Nutritive value of cashewnut extraction meal.
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Biomedical subjects
Publications and source records attributed to G Piva.
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In 1984, 313 samples of imported liquid milk and 159 samples of imported cheese were checked for aflatoxin M1; 225 of the milk samples came from FR Germany and 88 from France, while 82 of the cheese samples came from France, 34 from FR Germany and 43 from the Netherlands. The number of positive samples was small both for German (13.8%) and for French (12.5%) milks, and the contamination levels were very low (maximum 23 ng/l). As regards the cheeses, aflatoxin M1 was detected in 19.5, 26.5 and 53.5% of the French, German and Dutch samples respectively, but only 2 French samples exceeded 250 ng/kg, the limit set by Swiss law. In 1985, two surveys were carried out on 276 milk samples mostly obtained from individual farms and on 416 cheese samples taken from all parts of the country. As regards the milk samples, 70 (25.3%) contained aflatoxin M1, but generally at very low levels; in fact only 7 (2.5%) of the samples exceeded 50 ng/l. Aflatoxin M1 was found in 130 (31.3%) of the cheese samples, but here again only 9 (2.2%) exceeded 250 ng/kg. There was no significant difference in aflatoxin M1 levels between Italian, German and French cheese samples but these were significantly lower (P less than 0.01) than in Dutch samples.
A total of 223 samples of Grana Padano cheese manufactured in 4 years (1991-94) by dairies in 11 provinces of the Po valley were checked for aflatoxin M1. Grated cheese was extracted with chloroform and the defatted extract was purified by an immunoaffinity column; aflatoxin M1 was determined by HPLC using a fluorescence detector. From the analysis of the data it has emerged that only one sample exceeded the maximum tolerated level in cheese in some European countries (250 ng/kg). Most samples (91%) were in the range 5-100 ng/kg and only 15 (6.7%) in the range 100-250 ng/kg. Notwithstanding a diffuse microcontamination, the situation regarding the AFM1 levels can be considered fairly satisfactory. Mean contamination levels of 1992 and 1994 were significantly higher (P < 0.05) than those of 1993 and 1991. No significant difference was observed among provinces or dairies of origin.
We calculated the QRS score using both the simplified Selvester's method and the Hills' one, extended to the 12 standard leads, from the electrocardiograms registered on the fifth and thirtieth day from the ischemic event from 50 infarcted patients whose radionuclide left ventricular ejection fraction was known. The analysis of our results showed a very good correlation existing between the early and the late scores (r = 0.91 Hillis's method) as well as the equivalence of the two methods as witnessed by a correlation coefficient of 0.86 on the fifth day electrocardiogram and of 0.84 on the thirtieth day E.C.G. However the correlation between QRS score and left ventricular ejection fraction was quite weak ranging from -0.36 to -0.48 depending upon the method and the moment selected for the acquisition of the data. Even the attempt to correctly select patients with a higher risk identifying a QRS score able to predict a reduced left ventricular ejection fraction (i.e. less than 40%) failed because of the low sensitivity and specificity of the method. We therefore believe that the QRS score or, at least the simplified one, is not useful to assess the residual left ventricular function after a myocardial infarction and its use should be reduced to the evaluation of the infarct size.