Production costs, economic viability, and risks associated with compost bedded pack, freestall, and drylot systems in dairy farms.

The adoption of intensive production systems, such as compost bedded pack (CB) and freestall (FS), has increased recently in tropical regions, mainly replacing the drylot system (DL). Thus, our objectives were to compare production costs, economic outcomes, and risk of dairy operations in CB, FS, and DL systems. We collected data from 2 181 Brazilian farms over 120 consecutive months; 960 farms (144 CB, 133 FS, and 683 DL) met our selection criteria. All costs were modeled for two animal production categories: milking cows and non-milking animals. We used a regression model that included linear and quadratic parameters, and we added the production system as a fixed variable for all parameters tested with this model. Consultant, year, herd, and herd × system interaction were included in the model as random variables. Further, we simulated annual technical and economic indexes per farm. In addition, we developed a risk analysis to measure the probability of negative profit of the farms based on a 14-year historical series of milk prices. All production costs were affected by the system. Feed, medicine, sundry, and labor costs per farm per year were greater in DL farms when milk yield (MY) was greater than 3 500 L/day. The variables such as milk yield, assets per liter, asset turnover rate, return on assets, operational profit, profit per cow, and per liter of milk variables were greater in CB and FS with high MY (>3 000 L/day). Nonetheless, DL had the greatest economic indexes with a lower MY (<3 000 L/day), lower operating costs, and greater economic outcomes. The risk analysis indicated that the probability of negative profit (risk) was reduced for CB and FS as MY increased, but DL had the lowest risk with low MY levels. In conclusion, we suggest DL as the most attractive system for farms with MY between 150 and 3 000 L of milk/day as the DL had the lowest risk and the greatest profit in this production scale. Despite similar outcomes for CB and FS in most of the farms, the profit per cow ($/year), assets turnover rate (%), risk (%) and expected profit ($/L) analysis indicated that CB could be recommended for farms with MY greater than 3 200 L of milk/day, whereas based on risk (%) and expected profit ($/L), FS would be the most profitable system in dairies producing more than 8 000 L of milk/day per farm.

Laparoscopic revisional bariatric surgery: myths and facts.

BACKGROUND: Bariatric surgery is growing worldwide. An increasing number of patients will require revisional procedures because of inadequate weight control, complications, or loss of quality of life. METHODS: From August 1999 to September 2003, 62 patients were submitted to laparoscopic revisional surgery. RESULTS: The primary operations consisted of laparoscopic adjustable gastric banding in 39 cases, banded and nonbanded Roux-en-Y gastric bypass (RYGB) in 17 cases, vertical banded gastroplasty in 4 cases, and biliopancreatic diversion in 2 cases. Although technically demanding, laparoscopic conversion to RYGB was possible in all cases. Mean operative time was 100 min. Mean hospital stay was 77 h. There were no intraoperative or postoperative complications. A good body mass index reduction after the revisional procedure was observed with a 24 month follow-up period. CONCLUSIONS: Laparoscopic revisional bariatric surgery is safe and effective. However, it should be performed only by experienced bariatric and laparoscopic surgeons.