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The aim of this study was to determine the causes of loss from active duty amongst German shepherd dogs in service with the New Zealand Police Dog Section. Current or previous police dog handlers (n = 149) completed a postal survey for each dog they had worked with during their career including their current dog. Causes of loss were categorised as either retirement, euthanasia whilst still in active duty, death from illness/natural causes, or being killed whilst on duty. Of 182 dogs with completed questionnaires, 48 dogs were still in service, leaving 134 that were retired (94), had been euthanased (24), had died (11) or had been killed (5). The mean and median age at loss for all dogs no longer in service was 6.6 years. The nominal age for planned retirement (8 years) was only reached by 40% of dogs. The single most important cause of retirement was the inability to cope with the physical demands of the job (61/94 dogs or 65%). Degenerative musculoskeletal disease was cited as the primary factor in 42/61 of these dogs (69%). When both retired and euthanased dogs where considered together, 27% were retired or euthanased due to back/spinal problems, and a high proportion of these were believed to have involved the lumbosacral joint. Greater research efforts should be targeted at identification of the factors that lead to degenerative musculoskeletal and lumbo-sacral disease to determine methods of lowering their incidence in police working dogs. Such research could lead to increasing the average working life and ‘in work’ welfare of a police German shepherd dog in New Zealand.
Pompe disease results from lysosomal acid α-glucosidase deficiency, which leads to cardiomyopathy in all infantile-onset and occasional late-onset patients. Cardiac assessment is important for its diagnosis and management. This article presents unpublished cardiac findings, concomitant medications, and cardiac efficacy and safety outcomes from the ADVANCE study; trajectories of patients with abnormal left ventricular mass z score at enrolment; and post hoc analyses of on-treatment left ventricular mass and systolic blood pressure z scores by disease phenotype, GAA genotype, and “fraction of life” (defined as the fraction of life on pre-study 160 L production-scale alglucosidase alfa). ADVANCE evaluated 52 weeks’ treatment with 4000 L production-scale alglucosidase alfa in ≥1-year-old United States of America patients with Pompe disease previously receiving 160 L production-scale alglucosidase alfa. M-mode echocardiography and 12-lead electrocardiography were performed at enrolment and Week 52. Sixty-seven patients had complete left ventricular mass z scores, decreasing at Week 52 (infantile-onset patients, change −0.8 ± 1.83; 95% confidence interval −1.3 to −0.2; all patients, change −0.5 ± 1.71; 95% confidence interval −1.0 to −0.1). Patients with “fraction of life” <0.79 had left ventricular mass z score decreasing (enrolment: +0.1 ± 3.0; Week 52: −1.1 ± 2.0); those with “fraction of life” ≥0.79 remained stable (enrolment: −0.9 ± 1.5; Week 52: −0.9 ± 1.4). Systolic blood pressure z scores were stable from enrolment to Week 52, and no cohort developed systemic hypertension. Eight patients had Wolff–Parkinson–White syndrome. Cardiac hypertrophy and dysrhythmia in ADVANCE patients at or before enrolment were typical of Pompe disease. Four-thousand L alglucosidase alfa therapy maintained fractional shortening, left ventricular posterior and septal end-diastolic thicknesses, and improved left ventricular mass z score.
Social Media Statement: Post hoc analyses of the ADVANCE study cohort of 113 children support ongoing cardiac monitoring and concomitant management of children with Pompe disease on long-term alglucosidase alfa to functionally improve cardiomyopathy and/or dysrhythmia.
United States dentists prescribe 10% of all outpatient antibiotics. Assessing appropriateness of antibiotic prescribing has been challenging due to a lack of guidelines for oral infections. In 2019, the American Dental Association (ADA) published clinical practice guidelines (CPG) on the management of acute oral infections. Our objective was to describe baseline national antibiotic prescribing for acute oral infections prior to the release of the ADA CPG and to identify patient-level variables associated with an antibiotic prescription.
We performed an analysis of national VA data from January 1, 2017, to December 31, 2017. We identified cases of acute oral infections using International Classification of Disease, Tenth Revision, Clinical Modification (ICD-10-CM) codes. Antibiotics prescribed by a dentist within ±7 days of a visit were included. Multivariable logistic regression identified patient-level variables associated with an antibiotic prescription.
Of the 470,039 VA dental visits with oral infections coded, 12% of patient visits with irreversible pulpitis, 17% with apical periodontitis, and 28% with acute apical abscess received antibiotics. Although the median days’ supply was 7, prolonged use of antibiotics was frequent (≥8 days, 42%–49%). Patients with high-risk cardiac conditions, prosthetic joints, and endodontic, implant, and oral and maxillofacial surgery dental procedures were more likely to receive antibiotics.
Most treatments of irreversible pulpitis and apical periodontitis cases were concordant with new ADA guidelines. However, in cases where antibiotics were prescribed, prolonged antibiotic courses >7 days were frequent. These findings demonstrate opportunities for the new ADA guidelines to standardize and improve dental prescribing practices.
AU in days of therapy per 1,000 patient days and microbiologic data from 2015 and 2016 were collected from 26 hospitals. The prevalences of Pseudomonas aeruginosa, extended-spectrum β-lactamase (ESBL)–producing bacteria, methicillin-resistant Staphylococcus aureus (MRSA), and vancomycin-resistant enterococci (VRE) were calculated and compared to the average prevalence of all hospitals in the network. This proportion was used to calculate the adjusted AU (a-AU) for various categories of antimicrobials. For example, a-AU of antipseudomonal β-lactams (APBL) was the AU of APBL divided by (prevalence of P. aeruginosa at that hospital divided by the average prevalence of P. aeruginosa). Hospitals were categorized by bed size and ranked by AU and a-AU, and the rankings were compared.
Most hospitals in 2015 and 2016, respectively, moved ≥2 positions in the ranking using a-AU of APBL (15 of 24, 63%; 22 of 26, 85%), carbapenems (14 of 23, 61%; 22 of 25; 88%), anti-MRSA agents (13 of 23, 57%; 18 of 26, 69%), and anti-VRE agents (18 of 24, 75%; 15 of 26, 58%). Use of a-AU resulted in a shift in quartile of hospital ranking for 50% of APBL agents, 57% of carbapenems, 35% of anti-MRSA agents, and 75% of anti-VRE agents in 2015 and 50% of APBL agents, 28% of carbapenems, 50% of anti-MRSA agents, and 58% of anti-VRE agents in 2016.
The a-AU considerably changes how hospitals compare among each other within a network. Adjusting AU by microbiological burden allows for a more balanced comparison among hospitals with variable baseline rates of resistant bacteria.
We evaluated whether a diagnostic stewardship initiative consisting of ASP preauthorization paired with education could reduce false-positive hospital-onset (HO) Clostridioides difficile infection (CDI).
Single center, quasi-experimental study.
Tertiary academic medical center in Chicago, Illinois.
Adult inpatients were included in the intervention if they were admitted between October 1, 2016, and April 30, 2018, and were eligible for C. difficile preauthorization review. Patients admitted to the stem cell transplant (SCT) unit were not included in the intervention and were therefore considered a contemporaneous noninterventional control group.
The intervention consisted of requiring prescriber attestation that diarrhea has met CDI clinical criteria, ASP preauthorization, and verbal clinician feedback. Data were compared 33 months before and 19 months after implementation. Facility-wide HO-CDI incidence rates (IR) per 10,000 patient days (PD) and standardized infection ratios (SIR) were extracted from hospital infection prevention reports.
During the entire 52 month period, the mean facility-wide HO-CDI-IR was 7.8 per 10,000 PD and the SIR was 0.9 overall. The mean ± SD HO-CDI-IR (8.5 ± 2.0 vs 6.5 ± 2.3; P < .001) and SIR (0.97 ± 0.23 vs 0.78 ± 0.26; P = .015) decreased from baseline during the intervention. Segmented regression models identified significant decreases in HO-CDI-IR (Pstep = .06; Ptrend = .008) and SIR (Pstep = .1; Ptrend = .017) trends concurrent with decreases in oral vancomycin (Pstep < .001; Ptrend < .001). HO-CDI-IR within a noninterventional control unit did not change (Pstep = .125; Ptrend = .115).
A multidisciplinary, multifaceted intervention leveraging clinician education and feedback reduced the HO-CDI-IR and the SIR in select populations. Institutions may consider interventions like ours to reduce false-positive C. difficile NAAT tests.
We analyse the evolution with redshift of the radial gradient of oxygen abundances in spiral disks resulting from our MULCHEM chemical evolution models, computed for galaxies of different sizes or masses, studying the relationships between the gradients and galaxy characteristics as the stellar mass, the size, the gas fraction or the star formation rate for z < 4.
The content of omega-3 long-chain polyunsaturated fatty acids (n−3 LCPUFA) in chicken meat can be boosted by feeding broilers a diet containing α-linolenic acid (ALA, from flaxseed oil), some of which is converted by hepatic enzymes to n−3 LCPUFA. However, most of the accumulated n−3 polyunsaturated fatty acid (PUFA) in meat tissues is still in the form of ALA. Despite this, the levels of chicken diets are being enhanced by the inclusion of vegetable and marine sources of omega-3 fats. This study investigated whether the capacity of chicken for n−3 LCPUFA accumulation could be enhanced or inhibited by exposure to an increased supply of ALA or n−3 LCPUFA in ovo. Breeder hens were fed either flaxseed oil (High-ALA), fish oil (high n−3 LCPUFA) or tallow- (low n−3 PUFA, Control) based diets. The newly hatched chicks in each group were fed either the High-ALA or the Control diets until harvest at 42 days’ post-hatch. The n−3 PUFA content of egg yolk and day-old chick meat closely matched the n−3 PUFA composition of the maternal diet. In contrast, the n−3 PUFA composition of breast and leg meat tissues of the 42-day-old offspring closely matched the diet fed post-hatch, with no significant effect of maternal diet. Indeed, there was an inhibition of n−3 LCPUFA accumulation in meat of the broilers from the maternal Fish-Oil diet group when fed the post-hatch High-ALA diet. Therefore, this approach is not valid to elevate n-3 LCPUFA in chicken meat.
The drilling of a deep borehole in ice is an undertaking that spans several seasons. Over recent decades such drilling has become widespread in both polar regions. Owing to the remoteness of the drill sites, considerable cost is associated with the drilling of a deep borehole of several thousand meters. The replicate coring system allows re-drilling of ice core at select depths within an existing parent borehole. This effectively increases the yield of the existing borehole and permits re-sampling of ice in areas of high scientific value. The replicate coring system achieves this through the combination of actuators, motors, sensors and a computerized control system. The replicate coring drill is a further development of the deep ice-sheet coring (DISC) drill, extending the capabilities of the DISC drill to include replicate coring.
The replicate ice-coring system was developed by Ice Drilling Design and Operations (IDDO) for the US National Science Foundation. The design of the system leverages the existing infrastructure of the deep ice-sheet coring (DISC) drill to create a steerable drill capable of recovering replicate core at any targeted depth in an existing borehole. Critical requirements of the system include: collecting up to 400 m of core from the high side of an open hole; maintaining access to the entire borehole for logging tools; collecting up to four cores at a single depth; and operating to a depth of 4000m at −55°C and 34 MPa. The system was developed and tested from 2010 through 2012 and integrates several new mechanical subsystems, including two electromechanical actuators capable of pushing the sonde to any targeted azimuth, new reduced diameter core and screen barrels made from off-the-shelf casing tube, and new cutter heads optimized for the multiple stages of the replicate coring procedure. The system was successfully deployed at West Antarctic Ice Sheet (WAIS) Divide in the 2012/13 field season, recovering 285 m of core from five intentional deviations at four target depths.
The deep ice-sheet coring (DISC) drill was used for production ice-core drilling at WAIS Divide in Antarctica for six field seasons between 2007 and 2013. Continuous ice-core samples were obtained between the snow surface and 3405 m depth. During the 2012/13 austral summer, the DISC drill’s newly designed replicate ice-coring system was utilized to collect nearly 285m of additional high-quality core samples at depths of high scientific interest. Annual progress graphs are described, as well as milestones achieved over the course of the project. Drilling operations, challenges encountered, drill fluid usage, drilling results, and the drill crew’s experiences with the DISC drill and replicate coring system during production drilling are described and discussed in detail. Core-processing operations are described briefly, as well as the logistical undertaking of the DISC drill’s deployment to Antarctica.
Drilling the WDC06A borehole at the West Antarctic Ice Sheet (WAIS) Divide with the Deep Ice Sheet Coring (DISC) drill began in December 2007 and was successfully completed in December 2011 to a depth of 3405 m. The design and construction of a replicate coring system for use with the existing DISC drill began in 2010. In January 2012, the new replicate coring system was tested in the parent borehole at WAIS Divide. While a full deviation was not completed during the test period, much was learned about the mechanical, electrical and operational aspects of the system. Extensive testing and modifications were done over the northern/boreal summer to prepare the system for the upcoming and final season of the project. Further tuning of the system continued during the 2012/13 field season at WAIS Divide. This paper identifies the issues found with the system during the initial test season and discusses solutions, methods and testing done to arrive at an operational system.
Many of the ice-coring objectives in the Ice Drilling Program Office (IDPO) Long Range Science Plan, such as those in the International Partnerships in Ice Core Sciences (IPICS) 2k array and 40k network, are attainable in many locations with an intermediate depth drill (IDD) that can collect core from a fluid-filled hole down to 1500 m depth. The Ice Drilling Design and Operations (IDDO) group has designed and is in the process of building an agile IDD to meet this objective. The drill tent, power distribution and core-processing systems are an integral part of the IDD, which can be deployed by small aircraft and assembled by hand to minimize logistic requirements. The new drill system will be ready for testing in Greenland beginning in late spring 2014. The first production drilling is scheduled for the 2014/15 field season at the South Pole.
Renin is essential for renal development and in adult kidneys vitamin D deficiency increases renin gene expression. We aimed to determine whether maternal vitamin D deficiency upregulates fetal renal renin expression, and if this is sustained. We also examined growth and the long-term renal effects in offspring on a normal diet. Female Sprague–Dawley rats in UVB-free housing were fed either vitamin D deficient chow (DEF) or normal chow from 4 weeks and mated with vitamin D replete males at 10 weeks. Fetuses were collected at E20 or dams littered and the pups were weaned onto normal chow. Kidney mRNA levels for renin, (pro)renin receptor [(P)RR], transforming growth factor β 1 (TGF-β1), and nephrin were determined in E20 fetuses and in male offspring at 38 weeks. Renal function was assessed at 33 weeks (24 h, metabolic cage) in both sexes. Renal mRNA expression was upregulated for renin in fetuses (P < 0.05) and was almost doubled in adult male offspring from DEF dams (P < 0.05). Adult males had reduced creatinine clearance, solute excretion and a suppressed urinary sodium-to-potassium ratio (P < 0.05). Female adult DEF offspring drank more and excreted more urine (P < 0.05) but creatinine clearance was not impaired. We conclude that maternal vitamin D depletion upregulates fetal renal renin gene expression and this persists into adulthood where, in males only, there is evidence of sodium retention and compromised renal function. Importantly these effects occurred despite the animals being on a normal diet from the time of weaning onwards.
We present the proceedings from a two-day workshop held at Swinburne University on 2005 May 24–25. The workshop participants highlighted current Australian research on both theoretical and observational aspects of galaxy groups. These proceedings include short one-page summaries of a number of the talks presented at the workshop. The talks presented ranged from reconciling N-body simulations with observations, to the Hı content of galaxies in groups and the existence of ‘dark galaxies’. The formation and existence of ultra-compact dwarfs in groups, and a new supergroup in Eridanus were also discussed.
The Magellanic System represents one of the best places to study the formation and evolution of galaxies. Photometric surveys of various depths, areas and wavelengths have had a significant impact on our understanding of the system; however, a complete picture is still lacking. VMC (the VISTA near-infrared YJKs survey of the Magellanic System) will provide new data to derive the spatially resolved star formation history and to construct a three-dimensional map of the system. These data combined with those from other ongoing and planned surveys will give us an absolutely unique view of the system opening up the doors to truly new science!