METABOLITES AND SEMEN CHARACTERISTICS IN DIFFERENT BULLS FERTILITY

This study was investigated the relationship between Holstein bulls' fertility with some biomarkers (amino، fatty، and organic acids) and semen characteristics. The study included exploring the relationship among the fertility of Holstein bulls، several biomarkers، and semen characteristics in straws (20-25 straws/bull) preserved for three years. The cows were artificially inseminated (9-10 cows/bull) from semen. Based on the fertility rate، the bulls were divided into three groups، the first bulls of medium fertility (˂65%)، the second of good fertility (65-79%)، and the third of high fertility (>80%). The semen characteristics were evaluated، and the concentration of some amino acids and organic fatty acids was measured in the seminal plasma of bulls using gas chromatography and HPLC. The results revealed significant differences in the fertility rate among the different groups of bulls in favor of the highly fertile bulls. The results did not show any differences in most of the characteristics of the semen، except for a significant increase in the percentage of live sperm in good bulls compared to highly fertile ones. There were no significant differences for all the concentrations of carboxylic and most amino and fatty acids concentrations، except for an increase in the concentration of glycine acid (P˂0.05) and a decrease in the concentration of omega 9 (P˂0.05) in the highly fertile bulls compared to the medium fertile ones. In conclusion، glycine and omega-9 in the seminal plasma of bulls can be regarded as biomarkers of their fertility and the level of carboxylic acids (volatile fatty acids) can be adopted as an indicator of semen quality or energy level in the die

Reproductive and Productive Performance of Iraqi Buffaloes as Influenced by Pre-Mating and Pre-Calving Concentrate Supplementation

The objective of the present study was to investigate the influence of pre-mating and pre-calving concentrate supplementation of Iraqi buffaloes on some of the reproductive (estrus, mating, pregnancy and calving rates) and productive (daily milk yield and calves birth weight) traits. This study was carried out in 4 Iraqi South-central governorates using 596 pre-mating and 628 pregnant buffaloes (during the last two months of gestation). Pre-mating buffaloes were divided randomly into 496 concentrate-supplemented buffaloes (Flushing) and 100 control ones. Additionally, pregnant buffaloes were also divided into 528 concentrate- supplemented buffaloes (Steaming up) and 100 controls. Each buffalo within the flushing and steaming up groups were fed daily on 7 Kg of concentrate diet (13% crude protein and 1.70 Mcal of net energy) for 60 days. The control buffaloes were nourished only on low-quality roughages of the area and wheat bran. Higher estrus (+15%, P<0.01), pregnancy (+23.8%, P<0.05) and calving rates (+30.8%, P<0.01) were observed in concentrate-supplemented buffaloes as compared with controls. An obvious increase in (P<0.05) calving rate (+14.7%), daily milk yield (+44.8%) and calf birth weight (+25.6%) were noted in steaming up buffaloes in comparison with control buffaloes. Results indicated that improvement in feeding schedule of Iraqi buffaloes during pre-mating and late gestation periods enhanced the reproductive performance and increased milk production of subsequent lactation and calf birth weight. These improvements increased owner income ($174=209,000 Iraqi dinar /buffalo) from the sale of meat and milk

Assessment of Children's Oral Health-Related Knowledge and Self-Efficacy in Expectant Mothers of Najran, Saudi Arabia

Objective:&nbsp;To assess the knowledge of pregnant women regarding their child’s oral health.&nbsp;Material and Methods:&nbsp; A questionnaire was developed and the 1st section comprised sociodemographic variables. The second section contained questions about the eruption of teeth, fluoride importance, cariogenic food, and dental visits. The questionnaire was shared electronically via a link to the receptionist of the gynaecologist at different health centres of Najran to be filled by expectant mothers. The convenient sampling method was used to collect the responses. Data were presented using descriptive statistics.&nbsp;Results:&nbsp;A total of&nbsp;572 pregnant women participated in this survey.&nbsp;Three hundred and fifteen (55.1%) knew that 1st primary tooth erupts at the age of 6 months. The majority of the respondents (n=332) agreed that toothbrushes and toothpaste could be used to clean a child's teeth; only 5.4%, 10%, and 24.5% preferred miswak, mouthwash, and toothbrush, respectively. Participants were well familiar with cariogenic food and occasionally allowed their children to take it. They have enough knowledge about fluoride toothpaste, but they were not familiar with the benefits of fluoride varnish. Almost 50% of the respondents agreed that the child should visit the dentist within six months, and 27.4% said they should visit the dentist whenever there is a problem.&nbsp;Conclusion:&nbsp; Almost 50% of participants showed a positive attitude towards most questions. However, there is a need to improve their &nbsp;behaviour and knowledge about many aspects of dental care

A literature review of carpal tunnel syndrome and its association with body mass index, wrist ratio, wrist to palm ratio, and shape index

Study design: Systematic literature review of case-controlled studies.Introduction: Carpal tunnel syndrome (CTS) is one of the most common tubular neuropathies where certain anatomical variations may be accounted for as risk factors for CTS, including body mass index (BMI), wrist ratio (WR), wrist to palm ratio (WPR), shape index (SI), and digit length.Purpose of the Study: To assess case-control studies examining the association between specific anatomical variations of the wrist as risk factors for developing CTS and whether this effect is the same for both genders.Methods: The literature search was conducted between February-June 2020 through PubMed, Cochrane Library, CINAHL Plus and PEDro. The literature search yielded 149 potential publications, fifteen of which were filtered in accordance with eligibility criteria. The methodological quality was assessed by using the Newcastle-Ottawa Quality Assessment Form for Case-Control Studies (NOS).Results: The total number of subjects included in this review was n=4299. The largest sample was n=1117 participants and the smallest n=54. All studies included patients who had a clinical diagnosis of CTS confirmed with nerve conduction studies and or ultrasonography. CTS was significantly higher in patients with higher BMI, WR, WPR compared to control groups. BMI and WR were the only indicators that can be considered as strong risk factors.Conclusions: Discussion: Despite the general patterns on the association of BMI, WPR, WR and SI as risk factors for the development of CTS, there were exceptions to the accepted results and conclusions. Conclusion: Clinicians are recommended to conduct more research to confirm anthropometric measurements as risk factors for the development of CTS, mainly SI and WPR. When determining the cut-off values for BMI and WR, it is recommended to take into account additional risk factors such as occupation.</p

EFFECT OF PRE- AND POST-MATING VITAMINS AD3E TREATMENT ON REPRODUCTIVE PERFORMANCE OF AWASSI EWES

This study was designed to investigate the influence of pre-estrus (PE) synchronization and post-mating (PM) vitamins AD3E treatment on the reproductive performance of Awassi ewes raised at four Iraqi provinces. Seventy six Awassi ewes were randomly divided within each province into two groups. The first group (n=15, except for Karbala, n= 11) were im injected with five AD3E injections (150 IU / dose), biweekly interval. The 1st injection was 1.5 months PM, while the 2nd and 3rd injections were at the time of progestagen-impregnated vaginal sponges insertion. The 4th injection was at the time of the vaginal sponge’s removal, whereas the 5th injection was 14 days PM. The control group (n=5) was intramuscularly injected with 5 ml normal saline at similar periods. The AD3E groups exhibited higher (P≤0.01) fertility and conception rates as compared to the control groups in Al-Najaf and Karbala provinces. Higher (P≤0.01) lambing rate and liter size were noticed in AD3E groups than those of the control group for all provinces. In conclusion, pre-estrus synchronization and post-mating vitamin AD3E treatment improved the reproductive performance of Awassi ewes

Written information about individual medicines for consumers.

Medicines are the most common intervention in most health services. As with all treatments, those taking medicines need sufficient information: to enable them to take and use the medicines effectively, to understand the potential harms and benefits, and to allow them to make an informed decision about taking them. Written medicines information, such as a leaflet or provided via the Internet, is an intervention that may meet these purposes

Cost of management of severe pneumonia in young children:systematic analysis

Childhood pneumonia is a major cause of childhood illness and the second leading cause of child death globally. Understanding the costs associated with the management of childhood pneumonia is essential for resource allocation and priority setting for child health

Value of hospital antimicrobial stewardship programs [ASPs]:a systematic review

Abstract Background Hospital antimicrobial stewardship programs (ASPs) aim to promote judicious use of antimicrobials to combat antimicrobial resistance. For ASPs to be developed, adopted, and implemented, an economic value assessment is essential. Few studies demonstrate the cost-effectiveness of ASPs. This systematic review aimed to evaluate the economic and clinical impact of ASPs. Methods An update to the Dik et al. systematic review (2000–2014) was conducted on EMBASE and Medline using PRISMA guidelines. The updated search was limited to primary research studies in English (30 September 2014–31 December 2017) that evaluated patient and/or economic outcomes after implementation of hospital ASPs including length of stay (LOS), antimicrobial use, and total (including operational and implementation) costs. Results One hundred forty-six studies meeting inclusion criteria were included. The majority of these studies were conducted within the last 5 years in North America (49%), Europe (25%), and Asia (14%), with few studies conducted in Africa (3%), South America (3%), and Australia (3%). Most studies were conducted in hospitals with 500–1000 beds and evaluated LOS and change in antibiotic expenditure, the majority of which showed a decrease in LOS (85%) and antibiotic expenditure (92%). The mean cost-savings varied by hospital size and region after implementation of ASPs. Average cost savings in US studies were $732 per patient (range:$2.50 to $2640), with similar trends exhibited in European studies. The key driver of cost savings was from reduction in LOS. Savings were higher among hospitals with comprehensive ASPs which included therapy review and antibiotic restrictions. Conclusions Our data indicates that hospital ASPs have significant value with beneficial clinical and economic impacts. More robust published data is required in terms of implementation, LOS, and overall costs so that decision-makers can make a stronger case for investing in ASPs, considering competing priorities. Such data on ASPs in lower- and middle-income countries is limited and requires urgent attention