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1.
J Gynecol Obstet Hum Reprod ; 46(9): 693-695, 2017 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-28864269

RESUMEN

Postpartum hemorrhage is a major cause of maternal death worldwide. Many therapeutic strategies have been developed to reduce maternal morbidity and mortality like oxytocin, prostaglandin, and uterine balloons. A new member of the therapeutic arsenal has recently emerged, the chitosan (Celox®), used since several years by military doctors to stop bleeding of combat wounds. In 2012, a first study was reported with the successful use of chitosan-coated gauze to treat severe postpartum hemorrhage. We report here four cases of the use of chitosan to treat life-threatening obstetric bleeding. In the first case, a pelvic packing with chitosan gauze after hemostatic hysterectomy with persistent bleeding. In the second case, the use of chitosan powder in a case of severe bleeding from multiple vaginal tears. In the third case, the use of chitosan gauze in uterine packing for postpartum hemorrhage by atonia. In the fourth case, the use of chitosan powder for stop bleeding during a hemorrhagic cesarean section. Postpartum hemorrhage of uterine origin resistant to treatment with prostaglandins can be treated with chitosan-coated gauze. This treatment requires no training and its costs are one fifth those of a Bakri® intrauterine balloon. Using these two forms of chitosan, powder and gauze, we have a new therapeutic method at our disposal for dealing with the most serious cases of bleeding.


Asunto(s)
Quitosano/uso terapéutico , Hemostáticos/uso terapéutico , Obstetricia/métodos , Hemorragia Posparto/tratamiento farmacológico , Administración Tópica , Adolescente , Adulto , Quitosano/administración & dosificación , Femenino , Técnicas Hemostáticas , Hemostáticos/administración & dosificación , Humanos , Diafragma Pélvico , Hemorragia Posparto/patología , Embarazo , Índice de Severidad de la Enfermedad , Mallas Quirúrgicas , Adulto Joven
2.
J Anim Sci ; 88(2): 612-25, 2010 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-19855001

RESUMEN

The aim of this experiment was to investigate whether insulin resistance is related to the dietary concentration of Trp and the ADFI of primiparous sows having similar body conditions. Twenty-four primiparous sows were catheterized on d 97 of pregnancy. Blood samples were collected during 3 tests: after the ingestion of 1.5 kg of feed (meal test), after the intravenous infusion of 0.5 g of glucose/kg of BW (glucose tolerance test), and during an euglycemic hyperinsulinemic clamp with an infusion rate of 100 ng of insulin x kg of BW(-1) x min(-1). Both tests were performed at 4 stages at approximately d 103 and 110 of pregnancy and at d 3 and 10 of lactation. Sows were fed a diet containing 0.16 or 0.26% of total Trp (suboptimal vs. slight excessive Trp supply according to recommendations for lactating sows) from d 104 of pregnancy after the first clamp until weaning. The dietary treatment did not result in differences in ADFI, BW, and backfat changes, and growth of piglets during lactation. Plasma Trp concentration was greater for the sows allocated to the slight excessive Trp diet than for the sows allocated to the suboptimal Trp diet (P < 0.05). Plasma glucose, NEFA, and urea profiles during the meal tests were not affected by the dietary treatment. At d 3 of lactation, the insulin concentration at 105 (P = 0.03) and 120 min (P = 0.04) after meal intake was less for the sows allocated to the slight excessive Trp diet than for the sows allocated to the suboptimal Trp diet. On d 10 of lactation, the glucose half life (P = 0.03) and the time needed to reach 25% of the area under the insulin curve (P = 0.04) during the tolerance test were less for the sows allocated to the slight excessive Trp diet than for the sows allocated to the suboptimal Trp diet. The glucose infusion rate during euglycemic hyperinsulinemic clamps was similar in the 2 Trp groups of sows. Irrespective of the dietary treatment, the ADFI of the sows was negatively related to the glucose half life during the glucose tolerance test and positively related to the glucose infusion rate during the clamp (P < 0.05). This relationship observed with the tests performed during early lactation was already found with the tests performed during late pregnancy (P < 0.02). Present findings indicate that a dietary Trp supply of 0.26% does not increase feed intake in lactating primiparous sows. This result indicates that the interest in a Trp supplementation during the peripartum period can be questioned. Irrespective of the dietary treatment, the reasons why sows with similar rearing conditions develop different rates of insulin resistance during pregnancy remain to be elucidated.


Asunto(s)
Ingestión de Alimentos/fisiología , Resistencia a la Insulina/fisiología , Preñez/fisiología , Triptófano/farmacología , Crianza de Animales Domésticos , Animales , Glucemia/análisis , Suplementos Dietéticos , Femenino , Técnica de Clampeo de la Glucosa/veterinaria , Prueba de Tolerancia a la Glucosa/veterinaria , Lactancia/fisiología , Embarazo , Preñez/efectos de los fármacos , Porcinos/fisiología
3.
Animal ; 4(11): 1891-8, 2010 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-22445150

RESUMEN

Deterioration of the environment in which piglets are housed after weaning induces a moderate inflammatory response and modifies tryptophan (Trp) metabolism that can, in turn, decrease Trp availability for growth. We hypothesised that a Trp supply above the current recommendations may be required to preserve Trp availability and to maximise the growth of pigs suffering from moderate inflammation. The aim of this experiment was to compare growth performance and plasma concentrations of Trp and some of its metabolites in piglets, suffering or not from moderate inflammation, when they were fed diets containing graded levels of standardised ileal digestible (SID) Trp, obtained with the addition of crystalline l-Trp to the same basal diet (15%, 18%, 21% or 24%, relative to SID lysine). Differences in inflammatory status were obtained by housing the pigs under different sanitary conditions. Forty blocks of four littermate piglets each were selected and weaned at 4 weeks of age. The experimental design consisted of a split plot where the housing conditions (moderate inflammation v. control) were used as the main plot and dietary Trp content as the subplot. Body weight gain and feed intake were recorded 3, 5 and 7 weeks after weaning. Blood was sampled 13, 36 and 43 days after weaning to measure plasma concentrations of Trp, kynurenine and nicotinamide (i.e. two metabolites of Trp catabolism) and haptoglobin, a major acute phase protein in pigs. There was no interaction between dietary Trp and inflammatory status, irrespective of the response criterion. Compared with control pigs, pigs housed in poor housing conditions consumed less feed (P < 0.0001), had a lower growth rate (P < 0.001), higher plasma concentrations of haptoglobin (P < 0.05) and lower concentrations of plasma Trp irrespective of the Trp content in the diet. Increasing the Trp content in the diet improved feed intake (P < 0.05), growth rate and feed/gain (P < 0.05), but did not prevent the deterioration of performance induced by moderate inflammation because of poor housing conditions. The results of this study suggest that an inflammatory response caused by poor housing sanitary conditions altered Trp metabolism and growth performance, but this was not prevented by additional dietary crystalline l-Trp.

4.
J Anim Sci ; 87(5): 1686-94, 2009 May.
Artículo en Inglés | MEDLINE | ID: mdl-19151146

RESUMEN

Health degradation modifies Trp metabolism through induction of Trp catabolism. This could limit the amount of Trp available for growth. The aims of the present experiment were to investigate the effects of a low grade inflammation and dietary Trp on growth and Trp metabolism. Eighty weaned pigs were assigned to 4 experimental treatments according to a 2 x 2 factorial arrangement: 2 sanitary statuses x 2 dietary Trp contents. The Trp content was deficient (low-Trp: 2.4 and 1.9 g of Trp/kg of the phase I and phase II diets, respectively) or adequate (high-Trp: 2.9 and 2.4 g of Trp/kg of the phase I and phase II diets, respectively). A low grade inflammatory response was induced by housing pigs in unsanitary environment, whereas control pigs were housed in good sanitary conditions. Pigs were not fed ad libitum to avoid feed refusals. Growth performance was calculated 3, 5, and 7 wk after weaning. Blood was sampled 12, 33, and 47 d after weaning for the determination of plasma concentrations of Trp and related metabolites, kynurenine and pyridoxal-5-phosphate. The interaction between sanitary status and dietary Trp was not statistically significant in all measured criteria. Pigs kept in poor sanitary conditions grew slower (P < 0.001) during the entire experimental period and had greater plasma concentrations of haptoglobin (P < 0.001) than pigs housed in good sanitary conditions. Pigs housed in poor sanitary conditions had also decreased Trp plasma concentrations (P < 0.001), but plasma kynurenine concentrations were not affected. Our results indicated that a moderate inflammatory response was obtained by degrading the sanitary quality of environment. Additionally, poor sanitary conditions modified Trp metabolism, indicating that the amount of Trp available for growth and other metabolic functions might be reduced.


Asunto(s)
Dieta/veterinaria , Saneamiento , Porcinos/crecimiento & desarrollo , Porcinos/metabolismo , Triptófano/metabolismo , Destete , Aminoácidos/sangre , Animales , Glutatión/sangre , Haptoglobinas/análisis , Distribución Aleatoria , Triptófano/administración & dosificación
5.
J Anim Sci ; 87(4): 1282-91, 2009 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-19098241

RESUMEN

Voluntary feed intake in sows after parturition may be related to the capacity of the sow to cope with the numerous changes occurring around farrowing. This experiment was undertaken to investigate whether the feed intake during lactation was related to the reactivity of the sow during gestation and plasma Trp and cortisol concentrations. On d 58 of pregnancy, 37 sows were individually placed in a novel environment, and their behavior was observed during a 5-min open-field test. This test allowed the selection of 12 reactive (R) and 8 nonreactive (NR) sows for the study. Sows were fed 3 kg of a standard gestation diet/d before farrowing and a standard lactation diet ad libitum thereafter. The behavioral reactivity of sows when a human touched their neck in the farrowing crate was evaluated on d 72 of gestation, and their behavior during farrowing was analyzed. Sows were catheterized on d 70 of gestation, and blood samples were taken after an overnight fast on d 37 before farrowing, daily during the week before and the week after parturition, and on d 14 and 21 of lactation for plasma Trp and cortisol determination. The NR sows were less reactive to human contact (P=0.02), had a shorter farrowing duration (P=0.02), and tended to have a shorter birth interval between piglets (P=0.09) than the R sows. Feed intake was greater for the NR sows than for the R sows during wk 1 of lactation (P=0.02), as well as during the whole lactation (P=0.03). Plasma cortisol concentration was maximal on the day after farrowing (P=0.01) and returned to basal concentration within 4 d postpartum. No relationship was observed between sow behavior and plasma concentration of cortisol. For both groups of sows, plasma concentrations of Trp between d 2 and 4 postpartum were less than during gestation (P<0.05). The NR sows had decreased plasma Trp concentrations compared with the R sows during wk 1 of lactation (P=0.02). A low reactivity during gestation was associated with behavior of the sow that was favorable to piglet survival during farrowing, increased feed intake, and decreased plasma Trp concentration during wk 1 of lactation. Further research is needed to elucidate whether Trp or Trp metabolites are related to reactivity and ADFI of the reproducing sow.


Asunto(s)
Conducta Animal/fisiología , Ingestión de Alimentos/fisiología , Lactancia/fisiología , Porcinos/fisiología , Triptófano/sangre , Animales , Femenino , Manejo Psicológico , Humanos , Hidrocortisona/sangre , Paridad , Embarazo , Porcinos/crecimiento & desarrollo , Factores de Tiempo
6.
J Anim Sci ; 86(12): 3473-9, 2008 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-18676721

RESUMEN

In pigs, inflammation modifies Trp metabolism and consequently could impact on Trp requirement for growth. In this study, the effects of lung inflammation, induced by the intravenous injection of complete Freund's adjuvant, and dietary Trp content on Trp metabolism and availability were investigated. Two dietary Trp contents, one corresponding to a low-Trp diet (1.5 g of Trp/kg of diet, Basal diet) and the second to an adequate-Trp diet (2 g of Trp/kg of diet, TRP diet), were used. Ten blocks of 4 littermate piglets were selected at 40 d of age. Within each block, piglets were randomly assigned to 1 of the 4 experimental treatments: (1) healthy control and Basal diet, (2) inflammation and Basal diet, (3) inflammation and Basal diet + antioxidant, and (4) inflammation and TRP diet. Inflammation induced an increase in indoleam-ine 2,3 dioxygenase (IDO) activity, an enzyme involved in Trp catabolism, in lung, lymph nodes, heart, and spleen (P < 0.01). Contrary to piglets fed the TRP diet, pigs suffering from inflammation did not maintain their plasma Trp concentrations when they were fed the Basal diet. Furthermore, pigs fed the TRP diet had decreased plasma haptoglobin concentrations, IDO activity, and lung weight than those fed the Basal diet, indicating that the inflammatory response was moderated with the greater Trp supply. Antioxidant addition in the Basal diet decreased the effects of inflammation on plasma Trp concentrations and IDO activity. These results indicated that inflammation increases Trp catabolism and thus may decrease Trp availability for growth.


Asunto(s)
Suplementos Dietéticos , Homeostasis/efectos de los fármacos , Neumonía/dietoterapia , Enfermedades de los Porcinos/dietoterapia , Porcinos/fisiología , Triptófano/metabolismo , Triptófano/farmacología , Animales , Antioxidantes/farmacología , Dieta/veterinaria , Femenino , Haptoglobinas/análisis , Homeostasis/fisiología , Quinurenina/sangre , Masculino , Neumonía/inducido químicamente , Distribución Aleatoria , Porcinos/crecimiento & desarrollo , Porcinos/metabolismo , Factores de Tiempo , Triptófano/sangre , Aumento de Peso/efectos de los fármacos
7.
J Anim Sci ; 85(11): 2972-81, 2007 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-17565068

RESUMEN

A study was conducted to investigate the biochemistry of digestion of field pea (Pisum sativum L.) albumins and globulins in the stomach and along the small intestine of weaned piglets with a particular emphasis on the respective roles of these compartments in pea protein digestion. Twenty-four piglets were weaned at 28 d of age. They were allocated to 2 diets (control and pea) and 3 slaughter times (3, 6, or 9 h after the last meal) in a 2 x3 factorial arrangement of treatments in a randomized complete block design. Pea flour provided 30% of total dietary protein in the pea diet. The diets were fed for 2 wk after weaning. After slaughter, gastrointestinal tract (GIT) compartments were weighed, digesta were collected, and pH was measured. Digesta from the stomach and cranial, middle, and caudal small intestine (SI) were extracted for soluble proteins and analyzed for specific pea proteins using SDS-PAGE, immunoblotting, and mass spectrometry. Tissue weight of the whole GIT (P = 0.015), cecum (P <0.001), and colon (P <0.001) was greater in the pea diet. Digesta pH in the stomach and caudal SI was lower (P = 0.02) in the pea diet than the control diet. In the stomach, vicilin, lectin, and pea albumin 2 were not digested, whereas legumin was only partly digested. Legumin and vicilin were totally digested in the SI in less than 3 h. A resistant peptide of 15 kDa located at the N-terminus of pea albumin 2 was transiently detected at 3 h. A protein band at 20 kDa was consistently identified as lectin. It was present in high intensity in intestinal digesta of pea-fed piglets at all times after the meal compared with those fed the control diet (P <0.001). Various proteins of, presumably, endogenous origin displayed differential digestion patterns between the control and the pea-fed piglets (P<0.05). In conclusion, differences in digestion between specific pea proteins were observed along the GIT of piglets. They could be partly explained by differences in protein digestion in the stomach.


Asunto(s)
Digestión , Mucosa Gástrica/metabolismo , Tracto Gastrointestinal/metabolismo , Pisum sativum/metabolismo , Porcinos/crecimiento & desarrollo , Alimentación Animal , Fenómenos Fisiológicos Nutricionales de los Animales , Animales , Femenino , Tracto Gastrointestinal/anatomía & histología , Tracto Gastrointestinal/crecimiento & desarrollo , Concentración de Iones de Hidrógeno , Absorción Intestinal , Mucosa Intestinal/metabolismo , Intestino Grueso/anatomía & histología , Intestino Grueso/crecimiento & desarrollo , Intestino Grueso/metabolismo , Intestino Delgado/anatomía & histología , Intestino Delgado/crecimiento & desarrollo , Intestino Delgado/metabolismo , Masculino , Tamaño de los Órganos , Lectinas de Plantas/metabolismo , Proteínas de Plantas/metabolismo , Distribución Aleatoria , Proteínas de Almacenamiento de Semillas , Porcinos/metabolismo , Destete , Leguminas
8.
Animal ; 1(8): 1134-42, 2007 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-22444859

RESUMEN

High dietary threonine extraction by the digestive tract suggests that threonine contributes to maintain gut integrity. The aims of this study were to investigate the intestine development and the growth performance of early-weaned piglets pair-fed either a control well-balanced (C: 9.3 g threonine/kg diet) or a low-threonine diet (LT: 6.5 g threonine/kg diet) for 2 weeks. As expected, LT piglets presented lower plasma free threonine compared with C piglets (118 v. 356 ± 12 µmol/l, P < 0.001). Dietary threonine supply altered neither growth performance nor growth of the intestine and of the other portal-drained viscera (stomach, spleen and pancreas). Nevertheless, villus height was reduced in the ileum of the LT piglets compared with C piglets (446 v. 714 ± 74 µm, P < 0.05). This was also associated with a decrease in crypt width (P < 0.05) and villus height-to-crypt depth ratio (P < 0.05). Whereas maltase and lactase activities did not change between the two groups, aminopeptidase nitrogen activity was decreased in the ileum of LT piglets (269 v. 374 ± 27 IU/mg protein, P < 0.05). The number of mucin-containing goblet cells was not modified in the ileum and in the proximal part of the large intestine of the LT piglets compared with the C piglets. In conclusion, despite no alteration of intestinal growth, villus hypotrophy associated with a reduction of aminopeptidase nitrogen activity suggest an alteration of the structure of the ileum in early-weaned piglets fed a diet supplying inadequate dietary threonine.

9.
J Anim Sci ; 85(1): 172-80, 2007 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-17179553

RESUMEN

In this review, the terminology that is used to describe the bioavailability and ileal digestibility of AA in pig feed ingredients is defined. Aspects of the methodology to establish bioavailability and ileal digestibility values also are discussed, and recommendations about the use of these values are provided. Two main factors can contribute to differences between bioavailability and ileal digestibility of AA. First, some AA, such as Lys, may be absorbed in chemical complexes that preclude their use for metabolism. Second, fermentation in the upper gut may result in a net loss or gain of AA to the animal. In addition, dietary effects on the efficiency of using bioavailable AA intake for tissue growth or milk production should be considered and may be attributed to endogenous AA losses in the hindgut and the metabolic costs associated with endogenous gut protein synthesis and losses. Ileal digestibility values may be expressed as apparent ileal digestibility (AID), standardized ileal digestibility (SID), or true ileal digestibility (TID). These terms are used to specify how ileal endogenous AA losses are reflected in digestibility values. Ileal endogenous AA losses may be separated into basal losses, which are not influenced by feed ingredient composition, and specific losses, which are induced by feed ingredient characteristics such as levels and types of fiber and antinutritional factors. Values for AID are established when total ileal outflow of AA (i.e., the sum of endogenous losses and nondigested dietary AA) is related to dietary AA intake. A concern with the use of AID values is that these are not additive in mixtures of feed ingredients. This concern may be overcome by correcting AID values for defined basal endogenous losses of AA, which yields SID values. Furthermore, if the AID values are corrected for basal and specific endogenous losses, then values for TID are calculated. However, reliable procedures to routinely measure specific endogenous losses are not yet available. It is recommended that basal ileal endogenous losses of AA should be measured in digestibility experiments using a defined protein-free diet and that these losses are reported with observed AID and SID values. It is suggested that SID values should be used for feed formulation, at least until more information on TID values becomes available.


Asunto(s)
Aminoácidos/metabolismo , Alimentación Animal/análisis , Disponibilidad Biológica , Digestión/fisiología , Porcinos/metabolismo , Animales , Terminología como Asunto
10.
J Anim Sci ; 82(4): 1091-9, 2004 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-15080331

RESUMEN

Metabolic changes associated with inflammatory processes and immune response can modify protein and AA requirements. Improved knowledge of these processes will provide opportunities for nutritional intervention to sustain growth and animal defense at the same time. The objective of the study was to identify AA whose metabolism is affected by chronic lung inflammation. Six pairs of littermate piglets were selected at 28 d of age on the basis of their BW. After catheterization of the jugular vein, one littermate received complete Freund's adjuvant (CFA) intravenously, whereas its littermate was injected with a sterile saline solution (CON). Piglets within a litter were pair-fed in order to avoid confounding effects of feed intake and inflammation on plasma AA concentrations. Blood samples were taken after an overnight fast and 2 h after the morning meal for 9 d. Rectal temperature, food consumption, weight gain, plasma haptoglobin, and AA concentrations were measured. The CFA injection decreased food intake, and increased body temperature and plasma haptoglobin concentration. Plasma tryptophan, glutamine, proline, glycine, tyrosine, ornithine, total AA concentrations, and the ratio of tryptophan to large neutral AA were less in CFA than in CON (P < 0.05), independent of time and meal. In contrast, plasma histidine concentration was higher (P < 0.05) in CFA than in CON pigs. Plasma serine, arginine, alanine, asparagine, and total AA concentrations were lower in CFA than in CON pigs only in the fed state (P < 0.05). Among essential AA, only plasma tryptophan concentration was lower (P < 0.01) in CFA than in CON pigs in both fasted and fed state. These results show that chronic lung inflammation affects individual AA differently and suggest that the utilization of some AA increased during chronic lung inflammation in pigs. Activation of tryptophan catabolism enzyme indoleamine 2,3-dioxygenase seems a relevant hypothesis to explain the increased tryptophan utilization, although its incorporation in acute-phase proteins and the existence of other catabolic pathways cannot be excluded.


Asunto(s)
Aminoácidos/sangre , Haptoglobinas/metabolismo , Necesidades Nutricionales , Neumonía/veterinaria , Enfermedades de los Porcinos/metabolismo , Porcinos/crecimiento & desarrollo , Aminoácidos/administración & dosificación , Fenómenos Fisiológicos Nutricionales de los Animales , Animales , Enfermedad Crónica , Femenino , Adyuvante de Freund , Inyecciones Intravenosas/veterinaria , Masculino , Neumonía/metabolismo , Distribución Aleatoria , Triptófano/metabolismo , Tuberculosis/metabolismo , Tuberculosis/veterinaria
11.
J Gynecol Obstet Biol Reprod (Paris) ; 33(2): 119-24, 2004 Apr.
Artículo en Francés | MEDLINE | ID: mdl-15052177

RESUMEN

OBJECTIVES: To demonstrate the effectiveness and safety of mifepristone 600mg with misoprostol 800 mg, for termination of pregnancy at 9-14 weeks gestation. PATIENTS AND METHODS: This prospective study included 105 women at 9 to 14 weeks gestation given 800 mg of vaginal misoprostol, 2 or 3 days after a single dose of 600 mg of mifepristone for pregnancy termination. Outcomes measures included mean expulsion time, the interval between fotal and placental expulsion, adverse effects, vaginal bleeding, requirement for analgesia, and hospital stay, analyzed by parity and gestational age. RESULTS: Pregnancy termination was successful in 92.4% of the patients without requirement for surgery. The mean time to expulsion was 6 hours. The fetus and placenta were expelled together in 79% of the cases. In 15% the conception products were retained in the cervical canal, and removed with a ring forceps. Additional misoprostol doses were necessary in 33% and analgesia (nalbuphine sublingually, mean dose was 10mg) in 56%. Significant bleeding was observed in 7.5%, leading to curettage in 2 patients. No statistically significant differences were found between the rate of success and term (9-12 versus 12-14) or parity. CONCLUSION: Combining oral mifepristone and vaginal misoprostol is a successful alternative to surgical termination of pregnancy, even after 9 weeks' gestation. The use of nalbuphine for analgesia improves acceptability; sublingual administration helps avoid invasive procedures. Before 14 weeks gestation, the legal limit for termination of pregnancy in France, the choice between the surgical and medical alternatives should be left to the patient.


Asunto(s)
Abortivos no Esteroideos/administración & dosificación , Abortivos Esteroideos/administración & dosificación , Aborto Inducido , Mifepristona/administración & dosificación , Misoprostol/administración & dosificación , Abortivos no Esteroideos/efectos adversos , Abortivos Esteroideos/efectos adversos , Aborto Legal/métodos , Administración Intravaginal , Administración Oral , Administración Sublingual , Adolescente , Adulto , Analgésicos Opioides/administración & dosificación , Analgésicos Opioides/efectos adversos , Quimioterapia Combinada , Femenino , Humanos , Tiempo de Internación , Mifepristona/efectos adversos , Misoprostol/efectos adversos , Nalbufina/administración & dosificación , Nalbufina/efectos adversos , Embarazo , Primer Trimestre del Embarazo , Estudios Prospectivos , Seguridad , Factores de Tiempo , Resultado del Tratamiento
12.
J Nutr ; 134(3): 641-7, 2004 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-14988461

RESUMEN

Cytokines play a central role in immune cell response, but they also participate in the maintenance of tissue integrity. Changes in the cytokine network of the pig gut may be expected at weaning, because abrupt changes in dietary and environmental factors lead to important morphological and functional adaptations in the gut. This study measured the gene expression of 6 inflammatory cytokines along the small intestine (SI) and the proximal colon in 28-d-old piglets (n = 45) at different time points (0, 1, 2, 5 and 8 d) postweaning, using RT-PCR. Villus-crypt architecture and enzymatic activities of lactase and sucrase in the SI were also examined. The results confirmed that weaning is associated with morphological and enzymatic changes in the SI. In addition, the data indicated that cytokine response in the gut could be divided into two periods: an early acute response (0 to 2 d postweaning) and a late long-lasting response (2 to 8 d postweaning). Between d 0 and d 2, the levels of IL-1beta, IL-6, and TNF-alpha messenger RNA (mRNA) increased. Marked upregulation of IL-1beta mRNA occurred in most parts of the intestine, whereas IL-6 and TNF-alpha mRNA markedly increased only at specific sites in the intestine. Between d 2 and d 8, the levels of IL-1beta, IL-6, and TNF-alpha mRNA rapidly returned to preweaning values, except that the level of TNF-alpha mRNA remained high in the distal SI. Levels of IL-12 subunit p40 (IL-12p40) and IL-18 mRNA also decreased, compared to those on d 0. Taken together, these results demonstrate that weaning in piglets is associated with an early and transient response in gene expression of inflammatory cytokines in the gut.


Asunto(s)
Citocinas/genética , Regulación de la Expresión Génica/inmunología , Interleucinas/genética , Mucosa Intestinal/inmunología , Destete , Animales , Cartilla de ADN , Inmunidad Mucosa , Inflamación/genética , Lactasa/metabolismo , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa , Sacarasa/metabolismo , Porcinos , Factores de Tiempo , Factor de Necrosis Tumoral alfa/genética
13.
J Gynecol Obstet Biol Reprod (Paris) ; 31(5): 495-9, 2002 Sep.
Artículo en Francés | MEDLINE | ID: mdl-12379834

RESUMEN

Typhoid fever is rare in Europe, but well-recognized endemic disease in tropical zones. We report our findings in a series of 25 cases of typhoid fever during pregnancy observed in French Guiana and reviewed the literature on clinical signs, diagnosis and treatment. Salmonellea typhi causes septicemia of digestive origin that can cross the placenta resulting in chorioamniotitis. Maternal-fetal infection with S. typhi can lead to miscarriage, fetal death, neonatal infection, as well as diverse maternal complications. In order to avoid maternal complications and possible fetal transmission, treatment with ceftriaxone should be initiated as early as possible


Asunto(s)
Enfermedades Endémicas , Complicaciones Infecciosas del Embarazo , Fiebre Tifoidea , Aborto Espontáneo/microbiología , Antibacterianos/uso terapéutico , Ceftriaxona/uso terapéutico , Farmacorresistencia Microbiana , Enfermedades Endémicas/prevención & control , Enfermedades Endémicas/estadística & datos numéricos , Femenino , Muerte Fetal/microbiología , Guyana Francesa/epidemiología , Humanos , Transmisión Vertical de Enfermedad Infecciosa/prevención & control , Pruebas de Sensibilidad Microbiana , Embarazo , Complicaciones Infecciosas del Embarazo/diagnóstico , Complicaciones Infecciosas del Embarazo/tratamiento farmacológico , Complicaciones Infecciosas del Embarazo/epidemiología , Resultado del Embarazo/epidemiología , Estudios Retrospectivos , Fiebre Tifoidea/diagnóstico , Fiebre Tifoidea/tratamiento farmacológico , Fiebre Tifoidea/epidemiología
14.
Br J Nutr ; 85(1): 11-21, 2001 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-11227029

RESUMEN

The present experiment aimed to determine the effect of feeding level and parenteral supplements of vitamin B6 (pyridoxine) on B6 status as well as on glucose, C-peptide, insulin, alpha-amino-N and urea after a gastric bolus of glucose in weaned piglets; the plasma tryptophan, xanthurenic acid and kynurenine responses to a gastric bolus of tryptophan were also measured. Forty-two piglets weaned at 2 weeks of age were distributed in seven blocks of six animals each. Within each block, the animals were assigned to the following factorial treatments: two levels of feeding (28 (F28) and 56 (F56) g/kg(0.75) per d) administered by gastric-tube feeding and three levels of parenteral (intramuscular injections) vitamin B6 (0 (B60), 15 (B615) and 30 (B630) mg/d). In B60 piglets, a decrease of 30 % and 20 % in erythrocyte and plasma pyridoxal-5-phosphate respectively, were observed during the 2 weeks post-weaning. In supplemented piglets, the erythrocyte pyridoxal-5-phosphate was maximised in B615 piglets at a level 3-4 times higher than in B60 piglets (P < 0.003). However, in plasma the maximal pyridoxal-5-phosphate concentration was reached in F28-B630 piglets (P < 0.058). The glucose and insulin responses to a gastric bolus of glucose were lower, and the post-bolus decrease of glucose was slower, in F28 than in F56 piglets (P < 0.0001). The insulin:C-peptide ratio was 25 % greater in B615 piglets (P < 0.082). After the bolus of glucose, the aminoacidaemia decreased differentially according to treatments (P < 0.047), while the uraemia was at least 2-fold higher (P < 0.001) in F28 piglets than in F56 piglets and tended to be maximised in B630 piglets (P < 0.074). The response of plasma tryptophan to the gastric bolus of tryptophan was 11 % lower in B630 piglets (P < 0.057). The plasma concentration of kynurenine increased continuously during the post-bolus period and this response was more marked in F56 (P < 0.002) and in B630 piglets (P < 0.02). Xanthurenic acid was undetectable in any of the treatments. The measurements on pyridoxine status suggest that the present basal dietary level of B6 (7.7 mg/kg) was not sufficient to cover the metabolic needs. For many criteria, an optimal level was reached at 15 mg/d parenteral B6 but the response of urea to glucose bolus suggests that 30 mg/d was detrimental. Further studies are necessary to determine the dietary level of B6 equivalent to the present optimal parenteral supplements and its eventual effects on B6 status and post-weaning growth performance of piglets.


Asunto(s)
Aminoácidos/sangre , Fenómenos Fisiológicos Nutricionales de los Animales , Glucemia/metabolismo , Piridoxina/farmacología , Porcinos/sangre , Envejecimiento/sangre , Animales , Composición Corporal/efectos de los fármacos , Dieta , Suplementos Dietéticos , Relación Dosis-Respuesta a Droga , Femenino , Inyecciones Intramusculares , Masculino , Fosfato de Piridoxal/sangre , Piridoxina/administración & dosificación , Porcinos/fisiología , Triptófano/sangre , Destete , Aumento de Peso/efectos de los fármacos
16.
Br J Nutr ; 83(2): 123-30, 2000 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-10743491

RESUMEN

The aims of the present study were first to compare the amino acid dilution method performed using labelled animals with that using labelled diets, and second to determine real digestibilities and total ileal endogenous losses of N and amino acids. Two diets containing pea cultivars (Solara and Amino) and a protein-free diet were compared in a 3 x 3 Latin-square experiment. The three pigs were each prepared with an ileo-rectal anastomosis and were continuously infused with [1-13C]leucine. For each cultivar, 15N-labelled and unlabelled diets were formulated. The real digestibility and endogenous losses of leucine were higher when obtained by labelling the pig than by labelling the foodstuff. This was due either to the inadequate estimation of the endogenous protein enrichment in the first case or to the importance of dietary N recycling in the second case. However, in both cases the ileal endogenous losses of N and amino acids were higher than the basal losses determined with the protein-free diet. There were significant differences between the two pea cultivars in terms of phenylalanine and leucine when measured with labelled diets. It is suggested that, although ileal endogenous losses may be underestimated, using labelled feedstuffs is of great interest due to the direct estimation of the individual amounts of amino acids.


Asunto(s)
Aminoácidos/metabolismo , Íleon/metabolismo , Animales , Radioisótopos de Carbono , Digestión/fisiología , Leucina/metabolismo , Radioisótopos de Nitrógeno , Fenilalanina/metabolismo , Técnica de Dilución de Radioisótopos , Porcinos
17.
Reprod Nutr Dev ; 40(1): 49-61, 2000.
Artículo en Inglés | MEDLINE | ID: mdl-10737550

RESUMEN

Dairy products provide abundant, accessible calcium for humans, while some calcium sulfate-rich mineral waters could provide appreciable amounts of calcium. But there is little evidence that this calcium is as available as milk calcium for making bone. The availability of calcium was studied by monitoring bone parameters in 2-month-old pigs fed restricted amounts of calcium (70% RDA) for 2.5 months. The 3 main (> or = 50% Ca intake) Ca sources were either CaCO3 or CaSO4 or skim milk powder (29% of the diet). The bones of the pigs fed the "milk" diet had higher (P < 0.01) ash contents, breaking strength and density (DEXA) than those of the two others groups, in which the bone values were similar. Thus, the calcium provided by a diet containing milk appears to ensure better bone mineralization than do calcium salts included in a non-milk diet. The calcium restriction may have enhanced some milk properties to stimulate calcium absorption in these young, rapidly growing pigs.


Asunto(s)
Calcificación Fisiológica , Carbonato de Calcio/administración & dosificación , Sulfato de Calcio/administración & dosificación , Calcio/farmacocinética , Dieta , Leche , Fosfatasa Alcalina/sangre , Animales , Disponibilidad Biológica , Fenómenos Biomecánicos , Huesos/química , Huesos/enzimología , Huesos/fisiología , Masculino , Porcinos
18.
Reprod Nutr Dev ; 40(6): 549-58, 2000.
Artículo en Inglés | MEDLINE | ID: mdl-11286284

RESUMEN

Contributions of erythrocytes and plasma to threonine and lysine transport across the PDV and the liver were determined in growing pigs successively fed a threonine deficient diet and a control well-balanced diet (experiment 1) or a lysine deficient or a well-balanced diet (experiment 2). The animals were surgically prepared for insertion of chronic catheters in the mesenteric vein (MV), the portal vein (PV), a hepatic vein (HV) and the carotid artery (CA). Plasma and whole blood AA concentrations in PV, HV and CA and PV and HV blood flows were determined during 6 hours of para-aminohippuric acid constant infusion. During this period the pigs were continuously fed (1 meal per hour). The contribution of plasma to lysine and threonine transport was higher in pigs fed the well balanced diets. More than 50% of threonine and lysine appearing in the PV and in the HV are transported by the plasma. Our results suggest that erythrocytes are probably little involved in lysine and threonine transfer across the liver and digestive tract of pig continuously fed.


Asunto(s)
Eritrocitos/fisiología , Hígado/metabolismo , Lisina/sangre , Sistema Porta/fisiología , Porcinos/sangre , Treonina/sangre , Animales , Transporte Biológico , Arterias Carótidas , Cateterismo/veterinaria , Dieta/veterinaria , Femenino , Venas Hepáticas , Venas Mesentéricas , Vena Porta , Porcinos/metabolismo , Ácido p-Aminohipúrico
19.
Reprod Nutr Dev ; 39(4): 433-42, 1999.
Artículo en Inglés | MEDLINE | ID: mdl-10493149

RESUMEN

Whole blood (WB) and plasma (P) amino acid transfers across the portal drained viscera and the liver were determined during 6 h of a constant p-aminohippuric acid infusion in three hourly-fed Landrace x Large-White pigs (30.5 kg, mean live weight) surgically prepared with chronically inserted catheters in a mesenteric vein (MV), the portal vein (PV), an hepatic vein (HV) and the carotid artery (CA). Plasma and WB amino acid concentrations were determined in the CA, PV and HV. The plasma/WB ratios showed no significant differences for vessels except for lysine and glutamate for which this ratio is significantly higher in the HV and in the PV for lysine. This suggests that the PV lysine and HV glutamate were preferentially transported in the plasma. In the PV, threonine, valine and alanine are transported by both plasma and red blood cells. These data show that the contribution of plasma and whole blood to amino acid transport can be different between amino acids and between individual tissues.


Asunto(s)
Aminoácidos/sangre , Venas Hepáticas , Venas Mesentéricas , Plasma/metabolismo , Vena Porta , Porcinos/sangre , Alanina/sangre , Animales , Ácido Aspártico/sangre , Transporte Biológico , Ácido Glutámico/sangre , Glutamina/sangre , Lisina/sangre , Treonina/sangre , Valina/sangre , Ácido p-Aminohipúrico
20.
J Anim Sci ; 77(12): 3281-8, 1999 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-10641875

RESUMEN

An experiment was carried out to determine the effects of feeding level, body weight, and time after surgery on basal ileal endogenous amino acid (AA) and N losses in growing pigs. Three pairs of littermate pigs were surgically prepared with ileo-rectal anastomoses. One pig in each pair was anastomosed at 38 kg BW, and the remaining pigs were anastomosed at 67 kg BW. Each pig received at different periods 50, 70, or 90 g of dry matter per kilogram of BW.75 of a protein-free diet according to a Latin square design involving three pigs starting at 45 kg BW and involving six pigs starting at 77 kg BW. For most AA, the time after surgery x feeding level interaction was significant. The basal endogenous losses (in g/d) increased linearly with feeding level at both BW. At the higher BW, the basal endogenous losses (in g/kg DMI) were constant regardless of feeding level, whereas at the lower BW they responded quadratically. At the low feeding level, the endogenous losses were higher than at the medium or high feeding level. We concluded that the basal endogenous losses are proportional to DMI when the feeding level is higher than 70 g/kg BW.75. The AA profile was not influenced by these three variables, but there was a large animal effect. These results suggest that, in digestibility trials, an assessment of the basal ileal endogenous AA losses must be performed on each pig to correct the apparent ileal AA digestibility data.


Asunto(s)
Peso Corporal , Ingestión de Energía , Íleon/fisiología , Porcinos/crecimiento & desarrollo , Aminoácidos/análisis , Aminoácidos/metabolismo , Alimentación Animal , Animales , Femenino , Contenido Digestivo/química , Masculino , Nitrógeno/metabolismo
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