Importance of Breed, Parity and Sow Colostrum Components on Litter Performance and Health

The aims of this study were to investigate the effect of breed and parity on colostrum components, and to associate sow breed, parity, and colostrum components with survival, growth, and the occurrence of diarrhoea of their litters. In Experiment 1, 64 sows (Duroc = 13; Landrace = 17 and Large White = 34) were included. In Experiment 2, 71 sows with different parities (1 = 10; 2 = 16; 3 = 13; 4 = 12; ≥5 = 20) were included. The number (N) of live piglets, litter body weight (Experiment 1), and the occurrence of diarrhoea (Experiment 1) were recorded at farrowing, at 2–3 days of age, and at weaning. Colostrum was analysed for proximate composition, immunoglobulins (Igs), and somatic cell count (SCC). Stepwise regressions and ANOVA models were used to associate breed, parity, and colostrum components with litter performance. The Duroc breed had the highest IgG and IgA (p < 0.005). Gilts had a higher fat% and SCC (p< 0.0001); these compounds were positively correlated (r = 0.45). Increased IgA tended to increase the N of weaned piglets (p = 0.058) and reduce litter diarrhoea (p = 0.021). The SCC increased the N of weaned piglets (p = 0.031). Overall, this study confirmed that breed and parity can influence the colostrum composition and highlighted the key role of Igs and somatic cells in piglet health

Pattern of antibiotic consumption in two Italian production chains differing by the endemic status for Porcine Reproductive and Respiratory Syndrome

The aim of this case study was to quantify antibiotic (AB) use in Italian weaning (W) and fattening (F) units differentiated for porcine reproductive and respiratory syndrome (PRRS) occurrence. Farms were classified as either PRRS negative (–) or PRRS positive (+) based on the circulation of the virus among the animals. In all the farms, the modified live PRRS virus (PRRSV) vaccine was provided to all the animals. In the PRRS– farms, the level of circulating antibodies was low, and the disease, in its clinical form, did not occur. In the PRRS+ farms, the level of circulating antibodies against the virus was high, and the disease was recurrent. Data regarding AB consumption were collected from 2017 to 2020, and the active compounds (ACs) were expressed as milligrams of AC/total kilogram of body weight (BW) produced. Each AC was classified into one of four categories according to the EuropeanMedicines Agency classification of ABs for prudent and responsible use in animals: Avoid, Restrict, Caution, and Prudence. Data regarding the ACs in each category were analyzed using a linear model that included production phase, PRRS status, and their interaction as factors. Performance parameters, average age of the pigs at the end of each phase, daily live weight gain, feed-to-gain ratio, total losses, cost index, and medication costs were significantly influenced by the PRRS chain. The use of class B ABs was not affected by production phase or PRRS status. Conversely, for class C ABs, interaction between the two factors (p = 0.02) was observed; W/PRRS+ and F/PRRS+ showed the greatest AB use for this class (p = 0.003). For class D ABs, the interaction was significant (p = 0.01); class C and D ABs were used more in the weaning (p = 0.07) than in the fattening phase (p = 0.003). For the weaning phase, the use of class C and D ABs was greater in the PRRS+ than in the PRRS– chain (p < 0.01). In conclusion, PRRS status affected the growth of pigs and economic performance. Moreover, PRRS status significantly influenced the use of ABs during all the growing periods with the greatest impact being on the weaning phase

Status Update and Interim Results from the Asymptomatic Carotid Surgery Trial-2 (ACST-2)

Objectives: ACST-2 is currently the largest trial ever conducted to compare carotid artery stenting (CAS) with carotid endarterectomy (CEA) in patients with severe asymptomatic carotid stenosis requiring revascularization. Methods: Patients are entered into ACST-2 when revascularization is felt to be clearly indicated, when CEA and CAS are both possible, but where there is substantial uncertainty as to which is most appropriate. Trial surgeons and interventionalists are expected to use their usual techniques and CE-approved devices. We report baseline characteristics and blinded combined interim results for 30-day mortality and major morbidity for 986 patients in the ongoing trial up to September 2012. Results: A total of 986 patients (687 men, 299 women), mean age 68.7 years (SD ± 8.1) were randomized equally to CEA or CAS. Most (96%) had ipsilateral stenosis of 70-99% (median 80%) with contralateral stenoses of 50-99% in 30% and contralateral occlusion in 8%. Patients were on appropriate medical treatment. For 691 patients undergoing intervention with at least 1-month follow-up and Rankin scoring at 6 months for any stroke, the overall serious cardiovascular event rate of periprocedural (within 30 days) disabling stroke, fatal myocardial infarction, and death at 30 days was 1.0%. Conclusions: Early ACST-2 results suggest contemporary carotid intervention for asymptomatic stenosis has a low risk of serious morbidity and mortality, on par with other recent trials. The trial continues to recruit, to monitor periprocedural events and all types of stroke, aiming to randomize up to 5,000 patients to determine any differential outcomes between interventions. Clinical trial: ISRCTN21144362. © 2013 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved

Importance of Breed, Parity and Sow Colostrum Components on Litter Performance and Health

The aims of this study were to investigate the effect of breed and parity on colostrum components, and to associate sow breed, parity, and colostrum components with survival, growth, and the occurrence of diarrhoea of their litters. In Experiment 1, 64 sows (Duroc = 13; Landrace = 17 and Large White = 34) were included. In Experiment 2, 71 sows with different parities (1 = 10; 2 = 16; 3 = 13; 4 = 12; ≥5 = 20) were included. The number (N) of live piglets, litter body weight (Experiment 1), and the occurrence of diarrhoea (Experiment 1) were recorded at farrowing, at 2–3 days of age, and at weaning. Colostrum was analysed for proximate composition, immunoglobulins (Igs), and somatic cell count (SCC). Stepwise regressions and ANOVA models were used to associate breed, parity, and colostrum components with litter performance. The Duroc breed had the highest IgG and IgA (p < 0.005). Gilts had a higher fat% and SCC (p< 0.0001); these compounds were positively correlated (r = 0.45). Increased IgA tended to increase the N of weaned piglets (p = 0.058) and reduce litter diarrhoea (p = 0.021). The SCC increased the N of weaned piglets (p = 0.031). Overall, this study confirmed that breed and parity can influence the colostrum composition and highlighted the key role of Igs and somatic cells in piglet health

La consapevolezza di un Infermiere di malattie infiammatorie croniche intestinali tra i pazienti di un centro italiano

Background: Inflammatory Bowel Disease (IBD) is a chronic condition characterized by acute relapses which have an important impact on the quality of life of patients, both physically and psychologically. In the personalized care of IBD patients, a key role is covered by the IBD nurse, who provides psychological and educational support, as well as a source of contact for all patients. Aim: Aim of the present study was to assess the perception of IBD patients about roles, competences and abilities of the IBD nurses in a specialized center. This is the base for further programs aiming to improve quality of care. Methods: A questionnaire composed of 15 statements regarding the role of the IBD nurse in their treatment was offered to all patients attending this IBD center over a 3-month period. Results were showed comparing those of patients currently receiving treatment with a biologic therapy to those receiving non-biologic therapy. Results: Patients in this center have a poor awareness of the IBD nurse role, particularly those not receiving biologic treatment. Although most patients are aware that they can use the IBD nurse as a point of contact, the majority are not aware of the qualifications of the IBD nurse to discuss their treatment options and provide psychological support.  Conclusion: Our survey shows that the figure of the IBD nurse is still poorly recognised by patients, with a likely resultant underutilisation of the services of a highly skilled and educated professional. Several key issues for improvement for the IBD nurse service have been raised by this study and warrant similar investigation in other centres. Key words: Inflammatory bowel disease, IBD nurse, nurse specialist, patient perception, communication, education, psychological care, improved outcomes.Background: La malattia infiammatoria intestinale (IBD) è una condizione cronica caratterizzata da recidive acute che hanno un impatto importante sulla qualità della vita dei pazienti, sia fisicamente che psicologicamente. Nella cura personalizzata dei pazienti IBD, un ruolo chiave è ricoperto dall'infermiere IBD, che fornisce supporto psicologico ed educativo, nonché una fonte di contatto per tutti i pazienti. Obiettivo: lo scopo del presente studio era valutare la percezione dei pazienti con IBD sui ruoli, le competenze e le abilità degli infermieri IBD in un centro specializzato. Questa è la base per ulteriori programmi volti a migliorare la qualità dell'assistenza. Metodi: un questionario composto da 15 dichiarazioni riguardanti il ​​ruolo dell'infermiere IBD nel loro trattamento è stato offerto a tutti i pazienti che frequentano questo centro IBD per un periodo di 3 mesi. I risultati sono stati mostrati confrontando quelli dei pazienti attualmente in trattamento con una terapia biologica con quelli che ricevono una terapia non biologica. Risultati: i pazienti in questo centro hanno una scarsa consapevolezza del ruolo infermieristico IBD, in particolare quelli che non ricevono cure biologiche. Sebbene la maggior parte dei pazienti sia consapevole di poter utilizzare l'infermiere IBD come punto di contatto, la maggior parte non è a conoscenza delle qualifiche dell'infermiere IBD per discutere le proprie opzioni di trattamento e fornire supporto psicologico. Conclusioni:  l’indagine mostra che la figura dell'infermiere IBD è ancora poco riconosciuta dai pazienti, con una probabile conseguente sottoutilizzazione dei servizi di un professionista altamente qualificato e istruito. Diverse questioni chiave per il miglioramento del servizio infermieristico IBD sono state sollevate da questo studio e richiedono indagini simili in altri centri. Parole chiave: malattie infiammatorie intestinali, infermiere IBD, infermiere specialista, percezione del paziente, comunicazione, educazione, assistenza psicologica, risultati miglior

Ecology and Machine Learning-Based Classification Models of Gut Microbiota and Inflammatory Markers May Evaluate the Effects of Probiotic Supplementation in Patients Recently Recovered from COVID-19

Gut microbiota (GM) modulation can be investigated as possible solution to enhance recovery after COVID-19. An open-label, single-center, single-arm, pilot, interventional study was performed by enrolling twenty patients recently recovered from COVID-19 to investigate the role of a mixed probiotic, containing Lactobacilli, Bifidobacteria and Streptococcus thermophilus, on gastrointestinal symptoms, local and systemic inflammation, intestinal barrier integrity and GM profile. Gastrointestinal Symptom Rating Scale, cytokines, inflammatory, gut permeability, and integrity markers were evaluated before (T0) and after 8 weeks (T1) of probiotic supplementation. GM profiling was based on 16S-rRNA targeted-metagenomics and QIIME 2.0, LEfSe and PICRUSt computational algorithms. Multiple machine learning (ML) models were trained to classify GM at T0 and T1. A statistically significant reduction of IL-6 (p p p p value 1. GM global distribution and microbial biomarkers strictly reflected probiotic composition, with a general increase in Bifidobacteria at T1. Twelve unique KEGG orthologs were associated only to T0, including tetracycline resistance cassettes. ML classified the GM at T1 with 100% score at phylum level. Bifidobacteriaceae and Bifidobacterium spp. inversely correlated to reduction of citrulline and inflammatory cytokines. Probiotic supplementation during post-COVID-19 may trigger anti-inflammatory effects though Bifidobacteria and related-metabolism enhancement

Second asymptomatic carotid surgery trial (ACST-2) : a randomised comparison of carotid artery stenting versus carotid endarterectomy

Background: Among asymptomatic patients with severe carotid artery stenosis but no recent stroke or transient cerebral ischaemia, either carotid artery stenting (CAS) or carotid endarterectomy (CEA) can restore patency and reduce long-term stroke risks. However, from recent national registry data, each option causes about 1% procedural risk of disabling stroke or death. Comparison of their long-term protective effects requires large-scale randomised evidence. Methods: ACST-2 is an international multicentre randomised trial of CAS versus CEA among asymptomatic patients with severe stenosis thought to require intervention, interpreted with all other relevant trials. Patients were eligible if they had severe unilateral or bilateral carotid artery stenosis and both doctor and patient agreed that a carotid procedure should be undertaken, but they were substantially uncertain which one to choose. Patients were randomly allocated to CAS or CEA and followed up at 1 month and then annually, for a mean 5 years. Procedural events were those within 30 days of the intervention. Intention-to-treat analyses are provided. Analyses including procedural hazards use tabular methods. Analyses and meta-analyses of non-procedural strokes use Kaplan-Meier and log-rank methods. The trial is registered with the ISRCTN registry, ISRCTN21144362. Findings: Between Jan 15, 2008, and Dec 31, 2020, 3625 patients in 130 centres were randomly allocated, 1811 to CAS and 1814 to CEA, with good compliance, good medical therapy and a mean 5 years of follow-up. Overall, 1% had disabling stroke or death procedurally (15 allocated to CAS and 18 to CEA) and 2% had non-disabling procedural stroke (48 allocated to CAS and 29 to CEA). Kaplan-Meier estimates of 5-year non-procedural stroke were 2·5% in each group for fatal or disabling stroke, and 5·3% with CAS versus 4·5% with CEA for any stroke (rate ratio [RR] 1·16, 95% CI 0·86-1·57; p=0·33). Combining RRs for any non-procedural stroke in all CAS versus CEA trials, the RR was similar in symptomatic and asymptomatic patients (overall RR 1·11, 95% CI 0·91-1·32; p=0·21). Interpretation: Serious complications are similarly uncommon after competent CAS and CEA, and the long-term effects of these two carotid artery procedures on fatal or disabling stroke are comparable

Science and technology roadmap for graphene, related two-dimensional crystals, and hybrid systems

We present the science and technology roadmap for graphene, related two-dimensional crystals, and hybrid systems, targeting an evolution in technology, that might lead to impacts and benefits reaching into most areas of society. This roadmap was developed within the framework of the European Graphene Flagship and outlines the main targets and research areas as best understood at the start of this ambitious project. We provide an overview of the key aspects of graphene and related materials (GRMs), ranging from fundamental research challenges to a variety of applications in a large number of sectors, highlighting the steps necessary to take GRMs from a state of raw potential to a point where they might revolutionize multiple industries. We also define an extensive list of acronyms in an effort to standardize the nomenclature in this emerging field