999 resultados para leg problems


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Two experiments were carried out at the Poultry Sector of the School of Agrarian Sciences of the Federal University of Grande Dourados to evaluate the incidence of leg problems in broilers reared on two distinct types of bedding material: rice husks or wood shavings, both new and reused. In both trials, a randomized experimental design was applied in factorial arrangement (2 x 2 x 2) using two genetic strains (Cobb® or Ross®); two sexes (male or female), and two litter materials (rice husks or wood shavings). In each trial 1080 one day pullets were reared equally divided in the treatments. The birds were placed in 4.5 m² boxes at a density of 10 birds m-2. All birds were fed diets with equal nutritional density, and water was offered ad libitum. Feeds were divided in three phases: starter diet (1 - 21 days), grower diet (22 - 35 days), and finisher diet (36 - 45 days). on day 45, fifty birds were randomly selected in each experiment to evaluate flock leg problems. The following parameters were analyzed: gait score, incidence of valgus and varus disorder, footpad dermatitis, femoral degeneration, tibial dyschondroplasia, and spondylolisthesis. Ambient temperature during rearing and litter caking and moisture content were recorded in four boxes per treatment. The analytical hierarchy process was used to organize the data into specific criteria. Several criteria, related to the attributes that were determinant according to the statistical analysis, were chosen in order to provide the best input to the process. Results indicated that new wood-shavings bedding was the most appropriate bedding to prevent locomotion problems, followed by new rice husks, reused wood shavings, and reused rice husks. However, when leg problems were associated to sex and genetic strain, male Ross birds strain presented less problems when reared on new rice husks, followed by new wood shavings

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Este experimento foi realizado para avaliar os efeitos do uso de milho de baixa qualidade nutricional, infestado por insetos ou fungos, sobre o desempenho de frangos de corte em rações para a fase inicial. Um total de 400 pintos não-sexados da linhagem Ross foi distribuído em delineamento inteiramente casualizado com cinco tratamentos e quatro repetições, de acordo com a qualidade dos grãos de milho usado nas rações iniciais (1 a 28 dias). O milho não-infestado foi usado na ração testemunha, e substituido com níveis de 20 ou 40% de grãos de milho infestados por insetos e por 20 ou 40% de grãos de milho infestados por fungos. Ganho de peso, consumo de ração e conversão alimentar, no período de 1 a 28 e 29 a 49 dias e no período total, não foram influenciados pelos tratamentos. As relações entre o peso dos órgãos e o peso corporal foram crescentes para fígado e bursa of Fabricius, à medida que o milho com níveis de infestação por insetos ou fungos aumentaram, principalmente para a fúngica. À necropsia realizada aos 29 e 51 dias de idade dos frangos, identificou-se o aumento da freqüência de problemas de pernas e lesões hepáticas nos tratamentos que continham milho infestado com insetos ou fungos em sua composição. Os níveis de infestação por insetos ou fungos usados não influíram no desempenho dos frangos, porém podem contribuir para aumentar a incidência de problemas metabólicos, fatores que não se refletem no desempenho do frango de corte, mas que aumentam as taxas de condenação de carcaça.

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In tropical poultry-producing countries, poultry houses usually have little environmental control. This study investigated the effect of dietary vitamin D on the incidence of leg abnormalities of a fast-growing broiler strain reared under harsh conditions. In this study, 300 one-day-old male broilers were distributed in two treatments with three replicates of 50 birds each. One group was fed a placebo and the other group was fed 25-hydroxycholecalciferol (25-OH-D3) in a soluble form. The environmental variables were weekly recorded during until birds were 49 days old. Birds were weekly gait scored, and their walking speed and vertical force while walking were assessed. Post-mortem examination was performed and skeletal lesions were assessed. Control birds presented more leg problems than those that ingested 25-OH-D3. These results suggest that dietary vitamin D is effective in decreasing the severity of lameness by reducing tibial dyschondroplasia and other leg abnormalities.

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Pós-graduação em Zootecnia - FCAV

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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Aims To identify self-care activities undertaken and determine relationships between self-efficacy, depression, quality of life, social support and adherence to compression therapy in a sample of patients with chronic venous insufficiency. Background Up to 70% of venous leg ulcers recur after healing. Compression hosiery is a primary strategy to prevent recurrence, however, problems with adherence to this strategy are well documented and an improved understanding of how psychosocial factors influence patients with chronic venous insufficiency will help guide effective preventive strategies. Design Cross-sectional survey and retrospective medical record review. Method All patients previously diagnosed with a venous leg ulcer which healed between 12–36 months prior to the study were invited to participate. Data on health, psychosocial variables and self-care activities were obtained from a self-report survey and data on medical and previous ulcer history were obtained from medical records. Multiple linear regression modelling was used to determine the independent influences of psychosocial factors on adherence to compression therapy. Results In a sample of 122 participants, the most frequently identified self-care activities were application of topical skin treatments, wearing compression hosiery and covering legs to prevent trauma. Compression hosiery was worn for a median of 4 days/week (range 0–7). After adjustment for all variables and potential confounders in a multivariable regression model, wearing compression hosiery was found to be significantly positively associated with participants’ knowledge of the cause of their condition (p=0.002), higher self-efficacy scores (p=0.026) and lower depression scores (p=0.009). Conclusion In this sample, depression, self-efficacy and knowledge were found to be significantly related to adherence to compression therapy. Relevance to clinical practice These findings support the need to screen for and treat depression in this population. In addition, strategies to improve patient knowledge and self-efficacy may positively influence adherence to compression therapy.

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Background and Significance Venous leg ulcers are a significant cause of chronic ill-health for 1–3% of those aged over 60 years, increasing in incidence with age. The condition is difficult and costly to heal, consuming 1–2.5% of total health budgets in developed countries and up to 50% of community nursing time. Unfortunately after healing, there is a recurrence rate of 60 to 70%, frequently within the first 12 months after heaing. Although some risk factors associated with higher recurrence rates have been identified (e.g. prolonged ulcer duration, deep vein thrombosis), in general there is limited evidence on treatments to effectively prevent recurrence. Patients are generally advised to undertake activities which aim to improve the impaired venous return (e.g. compression therapy, leg elevation, exercise). However, only compression therapy has some evidence to support its effectiveness in prevention and problems with adherence to this strategy are well documented. Aim The aim of this research was to identify factors associated with recurrence by determining relationships between recurrence and demographic factors, health, physical activity, psychosocial factors and self-care activities to prevent recurrence. Methods Two studies were undertaken: a retrospective study of participants diagnosed with a venous leg ulcer which healed 12 to 36 months prior to the study (n=122); and a prospective longitudinal study of participants recruited as their ulcer healed and data collected for 12 months following healing (n=80). Data were collected from medical records on demographics, medical history and ulcer history and treatments; and from self-report questionnaires on physical activity, nutrition, psychosocial measures, ulcer history, compression and other self-care activities. Follow-up data for the prospective study were collected every three months for 12 months after healing. For the retrospective study, a logistic regression model determined the independent influences of variables on recurrence. For the prospective study, median time to recurrence was calculated using the Kaplan-Meier method and a Cox proportional-hazards regression model was used to adjust for potential confounders and determine effects of preventive strategies and psychosocial factors on recurrence. Results In total, 68% of participants in the retrospective study and 44% of participants in the prospective study suffered a recurrence. After mutual adjustment for all variables in multivariable regression models, leg elevation, compression therapy, self efficacy and physical activity were found to be consistently related to recurrence in both studies. In the retrospective study, leg elevation, wearing Class 2 or 3 compression hosiery, the level of physical activity, cardiac disease and self efficacy scores remained significantly associated (p<0.05) with recurrence. The model was significant (p <0.001); with a R2 equivalent of 0.62. Examination of relationships between psychosocial factors and adherence to wearing compression hosiery found wearing compression hosiery was significantly positively associated with participants’ knowledge of the cause of their condition (p=0.002), higher self-efficacy scores (p=0.026) and lower depression scores (p=0.009). Analysis of data from the prospective study found there were 35 recurrences (44%) in the 12 months following healing and median time to recurrence was 27 weeks. After adjustment for potential confounders, a Cox proportional hazards regression model found that at least an hour/day of leg elevation, six or more days/week in Class 2 (20–25mmHg) or 3 (30–40mmHg) compression hosiery, higher social support scale scores and higher General Self-Efficacy scores remained significantly associated (p<0.05) with a lower risk of recurrence, while male gender and a history of DVT remained significant risk factors for recurrence. Overall the model was significant (p <0.001); with an R2 equivalent 0.72. Conclusions The high rates of recurrence found in the studies highlight the urgent need for further information in this area to support development of effective strategies for prevention. Overall, results indicate leg elevation, physical activity, compression hosiery and strategies to improve self-efficacy are likely to prevent recurrence. In addition, optimal management of depression and strategies to improve patient knowledge and self-efficacy may positively influence adherence to compression therapy. This research provides important information for development of strategies to prevent recurrence of venous leg ulcers, with the potential to improve health and decrease health care costs in this population.

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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During Ocean Drilling Program Leg 171B, an Aptian to Turonian sedimentary succession yielding exceptionally well-preserved planktonic foraminiferal faunas was recovered at Sites 1049, 1050, and 1052. Most of the standard Tethyan planktonic foraminiferal zones have been recognized within the mid-Cretaceous section, with the exception of two Albian zones not reached by any of the drilled holes. In addition, some emphasis is brought here on the current problems concerning the definition of the Aptian/Albian and Albian/Cenomanian boundaries.

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Seven sites drilled in the central New Hebrides Island Arc during Ocean Drilling Program Leg 134 yielded varying quantities of upper Eocene through Pleistocene calcareous nannofossils. Most of the Miocene and Pliocene strata were absent from Sites 827-831 drilled along the collisional boundary between the Australia and Pacific plates where the North d'Entrecasteaux Ridge and Bougainville Guyot are being subducted. Sites 832 and 833, drilled in the intra-arc North Aoba Basin, contained upper Miocene through Pleistocene and early Pliocene through Pleistocene nannofossils, respectively. Detailed range charts displaying species abundances and age interpretations are presented for all of the sites. Despite problems of reworked assemblages, poor preservation, overgrowths and/or dilution from volcaniclastics, the nannofossil biostratigraphy delineates several repeated sections at Site 829 in the accretionary prism adjacent to Espiritu Santo Island. Paleogene pelagic sediments equivalent to those in a reference section at Site 828 appear to have been scraped from the downgoing North d'Entrecasteaux Ridge and accreted onto the forearc during the Pleistocene. Other sediments in the forearc include Pleistocene olistostromal trench-fill deposits containing clasts of various ages and compositions. Some of the clasts and olistoliths have affinities to rocks exposed on the neighboring islands and environs, whereas others are of uncertain origin. The matrix of the olistostromes is predominately Pleistocene, however, matrices of mixed nannofossil ages are frequently encountered. Comparisons of the mixed nannofossil ages in the matrices with sedimentological and structural data suggest that sediment mixing resulting from fault movement is subordinate to that occurring during deposition.

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Whole-core magnetic susceptibility measurements define a detailed stratigraphy that enables correlation between the various Pleistocene, Pliocene, and upper Miocene sections cored on ODP Leg 110, near the Tiburon Rise. The magnetic susceptibility in these sections is primarily related to the content of volcanic ash, rich in titanomagnetite, and also inversely related to calcium carbonate content. The high resolution of the susceptibility record enables correlations with a resolution of about 0.3 m of sediment thickness, and the identification of minor faults not definable by biostratigraphic means. Reverse and normal faults identified in Hole 672A are probably a result of normal oceanic sediment dewatering and compaction processes. This work indicates some of the problems of using visible ash layers as time-stratigraphic markers.

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Ocean Drilling Program Leg 115 was designed to study Neogene sedimentation history in the western Indian Ocean Basin as well as the Cenozoic evolution of the Reunion hotspot. We describe the paleomagnetic analysis of the sediments recovered on this leg, focusing on the sites that provided the most readily interpretable data: Sites 706, 709, 710, and 711. Sediments from Site 706 show no reversals but appear to give a reliable reversed polarity primary direction, judged on the basis of the demagnetization behavior of individual samples as well as from the results of a fold test formulated by comparing the two holes drilled at this site. Magnetic polarity stratigraphy in sediments from Site 709 can be deduced in two limited sections of Pliocene-Pleistocene and Oligocene-Miocene age. Sediments recovered at Site 710 (and, to a lesser extent, Site 711) render a relatively continuous magnetic polarity stratigraphy that spans most of the Neogene and adds significantly to the body of data available to address problems in Miocene geochronology. In addition to these magnetostratigraphic results, the paleomagnetism of these sediments can be used to determine paleolatitude. Using the most reliable inclination measurements from Sites 706, 710, and 711, we compared paleomagnetic estimates of paleolatitude with estimates derived from a hotspot-based absolute plate motion model. Our data, which covers the interval since 33 Ma, shows that paleolatitudes calculated with the geocentric axial dipole assumption are in general accord with the hotspot predictions. However, a correction for the long-term nondipole field brings the paleomagnetic results into even better agreement with plate motions that are based on the fixity of African hotspots.