Produção e composição do leite em função da alimentação de vacas mestiças Holandês x Zebu confinadas em condições experimentais no Brasil: metanálise / Milk yield and composition a function of feeding of crossbred Holstein x Zebu cows confined under experimental conditions in Brazil: meta-analysis

Objetivou-se avaliar os fatores da composição da dieta que podem interferir no consumo, na digestibilidade, na produção e na composição do leite de vacas mestiças Holandês x Zebu confinadas em condições experimentais no Brasil. A metanálise foi utilizada para o levantamento de trabalhos científicos de domínio público, compreendendo o período de janeiro de 2000 a dezembro de 2015. A base de dados foi constituída por 40 experimentos com 159 tratamentos, envolvendo 735 vacas em lactação. O consumo de nutrientes digestíveis totais (NDT) é comprometido pelo teor de fibra em detergente ácido (FDA) da dieta, relacionando-se com a digestibilidade da matéria seca (MS) e da fibra em detergente neutro (FDN), o que repercute na eficiência alimentar (EA). Observa-se a relação do teor de carboidratos não fibrosos (CNF) da dieta com o teor de lactose e o efeito do teor de MS da dieta e o elevado teor de FDN no consumo em função das características específicas dos tipos de volumosos utilizados. O consumo de NDT da dieta é prejudicado pela digestibilidade da MS e, principalmente, da FDN em função da proporção e das características dos volumosos utilizados na dieta, e esses fatores repercutem na EA, bem como na produção e na composição do leite.(AU)

The aim was to evaluate diet composition factors that may interfere with intake, digestibility, milk yield and composition of crossbred Holstein x Zebus cows confined under Brazilian experimental conditions. The meta-analysis was used for the survey of scientific works of public domain, covering the period from January 2000 to December 2015. The database consisted of 40 experiments with 159 treatments, involving 735 lactating cows. The voluntary intake of total digestible nutrients (TDN) is compromised by the acid detergent fiber (FAD) content of the diet, related to dry matter digestibility (DM) and neutral detergent fiber (NDF), affecting dietary efficiency (DE). The relation of the non-fibrous carbohydrate (NFC) content of the diet with the lactose content and the effect of the DM diet content and the high NDF content on the voluntary intake are specific characteristics of the types of roughage used. Dietary NDT intake is affected by the digestibility of DM and, mainly, NDF, depending on the proportion and characteristics of the nutrients used in the diet, and these factors have an impact on dietary efficiency, as well as on milk composition.(AU)

An assessment of opinion of Indian physicians about emergency medicine in India.

Background. Emergency medicine (EM) has recently been recognized as a specialty in India and formal training programmes are yet to be developed. Methods. A survey was devised to elicit the opinion of recently graduated physicians in Chennai, India about EM as well as about the current state of EM in India. A convenience sample of 130 respondents filled out a 21-question survey. Results. Ninety-four per cent of respondents stated that EM was essential for providing quality healthcare; 94% of respondents felt there needs to be a change in emergency departments in India, with only 20% stating they were proud of the emergency departments in India. Seventy-six per cent of respondents were more likely to consider EM if the specialty was recognized by the Medical Council of India and 76% were inclined to pursue the specialty if there were more training programmes. Conclusion. Recently graduated physicians found flaws in the current state of emergency care in India; however, overall they remain interested in the field of EM.