Stockpiled "Tifton 85" bermudagrass for cow-calf production as influenced by nitrogen fertilization.

A 2-yr study was conducted to determine the effects of rate of N fertilization on productivity and nutritive value of stockpiled "Tifton 85" bermudagrass for lactating-cow and calf performance. On 31 October 2012 (year 1) and 11 November 2013 (year 2), 16 Angus × Simmental cows (mean initial BW for both years, 647 ± 23 kg) and their calves (mean age for both years, 16 ± 3 d) were assigned randomly to 0.76-ha paddocks (2 cow-calf pairs/paddock) of stockpiled "Tifton 85" bermudagrass pasture that had been cut to a 10-cm stubble height in early August and fertilized with either 56 (56N), 112 (112N), or 168 (168N) kg N/ha (2 paddocks/treatment), or to replicate 0.41-ha paddocks (2 cow-calf pairs/paddock) of dormant pasture with free-choice access to August-cut "Tifton 85" bermudagrass hay plus 2.7 kg whole cottonseed daily (HAY). Cows were allowed access to strips of ungrazed forage by moving polytape every 3 to 4 d to maintain a DM harvest efficiency of approximately 75%. In year 1, forage mass (6,113 kg DM/ha), IVDMD (60.9%), and grazing d/ha (314) were not different (P > 0.05) among the stockpile treatments over a 116-d grazing period; mean forage IVDMD (60.1%) and CP (12.7%) in the stockpiled treatments were greater (P < 0.05) than the HAY treatment. Stockpiled forage CP concentration was greater (P < 0.05) for the 168N than 56N and 112N treatments and was greater (P < 0.05) for the 56N than 112N treatment. In year 2, mean forage CP concentration was greater (P < 0.05) for the 168N (14.5%) than 56N (11.3%), 112N (12.0%), and HAY (9.0%) treatments; mean stockpiled forage IVDMD (59.5%) was greater (P < 0.05) than the HAY treatment (46.3%); and mean forage mass for the 168N treatment (5,017 kg DM/ha) was 378 kg and 298 kg DM/ha greater (P < 0.05) than the 112N and 56N treatments, respectively. Mean cow BW (611 ± 147 kg), body condition scores (5.5 ± 0.6), and milk production (9.0 ± 6.0 kg/d) were not different (P > 0.05) among treatments. Mean blood urea-N (BUN) concentrations (11.2 mg/mL) were not different among treatments, but mean BUN across treatments for the last sampling date was greater (P < 0.05) than the first and second sampling dates. Mean 205-d adjusted weaning weight (249 kg ± SD) was not different among treatments. Economic evaluation revealed that input costs/cow were 66%, 61%, and 56% greater for HAY than 56N, 112N, and 168N, respectively. Stockpiled forages were of sufficient nutritive quality to support lactation without supplementation.

Changes in primary care physician's management of low back pain in a model of interprofessional collaborative care: an uncontrolled before-after study.

BACKGROUND: Tracking how clinicians treat patients provides an opportunity to explore how the clinical management of common musculoskeletal disorders evolves over time. We present an uncontrolled before-after study of a primary care physician's management of low back pain and describe how his involvement in an interprofessional collaborative practice was associated with a change in the management of patients with low back pain. METHOD: Data from the electronic medical record of one primary care physician who participated in a study of a model of chiropractic-medical collaboration were retrospectively collected. Records of a sample of consecutive patients prior to the start (i.e. pre-study, n = 51) and at the end of the collaborative study (i.e. study, n = 49) were collected. RESULTS: Demographics were similar in both groups but median number of physician visits (2.5 and 1.0), average prescriptions per patients (1.24 and 0.47), and total number of narcotic prescriptions (14 and 6) differed between pre-study and study groups, respectively. Separate analysis of only the records of low back pain study patients revealed that 61% were referred for chiropractic care during the study period. Patients who were not referred had more neurological deficits and leg pain but back pain severity and average number of prescriptions was about the same. Referred patients in the study group had about 25% fewer physician visits and imaging requests. CONCLUSION: Based on this study of a single primary care physician, we hypothesize that doctors may change their prescribing behaviours and consultation rate for patients with low back pain when engaged in interprofessional collaborative care. Further research is required to test this observation in the population.

F-18 FDG PET-CT imaging in gastric sarcoma.

We report the F-18 fluorodeozyglucose positron emission tomography computed tomography appearance of a biopsy-proven primary gastric sarcoma in a 24-year-old man who presented with early satiety, dyspepsia, and weight loss. Gastric sarcoma is a rare form of malignancy constituting approximately 0.3% to 8% of malignant soft tissue tumors of the stomach. The tumor appears as an ill-defined heterogeneous mass protruding off the lesser curvature of the stomach on computed tomography with central photopenia and peripheral intense uptake on positron emission tomography images.