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We studied the chemical composition and the in vivo AMEn content and apparent (AID) and standardized (SID) ileal digestibility of CP and amino acids (AA) of 27 samples of soybean meals (SBM) from Argentina (ARG), Brazil (BRA), and USA, collected in Spain. On 88% DM basis, the BRA meals had more CP (46.9 vs. 46.0 and 45.9%; P < 0.05) and less sucrose (5.21 vs. 6.28 and 6.47%; P < 0.001) and stachyose (4.20 vs. 4.66 and 4.78%; P < 0.05) than the USA and ARG meals. Urease activity, protein dispersibility index, KOH protein solubility, and trypsin inhibitor activity values, were higher for the USA meals than for the South American meals (P < 0.05). In the in vivo trial, broilers received a common crumble diet from 0 to 16 d of age and then, their respective experimental diets (53% of a N-free diet and 47% of each of the 27 SBM tested) in mash form, for 5 d. The AMEn (2,334 vs. 2,282 and 2,277 kcal/kg; P = 0.062) and the AID (87.3 vs. 86.7 and 86.4%; P = 0.054) and SID (91.9 vs. 91.2 and 90.8%; P < 0.05) of the protein, were greater for the USA meals than for the ARG and BRA meals. In fact, the SID of Lys (93.5 vs. 93.0 and 92.1%; P < 0.001) and of the sum of Lys, Met, Thr, Trp, and Cys (91.4 vs. 91.0 and 90.2%; P < 0.05) were greater for the USA meals than for the ARG and BRA meals. In summary, the chemical composition, protein quality indicators, AMEn content, and ileal digestibility of the CP and the AA of the SBM, varied with the country of origin of the soybeans. In order to increase the accuracy of the feed formulation process, the composition and nutrient content of commercial batches of SBM, by country of origin should be controlled and periodically updated.

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The incidence of neurological complications, including stroke and cognitive dysfunction, is elevated in patients with heart failure (HF) with reduced ejection fraction. We hypothesized that the cerebrovascular response to isometric handgrip (iHG) is altered in patients with HF. Adults with HF and healthy volunteers were included. Cerebral blood velocity (CBV; transcranial Doppler, middle cerebral artery) and arterial blood pressure (BP; Finometer) were continuously recorded supine for 6 min, corresponding to 1 min of baseline and 3 min of iHG exercise, at 30% maximum voluntary contraction, followed by 2 min of recovery. The resistance-area product was calculated from the instantaneous BP-CBV relationship. Dynamic cerebral autoregulation (dCA) was assessed with the time-varying autoregulation index estimated from the CBV step response derived by an autoregressive moving-average time-domain model. Forty patients with HF and 23 BP-matched healthy volunteers were studied. Median left ventricular ejection fraction was 38.5% (interquartile range: 0.075%) in the HF group. Compared with control subjects, patients with HF exhibited lower time-varying autoregulation index during iHG, indicating impaired dCA ( P < 0.025). During iHG, there were steep rises in CBV, BP, and heart rate in control subjects but with different temporal patterns in HF, which, together with the temporal evolution of resistance-area product, confirmed the disturbance in dCA in HF. Patients with HF were more likely to have impaired dCA during iHG compared with age-matched control subjects. Our results also suggest an impairment of myogenic, neurogenic, and metabolic control mechanisms in HF. The relationship between impaired dCA and neurological complications in patients with HF during exercise deserves further investigation. NEW & NOTEWORTHY Our findings provide the first direct evidence that cerebral blood flow regulatory mechanisms can be affected in patients with heart failure during isometric handgrip exercise. As a consequence, eventual blood pressure modulations are buffered less efficiently and metabolic demands may not be met during common daily activities. These deficits in cerebral autoregulation are compounded by limitations of the systemic response to isometric exercise, suggesting that patients with heart failure may be at greater risk for cerebral events during exercise.

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OBJECTIVE: Intra-aortic balloon pump (IABP) is commonly used as mechanical support after cardiac surgery or cardiac shock. Although its benefits for cardiac function have been well documented, its effects on cerebral circulation are still controversial. We hypothesized that transfer function analysis (TFA) and continuous estimates of dynamic cerebral autoregulation (CA) provide consistent results in the assessment of cerebral autoregulation in patients with IABP. APPROACH: Continuous recordings of blood pressure (BP, intra-arterial line), end-tidal CO2, heart rate and cerebral blood flow velocity (CBFV, transcranial Doppler) were obtained (i) 5 min with IABP ratio 1:3, (ii) 5 min, starting 1 min with the IABP-ON, and continuing for another 4 min without pump assistance (IABP-OFF). Autoregulation index (ARI) was estimated from the CBFV response to a step change in BP derived by TFA and as a function of time using an autoregressive moving-average model during removal of the device (ARI t ). Critical closing pressure and resistance area-product were also obtained. MAIN RESULTS: ARI with IABP-ON (4.3 ± 1.2) were not different from corresponding values at IABP-OFF (4.7 ± 1.4, p = 0.42). Removal of the balloon had no effect on ARI t , CBFV, BP, cerebral critical closing pressure or resistance area-product. SIGNIFICANCE: IABP does not disturb cerebral hemodynamics. TFA and continuous estimates of dynamic CA can be used to assess cerebral hemodynamics in patients with IABP. These findings have important implications for the design of studies of critically ill patients requiring the use of different invasive support devices.

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Patients with ischemic heart failure (iHF) have a high risk of neurological complications such as cognitive impairment and stroke. We hypothesized that iHF patients have a higher incidence of impaired dynamic cerebral autoregulation (dCA). Adult patients with iHF and healthy volunteers were included. Cerebral blood flow velocity (CBFV, transcranial Doppler, middle cerebral artery), end-tidal CO2 (capnography), and arterial blood pressure (Finometer) were continuously recorded supine for 5 min at rest. Autoregulation index (ARI) was estimated from the CBFV step response derived by transfer function analysis using standard template curves. Fifty-two iHF patients and 54 age-, gender-, and BP-matched healthy volunteers were studied. Echocardiogram ejection fraction was 40 (20-45) % in iHF group. iHF patients compared with control subjects had reduced end-tidal CO2 (34.1 ± 3.7 vs. 38.3 ± 4.0 mmHg, P < 0.001) and lower ARI values (5.1 ± 1.6 vs. 5.9 ± 1.0, P = 0.012). ARI <4, suggestive of impaired CA, was more common in iHF patients (28.8 vs. 7.4%, P = 0.004). These results confirm that iHF patients are more likely to have impaired dCA compared with age-matched controls. The relationship between impaired dCA and neurological complications in iHF patients deserves further investigation.

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The objective of this study was to evaluate the influence of testicular disease on sperm morphology. The reproductive tracts of 33 dogs were evaluated clinically and with ultrasound, followed by orchiectomy and harvesting of fluid from the vas deferens to evaluate sperm morphology. A section from each testis was used to conduct histological analyses. Histological changes were noted in 71.2% of testes (47/66). Regardless of dog age, the most frequent pathology was testicular degeneration (80.8%; 38/47), whereas testicular tumors were observed only in adult and old dogs (25.9%; 7/27). Harvesting fluid from the vas deferens for sperm morphology assessment was effective in 87.9% of cases (58/66), and severe testicular degenerative processes induced an increase (P < 0.05) in the percentage of abnormal sperm when compared with normal testes or those with moderate testicular degeneration (special attention given to detached heads). In conclusion, regardless of dog age, breed or origin, a severe testicular degeneration process led to a significant increase in detached heads. Furthermore, the collection of sperm from the vas deferens proved to be an alternative and reliable technique for future research.

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The objective of this study was to evaluate the influence of testicular disease on sperm morphology. The reproductive tracts of 33 dogs were evaluated clinically and with ultrasound, followed by orchiectomy and harvesting of fluid from the vas deferens to evaluate sperm morphology. A section from each testis was used to conduct histological analyses. Histological changes were noted in 71.2% of testes (47/66). Regardless of dog age, the most frequent pathology was testicular degeneration (80.8%; 38/47), whereas testicular tumors were observed only in adult and old dogs (25.9%; 7/27). Harvesting fluid from the vas deferens for sperm morphology assessment was effective in 87.9% of cases (58/66), and severe testicular degenerative processes induced an increase (P < 0.05) in the percentage of abnormal sperm when compared with normal testes or those with moderate testicular degeneration (special attention given to detached heads). In conclusion, regardless of dog age, breed or origin, a severe testicular degeneration process led to a significant increase in detached heads. Furthermore, the collection of sperm from the vas deferens proved to be an alternative and reliable technique for future research.(AU)

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Avaliou-se o efeito da substituição do milho por glicerina bruta em dietas para suínos em terminação. Foram utilizados 80 suínos, machos castrados, híbrido comercial, com média de peso de 67kg, em um experimento em delineamento inteiramente ao acaso, com cinco tratamentos e oito repetições, com dois animais por unidade experimental. Os tratamentos foram: 0,0; 4,0; 8,0; 12,0 e 16,0% de glicerina bruta em substituição ao milho nas dietas. A substituição do milho por glicerina bruta não afetou as características de desempenho (P>0,05). Observaram-se efeito linear crescente de tratamento (P<0,05) sobre a espessura de toucinho na carcaça e efeito linear decrescente de tratamento (P<0,05) sobre a perda de líquido no descongelamento e na força de cisalhamento. A glicerina bruta pode substituir em até 16,0% do milho da dieta para suínos em terminação, sem prejuízos do desempenho e rendimento de carcaça, com melhoras na qualidade da carne.

We evaluated the effect of replacing corn with crude glycerin in diets for finishing pigs. We used 80 pigs, steers, commercial hybrids, with an average weight of 67kg, in an experiment with a completely randomized design with five treatments and eight replicates of two animals per experimental unit. The treatments were 0.0, 4.0, 8.0, 12.0, and 16.0% crude glycerin as a replacement for maize in diets. The substitution of corn with crude glycerin did not affect performance characteristics (P>0.05). We observed an increasing linear effect of the treatment (P<0.05) on backfat thickness and decreasing linear effect of the treatment (P<0.05) on the loss of fluid in the thawing and shearing force. The crude glycerin can replace up to 16.0% of the corn diet for finishing pigs without loss of performance and carcass yield, with improvements in meat quality.

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Avaliou-se o efeito da inclusão de zeólita na dieta de bovinos de corte sobre os parâmetros ruminais, as digestibilidades total e parcial, a produção de nitrogênio, a eficiência microbiana e as características do sangue. Os tratamentos, com base na matéria seca (MS) da dieta, foram: 0; 0,75; 1,5; 2,25 e 3,0% de zeólita. Utilizaram-se cinco bovinos machos mestiços, fistulados no rúmen e abomaso, alimentados com silagem de milho e concentrado, representando 65% de volumoso e 35% de concentrado. O delineamento utilizado foi em quadrado latino 5×5, com cinco períodos de 15 dias. Os animais receberam 15g de dióxido de titânio (TiO2) do terceiro ao 12º dia de cada período. Houve efeito (P<0,05) sobre o consumo diário (kg/dia) de proteína bruta (PB) e efeito (P<0,05) sobre o consumo de MS e de fibra em detergente neutro corrigida para cinza e proteína, expresso em g/kg de peso. A digestibilidade total dos nutrientes digestíveis totais (NDT) foi influenciada pelos tratamentos (P<0,05). A digestibilidade ruminal dos carboidratos não fibrosos (CNF) foi afetada quadraticamente (P<0,05), assim como a intestinal da PB e dos CNF. A ingestão e a excreção fecal de nitrogênio (g/dia) foram influenciadas linearmente (P<0,05) pela inclusão de zeólita. Concluiu-se que a adição de zeólita na dieta, embora tenha aumentado os consumos de MS e de FDN, não melhorou a utilização da ureia em dietas de bovinos de corte.

We evaluated the effect of the inclusion of zeolite in the diet of beef cattle on the ruminal digestibility, total and partial production of nitrogen, microbial efficiency and blood characteristics. Treatments based on the dietary dry matter (DM) were: 0%, 0.75%, 1.5%, 2.25% and 3.0% of zeolite. We used five crossbred steers fistulated in the rumen and abomasum, fed corn silage and concentrate, representing 65% forage and 35% concentrate. The design was a 5x5 latin square with five periods of 15 days. The animals received 15g of titanium dioxide (TiO2) from the third to the 12th day of each period. A significant effect (P<0.05) on the daily consumption (kg/day) of crude protein (CP) was observed (P<0.05) for DM intake and neutral detergent fiber corrected for ash and protein (NDFap) expressed in g/kg. The total digestibility of total digestible nutrients (TDN) was influenced by treatments (P<0.05). Ruminal digestibility of non-fiber carbohydrates (NFC) was affected quadratically (P<0.05) as well as intestinal CP and NFC. Intake and fecal excretion of nitrogen (g/day) were affected linearly (P<0.05) by adding zeolite. It was concluded that the addition of zeolite in the diet, while increasing the intake of DM and NDF, did not improve the use of urea in the diet of beef cattle.

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Avaliou-se o efeito da inclusão de zeólita na dieta de bovinos de corte sobre os parâmetros ruminais, as digestibilidades total e parcial, a produção de nitrogênio, a eficiência microbiana e as características do sangue. Os tratamentos, com base na matéria seca (MS) da dieta, foram: 0; 0,75; 1,5; 2,25 e 3,0% de zeólita. Utilizaram-se cinco bovinos machos mestiços, fistulados no rúmen e abomaso, alimentados com silagem de milho e concentrado, representando 65% de volumoso e 35% de concentrado. O delineamento utilizado foi em quadrado latino 5×5, com cinco períodos de 15 dias. Os animais receberam 15g de dióxido de titânio (TiO2) do terceiro ao 12º dia de cada período. Houve efeito (P<0,05) sobre o consumo diário (kg/dia) de proteína bruta (PB) e efeito (P<0,05) sobre o consumo de MS e de fibra em detergente neutro corrigida para cinza e proteína, expresso em g/kg de peso. A digestibilidade total dos nutrientes digestíveis totais (NDT) foi influenciada pelos tratamentos (P<0,05). A digestibilidade ruminal dos carboidratos não fibrosos (CNF) foi afetada quadraticamente (P<0,05), assim como a intestinal da PB e dos CNF. A ingestão e a excreção fecal de nitrogênio (g/dia) foram influenciadas linearmente (P<0,05) pela inclusão de zeólita. Concluiu-se que a adição de zeólita na dieta, embora tenha aumentado os consumos de MS e de FDN, não melhorou a utilização da ureia em dietas de bovinos de corte.(AU)

We evaluated the effect of the inclusion of zeolite in the diet of beef cattle on the ruminal digestibility, total and partial production of nitrogen, microbial efficiency and blood characteristics. Treatments based on the dietary dry matter (DM) were: 0%, 0.75%, 1.5%, 2.25% and 3.0% of zeolite. We used five crossbred steers fistulated in the rumen and abomasum, fed corn silage and concentrate, representing 65% forage and 35% concentrate. The design was a 5x5 latin square with five periods of 15 days. The animals received 15g of titanium dioxide (TiO2) from the third to the 12th day of each period. A significant effect (P<0.05) on the daily consumption (kg/day) of crude protein (CP) was observed (P<0.05) for DM intake and neutral detergent fiber corrected for ash and protein (NDFap) expressed in g/kg. The total digestibility of total digestible nutrients (TDN) was influenced by treatments (P<0.05). Ruminal digestibility of non-fiber carbohydrates (NFC) was affected quadratically (P<0.05) as well as intestinal CP and NFC. Intake and fecal excretion of nitrogen (g/day) were affected linearly (P<0.05) by adding zeolite. It was concluded that the addition of zeolite in the diet, while increasing the intake of DM and NDF, did not improve the use of urea in the diet of beef cattle.(AU)

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Foram avaliadas a ingestão e a digestibilidade aparente de silagens de capim, utilizando-se 20 ovinos adultos, sem raça definida, castrados, distribuídos em delineamento inteiramente ao acaso, com quatro tratamentos: silagem de capim-elefante; silagem de capim-elefante inoculada com 10(6)UFC/g de()estirpes de Enterococcus faecium; silagem de capim-elefante inoculada com 10(6)UFC/g de estirpes de Streptococcus bovis JB1; e silagem de capim-elefante inoculada com 10(6)UFC/g de()estirpes de S. bovis HC5, e cinco repetições por tratamento. O período de avaliação foi de 21 dias, sendo 15 para adaptação e seis para as coletas. Observou-se diferença (P<0,05) entre o consumo de matéria seca, sendo a silagem-controle a que apresentou os valores mais baixos - 1,43%PV ou 42,79g/kg PV0,75/dia -, enquanto a silagem inoculada com S. bovis HC5 apresentou o melhor consumo de matéria seca, 2,3% PV ou 56,10g/kg PV0,75/dia. Menores valores de digestibilidade da matéria seca ocorreram na silagem-controle, 42,8% da MS, seguida pela silagem de capim-elefante inoculada com E. faecium e S. bovis JB1. Para a digestibilidade aparente da fibra em detergente neutro, houve efeito dos inoculantes (P<0,05) com valores acima de cinco pontos percentuais em relação à silagem inoculada, 54,7%.

The intake and digestibility were evaluated in grass silage, using 20 adult sheep, mixed breed, distributed in a completely randomized design with four treatments: elephant grass silage without inoculant, elephant grass silage inoculated with 10(6)FCU/g of strains of Enterococcus faecium, elephant grass silage inoculated with 10(6)FCU/g strains of Streptococcus bovis JB1, elephant grass silage inoculated with 10(6)FCU/g of strains of S. bovis HC5 and five replicates per treatment. The evaluation period lasted 21 days being 15 for diet adaptation and six for the collections. There was a statistical difference (P<0.05) between the intake of dry matter of the silages assessed, and the highest values were recorded in the silages inoculated with microbial inoculants. Silage without inoculation had the lowest values (P<0.05) of dry matter intake (1.43% BW or 42.79g/kg BW0,75/day) and silage inoculated with Streptococcus bovis HC5 showed higher dry matter intake (2.3% or 56.10BW g/kg BW0,75/day). The lowest digestibility of dry matter occurred in the control silage (42.8% DM) followed by elephant grass silage inoculated with E. faecium and S. bovis JB1, respectively. The apparent digestibility of neutral detergent fiber was affected by inoculation (P<0.05) with values higher than five percentage points compared to elephant grass silage without inoculant (54.7%).

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Foram avaliadas a ingestão e a digestibilidade aparente de silagens de capim, utilizando-se 20 ovinos adultos, sem raça definida, castrados, distribuídos em delineamento inteiramente ao acaso, com quatro tratamentos: silagem de capim-elefante; silagem de capim-elefante inoculada com 10(6)UFC/g de()estirpes de Enterococcus faecium; silagem de capim-elefante inoculada com 10(6)UFC/g de estirpes de Streptococcus bovis JB1; e silagem de capim-elefante inoculada com 10(6)UFC/g de()estirpes de S. bovis HC5, e cinco repetições por tratamento. O período de avaliação foi de 21 dias, sendo 15 para adaptação e seis para as coletas. Observou-se diferença (P<0,05) entre o consumo de matéria seca, sendo a silagem-controle a que apresentou os valores mais baixos - 1,43%PV ou 42,79g/kg PV0,75/dia -, enquanto a silagem inoculada com S. bovis HC5 apresentou o melhor consumo de matéria seca, 2,3% PV ou 56,10g/kg PV0,75/dia. Menores valores de digestibilidade da matéria seca ocorreram na silagem-controle, 42,8% da MS, seguida pela silagem de capim-elefante inoculada com E. faecium e S. bovis JB1. Para a digestibilidade aparente da fibra em detergente neutro, houve efeito dos inoculantes (P<0,05) com valores acima de cinco pontos percentuais em relação à silagem inoculada, 54,7%.(AU)

The intake and digestibility were evaluated in grass silage, using 20 adult sheep, mixed breed, distributed in a completely randomized design with four treatments: elephant grass silage without inoculant, elephant grass silage inoculated with 10(6)FCU/g of strains of Enterococcus faecium, elephant grass silage inoculated with 10(6)FCU/g strains of Streptococcus bovis JB1, elephant grass silage inoculated with 10(6)FCU/g of strains of S. bovis HC5 and five replicates per treatment. The evaluation period lasted 21 days being 15 for diet adaptation and six for the collections. There was a statistical difference (P<0.05) between the intake of dry matter of the silages assessed, and the highest values were recorded in the silages inoculated with microbial inoculants. Silage without inoculation had the lowest values (P<0.05) of dry matter intake (1.43% BW or 42.79g/kg BW0,75/day) and silage inoculated with Streptococcus bovis HC5 showed higher dry matter intake (2.3% or 56.10BW g/kg BW0,75/day). The lowest digestibility of dry matter occurred in the control silage (42.8% DM) followed by elephant grass silage inoculated with E. faecium and S. bovis JB1, respectively. The apparent digestibility of neutral detergent fiber was affected by inoculation (P<0.05) with values higher than five percentage points compared to elephant grass silage without inoculant (54.7%).(AU)

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Avaliou-se o efeito da substituição do milho por glicerina bruta em dietas para suínos em terminação. Foram utilizados 80 suínos, machos castrados, híbrido comercial, com média de peso de 67kg, em um experimento em delineamento inteiramente ao acaso, com cinco tratamentos e oito repetições, com dois animais por unidade experimental. Os tratamentos foram: 0,0; 4,0; 8,0; 12,0 e 16,0% de glicerina bruta em substituição ao milho nas dietas. A substituição do milho por glicerina bruta não afetou as características de desempenho (P>0,05). Observaram-se efeito linear crescente de tratamento (P<0,05) sobre a espessura de toucinho na carcaça e efeito linear decrescente de tratamento (P<0,05) sobre a perda de líquido no descongelamento e na força de cisalhamento. A glicerina bruta pode substituir em até 16,0% do milho da dieta para suínos em terminação, sem prejuízos do desempenho e rendimento de carcaça, com melhoras na qualidade da carne.(AU)

We evaluated the effect of replacing corn with crude glycerin in diets for finishing pigs. We used 80 pigs, steers, commercial hybrids, with an average weight of 67kg, in an experiment with a completely randomized design with five treatments and eight replicates of two animals per experimental unit. The treatments were 0.0, 4.0, 8.0, 12.0, and 16.0% crude glycerin as a replacement for maize in diets. The substitution of corn with crude glycerin did not affect performance characteristics (P>0.05). We observed an increasing linear effect of the treatment (P<0.05) on backfat thickness and decreasing linear effect of the treatment (P<0.05) on the loss of fluid in the thawing and shearing force. The crude glycerin can replace up to 16.0% of the corn diet for finishing pigs without loss of performance and carcass yield, with improvements in meat quality.(AU)

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BACKGROUND: To describe the applicability and the performance of the treadmill test in elderly patients with peripheral arterial disease (PAD) and without PAD (non-PAD). PATIENTS AND METHODS: Fifty consecutive PAD and non-PAD elderly patients performed a progressive treadmill test. The proportion of patients who were unable to perform the test and the maximal walking distance were obtained. RESULTS: The proportion of patients who were unable to perform the treadmill test was similar between PAD (16.6 %) and non-PAD patients (12.5 %), P = .57. Maximal walking time for patients who performed the treadmill test was not different between PAD (232 +/- 218 s) and non-PAD patients (308 +/- 289 s), P = .37. CONCLUSIONS: The treadmill test is limited in almost 20 % of elderly patients with PAD and non-PAD. These results highlight the need for other forms of exercise stress tests in order to assess the peripheral limitation of patients with PAD.

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This study extends phenotypic and ecological knowledge of Coccidioides spp., by describing its recovery from soils of Ceará State (Northeast Brazil) and analyzing the in vitro features of the growth of its vegetative phase. Following a human coccidioidomycosis case, Coccidioides spp. strains were isolated from 3 of 14 soil samples collected in an armadillo's burrow. Mycological analysis showed colonies with glabrous, velvety or cottony texture and an increasing quantity of arthroconidia. The overall growth rates of the strains were slower in 8% NaCl medium, maximum growth rate was obtained at 30 degrees C, and their pH tolerance ranged from 4.0 to 11.0. Several carbohydrates and polyalcohol sources could be efficiently metabolized by Coccidioides spp. strains in the mycelial form. Total absence of growth was observed in media supplemented with either L-aspartic acid or L-histidine. Whereas intense growth was found when strains were incubated with any other aminoacid sources studied. Coccidioides spp. strains did not grow in the presence of Tween 60 and Tween 80, but exhibited intense growth in Tween 20. Nicotinic acid and the toxic compounds caffeic acid and phenol could not be metabolized by any strain. All of the strains were positive for urease production and displayed intense growth in media containing cycloheximide concentrations ranging from 0.01 and 0.05%, but did not grow at 0.1 and 0.2%. The present findings confirm the importance of armadillos burrows in the ecology of Coccidioides spp. in Northeast Brazil and indicate that the fungus is a very physiologically versatile organism.

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Foram atendidos no Centro Integrado de Diabetes e Hipertensão do Estado do Ceará, 141 pacientes diabéticos apresentando úlceras infectadas no período de 01/03/2001 a 30/11/2002 e submetidos a um estudo microbiológico no Laboratório de Microbiologia do Departamento de Medicina Legal da Universidade Federal do Ceará. Staphyloccocus aureus foi isolado de (43, 2)dos pacientes. Das cepas de Staphyloccocus aureus 07 (11,5...

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Complement receptor type 1 (CR1) is a membrane glycoprotein that acts as a receptor for the C3b, iC3b and C4b fragments of complement. In primates, one function of erythrocytes is to promote safe clearance of immunocomplexes (IC) from the circulation through CR1. Theoretically, in diseases characterized by high levels of circulating IC, an erythrocyte CR1 (CR1/E) deficiency may favor IC deposition in tissues or facilitate inappropriate activation of leukocytes in the circulation. Depression of the cell immune response occurs in paracoccidioidomycosis (PCM), especially in the more severe cases, and is frequently associated with high serum IC levels. In the present study we quantified the number of CR1/E in patients with the acute and chronic forms of PCM before and after treatment and correlated it with serum IC levels and CD4+ and CD8+ T cell concentration in the peripheral blood of these patients. Patients with PCM, particularly those with active disease and who had received treatment for shorter periods of time, had low numbers of CR1/E. In addition, an increase in serum IC concentration and a reduction in the CD4+/CD8+ T cell ratio were observed. After treatment there was a significant increase in mean CR1/E number and a reduction in serum IC levels. In patients with the chronic form of the disease the CD4+/CD8+ T cell ratio tended to increase after treatment and was associated with increased CR1/E levels. These results suggest that the reduction in CR1/E observed in patients is a phenomenon acquired with the disease and that CR1 could play a role in the pathogenesis of PCM.

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We describe the case of a 48 year-old man in whom the clinical features, CT and MR scans were suggestive of a brain tumor but, posteriorly, another MRI study, CSF examination and brain biopsy supported the diagnosis of multiple sclerosis. Interestingly, this patient presented parkinsonian features, probably in connection with the underlying disease.

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Os autores descrevem o caso de um paciente com 48 anos de idade cujos sinais e sintomas, TC e RM foram sugestivos de tumor cerebral mas, posteriormente, nova RM, estudo do LCR e biópsia cerebral sustentaram o diagnóstico de esclerose múltipla. Curiosamente, no transcurso da enfermidade este paciente apresentou parkinsonismo, provavelmente relacionado com a doença de base

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