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The success of a large-scale eradication programme against sarcoptic mange was evaluated in piglet producing herds belonging to the health class LSO 2000. These farms are monitored to be free from sarcoptic mange, swine enzootic pneumoniae, swine dysentery and progressive atrophic rhinitis. The local veterinarians were instructed to eradicate sarcoptic mange from the herds by 2 ivermectin injections 14 days apart or 3 treatments with phoxim pour-on 6 days apart before the farms were able to join the health class. The study consisted of a questionnaire administered to the farmers, farm visits and follow-ups associated with the regular control of the health class. A questionnaire was sent to all of the 379 accepted farrowing farms. Altogether 323 farmers had initiated an eradication programme at least 7 months before the questionnaire was distributed and 96% of them believed that the mange eradication programme had been successful. In most of the successful herds (90%), the local veterinarian had treated the animals by the recommended methods, and the majority of the farmers (88%) had cleaned and sprayed the pens with insecticides on the days of treatment. Three out of the 7 unsuccessful farms had employed methods other than those recommended. Twenty-five herds were randomly selected for an intensified control. The rubbing index was < or = 0.1 in all herds visited, indicating freedom from mange. Sows or gilts, 15-20 animals per farm, were skin scraped and no Sarcoptes scabiei was found. The same animals were blood sampled and serum antibodies to S. scabiei were measured by an indirect ELISA. All except 1 farm had low optical density (OD) values in most of the samples. The owner of that farm had become uncertain about the mange status of the herd and had recently retreated all animals with acaricides. The number of complaints about mange in the finishing units buying health class feeder pigs was low. The study demonstrates that it is possible to run an eradication programme against sarcoptic mange, in which a large number of farmers together with their veterinarians participate. It is possible to eradicate mange not only at the herd but also at the population level. The ELISA test employed proved to be a possible tool to monitor the efficacy of mange-eradication programmes.

The antioxidative activity of a total of 92 phenolic extracts from edible and nonedible plant materials (berries, fruits, vegetables, herbs, cereals, tree materials, plant sprouts, and seeds) was examined by autoxidation of methyl linoleate. The content of total phenolics in the extracts was determined spectrometrically according to the Folin-Ciocalteu procedure and calculated as gallic acid equivalents (GAE). Among edible plant materials, remarkable high antioxidant activity and high total phenolic content (GAE > 20 mg/g) were found in berries, especially aronia and crowberry. Apple extracts (two varieties) showed also strong antioxidant activity even though the total phenolic contents were low (GAE < 12.1 mg/g). Among nonedible plant materials, high activities were found in tree materials, especially in willow bark, spruce needles, pine bark and cork, and birch phloem, and in some medicinal plants including heather, bog-rosemary, willow herb, and meadowsweet. In addition, potato peel and beetroot peel extracts showed strong antioxidant effects. To utilize these significant sources of natural antioxidants, further characterization of the phenolic composition is needed.

This study was undertaken to determine management and seasonal effects on fertility in 1298 Finnish sow units over a 4-year period in 1992-1996. A multivariate analysis of the herd record data was undertaken to study the effect of various management factors on rebreeding rate. Factors found to have an effect were further subjected to time series plotting for seasonal effects. In addition, seasonal effects on the farrowing rate, age of gilts at first mating and littersize as well as the 3-week litterweight were studied. Year and month caused the most significant variation in the rebreeding rate. Moreover, geographical area, herd and way of breeding (mating vs. artificial insemination) were found to be significant determinants of rebreeding rate. Dry sows loosely housed were more likely to be rebred than sows housed in individual stalls. Sows receiving roughage feed (hay, straw) or bedding (straw) were less likely to require rebreeding. A significant seasonal fluctuation in farrowing rate was found with a nadir of 72.6% in August and a high of 80.9% in January. The average farrowing rate for the 4-year period was 77.7%. The age of gilts at first mating showed seasonal variation of 11 days (229.9 +/- 0.5 days in March and 241.4 +/- 0.5 days in November). In conclusion, this study indicates that group housing of dry sows increases the risk of rebreeding. In group housed sows, rebreeding more often occurs after an irregular oestrus-to-oestrus interval in summer-autumn whereas a not-in-pig seems to be a more common finding at late gestation in individually housed sows.

The study was conducted in order to determine if eradication of swine enzootic pneumoniae (SEP) had succeeded with different variants of partial depopulation during the eradication programme on swine farrowing farms joining a health class, LSO 2000. The farms in the health class need to be free from swine enzootic pneumoniae, swine dysentery, sarcoptic mange and atrophic rhinitis. Twenty-one eradication attempts for M. hyopneumoniae were carried out using different variants based on separating adult animals for 2 weeks from infected young pigs which were not returned to the herd. The infected young pigs were kept in the same building (variant 1) in 4 herds and on the same compound (variant 2) as disease-free pigs in 12 herds. The infected young pigs were finally all sold. In 5 herds only adult animals were present during the eradication (variant 3). The eradication attempt succeeded in 81% and failed or remained uncertain in 19% of the herds. The result was confirmed with 1) frequent clinical follow-up of the health status in the herds (both the farrowing and the finishing units) joining the LSO 2000 health class 2) milk and/or blood serology. Possible causes of the failure of the eradication attempt were described: a short distance between infected and uninfected animals, the time period between diagnosis of SEP and initiation of the programme, the age of the youngest animal kept on the farm, the period of time when animals with different status were reared close to each other, the medications used, the cleaning of the facilities during the programme and the season. Further, a good cooperation between the farmer, the local veterinarian and the animal health service of the slaughterhouse was an essential part of the initiation and the follow-up of the programme. The secondary aim of the study was to collect information about the expenses during the programme. Only 57% of the farmers gave some estimates for the expenses on their farms. For variants 1, 2 and 3 the expenses were 879, 1110 and 1274 FIM per sow (1 USD = 5.5 FIM), respectively (p > 0.1).

Seasonal effects on fertility of the domestic sow were assessed by retrospective analysis of the Finnish national computerised data management system covering 1081 herds in 1993. Multivariate analyses were used, where the reproductive parameter of interest (repeat breeding, weaning to oestrus interval, age of gilts at first farrowing, litter size, culling due to anoestrus or no conception) was designed as the response variable. The months of the year (each month compared with January) and all herds and breed were included in the models as explanatory variables. The study demonstrated clear seasonal effects on various aspects of fertility in the domestic sow. The poorest reproductive performance was consistently observed in late summer and autumn and was demonstrated in a number of ways. Firstly, the gilts born between December and April were older (> 5 days) at farrowing than those born during the rest of the year (p < 0.01). Secondly, the risk that a culled sow would be culled due to anoestrus was significantly increased during the autumn months (Odds Ratio (OR) ranged from 1.10 to 1.36). Thirdly, the risk of a repeat breeding was higher from July to November (OR = 1.16). Risk of a prolonged weaning-to-oestrus beyond day 10 was the highest from August to October (OR ranged from 1.70 to 1.77). Risk of a sow to be culled due to no conception was the highest in January and February (weaned in October-November). In addition, descriptive data gathered in a slaughterhouse in 1993 (a subpopulation of the sows included in the herd records) suggest that incidence of inactive ovaries is increased in summer-autumn (p < 0.05). In conclusion, a marked reduction in fertility of the domestic sow in Finland is reported between July and November.

Reproductive organs were collected from one slaughterhouse and culling data were obtained from Finnish swine herd records to determine the types and frequencies of various fertility disturbances in Finnish female pigs. Detailed information about the type and occurrence of fertility disturbances was obtained through a close examination of the slaughterhouse material. A total of 1708 reproductive organs of female pigs were examined. The following findings were recorded: no macroscopical abnormalities 52.3%, inactive ovaries 25.1%, parovarian cysts 22.9%, single ovarian cysts 3.1%, multiple ovarian cysts 3.1%, uterine disorders 1.4%, ovarian adhesions 1.1%, congenital anomalies 0.8%, tumour-like lesions in ovaries 0.8%, obstruction of oviduct 0.2%, and suppurative ovarian infection 0.1%. A large proportion, 42% of the culled gilts and 39% of the culled sows, were slaughtered because of impaired fertility based on no pregnancy, no heat or poor piglet production. The sows were removed from the herds 33 days on average after weaning.

Two series were used in studying the use of a low dose of intravaginal cloprostenole in oestrous synchronisation of zebu cows. In series I, 39 cows were given 175 mcg of cloprostenole with a plastic catheter in the anterior vagina twice, with a 12-day interval. After treatment, 61.5% of these cows came into heat, were inseminated and 70 days later pregnancies were confirmed in 66.6% of inseminated cows. In series II, intravaginal treatment (40 cows) was compared with intramuscular administration (33 cows) of 500 mcg of cloprostenole. After treatment the cows were checked for silent heat in addition to visible heat. The overall oestrous response, for both visible and silent heat, was 62.6% and 60.6% after the intravaginal and the intramuscular treatments respectively, and there was no statistical difference between the 2 treatments. Unfortunately the pregnancy of the cows could not be checked. Intravaginal administration of 175 mcg of cloprostenole resulted in good oestrous synchronisation and pregnancy rate. For zebu cattle, the oestrous synchronisation response was similar to that reached with 500 mcg of cloprostenole administered intramuscularly.

The relationship of major dietary carotenoids, preformed and total vitamin A, and different foods to serum beta-carotene and serum retinol levels was studied among 224 male and 117 female adults taken from the Finnish Mobile Clinic Health Examination Survey. Serum nutrients were analysed after 10-15 years of storage at -20 degrees C. Dietary data were collected by a quantitative dietary history interview method. Intakes of nutrients were calculated based on analysed data on Finnish foods. The positive gradient between beta-carotene intake and serum level, being highly significant in women and non-significant in men, was concentrated in non-smokers. Other major dietary carotenoids tended to be positively correlated with serum beta-carotene in parallel with dietary beta-carotene. Carrot intake was the most specific single food predictor for serum beta-carotene. Serum retinol levels were not significantly associated with dietary variables and were not affected by current smoking. In women, serum beta-carotene values were higher, but serum retinol levels lower, compared with men. The results support earlier findings that smoking modifies the association between dietary beta-carotene and serum beta-carotene, and suggest that despite the long storage of serum samples beta-carotene determinations had some value as a biological marker for beta-carotene in the diet.

The relation between the intake of retinoids, carotenoids, vitamin E, vitamin C, and selenium and the subsequent risk of lung cancer was studied among 4,538 initially cancer-free Finnish men aged 20-69 years. During a follow-up of 20 years beginning in 1966-1972, 117 lung cancer cases were diagnosed. Inverse gradients were observed between the intake of carotenoids, vitamin E, and vitamin C and the incidence of lung cancer among nonsmokers, for whom the age-adjusted relative risks of lung cancer in the lowest tertile of intake compared with that in the highest tertile were 2.5 (p value for trend = 0.04), 3.1 (p = 0.12), and 3.1 (p less than 0.01) for the three intakes, respectively. Adjustment for various potential confounding factors did not materially alter the results, and the associations did not seem to be due to preclinical cancer. In the total cohort, there was an inverse association between intake of margarine and fruits and risk of lung cancer. The relative risk of lung cancer for the lowest compared with the highest tertile of margarine intake was 4.0 (p less than 0.001), and that for fruits was 1.8 (p = 0.01). These associations persisted after adjustment for the micronutrient intakes and were stronger among nonsmokers. The results suggest that carotenoids, vitamin E, and vitamin C may be protective against lung cancer among nonsmokers. Food sources rich in these micronutrients may also have other constituents with independent protective effects against lung cancer.

The average retinoid, carotenoid, and vitamin A (RE, retinol equivalents) intake of the Finnish population was determined. The food consumption data were derived mainly from the national food balance sheets (for 1987). In this study, the average Finnish diet was composed twice a year, and the retinoid and carotenoid composition was analysed using high-performance liquid chromatography (HPLC). The intake of retinoids and carotenoids was also calculated using the most recent Finnish analytical data on food composition. The vitamin A content of beef, chicken and pork liver, all of which contribute of the vitamin A intake, at different times of the year was determined. The beta-carotene intake in Finland varied between 1700 and 2100 micrograms/day, depending on the season. It is obvious that liver consumption plays a significant role in the vitamin A intake. Since the concentration of retinoids in liver, and especially in pork liver, is extremely high, the average vitamin A intake of the Finnish population may exceed 3000 RE/day. If liver consumption (3.7 g/day) is excluded, the average daily vitamin A intake in Finland is 970-1200 RE, a value in better agreement with the recommended daily allowances.

The Finns average intake of tocopherols, tocotrienols, and vitamin E (alpha-tocopherol equivalents) was determined. The food consumption data were derived mainly from the national food balance sheets (for 1987). The average Finnish daily diet was composed and analyzed both in spring and in autumn in order to minimize the effect of seasonal variation. The four tocopherols and four tocotrienols were then determined using high-performance liquid chromatography (HPLC). For comparison, the intake of vitamin E compounds was also calculated using the most recent Finnish analytical data on tocopherols and tocotrienols in food. According to the analytical results, the average daily vitamin E intake in Finland was 10.7 mg alpha-tocopherol equivalents (alpha-TE) of which amount 85% is due to alpha-tocopherol. The analyzed values (10.8 mg alpha-TE in spring and 10.7 mg alpha-TE in autumn) of vitamin E intake did not markedly differ from the calculated value (10.3 mg alpha-TE), thus indicating that the Finnish food composition data upon tocopherols and tocotrienols is up-to-date and accurate. The best food sources of vitamin E were dietary fat (41% of the total amount), cereals (18%), and dairy products and eggs (13%). The average Finnish diet contained 9.5 g of polyunsaturated fatty acids (PUFA), which leads to the ratio of 0.9 between alpha-tocopherol (mg) and PUFA (g). According to these results, the dietary recommendations for vitamin E are met in Finland.

The effect of sampling site and closeness of malignant tumor on the retinoid, carotenoid, tocopherol, and tocotrienol concentration of adipose tissue of human breast was studied in 10 cases of breast cancer. The four anatomic quadrants of breast did not differ from each other statistically significantly in relation to adipose tissue concentrations of the vitamins studied. Proximity of malignant tumor did not affect the vitamin concentrations when compared to the more distant sampling sites. Representative sample of breast adipose tissue for vitamin concentration analysis can be obtained from tissue adjacent to the tumor.

As part of an overall composition study of Finnish foods, the carotenoid and retinoid content of 20 dairy product samples and eggs were determined by HPLC. The total beta-carotene (all-trans beta-carotene plus 15-cis beta-carotene) was quantitated for dairy products. For egg and egg yolk, lutein content was also determined. Only traces of lycopene, cryptoxanthin, and alpha-carotene were present. All-trans retinol and 13-cis retinol were the major retinoids in dairy products. Small amounts of 9-cis, 11-cis, and 9,11-cis retinols were found. High values of both retinol and beta-carotene were found in full fat cheeses and whipping cream: from 179.0 (cheese, Edam-type) to 318.7 micrograms/100 g (whipping cream) and from 86.7 (cheese, Edam-type) to 186.5 micrograms/100 g (whipping cream) for all-trans retinol and total beta-carotene, respectively. The retinol content averaged 16.3, 32.6, and 52.2 and that of beta-carotene 9.6, 16.7, and 3.0 micrograms/100 g in milk (1.9% fat), milk (3.9% fat), and human milk, respectively. The major pigment in eggs and egg yolk was lutein, 619.5 micrograms/100 g in eggs and 1575.8 micrograms/100 g in egg yolk. According to this study, at the present level of consumption in Finland, milk, milk products (excluding butter), and eggs result in a daily intake of about 350 retinol equivalents, and consequently, are a major source of vitamin A.

The direct hospital costs of 100 coronary artery bypass grafting operations are calculated. The basis of the calculations is the detailed, function-based, market-priced analysis of the files, including the hospital deaths, complication and reoperations of this patient group. The price of a CABG operation proved to lie somewhere between FIM 30,000 and 50,000, the mean value being FIM 46,800. The variation range is wide: FIM 18,200-FIM 249,500 (SD +/- FIM 26,000). It must be emphasized, however, that all preoperative hospital costs including coronary angiography costs and also postoperative follow-up hospital costs fall beyond this study.

In order to examine the effect of treated and untreated retained placenta (RP) on fertility and on the occurrence of puerperal and fertility diseases, the records of 248 cows with RP were examined: 199 cows were treated with intrauterine tetracycline or systemic therapeutics, and 49 were left untreated. One hundred and ninety-six herd mates without RP served as controls. The fertility of the cows with RP was lower than that of the controls. The effect of treatment on fertility was neither beneficial nor harmful. The untreated cows with RP seemed to be treated more often for endometritis and repeat breeding than either the treated animals or the controls. Mastitis within 1 week after calving was more common in both groups of RP cows than in the controls. Most cases of mastitis in the treated RP group could be diagnosed at the time of RP treatment.

Health services planning on a regional or national level needs information on health care utilization as well as data on the population to be served. Health or hospital information systems usually cover services provision and utilization, and population data for planning purposes must be obtained from other sources. In the health information system presented, hospital performance data are combined with census and socioeconomic data of the population. That makes cautious analysis of reasons for variation in health care utilization within the planning area possible. The HIS is regional, including 11 health care providers, and population based, linking data to municipality (38 in all). The system is described, including its structure, input registration, file content and output formats. An output example is presented. Necessary conditions for use of the HIS in planning activities are that the corresponding health care delivery system is comprehensive, the population served well defined, and that good control of patient flow and user behaviour is achieved. Use is limited by the character of information stored in the HIS: it is registered retrospectively and by routine. In a system covering various hospitals and municipalities, engaging different types of clerical and health care personnel, data reliability is also a critical issue.

Over 21,000 hospital episodes due to cerebrovascular disease (CVD, ICD-8 nos. 430-438) were registered in the Helsinki hospitals in 1970-1980. Of those 17,629 were identified as new cases. The age-adjusted incidence of haemorrhagic and thrombotic stroke (430-433) declined during the period 1970-1975 from 221 to 139 cases/100,000 inhabitants, whereafter no further decrease was observed. The decline in incidence was significant in both sexes. Analysis by diagnosis group showed that the decrease was confined to the incidence of haemorrhagic stroke (430-432), whereas the incidence of thromboembolic stroke (433, 434) and transient ischaemic attacks (435) remained virtually unchanged. Survival was mainly determined by patient age and type of CVD. Intracerebral haemorrhage and occlusion of precerebral arteries exhibited the poorest short-term prognosis. About half of the patients hospitalised due to cerebral thrombosis and embolism survived over one year. Long-term prognosis of the major CVD groups was very poor with only 10% of the patients alive after eight years. Transient cerebral ischaemia and subarachnoid haemorrhage had a clearly better prognosis, the survival rates after eight years being 45 and 30%, respectively.