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Minimally Invasive Surgery for Necrotizing Pancreatitis: A Case Report

Surgical Science 2024年第9期15卷 514-521页

作者： Néstor Veriel Méndez Huerta Luis Fernando Zorrilla Núñez Noelia Obregón Gaxiola César Jair Treviño Arizmendi gerardo Iván muñoz Morales Marco Alejandro Arizmendi Villarreal Pamela Denisse Valdez Navarro Marco Antonio Hernández Guedea gerardo enrique muñoz maldonado Service of General Surgery Hospital Universitario Dr. Jos Eleuterio Gonzlez Universidad Autnoma de Nuevo Len Monterrey Mxico

Introduction: Necrotizing pancreatitis management is complex and varies significantly among clinicians. Minimally invasive approaches like transgastric necrosectomy via laparoscopy are emerging as effective treatment options. This case report underscores the technique’s efficacy, clinical outcomes, and role in reducing complications. Clinical Observation: A 59-year-old male with a history of smoking and alcoholism presented with severe abdominal pain, nausea, and vomiting. Over the following weeks, he developed symptoms including asthenia, weight loss, and melena. Diagnostic workup revealed severe anemia and Balthazar E necrotizing pancreatitis, with significant intra-abdominal fluid collections and signs of infection. After initial conservative management, the patient underwent transgastric necrosectomy via laparoscopy due to deteriorating clinical status. The procedure involved removing necrotic tissue and performing a cystogastroanastomosis and jejunostomy. Postoperative care included fasting, parenteral nutrition, broad-spectrum antibiotics, and enzymatic replacement. The patient recovered well, with reduced necrotic tissue on follow-up imaging, and was discharged twelve days post-surgery [1]. Conclusion: Transgastric necrosectomy by laparoscopy is a valuable first-line surgical option for patients with symptomatic necrotizing pancreatitis, particularly in cases without prior interventions. This minimally invasive technique helps reduce major complications and mortality, offering a less invasive alternative to traditional open necrosectomy. The multidisciplinary approach and careful postoperative management were crucial to the patient’s favorable outcome. The case highlights the potential of transgastric necrosectomy as an effective treatment strategy in managing complex pancreatitis cases, including those with associated duodenal perforation [2].

关键词： Necrotizing Transgastric Pancreatic Necrosectomy Pancreatitis Case Report

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Gut microbiota in preterm infants receiving breast milk or mixed feeding

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World Journal of Clinical Pediatrics 2024年第2期13卷 135-145页

作者： Sandra Gabriela Sánchez-González Bárbara Gabriela Cárdenas-del-Castillo Elvira Garza-González gerardo R Padilla-Rivas Isaías Rodríguez-Balderrama Consuelo Treviño-Garza Fernando Félix Montes-Tapia gerardo C Palacios-Saucedo Anthony Gutiérrez-Rodríguez Manuel enrique de-la-O-Cavazos Department of Pediatrics Hospital Universitario“Dr.JoséEleuterio González”Universidad Autónoma de Nuevo LeónMonterrey 64460Nuevo LeónMéxico Departamento de Bioquímica y Medicina Molecular Universidad Autónoma de Nuevo LeónMonterrey 64460Nuevo LeónMéxico Department of Biochemistry and Molecular Medicine Universidad Autónoma de Nuevo LeónMonterrey 64460Nuevo LeónMéxico Department of Pediatric Surgery Hospital Universitario"Dr.JoséEleuterio González"Monterrey 64460Nuevo LeónMéxico

BACKGROUND Preterm birth is the leading cause of mortality in newborns,with very-low-birthweight infants usually experiencing several *** milk is considered the gold standard of nutrition,especially for preterm infants with delayed gut colonization,because it contains beneficial microorganisms,such as Lactobacilli and *** To analyze the gut microbiota of breastfed preterm infants with a birth weight of 1500 g or *** An observational study was performed on preterm infants with up to 36.6 wk of gestation and a birth weight of 1500 g or less,born at the University Hospital ***éEleuterio González at Monterrey,Mexico.A total of 40 preterm neonates were classified into breast milk feeding(BM)and mixed feeding(MF)groups(21 in the BM group and 19 in the MF group),from October 2017 to June *** samples were collected before they were introduced to any feeding *** full enteral feeding was achieved,the composition of the gut microbiota was analyzed using 16S rRNA gene *** variables were compared using Student’s t-test or using the Mann–Whitney U test for nonparametric ***,evenness,equitability,Margalef’s index,Fisher’s alpha,Chao-1 index,and Shannon’s diversity index were also *** No significant differences were observed at the genus level between the *** comparison indicated higher counts of Alphaproteobacteria and Betaproteobacteria in the initial compared to the final sample of the BM group(P<0.011).In addition,higher counts of Gammaproteobacteria were detected in the final than in the initial sample(P=0.040).According to the Margalef index,Fisher’s alpha,and Chao-1 index,a decrease in species richness from the initial to the final sample,regardless of the feeding type,was observed(P<0.050).The four predominant phyla were Bacteroidetes,Actinobacteria,Firmicutes,and Proteobacteria,with Proteobacteria being the most ***,no significant differences were

关键词： Gut microbiota Human milk Preterm infant Proteobacteria Very low birth weight 16S rRNA

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Novel contributions of multimodality imaging in hypertension:A narrative review

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World Journal of Hypertension 2015年第2期5卷 28-40页

作者： Erick Alexanderson-Rosas enrique Berríos-Bárcenas Aloha Meave Juan Carlos de la Fuente-Mancera Mariano Oropeza-Aguilar Alejandro Barrero-Mier Andrea de Guadalupe Monroy-González Raul Cruz-Mendoza gerardo Yoshiaki Guinto-Nishimura Nuclear Cardiology Department National Institute of Cardiology Ignacio ChávezMexico City 14080Mexico Cardiac Magnetic Resonance Department National Institute of Cardiology Ignacio ChávezMexico City 14080Mexico

Hypertension is currently one of the most prevalent il nesses worldwide,and is the second most common cause of heart failure,only behind ischemic *** development of novel multimodality imaging techniques in recent years has broadened the diagnostic methods,risk stratification and monitoring of treatment of cardiovascular diseases available for *** magnetic resonance(CMR) has a great capacity to evaluate cardiac dimensions and ventricular function,is extremely useful in ruling-out ischemic cardiomyopathy,the evaluation of the vascular system,in making the differential diagnosis for resistant hypertension and risk stratification for hypertensive cardiomyopathy and constitutes today,the method of choice to evaluate left ventricular systolic *** tomography(CT) is the method of choice for the evaluation of vascular anatomy,including coronary arteries,and is also able to provide both functional and structural ***,nuclear cardiology studies have been traditionally used to evaluate myocardial ischemia,along with offering the capacity to evaluate ventricular,endothelial and cardiac innervation function;information that is key in directing the treatment of the *** this narrative review,the most recent contributions of multimodality imaging to the patient with hypertension(CMR,CT and nuclear cardiology) will be reviewed.

关键词： Cardiac imaging techniques multimodality imaging Magnetic resonance imaging multidetector computed tomography Cardiac-gated single photon emission computed tomography Positron emission tomography Hypertension

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IL-1β, TNF-α and Sambucus nigra Reactive Serum Proteins as Biomarkers of Mild Cognitive Impairment and Alzheimer Disease Progression

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Advances in Alzheimer's Disease 2015年第4期4卷 99-109页

作者： Luis Manuel Castillo enrique Moreno Yaneth Rodriguez-Agudelo MireyaChavez-Oliveros Zoila Trujillo Blanca Espinosa Emma Rodriguez-maldonado Luis Felipe Montano Jorge Guevara Departamento de Bioquimica Facultad de MedicinaUniversidad Nacional Autonoma de MexicoMexico CityMexico Departamento de Neuropsicologia Instituto Nacional de Neurologia y NeurocirugiaMexico CityMexico Geriatra Instituto Nacional de Neurologia y Neurocirugia Mexico CityMexico Laboratorio de Bioquimica Instituto Nacional de Enfermedades RespiratoriasMexico CityMexico Departamento de Fisiología Instituto Nacional de CardiologiaMexico CityMexico Departamento de Biologia Celular y Tisular Facultad de MedicinaUniversidad Nacional Autonoma de MexicoMexico CityMexico

Amyloid-β (Aβ) can induce a chronic inflammatory immune response that is associated, amongst many others, to abnormal glycosylation, inducible nitric oxide synthase (iNOS) and nitric oxide (NO). The relation between development of Mild Cognitive Impairment (MCI) and Alzheimer’s disease progression and these serum markers has not been evaluated. Serum levels of iNOs, NO, TNF-α, IL-1β, IL-6, IL-8, IL-10, and IL-12 are determined with commercially available kits. Sialylation of albumin-free serum patterns is determined by Western blot analysis with Sambucus nigra (specific for sialic acid attached to terminal galactose in α2,6 linkage) lectin. Apolipoprotein E (ApoE) haplotype is determined by Western blot using specific anti-ApoE 2, 3 or 4 antibodies. A mini-mental state examination (MMSE) test is also performed in the 10 MCI patients, 19 Alzheimer’s disease (AD) patients and 46 healthy age-matched controls evaluated. The results show an increase of iNOS in MCI and AD but significantly higher NO concentrations are only found in MCI patients. TNF-α and IL-1β concentrations are the only significantly increased cytokines in MCI patients;no differences between control and MCI or AD patients are found in regard to the other cytokines. An abnormal MMSE test result only correlates with a decrease in serum NO concentration in MCI patients. The terminal sialic acid linkage pattern of serum proteins also shows highly significant differences between MCI and AD patient. ApoE3/4 or 4/4 haplotypes are characteristic of MCI and AD patients. Our results imply that increased serum TNF-α, IL-1β, iNOS, NO and alterations of serum proteins glycosylation patterns in adult individuals with an abnormal MMSE test may serve as an early biomarker of MCI and AD development.

关键词： Alzheimer Disease Mild Cognitive Impairment Nitric Oxide Inflammatory Cytokines Glycosylation Apolipoprotein E4

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Serum levels of chemokines in adolescents with major depression treated with fluoxetine

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World Journal of Psychiatry 2020年第8期10卷 175-186页

作者： Francisco Rafael de la Peña Carlos Cruz-Fuentes Lino Palacios Manuel Iván Girón-Pérez Emilio Medina-Rivero Maria Dolores Ponce-Regalado Samantha Alvarez-Herrera Gilberto Pérez-Sánchez enrique Becerril-Villanueva JoséLuis maldonado-García María C Jiménez-Martínez Lenin Pavón Adolescent Clinic Clinical ServicesNational Institute of Psychiatry“Ramón de la Fuente”Mexico City 14370Mexico Department of Psychiatric Genetics Clinical Research BranchNational Institute of Psychiatry“Ramón de la Fuente”Mexico City 14370Mexico Universidad Autónoma de Nayarit Laboratorio de InmunotoxicologíaBoulevard Tepic-Xalisco s/nCd de la Cultura Amado NervoTepic 63000Mexico Centro Nayarita de Innovación y Transferencia de Tecnología A.C.Laboratorio Nacional para la Investigación en Inocuidad Alimentaria-Unidad Nayarit Calle Tres s/n.Cd IndustrialTepic 63000NayaritMexico Unidad de Desarrollo e Investigación en Bioprocesos Escuela Nacional de Ciencias BiológicasInstituto Politécnico NacionalUnidad Profesional Lázaro CárdenasMexico City 11340Mexico Departamento de Ciencias de Salud Centro Universitario de los AltosUniversidad de Guadalajara Av Rafael Casillas Aceves No.1200Tepatitlán de MorelosJalisco47610Mexico Laboratory of Psychoimmunology National Institute of Psychiatry“Ramón de la Fuente”Mexico City 14370Mexico Department of Immunology and Research Unit Institute of Ophthalmology“Conde de Valenciana Foundation”Mexico City 06800Mexico Department of Biochemistry Faculty of MedicineNational Autonomous University of MexicoMexico City 04510Mexico

BACKGROUND Major depressive disorder(MDD)is a global health issue that affects 350 million people of all *** between 2%and 5.6%of affected individuals are adolescents,research on young patients is *** inflammatory response contributes to the onset of depression,and in adult MDD patients,symptom severity has been linked to chemokine *** To determine the differences in circulatory levels of chemokines in healthy volunteers(HVs)and adolescents with MDD,and assess the changes induced by fluoxetine *** The 22 adolescents with MDD were monitored during the first 8 wk of clinical follow-up and clinical psychiatric evaluation was done using the Hamilton depresión rating scale(HDRS).The serum levels of monocyte chemoattractant protein-1(MCP-1),macrophage inflammatory protein(MIP)-1α,MIP-1β,interleukin(IL)-8,interferon gamma-induced protein(IP)-10,and eotaxin were measured in patients and *** In all cases,significant differences were detected in circulating chemokine levels between patients before treatment and HVs(P<0.0001).All chemokines decreased at 4 wk,but only MCP-1 and IL-8 significantly differed(P<0.05)between 0 wk and 4 *** the patients,all chemokines rose to their initial concentrations by 8 wk vs 0 wk,but only IP-10 did so significantly(P<0.05).All patients experienced a significant decrease in HDRS scores at 4 wk(P<0.0001)and 8 wk(P<0.0001)compared with 0 *** Despite the consumption of fluoxetine,patients had significantly higher chemokine levels,even after considering the improvement in HDRS *** high levels of eotaxin,IP-10,and IL-8 partially explain certain aspects that are affected in MDD such as cognition,memory,and learning.

关键词： Adolescents Major depression Chemokine Fluoxetine Interferon gammainduced protein-10

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Clinical features and radiological manifestations of COVID-19 disease

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World Journal of Radiology 2020年第11期12卷 247-260页

作者： Pedro Landete Carlos Andres Quezada Loaiza Beatriz Aldave-Orzaiz Susana Hernandez muniz Antonio maldonado enrique Zamora Allan Charles Sam Cerna Elia del Cerro Raquel Cano Alonso Felipe Counago Department of Pulmonology H.U.La PrincesaMadrid 28006Spain Department of Pulmonology H.12 de OctubreMadrid 28041Spain Department of Radiologist H.U.La PrincesaMadrid 28006Spain Department of Radiation Oncology Hospital Universitario Quironsalud MadridMadrid 28223Spain Department of Pulmonology Hospital MD Anderson Madrid.EspanaMadrid 28033Spain Department of Diagnostic Imaging Hospital Universitario Quiron MadridMadrid 28223Spain Department of Radiation Oncology Hospital La LuzUniversidad Europea de MadridMadrid 28028Spain

Coronavirus disease 2019(COVID-19)was discovered after unusual cases of severe pneumonia emerged in December 2019 in Wuhan Province(China).Coronavirus is a family of single-stranded RNA *** acute respiratory syndrome coronavirus 2(SARS-CoV-2)is transmitted from person to *** asymptomatic individuals can transmit the virus,symptomatic patients are more *** incubation period ranges from 3-7 d and symptoms are mainly respiratory,including pneumonia or pulmonary embolism in severe *** serum levels of interleukins(IL)-2,IL-6,IL-7 indicate the presence of cytokine release syndrome,which is associated with disease *** disease has three main phases:Viral infection,pulmonary involvement,and *** date,no treatment has proved to be safe or *** X-ray and computed tomography(CT)are the primary imaging tests for diagnosis of SARS-CoV-2 pneumonia,follow-up,and detection of *** main radiological findings are ground-glass opacification and areas of *** long-term clinical course is unknown,although some patients may develop pulmonary *** emission tomography-computed tomography(PETCT)is useful to assess pulmonary involvement,to define the affected areas,and to assess treatment *** pathophysiology and clinical course of COVID-19 infection remain poorly ***,patterns detected on CT and PETCT may help to diagnose and guide *** this mini review,we analyze the clinical manifestations and radiological findings of COVID-19 infection.

关键词： COVID-19 Coronavirus Natural history Clinical features Pathogenesis Radiology images

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Refractive errors among children, adolescents and adults attending eye clinics in Mexico

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International Journal of Ophthalmology(English edition) 2017年第5期10卷 796-802页

作者： Francisco Gomez-Salazar Abraham Campos-Romero Humberto Gomez-Campana Cinthia Cruz-Zamudio Mariano Chaidez-Felix Nidia Leon-Sicairos Jorge Velazquez-Roman Hector Flores-Villasenor Secundino muro-Amador Alma Marlene Guadron-Llanos Javier J.Martinez-Garcia Joel murillo-Llanes Jaime Sanchez-Cuen Alejando Llausas-Vargas gerardo Alapizco-Castro Ana Irineo-Cabrales enrique Graue-Hernandez Tito Ramirez-Luquin Adrian Canizalez-Roman Salud Digna Para Todos I.A.P Culiacan Sinaloa 80000Mexico CIASaP School of Medicine Autonomous University of Sinaloa Culiacan Sinaloa 80246 Mexico Pediatric Hospital of Sinaloa Culiacan Sinaloa 80200Mexico The Women's Hospital Secretariat of Health Culiacan Sinaloa 80127 Mexico Department of Gastroenterology Regional Hospital ISSSTECuliacan 80230 Sinaloa Mexico Education and Research Department Regional general Hospital No. 1 IMSS Culiacan Sinaloa 80220 Mexico Department of Cornea and Refractive Surgery Institute of Ophthalmology 'Conde de Valenciana' Mexico City 06800Mexico

AIM：To assess the proportion of refractive errors in the Mexican population that visited primary care optometry clinics in fourteen states of Mexico. METHODS：Refractive data from 676 856 patients aged 6 to 90 y were collected from optometry clinics in fourteen states of Mexico between 2014 and 2015. The refractive errors were classified by the spherical equivalent（SE）, as follows：sphere＋？ cylinder. Myopia（SE〉-0.50 D）, hyperopia（SE〉＋0.50 D）, emmetropia（-0.50≤SE≤＋0.50）, and astigmatism alone（cylinder≥-0.25 D）. A negative cylinder was selected as a ***：The proportion（95% confidence interval） among all of the subjects was hyperopia 21.0%（20.9-21.0）, emmetropia 40.7%（40.5-40.8）, myopia 24.8%（24.7-24.9） and astigmatism alone 13.5%（13.4-13.5）. Myopia was the most common refractive error and frequency seemed to increase among the young population（10 to 29 years old）, however, hyperopia increased among the aging population（40 to 79 years old）, and astigmatism alone showed a decreasing trend with age（6 to 90y; from 19.7% to 10.8%）. There was a relationship between age and all refractive errors（approximately 60%, aged 50 and older）. The proportion of any clinically important refractive error was higher in males（61.2%） than in females（58.3%; P〈0.0001）. From fourteen states that collected information, the proportion of refractive error showed variability in different geographical areas of ***：Myopia is the most common refractive error in the population studied. This study provides the first data on refractive error in Mexico. Further programs and studies must be developed to address the refractive errors needs of the Mexican population.

关键词： refractive errors hyperopia myopia astigmatism

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Successful Management of a Complicated Ulcer Caused by Autoimmune Vasculitis, with Sildenafil Citrate in a Patient with Primary Antiphospholipid Syndrome and Transient Steroid-Induced Diabetes Mellitus: A Case Report and Literature Review

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Journal of Diabetes Mellitus 2014年第3期4卷 189-193页

作者： Fernando Grover-Paez Leonel Garcia-Benavides Ernesto German Cardona-munoz Carlos gerardo Ramos-Becerra Jesus Ricardo Garcia-Corral Carlos enrique Medina-Garcia Guillermo Adrian Alanis-Sanchez Sylvia Elena Totsuka-Sutto Institute of Experimental and Clinical Therapeutics Department of PhysiologyUniversity Center of Health SciencesUniversity of GuadalajaraGuadalajaraMexico

Antiphospholipid syndrome (APS) is a prothrombotic condition that can affect both the venous circulation and the arterial system. The deep veins of the lower extremities and cerebral blood flow are the most common sites of venous and arterial thrombosis, respectively. Skin ulceration and gangrene may be associated with an active vasculitis in patients with APS. These kinds of ulcers are considered intractable because healing is difficult to achieve. Using steroids as immunesuppressant therapy is still a basic part of managing APS and vasculitis. Nevertheless, in the presence of steroid-induced diabetes mellitus, the priority is to achieve faster wound healing, because of the potential complications that can develop due to metabolic dysfunction and augmented vulnerability to infection. Until recently, there were few reports demonstrating the benefits of the use of adjuvant phosphodiesterase-5 inhibitors like sildenafil citrate in different clinical entities with courses like Raynaud’s phenomenon, scleroderma, and resistance to vasodilator therapy. We present the first report demonstrating the additional benefit of sildenafil citrate for the integration of grafts in a patient with steroid-induced diabetes and APS who had ulcers due to vasculitis resistant to the usual vasodilator therapy.

关键词： Autoimmune Vasculitis Sildenafil Citrate Steroid-Induced Diabetes Mellitus Primary Antiphospholipid Syndrome

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Improving the Quality of Milk Fatty Acid in Dairy Cows Supplemented with Soybean Oil and DHA-Micro Algae in a Confined Production System

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Agricultural Sciences 2018年第9期9卷 1115-1130页

作者： gerardo Antonio Gagliostro Liliana Elisabet Antonacci Carolina Daiana Pérez Luciana Rossetti Augusto Carabajal Instituto Nacional de Tecnología Agropecuaria (INTA) Estación Experimental Balcarce Area de Producción Animal Balcarce Argentina Instituto de Tecnología de Alimentos (ITA) CNIA INTA Castelar Argentina Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET) Buenos Aires Argentina Establecimiento Agroindustrial Talar Laguna del Sauce Departamento de Maldonado República Oriental del Uruguay

The objective was to reduce saturated fatty acids (SFA) and increase conjugated linoleic acid (CLA, cis-9, trans-11 C18:2), α-linolenic (cis-9, cis-12, cis-15 C18:3) and docosahexaenoic (DHA, C22:6) contents in milk from confined dairy cows in order to promote a healthier option. The work was carried out in a commercial farm (Talar) located in Laguna del Sauce, maldonado (Uruguay). Twenty four cows were assigned to one of two treatments (12 cows per treatment) over a 6 weeks experimental period. Treatments consisted in a control total mixed ration (C-TMR) without supplementary lipids (L) or the same TMR with the addition of 0.144 kg/cow·day of algae and 0.72 kg/cow·day of soybean oil (L-TMR). Chemical composition of the TMR (44.27% DM) averaged 15.94% for crude protein (CP), 38.20% neutral detergent fiber (NDF), 20.36% acid detergent fiber (ADF), 5.56% fat, 5.30% ash and 28.6% nonstructural carbohydrate (NSCH) with 1.81 Mcal/kg of net energy for lactation (NEL). After 39 days of feeding, individual milk samples were collected during three consecutive days. From the total milk collected, 20 ml were immediately used for chemical composition (Milko Scan) and 80 ml for analysis for milk FA profile. From week 3 onwards, milk production (kg/cow·day) resulted higher (P P P = 0.43) on milk protein content (C-TMR = 3.20;L-TMR = 3.07 g/100g). Milk lactose (C-TMR = 4.86, L-TMR = 4.69 g/100g) and urea nitrogen contents (C-TMR = 21.18, L-TMR = 17.33 g/100g) tended (P cow·day, P 12:0 to C16:0 FA averaging 45.19 in C-TMR and 34.74 g/100g in L-TMR (P P 18:1 trans-9) (0.23) and C18:1 trans-10 (0.44) FA increased (P trans-11 C18:1, VA) increased from 1.08 in C-TMR to 2.56 g/100g of FA in L-TMR (P cis-9, trans-11 C18:2) increased (127%) from 0.62 in C-TMR to 1.41 g/100g FA in L-TMR milk. Content of α-linolenic acid resulted 20% higher (P P cis-9 C18:1) resulted higher (P α-linolenic).

关键词： Dairy Cows Milk Fatty Acids Conjugated Linoleic Acid Docosahexaenoic Acid

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Improving Concentration of Healthy Fatty Acids in Milk, Cheese and Yogurt by Adding a Blend of Soybean and Fish Oils to the Ration of Confined Dairy Cows

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Open Journal of Animal Sciences 2020年第1期10卷 182-202页

Compared to pasture based sistems, milk produced in confined dairy systems is characterized by a high saturated fat (SF) content with a lower concentration of healthy fatty acids (FA) such as vaccenic (VA, trans-11C18:1), conjugated linoleic cid (cis-9, trans-11 C18:2, CLA), α-linolenic (cis-9, cis-12, cis-15C18: 3), eicosapentaenoic (EPA, C20:5) and docosahexaenoic (DHA, C22:6) whose presence in milk and dairy products can be increased by feeding polyunsaturated FA (PUFA). The aim of the study was to determine the differences in milk composition and FA profile between a regular (Reg) milk (Reg-Milk), a Reg-Dambo type cheese (Reg-DCh) and a Reg yogurt (Reg-Yog) with that obtained after including a blend (7:1) of soybean (SO) and fish (FO) oils in the total mixed ration (TMR) of lactating dairy cows. The experiment was carried out at the Talar Farm located at Laguna del Sauce, maldonado Department, Punta del Este, Uruguay Republic during a period of 30 experimental days using a single production batch of 29 Holstein cows. Within this batch, one group of 8 cows (1.88 ± 0.99 calves) in early lactation (135 ± 19 days postpartum) was selected to individually measure milk yield and composition. During the first 7 days of the experiment, cows were fed a TMR without oil-blend inclusion to obtain the Reg-Milk, Reg-DCh and Reg-Yog. From the 8th day onwards, the oil blend was added to the TMR at 4% DM (1.0 kg oil blend cow-1 day-1) and after 23 days of feeding, the modified milk (Mod-Milk) was analyzed and collected to elaborate the modified Dambo-type cheese (Mod-DCh) and Mod-yogurt (Mod-Yog). Milk yield was recorded daily in the selected 8 cows and milk composition was determined over two consecutive days prior to the start of blend-oil supply (Reg-Milk) and at the end of oil supplementation (Mod-Milk) on days 29th and 30th. Milk-tank samples of Reg-Mi and Mod-Mi were also collected and analyzed for chemical composition and milk FA profile. Cheese and yogurt were assayed for

关键词： airy Cows Oil Saturated Fat Conjugated Linoleic Acid Cheese Yogurt

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