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Background: The relationship between serum glycoprotein syndecan-1 and disease activity in rheumatoid arthritis (RA) is still unknown. This study aimed to evaluate whether serum syndecan-1 concentrations are associated with moderate/severe disease activity. Methods: Study Design: This was a cross-sectional study. Seventy-five adult women with RA were classified into (a) moderate/severe RA based on the disease activity score, using the erythrocyte sedimentation rate (DAS28-ESR ≥ 3.2, n = 50), and (b) RA in remission (DAS28-ESR < 2.6, n = 25). Twenty-five healthy women were taken as the reference group. Syndecan-1 levels were determined using enzyme-linked immunosorbent assay (ELISA). High values of serum syndecan-1 levels (≥24 ng/mL) were used to identify the utility values of this biomarker. Results: The patients with RA had higher levels of syndecan-1 than the controls (p < 0.001). RA patients with active disease had higher syndecan-1 levels than RA patients in remission (57.6 vs. 23.5 ng/mL, respectively; p = 0.002). High syndecan-1 concentrations demonstrated the following utility values for identifying disease activity: sensitivity, 84% (95%CI: 71-93); specificity, 52% (95%CI: 31-72); positive predictive value, 78% (95%CI: 70-84); and negative predictive value, 62% (95%CI: 44-77). Conclusions: High syndecan-1 levels have good sensitivity and positive predictive value for identifying disease activity; however, their specificity is limited. Future prospective studies are needed to assess whether syndecan-1 levels can predict treatment failure in RA.
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BACKGROUND & AIMS: Malnutrition in children and adolescents is prevalent at hospital admission and the incidence increases with length of stay. Malnourished patients have loss of muscle mass and strength, compromising their functionality. Handgrip strength (HGS) is a nutritional marker understudied in pediatrics although it is capable of detecting nutritional deprivation before changes in body composition are observed. Therefore, this study aimed to evaluate the association between reduced HGS at hospital admission, compromised nutritional status and worse clinical outcomes of pediatric patients. METHODS: Cohort study conducted with patients aged 6-18 years admitted to a pediatric ward. Nutritional status was assessed in the first 48 h of hospital admission using the z-score of height for age (H/A) and body mass index for age (BMI/A), percentile of mid-arm muscle circumference for age (MAMC/A) and the pediatric global subjective nutritional assessment (SGNA). HGS was measured using a digital dynamometer and considered reduced when the maximum value of three measurements was below the 5th percentile for sex and age. The clinical outcomes analyzed were length of hospital stay and frequency of readmission within 3 months after hospital discharge. RESULTS: A total of 135 patients were evaluated (median age 10.9 years, 55.6% male) and 17.8% had reduced HGS. Patients with reduced HGS had lower H/A z-score (-0.50 vs 0.22, p = 0.012) and a higher frequency of reduced MAMC when compared to those with normal HGS (8% vs 13%, p = 0.007). Reduced HGS was not associated with malnutrition (OR = 0.63; 95%CI 0.23-1.77), prolonged hospital stay (OR = 1.89; 95%CI 0.72-4.92) or readmission to hospital 3 months after hospital discharge (OR = 1.82; 95%CI 0.67-4.93), in a model adjusted for the clinical condition. CONCLUSION: Reduced HGS was not a predictor of malnutrition and clinical outcomes. However, it was associated with lower H/A Z-score and MAMC/A percentile values and can be used as a complementary measure in the nutritional status assessment of hospitalized pediatric patients.
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Força da Mão , Hospitalização , Tempo de Internação , Avaliação Nutricional , Estado Nutricional , Humanos , Criança , Masculino , Feminino , Adolescente , Desnutrição , Índice de Massa Corporal , Estudos de Coortes , Composição CorporalRESUMO
The aim of this study was to investigate the association between chronic Anaplasma marginale and Babesia spp. infection and hematological parameters of pregnant and non-pregnant taurine heifers. Blood samples from 94 females were collected on the first day (D-10) of timed artificial insemination (TAI) protocol and on pregnancy diagnosis (D+34). Hematological parameters were determined and compared between pregnant (PG) and non-pregnant (NPG) heifers, and within group at different sampling days. Real-time PCR (qPCR) was used to determine A. marginale and Babesia bovis infection, and for absolute quantification of Babesia spp. between PG and NPG groups. Correlation analysis was performed between the number of gDNA copies (CN) of Babesia spp. and hematological parameters. On D-10, mean hemoglobin concentration was higher for NPG, and hematocrit and total plasma protein were higher on D+34 for both groups. There was no difference in Babesia spp. CN between groups. In the first qPCR, all heifers were positive for A. marginale and B. bovis. Significant correlations were found between hemoglobin and erythrocyte and between hemoglobin and hematocrit (r = 0.8082 and r = 0.3009, respectively). Low levels of A. marginale and Babesia spp. did not affect hematological parameters of chronically infected pregnant and non-pregnant taurine heifers.
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Anaplasma marginale , Babesia bovis , Babesia , Babesiose , Doenças dos Bovinos , Gravidez , Animais , Bovinos , Feminino , Babesiose/diagnóstico , Taurina , Doenças dos Bovinos/diagnósticoRESUMO
Pediococcus pentosaceus is a lactic acid bacterium that has probiotic potential proven by studies. However, its viability can be affected by adverse conditions such as storage, heat stress, and even gastrointestinal passage. Thus, the aim of the present study was to microencapsulate and characterize microcapsules obtained by spray drying and produced only with whey powder (W) or whey powder combined with pectin (WP) or xanthan (WX) in the protection of P. pentosaceus P107. In the storage test at temperatures of - 20 °C and 4 °C, the most viable microcapsule was WP (whey powder and pectin), although WX (whey powder and xanthan) presented better stability at 25 °C. In addition, WX did not show stability to ensure probiotic potential (< 6 Log CFU mL-1) for 110 days and the microcapsule W (whey powder) maintained probiotic viability at the three temperatures (- 20 °C, 4 °C, and 25 °C) for 180 days. In the exposition to simulated gastrointestinal juice, the WX microcapsule showed the best results in all tested conditions, presenting high cellular viability. For the thermal resistance test, WP microcapsule was shown to be efficient in the protection of P. pentosaceus P107 cells. The Fourier transform infrared spectroscopy (FTIR) results showed that there was no chemical interaction between microcapsules of whey powder combined with xanthan or pectin. The three microcapsules produced were able to protect the cell viability of the microorganism, as well as the drying parameters were adequate for the microcapsules produced in this study.
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Probióticos , Soro do Leite , Pectinas , Cápsulas/química , Pós , Proteínas do Soro do LeiteRESUMO
OBJECTIVE: This study's objective was to compare the best long-term treatment, mandibular advancement device (MAD) or continuous positive airway pressure (CPAP), for patients with mild obstructive sleep apnea (OSA) in improving excessive daytime sleepiness, fatigue, mood, sustained attention, and quality of life. METHODS: This study was a single-blind, parallel, randomized clinical trial with controls. The sample was composed of individuals between 18 and 65 years of age with a body mass index of < 35 kg/m2 and apnea/hypopnea index above five and less than 15. Participants were submitted to physical examination, polysomnography, and the following questionnaires: Pittsburgh Sleep Quality Index, Berlin Questionnaire, Epworth Sleepiness Scale, Stanford Sleepiness Scale, Karolinska Sleepiness Scale, Modified Fatigue Impact Scale, Functional Outcomes of Sleep Questionnaire, Beck Anxiety Inventory, and Beck Depression Inventory. They were also presented with the following tests: maintenance of wakefulness test and psychomotor vigilance task. RESULTS: Of 79 patients, 25 were in the MAD group, 31 in the CPAP group, and 23 in the control group. Polysomnographic parameters were best normalized with CPAP compared with MAD. Fatigue was improved in the MAD and CPAP groups, with no difference between these treatments. Quality of life was also improved with both treatments, but CPAP was superior to MAD. Daytime sleepiness, mood, and sustained attention showed no difference with the interventions. Greater adherence was obtained with MAD patients than with CPAP measured by hours of use. CONCLUSIONS: Treatment with CPAP was better at normalizing polysomnographic parameters and improving quality of life in patients with mild OSA. Both treatments improved fatigue with no difference between the two treatments. Neither treatment improved daytime sleepiness, mood or sustained attention. CLINICAL TRIALS DATABASE: NTC01461486.
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Distúrbios do Sono por Sonolência Excessiva , Avanço Mandibular , Apneia Obstrutiva do Sono , Humanos , Atenção , Pressão Positiva Contínua nas Vias Aéreas , Distúrbios do Sono por Sonolência Excessiva/diagnóstico , Distúrbios do Sono por Sonolência Excessiva/terapia , Fadiga/terapia , Placas Oclusais , Qualidade de Vida , Método Simples-Cego , Apneia Obstrutiva do Sono/terapia , Sonolência , Resultado do Tratamento , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , IdosoRESUMO
Nutrition screening (NS) allows health professionals to identify patients at nutritional risk (NR), enabling early nutrition intervention. This study aimed to systematically review the criterion validity of NS tools for hospitalized non-critical care pediatric patients and to estimate the prevalence of NR in this population. This research was performed using PubMed, Embase, and Scopus databases until June 2021. The reviewers extracted the studies' general information, the population characteristics, the NR prevalence, and the NS tools' concurrent and predictive validity data. Quality evaluation was performed using the Newcastle-Ottawa Scale, adapted Newcastle-Ottawa Scale, and Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2). The primary studies were qualitatively analyzed, and descriptive statistics were calculated to describe the NR prevalence. Of the total 3944 studies found, 49 met the inclusion criteria. Ten different pediatric NS tools were identified; the most frequently used were Screening Tool for Risk on Nutritional Status and Growth (STRONGkids), Screening Tool for the Assessment of Malnutrition in Pediatrics (STAMP), and Pediatric Yorkhill Malnutrition Score (PYMS). The mean NR prevalence was 59.85% (range, 14.6%-96.9%). Among all NS tools analyzed, STRONGkids and PYMS showed the best diagnostic performance. STRONGkids had the most studies of predictive validity showing that the NR predicted a higher hospital length of stay (odds ratio [OR], 1.96-8.02), health complications during hospitalization (OR, 3.4), and the necessity for nutrition intervention (OR, 18.93). Considering the diagnostic accuracy, robust and replicated findings of predictive validity, and studies' quality, STRONGkids performed best in identifying NR in the pediatric population among the tools identified.
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Desnutrição , Estado Nutricional , Criança , Humanos , Prevalência , Avaliação Nutricional , Programas de Rastreamento , Fatores de Risco , Desnutrição/diagnóstico , Reprodutibilidade dos TestesRESUMO
The aim of this study was to investigate the association between chronic Anaplasma marginale and Babesia spp. infection and hematological parameters of pregnant and non-pregnant taurine heifers. Blood samples from 94 females were collected on the first day (D-10) of timed artificial insemination (TAI) protocol and on pregnancy diagnosis (D+34). Hematological parameters were determined and compared between pregnant (PG) and non-pregnant (NPG) heifers, and within group at different sampling days. Real-time PCR (qPCR) was used to determine A. marginale and Babesia bovis infection, and for absolute quantification of Babesia spp. between PG and NPG groups. Correlation analysis was performed between the number of gDNA copies (CN) of Babesia spp. and hematological parameters. On D-10, mean hemoglobin concentration was higher for NPG, and hematocrit and total plasma protein were higher on D+34 for both groups. There was no difference in Babesia spp. CN between groups. In the first qPCR, all heifers were positive for A. marginale and B. bovis. Significant correlations were found between hemoglobin and erythrocyte and between hemoglobin and hematocrit (r = 0.8082 and r = 0.3009, respectively). Low levels of A. marginale and Babesia spp. did not affect hematological parameters of chronically infected pregnant and non-pregnant taurine heifers.(AU)
O objetivo deste estudo foi investigar a associação entre infecção crônica por Anaplasma marginale e Babesia spp. e parâmetros hematológicos de novilhas taurinas prenhes e não prenhes. Sangue de 94 fêmeas foi coletado no primeiro dia (D-10) do protocolo de inseminação artificial em tempo fixo (IATF) e no diagnóstico de gestação (D+34). Parâmetros hematológicos foram comparados entre novilhas prenhes (PG) e não prenhes (NPG) e dentro dos grupos entre dias de coleta. Usando-se PCR em tempo real (qPCR), determinou-se a infecção por A. marginale e Babesia bovis e quantificação absoluta de Babesia spp. Entre os grupos PG e NPG. A análise de correlação foi realizada entre o número de cópias (CN) de Babesia spp. e parâmetros hematológicos. No D-10, a concentração de hemoglobina foi maior para NPG e hematócrito, e proteína plasmática total foram maiores em D+34 para ambos os grupos. Não houve diferença para CN de Babesia spp. entre os grupos. Na primeira qPCR, todas as novilhas foram positivas para A. marginale e B. bovis. Correlações significativas foram encontradas entre hemoglobina/eritrócito e hemoglobina/hematócrito (r=0,8082 e r=0,3009, respectivamente). Baixos níveis de A. marginale e Babesia spp. não afetaram os parâmetros hematológicos de novilhas taurinas prenhes e não prenhes cronicamente infectadas.(AU)
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Animais , Feminino , Babesiose/diagnóstico , Bovinos/microbiologia , Anaplasmose/diagnóstico , Babesia , Anaplasma marginale , Reação em Cadeia da Polimerase em Tempo Real/métodos , Fármacos Hematológicos/análiseRESUMO
Diabetes mellitus (DM) is a chronic metabolic disease characterized by high blood glucose levels, causing serious damage to the cardiovascular, respiratory, renal and other systems. The prevalence of type 2 diabetes mellitus (T2DM) was 6.28% in 2017, considering all age groups worldwide (prevalence rate of 6,059 cases per 100,000), and its global prevalence is projected to increase to 7,079 cases per 100,000 by 2030. Furthermore, these individuals are often affected by diabetic myopathy, which is the failure to preserve muscle mass and function in the course of DM. This happens in type 1 diabetes mellitus (T1DM) and T2DM. As skeletal muscle plays a key role in locomotion and glucose homeostasis, diabetic myopathy may contribute to additional complications of the disease. In addition, chronic hyperglycemia is associated with lung functional changes seen in patients with DM, such as reduced lung volumes and compliance, inspiratory muscle strength, and lung elastic recoil. Thus, the weakness of the inspiratory muscles, a consequence of diabetic myopathy, can influence exercise tolerance. Thus, moderate strength training in T2DM can contribute to the gain of peripheral muscle strength. Although the literature is robust on the loss of mass and consequent muscle weakness in diabetic myopathy, triggering pathophysiological factors, the impact on functional capacity, as well as the prescription of physical exercise for this condition deserves to be further explored. This review aims to explore the consequences of diabetic myopathy and its implication in rehabilitation from prescription to safety in the practice of physical exercises for these individuals.
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Diabetes Mellitus Tipo 1 , Diabetes Mellitus Tipo 2 , Doenças Musculares , Diabetes Mellitus Tipo 1/complicações , Tolerância ao Exercício , Humanos , Força Muscular/fisiologiaRESUMO
Survival of Lactococcus lactis subsp. lactis R7, microencapsulated with whey and inulin, was analyzed when added to blueberry juice, milk, and cream. For 28 days, cell viability was evaluated for storage (4 °C), simulated gastrointestinal tract (GIT), and thermal resistance. All matrices demonstrated high cell concentration when submitted to GIT (11.74 and 12 log CFU mL-1), except for the blueberry juice. The thermal resistance analysis proved the need for microencapsulation, regardless of the food matrix. The results indicate that L. lactis R7 microcapsules have potential for application in different matrices and development of new probiotic products by thermal processing.
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Lactococcus lactis , ProbióticosRESUMO
PURPOSE: Mild obstructive sleep apnea (OSA) is more prevalent than moderate and severe OSA and is more frequent in men than women. The association between OSA and female sexual dysfunction (FSD) is still poorly explored in published studies. Our aim was to investigate the prevalence of FSD in women with mild OSA and assess the impact of OSA on FSD, as well as to determine the predictors for FSD risk. METHODS: The sample comprised 70 women aged 26-65 years: a control group (N = 28) with no sleep complaints, and a group with mild OSA (an apnea-hypopnea index of 5 or more and less than 15 events/hour, N = 42), who had been diagnosed using polysomnography performed in the sleep laboratory of a sleep research institute. All participants volunteered to take part in the study and completed the female sexual function index (FSFI), the Beck depression index (BDI), the Kupperman menopausal index (KMI), and the Epworth sleepiness scale (ESS). Their socioeconomic group was assessed using the Brazilian Economic Classification Criterion. Polysomnography and serum levels of free testosterone and total testosterone were analyzed. RESULTS: We found low FSFI scores (< 26.55) in the mild OSA (18.1) and control (21.7) groups (p = 0.97). There was no statistically significant difference between the mild OSA group and the control group. However, a higher BMI (p = 0.04), a higher BDI (p = 0.02), and being sexuality inactive (p = 0.001) were risk factors for FSD. CONCLUSION: There was a high prevalence of FSD in the entire sample. The presence of mild OSA did not affect sexual function in this sample. Depressive symptoms and a high BMI were associated risk factors for FSD. Being sexually active may protect female sexual function.
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Depressão , Apneia Obstrutiva do Sono , Depressão/diagnóstico , Depressão/epidemiologia , Feminino , Humanos , Obesidade/epidemiologia , Polissonografia , Apneia Obstrutiva do Sono/diagnóstico , Apneia Obstrutiva do Sono/epidemiologia , TestosteronaRESUMO
Bacterial canker of tomato is caused by Clavibacter michiganensis subsp. michiganensis (Cmm). The disease is highly destructive, because it produces latent asymptomatic infections that favor contagion rates. The present research aims consisted on the implementation of Raman spectroscopy (RS) and machine-learning spectral analysis as a method for the early disease detection. Raman spectra were obtained from infected asymptomatic tomato plants (BCTo) and healthy controls (HTo) with 785 nm excitation laser micro-Raman spectrometer. Spectral data were normalized and processed by principal component analysis (PCA), then the classifiers algorithms multilayer perceptron (PCA + MLP) and linear discriminant analysis (PCA + LDA) were implemented. Bacterial isolation and identification (16S rRNA gene sequencing) were realized of each plant studied. The Raman spectra obtained from tomato leaf samples of HTo and BCTo exhibited peaks associated to cellular components, and the most prominent vibrational bands were assigned to carbohydrates, carotenoids, chlorophyll, and phenolic compounds. Biochemical changes were also detectable in the Raman spectral patterns. Raman bands associated with triterpenoids and flavonoids compounds can be considered as indicators of Cmm infection during the asymptomatic stage. RS is an efficient, fast and reliable technology to differentiate the tomato health condition (BCTo or HTo). The analytical method showed high performance values of sensitivity, specificity and accuracy, among others.
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STUDY OBJECTIVES: To evaluate and compare the effects of continuous positive airway pressure (CPAP), use of a mandibular advancement device (MAD), and no treatment on 24-hour ambulatory blood pressure monitoring and peripheral arterial tonometry at 6 and 12 months follow-up in individuals with mild obstructive sleep apnea (OSA), and in a subgroup who had an apnea-hypopnea index of < 5 events/h and adherence of ≥ 4 hours per night (effective-treatment subgroups). METHODS: The inclusion criteria were individuals with mild obstructive sleep apnea, any sex, age between 18 and 65 years, and a body mass index of ≤ 35 kg/m². Patients were randomized into CPAP, MAD, and no-treatment groups. The evaluations included physical examination, full polysomnography, 24-hour ambulatory blood pressure monitoring, and peripheral arterial tonometry at baseline and after 6 and 12 months. A generalized linear mixed model was used for comparisons. RESULTS: The CPAP and MAD groups had lower apnea-hypopnea indexes than the control group at 6 and 12 months, and the CPAP group had higher blood oxygen levels (SpO2) than the MAD group. The MAD group had more hours of treatment per night and better adaptation to treatment than the CPAP group (MAD: 5.7 ± 2.7 h/night; CPAP: 3.8 ± 3.4 h/night; MAD: 16% did not adapt; CPAP: 42% did not adapt). No differences were found in the total sample and effective treatment in relation to peripheral arterial tonometry or 24-hour ambulatory blood pressure monitoring outcomes. CONCLUSIONS: Treatment of mild obstructive sleep apnea with CPAP or MAD did not improve blood pressure or endothelial function after 1 year, even in patients with effective treatment. CLINICAL TRIAL REGISTRATION: Registry: ClinicalTrials.gov; Name: Continuous Positive Airway Pressure and Oral Appliances Treatments in Mild Obstructive Sleep Apnea; URL: https://clinicaltrials.gov/ct2/show/NCT01461486; Identifier: NCT01461486.
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Avanço Mandibular , Apneia Obstrutiva do Sono , Adolescente , Adulto , Idoso , Pressão Sanguínea , Monitorização Ambulatorial da Pressão Arterial , Pressão Positiva Contínua nas Vias Aéreas , Humanos , Pessoa de Meia-Idade , Placas Oclusais , Apneia Obstrutiva do Sono/terapia , Resultado do Tratamento , Adulto JovemRESUMO
The aim of this study was to evaluate the economic viability of the use of a lactation induction protocol in Holstein heifers. Were collected data of nutritional, reproductive and sanitary management pre and post-lactation period from 30 induction heifers (IG) and 30 pregnant heifers (CG). All animals were inseminated around 14 months of age and started lactation at 23±4 months. The animals of IG were heifers do not pregnant after two inseminations and natural service e were induced to lactation according to protocol: from the 1st to the 8th day, 30 mg of estradiol benzoate were administered daily, together with 300 mg of progesterone. From the 9th until the 14th, animals only received daily doses of 20 mg estradiol benzoate. On 16th day, 0.56 mg of sodium cloprostenol was administered and injections of 40 mg of dexamethasone sodium phosphate were administered daily from the 19th to the 21st day. On the 1st, 8th, 15th and 22nd day, the animals received a dose of sometribove zinc. The animals of CG were managed according to the farm routine. The costs of the CG during pre and post lactation (nutrition, sanitary, reproduction management) e were higher than the IG, however, when evaluating the economic viability due to lower milk production, the induced group did not leave profit in the first year of use. When comparing the lactation induction with the sale of animals that did not conceive and purchase of animals for replacement, this last scenario showed itself as a better alternative.(AU)
O objetivo deste estudo foi avaliar a viabilidade econômica do uso de um protocolo de indução a lactação em novilhas da raça Holandês. Foram coletados dados econômicos do manejo nutricional, reprodutivo e sanitário pré e pós lactação de 30 novilhas induzidas à lactação (IG) e 30 novilhas prenhes (CG). Todos os animais foram inseminados em torno de 14 meses de idade e iniciaram a lactação com aproximadamente 23±4 meses. Os animais do IG foram novilhas que não conceberam após duas inseminações e monta natural, e foram induzidas à lactação com o protocolo: do 1° ao 8° dia receberam aplicação de 30 mg de benzoato de estradiol juntamente com 300 mg de progesterona. A partir do 9° dia até o 14° receberam 20 mg de benzoato de estradiol. No dia 16 ocorreu uma aplicação de 0.56 mg cloprostenol sódico e nos dias 19 ao 21, de 40 mg de dexametasona. Nos dias 1, 8, 15, e 22, os animais receberam 500 mg somatotropina recombinante bovina. Os animais do CG foram manejados conforme a rotina da propriedade. Os custos do CG durante o pré e lactação (nutrição, sanidade, reprodução) foram superiores ao grupo induzido. No entanto, ao avaliar a viabilidade econômica, devido a menor produção leiteira, o grupo induzido não deixou lucro na propriedade no primeiro ano de utilização. Ao comparar a indução de lactação com a venda de animais que não conceberam e a compra de animais para reposição, este último cenário mostrou-se como uma melhor alternativa.(AU)
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Animais , Feminino , Bovinos , Lactação/efeitos dos fármacos , Análise Custo-Benefício , Indução da Ovulação/veterinária , LeiteRESUMO
Background: Low reproductive efficiency has been one of the main factors that lead to dairy herd culling in the reproductive age. In multiparous animals, such inefficiency and culling can occur because of various factors and may be associated with occasional endocrine failures. To avoid revenue losses that incur due to lack of lactation, lactation is artificiallyinduced in the animals that are not pregnant, using a defined protocol. The aim of this study was, therefore, to evaluateand compare the reproductive performance of heifers submitted to the induction protocol with that of pregnant heifersduring the transition period.Materials, Methods & Results: Sixty Holstein heifers, 32 ± 0.6 months of age, were divided into two groups: ControlGroup (Control, n = 30) comprising pregnant heifers that were accompanied since 21 days before the expected calvingdate until 224 days in milk (DIM) and an Induction Group (Induction, n = 30) comprising non-pregnant heifers submittedto a lactation induction protocol, accompanied from the beginning of the protocol until 224 DIM. For evaluation of theendocrine profile (progesterone and estradiol concentrations) of these animals, blood samples were collected at two periods: the pre-lactation (weeks -3, -2 and -1) and post-lactation (weeks 1 and 4). Heifers from both groups were submittedto weekly reproductive evaluations, from the beginning of lactation until 35 DIM. Uterine examinations were performedusing ultrasonography and vaginoscopy to evaluate uterine content, cervical opening, and mucosal aspect. Females ingood reproductive health were subjected to a hormonal protocol for timed artificial insemination (TAI). The pregnancyrate of heifers that could reproduce (Control, n = 13, and Induction, n = 20) were evaluated and inseminated until 49 DIM.Progesterone levels were similar (P > 0.05) in the two groups at both pre- and post-start of lactation. Estradiol...(AU)
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Animais , Feminino , Bovinos , Lactação/fisiologia , Fertilidade , Estradiol , Progesterona , Sistema Endócrino , Inseminação Artificial/veterináriaRESUMO
The aim of this study was to evaluate the economic viability of the use of a lactation induction protocol in Holstein heifers. Were collected data of nutritional, reproductive and sanitary management pre and post-lactation period from 30 induction heifers (IG) and 30 pregnant heifers (CG). All animals were inseminated around 14 months of age and started lactation at 23±4 months. The animals of IG were heifers do not pregnant after two inseminations and natural service e were induced to lactation according to protocol: from the 1st to the 8th day, 30 mg of estradiol benzoate were administered daily, together with 300 mg of progesterone. From the 9th until the 14th, animals only received daily doses of 20 mg estradiol benzoate. On 16th day, 0.56 mg of sodium cloprostenol was administered and injections of 40 mg of dexamethasone sodium phosphate were administered daily from the 19th to the 21st day. On the 1st, 8th, 15th and 22nd day, the animals received a dose of sometribove zinc. The animals of CG were managed according to the farm routine. The costs of the CG during pre and post lactation (nutrition, sanitary, reproduction management) e were higher than the IG, however, when evaluating the economic viability due to lower milk production, the induced group did not leave profit in the first year of use. When comparing the lactation induction with the sale of animals that did not conceive and purchase of animals for replacement, this last scenario showed itself as a better alternative.
O objetivo deste estudo foi avaliar a viabilidade econômica do uso de um protocolo de indução a lactação em novilhas da raça Holandês. Foram coletados dados econômicos do manejo nutricional, reprodutivo e sanitário pré e pós lactação de 30 novilhas induzidas à lactação (IG) e 30 novilhas prenhes (CG). Todos os animais foram inseminados em torno de 14 meses de idade e iniciaram a lactação com aproximadamente 23±4 meses. Os animais do IG foram novilhas que não conceberam após duas inseminações e monta natural, e foram induzidas à lactação com o protocolo: do 1° ao 8° dia receberam aplicação de 30 mg de benzoato de estradiol juntamente com 300 mg de progesterona. A partir do 9° dia até o 14° receberam 20 mg de benzoato de estradiol. No dia 16 ocorreu uma aplicação de 0.56 mg cloprostenol sódico e nos dias 19 ao 21, de 40 mg de dexametasona. Nos dias 1, 8, 15, e 22, os animais receberam 500 mg somatotropina recombinante bovina. Os animais do CG foram manejados conforme a rotina da propriedade. Os custos do CG durante o pré e lactação (nutrição, sanidade, reprodução) foram superiores ao grupo induzido. No entanto, ao avaliar a viabilidade econômica, devido a menor produção leiteira, o grupo induzido não deixou lucro na propriedade no primeiro ano de utilização. Ao comparar a indução de lactação com a venda de animais que não conceberam e a compra de animais para reposição, este último cenário mostrou-se como uma melhor alternativa.
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Feminino , Animais , Bovinos , Análise Custo-Benefício , Indução da Ovulação/veterinária , Lactação/efeitos dos fármacos , LeiteRESUMO
The goal of this study was to evaluate the effects of strategic insulin administration on follicular growth, progesterone production, and pregnancy rate in beef cattle. Two experiments were conducted, in experiment 1, 215 cows crossbreed cows (Bos indicus × Bos taurus) (Control Group, n = 109; Insulin Group, n = 106) were submitted to fixed-time artificial insemination (TAI) with application of 2 mg of estradiol benzoate and a vaginal device containing progesterone on day 0. On day 9, the device was removed and 0.5 mg of estradiol cypionate was administered with 12.5 mg of dinoprost and 0.25 UI kg-1 of insulin for the treated animals. On day 11, artificial insemination (AI) was performed on all animals. On days 9 and 11 according to the protocol, was evaluated follicular growth and estrus manifestation, and 30 days after AI the pregnancy rate. In experiment 2, 85 cows were utilized, including Aberdeen Angus, Hereford, and crossbreeds (Control Group, n = 49 and Insulin Group, n = 36), and were submitted to the protocol for fixed-time embryo transfer (FTET), and progesterone concentrations were evaluated. On day 0, the cows received 2 mg of estradiol benzoate and a vaginal device containing progesterone. On day 5 of the protocol, 0.150 mg of cloprostenol was administered. On day 8, the vaginal device was removed and 20 mg of purified porcine pituitary extract and 0.25 UI kg-1 of insulin was given to the animals in the treatment group, and on day 9, 1 mg of estradiol benzoate was administered. On day 17, an embryo transfer was performed and blood collection for evaluation of progesterone levels in animals submitted to FTET were collected. In experiment 1, the follicular growth rate and the pregnancy rate were similar between groups (P > 0.05) and in experiment 2, the production of P4 was not different between the animals that received the insulin application and the control group...
O objetivo deste estudo foi avaliar o efeito da aplicação estratégica de insulina sobre o crescimento folicular, produção de progesterona e taxa de prenhez em bovinos de corte. Foram realizados 2 experimentos, no experimento 1, 215 vacas cruzas (Bos indicus x Bos taurus) (Grupo Controle = 109; Grupo Insulina = 106) foram submetidas a um protocolo que consistiu na aplicação de 2 mg de benzoato de estradiol e inserção de um dispositivo intravaginal de liberação lenta de progesterona (P4) sendo este o dia zero do protocolo. No dia 9, foi realizada a remoção do dispositivo de P4, a aplicação de 0,5 mg de cipionato de estradiol, e 12,5 mg de dinoprost. Os animais do grupo insulina receberam ainda a aplicação de 0,25 UI kg-1 de insulina. No dia 11 foi realizada a inseminação artificial de todos os animais. Nos dias 9 e 11 de acordo com o protocolo, foi avaliado crescimento folicular e manifestação de estro, e 30 dias após IA foi avaliado a taxa de prenhez. O experimento 2 foi realizado com 85 vacas da raça Aberdeen Angus, Hereford e cruzas (Grupo Controle = 49; Grupo Insulina = 36) submetidas a um protocolo de Transferência de Embrião em Tempo Fixo (TETF). No dia 0 fez-se aplicação de 2 mg de benzoato de estradiol e a inserção de um dispositivo intravaginal de liberação lenta de progesterona. No 5º dia do protocolo foi aplicado 0,150 mg de d- Cloprostenol. No dia 8 fez-se a remoção do dispositivo de P4 e aplicação de 20 mg de foltropina de pituitária suína e de 0,25 UI kg-1 de insulina nos animais tratados e no dia 9 foi aplicado 1 mg de benzoato de estradiol. No dia 17 procedeu-se com a transferência dos embriões e coleta de sangue para avaliação dos níveis de progesterona nos animais submetidos a TETF. No experimento 1 a taxa de crescimento folicular e a taxa de prenhez foram semelhantes entre os grupos (P > 0,05) e no experimento 2 a produção de P4 não foi diferente entre os animais que receberam a aplicação de insulina e o grupo controle...
Assuntos
Feminino , Animais , Bovinos , Folículo Ovariano/crescimento & desenvolvimento , Folículo Ovariano/efeitos dos fármacos , Insulina/administração & dosagem , Progesterona , Reprodução/efeitos dos fármacosRESUMO
Background: Low reproductive efficiency has been one of the main factors that lead to dairy herd culling in the reproductive age. In multiparous animals, such inefficiency and culling can occur because of various factors and may be associated with occasional endocrine failures. To avoid revenue losses that incur due to lack of lactation, lactation is artificiallyinduced in the animals that are not pregnant, using a defined protocol. The aim of this study was, therefore, to evaluateand compare the reproductive performance of heifers submitted to the induction protocol with that of pregnant heifersduring the transition period.Materials, Methods & Results: Sixty Holstein heifers, 32 ± 0.6 months of age, were divided into two groups: ControlGroup (Control, n = 30) comprising pregnant heifers that were accompanied since 21 days before the expected calvingdate until 224 days in milk (DIM) and an Induction Group (Induction, n = 30) comprising non-pregnant heifers submittedto a lactation induction protocol, accompanied from the beginning of the protocol until 224 DIM. For evaluation of theendocrine profile (progesterone and estradiol concentrations) of these animals, blood samples were collected at two periods: the pre-lactation (weeks -3, -2 and -1) and post-lactation (weeks 1 and 4). Heifers from both groups were submittedto weekly reproductive evaluations, from the beginning of lactation until 35 DIM. Uterine examinations were performedusing ultrasonography and vaginoscopy to evaluate uterine content, cervical opening, and mucosal aspect. Females ingood reproductive health were subjected to a hormonal protocol for timed artificial insemination (TAI). The pregnancyrate of heifers that could reproduce (Control, n = 13, and Induction, n = 20) were evaluated and inseminated until 49 DIM.Progesterone levels were similar (P > 0.05) in the two groups at both pre- and post-start of lactation. Estradiol...
Assuntos
Feminino , Animais , Bovinos , Estradiol , Fertilidade , Lactação/fisiologia , Progesterona , Sistema Endócrino , Inseminação Artificial/veterináriaRESUMO
The goal of this study was to evaluate the effects of strategic insulin administration on follicular growth, progesterone production, and pregnancy rate in beef cattle. Two experiments were conducted, in experiment 1, 215 cows crossbreed cows (Bos indicus × Bos taurus) (Control Group, n = 109; Insulin Group, n = 106) were submitted to fixed-time artificial insemination (TAI) with application of 2 mg of estradiol benzoate and a vaginal device containing progesterone on day 0. On day 9, the device was removed and 0.5 mg of estradiol cypionate was administered with 12.5 mg of dinoprost and 0.25 UI kg-1 of insulin for the treated animals. On day 11, artificial insemination (AI) was performed on all animals. On days 9 and 11 according to the protocol, was evaluated follicular growth and estrus manifestation, and 30 days after AI the pregnancy rate. In experiment 2, 85 cows were utilized, including Aberdeen Angus, Hereford, and crossbreeds (Control Group, n = 49 and Insulin Group, n = 36), and were submitted to the protocol for fixed-time embryo transfer (FTET), and progesterone concentrations were evaluated. On day 0, the cows received 2 mg of estradiol benzoate and a vaginal device containing progesterone. On day 5 of the protocol, 0.150 mg of cloprostenol was administered. On day 8, the vaginal device was removed and 20 mg of purified porcine pituitary extract and 0.25 UI kg-1 of insulin was given to the animals in the treatment group, and on day 9, 1 mg of estradiol benzoate was administered. On day 17, an embryo transfer was performed and blood collection for evaluation of progesterone levels in animals submitted to FTET were collected. In experiment 1, the follicular growth rate and the pregnancy rate were similar between groups (P > 0.05) and in experiment 2, the production of P4 was not different between the animals that received the insulin application and the control group...(AU)
O objetivo deste estudo foi avaliar o efeito da aplicação estratégica de insulina sobre o crescimento folicular, produção de progesterona e taxa de prenhez em bovinos de corte. Foram realizados 2 experimentos, no experimento 1, 215 vacas cruzas (Bos indicus x Bos taurus) (Grupo Controle = 109; Grupo Insulina = 106) foram submetidas a um protocolo que consistiu na aplicação de 2 mg de benzoato de estradiol e inserção de um dispositivo intravaginal de liberação lenta de progesterona (P4) sendo este o dia zero do protocolo. No dia 9, foi realizada a remoção do dispositivo de P4, a aplicação de 0,5 mg de cipionato de estradiol, e 12,5 mg de dinoprost. Os animais do grupo insulina receberam ainda a aplicação de 0,25 UI kg-1 de insulina. No dia 11 foi realizada a inseminação artificial de todos os animais. Nos dias 9 e 11 de acordo com o protocolo, foi avaliado crescimento folicular e manifestação de estro, e 30 dias após IA foi avaliado a taxa de prenhez. O experimento 2 foi realizado com 85 vacas da raça Aberdeen Angus, Hereford e cruzas (Grupo Controle = 49; Grupo Insulina = 36) submetidas a um protocolo de Transferência de Embrião em Tempo Fixo (TETF). No dia 0 fez-se aplicação de 2 mg de benzoato de estradiol e a inserção de um dispositivo intravaginal de liberação lenta de progesterona. No 5º dia do protocolo foi aplicado 0,150 mg de d- Cloprostenol. No dia 8 fez-se a remoção do dispositivo de P4 e aplicação de 20 mg de foltropina de pituitária suína e de 0,25 UI kg-1 de insulina nos animais tratados e no dia 9 foi aplicado 1 mg de benzoato de estradiol. No dia 17 procedeu-se com a transferência dos embriões e coleta de sangue para avaliação dos níveis de progesterona nos animais submetidos a TETF. No experimento 1 a taxa de crescimento folicular e a taxa de prenhez foram semelhantes entre os grupos (P > 0,05) e no experimento 2 a produção de P4 não foi diferente entre os animais que receberam a aplicação de insulina e o grupo controle...(AU)
Assuntos
Animais , Feminino , Bovinos , Reprodução/efeitos dos fármacos , Folículo Ovariano/efeitos dos fármacos , Folículo Ovariano/crescimento & desenvolvimento , Progesterona , Insulina/administração & dosagemRESUMO
BACKGROUND: Mild obstructive sleep apnea (OSA) is a highly prevalent disorder in adults. However, it is not clear whether mild OSA has significant metabolic complications. This study examined the prevalence of metabolic syndrome (MS) in patients with mild OSA compared to control group. METHODS: Adults (18-65 years of age) of both genders with a body mass index (BMI) ≤35 kg/m2 were included. The mild OSA group comprised of patients with an apnea-hypopnea index (AHI) score of ≥5 but ≤15 events/hr of sleep, independent of other symptoms. The control group (CG) comprised individuals with an AHI of <5 events/hr of sleep and an Epworth Sleepiness Scale score of <10. The following were used for both groups: two questionnaires on sleepiness, the maintenance of wakefulness test, and full-night polysomnography. Anthropometric measurements and fasting blood samples were obtained, including fasting glucose and insulin, total cholesterol and its subfractions [low-density lipoprotein, very low-density lipoprotein, and low-density lipoprotein cholesterol (HDL-c)], triglycerides (TG), and the TG/HDL-c ratio. In addition, the quantitative insulin sensitivity check index and homeostasis model assessment indices were calculated. RESULTS: Thirty-two percent of mild OSA patients had MS, 43.5% of mild OSA patients had hypertension, 14% showed dyslipidemia, and 56% had prediabetes. The OSA group showed increased TG (CG: 90.0 ± 51.9 vs. OSA: 140.3 ± 78.2 mg/dL, P = 0.004), and TG/HDL-c (CG: 1.9 ± 1.4 vs. OSA: 3.1 ± 2.0, P = 0.05), independent of adjustments. Independent of obesity (BMI <30 kg/m2), there was a negative correlation between total cholesterol and TG with mean oxygen saturation, independent of obesity (BMI <30 kg/m2). CONCLUSIONS: Our findings showed dysregulation in lipid profiles after adjustments for confounders in the mild OSA group, and there was a correlation between these parameters and sleep hypoxemia. The TG/HDL-c ratio in particular was high, suggesting that it might be investigated as a marker of a detrimental metabolic profile in these patients.