316 results on '"Stephen Todd"'
Search Results
302. Variations in the 24 h temporal patterns and time budgets of grazing, rumination, and idling behaviors in grazing dairy cows in a New Zealand system.
- Author
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Iqbal, Muhammad Wasim, Draganova, Ina, Henry Morel, Patrick Charles, and Morris, Stephen Todd
- Abstract
This study investigated the variations in the temporal distributions and the lengths of times utilized for grazing, ruminating, and idling behaviors by grazing dairy cows over 24 h. Spring-calved lactating dairy cows (N = 54) from three breeds, Holstein-Friesian (HFR), Jersey (JE), and KiwiCross (KC) in different lactations (1st, 2nd, 3rd) and with different breeding worth index values (103 < BW > 151) were selected. The cows were managed through a rotational grazing scheme and milked once a day at 0500 hours. The cows grazed mainly pasture and consumed additional feeds (maize silage and turnips) in the summer and autumn seasons. AfiCollar was used to record grazing and rumination behaviors (min/h) in the individual cows throughout the lactation period (~270 d). The time neither utilized for grazing nor rumination was counted as idling behavior (min/h). A repeat measure design with PROC MIXED was performed in SAS considering the effects of breed, lactation, individual cow, the hour of the day, season, day within the season, and supplementary feed within the season to evaluate the difference in grazing, rumination, and idling behaviors. Hour of the day, season, day within season, and supplementary feed had significant effects on grazing, rumination, and idling behaviors. Regardless of the season and supplementary feed, cows spent most of the daytime grazing and most of the nighttime ruminating. Grazing activity remained consistently high throughout the day with two peaks around dawn and dusk and a short peak around midnight. Rumination activity remained high from the late evening until early morning. Grazing and ruminating patterns were similar between different breeds and lactations, however, JE cows grazed slightly longer than HFR and KC, and first-lactation cows grazed slightly longer than those in higher lactations. The onset and cessation of grazing activity by the cows were adjusted according to varying day lengths by season. Cows finished grazing earlier when they consumed additional supplements or silage along with pasture. Cows from different breed groups and lactations spent most of their 24 h grazing followed by ruminating and idling. Season and supplementary feed potentially affected the variations in behavior time budgets. These findings should support improving measures for grazing management to address pasture allocation and additional feed demands, and animal welfare in varying environmental and/or managemental conditions. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
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303. To Whatever Bastard Slayed Vore's Kat.
- Author
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Booker, Stephen Todd
- Subjects
- TO Whatever Bastard Slayed Vore's Kat (Poem), BOOKER, Stephen Todd
- Abstract
Presents the poem "To Whatever Bastard Slayed Vore's Kat," by Stephen Todd Booker. First Line: None had delved below her surface; Last Line: Is squeezed by him, that moral slug.
- Published
- 2007
304. In Any Water.
- Author
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Booker, Stephen Todd
- Subjects
- IN Any Water (Poem), BOOKER, Stephen Todd
- Abstract
Presents the poem "In Any Water," by Stephen Todd Booker. First Line: Fishing, I've told my friend, is never fair; Last Line: From friends drawn to more than spiffy good looks.
- Published
- 2006
305. FORTY-SOMETHING LINES.
- Author
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Booker, Stephen Todd
- Subjects
- 40-Something Lines (Poem), BOOKER, Stephen Todd
- Abstract
Presents the poem "Forty-Something Lines," by Stephen Todd Booker.
- Published
- 2005
306. Variation of nutritive value, measured by proximal hyperspectral sensing, of herbage offered to grazing dairy cows.
- Author
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Duranovich, Federico Nicolás, Shadbolt, Nicola Mary, Draganova, Ina, López-Villalobos, Nicolás, Yule, Ian James, and Morris, Stephen Todd
- Subjects
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DAIRY cattle , *GRASSES , *DAIRY farms , *ANIMAL herds , *GRAZING - Abstract
This study describes variation of nutritive value (NV), measured by proximal hyperspectral sensing (PHS), of herbage offered to cows on a pasture-based dairy farm. Metabolisable energy (ME), crude protein (CP), neutral detergent fibre (NDF), acid detergent fibre (ADF) and digestible organic matter digestibility (DOMD) were predicted from PHS of canopies during the 2016–17 and 2017–18 production seasons at Dairy 1, Massey University. Mixed linear models including production seasons and months within production seasons as fixed effects and paddocks as random effects were used to estimate least-squares means of herbage NV. Estimates of variance components were obtained with the same models but considering all factors as random effects. A simulation model, e-Cow, was used to explore the effects of herbage NV on dairy cow performance. The NV of herbage offered to cows dropped during summer compared to spring or autumn (P < 0.05). The contribution of the month within production season to NV variance (42.7%) was higher than production season (13.1%) or paddock (10.7%). Cow performance can be limited by ME and NDF, while CP is often found in excess of requirements. The use of canopy PHS for rapid herbage NV measurement can potentially be used to optimise grazing in pasture-based dairy farms. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
307. Predicting Ewe Body Condition Score Using Lifetime Liveweight and Liveweight Change, and Previous Body Condition Score Record.
- Author
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Semakula, Jimmy, Corner-Thomas, Rene Anne, Morris, Stephen Todd, Blair, Hugh Thomas, and Kenyon, Paul Richard
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EWES , *SHEEP , *FORECASTING , *REGRESSION analysis , *TALLIES - Abstract
Simple Summary: This study aimed to investigate the possibility of using lifetime liveweight and liveweight change and previous body condition scores to predict current body condition scores in Romney ewes. Models using a ewe's lifetime liveweight record alone were poor at predicting ewe body condition scores. A combination of lifetime liveweight, liveweight change, and previous body condition scores improved body condition score prediction. If higher accuracy can be achieved, these prediction equations can be incorporated into the electronic weigh heads of modern weigh systems to automatically give farmers predictions of the body condition score (BCS) of an individual during routine weighing. This would benefit farmers by allowing for targeted nutritional management of individual animals to maximize overall flock productivity. The body condition score (BCS) in sheep (Ovis aries) is a widely used subjective measure of body condition. Body condition score and liveweight have been reported to be statistically and often linearly related in ewes. Therefore, it was hypothesized that current BCS could be accurately and indirectly predicted using a ewe's lifetime liveweight, liveweight change, and previous BCS record. Ewes born between 2011 and 2012 (n = 11,798) were followed from 8 months to approximately 67 months of age in New Zealand. Individual ewe data was collected on liveweight and body condition scores at each stage of the annual cycle (pre-breeding, pregnancy diagnosis, pre-lambing, and weaning). Linear regression models were fitted to predict BCS at a given ewe age and stage of the annual cycle using a ewe's lifetime liveweight records (liveweight alone models). Further, linear models were then fitted using previous BCS and changes in liveweight, in addition to the lifetime liveweight records (combined models). Using the combined models improved (p < 0.01) the R2 value by 39.8% (from 0.32 to 0.45) and lowered the average prediction error by 10% to 12% (from 0.29 to 0.26 body condition scores). However, a significant portion of the variability in BCS remained unaccounted for (39% to 89%) even in the combined models. The procedures found in this study, therefore, may overestimate or underestimate measures by 0.23 to 0.32 BCS, which could substantially change the status of the ewe, leading to incorrect management decisions. However, the findings do still suggest that there is potential for predicting ewe BCS from liveweight using linear regression if the key variables affecting the relationship between BCS and liveweight are accounted for. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
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308. Prediction of the Hind-Leg Muscles Weight of Yearling Dairy-Beef Steers Using Carcass Weight, Wither Height and Ultrasound Carcass Measurements.
- Author
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Addis, Addisu Hailu, Blair, Hugh Thomas, Morris, Stephen Todd, Kenyon, Paul Richard, and Schreurs, Nicola Maria
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ERECTOR spinae muscles , *FORECASTING , *EYE muscles , *MUSCLES , *BEEF cattle , *MULTIVARIATE analysis - Abstract
Simple Summary: Carcass classification and grading systems are typically inadequate for young cattle processed for beef production. Conformation of the hindquarter region of cattle has been used to classify and grade the whole carcass from older beef cattle. This study was initiated with the objective of providing a carcass classification and grading system based on hind-leg muscles weight. Prediction equations for the indirect prediction of saleable meat yield using hind-leg muscles weight from young dairy-origin steers were developed, and could be used for their carcass classification and grading. These equations avoid the need to isolate and track boneless subprimal cuts to establish the saleable meat yield of individual animals. Prediction equations have been widely utilized for carcass classification and grading systems in older beef cattle. However, the equations are mostly relevant for common beef breeds and 18 to 24 month old animals; there are no equations suitable for yearling, dairy-origin cattle. Therefore, this study developed prediction models using 60 dairy-origin, 8 to 12 month old steers to indicate saleable meat yield from hind-legs, which would assist with carcass classification and grading. Fat depth over the rump, rib fat depth, and eye muscle area between the 12th and 13th ribs were measured using ultrasound, and wither height was recorded one week prior to slaughter. The muscles from the hind-leg were retrieved 24 h after slaughter. Prediction equations were modeled for the hind-leg muscles weight using carcass weight, wither height, eye muscle area, rump, and rib fat depths as predictors. Carcass weight explained 61.5% of the variation in hind-leg muscles weight, and eye muscle area explained 39.9% (p < 0.05). Their combination in multivariate analysis explained 63.5% of the variation in hind-leg muscles weight. The R2 of the prediction in univariate and multivariate analyses was improved when data were analyzed per age group. Additional explanatory traits for yearling steers, including body length, hearth girth, and muscle depth and dimensions measured using video image analysis scanning (VIAscan), could improve the prediction ability of saleable meat yield from yearling dairy beef steers across the slaughter age groups. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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309. miR-509-5p anti-infection response for mycoplasma pneumonia in sheep by targeting NF-κB pathway.
- Author
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Zhu, Mengting, Cao, Shaoqi, Zheng, Wei, Zhai, Mengting, Wang, Mingyuan, Blair, Hugh T., Morris, Stephen Todd, Zhang, Hongmei, and Zhao, Zongsheng
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SHEEP , *MYCOPLASMA pneumoniae infections , *EPITHELIAL cells , *TOLL-like receptors , *CELLULAR signal transduction , *INFLAMMATION - Abstract
MicroRNAs play a key role in Mannan-binding lectin -mediated resistance to Mycoplasma ovipneumoniae pneumonia, by regulating the translation of mRNAs of target genes, thereby regulating the immune response. Additionally, TRAF6 is a key molecule in Toll-like receptor signal transduction, which mediates inflammation and apoptosis signaling pathways and is widely involved in inflammation and immune response. While the molecular regulation mechanism has not been reported. In this study, we screened differentially expressed miRNAs and genes of Anti-infection for M. pneumonia on Sheep, through relevant bioinformatics analysis. Further, the effect of differential expression of NF-κB signaling pathway related genes on the molecular mechanism of M. pneumonia was detected. We used miRNA-mRNA integrated analysed, the target gene TRAF6 of miR-509-5p was selected. TRAF6 dual luciferase reporter vector was co-transfected into HEK 293T cells and primary sheep respiratory mucosal epithelial cells to detect changes in luciferase activity. qRT-PCR was used to analyze the effect of miR-509-5p on the expression and regulation of TRAF6 and other genes related to the NF-κB signaling pathway. The result confirmed that TRAF6 was a target gene of miR-509-5p. Compared with miR-509-5p-NC group, the luciferase activity of miR-509-5p group was significantly down-regulated (P < 0.01). Further, in sheep respiratory mucosal epithelial cells, miR-509-5p mimic could significantly down-regulate the fold change value of TRAF6 (P < 0.01). On the contrary, miR-509-5p-inhibitor up-regulated the fold change value of TRAF6 (P < 0.05). Interestingly, the expression levels of other genes were different. Among them, miR-509-5p mimic significantly up-regulated TLR4 and IRAK4 (P < 0.05), significantly down-regulated TAK1 (P < 0.05) and NF-κB (P < 0.01). miR-509-5p-inhibitor significantly up-regulated NF-κB (P < 0.05) and TAK1 (P < 0.01). miR-509-5p targets TRAF6 to affect the expression of downstream genes, which negatively regulates the NF-κB pathway, thereby affecting the inflammatory response. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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- View/download PDF
310. Comparative profiling of the resistance of different genotypes of mannose-binding lectin to Mycoplasma pneumoniae infection in Chinese Merino sheep based on high-throughput sequencing technology.
- Author
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Zhu, Mengting, Nan, Ying, Zhai, Mengting, Wang, Mingyuan, Shao, Yanyan, Blair, Hugh T., Morris, Stephen Todd, Kenyon, Paul Richard, Zhao, Zongsheng, and Zhang, Hongmei
- Subjects
- *
MYCOPLASMA pneumoniae infections , *MERINO sheep , *NON-coding RNA , *SCRAPIE , *MICRORNA , *NATURAL immunity , *GENOTYPES - Abstract
Mannose-binding lectin (MBL) glycoproteins in blood can selectively recognise lectins on the surface of bacteria, and play an important role in natural immunity. Micro RNAs (miRNAs) are key molecules that regulate gene expression at the post-transcriptional level in vivo , and their pathways are specific and effective. Previous studies indicate that small RNAs such as miRNAs perform regulatory roles in immunology. Herein, we investigated differential expression of miRNAs during MBL protein immunotherapy in sheep following treatment with different MBL genotypes (resistant and susceptible), and identified miRNAs linked to different target genes and pathways. RNA was extracted from liver tissue of resistant and susceptible sheep, miRNAs were identified by high-throughput sequencing, and differentially expressed miRNAs were analysed by SOAP to predict target genes and biological pathways. Results: Some miRNAs (oar-mir-143, oar-mir-10b, oar-mir-382, oar-mir-432 and oar-mir-379) were up-regulated, while others were down-regulated. GPATCH3 and DNAJC5 were predicted target genes of oar-mir-379, DMRT1 and GATA4 were linked to oar-mir-382, and oar-mir-432 was associated with STAT2, DMRT1 and ATG16L1. Identification of miRNAs differentially expressed in resistant and susceptible sheep may expand our understanding of miRNAs in immune regulation, and the role of MBL in innate immunity. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
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311. Characterization of muscle development and gene expression in early embryos of chicken, quail, and their hybrids.
- Author
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Zhu, Mengting, Wang, Mingyuan, Shao, Yanyan, Nan, Ying, Blair, Hugh T., Morris, Stephen Todd, Zhao, Zongsheng, and Zhang, Hongmei
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CHICKEN embryos , *MUSCLE growth , *EMBRYOLOGY , *GENE expression , *QUAILS , *POULTRY breeding - Abstract
Myogenesis is a complex, regulated process that involves myoblast proliferation, migration, adhesion, and fusion into myotubes. To investigate early development of embryonic muscles and the expression of regulatory genes during myogenesis in chicken, quail and their hybrids, meat-breeding cocks and egg-breeding cocks were selected as male parents, quails were used as female parents. Their offspring were meat and egg hybrids via Artificial insemination. We measured expression of MUSTN1, IGF-1, and PDK4 using qRT-PCR. We examined muscle fiber diameter using scanning electron microscopy. The results showed that muscle development was two days slower in chicken, egg hybrid, and meat hybrid than in quail. Muscle fiber spacing was the largest in chicken, followed by meat hybrid, egg hybrid, and quail. A similar trend was obtained for muscle fiber diameter. Additionally, muscle fiber diameter increased with embryogenesis. The sarcomere was present on day 17 of incubation in quail, but not in the other species. MUSTN1 could up-regulated IGF-1 by activating PI3K/Akt. IGF-1 expression was consistent with myoblast proliferation and myotube fusion. PDK4 was expressed from E7 to E17. The first peak was reached on E10, egg hybrid and meat hybrid reached their peak at E15. PDK4 is involved in the early proliferation and differentiation of muscle, thereby affecting muscle growth and development. Our findings demonstrated that MUSTN1, IGF-1 and PDK4 genes are expressed to varying levels in breast muscle of chicken, quail, egg hybrid and meat hybrid during the embryonic period. Interestingly, with increasing embryonic age, muscle development was approximately 48 h faster in quail than in other species. We speculated that MUSTN1, IGF-1 and PDK4 genes may be the main candidate genes that cause differences in poultry muscle traits, but the molecular regulation mechanisms need to be further studied. Our findings shed some light on the avian embryo muscle formation and molecular breeding of poultry muscle traits, which provide theoretical basis for poultry breeding. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
312. Pre-Exposure of Early-Weaned Lambs to a Herb-Clover Mix Does Not Improve Their Subsequent Growth.
- Author
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Ekanayake, Lukshman Jay., Corner-Thomas, Rene Anne, Cranston, Lydia Margaret, Kenyon, Paul Richard, Morris, Stephen Todd, and Pain, Sarah Jean
- Subjects
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LAMBS , *RYEGRASSES , *WHITE clover , *RED clover , *ALIMENTARY canal , *MIXING - Abstract
Simple Summary: Exposure of lambs to herbage-based diets prior to weaning may facilitate the development of the rumen which may subsequently increase animal performance after early weaning. The aim of this study was to estimate the effects of varying durations of exposure of lambs to a herb–clover mix containing chicory, plantain, red clover, and white clover prior to early weaning (at ~45 days of age) on their subsequent growth and rumen development at conventional weaning age. Prolonged exposure of lambs to the herb–clover mix prior to early weaning had no impact on lamb growth or rumen development, suggesting that using this management option will not improve performance of lambs after early weaning. Twin sets of lambs were randomly allocated to one of six treatments: (1) lambs born and managed on ryegrass–clover-based pasture until conventional weaning approximately at 99 days of age (Grass–GrassCW); (2) lambs born on ryegrass–clover-based pasture and early weaned onto a herb–clover mix at ~45 days of age (Grass–HerbEW); (3) lambs born on ryegrass–clover-based pasture, transferred with their dam onto a herb–clover mix at ~45 days of age until conventional weaning (Grass–HerbCW); (4) lambs born on ryegrass–clover-based pasture, transferred with their dam onto a herb–clover mix at ~15 days of age and early weaned onto a herb–clover mix at ~45 days of age (Grass–HerbD15EW); (5) lambs born and managed on herb–clover mix until conventional weaning (Herb–HerbCW); (6) lambs born on herb–clover mix and weaned early onto a herb–clover mix at ~45 days of age (Herb–HerbEW). In both years, Herb–HerbCW lambs had greater (p < 0.05) growth rates than lambs in other treatments. The liveweight gains and rumen papillae development of Herb–HerbEW, Grass–HerbD15EW and Grass–HerbEW lambs did not differ (p > 0.05). The weight of the empty digestive tract components at either early weaning or conventional weaning did not differ (p > 0.05) between treatments. Exposing early-weaned lambs to the herb mix for a prolonged period, prior to early weaning, does not improve their subsequent growth. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
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313. Modelling a Transition from Purebred Romney to Fully Shedding Wiltshire-Romney Crossbred.
- Author
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Farrell LJ, Morris ST, Kenyon PR, and Tozer PR
- Abstract
Considering the current low prices for coarse wool (fibre diameter > 30 µm), a grading up transition to a shedding flock may eliminate wool harvesting costs and increase sheep farm profit. This transition could be achieved by breeding non-shedding ewes with Wiltshire rams. A bio-economic system-dynamics model of a pastoral sheep farming enterprise was used to simulate this grading up transition from 2580 Romney ewes to a similarly-sized flock of fully shedding third or fourth cross Wiltshire-Romney ewes. The total annual sheep feed demand was constrained within a ±5% range to minimise disruption to the on-farm beef cattle enterprise. Wool harvesting expenses were eliminated after seven years of transition, and with reduced feed demand for wool growth, the post-transition shedding flocks had more ewes producing more lambs and achieving greater annual profit compared with the base Romney flock. The net present values of transition were 7% higher than the maintenance of the base Romney flock with a farmgate wool price of $2.15/kg. Results suggest that coarse wool-producing farmers should consider a grading up transition to a shedding flock, and the collection of data on the production of Wiltshire-Romney sheep in New Zealand would improve the accuracy of model predictions.
- Published
- 2020
- Full Text
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314. The Effect of Age, Stage of the Annual Production Cycle and Pregnancy-Rank on the Relationship between Liveweight and Body Condition Score in Extensively Managed Romney Ewes.
- Author
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Semakula J, Corner-Thomas RA, Morris ST, Blair HT, and Kenyon PR
- Abstract
This study determined the nature of the relationship between liveweight and body condition score (BCS) and assessed the influence of the stage of the annual cycle and pregnancy-rank on the relationship between liveweight and BCS in Romney ewes. Data were collected from the same ewes at different ages (8-18, 19-30, 31-42, 43-54, 55-66 and ≥67 months), stages of the annual cycle (pre-breeding, at pregnancy diagnosis, pre-lambing and weaning) and pregnancy-rank (non-pregnant, single or twin). Linear regression was determined as being sufficient to accurately describe the relationship between liveweight and BCS. Across all data, a one-unit change in BCS was associated with 6.2 ± 0.05 kg liveweight, however, this differed by stage of the cycle, pregnancy-rank and ewe age ( p <0.05). The average liveweight per unit change in body condition score increased with the age of the ewe and was greatest at weaning and lowest pre-lambing. Among pregnancy-ranks, the average liveweight per unit change was also greater during pregnancy diagnosis than pre-lambing and was greatest among single and lowest in non-pregnant ewes. The results support the hypothesis that the relationship between liveweight and BCS is affected by the interaction between stage of the annual cycle, pregnancy-rank and ewe age.
- Published
- 2020
- Full Text
- View/download PDF
315. Lambs Weaned Early onto a Herb-Clover Mix Have the Potential to Grow at a Similar Rate to Unweaned Lambs on a Grass-Predominant Pasture.
- Author
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Ekanayake LJ, Corner-Thomas RA, Cranston LM, Kenyon PR, and Morris ST
- Abstract
Liveweight gain of lambs weaned early at a minimum live weight of 14 kg, at ~50 days of age, onto a herb-clover mix was compared with lambs that remained unweaned on a grass-predominant pasture or a herb-clover mix until conventional weaning (at ~99 days of age). Over two years, twin sets of lambs that had a minimum live weight of 14 kg were randomly allocated to one of three treatments: (1) Early weaning of lambs onto a herb-clover mix (Herb
EW ); (2) ewes and lambs grazing a herb-clover mix until conventional weaning (HerbCW ); and (3) ewes and lambs grazing a grass-predominant pasture until conventional weaning (GrassCW ). HerbEW lambs had slower ( p < 0.05) growth rates than GrassCW lambs between early weaning and conventional weaning in 2016 and were 800 g lighter ( p < 0.05) at conventional weaning. In 2017, however, both HerbEW and GrassCW had similar ( p > 0.05) growth rates and did not differ ( p > 0.05) in live weight at conventional weaning. HerbCW lambs had a greater ( p < 0.05) growth rates than both HerbEW and GrassCW lambs in both years. Lambs weaned early onto a herb-clover mix have the potential to achieve live weights similar to lambs unweaned on grass-predominant pasture. Further research, however, is required to understand conditions under which early-weaned lambs can achieve similar live weights.- Published
- 2020
- Full Text
- View/download PDF
316. Individual short-acting opioids and the risk of opioid-related adverse events in adolescents.
- Author
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Chung CP, Callahan ST, Cooper WO, Dupont WD, Murray KT, Franklin AD, Hall K, Dudley JA, Stein CM, and Ray WA
- Subjects
- Adolescent, Analgesics, Opioid administration & dosage, Child, Cohort Studies, Emergency Service, Hospital statistics & numerical data, Female, Hospitalization statistics & numerical data, Humans, Incidence, Male, Retrospective Studies, Tennessee, Analgesics, Opioid adverse effects, Drug Overdose epidemiology, Pain drug therapy
- Abstract
Purpose: Hydrocodone, codeine, oxycodone, and tramadol are frequently prescribed to adolescents for moderate pain related to minor trauma or dental, surgical, or medical procedures. Pharmacokinetic and pharmacodynamic differences between these opioids could affect their relative safety. We aimed to compare occurrence of opioid-related adverse events in adolescents without cancer or other severe conditions taking hydrocodone, codeine, oxycodone, and tramadol., Methods: Retrospective cohort study of 201 940 Tennessee Medicaid enrollees 12 to 17 years of age without cancer, other severe conditions, or evidence of substance abuse with 529 731 filled prescriptions for study opioids. Adverse events were defined as an emergency department visit, hospital admission, or death related to opioid use, confirmed by medical record review. Serious events had opioid-related escalation of care, hospitalization, or death. Propensity-score adjusted hazard ratios (HRs) were calculated with hydrocodone as the reference category., Results: The incidence of opioid-related adverse events per 10 000 person-years of opioid exposure was 97.5 for hydrocodone (127 events/13 026 person-years), 91.2 for codeine (58/6,359), 229.7 for oxycodone (43/1,872), and 317.7 for tramadol (47/1479). The HRs for tramadol in comparison with hydrocodone for all and serious events were 2.98 (2.03-4.39) and 2.94 (1.81-4.75), respectively. Increased risk for tramadol was consistently present when the adverse events were restricted to those with neurologic-respiratory depression/other symptoms of possible overdose., Conclusion: In adolescents without cancer or other severe conditions prescribed short-acting opioids, the incidence of both all opioid-related adverse events and more serious events with opioid-related escalation of care, hospitalization, or death was consistently greater for tramadol than for hydrocodone., (© 2019 John Wiley & Sons, Ltd.)
- Published
- 2019
- Full Text
- View/download PDF
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