Dual-energy CT: Technical considerations and clinical applications.

Although dual-energy CT was initially described by Hounsfield in 1973, it remains underused in clinical practice. It is therefore important to emphasize the clinical benefits and limitations of this technique. Iodine mapping makes it possible to quantify the uptake of iodine, which is very important in characterizing tumors, lung perfusion, pulmonary nodules, and the tumor response to new treatments. Dual-energy CT also makes it possible to obtain virtual single-energy images and virtual images without iodinated contrast or without calcium, as well as to separate materials such as uric acid or fat and to elaborate hepatic iron overload maps. In this article, we review some of the clinical benefits and technical limitations to improve understanding of dual-energy CT and expand its use in clinical practice.

Energía Dual en TC. Consideraciones técnicas y aplicaciones clínicas / Dual-energy CT: technical considerations and clinical applications

A pesar de que el concepto de doble energía en TC nace con Hounsfield en 1973, su uso clínico permanece infrautilizado, siendo importante incidir en los beneficios clínicos y limitaciones de esta técnica. La utilidad de imágenes de «mapa de yodo» permite valorar cuantitativamente la captación de yodo, de gran importancia en la caracterización de lesiones tumorales, en los mapas de perfusión pulmonar, en la naturaleza del nódulo pulmonar o en la respuesta tumoral a los nuevos tratamientos. Permite la obtención de imágenes monoenergéticas virtuales, imágenes virtuales sin contraste yodado o sin calcio, separación de materiales como ácido úrico o de la grasa o mapas de sobrecarga férrica hepática. En este artículo revisamos algunos de los beneficios clínicos y limitaciones técnicas para mejorar su comprensión y ayudar a expandir su uso clínico.(AU)

Although dual-energy CT was initially described by Hounsfield in 1973, it remains underused in clinical practice. It is therefore important to emphasize the clinical benefits and limitations of this technique. Iodine mapping makes it possible to quantify the uptake of iodine, which is very important in characterizing tumors, lung perfusion, pulmonary nodules, and the tumor response to new treatments. Dual-energy CT also makes it possible to obtain virtual single-energy images and virtual images without iodinated contrast or without calcium, as well as to separate materials such as uric acid or fat and to elaborate hepatic iron overload maps. In this article, we review some of the clinical benefits and technical limitations to improve understanding of dual-energy CT and expand its use in clinical practice.(AU)

Creating leadership collectives for sustainability transformations.

Enduring sustainability challenges requires a new model of collective leadership that embraces critical reflection, inclusivity and care. Leadership collectives can support a move in academia from metrics to merits, from a focus on career to care, and enact a shift from disciplinary to inter- and trans-disciplinary research. Academic organisations need to reorient their training programs, work ethics and reward systems to encourage collective excellence and to allow space for future leaders to develop and enact a radically re-imagined vision of how to lead as a collective with care for people and the planet. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s11625-021-00909-y.

Human Immunodeficiency Virus (HIV) 2 Superinfection in a Patient Receiving Antiretroviral Therapy With Longstanding HIV-1 Viral Load Suppression.

Dual human immunodeficiency virus (HIV) 1 and HIV-2 superinfections are rare but challenging. A HIV-1-infected patient receiving effective antiretroviral therapy was investigated for a severe CD4+ cell count decline. HIV-2 superinfection was diagnosed and genotypic test revealed mutations conferring resistance to most drug class, limiting options for treatment.

Recurrence patterns and factors associated with regular, irregular, and late return to service of female pigs and their lifetime performance on southern European farms.

A return-to-service occurrence increases nonproductive days of female pigs and decreases herd productivity. The objectives of the present study were 1) to characterize 3 return types based on reservice intervals in female pigs on southern European farms, 2) to determine return risks and recurrence patterns for these types of returns, and 3) to assess lifetime performance of females with the 3 types of returns. We analyzed 653,528 service records and lifetime records of 114,906 females on 125 farms between 2008 and 2013. Reservice intervals were categorized into 3 groups: regular returns (RR: 18 to 24 d), irregular returns (IR: 25 to 38 d), and late returns (LR: 39 d or later). Multilevel generalized linear models were applied to the data. There were 64,385 reservice records (9.9%), with mean risks of RR, IR, and LR per service (±SEM) of 3.6% ± 0.06%, 2.5% ± 0.05%, and 3.0% ± 0.06%, respectively. Of the 43,931 first-returned females, 32.7% had a second return in the same or later parity. Also, 18.8%, 10.2%, and 11.6% of females that had RR, IR, and LR first returns, respectively, had a second return of the same return type. Summer servicing was associated with greater RR, IR, and LR risks in gilts. Also, increased gilt age at first mating was associated with RR ( = 0.03) and LR risk ( < 0.01) but not with IR risk ( = 0.53). For sows, factors associated with greater RR, IR, or LR risks were summer servicing, lower parity, farrowing more stillborn piglets, and having a weaning-to-first-mating interval of 7 d or more ( < 0.01). In lifetime, 33.5% of serviced females had 1 or more returns. These returned females had 41.5 more lifetime nonproductive days than nonreturn females but also 1.9 more lifetime pigs born alive ( < 0.01). We recommend that producers closely monitor females in high-risk groups to reduce their return-to-service intervals.

High lifetime and reproductive performance of sows on southern European Union commercial farms can be predicted by high numbers of pigs born alive in parity one.

Our objectives were 1) to compare reproductive performance across parity and lifetime performance in sow groups categorized by the number of pigs born alive (PBA) in parity 1 and 2) to examine the factors associated with more PBA in parity 1. We analyzed 476,816 parity records and 109,373 lifetime records of sows entered into 125 herds from 2008 to 2010. Sows were categorized into 4 groups based on the 10th, 50th, and 90th percentiles of PBA in parity 1 as follows: 7 pigs or fewer, 8 to 11 pigs, 12 to 14 pigs, and 15 pigs or more. Generalized linear models were applied to the data. For reproductive performance across parity, sows that had 15 or more PBA in parity 1 had 0.5 to 1.8 more PBA in any subsequent parity than the other 3 PBA groups ( P< 0.05). In addition, they had 2.8 to 5.4% higher farrowing rates in parities 1 through 3 than sows that had 7 or fewer PBA (P < 0.05). However, there were no differences between the sow PBA groups for weaning-to-first-mating interval in any parity (P ≥ 0.37). For lifetime performance, sows that had 15 or more PBA in parity 1 had 4.4 to 26.1 more lifetime PBA than sows that had 14 or fewer PBA (P < 0.05). Also, for sows that had 14 or fewer PBA in parity 1, those that were first mated at 229 d old (25th percentile) or earlier had 2.9 to 3.3 more lifetime PBA than those first mated at 278 d old (75th percentile) or later (P < 0.05). Factors associated with fewer PBA in parity 1 were summer mating and lower age of gilts at first mating (AFM; P < 0.05) but not reservice occurrences (P = 0.34). Additionally, there was a 2-way interaction between mated month groups and AFM for PBA in parity 1 (P < 0.05); PBA in parity 1 sows mated from July to December increased nonlinearly by 0.3 to 0.4 pigs when AFM increased from 200 to 310 d old (P < 0.05). However, the same rise in AFM had no significant effect on the PBA of sows mated between January and June (P ≥ 0.17). In conclusion, high PBA in parity 1 can be used to predict that a sow will have high reproductive performance and lifetime performance. Also, the data indicate that the upper limit of AFM for mating between July and December should be 278 d old.

Effect of micellized natural (D-α-tocopherol) vs. synthetic (DL-α-tocopheryl acetate) vitamin E supplementation given to turkeys on oxidative status and breast meat quality characteristics.

This study evaluates the effect of vitamin E supplementation source (micellized natural vs. the synthetic form) and dosage (40, 80, or 120 mg/kg) on α-tocopherol concentration in plasma and muscle, antioxidant capacity, and breast meat quality in turkeys. Three hundred female turkeys were randomly selected at an average live weight 63.2 g±0.5 and distributed into 7 groups. One group (control) was fed a standard diet without vitamin E supplementation and the other 6 were given mixed diets supplemented with the natural (d-α-tocopherol) or synthetic (dl-α-tocopheryl acetate) form of vitamin E in 3 dosages (40, 80, or 120 mg/kg). Following 11 wk feeding, results showed that performance parameters were not modified either by source or dosage of vitamin E supplementation to the turkeys. Plasma and muscle α-tocopherol at d 9 of refrigerated storage were higher when turkeys were supplemented with the natural form at higher doses. Losses in the concentration of α-tocopherol in meat between the beginning and the end of the 9 d refrigerated storage were greater in the groups supplemented with the synthetic form of vitamin E compared to those receiving the natural supplementation. The relationship between plasma α-tocopherol and the Trolox equivalent antioxidant capacity followed a different trend depending on the vitamin E source. Intramuscular fat was not significantly affected by the vitamin E source supplementation; however the slope of the linear regression equation was lower for the natural form than for the synthetic form. Turkeys given the natural form had higher C18:1n-9 but lower C15:1, C17:1, C20:5n-3, and C22:6n-3 in breast muscle. Meat samples from turkeys supplemented with natural vitamin E had higher deoxymyoglobin at d 3, 6, and 9 and lower metmyoglobin at d 9 of refrigerated storage than those receiving the synthetic form. Dietary supplementation with medium doses (80 mg/kg) micellized d-α-tocopherol is an interesting feeding strategy for ensuring antioxidant status and improving meat quality.

Zinc oxide at low supplementation level improves productive performance and health status of piglets.

Use of ZnO at high doses (3000 ppm) for diarrhea prophylaxis in piglets is widely extended in postweaning Spanish diets, in compliance with the national veterinary regulation. However, European feed legislation limits total dietary Zn to a maximum of 150 mg/kg of complete feed. The objective of this study was to compare a new potentiated form of ZnO, HiZox (Animine), at nutritional level (150 ppm) with pharmacological dosage (3000 ppm) of regular ZnO in starter diets on the productive performance and health status of piglets in a medium-low health status farm. A total of 144 pigs at weaning (28 d of age) were distributed in 6 piglets/pen and 12 pens/treatment. In the prestarter phase (28 to 42 d of age), all pigs received the same commercial feed, including 3000 ppm ZnO. In the starter phase (42 to 63 d of age) (T1) included 3000 ppm of regular ZnO (2500 ppm Zn), and (T2) was supplemented with 110 ppm Zn from potentiated ZnO (HiZox). Average daily feed intake, ADG, G:F, and pig-MAP serum concentration, an acute phase protein commonly used as unspecific biomarker of disease or other acute phase reactions, were measured at 42 and 63 d of life. Pen of 6 piglets was the experimental unit and data were analyzed using the GLM procedure of SAS version 9.0. Piglets fed with T2-HiZox had improved ADG and G:F (P < 0.001) compared to piglets fed with T1-ZnO. In addition, at 63 d of age, the T2 group had a lower pig-MAP serum concentration than T1 group (1.71 vs. 0.95 µg/mL; P < 0.05) indicating higher health status in the T2 group. In conclusion, in low-medium sanitary conditions and in compliance with European regulation, HiZox significantly increased piglet growth compared to pharmacological dosage of regular ZnO in the starter phase. This can be explained by a better health of pigs expressed by a lower level of inflammatory protein pig-MAP.

Dietary CLA alters intramuscular fat and fatty acid composition of pig skeletal muscle and subcutaneous adipose tissue.

The present study was conducted to determinate the responsiveness of different levels of dietary conjugated linoleic acid (CLA) on intramuscular fat (IMF) and fatty acid composition of skeletal muscle and fat in pigs fed from 59.5 to 133.5kg. Forty female Large Whitex(Large WhitexLandrace) pigs were used. Four levels (0%, 0.5%, 1% and 2%) of a commercial enriched CLA oil supplementation (60% of CLA isomers, 30% cis-9, trans-11 and 30% trans-10, cis-12) were fed to pigs. Carcass, ham, foreleg and loin weights were recorded. Dietary CLA enrichment increased the loin weight (P<0.01) and the combined weights of hams+forelegs+loins (P<0.02). IMF content in Longissimus dorsi was also increased by dietary CLA treatment (P<0.001) and a linear response was observed. Dietary CLA increased saturated fatty acids (SFA) and decreased monounsaturated fatty acids (MUFA) in muscle and adipose tissue (P<0.001). Feeding 1% CLA to finishing swine increases IMF in heavy pigs slaughtered at an average weight of 133.5kg.

Meat juice: An alternative matrix for assessing animal health by measuring acute phase proteins. Correlations of pig-MAP and haptoglobin concentrations in pig meat juice and plasma.

Quantification of acute phase proteins (APPs) in blood can be used for monitoring animal health and welfare on farms, and could be also of interest for the detection of diseased animals during the meat inspection process. However serum or plasma is not always available for end-point analysis at slaughter. Meat juice might provide an adequate, alternative matrix that can be easily obtained for post-mortem analysis at abattoirs. The concentrations of pig Major Acute phase Protein (pig-MAP) and haptoglobin, two of the main APPs in pigs, were determined in approximately 300 paired samples of plasma and meat juice from the diaphragm (pars costalis), obtained after freezing and thawing the muscle. APPs concentrations in meat juice were closely correlated to those in plasma (r=0.695 for haptoglobin, r=0.858 for pig-MAP, p<0.001). These results open new possibilities for the assessment of animal health in pig production, with implications for food safety and meat quality.

Pig acute-phase protein levels after stress induced by changes in the pattern of food administration.

A total of 240 pigs, 74 days old, half boars and half females, were included in a trial designed to assess the effect of the stress caused by changes in the pattern of food administration on the concentration of acute phase proteins (APP) and productive performance parameters. Half of the animals (pigs fed ad libitum, AL group) had free access to feed, while the rest were fed following a disorderly pattern (DIS group), in which animals had alternating periods of free access to feed and periods of no feeding, when food was removed from the feeder. The periods of free access to feed (two daily periods of 2-h duration) were randomly assigned, and varied from day to day. Total feed supplied per day was identical in both groups, and exceeded the minimal amount required for animals of these ages. Pen feed intake, individual body weights and the main positive pig APP pig major acute phase protein (Pig-MAP), haptoglobin, serum amyloid A (SAA), C-reactive protein (CRP), and the negative APP apolipoprotein A-I (ApoA-I) and transtherytin were determined every 2 weeks during the period 76 to 116 days of age. Animals fed ad libitum had better average daily gain (ADG) than DIS animals in the whole experimental period (P < 0.01) but the differences in ADG were only produced in the two first experimental sub-periods (60 to 74 and 74 to 116 days of age), suggesting that the stress diminished when the animals get used to the DIS feeding. Interestingly differences in ADG between DIS and AL pigs were due to males, whereas no differences were observed between females. The same differences observed for ADG were found for APP. DIS males had higher Pig-MAP concentration than AL males at 74 and 116 days of age, lower ApoA-I concentration at 74 days of age and higher haptoglobin and CRP concentration at 116 days of age (P < 0.05). The results obtained in this trial show an inverse relationship between weight gain and APP levels, and suggest that APP may be biomarkers for the evaluation of distress and welfare in pigs.

Proteomics as a tool for the investigation of seafood and other marine products.

The state-of-the-art and future trends of the application of proteomics to seafood and other marine products are reviewed. Consumers' demands for seafood products have increased in the recent years and this situation has underlined the need to guarantee the safety, traceability, authenticity, and health benefits of such products. The increasing presence of commercially available aquaculture products has also prompted the seafood industry to face newer challenges. In this sense, a review of the present status and perspectives of the application of proteomics in the development of newer biotechnology products of marine origin is given.

Characterization and partial sequencing of species-specific sarcoplasmic polypeptides from commercial hake species by mass spectrometry following two-dimensional electrophoresis.

The Merluccidae family comprises marine species, some of them of high commercial value and others less appreciated, whose commercialization in Europe under the generic name of "hake" is highly remarkable. The potential of proteomics was employed in this study with the aim of achieving the differential characterization of five different hake species: Merluccius merluccius (European hake), M. australis (Southern hake), M. hubbsi (Argentinian hake), M. gayi (Chilean hake), and M. capensis (Cape hake), some of them very closely related. Species-specific polypeptides were observed for the five hake species studied in isoelectric focusing (IEF) and/or two-dimensional electrophoresis (2-DE) high-resolution gels. The peptide mass maps of two polypeptide groups, previously selected by 2-DE analysis as potentially species-specific, were obtained by "in-gel" tryptic digestion, followed by matrix assisted laser desorption/ ionization-time of flight-mass spectrometry (MALDI-TOF-MS). Analysis of group A polypeptides (with pI in the range of 5.0-5.5 and molecular mass of 17 kDa), allowed the differential classification of the hake species into two groups: the East Atlantic coast group and the West Atlantic coast group. Moreover, the peptide mass-maps from the heat-resistant parvalbumin fraction (pI below 4.5; molecular mass <12 kDa) allowed the detection of a peptide characteristic of M. australis not present in the other four hake species tested. A specific 17 kDa protein from M. merluccius was also partially sequenced by nanospray-ion trap-tandem MS, revealing a high homology with rat nucleoside diphosphate kinase A (NDKA). This work opens the way to the application of proteomics to the differential characterization of commercial hake species at the molecular level.

Fish muscle parvalbumins as marker proteins for native and urea isoelectric focusing.

An isoelectric point (pI) calibration kit containing fish muscle parvalbumins was prepared and tested for its suitability for isoelectric focusing (IEF) in the presence of 8 M urea. The pattern obtained by urea CleanGel IEF consisted of nine bands covering the pI range 4.96-5.64. This range is relevant for species identification of heated fish by urea IEF. The kit may also be used for native IEF in the low pH range, as demonstrated by running an extract made from the kit together with water-soluble fish muscle proteins on Servalyt Precotes 3-6.

Development of a sodium dodecyl sulfate-polyacrylamide gel electrophoresis reference method for the analysis and identification of fish species in raw and heat-processed samples: a collaborative study.

A collaborative study was carried out in seven European labs with the aim of achieving a sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) standard operation procedure to identify fish species in raw and cooked samples. Urea and SDS-containing solutions were evaluated as extractants. Several preelectrophoretic operations--such as treatment with RNase/DNase, ultrafiltration and desalting--and up to ten types of gels and three SDS-PAGE systems were considered. The SDS-containing solution allowed a higher protein extractability than urea. Unlike urea extraction, SDS extraction seemed not to be influenced so much by the state of the sample (raw, cooked at 60 degrees C, cooked at 85 degrees C). Desalting, ultrafiltration or treatment with RNase/DNase did not improve the discriminatory power of the protein patterns. Commercial homogeneous 15% ExcelGels, especially when they were silver stained, yielded good results and afforded higher reproducibility, thus allowing a better matching of results among the laboratories participating in this collaborative study. Under the optimized technical conditions described above, all the fish species tested, either raw and cooked, yielded reproducible and discriminant species-specific protein patterns.

Denaturation of fish proteins during frozen storage: role of formaldehyde.

Proteins of fish muscle undergo chemical and physical changes during frozen storage which may result in, under certain conditions (i.e. long periods of storage, poor freezing practices, temperature fluctuations, etc), loss of quality, reflected mainly by an unacceptable texture as well as an undesirable flavour, odour and colour. In frozen gadoid fish species, most of these changes are caused by the production of formaldehyde in the muscle. Formaldehyde is produced, along with dimethylamine, by the enzymatic reduction of trimethylamine oxide (TMAO). Many aspects of formaldehyde production by TMAO demethylase (TMAOase) have been studied throughout the last decade. In addition, different approaches have been used to investigate the effect of formaldehyde production on protein denaturation and the associated muscle textural changes. Some insight into the reaction between protein and formaldehyde has clarified the possible mechanism of formaldehyde-mediated denaturation. However, evidence of covalent bonding between proteins and formaldehyde, to form crosslinks, has not explained fully the changes observed in fish proteins during frozen storage. The study of cold-induced denaturation of proteins might give new clues for further investigation of the problem. The implications of formaldehyde in toxicological and nutritional issues is also reviewed, as general concern about the safety of food products is a growing field in food science. Finally, different approaches have been proposed to avoid the detrimental action of formaldehyde during frozen storage of gadoid fish; they are some of the practical applications of the knowledge acquired after years of study of different workers in the field.

[Presence of Triatoma infestans in relation to various cultural patterns in a rural population of the Province of San Juan, Argentina]. / Presencia de Triatoma infestans en relación con algunas características culturales de una población rural de la Provincia de San Juan, Argentina.

This paper reports results from a punctual epidemiological survey performed in San Juan, at Bermejo, a rural village located 100 km east from the provincial capital, in December 1987. The village had been rebuilt after almost complete destruction by an earthquake, in 1977. According to a census performed by local Primary Health Care Agents, there were 82 households, where 72 (88%) of them were inhabited, with a total human population of 198 people. Forty-eight from those inhabited dwellings (67%) were visited, and a general questionnaire was completed. Information gathered included, sex, age, working activity, number of people and domestic animals at the house, construction patterns of houses and outdoor premises, resting habits of animals, specially dogs, domestic use of insecticides and migration patterns of inhabitants. A timed collection of triatomines (man-hour method) was undertaken in 17 out of 48 of the visited households. Sampled triatomines were kept and classified by collection site, instar, and sex at the field. Species identification, microscopical examination of fecal contents to detect trypanosomes and blood-meals identification, were performed at the laboratory. Sixty-nine per cent (33/48) of the dwellings were "ranchos" with mud-brick ("adobe") and cane walls, roofs made of cane and mud dirt floors. The remainder were as follows: 11 (23%), partially improved houses and 4 (8%) had brick walls and were tiled or had zinc roofs. Data of migration patterns of local population were obtained in 31 (65%) out of 48 households. Seasonal movements within San Juan Province, mainly related to vintage were reported in 20/31 (65%) families.(ABSTRACT TRUNCATED AT 250 WORDS)