Influence of the metabolic state during lactation on milk production in modern sows.

Selection for prolificacy in sows has resulted in higher metabolic demands during lactation. In addition, modern sows have an increased genetic merit for leanness. Consequently, sow metabolism during lactation has changed, possibly affecting milk production and litter weight gain. The aim of this study was to investigate the effect of lactational feed intake on milk production and relations between mobilization of body tissues (adipose tissue or skeletal muscle) and milk production in modern sows with a different lactational feed intake. A total of 36 primiparous sows were used, which were either full-fed (6.5 kg/day) or restricted-fed (3.25 kg/day) during the last 2 weeks of a 24-day lactation. Restricted-fed sows had a lower milk fat percentage at weaning and a lower litter weight gain and estimated milk fat and protein production in the last week of lactation. Next, several relations between sow body condition (loss) and milk production variables were identified. Sow BW, loin muscle depth and backfat depth at parturition were positively related to milk fat production in the last week of lactation. In addition, milk fat production was related to the backfat depth loss while milk protein production was related to the loin muscle depth loss during lactation. Backfat depth and loin muscle depth at parturition were positively related to lactational backfat depth loss or muscle depth loss, respectively. Together, results suggest that sows which have more available resources during lactation, either from a higher amount of body tissues at parturition or from an increased feed intake during lactation, direct more energy toward milk production to support a higher litter weight gain. In addition, results show that the type of milk nutrients that sows produce (i.e. milk fat or milk protein) is highly related to the type of body tissues that are mobilized during lactation. Interestingly, relations between sow body condition and milk production were all independent of feed level during lactation. Sow management strategies to increase milk production and litter growth in modern sows may focus on improving sow body condition at the start of lactation or increasing feed intake during lactation.

Consequences of negative energy balance on follicular development and oocyte quality in primiparous sows†.

Metabolic demands of modern hybrid sows have increased over the years, which increases the chance that sows enter a substantial negative energy balance (NEB) during lactation. This NEB can influence the development of follicles and oocytes that will give rise to the next litter. To study effects of a lactational NEB on follicular development, we used 36 primiparous sows of which 18 were subjected to feed restriction (3.25 kg/day) and 18 were full-fed (6.5 kg/day) during the last 2 weeks of a 24.1 ± 0.3 day lactation. Feed restriction resulted in a 70% larger lactational body weight loss and 76% higher longissimus dorsi depth loss, but similar amounts of backfat loss compared to the full fed sows. These changes were accompanied by lower plasma insulin-like growth factor 1 (IGF1) and higher plasma creatinine levels in the restricted sows from the last week of lactation onward. Ovaries were collected 48 h after weaning. Restricted sows had a lower average size of the 15 largest follicles (-26%) and cumulus-oocyte complexes showed less expansion after 22 h in vitro maturation (-26%). Less zygotes of restricted sows reached the metaphase stage 24 h after in vitro fertilization and showed a higher incidence of polyspermy (+89%). This shows that feed restriction had severe consequences on oocyte developmental competence. Follicular fluid of restricted sows had lower IGF1 (-56%) and steroid levels (e.g., ß-estradiol, progestins, and androgens), which indicated that follicles of restricted sows were less competent to produce steroids and growth factors needed for oocytes to obtain full developmental competence.

Pitfalls in automatic limb lengthening - First results with an intramedullary lengthening device.

BACKGROUND: The treatment of leg length discrepancy and deformities has become more common over the last few decades due to newly developed implants. Lengthening using fully implantable intramedullary nails provides many advantages; however, only little data is available. Therefore, we aimed to determine: (1) safety of the implant, (2) the complication rate and (3) functional outcome after magnetic driven intramedullary bone lengthening with a telescopic implant. HYPOTHESES: Automatic bone lengthening with intramedullary nails provide good short-term outcome. PATIENTS AND METHODS: Ten patients with limb length discrepancy of lower extremity, treated with an Ellipse PRECICE® nail, were included in this retrospective follow-up study. The mean limb length discrepancy was 4.7cm (range: 2.5-7.0cm). RESULTS: In all patients, limb lengthening goals were reached within a range of ±0.5cm after a mean time of 53 days. However, in 2 patients, mechanical failures with unintended shortening were observed. In a further patient nail breakage occurred. Overall, 7 patients presented with complications during the follow-up period. DISCUSSION: The PRECICE® nail represents a new, fully implantable, magnetically driven device for limb lengthening. However, due to a high rate of complications, a close follow-up is necessary to identify early implant failures and to avoid severe adverse outcomes. LEVEL OF EVIDENCE: Retrospective follow-up study, case series, level IV.

Discovery of novel virus sequences in an isolated and threatened bat species, the New Zealand lesser short-tailed bat (Mystacina tuberculata).

Bats harbour a diverse array of viruses, including significant human pathogens. Extensive metagenomic studies of material from bats, in particular guano, have revealed a large number of novel or divergent viral taxa that were previously unknown. New Zealand has only two extant indigenous terrestrial mammals, which are both bats, Mystacina tuberculata (the lesser short-tailed bat) and Chalinolobus tuberculatus (the long-tailed bat). Until the human introduction of exotic mammals, these species had been isolated from all other terrestrial mammals for over 1 million years (potentially over 16 million years for M. tuberculata). Four bat guano samples were collected from M. tuberculata roosts on the isolated offshore island of Whenua hou (Codfish Island) in New Zealand. Metagenomic analysis revealed that this species still hosts a plethora of divergent viruses. Whilst the majority of viruses detected were likely to be of dietary origin, some putative vertebrate virus sequences were identified. Papillomavirus, polyomavirus, calicivirus and hepevirus were found in the metagenomic data and subsequently confirmed using independent PCR assays and sequencing. The new hepevirus and calicivirus sequences may represent new genera within these viral families. Our findings may provide an insight into the origins of viral families, given their detection in an isolated host species.

Clinical and MRI evaluation of medium- to long-term results after autologous osteochondral transplantation (OCT) in the knee joint.

PURPOSE: Autologous osteochondral transplantation (OCT) is one of the surgical options currently used to treat cartilage defects. It is the only cartilage repair method that leads to a transfer of hyaline cartilage repair tissue. The purpose of this study was to evaluate the magnetic resonance observation of cartilage repair tissue (MOCART) score, the 3D MOCART score and various clinical scores in patients after OCT in knee joints. METHODS: Two women and eight men were evaluated 6-9 years (median 7.2 years) after OCT on the femoral condyle of the knee joint. All patients were evaluated by magnetic resonance imaging (MRI) measurement, using a 3.0 T Scanner with different cartilage-specific sequences. Clinical assessment included the knee injury and osteoarthritis outcome score (KOOS), the international knee documentation committee (IKDC) subjective knee form, the Noyes sport activity rating scale and the Tegner activity score. For MRI evaluation, the MOCART score and 3D MOCART score were applied. RESULTS: Clinical long-term results after OCT showed median values of 77 (range 35.7-71.4) for the IKDC; 50 (6.3-100), 66.7 (30.6-97.2), 65 (0-75), 57.1 (35.7-71.4) and 80.9 (30.9-100) for the KOOS subscales (quality of life, pain sports, symptoms and activity of daily living); 61.4 (22.3-86.2) for the Noyes scale; and 3 (0-6) for the Tegner activity score. The median MOCART score was 75 (30-90) after both 1 and 2 years and 57.5 (35-90) after 7 years, as assessed by different cartilage-specific sequences. The 3D MOCART score showed values of 70 (50-85) and 60 (50-80) in the two different isotropic sequences after 7 years. CONCLUSION: The MOCART and 3D MOCART scores are applicable tools for patient follow-up after OCT. Post-operative follow-up assessments would also benefit from the inclusion of OCT-specific parameters. Long-term results after OCT reflect an impairment in clinical scores in the first 2 years with good results during follow-up. Stable conditions were observed between 2 and 7 years after surgery. The filling of the defects and the cartilage interface appeared good at MRI evaluation after the first 2 years, but cartilage loss was observed between the medium- and long-term follow-ups. Isotropic imaging with multiplanar reconstruction is useful for daily clinical use to assess bony cylinders in cartilage repair, especially in combination with the 3D MOCART. LEVEL OF EVIDENCE: Retrospective therapeutic study, Level IV.

Long-term results 8 years after autologous osteochondral transplantation: 7 T gagCEST and sodium magnetic resonance imaging with morphological and clinical correlation.

OBJECTIVE: To correlate long-term clinical outcome and the results of morphological as well as advanced biochemical magnetic resonance imaging (MRI) techniques [T2-mapping, glycosaminoglycan chemical exchange saturation transfer (gagCEST), sodium-23-imaging] in patients after autologous osteochondral transplantation (AOT) in knee joints. METHOD: Nine AOT patients (two female and seven male; median age, 49) had clinical [International Knee Documentation Committee (IKDC), modified Lysholm, visual analog scale (VAS)] and radiological long-term follow-up examinations at a median of 7.9 years (inter-quartile range, 7.7-8.2). Standard morphological MRI and T2-mapping of cartilage were performed on a 3 T MR unit. Biochemical imaging further included sodium-23-imaging and chemical exchange saturation transfer (CEST) imaging at 7 T. The Magnetic resonance Observation of CArtilage Repair Tissue (MOCART) score was used for quantitative assessment of morphological MRI. RESULTS: Clinical outcome was good with a median modified Lysholm score of 90. Median VAS revealed 1.0 and median MOCART score 75 points. The difference between native and repair cartilage was statistically significant for all three biochemical imaging techniques. The strongest correlation was found between the results of the advanced biochemical imaging methods sodium-23 and CEST [ρ = 0.952, 95% confidence interval (CI): (0.753; 0.992)]. Comparing the results from morphological and biochemical imaging, a correlation was found between MOCART score and CEST ratio [ρ = -0.749, 95% CI: (-0.944; -0.169)]. Comparing the results from clinical scores with MRI, a correlation between modified Lysholm and T2-mapping [ρ = -0.667, 95% CI: (-0.992; -0.005)] was observed. CONCLUSION: Long-term clinical outcome in patients 7.9 years after AOT was good, but did not correlate with morphological and biochemical imaging results except for T2-mapping.

Gene expression and cell differentiation in matrix-associated chondrocyte transplantation grafts: a comparative study.

OBJECTIVE: Although scaffold composition and architecture are considered to be important parameters for tissue engineering, their influence on gene expression and cell differentiation is rarely investigated in scaffolds used for matrix-associated autologous chondrocyte transplantation (MACT). In this study we have therefore comparatively analyzed the gene expression of important chondrogenic markers in four clinical applied cell-graft systems with very different scaffold characteristics. METHODS: Residuals (n=165) of four different transplant types (MACI®, Hyalograft®C, CaReS® and Novocart®3D) were collected during surgery and analyzed for Col1, Col2, aggrecan, versican, melanoma inhibitory activity (MIA) and IL-1ß by real-time PCR. Scaffold and cell morphology were evaluated by histology and electron microscopy. RESULTS: Despite the cultivation on 3D scaffolds, the cell differentiation on all transplant types didn't reach the levels of native cartilage. Gene expression highly differed between the transplant types. The highest differentiation of cells (Col2/Col1 ratio) was found in CaReS®, followed by Novocart®3D, Hyalograft®C and MACI®. IL-1ß expression also exhibited high differences between the scaffolds showing low expression levels in Novocart®3D and CaReS® and higher expression levels in MACI® and Hyalograft®C. CONCLUSIONS: Our data indicate that scaffold characteristics as well as culture conditions highly influence gene expression in cartilage transplants and that these parameters may have profound impact on the tissue regeneration after MACT.

Role of luteinizing hormone in primiparous sow responses to split weaning.

In 45 primiparous sows, we examined endocrine, ovarian and reproductive responses to split-weaning or five injections per day of 800 ng GnRH from 18 to 21 days of lactation. There was no effect of treatment on absolute or changes in sow weight or backfat depth during lactation. Average piglet growth rates were similar among treatments except that piglets suckling split-weaned sows grew faster (p < 0.05) during days 18-21. On day 18, mean plasma LH concentrations and LH pulse frequency remained relatively stable in conventionally weaned sows but increased (p < 0.01) in response to split-weaning and GnRH. Prior to weaning on day 21, mean plasma LH concentrations remained elevated in GnRH-treated sows but had returned to control levels in split weaned sows. There was no treatment effect on preweaning LH pulse frequency noted on day 21. Weaning was associated with an increase in plasma LH concentrations in all the treatment groups. Mean plasma IGF-I remained relatively constant in conventionally weaned and GnRH sows, decreased in response to split weaning on day 18 (p < 0.02), but were elevated (p < 0.03) in split wean sows on day 21. On the day after weaning, split wean sows had more (p < 0.04) ovarian follicles >or=3 mm than conventionally weaned sows, with GnRH sows being intermediate. The wean-to-oestrus interval was reduced in split-wean sows compared with those conventionally weaned (p < 0.01), with GnRH sows being intermediate. There was no effect of treatment on ovulation rates, numbers of embryos, or embryonic survival rates. These data indicate that split-weaning of litters results in a more rapid return to oestrus after weaning and that this effect is associated with a transient acute increase in circulating gonadotrophins and earlier resumption of ovarian follicular development.

Duration of lactation, endocrine and metabolic state, and fertility of primiparous sows.

The objectives of this study were to determine factors affecting the reproductive performance of primiparous sows early weaned (EW; n = 35) at d 14 or conventionally weaned (CW; n = 35) at d 24 of lactation. Sow BW and backfat were recorded at farrowing, weekly until weaning, and at standing heat. Feed intake was controlled throughout lactation to standardize nutritional effects on subsequent reproductive performance. Litter size was standardized across treatments within 48 h after farrowing, and litter weight was recorded until weaning. In subsets of sows, blood samples were collected from 10 h before to 10 h after weaning, and then every 6 h until ovulation. Sows were heat checked twice daily and bred at 24-h intervals during standing heat using pooled semen. Ultrasonography every 6 h determined time of ovulation. Sows were either slaughtered within 24 h after ovulation to assess ovulation rate, fertilization rate, and embryonic development in vitro, or at d 28 of gestation to determine ovulation rate and embryonic survival. Compared with CW sows, EW sows had more backfat at weaning (15.9 +/- 0.5 vs. 14.7 +/- 0.5 mm; P < 0.001). Also, CW sows tended to lose more BW and to have lower IGF-I concentrations, indicating poorer body condition. Duration of lactation did not affect ovulation rate (EW = 17.6 +/- 0.7; CW = 18.7 +/- 0.6), fertilization rate (EW = 96.0 +/- 2.2; CW = 88.2 +/- 4.7%), or embryo survival to d 28 (EW = 62.5 +/- 4.5; CW = 63.1 +/- 5.0%). There was a marginal effect of duration of lactation on weaning-to-estrus interval (EW = 120 +/- 3; CW = 112 +/- 3 h; P < 0.06) and duration of estrus (EW = 52.4 +/- 2.3; CW = 46.3 +/- 2.2 h; P < 0.08). Overall, embryonic survival, not ovulation rate, seems to be the limiting factor for potential litter size in the second parity. Although fertility in both EW and CW sows studied was compromised, endocrine and metabolic data indicate that the mechanisms affecting reproductive performance may differ between the two weaning systems. The LH, FSH, and estradiol data from the EW sows are characteristic of animals with limited follicular development and incomplete recovery of the hypothalamic-pituitary-ovarian axis; consequently, the integrity of the uterine environment may be adversely affected and limit embryonic survival. In CW sows, variability in metabolic state seemed to be the key factor limiting the fertility, again adversely affecting embryonic survival.

Epilepsy surgery: chance for a cure.

Epilepsy is a chronic disorder with medical, as well as psychosocial, consequences. Many patients with epilepsy are well controlled by medication and are able to tolerate the side effects of the antiepileptic drugs needed to control their disorder. However, there are many people who are either unable to gain seizure freedom with medications or are intolerant of the side effects of their drugs. In some of these patients, particularly those with mesial temporal sclerosis, surgery offers a viable treatment alternative and a chance for a cure rather than just lifelong management.

Impact of dietary lysine intake during lactation on follicular development and oocyte maturation after weaning in primiparous sows.

Primiparous sows (n = 36) were used to evaluate the effects of dietary lysine intake in lactation on follicular development and oocyte maturation after weaning. Sows were assigned randomly to one of three diets containing .4% (low lysine, LL), 1.0% (medium lysine, ML), or 1.6% (high lysine, HL) total lysine. All diets contained 2.1 Mcal NE/kg and exceeded NRC (1988) requirements for all other nutrients. Actual lysine intakes over an 18-d lactation were 16, 36, and 56 g/d for sows consuming LL, ML, and HL, respectively. Ovarian data were analyzed for sows determined to have been slaughtered during the first proestrus period after weaning, using previously established criteria. Compared with sows fed ML and HL, sows fed LL tended to have lower uterine weight, follicular fluid volume, and follicular fluid (FF) estradiol (E2) content (P < .15), but similar ovarian weight and follicular fluid IGF-I concentration. Within the largest 15 preovulatory follicles, sows fed LL had a lower percentage of large (> or = 7.0 mm) follicles (33 vs 50 and 58%; P < .01) and a higher percentage of medium (5.5 to 7.0 mm) follicles (62 vs 44 and 39%; P < .01) but a similar percentage of small (< or = 5.5 mm) follicles (4.4 vs 5.9 and 3.7%; P > .15), respectively, compared with sows fed ML or HL. Standardized pools of oocytes aspirated from follicles of prepubertal gilts were incubated for 44 h with pooled FF recovered from the largest 15 follicles of each experimental sow. Fewer oocyte nuclei matured to metaphase II of meiosis when cultured with FF recovered from sows fed LL, than from sows fed ML or HL (47.1 vs 59.8 and 63.8%, respectively; P < .01). Our results suggest that low lysine (protein) intake in primiparous lactating sows impaired follicular development and reduced the ability of follicles to support oocyte maturation. However, high compared with medium lysine (protein) intake had no further positive effects on ovarian function.

Reproductive, metabolic, and endocrine responses to feed restriction and GnRH treatment in primiparous, lactating sows.

The current experiment was carried out to determine whether exogenous GnRH treatment in primiparous, lactating sows undergoing feed restriction would improve reproductive performance after weaning. Sows were allocated to one of three treatments: AA sows (n = 8) were fed to appetite throughout a 28-d lactation, AR (n = 12) and AR + GnRH (n = 12) sows were fed as AA sows from farrowing to d 21 of lactation, and feed intake was reduced to 50% of the ad libitum intakes from d 22 to 28. The AR + GnRH sows received 800 ng of GnRH i.v. every 6 h from d 22 to 28 of lactation, and AA and AR sows received saline. Sow weight, backfat, and litter weight were recorded weekly. Within 2 d after farrowing, litter size was standardized to 8 to 10. At d 17 of lactation, an indwelling jugular catheter was surgically implanted in each sow. Blood samples were taken for characterization of plasma LH, FSH, insulin, IGF-I, and leptin by RIA at d 21 and before and after weaning on d 28 of lactation. After weaning, all sows were given ad libitum access to feed, checked for onset of standing estrus twice daily with mature vasectomized boars, and inseminated 12 and 24 h after onset of standing estrus with pooled semen from the same fertile boars (3 x 10(9) sperm/AI). After breeding, feed allowance was reduced to NRC (1988) requirements for gestation. At d 28 +/- 3 of gestation, sows were killed and ovulation rate and embryo survival were determined. Restricted sows lost more weight during lactation than AA sows (P < .02). During the period of feed restriction, plasma IGF-I and postprandial insulin and leptin in AR and AR + GnRH sows, and LH pulse frequency in AR sows, were lower than those in AA sows (P < .04). Associations (P < .004) between plasma insulin and leptin and between leptin and mean LH concentrations were established. The LH pulse frequency in AR + GnRH sows did not differ from that in AA sows before weaning. After weaning, maximum, mean, and minimum LH concentrations in the AA and AR sows, and FSH concentrations in AR sows, increased (P < .05) in response to weaning. Paradoxically, GnRH treatment in lactation seemed to suppress the expected LH and FSH responses to weaning. Ovulation rate and embryo survival were not different among the three groups. In conclusion, although exogenous GnRH therapy restored LH secretion in feed-restricted sows, it did not improve overall reproductive performance.

Feeding lactating primiparous sows to establish three divergent metabolic states: I. Associated endocrine changes and postweaning reproductive performance.

We investigated effects of different metabolic states on reproductive performance in lactating, primiparous sows. Sows were fed ad libitum (AL; n = 12), alimentated via a gastric cannula to 125% of AL feed intake (SA; n = 8), or restricted (R; n = 9) to 50% of AL from d 1 to 28 of lactation. At weaning, all sows were fed 2.5x maintenance energy requirements until standing heat and then fed twice maintenance energy requirement until slaughter. Sow weight, backfat, and litter weights were recorded weekly. After weaning, sows were tested twice daily for the onset of estrus and inseminated twice using pooled semen. At d 28 of gestation, sows were slaughtered, and the reproductive tracts were recovered to determine ovulation rate and embryo survival. Intensive blood sampling was performed before and after weaning for 12-h periods to characterize changes in plasma LH, insulin, and IGF-I. After weaning, additional samples were taken to monitor changes in LH and progesterone. Insulin and IGF-I were determined at standing heat. During lactation, AL and R sows lost, whereas SA sows gained, body weight and backfat (P < .001). Litter growth rates did not differ among treatments. Although plasma insulin was not different among treatments, plasma IGF-I concentration was lower (P < .001) in R sows. Mean LH and pulse frequency before (P < .03 and P < .06, respectively) and after (P < .001; for both) weaning were lower in R than in AL or SA sows. After weaning, SA sows lost more weight (P < .01) and backfat (P < .01) and ate less feed (P < .001) than AL or R sows. At standing heat, no differences in plasma IGF-I or insulin were observed, although energy balance for SA sows was lower (P < .01) than for AL or R sows. Weaning-to-estrus interval was extended (P < .02) in R sows. We observed no treatment difference in ovulation rate or embryo survival. Our results demonstrate that making sows anabolic during lactation did not ameliorate the negative impact of the suckling stimulus or improve fertility after weaning.

Feeding lactating primiparous sows to establish three divergent metabolic states: III. Milk production and pig growth.

First-litter sows fitted with stomach cannulas were used to test the hypothesis that making gilts anabolic during lactation by providing them with extra nutrition would increase milk production and pig growth. Gilts were allocated to one of three dietary treatments after farrowing: 1) restricted, sows were fed 50% of their estimated ad libitum intake; 2) ad libitum, sows were encouraged to eat as much feed as possible; and 3) superalimented, sows were infused seven times daily through their cannula to achieve a 25 to 30% increase in energy intake in excess of that achieved by sows fed on an ad libitum basis. Milk production was estimated in mid- (d 10 to 15) and late (d 21 to 25) lactation by a modification of the isotope dilution technique. Milk production was similar between treatments in mid- and late lactation (P > .05), and this was reflected in a similarity in weaning litter weight (P = .238). Milk composition was similar also (P > .05) between dietary treatments. Superalimentation provided gilts with 38% more energy (P < .001) than gilts fed on an ad libitum basis, and they accrued live weight (5.1 kg) and backfat (1.8 mm) during lactation (P < .001). These data provide evidence that, unlike multiparous sows that show an increase in milk yield when made anabolic during lactation, primiparous sows seem to partition extra energy into body growth rather than into milk production.

Feeding lactating primiparous sows to establish three divergent metabolic states: II. Effect on nitrogen partitioning and skeletal muscle composition.

We established an experimental model to study nitrogen (N) partitioning in lactating primiparous sows alimented to three levels of nutrient intake. Thirty-six sows fitted with a gastric cannula and fed a 15.4 MJ DE/kg and 18.6% CP diet were allocated to one of three treatments after farrowing: 1) ad libitum-fed; 2) restricted-fed to 55% of the ad libitum feed intake; and 3) superalimented to at least 125% of the ad libitum feed intake. These feed intakes were successfully achieved throughout lactation. Nitrogen balance was studied for three 5-d periods starting on d 2, 11, and 19 of lactation, and a triceps muscle biopsy was taken on d 26. For all treatments, N intake increased, milk N production increased, urinary N losses decreased, but fecal N losses increased as the 28-d lactation progressed. Restricted-fed sows had the lowest fecal N and urinary losses and mobilized the most maternal protein (-23.0 vs -7.4 +/- 6.5 g N/d for ad libitum-fed sows) during lactation. As a consequence of these economies, and extensive protein mobilization, restricted-fed sows were able to maintain milk N production similar to that of sows on the other treatments. Superalimented sows did not mobilize protein, had the poorest protein digestibility, directed the least digestible N toward milk (40.1 vs 78.3% in restricted-fed sows), and produced amounts of milk N similar to those produced by sows on the other treatments. The treatment differences in N retention measured by N balance were reflected in differences in skeletal muscle variables and urinary creatinine. Skeletal muscle cell size (protein:DNA ratio) and protein synthetic capacity (RNA:DNA ratio) increased in response to feed intake. The protein:DNA ratio increased (P < .01) linearly and the RNA:DNA ratio increased (P < .05) in a curvilinear manner. These data suggest that primiparous sows partition additional retained N toward their maternal reserves rather than milk N. They also suggest that sows fed inadequate N intakes maintain milk production by mobilizing maternal protein reserves. Such sows also conserve maternal N during lactation, possibly by reducing muscle protein synthesis.

Impact of different patterns of feed intake during lactation in the primiparous sow on follicular development and oocyte maturation.

The potential contribution of nutritionally induced differences in follicular and oocyte maturity to embryo survival was addressed in pigs. When primiparous, lactating sows are fed to appetite from farrowing to day 21 of lactation and then with feed intake restricted to 50% from day 22 to 28 (restricted), embryo survival is 64% at day 28 of gestation, compared with 85% in sows fed to 50% from farrowing to day 21 and then fed to appetite from day 22 to 28 (refed). In the present study, 32 sows were equally assigned to these two treatments (restricted or refed) but they were slaughtered 38 h before the estimated time of oestrus. The largest 15 follicles per sow were aspirated and follicular fluid recovered for analysis in vitro. Although plasma oestradiol concentration before slaughter and follicular fluid oestradiol concentration at slaughter were not different (P > 0.05), refed sows had more (P < 0.02) large follicles than did restricted sows. Cumulus expansion scores in vitro were not different between treatments, although more (P < 0.03) oocytes from refed sows had matured to metaphase II than those from restricted sows. Similarly, although cumulus expansion of oocyte-cumulus complexes from prepubertal gilts oocytes incubated with follicular fluid obtained from restricted (n = 1227) or refed (n = 1147) sows was not different (P > 0.05), the rate of oocyte nuclear maturation was greater (P < 0.012) after incubation with follicular fluid from refed than with that from restricted sows. Differences in the maturation of the follicle and oocyte in the period before the LH surge may therefore contribute to the treatment effects on embryo survival.

Pattern of feed intake and associated metabolic and endocrine changes differentially affect postweaning fertility in primiparous lactating sows.

Effects of differential patterns of feed intake during lactation, associated metabolic and endocrine changes, and reproductive status after weaning were investigated in 26 primiparous sows suckled by six piglets. Sows were fed to appetite (Group AA; n = 9) from d 1 to 28 of lactation or restricted to 50% from d 22 to 28 (Group AR; n = 9) or from d 1 to 21 (Group RA; n = 8). Sow weight, backfat, and litter weights were recorded weekly. After weaning sows were tested twice daily for onset of estrus and inseminated twice using pooled semen. At d 28 of gestation sows were slaughtered and reproductive tracts were recovered to determine ovulation rate and embryo number. Intensive blood sampling was carried out for 12-h periods on d 21 and before and after weaning on d 28 to characterize changes in plasma, LH, FSH, insulin, and IGF-I by RIA. Litter growth rates did not differ among groups. Feed-restricted sows lost more (P < .01) body weight and backfat than those fed to appetite. During periods of feed restriction in AR and RA sows, postprandial insulin, mean IGF-I, and LH pulse frequency were less than in AA sows fed to appetite. All sows exhibited an increase (P < .001) in LH pulsatility in response to weaning. After weaning, no differences were observed in insulin, LH, or FSH, although IGF-I was still lower (P <.05) in AR sows. These results demonstrate that the pattern of metabolic change in the primiparous lactating sows exerts differential effects on fertility after weaning.

Amebic meningoencephalitis caused by Balamuthia mandrillaris: case report and review.

Balamuthia mandrillaris, formerly referred to as a leptomyxid ameba, is a free-living ameba that has recently been identified as a cause of meningoencephalitis. Previously, only two genera, Naegleria and Acanthamoeba, were recognized as causes of central nervous system (CNS) infections in humans. In contrast to Naegleria, Balamuthia causes a subacute-to-chronic infection of the CNS. Distinct from Acanthamoeba, which appears to favor the immunocompromised host, Balamuthia is capable of infecting both healthy and immunosuppressed hosts. Retrospective analyses as well as an accumulation of newly identified cases have demonstrated that this ameba is an increasingly important pathogen to recognize. We report the isolation, histopathologic features, and confirmation by indirect immunofluorescence of B. mandrillaris in a case of fatal amebic meningoencephalitis.

[Brain tumor and imminent premature labor: a case report]. / Guz mózgu a zagrozenie porodem przedwczesnym. Opis przypadku.

A pregnant woman with cerebral tumour of right hemisphere is reported. In the 30th week of pregnancy intracranial pressure was increased and imminent premature delivery were diagnosed. The patient was operated on for cerebral tumour and immediately after this cesarean section was performed. We conclude that in this case neurosurgical operation followed by cesarean section saved the life of the mother and child.