Late Summer Planted Oat-Brassica Forage Quality Changes during Winter Grazing

Oat, radish, and turnip samples were taken on pivots being grazed from November through January in Clay Center, Nebraska. The objective was to determine how the quality changed throughout the winter. The forage was observed to be high-quality (highly digestibility with moderate CP content). Digestibility did decline over this period but minimal changes in CP content were observed. From early November to early January, the digestibility of oats appeared to decline more (10% unit decline) than turnip and radish leaves (5% unit decrease). However, digestibility (67% IVOMD) and CP content (15%) of oats in early January were still as high as a good quality grass hay. Brassica (radish and turnip) leaves were more similar to a concentrate (81–83% IVOMD and 23–26% CP) even in January. Thus, even though the forage changed color from green to brown after hard freezes, the forage still had good feed value in January

Lives Saved Tool supplement detection and treatment of syphilis in pregnancy to reduce syphilis related stillbirths and neonatal mortality

BACKGROUND: Globally syphilis is an important yet preventable cause of stillbirth, neonatal mortality and morbidity. OBJECTIVES: This review sought to estimate the effect of detection and treatment of active syphilis in pregnancy with at least 2.4 MU benzathine penicillin (or equivalent) on syphilis-related stillbirths and neonatal mortality. METHODS: We conducted a systematic literature review of multiple databases to identify relevant studies. Data were abstracted into standardised tables and the quality of evidence was assessed using adapted GRADE criteria. Where appropriate, meta-analyses were undertaken. RESULTS: Moderate quality evidence (3 studies) supports a reduction in the incidence of clinical congenital syphilis of 97% (95% c.i 93 - 98%) with detection and treatment of women with active syphilis in pregnancy with at least 2.4 MU penicillin. The results of meta-analyses suggest that treatment with penicillin is associated with an 82% reduction in stillbirth (95% c.i. 67 - 90%) (8 studies), a 64% reduction in preterm delivery (95% c.i. 53 - 73%) (7 studies) and an 80% reduction in neonatal deaths (95% c.i. 68 - 87%) (5 studies). Although these effect estimates were large and remarkably consistent across studies, few of the studies adjusted for potential confounding factors and thus the overall quality of the evidence was considered low. However, given these large observed effects and a clear biological mechanism for effectiveness the GRADE recommendation is strong. CONCLUSION: Detection and appropriate, timely penicillin treatment is a highly effective intervention to reduce adverse syphilis-related pregnancy outcomes. More research is required to identify the most cost-effective strategies for achieving maximum coverage of screening for all pregnant women, and access to treatment if required

Evidence to inform the future for maternal and newborn health.

Despite the impressive progress gains for maternal and child health during the Millennium Development Goals era, over 5.6 million women and babies died in 2015 due to complications during pregnancy, birth and in the first month of life. In order to achieve the new mortality targets set out in the Sustainable Development Goals, there needs to be intentional efforts to maintain and accelerate action to end preventable maternal and newborn deaths and stillbirths. This paper outlines what progress is required to meet these new 2030 targets based on patterns of progress in the recent past; where the burden is the greatest; when to focus attention along the continuum of care; and what causes of death require concerted efforts. Priority actions include intentional and intensified political attention and investment in maternal-newborn health with particular focus on improving quality and experience of care around the time of birth with implementation at scale of integrated maternal-newborn health interventions across the continuum of care with commensurate investment targeted at the most vulnerable populations. Looking forward, improved data for decision making and accountability will be required. The health and survival of babies and their mothers are inextricably linked, and calls for coordinated efforts and innovation before and during pregnancy, in childbirth, and postnatally, in order to end preventable maternal, neonatal deaths and stillbirths

Can You Credit This? A Credit-Bearing Information Literacy Course for Graduate Health Science Students

Objective: University of Florida HSCL librarians have long offered information-related instruction through guest lectures in the programs they serve and stand-alone workshops; however, librarians had not taught any credit-bearing courses focused on information literacy prior to 2016. To more fully integrate information-related skills into curricula, librarians developed a one-credit course for graduate students, initially targeting those in basic science programs but expecting that its modular format would allow easy adaptation for other health science programs. After two successful semesters teaching this course, librarians adapted the instructional content to an audience of graduate students in the College of Public Health and Health Professions. Methods: The basic science version of the course covered literature searching, bibliographic citation software, basic NCBI resources, funding sources, data management, and information ethics. In transforming the class for health professional students, librarians replaced the genetic and genomic resources sessions with introductory sessions on systematic reviews and grey literature. Conceptual material fit mapped well to the Association of College and Research Libraries (ACRL) Information Literacy Framework. Health professions PhD program coordinators provided feedback on the syllabus and helped inform students about the course. Results: Formal student evaluation data is not yet available; however, informal feedback indicated that the course was incredibly valuable for doctoral students; one student even suggested making the course required. Student quiz scores and class discussion revealed that the choice of topics resonated with students, captured their interests, and fulfilled a need not met by their other courses. Conclusions: Developing and teaching a credit-bearing graduate course on information-related topics is one mechanism for librarians to further integrate into the curricula of their programs and broaden their reach. A course that has been developed and approved by a specific campus unit may prove relevant to other units and easily customized to fit their needs, thus increasing its impact

The Effects of Slow Deep Breathing on Measures of Microvascular and Autonomic Function in an Irritable Bowel Syndrome Population

Irritable Bowel Syndrome (IBS) is a functional disorder linked to disruptions in autonomic nervous system regulation, which could impair vascular homeostasis. Studies have shown that slow, deep breathing reduces muscle sympathetic nerve activity and arterial stiffness; however, its effects on autonomic regulation in adults with IBS have not been previously investigated. Moreover, the effects of breathing on microvascular endothelium function are unknown. PURPOSE: To investigate the effects of slow, deep breathing on measures of autonomic function and microvascular endothelial function in adults with IBS. METHODS: Adults (ages 18-65 years) with a formal diagnosis of IBS were enrolled and randomized to 4-week controlled breathing or time-control conditions. The experimental group followed a 20-minute slow, deep breathing video 4 to 6 days per week while the control group maintained their regular activity. To assess autonomic function, heart rate variability (HRV) and exercise heart rate recovery (HRR) were measured at baseline and week 4. The HRV test was accompanied by respiration rate measurements to ensure no significant deviations in respiration occurred between assessments as this could impact HRV. Exercise HRR was assessed 30, 60, and 120 seconds following a Balke treadmill VO2 max test. Laser Doppler flowmetry was assessed at baseline (33°C) and in response to local heating up to 43.5°C while blood pressure was measured throughout for the calculation of cutaneous vascular conductance (CVC). RESULTS: Of the 14 participants enrolled, 12 (n=6 for control and experimental groups) completed the study. At baseline, age (p = 0.47) and body mass index (p=0.14) were similar between groups. Respiration rate was similar between HRV assessments in both groups. In the experimental group, %CVC max significantly increased (p = 0.027) at week 4 while HRR was unchanged. A tendency toward a time by group interaction was observed for HRV low frequency to high frequency (LF/HF) ratio (p = 0.066) with slight reductions in the breathing group and increases in the control group. In the control group, %CVC max and HRR were unaltered, though HRR at 120 seconds tended to improve (p=0.08). CONCLUSIONS: Preliminary results from this ongoing study suggest that microvascular endothelial function can improve with 4 weeks of slow, deep breathing exercises in adults with IBS. These alterations in vascular function were unaccompanied by significant changes in autonomic function though trends were observed in HRV. Results show that slow, deep breathing is a viable alternative to physical exercise for improving microvascular function. Findings also suggest that this intervention could result in improved sympathovagal balance in adults with IBS and potentially other individuals with functional disorders

Interaction of urea with frequency and amount of distillers grains supplementation for growing steers on a high forage diet

Two studies were conducted to determine interactions of urea inclusion to a dried distillers grains plus solubles (DDGS; 29.4% crude protein, 5.48% ether extract) supplement fed at two amounts and two frequencies to steers on a high forage diet. In Exp. 1, 120 (247 kg; SD = 20) steers were fed individually for 84 d. Steers received ad libitum grass hay (6.8% crude protein) and one of eight treatments. Treatment design was a 2 × 2 × 2 factorial. Supplement was fed daily or three times per week, amount of supplement fed was 6.36 kg dry matter (DM)/week [0.37% body weight (BW); LO] or 12.73 kg DM/week (0.74% BW; HI) and contained either no urea or 1.3% urea on a DM basis. Steer BW was measured at the start and end of the trial and hay DM intake (DMI) was measured weekly. In Exp. 2, ruminally cannulated steers (310 kg; SD = 25) were used in a row-column design with eight steers and six 14-d periods. Treatments assigned were the same as Exp. 1, except that supplement was fed at 0.4% of BW (LO) or 0.8% of BW (HI) and supplement was fed either daily (DY) or every other day (ALT). Hay DMI, rumen ammonia-N, rumen pH, in situ neutral detergent fiber (NDF) disappearance, and rumination were measured. In Exp. 1, average daily gain (ADG) was affected by amount of supplement with steers on HI gaining 0.30 kg/d more (P \u3c 0.01) than LO. Hay DMI was reduced by increased amount of supplement (0.39 kg/d; P \u3c 0.01) and by decreased frequency of supplementation (0.54 kg/d; P \u3c 0.01). In Exp. 2, hay DMI was also reduced due to increased amount of supplement and decreased frequency of supplementation (P \u3c 0.01). Rumen pH was decreased on the day of supplement feeding for steers on ALT (P \u3c 0.01) and reduced for steers fed HI vs. LO. There was no difference in NDF digestibility between DY and ALT (P \u3e 0.05). For ALT steers, there was reduction (P \u3c 0.01) in in situ NDF disappearance for the HI compared to LO amount of supplementation on the day of supplementation. Infrequent supplementation of DDGS results in no difference in ADG but decreased hay DMI compared to daily supplementation. Urea had no effect on digestion or ADG, suggesting rumen degradable protein was not deficient when supplementing DDGS. There is little change in rumen fermentation parameters between frequency of supplement feeding, indicating that forage digestion is not impacted by supplementation frequency. Dried distillers grains can be supplemented infrequently without a reduction in animal performance

Dysregulation of metabolic-associated pathways in muscle of breast cancer patients: preclinical evaluation of interleukin-15 targeting fatigue

Background Breast cancer patients report a perception of increased muscle fatigue, which can persist following surgery and standardized therapies. In a clinical experiment, we tested the hypothesis that pathways regulating skeletal muscle fatigue are down-regulated in skeletal muscle of breast cancer patients and that different muscle gene expression patterns exist between breast tumour subtypes. In a preclinical study, we tested the hypothesis that mammary tumour growth in mice induces skeletal muscle fatigue and that overexpression of the cytokine interleukin-15 (IL-15) can attenuate mammary tumourinduced muscle fatigue. Methods Early stage non-metastatic female breast cancer patients (n = 14) and female non-cancer patients (n = 6) provided a muscle biopsy of the pectoralis major muscle during mastectomy, lumpectomy, or breast reconstruction surgeries. The breast cancer patients were diagnosed with either luminal (ER+ /PR+ , n = 6), triple positive (ER+ /PR+ /Her2/neu+ , n = 5), or triple negative (ER/PR/Her2/neu, n = 3) breast tumours and were being treated with curative intent either with neoadjuvant chemotherapy followed by surgery or surgery followed by standard post-operative therapy. Biopsies were used for RNA-sequencing to compare the skeletal muscle gene expression patterns between breast cancer patients and non-cancer patients. The C57BL/6 mouse syngeneic mammary tumour cell line, E0771, was used to induce mammary tumours in immunocompetent mice, and isometric muscle contractile properties and fatigue properties were analysed following 4 weeks of tumour growth. Results RNA-sequencing and subsequent bioinformatics analyses revealed a dysregulation of canonical pathways involved in oxidative phosphorylation, mitochondrial dysfunction, peroxisome proliferator-activated receptor signalling and activation, and IL-15 signalling and production. In a preclinical mouse model of breast cancer, the rate of muscle fatigue was greater in mice exposed to mammary tumour growth for 4 weeks, and this greater muscle fatigue was attenuated in transgenic mice that overexpressed the cytokine IL-15. Conclusions Our data identify novel genes and pathways dysregulated in the muscles of breast cancer patients with early stage non-metastatic disease, with particularly aberrant expression among genes that would predispose these patients to greater muscle fatigue. Furthermore, we demonstrate that IL-15 overexpression can attenuate muscle fatigue associated with mammary tumour growth in a preclinical mouse model of breast cancer. Therefore, we propose that skeletal muscle fatigue is an inherent consequence of breast tumour growth, and this greater fatigue can be targeted therapeutically

Mechanistic insights into the activation of the IKK kinase complex by the Kaposi’s Sarcoma Herpes virus oncoprotein vFLIP

Constitutive activation of the canonical NF-κB signaling pathway is a major factor in Kaposi’s Sarcoma Herpes virus (KSHV) pathogenesis where it is essential for the survival of primary effusion lymphoma (PEL). Central to this process is persistent upregulation of the inhibitor of κB kinase (IKK) kinase complex by the virally encoded oncoprotein vFLIP. Although the physical interaction between vFLIP and the IKK kinase regulatory component essential for persistent activation, IKKγ, has been well characterized, it remains unclear how the kinase subunits are rendered active mechanistically. Using a combination of cell-based assays, biophysical techniques, and structural biology, we demonstrate here that vFLIP alone is sufficient to activate the IKK kinase complex. Furthermore, we identify weakly stabilised, high molecular weight vFLIP-IKKγ assemblies that are key to the activation process. Taken together, our results are the first to reveal that vFLIP induced NF-κB activation pivots on the formation of structurally specific vFLIP-IKKγ multimers which have an important role in rendering the kinase subunits active through a process of autophosphorylation. This mechanism of NF-κB activation is in contrast to those utilised by endogenous cytokines and cellular FLIP homologues

Disinhibiting neurons in the dorsomedial hypothalamus delays the onset of exertional fatigue and exhaustion in rats exercising in a warm environment

Stimulants cause hyperthermia, in part, by increasing heat generation through exercise. Stimulants also delay the onset of fatigue and exhaustion allowing animals to exercise longer. If used in a warm environment, this combination (increased exercise and decreased fatigue) can cause heat stroke. The dorsomedial hypothalamus (DMH) is involved in mediating locomotion from stimulants. Furthermore, inhibiting the DMH decreases locomotion and prevents hyperthermia in rats given stimulants in a warm environment. Whether the DMH is involved in mediating exercise-induced fatigue and exhaustion is not known. We hypothesized that disinhibiting neurons in the dorsomedial hypothalamus (DMH) would delay the onset of fatigue and exhaustion in animals exercising in a warm environment. To test this hypothesis, we used automated video tracking software to measure fatigue and exhaustion. In rats, using wearable mini-pumps, we demonstrated that disinhibiting the DMH, via bicuculline perfusion (5 µM), increased the duration of exercise in a warm environment as compared to control animals (25 ± 3 min vs 15 ± 2 min). Bicuculline-perfused animals also had higher temperatures at exhaustion (41.4 ± 0.2 °C vs 40.0 ± 0.4 °C). Disinhibiting neurons in the DMH also increased the time to fatigue. Our data show that the same region of the hypothalamus that is involved in mediating locomotion to stimulants, is also involved in controlling exhaustion and fatigue. These findings have implications for understanding the cause and treatment of stimulant-induced-hyperthermia