Ileal digestibility of calcium and phosphorus in broilers fed diets with different phytases and Ca:available P ratios

O objetivo deste trabalho foi determinar a digestibilidade ileal aparente do cálcio e do fósforo em frangos de corte alimentados com rações com diferentes fitases e relações cálcio:fósforo disponível (Ca:Pd). Foram realizados dois experimentos: um com frangos de 22 a 33 dias de idade, e outro com frangos de 35 a 42 dias. As relações Ca:Pd usadas foram de 4,5:1,0, 6,0:1,0 e 7,5:1,0, no primeiro período, e de 3,5:1,0, 5,0:1,0 e 6,5:1,0, no segundo. Todas as dietas foram suplementadas com 1.500 unidades de atividade de fitase por quilograma de seis diferentes fontes de fitase microbiana. Ao final de cada experimento, duas aves por repetição foram abatidas para a coleta do conteúdo ileal. Nas amostras de digestas, foram determinados os teores de Ca e P para posterior cálculo do coeficiente de digestibilidade ileal aparente destes minerais. A relação Ca:Pd influenciou a atividade das fitases, e a maior digestibilidade foi observada nas menores relações, em ambos os experimentos. As fitases que proporcionaram os maiores coeficientes de digestibilidade foram A, D e E. Em ambas as idades avaliadas, a inclusão de fitases às dietas aumentou a digestibilidade de Ca e P, a qual também foi afetada pelo teor de cálcio e pela fonte de fitase utilizada.The objective of this work was to determine the apparent ileal digestibility of calcium and phosphorus in broilers fed diets with different phytases and calcium:available phosphorus (Ca:aP) ratios. Two experiments were carried out: one with broilers with 22 to 33 days of age, and the other with broilers with 35 to 42 days. The Ca:aP ratios used were 4.5:1.0, 6.0:1.0, and 7.5:1.0 in the first period, and 3.5:1.0, 5.0:1.0, and 6.5:1.0 in the second. All diets were supplemented with 1,500 units of phytase activity per kilogram of six different sources of microbial phytase. At the end of each experiment, two broilers per replicate were slaughtered to collect the ileal content. In the samples of digested food, the Ca and P contents were determined for later calculation of the apparent ileal digestibility coefficients of these minerals. The Ca:aP ratio influenced the activity of phytases, and the highest digestibility was observed with lower ratios, in both experiments. The phytases that provided greater digestibility coefficients were A, D, and E. In both ages evaluated, the inclusion of phytases in the feed improved the digestibility of Ca and P, which was also affected by the content of calcium and by the phytase source used

THE PROFILE OF SMALL COFFEE PRODUCERS IN THE SOUTH OF MINAS GERAIS, BRAZIL

Highly appreciated by all people worldwide, coffee is a commodity with great economical weight in Brazil. While underscoring analyses on coffee production by the scientific community, current assay deals with the profile of coffee producers in the rural regions of the towns Machado, Poço Fundo and others in the south of the state of Minas Gerais, Brazil. Field work with 225 small producers of the region comprised questionnaires which were analyzed and grouped statistically in discriminating clusters. The correlation of variables was assessed by Pearson´s methodology. Results show that schooling level had a positive correlation with regard to the adequate use of fertilizers and insecticides. Higher schooling level provided greater knowledge on normalizations and correct soil management

Prevalência de alterações na estrutura pulmonar em pacientes com acromegalia e sua relação com a troca gasosa : estudo transversal analítico com grupo controle

Contexto e objetivo: diferentes alterações funcionais respiratórias são descritas na acromegalia. Sua relação com anormalidades do tecido pulmonar é desconhecida. O objetivo foi observar possíveis alterações da estrutura pulmonar e explicar sua relação com anormalidades da troca gasosa. Tipo de estudo e local: estudo transversal, analítico, com grupo de controle, realizado em um hospital universitário. Métodos: incluíram-se 36 pacientes com acromegalia e 24 controles que foram avaliados com tomografia computadorizada de alta resolução de tórax (TC); os acromegálicos também foram avaliados com gasometria arterial, oximetria de esforço e dosagens de hormônio de crescimento (GH) e fator de crescimento semelhante à insulina (IGF-1). Resultados: as alterações encontradas na TC não foram estatisticamente diferentes entre os grupos acromegálico e de controle: bronquiectasia cilíndrica leve (P = 0,59), opacidades lineares (P = 0,29), opacidades nodulares (P = 0,28), aumento da atenuação (vidro fosco) (P = 0,48) e redução da atenuação (enfisema; P = 0,32). As alterações radiológicas não se relacionaram com as dosagens de GH e IGF-1. Hipoxemia estava presente em sete pacientes; contudo, em seis deles a hipoxemia poderia ser explicada por condição clínica subjacente diversa da acromegalia: doença pulmonar obstrutiva crônica em dois, obesidade em dois, infecção brônquica em um e asma em um. Conclusões: não foram observadas alterações da estrutura pulmonar por tomografia de tórax, quando comparadas ao grupo de controle; as alterações funcionais respiratórias encontradas são explicáveis em grande parte por diagnósticos alternativos, ou se manifestam de forma subclínica, não apresentando relação plausível com o aspecto da estrutura pulmonar.Context and objective: different functional respiratory alterations have been described in acromegaly, but their relationship with pulmonary tissue abnormalities is unknown. The objective of this study was to observe possible changes in lung structure and explain their relationship with gas exchange abnormalities. Design and setting: cross-sectional analytical study with a control group, conducted at a university hospital. Methods: the study included 36 patients with acromegaly and 24 controls who were all assessed through high-resolution computed tomography of the thorax (CT). Arterial blood gas, effort oximetry and serum growth hormone (GH) and insulin-like growth factor I (IGF-1) were also assessed in the patients with acromegaly. Results: the abnormalities found in the CT scan were not statistically different between the acromegaly and control groups: mild cylindrical bronchiectasis (P = 0.59), linear opacity (P = 0.29), nodular opacity (P = 0.28), increased attenuation (frosted glass; P = 0.48) and decreased attenuation (emphysema; P = 0.32). Radiographic abnormalities were not associated with serum GH and IGF-1. Hypoxemia was present in seven patients; however, in six of them, the hypoxemia could be explained by underlying clinical conditions other than acromegaly: chronic obstructive pulmonary disease in two, obesity in two, bronchial infection in one and asthma in one. Conclusion: no changes in lung structure were detected through thorax tomography in comparison with the control subjects. The functional respiratory alterations found were largely explained by alternative diagnoses or had subclinical manifestations, without any plausible relationship with lung structural factors

Redução de fósforo em dietas para frangos com base em valores de equivalência da fitase

The objective of this work was to evaluate the use of equivalency values of phytase as a basis for reduction of available phosphorus (aP) in broiler diets. Ten nutritional programs were evaluated with six replicates of 15 birds each. The following were evaluated: performance, tibia ash content, and feed costs. From 1 to 7 and 36 to 42 days of age, the birds received basal diet; from 8 to 21 days, diet without phytase containing 3.9 g kg-1 aP and four diets with phytase containing from 1.1 to 2.5 g kg-1 aP; and from 22 to 35 days, diet without phytase containing 3.4 g kg-1 aP plus diet with phytase containing 1.6 g kg-1 aP. The best nutritional plan was formed by the diets: 4.7 g kg-1 aP without phytase (1 to 7 days); 2.0 g kg-1 aP supplemented with phytase (8 to 21 days); 3.4 g kg-1 aP in feed without phytase (22 to 35 days); and 3.0 g kg-1 aP in feed without phytase (36 to 42 days). The reduction of aP occurs in the period from 8 to 21 days of age and corresponds to 2.0 g kg-1 of feed supplemented with phytase.O objetivo deste trabalho foi avaliar o uso de valores de equivalência da fitase como base para redução de fósforo disponível (P-disp) em dietas para frangos. Foram avaliados dez planos nutricionais com seis repetições de 15 aves cada uma. Avaliaram-se: desempenho, teor de cinzas na tíbia e custo da ração. De 1 a 7 e de 36 a 42 dias de idade, as aves receberam dieta basal; de 8 a 21 dias, dieta sem fitase contendo 3,9 g kg-1 de P-disp e quatro dietas com fitase contendo de 1,1 a 2,5 g kg-1 de P-disp; e de 22 a 35 dias, dieta sem fitase contendo 3,4 g kg-1 de P-disp mais dieta com fitase contendo 1,6 g kg-1 de P-disp. O melhor plano nutricional foi composto pelas dietas: 4,7 g kg-1 de P-disp sem fitase (1 a 7 dias); 2,0 g kg-1 de P-disp suplementada com fitase (8 a 21 dias); 3,4 g kg-1 de P-disp em ração sem fitase (22 a 35 dias); e 3,0 g kg-1 de P-disp em ração sem fitase (36 a 42 dias). A redução do P-disp ocorre no período de 8 a 21 dias de idade e corresponde a 2,0 g kg-1 de ração suplementada com fitase

Impact of COVID-19 on cardiovascular testing in the United States versus the rest of the world

Objectives: This study sought to quantify and compare the decline in volumes of cardiovascular procedures between the United States and non-US institutions during the early phase of the coronavirus disease-2019 (COVID-19) pandemic. Background: The COVID-19 pandemic has disrupted the care of many non-COVID-19 illnesses. Reductions in diagnostic cardiovascular testing around the world have led to concerns over the implications of reduced testing for cardiovascular disease (CVD) morbidity and mortality. Methods: Data were submitted to the INCAPS-COVID (International Atomic Energy Agency Non-Invasive Cardiology Protocols Study of COVID-19), a multinational registry comprising 909 institutions in 108 countries (including 155 facilities in 40 U.S. states), assessing the impact of the COVID-19 pandemic on volumes of diagnostic cardiovascular procedures. Data were obtained for April 2020 and compared with volumes of baseline procedures from March 2019. We compared laboratory characteristics, practices, and procedure volumes between U.S. and non-U.S. facilities and between U.S. geographic regions and identified factors associated with volume reduction in the United States. Results: Reductions in the volumes of procedures in the United States were similar to those in non-U.S. facilities (68% vs. 63%, respectively; p = 0.237), although U.S. facilities reported greater reductions in invasive coronary angiography (69% vs. 53%, respectively; p < 0.001). Significantly more U.S. facilities reported increased use of telehealth and patient screening measures than non-U.S. facilities, such as temperature checks, symptom screenings, and COVID-19 testing. Reductions in volumes of procedures differed between U.S. regions, with larger declines observed in the Northeast (76%) and Midwest (74%) than in the South (62%) and West (44%). Prevalence of COVID-19, staff redeployments, outpatient centers, and urban centers were associated with greater reductions in volume in U.S. facilities in a multivariable analysis. Conclusions: We observed marked reductions in U.S. cardiovascular testing in the early phase of the pandemic and significant variability between U.S. regions. The association between reductions of volumes and COVID-19 prevalence in the United States highlighted the need for proactive efforts to maintain access to cardiovascular testing in areas most affected by outbreaks of COVID-19 infection

Rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART): Study protocol for a randomized controlled trial

Background: Acute respiratory distress syndrome (ARDS) is associated with high in-hospital mortality. Alveolar recruitment followed by ventilation at optimal titrated PEEP may reduce ventilator-induced lung injury and improve oxygenation in patients with ARDS, but the effects on mortality and other clinical outcomes remain unknown. This article reports the rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART). Methods/Design: ART is a pragmatic, multicenter, randomized (concealed), controlled trial, which aims to determine if maximum stepwise alveolar recruitment associated with PEEP titration is able to increase 28-day survival in patients with ARDS compared to conventional treatment (ARDSNet strategy). We will enroll adult patients with ARDS of less than 72 h duration. The intervention group will receive an alveolar recruitment maneuver, with stepwise increases of PEEP achieving 45 cmH(2)O and peak pressure of 60 cmH2O, followed by ventilation with optimal PEEP titrated according to the static compliance of the respiratory system. In the control group, mechanical ventilation will follow a conventional protocol (ARDSNet). In both groups, we will use controlled volume mode with low tidal volumes (4 to 6 mL/kg of predicted body weight) and targeting plateau pressure &lt;= 30 cmH2O. The primary outcome is 28-day survival, and the secondary outcomes are: length of ICU stay; length of hospital stay; pneumothorax requiring chest tube during first 7 days; barotrauma during first 7 days; mechanical ventilation-free days from days 1 to 28; ICU, in-hospital, and 6-month survival. ART is an event-guided trial planned to last until 520 events (deaths within 28 days) are observed. These events allow detection of a hazard ratio of 0.75, with 90% power and two-tailed type I error of 5%. All analysis will follow the intention-to-treat principle. Discussion: If the ART strategy with maximum recruitment and PEEP titration improves 28-day survival, this will represent a notable advance to the care of ARDS patients. Conversely, if the ART strategy is similar or inferior to the current evidence-based strategy (ARDSNet), this should also change current practice as many institutions routinely employ recruitment maneuvers and set PEEP levels according to some titration method.Hospital do Coracao (HCor) as part of the Program 'Hospitais de Excelencia a Servico do SUS (PROADI-SUS)'Brazilian Ministry of Healt

Componentes antinutricionais e digestibilidade proteica em sementes de abóbora (Cucurbita maxima) submetidas a diferentes processamentos

Subprodutos vegetais têm sido utilizados na dieta com a finalidade de melhorar o estado nutricional de populações desnutridas. Entretanto, os antinutrientes presentes nesses alimentos podem acarretar efeitos indesejáveis. Portanto, os teores de polifenóis, cianeto, saponinas, inibidor de tripsina, atividade hemaglutinante e a porcentagem da digestibilidade proteica in vitro de sementes de abóbora cruas e tratadas termicamente foram investigados com o objetivo de selecionar o processamento que acarrete maior redução dos antinutrientes e maior digestibilidade proteica. Sementes da abóbora Cucurbita maxima foram, em quatro repetições, submetidas aos seguintes tratamentos: utilizadas na forma crua; cozidas em água em ebulição (AE) por três tempos: 5, 10 e 15 minutos; e cozidas no vapor por 10 minutos. Posteriormente foram liofilizadas, trituradas e armazenadas em temperatura ambiente até a realização das análises. Não houve diferença significativa, entre os tratamentos, quanto aos níveis de polifenóis. As sementes cruas apresentaram o maior teor de cianeto, o menor nível de inibidor de tripsina e a menor digestibilidade proteica. O cozimento em AE por 10 minutos acarretou o menor nível de saponinas e a maior digestibilidade proteica. Não foi detectada atividade hemaglutinante em nenhuma amostra. Conclui-se que o cozimento em AE por 10 minutos foi o que proporcionou melhores resultados

Nutrientes e propriedades funcionais em sementes de abóbora (Cucurbita maxima) submetidas a diferentes processamentos

O objetivo deste trabalho foi verificar a influência dos processamentos térmicos sobre os nutrientes e propriedades funcionais das sementes da abóbora Cucurbita maxima. As sementes foram, em quatro repetições, submetidas aos seguintes processamentos: utilizadas na forma crua; cozidas em água em ebulição por três tempos: 5, 10 e 15 minutos; e cozidas no vapor por 10 minutos. Posteriormente foram liofilizadas, trituradas e armazenadas em temperatura ambiente até a realização das análises de composição centesimal, minerais e propriedades funcionais. Não houve diferença significativa entre os processamentos para os níveis de proteína bruta, fibra alimentar, extrato etéreo, cinzas, S, P, Mg, Ca, Cu, Zn, solubilidade do nitrogênio (nos pH 4, 5 e 6), absorção de água e óleo, volume de espuma e estabilidade de emulsão. O cozimento em água em ebulição reduziu o teor de K. Todos os processamentos térmicos diminuíram os níveis de Mn e Fe. As sementes cruas apresentaram a maior solubilidade do nitrogênio nos pH 2, 3, 7, 8 e 9. Conclui-se que os processamentos acarretaram diferença significativa apenas nos teores de K, Mn, Fe e solubilidade do nitrogênio; e que as sementes apresentam potencial para serem incorporadas, provavelmente, em alimentos que requeiram elevada taxa de absorção de óleo