Use of metabolic profiles for the assessment of dietary adequacy in UK dairy herds.

Between April 1999 and March 2004, metabolic profile analyses were performed on individual blood samples from 35,506 dairy cattle in the UK. Assessment of the cows' energy status by the analysis of plasma samples for beta-hydroxybutyrate, glucose and non-esterified fatty acids showed that 70.4 per cent of the cows in early lactation (10 to 20 days calved), 57.1 per cent of the cows in mid-lactation (51 to 120 days calved) and 57.7 per cent of the dry cows within 10 days of their predicted calving date had one or more energy metabolites outside the optimum range; in addition, 16 per cent of the cows in early lactation, 5.6 per cent of those in mid-lactation and 20.5 per cent of the dry cows within 10 days of their predicted calving date had a low plasma urea nitrogen concentration, indicating poor intakes of effective rumen-degradable protein. Abnormalities in the concentrations of magnesium, inorganic phosphate, copper, selenium and iodine were relatively uncommon. The transitional period, particularly in late pregnancy, was commonly identified as a constraint on productivity. Nutritional problems were most commonly associated with poor feed intakes and poor feed management, rather than with the formulation of the rations.

The use of acetic acid in magnification chromocolonoscopy for pit pattern analysis of small polyps.

BACKGROUND AND STUDY AIMS: The role of acetic acid spray during magnification chromocolonoscopy has not previously been evaluated. We aimed to compare the accuracy of predicting polyp histology at magnification colonoscopy, using acetic acid and indigo carmine, either alone or in combination. PATIENTS AND METHODS: A total of 46 consecutive patients with polyps detected during colonoscopy which measured 10 mm or less were alternately divided into two groups. In group A patients, 1.5 % acetic acid was applied to the mucosa first, followed by indigo carmine spray; in group B patients, the order was reversed. The pit pattern was assessed after application, in real time. All the lesions were resected and examined histologically. RESULTS: Altogether, 37 adenomas and 36 hyperplastic polyps were evaluated. In group A, the diagnostic accuracy after spraying with acetic acid was 95 %, which increased to 98 % after application of indigo carmine. In group B, the accuracy after indigo carmine application was 83 %. After subsequent spraying with acetic acid, images were enhanced in 70 % of patients, with an increase in accuracy to 97 %. The mean time required to obtain an initial clear image with the first dye was 14 seconds for both groups. CONCLUSIONS: This is the first description of the use of acetic acid for pit pattern analysis of colonic polyps. Its ease of use, low cost, and safety, together with its excellent accuracy in the assessment of polyp pit patterns suggest that this method could easily be applied to routine magnification colonoscopy.

Disposal and disease rates in British dairy herds between April 1998 and March 2002.

Data derived over four years from 434 dairy herds in 1998/99 to 244 in 2001/02 revealed average disposal rates of 22.6 per cent per year, half of which were for poor fertility, mastitis and lameness. The quartile of herds with the lowest disposal rates sold an average of 11.5 per cent annually and the quartile with the highest rates sold 35.5 per cent. Average annual disease rates over the four years were as follows: for assisted calving 7.8 per cent, for digestive disease 1.2 per cent, for ketosis 0.5 per cent, for hypomagnesaemia 0.5 per cent, for hypocalcaemia 5.0 per cent and for injuries 0.8 per cent. The incidence of mastitis increased from 36.0 to 43.3 per cent of cows per year. The incidence of lameness decreased from 23.3 per cent in 1998/99 to 20.7 per cent in 2000/01 but increased to 21.9 per cent in 2001/02. Data received from the same 219 farms during the first three years showed no effective differences from the full set of data for each of the three years. The lowest annual incidences of mastitis and lameness on individual farms were below 7 per cent and 2.5 per cent, respectively. In general, housing cows in cubicles was associated with a greater risk of lameness, and housing them in straw yards with a greater risk of mastitis. However, some of the lowest rates of lameness were recorded in cubicle-housed cows and some of the lowest rates of mastitis were recorded in cows housed in yards. Larger herds were not associated, in general, with higher rates of mastitis.

Augmentation of inhibitory effects of glycoprotein IIb-IIIa antagonists in patients with diabetes.

BACKGROUND: Patients with diabetes mellitus and acute coronary syndromes (ACS) derive enhanced benefit from treatment with glycoprotein (GP) IIb-IIIa inhibitors. To determine mechanisms potentially responsible we characterized the binding of fibrinogen to platelets from patients with and without diabetes in the presence and absence of GP IIb-IIIa antagonists. METHODS: GP IIb-IIIa antagonists (tirofiban, eptifibatide, and abciximab) were added in vitro to blood from patients with and without diabetes. Binding of fibrinogen to activated GP IIb-IIIa was assessed with the use of flow cytometry. The kinetics of binding of I(125)-abciximab and I(125)-fibrinogen to washed platelets from subjects with and without diabetes mellitus were determined. Glycation of platelet membrane proteins was measured with the fructosamine assay. RESULTS: In the presence of GP IIb-IIIa antagonists, activation-induced binding of fibrinogen to platelets was reduced to a greater extent (p<0.02) in blood from patients with diabetes. The greater inhibition in blood from patients with diabetes was seen with pharmacologic concentrations of tirofiban (50 ng/ml, by 27%), eptifibatide (1.5 microg/ml, by 24%), and abciximab (2 mg/ml, by 12%). Whereas the binding of I(125)-abciximab was similar to platelets from patients with diabetes and those without, the rate of binding of I(125)-fibrinogen was decreased with platelets from patients with diabetes. Binding after 5 min was reduced by 46% in those with diabetes (p<0.05). Platelet membrane proteins from patients with diabetes were glycated to a greater extent compared with those without diabetes. CONCLUSION: GP IIb-IIIa antagonists inhibit platelet activation to a greater extent in blood from patients with diabetes. The decreased rate of binding of fibrinogen early after activation of platelets appears to be a consequence of glycation and may promote inhibition by GP IIb-IIIa antagonists.

Disposal and disease rates in 340 British dairy herds.

Data derived from 340 dairy herds, mainly in southern England, between April 1998 and March 1999, showed that the average total culling rate was 22.1 per cent, with 5.6 per cent for infertility, 3.6 per cent for mastitis, 1.7 per cent for lameness, 2.0 per cent for poor milk yield, 3.7 per cent for age and 5.5 per cent for miscellaneous reasons which included death. The average annual rate of assisted calvings was 8.7 per cent, of injury 0.9 per cent, digestive disease 1.3 per cent ketosis 0.4 per cent, hypomagnesaemia 0.7 per cent, hypocalcaemia 5.3 per cent, mastitis 36.6 per cent, and lameness 23.7 per cent. There was a significant association (P<0.001) between higher rates of mastitis in cows housed in straw yards as opposed to cubicles and also between higher rates of lameness in cows housed in cubicles as opposed to yards (P<0.015). However, there were farms with low rates of mastitis in cows kept in straw yards and low rates of lameness in cows kept in cubicles. Larger herds tended to have more problems with lameness and higher bulk milk somatic cell counts (BMSCC). There was a positive association between BMSCC and mastitis rate.

Use of metabolic profiles in dairy cattle in tropical and subtropical countries on smallholder dairy farms.

Metabolic profile testing has generally been used as part of a multidisciplinary approach for dairy herds in temperate climates. Our goal was to evaluate the effectiveness of the technique for identifying constraints on productivity in small herds in environments less favorable for milk production. Metabolites tested were chosen for stability in the sample after collection of blood, ease of analysis and practical knowledge of the meaning of the results. Blood levels of five different metabolites in low-producing dairy cows belonging to smallholders in tropical and subtropical environments were measured. The study involved 13 projects with 80 cows in each, carried out in six Latin American, six Asian, and one southern European countries. Data were also collected on feeding, body condition score (BCS) and weight change, parasitism, and reproduction. In Chile, Mexico, Paraguay, Philippines, Uruguay, and Venezuela, globulin levels were high in > 17% of cows sampled on each occasion. Globulin levels were also high in Turkey and Vietnam on one or more occasions. In Paraguay, 49% of cows had high globulin levels at two to three months after calving. These results suggest that inflammatory disease was present to a potentially important degree, although this was not always investigated and not always taken into account. In all countries except Mexico and Venezuela, high beta-hydroxybutyrate (BHB) levels before calving in many cows highlighted the presence of condition loss in late pregnancy, an important potential constraint on productivity and fertility. Fewer cows showed high BHB levels in lactation, whereas change in BCS and weight was more sensitive for measuring negative energy balance. Urea concentrations were low in only small numbers of cows suggesting that dietary protein shortages were not common. Albumin values were low mainly in cows where globulin values were high and, hence, did not generally provide additional information. The exception was in China where pregnant yaks over winter had high BHB and low albumin values, suggesting that they were seriously underfed. This observation stimulated a successful nutritional intervention in the following winter. Inorganic phosphate values were within the reference range in most countries a majority of the time suggesting, contrary to expectation, that this mineral was not commonly a constraint. The use of metabolic profile testing proved valuable in drawing attention to important potential constraints on productivity in dairy cows in tropical and subtropical environments and in confirming those which were not.

No effect of a dietary zinc proteinate on clinical mastitis, infection rate, recovery rate and somatic cell count in dairy cows.

Forty dairy cows, paired at drying off according to expected calving date, milk somatic cell count (SCC) and previous mastitis history, and 10 heifers, paired by date of expected calving, were fed diets in the last 3 weeks of pregnancy which contained either 200 mg zinc proteinate and 60 mg inorganic zinc (Zinc group), or 260 mg inorganic zinc (Control group) per day in addition to the natural content of their feeds. After calving, the Zinc group each received 250 mg zinc proteinate and 140 mg inorganic zinc and the Control group 390 mg inorganic zinc per day above background levels. During the first 100 days of lactation there were no significant differences between the groups in terms of clinical mastitis rates, mastitis caused by environmental organisms, new infection rates or recovery rates. SCC showed no differences between the groups. Monitoring of body condition score and weight change, milk yield, blood metabolite values and fertility showed satisfactory and similar nutrition and productivity in both groups. The trial did not demonstrate any advantages from feeding proteinates to dairy cows and highlights the general absence of published controlled trial data on the subject.

Development and testing of a whole-air sampler for measurement of personal exposure to volatile organic compounds.

A small and relatively lightweight (3.35 kg) whole-air (canister) sampler that can be worn to monitor personal exposures to volatile organic compounds was developed and evaluated. The prototype personal whole-air sampler (PWAS) consists of a 1-l canister, a mass flow controller, two 1.3 amp hour batteries, a DC/DC converter, and an electronics module with a digital display for the sampling set point, actual flow rate, and battery voltage. The sampler (25.5 x 22.5 x 7.5 cm) fits into a laptop computer carrying case and is able to collect a 900 ml sample at a linear flow rate over 12-16 hours. Laboratory tests demonstrated that the sample flow rate was not affected by temperature or the activity of the person wearing the sampler. Recoveries of methylene chloride, chloroform, 1,1,1-trichloroethane, benzene, n-octane, o-xylene, n-decane, and p-dichlorobenzene averaged 89% or better for three final prototype samplers. Recoveries were slightly lower for vinyl chloride (74%) and n-dodecane (82%). The precision for the three prototypes was excellent during laboratory tests with the coefficient of variation (CV) < 10% for all the test compounds. Although the unit was designed for use as a personal whole-air sampling system, it can also be used as an extremely compact microenvironmental whole-air sampler.

A breath sampling device for measuring human exposure to volatile organic compounds in microgravity.

A compact device for the collection of alveolar air (breath) from humans aboard spacecraft was developed. The system uses silicone one-way valves that operate independent of gravity, and provide minimal backpressure. Small charcoal filters clean ambient air used for inhalation. The device provided good recoveries of organic compounds at the 20 ng/L level, with generally low carryover of these compounds to a blank sample following a sample at exposure to 100 ng/L. When water accumulated in the system, this carryover increased for highly water soluble compounds. The new device was used in parallel with a larger, previously developed alveolar air sampler that requires gravity for proper operation; comparable results were obtained with the two units. The device measures 47 x 34 x 11.4 cm and weighs approximately 3.2 kg. Sufficient space is available within the case to accommodate a number of sample collection options.

Some effects of nutrition and management on the fertility of dairy cattle.

When 24 cows were classified according to whether they had a better or worse energy status (defined as a plasma beta-hydroxybutyrate level below or above 15 mg/100 ml and a plasma glucose level above or below 55 mg/100 ml) the median interval between calving and the onset of cyclicity was shorter and conception rates were better for the cows with a better energy status at seven and 14 days after calving. This was not repeated when the cows' energy status was assessed as better at either 21 days after calving or at the time of service. In the same group of cows there was a positive correlation between the loss of condition score in early lactation and beta-hydroxybutyrate levels. In a further trial 15 cows fed a silage-based diet during the dry period had better conception rates and greater luteinising hormone responses to buserelin than 14 cows fed a straw-based diet. The straw-fed cows lost more weight before calving and had significantly higher non-esterified fatty acid levels. After calving both groups of cows were fed the same diet but the cows fed straw in the dry period produced less milk and lost less weight than the cows fed silage. Dry cow nutrition affected subsequent fertility and production. The non-esterified fatty acid level in the last week or two of pregnancy is suggested as a practical indication of the level of dry cow nutrition and its probable effect on productivity. No relationships were observed between plasma urea concentrations and the fertility of the cows.

Particle Total Exposure Assessment Methodology (PTEAM) 1990 study: method performance and data quality for personal, indoor, and outdoor monitoring.

The Particle Total Exposure Assessment Methodology (PTEAM) study provided the opportunity to test methodologies for measuring personal and microenvironmental PM10 and PM2.5 concentrations in a full-scale probability-based sample of 178 persons and homes in Riverside, California during the fall of 1990. The purpose of the study was to estimate frequency distributions of exposure to PM10, PM2.5, and selected elements in an urban population. Quality control samples and analyses were used to evaluate method performance. These included collocated sample collection, field and lab blank filters, sampler and balance field audits, and intra- and interlaboratory replicate elemental analyses. A portion of the study was also designed to include side-by-side operation of the personal and microenvironmental samplers with reference method (high-volume and dichotomous) samplers to provide an evaluation of method comparability. Over 95% of the approximately 2,900 scheduled samples were collected and analyzed, with very few losses due to equipment failure. The method limit of detection for the personal and microenvironmental monitor PM10 sampling was 8 micrograms/m3. Mean relative standard deviations (RSDs) of 2% to 8% were obtained for collocated personal and microenvironmental samples. Sampler flow rates were within the +/- 10% accuracy criterion during two field audits. Balances operated in a specially designed mobile laboratory were within specified tolerances for precision (+/- 4 micrograms) and accuracy (+/- 50 micrograms). Elemental analysis accuracy was measured with standard reference materials with biases ranging from 2% to 7%. Measurement precision for most elements ranged from 2.5% to 25% mean RSD. Personal and microenvironmental samplers gave median PM10 concentrations that were approximately 9% higher than the dichotomous sampler and 16% higher than the high-volume sampler across 96 monitoring periods at a fixed outdoor location.