Técnica de oscilações forçadas na avaliação e manejo de crianças asmáticas: uma revisão narrativa / Forced oscillation technique in the assessment and management of asthmatic children: a narrative review

Asthma is considered the most prevalent chronic disease in children. The pulmonary function measurements are important in the evaluation of the disease, being able to confirm the diagnosis by demonstrating the reversibility of the obstruction as well as detecting risks of poor prognosis in the control of asthma. However, the most common methods for analyzing pulmonary function in this age group have restrictions on its applicability, especially due to the need for cooperation on the part of patients. The forced oscillation technique (FOT) is considered a modern tool capable of estimating measures of respiratory mechanics related to the lungs. This method is easily applicable due to the low need for patient cooperation, an important element in the assessment of children. The aim of this study is to review the clinical utility of the Forced Oscillation Technique in the pulmonary assessment of asthmatic children. The bibliographic search covered the years between 1950 and 2019, in the databases: Medical Literature Analysis and Retrieval System Online (MEDLINE) and Latin American and Caribbean Literature in Health Sciences (LILACS). It was used as a search strategy the combination of the following Medical Subject Headings (MeSH) terms: "asthma", "oscillometry" and "child" crossed through the AND and OR Boolean connectors. In asthmatic children, FOT showed greater accuracy in the evaluation of smaller caliber peripheral airways, which can be applied as a complementary method to spirometry to strengthen the diagnosis, enabling a better understanding of the disease and its progression.

A asma é considerada a doença crônica de maior incidência em crianças. As medidas de função pulmonar são importantes na avaliação da doença, podendo confirmar o diagnóstico pela demonstração de reversibilidade da obstrução assim como detectar riscos de mau prognóstico no controle da asma. Entretanto, os métodos mais usuais para análise da função pulmonar nesta faixa etária apresentam restrições em sua aplicabilidade, especialmente pela necessidade de cooperação por parte dos pacientes. A técnica de oscilações forçadas (FOT) é considerada uma ferramenta moderna capaz de estimar medidas da mecânica respiratória relativas aos pulmões. Este método apresenta fácil aplicabilidade pela baixa necessidade de cooperação do paciente, elemento importante na avaliação de crianças. O objetivo deste estudo é revisar a utilidade clínica da Técnica de Oscilações Forçadas na avaliação pulmonar de crianças asmáticas. A busca bibliográfica contemplou os anos entre 1950 e 2019, nas bases de dados: Medical Literature Analysis and Retrieval System Online (MEDLINE) e Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS). Foi utilizada como estratégia de busca a combinação dos seguintes Medical Subject Headings(MeSH) terms: "asthma", "oscillometry" e "child" cruzados por meio dos conectores booleanos AND e OR. Em crianças asmáticas, a FOT mostrou maior acurácia na avaliação de vias aéreas periféricas de menor calibre, podendo ser aplicada como método complementar a espirometria para encorpar o diagnóstico, possibilitando compreender melhor a doença e sua progressão.

Alanyl-glutamine protects the intestinal barrier function in trained rats against the impact of acute exhaustive exercise

Strenuous exercise triggers deleterious effects on the intestinal epithelium, but their mechanisms are still uncertain. Here, we investigated whether a prolonged training and an additional exhaustive training protocol alter intestinal permeability and the putative effect of alanyl-glutamine (AG) pretreatment in this condition. Rats were allocated into 5 different groups: 1) sedentary; 2 and 3) trained (50 min per day, 5 days per week for 12 weeks) with or without 6 weeks oral (1.5 g/kg) AG supplementation; 4 and 5) trained and subjected to an additional exhaustive test protocol with or without oral AG supplementation. Venous blood samples were collected to determine gasometrical indices at the end of the 12-week protocol or after exhaustive test. Lactate and glucose levels were determined before, during, and after the exhaustive test. Ileum tissue collected after all experimental procedures was used for gene expression analysis of Zonula occludens 1 (ZO-1), occludin, claudin-2, and oligopeptide transporter 1 (PepT-1). Intestinal permeability was assessed by urinary lactulose/mannitol test collected after the 12-week protocol or the exhaustive test. The exhaustive test decreased pH and base excess and increased pCO2. Training sessions delayed exhaustion time and reduced the changes in blood glucose and lactate levels. Trained rats exhibited upregulation of PEPT-1, ZO-1, and occludin mRNA, which were partially protected by AG. Exhaustive exercise induced intestinal paracellular leakage associated with the upregulation of claudin-2, a phenomenon protected by AG treatment. Thus, AG partially prevented intestinal training adaptations but also blocked paracellular leakage during exhaustive exercise involving claudin-2 and occludin gene expression.

Orientación para la investigación global sobre educación interprofesional y práctica colaborativa. Documento de trabajo / Guidance on global interprofessional education and collaborative practice research: discussion paper / Orientação sobre pesquisa global em educação interprofissional e prática colaborativa: documento de trabalho

Este documento de trabajo fue elaborado por varios expertos en EIPC de renombre mundial durante el último año para estimular una mayor discusión sobre la investigación global en EIPC. La publicación ofrece perspectivas para informar las discusiones en torno a la agenda de investigación global en EIPC mediante la identificación de prioridades de investigación y proporcionando orientación sobre marcos teóricos, metodologías y composición de equipos de investigación. Un léxico propuesto para el campo interprofesional también se proporciona como un apéndice. El léxico sirve como documento de debate para desarrollar el consenso sobre la terminología relacionada con la educación, el aprendizaje, la práctica y la atención interprofesionales.

This Discussion Paper aims to provide guidance on IPECP research. We provide a perspective of the current situation and the needs in IPECP research around the globe, make recommendations for research teams to advance IPECP theory-informed research by 2022, and invite collaborators to join us in this initiative. The appendix provides a proposed lexicon for the interprofessional field based on the current interprofessional literature. This lexicon serves as a starting point in developing a global consensus on a set of definitions and descriptions related to interprofessional education, learning, practice, and care. In doing so, and in response to the Article 4 of the Sydney Interprofessional Declaration (All Together Better Health V, 2010), IPR.Global and Interprofessional. Global plan to conduct a web-based global Delphi panel in early 2020.

Este Documento de trabalho visa orientar pesquisas na área da EIPC. Nele fornecemos uma perspectiva sobre a situação atual e as necessidades mundiais em termos de pesquisa nessa área, fazemos recomendações para equipes de esquisas, informadas por teorias, para que alcancem avanços na EIPC até 2022, e convidamos colaboradores a participarem conosco nesta iniciativa. O Apêndice propõe um léxico para o campo interprofissional com base na literatura interprofissional atual. Esse léxico serve como ponto de partida para o desenvolvimento de um consenso global sobre uma série de definições e descritores relacionados à educação, ao aprendizado, à prática e à atenção interprofissional. Após propô-lo, e em resposta ao Artigo 4º da Declaração Interprofissional de Sydney (All Together Better Health V, 2010), o IPR.Global e o plano da Interprofessional.Global têm por objetivo conduzir um encontro com especialistas de todo o mundo, via Internet, no início de 2020.

Avaliação de anti-inflamatórios não esteroidais no tratamento da dor de ovinos submetidos à implantação de cânula ruminal e orquiectomia / Assessment of nonsteroidal anti-inflammatory drugs in treatment of pain in sheep submitted to ruminal cannulation and orchiectomy

O presente trabalho objetivou comparar o efeito do flunixin meglumine, cetoprofeno e meloxicam no tratamento da dor pós-operatória de ovinos submetidos à implantação de cânula ruminal e orquiectomia. Foram utilizados 32 ovinos, machos, pesando em média 35,5±3,5kg, distribuídos em três grupos: GFlu (flunixin meglumine 1,1mg/kg i.v.), GCet (cetoprofeno 3,0mg/kg i.v.) e GMel (meloxicam 0,5mg/kg i.v.). Exame clínico e coletas de sangue foram realizados no M0 (pré-avaliação), M1 (10 minutos após a pré-avaliação), M2 (início da sutura para fixação da cânula ruminal), M3 (logo após o término da cirurgia) e em duas, 12, 23, 25, 48 e 72 horas após a cirurgia (M2h, M12h, M23h, M25h, M48h e M72h), quando foram avaliados cortisol, glicose, proteína total, albumina, γ-glutamiltransferase (GGT), aspartato aminotransferase (AST), creatina quinase (CK), ureia, creatinina e hemograma. Nos M2h, M12h, M23h, M25h e M48h, foi realizada avaliação comportamental. O GFlu apresentou maior concentração de cortisol no M12h e no M48h e maior escore de dor na fístula e no testículo no M12h, quando comparado ao GMel. Os animais do GCet apresentaram menor interação com outros membros da baia no M23h. A ação analgésica do meloxicam foi maior em animais submetidos à implantação de cânula ruminal e orquiectomia, quando comparado ao flunixin meglumine e ao cetoprofeno.(AU)

This study aimed to compare the effect of flunixin meglumine, ketoprofen, and meloxicam in the treatment of postoperative pain in sheep submitted to ruminal cannulation and orchiectomy. 32 sheep were submitted to implantation of rumen cannula and orchiectomy, divided into three groups: GFlu (Flunixin meglumine 1,1mg/kg i.v.); GCet (Ketoprofen 3,0mg/kg i.v.); GMel (Meloxicam 0,5mg/kg i.v.). Clinical examination and blood samples were performed at M0 (pre-evaluation), M1 (10 minutes after pre-evaluation), M2 (beginning ruminal cannula), M3 (immediately post-surgery), and M2h, M12h, M23h, M25h, M48h and M72h (2h, 12h, 23h, 25h, 48h and 72 hours post-surgery) with the evaluation of cortisol, glucose, total protein, albumin, γ-glutamyl transferase (GGT), aspartate aminotransferase (AST), creatine kinase (CK), urea, creatinine and blood count. At M2h, M12h, M23h, M25h and M48h a behavioral evaluation was performed. The GFlu showed higher concentration of cortisol at M12h and M48h and greater pain score related with fistula and testis procedures at M12h when compared to GMel. Animals in the GCet group presented lower interaction with other animals in the same M23h paddock. The analgesia provided by Meloxicam was higher than flunixin meglumine and ketoprofen in animals submitted to placement of ruminal cannula and orchiectomy.(AU)

Cross-sectional, Observational Study to Assess Clinical Role of Oral and Injectable Linezolid in Post-operative Diabetic Foot Ulcers: COOLD Study

Background: Diabetic foot ulcers (DFUs) remain difficult to treat with likely incriminating risk factors involving Methicillinresistant Staphylococcus aureus (MRSA). Linezolid offers complimentary consistent action against MSSA and MRSApathogens making it an ideal choice for inpatient, switch or outpatient therapy for complicated skin and skin structureinfections.Objective: The objective of the study was to compare the efficacy of injectable versus oral linezolid in the management ofpost-operative DFUs.Materials and Methods: Retrospective analyses of 100 cases receiving oral or injectable linezolid. A total of 100 subjectswere enrolled in this study. Two groups were made of 50 patients each and labeled as Group A and Group B. In Group A,tablet linezolid was given in a dose of 600 mg BD for 7 days. In Group B, injectable linezolid was given in a dose of 600 mgintravenous (IV) BD for 7 days. Clinical and bacteriological improvement was documented. In both groups tablet cefuroxime,500 mg BD was given for 7 days in conjunction with linezolid.Results: We found 90–100% improvement in wound infections and in culture reports. Results in both the groups receivingoral or IV linezolid for post-operative DFU healing were comparable when administered for 7 days. Linezolid offered hightherapeutic success rates (75–100%) against the incriminated pathogens of S. aureus with little action against Acinetobacteror Pseudomonas aeruginosa.Conclusion: These results suggest that linezolid given empirically is highly effective in the treatment of DFUs. The equivocalclinical and microbiological eradication rates for oral and injectable formulations with 7 days therapy makes them less liable forresistance induction or development.

Anti-ophidian activity of Bredemeyera floribunda Willd. (Polygalaceae) root extract on the local effects induced by Bothrops jararacussu venom

Bredemeyera floribunda roots are popularly used to treat snakebites in the semiarid region of Northeast Brazil, and previous studies indicate the anti-ophidian actions of triterpenoid saponins found in its roots. To assess B. floribunda root extract (BFRE) activity against the effects of Bothrops jararacussu venom (BjuV), antiphospholipasic, antiproteolytic, antihemorrhagic, antinecrotic, and anti-edematogenic activities were investigated in mice. Phytochemical analysis revealed the presence of saponins, flavonoids, and sugars, with rutin and saccharose being the major constituents of BFRE. Acute toxicity was determined and BFRE was nontoxic to mice. Phospholipase A2 and proteolytic activities induced by BjuV were inhibited in vitro by BFRE at all concentrations tested herein. BFRE (150 mg/kg) inhibited paw edema induced by BjuV (50 µg/animal), reducing total edema calculated by area under the curve, but carrageenan-induced paw edema was unchanged. Hemorrhagic and necrotizing actions of BjuV (50 µg/animal) were considerably decreased by BFRE treatment. Thus, BFRE blocked the toxic actions of B. jararacussu venom despite having no anti-inflammatory activity, which points to a direct inhibition of venom's toxins, as demonstrated in the in vitro assays. The larger amounts of rutin found in BFRE may play a role in this inhibition, since 3′,4′-OH flavonoids are known inhibitors of phospholipases A2.

Síndrome de Eisenmenger em um gato / Eisenmenger syndrome in cat

A 6-month-old female, 1.0kg, uncastrated female Persian cat was brought to the Veterinary Hospital at State University of Ceara, with a history of dyspnea, prostration, hyporexia and progressive weight loss for a month. On physical examination, systolic cardiac murmur, cyanosis and dyspnea were detected. Unfortunately, the cat died during oxygen therapy. Necropsy examination revealed an increase in cardiac silhouette and ventricular septal defect of 2cm in diameter. Macroscopically the lungs were collapsed, with absent and diffusely reddish blackish crepitus, and the liver with blackish red coalescent multifocal areas, interspersed with lighter areas and lobular pattern with irregular brownish multifocal areas intercepted by brownish areas. Thus, the necropsy results together with the history and physical examination of the animal confirmed the diagnosis of Eisenmenger Syndrome, becoming the report of the first case, in a cat, in Brazil.(AU)

Physicochemical characterization, the Hirshfeld surface, and biological evaluation of two meloxicam compounding pharmacy samples / 药物分析学报

Meloxicam (MLX) is an anti-inflammatory drug susceptible to variations and crystalline transitions. In compounding pharmacies, the complete crystallographic evaluation of the raw material is not a routine procedure. We performed a complete crystallographic characterization of aleatory raw MLX samples from compounding pharmacies. X-ray diffraction indicated the presence of two crystalline forms in one sample. DSC experiments suggested that crystallization, or a crystal transition, occurred differently be-tween samples. The FTIR and 1H NMR spectra showed characteristic assignments. 13C solid-state NMR spectroscopy indicated the presence of more than one phase in a sample from pharmacy B. The Hirshfeld surface analysis, with electrostatic potential projection, allowed complete assignment of the UV spectra in ethanol solution. The polymorph I of meloxicam was more active than polymorph Ⅲ in an experi-mental model of acute inflammation in mice. Our results highlighted the need for complete crystal-lographic characterization and the separation of freely used raw materials in compounding pharmacies, as a routine procedure, to ensure the desired dose/effect.

Intestinal cell migration damage induced by enteropathogenic Escherichia coli strains

Epithelial cell migration is an essential response to enteric pathogens such as enteropathogenic Escherichia coli (EPEC). This study aimed to investigate the effects of EPEC infection on intestinal epithelial cell migration in vitro, as well as the involvement of type III secretion system (T3SS) and Rho GTPases. Crypt intestinal epithelial cells (IEC-6) were infected with EPEC strains (E2348/69, ΔescF, and the LDI001 strain isolated from a malnourished Brazilian child) and commensal E. coli HS. Wound migration and cell death assays were performed at different time-points. Transcription and expression of Rho GTPases were evaluated using real-time PCR and western blotting. Overall, EPEC E2348/69 reduced migration and increased apoptosis and necrosis levels compared to EPEC LDI001 and E. coli HS strains. Moreover, EPEC LDI001 impaired cell migration at a higher level than E. coli HS and increased necrosis after 24 hours compared to the control group. The different profiles of virulence genes between the two wild-type EPEC strains, characterized by the absence of espL and nleE genes in the LDI001, might explain the phenotypic results, playing significant roles on cell migration impairment and cell death-related events. Moreover, the type III secretion system is determinant for the inhibition of intestinal epithelial cell migration by EPEC 2348/69, as its deletion prevented the effect. Active Rac1 concentrations were increased in E2348/69 and LDI001-infected cells, while the T3SS-deficient strain did not demonstrate this activation. This study contributes with valuable insight to characterize the mechanisms involved in the impairment of intestinal cell migration induced by EPEC.

Hipocalcemia no deslocamento de abomaso de bovinos: estudo de 39 casos / Hypocalcemia in displacement the abomasum in cattle: study of 39 cases

Este estudo avaliou o status do cálcio sérico em 39 vacas com deslocamento de abomaso (DA), provenientes de 30 propriedades leiteiras selecionadas, na região de Campos Gerais no Paraná. O diagnóstico do deslocamento de abomaso foi realizado por percussão auscultatória, além dos sinais clínicos e informações da anamnese. Previamente ao procedimento cirúrgico, amostras de sangue foram coletadas para a mensuração dos níveis sanguíneos de cálcio, albumina, proteína e glicose. Como grupo controle, amostras de sangue foram coletadas de vacas hígidas que se encontravam em semelhante período de lactação. Das 39 vacas com deslocamento de abomaso, 35 apresentaram hipocalcemia e no grupo controle, apenas um animal. Concentrações sanguíneas de glicose e proteína foram inferiores nos animais com DA, quando comparados com animais do grupo controle.(AU)

This study evaluated the status of serum calcium in 39 Holstein cows with displacement of the abomasum (DA), from 30 dairy farms selected in the region of Campos Gerais, Paraná state, Brazil.. The diagnosis of abomasal displacement was performed by auscultation and percussion, besides the clinical signs and history information. Before surgery, blood samples were collected to measure blood levels of calcium, albumin, protein and glucose. As a control group, blood samples were collected from healthy cows that were in similar period of lactation. Of the 39 cows with abomasal displacement, 35 had hypocalcemia and in the control group only one cow. Blood glucose and protein concentrations were lower in the animals with DA when compared with the control group.(AU)

Fruit color preference by birds and applications to ecological restoration / Preferência de cor de frutos por aves e aplicações à restauração ecológica

Abstract Ecological restoration aims to retrieve not only the structure but also the functionality of ecosystems. Frugivorous birds may play an important role in this process due to their efficiency in seed dispersal. Color perception in these animals is highly developed, and then the colors of fleshy fruits may provide important clues for choosing plant species for restoration plans. This study aims to integrate bird color preferences and restoration of degraded areas, with an objective to evaluate the potential attractiveness to birds by colored fruits. We carried out an experiment with 384 artificial fruits made of edible modeling clay with the following colors: black, blue, green and red, with 96 fruits of each color in six sites, including four restored areas and two second-growth forest fragments. We also tested the possible effect of light intensity on fruit consumption by color. A total of 120 (38.6%) were assumed to be consumed by birds, and the fruit consumption varied in response to the location and light incidence. Consumption of black and blue fruits was not related to site by chance. Notwithstanding, red and black fruits were consumed significantly more than any other colors, emphasizing bird preference to these colors, regardless of location. Enrichment with shade tolerant shrubs or forest species with black or red fruits may be an alternative way to manage established restorations. In recently established or new restorations, one may introduce pioneer shrubs or short-lived forest species which have blue fruits, but also those having black or red ones.

Resumo A restauração ecológica tem a finalidade de recuperar não apenas a estrutura, mas também a funcionalidade dos ecossistemas, e as aves frugívoras podem desempenhar um papel importante neste processo devido à sua eficiência na dispersão de sementes. Como a percepção da cor nestes animais é altamente desenvolvida, a cor dos frutos carnosos pode ser uma característica importante na escolha de espécies de plantas para os reflorestamentos. Este estudo tem como foco integrar a preferência de cor de frutos por aves e a recuperação de áreas degradadas, objetivando determinar a atratividade potencial de aves por frutos de cores diferentes. Foi realizado um experimento com 384 frutos artificiais feitos com massa de modelar comestível nas cores preta, azul, verde e vermelha, com um total de 96 frutos em cada cor em seis locais, incluindo quatro áreas restauradas e dois fragmentos de floresta secundária. Também foi testado o possível efeito da intensidade de luz sobre o consumo de frutos conforme as cores. Um total de 120 (38,6%) frutos foi considerado consumido pelas aves, e o consumo variou em resposta aos locais e incidência de luz. O consumo de frutos pretos e azuis foi significativamente relacionado com o local. Os frutos vermelhos e pretos foram significativamente mais consumidos do que as outras cores, enfatizando a preferência aves por essas cores, independentemente do local. O enriquecimento com espécies tolerantes à sombra com frutos pretos ou vermelhos pode ser uma alternativa para manejo de restaurações já estabelecidos; enquanto nos recentemente criados podem ser introduzidas espécies pioneiras ou florestais de vida curta com frutos azuis, pretos ou vermelhos.

Electromyographic analysis of the gait cycle phases of boxer dogs / Análise eletromiográfica do ciclo de marcha em cães da raça boxer

Systematic studies involving technologies such as surface electromyography (sEMG) may provide important data that enable veterinarians to recognize musculoskeletal, ligamentous, and neurological alterations. The aim of this study was to describe the gait cycle phases and the timing of muscle activation in healthy Boxer dogs during gait by means of sEMG. The gait cycle of seven Boxer dogs was evaluated and sEMG was recorded from the biceps brachii, triceps brachii, brachiocephalic, rectus femoris, semitendinosus, semimembranosus, and superficial gluteal muscles of the right hemibody. Circular monopolar Ag/AgCl electrodes were attached to the mean point between the motor point and the muscle insertion. The electromyographic signals were collected by an active interface with 20-fold gain in a bipolar differential configuration using a 16-channel signal conditioner (EMG Systems Brasil), while the dogs walked on a treadmill at a speed of 2m/s. Pearson's correlation was used for the statistical analysis. A positive correlation was found between the rectus femoris and biceps brachii (r= 0.81); superficial gluteal and triceps brachii (r= 0.69); semitendinosus-semimembranosus and biceps brachii (r= 0.76); and rectus femoris and semitendinosus and semimembranosus muscle groups (r=0.99). The biceps brachii and brachiocephalic muscles work in tandem to position the thoracic limb during the gait cycle, while the semitendinosus-semimembranosus group flexes the knee and, simultaneously with the quadriceps that flexes the hip, prevents the contact of the pelvic limb with the ground during the swing phase. The body is propelled forward by the triceps brachii muscle, which extends the elbow and flexes the shoulder at the final contact, while the superficial gluteal muscle extends the hip.(AU)

Estudos sistemáticos que envolvem uso de tecnologias, como a eletromiografia de superfície (EMGs), podem fornecer dados importantes que capacitam os clínicos a diferenciar as alterações musculoesqueléticas, ligamentares ou neurológicas. Objetiva-se com este trabalho descrever as fases da marcha canina e o momento de ativação dos músculos de cães saudáveis da raça Boxer durante a marcha, por meio da eletromiografia de superfície. Avaliou-se a marcha de sete cães da raça Boxer, e o sinal elétrico da eletromiografia de superfície foi coletado do bíceps braquial, do tríceps braquial, do braquiocefálico, do reto femoral, do semitendinoso/semimembranoso e do glúteo superficial do hemicorpo direito. Os eletrodos monopolares circulares de prata com cloreto de prata (Ag/AgCl) foram posicionados no ponto médio entre a placa motora e a inserção desses músculos. Os sinais eletromiográficos foram capturados e adquiridos por uma interface ativa com ganho de 20x em configuração diferencial bipolar e por um condicionador de sinais (EMG Systems Brasil) de 16 canais, enquanto os cães caminharam em esteira com velocidade de 2m/s. Para análise estatística, foi aplicado teste de correlação de Pearson. Verificou-se correlação positiva entre os músculos retofemoral e bíceps braquial (r= 0,81); glúteo superficial e tríceps braquial (r= 0,69); semitendinoso/semimembranoso e bíceps braquial (r= 0,76); e entre o músculo reto femoral e o grupo muscular semitendinoso e semimembranoso (r=0,99). Os músculos bíceps braquial e braquiocefálico do mesmo membro trabalham em sinergia para posicionar o membro torácico durante o ciclo de marcha, enquanto o grupo muscular semitendinoso/semimembranoso flexiona o joelho e, simultaneamente com o quadríceps, que flexiona o quadril, impede que o membro pélvico entre em contato com o solo no balanço. Para impulsionar o corpo à frente, o músculo tríceps braquial estende o cotovelo e flexiona o ombro no contato final e o glúteo superficial estende o quadril.(AU)

Impact of acute undernutrition on growth, ileal morphology and nutrient transport in a murine model

Undernutrition represents a major public health challenge for middle- and low-income countries. This study aimed to evaluate whether a multideficient Northeast Brazil regional basic diet (RBD) induces acute morphological and functional changes in the ileum of mice. Swiss mice (∼25 g) were allocated into two groups: i) control mice were fed a standard diet and II) undernourished mice were fed the RBD. After 7 days, mice were killed and the ileum collected for evaluation of electrophysiological parameters (Ussing chambers), transcription (RT-qPCR) and protein expression (western blotting) of intestinal transporters and tight junctions. Body weight gain was significantly decreased in the undernourished group, which also showed decreased crypt depth but no alterations in villus height. Electrophysiology measurements showed a reduced basal short circuit current (Isc) in the undernourished group, with no differences in transepithelial resistance. Specific substrate-evoked Isc related to affinity and efficacy (glutamine and alanyl-glutamine) were not different between groups, except for the maximum Isc (efficacy) induced by glucose. Transcription of Sglt1 and Pept1 was significantly higher in the undernourished group, while SN-2 transcription was decreased. No changes were found in transcription of CAT-1 and CFTR, while claudin-2 and occludin transcriptions were significantly increased in the undernourished group. Despite mRNA changes, SGLT-1, PEPT-1, claudin-2 and occludin protein expression showed no difference between groups. These results demonstrate early effects of the RBD on mice, which include reduced body weight and crypt depth in the absence of significant alterations to villus morphology, intestinal transporters and tight junction expression.

Avaliação hemogasométrica, bioquímica e hematológica de ovinos suplementados com melão / Effects of sudden intake of melon on blood gas, biochemical and hematological parameters of sheep

O presente trabalho avaliou os efeitos da administração de duas diferentes quantidades de melão sobre variáveis hemogasométricas, bioquímicas e hematológicas de ovinos não adaptados. Foram utilizados 12 ovinos canulados, pesando 25kg de peso vivo, que nunca receberam ração concentrada. Os animais receberam dieta à base de feno (2,3% do peso vivo) e água à vontade. Os ovinos foram distribuídos aleatoriamente em dois grupos e receberam 25% ou 75% da matéria seca (MS) da dieta de melão triturado (G25% e G75%, respectivamente) diretamente no rúmen. Foram realizadas coletas de sangue e determinação do pH ruminal nos seguintes tempos: zero, 3, 6, 12, 18 e 24 horas após oferecimento do melão. Foi realizada análise hemogasométrica, do volume globular, determinação da concentração plasmática de lactato-L, glicose e osmolaridade sérica. No G25%, o pH sanguíneo variou entre 7,40 e 7,31, enquanto o G75% apresentou pH entre 7,38 e 7,26. Maiores concentrações de glicose plasmática foram detectadas no G75% no T3, T6 e T12 (P<0,05). Os ovinos que receberam 25% de melão mantiveram parâmetros sanguíneos dentro da normalidade, ao passo que, no G75%, os ovinos apresentaram discreta acidose metabólica sistêmica e hiperglicemia. A suplementação com 25% de melão pode ser uma alternativa segura na alimentação de ovinos.

This study evaluated the effects of two different amounts of melon on blood gas, biochemical and hematological variables of sheep not adapted. We used 12 cannulated sheep weighing 25 kg which never received concentrate. The animals received hay-based diet (2.3% of body weight) and water ad libitum. The sheep were randomly divided into two groups and received 25% or 75% of the dry matter (DM) of the diet of crushed melon (G25% and G75%, respectively) directly into the rumen. Blood collection and determination of ruminal pH were made at the following times: zero, three, six, 12, 18 and 24 hours after administration of the fruit. In whole blood was performed blood gas analysis and packed cell volume; in the plasma it was determined the concentrations of L-Lactate and glucose and in the serum the osmolarity. At G25% the blood pH ranged between 7.40 and 7.31, while G75% showed pH between 7.38 and 7.26. Higher concentrations of plasma glucose were detected in G75% after 3, 6 and 12 hours (P <0.05). Sheep receiving 25% of melon showed blood parameters within the normal range, while in the G75%, sheep had a mild systemic metabolic acidosis and hyperglycemia.

Role of a GenoType MTBDRplus line probe assay in early detection of multidrug-resistant tuberculosis at a Brazilian reference center

Resistance to Mycobacterium tuberculosis is a reality worldwide, and its diagnosis continues to be difficult and time consuming. To face this challenge, the World Health Organization has recommended the use of rapid molecular tests. We evaluated the routine use (once a week) of a line probe assay (Genotype MTBDRplus) for early diagnosis of resistance and for assessment of the main related risk factors over 2 years. A total of 170 samples were tested: 15 (8.8%) were resistant, and multidrug resistance was detected in 10 (5.9%). The sensitivity profile took 3 weeks (2 weeks for culture and 1 week for rapid testing). Previous treatment for tuberculosis and the persistence of positive acid-fast smears after 4 months of supervised treatment were the major risk factors observed. The use of molecular tests enabled early diagnosis of drug-resistant bacilli and led to appropriate treatment of the disease. This information has the potential to interrupt the transmission chain of resistant M. tuberculosis.

Energy and protein requirements of 3/4 Zebu x 1/4 Holstein crossbreds fed different calcium and phosphorus levels in the diet / Exigências de energia e proteína de bovinos cruzados 3/4 Zebu x 1/4 Holandês alimentados com diferentes níveis de cálcio e fósforo na dieta

The aim of this study was to determine the nutritional requirements of energy and protein for maintenance and weight gain of crossbred cattle, as well as their efficiencies. Fifty 3/4 Zebu × 1/4 Holstein crossbred bulls with initial weights of 214±4kg and aged 11±0.2 months on average were used in this experiment. Four animals were used in the reference group; ten bulls were fed at the maintenance level; and the remaining 36 bulls were fed ad libitum and distributed in a completely randomized design in a 3×3 factorial arrangement, which had three feedlot periods (56, 112 or 168 days) and three calcium and phosphorus levels (low, medium and normal) in the diet. Four of the maintenance animals had their heat production measured by respirometry at the Laboratory of Metabolism and Calorimetry of UFMG. After slaughter, composite samples, referred to as carcass and noncarcass samples were obtained from each animal. The net energy requirements for maintenance (NEm) and metabolizable energy for maintenance (MEm) were 68.9 and 90.1 kcal/EBW0.75/day, respectively. The efficiency (km) was 76.41%. The NEm requirement determined in the respirometry chamber was 85.5 kcal/kg0.75. The following equations were obtained for net energy for gain (NEg) and net protein for gain (NPg): NEg (Mcal/day) = 0.0505±0.000986 × EBW0.75× EBWG1.095 and NPg (g/day) = 162.79±18.2546 × EBWG - 1.30±5.3010 × RE. The efficiencies of fat and protein deposition were 70.04 and 15.12%, respectively. In conclusion, the requirements of NEm for growing and finishing non-castrated 3/4 Zebu × 1/4 Holstein crossbred cattle are 68.9 kcal/EBW0.75/day. Requirements of NEg and NPg can be obtained by the following equations: NEg (Mcal/day) = 0.05050.000986 × EBW0.75 × EBWG1.095 and NPg (g/day) = 162.79±18.2546 × EBWG - 1.30±5.3010× RE.(AU)

Objetivou-se determinar as exigências nutricionais de energia e proteína para mantença e ganho de peso de bovinos cruzados, bem como suas eficiências. Foram utilizados 50 bovinos cruzados 3/4 Zebu × 1/4 Holandês, não castrados, com peso inicial de 214±4kg e idade média de 11±0,2 meses. Quatro animais foram usados para referência, dez para o grupo mantença e os 36 animais alimentados à vontade foram distribuídos em delineamento inteiramente ao acaso em esquema fatorial 3×3, sendo três períodos de confinamento (56, 112 ou 168 dias) e três níveis de cálcio e fósforo (baixo, médio e normal) na dieta. Quatro dos animais mantença foram encaminhados ao laboratório de metabolismo e calorimetria da UFMG para medição da produção de calor através da respirometria. Após os abates, foram obtidas duas amostras compostas para cada animal, denominadas carcaça e não carcaça. As exigências de energia líquida para mantença (ELm) e energia metabolizável para mantença (EMm) foram, respectivamente, de 68,9 e 90,1kcal/PCVZ0,75/dia. A eficiência (km) foi de 76,41%. A exigência de ELm obtida na câmara respirométrica foi de 85,5kcal/kg0,75. As equações obtidas para energia líquida de ganho (ELg) e proteína líquida de ganho (PLg) foram: ELg (Mcal/dia) = 0,0505±0,000986 × PCVZ 0,75 × GPCVZ 1,095 e PLg (g/dia) = 162,79±18,2546 × GPCVZ - 1,30±5,3010 × ER. As eficiências para deposição de gordura e de proteína foram de 70,04 e 15,12%, respectivamente. Conclui-se que as exigências de ELm para bovinos cruzados 3/4 Zebu × 1/4 Holandês não castrados em crescimento e terminação são de 68,9kcal/PCVZ0,75/dia; e que as exigências de ELg e PLg podem ser obtidas pelas respectivas equações: ELg (Mcal/dia) = 0,0505±0,000986 × PCVZ 0,75 × GPCVZ 1,095 e PLg (g/dia) = 162,79±18,2546 × GPCVZ - 1,30±5,3010 × ER.(AU)

Epilepsy-induced electrocardiographic alterations following cardiac ischemia and reperfusion in rats

The present study evaluated electrocardiographic alterations in rats with epilepsy submitted to an acute myocardial infarction (AMI) model induced by cardiac ischemia and reperfusion. Rats were randomly divided into two groups: control (n=12) and epilepsy (n=14). It was found that rats with epilepsy presented a significant reduction in atrioventricular block incidence following the ischemia and reperfusion procedure. In addition, significant alterations were observed in electrocardiogram intervals during the stabilization, ischemia, and reperfusion periods of rats with epilepsy compared to control rats. It was noted that rats with epilepsy presented a significant increase in the QRS interval during the stabilization period in relation to control rats (P<0.01). During the ischemia period, there was an increase in the QRS interval (P<0.05) and a reduction in the P wave and QT intervals (P<0.05 for both) in rats with epilepsy compared to control rats. During the reperfusion period, a significant reduction in the QT interval (P<0.01) was verified in the epilepsy group in relation to the control group. Our results indicate that rats submitted to an epilepsy model induced by pilocarpine presented electrical conductivity alterations of cardiac tissue, mainly during an AMI episode.

Behaviour of confined sheep fed with different concentrate sources / Comportamento ingestivo de ovinos confinados alimentados com diferentes fontes de concentrado

In this study we examined the effects of different feed concentrates on sheep behaviour. Our hypothesis was that citric pulp would stimulate rumination and be capable of replacing other concentrates traditionally used for feeding in confinement, to reduce the risk of urolithiasis. Ten adult Santa Inês sheep were distributed in a Latin square with five different diets, one control diet with 80 percent hay and 20 percent commercial feed and four diets containing 30 percent coast-cross hay and 70 percent of the following concentrates: pelleted citrus pulp, citrus pulp meal, cornmeal or wheat bran. After 21d of adaptation to each one of the five diets, the sheep were visually monitored for 24 h at 3 min intervals to record the time spent ruminating, time spent eating and time spent resting; the animals' positions (standing or lying down) were also noted. Daytime was considered to be from 06:00h to 18:00h. The data were evaluated using ANOVA, with Tukey post-hoc test or throughout Two-sample T test for circadian and position assessment. Citrus pulp diets resulted in time spent ruminating similar to the control diet (601, 590 and 669 min, respectively), but greater (P<0.05) than the cornmeal group (421min), which showed that citrus pulp generated effective rumination. The estimated saliva production in the control diet (26L) was greater than in the other groups, and was greater in the citrus pulp groups (24L/d) than cornmeal (21L/d). Feeding with cornmeal led to shorter time spent eating and time spent ruminating than all other diets. The sheep had higher time spent resting at night when fed concentrates (P<0.05). For all diets, about 90 percent of the time spent ruminating occurred with the animals lying down. Pelleted citrus pulp, citrus pulp meal and to a lesser degree wheat bran, led to adequate time spent ruminating. The use of citrus pulp can act as a preventive management measure to reduce the incidence of urolithiasis in sheep flocks...

No presente estudo, avaliaram-se os efeitos da alimentação de diferentes concentrados sobre o comportamento de ovinos. A hipótese é a de que a polpa cítrica estimularia a ruminação e reduziria o risco de ocorrência de urolitíase, podendo substituir outros concentrados. Dez ovinos adultos, mestiços da raça Santa Inês, foram distribuídos em um quadrado latino com cinco tratamentos, sendo quatro destes contendo dietas com 30 por cento de feno de capim coast-cross e 70 por cento dos seguintes concentrados: polpa cítrica peletizada, polpa cítrica farelada, fubá de milho e farelo de trigo, e uma dieta controle com 80 por cento de feno e 20 por cento de ração comercial peletizada. [...] A posição dos animais (em pé ou deitados) também foi observada. O período diurno foi considerado entre seis e 18 horas. Para comparação entre os tratamentos, os dados foram avaliados por meio de ANOVA e do teste de Tukey. Para a avaliação circadiana e entre as posições, foi utilizado o teste t de Student. Dietas com polpa cítrica promoveram tempo de ruminação semelhante aos do grupo de controle (601, 590 e 669 min, respectivamente), mas superior ao grupo alimentado com fubá de milho (421min). A produção de saliva estimada no grupo controle (26L/d) foi maior do que nos demais grupos, e os grupos com polpa cítrica tiveram maior produção de saliva do que o grupo com fubá de milho (21L/d). Ovinos em dietas ricas em concentrados descansam mais durante a noite. Em todas as dietas, cerca de 90 por cento da ruminação ocorreu com os animais deitados. A polpa cítrica peletizada e a farelada, e em menor grau o farelo de trigo, promoveram adequadamente a ruminação. Este concentrado pode ser utilizado como medida preventiva visando diminuir a incidência de urolitíase em rebanhos ovinos...

Expressão gênica de adipocinas em ovelhas alimentadas com resíduos da indústria do biodiesel da mamona / Adipokine gene expression in ewes fed with residues from the biodiesel castor industry

A expressão de RNAm para leptina, receptor de leptina (obRb), adiponectina, receptor de adiponectina (AdipoR1) e resistina foi avaliada por meio da técnica de PCR em tempo real, em tecidos ovariano, hipofisário, adiposo do omento e da região perirrenal, em ovelhas alimentadas sem farelo de mamona ou com farelo de mamona detoxificada durante 14 meses. O tipo de dieta não afetou os níveis de RNAm para leptina, obRb, adiponectina, AdipoR1 e resistina nos diferentes tecidos avaliados (P>0,05). Nos tecidos ovariano e hipofisário, não foi verificada a expressão da adiponecina e da resistina, respectivamente. Como consequência, pode-se concluir que o farelo de mamona detoxificada pode ser utilizado como fonte proteica na dieta de ovelhas, sem afetar a expressão do gene resistina e dos genes leptina e adiponectina, bem como de seus receptores...

The expression of leptin, leptin receptor (obRb), adiponectin, adiponectin receptor (AdipoR1) and resistin was assessed by real-time PCR technique in ovarian, pituitary, and the omental adipose perirenal tissue in sheep feed without castor meal or with detoxified castor meal. The type of diet did not affect mRNA levels for leptin, obRb, adiponectin, resistin AdipoR1 evaluated in different tissues (P>0.05). However, in pituitary and ovarian tissues there was no expression of resistin and adiponectin, respectively. The detoxified castor meal can be used in sheep diets as alternative food protein without affecting the expression of leptin and adponectin as well as their receptors and resistin...

Effect of heat and moisture exchangers on the prevention of ventilator-associated pneumonia in critically ill patients

Ventilator-associated pneumonia (VAP) remains one of the major causes of infection in the intensive care unit (ICU) and is associated with the length of hospital stay, duration of mechanical ventilation, and use of broad-spectrum antibiotics. We compared the frequency of VAP 10 months prior to (pre-intervention group) and 13 months after (post-intervention group) initiation of the use of a heat and moisture exchanger (HME) filter. This is a study with prospective before-and-after design performed in the ICU in a tertiary university hospital. Three hundred and fourteen patients were admitted to the ICU under mechanical ventilation, 168 of whom were included in group HH (heated humidifier) and 146 in group HME. The frequency of VAP per 1000 ventilator-days was similar for both the HH and HME groups (18.7 vs 17.4, respectively; P = 0.97). Duration of mechanical ventilation (11 vs 12 days, respectively; P = 0.48) and length of ICU stay (11 vs 12 days, respectively; P = 0.39) did not differ between the HH and HME groups. The chance of developing VAP was higher in patients with a longer ICU stay and longer duration of mechanical ventilation. This finding was similar when adjusted for the use of HME. The use of HME in intensive care did not reduce the incidence of VAP, the duration of mechanical ventilation, or the length of stay in the ICU in the study population.