Creating the "spirit of service".

What does it take for a hospital to achieve excellence in the area of customer service? How can customer service be improved within a large and complex healthcare facility? Many hospitals are currently seeking answers to these questions.

Efficacy of ceftiofur hydrochloride for treatment of experimentally induced colibacillosis in neonatal swine.

Ceftiofur hydrochloride was tested for effectiveness against induced colibacillosis in neonatal swine. In this model, pigs less than 12 hours old were inoculated via stomach tube with a virulent, K99+, nalidixic acid-resistant strain of Escherichia coli. Six hours after challenge exposure, 1 dose of ceftiofur was administered either IM or orally in experiment 1 and orally only in experiment 2. Mortality, shedding of bacteria, fecal consistency scores, and body weight changes were monitored for 10 days. In experiment 1 (n = 383 pigs), all treatments at dosage that ranged between 0.5 and 64.0 mg of ceftiofur/kg of body weight significantly (P less than 0.001) reduced mortality, bacterial shedding, and diarrhea and increased weight gain, compared with findings in untreated controls. There were no detectable differences between oral and IM routes, except that there was greater reduction in bacteria shedding associated with the oral route of administration. In experiment 2 (n = 505 pigs), ceftiofur was administered orally either once at 6 hours after challenge exposure or twice at 6 and at 48 hours after the first dose. Dosage of ceftiofur was 0, 5, 10, 20, 30, or 60 mg/kg administered once, or half the same dose was administered at each of 2 times. At the optimal dosage (10 mg/kg), a single dose was as effective as 2 doses. The single administration at all dosages reduced mortality, bacterial shedding, and diarrhea scores and increased body weight gain, compared with findings in untreated pigs (P less than 0.01). In this induced infection model, the optimal treatment dosage was determined to be 10 mg/kg administered once.

Multiple concurrent stressors in chicks. 1. Effect on weight gain, feed intake, and behavior.

Effects of multiple concurrent stressors on Hubbard x Hubbard chicks (Days 10 to 17 posthatch) were studied in a 2(6)-factorial experiment that employed as treatments aerial ammonia (A, 0 or 125 ppm), beak trimming (B, sham handled or beak trimmed/cauterized), coccidiosis (X, gavage with 0 or 6x10(5) sporulated Eimeria acervulina oocysts), intermittent electric shock (E, 0 or between 2.9 and 8.7 mA), heat stress (H, 30.4 or 34.8 C) and continuous noise (N, 80 or 95 dB). All stressors, except noise, decreased weight gain (G), increased coefficient of interindividual variation in gain (CV-G), and decreased feed intake (F) and feed conversion efficiency (G/F). Of a possible 57 interactions, only four were significant for G, two for CV-G, and of a possible 26 interactions, only two were significant for F, none for G/F. As number of simultaneous stressors ("order") increased, G, F, and G/F decreased and CV-G increased, all linearly. Time chicks spent standing was increased by X; time spent eating increased by X; and time spent drinking decreased by H. No effect of order and few stressor interactions were detected for the behaviors. Although behavior results were inconclusive with respect to synergism, antagonism, or additivity of stressors' effects, performance results indicated that chicks responded to each stressor occurred singly or concurrently with up to five others. The results suggest that in practical production situations, where ordinarily poultry experience more than one stressor at the same time, effects of multiple concurrent unrelated stressors on performance may be estimable to a first approximation by summing effects of respective stressors when acting alone.