The secoiridoid profile of virgin olive oil conditions phenolic metabolism.

The European Food Safety Authority highlights the beneficial effects of olive oil phenols, mainly, secoiridoids. Nevertheless, the metabolism of secoiridoids in humans has not been fully elucidated. This research evaluated the metabolism of secoiridoids in humans after intake of olive oils with diverse phenolic profiles. For this purpose, three extra virgin olive oils (EVOOs) were ingested by six volunteers at scheduled meals, and urine samples were collected the following morning for subsequent LC-MS/MS analysis. Using untargeted analysis, urinary metabolites revealed representative patterns associated with the various olive oil phenolic contents in absolute and relative terms. We were able to identify metabolites obtained through phase I, phase II, and microbial metabolism with discrimination between tyrosol and hydroxytyrosol derivatives. Metabolism of phenols is differentially activated as a function of the olive oil secoiridoids content, and this proof-of-concept study shows how urinary metabolites represent olive oil phenolic content.

Critical appraisal of international guidelines for the management of fecal incontinence in adults: is it possible to define what to do in different clinical scenarios?

Fecal incontinence (FI) is a complex often multifactorial functional disorder which is associated with a significant impact on patients' quality of life. There is a broad spectrum of symptoms, and degrees of severity and diverse patient backgrounds. Several treatment algorithms from different professional societies and experts are available in the literature. However, no consensus has been reached on several aspects of FI management. We performed a critical review of the most recently published guidelines on FI, emphasising the lack of consensus, highlighting specific topics mentioned in each of the guidelines that are not covered in the others and defining the treatment proposed in different clinical scenarios.

Inhibition of multidrug-resistant Staphylococci by sodium chlorate and select nitro- and medium chain fatty acid compounds.

AIMS: Determine the antimicrobial effects of 5 µmol ml-1 sodium chlorate, 9 µmol ml-1 nitroethane or 2-nitropropanol as well as lauric acid, myristic acid and the glycerol ester of lauric acid Lauricidin® , each at 5 mg ml-1 , against representative methicillin-resistant staphylococci, important mastitis- and opportunistic dermal-pathogens of humans and livestock. METHODS AND RESULTS: Three methicillin-resistant Staphylococcus aureus and two methicillin-resistant coagulase-negative staphylococci were cultured at 39°C in 5 µmol ml-1 nitrate-supplemented half-strength Brain Heart Infusion broth treated without or with the potential inhibitors. Results revealed that 2-nitropropanol was the most potent and persistent of all compounds tested, achieving 58-99% decreases in mean specific growth rates and maximum optical densities when compared with untreated controls. Growth inhibition did not persist by cultures treated solely with chlorate or nitroethane, with adaptation occurring by different mechanisms after 7 h. Adaptation did not occur in cultures co-treated with nitroethane and chlorate. The medium chain fatty acid compounds had modest effects on all the staphylococci tested except the coagulase-negative Staphylococcus epidermidis strain NKR1. CONCLUSIONS: The antimicrobial activity of nitrocompounds, chlorate and medium chain fatty acid compounds against different methicillin-resistant staphylococci varied in potency. SIGNIFICANCE AND IMPACT OF THE STUDY: Results suggest that differential antimicrobial activities exhibited by mechanistically dissimilar inhibitors against methicillin-resistant staphylococci may yield potential opportunities to combine the treatments to overcome their individual limitations and broaden their activity against other mastitis and dermal pathogens.

Thymol, alpha tocopherol, and ascorbyl palmitate supplementation as growth enhancers for broiler chickens.

Consumer concern on the quality of products and animal welfare has greatly increased during the past decades. Dietary synthetic antibiotic products used as growth promoters have been restricted or banned in many countries. Edible plants, essential oils, or their main components were suggested as natural feed supplements to improve growth, products' quality, and welfare-related parameters. Thymol (THY), a main component of oregano essential oil, has been proved as an effective antimicrobial and antioxidant compound. Tocopherol (TOC) evidenced antioxidant activity with potential as a growth promoter and a synergic antioxidant activity between TOC and ascorbyl palmitate (AP) has also been reported. Herein, we evaluated whether broiler diet supplementation with THY, and THY with a formulation mix containing TOC and AP (1:0.5:0.5, respectively) have potential as growth enhancers under commercial conditions. Potential protective effects against foot pad dermatitis and hock burns were also evaluated. Newly hatched male broiler chicks with similar body weight (BW) were randomly assigned to 1 of 7 groups (4 replicates each) as follows: Basal (no feed supplements added), Promotor (Basal + 6.26 µmol flavomycin/kg feed), BHT (Basal + 1.33 mmol of buthylated hidroxytoluene (BHT)/kg feed), Prom-BHT (Basal + 6.26 µmol flavomycin/kg feed + 1.33 mmol of BHT/kg feed), TOC-AP (Basal + 0.67 mmoles of TOC + 0.67 mmoles of AP/kg feed), THY (Basal + 1.33 mmoles of THY/kg feed), and THY-TOC-AP (Basal + 0.67 mmoles of THY + 0.67 mmoles of a mix 1:1 of TOC-AP). Along 7 wk, BW, feed intake, and feed conversion ratio were evaluated. Skin injuries were assessed at 35 d of age. At the end of the study (42 d), compared to Basal group, similarly enhanced final BW were observed in all groups but TOC-AP. No main differences between groups were detected in feed intake, feed conversion ratio, or skin injuries. Findings suggest that THY itself or in combination with TOC-AP may have value as a natural growth enhancer alternative for broilers.

Sacral neuromodulation in patients with congenital faecal incontinence. Special issues and review of the literature.

BACKGROUND: The aim of the present study was to evaluate the effectiveness of sacral neuromodulation (SNM) as a treatment for congenital faecal incontinence (FI). METHODS: A retrospective study was conducted on patients with congenital FI who had SNM surgery at our institution between October 2005 and June 2013. An initial percutaneous nerve evaluation was performed, and patients with an improvement of more than 50% in their symptoms had permanently implants for SNM treatment. RESULTS: There were 4 patients who received a permanent implant. Mean duration of follow-up was 67.5 months (range 45-135 months). At last follow-up, 2 patients maintained significant improvement with SNM, 1 was explanted after 4 years of treatment due to infection but remained asymptomatic and SNM failed in the remaining patient who went on to graciloplasty. CONCLUSIONS: SNM may be of value for treating FI in patients with anorectal malformations.

Efecto protector de 2 presentaciones comerciales de Ginkgo biloba sobre las alteraciones motoras inducidas por el jugo de yuca (Manihot esculenta Crantz) en la rata Wistar / The protective effect of two commercial formats of Ginkgo biloba on motor alterations induced by cassava juice (Manihot esculenta Crantz) in Wistar rats

Introducción: Se evaluó el efecto protector de 2 presentaciones comerciales de Ginkgo biloba sobre las alteraciones motoras inducidas por el consumo de jugo de yuca (Manihot esculenta Crantz) en ratas macho Wistar. Método: Los efectos se evaluaron en las pruebas de campo abierto y nado a los 0, 7, 14, 21 y 28 días de tratamiento, una hora después de la administración correspondiente. Resultados: A partir del día 21 del consumo de jugo de yuca incrementó el número de cuadros cruzados en campo abierto y, en la prueba de nado, produjo el nado lateral a partir del día 7, con respecto al grupo control. Conclusión: Los extractos de Ginkgo biloba previnieron las alteraciones motoras asociadas al consumo de jugo de yuca, probablemente por el contenido de flavonoides presentes en ambas presentaciones de Ginkgo biloba (AU)

Introduction: This study evaluated the protective effects of 2 commercial formats of Ginkgo biloba on motor alterations induced by cassava (Manihot esculenta Crantz) juice consumption in male Wistar rats. Methods: The effects were evaluated with the open field and swim tests at 0, 7, 14, 21, and 28 days of treatment, one hour after administering the product. Results: Compared to controls, open field crossings increased after day 21 of cassava juice consumption, and lateral swimming in the swim test was reported after day 7. Conclusion: Ginkgo biloba extracts prevented motor alterations associated with cassava juice consumption, probably due to the flavonoid content in both formats of Ginkgo biloba (AU)

Thymol as natural antioxidant additive for poultry feed: oxidative stability improvement.

Antioxidant are regularly included in poultry feed as protection from deterioration during storage. Recently the interest for the use of natural phytochemicals in animal diets has been increased. Thymol (THY) has been proven to be an effective antioxidant for extending broiler meat quality during storage with similar action to the widely used butylated hydroxytoluene (BHT). This study evaluates whether THY can also have a protective effect on the feed mash by assessing its antioxidant potential and related changes in fatty acid (FA) balance. Feed mash was assigned to 1 of 4 treatments, control (CON, no additive), vehicle (VEH, ethanol 96%), BHT (400 mg BHT /kg feed) and THY (400 mg THY /kg feed). Three replicates of each treatment were taken after 0, 30, and 60 d of storage at room temperature (23 ± 3°C) and relative humidity (40 ± 5%). Peroxide value (PV), titratable acidity (TA) and FA relative composition were determined. As expected, there were no treatment effects on those variables at 0 d of storage. However, higher PV values were detected in the CON and VEH groups after 30 and 60 d of storage in comparison to the THY and BHT treated samples (CON = VEH > THY = BHT). While a slight increase was also observed in TA through storage time, no particular treatment effects were detected. Relative FA composition changed with storage time only in the CON and VEH group which had a decrease in polyunsaturated fatty acids and an increase in saturated FA. No changes were detected in the Thy and BHT treated feeds. The results suggest a similar THY and BHT protective effect on feed mash lipid oxidation. Thus, THY could be considered as a useful natural alternative to help sustain quality of poultry feed.

Fly emergence from manure of Japanese quail fed thymol- or isoeugenol-supplemented diets.

Many problems in poultry production are caused by a combination of interrelated factors such as management, stress, nutrition, and exposure to pathogens. Saprophagous flies that develop in poultry manure are a potential route of pathogen transmission. Besides being a nuisance, defecation and regurgitation of flies soil equipment and structures and can reduce light levels of lighting fixtures. These effects clearly affect management and may contribute to reductions in poultry egg production, health, and welfare. Many essential oils or their main components have bioactive effects such as natural repellents and insecticides, antioxidants, anticholesterolemics, and antimicrobials. This study evaluated if supplementing quail feed with thymol or isoeugenol as functional food could alter the production of flies from manure. Dropping samples deposited by quail fed with a supplementation of 2,000 mg of thymol or isoeugenol per kg of feed or no supplement (control) were collected. Each sample was incubated inside an emergence cage that was inspected daily to collect emerging adult flies. Fewer flies emerged from droppings of quail fed a thymol-supplemented diet (P = 0.01) and there was a tendency to a lower emergence from droppings of isoeugenol-fed quail (P = 0.09). The number of positive containers for Musca domestica was smaller from quail droppings of thymol- (P = 0.02) or isoeugenol- (P = 0.01) supplemented feed than from the control counterparts, suggesting an oviposition repellent effect. Supplementing quail feed with thymol or isoeugenol has an overall moderate effect against flies, reducing M. domestica emergence.

The antioxidant activity of soursop decreases the expression of a member of the NADPH oxidase family.

Cellular oxidative stress produced by an increase in free radicals is one of the factors that promote the development of chronic degenerative diseases; therefore, consuming natural antioxidants helps minimize their negative effects. This study evaluated the cytotoxicity of the soursop extract (Annona muricata), its cytoprotective capacity against oxidative stress induced by hydrogen peroxide, the inhibitory potential of reactive oxygen species (ROS), the molecular mechanism of its antioxidant action, and its capacity to repair cellular damage in the fibroblast cell line. The soursop extract proved not to be cytotoxic in fibroblast cultures and showed cytoprotective capacity against hydrogen peroxide-induced stress; in cell culture it reduced the generation of ROS significantly by inhibiting a sub-unit of the NADPH oxidase enzyme (p47phox). The soursop extract can prevent damage caused by cellular oxidants.

Effects of thymol and isoeugenol feed supplementation on quail adult performance, egg characteristics and hatching success.

1. A study was conducted to evaluate whether feed supplementation with thymol or isoeugenol can alter Japanese quail growth rate and final body weight, the female onset of puberty, hen-day egg production and the physical and chemical characteristics of the egg, as well as its potential to alter hatchability. 2. From 4 to 16 weeks of age, birds from each cage (1 male: 3 females) were assigned to 1 of 3 treatments that differed in the supplement added to the feed: control, thymol or isoeugenol (400 mg/kg). The average ages (d) at first egg lay (FIRST), at 25% egg production (A25% EP), at 50% egg production (A50% EP) and weekly and cumulative hen-day egg production (HDEP) were calculated. In addition, physical and chemical characteristics of the eggs, their fertility and hatchability were also evaluated for each group. 3. Feed supplementation did not significantly affect growth rate, final body weight, egg production parameters, fertility and physical characteristics of egg or most of the fatty acid components of the yolk. 4. The group treated with isoeugenol showed an increase in the percentage of palmitoleic fatty acid compared to the control, with thymol group showing intermediates values. 5. Both thymol and isoeugenol supplemented groups showed increased hatchabilities, by 18.8% and 11.8%, respectively, compared to their control counterparts. 6. The improvement in the hatching success of the eggs from the thymol and isoeugenol supplemented groups without a negative impact on their performance may have important economic implications for future breeding programmes, particularly if these effects generalise from quail to other more commercially important poultry species, such as chickens or turkeys.

Clinical and cost effectiveness of sacral nerve stimulation for faecal incontinence.

BACKGROUND: Sacral nerve stimulation (SNS) has better results and safety than other surgical procedures for faecal incontinence. This prospective study assessed the clinical effectiveness and costs of SNS at a single centre. METHODS: Patients who had experienced one or more episodes of faecal incontinence were studied for up to 5 years by continence diary, anorectal manometry and quality of life questionnaires. Direct medical costs were calculated and the cost-effectiveness of the treatment was analysed. RESULTS: Fifty-seven percutaneous nerve evaluations were performed in 47 patients between June 1999 and February 2006; 29 patients underwent permanent implantation. After a median follow-up of 34.7 (range 2.3-81.2) months, 25 of the 29 patients had a significant reduction in incontinence episodes; 14 patients were in complete remission. At 3-year follow-up, the mean reduction in incontinence episodes was 89 per cent. No change was observed in anal manometric values. Patients reported a significant improvement in quality of life. The introduction of SNS has an incremental cost-effectiveness ratio, below the accepted Spanish threshold. CONCLUSION: The introduction of SNS to the management of faecal incontinence within the Spanish setting is both effective and efficient.

Application of biochemical and X-ray diffraction analyses to establish the postmortem interval.

The determination of the date of death from bone remains is of scientific interest but also has important legal implications. The establishment of the postmortem interval (PMI) is a very complex problem because of the great number of intrinsic factors that may alter the normal course of postmortem change, such as the age, sex, constitution and previous physiological and pathological states of the subject, and external factors. In order to evaluate the utility of X-ray diffraction and the measurement of some components in dating bone remains, a total of 69 long bones from 69 different cadavers (41 males, 28 females) with a mean age of 68 years (S.D.=17.6, range 12-97) were used. The bones were removed from cement tombs of Murcia Cemetery, where they had lain for documented times of between 7 and 54 years (S.D.=11.6, mean time 17.6 years). We have studied potassium, sulphur, nitrogen, urea, total protein, phosphorus, and some X-ray diffraction (XRD) parameters related to the degree of crystallinity of the mineral component in medullar and cortical bone zones to establish which of the two provides the most useful information for calculating the PMI. In the overall analysis of our data, we believe that the use of both XRD and biochemical analyses (especially of urea, potassium and sulphur) particularly in the cortical zone of the bone could be an alternative method for dating osseous remains.

Estudio de palatabilidad de dos dietas orales especiales para pacientes diabéticos en residencias geriátricas, Glucerna SR® vs Resource Diabet® / Evaluation of palatability of two special oral diets for institutionalized elderly diabetics, Glucerna SR® vs Resource Diabet®

Objetivos: Evaluar las características organolépticas de dos suplementos nutricionales específicos para diabetes (Glucerna SR® y Resource Diabet®) y compararlos entre sí. Ámbito: Se evaluó a 456 pacientes diabéticos tipo 2 (que en su mayoría estaban recibiendo ADO o insulina) en 34 centros. Se trataba de ancianos con una edad media de 73 años (71-78), ingresados en centros asistidos o residencias distribuidas por todo el territorio español y que no eran fumadores. Intervenciones: La palatabilidad se estudió con una escala de cata de vinos modificada que valora 6 parámetros (apariencia, aroma, cuerpo, dulzura, regusto y sabor), que se puntuaban individualmente, siendo la puntuación total de 0 (la más desfavorable) a 20 (la más favorable). Cada producto se evaluó con dos sabores (vainilla y fresa) mediante un control en paralelo con triple enmascaramiento. Resultados: Se realizaron un total de 906 observaciones válidas, encontrándose unas diferencias estadísticamente significativas a favor de Glucerna SR® en todos los parámetros considerados tanto de forma absoluta como relativa a excepción del dulzor que al evaluarlo de forma relativa no alcanza la significación estadística. No se encontraron diferencias estadísticas entre los dos sabores (vainilla y fresa). El único factor de confusión que ha resultado significativo es la edad, de modo que a más edad se aprecia más las diferencias entre las dos marcas. Conclusiones: Glucerna SR® presenta un mejor sabor que Resource Diabet® para los diabéticos ancianos institucionalizados (AU)

Objectives: To evaluate the organoleptic characteristcs of two specific nutritional supplements for diabetes (Glucerna SR® and Resource Suport®) and compare them. Setting: An evaluation was made of 456 patients with Type 2 diabetes (most of them receiving OADs or insulin) from 34 centers. They were non-smoking elderly patients (mean age 73 to (71-78) admitted to nursing homes or homes for the aged distributed all over the Spanish territory. Interventions: Palatability was studied using a modified wine tasting scale assessing 6 parameters (appearance, smell, body, sweetness, aftertaste and taste) that were scored individually, with a total score ranging from 0 (most unfavorable) to 20 (most favorable). Each brand was evaluated in two flavors (vanilla and strawberry) according to a crossover, double-blind design. Results: A total of 906 evaluable observations were made, and highly statistically significant differences favorable to Glucerna RS® were found in all parameters considered both absolutely and relatively, exception for sweetness, for which statistical significance was not reached because it was relatively evaluated. No statistical differences were found between the two flavors (vanilla and strawberry). The only significant confusing factor found was age; the older the age, the more the differences were noted between the two brands. Conclusions: Glucerna SR® has a better flavor than Resource Suport® for institutionalized elderly diabetic patients (AU)

Air reduction of intussusception.

AIM: To show that intussusception in children is reducible in most cases, using air. METHODS: Initially we used a barium enema to treat paediatric intussusception. Now we use an air enema. We consider the latter reduction technique to be the method of choice in the treatment of intussusception in childhood. RESULTS: Over a period of 21 years, we have treated 151 patients presenting with intussusception. In a group of 130 children treated with barium enema we managed to reduce the intussusception in 110 cases (84.6 %). We used air pressure to treat a second group of 21 children; the success rate in this group was 100 %. CONCLUSIONS: In order to avoid a surgical operation this technique must become more generally known. We are of the opinion that if the method is applied correctly, it is almost always possible to correct intussusception using air.

[Use of low-grade potatoes in the production of whole flour for the preparation of foods for popular consumption]. / Aprovechamiento de la papa de desecho en la obtención de harina integral para la elaboración de alimentos de consumo popular.

A whole flour potato obtention process was developed which could be used in semirural areas. The potato without peeling was previously washed and ground adding 100 p.p.m. of sodium bisulphite, then it was dehydrated in a cabinet tray dryer with an air flow circulation set at 70 degrees C using three different deep beds (10, 20 and 25 mm). Finally it was milled, sieved and packed in polyethylene Kraft bags and stored for 10 months at room temperature. Results showed that drying time increased less rapidly when the bed depth was increased, so that the overall dryer productivity increased when increasing bed depth. Nevertheless, a better-quality product was obtained, as well as a greater process efficiency when a 10 mm bed depth was used. The whole flour had a particle size of 80 mesh and a moisture and protein content of 7 and 6.7%, respectively. No brown color formation or mold growth occurred during storage. "Tamales de dulce" and chocolate cookies were made with the flour obtained. These were subjected to an acceptability test at community level, and the test revealed that for both products, such acceptability was higher than 90%.