Use of milk fatty acids to estimate plasma nonesterified fatty acid concentrations as an indicator of animal energy balance.

Negative energy balance is an important part of the lactation cycle, and measuring the current energy balance of a cow is useful in both applied and research settings. The objectives of this study were (1) to determine if milk fatty acid (FA) proportions were consistently related to plasma nonesterified fatty acids (NEFA); (2) to determine if an individual cow with a measured milk FA profile is above or below a NEFA concentration, (3) to test the universality of the models developed within the University of Wisconsin and US Dairy Forage Research Center cows. Blood samples were collected on the same day as milk sampling from 105 Holstein cows from 3 studies. Plasma NEFA was quantified and a threshold of 600 µEq/L was applied to classify animals above this concentration as having high NEFA (NEFAhigh). Thirty milk FA proportions and 4 milk FA ratios were screened to evaluate their capacity to classify cows with NEFAhigh according to determined milk FA threshold. In addition, 6 linear regression models were created using individual milk FA proportions and ratios. To evaluate the universality of the linear relationship between milk FA and plasma NEFA found in the internal data set, 90 treatment means from 21 papers published in the literature were compiled to test the model predictions. From the 30 screened milk FA, the odd short-chain fatty acids (C7:0, C9:0, C11:0, and C13:0) had sensitivity slightly greater than the other short-chain fatty acids (83.3, 94.8, 80.0, and 85.9%, respectively). The sensitivities for milk FA C6:0, C8:0, C10:0, and C12:0 were 78.8, 85.3, 80.1, and 83.9%, respectively. The threshold values to detect NEFAhigh cows for the last group of milk FA were ≤2.0, ≤0.94, ≤1.4, and ≤1.8 g/100 g of FA, respectively. The milk FA C14:0 and C15:0 had sensitivities of 88.7 and 85.0% and a threshold of ≤6.8 and ≤0.53 g/100 g of FA, respectively. The linear regressions using the milk FA ratios C18:1 to C15:0 and C17:0 to C15:0 presented lower root mean square error (RMSE = 191 and 179 µEq/L, respectively) in comparison with individual milk FA proportions (RMSE = 194 µEq/L), C18:1 to even short-medium-chain fatty acid (C4:0-C12:0) ratio (RMSE = 220 µEq/L), and C18:1 to C14:0 (RMSE = 199 µEq/L). Models using milk FA ratios C18:1 to C15:0 and C17:0 to C15:0 had a better fit with the external data set in comparison with the other models. Plasma NEFA can be predicted by linear regression models using milk FA ratios.

Randomized noninferiority study evaluating the efficacy of a postmilking teat disinfectant for the prevention of naturally occurring intramammary infections.

The objective of this study was to complete a positive-control, natural exposure, noninferiority design field study to test the efficacy of a novel glycolic acid-based postmilking teat disinfectant as compared with a previously proven iodine-based postmilking teat disinfectant (positive control). The primary outcome of interest was the effect of treatment on incidence of new intramammary infections. Secondary outcomes included the effect of treatment on prevalence of infection, somatic cell count, and teat condition. After blocking by parity, approximately 300 early- to mid-lactation cows on a large Wisconsin dairy farm were randomly assigned to 1 of 2 groups. For a 12-wk period between May and August 2014, the 2 groups were dipped after each milking with either the experimental (EX) or positive control (PC) product. Individual quarters were sampled to establish bacteriological infection status at the beginning of the study, and every 2 wk thereafter, by use of a 2-stage process evaluating somatic cell count (SCC), and then culturing milk samples only when SCC exceeded a parity-specific threshold. Teat condition scoring was completed at the beginning of the study and on wk 4, 8, and 12. Mixed logistic regression was used to evaluate the effect of treatment on dichotomous outcome measures including the odds of acquiring a new infection during a given 2-wk sampling interval (incidence), the odds for presence of infection at sampling (prevalence), and odds for a normal teat skin condition score. Mixed linear regression was used to evaluate the effect of treatment on somatic cell count. For the noninferiority analysis, the upper bound of the 95% confidence interval for the difference in new infection rate between the 2 treatments (EX - PC), had to be to the left of the critical value d (0.035) to conclude that EX was noninferior relative to PC with respect to risk for new infections. Results showed that the incidence of new infections was not different for quarters dipped with EX (3.2%) as compared with PC (4.2%). Similarly, the prevalence of infection tended to be lower for quarters dipped with EX (3.92%) as compared with PC (5.03%). No overall difference was found between treatments when evaluating somatic cell count measures and teat condition scores. Because the upper bound of the 95% confidence interval of the new IMI rate difference was smaller than the predefined noninferiority limit, it was concluded that the experimental product was not inferior compared with the positive control. As such, the glycolic acid-based teat disinfectant evaluated in this study can be considered an effective postmilking teat disinfectant, as well as safe, in so far as the product was not irritating to teat skin and did not negatively affect skin condition measures, as compared with the positive control group.

Rumen and milk odd- and branched-chain fatty acid proportions are minimally influenced by ruminal volatile fatty acid infusions.

The objective of this study was to determine if ruminally infusing volatile fatty acid (VFA) increased concentration of their homologous odd- and branched-chain fatty acid (OBCFA) in rumen contents and milk. The influence of VFA on dry matter intake (DMI), blood metabolites, and blood insulin was also evaluated. Four mid-lactation cows were assigned to a 4×4 Latin square design with 48-h periods. Infusion treatments were acetate (AC), propionate (PR), isovalerate (IV), and anteisovalerate (AIV). Infusions began (time = 0) 5.5 h before feeding at 17.4 mmol of VFA/min and were terminated at 18 h. Infusions rates were well above physiological levels for IV and AIV. Surprisingly, the greatest differences in rumen OBCFA were increases in rumen liquid iso C15:0 and nonbranched C17:0 for AIV. In addition, infusing AIV increased anteiso C15:0 and anteiso C17:0 in rumen solid contents. Infusing IV increased iso C15:0 in both rumen solids and milk. Propionate increased milk C15:0 and C17:0. Both gluconeogenic compounds, PR and AIV, had similar proportions of milk C15:0, which was greater than that obtained with AC and IV. Rumen and blood VFA were as expected, with increased concentrations of the VFA present in the infusate. At 23 h, and consistently throughout infusions, DMI was similar for AC compared with PR and for AIV compared with IV. Both IV and AIV decreased DMI and energy balance; however, only IV increased plasma nonesterified fatty acids (121, 78, 172, and 102 mM for AC, AIV, IV, and PR), increased ß-hydroxybutyrate (10.8, 5.9, 51.9, 5.4 mg/dL for AC, AIV, IV, and PR), and reduced plasma glucose (56.3, 59.1, 31.9, and 64.3 mg/dL for AC, AIV, IV, and PR). Rumen and milk OBCFA responses were minimal following infusion of large amounts of IV and AIV, suggesting limited use of IV, and AIV for de novo OBCFA synthesis, either pre- or postabsorption. Minor increases in milk odd-chain fatty acids following large doses of ruminal PR support the presence of postabsorptive synthesis of these milk odd-chain fatty acids.

Fatal splenic sequestration crisis in adult sickle cell-beta thalassaemia.

Fatal acute splenic sequestration crisis in an adult patient with sickle cell-beta+ thalassaemia is described. To our knowledge fatal splenic sequestration in adult sickle cell-beta thalassaemia has not been previously reported.

C-reactive protein levels in neutropenic patients with pyrexia.

This study describes the experience of a clinical haematology unit in dealing with pyrexial episodes in 62 patients. Serum C-reactive protein levels were serially estimated and proved to be useful in following the course of the illness. No significant difference could be demonstrated in the C-reactive protein levels of those patients with bacteriologically proven illnesses, those in whom a clinically evident infection was present, and those with a 'pyrexia of unknown origin'. However, those patients in whom disease activity was thought to be responsible for the pyrexia had significantly lower C-reactive protein levels compared with those patients who had a septicaemic illness.

Plasma iron values in National Blood Transfusion Service donors.

Haemoglobin, haematocrit, and plasma iron values were estimated on blood samples collected from 100 male and 113 female National Blood Transfusion Service blood donors, and from 83 male and 66 female age-matched control subjects. No significant differences in any of these values were found to exist between the donors and controls, and it is considered that the serum or plasma iron level is unsuitable for use as a screening test of early iron deficiency in donors.