Obesity increased the risk of SARS-CoV-2 positivity in children.

AIM: To determine the effects of obesity in childhood on SARS-CoV-2 infection. METHODS: A population-based, cross-sectional study combining the Israeli Growth Survey and COVID-19 data for children with at least one SARS-CoV-2 test from 16 February 2020 to 20 December 2021. Overweight and obesity status were based on body mass index and the Center for Disease Control criteria. Multivariate logistics regression was performed to validate reliability for weight categories at the age of approximately 6 years compared with weights at approximately 12 years. RESULTS: A total of 444 868 records for children with an overall positivity rate of 22% were studied. The mean age was 9.5 years. The odds ratios of children with obesity or overweight after controlling for sex at 6 years to test positive were 1.07-1.12 and 1.06-1.08 (depending on the model), respectively, compared to those with healthy range body mass index. CONCLUSION: Excess weight appears to increase the risk of SARS-CoV-2 infection. This finding should be considered for public health planning. For example, children with overweight and obesity should be prioritised for vaccination. Excess weight in childhood can be harmful at a young age and not only for long-term health.

Follicular development and maturation in gilts selected for an index of high ovulation rate and high prenatal survival.

Seventy-one 10th-generation gilts from White Line-1 (WL-1 = randomly selected control line) and White Line-2 (WL-2 = selected for an index of ovulation rate and prenatal survival rate) were used to compare the pattern of follicular development and atresia during the follicular phase of the estrous cycle. Gilts were treated with PGF(2alpha)on d 13 of the estrous cycle (d 0 of induced follicular development) to induce luteolysis and assigned randomly within line and sire for ovary recovery on d 0, 2, 3, 4, 5, and the day after estrus. Ovaries were evaluated for numbers of corpora albicantia and small (2 to 2.9 mm), medium (M1 = 3 to 4.9 mm; M2 = 5 to 6.9 mm), and large (>or=7 mm) follicles. The concentration of estradiol-17beta in follicular fluid was used to classify individual M2 and large follicles as estrogen-active (>or=100 ng of estradiol-17beta/mL) or inactive (<100 ng of estradiol-17beta/mL). The WL-2 gilts had a greater ovulation rate than WL-1 gilts at their pre-treatment estrus (20.4 vs. 13.8 corpora albicantia; P < 0.001). The small and M1 follicle populations decreased rapidly in both lines over time (P < 0.001). The M2 follicle population increased in both lines between d 0 to 4 and then decreased. Mean estradiol concentration of M2 follicles increased in both genetic lines over time (P < 0.02). All large follicles were estrogen-active in both lines; the number of large follicles increased with day (P < 0.001) and was similar in both lines. The number of estrogen-active M2 follicles was similar in both lines, increasing to d 3 and 4 and then decreasing (P < 0.01) thereafter. However, the total number of estrogen-active follicles (sum of estrogen-active M2 and large follicles) was greater in WL-2 than in WL-1 gilts (P < 0.04), increasing to the ovulatory potential by d 3 in WL-1 gilts, but continuing to increase through d 4 in WL-2 gilts. Selection of an additional six ovulatory follicles from the estrogen-active M2 follicle pool after d 5 was required in both lines to achieve the projected ovulation rate, and after estrus, the number of large follicles remained insufficient to attain the ovulatory potential of each line.

An evaluation of the NRC (1998) growth model in estimating lysine requirements of barrows with a lean growth rate of 348 g/d.

Two experiments were conducted to evaluate the NRC (1998) growth model in predicting lysine requirements of high lean gain barrows by using plasma urea nitrogen as a rapid response criterion. In Exp. 1, 20 PIC barrows with an initial BW of 19.1 kg were used to estimate total lysine requirements at approximately 30 and 50 kg of BW in two separate randomized complete block designs. Another set of 20 PIC barrows with an initial BW of 59.0 kg was used to estimate total lysine requirements at about 70, 90, and 110 kg of BW in three separate, completely randomized designs. Pigs were individually penned and had free access to feed and water. Results indicated that total lysine requirements at 33, 52, 72, 93, and 113 kg of BW were 0.96 +/- 0.01, 0.85 +/- 0.02, 0.76 +/- 0.05, 0.66 +/- 0.03, and 0.49 +/- 0.21% of the diet (18.6 +/- 0.2, 20.1 +/- 0.5, 22.6 +/- 1.5, 18.7 +/- 0.8, and 16.8 +/- 7.2 g/d), respectively. The precision of the estimation decreased when pigs reached 70 kg of BW. To increase the precision, Exp. 2 was conducted in which 20 PIC barrows with an initial BW of 45.2 kg were repeatedly used in Latin square designs to estimate total as well as true ileal digestible lysine requirements at BW ranges of from 60 to 80, 80 to 100, and 100 to 120 kg, respectively. During the three BW range periods, the individually penned pigs were limited in feed intake to 2.6, 2.8, and 3.0 kg/d, respectively, and fed once daily. The estimated requirements in the three BW ranges were 21.8 +/- 0.5, 18.8 +/- 0.5, and 20.2 +/- 0.7 g/d in total lysine and 19.9 +/- 0.6, 17.0 +/- 0.5, and 18.1 +/- 0.6 g/d in true ileal digestible lysine, respectively. Total lysine requirements at approximately 30, 50, 70, 90, and 110 kg of BW were about 102, 98, 106, 92, and 99% of the NRC (1998) recommendations, respectively. The close agreement validated the NRC growth model in predicting lysine requirements of high lean gain barrows over the growing-finishing period.

Copper and zinc blood levels among children with nonorganic failure to thrive.

BACKGROUND AND AIMS: Copper and zinc deficiency are commonly reported among children with organic failure to thrive. In contrast, reports on copper and zinc status in children with non-organic failure to thrive are scarce. The goal of this study was to evaluate copper and zinc blood levels and nutritional intake among children with non-organic failure to thrive. METHODS: A study group of 32 children with non-organic failure to thrive were investigated and compared with 32 healthy controls. Each child had copper and zinc blood level measurements. In addition, the study group underwent evaluation of thyroid function, immunoglobulins, endomesial antibodies and xylose test. A dietary questionnaire that included a diet history and a 24-h dietary recall was administered to parents by a dietician. Weight for height, height for age and mean daily intake of calories, protein, copper and zinc were calculated. RESULTS: There were no significant differences between the two groups in either socioeconomic status or caloric, copper or zinc intake. Protein intake was significantly lower in the study group (P<0.0001). Plasma copper levels were within the normal range in both groups (P=0.3). Zinc plasma levels were significantly higher in the study group as compared to controls (P=0.03); however, they remained within the normal range in both groups. CONCLUSIONS: Children with non-organic failure to thrive can maintain plasma copper and zinc levels within normal range and similar to normal controls.

Plasma gonadotropins and ovarian hormones during the estrous cycle in high compared to low ovulation rate gilts.

Mature gilts classified by low (12 to 16 corpora lutea [CL], n = 6) or high (17 to 26 CL, n = 5) ovulation rate (OR) were compared for plasma follicle-stimulating hormone (FSH), luteinizing hormone (LH), progesterone, estradiol-17beta, and inhibin during an estrous cycle. Gilts were checked for estrus at 8-h intervals beginning on d 18. Blood samples were collected at 8-h intervals beginning on d 18 of the third estrous cycle and continued for one complete estrous cycle. Analysis for FSH and LH was performed on samples collected at 8-h intervals and for ovarian hormones on samples collected at 24-h intervals. The data were standardized to the peak of LH at fourth (d 0) and fifth estrus for the follicular phase and analyzed in discrete periods during the periovulatory (-1, 0, +1 d relative to LH peak), early-luteal (d 1 to 5), mid-luteal (d 6 to 10), late-luteal (11 to 15), periluteolytic (-1, 0, +1 d relative to progesterone decline), and follicular (5 d prior to fifth estrus) phases of the estrous cycle. The number of CL during the sampling estrous cycle was greater (P < 0.005) for the high vs low OR gilts (18.8 vs 14.3) and again (P < 0.001) in the cycle subsequent to hormone measurement (20.9 vs 14.7). For high-OR gilts, FSH was greater during the ovulatory period (P = 0.002), the mid- (P < 0.05) and late-luteal phases (P = 0.01), and tended to be elevated during the early-luteal (P = 0.06), but not the luteolytic or follicular periods. LH was greater in high-OR gilts during the ovulatory period (P < 0.005), but not at other periods during the cycle. In high-OR gilts, progesterone was greater in the mid, late, and ovulatory phases (P < 0.005), but not in the follicular, ovulatory, and early-luteal phases. Concentrations of estradiol-17beta were not different between OR groups during the cycle. Inhibin was greater for the high OR group (P < 0.005) during the early, mid, late, luteolytic, and follicular phases (P < 0.001). The duration of the follicular phase (from last baseline estrogen value to the LH peak) was 6.5 +/- 0.5 d and was not affected by OR group. These results indicate that elevated concentrations of both FSH and LH are associated with increased ovulation rate during the ovulatory phase, but that only elevated FSH during much of the luteal phase is associated with increased ovulation rate. Of the ovarian hormones, both inhibin and progesterone are highly related to greater ovulation rates. These findings could aid in understanding how ovulation rate is controlled in pigs.

Effect of low-protein diets on growth performance and body composition of broiler chicks.

Three experiments were conducted to investigate effects of dietary manipulations to improve growth performance and whole-body composition of broiler chicks fed low-protein diets supplemented with crystalline amino acids. In all experiments, male chicks (1 d old) were fed a common corn-soybean meal diet (23% CP) for 7 d and subsequently allotted to treatment diets in a completely randomized design (10 chicks per floor pen, six replications). Chicks had free access to the isoenergetic diets (3,200 kcal MEn/kg) for 2 wk, after which chicks were weighed and then fasted for 24 h, and the whole-body DM, N, and ether extract contents of two chicks per pen (and six baseline chicks) were determined. In Experiment 1, Gln or Asn replaced 1% triammonium citrate in the low-protein diet (19% CP). In Experiments 2 and 3, dietary concentrations of crystalline essential and nonessential amino acids, respectively, were increased incrementally in the low-protein diets (19 to 20% CP). In all experiments, chicks fed low-protein diets grew slower, used feed less efficiently, and retained less N and more ether extract than chicks fed the control diets (P < or = 0.05), despite additions of crystalline Gln or Asn and despite increased dietary concentrations of crystalline essential and nonessential amino acids. Chicks fed low-protein diets excreted less N (P < 0.001) than did chicks fed the high-protein diets, and N excretion increased linearly (P < 0.001) with N intake. In summary, low-protein diets failed to support equal growth performance to that of high-protein control diets.

Prediction of whole-body composition from the whole-body dry matter percentage of three-week-old broiler chicks.

Whole carcasses of 3-wk-old broiler chicks from four independent experiments were analyzed for percentage of whole-body DM, ether extract, and CP. The percentage of whole-body ash was calculated by the difference among DM, ether extract, and CP. A linear relationship between percentage whole-body DM and percentage whole-body ether extract (P < 0.001; r2 = 0.798) was found, but no relationships were detected between percentage whole-body DM and percentage whole-body CP (P = 0.29; r2 = 0.010). The percentage of whole-body ash was moderately correlated with the percentage of whole-body DM (P = 0.04; r2 = 0.036). In conclusion, the percentage of whole-body ether extract of 3-wk-old broiler chicks can be predicted from the percentage of whole-body DM by using the prediction equation Y = 0.961x - 17.855. Neither the percentages of whole-body CP nor ash could be accurately predicted from the wholebody DM percentage.

Effect of removal and remixing of lightweight pigs on performance to slaughter weights.

Two experiments were conducted to determine the effect of lightweight pig removal and remixing on performance to slaughter. Experiment 1 was a growing-finishing trial utilizing a total of 900 pigs (26.2+/-0.1 kg initial weight) that were sorted and remixed at a mean replicate BW of 72 kg. Experiment 2 was a wean-to-finish trial (17 d mean wean age; 4.8 kg +/- 0.1 BW) utilizing 225 barrows with sorting and remixing occurring 3 wk after weaning. Treatments were 15 pigs/ pen from initial weight to slaughter (15S), 20 pigs/pen from initial weight to time of sort and remix and then reduced to 15 pigs/pen (20/15), and 15 pigs/pen from time of sort and remix to slaughter comprised of the five lightest pigs from each of three 20/15 pens per replicate (15M). Space allocation was 0.56 m2/pig from 26 to 70 kg and 0.74 m2/pig thereafter in Exp. 1. In Exp. 2, pen size was fixed at 2.44 x 4.27 m. In Exp. 1, there was no effect (P > 0.20) of treatment on performance prior to 70 kg. Least squares means for ADG from time of sort and remix to first pig removal from a pen for slaughter at 113 kg were 0.93, 0.87, and 0.91 kg/d for the 20/15, 15M, and 15S treatments, respectively (P < 0.05). When comparing the population represented by the 20/15 + 15M treatments vs the 15S population, there was no difference (P > 0.20) in ADG, ADFI, feed conversion, or carcass lean content. In Exp. 2, pigs in the 20/15 treatment grew slower (P < 0.05) than 15S pigs for the first 21 d (0.20 vs 0.22 kg/d, respectively) with a lower ADFI (P = 0.06) and no difference in feed conversion. When comparing the population represented by the 20/15 + 15M treatments vs the 15S population after sorting and remixing, there was no effect (P > 0.15) of experimental treatments on ADG, ADFI, feed conversion efficiency, carcass lean content, or daily lean gain. These results suggest that removal of lightweight pigs and remixing of the removed pigs into pens of similar-weight pigs is ineffective in improving the overall performance of a population of pigs during the postweaning period.

Duration of feeding conjugated linoleic acid influences growth performance, carcass traits, and meat quality of finishing barrows.

Conjugated linoleic acid (CLA) was fed to growing-finishing barrows (n = 92) at 0.75% of the diet. A commercial CLA preparation (CLA 60) containing 60% CLA isomers was included at 1.25% to provide 0.75% CLA in the diet. The inclusion of CLA in diets was initiated at various BW and fed until slaughter. Growth, carcass, meat quality, physical, chemical, and sensory data were collected and analyzed. Treatments T1, T2, T3, and T4 included the last 0, 29, 56 and 87 kg, respectively, of weight gain before slaughter. Average daily gain and feed intake were not affected (P > or = 0.06) by CLA, but gain:feed responded quadratically (P = 0.05), over the entire BW gain (28 to 115 kg) with pigs of T2 and T3 having the greatest gain:feed. Loin muscle area increased (P = 0.01) linearly with increasing weight gain while fed CLA, and 10th rib, first rib, and last rib fat depth decreased (P < or = 0.05) linearly. Subjective quality measures on loin muscles increased linearly for marbling (P < 0.05) and tended to increase for firmness (P = 0.07) with increasing weight gain while barrows were fed CLA. Objective Hunter color values for loin chops from T1 and T4 were not different for L* (P = 0.12) or a* (P = 0.08) values but were higher (P < 0.05) for b* values with CLA feeding. Lipid oxidation values of loin muscle tissue were lower (P < 0.05) for pigs fed CLA (T1 vs T4). Increasing the period of weight gain while feeding CLA linearly increased (P < 0.01) saturated fatty acids and CLA isomers in loin tissue and linearly increased (P < 0.01) saturated fatty acids and CLA isomers in subcutaneous adipose tissue. Sensory panel characteristics of loin chops were not changed (P > 0.05) by feeding CLA. Increased gain:feed, increased loin muscle area, decreased fat depth, and improvements in marbling and firmness with CLA feeding could result in improved profitability of pork production systems.

Long-term influence of lipid nutrition on the induction of CD8(+) responses to viral or bacterial antigens.

Porcine CD8(+) lymphocytes are critical for the development of cellular immune responses to bacterial (i.e. CD8alphaalpha(+)) and viral (i.e. CD8alphabeta(+) lymphocytes) pathogens. Vaccination and challenge modulate the kinetics of appearance of CD8(+) cells in peripheral blood. In addition to antigen-mediated modulation, nutritional modulation can also influence cell-mediated immunity. We had previously observed that diets supplemented with a mixture of conjugated linoleic acid (CLA) isomers expanded porcine CD8(+) peripheral blood mononuclear cells (PBMC). The present study aimed to investigate the influence of prior consumption of a nutraceutical, (i.e. dietary CLA) on phenotypes and effector functions of porcine PBMC following immunization with a bacterin or a modified-live viral vaccine. It was demonstrated that the effects of dietary CLA on immune cell phenotype (i.e. numbers of CD8alphabeta(+) cells) persisted after the compound was withdrawn from the diet (i.e. 67 days), whereas effector functions (i.e. antigen-stimulated proliferation and cytotoxicity) disappeared earlier (i.e. 25 days). Specifically, numbers of CD8alphabeta(+) PBMC in pigs that had been fed diets supplemented with CLA were greater than in pigs fed control (i.e. isoenergetic and unsupplemented) diets, regardless of the vaccination treatment. Furthermore, prior dietary CLA supplementation interacted with viral immunization (i.e. modified-live pseudorabies virus (PRV) vaccine) by enhancing both pseudorabies-specific proliferative responses of CD8alphabeta(+) PBMC and granzyme activities of PBMC.

Dietary conjugated linoleic acid modulates phenotype and effector functions of porcine CD8(+) lymphocytes.

In vivo vaccination and challenge studies have demonstrated that CD8(+) lymphocytes are essential for the development of cell-mediated protection against intracellular pathogens and neoplastic cells. Depletion of peripheral blood CD8(+) cells interferes with clearance of viruses and intracellular fungi, induction of delayed type hypersensitivity responses and antitumoral activity. In contrast to humans or mice, porcine peripheral CD8(+) lymphocytes are characterized by a heterogeneous expression pattern (i.e., CD8alphabeta and CD8alphaalpha) that facilitates the study of distinctive traits among minor CD8(+) cell subsets. A factorial (2 x 2) arrangement within a split-plot design, with 16 blocks of two littermate pigs as the experimental units for immunization treatment (i.e., unvaccinated or vaccinated with a proteinase-digested Brachyspira hyodysenteriae bacterin) and pig within block as the experimental unit for dietary treatment (soybean oil or conjugated linoleic acid) were used to investigate the phenotypic and functional regulation of CD8(+) cells by dietary conjugated linoleic acid (CLA). Dietary CLA supplementation induced in vivo expansion of porcine CD8(+) cells involving T-cell receptor (TCR)gammadeltaCD8alphaalpha T lymphocytes, CD3(-)CD16(+)CD8alphaalpha (a porcine natural killer cell subset), TCRalphabetaCD8alphabeta T lymphocytes and enhanced specific CD8(+)-mediated effector functions (e.g., granzyme activity). Expansion of peripheral blood TCRalphabetaCD8alphabeta cells was positively correlated (r = 0.89, P < 0.01) with increased percentages of CD8alphabeta(+) thymocytes. Functionally, CLA enhanced the cytotoxic potential of peripheral blood lymphocytes and proliferation of TCRgammadeltaCD8alphaalpha cells. Collectively, these results indicate that dietary CLA enhances cellular immunity by modulating phenotype and effector functions of CD8(+) cells involved in both adaptive and innate immunity.

Interaction of swine nursery and grow-finish space allocations on performance.

Two experiments were conducted to evaluate the possible interaction of nursery space allocations and grow-finish space allocations in swine. In Exp. 1, crowding was achieved by varying the number of pigs per pen. During the nursery phase, decreasing the space allocation (0.16 m2/pig vs 0.25 m2/pig; 8 and 12 pens per treatment, respectively) by increasing the number of pigs per pen (18 vs 12) resulted in a decrease in daily feed intake (0.609 vs 0.683 kg/d; P < 0.001) and daily gain (0.364 vs 0.408 kg/d; P < 0.001). Pigs were mixed within nursery treatment groups and reassigned to grow-finish pens (6 pens per treatment) at the end of the 35-d nursery period providing either 0.56 m2/pig (14 pigs/pen) or 0.78 m2/pig (10 pigs/pen). Crowding during the grow-finish phase decreased daily feed intake (P < 0.003) and daily gain (P < 0.001). In Exp. 2, space allocations of 0.16 m2/pig vs 0.23 m2/pig during the nursery phase (24 pens per treatment) resulted in a decrease in daily feed intake (0.612 vs 0.654 kg/d; P < 0.005) and daily gain (0.403 vs 0.430 kg/d; P < 0.001). Pigs remained in the same (social) groups when moved to the grow-finish phase. Unlike Exp. 1, there was no effect of crowding during the grow-finish phase (0.60 m2/pig vs 0. 74 m2/pig) on daily feed intake or daily gain. The difference in results between experiments suggests that the response to crowding during the grow-finish phase may depend in part on whether pigs are mixed and sorted following movement from the nursery.

Increased plasma follicle-stimulating hormone concentrations in prepubertal gilts from lines selected for increased number of corpora lutea.

Plasma follicle-stimulating hormone (FSH) was evaluated in gilts from two studies in which ovulation rate was increased through direct selection for number of corpora lutea (CL) to determine whether selection for ovulation rate affected FSH secretion during prepubertal development. In the first study, 76 control and 110 selected gilts of University of Nebraska gene pool lines were bled twice during prepubertal development. Plasma FSH concentrations were greater (P < 0.05) at 53 (13.5%) and 75 (21.3%) d of age in selected than in control gilts. In the second study, 254 control gilts, 261 gilts from a line selected for ovulation rate, and 256 gilts from a line selected for uterine capacity were bled at three prepubertal ages. Plasma FSH was greater (P < 0.05), relative to controls, on d 34 (> 24%), 55 (> 13%), and 85 (> 10%) in White Composite gilts selected for either increased ovulation rate or for greater uterine capacity. Unilateral ovariectomy and hysterectomy were performed at 160 d of age on random gilts in these three lines (n = 377); weights of these organs were evaluated to determine whether selection affected their development. Ovarian and uterine weights were less (P < 0.01) in the control than in the ovulation rate line. Subsequently, ovulation rate was determined during pregnancy (n > or = 130 gilts/line). Controls had fewer (P < 0.01) CL (14.6) than gilts of the ovulation rate line (17.7) but numbers similar (P > 0.10) to those of gilts of the uterine capacity line (14.7). Within each line, plasma FSH only on d 85 correlated positively with subsequent ovulation rate (P < 0.03, 0.001, and 0.08; r = 0.17, 0.30, and 0.15 for control, ovulation rate, and uterine capacity lines, respectively). Ovarian weight at 160 d of age also correlated with subsequent ovulation rate (P < 0.03 and 0.001; r = 0.23 and 0.38) in control and ovulation rate gilts but not in uterine capacity gilts (P > 0.10; r = 0.11). Gilts selected for increased number of CL, in two independent studies, had greater concentrations of FSH during prepubertal development than respective controls. The modest but significant, positive association of FSH at 85 d of age with subsequent ovulation rate provides additional support for using plasma FSH in prepubertal gilts to indirectly select for ovulation rate.

Calcitroic acid is a major catabolic metabolite in the metabolism of 1 alpha-dihydroxyvitamin D(2).

Calcitroic acid (1 alpha-hydroxy-23 carboxy-24,25,26,27-tetranorvitamin D(3)) is known to be the major water-soluble metabolite produced during the deactivation of 1 alpha,25-dihydroxyvitamin D(3). This deactivation process involves a series of oxidation reactions at C(24) and C(23) leading to side-chain cleavage and, ultimately, formation of the calcitroic acid. Like 1 alpha,25-dihydroxyvitamin D(3), 1 alpha,25-dihydroxyvitamin D(2) is also known to undergo side-chain oxidation; however, to date there has been no evidence suggesting that 1 alpha,25-dihydroxyvitamin D(2) undergoes side-chain cleavage. To investigate this possibility, we studied 1 alpha,25-dihydroxyvitamin D(2) metabolism in HPK1A-ras cells as well as the well characterized perfused rat kidney system. Lipid and aqueous-soluble metabolites were prepared for characterization. Aqueous-soluble metabolites were subjected to reverse-phase HPLC analysis. The major aqueous-soluble metabolite from both the kidney and cell incubations comigrated with authentic calcitroic acid on two reverse-phase HPLC columns of different chemistry. The putative calcitroic acid from the cell and kidney incubations was methylated and found to comigrate with methylated authentic standard on straight-phase and reverse-phase HPLC columns. The identity of the methylated metabolite from cell incubations was also confirmed by mass spectral analysis. These data show, for the first time, that calcitroic acid is a major terminal product for the deactivation of 1 alpha,25-dihydroxyvitamin D(2). Intermediates leading to the formation of the calcitroic acid in the 1 alpha,25-dihydroxyvitamin D(2) metabolism pathway are currently being studied.

Effects of dietary conjugated linoleic acid in nursery pigs of dirty and clean environments on growth, empty body composition, and immune competence.

Early-weaned pigs (n = 64) averaging 5.3 +/- 0.3 kg and distributed into two environments (dirty and clean) were used to evaluate effects of conjugated linoleic acid (CLA) on growth performance, immune competence, and empty body composition. A factorial (2 x 4) arrangement within a split-plot design, with four littermate pigs as the experimental unit for the environment, pig within litter as the experimental unit for dietary treatment, and d-0 body weight used as covariate, were used in data analysis. Diets were formulated to contain CLA at 0, 0.67, 1.33, or 2% and to exceed the NRC (1988) nutrient needs of pigs. Animals were given ad libitum access to feed for 7 wk in three phases (I, 1 to 2; II, 3 to 5; and III, 6 to 7 wk). Within phases, diets were isocaloric and isonitrogenous. In Phase I, as dietary CLA concentration increased, ADG and ADFI decreased linearly (P < 0.05 and P < 0.02, respectively). In Phase II, upon adaptation to dietary CLA supplementation, ADG increased quadratically (603, 623, 622, and 548 g/d; P < 0.01), ADFI decreased linearly (873, 840, 867, and 717 g/d; P < 0.02) and gain:feed ratio tended to increase linearly (691, 742, 715, and 763; P < 0.07). In Phase III, no differences in growth performance were attributed to either dietary or environmental treatments. The poor health status associated with the dirty environment induced a growth suppression; pigs in the clean room had a greater cumulative ADG (P < 0.01) and ADFI (P < 0.01) than pigs in the dirty room. In Phase I, lower plasma urea nitrogen levels observed in pigs found in the dirty room (P < 0.03) indicated a lower protein intake caused by a lower ADFI. The effects of dietary CLA on peripheral phenotypic profiles of lymphoytes did not appear until d 42. However, as indicated by the growth suppression of pigs in the dirty room, the negative effects of the environmental challenge on pig health and growth had already appeared during phase I. On d 42, CLA induced a linear increase in percentages of CD8+ lymphocytes (21.7, 22.3, 28.0, and 32.7%; P < 0.001). These data suggest that a 42-d dietary CLA supplementation preceding a disease challenge could have prevented disease-associated growth suppression. Also, CLA-mediated amelioration of particular infectious diseases will depend on which CD8+ T cell subset (i.e., CD8alphaalpha-immunoregulatory or CD8alphabeta-cytotoxic) is most influenced by dietary CLA supplementation.

When the visit to the emergency department is medically nonurgent: provider ideologies and patient advice.

It is estimated that more than half of pediatric hospital emergency department (ED) visits are medically nonurgent. Anecdotal impressions suggest that ED providers castigate medically nonurgent visits, yet studies on such visits are scarce. This study explored the perspectives of 26 providers working in the EDs of two urban hospitals regarding medically nonurgent pediatric ED visits and advising parents or guardians on appropriate ED use. Three provider ideologies regarding the appropriateness of medically nonurgent ED use were identified and found to be linked to particular communication strategies that providers employed with ED users: restrictive, pragmatic, and all-inclusive. The analysis resulted in the development of a typology of provider ideological orientations toward ED use, distinguished according to different orientations toward professional dominance.

"Breast is best": knowledge among low-income mothers is not enough.

The beliefs of low-income mothers regarding breastfeeding compared to formula feeding, according to feeding method, were investigated. Interviews were conducted with 154 women who were assigned to one of two groups. Four health benefits of breastfeeding were rated significantly higher than for infant formula within both the breastfeeding (BF) and formula-feeding (FF) groups. Breastfeeding was seen as less convenient than formula feeding by the FF group (mean = 2.3 +/- 1.7 versus 3.8 +/- 1.5 for formula feeding and breastfeeding, respectively; P < .001). Both groups rated formula feeding as more likely to enable others to help in infant care, easier in terms of the mother's time control, and less likely to tie mother down than breastfeeding. The findings show that, despite formula-feeding mothers' beliefs in the health benefits of breastfeeding, they perceive that it limits their activities. Therefore, breastfeeding promotion must address not only benefits but also lifestyle issues.

Low-income mothers' views on breastfeeding.

Nourishing infants presents women today with choices, desires, obligations and constraints. Despite mounting evidence about the health, psychosocial and societal benefits of breastfeeding both for women and infants, current breastfeeding rates worldwide are far from optimal, particularly among low-income women. Many mothers choose to use infant formula. Drawing from structured interviews with 154 mothers from an urban low-income multiethnic population in the United States, a typology of mothers' feelings about their infant feeding method is developed. Findings indicate that regardless of their feeding method, mothers tended to attribute higher health benefits to breastfeeding and perceived community norms as probreastfeeding. They differed in their rating and perceptions of logistics and the extent to which benefits mattered in their infant-feeding decision. Contradictions associated with the practice of breastfeeding even among mothers who breastfed, were reflected in their perceptions of social disapproval of breastfeeding in public, reports of ridicule by friends, lack of support from some health providers, and difficulties associated with working. A typology of mothers' emotional states resulting from such contradictions summarizes the findings and underscores how some mothers who did not, but would have liked to breastfeed, may be subjected to feelings of guilt and deprivation. Implications for educational interventions are to amplify prenatal infant feeding consultations and address ways to overcome logistical and apprehension barriers.

Few differences found between early- and late-weaned pigs raised in the same environment.

Segregation and medicated early weaning are technologies used to optimize the productivity and health of pigs, but these practices may also cause aberrant behaviors indicative of stress. Thus, differences in early- (=10 d of age) and late- (=30 d of age) weaned pigs were investigated. At weaning, pigs were housed in groups of four in 16 pens (eight pens per treatment) in the same facility, and, thus, they were not segregated. Body weights were recorded at birth, weaning, and at approximately 42, 65, 102, 137, and 165 d of age (at slaughter). One-minute, instantaneous scan samples during a 10-min period (at 0600, 1000, 1400, and 1800) were used to record the frequency of lying, standing, and sitting, total number of drinks, feeder investigations, and time spent playing/fighting on 2, 3, and 4 d after weaning. Five-minute, direct observations of each pig were conducted at approximately 40, 60, 80, and 150 d of age. Direct observations were also made of the entire pen for 10 min at approximately 50, 95, 123, and 160 d of age to record aberrant behaviors. At 62 d of age, a handling and blood collection stress was imposed. At 165 d of age, a second stress test was conducted in response to rough handling and transport. Early-weaned pigs spent more time playing/ fighting (P < .006) than late-weaned pigs during the 4 d after weaning, manipulated conspecifics more often at 40 d of age (P < .002), had greater percentage of hemoglobin (P < .03) during Stress Test 1, had greater ADG at 42 d of age (P < .03), and had greater hypothalamic growth hormone-releasing hormone receptor mRNA at slaughter (P < .06). Late-weaned pigs had greater ADG between 137 and 165 d of age (P < .03) and greater pro-opiomelanocortin at slaughter (P < .04). Overall, most differences found between early-weaned and late-weaned pigs were evident soon after weaning, but they disappeared before slaughter.

You can make a difference: increasing breastfeeding rates in an inner-city clinic.

Breastfeeding is endorsed in the United States as the ideal infant feeding method, but initiation rates are far behind U.S. national goals, and are generally lower in poorer socioeconomic groups. The goal of the project described was to increase breastfeeding rates in an inner-city clinic. The intervention consisted of prenatal breastfeeding education for all pregnant women, postpartum gift packs, and support groups. During the study, the breastfeeding initiation rate rose from 36% to 66% (p < 0.05) and the proportion still breastfeeding at 2 weeks postpartum increased from 35% to 57% (p < 0.05). The cost of the project was minimal. The biggest expense was the discharge packets. We conclude that relatively inexpensive interventions can have a significant impact on breastfeeding initiation, even in a population at high risk of not breastfeeding.