Influence of feeding some common browse trees leaves hay on blood parameters of Yankasa lambs

2021 ◽  
Vol 47 (6) ◽  
pp. 135-140
Author(s):  
A. Mohammed ◽  
S. H. Nuhu ◽  
S. Umar ◽  
A. M. Umar
Keyword(s):  
Statistical Analysis ◽  
Blood Sample ◽  
Total Protein ◽  
Room Temperature ◽  
Blood Parameters ◽  
Feeding Trial ◽  
Analyse Statistique ◽  
Significant Difference ◽  
Khaya Senegalensis ◽  
The Common

The study was conducted to investigate the influence of feeding some of the common browse trees leaves in Bauchi state on haematological and biochemical parameters of Yankasa lambs. Fourty lambs were allotted to eight different browse trees namely: Maje (Daniella oliver), Madaci (Khaya senegalensis), Marke (Anogesisessus leicarpus), Baure (Ficus syncomorus), Kuka (Adansonia gigitata), Magarya (Zizaphus Mauritania), Taura (Detarium macrocarpum) and Baushe (Terminalia glaucescens), as treatments with five replications in each case. The feeding trial lasted for seventy days. Ten milligrams (10mls) of Blood sample was collected from each animal at the end of the feeding trial. The samples were collected via Jugular vein early in the morning. About 3mls of each blood sample was placed in EDTA (anticoagulant) bottle for haematological studies. The haematological values obtained from lab were subjected to statistical analysis. The remaining 7mls was placed in universal bottle and allowed to stand at room temperature and centrifuged for 15 minutes. The serum was separated and store in a freezer for chemical analysis. The hematological values obtained from lab were subjected to statistical analysis. Results indicated Taura had significantly higher (p<0.05) PCV (40.70 %) and MCV (64.60 pl), Magarya Hb (13.66 g/dl) and RBC (8.48 X1012 ) Maje MCH (19.24 pg) values. Baure and Maje were higher (p<0.05) with statistically the same values of 7.22, respectively in RBC. WBC was highest in Marke leaves (10.5 X109) while Maje recorded significantly highest (p<0.05) MCHC value of 37.74 g/dl. Blood serum showed that there was no significant difference (p>0.05) in Urea concentration across all the treatments. Animals fed Madaci recorded the highest Total protein value of 7.4 g/l. Conclusively, Madaci had the highest PCV, Hb and MCH and total protein but, no significant difference in urea across the treatments   L'étude a été menée pour étudier l'influence de l'alimentation de certaines des feuilles d'arbres de 'browse' dans l'état de Bauchi sur les paramètres hématologiques et biochimiques des agneaux Yankasa. Quarante agneaux ont été attribués à huit arbres de browse différents, à savoir : Maje (Daniella oliver), Madaci (Khaya senegalensis), Marke (Anogesisessus leicarpus), Baure (Ficus syncomorus), Kuka (Adansoni agigitata), Magarya (Zizaphus Mauritania), Taura (Detarium macrocarpum) et Baushe (Terminalia glaucescens), en tant que traitements avec cinq répétitions dans chaque cas. L'essai d'alimentation a duré soixante-dix jours. Dix milligrammes (10 ml) d'échantillon de sang ont été prélevés sur chaque animal à la fin de l'essai d'alimentation. Les échantillons ont été prélevés par veine jugulaire tôt le matin. Environ 3 ml de chaque échantillon de sang ont été placés dans un flacon 'EDTA' (anticoagulant) pour les études hématologiques. Les valeurs hématologiques obtenues en laboratoire ont été soumises à une analyse statistique. Les 7 ml restants ont été placés dans une bouteille universelle et laissés au repos à température ambiante et centrifugés pendant 15 minutes. Le sérum a été séparé et stocké dans un congélateur pour l'analyse chimique. Les valeurs hématologiques obtenues en laboratoire ont été soumises à une analyse statistique. Les résultats ont indiqué que Taura avait des valeurs significativement plus élevées (p <0,05) le 'PCV' (40,70%) et le'MCV' (64,60 pl), Magarya Hb (13,66 g / dl) et le 'RBC' (8,48 X1012) Maje MCH (19,24 pg). Baure et Maje étaient plus élevées (p <0,05) avec statistiquement les mêmes valeurs de 7,22, respectivement en RBC. Le WBC était le plus élevé dans les feuilles de Marke (10,5 X109) tandis que Maje a enregistré la valeur ''MCHC significativement la plus élevée (p <0,05) de 37,74 g / dl. Le sérum sanguin a montré qu'il n'y avait pas de différence significative (p> 0,05) dans la concentration d'urée dans tous les traitements. Les animaux nourris au Madaci ont enregistré la valeur protéique totale la plus élevée de 7,4 g / l. En conclusion, Madaci avait les plus hauts 'PCV', 'Hb', 'MCH' et protéines totales, mais aucune différence significative d'urée entre les traitements.

scholarly journals Analyzing ethanol accumulation in different kombucha tea brands during storage

2020 ◽  
Author(s):  
James Chhay ◽  
BCIT School of Health Sciences, Environmental Health ◽  
Dale Chen ◽  
Hsin Kuo
Keyword(s):  
Statistical Analysis ◽  
Room Temperature ◽  
Ethanol Concentration ◽  
Health Benefits ◽  
Storage Conditions ◽  
The Body ◽  
Room Temperature Storage ◽  
Kombucha Tea ◽  
Significant Difference ◽  
Temperature Storage

  Background Kombucha tea is a fermented tea beverage that is mainly consumed for its associated-health benefits. These associated-health benefits may range from detoxifying the body to cancer treating. However, there is little to no scientific evidence that suggests that they work on humans. Similarly, kombucha tea is also prone to post-fermentation. This presents possible ethanol production and accumulation within the tea after packaging which can pose a possible health risk to susceptible population if not properly labelled or controlled. This study will investigate if there is any post-ethanol accumulation in commercially produced kombucha tea products under various storage conditions. Methods The ethanol concentration of 3 different kombucha tea brands (i.e.: Pure+, Health-Ade, and RISE) at various storage conditions (i.e.: no storage, refrigeration, and room temperature) were analyzed using GC-FID to determine post-ethanol accumulation. In addition, NCSS software was used to conduct a statistical analysis on the data to determine whether the 3 different kombucha tea brands exceeded the ethanol regulatory limit and whether the ethanol accumulation was dependent on storage temperatures. Results The mean ethanol concentration for Pure+, Health-Ade, and RISE after refrigeration for 3 weeks were 0.722%, 0.696%, and 0.050% relatively which all showed a slight decrease in ethanol compared to their baseline ethanol levels (i.e.: no storage). Similarly, Pure+, Health-Ade, and RISE mean ethanol concentration after room temperature storage were 1.766%, 1.285%, and 0.794% relatively which indicates ethanol accumulation. Statistical analysis showed that there is a significant difference between room temperature storage and the other 2 storage conditions (i.e.: no storage and refrigeration). Also, only Pure+ and Health-Ade under room temperature storage showed a statistically significant mean ethanol concentration above the regulatory limit. Conclusion Results suggests that room temperature storage of Pure+, Health-Ade, and RISE for 3 weeks increased the ethanol levels significantly while refrigerating them will decrease the ethanol levels slightly which can minimize any potential post-fermentation process from happening. Furthermore, only Pure+ and Health-Ade under room temperature storage for 3 weeks were over the 1% ABV regulatory limit. Lastly, the data obtained from this study can be used to develop guidelines and policies in regulating kombucha tea manufacturers and in educating the public and other regulatory agencies on the matter.  

scholarly journals Feed intake, rumen metabolite and some blood parameters of yearling Bunaji bulls fed graded levels of palm kernel cake

2021 ◽  
Vol 48 (5) ◽  
pp. 311-327
Author(s):  
R. T. Sani ◽  
H. O. Okin-Aminu ◽  
W. Idowu ◽  
N. P. Achi ◽  
S. A. Ahmed ◽  
...  
Keyword(s):  
Feed Intake ◽  
Biochemical Parameters ◽  
Palm Kernel ◽  
Blood Parameters ◽  
Housing System ◽  
Average Weight ◽  
Palm Kernel Cake ◽  
Feeding Trial ◽  
Post Feeding ◽  
Significant Difference

The need to observe the changes taking place in the animal's body in response to external factors such as nutrition, housing system and microclimate as it affects intake, rumen metabolite, haematological and biochemical parameters cannot be over-emphasized. Against this background, a study was conducted to evaluate the effect of feeding diets containing graded levels of Palm Kernel Cake (PKC) on feed intake, rumen metabolites, haematological and biochemical characteristics of yearling Bunaji bulls. Twenty yearling Bunaji bulls with average weight of 130kg and aged 1-1.5 years were balanced for weight and allotted to five dietary treatments with four bulls per treatment in Completely Randomized Design. They were individually penned and fed diets containing graded levels of PKC at (0, 10, 20, 30 and 40%) and Digitaria smutsii (Wholly finger grass) hay at 4% body weight (2% concentrate and 2% hay). The feeding trial lasted for 90 days. Blood samples were collected at the beginning, middle and end of the feeding trial to determine some haematological and biochemical changes. Rumen fluid were collected at 0, 3, 6 and 9hrs intervals to determine the rumen pH, rumen ammonia nitrogen(RAN) and rumen total volatile fatty acids(TVFA) for the yearling bulls. The CP contents of the experimental diets varied between 14.19 and 17.75% while ME ranged from 11.79 to11.81MJ/kg DM. The crude fibre varied from 26.36-38.77%. Average feed intake ranged between 5.38-5.61Kg/day with animals on 10%, 20% and 40% PKC being statistically similar (P>0.05).Rumen parameters were significantly (P<0.05) affected by sampling time, such that at 0hrRumen pH was highest (7.08) and lowest at 3hrs post feeding(6.66),RAN value was similar at 0hr pre feeding (10.44 mg/100mL) and 3hr post feeding (9.93 mg/100mL) but differ at 6hr (8.25 mg/100ml) and 9hrs post feeding (8.34mg/100mL).There was significant difference (P< 0.05) among treatments for all the haematogical and biochemical parameters measured. Highest urea value was obtained at 0% PKC inclusion, animals on diets containing 20,30 and 40%PKC were statistically similar (P>0.05), Total protein ranged from 70.83 - 78.92 g/l and highest value was obtained at 30% PKC inclusion, animals on diets containing 10% and 20%PKC were statistically similar (P>0.05) but differ from 40%. The study concluded that up to 40% inclusion level of PKC could be added to the diets of yearling Bunaji bulls with no adverse effect on their feed intake, rumen metabolite and some of their blood parameters.     La nécessité d'observer les changements qui se déroulent dans le corps de l'animal en réponse à des facteurs externes tels que la nutrition, le système de logement et le microclimat, car il affecte l'apport, le métabolite du rumen, les paramètres hématologiques et biochimiques ne peuvent pas être surestimés. Dans ce contexte, une étude a été menée pour évaluer l'effet de l'alimentation des régimes alimentaires contenant des niveaux classés de gâteau au noyau de palmier (GNP) sur l'apport alimentaire, les métabolites rumen, les caractéristiques hématologiques et biochimiques des taureaux de Bunaji d'Annulation. Vingt Bunaji Bunaji avec poids moyen de 130 kg et de 1 à 1,5 ans ont été équilibrés pour poids et alloué à cinq traitements diététiques avec quatre taureaux par traitement dans une conception complètement randomisée. Ils ont été individuellement engagés et nourris à des régimes alimentaires contenant des niveaux classés de GNP à (0, 10, 20, 30 et 40%) et digitariasmutsii (à 100% de l'herbe à doigts) à 4% de poids corporel (concentré de 2% et 2% de foin). L'essai d'alimentation a duré 90 jours. Les échantillons de sang ont été collectés au début, au milieu et à la fin de l'essai d'alimentation afin de déterminer des changements hématologiques et biochimiques. Les liquides de rumen ont été recueillis à des intervalles de 0, 3, 6 et 9hrs pour déterminer le pH de rumen, l'azote d'ammoniac rumen (AAR) et les acides gras volatils rumen (AGVV) pour les taureaux yearling. Le contenu du CP des régimes expérimentaux variait entre 14,19 et 17,75%, tandis que je suis allant de 11,79 à 11,81 MMJ / kg DM. La fibre brute variait de 26,36-38,77%. L'admission moyenne d'aliments allait entre 5,38 et 5,61 kg / jour avec des animaux sur 10%, 20% et 40% GNP étant statistiquement similaires (p> 0,05). Rumen Les paramètres étaient significativement (p <0,05) affectés par le temps d'échantillonnage, tel que à 0hr rumen Le pH était le plus élevé (7.08) et le plus bas à 3 heures d'alimentation post (6,66), la valeur de AAR était similaire à 0HR pré-alimentation (10,44 mg / 100 ml) et 3hrs post-alimentation (9,93 mg / 100 ml) mais diffèrent à 6h (8,25 mg / 100 mg). et 9 heures après l'alimentation (8h34 mg / 100 ml) était une différence significative (p <0,05) parmi les traitements pour tous les paramètres hématogiques et biochimiques mesurés. La valeur la plus élevée de l'urée a été obtenue à 0% d'inclusion de GNP, les animaux sur les régimes contenant 20,30 et 40% de GNP étaient statistiquement similaires (p> 0,05), une protéine totale allait de 70,83 - 78,92 g / l et une valeur la plus élevée a été obtenue à 30% de GNP. L'inclusion, les animaux sur les régimes contenant 10% et 20% de GNPétaient statistiquement similaires (p> 0,05) mais diffèrent de 40%. L'étude a conclu que jusqu'à 40% de niveau d'inclusion de GNP pouvait être ajouté au régime alimentaire des taureaux de la Bunaji qui n'y a pas d'effet défavorable sur leur consommation d'alimentation, le métabolite du rumen et certains de leurs paramètres de sang.

scholarly journals Haematology and Serum Biomakers of Broiler Birds Fed Graded Levels of Clove (Sygzium aromaticum (L.) Buds Meal in Semi Arid Nigeria

2021 ◽  
pp. 23-29
Author(s):  
H. B. Usman ◽  
K. M. Aljameel ◽  
M. M. Mika’ilu ◽  
S. A. Maigandi ◽  
A. Z. Sanusi ◽  
...  
Keyword(s):  
Adverse Effect ◽  
Total Protein ◽  
Hdl Cholesterol ◽  
Blood Collection ◽  
Feeding Trial ◽  
Randomized Design ◽  
Significant Difference ◽  
Serum Biochemical ◽  
Completely Randomized Design ◽  
Semi Arid

The study investigated the effect of graded levels of cloves bud powder on broiler birds. The study was conducted using a total of 288 broiler birds in a Completely Randomized Design Four treatments; four experimental diets where formulated and designated as T1 (control), T2 (0.5kg/100kg), T3 (1Kg/100kg) and T4 (1.5kg/100Kg). At the end of the feeding trial (eighth week), fifteen birds (5 per replicate) from each treatment group were randomly selected for blood collection. About 2ml of blood were collected per bird. Birds in treatment 4 (1.5kg/100kg) had the highest (P<0.05) concentration of haemoglobin and PCV compared to treatment 1 (control) and 3 (1kg/100kg). Significant difference (P<0.05) was observed in albumin, globulin, total protein, HDL, cholesterol, urea, AST and ALT. The result shows that birds fed 1.5/100kg clove buds meal have higher albumin, globulin and total protein. The study conclude that inclusion of clove buds meal up to 1.5/100kg in diet of broiler birds without adverse effect  as in indicated by haematological and serum biochemical of the birds in this study.

scholarly journals The utilization of rapeseed expeller for carp (Cyprinus carpio) diets

2013 ◽  
Vol 61 (5) ◽  
pp. 1289-1295
Author(s):  
Vladimír Kukačka ◽  
Jiří Jirásek ◽  
Radovan Kopp ◽  
Jan Mareš
Keyword(s):  
Cyprinus Carpio ◽  
Natural Food ◽  
Feeding Trial ◽  
Body Width ◽  
Significant Difference ◽  
Recirculation System ◽  
Carp Cyprinus Carpio ◽  
Production Effectiveness ◽  
The Common ◽  
Biochemical Indices

Production effectiveness of rapeseed stamping in the common carp fodder was attested in the controlled conditions of recirculation system with the absence of natural food. 4 isonitrogenous (31.5% NS) and isoenergetic (17.3 MJ GE.kg−1, resp. 13.5 MJ DE.kg−1) diet with different (35 and 40%) unmodified (URS) and technologically modified (MRS) rapeseed expeller ratio were tested. During the sixty-day feeding trial, beneficial production effect of diet with modified stamping was proved. Diet MRS fish were characterized by significantly (P < 0.05) faster length growth. In comparison with fry of MRS variant, they have reached highly significantly (P < 0.01) the higher values of broad – backedness index and significantly (P < 0.05) higher values of body width. Significant values were not detected by individual weight and HSI. Except the haematocrit value, there were no hematologic and biochemical indices influenced by feed type. Higher content of fat in the URS was shown at fish variant URS/40 by higher fat deposition in hepatopancreas (averagely 30.31%), without statistically significant difference compared to other variants.

scholarly journals Effect of Prepartum Supplementation of Yeast Culture (Saccharomyces Cerevisiae) on Biochemical Parameters of Dairy Cows and Their Newborn Calves

2014 ◽  
Vol 62 (5) ◽  
pp. 897-904
Author(s):  
Martina Fröhdeová ◽  
Veronika Mlejnková ◽  
Kateřina Lukešová ◽  
Petr Doležal
Keyword(s):  
Saccharomyces Cerevisiae ◽  
Blood Sample ◽  
Age Groups ◽  
Cattle Breed ◽  
Blood Parameters ◽  
Control Group ◽  
Gamma Glutamyl Transferase ◽  
Yeast Culture ◽  
Significant Difference ◽  
Glutamyl Transferase

The aim of our experiment was to compare the effect of different levels of the addition ofSaccharomyces cerevisiae (S. c.)yeast culture on feed carrier to the current ration MK DOJ Levucell SC 20, Saccharomyces cerevisiae CNCM I-1077 (E 1711) 20.1010CFU on the blood parameters of high-pregnant breeding cows and their calves. The experiment included 42 breeding cows of the Czech Fleckvieh cattle breed and their calves. The breeding cows were divided into two age groups, each of 21 heads. The first group included heifers and the second group consisted of cows on the 2ndand higher lactation. Each age group had 7 control animals (Heifers/Cows – control), 7 animals receiving 50 g of yeast culture on the feed carrier per head and day (Heifers/Cows – 50 g), and 7 animals receiving 150 g of yeast culture on the feed carrier per head and day (Heifers/Cows – 150 g). Blood of the animals was sampled three times during the experiment – two times in the cows and one time in their calves. The first blood sample was taken from the breeding cows before the start of feeding the yeast culture ca. 23 days before the expected parturition (Cow −23). The second blood sample was taken from the breeding cows within 24 hours after birth (Cow +2) and the third blood sample was taken from the calves on the 3rd–4thday after birth (Calf +4). Parameters ascertained in the processed serum were: immunoglobulines G (IgG), crude protein (CP), gamma glutamyl-transferase (GGT), urea, glutamate-pyruvate-transaminase (GPT) and glutamate-oxaloacetate-transaminase (GOT). Results of our experiment, which lasted from 16.3 to 28.6 (105 days) showed IgG in the serum of cows on the 2ndand higher lactation in the control group (3.8 ± 1.48 mg/ml) was statistically significantly lower (P < 0.05) in the blood sample Cow +2 than in the serum of cows in the 2ndand higher lactation fed with the lower concentration ofSaccharomyces cerevisiaeat the same sampling (15.9 ± 11.41 mg/ml). This correlates also with the fact that the content of IgG antibodies in the serum of calves after the cows on the 2ndand higher lactation in the control group (3.9 ± 2.06 mg/ml) was statistically significantly (P < 0.05) lower than that of calves after the cows on the 2ndand higher lactation with the lower concentration ofSaccharomyces cerevisiae(14.6 ± 8.67 mg/ ml).As to the higher addition, no statistically significant difference of the effect on the IgG content was recorded (P < 0.05).

scholarly journals The Effect of Photoperiod on Milk Production, Its Components and Some Blood Parameters in Improved Awassi ewes

2018 ◽  
Vol 7 (1) ◽  
pp. 87-95
Author(s):  
S. A. Taha ◽  
Natik H. AL-Kuds ◽  
N. Y. Aboo ◽  
M. N. Abdullah
Keyword(s):  
Blood Sample ◽  
Milk Production ◽  
Milk Yield ◽  
Total Protein ◽  
Dark Period ◽  
Blood Parameters ◽  
Light Period ◽  
Milk Component ◽  
Animal Farm ◽  
Effect Of Light

This study is carried out to investigate the effect of the light period on milk yield and its components as well as on some blood parameters, in Alrashiedia Animal Farm, Directorate of Agricultural Researches, Ministry of Agriculture on 24 improved Awassi ewes in 2nd and 3rd lactation from 20/11/2011 to 29/1/2012. The ewes are randomly divided into 3 groups; 1st group is 24h:0  h. (light : dark) exposed to light period,  the2nd  8h:16 h. of light period , while 3rd group 16h:8 h.. All ewes allocated on the same concentrate and roughages ration  in addition to 5 kg / hd / day green alfalfa. Milk yield is recorded every 10 days after separation of suckling lambs from their mothers for 12 hours (9 pm to 9 am). Blood sample are taken three time (at the begging , Middle and end of the study) to calculate : total protein, albumin, globulins, cholesterol, and triglyceride. The results show that there is no significant effect of light period on milk production, the total amount of milk through the recorded periods for the three group are 10652.0,10021.0 and 11986.78gm/hd .There is no significant effect on the  milk component. The  blood parameters are not affected by the light :dark change . It can be concluded that the change in the light :dark  period does not alter milk yield and some blood parameters in this study.

scholarly journals Assessment of the Health Behaviours and Value-Based Health Analysis of People Aged 50+ Who Were Hospitalized Due to Cardiovascular Disease

2021 ◽  
Vol 18 (8) ◽  
pp. 4221
Author(s):  
Izabela Gąska ◽  
Katarzyna Sygit ◽  
Elżbieta Cipora ◽  
Marian Sygit ◽  
Anna Pacian ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Statistical Analysis ◽  
Eating Habits ◽  
Health Behaviours ◽  
Public Health Care ◽  
Health Practices ◽  
Body Parts ◽  
Significant Difference ◽  
Health Care Unit ◽  
Student’S T

Introduction: The basic determinant of healthy behaviour—among other human behaviours—is the fact that it consistently affects health. Nowadays, health behaviour studies are considered to be an important method of measuring the health of a population. Objective: To assess the health behaviours and value-based health analysis of people aged 50+ who were hospitalized due to cardiovascular disease, depending on the selected descriptive variables. Materials and methods: The study was conducted between April 2018 and December 2018 among 411 subjects aged 50+ who were hospitalized due to cardiovascular disease at the Independent Public Health Care Unit in Sanok (Podkarpackie voivodship in Poland). The method used in the study was a diagnostic survey. The study used the authors’ survey questionnaire and two standardized tests: Inventory of Health-Related Behaviour (IHB) and List of Health Criteria (LHC). A statistical analysis was carried out in the R program, version 3.5.1. The obtained results were subjected to thorough statistical analysis using the following tests: Student’s t, Mann–Whitney U, ANOVA, Kruskal–Wallis, Fisher’s Least Significant Difference (LSD), Pearson, and Spearman. Results: The strongest correlation between health status and health behaviours (according to the IHB questionnaire) was in the area of ‘health practices’, while the lowest correlation was found in the areas of ‘correct eating habits’ and ‘preventive behaviours’. Based on the LHC questionnaire, the most important health criteria according to the subjects were ‘not feeling any physical ailments’; ‘having all body parts functional’; ‘feeling well’; ‘eating properly’; and ‘infrequent need of going to the doctor’. A positive correlation was found in the group of respondents where the ‘preventive health behaviours’ were more intense; herein, the more important criterion for the respondents was ‘eating properly’. Conclusions: Respondents aged 50+ and hospitalized for cardiovascular diseases indicated (based on the IHB questionnaire) that health behaviours in the area of ‘health practices’ had the strongest correlation with their health, while the lowest correlation was found in the areas of ‘correct eating habits’ and ‘preventive behaviours’. According to the respondents, the most important criteria determining health (according to the LHC questionnaire) included ’not feeling any physical ailments’; ‘having all body parts functional’; ‘feeling well’; ‘eating properly’; and ‘infrequent need of going to the doctor’. Based on the information collected from the respondents, it was found that the most important criteria determining health depended on selected descriptive variables, such as age, gender, place of residence, education, and marital status.

Comparative Analysis of Patients with Robotic Hiatal Hernia Repairs with and without Collis Gastroplasty

2021 ◽  
pp. 000313482198905
Author(s):  
John A. Perrone ◽  
Stephanie Yee ◽  
Manrique Guerrero ◽  
Antai Wang ◽  
Brian Hanley ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Statistical Analysis ◽  
Hospital Stay ◽  
Hiatal Hernia ◽  
Collis Gastroplasty ◽  
Significant Difference ◽  
Related Quality

Introduction After extensive mediastinal dissection fails to achieve adequate intra-abdominal esophageal length, a Collis gastroplasty(CG) is recommended to decrease axial tension and reduce hiatal hernia recurrence. However, concerns exist about staple line leak, and long-term symptoms of heartburn and dysphagia due to the acid-producing neoesophagus which lacks peristaltic activity. This study aimed to assess long-term satisfaction and GERD-related quality of life after robotic fundoplication with CG (wedge fundectomy technique) and to compare outcomes to patients who underwent fundoplication without CG. Outcomes studied included patient satisfaction, resumption of proton pump inhibitors (PPI), length of surgery (LOS), hospital stay, and reintervention. Methods This was a single-center retrospective analysis of patients from January 2017 through December 2018 undergoing elective robotic hiatal hernia repair and fundoplication. 61 patients were contacted for follow-up, of which 20 responded. Of those 20 patients, 7 had a CG performed during surgery while 13 did not. There was no significant difference in size and type of hiatal hernias in the 2 groups. These patients agreed to give their feedback via a GERD health-related quality of life (GERD HRQL) questionnaire. Their medical records were reviewed for LOS, length of hospital stay (LOH), and reintervention needed. Statistical analysis was performed using SPSS v 25. Satisfaction and need for PPIs were compared between the treatment and control groups using the chi-square test of independence. Results Statistical analysis showed that satisfaction with outcome and PPI resumption was not significantly different between both groups ( P > .05). There was a significant difference in the average ranks between the 2 groups for the question on postoperative dysphagia on the follow-up GERD HRQL questionnaire, with the group with CG reporting no dysphagia. There were no significant differences in the average ranks between the 2 groups for the remaining 15 questions ( P > .05). The median LOS was longer in patients who had a CG compared to patients who did not (250 vs. 148 min) ( P = .01). The LOH stay was not significantly different ( P > .05) with a median length of stay of 2 days observed in both groups. There were no leaks in the Collis group and no reoperations, conversions, or blood transfusions needed in either group. Conclusion Collis gastroplasty is a safe option to utilize for short esophagus noted despite extensive mediastinal mobilization and does not adversely affect the LOH stay, need for reoperation, or patient long-term satisfaction.

scholarly journals Age and Overweight Are Not Contraindications for a Breast Reconstruction with a TMG-Flap—A Risk and Complication Analysis of a Retrospective Double Center Study Including 300 Patients

2021 ◽  
Vol 10 (5) ◽  
pp. 926
Author(s):  
Karl Schwaiger ◽  
Laurenz Weitgasser ◽  
Maximilian Mahrhofer ◽  
Kathrin Bachleitner ◽  
Selim Abed ◽  
...  
Keyword(s):  
Statistical Analysis ◽  
Postoperative Complications ◽  
Breast Reconstruction ◽  
Data Extraction ◽  
Free Flaps ◽  
Risk Groups ◽  
The Elderly ◽  
Demographic Development ◽  
Autologous Breast Reconstruction ◽  
Significant Difference

Introduction: The transverse myocutaneous gracilis (TMG) flap has become a popular and reliable alternative for autologous breast reconstruction. Initially described as a valuable tissue source for women with low body-mass index, indications nowadays have widely expanded. The Western civilization demographic development with its aging population and the steady growing average BMI has led to increasing breast reconstructions with TMG flaps in overweight and aged individuals. Patients and Methods: A total of 300 TMG free flaps for unilateral autologous breast reconstruction were evaluated in the form of a retrospective double center cohort study. Data extraction, study group formation and statistical analysis (One-way analysis of variance (ANOVA), Pearson’s chi-squared statistical analysis and relative risk calculation) were done specifically to evaluate age and BMI as risk factors for postoperative complications and outcome. Results: No significant differences in patients’ age and BMI in the complication groups compared to the no-complication group could be found. No significant difference regarding the occurrence of complications could be found in any of the formed risk-groups. No significant increase of minor-, major- or overall complications, flap loss or revision surgeries were found in the elderly patient groups or for patients with overweight. Conclusion: Age and overweight do not significantly increase the risk for postoperative complications after breast reconstructions with free TMG flaps. The findings of this study support the fact that microsurgical breast reconstruction with a free TMG flap should not solely be reserved for younger patients and females with a lower BMI.

In vivo exploration of brain phosphorus 31 metabolism in patients with senile dementia of Alzheimer type

1994 ◽  
Vol 9 (2) ◽  
pp. 105-109
Author(s):  
G Mecheri ◽  
Y Bissuel ◽  
J Dalery ◽  
JL Terra ◽  
G Balvay ◽  
...  
Keyword(s):  
Statistical Analysis ◽  
Senile Dementia ◽  
Phospholipid Metabolism ◽  
Alzheimer Type ◽  
Dementia Of Alzheimer Type ◽  
Non Invasive ◽  
Significant Difference ◽  
The Brain

SummaryIn vivo NMR 31p spectroscopy is a non invasive, non ionizing method of exploration of energy and phospholipid metabolism in the brain. This study consisted of comparing 31p spectra in five patients with Senile Dementia of Alzheimer Type (SDAT) with those of four controls of similar ages. Abnormal phosphonionocsters (PME) concentrations, either high or low, were found in the patients, but statistical analysis did not elicit any significant difference relative to controls.

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