Identifying and managing patient–ventilator asynchrony: An international survey.

Objective: To describe the main factors associated with proper recognition and management of patient ventilator asynchronies (PVA). Design: Analytical cross-sectional study. Setting: International study conducted in 20 countries through an online survey. Participants: Physicians, respiratory therapists, nurses and physiotherapists that are currently working at the Intensive Care Unit (ICU). Main variables of interest: Univariate and multivariate logistic regression models were used to establish associations between all variables (profession, training in mechanical ventilation, type of training program, years of experience and ICU characteristics) with the ability of HCPs to correctly identify and manage 6 PVA. Results: A total of 431 HCPs answered a validated survey. The main factors associated with the proper recognition of PVA were: specific training program in mechanical ventilation (MV) (OR 2.27; 95% CI 1.14-4.52; p = 0.019), courses with more than 100 hours completed (OR 2.28; 95% CI 1.29-4.03; p = 0.005) and the number of intensive care unit (ICU) beds (OR 1.037; 95% CI 1.01-1.06; p = 0.005). The main factor that influenced PVA management was recognizing 6 PVA correctly (OR 118.98; 95%CI 35.25-401.58; p < 0.001). Conclusion: Identifying and managing PVA using ventilator waveform analysis is influenced by many factors including specific training programs in MV, number of ICU beds and the recognized number of PVA.pre-print169 K

Características de carcaça e qualidade da carne de novilhas alimentadas com silagem de capim-marandu

O objetivo deste trabalho foi avaliar as características de carcaça e da carne de novilhas ¾ Zebu x Holandês submetidas a dieta com substituição da silagem de sorgo por silagem de capim-marandu. Utilizou-se o delineamento experimental inteiramente casualizado. Os tratamentos consistiram da substituição da fração volumosa da dieta de 100, 70 e 30% de silagem de sorgo por, respectivamente, 100, 70 e 30% de silagem de capim-marandu. Foi adicionado concentrado na proporção de 1,2% de peso corporal, e as dietas foram isoproteicas. A substituição da silagem de sorgo pela silagem de capim-marandu aumentou a perda de água por cozimento até o ponto máximo de 49,98% de substituição, elevou a força de cisalhamento e a capacidade de retenção de água da carne, mas não influenciou os pesos e os rendimentos das carcaças, os percentuais de cortes, as medidas de carcaça, a área de olho de lombo, o pH das carcaças, a espessura de gordura e as características de cor de músculo e gordura. A substituição da silagem de sorgo por silagem de capim-marandu diminui o ganho de peso de corpo vazio e reduz a maciez da carne de novilhas ¾ Zebu x Holandês, mas não afeta as características quantitativas da carcaça

The Effect Of A Minor Constituent Of Essential Oil From Citrus Aurantium: The Role Of β-myrcene In Preventing Peptic Ulcer Disease

The monoterpene β-myrcene has been widely used in cosmetics, food and beverages, and it is normally found in essential oil from citrus fruit. The aim of this study was to investigate the anti-ulcer effects of β-myrcene on experimental models of ulcers that are induced by ethanol, NSAIDs (non-steroidal anti-inflammatory drugs), stress, Helicobacter pylori, ischaemia-reperfusion injury (I/R) and cysteamine in order to compare with the essential oil of Citrus aurantium and its major compound limonene. The results indicate that the oral administration of β-myrcene at a dose of 7.50 mg/kg has important anti-ulcer activity with significantly decreased gastric and duodenal lesions as well as increased gastric mucus production. The results showed treatment with β-myrcene caused a significant increase in mucosal malondialdehyde level (MDA), an important index of oxidative tissue damage. The β-myrcene was also endowed with marked enhancement of antioxidant enzyme activity from GR system as evidenced by the decreased activity of superoxide dismutase (SOD) and increased levels of glutathione peroxidase (GPx), glutathione reductase (GR), and total glutathione in gastric tissue. Our results also shown that treatment with β-myrcene is not involved with thioredoxin reductase (TrxR) activity. Our results reveal, for the first time, the importance of β-myrcene as an inhibitor of gastric and duodenal ulcers and demonstrate that an increase in the levels of gastric mucosa defence factors is involved in the anti-ulcer activity of β-myrcene. © 2014 Elsevier Ireland Ltd. 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