Fever and Malaise in an Infant

Publication date: Available online 2 March 2017
Source:The Journal of Emergency Medicine
Author(s): David S. Young, Emily S. Miller, Kriti Bhatia




http://ift.tt/2mTO42M

Fever and Back Pain in a Preschool Teacher

Publication date: Available online 2 March 2017
Source:The Journal of Emergency Medicine
Author(s): Kimberly A. Stanford, Emily S. Miller, Kriti Bhatia




http://ift.tt/2mAFU31

Pediatric Sepsis Secondary to an Occult Dental Abscess: A Case Report

Publication date: Available online 3 March 2017
Source:The Journal of Emergency Medicine
Author(s): Peter Holmberg, Thomas Hellmich, James Homme
BackgroundIn general, hematogenous spread of bacteria in children is uncommon. Bacteremia, however, is a known complication of dental procedures and severe caries, but is infrequently associated with primary, asymptomatic, non-procedural-related, dentoalveolar infection.Case ReportThe patient is a 7-year-old previously healthy boy who presented to the Emergency Department (ED) with "fever, mottling, and shaking chills." In the ED, he appeared systemically ill with fever, mottling, delayed capillary refill, and rigors. Physical examination by three different physicians failed to reveal any focus of infection. Laboratory evaluation, including blood cultures, was obtained. The patient later developed unilateral facial swelling and pain, and a dentoalveolar abscess was found. He was started on antibiotics, underwent pulpectomy and eventually, extraction, prior to improvement in symptoms. Blood cultures grew two separate anaerobic bacteria (Veillonella and Lactobacillus). This is, to our knowledge, one of the first reported cases of pediatric sepsis with two different anaerobic organisms secondary to occult dentoalveolar abscess in a pediatric patient.Why Should an Emergency Physician Be Aware of This?It is imperative for emergency physicians to recognize the possibility of pediatric sepsis in the setting of acute maxillary or mandibular pain, as well as in patients for whom no clear focus of infection can be found. This is particularly important for those who appear ill at presentation or meet systemic inflammatory response syndrome criteria and would benefit from further laboratory evaluation, including blood cultures, and possibly antibiotic therapy.



http://ift.tt/2mAPV03

Valence and arousal of emotional stimuli impact cognitive-motor performance in an oddball task

Publication date: Available online 2 March 2017
Source:Biological Psychology
Author(s): Yingzhi Lu, Kyle J. Jaquess, Bradley D. Hatfield, Chenglin Zhou, Hong Li
It is widely recognized that emotions impact an individual's ability to perform in a given task. However, little is known about how emotion impacts the various aspects of cognitive -motor performance. We recorded event-related potentials (ERPs) and chronometric responses from twenty-six participants while they performed a cognitive-motor oddball task in regard to four categories of emotional stimuli (high-arousing positive-valence, low-arousing positive-valence, high-arousing negative-valence, and low-arousing negative-valence) as "deviant" stimuli. Six chronometric responses (reaction time, press time, return time, choice time, movement time, and total time) and three ERP components (P2, N2 and late positive potential) were measured. Results indicated that reaction time was significantly affected by the presentation of emotional stimuli. Also observed was a negative relationship between N2 amplitude and elements of performance featuring reaction time in the low-arousing positive-valence condition. This study provides further evidence that emotional stimuli influence cognitive-motor performance in a specific manner.



http://ift.tt/2mTRQJx

The effects of strengthening exercises for wrist flexors and extensors on muscle strength and counter-stroke performance in amateur table tennis players

Publication date: Available online 3 March 2017
Source:Journal of Bodywork and Movement Therapies
Author(s): Raoyrin Chanavirut, Nontawit Udompanich, Phraophimon Udom, Ponlapat Yonglitthipagon, Wanida Donpunha, Saowanee Nakmareong, Juinichiro Yamauchi
This study aims to evaluate the effects of strengthening exercises on wrist flexor and extensor strength, hand grip strength, and counter-stroke performance. Thirty amateur table tennis players were recruited and randomly allocated into two groups: the control and the training group (n=15/group). Pre- and post-data were collected. The training group performed home exercises for six weeks using a bucket filled with water, while the controls were asked to keep their lifestyle as usual. The general characteristics were no significant differences. The training group showed significantly higher levels of wrist flexor and extensor strength than the control group (p<0.05). However, the difference in hand grip strength was not statistically significant. Both groups showed significant improvement in counter-stroke performance (p<0.05), however, there was no difference between the groups. In conclusion, specific strengthening exercises increase wrist flexor and extensor strength, but they have no effect on either hand grip strength or counter-stroke performance.



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Anti-PD-L1 atezolimumab-Induced Autoimmune Diabetes: a Case Report and Review of the Literature

Abstract

Programmed cell death-1 and programmed death ligand 1 (PD-1/PD-L1) inhibitors trigger an immune-mediated anti-tumour response by promoting the activation of cytotoxic T lymphocytes. Although proven to be highly effective in the treatment of several malignancies they can induce significant immune-related adverse events (irAEs) including endocrinopathies, most commonly hypophysitis and thyroid dysfunction, and rarely autoimmune diabetes. Here we present the first case report of a patient with a primary diagnosis of urothelial cancer developing PD-L1 inhibitor-induced autoimmune diabetes. A euglycemic 57 year old male presented to clinic with dehydration after the fifth cycle of treatment with the novel PD-L1 inhibitor atezolizumab. Blood tests demonstrated rapid onset hyperglycaemia (BM 24 mmol/L), ketosis and a low C-peptide level (0.65 ng/mL) confirming the diagnosis of type 1 diabetes. He responded well to insulin therapy and was discharged with stable blood glucose levels. Due to the widening use of PD-1/PD-L1 inhibitors in cancer treatment clinicians need to be aware of this rare yet treatable irAE. Given the morbidity and mortality associated with undiagnosed autoimmune diabetes we recommend routine HbA1c and plasma glucose testing in all patients prior to and during treatment with PD-1/PD-L1 inhibitors until more evidence has accumulated on identifying those patients with a pre-treatment risk of such irAEs.

http://ift.tt/2lFe2H0

Outcome in advanced non-small cell lung cancer patients with successful rechallenge after recovery from epidermal growth factor receptor tyrosine kinase inhibitor-induced interstitial lung disease

Abstract

Purpose

Several non-small cell lung cancer (NSCLC) cases of successful rechallenge with epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor (TKI) after recovery from gefitinib or erlotinib-induced interstitial lung disease (ILD) have been reported, but it is not clear whether the rechallenge affects the outcome.

Methods

We retrospectively evaluated the difference in the outcome between advanced NCLC patients with active EGFR mutations who received EGFR-TKI rechallenge after recovery from EGFR-TKI-induced ILD and those who did not.

Results

EGFR-TKI-induced ILD occurred in 11 (10%) of 110 patients receiving gefitinib, five (7%) of 73 patients receiving erlotinib and one (8%) of 13 patients receiving afatinib. Diffuse alveolar damage pattern ILD was observed in six cases, four of which had chemotherapy-related death. Five of 13 patients who had recovered from ILD received EGFR-TKI rechallenge with concurrent oral administration of prednisolone 0.5 mg/kg after the strict informed consent of the risk for the recurrence of severe ILD. All of the five patients achieved a partial response. The median overall survival from the occurrence of EGFR-TKI-induced ILD was longer in patients with EGFR-TKI rechallenge than that in patients without (15.5 vs. 3.5 months, p = 0.029). The adverse events of EGFR-TKI rechallenge were tolerable, but one case receiving EGFR-TKI rechallenge with the suspected drug exhibited the recurrence of grade 3 ILD after the discontinuation of prednisolone.

Conclusions

EGFR-TKI rechallenge with concurrent prednisolone therapy might be salvage therapy in advanced NSCLC patients with active EGFR mutations after recovery from EGFR-TKI-induced ILD.

http://ift.tt/2m31k7w

Retina tissue engineering by conjunctiva mesenchymal stem cells encapsulated in fibrin gel: Hypotheses on novel approach to retinal diseases treatment

Publication date: Available online 2 March 2017
Source:Medical Hypotheses
Author(s): Mostafa Soleimannejad, Somayeh Ebrahimi-Barough, Samad Nadri, Mohammad Riazi-Esfahani, Masoud Soleimani, Seyed Mohammad Tavangar, Jafar Ai
BackgroundRetinitis pigmentosa (RP) and Age related macular degeneration (AMD) are two retinal diseases that progress by photoreceptor cells death. In retinal transplantation studies, stem and progenitor cells inject into the sub retinal space or vitreous and then these cells can be migrate to the site of retinal degeneration and locate in the host retina and restitute vision.Presentation of the hypothesisOur hypothesis suggests that using human conjunctiva stem cells (as the source for increasing the number of human stem cells progenitor cells in retina dysfunction diseases) with fibrin gel and also assessing its relating in vitro (cellular and molecular processes) and in vivo (vision tests and pathology) could be a promising strategy for treatment of AMD and RP disorders.Testing the hypothesisIn this idea, we describe a novel approach for retina tissue engineering with differentiation of conjunctiva mesenchymal stem cells (CJMSCs) into photoreceptor-like cells in fibrin gel with induction medium contain taurine. For assessment of differentiation, immunocytochemistry and real time PCR are used for the expression of Rhodopsin, RPE65, Nestin as differentiated photoreceptor cell markers in 2D and 3D culture. The results show that fibrin gel will offer a proper 3D scaffold for CJMSCs derived photoreceptor cell-like cells.Implications of the hypothesisApplication of immune-privileged, readily available sources of adult stem cells like human conjunctiva stem cells with fibrin gel would be a promising strategy to increase the number of photoreceptor progenitor cells and promote involuntary angiogenesis needed in retina layer repair and regeneration.



http://ift.tt/2mTzSXC

Social death, melancholia, and zombies: same patterns?

Publication date: Available online 2 March 2017
Source:Medical Hypotheses
Author(s): P. Charlier, S. Deo, J. Hassin, C. Hervé




http://ift.tt/2mTwQ5z

Long-term non-invasive ventilation therapies in children: a scoping review

Long-term non-invasive ventilation (NIV) is a common modality of breathing support used for a range of sleep and respiratory disorders. The aim of this scoping review was to provide a summary of the literature relevant to long-term NIV use in children. We used systematic methodology to identify 11581 studies with final inclusion of 289. We identified 76 terms referring to NIV; the most common term was NIV (22%). Study design characteristics were most often single center (84%), observational (63%), and retrospective (54%).

http://ift.tt/2m2TJWx

Adrenocortical Carcinoma Arising in an Adrenal Rest: a Case Report and Review of the Literature

Abstract

Carcinomas arising from embryonic adrenal rests are rare with only a handful of reported cases. We report a case of an adrenocortical carcinoma arising from an adrenal rest located between the bladder and prostate in a 51 year-old man. The patient presented following a year of rectal pain and constipation. Computed tomography (CT) scan revealed a 9 cm pelvic mass that appeared to arise from the soft tissue between the bladder and prostate, with displacement of the organs and narrowing of the rectal lumen, suspected to be a sarcoma. The surgically resected specimen showed a well-circumscribed, partially encapsulated tumor measuring 10.0 cm in greatest dimension. Both adrenal glands were identified intraoperatively. Grossly, the lesion was heterogeneous tan-brown to yellow, hemorrhagic and necrotic. Histology revealed sheets and nests of high-grade pleomorphic tumor cells with abundant clear to vacuolated cytoplasm with areas of necrosis, a high mitotic index (>10 mitoses/10 HPF) and foci suspicious for lymphovascular invasion. Adjacent adrenal cortical-type tissue was identified. Immunohistochemical stains revealed the tumor cells were weakly and focally positive for MiTF, Melan-A, inhibin and synaptophysin, and negative for CKAE1/AE3, HMB-45, calretinin, EMA, SMA, chromogranin, PAX8, MDM2 and CDK4. Based upon the morphologic and immunohistochemical profile, this was diagnosed as an adrenocortical carcinoma, arising in an adrenal rest. To our knowledge, no such tumor has been previously described in this location.

http://ift.tt/2mTrozL

Identification and quantification of 12 pharmaceuticals in water collected from milking parlors: Food safety implications

Publication date: Available online 2 March 2017
Source:Journal of Dairy Science
Author(s): María Veiga-Gómez, Carolina Nebot, Carlos Manuel Franco, Jose Manuel Miranda, Beatriz Vázquez, Alberto Cepeda
The introduction of drug residues into the food chain and their presence in drinking water has been recently investigated. The aim of this work was to monitor the presence of 19 active drugs in water samples collected from milking parlors of dairy farms located in Galicia (northwest Spain), one of the main Spanish milking areas. Overall, 65% of the samples tested positive for at least one of the compounds analyzed. A total of 12 drugs were measured, with concentrations ranging between 17 and 3,941 ng/L. Considering that a mixture of compounds may contribute to the overall effect of each compound and might increase or reduce its toxicity, it should be noted that 29% of the samples tested contained more than one pharmaceutical. To date, the effects of the continuous consumption of these mixtures of drugs in water or milk are unknown; however, antimicrobials may affect the human gut microbiota or have toxic effects in sensitive individuals.



http://ift.tt/2lBW2ww

Short communication: Glucose kinetics in dairy heifers limit-fed a low- or high-forage ration at 4 levels of nitrogen intake

Publication date: Available online 2 March 2017
Source:Journal of Dairy Science
Author(s): G.I. Zanton, A.J. Heinrichs
The objective of this research was to evaluate the effect of level of forage and N intake on glucose kinetics in growing dairy heifers. Eight Holstein heifers (beginning at 362 ± 7 kg of body weight and 12.3 ± 0.4 mo of age) were fed 8 rations according to a split-plot, 4 × 4 Latin square design with rations containing either high (75% forage dry matter) or low (25% forage dry matter) levels of forage and 4 levels of N intake (0.94, 1.62, 2.30, 2.96 g of N/kg of metabolic BW per day). Diets were limit-fed to maintain equal predicted metabolizable energy intake over the four 28-d periods; dietary N was increased through the substitution of high-N ingredients for corn. Blood samples were collected from all heifers at times throughout d 18 to 19 to characterize glucose concentration over the course of a day, and glucose tolerance tests were conducted over the last 8 d of each period (1 heifer/d) at 4 h before feeding. Glucose concentration transiently declined after feeding for all dietary groups, but we found no evidence of a differential response over time that could be attributed to diet. When averaged over a day, glucose concentration was affected by an interaction between level of forage and N intake; however, this response appeared related more to the level of starch in the diet than to the effects of either forage or N intake per se. Early-phase kinetic response of glucose disposal after an intravenous glucose bolus was not affected by dietary treatment, which is consistent with no difference in area under the curve through 30 min. Area under the curve through 120 min tended to linearly decrease with decreasing dietary N intake. This response corresponded to the kinetic analysis, in which heifers consuming higher N intake had an attenuated return to baseline glucose levels. Additionally, heifers consuming lower N intake maintained a period of glucose concentration below baseline before returning to baseline. We concluded that the response to an intravenous glucose bolus differs in dairy heifers fed diets differing in N intake, whereas forage level did not affect this response. This should be considered when formulating rations for low N intake by replacing high-N for high-starch feedstuffs when limit-feeding dairy heifers.



http://ift.tt/2miR1N7

Genetic and functional analysis of the bovine uterine microbiota. Part I: Metritis versus healthy cows

Publication date: Available online 2 March 2017
Source:Journal of Dairy Science
Author(s): M.L.S. Bicalho, V.S. Machado, C.H. Higgins, F.S. Lima, R.C. Bicalho
Metritis is a uterine disease that affects 10 to 30% of all lactating dairy cows and has detrimental effects on reproductive performance, milk production, and survival. Data regarding the identity and abundance of bacterial genes governing traits such as virulence, antibiotic resistance, and stress responses could enable identification of previously unknown agents that play a role in metritis pathogenesis. Moreover, such knowledge could lead to the development of improved treatments or preventive methods. Therefore, the objectives of this study were to characterize the uterine microbial population and to differentiate, for the first time, the microbial functional diversity in cows with metritis versus healthy cows. In addition, we aimed to identify relationships between microbial genes and postpartum uterine health. Uterine swabs were collected from 24 cows within 3 to 12 d in milk; 12 cows were diagnosed with metritis and the other 12 were healthy. Metritis was defined as a watery, reddish or brownish uterine discharge having a fetid smell, and rectal temperature greater than 39.5°C. Cows with a clear and viscous uterine discharge, not fetid or mucopurulent, were classified as healthy. Microbial metagenomic DNA from uterine swab samples was subjected to whole-genome shotgun sequencing on the Illumina MiSeq platform (Illumina Inc., San Diego, CA). The MG-RAST server (metagenomic rapid annotations using subsystems technology; http://ift.tt/1qOVzJC) and STAMP software (http://ift.tt/UtpTJL) were used to detect statistically significant differences in the abundance of taxonomic and functional features between the uterine microbial metagenomes of metritic and healthy cows. Our results showed an increased abundance of Fusobacteria and Bacteroidetes in metritic cows, confirming the potential role of those 2 taxa in the pathogenesis of metritis. The MG-RAST analysis revealed a significantly higher abundance of genes for protein transport across the cytoplasmic membrane and type VI bacterial secretion systems in the metritic microbiota. Additionally, genes coding for resistance to acid stress were exclusive to the metritis microbiota, suggesting that microbial resistance to acid stress is important for microbial survival in the infected uterus. On the other hand, genes coding for adhesion molecules, bacteriocins, and antibacterial peptides were significantly associated with the uterine microbiota of healthy cows, as was tolerance to colicin E2.



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The use of infrared thermography and accelerometers for remote monitoring of dairy cow health and welfare

Publication date: Available online 2 March 2017
Source:Journal of Dairy Science
Author(s): M. Stewart, M.T. Wilson, A.L. Schaefer, F. Huddart, M.A. Sutherland
Increasing reliance on automated systems on-farm has led to a need for remote monitoring of health and welfare. We aimed to validate 2 methods that could be integrated into automated systems currently in use: infrared thermography (IRT) to measure respiration rate (RR), and accelerometers to measure the flinch, step, kick (FSK) response and assessing stress and discomfort. We monitored 22 multiparous, nonlactating, Friesian and Friesian × Jersey cows (average 5.1 yr of age) during a baseline period (2 min), a restraint in a crush (2 min), and then a recovery period after exposure to a startle (2 min). We measured RR with continuous IRT imaging of airflow through the nostrils and by counting flank movements from video and live recordings. We recorded heart rate (HR) and HR variability using HR monitors, and we recorded FSK from continuous video analysis of leg movements and indirectly using accelerometers attached to both hind legs. The FSK response was scored between 1 and 4 based on the height and direction of each leg movement. We observed no change in RR, HR variability, or FSK in response to the startle; however, HR increased briefly by 10 bpm. Bland-Altman plots indicated good agreement between the different methods of measuring RR, with average differences of −0.01 ± 0.87, 0.83 ± 0.57, and 0.37 ± 1.02 breaths/min for video versus live, IRT versus live and IRT versus video, respectively. Acceleration was also highly correlated with FSK scores of ≤3 (R² = 0.96) and ≤2 (R² = 0.89) and moderately correlated with FSK scores of 1 (R² = 0.66) over the 4-min sampling period. The results show that accelerometers can provide an indirect measure of the FSK response, and IRT can be used reliably to measure RR. With further development, both technologies could be integrated into existing systems for remote monitoring of dairy cows' health and welfare on-farm.



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A method to estimate cow potential and subsequent responses to energy and protein supply according to stage of lactation

Publication date: Available online 2 March 2017
Source:Journal of Dairy Science
Author(s): J.B. Daniel, N.C. Friggens, H. Van Laar, C.P. Ferris, D. Sauvant
Milk responses to dietary change are influenced by the relative production level, that is, the distance between observed production and potential production. The closer the animal is to its potential, the smaller the expected response is to extra nutrients. Therefore, the aim of this work was to provide a method to quantify cow potential, to estimate subsequent responses to changes in nutrient supply. The observed efficiencies in net energy for lactation (NEL) and metabolizable protein (MP) are proposed as a basis to estimate the relative production level of the animal. The rationale for using NEL and MP efficiency (ratios of milk energy yield/NEL above maintenance supply and milk protein yield/MP above maintenance supply) builds on the uniformity of the observed relationships between size of the milk responses and extra NEL supply and MP supply, when centered on a given efficiency. From there, a pivot nutritional situation where MP and NEL efficiency are 0.67 and 1.00, respectively, was defined, from which milk responses could be derived across animals varying in production potential. An implicit assumption of using response equations centered on reference efficiency pivots is that the size of the response to a fixed change in nutrient supply, relative to the pivot, is identical for animals with different production capacities. The proposed approach was evaluated with 2 independent data sets, where different dietary treatments were applied during the whole lactation. In these data sets, MP and NEL above maintenance supply were calculated weekly using the recently updated INRA Systali feed units system. Differences in NEL and MP supply above maintenance between the extreme dietary treatments were large, on average 667 g of MP/d and 13 MJ of NEL/d (3.11 Mcal/d) in the first data set, and 513 g of MP/d and 29 MJ of NEL/d (6.93 Mcal/d) for the second data set. Milk energy yield and milk component yields were predicted with root mean square prediction errors between 7.6 and 13.5% and concordance correlation coefficients between 0.784 and 0.934, respectively. Assessed by the Akaike's information criterion, significant differences existed in the accuracy of prediction for milk energy yield and milk component yields between stages of lactation. However, the effects of stage of lactation were not consistent between data sets and, for most of the predicted variables, relatively small. We concluded that the pivot concept can be used to predict milk energy yield and milk component yields responses to dietary change with a good accuracy for diets that are substantially different and across all stages of lactation.



http://ift.tt/2lC8PyI

Evaluation of horn bud wound healing following cautery disbudding of preweaned dairy calves treated with aluminum-based aerosol bandage

Publication date: Available online 2 March 2017
Source:Journal of Dairy Science
Author(s): K.L. Huebner, A.K. Kunkel, C.S. McConnel, R.J. Callan, R.P. Dinsmore, L.S. Caixeta
Pain management during and following disbudding procedures has been studied extensively, though few studies have evaluated wound healing following cautery disbudding in dairy calves. The purpose of this study was to observe wound healing following cautery disbudding with or without treatment using a topical aluminum-based aerosol bandage (ALU) in preweaned dairy calves. Dairy calves were disbudded within the first 3 wk of life using a standard cautery disbudding protocol. The ALU treatment was randomly allocated to the right or left horn bud within each animal. The outcomes measured were lesion score (LS) and wound diameter (WD). The LS was evaluated on a scale of 1 to 3, with LS = 1 representing normal healing without a scab or exudate, LS = 2 having the presence of a scab, and LS = 3 showing the presence of wound exudate. Lesion score and WD were evaluated on a weekly basis following dehorning for 3 wk. A total of 209 animals completed the study. No difference was observed in LS between groups during the first 2 wk postdisbudding, but the proportion of LS = 3 on wk 3 postdisbudding was greater for the control group when compared with ALU (17 vs. 8%, respectively). During wk 1 and 2 postdisbudding, the odds of having delayed healing, or a LS ≥2, were similar for both groups. However, the odds tended to be different at wk 3 postdisbudding with control disbudding sites being 1.42 times more likely to have delayed healing than ALU. In wk 3, WD was 1 mm smaller in the treatment group compared with the control, and treatment decreased diameter over time compared with controls. Overall, once abnormal wound healing was observed, the likelihood of having abnormal wound healing the following week was increased. However, treatment with ALU diminished this effect on delayed healing during the follow-up period. Based on these results, the use of ALU improved wound healing following cautery disbudding of preweaned dairy calves.



http://ift.tt/2miB35y

Short communication: Tryptic β-casein hydrolysate modulates enteric nervous system development in primary culture

Publication date: Available online 2 March 2017
Source:Journal of Dairy Science
Author(s): F. Cossais, I. Clawin-Rädecker, P.C. Lorenzen, M. Klempt
The intestinal tract of the newborn is particularly sensitive to gastrointestinal disorders, such as infantile diarrhea or necrotizing colitis. Perinatal development of the gut also encompasses the maturation of the enteric nervous system (ENS), a main regulator of intestinal motility and barrier functions. It was recently shown that ENS maturation can be enhanced by nutritional factors to improve intestinal maturation. Bioactivity of milk proteins is often latent, requiring the release of bioactive peptides from inactive native proteins. Several casein-derived hydrolysates presenting immunomodulatory properties have been described recently. Furthermore, accumulating data indicate that milk-derived hydrolysate can enhance gut maturation and enrichment of milk formula with such hydrolysates has recently been proposed. However, the capability of milk-derived bioactive hydrolysate to target ENS maturation has not been analyzed so far. We, therefore, investigated the potential of a recently described tryptic β-casein hydrolysate to modulate ENS growth parameters in an in vitro model of rat primary culture of ENS. Rat primary cultures of ENS were incubated with a bioactive tryptic β-casein hydrolysate and compared with untreated controls or to cultures treated with native β-casein or a Prolyve β-casein hydrolysate (Lyven, Colombelles, France). Differentiation of enteric neurons and enteric glial cells, and establishment of enteric neural network were analyzed using immunohistochemistry and quantitative PCR. Effect of tryptic β-casein hydrolysate on bone morphogenetic proteins (BMP)/Smad pathway, an essential regulator of ENS development, was further assessed using quantitative PCR and immunochemistry. Tryptic β-casein hydrolysate stimulated neurite outgrowth and simultaneously modulated the formation of enteric ganglia-like structures, whereas native β-casein or Prolyve β-casein hydrolysate did not. Additionally, treatment with tryptic bioactive β-casein hydrolysate increased the expression of the glial marker glial fibrillary acidic protein and induced profound modifications of enteric glial cells morphology. Finally, expression of BMP2 and BMP4 and activation of Smad1/5 was altered after treatment with tryptic bioactive β-casein hydrolysate. Our data suggests that this milk-derived bioactive hydrolysate modulates ENS maturation through the regulation of BMP/Smad-signaling pathway. This study supports the need for further investigation on the influence of milk-derived bioactive peptides on ENS and intestinal maturation in vivo.



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Evaluation of the National Research Council (2001) dairy model and derivation of new prediction equations. 2. Rumen degradable and undegradable protein

Publication date: Available online 2 March 2017
Source:Journal of Dairy Science
Author(s): R.R. White, Y. Roman-Garcia, J.L. Firkins, P. Kononoff, M.J. VandeHaar, H. Tran, T. McGill, R. Garnett, M.D. Hanigan
This work evaluated the National Research Council (NRC) dairy model (2001) predictions of rumen undegradable (RUP) and degradable (RDP) protein compared with measured postruminal non-ammonia, nonmicrobial (NANMN) and microbial N flows. Models were evaluated using the root mean squared prediction error (RMSPE) as a percent of the observed mean, mean and slope biases as percentages of mean squared prediction error (MSPE), and concordance correlation coefficient (CCC). The NRC (2001) over-estimated NANMN by 18% and under-estimated microbial N by 14%. Both responses had large mean biases (19% and 20% of MSPE, respectively), and NANMN had a slope bias (22% of MSPE). The NRC NANMN estimate had high RMSPE (46% of observed mean) and low CCC (0.37); updating feed library A, B, and C protein fractions and degradation rate (Kd) estimates with newer literature only marginally improved fit. The re-fit NRC models for NANMN and microbial N had CCC of 0.89 and 0.94, respectively. When compared with a prediction of NANMN as a static mean fraction of N intake, the re-derived NRC approach did not have improved fit. A protein system of intermediate complexity was derived in an attempt to estimate NANMN with improved fit compared with the static mean NANMN model. In this system, postruminal appearance of A, B, and C protein fractions were predicted in a feed-type specific manner rather than from estimated passage and degradation rates. In a comparison to independent data achieved through cross-validation, the new protein system improved RMSPE (34 vs. 36% of observed mean) and CCC (0.42 vs. 0.30) compared with the static mean NANMN model. When the NRC microbial N equation was re-derived, the RDP term dropped from the model. Consequently, 2 new microbial protein equations were formulated, both used a saturating (increasing at a decreasing rate) form: one saturated with respect to TDN and the other saturated over increasing intakes of rumen degraded starch and NDF. Both equations expressed maximal microbial N production as a linear function of RDP intake. The function relating microbial N to intake of rumen degradable carbohydrate improved RMSPE (24 vs. 28% of the observed mean) and CCC (0.63 vs 0.30) compared with the re-derived NRC model. The newly derived equations showed modest improvements in model fit and improved capacity to account for known biological effects; however, substantial variability in NANMN and microbial N estimates remained unexplained.



http://ift.tt/2miGilJ

Replacing alfalfa silage with tannin-containing birdsfoot trefoil silage in total mixed rations for lactating dairy cows

Publication date: Available online 2 March 2017
Source:Journal of Dairy Science
Author(s): G.A. Broderick, J.H. Grabber, R.E. Muck, U.C. Hymes-Fecht
Two lactation trials were conducted comparing the feeding value of silages made from birdsfoot trefoil (BFT, Lotus corniculatus L.) that had been selected for low (BFTL), medium (BFTM), and high (BFTH) levels of condensed tannins (CT) to an alfalfa silage (AS) when fed as the principal forage in total mixed rations. Diets also included corn silage, high-moisture shelled corn, soybean meal, soy hulls, and supplemental fat. In trial 1, 32 lactating Holstein cows were blocked by days in milk, assigned to treatment sequences in 8 balanced 4 × 4 Latin squares, and fed 50% dietary dry matter from AS or 1 of 3 BFT silages containing 0.6, 1.2, or 1.7% CT. Diets averaged 17.5 to 19.5% crude protein and 26% neutral detergent fiber on a dry matter basis. Data were collected over the last 2 wk of each 4-wk period. Intakes were 1.3 to 2.8 kg of dry matter/d greater on BFT than on AS and cows gained 0.5 kg of body weight/d on BFT diets while losing 0.14 kg of body weight/d on the AS diet; this resulted in greater milk per dry matter intake (DMI) on AS. Linear effects indicated true protein yield and milk urea nitrogen declined with increasing CT concentration and quadratic effects indicated DMI, energy-corrected milk, and fat yield were increased at intermediate CT concentration. True protein yield and apparent N-efficiency were greater, and milk urea nitrogen lower, on all BFT diets than on AS. In trial 2, 50 lactating Holstein cows were fed a covariate AS diet for 2 wk and then blocked by parity and days in milk and randomly assigned to 1 of 5 diets that were fed continuously for 12 wk. Diets contained (dry matter basis) 48% AS, 16% AS plus 32% of 1 of 3 BFT silages with 0.5, 0.8, or 1.5% CT, or 48% of an equal mixture of each BFT silage. Diets averaged 16.5% crude protein and 30% neutral detergent fiber. Intake and milk yield tended to be lower on AS than BFT, but body weight gains averaged 0.6 kg/d on all diets. Cows fed any of the BFT silages had reduced milk urea nitrogen and ruminal ammonia and reduced urinary N excretion. Feeding the BFT mixture reduced concentrations of milk true protein and milk urea nitrogen and depressed apparent nutrient digestibility. Among diets containing the individual BFT silages, linear reductions in DMI and yield of milk, fat, true protein, lactose, and SNF were observed with increasing CT concentration. By contrast, a previous trial with the same BFT populations showed that substituting BFTH silage containing 1.6% CT for AS in rations containing 60% silage dry matter had no effect on intake, increased yield of milk, energy-corrected milk and milk components, elevated protein use-efficiency, but with a more modest reduction in milk urea nitrogen and urinary N excretion. Silage analyses suggested that the inconsistent responses among trials were related to growth environment or ensiling effects that altered tannin-protein interactions in BFT silage. Differences in diet formulation among trials may have also influenced responses. Results from the current and previous trials indicate further work is needed to identify optimum tannin levels in forages.



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