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2.
Geriatr Nurs ; 50: 90-93, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36689850

RESUMO

People with a dysphagia may eat and drink with acknowledged risks (EDAR). The FORWARD care bundle (Feeding via the Oral Route With Acknowledged Risk of Deterioration) is used at our hospital to support patients who are EDAR. This two-year retrospective study of patients supported by FORWARD aimed to determine incidence of EDAR-related readmissions and effects of discharge location and documented preferred place of care in advance care plans. Of 316 patients supported by FORWARD, 200 were discharged alive. 63% (n=126) were not readmitted within six months. Of 74 patients readmitted, 49% had an EDAR-related readmission. Significantly fewer patients wishing to remain at home had EDAR-related readmissions (7%, n=4) than those without a documented preferred place of care (23%, n=30, p<0.01), suggesting advance care plans are effective. Significantly more (23%, n=29) patients discharged to private homes had EDAR-related readmissions than those in nursing/care homes (10%, n=6, p<0.05), which could suggest residential care provides more support.


Assuntos
Hospitais , Readmissão do Paciente , Humanos , Estudos Retrospectivos , Alta do Paciente , Casas de Saúde , Fatores de Risco
3.
JDS Commun ; 2(5): 248-252, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-36338380

RESUMO

This study estimates the birth weight and growth rate for UK dairy calves and partitions unexplained variability in the weight of calves aged up to 20 wk. Raising replacements is a major contributor to the sustainability of dairying, but existing industry targets may not be applicable and achievable on all farms. For hierarchical data, variance partition coefficients (VPC) describe the proportion of unexplained variance residing at each level of the hierarchy due to clustering and indicate the potential to change outcomes through influencing variables acting at each level. This information could be used to inform the allocation of resources for further investigation. Calves were weighed according to farm-specific protocols. The data set analyzed contained records between June 5, 2014, and February 28, 2020, from 28 veterinary practices servicing 139 farms with 19,708 calves up to 20 wk of age, from which there were 59,588 weight recordings. Calves were Holstein-Friesian females. Calf weight was described using a multivariable mixed linear model with fixed effects for age. Mean birth weight was 41 kg. Mean growth rate increased from 0.59 kg/d at 1 d of age to 0.87 kg/d after 138 d. Cumulative mean growth rate up to 138 d of age was 0.73 kg/d. Birth weight and growth rate estimates are comparable with those made previously but are more precise due to larger sample size. Calf growth rate varied between farms, meaning that VPC at the calf, farm, and veterinary practice levels depended on calf age. Most unexplained variation in the weight of calves aged 66 d and over was due to differences between farms. At birth and 130 d of age, VPC at the farm level was 0.02 and 0.77, respectively. In contrast, most variation in neonatal calf weight was due to differences between calves. At birth and 130 d of age, VPC at the calf level was 0.84 and 0.20, respectively. The 0.025 to 0.975 quantile coverage of cluster-specific mean calf birth weight for combinations of veterinary practice and farm was 34 to 49 kg. The 0.025 to 0.975 quantile coverage of cluster-specific cumulative mean calf growth rate for combinations of veterinary practice and farm was 0.56 to 1.00 kg/d. Understanding reasons for these differences should be the basis of research into optimal calf management strategies to define economic targets for specific circumstances.

4.
Sci Rep ; 10(1): 8176, 2020 05 18.
Artigo em Inglês | MEDLINE | ID: mdl-32424237

RESUMO

The glass sponge Aphrocallistes vastus contributes to the formation of large reefs unique to the Northeast Pacific Ocean. These habitats have tremendous filtration capacity that facilitates flow of carbon between trophic levels. Their sensitivity and resilience to climate change, and thus persistence in the Anthropocene, is unknown. Here we show that ocean acidification and warming, alone and in combination have significant adverse effects on pumping capacity, contribute to irreversible tissue withdrawal, and weaken skeletal strength and stiffness of A. vastus. Within one month sponges exposed to warming (including combined treatment) ceased pumping (50-60%) and exhibited tissue withdrawal (10-25%). Thermal and acidification stress significantly reduced skeletal stiffness, and warming weakened it, potentially curtailing reef formation. Environmental data suggests conditions causing irreversible damage are possible in the field at +0.5 °C above current conditions, indicating that ongoing climate change is a serious and immediate threat to A. vastus, reef dependent communities, and potentially other glass sponges.


Assuntos
Recifes de Corais , Aquecimento Global , Poríferos/crescimento & desenvolvimento , Animais , Mudança Climática , Ecossistema , Concentração de Íons de Hidrogênio , Força Muscular , Músculo Esquelético/fisiologia , Oceano Pacífico , Poríferos/fisiologia , Água do Mar/química
5.
Anim Genet ; 51(1): 111-116, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31793009

RESUMO

Equine recurrent uveitis (ERU) is characterized by intraocular inflammation that often leads to blindness in horses. Appaloosas are more likely than any other breed to develop insidious ERU, distinguished by low-grade chronic intraocular inflammation, suggesting a genetic predisposition. Appaloosas are known for their white coat spotting patterns caused by the leopard complex spotting allele (LP) and the modifier PATN1. A marker linked to LP on ECA1 and markers near MHC on ECA20 were previously associated with increased ERU risk. This study aims to further investigate these loci and identify additional genetic risk factors. A GWAS was performed using the Illumina Equine SNP70 BeadChip in 91 horses. Additive mixed model approaches were used to correct for relatedness. Although they do not reach a strict Bonferroni genome-wide significance threshold, two SNPs on ECA1 and one SNP each on ECA12 and ECA29 were among the highest ranking SNPs and thus warranted further analysis (P = 1.20 × 10-5 , P = 5.91 × 10-6 , P = 4.91 × 10-5 , P = 6.46 × 10-5 ). In a second cohort (n = 98), only an association with the LP allele on ECA1 was replicated (P = 5.33 × 10-5 ). Modeling disease risk with LP, age and additional depigmentation factors (PATN1 genotype and extent of roaning) supports an additive role for LP and suggests an additive role for PATN1. Genotyping for LP and PATN1 may help predict ERU risk (AUC = 0.83). The functional role of LP and PATN1 in ERU development requires further investigation. Testing samples across breeds with leopard complex spotting patterns and a denser set of markers is warranted to further refine the genetic components of ERU.


Assuntos
Doenças dos Cavalos/genética , Cavalos/genética , Canais de Cátion TRPM/genética , Uveíte/veterinária , Alelos , Animais , Cruzamento , Estudos de Casos e Controles , Estudos de Associação Genética/veterinária , Predisposição Genética para Doença , Genótipo , Cor de Cabelo , Modelos Genéticos , Polimorfismo de Nucleotídeo Único , Uveíte/genética
6.
Soc Sci Med ; 236: 112395, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31326778

RESUMO

There is growing evidence for the effectiveness of choice architecture or 'nudge' interventions to change a range of behaviours including the consumption of alcohol, tobacco and food. Public acceptability is key to implementing these and other interventions. However, few studies have assessed public acceptability of these interventions, including the extent to which acceptability varies with the type of intervention, the target behaviour and with evidence of intervention effectiveness. These were assessed in an online study using a between-participants full factorial design with three factors: Policy (availability vs size vs labelling vs tax) x Behaviour (alcohol consumption vs tobacco use vs high-calorie snack food consumption) x Evidence communication (no message vs assertion of policy effectiveness vs assertion and quantification of policy effectiveness [e.g., a 10% change in behaviour]). Participants (N = 7058) were randomly allocated to one of the 36 groups. The primary outcome was acceptability of the policy. Acceptability differed across policy, behaviour and evidence communication (all ps < .001). Labelling was the most acceptable policy (supported by 78%) and Availability the least (47%). Tobacco use was the most acceptable behaviour to be targeted by policies (73%) compared with policies targeting Alcohol (55%) and Food (54%). Relative to the control group (60%), asserting evidence of effectiveness increased acceptability (63%); adding a quantification to this assertion did not significantly increase this further (65%). Public acceptability for nudges and taxes to improve population health varies with the behaviour targeted and the type of intervention but is generally favourable. Communicating that these policies are effective can increase support by a small but significant amount, suggesting that highlighting effectiveness could contribute to mobilising public demand for policies. While uncertainty remains about the strength of public support needed, this may help overcome political inertia and enable action on behaviours that damage population and planetary health.


Assuntos
Consumo de Bebidas Alcoólicas/prevenção & controle , Comunicação , Alimentos , Política de Saúde , Impostos , Uso de Tabaco/prevenção & controle , Comportamento de Escolha , Dieta , Feminino , Humanos , Masculino , Inquéritos e Questionários
7.
Mar Environ Res ; 141: 88-99, 2018 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-30115533

RESUMO

Biogenic habitats play important roles in shallow-water ecosystems, but their roles in deeper waters are less well-studied. We quantitatively assessed 19 glass sponge reefs in the Salish Sea for live reef-building sponge cover and biodiversity, explored potential drivers behind variation observed among reefs, and quantified individual and collective roles the reefs play in filtration and carbon removal. The reefs support diverse and abundant communities of invertebrates and fish, with 115 unique taxonomic groups observed. Sponge cover varied widely between reefs: percent live reef-building sponge cover ranged from 0.2 to 17.5% and proportion of live reef habitat category ranged from 0.2 to 92%. These differences were predominantly driven by the seabed terrain characteristics such as seafloor rugosity, curvature, and depth; human pressure measures explored in this study - density of anthropogenic objects and fishing footprint over the past 17 years - did not mask the natural influence of seabed terrain. The difference in sponge cover between the reefs led to wide variation in ecosystem function with individual reefs processing between 465 and 47,300 L/m2 per day. Collectively, each day the 19 reefs filter 1.04 × 1011 L of water which corresponds to 1% of the total water volume in Strait of Georgia and Howe Sound combined. The reefs remove up to 1 g of carbon per m2 per day, comparable to carbon sequestration rates reported for terrestrial old growth forests and to "blue carbon" sequestration rates by marine vegetation. Implications for sponge reef conservation and monitoring are discussed.


Assuntos
Biodiversidade , Ecologia , Ecossistema , Animais , Recifes de Corais , Atividades Humanas , Humanos , Invertebrados
8.
J Dairy Sci ; 101(2): 1311-1324, 2018 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-29174157

RESUMO

It has been demonstrated that low body condition and previous occurrence of lameness increase the risk of future lameness in dairy cows. To date the population attributable fraction (PAF), which provides an estimate of the contribution that a risk factor makes toward the total number of disease events in a population, has not been explored for lameness using longitudinal data with repeated measures. Estimation of PAF helps to identify control measures that could lead to the largest improvements on-farm. The aim of this study was to use longitudinal data to evaluate the proportion of lameness that could be avoided in 2 separate herds (2 populations) through (1) reduced recurrence of previous lameness events, (2) and moving body condition score (BCS) into more optimal ranges. Data were obtained from 2 UK dairy herds: herd A, a 200-cow herd with 8 yr of data from a total of 724 cows where lameness events were based on weekly locomotion scores (LS; 1 to 5 scale), and herd B, a 600-cow herd with data recorded over 44 mo from a total of 1,040 cows where treatment of clinical cases was used to identify lameness events. The PAF for categories of BCS were estimated using a closed equation appropriate for multiple exposure categories. Simulation models were used to explore theoretical scenarios to reflect changes in BCS and recurrence of previous lameness events in each herd. For herd A, 21.5% of the total risk periods (cow-weeks) contained a lameness event (LS 3, 4, or 5), 96% of which were repeat events and 19% were recorded with BCS <2 (3 wk previously; 0 to 5 scale). When lameness events were based on 2 consecutive weeks of LS 4 or 5, 4% of risk periods were recorded as lame, of which 89.5% were repeat events. For herd B, 16.3% of the total risk periods (consecutive 30 d) contained a lameness event (72.6% were repeat events) and 20% were recorded with BCS ≤2 (0 to 120 d previously). The median PAF for all previous lameness was between 79 and 83% in the 2 herds. Between 9 and 21% of lameness events could be attributed to previous lameness occurring >16 wk before a risk period. The median PAF estimated for changes in BCS were in the region of 4 to 11%, depending on severity of lameness. Repeated bouts of lameness made a very large contribution to the total number of lameness events. This could either be because certain cows are initially susceptible and remain susceptible, due to the increased risk associated with previous lameness events, or due to interactions with environmental factors. This area requires further research.


Assuntos
Composição Corporal , Doenças dos Bovinos/etiologia , Coxeadura Animal/etiologia , Animais , Bovinos , Doenças dos Bovinos/epidemiologia , Indústria de Laticínios , Suscetibilidade a Doenças , Feminino , Coxeadura Animal/epidemiologia , Fatores de Risco , Reino Unido/epidemiologia
9.
Biochim Biophys Acta ; 1859(5): 744-56, 2016 May.
Artigo em Inglês | MEDLINE | ID: mdl-27032571

RESUMO

miRNAs play critical roles in heart disease. In addition to differential miRNA expression, miRNA-mediated control is also affected by variable miRNA processing or alternative 3'-end cleavage and polyadenylation (APA) of their mRNA targets. To what extent these phenomena play a role in the heart remains unclear. We sought to explore miRNA processing and mRNA APA in cardiomyocytes, and whether these change during cardiac hypertrophy. Thoracic aortic constriction (TAC) was performed to induce hypertrophy in C57BL/6J mice. RNA extracted from cardiomyocytes of sham-treated, pre-hypertrophic (2 days post-TAC), and hypertrophic (7 days post-TAC) mice was subjected to small RNA- and poly(A)-test sequencing (PAT-Seq). Differential expression analysis matched expectations; nevertheless we identified ~400 mRNAs and hundreds of noncoding RNA loci as altered with hypertrophy for the first time. Although multiple processing variants were observed for many miRNAs, there was little change in their relative proportions during hypertrophy. PAT-Seq mapped ~48,000 mRNA 3'-ends, identifying novel 3' untranslated regions (3'UTRs) for over 7000 genes. Importantly, hypertrophy was associated with marked changes in APA with a net shift from distal to more proximal mRNA 3'-ends, which is predicted to decrease overall miRNA repression strength. We independently validated several examples of 3'UTR proportion change and showed that alternative 3'UTRs associate with differences in mRNA translation. Our work suggests that APA contributes to altered gene expression with the development of cardiomyocyte hypertrophy and provides a rich resource for a systems-level understanding of miRNA-mediated regulation in physiological and pathological states of the heart.


Assuntos
Hipertrofia/genética , MicroRNAs/genética , Miócitos Cardíacos/metabolismo , Biossíntese de Proteínas/genética , Animais , Regulação da Expressão Gênica , Humanos , Camundongos , MicroRNAs/metabolismo , Miócitos Cardíacos/patologia , Poliadenilação/genética , Processamento Pós-Transcricional do RNA
10.
Anim Genet ; 47(1): 91-101, 2016 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-26568529

RESUMO

Leopard complex spotting (LP), the result of an incompletely dominant mutation in TRPM1, produces a collection of unique depigmentation patterns in the horse. Although the LP mutation allows for expression of the various patterns, other loci are responsible for modification of the extent of white. Pedigree analysis of families segregating for high levels of patterning indicated a single dominant gene, named Pattern-1 (PATN1), as a major modifier of LP. Linkage analysis in two half-sibling families segregating for PATN1 identified a 15-Mb region on ECA3p that warranted further investigation. Whole transcriptome sequencing of skin samples from horses with and without the PATN1 allele was performed to identify genic SNPs for fine mapping. Two Sequenom assays were utilized to genotype 192 individuals from five LP-carrying breeds. The initial panel highlighted a 1.6-Mb region without a clear candidate gene. In the second round of fine mapping, SNP ECA3:23 658 447T>G in the 3'-UTR of RING finger and WD repeat domain 3 (RFWD3) reached a significance level of P = 1.063 × 10(-39). Sequencing of RFWD3 did not identify any coding polymorphisms specific to PATN1 horses. Genotyping of the RFWD3 3'-UTR SNP in 54 additional LP animals and 327 horses from nine breeds not segregating for LP further supported the association (P = 4.17 × 10(-115)). This variant is a strong candidate for PATN1 and may be particularly useful for LP breeders to select for high levels of white patterning.


Assuntos
Cor de Cabelo/genética , Cavalos/genética , Polimorfismo de Nucleotídeo Único , Ubiquitina-Proteína Ligases/genética , Regiões 3' não Traduzidas , Animais , Cruzamento , Mapeamento Cromossômico , Feminino , Genes Dominantes , Ligação Genética , Genótipo , Masculino , Linhagem , Fenótipo , Análise de Sequência de DNA , Transcriptoma
11.
J Clin Microbiol ; 54(1): 68-74, 2016 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-26491180

RESUMO

Multilocus sequence typing was successfully completed on 494 isolates of Streptococcus uberis from clinical mastitis cases in a study of 52 commercial dairy herds over a 12-month period. In total, 195 sequence types (STs) were identified. S. uberis mastitis cases that occurred in different cows within the same herd and were attributed to a common ST were classified as potential transmission events (PTEs). Clinical cases attributed to 35 of the 195 STs identified in this study were classified PTE. PTEs were identified in 63% of the herds. PTE-associated cases, which include the first recorded occurrence of that ST in that herd (index case) and all persistent infections with that PTE ST, represented 40% of all the clinical mastitis cases and occurred in 63% of the herds. PTE-associated cases accounted for >50% of all S. uberis clinical mastitis cases in 33% of the herds. Nine STs (ST-5, -6, -20, -22, -24, -35, -233, -361, and -512), eight of which were grouped within a clonal complex (sharing at least four alleles), were statistically overrepresented (OVR STs). The findings indicate that 38% of all clinical mastitis cases and 63% of the PTEs attributed to S. uberis in dairy herds may be caused by the nine most prevalent strains. The findings suggest that a small subset of STs is disproportionally important in the epidemiology of S. uberis mastitis in the United Kingdom, with cow-to-cow transmission of S. uberis potentially occurring in the majority of herds in the United Kingdom, and may be the most important route of infection in many herds.


Assuntos
Transmissão de Doença Infecciosa , Variação Genética , Mastite Bovina/epidemiologia , Mastite Bovina/transmissão , Infecções Estreptocócicas/veterinária , Streptococcus/classificação , Streptococcus/isolamento & purificação , Animais , Bovinos , Mastite Bovina/microbiologia , Epidemiologia Molecular , Tipagem de Sequências Multilocus , Infecções Estreptocócicas/epidemiologia , Infecções Estreptocócicas/microbiologia , Infecções Estreptocócicas/transmissão , Streptococcus/genética , Reino Unido/epidemiologia
12.
Vet Rec ; 177(13): 339, 2015 Oct 03.
Artigo em Inglês | MEDLINE | ID: mdl-26420804

RESUMO

The aim of this observational cohort study was to investigate the potential economic impact of subclinical bovine herpesvirus 1 (BoHV-1) infection in a commercial UK dairy herd in terms of milk yield depression. Infection status of cows (infected or not infected) was assigned from serology on a single occasion. A multi-level linear model was used to evaluate the impact of infection status on milk production, using milk records that were routinely collected over two years. BoHV-1 seropositive cows produced 2.6 kg/day less milk over the study period compared with cows that were seronegative. This result highlights the importance of appropriate management of risks associated with subclinical infection with BoHV-1 as part of proactive herd health and production management.


Assuntos
Doenças dos Bovinos/virologia , Infecções por Herpesviridae/veterinária , Herpesvirus Bovino 1 , Leite/metabolismo , Animais , Bovinos , Doenças dos Bovinos/fisiopatologia , Estudos de Coortes , Indústria de Laticínios/economia , Feminino , Infecções por Herpesviridae/fisiopatologia , Lactação/fisiologia , Reino Unido
13.
Vet Rec ; 177(9): 222, 2015 Sep 05.
Artigo em Inglês | MEDLINE | ID: mdl-26220848

RESUMO

The aim was to describe variation in length of the dorsal hoof wall in contact with the dermis for cows on a single farm, and hence, derive minimum appropriate claw lengths for routine foot trimming. The hind feet of 68 Holstein-Friesian dairy cows were collected post mortem, and the internal structures were visualised using x-ray µCT. The internal distance from the proximal limit of the wall horn to the distal tip of the dermis was measured from cross-sectional sagittal images. A constant was added to allow for a minimum sole thickness of 5 mm and an average wall thickness of 8 mm. Data were evaluated using descriptive statistics and two-level linear regression models with claw nested within cow. Based on 219 claws, the recommended dorsal wall length from the proximal limit of hoof horn was up to 90 mm for 96 per cent of claws, and the median value was 83 mm. Dorsal wall length increased by 1 mm per year of age, yet 85 per cent of the null model variance remained unexplained. Overtrimming can have severe consequences; the authors propose that the minimum recommended claw length stated in training materials for all Holstein-Friesian cows should be increased to 90 mm.


Assuntos
Criação de Animais Domésticos/métodos , Bovinos/cirurgia , Guias como Assunto , Casco e Garras/cirurgia , Animais , Bovinos/anatomia & histologia , Feminino , Casco e Garras/anatomia & histologia
14.
J Dairy Sci ; 98(7): 4477-86, 2015 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-25981077

RESUMO

Lameness is one of the most significant endemic disease problems facing the dairy industry. Claw horn lesions (principally sole hemorrhage, sole ulcer, and white line disease) are some of the most prevalent conditions. Despite the fact that thousands of animals are treated for these conditions every year, experimental evidence is limited on the most effective treatment protocols. A randomized, positively controlled clinical trial was conducted to test the recovery of newly lame cows with claw horn lesions. Animals on 5 farms were locomotion scored every 2wk. Cows were eligible for recruitment if they had 2 nonlame scores followed by a lame score and had a claw horn lesion on a single claw of a single foot. Following a therapeutic trim, enrolled cows were randomly allocated to 1 of 4 treatments: treatment 1-no further treatment (positive control; TRM), treatment 2-trim plus a block on the sound claw (TB), treatment 3-trim plus a 3-d course of the nonsteroidal anti-inflammatory drug (NSAID) ketoprofen (TN), treatment 4-trim plus a block plus ketoprofen (TBN). The primary outcome measure was locomotion score 35d after treatment, by an observer blind to treatment group. Descriptive statistics suggested that treatment groups were balanced at the time of enrollment, that is, randomization was successful. Based on a sound locomotion score (score 0) 35d after treatment, the number of cures was 11 of 45 (24.4%) for TRM, 14 of 39 (35.9%) for TB, 12 of 42 (28.6%) for TN, and 23 of 41 (56.1%) for TBN. The difference between TBN and TRM was significant. To test for confounding imbalances between treatment groups, logistic regression models were built with 2 outcomes, either sound (score 0) or nonlame (score 0 or 1) 35d after treatment. Compared with TRM, animals that received TBN were significantly more likely to cure to a sound outcome. Farm, treatment season, lesion diagnosis, limb affected, treatment operator, and stage of lactation were included in the final models. Our work suggests that lameness cure is maximized with NSAID treatment in addition to the common practices of therapeutic trimming and elevation of the diseased claw using a block when cows are newly and predominantly mildly lame.


Assuntos
Doenças dos Bovinos/terapia , Doenças do Pé/veterinária , Casco e Garras , Animais , Anti-Inflamatórios não Esteroides/uso terapêutico , Bovinos , Doenças dos Bovinos/tratamento farmacológico , Extremidades , Feminino , Doenças do Pé/tratamento farmacológico , Doenças do Pé/terapia , Hemorragia/veterinária , Casco e Garras/irrigação sanguínea , Lactação , Coxeadura Animal/etiologia , Locomoção , Modelos Logísticos , Estações do Ano
15.
J Dairy Sci ; 98(6): 3766-77, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-25828666

RESUMO

Lameness in dairy cows is a multifactorial and progressive disease with complex interactions between risk factors contributing to its occurrence. Detailed records were obtained from one United Kingdom dairy herd over an 8-yr period. Weekly locomotion scores were used to classify cows as not lame (score 1 to 2), mildly lame (score 3) and severely lame (score 4 to 5). These outcomes were used to investigate the hypothesis that low body condition score (BCS) is associated with an increased risk of lameness in dairy cows. Mixed effect multinomial logistic regression models were used to investigate the association between prior BCS and repeat lameness events during the longitudinal period of the study. Discrete time survival models were used to explore the relationship between prior BCS and first lifetime lameness events. In total, 79,565 cow weeks at risk were obtained for 724 cows. The number of lameness events was 17,114, of which 8,799 were categorized as mildly lame and 8,315 as severely lame. The median BCS was 2.25 (range, 0.75 to 4.25) and the mean body weight (BW) and age at first calving were 619.5 kg (range, 355.6 to 956.4 kg) and 25.8 mo (range, 20.5 to 37.8 mo), respectively. Subsets of the data were used in the discrete time survival models: 333 mild and 211 severe first lifetime lameness events in heifers (first lactation cows), and 81 mild and 49 severe first lifetime lameness events in cows second lactation or greater. Low BCS 3 wk before a repeated lameness event was associated with a significantly increased risk of lameness. Cows with BCS<2 were at greatest risk of mild or severe lameness, and an increased BCS above 2 was associated with a reduced risk of mild or severe lameness. Low BCS 16 or 8 wk before a first mild or severe lifetime lameness event, respectively, also had a positive association with risk of lameness in cows second lactation or greater. This provides evidence to support targeting management toward maintaining BCS to minimize the risk of lameness. Low BW (independent of BCS) and increased age at first calving above 24 mo were also associated with increased long-term risk of repeated lameness events. Overall, the model explained 62 and 60% of the variability for mild and severe lameness, respectively, highlighting the importance of these variables as risk factors and hence where management could be targeted to significantly affect reducing the risk of lameness.


Assuntos
Composição Corporal/fisiologia , Doenças dos Bovinos/epidemiologia , Coxeadura Animal/epidemiologia , Animais , Peso Corporal , Bovinos , Suscetibilidade a Doenças/veterinária , Feminino , Lactação , Locomoção , Modelos Logísticos , Recidiva , Fatores de Risco , Reino Unido
16.
Complement Ther Med ; 23(1): 55-62, 2015 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-25637153

RESUMO

OBJECTIVES: To explore patients' experiences of taking part in a yoga intervention while undergoing treatment for gynaecological cancer. DESIGN: Sixteen women (age range 31-79 years; mean age 60) participated in focus groups based on a semi-structured question schedule. Resulting discussions were audio-recorded, transcribed verbatim and analysed using interpretative phenomenological analysis (IPA). SETTING: Royal Derby Hospital, UK. INTERVENTIONS: Patients took part in a 10-week course of Hatha yoga, where they participated in a one hour long class per week. RESULTS: Three themes emerged from the data: applying breathing techniques, engaging in the physicality of yoga and finding a community. The first theme was particularly important to the patients as they noted the breadth and applicability of the techniques in their day-to-day lives. The latter two themes reflect physical and social perspectives, which are established topics in the cancer and yoga literature and are contextualised here within the women's experiences of cancer treatment. CONCLUSIONS: The women's perceptions of the programme were generally positive, providing a previously unseen view of the patient experience of participating in a yoga intervention. The difference between the women's prior expectations and lived experiences is discussed.


Assuntos
Neoplasias dos Genitais Femininos/psicologia , Yoga/psicologia , Adulto , Idoso , Atitude Frente a Saúde , Feminino , Grupos Focais , Humanos , Meditação/psicologia , Pessoa de Meia-Idade , Percepção
17.
Clin Pharmacol Ther ; 97(1): 88-102, 2015 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-25670386

RESUMO

Nitric oxide (NO) activates soluble guanylate cyclase (sGC) by binding its prosthetic heme group, thereby catalyzing cyclic guanosine monophosphate (cGMP) synthesis. cGMP causes vasodilation and may inhibit smooth muscle cell proliferation and platelet aggregation. The NO-sGC-cGMP pathway is disordered in pulmonary arterial hypertension (PAH), a syndrome in which pulmonary vascular obstruction, inflammation, thrombosis, and constriction ultimately lead to death from right heart failure. Expression of sGC is increased in PAH but its function is reduced by decreased NO bioavailability, sGC oxidation and the related loss of sGC's heme group. Two classes of sGC modulators offer promise in PAH. sGC stimulators (e.g., riociguat) require heme-containing sGC to catalyze cGMP production, whereas sGC activators (e.g., cinaciguat) activate heme-free sGC. Riociguat is approved for PAH and yields functional and hemodynamic benefits similar to other therapies. Its main serious adverse effect is dose-dependent hypotension. Riociguat is also approved for inoperable chronic thromboembolic pulmonary hypertension.


Assuntos
Desenho de Fármacos , Guanilato Ciclase/efeitos dos fármacos , Hipertensão Pulmonar/tratamento farmacológico , Receptores Citoplasmáticos e Nucleares/efeitos dos fármacos , Animais , Benzoatos/efeitos adversos , Benzoatos/farmacologia , Benzoatos/uso terapêutico , Doença Crônica , GMP Cíclico/metabolismo , Guanilato Ciclase/metabolismo , Humanos , Hipertensão Pulmonar/complicações , Hipertensão Pulmonar/fisiopatologia , Óxido Nítrico/metabolismo , Pirazóis/efeitos adversos , Pirazóis/farmacologia , Pirazóis/uso terapêutico , Pirimidinas/efeitos adversos , Pirimidinas/farmacologia , Pirimidinas/uso terapêutico , Receptores Citoplasmáticos e Nucleares/metabolismo , Guanilil Ciclase Solúvel , Tromboembolia/tratamento farmacológico , Tromboembolia/fisiopatologia
18.
Psychooncology ; 24(1): 1-10, 2015 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-24953449

RESUMO

OBJECTIVE: This systematic review examined the effectiveness of creative psychological interventions (CPIs) for adult cancer patients. In particular, the findings of randomised controlled trials of art, drama, dance/movement and music therapies on psychological outcomes were examined. METHODS: The review yielded 10 original studies analysing data from a total of 488 patients. Data extraction and quality assessment were conducted by two independent reviewers. RESULTS: Four of the papers focused on the use of art therapy, three studies used music therapy, one paper utilised dance therapy, one study used dance/movement therapy and the remaining paper used creative arts therapies, which was a combination of different art-based therapy approaches. Eight papers focused solely on breast cancer patients, and the remaining studies included mixed cancer sites/stages. The studies reported improvements in anxiety and depression, quality of life, coping, stress, anger and mood. However, few physical benefits of CPIs were reported; there was no significant impact of a CPI on physical aspects of quality of life, vigour-activity or fatigue-inertia or physical functioning. One study was assessed as high quality, seven studies were assessed as satisfactory and two studies were assessed to be of poorer quality. CONCLUSIONS: There is initial evidence that CPIs benefit adult cancer patients with respect to anxiety and depression, quality of life, coping, stress, anger and mood; there was no evidence to suggest that any one type of CPI was especially beneficial. However, more and better quality research needs to be conducted, particularly in the areas of drama and dance/movement therapies.


Assuntos
Ansiedade/terapia , Arteterapia , Dançaterapia , Depressão/terapia , Musicoterapia , Neoplasias/psicologia , Estresse Psicológico/terapia , Adaptação Psicológica , Ansiedade/psicologia , Criatividade , Depressão/psicologia , Humanos , Qualidade de Vida/psicologia , Estresse Psicológico/psicologia , Resultado do Tratamento
19.
Biomed Res Int ; 2014: 170795, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24982860

RESUMO

The aim of this study was to analyse the circadian behavioural responses of mice carrying a functional knockout of the Per3 gene (Per3(-/-)) to different light : dark (L : D) cycles. Male adult wild-type (WT) and Per3(-/-) mice were kept under 12-hour light : 12-hour dark conditions (12L : 12D) and then transferred to either a short or long photoperiod and subsequently released into total darkness. All mice were exposed to both conditions, and behavioural activity data were acquired through running wheel activity and analysed for circadian characteristics during these conditions. We observed that, during the transition from 12L : 12D to 16L : 8D, Per3(-/-) mice take approximately one additional day to synchronise to the new L : D cycle compared to WT mice. Under these long photoperiod conditions, Per3(-/-) mice were more active in the light phase. Our results suggest that Per3(-/-) mice are less sensitive to light. The data presented here provides further evidence that Per3 is involved in the suppression of behavioural activity in direct response to light.


Assuntos
Ritmo Circadiano , Proteínas Circadianas Period/deficiência , Fotoperíodo , Animais , Feminino , Luz , Masculino , Camundongos Endogâmicos C57BL , Camundongos Knockout , Proteínas Circadianas Period/metabolismo
20.
J Dairy Sci ; 97(4): 2135-44, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24485671

RESUMO

Reduced potential milk yield is an important component of mastitis costs in dairy cows. The first aim of this study was to assess associations between somatic cell count (SCC) during the first lactation, and cumulative milk yield over the first lactation and subsequent lifetime of cows in Irish dairy herds. The second aim was to assess the association between SCC at 5 to 30d in milk during parity 1 (SCC1), and SCC over the entire first lactation for cows in Irish dairy herds. The data set studied included records from 51,483 cows in 5,900 herds. Somatic cell count throughout the first lactation was summarized using the geometric mean and variance of SCC. Data were analyzed using linear models that included random effects to account for the lack of independence between observations, and herd-level variation in coefficients. Models were developed in a Bayesian framework and parameters were estimated from 10,000 Markov chain Monte Carlo simulations. The final models were a good fit to the data. A 1-unit increase in mean natural logarithm SCC over the first lactation was associated with a median decrease in first lactation and lifetime milk yield of 135 and 1,663kg, respectively. A 1-unit increase in the variance of natural logarithm SCC over the first lactation was associated with a median decrease in lifetime milk yield of 719kg. To demonstrate the context of lifetime milk yield results, microsimulation was used to model the trajectory of individual cows and evaluate the expected outcomes for particular changes in herd-level geometric mean SCC over the first lactation. A 75% certainty of savings of at least €199/heifer in the herd was detected if herd-level geometric mean SCC over the first lactation was reduced from ≥120,000 to ≤72,000cells/mL. The association between SCC1 and SCC over the remainder of the first lactation was highly herd dependent, indicating that control measures for heifer mastitis should be preferentially targeted on an individual-herd basis toward either the pre- and peripartum period, or the lactating period, to optimize the lifetime milk yield of dairy cows.


Assuntos
Contagem de Células/veterinária , Lactação , Mastite Bovina/microbiologia , Leite/citologia , Animais , Teorema de Bayes , Bovinos , Custos e Análise de Custo , Indústria de Laticínios/economia , Feminino , Irlanda , Cadeias de Markov , Mastite Bovina/economia , Leite/economia , Método de Monte Carlo
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