Prosopis juliflora piperidine alkaloid extract levels in diet for sheep change energy and nitrogen metabolism and affect enteric methane yield.

BACKGROUND: Ionophore antibiotics improve the efficiency of energy metabolism, which has driven their use as a feed additive in ruminants for decades. Currently, they have not been approved in many countries, generating a challenge for the immediate search for plant extracts with a similar mode of action on rumen metabolism. This study evaluated the effects of enriched Prosopis juliflora (mesquite) piperidine alkaloid extract (MPA) levels as an alternative phytoadditive to sodium monensin (MON) in sheep. RESULTS: The MPA diet did not differ from MON with regard to nutrient intake. A quadratic effect (P < 0.05) was observed for organic matter and neutral detergent fibre digestibility, with respective maximum point at 25.40 and minimum point at 0.95 mg kg-1 MPA. The MPA levels linearly decreased (P < 0.05) faecal nitrogen loss. MPA did not differ from MON with regard to nutrient digestibility, and MPA levels increased (P < 0.05) the proportion of digestible energy and metabolizability from dietary gross energy. The MPA levels linearly decreased (P < 0.05) enteric CH4 production, the yield showing lower (P < 0.05) energy loss as CH4 than MON. CONCLUSION: The results show that MPA levels of 17.3 and 27.8 mg kg-1 are enteric CH4 inhibitors and enhance energy and protein utilization, indicating a promising alternative to MON for ruminants. © 2022 Society of Chemical Industry.

Milk production and hematological and antioxidant profiles of dairy cows supplemented with oregano and green tea extracts as feed additives

We aimed to evaluate the effects of the addition of oregano (Origanum vulgare) or green tea (Camellia sinensis L.) extracts (separately and associated) on feed intake, milk production, and hematological and antioxidant profiles of dairy cows. For that purpose, 16 Holstein and 16 Holstein-Gyr cows with 526.3±10.2 kg and within the first third of lactation were distributed according to a complete block design with measurements repeated in time. Treatments were control (CON), addition of 0.056% of oregano extract (OR), addition of 0.028% of green tea extract (GT), addition of a mixture of OR and GT extract (0.056% each) in the diet (MIX). Hematological and antioxidant profiles were monitored. Data were subjected to ANOVA, with block, treatment, days, and their interactions considered as fixed effects and animal and the residue as random effects. In Holstein cows, GT increased feed intake and milk yield compared with CON; in Holstein-Gyr crossbred cows, OR showed increased intake and GT increased milk yield compared with CON. Compared with CON, GT and OR decreased eosinophils concentration; OR showed the highest neutrophils concentration and neutrophils to leukocyte ratio. Compared with CON, OR presented increased catalase (CAT) activity, while GT increased the reduced glutathione concentration. The MIX treatment reduced CAT activity compared with OR, presented the lowest concentration of oxidized dichlorofluorescein in the erythrocytes (DCFER) and plasma (DCFPLA), and increased eosinophils concentration compared with GT and OR. Extracts differently affected feed intake and milk yield depending on genetic group. Feeding green tea and oregano extracts separately or associated distinctly affects the antioxidant indicators of lactating dairy cows.(AU)

How Divergence for Feed Efficiency Traits Affects Body Measurements and Metabolites in Blood and Ruminal Parameters on Pre-Weaning Dairy Heifers.

The objectives of this study were: (1) to evaluate feed efficiency indexes and their relationships with body measurements and blood and ruminal metabolites in the pre-weaning period; (2) to determine if such measurements can be used as feed-efficiency markers during the pre-weaning period. Holstein-Gyr heifer calves (n = 36), enrolled between 4 and 12 weeks of age, were classified into two residual feed intake (RFI) and residual body weight gain (RG) groups: high efficiency (HE; RFI, n = 10; and RG, n = 9), and low efficiency (LE; RFI, n = 10; and RG, n = 8). Calves were fed whole milk (6 L/day) and solid feed ad libitum. Body developments were measured weekly and feed intake (milk and solid feed) daily during the whole period. Blood samples were collected at 12 weeks of age and analyzed for glucose, insulin and ß-hydroxybutyrate (BHB). Samples of ruminal content were collected on the same day and analyzed for pH, NH3-N, and volatile fatty acids (VFA). Among the growth characteristics, only the initial hip width differed between the RFI groups, and withers height differed between the RG groups. Concentration of BHB was greater and glucose: insulin ratios tended to be greater in LE-RG animals. Butyric acid proportions were similar among RFI groups, but tended to be greater for HE-RG than for LE-RG. Overall, correlation coefficients between RFI or RG and blood, rumen, or morphometric markers were low. Thus, it is unlikely that measurements of metabolic indicators, per se, will be useful in the early identification of more efficient animals. Understanding the underlying physiological basis for improved feed efficiency in dairy heifers requires further investigation.

Dietary nutrient restrictions in the post-weaning period change Santa Inês ewe lamb nutritional metabolic profile.

The objective of this study was to evaluate the metabolic profile of Santa Inês ewe lambs fed diets for early or late-maturing diets with or without nutrient restrictions. The experiment consisted of a 2 × 2 completely randomized factorial experiment with either early- or late-maturity feed formulation according to "Nutrient Requirements of Small Ruminants" with or without 15% crude protein (CP) and total digestible nutrients (TDN) restrictions in diets formulated, five replications, and 20 ewe lambs averaging 15.1±2.6 kg. Lambs on early-maturity diets consumed greater (P<0.05) dietary ether extract (EE), non-fibrous carbohydrates, and TDN than those on late-maturity diets. Lambs on early-maturity diets had 7.11% greater dry matter digestibility (DMD) compared to lambs fed late-maturity diets. Lambs fed late-maturity diets, in general, had greater intake (IN), excreted (EN), and retained (RN) N as well as greater RN/IN and EN/IN ratios. There were no differences in blood total protein or albumin among lambs fed for different finishing maturity targets. Diets designed for late-maturing lambs resulted in greater microbial N and CP as well as rumen and metabolizable, degradable, and undegradable rumen and metabolizable CP. The selection of diets for early or late maturity carcasses depends on the production system goals. Diets without restrictions are recommended for early-maturity carcass finishing while diets with 15% CP and TDN restriction are recommend for late-maturity finishing.

Energy metabolism of pregnant zebu and crossbred zebu dairy cattle.

The purpose of this study was to determine the energy partition of pregnant F1 Holstein x Gyr with average initial body weight (BW) of 515.6 kg and Gyr cows with average initial BW of 435.1 kg at 180, 210 and 240 days of gestation, obtained using respirometry. Twelve animals in two groups (six per genetic group) received a restricted diet equivalent to 1.3 times the net energy for maintenance (NEm). The proportion of gross energy intake (GEI) lost as feces did not differ between the evaluated breeds and corresponded to 28.65% on average. The daily methane production (L/d) was greater for (P<0.05) F1 HxG compared to Gyr animals. However, when expressed as L/kg dry matter (DM) or as percentage of GEI there were no differences between the groups (P>0.05). The daily loss of energy as urine (mean of 1.42 Mcal/d) did not differ (P>0.05) between groups and ranged from 3.87 to 5.35% of the GEI. The metabolizable energy intake (MEI) of F1 HxG animals was greater (P < 0.05) at all gestational stages compared to Gyr cows when expressed in Mcal/d. However, when expressed in kcal/kg of metabolic BW (BW0,75), the F1 HxG cows had MEI 11% greater (P<0.05) at 240 days of gestation and averaged 194.39 kcal/kg of BW0,75. Gyr cows showed no change in MEI over time (P>0.05), with a mean of 146.66 kcal/kg BW0. 75. The ME used by the conceptus was calculated by deducting the metabolizable energy for maintenance (MEm) from the MEI, which was obtained in a previous study using the same cows prior to becoming pregnant. The values of NEm obtained in the previous study with similar non-pregnant cows were 92.02 kcal/kg BW0.75 for F1 HxG, and 76.83 kcal/kg BW0.75 for Gyr (P = 0.06). The average ME for pregnancy (MEp) was 5.33 Mcal/d for F1 HxG and 4.46 Mcal/d for Gyr. The metabolizability ratio, averaging 0.60, was similar among the evaluated groups (P>0.05). The ME / Digestible Energy (DE) ratio differed between groups and periods evaluated (P<0.05) with a mean of 0.84. The heat increment (HI) accounted for 22.74% and 24.38% of the GEI for F1 HxG and Gyr cows, respectively. The proportion of GEI used in the basal metabolism by pregnant cows in this study represented 29.69%. However, there were no differences between the breeds and the evaluation periods and corresponded to 29.69%. The mean NE for pregnancy (NEp) was 2.76 Mcal/d and did not differ between groups and gestational stages (P>0.05).

Grouping crossbred Holstein x Gyr heifers according to different feed efficiency indexes and its effects on energy and nitrogen partitioning, blood metabolic variables and gas exchanges.

The objectives of this study were: i) to classify animals into groups of high and low feed efficiency (FE) using three FE indexes (Residual feed intake (RFI), Residual weight gain (RG) and Feed conversion efficiency (FCE)), and ii) to evaluate whether crossbreed Holstein x Gyr heifers divergent for FE indexes exhibit differences in nutrient intake and digestibility, energy partitioning, heat production, methane emissions, nitrogen partitioning and blood parameters. Thirty-five heifers were housed in a tie-stall, received ad libitum TMR (75:25, corn silage: concentrate) and were ranked and classified into high (HE) or low efficiency (LE) for RFI, RG and FCE. The number of animals for each HE group were 13 (< 0.5 standard deviation (SD) for RFI, 11 for RG and 11 for FCE (> 0.5 SD) and for the LE were 10 (> 0.5 SD) for RFI, 11 for RG and 12 for FCE (< 0.5 SD). Gas exchanges (O2 consumption, CO2 and CH4 production) in open-circuit respiratory chambers and whole tract digestibility trial was performed. A completely randomized experimental design was used and the data were analyzed by ANOVA and correlation study. High efficiency animals for RFI produced less CO2, consumed less O2 and had lower heat production (HP). Methane production was positively correlated with RFI. High efficiency RG had higher O2 consumption and CO2 production in relation to LE-RG. High efficiency FCE had greater NFC digestibility, higher positive energy balance (EB) and excreted (11.4 g/d) less nitrogen in urine. High efficiency RG and FCE groups emitted less CH4 per kg of weight gain than LE animals. Animals HE for RFI and FCE had lower ß-hydroxybutyrate and higher glucose concentrations, respectively. The differences in intake, digestibility, energy and nitrogen partition, CH4 emission, blood metabolic variables and heat production between the HE and LE groups varied according to the efficiency indexes adopted. The HP (kcal/d/BW0.75) was lower for HE animals for RFI and FCE indexes.

Effect of pelleted vs. ground starter with or without hay on preweaned dairy calves.

The objective of this study was to evaluate the effect of the physical form of starter and inclusion of hay in the diet of preweaning dairy calves on performance, digestibility, ruminal development, and mRNA expression of genes involved in ruminal metabolism. Holstein × Gyr crossbred male calves (n = 38 1day old) were assigned to 3 treatments for 9 weeks: Control (n = 13; pellet starter with 4 mm diameter and 18 mm length and 4% steam-flaked corn), Ground (n = 12; same starter of the control but ground pass through a 4.0 mm sieve), or Ground plus 5% chopped Tifton hay GH (n = 13). All calves were fed 4 L/d of whole milk up to 63 d of age and were abruptly weaned at 64 d of age. Water and diets were offered ad libitum. Samples of ruminal contents were obtained from all animals at 30, 45, and 60 d of age to evaluate pH, ammonia nitrogen, and volatile fatty acids (VFA). At 55 d of age, an apparent digestibility assay was performed using 18 animals (n = 6/ treatment). At 65 d of age, the 18 animals were euthanized to evaluate the development of the digestive tract. The physical form of starter and the dietary inclusion of hay did not influence starter intake (Control 326 g/d, Ground 314 g/d and GH 365 g/d), daily weight gain (Control 541g/d, Ground 531g/d and GH 606g/d), feed efficiency, apparent nutrient digestibility, energy partitioning, nitrogen balance, ruminal pH, ammonia nitrogen concentration, VFA, the development of the digestive tract and the mRNA expression of genes involved in AGV metabolism.

Generation of models from existing models composition: An application to agrarian sciences.

Mathematical models that describe gas production are widely used to estimate the rumen degradation digestibility and kinetics. The present study presents a method to generate models by combining existing models and to propose the von Bertalanffy-Gompertz two-compartment model based on this method. The proposed model was compared with the logistic two-compartment one to indicate which best describes the kinetic curve of gas production through the semi-automated in vitro technique from different pinto peanut cultivars. The data came from an experiment grown and harvested at the Far South Animal Sciences station (Essul) in Itabela, BA, Brazil and gas production was read at 2, 4, 6, 8, 10, 12, 14, 17, 20, 24, 28, 32, 48, 72, and 96 h after the start of the in vitro fermentation process. The parameters were estimated by the least squares method using the iterative Gauss-Newton process in the software R version 3.4.1. The best model to describe gas accumulation was based on the adjusted coefficient of determination, residual mean squares, mean absolute deviation, Akaike information criterion, and Bayesian information criterion. The von Bertalanffy-Gompertz two-compartment model had the best fit to describe the cumulative gas production over time according to the methodology and conditions of the present study.

Replacement of Soybean Meal With Soybean Cake Reduces Methane Emissions in Dairy Cows and an Assessment of a Face-Mask Technique for Methane Measurement.

The objective of this study was to (a) evaluate the effect of replacing soybean meal (SBM) with soybean cake (SBC) on feeding behavior, rumen fermentation, milk production, nutrient digestibility and CH4 emissions and (b) investigate whether a face-mask technique could be used to predict daily methane (CH4) emissions in dairy cattle. The experiment was conducted as a completely randomized design, with 32 crossbred Holstein × Gyr cows (days in milk (DIM): 112 ± 25.1) randomly assigned to the following treatments (n = 8/group) for 75 days: (1) 0% SBC, (2) 6% SBC, (3) 14% SBC, and (4) 23% SBC, in place of SBM on a dry matter (DM) basis. Across the final 4 weeks of the study, CH4 production was estimated using the proposed face-mask technique subsequent to a respiration chamber measurement for an evaluation of treatment efficacy and face-mask accuracy. There was no effect of SBM replacement by SBC on intake, feeding or drinking behavior (P > 0.21). Total VFA concentration, the individual proportions of VFA and blood metabolites were not altered (P > 0.17) by SBC, however there was a tendency for decreased (P = 0.08) lactate and plasma urea nitrogen (P = 0.07) concentration associated with SBC addition. Fat-corrected milk yield (FCM4%) and composition was not affected (P > 0.27) by SBC; however, there was a tendency for decreased total milk solids (P = 0.07) and milk fat (P = 0.08) associated with 23% SBC treatment. There was no treatment × technique interaction (P > 0.05) effect on gas measurements. A maximum reduction (P = 0.01) in CH4 yield (g/kg DM) and intensity (g/kg milk) of 11 and 20%, respectively, was observed for the 14% SBC inclusion. Compared to the week of mask measurements, chambers decreased (P = 0.01) intake (kg/d, %BW) and increased (P = 0.05) FCM4%. The face-mask method over estimated O2 consumption by 5%. The face-mask method accurately predicted daily CH4 emissions when compared to the chamber at the same time-point. However, there was a linear bias of CH4 outputs so further evaluation of the calculation of total CH4 from a spot measurement is required.

Milk production and composition, food consumption, and energy balance of postpartum crossbred Holstein-Gir dairy cows fed two diets of different energy levels.

The objective of this study was to evaluate the production, consumption, and energy balance parameters of primiparous 3/4 and 7/8 Holstein × Gir (HG) dairy cows fed two diets of differing energy levels during the postpartum period. At the beginning of the study, 28 days prepartum, the average weight of both genetic groups was 498 ± 12 kg and body condition score (BCS) was 3.5 ± 0.05. At the end of the study, 61 days postpartum, the 3/4 HG cows had higher weight and body condition scores than the 7/8 HG (456 ± 8 and 429 ± 8 kg and 3.13 ± 0.03 and 2.94 ± 0.03 BCS for 3/4 HG and 7/8 HG, respectively). Milk from cows fed the high-energy diet had higher percentages of fat, protein, lactose, and total dry extract than cows fed the low-energy diet. Cows fed the high-energy diet had higher net energy intake (95.3 ± 1.9 vs. 88.1 ± 2.1 MJ/day) and higher energy balance (3.64 ± 2.13 vs - 6.02 ± 2.30 MJ/day). The 3/4 HG cows displayed higher energy for maintenance (33.1 ± 0.4 MJ/day) than the 7/8 HG (31.5 ± 0.5 MJ /day). In conclusion, although the primiparous 3/4 HG were heavier than the 7/8 HG and had a higher body condition score, no differences in milk produced up to 60 days postpartum were observed. The higher energy diet during the postpartum period increased energy balance, resulting in higher production of milk fat, protein, and lactose.

Nutritional diversity of Brachiaria ruziziensis clones / Divergência nutricional de clones de Brachiaria ruziziensis

ABSTRACT: The aim of this study was to evaluate the nutritional diversity of Brachiaria ruziziensis clones through chemical composition and in vitro kinetics of ruminal fermentation. Twenty three clones of Brachiaria ruziziensis were used (15, 16, 46, 174, 411, 590, 651, 670, 768, 776, 844, 859, 950, 965, 970, 975, 1067, 1093, 1296, 1765, 1806, 1894 and 1972) and Brachiaria ruziziensis cv. 'Kennedy', Brachiaria brizantha cv. 'Marandu' and Brachiaria decumbens cv. 'Basilisk' as controls within 27 days of harvesting. The experimental design used randomized blocks with 26 treatments (genotypes) and three replications. Evaluation of the nutritional divergence was performed using principal components analysis, based on the following discriminatory variables: in vitro dry matter digestibility (IVDMD), neutral detergent fiber (NDF), lignin, crude protein (CP), degradation rate of non-fibrous carbohydrates (KdNFC) and degradation rate of fibrous carbohydrates (KdFC). The evaluation of the nutritional diversity of Brachiaria genotypes was based on the two main components (IVDMD and NDF), which explains 96.2% of the total variance Variables of lower contribution to the discrimination of the clones were as degradation rates of the fibrous and non-fibrous carbohydrates. In the agglomerative hierarchical grouping analysis, five distinct groups were identified, where V group, formed by clones 46, 768 and 1067 have higher values of IVDMD compared to the other clones.

RESUMO: O objetivo deste estudo foi avaliar a divergência nutricional de clones de Brachiaria ruziziensis através da composição química e cinética de fermentação ruminal in vitro. Os tratamentos consistiram de 23 clones de Brachiaria ruziziensis (15, 16, 46, 174, 411, 590, 651, 670, 768, 776, 844, 859, 950, 965, 970, 975, 1067, 1093, 1296, 1765, 1806, 1894 e 1972), e as testemunhas Brachiaria ruziziensis cv 'Kennedy', Brachiaria brizantha cv 'Marandu' e a Brachiaria decumbens cv 'Basilisk', colhidas com 27 dias de rebrota. O delineamento experimental utilizado foi o de blocos casualizados, com 26 tratamentos (genótipos) e três repetições. A avaliação da divergência nutricional foi realizada utilizando-se a análise de componentes principais e agrupamento aglomerativo hierárquico. Com base nas seguintes variáveis discriminatórias: digestibilidade in vitro da matéria seca; fibra em detergente neutro; lignina; proteína bruta; taxa de degradação de carboidratos não fibrosos e; taxa de degradação de carboidratos fibrosos. A avaliação da divergência nutricional dos clones de B. ruziziensis baseou-se nos dois primeiros componentes principais (DIVMS e FDN), explicando 96.2% da variância total. As variáveis de menor contribuição para a discriminação dos clones foram as taxas de degradação dos carboidratos fibrosos e não fibrosos. Na análise de agrupamento aglomerativo hierárquico foram identificados cinco grupos distintos, em que o grupo V, formado pelos clones 46, 768 e 1067 destacou-se em relação aos demais por apresentar valores superiores de digestibilidade in vitro da matéria seca.

Nutritional diversity of Brachiaria ruziziensis clones / Divergência nutricional de clones de Brachiaria ruziziensis

The aim of this study was to evaluate the nutritional diversity of Brachiaria ruziziensis clones through chemical composition and in vitro kinetics of ruminal fermentation. Twenty three clones of Brachiaria ruziziensis were used (15, 16, 46, 174, 411, 590, 651, 670, 768, 776, 844, 859, 950, 965, 970, 975, 1067, 1093, 1296, 1765, 1806, 1894 and 1972) and Brachiaria ruziziensis cv. Kennedy, Brachiaria brizantha cv. Marandu and Brachiaria decumbens cv. Basilisk as controls within 27 days of harvesting. The experimental design used randomized blocks with 26 treatments (genotypes) and three replications. Evaluation of the nutritional divergence was performed using principal components analysis, based on the following discriminatory variables: in vitro dry matter digestibility (IVDMD), neutral detergent fiber (NDF), lignin, crude protein (CP), degradation rate of non-fibrous carbohydrates (KdNFC) and degradation rate of fibrous carbohydrates (KdFC). The evaluation of the nutritional diversity of Brachiaria genotypes was based on the two main components (IVDMD and NDF), which explains 96.2% of the total variance Variables of lower contribution to the discrimination of the clones were as degradation rates of the fibrous and non-fibrous carbohydrates. In the agglomerative hierarchical grouping analysis, five distinct groups were identified, where V group, formed by clones 46, 768 and 1067 have higher values of IVDMD compared to the other clones.(AU)

O objetivo deste estudo foi avaliar a divergência nutricional de clones de Brachiaria ruziziensis através da composição química e cinética de fermentação ruminal in vitro. Os tratamentos consistiram de 23 clones de Brachiaria ruziziensis (15, 16, 46, 174, 411, 590, 651, 670, 768, 776, 844, 859, 950, 965, 970, 975, 1067, 1093, 1296, 1765, 1806, 1894 e 1972), e as testemunhas Brachiaria ruziziensis cv Kennedy, Brachiaria brizantha cv Marandu e a Brachiaria decumbens cv Basilisk, colhidas com 27 dias de rebrota. O delineamento experimental utilizado foi o de blocos casualizados, com 26 tratamentos (genótipos) e três repetições. A avaliação da divergência nutricional foi realizada utilizando-se a análise de componentes principais e agrupamento aglomerativo hierárquico. Com base nas seguintes variáveis discriminatórias: digestibilidade in vitro da matéria seca; fibra em detergente neutro; lignina; proteína bruta; taxa de degradação de carboidratos não fibrosos e; taxa de degradação de carboidratos fibrosos. A avaliação da divergência nutricional dos clones de B. ruziziensis baseou-se nos dois primeiros componentes principais (DIVMS e FDN), explicando 96.2% da variância total. As variáveis de menor contribuição para a discriminação dos clones foram as taxas de degradação dos carboidratos fibrosos e não fibrosos. Na análise de agrupamento aglomerativo hierárquico foram identificados cinco grupos distintos, em que o grupo V, formado pelos clones 46, 768 e 1067 destacou-se em relação aos demais por apresentar valores superiores de digestibilidade in vitro da matéria seca.(AU)

Água, o nutriente essencial para vacas em lactação / Water, the forgotten nutrient for lactating cows

O conhecimento sobre a ingestão de água para vacas em lactação é de suma importância diante do cenário de produção desses animais. Deve ser dada atenção aos critérios da fonte dessa água para o fornecimento, bem como à qualidade, pois são fatores que influenciam a ingestão desse nutriente e estão altamente correlacionados com diversos fatores que influenciam no bem estar animal. Assim, a água é um nutriente tão importante quanto nitrogênio, carboidratos, proteínas, minerais e vitaminas, e o seu estudo deve estar presente nas pesquisas atuais e futuras para que sua importância seja sempre destacada e conhecida.(AU)

Knowledge about water intake for lactating cows is of paramount importance against a backdrop of production of these animals. The attention on the criteria for the source of this water supply, as well as the intake face of this correlation with various factors influence the well being. Thus, water is as important as a nutrient nitrogen, carbohydrates, proteins, minerals and vitamins, and their study should be present on current research and future, so that the importance of this is highlighted and always known, since there is a lack of answers to the unemployed.(AU)

Fertilizaçäo assistida em más-respondedoras: até quando prosseguir? / Assisted reproduction in poor-responders: how far to go?

OBJETIVOS: analisar a influência de um acréscimo substancial na administraçäo de gonadotropinas durante a induçäo ovulatória em ciclos FIV clássica/ICSI sobre os resultados finais. CASUISTICA: pacientes em tratamento de infertilidade que se submeteram a ciclos de FIV clássica/ICSI de jan/94 a dez/95 no Serviço de Infertilidade do Hospital Antoine Béclère - Clamart/Paris. PLANO DE ESTUDO: Análise retrospectiva. MÉTODOS: Foram analisados 484 ciclos no total, 325 FIV clássica e 159 ICSI. Destes ciclos, 62 tinham níveis de estradiol no 6§ dia de induçäo abaixo de 60 pg/ml. Estes ciclos foram divididos em ciclos de grande requisiçäo hormonal final para se obter uma resposta adequada ou näo (corte em 60 ampolas finais totais de gonadotropinas). As taxas de gravidez nestes grupos foram analisadas. RESULTADOS: Os ciclos nos quais menos de 60 ampolas totais de gonadotropinas foram empregadas e que menos de 6 ampolas eram administradas no 6§ dia obtiveram melhor performance, com maior número de gravidezes estatisticamente significante.

Comparaçäo da acurácia diagnóstica entre histerografia e histeroscopia na avaliaçäo de patologias intra-uterinas / Comparison of the diagnostic accuracy between hysterography abd hysteroscopy to evaluate intra-uterine pathologie

OBJETIVO: Analisar, retrospectivamente, os resultados diagnósticos da histerografia camparados com a histeroscopia, no diagnóstico das diversas lesoes intra-uterinas. PACIENTES E METODOS: No período de agosto de 1985 a janeiro de 1995 foram estudados 152 pacientes que, apresentando histerossalpingografia prévia, se submeteram à histeroscopia em nosso serviço. Foram estudados e comparados os resultados diagnósticos obtidos através das conclusoes dos laudos histerográficos e histeroscópicos. RESULTADOS: O cruzamento entre o diagnóstico dos exames, caso a caso, demonstrou existir uma diferença significativa entre os resultados concordantes e discordantes, para todos as variáveis comparáveis (p<0,05). Verificou-se para a histerografia uma taxa de falso-positivo de 13,6 por cento e falso-negativo de 45,2 por cento. CONCLUSAO: A histeroscopia é o método de triagem a ser usado na avaliaçao da cavidade uterina e nos permite fazer diagnósticos com maior acurácia.

Perfusöes tubárias de sêmen pelo FAST System: um novo método no tratamento da infertilidade / Intra tubal perfusion with Fast system: a new method in infertility treatment

OBJETIVOS: Avaliar a utilizaçao de um novo método de Inseminaçao Intra Uterina (IIU) CASUISTICA E METODOLOGIA: Um total de 280 pacientes inférteis submetidas a 424 ciclos de Inseminaçoes Artificiais homologas e heterólogas no período de nov-94 a maio-96, prospectivamente, no Serviço de Infertilidade Conjugal do Hospital Antoine Béclère - Paris - França.. Dois grupos de pacientes foram formados: grupo IIUs Clássicas e grupo IIUs pelo FAST systemâ. RESULTADOS: No grupo IIU FAST obteve-se o dobro de gravidezes clínicas do grupo IIU Clássica (p< O.05). CONCLUSOES: O Método FAST demonstrou resultados superiores em termos clínicos e técnicos quando comparado ao método clássico de IIU.

Insulinoma gigante / Giant insulinoma

E relatado um caso de insulinoma gigante, medindo 15 cm em diâmetro, sendo um dos maiores já registrados na literatura médica.

Gravidez gemelar: estudo retrospectivo de 122 casos / Twin pregnancy: retrospective study of 122 cases

Foram realizados 13.601 partos na Maternidade do Hospital Santa Lúcia (BH) no período de janeiro de 1984 a janeiro de 1988, sendo que ocorreram 122 partos gemelares nesta época. Os autores se propöem a realizar uma análise retrospectiva destes partos com relaçäo aos seguintes parâmetros: incidência, idade gestacional ao nascer, idade e paridade maternas, tipo de apresentaçäo dos fetos, tipo de parto, peso ao anscer e índice de Apgar de 1' e 5'. Compararam-se os dados obtidos com os da literatura e fornecem-se subsídios para uma melhor assistência a ess condiçäo de alto risco