Breed, parity, and days in milk affect risk of tongue rolling in dairy cows.

Stereotypic behaviors are repetitive, invariant movements with no obvious biological function. Tongue rolling (TR) is a common stereotypic behavior in cattle, characterized by a repeated circular movement of the tongue inside or outside of the mouth. We assessed TR in adult lactating dairy cows (from 45 to 305 d in milk; DIM) on a large commercial US dairy comprised of Jersey and Jersey-Holstein crosses (n = 8,158 cows). Cows were monitored during each of 3 consecutive milkings using video cameras located at the center of 2 rotary parlors. In total, 29.0% (2,365/8,158) of cows tongue rolled at least once, 7.9% (646/8,158) at least twice, and 1.7% (141/8,158) tongue rolled during all 3 milkings. The effects of breed (Jersey vs. Jersey-Holstein cross), parity (first lactation versus older), DIM, and the interactions between breed and parity and DIM on TR (comparing cows that were never observed rolling versus cows observed doing so at least once) were tested using logistic regression, revealing interactions between breed and parity. Among primiparous cows, Jerseys were more likely than Jersey-Holstein crosses to tongue roll [odds ratio (OR) = 1.61, confidence interval (CI) = 1.35-1.92]; similarly, among second-parity and older cows, Jerseys were again more likely to tongue roll than were Jersey-Holstein crosses (OR = 2.35, CI = 1.95-2.83). The effect of DIM differed by breed and parity; for primiparous Jerseys, the odds of TR increased with DIM (OR = 1.31, CI 1.12-1.52, for every 100-d increase), and for Jersey-Holsteins cows the odds of TR decreased with DIM (OR = 0.61, CI 0.43-0.88, for every 100-d increase). These breed, parity, and stage of lactation differences within a single farm suggest a role of both genetic and developmental effects in the proclivity to tongue roll.

StORQS: Washington's Statewide Obstetrical Review and Quality System: overview and provider evaluation.

The Foundation for Health Care Quality (Washington) used three administrative public databases and indicators recommended by the Joint Commission and the American College of Obstetrics and Gynecology to build algorithms to measure quality of obstetric care in the state of Washington. Analyses demonstrated a high degree of variability across hospitals for major processes of care such as cesarean section, vaginal birth after cesarean section, and forceps deliveries. Eighty-five percent of the participating hospitals concluded that important aspects of care were being measured. Ninety-four percent found the information useful in describing their performance compared with other hospitals. Sixty-two percent believed the information was useful for initiating quality improvement projects. Of the 25 indicators tested in the project, indicators rated as most useful were the same 10 obstetric indicators chosen by the Joint Commission after alpha testing.

Passive P300 response in traumatic brain injury patients.

Severe traumatic brain injury (TBI) patients in a vegetative state were exposed to passive P300 (PP300) evoked potential tests under two conditions: two auditory tones (unimodality condition), and a flash and auditory tone (bimodality condition). A third non-P300 condition using a single repetitive auditory tone was also presented. Patients produced PP300 responses under all three conditions, even though the severity of their clinical condition did not allow them to respond to even simple commands. No peak latency differences were found. PP300 amplitude was significantly larger under the bimodality stimulus condition than either the unimodality or non-P300 condition. The PP300 amplitude under the unimodality condition, in turn, was larger than the P300-like response in the non-P300 condition. This replicates earlier findings with normal subjects. PP300 responses appear to be a tool that might find utility in evaluating TBI patients. Results raise questions about the neuropsychological/neurophysiological nature of the PP300 response.