Minimizing complications during surgical management of cervical cancer / 中国医师杂志

Radical hysterectomy combined with pelvic lymphadenectomy is the mainstream management for early-stage cervical cancer. However, the high radicality of such procedures is accompanied by high risk for complications. How to reduce the complications while ensuring the extent of surgical resection represents a dilemma faced by gynecological oncologists. Besides surgical techniques, multiple aspects during patient management should be involved in the measures for preventing surgery-associated complications in cervical cancer patients. By strictly grasping the surgical indications, being familiar with the use of instruments, paying attention to the application of surgical operation details and skills, strengthening postoperative management, and paying attention to the learning curve of surgeons, the incidence of surgical injury can be controlled at a low level.

Evaluation of propanediol and cobalamin metabolism in the intestinal colonization and systemic invasion of Salmonella Enteritidis in laying hens / [Avaliação do metabolismo do propanodiol e da cobalamina na colonização intestinal e na infecção sistêmica de Salmonella Enteritidis em poedeiras]

Embora Salmonella Enteritidis (SE) seja capaz de metabolizar 1,2-propanodiol (1,2-Pd), utilizado como fonte de carbono e de energia ao longo de uma rota dependente de vitamina B12, a importância deste composto na infeção de Gallus gallus domesticus por SE permanece desconhecida. No presente estudo, foram construídos um mutante de SE sem os genes pduCDE, que codifica a propanodiol desidratase (Pdu), e outro contendo as deleções no pduCDE e também nos genes cobS e cbiA, responsáveis pela síntese de vitamina B12. Em seguida, avaliou-se a importância do metabolismo do 1,2-Pd em SE para colonização intestinal de infecção sistêmica de poedeiras comerciais. As estirpes mutantes de SE foram capazes de colonizar o intestino, de serem excretadas nas fezes e de invadir o baço e o fígado na mesma intensidade que a estirpe selvagem, o que sugere que os produtos dos genes pduC, pduD, pduE, cobS e cbiA não são essenciais durante infecção por Salmonella Enteritidis nessa espécie.(AU)

Effect of carbohydrate source on productive performance, ruminal and systemic health of grazing cows / Efecto de la fuente de carbohidratos sobre el desempeño productivo, la salud ruminal y sistémica de vacas en pastoreo / Efeito da fonte de carboidratos sobre o desempenho produtivo, saúde ruminal e sistêmica de vacas em pastejo

Abstract Background: The nutritional limitations of Cenchrus clandestinus -i.e., high protein and low energy concentrations- make it necessary to supplement cows with non-fibrous carbohydrate (NFC) sources to improve productive performance. Nevertheless, such supplementation can lead to ruminal acidosis. Objective: To evaluate partial replacement of corn grain (Zea mays, ZM) with sorghum grain (Sorghum vulgare, SV), cassava root (Manihot esculenta, MES) or citrus pulp (Citrus sp., C) on milk yield and quality, ruminal pH and health of grazing cows. Methods: Eight Holstein cows were evaluated in a 4 x 4 Latin square design during the first 60 days of lactation. Treatments (isoenergetic rations, 1.45 ± 0.003 Mcal NEL/kg DM) consisted of a mixture of grass and four concentrates with different NFC sources. Results: No differences in dry matter intake, feed efficiency, ruminal pH, hematological and metabolic profile were observed between treatments. Rumen pH was higher than 6.0, confirming the absence of ruminal acidosis. Milk yield (energy-corrected), protein, and total solids were higher for MES vs. C. Conclusions: None of the NFC sources tested compromised the ruminal or systemic health of the cows, while MES improved milk yield and quality.

Resumen Antecedentes: las limitaciones nutricionales del Cenchrus clandestinus (alta concentración de proteína y baja densidad energética) hacen necesario suplementar las vacas con fuentes de carbohidratos no fibrosos (NFC) para mejorar su desempeño productivo. Sin embargo, esta suplementación puede generar acidosis ruminal. Objetivo: evaluar el reemplazo parcial de maíz (Zea mays, ZM) por sorgo (Sorghum vulgare, SV), yuca (Manihot esculenta, MES) o pulpa cítrica (Citrus sp., C) sobre la producción de leche y su calidad, el pH ruminal y la salud de vacas en pastoreo. Métodos: ocho vacas Holstein fueron evaluadas empleando un diseño en cuadrado latino de 4 x 4 durante los primeros 60 días de lactancia. Los tratamientos (raciones isoenergéticas, 1,45 ± 0,003 Mcal NEL/kg MS) consistieron de una mezcla de forraje y cuatro concentrados con diferentes fuentes de NFC. Resultados: no se observaron diferencias entre tratamientos en cuanto a consumo de materia seca, eficiencia alimenticia, pH ruminal, ni perfiles hematológico y metabólico. El pH ruminal fue mayor a 6,0; confirmando la ausencia de acidosis. La producción de leche (corregida por energía), proteína, y sólidos totales fue mayor para MES vs. C. Conclusiones: ninguna de las fuentes de NFC evaluadas comprometieron la salud ruminal o sistémica de las vacas, y MES mejoró la producción de leche y su calidad.

Resumo Antecedentes: as limitações nutricionais do Cenchrus clandestinus-alta concentração de proteína e baixa densidade de energia- faz necessário suplementar às vacas com fontes de carboidratos não-fibrosos (NFC) para melhorar o desempenho produtivo. No entanto, essa suplementação pode gerar acidose ruminal. Objetivo: avaliar a substituição parcial do milho (Zea mays, ZM) por sorgo (Sorghum vulgare, SV), mandioca (Manihot esculenta, MES) ou polpa cítrica (Citrus sp., C) na produção e qualidade do leite, pH ruminal e a saúde de vacas em pastejo. Métodos: oito vacas Holandesas foram avaliadas empregando um delineamento em quadrado latino 4 x 4 durante os primeiros 60 dias de lactação. Os tratamentos (rações isoenergéticas, 1,45 ± 0,003 Mcal NEL/kg DM) consistiram de uma mistura de forragem e quatro concentrados com diferentes fontes de NFC. Resultados: não foram observadas diferenças entre os tratamentos no consumo de matéria seca, eficiência alimentar, pH ruminal, perfil hematológico e metabólico. O pH ruminal foi superior a 6,0; confirmando a ausência de acidose ruminal. A produção do leite (corrigida para energia), proteína e sólidos totais foi maior para MES vs. C. Conclusões: nenhuma das fontes de NFC avaliadas comprometeu a saúde ruminal e sistêmica das vacas, embora o MES melhorou a produção e qualidade do leite.

A 1:1 exercise-to-rest period ratio needed by animals to restore energy sources and replenish anti-oxidative status after exercise

BACKGROUND/OBJECTIVES: Successful recovery of an animal from exercise is essential, especially prior to the next exercise session. This study was conducted to find an effective exercise-to-rest period ratio for the restoration of energy sources and replenishment of anti-oxidative status in tissue after exercise. MATERIALS/METHODS: Thirty-two rats were assigned to either non-training or training exercise groups for 5 weeks. After that period, the two groups were subdivided into four smaller groups: non-exercise (NE), exercise 0.5 hour and rest 1 hour (ER0.5:1), exercise 1 hour and rest 1 hour (ER1:1), exercise 2 hours and rest 1 hour (ER2:1). RESULTS: In the training group animals and compared to the NE group, the levels of plasma glucose after the rest period were significantly high in all ER groups but highest in the ER2:1 group. Similarly, the liver glycogen level was highest in the ER2:1 group. The plasma FFA level reached the highest level in the ER2:1 group but was similarly high in the ER0.5:1 group. Liver TG level was unchanged in the ER2:1 and ER1:1 groups but was significantly high in the ER0.5:1 group. Muscle TG levels were decreased in all three ER groups. Plasma protein levels were significantly high in the ER2:1 and ER0.5:1 groups. In both training animal and non-training animals, the liver protein levels did not change significantly between the NE and ER groups, irrespective of the exercise-to-rest ratio. In the training animal group, muscle protein level was significantly low in the ER2:1 and ER0.5:1 groups. The activity levels of superoxide dismutase and catalase, as well as the malondialdehyde concentration, were not significantly different between NE and ER groups, irrespective of the exercise-to-rest period ratio. CONCLUSIONS: These results indicate that animals provided with a 0.5:1 to 1:1 exercise-to-rest period ratio can restore their muscle energy sources and recover their anti-oxidative defense system.

Improvement of ethanol production from sweet sorghum juice under batch and fed-batch fermentations: effects of sugar levels, nitrogen supplementation, and feeding regimes

Background: Fermentation process development has been very important for efficient ethanol production. Improvement of ethanol production efficiency from sweet sorghum juice (SSJ) under normal gravity (NG, 160 g/L of sugar), high gravity (HG, 200 and 240 g/L of sugar) and very high gravity (VHG, 280 and 320 g/L of sugar) conditions by nutrient supplementation and alternative feeding regimes (batch and fed-batch systems) was investigated using a highly ethanol-tolerant strain, Saccharomyces cerevisiae NP01. Results: In the batch fermentations without yeast extract, HG fermentation at 200 g/L of sugar showed the highest ethanol concentration (PE, 90.0 g/L) and ethanol productivity (QE, 1.25 g/L·h). With yeast extract supplementation (9 g/L), the ethanol production efficiency increased at all sugar concentrations. The highest PE (112.5 g/L) and QE (1.56 g/L·h) were observed with the VHG fermentation at 280 g/L of sugar. In the fed-batch fermentations, two feeding regimes, i.e., stepwise and continuous feedings, were studied at sugar concentrations of 280 g/L. Continuous feeding gave better results with the highest PE and QE of 112.9 g/L and 2.35 g/L·h, respectively, at a feeding time of 9 h and feeding rate of 40 g sugar/h. Conclusions: In the batch fermentation, nitrogen supplementation resulted in 4 to 32 g/L increases in ethanol production, depending on the initial sugar level in the SSJ. Under the VHG condition, with sufficient nitrogen, the fed-batch fermentation with continuous feeding resulted in a similar PE and increased QP by 51% compared to those in the batch fermentation.

The influence of different durations of aerobic exercise on fuel utilization, lactate level and antioxidant defense system in trained rats

This study investigated the influence of different durations of aerobic exercise on fuel utilization, lactate levels and antioxidative status in trained rats. Forty rats underwent physical training (T, n = 20) or non- training (NT, n = 20) for 6 weeks. For physical training, animals exercised on a treadmill for 30 min 5 days per week. At the end of week 6, the animals in each group were subdivided into BE, DE-0.5, DE-1 and DE-2, which were sacrificed at the end of week 6 without having performed exercise or after exercise on a treadmill for 0.5h, 1h and 2h, respectively, immediately before being sacrificed. The plasma glucose level in DE-2 of the NT group was significantly lower than in the other groups. Muscle and liver glycogen levels were significantly lower in DE-1 and DE-2, but there were no significant differences between DE-1 and DE-2 in the T group. Liver protein in DE-2 of the NT group was significantly lower. Muscle TG levels were decreased in DE-0.5 of the T group, while those of the NT group were decreased in DE-1. FFA levels were increased in DE-0.5 of the T group and in DE-1 of the NT group. Lactate levels were increased in DE-0.5 of the NT group, while they were increased in DE-1 of the T group. Catalase activity of the T group was lower in BE but higher in DE-0.5, DE-1 and DE-2. SOD activities were higher in trained rats, while the GSH/GSSG ratios were higher in BE, DE-0.5 and DE-1 in the T group, and there was no difference in that of DE-2. There were no differences in MDA levels in BE and DE-0.5, but they were significantly lower in DE-1 and DE-2 of the T group. Overall, the results of this study, suggest that training may improve exercise performance by facilitating the mobilization and oxidation of fat and conserving limited carbohydrate storage, and that it may delay the onset of fatigue and enhance the antioxidative defense system, but cannot support two hours of vigorous exercise.

Alimentación de dos especies de anfibios (Anura: Hylidae) en la estación de bajas temperaturas y su relación con la acumulación de energía en Santa Fe, Argentina / Feeding of two amphibian species (Anura: Hylidae) during the low temperatures season and its relationship with energy storage in Santa Fe, Argentina

In environments with thermal and pluvial seasonality such as those of the Middle Paraná River floodplain (Province of Santa Fe, Argentina), most amphibian species reproduce during the warm season and drastically diminish their activity during winter. Even though, a few species remain active during the cold season, such as Hypsiboas pulchellus that has its reproductive peak during the autumn-winter period (and the consequent energy demand). The objective of this study was to analyze and compare the feeding and development of fat bodies during the low temperature season for H. pulchellus and Dendropsophus nanus. We analyzed entire gastrointestinal tract contents of both species (H. pulchellus=110 specimens; D. nanus=114 specimens) and applied an index (IRI%) that combines prey abundance, volume and frequency to describe frogs diets; we used fat bodies weights as indicators of stored energy reserves. We compared diet between species with a niche overlap index (Ojk: 0-1) and used null models to ascribe statistical significance to evaluate overlap; and we analyzed variation in empty guts proportions through months and between species. Also, using ANCOVAs we explored differences in fat bodies, number and volume of prey consumed along months, between species and sexes. The most important preys in H. pulchellus diet during the cold season were Araneae (IRI%=34.96), Chironomidae (IRI%=33.08), Tipulidae (IRI%=11.44) and Gryllidae (IRI%=7.31); while for D. nanus, Chironomidae (IRI%=48.14), Tipulidae (IRI%=18.41), Psychodidae (IRI%=7.44) and Araneae (IRI%=7.34). Diet overlap between species was elevated (Ojk=0.78) and higher than expected by chance (mean simulated indices: Ojk=0.04; p[observed≥expected]<0.01; p[observed≤expected]=1). In H. pulchellus there was a monthly variation in number of prey per gut, while in D. nanus there was a difference in fat bodies development between sexes. Fat bodies development, number of prey per gut and preys volume also varied between species. Despite diet similarity between H. pulchellus and D. nanus, each species showed a different strategy to accumulate energy and support their activity during the cold season. The low rate of gastrointestinal emptiness in H. pulchellus (<10% in any analyzed month) together with the poor development of their fat bodies, allows us to point out that, to sustain the breeding elevated energy demands, this species continues with a high feeding rate even at the low temperatures of cold season. On the other hand, the rate of gastrointestinal emptiness of D. nanus was higher than that of H. pulchellus (May=17.24%, July=22.22% and August=35.71%), while their fat bodies were well developed. Thus, D. nanus would depend more on their stored reserves to sustain the energy demands of being active during the low temperatures season and hence would reach the reproductive season in spring-summer in good body condition.

Existe escasa información sobre la alimentación de las especies de anfibios activas durante la estación fría o las estrategias de utilización de reservas lipídicas como fuente de energía durante el periodo de bajas temperaturas. Por lo tanto, se analizaron las estrategias de obtención y acumulación energética durante la estación de bajas temperaturas en un anfibio que se reproduce principalmente en otoño-invierno, Hypsiboas pulchellus (Hp), y uno que lo hace en primavera-verano, Dendropsophus nanus (Dn). Para ello se analizó la alimentación de ambas especies y se utilizó el peso de los cuerpos grasos (CG) como indicador del desarrollo de las reservas energéticas. Si bien se encontró una elevada similitud en la dieta entre las especies, esto no implicó la ausencia de diferencias en las estrategias de obtención energética entre ellas. El bajo índice de vacuidad gastrointestinal de Hp, acompañado de CG poco desarrollados, permite señalar que, para sostener la elevada demanda energética de la actividad reproductiva concentrada en el otoño-invierno, esta especie continúa alimentándose aún en temperaturas bajas. Por otro lado, el índice de vacuidad de Dn fue mayor al de Hp, mientras que sus CG se encontraron bien desarrollados, por lo que esta especie utilizaría en mayor medida sus reservas lipídicas como fuente de energía para transitar el período de bajas temperaturas y llegar en buenas condiciones a la temporada reproductiva en la próxima primavera-verano.