Classical nonlinear models to describe the growth curve for Murrah buffalo breed

With the objective of to adjust nonlinear models for the growth curves for a buffaloes herd raised in floodable lands in Rio Grande do Sul state, monthly records measured from birth to two years-old of 64 males and 63 females born between 1982 and 1989 were used. The models used were: Von Bertalanffy, Brody, Gompertz and Logistic. The parameters were estimated by NLIN procedure and the criteria used to evaluate the adjustment given by the models were: asymptotic standard deviation; coefficient of determination; average absolute deviation of residues and asymptotic index. Von Bertalanffy and Brody models overestimated the male asymptotic weight (A) in 15.9 and 171.3kg, respectively, and the Gompertz and Logistic models underestimated it in 4.5 and 13.4kg, respectively. For females, the Logistic model underestimated the asymptotic weight (-2.09kg), and Gompertz, Von Bertalanffy and Brody overestimated this parameter in 8.04, 17.7, and 280.33kg, respectively. The biggest average deviation was estimated by Brody model for both sexes, characterizing the biggest index. Considering the criteria, it is recommended the Gompertz and Logistic models for adjust females and males Murrah buffaloes breed growth curves.Com o objetivo de ajustar modelos não-lineares ao crescimento ponderal para búfalos criados em terras baixas no Estado do Rio Grande do Sul, foram utilizados registros mensais mensurados do nascimento aos dois anos de idade de 64 machos e 63 fêmeas, nascidos no período de 1982 a 1989. Utilizaram-se os modelos: Von Bertalanffy, Brody, Gompertz e Logístico. Os parâmetros foram estimados usando o procedimento NLIN e os critérios utilizados para verificar o ajuste dos modelos foram: desvio padrão assintótico; coeficiente de determinação; desvio médio absoluto dos resíduos e o índice assintótico. Os modelos Von Bertalanffy e Brody superestimaram o peso assintótico (A) para os machos em 15,9 e 171,3kg, respectivamente, e os modelos Gompertz e Logístico, subestimaram em 4,5 e 13,4kg, respectivamente. Para as fêmeas, o modelo Logístico subestimou o peso assintótico (-2,09kg) e os modelos Gompertz, Von Bertalanffy e Brody superestimaram esse parâmetro em: 8,04; 17,7 e 280,33kg, respectivamente. O maior desvio médio absoluto foi estimado pelo modelo Brody para ambos os sexos, caracterizando o melhor índice. Considerando os critérios, recomenda-se o modelo Gompertz e o modelo Logístico para ajustar a curva de crescimento de fêmeas e machos da raça Murrah

Survey on initial management of acute pancreatitis in Latin America

Objective: The population of Latin America harbors the highest incidence of gallstones and acute biliary pancreatitis, yet little is known about the initial management of acute pancreatitis in this large geographic region. Participants and methods: We performed a post hoc analysis of responses from physicians based in Latin America to the international multidisciplinary survey on the initial management of acute pancreatitis. The questionnaire asked about management of patients during the first 72 h after admission, related to fluid therapy, prescription of prophylactic antibiotics, feeding and nutrition, and timing of cholecystectomy. Adherence to clinical guidelines in this region was compared with the rest of the world. Results: The survey was completed by 358 participants from 19 Latin American countries (median age, 39 years [33–47]; women, 27.1%). The proportion of participants in Latin America vs. the rest of the world who chose non-compliant options with clinical guidelines were: prescription of fluid therapy rate other than moderate (42.2% vs 34.3%, P = .02); prescription of prophylactic antibiotics for severe (10.6% vs 18.0%, P = .002), necrotizing (28.5% vs 36.9%, P = .008), or systemic inflammatory response syndrome-associated (21.2% vs 30.6%, P = .002) acute pancreatitis; not starting an oral diet to patients with oral tolerance (77.9% vs 71.1%, P = .02); and delayed cholecystectomy (16.2% vs 33.8%, P < .001). Conclusions: Surveyed physicians in Latin America are less likely to prescribe antibiotics and to delay cholecystectomy when managing patients in the initial phase of acute pancreatitis compared to physicians in the rest of the world. Feeding and nutrition appear to require the greatest improvement.Revisión por pare

Patterns of oral anticoagulant use and outcomes in Asian patients with atrial fibrillation: a post-hoc analysis from the GLORIA-AF Registry

Background: Previous studies suggested potential ethnic differences in the management and outcomes of atrial fibrillation (AF). We aim to analyse oral anticoagulant (OAC) prescription, discontinuation, and risk of adverse outcomes in Asian patients with AF, using data from a global prospective cohort study. Methods: From the GLORIA-AF Registry Phase II-III (November 2011-December 2014 for Phase II, and January 2014-December 2016 for Phase III), we analysed patients according to their self-reported ethnicity (Asian vs. non-Asian), as well as according to Asian subgroups (Chinese, Japanese, Korean and other Asian). Logistic regression was used to analyse OAC prescription, while the risk of OAC discontinuation and adverse outcomes were analysed through Cox-regression model. Our primary outcome was the composite of all-cause death and major adverse cardiovascular events (MACE). The original studies were registered with ClinicalTrials.gov, NCT01468701, NCT01671007, and NCT01937377. Findings: 34,421 patients were included (70.0&nbsp;±&nbsp;10.5 years, 45.1% females, 6900 (20.0%) Asian: 3829 (55.5%) Chinese, 814 (11.8%) Japanese, 1964 (28.5%) Korean and 293 (4.2%) other Asian). Most of the Asian patients were recruited in Asia (n&nbsp;=&nbsp;6701, 97.1%), while non-Asian patients were mainly recruited in Europe (n&nbsp;=&nbsp;15,449, 56.1%) and North America (n&nbsp;=&nbsp;8378, 30.4%). Compared to non-Asian individuals, prescription of OAC and non-vitamin K antagonist oral anticoagulant (NOAC) was lower in Asian patients (Odds Ratio [OR] and 95% Confidence Intervals (CI): 0.23 [0.22-0.25] and 0.66 [0.61-0.71], respectively), but higher in the Japanese subgroup. Asian ethnicity was also associated with higher risk of OAC discontinuation (Hazard Ratio [HR] and [95% CI]: 1.79 [1.67-1.92]), and lower risk of the primary composite outcome (HR [95% CI]: 0.86 [0.76-0.96]). Among the exploratory secondary outcomes, Asian ethnicity was associated with higher risks of thromboembolism and intracranial haemorrhage, and lower risk of major bleeding. Interpretation: Our results showed that Asian patients with AF showed suboptimal thromboembolic risk management and a specific risk profile of adverse outcomes; these differences may also reflect differences in country-specific factors. Ensuring integrated and appropriate treatment of these patients is crucial to improve their prognosis. Funding: The GLORIA-AF Registry was funded by Boehringer Ingelheim GmbH