Methodological factors affecting gas and methane production during in vitro rumen fermentation evaluated by meta-analysis approach

Effects of some methodological factors on in vitro measures of gas production (GP, mL/g DM), CH4 production (mL/g DM) and proportion (% CH4 on total GP) were investigated by meta-analysis. These factors were considered: pressure in the GP equipment (0 = constant; 1 = increasing), incubation time (0 = 24; 1 = 65 48 h), time of rumen fluid collection (0 = before feeding; 1 = after feeding of donor animals), donor species of rumen fluid (0 = sheep; 1 = bovine), presence of N in the buffer solution (0 = presence; 1 = absence), and ratio between amount of buffered rumen fluid and feed sample (BRF/FS; 0 = 64 130 mL/g DM; 1 = 130\u2013140 mL/g DM; 2 = 65 140 mL/g DM). The NDF content of feed sample incubated (NDF) was considered as a continuous variable. From an initial database of 105 papers, 58 were discarded because one of the above-mentioned factors was not stated. After discarding 17 papers, the final dataset comprised 30 papers (339 observations). A preliminary mixed model analysis was carried out on experimental data considering the study as random factor. Variables adjusted for study effect were analyzed using a backward stepwise analysis including the above-mentioned variables. The analysis showed that the extension of incubation time and reduction of NDF increased GP and CH4 values. Values of GP and CH4 also increased when rumen fluid was collected after feeding compared to before feeding (+26.4 and +9.0 mL/g DM, for GP and CH4), from bovine compared to sheep (+32.8 and +5.2 mL/g DM, for GP and CH4), and when the buffer solution did not contain N (+24.7 and +6.7 mL/g DM for GP and CH4). The increase of BRF/FS ratio enhanced GP and CH4 production (+7.7 and +3.3 mL/g DM per each class of increase, respectively). In vitro techniques for measuring GP and CH4 production are mostly used as screening methods, thus a full standardization of such techniques is not feasible. However, a greater harmonization of analytical procedures (i.e., a reduction in the number of available protocols) would be useful to facilitate comparison between results of different experiments

Evidence for (and Against) Progenitor Bias in the Size Growth of Compact Red Galaxies

Most massive passive galaxies are compact at high redshifts, but similarly compact massive galaxies are rare in the local universe. The most common interpretation of this phenomenon is that massive galaxies have grown in size by a factor of about five since redshift z=2. An alternative explanation is that recently quenched massive galaxies are larger (a "progenitor bias"). In this paper we explore the importance of progenitor bias by looking for systematic differences in the stellar populations of compact early-type galaxies in the DEEP2 survey as a function of size. Our analysis is based on applying the statistical technique of bootstrap resampling to constrain differences in the median ages of our samples and to begin to characterize the distribution of stellar populations in our co-added spectra. The light-weighted ages of compact early-type galaxies at redshifts 0.5 < z < 1.4 are compared to those of a control sample of larger galaxies at similar redshifts. We find that massive compact early-type galaxies selected on the basis of red color and high bulge-to-total ratio are younger than similarly selected larger galaxies, suggesting that size growth in these objects is not driven mainly by progenitor bias, and that individual galaxies grow as their stellar populations age. However, compact early-type galaxies selected on the basis of image smoothness and high bulge-to-total ratio are older than a control sample of larger galaxies. Progenitor bias will play a significant role in defining the apparent size changes of early-type galaxies if they are selected on the basis of the smoothness of their light distributions.Comment: 39 pages, 10 figures. Astrophysical Journal (in press

Update on Vertigo in Autoimmune Disorders, from Diagnosis to Treatment

The prevalence of autoimmune diseases has been increasing over the last 20 years. The clinical presentation of this large and heterogeneous group of disorders depends on whether the involvement is organ-specific or non-organ-specific. Dizziness, vertigo, and disequilibrium are common symptoms reported by patients with vestibulocochlear involvement. The association of vertigo and autoimmune diseases has been largely documented, suggesting that autoimmune disorders could be overrepresented in patients with vertigo in comparison to the general population. The aim of this review is to present the recent literature findings in the field of autoimmune-mediated diseases with cochleovestibular involvement, focusing on the clinical presentation, diagnosis, and treatment of immune-mediated inner ear diseases including autoimmune inner ear disease (AIED), Meniere’s disease, and bilateral vestibulopathy, as well as of systemic autoimmune diseases with audiovestibular disorders, namely, Behçet’s disease, Cogan’s syndrome, sarcoidosis, autoimmune thyroid disease, Vogt-Koyanagi-Harada syndrome, relapsing polychondritis, systemic lupus erythematosus, antiphospholipid syndrome, IgG4-related disease, and ANCA-associated vasculitides

Feeding dairy cows with full fat extruded or toasted soybean seeds as replacement of soybean meal and effects on milk yield, fatty acid profile and CLA content

The aim of this study was to evaluate the effects of the replacement of about 70% of soybean meal (SBM) with extruded(ES) or toasted (TS) full-fat soybean seeds in diets for lactating cows on milk quality, fatty acid profile, and conjugatedlinoleic acid (CLA) content. Eighteen lactating cows were assigned to 3 groups which received a basal diet, supplementedwith 1.8, 2.1 and 2.1 kg/head, respectively, of SBM, ES and TS. There was no significant effect on milk yield,calculated as the difference between daily yield during the experimental period and the mean of the last 5 days of adaptation(-1.65, -1.29 and -0.20 kg/d, respectively, for SBM, ES and TS; P>0.10) and milk quality parameters (fat, protein,urea and cheese making parameters) among treatments. In the ES group there was a decrease in the short chainFA content (from C4 to C13) in milk fat (9.2 vs 11.0 and 10.8 g/100 g lipids, respectively, for ES, SBM and TS; P<0.05).Medium chain FA (from C14 to C17) content in milk fat was lower for ES and TS groups compared with SBM (46.8 and48.0 vs 54.8 g/100 g lipids respectively; P<0.01), while long chain FA (C≥18) concentration in milk fat was lower in theSBM group compared to the others (34.3 vs 44.2 and 41.2 g/100 g lipids, respectively, for SBM, ES and TS; P<0.001).The replacement of SBM with ES enhanced oleic and linoleic acid and, particularly, CLA content. Intermediate values wereobserved for the TS group. CLA content (0.91, 0.62 and 0.56 g/100 g lipids, respectively, for ES, TS and SBM; P<0.05)increased throughout the trial in all groups. ES also reduced the proportion of SFA with respect to SBM (65.2, 68.2 and70.9 g/100 g lipids, respectively, for ES, TS and SBM; P<0.05), and increased MUFA (26.9, 24.5 and 23.1 g/100 g lipidsin the same order; P<0.05) and PUFA (7.4, 6.9 and 5.5 g/100 g lipids in the same order; P<0.05) of milk fat, thusimproving the health-quality of milk. The various soybean products did not affect either metabolic profile (protein, urea,glucose, cholesterol, NEFA, triglycerides, liver parameters and mineral serum content) or rumen parameters (pH, ammoniaand VFAs). The replacement of SBM with ES and TS permitted an improvement in the nutritional properties of milkwithout negatively affecting animal performances

Training conditions of Brazilian gymnasts who participated in the Olympic Games (1980-2004)

This paper aims to register and analyze the training facilities used by the Brazilian gymnasts who participated in the Olympic Games (1980-2004), in order to reflect upon this aspect of Female Artistic Gymnastics. To achieve this goal, we developed a qualitative research study using the Oral History method. Based on a cross-sectional analysis of the testimonials given by ten gymnasts who took part in this survey, we observed that training facilities have improved since the 90's, when Ucranian coaches were hired, a permanent Brazilian team was established and investments were made on equipment and training facilities. Despite the positive changes we have witnessed in this sport in the past years, all gymnasts who participated in the study reported that they had to practice in inappropriate training facilities at some point.Este artigo tem como objetivo registrar e analisar as condições de infraestrutura dos treinamentos de ginastas brasileiras participantes de Jogos Olímpicos (1980-2004), na busca de reflexões para a modalidade de Ginástica Artística Feminina. Para tal, foi desenvolvida uma pesquisa qualitativa, que se utilizou do método de História Oral. A partir de uma análise cruzada dos depoimentos das dez ginastas colaboradoras desta pesquisa foi possível perceber que houve um aperfeiçoamento nas condições de infraestrutura a partir do início da década de 90. Este aperfeiçoamento é novamente impulsionado no final da década de 90, com a contratação de técnicos ucranianos, o estabelecimento de uma seleção brasileira permanente e investimentos nas condições de infraestrutura de equipamentos e ginásio. Porém mesmo com a transformação positiva da modalidade nos últimos anos, todas as ginastas do estudo relataram ter passado, em algum momento, por condições não adequadas de treinamento relativas às condições de infraestrutura.75776

High prevalence of heparin induced thrombocytopenia with thrombosis among patients with essential thrombocytemia carrying V617F mutation.

Arterial and venous complications are major causes of morbidity and mortality in myeloproliferative neoplasms (MPNs). MPNs patients, frequently receive heparin. Heparin-induced thrombocytopenia (HIT) is a rare but potentially life-threatening complication resulting in a severe acquired thrombophilic condition. We carried out a retrospective analysis to evaluate occurrence of new thrombotic events during heparin therapy in essential thrombocythemia (ET) patients. We studied 108 ET patients on heparin for treatment of previous thrombotic events or in thromboprophilaxis. Fifty-eight of them carried JAK 2 V617F mutation while 50 patients were without V617F mutation. Ten patients, among those with JAK 2 V617F mutation after a median of 10 days from heparin treatment presented a platelet drop, new thrombotic events and in 10/10 cases heparin-related antibodies were found. In the other group, two patients (4%) presented a platelet drop, thrombotic manifestations and heparin related antibodies. Our data show that HIT is more frequent, during heparin treatment, in patients with ET carrying V617F mutation, as compared with patients without mutations (P = 0.029). ET with V617F mutation seems to be associated with higher risk of thrombotic complications during heparin treatment. Monitoring platelet counts very closely during the course of heparin is essential especially in ET patients in which platelet drop may be hidden by constitutional thrombocytosis

Dark Chocolate Intake Positively Modulates Redox Status and Markers of Muscular Damage in Elite Football Athletes: A Randomized Controlled Study

Intensive physical exercise may cause increase oxidative stress and muscular injury in elite football athletes. The aim of this study was to exploit the effect of cocoa polyphenols on oxidative stress and muscular injuries induced by intensive physical exercise in elite football players. Oxidant/antioxidant status and markers of muscle damage were evaluated in 24 elite football players and 15 controls. Furthermore, the 24 elite football players were randomly assigned to either a dark chocolate (>85% cocoa) intake (n = 12) or a control group (n = 12) for 30 days in a randomized controlled trial. Oxidative stress, antioxidant status, and muscle damage were assessed at baseline and after 30 days of chocolate intake. Compared to controls, elite football players showed lower antioxidant power and higher oxidative stress paralleled by an increase in muscle damage markers. After 30 days of dark chocolate intake, an increased antioxidant power was found in elite athletes assuming dark chocolate. Moreover, a significant reduction in muscle damage markers (CK and LDH, p < 0.001) was observed. In the control group, no changes were observed with the exception of an increase of sNox2-dp, H2O2, and myoglobin. A simple linear regression analysis showed that sNox2-dp was associated with a significant increase in muscle damage biomarker release (p = 0.001). An in vitro study also confirmed that polyphenol extracts significantly decreased oxidative stress in murine myoblast cell line C2C12-derived. These results indicate that polyphenol-rich nutrient supplementation by means of dark chocolate positively modulates redox status and reduced exercise-induced muscular injury biomarkers in elite football athletes. This trial is registered with NCT03288623

Pre-and postoperative care in cardiothoracic surgery: a physiotherapeutic approach

Sabe-se que a anestesia e determinadas cirurgias predispõem a alterações na mecânica respiratória, volumes pulmonares e trocas gasosas. A cirurgia cardíaca, considerada de grande porte, pode desencadear alterações respiratórias no pós-operatório, sendo estas relacionadas a causas diversas, como funções pulmonar e cardíaca no pré-operatório, utilização de circulação extracorpórea (CEC) e grau de sedação. Nestes procedimentos torácicos extensos, a disfunção respiratória pode ser importante, persistindo no período pós-operatório. A Fisioterapia faz parte do atendimento multidisciplinar oferecido aos pacientes em Unidade de Terapia Intensiva, sendo sua atuação extensa, presente em várias etapas do tratamento intensivo, principalmente na recuperação pós-cirúrgica, com o objetivo de evitar complicações respiratórias e motoras. Sendo assim, realizou-se uma revisão bibliográfica com o objetivo de reunir informações atuais e relevantes sobre recursos disponíveis para a monitorização respiratória, bem como a sua importância para avaliação e atuação diante de alterações na função pulmonar, uma vez que tal complicação é causa freqüente de óbito em pacientes operados.It is well known that anesthesia and certain surgeries predispose patients to changes in respiratory function, pulmonary volumes, and gas exchange. Cardiac surgery, which is considered a major surgery, may trigger respiratory complications in the postoperative period. These complications have various causes, such as heart and lung functions in the pre-operative, the use of cardiopulmonary bypass (CPB), and the level of sedation. In these extensive thoracic procedures, respiratory dysfunction may be significant, persisting in the postoperative period. Physiotherapy is offered to patients in the ICU as part of a multidisciplinary treatment plan. It is a time-consuming treatment, and is possible at various times during the patient's stay in the ICU. However, it is particularly valuable in postoperative recovery in order to avoid respiratory and motor complications. Thus, a literature review was performed, aiming to arrange current and relevant information on available resources for respiratory monitoring, as well as its importance in evaluating and treating lung function impairment, as this complication is a frequent cause of death in surgical patients

Características clínicas associadas a esteatose hepática à ultrassonografia em pacientes com alanina aminotransferase elevada

CONTEXT AND OBJECTIVE: The main causes of hepatic steatosis (HS) are alcoholic liver disease and nonalcoholic fatty liver disease (NAFLD). Although liver biopsy is the gold standard for NAFLD diagnosis, the finding of abnormal aminotransferases in abstinent individuals, without known liver disease, suggests the diagnosis of NAFLD in 80-90% of the cases. Identification of clinical factors associated with HS on abdominal ultrasound may enable diagnoses of fatty liver non-invasively and cost-effectively. The aim here was to identify clinical variables associated with HS in individuals with elevated alanine aminotransferase (ALT) levels. DESIGN AND SETTING: Cross-sectional study in a single tertiary care center. METHODS: Individuals with elevated ALT, serologically negative for hepatitis B and C, were evaluated by reviewing medical files. Patients who did not undergo abdominal ultrasonography were excluded. RESULTS: Among 94 individuals included, 40% presented HS on ultrasonography. Compared with individuals without HS, those with fatty liver were older (P = 0.043), with higher body mass index (BMI) (P = 0.003), diabetes prevalence (P = 0.024), fasting glucose levels (P = 0.001) and triglycerides (P = 0.003). Multivariate analysis showed that BMI (odds ratio, OR = 1.186; 95% confidence interval, CI: 1.049-1.341; P = 0.006) and diabetes mellitus (OR = 12.721; 95% CI: 1.380-117.247; P = 0.025) were independently associated with HS. CONCLUSIONS: Simple clinical findings such as history of diabetes and high BMI may predict the presence of HS on ultrasonography in individuals with elevated ALT and negative serological tests for hepatitis.CONTEXTO E OBJETIVO: Doença hepática alcoólica e doença hepática esteatótica não alcoólica (DHENA) são as principais causas de esteatose hepática (EH). Apesar de a biópsia hepática ser o método de escolha para diagnóstico DHENA, o achado de aminotransferases elevadas em indivíduos abstêmios, sem doença hepática conhecida, sugere o diagnóstico de DHENA em 80-90% dos casos. A identificação de variáveis clínicas associadas à EH na ultrassonografia abdominal pode permitir o diagnóstico de DHENA de forma não invasiva e custo-efetiva. O objetivo foi identificar variáveis clínicas associadas à EH em indivíduos com níveis elevados de alanina aminotransferase (ALT). TIPO DE ESTUDO E LOCAL: Estudo transversal em um único centro de atendimento terciário. MÉTODOS: Indivíduos com ALT elevada e sorologias negativas para os vírus de hepatite B e C foram avaliados por meio de revisão de prontuários. Os pacientes não submetidos à ultrassonografia foram excluídos. RESULTADOS: Foram incluídos 94 indivíduos, 40% deles com EH à ultrassonografia. Quando comparados aos indivíduos sem EH, aqueles com EH apresentaram maior prevalência de diabetes (P = 0,024), maiores idade (P = 0,043) e índice de massa corpórea (IMC) (P = 0,003), glicemia de jejum mais elevada (P = 0,001) e triglicerídeos mais elevados (P = 0,003). A análise multivariada evidenciou que o IMC (odds ratio, OR = 1,186, 95% intervalo de confiança, IC 1,049-1,341, P = 0,006) e o diabetes mellitus (OR = 12,721, 95% IC 1,380-117,247, P = 0,025) foram associadas independentemente à EH. CONCLUSÕES: Achados clínicos simples como história de diabetes e o IMC elevado podem predizer a presença de EH à ultrassonografia de indivíduos com ALT elevada e sorologias negativas para hepatite.Universidade Federal de São Paulo (UNIFESP) Division of Gastroenterology Hepatitis SectionUNIFESP, Division of Gastroenterology Hepatitis SectionSciEL

Ventricular arrhythmias in young competitive athletes: Prevalence, determinants, and underlying substrate

Whether ventricular arrhythmias (VAs) represent a feature of the adaptive changes of the athlete's heart remains elusive. We aimed to assess the prevalence, determinants, and underlying substrates of VAs in young competitive athletes.Background--Whether ventricular arrhythmias (VAs) represent a feature of the adaptive changes of the athlete's heart remains elusive. We aimed to assess the prevalence, determinants, and underlying substrates of VAs in young competitive athletes. Method and Results--We studied 288 competitive athletes (age range, 16-35 years; median age, 21 years) and 144 sedentary individuals matched for age and sex who underwent 12-lead 24-hour ambulatory electrocardiographic monitoring. VAs were evaluated in terms of number, complexity (ie, couplet, triplet, or nonsustained ventricular tachycardia), exercise inducibility, and morphologic features. Twenty-eight athletes (10%) and 13 sedentary individuals (11%) showed > 10 isolated premature ventricular beats (PVBs) or 651 complex VA (P=0.81). Athletes with > 10 isolated PVBs or 651 complex VA were older (median age, 26 versus 20 years; P=0.008) but did not differ with regard to type of sport, hours of training, and years of activity compared with the remaining athletes. All athletes with > 10 isolated PVBs or 651 complex VA had a normal echocardiographic examination; 17 of them showing > 500 isolated PVBs, exercise-induced PVBs, and/or complex VA underwent additional cardiac magnetic resonance, which demonstrated nonischemic left ventricular late gadolinium enhancement in 3 athletes with right bundle branch block PVBs morphologic features. Conclusions--The prevalence of > 10 isolated PVBs or 651 complex VA at 24-hour ambulatory electrocardiographic monitoring did not differ between young competitive athletes and sedentary individuals and was unrelated to type, intensity, and years of sports practice. An underlying myocardial substrate was uncommon and distinctively associated with right bundle branch block VA morphologic features