Efficacy and Safety of Direct-Acting Oral Anticoagulants Use in Acute Portal Vein Thrombosis Unrelated to Cirrhosis

In acute portal vein thrombosis (APVT) unrelated to cirrhosis, anticoagulant therapy is classically started with low molecular weight heparin or vitamin K antagonists. New direct-acting oral anticoagulants (DOACs) are used in the treatment of venous thrombosis outside the splanchnic vascular bed, but not in the latter. We report a young female with APVT occurring in a non-cirrhotic liver linked to heterozygosity of factor V-Leiden and prothrombin G20210A gene mutations. Rivaroxaban was started, with total recanalization of the left and partial recanalization of the right portal vein branches, without complications. New DOACs do not need daily subcutaneous injections nor routinely blood coagulation control tests, making its use attractive, eventually increasing patient's compliance. If proved to be safe and effective in the future studies, its use may be extended to PVT treatment. This case shows that rivaroxaban was safe, not only prevented the extension of thrombosis in the portal tract, but also resolved PVT, at least partially.info:eu-repo/semantics/publishedVersio

Effects of varying ruminally undegradable protein supplementation on forage digestion, nitrogen metabolism, and urea kinetics in Nellore cattle fed low-quality tropical forage

Citation: Batista, E. D., Detmann, E., Titgemeyer, E. C., Valadares, S. C., Valadares, R. F. D., Prates, L. L., . . . Paulino, M. F. (2016). Effects of varying ruminally undegradable protein supplementation on forage digestion, nitrogen metabolism, and urea kinetics in Nellore cattle fed low-quality tropical forage. Journal of Animal Science, 94(1), 201-216. doi:10.2527/jas2015-9493Effects of supplemental RDP and RUP on nutrient digestion, N metabolism, urea kinetics, and muscle protein degradation were evaluated in Nellore heifers (Bos indicus) consuming low-quality signal grass hay (5% CP and 80% NDF, DM basis). Five ruminally and abomasally cannulated Nellore heifers (248 +/- 9 kg) were used in a 5 x 5 Latin square. Treatments were the control (no supplement) and RDP supplementation to meet 100% of the RDP requirement plus RUP provision to supply 0, 50, 100, or 150% of the RUP requirement. Supplemental RDP (casein plus NPN) was ruminally dosed twice daily, and RUP supply (casein) was continuously infused abomasally. Jugular infusion of [(NN)-N-15-N-15]-urea with measurement of enrichment in urine was used to evaluate urea kinetics. The ratio of urinary 3-methylhistidine to creatinine was used to estimate skeletal muscle protein degradation. Forage NDF intake (2.48 kg/d) was not affected (P >= 0.37) by supplementation, but supplementation did increase ruminal NDF digestion (P < 0.01). Total N intake (by design) and N retention increased (P < 0.001) with supplementation and also linearly increased with RUP provision. Urea entry rate and gastrointestinal entry rate of urea were increased by supplementation (P < 0.001). Supplementation with RUP linearly increased (P = 0.02) urea entry rate and tended (P = 0.07) to linearly increase gastrointestinal entry rate of urea. Urea use for anabolic purposes tended (P = 0.07) to be increased by supplementation, and RUP provision also tended (P = 0.08) to linearly increase the amount of urea used for anabolism. The fraction of recycled urea N incorporated into microbial N was greater (P < 0.001) for control (22%) than for supplemented (9%) heifers. Urinary 3-methylhistidine: creatinine of control heifers was more than double that of supplemented heifers (P < 0.001). Control heifers reabsorbed a greater (P < 0.001) fraction of urea from the renal tubule than did supplemented heifers. Overall, unsupplemented heifers had greater mobilization of AA from myofibrillar protein, which provided N for urea synthesis and subsequent recycling. Supplemental RUP, when RDP was supplied, not only increased N retention but also supported increased urea N recycling and increased ruminal microbial protein synthesis

Ofertas de suplementos múltiplos em tourinhos anelorados na fase de recria, em pastagens durante o período da seca: produção e eficiência microbiana.

O uso de suplementos múltiplos para bovinos visa aumentar o aporte de nutrientes, para melhor atender às exigências nutricionais. Neste contexto, avaliou-se a digestibilidade em tourinhos anelorados em fase de recria, recebendo diferentes ofertas de suplementos em pastagem de Brachiaria decumbens. A área foi dividida em cinco piquetes de 2,0 ha cada. Foram utilizados 30 tourinhos, com peso e idade iniciais médios de 230,0 ±6,14 kg e 8,5 ±0,18 meses, em delineamento inteiramente casualizado, contendo cinco tratamentos, sendo quatro ofertas de suplementos, mais mistura mineral (MM) e seis repetições. Foram avaliados a MM (60g/animal) e suplementos múltiplos, formulados para atender diferentes níveis de suplementação diariamente nas quantidades de 0,5, 1,0, 1,5 e 2,0 kg/animal e suprir 300g/dia de PB. O consumo de suplemento aumentou (P<0,10) a produção de proteína microbiana (PMic), quando comparado com os animais do grupo controle. A produção de PMic apresentou comportamento quadrático com ponto de máxima produção de 404,47 gramas na quantidade de 1,34kg de suplemento. A eficiência de síntese microbiana (EFMic) não diferiu entre os animais do grupo controle e os suplementados. Contudo, observa-se um comportamento quadrático com máxima eficiência 160,38 g/kg de NDT para oferta de 1,18 kg de suplemento. Observa-se que o ponto (1,18 kg) onde ocorreu a máxima EFMic foi inferior ao valor (1,34 kg) em que ocorreu a máxima produção de PMic. Conclui-se que, o ponto ótimo entre produção e eficiência de síntese de proteína microbiana, está entre as ofertas de suplemento diárias de 1,18 e 1,34 kg/animal

Supplementation levels for growing beef cattle grazing in the dry-rainy transition season.

The objective of this experiment was to study the effects of different levels of supplementation on the performance, intake, digestibility, pH and rumen ammonia concentration in growing bulls grazing Brachiaria decumbens Stapf. pasture, during the dry-rainy transition season. For evaluation of performance, intake and digestibility, it was used 25 non-castrated steers at 11 months of age and initial average body weight of 270 kg, grouped in five plots of five animals each, following a completely randomized design. Each plot received one of the following feeding treatments: mineral mixture and supplement at the proportion of 0.5, 1.0, 1.5 and 2.0 kg/animal/day, corresponding to 0.18, 0.36, 0.54 and 0.72% of the average body weight of the animals. The area designated for the animals was constituted of five 2.0-ha paddocks. For the evaluation of the pH and rumen ammonia concentration, five crossbred non-castrated steers were used, with average body weight of 240 kg, fistulated in the esophagus, rumen and abomasum, disposed in a 5 × 5 Latin square, with five treatments and five experimental periods. Animal performance behaved in a positive linear manner according to the supplementation levels, responding with an increase of more than 80% on weight gains of the animals. Intakes of total and pasture dry matter (DM), organic matter and neutral detergent fiber were not influenced by supplementation. Intakes of crude protein, nonfibrous carbohydrates, ether extract and total digestible nutrients as well as nutrient digestibility and rumen ammonia concentration showed a positive linear pattern in response to supplementation levels. Increasing levels of concentrate supplementation influence positively the performance of bulls growing on pastures during the dry-rainy transition season

Eficiência de produtos biológicos e químicos no controle da broca pequena do fruto (Neoftucinodes elegantalis) e na produtividade do tomateiro tutorado sob diferentes sistemas de irrigação.

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Effects of supplements with different protein contents on nutritional performance of grazing cattle during the rainy season

The objective of this study was to evaluate the effects of supplements with different crude protein (CP) contents on grazing cattle intake, digestibility, ruminal fermentation pattern, and nitrogen (N) metabolism characteristics during the rainy season. Five ruminal and abomasal cannulated Holstein×Zebu steers (296 kg body weight, BW) were used in a 5×5 Latin square design. The animals grazed five signal grass paddocks (0.34 ha). The five treatments evaluated were: Control (no supplement) and 1.0 g of supplement/kg BW with 0, 330, 660, and 1,000 g of CP/kg as-fed. The supplement was composed of starch, soybean meal, urea, and ammonium sulphate. There was a positive linear effect (p≤0.033) of the CP content in the supplements on the organic matter (OM), CP, and digested OM intakes. The provision of supplements did not increase (p≥0.158), on average, total and ruminal digestibilities of OM and CP. However, the increase in CP content in the supplements caused a positive linear effect (p≤0.018) on ruminal digestibilities of OM and CP. Additionally, a quadratic effect of the CP contents of the supplements were observed (p = 0.041) for the ruminal digestibility of neutral detergent fiber corrected for ash and protein, with the highest estimate obtained with the CP content of 670 g/kg. The supply of supplements increased (p<0.001) the ruminal ammonia N concentration, which also changed linearly and positively (p<0.001) according to increase in CP content in the supplements. The apparent N balance and relative N balance (g/g N intake) were not, on average, changed (p≥0.164) by the supplements supply. However, both showed a tendency of a linear increase (p≤0.099) with increasing supplement CP content. The supplements increased (p = 0.007) microbial N production in the rumen, which also changed linearly and positively (p = 0.016) with increasing supplement CP content. In conclusion, protein supplementation in grazing cattle during the rainy season, while stimulating voluntary forage intake, results in higher efficiency of N utilization when compared to energy supplementation. This is a possible response to increased microbial protein synthesis in the rumen and improved N status in the animal body

Ofertas de suplementos múltiplos para tourinhos Nelore na fase de recria em pastagens durante o período da seca: desempenho produtivo e características nutricionais.

Avaliaram-se o desempenho produtivo e as características nutricionais em tourinhos Nelore em fase de recria, não-castrados, recebendo diferentes ofertas de suplementos em pastagem de Brachiaria decumbens, de julho a setembro de 2006. A área foi dividida em cinco piquetes de 2,0 ha, com disponibilidade média de matéria seca (MS) e matéria seca potencialmente digestível (MSpd) de 3,88 e 2,22 t/ha, respectivamente. Foram utilizados 30 bezerros com peso e idade iniciais médios de 230,0 ± 6,14 kg e 8,5 ± 0,18 meses, em delineamento inteiramente casualizado contendo cinco tratamentos: quatro ofertas de suplementos em comparação a mistura mineral (MM). Foram avaliados a MM (60 g/animal) e suplementos múltiplos, fornecidos diariamente nas quantidades de 0,5; 1,0; 1,5 e 2,0 kg/animal para suprir 300 g/dia de PB. Os animais responderam ao uso de suplementos múltiplos, ganhando mais peso (88,72%) e apresentaram maiores níveis séricos de N-ureia (19,95 vs. 9,66) em comparação àqueles que receberam mistura mineral. Os animais sob suplementação apresentaram maiores consumos de MS, MO, EE, FDN, CNF e NDT e esses consumos aumentaram com os níveis de oferta de suplemento. A suplementação aumentou o coeficiente de digestão da maioria das variáveis avaliadas, independentemente do nível de suplemento fornecido. Os níveis mais moderados (0,5 kg) de suplementos múltiplos podem ser fornecidos aos tourinhos em fase de recria durante o período da seca para estimular o consumo de pasto, porém a máxima produção microbiana é obtida com oferta de 1,34 kg de suplemento. As melhores respostas de desempenho e características nutricionais podem ser obtidas com o fornecimento diário de suplemento em níveis de 0,5 a 1,34 kg/animal