CASE STUDY: Tympanic Temperature and Behavior Associated with Moving Feedlot Cattle

Body temperature is often used as an indicator of animal health status. In a series of handling experiments, tympanic temperatures (TT) were obtained in unrestrained feedlot cattle. In a January experiment (BW = 531 ± 54 kg), TT were increased (

Use of a beta-lactam graded challenge process for inpatients with self-reported penicillin allergies at an academic medical center

BackgroundThe Antimicrobial Stewardship Program (ASP) at Nebraska Medicine collaborated with a board-certified allergist to develop a penicillin allergy guidance document for treating inpatients with self-reported allergy. This guidance contains an algorithm for evaluating and safely challenging penicillin-allergic patients with beta-lactams without inpatient allergy consults being available.MethodsFollowing multi-disciplinary review, an order set for beta-lactam graded challenges (GC) was implemented in 2018. This contains recommended monitoring and detailed medication orders to challenge patients with various beta-lactam agents. Inpatient orders for GC from 3/2018–6/2022 were retrospectively reviewed to evaluate ordering characteristics, outcomes of the challenge, and whether documentation of the allergy history was updated. All beta-lactam challenges administered to inpatients were included, and descriptive statistics were performed.ResultsOverall, 157 GC were administered; 13 with oral amoxicillin and 144 with intravenous (IV) beta-lactams. Ceftriaxone accounted for the most challenges (43%). All oral challenges were recommended by an Infectious Diseases consult service, as were a majority of IV challenges (60%). Less than one in five were administered in an ICU (19%). Almost all (n = 150, 96%) were tolerated without any adverse event. There was one reaction (1%) of hives and six (4%) involving a rash, none of which had persistent effects. Allergy information was updated in the electronic health record after 92% of the challenges.ConclusionBoth intravenous and oral beta-lactam graded challenges were implemented successfully in a hospital without a regular inpatient allergy consult service. They were well-tolerated, administered primarily in non-ICU settings, and were often ordered by non-specialist services. In patients with a self-reported penicillin allergy, these results demonstrate the utility and safety of a broadly adopted beta-lactam GC process

Effects of Growth-Promoting Agents and Season on Blood Metabolites and Body Temperature In Heifers

To assess the efficacy of growth-promoting agents among seasons, triiodothyronine (T3), thyroxine (T4), plasma urea nitrogen (PUN), IGF-I, and tympanic temperature (TT) were measured in summer and winter studies. Heifers (n = 9/pen) were allotted to 12 pens in both December and June. Pens were assigned to 1 of 6 growth promotant treatments: control (no growth promotant), estrogenic implant (E), trenbolone acetate implant (TBA), E + TBA (ET), melengestrol acetate (MGA), and ET + MGA (ETM). Blood samples were collected from 4 heifers per pen per study on d 0, 28, 56, and 84 via jugular puncture. Near the midpoint of both studies, TT were obtained from the heifers. There was a season by sample day interaction for all blood metabolites (P \u3c 0.05). During the winter, IGF-I levels peaked on d 28, whereas T3, T4, and PUN peaked on d 56. In the summer, IGF-I levels increased from d 0 to 28 and remained elevated throughout the study. Season by growth promotant interactions (P \u3c 0.05) indicated that in the winter ET increased T3, whereas TBA alone decreased both T3 and T4, compared with control, or ET, and ETM treatment groups. Across seasons, treatments ET and ETM increased (P \u3c 0.05) IGFI and decreased (P \u3c 0.05) PUN. However, E, TBA, and MGA alone had no effect on IGF-I or PUN concentrations. The maximum TT was greater (P \u3c 0.01) in the summer than in the winter, whereas the minimum TT was lower (P \u3c 0.01) in the summer. Mean TT did not differ among growth-promoting treatments. However, in the summer and over both seasons, the maximum TT was lower (P \u3c 0.05) in E-, MGA-, and ETM-treated heifers. Although limited growth promotant by season interactions existed, changes in blood metabolite levels resulting from the use of growth promotants do not appear to influence seasonal changes in body temperature as measured by TT

Behavioural effects of yearling grain-finished heifers exposed to differing environmental conditions and growth-promoting agents

Two groups of 108 Angus cross yearling heifers were utilised to determine the effects of growth-promoting agents on behaviour, when utilised under thermoneutral, hot and cold environmental conditions. Pens of heifers were observed throughout the day for feed intake pattern via bunk score, panting (hot), degree of bunching and shivering (cold). For cattle that were exposed to cold stress, feed intake was greater earlier in the day, with the majority of the feed consumed by 1500 hours and little or no feed consumed at night, while the opposite trend occurred under heat stress. Nearly 46% of the pens containing heat-stressed heifers had greater than 50% of their feed remaining in the bunk at 1900 hours. Pens of heifers exposed to thermoneutral conditions had a tendency to show elevated panting scores at 0700 hours, while heifers exposed to hot conditions did not, indicating some acclimation to heat stress had already taken place for the heifers exposed to hot conditions. Panting score did not appear to be affected by growth-promoting treatment. Under cold stress, 100% of the cattle displayed bunching behaviour throughout the day, while under hot and thermoneutral conditions, maximum bunching (25 to 30%) occurred at 1500 hours. Within an environmental condition, trenbolone acetate cattle tended to bunch more under thermoneutral and hot conditions, particularly in the morning, when compared with other treatment groups; control and oestrogen-treated cattle tended to bunch less under the same conditions, regardless of the time of day. Although data were inconclusive as to overall effects of growth promotants on mitigating cold stress, shivering scores were increased with a more aggressive growth-promoting treatment (P < 0.05). These findings suggest that if growth promotants, which are used in feedlot cattle, impact cattle exposed to adverse environmental conditions, then they tend to be more effective at mitigating heat stress than cold stress

Hormonal growth-promotant effects on grain-fed cattle maintained under different environments

Six steers (3/4 Charolaisx1/4 Brahman) (mean body weight 314 +/- 27 kg) and six spayed heifers (3/5 Shorthornx2/5 Red Angus) (mean body weight 478 +/- 30 kg) were used to determine the effects of climatic conditions and hormone growth promotants (HGP) on respiration rate (RR; breaths/min), pulse rate (beats/min), rectal temperature (RT; degrees C), and heat production (HP; kJ). Cattle were exposed to the following climatic conditions prior to implantation with a HGP and then again 12 days after implantation: 2 days of thermoneutral conditions (TNL) [21.9 +/- 0.9 degrees C ambient temperature (T-A) and 61.7 +/- 22.1% relative humidity (RH)] then 2 days of hot conditions [HOT; 29.2 +/- 4 degrees C (T-A) and 78.3 +/- 13.2% (RH)], then TNL for 3 days and then 2 days of cold conditions [COLD; 17.6 +/- 0.9 degrees C (T-A) and 63.4 +/- 1.8% (RH); cattle were wet during this treatment]. The HGP implants used were: estrogenic implant (E), trenbolone acetate implant (TBA), or both (ET). Both prior to and following administration of HGP, RRs were lower (P 0.5 degrees C greater (P 0.8 degrees C higher than for the heifers, while under TNL and HOT, RTs of steers were 0.2-0.35 degrees C higher than those of heifers. Prior to implantation, HP per hour and per unit of metabolic body weight was higher (P < 0.05) for cattle exposed to hot conditions, when compared to HP on cold days. After implantation, HP was greater (P < 0.05) on hot days than on cold days. Under TNL, ET cattle had the lowest HP and greatest feed intake. On hot days, E cattle had the lowest HP, and the highest RT; therefore, if the potential exists for cattle death from heat episodes, the use of either TBA or ET may be preferred. Under cold conditions HP was similar among implant groups