Dental unit waterline testing practices: an 11-Year retrospective study.

OBJECTIVES: This retrospective study examined the dental unit waterline (DUWL) testing practices of Saskatchewan dental clinics over a period of 11 years, with an emphasis on their responses after identification of high microbial levels. MATERIALS AND METHODS: Dental clinics (n = 137) aseptically collected samples of output water from their air/water syringes, handpieces, and ultrasonic scaler lines using Sigma-Aldrich® waterline test kits and delivered them to a quality assurance laboratory. Tests were incubated for seven days at room temperature, and those with heterotrophic plate counts > 500 CFU/mL were reported as failures. Statistical analyses were performed on a database containing 4,093 test results. RESULTS: Participating clinics submitted an average of 11 DUWL tests per year. Overall, 21% of tests failed, and a moderate positive association (rs=.52, p < 0.001) was found between clinics' DUWL testing frequency and failure rate. Only 7% of failed DUWL tests were followed up by collection of a subsequent test within two weeks, of which 47% still exceeded the 500 CFU/mL threshold. CONCLUSIONS: Our findings demonstrate an association between DUWL testing frequency and detection of unacceptable microbial levels, along with infrequent retesting and often-inadequate intervention after a failed test. This suggests the need for further efforts at the regulatory and educational levels to maintain adequate water quality during dental treatment. CLINICAL RELEVANCE: Procedural water can become contaminated in DUWLs and endanger patients. Regular DUWL monitoring and evidence-based interventions to treat contaminated systems are necessary to safeguard patient health.

Cactus Cladodes Opuntia or Nopalea and By-Product of Low Nutritional Value as Solutions to Forage Shortages in Semiarid Areas.

We aimed to evaluate the effect of the cactus cladodes Nopalea cochenillifera (L). Salm-Dyck. (NUB) and cactus cladodes Opuntia stricta (Haw.) Haw. (OUB), both combined with sugarcane bagasse (SB) plus urea, Tifton hay (TH), corn silage (CS), and sorghum silage (SS) plus urea on nutrient intake and digestibility, ruminal dynamics, and parameters. Five male sheep, fistulated in the rumen, were assigned in a 5 × 5 Latin square design. The NUB provided a higher intake of dry matter (DM) and any nutrients than SS. TH provided larger pools of DM and iNDF. The OUB and CS provided a higher DM degradation. CS provided a higher NDF degradation rate. OUB provided a lower ruminal pH. Depending on the collection time, the lowest pH value was estimated at 3.79 h after the morning feeding. There was an interaction between treatments and collection time on VFA concentrations. Due to the high degradation rate, greater energy intake, less change in rumen pH, greater volatile fatty acid production, and feasibility, we recommend using cactus associated with sugarcane bagasse plus urea in sheep diets.

Polyclonal antibody preparations from avian origin as a feed additive to beef cattle: ruminal fermentation during the step-up transition diets.

This study investigated the effects of feeding an avian-derived polyclonal antibody preparation (PAP; CAMAS, Inc.) against Streptococcus bovis, Fusobacterium necrophorum, and lipopolysaccharides (40%, 35%, and 25% of the preparation, respectively) on ruminal fermentation [pH, ammonia-N (NH3-N), lactate, and volatile fatty acids (VFA)] of beef steers during a 21-d step-up diet adaptation. Eight ruminally cannulated Angus crossbred beef steers (658 ± 79 kg of body weight) were assigned in a crossover design to be transitioned from a diet containing ad libitum bermudagrass hay [Cynodon dactylon (L.) Pers.] plus 0.45 kg/d (as fed) of molasses with 0 (CON) or 3 g of PAP (PAP) to a high-grain diet. Transition consisted of three 7-d steps of increased inclusion of cracked corn (35%, 60%, and 82% of the diet DM for STEP1, STEP2, and STEP3, respectively). On each transition day and 7 d after STEP3 (STEP3-7d), ruminal fluid samples were obtained every 3 h for 24 h. Feeding 3 g of PAP daily increased (P < 0.01) average ruminal pH during STEP3 compared with CON steers (5.6 vs. 5.4 ± 0.05, respectively). During STEP1, NH3-N concentration was greater (P < 0.01; 9.4 vs. 6.8 ± 0.74 mM, respectively), and time (min/d) and area (time × pH) of ruminal pH below or equal to 5.2 was lesser (P ≤ 0.03) for steers consuming PAP compared with steers assigned to CON treatment (33.4 vs. 73.3 ± 21.7 min/d and 187.4 vs. 406.3 ± 119.7 min × pH/d, respectively). Steers consuming PAP had greater acetate:propionate ratio at 0, 3, and 6 h relative to diet change compared with CON (2.42, 2.35, 2.29 vs. 1.66, 1.79, and 1.72 ± 0.17, respectively), whereas butyrate molar proportions increased (P = 0.02; 17.1 vs. 11 ± 1.58 mol/100 mol for CON and PAP, respectively) when PAP was not fed at STEP2. Total ruminal lactate concentrations were not affected by PAP feeding (P > 0.11). In conclusion, feeding 3 g/d of polyclonal antibody preparation against S. bovis, F. necrophorum, and lipopolysaccharides was effective in increasing ruminal pH, A:P ratio, and NH3-N concentrations, possibly attenuating the risks of ruminal acidosis in steers during the step-up transition from forage to high-grain diets.

Composition and decomposition of rhizoma peanut (Arachis glabrata Benth.) belowground biomass.

Roots and rhizomes can play an important role in nutrient cycling, however, few studies have investigated how their decomposition pattern is affected by defoliation and time of the year. This 2-year study evaluated root-rhizome composition and decomposition of a warm-season rhizomatous perennial legume [rhizoma peanut (RP; Arachis glabrata Benth.)] under continuous stocking or when defoliated by clipping every 56 days. A 168-days incubation trial was performed to determine disappearance of biomass and N and changes in acid detergent fiber (ADF), acid detergent insoluble N (ADIN), and C:N ratio. Additionally, three 56-days incubations were performed each year to evaluate the disappearance coefficient (B0) and relative decay rate (k). There were no treatment differences in any response for the 168-days incubation. After 168 days, 21 and 60% of initial biomass and initial N remained, respectively. Relative decay rate for OM and N were 0.0088 and 0.0035 g g-1 day-1, respectively. Carbon-to-N ratio decreased from 29 at day 0 to 17 at day 168. Concentration of ADIN increased from 6.9 to 19.3 g kg-1, plateauing at day 79. The B0 and k for remaining OM and N were greater in late than early season and could be explained by greater N concentration and lesser C:N ratio. Rapid decomposition, difference in C:N ratio from day 0 to 168, and the increase in ADIN concentration during incubation indicate large amounts of root-rhizome-soluble C at initiation of incubation. These data indicate that RP root-rhizome turnover is more responsive to season than defoliation frequency.

Palatability and nycterohemeral patterns of ingestive behavior of sheep fed different roughage sources.

The aim of this study was to evaluate the nycterohemeral patterns of ingestive behavior at 24, 48, and 72 h (Trial I) of sheep fed different roughages and the palatability index (Trial II) for sheep and goats fed different roughages used in a semiarid region. In the study, five sources of roughage were evaluated, namely: (1) Nopalea cochenillifera (L.) Salm-Dyck cladodes + urea + sugarcane bagasse (NUB); (2) Opuntia stricta (Haw.) Haw cladodes + urea + sugarcane bagasse (OUB); (3) Tifton hay; (4) corn silage; and (5) sorghum silage. Five Soinga sheep were used and arranged in a 5 × 5 Latin square design in Trial I. Six female Santa Ines sheep and six female Saanen goats were used to study the preferences for different roughages in Trial II, and three tests were carried out to determine the palatability index, comparing two roughage types at a time: test 1 - corn silage versus Nopalea cladodes + urea + sugarcane bagasse (NUB); test 2 - corn silage versus Opuntia cladodes + urea + sugarcane bagasse (OUB); and test 3 - NUB versus OUB. The highest dry matter (DM) intake was for diets composed by NUB. Feeding time (min/d) was higher for sorghum silage (291 min d-1), while rumination time was higher (P < 0.05) for corn silage (604.0 min d-1), sorghum silage (561.7 min d-1), and Tifton hay (529.7 min d-1). No difference (P > 0.05) was observed for feeding, rumination, and idleness time between species (sheep and goats), and there was no roughage × species interaction (P > 0.05). The palatability indexes were 76 and 77% (tests 1 and 2) for NUB and OUB, respectively. Sheep fed with roughage containing cactus cladodes associated with urea and sugarcane bagasse spent less time on ingestion and rumination activities. The ingestive behavior can be evaluated in a period of 48 h, using instantaneous scanning.

Salivary changes in chronic kidney disease and in patients undergoing hemodialysis: a systematic review and meta-analysis.

OBJECTIVES: This study is aimed at describing changes in salivary flow rate and ionic composition present in the saliva of chronic kidney disease (CKD) patients by assessing the pH, calcium, phosphate, and phosphorus concentrations and comparing them to healthy individuals, along with exploring the influence of hemodialysis on these parameters. METHODS: The bibliographical search was performed in nine databases to find all types of studies, including observational clinical studies, without restrictions regarding publication year or language. Two reviewers selected the studies, extracted the data, and assessed the risk of bias using JBI tools. Random-effect meta-analysis was performed with the standardized mean difference (SMD) as effect estimate, at a 95% confidence interval. RESULTS: Thirty-three studies were included in the qualitative synthesis and 31 studies were included in the meta-analysis. Chronic kidney disease patients presented lower salivary flow rate (SMD: - 1.73; 95% CI = - 2.14; - 1.31), higher pH (SMD: 1.57; 95% CI = 1.11; 2.03), and higher phosphorus concentration (SMD: 0.86; 95% CI = 0.63; 1.09) in saliva. Concurrently, salivary flow rate and pH presented significant changes after hemodialysis, with higher salivary flow rate (SMD: 0.53; 95% CI = 0.25; 0.81) and lower pH (SMD: - 0.53; 95% CI = - 0.88; - 0.19) in patients on hemodialysis treatment. CONCLUSION: Chronic kidney disease patients present reduced salivary flow rate and increased pH and phosphorus concentration in saliva. Hemodialysis can increase the salivary flow rate of these patients.

Spineless Cactus plus Urea and Tifton-85 Hay: Maximizing the Digestible Organic Matter Intake, Ruminal Fermentation and Nitrogen Utilization of Wethers in Semi-Arid Regions.

The aim of this study was to evaluate the effect of replacing Tifton-85 hay (Cynodon spp. cv. Tifton 85) with 0, 150, 300, 450 and 600 g/kg dry matter (DM) of spineless cactus (SC, Nopalea cochenilifera Salm-Dyck) plus urea and ammonium sulfate (UAS; 9:1) on DM, digestible organic matter (DOM) and indigestible neutral detergent fiber (iNDF) intakes, as well as ruminal fermentation, N-balance, and microbial protein supply (MPS). Five rumen-fistulated and cannulated crossbred wethers, weighing 43.8 ± 5.80 kg, were randomized in a 5 × 5 Latin square design. Isonitrogenous diets (14% crude protein) were supplied with a roughage/concentrate ratio of 70:30. The DOM intake, N-retained, and MPS showed quadratic responses (p < 0.05), with maximum values estimated at the levels of SC+UAS of 414, 438 and 418 g/kg DM, respectively. Rumen pH and ammonia nitrogen, iNDF intake, N-urinary excretion, and serum urea and plasma ammonia reduced linearly (p < 0.05) with increasing SC+UAS inclusion. Ruminal acetate and propionate concentrations increased linearly with increasing SC+UAS inclusion. In wethers fed diets with a roughage/concentrate ratio of 70:30, roughage constituted of a SC+UAS/hay (Tifton-85) ratio of 41:29 is recommended in order to maximize the DOM intake, N-retention, and MPS.

Analysis of salivary parameters of mucopolysaccharidosis individuals.

Mucopolysaccharidosis (MPS) is a heterogeneous group of rare, chronic, progressive and systemic inherited disorders resulting from deficiency or lack of lysosomal enzymes responsible for the degradation of glycosaminoglycans. Products of nitrosative stress have been previously detected in blood and urine samples of patients with MPS. However, it is unclear whether they are present in the saliva of MPS patients and also if they correlate with salivary parameters such as flow and pH. This study compared the salivary levels of NOX (NO2- + NO3-), nitrite (NO2-), protein (albumin), erythrocyte and leukocyte numbers, as well as the salivary flow rate and pH values of samples obtained from 10 MPS patients and 10 healthy subjects. MPS patients exhibited higher salivary levels of NOX and NO2- when compared to healthy subjects (p < 0.05). Albumin was only detected in six saliva samples of MPS patients and, erythrocytes and leukocytes were detected in 60% and 40% of the MPS patients, respectively. In addition, salivary flow rate and pH averages were statistically lower in this group when compared to healthy samples (p < 0.05). Overall, the data indicates that the salivary levels of NO products can be used in combination with other heath indicators to monitor MPS disorders.

Analysis of salivary parameters of mucopolysaccharidosis individuals

Abstract Mucopolysaccharidosis (MPS) is a heterogeneous group of rare, chronic, progressive and systemic inherited disorders resulting from deficiency or lack of lysosomal enzymes responsible for the degradation of glycosaminoglycans. Products of nitrosative stress have been previously detected in blood and urine samples of patients with MPS. However, it is unclear whether they are present in the saliva of MPS patients and also if they correlate with salivary parameters such as flow and pH. This study compared the salivary levels of NOX (NO2- + NO3-), nitrite (NO2-), protein (albumin), erythrocyte and leukocyte numbers, as well as the salivary flow rate and pH values of samples obtained from 10 MPS patients and 10 healthy subjects. MPS patients exhibited higher salivary levels of NOX and NO2- when compared to healthy subjects (p < 0.05). Albumin was only detected in six saliva samples of MPS patients and, erythrocytes and leukocytes were detected in 60% and 40% of the MPS patients, respectively. In addition, salivary flow rate and pH averages were statistically lower in this group when compared to healthy samples (p < 0.05). Overall, the data indicates that the salivary levels of NO products can be used in combination with other heath indicators to monitor MPS disorders.

Miúda (Nopalea cochenillifera (L.) Salm-Dyck)-The Best Forage Cactus Genotype for Feeding Lactating Dairy Cows in Semiarid Regions.

This study aimed to investigate the effects on nutrient intake and digestibility, milk yield (MY) and composition, milk fatty acids profile, and microbial protein synthesis caused by feeding lactating dairy cows four different forage cactus genotypes. Eight Girolando cows (5/8 Holstein × 3/8 Gyr), weighing 490 ± 69.0 kg (means ± standard deviation), and producing 15.5 ± 1.0 kg/d of milk during pretrial were distributed to two contemporaneous 4 × 4 Latin squares. The cows were fed a total mixed ration composed of sorghum silage (385 g/kg of dry matter (DM)), concentrated mix (175 g/kg DM), and forage cactus (440 g/kg DM). The experimental treatments consisted of different cactus genotypes, such as Gigante cactus (GC), Miúda cactus (MC), IPA Sertânia cactus (SC), and Orelha de Elefante Mexicana cactus (OEMC). The feeding of MC provided a higher intake of DM, organic matter (OM), and total digestible nutrients, as well as higher MY, energy-corrected milk, and microbial protein synthesis in comparison with those resulting from the other genotypes tested. The GC promoted lower DM and OM, and the apparent digestibility of neutral detergent fiber. The cows fed with OEMC showed lower MY and milk protein yield and content, and higher unsaturated over saturated fatty acid ratio in milk. Miúda forage cactus increased nutrient intake, digestibility of DM and OM, and microbial synthesis without impairing the milk fatty acid profile.

Nutritive Value, In Vitro Fermentation, and Methane Production of Cactus Cladodes, Sugarcane Bagasse, and Urea.

This study evaluated the effect of different roughages fed to sheep on nutrient and water intake, ingestive behavior, nitrogen balance, microbial protein synthesis, fermentation parameters, and methane production using an in vitro gas production system. The treatments consisted of five diets: cactus cladodes Nopalea (NUB) and Opuntia (OUB), both with the addition of sugarcane bagasse (SB) and urea/ammonium sulfate (urea/as); Tifton hay (TH); corn silage (CS); and sorghum silage (SS), also with added urea/as. The NUB provided greater (p ≤ 0.03) intakes of dry matter (1024 g/d), digestible organic matter (670 g/d), and crude protein (161 g/d) than those on the SS. The NUB provided greater (p < 0.01) dietary water intake (3023 g/d) than TH. The time spent on rumination was shorter (p < 0.01), and the idle time was longer in animals fed NUB and OUB than TH and CS. Microbial protein synthesis was not affected (p = 0.27). The final pH (6.4) of the incubation fluid and the concentration of NH3-N (39.05 mg/dL) were greater for NUB and OUB. Ruminal parameters and methane production were little or not affected by tested forages. We recommend using cactus cladodes in combination with sugarcane bagasse and urea/as in sheep diets.

Nutritional effects of using cactus cladodes (Opuntia stricta Haw Haw) to replace sorghum silage in sheep diet.

The aim of the present study was to evaluate the effects of replacing the sorghum silage in sheep diet with cactus cladodes [CC - Opuntia stricta (Haw) Haw] on dry matter and its compound intake and digestibility, feeding behavior, and nitrogen balance. The diets consisted of five replacement levels [0, 200, 400, 600, and 800 g/kg on a dry matter (DM) basis] and were formulated to be isonitrogenous [140 g/kg crude protein [CP], considering the ingredients' composition, with a roughage/concentrate ratio of 65:35, on a DM basis. Five uncastrated crossbred sheep, with an average body weight of 52.9 ± 6.0 kg, were assigned to a 5 × 5 Latin square. The trial lasted for 105 days with five consecutive 21-day periods, divided into 14-day adaptation and 7-day sampling periods. Dry matter (DM), organic matter, non-fiber carbohydrate (NFC), total digestible nutrient intake, and DM and NFC digestibility, increased (P ≤ 0.04) with the replacement of sorghum silage by CC. However, the time spent feeding and ruminating decreased, while idle time increased (P ≤ 0.03). Only feeding and rumination efficiency of DM improved (P ≤ 0.01) with the replacement, whereas feeding and rumination efficiency of neutral detergent fiber corrected to ash and protein did not. Nitrogen intake and nitrogen balance were not influenced, and urinary volume increased (P ≤ 0.01) with the addition of CC in the diet. In conclusion, we recommend replacing 80% of the sorghum silage with CC in sheep diets (with 35% concentrate), as CC was found to substantially increase the intake of nutrients, primarily energy.

Cactus cladodes associated with urea and sugarcane bagasse: an alternative to conserved feed in semi-arid regions.

The objective of this study was to evaluate the nutritional value of different roughage sources as an exclusive feed for goats and sheep from the determination of nutrient intake and digestibility. Five goats and five sheep were used and arranged in a double 5 × 5 Latin square design. Treatments consisted of cactus Nopalea cochenillifera (L.) Salm-Dyck cladodes (Nopalea) + urea + sugarcane bagasse (NUB), cactus Opuntia stricta (Haw.) Haw cladodes (Opuntia) + urea + sugarcane bagasse (OUB), Tifton hay (TH), maize silage (MS), and forage sorghum silage (SS). Dry matter (DM) and crude protein (CP) intakes of NUB were greater than SS (0.620 and 0.058 versus 0.416 and 0.040 kg/day). Metabolizable energy (ME) intake was higher for NUB (1.52 Mcal/day). The DM digestibility did not change between the roughages (59%). The NUB, OUB, and MS organic matter digestibility (OMD; 62.4%) were greater than that of SS (57.4%). The roughage consisting of cactus cladodes associated with urea and sugarcane bagasse presented a greater nutritional value, similar to MS and TH, and higher than SS. Cactus cladodes associated with urea and sugarcane bagasse are recommended as an alternative to conserved feed.

Feeding management strategy for sheep in feedlot in hot and humid region / Estratégia de manejo alimentar para ovinos confinados em região quente e úmida

This study aimed to evaluate the effect of different feeding schedules on the ingestive behavior, dry matter (DM) intake, neutral detergent fiber intake (NDF), respiratory rate (RR) and rectal temperature (RT) of Santa Ines sheep, in feedlot in hot and humid climate region. Five non-castrated male sheep with an initial average weight of 27 ± 3 kg were distributed in a 5x5 Latin Square experimental design. Feed was offered twice daily, the first meal at 7:00h for all treatments, and the second meal, was offered at: 13:30h, 15:00h, 16:30h, 18:00h, or 19:30h. The RR and RT were measured thrice (morning, afternoon and evening) in a day. The feeding behavior (time of eating, rumination and idleness) was recorded in minutes for period of 24 hours visually. The environmental conditions (air temperature and humidity) was measured to determine the thermal comfort index, THI (Temperature-Humidity Index), which ranged between 72 and 83. There was no evidence that different afternoon feeding times affected rectal temperature during the morning (38.9°C), afternoon (39.0°C) or evening (39.0°C). The respiratory rate during the afternoon was higher for animals fed at 15:00h (55.2 mov.min-1) than for animals fed at 18:00h or 19:30h (29.6 and 31.6 mov.min-1, respectively).

O estudo objetivou avaliar o efeito dos diferentes horários de fornecimento da dieta sob parâmetros fisiológicos e comportamento ingestivo de ovinos, confinados em região quente e úmida. Foram utilizados cinco machos de peso médio inicial (27 ± 3 kg), distribuídos em Quadrado Latino 5 x 5. O alimento foi ofertado duas vezes ao dia, a primeira refeição às 7:00h e a segunda refeição (tratamentos) foi ofertada às: 13:30h, 15:00h, 16:30h, 18:00h, ou 19:30h. A frequência respiratória (FR) e a temperatura retal (TR) foram avaliadas em 3 períodos do dia. O comportamento ingestivo (tempo de alimentação, ruminação e ócio) foi avaliado visualmente a cada 10 min durante 24 horas. As condições ambientais foram monitoradas para determinar do ITU (índice de temperatura e umidade) que variou entre 72 a 83. Os animais mantiveram a TR dentro da faixa fisiológica normal e não diferiram dentre os tratamentos experimentais: manhã (38,9°C), tarde (39,0°C) e noite (39,0°). A FR também não foi diferente dentre os tratamentos para os períodos da manhã (37,2 mov.min-1) e noite (34,4 mov.min-1), porém no período da tarde a FR dos animais alimentados às 15:00h (55,2 mov.min-1) foi maior do que os demais tratamentos. Os diferentes manejos adotados não exerceram influência sobre os consumos de consumos de matéria seca (1,015 Kg) e FDN (0,364 Kg). Para os tempos totais das atividades de alimentação (289 min/dia), ruminação (500 min/dia) e ócio (650 min/dia) não foram observadas diferenças em função dos horários de fornecimento da dieta, no entanto houve diferença na distribuição dessas atividades ao longo do dia, em que claramente se observou a adaptação dos animais ao manejo alimentar adotado em cada tratamento experimental. Sugere-se mais estudos específicos a fim de avaliar as interações entre as respostas apresentadas e o desempenho animal.

Castor beans hulls as a replacement for Tifton 85 hay in lamb diets.

The objective of this study was to evaluate the effect of replacing Tifton 85 hay (0, 33, 66, or 100 %) with by castor bean hulls on the intake and nutrient digestibility and performance of 28 noncastrated lambs, averaging 7 months in age, 19.5 ± 2.0 kg average live weight, fed on diets based on forage cactus. The animals were housed in individual pens for 100 days. The digestibility trial occurred 40 days after the start of the performance using LIPE® as an external indicator for estimating fecal dry matter production. The replacement of hay with Castor beans hulls linearly decreased the intakes of dry matter, neutral detergent fiber, organic matter, and crude protein and reduced the digestibility coefficients of the dry matter, neutral detergent fiber, organic matter content, crude protein, and total digestible nutrient content. The hot carcass and true carcass yields were not influenced by the treatments and the feed conversion increased linearly. The empty body weight, live weight at slaughter, hot and cold carcass weights, total gain, and average daily gain decreased linearly with the replacement. The replacement of Tifton 85 hay with castor bean hulls reduced the intake of dry matter, crude protein and energy, consequently reducing the performance of the animals. However, as the regression coefficients were of low magnitude, data were subjected to analysis of variance and means were compared using the Dunnett test with diet without castor bean hulls set as the control treatment. The Tifton 85 hay can be replaced up to 66 % by castor bean hulls in finishing diets for lambs.