The effect of litter materials on broiler performance: a systematic review and meta-analysis.

1. Divergence in outcomes from studies on the effects of litter materials on body weight, feed intake, feed conversion and mortality in broilers has led to a need for a meta-analysis to quantify their effects.2. A systematic search of published quantitative research relating to wood shavings and alternative bedding litters was conducted using databases.3. Means, standard deviations and sample sizes were extracted from each study. The response variables were analysed using the standardised mean difference (SMD, control treatment minus alternative litters).4. The literature demonstrated that alternative materials have no impact on feed intake in broilers, compared to wood shavings (SMD = 0.064, 95% CI = -0.101-0.229, P = 0.44).5. There was a positive overall effect of wood shavings on body weight (SMD = 0.253, 95% CI = 0.073-0.433, P = 0.006), feed conversion (SMD = -0.169, 95% CI = -0.327 - -0.012, P = 0.03) and mortality (SMD = -1.069, 95% CI = -1.983 - -0.155, P = 0.02) of broilers, compared to other litter types.6. Subgroup meta-analysis revealed that straw, when used as an alternative litter material to wood shavings, may be responsible for lower body weight (SMD = 0.654, 95% CI = 0.162-1.146, P = 0.009), worse feed conversion (SMD = -0.487, 95% CI = -0.828 - -0.145, P = 0.005) and higher mortality rates of broilers (SMD = -3.25, 95% CI = -5.681 - -0.819, P = 0.009). Rice husks impaired body weight compared to wood shavings (SMD = 0.535, 95% CI = 0.065-1.004, P = 0.02).7. It was concluded that different litter types do not affect the broilers' feed intake. Conversely, broilers kept on straw showed lower body weights, worse feed conversion and higher mortality rates, in comparison to wood shavings. Rice husks decreased body weight compared to wood shavings.

The different molecular structure and glycerol-to-fatty acid ratio of palm oils affect their nutritive value in broiler chicken diets.

The aim of this study is to assess how the fat molecular structure and its glycerol-to-fatty acid ratio (G : FA) affect the fatty acid (FA) apparent absorption of palm oils in broiler chickens. The experimental diets were the result of a basal diet supplemented with 6% of different palm oils. Native palm oil (N), rich in triacylglycerols, was the positive control (T1), and acid palm oil (A), rich in free FA, was the negative control (T2). In order to improve the nutritive value of A, two different nutritional strategies were performed. The first strategy was achieved by adding increasing amounts of free glycerol (G) (4% (T3), 8% (T4) and 16% (T5)) to A, and the second one by adding increasing amounts of mono- (MAG) and diacylglycerols (DAG), coming from re-esterified palm oil (E) (40% (T6), 70% (T7), and 100% (T8)) to A. As a result, eight dietary treatments were formulated with a G : FA ratio ranging from 0.04 to 0.67. These treatments were randomly assigned to 192 one-day-old female broiler chickens (Ross 308), distributed in 48 cages. The results showed how, by keeping the G : FA ratio constant (0.33 mol/mol), the diet with a high MAG and DAG content (T7) achieved higher saturated FA apparent absorption values than did the diet with a high triacylglycerol content (T1) and this, in turn, more than did the diet with a high free FA content (T4). The behavior of oils with high or low G : FA ratio was dependent on whether G was in a free state or esterified as part of acylglycerol molecules. Thus, increasing amounts of G to A did not enhance the total FA apparent absorption, but rather quite the opposite, even impairing the absorption of mono- and polyunsaturated FA. However, increasing amounts of E (rich in MAG and DAG) to A (rich in FFA) did enhance total FA apparent absorption, primarily due to the increased absorption of saturated FA. In conclusion, the greater the G : FA ratio of a palm oil, the greater the absorption of total FA, as long as G is esterified as part of acylglycerol molecules. Thus, the re-esterification process for obtaining E makes sense in order to give added value to A, achieving even greater digestibility values than does its corresponding N.

Desempenho e metabolizabilidade de dietas em codornas alimentadas com níveis crescentes de óleo ácido de soja / Performance and metabolizability of diets in quails fed with increasing levels of soybean acid oil

Objetivou-se avaliar os efeitos do óleo ácido de soja (OAS) sobre coeficientes de extinção específica da oxidação (K232 e K270) e a metabolizabilidade das dietas e o desempenho produtivo em codornas. Um total de 80 codornas de duplo propósito foram usadas num experimento com duração de 56 dias. Foi utilizado um delineamento completamente ao acaso com cinco níveis de tratamentos para OAS (0, 25, 50, 75 e 100%), com oito repetições de duas aves cada, como substituto ao óleo de soja refinado (OS) incluído até um nível máximo de 8% na formulação da dieta. O índice de acidez e os coeficientes K232 e K270 mostraram um efeito linear crescente (P<0,001) com o aumento dos níveis de inclusão de OAS na formulação das dietas. Os coeficientes K232 e K270 não foram alterados com o armazenamento das rações durante 7 dias. A suplementação com OAS durante 56 dias não afetou o desempenho produtivo das codornas. Os resultados não mostraram efeitos do OAS sobre a metabolizabilidade de ingredientes, exceto para gordura bruta que exibiu um efeito quadrático decrescente até o nível de 50% de substituição do óleo de soja por OAS (y= 94,31-1,186x+0,018x2, R2= 0,28, P= 0,02). Em conclusão, a inclusão de até 8% de OAS na dieta durante um período curto de tempo (56 dias) não produz efeitos adversos no desempenho produtivo de codornas.(AU)

This study evaluated the effects of soybean acid oil (OAS) on oxidation products specific extinctions coefficients (K232 and K270) and metabolizability of diets and productive performance in quails. A total of 80 dual-purpose quails were used in a 56-days experiment. A completely randomised design with five treatment levels of OAS (0, 25, 50, 75 and 100%) as a dietary replacer for soybean oil (OS) included up to 8% in the diet formulation were used, with eight replicates of two birds each. The acidity index and K232 and K270 coefficients showed a crescent linear effect (P<0.001), with increasing levels of OAS in the diet formulation. There were no changes in K232 and K270 values during 7-days of diet storage. Supplementation with OAS during 56 days has no effect on quail's productive performance. The results showed no effects of OAS on metabolizability of ingredients except for crude fat that exhibited a quadratic effect that was decrescent to the level of 50% of OAS supplementation as soybean oil replacer (y= 94.31-1.186x+0.018x2, R2= 0.28, P= 0.02). In conclusion, dietary inclusion of OAS up to 8% in the diet during a short period of time (56-days) produce no adverse effects on productive performance of quails.(AU)

Research on Salmonella in broiler litter reused for up to 14 consecutive flocks.

The reuse of poultry litter is a common practice in the Brazilian poultry industry for flocks of healthy chickens, due to 2 fundamental aspects: production cost and environmental sustainability. Litter is a potentially important source of infection for Salmonella, which requires characterization by microbiological analysis in different aspects of management and reuse. The objective of this study was to verify the occurrence of Salmonella in broiler litters reused up to 14 times in Brazilian poultry farms. From January 2008 to November 2010, 8,877 samples of litter on disposable shoe covers were analyzed from broiler farms located in southern Brazil. At the laboratory, samples were processed for isolation and identification of Salmonella. Of the total 8,877 samples analyzed, only 2.5, 5.27, and 2.08% were positive for Salmonella in the years 2008, 2009, and 2010, respectively. Linear regression models indicate that there is a significant decrease (P < 0.05) in the count of samples positive for Salmonella with the reuse of litter. After the sixth reuse of the litter, values of samples positive for Salmonella are significantly (P < 0.0001) lower than expected (chi-squared test). Results show that the reuse of treated broiler litter is a safe practice and contrary to expectations, it substantially decreases the bacterial load of Salmonella.

Anteroposterior stability after posterior cruciate-retaining total knee arthroplasty.

PURPOSE: A functional posterior cruciate ligament (PCL) is important for the knee stability after PCL-retaining total knee arthroplasty (TKA). The objectives of this study were to determine the anteroposterior (AP) displacement of the knee after a mobile- or fixed-bearing PCL-retaining TKA operated with a ligament-balancing technique and the correlation of AP stability with the clinical outcome. METHODS: The AP displacement of 160 TKAs in 143 patients was measured pre- and intra-operatively, and the results were compared to the AP displacement measured 4 years post-surgery. RESULTS: The change in AP displacement from intra-operative measurement to follow-up at the 25° measuring point was -1.2 mm; at 90°, it was -0.2 mm. Mobile bearings showed significantly greater AP displacement than fixed bearings. Older patients, male patients and patients receiving a fixed prosthesis had lower post-operative laxity compared with the overall population. CONCLUSIONS: The small change in AP displacement indicates that the PCL remains functional over time. In our study, we could not find any correlation between knee AP stability and clinical outcome, including passive flexion, Knee Society Score or Visual Analogue Scale of pain and satisfaction.

Coated textiles in the treatment of atopic dermatitis.

Atopic dermatitis (AD) is a chronic inflammatory skin disease with increasing prevalence over the last few decades. Various factors are known to aggravate the disease. In particular, wool and synthetic fabrics with harsh textile fibres, aggressive detergents and climatic factors may exacerbate AD. Cutaneous superinfection, particularly with Staphylococcus aureus, is also recognized as an important factor in the elicitation and maintenance of skin inflammation and acute exacerbations of AD. The severity of AD correlates with S. aureus colonization of the skin. Beside the treatment of AD patients with creams and emollients, new developments in the textile industry may have therapeutic implications. Silk or silvercoated textiles show antimicrobial properties that can significantly reduce the burden of S. aureus, leading to a positive effect on AD. Silver products have been used as wound dressing, whereby silver has antiseptic properties, and drug resistance is hardly found. Padycare textiles consist of micromesh material containing woven silver filaments with a total silver content of 20%. In vitro studies of these silver-coated textiles demonstrated a significant decrease in S. aureus and Pseudomonas aeruginosa as well as Candida albicans. Silk has been increasingly implemented in medical treatment of AD thanks to its unique smoothness that reduces irritation. Silk can be coated with antimicrobials (Dermasilk). The combination of the smoothness of silk with an antimicrobial finish appears to make an ideal textile for patients suffering from AD.

Safety of specific immunotherapy using a four-hour ultra-rush induction scheme in bee and wasp allergy.

BACKGROUND: Ultra-rush induction of immunotherapy with Hymenoptera venom is a reliable and efficacious alternative to the rush induction protocol, though not widely used in European countries yet. Its safety, however, has been intensively discussed over the last few years. The aim of this retrospective case study was to examine the rate of allergic side-effects during our four-hour ultra-rush hymenoptera venom induction regimen. We evaluated risk factors for observed side-effects such as age, gender, severity of previous insect sting reactions according to the H.L. Mueller classification, concentration of venom inducing positive skin tests, level of specific IgE, serum tryptase concentration, and hymenoptera venom used for treatment. METHODS: 67 outpatients with Hymenoptera venom allergy received 80 courses of ultra-rush immunotherapy. Diagnosis and selection of patients for venom immunotherapy were carried out according to the European Academy of Allergology and Clinical Immunology. We applied a four-hour regimen, and local or systemic reactions were documented. RESULTS: In 78 courses (97.5%) the maintenance dose of 111.1 microg was reached within 4 hours and it was tolerated in 82.5% without any hypersensitivity reaction. Allergic side-effects were observed in only 17.5% (n=14): four severe local reactions (5%), eight grade I (10%) and two grade II (2.5%) systemic reactions. There was no significant difference in the number of systemic reactions comparing patients receiving wasp or honeybee venom extract. The number of systemic reactions was neither higher in patients with a severe prior insect sting reaction (grade III or IV) nor dependent on age, gender, skin test reaction, level of specific IgE or tryptase. Epinephrine as rescue medication was never needed. Interestingly, patients with a severe prior wasp sting reaction showed a significantly lower incidence of allergic side-effects during ultra-rush immunotheraphy with wasp venom extract as compared to grade III or IV honeybee venom allergic patients. CONCLUSION: Our ultra-rush immunotherapy induction regimen shows a low incidence of systemic reactions. It proved to be safe and convenient for the patient, as it could be applied in a four-hour outpatient regimen.

Ultrarush immunotherapy in a patient with occupational allergy to bumblebee venom (Bombus terrestris).

Bumblebee venom allergies, though uncommon among the broad public, pose a significant risk in plant industry and scientific occupation. Since a significant IgE cross-reactivity between bumblebee and honeybee venom has been described in several cases and bumblebee venom for immunotherapy has been available only from a few suppliers, SIT with honeybee venom was frequently used for bumblebee venom allergic patients in the past. We present the case of occupational bumblebee allergy in a biologist who developed anaphylactic reactions with subsequent stings. He was lacking cross-reactivity to honeybee venom, therefore we initiated immunotherapy with bumblebee venom extract. Two months after reaching the maintenance dose of 80 microg, the efficacy of the treatment was demonstrated by sting challenge.

The use of acrylic bone cement for suture anchoring.

Healing of tendon or ligament sutured to bone depends among other parameters on the mechanical stability of the suture fixation in or to the bone. The authors propose a method of anchoring suture material using bone cement as a substitute for conventional suture anchors. Conditions for secure fixation of suture material in bone cement were assessed and the technique of anchoring suture material with acrylic cement in bone was developed. Mechanical testing and microcomputed tomography of the suture-cement-bone compound were done. It was found that the suture always should be knotted before embedding it at least 2 mm deep in the bone cement. The holes drilled into the bone in which the sutures are secured with cement should be at least 3.5 mm in diameter and 10 mm deep; in cortical bone a tapped thread is required. Sutures can be secured safely using cement anchors which provide higher pull-out strength of a factor two to five than conventional metallic suture anchors of comparable size. They also adapt to anatomic situations where conventional anchors cannot be used and are more favorable in osteoporotic bone. Cement anchoring of sutures seems to be a cost-effective and valuable alternative when there is poor bone quality or extraordinarily high mechanical load.

Quantification of phagocytosis in human neutrophils by flow cytometry.

Phagocytosis represents a central element of the host response to microbial invasion. We describe a flow cytometric method for measuring the kinetics of phagocytosis of two bacteria by human polymorphonuclear leukocytes (PMNs). Over a 60-min period, isolated human PMNs were exposed to Staphylococcus aureus (rapidly phagocytosed) and Klebsiella pneumoniae (slowly phagocytosed). This method distinguished adherent from ingested bacteria by quenching fluorescein isothiocyanate-labeled extracellular bacteria with ethidium bromide. This further allowed the exclusion of dead, highly permeable, and subsequently bright-red fluorescent PMNs. Our experiments with two different bacteria, various PMN-to-bacteria ratios (1:1, 1:10, 1:100), and different individuals proved that 1) flow cytometric analysis is accurate and useful for characterizing phagocytosis, 2) adherent bacteria can be distinguished from ingested bacteria after quenching with ethidium bromide, and that 3) phagocytosis kinetics of two bacteria with different onsets of phagocytosis can be determined by flow cytometry and the assessment of a score that quantifies phagocytosis.

Disparity-evoked vergence is driven by interocular correlation.

Disparity-evoked vergence is studied in stereograms showing one or two depth planes which are defined by isolated dots of varying density and contrast. Vergence position immediately after stimulus presentation was measured using dichoptic nonius lines. Since the stimulus was not visible after the onset of the vergence movement, the experiment accesses the initiation of vergence rather than its eventual result. In the unequivocal stimuli (one depth plane), elicited vergence tends to reduce disparity. Disparities of 0.5-1 deg are most effective which is in accordance with earlier findings. If two depth planes are presented, elicited vergence lies between the two planes, approaching the plane with higher dot density and/or dot contrast. In quantitative measurements, we show that the depth-averaging mechanism uses signal power per depth plane as a weight. Therefore, the relative pulling strength of dot density compared with dot contrast follows a power law with exponent 2. We propose a population code for vergence control based on disparity-tuned pools of units.

The "gap paradigm" leads to express-like saccadic reaction times in Parkinson's disease.

Application of the "gap paradigm" reduces mean saccadic reaction time (SRT). It enhances oculomotor response, sometimes showing express-like reactions within about 100-140 ms from target onset, which are called "express saccades." Despite some controversy, there is evidence that express and regular saccades may be controlled by different pathways, but it is still not clear which pathways are involved in the generation of express saccades. It was suggested that the substantia nigra (SN) could take part in the control of these saccades. We compared saccadic reaction times of 14 patients with mild to moderate Parkinson's disease (PD), which commonly affects the SN, with those of nine elderly normal subjects. The results show a clear gap effect and no significant difference between mean saccadic reaction times and reaction time distributions of the PD and the control group. In the gap condition, express saccades are present in several subjects of both groups. Therefore, it is concluded that the deficits in the SN pars compacta due to PD, which affect directly and indirectly the activity of the SN pars reticulata that projects to SC, do not dominantly influence the process of preparing and executing express and regular saccades in patients with mild to moderate PD.

[Croup and air pollutants: results of a two-year prospective longitudinal study]. / Krupp und Luftschadstoffe: Ergebnisse einer Zweijährigen prospektiven Längsschnittstudie.

The Reutlingen/Tübingen/Rottenburg region in Baden-Württemberg is characterized by medium and small sized towns and rural areas. In 1986/87 875 cases of croup were registered there by the treating physicians during a 24-months period. In consideration of meteorological and virological "disturbing variables" the influence of the measured air pollution by SO2, NO, NO2, CO, ozone and dust on croup frequency was computed by means of statistical regression methods. For the months September till March, the main manifestation period of croup, weak but statistically significant influences of the daily means of NO and NO2 were found, for the whole year influences of NO, NO2, and CO. During the winter months temperature correlates positively and velocity of wind negatively, both statistically with significance, to croup frequency. The essential conditions of croup are individual and familiar disposition on the one hand, virus infections on the other. Air pollution of a concentration like given in the investigated region was found to be a weak additional factor that favours the manifestation of croup.

Role of Pseudomonas aeruginosa exoenzymes in lung infections of patients with cystic fibrosis.

We investigated the role of Pseudomonas aeruginosa exoenzymes in cystic fibrosis lung infection in the presence and absence of specific serum antibodies. In sputa of 21 cystic fibrosis patients, concentrations of P. aeruginosa proteases and exotoxin A were determined by sensitive radioimmunoassays. In all sputa, detection of exoenzymes was negative (less than or equal to 10 ng). Positive serum antibody titers to bacterial exoenzymes were found in the majority of patients. Purified immunoglobulin G (IgG) preparations from the sera of two patients revealing specific antibody titers to the bacterial proteases neutralized these enzymes at ratios of 1,000:1 to 5,600:1 (wt/wt). Above the neutralizing capacity of IgG, proteases caused cleavage of IgG; below that level, no enzymatic activity was observed. In vitro incubation of P. aeruginosa elastase, alkaline protease, or exotoxin A with elastase derived from polymorphonuclear leukocytes showed that polymorphonuclear leukocyte elastase: (i) was cleaved by bacterial elastase, (ii) was not inactivated by alkaline protease, and (iii) inactivated exotoxin A. The results suggest that soon after the onset of P. aeruginosa lung infection in cystic fibrosis patients, bacterial proteases, but not exotoxin A, become important virulence factors. The results also suggest that exoenzymes do not directly contribute to lung damage after immune response to bacterial antigens has begun.