26
|
Arzola-Alvarez C, Ruiz-Barrera O, Castillo-Castillo Y, Ontiveros M, Fonseca M, Jones BW, Smith WB, Hume M, Beier RC, Harvey R, Poole TL, Anderson R, Nisbet D, Salinas-Chavira J. PSII-20 Effects of aerobically exposed corn silage treated with medium chain fatty acids on rumen fermentation in vitro. J Anim Sci 2020. [DOI: 10.1093/jas/skaa278.707] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Medium chain fatty acid (MCFA) treatment of aerobically exposed silage during feed-out is a potential strategy to prevent growth of spoilage and pathogenic microbes. To evaluate the effects of feeding MCFA-treated silage on the rumen fermentability, we incubated 0.02 g of overnight air-exposed corn silage that had been treated individually without or with (0.75% wt/wt) C6, C8, C10 or C12 or with equal proportion mixtures of C6:C8:C10:C12 or C8:C10 with 10 mL freshly collected ruminal fluid. Additions were made while flushing with CO2 and tubes (3 tubes/treatment) were then capped and sealed. After 24 h incubation at 39oC, headspace gases and fluid volatile fatty acids were measure using gas chromatography techniques. Results from a completely randomized analysis of variance revealed higher hydrogen accumulations (P < 0.05) only in incubations containing silage treated with the C8:C10 MCFA mixture when compared to controls, with mean ± SD concentrations (µmol/mL incubation fluid) being 2.19 ± 1.6 versus 0.08 ± 0.04, respectively. Treatment effects were not observed (P > 0.05) on accumulations (µmol/mL) of methane (13.25 ± 2.5), acetate (19.66 ± 5.6), propionate (7.27 ± 2.0), butyrate (12.36 ± 2.7) or stochiometric estimates of amounts of hexose fermented (41.39 ± 9.7), although the acetate:propionate ratios of incubations of silage treated with C8 or the C8:C10 mixture were higher (P < 0.05) than those of untreated controls (3.46 ± 0.7, 3.46 ± 0.5 and 2.35 ± 0.1, respectively). Consequently, correspondingly estimates of fermentation efficiency, calculated based caloric energy values of amounts of acetate, propionate and butyrate relative to glucose, were slightly lower (P < 0.05) for the incubations of silage treated with C8 and the C8:C10 mix compared to controls (74.36 ± 1.1, 74.82 ± 0.2 and 76.55 ± 0.3 %, respectively). Results reveal little negative effect of MCFA treatment on ruminal fermentability of silage.
Collapse
|
27
|
Smith WB, Thompson AN, Hines AR. 254 Effect of presentation method on understanding of organic chemistry in an undergraduate animal nutrition course. J Anim Sci 2020. [DOI: 10.1093/jas/skaa278.344] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
An educator’s goal is to always explain classroom material to his or her students in the most efficient way possible. Chemistry is a fundamental foundation to the study of animal nutrition, but the concepts of organic chemistry are very difficult to relay to students of animal science, possibly due to the different types of student learners. It could be that mode of presentation may aid in relaying this information to the students. The sample for this experiment included students enrolled in an animal nutrition course at Tarleton State University. Students were presented with five methods of presentation of carbohydrate molecular structure in a laboratory session, each with an increasingly tactile approach: written description, printed 2-dimensional model, printed 3-dimensional model, ball-and-stick model, and self-constructing molecular model kit. Students were then asked to complete a survey to address effectiveness of presentation method. Data were analyzed using SAS v. 9.4. When addressing effectiveness of presentation method, the written description and the printed 2-dimensional model were rated as slightly-to-moderately effective (48.4 and 67.8%, respectively), the printed 3-dimensional model was rated as moderately effective (58.1%), the ball-and-stick model was rated as very effective (48.4%), and the self-constructing model was rated as very-to-extremely effective (80.6%). Cluster analysis revealed that students chose any of the presentation methods over the written description with preference for the self-constructing model. Results are interpreted to mean that presentation of organic chemistry concepts in animal nutrition are more effective when kinesthetic presentation methods are employed.
Collapse
|
28
|
Fok JS, Kette F, Smith WB, Smith A, Ahmadie A, Heddle R, Hissaria P. Buckwheat allergy in Australia. Intern Med J 2020; 49:1552-1553. [PMID: 31808257 DOI: 10.1111/imj.14660] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2019] [Revised: 07/15/2019] [Accepted: 07/30/2019] [Indexed: 11/29/2022]
|
29
|
Ogasawara K, Smith WB, Xu C, Yin J, Palmisano M, Krishna G. Pharmacokinetics and tolerability of fedratinib, an oral, selective Janus kinase 2 inhibitor, in subjects with renal or hepatic impairment. Cancer Chemother Pharmacol 2020; 85:1109-1117. [PMID: 32449142 DOI: 10.1007/s00280-020-04084-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2020] [Accepted: 05/13/2020] [Indexed: 01/29/2023]
Abstract
PURPOSE Fedratinib is an oral, selective Janus kinase 2 inhibitor that is approved in the United States for the treatment of patients with intermediate-2 or high-risk myelofibrosis. Pharmacokinetics and tolerability of fedratinib in subjects with renal impairment (RI) and hepatic impairment (HI) were evaluated in two separate studies. METHODS In the renal study, male and female subjects with stable, chronic mild, moderate, and severe RI, as well as those with end-stage renal disease, were included. The hepatic study included subjects with stable, chronic mild HI. Both were phase 1, multicenter, open-label, single-dose studies, and included matched healthy subjects. Subjects received a single oral dose of fedratinib 300 mg on day 1, were discharged on day 4, returned for clinical visits on days 5-12, and had their end-of-study visit between days 14 and 16. RESULTS Thirty-six and 17 subjects were included in the renal and hepatic studies, respectively. In the renal study, fedratinib area under the plasma concentration-time curve from time 0 to infinity (AUCinf) was 1.9- and 1.5-fold higher in subjects with severe and moderate RI, respectively, than in matched healthy subjects. In the hepatic study, fedratinib AUCinf did not appreciably differ between subjects with mild HI and matched healthy subjects. Overall, most treatment-emergent adverse events were gastrointestinal and mild. CONCLUSION Mild RI and HI do not necessitate fedratinib dosage adjustments. Subjects with moderate RI should be monitored (with dosage adjustments made as necessary), whereas those with severe RI should receive a daily dose of 200 mg, reduced from the indicated dose of 400 mg.
Collapse
|
30
|
Foreman C, Smith WB, Caughey GE, Shakib S. Categorization of adverse drug reactions in electronic health records. Pharmacol Res Perspect 2020; 8:e00550. [PMID: 32302059 PMCID: PMC7164405 DOI: 10.1002/prp2.550] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2019] [Revised: 10/21/2019] [Accepted: 10/21/2019] [Indexed: 11/09/2022] Open
Abstract
The purpose of this study was to evaluate the quality of adverse drug reaction (ADR) documentation in a state-wide electronic health record (EHR), and to assess the impact of the interface design on documentation accuracy and ability to provide decision support. Data were extracted from 43 011 unique records in a state-wide electronic health record in South Australia, Australia. Information obtained included ADR coding as allergy or intolerance, allergen name, reaction, and occupation of those entering data. Categorization into drug allergy or intolerance was assessed for accuracy. Reactions were entered predominantly by nurses (60.1%), also by doctors (31.0%) and pharmacists (6.1%). Of 27 314 reactions, 86.5% were coded as allergy and 13.5% as intolerance. The majority (78.2%) described reactions to drugs (as opposed to food, environmental or contact allergens), predominantly chosen from the drug database (96.4%). Many entries used free text for the reaction description (27.4%). Terms found in the predefined list under the allergy heading were more likely to be categorized as allergy, even when the mechanism was pharmacological intolerance. Only 45.1% (n = 1671/3705) of reactions consistent with intolerance (eg, "nausea," "diarrhea") were correctly categorized as such, although categorization by pharmacists was more accurate (P < .0001). These data suggest that ADR categorization as allergy or intolerance is influenced by the EHR design. The obligatory classification of ADRs into allergy or intolerance was not well understood and does not appear to have practical benefit.
Collapse
|
31
|
Kailaivasan TH, Timbrell VL, Solley G, Smith WB, McLean-Tooke A, van Nunen S, Smith P, Upham JW, Langguth D, Davies JM. Biogeographical variation in specific IgE recognition of temperate and subtropical grass pollen allergens in allergic rhinitis patients. Clin Transl Immunology 2020; 9:e01103. [PMID: 32025301 PMCID: PMC6997006 DOI: 10.1002/cti2.1103] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2019] [Revised: 12/20/2019] [Accepted: 12/26/2019] [Indexed: 12/11/2022] Open
Abstract
Objective Globally, grass pollens (GP) are major aeroallergen triggers of allergic rhinitis (AR) and asthma. However, patterns of allergic sensitisation to pollen of temperate (Pooideae: Lolium perenne) and subtropical (Chloridoideae: Cynodon dactylon and Panicoideae: Paspalum notatum) subfamilies in diverse climates remain unclear. This study aims to evaluate the level of allergic sensitisation and IgE specificity for major GP allergens representing the three subfamilies in biogeographically distinct regions. Methods Participants (GP‐allergic with AR, 330; non‐atopic, 29; other allergies, 54) were recruited in subtropical: Queensland, and temperate: New South Wales, Western and South Australia, regions. Clinical history, skin prick test (SPT), total and specific IgE to GP and purified allergens (ImmunoCAP) were evaluated. Cross‐inhibition of sIgE with Pas n 1, Cyn d 1 and Lol p 1 by GP extracts was investigated. Results Queensland participants showed higher sensitisation to P. notatum and C. dactylon than L. perenne GP. sIgE was higher to Pas n 1 and Cyn d 1, and sIgE to Pas n 1 and Cyn d 1 was inhibited more by Panicoideae and Chloridoideae, respectively, than Pooideae GP. Conversely, participants from temperate regions showed highest sensitisation levels to L. perenne GP and Lol p 1, and sIgE to Lol p 1 was inhibited more by Pooideae than other GP. Conclusion Levels and patterns of sensitisation to subtropical and temperate GP in AR patients depended on biogeography. Knowledge of the specificity of sensitisation to local allergens is important for optimal diagnosis and choice of allergen‐specific immunotherapy to maximise benefit.
Collapse
|
32
|
Burrell T, Wood SL, Cherry NM, Muir JP, Smith WB. 388 Bayou Beef: A random effects model of crustacean waste as a feedstock. J Anim Sci 2019. [DOI: 10.1093/jas/skz258.317] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
It is important for researchers, as progressive producers, to consider human enterprise wastes as one of the next steps in feedstuff investigation. In an effort to reuse a seemingly useless and disposable component of one of America’s most enjoyed aquatic delicacies, our objective was to determine the nutritive value of crawfish and shrimp shells in relation to ruminant nutrition. These discarded items were collected from local events and sorted into four different groups: crawfish heads, crawfish tails, shrimp shells, and shrimp tails. Crawfish and shrimp wastes were tested independent of each other. These groups were dried at 55°C for 72 h and ground to pass through a 2-mm screen. Samples were subjected to a batch-culture in vitro true digestibility (IVTD) assay. A separate set of samples (1 mm) were assayed for dry matter, neutral detergent fiber (NDF), and acid detergent fiber (ADF), and acid detergent lignin (ADL; inclusive of residual ash). Data were analyzed as a completely randomized design using the MIXED procedure of SAS. Crawfish heads were assayed to contain 26.2% NDF, 13.4% ADF, and 1.0% ADL, while crawfish tails contained 23.7% NDF, 16.3% ADF, and 1.1% ADL. Crawfish heads and tails did not differ in IVTD (P = 0.48) or in vitro NDF digestibility (IVNDFD; P = 0.13; 76.7 vs. 77.2% and 86.8 vs. 91.0%, respectively). Shrimp shells contained 36.1% NDF, 26.9% ADF, and 4.1% ADL, whereas shrimp tails contained 29.1% NDF, 17.9% ADF, and 0.7% ADL. Shrimp tails had greater (P < 0.01) IVTD (74.2 vs. 66.4%) but lesser (P = 0.01) IVNDFD than shrimp shells (80.6 vs. 85.0%). Results are interpreted to mean that crustacean waste may represent a suitable prospective feedstuff for further evaluation.
Collapse
|
33
|
Galvin MK, Smith WB. 420 Case study: Educational outreach as a component of graduate education. J Anim Sci 2019. [DOI: 10.1093/jas/skz258.367] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Graduate students are developing skills in scientific communication, research, and various other specified trainings. However, adequate resources for these students are not always available at their home institution. Educational outreach programs are often discussed in relation to secondary education. The potential to expand these types of programs to the post-secondary and graduate levels of education would represent a potential benefit to the students, scientists, and universities involved in the exchange. In such programs, graduate students would participate in an exchange with other universities to address deficits introduced by a lack of resources. This educational experience in a new setting would allow exposure to techniques and ideals otherwise inaccessible to the student. The objective of this observational case study was to evaluate the relevance and value of graduate exchange as an educational outreach model in graduate education. In this case study, a graduate student from Tarleton State University’s Department of Animal Science and Veterinary Technology was supported to study for a period of three weeks in the University of Georgia’s Parasitology Laboratory. This exchange was established to teach in vitro techniques related to the student’s graduate research. The student was able to gain valuable experience in laboratory techniques that aided in personal and professional growth while also expanding the capabilities of the home institution through training exercises conducted on return to campus. In addition to expansion of research capacity, the student was able to serve as an ambassador for the home institution, thereby enabling a more fluid exchange of ideas through student recruitment. Qualitative results from this case study would indicate that similar educational outreach opportunities are valuable components of graduate education and serve as an example for development in future graduate programs.
Collapse
|
34
|
Smith WB. PSXIV-29 Influence of prerequisite courses on performance of students in an animal nutrition course: A one-year summary. J Anim Sci 2019. [DOI: 10.1093/jas/skz258.941] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Anecdotes abound in departmental curriculum committees surrounding the purpose and necessity of prerequisite courses for major subjects. Some believe that a student should have as much exposure as possible to subject matter prior to attempting to gain a full understanding of the material. Others believe that prerequisite courses put an undue burden on students to take excessive coursework and that most of the students’ needs can be provided in a single course. The objective of this study was to ascertain the influence of prerequisite courses in animal science, biology, and chemistry on performance of students in an undergraduate animal science course. In the spring semester of 2019, students taking the animal nutrition course at Tarleton State University were enrolled in the experiment. On the second day of class, students were given a comprehensive exam resembling a final examination to assess knowledge on entry to the course. Subsequently, students completed an online survey to record demographics and educational background in relevant courses. Data were analyzed using PROC MIXED and PROC CORR of SAS v. 9.4. Females had an average score of 39 and males had an average score of 35 on the pre-test, but these numbers were statistically similar (P = 0.16). Student scores on the pre-tests were positively correlated the number of biology (r = 0.52; P < 0.01) and chemistry (r = 0.46; P < 0.01) courses taken, but showed no association (r = 0.14; P = 0.37) with the number of previous animal science courses. Similarly, the number of previously taken biology and chemistry courses were positively correlated (r = 0.70; P < 0.01). Results are interpreted to mean that prior experience in biology and chemistry, but not animal science, are major factors for student performance in animal nutrition and should be considered for prerequisite courses.
Collapse
|
35
|
Bielamowicz LP, Muir JP, Smith WB. PSIX-27 Moo-vie Snacks: Storage stability and nutritive value of waste popcorn as a feedstock. J Anim Sci 2019. [DOI: 10.1093/jas/skz258.779] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
The use of by- or co-products in livestock production is not a novel concept. However, as adoption of a novel feed ingredient increases, the cost efficiency of its use generally decreases. Therefore, discovery of novel feed ingredients is a worthwhile academic pursuit. Our objective was to determine the storage stability of popcorn (Zea mays L.) in terms of gain or loss in nutritive value. Popcorn was collected on consecutive weekdays in two wk from a local cinema. Samples (n = 10) were subdivided into 9 aliquots and subjected to storage, uncovered, for 0, 1, 2, 3, 7, 35, 70, 105, and 140 d. Following the assigned storage time, samples were dried at 55°C to determine weight loss. Samples were dried at 55°C, ground to pass through a 2-mm screen, and subjected to a batch-culture in vitro assay for digestibility estimates [in vitro true digestibility (IVTD) and in vitro NDF digestibility (IVNDFD)]. Subsamples were ground to 1 mm assayed for neutral detergent fiber and acid detergent fiber. There was a linear increase (P < 0.01) in weight following open storage which was attributed to absorption of ambient moisture. There was a linear decrease (P = 0.03) in NDF, with values decreasing from 20.2% at d 0 to 16.6% at d 140. However, there was no effect of storage on ADF (P = 0.29), IVTD (P = 0.38), or IVNDFD (P = 0.37). Results are interpreted to mean that waste popcorn is relatively shelf stable and may be a viable candidate as a feedstock for diet formulation.
Collapse
|
36
|
Miller RA, Smith WB. 406 Reduce Reuse Rerumen: Reduction of Eschericia coli, coliform bacteria, Enterobacteriaceae, and yeast and mold colonies in dried paunch manure. J Anim Sci 2019. [DOI: 10.1093/jas/skz258.338] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
The discovery of novel by-product feeds for animals, especially cattle, supports an economically viable agricultural community and enhanced stability in the United States food chain. By-products of livestock processing (in this case, paunch manure, or rumen content) could provide the tools necessary to achieve this goal. Paunch manure, the material from ruminant stomachs at the time of harvest, is a waste product of the meat industry and represents a final loss due to cost of disposal. Our objective in this study was to determine the microbial content of fresh versus dried paunch manure in an effort to assess viability as a potential feed source. Fresh paunch manure was collected from cattle at a local abattoir and immediately homogenized for microbial plating. One milliliter of decanted paunch manure was plated on specialized film for determination of colony counts from Enterobacteriaceae, coliform-forming bacteria, Eschericia coli, Salmonella, and yeast and mold. Plates were incubated at 36°C for 24 ± 2 hours. Data were analyzed as a random effects model using PROC MIXED of SAS v. 9.4. In the wet paunch, E. coli had a mean colony count of 3, coliform bacteria of 53, yeast and mold of 0, and Enterobacteriaceae were too numerous to count. In the dry paunch, E. coli had a mean colony count of less than 1, coliform bacteria of 52, yeast and mold of 0, and Enterobacteriaceae less than 1. Source of paunch contributed a majority to the total variance in all instances of the random effects models. Results are interpreted to mean that, given the drastic reduction in microbial loads, paunch manure may represent a viable feedstock for further testing and development.
Collapse
|
37
|
Smith WB. 419 Academic performance and views toward community service from students engaged in service learning through a beef production course. J Anim Sci 2019. [DOI: 10.1093/jas/skz258.368] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Experiential learning is a feature common to post-secondary agricultural education. Similar to experiential learning opportunities, incorporation of service learning into post-secondary coursework is being encouraged more often. Our objective was to determine how community engagement and introduction of real-world problems in a species-specific production course would affect student performance and outlooks on community service. This experiment was conducted as a completely randomized design within the beef cattle production class during the spring 2019 semester at Tarleton State University. Thirty-eight students were enrolled in the course across two laboratory sections. Students in the first laboratory section were used as a control group. In the control, students were asked to draw from a selection of possibilities a description of herd size, sire and dam breed type, and county. Groups were asked to develop a management plan for a commercial cow-calf operation. Students in the second laboratory section were asked to brainstorm the most prevalent barriers to implementation of best management practices in cow-calf production. Groups were randomly assigned to each topic and were tasked with developing a tri-fold brochure addressing the barrier. They were instructed that this was being done as a service to the greater beef community and would be evaluated by industry representatives. Students in CON had more (P < 0.05) students that reported performing community service weekly or monthly prior to the study than TRT. Groups were similar (P ≥ 0.41) in their assessment of community needs and the role of college students in community service. Likewise, CON and TRT had similar (P ≥ 0.41) responses in having less time available for coursework and their service contributing to the betterment of the overall community. Results are interpreted to mean that incorporation of service learning opportunities does not influence student views on community service.
Collapse
|
38
|
Miller RA, Smith WB. PSIII-28 Kibbles ‘n Conjecture: A corollary analysis of ingredient composition, price, and nutritive value of commercial dog food. J Anim Sci 2019. [DOI: 10.1093/jas/skz258.560] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Quality nutrition for canine species contributes to a large global economic and health care field. Choices abound in terms of the availability of food in any given retail outlet. Likewise, there is copious conjecture surrounding the supposed benefits of certain brands or types over others, especially in the choice of conventional versus grain-free food types. A comparison of nutritive value of feeds relative to ingredient formulation and consumer cost would provide useful insight to the consumer when making selections for canine companion animals. This study sought to ascertain the correlations among ingredient position, nutritive value, and cost of commercially-available dog food. Over the course of February and March of 2019, commercially-available dog food was evaluated at local retail outlets in Stephenville, TX. For each observation, records were made of brand name, formulation, ingredient list, guaranteed nutritive analysis, and cost. Pearson’s correlation coefficients were calculated using PROC CORR, and effect of conventional versus grain-free claims on cost and nutritive value were analyzed using PROC MIXED of SAS v. 9.4. Order in which meat, meat meal, or corn occurred in the ingredient list was not statistically correlated to cost per kg (P ≥ 0.33) or concentrations of crude protein (P ≥ 0.35), crude fat (P ≥ 0.13), or crude fiber (P ≥ 0.35). Grain-free formulations cost significantly more than conventional formulations ($2.70 vs. $4.60/kg; P < 0.01). However, there was no effect of formulation on concentrations of crude protein (P = 0.07), crude fat (P = 0.37), or crude fiber (P = 0.44). Results are interpreted to mean that, despite claims to the contrary, order of ingredients in a formulation have no observable effect on the nutritive value, but large effects on cost, of commercially-available dog food.
Collapse
|
39
|
B Smith W, Abbanat D, Spiessens B, Go O, Haazen W, de Rosa T, Fae K, Poolman J, Thoelen S, de Palacios PI. 2712. Safety and Immunogenicity of two Doses of ExPEC4V Vaccine Against Extraintestinal Pathogenic Escherichia coli Disease in Healthy Adult Participants. Open Forum Infect Dis 2019. [PMCID: PMC6810236 DOI: 10.1093/ofid/ofz360.2389] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
The ExPEC4V vaccine contains 4 Escherichia coli O-antigens (O1A, O2, O6A, O25B) conjugated to exotoxin protein A and is being studied for prevention of Invasive Extraintestinal pathogenic E. coli (ExPEC) Disease (IED). This phase-2 double-blind study assessed safety and immunogenicity of ExPEC4V Clinical Trial Material (CTM), manufactured via a redesigned process (optimized O1A strain).
Methods
Participants (≥18 years) in stable health were randomized (3:1) to receive ExPEC4V dose 4:4:4:8 μg PS/serotype or placebo on Day 1 and second vaccination on Day 181 (6 months after first vaccination). Participants will be followed for safety until end of study at Day 360. Reactogenicity and immunogenicity (by ELISA, opsonophagocytic killing [OPA] assays) were evaluated pre-vaccination, and 15 days after first and second vaccinations (Day 195).
Results
Of 100 participants randomized (mean age 56, 48% males) and vaccinated (ExPEC4V, n = 75; placebo, n = 25), 97 completed Day 30. Solicited local AEs were higher for ExPEC4V (38.7%) than placebo (20%); most frequent was pain/tenderness (38.7% vs 20%). Solicited systemic AEs were higher in ExPEC4V (49.3%) than placebo (20%); most frequent was fatigue (32% vs. 12%). No serious or grade 3 solicited local AEs were reported. One participant in ExPEC4V experienced a grade 3 solicited systemic fatigue considered vaccine-related by investigator. ExPEC4V demonstrated immune responses against all serotypes at Day 15. Geometric mean titer effective concentration rank by serotypes was O2 > O1A > O6 > O25B (Figures 1 and 2). At Day 15, ≥ 82% of participants in ExPEC4V and none in placebo had ≥2-fold increase from baseline of ELISA titer for all serotypes. In ExPEC4V, ≥47% had ≥2-fold increase from baseline of OPA titer for all serotypes, while 8% in placebo had ≥2-fold increase only for O6A. Good correlation was observed between ELISA and OPA across serotypes (r ≥ 0.76).
Conclusion
ExPEC4V elicited robust and functional immune responses across all serotypes and was well tolerated with no vaccine safety findings. This study supports the development of future multivalent ExPEC vaccine to prevent IED.
Disclosures
All authors: No reported disclosures.
Collapse
|
40
|
Garcia TJ, Brady JA, Guay KA, Muir JP, Smith WB. 9 Reduce Reuse ReRumen: Variability in nutritive value of paunch manure. J Anim Sci 2019. [DOI: 10.1093/jas/skz053.031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Abstract
Ruminant animals develop a diverse and complex microbial ecosystem for digesting fibrous feedstuffs, but this material represents a cost to the industry when bound for rendering at harvest. Our objective was to determine the feed value of paunch manure recovered from an abattoir. Twelve paunch samples were collected from slaughtered cattle at the Tarleton State University Meat Laboratory, Stephenville, TX. Samples were dried under forced air at 55°C to a constant weight and ground to pass through 2-mm screen. A subsample was ground to 1-mm and assayed for DM, CP, and sequential NDF and ADF. Physically effective fiber (peNDF) was calculated with 2 L of unground, dried at 55 ˚C, paunch material using the manually-operated Penn State Particle Separator. Paunch peNDF was determined by multiplying the physical effectiveness factor by the total NDF content of the sample. Samples (2-mm) were subject to batch culture in vitro digestibility assays for determination of digestibility coefficients. Data were analysed as a random effects model using PROC GLIMMIX in SAS. Neutral detergent fiber, ADF, ADL, CP, and peNDF values were 68.1, 39.9, 10.9, 15.0, and 38.7%, respectively. Contribution to variance of the individual animal for NDF, ADF, ADL, CP, and peNDF was 97.2, 97.9, 95.4, 19.1, and 97.5%, respectively. In vitro true digestibility (IVTD) and in vitro neutral detergent fiber digestibility (IVNDFD) was recorded as 46.2% and 21.6%, respectively. Contribution to variance of the animal for IVTD and IVNDFD was 99.05 and 98.49%, respectively. Data collected suggest paunch manure could provide valuable nutrients for livestock production, specifically fiber and protein. For full viability of application in a sustainable system, a centralized receiving and compositing system may be useful for development of a consistent product.
Collapse
|
41
|
Venzor LG, Smith WB, Waddell JN, Kinman LA. 80 Effectiveness of naturally sourced mixed tocopherols as an antioxidant when compared to Bha and Bht in fresh pork sausage. J Anim Sci 2019. [DOI: 10.1093/jas/skz053.058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Fresh ground pork products are highly susceptible to deteriorative oxidation due to high fat content and increased surface area exposure of proteins. Recent trends and health concerns among consumers have sparked interest in finding alternatives for synthetic ingredients used for preservation of commercially manufactured processed meats. The objective of this study was to compare the effectiveness of naturally sourced mixed tocopherols to a mixture of butylated hydroxylanisole (BHA) and butylated hydroxytoluene (BHT) on prevention of lipid oxidation and color stability in fresh pork sausage patties. Duplicate batches of pork Boston butt trim and pork back fat were mixed 5:1, respectively, coarse ground, and combined with pork sausage seasoning. Pork mixture was then fine ground and 3175.5 g portions were assigned to one of three treatments: no antioxidants (CON), 0.01% of BHA and 0.01% BHT mixture (SYN), or 0.03% Decanox MTS30P (MTS). Patties (56.7 g) were hand pressed, placed on Styrofoam trays (S4), polyvinyl chloride film overwrapped and positioned in a retail display case. Patties (n = 45) were evaluated for instrumental color (L*, a*, and b*) and display discoloration (1 = very bright, to 8 = tan to brown) in 12-hr intervals for 252 hr. Fifteen patties from each treatment were collected for thiobarbituric acid reactive substance analysis. No differences between treatments (P > 0.05) were found for display discoloration or instrumental color. SYN patties had significantly lower malondialdehyde values (P = 0.047) than both CON and MTS patties at 252 hr. In conclusion, mixed tocopherols were not as effective as synthetic antioxidants in slowing lipid oxidation. However, it can be noted that mixed tocopherols can replace synthetic antioxidants in ground pork sausage and have the same effect on color stability.
Collapse
|
42
|
Bielamowicz LP, Garcia TJ, Cherry NM, Muir JP, Smith WB. 166 Moo-vie Snacks: Evaluation of waste popcorn as a feedstuff in comparison with known livestock feeds. J Anim Sci 2019. [DOI: 10.1093/jas/skz053.124] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
While the use of by- or co-products can help offset the costs of feeding cattle, these feeds often increase in price with increased adoption. Therefore, discovery and characterization of novel feedstuffs could benefit the producer. Our objective was to evaluate the viability of waste popcorn (Zea mays L.) as a feedstuff in ruminant diets. This objective was addressed through a series of two experiments. In Exp. 1, storage stability of popcorn was evaluated. Popcorn was collected on consecutive weekdays in 2 wk from a local cinema. Samples (n = 10) were subdivided into 9 aliquots and subjected to storage, uncovered, for 0, 1, 2, 3, 7, 35, 70, 105, and 140 d. Following the assigned storage time, samples were dried at 55°C to determine weight loss. Following open storage in a laboratory at approximately 24°C, popcorn gained (P < 0.05) between 2.6% (3 d) and 5.6% (105 d) of the original weight through moisture absorption. When dried, however, samples from any length of storage were within 1% of the original weight (P < 0.05). In Exp. 2, a composite sample of popcorn was used in comparison with cracked and steam-flaked corn (Zea mays L.), popped milo [Sorghum bicolor (L.) Moench ssp. bicolor], and rolled barley (Hordeum vulgare L.). Samples were dried at 55°C, ground to pass through a 2-mm screen, and subjected to a batch-culture in vitro assay for digestibility estimates. In vitro true digestibility of popcorn (77.8%) was less (P < 0.05) than estimates for cracked corn (94.8%), popped milo (93.6%), steam-flaked corn (92.6%), or rolled barley (90.3%). From these results, we may conclude that, while popcorn is not as digestible as other commercial energy sources, it may represent a viable option in the arsenal of feed formulation.
Collapse
|
43
|
Garcia TJ, Brady JA, Guay KA, Muir JP, Smith WB. 190 Reduce Reuse ReRumen: Preservation method of rumen fluid collected from slaughtered cattle affects in vitro digestibility. J Anim Sci 2019. [DOI: 10.1093/jas/skz053.150] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Abstract
Microbes and chemical constituents in the rumen fluid play an important role when re-establishing the rumen microbial population. Identification of a viable preservation method could have lasting implication of veterinary and research applications. Our objective was to determine the efficacy of preservation methods on rumen liquor. Twelve paunch samples were collected from slaughtered cattle at the Tarleton State University Meat Laboratory, Stephenville, TX. Rumen content was collected from different locations within the rumen, strained through eight layers of cheesecloth, and divided into five 500-mL aliquots. Aliquots were randomly allocated to one of five preservation methods (freezing or lyophilisation) and preservative (glycerol; yes or no). A fresh control was maintained from each sample. Three reference feeds and two roughage sources were used in the batch culture procedure. Reference feeds were dried to a constant weight at 55°C and ground to pass through a 2-mm screen. Ground samples were subjected to batch culture in vitro true digestibility (IVTD) assays using each of the four ruminal fluids (plus the control) for digestibility estimates. Original samples and incubated residues were assayed for DM, CP, NDF, and ADF. Data were analyzed in a 2 × 2 + 1 augmented factorial design using GLIMMIX procedure of SAS. There were no differences (P > 0.05) in IVTD when using protein or energy feeds; however, there were differences in IVTD for all treatments for fiber concentrates and forage reference feeds. Despite lower degradation of feeds when frozen or lyophilized rumen fluid was used, preserved rumen fluid may be a viable option in the absence of fresh inoculum for veterinary and research applications
Collapse
|
44
|
Wood SL, Baker LM, Cherry NM, Muir JP, Smith WB. 168 Calf-inated Cups: Disposable coffee cups as a fiber source in ruminant diets. J Anim Sci 2019. [DOI: 10.1093/jas/skz053.123] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Per unit energy, fiber is among the most expensive components of the ruminant diet. Wastes from human enterprises may represent the next step in feedstuff investigation. In an effort to minimize the anthropogenic waste contribution, and as a means to find a more cost-efficient resource to feed ruminant animals, our objective was to determine the nutritive value of disposable coffee cups and warmer sleeves in relation to ruminant nutrition. Discarded cups and warmer sleeves were collected from employees at Tarleton State University in fall of 2017. Cups were obtained from five sources, and warmer sleeves were obtained from two sources. Cups and sleeves were dried at 55°C for 72 h and ground to pass through a 2-mm screen. Ground samples were subjected to a batch-culture in vitro true digestibility (IVTD) assay. Original samples and incubated residues were then assayed for DM, NDF, ADF, and CP. Data were analyzed as a random effects model completely randomized design using the MIXED procedure of SAS. There was no effect (P > 0.05) of source (n = 5) or type (cup or sleeve) for contribution to variance of NDF, ADF, IVTD, and in vitro NDF digestibility (IVNDFD). Mean values for NDF, ADF, IVTD, and IVNDFD across samples were 89.5, 81.4, 24.5, and 18.7%, respectively. Results indicate a low digestibility coefficient for these waste products, thus meaning its use as a feedstuff could be questionable. However, such results provide insight into niches where this product and other anthropogenic wastes may fit in the larger picture of ruminant nutrition
Collapse
|
45
|
Finn NA, Cherry NM, Muir JP, Smith WB. 167 Livestock Literacy: Ensiling newspaper as a renewable fiber source for ruminant animals. J Anim Sci 2019. [DOI: 10.1093/jas/skz053.126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Per unit energy, fiber is among the most expensive components of the ruminant diet. While the use of by- or co-products can help offset the costs of feeding cattle, these feeds often increase in price with increased adoption. Wastes from human enterprises may represent the next step in feedstuff investigation. Our objective was to evaluate the suitability of newspaper as a component of silage for ruminant feeding. Newspapers were obtained from the Dick Smith Library and JTAC News at Tarleton State University (Stephenville, TX). Samples were cut into strips (approximately 4.0 × 30.2 mm) using an office shredder. Sorghum-sudangrass [Sorghum bicolor (L.) Moench ssp. drummondii (Nees ex Steud.) de Wet & Harlan] was harvested and cut by hand to lengths of approximately 10 cm. Samples were combined to achieved DM ratios of 100:0, 75:25, 50:50, 25:75, and 0:100% newspaper and sorghum-sudangrass. Distilled water was added to achieve 45% DM. Samples were packed in a double layer of plastic sheeting and sealed in 19 L buckets. Laboratory silos were arranged in a Latin square design in a laboratory and allowed to ferment for 35 d. Ensiled samples were assayed for DM, particle size, and silage acids. There was no effect of newspaper percentage (P = 0.47) on silage pH. Ammonia (0.04 to 1.2% DM), total VFA (0.01 to 4.8% DM), lactic acid (0 to 46.6% VFA), and acetic acid (0.01 to 2.4% DM) increased linearly (P < 0.01) with increased concentration of sorghum-sudangrass. Results indicated that newspaper alone was not an effective feedstuff to ensile. However, addition of newspaper to grass silages could represent a viable means to decrease cost and extend resources for ruminant animal producers.
Collapse
|
46
|
Garcia TJ, Brady JA, Guay KA, Muir JP, Smith WB. 175 Reduce Reuse ReRumen: Variability in nutritive value of paunch manure. J Anim Sci 2019. [DOI: 10.1093/jas/skz053.125] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Abstract
Ruminant animals develop a diverse and complex microbial ecosystem for digesting fibrous feedstuffs, but this material represents a cost to the industry when bound for rendering at harvest. Our objective was to determine the feed value of paunch manure recovered from an abattoir. Twelve paunch samples were collected from slaughtered cattle at the Tarleton State University Meat Laboratory, Stephenville, TX. Samples were dried under forced air at 55°C to a constant weight and ground to pass through 2-mm screen. A subsample was ground to 1-mm and assayed for DM, CP, and sequential NDF and ADF. Physically effective fiber (peNDF) was calculated with 2 L of unground, dried at 55 ˚C, paunch material using the manually-operated Penn State Particle Separator. Paunch peNDF was determined by multiplying the physical effectiveness factor by the total NDF content of the sample. Samples (2-mm) were subject to batch culture in vitro digestibility assays for determination of digestibility coefficients. Data were analysed as a random effects model using PROC GLIMMIX in SAS. Neutral detergent fiber, ADF, ADL, CP, and peNDF values were 68.1, 39.9, 10.9, 15.0, and 38.7%, respectively. Contribution to variance of the individual animal for NDF, ADF, ADL, CP, and peNDF was 97.2, 97.9, 95.4, 19.1, and 97.5%, respectively. In vitro true digestibility (IVTD) and in vitro neutral detergent fiber digestibility (IVNDFD) was recorded as 46.2% and 21.6%, respectively. Contribution to variance of the animal for IVTD and IVNDFD was 99.05 and 98.49%, respectively. Data collected suggest paunch manure could provide valuable nutrients for livestock production, specifically fiber and protein. For full viability of application in a sustainable system, a centralized receiving and compositing system may be useful for development of a consistent product.
Collapse
|
47
|
Carrell RC, Smith WB, Kinman LA, Mercadante VRG, Roper D. 113 Influence of cattle stress response to restraint method on artificial insemination pregnancy rates. J Anim Sci 2019. [DOI: 10.1093/jas/skz053.093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Activation of physiological stress responses have been associated with decreased pregnancy rates in beef cattle. Therefore, alternative cattle restraint methods have been developed to reduce this negative impact. However, little evidence exists comparing pregnancy outcomes of differing methods. Thus our objective was to determine if a difference was present in pregnancy rate to fixed-time artificial insemination in Bos taurus beef females when using a breeding box (b) versus a squeeze chute (c). Cows and heifers from two separate locations (Virginia Tech University, VT; and R.A. Brown Ranch, RAB) were exposed to FTAI protocols at location of origin while restrained in a squeeze chute (n = 169) or a breeding box (n = 162). Females were exposed to the 7 day Co-Sync + CIDR protocol pre-breeding. At day of breeding, females were randomly assigned to treatment. Immediately following breeding, blood was collected via coccygeal venipuncture for assessment of plasma cortisol concentration using an automated ELISA assay (Immulite 2000 XPi, Siemens). Chute and Exit Score (1–5) were assessed at the time of breeding by a trained technician at each location. Pregnancy was verified thirty days post-breeding via rectal ultrasonography. Pregnancy rate (PROC FREQ) and cortisol (PROC GLIMMIX) were analyzed using SAS version 9.4. Also, a Linear Regression Model (SAS version 9.4) was used to determine relationships between chute score, exit score, and cortisol. It was found that there was no difference in pregnancy rate between the breeding box and the squeeze chute (61.73% vs 64.71%, P = 0.31, respectively). Cortisol showed no difference between b and c (59.44±10.17 vs 58.61±10.16, P = 0.68, respectively). There was no linear relationship between cortisol, exit score, and chute score (P = 0.14). It can be concluded that stress responses are similar between the breeding box and squeeze chute. Therefore females will have similar pregnancy rates when exposed to FTAI in either restraint mechanism.
Collapse
|
48
|
Caughey GE, Shakib S, Inglis JM, Le TT, Yuson CL, Smith WB. External validation of beta-lactam antibiotic allergy assessment tools: implications for clinical practice and workforce capacity. THE JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY. IN PRACTICE 2019; 7:2094-2095. [PMID: 31279471 DOI: 10.1016/j.jaip.2019.02.046] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/21/2019] [Accepted: 02/21/2019] [Indexed: 12/23/2022]
|
49
|
Russell KS, Yates DP, Kramer CM, Feller A, Mahling P, Colin L, Clough T, Wang T, LaPerna L, Patel A, Lawall H, Shennak MM, Fulmer J, Nikol S, Smith WB, Müller OJ, Ratchford EV, Basson CT. A randomized, placebo-controlled trial of canakinumab in patients with peripheral artery disease. Vasc Med 2019; 24:414-421. [PMID: 31277561 DOI: 10.1177/1358863x19859072] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Extensive atherosclerotic plaque burden in the lower extremities often leads to symptomatic peripheral artery disease (PAD) including impaired walking performance and claudication. Interleukin-1β (IL-1β) may play an important pro-inflammatory role in the pathogenesis of this disease. Interruption of IL-1β signaling was hypothesized to decrease plaque progression in the leg macrovasculature and improve the mobility of patients with PAD with intermittent claudication. Thirty-eight patients (mean age 65 years; 71% male) with symptomatic PAD (confirmed by ankle-brachial index) were randomized 1:1 to receive canakinumab (150 mg subcutaneously) or placebo monthly for up to 12 months. The mean vessel wall area (by 3.0 T black-blood magnetic resonance imaging (MRI)) of the superficial femoral artery (SFA) was used to measure plaque volume. Mobility was assessed using the 6-minute walk test. Canakinumab was safe and well tolerated. Markers of systemic inflammation (interleukin-6 and high-sensitivity C-reactive protein) fell as early as 1 month after treatment. MRI (32 patients at 3 months; 21 patients at 12 months) showed no evidence of plaque progression in the SFA in either placebo-treated or canakinumab-treated patients. Although an exploratory endpoint, placebo-adjusted maximum and pain-free walking distance (58 m) improved as early as 3 months after treatment with canakinumab when compared with placebo. Although canakinumab did not alter plaque progression in the SFA, there is an early signal that it may improve maximum and pain-free walking distance in patients with symptomatic PAD. Larger studies aimed at this endpoint will be required to definitively demonstrate this. ClinicalTrials.gov Identifier: NCT01731990.
Collapse
|
50
|
Shakib S, Caughey GE, Fok JS, Smith WB. Adverse drug reaction classification by health professionals: appropriate discrimination between allergy and intolerance? Clin Transl Allergy 2019; 9:18. [PMID: 30923609 PMCID: PMC6423864 DOI: 10.1186/s13601-019-0259-6] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2018] [Accepted: 03/08/2019] [Indexed: 01/24/2023] Open
Abstract
Background The correct classification of an adverse drug reaction (ADR) as allergy (immunological) or intolerance (non-immunological) has important clinical implications. The aim of this study was to examine the ability of health professionals to discriminate between allergy and intolerance, classify the severity of the ADR and degree of contraindication. Methods Health professionals were presented ten ‘real-life’ ADR scenarios using an online questionnaire and asked to: categorise the reaction as allergy or intolerance, rate the severity of the reaction and judge the level of contraindication of the causative drug. The number and proportion of responses were calculated for each of the cases presented and associations between classification of reaction type, severity and level of contraindication were examined. Results A total of 394 responses were received. Overall 59.0% (SD 28.9) correctly categorised the cases, 60.8% (SD 16.8) classified the severity correct, and less than half (44.7%, SD 28.6) correctly identified the level of contraindication. The proportion of health professionals correctly answering the type, severity and level of contraindication for the allergy case was significantly higher (p < 0.0001) by comparison to the intolerance cases (type: 56.6% ± 33.1; severity: 57.3 ± 11.9; level of contraindication: 38.5 ± 19.9). Conclusions Health professionals have suboptimal understanding of classification of ADRs. Strategies are required to strictly avoid re-exposure of patients to drugs which carry an increased risk of inducing a dangerous reaction, whilst minimising the avoidance of drugs which are of minimal risk or allowing the use of low-risk drugs where the benefits may be significant.
Collapse
|