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Biomedical subjects

R De Wilde

Publications and source records attributed to R De Wilde.

At least 19 recordsLinked to original sources

Prebiotics affect nutrient digestibility but not faecal ammonia in dogs fed increased dietary protein levels.

An increased protein content and less digestible protein sources in the diet can induce bad faecal odour. The present study investigated the effect of adding prebiotics to dog diets enriched with animal-derived protein sources on apparent digestibilities and faecal ammonia concentration. In three subsequent periods eight healthy beagle dogs were fed a commercial dog diet that was gradually supplemented by up to 50 % with meat and bone meal (MBM), greaves meal (GM) or poultry meal (PM) respectively. Afterwards, 3 % fructo-oligosaccharides or 3 % isomalto-oligosaccharides were substituted for 3 % of the total diet. Supplementation with animal-derived protein sources did not decrease the apparent N digestibility significantly but oligosaccharides did. On the other hand the bacterial N content (% DM) in the faeces was highest in the oligosaccharide groups followed by the protein-supplemented groups and lowest in the control groups. When the apparent N digestibility was corrected for bacterial N no significant differences were noted anymore except for the GM group where the corrected N digestibility was still lower after oligosaccharide supplementation. The amount of faecal ammonia was significantly increased by supplementing with protein or oligosaccharides in the MBM and GM groups but not in the PM group. When apparent N digestibility is interpreted, a correction for bacterial N should be taken into account, especially when prebiotics are added to the diet. Oligosaccharides did not reduce the faecal ammonia concentrations as expected.

Ammonia↗

The effect of oligofructose and inulin on faecal characteristics and nutrient digestibility in healthy cats.

The effects on faecal characteristics of different concentrations of oligofructose (0, 3, 6 and 9%) were investigated. The 6 and 9% supplemented groups differed significantly compared with the control group in almost all faecal characteristics. There were no significant differences regarding the macroscopical and chemical aspects of the faeces between the control and the 3% supplemented group. There was a trend for a lower pH of the faeces in the 3% supplemented group, suggesting a substantial effect on the faecal composition. In a second experiment, the effects of oligofructose (3%) and inulin (3 and 6%) on digestibility parameters were tested. In the supplemented groups the apparent protein digestibility was lower but this was due to a higher bacterial nitrogen content of the faeces. There were no significant differences between 3% inulin and oligofructose, although oligofructose seemed to be more easily fermentable, because of a trend to a higher concentration of short chain fatty acids (SCFA) in the faeces of the oligofructose group.

Animals↗

The effect of a commercial high-fibre diet and an iso-malto-oligosaccharide-supplemented diet on post-prandial glucose concentrations in dogs.

In order to evaluate the effect of insoluble and soluble fibre on the levels of post-prandial glycaemia, six healthy dogs were fed three different diets: a low-fibre control diet, a high-fibre diet (HF; mainly insoluble fibre) and the control diet with 10% iso-malto-oligosaccharides (IMO) added. The diets were fed for 2 days before the blood collections were started on the third day. Serial blood samples were taken 20, 60, 90, 150, 180, 240 and 360 min after feeding and one sample was taken just before the feeding after a fasting period of at least 20 h. There were no problems concerning the faecal consistency. The post-prandial glycaemia curve was significantly lower in the HF and IMO group in comparison with the control group. At 20 and 60 min the glucose concentration was significantly lower in the HF and IMO groups. At 90 and 150 min only the IMO group had a significantly lower glucose concentration. At 360 min there was a trend for a lower glucose concentration in the IMO group. The results show that both the HF and the IMO diets had a beneficial effect on post-prandial hyperglycaemia. Substitution of IMO may have the same or a slightly better effect, but this has to be confirmed in diabetic dogs and the effect may depend on the composition of the basal diet.

Animals↗

In vitro availability of zinc from infant foods with increasing phytic acid contents.

An in vitro method was used to determine the availability of Zn from infant foods containing increasing amounts of phytate, and to quantify the effect of the phytate:Zn molar ratio on the availability. During the in vitro assay, digestive conditions of infants, younger and older than 4 months of age, were carefully simulated since the solubility of phytate-Zn complexes during digestion is pH dependent. Availability was measured with a continuous flow dialysis in vitro procedure with previous intralumen digestive stage. Zn concentrations were determined with flame atomic absorption spectrometry. Phytic acid content was measured with HPLC. Adding phytate to infant formula lowered Zn availability to 2.84 (sd 0.17) % when the phytate:Zn molar ratio increased to 2.2 as compared with cows' milk-based formula (6.65 (sd 0.55) %). Availability from vegetables (23.83 (sd 2.17) %) significantly decreased at a ratio > 7.9 (15.12 (sd 1.63) %). Zn availability from soyabean-based formula (2.26 (sd 0.36) %) was lower compared with cows' milk-based formula (6.65 (sd 0.55) %). Availability between soyabean- and cows' milk-based formula was similar when a phytate:Zn ratio of 2.2 (2.84 (sd 0.17) %) was obtained in the cows' milk formula. The negative effect of phytic acid on Zn availability was dependent on the type of the food and the phytate content, and should be considered when using soyabean-based formulas during early infancy.

Analysis of Variance↗

The reduction of heat production in exercising pigeons after L-carnitine supplementation.

Four groups (CS,CR,PS,PR) of nine trained male racing pigeons were deprived of feed for 1 d and then subjected to a respiration chamber test in order to study the effect of oral 1-carnitine supplementation on the energy metabolism during flight. One week before, groups CS and CR were orally supplemented with 90 mg of 1-carnitine daily, whereas PS and PR were given a placebo. Groups CS and PS underwent flight simulation by electrostimulation of the breast muscles. Flight simulation increased heat production, kept respiratory quotient from decreasing, decreased thyroxine levels, and increased weight loss. L-Carnitine decreased the rise in heat production during electrostimulation but did not influence respiratory quotient, weight loss, or thyroid hormones. L-Carnitine supplementation in pigeons improves fatty acid combustion efficiency during heavy exercise.

Animals↗

The influence of dietary salt level on water consumption, farrowing, and reproductive performance of lactating sows.

During two consecutive lactations using a switch-back design, 16 sows received a corn, cassava, barley, and soybean meal diet supplemented with either 8.5 or 1 g/kg of NaCl (.4% Na or .1% Na, respectively). The average daily water consumption during the 4-wk lactation period was greater (P < .01) for the sows fed the high-salt diet than for those fed the low-salt diet (13.9 vs 12.4 L, respectively). Urine production accounted for 27% of the water intake during lactation. This resulted in a difference during the entire lactation period of 42.2 L in water consumption (P = .07) and 11.4 L in urine production (P = .07). The Na and Cl concentrations of the urine for sows fed the high-salt diet were higher than for sows fed the low-salt diet (P < .05), but the K, Mg, P, and Ca concentrations were not influenced. The milk composition, measured at d 1, 13, and 27 of lactation, was relatively independent of the dietary salt level, except for the Cl concentration at d 1 after farrowing, which was higher (P < .05) for sows fed the high-salt diet. The moisture and ash content of the milk increased with the length of the lactation, irrespective of the diet. The increased ash content on d 13 and 27 of lactation was accounted for by the increased concentrations of P and Ca. There was no effect of dietary salt level on weight change of the sow or on the growth performance of the pigs. The interval from weaning to estrus (n = 13, t = 2.48, P = .029) was shorter for sows fed the high-salt diet than for sows fed the low-salt diet (6.2 +/- 1.0 and 12.6 +/- 3.1 d, respectively). More sows were unsuccessfully mated after receiving the low-salt diet during lactation. These results indicate that a low-salt diet for lactating sows results in lower water consumption, lower urine production, and lower Na and Cl concentrations in the urine. Milk composition, weight change of the sow, and growth performance of the pigs were not altered, but reproductive failures afterward may point to a salt deficiency during lactation.

Animals↗

[Organ preserving endosurgery in pyosalpingitis].

Pyosalpinges are a difficult therapeutic problem in a complicated pelvic inflammatory disease. To avoid a diffuse peritonitis, often a laparotomy with salpingectomy is performed. 20 women of reproductive age with a uni- or bilateral pyosalpinx were incorporated in a prospective study to investigate the possibilities of a combined endosurgical/antibiotical treatment. After endoscopic confirmation, the patients were taken into study. During diagnostic laparoscopy, a salpingotomy with rinsing of the tubes and a drainage of the Douglas pouch took place. After one week of antibiotic treatment, a second-look laparoscopy was performed in all patients; no recurrence was documented. The combination of endosurgery and chemotherapy showed to be a safe and efficient therapy of tubal abscesses in women of reproductive age.

Adult↗

[Recurrent functional ovarian cysts following laparoscopy fenestration].

The laparoscopic fenestration of functional ovarian cysts with a benign appearance is well known. After aspiration of the contents of the cyst, a window is cut in the cyst wall for an endocystic inspection. In this way, samples for cytology as well as histopathology are obtained. A laparoscopic fenestration was performed on 104 patients. During a mean follow-up time of 20 months, we found a recurrence of 8% in 91 patients. In the presence of pelvic adhesions, the functional cysts tend to reoccur. Corpus luteum cysts have a higher recurrence-rate than follicular cysts. In our study postoperative hormon-therapy recorded no protective effect.

Endometriosis↗

Ovarian cystostomy.

Surgical treatment of follicle and luteal cysts by laparoscopic fenestration is an accepted procedure. After cyst aspiration, a "window" is cut in its wall. Thus, a tissue sample can be obtained for cytological and histopathological examination. Laparoscopic fenestration was performed in 104 patients. During a mean follow-up period of 20 months (N = 91) a recurrence rate of 8% was observed by vaginal examination and abdominal sonography. In the presence of pelvic adhesions, functional cysts tend to recur. Luteal cysts have a higher recurrence rate than follicle cysts.

Adult↗

[Psychosocial aspects of bilateral subcutaneous reduction mastectomy in breast cancer].

The authors administered a questionnaire to 56 women with breast cancer who had bilateral subcutaneous mastectomies after Stroembeck/Beller since 1985. In this study, psychological aspects were investigated. There was no change in social behavior; isolation was not noticed. The negative effects on the body image were well accepted and discussed with relatives and friends. Psychological or emotional suffering was rare compared to patients with simple mastectomy. No change in sexual behavior was reported. The sexual function of the mamillae was significantly reduced. Although some cosmetic deformities were obvious, most patients would again choose the subcutaneous reduction mastectomy as operation of choice.

Adaptation, Psychological↗

[Spontaneous rupture of the kidney pelvis in pregnancy].

A case of spontaneous rupture of the renal pelvis during pregnancy is presented. Diagnosis was made sonographically showing a perirenal extravasation. Early detection of this rare complication saved the kidney. After ureteral indwelling the extension of the extravasation and the clinical symptomatic improved rapidly. Further pregnancy was free of complications and the patient delivered two healthy infants without experiencing any problems during labour or delivery.

Adult↗

[Oral ciprofloxacin therapy in salpingitis].

Thirty patients with clinical pelvic inflammatory disease were studied. Diagnosis was confirmed by laparoscopy. To determine the microbiological etiology, swab specimen for detection of aerobic, anaerobic and chlamydial infections were obtained from the endocervix, fimbriae and cul-de-sac. In 22 of 30 patients, microorganisms were detected. The patients received ciprofloxacin 2 X 750 mg p.o. daily at 12 hours interval for 10 days. During and after therapy, bacteriological examinations of the endocervix were performed. Based on the microbiological evaluation and clinical aspects, the bacteriological response and clinical efficacy were 86%. Laboratory analysis showed no alterations of blood values. As side effects we noticed gastrointestinal complaints (6/30), candidiasis vulvovaginalis (6/30), allergic exanthema (5/30) and non-bacterial cystitis (2/30). Oral ciprofloxacin-monotherapy proved to be safe and effective in pelvic inflammatory disease.

Administration, Oral↗

[Traumatically-induced dermatofibrosarcoma protuberans of the breast].

Dermatofibrosarcoma protuberans is a rare, cutaneous-subcutaneous low grade malignancy. Despite the locally aggressive behaviour, metastases seldom occur. Evidence exists that trauma may be a predisposing factor. Treatment by wide tridimensional excision is recommended. One case of trauma-induced dermatofibrosarcoma protuberans in a 71-year old woman is reported.

Aged↗

[Rupture of a cerebral angioma in pregnancy].

A case of a ruptured intracranial angioma in the 27th week of pregnancy is presented. The diagnosis was ensured clinico-neurologically by lumbar puncture, cranial computerized tomography and carotid angiography. After neurosurgical intervention and appropriate therapy vaginal delivery occurred despite coma of the patient, in the 36th week of pregnancy. Two days post partum the patient awakened from her coma and was eventually released from hospital after an uneventful puerperium with only slight neurological symptom pattern. Following anticonvulsive therapy because of a grand mal attack, and complete regression of the neurological pattern of signs and symptoms, therapy was discontinued.

Adult↗