Coeficientes de digestibilidade aparente da proteína e energia de alguns ingredientes utilizados em dietas para o pintado (Pseudoplatystoma coruscans) Apparent digestibility coefficients of protein and energy of some ingredients used in diets for pintado, Pseudoplatystoma coruscans (Agassiz, 1829)

O presente trabalho foi desenvolvido com o objetivo de determinar os coeficientes de digestibilidade aparente da proteína e da energia dos principais alimentos utilizados na formulação de dietas para alevinos de pintado. Foram utilizados 600 alevinos com peso médio inicial de 9,80 ± 1,48 g e comprimento total médio de 13,00 ± 1,00 cm. Na coleta de fezes, foi utilizado o sistema de Guelph modificado. As 12 dietas-teste foram constituídas por 69,50% de uma dieta de referência, 0,50% de óxido de cromo (marcador inerte) e 30% do ingrediente estudado. Após receberem as dietas teste durante três dias, os peixes foram transferidos para os aquários de coleta (incubadoras de fibra de vidro de 80 litros de capacidade), onde as fezes foram coletadas em intervalos de meia hora. Com base nos coeficientes de digestibilidade da fração protéica, os alimentos que apresentaram maior aproveitamento para esse nutriente foram: farinha de peixe (84,14%), farelo de soja (67,10%), milho (64,18%) e farinha de vísceras de aves (61,25%). Foram observados valores razoáveis somente para a digestibilidade do conteúdo energético em metade dos ingredientes estudados; para as farinhas de peixe, milho, soja integral tostada e os farelos de soja, de trigo e de arroz, os coeficientes médios foram: 72,80; 57,39; 64,95; 61,66; 53,20 e 51,84%, respectivamente. A farinha de peixe foi o melhor ingrediente para o pintado (45,38% PD e 2790,42 kcal ED/kg), seguido do farelo de soja (30,86% PD e 2708,45 kcal ED/kg), da soja integral tostada (18,34% PD e 3121,06 kcal ED/kg), do milho (5,86% PD e 2691,53 kcal ED/kg) e do farelo de trigo (8,08% PD e 2265,13 kcal ED/kg).<br>The present work was developed in order to determine the protein and energy apparent digestibility coefficients of the principal ingredients used in the pintado juvenile diets. Six hundred juveniles with initial weight and total length means of 9.80 ± 1.48 g and 13.00 ± 1.00 cm, respectively, were used. The modified Guelph system was appraised to collect feces. All the twelve test diets were constituted of 69.50% of the reference diet, 0.50% of chromium oxide used as inert marker, and 30% of the ingredient tested. After three days of feeding with the test diets, fish were transferred to the collect aquariums, where feces were collected in intervals of 30 minutes. Using digestibility of the protein, ingredients with best results in this nutrient were fish meal (84.14%), soybean meal (67.10%), corn (64.18%) and chicken poultry by-product (61.25%). Was only observed reasonable values for energy digestibility in half of the ingredients tested; for fish meal, corn, soybean (whole, toasted) and soybean meal of wheat and rice, the mean coefficients values were: 72.80, 57.39, 64.95, 61.66, 53.20, and 51.84%, respectively. Fish meal was the best ingredient available for pintado juveniles diet formulation (45.38%DP and 2790.42 kcal DE/kg), followed by soybean meal (30.86%DP and 2708.45 kcal DE/kg), soybean (whole, toasted) (18.34%DP and 3121.06 kcal DE/kg), corn (5.86%DP and 2691.53 kcal DE/kg), and wheat meal (8.08%DP and 2265.13 kcal DE/kg)

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

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 (CI). 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, CI: 1.17-4.55, p = 0.015). However, LMIC were not independently associated with higher rates of anastomotic leaks (OR: 1.06, CI: 0.57-1.99, p = 0.9) or major complications (OR: 0.85, CI: 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