Effects of corn processing index and forage source on performance, blood parameters, and ruminal fermentation of dairy calves

The objective of this study was to investigate the effects of corn processing index (CPI)-particularly at 70% and 85%-in starter feed in combination with the provision of forage, either alfalfa hay (AH) or wheat straw (WS), on feed intake, growth performance, rumen pH, and blood metabolites of dairy calves. Forty-eight male Holstein calves (43.0 ± 1.5 kg body weight) were randomly assigned (n = 12 calves per treatment) to one of four dietary treatments: (1) a textured starter diet containing 70% CPI and AH (70CPIAH), (2) a textured starter feed containing 70% CPI combined with WS (70CPIWS), (3) a textured starter feed containing 85% CPI and AH (85CPIAH), (4) a textured starter feed containing 85% CPI combined with WS (85CPIWS). Intake of starter feed (TMR) and milk was individually monitored and recorded daily, while body weight was measured weekly. On days 30 and 65, blood samples were collected from all calves 3 h after morning feeding. No interaction was detected between the CPI of starter feed diets and forage provision for starter intake, dry matter intake (DMI), metabolizable energy intake (MEI), feed efficiency (FE), average daily gain (ADG), and body weight (BW). The preweaning and overall DMI, preweaning, postweaning and overall FE and ADG, preweaning and overall starter intake, preweaning and overall ME intake, and postweaning and overall BW were greater for calves fed 85CPI than those fed 70CPI starter diets. Postweaning and overall ADG and postweaning FE were greater in calves fed WS than those fed AH. Body length and hip width were greater for calves offered 85CPI than in fed 70CPI. Wheat straw supplementation increased rumen pH at day 65 in calves fed 70CPI, but not in those fed 85CPI. No interaction was found between the CPI in the starter feed diet and the forage source for starter intake and DMI, MEI, FE, and BW. The results showed that including corn with 85% processing index in dairy calf starters improved their growth performance.

Cross Disciplinary Role Agreement is Needed When Coordinating Long-Term Opioid Prescribing for Cancer: a Qualitative Study

BACKGROUND

Cancer pain is highly prevalent and often managed in primary care or by oncology providers in combination with primary care providers.

OBJECTIVES

To understand interdisciplinary provider experiences coordinating opioid pain management for patients with chronic cancer-related pain in a large integrated healthcare system.

DESIGN

Qualitative research.

PARTICIPANTS

We conducted 20 semi-structured interviews with interdisciplinary providers in two large academically affiliated VA Medical Centers and their associated community-based outpatient clinics. Participants included primary care providers (PCPs) and oncology-based personnel (OBPs).

APPROACH

We deductively identified 94 examples of care coordination for cancer pain in the 20 interviews. We secondarily used an inductive open coding approach and identified themes through constant comparison coming to research team consensus.

RESULTS

Theme 1: PCPs and OBPs generally believed one provider should handle all opioid prescribing for a specific patient, but did not always agree on who that prescriber should be in the context of cancer pain. Theme 2: There are special circumstances where having multiple prescribers is appropriate (e.g., a pain crisis). Theme 3: A collaborative process to opioid cancer pain management would include real-time communication and negotiation between PCPs and oncology around who will handle opioid prescribing. Theme 4: Providers identified multiple barriers in coordinating cancer pain management across disciplines.

CONCLUSIONS

Our findings highlight how real-time negotiation about roles in opioid pain management is needed between interdisciplinary clinicians. Lack of cross-disciplinary role agreement may result in delays in clinically appropriate cancer pain management.

Effects of physical forms of starter and milk allowance on growth performance, ruminal fermentation, and blood metabolites of Holstein dairy calves

A 2 × 2 factorial study was conducted to evaluate the effects of milk allowance and physical forms of starter on growth performance, ruminal fermentation, and blood metabolites of Holstein dairy calves. A total of 48 calves [40.4 ± 1.55 kg of body weight (BW), n = 12 per treatment: 6 males and 6 females] were randomly assigned to 1 of the 4 treatments: (1) calves fed low milk allowance and finely ground (FG) starter feed [low-FG; 1.47 ± 2.12-mm geometric mean particle size (GMLP)], (2) calves fed low milk allowance and textured (TS) starter feed [low-TS, includes steam-flaked grains (corn and barley) with a pelleted supplement, GMLP 4.15 ± 1.77 mm], (3) calves fed high milk allowance and FG starter feed (high-FG); and (4) calves fed high milk allowance and TS starter feed (high-TS). The starter diets were blended with 7% of chopped alfalfa hay as a proportion of diet dry matter (DM). No milk refusal was observed in any treatments, and calves on both treatments were weaned from milk by wk 8 of the study using a gradual weaning procedure. We observed no interaction between milk allowance and physical forms of starter on feed intake, average daily gain, feed efficiency, BW, and structural growth. Calves fed high milk allowance had lower starter feed intake but greater feed efficiency and overall BW compared with those fed low allowance. Total DM intake and average daily gain were not different among treatments. Regardless of the physical form of starter feed, hip height, heart girth, the molar proportion of ruminal acetate, acetate to propionate ratio, plasma cholesterol, and high-density lipoprotein were greater, but ruminal total volatile fatty acids, the molar proportion of propionate, and plasma β-hydroxybutyrate were lower in calves fed high milk allowance compared with those fed low allowance. Regardless of the milk allowance, calves fed the FG starter feeds had greater blood urea nitrogen concentrations compared with calves fed the TS starter diets. In conclusion, both forms of the starter feeds can be used when calves are fed high milk allowance with no negative effect on their performance.

Interaction between the sequence of feeding of hay and concentrate, and boiling of barley on feed intake, the activity of hydrolytic enzymes and fermentation in the hindgut of Arabian mares

The interaction between the sequence of feeding of hay and concentrate and the hydrothermal processing of barley in alleviating concentrate effects on intake, and hindgut fermentation in horses was tested. Six Arabian mares (4-10 years of age, 410 ± 35 kg body weight) were used to evaluate the effects of feeding sequence (FS) and type of barley (TB) on intake, and faecal volatile fatty acids (VFA), activities of α-amylase (AA: EC 3.2.1.1), carboxymethyl cellulase (CMCase: EC 3.2.1.4), microcrystalline cellulase (MCCase: EC 3.2.1.91) and general filter paper degrading activity (FPD). Mares were offered a ration of air-dried alfalfa and concentrate (70:30 as-fed) in four subsequent periods of 14 days including 8 days of adaptation and 6 days of sampling. In each period and each meal, mares received concentrate either 30 min after (HC) or 30 min before (CH) alfalfa hay. Barley was either milled or boiled in water. Rectal samples were grabbed directly from rectum once per period. Mares subjected to CH had higher dry matter intakes than mares under HC regime. The acetate:propionate ratio (A:P ratio) in rectal content was higher with CH than HC. The AA activity was higher under CH than under HC. Mares fed boiled barley had lower rectal concentrations of VFA and propionate and a higher A:P ratio than mares fed milled barley. Furthermore, the rectal content showed a higher MCCase activity but a lower AA activity when mares were fed boiled compared with milled barley. Interactions between FS and TB were observed with respect to CMCase activity, and concentrations of propionate and valerate. In conclusion, the present results suggest that both, feeding concentrate before hay and boiling the barley, might improve the hindgut environment in Arabian mares, and that the two measures were mostly additive and sometimes even synergistic.

Effects of forage type and age at which forage provision is started on growth performance, rumen fermentation, blood metabolites and intestinal enzymes in Holstein calves

The aim of this study was to determine the effects of two forage sources supplemented either from Day 3 or Day 15 of age on growth performance, rumen fermentation, blood metabolites, intestinal enzymes and incidence of diarrhoea in Holstein bull calves. Forty neonatal male Holstein calves (40.6 ± 5.8 kg BW) were randomly assigned to five treatments, with eight replicates each, including calves fed starter feed without any forage provision (Control; CON), and the same starter plus either chopped alfalfa hay started fed from Day 3 (AE) or Day 15 of age (AL) or chopped oat hay fed from Day 3 (OE) or Day 15 of age (OL). The study finished when all calves were weaned at 56 days of age. During the experimental period average daily gain, starter intake and total dry matter intake were similar among calves fed either of five dietary treatments (P > 0.05). Empty rumen weight (proportional to bodyweight) was greater in CON calves than in OL calves (P < 0.05). The AL calves had a lighter small intestine compared with CON, OL and AE calves, but similar to OE. Frequency of diarrhoea was not affected by dietary treatment (P > 0.05). Rumen concentration of total volatile fatty acids and pH were similar among dietary treatments (P > 0.05). Control calves had a lower molar proportion of acetate compared with OL calves, but similar to the other calves (P < 0.05). Forage-fed calves had similar molar proportion of butyrate to CON calves. Acetate to propionate ratio was higher in OL-fed calves than in those fed CON and AE diets (P < 0.05). Rumen concentration of NH3-N tended to be higher (P = 0.059) in CON calves than in forage-fed calves. During experimental period, serum concentrations of globulin, total protein, glucose and total cholesterol were similar among dietary treatments. Calves fed OE had lower serum concentration of albumin than those fed other diets (P < 0.01). Serum concentration of triglycerides (P < 0.05) was greater in calves fed AE followed by those fed AL and then those fed CON, OL and OE. The AL-fed calves had a higher serum lactate dehydrogenase compared with AE and OE fed calves, but similar to calves fed OL and CON. Duodenum amylase concentration was greater (P < 0.05) in AE-fed calves compared with CON-fed calves, but similar to calves fed AL, OL and OE. Calves fed OL had greater (P < 0.05) ileum lipase concentration than those fed OE, but similar to calves fed AL, AE and CON. In conclusion, provision of chopped alfalfa or oat hay to calves either from Day 3 or Day 15 of age resulted in similar starter intake and total dry matter intake and feed efficiency and physical development of the reticulorumen compared with calves fed the CON diet, which justifies the supply of forage to young calves, even at an early age, as forages are generally cheaper than starter concentrates.

Effect of diets containing roasted soybean, extruded soybean or their combination on performance and milk fatty acid profile of lactating Holstein cows

The aim of this study was to investigate the effect of diets containing roasted soybean (R), extruded soybean (E) or their combination (RE) on dairy cow performance and milk fatty acid (FA) profile. Nine multiparous lactating Holstein cows (680 ± 25 kg BW; 90 ± 10 DIM; means ± SD) were randomly assigned to a triple 3 × 3 Latin square design. Dry matter intake (DMI), apparent nutrient digestibility, milk yield, composition and FA profile and efficiency of nitrogen (N) utilization for milk production were measured. Cows fed R and RE had higher 4% fat corrected milk (FCM) yield and DMI compared to those fed the E (P<0.05). The efficiency of 4% FCM production per unit of DMI was not influenced by experimental diets (P>0.05). Experimental diets had no effect on milk fat and protein concentrations and nutrient digestibility (P>0.05). Milk fat concentrations of vaccenic acid (VA; C18:1 trans-11) and conjugated linoleic acid (CLA; C18:2 cis-9, trans-11) were higher for cows fed with RE compared to other groups (P<0.05). We concluded that cows fed with RE had similar milk production and fat content compared to those fed with R and a similar beneficial milk FA profile compared to those fed with E. Thus, feeding a diet with RE improved the quality and quantity of dairy cow milk.

Influence of dairy by-product waste milk on the microbiomes of different gastrointestinal tract components in pre-weaned dairy calves

The community structure of colonised bacteria in the gastrointestinal tracts (GITs) of pre-weaned calves is affected by extrinsic factors, such as the genetics and diet of the calves; however, the dietary impact is not fully understood and warrants further research. Our study revealed that a total of 6, 5, 2 and 10 bacterial genera showed biologically significant differences in the GITs of pre-weaned calves fed four waste-milk diets: acidified waste milk, pasteurised waste milk, untreated bulk milk, and untreated waste milk, respectively. Specifically, generic biomarkers were observed in the rumen (e.g., Bifidobacterium, Parabacteroides, Fibrobacter, Clostridium, etc.), caecum (e.g., Faecalibacterium, Oxalobacter, Odoribacter, etc.) and colon (e.g., Megamonas, Comamonas, Stenotrophomonas, etc.) but not in the faeces. In addition, the predicted metabolic pathways showed that the expression of genes related to metabolic diseases was increased in the calves fed untreated waste milk, which indicated that untreated waste milk is not a suitable liquid diet for pre-weaned calves. This is the first study to demonstrate how different types of waste milk fed to pre-weaned calves affect the community structure of colonised bacteria, and the results may provide insights for the intentional adjustment of diets and gastrointestinal bacterial communities.

Performance, immunity, and physiological responses of broilers to dietary energy and protein sequential variations

The current trial was designed to examine effects of sequential feeding of diets varying in energy and protein contents on performance, gut development, welfare indices, and immune responses of broiler chicks. A total of 240 one-day-old broiler chicks (Ross 308) were randomly allotted to 4 treatments with 5 replicates in a completely randomized design. Sequential feeding was evaluated in 48-h cycles during 8 to 28 d of age. Diets varied in energy (E+ = 3,210 kcal/kg and E- = 2,790 kcal/kg) and protein (P+ = 25.14% CP and P- = 16.76% CP) contents. The 4 feeding programs were: control (ME: 3,000 kcal/kg, CP: 20.95%); P+/P- (P+ followed by P- containing 3,000 kcal/kg energy); E-/E+ (E- followed by E+ containing 20.95% CP), and E-P+ / E+P- (E-P+ followed by E+P-). The experiment lasted 42 d and birds were fed by a standard finishing diet from d 28 to 42. Broilers fed on E-/E+ and E-P+/E+P- had lower daily feed intake than control ones during 8 to 28 d of age (P < 0.05), while daily weight gain and feed conversion ratio were not affected significantly. Footpad dermatitis was lower in birds sequentially fed E-/E+ and E-P+/E+P- at 35 d of age (P < 0.05). Sequential feeding of diets varying in either energy or protein or both increased duration of tonic immobility at d 39 of age (P < 0.05). Feeding with E-/E+ regime decreased jejunal crypt depth, while feeding P+/P- regime increased villus height and crypt depth in the duodenum and ileum (P < 0.05). However, no relationship was found between intestinal morphology and growth performance of broiler chickens. Antibody production against sheep red blood cells as well as Newcastle and influenza disease viruses was not affected by sequential feeding. In conclusion, digestive organs and intestinal morphology might be adjusted to energy and protein variations. Sequential feeding increased the fear level in chickens.

Effect of soybean roasting and monensin on microbial protein synthesis, ruminal parameters and plasma metabolites of lactating dairy cows

This study was conducted to evaluate the effects of inclusion of roasted whole soybean seed and monensin (MO) in the diets of lactating dairy cows on plasma metabolites, ruminal parameters, and microbial protein synthesised in the rumen. Four multiparous Holstein lactating dairy cows (third parity; 656 ± 55 kg of liveweight; 83 ± 10 days in milk; 35 ± 4 kg/day milk yield) were assigned to a balanced 4 × 4 Latin square design. Each experimental period lasted 21 days with 14 days of treatment adaptation and 7 days of data collection. The control diet (C) was a total mixed ration consisting of 40% forage and 60% concentrate mixture on a dry matter (DM) basis. These cows were randomly assigned to one of the four dietary treatments. The first treatment was the C diet of unprocessed whole soybean seed, second was the C diet supplemented with 24 mg of MO/kg of DM (M), the third was roasted whole soybean seed (R) and the fourth treatment was R diet supplemented with 24 mg of MO/kg of DM (RM). Urinary excretion of creatinine and purine derivatives, microbial protein synthesised in the rumen, rumen pH and rumen concentrations of volatile fatty acids and ammonia were similar among the dietary treatments (P > 0.05). Orthogonal contrasts showed that the rumen concentration of acetate was lower in MO-supplemented cows than non-supplemented cows (P < 0.05). Dietary treatments had no effects on plasma concentrations of glucose, total cholesterol, triglycerides and total protein (P > 0.05). Plasma concentration of urea was significantly lower in cows fed with the RM diet compared with cows fed the C and M diets (P < 0.05). In conclusion, dietary treatments had no effect on microbial protein synthesised in the rumen, plasma metabolites (except for plasma concentration of urea) and ruminal parameters of dairy cows.

Effect of monensin and vitamin E on milk production and composition of lactating dairy cows

Feeding unsaturated oils to lactating dairy cows impair ruminal biohydrogenation (BH) of unsaturated fatty acids (USFA) and increase ruminal outflow of BH intermediates such as trans-10, cis-12 CLA that are considered to be potent inhibitors of milk fat synthesis. Supplementing lactating dairy cow's rations containing plant origin oils with monensin and/or vitamin E may minimise the formation of trans-10 isomers in the rumen, thereby preventing milk fat depression. Therefore, this study was conducted to evaluate the effects of monensin and vitamin E supplementation in the diets of lactating dairy cows containing whole cottonseed, as the main source of FA on feed intake, milk production and composition, milk fatty acid profile, efficiency of nitrogen (N) utilisation, efficiency of net energy (NE) utilisation and nutrients digestibilities. Four multiparous Holstein lactating dairy cows (86±41 days in milk) were assigned to a balanced 4 × 4 Latin square design. Each experimental period lasted 21 days with a 14 days of treatment adaptation and a 7 days of data collection. The control diet was a total mixed ration (TMR) consisted of 430 g/kg forage and 570 g/kg of a concentrate mixture on dry matter (DM) basis. Cows were randomly assigned to one of the four dietary treatments including control diet (C), control diet supplemented with 150 mg of vitamin E/kg of DM (E), control diet supplemented with 24 mg of monensin/kg of DM (M) and control diet supplemented with 150 mg of vitamin E and 24 mg of monensin/kg of DM (EM). Dry matter intake (DMI) ranged from 19.1 to 19.5 kg/d and was similar among the dietary treatments. Dietary supplementation with vitamin E or monensin had no effect on milk production, milk fat, protein and lactose concentrations, efficiency of utilisation of nitrogen and net energy for lactation (NEL ). Digestibility of DM, organic matter (OM), crude protein (CP) and ether extract (EE) was not affected by the dietary treatments. Digestibility of neutral detergent fibre (NDF) was higher in cows fed with the M and EM diets in relation to those fed the C and E diets. The concentrations of C4:0, C6:0, C8:0, C10:0, C12:0, C14:0, C15:0, trans-10-16:1, cis-9-16:1, 17:0, 18:0, trans-11-18:1, cis-9-18:1, cis-9, trans-11 conjugated linoleic acid (CLA), trans-10, cis-12 CLA, and 18:3n-3 FA in milk fat were not affected by the dietary supplementations. While feeding the M diet tended to decrease milk fat concentration of C16:0, the milk fat concentration of C18:2n-6 FA tended to be increased. Dietary supplementation with vitamin E or monensin had no effect on milk fat concentrations of saturated, unsaturated, monounsaturated, polyunsaturated, short chain and long chain FA, but feeding the M diet numerically decreased milk fat concentration of medium chain fatty acids (MCFA). The results showed that vitamin E and/or monensin supplementations did not improve milk fat content and did not minimise the formation of trans-10 FA isomers in the rumen when whole cottonseed was included in the diet as the main source of fatty acids.