Correction to:Expanding controlled donation after the circulatory determination of death: statement from an international collaborative (Intensive Care Medicine, (2021), 47, 3, (265-281), 10.1007/s00134-020-06341-7)

The article “Expanding controlled donation after the circulatory determination of death: statement from an international collaborative”, written by Domínguez-Gil, B., Ascher, N., Capron, A.M. et al. was originally published electronically on the publisher’s internet portal on 21 February 2021 without open access. With the author(s)’ decision to opt for Open Choice the copyright of the article changed on 25 March 2021 to © The Author(s) 2021 and the article is forthwith distributed under a Creative Commons Attribution this article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, which permits any non-commercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc/4.0/. The original article has been corrected

Expanding controlled donation after the circulatory determination of death: statement from an international collaborative.

A decision to withdraw life-sustaining treatment (WLST) is derived by a conclusion that further treatment will not enable a patient to survive or will not produce a functional outcome with acceptable quality of life that the patient and the treating team regard as beneficial. Although many hospitalized patients die under such circumstances, controlled donation after the circulatory determination of death (cDCDD) programs have been developed only in a reduced number of countries. This International Collaborative Statement aims at expanding cDCDD in the world to help countries progress towards self-sufficiency in transplantation and offer more patients the opportunity of organ donation. The Statement addresses three fundamental aspects of the cDCDD pathway. First, it describes the process of determining a prognosis that justifies the WLST, a decision that should be prior to and independent of any consideration of organ donation and in which transplant professionals must not participate. Second, the Statement establishes the permanent cessation of circulation to the brain as the standard to determine death by circulatory criteria. Death may be declared after an elapsed observation period of 5 min without circulation to the brain, which confirms that the absence of circulation to the brain is permanent. Finally, the Statement highlights the value of perfusion repair for increasing the success of cDCDD organ transplantation. cDCDD protocols may utilize either in situ or ex situ perfusion consistent with the practice of each country. Methods to accomplish the in situ normothermic reperfusion of organs must preclude the restoration of brain perfusion to not invalidate the determination of death

Expanding controlled donation after the circulatory determination of death: statement from an international collaborative

Abstract: A decision to withdraw life-sustaining treatment (WLST) is derived by a conclusion that further treatment will not enable a patient to survive or will not produce a functional outcome with acceptable quality of life that the patient and the treating team regard as beneficial. Although many hospitalized patients die under such circumstances, controlled donation after the circulatory determination of death (cDCDD) programs have been developed only in a reduced number of countries. This International Collaborative Statement aims at expanding cDCDD in the world to help countries progress towards self-sufficiency in transplantation and offer more patients the opportunity of organ donation. The Statement addresses three fundamental aspects of the cDCDD pathway. First, it describes the process of determining a prognosis that justifies the WLST, a decision that should be prior to and independent of any consideration of organ donation and in which transplant professionals must not participate. Second, the Statement establishes the permanent cessation of circulation to the brain as the standard to determine death by circulatory criteria. Death may be declared after an elapsed observation period of 5 min without circulation to the brain, which confirms that the absence of circulation to the brain is permanent. Finally, the Statement highlights the value of perfusion repair for increasing the success of cDCDD organ transplantation. cDCDD protocols may utilize either in situ or ex situ perfusion consistent with the practice of each country. Methods to accomplish the in situ normothermic reperfusion of organs must preclude the restoration of brain perfusion to not invalidate the determination of death

FOUR YEARS OF ALL FORAGE BEEF BULL PERFORMANCE TESTING

72 pagesCornell All Forage Fed Bull Test (CAFFBT) was initiated to evaluate growth performance of young beef bulls. With improved genetics developed for forage production, progeny of these selected bulls can be brought to market sooner, and improved feed efficiency obtained through breeding of these sires may reduce cow herd feed costs. The CAFFBT was conducted for four years at the Cornell University Ruminant Center in Dryden, NY. Live weights and body condition score (BCS) were recorded every 28 days. Initial and final hip heights were measured and age at measurement were used to calculate frame score (FS). Carcass ultrasound (US) was conducted to measure rump fat thickness, rib fat thickness, ribeye area and intramuscular fat. Breeding soundness exams were performed to gauge the breeding potential. Each year had a warm-up period prior to start. Test length was 112 days for years 1, 2, and 4, and 140 days for year 3. Year one of the test evaluated 13 bulls fed alfalfa hay. The average weight gain was 1.0 kg/day. In year two, 16 bulls were evaluated on a switchback feeding trial fed to two pens. Triticale silage and alfalfa silage were fed separately as treatments. Average weight gain was 0.7 kg/day for the triticale silage treatment and 0.8 kg/day for the alfalfa silage treatment. Year three evaluated 25 bulls fed primarily triticale silage. The average weight gain was 0.9 kg/day. Year four evaluated 23 bulls fed triticale silage resulting in an average weight gain of 0.6 kg/day. The CAFFBT provided a venue to evaluate these bulls and highlight the potential for weight gain on forage diets and assist with selection of genetically superior bulls

Use of Post Digested Separated Manure Solids as Freestall Bedding: A Case Study

The goals of this paper are 1) to introduce, from an economic standpoint, why producers currently need to use post-digested separated manure solids in a cost-effective manner, and 2) to provide results from an on-farm pilot-scale study that looked at opportunistic pathogen concentrations present in various sampling points including freshly separated post-digested manure solids to those solids present in freestalls after a two to three day residence time

Dairy Farm Business Summary: Intensive Grazing Farms New York 2011

E.B. 2012-09Dairy farm managers throughout New York State have been participating in Cornell Cooperative Extension's farm business summary and analysis program since the early 1950's. Managers of each participating farm business receive a comprehensive summary and analysis of the farm business. The farms included in the study are a subset of New York State farms participating in the Dairy Farm Business Summary and Analysis Program (DFBS). Twenty-eight New York farms indicated that they grazed dairy cows at least three months, moving to a fresh paddock at least every three days and more than 30 percent of the forage consumed during the growing season wasfrom grazing. Operators of these 28 farms were asked to complete a grazing practices survey. Twenty-one of the farms did complete it. The study centered on 28 New York farms which were not organic farms and were not first year grazers. Throughout the study, the grazing dairies are compared to the “Non-Grazers”, which are 58 farms with similar herd size to the 28 grazing farms

Dairy Farm Business Summary: Intensive Grazing Farms New York 2010

E.B. 2011-06Dairy farm managers throughout New York State have been participating in Cornell Cooperative Extension's farm business summary and analysis program since the early 1950's. Managers of each participating farm business receive a comprehensive summary and analysis of the farm business. The farms included in the study are a subset of New York State farms participating in the Dairy Farm Business Summary and Analysis Program (DFBS). Twenty-seven New York farms indicated that they grazed dairy cows at least three months, moving to a fresh paddock at least every three days and more than 30 percent of the forage consumed during the growing season was from grazing. Operators of these 27 farms were asked to complete a grazing practices survey. Eighteen of the farms did complete it. The study centered on 27 New York farms which were not organic farms and were not first year grazers. Throughout the study, the grazing dairies are compared to the “Non-Grazers”, which are 72 farms with similar herd size to the 27 grazing farms