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Gamma-hydroxybutyrate is a potent central nervous system depressant with a narrow recreational dose window and analytical detection time. We describe data relating to intoxicated patients presenting to emergency departments across metropolitan Adelaide who tested positive for gamma-hydroxybutyrate. This work was part of the Emergency Department Admission Blood Psychoactive Testing study. Over a 15-month period, patients presenting to four metropolitan emergency departments with symptoms of drug intoxication were enrolled in the study. The methodology involved the collection of demographic and clinical data and a de-identified blood sample which underwent comprehensive toxicological analysis. Gamma-hydroxybutyrate was determined using an acid-catalysed cyclisation followed by liquid-liquid extraction and gas chromatography-mass spectrometry. Data relating to samples positive for gamma-hydroxybutyrate were examined. A total of 1120 patients were enrolled between March 2019 and May 2020, 309 of whom were positive for gamma-hydroxybutyrate (27.6%). Of these, 256 (83%) were also positive for metamfetamine (methamphetamine). The most common clinical observation in gamma-hydroxybutyrate-positive patients was central nervous system depression (89%). There was a significant relationship between gamma-hydroxybutyrate status and sex; although males outnumbered females in absolute terms, a higher proportion of females (32%) tested positive for gamma-hydroxybutyrate than males (25%, P = 0.0155). Blood gamma-hydroxybutyrate concentrations ranged from 10 to 651 mg/L (0.096–6.2 mmol/L) and increasing gamma-hydroxybutyrate concentration correlated with severe toxicity. The presence of gamma-hydroxybutyrate had a significant impact on the patient discharge destination: the majority (69.2%) of gamma-hydroxybutyrate-positive patients were managed and discharged from the emergency department or their attached short stay wards. A significantly higher proportion of gamma-hydroxybutyrate-positive patients were admitted to the intensive care unit (28.2%) compared with gamma-hydroxybutyrate-negative patients (12.7%, chi-squared = 36.85, P

Context: Cows are often subjected to different environmental and handling conditions for research purposes, and it is important to understand potential behavioural changes, as they may influence research outcomes.Aim: To investigate how a transfer from a group housing system to individual pens affected dairy cow behaviour.Methods: Lactating dairy cows (n = 24), housed in an open-sided barn, were transferred to individual pens for 10 weeks. For another experiment’s purposes, cows were assigned to a control or an experimental diet. Measurements were taken before transfer (pre), after transfer to the individual pens (early), in the individual pens (late transfer) and on return to the barn (post transfer). Cows’ behaviour was assessed every 10 min for 8 h per day, and whether cows were eating, ruminating or idling was recorded. Occurrences of social interactions were recorded continuously during the last 60-s of every 10-min observation. Lying time was recorded using dataloggers. Locomotory ability assessment and daily milk yields were also recorded.Key results: Ruminating and eating time was not affected by diet type, but decreased after transfer to the individual pens. Only eating time returned to pre transfer values at early transfer. Time that control cows spent idling increased in individual pens, whereas the experimental diet cows spent more time idling in the early transfer phase. Social interactions occurred more often during late and post transfer phases. Cow locomotory ability was not affected by the transfer or by type of diet, but total lying time increased from pre to post transfer, the number of lying bouts decreased from late to post transfer phases, and lying bout duration increased as the experimental period progressed. Milk yield gradually reduced over time, and it was affected by the type of diet.Conclusion: Behavioural changes in dairy cows during transfer between housing systems featured adaptive characteristics and did not seem to be detrimental to the major research.Implications: The transferring of cows from a group housing system to individual pens under the conditions used in this study did not jeopardise cow behaviour patterns to an extent that could affect other nutritional research outcomes.

The main mathematical result in this paper is that change of variables in the ordinary differential equation (ODE) for the competition of two infections in a Susceptible–Infected–Removed (SIR) model shows that the fraction of cases due to the new variant satisfies the logistic differential equation, which models selective sweeps. Fitting the logistic to data from the Global Initiative on Sharing All Influenza Data (GISAID) shows that this correctly predicts the rapid turnover from one dominant variant to another. In addition, our fitting gives sensible estimates of the increase in infectivity. These arguments are applicable to any epidemic modeled by SIR equations.

ObjectiveTo assess the performance of an Australian pre-hospital and retrieval medicine (PHRM) service against the National Institute for Health and Care Excellence (NICE) standard which recommends that pre-hospital emergency anaesthesia (PHEA) in trauma patients should be conducted within 45-min of first contact with emergency services.MethodsRetrospective observational study of all adult trauma patients in which PHEA was conducted by the PHRM service covering a 5-year period from January 2015 to December 2019.ResultsOver the 5-year study period, 1509 (22%) of the PHRM service workload comprised primary retrievals from scene. Most 1346 (89%) of these cases had a primary diagnosis of trauma. Of these we have complete data for 328 of the 337 cases requiring a PHEA and 121 (37%) patients received this within the recommended 45-min time frame. The service attended in rapid response vehicles (n = 160, 49%), rotary wing (n = 151, 46%) and fixed wing (n = 17, 5%) transport modalities. For a service covering 983 482 km2, the median distance travelled to patients was 35 (16–71) km and the median time to PHEA was 54 (38–80) min.ConclusionsIn a cohort of 337 patients treated by a dedicated PHRM service in South Australia, the median time to PHEA was 54 (38–80) min with only 37% of patients receiving PHEA within 45 min from the activation of the team. Despite differing patient demographics, the percentage of patients receiving PHEA within the recommended time frame was greater than a similar cohort from the UK. However, both data sets still fall short of recommended targets.

peer-reviewed Dairy cows in experimental grazing herds are often confined for metabolic measurements. The objective of this study was to establish effects of transfer from pasture, to tie-stalls in a metabolism house, then back to pasture, on lying behaviour and locomotion score of lactating cows: Holstein-Friesian (H, n = 16), Jersey (J, n = 16) and H × J (HJ, n = 16). Cows were transferred to tie-stalls on d 1 for 12 days, and were offered freshly cut ryegrass according to herbage allowance (HERB) and genotype: J low = 14; J high = 17; H and HJ low = 16; and H and HJ high = 20 kg DM/d. Lying behaviour was recorded on four days: −2, −1 (Pre-confinement), 3 (Early confinement), 10, 11 (Late confinement), 13 and 14 (Post-confinement) relative to transfer (d 1) using dataloggers, and was also video-recorded during the first 15 h. Locomotion score was recorded on days −4, −3, 12 and 16. No effects of HERB on lying variables were observed during the first 15 h in confinement, but J cows made more lying intentions (21.0 vs. 12.2; P < 0.05) and tended (P = 0.07) to have a shorter latency to lie. Cows spent less (P < 0.001) time lying in early confinement (07:22:29 h/d) than on any of the other occasions (9:12:50 h/d). Cows had more (P < 0.001) and shorter (P < 0.001) lying bouts in confinement than while at pasture. Low HERB cows spent more time lying than high HERB cows (09:54:55 vs. 09:09:33 h/d; P < 0.01). J had higher locomotion scores than H (9.2 ± 0.2 vs.7.8 ± 0.2; P < 0.001), and tended (P = 0.09) to have higher scores than HJ (8.5 ± 0.2) cows. Locomotion scores were lowest pre confinement, highest at turnout (d 12), and intermediate after that at pasture (d 16) (7.6 ± 0.2, 9.3 ± 0.2 and 8.6 ± 0.3, respectively; P < 0.01). On transfer to the metabolism house cows showed disrupted patterns of lying although daily lying time returned to levels similar to pasture by late confinement. Confinement also resulted in a short-term deterioration in locomotory ability, which although improving, was still evident 4 days following the cows return to pasture with Jersey cows being more affected than the other genotypes. These findings suggest that longer adaptation periods and temporary release to loafing areas may improve both the validity of data collected and cow welfare.

Our aim was to evaluate the effects of single or mixed sex fattening of boars and split marketing (SM) on pig welfare. Female (n = 10), male (n = 10) and mixed sex (n = 10) groups were fattened to 105 kg. Two focal pigs per pen were selected for continuous behaviour observations and skin lesion inspections. Aggressive and sexual behaviours were recorded during feeding. One week prior to slaughter the three heaviest pigs in half of the pens were marketed. There was more sexual behaviour in mixed and male groups. However, there was less agonistic behaviour in mixed and female compared to male groups. SM male groups tended to have higher lesion scores than non-SM male groups. There was more mounting in non-SM mixed groups than in both SM and non-SM female groups. The welfare of boars was improved in mixed sex groups but females fared better in single sex groups. Split marketing reduced the welfare of pigs in male groups but improved pig welfare in mixed groups.

The objective of this study was to assess the effect of providing mats in the farrowing pen on behaviour and lesions in sows (n = 38) and piglets. Nineteen of the sows and their litters housed in farrowing crates with metal slatted floors were provided with mats, the remaining 19 acting as controls. Sow skin was inspected pre-farrowing and at weaning: the skin and feet of piglets were examined when they were 6 days old. Skin lesions were scored (on a scale of 0 to 6) according to severity. Total lesion scores per sow and median total lesion scores per litter were calculated. Sow behaviour was recorded by direct observation at feeding. Usage of a heat pad for lying in the presence or absence of mats was assessed over a 2hr observation period. Median skin lesion scores of sows did not differ between treatments. Litters from the control treatment had lower skin lesion scores (median [range] 8 [2-12] vs 10 [5-21]; P < 0.05). Median lesion scores of the front legs tended to be higher for piglets on mats (median [range] 8 [1.5-13] vs 4 [1.5-8]; ns). Sows on metal flooring went from kneeling to lowering their hindquarters faster (median [range] 15 [2—45] s) than sows on mats (23 [11—54] s) (P < 0.05). Furthermore, they slipped more on their front (median [range] 2.7 [0-8.7] vs 0 [0-1.3] slips min1; P < 0.001) and hind (median [range] 5.3 [0.3-31.7] vs 1.9 [0-33.3] slips min1; P < 0.05) feet while standing, than sows on mats. More piglets lay on the heat pad when it was covered by a mat (mean ± SEM 45.97 ± 4.49 %) than when no mat was provided (29.29 ± 4.47 %)(P < 0.05). Mats improve sow comfort and reduce slipping. They encourage piglets to lie on the heat pad but cause damage to the skin of the front legs. Providing pigs with mats in the farrowing house could greatly improve welfare on slatted floors, but further research is needed to identify materials that are less abrasive.

Squids have a wide repertoire of body patterns; these patterns contain visual signals assembled from a highly diverse inventory of chromatic, postural, and locomotor components. The chromatic components reflect the activity of dermal chromatophore organs that, like the postural and locomotor muscles, are controlled directly from the central nervous system. Because a thorough knowledge of body patterns is fundamental to an understanding of squid behavior, we have compiled and described an ethogram (a catalog of body patterns and associated behaviors) for Loligo pealei. Observations of this species were made over a period of three years (or = 440 h) and under a variety of behavioral circumstances. The natural behavior of the squid was filmed on spawning grounds off Cape Cod (northwestern Atlantic), and behavioral trials in the laboratory were run in large tanks. The body pattern components--34 chromatic (including 4 polarization components), 5 postural, and 12 locomotor--are each described in detail. Eleven of the most common body patterns are also described. Four of them are chronic, or long-lasting, patterns for crypsis; an example is Banded Bottom Sitting, which produces disruptive coloration against the substrate. The remaining seven patterns are acute; they are mostly used in intraspecific communication among spawning squids. Two of these acute patterns--Lateral Display and Mate Guarding Pattern--are used during agonistic bouts and mate guarding; they are visually bright and conspicuous, which may subject the squids to predation; but we hypothesize that schooling and diurnal activity may offset the disadvantage presented by increased visibility to predators. The rapid changeability and the diversity of body patterns used for crypsis and communication are discussed in the context of the behavioral ecology of this species.

The purpose of this study is to determine the incidence of febrile neutropenia (FN) among women receiving FEC-D (flurouracil 500 mg/m(2), epirubicin 100 mg/m(2), and cyclophosphamide 500 mg/m(2) every 3 weeks for three cycles followed by docetaxel 100 mg/m(2) every 3 weeks for three cycles) chemotherapy for early stage breast cancer (ESBC) and the impact of primary granulocyte colony-stimulating factor (G-CSF) prophylaxis in a non-clinical trial setting.A retrospective chart review of women referred for ESBC to The Moncton Hospital between 2005 and 2010 evaluated patient and disease characteristics, adjuvant chemotherapy receipt, G-CSF usage, FN incidence, hospital admission rates, and length of stay. Association of variables with FN was examined, and exploratory multivariable logistic regression modeling examined the impact of baseline variables on risk of FN.Of 520 patients enrolled in the database, 251 (48.3 %) received adjuvant chemotherapy for ESBC. Most (66.9 %) received FEC-D. Overall, 55 (21.9 %) patients developed FN. Forty-four (26.2 %) patients on FEC-D developed FN. Forty of 129 (31.0 %) FEC-D patients who did not receive primary G-CSF prophylaxis developed FN, versus 4 of 39 (10.3 %) receiving G-CSF. Receipt of FEC-D or TC (docetaxel 75 mg/m(2) and cyclophosphamide 600 mg/m(2) every 3 weeks for four or six cycles) was associated with odds ratios of 6.5 or 6.77, respectively, for the development of FN. Receipt of trastuzumab with chemotherapy was associated with an odds ratio of 3.48 for developing FN versus no trastuzumab. Primary G-CSF prophylaxis led to a 63 % reduction in the odds ratio of developing FN.Incidence of FN with FEC-D treatment is considerably higher in clinical practice than reported in phase III trials. Consistent with ASCO guidelines, prophylactic G-CSF should be considered for all ESBC patients receiving adjuvant FEC-D.

The scaling of mitochondrial distribution, citrate synthase activity, and post- contractile glycogen recovery was examined in muscle fibers of the blue crab, Callinectes sapidus. The fast-twitch muscle fibers of C. sapidus can reach extremely large dimensions, which may impose constraints on aerobic metabolic processes. However, muscle cells from small crabs are not giant, meaning that during development muscle fibers cross and greatly exceed the surface area to volume (SAV) and diffusion threshold that is adhered to by the cells of most organisms. Cell diameters in the smallest size class were C100 mm, while the largest size class had cell diameters in excess of 500 mm. In the smallest cells, the fractional area of subsarcolemmal and intermyofibrillar mitochondria was similar. However, in the largest cells, mitochondria were almost exclusively subsarcolemmal. Total fractional area of mitochondria was highest in the largest cells due to a proliferation of subsarcolemmal mitochondria. In contrast, citrate synthase activity decreased as cell size increased. Following burst contractile activity, glycogen concentrations decreased significantly and remained depressed for several hours in muscle comprised of giant cells, consistent with previous findings that anaerobic glycogenolysis fuels certain components of post-contractile recovery. However, in muscle composed of the smallest muscle cells, glycogen levels did not decrease significantly following burst activity. While normal scaling of aerobic metabolism would predict a slower aerobic recovery in larger animals, the present results suggest that cellular organization, SAV, and intracellular diffusion distances also impose constraints on aerobic processes in C. sapidus. J. Exp. Zool. 297A

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