Supplementary Material for: Home Artificial Nutrition in Switzerland: An Epidemiological Survey from 2005 to 2009

<b><i>Background and Aims:</i></b> Home artificial nutrition (HAN), including oral nutritional supplements (ONS) and enteral (HEN) and parenteral (HPN) nutrition, is an established, important treatment for malnourished patients. The aim of this study was to analyze the epidemiological data of patients on HAN in Switzerland. <b><i>Methods:</i></b> This retrospective study recorded all new cases of HAN in Switzerland from January 2005 to December 2009. <b><i>Results:</i></b> A total of 12,917 cases were recorded: 6,731 (52%) males and 6,186 (48%) females, with a mean age of 65.0 ± 17.6 years. The number of patients on ONS was 7,827 (57.4%), on HEN 3,966 (39.4%) and on HPN 433 (3.2%). The most common underlying disease category was neoplasms (6,519, 50.7%). The number of patients on ONS increased from 57.0% (n = 1,252) to 60.8% (n = 2,039), and on HPN from 2.1% (n = 45) to 4.0% (n = 134) between 2005 and 2009. <b><i>Conclusions:</i></b> This first analysis of the large-scale Swiss registry of HAN shows that approximately half of the patients received ONS, whereas HPN was rarely delivered. The frequency of ONS and HPN increased from the year 2005 to 2009. In accordance with previous European studies, malignant tumors were by far the most frequent indication for HAN

Produção leiteira, composição do leite e perfil bioquímico sanguíneo de vacas lactantes sob suplementação com sal aniônico Milk yield, milk composition and biochemical blood profile of lactating cows supplemented with anionic salt

Objetivou-se avaliar os efeitos da inclusão de sal aniônico na dieta sobre as características físicas e a composição química do leite, o perfil bioquímico sanguíneo, a produção de leite, o peso e a condição corporal de vacas em lactação. Foram utilizadas 20 vacas da raça Jersey distribuídas em duas dietas, uma sem adição de sal aniônico e outra com adição de 0,25 kg/dia de cloreto de amônio. O delineamento empregado foi o completamente casualizado. As vacas sob suplementação com sal aniônico apresentaram menor pH urinário e aumento das concentrações sanguíneas de ureia, cálcio e magnésio. Com a dieta aniônica, o leite precipitou com menores concentrações de etanol, apresentou menor densidade, porcentagens de lactose, proteína e imunoglobulina, porém maior teor de cálcio iônico. O fornecimento de dieta aniônica durante a lactação resultou em acidose metabólica, o que alterou o perfil bioquímico sanguíneo e as características físico-químicas do leite.<br>The objective of this work was to evaluate the inclusion of anionic salt in the diet on the physical characteristics and chemical composition of milk, biochemical blood profile, milk yield, body weight and condition. It was used 20 Jersey cows, distributed into two diets, a diet with no addition of anionic salt and one diet with addition of 0.25 kg/day of ammonium chloride. It was used a completely randomized design. Cows supplemented with anionic salt presented lower urinary pH and increase of blood contents of urea, calcium and magnesium. With the anionic diet, milk precipitated with lower ethanol concentration and it presented lower density, percentages of lactose, protein and immunoglobulin, but higher ionic calcium content. Supply of anionic diet during lactation resulted in metabolic acidosis, which altered the blood biochemical profile and milk physical-chemical characteristics