Agronomic performance and remote sensing assessment of organic and mineral fertilization in rice fields.

Introduction: Rice heavily relies on nitrogen fertilizers, posing environmental, resource, and geopolitical challenges. This study explores sustainable alternatives like animal manure and remote sensing for resource-efficient rice cultivation. It aims to assess the long-term impact of organic fertilization and remote sensing monitoring on agronomic traits, yield, and nutrition. Methods: A six-year experiment in rice fields evaluated fertilization strategies, including pig slurry (PS) and chicken manure (CM) with mineral fertilizers (MIN), MIN-only, and zero-fertilization. Traits, yield, spectral responses, and nutrient content were measured. Sentinel-2 remote sensing tracked crop development. Results: Cost-effective organic fertilizers (PS and CM) caused a 13% and 15% yield reduction but still doubled zero-fertilization yield. PS reduced nitrogen leaching. Heavy metals in rice grains were present at safe amounts. Organic-fertilized crops showed nitrogen deficiency at the late vegetative stages, affecting yield. Sentinel-2 detected nutrient deficiencies through NDVI. Discussion: Organic fertilizers, especially PS, reduce nitrogen loss, benefiting the environment. However, they come with yield trade-offs and nutrient management challenges that can be managed and balanced with reduced additional mineral applications. Sentinel-2 remote sensing helps manage nutrient deficiencies. In summary, this research favors cost-effective organic fertilizers with improved nutrient management for sustainable rice production.

Sexually Transmitted Infections in 2000-2018 in a Specialised Centre: Comparison between Pre-Crisis, Crisis, and Post-Crisis Period.

(1) Background: Sexually Transmitted Infections (STIs) are a major public health problem due to their consequences in sexual and reproductive health. There is a close link between the crisis and the increase in communicable diseases. The objective of this study was to analyse the evolution of Sexually Transmitted Infections during the period 2000-2018 in the population attending the Centre for Sexually Transmitted Diseases and Sexual Orientation in Granada (Spain), specifically comparing the pre-crisis, crisis, and post-crisis periods. (2) Methods: A retrospective, observational, and analytical study was conducted by reviewing medical records. The sample analysed comprised 1666 cases. (3) Results: During the pre-crisis period (2000-2007), the percentage of diagnoses was 41.6% (n = 126) compared to 58.4% (n = 177) of negative results; during the crisis, the percentages were 63.5% (n = 183) and 36.5% (n = 105), respectively; and during the post-crisis period, the percentages were 42.9% (n = 157) and 57.1% (n = 209), respectively. The variables that were significantly associated with STI diagnosis were the time periods analysed, sexual orientation, occupation, and age at first intercourse. The evolution of the number of positive diagnoses during the entire study period showed a trend of progressive increase in Sexually Transmitted Infections from 2000 to 2018. (4) Conclusions: The period of economic crisis presented a higher risk of infection, although this is a finding with certain limitations due to the lack of homogeneity between the periods analysed.

Effectiveness and optimum level of protected methionine in fattening pig diets / Efectividad y nivel óptimo de metionina protegida en dietas para cerdos en engorde / Eficácia e nível ideal de metionina protegida em dietas para suínos de engorda

Abstract Background: Methionine (Met) requirements have not been clearly established for fattening pigs due to their metabolic interrelationships and its bioavailability for protein synthesis. Objective: To determine the optimum level of regular crystalline or protected Met in pig diets from nursery to finishing. Methods: A total of 48 crossbred pigs (11.74±1.72 kg of initial body weight) were used. The treatments consisted of adding four levels (0.00, 0.05, 0.10, 0.15% in addition to dietary content) and two types of Met (regular and protected) to pig diets. Results: Nursery, Finishing I, and II pigs fed protected Met increased daily feed intake (DFI; p≤0.10). Protected Met raised daily weight gain (DWG) in nursery pigs and increased backfat thickness (BT) in nursery and grower pigs (p≤0.10). In Finishing I pigs, protected Met increased DWG and improved carcass characteristics (p≤0.10). In nursery and grower pigs, an extra 0.15% Met decreased feed:gain ratio (FGR; p≤0.10). In grower and Finishing II pigs fed extra 0.05% Met improved DWG and extra 0.10% Met reduced plasma urea concentration (p≤0.10). Conclusions: Feeding protected Met in pig diets increases DWG, DFI and BT. Increasing 0.05-0.15% Met level improves FGR, DWG, potentially reducing nitrogen excretion to the environment.

Resumen Antecedentes: los requerimientos de metionina (Met) para cerdos en crecimiento no han sido claramente establecidos, lo que se debe a sus relaciones metabólicas y su biodisponibilidad para la síntesis proteica. Objetivo: determinar el nivel óptimo de Met regular o protegida en dietas para cerdos en crecimiento. Métodos: Se utilizaron un total de 48 cerdos híbridos (11,74±1,72 kg peso vivo inicial). Los tratamientos consistieron en niveles incrementales (0,00, 0,05, 0,10, 0,15% adicionales al contenido de la dieta) y dos tipos de Met (regular y protegida) en la dieta. Resultados: los cerdos en iniciación, Finalización I, y II, alimentados con Met protegida tuvieron un mayor consumo diario de alimento (DFI; p≤0,10). La Met protegida aumentó la ganancia diaria de peso (DWG) durante la etapa de iniciación, e incrementó el grosor de la grasa dorsal (BT) en iniciación y levante (p≤0,10). Durante Finalización I, la Met protegida aumentó la DWG y mejoró las características de la canal (p≤0,10). Durante iniciación y levante, 0,15% extra de Met disminuyó la conversión alimenticia (FGR; p≤0,10). Los cerdos en levante y Finalización II alimentados con 0,05% extra de Met mejoraron la DWG y con 0.10% extra de Met redujeron la concentración de urea en plasma (p≤0,10). Conclusiones: el uso de Met protegida incrementa DWG, DFI y BT. El aumento del nivel de Met de 0,05-0,15% mejora FGR y DWG, y podria disminuir la excreción de nitrógeno al ambiente.

Resumo Antecedentes: os requisitos de metionina (Met) para suínos de engorda não foram claramente estabelecidos devido às suas relações metabólicas e sua biodisponibilidade para a síntese de proteínas. Objetivo: determinar o nível ideal de Met regular ou protegida em dietas para suínos de engorda. Métodos: foram utilizados 48 suínos híbridos (11,74±1,72 kg de peso vivo inicial). Os tratamentos consistiram em quatro níveis (0,00, 0,05, 0,10, 0,15% mais) e dois tipos (regular e protegida) de Met em dietas para suínos de engorda. Resultados: suínos no início, finalização I e II alimentados com Met protegida aumentaram o consumo diário de ração (DFI; p≤0,10). Met protegido aumentou o ganho de peso diário (DWG) em suínos na iniciação e, aumentou espessura da gordura dorsal (BT) em suínos em iniciação e crescimento (p≤0,10). Nos suínos finalização I, Met protegido aumentou DWG e melhorou as características do canal (p≤0,10). Para suínos de iniciação e crescimento, 0,15% extra de Met diminuiu conversão alimentar (FGR; p≤0,10). No crescimento e finalização II, a adição de 0,05% de Met melhoraram o DWG e com 0,10% reduziram a concentração de uréia (p≤0,10). Conclusões: o uso de Met protegida melhora DWG, DFI e BT. O nível de Met aumentado de 0,05-0,15% melhora FGR e DWG; além disso, a excreção de nitrogênio ambiental pode ser diminuída.

Multi-objective optimization of methionine+cysteine levels in diets for growing pigs / Nivel óptimo multiobjetivo de metionina+cisteína en dietas para cerdos en crecimiento / Otimização multiobjetivo do nível de metionina+cisteína em dietas para suínos em crescimento

Abstract Background: The addition of synthetic methionine to growing pig diets should consider the requirements of the methionine+cysteine complex, as most cysteine is obtained through dietary methionine. Objective: To determine an optimal level of methionine+cysteine (Met+Cys) in growing pig diets. Methods: Ninety-nine hybrid (Yorkshire×Landrace×Duroc) barrows were used in a completely randomized design (initial body weight: 25.90±3.99 kg). Nine levels of Met+Cys (0.500, 0.525, 0.550, 0.575, 0.600, 0.625, 0.650, 0.675, and 0.700%) were evaluated during 35 days. To determine a multi-objective optimal level of Met+Cys, growth performance and strongly related carcass traits were evaluated. Results: Average daily feed intake (ADFI) and feed:gain ratio (FGR) showed a linear response to the dietary Met+Cys level (p<0.05), with estimated optimal concentration at 0.700%. Average daily gain (ADG) did not show any effect on the Met+Cys level (p>0.05). Carcass characteristics were not affected by the Met+Cys concentration (p>0.05). The multi-objective optimal level for ADG, ADFI, and FGR was 0.667% Met+Cys. Conclusions: According to our results, 0.667% Met+Cys is the best concentration in diets for growing pigs.

Resumen Antecedentes: Las dietas para cerdos en crecimiento deben adicionarse con metionina sintética para suplir los requerimientos del complejo metionina+cisteína (Met+Cis), pues ellos producen gran parte de la cisteína que requieren a partir de la metionina dietaría. Objetivo: determinar el nivel óptimo multiobjetivo de Met+Cis en dietas para cerdos en crecimiento. Métodos: noventa y nueve machos castrados híbridos (Yorkshire×Landrace×Duroc) se utilizaron en un diseño completamente al azar (peso vivo inicial: 25,90±3,99 kg). Se evaluaron nueve niveles de Met+Cys (0,500, 0,525, 0,550, 0,575, 0,600, 0,625, 0,650, 0,675 y 0,700%) durante 35 d. Para determinar el nivel óptimo multiobjetivo de Met+Cis se consideraron las variables de rendimiento de crecimiento y características de la canal que mantienen una fuerte interrelación. Resultados: el promedio de consumo de alimento diario (ADFI) y la conversión alimenticia (FGR) mostraron una respuesta lineal al nivel de Met+Cis en la dieta (p<0,05), con una concentración óptima estimada en 0,700%. El nivel de Met+Cis no afecto a la ganancia diaria de peso (ADG; p>0,05). La concentración de Met+Cis tampoco afectó las características de la canal (p>0,05). El nivel óptimo multi- objetivo de Met+Cis para ADFI, FGR y ADG fue 0,667%. Conclusión: los resultados indican que 0,667% de Met+Cis es la mejor concentración en la dieta para cerdos en crecimiento.

Resumo Antecedentes: a adição de metionina em dietas para suínos em crescimento deve ser feita para atender às exigências do complexo metionina+cisteína (Met+Cis), porque grande parte da cisteína é obtida através da dieta com metionina. Objetivo: determinar o nível multiobjetivo ótimo de Met+Cis em dietas para suínos em crescimento. Métodos: noventa e nove suínos machos castrados híbridos (Yorkshire×Landrace×Duroc) foram utilizados em delineamento inteiramente casualizado, com peso inicial de 25,90±3,99 kg. Nove níveis de Met+Cis (0,500, 0,525, 0,550, 0,575, 0,600, 0,625, 0,650, 0,675 y 0,700%) foram avaliados em suínos em crescimento por 35 d. Para determinar o nível multiobjetivo ótimo de Met+Cis, foram consideradas as variáveis de comportamento de crescimento e características do canal que mantêm uma forte inter-relação. Resultados: a ingestão média diária de alimentos (ADFI) e a conversão alimentar (FGR) mostraram uma resposta linear ao nível de Met+Cis na dieta (p<0,05), estimando a concentração ótima em 0,700%. O ganho de peso diário (ADG) não mostrou efeito devido ao nível de Met+Cis na dieta (p>0,05). As características da carcaça não foram afetadas pela concentração de Met+Cis na dieta (p>0,05). Com ADFI, FGR e ADG, o nível ótimo de Met+Cis foi obtido, encontrando este nível em 0,667%. Conclusões: os resultados indicam que 0,667% de Met+Cis é a melhor concentração na dieta para suínos em crescimento.

Luteolytic efficiency of reduced doses of cloprostenol in the ewe. Effect of progesterone concentrations at the time of treatment.

Seventy six ewes were treated with 7.5, 12.5, 25 or 50µg of cloprostenol on day 6 or 9 post-estrus to compare the luteolytic efficiency of the PGF2α analogue at each stage and to evaluate if progesterone concentrations at the time of treatment affect such efficiency. Blood samples were obtained before cloprostenol administration and 12, 24, 48, and 72h thereafter. There was an effect of dose (p<0.05) but not of day post-estrus on the proportion of animals completing luteolysis. As the dose increased, the proportion of ewes completing luteolysis also increased. Also, as the dose increased from 7.5 to 25µg, more ewes showed a transient progesterone decline instead of an absence of response, indicating that in some ewes reduced doses initiated luteolysis but were not able to finish the process. Since the dose of 25µg resulted in close to 50% luteolytic efficacy, this group was used to study the effects of progesterone concentrations at the time of treatment on the response to cloprostenol. Pre-treatment progesterone concentrations were higher (p<0.01) in ewes experiencing luteolytic failure than in those that completed luteolysis. There was a negative correlation between initial progesterone concentrations and their reduction by 12h post-treatment. It is concluded that high progesterone concentrations are associated with a reduction in sensitivity to small doses of cloprostenol. Possible mechanisms and implications of this luteoprotective effect are discussed.

Adrenohepatic fusion: Adhesion or invasion in primary virilizant giant adrenal carcinoma? Implications for surgical resection. Two case report and review of the literature.

INTRODUCTION: Adrenohepatic fusion means union between the adrenal gland and the liver, intermingling its parenchymas. It is not possible to identify this condition by image tests. Its presence implies radical and multidisciplinar approach. PRESENTATION OF CASES: We report two female cases of 45 and 50 years old with clinical virilization and palpable mass on the abdominal right upper quadrant corresponding to adrenocortical carcinoma with hepatic fusion. The contrast-enhanced tomography showed an indistinguishable mass involving the liver and the right adrenal gland. In the first case, the patient had a two-time operation, the former removing only the adrenal carcinoma, and the second performing a radical surgery after an early relapse. In the second case, a radical right en bloc adrenohepatectomy was performed. Both cases were pathologically reported as liver-infiltrating adrenal carcinoma. Only in the second case the surgery was radical effective as first intention to treat, with 3 years of disease-free survival. DISCUSSION: ACC is a rare entity with poor prognosis. The major indicators of malignancy are tumour diameter over 6cm, local invasion or metastasis, secretion of corticosteroids, virilization and hypertension and hypokalaemia. The parenchymal fusion of the adrenal cortical layer can be misdiagnosed as hepatocellular carcinoma with adhesion with the Glisson capsule. AHF in such cases may be misinterpreted during surgery, what may impair its resectability, and therefore the survival. The surgical treatment must be performed en bloc, often using liver vascular control. Postoperative treatment must be offered immediately after surgery. CONCLUSION: We report two consecutive rare cases of adrenohepatic fusion in giant right adrenocortical carcinoma, not detectable by imaging, what has important implications for the surgical decision-making. As radical surgery is the best choice to offer a curative treatment, it has to be performed by a multidisciplinary well-assembled team, counting with endocrine and liver surgeons, and transplant surgeons in case of vena cava involvement, in order to maximize the disease-free survival.

Effect of CLA supplementation to low-protein diets on the growth performance, carcass characteristics, plasma urea nitrogen concentration, and fatty acid profile in the meat of pigs

To analyze the effect of conjugated linoleic acid (CLA) on the meat of pigs (0,1%) and three crude protein (CP) levels (nursery: 20.5, 16.0, 14.5%; growing: 16, 14.5, 11.5%; and finishing: 14.0, 12.5, 11% CP), studies were conducted with 36 hybrid (Yorkshire×Landrace×Duroc) barrows (17.3-83.5 kg), which were individually penned and allotted in a completely randomized design in a factorial (2×3) arrangement for 84 d. The analysis by phases indicated that CP level affected some variables. Average daily gain, average daily feed intake, fat free lean gain, backfat thickness, longissimus muscle area and final body weight were reduced (P≤0.05) feeding the lowest CP diet in nursery and growing pigs. Plasma urea nitrogen concentration was also lower (P≤0.05) in the growing and finishing phases when fed the lowest CP level. The global analysis showed that all the analyzed variables (except feed gain ratio, lean meat percentage and plasma urea nitrogen concentration) were reduced (P≤0.05) in the pigs fed low-protein diets; plasma urea nitrogen concentration tended to be lower (P=0.07) when CP was reduced. The fatty acid profile of the meat (semimembranosus and longissimus muscles) indicated that CLA addition increased CLA isomers and total saturated fatty acids, and reduced the total monounsaturated fatty acids (P≤0.05). α-Linolenic acid was lowered in longissimus muscle of pigs fed LPD (P=0.08). These results indicated that reducing the crude protein concentration in the diet of fattening pigs from 20.5 to 16.0% in nursery phase; from 16.0 to 14.5% in growing stage; and from 14.0 to 12.5% in finishing pigs, did not negatively affect the growth performance, nor carcass characteristics. The results also showed that the addition of CLA did not improve pig response and the concentration of unsaturated fatty acids and total lipids altered the feeding LPD.

Adición de glucomananos a dietas con baja proteína a base de sorgo-pasta de soya para cerdos en crecimiento y finalización / Addition of glucomannans to low-protein diets based on sorghum-soybean meal for growing and finishing pigs

Los cerdos en engorde alimentados con dietas sorgo-pasta de soya con baja proteína (DBP) presentan resultados productivos inconsistentes; en ocasiones, las variables productivas se mantienen, y en otras se deterioran. Además, siendo el sorgo el ingrediente en mayor cantidad, es probable que la dieta contenga mayor concentración de micotoxinas que en dietas estándar o en dietas formuladas con maíz. Por ello, se realizaron dos experimentos con cerdos en crecimiento y finalización, adicionando un secuestrante de micotoxinas (SECM) a dietas estándar y DBP para determinar su efecto en la respuesta productiva, características de la canal y urea en plasma. En el experimento de crecimiento se utilizaron 40 cerdos (machos castrados; 22,18 ± 0,82 kg) en un diseño de bloques completos al azar con arreglo factorial (2×4): dos niveles de proteína cruda (PC: 16; y 11,5%) y cuatro del SECM (0; 0,5; 1,0; 1,5 kg t-1), con cinco repeticiones por tratamiento. La reducción de PC disminuyó (P£0,05) la ganancia diaria de peso (GDP) y de carne magra (GCM), e incrementó (P£0,05) la conversión alimenticia (CA). En el experimento de finalización también se utilizaron 40 cerdos (machos castrados; 49,48 ± 1,10 kg). El diseño experimental fue similar al del experimento de crecimiento (14 y 9,5% PC; 0; 0,5; 1,0 y 1,5 kg t-1 SECM) y cinco repeticiones por tratamiento. La reducción de PC disminuyó (P£0,05) GDP, consumo de alimento (CAL) y GCM. En ambos experimentos, el SECM no mejoró las variables de respuesta en cerdos alimentados con DBP. Se concluye que la adición de SECM en DBP no mejora las variables productivas, pero mantiene las características de la canal, aunque reduce la GCM.

The growth performance of fattening pigs fed sorghum-soybean meal, low-protein diets (LPD) has been inconsistent; some times the productive variables do not change, but other times they are deteriorated. In addition, because the sorghum grain represents the main ingredient, it is likely that the diet has higher amounts of mycotoxins than standard diets or diets formulated with corn grain. So, two experiments were conducted with growing-finishing pigs to determine the effect of a mycotoxin sequestrant (MSEQ) added to standard or LPD on growth performance, carcass characteristics, and plasma urea nitrogen concentration. In the growing experiment, 40 growing (22.18 ± 0.82 kg) barrows were used in a randomized complete block design in a factorial (2×4) arrangement: two levels of crude protein (CP: 16 and 11.5%) and four levels of micotixins sequestrant (glucomannans; 0, 0.5, 1.0, 1.5 kg t-1), with five replicates per treatment. Lowering CP reduced (P£0.05) average daily gain (ADG) and fat free lean gain (FFLG), and increased (P£0,05) feed:gain ratio. In the finishing experiment, 40 finishing (49.48 ± 1.10 kg) barrows were used in a randomized complete block design in a factorial (2×4) arrangement: two levels of CP (14 and 9.5%) and four levels of micotoxins sequestrant (glucomannans; 0, 0.5, 1.0, 1.5 kg t-1), with five replicates per treatment. Diminishing CP reduced (P£0.05) ADG, average daily feed intake, and FFLG. The addition of glucomannans to low-protein diets did not affect growth performance in both experiments. It was concluded that adding glucomannans as mycotoxins sequestrant does not improve productive variables in pigs fed low-protein diets, but it produces similar carcass characteristics as in pigs fed standard diet, except the lower FFLG.

Respuesta productiva y concentración de urea en plasma de cerdos en crecimiento alimentados con dietas sorgo-pasta de soya con baja proteína / Growth performance and plasma urea concentration of growing pigs fed sorghum-soybean meal, low-protein diets

The dietary crude protein (CP) can be reduced by four percentage units when corn-soybean meal (SBM) and crystalline amino acids (AA) are used to formulate diets for growing pigs. With sorghum the results have not been conclusive. Therefore, two experiments were conducted to determine the lowest CP value in sorghum-SBM, AA supplemented diets, using plasma urea nitrogen (PUN), growth performance, and carcass characteristics as the response criteria. In Experiment 1, the percentage of CP in the treatments was as follows: T1) 16.0, control diet; T2) 14.5; T3) 13.0; and T4) 11.5. Eight gilts were used in a cross-over design with four periods of 7 days each. Blood samples were collected the last day of the period to determine PUN. Several regression models were used to obtain the best prediction of PUN. The lowest PUN indicated that CP can be reduced from 16 to 11.5%. The best regression model was the nonlineal exponential, which can predict that the minimum plasma urea concentration is obtained with 10.48% of CP. In Experiment 2, the percentage of CP and metabolizable energy Mcal kg-1) were as follows: T1) 16, 3.265, control; T2) 16, 3.165; T3) 14.5, 3.265; T4) 14.5, 3.165; T5) 11.5, 3.265; and T6) 11.5, 3.165. Thirty barrows were assigned in a completely randomized design with a 3 × 2 factorial arrangement, six treatments and five replicates of one barrow (individually penned) for each treatment. The lowest CP reduced the average daily gain, feed gain ratio, and PUN. The lowest ME reduced the feed gain ratio. These results indicate that reducing CP diminishes PUN, although some productive variables are affected.

La proteína cruda (PC) puede reducirse cuatro unidades porcentuales cuando se utiliza maíz-pasta de soya y aminoácidos (AA) para cerdos en crecimiento. Con sorgo no se han obtenido resultados concluyentes. Por ello se realizaron dos experimentos para determinar el porcentaje mínimo de PC en dietas sorgo-pasta de soya adicionadas con AA, con base en la concentración de urea en plasma de cerdos en crecimiento, y su respuesta productiva. En el Experimento 1, el porcentaje de PC en los tratamientos fue: T1) testigo, 16.0; T2) 14.5; T3) 13.0; y T4) 11.5. Se utilizaron ocho cerdas en un diseño cruzado (cross-over), con cuatro periodos de siete días. El último día de cada periodo se obtuvo sangre para determinar la concentración de urea. Se utilizaron varios modelos de regresión para obtener el que mejor predijera la concentración de urea. El menor nivel de urea indicó que la proteína puede reducirse de 16% hasta 11.5%. El mejor modelo de regresión fue el no lineal exponencial, con el que se puede predecir que la mínima concentración de urea se obtiene con 10.48% de PC. En el Experimento 2, los porcentajes de PC y las Mcal EM kg-1 fueron: T1) testigo, 16, 3.265; T2) 16, 3.165; T3) 14.5, 3.265; T4) 14.5, 3.165; T5) 11.5, 3.265; y T6) 11.5, 3.165, que se proporcionaron a 30 cerdos machos castrados (cinco repeticiones por tratamiento), alojados individualmente, en un diseño completamente al azar con arreglo factorial 3 × 2, con seis tratamientos y cinco repeticiones por tratamiento. La menor PC redujo la GDP, la conversión alimenticia y la urea en plasma. La menor EM redujo la conversión alimenticia. Lo anterior indica que disminuir la proteína reduce la urea en plasma, aunque se afectan algunas variables productivas.

Tratamiento del colon irritable con lidamidina y psicoterapia de apoyo / irritable bowel treatment with lidamidine and support psicotherapy

A fin de evaluar la utilidad del tratamiento con lidamidina en pacientes de colon irritable, se realizó un estudio controlado doble a ciegas. Se incluyeron 40 pacientes con criterios de Manning, coproparasitoscópico, rectosigmoidoscopia y colon por enema normales. Aleatoriamente se integraron cuatro grupos de tratamiento: lidamidina con y sin psicoterapia de grupo y placebo con y sin psicoterapia de grupo, durante seis semanas. Después de un receso, se cruzó el tratamiento. Fueron evaluados 38 pacientes con un total de 76 observaciones. Mostraron respuesta favorable 94.7 por ciento y 68.4 por ciento de los que recibieron sólo lidamidina y placebo, respectivamante, y en quienes se adicionó psicoterapia, 84.3 por ciento y 63.2 por ciento. La diferencias con y sin psicoterpia no fue significativa. En forma global, hubo mejor respuesta con lidamidina que con placebo (89.5 por ciento vs 65.8 por ciento, p = 0.02). Las reacciones adversas fueron mínimas. La lidamidina puede ser un medicamanto de utilidad en el tratamiento del colon irritable