Effect of combined use of supplementary irrigation, manure and P fertilization on grain yield and profitability of soybean in northern Nigeria

Declining soil fertility particularly phosphorus deficiency, low organic carbon, moisture stress and high cost of input are factors limiting soybean yield in the Nigeria savanna. Supplementary irrigation, nutrient application and inoculation with Bradyrhizobium could increase the grain yield of soybean. We evaluated the effects of Rhizobia inoculant, phosphorus fertilization, manure, and supplementary irrigation on the nodulation and productivity of a tropical soybean variety in two locations in northern Nigeria in the 2017 and 2018 cropping seasons. The treatments consisted of five input bundles: Supplementary irrigation +17.5 kg P ha-1 + 4 t ha-1 poultry manure + nodumax inoculant (S + P + M + I); 17.5 kg P ha-1 + 4 t ha-1 poultry manure + nodumax inoculant (P + M + I); 17.5 kg P ha-1 + nodumax inoculant (P + I); 17.5 kg PP ha-1 (P); and nodumax inoculant (I). Economic analysis was done to determine the benefit-cost ratio (BCR) for each input bundle. In Kano, the input bundle S + P + M + I produced mean number of nodules that were 38, 102, 200 and 352% higher than that of input bundles P + M + I, P + I, P and I, respectively. At Lere, the application of input bundle S + P + M + I increased mean number of nodules by 33, 81, 93 and 182% over that of input bundles P + M + I, P + I, P and I, respectively. Mean grain yield in Kano was greater for input bundle S + P + M + I over P + M + I, P + I, P and I bundles by 31, 50, 64 and 223%, respectively. In Lere, grain yield for input bundle S + P + M + I was higher than that of input bundles P + M + I, P + I, P and I only, by 27, 47, 41 and 184% respectively. The input bundle P + M + I produced the highest BCR (1.4) in Kano and application only of P produced the highest BCR (1.3) in Lere. Supplementary irrigation was not found to be profitable due to the high cost of supplementary irrigation.The application of P with or without manure/inoculant is recommeded for profitable soybean production in the savannas of Nigeria.

Food insecurity and allergic diseases: A call to collective action

Food security encompassess the concept of access by all people at all times to enough food for an active, healthy life. Conversely, food insecurity (FI) refers to household-level economic and social conditions of limited or uncertain access to adequate food. FI is a key social determinant of health that can negatively affect nutrition and health outcomes, as it is estimated that 10.2% of the US population meets criteria for FI. Recognizing the impact of FI on our patients and families is critical to promote health equity and optimize health outcomes. This review focuses on FI and allergic disease from the perspective of key multisector stakeholders within the field of allergy and immunology as well as from the larger health care arena, highlighting key resources and initiatives important to patients. Collectively, as specialists in allergy and immunology, and within the medical field more broadly, we must leverage our unique roles as we interface with patients and families and serve as committed advocates for change. Developing innovative strategies to promote health equity can provide a pathway forward for all children, adults, and families to gain access to healthy, nutritious food as part of their routine lifestyle. This is a call to action.

Evaluation and application of the CROPGRO-soybean model for determining optimum sowing windows of soybean in the Nigeria savannas

Soybean production is limited by poor soil fertility and unstable rainfall due to climate variability in the Nigeria savannas. There is a decline in the amount and duration of rainfall as one moves from the south to north of the savanna zones. The use of adapted soybean varieties and optimum sowing windows are avenues to increase productivity in the face of climate variability. Crop simulation models can be used as tools for the evaluation of alternative management options for a particular location, including fertilizer application rates, plant density, sowing dates and land use. In this study, we evaluated the performance of the Cropping System Model (CSM)-CROPGRO-Soybean to determine optimum sowing windows for three contrasting soybean varieties (TGX1835-10E, TGX1904-6F and TGX1951-3F) cultivated in the Nigeria savannas. The model was calibrated using data from ten field experiments conducted under optimal conditions at two sites (BUK and Dambatta) in Kano in the Sudan savanna (SS) agro-ecology over four growing seasons. Data for model evaluation were obtained from independent experiment for phosphorus (P) response trials conducted under rainfed conditions in two locations (Zaria and Doguwa) in the northern Guinea savanna (NGS) zone. The model calibration and evaluation results indicated good agreement between the simulated and observed values for the measured parameters. This suggests that the CROPGRO-Soybean model was able to accurately predict the performance of soybean in the Nigeria savannas. Results from long-term seasonal analysis showed significant differences among the agro-ecologies, sowing windows and the soybean varieties for grain yield. Higher yields are simulated among the soybean varieties in Zaria in the NGS than in Kano the SS and Jagiri in the southern Guinea savanna (SGS) agro-ecological zones. Sowing from June 1 to July 5 produced optimal yield of TGX1951-3F and TGX1835-10E beyond which yield declined in Kano. In Zaria and Jagiri the simulated results show that, sowing from June 1 to July 12 are appropriate for all the varieties. The variety TGX1951-3F performed better than TGX1904-6F and TGX1835-10E in all the agro-ecologies. The TGX1951-3F is, therefore, recommended for optimum grain yield in the savannas of northern Nigeria. However, the late maturing variety TGX1904-6F is not recommended for the SS due to the short growing season in this zone.

A GIS - based method for assessment and mapping of noise pollution in Ota metropolis, Nigeria

A detailed method used for assessing and mapping noise pollution levels in Ota metropolis, Nigeria using ArcGIS 10.5 Software is presented in this paper. Noise readings were measured at a time interval of 30 min for each site considered using a precision grade sound level meter. The noise map developed was based on the computed values of average equivalent noise (LAeq) for the selected locations. Results of this study show that the A weighted sound level (LAeq), the background noise level (L10) and the peak noise level (L90) vary with location and period of the day due to traffic characteristics especially traffic volume, vehicle horns, vehicle mounted speakers, and unmuffled vehicles at road Junctions, major roads, motor parks and commercial centres. Based on the U.S. Department of Housing and Urban Development (HUD) recommendations and standards, only one (1) out of the 41 locations considered is under normally acceptable situation, while 12 locations are under normally unacceptable and the noise levels of the rest locations are clearly unacceptable. Results of this study are useful as reference and guideline for future planning and regulations on noise limit to be implemented for urban areas like Ota Metropolis. •Instrumentation used in this study for the environmental noise measurements consisted of a precision-grade sound-level meter - Model 8922 RS232.•The Geographical Positioning System (GPS) device (model: Magellan eXplorist 310) was used to obtain the exact coordinates of each location where noise level readings were recorded.•ArcGIS 10.5 software was used in this study to develop noise map for Ota Metropolis.

Random breath testing: a Canadian perspective

OBJECTIVE

The purpose of this article is to examine the case for and challenges to implementing random breath testing (RBT) in Canada, with a particular focus on the persistence of impaired driving under the current method of law enforcement. It seeks to place RBT within Canada's existing legal and social framework.

METHODS

This article reviews Canada's impaired driving record, charge and conviction rates, and law enforcement challenges. It then summarizes the impact that RBT programs have had in comparable countries. Finally, it examines whether the enactment of RBT would be upheld under Canada's Charter of Rights and Freedoms.

RESULTS

Canada has made little progress in reducing impaired driving since the late 1990s. Current enforcement methods fail to detect the majority of impaired drivers, even when stopped at sobriety checkpoints. This has reduced the perceived risk of apprehension and helps to explain the persistence of impaired driving in Canada. Faced with similar challenges, Australia, New Zealand, Ireland, and most EU countries have introduced comprehensive RBT programs. Comprehensive RBT has been shown to significantly reduce impaired driving deaths and injuries. Proposals to enact RBT in Canada will inevitably generate claims that it violates drivers' Charter rights. Similar arguments have been raised in opposition to RBT in other countries. This article demonstrates that RBT is compatible with the existing Charter case law involving traffic legislation and border, airline, and courtroom security.

CONCLUSION

Experience in other countries indicates that RBT is a minimally intrusive, cost-effective, and publicly accepted impaired driving countermeasure and that it would significantly improve the detection and deterrence of impaired drivers. Moreover, RBT is compatible with the Charter.

Vascular endothelial growth factor: a possible mediator of endothelial activation in acute respiratory distress syndrome

AIM

Vascular endothelial growth factor (VEGF) is a potent angiogenic and endothelial factor, which is abundantly found in the normal lung tissue. The objective of the study was to assess the VEGF levels in lung tissue and plasma in acute respiratory distress syndrome (ARDS) patients compared with controls who died from non-ARDS causes.

METHODS

Plasma and tissue samples were prospectively collected from 20 patients with ARDS within 6 hours after intubation (VEGF in plasma and tissue samples) and on the day of extubation (plasma VEGF) or postmortem (lung tissue). We used an ELISA to measure the VEGF level in plasma. Lung specimens were obtained by bronchoscopic biopsy or by open biopsy during autopsy. All lung samples were stained for standard histopathological analysis and for immunohistochemical methods. Biomarker levels were compared between survivors (N=12), non-survivors (N=8) and controls (N=10).

RESULTS

Compared with the levels in controls, in the early stages of ARDS, plasma VEGF levels rose and intrapulmonary levels fell, but during recovery, these levels went back to normal levels.

CONCLUSION

The initial phase of ARDS is associated with a decrease in VEGF in the lung and an increase in the plasma. This down-regulation may represent a protective mechanism aimed at limiting endothelial permeability and may participate in the decrease in the capillary number that is observed during early ARDS. A persistent elevation of plasma VEGF over time predicts poor outcome.

Feeding soyhulls to high-yielding dairy cows increased milk production, but not milking frequency, in an automatic milking system

To attract a cow into an automatic milking system (AMS), a certain amount of concentrate pellets is provided while the cow is being milked. If the milking frequency in an AMS is increased, the intake of concentrate pellets might increase accordingly. Replacing conventional starchy pellets with nonstarchy pellets increased milk yield, milk fat, and milk protein and decreased body weight. The hypothesis was that a nonroughage by-product rich in digestible neutral detergent fiber, such as soyhulls and gluten feed, could replace starchy grain in pellets fed in an AMS. Sixty cows were paired by age, milk yield, and days in milk, and were fed a basic mixture ad libitum [16.2 +/- 0.35 (mean +/- SE) kg of dry matter intake/d per cow] plus a pelleted additive (6 to 14 kg of dry matter/d per cow) that was consumed in the AMS and in a concentrate self-feeder, which could only be entered after passing through the AMS. The 2 feeding regimens differed only in the composition of the pelleted additives: the control group contained 52.9% starchy grain, whereas the experimental group contained 25% starchy grain, plus soyhulls and gluten feed as replacement for part of the grain. Wheat bran in the control ration, a source of fiber with low digestibility, was replaced with more digestible soyhulls and gluten. During the first 60 d in milk, a cow received 10 to 12 kg of concentrate pellets. After 60 DIM, concentrate feed was allocated by milk production: < or =25 kg/d of milk entitled a cow to 2 kg/d of concentrate feed; >25 kg/d of milk entitled a cow to receive 1 kg/d of additional concentrate feed per 5 kg/d of additional milk production, and >60 kg/d of milk entitled a cow to receive 9 kg of concentrate. The concentrate feed was split between the AMS and concentrate self-feeder. The 2 diets resulted in similar frequencies of voluntary milking (3.12 +/- 0.03 to 2.65 +/- 0.03 visits/d per cow vs. 3.16 +/- 0.00 to 2.60 +/- 0.01 visits/d per cow). Average milk yields were higher in the experimental group (42.7 +/- 0.76 to 39.09 +/- 0.33 kg/d per cow vs. 39.69 +/- 0.68 to 37.54 +/- 0.40 kg/d per cow) and percentages of milk protein (3.02 +/- 0.06 to 3.12 +/- 0.05% vs. 3.07 +/- 0.04 to 3.20 +/- 0.04%) and milk fat (3.42 +/- 0.17 to 3.44 +/- 0.08% vs. 3.38 +/- 0.13 to 3.55 +/- 0.06%) were similar in the 2 groups. The results suggest that the proposed pellets high in digestible neutral detergent fiber can be allocated via the AMS to selected high-yielding cows without a negative effect on appetite, milk yield, or milk composition while maintaining a high milking frequency.

The quality of commercial wheat silages in Israel

Wheat silages are the major roughage for high-producing lactating dairy cows in Israel; therefore, their quality is important. The main objective of the current study was to determine the preservation status and nutritional quality of commercial wheat silages in Israel. An additional objective was to develop predictive equations for dry matter digestibility (DMD) and neutral detergent fiber digestibility (NDFD) based on chemical composition of the silages, which would permit estimation of the digestibility from chemical composition. A total of 143 commercial wheat silages were sampled and analyzed for 3 yr. Fourteen random samples that were not included in the regression analysis were used to validate the equations by the bias and error of the model. Results revealed that wheat silages were quite sensitive to aerobic exposure; additives resulted in some improvement of the aerobic stability. After choosing the significant terms from ash, crude protein (CP), NDF, acid detergent fiber (ADF), and acid detergent lignin (ADL) by PROC STEPWISE of SAS, the following prediction equations were obtained from all 143 samples: DMD = 86.3 + (0. 70 x CP) - (0.46 x ADF) - (1.67 x ADL); and NDFD = 20.3 + (1.00 x CP) + (1.16 x NDF) - (0.88 x ADF) - (2.25 x ADL). The bias and the error of the prediction model for DMD were approximately 0.006 and 0.065, respectively; the bias and error for NDFD were approximately 0.007 and 0.118, respectively. It was concluded that the prediction model for DMD was quite adequate, whereas that for NDFD was less acceptable.

Predictors of variceal bleed among patients with liver cirrhosis in the era of sclerotherapy

INTRODUCTION

Variceal bleed is a common complication of portal hypertension. The bleed pattern has changed considerably with the introduction of variceal band ligation. The bleed pattern in developing countries where sclerotherapy continues to remain a viable option is not known. The aim of the study was to determine the predictors of first and subsequent bleed in individuals with liver cirrhosis.

METHODS

205 subjects with liver cirrhosis and portal hypertension registered in the liver clinic between January and June 2004, were followed-up for 18 months after registration. Bleeders already on pharmacotherapy or endotherapy were excluded. Patient details included age, gender, duration of illness, aetiology, Child-Pugh-Turcotte score and grades of oesophageal varices, details of index and subsequent variceal bleed, and complications during follow-up. Logistic regression multivariate analysis was applied to predict the factors influencing variceal bleed.

RESULTS

There were 95 variceal bleeders and 110 non-bleeders. Age at presentation and gender did not predict a variceal bleed. Grades III and IV oesophageal varices and fundal varices were the significant risk factors for an index bleed (p-value is 0.001). 27 of the 95 bleeders (28.3 percent) had a second bleed after a mean interval of 8 (+/- 7.7) months. Predictors of rebleed were similar to the index bleed. Predictors of index bleed were also similar to those who had bled for the first time after registration. Overall bleed-related mortality was low (2.1 percent).

CONCLUSION

Higher grades of varices, presence of cherry-red spots and fundal varices predicted variceal bleed in patients with liver cirrhosis. Variceal bleed-related mortality was low in the era of sclerotherapy.

Selection of contrast media

The pathophysiologic mechanisms of contrast-induced nephropathy (CIN) have been reviewed by Persson and Tepel. They focus on the renal response to contrast media (CM). In this section, we focus on the CM itself. Aspects of importance with regard to CIN include the route of administration, the volume of CM, the manner of X-ray attenuation, and the specific chemical structure of the CM.

Feeding of Pellets Rich in Digestible Neutral Detergent Fiber to Lactating Cows in an Automatic Milking System

If the milking frequency in an automatic milking system (AMS) is increased, the intake of concentrated pellets in the robot may be raised accordingly. Consumption of a large quantity of starchy grains within a short time can impair the appetite, decrease voluntary visits to the milking stall, and lower intakes of dry matter (DM) and neutral detergent fiber (NDF). Therefore, the hypothesis to be tested in this study was whether conventional starchy pellets fed in the AMS could be replaced with pellets rich in digestible NDF without impairing the cows' motivation to visit a milking stall voluntarily. Fifty-four cows were paired according to age, milk yield, and days in milk, and were fed a basic mixture along the feeding lane (19.9 kg of DM/cow per d), plus a pelleted additive (approximately 5.4 kg of DM/cow per d) that they obtained in the milking stall and in the concentrate self-feeder that they could enter only after passing through the milking stall. The 2 feeding regimens differed only in the composition of the pelleted additive, which, for the control group, contained 49% starchy grain, and for the experimental group contained 25% starchy grain plus soy hulls and gluten feed as replacement for part of the grain and other low-digestible, NDF-rich feeds. Both diets resulted in similar rates of voluntary milkings (3.31 vs. 3.39 visits/cow per d). Average yields of milk and percentages of milk protein were also similar in the 2 groups. The results suggest that an alternative pellet composition can be allocated in the AMS in conjunction with basic mixture in the feeding lane, without any negative effect on appetite, milk yield, milk composition, or milking frequency of the cows. It also opens the opportunity to increase yields of milk and milk solids by increasing the amount of pelleted concentrates that can be allocated to selected high-yielding cows via the AMS, because this can be done while maintaining a high frequency of voluntary milkings.

Follow-up of patients with contrast-induced nephropathy

In this chapter, we review the approach to following the patient after contrast is administered. We first discuss the clinical importance of renal injury for if there were no clinically significant consequences of this renal injury, we would have far less concern for the adequacy of follow-up. We next look at markers of renal injury and what tests are used in clinical practice to define contrast-induced nephropathy (CIN). Finally, we discuss the steps that should be taken in those who do develop CIN to limit the impact of the injury and protect them from future adverse events.

Digestibility in Lactating Cows of Diets Containing Whole Pima Treated with Sodium Hydroxide Versus Akala or Pima Cottonseed

This study examines the effect of NaOH treatment on the nutritive value of Pima cottonseed for lactating cows. Treatment of Pima cottonseed with NaOH increased the extent of dry matter (DM) and neutral detergent fiber in vitro digestibility. Three groups of cows were fed 3 similar total mixed rations (TMR) differing only in the type of cottonseed fed, either whole linted Akala, whole unlinted Pima, or whole Pima treated with 4% NaOH (T-Pima). Dry matter and organic matter (OM) intakes of Akala and Pima TMR were similar and tended to be lower compared with cows fed T-Pima. This was reflected in similar intake of crude protein and lipids by cows fed the 3 TMR. Digestibility of DM, OM, and crude protein were similar in cows fed Pima and T-Pima diets, and slightly higher in cows fed the Akala TMR. Lipid digestibility was highest in cows fed Akala TMR, whereas cellulose and NDF digestibility were lowest in Pima TMR. In the 3 TMR, there was a large gap between the high values of "digestibility of intact seeds" and actual in vivo digestion of DM and OM. Similar yields of milk and milk protein were obtained in cows fed the Akala and Pima TMR, whereas higher yields of milk, milk protein, milk fat, and 4% fat-corrected milk were found in the T-Pima cows. Similar efficiency of DM intake for fat-corrected milk production was achieved by cows fed the 3 TMR.

Interdigitating dendritic cell sarcoma: a report of four paediatric cases and review of the literature

AIMS

To report a series of four paediatric cases of interdigitating dendritic cell sarcoma (IDCS) and add to the known extranodal sites of occurrence for this tumour. Neoplasms derived from interdigitating dendritic cells are rare, with only 33 cases being reported in the literature (Medline search). These tumours usually occur in lymph nodes in the adult population.

METHODS AND RESULTS

The patients were a 10-year-old girl with a large soft tissue mass bulging into the left chest, a 12-year-old girl with a right paraspinal mass, a 21-month-old boy with generalized lymphadenopathy and hepatosplenomegaly and a 6-year-old girl with a large bladder mass. Paraffin blocks and haematoxylin and eosin slides were available in all cases. In addition, immunohistochemistry and electron microscopy were performed. A diagnosis of IDCS was made in all cases.

CONCLUSION

The diagnosis of IDCS can rarely be entertained on clinical information alone. Microscopically, there is a wide spectrum of features. Thus, immunohistochemistry and electron microscopy are crucial in making the diagnosis. The differential diagnosis includes inflammatory pseudotumour, follicular dendritic cell sarcoma, true histiocytic lymphoma, malignant Langerhans cell histiocytosis, anaplastic large-cell lymphoma, melanoma, and a range of sarcomas. IDCS displays aggressive behaviour and approximately half of the patients die of the disease.

Characterization of adhesion and differentiation markers of osteogenic marrow stromal cells

Marrow stroma cells (MSC) play a major role in osteogenesis. The potential of the MSC to differentiate to bone-forming cells relies upon molecular regulation. This study analyzed MBA-15 cells for the expression of genes and proteins that are key regulators of osteoblast differentiation. These cells express Cbfa1 and c-fos transcription factors (TF) of osteoprogenitor proliferating cells. RT-PCR and immunohistochemistry were used to demonstrate the message and protein expression of extracellular matrix proteins that are a prerequisite for matrix formation and mineralization, including alkaline phosphatase (ALP), osteocalcin, osteopontin, biglycan, and bone sialoprotein (BSP). The activity of ALP was correlated at various cell densities with co-expression of osteocalcin or osteopontin. Adhering cells must attach to the appropriate matrix to enable survival and differentiation. Using attachment assays, we demonstrated that MBA-15 cells adhered to collagenous matrix and the effect on survival measured by changes in intracellular calcium (Ca) levels. The cells' adhesion to matrix is mediated via cell surface molecules. We quantified the expression of cells surface molecules that are important players in mediating cell-matrix interaction. Flow cytometry analysis (FACS) was used to determine the expression of CD-31 (36%), and lower levels were identified for CD-62E and CD11b. In summary, the present study demonstrates the expression of molecular markers that are distinctive for the osteoblastic phenotype in MBA-15 marrow stroma cells and have crucial role in cell-matrix interaction, in establishing the cellular osteogenic phenotype and their survival.

Long segment Hirschsprung's disease in the Waardenburg-Shah syndrome

Presentation with signs of bowel obstruction in an infant with Waardenburg syndrome should raise the suspicion of aganglionosis. We report such a case of long segment Hirschsprung's disease associated with Waardenburg syndrome. Long term care of such children is fraught with high morbidity and mortality.

Digestibility by dairy cows of monosaccharide constituents in total mixed rations containing citrus pulp

Ten lactating cows were divided into two groups and individually fed ad libitum one of two experimental total mixed rations (TMR) as follows: 1) a TMR containing 20% corn grain and 10% dry citrus pulp (high corn); and 2) a TMR containing 21% citrus pulp and 9% corn grain (high citrus pulp). Both TMR also contained corn silage (28%), legume haylage (19.5%), extruded full fat soybeans (13.5 to 14%), soybean meal (6.5%), and minerals and vitamins. Voluntary dry matter intake of cows consuming the high corn ration tended to be higher than for cows in the high citrus pulp group (22.2 vs. 20.7 +/- 1.0 kg/cow per day, respectively). Digestibility of NDF was higher for the TMR with high citrus pulp compared with the TMR with higher corn. Across treatments, neutral detergent fiber (NDF) glucose was more digestible than NDF xylose and uronic acids and less digestible than NDF arabinose, galactose, and mannose. Digestibility of total neutral detergent soluble carbohydrates was also higher in the high citrus pulp group (86.8, high citrus pulp vs. 80.3 +/- 1.7%, high corn); with glucose and uronic acids accounting for most of that difference. Consequently, higher total carbohydrate digestibility was obtained in the TMR containing higher citrus pulp compared with the TMR with a higher percentage of corn (77.1 and 72.5 +/- 1.0%, respectively). Slightly lower carbohydrate intake in cows fed higher citrus pulp was compensated by higher digestibility of carbohydrates and protein. Thereby, partial replacement of corn by citrus pulp in TMR of high producing dairy cows improved feed efficiency.

Mental mobilization processes in critical incident stress situations

In this article, the psychological emergency mobilization process that takes place in threat situations is postulated. Mental mobilization is the increased mental capability of the mind in critical situations to process incoming and stored information to enable adaptive survival responses. The processes that are mobilized in the service of survival are enhanced sensory awareness, focused attention, rapid processing of incoming data, and use of previous experience, enhanced memory, altered time perception, and temporary deactivation of emotional reactions. From a clinical standpoint, it is important that the survival value of these processes is understood, as survivors can be helped to feel a sense of accomplishment and empowerment when they are taken through a critical situation in a detailed way and discover that they have been able to function well and survive by use of their stored "experience," rapid processing of information or other aspects of their mental mobilization.

The young dancer

The injuries that are prevalent in and unique to dancers have their origins inextricably linked to faulty technique or poor biomechanics, combined with other risk factors. It is this combination of factors that must be addressed when considering diagnosis, treatment, and rehabilitation. For the dancer to return to full activity with minimal risk of recurrent injury, neuromuscular re-education is mandatory. This process best entails using a team approach, accessing the resources of healthcare professionals and those who train the dancer on a daily basis. In some cases, parents also may need to be involved. Communication, interaction, and mutual understanding among these groups will assist the dancer in regaining and maintaining health.

The effect of nonstructural carbohydrate and addition of full fat extruded soybeans on the concentration of conjugated linoleic acid in the milk fat of dairy cows

Conjugated linoleic acid (CLA), a naturally occurring anticarcinogen found in dairy products, is a byproduct of incomplete ruminal biohydrogenation of unsaturated fatty acids. Our objective was to determine the effect of nonstructural carbohydrate sources, addition of full fat extruded soybeans as a source of unsaturated fatty acids, and possible interactions on the milk fat content of CLA. Cows (n = 20) were assigned to a 4 x 4 Latin square involving two sources of nonstructural carbohydrate, high starch (corn) or high pectin (citrus pulp), with or without addition of extruded soybeans. Milk yield was not affected by nonstructural carbohydrate source, but milk production was increased by 7.8 to 10.5% with dietary additions of extruded soybeans. Milk fat content did not differ between treatments, but fatty acid composition was affected. Cows fed extruded soybean diets had reduced concentrations of C8 to C16 fatty acids and increased concentrations of octadecenoic acids. Diets with extruded soybeans also resulted in more than a doubling in milk fat concentration and yield of CLA. Nonstructural carbohydrate source had only minor effects on CLA, and there was no interaction with extruded soybeans. Milk fat content of trans-C18:1 and CLA were closely related (r2 = 0.77). However, variation among cows was about threefold for each of the diets and rank order of individual cows differed among diets. Overall, we demonstrated that diet modification can be used to alter CLA content of milk fat, but there was substantial individual cow variation for all diets.

Pseudo-aneurysm of the carotid bifurcation secondary to radiation

Pseudoaneurysms of the extracranial carotid vessels have a varied etiopathogenesis. Cases have been attributed to spontaneous rupture, following tonsillectomy or peritonsillar abscesses, trauma, postanastamotic and, rarely, postirradiation, and ECMO. The authors present a case of a pseudoaneurysm involving the carotid artery bifurcation following radiation therapy. A saphenous vein graft was used to establish continuity between the common and the internal carotid arteries. A vascular shunt was used to maintain cerebral perfusion during surgery. This case highlights the technical difficulties encountered in correcting this condition. This case exemplifies the technical difficulties that are encountered in a complicated case such as this. Numerous previous operations and radiotherapy compounded the hazards of the surgical procedure. Although technically challenging, every attempt must be made to resect pseudoaneurysms caused by radiation induced vascular damage.

Surgical treatment for chronic lower-leg compartment syndrome in young female athletes

Our experience in treating chronic lower-leg compartment syndrome suggests that women may be more susceptible to this injury than are men, an observation for which there is support in the literature. Furthermore, when we evaluated the 47 young female athletes (age range, 13 years 11 months to 21 years 10 months) from our practice on whom 78 separate surgeries were performed, we found a lower success rate than those generally reported in studies that combine male and female patients. We suspect, therefore, that for reasons as yet unclear, women may also respond less well than men to operative fasciotomy.