Alimentación práctica del cerdo

The feed represent over 65% of production costs, so should be established as a priority. It is not enough that a diet meets the nutritional needs of pigs, the ration formulation must right with official regulations governing each country for the use and manufacture of feed. Also, the feed should be easy to preserve and supplying, taking into the wide variety to installations (feeders and drinkers) used in various stages of pigs. However, the fundamental objective of the formulation of a diet is that it contains the necessary nutrients in the correct proportions and balance, considering the physiological stage, weight, age, sex, genetic potential, health status, season and production objectives with a the legal constraints. Once accomplished the formulation, the next step will be insure preparing the feed under conditions that ensure the safety, traceability and lower cost of the same. To this challenge, is adding the need to the right with environmental regulations related to feed and animal welfare.La alimentación representan alrededor del 65% de los costes de producción, por ello debe establecerse como una prioridad. No es suficiente que una dieta cumpla con las necesidades nutricionales de los cerdos, la formulación debe obedecer las normativas oficiales que rigen en cada país para el uso y fabricación de alimentos. Asimismo, el alimento debe ser fácil de conservar y suministrar, asumiendo la gran variedad de instalaciones (comederos y bebederos) utilizadas en las distintas etapas de los cerdos. Sin embargo, el objetivo fundamental de la formulación de una dieta es que contenga los nutrientes necesarios en las cantidades correctas y equilibradas, considerando la etapa fisiológica, peso, edad, sexo, potencial genético, estado de salud, época del año, objetivos productivos y de producto final, así como las limitantes legales. Una vez cumplida la formulación, el siguiente paso es asegurar que ésta sea elaborada bajo condiciones que garanticen la inocuidad, trazabilidad y bajo costo de la misma. A este desafío, se añade la necesidad de cumplir con las normativas ambientales relacionadas con la alimentación y bienestar animal

Evaluation of appendicitis risk prediction models in adults with suspected appendicitis

Background Appendicitis is the most common general surgical emergency worldwide, but its diagnosis remains challenging. The aim of this study was to determine whether existing risk prediction models can reliably identify patients presenting to hospital in the UK with acute right iliac fossa (RIF) pain who are at low risk of appendicitis. Methods A systematic search was completed to identify all existing appendicitis risk prediction models. Models were validated using UK data from an international prospective cohort study that captured consecutive patients aged 16–45 years presenting to hospital with acute RIF in March to June 2017. The main outcome was best achievable model specificity (proportion of patients who did not have appendicitis correctly classified as low risk) whilst maintaining a failure rate below 5 per cent (proportion of patients identified as low risk who actually had appendicitis). Results Some 5345 patients across 154 UK hospitals were identified, of which two‐thirds (3613 of 5345, 67·6 per cent) were women. Women were more than twice as likely to undergo surgery with removal of a histologically normal appendix (272 of 964, 28·2 per cent) than men (120 of 993, 12·1 per cent) (relative risk 2·33, 95 per cent c.i. 1·92 to 2·84; P < 0·001). Of 15 validated risk prediction models, the Adult Appendicitis Score performed best (cut‐off score 8 or less, specificity 63·1 per cent, failure rate 3·7 per cent). The Appendicitis Inflammatory Response Score performed best for men (cut‐off score 2 or less, specificity 24·7 per cent, failure rate 2·4 per cent). Conclusion Women in the UK had a disproportionate risk of admission without surgical intervention and had high rates of normal appendicectomy. Risk prediction models to support shared decision‐making by identifying adults in the UK at low risk of appendicitis were identified