Effects of dietary spray-dried egg on growth performance and health of weaned pigs.

Four experiments were conducted to evaluate the nutrient contributions and physiological health benefits of spray-dried egg (SDE) containing only unfertilized eggs as a protein source in nursery pig diets. In all experiments, all diets were formulated to the same ME and Lys content, and each pen within a block (by BW) housed the same number of barrows and gilts. In Exp. 1 and 2 (168 and 140 pigs, respectively; 5 kg BW; 16 d old; 14 replicates/experiment), conducted at a university farm, treatments were with or without 5% SDE in a nursery control diet, which included antibiotics and zinc oxide. Pigs were fed for 10 d after weaning to measure ADG, ADFI, and G:F. The SDE increased (P < 0.05) ADG (Exp. 1: 243 vs. 204 g/d; Exp. 2: 204 vs. 181 g/d) and ADFI (Exp. 1: 236 vs. 204 g/d; Exp. 2: 263 vs. 253 g/d) compared with the control diet but did not affect G:F. In Exp. 3 (1,008 pigs; 5.2 kg BW; 20 d old; 12 replicates/treatment), conducted at a commercial farm, treatments were in a factorial arrangement of with or without SDE and high or low spray-dried plasma (SDP) in nursery diets, which included antibiotics and zinc oxide. Pigs were fed for 6 wk using a 4-phase feeding program (phases of 1, 1, 2, and 2 wk, respectively) with declining diet complexity to measure ADG, ADFI, G:F, removal rate (mortality plus morbidity), and frequency of medical treatments per pen and day (MED). The diets with the SDE increased (P < 0.05) ADFI during phase 1 only (180 vs. 164 g/d) compared with the diets without the SDE but did not affect growth performance during any other phases. The diets with SDE reduced MED during phase 1 (0.75% vs. 1.35%; P < 0.05) and the overall period (0.84% vs. 1.01%; P = 0.062) compared with the diets without the SDE but did not affect removal rate. In Exp. 4 (160 pigs; 6.7 kg BW; 21 d old; 10 replicates/treatment), conducted at a university farm to determine whether SDE can replace SDP, treatments were in a factorial arrangement of with or without SDP or SDE in nursery diets, which excluded antibiotics and zinc oxide. Pigs were fed for 6 wk using the same schedule used in Exp. 3 to measure ADG, ADFI, and G:F. The diets with SDE increased (P < 0.05) ADFI during phase 1 only (195 vs. 161 g/d) compared with the diets without SDE but did not affect growth performance during any other periods. In conclusion, SDE can be an efficacious protein and energy source in nursery pig diets and improves health and, in some instances, increases growth rate.

Dietary clays alleviate diarrhea of weaned pigs.

Two experiments were conducted to determine whether 3 different clays in the nursery diet reduce diarrhea of weaned pigs experimentally infected with a pathogenic Escherichia coli. Weaned pigs (21 d old) were housed in individual pens of disease containment chambers for 16 d [4 d before and 12 d after the first challenge (d 0)]. The treatments were in a factorial arrangement: 1) with or without an E. coli challenge (F-18 E. coli strain; heat-labile, heat-stable, and Shiga-like toxins; 10(10) cfu/3 mL oral dose daily for 3 d from d 0) and 2) dietary treatments. The ADG, ADFI, and G:F were measured for each interval (d 0 to 6, 6 to 12, and 0 to 12). Diarrhea score (DS; 1 = normal; 5 = watery diarrhea) was recorded for each pig daily. Feces were collected on d 0, 3, 6, 9, and 12 and plated on blood agar to differentiate ß-hemolytic coliforms (HC) from total coliforms (TC) and on MacConkey agar to verify E. coli. Their populations on blood agar were assessed visually using a score (0 = no growth; 8 = very heavy bacterial growth) and expressed as a ratio of HC to TC scores (RHT). Blood was collected on d 0, 6, and 12 to measure total and differential white blood cell (WBC) counts, packed cell volume (PCV), and total protein (TP). In Exp. 1 (8 treatments; 6 replicates), 48 pigs (6.9 ± 1.0 kg of BW) and 4 diets [a nursery control diet (CON), CON + 0.3% smectite (SM), CON + 0.6% SM, and CON until d 0 and then CON + 0.3% SM] were used. The SM treatments did not affect growth rate of the pigs for the overall period. In the E. coli challenged group, the SM treatments reduced DS for the overall period (1.77 vs. 2.01; P < 0.05) and RHT on d 6 (0.60 vs. 0.87; P < 0.05) and d 9 (0.14 vs. 0.28; P = 0.083), and altered differential WBC on d 6 (neutrophils, 48 vs. 39%, P = 0.092; lymphocytes, 49 vs. 58%, P = 0.082) compared with the CON treatment. In Exp. 2 (16 treatments; 8 replicates), 128 pigs (6.7 ± 0.8 kg of BW) and 8 diets [CON and 7 clay treatments (CON + 0.3% SM, kaolinite, and zeolite individually and all possible combinations to total 0.3% of the diet)] were used. The clay treatments did not affect growth rate of the pigs. In the E. coli challenged group, the clay treatments reduced DS for the overall period (1.63 vs. 3.00; P < 0.05), RHT on d 9 (0.32 vs. 0.76; P < 0.05) and d 12 (0.13 vs. 0.39; P = 0.094), and total WBC on d 6 (15.2 vs. 17.7 × 10(3)/µL; P = 0.069) compared with the control treatment. In conclusion, dietary clays alleviated diarrhea of weaned pigs.

Amino acid digestibility of corn distillers dried grains with solubles, liquid condensed solubles, pulse dried thin stillage, and syrup balls fed to growing pigs.

Distillers dried grains with solubles (DDGS) has low and variable AA digestibility. The variability is often attributed to damage during the heating process, and it has been suggested that the damage happens to the soluble components of DDGS such as reducing sugars. Combining solubles and grains sometimes produces syrup balls (SB); their digestibility is unknown. The objective of this experiment was to identify potential sources of poor and variable AA digestibility in DDGS. Specifically, our objective was to determine whether the problems are associated with the solubles component or with SB. The ingredients evaluated were DDGS, intact SB, ground SB, liquid condensed solubles (LCS), and pulse dried thin stillage (PDTS) obtained from the same ethanol plant. The LCS is produced by evaporation of thin stillage. Each ingredient was used as the only source of AA in an experimental diet. In a duplicate 6 × 6 Latin square design with 7-d adaptation and collection periods, the 6 treatments consisted of an N-free diet and the 5 test ingredients. Pigs had 5 d of adaptation to each diet, and on d 6 and 7 ileal digesta were collected from an ileal cannula for 8 h each day. Both SB treatments had apparent ileal digestibility (AID) and standardized ileal digestibility (SID) of AA that were similar or greater (P < 0.05) than those of DDGS. The AID and SID values of Lys and a few other AA were similar in LCS (SID Lys: 63.1%) and DDGS (SID Lys: 61.5%), but the digestibility values of most AA in LCS were less than in DDGS (P < 0.05). The low digestibility of AA in LCS was most pronounced for Met (SID: LCS, 41.9% vs. DDGS, 82.8%). The LCS had less (P < 0.05) AID and SID of CP (SID: 67.8%) than intact SB (SID: 85.2%) and ground SB (SID: 85.9%) as well as all AA. The PDTS generally had the least AID and SID and had less (P < 0.05) CP (SID: 55.3%) and several AA, including Lys, compared with LCS. In conclusion, the presence of SB does not decrease AA digestibility of DDGS, and the LCS evaluated has less indispensible AA digestibility than DDGS. The LCS has low digestibility of AA that seems to not be caused by heat damage.

Enhanced fluorescence emission from quantum dots on a photonic crystal surface.

Colloidal quantum dots display a wide range of novel optical properties that could prove useful for many applications in photonics. Here, we report the enhancement of fluorescence emission from colloidal quantum dots on the surface of two-dimensional photonic crystal slabs. The enhancement is due to a combination of high-intensity near fields and strong coherent scattering effects, which we attribute to leaky eigenmodes of the photonic crystal. By fabricating two-dimensional photonic crystal slabs that operate at visible wavelengths and engineering their leaky modes so that they overlap with the absorption and emission wavelengths of the quantum dots, we demonstrate that the fluorescence intensity can be enhanced by a factor of up to 108 compared with quantum dots on an unpatterned surface.

Demographic and anthropometrical analysis and genotype distribution of chronic hepatitis C patients treated in public and private reference centers in Brazil

Hepatitis C virus (HCV) infection is a serious public health problem, since 80 percent to 85 percent of HCV carriers develop a persistent infection that can progress into liver cirrhosis and hepatocarcinoma. Considering that the response of hepatitis C patients to combination therapy with interferon and ribavirin depends on HCV characteristics as well as on host features, we made a retrospective analysis of demographic and anthropometrical data and HCV genotype distribution of chronic hepatitis C patients treated in public and private reference centers in Brazil. The medical records of 4,996 patients were reviewed, 81 percent from public and 19 percent from private institutions. Patients' median age was 46 years, and there was a higher prevalence of male (62 percent) and white patients (80 percent). The analysis of HCV-infecting strains showed a predominance of genotype 1 (64 percent) over genotypes 2 and 3. The patients' mean weight was 70.6 kg, and 65 percent of the patients weighed less than 77kg. Overweight and obesity were observed in 37.8 percent and 13.6 percent of the patients, respectively. Since a body weight of 75 kg or less has been considered an independent factor that significantly increases the odds of achieving a sustained virological response, the Brazilian population seems to have a more favorable body weight profile to achieve a sustained response than the American and European populations. The finding that 65 percent of chronic hepatitis C patients have a body weight of 77 kg or less may have a positive pharmacoeconomic impact on the treatment of genotype 1 HCV patients with weight-based doses of peginterferon.

Demographic and anthropometrical analysis and genotype distribution of chronic hepatitis C patients treated in public and private reference centers in Brazil.

Hepatitis C virus (HCV) infection is a serious public health problem, since 80% to 85% of HCV carriers develop a persistent infection that can progress into liver cirrhosis and hepatocarcinoma. Considering that the response of hepatitis C patients to combination therapy with interferon and ribavirin depends on HCV characteristics as well as on host features, we made a retrospective analysis of demographic and anthropometrical data and HCV genotype distribution of chronic hepatitis C patients treated in public and private reference centers in Brazil. The medical records of 4,996 patients were reviewed, 81% from public and 19% from private institutions. Patients' median age was 46 years, and there was a higher prevalence of male (62%) and white patients (80%). The analysis of HCV-infecting strains showed a predominance of genotype 1 (64%) over genotypes 2 and 3. The patients' mean weight was 70.6 kg, and 65% of the patients weighed less than 77 kg. Overweight and obesity were observed in 37.8% and 13.6% of the patients, respectively. Since a body weight of 75 kg or less has been considered an independent factor that significantly increases the odds of achieving a sustained virological response, the Brazilian population seems to have a more favorable body weight profile to achieve a sustained response than the American and European populations. The finding that 65% of chronic hepatitis C patients have a body weight of 77 kg or less may have a positive pharmacoeconomic impact on the treatment of genotype 1 HCV patients with weight-based doses of peginterferon.

Root canal treatment of three-rooted maxillary first and second premolars--a case report.

AIM: To report the diagnosis and successful clinical management of a patient with anatomical variation in maxillary first and second premolars. SUMMARY: Maxillary premolars have a highly variable root canal morphology, but it is rare, especially in the second premolar, to find three canals. This article describes the diagnosis and clinical management of first and second premolars with three canals and three separate roots, drawing particular attention to radiographic interpretation and access refinements. KEY LEARNING POINTS: Clinicians should be aware of anatomical variations in maxillary premolars and be able to apply this knowledge in radiographic and clinical interpretation. Access cavity refinements may be required for stress-free entry to complex anatomy. Complex premolar anatomy may be predictably managed following its identification and negotiation.

[Clinical and radiographic assessment of single-appointment endodontic treatment in teeth with chronic periapical lesions]. / Avaliação clínica e radiográfica do tratamento endodôntico em sessão única de dentes com lesões periapicais crônicas.

The aim of this study was to evaluate the incidence of postoperative pain and the type of periapical repair, after one-appointment endodontic treatment in asymptomatic patients who presented with pulpal necrosis and radiographically visible chronic periapical lesions. For that, after biomechanical preparation through the step down followed by the step back technique, aided by copious irrigation with 5.0% sodium hypochlorite solution, the filling of the root canals was carried out through the conventional technique, with gutta-percha cones and zinc oxide-eugenol cement. In the immediate postoperative period, 16.6% of all patients presented with spontaneous pain, although the incidence of severe pain--flare-ups--was 3.3%. After twelve months, all patients were asymptomatic and free of fistula, nevertheless only 46.4% exhibited complete resolution of the radiolucent periapical areas. Therefore, in a medium term, the one-appointment endodontic treatment showed 100% of clinical success, but showed a reduced rate of radiographic success.

Cell surface and exopolymer characterization of laboratory stabilized activated sludge from a beverage bottling plant.

Fermentor-stabilized activated sludge from an industrial beverage bottling plant was grown on three different food sources: normal plant wastewater, plant wastewater containing high sucrose concentrations, and a synthetic glucose-based feed stock. Surface charge, hydrophobicity, and exopolysaccharide composition were measured on the stabilized bacterial flocs. Cell surface charge was measured by electrophoretic mobility, dye exchange titration, and a standard colloid titration, while cell hydrophobicity was determined using the bacterial adhesion to hydrocarbons (BATH) test. Exopolysaccharide profiles were determined by measuring concentrations of glucose, galactose, mannose, glucuronic, and galacturonic acids in digested exopolymer extractions using HPLC. Changes in the physical surface properties of the bacteria and the chemical composition of the extracted exopolymers were correlated with differences in the three food sources. Cell surface hydrophobicity was similar for cultures grown on different plant wastewaters, while the culture grown on synthetic food produced less floc hydrophobicity. Electrophoretic mobility measurements, charge titrations, and dye exchange titrations showed different total surface charge as well as varying charge availability. Additionally, total surface charge and total exopolysaccharide concentrations appeared less dependent on food source than the food-to-mass ratio. High concentrations of biodegradable food produced dispersed growth and high concentrations of exopolysaccharides that contributed to poor settling.

Comparison of chromium speciation by CZE and ion exchange followed by AAS.

The hydrogen chromate anion (HCrO4-), which is the predominant species in acidic solutions and solutions with low chromium concentration, was determined by capillary zone electrophoresis (CZE) using UV detection on-column at 200 nm. A fused-silica capillary (55 cm x 50 microm i.d.) was employed with a high negative voltage of 20 kV. Total chromium was determined after reduction by H2O2 and its complexation by EDTA. The use of H2O2 as reducing agent is advantageous, as it does not increase the conductivity of the solution. Detection limits achieved (for 200 s injection time) were 30 and 8 microg/L for Cr(VI) and Cr(III), respectively. The CZE results obtained for Cr(III) and Cr(VI) were compared with those obtained by ion exchange with subsequent AAS.

[Spontaneous bacterial peritonitis in hepatic cirrhosis: prevalence, predictive factors and prognosis]. / Peritonite bacteriana espontânea na cirrose hepática: prevalência, fatores preditivos e prognóstico.

BACKGROUND: Spontaneous Bacterial Peritonitis (SBP) is a common and potentially fatal complication of cirrhosis. Multiple variants of this infection have been described during the past decade. Few studies have investigated SBP in Brazil. MATERIAL AND METHOD: In order to investigate prospectively prevalence, predictive factors and prognosis of the episode of SBP, we studied 143 in and outpatients with cirrhosis admitted to HUCFF and HUPE between January, 1995 and January, 1996. All patients were submitted to a questionnaire, physical examination, blood analysis and abdominal paracentesis with ascitic fluid analysis. They were followed for a mean follow-up period of 4 months and survival was determined. RESULTS: The prevalence of SBP was 20%. Culture-positive SBP, Culture-negative Neutrocytic Ascites and Bacterascites were identified in 24%, 66% and 10%, respectively. After uni- and multivariate analysis, only anterior gastrointestinal hemorrhage, serum albumin and ascitic fluid C4 reached statistical significance (p = 0.05) as predictive factors for the development of the SBP. The in-hospital and follow-up mortality rates were 33.3% and 53.8% for the SBP patients and 8.5% and 31.9% for the non-SBP patients, respectively (p = 0.01 and p = 0.04). The cumulative probability of survival in the SBP group was significantly lower than the probability of the non-SBP group (p = 0.05). CONCLUSIONS: We conclude that SBP is a frequent complication, depends of the severity of liver failure and is a marker for poor prognosis in patients with liver cirrhosis.

Peritonite bacteriana espontânea na cirrose hepática: prevalência, fatores preditivos e prognóstico / Sponteneous bacterial peritonitis in hepatic cirrhosis: prevalence, predictive factors and prognosis

Objetivo. Investigar prevalência, fatores preditivos e prognóstico dos episódios de Peritonite Bacteriana Espontânea (PBE) na cirrose hepática. Metodologia. Estudamos, prospectivamente, 143 pacientes com cirrose hepática, ambulatoriais ou internados, que foram atendidos nos Serviços de Clínica Médica do HUCFF e de Gastroenterologia do HUPE no período de janeiro/95 a janeiro/96. Estes pacientes foram submetidos a questionário, exame físico, colheita de sangue e paracentese abdominal com colheita de líquido ascítico (LA) e, entao, acompanhados por um período médio de 4 meses, onde a taxa de mortalidade foi determinada. Resultados. A prevalência de PBE foi cerca de 20 por cento, sendo 24 por cento PBE cultura positiva, 66 por cento Ascite Neutrofílica cultura negativa e 10 por cento Bacterioascite. Na análise univariada, alcançaram significância estatísitica (p=0.05) como fatores preditivos do episódio de PBE:HGI na semana anterior; passado de encefalopatia hepática; classificaçao de Child; dosagens séricas de proteínas, albumina, C3, C4 e uréia; dosagens no LA de C3 e C4. Após serem introduzidas na análise multivariada, apenasHGI na semana anterior, albumina sérica e C4 do LA foram independentemente correlacionadas ao episódio de PBE (p=0.05). A mortalidade hospitalar e durante o acompanhamento foi de 33,3 por cento e 53,8 por cento para o grupo com PBE; 8,5 por cento e 31,9 por cento para o grupo sem PBE; respectivamente (p=0.01 e p=0.04). A probabilidade cumulativa de sobrevida foi significativamente menor no grupo com PBE. Conclusoes. A PBE é uma complicaçao freqüente, depende, principalmente, da gravidade da doença hepática e é um marcador de prognóstico desfavorável nos pacientes com cirrose hepática.

College students' perceptions of helpful responses to bereaved persons: effects of sex of bereaved persons and cause of death.

The present study examined whether the Sex of the participant, Cause of death (natural causes or suicide) and Sex of the bereaved were related to the perceived helpfulness of the behaviors and comments of support providers. After reading one of four scenarios in which a parent's cause of death and the sex of the grieving child were varied, 198 college students (112 women, 86 men) rated the helpfulness of 34 statements. Significant main effects for sex of the participant and cause of death were both found. While no significant main effect for sex of the bereaved was found, this variable did interact with sex of the participant and with cause of death for the variable of Provision of physical comfort. Significant interactions for sex of the participant x cause of death were found for the variables of Provision of physical comfort and Identification with the situation. The results underscore the value of multiple providers of support during grieving.

Lipid metabolism alterations in normotensive subjects with positive family history of hypertension.

Metabolic abnormalities are usually reported in hypertensive patients. These metabolic alterations seem to begin in childhood. The young offspring of hypertensive parents have not been studied thoroughly for metabolic alterations. The aim of this study was to examine the level of total cholesterol, LDL cholesterol, VLDL cholesterol, HDL cholesterol, uric acid, glycemia, aldosterone, and plasma renin activity in a population of 42 young, slender normotensive subjects with positive family history of hypertension (FH+) or negative family history of hypertension (FH-). Measurements were made in 20 young normotensive subjects (age 21.1+/-2.2 years, 11 males, 15 white, 5 oriental, body mass index of 22.1+/-2.3 kg/m2) with FH+ and 22 young normotensive subjects (age 19.9+/-1.4 years, 17 males, 17 white, 5 oriental, body mass index of 22.1+/-2.3 kg/m2) with FH-. The total cholesterol (4.47+/-0.8 versus 3.95+/-0.6 mmol/L), LDL cholesterol (2.74+/-0.63 versus 2.36+/-0.61 mmol/L), VLDL cholesterol (0.5+/-0.25 versus 0.35+/-0.09 mmol/L), and triglycerides (2.52+/-1.26 versus 1.76+/-0.5 mmol/L) were significantly elevated (P<.05) in the FH+ group compared with the FH- group. The total cholesterol/HDL cholesterol ratio was significantly higher in the group with a positive family history of hypertension (3.75+/-0.02 versus 3.11+/-0.02, P<.05). Glycemia was slightly elevated in the FH+ group (2.16+/-0.29 mmol/L) but was not significantly different from that of the FH- group (2+/-0.2 mmol/L). Uric acid, plasma renin activity, and aldosterone were similar in both groups. We conclude that young, slender normotensive subjects with a positive history of hypertension show alterations in lipid metabolism, suggesting a positive correlation between lipid metabolism and hypertension heredity.

Carboplatin plus paclitaxel in the first-line treatment of advanced ovarian cancer: preliminary results of a phase I study.

This phase I trial was designed to determine the maximum tolerated dose of paclitaxel (Taxol; Bristol-Myers Squibb Company, Princeton, NJ) given as a 3-hour infusion in combination with carboplatin (400 mg/m2) as first-line chemotherapy for stage IIIC/IV ovarian adenocarcinoma. After premedication, paclitaxel was infused over 3 hours, followed by carboplatin infused over 30 minutes on day 1 of a 28-day cycle (group 1, with 28 patients accrued and 150 evaluable cycles) or on day 1 of a 21-day cycle (group 2, with 16 patients accrued and 55 evaluable cycles). Dose-limiting toxicities assessed after the first course included grade 4 neutropenia lasting longer than 7 days, febrile grade 4 neutropenia requiring intravenous antibiotics, grade 4 thrombocytopenia, mucositis greater than grade 2 for more than 7 days, grade > or = 3 nonhematologic toxicity (excluding alopecia, vomiting, and muscular pain), no hematologic recovery on day 42 (for group 1) or on day 35 (for group 2), neurotoxicity above grade 2, and persistence of nonhematologic toxicity (excluding alopecia, nausea/vomiting, and musculoskeletal pain) grade > or = 2 at scheduled re-treatment. If any of the events occurred during the first cycle in three or more of six patients, maximum tolerated dose was considered to have been reached. The hematologic toxicity associated with the two treatment schedules was mainly neutropenia, but it was of short duration. Very few dose reductions or dose delays were necessary. Until now, the six planned courses have been administered without colony-stimulating factors. No toxic death has occurred. Grade 2 or 3 peripheral neuropathy has occurred in 12% of patients, mainly with high doses of paclitaxel. At this time, the maximum tolerated dose has not been reached at paclitaxel 275 mg/m2 every 4 weeks or 225 mg/m2 every 3 weeks, and enrollment continues.

Efeito de diferentes gonadotrofinas sobre o crescimento folicular e a ovulaçäo na cobaia (Cavia porcellus) / Effect of different gonadotrophins on the follicular development and ovulation in guinea pig (Cavia porcellus)

Para estudar a resposta superovulatória em cobaias, frente a vários esquemas de tratamentos com diferentes gonadotrofinas, foram utilizadas 60 fêmeas, divididas em 10 grupos de 6 animais cada um. Em uma 1§ fase, formada por 6 grupos, cada grupo recebeu um dos seguintes tratamentos: PMSG; FSH-p em dose única; FSH-p em 3 doses; FSH-h; HMG e soluçäo de NaCl 0,9 por cento (grupo controle), respectivamente. Numa 2§ fase, constituída por 4 grupos, cada um recebeu 22 UI de FSH-h, 15 UI de FSH-h; HMG e soluçäo de NaCl 0,9 por cento (grupo controle), respectivamente. Nos 3 grupos experimentais da 2§ fase foi aplicada também PGF2alfa. Todos os grupos, com exceçäo dos 2 controles, receberam também HCG. Os 3 primeiros grupos da 1§ fase tiveram ovulaçäo bloqueada, sendo que a PMSG causou luteinizaçäo generalizada dos folículos e as demais gonadotrofinas induziram luteinizaçäo folicular precoce com aprisionamento dos óvulos. Na 2§ fase, obteve-se um número médio de ovulaçöes em um grupo e a superovulaçäo de 2 animais. Concluiu-se que a PGF2alfa participa dos mecanismos de ovulaçäo na cobaia e que é possível obter aumento do crescimento folicular múltiplo com o emprego de FSH-h + HCG e HMG + HCG, associados ou näo à PGF2alfa

Interferon alfa recombinante no tratamento da hepatite C crônica / Recombinant alfa interferon in the treatment of chronic hepatitis C

Introduçao. A hepatite crônica pelo vírus C apresenta tendência evolutiva para cirrose hepática e hepatocarcinoma. Tratamento, com drogas antivirais, está indicado numa tentativa de modificar a evoluçao da doença. Objetivo. Avaliar a resposta de pacientes com hepatite crônica ou cirrose pós-hepatite C ao tratamento com interferon alfa recombinante e identificar os fatores associados com boa resposta terapêutica. Métodos. Foram estudados 38 pacientes com hepatite crônica ativa ou cirrose pelo vírus C, tratados com 2,5 a 3,0MU de interfon três vezes por semana, por períodos de 6 a 12 meses. Considerou-se resposta completa e duradoura quando a ALT e AST se mantinham normais por período de seis meses após o término do tratamento, e resposta completa com recidiva naqueles em que houve elevaçao das enzimas após a suspensao da droga. Resultados. Houve normalizaçao da ALT e AST em 17 dos 38 pacientes (44,7 por cento). Deste grupo, 9/17 tiveram resposta completa e duradoura, e em 8/17 houve aumento das enzimas após a interrupçao do tratamento. Houve uma tendência de melhor resposta ao interferon nos pacientes jovens e naqueles com hepatite crônica ativa (ao invéz da cirrose). Os efeitos colaterais mais frequentes foram febre (80 por cento), mialgia (60 por cento), astenia (50 por cento), cefaléia (40 por cento) e artralgia (36 por cento). Conclusoes. O tratamento com interfon alfa recombinante mostrou resposta satisfatória e duradoura em 23 por cento dos casos, com melhor resultado em pacientes jovens e sem cirrose associada.

[Recombinant interferon alfa in the treatment of chronic hepatitis C]. / Interferon alfa recombinante no tratamento da hepatite C crônica.

BACKGROUND: Chronic hepatitis C usually progresses to cirrhosis and hepatocarcinoma. Treatment with antiviral drugs is indicated attempting to modify the evolution of the disease. OBJECTIVE: To evaluate the treatment of chronic hepatitis C or post-hepatitis C cirrhosis with interferon-a-R (IFN) and to identify the factors associated with good therapeutic result. METHODS: Thirty eight patients with chronic hepatitis C or post-hepatitis C cirrhosis were treated with 2.5 or 3.0 MU of IFN three times a week for 6 to 12 months. We considered as a complete and sustained response when ALT and AST were normal for a 6 months period after finishing treatment. We considered complete response with relapse those in whom elevation of the enzymes was detected after drug suspension. RESULTS: There was normalization of ALT and AST in 17 out of 38 patients (44%). In this group, 9 out of 17 presented a complete and sustained response and in 8 out of 17 there was elevation of the enzymes after drug interruption. There was a trend of better response to interferon in patients below 40 years of age and in those with chronic active hepatitis. The most frequent side effects were fever (80%), myalgia (60%), asthenia (50%), headache (40%), and arthralgia (36%). CONCLUSION: Treatment with interferon showed a satisfactory and sustained response in 23% of the subjects, with better results in young patients and without cirrhosis.

[The preliminary stage of labor in cattle in relation to the clinical signs of labor and the course of progesterone secretion for the prediction of the calving time]. / Das Vorbereitungsstadium der Geburt beim Rind unter Berücksichtigung der klinischen Geburtsanzeichen und des Progesteronverlaufs für die Vorhersage des Geburtstermins.

To evaluate changes in the externally recognizable indications of parturition, the body temperature and progesteroneprofile were examined in 9 Holstein-Friesian heifers and 14 Holstein-Friesian cows in the preparatory phase of parturition. A special external obstetric examination was performed on these animals in the last 263 hours of pregnancy. Furthermore, the vaginal and rectal temperature was measured, and blood samples were taken. Of the blood samples the plasma progesterone concentration was determined. The time of birth could be predicted to be in the next 22 hours on the basis of the relaxation of the broad pelvic ligaments in 52.5% of the cases. A prediction was possible in 43.5% of the cases on the basis of the drop in temperature, and in 91.3% of the animals using the reduction in progesterone levels. Considering the clinical signs of parturition "relaxation of the pelvic ligaments" and a "decrease in temperature", predicting the time of parturition was possible in 65.2% of the animals. In 8.7% of the cases, in which no reduction in the progesterone level below 1.5 ng/ml blood plasma could be seen, the time of delivery could be determined by considering the relaxation of the broad ligaments and the reduction in temperature. A prediction of the time of parturition to be in the next 22 hours was possible for all animals the indicators of parturition.

[Taxol (paclitaxel), first molecule of a new class of cytotoxic agents: taxanes]. / Taxol (paclitaxel), première molécule d'une nouvelle classe d'agents cytotoxiques: les taxanes.

Taxol is the first of the taxanes, a new class of cytotoxic agents whose cellular target is the microtubules network. Taxol induces the polymerisation of the alpha and beta sub-units of the tubulin. This mechanism of action which is different from the vinca-alkaloids explains the main cytotoxic activity of paclitaxel through the formation of abnormal and stable bundles of microtubules. Severe hypersensitivity reactions which were seen in early phase I studies are prevented by an oral corticosteroids and H1 and H2 blockers premedication. Profound neutropenia is frequent but of short duration explaining that infectious manifestations are rare and neutropenia not cumulative. Thrombopenia and anemia are rare. Neurotoxicity is dose related but severe peripheral neuropathy is rare. Conduction abnormalities are mainly asymptomatic bradycardias. In second line ovarian cancer and breast metastatic cancer a noticeable level of activity has been observed, and in lung and head and neck cancer Taxol has proved to be effective.