Clinical course of neonatal acute kidney injury: multi-center prospective cohort study.

BACKGROUND: Neonatal acute kidney injury (AKI) has been associated with unfavorable outcomes, including increased mortality. We aimed to describe the clinical course and outcomes during the first 7 days after diagnosis in newborns with AKI in three neonatal intensive care units in Popayán-Colombia. METHODS: Multi-center prospective cohort study conducted between June 2019 and December 2020 in three NICUs after ethical approval. We included newborns between 2 and 28 days of life, first diagnosed with AKI using the KDIGO classification modified for newborns which consider increased serum creatinine values over baseline values as well as urine output over time in hours or both. Patients with chromosomal abnormalities, major kidney malformations, and complex congenital heart disease were excluded. Patients were followed for up to 7 days after diagnosis and the maximum KDIGO stage, recovery of kidney function, need for renal replacement therapy and cumulative incidence of death were evaluated. RESULTS: Over the 18 months of the study, 4132 newborns were admitted to the NICUs, and 93 patients (2.25, 95% CI 1.82-2.75%) developed neonatal AKI. 59.1% of the newborns were premature and there were no differences in severity according to gestational age. During follow-up, the maximum KDIGO was 64.5% for AKI-stage 1, 11.8% for AKI-stage 2, and 23.7% for AKI-stage 3. Kidney function recovery was higher in AKI-stage 1 patients vs. AKI-severe (AKI-stage 2 and 3) (95% vs. 48.5%). Five patients (5.4%) received renal replacement therapy and 15 died (16.1%), four in AKI-stage 1 vs. 11 in AKI-severe (6.7% vs 33.3%). CONCLUSIONS: Newborns admitted to the NICUs can develop AKI regardless of gestational age, and it is more frequent between the second and ninth days of life. More patients whit AKI-stage 1 recover and die less than those in a severe stage.

Sow performance in response to natural betaine fed during lactation and post-weaning during summer and non-summer months.

BACKGROUND: Two studies were conducted to evaluate the effects of dietary natural betaine on sow reproductive performance during summer (Exp. 1) and non-summer months (Exp. 2). Treatments were designed as a 2 × 2 factorial arrangement with factors including dietary betaine (0 or 0.2%) and period of supplementation (lactation or post-weaning until 35 days post-insemination). In Exp. 1, 322 and 327 sows and in Exp. 2, 300 and 327 sows representing young (parity 1 and 2) and mature (parity 3 to 6) sows, respectively, were used. RESULTS: In Exp. 1, supplementation of betaine during lactation increased sow body weight losses (- 11.95 vs. -14.63 kg; P = 0.024), reduced feed intake (4.12 vs. 4.28 kg/d; P = 0.052), and tended to reduce percentage of no-value pigs (P = 0.071). Betaine fed post-weaning reduced weaning-to-estrus interval (5.75 vs. 6.68 days; P = 0.054) and farrowing rate (86.74% vs. 91.36%; P = 0.060), regardless of parity group. Post-hoc analysis with sows clustered into 3 parity groups (1, 2 and 3, and 4+) indicated that betaine fed in lactation to parity 4+ sows (P = 0.026) and betaine fed post-weaning to parity 1 sows increased the number of pigs born in the subsequent cycle (P ≤ 0.05). In Exp. 2, betaine fed during lactation tended to reduce the weaning-to-estrus interval (6.64 vs. 7.50 days; P = 0.077) and farrowing rate (88.23% vs. 83.54%; P = 0.089), regardless of parity group. Feeding betaine post-weaning reduced number of pigs born (13.00 vs. 13.64; P = 0.04) and pigs born alive (12.30 vs. 12.82; P = 0.075), regardless of parity group. CONCLUSIONS: Using 0.2% betaine during the non-summer months did not benefit sow performance. During the summer, betaine supplementation in lactation increased subsequent litter size in parity 4+ sows. Betaine fed during the post-weaning period reduced the wean-to-estrus interval and farrowing rate, increased total number of pigs born for parity 1 sows and reduced total number of pigs born to parity 4+ sows. Further research is needed to determine if the detrimental effects on feed intake and farrowing rate may be correlated and depend on dietary betaine level.

Pregnancy rate in water buffalo following fixed-time artificial insemination using new or used intravaginal devices with two progesterone concentrations.

This study evaluated the pregnancy rate (PR) after timed artificial insemination (TAI) in water buffalo (Bubalus bubalis) during both non-breeding and breeding season, using either a new or reused intravaginal device (IVD) with two different progesterone concentrations. A total of 247 dairy buffalo cows were randomly assigned using a two-by-three factorial design and four replicates to the following groups: (1) new intravaginal device (IVD-New: DIB®, 1.0 g of P4, n = 51 or CIDR®, 1.38 g of P4, n = 55); (2) intravaginal device previously used once (9 days) (IVD-Used1x: DIB, n = 40 or CIDR, n = 51); or (3) intravaginal device previously used twice (18 days) (IVD-Used2x: DIB, n = 27 or CIDR, n = 23). On day 0, animals received the IVD plus 10.5 µg of buserelin acetate (GnRH) intramuscularly. On day 9, the devices were removed and 25 mg of PGF2α plus 500 IU of eCG was given intramuscularly. On day 11 (48 h after IVD withdrawal), animals received 10.5 µg of GnRH and were artificially inseminated 8-12 h later. Data were analyzed using Proc Logistic of SAS®. Animals that received IVD-New-DIB, had a significantly higher PR (62.7%; P = 0.0193) compared to animals that received IVD-New-CIDR (40%). Pregnancy rate was not negatively affected by reusing both types of IVD. Overall PR (new and reused devices) was higher (P = 0.0055) in the DIB group (62.7%) compared to the CIDR group (45%). In conclusion, PR was higher in buffaloes treated with devices containing 1.0 g of P4 (DIB®) compared to those receiving 1.38 g of P4 (CIDR®). Reusing the intravaginal devices did not affect negatively PR/TAI, suggesting that P4 concentrations within the TAI protocols in water buffaloes could be reduced, without impairing their fertility.

Genetic parameters for stayability, stayability at calving, and stayability at weaning to specified ages for Hereford cows.

Genetic parameters for stayability to six ages (ST1, . . ., ST6), for five measures of stayability to calving (SC2, . . ., SC6), and for five measures of stayability to weaning (SW2, . . ., SW6), were estimated using records of 2,019 Hereford cows collected from 1964 to 1979 from a selection experiment with a control line and three lines selected for weaning weight, yearling weight, and an index of yearling weight and muscle score. The model included birth year of the cow as a fixed effect and the cow's sire as a random effect. Analyses were performed with 1) a generalized linear mixed model for binary data using a probit link with a penalized quasi-likelihood function, and 2) with a linear mixed model using REML. Genetic trends were estimated by regressing weighted means of estimated transmitting abilities (ETA) of sires by birth year of their daughters on birth year. Environmental trends were estimated by regressing solutions for year of birth on birth year. Estimates of heritability (SE) for ST were between 0.09 (0.08) and 0.30 (0.14) for threshold model and between 0.05 (0.04) and 0.19 (0.09) for linear model. Estimates of heritability from linear model analyses transformed to an underlying normal scale were between 0.09 and 0.35. Estimates of heritability (SE) for SC were between 0.29 (0.10) and 0.39 (0.11) and between 0.18 (0.09) and 0.25 (0.08) with threshold and linear models. Estimates of heritability transformed to an underlying normal scale were between 0.30 and 0.40. Estimates of heritability (SE) for SW were between 0.21 (0.14) and 0.47 (0.19) and between 0.12 (0.08) and 0.26 (0.12) with threshold and linear models, respectively. Estimates of heritability transformed to an underlying normal scale were between 0.21 and 0.50. Estimates of genetic and environmental trends for all lines were nearly zero for all traits. Correlations between ETA of sires for stayability to specific ages, for stayability to calving, and for stayability to weaning with threshold and linear models ranged from 0.09 to 0.82, from 0.68 to 0.90, and from 0.67 to 0.87, respectively. Selection for stayability would be possible in a breeding program and could be relatively effective as a result of the moderate estimates of heritability, which would allow selection of sires whose daughters are more likely to remain longer in the herd. Selection for weaning and yearling weights resulted in little correlated response for any of the measures of stayability.

Number of calves born, number of calves weaned, and cumulative weaning weight as measures of lifetime production for Hereford cows.

Genetic parameters for lifetime production for cows with the opportunity to produce from 2 through 7 yr of age, as measured by the number of calves born (NB2, ..., NB7), the number of calves weaned (NW2, ..., NW7), and cumulative weaning weight (CW2, ..., CW7), were estimated using data from 3,064 Hereford cows from a selection experiment with a control line (CTL) and three lines selected for weaning weight (WWL), yearling weight (YWL), and an index of yearling weight and muscle score (IXL). Weaning weights were adjusted to 200 d of age and for sex and age of dam. Estimates of heritability and genetic and environmental correlations were obtained by restricted maximum likelihood with bivariate animal models, with year of birth of the cow as a fixed effect and direct genetic and residual as random effects. Genetic trends were estimated by regressing means of estimated breeding values by year of birth and line on birth year. Estimates of heritability (SE) for opportunity groups of 2 to 7 yr of age ranged from 0.08 (0.03) to 0.16 (0.05) for NB; from 0.05 (0.02) to 0.16 (0.05) for NW; and from 0.06 (0.02) to 0.16 (0.05) for CW. Estimates of genetic correlations (SE) among NB traits ranged from 0.60 (0.14) to 1.00 (0.00), and estimates of environmental correlations (SE) ranged from 0.67 (0.02) to 0.99 (0.00). For NW, estimates of genetic and environmental correlations ranged from 0.98 (0.11) to 1.00 (0.00) and from 0.65 (0.02) to 0.99 (0.00), respectively. Estimates of genetic correlations (SE) among CW traits ranged from 0.94 (0.08) to 1.00 (0.00). Estimates of environmental correlations (SE) ranged from 0.66 (0.02) to 0.99 (0.00). Estimates of genetic correlations for NB2 with all definitions of NW ranged from 0.47 (0.18) to 0.71 (0.12), and with all definitions of CW ranged from 0.55 (0.16) to 0.80 (0.11). Estimates of genetic correlations between NW2 and all definitions for CW ranged from 0.95 (0.02) to 0.99 (0.06). Estimates of annual genetic (SE) change were negligible for NB2, NB6, NW2, and NW6 for all lines. Estimates of annual genetic (SE) change for CW2 were 0.85 (0.11), 0.79 (0.14), 0.51 (0.10), and 0.52 (0.18) kg/yr, and for CW6 were 5.01 (1.25), 2.64 (1.75), 3.67 (1.16), and 3.33 (2.37) kg/yr for WWL, YWL, IXL, and CTL, respectively. Selection for lifetime production as measured by NB, NW, or CW could be effective but would be relatively slow due to low estimates of heritability and to increased generation intervals.

Genetic parameters for six measures of length of productive life and three measures of lifetime production by 6 yr after first calving for Hereford cows.

Genetic parameters for length of productive life given the opportunity (LPL/O), measured as days between first calving and disposal conditioned on one of six opportunity groups, L1 through L6 (e.g., L2 is length of productive life in days given the opportunity to live 2 yr after first calving), and lifetime production (LP), measured as the number of calves born (NB), number of calves weaned (NW), and cumulative weaning weight (CW) by 6 yr after first calving, were estimated using records of 1,886 Hereford cows from a selection experiment with three selected lines and a control line. Weaning weights were adjusted to 200 d of age and for sex and age of dam. Estimates of heritability and genetic and environmental correlations were obtained by restricted maximum likelihood with bivariate animal models, with year of birth of cow as a fixed effect and direct genetic and residual as random effects. Genetic trends were estimated by regressing means of estimated breeding values by year of birth and line on birth year. Estimates of heritability (SE) for LPL/O ranged from 0.05 (0.01) to 0.15 (0.03). Estimates of genetic correlations (SE) among LPL/O ranged from 0.74 (0.14) to 1.00 (0.00), and estimates of environmental correlations ranged from 0.67 (0.05) to 0.98 (0.01). Estimates of heritability (SE) for NB, NW, and CW were 0.17 (0.05), 0.21 (0.06), and 0.18 (0.01). Estimates of genetic correlations (SE) among NB, NW, and CW ranged from 0.96 (0.02) to 0.99 (0.01). Estimates of environmental correlations (SE) ranged from 0.93 (0.01) to 0.99 (0.01). Estimates of genetic correlations for L6 with NB, NW, and CW were near 1.00 (0.09). Estimates of environmental correlations (SE) ranged from 0.57 (0.03) to 0.60 (0.03). Estimates of genetic change per year (SE) for L6 were low for all lines and ranged from -3.53 (2.09) to 4.63 (2.11) d/yr. Genetic trends for NB and NW were negligible for all lines. Genetic trends for CW were low and ranged from -2.81 (1.67) to 3.29 (1.76) kg/yr. Differences in genetic trends between selected lines and control were not significant (P > 0.05). Estimates of environmental trends (SE) over all lines were -104.00 (25.48) d/yr, -0.26 (0.02) calves/yr, -0.25 (0.02) calves/yr, and -55.10 (15.63) kg/yr, for L6, NB, NW, and CW, respectively. Selection for LPLIO or LP could be successful in a breeding program, but may be relatively slow due to the low magnitude of heritability and extended generation interval.