Relationships of feedlot performance, feeding behavior, rumen morphometrics, and carcass characteristics of Nellore cattle differing in phenotypic residual feed intake.

The objective of this study was to examine the relationship of DMI fluctuation, feedlot performance, feeding behavior, rumen morphometrics, and carcass characteristics in Nellore cattle classified by residual feed intake (RFI). One experiment was conducted in 2 consecutive years using individual pens (1.0 × 7.0 m) at the São Paulo State University feedlot, Dracena campus, Brazil. The experiment in year 1 started in June of 2012 with forty-eight 20-mo-old Nellore yearling bulls with an initial BW of 358.2 ± 19.4 kg. The experiment in year 2 started in January of 2013 with sixty 20-mo-old Nellore yearling bulls with an initial BW of 402.5 ± 33.0 kg. Experiments in years 1 and 2 lasted 94 and 84 d, respectively. All yearling bulls were categorized as high RFI (>0.5 SD above the mean, = 25), medium RFI (±0.5 SD from the mean, = 56), and low RFI (<0.5 SD below the mean, = 27). Visual appraisal to collect behavior data was made on d 40 (finishing period) of both years. Yearling bulls were harvested when average across treatment groups achieved a fat thickness of 4 mm at the 12th rib. Low-RFI yearling bulls had lower daily DMI, expressed either in kilograms ( < 0.01) or as percentage of BW ( < 0.01), and improved G:F ( < 0.01) when compared to high-RFI animals. No differences were observed ( > 0.10) for ADG, final BW, or HCW among RFI groups. Also, low-RFI yearling bulls had thinner final 12th rib ( < 0.01) and biceps femoris (P8) fat thickness ( < 0.01). Low-RFI yearling bulls were slower to consume ( = 0.03) and ruminate ( < 0.01) 1 kg of either DM or NDF. No significant ( > 0.10) RFI effect was observed for any ruminal morphometrics variables evaluated, with the exception of papillae area, in which low-RFI Nellore yearling bulls tended to have smaller ( = 0.07) papillae area than medium-RFI animals. In general, low-RFI Nellore yearling bulls consumed more particles larger than 19 and 8 mm and had a similar performance when compared to both medium- and high-RFI bulls; however, carcass fat composition was negatively impacted.

Determinants of out-of-hours service users' potentially inappropriate referral or non-referral to an emergency department: a retrospective cohort study in a local health authority, Veneto Region, Italy.

BACKGROUND: A growing presence of inappropriate patients has been recognised as one of the main factors influencing emergency department (ED) overcrowding, which is a very widespread problem all over the world. On the other hand, out-of-hours (OOH) physicians must avoid delaying the diagnostic and therapeutic course of patients with urgent medical conditions. The aim of this study was to analyse the appropriateness of patient management by OOH services, in terms of their potentially inappropriate referral or non-referral of non-emergency cases to the ED. METHODS: This was an observational retrospective cohort study based on data collected in 2011 by the local health authority No. 4 in the Veneto Region (Italy). After distinguishing between patients contacting the OOH service who were or were not referred to the ED, and checking for patients actually presenting to the ED within 24 hours thereafter, these patients' medical management was judged as potentially appropriate or inappropriate. RESULTS: The analysis considered 22 662 OOH service contacts recorded in 2011. The cases of potentially inappropriate non-referral to the ED were 392 (1.7% of all contacts), as opposed to 1207 potentially inappropriate referrals (5.3% of all contacts). Age, nationality, type of disease and type of intervention by the OOH service were the main variables associated with the appropriateness of patient management. CONCLUSIONS: These findings may be useful for pinpointing the factors associated with a potentially inappropriate patient management by OOH services and thus contribute to improving the deployment of healthcare and the quality of care delivered by OOH services.