Feeding value of whole raw soya beans as a protein supplement for beef cattle consuming low-quality forages.

Experiments (Exp) I and II were conducted to compare raw whole soya beans (WSB), roasted (rWSB) or other protein sources as supplements of low-quality forages fed ad libitum to beef cattle, upon DM intake (DMI), ruminal and blood parameters, and animal performance. Exp I: treatments for wheat straw fed to four ruminally cannulated steers were (i) Control-WS: no supplement; (ii) WSB-WS: whole soya beans; (iii) rWSB-WS: roasted WSB; and (iv) SBM-WS: soybean meal-wheat midds mixture; all fed at 1.4 kg DM/day. Exp II: 12 steers grazed deferred grain sorghum (DS) receiving these treatments: (i) Control-DS: no supplement; (ii) WSB-DS: 1.26 kg DM/day whole soya beans; and (iii) SFM-DS: 1.35 kg DM/day of sunflower meal. In Exp I, WS DMI resulted 47, 52 and 41% greater for WSB-WS, rWSB-WS and SBM-WS, respectively, than Control-WS (p < .05). In Exp II, the DMI of DS was unaffected by supplementation; a substitution of DS by supplement was found for WSB-DS (p < .05); however, total diet and digestible DMI increased with supplementation (p < .05). Rumen pH in Exp I remained unaffected by supplementation, but N-NH3 as well as blood urea-N in Exp II increased (p < .05). In Exp II, average daily weight gains improved similarly with both supplements compared with Control-DS. Additionally, feed-to-gain ratio decreased (p < .05), being lower for WSB-DS (8.3) vs. SFM-DS (9.9). Roasting effects of WSB as a supplement for low-quality forages were not detected, and all protein sources increased total diet DMI and forage utilization. Only moderate cattle weight gains could be expected for unsupplemented DS.

Periodic protein adsorption at the gold/biotin aqueous solution interface: evidence of kinetics with time delay.

An oscillatory molecular adsorption pattern of the protein neutravidin from aqueous solution onto gold, in presence of a pre-deposited self assembled mono-molecular biotin film, is reported. Real time surface Plasmon resonance sensing was utilized for evaluation of the adsorption kinetics. Two different fractions were identified: in the initial phase, protein molecules attach irreversibly onto the Biotin ligands beneath towards the jamming limit, forming a neutravidin-biotin fraction. Afterwards, the growth rate exhibits distinct, albeit damped adsorption-desorption oscillations over an extended time span, assigned to a quasi reversibly bound fraction. These findings agree with, and firstly confirm a previously published model, proposing macro-molecular adsorption with time delay. The non-linear dynamic model is applicable to and also resembles non-damped oscillatory binding features of the hetero-catalytic oxidation of carbon monoxide molecules on platinum in the gas phase. An associated surface residence time can be linked to the dynamics and time scale required for self-organization.

Lupus nephritis in Latin American patients: 10-year results from a single medical center in Argentina.

INTRODUCTION: Several studies have shown that Hispanic patients generally experience a worse renal prognosis than non-Hispanic white patients with lupus. To date, there is no report on American College of Rheumatology (ACR) renal response criteria (ACR-RRC) in patients from Latin America. OBJECTIVE: To evaluate treatment response in patients with proliferative and membranous lupus nephritis (LN) according to ACR-RRC. METHODS: A retrospective study (2001-2011) was performed in our hospital and the data collected included clinical information, renal assessment and immunological parameters. Details related to treatment received during induction and maintenance therapy were also recorded. RESULTS: The study included forty-three Latin American patients (37 women) from Argentina. Mean follow-up was 54 months. The regimen used for induction therapy included intravenous cyclophosphamide (IV-CYC) for six months in 36 patients and only seven received mycophenolate mofetil (MMF) given twice daily for a total dose of 2.5 ± 0.5 grams a day. For the maintenance period, six patients continued with quarterly IV-CYC, 20 patients received MMF (1.5 ± 0.5 grams a day) and 17 patients received azathioprine (AZA) 1.5 - 2 mg/kg/day. ACR-RRC observed after induction therapy was complete response in 19%, partial response in 9%, improvement in 42%, unchanged in 14%, and 16% had deterioration despite treatment. ACR-RRC observed after maintenance therapy was complete response in 30%, partial response in 23%, improvement in 19%, unchanged in 16%, and 12% had deterioration. Relapse was observed in 11 patients (25%). Ten out of 11 cases (91%) who relapsed did not achieve a complete response at the end of the induction therapy. CONCLUSION: In Latin American patients from Argentina, only 19% could achieve a complete response after induction therapy and 30% achieved a complete response after maintenance therapy. Failing to obtain a complete response after induction therapy was related to an increased risk of relapse during long-term follow-up in our study.

Frecuencia de úlceras digitales en esclerodermia / Digital ulcers frequency in scleroderma

Nuestro objetivo fue describir la frecuencia de úlceras digitales en una población de pacientes con Esclerosis Sistémica y comparar las características clínicas de los que desarrollaron úlceras de los que no lo hicieron. Se incluyeron en forma retrospectiva pacientes que cumplían criterios ACR para Esclerosis Sistémica. Se recolectaron datos demográficos, clínicos y serológicos de las historias clínicas. Se clasificó a los pacientes en dos grupos: un Grupo A con úlceras digitales y Grupo B aquellos pacientes sin antecedentes de úlceras digitales. Se compararon ambos grupos. Se estudiaron 60 pacientes con diagnóstico de Esclerosis Sistémica, 33% subtipo difuso, edad promedio al diagnóstico de 50,75 ± 14,75 años, el 15% (9 pacientes) eran de sexo masculino. La frecuencia de úlceras digitales fue de 33,33% (n=20). Los pacientes del grupo A eran más jóvenes al momento del diagnóstico (p=0,03) y tenían más tiempo de evolución de la enfermedad (pNS). En este grupo, fue más frecuente la forma difusa (p=0,002) y el fenómeno de Raynaud se inició a edades más precoces (p=0,006). Los pacientes del grupo A presentaron menor capacidad funcional, medida por HAQ score, y mayor frecuencia de patente tardía en la capilaroscopia, aunque no fue estadísticamente significativo. La totalidad de los pacientes de género masculino (n=9) tuvieron úlceras digitales (p <0,0001).Conclusión: El desarrollo de úlceras digitales en nuestro estudio se asoció a inicio más precoz de la enfermedad, a sexo masculino, a la forma difusa y a inicio más temprano de fenómeno de Raynaud.

The aim of this study was to describe digital ulcer frequency ina patient population with Systemic Sclerosis and to compare theclinical features of those who developed ulcers with those who didnot. Retrospectively, patients meeting ACR criteria for SystemicSclerosis were included. Demographic, clinical, and serologicalinformation was obtained from medical records. Patients wereclassified into two groups: Group A comprised patients with digitalulcers, while Group B included patients with no digital ulcers ontheir records. Findings for both groups were compared. We studied60 patients diagnosed with Systemic Sclerosis, 33% with diffusecutaneous subset, the mean age at the time of diagnosis was 50.75± 14.75 years, 15% (9 patients) were males. The frequency of digitalulcers was 33.33% (n=20). Group A patients were younger at thetime of diagnosis (p=0.03) and had longer time of evolution (pNS).The diffuse variant was more frequent in this group (p=0.002) andRaynaud’s phenomenon onset occurred at earlier ages (p=0.006).All male patients (n=9) entered into the study had digital ulcers (p<0.0001).Conclusions: In our study, development of digital ulcers wasassociated with an earlier onset of disease, males, diffuse subsetand an earlier onset of Raynaud’s phenomenon.

Concordancia de los nuevos criterios ACR/EULAR y los ACR 1980 para la clasificación de la esclerosis sistémica / Concordance of the new ACR/EULAR criteria and the ACR 1980 for the classification of systemic sclerosis

Objetivo: Evaluar cumplimiento, y así mismo concordancia y discordancia de los criterios de clasificación de Esclerosis Sistémica (ES) ACR/EULAR 2013 y ACR 1980 en pacientes con diagnóstico clínico de la enfermedad. Método: Se incluyeron 169 pacientes con diagnóstico de Esclerosis Sistémica. Resultados: El 72,2 por ciento cumplía los criterios ACR 1980, y el 99,4 por ciento (168 pacientes) cumplía los criterios ACR/EULAR 2013. La concordancia absoluta de toda la muestra fue 72,7 por ciento, para el subtipo limitado 35,2 por ciento, y 100 por ciento el difuso. Se subanalizaron los pacientes con limitada que sólo cumplían criterios ACR/EULAR 2013, y se comparó con el resto de las limitadas. Los primeros presentaron en forma estadísticamente significativa menor esclerodactilia distal a MCF, menor presencia de úlceras digitales y pitting scars, menor afectación intersticial pulmonar, y mayor daño microvascular en la capilaroscopia. Conclusión: Los nuevos criterios de clasificación de Esclerosis Sistémica serían más adecuados para detectar esclerodermias limitadas, siendo dicho hallazgo estadísticamente significativo.

Objective: To evaluate the performance, and likewise concordance and discordance of the classification criteria of Systemic Sclerosis ACR/EULAR 2013 and ACR 1980 in a group of patients with clinical diagnosis of SSc. Methods: We enrolled 169 patients with diagnosis of Systemic Sclerosis. Results: 72.2 percent met the 1980 ACR criteria, and 99.4 percent met the ACR/EULAR 2013 criteria. The absolute agreement of the entire sample was 72.7 percent, 35.2 percent for the limited subtype, and 100 percent for the diffuse. Those patients with limited subtype who only met the ACR/EULAR 2013 criteria were compared with the rest of limited patients. The first group had statistically significantly lower sclerodactyly distal to MCF, lower presence of digital ulcers and pitting scars, less interstitial lung involvement, and greater abnormal nail fold capillaries. Conclusion: The new classification criteria for systemic sclerosis seem to be more suitable for detecting limited scleroderma. In the present study, statistically significant discrepancy was found in the limited subtype.

Invasive fungal infections in Argentine patients with systemic lupus erythematosus.

INTRODUCTION: Infections are the leading cause of morbidity and mortality in patients with systemic lupus erythematosus (SLE). Invasive fungal infections (IFI) comprise a group of diseases caused by Cryptococcus, Histoplasma, Aspergillus and Candida. Few studies of IFI have been published in patients with SLE and associated factors have not been completely defined. OBJECTIVES: The objectives of this paper are to estimate the frequency of IFI in admitted patients with SLE in our hospital, to determine the risk factors associated with IFI in our patients with SLE, and to compare IFI group with a control group (SLE without IFI). METHODS: The medical charts of patients with IFI (EORTC/MSG, 2008) and SLE (ACR, 1997) admitted to our hospital from June 2001 until June 2012 were reviewed. To identify factors associated with IFI, we developed a case-control study (SLE + IFI vs SLE alone) in a one to three ratio adjusted for sex and age and hospitalization for other reasons. Comparison was made of demographic characteristics, duration of disease and disease activity previous to IFI diagnosis, especially three months before fungal infection. We defined severe activity as SLEDAI ≥ 8. Infection by fungi of the genus Candida was considered only in its disseminated form. RESULTS: Ten cases of IFI were identified in 208 patients with SLE admitted between June 2001 and June 2012. We included 40 patients with SLE (10 with IFI and 30 controls). Of the SLE-IFI patients, eight were women and the average age was 27.5 years (range, 19-42 years). Fungal isolation: eight Cryptococcus neoformans, one Histoplasma capsulatum and one Candida albicans. Sites affected: five in peripheral blood, five in central nervous system (CNS), four in skin/soft tissue and one in pleura. Mortality was 40% (p = 0.002), with Cryptococcus neoformans being the most common fungus. The SLE disease activity was severe in 70% of infected patients and no significant difference with the control group was found (p = 0.195). We also found no association with leukopenia, lymphopenia, hypocomplementemia, hypogammaglobulinemia or anti-DNA positivity; neither with meprednisone doses >20 mg/day or intravenous methylprednisolone pulse therapy before fungal infection. The use of immunosuppressive therapy with azathioprine showed a significant association (p = 0.017). Cyclophosphamide (p = 0.100) or mycophenolate mofetil (p = 0.256) did not show similar results. CONCLUSION: The frequency of IFI in hospitalized SLE patients in our hospital was 4.8%. Cryptococcus neoformans was the most common etiologic agent and was primarily responsible for the deaths in this cohort. These data are consistent with publications in East Asia rather than North America where Candida spp. is more common. Unlike other publications, previous immunosuppression with azathioprine was the only risk factor associated with the development of the infection. Invasive fungal infection should be suspected in hospitalized patients with SLE and immunosuppression with CNS or atypical cutaneous manifestation of SLE in order to start appropriate treatment early and obtain better outcome.

Utilidad de la videocapilaroscopia de lecho ungueal en el síndromede Sjõgren con fenómeno de Raynaud / Utility of nailfold videocapillaroscopy in Sjõgren's syndrome with Raynaud's

La videocapilaroscopia de lecho ungueal (VCLU) es un método sencillo, no invasivo, de bajo costo y útil para la evaluación de las anormalidades microvasculares halladas en las enfermedades del tejido conectivo (ETC)1. Describimos una paciente con síndrome de Sjõgren (SS) primario que presentó alteraciones características en la VCLU y desarrolló una esclerosis sistémica (ES) limitada.

Persistence of the effects of early experience on consumption of low-quality roughage by sheep.

The aim of this study was to determine the effects of experience early in life with cured weeping lovegrass (Eragrostis curvula) (low-quality roughage) or fresh oats (Avena sativa) (high-quality roughage) on voluntary intake and nitrogen retention when sheep ate a low-quality roughage 9 mo after initial exposure. From 1 to 5 mo of age, experienced wethers (EW) grazed cured weeping lovegrass, whereas inexperienced wethers (IW) grazed fresh oats (initial exposure). Then both EW and IW were fed sorghum (Sorghum bicolor) hay for 45 d, fresh weeping lovegrass for 105 d, and finally alfalfa hay for 120 d. Nine months after completion of the initial exposure EW and IW were offered sorghum hay (low-quality roughage), and, in addition, both groups were offered sorghum with ad libitum access simultaneously to alfalfa hay at six levels of availability. Experienced wethers ingested 15% more (P < .02) sorghum than IW. When given sorghum simultaneously with alfalfa at different levels of availability, EW ingested more (P < .10) sorghum than IW when only sorghum was freely available. Nitrogen retention was negative in both groups, but it was less negative in EW than in IW per unit of metabolic weight (P < .09) and per wether (P < .04). The results show that early dietary experience can have profound and persistent effects on consumption of foods low in nutritional quality, apparently through changes in critical physiological mechanisms.

Effects of early experience on voluntary intake of low-quality roughage by sheep.

This study determined 1) how experience early in life with cured weeping lovegrass (Eragrostis curvula) (low-quality roughage) or fresh oats (Avena sativa) (high-quality roughage) affected consumption of low- or high-quality roughage by lambs later in life and 2) whether this early dietary experience affected passage of undigested residues through the digestive tract and digestion of low-quality roughage. From 1 to 5 mo of age, experienced lambs (EL) were grazing cured weeping lovegrass, whereas inexperienced lambs (IL) were grazing fresh oats. Immediately after exposure, in Trial 1 lambs were fed sorghum (Sorghum bicolor) hay (low-quality roughage) supplemented with a protein concentrate. In Trial 2 lambs were offered sorghum only. Finally, in Trial 3 lambs were offered a choice between sorghum and alfalfa hay. When the sorghum was supplemented with protein there was no difference (P > .05) between treatments in intake of sorghum, but when the supplement was withheld in Trial 2, EL ingested 20% more (P < .01) sorghum than IL. When given a choice between sorghum and alfalfa, EL ingested 2.5 times more (P < .01) sorghum than IL. The apparent digestibility of sorghum was 4.5% higher (P < .01) in EL than in IL, whereas passage of undigested matter through the digestive tract was similar (P > .05). The results show that early dietary experience can have a significant effect on consumption of low-quality roughage and diet selection in free-choice situations.

Leaf ruminal digestion in Sorghum bicolor cultivars as influenced by water deficit.

A study was carried out on the effects of water deficit upon the specific leaf digestion of two sorghum cultivars: Novillero and Leoti Red. Using scanning electron microscopy it was established that after ruminal incubation, losses of structural integrity increased when the plants were submitted to drought conditions. This increase was marked in cv. Novillero after 48 h of digestion. For both cultivars, the phloem, mesophyll, parenchyma and epidermis were the most susceptible tissues to bacterial attack. The alterations in tissue disappearance during digestion, could partially explain the effects of water deficit upon the improvement in the nutritional quality of the two cultivars studied.

Leaf ruminal digestion in Sorghum bicolor cultivars as influenced by water deficit.

A study was carried out on the effects of water deficit upon the specific leaf digestion of two sorghum cultivars: Novillero and Leoti Red. Using scanning electron microscopy it was established that after ruminal incubation, losses of structural integrity increased when the plants were submitted to drought conditions. This increase was marked in cv. Novillero after 48 h of digestion. For both cultivars, the phloem, mesophyll, parenchyma and epidermis were the most susceptible tissues to bacterial attack. The alterations in tissue disappearance during digestion, could partially explain the effects of water deficit upon the improvement in the nutritional quality of the two cultivars studied.

Leaf ruminal digestion in Sorghum bicolor cultivars as influenced by water deficit.

A study was carried out on the effects of water deficit upon the specific leaf digestion of two sorghum cultivars: Novillero and Leoti Red. Using scanning electron microscopy it was established that after ruminal incubation, losses of structural integrity increased when the plants were submitted to drought conditions. This increase was marked in cv. Novillero after 48 h of digestion. For both cultivars, the phloem, mesophyll, parenchyma and epidermis were the most susceptible tissues to bacterial attack. The alterations in tissue disappearance during digestion, could partially explain the effects of water deficit upon the improvement in the nutritional quality of the two cultivars studied.

Leaf ruminal digestion in Sorghum bicolor cultivars as influenced by water deficit

A study was carried out on the effects of water deficit upon the specific leaf digestion of two sorghum cultivars: Novillero and Leoti Red. Using scanning electron microscopy it was established that after ruminal incubation, losses of structural integrity increased when the plants were submitted to drought conditions. This increase was marked in cv. Novillero after 48 h of digestion. For both cultivars, the phloem, mesophyll, parenchyma and epidermis were the most susceptible tissues to bacterial attack. The alterations in tissue disappearance during digestion, could partially explain the effects of water deficit upon the improvement in the nutritional quality of the two cultivars studied.

Leaf ruminal digestion in Sorghum bicolor cultivars as influenced by water deficit

A study was carried out on the effects of water deficit upon the specific leaf digestion of two sorghum cultivars: Novillero and Leoti Red. Using scanning electron microscopy it was established that after ruminal incubation, losses of structural integrity increased when the plants were submitted to drought conditions. This increase was marked in cv. Novillero after 48 h of digestion. For both cultivars, the phloem, mesophyll, parenchyma and epidermis were the most susceptible tissues to bacterial attack. The alterations in tissue disappearance during digestion, could partially explain the effects of water deficit upon the improvement in the nutritional quality of the two cultivars studied.

Antigenic and immunogenic activity of flagella and fimbriae preparations from uropathogenic Proteus mirabilis.

The antigenic and immunogenic activities of fimbriae and flagella from three uropathogenic strains of Proteus mirabilis were compared. Flagella were obtained by mechanical treatment and fimbriae were isolated from cells by heat shock, ammonium sulfate precipitation, sodium deoxycholate and urea treatment, and gel filtration. Both preparations inoculated to mice demonstrated high antigenicity. Titers up to 1:80,000 were determined by an enzyme-linked immunosorbent assay either against the homologous or heterologous strains. When immunized mice were challenged with homologous or heterologous hematogenous infecting doses, a good cross protection was achieved only when fimbriae were used as antigens. Cross-reactivity found between the three fimbriae antisera, and the presence of common proteins in sodium dodecyl sulfate polyacrylamide gel electrophoresis patterns of fimbriae, should validate the study of these proteins to determine the existence of a shared adhesin.

Systemic lupus erythematosus and thyrotoxicosis: a hitherto little recognised association.

Six patients are reported in whom systemic lupus erythematosus (SLE) and thyrotoxicosis coexisted. All had four or more American Rheumatism Association criteria (1982) for the diagnosis of SLE and had clinical manifestations and function test results characteristic of hyperthyroidism (except for one who had been thyroidectomised previously). In three patients the diagnosis of hyperthyroidism preceded that of SLE, in two patients both diseases began simultaneously, and only in one was the diagnosis of thyrotoxicosis made after that of SLE. It is suggested that hyperthyroidism associated with SLE may be a form of presentation of thyroiditis. This association may pass unnoticed because of the similarity of some clinical manifestations.

Mycobacterium fortuitum in systemic lupus erythematosus.

When she was five years old, this patient - aged 20 time of death - had had two diagnoses: Leri-Weill's disease and SLE. The latter led to uninterrupted use of systemic corticosteroids. Twelve months before death, multiple purulent bursitis were followed by cutaneous nodules. From the latter, but not from the former, Mycobacterium fortuitum was isolated. Our case is in agreement with what is generally accepted: this saprophyte organism becomes pathogenic in disseminated infections, only if the immune system deteriorates.