The effect of rumen degradable protein level and source on the duodenal essential amino acid profile of sheep

Two trials were conducted to determine the effects of rumen degradable protein (RDP) level and source on the duodenal essential amino acid (AA) composition of Dohne Merino wethers. The animals had ad libitum access to wheat straw (32 g crude protein (CP)/kg DM; 742 g neutral detergent fibre (NDF)/kg DM) and water. In the first experimental treatments casein provided 0, 40, 80, 120 and 160 g supplemental RDP/d. In experiment two, urea-nitrogen replaced 0, 25, 50, 75 and 100% of the true protein in the isonitrogenous treatments. Expressing essential AA concentration as a percentage of duodenal protein indicated that increasing RDP levels tended to decrease arginine, but significantly increased tryptophan concentrations. Histidine, isoleucine, leucine, lysine, methionine, phenylalanine, threonine, valine and total essential AA concentrations were not affected by dietary RDP level. Increasing the urea-N content of RDP supplements significantly decreased isoleucine, leucine, lysine, phenylalanine, tryptophan, valine and total essential amino acid (TEAA) concentrations. Histidine and threonine proportions also tended to decrease with higher non-protein N levels. When the essential AA profile is expressed in relation to lysine, the concentrations of histidine, leucine, phenylalanine and threonine decreased significantly. Arginine and valine showed a decreasing trend and tryptophan increased significantly as RDP levels were raised. The largest differences appeared between 0 and 40 g RDP supplementation, while the AA patterns for the rest of the treatments remained relatively constant. Substituting urea for true RDP induced a variable response in arginine and isoleucine, but did not affect any of the other AA\'s. Increasing RDP intakes significantly increased the duodenal flow of every essential AA, except arginine, and showed a strong tendency to increase TEAA flow as well. Replacing true RDP with urea significantly reduced the flow of methionine and tryptophan and also tended to decrease lysine availability in the duodenum. Individual AA and TEAA flow to the duodenum were also numerically decreased by a minimum of 34% as urea-N was increased. It appears that the qualitative duodenal essential AA profile in sheep fed low quality forages is relatively insensitive to RDP level or source. The daily essential AA flow to the duodenum seems to be compromised by urea substitution for true RDP.. Keywords: Amino acid; microbial protein;rumen degradable protein; urea; casein South African Journal of Animal Sciences Vol. 35 (3) 2005: pp.162-17

A comparison between the effects of two cropping methods on the meat quality of impala (Aepyceros melampus)

Impala (Aepyceros melampus) constitute one of the most commercially important species in game farming in South Africa. The purpose of this study was to compare the effects of day and night cropping on the meat quality characteristics of impala. Emphasis was placed on the influence of the cropping method on muscle pH45 (45 minutes post mortem), pHu (ultimate pH), pH decline, and the related influence on drip loss, cooking loss, toughness and colour of the meat in the M. longissimus lumborum. Measurements taken from 16 animals cropped at night were compared to those taken from 24 animals cropped in daytime. A mean pH45 of 6.67 + 0.11 was recorded for the night cropped animals compared to a mean pH45 of 6.55 + 0.23 for the day cropped animals. A mean pHu of 5.39 + 0.08 for animals cropped at night was recorded compared to a mean pHu of 5.45 + 0.11 for the animals cropped in the day. Regression analysis showed the rate of pH decline to be slower in the night cropped animals compared to those cropped in the day. This persisted when the pH values were adjusted to correct for ambient temperature. The cooling rate of the M. longissimus lumborum was twice as fast in the night cropped group. Shear force values and drip losses respectively, for the night-cropped animals were 19.11 + 5.68 g/mm2 and 2.93 + 1.59%, whereas for the day cropped animals the values were 23.42 + 8.13 g/mm2 and 4.15 + 2.34%. The results of this study indicate that night-time cropping does have a beneficial effect on certain meat quality parameters. Keywords: Meat quality, Impala, Cropping methods South African Journal of Animal Science Vol.33(4) 2003: 233-24

Cost-effectiveness Analysis of Ocrelizumab for the Treatment of Relapsing and Primary Progressive Multiple Sclerosis in Portugal

Objectives: Ocrelizumab demonstrated significant clinical benefit for the treatment of relapsing (RMS) and primary progressive (PPMS) multiple sclerosis (MS), an incurable disease characterized by disability progression. This study evaluated the clinical and economic impact of ocrelizumab relative to current clinical practice, including other disease-modifying therapies (DMT), available in Portugal. Methods: Markov models for MS were adapted to estimate the impact of ocrelizumab across three patient populations: treatment-naïve RMS, previously treated RMS, and PPMS. Health states were defined according to the Expanded Disability Status Scale. For RMS, the model further captured the occurrence of relapses and progression to secondary progressive multiple sclerosis (SPMS). A lifetime time-horizon and Portuguese societal perspective were adopted. Results: For RMS patients, ocrelizumab was estimated to maximize the expected time (years) without progression to SPMS (10.50) relative to natalizumab (10.10), dimethyl fumarate (8.64), teriflunomide (8.39), fingolimod (8.38), interferon β-1a (8.33) and glatiramer acetate (8.18). As the most effective option, with quality-adjusted life year (QALY) gains between 0.3 and 1.2, ocrelizumab was found to be cost-saving relative to natalizumab and fingolimod, and presented incremental cost-effectiveness ratios (ICER) below €16,720/QALY relative to the remaining DMT. For PPMS patients, the ICER of ocrelizumab versus best supportive care was estimated at €78,858/QALY. Conclusions: Ocrelizumab provides important health benefits for RMS and PPMS patients, comparing favourably with other widely used therapies. In RMS, ocrelizumab was revealed to be either cost-saving or have costs-per-QALY likely below commonly accepted cost-effectiveness thresholds. In PPMS, ocrelizumab fills a clear clinical gap in the current clinical practice. Overall, ocrelizumab is expected to provide good value for money in addressing the need of MS patients.info:eu-repo/semantics/publishedVersio

Choice of activity-intensity classification thresholds impacts upon accelerometer-assessed physical activity-health relationships in children

It is unknown whether using different published thresholds (PTs) for classifying physical activity (PA) impacts upon activity-health relationships. This study explored whether relationships between PA (sedentary [SED], light PA [LPA], moderate PA [MPA], moderate-to-vigorous PA, vigorous PA [VPA]) and health markers differed in children when classified using three different PTs

Prognostic Value of Isolated Elevated Troponin I Levels in Patients without Acute Coronary Syndrome Admitted to the Emergency Department

Background: Although non-ischemic troponin elevation is frequently seen in patients admitted to the emergency department (ED), consensus regarding its management is lacking. Objectives: This study aimed to characterize patients admitted to the ED with non-ischemic troponin elevation and to identify potential mortality predictors in this population. Methods: This retrospective observational study included ED patients with a positive troponin test result between June and July of 2015. Patients with a clinical diagnosis of acute coronary syndrome (ACS) were excluded. Data on patient demographics and clinical and laboratory variables were extracted from medical records. Follow-up data were obtained for 16 months or until death occurred. The statistical significance level was 5%. Results: Troponin elevation without ACS was found in 153 ED patients. The median (IQR) patient age was 78 (19) years, 80 (52.3%) were female and 59(38.6%) died during follow-up. The median (IQR) follow-up period was 477(316) days. Survivors were significantly younger 76 (24) vs. 84 (13) years; p=0.004) and featured a higher proportion of isolated troponin elevation (without creatine kinase or myoglobin elevation) in two consecutive evaluations: 48 (53.9%) vs. 8 (17.4%), p<0.001. Survivors also presented a lower rate of antiplatelet treatment and same-day hospitalization. In the multivariate logistic regression with adjustment for significant variables in the univariate analysis, isolated troponin elevation in two consecutive evaluations showed a hazard ratio= 0.43 (95%CI 0.17-0.96, p=0.039); hospitalization, previous antiplatelet treatment and age remained independently associated with mortality. Conclusions: Isolated troponin elevation in two consecutive measurements was a strong predictor of survival in ED patients with troponin elevation but without ACS.info:eu-repo/semantics/publishedVersio

Ectopia cordis: caso clínico

Introduction: ectopia cordis is a rare congenital malformation, with an estimated incidence of 5 to 8 per million live births. It is defined as a malformation in which the heart is located in an extra-thoracic position. Ectopia cordis may occur as an isolated malformation or associated with other anomalies such as omphalocele, congenital heart disease or integrating Cantrell syndrome. The size and location of the defect influence the prognosis. Description: we report a case of a 24-year-old nulliparous woman, with no relevant family or personal history, in which the prenatal fetal ultrasound, performed at 21 weeks of gestation, revealed a defect of the anterior chest wall with exteriorization of the heart. Discussion: fetal echocardiography revealed a severe congenital heart disease. The parents decided to continue the pregnancy, after being duly informed by a multidisciplinary team. Delivery occurred at 37 weeks of gestation but the female newborn died one hour afterwards. Pathological examination confirmed the sonographic findings

Cardiorespiratory fitness is associated with hard and light intensity physical activity but not time spent sedentary in 10–14 year old schoolchildren: the HAPPY study

Sedentary behaviour is a major risk factor for developing chronic diseases and is associated with low cardiorespiratory fitness in adults. It remains unclear how sedentary behaviour and different physical activity subcomponents are related to cardiorespiratory fitness in children. The purpose of this study was to assess how sedentary behaviour and different physical activity subcomponents are associated with 10–14 year-old schoolchildren's cardiorespiratory fitness

A Numerical Feasibility Study of Kinetic Energy Harvesting from Lower Limb Prosthetics

With the advancement trend of lower limb prosthetics headed towards bionics (active ankle and knee) and smart prosthetics (gait and condition monitoring), there is an increasing integration of various sensors (micro-electromechanical system (MEMS) accelerometers, gyroscopes, magnetometers, strain gauges, pressure sensors, etc.), microcontrollers and wireless systems, and power drives including motors and actuators. All of these active elements require electrical power. However, inclusion of a heavy and bulky battery risks to undo the lightweight advancements achieved by the strong and flexible composite materials in the past decades. Kinetic energy harvesting holds the promise to recharge a small on-board battery in order to sustain the active systems without sacrificing weight and size. However, careful design is required in order not to over-burden the user from parasitic effects. This paper presents a feasibility study using measured gait data and numerical simulation in order to predict the available recoverable power. The numerical simulations suggest that, depending on the axis, up to 10s mW average electrical power is recoverable for a walking gait and up to 100s mW average electrical power is achievable during a running gait. This takes into account parasitic losses and only capturing a fraction of the gait cycle to not adversely burden the user. The predicted recoverable power levels are ample to self-sustain wireless communication and smart sensing functionalities to support smart prosthetics, as well as extend the battery life for active actuators in bionic systems. The results here serve as a theoretical foundation to design and develop towards regenerative smart bionic prosthetics

Genome-wide association and HLA fine-mapping studies identify risk loci and genetic pathways underlying allergic rhinitis

Allergic rhinitis is the most common clinical presentation of allergy, affecting 400 million people worldwide, with increasing incidence in westernized countries1,2. To elucidate the genetic architecture and understand the underlying disease mechanisms, we carried out a meta-analysis of allergic rhinitis in 59,762 cases and 152,358 controls of European ancestry and identified a total of 41 risk loci for allergic rhinitis, including 20 loci not previously associated with allergic rhinitis, which were confirmed in a replication phase of 60,720 cases and 618,527 controls. Functional annotation implicated genes involved in various immune pathways, and fine mapping of the HLA region suggested amino acid variants important for antigen binding. We further performed genome-wide association study (GWAS) analyses of allergic sensitization against inhalant allergens and nonallergic rhinitis, which suggested shared genetic mechanisms across rhinitis-related traits. Future studies of the identified loci and genes might identify novel targets for treatment and prevention of allergic rhinitis