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  • Mullins posted an update 9 months, 1 week ago

    Acute pulmonary edema is a rare complication in women with preeclampsia especially at advanced maternal age. We aimed to determine the cardiovascular hemodynamics in advanced maternal age women who developed acute pulmonary edema and preeclampsia.

    Retrospective cohort study of women aged over 45years giving birth at single university affiliated tertiary medical center which developed acute pulmonary edema due to severe preeclampsia. Clinical features were identified in order to predict and potentially prevent this severe complication of pregnancy.

    Advanced maternal age women who developed acute pulmonary edema due to preeclampsia.

    Overall, during the study period 90,540 women delivered in our hospital, of them, 540 women (0.6%) above the age of 45years gave birth. Of those, 67 women (12.4%) had preeclampsia in which 4 women (6%) were complicated with acute pulmonary edema. The common clinical relevant characteristics for all four women were preterm delivery by cesarean section for preeclampsia with severe features, non-restrictive fluid management around the time of delivery, post-partum pain control medication with non-steroidal anti-inflammatory drug, blood pressure stabilization with oral labetalol and a sudden hemodynamic deterioration to hypertensive crisis and pulmonary edema between post-operative days 4-9.

    Although the precise trigger for the sudden presentation of acute pulmonary edema remains unknown, we suggest that there is a multi-factorial combination of etiologies that are common to women of advanced maternal age and women with preeclampsia that could have contributed to the development of pulmonary edema.

    Although the precise trigger for the sudden presentation of acute pulmonary edema remains unknown, we suggest that there is a multi-factorial combination of etiologies that are common to women of advanced maternal age and women with preeclampsia that could have contributed to the development of pulmonary edema.Limited information is available on lysine requirement estimates of modern, high-producing gestating sows Therefore, the objective of this study was to evaluate the effects of increasing standardized ileal digestible (SID) lysine during gestation on piglet birthweight and reproductive performance of gilts and sows. A total of 936 females (498 gilts, 438 sows; Camborough®, PIC, Hendersonville, TN) were group-housed (approximately 275 females per pen) and individually fed with electronic sow feeders. Females were moved from the breeding stall to pens on d 4 of gestation and allotted to one of four dietary treatments on d 5. Dietary treatments included increasing SID lysine intake (11.0, 13.5, 16.0, and 18.5 g/d). Gilts (parity 1) and sows (parity 2+) received 2.1 and 2.3 kg (22.2 and 24.3 MJ net energy per day) of feed throughout the entire gestation period, respectively. Dietary treatments were achieved by different blends of low (0.48% SID lysine) and high (0.88% SID lysine) lysine diets, prepared by changingreproductive performance. In conclusion, increasing dietary SID lysine intake in gestation increased female BW, without changing backfat depth. The minimal effects on female reproductive performance and piglet birthweight suggest that 11 g/day of SID lysine intake appears to be adequate for gestating gilts and sows; however, providing sows with 18.5 g/d SID lysine reduced (P = 0.01) stillbirth rate by 2.3 percentage points.Cashew nut meal (CNM) is widely used in tropical countries due to the high protein and energy levels; therefore, it has potential to be an alternative feed supplementation for livestock. Our objective was to evaluate the use of CNM as feed supplement for lambs. Twenty-four lambs were divided into a randomized block design with four treatments, starting with a diet control of Tifton 85 (Cynodon spp.) hay and CNM as a supplement at three different levels representing 6, 12, and 18% of the total mixed ration (TMR) provided. There were evaluated intake (g/day and g/kgBW0.75); the digestibility of DM and nutrients; nitrogen balance; and ingestive behavior. The CP and ether extract (EE) intake (g/day) as well as DM, and organic matter (OM) intake (g/kgBW0.75) were influenced by supplementation with CNM in a positive linear increase (P  less then  0.05). The digestibility of DM, OM and NDF increased according to the levels of CNM up to 12% and markedly decreased at the higher level (P  less then  0.05). The EE and CP digestibility raised according to the CNM levels (P  less then  0.05) and consequently increased the nitrogen retention resulting in a positive nitrogen balance. The protein and energetic characteristics of CNM show that it can be used as an alternative supplementation to low-quality forages for lambs. However, its use as a single supplement ingredient above 7% on total mixed ration may reduce fiber digestibility.A 34-membered tetraazahexaphenylmacrocycle (N4Ph6) with a rigid π-conjugated moiety was chemically bonded to silica gel with 3-chloropropyltrimethoxysilane as the coupling agent to prepare a novel SiO2@N4Ph6 stationary phase. Several common organic analytes, including alkylbenzenes, polycyclic aromatic hydrocarbons, anilines, phenols, phthalates, and folic acid, were selected as probes to investigate its chromatographic performance. The as-developed SiO2@N4Ph6 stationary phase showed superiority retention and high selectivity for probe molecules through multiple interactions, including hydrophobic, π-π, hydrogen-bonding, and steric interactions. Density functional theory calculation results using folic acid as model solute provided an intuitive and a quantitative description of the multiple retention mechanisms.This concept article reports a practical solution to improve the linearity of effluent pH response as observed in pH gradient cation exchange chromatography (CEX). When performing pH gradient CEX, it is not easy to develop buffer systems that will universally provide pH response proportional with the mobile phase (buffer) composition. It is an especially challenging pursuit when exploring MS compatible buffers (e.g. ammonium-acetate, ammonium-carbonate). In addition to “non-proportional” behavior from the mobile phase composition, the chromatographic column itself will sometimes impose an unpredictable impact on the effluent pH. Here, we propose a simple approach based on the on-line measurement of effluent pH response, conversion of pH to mobile phase volume fraction (φ) and then generation of the inverse response function in the time domain. In the end, when setting the inverse function as the gradient program instead of a linear gradient, an improved – ideally linear – pH response can be produced. Fluorofurimazine A simple Excel tool was developed to assist analysts with this correction procedure, and it has been made available by download for public use.

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