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1.
J Dairy Sci ; 106(8): 5351-5363, 2023 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-37268575

RESUMO

Milk synthesis exhibits a daily rhythm that is modified by the timing of feed intake. However, it is unknown how specific nutrients entrain this daily rhythm. Amino acids have an important role in milk synthesis, and may have a role in entrainment of mammary circadian rhythms. The objective of this study was to determine the effects of intestinally absorbed protein on daily rhythms of milk and milk component synthesis and key plasma hormones and metabolites. Nine lactating Holstein cows were assigned to 1 of 3 treatment sequences in a 3 × 3 Latin square. Treatments included abomasal infusions of 500 g/d of sodium caseinate either continuously throughout the day (CON), for 8 h/d from 0900 to 1700 h (DAY), or for 8 h/d from 2100 to 0500 h (NGT). Cows were milked every 6 h during the final 8 d of each period. A 24-h rhythm was fit to data using cosine analysis and the amplitude and acrophase were determined. Night infusion of protein decreased the daily milk yield and milk protein yield by 8.2% and 9.2%, respectively. Milk fat yield was increased 5.5% by DAY and milk fat concentration was increased 8.8% by NGT. Milk yield exhibited a daily rhythm in all treatments, with NGT increasing the amplitude of the daily rhythm 33% compared with CON. Milk fat concentration fit a daily rhythm in CON and NGT, but not DAY, whereas milk protein concentration fit a daily rhythm in CON and DAY, but not NGT. Moreover, DAY abolished the daily rhythm of plasma glucose concentration, but induced rhythms of plasma insulin and nonesterified fatty acid concentrations. Results suggest that feeding increased protein levels during the early part of the day may increase milk fat yield and modify energy metabolism through increased daily variation in insulin-stimulated lipid release, but additional research focused on feeding multiple diets across the day is required.


Assuntos
Lactação , Leite , Feminino , Bovinos , Animais , Leite/química , Ácidos Graxos não Esterificados/metabolismo , Dieta/veterinária , Proteínas do Leite/análise , Insulina , Ração Animal/análise
2.
J Dairy Sci ; 105(9): 7432-7445, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-35931478

RESUMO

Dairy cows have a daily pattern of feed intake which influences ruminal fermentation and nutrient absorption. Milk synthesis also exhibits a daily rhythm and is altered by the timing of feed availability. Nutrients can regulate physiological rhythms, but it is unclear which specific nutrients affect the rhythms of milk synthesis in the cow. The objective of this study was to determine the effect of the timing of acetate infusion on the daily rhythms of feed intake, milk synthesis, milk fatty acids, plasma insulin and metabolites, and core body temperature. Ten lactating ruminally cannulated Holstein cows (127 ± 24.6 d in milk; mean ± standard deviation) were arranged in a 3 × 3 Latin square design. Treatments were ruminal infusions of 600 g/d of acetate either continuously throughout the day (CON) or over 8 h/d during the day (day treatment, DT; 0900 to 1700 h) or the night (night treatment, NT; 2100 to 0500 h). Experimental periods were 14 d with a 7-d washout between periods. Cows were milked every 6 h during the final 7 d of each experimental period to determine the daily pattern of milk synthesis. Blood samples were taken to represent every 4 h across the day and plasma glucose, insulin, ß-hydroxybutyrate, urea nitrogen, and acetate concentration were measured. An intravaginal temperature logger was used to measure core body temperature. Data were analyzed with cosinor-based rhythmometry to test the fit of a cosine function with a period of 24 h and to determine the acrophase (time at peak) and amplitude (peak to mean) of each rhythm. Milk yield fit a daily rhythm for all treatments and DT and NT phase-delayed the rhythm and DT increased the robustness of the rhythm. Milk protein concentration fit a daily rhythm for all treatments and DT increased robustness, whereas NT phase-delayed the rhythm. Plasma acetate concentration also fit a daily rhythm in all treatments. Plasma acetate peaked at ∼1600 h in CON and DT and at 0053 h in NT, reflecting the timing of treatment infusions. There was a daily rhythm in plasma ß-hydroxybutyrate that reflected the plasma acetate rhythm. Core body temperature fit a rhythm for all treatments, but the amplitude of the rhythm was smaller than previously observed. In conclusion, the timing of acetate infusion influences peripheral rhythms of milk synthesis and plasma metabolites.


Assuntos
Lactação , Leite , Ácido 3-Hidroxibutírico/metabolismo , Ração Animal/análise , Animais , Bovinos , Dieta/veterinária , Feminino , Fermentação , Insulina , Lactação/fisiologia , Leite/metabolismo , Rúmen/metabolismo , Acetato de Sódio
4.
J Dairy Sci ; 103(4): 3696-3707, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32059862

RESUMO

The annual rhythms of milk and milk component yields are not well described and are important to dairy management. Recent analysis of federal milk marketing orders in the United States observed that the amplitude and time at peak (acrophase) of the rhythms of milk fat and protein concentration differ among regions, but the rhythms of milk and milk component yields are not well described. Our objective was to determine the annual rhythms of milk and milk component production from 4 US regions at the herd level and examine potential environmental factors entraining these rhythms. Monthly Dairy Herd Improvement Association records of all available herds in Pennsylvania (PA), Minnesota (MN), Texas (TX), and Florida (FL) from the years 2003 to 2016 were obtained from Dairy Records Managements Systems. Milk yield, fat and protein yield, and fat and protein concentration were fit to the linear form of the cosine function with a 12-mo period using a linear mixed effects model. Additionally, the fit of models containing either the cosine function or environmental temperature were compared using an F-test. Milk yield and fat and protein yields and concentrations fit a cosine function in all 4 states, indicating an annual rhythm. The amplitude (peak to mean) of the rhythm of milk yield varied by state and was lower in PA (1.2 kg) and MN (1.2 kg) compared with TX (3.1 kg) and FL (3.3 kg). Fat and protein yields similarly showed greater amplitudes in the southern versus northern states. The amplitudes of the rhythms of fat and protein concentration were opposite by region, with greater amplitudes occurring in MN and PA than in TX and FL. The acrophases of milk yield and milk fat and protein yields and concentrations also varied by state, but all peaked between October and March. An annual rhythm fit the data better than changes in environmental temperature for all responses in all states, except for fat and protein concentrations in FL, which exhibited lower amplitude seasonal rhythms. The yearly pattern of milk yield closely followed the fixed yearly pattern of the day to day changes in day length, whereas the rhythms of milk fat and protein concentrations followed the yearly pattern of absolute day length. Results suggest that the region of the United States in which a herd is located affects their annual rhythms of production, with a greater yearly variation in milk, fat, and protein yields occurring in the southern United States. The consistency of annual rhythms across years and herds allowed development of regression equations to adjust expectations across the year to account for the annual rhythm.


Assuntos
Bovinos/fisiologia , Indústria de Laticínios/estatística & dados numéricos , Indicadores Ambientais , Lactação/fisiologia , Animais , Feminino , Leite/metabolismo , Fotoperíodo , Estações do Ano , Estados Unidos
5.
J Dairy Sci ; 100(1): 187-198, 2017 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-27837979

RESUMO

A daily pattern of feed intake, milk synthesis, and plasma metabolites and hormones occurs in dairy cows fed a total mixed ration once or twice a day. The objective of this study was to determine if feeding multiple rations within a day, complementing these rhythms, would improve milk production. Twelve Holstein cows were used in a replicated 3×3 Latin square design with 21-d periods. Cows were housed in tie stalls with feed tubs, and feed weight was recorded every 10 s for observation of feeding behavior. Rations were a low fiber and high fermentable starch ration [LFHS; 27.4% neutral detergent fiber (NDF) and 31.7% starch based on 55.7% corn silage and 14.1% steam-flaked corn], a high fiber and low fermentable starch ration (HFLS; 31.7% NDF and 22.3% starch based on 44% corn silage, 26.3% alfalfa haylage, and no steam-flaked corn), and a total mixed ration that was a 1:3 ratio of LFHS and HFLS (30.7% NDF, 24.5% starch). The control treatment (CON) cows were fed the total mixed ration at 0700h, the high/low treatment (HL) fed HFLS ration at 0700h and LFHS ration at 2200h, and the low/high (LH) treatment fed LFHS ration at 0700h and HFLS ration at 1100h (LFHS and HFLS rations fed at a 1:3 ratio). No effect was found of treatment on daily milk, but LH decreased milk fat concentration and yield compared with HL (0.2 percentage units and 0.24kg, respectively). Daily dry matter and NDF intake and total-tract digestibility did not differ between treatments. The HL treatment reduced intake at the morning-conditioned meal after feeding and reduced intake before the evening feeding. A treatment by time of day interaction was found for fecal NDF and indigestible NDF concentration, blood urea nitrogen (BUN), plasma insulin, and fatty acid concentration, and body temperature. The CON and LH treatments increased the daily amplitude of fecal NDF by 1.0 and 1.1 percentage units compared with HL. Plasma insulin was higher in HL than CON at 0100 and 0400h, but lower at 1300 and 1900h. Plasma fatty acids were higher for CON than HL at 0700h and HL was lower than LH at 0400 and 1900h. Plasma BUN was higher for HL than control at 0100h, but lower at 1000h. Body temperature in CON and HL treatments followed a similar diurnal pattern, whereas body temperature for LH was lower than that of HL treatment at 1300 and 2300h. No daily rhythm was found of fecal indigestible NDF concentration, plasma glucose, or fatty acids detected in the HL treatment, and the amplitude of plasma insulin and BUN was lower for HL compared with CON (70 and 60% decrease, respectively). In conclusion, feeding 2 rations that differ in fiber and fermentable starch modifies diurnal rhythms in dairy cows. Furthermore, feeding a high fiber and low fermentable starch ration during the high intake period of the day may stabilize nutrient absorption across the day.


Assuntos
Leite/metabolismo , Amido/metabolismo , Ração Animal , Animais , Bovinos , Dieta/veterinária , Fibras na Dieta/metabolismo , Digestão/efeitos dos fármacos , Feminino , Lactação , Rúmen/metabolismo , Zea mays/metabolismo
6.
J Dairy Sci ; 98(7): 4685-97, 2015 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-25935245

RESUMO

There is a daily pattern of feed intake in the dairy cow, and feeding a single total mixed ration results in variation in the amount of fermentable substrate entering the rumen over the day. The object of this study was to determine if feeding multiple rations over the day that complement the pattern of feed intake would stabilize rumen pool sizes and fermentation. Nine ruminally cannulated cows were used in a 3×3 Latin square design with 23-d periods. Diets were a control diet [33.3% neutral detergent fiber (NDF)], a low-fiber diet (LF; 29.6% NDF), and a high-fiber diet (HF; 34.8% NDF). The LF and HF diets were balanced to provide the same nutrient composition as the control diet when cows were fed 3 parts of LF and 7 parts of HF. Cows on the control treatment (CON) were fed at 0900h, cows on the high/low treatment (H/L) were fed HF at 70% of daily offering at 0900h and LF at 30% of daily offering at 2200h, and cows on the low/high (L/H) treatment were fed LF at 30% of daily offering at 0900h and HF at 70% of daily offering at 1300h. All treatments were fed at 110% of daily intake. Preplanned contrasts compared CON with H/L and H/L with L/H. Feeding the LF diet in the evening resulted in a large increase in the amount of feed consumed immediately after feed delivery at that feeding. Rumen digesta starch concentration increased and NDF concentration decreased following feeding of the LF diet in both the L/H and H/L treatments. Starch pool size also increased following feeding of the LF diet in the evening and tended to increase after feeding the LF diet in the morning. Rumen ammonia concentration was increased following feeding of the HF diet in the morning and the LF diet in the evening in the H/L treatment. Additionally, cis-9 C18:1 and cis-9,cis-12 18:2 are higher in concentrate feeds and were increased after feeding the LF diet in both treatments. Trans fatty acid isomers of the normal and alternate biohydrogenation pathways followed a daily pattern, and the H/L treatment increased isomers of the alternate pathway during the overnight period following the evening feeding of the LF diet. Additionally, C17:0 decreased during the overnight period in the H/L treatment. Feeding multiple rations over the day changed feeding behavior, and the combined effect of diet composition and feeding pattern resulted in a change in rumen nutrient pool sizes and fermentation products. Feeding the low-fiber diet in the evening resulted in a large increase in feed intake after feed delivery and did not increase starch intake during the overnight period. The H/L treatment failed to stabilize rumen fermentation because of the shift in the feeding pattern. Feeding strategies that feed multiple diets over the day must integrate diet composition and feeding behavior to achieve the desired effect on rumen nutrient pools and fermentation.


Assuntos
Ração Animal/análise , Bovinos/fisiologia , Fibras na Dieta/metabolismo , Ácidos Graxos Voláteis/metabolismo , Comportamento Alimentar/efeitos dos fármacos , Conteúdo Gastrointestinal/química , Rúmen/fisiologia , Fenômenos Fisiológicos da Nutrição Animal/efeitos dos fármacos , Animais , Dieta/veterinária , Digestão/efeitos dos fármacos , Feminino , Fermentação/efeitos dos fármacos , Concentração de Íons de Hidrogênio , Distribuição Aleatória , Fatores de Tempo
7.
J Dairy Sci ; 98(7): 4673-84, 2015 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-25935247

RESUMO

Dairy cows exhibit a daily pattern of feed intake and milk synthesis, and feeding a single total mixed ration over the day may not synchronize ruminal fermentation, nutrient absorption, and milk synthesis. Our hypothesis was that feeding a high-fiber diet during the high-intake period of the day and a low-fiber diet during the low-intake overnight period would stabilize rumen fermentation, nutrient absorption, and the availability of nutrients for milk synthesis. Nine ruminally cannulated cows were used in a 3×3 Latin square design with 23-d periods. Diets were a control [CON; 33.3% neutral detergent fiber (NDF)], a low-fiber diet (LF; 29.6% NDF), and a high-fiber diet (HF; 34.8% NDF). The HF and LF diets were balanced to provide the same nutrient composition as the control diet when cows were fed a 7:3 ratio of HF:LF. Control cows were fed once daily at 0900h. Cows in the high/low treatment (H/L) were fed HF at 70% of daily offering at 0900h and LF at 30% of daily offering at 2200h; cows in the low/high (L/H) treatment were fed LF at 30% of daily offering at 0900h and HF at 70% of daily offering at 1300h. Dry matter intake was decreased 1.9kg/d by H/L compared with CON, but intake did not differ between H/L and L/H. The H/L and L/H treatments resulted in a large amount of feed consumed after each feeding, which shifted the daily patterns of starch and fiber intake. Treatments did not differ in total-tract digestibility. We detected no differences between CON and H/L for milk yield and composition. The H/L treatment unexpectedly tended to reduce milk and reduced milk fat yield compared with L/H, although L/H was expected to result in poorer rumen fermentation and decreased milk fat yield. Treatment did not affect milk fat concentrations of trans-10 C18:1, trans-11 C18:1, or de novo synthesized fatty acids, but H/L increased milk fat concentration of preformed fatty acids compared with CON (39.15 vs. 37.38% of FA, respectively). Treatment had no effect on plasma insulin or glucose at individual time points but did modify the phase and amplitude of the daily rhythms. Daily average plasma nonesterified fatty acids (NEFA) were decreased by H/L compared with CON and L/H, and H/L treatments decreased the amplitude of the daily rhythm of NEFA by 3.4 and 6.7µEq/L compared with CON and L/H, respectively. The amplitude of the daily rhythm of plasma blood urea N was increased by more than 15% by H/L compared with CON and L/H. Feeding multiple rations over the day changed the daily pattern of starch and fiber intake and decreased daily intake without decreasing milk yield or body weight gain over the 23-d observation periods. Feeding a high-fiber diet during the high-intake period of the day and a low-fiber diet during the low-intake overnight period failed to show other benefits, likely because of the change in feeding behavior.


Assuntos
Ração Animal/análise , Bovinos/fisiologia , Fibras na Dieta/metabolismo , Digestão , Comportamento Alimentar/efeitos dos fármacos , Leite/efeitos dos fármacos , Amido/metabolismo , Fenômenos Fisiológicos da Nutrição Animal/efeitos dos fármacos , Animais , Análise Química do Sangue/veterinária , Dieta/veterinária , Carboidratos da Dieta/metabolismo , Ácidos Graxos/análise , Feminino , Fermentação , Lactação , Leite/química , Leite/metabolismo , Distribuição Aleatória , Rúmen/fisiologia , Fatores de Tempo
8.
J Dairy Sci ; 97(12): 7764-76, 2014 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-25306274

RESUMO

The timing of feed intake entrains circadian rhythms regulated by internal clocks in many mammals. The objective of this study was to determine if the timing of feeding entrains daily rhythms in dairy cows. Nine Holstein cows were used in a replicated 3 × 3 Latin square design with 14-d periods. An automated system recorded the timing of feed intake over the last 7 d of each period. Treatments were feeding 1×/d at 0830 h (AM) or 2030 h (PM) and feeding 2×/d in equal amounts at 0830 and 2030 h. All treatments were fed at 110% of daily intake. Cows were milked 2×/d at 0500 and 1700 h. Milk yield and composition were not changed by treatment. Daily intake did not differ, but twice-daily feeding tended to decrease total-tract digestibility of organic matter and neutral detergent fiber (NDF). A treatment by time of day interaction was observed for feeding behavior. The amount of feed consumed in the first 2h after feeding was 70% greater for PM compared with AM feeding. A low rate of intake overnight (2400 to 0500 h; 2.2 ± 0.74% daily intake/h, mean ± SD) and a moderate rate of intake in the afternoon (1200 to 1700 h; 4.8 ± 1.1% daily intake/h) was noted for all treatments, although PM slightly reduced the rate during the afternoon period compared with AM. A treatment by time of day interaction was seen for fecal NDF and indigestible NDF (iNDF) concentration, blood urea nitrogen, plasma glucose and insulin concentrations, body temperature, and lying behavior. Specifically, insulin increased and glucose decreased more after evening feeding than after morning feeding. A cosine function within a 24-h period was used to characterize daily rhythms using a random regression. Rate of feed intake during spontaneous feeding, fecal NDF and iNDF concentration, plasma glucose, insulin, NEFA, body temperature, and lying behavior fit a cosine function within a 24-h period that was modified by treatment. In conclusion, feeding time can reset the daily rhythms of feeding and lying behavior, core body temperature, fecal NDF and iNDF concentration, and plasma blood urea nitrogen, glucose, and insulin concentration of dairy cows, but has no effect on daily DMI and milk production.


Assuntos
Bovinos/fisiologia , Ritmo Circadiano , Indústria de Laticínios/métodos , Digestão/fisiologia , Comportamento Alimentar/fisiologia , Leite/metabolismo , Ração Animal , Animais , Comportamento Animal/fisiologia , Glicemia/análise , Temperatura Corporal , Fibras na Dieta/metabolismo , Ácidos Graxos não Esterificados , Fezes , Feminino , Insulina/sangue , Lactação , Nitrogênio/metabolismo , Rúmen/fisiologia
9.
Domest Anim Endocrinol ; 44(4): 165-75, 2013 May.
Artigo em Inglês | MEDLINE | ID: mdl-23433709

RESUMO

Growth hormone is a key component of the somatotropic axis and is critical for the interplay between nutrition, regulation of metabolic functions, and subsequent processes of growth. The objective of this study was to investigate potential relations between meal feeding concentrates differing in the glycemic responses they elicit and GH secretory patterns in young growing horses. Twelve Quarter Horse weanlings (5.4 ± 0.4 mo of age) were used in a crossover design, consisting of two 21-d periods and two treatments, a high-glycemic (HG) or low-glycemic (LG) concentrate meal, fed twice daily. Horses were individually housed and fed hay ad libitum. On the final day of each period, quarter-hourly blood samples were drawn for 24 h to measure plasma glucose, insulin, non-esterified fatty acids, and GH. Growth hormone secretory characteristics were estimated with deconvolution analysis. After a meal, HG-fed horses exhibited a longer inhibition until the first pulse of GH secretion (P = 0.012). During late night hours (1:00 AM to 6:45 AM), HG horses secreted a greater amount of pulsatile GH than LG horses (P = 0.002). These differences highlight the potential relations between glycemic and insulinemic responses to meals and GH secretion. Dietary energy source and metabolic perturbations associated with feeding HG meals to young, growing horses have the potential to alter GH secretory patterns compared with LG meals. This may potentially affect the developmental pattern of various tissues in the young growing horse.


Assuntos
Glicemia/análise , Dieta/veterinária , Hormônio do Crescimento/sangue , Cavalos/sangue , Insulina/sangue , Ração Animal , Animais , Composição Corporal , Estudos Cross-Over , Carboidratos da Dieta/administração & dosagem , Ácidos Graxos não Esterificados/sangue , Feminino , Índice Glicêmico , Hormônio do Crescimento/metabolismo , Masculino , Período Pós-Prandial/fisiologia , Desmame
10.
Artigo em Inglês | MEDLINE | ID: mdl-20374938

RESUMO

Longitudinal bone growth depends upon the execution of an intricate series of cellular activities by epiphyseal growth plate chondrocytes. In order to better understand these coordinated events, microarray analysis was used to compare gene expression in chondrocytes isolated from the proliferative and hypertrophic zones of the avian growth plate. RT-PCR was used to confirm the identity of a select number of genes. The expression of 745 genes was found to differ 3-fold or greater at the 0.05 level of probability. Transferrin was the most highly up-regulated (321-fold) gene associated with chondrocyte hypertrophy. Immunohistochemistry localized this peptide adjacent to the penetrating blood vessels in the growth plate of 3-week-old chicks. Fibulin, OC-116, DMP-1 and PHEX were among the expanded number of genes associated with extracellular matrix metabolism. The presence of NELL2, ATOH8 and PLEXIN suggests a neuronal involvement in growth plate physiology. In addition, the expression of a large number of genes associated with angiogenesis and cellular stress was up-regulated. These processes are important to the physiology and survival of chondrocytes in the unique and stressful environment of the epiphyseal growth plate.


Assuntos
Galinhas/crescimento & desenvolvimento , Galinhas/genética , Epífises/crescimento & desenvolvimento , Epífises/metabolismo , Perfilação da Expressão Gênica , Lâmina de Crescimento/metabolismo , Análise de Sequência com Séries de Oligonucleotídeos , Animais , Proteínas Morfogenéticas Ósseas/genética , Proteínas Morfogenéticas Ósseas/metabolismo , Diferenciação Celular , Proliferação de Células , Condrócitos/citologia , Condrócitos/metabolismo , Matriz Extracelular/enzimologia , Regulação da Expressão Gênica no Desenvolvimento , Peptídeos e Proteínas de Sinalização Intercelular/metabolismo , Transporte de Íons/genética , Metabolismo dos Lipídeos/genética , Neovascularização Fisiológica/genética , Neurônios/metabolismo , Oxirredutases/genética , Oxirredutases/metabolismo , Peptídeos/metabolismo , Prostaglandinas/genética , Prostaglandinas/metabolismo , Selenoproteínas/genética , Selenoproteínas/metabolismo , Transdução de Sinais/genética , Fatores de Transcrição/genética , Fatores de Transcrição/metabolismo , Tretinoína/metabolismo , Tri-Iodotironina/metabolismo
11.
J Biol Rhythms ; 15(2): 163-71, 2000 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-10762034

RESUMO

In green iguanas, the pineal controls the circadian rhythm of body temperature but not the rhythm of locomotor activity. As part of a program to investigate the characteristics of this multioscillator circadian system, the authors studied the circadian rhythms of the electroretinographic response (ERG) and asked whether the pineal gland is necessary for the expression of this rhythm. ERGs from a total of 24 anesthetized juvenile iguanas were recorded under four different conditions: (a) complete darkness (DD), (b) dim light-dark cycles (dLD), (c) constant dim light (dLL), and (d) pinealectomized in DD. Results demonstrate that the b-wave component of the ERG shows a very clear circadian rhythm in DD and that this rhythm persists in dLL and entrains to dLD cycles. The ERG response is maximally sensitive during the subjective day. Pinealectomy does not abolish the circadian rhythm in ERG, demonstrating that the oscillator responsible for the ERG rhythm is located elsewhere.


Assuntos
Ritmo Circadiano/fisiologia , Eletrorretinografia , Iguanas/fisiologia , Glândula Pineal/fisiologia , Animais , Escuridão , Fotoperíodo
12.
Child Welfare ; 73(1): 15-27, 1994.
Artigo em Inglês | MEDLINE | ID: mdl-8117359

RESUMO

Mandatory reporting laws have created a difficult dilemma for many mental health providers (MHPs). Professional ethics, confidentiality, and the best interests of the client are often seen as conflicting with the legal obligation to report child abuse. The receptivity of child protective service (CPS) agencies to three alternative MHP reporting strategies was assessed in a national survey. The results indicate strong support for the current model of reporting and marginal support for alternatives that supply the MHP and the family with more latitude in determining when to report and how reports are handled. The results are discussed in relation to what many MHPs see as the need for more integrated, flexible, and cooperative approaches to the protection of abused and neglected children.


Assuntos
Atitude do Pessoal de Saúde , Maus-Tratos Infantis/legislação & jurisprudência , Proteção da Criança/legislação & jurisprudência , Confidencialidade/legislação & jurisprudência , Psicoterapia/legislação & jurisprudência , Serviço Social/legislação & jurisprudência , Adulto , Criança , Abuso Sexual na Infância/legislação & jurisprudência , Terapia Familiar/legislação & jurisprudência , Feminino , Humanos , Masculino , Estados Unidos
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