Search Results (39)

Background and Clinical Significance: Fulminant pulmonary embolism (PE) leading to an out-of-hospital cardiac arrest (OHCA) is associated with a high mortality rate and cardiopulmonary resuscitation (CPR) frequently failing to achieve return of spontaneous circulation (ROSC). Extracorporeal CPR (eCPR) has emerged as a potential life-saving intervention. Case Presentation: A 66-year-old woman suffered an OHCA due to massive PE, presenting with pulseless electrical activity (PEA). After 90 min of pre- and in-hospital CPR without sustained ROSC, venoarterial extracorporeal membrane oxygenation (va-ECMO) was initiated as eCPR upon arrival at the hospital. Even after implantation of the va-ECMO, there was initially a pronounced acidosis (pH 6.9) with a high elevated lactate level (>30 mmol/L); these factors, together with the prolonged low-flow period, indicated a poor prognosis. Further diagnostic tests revealed intracranial hemorrhage (subdural hematoma), and systemic lysis was not possible. With persistent right heart failure, surgical thrombectomy was performed during hospitalization. Intensive multidisciplinary management finally led to successful therapy and weaning from mechanical ventilation, as well as to complete neurological recovery (CPC-Score 1-2). Conclusions: This case illustrates that eCPR can facilitate survival with good favorable neurological outcomes despite initially poor prognostic predictors. It underscores the importance of refining patient selection criteria and optimizing management strategies for eCPR in refractory cardiac arrest secondary to PE. Full article

Birth weight is a key economic trait in pig breeding, affecting pre-weaning survival, growth performance, and overall production efficiency. However, the genetic factors underlying birth weight remain incompletely understood. This study aimed to identify genetic variants associated with birth weight in pigs through a genome-wide association study (GWAS) using 50K SNP genotyping data from 1125 Landrace pigs. Seven significant SNPs linked to birth weight were identified, along with 13 potential candidate genes. To validate these findings, the study population was expanded to include 998 Yorkshire pigs, totaling 2123 individuals. Validation identified two novel SNPs on chromosomes 1 and 16, as well as the previously unreported gene MARCHF11, which was associated with birth weight. These findings enhance the understanding of the genetic architecture underlying birth weight and provide potential targets for molecular marker-assisted selection (MAS). The results offer valuable insights into breeding strategies aimed at improving piglet survival rates and production efficiency. This study underscores the utility of GWAS in identifying key genetic loci for economically important traits in livestock populations. Full article

This study examines the global evolution of sow productivity, with a particular focus on Spain. The analysis is based on key performance metrics such as piglets weaned per sow per year (PWSY), prolificacy, and pre-weaning mortality, utilizing data from literature reviews, the InterPIG, and BDporc^® databases. Globally, significant advancements in genetic selection and management practices have led to productivity increases across major pig-producing countries, with notable improvements in prolificacy. However, higher prolificacy has been accompanied by rising piglet mortality rates during lactation, posing sustainability challenges. In Spain, the average productivity of commercial sows increased from 23.78 PWSY in 2009 to 29.45 PWSY in 2023, while Iberian sows reached an average of 17.44 PWSY. Despite these gains, Spain’s figures remain slightly below the European Union average. The study highlights the need for new benchmarks, such as non-productive days, piglet survival, and sow longevity, to more accurately assess farm efficiency. These indicators, combined with considerations for animal welfare and environmental sustainability, are crucial for addressing current challenges such as piglet mortality, sow culling, and the carbon footprint. The findings emphasize the importance of adopting comprehensive management strategies that balance productivity with growing social and environmental demands on the swine industry. 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

Previously, we found that a greater dissimilarity in swine leukocyte antigen (SLA) class I and class II alleles between mating partners resulted in increased farrowing rates in a highly inbred population of Microminipigs (MMPs). In this follow-up study, we have analyzed the effects of dissimilarity in SLA alleles between mating partners for seven different reproductive traits, including litter size and the number of stillborn and live or dead weaned piglets. We determined the relationships among reproductive traits within each mating event and the amino acid distances of SLA alleles as markers of diversity between mating partners. Our results indicate that mating partners with greater amino acid pairwise genetic distances in the SLA-1 class I gene or DQB1 class II gene alleles were associated with significantly larger litter sizes and higher numbers of live piglets at birth and weaning. Also, partners with greater pairwise distances in the SLA-2 class I gene alleles exhibited fewer pre-weaning deaths. These findings suggest that the dissimilarity in SLA class I and class II alleles between mating partners may affect not only farrowing rates but also other key reproductive traits such as litter size and improved piglet survival rates. Consequently, SLA alleles could serve as valuable genetic markers for selecting mating partners in breeding programs and for conducting epistatic studies on various reproductive traits in MMPs. Full article

To investigate the effects of B. subtilis on the specific immune response of lactating sows to E. coli and the diarrhea rate in suckling piglets, thirty large white sows with similar farrowing dates were randomly divided into two groups: a feedback feeding (i.e., feeding a homogenate of intestinal contents and tissues from E. coli-infected piglets to sows; FB) group and a feedback feeding with B. subtilis (FB + BS) group. Serum, colostrum, and intestinal tissues from sows and piglets were collected to assess the immune response and intestinal barrier function at weaning. T and B cells from Peyer’s patches (PPs) and mesenteric lymph nodes (MLNs) in lactating mice (with treatments consistent with the sows’) were isolated to explore the underlying mechanism. The results showed that, compared with the FB group, the reproductive performance of sows and the growth performance of their offspring were effectively improved in the FB + BS group. Moreover, the levels of IgG/IgA and those of IgG/IgA against E. coli in the serum and colostrum of sows in the FB+BS group were increased (p < 0.05). Meanwhile, the ratio of CD4+/CD8+, CD4+CXCR5+PD1+, and B220+IgA+ cells in MLNs and PPs, and the IgA levels in the mammary glands of mice, were also increased in the FB + BS group (p < 0.05). Notably, in suckling piglets in the FB + BS group, the diarrhea rate was decreased (p < 0.05), and the intestinal barrier function and intestinal flora composition at weaning were significantly improved. Overall, these results indicated that B. subtilis feed supplementation combined with feedback feeding in pregnant and lactating sows can reduce diarrhea in suckling piglets by enhancing the maternal immune response against E. coli and intestinal barrier function in their offspring, improving survival rates and pre-weaning growth. Full article

Background: Tracheostomy procedures are performed in the intensive care unit (ICU) for prolonged intubation, unsuccessful weaning and infection prevention through either percutaneous or surgical techniques. This study aimed to outline the impact of tracheostomy timing in the ICU on mortality, need for mechanical ventilation, and complications. Methods: Patients were included in the study on the day of tracheostomy. Demographic information, tracheostomy timing, technique, complications, sedation requirement and need for mechanical ventilation at discharge were recorded by an anesthesiologist, including the pre-tracheostomy period. Results: Tracheostomy was performed on 33 patients during the first 14 days of intubation and on 54 patients on the 15th day and beyond. There was no significant difference between the tracheostomy timing and mortality, sedation requirement, or weaning from the ventilator. We observed that patients who underwent tracheostomy with the surgical technique experienced more complications, but there was no significant difference. Tracheostomy performed after the 14th day was shown to be associated with prolonged hospital stay. Conclusions: Early tracheostomy does not have any influence on the need for mechanical ventilation, sedation and mortality. The optimal timing for tracheostomy is still controversial. We are of the opinion that randomized controlled trials involving patient groups with similar survival expectations are needed. Full article

Background: While troponin is an established biomarker of cardiac injury, its prognostic significance in post-cardiotomy cardiogenic shock patients supported by venoarterial extracorporeal membrane oxygenation (PCCS–VA-ECMO) remains unclear. Objective: This study aimed to assess the correlation between early post-operative troponin T levels and both short-term and long-term mortality outcomes in this cohort. Methods: We evaluated 1457 troponin T measurements from 102 PCCS–VA-ECMO patients treated from 2013 to 2018 at a specialized cardio-surgical and transplantation center. Emphasis was placed on troponin concentrations at 24–48 h post-surgery, post-VA-ECMO implantation, and peak troponin levels in relation to VA-ECMO weaning, as well as 90-day and one-year mortality. Results: No significant association was observed between troponin T levels post-VA-ECMO implantation and 90-day mortality (median: 1338 ng/L for overall, 1529 ng/L for survivors vs. 1294 ng/L for non-survivors; p = 0.146) or between peak troponin levels and 90-day mortality (median: 3583 ng/L for overall, 3337 ng/L for survivors vs. 3666 ng/L for non-survivors; p = 0.709). Comprehensive multivariate models showed no correlation between troponin levels and various mortality endpoints. Notably, age, procedure urgency, type, LVEF pre-surgery, Euroscore II, prior cardiac arrest, and VA-ECMO duration were not linked with troponin release. Hemodiafiltration emerged as the strongest mortality risk factor [HR 2.4]. Conclusions: Isolated early Troponin T release and peak troponin T were not associated, while organ complications were linked with VA-ECMO weaning or short- and long-term prognosis. The results underscore the multi-organ implications of PCCS in determining survival. Full article

This study aimed to identify behavioral and morphological traits of Nellore cattle that can influence calves’ survival and pre-weaning performance. It was performed in two units of a large-scale cow–calf operation farm located in the Central-West region of Brazil, with 975 cow–calf dyads, by scoring cows’ maternal protective behavior, body condition, horns, udder suspension (US), teat size (TS) and calves’ vigor. TS was used to determine teat symmetry (TSm). The production unit where calves were born, their birth date, sex, and birth (BW) and weaning weights were also recorded. Cow ages at calving and production units were used to categorize the cows into twelve classes (Cage). The Shapiro–Wilk test alongside tables of frequencies were used to determine if continuous and categorical variables followed a normal distribution, respectively. Two datasets were considered in statistical analyses: (i) 975 dyad records were used to identify potential factors influencing calf survivability and (ii) 936 records of weaned calves were used to assess pre-weaning performance. Generalized linear models were used to assess the effect of target traits on the calves’ weight adjusted for 210 days of age (W210, kg) and pre-weaning average daily gain (preADG, kg/day). Tukey’s test was used to compare W210 and preADG means. Pearson’s correlation coefficients were estimated between BW, W210 and preADG. Cage, US and the TSm significantly affected pre-weaning calf performance (p < 0.01). Older cows (independently of the production unit) and those with intermediate US and symmetrical teats weaned heavier calves. As expected, positive and significant correlation was observed between BW and preADG (r = 0.35), which, in turn, was highly correlated with W210 (r = 0.99). We concluded that none of the behavioral and morphological traits influenced calf survivability, but cow age, US and TSm impacted pre-weaning performance, with 8- to 11-year-old cows and those with intermediate US and symmetric teats leading to better calf performance at weaning. Full article

Long-term mechanical circulatory support by a left ventricular assist device (LVAD), with or without an additional temporary or long-term right ventricular (RV) support, is a life-saving therapy for advanced heart failure (HF) refractory to pharmacological treatment, as well as for both device and surgical optimization therapies. In patients with chronic non-ischemic cardiomyopathy (NICM), timely prediction of HF’s transition into its end stage, necessitating life-saving heart transplantation or long-term VAD support (as a bridge-to-transplantation or destination therapy), remains particularly challenging, given the wide range of possible etiologies, pathophysiological features, and clinical presentations of NICM. Decision-making between the necessity of an LVAD or a biventricular assist device (BVAD) is crucial because both unnecessary use of a BVAD and irreversible right ventricular (RV) failure after LVAD implantation can seriously impair patient outcomes. The pre-operative or, at the latest, intraoperative prediction of RV function after LVAD implantation is reliably possible, but necessitates integrative evaluations of many different echocardiographic, hemodynamic, clinical, and laboratory parameters. VADs create favorable conditions for the reversal of structural and functional cardiac alterations not only in acute forms of HF, but also in chronic HF. Although full cardiac recovery is rather unusual in VAD recipients with pre-implant chronic HF, the search for myocardial reverse remodelling and functional improvement is worthwhile because, for sufficiently recovered patients, weaning from VADs has proved to be feasible and capable of providing survival benefits and better quality of life even if recovery remains incomplete. This review article aimed to provide an updated theoretical and practical background for those engaged in this highly demanding and still current topic due to the continuous technical progress in the optimization of long-term VADs, as well as due to the new challenges which have emerged in conjunction with the proof of a possible myocardial recovery during long-term ventricular support up to levels which allow successful device explantation. Full article

The European eel, Anguilla anguilla (Linnaeus, 1758), is a species of high conservation and commercial value. Also, with a high aquacultural value, it was one of the most farmed species in Europe before its decline. Conservation measures for this species are currently being implemented, some of which are the release of adults to allow them to migrate to spawning grounds and artificial reproduction to minimise the impact of overfishing. Much progress has been made regarding the closing of the life cycle, but several problems remain to be solved, such as the weaning and growth of larvae. In this regard, the study of local populations and the identification of the best spawners could be a good way forward as it would help to identify spawners with high reproductive potential and good offspring quality. In this study, we compared the reproductive performance of female eels from migratory areas of the Northern Adriatic Sea at different maturation stages (10 pre-migrant stage; 10 migrant stage), treating both groups with the same hormonal protocol (weekly carp pituitary extract, injection of 17α,20β-Dihydroxy-4-pregnen-3-one at complete oocyte maturation). The research showed that eels at the beginning of metamorphosis (SI III), i.e., eels not yet ready to undertake migration, achieve reproductive performance equal to that of eels ready for migration (SI IV). Their performance was on par in both qualitative and quantitative terms. The optimal results in hatching (with values of 65.8 ± 3.2% for pre-migrant and 68.2 ± 4.1% for migrant) and survival rates (with value of 25.7 ± 5.4% pre-migrants; 27.2 ± 3.7% migrants), as well as the results about the time to reach full gonadal maturation, may have positive implications when considering release and restocking measures. Full article

The objectives of this study were to investigate the effects of group housing (three calves per group) on bovine respiratory disease (BRD), diarrhea and antimicrobial resistance (AMR) to fecal commensal Escherichia coli (EC) and enterococci/streptococci (ES). Our study comprised two arms, one experimental and one observational. In the experimental arm, preweaned calves on a California dairy were randomized to either individual (IND; n = 21) or group (GRP; n = 21) housing, using a modified California-style wooden hutch. The study period lasted from birth to 56 days of age, during which calves were health scored daily. Cumulative incidence and hazard ratios were estimated for disease. Antimicrobial resistance outcomes were assessed using a prospective cohort design; feces were collected from each calf three times per week and EC and ES were evaluated for AMR using the broth microdilution method against a panel of 19 antimicrobial drugs (AMD). Analysis of treatment records was used to select calves that had been exposed (EXP) to an AMD-treated calf. In GRP, exposure occurred when a calf was a hutchmate with an AMD-treated calf. In IND, exposure occurred when a calf was a neighbor with an AMD-treated calf (TRT). Age-matched unexposed calves (UNEXP) were then selected for comparison. Proportions of AMR in fecal commensals among EXP, UNEXP, and TRT calves were compared between GRP and IND. Accelerated failure time survival regression models were specified to compare differences in minimum inhibitory concentration (MIC) of fecal commensals between EXP and UNEXP calves within each of GRP and IND calves separately. Group calves had a BRD hazard 1.94 times greater that of IND calves (p = 0.03), using BRD treatment records as the outcome. For AMR in EC isolates, higher resistance to enrofloxacin was detected in enrofloxacin-EXP GRP isolates compared with enrofloxacin-EXP IND isolates, and UNEXP GRP calves had lower resistance to ceftiofur compared with enrofloxacin-EXP and enrofloxacin-TRT calves. A significant housing-by-time interaction was detected for EC ceftiofur MIC in EXP GRP calves at 4–14 days post exposure to enrofloxacin (MIC EXP-UNEXP: µg/mL (95% CI): 10.62 (1.17, 20.07)), compared with UNEXP calves. The findings of this study show an increase in BRD hazard for group-housed calves and an increase in ceftiofur resistance in group-housed calves exposed to an enrofloxacin-treated calf. Full article

Piglet pre-weaning mortality of approximately 15% represents a major economic and welfare concern to the pork industry. Supplementing neonatal piglets with glucose and/or caffeine has the potential to counteract hypoxic stress experienced during parturition and provide an energy substrate, which may improve survival to weaning. This study investigated the effects of caffeine and glucose supplementation at birth, in combination or separately, on piglet growth, thermoregulatory ability, and pre-weaning survival. At birth, 398 piglets were assigned to one of four oral treatments: saline, glucose (300 mg), caffeine (30 mg), or caffeine and glucose combined (30 mg caffeine and 300 mg glucose), dissolved in 6 mL saline. Piglets were tagged at birth, and time taken to reach the udder was recorded. Rectal temperatures were recorded at 4 h and 24 h post-partum, and body weights recorded at birth and 1, 3, and 18 days of age. Colostrum intake was estimated using birth and day 1 weights, and all pre-weaning mortalities were recorded. Treatments did not affect rectal temperature, colostrum intake, or pre-weaning mortality (p > 0.05). Low birth weight piglets (<0.9 kg) treated with caffeine and glucose had increased growth between 1 and 3 days of age (p < 0.05) compared to low birth weight piglets of other treatment groups. Caffeine supplementation alone reduced overall pre-weaning growth in low birth weight piglets compared to all other treatments (p = 0.05). Oral caffeine and glucose had no significant effect on piglet performance except in low birthweight piglets, where it improved growth in the first 3 days of life. Caffeine and glucose supplementation in combination may be beneficial for low birth weight piglets. Full article

Previous research from several European countries has indicated that the European hedgehog (Erinaceus europaeus) is in decline. Wildlife rehabilitation centres contribute toward the protection of debilitated hedgehogs, including the young. Based on data from 27 wildlife rehabilitation centres, the mortality rate and the release rate of juvenile hedgehogs were evaluated depending on whether they were from normally timed litters (admitted from April to September) or from late litters (admitted from October to March). A total of 4388 juvenile European hedgehogs were admitted to wildlife rehabilitation centres in the Czech Republic from 2011 to 2020. The number of post-weaned young from late litters admitted (28%) did not differ from the number of pre-weaned young from late litters (29%). Where the outcome was known, young from late litters had the highest mortality rate (46%) in the year of admission. The release rate was the highest in post-weaned young from normally timed litters (86%). Further research should focus on the definition of optimal care and treatment of the underlying causes for admission of juvenile hedgehogs. The reproductive strategy (the timing of litters) of European hedgehogs under the climatic conditions of the Czech Republic affects the chance of survival of young at wildlife rehabilitation centres and likely also in the wild. Full article

During the early period of an animal’s life, rapid growth and higher survival rates can provide more profits to producers by minimizing the rearing and replacement costs. The present study aimed to investigate the effect of some maternal, postnatal, and management-related factors (sex, the litter size [LS], the kid’s birth weight [KBW], the daily milk yield [DMY], and the parity order), as well as the kidding year and season on both the average daily weight gain (ADG) and survivability of suckling Zaraibi goat kids during the postnatal period. A total of 3005 kidding events were available from the herd of Zaraibi goats raised at El-Serw Experimental Station from 2008 to 2014, which belongs to the Animal Production Research Institute. Data revealed that the overall ADG was 131.14 ± 2.34, 94.22 ± 2.21, and 85.63 ± 2.33 g/day, whereas the survival rates were 94.68%, 91.81%, and 90.62% during the periods from birth to 1, 2, and 3 months, respectively. During all periods considered, the aforementioned maternal, postnatal, and management-related factors significantly affected the ADG. In males, the ADG increased compared with females. Singletons had a higher ADG compared with kids born to a litter of two or more. A higher KBW and DMY were associated with an increase in the ADG. Additionally, increasing the parity order was associated with an increased ADG. The kidding season did not have a significant effect on the ADG, whereas the kidding year showed a significant effect on the ADG. During the pre-weaning period, the hazard of death increased by 23.1% (hazard ratio (HR) = 1.231; 95% CI = 0.972–2.057) in males compared with females in terms of survival rates. A higher LS was associated with an increase in the incidence of mortality, increasing by 51.6% (HR = 1.516; 95% CI = 1.363–1.719) with each unit increase in the LS. Additionally, the KBW was an extremely important determinant of survivability, as the risk of death decreased by 62.8% (HR = 0.372; 95% CI = 0.229–0.504) with the increase in the KBW. Likewise, survival rates increased steadily along with an increase in both the DMY and parity number. The risk of death decreased by 52.7% (HR = 0.473; 95% CI = 0.376–0.808) and 38.2% (HR = 0.618; 95% CI = 0.512–1.724) with the increase in the DMY and parity number, respectively. The kidding season did not significantly affect the kid’s survivability, but with each passing year, there was a decrease of 2.8% (HR = 0.972; 95% CI = 0.952–0.991) in the probability of mortality. In conclusion, better growth and survival rates can be achieved by controlling the maternal, postnatal, and management-related factors, as well as upgrading management plans. Full article