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14 pages, 256 KB  
Article
Valorisation of Rabbit Biodiversity for Meat Production: Live Performance, Carcass Traits, Meat Quality and Muscle Fibre Characteristics of Different Rabbit Genotypes
by Antonella Dalle Zotte, Cecilia Mugnai, Bianca Palumbo and Marco Cullere
Animals 2026, 16(6), 937; https://doi.org/10.3390/ani16060937 - 17 Mar 2026
Abstract
Valorisation of rabbit biodiversity plays a significant role in enhancing production by preserving genetic diversity, which is crucial for maintaining adaptability and resilience in rabbit populations, thereby supporting sustainable development and conservation efforts. With this in mind, the present research aimed at comparing [...] Read more.
Valorisation of rabbit biodiversity plays a significant role in enhancing production by preserving genetic diversity, which is crucial for maintaining adaptability and resilience in rabbit populations, thereby supporting sustainable development and conservation efforts. With this in mind, the present research aimed at comparing live performance, carcass traits, meat quality and muscle fibre characteristics of different rabbit genotypes. Forty-five weaned rabbits (15 commercial hybrids—C; 15 Burgundy Fawn crosses—BF; 15 Vienna Blue crosses—VB) were farmed until slaughter (n = 15 replicated cages/rabbit genotype). The slaughter age was scheduled when all genotypes reached the same live weight (approx. 2800 g). After slaughtering and carcass dissection, the hind legs and longissimus lumborum muscles were excised and subjected to different evaluations. Hind legs were exploited for physicochemical analyses, while longissimus lumborum muscles were used for physical evaluations and for fibre typing, morphometric traits and enzymatic activity. As a direct response to the experimental design, results highlighted that the three genotypes exhibited different slaughter ages. Commercial hybrids displayed the fastest growth cycle, but they showed an efficiency comparable to that of VB crosses (p > 0.05). Genotypes displayed some differences in carcass characteristics, namely perirenal fat (p < 0.01) and hind leg weight (p < 0.05). The physical characteristics of meat were overall similar in the three genotypes, except for biceps femoris L*, which showed the highest value in the BF group. Meat chemical composition differed depending on the genotype, with BF rabbits having the highest ether extract (p < 0.05) content. The three genotypes displayed an overall similar fatty acid profile with some minor differences: VB rabbits had the highest C18:2 n-6 proportion (p < 0.01) and thus n-6/n-3 (p < 0.05). Cholesterol content was the highest in C rabbits (p < 0.05). Overall, the present research highlighted that BF and VB genotypes provided interesting potentialities which would be further valorised in rural farming conditions, given their higher resilience and adaptability than commercial hybrids. Full article
(This article belongs to the Special Issue Advancing Meat Quality Through Genetic and Nutritional Insights)
22 pages, 1946 KB  
Article
Comparative Evaluation of High-Throughput In Vitro Digestion Methods for Predicting In Vivo Digestibility and Fecal Odor Emissions in Pigs
by Ching-Yi Chen, Ruei-Yang Huang and Han-Tsung Wang
Animals 2026, 16(6), 918; https://doi.org/10.3390/ani16060918 - 14 Mar 2026
Abstract
Accurate and physiologically relevant in vitro models are needed to predict nutrient digestibility and hindgut fermentation in pigs, as conventional in vivo trials are resource-intensive and raise animal welfare concerns. This study evaluated and compared the predictive performance of three in vitro digestion [...] Read more.
Accurate and physiologically relevant in vitro models are needed to predict nutrient digestibility and hindgut fermentation in pigs, as conventional in vivo trials are resource-intensive and raise animal welfare concerns. This study evaluated and compared the predictive performance of three in vitro digestion approaches—shaking (S), dialysis (D), and a combined shaking plus dialysis (SD) method—for estimating in vivo apparent total tract digestibility (ATTD) and fermentation characteristics across weaning, growing, and finishing pigs. Commercial diets were subjected to simulated gastric and small-intestinal digestion using S, D, or SD, followed by fecal inoculation to model hindgut fermentation for 12 and 48 h. During the gastrointestinal phase, crude protein digestibility was highest with D (>75%), intermediate with SD, and lowest with S (50–60%), indicating that product removal by dialysis mitigated enzyme inhibition from metabolite accumulation. After 48 h of fermentation, all methods showed strong linear correlations with in vivo ATTD (r > 0.93), but only D achieved high absolute agreement (Lin’s CCC > 0.95 for dry matter and crude protein). Moreover, D and SD at 48 h closely reflected in vivo fecal profiles of skatole, indole, and microbial enzyme activities, with D at 12 h showing an especially strong correlation for protease (r = 0.98). While D provided the most precise predictions of absolute values, the SD method offered an optimal balance between physiological relevance and operational efficiency, supporting its use as a robust, high-throughput platform for porcine feed evaluation and fecal nitrogenous odorant prediction. Full article
(This article belongs to the Special Issue Advances in Farm Animal Feed and Nutrition)
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16 pages, 1164 KB  
Article
Effect of Pre-Exposure to Deoxynivalenol on the Response of Porcine Intestinal Epithelial Cells to F18 E. coli Infection
by Madison Brackett, Paul Oladele, Hang Lu, Nathan Horn and Kolapo M. Ajuwon
Toxins 2026, 18(3), 141; https://doi.org/10.3390/toxins18030141 - 14 Mar 2026
Abstract
The mycotoxin deoxynivalenol (DON) is a common contaminant found in swine diets, causing decreased growth performance and poor health. Additionally, F18 enterotoxigenic E. coli is a leading cause of post-weaning diarrhea. Nursery pigs are often exposed to each of them after weaning; however, [...] Read more.
The mycotoxin deoxynivalenol (DON) is a common contaminant found in swine diets, causing decreased growth performance and poor health. Additionally, F18 enterotoxigenic E. coli is a leading cause of post-weaning diarrhea. Nursery pigs are often exposed to each of them after weaning; however, it is unknown what impact the combination of these stressors has on gastrointestinal health. Therefore, the objective of this study was to investigate the effect of pre-exposure to DON on the response of intestinal porcine epithelial cells (IPEC-J2) to challenge with enterotoxigenic F18 E. coli. Four groups were compared: Control (untreated cells), DON (cells treated with 0.5 μM DON for 24 h), F18 E. coli (multiplicity of infection 5:1, varied duration) and DON + E. coli (DON treatment with subsequent E. coli infection). Gene expression of IL-8, IL-6 and TNFα was significantly increased in cells infected with E. coli for 3 h vs. uninfected cells (p < 0.0001, p < 0.0001 and p < 0.0001, respectively). There was an interactive effect between DON and E. coli on IL-8 gene expression; cells pretreated with DON before E. coli infection had a higher expression of IL-8 than those not pretreated (p < 0.05). The concentration of IL-8 protein was significantly increased by E. coli (p < 0.0001). Claudin 1 and Occludin protein abundance were reduced by E. coli as measured by Western blot. Cytotoxicity was increased by E. coli vs. Control (p < 0.05). Pretreatment with DON increased the amount of E. coli that adhered to IPEC-J2 cells (p < 0.01) 30 min post-infection. FITC-dextran passage was increased in the DON + E. coli treatment vs. E. coli alone (p < 0.0001). Transepithelial electrical resistance (TEER) was decreased by DON when compared to untreated cells at 0 h (p < 0.0001). Similarly, DON + E. coli exhibited lower TEER vs. E. coli alone at 2 h post-infection (p < 0.0001). Taken together, these results indicate that DON pre-exposure increased the severity of E. coli infection on endpoints such as barrier permeability and E. coli adhesion. Full article
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21 pages, 1262 KB  
Article
Application of the “Yuyang Muxin” Breeding Chip in Huang-Huai Sheep: A Six-Year Comprehensive Evaluation of Production and Meat Quality Traits
by Kai Quan, Haoyuan Han, Kun Liu, Caihong Wei, Huihua Wang, Meilin Jin, Wei Sun, Huibin Shi and Jun Li
Animals 2026, 16(6), 884; https://doi.org/10.3390/ani16060884 - 12 Mar 2026
Viewed by 87
Abstract
The Huang-huai sheep (Dorper × Small-tailed Han), certified in China in 2019, initially exhibited issues with genetic uniformity and meat quality. A six-year (2020–2025) breeding program was conducted at two core farms (collectively housing ~2400 breeding ewes representing 12 bloodlines) using the custom [...] Read more.
The Huang-huai sheep (Dorper × Small-tailed Han), certified in China in 2019, initially exhibited issues with genetic uniformity and meat quality. A six-year (2020–2025) breeding program was conducted at two core farms (collectively housing ~2400 breeding ewes representing 12 bloodlines) using the custom “Yuyang Muxin” 10 K SNP chip containing functional markers for reproduction (FecB), growth (CLPG, ACTC1), and meat quality (FABP3, CIDEa). Genotyping and marker-assisted selection were integrated with BLUP breeding values. After six years, favorable FecB genotype frequency increased from 68.97% to 82.58% (p < 0.05), while genetic diversity remained stable (FIS < 0.05). Mixed model analysis accounting for farm and year random effects revealed significant genetic gains: 6-month ram body weight increased by 9.1% (58.50 to 63.80 kg, p < 0.05), dressing percentage improved from 56.02% to 57.8% (p < 0.05), and loin muscle area expanded by 9.4% (24.50 to 26.8 cm2, p < 0.05). Meat quality was enhanced, with shear force decreasing by 14.1% (38.65 to 33.20 N, p < 0.05) and intramuscular fat increasing by 40.0% (2.0% to 2.8%, p < 0.05). Lambs weaned per ewe per year increased from 2.38 to 2.56 (p < 0.05). EBV trend analysis confirmed that improvements were primarily genetic. After Bonferroni correction, CIDEa expression was strongly correlated with intramuscular fat (r = 0.89, p < 0.001) and FABP3 expression with arachidonic acid (r = 0.70, p < 0.001). Nine months was identified as the optimal slaughter age. The “Yuyang Muxin” breeding chip effectively accelerated genetic improvement in Huang-huai sheep, enabling synergistic enhancement of multiple traits. Full article
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30 pages, 2295 KB  
Article
A Retrospective Review of Wild and Zoo-Housed Platypus Medical Records (1991–2024)
by Jessica Whinfield, Rebecca Vaughan-Higgins, Larry Vogelnest, Kristin Warren and Cheryl Sangster
Animals 2026, 16(6), 875; https://doi.org/10.3390/ani16060875 - 11 Mar 2026
Viewed by 115
Abstract
Understanding platypus health and disease is made challenging by the cryptic nature of this unique and iconic species. The retrospective medical record review methodology offers a valuable tool to better understand platypus health. A multi-institution review was performed, with 21 organisations and individuals [...] Read more.
Understanding platypus health and disease is made challenging by the cryptic nature of this unique and iconic species. The retrospective medical record review methodology offers a valuable tool to better understand platypus health. A multi-institution review was performed, with 21 organisations and individuals contributing veterinary and pathology records spanning 34 years and 5 Australian states and territories. In total, records were reviewed from 278 wild platypuses and 40 zoo-housed platypuses, with a combined total of 383 presentations. Data from these were extracted and analysed, providing information on demography (age, sex), geographic location, season, reason for presentation, outcome of presentation, and clinical and pathological findings. For wild platypuses, key findings included that the juvenile age class was disproportionately represented in Queensland and New South Wales, and that the peak in juvenile presentations corresponded with weaning. For both wild and zoo-housed platypuses, novel reports of neoplasia were identified, and in wild platypuses, the first reports of neural angiostrongyliasis. For zoo-housed platypuses, an area identified for future research is the high prevalence of presentations for skin lesions. This study contributes to our understanding of platypus health and disease and should be used to guide further work to improve both conservation and welfare outcomes for one of the world’s most unique mammals. Full article
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17 pages, 1320 KB  
Review
Liberation from Non-Invasive Ventilation in Complex Intensive Care Unit Patients
by Hafsa Safdar and Joseph B. Barney
J. Clin. Med. 2026, 15(6), 2148; https://doi.org/10.3390/jcm15062148 - 11 Mar 2026
Viewed by 107
Abstract
The evolution of non-invasive mechanical ventilation (NIV) from the iron lung of the 1950s to the use of sophisticated ventilators with mask apparatus has allowed for the optimal management of a wide range of respiratory disorders. NIV is now a mainstay in the [...] Read more.
The evolution of non-invasive mechanical ventilation (NIV) from the iron lung of the 1950s to the use of sophisticated ventilators with mask apparatus has allowed for the optimal management of a wide range of respiratory disorders. NIV is now a mainstay in the management of acute, chronic and acute-on-chronic hypoxemic and hypercapnic respiratory failure from diverse etiologies. While NIV offers an effective approach to avoid invasive mechanical ventilation with its inherent risks of lung injury and sedation-related harms, it is a complex modality that requires a nuanced approach to management As the use of NIV has become ubiquitous, complex challenges are faced in the initiation, management and discontinuation of the treatment. We review complex clinical scenarios that present during liberation from non-invasive mechanical ventilation and an approach to successful weaning and liberation in these patient populations. Full article
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22 pages, 2326 KB  
Article
Synbiotic Diet Prevents Escherichia coli Lipopolysaccharide-Induced Gut Dysbiosis and Intestinal Disruption After Weaning in Piglets
by Iulian Alexandru Grosu, Valeria Cristina Bulgaru, Daniela Eliza Marin, Ionelia Taranu and Gina Cecilia Pistol
Curr. Issues Mol. Biol. 2026, 48(3), 298; https://doi.org/10.3390/cimb48030298 - 11 Mar 2026
Viewed by 104
Abstract
Post-weaning piglets are vulnerable to intestinal barrier disruption and microbiota imbalance, which can be exacerbated by bacterial endotoxin; this study assessed whether a synbiotic diet based on grape seed and camelina meals plus Lactobacillus probiotics can attenuate an Escherichia coli lipopolysaccharide (LPS) challenge. [...] Read more.
Post-weaning piglets are vulnerable to intestinal barrier disruption and microbiota imbalance, which can be exacerbated by bacterial endotoxin; this study assessed whether a synbiotic diet based on grape seed and camelina meals plus Lactobacillus probiotics can attenuate an Escherichia coli lipopolysaccharide (LPS) challenge. Twenty weaned piglets were randomized (n = 5/group) to control, LPS, synbiotic (SYN), or SYN+LPS diets for 21 days. The control diet consisted of a complete standard corn–soybean-based feed. The SYN diet contained a basal diet with 5% prebiotic mix (grape seed meal–camelina meal) and 0.1% probiotic mix including Lactobacillus acidophilus, Lactobacillus paracasei, and Lactobacillus rhamnosus; on day 21, the LPS and SYN+LPS animals received an LPS challenge and were sampled 3 h later. The expression of colonic genes coding for proteins like tight junctions, mucus/epithelial function, Toll-like receptors and signaling molecules involved in innate response was quantified by quantitative PCR arrays, and the microbiota composition was profiled by 16S rRNA sequencing. The LPS challenge reduced the expression of barrier- and mucus-associated genes and increased that of Toll-like receptors and signaling pathway markers, accompanied by microbial shifts, with reduced beneficial taxa and increased Megasphaera elsdenii. The synbiotic diet counteracted these transcriptional and microbial changes. Overall, the synbiotic supported epithelial integrity and moderated innate immune activation during acute endotoxin stress after weaning. Full article
(This article belongs to the Section Molecular Microbiology)
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7 pages, 257 KB  
Article
Recommended Age of Introduction on Commercial Baby Food Labels: Alignment with Allergy Prevention Guidelines
by Lara Barros, Diana Arantes, Leonor Nora and Inês Pádua
Allergies 2026, 6(1), 9; https://doi.org/10.3390/allergies6010009 - 11 Mar 2026
Viewed by 171
Abstract
Background: Current recommendations for infant weaning suggest the early introduction of solid and diverse foods. Although homemade meals are advisable, there is a demand for commercially available complementary foods (CACFs), and the information present on their labeling influences caregivers’ choices. The aim of [...] Read more.
Background: Current recommendations for infant weaning suggest the early introduction of solid and diverse foods. Although homemade meals are advisable, there is a demand for commercially available complementary foods (CACFs), and the information present on their labeling influences caregivers’ choices. The aim of this study was to evaluate recommended-age-of-introduction labeling of CACFs in the Portuguese market, in light of current guidelines for complementary feeding. Methods: Between November and December 2025, labels of all CACFs found in infant feeding sections of 13 Portuguese grocery retailers were analyzed. Milk formulas, powders, products for children over 15 months, and those for children with food allergies or intolerances were excluded. Results: Of the 539 products analyzed, 458 showed a recommended age for introduction, ranging from 4 to 12 months, with significant variability being observed between food categories. Significant variability was also observed in the recommended age for introduction depending on whether major allergens were present. Conclusions: The results of our study identified an age-segmented approach to complementary feeding recommendations in CACF labeling, not reflecting current infant feeding guidelines that support complementary feeding. Our results reinforce the need for more support from scientific evidence and health guidelines in food availability and marketing. Full article
(This article belongs to the Special Issue Feature Papers 2025)
17 pages, 556 KB  
Article
High Prevalence of Malnutrition and Sarcopenia with Inadequate Nutritional Support in Intensive Care Unit Patients: A Prospective Observational Study of Clinical Outcomes
by Rym Ben Othman, Asma Cherni, Ismail Dergaa, Halil İbrahim Ceylan, Nagihan Burçak Ceylan, Valentina Stefanica, Ines Sedghiani, Nebiha Borsali and Henda Jamoussi
Nutrients 2026, 18(6), 883; https://doi.org/10.3390/nu18060883 - 10 Mar 2026
Viewed by 182
Abstract
Background: Malnutrition and sarcopenia are highly prevalent in intensive care settings and are associated with adverse clinical outcomes. Aim: The study aimed to evaluate the association between nutritional care, nutritional status, and patient outcomes in intensive care units. Methods: This prospective observational study [...] Read more.
Background: Malnutrition and sarcopenia are highly prevalent in intensive care settings and are associated with adverse clinical outcomes. Aim: The study aimed to evaluate the association between nutritional care, nutritional status, and patient outcomes in intensive care units. Methods: This prospective observational study at a Tunisian tertiary hospital investigated nutritional status and management of 100 intensive care unit patients, each of whom was followed for seven days after ICU admission. Malnutrition Risk was assessed by NUTRIC and MNA scores. The severity of disease was assessed using the APACHE II and SOFA scores. Malnutrition was diagnosed using body mass index and weight loss. Sarcopenia was assessed through grip strength, calf circumference, and psoas muscle area. Nutritional management was evaluated using calculations of caloric and protein intake. Clinical outcomes included the need for intubation, difficulty with oxygen weaning, healthcare-associated infections, and the development of pressure ulcers. Results: The participants had a mean age of 54.85 ± 17.25 years, with a slight male predominance (53 males, 47 females). Pre-existing metabolic conditions affected 80% of patients, including hypertension (40 patients), diabetes (36), and obesity (18). The primary reasons for admission were respiratory disorders (25%), infectious diseases (23%), and metabolic disorders (16%). The mean APACHE II score was 15.91 ± 6.84, and the mean NUTRIC score was 3 ± 1.66; 27% were classified as at high risk of malnutrition. The prevalence of malnutrition reached 50% (28% moderate, 22% severe). Only 31% received adequate caloric intake, while 84% had insufficient protein intake. Malnourished patients required intubation more frequently (50% versus 22.5%; p = 0.014), experienced greater difficulty with oxygen weaning (78.4% versus 48.6%; p = 0.008), and developed pressure ulcers more often (43.5% versus 6%; p < 0.001). Sarcopenic patients showed similar patterns for intubation (51.4% versus 18.9%, p = 0.003), oxygen weaning difficulty (77.5% versus 46.9%, p = 0.007), and pressure ulcers (39.2% versus 6.7%, p < 0.001). Conclusions: Malnutrition and sarcopenia are highly prevalent in intensive care patients and are associated with severe complications, including prolonged mechanical ventilation and pressure ulcer development. Inadequate nutritional support remains common despite known consequences. Early comprehensive nutritional assessment and appropriate management from admission are essential to improve outcomes in critically ill patients. Full article
(This article belongs to the Special Issue Nutritional Support for Critically Ill Patients)
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14 pages, 1954 KB  
Article
Improved Growth and Reproductive Performance and Reshaped Gut Microbiota in Jining Grey Goats Through Nubian Crossbreeding
by Jingchao Cao, Huanxiang Li, Yifan Lu, Aowu Wu, Luyu Wang, Tianxu Liu and Zhengxing Lian
Animals 2026, 16(6), 863; https://doi.org/10.3390/ani16060863 - 10 Mar 2026
Viewed by 155
Abstract
Crossbreeding indigenous goats with exotic meat breeds is a common strategy to improve production performance, but its combined effects on growth and reproductive traits and the potential contribution of the gut microbiota have not been systematically evaluated in Chinese goat populations. This study [...] Read more.
Crossbreeding indigenous goats with exotic meat breeds is a common strategy to improve production performance, but its combined effects on growth and reproductive traits and the potential contribution of the gut microbiota have not been systematically evaluated in Chinese goat populations. This study used high-prolific Jining Grey (JJ) does mated with Nubian (N) bucks to establish three genetic groups: purebred Jining Grey (JJ), F1 Nubian × Jining Grey (NJ), and backcross offspring (Nubian × (Nubian × Jining Grey); NJJ). Body weight from birth to 12 months and average daily gain were recorded, reproductive traits (lambing rate, litter size, and kid survival) of primiparous and multiparous does were analyzed, and litter total birth weight and weaning weight per lambing were calculated. Fecal samples from JJ and NJJ goats were subjected to 16S rRNA gene sequencing to characterize gut bacterial communities. Body weight differed significantly among the three genetic groups at all ages (p < 0.01). Crossbred kids (NJ and NJJ) were about 30% heavier at birth and showed higher body weight and average daily gain during pre- and post-weaning periods than JJ kids (p < 0.05), representing a consistent growth advantage. In contrast, lambing rate, litter size and kid survival did not differ among genotypes (p > 0.05), whereas litter total birth weight and weaning weight were higher in crossbred than in purebred does (p < 0.05). Alpha-diversity indices were similar between JJ and NJJ goats (p > 0.05), but community structure was significantly distinct (PERMANOVA, p = 0.001), characterized by an increased Firmicutes-to-Bacteroidota ratio and shifts in several energy metabolism-related genera (p < 0.05). In conclusion, introgression of Nubian genetics into Jining Grey goats improves growth performance and litter weight while maintaining high prolificacy; these improvements are accompanied by a restructured gut microbiota that is associated with these growth patterns. Full article
(This article belongs to the Section Small Ruminants)
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27 pages, 5005 KB  
Article
Epidemiology of Antimicrobial Residues and Phenotypic Resistance of Bacterial Isolates from Waste Milk on California Dairies
by Yotam Mihreteab, Emmanuel Okello, Pramod Pandey, Essam Abdelfattah, Pius S. Ekong, David Sheedy, Wagdy R. ElAshmawy, Betsy M. Karle, Randi A. Black, Deniece R. Williams and Sharif S. Aly
Microorganisms 2026, 14(3), 620; https://doi.org/10.3390/microorganisms14030620 - 10 Mar 2026
Viewed by 135
Abstract
Waste milk (WM) on dairies is commonly fed to pre-weaned calves, raising concerns about antimicrobial drug (AMD) residues and their potential role in selecting for antimicrobial-resistant bacteria in their gut microbiota. The current observational study assessed AMD residue prevalence in WM and examined [...] Read more.
Waste milk (WM) on dairies is commonly fed to pre-weaned calves, raising concerns about antimicrobial drug (AMD) residues and their potential role in selecting for antimicrobial-resistant bacteria in their gut microbiota. The current observational study assessed AMD residue prevalence in WM and examined associations with AMR patterns in its bacterial isolates. Over a 10-month period, 40 WM samples were collected from eight dairies across Northern California, Northern San Joaquin Valley, and Greater Southern California. ELISA was used to detect six AMD residues, and bacterial isolates (n = 348), including coliforms, Streptococcus spp., Staphylococcus spp., and Staphylococcus aureus, were tested for AMR. Antimicrobial resistance was evaluated using the broth microdilution test, and associations with the presence of residues were analyzed via interval-censored accelerated failure time models. Ceftiofur was the most frequently detected residue (30%), followed by penicillin (5%), florfenicol (5%), and sulfadimethoxine (5%). Resistance varied by bacterial species, with significant associations observed between florfenicol residues and resistance in coliforms (MIC ratio = 2.12; p < 0.01), and between ceftiofur residues and resistance in Streptococcus spp. (MIC ratio = 10.51; p = 0.03). These findings suggest that WM may contain low-level AMD residues linked to elevated AMR, highlighting the need for targeted antimicrobial stewardship practices to mitigate AMR dissemination in dairy calves. Full article
(This article belongs to the Section Veterinary Microbiology)
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29 pages, 2344 KB  
Review
Postnatal Steroids in Preterm Infants: A Narrative Review Series—Part 1: Inflammatory Modulation and Respiratory Impacts
by Phoenix Plessas-Azurduy, Anie Lapointe, Punnanee Wutthigate, Sarah Spénard, Marc Beltempo, Wissam Shalish, Guilherme Sant’Anna and Gabriel Altit
Children 2026, 13(3), 384; https://doi.org/10.3390/children13030384 - 9 Mar 2026
Viewed by 409
Abstract
Extremely preterm infants often require prolonged respiratory support due to lung immaturity and inflammation, placing them at high risk of lung injury and development of bronchopulmonary dysplasia (BPD). In many of these infants, systemic postnatal corticosteroids are used to reduce lung inflammation, facilitate [...] Read more.
Extremely preterm infants often require prolonged respiratory support due to lung immaturity and inflammation, placing them at high risk of lung injury and development of bronchopulmonary dysplasia (BPD). In many of these infants, systemic postnatal corticosteroids are used to reduce lung inflammation, facilitate mechanical ventilation (MV) weaning and extubation, and improve short-term pulmonary outcomes. However, despite decades of clinical use, substantial variation persists in timing, choice of agent and dosing. These inconsistencies reflect a lack of strong evidence and a limited understanding of the systemic and organ-specific effects of therapy for a highly heterogenous population usually exposed to this medication. This narrative review addresses these gaps by integrating current knowledge of the inflammatory and respiratory effects of postnatal corticosteroids in extremely preterm infants. We explore how corticosteroids modulate pulmonary inflammation, their effects on lung development, and how they affect key clinical outcomes such as extubation success and BPD severity. We also examine evolving approaches to corticosteroid administration and dosing, highlighting the importance of individualized strategies informed by developmental and disease-specific considerations. Comparative data from randomized controlled trials are reviewed, including the efficacy and side-effect profiles of commonly used regimens. Current evidence supports judicious use of late low-dose dexamethasone, while early prophylaxis with inhaled or intratracheal steroids remains experimental and is not routinely advised. In line with a physiology-driven approach, we also discuss emerging domain-specific monitoring tools that may enhance patient selection and optimize timing of intervention. By synthesizing mechanistic insights with clinical evidence, this review supports a more nuanced, individualized approach to postnatal corticosteroid therapy in extremely preterm infants, balancing therapeutic benefits with potential systemic trade-offs. Full article
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18 pages, 1769 KB  
Article
An Artificial Intelligence Approach to Predict Tracheostomy Requirement in Mechanically Ventilated Critically Ill Patients: A Retrospective Single-Center Study
by Dicle Birtane, Fatma Özdemir, Damla Yavuz and Zafer Çukurova
J. Clin. Med. 2026, 15(5), 2081; https://doi.org/10.3390/jcm15052081 - 9 Mar 2026
Viewed by 156
Abstract
Background: In critically ill patients, tracheostomy decisions are driven by heterogeneous and dynamic clinical trajectories, and no universally accepted scoring system exists to reliably predict tracheostomy requirement. An accurate and interpretable prediction model could help earlier decision-making and potentially reduce prolonged mechanical ventilation [...] Read more.
Background: In critically ill patients, tracheostomy decisions are driven by heterogeneous and dynamic clinical trajectories, and no universally accepted scoring system exists to reliably predict tracheostomy requirement. An accurate and interpretable prediction model could help earlier decision-making and potentially reduce prolonged mechanical ventilation (MV) and failed weaning. Methods: In this retrospective study, data from 6507 mechanically ventilated intensive care unit (ICU) patients were analyzed using an electronic clinical decision support system; 1049 patients required tracheostomy and 5458 did not. The primary outcome was the prediction of tracheostomy occurrence during ICU stay based on invasive mechanical ventilation (IMV) parameters obtained within the first five days. The secondary outcome was the identification of the most influential parameters guiding tracheostomy decision-making during early IMV. Ten machine learning algorithms were developed using an 80/20 train–test split. Model performance was assessed using discrimination, calibration, and clinical performance metrics. Explainability was evaluated using SHapley Additive exPlanations (SHAP) analysis. Results: Among all models, Gradient Boosting demonstrated strong discrimination and calibration performance (AUROC 0.92, AUPRC 0.56, specificity 97%, F1 score 0.46, Brier score 0.078). In the Gradient Boosting model, feature importance analysis demonstrated that secretion count was the strongest predictor of tracheostomy requirement, accounting for 14.72% of the model’s predictive contribution. This was followed by lactate level (6.12%), arterial pH (3.74%), and peak airway pressure (3.57%). SHAP-based analyses consistently identified secretion count as the strongest predictor of tracheostomy requirement, followed by lactate level, Glasgow Coma Scale (GCS), and arterial pH. In addition, SHAP provided clinically interpretable insights into the direction and magnitude of the effects of individual predictors. Conclusions: Machine learning models integrating early-phase ventilatory and physiological data may enable clinically meaningful prediction of tracheostomy requirement. The combination of strong performance and explainability suggests potential utility as a decision-support tool in critically ill patients requiring prolonged MV. Full article
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25 pages, 5393 KB  
Article
Potential of Zinc-L-Selenomethionine to Improve the Health of Weaned Piglets and Its Antioxidant Stress Mechanism Through Modulation of PI3K/AKT and Nrf2/Keap1 Signaling Pathways
by Shujie Liu, Yongming Li, Xin Tao, Siyuan Li, Jie Wu, Fei Ji, Ziwei Xu and Bo Deng
Int. J. Mol. Sci. 2026, 27(5), 2499; https://doi.org/10.3390/ijms27052499 - 9 Mar 2026
Viewed by 235
Abstract
Zinc-L-selenomethionine (Zn-L-SeMet), a novel organic selenium (Se) source, shows great potential in alleviating oxidative stress. This study first evaluated the potential of Zn-L-SeMet to improve the health of weaned piglets and investigated underlying molecular mechanisms. In vivo, 240 weaned piglets were assigned to [...] Read more.
Zinc-L-selenomethionine (Zn-L-SeMet), a novel organic selenium (Se) source, shows great potential in alleviating oxidative stress. This study first evaluated the potential of Zn-L-SeMet to improve the health of weaned piglets and investigated underlying molecular mechanisms. In vivo, 240 weaned piglets were assigned to five dietary groups, namely, a control group (basal diet without Se) and four groups supplemented with Zn-L-SeMet (0.1, 0.2, 0.3, or 0.4 mg Se/kg in basal diet) for 42 days. In vitro, an oxidative stress model was established using hydrogen peroxide (H2O2) in porcine intestinal epithelial cells (IPEC-J2) to investigate the mechanisms of Zn-L-SeMet against oxidative damage. The results showed that Zn-L-SeMet improved growth performance, enhanced antioxidant and immune function, stimulated thyroid hormone secretion, and upregulated expression of selenoprotein genes. In vitro, Zn-L-SeMet reduced H2O2-induced apoptosis, promoted IPEC-J2 viability, and enhanced activities of antioxidant enzymes, while reducing lactate dehydrogenase release, malondialdehyde and reactive oxygen species levels. Furthermore, Zn-L-SeMet significantly increased the expression levels of Keap1, NQO1, HO-1, ARE, p-Nrf2, p-PI3K, and p-AKT, and protein ratio of p-Nrf2/Nrf2, PI3K/PI3K, and p-AKT/AKT compared to the H2O2 group (p < 0.05). In conclusion, Zn-L-SeMet improves health status with antioxidant potential in weaned piglets, and the mechanism is associated with activation of PI3K/AKT and Nrf2/Keap1 pathways. Full article
(This article belongs to the Special Issue Research on Trace Elements in Nutrition and Health)
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Article
Early-Life Behavioral Time Budgets of a Local Dairy Sheep Breed in Indoor and Pasture Systems
by Silvia Parrini, Valentina Becciolini, Riccardo Bozzi, Francesco Sirtori, Maria Chiara Fabbri, Sebastian Schweizer and Carolina Pugliese
Animals 2026, 16(5), 816; https://doi.org/10.3390/ani16050816 - 5 Mar 2026
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Abstract
Given the limited knowledge of early-life behavior in the Massese dairy breed, this study investigated lamb behavior from 5 to 70 days under two rearing conditions to identify age-related behavioral phases potentially relevant to weaning. Twenty-two Massese lambs were reared either in an [...] Read more.
Given the limited knowledge of early-life behavior in the Massese dairy breed, this study investigated lamb behavior from 5 to 70 days under two rearing conditions to identify age-related behavioral phases potentially relevant to weaning. Twenty-two Massese lambs were reared either in an Indoor housing system during the winter or in an outdoor Pasture system during the spring, in accordance with traditional seasonal management practices. Lambs in both systems remained with their dams with continuous access to milk. Behavioral variables, recorded weekly during daylight and expressed as relative frequencies, were analyzed against age and rearing system, using THI as covariate. Growth influenced most behaviors, with similar age-related trends across rearing systems. Suckling behavior decreased significantly with age, tending to cease at approximately 40 days in Indoor lambs and 50 days in Pasture lambs. Grooming also declined over time, indicating reduced affiliative interactions irrespective of the rearing system. In contrast, solid feed intake and rumination increased progressively, reflecting a transition toward nutritional independence. Pasture lambs engaged in moving and grazing activities while indoor lambs spent most of their time lying. These results suggest preliminary insights into a management context-associated, behavior-based weaning window in Massese lambs. Full article
(This article belongs to the Section Small Ruminants)
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