RESUMEN
Resumen Paciente de 69 años con antecedentes de diabetes, hipertensión arterial y EPOC, presenta alteraciones del estado neurológico focal y del estado de alerta, que corresponde inicialmente con un coma diabético y tensión arterial elevada, posteriormente con dificultad para elevar el párpado derecho, realizándose tomografía de cráneo, resonancia magnética de cráneo y exámenes de laboratorio. Tomografía de cráneo con reporte de hallazgos indirectos de trombosis vs. tromboflebitis del seno cavernoso caracterizado por ptosis derecha con incremento de la densidad de la grasa intraconal, edema de los músculos extraconales, abombamiento del seno cavernoso de predominio izquierdo, zona de infarto en giros frontobasales, proceso inflamatorio en la mucosa nasal de cavidades paranasales. Resonancia magnética de cráneo con reporte de abscesos parenquimatosos de localización frontobasal bilateral que se asocia a proceso inflamatorio e infeccioso etmoidal bilateral y miositis del oblicuo superior derecho.
Summary Patient of 69 years with a history of diabetes, arterial hypertension and COPD, showing conscious and focal alterations of the neurologic state, which at a beginning correspond to a diabetic comma and elevated blood pressure with difficulty to elevate the right eyelid, cranium tomography, cranium magnetic resonance and laboratory tests are run. The tomography shows findings of thrombosis vs. thrombophlebitis of the venous sinus characterized by right ptosis with increment of the intraconal fat density, extraconal muscle edema, predominantly left bulging of the venous sinus, infarct on the frontobasal gyrus. Inflammatory process of the nasal mucosa of paranasal cavities. Cranium magnetic resonance bilateral frontobasal parenchimal abscesses are reported, associated to bilateral etmoidal inflammatory and infectious process and myositis of the upper right oblicuos.
RESUMEN
Tropical grasses are the primary nutrient resource for cattle production in the tropics, and they provide low-cost nutrients to cattle. However, its production is constrained by seasonal changes and quality; hence, appropriate usage of relatively inexpensive agricultural by-products is important to profitable livestock production. The objective of the study was to evaluate the effect of supplementing coffee pulp to dairy cows grazing tropical grasses on milk yield and forage intake. Four multiparous crossed Holstein-Brown Swiss-Zebu cows of similar weight and milk yield were used. The effect of 10%, 15% and 20% inclusion of coffee pulp in dairy concentrates on milk yield and forage intake was analysed using a 4 × 4 Latin square design. Results showed that there were no significant effects (P > 0.05) in grass dry matter intake, milk yield, milk composition body weight and body condition score due to the inclusion of coffee pulp in the dairy concentrates. It is concluded that coffee pulp can be included at levels of 20% in the concentrate without compromising significantly (P > 0.05) milk yield, milk composition and grass dry matter intake. It also was concluded that cost of concentrate is reduced in 20% by the inclusion of coffee pulp.