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2.
Poult Sci ; 96(11): 4096-4102, 2017 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-29050412

RESUMO

The adaptation of chickens to free-range rearing systems mainly involves the locomotory behavior, which is very different in fast-growing (FG) and slow-growing (SG) strains. This study aimed to compare the effect of moderate locomotory activity (induced and prolonged) on the blood oxidative status in a slow-growing chicken strain with that in a fast-growing one. Thirty FG (Ross 308) birds and 30 SG (Hubbard) birds were divided into 2 groups for each strain and subjected to different treatments: no exercise (the control group [C]) and 1 h of walking at 4 km/h (the exercise group [E]). Daily exercise was promoted by operators, who walked behind the animals around a paddock. Blood samples were obtained weekly from both groups. For the E group, samples were obtained before exercise (E1) and after exercise (E2). Oxidative markers (creatine kinase [CK], reactive oxygen molecular substance [ROMS], thiobarbituric acid reactive substances [TBARS]), and antioxidant compounds (α-tocopherol [α-T], γ-tocopherol [γ-T], δ-tocopherol [δ-T], α-tocotrienol [α-T3], γ-tocotrienol [γ-T3], retinol, and carotenoids) were evaluated. In both strains, the CK level was higher in chickens subjected to exercise; however, its increase was greater in the FG group than in the SG one (1.56-fold vs. 1.08-fold). The antioxidant status was worse in FG strain birds subjected to exercise, whereas the status remained nearly the same in the SG strain birds. The α-T and retinol concentrations were significantly reduced by exercise, primarily in the FG group, whereas the other antioxidant compounds (α-T3, γ-T3, γ-T, δ-T, lutein, and zeaxanthin) were unaffected by strain or treatment. The FG and SG strains had different responses to exercise, and only the SG showed a progressive reduction in TBARS and ROMS values during the 28-day experiment. Accordingly, moderate exercise may be beneficial only when the birds have suitable behavioral characteristics (e.g., higher kinetic activity, rusticity, and explorative nature) or physical characteristics (e.g., low body weight); otherwise, exercise is highly stressful and affects physiology and well-being.


Assuntos
Sangue/metabolismo , Galinhas/fisiologia , Estresse Oxidativo , Condicionamento Físico Animal/fisiologia , Adaptação Fisiológica , Animais , Antioxidantes/metabolismo , Galinhas/sangue , Galinhas/genética , Locomoção
3.
Animal ; 11(4): 705-712, 2017 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-27819218

RESUMO

Flaxseed is a rich source of α-linolenic acid and phytoestrogens, mainly lignans, whose metabolites (enterodiol and enterolactone) can affect estrogen functions. The present study evaluated the influence of dietary flaxseed supplementation on reproductive performance and egg characteristics (fatty acids, cholesterol, lignans and isoflavones) of 40 Hy-Line hens (20/group) fed for 23 weeks a control diet or the same diet supplemented with 10% of extruded flaxseed. The flaxseed diet had approximately three times the content of lignans (2608.54 ng/g) as the control diet, mainly secoisolariciresinol diglucoside (1534.24 v. 494.72 ng/g). When compared with the control group, hens fed flaxseed showed a similar deposition rate (72.0% v. 73.9%) and egg yield. Furthermore, there was no effect of flaxseed on the main chemical composition of the egg and on its cholesterol content. Estradiol was higher in the plasma of the control group (1419.00 v. 1077.01 pg/ml) probably due to the effect of flaxseed on phytoestrogen metabolites. The plasma lignans were higher in hens fed flaxseed, whereas isoflavones were lower, mainly due to the lower equol value (50.52 v. 71.01 ng/ml). A similar trend was shown in eggs: the flaxseed group had higher level of enterodiol and enterolactone, whereas the equol was lower (198.31 v. 142.02 ng/g yolk). Secoisolariciresinol was the main lignan in eggs of the flaxseed group and its concentration was three times higher then control eggs. Flaxseed also improved the n-3 long-chain polyunsaturated fatty acids of eggs (3.25 v. 0.92 mg/g egg), mainly DHA, however, its oxidative status (thiobarbituric reactive substances) was negatively affected. In conclusion, 10% dietary flaxseed did not affect the productive performance of hens or the yolk cholesterol concentration, whereas the lignans and n-3 polyunsaturated fatty acid content of eggs improved. Further details on the competition between the different dietary phytoestrogens and their metabolites (estrogen, equol, enterodiol and enterolactone) should be investigated.


Assuntos
Galinhas/fisiologia , Colesterol/análise , Suplementos Nutricionais , Ácidos Graxos Ômega-3/análise , Linho/química , Fitoestrógenos/análise , 4-Butirolactona/análogos & derivados , 4-Butirolactona/análise , Ração Animal/análise , Animais , Butileno Glicóis , Dieta/veterinária , Ovos/análise , Ácidos Graxos/análise , Feminino , Isoflavonas/análise , Lignanas/análise , Sementes/química , Ácido alfa-Linolênico/análise
4.
Animal ; 11(3): 411-417, 2017 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-27510764

RESUMO

The aim of this study was to investigate the effect of dietary whole dried citrus pulp (DCP) on the antioxidant status of lamb tissues. In total, 17 lambs were divided into two groups and fed for 56 days: a barley-based concentrate diet (CON - eight animals), or a concentrate-based diet including 35% DCP to partially replace barley (CIT - nine animals). The CIT diet contained a double concentration of phenolic compounds than the CON diet (7.9 v. 4.0 g/kg dry matter (DM), respectively), but had no effect (P>0.05) on the overall antioxidant capacity of the hydrophilic fraction of blood plasma, liver and muscle. The CIT diet contained clearly more α-tocopherol than the CON diet (45.7 v. 10.3 mg/kg DM), which could explain the higher concentration of α-tocopherol in liver, plasma and muscle (P<0.05). The dietary treatment had no effect on the extent of lipid peroxidation, measured as thiobarbituric acid and reactive substances assay (TBARS values) in the faeces, small intestine, liver, plasma and muscle. Nevertheless, when muscle homogenates were incubated in the presence of Fe3+/ascorbate to induce lipid peroxidation, the muscle from lambs fed DCP displayed lower TBARS values (P<0.01), which negatively correlated with the concentration of α-tocopherol in muscle. These results showed that feeding whole DCP to ruminants increases the antioxidant status of muscle through an increase in the deposition of α-tocopherol.


Assuntos
Antioxidantes/metabolismo , Citrus/química , Polifenóis/química , Carneiro Doméstico/fisiologia , Vitamina E/metabolismo , Ração Animal/análise , Animais , Dieta/veterinária , Masculino , Distribuição Aleatória
5.
Poult Sci ; 95(10): 2464-71, 2016 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-26769274

RESUMO

The aim of this study was to analyze the transfer of bioactive compounds from the pasture to the body and meat of organic free-range chickens and to verify the effect of these compounds on the oxidative processes of the meat. Starting at 21 d of age, 100 male naked-neck birds were divided into two homogeneous groups: an indoor group (0.12 m(2)/bird) and an outdoor group (0.12 m(2)/bird indoor and 10 m(2)/bird of forage paddock). At slaughter (81 d of age), blood samples were collected, and the carcasses were stored for 24 h at 4°C (20 birds/group). The grass samples had higher values of carotenoids, tocopherols, and flavonoids respect to standard feed (based on dry matter comparison). The polyunsaturated fatty acid ( PUFA: ) content was also greater in grass, especially the n-3 series (so named because its first double bond occurs after the third carbon atom counting from the methyl at the end of the molecule). The antioxidant profile of the grass improved the antioxidant status of the crop and gizzard contents in the outdoor chickens. The higher antioxidant intake resulted in a higher plasma concentration of antioxidants in outdoor birds; thiobarbituric acid reactive substances ( TBARS: ) and the antioxidant capacity of the plasma were also better in the outdoor than the indoor group. The meat of the outdoor birds had higher levels of antioxidants, mainly due to the higher amount of tocopherols and tocotrienols. Despite the higher antioxidant protection in the drumstick of the outdoor group, the TBARs value was greater, probably due to the kinetic activity of birds, the higher percentage of PUFAs, and the peroxidability index. In conclusion, grazing improved the nutritional value of the meat (PUFA n-3 and the ratio between n-6 and n-3 PUFA) with a minor negative effect on the oxidative stability. Suitable strategies to reduce such negative effects (e.g., reduction of kinetic activity in the last days of rearing) should be studied.


Assuntos
Antioxidantes/metabolismo , Composição Corporal , Galinhas/metabolismo , Ácidos Graxos Insaturados/metabolismo , Carne/análise , Ração Animal/análise , Animais , Masculino , Músculo Esquelético/química , Agricultura Orgânica , Oxirredução
6.
Meat Sci ; 106: 31-7, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-25866933

RESUMO

The aim of this study was to determine the effect of dietary supplementation with flax and alfalfa sprouts on fatty acid, tocopherol and phytochemical contents of rabbit meat. Ninety weaned New Zealand White rabbits were assigned to three dietary groups: standard diet (S); standard diet+20g/d of alfalfa sprouts (A); and standard diet+20g/d of flax sprouts (F). In the F rabbits the Longissimus dorsi muscle showed a higher thio-barbituric acid-reactive value and at the same time significantly higher values of alpha-linolenic acid, total polyunsaturated and n-3 fatty acids. Additionally n-3/n-6 ratio and thrombogenic indices were improved. The meat of A rabbits showed intermediate values of the previously reported examined parameters. Dietary supplementation with sprouts produced meat with a higher total phytoestrogen content. The addition of fresh alfalfa and flax sprouts to commercial feed modified the fat content, fatty acid and phytochemical profile of the meat, but the flax ones worsened the oxidative status of meat.


Assuntos
Antioxidantes/análise , Dieta/veterinária , Gorduras Insaturadas na Dieta/análise , Linho/química , Carne/análise , Medicago sativa/química , Plântula/química , Animais , Ácidos Graxos Ômega-3/análise , Feminino , Linho/crescimento & desenvolvimento , Humanos , Itália , Peroxidação de Lipídeos , Masculino , Medicago sativa/crescimento & desenvolvimento , Valor Nutritivo , Fitoestrógenos/análise , Coelhos , Plântula/crescimento & desenvolvimento , Tocoferóis/análise , Desmame , Ácido alfa-Linolênico/análise
7.
Meat Sci ; 96(1): 114-9, 2014 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-23896145

RESUMO

The objective of this study was to evaluate the effect of Spirulina and Thyme supplementation on rabbit meat during retail display. At weaning 294 rabbits were allocated to 7 different treatments (42 rabbits/treatment). Rabbits of the control group (C) received a diet without any supplementation throughout the experiment (5-11 weeks of age). The other groups were fed diets containing 5% Spirulina (S), 3% Thyme (T) or both supplements (ST) for the whole trial (5-11 weeks; treatments S, T and ST), or for a part of the growing period (8-11 weeks; treatments C-S, C-T and C-ST). Colour parameters, pH, water holding capacity and drip loss were determined on fresh and stored Longissimus dorsi muscle of 5 rabbits/treatment. Spirulina- and Thyme-supplemented diets had a significant effect on redness and yellowness of Longissimus dorsi. Drip loss was significantly reduced in C-T and T groups that also showed the highest content of α-tocopherol and n-3 fatty acids content and the lower lipid oxidation.


Assuntos
Suplementos Nutricionais , Carne/análise , Estresse Oxidativo/efeitos dos fármacos , Spirulina , Thymus (Planta) , Fenômenos Fisiológicos da Nutrição Animal , Animais , Cor , Ácidos Graxos Ômega-3/análise , Metabolismo dos Lipídeos/fisiologia , Músculo Esquelético/química , Coelhos , Desmame , alfa-Tocoferol/análise
8.
Meat Sci ; 96(1): 606-9, 2014 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-24036258

RESUMO

The objective of the study was to analyse and increase the quality of rabbit meat by increasing the levels of natural bioactive compounds through providing fresh alfalfa to rabbits as complementary feed. At 50 days of age, forty rabbits were divided into two homogeneous groups and fed pelleted feed (control group) or pelleted feed plus fresh alfalfa (alfalfa group). The lipid content of meat was significantly higher in the control group likely due to the higher feed consumption observed in this group. The same trend was observed in the contents of myristic, palmitoleic, oleic and linoleic acid. On the contrary, the supplementation of fresh alfalfa increased the stearic, linolenic, eicosatrienoic, eicosapentaenoic, docosapentaenoic, docosahexaenoic and total polyunsaturated fatty acid contents; also the total monounsaturated fatty acids and the α- and γ-tocopherol content was significantly lower. Moreover, alfalfa ingestion decreased the n-6 content, n-6/n-3 ratio and thrombogenicity index.


Assuntos
Ração Animal/análise , Ácidos Graxos Monoinsaturados/análise , Ácidos Graxos Insaturados/análise , Ácido Linoleico/análise , Carne/análise , Medicago sativa , Ácido alfa-Linolênico/análise , Animais , Ácidos Graxos Dessaturases/metabolismo , Qualidade dos Alimentos , Metabolismo dos Lipídeos , Coelhos , Tocoferóis/análise
9.
Poult Sci ; 91(8): 2039-45, 2012 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-22802202

RESUMO

According to EC regulation 889/08, different European countries should draw up a list of slow-growing strains adapted to an organic system, and in the meantime, provide this information to operators and the European Union commission. Thus, the aim of the present work was to evaluate the effect of poultry genotype on fatty acid composition and lipid indices of poultry meat. Six poultry genotypes (100 birds each), each with a different growth rate (slow-growing: Leghorn, Ancona, Cornish×Leghorn; medium-growing: Kabir, Naked neck; fast-growing: Ross), were reared under an organic system. Breast meat fatness, fatty acid composition, and indices were largely related to genotype, as slow-growing strains had higher elongase, thioesterase, and Δ5/Δ6 desaturase indices accompanied by a lower Δ9. Differences in the fatty acid profiles were observed by varying contents of total saturated fatty acids, with a higher value seen in Leghorn chickens and a lower value seen in commercial lines. On the contrary, Leghorn and Ancona chickens exhibited higher amounts of stearic acid and total polyunsaturated fatty acids compared with commercial genotypes, both in the total content and in the different fractions (total n-3 and total n-6). Despite the increased consumption of fresh forage, the lower linolenic acid in meat of the slow-growing strain could be explained by the higher conversion of this fatty acid to its long-chain derivatives.


Assuntos
Criação de Animais Domésticos/métodos , Ácidos Graxos/química , Genótipo , Metabolismo dos Lipídeos/genética , Carne/análise , Animais , Galinhas/genética , Galinhas/metabolismo , Regulação da Expressão Gênica/fisiologia , Músculo Esquelético/química , Músculo Esquelético/metabolismo
10.
Meat Sci ; 92(4): 783-8, 2012 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-22840358

RESUMO

The aim was to investigate the effects of three types (A, B and C) of stoned and dehydrated olive pomaces (OPs), differing in olive cultivar, on productive performance and meat quality of growing rabbits. The inclusion of OPs (5%) negatively affected the performance of rabbits as it reduced the feed intake, growth rate, carcass weight and dressing out percentage (P<0.05). Compared with the control, the meat of OP rabbits had a greater amount of monounsaturated and a lower amount of polyunsaturated fatty acids (P<0.05), independent of the type of OP used. Oxidative processes in the meat of OPA and OPB were higher (P<0.05), whereas OPC showed the same levels as the control group. This was due to the higher total polyphenol concentration and to the concomitant lower peroxide value of OPC. These results recommend the use of OP in rabbit diet with caution, taking into account the quality of the by-product in terms of oxidative status.


Assuntos
Dieta/veterinária , Qualidade dos Alimentos , Carne/análise , Desenvolvimento Muscular , Músculo Esquelético/crescimento & desenvolvimento , Olea/química , Coelhos/crescimento & desenvolvimento , Animais , Antioxidantes/administração & dosagem , Dieta/efeitos adversos , Dieta/economia , Ingestão de Energia , Ácidos Graxos Monoinsaturados/análise , Ácidos Graxos Monoinsaturados/metabolismo , Ácidos Graxos Insaturados/análise , Ácidos Graxos Insaturados/metabolismo , Indústria de Processamento de Alimentos/economia , Frutas/química , Resíduos Industriais/análise , Resíduos Industriais/economia , Itália , Peroxidação de Lipídeos , Carne/economia , Músculo Esquelético/química , Músculo Esquelético/metabolismo , Valor Nutritivo , Peróxidos/efeitos adversos , Peróxidos/análise , Fenóis/análise , Coelhos/metabolismo , Desmame , Aumento de Peso
11.
Ann Ig ; 23(3): 249-60, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-22013704

RESUMO

Effectiveness comparison of different school-based nutrition education interventions to improve fruit and vegetable (F&V) consumption in schoolchildren not yet well researched. We evaluated the effectiveness of two school-based interventions promoting fruit and vegetable intake among Italian schoolchildren. In this randomized intervention trials, the first intervention was conducted by schoolteachers who attended a nutritionist-led training course (group-1), the second intervention conducted by schoolteachers who performed a self-training course (group-2). Thirty-two second to fifth-grade elementary classes enrolling 96 schoolteachers and 813 schoolchildren were randomized, and assigned to the two different nutrition education interventions. 804 students completed the study. By the end of the study, the group-1 (n = 409) followed by the teachers who attended a nutritionist-led course successfully increased the consumption of fruit and vegetables: in 183 (44.7%) and 157 (38.3%) schoolchildren respectively; the group-2 (n = 395) with teachers who performed a self-training course reported an increased consumption of fruit and vegetables in 81 (20.5%) and 76 (19.2%), respectively. This study indicates that a school-based nutrition education conducted by teachers who attended a nutritionist-led training course has a significant impact on primary school-age children's F&V intake.


Assuntos
Ciências da Nutrição Infantil/educação , Dieta/tendências , Docentes , Frutas , Educação em Saúde , Verduras , Algoritmos , Criança , Análise por Conglomerados , Currículo , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Promoção da Saúde , Humanos , Itália , Masculino , Instituições Acadêmicas , Ensino
12.
J Dairy Sci ; 91(12): 4484-91, 2008 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-19038923

RESUMO

The influence of Pycnogenol, French marine bark extract, added to yogurt preparation on the viability of Lactobacillus delbrueckii ssp. bulgaricus and Streptococcus thermophilus and on pH, titratable acidity, macro-nutrients, and folate content were evaluated throughout the shelf life of products. At all concentrations studied, Pycnogenol additions neither significantly affected the growth of microorganisms nor caused any modification of nutritional parameters during storage in yogurt. To highlight any possible degradation of Pycnogenol components by yogurt flora, an estimation of total polyphenol contents and an evaluation of some phenolic compounds in yogurt at the greatest concentration of Pycnogenol were carried out at the beginning and at the end of the study. Our data indicates that neither total polyphenol content nor selected phenolic substances (cathechin, epicatechins, chlorogenic acid, and caffeic acid) was affected during the shelf life. In conclusion, these results suggest Pycnogenol as a valuable ingredient to enrich yogurt preparation.


Assuntos
Suplementos Nutricionais , Flavonoides , Iogurte , Carboidratos/análise , Contagem de Colônia Microbiana , Flavonoides/análise , Flavonoides/farmacologia , Ácido Fólico/análise , Concentração de Íons de Hidrogênio , Lactobacillus/efeitos dos fármacos , Fenóis/análise , Extratos Vegetais , Polifenóis , Proteínas/análise , Streptococcus thermophilus/efeitos dos fármacos , Fatores de Tempo , Iogurte/análise , Iogurte/microbiologia
14.
Emerg Med J ; 21(3): 317-22, 2004 May.
Artigo em Inglês | MEDLINE | ID: mdl-15107370

RESUMO

OBJECTIVE: To review the results of a comprehensive drug screening as first line diagnostic tool in patients attending an emergency department for suspected drug poisoning. METHODS: A comprehensive drug screening was carried out in plasma or urine, or both, of 310 patients combining an HPLC multidrug profiling system and a fluorescence polarisation immunoassay. RESULTS: In 64.2% of cases the screening confirmed the diagnosis of drug poisoning, in 13.9% suspected drugs were measurable at non-toxic concentrations, and in 21.9% no drugs were found. The suspected drugs were fully confirmed in a minority of cases, (symptomatic patients: 28.2% compared with asymptomatic: 16.5%). Symptomatic patients were less likely to have at least one suspected drug (29.6% compared with 57.7%; p<0.001), and more likely to have at least one unsuspected drug found at analysis (17.4% compared with 3.1%; p = 0.005). In 5% of patients, asymptomatic when first observed, one or more unsuspected drugs were found. In 6 of 29 patients, with suspected poisoning of an unspecified drug, the screening identified the specific drug and excluded acute intoxication in the remaining cases. CONCLUSION: A rapid comprehensive drug screening adds to the diagnosis of patients with suspected drug poisoning, identifying unsuspected drugs in symptomatic patients and excluding drugs in asymptomatic subjects.


Assuntos
Intoxicação/diagnóstico , Doença Aguda , Adolescente , Adulto , Idoso , Criança , Pré-Escolar , Cromatografia Líquida de Alta Pressão/métodos , Overdose de Drogas/sangue , Overdose de Drogas/diagnóstico , Overdose de Drogas/urina , Emergências , Serviço Hospitalar de Emergência , Feminino , Imunoensaio de Fluorescência por Polarização/métodos , Humanos , Lactente , Recém-Nascido , Masculino , Pessoa de Meia-Idade , Intoxicação/sangue , Intoxicação/urina , Estudos Retrospectivos , Transtornos Relacionados ao Uso de Substâncias/sangue , Transtornos Relacionados ao Uso de Substâncias/diagnóstico , Transtornos Relacionados ao Uso de Substâncias/urina
15.
Emerg Med J ; 20(1): 25-8, 2003 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-12533362

RESUMO

OBJECTIVES: This study aimed to evaluate the usefulness of a comprehensive drug screening method as a first line diagnostic tool on clinical decision making in patients attending an emergency department for suspected drug overdose in terms of agreement between physicians on patients' disposal. METHODS: Five emergency physicians retrospectively evaluated the records of 142 adult patients, admitted to the emergency department of a community hospital for suspected drug overdose. They were asked for an expert opinion on patients' disposal at the end of the observation period, based on paired records, with/without the results of a comprehensive drug screening. RESULTS: In the absence of the drug screening, a very poor agreement (kappa statistics) was observed between physicians. When the drug screening was available, the interobserver agreement for decision on patients' disposal increased to the fair to good range (global agreement: from 0.238 (0.019) to 0.461 (0.020) (mean(SE)); p<0.001). The agreement also increased when admission to an intensive care unit, to a general ward, and discharge from hospital were separately analysed. The availability of drug screening would have saved 21.7% of hospital admissions and 53.3% of high dependency and/or intensive care unit admissions. CONCLUSION: Comprehensive drug screening adds to decision making for patients attending an emergency department for suspected drug overdose, improving agreement among physicians on patients' disposal and potentially saving hospital resources.


Assuntos
Tomada de Decisões , Overdose de Drogas/diagnóstico , Serviço Hospitalar de Emergência/estatística & dados numéricos , Detecção do Abuso de Substâncias/estatística & dados numéricos , Adulto , Overdose de Drogas/psicologia , Feminino , Hospitais Comunitários , Humanos , Masculino , Auditoria Médica , Variações Dependentes do Observador , Relações Médico-Paciente , Estudos Retrospectivos
16.
Emerg Med J ; 19(3): 210-4, 2002 May.
Artigo em Inglês | MEDLINE | ID: mdl-11971829

RESUMO

STUDY OBJECTIVE: To examine if a positive blood alcohol concentration (BAC) at the time of crash (>or=0.50 g/l), independently of any clinical evidence and laboratory results indicating acute alcohol intoxication, is associated with specific features of patients involved, specific types of injury, and characteristics of the accident. METHODS: In this prospective cohort study, the BAC was measured in adult patients who had been injured and who were admitted to an Italian emergency department within four hours after a road accident. Altogether 2354 trauma patients were included between January to December 1998 out of 2856 eligible subjects. RESULTS: BAC exceeded 0.50 g/l in 425 subjects (18.1%), but was in a toxic range (>1.00 g/l) in only 179 subjects (7.6%). BAC positivity was significantly more common in men, in young subjects, in subjects driving cars or trucks, and in persons involved in a crash during night time and at weekends. It was associated with higher trauma severity, but no differences were found in injury body distribution according to vehicle type. In multivariate logistic regression analysis, the risk of a positive BAC in injured patients at the time of crash was independently associated with night time (odds ratio: 3.48; 95% confidence intervals: 2.46 to 4.91), male sex (3.08 (2.36 to 4.01)), weekend nights (1.21 (1.05 to 1.41)), and age (0.92 (0.86 to 0.99) per decades). CONCLUSION: In injured patients after a road accident, a BAC at the time of crash in a non-toxic range (>or=0.50 g/l) is associated with specific characteristics of crash, as well as increased risk of higher trauma severity. More careful monitoring is needed in young men during weekend nights for highest risk of BAC positivity after a road accident.


Assuntos
Acidentes de Trânsito , Condução de Veículo , Etanol/sangue , Adolescente , Adulto , Serviço Hospitalar de Emergência , Feminino , Humanos , Itália , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos
17.
J Trauma ; 50(3): 521-8, 2001 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-11265033

RESUMO

BACKGROUND: The effects of blood alcohol on injury after crash are controversial, and safe limits are not settled. We examined if a positive blood alcohol concentration, even in a nontoxic range, affects management and outcome of injured patients after road crashes. METHODS: In this prospective cohort study, we recruited all adult subjects admitted to an emergency department within 4 hours after a road crash. Outcomes were mortality or expected permanent disability, and data related to patients' management. RESULTS: Alcohol-positive trauma patients were more frequently critical at admission (odds ratio [OR], 1.89; 95% confidence interval [CI], 1.18-3.02), and had an increased risk of combined mortality or expected permanent disability (OR, 1.67; 95% CI, 1.08-2.58), need for intensive care (OR, 1.87; 95% CI, 1.01-3.46), surgery (OR, 1.91; 95% CI, 1.37-2.66) and blood transfusions (OR, 2.09; 95% CI, 1.20-3.64), and acute medical complications (OR, 1.94; 95% CI, 1.33-2.85). All these events were explained by higher trauma severity. Only the risk of unsuspected injuries, diagnosed only at final evaluation, was independently associated with a positive blood alcohol concentration (OR, 4.98; 95% CI, 3.62-6.87), in addition to trauma severity and preexisting chronic conditions. Blood alcohol measurement significantly improved the accuracy in predicting unsuspected injuries, from 81.3% to 86.2%. CONCLUSION: In injured patients after a road crash, a positive blood alcohol concentration increases the chance that the final diagnosis will include more injuries than initially documented. More careful monitoring is needed in alcohol-positive trauma patients, independent of clinical status, injury severity, and overt symptoms of alcohol intoxication.


Assuntos
Acidentes de Trânsito , Acidentes de Trânsito/estatística & dados numéricos , Consumo de Bebidas Alcoólicas/efeitos adversos , Consumo de Bebidas Alcoólicas/sangue , Tratamento de Emergência/métodos , Etanol/sangue , Traumatismo Múltiplo/etiologia , Traumatismo Múltiplo/terapia , Acidentes de Trânsito/mortalidade , Adolescente , Adulto , Análise de Variância , Transfusão de Sangue/estatística & dados numéricos , Cuidados Críticos/estatística & dados numéricos , Pessoas com Deficiência/estatística & dados numéricos , Serviço Hospitalar de Emergência , Feminino , Humanos , Itália/epidemiologia , Tempo de Internação/estatística & dados numéricos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Traumatismo Múltiplo/mortalidade , Avaliação das Necessidades , Razão de Chances , Valor Preditivo dos Testes , Prognóstico , Estudos Prospectivos , Fatores de Risco , Sensibilidade e Especificidade , Fatores de Tempo , Índices de Gravidade do Trauma , Resultado do Tratamento
18.
World J Surg ; 24(5): 571-3, 2000 May.
Artigo em Inglês | MEDLINE | ID: mdl-10787078

RESUMO

The major complication of thyroid surgery, occurring in 1% to 6% of cases, is injury to the recurrent laryngeal nerve (RLN). A simple method to identify the RLN during thyroid surgery is described by the authors. It consists in palpation of the nerve caudally to the inferior pole of the thyroid, after the nerve has been made taut by the upward and medial traction of the thyroid gland. This method was used on 47 human cadavers and 45 patients with benign thyroid diseases. It made it possible to identify the RLN in all of the cadavers and 52 of the 55 identifications during 45 thyroidectomies (in 10 total thyroidectomies the identification was bilateral). Laryngeal motility was normal in all patients at postoperative laryngoscopy. Using the palpation before dissection in the region of the inferior thyroid artery, the traditional viewing method became easier and safer, reducing the risk of injury where it is most likely to occur to the nerve.


Assuntos
Cuidados Intraoperatórios/métodos , Complicações Intraoperatórias/prevenção & controle , Palpação , Nervo Laríngeo Recorrente/anatomia & histologia , Tireoidectomia , Cadáver , Humanos
19.
J Agric Food Chem ; 48(12): 5986-94, 2000 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-11312771

RESUMO

Microwave cooking of legumes such as chickpeas and common beans was evaluated by assessing the cooking quality (cooking time, firmness, cooking losses, and water uptake) and the physicochemical, nutritional, and microstructural modifications in starch and nonstarch polysaccharides. Compared to conventional cooking, microwave cooking with sealed vessels enabled a drastic reduction in cooking time, from 110 to 11 min for chickpeas and from 55 to 9 min for common beans. The solid losses, released in the cooking water, were significantly less after microwave cooking than after conventional cooking (6.5 vs 10.6 g/100 g of dry seed in chickpeas and 4.5 vs 7.5 g/100 g of dry seed in common beans). Both cooking procedures produced a redistribution of the insoluble nonstarch polysaccharides to soluble fraction, although the total nonstarch polysaccharides were not affected. Increases in in vitro starch digestibility were similar after both cooking processes, since the level of resistant starch decreased from 27.2 and 32.5% of total starch in raw chickpeas and beans, respectively, to about 10% in cooked samples and the level of rapidly digestible starch increased from 35.6 and 27.5% to about 80%. SEM studies showed that the cotyledons maintained a regular structure although most of the cell wall was broken down and shattered by both cooking procedures. In addition, the ultrastructural modifications in the cotyledon's parenchima and cells are consistent with the chemical modifications in NSP and the increase in starch digestibility after cooking.


Assuntos
Culinária , Fabaceae/química , Micro-Ondas , Plantas Medicinais , Polissacarídeos/química , Digestão , Fabaceae/ultraestrutura , Manipulação de Alimentos/métodos , Valor Nutritivo , Amido
20.
J Chromatogr A ; 855(1): 237-45, 1999 Sep 03.
Artigo em Inglês | MEDLINE | ID: mdl-10514988

RESUMO

A trienzyme treatment (conjugase, alpha-amylase, protease) followed by affinity chromatography and reversed-phase HPLC with UV and fluorescence detection was performed for the quantification of folate vitamers in legumes (chickpea and beans), processed meats (salami Milano and Parma ham) and in an Italian reference diet. This method allowed a good separation of six folate vitamers: 5-methyltetrahydrofolate, 5-formyltetrahydrofolate, folic acid, 10-formylfolic acid, 10-formyldihydrofolate and tetrahydrofolate within 30 min. Recovery, reproducibility and limits of detection of the method are reported. HPLC results were 24-52% lower than the microbiological assay findings.


Assuntos
Cromatografia Líquida de Alta Pressão/métodos , Dieta , Ácido Fólico/análise , Análise de Alimentos , Ácido Fólico/análogos & derivados , Espectrometria de Fluorescência , Espectrofotometria Ultravioleta
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