Validation of an on-farm portable blood analyzer for quantifying blood analytes in dairy cows.

The periparturient period for dairy cows is a metabolically dynamic time period where the cow is adjusting from gestation to the onset of lactation. Metabolic disorders such as ketosis, hypocalcemia, and fatty liver occur during this time; however, tools to diagnose these diseases on-farm is limited. The need for compact metabolite quantification devices that can quantify metabolites on farm from whole blood samples is warranted. The purpose of this study was to validate a portable blood analyzer (PBA) by analyzing metabolites on privately owned dairy farms in southcentral Wisconsin. Additional tests were completed to determine if plasma metabolite quantification was similar to whole-blood quantification. Two phases were conducted on two separate farms to complete these analyses and data were analyzed by Bland-Altman plot and correlations. Metabolites quantified from whole blood samples included albumin, alanine and aspartate aminotransferases, ß-hydroxybutyrate, blood urea nitrogen, total calcium, cholesterol, creatinine kinase, γ-glutamyl transferase, glucose, magnesium, nonesterified fatty acids, phosphorous, and total protein and were analyzed in the lab after plasma separation to determine gold-standard laboratory concentrations. Across Phase 1 and 2, whole-blood PBA metabolite concentrations resulted in similar results compared to the laboratory assays. For plasma analyzed on the PBA, overall results were positively correlated, but robustness was dependent upon initial validation results indicating some metabolites are suitable for plasma quantification on the device. These results indicate that the PBA is a viable on-farm metabolite quantification tool that will be valuable for on-farm diagnosis of metabolic stress and dysfunction in transition dairy cows.

Considerations in the Diagnosis and Treatment of Early Lactation Calcium Disturbances.

This article reviews the history of clinical hypocalcemia and the evolving definition of subclinical hypocalcemia, targeting a concept for consideration that not all hypocalcemia is negative. With a goal of presenting bovine practitioners information to assist with individual animal hypocalcemia diagnosis and treatment as well as herd-level monitoring and prevention, we present current methods of direct calcium measurement, therapeutic interventions for clinical hypocalcemia, and postpartum calcium supplementation options and their efficacy. We encourage veterinarians to understand calcium dynamics in the immediate postpartum period and evaluate how individual cow therapy and herd prevention protocols can assist with supporting calcium regulation.

Effects of Postpartum Supplemental Oral Ca for Dairy Cows Fed Prepartum Dietary Acidogenic Salts.

Postpartum hypocalcemia is a problem in dairy cows. Both the Jersey vs. Holstein breed and increasing parity are known risk factors. Our objectives were: (1) to evaluate a simple approach to provide dietary acidogenic salts suitable for application on small dairies and (2) to evaluate the combined effects of degree of acidification and oral Ca supplementation along with breed and parity group on periparturient Ca status of Holstein and Jersey cows. Cows were moved weekly from the far-off dry pen at 260 days pregnant to the close-up pen, where all cows received the acidogenic diets. The diet was offered as a total mixed ration and CaCl2, and our source of acidogenic salts was top-dressed in liquid form and mixed in by hand. Thirty-six cows were blocked by parity group (parity = 2 vs. parity ≥ 3) and breed (Holstein vs. Jersey) and assigned to one of two treatments (no intervention or postpartum oral Ca bolus supplementation) in an alternating fashion, based on expected date of parturition. Urinary acidification appeared complete within 3-4 days. Increased urinary Ca excretion was >93% of maximum from 7-21 days before falling to <5% of maximum by 28 days. Serum Ca concentrations 12-24 h postpartum were lower for Jerseys vs. Holsteins and for parity ≥ 3 vs. parity = 2 cows. Serum Ca over 6-48 h postpartum decreased and increased, respectively, with oral Ca supplementation for parity = 2 and parity ≥ 3 cows. Decreased prepartum urinary Ca excretion and increased colostrum yield appear to be independent risk factors of hypocalcemia for parity ≥ 3 Jerseys.

Hyperketonemia Predictions Provide an On-Farm Management Tool with Epidemiological Insights.

Prediction of hyperketonemia (HYK), a postpartum metabolic disorder in dairy cows, through use of cow and milk data has allowed for high-throughput detection and monitoring during monthly milk sampling. The objective of this study was to determine associations between predicted HYK (pHYK) and production parameters in a dataset generated from routine milk analysis samples. Data from 240,714 lactations across 335 farms were analyzed with multiple linear regression models to determine HYK status. Data on HYK or disease treatment was not solicited. Consistent with past research, pHYK cows had greater previous lactation dry period length, somatic cell count, and dystocia. Cows identified as pHYK had lower milk yield and protein percent but greater milk fat, specifically greater mixed and preformed fatty acids (FA), and greater somatic cell count (SCC). Differential somatic cell count was greater in second and fourth parity pHYK cows. Culling (60d), days open, and number of artificial inseminations were greater in pHYK cows. Hyperketonemia prevalence decreased linearly in herds with greater rolling herd average milk yield. This research confirms previously identified risk factors and negative outcomes associated with pHYK and highlights novel associations with differential SCC, mixed FA, and preformed FA across farm sizes and production levels.

Performance evaluation of a newly designed on-farm blood testing system for determining blood non-esterified fatty acid and ß-hydroxybutyrate concentrations in dairy cows.

The objective of this study was to evaluate a newly designed on-farm blood testing system (OFBTS) for monitoring blood concentrations of non-esterified fatty acids (NEFA) and ß-hydroxybutyrate (BHBA) in dairy cows. Blood samples from 230 Holstein dairy cows between -86 and 343 days in milk were collected. A drop of whole blood was used to determine NEFA and BHBA using the OFBTS. Plasma from the remaining blood was used to determine both analytes using a commercial kit (gold standard). In the repeatability of the OFBTS, the intra-assay CV for NEFA and BHBA were 1.3% and 4.5%, and the inter-assay CV were 1.8% and 2.9%, respectively. The slope and coefficient of determination of OFBTS analysis of NEFA compared to the gold standard were 0.92 and 0.94. Those for BHBA were 0.94 and 0.98. Mean of the difference between the gold standard laboratory assays and OFBTS of NEFA and BHBA were 0.021 and 0.019, respectively. However, the bias became substantial for NEFA in the higher concentration ranges (>1.2 mEq/L). The sensitivity and specificity of NEFA were 93.2% and 99.4% at a cutpoint of 0.4 mEq/L, and 87.9% and 100% at 0.6 mEq/L. Those of BHBA were 86.2% and 99.0% at a cutpoint of 1.0 mM, and 94.7% and 99.5% at 1.2 mM. The reaction time for the NEFA to reach 0.6 mEq/L was 7 min. The BHBA reaction reached 1.2 mM within 2 min. In conclusion, the OFBTS has excellent performance for evaluating blood NEFA or BHBA concentrations.

Diagnosis and Management of Subacute Ruminal Acidosis in Dairy Herds.

Subacute ruminal acidosis (SARA) is a common problem in lactating dairy cows that causes chronic health problems, impairs feed efficiency, and increases the environmental impact of milk production. Low ruminal pH appears to be the main instigator of the pathophysiology of SARA, although other metabolites produced in the rumen may be involved. Inflammatory responses to SARA are variable but important determinants of a cow's response to SARA. SARA can be diagnosed at the herd level by integrating information about clinical signs and on-farm measures of ruminal pH. Prevention of SARA requires excellent feeding management and proper diet formulation.

Undertaking nutritional diagnostic investigations.

Veterinarians serving dairy clients can provide systematic investigations of nutritional problems. The foundation of a nutritional investigation is a careful evaluation of the diet being consumed by the cows. This information is supplemented by herd health and production records, evaluation of the cows (particularly locomotion and body condition scoring), and biological tests. All data collected during a herd investigation contain inherent error. Diagnostic conclusions from the herd investigation are most plausible when information collected from different sources all indicates similar conclusions.

Elevated non-esterified fatty acids and ß-hydroxybutyrate and their association with transition dairy cow performance.

Dairy cows pass through a period of negative energy balance as they transition from late gestation to early lactation. Poor adaptation through this period, expressed as excessively elevated concentrations of non-esterified fatty acids (NEFAs) pre- or post-partum and elevated concentrations of ß-hydroxybutyrate post-partum, increases an individual animal's risk of post-partum disease, removal from the herd, reproductive difficulty, and reduced milk production. Field studies have shown that subclinical ketosis often affects 40% of cows in a herd although the incidence can be as high as 80%. Peak incidence occurs at 5 days in milk, and cows that develop subclinical ketosis in the first week of lactation have a higher risk of negative effects and reduced milk production than cows that develop subclinical ketosis in the second week of lactation. Herds with more than a 15-20% prevalence of excessively elevated concentrations of NEFAs and ß-hydroxybutyrate in early lactation have higher rates of negative subsequent events, poorer reproduction, and lower milk yield than herds with a lower prevalence of negative energy balance. This paper reviews (1) strategies for testing of energy-related metabolites, (2) consequences of poor adaptation to negative energy balance (for individual animals and for herds), (3) treatment approaches for affected cows, and (4) economic considerations for testing and treating cows with poor adaptation to negative energy balance.

Oral calcium supplementation in peripartum dairy cows.

Hypocalcemia in dairy cattle around parturition can be manifest as clinical milk fever or subclinical hypocalcemia. Subclinical hypocalcemia has the greatest economic effect because it affects a much higher proportion of cows. Oral calcium supplements are used to mitigate the effects of both forms of hypocalcemia. Oral calcium supplements are appropriate for cows displaying early clinical signs of hypocalcemia and prophylactically to lessen the negative impacts of hypocalcemia.

A coordinated teaching program for future dairy practitioners at the university of Wisconsin-Madison, School of Veterinary Medicine.

The University of Wisconsin School of Veterinary Medicine (UW-SVM) has implemented a variety of strategies to optimize teaching in dairy herd medicine. These include the provision of opportunities for dairy cow handling and management using a dairy teaching herd for veterinary students throughout the four-year curriculum, exposure for all students in their final year to a substantial first-opinion dairy case load using a private practice-based ambulatory clinic rotation, and, finally, the teaching of dairy herd health management and problem solving in a group of four final-year elective production medicine clinical rotations. On average, since 1986, 32.6% of each graduating class attended at least one elective production medicine rotation, with a range from 19.0% to 43.4%. For those University of Wisconsin students who could be traced, 65% were still actively involved in some aspect of dairy practice, representing a range of between seven and 17 students per year since the start of the program. The advantages and disadvantages of operating a "regional center of excellence" for training students from out-of-state institutions are discussed.

Monitoring and testing dairy herds for metabolic disease.

Clinical impressions of metabolic disease problems in dairy herds can be corroborated with herd-based metabolic testing. Ruminal pH should be evaluated in herds showing clinical signs associated with SARA (lame cows, thin cows, high herd removals or death loss across all stages of lactation, or milk fat depression). Testing a herd for the prevalence of SCK via blood BHB sampling in early lactation is useful in almost any dairy herd, and particularly if the herd is experiencing a high incidence of displaced abomasum or high removal rates of early lactation cows. If cows are experiencing SCK within the first 3 weeks of lactation, then consider NEFA testing of the prefresh cows to corroborate prefresh negative energy balance. Finally, monitoring cows on the day of calving for parturient hypocalcemia can provide early detection of diet-induced problems in calcium homeostasis. If hypocalcemia problems are present despite supplementing anionic salts before calving, then it may be helpful to evaluate mean urinary pH of a group of the prefresh cows. Quantitative testing strategies based on statistical analyses can be used to establish minimum sample sizes and interpretation guidelines for all of these tests.