First Evidence of the Effects of Polyethylene Terephthalate Microplastics on Ruminal Degradability and Gastro-Intestinal Digestibility of Mixed Hay.

Microplastics (MPs) raise environmental concerns. However, their effects on the ruminal-gastro-intestinal system have not yet been studied. This study aims to investigate the effects of polyethylene terephthalate (PET) MPs on the ability of the ruminal-gastro-intestinal system to degrade and digest mixed hay. Using a three-step in vitro ruminal-gastro-intestinal incubation system, PET MPs were introduced at concentrations of 0, 5, 10, and 15 g/L in ruminal and gastro-intestinal solutions. Ruminal fluid was collected from three 16-month-old Piedmontese bulls. The experiment was conducted on three mixed hays and was repeated three times, with triplicate incubations in each run. The results reveal that PET MPs reduced the degradability and digestibility of crude protein. Specifically, crude protein degradation was reduced by 9% at medium and 16% at high PET MP concentrations in the ruminal phase, while the crude protein digestibility of undegraded crude protein was reduced by 8% at the lowest PET MPs concentration in the gastro-intestinal tract. Additionally, PET MPs reduced the degradation of neutral detergent fiber at medium and high PET MP concentrations in the ruminal phase by 9% and 13%, respectively. These results highlight the risks of PET MPs contamination on ruminal-gastro-intestinal functions and underscore the urgent need to mitigate MPs contamination in the livestock sector.

Development and application of a novel extraction protocol for the monitoring of microplastic contamination in widely consumed ruminant feeds.

Plastics and, in particular, microplastics (MPs) (< 5 mm) are emerging environmental pollutants responsible for interconnected risks to environmental, human, and animal health. The livestock sector is highly affected by these contaminants, with 50-60 % of the foreign bodies found in slaughtered domestic cattle being recognized as plastic-based materials. Additionally, microplastics were recently detected inside ruminant bodies and in their feces. MPs presence in ruminants could be explained by the intensive usage of plastic materials on farms, in particular to store feeds (i.e. to cover horizontal silos and to wrap hay bales). Although feed could be one of the main sources of plastics, especially of microplastics, a specific protocol to detect them in ruminant feeds is not actually present. Hence, the aim of this study was to optimize a specific protocol for the extraction, quantification, and identification of five microplastic polymers (high-density polyethylene, low-density polyethylene, polyamide fibers/particles, polyethylene terephthalate and polystyrene) from feeds typically used in ruminant diets (corn silage, hay, high protein feedstuff and total mixed ration). Several combinations of Fenton reactions and KOH digestion were tested. The final extraction protocol involved a KOH digestion (60 °C for 24 h), followed by two/three cycles of Fenton reactions. The extraction recoveries were of 100 % for high-density, low-density polyethylene, polyamide particles, and polystyrene and higher than 85 % for polyethylene terephthalate and polyamide fibers. Finally, the optimized protocol was successfully applied in the extraction of microplastics from real feed samples. All the feeds contained microplastics, particularly polyethylene, thus confirming the exposure of ruminants to MPs.

The Near-Infrared Spectroscopy of Ethanol-Fixed Tissues to Detect Illicit Treatments with Glucocorticoids in Bulls.

This study aimed to set up indirect, rapid methods involving near infrared (NIR) spectroscopy analysis, to detect illicit treatments with glucocorticoids in bull. The ethanol fixation method (EtOH) was applied to 7 different tissues obtained from 20 Friesian bulls, 12 of which were experimentally administered with dexamethasone as part of a growth-promoting protocol for 60 days and slaughtered 26 days after the end of the treatment. A perfect discrimination was obtained for the 7 sampled tissues, considering a full UV-Vis-NIR range (350 ÷ 2500 nm), for both false positive and negative animals. The validated true positive and negative errors were zero for the longissimus thoracis muscle, 10% for the skin-dermis, 15% for the fat, 25% for the thymus gland and the semitendinosus muscle, 30% for the sternomandibularis muscle and 35% for the skin-hair. A multiple test on the most accessible tissues, that is, the thymus gland, the sternomandibularis muscle and fat, can be used as an alternative to provide indications about animals that have been subjected to illicit treatments. In the short space of three days from the slaughter, NIR spectroscopy of ETOH fixed tissues, would allow at least cost the detection of a probable illicit which could eventually be reported to health authorities for specific investigation in the frame of official controls.

Laboratory Analyses Used to Define the Nutritional Parameters and Quality Indexes of Some Unusual Forages.

The quality of a forage influences the production of animals, and it can be defined in many ways. Laboratory analyses are important tools because they can be used to indicate the quality of the forages, and they represent a relatively quick way of defining their nutritive values. However, specific quality indexes are necessary to evaluate and rank forages. The quality of conventional forages is predicted by different indexes, according to whether they are legumes or grasses. However, no indications are given about what formulae should be used for unusual forages. In the present study, laboratory analyses have been conducted on three unusual crops belonging to three different botanical families (amaranth, borage, and camelina) at four growth stages, and conventional quality indexes have been calculated and applied to establish their quality. The obtained results have shown that the nutritive value of the unusual forages modified during the growth, although they always maintained a high quality. Hence, the Relative Feed Value of unusual forages can be measured using the ADF content or digestibility value. The Relative Forage Quality, calculated with the legume formula, seems more appropriate for the considered unusual forages as it was able to reveal any changes that took place during maturity.

Rumen Fluid from Slaughtered Animals: A Standardized Procedure for Sampling, Storage and Use in Digestibility Trials.

Digestibility trials need a viable rumen fluid as inoculum to degrade feeds. The variability of rumen fluid depends on the animal's diet, while its viability is greatly influenced by the sampling and handling procedures. In this article, we present a replicable protocol for sampling the rumen fluid from slaughtered animals for in vitro digestibility trials. A detailed list of the tools and a step-by-step standardized procedure for the collection, storage and the transportation of the rumen fluid from the slaughterhouse to the laboratory is presented. We also describe a digestibility trial for establishing the maximum storage time of rumen fluid from sampling to its use. The results show that the rumen fluid, collected and maintained according to the proposed protocol, can be stored and used from 30 to 300 min from sampling without significantly compromising the fermentative activity of the microbial population.

Comparison of In Vivo and In Vitro Digestibility in Rabbits.

The apparent dry matter digestibility of diets for rabbits was measured in vivo (ADMDvv) and in vitro with the Ankom DaisyII Incubator. Four diets were tested: low fiber (LF), LF + 5% of pregerminated fenugreek seeds (PGFS) (LF5), LF + 10% PGFS (LF10), and high fiber (HF). For the ADMDvv, feces samples were collected from 56 White New-Zealand × Californian rabbits fed the 4 diets; animals were randomly allocated into 4 groups and housed in individual cages. For the in vitro trial, 3 methods were tested: fecal inoculum (FA) with Kansans State buffer; fecal inoculum with artificial saliva (FB); and multienzyme (ENZ). Fecal inocula were collected at slaughtering from the distal colon of rabbits fed ad libitum the LF diet. For FA and FB methods, the digestibility was measured at 36 and 48 h. The in vitro methods ranked the apparent dry matter digestibility of diets in the same order as in vivo, but ENZ values were always higher than FA and FB at 36 and 48 h. The prediction equations of in vivo digestibility with the ENZ method showed higher coefficient of determination (R2 = 0.69) and lower SE (0.190) than FA and FB; also, reproducibility was higher with ENZ (CV = 3.1%). In conclusion, different methods can be applied to the Ankom DaisyII Incubator to study the digestibility in rabbits. In our trial, the better reproducibility was observed with the multienzyme method than FA and FB were probably related to the variability of inocula.

Internet Narratives Focused on Health Travelers' Experiences in India: Qualitative Analysis.

BACKGROUND: The medical tourism industry is currently popular in India, but there is no confirmation of the common perspectives among the country's medical travelers. OBJECTIVE: This qualitative research study analyzed web-based narratives from health travelers visiting India and described the themes of their experiences. This study aimed to answer the following primary question: What can we learn about health travelers' experiences in India from an analysis of their web-based narratives? The secondary questions were as follows: (1) What are the primary health care reasons for which patients in the examined narratives traveled to India? (2) What can be derived from the narratives regarding medical tourists' satisfaction with the outcome and result of the treatment they received in India? (3) What are some positive and negative factors influencing medical tourists' perceptions and overall experiences about their health travel to India? (4) What are the characteristics of medical tourists who write web-based narratives regarding their health experiences in India? METHODS: Publicly available narratives written by medical tourists who visited India were obtained from a Google search. The narratives included blog posts and discussion board posts by medical tourists. The analysis process consisted of initial open coding being conducted on the narratives to create initial codes and identify common themes with a focus on the primary research question and subquestions. RESULTS: Although Mumbai, Chennai, and New Delhi were not the only destination cities mentioned, these were the most popular cities patients visited for care. The medical tourists, who stated their origin country, came from one of the following continents: Africa, Europe, North America, and Oceania. Dental care, Ayurveda treatment, and eye care were the most popular types of care that medical tourists sought. The results showed that most of the medical tourists were happy with the overall experience of receiving care in India. The most popular themes with regard to the patients' satisfaction were low costs, good customer service, and services being offered that were unavailable in their home country. When negative feedback was provided, it was mainly concentrated on the overall environment of India being unorganized and unsanitary. CONCLUSIONS: Primarily, the study's findings can benefit health care providers and patients. Providers hosting medical tourists in India can use negative feedback to improve their services; similarly, providers who are losing patients to medical tourism can identify opportunities for improvement (ie, why are we losing patients). Indian providers hosting medical tourists should keep their prices competitive and continue to provide exceptional service; however, they should do their best to lessen the crowdedness of their facilities while making sure they are esthetically pleasing. Providers losing patients to medical tourism need to identify ways to ensure their services match the benefits that their international counterparts are providing, such as competitive pricing and expansion on the services provided.

Characterization and Growth under Different Storage Temperatures of Ropy Slime-Producing Leuconostoc mesenteroides Isolated from Cooked Meat Products.

ABSTRACT: The presence of lactic acid bacteria can be detrimental when the abundant growth of slime-producing strains (Lactobacillus spp. and Leuconostoc spp.) causes spoilage of meat products. Two strains of lactic acid bacteria were isolated from vacuum-packed cooked hams that had been withdrawn from the market for the so-called ropy slime defect and identified as Leuconostoc mesenteroides. In an attempt to define the behavior of ropy slime-producing bacteria, two strains of L. mesenteroides were incubated in de Man Rogosa Sharpe broth at different storage temperatures and conditions of thermal abuse (4, 12, 20, 30, 37, and 44°C). Both strains showed a lack of growth at 44°C, a good level of development at 30 and 37°C, and evident growth ability at low temperatures, with a long stationary phase. In particular, the bacterial concentration at 4°C was >105 CFU mL-1 after more than 120 days of incubation. This study demonstrates that the refrigeration temperature for cooked meat products does not constitute a hurdle for ropy slime producers and their subsequent ability to spoil.

In Vitro Digestibility Measurement of Feedstuffs in Donkeys Using the DaisyII Incubator.

Successful studies on in vitro digestibility measurement of feedstuffs with fecal inoculum have been reported for horses, whereas data on donkeys are currently lacking. In this study, we evaluated the use of the DaisyII Incubator for in vitro digestibility measurement of feedstuffs using donkey feces as source of microbial inoculum. The method was tested using seven feedstuffs commonly used in donkey diets (alfalfa, bromegrass, ryegrass, and timothy hays; wheat bran and wheat straw; barley grains). Feces were obtained from four female donkeys, and incubations were carried out at 1-week intervals for four consecutive weeks. Two bags of each feedstuff were incubated in digestion vessels containing a buffer/feces solution (90:10). In vitro apparent dry matter digestibility (DMD), true dry matter digestibility (IVTD), and neutral detergent fiber digestibility (NDFD) were evaluated at four incubation times: 30, 48, 60, and 72 hours. All digestibility parameters significantly increased from 30 to 72 hours of incubation. At 72 hours of incubation, the within-laboratory repeatability and reproducibility of the method were 2.7% and 5.0% for DMD and 1.6% and 3.9% for IVTD, respectively. The method was less repeatable and reproducible for NDFD (4.5% and 10.4%, respectively).

WHCtrend, an up-to-date method to measure water holding capacity in meat.

An up-to-date procedure to standardize the measurement of the water holding capacity of meat, including new parameters and a new instrument, are proposed to simplify and standardize the use of the filter paper press method. The new instrument "WHCtrend instrument" employed Video Image Analysis, and a video camera placed above a compression system to measure the area formed by 250 mg of homogenized meat. For measurements, an image was acquired at time = 0 s, and every 15 s for 10 min after compression with a 500 N force. The meat total area was easily distinguishable from the white background. A dynamic measurement of fluid release over time was obtained and was called "WHCtrend". The new procedure was tested on different meats and the Pearson correlation coefficients between meat quality parameters and WHCtrend parameters were found to be significant. The "WHCtrend instrument" could be useful to rapidly screen meat water holding capacity and improve meat quality control.

Noise assessment in slaughterhouses by means of a smartphone app.

Regulation (EC) No. 1099/2009 on the protection of animals at the time of killing establishes an obligation to spare animals any avoidable suffering or stress prior to their slaughter. Although it has been pointed out that stressors also include noise, which can cause suffering and affect the quality of the meat, current legislation does not set a limit for environmental noise in slaughterhouses. This study was conducted in three slaughterhouses in central Italy to assess the environmental acoustic level using a smartphone app. The selected, medium-sized slaughterhouses for pigs and cattle were subjected to measurements using a sound-level meter (Noise Meter for iOS) during working hours at the unloading area and lairage, along the chute to the restraining pen, at the time of stunning and at the slaughter hall. For the bovine lines the average values expressed in dB ranged from 76.33 (SD 2.08) to 93.00 (SD 2.14) for abattoir 1, from 75.00 (SD 1.87) to 92.33 (SD 4.89) for abattoir 2 and from 75.67 (SD 7.09) to 88.83 (SD 4.79) for abattoir 3. For the pig lines the average values expressed in dB ranged from 77.50 (SD 3.11) to 100.33 (SD 1.53) for abattoir 1, from 83.00 (SD 2.00) to 99.75 (SD 2.63) for abattoir 2 and from 71.20 (SD 6.49) to 99.50 (SD 1.31) for abattoir 3. Data show that the pig slaughter line was always noisier than the cattle line and the slaughter hall always showed the highest values (i.e. 100 dB), when compared to the unloading area (i.e. 79 dB).

Healthcare Utilizing Deliberate Discussion Linking Events (HUDDLE): A Systematic Review.

The phenomenon, "huddle moments," can be described as a preparatory briefing among healthcare providers for the purpose of collaborating, exchanging information, and bringing awareness to patient safety concerns. A historical background of huddle communication is described and a systematic literature review was conducted on preoperative briefing and huddle communication. The article also describes a need for increased interprofessional collaboration education in anesthesia and a need for leadership to support initiatives that improve patient safety. The purpose of this article is to provide a systematic review of huddle communication and give future evidence-based recommendations on how the huddle can be used in healthcare as well as how to roll out use of the HUDDLE acronym: Healthcare, Utilizing, Deliberate, Discussion, Linking, Events.