Apparent Metabolizable Energy and Amino Acid Digestibility of Corn of Different Origin Fed to Male Broilers from 12 to 18 Days of Age.

Apparent metabolizable energy (AME) and apparent ileal amino acid digestibility (AIAAD) of corn samples from the United States (USA), Argentina (ARG), and Brazil (BRA) fed to 432 and 324 YPM × Ross 708 male broilers from 12 to 18 d of age were evaluated using the total collection method (experiment 1) and index method (experiment 2), respectively. In experiment 1, broilers were fed either a basal diet with 30% dextrose inclusion, or a test diet obtained by the replacement of dextrose with corn from each origin. In experiment 2, broilers were fed one of three test diets in which corn from each origin was the only source of AA. All dietary treatments had 12 replicate cages. Similar (p > 0.05) AME (dry-matter basis) values were observed between corn samples. The highest gap in AME (43 kcal/kg) was found between corn from BRA (3694 kcal/kg) and corn from the USA (3651 kcal/kg). Likewise, similar (p > 0.05) AIAAD values were observed for all AA apart from tryptophan (Trp), as corn from BRA (77.45%) had a higher (p = 0.024) Trp digestibility than corn from the USA (72.53%). Overall, a similar nutrient utilization by the birds was observed for the corn samples, regardless of origin.

Effect of Corn Origin on Broiler Performance, Processing Yield, and Nutrient Digestibility from 1 to 35 Days of Age.

This experiment studied the effect of feeding corn from the United States (USA), Argentina (ARG), and Brazil (BRA) on broiler performance, processing yield, and nutrient digestibility from 1 to 35 d of age. A total of 900-day old YPM × Ross 708 male broilers were randomly sorted in 36 floor pens, each containing 25 chicks and subjected to three experimental diets, resulting in 12 replications per dietary treatment. Starter, grower, and finisher diets were formulated to be only different in corn origin. Data were analyzed as a one-way ANOVA and means were separated using Tukey's HSD test, with statistical significance considered at p ≤ 0.05. No significant differences (p > 0.05) were found in body weight, body weight gain, and feed intake from 1 to 35 d of age among the treatments. However, broilers fed diets with the inclusion of corn from the USA and BRA had a lower feed conversion ratio (FCR) compared with broilers fed diets with corn from ARG from to 1 to 35 d of age (1.434 and 1.434 vs. 1.452 g:g; p = 0.002). Broilers fed diets with the inclusion of corn from BRA had a higher breast weight compared with broilers fed diets with the inclusion of corn from ARG (575 vs. 553 g; p = 0.036), but did not differ in breast weight of broilers fed diets with corn from the USA (575 vs. 556 g; p > 0.05). Corn origin did not influence (p > 0.05) crude protein and fat digestibility. However, broilers fed diets with corn from the USA and BRA had greater phosphorus (P) (63.37, 62.23 vs. 55.26%; p = 0.0003), calcium (Ca) (41.59, 43.85 vs. 30.23%; p = 0.0003), and potassium (K) (88.98, 87.97 vs. 86.04%; p = 0.001) digestibility compared with broilers fed diets with corn from ARG. Overall, corn origin influenced FCR, breast weight, and P, Ca, and K digestibility of broilers from 1 to 35 d of age.

The Toronto Upper Gastrointestinal Cleaning Score: a prospective validation study.

BACKGROUND : Assessment of mucosal visualization during esophagogastroduodenoscopy (EGD) can be improved with a standardized scoring system. To address this need, we created the Toronto Upper Gastrointestinal Cleaning Score (TUGCS). METHODS : We developed the TUGCS using Delphi methodology, whereby an international group of endoscopy experts iteratively rated their agreement with proposed TUGCS items and anchors on a 5-point Likert scale. After each Delphi round, we analyzed responses and refined the TUGCS using an 80 % agreement threshold for consensus. We used the intraclass correlation coefficient (ICC) to assess inter-rater and test-retest reliability. We assessed internal consistency with Cronbach's alpha and item-total and inter-item correlations with Pearson's correlation coefficient. We compared TUGCS ratings with an independent endoscopist's global rating of mucosal visualization using Spearman's ρ. RESULTS : We achieved consensus with 14 invited participants after three Delphi rounds. Inter-rater reliability was high at 0.79 (95 %CI 0.64-0.88). Test-retest reliability was excellent at 0.83 (95 %CI 0.77-0.87). Cronbach's α was 0.81, item-total correlation range was 0.52-0.70, and inter-item correlation range was 0.38-0.74. There was a positive correlation between TUGCS ratings and a global rating of visualization (r = 0.41, P = 0.002). TUGCS ratings for EGDs with global ratings of excellent were significantly higher than those for EGDs with global ratings of fair (P = 0.01). CONCLUSION : The TUGCS had strong evidence of validity in the clinical setting. The international group of assessors, broad variety of EGD indications, and minimal assessor training improves the potential for dissemination.

Characterization and evaluation of Colombian propolis on the intestinal integrity of broilers.

Nutritional additives such as propolis seek to improve intestinal health as an alternative to the global ban on in-feed antibiotics used as growth promoters (AGP). The objective of this study was to evaluate the effect of propolis supplementation in diet of broilers. Four hundred and fifty straight-run Ross 308 AP broilers were fed with a basal diet (BD) throughout the whole experimental period. Birds were randomly distributed into 5 groups at d 14: negative control without antibiotics nor propolis (AGP-), positive control 500 ppm of Zinc Bacitracin as growth promoter (AGP+), and 3 groups supplemented with 150, 300, and 450 ppm of propolis. Every group included 6 replicates of 15 birds each. Propolis concentration was increased from d 22 to 42, in experimental groups to 300, 600, and 900 ppm of propolis, and 10% of raw soybean was included as a challenge in all groups during the same period. Analysis of productive parameters, intestinal morphometry, and relative quantification of genes associated with epithelial integrity by qPCR were performed at 21 and 42 d. The groups with the greatest weights were those that consumed diets including 150 (21 d) and 900 ppm (42 d) of propolis compared with all treatments. The lowest score of ISI was found at 300 (21 d) and 600 ppm (42 d). A lower degree of injury in digestive system was seen with the inclusion of 300 ppm (21 d) and 900 ppm (42 d). Up-regulation of zonula occludens-1 (ZO-1) was observed in jejunum of broilers supplemented with 150 and 300 ppm at 21 d. Up-regulation of ZO-1 and TGF-ß was also evidenced in ileum at all propolis inclusion levels at 42-day-old compared to AGP+ and AGP-. The beneficial effects were evidenced at inclusion levels of 150 ppm in the starter and 900 ppm in the finisher. According to the results, the Colombian propolis inclusion can improve productive performance, physiological parameters, and gene expression associated with intestinal integrity.

Mortality Analysis of Patients with COVID-19 in Mexico Based on Risk Factors Applying Machine Learning Techniques.

The new pandemic caused by the COVID-19 virus has generated an overload in the quality of medical care in clinical centers around the world. Causes that originate this fact include lack of medical personnel, infrastructure, medicines, among others. The rapid and exponential increase in the number of patients infected by COVID-19 has required an efficient and speedy prediction of possible infections and their consequences with the purpose of reducing the health care quality overload. Therefore, intelligent models are developed and employed to support medical personnel, allowing them to give a more effective diagnosis about the health status of patients infected by COVID-19. This paper aims to propose an alternative algorithmic analysis for predicting the health status of patients infected with COVID-19 in Mexico. Different prediction models such as KNN, logistic regression, random forests, ANN and majority vote were evaluated and compared. The models use risk factors as variables to predict the mortality of patients from COVID-19. The most successful scheme is the proposed ANN-based model, which obtained an accuracy of 90% and an F1 score of 89.64%. Data analysis reveals that pneumonia, advanced age and intubation requirement are the risk factors with the greatest influence on death caused by virus in Mexico.

Hepatic stellate cell activation promotes alcohol-induced steatohepatitis through Igfbp3 and SerpinA12.

BACKGROUND & AIMS: Steatohepatitis drives fibrogenesis in alcohol-related liver disease. Recent studies have suggested that hepatic stellate cells (HSCs) may regulate the parenchymal cell injury and inflammation that precedes liver fibrosis, although the mechanism remains incompletely defined. Neuropilin-1 (NRP-1) and synectin are membrane proteins implicated in HSC activation. In this study, we disrupted NRP-1 and synectin as models to evaluate the role of HSC activation on the development of steatohepatitis in response to alcohol feeding in mice. METHODS: Mice with HSC-selective deletion of NRP (ColCre/Nrp1loxP) or synectin (ColCre/synectinloxP) vs. paired Nrp1loxP or synectinloxP mice were fed a control diet or the chronic/binge alcohol feeding model. Several markers of steatosis and inflammation were evaluated. RESULTS: ColCre/Nrp1loxP mice showed less fibrosis, as expected, but also less inflammation and steatosis, with lower hepatic triglyceride content. Similar results were observed in the synectin model. Hepatocytes treated with supernatant of HSCs from ColCre/Nrp1loxP mice compared to supernatant from Nrp1loxP mice were protected against ethanol-induced lipid droplet formation. An adipokine and inflammatory protein array from the supernatant of HSCs with NRP-1 knockdown showed a significant reduction in Igfbp3 (a major insulin-like growth factor-binding protein with multiple metabolic functions) and an increase in SerpinA12 (a serine-protease inhibitor) secretion compared to wild-type HSCs. Recombinant Igfbp3 induced lipid droplets, triglyceride accumulation, and lipogenic genes in hepatocytes in vitro, while SerpinA12 was protective against ethanol-induced steatosis. Finally, Igfbp3 was increased, and SerpinA12 was decreased in serum and liver tissue from patients with alcoholic hepatitis. CONCLUSION: Selective deletion of NRP-1 from HSCs attenuates alcohol-induced steatohepatitis through regulation of Igfbp3 and SerpinA12 signaling. LAY SUMMARY: Hepatic stellate cells are known for their role in fibrosis (scarring of the liver). In this study, we describe their role in the modulation of fat deposition and inflammation in the liver, which occurs secondary to alcohol damage.