Evaluation of test-day milk somatic cell count to predict intramammary infection in late lactation grazing dairy cows

Use of selective dry cow antimicrobial therapy requires to precisely differentiate cows with an intramammary infection (IMI) from uninfected cows close to drying-off to enable treatment allocation. Milk somatic cell count (SCC) is an indicator of an inflammatory response in the mammary gland and is usually associated with IMI. However, SCC can also be influenced by cow-level variables such as milk yield, lactation number and stage of lactation. In recent years, predictive algorithms have been developed to differentiate cows with IMI from cows without IMI based on SCC data. The objective of this observational study was to explore the association between SCC and subclinical IMI, taking cognizance of cow-level predictors on Irish seasonal spring calving, pasture-based systems. Additionally, the optimal test-day SCC cut-point (maximized sensitivity and specificity) for IMI diagnosis was determined. A total of 2,074 cows, across 21 spring calving dairy herds with an average monthly milk weighted bulk tank SCC of ≤200,000 cells/mL were enrolled in the study. Quarter-level milk sampling was carried out on all cows in late lactation (interquartile range = 240-261 d in milk) for bacteriological culturing. Bacteriological results were used to define cows with IMI, when ≥1 quarter sample resulted in bacterial growth. Cow-level test-day SCC records were provided by the herd owners. The ability of the average, maximum and last test-day SCC to predict infection were compared using receiver operator curves. Predictive logistic regression models tested included parity (primiparous or multiparous), yield at last test-day and a standardized count of high SCC test-days. In total, 18.7% of cows were classified as having an IMI, with first parity cows having a higher proportion of IMI (29.3%) compared with multiparous cows (16.1%). Staphylococcus aureus accounted for the majority of these infections. The last test-day SCC was the best predictor of infection with the highest area under the curve. The inclusions of parity, yield at last test-day, and a standardized count of high SCC test-days as predictors did not significantly improve the ability of last test-day SCC to predict IMI. The cut-point for last test-day SCC which maximized sensitivity and specificity was 64,975 cells/mL. This study indicates that in Irish seasonal pasture-based dairy herds,with low bulk tank SCC control programs, the last test-day SCC (interquartile range days in milk = 221-240) is the best predictor of IMI in late lactation.

Successful application of the innovation process to a case of Floyd Type I tracheal agenesis

Background

Innovation is broadly defined as the act of introducing a new product, idea, or process. The field of surgery is built upon innovation, revolutionizing technology, science, and tools to improve patient care. While most innovative solutions are aimed at problems with a significant patient population, the process can also be used on orphan pathologies without obvious solutions. We present a case of tracheal agenesis, a rare congenital anomaly with an overwhelming mortality and few good treatment options, that benefited from the innovation process and achieved survival with no ventilator dependence at three years of age.

Methods

Utilizing the framework of the innovation process akin to the Stanford Biodesign Program, 1) the parameters of the clinical problem were identified, 2) previous solutions and existing technologies were analyzed, newly invented solutions were brainstormed, and value analysis of the possible solutions were carried out using crowd wisdom, and 3) the selected solution was prototyped and tested using 3D modeling, iterative testing on 3D prints of actual-sized patient parts, and eventual implementation in the patient after regulatory clearance.

Results

A 3D-printed external bioresorbable splint was chosen as the solution. Our patient underwent airway reconstruction with "trachealization of the esophagus": esophageotracheal fistula resection, esophagotracheoplasty, and placement of a 3D-printed polycaprolactone (PCL) stent for external esophageal airway support at five months of age.

Conclusions

The innovation process provided our team with the guidance and imperative steps necessary to develop an innovative device for the successful management of an infant survivor with Floyd Type I tracheal agenesis.

Article summary

We present a case of tracheal agenesis, a rare congenital anomaly with an overwhelming mortality and few good treatment options, that benefited from the innovation process and achieved survival with no ventilator dependence at three years of age.The importance of this report is to reveal how the innovation process, which is typically used for problems with significant patient population, can also be used on orphan pathologies without obvious solutions.

The effect of concentrate supplement type on milk production, nutrient intake, and total-tract nutrient digestion in mid-lactation, spring-calving dairy cows grazing perennial ryegrass (Lolium perenne L.) pasture

The objective of this study was to evaluate the effect of concentrate supplement type on milk production, nutrient intake, and total-tract nutrient digestion in lactating dairy cows grazing mid-season perennial ryegrass (Lolium perenne L.; PRG) pasture. Twelve primiparous (mean ± standard deviation; 95 ± 30 d in milk and 470 ± 43 kg of body weight) and 68 multiparous (99 ± 24 d in milk and 527 ± 64 kg of body weight) lactating dairy cows were blocked based on pre-study milk yield and parity and randomly assigned to 1 of 4 dietary treatments. The 4 dietary treatments were a non-supplemented PRG control (PRG); PRG supplemented with 4.4 kg of dry matter (DM) per cow per day of citrus pulp and 0.067 kg of DM/cow per day of urea (PRG+C); PRG supplemented with 0.8 kg of DM/cow per day of heat-treated soybean meal (PRG+PP); and PRG supplemented with 3.1 kg of DM/cow per day of a combination of heat-treated soybean meal and citrus pulp (PRG+C+PP). The study consisted of a 2-wk adaptation period and a 10-wk period of data collection. Weekly measurements of milk yield, body weight, body condition score, and feeding and rumination time were made. Nutrient intake and total-tract digestibility were measured during wk 6 of the study. A large soil moisture deficit was experienced during the study that probably reduced herbage growth rate and likely altered the chemical composition of the PRG offered when compared with typical mid-season PRG. Total dry matter intake was increased in cows fed PRG+C compared with cows fed PRG and PRG+PP and was similar to cows fed PRG+C+PP (18.0, 15.9, 16.4, and 17.2 ± 0.41 kg of DM/d, respectively). The apparent total-tract neutral detergent fiber digestibility of cows fed the PRG+C diet was lower compared with the PRG and PRG+PP diets and was similar to the PRG+C+PP diet (0.67, 0.70, 0.70, and 0.69 ± 0.01 g/g, respectively). The energy-corrected milk (ECM) yield of cows fed PRG+C+PP was highest (23.7 kg/d), PRG+C was intermediate (22.2 kg/d), and PRG was lowest (20.8 kg/d). Cows fed PRG+PP produced more ECM (22.9 kg/d) compared with cows fed PRG and produced similar ECM compared with cows fed PRG+C and PRG+C+PP diets. The PRG+PP diet increased milk protein yield compared with the PRG diet, tended to increase milk protein yield compared with the PRG+C diet, and was similar to the PRG+C+PP diet. Milk fat concentration and the composition of milk fat were not influenced by treatment. The results demonstrated that, for cows consuming pasture-based diets, increasing metabolizable protein supply allowed higher milk yield as metabolizable protein was more limiting than metabolizable energy. However, due to the large soil moisture deficit experienced during this experiment, caution is recommended when extrapolating these results to cows consuming typical mid-season PRG herbage.

The APSA Board of Governors enthusiastically endorses the position paper ``Diversity, Equity, and Inclusion: A Strategic Priority for the American Pediatric Surgical Association''

This Commentary by the APSA Board of Governors enthusiastically endorses the position paper "Diversity, Equity, and Inclusion: A Strategic Priority for the American Pediatric Surgical Association".

Microbial composition and omasal flows of bacterial, protozoal, and nonmicrobial amino acids in lactating dairy cows fed fresh perennial ryegrass (Lolium perenne L.) not supplemented or supplemented with rolled barley

The objective of this study was to evaluate the effect of rolled barley supplementation on microbial composition and omasal flows of bacterial, protozoal, and nonmicrobial AA in cows fed fresh perennial ryegrass (Lolium perenne L.; PRG). Ten ruminally cannulated multiparous Holstein cows averaging (mean ± standard deviation) 49 ± 23 d in milk and 513 ± 36 kg of body weight were assigned to 1 of 2 treatments in a switchback design. The treatment diets were PRG only or PRG plus 3.5 kg of dry matter rolled barley (G+RB). The study consisted of three 29-d periods where each period consisted of 21 d of diet adaptation and 8 d of data and sample collection. A double-marker system was used to quantify nutrient flow entering the omasal canal along with ¹⁵N-ammonium sulfate to label and measure the microbial and nonmicrobial omasal flow of AA. Overall, rolled barley supplementation had no effect on the AA composition of the omasal liquid-associated and particle-associated bacteria. Rolled barley supplementation affected the AA concentrations of omasal protozoa; however, the differences were nutritionally minor. Particle-associated bacteria AA flow was increased for all AA, except for Trp and Pro, in cows fed the G+RB diet. Rolled barley supplementation had no effect on protozoal AA flow. On average, protozoa accounted for 23% of the microbial essential AA flow, which ranged from 17 to 28% for Trp and Lys, respectively. The flow of all AA in omasal true digesta increased in cows fed the G+RB diet compared with the PRG-only diet, resulting in a 228 g/d increase in total AA flow in cows fed the G+RB diet. This increase in total AA flow in cows fed the G+RB diet was due to an increase in microbial AA flow. Rolled barley supplementation had no effect on nonmicrobial AA flow. The nonmicrobial AA flow modestly contributed to total AA flow, accounting for 15.6% on average. These results indicated that extensive ruminal degradation of PRG AA occurred (83.5%), and we demonstrated that cows consuming PRG-based diets exhibit a large dependence on microbial AA to support metabolizable AA supply. Rolled barley supplementation can increase the omasal flow of microbial AA in cows consuming PRG-based diets. However, further research is required to elucidate if this increased AA supply can support higher milk yield under such dietary conditions.

Contributions of Health Professions Students to Health System Needs During the COVID-19 Pandemic: Potential Strategies and Process for U.S. Medical Schools

The COVID-19 pandemic poses an unprecedented challenge to U.S. health systems, particularly academic health centers (AHCs) that lead in providing advanced clinical care and medical education. No phase of AHC efforts is untouched by the crisis, and medical schools, prioritizing learner welfare, are in the throes of adjusting to suspended clinical activities and virtual classrooms. While health professions students are currently limited in their contributions to direct clinical care, they remain the same smart, innovative, and motivated individuals who chose a career in health care and who are passionate about contributing to the needs of people in troubled times. The groundwork for operationalizing their commitment has already been established through the identification of value-added, participatory roles that support learning and professional development in health systems science (HSS) and clinical skills. This pandemic, with rapidly expanding workforce and patient care needs, has prompted a new look at how students can contribute. At the Penn State College of Medicine, staff and student leaders formed the COVID-19 Response Team to prioritize and align student work with health system needs. Starting in mid-March 2020, the authors used qualitative methods and content analysis of data collated from several sources to identify 4 categories for student contributions: the community, the health care delivery system, the workforce, and the medical school. The authors describe a nimble coproduction process that brings together all stakeholders to facilitate work. The learning agenda for these roles maps to HSS competencies, an evolving requirement for all students. The COVID-19 pandemic has provided a unique opportunity to harness the capability of students to improve health.Other AHCs may find this operational framework useful both during the COVID-19 pandemic and as a blueprint for responding to future challenges that disrupt systems of education and health care in the United States.

Rumen metabolism, omasal flow of nutrients, and microbial dynamics in lactating dairy cows fed fresh perennial ryegrass (Lolium perenne L.) not supplemented or supplemented with rolled barley grain

The objective of this study was to evaluate the effect of rolled barley grain (RB) supplementation on rumen metabolism, omasal flow of nutrients, and microbial dynamics in lactating dairy cows fed fresh perennial ryegrass (Lolium perenne L.; PRG)-based diets. Ten ruminally cannulated Holstein cows averaging (mean ± standard deviation) 49 ± 23 d in milk and 513 ± 36 kg of body weight were assigned to 1 of 2 treatments in a switchback design. The treatment diets were PRG only (G) or PRG plus 3.5 kg of dry matter RB (G+RB). The study consisted of three 29-d periods where each period consisted of 21 d of diet adaptation and 8 d of data and sample collection. A double marker system was used to quantify nutrient flow entering the omasal canal along with labeled ¹⁵N-ammonium sulfate to measure bacterial, protozoal, and nonmicrobial N flow. Rumen evacuation techniques were used to determine nutrient and microbial pool size, allowing the calculation of fractional rates of digestion and microbial growth. There was no difference in daily milk yield or energy-corrected milk yield between treatments. Milk fat concentration and milk urea N decreased, whereas milk protein concentration increased in cows fed the G+RB diet. During the omasal sampling phase, dry matter intake was higher in cows fed the G+RB diet. Ruminal and total-tract neutral detergent fiber digestibility was lower in G+RB cows; however, no difference was observed in reticulorumen pH. The rumen pool size of fermentable carbohydrate was increased in cows fed the G+RB diet; however, the fractional rate of digestion was decreased. Flow of nonammonia N and bacterial N at the omasal canal increased in cows fed the G+RB diet compared with the G diet. Protozoa N flow was not different between diets; however, protozoa appeared to supply a much larger amount of microbial N and exhibited shorter generation time than previously considered. Feed N ruminal digestibility, corrected for microbial contribution, was similar for both treatments (88.4 and 89.0% for G and G+RB, respectively). In conclusion, RB supplementation did not benefit overall animal performance; however, it reduced ruminal neutral detergent fiber digestibility and increased bacterial N flow. The results demonstrate the large dependence of cows consuming PRG-based diets on microbial N as the main source of nonammonia N supply. Additional quantitative research is required to further describe the supply of nutrients and microbial dynamics in cows consuming PRG-based diets in an effort to determine most limiting nutrients.

Factors Associated With Hospital Decisions to Purchase Robotic Surgical Systems

Background. Robotic surgical systems are expensive to own and operate, and the purchase of such technology is an important decision for hospital administrators. Most prior literature focuses on the comparison of clinical outcomes between robotic surgery and other laparoscopic or open surgery. There is a knowledge gap about what drives hospitals’ decisions to purchase robotic systems. Objective. To identify factors associated with a hospital’s acquisition of advanced surgical systems. Method. We used 2002 to 2011 data from the State of California Office of Statewide Health Planning and Development to examine robotic surgical system purchase decisions of 476 hospitals. We used a probit estimation allowing heteroscedasticity in the error term including a set of two equations: one binary response equation and one heteroscedasticity equation. Results. During the study timeframe, there were 78 robotic surgical systems purchased by hospitals in the sample. Controlling for hospital characteristics such as number of available beds, teaching status, nonprofit status, and patient mix, the probit estimation showed that market-level directly relevant surgery volume in the previous year (excluding the hospital’s own volume) had the largest impact. More specifically, hospitals in high volume (>50,000 surgeries v. 0) markets were 12 percentage points more likely to purchase robotic systems. We also found that hospitals in less competitive markets (i.e., Herfindahl index above 2500) were 2 percentage points more likely to purchase robotic systems. Limitations. This study has limitations common to observational database studies. Certain characteristics such as cultural factors cannot be accurately quantified. Conclusions. Our findings imply that potential market demand is a strong driver for hospital purchase of robotic surgical systems. Market competition does not significantly increase the adoption of new expensive surgical technologies.

Determination of Sulfamethoxazole Degradation Rate by an in Situ Experiment in a Reducing Alluvial Aquifer of the North China Plain

Effluents from wastewater treatment facilities are reclaimed for environmental and landscaping use, resulting in infiltration to groundwater. Trace organic contaminants in these effluents have raised concerns, including the antibiotic resistance contributor sulfamethoxazole (SMX) detected frequently at concentrations exceeding 0.01 μg/L. A push-pull study to evaluate in situ degradation of SMX was undertaken in a shallow alluvial aquifer at the Tongzhou groundwater experimental site in southeast suburban Beijing. Ambient groundwater (1000 L) extracted from an experimental well at a depth of 10 m was spiked with SMX and NaBr, and then injected back into the same well. SMX and Br were "stored" over 15 days and monitored in the experimental well and 4 multilevel (depth: 10, 15, 17.5, 20, 25, and 30 m) observation wells located within 2-3 m distance. The concentration of SMX decreased faster than that of Br in the experimental and one observation well at 10 m depth; samples from all other depths contained little Br and SMX. The half-life of SMX degradation is estimated to be 3.1 ± 0.2 and 6.5 ± 0.6 days in the experimental well and observation well, respectively, under suboxic/anoxic conditions.

Intake, efficiency, and feeding behavior characteristics of Holstein-Friesian cows of divergent Economic Breeding Index evaluated under contrasting pasture-based feeding treatments

The objective of the current study was to explore differences in dry matter intake, intake capacity, production efficiency, energy balance, and grazing behavior, of 2 divergent genetic groups (GG) of lactating Holstein-Friesian, selected using the Irish Economic Breeding Index (EBI). The GG were evaluated across 3 spring calving pasture-based feeding treatments (FT) over 3 yr. The 2 divergent GG were (1) high EBI, representative of the top 5% nationally (elite), and (2) EBI representative of the national average (NA). In each year 90 elite and 45 NA cows were randomly allocated to 1 of 3 FT: control, lower grass allowance, and high concentrate. Although FT did affect animal performance, there were few notable incidences of GG × FT interaction. The elite cows expressed lower daily milk yield (-1 kg) compared with NA. Elite cows did, however, express higher daily concentrations of milk fat (+3.7 g/kg) and protein (+2.1 g/kg) compared with NA. Daily yield of milk solids and net energy of lactation (NE_L) was similar for both GG. Body weight (BW) was greater for NA (+13 kg) compared with elite, whereas mean body condition score was greater (+0.14) for elite compared with NA. Intake did not differ significantly between GG. Intake capacity, expressed as total dry matter intake/100 kg of BW, was greater with elite compared with NA. Production efficiency expressed as yield of milk solids per 100 kg of BW was greater with elite compared with NA, although milk solids/total dry matter intake did not differ between GG. Expressed as NE_L as a proportion of net energy intake minus net energy of maintenance (NE_L/NE_I - NE_M) and NE_I/milk solids kg, indicated a slight reduction in the utilization of ingested energy for milk production with elite compared with NA. This is, however, suggested as favorable as it manifested as a more positive energy balance with elite compared with NA and so is likely to enhance robustness, increase longevity, and increase overall lifetime efficiency. Noteworthy was a consistent numerical trend toward more intense grazing activity with elite compared with NA cows, exhibited in the numerically greater grazing time (+19 min) and total number of bites per day (+2,591).

Urban Stormwater to Enhance Water Supply

The capture, treatment, and recharge of urban runoff can augment water supplies for water-scarce cities. This article describes trends in urban stormwater capture for potable water supply using examples from the U.S. and Australia. In water-limited climates, water supply potential exists for large scale stormwater harvesting and recharge, such as neighborhood-scale and larger projects. The beneficial use of urban stormwater to meet nonpotable water demands has been successfully demonstrated in the U.S. and internationally. However, in terms of potable water use in the U.S., the lack of a regulatory framework and uncertainty in treatment and water quality targets are barriers to wide-scale adoption of urban stormwater for recharge, which is not so evident in Australia. More data on urban stormwater quality, particularly with respect to pathogens and polar organic contaminants, are needed to better inform treatment requirements. New technologies hold promise for improved operation and treatment, but must be demonstrated in field trials. Stormwater treatment systems may be needed for large-scale recharge in highly urbanized areas where source control is challenging. The co-benefits of water supply, urban amenities, and pollution reduction are important for financing, public acceptance and implementation-but are rarely quantified.

Abstract P1-08-05: A phase I trial of chemotherapy followed by infusions of activated T cells armed with anti-CD3 and anti-HER2 bispecific antibody for stage III, Her2+ or Her2- breast cancer

Background: The balance in the immune system between immune surveillance and tolerance is known to be associated with the prognosis of breast cancer patients. The aim of this phase I study was to assess the safety of anti-CD3 x anti-HER2Bi bispecific antibody targeted (BAT) activated T cells (TC) in high risk breast cancer patients. The BAT T-cells exhibit anti-HER2 cytotoxicity, proliferate, and secrete immunokines upon tumor engagement.

Methods: High risk adjuvant breast cancer patients were recruited and completed standard adjuvant chemotherapy. BATs were produced by stimulating peripheral blood mononuclear cells (PBMC) obtained by leukapheresis; collected TC were then activated with anti-CD3 monoclonal antibody and expanded in IL-2 for 12-14 days. TC were armed with bispecific antibody and cryopreserved until used. Groups of 3 patients received 20, 40, 80 or 160 x 109 BATs per infusion twice a week for four weeks. All patients were treated at Roger Williams Medical Center.

Results: Nine patients were accrued and all had N3 disease. Eight of 9 patients were ER positive; 2 of 9 were HER2 overexpressing. The median OS has not reached as five of nine patients are still alive. OS range from 14.3 to 154.7 months (as December 11, 2016). Five out of the five patients who are alive have no evidence of disease and 1 patient had a secondary primary that has been successfully treated and she has no evidence of disease. It was feasible to grow up to 160 x 109 BATs and this dose level was tolerable without any cell-based dose limiting toxicities. BATs persisted in the blood for at least a week. BAT infusions induce cellular anti-tumor responses and cytokine responses.

Conclusion: Targeting HER2 positive and negative tumors induced cytotoxic anti-tumor responses, increases in Th1 cytokines and IL-12 serum levels. The prolonged survival in a high risk population suggests that BAT infusions provided a clinical benefit. These results are being confirmed in a phase II trial for metastatic breast cancer.

Citation Format: Dillon P, Rathore R, Thakur A, Colvin G, Kouttab N, Lum L. A phase I trial of chemotherapy followed by infusions of activated T cells armed with anti-CD3 and anti-HER2 bispecific antibody for stage III, Her2+ or Her2- breast cancer [abstract]. In: Proceedings of the 2017 San Antonio Breast Cancer Symposium; 2017 Dec 5-9; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2018;78(4 Suppl):Abstract nr P1-08-05.

Biofouling potential and material reactivity in a simulated water distribution network supplied with stormwater recycled via managed aquifer recharge

The injection of stormwater into aquifers for storage and recovery during high water demand periods is a promising technology for augmenting conventional water reserves. Limited information exists regarding the potential impact of aquifer treated stormwater in distribution system infrastructure. This study describes a one year pilot distribution pipe network trial to determine the biofouling potential for cement, copper and polyvinyl chloride pipe materials exposed to stormwater stored in a limestone aquifer compared to an identical drinking water rig. Median alkalinity (123 mg/L) and colour (12 HU) in stormwater was significantly higher than in drinking water (82 mg/L and 1 HU) and pipe discolouration was more evident for stormwater samples. X-ray Diffraction and Fluorescence analyses confirmed this was driven by the presence of iron rich amorphous compounds in more thickly deposited sediments also consistent with significantly higher median levels of iron (∼0.56 mg/L) in stormwater compared to drinking water (∼0.17 mg/L). Water type did not influence biofilm development as determined by microbial density but faecal indicators were significantly higher for polyvinyl chloride and cement exposed to stormwater. Treatment to remove iron through aeration and filtration would reduce the potential for sediment accumulation. Operational and verification monitoring parameters to manage scaling, corrosion, colour, turbidity and microbial growth in recycled stormwater distribution networks are discussed.

Pathogen Decay during Managed Aquifer Recharge at Four Sites with Different Geochemical Characteristics and Recharge Water Sources

Recycling of stormwater water and treated effluent via managed aquifer recharge (MAR) has often been hampered because of perceptions of low microbiological quality of recovered water and associated health risks. The goal of this study was to assess the removal of selected pathogens in four large-scale MAR schemes and to determine the influence of aquifer characteristics, geochemistry, and type of recharge water on the pathogen survival times. Bacterial pathogens tested in this study had the shortest one log removal time (, <3 d), followed by oocysts (, <120 d), with enteric viruses having the biggest variability in removal times (, 18 to >200 d). Human adenovirus and rotavirus were relatively persistent under anaerobic conditions (, >200 d). Human adenovirus survived longer than all the other enteric virus tested in the study and hence could be used as a conservative indicator for virus removal in groundwater during MAR. The results suggest that site-specific subsurface conditions such as groundwater chemistry can have considerable influence on the decay rates of enteric pathogens and that viruses are likely to be the critical pathogens from a public health perspective.

Determining treatment requirements for turbid river water to avoid clogging of aquifer storage and recovery wells in siliceous alluvium

The success of Aquifer Storage and Recovery (ASR) schemes relies on defining appropriate design and operational parameters in order to maintain high rates of recharge over the long term. The main contribution of this study was to define the water quality criteria and hence minimum pre-treatment requirements to allow sustained recharge at an acceptable rate in a medium-coarse sand aquifer. The source water was turbid, natural water from the River Darling, Australia. Three treatments were evaluated: bank filtration; coagulation and chlorine disinfection; and coagulation plus granular activated carbon and chlorine disinfection (GAC). Raw source water and the three treated waters were used in laboratory columns packed with aquifer material in replicate experiments in saturated conditions at constant temperature (19 °C) with light excluded for 37 days. Declines in hydraulic conductivity from a mean of 2.17 m/d occurred over the 37 days of the experiment. The GAC-treated water gave an 8% decline in hydraulic conductivity over the 16 cm length of columns, which was significantly different from the other three source waters, which had mean declines of 26-29%. Within the first 3 cm of column length, where most clogging occurred in each column, the mean hydraulic conductivity declined by 10% for GAC-treated water compared with 40-50% for the other source waters. There was very little difference between the columns until day 21, despite high turbidity (78 NTU) in the source water. Reducing turbidity by treatment was not sufficient to offset the reductions in hydraulic conductivity. Biological clogging was found to be most important as revealed by the accumulation of polysaccharides and bacterial numbers in columns when they were dissected and analysed at the end of the experiment. Further chemical clogging through precipitation of minerals was found not to occur within the laboratory columns, and dispersion of clay was also found to be negligible. Due to the low reduction in hydraulic conductivity, GAC-treated water quality was used to set pre-treatment targets for ASR injection of turbidity <0.6 NTU, membrane filtration index (MFI) < 2 s/L(2), biodegradable dissolved organic carbon (BDOC) < 0.2 mg/L, total nitrogen < 0.3 mg/L and residual chlorine > 0.2 mg/L.

Environmental monitoring of selected pesticides and organic chemicals in urban stormwater recycling systems using passive sampling techniques

Water recycling via aquifers has become a valuable tool to augment urban water supplies in many countries. This study reports the first use of passive samplers for monitoring of organic micropollutants in Managed Aquifer Recharge (MAR). Five different configurations of passive samplers were deployed in a stormwater treatment wetland, groundwater monitoring wells and a recovery tank to capture a range of polar and non-polar micropollutants present in the system. The passive samplers were analysed for a suite of pesticides, polycyclic aromatic hydrocarbons (PAHs) and other chemicals. As a result, 17 pesticides and pesticide degradation products, 5 PAHs and 8 other organic chemicals including flame retardants and fragrances were detected in urban stormwater recharging Aquifer Storage and Recovery (ASR) and an Aquifer Storage Transfer and Recovery (ASTR) system. Of the pesticides detected, diuron, metolachlor and chlorpyrifos were generally detected at the highest concentrations in one or more passive samplers, whereas chlorpyrifos, diuron, metolachlor, simazine, galaxolide and triallate were detected in multiple samplers. Fluorene was the PAH detected at the highest concentration and the flame retardant Tris(1-chloro-2-propyl)phosphate was the chemical detected in the greatest abundance at all sites. The passive samplers showed different efficiencies for capture of micropollutants with the Empore disc samplers giving the most reliable results. The results indicate generally low levels of organic micropollutants in the stormwater, as the contaminants detected were present at very low ng/L levels, generally two to four orders of magnitude below the drinking water guidelines (NHMRC, 2011). The efficiency of attenuation of these organic micropollutants during MAR was difficult to determine due to variations in the source water concentrations. Comparisons were made between different samplers, to give a field-based calibration where existing lab-based calibrations were unavailable.

Cancer patient-reported outcomes assessment using wireless touch screen tablet computers

PURPOSE

To assess the feasibility of collecting patient-reported outcomes data with wireless touch screen tablet computers in the adult oncology palliative care setting.

METHODS

Patients were provided with tablet computers during scheduled clinic visits and answered online queries about their experience over the past week in the health domains of anxiety, depression, fatigue, pain interference, physical function, instrumental social support, sleep impairment, diarrhea, constipation, nausea, vomiting, anorexia, dyspnea, neuropathy, and spiritual values.

RESULTS

Content analysis of patient interviews indicates that wireless touch screen tablet computers are a feasible approach for collecting patient-reported outcome measures by palliative care cancer patients presenting in clinic. Most patients indicated that the questionnaire was easy to answer. However, all but one patient requested some form of assistance, and many reported difficulties attributable to a lack of familiarity with the device, interpretation of certain questions, and wireless connectivity-related issues.

CONCLUSIONS

This feasibility study demonstrates that tablet computers have the potential to efficiently and reliably collect patient-reported health status measures among palliative care cancer patients presenting in clinics. The use of these devices may lead to substantial improvements by making patient-reported outcomes available for clinical decision-making.

Energy demand on dairy farms in Ireland

Reducing electricity consumption in Irish milk production is a topical issue for 2 reasons. First, the introduction of a dynamic electricity pricing system, with peak and off-peak prices, will be a reality for 80% of electricity consumers by 2020. The proposed pricing schedule intends to discourage energy consumption during peak periods (i.e., when electricity demand on the national grid is high) and to incentivize energy consumption during off-peak periods. If farmers, for example, carry out their evening milking during the peak period, energy costs may increase, which would affect farm profitability. Second, electricity consumption is identified in contributing to about 25% of energy use along the life cycle of pasture-based milk. The objectives of this study, therefore, were to document electricity use per kilogram of milk sold and to identify strategies that reduce its overall use while maximizing its use in off-peak periods (currently from 0000 to 0900 h). We assessed, therefore, average daily and seasonal trends in electricity consumption on 22 Irish dairy farms, through detailed auditing of electricity-consuming processes. To determine the potential of identified strategies to save energy, we also assessed total energy use of Irish milk, which is the sum of the direct (i.e., energy use on farm) and indirect energy use (i.e., energy needed to produce farm inputs). On average, a total of 31.73 MJ was required to produce 1 kg of milk solids, of which 20% was direct and 80% was indirect energy use. Electricity accounted for 60% of the direct energy use, and mainly resulted from milk cooling (31%), water heating (23%), and milking (20%). Analysis of trends in electricity consumption revealed that 62% of daily electricity was used at peak periods. Electricity use on Irish dairy farms, therefore, is substantial and centered around milk harvesting. To improve the competitiveness of milk production in a dynamic electricity pricing environment, therefore, management changes and technologies are required that decouple energy use during milking processes from peak periods.

Abstract P3-07-11: Retrospective database review of outcomes in invasive lobular carcinoma and invasive ductal carcinoma of the breast

Background. Invasive lobular carcinoma (ILC) and invasive ductal carcinoma (IDC) are histologically distinct breast cancer subtypes. While ILC and IDC have similar disease-free survival (DFS) and overall survival (OS), the patterns of metastatic recurrence are suspected to differ due to differing adhesion markers.

Methods. Retrospective review of a cohort of breast cancer patients treated at a tertiary academic medical center from May 1999 to April 2012 was performed. Demographic, pathologic, treatment and follow-up data were collected from a cancer database and the institutional medical records.

Results. There were 179 ILC and 358 IDC (1:2 stage-matched) patients in the study period. Mean age (59 vs. 58 years), gender, race (88% vs. 80% Caucasian), menopause state (71% vs. 66% post-menopausal), and family history (48% vs. 42% positive for breast cancer) were similar in the two groups. Median follow-up was 4.7 years. ILC patients had more negative mammograms upon diagnosis (6.8% vs. 1.4%, p = 0.001), and their breast cancers were more likely to be hormone-receptor-positive/HER2-negative (90% vs. 69%, p &lt; 0.00001). The recurrence rate was the same between ILC and IDC. ILC recurred more often in the abdominal cavity (24.3% vs. 4.1%, p = 0.001), and it recurred similarly to IDC in other sites (bone, lung, liver, central nervous system, and local). Both groups received similar treatments, including number of surgical resections (1.3), positive margins (17%), breast-conservation rate (42% in ILC vs. 49% in IDC), systemic treatment (91% vs. 88%), and taxane use during chemotherapy (71% vs. 69%). The DFS (10.6 vs. 11.4 years), OS (10.2 vs. 11.9 years), and breast-cancer-specific OS (11 vs. 13 years) were not statistically different. In a subgroup analysis, stage IV ILC patients had worse overall survival than stage IV IDC patients (2.9 vs. 6.8 years, p = 0.039). On multivariate analysis, age, stage of disease, hormone receptor status, and systemic therapy were associated with survival, but histology was not.

Conclusions. Compared to ductal breast cancers, lobular breast cancers recur more often in the abdominal cavity. Both ILC and IDC have comparable surgical and medical treatment outcomes, including resection number, positive margin of resection, breast conservation rate, recurrence rate, and survival.

Citation Information: Cancer Res 2012;72(24 Suppl):Abstract nr P3-07-11.

Radiofrequency ablation of pulmonary neoplasm complicated by pulmonary hemorrhage

Pulmonary hemorrhage is a potentially serious complication of radiofrequency ablation of pulmonary neoplasms that may occur with or without hemoptysis. Several factors influence the development of parenchymal hemorrhage, including tumor size, tumor location, and procedural technique. As radiofrequency ablation has become more common, the prompt diagnosis and appropriate treatment of hemorrhage is vital. The authors report a case of radiofrequency ablation of a solitary pulmonary metastasis complicated by pulmonary hemorrhage and hemoptysis.

Microbiological risks of recycling urban stormwater via aquifers

With the release of the Australian Guidelines for Water Recycling: Managed Aquifer Recharge (MAR), aquifers are now being included as a treatment barrier when assessing risk of recycled water systems. A MAR research site recharging urban stormwater in a confined aquifer was used in conjunction with a Quantitative Microbial Risk Assessment to assess the microbial pathogen risk in the recovered water for different end uses. The assessment involved undertaking a detailed assessment of the treatment steps and exposure controls, including the aquifer, to achieve the microbial health-based targets.

Therapeutic aerosol bioengineering of targeted, inhalable microparticle formulations to treat Mycobacterium tuberculosis (MTb)

Therapeutic aerosol bioengineering (TAB) of Mycobacterium tuberculosis (MTb) therapies using inhalable microparticles offers a unique opportunity to target drugs to the site of infection in the alveolar macrophages, thereby increasing dosing in the lungs and limiting systemic exposure to often toxic drugs. Previous work by us used sophisticated, high content analysis to design the optimal poly(lactide-co-glycolic) acid (PLGA) microparticle for delivery of drugs to alveolar macrophages. Herein, we applied this technology to three different anti-MTb drugs. These formulations were then tested for encapsulation efficiency, drug-release, in vitro killing against MTb and aerosol performance. Methods for encapsulating each of the drugs in the PLGA microparticles were successfully developed and found to be capable of controlling the release of the drug for up to 4 days. The efficacy of each of the encapsulated anti-MTb drugs was maintained and in some cases enhanced post-encapsulation. A method of processing these drug-loaded microparticles for inhalation using standard dry powder inhaler devices was successfully developed that enabled a very high respirable dose of the drug to be delivered from a simple dry powder inhaler device. Overall, TAB offers unique opportunities to more effectively treat MTb with many potential clinical and economic benefits resulting.

Water quality requirements for sustaining aquifer storage and recovery operations in a low permeability fractured rock aquifer

A changing climate and increasing urbanisation has driven interest in the use of aquifer storage and recovery (ASR) schemes as an environmental management tool to supplement conventional water resources. This study focuses on ASR with stormwater in a low permeability fractured rock aquifer and the selection of water treatment methods to prevent well clogging. In this study two different injection and recovery phases were trialed. In the first phase ~1380 m(3) of potable water was injected and recovered over four cycles. In the second phase ~3300 m(3) of treated stormwater was injected and ~2410 m(3) were subsequently recovered over three cycles. Due to the success of the potable water injection cycles, its water quality was used to set pre-treatment targets for harvested urban stormwater of ≤ 0.6 NTU turbidity, ≤ 1.7 mg/L dissolved organic carbon and ≤ 0.2 mg/L biodegradable dissolved organic carbon. A range of potential ASR pre-treatment options were subsequently evaluated resulting in the adoption of an ultrafiltration/granular activated carbon system to remove suspended solids and nutrients which cause physical and biological clogging. ASR cycle testing with potable water and treated stormwater demonstrated that urban stormwater containing variable turbidity (mean 5.5 NTU) and organic carbon (mean 8.3 mg/L) concentrations before treatment could be injected into a low transmissivity fractured rock aquifer and recovered for irrigation supplies. A small decline in permeability of the formation in the vicinity of the injection well was apparent even with high quality water that met turbidity and DOC but could not consistently achieve the BDOC criteria.

Risk assessment of aquifer storage transfer and recovery with urban stormwater for producing water of a potable quality

The objective of the Parafield Aquifer Storage Transfer and Recovery research project in South Australia is to determine whether stormwater from an urban catchment that is treated in a constructed wetland and stored in an initially brackish aquifer before recovery can meet potable water standards. The water produced by the stormwater harvesting system, which included a constructed wetland, was found to be near potable quality. Parameters exceeding the drinking water guidelines before recharge included small numbers of fecal indicator bacteria and elevated iron concentrations and associated color. This is the first reported study of a managed aquifer recharge (MAR) scheme to be assessed following the Australian guidelines for MAR. A comprehensive staged approach to assess the risks to human health and the environment of this project has been undertaken, with 12 hazards being assessed. A quantitative microbial risk assessment undertaken on the water recovered from the aquifer indicated that the residual risks posed by the pathogenic hazards were acceptable if further supplementary treatment was included. Residual risks from organic chemicals were also assessed to be low based on an intensive monitoring program. Elevated iron concentrations in the recovered water exceeded the potable water guidelines. Iron concentrations increased after underground storage but would be acceptable after postrecovery aeration treatment. Arsenic concentrations in the recovered water continuously met the guideline concentrations acceptable for potable water supplies. However, the elevated concentration of arsenic in native groundwater and its presence in aquifer minerals suggest that the continuing acceptable residual risk from arsenic requires further evaluation.

Quantification of herbicide removal in a constructed wetland using passive samplers and composite water quality monitoring

Constructed wetlands used as treatment for urban stormwater have the potential to improve water quality. This study aimed to estimate the removal of selected herbicides in stormwater by a constructed wetland using composite water quality monitoring and passive samplers. For the four week duration of the study the wetland was effective in reducing the concentrations of diuron, simazine and atrazine. Mean estimated concentrations over a 28 d period were 192, 70 and 5 ng L(-1) at the inlet and 94, 30 and 2 ng L(-1) at the outlet for diuron, simazine and atrazine, respectively. Concentrations of these herbicides generally halved as a result of passage through the constructed wetland with a design hydraulic retention time of 7d. Simple ratios of the inlet and outlet herbicide concentrations as well as hydraulic load-based methods of measuring the wetland's removal efficiency resulted in a range of estimations 33-51% for diuron and 20-60% for simazine. Due to their lower detection limits, the use of passive samplers provides a more efficient technique than conventional sampling for assessment of stormwater wetland treatment.

Valuing the subsurface pathogen treatment barrier in water recycling via aquifers for drinking supplies

A quantitative microbial risk assessment (QMRA) was performed at four managed aquifer recharge (MAR) sites (Australia, South Africa, Belgium, Mexico) where reclaimed wastewater and stormwater is recycled via aquifers for drinking water supplies, using the same risk-based approach that is used for public water supplies. For each of the sites, the aquifer treatment barrier was assessed for its log(10) removal capacity much like for other water treatment technologies. This information was then integrated into a broader risk assessment to determine the human health burden from the four MAR sites. For the Australian and South African cases, managing the aquifer treatment barrier was found to be critical for the schemes to have low risk. For the Belgian case study, the large treatment trains both in terms of pre- and post-aquifer recharge ensures that the risk is always low. In the Mexico case study, the risk was high due to the lack of pre-treatment and the low residence times of the recharge water in the aquifer. A further sensitivity analysis demonstrated that human health risk can be managed if aquifers are integrated into a treatment train to attenuate pathogens. However, reduction in human health disease burden (as measured in disability adjusted life years, DALYs) varied depending upon the number of pathogens in the recharge source water. The beta-Poisson dose response curve used for translating rotavirus and Cryptosporidium numbers into DALYs coupled with their slow environmental decay rates means poor quality injectant leads to aquifers having reduced value to reduce DALYs. For these systems, like the Mexican case study, longer residence times are required to meet their DALYs guideline for drinking water. Nevertheless the results showed that the risks from pathogens can still be reduced and recharging via an aquifer is safer than discharging directly into surface water bodies.

Managed aquifer recharge: rediscovering nature as a leading edge technology

Use of Managed Aquifer Recharge (MAR) has rapidly increased in Australia, USA, and Europe in recent years as an efficient means of recycling stormwater or treated sewage effluent for non-potable and indirect potable reuse in urban and rural areas. Yet aquifers have been relied on knowingly for water storage and unwittingly for water treatment for millennia. Hence if 'leading edge' is defined as 'the foremost part of a trend; a vanguard', it would be misleading to claim managed aquifer recharge as a leading edge technology. However it has taken a significant investment in scientific research in recent years to demonstrate the effectiveness of aquifers as sustainable treatment systems to enable managed aquifer recharge to be recognised along side engineered treatment systems in water recycling. It is a 'cross-over' technology that is applicable to water and wastewater treatment and makes use of passive low energy processes to spectacularly reduce the energy requirements for water supply. It is robust within limits, has low cost, is suitable from village to city scale supplies, and offers as yet almost untapped opportunities for producing safe drinking water supplies where they do not yet exist. It will have an increasingly valued role in securing water supplies to sustain cities affected by climate change and population growth. However it is not a universal panacea and relies on the presence of suitable aquifers and sources of water together with effective governance to ensure human health and environment protection and water resources planning and management. This paper describes managed aquifer recharge, illustrates its use in Australia, outlining economics, guidelines and policies, and presents some of the knowledge about aquifer treatment processes that are revealing the latent value of aquifers as urban water infrastructure and provide a driver to improving our understanding of urban hydrogeology.

Pathogen inactivation during passage of stormwater through a constructed reedbed and aquifer transfer, storage and recovery

A study was undertaken to determine the potential inactivation rates of selected enteric microorganisms in captured urban stormwater within a constructed reedbed and in tertiary carbonated aquifer during an Aquifer Storage, Transfer and Recovery (ASTR) scheme. The study was undertaken in-situ in the constructed reedbed and aquifer using diffusion chambers. The results showed that all tested bacteria had one log(10) reduction time of less than 6 and 2.5 days respectively in constructed reedbeds and aquifer, which suggests that presence of enteric bacteria in the recovered water is unlikely. However, adenovirus and Cryptosporidium oocysts showed lower inactivation rates with one log(10) reduction times of more than 33 days in the constructed reedbeds. This means that the constructed reedbed with a mean residence time 10 days cannot be relied upon as an efficient treatment barrier for virus and protozoa. Storage of stormwater in aquifer with brackish water resulted in slow inactivation of enteric viruses over the 35 day incubation period with adenovirus and rotavirus showing slowest inactivation times (extrapolated T(90) of >100 days). Cryptosporidium oocysts showed similar inactivation rate in the constructed reedbed and aquifer.

Characterising aquifer treatment for pathogens in managed aquifer recharge

In this study the value of subsurface treatment of urban stormwater during Aquifer Storage Transfer Recovery (ASTR) is characterised using quantitative microbial risk assessment (QMRA) methodology. The ASTR project utilizes a multi-barrier treatment train to treat urban stormwater but to date the role of the aquifer has not been quantified. In this study it was estimated that the aquifer barrier provided 1.4, 2.6, >6.0 log(10) removals for rotavirus, Cryptosporidium and Campylobacter respectively based on pathogen diffusion chamber results. The aquifer treatment barrier was found to vary in importance vis-à-vis the pre-treatment via a constructed wetland and potential post-treatment options of UV-disinfection and chlorination for the reference pathogens. The risk assessment demonstrated that the human health risk associated with potable reuse of stormwater can be mitigated (disability adjusted life years, DALYs <1 × 10(-6)) if the aquifer is integrated with suitable post treatment options into a treatment train to attenuate pathogens and protect human health.

Regression of advanced melanoma upon withdrawal of immunosuppression: case series and literature review

We report two cases of stage IV malignant melanoma arising in patients treated with azathioprine for myasthenia gravis. In both cases, the melanoma metastases regressed upon withdrawal of immunosuppression. One patient remains melanoma free at 10 years, and the second patient experienced an 18-month disease free period. There is one prior case report in the medical literature to support full immune reconstitution for treatment in advanced immunosuppression-related melanoma, and one case series suggesting that transplant patients developing melanoma may benefit from a switch to sirolimus. Virtually, no data exist for the medical management of early stage melanoma in the immunosuppressed patients. We review the limited preclinical data in support of immune reconstitution and the data on immunosuppression as a risk factor for melanoma. We conclude that reduction or withdrawal of immunosuppression may be beneficial in patients with advanced stage melanoma and warrants further consideration in patients with early stage melanoma.

Developing a NSQIP module to measure outcomes in children's surgical care: opportunity and challenge

Under the guidance of the American College of Surgeons (ACS) and in partnership with the US Department of Veterans Affairs (VA), the National Surgical Quality Improvement Program (NSQIP) has been developed to improve the quality of surgical care in adults on a national level. Its purpose is to provide reliable, risk-adjusted outcomes data so that surgical quality can be assessed and compared between institutions. Data analysis consists of reporting observed to expected ratios (O/E) for 30-day postoperative mortality and morbidity measurements. A surgical clinical nurse reviewer is assigned at each medical center to collect information on 97 variables, including preoperative, operative, and postoperative factors for patients undergoing major operations in the specialties of general and vascular surgery. Eligible operations are entered into the database on a structured 8-day cycle to ensure representative sampling of cases. Since the introduction of the program into the VA system, there has been a 47% reduction in 30-day postoperative mortality and a 42% reduction in 30-day postoperative morbidity. Over 160 institutions have enrolled with the ACS in its adult NSQIP. In 2005, a planning committee was formed by the ACS and the American Pediatric Surgical Association to explore the development of a children's surgery NSQIP module. In conjunction with the Colorado Health Outcomes Program at the University of Colorado, a program potentially applicable to all children's surgical specialties has been designed. This manuscript describes the development of that Children's ACS-NSQIP module.

A critical evaluation of combined engineered and aquifer treatment systems in water recycling

Australian experience at five research sites where stormwater and reclaimed water have been stored in aquifers prior to reuse, have yielded valuable information about water treatment processes in anaerobic and aerobic aquifers. One of these sites is the stormwater to potable water ASTR project at the City of Salisbury, a demonstration project within the broader EC project 'RECLAIM WATER'. A framework for characterising the effectiveness of such treatment for selected organic chemicals, natural organic matter, and pathogens is being developed for inclusion in new Australian Guidelines for Management of Aquifer Recharge. The combination of pre-treatments (including passive systems such as reed beds) and aquifer treatment effectiveness in relation to source waters and intended uses of recovered water will be described. Advantages and disadvantages of various types of pre-treatments in relation to effectiveness and sustainability of managed aquifer recharge will be discussed taking account of aquifer characteristics. These observations will be consolidated into a draft set of principles to assist in selection of engineered treatments compatible with passive treatment in aquifers.

Genetics of Grass Dry Matter Intake, Energy Balance, and Digestibility in Grazing Irish Dairy Cows

The objective of this study was to estimate genetic parameters for grass dry matter intake (DMI), energy balance (EB), and cow internal digestibility (IDG) in grazing Holstein-Friesian dairy cows. Grass DMI was estimated up to 4 times per lactation on 1,588 lactations from 755 cows on 2 research farms in southern Ireland. Simultaneously measured milk production and BW records were used to calculate EB. Cow IDG, measured as the ratio of feed and fecal concentrations of the natural odd carbon-chain n-alkane pentatriacontane, was available on 583 lactations from 238 cows. Random regression and multitrait animal models were used to estimate residual, additive genetic and permanent environmental (co)variances across lactations. Results were similar for both models. Heritability for DMI, EB, and IDG across lactation varied from 0.10 [8 days in milk (DIM)] to 0.30 (169 DIM), from 0.06 (29 DIM) to 0.29 (305 DIM), and from 0.08 (50 DIM) to 0.45 (305 DIM), respectively, when estimated using the random regression model. Genetic correlations within each trait tended to decrease as the interval between periods compared increased for DMI and EB, whereas the correlations with IDG in early lactation were weakest when measured midlactation. The lowest correlation between any 2 periods was 0.10, -0.36, and -0.04 for DMI, EB, and IDG, respectively, suggesting the effect of different genes at different stages of lactations. Eigenvalues and associated eigenfunctions of the additive genetic covariance matrix revealed considerable genetic variation among animals in the shape of the lactation profiles for DMI, EB, and IDG. Genetic parameters presented are the first estimates from dairy cows fed predominantly grazed grass and imply that genetic improvement in DMI, EB, and IDG in Holstein-Friesian cows fed predominantly grazed grass is possible.

Influence of Holstein-Friesian Strain and Feed System on Body Weight and Body Condition Score Lactation Profiles

The objective of the present study was to determine effects of strain of Holstein-Friesian and feed system on body weight (BW) and body condition score (BCS; scale of 1 to 5) lactation profiles in seasonal-calving, grass-based milk production systems. The 3 strains of Holstein-Friesian compared differed in milk production potential and were high-production North American (HP), high-durability North American (HD), and New Zealand (NZ). The 3 feed systems compared were a high grass allowance feed system typical of spring-calving herds in Ireland (MP); an increased stocking rate system (HS); and an increased concentrate supplementation system (HC), each maintained within a separate farmlet. The data comprised 20,611 weekly BW and 7,920 BCS records assessed every 3 wk across 5 yr on 584 lactations. An exponential function was used to model BW and BCS lactation profiles across feed systems. Across feed systems, the NZ strain was significantly lighter (545 kg) but had greater average BCS (3.10 units) compared with the HP (579.3 kg and 2.76 units, respectively) and HD strains (583.2 kg and 2.87 units, respectively). Across feeding systems, the HD and HP strains exhibited a greater loss of BCS in early lactation (0.27 and 0.29 units, respectively) compared with the NZ strain (0.21 units). The HP strain failed to gain BCS over the entire lactation. Concentrate input did not affect the rate of BCS or BW loss in early lactation or BCS at 60 DIM. This study extends previous research outlining the greater suitability of the NZ strain to the low-cost grass-based system of milk production predominantly operated in Ireland.

Trends in milk production, calving rate and survival of cows in 14 Irish dairy herds as a result of the introgression of Holstein-Friesian genes

Trends in milk production, calving rates, and survival were monitored on a potential 5580 primiparous and multiparous Holstein-Friesian dairy cows across 14 Irish seasonal spring-calving dairy farms between the years 1990 and 2001. Over this period calving rate to first service (CALV1) reduced by 0·96% per year (55 to 44%;P< 0·001), calving rate to first and second service (CALV12) reduced by 0·84% per year ( 77 to 70%;P< 0·001) and herd average parity number reduced by 0·10 lactation per year (4·3 to 3·5;P<0·001). The proportion of North American Holstein Friesian (NAHF) genes in the cows increased by 5·5% per year (8 to 63%;P<0·001), while pedigree index for milk yield (PIMILK) of the cows increased by 25 kg per year (P<0·001). The predicted difference of the sires of the cows for calving interval and survival increased by 0·5 days (P<0·001) and reduced by 0·12% (P<0·001) per year, respectively. A negative association was found between increased phenotypic milk yield, NAHF and PIMILKand reduced calving rates as assessed by CALV1 and CALV12. Increased proportion of NAHF genes exhibited a negative effect on survival (P<0·001) whereas increased levels of heterosis had a positive impact on survival (P<0·001). The results of the present study indicate that in seasonal calving herds in Ireland a need for direct selection on traits related to fertility and survival is required to arrest and reverse the declining trends in calving rates and survival.

Comparison of growth curves of three strains of female dairy cattle

The objective of the present study was to compare growth curves for live weight (LW) and body size of three strains of female dairy cattle reared under common environments in Ireland. One strain (HP) was selected from a predominantly North-American/European Holstein-Friesian genetic pool selected for high milk production. The second strain (HD) represented a predominantly North-American/European Holstein-Friesian genetic pool selected for high milk production but with greater selection emphasis on functional non-production traits. The third strain (NZ) consisted of New Zealand Holstein-Friesian females of high genetic merit for profitability in New Zealand. The data consisted of 99 animals (33 animals in each strain) with records on LW, length, girth and height from birth to a minimum of 594 days of age. The von Bertalanffy growth function was fitted to each animal's records separately and least-squares analyses were used to investigate the effect of strain on birth LW/body size, parameters of the growth function and average daily gains. Average mature live weight of the HD animals (591 kg) was significantly larger than that of the HP (566 kg) or NZ (543 kg) strain; the HD strain matured more slowly. The HD (134 cm) and HP (135 cm) strains were significantly taller than the NZ (128 cm) strain. Although the data set was relatively small there are indications that dairy females of North-American genetic origin were heavier at birth, grew faster, and were heavier and taller at maturity than dairy females of New Zealand origin.