Search Results (76)

Introduction and Aim: Sarcopenia has emerged as a key prognostic factor in patients with chronic limb-threatening ischemia (CLTI), with potential implications for clinical decision-making. This study aimed to assess the association between sarcopenia and clinical outcomes, mortality, and amputation, using simple, accessible screening tools in a CLTI population. Methods: In this prospective, single-center study conducted between December 2023 and December 2024, 170 patients with CTLI were enrolled. Sarcopenia screening was performed using the SARC-F (strength, assistance in walking, rising from a chair, climbing stairs, falls) questionnaires, handgrip strength measurement, and calf circumference, adjusted for body mass index and sex. The primary outcome was 6-month all-cause mortality and/or major amputation. Results: Sarcopenia was identified in 77 patients (45.3%). Compared to non-sarcopenic individuals, sarcopenic patients were significantly older. They exhibited greater functional impairment, as well as poorer nutritional and muscle status. They also had significantly higher in-hospital mortality (16.9% vs. 3.2%, p = 0.002), 30-day mortality (24.7% vs. 4.3%, p = 0.001), and 6-month mortality (50.6% vs. 15.1%, p = 0.001). Sarcopenia was significantly associated with the primary outcome in univariate analysis (HR: 2.05; 95% CI: 1.31–3.20; p = 0.002) and remained an independent predictor after multivariate adjustment (HR: 1.95; 95% CI: 1.01–3.79; p = 0.048). Conclusions: Sarcopenia is a strong, independent predictor of poor outcome in patients with CLTI. Its detection through simple tools offers an easy and cost-effective strategy to improve risk stratification and guide early intervention through exercise-based therapy. Full article

Monitoring parturient cattle during calving is crucial for reducing cow and calf mortality, enhancing reproductive and production performance, and minimizing labor costs. Traditional monitoring methods include direct animal inspection or the use of specialized sensors. These methods can be effective, but impractical in large-scale ranching operations due to time, cost, and logistical constraints. To address this challenge, a network of low-power and long-range IoT sensors combining the Global Navigation Satellite System (GNSS) and tri-axial accelerometers was deployed to monitor in real-time 15 parturient Brangus cows on a 700-hectare pasture at the Chihuahuan Desert Rangeland Research Center (CDRRC). A two-stage machine learning approach was tested. In the first stage, a fully connected autoencoder with time encoding was used for unsupervised detection of anomalous behavior. In the second stage, a Random Forest classifier was applied to distinguish calving events from other detected anomalies. A 5-fold cross-validation, using 12 cows for training and 3 cows for testing, was applied at each iteration. While 100% of the calving events were successfully detected by the autoencoder, the Random Forest model failed to classify the calving events of two cows and misidentified the onset of calving for a third cow by 46 h. The proposed framework demonstrates the value of combining unsupervised and supervised machine learning techniques for detecting calving events in rangeland cattle under extensive management conditions. The real-time application of the proposed AI-driven monitoring system has the potential to enhance animal welfare and productivity, improve operational efficiency, and reduce labor demands in large-scale ranching. Future advancements in multi-sensor platforms and model refinements could further boost detection accuracy, making this approach increasingly adaptable across diverse management systems, herd structures, and environmental conditions. Full article

Background/Objectives: The phase angle (PhA) is an emerging biomarker reflecting the cellular integrity and nutritional status. This study aimed to explore potential associations between the PhA, clinical severity scores, and 60-day survival outcomes following an admission to the Intensive Care Unit (ICU). Methods: This prospective, single-center study included 43 critically ill patients admitted to the ICU at Evangelismos General Hospital between May and November 2024. Patients were stratified by their PhA (≤5.4° vs. >5.4°). The PhA was measured at admission and subsequently on days 5–7, 10–11, 13–14, and until discharge. Severity scores (SOFA and APACHE II) were recorded. Between-group differences were assessed using independent samples t-tests and Mann–Whitney U tests, as appropriate. Survival was analyzed using Kaplan–Meier curves and Cox proportional hazards models. Results: The mean age was 54.6 ± 17 years; 63.6% were male. At ICU admission, patients with a PhA > 5.4° were significantly younger (p < 0.001) and had a higher fat-free mass (p < 0.001), greater calf circumference (p < 0.001), higher extracellular water (p < 0.001), larger mid-upper arm circumference (p = 0.009), and higher resting energy expenditure per kilogram (27.4 vs. 23.1 kcal/kg, p = 0.002). The PhA declined significantly during the ICU stay (p < 0.001). The Kaplan–Meier analysis showed a significantly shorter survival in patients with a PhA ≤ 5.4° (HR: 6.32, p = 0.019), which remained significant after adjusting for sepsis (p = 0.017). In a multivariable Cox regression, both PhA and APACHE II scores independently predicted mortality. Conclusions: While limited by a small sample size and single-center design, these findings support the further exploration of the PhA as a monitoring tool in critical care. Full article

This study aimed to systematically review the literature of the last 24 years to determine the influence of dam heat stress, nutrition, body condition, vaccination, parity, and twin pregnancy on calf morbidity and mortality. The systematic search was carried out using PubMed, CAB Abstracts, and Web of Science databases. The final number of included studies was 11 for heat stress, 21 for nutrition, 11 for body condition, 11 for vaccination, 23 for parity, and 18 for twin pregnancy. The body condition score, parity, and twin pregnancy had an influence on perinatal mortality. Vaccination, parity, and twin pregnancy had an influence on mortality up to weaning. Heat stress, nutrition, and twin pregnancy had an influence on the immunoglobulin transfer to the calves. Nutrition, body condition score, vaccination, and parity had an influence on morbidity. This systematic review provides evidence that prenatal factors have an influence on calf morbidity and mortality. Full article

This study evaluated the prevalence of BRV infection and its impact on the health of dairy cows at different growth stages, with a particular focus on milk-fed calves. BRV was detected in rectal swabs via RT–qPCR. In the total sample of 2400 dairy cows examined at three farms, 103 (4.29%) were found to be positive for BRV. Similarly, of the 480 milk-fed calves, 70 (14.58%) were also found to be positive for BRV. Negative binomial regression analysis revealed that older farms had higher average BRV positivity rates than new farms did and that the BRV positivity rate was higher in autumn than in the other three seasons. Additionally, BRV positivity rates gradually decreased as calf age increased. In milk-fed calves, BRV positivity was positively correlated with morbidity and mortality and negatively correlated with ADG and ADGPR. These findings provide valuable insights for farm management, particularly for older farms, highlighting the detrimental effects of BRV infection on milk-fed calves and underscoring the importance of targeted control strategies to reduce BRV prevalence and optimize dairy production efficiency. Full article

The study objective was to compare the ability of Brix values and the D2Dx immunity test to predict the mortality risk of calves under 30 days of age. Heifer calves at 2–3 days of age were enrolled from two farms: Farm A, which has a low calf mortality rate (n = 849, 2.9% mortality), and Farm B, which has a high calf mortality rate (n = 698, 11.7% mortality). Serum samples were collected from the calves when they were 2–3 days of age. The D2Dx scores and Brix values of serum samples were compared between calves that died or survived between 3–30 days of age. For both farms, calves that survived their first 30 days of life had greater serum Brix values (9.05 vs. 8.48, p = 0.002 for Farm A; 9.26 vs. 8.99, p = 0.05 for Farm B) and D2Dx scores (0.0281 vs. 0.0036, p < 0.001 for Farm A; 0.0342 vs. 0.0286, p = 0.05 for Farm B) at 2–3 days of age compared with calves that died. On Farm A, the D2Dx score shows significantly better sensitivity (96% vs. 48%) and Area Under the Curve (0.87 vs. 0.69) than the Brix value in predicting calf mortality. However, similar results were not observed for the high-mortality farm (Farm B) due to other factors in addition to calf immune status that influenced calf survival. This study concludes that the D2Dx immunity test can be used to identify newborn dairy calves with low immunity and increased mortality risk; however, the prediction is most effective if no other risk factors are involved. Full article

Calving is a crucial event in dairy production, and predicting its exact date is challenging due to variable gestation lengths and environmental factors. Failure to recognize signs of impending calving can lead to dystocia, increased calf mortality, veterinary costs, and economic losses. This review discusses both invasive and non-invasive methods for monitoring calving signs. Invasive methods, such as temperature loggers, intra-vaginal GSM devices, and blood progesterone tests, provide direct physiological data but can cause stress to the animals. Non-invasive approaches, including the use of sensors on limbs, necks, or tails, as well as video monitoring systems, offer less intrusive alternatives, improving cow comfort. Advances in artificial intelligence (AI) and machine learning have enhanced the predictive accuracy of these methods, enabling better management of the calving process. Full article

Extraintestinal pathogenic Escherichia coli (ExPEC) is a group of Escherichia coli strains that can cause severe infectious diseases outside the gastrointestinal tract, such as urinary tract infections, meningitis, septicemia, etc. We report a case of a calf herd infection by ExPEC with high rates of morbidity and mortality. The research purpose of this study was to thoroughly investigate the characteristics of the ExPEC responsible for the calf herd infection. Specifically, we aimed to understand the mechanisms underlying its multidrug resistance and high pathogenicity. Clinical samples were collected for the isolation and identification of ExPECs, cultured on MacConkey agar, and further tested by PCR for the uidA gene, 16S rRNA gene sequencing, and adhesion patterns on HEp-2 cells. The antimicrobial activity was determined using the disk diffusion method according to Clinical & Laboratory Standards Institute (CLSI) guidelines. The pathogenicity was assessed through the experimental infection of Kunming mice, tracking their survival and weight changes, and performing autopsies for bacterial counts and histopathological analysis. Additionally, whole-genome sequencing (WGS) and a comprehensive analysis were performed, including multilocus sequence typing (MLST), serotyping, drug-resistance gene analysis, virulence factor analysis, metabolic pathway analysis, and enrichment analysis, using various online tools and databases. An ExPEC strain named RZ-13 was responsible for this case and was identified as ST345 and O134: H21. Among the 14 antibiotics tested, 13 showed resistance, indicating that the RZ-13 strain is a multidrug-resistant (MDR) bacterium. The experimental infection of Kunming mice proved the greater pathogenicity of RZ-13 than that of CICC 24186. The comprehensive WGS revealed the presence of 28 antibiotic resistance genes and 86 virulence-related genes in the genome of the strain, corroborating its clinical manifestations of MDR and high pathogenicity. Our study isolated a MDR ExPEC strain, RZ-13, with a strong pathogenicity. This is the first case report of ExPEC leading to severe mortality in calf herds in China, underscoring the need for the rational use of antibiotics to reduce the risk of the generation and transmission of MDR bacteria from food-producing animals to ensure food safety and public health. Full article

This study was performed to determine the effects of dietary supplementation of Bacillus amyloliquefaciens FD777 (BA) and Macleaya cordata extract (MCE) on the performance, morbidity and mortality rates, body measurements, immunity, rumen parameters, antioxidant parameters, microbiome level, and profitability of calves during the pre-weaning period. In the study, 51 calves were divided into three groups as one control and two treatment groups considering their age (1 day old), gender (nine females and eight males in each group), and birth weight (37.7 ± 0.4 kg). The calves in the control group (CON) were fed milk without supplements whereas the first treatment group (BA) was fed milk containing 10 mL/day/head of Bacillus amyloliquefaciens FD777 and the second treatment group (MCE) was fed milk containing 2 g/day/head of MCE. As a result, supplementing BA and MCE to calf milk had no significant effect on body weight (BW), dry matter intake (DMI), feed efficiency (FE), morbidity and mortality rates, rumen pH, IgG, IgA, and IgM values, and gastrointestinal microbiota (p > 0.05). On the other hand, it was determined that body weight gain (BWG), body length, body depth, rump width, withers height change, rump height change, rump width change, and serum GSH level increased significantly in the BA group compared to the control group (p < 0.05). According to the partial budget analysis, despite the additional cost of supplementing BA to the calf milk, no calf deaths and lower disease were observed in this group, unlike the other groups, resulting in a lowest calf rearing cost and highest profit. In calves receiving MCE, withers height, rump height, body length, rump width, body depth, chest circumference change, withers height change, rump height change, and rump width change values increased significantly compared with the control group (p < 0.05). In conclusion, the results obtained not only reveal the positive effects of BA and MCE on calves during the pre-weaning period, but also encourage the necessity of investigating their effects on the long-term performance of animals and farm economies. Full article

The objective of this narrative review is to provide a systematic framework for veterinarians to investigate dairy calf health, focusing on critical control points and key performance indicators (KPIs) to address morbidity and mortality challenges in preweaned calves. Recommendations target prenatal maternal nutrition, heat stress abatement, and optimal calving management to minimize risks associated with perinatal mortality and preweaning morbidity. Further, comprehensive colostrum management is discussed to ensure excellent transfer of passive immunity, which includes prompt collection and feeding within two hours of birth at a volume of 8.5–10% of calf body weight. Nutritional guidance emphasizes the importance of transition milk and feeding higher planes of nutrition to support immunity, with recommendations that milk total solids exceed 10% to meet energy needs. Environmental management recommendations include a minimum of 3.3 m² of space per calf, the use of low-dust bedding, and air quality controls to reduce respiratory disease. Lastly, regular health data collection and KPI monitoring, such as average daily gain and morbidity rates, are essential for data-driven improvements. By implementing these evidence-based recommendations, veterinarians can support dairy farmers in reducing calf morbidity and mortality, ultimately enhancing calf welfare and lifetime productivity. Full article

Cryptosporidium parvum (C. parvum)-caused calf diarrhoea (scours) is widespread and leads to calf mortality in cattle industries worldwide. A recent discovery of a glycopeptide epitope on the Cryptosporidium parasite recognized by a monoclonal antibody has led to the development of a new vaccine. It was designed for cows to pass on passive immunity to their neonatal calves. This vaccine has been demonstrated to be safe and efficacious in pre-clinical studies. In the process of marketing registration, two clinical studies were conducted with this vaccine on 16 commercial dairy and beef farms collecting data, assessed by the European Medicine Agency. In these studies, its effectiveness in the field was evaluated. The natural challenge and clinical disease caused by Cryptosporidium parvum in the calves in these studies was, however, not high enough to show a significant reduction of most of the clinical signs, although all trends were in favour of the vaccination groups. Nonetheless, the duration of the diarrhoea episodes of the dairy calves was significantly shorter in the vaccination group. Additionally, the levels of Gp40 antibodies in the blood of the calves was notably higher in the vaccination groups, demonstrating the principle of passive immunization. Overall, this vaccine, which can be used concurrently, non-mixed with Bovilis^® Rotavec^® Corona, introduces an additional approach to mitigate the impact of C. parvum infections in neonatal calves. Full article

This study investigates morbidity, mortality, and weight gain in pre-weaned female dairy calves, which pose economic and animal welfare challenges for farms, particularly in family-run operations in southern Brazil. We aimed to identify the rates and factors associated with these outcomes in Alto Uruguai, Rio Grande do Sul, Brazil, tracking 547 calves from 70 farms across 27 municipalities from July 2015 to September 2016. We assessed calf-rearing practices, nutrition, health, and the environment using farmer questionnaires, direct observations, and systematic weight and health monitoring of female calves from birth to weaning. The association between predictors and perinatal mortality (stillbirths and deaths within 24 h), postnatal mortality (deaths from 25 h after birth to weaning), calf morbidity, and weight gain was analysed through regression models. The participating farms had 25 (9–70) (median and range) lactating cows and produced 411 (96–1631) L/d of milk (median and range). Total mortality rate was 6.8% (median 0, range 0–50%/range), of which 2.4% (median 0, range 0–50%/range) was perinatal and 4.5% (median 0, range 0–40%/range) postnatal. Average morbidity was one case for every five calves born alive (106/538), 83% of which were reported as diarrhoea cases. Weight gain was 570 ± 212 g/d (mean and standard deviation). The postnatal mortality rate was highest in the first few weeks of life and among calves with at least one case of diarrhoea. Younger and winter/spring-born calves became sick more frequently. The calves of purebred bulls, fed with cow’s milk, which received at least 4 L of milk and 0.5 kg of feed daily, had greater weight gain. The calf mortality rate was at the lower end of the range reported in international research. The main disease affecting calves was diarrhoea, and weight gain was insufficient for calves to double their weight by the time they were weaned. The results of the present study suggest that the quality of the management adopted in calf rearing in many of the family-run dairy farms of southern Brazil may be compromising the welfare, health, performance, and survival of the calves and possibly the productivity of dairy herds. Full article

Background: Malnutrition among older adults is associated with numerous adverse effects, including increased morbidity, mortality, prolonged hospital stays, and a heightened risk of falls. This study aims to investigate the prevalence of malnutrition in different groups of older adults using the F-MNA, anthropometry, and s-albumin and the association between nutritional status and fall risk. Methods: A total of 228 participants aged 60 years and older were divided into three groups: (1) patients in an internal medicine ward, (2) individuals living in family homes, and (3) residents of care homes. Disease profiles, nutritional status (assessed using the F-MNA and SNAQ), body composition, fall risk, and biochemical markers were evaluated. Results: The results indicated the highest prevalence of malnutrition among hospitalized individuals. Fall risk was associated with age, calf circumference, the F-MNA, the SNAQ, serum albumin levels, residence in a care home, comorbidities, and the number of medications taken daily. Regression analysis revealed that age, calf circumference, and residence in a care home were independent predictors of fall risk in older adults. Conclusion: Older adults are at significant risk of malnutrition, with the risk notably increasing during hospitalization and long-term stays in care homes. Hospitalized individuals had the poorest nutritional status and were at significant risk of further weight loss, underscoring the importance of post-discharge care and rehabilitation. Full article

Mycoplasma bovis is a globally significant pathogen of cattle associated with a wide range of clinical syndromes, including respiratory disease, mastitis, arthritis, otitis, and reproductive failure. Since its detection in Ireland in 1994, M. bovis has become a significant contributor to morbidity and mortality in Irish cattle. This study aimed to investigate herd-level risk factors associated with M. bovis seropositivity in replacement dairy heifers, using data from 105 Irish dairy herds. Ten heifers per herd were sampled on three occasions: spring 2018, spring 2019, and autumn 2019. Seropositivity was evaluated using two thresholds: ≥1 positive heifer (Model ≥ 1POS) and ≥3 positive heifers (Model ≥ 3POS). M. bovis seropositivity varied over time, with at least one positive heifer in 50.4% (95% confidence interval (CI): 40.5–60.3) of herds in spring 2018, 35.2% (95% CI: 26.2–45.1) in spring 2019, and 45.7% (95% CI: 36.0–55.7) in autumn 2019. Herds with three or more positive heifers increased from 31.4% (95%CI: 22.7–41.2) in spring 2018 to 42.9% (95% CI: 33.2–52.9) by autumn 2019. Risk factors for M. bovis seropositivity included the purchase of cattle, which significantly raised the odds of seropositivity across multiple visit periods (Model ≥ 1POS: Odds ratio (OR) 3.84, p = 0.02; Model ≥ 3POS: OR 3.69, p = 0.02). Managing more than three land parcels, housing heifer calves separately from bull calves, and sharing airspace between calves and older animals also increased seropositivity risks. Conversely, more colostrum feeds reduced the risk of seropositivity (Model ≥ 1POS: OR 0.81, p = 0.05), while colostrum quality assessment and feeding waste milk showed a trend toward increased risk. These findings suggest the importance of robust biosecurity measures, including limiting cattle purchases, improving calf management, and enhancing colostrum feeding practices, to control the spread of M. bovis. This study provides valuable insights into the epidemiology of M. bovis in Irish dairy herds, emphasising the need for targeted biosecurity and surveillance to safeguard herd productivity. Full article

Disease prevention is a cornerstone of herd management for minimizing preweaning calf mortality. However, scientific evidence about the usefulness of practices in herds is scarce. The first objective was for a group of veterinarians to determine which practices are most useful considering their effectiveness, ease of implementation, and economic feasibility. A second objective was for them to define which practices should be included in a tool to facilitate discussions between producers and veterinarians. Expert opinions and consensus were determined using a modified Delphi approach. During two questionnaire rounds, participants scored the effectiveness, ease of implementation, and economic feasibility of each practice. Overall scores for each practice were calculated, and feedback reports were sent to participants between rounds showing the groups’ median responses. Consensus on which practices should be included in the tool was targeted during the workshops. Twelve veterinary experts participated. Administering clostridial vaccines and providing calves with colostrum in case they had not nursed were considered practices that were ‘always useful for all herds’. However, most practices had intermediate levels of usefulness, and among these, antibiotics were considered the least useful. Nevertheless, all practices discussed during the workshops attained a consensus about being included in the future tool to facilitate on-farm discussions. Full article