Janet Rodriguez

The use of omega fatty acids during pregnancy and lactation could be a beneficial strategy to improve health and production in ruminants. In this study, the effect of the dietary addition of c9, t11 and t10, c12 isomers of conjugated linoleic acid (CLA) in pure soybean oil (T1) was compared with pure soybean oil (T2) and soybean oil discarded after frying fish (Centropomus undecimalis, Pagrus pagrus, and Caranx crysos; T3) on the fatty acid profile in ewe milk and the tissues of their lambs. Forty-five multiparous ewes (East Friesian × Katahdin), 32 to 35 months old, 70 days pregnant, were randomly assigned to one of the three experimental diets. The fatty acid profile, total solids, fat, protein, and lactose in milk were determined 14 days postpartum. Fifteen lambs from each treatment were sacrificed at 70 days of age, and the fatty acid profiles in perirenal fat, muscle, and brain were determined. In milk, fat and total solids content were lower with T1. On the other hand, linoleic acid content, the sum of omega-6 and DHA were higher in T1 compared to other groups (p < 0.05). In the brain, stearic acid and linoleic acid concentration increased with T1; eicosapentaenoic acid decreased and omega-3s increased with T3, while DHA was lower in T2 (p < 0.05). The addition of CLA isomers or discarded soybean oil in ewe diet from pregnancy to lactation is advantageous for the ewe since less energy in the form of milk fat is lost. In addition, increasing the concentration of omega fatty acids in ewe diet to improve omega fatty acids in lamb’s brain could be a feed strategy to increase their productivity and health.

Supplemental zinc in fattening lambs improves their health, performance, and meat quality. However, the Zn effect on grazing animals combined with different levels of concentrate should be known unknown. The objective was to evaluate the Zn-organic effect in the diet of grazing lambs supplemented with two levels of concentrate on growth, dry matter (DM) intake, carcass traits, body composition, meat quality, and fatty acid profile in Longissimus dorsi muscle. Twenty-eight lambs were used in a factorial arrangement of two levels of concentrate (C) feed intake (C-0.75 and C-1.5% of live weight) and two Zn-Met levels (0 and 80 ppm Zn kg−1 DM) on the grazing of Lolium perenne L. Digestibility and dry matter intake, weight gain, and productive performance were measured. At the end of the fattening period (90 d), the lambs were slaughtered and the carcass traits, body composition, instrumental quality, and lipid profile of meat were evaluated. The effect of treatment (T), measurement period (P), and T × P interaction was observed (p < 0.05) for dry matter intake (DMI). For the final live weight (FLW) and daily weight gain (DWG), there was an effect (p < 0.05) of T and P, with Zn-80 ppm + C-1.5% treatment being greater. The live weight at slaughter (LWS) and leg length (LL) showed an effect (p < 0.05) of C × Zn. Zn-80 ppm + C-1.5% treatment was higher in the kidney fat, empty body weight, carcass fat, fat and retained energy but lower in protein content (p < 0.05). The physicochemical characteristics and fatty acid content of meat were not affected (p > 0.05). It can be concluded that the concentrated-organic zinc synergy in grazing lambs improved the performance, weight gain, and body composition, which resulted in heavier carcasses with greater amounts of fat, protein, and energy deposited. Furthermore, the physical and chemical meat traits were not affected, but the n-3 fatty acid content and n-3/n-6 ratio in Longissimus dorsi was affected by the Zn level supplemented.

Several studies have explored differences between North American and European doctor patient relationships. They have focused primarily on differences in philosophical traditions and historic and socioeconomic factors between these two regions that might lead to differences in behaviour, as well as divergent concepts in and justifications of medical practice. However, few empirical intercultural studies have been carried out to identify in practice these cultural differences. This lack of standard comparative empirical studies led us to compare differences between France and the USA regarding end-of-life decision-making. We tested certain assertions put forward by bioethicists concerning the impact of culture on the acceptance of advance directives in such decisions. In particular, we compared North American and French intensive care professional's attitudes toward: (1) advance directives, and (2) the role of the family in decisions to withhold or withdraw life-support.

Background: Several countries have recently changed their model of consent for organ donation from opt-in to opt-out. We undertook a systematic review to determine public knowledge and attitudes towards these models in Europe. Methods: Six databases were explored between 1 January 2008 and 15 December 2017. We selected empirical studies addressing either knowledge or attitudes towards the systems of consent for deceased organ donation by lay people in Europe, including students. Study selection, data extraction, and quality assessment were conducted by two or more reviewers independently. Findings: Awareness of the consent model was lower in opt-out countries than in opt-in countries. A majority of the public agrees with opt-in, regardless of the law in their own country. There are ambivalent attitudes regarding the opt-out system. The public tend to prefer opt-in and mandatory choice over opt-out when several options are offered. Interpretation: The assumption that people in opt-out countries are aware of the legal requirements to be excluded from the pool of potential donors is not supported by the results of this review. This is a concern, since ignorance hinders people's autonomy regarding organ donation decision-making. Higher awareness of consent model in opt-in countries may reflect greater efforts to inform the public through campaigns to motivate donation. Legal moves towards opt-out are at odds with people's expressed preferences. Main limitations of this review are the lack of data from some countries, study population heterogeneity, and methodological shortcomings.

The paper deals with the notions of consistency, completeness, and coherence within the normative domain. It investigates their mutual relations by singling out relative and absolute consistency, weak, strong and trivial completeness, and three different functions of coherence. The main upshot of the inquiry is that coherence may be regarded as a complex combination of weak completeness and possible absence of consistency and strong completeness of a system of rules regarding a non-trivially complete/non-absolutely inconsistent system of underlying principles

The increasing application of artificial intelligence (AI) to healthcare raises both hope and ethical concerns. Some advanced machine learning methods provide accurate clinical predictions at the expense of a significant lack of explainability. Alex John London has defended that accuracy is a more important value than explainability in AI medicine. In this article, we locate the trade-off between accurate performance and explainable algorithms in the context of distributive justice. We acknowledge that accuracy is cardinal from outcome-oriented justice because it helps to maximize patients’ benefits and optimizes limited resources. However, we claim that the opaqueness of the algorithmic black box and its absence of explainability threatens core commitments of procedural fairness such as accountability, avoidance of bias, and transparency. To illustrate this, we discuss liver transplantation as a case of critical medical resources in which the lack of explainability in AI-based allocation algorithms is procedurally unfair. Finally, we provide a number of ethical recommendations for when considering the use of unexplainable algorithms in the distribution of health-related resources.