ESPEN guideline: Clinical nutrition in surgery.

Early oral feeding is the preferred mode of nutrition for surgical patients. Avoidance of any nutritional therapy bears the risk of underfeeding during the postoperative course after major surgery. Considering that malnutrition and underfeeding are risk factors for postoperative complications, early enteral feeding is especially relevant for any surgical patient at nutritional risk, especially for those undergoing upper gastrointestinal surgery. The focus of this guideline is to cover nutritional aspects of the Enhanced Recovery After Surgery (ERAS) concept and the special nutritional needs of patients undergoing major surgery, e.g. for cancer, and of those developing severe complications despite best perioperative care. From a metabolic and nutritional point of view, the key aspects of perioperative care include: • integration of nutrition into the overall management of the patient • avoidance of long periods of preoperative fasting • re-establishment of oral feeding as early as possible after surgery • start of nutritional therapy early, as soon as a nutritional risk becomes apparent • metabolic control e.g. of blood glucose • reduction of factors which exacerbate stress-related catabolism or impair gastrointestinal function • minimized time on paralytic agents for ventilator management in the postoperative period • early mobilisation to facilitate protein synthesis and muscle function The guideline presents 37 recommendations for clinical practice

UPLC-MS-ESI-QTOF analysis and antifungal activity of the spondias tuberosa arruda leaf and root hydroalcoholic extracts

The aim of this study was to identify and evaluate the chemical compositions and effects of the S. tuberosa leaf and root hydroalcoholic extracts (HELST and HERST) against different strains of Candida. Chemical analysis was performed by Ultra-Performance Liquid Chromatography Coupled to Quadrupole/Time of Flight System (UPLC-MS-ESI-QTOF). The Inhibitory Concentration of 50% of the growth (IC50) as well as the intrinsic and combined action of the extracts with the antifungal fluconazole (FCZ) were determined by the microdilution method while the minimum fungicidal concentrations (MFCs) and the effect on fungal morphological transitions were analyzed by subculture and in humid chambers, respectively. From the preliminary phytochemical analysis, the phenols and flavonoids were the most abundant. The intrinsic IC50 values for HELST ranged from 5716.3 to 7805.8 \ub5g/mL and from 6175.4 to 51070.9 \ub5g/mL for the HERST, whereas the combination of the extracts with fluconazole presented IC50 values from 2.65 to 278.41 \ub5g/mL. The MFC of the extracts, individually, for all the tested strains was 6516384 \ub5g/mL. When fluconazole was combined with each extract, the MFC against CA URM 5974 was reduced (HELST: 2048 and HERST: 4096 \ub5g/mL). Synergism was observed against standard C. albicans (CA) and C. tropicalis (CT) strains and with the root extract against the CT isolate. The leaf extract inhibited the morphological transition of all strains while the root extract inhibited only CT strains

Cations extraction of sandy-clay soils from Cavado valley, Portugal, using sodium salts solutions

Cases of contamination by metals in the water wells of the Cavado Valley in north-west Portugal can be attributed to the heavy leaching of clay soils due to an excess of nitrogen resulting from the intensive use of fertilisers in agricultural areas. This work focuses on the natural weathering characteristics of soils, particularly the clay material, through the study of samples collected near the River Cavado. Samples taken from various sites, after physico-chemical characterisation, were subjected to clay dissolution tests, using sodium salts of different ionic forces, to detect the relationship between certain physico-chemical parameters of water, such as pH, nitrate, chloride and sulphate content, in the dissolution of clay and the subsequent extraction of such cations as Al, Fe and K. In acidic sandy clay soils, the mineralogical composition of which was characterised by a predominance of quartz, micas, kaolinite and K-feldspars, decreases of the clay material/water pH ratio increases dissolution of the micaceous and K-feldspars phases. The presence of nitrates in the aqueous solution apparently advanced the extraction of all three cations Al, Fe and K. The specific surface area of the clay material showed a significant correlation with the main kinetic parameters of cation extraction.Têm ocorrido casos de contaminações de águas de poços, por metais, no vale do Rio Cávado, região noroeste de Portugal. A princípio, poderiam ser explicáveis pela elevada lixiviação dos solos arenoargilosos da região, quando da prática de adubações intensivas de nitrogênio em áreas agrícolas. Assim, estudaram-se as características do intemperismo natural dos solos, particularmente da fração argila, característica da margem norte do rio Cávado. Coletaram-se amostras de vários locais, que foram submetidas, após caracterização físico-química, a ensaios de dissolução a partir de soluções de sais de sódio com diferentes forças iônicas. O objetivo foi observar as relações de determinados parâmetros físico-químicos da água, tais como: pH, nitratos, cloretos e sulfatos na dissolução das argilas e a conseqüente extração de espécies químicas tais como Al, K e Fe. Para solos areno-argilosos, ácidos, cuja composição mineralógica se caracteriza por um predomínio de quartzo, micas, caulinita e feldspato-K, o abaixamento do pH da suspensão solo/água promove a solubilização das fases micáceas e feldspáticas. A presença do nitrato nas soluções aquosas promoveu aparentemente a extração de todos os três cátions: Al, K e Fe. O efeito da área superfícial específica das partículas dos solos condicionou fortemente vários dos parâmetros cinéticos estudados relativos à extração dos cátions.(undefined

Balanço do nitrogênio e fósforo em solo com cultivo orgânico de hortaliças após a incorporação de biomassa de guandu.

Os objetivos deste trabalho foram avaliar os efeitos de faixas de guandu (Cajanus cajan) e da incorporação da biomassa proveniente de sua poda na fertilidade do solo e na produtividade de três hortaliças sob cultivo orgânico. O delineamento usado foi de blocos casualizados completos em esquema de parcelas subsubdivididas com três repetições. As produtividades de beterraba, cenoura e feijão-de-vagem não foram afetadas pelos tratamentos. Nas parcelas onde não houve incorporação da biomassa de guandu, o balanço de nitrogênio no sistema foi negativo, ao passo que com a incorporação, esse balanço foi positivo. Embora tenha ocorrido balanço positivo para o fósforo nas parcelas sem a incorporação de biomassa de guandu, houve um aumento significativo na absorção desse elemento pelas hortaliças quando o material foi incorporado. O sistema de cultivo em aléias de guandu pode representar uma prática vantajosa para os produtores orgânicos, por contribuir na manutenção da fertilidade do solo