Distinct blood and milk 18-carbon fatty acid proportions and buccal bacterial populations in dairy cows differing in reticulorumen pH response to dietary supplementation of rapidly fermentable carbohydrates.

Nine Holstein dairy cows were fed diets with increasing proportions of rapidly fermentable carbohydrates (RFCH) to investigate the effect on reticular pH, milk fat content (MFC), 18-carbon fatty acid proportions in blood plasma and milk, and bacterial community in buccal swab samples. Inter-animal variation was expected in terms of reticular pH response upon higher RFCH proportions, which would be reflected in the occurrence or not of milk fat depression (MFD). Moreover, this variation in occurrence of MFD was hypothesized to be related to differences in blood and milk fatty acid proportions and in the bacterial community in buccal samples. Cows were fed a total mixed ration throughout the experiment, which consisted of 4 periods: adaptation (d 0-4) and low (d 5-18), increasing (d 19-24), and high RFCH (d 25-28). During the increasing RFCH period, the standard concentrate (211 g of starch/kg of dry matter) was gradually and partly replaced by a concentrate high in RFCH (486 g of starch/kg of dry matter). The reticular pH was measured using a bolus and the time below pH 6.00 was calculated on a daily basis. On d 13, 14, 25, 27, and 28, plasma and milk samples were collected and analyzed for 18-carbon fatty acid proportions, and buccal swabs were collected for bacterial community analysis based on 16S rRNA gene amplicon sequencing. Inter-animal variation was observed in terms of reticular pH, which allowed us to divide the cows into 2 groups: tolerant (time below pH 6.00 ≤ 0.1 h/d) and susceptible cows (time below pH 6.00 ≥ 1.26 h/d). The lower reticular pH of susceptible cows was accompanied by lower MFC. Both groups already differed in reticular pH and MFC during the low-RFCH period. Furthermore, higher RFCH amounts did not decrease the reticular pH in either of the 2 groups. Nevertheless, MFD was observed in both groups during the high-RFCH period compared with the low-RFCH period. Lower MFC in animals with lower reticular pH or during the high-RFCH period was associated with a shift in 18-carbon fatty acids toward trans-10 at the expense of trans-11 intermediates, which was observed in plasma as well as in milk samples. Moreover, lower MFC was accompanied by shifts in the relative abundance of specific bacteria in buccal samples. Genera Dialister, Sharpea, Carnobacterium, Acidaminococcus, and uncultured genera belonging to the Betaproteobacteria were more abundant in situations with greater trans-10 proportions.

Susceptibility of dairy cows to subacute ruminal acidosis is reflected in milk fatty acid proportions, with C18:1 trans-10 as primary and C15:0 and C18:1 trans-11 as secondary indicators.

The current study was carried out to assess 2 hypotheses: (1) cows differ in susceptibility to a subacute ruminal acidosis (SARA) challenge, and (2) the milk fatty acid (FA) pattern can be used to differentiate susceptible from nonsusceptible cows. For this, 2 consecutive experiments were performed. During experiment 1, the milk FA pattern was determined on 125 cows fed an increasing amount of concentrate during the first 4 wk in milk (WIM). The coefficient of variation of several SARA indicative milk FA (i.e., C15:0, C18:1 trans-10, C18:2 cis-9,trans-11, and C18:1 trans-10 to C18:1 trans-11 ratio) increased, indicating that cows reacted differently upon the concentrate build-up. A first grouping was based on the milk fat C18:1 trans-10 proportion in the third WIM. Fifteen cows with the highest proportion of the latter FA (HT10) and their counterparts with low C18:1 trans-10 and equal parity distribution (LT10) were compared, which revealed that milk fat content and milk fat to protein ratio were lower for the HT10 group. From each of the HT10 and LT10 groups, 5 animals were selected for experiment 2. The subselection of the HT10 group, referred to as HT10s, showed a high proportion of C18:1 trans-10 at 3 WIM (>0.31 g/100 g of FA), a high level of C15:0 (on average ≥1.18 g/100 g of FA over the 4 WIM), and a sharp decrease of C18:1 trans-11 (Δ ≥ 0.25 g/100 g of FA during the 4 WIM). Their counterparts (LT10s) had a low milk fat C18:1 trans-10 proportion at 3 WIM (<0.23 g/100 g of FA), an average C15:0 proportion of 0.99 g/100 g of FA or lower, and a rather stable C18:1 trans-11 proportion. The HT10s group was hypothesized to be more susceptible to a SARA challenge, achieved by increasing amounts of rapidly fermentable carbohydrates in experiment 2. The HT10s cows had a lower nadir, mean, and maximum reticulo-ruminal pH; longer period of reticulo-ruminal pH below 6.0; and higher daily reticulo-ruminal pH variation compared with LT10s cows. Throughout experiment 2, HT10s and LT10s cows differed in levels of SARA indicative milk FA. Five animals, including one LT10s and 4 HT10s cows, experienced SARA, defined as reticulo-ruminal pH <6.0 for more than 360 min/d. These results indicate that it is possible to distinguish cows with different susceptibility to a SARA challenge within a herd by monitoring the milk FA composition when cows receive the same diet.

Effect of dietary starch or micro algae supplementation on rumen fermentation and milk fatty acid composition of dairy cows.

Two experiments with rumen-fistulated dairy cows were conducted to evaluate the effects of feeding docosahexaenoic acid (DHA; C22:6 n-3)-enriched diets or diets provoking a decreased rumen pH on milk fatty acid composition. In the first experiment, dietary treatments were tested during 21-d experimental periods in a 4 x 4 Latin square design. Diets included a control diet, a starch-rich diet, a bicarbonate-buffered starch-rich diet, and a diet supplemented with DHA-enriched micro algae [Schizochytrium sp., 43.0 g/kg of dry matter intake (DMI)]. Algae were supplemented directly through the rumen fistula. The total mixed ration consisted of grass silage, corn silage, soybean meal, and a standard or glucogenic concentrate. The glucogenic and buffered glucogenic diet had no effect on rumen fermentation and milk fatty acid composition because, unexpectedly, no reduced rumen pH was detected. The algae diet had no effect on rumen pH but provoked decreased butyrate and increased isovalerate molar proportions in the rumen. In addition, algae supplementation affected rumen biohydrogenation of linoleic and linolenic acid as reflected in the modified milk fatty acid composition toward increased conjugated linoleic acid (CLA) cis-9 trans-11, CLA trans-9 cis-11, C18:1 trans-10, C18:1 trans-11, and C22:6 n-3 concentrations. Concomitantly, on average, a 45% decrease in DMI and milk yield was observed. Based on these drastic and impractical results, a second animal experiment was performed for 20 d in which 9.35 g/kg of total DMI of algae were incorporated in the concentrate and supplemented to 3 rumen-fistulated cows. Algae concentrate feeding increased rumen pH, which was associated with decreased rumen short-chain fatty acid concentrations. Moreover, a different shift in rumen short-chain fatty acid proportions was observed compared with the first experiment because molar proportions of butyrate, isobutyrate, and isovalerate increased, whereas acetate molar proportion decreased. The milk fatty acid profile changed as in experiment 1. However, the decrease in DMI and milk yield was less pronounced (on average 10%) at this algae supplementation level, whereas milk fat percentage decreased from 47.9 to 22.0 g/kg of milk after algae treatment. In conclusion, an algae supplementation level of about 10 g/kg of DMI proved effective to reduce the milk fat content and to modify the milk fatty acid composition toward increased CLA cis-9 trans-11, C18:1 trans, and DHA concentrations.

Effect of glucogenic vs. lipogenic diets on energy balance, blood metabolites, and reproduction in primiparous and multiparous dairy cows in early lactation.

Increasing the availability of glucogenic nutrients relative to lipogenic nutrients has been hypothesized to decrease the production of milk fat, to improve the energy balance (EB), and to decrease the incidence and severity of metabolic and reproductive disorders in dairy cows in early lactation. Therefore, our objective was to evaluate the effects of a glucogenic, lipogenic, or mixed diet on EB, plasma metabolites and metabolic hormones, liver triacylglycerides (TAG), and reproductive variables in high-producing dairy cows in early lactation. Cows (n = 114) were randomly assigned to 1 of 3 diets and were fed either a mainly lipogenic diet, a mainly glucogenic diet, or a mixture of both diets (50:50 dry matter basis) from wk 3 before the expected calving date until 9 wk postpartum. Diets were isocaloric (net energy basis) and equal in intestinal digestible protein. Dry matter intake, net energy intake, milk yield, and milk protein percentage did not differ among diets. Milk lactose percentage was less for cows fed the lipogenic diet. Milk fat percentage was less for multiparous cows fed the glucogenic diet compared with cows fed the mixed or lipogenic diet (3.69 vs. 4.02 vs. 4.22 +/- 0.07%, respectively). The calculated EB was less negative for multiparous cows fed the glucogenic diet compared with cows fed the mixed or lipogenic diet [-33 vs. -125 vs. -89 +/- 21 kJ/(kg(0.75) x d), respectively]. Postpartum, the glucogenic diet decreased plasma nonesterified fatty acids, beta-hydroxybutyrate, and liver TAG concentrations and increased insulin concentration in multiparous cows. The glucogenic diet tended to decrease the number of days until first milk progesterone rise in multiparous cows compared with the mixed or lipogenic diet (20.4 vs. 24.4 vs. 26.4 +/- 2.1 d, respectively). Diet had no effect on any of the above-mentioned variables in primiparous cows, except that milk lactose percentage was greater for primiparous cows fed the glucogenic diet. We concluded that the glucogenic diet was effective in improving the calculated EB and decreasing plasma beta-hydroxybutyrate and liver TAG concentrations, suggesting a reduced risk of metabolic disorders in multiparous dairy cows fed a glucogenic diet.

Dietary energy source in dairy cows in early lactation: energy partitioning and milk composition.

Metabolic problems related to negative energy balance suggest a role for the balance in supply of lipogenic and glucogenic nutrients. To test the effect of lipogenic and glucogenic nutrients on energy partitioning, energy balance and nitrogen balance of 16 lactating dairy cows were determined by indirect calorimetry in climate respiration chambers from wk 2 to 9 postpartum. Cows were fed a diet high in lipogenic nutrients or a diet high in glucogenic nutrients from wk 3 prepartum until wk 9 postpartum. Diets were isocaloric (net energy basis) and equal in intestinal digestible protein. There was no effect of diet on metabolizable energy intake and heat production. Cows fed the lipogenic diet partitioned more energy to milk than cows fed the glucogenic diet [1,175 +/- 18 vs. 1,073 +/- 12 kJ/(kg(0.75) x d)] and had a higher milk fat yield (1.89 +/- 0.02 vs. 1.67 +/- 0.03 kg/d). The increase in milk fat production was caused by an increase in C16:0, C18:0, and C18:1 in milk fat. No difference was found in energy retained as body protein, but energy mobilized from body fat tended to be higher in cows fed the lipogenic diet than in cows fed the glucogenic diet [190 +/- 23 vs. 113 +/- 26 kJ/(kg(0.75) x d)]. Overall, results demonstrate that energy partitioning between milk and body tissue can be altered by feeding isocaloric diets differing in lipogenic and glucogenic nutrient content.

Prediction of energy balance in high yielding dairy cows with test-day information.

This study used a previously developed model to predict herd mean energy balance of the first 12 wk of lactation from test-day information. The predictions were compared with calculated energy balance based on feed analysis and to changes in body weight. Seven independent feeding trials including 43 diets (519 lactations, 254 cows; 1987 to 1996) were used. Conventional diets were discriminated from nonconventional diets by significant differences between mean calculated energy balance of subtrial diets versus control diets. The total difference between group means of predicted minus calculated energy balance was positive throughout the observed lactation period. It was lowest (5 to 9 MJ of net energy for lactation) during negative energy balance of the conventional diets in wk 2 to 7 when 18 to 50% of the total difference was due to random variation. Because of this difference, both predicted and calculated energy balances were compared to body weight change as a reference for true energy balance. Body weight change was adjusted for rumen fill. While calculated energy balance tended to be negative at times when cows gained weight, predicted energy balance was positive. Cows fed nonconventional diets gained weight, while calculated energy balance was extremely negative, whereas predicted energy balance based on test-day information was positive. We concluded that the prediction difference was relatively small when standard rations were used, and that nonconventional rations biased predicted energy balance to a lesser extent than calculated energy balance. Estimating energy balance based on test-day information appears feasible.

Correction of the post-burn malpositioned nipple-areola complex by transposition of two subcutaneous pedicled flaps.

Symmetrical anatomy of the chest wall is the aesthetic goal in any technique for nipple-areola complex positioning in post-burn patients. In 15 patients, a new surgical technique was applied by transposition of two subcutaneously pedicled flaps, one of which carries the malpositioned nipple-areola complex. The long-term results of this procedure were found to be satisfactory in all patients.

Imaging signs and radiologists' jargon of ruptured breast implants.

Silicone gel leakage problems are central to the furor over the complications alleged to be caused by breast implants. Because clinical examination may not reveal confirmatory signs of gel bleed or rupture, radiologists are often requested by plastic surgeons to evaluate the integrity of the implant's envelope. The findings of the various imaging investigations are reported in terms such as "teardrop," "linguini," and "snowstorm." To interpret the radiologist's report correctly, the plastic surgeon should be familiar with these terms and the findings they represent. In this article, we present an explanation of the radiologists' vocabulary in these matters, as well as an indication as to the significance of the various signs.

[Plastic surgery as a last resort in lichen sclerosus]. / Plastische chirurgie als ultimum refugium bij lichen sclerosus.

Lichen sclerosus, formerly called lichen sclerosus et atrophicus, is a chronic skin disease manifesting itself mostly in the perineal region and often associated with itching. Characteristic elements are well-defined depigmentation and degeneration of the skin sometimes showing haemorrhagic bullae or teleangiectases. The skin grows thinner and shrinks. Malignant degeneration is rare. The prevalence is 1:300 to 1:1000. The condition occurs more often in females than in males and more often in adults than in children. Drug treatment (symptomatic) comprises local application of corticosteroids, anaesthetics and/or sex hormones. In case of insufficient response, cryotherapy is a good alternative. Chemical and surgical neurotomy are also sometimes applied, with fairly poor results. In refractory symptoms, excision of the affected skin, possibly with transplantation using a pedicled skin flap, may lead to mitigation.

Digestion of feed amino acids in the rumen and small intestine of dairy cows measured with nylon-bag techniques.

The disappearance of total N, non-protein-N and amino acid-N after washing, rumen incubation and intestinal passage of sugarbeet pulp, maize-gluten feed, maize feed meal, palm kernel meal, soyabean hulls, soyabean meal, grass silage, maize silage and concentrate was measured in four dairy cows using nylon-bag techniques. Disappearance of amino acid-N after washing varied between feedstuffs from 14 to 69% of feed amino acid-N, and was lower than disappearance of non-protein-N. For sugarbeet pulp, grass silage and maize silage, washing had a considerable effect on the amino acid profile. Disappearance of amino acid-N after rumen incubation was also lower than non-protein-N and varied between feedstuffs from 25 to 73% of feed amino acid-N. Rumen incubation had only a small effect on the amino acid profile of the residue after washing. Disappearance of amino acid-N in the intestine varied between feedstuffs from 70 to 99% of rumen undegraded amino acid-N, and was higher than the disappearance of non-protein-N. Intestinal incubation showed a considerable effect on the amino acid profile for all feedstuffs. It was concluded that protein that was assumed to escape rumen degradation and was absorbable in the intestine was higher in amino acids and methionine, and lower in non-amino acid-N and glutamic acid and proline compared with protein in the feedstuff.

The inframammary ligament: myth or reality?

After histological investigation, we concluded that a transversely oriented inframammary ligament extending from the sternum to the lateral margin of the pectoralis major muscle is invariably present in female transsexuals. The literature on this subject is reviewed.

Intestinal digestibility in dairy cows of protein from grass and clover measured with mobile nylon bag and other methods.

Ruminal, intestinal, and total tract digestibilities of CP in grass, grass silage, and clover were measured using the mobile nylon bag method. Total tract indigestibilities measured with this method were compared with indigestible CP predicted by in vitro, 14-d ruminal incubation, and 12-h followed by 14-d ruminal incubation methods. Indigestible CP was related to chemical composition and harvest date. Ruminal disappearance of CP from nylon bags was 58, 71, and 58% for grass, grass silage, and clover, respectively. Intestinal CP disappearance was 84, 81, and 91% of escape CP, respectively. Lower ruminal disappearance was compensated by higher intestinal disappearance, resulting in a small variation in total tract indigestible CP within forage. Total tract indigestible CP was 7, 6, and 4%, respectively. Average total tract indigestible CP measured with the mobile nylon bag method (6%) was lower than that estimated by the in vitro (13%), 14-d ruminal incubation (14%), or 12-h ruminal incubation followed by 14-d ruminal incubation (11%) methods. All methods ranked forages similarly, resulting in high correlation coefficients among methods within forage. Total tract indigestible CP of grass, grass silage, and clover was related to CP content and harvest date, DM and ADIN content, and DM and CP contents, respectively.

Effect of nematode infections on growth performance of calves during winter housing on dairy farms.

Growth performance of calves was estimated by means of heart girth measurements on 48 farms during winter housing (from December to the end of March). Level of exposure to nematode infection was measured by antibody titres, pepsinogen values, and faecal examinations. Half of each herd was treated with albendazole after housing. All infection parameters measured in March were significantly lower in the treated groups than in the untreated control groups. Treatment increased growth rate by an average of +0.007 cm day-1 (N.S.), i.e. +0.036 kg day-1. Effect of treatment varied from -0.075 to +0.100 cm day-1 among herds. This effect of treatment on the growth performance was significantly correlated positively to pepsinogen value (r = 0.321, P less than 0.05 measured in October; r = 0.265, P less than 0.10 measured in December). Control groups showed very different growth rates among herds, ranging from 0.023 to 0.170 cm day-1, i.e. 0.112-0.874 kg day-1. This variation was strongly related to several infection parameters, particularly those measured in October. The most pronounced correlation was found between the average daily gain of the control groups and the mean herd antibody titre against Ostertagia spp. measured in October (r = -0.413, P less than 0.01). These results were consistent with those of a similar study conducted on commercial dairy farms a year earlier.

Effect of naturally occurring nematode infections on growth performance of first-season grazing calves.

Liveweight of calves on 89 dairy farms was measured at the end of the grazing season and related per herd to the level of exposure to nematode infection during the grazing season. There were significant between-herd variations in antibody titres against Ostertagia spp., Cooperia spp. and Dictyocaulus viviparus as well as in pepsinogen values. All but six herds (93.1%) had gastrointestinal nematode infections, as measured by faecal egg counts in September. Faecal samples of 17 herds (19.3%) contained lungworm larvae in September. Liveweight of calves per herd deviated from -68.1 kg to +84.1 kg from the age-adjusted population mean after their first grazing season. Growth performance up to the time of liveweight measurements was significantly correlated negatively with several serological and parasitological parameters. Data could be fitted by means of both linear and segmented curvilinear regression. Antibody titre against Cooperia spp. and gastrointestinal nematode egg output measured in September accounted for 3.1% (P less than 0.10) and 6.7% (P less than 0.05), respectively, of the variation in growth performance among herds. Certain infection parameters, when combined, accounted for 9.2% of this variation; these were antibody titre against Cooperia spp. and larval counts for both gastrointestinal nematodes and lungworm. Adding certain management factors to these infection parameters resulted in a model explaining 27.6% of the observed variation in growth performance among herds. These factors were supplementary feeding, lungworm vaccination, anthelmintic treatment at housing, date of housing and herd age.

Effect of nematode infections and management practices on growth performance of calves on commercial dairy farms.

Liveweight of calves on 86 dairy farms was measured at the end of the grazing season and related per herd to the level of exposure to nematode infection estimated in October and December. There were significant between-herd variations in all the serological infection parameters measured. On average 20.5 larvae per gram faeces (geometric mean) were found in October. Faecal samples of 20.5% of the herds contained lungworm larvae. Liveweight of calves deviated per herd from -59.8 kg to +52.2 kg from an age-adjusted population mean after their first grazing season. Growth performance was significantly related negatively to several serological and parasitological parameters. Data were fitted by means of both linear and segmented curvilinear regression. By combining infection parameters 19% of the variation in growth performance among herds could be explained. Infection parameters involved were antibody titre against Cooperia spp., egg output and lungworm larval count. It was found that antibody titres were significantly correlated positively to herd age, while pepsinogen values and egg output were negatively correlated to age. Combining supplementary feeding and anthelmintic treatment during the grazing season with the infection parameters into one model explained approximately 30% of the observed variation in growth performance among herds. It was shown that these findings were consistent with those of a similar study conducted on the same farms a year earlier, although there were clear differences between the years. Finally, significant positive relations were found between the levels of exposure to nematode parasites within farms between two consecutive years.