37628 EFFECTS OF NEUROMUSCULAR ELECTRICAL STIMULATION ON THE MASTICATORY MUSCLES AND PHYSIOLOGIC SLEEP VARIABLES IN ADULTS WITH CEREBRAL PALSY: A NOVEL THERAPY APPROACH- PILOT STUDY

Cerebral palsy (CP) is a term employed to define a group of non-progressive neuromotor disorders caused by damage to the immature or developing brain, with consequent limitations regarding movement and posture. CP may impair orapharygeal muscle tone, leading to a compromised chewing function and to sleep disorders (such as obstructive sleep apnea). Thirteen adults with CP underwent bilateral masseter and temporalis neuromuscular electrical stimulation (NMES) therapy. The effects on the masticatory muscles and sleep variables were evaluated using electromyography (EMG) and polysomnography (PSG), respectively, prior and after 2 months of NMES. EMG consisted of 3 tests in different positions: rest, mouth opening and maximum clenching effort (MCE). EMG values in the rest position were 100% higher than values recorded prior to therapy for all muscles analyzed (p < 0.05); mean mouth opening increased from 38.0 ± 8.0 to 44.0 ± 10.0 cm (p = 0.03). A significant difference in MCE was found only for the right masseter. PSG revealed an improved in the AHI from 7.2±7.0/h to 2.3±1.5/h (p < 0.05); total sleep time improved from 185 min to 250 min (p = 0.04) and minimun SaO2 improved from 83.6 ± 3.0 to 86.4 ± 4.0 (p = 0.04). NMES performed over a two-month period led to improvements in the electrical activity of the masticatory muscles at rest, mouth opening, isometric contraction and sleep variables, including the elimination of obstructive sleep apnea events in patients with CP. Trial registration: ReBEC RBR994XFS http://www.ensaiosclinicos.gov.br.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES

Níveis nutricionais de fósforo disponível para aves de corte ISA Label criadas em semiconfinamento

Foram realizados três ensaios para determinar os níveis nutricionais de fósforo disponível (Pd) para machos e fêmeas da linhagem ISA Label nas fases inicial (1 a 28 dias), crescimento (28 a 56 dias) e final (56 a 84 dias) criadas em semiconfinamento. em cada ensaio, 480 aves com idade correspondente à fase de criação foram alojadas em 24 unidades experimentais contendo áreas de abrigo e de pastejo. O delineamento experimental utilizado foi o inteiramente casualizado, em esquema fatorial 4 × 2 (níveis de Pd e sexos) com três repetições de 20 aves. Os níveis de fósforo disponível avaliados foram: 0,25; 0,36; 0,47 e 0,58% na fase inicial; 0,18; 0,31; 0,44 e 0,57% na fase de crescimento; e 0,14; 0,27; 0,40 e 0,53% na fase final. Foram avaliados o ganho de peso, consumo de ração, consumo de Pd, conversão alimentar, teores de fósforo, cálcio e cinzas na tíbia e resistência à quebra óssea. de acordo com os resultados, o nível ótimo de Pd na ração na fase inicial, para machos e fêmeas são de 0,39 e 0,49%, que correspondem ao consumo de 3,94 e 3,96 g de Pd/ave, respectivamente. Para a fase de crescimento, recomenda-se 0,35% de Pd na ração para aves de ambos os sexos, que correspondem a consumo de 8,45 e 6,70 g de Pd/ave. Na fase final, recomendam-se os níveis de 0,32 e 0,30% de Pd, que correspondem a consumos de 12 e 9,5 g de Pd/ave para machos e fêmeas, respectivamente.It was performed three trials to determine the nutritional levels of available phosphorus (aP) for males and females of the strain ISA Label in the starter (1 to 28 days), growing (28 to 56 days) and finisher (56 to 84 days) phases, reared in a free-range system. In each trial, 480 birds with age corresponding to rearing phase were housed in 24 experimental units with shelter and pasture areas. It was used a complete random experimental design, in a 4 × 2 factorial scheme (levels of aP and sexes) with three replicates of 20 birds. The levels of aP evaluated were the following: 0.25, 0.36, 0.47 and 0.58% in the starter phase; 0.18, 0.31, 0.44 and 0.57% in the growing phase; and 0.14, 0.27, 0.40 and 0.53% in the finisher phase. Body weight gain, feed intake, aP intake, feed conversion, contents of phosphorus, calcium and ash in the tibia and bone breaking strength were evaluated. According to results, the optimum dietary aP levels in the starter phase, for males and females, are 0.39 and 0.49%, which correspond to the intake of 3.94 and 3.96 g of aP/bird, respectively. For the growing phase, it is recommended 0.35% of aP in the diet for birds of both sexes, which correspond to an intake of 8.45 and 6.70 g of aP/bird. In the finisher phase, it is recommended the levels 0.32 and 0.30% of aP, which corresponds to intakes of 12 g and 9.5 g aP/bird for males and females, respectively

Exigências de metionina + cistina digestível para aves de corte ISA Label criadas em semiconfinamento

Foram realizados três experimentos para determinação das exigências de metionina+cistina (met+cis) digestível para aves da linhagem ISA Label. As aves foram criadas em semiconfinamento nas fases inicial (1 a 28 dias), crescimento (28 a 56 dias) e final (56 a 84 dias). em cada experimento, foram utilizadas 480 aves (metade de cada sexo) alojadas em 24 piquetes. O delineamento experimental utilizado foi o inteiramente casualizado, em esquema fatorial 4 × 2 (níveis de met+cis e sexos) com três repetições de 20 aves. Os níveis de met+cis digestível avaliados foram: 0,532; 0,652; 0,772; 0,892% na fase inicial; 0,515; 0,635; 0,755; 0,875% na fase de crescimento; e 0,469; 0,589; 0,709; 0,829% na fase final. Foram avaliados o desempenho, as características de carcaça, a deposição de proteína e gordura corporal, o peso e o teor de proteína das penas. Na fase inicial, os níveis de met+cis digestível na ração recomendados para machos e fêmeas foram 0,76 e 0,80%, que correspondem a 0,252 e 0,268% de met+cis por Mcal de energia metabolizável da ração, respectivamente. Para aves ISA Label na fase de crescimento, recomenda-se 0,716% de met+cis digestível na ração, independentemente do sexo, que corresponde a 0,235% de met+cis por Mcal de em da ração. Na fase final, recomendam-se níveis de met+cis digestível de 0,756 e 0,597%, que correspondem a 0,244 e 0,193% de met+cis por Mcal de energia metabolizável na ração para machos e fêmeas, respectivamente.Three assays were carried out to determine the digestible methionine+cystine (Met+Cys) requirement for ISA Label broilers from both sexes. The birds were reared in free range system on starting phase (1 to 28 days), growing phase (28 to 56 days) and finishing phase (56 to 84 days). Four hundred and eighty birds were distributed into 24 pens, each one composed of shelter (3.13 m²) and pasture (72.87 m²). The experimental design was completely randomized with eight treatments as factorial arrangement (four Met+Cys levels and two sexes) with three replicates of 20 birds. The digestible Met+Cys levels were 0.532; 0.652; 0.772; 0.892% for starting phase; 0.515; 0.635; 0.755; 0.875% for growing phase and 0.469; 0.589; 0.709; 0.829% for finishing phase. The analyzed parameters were performance, carcass yield, body protein and fat deposition, weight and protein concentration in feathers. In the starting phase, the digestible Met+Cys level estimated for males was 0.765 and 0.803% for females, corresponding to 0.252 and 0.268% of Met+Cys/Mcal of ME, respectively. For the growing phase, the digestible Met+Cys level estimated was 0.716% for both sexes, corresponding to 0.235% of Met+Cys/Mcal of ME. For the finishing phase, the Met+Cys levels were 0.756 and 0.597% for males and females, corresponding to 0.244 and 0.193% of Met+Cys/Mcal of ME respectively

Sodium chloride levels for Colonial broiler chickens reared in free-range system

Objetivou-se determinar níveis de inclusão de cloreto de sódio (NaCl) em rações para aves machos e fêmeas da linhagem Colonial nas fases inicial (1 a 28 dias), de crescimento (28 a 56 dias) e final (56 a 84 dias) criadas em semiconfinamento. em cada ensaio, 480 aves com idade correspondente à fase de criação foram alojadas em 24 unidades experimentais contendo áreas de abrigo e de pastejo. O delineamento experimental utilizado foi o inteiramente casualizado, em esquema fatorial 4 × 2 (níveis de NaCl e sexos), totalizando oito tratamentos e três repetições de 20 aves. Os níveis de NaCl avaliados foram: 0,20; 0,40; 0,60 e 0,80% na fase inicial; 0,10; 0,30; 0,50 e 0,70% na fase de crescimento e 0,10; 0,25; 0,40 e 0,55% na fase final. Foram avaliados o ganho de peso, o consumo de ração, a ingestão de água, a conversão alimentar, o potencial hidrogeniônico, a pressão parcial de gás carbônico no sangue, a concentração de hematócritos e os teores de sódio e cloro no sangue. Para a fase inicial, o nível recomendado é de 0,53% de NaCl na ração para aves de ambos os sexos. Para a fase de crescimento, os níveis de 0,40 e 0,43% de NaCl, respectivamente, para machos e fêmeas e, para a fase final, de 0,25% para aves de ambos os sexos, atendem às exigências nutricionais.The objective of this work was to determine inclusion levels of sodium chloride (NaCl) in diets for male and female Colonial strain birds in the starter (from one to 28 days of age), growing (from 28 to 56 days of age) and finisher (from 56 to 84 days of age) phases reared in free-range system. In each trial, 480 birds at age corresponding to the rearing phase were housed in 24 experimental units containing areas of shelter and pasture. The experimental design used was a completely randomized in a 4 × 2 factorial arrangement (NaCl levels × sex), totaling eight treatments and three replications of 20 birds. Levels of NaCl evaluated were: 0.20, 0.40, 0.60 and 0.80% in the starter phase; 0.10, 0.30, 0.50 and 0.70% in the growing phase and 0.10, 0.25, 0.40 and 0.55% in the finisher phase. It was evaluated weight gain, feed intake, water intake, feed conversion, pH, partial pressure of carbon dioxide in the blood, hematocrit concentration and sodium and chlorine blood levels. For the starter phase it is recommended 0.53% of NaCl level in diet for birds of both sexes. For the growing phase, the levels were 0.40 and 0.43% of NaCl, respectively, for males and females, and for the finisher phase, the level of 0.25% for birds of both sexes meets the nutritional requirements