Cubicle housing systems for cattle: Comfort of dairy cows depends on cubicle adjustment

Housing is important for the welfare of cows. Although recommendations have been proposed, abnormal movements and injury problems are still observed in cubicle houses. We conducted a survey on 70 French dairy farms that used cubicles. We examined the design of the cubicles, and the behavior, injuries, and cleanliness of the cows. Most of the cubicles did not comply with the recommendations, often being too narrow and/or too short. Difficulties in lying behavior and injuries were more common when the neck rail was high. No improvement was noted when cubicles of a recent design were used ("U.S." cubicles), apparently because these cubicles were most often cantilevered on a double head rail rather than fixed on freestanding posts. An experiment was conducted, making similar measurements, on 84 cows to compare two configurations for U.S. cubicles (cantilevered on a double head rail as observed in the survey with a high and rear neck rail vs. fixed on freestanding posts as recommended) and another recent cubicle type (Euroconfort, cantilevered on head rails, but with a large space between the rails and fixed as recommended), with and without a brisket board. In U.S. cubicles on rails, cows spent more time lying and less time fully standing inside the cubicles than in the other cubicles (percentage of time: lying, 53.9 vs. 51.5; fully standing, 7.3 vs. 8.5); in Euroconfort cubicles, they hit bars more often when getting up than in U.S. Cubicles (percentage of observations: 42.4 vs. 26.4. Without a brisket board, cows lay down more often in a fore position in U.S. cubicles than in Euroconfort ones. Somatic cell counts increased with time in U.S. cubicles on rails and decreased in the other cubicles. It is suggested that the position of the neck rail in U.S. cubicles cantilevered on rails did not leave enough space for the cow to stand inside the cubicle, thereby encouraging the cow to lie down. This could in turn favor udder contamination and/or inflammation. It is concluded that the positioning of the neck rail is of prime importance, that U.S. cubicles should be used with a brisket board and with correct positioning of the neck rail (even when a head rail is used), and that leaving a large space between head rails does not offer an adequate remedial solution for keeping a free head space in front of the cubicle.

Platelet volume, density and 5 HT organelles (mepacrine test) in acute leukaemia

Qualitative platelet parameters (volume, 5 hydroxy-tryptamine (5 HT) organelles studied by the mepacrine test, and density) were evaluated in 31 patients with acute leukaemia: 11 myelomonocytic (AML), 8 lymphoblastic (ALL), 12 granulocytic (AGL). Macrothrombocytosis was observed in most of the cases of AML, was rare in AGL and was never found in ALL. The 5 HT organelles/volume ratio was normal in AGL and ALL but was significantly decreased in AML. In contrast, platelet density distribution was always abnormal whatever the platelet volume and 5 HT organelle concentration. Thus, using simple new methods, convenient even in cases of thrombocytopenia, we demonstrate that qualitative platelet abnormalities are a constant feature in acue leukaemia and that they are more severe in AML.

[Unresectable giant hepatic hemangioma and Kasabach-Merritt syndrome]

The Kasabach-Merritt syndrome was first described in children with cutaneous hemangiomas, but it can exceptionally be associated with visceral hemangiomas, especially in adults. Clotting and fibrinolysis within the hemangioma are thought to cause the coagulopathy observed in the so-called Kasabach-Merritt syndrome. This localised form of intra-vascular coagulation can progress to a secondary increased systemic fibrinolysis with fatal outcome for 20 to 30% of the patients. A transient control of hematologic abnormalities can frequently be obtained with blood product support (platelets, fibrinogen, fresh plasma, cryoprecipitates) and heparinotherapy. But in the adult, the only radical alternative is surgical excision if technically feasible. We reported here the case of a 43 year-old woman with a giant unresectable hepatic hemangioma complicated with a Kasabach-Merritt syndrome.

[Renal angiomyolipoma and pulmonary lymphangiomyomatosis: a non-fortuitous association]

Angiomyolipoma is a rare tumor, frequently associated with tuberous sclerosis, but not observed in its isolated form. Usually, patients with tuberous sclerosis presented with pathognomonic cutaneous and central nervous system lesions. But the thesis of "formes frustes" without typical stigmata was suggested. A case of bilateral and multifocal angiomyolipoma in a young woman without evidence of phacomatosis is reported. The association with a pulmonary lymphangiomatosis make us suspected "a forme fruste" of tuberous sclerosis.

[Rhodococcus equi pulmonary abscess in HIV infection]

RE is a well-known Gram positive bacillus which is usually pathogenic in animals. Disease in humans is rare, but incidence has clearly increased with the advent of AIDS. In humans, RE predominantly infect people with impaired cellular immunity so that it is considered an opportunistic agent. Its must common manifestation in immuno-compromised patients is a slowly progressive pneumonia which may cavitate. Even with early diagnostic and optimal and prolonged antibiotic therapy, the mortality of RE, infections remain high (20 to 55%). Problems in clinical and therapic management are illustrated in our two cases of cavitated pneumonia in two AIDS patients.

[Familial porphyria cutanea tarda disclosed by chronic hepatitis C. Apropos of a case]

The hepatitis C virus (VHC) is probably the main aetiological factor of severe liver damages associated with the sporadic variety of porphyria cutanea tarda (PCT) in a 28 year-old woman revealed by a chronic C virus infection. Treatment with interferon alpha was delivered.

New recommendations for self-locking barriers to reduce skin injuries in dairy cows

The design of self-locking barriers can affect cows' skin injuries and impair welfare. This study aimed to propose and refine recommendations, expressed relatively to the cows' dimensions, for self-locking barrier design to reduce risks for skin injuries on the neck/shoulder/back and on carpus of dairy cows. We recorded individual body dimensions and the dimensions of self-locking barriers (e.g. top rail height) and assessed skin injuries on 3801 cows from 131 loose-housing dairy farms. We explored the significant associations between presence/absence of skin injuries and self-locking barrier dimensions using weighted multivariable logistic regression, taking into account the diversity of feeding barriers within each farm. The robustness of the models was assessed by cross-validation. Cows had skin injuries mainly on the neck/shoulder/back (29.0%) and, to a lesser extent, on the carpus (14.0%). The final multivariable logistic regression models comprised 13 factors for skin injuries on the neck/shoulder/back, and 11 factors for skin injuries on the carpus. Skin injuries were significantly reduced when the self-locking barriers were inclined (neck/shoulder/back) and when the cows used a feeding table (i.e. flat) instead of a feeding manger or cribs (i.e. hollow) (carpus). A top rail height >1.05 × cow height (measured at withers) was significantly associated with fewer skin injuries on the neck/shoulder/back and on carpus. Skin injuries on the neck/shoulder/back and carpus were significantly reduced when the bottom rail was on the food side relative to the wall, and at a height <0.39 of cow height. Skin injuries were significantly less frequent when the separation wall had no sharp edges on the food side (neck/shoulder/back), was >0.4 of cow height (carpus), was thinner than 15 cm (neck/shoulder/back and carpus) and when the height of the feeding step was 0.04 to 0.1 of cow height (neck/shoulder/back) and the length of the feeding step was <0.2 of cow length (carpus). A headlock articulation nut positioned between 0.62 and 0.78 of cow height significantly reduced skin injuries on the neck/shoulder/back. Here, by combining the diversity of on-farm self-locking barriers and their respective dimensions, we were able to refine the International Commission of Agricultural and Biosystems Engineering recommendations for self-locking barrier design and to propose new ones. This information now needs to be confirmed on other datasets, but can already help farmers and dairy industry stakeholders improve the design of self-locking barriers to improve dairy cow welfare.

[Lead poisoning revealed by severe encephalopathy : pica does exist in France (author's transl)]

Subacute lead encephalopathy due a chronic poisoning was present in a 6 year-old child. Neurologic features (coma, seizures, CSF abnormalities) began after 2 weeks of vomiting, abdominal pain and constipation. Diagnosis was confirmed by studies of porphyrin metabolism. Lead poisoning following pica in childhood has rarely been reported in France. Its pathogenesis, main features, diagnosis and treatment are reviewed.

[Anemia in chronic lead poisoning. Apropos of 2 cases]

The authors report two cases of lead poisoning in which the diagnosis was made following anemia. They recall the clinical, laboratory and physiopathological characteristics of the blood signs of chronic lead poisoning. Anemia is the result of more rapid aging of the red cells, and of the effect of lead on erythropoiesis. The diagnosis is based on the finding of stippled red cells, on the rise in urinary delta-levulinic acid and on urinary lead after chelation.

A randomized, multicenter, controlled trial using intravenous pulses of methylprednisolone in the initial treatment of simple forms of giant cell arteritis: a one year followup study of 164 patients

OBJECTIVE

(1) To evaluate the corticosteroid sparing effect of an initial intravenous (i.v.) pulse of methylprednisolone (MP) in the treatment of simple forms of giant cell arteritis (GCA). (2) To analyze corticosteroid response, steroid related side effects, and GCA complications.

METHODS

Patients received a 240 mg i.v. pulse of MP followed by 0.7 mg/kg/day oral prednisone (Group 1) or 0.7 mg/kg/day prednisone without an i.v. pulse (Group 2, controls), or a 240 mg i.v. pulse of MP followed by 0.5 mg/kg/day prednisone (Group 3). Corticosteroid dosage was reduced after normalization of 2 biological inflammatory variables to obtain half-dosage after 4 weeks in Groups 1 and 2 and 20 mg/day after 2 weeks in Group 3. Tapering was systematically attempted from the 6th month of treatment.

RESULTS

One hundred sixty-four patients were included in the trial (1992-96). Cumulative doses of corticosteroids after one year were identical for all groups (p = 0.39). No significant differences were observed in the time required for normalization of C-reactive protein, corticosteroid resistance (13.5%), and corticosteroid related side effects (39% of patients; p = 0.37). Corticosteroid resistant patients received larger doses and showed a high risk of GCA related complications (p = 0.02).

CONCLUSION

MP pulses have no significant longterm, corticosteroid sparing effects in the treatment of simple forms of GCA and should be limited to complicated forms. Moreover, corticosteroid resistance is a real risk factor for GCA complications.