6 research outputs found

    Evaluation of genetic divergence among lines of laying hens using cluster analysis

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    Cluster analysis was used to investigate the genetic divergence among five lines of laying hens. The following traits were evaluated: body weight at 40, 48 and 56 weeks of age; egg weight at 40, 44, 52 and 60 weeks of age; and laying rate from 40 to 60 weeks of age. Three groups were formed when data were analyzed by the single-linkage hierarchical method using squared Mahalanobis distance (D²) as dissimilarity measures: one group comprised lines 3 and 5, the second group line 1, and the third group comprised lines 2 and 4. Using Tocher's optimization method, only two groups were formed: one group comprised lines 3, 5 and 1, and the second comprised lines 2 and 4. This evidences the disagreement between the methods over the evaluation of genetic divergence. The trait that contributed mostly to the genetic divergence was body weight at 48 weeks of age

    Mortality from esophagectomy for esophageal cancer across low, middle, and high-income countries: An international cohort study

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    Background: No evidence currently exists characterising global outcomes following major cancer surgery, including esophageal cancer. Therefore, this study aimed to characterise impact of high income countries (HIC) versus low and middle income countries (LMIC) on the outcomes following esophagectomy for esophageal cancer.Method: This international multi-center prospective study across 137 hospitals in 41 countries included patients who underwent an esophagectomy for esophageal cancer, with 90-day follow-up. The main explanatory variable was country income, defined according to the World Bank Data classification. The primary outcome was 90-day postoperative mortality, and secondary outcomes were composite leaks (anastomotic leak or conduit necrosis) and major complications (Clavien-Dindo Grade III-V). Multivariable generalized estimating equation models were used to produce adjusted odds ratios (ORs) and 95% confidence intervals (CI95%).Results: Between April 2018 to December 2018, 2247 patients were included. Patients from HIC were more significantly older, with higher ASA grade, and more advanced tumors. Patients from LMIC had almost three-fold increase in 90-day mortality, compared to HIC (9.4% vs 3.7%, p < 0.001). On adjusted analysis, LMIC were independently associated with higher 90-day mortality (OR: 2.31, CI95%: 1.17-4.55, p = 0.015). However, LMIC were not independently associated with higher rates of anastomotic leaks (OR: 1.06, CI95%: 0.57-1.99, p = 0.9) or major complications (OR: 0.85, CI95%: 0.54-1.32, p = 0.5), compared to HIC.Conclusion: Resections in LMIC were independently associated with higher 90-day postoperative mortality, likely reflecting a failure to rescue of these patients following esophagectomy, despite similar composite anastomotic leaks and major complication rates to HIC. These findings warrant further research, to identify potential issues and solutions to improve global outcomes following esophagectomy for cancer. (C) 2020 Elsevier Ltd, BASO similar to The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved
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