados mostraram uma redução do peso seco dos caules das folhas e crescimento das raízes. Essas alterações foram associadas à diminuição do conteúdo de água, concentrações de K+ e Ca2+ e um aumento nos teores de Na+ e Cl- em diferentes órgãos. As atividades de catalase e da peroxidase do guaiacol e o teor de fenólicos totais aumentaram significativamente em folhas de feno-grego. Os dados aqui relatados revelaram a variação do conteúdo de compostos fenólicos em diferentes órgãos na presença de sal, que sugeriu o uso do feno-grego em aplicações comerciais e econômicas.

Research progress of fraction of exhaled nitric oxide in common pulmonary diseases / 中国胸心血管外科临床杂志

@#Detection of the fraction of exhaled nitric oxide (FeNO) is a safe, simple and easy method to assess airway inflammation noninvasively. Thus, FeNO detection has been paid more attention to diagnosis and guide treatment of pulmonary diseases. The common feature of pneumonia, asthma, chronic obstructive pulmonary disease and chronic cough is the existence of varying degrees of airway inflammation. In this review, FeNO production and its potential pathologic and physiologic role in various pulmonary diseases were discussed.

Association between Respirable Dust Exposure and Respiratory Health among Cement Workers

@#Introduction: Cement industry contributes to the major constituent of airborne dust in the atmosphere. This study aims to determine the level of respirable cement dust exposure associated with workers’ respiratory health. A cross-sectional study was carried out among 84 administration workers as the comparative group and 84 manufacturing workers as the exposed group. Method: A set of validated questionnaires was used to obtain some pertained background information as well as respiratory symptoms among the respondents. Personal Air Sampling Pump was used for assessing personal exposure towards cement dust in 8 hours. For lung function performance, a Spirometry test was carried out and Fractional Exhaled Nitric Oxide (FENO) test was conducted to assess airway inflammation. Results: The median for personal exposure level to respirable dust of manufacturing workers was 2.68 (5.90) mg/ m3 with range 0.351 to 10.60 mg/m3. The lung function abnormality among the manufacturing workers was FVC% (PR=3.82, 95% CI=1.52-9.58) and FEV1% (PR=5.16, 95% CI=1.65-16.10). Cough was reported to occur the most likely among the manufacturing workers (PR=2.40, 95% CI=1.12-5.15). After adjusting the smoking status, the prevalence of phlegm and cough were 35.7% and 29.8% respectively. 16.7% of manufacturing workers recorded a high level of FENO. The increasing exposure to respirable dust significantly reduces the FVC% of manufacturing workers (r=-0.36, p=0.05). Conclusion: The personal exposure to respirable cement dust increases the risk of lung impairment by highly developing respiratory health symptoms, reducing lung function level and increasing the higher level of airway inflammation among highly exposed workers.

Comparison of laboratory methods to assess fiber contents in feedstuffs / Comparación de métodos de laboratorio para determinar el contenido de fibra en alimentos para animales / Comparação de metodologias laboratoriais para determinação de fibras em alimentos

Summary Background: the conventional method of fiber analysis using neutral detergent fiber (NDF) and acid detergent fiber (ADF) was proposed by Peter Van Soest. The main advantage of this method is the precision of results; however, reagents are costly and laboratory work requires long runtime and labor. Objective: to compare analytical data from different methodologies used to assess NDF and ADF contents. Methods: means obtained with the conventional method were compared through Dunnett's test (α=5%) with values from alternative methods using autoclave as the digester system. A completely randomized design in a 4 x 2 factorial arrangement was used. Results: NDF content through alternative methods was assessed for Tifton 85 hay, babassu meal and sugarcane, whereas ADF was only determined for babassu meal. NDF and ADF did not differ (p(0.05) between non-sequential or sequential analysis for all the feedstuffs and methods studied, except for ADF in corn silage. Conclusion: alternative methodologies allow reducing operating costs and time but lack uniformity and accuracy for analyzing ADF in corn silage.

Resumen Antecedentes: la determinación de los valores de fibra detergente neutra (FDN) y fibra detergente ácida (FDA) es de gran importancia en la nutrición animal, siendo el método tradicional de análisis el propuesto por Van Soest. Este método presenta como ventaja principal la precisión de los resultados, sin embargo la rutina de laboratorio en su ejecución implica mucho tiempo debido a sus etapas manuales, además de ser un método de alto costo que genera considerables proporciones de residuos químicos. Objetivo: evaluar diferentes metodologías propuestas para la análisis de las FDN y FDA mediante la medición de los datos analíticos. Métodos: las medias obtenidas por el método tradicional fueron comparadas con las medias de métodos alternativos que usan una autoclave como sistema digestor por el test de Dunnette (α=5%). Un diseño completamente aleatorio, en un diseño factorial 4x2 fue adoptado. Resultados: los métodos alternativos fueron recomendadas para las determinaciones de FDN por el heno de Tifton 85, salvado de harina de babasú y caña de azúcar, mientras que las determinaciones de los valores de FDA apenas para el salvado de harina de babasú. Los resultados de los análisis de FDN y FDA no fueron significativamente diferentes (p(0.05) entre los análisis no secuencial y secuencial, en todos los alimentos y métodos estudiados, a excepción de la determinación de FDA en el ensilaje de maíz. Conclusión: las metodologías alternativas permitieron ganancias significativas con la reducción de costos operacionales y del tiempo de análisis, pero sin uniformidad en la precisión de los análisis involucrados.

Resumo Antecedentes: as determinações dos teores de fibra em detergente neutro (FDN) e em fibra em detergente ácido (FDA) são de extrema importância na nutrição animal, tendo como método convencional de análise o proposto por Van Soest. Esse método apresenta como principal vantagem a precisão dos resultados, no entanto, a rotina laboratorial da sua execução demanda muito tempo por possuir etapas manuais, além do que é um método de custo elevado e que gera resíduos químicos em proporções consideráveis. Objetivo: avaliar diferentes metodologias propostas para análise da FDN e FDA, através da verificação dos dados analíticos. Métodos: as médias obtidas pelo método convencional foram comparadas com as médias de métodos alternativos que utilizam a autoclave como sistema digestor, pelo teste de Dunnette (α=5%). O delineamento adotado foi o inteiramente casualizado, em um esquema fatorial 4x2. Resultados: os métodos alternativos foram recomendados para determinação de FDN no feno de Tifton 85, farelo de babaçu e cana-de-açúcar, enquanto para as determinações dos teores de FDA, apenas no farelo de babaçu. A precisão observada nas análises dos teores de FDN e FDA não diferiram significativamente (p(0.05) quanto a análise não sequencial e sequencial, em todos os alimentos e métodos estudados, com exceção da determinação de FDA na silagem de milho. Conclusão: as metodologias alternativas permitiram ganhos significativos com a redução dos custos operacionais e do tempo da análise, mas sem uniformidade na precisão das análises desenvolvidas.

The correlation between serum total IgE,blood eosinophil,degree of sensitization to allergens and frac-tional exhaled nitric oxide in children with asthma and allergic rhinitis / 实用医学杂志

Objective To analyze the correlation among serum total IgE(TIgE),blood eosinophil(EOS) counts,the degree of sensitization for skin prick test(SPT),and fractional exhaled nitric oxide(FeNO)in chil-dren with asthma and allergic rhinitis. Methods We collected 121 children with asthma and allergic rhinitis andtheir serum TIgE,blood EOS,FeNO,and SPT for 14 common allergens. Results There were 75.2%patients sensitizing to at least two allergens.TIgE levels in poly-sensitized subjects were higher than that of mono-sensitized subjects(P < 0.05)The number of SPT sensitized allergens was positively correlated with the TIgE levels(P <0.05)FeNO levels were correlated with TIgE levels and EOS percentage(P < 0.05). TIgE levels in subjects with class 2 or 3 in SPT for house dust mite increased significantly ,compared with class 0 or 1. Conclusion There were some correlations among the four detections ,providing important reference for clinical diagnosis and treatment of respiratory allergic disease

Relationship between Bronchodilator Response, Airway Hyperresponsiveness, and Exhaled Nitric Oxide Levels in Patients with Suspected Bronchial Asthma / 대한내과학회지

BACKGROUND/AIMS: Exhaled nitric oxide (NO) has been extensively investigated as a marker of airway inflammation in asthma, and fractional exhaled nitric oxide (FeNO) is recognized as a useful tool for its evaluation. The aim of this study was to investigate the relationships between FeNO levels and bronchodilator response (BDR), and between FeNO and mannitol-induced airway hyperresponsiveness (AHR), in patients with suspected asthma. METHODS: Clinical variables were collected from patients aged ≥ 13 years with suspected bronchial asthma and measured levels of FeNO. These levels were compared with patient values for forced expiratory volume in the first second (FEV1) and forced expiratory flow at 25 and 75% of the pulmonary volume (FEF(25-75%)) in bronchodilator response tests under control conditions, and during bronchial provocation with mannitol. Correlations and receiver operating characteristic (ROC) curves between FeNO levels and each test were assessed. RESULTS: A total of 259 patients were included in the analysis. The mean ages of the two test groups were 41.1 and 47.8 years, respectively. FeNO levels were strongly correlated with bronchodilator response (%) and with the mannitol dose producing a 15% fall in FEV1 (PD15). On the other hand, FeNO levels were only weakly correlated with FEF(25-75%). The optimal cut-off values for FeNO to predict a positive BDR and AHR were 38.5 and 29.5 parts per billion, respectively. CONCLUSIONS: This study suggests that FEV1 and FEF(25-75%) airway responses correlate with FeNO levels in patients with suspected bronchial asthma. FeNO levels may help to predict positive responses to BDR and AHR.

Influência da suplementação de vitaminas A, D e E na função imune de bezerros alimentados com dieta á base de feno capim tifton (cynodon spp) / Influence of A, D and E vitamin supplements on immune function of calves fed diet tifton (cynodon spp) hay

As vitaminas são compostos orgânicos necessários em poucas quantidades no organismo, todavia indispensáveis para as funções metabólicas. Elas se inserem em inúmeras reações metabólicas, fisiológicas e imunes das células, necessárias para a manutenção da saúde animal, além de atuarem como imunoestimulante. Embora a dieta rica em folhagens verdes frescas forneça quantidades suficientes de vitaminas A, D e E a suplementação intensiva com alimentos conservados na forma de feno ou silagem pode reduzir em até 50 % dos teores destas vitaminas no alimento. Diante disso, a proposta do trabalho foi verificar se a administração parenteral de vitaminas A, D e E age como imunoestimulante em garrotes estabulados e alimentados exclusivamente com feno de tifton. Para tanto 14 bovinos foram divididos em dois grupos homogêneos, sendo o grupo S, suplementado com vitamina A, D e E em dose única de 30 mL por via intramuscular; e o grupo C, sem suplementação. Ambos os grupos foram alojados em baias parcialmente privadas de sol, e alimentados com feno por um período de três meses. A avaliação imune foi realizada por hemogramas e ensaio de função leucocitária (metabolismo oxidativo e fagocitose) nos momentos antes do tratamento, três e dez dias após os tratamentos. Tendo em vista que a suplementação com polivitamínicos A, D e E aumentou a porcentagem da atividade de células granulocítica e a intensidade da atividade de células mononucleares, além de intensificar o efeito antioxidante prolongando a sobrevida de hemácias e neutrófilos, conclui-se que esta suplementação promoveu efeito benéfico na resposta imune de bezerros da Raça Holandesa, apesar dos efeitos deletérios da alimentação exclusiva com feno e da privação parcial da incidência solar direta.

Vitamins are organic compounds which are required in small quantities in the body, however essential for the metabolic functions. They participate in numerous metabolic reactions, physiological and immune cells, needed to maintain animal health, as well as act as immunostimulants. Although the diet rich in fresh green foliage provides sufficient amounts of vitamin A, D and E, intensive supplementation with food stored in the form of hay or silage can reduce up to 50% of the levels of these vitamins in food. Given this, the proposal of this study was to verify how the parenteral administration of vitamins ADE acts as immunostimulant in steers fed exclusively with hay of tifton. For that, 14 cattle were divided into two homogeneous groups: Group S, supplemented with vitamin A, D e E given in a single intramuscular dose of 30mL, and Group C without supplementation. Both groups were housed in private stalls and fed with hay for a period of three months. Immune evaluation was performed by blood count and testing of leukocyte function (oxidative metabolism and phagocytosis) in the moments before treatment, three and ten days after the treatments. Considering that supplementation with vitamin A, D e E increased the percentage of granulocytic cell activity and the intensity of the activity of mononuclear cells, as well as intensified the antioxidant effect prolonging the survival of red blood cells and neutrophils, it can be concluded that this treatment had a beneficial effect on the immune response of Holstein calves, despite the damaging effects of exclusive feeding hay, and the partially deprivation of solar incidence.