ABSTRACT
BACKGROUND: Most serous ovarian cancers are now understood to originate in the fallopian tubes. Removing the tubes (salpingectomy) likely reduces the risk of developing high-grade serous ovarian cancer. Numerous gynaecological societies now recommend prophylactic (or opportunistic) salpingectomy at the time of gynaecological surgery in appropriate women, and this is widely done. Salpingectomy at the time of non-gynaecological surgery has not been explored and may present an opportunity for primary prevention of ovarian cancer. METHODS: This study investigated whether prophylactic salpingectomy with the intention of reducing the risk of developing ovarian cancer would be accepted and could be accomplished at the time of elective laparoscopic cholecystectomy. Women aged at least 45 years scheduled for elective laparoscopic cholecystectomy were recruited. They were counselled and offered prophylactic bilateral salpingectomy at the time of cholecystectomy. Outcome measures were rate of accomplishment of salpingectomy, time and procedural steps needed for salpingectomy, and complications. RESULTS: A total of 105 patients were included in the study. The rate of acceptance of salpingectomy was approximately 60 per cent. Salpingectomy was performed in 98 of 105 laparoscopic cholecystectomies (93·3 per cent) and not accomplished because of poor visibility or adhesions in seven (6·7 per cent). Median additional operating time was 13 (range 4-45) min. There were no complications attributable to salpingectomy. One patient presented with ovarian cancer 28 months after prophylactic salpingectomy; histological re-evaluation of the tubes showed a previously undetected, focal serous tubal intraepithelial carcinoma. CONCLUSION: Prophylactic salpingectomy can be done during elective laparoscopic cholecystectomy.
ANTECEDENTES: La mayoría de carcinomas serosos de ovario se originan en las trompas de Falopio. La exéresis de las trompas (salpingectomía) probablemente reduce el riesgo de desarrollar un carcinoma seroso ovárico de alto grado. Numerosas sociedades ginecológicas recomiendan efectuar una salpingectomía profiláctica (u oportunista) en el momento de una cirugía ginecológica en determinadas mujeres, y esta conducta está ampliamente difundida. Sin embargo, no se ha analizado la realización de la salpingectomía durante cirugías no ginecológicas como forma de prevención primaria del carcinoma ovárico. MÉTODOS: Determinar si la salpingectomía profiláctica con intención de reducir el riesgo de desarrollar cáncer de ovario sería aceptada y podría llevarse a cabo durante una colecistectomía laparoscópica electiva. Se reclutaron mujeres ≥ 45 años de edad programadas para colecistectomía laparoscópica electiva. A todas ellas se les aconsejó y ofreció la realización de una salpingectomía bilateral profiláctica en el momento de su colecistectomía. Las variables analizadas fueron la tasa de realización de la salpingectomía, la duración y las etapas quirúrgicos para efectuar este procedimiento, y las complicaciones. RESULTADOS: La aceptación de la salpingectomía fue aproximadamente del 60%. La salpingectomía se realizó en 98 de 105 colecistectomías laparoscópicas (93%) y no se pudo realizar en 7 pacientes (7%) por escasa visibilidad o adherencias. La mediana del tiempo quirúrgico adicional fue de 13 (rango 4-45) minutos. No hubo complicaciones atribuibles a la salpingectomía. Una paciente presentó cáncer de ovario 28 meses después de la salpingectomía profiláctica; la reevaluación histológica de las trompas mostró un carcinoma intraepitelial seroso focal tubárico (serous tubal intraepithelial carcinoma, STIC) no detectado previamente. CONCLUSIÓN: La salpingectomía profiláctica se puede realizar durante la colecistectomía laparoscópica electiva.
Subject(s)
Carcinoma in Situ/prevention & control , Cholecystectomy, Laparoscopic , Elective Surgical Procedures , Ovarian Neoplasms/prevention & control , Prophylactic Surgical Procedures , Salpingectomy , Adult , Aged , Feasibility Studies , Female , Humans , Middle Aged , Operative Time , Postoperative Complications , Primary Prevention , Salpingectomy/adverse effectsABSTRACT
Biomimetic proteoglycans (BPGs) were designed to mimic the three-dimensional (3D) bottlebrush architecture of natural extracellular matrix (ECM) proteoglycans, such as aggrecan. BPGs were synthesized by grafting native chondroitin sulfate bristles onto a synthetic poly(acrylic acid) core to form BPGs at a molecular weight of approximately â¼1.6â¯MDa. The aggrecan mimics were characterized chemically, physically, and structurally, confirming the 3D bottlebrush architecture as well as a level of water uptake, which is greater than that of the natural proteoglycan, aggrecan. Aggrecan mimics were cytocompatible at physiological concentrations. Fluorescently labeled BPGs were injected into the nucleus pulposus of the intervertebral disc ex vivo and were retained in tissue before and after static loading and equilibrium conditioning. BPGs infiltrated the tissue, distributed and integrated with the ECM on a molecular scale, in the absence of a bolus, thus demonstrating a new molecular approach to tissue repair: molecular matrix engineering. Molecular matrix engineering may compliment or offer an acellular alternative to current regenerative medicine strategies. STATEMENT OF SIGNIFICANCE: Aggrecan is a natural biomolecule that is essential for connective tissue hydration and mechanics. Aggrecan is composed of negatively charged chondroitin sulfate bristles attached to a protein core in a bottlebrush configuration. With age and degeneration, enzymatic degradation of aggrecan outpaces cellular synthesis resulting in a loss of this important molecule. We demonstrate a novel biomimetic molecule composed of natural chondroitin sulfate bristles grafted onto an enzymatically-resistant synthetic core. Our molecule mimics a 3D architecture and charge density of the natural aggrecan, can be delivered via a simple injection and is retained in tissue after equilibrium conditioning and loading. This novel material can serve as a platform for molecular repair, drug delivery and tissue engineering in regenerative medicine approaches.
Subject(s)
Acrylic Resins/chemistry , Aggrecans/chemistry , Biomimetic Materials/chemistry , Chondroitin Sulfates/chemistry , Extracellular Matrix/chemistry , Fibroblasts/metabolism , Materials Testing , Animals , Cell Line , Fibroblasts/cytology , MiceABSTRACT
Our hypothesis was that increasing the inclusion level of dried distiller's grains with solubles (DDGS) to feedlot lambs would increase growth and the inclusion of lasalocid (LAS; Bovatec, Alpharma, LLC, Bridgewater, NJ) would increase ADG and G:F, while not affecting digestibility, ruminal VFA concentration, and ruminal pH. Furthermore, we hypothesized that rations containing LAS and higher levels of DDGS would cause increased ruminal hydrogen sulfide gas (HS) concentrations. Two hundred forty crossbred (Suffolk × Rambouillet) lambs (31.9 ± 5.87 kg BW; approximately 90 d of age) were allocated to 6 treatments in a completely randomized design with a 3 × 2 factorial arrangement of treatments. Lambs were placed into 24 feedlot pens (4 pens/treatment; 10 lambs/pen) for a 111 d finishing study. Main effects included concentration of DDGS (0, 15, or 30% DM basis) and inclusion of LAS (0 or 22.05 g/metric ton LAS) resulting in treatments of: 1) 0% DDGS without LAS (0DDGS-NL), 2) 0% DDGS with LAS (0DDGS-L), 3) 15% DDGS without LAS (15DDGS-NL), 4) 15% DDGS with LAS (15DDGS-L), 5) 30% DDGS without LAS (30DDGS-NL), and 6) 30% DDGS with LAS (30DDGS-L). Two-day weights were taken at the beginning and end of the experiment. Two-hundred-eighteen lambs (64.8 ± 7.99 kg BW) were slaughtered on d 112 at a commercial abattoir and carcass data collected. The inclusion of LAS increased ( ≤ 0.02) final BW, ADG, G:F, and HCW. As DDGS in the ration increased to 30%, DMI decreased linearly ( = 0.03) while G:F increased linearly ( = 0.03). A second study was conducted utilizing the same treatments to evaluate N and S balance, ruminal VFA and H2S concentration, and ruminal pH in 24 crossbred wethers (Suffolk × Rambouillet; 41.2 ± 12.23 kg BW). Daily urinary sulfur excretion and ruminal H2S concentration were linearly increased ( < 0.001) as DDGS increased in the ration. Total ruminal VFA concentration linearly decreased ( = 0.002) as DDGS increased in the ration. The inclusion of LAS increased ( = 0.02) ruminal pH. The results confirm our hypothesis that LAS increased overall growth and increasing DDGS increased ruminal HS concentration but did not influence growth. We reject the hypothesis that the combined effects of LAS and DDGS would have no effect on rumen pH and VFA concentrations.
Subject(s)
Animal Feed/analysis , Body Composition/drug effects , Diet/veterinary , Lasalocid/pharmacology , Rumen/drug effects , Sheep/growth & development , Animal Nutritional Physiological Phenomena , Animals , Body Fluids , Dietary Supplements , Digestion/drug effects , Edible Grain , Fatty Acids, Volatile/chemistry , Fatty Acids, Volatile/metabolism , Hydrogen Sulfide/chemistry , Hydrogen Sulfide/metabolism , MaleABSTRACT
To examine the effects of maternal metabolizable protein (MP) supplementation during late gestation on serum hormone and metabolites and organ masses, multiparous ewes (n = 45) carrying singletons or twins were allotted randomly (within pregnancy group) to 1 of 3 treatments: 60% (MP60), 80% (MP80), or 100% (MP100) of MP requirements. Blood samples were drawn before the initiation of diets (day 100) and before slaughter (day 130) for chemistry panel analysis and weekly for hormone analysis including progesterone (P4) and estradiol-17ß (E2). At day 130, ewe organ masses were recorded. Despite being fed isocaloric diets, MP60 ewes gained less weight throughout pregnancy compared with MP80 and MP100 ewes which were similar. Although diet did not impact E2 or P4 concentrations, ewes carrying twins had greater (P < 0.05) concentrations of both as gestation advanced. Albumin, aspartate aminotransferase, and total protein were reduced (P < 0.05) in MP60 compared with MP100 ewes near term. There was a diet by fetal number interaction (P = 0.03) for lactate dehydrogenase. Twin-carrying MP80 ewes had greater lactate dehydrogenase compared with all other groups on day 130 of gestation. Ewes that were fed MP80 had greater body weight on day 130 of gestation compared with MP60 ewes. Kidney and heart weights were lighter in MP60 ewes compared with MP80 ewes. There was a maternal diet by fetal number interaction (P = 0.05) on fetal weight per unit empty ewe body weight. In ewes carrying singletons, MP60 ewes supported less fetal weight compared with MP100. In contrast, MP60 ewes supported more fetal mass compared with MP100 ewes when carrying twins. The level of protein, and not just total energy, in the diet appears to impact some aspects of the maternal system. Moreover, it appears some measurements of mobilizing maternal body resources are enhanced in ewes carrying twins.
Subject(s)
Dietary Proteins/administration & dosage , Fetus/physiology , Gestational Age , Hormones/blood , Sheep/physiology , Animal Nutritional Physiological Phenomena , Animals , Diet , Dietary Supplements , Energy Intake , Estradiol/blood , Female , Fetal Weight , L-Lactate Dehydrogenase/blood , Litter Size/physiology , Maternal Nutritional Physiological Phenomena , Nutritional Requirements , Organ Size , Pregnancy , Progesterone/blood , Weight GainABSTRACT
In sheep, embryonic and fetal death during pregnancy can account for 25% to 50% of the total number of corpora lutea (and thus potential embryos). The objective of this study was to determine the effects of injectable and oral Arg supplementation provided for 14 d postbreeding on the reproductive performance of naturally stimulated fall lambing ewes. Rambouillet ewes ( = 210) were exposed to rams equipped with marking harnesses to induce cyclicity in April 2012. Upon estrus detection (d 0) ewes were randomly assigned, in a completely random design, to 1 of 6 treatments for a 14-d treatment period: injectable saline (CON; = 25), injectable Ala (IVALA; = 20), injectable Arg (IVARG; = 23), oral rumen-protected Arg (RPARG; = 20), oral fish meal (FM; = 24), or oral soybean meal (SBM; = 23). Daily treatments, except CON, IVALA, and SBM, were formulated to provide supplemental Arg at 30 mg·kg BW·d and were provided at 0800 h daily. Ewes receiving injectable treatments were provided 454 g corn/d postinjection, whereas ewes receiving oral supplements were provided a ground ration of their respective treatments with corn individually at 0800 h daily. Plasma and serum samples were collected on d 0, 2, 4, 6, 8, 10, 12, and 14 from 12 ewes per treatment to evaluate plasma progesterone and serum AA concentrations. At lambing, birth weight, birth type, and sex were recorded. Weaning weights were recorded when the average age of lambs was 85 d. No differences ( ≥ 0.39) were detected for pregnancy, prolificacy, and lambing rates or lamb birth weights among treatments. However, litter weaning weight tended to be greater ( = 0.06) and weaning rates were greater ( = 0.05) in Arg-injected ewes (1.09, 0.95, 1.29, 0.72, 1.00, and 0.86, respectively). Plasma progesterone and serum Arg concentrations showed a treatment and day effect ( < 0.001), but no treatment × day interaction ( ≥ 0.99) was observed. In contrast to previous research, supplemental Arg during the first 14 d of pregnancy did not improve pregnancy or lambing rates; however, IVARG did positively impact weaning rates.
Subject(s)
Animal Feed/analysis , Arginine/pharmacology , Reproduction/drug effects , Sheep/physiology , Animals , Arginine/administration & dosage , Birth Weight , Female , Fish Products , Injections, Intravenous , Male , Pregnancy , Progesterone , Reproduction/physiology , Rumen , Glycine maxABSTRACT
To examine the effects of maternal metabolizable protein (MP) restriction during late gestation on uterine and umbilical blood flows, conceptus size, and amino acid concentrations in the uterine and umbilical vessels, 11 ewes with singleton pregnancies were assigned to one of three isocaloric diets formulated to provide 60% of MP (MP60), 80% of MP (MP80), or 100% of MP (MP100) requirements from days 100 to 130 of gestation. On day 130 of gestation, intraoperative uterine and umbilical blood flows were obtained as well as serum samples from the uterine artery, uterine vein, umbilical artery, and umbilical vein. Ewes on the MP60 diet had lighter (P=0.04) and smaller (P≤0.05) fetuses, but increased (P=0.02) uterine blood flow relative to fetal weight compared with MP100 ewes, with MP80 being intermediate. Umbilical blood flow was similar (P=0.70) across treatments. Glutamine, glycine, isoleucine, leucine, ornithine, serine, and valine concentrations were impacted (P≤0.02) by maternal treatment. While uterine flux of total serum nitrites was greater (P=0.03) in MP60 and MP80 ewes compared with MP100 ewes, fetal flux did not differ. Decreased maternal protein intake resulted in less (P<0.01) maternal cytochrome P450 1A enzyme activity. There were minimal impacts of maternal diet on steroid concentrations. Maternal dietary protein may alter fetal growth by impacting placental vasculature function and nutrient absorptive capabilities.
Subject(s)
Animal Feed/analysis , Dietary Proteins/administration & dosage , Sheep/physiology , Umbilical Cord/blood supply , Uterus/blood supply , Amino Acids/blood , Animal Nutritional Physiological Phenomena , Animals , Blood Flow Velocity , Diet/veterinary , Female , Fetal Blood/metabolism , Fetal Growth Retardation , Maternal Nutritional Physiological Phenomena , Pregnancy , Umbilical Cord/physiologyABSTRACT
The objective of the current study was to determine the effects of maternal MP intake in isocaloric diets during late gestation on female offspring growth from birth to breeding and measure reproductive performance of those offspring in their first breeding season. In yr 1, maternal dietary treatments were applied at d 100 of gestation, were similar in total energy, and contained 60MP1, 60% of MP requirements; 80MP1, 80% of MP requirements; and 100MP1, 100% of the MP requirements on a DM basis during late gestation. In yr 2, maternal dietary treatments were similar in total energy and contained 60MP2, 60% of MP requirements; 100MP2, 100% of the MP requirements; and 140MP2, 140% of MP requirements on a DM basis during late gestation. While there was a quadratic effect ( = 0.003) for ewe lamb birth weight with the ewe lambs from 80MP1 ewes having increased birth weights compared with ewe lambs from 60MP1 and 100MP1 ewes in yr 1, there was no effect ( ≥ 0.22) of maternal diet on growth of ewe lamb offspring thereafter. A quadratic effect ( = 0.02) was observed for the percentage of ewe lambs bred during the first 17 d of the breeding season, with more ewe lambs born to ewes fed 80MP1 bred compared with ewe lambs born to ewes fed 60MP1 and 100MP1. Ewe lambs giving birth within the first 17 d of lambing season increased ( = 0.001) linearly as MP intake increased in the maternal diet. In yr 2, there was no effect ( ≥ 0.07) of maternal MP treatment during late gestation on growth of ewe lambs and reproductive performance except ADG from birth to weaning and lamb birth weight. There was a quadratic effect ( = 0.01) for ADG from birth to weaning of ewe lambs from ewes consuming 100MP2 being increased compared with ewe lambs from ewes fed 60MP2 and 140MP2. There was a linear ( = 0.04) reduction in birth weight of lambs born to ewe lambs as the dam's maternal dietary MP intake increased. The data from the current study suggest that feeding 80% or 100% of MP requirements during late gestation may have the greatest positive impacts on female offspring reproductive performance.
Subject(s)
Animal Feed/analysis , Animal Nutritional Physiological Phenomena , Dietary Proteins/pharmacology , Fertility , Sheep/growth & development , Sheep/physiology , Animals , Birth Weight , Breeding , Diet/veterinary , Dietary Proteins/analysis , Dietary Supplements , Female , Maternal Nutritional Physiological Phenomena , Pregnancy , Reproduction , WeaningABSTRACT
We hypothesized that a maternal diet greater in MP during the last third of gestation would yield improved offspring growth due to enhanced placental or mammary gland function. Our objective was to determine how MP intake during late gestation affected ewe and offspring performance from birth to weaning in ewes fed diets similar in total energy. In yr 1, maternal dietary treatments were applied at d 100 of gestation, were similar in total energy, and contained 60% of MP requirements (60MP1), 80% of MP requirements (80MP1), and 100% of the MP requirements (100MP1) on a DM basis during late gestation. In yr 2, maternal dietary treatments were similar in total energy and contained 60% of MP requirements (60MP2), 100% of the MP requirements (100MP2), and 140% of MP requirements (140MP2) on a DM basis during late gestation. In yr 1, there was no effect (P ≥ 0.30) of maternal MP restriction on gestation length, lamb birth weight, or milk production of the dam. At lambing, ewe BW (P = 0.02) and BCS (P = 0.01) increased linearly as MP in the diet increased. While there were no differences in lamb BW at birth, lamb weaning BW (P = 0.08) and ADG from birth to weaning (P = 0.10) tended to increase linearly as maternal MP intake increased. In yr 2, maternal BW increased with increased dietary MP. However, there were no significant effects (P ≥ 0.45) of maternal dietary treatment on maternal BCS or lamb birth weight. Moreover, lamb weaning weight and ADG were not influenced by maternal MP levels. These results suggest that ewes maintain and gain BW and BCS when consuming diets similar in total energy with increased MP during late gestation, but the increased MP had minimal effects on lamb performance through weaning.
Subject(s)
Dietary Proteins/metabolism , Energy Intake , Sheep, Domestic/physiology , Animal Feed/analysis , Animal Nutritional Physiological Phenomena/drug effects , Animals , Diet/veterinary , Dietary Proteins/administration & dosage , Dietary Supplements/analysis , Dose-Response Relationship, Drug , Female , Maternal Nutritional Physiological Phenomena/drug effects , Pregnancy , Sheep, Domestic/growth & development , WeaningABSTRACT
The objective of this study was to evaluate the effects of dried distillers grains with solubles (DDGS) on ram lamb feedlot performance, carcass characteristics, serum testosterone concentration, and semen quality. One hundred twenty ram lambs (40.4 ± 9.1 kg; Suffolk × western white face) were used in a completely randomized design to determine the effects of DDGS on feedlot performance and carcass characteristics. Rams were allotted into one of three dietary treatments (n = 4 pens/treatment; 10 rams/pen): 1) 0DDGS: 85% corn and 15% commercial market lamb pellet, 2) 15DDGS: 15% DDGS substituted for corn (DM basis), and 3) 30DDGS: 30% DDGS substituted for corn (DM basis). Rams were weighed on consecutive days at the beginning (d 0 and 1) and end (d 96 and 97 and d 116 and 117) of the trial. Scrotal circumference was measured on all rams on d 84, 96, and 116. Semen and blood samples were collected on a subset of 48 rams (4 rams/pen; 16 rams/treatment; n = 4) to evaluate semen quality. Blood samples were collected every 14 d throughout the study. Semen samples were collected on d 84, 98, and 112. Rams were fed to market weight, shipped to a commercial abattoir, and harvested for carcass data collection. Initial BW, final BW, change in scrotal circumference, days on feed, carcass characteristics, serum testosterone concentrations, and spermatozoa motility score were not different (P ≥ 0.23) due to dietary treatment. However, DMI increased linearly (P < 0.001) as DDGS increased in the ration, resulting in a linear increase (P = 0.02) in ADG. Additionally, spermatozoa concentration decreased linearly (P = 0.05) as DDGS concentration increased in the ration. Increasing DDGS in the diet did not have a negative impact on ram feedlot performance or carcass characteristics; however, spermatozoa production may have been negatively affected, necessitating the need for additional research on the impact of DDGS on ram development.
Subject(s)
Animal Feed/analysis , Body Composition/physiology , Sheep/growth & development , Sperm Count/veterinary , Spermatozoa/physiology , Testosterone/blood , Animal Nutritional Physiological Phenomena , Animals , Diet/veterinary , Edible Grain , Male , Sheep/bloodABSTRACT
Ingestion of small amounts of some types of condensed tannins (CTs) by ruminant livestock can provide nutritional, environmental and economic benefits. However, practical methods are needed to make these tannins more available to ruminant livestock. Results from previous trials with crude quebracho and black wattle tannin indicated that cattle and/or sheep would not preferentially drink water containing these tannins. Therefore, we conducted preference trials to determine if cattle and sheep would learn to prefer water containing purified grape seed tannin (GST) that provided up to 2% of their daily dry matter (DM) intake. After gradual exposure to increasing amounts of this tannin in water during a pre-trial period, five adult ewes and five yearling heifers fed lucerne (Medicago sativa) pellets (19% CP) were offered water and several concentrations of GST solutions for either 15 (sheep trial) or 20 days (cattle trial). We measured intake of all liquids daily. Concentrations of blood urea were also measured for heifers when they drank only tannin solutions or water. Both sheep and cattle developed preferences for water with GST in it over water alone (P < 0.01) although this preference appeared earlier in the trial for sheep than for cattle. For the sheep, mean daily intake of water alone and all tannin solutions (in total) was 0.6 and 6.1 l, respectively. For the cattle, mean daily intake of water and all tannin solutions in total was 21.8 and 20.6 l, respectively, in the first half of the trial and 10.8 and 26.1 l, respectively, in the second half of the trial. Compared with the other tannin solutions, both sheep and cattle drank more of the solution with the highest tannin concentration (2% of daily DM intake as GST) than of water on more trial days (P < 0.05). Ingestion of water with the highest concentration of GST reduced blood plasma urea concentration in the cattle by 9% to 14% (P ≤ 0.10) compared with ingestion of water alone. Results from the trials suggest that providing grape seed and perhaps other CTs via drinking water may be a practical way to introduce CTs into sheep and cattle diets.
Subject(s)
Cattle/physiology , Drinking Water/chemistry , Seeds/chemistry , Sheep/physiology , Tannins/chemistry , Vitis/chemistry , Animals , Food Preferences , TasteABSTRACT
The objective of this research was to compare the growth performance, incidence of prolapse and mortality, carcass characteristics, blood hormone concentration, and N balance of lambs implanted with increasing dosages of zeranol. One hundred forty-four crossbred lambs (29.6 ± 4.9 kg) were used in a completely random design and placed into 16 feedlot pens (4 pens/treatment) for a 116 d finishing study. Lambs were fed an 84.7% corn and 15.3% market lamb pellet (DM basis) diet ad libitum. Treatments were 0, 12, 24, and 36 mg zeranol (Ralgro; Schering-Plough), and lambs were implanted in the ear according to treatment on d 0. Lambs were weighed. Thirty lambs (67.6 ± 3.4 kg) and 96 lambs (65.8 ± 5.1 kg) were harvested on d 84 and d 118, respectively. Carcass data were collected 24 h after chill. Blood samples were collected on d 0, 28, 56, 70, 82, 99, and 116 from 64 lambs (29.6 ± 2.1 kg) in the feedlot study (subsample of 4 lambs per pen) and analyzed for thyroxine, triiodothyronine, and IGF-I. A second study was conducted to compare effects of 0, 12, 24, or 36 mg zeranol on N balance in 16 crossbred lambs (34.8 ± 2.1 kg). There were no differences among treatments for BW, ADG, DMI, and G:F (P > 0.05) in the feedlot study. However, there was a linear increase for incidence of prolapse (P = 0.006; 2.78, 5.55, 24.98, and 27.75%, respectively) and mortality (P = 0.005; 0.00, 5.55, 11.10, and 13.88%, respectively) as zeranol dosage increased. Carcass characteristics, blood hormone concentrations, and N balance were not affected by treatment (P > 0.05). These results indicate zeranol increases incidence of prolapse and mortality without increasing growth performance.
Subject(s)
Body Composition/drug effects , Estrogens, Non-Steroidal/pharmacology , Nitrogen/metabolism , Sheep/growth & development , Sheep/physiology , Zeranol/pharmacology , Animals , Dose-Response Relationship, Drug , Estrogens, Non-Steroidal/administration & dosage , Female , Insulin-Like Growth Factor I/metabolism , Male , Sheep/blood , Thyroid Hormones/blood , Zeranol/administration & dosageABSTRACT
BACKGROUND: Patients with platinum-sensitive recurrent ovarian cancer have variable prognosis and survival. We extend previous work on prediction of progression-free survival by developing a nomogram to predict overall survival (OS) in these patients treated with platinum-based chemotherapy. PATIENTS AND METHODS: The nomogram was developed using data from the CAELYX in Platinum-Sensitive Ovarian Patients (CALYPSO) trial. Multivariate proportional hazards models were generated based on pre-treatment characteristics to develop a nomogram that classifies patient prognosis based on OS outcome. We also developed two simpler models with fewer variables and conducted model validations in independent datasets from AGO-OVAR Study 2.5 and ICON 4. We compare the performance of the nomogram with the simpler models by examining the differences in the C-statistics and net reclassification index (NRI). RESULTS: The nomogram included six significant predictors: interval from last platinum chemotherapy, performance status, size of the largest tumour, CA-125, haemoglobin and the number of organ sites of metastasis (C-statistic 0.67; 95% confidence interval 0.65-0.69). Among the CALPYSO patients, the median OS for good, intermediate and poor prognosis groups was 56.2, 31.0 and 20.8 months, respectively. When CA-125 was not included in the model, the C-statistics were 0.65 (CALYPSO) and 0.64 (AGO-OVAR 2.5). A simpler model (interval from last platinum chemotherapy, performance status and CA-125) produced a significant decrease of the C-statistic (0.63) and NRI (26.4%, P < 0.0001). CONCLUSIONS: This nomogram with six pre-treatment characteristics improves OS prediction in patients with platinum-sensitive ovarian cancer and is superior to models with fewer prognostic factors or platinum chemotherapy free interval alone. With independent validation, this nomogram could potentially be useful for improved stratification of patients in clinical trials and also for counselling patients.
Subject(s)
Neoplasm Recurrence, Local/pathology , Ovarian Neoplasms/drug therapy , Ovarian Neoplasms/genetics , Platinum/administration & dosage , Adult , Aged , Aged, 80 and over , Antineoplastic Combined Chemotherapy Protocols/administration & dosage , Clinical Trials as Topic , Disease-Free Survival , Female , Humans , Middle Aged , Neoplasm Recurrence, Local/chemically induced , Neoplasm Recurrence, Local/genetics , Neoplasm Staging , Nomograms , Ovarian Neoplasms/pathology , Paclitaxel/administration & dosage , Platinum/adverse effects , Platinum/toxicity , Prognosis , Sensitivity and Specificity , Treatment OutcomeABSTRACT
The objective of the study was to determine if flaxseed treated with a formaldehyde-free process could increase n-3 fatty acid (FA) concentrations in lamb and steer muscle. Twenty-four lambs (initial BW 43.8 ± 4.4 kg) were randomly divided into 4 groups for a 90-d trial. One treatment group (FLX) was fed 136 g/d of nontreated ground flaxseed; another treatment group (FLXT1) was fed 136 g/d of flaxseed treated to protect a-linolenic acid (ALA) from microbial hydrogenation; a third treatment group (FLXT2) was fed 136 g/d of a second treated flaxseed; and a fourth treatment group (CNTL) was fed corn and soybean meal with similar CP and DE levels as the other treatments. Intake of treated flaxseed raised plasma triacylglycerol concentrations of ALA more (P < 0.01) than intake of nontreated flaxseed did, but there was no difference (P = 0.65) in ALA increase between FLXT1 and FLXT2. Intake of treated flaxseed increased (P ≤ 0.05) muscle phospholipid ALA and eicosapentaenoic acid concentrations more than nontreated flaxseed did. There were no differences in muscle phospholipid n-3 concentrations between FLXT1 and FLXT2. Ten yearling steers (initial BW 437 ± 18 kg) were randomly divided into 2 groups. One group was fed ground flaxseed (0.05% of steer BW/d; FLX; n = 5) and a second group was fed treated flaxseed at the same rate (FLXT; n = 5). The 175-d trial was divided into 2 periods: high roughage, low concentrate period followed by high concentrate, low roughage period. Steers were fed rations that were formulated to be isonitrogenous, isocaloric, and isolipidic. There was no difference (P = 0.37) in increase of ALA in blood plasma of FLX and FLXT groups by the end of the first period. However, FLXT had 16% greater (P = 0.003) concentration of ALA in their plasma during the second period. Muscle phospholipid n-3 FA were not greater (P ≥ 0.55) for steers in the FLXT group. Intake of treated flaxseed raised n-3 concentrations in blood and muscle of sheep, and in blood of cattle but did not raise n-3 FA concentrations in muscle of steers. Supplementing the diets of forage-fed lambs with flaxseed treated to reduce hydrogenation of ALA by ruminal microbes can increase concentrations of n-3 FA in the muscle of lambs.
Subject(s)
Animal Feed/analysis , Fatty Acids, Omega-3/chemistry , Meat/analysis , Rumen/microbiology , alpha-Linolenic Acid/metabolism , Animal Nutritional Physiological Phenomena , Animals , Cattle , Diet/veterinary , Fatty Acids, Omega-3/metabolism , SheepABSTRACT
Chondroitin sulfate (CS) based bottle brush proteoglycan mimetics may be employed to restore tissue functionality. Synthesis of CS bottle brush structures requires immobilization of CS at its terminal end. In this study, we investigated commercially available natural CS for use in CS bottle brush synthesis. A terminal primary amine on CS was identified and utilized to conjugate amine-reactive vinyl monomers (i.e. acrylic acid and allyl glycidyl ether). Conjugation of vinyl monomers to the CS terminal amine was confirmed using a fluorescamine assay, (1)H NMR, and ATR-FTIR. CS was also immobilized onto epoxy functionalized surfaces via the CS terminal primary amine as confirmed by contact angle measurements of surface wettability. Attachment of polymeriziable end groups to CS and attachment of CS to functionalized substrates demonstrated here are the first steps towards synthesis of CS bottle brush PG mimics.
Subject(s)
Biomimetic Materials/chemical synthesis , Chondroitin Sulfates/chemistry , Proteoglycans/chemical synthesis , Animals , Biomimetic Materials/analysis , Cattle , Chondroitin Sulfates/analysis , Proteoglycans/analysis , Serum Albumin, Bovine/analysis , Serum Albumin, Bovine/chemistryABSTRACT
Feeding increased concentrations of distillers dried grains with solubles (DDGS) to ruminants has been avoided due to risks of S toxicity and concerns about animal performance. The objective of this study was to evaluate the influence of feeding an increasing concentration of DDGS and corn processing method on animal performance, incidence of polioencephalomalacia (PEM), and concentration of H(2)S gas in feedlot steers. Sixty steer calves (336 ± 13.2 kg) were individually fed for an average of 136 d in a completely random design with a 3 × 2 factorial arrangement of treatments. Main effects included concentration of DDGS (20, 40, or 60% DM basis) and corn processing method [high-moisture (HMC; 71.7% DM) vs. dry-rolled corn (DRC; 86.2% DM)] resulting in treatments of 1) 20% DDGS with DRC, 2) 40% DDGS with DRC, 3) 60% DDGS with DRC, 4) 20% DDGS with HMC, 5) 40% DDGS with HMC, and 6) 60% DDGS with HMC. Ruminal H(2)S gas concentrations were measured on d 0, 7, 14, 21, 28, 35, 49, 63, and 91 via rumen puncture. Animal performance and carcass characteristic data were collected. The day × corn processing × DDGS interaction for H(2)S gas concentrations was not significant (P = 0.91). Ruminal H(2)S concentration increased with increasing DDGS concentration (P < 0.001) and day (P < 0.001), but was not influenced by corn processing method (P = 0.94). Carcass-adjusted final BW decreased linearly (P = 0.009), whereas carcass-adjusted ADG decreased quadratically (P = 0.05) with increasing concentration of DDGS in the diet. Carcass-adjusted G:F was not affected (P ≥ 0.28) by increasing concentration of DDGS in the diet. Carcass characteristics reflected the decrease in final BW with decreased HCW (P = 0.009), as well as decreased fat depth (P = 0.005) with increasing concentrations of DDGS. The combination of decreased HCW and backfat thickness resulted in decreased (P = 0.02) yield grade with increasing DDGS inclusion. There were no confirmed cases of PEM. In conclusion, corn processing did not influence animal performance, incidence of PEM, or H(2)S concentrations under the conditions of this study. Feeding 60% DDGS in beef cattle finishing diets is not recommended due to poor animal performance.
Subject(s)
Animal Feed , Cattle/metabolism , Edible Grain , Rumen/metabolism , Zea mays , Adipose Tissue/physiology , Animals , Body Weight/physiology , Hydrogen Sulfide/analysis , Hydrogen Sulfide/metabolism , Male , Meat/standards , Random AllocationABSTRACT
Limited data are available regarding the influence of thiamine supplementation on the incidence of polioencephalomalacia (PEM) in lambs fed diets containing increased concentrations of S in the diet (>0.7%). Therefore, our objective was to evaluate the influence of thiamine supplementation on feedlot performance, carcass quality, ruminal hydrogen sulfide gas concentrations, and incidence of PEM in lambs fed a finishing diet containing 60% distillers dried grains with solubles (DDGS; DM basis). Two studies were conducted using completely randomized designs to evaluate the influence of concentration of thiamine supplementation. Study 1 used 240 lambs fed in 16 pens, whereas study 2 used 55 individually fed lambs. Lamb finishing diets contained 60% DDGS, which resulted in a dietary S concentration of 0.73% (DM basis). Treatments diets were based on the amount of supplemental thiamine provided: 1) no supplemental thiamine (CON), 2) 50 mg/animal per day (LO), 3) 100 mg/animal per day (MED), or 4) 150 mg/animal per day (HI). Additionally, in study 2, a fifth treatment was included, which contained 0.87% S (DM basis; increased S provided by addition of dilute sulfuric acid) and provided 150 mg of thiamine/animal per day (HI+S). In study 1, ADG decreased quadratically (P = 0.04), with lambs fed the CON, LO, and MED diets gaining BW at a greater rate than lambs fed the HI diet. In study 1, DMI responded quadratically (P < 0.01), whereas G:F tended to differ linearly (P = 0.08) to concentration of thiamine supplementation, with MED lambs having greater DMI and decreased G:F. No differences (P > or = 0.17) in lamb performance were observed in study 2. In both studies, most carcass characteristics were unaffected, with the exception of a tendency for decreased carcass conformation (study 1; P = 0.09) and greater flank streaking (study 2; P = 0.03). No differences in ruminal hydrogen sulfide concentration (P > 0.05) among treatments were apparent until d 10, at which point lambs fed the LO diet had less hydrogen sulfide concentrations than all other treatments. Lambs fed HI had the greatest concentrations of hydrogen sulfide on d 31 (1.07 g of hydrogen sulfide /m(3); P < 0.009). Ruminal pH did not differ (P = 0.13) and averaged 5.6 +/- 0.06. No clinical cases of PEM were observed during the course of either study. The use of thiamine as a dietary additive to aid in the prevention of PEM in finishing lambs does not appear to be necessary under the conditions of this study.
Subject(s)
Animal Feed , Hydrogen Sulfide/analysis , Rumen/metabolism , Sheep/growth & development , Thiamine/pharmacology , Animal Feed/analysis , Animals , Brain/anatomy & histology , Diet/veterinary , Dietary Supplements , Dose-Response Relationship, Drug , Edible Grain/metabolism , Female , Male , Meat/standards , Rumen/chemistry , Rumen/drug effects , Sheep/metabolismABSTRACT
Eighty Angus and Angus x Simmental steer calves were used in a completely random design to determine the effect of rate of BW gain during the backgrounding period on subsequent feedlot performance, carcass characteristics, Warner-Bratzler shear force (WBSF), and sensory analysis. Animals were stratified by BW and allotted randomly to 1 of 10 pens (5 pens/treatment). Dietary treatments were formulated for an ADG of 0.91 kg/d [low BW gain (LG), 1.06 Mcal of NE(g)/kg] diets and 1.25 kg/d [high BW gain (HG), 1.19 Mcal of NE(g)/kg]. Steers were fed 70 d during the growing period. The LG diet consisted of 52.5% barley silage, 39.0% whole shell corn, and 8.5% supplement, whereas the HG diet contained 43.9% barley silage, 47.4% whole shell corn, and 8.7% supplement (DM basis). Initial BW (226 kg) was not different (P = 0.70) between treatments. Steers fed the HG diet had increased ADG (1.67 vs. 1.40 kg/d; P < 0.001) compared with steers fed LG diet. Dry matter intake was greater (9.49 vs. 8.35 kg/d; P < 0.001) for steers fed the HG vs. LG diet. Total backgrounding cost ($/animal) was less (P < 0.001) for those steers fed LG diet compared with HG diet ($126.00 vs. $140.35, respectively); however, total cost per kilogram of BW gain was not different (P = 0.24; $0.485/kg of BW gain). After the backgrounding period, steers were fed a common finishing diet for 135 d. During the finishing period, LG steers had similar (P = 0.12; 10.73 vs. 10.35 kg/d) DMI compared with those fed HG diets; however, ADG was not different (1.55 kg; P = 0.72) among treatments. Hot carcass weight, marbling score, 12th-rib fat, LM area, and USDA yield grade were not different (P > 0.12) between treatments and averaged 363 kg, Sm(30), 1.33 cm, 83.8 cm(2), and 2.7, respectively. There were no differences (P = 0.77; 3.63 +/- 0.12 kg) in WBSF tenderness of rib-eye steaks. Percent cooking loss was increased in LG diets (P = 0.017). No differences were observed in consumer sensory analysis of tenderness, juiciness, and flavor intensity (P > or = 0.276; 5.43 +/- 0.12, 5.07 +/- 0.13, and 5.17 +/- 0.05, respectively). These data suggest that feeding steers diets that differ in energy concentration and result in ADG of 1.4 and 1.7 kg/d during the growing period results in minimal changes in subsequent finishing performance and does not affect meat quality.
Subject(s)
Cattle/growth & development , Meat/standards , Animal Feed , Animal Husbandry , Animals , Cattle/physiology , Cooking , Male , Meat-Packing Industry , Time Factors , Weight Gain/physiologyABSTRACT
BACKGROUND: Only 50% of gallbladder cancers (GBC) are recognized before operation and the remaining tumors are diagnosed during surgery or afterwards by the pathologist. These situations may demand substantial modifications of the proceeding during surgery as well as the need for reoperation in some cases. Therefore, the time of diagnosis may strongly influence the surgical management of GBC and the prognosis of the patients. METHODS: Records and follow- up of 152 patients with gallbladder carcinoma who underwent surgery between 1980 and 2004 were examined according to the time of diagnosis, TNM staging system, surgical procedures, morbidity and predictors of survival. There were 76 patients with preoperative diagnosis of GBC (50%; group1), 44 patients with intraoperative diagnosis (29%; group 2) and 32 patients (21%; group 3) with postoperatively incidental finding of GBC. In all cases radical resection of the GBC was intended, except in 5 patients from group 1. Surgical procedures comprised from simple cholecystectomy to multivisceral resections. RESULTS: Overall 5-year survival rate was 7% with a significantly better median survival in group 3 (53.2 month), when compared to only 6.1 month (group 2) and 5.4 month (group 1), respectively. Findings at operation forced significant modifications of the surgical strategy in 85%. Complete resection of GBC was achieved in 38% of the patients. Stage- dependent survival was comparable between the groups following R0 resection. Tumor stage, in particular the nodal status and radicality of the procedure, but not the time of diagnosis were the most powerful predictors of outcome. CONCLUSIONS: Complete tumor resection may provide long-term survival even in locally advanced GBC. Although the time of diagnosis of GBC causes significant changes of the intended procedures during and after surgery, it has no influence on the prognosis provided that radical (R0) resection was accomplished.
Subject(s)
Gallbladder Neoplasms/diagnosis , Gallbladder Neoplasms/surgery , Adult , Aged , Aged, 80 and over , Carcinoma, Adenosquamous/diagnosis , Carcinoma, Adenosquamous/mortality , Carcinoma, Adenosquamous/surgery , Carcinoma, Squamous Cell/diagnosis , Carcinoma, Squamous Cell/mortality , Carcinoma, Squamous Cell/surgery , Cholecystectomy , Female , Gallbladder Neoplasms/mortality , Humans , Male , Middle Aged , Neoplasm Staging , Survival Rate , Time Factors , Treatment OutcomeABSTRACT
We report on the nanopatterning of double-bond-terminated silane (5-hexenyltrichlorosilane, HTCS) molecules on titania (TiO2) using conductive atomic force microscopy (AFM). The influences of tip electrostatic potential and scanning velocity, relative humidity and of the repeated application of voltage on the topographic height, width, and hydrophilic and hydrophobic contrast of the resultant patterns were investigated. Tip voltage and tip velocity ( v) were applied between -10 V Subject(s)
Nanostructures/chemistry
, Nanostructures/ultrastructure
, Titanium/chemistry
, Microscopy, Atomic Force
, Molecular Structure