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In March 2017, the New Jersey Department of Health received reports of 3 patients who developed septic arthritis after receiving intra-articular injections for osteoarthritis knee pain at the same private outpatient facility in New Jersey. The risk of septic arthritis resulting from intra-articular injection is low. However, outbreaks of septic arthritis associated with unsafe injection practices in outpatient settings have been reported.
An infection prevention assessment of the implicated facility’s practices was conducted because of the ongoing risk to public health. The assessment included an environmental inspection of the facility, staff interviews, infection prevention practice observations, and a medical record and office document review. A call for cases was disseminated to healthcare providers in New Jersey to identify patients treated at the facility who developed septic arthritis after receiving intra-articular injections.
We identified 41 patients with septic arthritis associated with intra-articular injections. Cultures of synovial fluid or tissue from 15 of these 41 case patients (37%) recovered bacteria consistent with oral flora. The infection prevention assessment of facility practices identified multiple breaches of recommended infection prevention practices, including inadequate hand hygiene, unsafe injection practices, and poor cleaning and disinfection practices. No additional cases were identified after infection prevention recommendations were implemented by the facility.
Aseptic technique is imperative when handling, preparing, and administering injectable medications to prevent microbial contamination.
This investigation highlights the importance of adhering to infection prevention recommendations. All healthcare personnel who prepare, handle, and administer injectable medications should be trained in infection prevention and safe injection practices.
Empirically-based economic injury levels are lacking for pea aphid, Acyrthosiphon pisum Harris (Hemiptera: Aphididae), as a direct pest of dry peas, Pisum sativum Linnaeus (Fabaceae). To address this need, the relationship between pea aphid density and yield of dry pea (cultivar Aragorn) were quantified by encaging pea aphids at varying densities for 17-day infestation periods during 2009 and 2010 in Moscow, Idaho, United States of America. Pea aphid density after infestation at the early reproductive stage of the crop (x) significantly reduced dry pea seed yield (relative weight of US #1 dry peas, y): y = 0.7733 − 0.00998x + 0.000037x2. Economic injury levels were computed based on this relationship and incorporating the cost of control, crop market value, insecticide efficacy, and crop yield potential. The resulting economic injury levels ranged from five to 19 pea aphids per plant at the start of early reproductive growth stages of dry peas. For usability these were converted to sweep net sample size equivalents of 86–307 pea aphids per twenty-five 180-degree sweeps with a standard sweep net. These economic injury levels are applicable in the inland Pacific Northwest, United States of America, where they were developed and likely in other regions with similar climatic and agronomic conditions.
Organic pig husbandry systems in Europe are diverse – ranging from indoor systems with concrete outside run (IN) to outdoor systems all year round (OUT) and combinations of both on one farm (POUT). As this diversity has rarely been taken into account in research projects on organic pig production, the aim of this study was to assess and compare pig health, welfare and productivity in these three systems. Animal health and welfare were assessed using direct observation and records of 22 animal-based measures, comprising 17 health-, 3 productivity- and 2 behavioural measures. These were collected in pregnant sows, weaners and fattening pigs during direct observations and from records within a cross-sectional study on 74 farms (IN: n = 34, POUT: n = 28, OUT: n = 12) in eight countries. Overall, prevalence of several animal health and welfare issues was low (e.g. median 0% for pigs needing hospitalisation, shoulder lesions, ectoparasites; <5% for runts, tail lesions, conjunctivitis). Exceptions in particular systems were respiratory problems in weaners and fatteners (IN: 60.0%, 66.7%; POUT: 66.7%, 60.0%), weaning diarrhoea (IN: 25.0%), and short tails in fatteners (IN: 6.5%, POUT: 2.3%). Total suckling piglet losses (recorded over a period of 12 months per farm) were high in all three systems (IN: 21.3%; POUT: 21.6; OUT: 19.2%). OUT had lower prevalences of respiratory problems, diarrhoea and lameness of sows. POUT farms in most cases kept sows outdoors and weaners and fatteners similar to IN farms, which was reflected in the results regarding several health and welfare parameters. It can be concluded, that European organic pigs kept in all three types of husbandry system showed a low prevalence of health and welfare problems as assessed by our methodology, but respiratory health and diarrhoea should be improved in weaners and fatteners kept indoors and total piglet mortality in all systems. The results provide benchmarks for organic pig producers and organisations which can be used in strategies to promote health and welfare improvement. Furthermore, in future research, the identified health and welfare issues (e.g. suckling piglet mortality, weaning diarrhoea) should be addressed, specifically considering effects of husbandry systems.
The antiquity of iron meteorites and the inferred early intense heating by the decay of 26Al suggest that many planetesimals were molten beneath a thin insulating cap at the same time as chondrules were being made. As those planetesimals were colliding and merging, it seems inevitable that impact plumes of droplets from their liquid interiors would have been launched into space and cooled to form chondrules. We call the process splashing; it is quite distinct from making droplets by jetting during hypervelocity impacts. Evidence both for the existence of molten planetesimals, and for the cooling of chondrules within a plume setting, is strong and growing. Detailed petrographic and isotopic features of chondrules, particularly in carbonaceous chondrites (that probably formed beyond the orbit of Jupiter), suggest that the chondrule plume would have been ‘dirty’ and the otherwise uniform droplets would have been contaminated with earlier-formed dust and larger grains from a variety of sources. The contamination possibly accounts for relict grains, for the spread of oxygen isotopes along the primitive chondrule mineral (PCM) line in carbonaceous chondrites, and for the newly recognized nucleosynthetic isotopic complementarity between chondrules and matrix in Allende.
Recently much research has been carried out to enhance piglet survival by genetic improvement. Heritabilities of traits associated with piglet survival are generally low, but the genetic variation is large enough to provide improvement through breeding (Knol et al., 2002). However, correlations between some traits and/or between maternal and direct genetic effects have shown contradictory results, and not many studies have considered these effects. Reports of correlations between piglet survival traits and production traits are even fewer. The aim of this study was to estimate heritabilities of piglet survival traits and their genetic associations with other reproduction traits as well as production traits, using a Bayesian approach and appropriate models and genetic statistical procedures in order to obtain more accurate genetic parameters.
Standards for organic pig production recommend that growing pigs are maintained on pasture. There is currently no information on the nutritional implications of such a system, since grazing intakes have not been recorded in pigs of this production stage. This study used n-alkane methodology previously validated in sows (Wilson et al., 1999) to measure the herbage intakes of individual pigs under such conditions.
The effect of male hierarchy on the sexual activity of individuals is unclear from the recent scientific literature and a clear distinction between the social and sexual aspects of this hierarchy is lacking. Moreover, the effect of male team size on the extent of sexual competition between individuals has not been examined in the recently developed group mating systems for pigs, such as the Dynamic Service System for gilts (DSS). The main objectives of the present study were therefore to examine the effect of boar sexual status on the sexual activity of individuals and the influence of boar team size on the reproductive output of a DSS.
The re-grouping of sows is a common procedure in pig production systems and is one which can have adverse consequences for both welfare and production (Arey and Edwards, 1998). Sows in an indoor dynamic group system, in which group structure was changed repeatedly, had a high rate of returns to service which may have been due to them receiving greater levels of aggression (Rigat et al., 1998). The aim of this experiment was to determine the effects of re-grouping on sow aggression and how this affected behaviour, immune function and productivity.
The resource requirements, such as feeding space, of pigs housed in large groups are poorly understood. The feed intake requirement may be unaffected by group size, but the ability to gain access to the feeders may be influenced by the changed social environment. The observation of pigs feeding may stimulate others to feed also. In large groups, the number of pigs attempting to feed simultaneously could lead to increased competition for access to the feeders (Spoolder et al., 1999). Consequently, the suitability of two feeder space requirements, derived from UK recommendations, for pigs housed at different groups sizes was investigated.
The heat period at which gilts are bred affects first reproductive performance and overall sow productivity. However, most studies which have examined this subject have confounded chronological age (i.e. days) with physiological age (i.e. number of heat periods experienced) and the importance of each factor remains unclear. The Dynamic Service System (DSS) is a recently developed variant of group mating and the optimum heat period at which gilts should be bred has never been established. This study tested the hypothesis that the physiological age at which gilts are first mated in a DSS will affect their first reproductive behaviour (i.e. mating frequency and quality) and performance.