An international multidisciplinary consensus statement on fasting before procedural sedation in adults and children

The multidisciplinary International Committee for the Advancement of Procedural Sedation presents the first fasting and aspiration prevention recommendations specific to procedural sedation, based on an extensive review of the literature. These were developed using Delphi methodology and assessment of the robustness of the available evidence. The literature evidence is clear that fasting, as currently practiced, often substantially exceeds recommended time thresholds and has known adverse consequences, for example, irritability, dehydration and hypoglycaemia. Fasting does not guarantee an empty stomach, and there is no observed association between aspiration and compliance with common fasting guidelines. The probability of clinically important aspiration during procedural sedation is negligible. In the post-1984 literature there are no published reports of aspiration-associated mortality in children, no reports of death in healthy adults (ASA physical status 1 or 2) and just nine reported deaths in adults of ASA physical status 3 or above. Current concerns about aspiration are out of proportion to the actual risk. Given the lower observed frequency of aspiration and mortality than during general anaesthesia, and the theoretical basis for assuming a lesser risk, fasting strategies in procedural sedation can reasonably be less restrictive. We present a consensus-derived algorithm in which each patient is first risk-stratified during their pre-sedation assessment, using evidence-based factors relating to patient characteristics, comorbidities, the nature of the procedure and the nature of the anticipated sedation technique. Graded fasting precautions for liquids and solids are then recommended for elective procedures based upon this categorisation of negligible, mild or moderate aspiration risk. This consensus statement can serve as a resource to practitioners and policymakers who perform and oversee procedural sedation in patients of all ages, worldwide.

Comparison of milk fatty acid profiles measured on Kouri cows near Lake Chad and on dairy cattle as reported by meta-analytical data

Kouri (Bos taurus) is a breed aboriginal from Lake Chad and threatened with extinction. This study aimed to compare milk fatty acid profiles measured on Kouri cows and on high-yielding dairy cattle in Europe and elsewhere as reported by meta-analytical data (22 experimentations). Milk samples were collected from 14 Kouri dairy cows in dry season (March to June) and fatty acids (FA) were determined by gas chromatography. Overall, 32 FA have been identified. Kouri showed lower values (P < 0.001) in the sum of saturated FA (SFA, -10.9 pts), cis-9, cis-12 18:2 (-1.00 pt) (P < 0.01, higher values (P < 0.001) in the sum of monounsaturated FA (MUFA, +15.3 pts), C18:0) (+3.5 pts), cis-9, trans-11 C18:2-CLA (+1.00 pts), trans-11 18:1 (+1.4 pts) and (P < 0.01) in cis-9, C18:1 (+3.00 pts) acids. The differences between the milk FA profile of the Kouri cows and that obtained from meta-analytical data could be the possible consequence of the use of particular lake pastures by Kouri cows.

Indigenous Muscovy ducks in Congo-Brazzaville. 1. A survey of indigenous Muscovy duck management in households in Dolisie City

A cross-sectional study by means of a questionnaire with open-ended questions and multiple-choice questions was used to collect data on the profile of duck keepers, husbandry practices, and performances, opportunities and constraints of Muscovy duck breeding in households (n = 88) in Dolisie city (Congo-Brazzaville). The study confirmed the common observations on traditional poultry keeping such as scavenging during the day and housing overnight. The flock size (7.7 +/- 3 ducks per unit) showed no specialization of husbandry (100% of surveyed flocks were kept for simultaneous production of ducklings, meat and eggs) and a high drake-to-duck ratio (1:3). The hatchability was close to 80.5% +/- 13%, whereas the average number of eggs was 13.2 +/- 5 per clutch. In addition, a high mortality (80%) was observed in ducklings, which was due to poor feeding, lack of veterinary care and housing conditions. Eggs and live ducks were sold by duck farmers in response to the family needs rather than market price. The three most important findings were as follows: (1) duck keepers were mainly men (80% versus 20% of women); (2) there was no evidence of taboo; and (3) the duck as an exotic bird was not proscribed by cultural beliefs, and therefore development of the Muscovy duck in Congo Brazzaville should be unhindered.

Examination of non-genetic factors affecting the growth performance of djallonke sheep in soudanian zone at the Okpara breeding farm of Benin

A study was carried out at the Okpara breeding farm in Benin. Records on 558 lambs of the Djallonke sheep breed, born from 1997 to 2000, were used to determine the weekly growth curve from birth up to 119 days of age. Non-genetic factors affecting lamb weights at birth and at 30, 60, 90 and 120 days and average daily gains from 0 to 30 days, from 0 to 60 days, from 0 to 90 days and from 0 to 120 days were investigated. A linear model comprising the fixed effects of birth season, birth year, parity number of ewe and sex of lambs was used for analysis of variance by least squares. All fixed effects were significant for weight at 30 and 60 days and average daily gains at 30 days, with the exception of the parity of the ewe for birth weight, weight and average daily gain at 90 days. All fixed effects tended to cancel out for weight and average daily gains by 120 days. Lambs born in the dry season were the heaviest. Single lambs and male lambs were heavier than twins and females. Lambs from ewes of 3rd and 4th parity were heavier, with higher, average daily gains.

[An unsuspected imported disease: meningo-encephalitis contracted in Spain]

A 13-year-old boy consulted a doctor during a holiday in Spain because of high fever, headache and exanthema. A local physician prescribed josamycin, but the medication was lost due to vomiting. A few days later, shortly after returning to the Netherlands, he was hospitalised with a life-threatening neurologic and multi-organ failure. It took two weeks before the diagnosis 'Mediterranean spotted fever' was made and an appropriate antibiotic treatment was started. The patient made a slow but successful recovery. Rereading the hand-written Spanish medical report revealed that it had mentioned a correct diagnosis and adequate treatment. An apparently safe holiday destination thus does not exclude an imported disease. Knowledge of local epidemiology and good communication with the locally consulted medical system are essential for a correct diagnosis and therefore for appropriate treatment and a good prognosis.

Spirometric performance in Belgian Blue calves: II. Analysis of environmental factors and estimation of genetic parameters

Genetic parameters and environmental effects for spirometric variables (SV) in calves were estimated using 734 Belgian Blue calves (15 to 297 d of age), sired by 20 AI bulls. For each calf, the following SV were measured: 1) the average ventilation (l/min) recorded during the 15 s of maximal ventilatory changes induced by lobeline administration (0.25 mg/kg, i.v.) (15-s MV(L)); 2) the vital capacity, and the maximal peak expiratory and inspiratory flows recorded after lobeline administration; and 3) the ventilatory reserve (15-s MV(L) - ventilation at rest). Analysis of environmental factors showed age of calf, herd, sex, and vaccination status had significant effects on SV. A sire model and a multiple-trait derivative-free REML procedure were used to estimate genetic parameters for SV, body weight, and muscling score. Heritabilities for SV ranged from 0.28 +/- 0.11 to 0.44 +/- 0.16. Genetic correlations among SV varied from 0.76 to 0.98 and environmental correlations from 0.69 to 0.80. Genetic correlations of SV with body weight (0.25 to 0.56) and with muscling score (0.21 to 0.76) were positive, as were environmental correlations of SV with body weight (0.44 to 0.70) and muscling score (0.09 to 0.25). These results suggest that selection may improve SV without impairing other traits of economic importance.

Spirometric performance in Belgian Blue calves: I. Effects on economic losses due to the bovine respiratory disease complex

The aim of this study was to determine whether high spirometric performances in calves are associated with low economic losses due to the bovine respiratory disease complex (BRDC). Five spirometric variables (SV) were measured in 909 double-muscled Belgian Blue calves from 15 to 60 d of age. Afterward, calves were monitored for 6 mo to determine whether they developed BRDC and to determine the costs due to BRDC (i.e., medicine costs and veterinarians' fees, plus estimated financial losses due to mortality in case of death). To analyze the effects of spirometric performances on BRDC cost, a fixed linear model was used for each SV. In addition to SV, each model included the effects of sex, dam's parity, vaccination status, muscular development score, herd-period, and BW. Only herd-period and the maximal ventilation and the vital capacity had significant effects on costs due to BRDC, indicating that these two SV are major physiological determinants of economic losses associated with BRDC. Accordingly, it is assumed that an amelioration of maximal ventilation and vital capacity could result in increased resistance to BRDC in calves.

Application of a mixed normal mixture model for the estimation of Mastitis-related parameters

The current methodology for estimating genetic parameters for SCC (SCS) does not account for the difference in SCS between healthy cows and cows with an intramammary infection (IMI). We propose a two-component finite mixed normal mixture model to estimate IMI prevalence, separate SCS subpopulation means, individual posterior probabilities of IMI, and SCS variance components. The theory is presented and the expectation-conditional maximization algorithm is utilized to compute maximum likelihood estimates. The methodology is illustrated on two simulated data sets based on the current knowledge of SCS parameters. Maximum likelihood estimates of IMI prevalence and SCS subpopulation means were close to simulated values, except for the estimate of IMI prevalence when both subpopulations were almost confounded. Individual posterior probabilities of IMI were always higher among infected than among healthy cows. Error and additive variance components obtained under the mixture model were closer to simulated values than restricted maximum likelihood estimates obtained assuming a homogeneous SCS distribution, especially when subpopulations were completely separated and when mixing proportion was highest. Convergence was linear and rapid when priors were chosen with caution. The advantages of the methodology are demonstrated, and its feasibility for large data sets is discussed.

Note on age and body weight at puberty in Mehraban Iranian fat-tailed ewe lambs

Data on 436 Mehraban fat-tailed ewe lambs collected during 1985 to 1988 were analysed. A 4-year study of factors affecting age and body weight at puberty in Mehraban ewe lambs showed that the year of birth did not affect age at puberty but body weight at puberty. Sires significantly influenced age and body weight at puberty with body weight being more important than age. Sire-group correlation of age at puberty between years was low while that of body weight was relatively high. Date of birth within the year had a significant effect on age and body weight at puberty. Ewe lambs born late in the lambing season were lighter and younger at puberty. High pre-weaning growth rate and heavy weaning weight were associated with early puberty and heavy body weight at puberty. Age and body weight at puberty averaged 244.7 (s.d. 13.9) days and 44.1 (s.d. 2.4) kg respectively. Heritability estimates for age and body weight at puberty were 0.14 and 0.37 respectively.

The mh gene causing double-muscling in cattle maps to bovine Chromosome 2

While the hereditary nature of the "double-muscling" phenotype (a generalized muscular hypertrophy documented in several cattle breeds) is well established, its precise segregation mode has remained controversial. Both monogenic models (autosomal dominant or recessive) and oligogenic models have been proposed. Using a panel of 213 bovine microsatellite markers, and an experimental pedigree obtained by backing "double-muscled (Belgian Blue) x conventional (Friesian)"1 dams to double-muscle sire, we have mapped a locus on bovine Chromosome (CHr) 2 that accounts for all the phenotypic variance in the backcross generation. This locus, referred to as mh (muscular hypertrophy), has been positioned with respects to a map composed of seven Chr 2-specific microsatellites, at 2 cM from the closet marker. This result confirms the validity in the Belgian Blue population of the monogenic model involving an autosomal mh locus, characterized by a wild-type "+" and a recessive "mh" allele, causing the double-muscling phenotype in the homozygous condition. The linkage relationship between the mh locus and the Chr 2 markers was confirmed in three informative pedigrees collected from the general Belgian Blue Cattle population, reinforcing the notice of genetic homogeneity of the double-muscling trait in this breed. This work paves the way towards marker-assisted selection for or against the double muscling trait, and towards positional cloning of the corresponding gene.