Effects of dietary antioxidants on glucose and insulin responses to glucose tolerance test in transition dairy cows.

Oxidative stress occurs during the transition period and causes insulin resistance, which may be reduced by the use of antioxidants in this period. Twenty-four multiparous Holstein dairy cows, at 8 wk before parturition, were divided into 4 equal groups, namely control (Ctrl), vitamin E (VE), selenium (Se), and vitamin E plus selenium (VE + Se) groups. On a daily basis, VE and Se cows received dietary 1.5 IU vitamin E/kg BW and 0.3 mg/kg DM selenium, respectively, from 8 wk before to 3 wk after parturition. Vitamin E plus selenium group received doses similar to VE and Se groups. Insulin sensitivity was evaluated through intravenous glucose tolerance test (ivGTT) at weekly intervals from 3 wk before to 3 wk after parturition. Serum concentrations of total antioxidant status (TAS), malondialdehyde (MDA), superoxide dismutase (SOD), glutathione peroxidase (GPx), nonesterified fatty acid (NEFA), and beta-hydroxybutyric acid (BHBA) were assayed weekly before the commencement of ivGTT. Based on the results of ivGTT, the lowest and the highest degrees of insulin sensitivity were detected in Ctrl and VE + Se groups, respectively. The highest and the lowest concentrations of NEFA and BHBA were observed in Ctrl and VE + Se groups, respectively. Total antioxidant status, SOD, and GPx values were significantly lower in Ctrl cows and significantly higher in VE + Se-received cows compared with other groups. However, MDA values in Ctrl and VE + Se cows were significantly higher and lower than the other groups, respectively. Collectively, our results show that dietary administration of vitamin E and selenium ameliorates oxidative stress and lipid mobilization and increases insulin sensitivity in transition cows.

A multifunctional silk coating on additively manufactured porous titanium to prevent implant-associated infection and stimulate bone regeneration.

Despite tremendous progress in the design and manufacturing of metallic implants, they do not outlive the patient. To illustrate, more than half of hip replacements will fail, mainly due to implant infection and loosening. Surface engineering approaches and, in particular, coatings can facilitate implant bio-functionality via the recruitment of more host cells for new bone formation and inhibition of bacterial colonization. Here, we used electrophoretic deposition to apply a silk fibroin solution consisting of tricalcium phosphate (TCP) and vancomycin as a coating on the surface of additively-manufactured porous titanium. Furthermore, the surface properties of the coatings developed and the release kinetics of the vancomycin were studied to evaluate the applied coating. The in vitro antibacterial behavior of the multifunctional coating, as well as the cell viability and osteogenic differentiation of the MC3T3-E1 cell line were extensively studied. The biomaterials developed exhibited an antibacterial behavior with a reduction of up to four orders of magnitude in both planktonic and adherent bacteria for 6 h and 1 d. A live-dead assay, the Alamar Blue activity, the DNA content, and cytoskeleton staining demonstrated a significant increase in the cell density of the coated groups versus the as-manufactured ones. The significantly enhanced calcium deposition and the increase in mineralization for the groups with TCP after 21 and 28 d, respectively, demonstrate upregulation of the MC3T3 cells' osteogenic differentiation. Our results collectively show that the multifunctional coating studied here can be potentially used to develop a new generation of orthopedic implants.

Report of Giardia assemblages and giardiasis in residents of Guilan province-Iran.

Giardia duodenalis is considered a highly diverse organism that infects a variety of mammalian hosts. Giardiasis is a significant public health problem in Iran. The purpose of this study was to investigate the occurrence of Giardia duodenalis (G. lamblia, G. intestinalis) infections in humans residing in the Guilan province of Iran. Stool samples were collected during 12 months from 8356 individuals that had been referred to certain hospitals in the capital city of Rasht in the Guilan province, of which 4126 were males and 4230 were females. The samples were separated into three groups according to patient age: group A 1-9 years old (n = 483); group B 10-19 years old (n = 491); and group C greater than 20 years old (n = 7382). The wet mount technique was performed directly on 8356 fecal samples for microscopy. Samples were examined using a saline and iodine direct smear technique in order to confirm the presence of G. duodenalis. The results indicated that 2.5% (206/8356) of the samples were identified as positive for G. duodenalis. A total of 30% of the infected patients (n = 62) had no symptoms. In symptomatic cases, the most common symptoms (46%, n = 95) were abdominal cramps and bloating. Twenty-four percent of patients (n = 50) had cramps, bloating, nausea, and diarrhea. Sixty positive samples were sent for G. duodenalis genotyping based on the amplification of the gdh gene. Forty-one PCR products were successfully selected and sequenced, where 38 (92.6%) samples were identified as genotype A/subgenotype II and in three samples (7.4%) genotype B/subgenotype IV. Genotype A-II had a dominant prevalence as compared to the genotype B-IV samples that were identified in the study. Based on the samples provided by the regional teaching hospitals and subsequent sample analysis, the authors concluded that assemblage A-II is most likely the most common Giardia subgroup infection in the Guilan region. Assemblages have been reported in both humans and animals; however, further studies need to investigate the role of domestic animals and water reservoirs as potential sources of Giardia infection in the Guilan region.

Giardia Lamblia Subtypes and Their Relationship with Clinical Symptoms in Patients with Giardiasis.

Giardia lamblia has proved to be the most common intestinal protozoan parasite in humans that causes giardiasis. Given the high mutations in the genome of this parasite, the present study was conducted to determine the prevalence of Giardia lamblia subtypes and their relationship with clinical symptoms in patients who appear to have giardiasis. In 69 stool specimens with an appropriate number of giardia cysts, the DNA was first purified, and the genotype was then determined based on the glutamate dehydrogenase (gdh) gene sequence using PCR-RFLP. Data were collected on the clinical symptoms of the patients through a questionnaire, and their relationship with molecular results was studied. Four samples (5.8%) were found to be of subtype AI, 51 (73.9%) of subtype AII and 14 (20.3 %) of subtype BIII. No BIV subtype was found in the present study. A correlation was observed between Giardia lamblia genotypes (AI, AII and BIII) and abdominal pain. All of the people (100%) who had the AI genotype (i.e. the zoonosis subtype) had been losing weight. There was a significant correlation between weight loss and the AI subtype. All of the people (100%) infected with the BIII genotype experienced diarrhea, and this genotype was found to be associated with diarrhea. The present study found abdominal pain to be the most common symptom of giardiasis in Ilam province. Moreover, humans were found to be the main reservoir for giardia lamblia, although zoonosis subtypes such as AI and BIII still exist in the region and pose a risk for a giardiasis epidemic.

The effects of post-partum drops in body condition on indices of energy metabolism in mid-lactation Holstein cows.

BACKGROUND: Evaluation of energy metabolism indices in mid-lactation Holstein cows is critical to monitor health status. Aims: The objective of this study was to assess the effects of low (≤0.75) vs. high (>0.75) drops in body condition score (BCS) until day 60 post-partum on energy metabolism indices during mid-lactation in Holstein cows. METHODS: Twenty-eight Holstein cows were included in the study from the day of calving to day 120 of lactation. Whole blood samples were taken on 60, 90, and 120 days in milk (DIM). Serum was analyzed for insulin, glucose, non-esterified fatty acids (NEFA) and beta-hydroxybutyrate (BHB) levels. RESULTS: In cows with low BCS drop (LoD group), insulin did not change significantly through days 60 to 120 of lactation, but increased in high drop cows (HiD group) (P<0.001). Glucose concentrations decreased linearly in the LoD cows (P=0.039) and showed a quadratic increase in the HiD group on day 90 (P=0.028). Concentrations of non-esterified fatty acids showed both linear (P=0.04) and quadratic (P=0.002) changes in the HiD group. The HiD cows had significantly higher concentrations of insulin on day 120 (P=0.017) compared to the LoD group. Glucose concentration was lower (P<0.01) in HiD cows on 60 DIM. The concentration of non-esterified fatty acids was higher in HiD cows on day 90 (P<0.01). Surrogate indices of insulin resistance (calculated based on the concentrations of the measured metabolites) were different between the groups on day 90, indicating decreased insulin sensitivity in the HiD cows. CONCLUSION: Greater depletion of body reserves during early lactation may result in some inconsistencies in energy metabolism during mid-lactation periods. Controlling BCS loss during early lactation may help alleviate such alterations possibly through modifying insulin sensitivity of the tissues.

Compromised liver functions during the breeding period of clinically healthy Holstein cows.

BACKGROUND: The sub-clinical carry-over effects of post-partum (PP) conditions and the problems independent of parturition may affect the cows' performance during the breeding period. AIMS: It was hypothesized that some mid-lactation cows may have compromised liver functions and calculating liver activity index (LAI; -1.5 to +1.5) may be helpful in detecting such conditions. METHODS: Plasma lipid and protein profiles, retinol and ceruloplasmin were measured in 37 Holstein cows on days 60, 90, and 120 PP. Liver activity index was calculated using the measures of cholesterol, albumin and retinol. The results were interpreted using some health and performance indices. RESULTS: The mean LAI was 0.00 ± 0.61. Sixteen cows (45.7%) were LAI‾ and 19 cows (54.3%) were LAI+. In LAI+ cows the concentrations of cholesterol and albumin were unchanged, but in LAI‾ cows both of them increased through the study (P<0.05). Greater concentrations of low density lipoproteins (LDL) (P<0.01) and lower concentrations of γ- and total globulins (P<0.05; day 60) were detected in LAI+ cows. Ceruloplasmin was not different between the LAI groups with the highest level on day 90. Cholesterol had the strongest and the most repeated correlations with LAI during the study. The correlation of albumin with LAI faded on day 120 and vitamin A had a relationship only on day 60 PP. Triglycerides (TGs), very low density lipoproteins (VLDL) (day 60) and LDL (days 60 and 90) had positive correlations with LAI. All globulin fractions showed negative correlations with LAI on day 60. Seventy percent of the cows without endometritis (day 30 PP) and 33% of the infected cows were LAI+ during the breeding period. About 79% of the cows with body condition score (BCS) loss ≤0.75 (day 60) and 38% of the cows with BCS loss >0.75 were LAI+ during the breeding period. CONCLUSION: Compromised liver functions may exist in dairy cows during the breeding period and may be detected by calculating LAI. The relationship of LAI during the progressed lactation with herd's performance needs to be investigated.

A field study on glucose, non-esterified fatty acids, beta-hydroxybutyrate and thyroid hormones in dairy cows during the breeding period in Fars province, Iran.

BACKGROUND: It was hypothesized that under apparently good management practices in dairy farms, some cows may not be metabolically perfect during the breeding period and this may affect their performance. AIMS: This study was conducted to assess probable metabolic drawbacks in mid-lactation dairy cows affecting their performance. METHODS: Thirty-seven clinically healthy Holstein cows were assessed for plasma concentrations of glucose, non-esterified fatty acids (NEFA), beta-hydroxybutyrate (BHB), thyroxin (T4), and tri-iodothyronine (T3) on days 60, 90 and 120 of lactation. The relationships of the measured analytes with some performance indices were also studied. RESULTS: Continuous declines in plasma glucose (within reference values; P<0.006), T4 (P<0.001) and T3 (0.003) were found during the study. Non-esterified fatty acids showed relatively high levels through the study with a rise at day 90 (P<0.041). Beta-hydroxybutyrate concentrations did not change significantly (P>0.05) but were higher than those reported by others in mid-lactation cows. By progress in lactation 27% of cows had glucose concentrations <2.5 mmol/L, 62% had NEFA concentrations >0.40 mmol/L and 13.5% had BHB levels above 1200 µmol/L, which are the threshold levels of peri- and post-parturient problems. Milk production had negative correlations with glucose and T4 while the correlation was positive with NEFA. The interval between calving to the 1st heat had positive correlations with BHB concentrations. The interval between calving and the 1st insemination was inversely correlated with glucose and positively correlated with NEFA levels. CONCLUSION: The changes of the studied analytes in mid-lactation cows resembled those that would happen during negative energy balance in early lactation cows and feed restriction in mid-lactation cows and may affect the general health and the performance of the cows.

Radial head resection versus prosthetic arthroplasty in terrible triad injury: a retrospective comparative cohort study: a retrospective comparative cohort study.

AIMS: The crucial role of the radial head in the stability of the elbow in terrible triad injury is acknowledged. This retrospective study aims to compare the results of resection of a severely comminuted radial head with or without prosthetic arthroplasty as part of the reconstruction for this injury. PATIENTS AND METHODS: The outcome of radial head resection was compared with prosthetic arthroplasty in 29 and 15 patients with terrible triad injuries, respectively. There were ten female patients (34.5%) in the resection group and six female patients (40%) in the prosthesis group. The mean age was 40.7 years (sd 13.6) in the resection group and 36 years (sd 9.4) in the prosthesis group. The mean follow-up of the patients was 24.4 months (sd 12) in the resection group and 45.8 months (sd 6.8) in the prosthesis group. Outcome measures included visual analogue scale (VAS) for pain, Mayo Elbow Performance Score (MEPS), Disabilities of Arm, Shoulder and Hand (DASH) Score, and range of movement. Postoperative radiological complications were also recorded. RESULTS: The mean ranges of extension, flexion, supination, and pronation were not significantly different between the two study groups (p = 0.75, p = 0.65, p = 0.82, and p = 0.68, respectively). The mean VAS score, DASH score, and MEPS of the two groups were also not statistically significantly different (p = 0.93, p = 0.19, and p = 0.32, respectively). At the final visit, the elbow was stable in all patients. No patient was found to have developed an Essex-Lopresti injury. Osteoarthritis grade I and II was observed in five and three patients of the resection group, respectively, and four and one patients of the arthroplasty group, respectively. CONCLUSION: The outcome of patients undergoing treatment for terrible triad injuries is similar whether the patient's radial head was excised or replaced. Cite this article: Bone Joint J 2018;100-B:1499-505.

Characterization of virulence factors, antimicrobial resistance patterns and biofilm formation of Pseudomonas aeruginosa and Staphylococcus spp. strains isolated from corneal infection.

INTRODUCTION: Infectious keratitis is a serious ocular infection that can lead to severe visual impairment and blindness. Bacterial pathogens are responsible for nearly half of infectious keratitis cases. This study was performed to determine the virulence factors, antimicrobial resistance patterns, and biofilm formation ability of Pseudomonas aeruginosa and Staphylococcus spp. strains isolated from corneal infections. METHODS: A total of 56 corneal scraping samples were collected over 8 months. P. aeruginosa and staphylococcal strains were identified by phenotypic and genotypic methods. Determination of multidrug resistance was performed according to its definition of multidrug resistance (MDR). Detection of antimicrobial resistance genes and determinants of virulence were also performed using standard procedures. Biofilm formation ability of the isolates was determined by colorimetric microtitration plate assay and Modified Congo red agar (MCRA). RESULTS: In the present study, P. aeruginosa, MSSA, MRSA, MS-CoNS and MR-CoNS strains were isolated from corneal infections. Multidrug resistance was observed in 42.9% and 57.1% of P. aeruginosa and Staphylococcus spp., respectively. The most frequent virulence genes among P. aeruginosa strains were exoA and exoS (100%) followed by exoU (71.4%) and lasB (28.6%). All the P. aeruginosa isolates were biofilm producers and carried the algD gene (100%). All staphylococcal strains were negative for pvl gene amplification. Biofilm formation was also observed in 4 (57.1%) isolates. Both icaA and icaD genes were detected in the biofilm producers. CONCLUSION: Our results indicated that P. aeruginosa and Staphylococcus spp. were the most prevalent bacterial agents that cause corneal infections. However, their virulence traits and biofilm formation ability were noteworthy.