Deterrents of Oklahoma Funeral Directors in Charge Towards Continuing Education

Occupational and Adult Educatio

Effects of Crystalline Amino Acid Concentrations With or Without Formaldehyde Treatment of Diets on Nursery Pig Growth Performance and Fecal Bacterial Concentration

A total of 1,235 nursery pigs (PIC 359 × 1050; initially 26.9 lb BW) were used in a 28-d study evaluating the effects of crystalline amino acid concentrations with or without formaldehyde treatment of diets on nursery pig growth performance, feed bacteria concentration, lysine content, and fecal microbial diversity. Sal CURB (Kemin Industries Inc., Des Moines, IA) is a commercial formaldehyde product that is commonly utilized in the poultry industry for Salmonella control in feed but has also been shown to reduce PEDV infectivity in swine diets.Pigs were weaned at approximately 21 d, fed a common starter diet for 10 d, and allotted to pens based on BW in a completely randomized design. Experimental diets were fed in 2 phases (phase 1, d 0 to 12; and phase 2, 12 to 28 post-weaning) in meal form. Experimental treatments were arranged as a 2 × 2 + 1 factorial with main effects of formaldehyde (none vs. 0.30% in all phases) and crystalline AA concentration (low vs. high) plus a positive control. The positive control represented this current production system’s formulated Lys requirement needed to maximize performance, whereas treatment diets were formulated at 80% of the positive control’s lysine concentration. Feed bacterial concentration was determined by performing aerobic plate, Enterobacteriaceae, and total coliform counts on composited feed samples collected from each batch of feed manufactured at the feed mill and directly from feeders at the farm. Total, available, and free Lys analyses were conducted on composited feed samples collected from each phase of the study to determine Lys content. A composite fecal sample was collected from 3 randomly selected pigs per pen on d 28 for each treatment, DNA isolated, and each sample assessed for bacterial community analysis.Overall, a significant crystalline AA × formaldehyde interaction (P \u3c 0.05) was observed for ADFI and F/G. The interaction for ADFI was because added formaldehyde in high crystalline AA diets decreased feed intake; however, in low crystalline AA diets, ADFI was unchanged. For F/G, pigs had improved F/G in low crystalline AA diets without formaldehyde, but no difference was observed in high crystalline AA diets. Despite the interaction for ADFI and F/G, formaldehyde-treated diets reduced (P \u3c 0.05) ADG, ADFI, and resulted in poorer F/G. Crystalline AA concentration did not impact performance. Added formaldehyde reduced or eliminated bacterial concentration of complete feed in phase 1 of the study. Formaldehyde reduced total and available Lys in both low and high crystalline AA diets, with a greater reduction occurring in low crystalline AA diets, but had no effect on free Lys. Added formaldehyde reduced (P = 0.001) Lactobacillaceae bacterial species, but increased (P = 0.001) Clostridiaceae bacterial species in fecal microbial samples. As expected, formaldehyde treatment reduced bacterial microflora of complete feeds. Overall, the level of crystalline AA did not impact performance while the nursery diet formaldehyde addition negatively influenced growth performance, AA utilization, and fecal microbial diversity

Transition of care: experiences and preferences of patients across the primary/secondary interface – a qualitative study

BACKGROUND: Coordination between care providers of different disciplines is essential to improve the quality of care, in particular for patients with chronic diseases. The way in which general practitioners (GP's) and medical specialists interact has important implications for any healthcare system in which the GP plays the role of gatekeeper to specialist care. Patient experiences and preferences have proven to be increasingly important in discussing healthcare policy. The Dutch government initiated the development of a special website with information for patients on performance indicators of hospitals as well as information on illness or treatment.In the present study we focus on the transition of care at the primary - secondary interface with reference to the impact of patients' ability to make choices about their secondary care providers. The purpose of this study is to (a) explore experiences and preferences of patients regarding the transition between primary and secondary care, (b) study informational resources on illness/treatment desired by patients and (c) determine how information supplied could make it easier for the patient to choose between different options for care (hospital or specialist). METHODS: We conducted a qualitative study using semi-structured focus group interviews among 71 patients referred for various indications in the north and west of The Netherlands. RESULTS: Patients find it important that they do not have to wait, that they are taken seriously, and receive adequate and individually relevant information. A lack of continuity from secondary to primary care was experienced. The patient's desire for free choice of type of care did not arise in any of the focus groups. CONCLUSION: Hospital discharge information needs to be improved. The interval between discharge from specialist care and the report of the specialist to the GP might be a suitable performance indicator in healthcare. Patients want to receive information, tailored to their own situation. The need for information, however, is quite variable. Patients do not feel strongly about self-chosen healthcare, contrary to what administrators presently believe

Distinct Peripheral Blood RNA Responses to Salmonella in Pigs Differing in Salmonella Shedding Levels: Intersection of IFNG, TLR and miRNA Pathways

Transcriptomic analysis of the response to bacterial pathogens has been reported for several species, yet few studies have investigated the transcriptional differences in whole blood in subjects that differ in their disease response phenotypes. Salmonella species infect many vertebrate species, and pigs colonized with Salmonella enterica serovar Typhimurium (ST) are usually asymptomatic, making detection of these Salmonella-carrier pigs difficult. The variable fecal shedding of Salmonella is an important cause of foodborne illness and zoonotic disease. To investigate gene pathways and biomarkers associated with the variance in Salmonella shedding following experimental inoculation, we initiated the first analysis of the whole blood transcriptional response induced by Salmonella. A population of pigs (n = 40) was inoculated with ST and peripheral blood and fecal Salmonella counts were collected between 2 and 20 days post-inoculation (dpi). Two groups of pigs with either low shedding (LS) or persistent shedding (PS) phenotypes were identified. Global transcriptional changes in response to ST inoculation were identified by Affymetrix Genechip® analysis of peripheral blood RNA at day 0 and 2 dpi. ST inoculation triggered substantial gene expression changes in the pigs and there was differential expression of many genes between LS and PS pigs. Analysis of the differential profiles of gene expression within and between PS and LS phenotypic classes identified distinct regulatory pathways mediated by IFN-γ, TNF, NF-κB, or one of several miRNAs. We confirmed the activation of two regulatory factors, SPI1 and CEBPB, and demonstrated that expression of miR-155 was decreased specifically in the PS animals. These data provide insight into specific pathways associated with extremes in Salmonella fecal shedding that can be targeted for further exploration on why some animals develop a carrier state. This knowledge can also be used to develop rational manipulations of genetics, pharmaceuticals, nutrition or husbandry methods to decrease Salmonella colonization, shedding and spread

An Experimental Analysis Of the Demand For Payday Loans

The payday loan industry is one of the fastest growing segments of the consumer financial services market in the United States. We design an environment similar to the one that payday loan customers face and then conduct a laboratory experiment to examine what effect, if any, the existence of payday loans has on individuals\u27 abilities to manage and to survive financial setbacks. Our primary objective is to examine whether access to payday loans improves or worsens the likelihood of financial survival in our experiment. We also test the degree to which people\u27s use of payday loans affects their ability to survive financially. We find that payday loans help the subjects to absorb expenditure shocks and therefore survive financially. However, subjects whose demand for payday loans exceeds a certain threshold level are at a greater risk than a corresponding subject in the treatment in which payday loans do not exist