Effective cleaning and decontamination of the internal air and water channels, heads and head-gears of multiple contra-angle dental handpieces using an enzymatic detergent and automated washer-disinfection in a dental hospital setting.

BACKGROUND: Dental handpieces (DHPs) are reusable invasive medical devices that must be cleaned, decontaminated, lubricated and steam sterilized after use. DHPs have a complex internal design including narrow channels, contamination of which can compromise sterilization. DHPs are not designed for routine disassembly, making cleaning/decontamination efficacy difficult to monitor. Washer-disinfection is the preferred method of decontaminating DHPs, but few studies have investigated its direct effectiveness at reducing microbial contamination internally. AIMS: To use contra-angle DHPs as a model system to investigate the effectiveness of washer-disinfection at reducing microbial contamination of internal components of multiple DHPs. METHODS: The air and water channels and heads of 10 disassembled contra-angle DHPs (BienAir, Biel/Bienne, Switzerland) were inoculated separately with 108 colony forming units (cfu) of Pseudomanas aeruginosa, Staphylococcus aureus, Enterococcus hirae or Candida albicans in the presence of 0.3% bovine serum albumin (BSA) (clean conditions), 3.0% BSA or 10% artificial test soil (dirty conditions). After reassembly, all 10 DHPs underwent washer-disinfection simultaneously in a Míele (Míele Ireland Ltd., Dublin, Ireland) PG8528 washer-disinfector and were tested for reductions in micro-organisms and protein. Additional experiments were undertaken with three lubricated DHPs inoculated with S. aureus and 10% test soil. All experiments were repeated in triplicate. FINDINGS: On average, an approximate 5 log or greater reduction in microbial cfu and a >93% reduction in protein from DHP heads and channels was consistently recorded following washer-disinfection for all DHPs under all conditions tested. CONCLUSIONS: The internal components of multiple DHPs can be effectively cleaned and decontaminated by washer-disinfection.

Effects of wheat distillers dried grains with solubles with or without protease and ß-mannanase on the performance of turkey hen poults.

Expansion in bioethanol production has resulted in distillers dried grains with solubles (DDGS) being readily available as a major protein source in the poultry industry. Two experiments were conducted to investigate effects of wheat DDGS (wDDGS) and enzyme on nutrient digestibility and performance of turkey hen poults (7 to 21 d). Two starter diets (0 or 30% wDDGS) were formulated to meet or exceed the nutrient requirements for Hybrid Converter female turkeys. These diets were then mixed in different proportions to obtain 2 additional wDDGS inclusion levels (10 and 20%). In Experiment 1, 0 and 30% wDDGS diets were each subdivided into 3 portions and supplemented with no enzyme (E-), protease (P+; 0.125 g/kg) or ß-mannanase (M+; 0.5 g/kg). A total of 144, 7-day-old poults were randomly distributed in groups of 4 in 6 replicate cages per treatment. There were no significant main effects or interactions on feed intake from 7 to 21 d. However, a positive (P<0.05) effect of 30% wDDGS was shown for weight gain and gain:feed. A significant interaction on nitrogen retention (NR) was found between enzymes and wDDGS level. There were significant main effects and interactions on the AME of the diets. The AME was higher (P<0.05) for 30% compared to 0% wDDGS. Supplementation of P+ decreased (P<0.05) AME for 0% diets as compared to 30% diets and vice versa for M+. In Experiment 2, 7-day-old poults (4 birds per 6 replications per treatment) were fed 4 levels of wDDGS (0, 10, 20, and 30%) with no enzyme. A linear (P<0.01) response was found for gain:feed with 30% wDDGS having a better response. Quadratic (P<0.01) responses were also found for NR and AME; both were highest for 10% wDDGS diets. In summary, no beneficial effects of P+ or M+ were demonstrated in diets containing 30% wDDGS. Wheat DDGS is a valuable energy source and as high as 30% can be incorporated in turkey hen poults (7 to 21 d) diets.

Evaluation of inclusion level of wheat distillers dried grains with solubles with and without protease or ß-mannanase on performance and water intake of turkey hens.

It is becoming a common practice to use higher levels of wheat distillers dried grains with solubles (wDDGS) in poultry diets. The objective of this study was to determine the effects of level of inclusion of wDDGS with or without enzyme (E-, i.e., wDDGSE-) supplementation on performance and water consumption of turkey hens (0 to 72 d). Two diets (0 or 30% wDDGS) were formulated to meet the nutrient requirements of Hybrid Converter turkeys. Diets (0 or 30% wDDGS; starter, grower, and finisher) were then blended to obtain a different level of inclusion (15%) of wDDGS. The 30% wDDGS diet was divided into 3 fractions and 2 fractions supplemented with either protease (P+, i.e., wDDGSP+; 0.126 g/kg) or ß-mannanase (M+, i.e., wDDGSM+; 0.05 g/kg). All 5 diets were fed ad libitum as mash. The 700 0-d turkey hens were randomly allocated into groups of 35 birds per replicate with 4 replicate floor pens per treatment, in a completely randomized design. Water consumption per pen was recorded beginning at 7 d. There was no effect of dietary treatment on feed intake. BW of turkey hens (52 d; grower) was significantly higher for 30% wDDGSP+ as compared to 0% wDDGSE- or 15% wDDGSE- diets; but was not different from 30% wDDGSE- or 30% wDDGSM+ diets. FCR (P < 0.01; 28 to 52 d), and total FCR (P < 0.05; 0 to 72 d) was significantly improved for birds fed 15 or 30% wDDGS regardless of enzyme treatment compared to 0% wDDGSE-. Water intake (WI, in mL per bird per day) tended to be higher (P = 0.08) between 7 and 28 d for 30% wDDGSP+ diets compared to other treatments. Similarly, WI of birds fed 30% wDDGSP+ was higher (P < 0.05; 28 to 52 and 52 to 72 d) and total WI (P = 0.07; 7 to 72 d) tended to be higher than other treatments. This study is the first to report the impact of wDDGS on WI. As high as 30% wDDGS can be substituted in turkey hen diets. No effect of P+ or M+ at the inclusion level tested was found on performance.

The effects of extrusion of wheat distillers dried grains with solubles with or without an enzyme cocktail on performance of turkey hen poults.

Two experiments were conducted to determine if extrusion (EX) or enzymes (E) could overcome the restrictions (e.g., high fiber) of feeding wheat distillers dried grain with solubles (wDDGS) and improve its nutritional value for feeding turkeys. Two starter diets with either 0 or 30% wDDGS were formulated to meet or exceed the nutrient requirements of the Hybrid Converter female turkeys. The 30% wDDGS diet was substituted with either non-extruded (EX-) or extruded (EX+) wDDGS to produce three basal diets [0% wDDGS (EX-) or 30% wDDGS (EX-/EX+)]. Diets were blended to obtain 15% wDDGS. In the respective treatments, only wDDGS was extruded (temperature; 118°C, retention; 15 sec, total moisture; 25% and pressure 33 bar). The respective experimental diets were supplemented with/without an enzyme cocktail (E; 0.5 g/kg). Test diets were fed from 7-21 d in a completely randomized design. In Experiment 1, a total of 210 turkey hen poults were fed diets containing 0, 15, or 30% wDDGS (EX-) with or without enzyme (E+/E-). Body weight (BW) and feed intake (FI) were significantly higher for 0% wDDGSE-. Nitrogen retention (NR) and apparent metabolizable energy (AME) for the 30% wDDGSE- was significantly higher than other treatments at 21 d. The results indicated significant main effects of E and an interaction between wDDGS level and E. In Experiment 2, 280 turkey hen poults were fed 8 diets [15/30% wDDGS (E+/E-), (EX-/EX+)]. The level of wDDGS had a significant effect on BW, FI and gain:feed; 15% inclusion was superior to 30%. There were significant 2- and 3-way interactions for AME and NR at 21 d due to differences in enzyme response with 15 or 30% wDDGS inclusion and/or extrusion of wDDGS. As high as 15% wDDGS can be incorporated in turkey hen diets. There were no beneficial effects of EX or E on poult performance.

Factors related to medical appointment attendance after childbirth among HIV-infected women in the Paris region.

This study examined factors related to medical appointment attendance after childbirth among HIV-infected women in the Paris region. We hypothesized that despite regular utilization of prenatal care, many women may not attend medical appointments after delivery for their own HIV infection. This was an observational cohort study of HIV-seropositive women delivering in four Paris hospitals in 2001. Follow-up attendance through 24 months after delivery was defined as 'regular' for women who had > or =4 HIV visits during the period, 'irregular' for <4 visits in the 24-months period and/or a gap between two visits >12 months, and 'no attendance' when < or =1 visit in the 2-year period. Of 169 women enrolled, 125 (75%) had regular attendance, 24 (14%) had irregular attendance, and 18 (11%) had no attendance. Multivariate analysis found the greater number of HIV visits during pregnancy and the prescription of combination therapy (versus zidovudine monotherapy) during pregnancy to be significantly related to regular attendance. Of the 18 women who had no attendance, 8 women (47%) continued to attend regular paediatric appointments with their infants during the 24-month period. Scheduling more frequent HIV visits during pregnancy may establish a pattern that will improve attendance during the post-partum period. In addition, increased communication between the health care providers of the mother and child may increase appointment attendance following delivery.

Second-trimester intra-abdominal bowel dilation in fetuses with gastroschisis predicts neonatal bowel atresia.

OBJECTIVE: To determine in fetuses with gastroschisis the association between intra-abdominal bowel dilation in the second trimester and neonatal bowel atresia. METHODS: We reviewed ultrasound and medical records of fetuses with gastroschisis from January 1998 to August 2004. Fetuses with intra-abdominal bowel dilation in the second trimester were identified and followed into the neonatal period. RESULTS: We identified 58 mother-infant pairs showing fetal gastroschisis, with at least one prenatal ultrasound at our hospital and which were delivered there, or were transported there as newborns. Forty-eight of the 58 fetuses had no intra-abdominal bowel dilation and none of these neonates had bowel atresia. Ten of the 58 fetuses had intra-abdominal bowel dilation and all had bowel atresia at birth (P<0.0001). In eight cases in which ultrasound was performed at <25 weeks' gestation, intra-abdominal bowel dilation was already present. CONCLUSION: Intra-abdominal bowel dilation in the second trimester predicts neonatal bowel atresia in fetuses with gastroschisis.

A study on the interaction of xylanase and phytase enzymes in wheat-based diets fed to commercial white and brown egg laying hens.

A trial was conducted to investigate potential interactions between phytase and xylanase enzymes in wheat-based laying diets. Hens (480 ISA-White and 480 ISA-Brown) were distributed into 160 experimental units and fed one of 10 diets containing 75 to 77% wheat from 33 to 64 wk of age with a diet change at 49 wk. Two diets were adequate in P content (0.3 and 0.25% available P in the 2 phases) with or without xylanase (0 or 2,000 U/kg; Avizyme 2300, Danisco Animal Nutrition, Marlborough, Wiltshire, United Kingdom), and 8 diets had reduced P (0.2 and 0.15% available P) with or without xylanase and phytase (0, 300, 500, and 700 ppu/kg; Phyzyme 5000G, Danisco Animal Nutrition). Egg production was higher for ISA-Brown than for ISA-White hens, and ISA-Brown hens were larger. Eggs from ISA-Brown hens had lower albumen height; higher egg, shell, and albumen weights; and lower yolk weight than those from ISA-White hens. Egg production was not affected by the diet. In P-reduced diets without xylanase, phytase significantly increased BW gain in the first period with no change in feed intake or feed efficiency. In P-adequate diets, xylanase increased egg and albumen weight and albumen height. In P-reduced diets with xylanase, increasing levels of phytase increased egg and albumen weight. This trial demonstrated no negative interactions between these enzymes for production traits and no interactions between the diet and strain of hen. These data suggest that poultry producers can use these enzymes individually or together in feed for the Brown and White egg layers used in this study without concern for the strain of hen.

Genetic mutations in surfactant protein C are a rare cause of sporadic cases of IPF.

BACKGROUND: While idiopathic pulmonary fibrosis (IPF) is one of the most common forms of interstitial lung disease, the aetiology of IPF is poorly understood. Familial cases of pulmonary fibrosis suggest a genetic basis for some forms of the disease. Recent reports have linked genetic mutations in surfactant protein C (SFTPC) with familial forms of pulmonary fibrosis, including one large family in which a number of family members were diagnosed with usual interstitial pneumonitis (UIP), the pathological correlate to IPF. Because of this finding in familial cases of pulmonary fibrosis, we searched for SFTPC mutations in a cohort of sporadic cases of UIP and non-specific interstitial pneumonitis (NSIP). METHODS: The gene for SFTPC was sequenced in 89 patients diagnosed with UIP, 46 patients with NSIP, and 104 normal controls. RESULTS: Ten single nucleotide polymorphisms in the SFTPC sequence were found in IPF patients and not in controls. Only one of these created an exonic change resulting in a change in amino acid sequence. In this case, a T to C substitution resulted in a change in amino acid 73 of the precursor protein from isoleucine to threonine. Of the remaining polymorphisms, one was in the 5' UTR, two were exonic without predicted amino acid sequence changes, and six were intronic. One intronic mutation suggested a potential enhancement of a splicing site. CONCLUSIONS: Mutations in SFTPC are identified infrequently in this patient population. These findings indicate that SFTPC mutations do not contribute to the pathogenesis of IPF in the majority of sporadic cases.

The effect of phytase enzyme and level on nutrient extraction by broilers.

Three experimental phytase enzyme preparations derived from the same Escherichia coli gene but produced in Saccharomyces cerevisiae (A), Pichia pastoris (B), and Pseudomonas fluorescens (C) were compared with a commercial enzyme preparation by addition to wheat-soybean meal diets fed to broiler chicks. A positive control diet contained sufficient available phosphorus for normal broiler growth and a negative control diet was phosphorus deficient. The 4 enzymes were added to the negative control diet at 3 levels each (150, 450, and 1,250 U/kg), and all diets were pelleted above 80 degrees C. Broiler chicks were fed experimental diets from 4 to 21 d. Chick performance and nutrient digestibility showed that the pel leting process inactivated enzymes A and C and the commercial enzyme. When added to the negative control diet, enzyme B had positive effects on broiler performance and calcium and phosphorus digestibility, and increasing levels of enzyme had greater positive effects. Enzyme B also increased the AME and protein digestibility over those of either control diet. These results suggest that enzyme B was not inactivated by pelleting above 80 degrees C, whereas the other enzymes were.

Effect of storage and layer age on quality of eggs from two lines of hens.

Eggs from ISA-White and ISA-Brown hens between 28 and 59 wk of age were stored for up to 10 d to produce a sample of 5,763 eggs differing in the three major determinants of albumen quality. Eggs from ISA-Brown hens were larger and had less yolk, more albumen, and a greater percentage of shell than those from ISA-White hens. Egg size increased with increasing age of the hen, although more for the ISA-White hens than the ISA-Brown hens, and the yolk increased more in size than did the shell and albumen. During storage, albumen weight decreased and yolk weight increased slightly. The height of the inner thick albumen of eggs from ISA-White hens was greater than that of eggs from ISA-Brown hens, and it decreased as the hen age increased and with increasing time in storage. The pH of the albumen was not different between strains, and the effect of hen age was small, but it increased with time in storage. Regression coefficients of the height of the inner thick albumen on the weight of the egg were between -0.058 and 0.102, showing that the fixed regression of 0.05-mm albumen height per gram of egg implied by the Haugh unit is wrong. The statistical association between albumen pH and egg weight was very low. If albumen quality is being used as a measure of freshness, then the albumen height is biased by the strain and age of hen, whereas the albumen pH is not.

The effect of storage and strain of hen on egg quality.

Eggs from 31-wk-old ISA-White and ISA-Brown hens were sampled immediately after lay and after periods of storage of 1, 3, 5, and 10 d at room temperature. Longer periods of storage resulted in lower albumen weight and albumen height and higher albumen pH. Eggs from ISA-Brown hens had more albumen and shell than those from ISA-White hens, likely due to differences in selection history rather than due to pleiotropic effects of eggshell color. Within each line and storage period, the egg weight was more closely associated with albumen weight than with yolk or shell weight. The albumen height of eggs from ISA-Brown hens was lower than that of ISA-White hens at all storage times, but the albumen pH was not affected by the strain. Albumen height and albumen pH were statistically unrelated in fresh eggs, but the association became larger as the storage period increased, suggesting that albumen height measures factors that are present when the egg is laid and changes during storage, whereas albumen pH measures only the effect of storage.

The effect of phosphorus, phytase enzyme, and calcium on the performance of layers fed corn-based diets.

An experiment employing a factorial arrangement of two levels of Ca, two levels of available P (AP), and three levels of phytase enzyme was carried out with 360 ISA White layers from 18 to 67 wk of age. The Ca levels were maintained at 3.7 and 4.0% throughout the experiment. The AP levels were 0.2 and 0.4% for the high and low treatments until 55 wk of age and were reduced to 0.11 and 0.22% thereafter. Phytase enzyme levels were 0, 250, and 500 phytase units (FTU)/kg of feed. In the period before Week 55, either level of AP was likely adequate for maximum production. However, when lower levels of AP were fed after this time, low AP was associated with reduced BW and egg production, and enzyme supplementation was able to compensate for low AP. In this period, high AP and the highest level of phytase produced negative effects on BW, egg weight, and the feed conversion ratio. The ratio of Ca to AP was important; shell quality was best with high or low levels of both. With high levels of Ca, enzyme supplementation compensated for low levels of AP and overcompensated with a high level of AP. These effects were reduced or absent with low levels of Ca. It is clear from this study that phytase enzyme can compensate for low levels of AP in diets based on corn and soybean meal, but that the optimum level of supplementation depends as well on the Ca level.

Using acid insoluble ash marker ratios (diet:digesta) to predict digestibility of wheat and barley metabolizable energy and nitrogen retention in broiler chicks.

Routine bioassay measurements of AME or N retention of broiler diets require measurements of gross energy (GE) or N and an acid insoluble ash marker in diet, excreta, or ileal digesta. These measurements of GE and N are time-consuming and expensive in comparison to measurements of added or natural occurring levels of acid insoluble ash. Data from bioassay measurements of AME and N retention of 138 wheat and 97 barley samples (with or without enzyme) were used to develop prediction equations relying on measurements of one that uses acid insoluble ash of diet, excreta or ileal digesta and GE and N of diet only; and a second equation using only acid insoluble ash of diet, excreta, or ileal digesta. The prediction equations demonstrate that part of or all of routine bomb calorimetry measurements for GE used to determine AME of wheat- or barley-based diets could be eliminated if a prediction error of 80 kcal/kg ME or less were acceptable. The prediction of N retention as compared to AME, based in part or totally on acid insoluble ash measurements, was less accurate; the prediction errors were equal to 2.3 and 6.5% for wheat- and barley-based diets, respectively. Ongoing research to improve the determination (speed, ease, and accuracy) of acid insoluble ash could provide a useful method to assess feeding value of ingredients and commercial poultry diets.

A broiler chick bioassay for measuring the feeding value of wheat and barley in complete diets.

Energy is an important component of poultry feed and is derived principally from cereal grains. Unfortunately, all of the chemical energy is not available to the bird, and biological assays must be used to determine the digestible energy value of a cereal grain. The bioassay described uses four pens of six male broiler chicks, complete diets containing 80% of a test cereal grain (with or without an appropriate commercial enzyme), and ad libitum feed intake. Apparent metabolizable energy values (kilocalories per kilogram of cereal grain, DM basis) values are calculated from gross energy and acid insoluble ash measurements of diet and excreta collected for 24 h at 16 d of age. To monitor variation between broiler chick assays, due to bird, environment, etc., common control samples of Hard Red Spring (HRS) and Canadian Prairie Spring (CPS) wheat were tested in each of 15 separate assays over 2 yr. Similarly, for barley, control samples of hulled and hulless barley were repeatedly tested in five assays. Broiler performance in this study was lower than expected for commercial broilers, in part due to a high dietary cereal grain component and the fine mash texture. However, AME values as determined were comparable to those reported in the literature for wheat and barley. The CV for AME measured among pens, representing the intra-assay CV, was between 1.2 and 3.4% and was lower with enzyme supplementation. The interassay CV was only slightly higher than the intra-assay CV. This assay provides precise estimations of ME in cereal grains fed to young broilers that can be used for diet formulation or for verification of laboratory measures of feeding value of cereal grains.

Comparison of sample source (excreta or ileal digesta) and age of broiler chick on measurement of apparent digestible energy of wheat and barley.

The broiler chick bioassay measures AME of wheat- or barley-based diets, with or without an enzyme, from excreta (24-h collections at 8 or 16 d) and ileal digesta (17 d). The objective was to discuss the merits and accuracy of sample source (excreta vs ileal digesta) and bird age for determining the feeding value of wheat and barley. The bioassay utilized 80% of a test cereal grain, 20% basal diet containing 1.1% acid insoluble ash marker, and fed with or without an enzyme to four pens of six male broilers from 4 to 17 d. A total of 138 wheat and 97 barley samples (with and without an enzyme) were tested in 15 and five bioassays, respectively. Within each wheat or barley bioassay two control wheat and barley samples were measured. The among-pens and between-assays CV for AME were calculated for these control samples, and correlation coefficients between the measures were calculated for the controls and for all of the 138 wheat and 97 barley samples included in the assays. For wheat samples, values for AME were lowest for excreta samples collected at 8 d, and similar for excreta and ileal digesta samples collected at 16 and 17 d, respectively. For barley samples, the three values were significantly different. The among-pens and between-assay CV were low for AME among both wheat and barley samples. Correlation coefficients between several measures of AME at 8 and 16 d were significant for the control samples with enzyme supplementation. When all samples were included in the analysis, correlation coefficients between AME measures were moderate to high. On the basis of accuracy, precision, and cost, these data favor measuring AME on excreta samples at 16 d of age. Comparisons of number of pens of broilers used to determine AME would suggest that much of the variability predicted with four pens of six broilers each could be achieved with three, and possibly two pens of six broilers each, thereby greatly increasing the capacity of the assay to screen large numbers of samples.

Comparison of bioabsorbable laminar bone membrane and non-resorbable ePTFE membrane in mandibular furcations.

The purpose of the study was to compare clinical parameter changes and osseous regeneration in 12 pairs of comparable Class II mandibular molar furcation invasion defects using either a bioabsorbable demineralized laminar bone allograft membrane or a non-resorbable expanded polytetrafluoroethylene (ePTFE) membrane as a barrier in guided tissue regeneration. Measurements with calibrated periodontal probes were made to determine soft tissue recession, probing depth, and attachment levels. Defects within each pair were randomly selected for treatment with either bioabsorbable demineralized bone allograft membrane or ePTFE membrane. All defects were concurrently grafted with particulate demineralized freeze-dried bone allograft (DFDBA). Additional measurements were made at surgery to determine crestal resorption and the vertical and horizontal dimensions of the osseous defects. The temporal course and extent of membrane exposures were also recorded. The non-resorbable membrane was retrieved 6 weeks following placement. Six months following initial surgical treatment, each site was surgically re-entered and all soft and hard tissue measurements repeated. Descriptive statistical analysis revealed that both treatments resulted in significant within-group mean vertical and horizontal osseous fill, but no statistical difference emerged between the groups. As based on this pilot study, laminar bone membrane may be as effective as ePTFE when used in conjunction with DFDBA for treatment of Class II mandibular molar furcation bone defects. This pilot study of low power suggests that these two materials may be equivalent when used in conjunction with DFDBA. Further studies of much higher power and of the laminar bone alone as compared to positive and negative controls are required. Laminar bone does not require a secondary surgical procedure for removal and may undergo less frequent instances and degrees of exposure during healing.

Comparison of inert markers [chromic oxide or insoluble ash (Celite)] for determining apparent metabolizable energy of wheat- or barley-based broiler diets with or without enzymes.

A broiler chick bioassay was used to measure the effect of two inert digestibility markers on the determination of dietary AME. Diets contained 80% of either wheat or barley (with or without enzyme) and either chromic oxide at 0.5% or one of three levels of insoluble ash (0.5, 1.0, or 1.5%) as markers. The various cereal and marker diet combinations were consumed ad libitum (0 to 21 d) by two groups of 10 male broilers in each of two trials. The AME of each diet was determined by measuring the respective marker ratios between diet and excreta (collected for 24 h at 7 or 21 d) or ileal digesta collected at 21 d. Growth and feed conversion were measured on each group of birds between 0 and 21 d. There was no effect of marker on growth or feed efficiency. However, determination of AME of wheat- or barley-based diets with or without enzymes were affected by choice of marker and whether markers were measured in excreta (7 or 21 d) or ileal digesta. Chromic oxide was viewed as the least accurate method for determining AME, based on chronic oxide's inability to define AME differences between barley-based diets with and without enzymes, whereas insoluble ash clearly demonstrated improved AME of wheat- and barley-based diets with an enzyme. The optimum levels of insoluble ash for accuracy and repeatability were between 0.5 and 1.0%. The AME of the diets were, on average, 5% lower when determined with 7 vs 21 d excreta and 2.5% lower for ileal digesta than excreta collected at 21 d. It was concluded that identification of components that result in variability in AME levels of diets will be improved if a bioassay uses insoluble ash as a marker.

Use of lactation curves for analysis of milk production data.

Nonlinear equations were compared with categorical analysis to account for DIM effects on milk production. Five different models for lactation curves were evaluated. Derived from a multiphasic lactation curve, the selected lactation curve appeared to result in random residuals and performed more consistently than the multiphasic curve. Residuals from the fitting of lactation curves were then used for split-plot analysis (continuous model) to estimate treatment effects. Statistical performance of this model was compared with split-plot analysis based on a discrete model with regularly spaced intervals to account for DIM effects (discrete model). The fitting of lactation curves accounted for herd, lactation number, and interaction effects of herd and lactation number and accounted for 34.1 and 44.3% of variance among cows for primiparous and multiparous cows, respectively. The continuous model detected interactions of genetic and management factors with treatment of multiparous cows that were not detected by the discrete model. No statistically significant differences were detected between the two modeling approaches. The continuous model appeared to violate fewer assumptions regarding data distribution than did the discrete model, which reduced the risk of introducing bias during the estimation of treatment effects. The continuous model seemed to be more sensitive to subtle interactions of treatment and other factors.

Nasal mucosal cells in human immunodeficiency virus type 1-seropositive patients with sinusitis.

Recently, sinusitis has been recognized as a frequent clinical problem in human immunodeficiency virus (HIV-1)-infected individuals. We hypothesized that quantitative defects in immune cells in the nasal mucosa of HIV-positive subjects might mirror those in the peripheral blood and explain a predisposition to sinus disease in this population. Nasal mucosa biopsies were obtained from three different groups of patients-HIV-1 seropositive with sinusitis, HIV-1 seronegative with sinusitis, and HIV-1 seronegative without sinusitis (normal volunteer)-and phenotyped for cluster of differentiation antigen (CD) markers. In this study, we found patients with HIV-1 and sinus disease to have significantly lower numbers of both CD3 and CD4 nasal mucosa lymphocytes than seronegative controls in the nasal mucosa (P < 0.05, P < 0.01, respectively). A correlation between nasal mucosal CD4 cells and peripheral-blood CD4 cells was noted (R = 0.67, P < or = 0.01). No deficiency in the number of nasal mucosa T or TC type mast cells was noted for the HIV-1-positive sinusitis group. Further study is warranted to define more completely the pathophysiology and microbiology of, and therapy for, this important clinical problem.