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Background: Standardized methods for reporting surgical quality have been described for all the major urological procedures apart from radical nephroureterectomy (RNU). Objective: To propose a tetrafecta criterion for assessing the quality of RNU based on a consensus panel within the Young Association of Urology (YAU) Urothelial Group, and to test the impact of this tetrafecta in a multicenter, large contemporary cohort of patients treated with RNU for upper tract urothelial carcinoma (UTUC). Design, setting, and participants: This was a retrospective analysis of 1765 patients with UTUC treated between 2000 and 2021. Outcome measurements and statistical analysis: We interviewed the YAU Urothelial Group to propose and score a list of items to be included in the “RNU-fecta.” A ranking was generated for the criteria with the highest sum score. These criteria were applied to a large multicenter cohort of patients. Kaplan-Meier curves were built to evaluate differences in overall survival (OS) rates between groups, and a multivariable logistic regression model was used to find the predictors of achieving the RNU tetrafecta. Results and limitations: The criteria with the highest score included three surgical items such as negative soft tissue surgical margins, bladder cuff excision, lymph node dissection according to guideline recommendations, and one oncological item defined by the absence of any recurrence in ≤12 mo. These items formed the RNU tetrafecta. Within a median follow-up of 30 mo, 52.6% of patients achieved the RNU tetrafecta. The 5-yr OS rates were significantly higher for patients achieving tetrafecta than for their counterparts (76% vs 51%). Younger age, lower body mass index, and robotic approach were found to be independent predictors of tetrafecta achievement. Conversely, a higher Eastern Cooperative Oncology Group score, higher clinical stage, and bladder cancer history were inversely associated with tetrafecta. Conclusions: Herein, we present a “tetrafecta” composite endpoint that may serve as a potential tool to assess the overall quality of the RNU procedure. Pending external validation, this tool could allow a comparison between surgical series and may be useful for assessing the learning curve of the procedure as well as for evaluating the impact of new technologies in the field. Patient summary: In this study, a tetrafecta criterion was developed for assessing the surgical quality of radical nephroureterectomy in patients with upper tract urothelial carcinoma. Patients who achieved tetrafecta had higher 5-yr overall survival rates than those who did not.

A set of 180 forages (47 alfalfa hays, 26 grass hays, 52 corn silages, 35 small grain silages and 20 sorghum silages) were randomly collected from different locations of the Po Valley (Northern Italy) from 2009 to 2010. The forages were characterised for chemical composition (11 parameters), NDF digestibility (five parameters) and net energy for lactation (NEL). The latter was calculated according to the two approaches adopted by the 2001 Nutrient Research Council and based on chemical parameters either alone (NEL3x-Lig) or in combination with 48 h NDF degradability in the rumen (NEL3x-48h). Thereafter, a principal component analysis (PCA) was used to define forage populations and limit the number of variables to those useful for obtaining a rapid forage quality evaluation on the basis of the calculated NEL content of forages. The PCA identified three forage populations: corn silage, alfalfa hay and a generic population of so-called ‘grasses’, consisting of grass hays, small grain and sorghum silages. This differentiation was also confirmed by a cluster analysis. The first three principal components (PC) together explained 79.9% of the total variation. PC1 was mainly associated with protein fractions, ether extract and lignin, PC2 with ash, starch, NDF and indigestible NDF (iNDF) and PC3 with NDF digestibility. Moreover, PC2 was highly correlated to both NEL3x-Lig (r = −0.84) and NEL3x-48h (r = −0.94). Subsequently, forage-based scores (FS) were calculated by multiplying the original standardised variables of ash, starch, NDF and iNDF with the scoring factors obtained from PCA (0.112, −0.141, 0.227 and 0.170, respectively). The FS showed a high determination coefficient for both NEL3x-Lig (R2 = 0.86) and NEL3x-48h (R2 = 0.73). These results indicate that PCA enables the distinction of different forage classes and appropriate prediction of the energy value on the basis of a reduced number of parameters. With respect to the rumen in situ parameters, iNDF was found to be more powerful at discriminating forage quality compared with NDF digestibility at different rumen incubation times or rates of NDF digestion.

The need to improve the knowledge of fermentation processes within the digestive tract in pigs is growing, particularly for ingredients that may act as potential prebiotic sources, such as resistant starch (RS). A study (based on enzymatic digestion followed by in vitro fermentation) was conducted to investigate whether various sources of RS, obtained from eight native starches characterized by inherent heterogeneous starch chemistry and structure, can influence short-chain fatty acid (SCFA) concentrations and relative production kinetics. Total and individual SCFA productions were evaluated over time and up to 72 h of incubation. The in vitro hydrolysis of native starches allowed a classification from very high [⩾650 g/kg dry matter (DM)] to low (

A study was conducted to evaluate the excretion pattern of melamine from feed into eggs, plasma, kidney, liver and muscle of laying hens. In particular, 90 laying hens were randomly allocated to three dietary treatments and fed diets contaminated with melamine at a level of 2.5, 25 and 250 mg of melamine/kg of diet for T1, T2 and T3 groups, respectively. The diets were offered in six replicate boxes (five hens each) for 13 days. Eggs were collected from each group for melamine quantification on days 0, 1, 3, 6, 9 and 13. At the end of the experimental period, one hen per box was randomly selected and slaughtered to collect plasma, liver, kidney and muscle samples. During the experiment, feeding diets with increasing levels of melamine had no effect (P > 0.05) on weight gain, feed intake, egg production, egg weight and mortality of laying hens. The melamine in eggs increased from day 1 after melamine ingestion and reached a plateau between days 6 and 13 of melamine ingestion. At steady-state condition, the melamine egg concentrations increased (P < 0.01) with treatments, being 0.026, 0.352 and 4.631 mg/kg for T1, T2 and T3, respectively. Similarly, the carryover of melamine from feed to egg increased (P < 0.05) with the levels of melamine in the diets, varying from 0.50 to 0.70 and 0.84 for T1, T2 and T3, respectively. The melamine was detected in plasma of all tested groups, increasing (P < 0.01) with levels of melamine in the diets (0.030, 0.266 and 4.102 mg/l in T1, T2 and T3, respectively). Melamine was not detected in kidney, liver and muscle of hens fed T1. Except for kidney sampled in the T3, no melamine concentration higher than 2.5 mg/kg, representing the maximum allowable limit set by the US Food and Drug Administration and European Union for food and feeds, was measured. The melamine resulted higher in plasma and kidneys than in the liver and muscle both in T2 and T3. The results confirmed the presence of an excretion pattern of melamine from feed to eggs and tissues in laying hens.

Iodine and selenium are essential trace elements involved in the regulation of thyroid metabolism and antioxidant status. Two experiments were undertaken on lactating cows to determine the milk concentrations of iodine and selenium, carry over (CO) in milk, the fraction in curdle portion and how milk yield affects the milk iodine and selenium concentrations and CO. Sources of elements were potassium iodide and sodium selenite. In Experiment 1, 12 cows were randomly allotted to three diet groups in a completely randomized design: control group (CTR) – total mixed ration (TMR) containing 1.71 and 0.08 mg/kg dry matter (DM); Group 1 (T1) – TMR plus 23.8 and 2.2 mg; Group 2 (T2) – TMR plus 45.5 and 4.3 mg, respectively, for iodine and selenium. In Experiment 2, 30 cows were allotted to three groups according to milk yield: high (H), average (A) and low (L). Within each group, cows were randomly assigned two levels of iodine and selenium: Level 1: TMR containing 1.55 and 0.15 mg/kg DM; Level 2: TMR plus 47.2 mg and 8.0 mg, respectively, iodine and selenium. In both experiments, individual milk samples were collected and analyzed for iodine and selenium contents. In Experiment 1, Grana Padano cheese was obtained at lab scale and the iodine and selenium fractions in the curd were measured. In Experiment 1, the iodine intake increased (P < 0.001) the concentration and total excretion in milk. The CO increased (P < 0.05) from 16 (CTR) to 27 (T1) and 26% (T2); the sampling time was significant (P < 0.05) with no interaction with treatments. Concentration of selenium in milk was increased (P < 0.05) by treatment and CO decreased (P < 0.01) from 26 (CTR) to 12 (T1) and 9% (T2). The iodine showed a mild enrichment factor in the curdle (about 1.7-fold), whereas selenium enriched five- to sevenfold. In Experiment 2, the level of iodine supplementation affected (P < 0.05) the concentration and total excretion in milk. No effects on milk iodine concentration were related to milk yield or milk yield × treatment interaction; however, the iodine excretion in milk was major (P < 0.05) in higher yielding groups. The iodine CO was affected (P < 0.05) by the milk yield in supplemented groups. The selenium milk concentration and excretion were affected (P < 0.01) by the milk yield, whereas the CO was affected (P < 0.05) by the milk yield and selenium supplementation. Results highlight the possibility of fortification with iodine in milk and selenium in cheese through animal feeding.

Aflatoxin M1 (AFM1) residues in milk are regulated in many parts of the world and can cost dairy farmers significantly due to lost milk sales. Additionally, due to the carcinogenicity of this compound contaminated milk can be a major public health concern. Thirty-four lactating dairy cows were utilised to investigate the relationship between somatic cell counts (SCC), milk yield and conversion of dietary aflatoxin B1 (AFB1) into milk AFM1 (carryover (CO)). The AFM1 in milk increased as soon as the first milking after animal ingestion with a pattern of increment up to the observed plateau (between 7th and 12th days of AFB1 ingestion). There was a significant (P < 0.01) effect of the milk yield whereas no effect could be attributed to the SCC levels or to the milk yield × SCC interaction. Similarly, the main effect of milk yield was also observed (P < 0.01) on the total amount of AFM1 excreted during the ingestion period. Although the plasma concentration of gamma-glutamyl transferase was significantly affected by aflatoxin administration, levels of this liver enzyme were within the normal range for lactating dairy cows. The current data suggest that milk yield is the major factor affecting the total excretion of AFM1 and that SCC as an indicator of mammary gland permeability was not related to an increase in AFM1 CO.

Milk fever and hypocalcaemia are post-partum metabolic diseases affecting about 6% of dairy cows and are due to a fail of the homeostatic metabolism regulating the calcium blood level around 9 and 10mg/100mL. The calcium drainage to the mammary gland along with the reduced capacity of the animal to mobilize calcium from bone reserve lead to a drop of the calcium blood level under 5-6mg/100mL with paresis like clinical symptoms known as milk fever. The incidence of the clinical milk fever is low, however the occurrence of mild hypocalcaemia (subclinical) could be as high as 15- 20% within few days after calving, particularly in multiparous cows. The hypocalcaemia status as for the reduced bone calcium mobilization and intestinal absorption leads to reduced feed intake and make it a good start for ketosis, retained placenta, displaced abomasums and mastitis problems (Beede, 1991). The acid-base balance of the cow in the late pregnancy is determinant for hypocalcaemia............

The need of increasing the daily milk yield often has negative backup on herd fertility (Westwood et al., 2002). Culling because of reproductive failure is a cost in dairy breeding. The reproductive efficiency is often expressed as days open (DOPN) or calving interval. However, these indexes are a function of the pregnancy rate (PR) which is calculated as the heat detection rate (HDR) times the conception rate (CR) (Ferguson, 1991). Thus, the herd reproductive performance is affected by HDR and CR (Maatje et al., 1997; Nir, 1996, Ferguson, 1996). This work was conducted to estimate reproductive efficiency of cows from thirty herds of the Po valley.........

Nine lactating dairy cows, producing 31.08±5.00 kg of milk/cow/day and fed with a Total Mixed Ration (TMR) with an intake of 22.3±0.8 Kg s.s./cow, were used to investigate the resistance of the AFs-SA complex in the rumen and in the gastro-intestinal tract. Two commercial sequestering agents Atox® and Mycosorb® were used. The AFB1 was also mixed to a rumen fluid (R-SA). AFB1 sequestered by Atox®, Mycosorb® and by R-SA were then fed to cows before the morning meal. Milk samples were collected for 6 consecutive milkings and analyzed for AFM1 content. The in vitro binding capacity of the two SA were 94.2% for Atox®, 84.3% for Mycosorb® and 71.86% for the R-SA. Both Atox® and Mycosorb® released some of the sequestered AFB1 determining an increase of the AFM1 in milk as soon as in the 1st milking from oral drenching (4.23±7.33; 23.60±8.23 and 46.06±39.84 ppt for Atox®, Mycosorb® and R-SA respectively). The AFM1 (ng/cow) in milk at the 4th milking was lower (66.04, 661.77 and 1613.04; P

The objective of this experiment was to monitor plasma levels of aflatoxin B1 (AFB1) aflatoxin B2 (AFB2), aflatoxin G1 (AFG1), aflatoxin G2 (AFG2) and aflatoxin M1 (AFM1) in lactating dairy cows fed afltaoxin contaminated corn. Seven lactating Holstein cows were given a bolus of a naturally contaminated corn meal assuring an intake of 4.9mg AFB1, 1.01 mg AFB2, 10.63 mg AFG1 and 0.89 mg AFG2. Vitamin A, at 1,000,000 IU, was also added as a biomarker of intestinal absorption. Blood samples were collected at 0, 15, 30, 60, 120, 180, 270 and 360 min after bolus. Plasma was analyzed by HPLC for AFB1, AFB2, AFG1, AFG2 and AFM1 concentrations. Within the considered time points, the peak plasma AFB1 concentration was obtained as soon as 15 minutes from drenching. The plasma AFM1 concentration was considerable as early as the first collection (15 minutes) and peaked at 270 minutes indicating both a rapid absorption of AFB1 through the rumen wall and metabolization into AFM1 in liver. The plasma palmitate level suggests the intestinal contribution to the aflatoxin plasma level after 120 min.