Consensus on complementary feeding from the Latin American Society for Pediatric Gastroenterology, Hepatology and Nutrition: COCO 2023.

Complementary feeding (CF) is defined as the feeding of infants that complements breastfeeding, or alternatively, feeding with a breast milk substitute, and is a process that is more than simply a guide as to what and how to introduce foods. The information provided by healthcare professionals must be up-to-date and evidence-based. Most of the recommendations that appear in the different international guidelines and position papers are widely applicable, but some must be regionalized or adapted to fit the conditions and reality of each geographic zone. The Nutrition Working Group of the Latin American Society for Pediatric Gastroenterology, Hepatology and Nutrition (LASPGHAN) summoned a group of experts from each of the society's member countries, to develop a consensus on CF, incorporating, whenever possible, local information adapted to the reality of the region. The aim of the present document is to show the results of that endeavor. Utilizing the Delphi method, a total of 34 statements on relevant aspects of CF were evaluated, discussed, and voted upon.

ΔNp73 status in peritoneal and ovarian dissemination of appendicular adenocarcinoids (goblet cells).

INTRODUCTION: Goblet cell carcinoma (GCC) is an appendicular neoplasia representing less than 5% of all appendicular tumors, found in 0.3-0.9% of the appendectomies, 35-58% of all appendicular neoplasms, and less than 14% of malign appendix tumors. The most frequent clinical presentation is abdominal pain associated with a picture of acute appendicitis. MATERIALS AND METHODS: We present 3 clinical cases of appendix GCC, 2 subjected to cytoreductory surgery plus intraperitoneal hyperthermic chemotherapy and a third, who is currently receiving neoadjuvant treatment with a good response to chemotherapy and who will be offered the same treatment as the first two patients. Given the unpredictable behavior of these tumors, the use of molecular markers could help us to predict their behavior and prognosis. In this context, the TP73 gene would make an interesting putative marker. ∆Np73 has been described as overexpressed in a great variety of tumor types including colon cancer and this up-regulation is associated with a poor prognosis. To evidence its role in this malignancy, we evaluate here the status of ∆Np73 in the primary tumor and normal counterpart tissues, in the metastatic implants and in healthy areas of the peritoneum from the appendicular GCC patients. In addition, we checked the expression levels of this p73 variant in the tumor and normal tissue of 26 patients with colon cancer. RESULTS: Remarkably, 2 patients showed significant ∆Np73 down-regulation in both the primary tumor and the implants. Case 1 presented a fourfold decrease of levels in the primary tumor and 20-fold decrease in the implants. Case 2 showed a seven- and fourfold down-regulation in the primary tumor and implants, respectively. However, Case 3 showed an up-regulation of 53- and threefold in the primary tumor and implants, respectively. CONCLUSION: Goblet cell carcinoma of the appendix is very rate. It tends to seed throughout the peritoneum, making aggressive surgical cytoreduction and chemotherapy viable treatment options. Investigation into the molecular basis of these tumors may improve the diagnosis, prognosis and therapeutic decisions regarding these patients. ∆Np73 seems a good candidate for further analysis in longer series.

Nutritional evaluation and productivity of supplemented sheep grazing in semiarid rangeland of northeastern Brazil.

Sheep production systems in Brazilian caatinga rangelands require supplementation adapted to changes in floristic and chemical composition as dry seasons progress. Meeting sheep nutritional needs in extensive semiarid systems is challenging because of sheep dietary preferences and habits. The objective of this trial was to evaluate the substitutive effect of concentrate supplementation on grazing sheep in the Brazilian caatinga rangeland and its consequences on performance in different seasons. The trial was conducted from March to August 2013 at Embrapa Goat and Sheep in Sobral, Ceará State, Brazil. Thirty-two Brazilian Somali multiparous ewes were submitted to estrus synchronization and controlled breeding. At the start of the trial, ewes averaged 30.45 + 2.60 kg body weight (BW). Ewes were divided into four groups and individually offered 0, 200, 350, or 500 g supplement head-1 day-1. Intake prediction and digestibility trials were evaluated at three periods: rainy season (April), transition rainy-dry (June), and dry season (August). Sheep weights were taken every 14 days to measure their performance from late gestation until weaning. Ewe BW and body condition score changes were determined too. Lamb BW changes were also measured every 14 days from birth through weaning. A completely randomized design with split plot arrangement using eight replications was used for intake and digestibility measurements. The differences between supplement offered (0, 200, 350, and 500 g sheep-1) and season (rainy, transition rainy-dry, and dry) were submitted to analyses of variance and multiple means were separated, where differences were detected, using the Tukey's test. During lactation up through weaning, ewes supplemented at 500 g day-1 had greater BW than ewes without supplement. Ewes supplemented with 200 g concentrate head-1 day-1 had 9.1% greater (P ≤ 0.05) BW at weaning and their lambs had 19.7% greater birth and 16.6% heavier wean BW despite lower dry matter intake compared to unsupplemented animals. Supplementation with 200 g concentrate increased carrying capacity by 28.8% during the dry season and by 20.5% during the rainy season. This study confirmed that in the dry season, when quality of rangeland forages decreases, supplementation contributes to greater DMI, improves postpartum and lactation BW recovery of ewes, and contributes to greater lamb birth and wean weights. Moreover, supplementation leads to feed substitution effects that may increase rangeland resilience by mitigating overgrazing. Supplementation with 200 g concentrate can also prevent negative energy balance for grazing animals, improving longer postnatal recovery, longer intervals between parturitions, fewer double and is necessary to ensure a better BW at birth to lambs.

Efecto del entrenamiento de músculos abdominales sobre la función respiratoria en adolescentes sanos: Estudio piloto / Effect of abdominal muscle training on respiratory function in healthy adolescents: A preliminar study

The respiratory muscle training has been used to improve muscle strength and optimize the mechanism of cough. The aim of this study is to evaluate the effect of abdominal muscle training on respiratory muscle strength (MIP, MEP), peak expiratory flow (PEF) and peak cough flow (PCF) in healthy adolescents. The study design was quasi-experimental, variables of respiratory function were assessed before and after the muscle training protocol in a sample of sedentary healthy adolescents without gender restriction. The sample size calculated was 15 subjects. The training protocol consisted in 8 weeks of training divided into two stages (basic and advanced training plan) twice a week. Descriptive statistics were performed, tests for normality (Shapiro Wilk), U Mann Whitney test, Pearson coefficient and t-student test were used. Results are expressed as mean and its standard deviation. It was considered significant a p value < 0,05. Seventeen subjects (8 males and 9 females) entered to the study, all subjects performed the protocol and completed it without incidents. After completing the training protocol the sit-up test performance increased 21.7% (p = 0.0001), the MIP increase 16,5 cm H2O (17.1%) (p = 0.006), MEP increased 34.9 cm H2O (50,2 %) (p = 0.0001). Moreover, PEF increased 35.3 L/min (8.3%) (p = 0.003) and PCF increased 36.6 L/min (9,1%). There was no correlation between sit-up test performance and lung function variables. PEF showed only a moderate correlation with PCF (r = 0.6; p = 0.007) and MEP (r = 0.59; p = 0.01). We conclude that, in this sample, increases in respiratory muscle strength, PEF and PCF were observed after abdominal muscle training. No association between abdominal muscle strength and respiratory function variables was found before initiating the training protocol.

El entrenamiento muscular respiratorio ha sido utilizado para mejorar la fuerza de los músculos y optimizar el mecanismo de la tos. El objetivo de este estudio es evaluar el efecto del entrenamiento de músculos abdominales sobre la fuerza de los músculos respiratorios (Pimax, Pemax), flujo espiratorio máximo (FEM) y flujo máximo de tos (FMT) en adolescentes sanos. Este estudio es cuasi experimental, donde se evaluaron las variables de función respiratoria antes y después del protocolo de entrenamiento. La muestra estuvo integrada por adolescentes sanos sedentarios sin restricción de sexo. La muestra mínima estimada fue de 15 sujetos. El protocolo de entrenamiento consistió en 8 semanas de entrenamiento dividido en 2 etapas (plan básico y avanzado de ejercicios) dos veces por semana. Se realizó estadística descriptiva, pruebas de normalidad (Shapiro Wilk); se utilizó test U de Mann Whitney, coeficiente de correlación de Pearson y test t-student para muestras pareadas. Los resultados se expresan en promedios y desviación estándar. Se consideró significativo un valor de p < 0,05. Ingresaron al estudio 17 sujetos (8 hombres y 9 mujeres), todos los sujetos realizaron el protocolo completo. Posterior al protocolo los sujetos incrementaron en 21,7% el rendimiento del sit-up test (p=0,0001); la Pimax aumentó 16,5 cm H2O (+17,1%) (p=0.006), la Pemax aumentó 34,9 cm H2O (+50,2%) (p=0,0001). Por otra parte, el FEM aumentó 35,3 L/min (+8,3%) (p=0,003) y el FMT aumentó 36,6 L/min (+9,1%). La fuerza de músculos abdominales no muestra correlación con las variables de función respiratoria. Sólo FEM muestra correlación moderada con el FMT (r = 0,6; p = 0,007) y Pemax (r = 0,59; p = 0,01). Se concluye que, en la muestra estudiada, se observan incrementos en la fuerza muscular respiratoria, FEM y FMT luego de un protocolo de entrenamiento de músculos abdominales. No se observó asociación entre la fuerza muscular abdominal y las variables de función respiratoria antes de iniciado el protocolo.

Desempenho produtivo e perfil de ácidos graxos do leite de vacas que receberam níveis crescentes de óleo de girassol em dietas à base de capim-elefante / Productive performance and fatty acid composition of milk from dairy cows fed increasing levels of sunflower oil in elephant-grass based diets

Este experimento teve como objetivo principal avaliar as alterações no perfil de ácidos graxos do leite decorrentes do fornecimento de diferentes níveis de óleo de girassol (OG) para vacas leiteiras alimentadas com dietas completas à base de capim-elefante. Doze vacas da raça Holandesa receberam quatro níveis de OG na dieta (0; 1,3; 2,5 e 3,7% da MS) em delineamento quadrado latino 4 x 4. Não houve efeito (P>0,05) dos níveis de OG sobre o consumo de MS, a produção de leite ou os teores de sólidos do leite. Por outro lado, o perfil de ácidos graxos (AG) do leite foi amplamante modificado com a inclusão de OG na dieta, e observou-se redução (P<0,0001) dos teores dos AG de cadeia curta e média, elevação dos teores de ácido oleico (P<0,0001), dos isômeros de ácido linoleico conjugado, em especial do ácido rumênico (P<0,0001) e da relação entre os ácidos graxos hipo e hipercolesterolêmicos (P<0,0001). Apesar da maior ingestão diária de ácido linoleico (P<0,01) com o aumento do nível de OG na dieta, sua concentração na gordura do leite não foi alterada. Isso indica extensiva bio-hidrogenação ruminal deste AG no rúmen, o que é compatível com o aumento (P<0,0001) da concentração de ácido esteárico e dos AG C18:1 trans, especialmente do vacênico, na gordura do leite. Em geral, os resultados observados no presente estudo indicam que a inclusão de até 3,7% de OG em dietas completas de vacas leiteiras à base de capim-elefante promove melhoria da qualidade nutricional da gordura do leite, sem comprometimento do desempenho produtivo dos animais...

This study aimed to evaluate the effects of different levels of sunflower oil (SO) (0, 1.3, 2.5 and 3.7% of diet DM) on nutrient intake, milk production, milk composition, and fatty acid (FA) composition of milk and plasma from dairy cows fed elephant-grass based diets. Twelve Holstein cows were divided into three groups and received the dietary treatments in a 4 x 4 Latin-square design. Oleic, linoleic and α-linolenic acid intakes increased linearly (P<0.001) by adding SO to the diets. The reduction (P<0.0001) in odd and branched chain FA in milk fat from cows fed SO suggests that rumen microbial growth has been inhibited to some extent. Feeding up to 3.7% of SO in chopped elephantgrass-based diets improved the nutritional quality of milk fat, which was associated with the following changes in milk fatty acid composition: reduction (P<0.0001) of short and medium chain saturated FA contents, increase in oleic acid and rumenic acid contents (P<0.0001), and increase (P<0.0001) in hypo:hypercholesterolemic FA ratio. Overall, these results indicate that including up to 3.7% SO in elephant-grass based-diets improves the nutritional quality of milk fat from dairy cows without causing any detrimental effects on production paramaters...

Rehabilitación respiratoria en el paciente neuromuscular: efectos sobre la tolerancia al ejercicio y musculatura respiratoria: resultado de una serie de casos / Respiratory rehabilitation in neuromuscular patients: effects on exercise tolerance and respiratory muscles

Background: The pulmonary rehabilitation (PR) has acquired an important role in neuromuscular patient treatment. The aim was to investigate the effects of PR program on 6-minute walking test variables (6MWT) and respiratory muscle function (RMF) in patients with neuromuscular disease. Patients and Methods: In the study were included 13 patients, age 12.5 +/- 2.8 years old. Seven of them were able to walk (2 Facioscapulohumeral Muscular Dystrophy (FSHD), 1 Becker Muscular Dystrophy, 1 Congenital Myopathy, 1 Bethlem Syndrome, 2 Duchenne Muscular Dystrophy); and 6 were unable to walk (4 Duchenne Muscular Dystrophy, 1 Spinal Muscular Atrophy (SMA) type III and 1 SMAII). The results of RMF and 6MWT before and after 13 weeks of respiratory muscle training (RMT) (40-50 percent Pimax and 60-70 percent Pemax) and aerobic training (AT) (50 percent heart rate reserve) were analyzed. Wilcoxon test with 95 percent confidence interval was used to assess statistical significance. Results: Significant changes (p < 0.05) were observed in the averages of dyspnea score that decreased in 1.8 points (from 4.4 to 2.6; -40.9 percent) and in sustained inspiratory pressure (Pims) that increased in 14.3 cm H2O (from 16 to 30.3; +89.4 percent). Other variables that assessed aerobic capacity (6 MWT, heart rate and leg fatigue) and RMF (Pimax and Pemax) showed a trend towards improvement, but did not reach statistical significance. Conclusion: In patients with neuromuscular diseases significant changes in dyspnea after cardiopulmonary training protocol were observed. Moreover, the moderate intensity respiratory muscle training was well tolerated and an effective method to generate significant increases in Pims, constituting an alternative to previously established protocols.

Introducción: La rehabilitación respiratoria (RR) ha adquirido un papel importante en el manejo del paciente con enfermedad neuromuscular. El objetivo de este estudio fue investigar los efectos de un programa de rehabilitación respiratoria (RR) sobre variables del test de caminata de 6 min (C6M) y función muscular respiratoria (FMR) en pacientes con patología neuromuscular. Pacientes y Métodos: En el estudio se incluyeron 13 pacientes, edad: 12,5 +/- 2,8 años, de los cuales 7 son ambulantes (2 distrofia muscular (DM) fascio-escápulo-humeral, 1 DM de Becker, 1 miopatía congénita, 1 síndrome de Bethlem, 2 DM de Duchenne); y 6 no son ambulantes (4 DM de Duchenne, 1 atrofia espinal (AT) tipo 3 y 1AT 2). Se analizaron los registros de FMR y C6M al inicio y posterior a 13 semanas de entrenamiento muscular respiratorio (40-50 por ciento Pimax y 60-70 por ciento Pemax) y cardiopulmonar (50 por ciento de FCR). Se utilizó el test no paramétrico de Wilcoxon con un intervalo de confianza de 95 por ciento. Resultados: Se observaron cambios significativos (p < 0,05) en el puntaje de disnea que disminuyó 1,8 puntos (de 4,4 a 2,6; -40,9 por ciento) y en la presión inspiratoria máxima sostenida (Pims) que aumentó 14,3 cm de H2O (de 16 a 30,3 cm H(2)0; +89,4 por ciento). Las otras variables que evaluaron capacidad aeróbica (C6M, frecuencia cardíaca y fatiga de las piernas) y función de los músculos respiratorios (Pimax y Pemax) mostraron una tendencia a la mejoría, sin embargo, no alcanzaron significación estadística. Conclusiones: En pacientes con enfermedades neuromusculares se observan cambios significativos en la disnea posterior a un protocolo de entrenamiento cardiopulmonar. Por otra parte, el entrenamiento muscular respiratorio de moderada intensidad fue un método bien tolerado y efectivo para generar incrementos significativos en la Pims, constituyendo una alternativa a los protocolos previamente establecidos.

Suplementação de novilhos Nelore sob pastejo, no período de transição águas-seca / Supplementation of Nelore steers under grazing during the rainy/dry transition period

Avaliou-se o efeito da suplementação proteica sobre o consumo e o desempenho de novilhos recriados em pastagens de capim-piatã (Brachiaria brizantha cv. Piatã), durante o período de transição águas-seca. Utilizaram-se 20 novilhos Nelore, com peso médio inicial de 260kg, distribuídos ao acaso, em esquema de parcelas subdivididas. Os suplementos foram: sal mineral com ureia (controle) - ofertado ad libitum; sal proteinado - ofertado a 0,2% do peso vivo; suplemento proteico-energético - ofertado a 0,3% do peso vivo; e suplemento proteico-energético - ofertado a 0,5% do peso vivo. A suplementação teve efeito aditivo sobre o consumo de matéria seca total. O consumo médio diário dos suplementos foi de 0,167; 0,597; 0,865 e 1,469kg/animal, sendo observado ganho médio diário de 0,686; 0,761; 0,719 e 0,850kg/animal para os tratamentos controle e suplementados com 0,2; 0,3 e 0,5% do peso vivo, respectivamente. Verificou-se que as estratégias de suplementação avaliadas foram economicamente viáveis e proporcionaram desempenho semelhante sob condições de elevada oferta de forragem, sendo recomendado iniciar a suplementação proteica no período de transição águas-seca.

The effects of proteic supplementation on performance and forage dry matter intake of steers grazing on Brachiaria grass (Brachiaria brizantha cv. Piatã) during the rainy/dry transition period were evaluated. Twenty Nelore steers with an average body weight (BW) of 260kg, were assigned in a split plot design. The treatments were: mineral salt plus urea offered ad libitum (control); proteic supplement offered at 0.2% BW, proteic-energetic supplement offered at 0.3% BW and proteic-energetic supplement offered at 0.5% BW. The supplementation increased total dry matter intake. The average intake of supplements was 0.167; 0.597; 0.865 and 1.469kg/animal/day and the average daily gain (ADG) was 0.686; 0.761; 0.719 and 0.850kg/animal/day, for control, 0.2, 0.3 and 0.5% BW, respectively. It was verified that all strategies of supplementation are economically viable and similar in performance, under high herbage availability conditions. It is suggested that proteic supplementation begin during the rainy/dry transition period, for better animal performance and economic results.

Evaluación de la efectividad del renikan: extracto del pelargonium sidoides estandarizado EPs7630 en el tratmiento de las infecciones de las vías respiratorias superiores de etiología viral / Evaluation of the effectiveness of renikan: standardized extract of Pelargonium sidoides tratmiento EPs7630 in infections of the upper respiratory tract viral etiology

Las infecciones respiratorias, uno de los síndromes más frecuentes a nivel comunitario pueden ser de dos tipos: infecciones del tracto respiratorio superior o inferior. En su gran mayoría son inicadas por una infección viral transformando el terreno vulnerable a la sobre infección bacteriana. Hasta 2/3 de los pacientes son tratados desde el inicio de los síntomas con antibióticos, aunque este tratamiento no influye positivamente sobre el curso de la enfermedad. Renikan, fitofármaco extraído de la raíz del Pelargonium Sidoides, posee un triple mecanismo de acción: antiviral, antibacteriano y mucolítico, antiviral, porque activa los mecanismos de defensa antivirales orgánicos, antibacetriano, por su actividad bacteriostática directa e indirecta, y mucolítico, por sus propiedades secretomotoras y expectorantes. El objetivo fue comprobar la efectividad y tolerabilidad de Renikan en el tratamiento de las infecciones respiratorias. Diseño abierto y multicéntrico. Se seleccionaron niños de 6 a12 años y adultos de cualquier sexo o raza, con infecciones del tracto respiratorio superior. A los cuales se le suministró Renikan durante 7 días continuos, se evaluó: evolución de los síntomas, necesidad de uso de antibióticos y la escala de resultados integraticos IMOs. Ingreason un total 305 pacientes, 156 adultos y 149 niños distribuidos en tres grupos de estudio: Rinosinusitis, 97 pacientes, los cuales presentaron mejoría de sus síntomas en un 86% en los adultos y no utilizaron antibióticos en un 86%; los niños mejoraron en un 80%, y no usaron antibióticos en 91%. En el caso de las Amigdalitis hubo 108 pacientes con una mejoría sintomatológica en adultos del 92% y en los niños el 89%, no antibióticoterapia en el 86% de los adultos y 93% de los niños. El uso de Renikan en pacientes con infecciones del tracto respiratorio superior, demuestra ser seguro y efecivo tanto en adultos como en niños mayores de 6 años

Respiratory tract infections are the most common syndromes at community, there are two types: upper and lower respiratory tract infections. The vast majoritary are stared by a viral infection transforming the land vulnerable into a bacterial infection. The 2/3 o patients is treated from the onset of symptoms with antibiotics, although it is known that this treatment not positively influences the course of the disease. Renikan, herbal extrated fron the root of pelargonium sidoides has a threefold mechanism of action: antibiotic and mucolytic, antiviral, because it activates the natural antiviral mechanism of defense; antibacterial, due to its direct and indirect bacterostatic action and mucolytic, owing to its secretomotory and expectorant properties. To test the effectiveness and tolerability of renikan in the treatment of respiratory infections. Open desing, multicenter study. We selected children 6-12 years'age and adults of any sex orrance with upper respiratory tract infecctions. Theyreceived renikan for 7 consecutive days, changes in symptoms; necessity of antibiotic use and the integrative medicine outcome scale (IMOS) were evaluated. Of total of 305 patients, 156 adults and 149 children were divided into three groups: 97 rhinosinusitis patients, who showed symptoms improvement in 86% of adults and 91% of children, in 108 tonsillitis patients, an improvement of symptoms was found in 92% of adults and 89% of children, no antibiotic use were in 86% of adults and 93% of children, and, in a third group consistng of 100 patients with bronchitis, improvement was report in 98% od adults and in 73% of children, no antibiotics were used in 88% of adults and 96% of children. The use of concomitant therapy decreasedin 50% of cases and only 0.02% of patients had adverse events. The use of renikan use in patients with upper respiratory tract infections was shown to be safe and effective in both adults and children over 6 years of age

Oropharyngeal administration of colostrum to extremely low birth weight infants: theoretical perspectives.

Studies in adults have shown that the oropharyngeal route can be used to effectively and safely administer interferon-alpha, an immune cell-derived cytokine, to patients who are unable to tolerate its parenteral administration. The mechanism for this appears to be the stimulatory effects of the cytokine, on the oropharyngeal-associated lymphoid tissue system. Own mother's colostrum (OMC) is rich in cytokines and other immune agents that provide bacteriostatic, bacteriocidal, antiviral, anti-inflammatory and immunomodulatory protection against infection. OMC may be especially protective for the extremely low birth weight (ELBW) infant in the first days of life; however clinical instability typically precludes enteral feedings during this period. Oropharyngeal administration is a potential alternative method of providing OMC. Oropharyngeal administration of OMC may have immunomodulatory effects on the recipient infant, and would be especially beneficial to the ELBW infant who would otherwise remain nil per os during the first days of life.

A new coumarin from the fruits of Coutarea hexandra.

A new 5-O-beta-D-glucopyranosyl-4-(4-hydroxyphenyl)-7-methoxy-2H-chromen-2-one (1), together with four known compounds, one coumarin, 5-O-beta-D-galactopyranosyl-4-(4-hydroxyphenyl)-7-methoxy-2H-chromen-2-one (2) and three cucurbitacins, 23,24-dihydrocucurbitacin F (3), 23,24-dihydro-25-acetylcucurbitacin F (4) and 2-O-beta-D-glucopyranosyl-23,24-dihydrocucurbitacin F (5) have been isolated and characterised from the ethanol extract of Coutarea hexandra fruits. Their structures have been established by spectroscopic analysis (NMR and MS). Interpretation of the HMQC, HMBC, COSY-45 and NOESY experiments permitted us to establish stereochemistry of the natural products. All compounds were tested in cytotoxicity assays against the breast (MCF-7), lung (H-460), and central nervous system (SF-268) human cancer cell lines.

Effects of prenatal stress on male offspring sexual maturity

Prenatal stimulations have been shown to have long-term effects on at reproductive activity. We evaluated the influence of the prenatal stress on the hypothalamic-pituitary-gonad (HPG) axis in male offsprings from mothers with high number of offsprings per litter (HNL) and low number of offsprings per litter (LNL) after hypothesizing that the number of offsprings per litter may modify the effect of the prenatal stress on the HPG of adult offsprings. Pregnant Wistar rats were used for this study. Immobilization (IMO) stress was used, 30 min, 3 times per week, from the 5th to 21st day of pregnancy. The weight of adrenal and gonads, and the corticosterone (COR), testosterone (TES) and luteinizing hormone (LH) plasmatic levels were analyzed in the male offspring at 30, 45 and 70 days of age. The offspring males coming from LNL showed a decrease in testicle weight and TES levels, without changes in the plasmatic LH levels. However, the offspring of HNL showed a decrease of LH levels. It is possible to conclude that in LNL prenatal stress would produce alterations to gonadal level, while in HNL the effect of stress would be evident at pituitary level.(AU)

Effects of prenatal stress on male offspring sexual maturity

Prenatal stimulations have been shown to have long-term effects on at reproductive activity. We evaluated the influence of the prenatal stress on the hypothalamic-pituitary-gonad (HPG) axis in male offsprings from mothers with high number of offsprings per litter (HNL) and low number of offsprings per litter (LNL) after hypothesizing that the number of offsprings per litter may modify the effect of the prenatal stress on the HPG of adult offsprings. Pregnant Wistar rats were used for this study. Immobilization (IMO) stress was used, 30 min, 3 times per week, from the 5th to 21st day of pregnancy. The weight of adrenal and gonads, and the corticosterone (COR), testosterone (TES) and luteinizing hormone (LH) plasmatic levels were analyzed in the male offspring at 30, 45 and 70 days of age. The offspring males coming from LNL showed a decrease in testicle weight and TES levels, without changes in the plasmatic LH levels. However, the offspring of HNL showed a decrease of LH levels. It is possible to conclude that in LNL prenatal stress would produce alterations to gonadal level, while in HNL the effect of stress would be evident at pituitary level.

[Pyomyositis, sacroiliitis and spondylodiscitis caused by Staphylococcus hominis in a immunocompetent woman]. / Piomiositis, sacroiliitis y espondilodiscitis por Staphylococcus hominis en una mujer sin compromiso inmune.

In absence of risk factors, osteoarticular infections by coagulase-negative staphylococci are very infrequent. We described the case of a immunocompetent 73-year-old-woman that suffered pyomyositis, left sacroiliitis and spondylodiscitis involving the first and second thoracic vertebrae by Staphylococcus hominis. This multifocal infection occurred five-weeks after intramuscular administration of NSAI for treatment of low back pain associated with a herniated disc L4-L5. This is the first know case of a multifocal muscle skeletal infection by Staphylococcus hominis in a patient immunocompetent.

Internal iron biomineralization in Imperata cylindrica, a perennial grass: chemical composition, speciation and plant localization.

* The analysis of metal distribution in Imperata cylindrica, a perennial grass isolated from the banks of Tinto River (Iberian Pyritic Belt), an extreme acidic environment with high content in metals, has shown a remarkable accumulation of iron. This property has been used to study iron speciation and its distribution among different tissues and structures of the plant. * Mossbauer (MS) and X-ray diffraction (XRD) were used to determine the iron species, scanning electron microscopy (SEM) to locate iron biominerals among plant tissue structures, and energy-dispersive X-ray microanalysis (EDAX), X-ray fluorescence (TXRF) and inductively coupled plasma emission spectroscopy (ICP-MS) to confirm their elemental composition. * The MS spectral analysis indicated that iron accumulated in this plant mainly as jarosite and ferritin. The presence of jarosite was confirmed by XRD and the distribution of both minerals in structures of different tissues was ascertained by SEM-EDAX analysis. * The convergent results obtained by complementary techniques suggest a complex iron management system in I. cylindrica, probably as a consequence of the environmental conditions of its habitat.

Efeito da suplementação e do intervalo de pastejo sobre a qualidade da forragem e consumo voluntário de vacas Holandês × Zebu em lactação em pastagem de capim-elefante / Effect of supplementation and resting period on forage quality and voluntary intake of elephantgrass grazed by lactating Holstein × Zebu cows

O trabalho foi realizado entre fevereiro e setembro, com o objetivo de avaliar a qualidade e o consumo de forragem de capim-elefante manejado sob pastejo rotativo, com período de ocupação dos piquetes de três dias e variação do intervalo de pastejo de: 30 dias (com e sem o uso de concentrado ao longo do ano) e 36 e 45 dias (sem o uso de concentrado). Foram usadas 24 vacas Holandês × Zebu em lactação. De fevereiro a maio o pasto foi o único volumoso. De junho a setembro, as vacas receberam cana mais 1% de uréia. A composição química de extrusas de capim-elefante foi, de modo geral, semelhante (P>0,05) entre intervalos de pastejo (6,1 a 18,2% para PB; 63,5 a 81,4% para FDN; 32,7 a 47,6% para FDA e 43,7 a 72,9% para digestibilidade in vitro da MS). Houve decréscimo no teor de PB do capim-elefante e aumento nos de FDN e FDA para cada dia adicional de ocupação do piquete (P0,05) nos diferentes intervalos de pastejo, variando de 1,7 a 3,6%PV para MS e de 1,1 a 2,7%PV para FDN. Na estação seca, nas pastagens sem concentrado, o consumo de MS do capim-elefante variou de 0,39 a 2,2%PV e sua contribuição no consumo total da dieta decresceu de 52% no primeiro para 43% no terceiro dia de ocupação do piquete. O consumo suplementar de cana mais uréia foi efetivo em minimizar a redução no consumo total de MS.

Mean daily dry matter intake of elephantgrass (DMI) (Pennisetum purpureum, Schumack) in a rotational grazing with lactating Holstein × Zebu cows was estimated in a trial carried out from February to September. The pasture was divided into paddocks and grazed for three days by 24 cows randomly allotted to four treatments. The treatments consisted on grazing intervals of 30 days, and concentrate (2kg/cow/day) and grazing intervals of 30, 36 or 45 days without concentrate. From February to May the elephantgrass was the only roughage, but from June to September (dry season) the cows were fed on chopped sugarcane plus 1% urea. DMI was estimated monthly using the extrusa in vitro dry matter digestibility (IVDMD) and the fecal output (chromium oxide). The average chemical composition of extrusa was generally similar (P>.05) among grazing intervals (6.1 to 18.2% of CP; 63.5 to 81.4% of NDF; 32.7 to 47.6% of ADF and 43.7 to 72.9% of IVDMD). The CP content of extrusas decreased and the NDF and ADF contents increased (P.05) among grazing intervals. During the dry season cows fed on treatments without concentrate the DMI varied from .39 to 2.2%BW and its contribution to total DM intake decresead from 52% in the first to 43% in the third day of paddock occupation. Sugarcane intake effectively minimized the effects of the low pasture intake in the dry season.

Consumo e digestibilidade de novilhos Nelore sob pastagem suplementados com misturas múltiplas / Intake and digestibility of Nelore steers grazing pasture and supplemented with multiple mixture

Estudou-se o efeito da suplementação com misturas múltiplas sobre o consumo, digestibilidade e desempenho de novilhos Nelore, em pastagens de Brachiaria brizantha Cv. Marandu, submetidos a quatro tratamentos. No tratamento um (T1), cada animal recebeu 800g/dia de suplemento contendo uréia como fonte de nitrogênio não protéico (NNP); no tratamento dois (T2), recebeu 800g/dia de mistura na qual a uréia foi substituída por amiréia como fonte de NNP; no tratamento três (T3), recebeu 1500g/dia de uma mistura com amiréia; e no tratamento quatro (T4= controle), recebeu sal mineral. Seis animais por tratamento foram utilizados para se medir o consumo pela técnica de indicador externo (óxido crômico), e 10 animais foram usados na avaliação de ganho de peso. Foram utilizados dois animais canulados no esôfago para coleta de amostra de extrusa. Os animais suplementados obtiveram ganhos de peso superiores (P<0,05) aos do tratamento-controle, 435, 419, 467 e 271 g/dia para os tratamentos T1, T2, T3 e T4, respectivamente. Os coeficientes de digestibilidade da matéria seca (MS) foram de 56,7, 49,8, 48,9 e 45,5 por cento para os tratamentos T1, T2, T3 e T4, respectivamente, sendo correlacionados positivamente com a digestibilidade in vitro da MS (P<0,05). A suplementação com misturas múltiplas promoveu aumento no consumo (P<0,05).

Evaluación del poder antiirritante de cremas cosméticas de origen natural / Assessment of the anti-irrtant action of natural cosmetic creams

El creciente empleo de las plantas medicinales en la industria médico farmacéutica, en la cosmetología y la alimenticia, plantea la puesta en marcha de nuevos métodos de evaluación farmacológica y toxicologica que abaraten los costos por concepto de uso de animales de experimentación y ofrezcan resultados confiables en un menor tiempo. La irritabilidad dérmica por exposición a químicos ambientales, a radiaciones solares, etc, constituye una de las líneas de trabajo investigativo de los productores de cosméticos a nivel mundial. Nuestro equipo de investigación evaluó el potencial antiirritante de tres cremas cosméticas de sábila, manzanilla y propóleo, elaboradas en el laboratorio provincial de cosméticos de Villa Clara, a través de una técnica in Vitro que utiliza nuevos embrionados, conocida como HET-CAM. El screening del potencial antiirritante de los cosméticos de las plantas medicinales se desarrollo por un método modificado de HET-CAM donde se emplea el ácido láctico del 15 por ciento conocido irritante dérmico. Los resultados obtenidos demuestran que existe protección de estos productos cosméticos de origen natural a la actividad irritante del ácido láctico, obteniéndose los mejores resultados con la crema de sábila(AU)

Drogodependencias-SIDA: Intervención socio-sanitaria en el ámbito domiciliario (1990-1998) / Home care intervention program for ADS and drugdependency

Se presenta la experiencia de nueve años de funcionamiento de un programa publico, integral y multidisciplinar de atención domiciliaria para enfermos drogodependientes con Sida. Desde su reestructuración en 1993, se han atendido 329 dependientes de opiáceos (86 por ciento UDVP) con características socio-demográficas propias de población marginal. Su media de edad era 33,8 años y los varones (70,2 por ciento), tenían de forma significativa, 2 años más que las mujeres. La Tuberculosis fue la enfermedad definitoria de SIDA del 37.8 por ciento de casos. El 67.4 por ciento se clasificaron, según CDC, en el grupo C3. y el 62,2 por ciento tenía un Karnofsky £ 70.La permanencia global en programa fue de 11.4 meses, observándose diferencias significativa entre sexos a favor de las mujeres (+3 meses). Hubo 216 bajas, 114 por exitus y sólo 39 pérdidas de contacto. Conclusiones: El control de la toxicomanía, principalmente PMM, permite y condiciona positivamente el resto de intervenciones del programa. Se relaciona la disminución de la mortalidad en 1996-1998, con las nuevas terapias antirretrovirales (AU)

Autosomal dominant nocturnal frontal lobe epilepsy in a Spanish family with a Ser252Phe mutation in the CHRNA4 gene.

BACKGROUND: A large family with autosomal dominant nocturnal frontal lobe epilepsy from the south of Spain was studied. The clinical appearance of the disease in this family, which included 28 members, of whom 11 were affected and 2 were obligate carriers, was identical to that previously described in an Australian family and a Norwegian family, in which mutations in exon 5 of the CHRNA4 gene were found. METHODS: Following DNA extraction, the family was genotyped with 4 fluorescent markers flanking the locus to the CHRNA4 gene on chromosome 20q13.3, and lod score computations were performed. The exon 5 of the CHRNA4 gene was amplified between nucleotides 535 and 825 and polymerase chain reaction products were purified and sequenced directly. RESULTS: The same missense mutation as that found in the Australian family, C-->T, which causes the replacement of a serine with phenylalanine in amino acid 252 in exon 5, was detected. This mutation segregated with the disorder in all 11 affected members, in the 2 obligate carriers, and in 1 asymptomatic sibling, and was not found in 1 spouse and 1 daughter. Neither of the 2 polymorphisms found in a series of families with epilepsy were found in our sample [corrected]. CONCLUSIONS: These data confirm the clinical homogeneity in the phenotypic expression of autosomal dominant nocturnal frontal lobe epilepsy caused by mutation in the CHRNA4 gene, and the pathogenic role of the Ser252Phe mutation in this disorder.