Review: Large offspring syndrome in ruminants: current status and prediction during pregnancy.

Large/abnormal Offspring Syndrome (LOS/AOS) is a congenital overgrowth condition of cattle and sheep, characterized by macrosomia, abdominal wall defects, organomegaly, difficulty to stand and suckle at parturition. The condition was first described as an exclusive consequence of assisted reproductive technologies, such as in vitro production and somatic cell nuclear transfer (cloning). However, we recently reported the spontaneous occurrence of this syndrome in cattle. The etiology of LOS is unclear, although the syndrome is an epigenetic condition characterized by multi-locus loss-of-imprinting, global dysregulation of small and long RNAs, changes in DNA methylation, and altered chromosomal architecture. These molecular and epigenetic changes affect biological pathways implicated in organ size, cell proliferation, cell survival, resulting in the phenotypes which characterize LOS. The lack of accurate tools for the prediction and diagnosis of LOS and the prevention of dystocia resulting from fetal overgrowth is a major concern for the dairy and beef industries. Furthermore, death of the calf and/or dam during calving adds animal welfare issues and affects the net income of the industry. An early diagnosis of LOS/AOS during gestation is critical to facilitate the decision-making process on whether to allow the pregnancy to continue or not in order to prevent harm to the dam as well as to provide producers with the timely necessary information to prepare for a difficult birth. The present review summarizes the definition, traits, incidence, and molecular characteristics of LOS to provide information and serve as a guide for future investigations regarding the early identification of LOS during pregnancy in cattle.

Distinct gene clusters drive formation of ferrosome organelles in bacteria.

Cellular iron homeostasis is vital and maintained through tight regulation of iron import, efflux, storage and detoxification1-3. The most common modes of iron storage use proteinaceous compartments, such as ferritins and related proteins4,5. Although lipid-bounded iron compartments have also been described, the basis for their formation and function remains unknown6,7. Here we focus on one such compartment, herein named the 'ferrosome', that was previously observed in the anaerobic bacterium Desulfovibrio magneticus6. Using a proteomic approach, we identify three ferrosome-associated (Fez) proteins that are responsible for forming ferrosomes in D. magneticus. Fez proteins are encoded in a putative operon and include FezB, a P1B-6-ATPase found in phylogenetically and metabolically diverse species of bacteria and archaea. We show that two other bacterial species, Rhodopseudomonas palustris and Shewanella putrefaciens, make ferrosomes through the action of their six-gene fez operon. Additionally, we find that fez operons are sufficient for ferrosome formation in foreign hosts. Using S. putrefaciens as a model, we show that ferrosomes probably have a role in the anaerobic adaptation to iron starvation. Overall, this work establishes ferrosomes as a new class of iron storage organelles and sets the stage for studying their formation and structure in diverse microorganisms.

Descripción clínica de los pacientes con amputación transfemoral unilateral: estudio de casos múltiples / Clinical Description Of Patients With Unilateral Transfemoral Amputation

Introducción: Una correcta evaluación fisioterapéutica permite direccionar una intervención idónea del paciente con amputación transfemoral. Objetivo: Describir clínicamente a los pacientes con amputación transfemoral unilateral en la ciudad de Pasto, Nariño, Colombia. Métodos: Se realiza estudio transversal de casos múltiples. Se selecciona una muestra de 13 pacientes que se encontraban en la base de datos del Instituto Departamental de Salud de Nariño, con amputación transfemoral unilateral, a los que se realizó una caracterización sociodemográfica y clínica, así como una evaluación fisioterapéutica. Se obtuvieron valores de frecuencias y porcentajes. El análisis de los datos recolectados se realizó mediante el software SPSS, versión 24. De manera descriptiva se dieron a conocer los resultados de la evaluación fisioterapéutica. Resultados: La edad media de los pacientes fue de 46 años, predominó el género masculino (77 por ciento), y la etiología traumática (69,23 por ciento). La sensación y dolor de miembro fantasma se presentó en el 69,23 por ciento y 53,84 por ciento de los pacientes, respectivamente. Se encontró una disminución marcada de fuerza muscular en los músculos pelvitrocantéreos, glúteo medio, menor y tensor de la fascia lata. El rango de movimiento estaba disminuido para los movimientos de rotación interna con una media de 27,8°/ 45°, rotación externa con una media de 29,8°/ 45° y aducción de cadera con una media de 31,2°/ 45°. Conclusiones: Las principales características clínicas y resultados de evaluación fisioterapéutica de los pacientes con amputación transfemoral unilateral son la presencia de sensación y dolor de miembro fantasma, diminución de fuerza, rangos de movimiento y presencia de escoliosis dorsales y/o lumbares. Realizar un adecuado proceso de evaluación fisioterapéutica, proporciona información sobre las necesidades individuales de cada paciente en cuanto a rehabilitación, para posteriormente, ejecutar un tratamiento idóneo(AU)

Introduction: Correct physiotherapeutic evaluation allows directing ideal intervention for the patient with transfemoral amputation. Objective: To clinically describe patients with unilateral transfemoral amputation in the city of Pasto, Nariño, Colombia. Methods: A cross-sectional study of multiple cases is carried out. A sample of 13 patients was selected. They were in the database of the Departmental Institute of Health of Nariño, with unilateral transfemoral amputation, they had underwent a sociodemographic and clinical characterization, as well as a physiotherapeutic evaluation. Frequency values and percentages were obtained. The analysis of the collected data was carried out using the SPSS software, version 24. The results of the physiotherapeutic evaluation were disclosed in a descriptive manner. Results: The mean age of the patients was 46 years, the male gender predominated (77 percent), and the traumatic etiology (69.23 percent). Phantom limb sensation and pain occurred in 69.23 percent and 53.84 percent of the patients, respectively. A marked decrease in muscle strength was found in the pelvitrochanteric, gluteus medius, minimus, and tensor fascia lata muscles. The range of motion was decreased for movements of internal rotation with a mean of 27.8°/45°, external rotation with a mean of 29.8°/45°, and hip adduction with a mean of 31.2°/ 45°. Conclusions: The main clinical characteristics and physiotherapeutic evaluation results of patients with unilateral transfemoral amputation are the presence of phantom limb sensation and pain, decreased strength, range of motion, and the presence of dorsal and/or lumbar scoliosis. An adequate physiotherapeutic evaluation process provides information on the individual needs of each patient in terms of rehabilitation, in order to subsequently execute an ideal treatment(AU)

Looking for the reason of hemodynamic instability: a case report of the role of intraoperative ultrasound / Buscando o motivo da instabilidade hemodinâmica: relato de caso sobre o papel do ultrassom intraoperatório

Abstract Background and objectives: A prompt and effective management of trauma patient is necessary. The aim of this case report is to highlight the importance of intraoperative echocardiography as a useful tool in patients suffering from refractory hemodynamic instability no otherwise explained. Case report: A 41 year-old woman suffered a car accident. At the emergency department, no abnormalities were found in ECG or chest X-ray. Abdominal ultrasound revealed the presence of abdominal free liquid and the patient was submitted to urgent exploratory laparotomy. Nevertheless, she persisted suffering arterial hypotension and metabolic acidosis. Looking for the reason of her hemodynamic instability, intraoperative transthoracic echocardiography was performed, finding out the presence of pericardial effusion. Once the cardiac surgeon extracted pericardial clots, patient's situation improved clinically and analytically. Conclusion: Every anesthesiologist should be able to use the intraoperative echocardiography as an effective tool in order to establish the appropriate measures to promote the survival of patients suffering severe trauma.

Resumo Justificativa e objetivos: O atendimento rápido e eficaz do paciente de trauma é necessário. O objetivo deste relato de caso foi destacar a importância do ecocardiograma intraoperatório como uma ferramenta útil em pacientes que sofrem de instabilidade hemodinâmica refratária sem explicação aparente. Relato de caso: Uma mulher de 41 anos sofreu um acidente de automóvel. No departamento de emergência, nenhuma anormalidade foi encontrada no ECG ou na radiografia de tórax. Uma ultrassonografia abdominal revelou a presença de líquido livre no abdome, e a paciente foi submetida à laparotomia exploradora de urgência. No entanto, a paciente continuou apresentando hipotensão arterial e acidose metabólica. Na busca pelo motivo de sua instabilidade hemodinâmica, um ecocardiograma transtorácico foi realizado no período intraoperatório e constatou a presenc¸a de derrame pericárdico. Após a remoção dos coágulos pericárdicos pelo cirurgião cardíaco, a condição da paciente melhorou clínica e analiticamente. Conclusão: Todo anestesiologista deve saber utilizar o ecocardiograma intraoperatório como ferramenta eficaz para estabelecer as medidas adequadas para promover a sobrevida de pacientes com traumatismos graves.

[Looking for the reason of hemodynamic instability: a case report of the role of intraoperative ultrasound]. / Buscando o motivo da instabilidade hemodinâmica: relato de caso sobre o papel do ultrassom intraoperatório.

BACKGROUND AND OBJECTIVES: A prompt and effective management of trauma patient is necessary. The aim of this case report is to highlight the importance of intraoperative echocardiography as a useful tool in patients suffering from refractory hemodynamic instability no otherwise explained. CASE REPORT: A 41 year-old woman suffered a car accident. At the emergency department, no abnormalities were found in ECG or chest X-ray. Abdominal ultrasound revealed the presence of abdominal free liquid and the patient was submitted to urgent exploratory laparotomy. Nevertheless, she persisted suffering arterial hypotension and metabolic acidosis. Looking for the reason of her hemodynamic instability, intraoperative transthoracic echocardiography was performed, finding out the presence of pericardial effusion. Once the cardiac surgeon extracted pericardial clots, patient's situation improved clinically and analytically. CONCLUSION: Every anesthesiologist should be able to use the intraoperative echocardiography as an effective tool in order to establish the appropriate measures to promote the survival of patients suffering severe trauma.

[Blunt chest trauma with pneumomediastinum and pneumoperitoneum secondary to Macklin effect. Case report]. / Trauma contuso de tórax con neumomediastino y neumoperitoneo secundario a efecto Macklin. Reporte de un caso.

BACKGROUND: Pneumomediastinum is the presence of free air around mediastinal structures, which may be spontaneous or secondary, and can occur in 10% of patients with blunt chest trauma, with the Macklin effect being its main pathophysiology. CLINICAL CASE: A 21 year old male, hit by motor vehicle, with alvéolopalatal fracture and blunt chest trauma, who, 72 hrs after admission, shows subcutaneous emphysema in the anterior chest. A simple tomography of the chest and abdomen was performed, finding a pneumomediastinum, bilateral pulmonary contusions and pneumoperitoneum. Oesophageal, tracheobronchial or intra-abdominal viscera injuries were ruled out, establishing the cause of pneumomediastinum and pneumoperitoneum due to the Macklin effect. This required conservative management in intensive care unit, with a favourable clinical course and discharged after a 10 day hospital stay. DISCUSSION: Macklin effect is caused by dissection of air medially along the bronchoalveolar sheath (interstitial emphysema), secondary to alveolar breakdown and extending into mediastinal and other anatomical structures (pneumoperitoneum). It has been documented in blunt trauma, as well as in acute asthma, positive pressure ventilation, or after Valsalva manoeuvres. The imaging method of choice is computed tomography, and its characteristic findings, interstitial emphysema adhering to a bronchus and pulmonary blood vessel. CONCLUSIONS: In the presence of pneumomediastinum and pneumoperitoneum is necessary to rule out oesophageal and tracheobronchial injury before establishing the Macklin effect as its cause. The diagnosis is made with computed tomography and managed conservatively.

Relationship among damaged chromatin, motility and viability in cryopreserved spermatozoa from Brahman bulls / Relación entre la alteración de la cromatina, movilidad y viabilidad en espermatozoides criopreservados de toros Brahman / Relação entre a alteração da cromatina, motilidade e viabilidade dos espermaotozoides criopreservados de touros Brahman

The aim of this study was to determine the percentage of sperm with damaged chromatic measure with toluidine blue stain and it´s relationship with motility and viability in criopreserverd semen from Brahman bulls. Three ejaculates from six Brahman bulls were used. Immediately after thawing, sperms were stained with toluidine blue to establish chromatin integrity (sperms with normal chromatin were light blue or green while sperms with damaged chromatin were dark blue or violet). Sperms were also stained with eosin-nigrosin to determine viability (live sperms were unstained while dead sperms were pink). Motility was measured under light microscope. Effects of bull, ejaculate, and the interaction between variables were assessed. The percentage of live sperms was 50.02 ( ± 14.13%). The mean motility was 33.88 (± 12.43%), while the percentage of sperms with damaged chromatin was 4.17 ( ± 2.96%). Viability was positively correlated with motility (r=0.77217, p=0.0002), and negatively correlated with damaged chromatin sperms (r= -0.43104, p=0.0087). Motility percentage was negatively correlated with the percentage of sperms with damaged chromatin (r=-0.48337, p=0.0421). In conclusion, cryopreserved semen of Brahman bulls presented a low level of chromatin damage, and this trait was negatively correlated with sperm motility and viability.

El objetivo del presente trabajo fue determinar el porcentaje de espermatozoides con cromatina dañada medida con la tinción de azul de toluidina, y su relación con la motilidad y la vitalidad del semen criopreservado de toros Brahma. Para ello, se utilizó semen de tres eyaculados de seis toros Brahman, el cual una vez descongelado se procedió a teñir con azul de toluidina para determinar la integridad de la cromatina (espermatozoides con cromatina normal teñidos de azul o verde claro; espermatozoides con cromatina anormal teñidos de azul oscuro o violeta), también se tiñeron con eosinanigrosina para determinar la viabilidad (espermatozoides vivos permanecen blancos; espermatozoides muertos se tiñen de rosado) y se estimó la motilidad espermática mediante microscopía óptica. Se evidenciaron las diferencias en todos los parámetros evaluados debidas al efecto toro y al eyaculado, así como a la interacción entre estas dos variables. El porcentaje de espermatozoides vivos fue de 50.02 ± 14.13% y la motilidad espermática promedió un 33.88 ± 12.43%, mientras que el porcentaje de espermatozoides con cromatina dañada fue de 4.17 ± 2.96%. El porcentaje de espermatozoides vivos se correlacionó positivamente con la motilidad (r=0.77217, p=0.0002), y negativamente con el porcentaje de espermatozoides con cromatina dañada (r= -0.43104, p=0.0087), mientras que el porcentaje de motilidad se correlacionó negativamente con el porcentaje de espermatozoides con cromatina anormal (r= -0.48337, p=0.0421). En conclusión, el semen criopreservado de toros Brahman presenta un bajo nivel de espermatozoides con daño en la cromatina, lo cual se correlaciona negativamente con la motilidad y la vitalidad espermática.

O objectivo deste estudo foi determinar a percentagem de espermatozóides com cromatina danificada, determinada pela coloração com azul de toluidina e sua relação com a viabilidade e a mobilidade do esperma cripreservado de touros Brahman. Para isso, foram utilizados três ejaculados de sêmen de seis touros Brahman, que uma vez descongelado foram coradas com azul de toluidina para determinar a integridade da cromatina (espermatozóides com cromatina normal coloream de azul ou verde; cromatina de espermatozóides con cromatina danificada, coloream de azul escuro ou violeta). Também foram corados com eosina nigrosina para determinar a viabilidade (espermatozóides vivos permanecem brancos e os mortos de cor rosa) e a motilidade espermática foi estimada por microscopia de luz. Foram encontradas diferenças significativas em todos os parâmetros, devido ao efeito de touro e o ejaculado, bem como a interacção entre essas duas variáveis. A percentagem de espermatozóides vivos foi de 50.02 ± 14.13% e motilidade espermática média de 33.88 ± 12.43%, enquanto a percentagem de espermatozóides com cromatina danificada foi de 4.17 ± 2.96%. A percentagem de espermatozóides vivos foi positivamente correlacionada com a motilidade (r=0.77217, p=0.0002) e negativamente com a porcentagem de espermatozóides com cromatina danificada (r = -0.43104, p= 0.0087), enquanto que a percentagem de motilidade correlacionou negativamente com a percentagem de espermatozóides com cromatina danificada (r = -0.48337, p=0.0421). Em conclusão, o sêmen de touros Brahman criopreservados tem um baixo nível de dano da cromatina, que está correlacionada negativamente com a motilidade e a vitalidade do esperma.

Effects of clinical mastitis from calving to first service on reproductive performance in dual-purpose cows.

To determine the effects of clinical mastitis between calving and the first service on reproductive performance in dual-purpose cows under tropical conditions, the reproductive records of cows with clinical mastitis before first service (n=177) were compared with the records of cows without mastitis (n=205). Mastitic cows had more days to first service (136 days compare to 98 days, P< or =0.05) and days to conception (187 days compare to 143 days, P< or =0.05) than non-mastitic cows. These intervals were affected by parity, where the most severe effect of clinical mastitis was observed in primiparous cows, which showed a delay of 53 days to their first service when compared to control cows (P< or =0.05). Timing of mastitis episode was also an important factor, affecting days to first service and days to conception in multiparous cows only when clinical mastitis occurred over 62 days after calving, while in primiparous cows these effects were observed with mastitis occurring at any time of postpartum period (P< or =0.05). No differences were observed in the numbers of services by conception and first service conception percentage between groups. In conclusion, clinical mastitis before first service is a negative factor that increases the days to first service and the days to conception in dual-purpose cows under tropical conditions. Therefore, measures for mastitis prevention should be implemented to reduce the effect of this additional factor over the postpartum anestrus incidence in dual-purpose cows. Further research to understand the mechanism of the association between mastitis and reproduction should be granted.

Efecto de la dosis de eCG sobre la inducción del celo en cabras mestizas luego de un tratamiento corto con Medroxiprogesterona / Effect of eCG Dosage on Estrus Induction in Crossbred Goats After a Short-Term Medroxiprogesterone Treatment

El propósito del presente estudio fue evaluar el efecto de la dosis de gonadotropina coriónica equina (eCG) sobre la inducción del celo en cabras mestizas manejadas bajo condiciones tropicales. Las cabras (n = 32) fueron tratadas con una esponja intravaginal impregnada con 50 mg de acetato de medroxiprogesterona (MAP) durante seis días. Al momento del retiro de las esponjas, las cabras fueron divididas al azar en tres grupos: control (GC, n=11), no recibieron eCG; G250: (n=10) recibieron 250 UI de eCG vía intramuscular y G500: (n=11) recibieron 500 UI de eCG vía intramuscular. La eCG no afectó la tasa de expresión de celo, siendo 81,8% (9/11) para el GC y de 100% para los grupos G250 y G500 (P>0,05). El intervalo al celo fue significativamente más corto en el grupo G500 (32,54 ± 3,00 horas, P<0,05) que en los grupos G250 y GC (40,65 ± 3,27 y 42,20 ± 3,54 horas, respectivamente). La duración del celo no difirió entre los grupos (P>0,05). El porcentaje de cabras repitiendo celo, luego de un ciclo estrual de corta duración, varió según el grupo, siendo de 27,3% (3/11) en el grupo G500 y de 10% (1/10) en el grupo G250; mientras que ninguna cabra del grupo control repitió celo luego de un ciclo estrual corto; no se observaron diferencias significativas entre los grupos (P>0,05). En conclusión, la eCG no es necesaria para inducir el celo en cabras tratadas por seis días con una esponja intravaginal conteniendo MAP, sin embargo, la dosis de 500 UI de eCG fue necesaria para acortar el intervalo al celo.

The aim of this study was to evaluate the effect of dosage of equine chorionic gonadotrophin (eCG) dose on the estrus induction after a short-term medroxyprogesterone treatment in crossbred goat under tropical conditions. Goats (n = 32) received an intravaginal sponge containing 50 mg of medroxyprogesterone acetate (MAP) for six days, at time of sponge withdrawal goats were divided randomly in three groups: CG, control group (n=11), did not received eCG; the second group (G250, n=10), received 250 IU of eCG intramuscular and the third group (G500, n =11), received 500 IU of eCG IM. Treatment with eCG did not affect the rate of estrus presentation, being 81.8% (9/11) for GC group and 100% for groups G250 (10/10) and G500 (11/11), P>0.05. The interval to estrus was significantly shorter in group G500 (32.54 ± 3.00 hours, P<0.05) than GC and G250 (40.65 ± 3.27 y 42.20 ± 3.54 hours, respectively). Estrus duration was not affected by eCG treatment (P>0.05). A shorter interestrus interval was observed in 27.3% (3/11) of goats in G500 and 10% (1/10) of goats in G250, while no goats in GC had a shorter interestrus interval. In conclusion, eCG is not necessary to induce estrus in goats treated for six days with an intragavinal sponges containing MAP, however the dose of 500 IU was necessary to shortens the interval to the estrus.

Brief communication: effect of post-mating progestagen administration on pregnancy rate in crossbred goats following an induced estrus

Los celos inducidos con progesterona o progestagenos son de menor fertilidad en comparación con los celos naturales. Sin embargo, la administración postmonta de progesterona ha sido reportada por incrementar el desarrollo embrionario y la tasa de preñez; por lo tanto, el propósito de este estudio fue evaluar el efecto de la administración postmonta de un progestageno sobre la tasa de preñez en cabras mestizas tropicales luego de un celo inducido con acetato de medroxiprogestrona (MAP) durante el periodo temprano postparto. La inducción del celo se inicio el día 31,3 ± 1,7 postparto mediante la utilización de esponjas intravaginales impregnadas con 60 mg de MAP durante 14 días y al momento del retiro de las esponjas se aplicaron 500 UI de eCG, vía intramuscular. El celo fue detectado cada seis horas a partir de 24 horas de retiradas las esponjas. El servicio se realizó por monta natural con dos machos enteros. Cinco días luego de la monta, las cabras servidas fueron distribuidas de forma aleatoria en dos grupos, el grupo control (n=18), sin tratamiento; y el grupo MAP (n=18), que recibió una esponja con 60 mg de MAP por 14 días. El diagnóstico ultrasonográfico de preñez se realizó a los 50 días postmonta. El tratamiento con MAP no afectó la tasa de preñez, con 44,4 por ciento (8/18) en el grupo MAP, mientras que en el grupo control fue de 55,5 por ciento (10/18), P>0,05. En conclusión, el tratamiento con una esponja impregnadas con 60 mg de MAP entre los días 5 y 19 postmonta no afectó la tasa de preñez luego de un celo inducido durante el período postparto temprano en cabras mestizas tropicales.

Estrus induced with progesterone or progestagens have low fertility compared to natural estrus. However, post-mating progesterone administration has been reported by increases embryo development and pregnancy rate; therefore the aim of this study was to evaluate the effect of post-mating progestagen administration on pregnancy rate after medroxyprogesterone acetate (MAP) induced estrus in crossbred goats. Estrus induction was started at 31.3 ± 1.7 days post-partum with intra- vaginal sponges impregnated with 60 mg of MAP during 14 days and at time of sponge removal were applied 500 IU of eCG intramuscular. Estrus was detected every 6 hours from 24 hours onwards after sponge withdrawal. Goats were naturally mated with two entry bucks. Five days post-mating, mated goats were randomly assorted into two groups, control group (n=18), without any treatment, and MAP group (n=18), receiving a sponge with 60 mg of MAP for fourteen days. Ultrasonographyc diagnosis of pregnancy was performed at day 50 post-mating. MAP treatment, did not affect the pregnancy rate, with 44.4% (8/18) in MAP group, while in control group was 55.5% (10/18), P>0.05. In conclusion, MAP treatment with a sponge impregnated with 60 mg of MAP between days 5 and 19 post-mating did not affect the pregnancy rate after progestagen induced estrus during the early post-partum period in crossbred tropical goats.

Effect of db-camp on embryonic development of bovine oocytes fertilized with sex sorted semen. / Efecto del db-cAMP Sobre el Desarrollo Embrionario de Ovocitos Bovinos Fecundados con Semen Sexado.

The objective of this study was to improve sexed bovine embryo production with sorted sperm in chemically defined conditions by supplementing the IVF medium with db-cAMP. Cumulus-oocyte complexes (COCs) were matured for 18 h in supplemented TCM-199 and fertilized with X- or Y-bearing sperm in the presence of heparin (10 µg/ml), db-cAMP (1 µM) or no treatment (control). Presumptive zygotes were cultured 54 h in g-SOF. From 72 to 144 h post- insemination (hpi) embryos were cultured in c-SOF+NEA and from 144 to 192 hpi embryos were placed in maturation medium without hormones. No significant differences were found among treatments for Y-sperm when compared to controls. A significant (P<0.01) improvement in the proportion of cleaved oocytes was found for X-sperm treated with db-cAMP (70.83%) compared to the Y-sperm inseminated oocytes treated wit db-cAMP (46.37%). Treatment with db-cAMP enabled a better (P<0.05) blastocyst formation rate (19.29%) compared to control (8.47%) and heparin (10.44%). Treatment of db-cAMP significantly increased the rate of blastocysts in X-sperm inseminated oocytes (30.77%) compared to Y-sperm inseminated oocytes treated the same (9.68%) and compared to X- and Y-sperm treated with heparin (5.88% and 15.15%, respectively) and not treated (9.68% and 7.14%, respectively, P<0.05). These results suggest that db-cAMP may prove to be an effective treatment of sorted sperm for in vitro production of female bovine embryos under chemically defined conditions.

El objetivo de este estudio fue mejorar la producción de embriones bovinos con semen sexado bajo condiciones químicamente definidas mediante la suplementación del medio de fecundación con db-cAMP. Los complejos ovocitos cumulus (COCs) fueron madurados por 18 horas en TCM-199 suplementado y fueron fecundados con espermatozoides X o Y en presencia de heparina (10 g/ml), db-cAMP (1 µM) o sin tratamiento alguno (control). Los presuntivos cigotos fueron cultivados por 54 horas en g-SOF. Desde las 72 a las 144 horas post-inseminación (hpi) los embriones se cultivaron en c-SOF+NEA y desde 144 a 192 hpi fueron colocados en medio de maduración pero sin hormonas. No se observaron diferencias entre tratamientos para los oocitos fecundados con espermatozoides Y cuando se compararon a los controles. Se observó una mejora significativa (P<0,01) en la proporción de ovocitos que se dividieron cuando fueron fecundados con espermatozoides X tratados con db-cAMP (70,83%) en comparación con los fecundados con espermatozoides Y tratados con db-cAMP (46,37%). El tratamiento con db-cAMP fue capaz de inducir una mayor (P<0,05) tasa de formación de blastocistos (19.29%) en comparación a los tratamientos control (8,47%) y heparina (10,44%). El tratamiento con db-cAMP incrementó (P<0,05) la tasa de embriones de cuatro células alcanzando el estadio de blastocisto cuando los oocitos fueron fecundados con espermatozoides X (30,77%) en comparación a cuando la fecundación se realizó con espermatozoides Y (9,68%) y en comparación a cuando se llevó a cabo con espermatozoides X o Y en presencia de heparina (5,88% y 15,15%, respectivamente) o en el tratamiento control (9,68% y 7,14%, respectivamente). Estos resultados sugieren, que el db-cAMP puede ser un tratamiento efectivo para el semen sexado, a fin de incrementar la producción in vitro de embriones bovinos hembra bajo condiciones químicamente definidas.

Calves born under tropical conditions after direct transfer of cryopreserved in vitro produced embryos

En el presente estudio se comparó el desempeño de 56 novillas doble propósito que resultaron preñadas luego de la transferencia directa de embriones producidos in vitro cultivados en un medio suplementado con suero o en uno químicamente definido. No se observaron diferencias en las tasas de aborto (30,43% vs 24,24%), distocias (52,17% vs 51,52%) y parto normal (17,39% vs 24,24%) entre las novillas que recibieron embriones cultivados en el medio suplemento con suero y las que recibieron embriones cultivados en el medio químicamente definido. El sexo de la cría afectó significativamente el porcentaje de distocias, 83,33% para machos y 50% para hembras, (P<0,05). El peso al nacimiento de los becerros tampoco se vio afectado (p>0,05) por la suplementación sérica durante el cultivo (46,86 ± 2,04 kg, para los becerros derivados de los embriones cultivados en el medio suplementado con suero y 46,28 ± 1,42 kg, para los derivados de los embriones cultivados en el medio químicamente definido) ni por el sexo de la cría (machos 47,20 ± 1,50 kg y hembras, 45,45 ± 1,84 kg). El peso de los becerros que nacieron muertos o que murieron luego del nacimiento fue significativamente (P< 0,05) mayor (51,92 ± 1,76 kg) al de los becerros que sobrevivieron (43,88 ± 1,22 kg). La sobrevivencia perinatal no se vió afectada ni la suplementación sérica durante el cultivo embrionario, ni por el sexo de los becerros o el nacimiento de un parto distócico. En conclusión, la presencia de suero en el medio de cultivo no afectó el desempeño de las novillas doble propósito que resultaron preñadas luego de la transferencia de embriones producidos in vitro. En este estudio se observó la presencia de becerros con síndrome del recién nacido gigante evidenciado por un alto peso al nacimiento y una alta tasa de abortos y distocias.

Evaluación de la calidad de la atención a la salud mediante indicadores y su estándar / Evaluation of health care though indicators and standards

El objetivo del estudio es analizar críticamente los procesos de la atención a la salud, buscando la mejoría de los mismos con base en indicadores de calidad y a través de una estrategia participativa. Para su realización se conformó un grupo de diferentes categorías representativa de los servicios del hospital, el cual se capacitó y sensibilizó a través de una estrategia educativa de intervención; se analizó el proceso de atención, identificando objetivamente los problemas y proponiendo como mejorarlo a través de indicadores de calidad y su estándar. En general, el personal propuso algunos indicadores comunes; tratar en forma amable a los pacientes, puntualidad al inicio de labores; informar al derechohabiente, disminuir tiempos de espera, y procurar la satisfacción de los usuarios internos y externos. El estudio nos permite destacar a las estrategias participativas como elemento transformador de la cultura laboral, y señalar que se debe romper con los esquemas normativos rígidos, que convierten al trabajador en un receptor pasivo de normas y no le permiten el uso de su inteligencia y creatividad