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Willadsen Levine posted an update 6 months, 1 week ago
Feeding inoculated silage did not affect milk yield, dry matter intake, and feed efficiency in lactating dairy cows. However, forage type, inoculant composition, and dose effects on silage quality measures were evident. Inoculation with LBB increased aerobic stability of all silages except tropical grasses. Adding obligate homolactic or facultative heterolactic bacteria to LB prevented the small increase in DM losses caused by LB alone. The 105 and 106 cfu/g rates were most effective at minimizing DM losses while aerobic stability was only increased with 105, 106, and ≥ 107 cfu/g rates. Inoculation with LBB increased acetate concentration, reduced yeast counts and improved aerobic stability but did not improve dairy cow performance.Fat supplements based on palmitic acid (PA) or stearic acid (SA) are expected to have different effects on milk production and nutrient metabolism in lactating dairy cows. In this study, the effects of prilled fat supplements containing different levels of PA and SA were tested in 12 high-producing multiparous cows (pretrial milk yield = 53.4 ± 8.7 kg/d; mean ± SD) arranged in a 4 × 4 Latin square design with 21-d periods. Treatments were control (CON; no supplemental fat), an enriched PA supplement (HP; 91% C160), an enriched SA supplement (HS; 92.5% C180), and a blend of PA and SA (INT) fed at 1.95% of diet dry matter. All supplements contained oleic acid at approximately 5% of fatty acids. The HP treatment decreased dry matter intake (DMI) by 1.9 kg/d and 1.1 kg/d compared with SA and CON, respectively. Milk yield was not changed by treatment, but INT increased energy-corrected milk by 2.7 kg/d compared with HS. The HP and INT treatments increased milk fat yield by 0.11 and 0.14 kg/d compared with CON, respectively. Additionally, HP decreased yield of less then 16 carbon fatty acids (FA; de novo synthesized) by 44 g/d and 43 g/d compared with INT and CON, respectively. The HP treatment increased 16-carbon FA (mixed source) by 155 g/d compared with CON and 64 g/d relative to INT. No effect of treatment on apparent total-tract digestibility of dry matter, organic matter, or neutral detergent fiber was detectable. The INT and HS treatments decreased total-tract digestibility of 16-carbon FA by 10.3 and 10.5 percentage units compared with HP, respectively. Total-tract digestibility of 18-carbon FA was lowest in the HS diet and highest with HP. FI-6934 in vivo In conclusion, supplementing PA increased milk fat yield compared with control and SA, but supplementing a mixture of PA and SA increased energy-corrected milk without decreasing intake. The FA profile of fat supplements influences their digestibility and effects on DMI and milk and milk fat synthesis.
In the United States, the opioid epidemic claims over 130 lives per day due to overdoses. While the use of opioids in trauma patients has been well-described in the literature, it is unknown whether prescription opioid use is associated with mortality after trauma. We hypothesized that legally obtained prescription opioid consumption would be positively associated with injury-related deaths in the United States.
Cross-sectional time-series data was compiled using state-level mortality data from the Centers for Disease Control and Prevention Multiple Causes of Death database and prescription opioid shipping data to each state using the US Department of Justice Automated Reports and Consolidated Ordering System Retail Drug Summary reports from 2006 to 2017, with opioids shipped used as a proxy for local opioid consumption. Oxycodone and hydrocodone amounts were converted to morphine equivalent doses (MEDs). Our primary outcome was an association between MEDs and injury mortality rates at the state-level. Wejury-related mortality. The US opioid epidemic remains a significant challenge that requires ongoing attention from all stakeholders in our medical and public health systems.
In every state examined, there was no consistent relationship between the amount of prescription opioids delivered and total injury-related mortality or any subgroups, suggesting that there is not a direct association between prescription opioids and injury-related mortality. This is the first study to combine national mortality and opioid data to investigate the relationship between legally obtained opioids and injury-related mortality. The US opioid epidemic remains a significant challenge that requires ongoing attention from all stakeholders in our medical and public health systems.
Patients with lower extremity fracture requiring surgical fixation often have poor long-term pain and disability outcomes. This indicates the need for a risk stratification tool that can inform patient prognosis early in recovery. The purpose of this study was to determine the predictive validity of the STarT-Lower Extremity Screening Tool (STarT-LE) in patients with lower extremity fracture requiring surgical fixation.
One-hundred and twenty-two patients (41.7 ± 14.7 years, 54% male) with lower extremity fracture and no history of chronic pain were enrolled in this prospective cohort study. Patients completed the STarT-LE Screening Tool six-weeks after definitive fixation. Validated measures of chronic pain development, pain interference, and physical function were collected at 12-months. STarT-LE low, medium, and high risk subgroups were compared against each outcome measure with chi-square, one-way analysis of variance, and sensitivity and specificity analyses. Multivariable linear regression analyses e physical function (Medium β-3.76, 95%CI -7.41 to -0.11; β-7.44, 95%CI-12.47 to -2.41), respectively, when controlling for important baseline variables.
The STarT-LE has the potential to identify patients at-risk for poor pain and functional outcomes, and may help inform the post-surgical management of patients with traumatic LE injury.
The STarT-LE has the potential to identify patients at-risk for poor pain and functional outcomes, and may help inform the post-surgical management of patients with traumatic LE injury.
Epigenetic changes have been described in trauma patients in the form of histone acetylation events, but whether DNA-methylation occurs remains unknown. We hypothesized that the combination of hemorrhage and saline resuscitation would alter DNA-methylation and associated proteomic profiles in the rat lung.
Ten rats were subjected to a pressure-controlled hemorrhage and resuscitation model consisting of hemorrhage to a mean arterial pressure (MAP) of 35mmHg for 90 minutes, followed by saline resuscitation to a MAP >70mmHg for 90 minutes (n=5) or sham (only anesthesia and cannulation). Lungs were harvested and subjected to reduced genome wide DNA-methylation analysis through bisulphite sequencing as well as proteomics analysis. Data was analyzed for differentially methylated regions and associated alterations in proteomic networks through a weighted correlation network analysis (WCNA). Pathway analysis was used to establish biological relevance of findings.
Hemorrhage and saline resuscitation were associated with differential methylation of 353 sites across the genome compared to the sham group.
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