Testing detectability, attractivity, hedonic specificity, extractability, and robustness of colostrum odor-Toward an olfactory bioassay for human neonates

Human milk odor is attractive and appetitive for human newborns. Here, we studied behavioral and heart-rate (HR) responses of 2-day-old neonates to the odor of human colostrum. To evaluate detection in two conditions of stimulus delivery, we first presented the odor of total colostrum against water. Second, the hedonic specificity of total colostrum odor was tested against vanilla odor. Third, we delivered only the fresh effluvium of colostrum separated from the colostrum matrix; the stability of this colostrum effluvium was then tested after deep congelation; finally, after sorptive extraction of fresh colostrum headspace, we assessed the activity of colostrum volatiles eluting from the gas chromatograph (GC). Regardless of the stimulus-delivery method, neonates displayed attraction reactions (HR decrease) as well as appetitive oral responses to the odor of total colostrum but not to vanilla odor. The effluvium separated from the fresh colostrum matrix remained appetitive but appeared labile under deep freezing. Finally, volatiles from fresh colostrum effluvium remained behaviorally active after GC elution, although at lower magnitude. In sum, fresh colostrum effluvium and its eluate elicited a consistent increase in newborns' oral activity (relative to water or vanilla), and they induced shallow HR decrease. Newborns' appetitive oral behavior was the most reproducible response criterion to the effluvium of colostrum. In conclusion, a set of unidentified volatile compounds from human colostrum is robust enough after extraction from the original matrix and chromatographic processing to continue eliciting appetitive responses in neonates, thus opening new directions to isolate and assay specific volatile molecules of colostrum.

Oral Health Knowledge, Self-Assessed Oral Health Behavior, and Oral Hygiene Practices among the Adult General Population in Croatia

OBJECTIVES

Emphasizing the significance of optimal oral health for enhancing overall well-being, this study aimed to investigate oral health knowledge, self-assessed oral health behaviors, and oral hygiene practices within the Croatian general population.

MATERIALS AND METHODS

A cross-sectional observational study was conducted online, utilizing a questionnaire collecting sociodemographic characteristics and inquiring about respondents' oral health knowledge, self-assessed oral health status, oral hygiene habits, and use of oral hygiene products. Collected data underwent both descriptive and regression analyses to unveil patterns and relationships within the dataset.

RESULTS

The respondents showed a high level of knowledge about oral health (median score 9, IQR 7.00-10.00, maximum possible score 10), with significant factors for higher knowledge being engaged in dental professions; above-average socioeconomic status; and the use of an electric brush, dental floss, and interdental brushes (p ˂ 0.05). Insufficient knowledge, on the other hand, was associated with bleeding gums and daily smoking (p ˂ 0.05). Although 69.4% of respondents considered their oral health to be very good, 32.5% reported tooth decay, and 38.2% reported tooth sensitivity. The majority (62.0%) cited regular check-ups as the reason for their last visit to the dentist, with 74.1% feeling no anxiety or discomfort during these visits. Daily toothbrush use was widespread (97.8%), but only 34.1% and 19.1% of respondents reported using floss and/or interdental brushes daily. A remarkable 69.0% of respondents indicated that low oral health literacy and low prioritization contribute to suboptimal oral health.

CONCLUSIONS

While respondents demonstrated commendable oral health knowledge, the prevalence of reported issues suggests a potential gap between perception and actual oral health status. To address this, targeted educational interventions focusing on comprehensive oral hygiene practices and debunking misconceptions should be prioritized in Croatia.

Healthy Behavior and Sports Drinks: A Systematic Review

This review article aims to systematically identify the relationship between sports drinks and healthy behavior. This systematic literature review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline criteria, and eligibility criteria were established using the PICOS tool (population, interventions, comparators, outcomes, and study) from about 1000 records of sports drinks articles identified in the various Web of Science Core Collection databases. The literature review stages determined a reduced set of 15 articles relating these drinkable supplements to healthy behavior. This study concludes that water consumption should be emphasized for non-athletes, sports drinks should be labeled to indicate water consumption and carry a warning label, and more randomized clinical trials should be considered to ensure conclusive results for health decision making.

Effects of patient education on the oral behavior of patients with temporomandibular degenerative joint disease: a prospective case series study

OBJECTIVE

To evaluate the effects of patient education and related factors on oral behaviors (OBs) in patients with temporomandibular joint degenerative diseases.

METHODS

Sixty-three patients were included. Temporomandibular joint specialists conducted clinical examinations, provided patient education, and administered the Oral Behavior Checklist (OBC) questionnaire at baseline. Patients were followed up at 6 months.

RESULTS

Eight OBs showed a high incidence among patients. At the 6-month follow-up, the incidence of 6 of the OBs decreased, all of which were high incidence OBs. The frequency of 9 OBs decreased, of which 8 were high incidence OBs. The average OBC score decreased from 22.97 ± 9.30 to 17.90 ± 9.28. Age, education level, and original OBC score had a significant effect on OB improvement.

CONCLUSION

Patient education and the corresponding treatment are conducive to OB improvement. The related factors affecting the improvement in patients' OBs were age, education level, and OB severity.

Hay provision affects 24-h performance of normal and abnormal oral behaviors in individually housed dairy calves

Dairy calves often perform abnormal repetitive behaviors (ARBs) including tongue rolling and nonnutritive oral manipulation (NNOM) when opportunities to perform feeding behaviors are restricted. Many US dairy farms limit access to milk, a well-studied risk factor for ARBs. However, farms also commonly do not feed forage to young calves, and the motor patterns of oral ARBs resemble those necessary for acquiring and chewing solid feed. Our objective was to assess how access to hay from birth influenced time engaged in normal and abnormal oral behaviors across 24 h. Holstein heifer calves were housed individually on sand bedding and fed ad libitum water and grain (control, n = 11) or given additional access to hay (hay, n = 11) from birth. Calves were fed 5.7 to 8.4 L/d (step-up) of milk replacer via a teat. At the start of step-down weaning (50 ± 1 d), all calves were given access to a total mixed ration. Feed and water intake were measured daily. Oral behaviors (eating, ruminating, sucking milk, drinking water, panting, grooming, tongue flicking, tongue rolling, and NNOM) were recorded by direct observation at wk 2, 4, 6, and 8 using 1-0 sampling at 1-min intervals for 24 h. Grain, hay, and water intake increased over time in the preweaning period. One polydipsic calf regularly consumed >10 L of water/d. During weaning, hay calves tended to consume increasingly more total mixed ration, significantly more water, and less grain than control calves. Access to hay led to more observations spent eating solid feed (7% vs. 5%, mean percentage of intervals) and ruminating (24% vs. 16%) during the preweaning period compared with calves fed only grain, though control calves appeared to ruminate in absence of forage to re-chew. Rumination occurred, to a large extent, overnight. Hay calves also spent less time self-grooming (12% vs. 14%), tongue flicking (14% vs. 18%), and performing NNOM (17% vs. 21%) than control calves. Although NNOM peaked around milk feedings, all 3 behaviors were performed throughout the day. Tongue rolling was rare across treatments, as was panting, which occurred most frequently around 1400 h. There were no behavioral differences during weaning (wk 8). Overall, we found that hay provision affected most oral behaviors that calves perform; it promoted natural feeding behaviors and reduced abnormal ones, suggesting hay should be provided. We also found that calves performed other behaviors, including polydipsia, repetitive grooming, and apparent sham rumination, that may suggest a degree of abnormality in these behaviors that has not been previously identified. These results highlight the importance of considering all oral behaviors to better understand calf welfare.

Description of oral behavior during the oral processing of heterogeneous apple purees: An application of the temporal check-all-that-apply method

The objective of this study was to assess the potential of the temporal check-all-that-apply (TCATA) method to describe oral behavior from the introduction of products into the mouth until swallowing. In particular, we wanted to test the feasibility of the task, the ability to show differences between composite products, and the possibility of segmenting the panel based on the data collected. Terms referring to actions performed during food oral processing (FOP) were used instead of classical sensory descriptors. The evaluation consisted, for a panel of 54 subjects, of checking the boxes corresponding to the actions in progress throughout the consumption of the products. The five products studied were an apple puree and four heterogeneous mixtures that were obtained by adding gel pieces varying in size (two sizes) and firmness (two levels of firmness). The participants did not encounter any particular difficulty in describing in real time the actions in progress during the consumption of the products. Data collected made it possible to describe the sequences of actions carried out during the FOP and to determine the influence of the presence of pieces of gels, their size and their firmness. We highlighted two groups of subjects presenting different behaviors. The subjects in the first one exhibited little difference in processing between the four samples containing the gel pieces, while the subjects in the second group adapted their behavior according to the firmness of the gel pieces. Overall, this exploratory study suggests the ability of TCATA in describing oral behavior during FOP. Future studies should aim at validating it with objective measurements of FOP.

Stationary brush use in naive dairy heifers

Weaned dairy heifers are often housed in environments with few appropriate outlets for grooming or oral manipulation. Our objective was to characterize brush use by naive heifers, including patterns over time. In phase 1, groups of 4 heifers (n = 13 groups, 146.4 ± 9.1 d old, mean ± standard deviation; SD) were introduced to a bedded pack pen with 4 wall-mounted brushes (25.4 × 6.0 cm with 3.8-cm-long bristles). On d 1, 2, and 6 of exposure, continuous video recordings were used to observe 2 focal heifers per group for brush use (oral manipulation, grooming, and the sum of total brush use; all averaged at the group level). Latency to use a brush upon entering the pen was 3.4 ± 4.9 min (mean ± SD; range: 0.1 to 17.8 min among individuals). Heifers used the brushes for oral manipulation (39.7 ± 17.5% of brush use, mean ± SD) and grooming (60.3 ± 17.5%), primarily of their heads (89.9 ± 5.4% of grooming). In phase 2, heifers were moved in pairs (n = 13 pairs/treatment) to freestall pens either with (brush treatment) or without (control) brushes mounted inside the stalls for the first 5 d of phase 2 (d 8-12 of the study); on the last day (d 13 of the study), brushes were provided in both treatments. On d 8 (brush treatment) and 13 (both treatments), one focal heifer/pen was recorded for the same behaviors as in phase 1. Linear mixed models were used to evaluate brush use patterns across days (phase 1: d 1, 2, and 6; phase 2 brush treatment: d 8 vs. 13) and between treatments on d 13. In phase 1, brush use was greatest on d 1 [45.9 min; 95% confidence interval (CI): 33.2-63.3 min, back-transformed from natural-log values], decreased on d 2 (25.0 min, 95% CI: 18.4-34.0 min), but then remained steady until d 6 (21.0 min, 95% CI: 15.4-28.5 min); the initial reduction in total brush use was due to changes in grooming, but oral manipulation remained relatively static. In phase 2, heifers in the brush treatment showed similar usage on d 8 versus d 13 (3.8 vs. 3.7 min, 95% CI: 1.9-6.8 vs. 1.9-6.5 min). Compared with heifers with continuous brush access on d 8-12, those in the control treatment showed more brush use on d 13, both for oral manipulation (6.6 vs. 2.5 min, 95% CI: 3.8-11.1 vs. 1.3-4.5 min) and grooming (3.5 vs. 1.2 min, 95% CI: 1.9-5.7 vs. 0.5-2.3 min). Our study is the first to characterize stationary brush use in weaned dairy heifers. We conclude that, despite lacking previous experience, heifers use brushes for both grooming and oral manipulation.

Validation of 1-0 and instantaneous sampling for quantifying oral behaviors in milk-fed dairy calves

Oral behaviors, including feeding, drinking, grooming, and non-nutritive behaviors, are used as indicators of health and welfare in dairy calves, but continuous measurement of these behaviors can be labor intensive. Instantaneous sampling is often used to save labor but has only been validated for feeding behavior in calves. One-zero sampling may be an appropriate strategy well suited to capturing the rapid performance of non-nutritive behaviors. Our objective was to validate 1-0 and instantaneous sampling for measurement of oral behaviors around the time of bottle delivery against true values. Eleven Holstein heifer calves were housed individually, provided water, and fed a diet of starter grain and milk replacer (4.8-5.6 L/d step-up) via a bottle. When calves were 23 ± 7 d old, they were video recorded for 30 min before and after the morning 2.5 ± 0.2 L milk meal, from approximately 0900 to 1000 h. We measured ruminating, eating, drinking water, sucking milk, grooming, non-nutritive oral manipulation, and tongue flicks continuously and with instantaneous and 1-0 sampling at 5-, 10-, 30-, and 60-s intervals. We also examined the effect of instantaneous timing within these intervals. Estimates obtained through subsampling were compared with true values via regression analysis. The subsampling interval was determined to represent true values if the coefficient of determination ≥0.9, slope = 1, intercept = 0, and relative error <10%. Ruminating, drinking water, and eating were not performed by all 11 calves and were not included in the analysis. The proportions of time performing non-nutritive oral manipulation, grooming, and tongue flicks generated by continuous and 1-0 sampling were highly correlated but were consistently overestimated by 1-0 sampling, especially as calves spent more time engaged in these behaviors. Sucking milk was accurately represented at intervals of less than 30 s, likely due to most sucking bouts continuing for at least 150 s at a time and low between-calf variability compared with the other behaviors. Different start times within a given instantaneous interval resulted in wide variance in discrepancies between subsampling and continuous recording for all behaviors. We conclude that around milk feeding, 1-0 sampling is an appropriate choice to represent stimulus-elicited behavior, such as sucking milk in a milk-restricted system. However, time engaged in short, highly variable, or intermittent behaviors is not reliably captured via instantaneous or 1-0 sampling in the hour around bottle delivery.

Milk- and starter-feeding strategies to reduce cross sucking in pair-housed calves in outdoor hutches

Social housing of preweaned calves can benefit their welfare, but housing and cross sucking are potential barriers to adoption for farmers. For farms using outdoor hutches, an option is to pair adjacent hutches with a shared fence. Our objective was to investigate milk- or starter-feeding strategies to mitigate cross sucking in this system. Holstein heifers were housed in pairs (n = 32 pairs) and divided into 4 treatments (n = 8 pairs each) in a 2 × 2 factorial design: milk in an open bucket with starter in only a bucket (OB-SB), milk in an open bucket and starter in both a bucket and a specialized teat bottle (Braden bottle; OB-BB), milk in a slow-flow teat bucket with starter in only a bucket (TB-SB), or milk in a slow-flow teat bucket and starter in both a bucket and a specialized teat bottle (TB-BB). When starter was first offered (d 6 ± 1 of life, mean ± SD), calf latency to approach was recorded, averaged within pairs, and compared between starter treatments using a linear mixed model with fixed effect of treatment and random effect of pair within treatment. Calves were initially bottle fed; milk treatments began on d 14 ± 1 of life and ended when calves were completely weaned (d 53 ± 1). Calves were observed for behaviors such as drinking milk and cross sucking twice weekly for 30 min during the afternoon milk meal using continuous video, with values averaged within pairs. Linear mixed models were run separately before (wk 3-6) and after (wk 7-8) weaning, with fixed effects of milk- and starter-feeding treatments, week, and the 2- and 3-way interactions, with week as repeated measure and pair as subject. Pairs with Braden bottles and buckets approached starter sooner than those with only buckets (Braden bottles vs. no Braden bottles: 13.1 ± 6.1 vs. 33.2 ± 6.1 min, LSM ± SEM). Before weaning, pairs with open buckets for both milk and starter cross sucked for at least twice as long (OB-SB: 2.9 ± 0.3 min) as all other treatments (OB-BB: 1.5 ± 0.3 min; TB-SB: 0.4 ± 0.3 min; TB-BB: 0.5 ± 0.3 min). This pattern held during weaning, when cross sucking increased overall (OB-SB: 3.9 ± 0.4 min; OB-BB: 1.8 ± 0.4 min; TB-SB: 0.9 ± 0.4 min; TB-BB: 1.6 ± 0.4 min). Regardless of starter treatment, calves spent less time cross sucking when fed milk in teat buckets, which extended the milk meal relative to open buckets (teat bucket vs. open bucket: preweaning = 7.0 ± 0.2 vs. 1.6 ± 0.2 min; weaning = 3.0 ± 0.1 vs. 0.6 ± 0.1 min). When calves are fed milk in open buckets, a novel option for reducing cross sucking is to provide starter through a specialized bottle. Nonetheless, providing milk in slow-flow teat buckets had the greatest effect on reducing cross sucking by directing suckling to the teat instead of another calf or pen objects.