Effects of the anti-sucking device «SuckStop Müller¼ on calf behavior.

INTRODUCTION: When cross-sucking persists beyond calf-hood, it represents an important problem in dairy heifers and cows. It can cause teat injuries and severe mastitis and lead to significant economic losses. The «SuckStop Müller,¼ a novel anti-sucking device, is designed to give the calf a negative feedback when cross-sucking on a conspecific. The aim of this study was to assess whether wearing a SuckStop would result in behavioral changes other than cross-sucking and thus, impair welfare in the short- and longer-term. Sixteen group-housed calves were observed in groups of four on five days, before and after fitting the SuckStop: day -2, day -1, day 0, day 1, and day 9. Maintenance behaviors (e.g., feeding, drinking, lying) were recorded using instantaneous scan sampling. In addition, the frequency of contact behaviors (e.g., exploring the feeding fence, touching own body) was recorded by means of continuous focal animal observations. Contact behaviors were classified as «impaired¼ or «normal¼ depending on whether or not the calf flinched in response to the contact. Finally, the number of visits to the milk and concentrate feeders was extracted from the computer-controlled feeding system. Fitting a SuckStop resulted in a higher proportion of observations spent lying and less exploration behavior on day 0 and day 1 than on day -2, day -1, and day 9. On day 0 and day 1, 6,3 % of exploration behaviors were classified as impaired, compared to 0,4 % (day -2, day -1) before and 0,2 % (day 9) after fitting the SuckStop. On day 9, all calves had superficial ulcerations on the nasal septum. In four calves, these ulcerations were moderately severe, whereas all other calves had slight ulcerations. In summary, the calves habituated quickly to this novel anti-sucking device. Follow-up studies are necessary to assess the long-term relevance of tissue alterations in the nasal septum for calf welfare as well as the effect of the SuckStop on cross-sucking behavior.

INTRODUCTION: Lorsque la succion croisée persiste au-delà de l'âge de veau, elle représente un problème important chez les génisses et les vaches laitières. Elle peut provoquer des blessures aux trayons et des mastites graves et entraîner ainsi des pertes économiques importantes. Le «SuckStop Müller¼, un nouveau dispositif anti-succion, est conçu pour donner au veau un feedback négatif lorsqu'il suce un congénère. L'objectif de cette étude était de déterminer si le port d'un SuckStop pouvait entraîner des changements de comportement autres que la succion croisée et, par conséquent, nuire au bien-être à court et à long terme. Seize veaux logés en groupe ont été observés par groupes de quatre pendant cinq jours, avant et après la pose du SuckStop: jour ­2, jour ­1, jour 0, jour 1 et jour 9. Les comportements d'entretien (par exemple se nourrir, boire, se coucher) ont été enregistrés à l'aide d'un échantillonnage par balayage instantané. En outre, la fréquence des comportements de contact (par exemple, explorer le râtelier, toucher son propre corps) a été enregistrée au moyen d'observations continues de chaque animal. Les comportements de contact ont été classés comme «altérés¼ ou «normaux¼ selon que le veau a tressailli ou non en réponse au contact. Enfin, le nombre de visites aux distributeurs de lait et de concentré a été extrait du système d'alimentation contrôlé par ordinateur. L'installation d'un SuckStop a entraîné une proportion plus élevée d'observations de comportements couchés et moins de comportements d'exploration le jour 0 et le jour 1 que le jour ­2, le jour ­1 et le jour 9. Le jour 0 et le jour 1, 6,3 % des comportements d'exploration ont été classés comme déficients, contre 0,4 % (jour ­2, jour ­1) avant et 0,2 % (jour 9) après la pose du SuckStop. Au jour 9, tous les veaux présentaient des ulcérations superficielles sur la cloison nasale. Chez quatre veaux, ces ulcérations étaient modérément graves, tandis que tous les autres veaux présentaient de légères ulcérations. En résumé, les veaux se sont rapidement habitués à ce nouveau dispositif anti-suceur. Des études de suivi sont nécessaires pour évaluer la pertinence à long terme des altérations tissulaires de la cloison nasale pour le bien-être des veaux ainsi que l'effet du SuckStop sur le comportement de succion croisée.

Prevalence of tail lesions in Swiss finishing pigs.

INTRODUCTION: Tail biting and lesions are common problems in modern pig production. In 2008 tail docking to prevent tail biting was banned in Switzerland. Since then pigs have been raised with intact tails. This study aimed to assess the current prevalence of tail lesions at Swiss abattoirs and comparing abattoir data with farm-specific data regarding potential risk factors for tail lesions. Data collection was performed in repetitive cycles of two weeks at four abattoirs during all consecutive seasons of one year. Gender, tail length and the tail tip condition were evaluated among other parameters. During 32 weeks in total, 195 704 pigs from 6112 batches from 2510 herds were evaluated. Overall, 63,2 % of the animals included in the analysis were slaughtered with a complete tail (lowest tail length score [TLS]), whereas 36,8 % showed a partial or total loss of the tail. The condition of the tail tip (tail tip condition score [TTCS]) was judged as being intact in 63,0 %, as a healed lesion in 23,7 %, an acute lesion in 1,3 % and a chronic lesion in 12,0 % of all cases. Male animals had significantly higher values for TLS and TTCS than female animals (P ≤ 0,05). TLS values were significantly higher in winter than in spring and summer (P < 0,001). TTCS values were significantly higher in fall than in spring and summer. TLS and TTCS values differed significantly (P < 0,001) between the four abattoirs. Only few significant correlations were found between values of TLS and TTCS and farm-specific data. Recording tail lesions at abattoirs is an accurate method to investigate the prevalence of tail lesions in fattening pigs. However, to monitor animal welfare on herd level, this method is very labor intensive. Moreover, data on tail lesions collected at the abattoir cannot replace veterinary on-farm examination for risk factor identification.

INTRODUCTION: Les morsures et les lésions de la queue sont des problèmes courants dans la production porcine moderne. En 2008, la Suisse a interdit la caudectomie pour prévenir les morsures de la queue. Depuis lors, les porcs sont engraissés avec des queues intactes. Cette étude visait à évaluer la prévalence actuelle des lésions de la queue dans les abattoirs suisses et à comparer les données de l'abattoir avec les données spécifiques à l'exploitation concernant les facteurs de risque potentiels pour des lésions de la queue. La collecte des données a été effectuée par cycles répétitifs de deux semaines dans quatre abattoirs pendant toutes les saisons d'une année. Le sexe, la longueur de la queue et l'état de l'extrémité de la queue ont été évalués parmi d'autres paramètres. Pendant 32 semaines au total, 195 704 porcs provenant de 6 112 lots de 2 510 troupeaux ont été évalués. Dans l'ensemble, 63,2 % des animaux inclus dans l'analyse ont été abattus avec une queue complète (Tail Length Score [TLS] la plus basse), tandis que 36,8 %présentaient une perte partielle ou totale de la queue. L'état de l'extrémité de la queue (Tail Tip Condition Score [TTCS]) a été jugé intact dans 63,0 %des cas, avec une lésion cicatrisée dans 23,7 %des cas, avec une lésion aiguë dans 1,3 %des cas et avec une lésion chronique dans 12,0 %des cas. Les animaux mâles présentaient des valeurs de TLS et de TTCS significativement plus élevées que les animaux femelles (P ≤ 0,05). Les valeurs de TLS étaient significativement plus élevées en hiver qu'au printemps et en été (P < 0,001). Les valeurs de TTCS étaient significativement plus élevées en automne qu'au printemps et en été. Les valeurs TLS et TTCS différaient significativement (P < 0,001) entre les quatre abattoirs. Seules quelques corrélations significatives ont été trouvées entre les valeurs de TLS et TTCS et les données spécifiques à l'exploitation. L'enregistrement des lésions de la queue dans les abattoirs est une méthode précise pour étudier la prévalence de ces lésions chez les porcs d'engraissement. Cependant, pour contrôler le bien-être animal au niveau du troupeau, cette méthode demande beaucoup de travail. En outre, les données sur les lésions de la queue collectées à l'abattoir ne peuvent pas remplacer les examens vétérinaires sur l'exploitation pour l'identification des facteurs de risque.

Risk factors for tail lesions in undocked fattening pigs reared on Swiss farms.

INTRODUCTION: Tail lesions caused by tail biting are a major welfare and economic concern in fattening pigs. The aims of this study were to describe the prevalence and incidence of tail lesions in undocked pigs on individual animal level during the fattening period, to elucidate potential risk factors associated with tail lesions, and to describe the stockpersons' attitudes towards tail biting on Swiss farms. Thirty-eight farms were visited three times during the fattening period (beginning, mid-point, end). During each farm visit, tail lesions were scored on 30-126 individually marked pigs per farm (total: 2209 pigs), information on potential risk factors for tail lesions was recorded, and a standardized interview with the farmer was conducted to explore his/her opinion on tail biting. Potential risk factors were defined by indices when adequate, and their influence on the occurrence of tail lesions was analyzed using mixed effects logistic regression models. During the first and the second half of the fattening period, on average 14,1 and 15,4 pigs, respectively, out of 100 developed new tail lesions or aggravation of old lesions. The risk for new or aggravated tail lesions increased with higher scores for a «disease index¼ and with increasing group size, and it decreased with higher space allowances and with restrictive compared with ad libitum feeding. The prevalence of tail lesions on arrival was not associated with the incidence of tail lesions in the first and the second half of the fattening period, neither at farm level nor at pen level. In the interviews, farmers expressed their interest in getting professional advice on how to reduce tail biting on their farms. In conclusion, our study identified several risk factors for tail lesions in undocked fattening pigs indicating that the incidence of tail lesions could be reduced by improving animal health and housing conditions.

INTRODUCTION: Les lésions de la queue causées par morsure sont un problème majeur de bien-être et d'économie chez les porcs d'engraissement. Les objectifs de cette étude étaient de décrire la prévalence et l'incidence des lésions de la queue pendant la période d'engraissement chez les porcs non écaudés au niveau de chaque animal, d'élucider les facteurs de risque potentiels associés aux lésions de la queue et de décrire les attitudes des éleveurs à l'égard des morsures de queue dans les exploitations suisses. Trente-huit exploitations ont été visitées trois fois pendant la période d'engraissement (début, mi-parcours, fin). Lors de chaque visite, les lésions de la queue ont été notées sur 30 à 126 porcs marqués individuellement par l'exploitant (total: 2209 porcs), des informations sur les facteurs de risque potentiels de lésions de la queue ont été enregistrées et un entretien standardisé avec l'éleveur a été mené pour connaitre son avis sur les morsures de queue. Les facteurs de risque potentiels ont été définis par des indices lorsqu'ils étaient adéquats et leur influence sur la survenue des lésions caudales a été analysée à l'aide de modèles de régression logistique à effets mixtes. Pendant la première et la deuxième moitié de la période d'engraissement, en moyenne 14,1 et 15,4 porcs, respectivement, sur 100 ont développé de nouvelles lésions de la queue ou une aggravation d'anciennes lésions. Le risque de nouvelles lésions de la queue ou d'aggravation augmentait avec des scores plus élevés pour un «indice de maladie¼ et avec l'augmentation de la taille du groupe et il diminuait avec des allocations d'espace plus élevées et avec une alimentation restrictive par rapport à l'alimentation à volonté. La prévalence des lésions de la queue à l'arrivée n'était pas associée à l'incidence des lésions de la queue dans la première et la seconde moitié de la période d'engraissement, ni au niveau de l'exploitation ni au niveau des boxes. Dans les entretiens, les agriculteurs ont exprimé leur intérêt à obtenir des conseils professionnels sur la façon de réduire les morsures de queue dans leurs exploitations. En conclusion, notre étude a identifié plusieurs facteurs de risque de lésions de la queue chez les porcs d'engraissement non écaudés indiquant que l'incidence des lésions de la queue pourrait être réduite en améliorant la santé animale et les conditions de logement.

Body size in relation to cubicle dimensions affects lying behavior and joint lesions in dairy cows.

Adequate cubicle dimensions are important for dairy cows to allow for species-appropriate lying behavior. Even though cow body size has increased in the last 2 decades, the cubicle dimensions of housing systems built many years ago have not been adjusted on most farms. Therefore, cows may be impaired in their lying behaviors, and thus the present study aimed to determine the influence of the ratio of body size to cubicle dimension on lying behavior and joint lesions. We investigated the lying behavior of 144 cows with withers heights of 140 to 163 cm on 8 Swiss dairy farms. Among the farms, the cubicle bed length varied from 187 to 200 cm and lunge space length varied from 47 to 202 cm. Specific behaviors of lying down and standing up movements, as well as lying positions, were observed on 3 d per farm. As outcome variables, the occurrences of these behaviors were calculated as proportions in relation to the respective total number of observations per cow. In addition, the presence of joint lesions was scored once. Data of the individual cows were analyzed in relation to the given cubicle dimensions on the farms by mixed-effects models. The bed length ratio [bed length (cm) on the farm/withers height (cm) of the observed cow] and the lunge space ratio [lunge space length (cm) on the farm/withers height (cm) of the observed cow] were used as explanatory variables. An increase in the bed length ratio was associated with decreased proportions of lying down movements with (1) repeated head pendulum movements, (2) repeated stepping with front legs, and (3) hitting against cubicle elements; decreased proportions of standing up movements with (1) shifting backward, (2) hesitant head lunge movements, and (3) hitting against cubicle elements; and an increased proportion of lying positions without physical contact with cubicle elements. An increase in the lunge space ratio was associated with a decreased proportion of standing up movements with sideways directed head lunge movements. Furthermore, an increase in the bed length ratio decreased the proportion of cows with tarsal joint lesions. To summarize, the lying behavior of large-framed cows was clearly modified given the cubicle dimensions in use on the study farms. In view of the consistency of the obtained results, we recommend adjusting the dimensions of cubicles so that they are suitable for cows whose body size meets the breeding goals of the farm.

Can anticoagulation therapy in cerebral venous thrombosis associated with Behçet's disease be stopped without relapse?

There is as yet no consensus on the treatment of cerebral venous thrombosis (CVT) in Behçet's disease, and the place of anticoagulation is also still being debated. This report is of a series of seven patients with Behçet's disease (BD)-associated CVT, for which anticoagulation was stopped, and discusses the possibility of stopping anticoagulation during follow-up while receiving optimal treatment for BD. The diagnosis of BD was established during follow-up, which lasted a median of 120 [range: 60-1490] days after CVT diagnosis. The median duration of anticoagulation therapy was 29.5 months. On stopping anticoagulation, concomitant treatment then included colchicine, steroids and azathioprine, all introduced after BD was diagnosed. With a median follow-up of 25 months after anticoagulation interruption, only one relapse of CVT was observed. No relapse of CVT or other venous thrombosis was observed in the six patients treated by steroids associated with an immunosuppressant or colchicine. Our results emphasize that corticosteroids are essential for the treatment of BD-associated CVT, and that anticoagulant therapy may be safely stopped during follow-up in the presence of optimal BD treatment (steroids alone or with immunosuppressive drugs).

Effect of rubber mats and perforation in the lying area on claw and limb lesions of fattening pigs.

Claw and leg lesions are frequently observed in finishing pigs and are likely to compromise their welfare. Providing softer than the usual concrete flooring may reduce both the frequency and severity of these lesions. Therefore, this study evaluated the influence of rubber mats and floor perforation in the lying area on claw and leg health of finishing pigs. A total of 240 Swiss Large White finishing pigs from on average 24.9 kg until 102.3 kg were used in four batches, with six groups of 10 animals per batch. The six experimental pens initially measured 1.85×3.55 m and were enlarged after 6 weeks to 1.85×5.25 m. In all pens, one third of the floor space was built as a defecating area consisting of a concrete floor with 15% perforation. The remaining two thirds of the pen were designed as a lying area whose floor quality differed between the pens. It either consisted of concrete elements or was covered with rubber mats, and perforation of both floor types was either 0%, 5% or 10%. All individuals were scored for claw and leg lesions at the beginning, in the middle and at the end of the 12-week fattening period. Lesions were summarised in scores based on the results of a principal component analysis. The influence on lesion scores of floor material, amount of perforation in the lying area, assessment time, and sex was examined using mixed-models. The total claw lesion score and the total limb lesion score as well as the claw angle increased from the beginning to the end of the fattening period. The values for both scores were slightly lower for animals kept on rubber mats compared with animals kept on concrete floor. There was no effect of the percentage of perforation on the examined outcome variables. In conclusion, our results indicate that rubber mats in the lying area bring about improvements in some aspects of claw and leg health in fattening pigs, whereas there is no effect of floor perforation.

Moderate lameness leads to marked behavioral changes in dairy cows.

Lameness is one of the most prevalent diseases affecting the welfare of cows in modern dairy production. Lameness leads to behavioral changes in severely lame cows, which have been investigated in much detail. For early detection of lameness, knowledge of the effects of moderate lameness on cow behavior is crucial. Therefore, the behavior of nonlame and moderately lame cows was compared on 17 Swiss dairy farms. On each farm, 5 to 11 nonlame (locomotion score 1 of 5) and 2 to 7 moderately lame (locomotion score 3 of 5) cows were selected for data collection in two 48-h periods (A, B) separated by an interval of 6 to 10 wk. Based on visual locomotion scoring, 142 nonlame and 66 moderately lame cows were examined in period A and 128 nonlame and 53 moderately lame cows in period B. Between these 2 periods, the cows underwent corrective hoof trimming. Lying behavior, locomotor activity, and neck activity were recorded by accelerometers (MSR145 data logger, MSR Electronics GmbH, Seuzach, Switzerland), and feeding and rumination behaviors by noseband sensors (RumiWatch halter, ITIN + HOCH GmbH, Liestal, Switzerland). Furthermore, visits to the brush and the concentrate feeder, and the milking order position were recorded. In comparison with nonlame cows, moderately lame cows had a longer lying duration, a longer average lying bout duration, and a greater lateral asymmetry in lying duration. Average locomotor activity, locomotor activity during 1 h after feed delivery or push-ups, and average neck activity were lower in moderately lame cows. Eating time and the number of eating chews (jaw movements) were reduced in moderately lame compared with nonlame cows, whereas no effect of moderate lameness was evident for ruminating time, number of ruminating chews and boluses, and average number of ruminating chews per bolus. Moderately lame cows visited the concentrate feeder and the brush less frequently, and they were further back in the milking order compared with nonlame cows. In conclusion, nonlame and moderately lame cows differed in a biologically relevant way in many of the behavioral variables investigated in this study. Therefore, the use of these behavioral changes seems to be promising to develop a tool for early lameness detection.

Effects of milking frequency in automatic milking systems on salivary cortisol, immunoglobulin A, somatic cell count and melatonin.

INTRODUCTION: In barns with an automatic milking system (AMS), both the milking frequency and the number of nighttime milkings vary between cows. A low milking frequency might indicate problems in gaining access to the milking unit. Also, nighttime lighting in the waiting area of the AMS and in the milking unit increases exposure to light at night and could suppress nocturnal melatonin synthesis. These effects could result in increased stress, suppressed immune response, and poor udder health. A total of 125 cows (14-16/farm) on 8 farms with AMS were selected based on their average milking frequency. Eight to 10 saliva samples per cow were taken over the course of 4 days, and cortisol, IgA and melatonin concentrations were determined. Somatic cell counts (SCC) were determined in milk samples. Milking frequency had no significant relationship with mean cortisol and IgA levels, but a higher milking frequency tended to be associated with lower SCC levels. Nocturnal melatonin levels tended to be negatively associated with the number of nighttime milkings. In conclusion, no indication of increased stress or reduced immune defense was found in relation to milking frequency on farms with an AMS.

INTRODUCTION: Dans les étables équipées d'un système de traite automatique, la fréquence ainsi que le nombre de traites nocturnes varient d'une vache à l'autre. Une fréquence basse pourrait être le signe de difficultés d'accès à l'unité de traite. D'autre part, l'éclairage dans la zone d'attente et dans l'unité de traite expose les vaches à plus de lumière durant la nuit, ce qui pourrait réduire la sécrétion de mélatonine. Ces éléments pourraient amener un stress et avoir une influence sur la réponse immunitaire et la santé de la mamelle. Pour la présente étude, 125 vaches provenant de 8 exploitations (14­16 animaux par exploitation) ont été choisies en fonction de leur fréquences de traite. On a prélevé 8 à 10 échantillons de salive sur une période de 4 jours et y a mesuré la concentration de cortisol, d'IgA et de mélatonine. On n'observe pas de rapport significatif entre la fréquence de traite et les concentrations moyennes de cortisol et d'IgA mais une fréquence de traite plus élevée a tendance à être corrélée avec un nombre de cellules plus faible. Les concentrations de mélatonine durant la nuit avait tendance à être associées de façon négative avec le nombre de traites nocturnes. De façon générale, on n'a pas d'indice montrant un stress plus élevé ou une réduction de la réponse immunitaire en fonction de la fréquence de traite dans les exploitations équipées d'un système de traite automatique.

[Aortic inflammatory lesions in Behçet's disease]. / Atteintes aortiques inflammatoires associées à la maladie de Behçet.

The arterial lesions affect about 10% of patients with Behçet's disease (BD). Aortic inflammatory involvement includes predominantly aortic aneurysmal lesions affecting most often the abdominal aorta. They account for the severity of the disease and are a leading cause of death when they hit the aorta or pulmonary arteries. Within the arterial lesions of BD, aortic involvement is, with femoral lesions, the most common site involved (18-28% of patients with vascular disease). Unlike other large vessels vasculitis (i.e. giant cell arteritis and Takayasu's arteritis) diffuse aortitis is observed in less than 5% of patients with BD. Aortic lesions of BD may be asymptomatic (systematic imaging or occasionally associated with other vascular event) or be revealed by the occurrence of abdominal, thoracic or lumbar pain, or an aortic valve insufficiency. Fever is frequently associated. Increase in acute phase reactants is common in these patients. Histological analysis may show infiltration by lymphocytes, neutrophils and plasma cells in the media and adventitia and a proliferation of the vasa vasorum in the media as well as a fibroblastic proliferation. In the later phase, a fibrous thickening of the media and adventitia is observed as well as a proliferation and thickening of the vasa vasorum. The therapeutic management should always include a medical treatment for the control of inflammation (corticosteroids, immunosuppressive drugs and/or biotherapy) and often an endovascular or surgical treatment if the aneurysm is threatening. The choice between endovascular or surgical treatment is considered case by case, depending on the experience of the team, anatomical conditions and of the clinical presentation. In this review, we provide a detailed and updated review of the literature to describe the aortic inflammatory damage associated with Behçet's disease.

Takayasu Arteritis and Pregnancy.

OBJECTIVE: To assess the relationship between Takayasu arteritis (TAK) and pregnancy outcome. METHODS: This study included 240 pregnancies in 96 patients fulfilling the American College of Rheumatology 1990 criteria for the classification of TAK and/or the 1994 Chapel Hill Consensus Conference nomenclature/criteria for vasculitis. We analyzed obstetric and maternal outcomes in women who were pregnant before and/or at the same time as or after TAK diagnosis. We assessed factors associated with complicated pregnancy. RESULTS: One hundred forty-two pregnancies occurred in 52 patients before TAK diagnosis (median age at pregnancy 26 years [interquartile range 23-30 years]), and 98 pregnancies occurred in 52 patients concomitant with or after TAK diagnosis (median age at pregnancy 28 years [interquartile range 26-31 years]). Pregnancies concomitant with or after TAK diagnosis had a 13-fold higher rate of obstetric complications compared to pregnancies before TAK diagnosis (odds ratio 13 [95% confidence interval 5-33], P < 0.0001). TAK was associated with a 40% frequency of obstetric complications, including preeclampsia/eclampsia (24 pregnancies [24%]), premature delivery (8 pregnancies [8%]), and intrauterine fetal growth restriction or death (5 pregnancies [5%]). Maternal complications of TAK occurred during 39% of pregnancies and included mainly new-onset or worsening hypertension (26 pregnancies [27%]). In multivariate analysis, smoking (odds ratio 6.15 [95% confidence interval 1.31-28.8]) and disease activity of TAK (a National Institutes of Health score of >1) (odds ratio 28.7 [95% confidence interval 7.89-104.7]) were independently associated with obstetric and maternal complications. CONCLUSION: TAK negatively affects pregnancy outcomes. Disease activity increases the risk of obstetric and maternal complications, mainly due to arterial hypertension.

Efficacy of anti-TNF alpha in severe and/or refractory Behçet's disease: Multicenter study of 124 patients.

OBJECTIVE: To report the efficacy and safety of anti-TNF agents in patients with severe and/or refractory manifestations of Behçet's disease (BD). METHODS: We performed a multicenter study of main characteristics and outcomes of anti-TNF alpha treatments [mainly infliximab (62%), and adalimumab (30%)] in 124 BD patients [48% of men; median age of 33.5 (28-40) years]. RESULTS: Overall response (i.e. complete and partial) rate was 90.4%. Clinical responses were observed in 96.3%, 88%, 70%, 77.8%, 92.3% and 66.7% of patients with severe and/or refractory ocular, mucocutaneous, joint, gastro-intestinal manifestations, central nervous system manifestations and cardiovascular manifestations, respectively. No significant difference was found with respect to the efficacy of anti-TNF used as monotherapy or in association with an immunosuppressive agent. The incidence of BD flares/patient/year was significantly lower during anti-TNF treatment (0.2 ± 0.5 vs 1.7 ± 2.4 before the use of anti-TNF, p < 0.0001). The prednisone dose was significantly reduced at 6 and 12 months (p < 0.0001). In multivariate analysis, retinal vasculitis was negatively associated with complete response to anti-TNF (OR = 0.33 [0.12-0.89]; p = 0.03). The efficacy and relapse free survival were similar regardless of the type of anti-TNF agent used. After a median follow-up of 21 [7-36] months, side effects were reported in 28% of patients, including infections (16.3%) and hypersensitivity reactions (4.1%). Serious adverse events were reported in 13% of cases. CONCLUSION: Anti-TNF alpha therapy is efficient in all severe and refractory BD manifestations. Efficacy appears to be similar regardless of the anti-TNF agent used (infliximab or adalimumab).

Habituation of dairy heifers to milking routine-Effects on human avoidance distance, behavior, and cardiac activity during milking.

The onset of lactation marks a significant turning point in a heifer's life, and prior experience with the milking routine could have positive effects on animal welfare and productivity. The objectives of this multifarm (n=5) study were to investigate (1) whether prelactation training sessions affected behavior during milking, cardiac activity, human avoidance distance, and milk yield, and (2) whether these responses would be modified by the heifer's initial level of fear of humans. Trained heifers (TH, n=30) experienced the routine in the milking parlor on at least 10 d prepartum, whereas untrained heifers (UH, n=29) entered the parlor for the first time after calving. Behavior and cardiac activity were recorded on d 1 and 7 after calving, and an avoidance test was carried out on the day of integration into the dairy herd as well as on d 1, 7, and 28 postpartum. Each animal's initial level of fear of humans was classified as high or low based on the first human avoidance distance measured toward an unknown person. Results showed that TH showed less stepping and kicking during the udder preparation phase in the parlor and UH had higher probabilities to put their ears flat on the head, clamp their tail between the hind legs, and have their eyes wide open throughout the different phases in the milking parlor. Heart rate decreased from d 1 to 7, increased from before to during and to after milking and was slightly elevated in TH compared with UH. Milk yield did not differ between TH and UH. Human avoidance distance was not influenced by training, but distance decreased in heifers with a high initial level of fear of humans across repetitions of the test, whereas heifers with a low initial level of fear of humans had generally short avoidance distances. However, initial level of fear of humans neither determined behavior and heart rate during milking nor milk yield of TH and UH. The results indicate that the training regimen applied in the present study habituated heifers, to some extent, to the milking routine.

[In vitro fertilization and systemic lupus erythematosus or antiphospholipid syndrome: An update]. / Fécondation in vitro au cours du lupus érythémateux systémique ou du syndrome des antiphospholipides : mise au point.

Fertility is not impaired in systemic lupus erythematosus or antiphospholipid syndrome, but, similarly to the general population, these patients may undergo in vitro fertilization. This type of treatment increases the risk of lupus flare, thrombosis, and ovarian hyperstimulation syndrome. This review will focus on in vitro fertilization in systemic lupus erythematosus or antiphospholipid syndrome. Literature data are relatively scant with only 3 reported studies. The first one included 17 patients and 63 cycles of induction ovulation/in vitro fertilization leading to 25 % of lupus flare, no thrombosis, and 3 % of ovarian hyperstimulation syndrome. The second study included 10 patients and 40 cycles of in vitro fertilization showing 31 % of lupus flare, no thrombosis and no ovarian hyperstimulation syndrome. The last one included 34 patients and 83 procedures of in vitro fertilization leading to 8 % of flares, 5 % of thrombosis and no ovarian hyperstimulation syndrome. Interestingly, in this last study, half of the complications were explained by poor adherence to treatment. These data are reassuring but it is important to remember that in vitro fertilization should be scheduled and carefully supervised in the same way as the high-risk pregnancies occurring in these patients.

[Influence of floor surface and access to pasture on claw characteristics in dairy cows kept in cubicle housing systems].

This study aimed at investigating the effect of the floor type used in the walking area of cubicle housing systems and of access to pasture on claw dimensions and claw shape in dairy cows. Data were collected on 36 farms, 12 farms each fitted with mastic asphalt, slatted concrete or solid rubber flooring. With each floor type, cows on half of the farms had access to pasture in summer. The farms were visited three times at intervals of about 6 months and data were collected from 10 cows during each visit. Net growth of the claw horn was highest on rubber flooring and lowest on mastic asphalt. On all floor types, claw angles were larger after the winter period and smaller after the summer period. With regard to claw shape, floor type had an effect on the occurrence of flat, concave and overgrown claw soles. In conclusion, none of the investigated floor types was clearly superior to the others with regard to claw dimensions and claw shape, and access to pasture during summer (median 4 h per day) had only little influence on the investigated claw characteristics.

Cette étude avait pour but de déterminer l'influence du sol dans la zone de sortie ainsi que celle de la mise au pâturage sur les dimensions et la forme des onglons de vaches laitières. Le recueil des données s'est fait dans 36 exploitations avec une stabulation libre à logettes, 12 avec une zone de sortie en asphalte,12 en béton et 12 recouverte de matelas de caoutchouc fixés. Indépendamment de la qualité du sol, les vaches avaient, sur la moitié des exploitations, accès au pâturage durant l'été. On a recueilli sur chaque exploitation des données sur 10 vaches à trois reprises, avec un intervalle d'environ 6 mois. La croissance des onglons était maximale sur les sols en caoutchouc et minimale sur l'asphalte. Quel que soit le type de sol, l'angle de la paroi était plus grand à la fin de la période hivernale et plus petit à la fin de l'été. Le type de sol avait aussi une influence sur l'apparition d'onglons plats, concaves ou trop longs. Dans l'ensemble toutefois, aucun des types de sol ne se révélait nettement supérieur et la mise au pâturage (en moyenne 4 heures par jour) n'avait qu'une faible influence sur les dimensions et la taille des onglons.

[Cardiovascular involvement in Behçet's disease]. / Atteintes cardiovasculaires de la maladie de Behçet.

Vascular involvement is a common complication of Behçet's disease (BD) and affects up to 40% of BD patients. These complications worsen the prognosis of BD. The concept of vasculo-Behçet has been adopted for cases in which vascular complications dominate the clinical features. Vascular manifestations affect particularly young men, during the first years following onset of the disease. Venous complications are the most frequent vascular complications, affecting 14 to 40% of BD patients. Superficial and deep lower limb thrombosis is the most frequent venous complications but one third of venous thrombosis concern large vessels (such as cerebral venous thrombosis, pulmonary embolism, and inferior or superior vena cava, etc.). Budd-Chiari syndrome is the worst prognostic factor increasing mortality by 9 times. Arterial complications (2 to 17% of BD patients) include aneurysms and occlusions/stenosis. Main locations of arterial lesions are aortic (abdominal and thoracic), femoral, pulmonary and iliac arteries. Aneurysms are the most severe arterial complications, particularly pulmonary aneurysms associated with a high risk of massive bleeding. Cardiac complications (up to 6% of BD patients) include pericarditis, endocardial lesions (aortic regurgitation and less often mitral insufficiency), myocardial lesions (myocardial infarction, myocarditis and endomyocardial fibrosis) and intracardiac thrombosis (right ventricle and atrium). Coronary lesions complicated to myocardial infarction are the most severe cardiac complications. Treatment is based on corticosteroids and immunosuppressive drugs. The use of anticoagulation in venous thrombosis is still controversial.

[Treatment of Behçet's disease]. / Traitement de la maladie de Behçet.

Behçet's disease (BD) is a systemic large-vessel vasculitis characterized by a wide clinical spectrum including recurrent oral and genital ulcerations, uveitis, vascular, neurological, articular, and gastrointestinal manifestations. Therapeutic management of BD depends on the clinical presentation and organ involved. Although colchicine, non-steroidal anti-inflammatory agents and topical treatments with corticosteroids are often sufficient for mucocutaneous and joint involvement, a more aggressive approach with immunosuppressive agents is warranted for severe manifestations such as posterior uveitis, retinal vasculitis, vascular, neurological and gastrointestinal involvement. However, some patients still have refractory disease, relapses, sight threatening eye disease, or irreversible organ damage. Recent improvements in the understanding of the pathogenic mechanisms have led to the identification of potential targets and future therapies for BD. In contrast to current non-specific immunosuppressive agents, the emergence of immunomodulatory drugs provides the possibility of interfering with specific pathogenic pathways. Novel targeted immunosuppressive therapies might be used in the future for BD.

[Neurological manifestations of Behçet's disease]. / Manifestations neurologiques de la maladie de Behçet.

Neurological manifestations of Behçet's disease (BD) occur in 5.3 to more than 50% of patients. They are divided into two major forms: "parenchymal" lesions, which include mainly meningoencephalitis as opposed to "extra-parenchymal" lesions (i.e. cerebral venous thrombosis and arterial aneurysms). Myelitis or peripheral neuropathy is exceptional. The neuro-Behçet syndrome (NBS) should be considered in the setting of neurological manifestations, particularly headache and pyramidal signs, in a young man diagnosed with BD. However, its recognition may be difficult when neurological manifestations are the presenting features of BD (one third of cases), and requires a thorough knowledge of clinical manifestations and morphological lesions. Thus, parenchymal NB lesions classically exhibit inflammatory characteristics on MRI and are located at the meso-diencephalic junction and in the brainstem, rarely with a supratentorial extension. Meningitis is not systematically associated, and may be absent in about 30% of cases. The pathogenesis of these lesions is incompletely understood, but inflammatory infiltrates include mainly neutrophils and activated T cells (mainly Th17). Differential diagnoses include infectious diseases (herpes, listeria, tuberculosis), and inflammatory diseases (i.e. multiple sclerosis and sarcoidosis). A prompt recognition of NBS should lead to initiate adequate therapies in order to limit the risk of sequelae, relapses or death.

Biotherapies in inflammatory ocular disorders: Interferons, immunoglobulins, monoclonal antibodies.

Biotherapies used in clinical practice for the treatment of ophthalmologic manifestations of systemic diseases include interferons (IFN), intravenous immunoglobulins (IVIG) and monoclonal antibodies (anti-TNF, anakinra, tocilizumab and rituximab). Several open prospective studies have shown the effectiveness of IFN-α (78 to 98% complete remission) for the treatment of severe uveitis in Behcet's disease. IFN is capable of inducing prolonged remission and continued after his arrest, in 20-40% of patients. Side effects (flu-like, psychological effects) limit its use in practice. Anti-TNFα (infliximab and adalimumab) represents an attractive alternative therapeutic in severe uveitis refractory to immunosuppressants, especially in Behcet's disease. They are almost always (>90% of cases) and rapidly effective but their action is often suspensive. Anti-TNFα requires an extended prescription or takes over from another immunosuppressant once ocular inflammation has been controlled. IVIG are used for the treatment of Kawasaki disease and Birdshot disease. Several open or retrospective studies showed their effectiveness for the treatment of severe and refractory cicatricial pemphigoid. Tolerance of IVIG is good but their efficacy is transient. Rituximab showed an efficacy in few observations of various inflammatory eye diseases (uveitis, scleritis and idiopathic inflammatory pseudo-tumors or associated with granulomatosis with polyangiitis) and cicatricial pemphigoid. The risk of infection associated with this biotherapy limits its use in refractory diseases to conventional therapy. Anakinra (a soluble antagonist of IL-1R) showed interesting results in terms of efficiency in one small open study in Behcet's disease. Its safety profile is good and with a quick action that could be interesting for the treatment of severe uveitis.