Participant and caregiver perspectives on health feedback from a healthy lifestyle check.

INTRODUCTION: The usual output following health consultations from paediatric services is a clinical letter to the referring professional or primary care provider, with a copy sent to the patient's caregiver. There is little research on how patients and caregivers perceive the letter content. We aimed to: first understand child, young people and caregiver experiences of and preferences for receiving a health feedback letter about the child/young person's health measures within a healthy lifestyle programme; and second to provide a set of recommendations for designing letters to children, young people and their families within a healthy lifestyle programme. METHODS: This qualitative study, informed by Kaupapa Maori principles, included focus groups of children aged 5-11 years and young people aged 12-18 years who were participants in a healthy lifestyle programme in Taranaki, Aotearoa New Zealand and of their respective caregivers (total n = 47). Discussions were audio-recorded, transcribed and analysed using thematic analysis. FINDINGS: Key themes were identified: letters sometimes acted as 'discourses of disempowerment'-some participants experienced a lack of safety, depersonalisation with medical jargon and 'feeling like a number'. Participants described the need for acknowledgement and affirmation in written communication-health feedback should include validation, choice regarding content, respectful tone and a strengths-based approach to health messages. INTERPRETATION: Letters to referrers, copied to families, can be perceived as disempowering, and participant and caregiver perspectives of content should be considered. This study challenges conventional practice in communicating health feedback with broader implications for written communication in healthcare. We propose separate letters aimed at the child/young person and their caregiver that offer choice in the information they receive. The administrative burden of multiple letters can be mitigated by advances in digital health. PATIENT CONTRIBUTION: This study originated in response to feedback from service users that current health feedback was not meeting their needs or expectations. Patient perspectives, especially from children, are rarely considered in the generation of clinic letters from health professionals. Participants were child participants in the community-based clinical service and their caregivers, and care was taken to represent the demographic backgrounds of service users. Collection and interpretation of Maori data were led by researchers who were local community members to ensure prioritisation and preservation of participant voice. Where possible, results are illustrated in the text by direct quotes from participants, whose identities are protected with a pseudonym.

Pilot investigations into the mechanistic basis for adverse effects of glucocorticoids in dysferlinopathy.

BACKGROUND: Dysferlinopathies are a clinically heterogeneous group of muscular dystrophies caused by gene mutations resulting in deficiency of the membrane-associated protein dysferlin. They manifest post-growth and are characterised by muscle wasting (primarily in the limb and limb-gridle muscles), inflammation, and replacement of myofibres with adipose tissue. The precise pathomechanism for dysferlinopathy is currently unclear; as such there are no treatments currently available. Glucocorticoids (GCs) are widely used to reduce inflammation and treat muscular dystrophies, but when administered to patients with dysferlinopathy, they have unexpected adverse effects, with accelerated loss of muscle strength. METHODS: To investigate the mechanistic basis for the adverse effects of GCs in dysferlinopathy, the potent GC dexamethasone (Dex) was administered for 4-5 weeks (0.5-0.75 µg/mL in drinking water) to dysferlin-deficient BLA/J and normal wild-type (WT) male mice, sampled at 5 (Study 1) or 10 months (Study 2) of age. A wide range of analyses were conducted. Metabolism- and immune-related gene expression was assessed in psoas muscles at both ages and in quadriceps at 10 months of age. For the 10-month-old mice, quadriceps and psoas muscle histology was assessed. Additionally, we investigated the impact of Dex on the predominantly slow and fast-twitch soleus and extensor digitorum longus (EDL) muscles (respectively) in terms of contractile function, myofibre-type composition, and levels of proteins related to contractile function and metabolism, plus glycogen. RESULTS: At both ages, many complement-related genes were highly expressed in BLA/J muscles, and WT mice were generally more responsive to Dex than BLA/J. The effects of Dex on BLA/J mice included (i) increased expression of inflammasome-related genes in muscles (at 5 months) and (ii) exacerbated histopathology of quadriceps and psoas muscles at 10 months. A novel observation was pronounced staining for glycogen in many myofibres of the damaged quadriceps muscles, with large pale vacuolated myofibres, suggesting possible myofibre death by oncosis. CONCLUSION: These pilot studies provide a new focus for further investigation into the adverse effects of GCs on dysferlinopathic muscles.

Information thermodynamics of transition paths between multiple mesostates.

A central concern across the natural sciences is a quantitative understanding of the mechanism governing rare transitions between two metastable states. Recent research has uncovered a fundamental equality between the time-reversal asymmetry of the ensemble of such transition paths and the informativeness of system dynamics about the reactivity of a given trajectory, immediately leading to quantitative criteria for judging the importance of distinct system coordinates for the transition. Here we generalize this framework to multiple mesostates. We find that the main system-wide and coordinate-specific results generalize intuitively, while the combinatorial diversity of pairwise transitions raises new questions and points to new concepts. This work increases the previous framework's generality and applicability and forges connections to enhanced-sampling and coarse-grained dynamical approaches such as milestoning and Markov-state models.

Oxidised Albumin Levels in Plasma and Skeletal Muscle as Biomarkers of Disease Progression and Treatment Efficacy in Dystrophic mdx Mice.

Redox modifications to the plasma protein albumin have the potential to be used as biomarkers of disease progression and treatment efficacy in pathologies associated with inflammation and oxidative stress. One such pathology is Duchenne muscular dystrophy (DMD), a fatal childhood disease characterised by severe muscle wasting. We have previously shown in the mdx mouse model of DMD that plasma albumin thiol oxidation is increased; therefore, the first aim of this paper was to establish that albumin thiol oxidation in plasma reflects levels within mdx muscle tissue. We therefore developed a method to measure tissue albumin thiol oxidation. We show that albumin thiol oxidation was increased in both mdx muscle and plasma, with levels correlated with measures of dystropathology. In dystrophic muscle, albumin content was associated with areas of myonecrosis. The second aim was to test the ability of plasma thiol oxidation to track acute changes in dystropathology: we therefore subjected mdx mice to a single treadmill exercise session (known to increase myonecrosis) and took serial blood samples. This acute exercise caused a transient increase in total plasma albumin oxidation and measures of dystropathology. Together, these data support the use of plasma albumin thiol oxidation as a biomarker to track active myonecrosis in DMD.

Astrocyte expression of aging-associated markers positively correlates with neurodegeneration in the frontal lobe of the rhesus macaque brain.

Introduction: As the population over the age of 65 increases, rates of neurodegenerative disorders and dementias will rise - necessitating further research into the cellular and molecular mechanisms that contribute to brain aging. With the critical importance of astrocytes to neuronal health and functioning, we hypothesized that alterations in astrocyte expression of aging-associated markers p16INK4a (p16) and sirtuin 1 (SIRT1) with age would correlate with increased rates of neurodegeneration, as measured by FluoroJade C (FJC) staining. Methods: To test this hypothesis, 19 rhesus macaques at the Tulane National Primate Research Center were selected based on the following criteria: archival FFPE CNS tissue available to use, no noted neuropathology, and an age range of 5-30 years. Tissues were cut at 5 µm and stained for GFAP, p16, SIRT1, and FJC, followed by whole-slide imaging and HALO® image analysis for percentage of marker-positive cells and relative intensity of each stain. Results: We found the percentage of p16+ cells increases with age in total cells and astrocytes of the frontal (p = 0.0021, p = 0.0012 respectively) and temporal (p = 0.0226, p = 0.0203 respectively) lobes, as well as the relative intensity of p16 staining (frontal lobe: p = 0.0060; temporal lobe: p = 0.0269). For SIRT1, we found no correlation with age except for an increase in the relative intensity of SIRT1 in the temporal lobe (p = 0.0033). There was an increase in neurodegeneration, as measured by the percentage of FJC+ cells in the frontal lobe with age (p = 0.0057), as well as in the relative intensity of FJC staining in the frontal (p = 0.0030) and parietal (p = 0.0481) lobes. Importantly, increased p16 and SIRT1 expression in astrocytes correlated with increasing neurodegeneration in the frontal lobe (p = 0.0009, p = 0.0095 respectively). Discussion: Together, these data suggest that age-associated alterations in astrocytes contribute to neurodegeneration and provide a target for mechanistic studies in the future.

E3 ubiquitin ligase CBLB regulates innate immune responses and bacterial dissemination during nontuberculous mycobacteria infection.

Nontuberculous mycobacteria (NTM) are emerging opportunistic pathogens causing pulmonary infection to fatal disseminated disease. NTM infections are steadily increasing in children and adults, and immune-compromised individuals are at a greater risk of fatal infections. The NTM disease's adverse pathology and resistance to antibiotics have further worsened the therapeutic measures. Innate immune regulators are potential targets for therapeutics to NTM, especially in a T cell-suppressed population, and many ubiquitin ligases modulate pathogenesis and innate immunity during infections, including mycobacterial infections. Here, we investigated the role of an E3 ubiquitin ligase, Casitas B-lineage lymphoma proto-oncogene B (CBLB), in immunocompromised mouse models of NTM infection. We found that CBLB is essential to prevent bacterial growth and dissemination. Cblb deficiency debilitated natural killer cells, inflammatory monocytes, and macrophages in vivo. However, Cblb deficiency in macrophages did not wane its ability to inhibit bacterial growth or production of reactive oxygen species or interferon γ production by natural killer cells in vitro. CBLB restricted NTM growth and dissemination by promoting early granuloma formation in vivo. Our study shows that CBLB bolsters innate immune responses and helps prevent the dissemination of NTM during compromised T cell immunity.

Canine thyroid carcinomas: A review with emphasis on comparing the compact subtype of follicular thyroid carcinomas and medullary thyroid carcinomas.

Canine thyroid carcinomas are relatively common malignant endocrine neoplasms in dogs derived from either thyroid follicular cells (forming follicular thyroid carcinomas) or medullary cells (parafollicular, C-cells; forming medullary thyroid carcinomas). Older and recent clinical studies often fail to discriminate between compact cellular (solid) follicular thyroid carcinomas and medullary thyroid carcinomas, which may skew conclusions. The compact subtype of follicular thyroid carcinomas appears to be the least differentiated subtype of follicular thyroid carcinomas and needs to be differentiated from medullary thyroid carcinomas. This review includes information on the signalment, presentation, etiopathogenesis, classification, histologic and immunohistochemical diagnosis, clinical management, and biochemical and genetic derangements of canine follicular and medullary carcinomas, and their correlates with human medicine.

Discrepancia anteroposterior en registro de relación céntrica con apoyo central intraoral en cubetas rodetes acrílicas (BOPAYACU) e inducción manual en adultos mayores desdentados totales / Anteroposterior discrepancy in centric relation record with intraoral central support in acylic impaction cups (BOPAYACU) and manual induction in edentulous older adults

Objetivo: Comparar la discrepancia anteroposterior medida a nivel de la platina incisiva de 2 métodos de registro intermaxilar en la misma sesión que la im-presión definitiva en adultos mayores desdentados totales. Materiales y métodos. Se incluyeron en el es-tudio 20 pacientes (n=20) con edad promedio de 70 años. En cada uno de ellos se obtuvieron registros intermaxilares con cubetas rodete de acrílico: uno con inducción manual (IM) y otro autoinducido con el sistema de cubeta rodete de acrílico y apoyo central único utilizando una superficie palatina de registro curva (BYC). Los modelos fueron montados en un ar-ticulador Whip Mix modelo 2240 al que se le adicio-nó un dispositivo de papel milimetrado, Orthodent, a nivel de la platina incisiva, para registrar las dife-rencias existentes entre las posiciones obtenidas. El análisis estadístico se llevó a cabo mediante el cálcu-lo de intervalos de confianza (95%) para las diferen-cias medias y prueba de t de student para datos apa-reados (nivel de significancia: α<0,05). Resultados. En el plano mesiodistal a nivel de la platina incisiva se encontró diferencia estadísticamente significativa entre las dos variables de registro (p<0,001). A este nivel el BYC proporcionó registros más retrusivos que IM. Media aritmética (desviaciones estándar) en milímetros: 3,82 (2,1). Conclusión. El sistema de re-gistro con cubetas rodete acrílicas y BYC incorpora-do a las mismas proporciona un registro intermaxi-lar más retrusivo que IM en adultos mayores des-dentados totales cuando se realizan dichos registros en la misma sesión que la impresión definitiva (AU)

Objective: To compare the anteroposterior discre-pancy measured at the level of the incisal plate of 2 methods of intermaxillary registration in the same session as the definitive impression in fully edentu-lous older adults. Materials and methods. Twenty pa-tients (n=20) with an average age of 70 years were included in the study. On each of them, intermaxillary recordings were obtained with acrylic rims trays: one with manual induction (MI) and the other with a self-induced system and single central support using a curved recording palatal surface (BYC). The models were mounted in a Whip Mix model 2240 articula-tor to which an Orthodent graph paper device was added, at the level of the incisal plate, to record the di-fferences between the positions obtained. Statistical analysis was carried out by calculating confidence intervals (95%) for mean differences and T-student for paired data (significance level: α<0.05). Results. On the mesiodistal plane at the level of the incisal plate, a statistically significant difference was found between the two recording variables (p<0.001). At this level the BYC provided more retrusive recordings than MI. Arithmetic mean (standard deviations) in mi-llimeters: 3.82 (2.1). Conclusions. The registration system with acrylic rim trays and BYC incorporated into them provides a more retrusive intermaxillary registration than MI in fully edentulous older adults when such registrations are made in the same ses-sion as the final impression.(AU)

Qualidade da carne de frangos da linhagem Label Rouge suplementados com minerais biocomplexados e criados em sistema alternativo / [Meat quality of Label Rouge lineage chicken supplemented with biocomplexed minerals and reared in an alternative system]

Objetivou-se avaliar a influência da suplementação com minerais biocomplexados sobre a qualidade da carne de frangos da linhagem Label Rouge, de ambos os sexos, criados em sistema alternativo. O delineamento experimental foi inteiramente ao acaso (DIC), disposto em esquema fatorial (3x2), sendo três dietas (controle; 0,50ppm de selênio; 0,40ppm de cromo) e dois sexos. Para a estabilidade lipídica, foi utilizado o DIC, disposto em esquema fatorial (3x2x2), sendo três dietas, dois sexos e dois tempos de armazenamento (zero e 12 meses). Os parâmetros avaliados no peito e na coxa foram: pH final, cor (L* - luminosidade, a* - índice de vermelho, b* - índice de amarelo, C* - índice de saturação e h* - ângulo de tonalidade), perda de peso por cozimento (PPC), força de cisalhamento (FC) e estabilidade lipídica. Além disso, foram avaliadas a proporção das formas químicas da mioglobina da coxa e a quantificação do conteúdo de selênio no peito. Não houve efeito isolado da dieta sobre os parâmetros físicos e químicos do peito e da coxa e sobre a concentração de selênio no peito. As fêmeas apresentaram médias superiores de L* (57,57), b* (10,55) e C* (10,60) do peito; e os machos de L* (55,09) da coxa. Entre os machos, as aves alimentadas com a dieta controle e com cromo expressaram valores superiores de FC da coxa em relação às suplementadas com selênio; para o tratamento com cromo, os machos apresentaram média superior de FC da coxa e, em contrapartida, para o tratamento com selênio, as fêmeas manifestaram a maior média. As amostras submetidas ao período de 12 meses de armazenamento mostraram maiores valores de substâncias reativas ao ácido tiobarbitúrico (TBARS) em ambos os cortes. A suplementação com cromo e selênio biocomplexados não provocou alterações na qualidade da carne; as fêmeas demonstraram melhores atributos de qualidade da carne.(AU)

The objective of the present study was to evaluate the influence of the supplementation with biocomplexed minerals on the quality of the meat of label Rouge lineage chicken, of both genders, reared in an alternative system. The experimental design was completely randomized (CRD) in a factorial scheme (3x2), with three diets (control; 0.50ppm of selenium; 0.40ppm of chromium) and two genders. For lipid stability, the CRD arranged in a factorial scheme (3x2x2) was used, being three diets, two genders and two storage times (0 and 12 months). The parameters evaluated in the breast and in the thigh were: final pH, color (L* - luminosity, a* - red index, b* - yellow index, C* - saturation index and h* - tonality angle), weight loss per cooking (WLC), shear force (SF) and lipid stability. In addition, we evaluated the proportion of chemical forms of myoglobin of the thigh and the quantification of selenium content in the breast. There was no isolated effect of diet on the physical and chemical parameters of the breast and thigh and selenium concentration in the breast. Females had higher mean values of L* (57.57), b* (10.55) and C* (10.60) of the breast; and males of L* (55.09) of the thigh. Among males, poultry fed with the control diet and chromium showed higher SF values of the thigh than those supplemented with selenium; for the treatment with chromium, the males presented superior average of SF of the thigh and, in contrast, for the treatment with selenium, the females had the highest average. Samples submitted to the period of 12-month of storage showed higher values of substances reactive to thiobarbituric acid (TBARS) in both cuts. Supplementation with biocomplexed chromium and selenium did not cause changes in meat quality; females presented better attributes of meat quality.(AU)

Synthetic pigments for Japanese quail fed diets with sorghum / Pigmentantes sintéticos para codornas japonesas alimentadas com rações à base de sorgo

Corn is the major energy ingredient in diets, and many ingredients have been tested aiming to replace it. In this regard, sorghum stands out for its chemical profile similar to that of corn. However, because it is low in carotenoids, its inclusion in diets reduces the egg yolk color pigmentation, which can be corrected by the addition of synthetic pigments. This study aimed to evaluate the performance and egg quality of Japanese quail (Coturnix japonica) supplemented with red (canthaxanthin) and yellow (apo-ester 10%) synthetic pigments. A total of 150 quail at 70 days of age were distributed according to the experimental diet [R1: corn-based control diet (DC); R2: sorghum-based diet (DS); R3: DS + yellow; R4: DS + yellow + red; and R5: DS + red] with six replications and five birds per experimental unit, for 28 days. Performance, egg quality, yolk color, and feed cost characteristics were evaluated. Regression equations were estimated for the effects of color as a function of periods, and treatment means were compared by Tukey's test at 0.05 probability. There was no significant effect (P>0.05) of additives on the quail productive traits. However, addition of synthetic pigments significantly improved the chromatic profile of the yolks (P<0.05). Inclusion of synthetic pigments improves yolk color, but should be evaluated according to market demands.(AU)

O milho é o principal ingrediente energético nas rações. A fim de substituí-lo, vários ingredientes foram testados. Nesse sentido, destaca-se o sorgo, pois apresenta perfil bromatológico semelhante ao do milho. No entanto, por ser deficiente em carotenoides, sua inclusão na ração reduz a pigmentação da gema do ovo, o que pode ser corrigido por meio da adição de pigmentos sintéticos. Objetivou-se, com este estudo, avaliar o desempenho zootécnico e a qualidade dos ovos de codornas japonesas (Coturnix japonica) suplementadas com os pigmentantes sintéticos vermelho (cantaxantina) e amarelo (apoéster 10%). Foram utilizadas 150 codornas japonesas com 70 dias de idade, distribuídas de acordo com a ração experimental (R1: ração referência à base de milho; R2: ração à base de sorgo (RS); R3: RS + amarelo; R4: RS + amarelo + vermelho; R5: RS + vermelho), com seis repetições e cinco aves por unidade experimental, durante 28 dias. Foram avaliadas as características de desempenho, qualidade dos ovos, cor da gema e custo das rações. Equações de regressão dos efeitos da cor em função dos períodos foram estimadas, e as médias de tratamento foram comparadas pelo teste de Tukey com 0,05 de probabilidade. Não houve efeito significativo (P>0,05) dos aditivos sobre as características produtivas das codornas. Entretanto, a adição de pigmentantes sintéticos melhorou significativamente o perfil cromático das gemas dos ovos de codornas (P<0,05). A inclusão de pigmentantes sintéticos melhora a cor das gemas, porém deve ser avaliada de acordo com as exigências de mercado.(AU)

Avaliação da correção da energia pelo balanço de nitrogênio em alimentos para frangos de corte / Evaluation of the energy correction for nitrogen balance in feed for broiler chickens

Com o objetivo de determinar valores de energia metabolizável aparente e de energia metabolizável aparente corrigida pelo balanço de nitrogênio de alimentos para frangos de corte, bem como avaliar os efeitos da correção da energia sobre seu desempenho, foram conduzidos dois experimentos: I) determinação da energia do milho, do farelo de soja, da farinha de carne e ossos, da farinha de vísceras e da farinha de penas, pelo método de coleta total de excretas, utilizando-se 450 pintos de corte com um dia de idade, distribuídos em delineamento inteiramente ao acaso, sendo seis tratamentos e cinco repetições; II) desempenho de 960 frangos de corte, distribuídos ao acaso, em cinco tratamentos e seis repetições. As aves que receberam os tratamentos A (matriz energética de acordo com Rostagno et al. (2011)) e E (energia sem correção com ajuste pela idade) apresentaram melhor desempenho, e as aves do tratamento E tiveram melhor conversão alimentar. Portanto, formulações com energia sem correção pelo balanço de nitrogênio e ajustadas pela idade são viáveis tanto sob o ponto de vista zootécnico, quanto econômico.

In order to determine apparent metabolizable energy and apparent metabolizable energy corrected by nitrogen balance of feed ingredients and to evaluate the effects of this correction on performance of broiler chickens, two experiments were conducted: I) energy determination of corn, soybean meal, meat and bone meal, poultry by-products meal and feather meal by total excreta collection method, using 450 chicks randomly distributed in 30 cages, with 6 treatments and 5 replications; II) performance of 960 broilers, distributed in a completely randomized design, with 5 treatments and 6 replications. Birds that received treatments A (energy matrix from literature) and E (energy without correction adjusted by age) showed better performance with the best feed cost, and treatment E had smaller feed conversion ratio. Therefore, the use of formulations based on metabolizable energy adjusted for age and without correction by nitrogen balance is feasible, both from a zootechnical and economic point of view.

Occult hepatitis B virus infection in liver transplant patients in a Brazilian referral center

Estimates of occult hepatitis B virus (HBV) infection prevalence varies among different studies depending on the prevalence of HBV infection in the study population and on the sensitivity of the assay used to detect HBV DNA. We investigated the prevalence of occult HBV infection in cirrhotic patients undergoing liver transplantation in a Brazilian referral center. Frozen liver samples from 68 adults were analyzed using a nested polymerase chain reaction assay for HBV DNA. The specificity of the amplified HBV sequences was confirmed by direct sequencing of the amplicons. The patient population comprised 49 (72.1%) males and 19 (27.9%) females with a median age of 53 years (range=18-67 years). Occult HBV infection was diagnosed in three (4.4%) patients. The etiologies of the underlying chronic liver disease in these cases were alcohol abuse, HBV infection, and cryptogenic cirrhosis. Two of the patients with cryptic HBV infection also presented hepatocellular carcinoma. Markers of previous HBV infection were available in two patients with occult HBV infection and were negative in both. In conclusion, using a sensitive nested polymerase chain reaction assay to detect HBV DNA in frozen liver tissue, we found a low prevalence of occult HBV infection in cirrhotic patients undergoing liver transplant, probably due to the low prevalence of HBV infection in our population.

Histopathological and immunohistochemical findings of primary and metastatic medullary thyroid carcinoma in a young dog

This report describes the gross, histological, and immunohistochemical features of medullary thyroid carcinoma (MTC) with pulmonary metastases in a young dog. Sheets of pleomorphic cells supported by fibrous stroma characterized the primary mass, while metastatic nodules had a neuroendocrine pattern. Despite differing histologic features, all masses showed marked immunoreactivity against calcitonin and multiple neuroendocrine markers consistent with MTC. Although MTC is a well-recognized entity, it may be difficult to distinguish this mass from other thyroid neoplasms, necessitating immunohistochemical characterization.

Efeitos do momento de transferência dos ovos para o nascedouro e da idade da matriz pesada sobre o rendimento de incubação / Effects of the moment of egg transfer to the hatcher and broiler breeder age on the incubation yield

Foram avaliados os efeitos do momento de transferência dos ovos da incubadora para o nascedouro e da idade da matriz pesada sobre o rendimento de incubação. Os tratamentos foram definidos pela idade das matrizes Cobb®, sendo considerados ovos de matrizes novas (33 semanas) e ovos de matrizes velhas (63 semanas), e pelos momentos de transferência da câmara de incubação para os nascedouros (aos 15, 17 e 19 dias). O delineamento experimental foi inteiramente ao acaso em parcelas subdivididas, sendo o fator da parcela os três momentos das transferências e as subparcelas as duas idades das matrizes, com 18 repetições por tratamento. A bandeja com 96 ovos foi considerada a repetição, totalizando 1.728 ovos para cada tratamento. Ovos de matrizes velhas são mais pesados, perdem mais peso durante a incubação e têm percentual de fertilidade menor (P<0,05), qualquer que seja o momento de transferência dos ovos. Independentemente da idade das matrizes, a transferência dos ovos da incubadora para o nascedouro aos 15, 17 ou 19 dias de incubação não interfere na mortalidade embrionária, eclodibilidade e peso dos pintos ao nascimento. É possível adaptar o manejo de transferência à necessidade logística do incubatório ou reduzir o período dos ovos na máquina de incubação para aumentar o fluxo de produção, sem prejuízo ao rendimento de incubação.

We evaluated the effects of the moment of egg transfer to the hatcher and broiler breeder age on the incubation yield. The treatments were defined by Cobb ® broiler breeder age, separating young breeders (33 weeks old) from older breeders (63 weeks old) and the moment of transfer from incubation chamber to the hatcher (at 15, 17 and 19 days). The experimental design was completely randomized split plot. The plots factor was the three times of transfers and the subplots the two breeder ages, with 18 replicates per treatment. A tray of 96 eggs was considered replay, totaling 1728 eggs for each treatment. Eggs from older breeders are heavier, lose more weight during incubation and fertility rate is lower (p<0.05), regardless of the moments of eggs transfer. Regardless of the breeder age, the transfer of eggs from the incubator to the hatcher at 15, 17 or 19 days of incubation does not interfere in embryonic mortality, hatchability and chick weight at hatch. You can adapt the transfer management to the logistic needs of the hatchery or reduce the period of egg incubation in the machine to increase the flow of production with no losses in incubation yield.

Suplementação de colina em dietas para frangos de corte machos em fase de crescimento / Choline supplementation in diets for male broilers in the growing phase

Avaliaram-se os efeitos dos níveis de suplementação de colina em dietas para frangos de corte, de 22 a 40 dias de idade, sobre o desempenho, a composição de carcaças e fígados, bem como as características macroscópicas e histopatológicas dos fígados. O período de criação foi de um a 40 dias de idade, sendo que o período experimental foi de 22 a 40 dias de idade. Até o 21º dia de idade, todas as aves receberam a mesma ração à qual foram adicionados 400mg colina/kg. No 22º dia, os frangos foram distribuídos em cinco tratamentos, nos quais os níveis testados de suplementação de colina foram: zero, 400, 800, 1.200 e 1.600mg/kg, com seis repetições de 30 aves cada. As rações experimentais, formuladas à base de milho, farelo de soja e farinha de carne/ossos, foram isonutritivas, com exceção dos níveis de colina. O delineamento experimental foi o inteiramente ao acaso, e a estimativa da suplementação de colina foi avaliada pelos modelos de regressão. Os níveis de suplementação de colina apresentaram efeito linear pelo teste F (P<0,05) para o consumo de ração. Os demais parâmetros avaliados não sofreram influência da suplementação (P>0,05). O nível de 1.600mg colina/kg de ração resulta em maior consumo de ração de frangos de corte aos 40 dias de idade.

The effects of choline supplemental levels were evaluated in diets for broilers on performance, carcass and liver composition and liver histopathology characteristics from 22 to 40 days-old. The period of creation was one to 40 days of age, and the experimental period was 22 to 40 days-old. Until 21 days of age all birds received the same diet added to 400mg choline/kg. On day 22, broilers were allotted to five treatments (zero, 400, 800, 1200 and 1600 mg/kg), with six repetitions of 30 birds each. The experimental diets formulated based on corn, soybean meal and meat/bones meal were isonutritive, except for the choline levels. The experimental design was completely randomized and the estimation of choline supplementation was evaluated by regression models. The levels of choline supplementation showed a significant linear effect for the F test (P<0.05) for feed intake. The other evaluated parameters were not influenced by supplementation (P>0.05). The supplementation of 1600mg choline/kg in the diet results in higher feed intake of broilers at 40 days old.

Coronariografía mediante tomografía computarizada con sincronización prospectiva. Comparación de la calidad de imagen y dosis de radiación con equipos de 128 detectores de fuente única y doble fuente / Coronary CT angiography using a prospective protocol. Comparison of image quality and radiation dose between dual source CT and single source CT

Objetivo. Comparar la calidad de imagen y la dosis de radiación de un grupo de pacientes a los que se les realizó una coronariografía mediante tomografía computarizada helicoidal de doble fuente (TCDF) de 128 cortes con pitch alto y adquisición prospectiva, con la calidad de imagen y la dosis de radiación de un grupo de pacientes con similares características clínicas a los que se les realizó una coronariografía por tomografía computarizada de fuente única (TCFU) de 128 cortes con adquisición secuencial prospectiva. Material y métodos. Se incluyeron 80 pacientes con una frecuencia cardíaca <= 65 lat/min: a 40 de ellos se les realizó una tomografía computarizada (TC) secuencial de fuente única de 128 cortes y sincronización prospectiva, y a los 40 restantes se les realizó una TC helicoidal de doble fuente de 128 cortes, con pitch alto y sincronización prospectiva. Dos radiólogos evaluaron de manera independiente la calidad de imagen de las arterias coronarias de 80 estudios de coronariografía por TC (CTC) empleando una escala de 1 a 4 (en la que 1 es imagen de excelente calidad y 4 calidad deficiente). También se calculó la dosis de radiación efectiva. Resultados. Ambos grupos presentaban características clínicas similares. La calidad de imagen del grupo de TCDF fue significativamente mayor que la del grupo de TCFU (p = 0,006). La dosis media de radiación efectiva del grupo de TCDF fue significativamente más baja que la del grupo de TCFU (1,4 ± 0,6 mSv frente a 2,2 ± 0,9 mSv; p < 0,01), lo que representa una reducción de dosis del 36% en el primer grupo. Conclusión. Aunque tanto la TC secuencial de fuente única de 128 cortes con adquisición prospectiva como la TC helicoidal de doble fuente de 128 cortes con pitch alto y adquisición prospectiva presentan una calidad de imagen alta con dosis de radiación efectiva bajas, la TC helicoidal de doble fuente de 128 cortes y adquisición prospectiva proporciona una mejor calidad de imagen y una dosis de radiación efectiva menor (AU)

Objective. To compare the image quality and radiation dose in a group of patients undergoing coronary CT angiography using a 128-slice dual source helical CT scanner with high pitch alto and prospective acquisition with those in a group of patients with similar clinical characteristics undergoing coronary CT angiography using a 128-slice single-source CT scanner with prospective sequential acquisition. Material and methods. We included 80 patients with heart rates <=65 beats/min: 40 underwent sequential 128-slice single source CT with prospective synchronization and the other 40 underwent 128-slice dual source helical CT with high pitch and prospective synchronization. Two radiologists independently assessed the quality of the images of the coronary arteries on the 80 coronary CT angiograms: image quality was classified on a four-point scale in which 1 represented excellent and 4 deficient. The effective dose of radiation was also calculated. Results. The clinical characteristics of the patients in the two groups were similar. The image quality obtained with dual source CT was significantly better than that obtained with single source CT (P=0.006). The mean effective dose of radiation in the group undergoing dual source CT was 36% lower than in the group undergoing single source CT (1.4±0.6 mSv vs. 2.2±0.9 mSv; P<0.01). Conclusion. Although both sequential 128-slice single source CT with prospective acquisition and 128-slice dual source helical CT with high pitch and prospective acquisition provide good image quality and low effective doses of radiation, 128-slice dual source helical CT with prospective acquisition provides better image quality and results in a lower effective dose of radiation (AU)

Efeitos da suplementação de colina sobre o desempenho de poedeiras comerciais / The effects of choline supplementation on the performance of laying hens

Os efeitos da suplementação de colina em dietas para poedeiras (Dekalb White) foram avaliados nas fases de cria/recria e de postura. O delineamento foi em esquema fatorial 2x5 (duas suplementações de colina de uma a 16 semanas de idade x cinco níveis de colina suplementada de 18 a 44 semanas de idade). Os níveis de colina utilizados foram 0, 200, 400, 600 e 800mg/kg para cada grupo. A suplementação de colina em frangas com uma a 16 semanas de idade não afeta o desempenho nem as características macroscópicas e histopatológicas dos fígados durante essa fase. Os efeitos dos níveis de suplementação de colina sobre o desempenho das galinhas na fase de postura dependem da suplementação ou não dessa vitamina nas fases de cria/recria; ou seja, as aves que recebem suplemento de colina nessas fases apresentam maior exigência no período de postura.

The effects of choline supplementation in diets for laying hens (Dekalb White) were evaluated from 1 to 44 weeks-old. The experimental design was a 2x5 factorial arrangement (two choline supplementations from one to 16 weeks of age - with and without choline supplementation vs. five levels of choline supplementation from 18 to 44 weeks old. The choline level used in the diet for each group was 0, 200, 400, 600 and 800mg/kg). Choline supplementation used in birds with 1 to 16 weeks of age does not affect the performance of pullets and no gross and histological changes were observed in the liver during this phase. The effects of the choline supplementation levels in the laying phase on the hens' performance depend on the supplementation with this vitamin from 1 to 16 weeks old. The results of the experiment showed that birds reared for laying need a higher level of choline supplementation from 1 to 16 weeks old or birds reared for laying receiving higher levels of choline supplementation during 1 to 16 weeks old will need a higher level of choline supplementation in the laying phase.

Efecto de la estacionalidad sobre el estado nutricional de Hierro, Zinc y Cobre / Effect of seasonality on nutritional status of Iron, Zinc and Copper

Food consumption and therefore the nutritional status of micro-nutrients are influenced by various factors such as seasonality. This study aimed to determine the effect of seasonality on the nutritional status of Fe, Zn and Cu in adult subjects. A longitudinal study was conducted during the months of September 2005 and August 2006. Fifty subjects of both sexes belonging to the urban area of the city of Santiago de Chile were evaluated. Blood samples were drawn during the first week of each month; serum iron, copper and zinc, hemoglobin, mean cell volume, serum ferritin, zinc-protophorphyrin and ceruloplasmin were determined. Serum copper and zinc levels showed significant seasonal variations but not serum iron. Mean cell volume, hemoglobin and ceruloplasmins were significantly lower during spring and summer while serum ferritin and zinc-protophorphyrin showed lower concentrations during autumn and winter. We conclude that during the spring and summer levels of serum iron, copper and zinc could be diminished by reduced food intake.

El consumo de alimentos y por lo tanto el estado de nutrición de los micronutrientes está condicionado por diferentes factores como la estacionalidad. El presente estudio tuvo como objetivo determinar el efecto de la estacionalidad sobre el estado nutricional de hierro, zinc y cobre de sujetos adultos habitantes de la ciudad de Santiago de Chile. Un estudio longitudinal en 50 sujetos de ambos sexos se realizó entre los meses de septiembre del 2005 y agosto del 2006. Durante la primera semana de cada mes se extrajo muestras de sangre para la determinación de hierro, zinc y cobre sérico, hemoglobina, volumen corpuscular medio, ferritina sérica zinc-protoporfirina y ceruloplasmina. Los niveles de cobre, zinc, hemoglobina, volumen corpuscular medio, y ceruloplasmina fueron significativamente menores durante primavera y verano mientras ferritina sérica y zinc-protoporfirina presentaron niveles más bajas durante otoño e invierno. Concluimos que la estacionalidad es un factor a considerar cuando se realicen mediciones de estado de nutrición de los microminerales hierro, zinc y cobre.

Efeito do armazenamento e da cantaxantina dietética sobre a qualidade do ovo fértil e o desenvolvimento embrionário / The effect of storage and dietary canthaxanthin on fertile egg quality and embryonic development

O presente experimento foi conduzido em lote de matrizes Cobb desde 46 até 60 semanas de idade. Os tratamentos foram definidos pelas dietas (com e sem adição de 6ppm de cantaxantina na dieta das matrizes) e pelos períodos de armazenamento dos ovos (três e sete dias), em delineamento inteiramente ao acaso, em arranjo fatorial 2x2 (duas dietas x dois períodos de armazenamento). A cantaxantina dietética elevou o escore de cor da gema de sete para 14. O armazenamento dos ovos por sete dias prejudicou a qualidade dos ovos, promoveu oxidação de ácidos graxos da gema e retardou o desenvolvimento embrionário.

This trial was done with Cobb broiler breeders. Treatments were defined by the diets (with and without 6ppm canthaxanthin added to broiler breeder diets) and periods of egg storage (three and seven days) in a completely randomized factorial 2 x 2 design (two diets x two periods of egg storage). The dietary canthaxanthin increased the yolk color score from 7 to 14. Egg storage for seven days reduced egg quality, promoted oxidation of yolk fatty acids and delayed embryonic development.

Relationship between mortality and first-day events index from routinely gathered physiological variables in ICU patients

Objective: To test the hypothesis that the degree and duration of alterations in physiological variables routinely gathered by intensive care unit (ICU) monitoring systems during the first day of admission to the ICU, together with a few additional routinely recorded data, yield information similar to that obtained by traditional mortality prediction systems. Design: A prospective observational multicenter study (EURICUS II) was carried out. Setting: Fifty-five European ICUs. Patients: A total of 17,598 consecutive patients admitted to the ICU over a 10-month period. Interventions: None. Main variables of interest: Hourly data were manually gathered on alterations or "events" in systolic blood pressure, heart rate and oxygen saturation throughout ICU stay to construct an events index and mortality prediction models. Results: The mean first-day events index was 6.37±10.47 points, and was significantly associated to mortality (p: <0.001), with a discrimination capacity for hospital mortality of 0.666 (area under the ROC curve). A second index included this first-day events index, age, pre-admission location, and the Glasgow coma score. A model constructed with this second index plus diagnosis upon admission was validated by using the Jackknife method (Hosmer-Lemeshow,H: =13.8554, insignificant); the area under ROC curve was 0.818. Conclusions: A prognostic index with performance very similar to that of habitual systems can be constructed from routine ICU data with only a few patient characteristics. These results may serve as a guide for the possible automated construction of ICU prognostic indexes (AU)

Objetivo: Comprobar si el grado y duración de las alteraciones en las variables fisiológicas recogidas en la monitorización rutinaria en UCI durante el primer día de estancia, junto con pocos datos adicionales, proporcionan información similar a la obtenida con los sistemas tradicionales de predicción de mortalidad. Diseño: Estudio observacional, prospectivo y multicéntrico (EURICUS-II). Ámbito: 55 UCIs de Europa. Pacientes: 17.598 pacientes consecutivos, ingresados durante 10 meses. Intervenciones: ninguna. Variables de interés principales: se recogieron manualmente datos horarios sobre alteraciones o "eventos" en la presión arterial sistólica, frecuencia cardiaca y saturación de oxígeno, para construir un índice basado en estos eventos y un modelo de predicción de mortalidad. Resultados: El índice de eventos el primer día fue 6,37±10,47 puntos y se asoció significativamente con la mortalidad (p<0,001), con una capacidad de discriminación (área bajo la curva ROC) para la mortalidad de 0.666. Se construyó un segundo índice que incluye este índice de eventos en el primer día, la edad, procedencia del ingreso y puntuación de la Escala de Coma de Glasgow. Un modelo construido con este segundo índice más el diagnóstico fue validado mediante el método jackknife (Hosmer-Lemeshow, H=13.8554, no significativo), con un área bajo la curva ROC de 0,818. Conclusiones: Se puede construir un índice pronóstico con rendimiento similar al de los sistemas habituales a partir de los datos de monitorización de los pacientes en la UCI junto a escasas características del paciente. Nuestros resultados pueden servir de guía para la posible construcción automatizada de índices pronósticos (AU)