ABSTRACT
Ruminal tympany (bloat) has long been an issue for large and small livestock operations. Though improvements in feedlot management practices have reduced its occurrence, it is still highly prevalent and is known to detrimentally affect animal performance, welfare, and in many instances, lead to animal death. Current decision support systems and diet formulation software omit the inclusion of bloat prediction based on animal performance. Here, we aim to predict bloat incidence in implanted and non-implanted feedlot steers from performance data comparing linear (LDB) and non-linear decision boundaries. Eighteen crossbred Angus × Hereford steers: BW (491.13 ± 25.78 kg) and age (12 ± 1 mo) were randomly distributed into implanted and non-implanted treatments. All animals were randomly assigned to one of two pens fit with automated monitoring systems for BW, freshwater intake, and water intake behavior: water intake event visit, no water intake event visit (NWIE), and time spent drinking. DM intake (DMI) was individually recorded from all animals through the Calan Gate system for 135 d (30 d adaptation, 105 d experimental diet). Incidences of bloat were recorded as bloat instances regardless of severity to ensure that early onset detection of bloat was recorded and properly identified in predictive models. Logistic regression with a binomial distribution and a logit link function was utilized to predict the incidences of bloat through LDB. Feature selection and penalization of coefficients were explored through L1 (sum of absolute values) and L2 (sum of squares) penalization to avoid overfitting of models. Additional NLDB and a non-parametric LDB are examined for prediction. Accuracy, specificity, and sensitivity were high for the models reported. No significant differences were observed between LDB and NLDB, with the highest specificity (predicting bloat) value of 0.820 for stepwise feature selection algorithms, and a value of 0.832 for the artificial neural network. Highest accuracy was 0.829 for ridge regression, and 0.847 for the random forest with hyperparameter tuning. DM intake, BW, and NWIE were the three most important variables for the prediction of feedlot bloat showing clear drops in DMI and BW and increases in NWIE when animals bloated. The lack of difference in predictive performance between LDB and NLDB highlights the often-overlooked concept that machine learning algorithms are not always the only/best modeling technique. Additionally, the models reported herein carry acceptable predictive performance for inclusion into management decisions that reduce bloat incidences in feedlot cattle.
Subject(s)
Animal Feed , Diet , Cattle , Animals , Animal Feed/analysis , Diet/veterinary , Data CollectionABSTRACT
This study was conducted to assess the body and empty body fat physical and chemical composition through biometric measurements (BM) as well as postmortem measurements taken in 40 F Angus × Nellore bulls and steers. The animals used were 12.5 ± 0.51 mo of age, with an average shrunk BW of 233 ± 23.5 and 238 ± 24.6 kg for bulls and steers, respectively. Animals were fed 60:40 ratio of corn silage to concentrate diets. Eight animals (4 bulls and 4 steers) were slaughtered at the beginning of the trial, and the remaining animals were randomly assigned to a 1 + 2 × 3 factorial arrangement (1 reference group, 2 sexes, and 3 slaughter weights). The remaining animals were slaughtered when the average BW of the group reached 380 ± 19.5 (6 bulls and 5 steers), 440 ± 19.2 (6 bulls and 5 steers), and 500 ± 19.5 kg (5 bulls and 5 steers). Before the slaughter, the animals were led through a squeeze chute in which BM were taken, including hook bone width (HBW), pin bone width, abdomen width (AW), body length (BL), rump height, height at the withers, pelvic girdle length (PGL), rib depth (RD), girth circumference (GC), rump depth, body diagonal length (BDL), and thorax width. Additionally, the following postmortem measurements were obtained: total body surface (TBS), body volume (BV), subcutaneous fat (SF), internal physical fat (InF), intermuscular fat, carcass physical fat (CF), empty body physically separable fat (EBF), carcass chemical fat (CFch), empty body chemical fat (EBFch), fat thickness in the 12th rib, and 9th to 11th rib section fat. The equations were developed using a stepwise procedure to select the variables that should enter into the model. The and root mean square error (RMSE) were used to account for precision and accuracy. The ranges for and RMSE were 0.852 to 0.946 and 0.0625 to 0.103 m, respectively for TBS; 0.942 to 0.998 and 0.004 to 0.022 m, respectively, for BV; 0.767 to 0.967 and 2.70 to 3.24 kg, respectively, for SF; 0.816 to 0.900 and 3.04 to 4.12 kg, respectively, for InF; 0.830 to 0.988 and 3.44 to 8.39 kg, respectively, for CF; 0.861 to 0.998 and 1.51 to 10.98 kg, respectively, for EBF; 0.825 to 0.985 and 5.96 to 8.46 kg, respectively, for CFch; and 0.862 to 0.992 and 5.54 to 12.19 kg, respectively, for EBFch. Our results indicated that BM that could accurately and precisely be used as alternatives to predict different fat depots of F Angus × Nellore bulls and steers are AW, GC, or PGL for CF estimation; HBW and RD for CFch estimation; and body lengths such as BL and BDL for InF and SF estimation, respectively.
Subject(s)
Body Composition , Cattle/physiology , Models, Statistical , Silage/analysis , Adipose Tissue , Animals , Biometry , Cattle/growth & development , Diet/veterinary , Female , Male , Zea maysABSTRACT
Methane (CH) is a potent greenhouse gas that is normally produced by microbial fermentation in the rumen and released to the environment mainly during eructation. Prediction of ruminal CH production is important for ruminant nutrition, especially for the determination of ME intake to assess the amount of total GE available for metabolism by an animal. Equations have been developed to predict ruminal CH production based on dietary constituents, but none have considered condensed tannins (CT), which are known to impact CH production by ruminants. The objective was to develop an equation to predict ruminal CH, accounting for CT effects. Methane production data were acquired from 48-h in vitro fermentation of a diverse group of warm-season perennial forage legumes containing different concentrations of CT over the course of 3 yr ( = 113). The following nonlinear exponential decay regression equation was developed: CH4 = 113.6 × exp (-0.1751 x CT) - 2.18), [corrected] in which CH is expressed in grams per kilogram of fermentable organic matter and CT is in percentage of the DM. This equation predicted that CH production could be reduced by approximately 50% when CT is 3.9% DM. This equation is likely more accurate when screening CT-containing forages for their potential ability to mitigate in vitro CH production by ruminants when the CT concentration is greater than 3% DM. Therefore, despite the degree of variability in ruminal CH production, this equation could be used as a tool for screening CT-containing forages for their potential to inhibit ruminal CH. Future research should focus on the development of predictive equations when other potential reducers of ruminal CH are used in conjunction with CT.
Subject(s)
Methane/biosynthesis , Models, Biological , Proanthocyanidins/pharmacology , Rumen/drug effects , Animals , Bioreactors , Diet/veterinary , Fermentation , Proanthocyanidins/metabolism , Regression Analysis , Rumen/metabolism , Ruminants/metabolismABSTRACT
Methane emissions from ruminant livestock contribute to total anthropogenic greenhouse gas emissions and reduce metabolizable energy intake by the animal. Condensed tannins (CT) are polyphenolic plant secondary compounds commonly produced by some perennial forage legumes that characteristically bind to protein, carbohydrates, and minerals. The degree to which CT may affect ruminant nutrition depends upon the concentration, structural composition, and biological activity of the CT. The objective of our experiment was to determine the effect of replacing alfalfa in a corn-alfalfa-based substrate with a legume containing CT on in vitro CH4 production and the dynamics of fermentation using an in vitro gas production technique. All fermented substrates contained 50% ground corn as the energy concentrate portion, whereas the forage portion (50%) of each diet was comprised of alfalfa (control) or some combination of alfalfa and sericea lespedeza (SL) or panicled-tick clover (PTC). Our treatments consisted of PTC or SL 15, 30, and 45, which corresponded with 15, 30, or 45% replacement of the diet (alfalfa component) with either PTC or SL. Substrates containing 45% PTC or SL reduced in vitro CH4 production. Treatments did not affect total gas production as compared with that of the control. Replacement of alfalfa with SL or PTC increased fermentable organic matter (FOM). The PTC treatment increased FOM by as much as 1.8% at the 45% replacement level, whereas FOM of SL 45 was increased by less than 1%. The replacement of alfalfa with PTC increased substrate nutritive value greater than replacement with SL. There were no correlations between any physicochemical constituent of the substrates and CH4 production. A combination of factors associated with the inclusion of PTC and SL contributed to the in vitro CH4 production, and CT in these forages was likely a major contributing factor. Further confirmation of these results on in situ or in vivo animal systems is required. If proven effective in an in vivo production scenario, replacement of commonly fed non-CT-containing legumes, such as alfalfa, with legumes containing CT might be a viable method to decrease the effect of animal agriculture on greenhouse gas production.
Subject(s)
Diet/veterinary , Methane/metabolism , Proanthocyanidins/metabolism , Ruminants/metabolism , Animals , Fermentation , Lespedeza/chemistry , Medicago/chemistry , Medicago sativa/chemistry , Rumen/metabolism , Trifolium/chemistry , Zea mays/chemistryABSTRACT
The effect of using conventional urea (CU) or slow release urea (SRU) was evaluated by replacing soybean meal (SBM) in concentrated supplements in levels of 2, 4 or 6% (dry matter basis) on productive performance of crossbred Holstein x Zebu lactating dairy cows (499±61kg body weight and 167 days of lactation) grazing on elephant grass (11.5% CP and 60% NDF) under rotational grazing during the rainy season. A supplement control (no urea) was used containing SBM as a protein source. A total of 21 cows were distributed an incomplete randomized block design with three periods of 21 days each (14 days of adaptation and seven days of collection). The animals entered the paddocks with a pasture height of 110-120cm and left when the grass reached the height of 40-50cm. The concentrated isonitrogenous supplements (24% crude protein, dry matter basis) were provided in the amount of 3.2kg/cow/day (fed basis). There was no effect (P>0.05) on source of crude protein (SBM vs source NPN), source NPN, level of NPN, interaction between source NPN and level of NPN on milk production (10.0kg/day), fat milk production corrected to 3.5% (10.7kg/day), levels of fat (4.01%), protein (3.66%), lactose (4.16%), total solids (12.86%) and non-fat solids (8.60%) in milk. The replacement of CU by SRU does not promote improvement in the productive performance of crossbred dairy cows grazing on elephant grass during the rainy season. Urea (CU or SRU) can be included in up to 6% of the DM concentrated supplements, replacing SBM, without affecting the productive performance of crossbred cows (Holstein x Zebu) in pasture during the rainy season...
Avaliou-se o efeito da utilização de ureia convencional (UC) ou de ureia de liberação lenta (ULL) em suplementos concentrados, nos níveis de 2, 4 ou 6% (base da matéria seca), em substituição ao farelo de soja, sobre o desempenho produtivo de vacas mestiças Holandês x Zebu (499±61kg de peso corporal e 167 dias de lactação) mantidas em pastos de capim-elefante (11,5% de proteína bruta e 60% de FDNcp), sob lotação intermitente, no período das chuvas. Um suplemento controle (sem ureia) foi utilizado contendo farelo de soja como fonte proteica. Foram utilizadas 21 vacas, distribuídas em delineamento em blocos incompletos balanceados, com três períodos de 21 dias cada (14 dias de adaptação e sete dias de coleta). Os animais entraram nos piquetes com altura do pasto de 110-120cm e saíram quando atingiram altura de 40-50cm. Os suplementos concentrados isonitrogenados (24% de proteína bruta, base da matéria seca) foram fornecidos na quantidade de 3,2kg/vaca/dia (base da matéria natural). Não houve efeito (P>0,05) de fonte de proteína bruta (farelo de soja vs. fonte de NNP), de interação entre fonte de NNP (UC vs. ULL) e nível de NNP (2, 4 e 6% na MS do suplemento), de fonte de NNP e de nível de NNP e sobre a produção de leite (10,0kg/dia), produção de leite corrigida para 3,5% de gordura (10,7kg/dia), teores de gordura (4,01%), proteína (3,66%), lactose (4,16%), extrato seco total (12,86%) e extrato seco desengordurado (8,60%) no leite. A substituição da ureia convencional pela ULL não promove melhoria no desempenho produtivo de vacas leiteiras mestiças em pastagem de capim-elefante, no período das chuvas. A ureia (convencional ou de liberação lenta) pode ser incluída em até 6% na MS de suplementos concentrados, em substituição ao farelo de soja, sem afetar o desempenho produtivo de vacas mestiças (Holandês x Zebu) em pastagem, no período das chuvas...
Subject(s)
Animals , Cattle , Milk/adverse effects , Nitrogen , Pennisetum , Urea/adverse effects , Livestock Industry , Dietary Supplements/analysisABSTRACT
Equations to predict body weight (BW) of crossbred Holstein-Zebu dairy heifers were developed and compared with current models (Heinrichs et al. for Holsteins, United States; Reis et al. for crossbred Holstein-Zebu, Brazil). The data set was constructed from 150 measurements of BW (320 ± 107 kg) and biometric measurements such as heart girth (HG, 161 ± 19.5 cm), withers height (WH, 126 ± 11.0 cm), and hip height (HH, 132 ± 11.3 cm) of heifers from 5 commercial dairy producers in the southern Amazon region in Brazil. The data were evaluated using mixed nonlinear models with herd as a random effect. Three nonlinear equations were fitted: BW (kg)=0.00058·HG (cm)(2.6135); BW (kg)=0.000618·HG (cm)(2.7362); and BW (kg)=0.000196·HH (2.8793). An independent database was constructed to evaluate the models from 38 treatment means of 4 feeding trials: BW 258 ± 54.3 kg, HG 142.5 ± 11.8 cm, WH 113.2 ± 6.0 cm, and HH 118.7 ± 9.1 cm (mean ± SD). The evaluations were based on the relationship between observed and predicted values of BW by linear regression, root mean square prediction error (RMSPE), and concordance correlation coefficient analysis. Only the proposed model using HG accurately predicted observed BW, with bias (observed - predicted) of 4.83 kg and RMSPE of 5.41% of observed BW (87.7% of random error). The models using WH and HH failed to accurately predict observed BW, with a bias of -3.06 and 72.02 kg, and RMSPE of 9.40% of observed BW (75.2% of random error and 23.1% of systematic error) and 30.81% of observed BW (81.2% of mean bias). Additionally, the models of Heinrichs and Reis used for comparison did not predict BW accurately, with a bias of 19.32 and 29.37 kg and RMSPE of 9.08% of observed BW (68.4% of mean bias and 31.4% of random error) and 12.58% of observed BW (81.9% of mean bias). The largest concordance correlation coefficient of the proposed HG-nonlinear model (0.930), compared with the models of Heinrichs and Reis of 0.845 and 0.708, confirmed the greater accuracy and precision of the new equation to predict BW in crossbred Holstein-Zebu dairy heifers.
Subject(s)
Biometry/methods , Body Weight , Hybridization, Genetic , Models, Statistical , Animals , Brazil , Cattle , Dairying , Predictive Value of Tests , United StatesABSTRACT
This study was conducted to develop equations to predict carcass and body fat compositions using biometric measures (BM) and body postmortem measurements and to determine the relationships between BM and carcass fat and empty body fat compositions of 44 crossbred bulls under tropical grazing conditions. The bulls were serially slaughtered in 4 groups at approximately 0 d (n = 4), 84 d (n = 4), 168 d (n = 8), 235 d (n = 8), and 310 d (n = 20) of growth. The day before each slaughter, bulls were weighed, and BM were taken, including hook bone width, pin bone width, abdomen width, body length, rump height, height at withers, pelvic girdle length, rib depth, girth circumference, rump depth, body diagonal length, and thorax width. Others measurements included were total body surface (TBS), body volume (BV), subcutaneous fat (SF), internal fat (InF), intermuscular fat, carcass physical fat (CFp), empty body physical fat (EBFp), carcass chemical fat (CFch), empty body chemical fat (EBFch), fat thickness in the 12th rib (FT), and 9th- to 11th-rib section fat (HHF). The stepwise procedure was used to select the variables included in the model. The r(2) and the root-mean-square error (RMSE) were used to account for precision and variability. Our results indicated that lower rates of fat deposition can be attributed to young cattle and low concentration of dietary energy under grazing conditions. The BM improved estimates of TBS (r(2) = 0.999) and BV (r(2) = 0.997). The adequacy evaluation of the models developed to predict TBS and BV using theoretical equations indicated precision, but lower and intermediate accuracy (bias correction = 0.138 and 0.79), respectively, were observed. The data indicated that BM in association with shrunk BW (SBW) were precise in accounting for variability of SF (r(2) = 0.967 and RMSE = 0.94 kg), InF (r(2) = 0.984 and RMSE = 1.26 kg), CFp (r(2) = 0.981 and RMSE = 2.98 kg), EBFp (r(2) = 0.985 and RMSE = 3.99 kg), CFch (r(2) = 0.940 and RMSE = 2.34 kg), and EBFch (r(2) = 0.934 and RMSE = 3.91 kg). Results also suggested that approximately 70% of body fat was deposited as CFp and 30% as InF. Furthermore, the development of an equation using HHF as a predictor, in combination with SBW, was a better predictor of CFp and EBFp than using HHF by itself. We concluded that the prediction of physical and chemical CF and EBF composition of grazing cattle can be improved using BM as a predictor.
Subject(s)
Adipose Tissue/metabolism , Body Composition , Cattle/physiology , Animals , Body Fat Distribution/veterinary , Body Weight , Male , Models, Biological , Tropical ClimateABSTRACT
Carcasses of sixty-three Nellore bulls slaughtered at a commercial beef plant were randomly selected by dental classification (2, 4, 6 or 8 permanent incisors) in order to evaluate the influence of dental maturity on carcass traits and meat quality. Carcasses with 8 permanent incisors (p.i.) had greatest values (P<0.05) of carcass weight and longissimus area. Carcasses with 4 and 6 p.i. presented similar values of rib fat thickness being greater (P<0.05) than the other groups. Carcasses with 6 and 8 p.i. presented greater (P<0.05) values of shear force than the other groups. Conversely, carcasses with 2 and 4 p.i. displayed greater (P<0.05) myofibrillar fragmentation index and collagen solubility. Greatest values of thawing loss were observed in carcasses with 2 p.i. (P<0.05) while carcasses with 8 p.i. presented greatest values (P<0.05) of drip loss. Regarding longissimus color, carcasses with 8 p.i presented greatest value (P<0.05) of b*. Data suggests that dental maturity influences carcass traits and meat quality of Nellore bulls.
Subject(s)
Body Composition , Incisor/growth & development , Intra-Abdominal Fat/growth & development , Meat/analysis , Muscle, Skeletal/growth & development , Adiposity , Animals , Body Weight , Brazil , Cattle , Collagen/analysis , Collagen/chemistry , Dentition, Permanent , Hydrogen-Ion Concentration , Male , Meat/standards , Meat-Packing Industry/methods , Muscle Proteins/analysis , Muscle, Skeletal/chemistry , Pigmentation , Quality Control , Shear Strength , Solubility , Temperature , Water/analysisABSTRACT
The purpose of this study was to evaluate the effects of human head hair on thermoregulation during exercise carried out under solar radiation. 10 healthy male subjects (mean±SD: 25.1±2.5 yr; height: 176.2±4.0 cm; weight: 73.7±6.7 kg; VO(2max) 56.2±5.3 mLO(2)·kg (-1)·min (-1)) took part in 2 1 h-long trials of continuous exercise on a treadmill at 50% VO2(max) under solar radiation that were separated by at least 2 days. Whereas for the first trial they retained their natural head hair (HAIR), in the second trial their hair was totally shaved (NOHAIR). Several properties were measured, including environmental heat stress (Wet Bulb Globe Temperature index - WBGT, °C), heart rate, rectal temperature, skin temperature, head temperature, and global sweat rate. The main findings were that whereas there was a lower sweat rate in the HAIR condition (HAIR: 7.08±0.79 vs. NOHAIR: 7.67±0.79 g·m (-2)·min (-1); p=0.03), there were no significant differences in any of the other variables between the HAIR and NOHAIR trials. In conclusion, the presence of head hair resulted in a lower sweat rate.
Subject(s)
Body Temperature Regulation/physiology , Exercise/physiology , Hair/physiology , Sweating/physiology , Adult , Exercise Test , Head , Humans , Male , Running , Sunlight , Young AdultABSTRACT
Penicillin is the drug that most often leads to allergic reactions and anaphylaxis. The incidence of adverse events triggered by penicillins is believed to be between 1% and 10%. Up to one-tenth of these episodes are life-threatening, with the most serious reactions occurring in patients with no history of allergy. The case of a 5 year, 3 month-old female who had a severe allergic reaction to amoxicillin prior to a dental appointment is described. The literature on penicillin hypersensitivity is reviewed and recommendations for management of an allergic reaction in the pediatric dental office are discussed.
Subject(s)
Amoxicillin/adverse effects , Antibiotic Prophylaxis/adverse effects , Dental Care for Chronically Ill/adverse effects , Drug Hypersensitivity/etiology , Penicillins/adverse effects , Anaphylaxis/chemically induced , Anaphylaxis/therapy , Angioedema/chemically induced , Angioedema/therapy , Child, Preschool , Drug Hypersensitivity/therapy , Emergency Treatment , Female , Heart Defects, Congenital , HumansABSTRACT
Schimke immuno-osseous dysplasia is a rare autosomal recessive disorder that affects primarily bone, T lymphocytes, kidneys, and skin. The patients have a triangular face, broad nasal bridge, bulbous nose tip, small palpebral fissures, short neck, long upper lip, and low hairline. Dental abnormalities of affected patients have not been discussed in detail. The patient described in this clinical report presented with clinical and radiographic abnormalities that may constitute a diagnostic characteristic in this condition.
Subject(s)
Osteochondrodysplasias/pathology , Tooth Abnormalities/pathology , Child , Dental Caries/diagnostic imaging , Dental Caries/pathology , Dental Pulp Cavity/abnormalities , Dental Pulp Cavity/diagnostic imaging , Humans , Male , Radiography , Tooth Abnormalities/diagnostic imaging , Tooth Crown/abnormalities , Tooth Crown/diagnostic imaging , Tooth Root/abnormalities , Tooth Root/diagnostic imagingABSTRACT
Bone marrow transplantation (BMT) has become a common form of treatment for childhood diseases and disorders that directly or indirectly affect the production of stem cells which give origin to blood and immune system elements. The pre-transplant protocols include, but are not limited to, chemotherapy and/or radiotherapy, which can cause considerable acute and long-term undesired effects in the oral cavity and the craniofacial complex. This manuscript discusses the sequelae that a pediatric dentist may encounter when treating a BMT survivor.
Subject(s)
Bone Diseases/etiology , Bone Marrow Transplantation/adverse effects , Facial Bones/pathology , Mouth Diseases/etiology , Skull/pathology , Transplantation Conditioning/adverse effects , Acute Disease , Bone Diseases/chemically induced , Child , Chronic Disease , Dental Care , Facial Bones/drug effects , Facial Bones/radiation effects , Hematopoietic Stem Cells/physiology , Humans , Mouth Diseases/chemically induced , Radiotherapy/adverse effects , Skull/drug effects , Skull/radiation effects , Stem Cells/physiologyABSTRACT
In young patients with abnormal loosening of teeth and periodontal breakdown, dental professionals should consider a wide range of etiological factors/diseases, analyze differential diagnoses, and make appropriate referrals. The long-term oral and dental follow-up of a female patient diagnosed in early infancy with cyclic neutropenia is reviewed, and recommendations for care are discussed.
Subject(s)
Neutropenia/congenital , Tooth Loss/etiology , Adult , Alveolar Bone Loss/etiology , Female , Follow-Up Studies , Gingival Recession/etiology , Gingivitis/etiology , Humans , Periodontal Pocket/etiology , Tooth Extraction , Tooth Mobility/etiologyABSTRACT
Bone marrow transplantation (BMT) has become the treatment of choice for many diseases that affect the production of stem cells and elements of the immune system. The transplant recipients usually present oral problems because of the severe immunodepression caused by chemotherapy and/or radiotherapy. The oral problems can be very debilitating and life-threatening, increasing the length of hospital stay and treatment costs, and affecting the patient's comfort. This article discusses the important role dental hygienists can play to increase the patient's quality of life during this difficult period.
Subject(s)
Bone Marrow Transplantation , Dental Care for Chronically Ill , Stomatitis/prevention & control , Dental Hygienists , Humans , Immunosuppression Therapy/adverse effects , Mouth Mucosa , Oral Hygiene , Quality of Life , Stomatitis/etiologyABSTRACT
Bone marrow transplantation (BMT) has become an increasingly common treatment option for those patients who have a disease that affects the bone marrow (BM) directly or indirectly. Because of the level of immunosuppression achieved in BMT, any problems the pediatric patient presents in the oral cavity can become life-threatening and increase the length of hospital stay, the patient's discomfort, and the treatment costs. The oral cavity is a reservoir for microorganisms thus by reducing their number through optimal care, immunosuppressed patients may decrease their chance of a life-threatening systemic infection from an oral source. Many BMT teams believe that toothbrushing increases the risk of bacteremia and bleeding; however, problems are more likely to arise when patients are not compliant with good oral hygiene habits. It is vital to educate the caretaker and the child about the importance of oral care in order to minimize discomfort and maximize the chances for a successful transplant. This paper discusses the important and unique role that pediatric dentistry has in the multiprofessional BMT team to help bring about a successful outcome through the prevention and treatment of the acute oral complications often seen in these patients.
Subject(s)
Bone Marrow Transplantation/adverse effects , Mouth Diseases/etiology , Bacteremia/etiology , Bacterial Infections/prevention & control , Child , Female , Health Care Costs , Hospitalization/economics , Humans , Immunosuppression Therapy/adverse effects , Infant, Newborn , Length of Stay , Male , Mouth/microbiology , Mouth Diseases/prevention & control , Mouth Diseases/therapy , Oral Hemorrhage/etiology , Oral Hygiene , Patient Care Team , Patient Education as Topic , Risk Factors , ToothbrushingSubject(s)
Bone Marrow Transplantation/adverse effects , Graft vs Host Disease/etiology , Mouth Diseases/etiology , Tooth Diseases/etiology , beta-Thalassemia/therapy , Anti-Infective Agents, Local/therapeutic use , Cariostatic Agents/therapeutic use , Child , Chlorhexidine/therapeutic use , Chronic Disease , Cicatrix/etiology , Dental Care for Children , Dental Care for Chronically Ill , Facial Dermatoses/etiology , Fluorides/therapeutic use , Graft vs Host Disease/therapy , Humans , Male , Mouth Diseases/therapy , Oral Hygiene , Pigmentation Disorders/etiology , Scleroderma, Localized/etiology , Skin Diseases/etiology , Tooth Diseases/therapyABSTRACT
Hallerman-Streiff syndrome is a rare congenital anomaly characterized by a peculiar bird facies, mandibular and maxillary hypoplasia, dyscephaly, cataracts, microphtalmia, hypotrichosis, skin atrophy, and short stature. Dental abnormalities are present in 80 percent of the cases and include malocclusion, crowding, severe caries, supernumerary and neonatal teeth, enamel hypoplasia, hypodontia, premature eruption of primary dentition, agenesis of permanent teeth, and anterior displacement or absence of condyles. Very few cases have been described in the dental literature. The predisposition to severe caries, together with other problems, makes it imperative that young patients be started in a strong prevention program as early as possible. This is a case report of a five-year-eleven-month-old white male who presented for a dental examination at The Children's Hospital in Denver, CO. The findings and recommendations for treatment are discussed.
Subject(s)
Hallermann's Syndrome/pathology , Malocclusion/pathology , Anodontia/diagnostic imaging , Child, Preschool , Dental Care for Chronically Ill , Humans , Male , Radiography , Tooth, Deciduous/pathologyABSTRACT
Huntington's Disease is a chronic, progressive, hereditary disorder of unknown etiology. Onset occurs between 35 and 42 years of age and is characterized by chorea, behavioral changes, dementia, and irregular gait. Dyslalia is a common feature due to the severe darting movements of the tongue and head. Huntington's Disease is rarely diagnosed in children (less than 1% of all cases are documented in children under 10 years of age). This is a case report of an 11 year 5 month old white male, diagnosed at age 5, who was brought to the University of Minnesota Hospital Dental Clinic for an oral examination. The findings are presented, and the management of patients with Huntington's Disease is discussed.