Sample records for haiguse korral uues

  1. Patient participation in a clinic-based community pharmacy medication take-back program.

    PubMed

    Lystlund, Stefanie; Stevens, Eric; Planas, Lourdes G; Marcy, Todd R

    2014-01-01

    To describe patient interest and involvement in participating in a clinic-based community pharmacy drug take-back program to dispose of unused, unwanted, or expired (UUE) medications and to identify patients' reasons for participating in the program. A convenience sample of patients at the University of Oklahoma Family Medicine Pharmacy was recruited to complete a needs assessment survey regarding interest in drug take-back programs and current practices for handling UUE medications. Participants who purchased a postage-paid drug disposal envelope were asked to complete a program survey identifying sources of UUE medications, experience with drug take-back programs, and reasons for participation. These participants were later contacted for a follow-up telephone survey regarding their experience with the program and medications sent back. 62 needs assessment surveys were collected. 61% of patients reported interest in a drug take-back program. 57% reported having no UUE medications at home. Commonly reported UUE handling practices included disposal in the garbage (53.2%) or sewer (29.0%) and home storage (17.7%). 15 disposal envelopes were sold to 10 participants whose most common reasons for participation included concern about the safety of household members, accidental or intentional ingestion, and environmental impact. For 4 patients who returned a median of 9.5 prescriptions, the most common class of returned drugs was antibiotics (19.0%). Interest in drug take-back programs exists, but awareness and availability of continuous programs is limited. Programs may be more successful if offered at no cost to patients. Future studies are needed on the types of medications sent back and specific reasons for accumulation.

  2. A comparison of 2 evaporative cooling systems on a commercial dairy farm in Saudi Arabia.

    PubMed

    Ortiz, X A; Smith, J F; Villar, F; Hall, L; Allen, J; Oddy, A; Al-Haddad, A; Lyle, P; Collier, R J

    2015-12-01

    Efficacy of 2 cooling systems (Korral Kool, KK, Korral Kool Inc., Mesa, AZ; FlipFan dairy system, FF, Schaefer Ventilation Equipment LLC, Sauk Rapids, MN) was estimated utilizing 400 multiparous Holstein dairy cows randomly assigned to 1 of 4 cooled California-style shade pens (2 shade pens per cooling system). Each shaded pen contained 100 cows (days in milk=58±39, milk production=56±18 kg/d, and lactation=3±1). Production data (milk yield and reproductive performance) were collected during 3mo (June-August, 2013) and physiological responses (core body temperature, respiration rates, surface temperatures, and resting time) were measured in June and July to estimate responses of cows to the 2 different cooling systems. Water and electricity consumption were recorded for each system. Cows in the KK system displayed slightly lower respiration rates in the month of June and lower surface temperatures in June and July. However, no differences were observed in the core body temperature of cows, resting time, feed intake, milk yield, services/cow, and conception rate between systems. The FF system used less water and electricity during this study. In conclusion, both cooling systems (KK and FF) were effective in mitigating the negative effects of heat stress on cows housed in arid environments, whereas the FF system consumed less water and electricity and did not require use of curtains on the shade structure. Copyright © 2015 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.

  3. Effect of complementation of cattle cooling systems with feedline soakers on lactating dairy cows in a desert environment.

    PubMed

    Ortiz, X A; Smith, J F; Bradford, B J; Harner, J P; Oddy, A

    2011-02-01

    Two experiments were conducted on a commercial dairy farm in eastern Saudi Arabia to investigate the effects of Korral Kool (KK; Korral Kool Inc., Mesa, AZ) cattle cooling systems complemented with feedline soakers on core body temperature (CBT) of dairy cows. In both experiments, cows had access to KK 24h/d. In the first experiment, 7 primiparous and 6 multiparous lactating Holstein dairy cows were assigned to 1 of 2 pens, which were assigned randomly to treatment sequence over 4 d in a switchback design. Soakers were on (ON24) or off (OFF24) for 24h/d. For the second experiment, 20 multiparous lactating Holstein cows were assigned randomly to 1 of 2 pens, which were assigned randomly to treatment sequence in a switchback design. This experiment lasted 4 d and feedline soakers alternately remained off or were on (ON12) for 12h/d. In experiment 1, average ambient temperature was 30 ± 0.9°C and average relative humidity was 44 ± 14% (mean ± SD). Feedline soakers complementing KK systems for 24 h/d decreased the mean CBT of lactating dairy cows compared with KK systems alone (38.80 vs. 38.98 ± 0.061°C, respectively). A significant treatment by time interaction was found. The greatest treatment effects occurred at 2100 h; treatment means at this time were 39.26 and 38.85 ± 0.085°C for OFF24 and ON24 treatments, respectively. In experiment 2, average ambient temperature was 35 ± 1.5°C and average relative humidity was 33 ± 16%. Feedline soakers running for 12 h/d significantly decreased the mean 24-h CBT from 39.16 to 38.99 ± 0.084°C. Treatment by time interaction was also significant; the greatest treatment effects occurred at 1500 h, when ON12 reduced CBT from 39.38 to 38.81 ± 0.088°C. These results demonstrate that complementing the KK system with feedline soakers decreased the CBT of dairy cows housed in desert environments. However, the combined systems were not sufficient to lower CBT to normal temperatures in this extreme environment. Copyright Ã

  4. Nonspecific Resistance Induced by an Immunopharmacologic Agent Derived from Bordetella pertussis.

    DTIC Science & Technology

    1985-01-31

    NONSPECIFIC RESISTANCE INDUCED BY AN IMM1JNOPHAL’-ACOLOGIC AGENT DERIVED FROM a u’seeOG EoTwwE BORDE2’ELLA PERTUSSIS * OTATO RN UU~e AU THOR(*) B OTATO RN...antibodies 20. A 9STRPACT (Con tnue an revwre side It necessary and fdontitlP Ip 5149k IeebffJ LJ..JTreatment of mice with Bordetella pertueeis vaccine...resulted in * resistance to mouse adenovirus infection. Antiviral activity was associated with surface components of B. pertussie . Acellular fractions with

  5. A comparison of the effects of 2 cattle-cooling systems on dairy cows in a desert environment.

    PubMed

    Ortiz, X A; Smith, J F; Bradford, B J; Harner, J P; Oddy, A

    2010-10-01

    An experiment was conducted to investigate the effects of operation time and size of Korral Kool (KK; Korral Kool Inc., Mesa, AZ) systems on core body temperature (CBT) of dairy cows. Two KK systems were compared: a system with 1.29-m-diameter, 3-hp fans spaced 6 m apart (referred to as small) and a system with 1.52-m-diameter, 5-hp fans spaced 8 m apart (referred to as big). Forty-eight multiparous Holstein cows were assigned randomly to 8 pens (4 big, 4 small), and pens were assigned randomly to a sequence of treatments (KK operated for 21 or 24 h/d) in a switchback design. A complementary calorimetric analysis was developed to investigate the cooling area under the KK units of the big and small systems. Twenty-five sensors distributed equally under the KK units measured ambient temperature at 5-min intervals for 2 h. Average ambient temperature was 35.0±0.6°C and relative humidity was 45±8%. There were significant treatment effects on mean CBT: cows on the small 24-h treatment had a lower mean CBT than cows on the small 21-h treatment (39.22 vs. 39.36±0.14°C), and cows on the big 24-h treatment had a lower mean CBT than cows on the big 21-h treatment (38.95 vs. 39.09±0.13°C). A significant treatment by time interaction was observed. The greatest difference between systems occurred at 0100 h; treatment means at this time were 39.05, 39.01, 39.72, and 39.89±0.16°C for the big 24-h, big 21-h, small 24-h, and small 21-h treatments, respectively. At certain times of day, the big system reduced CBT more than the small system. These results show that CBT of multiparous cows decreased when KK system operational time was increased from 21 to 24 h regardless of the size of the KK cooling system used. The calorimetric analysis showed that even though the big system resulted in lower mean ambient temperatures than the small system, the distance between units in the big system should be decreased to reduce the variation in temperature under the big units. Copyright

  6. Thermoregulatory responses of Holstein and Brown Swiss Heat-Stressed dairy cows to two different cooling systems

    NASA Astrophysics Data System (ADS)

    Correa-Calderon, Abelardo; Armstrong, Dennis; Ray, Donald; DeNise, Sue; Enns, Mark; Howison, Christine

    . Thirty-seven Holstein and 26 Brown Swiss dairy cows were used to evaluate the effect of two different cooling systems on physiological and hormonal responses during the summer. A control group of cows had access only to shade (C). A second group was cooled with spray and fans (S/F) and the third group was under an evaporative cooling system called Korral Kool (KK). The maximum temperature humidity index during the trial was from 73 to 85. Rectal temperatures and respiration rates of the C group were higher (P < 0.05) than those of the S/F and KK groups in both Holstein and Brown Swiss cows. Triiodothyronine levels in milk were higher (P < 0.05) in the KK group than in the S/F and C groups, while cortisol levels were lower (P < 0.05) in the C group than in S/F and KK. There was no significant difference in the hormonal response of the two breeds. These results demonstrate that both cooling systems may be used increase the comfort of Holstein and Brown Swiss cows during summer in hot, dry climates.

  7. Effects of running time of a cattle-cooling system on core body temperature of cows on dairy farms in an arid environment.

    PubMed

    Ortiz, X A; Smith, J F; Bradford, B J; Harner, J P; Oddy, A

    2010-10-01

    Two experiments were conducted on a commercial dairy farm to describe the effects of a reduction in Korral Kool (KK; Korral Kool Inc., Mesa, AZ) system operating time on core body temperature (CBT) of primiparous and multiparous cows. In the first experiment, KK systems were operated for 18, 21, or 24 h/d while CBT of 63 multiparous Holstein dairy cows was monitored. All treatments started at 0600 h, and KK systems were turned off at 0000 h and 0300 h for the 18-h and 21-h treatments, respectively. Animals were housed in 9 pens and assigned randomly to treatment sequences in a 3 × 3 Latin square design. In the second experiment, 21 multiparous and 21 primiparous cows were housed in 6 pens and assigned randomly to treatment sequences (KK operated for 21 or 24 h/d) in a switchback design. All treatments started at 0600 h, and KK systems were turned off at 0300 h for the 21-h treatments. In experiment 1, cows in the 24-h treatment had a lower mean CBT than cows in the 18- and 21-h treatments (38.97, 39.08, and 39.03±0.04°C, respectively). The significant treatment by time interaction showed that the greatest treatment effects occurred at 0600 h; treatment means at this time were 39.43, 39.37, and 38.88±0.18°C for 18-, 21-, and 24-h treatments, respectively. These results demonstrate that a reduction in KK system running time of ≥3 h/d will increase CBT. In experiment 2, a significant parity by treatment interaction was found. Multiparous cows on the 24-h treatment had lower mean CBT than cows on the 21-h treatment (39.23 and 39.45±0.17°C, respectively), but treatment had no effect on mean CBT of primiparous cows (39.50 and 39.63±0.20°C for 21- and 24-h treatments, respectively). A significant treatment by time interaction was observed, with the greatest treatment effects occurring at 0500 h; treatment means at this time were 39.57, 39.23, 39.89, and 39.04±0.24°C for 21-h primiparous, 24-h primiparous, 21-h multiparous, and 24-h multiparous cows

  8. Effects of partial ruminal defaunation on urea-nitrogen recycling, nitrogen metabolism, and microbial nitrogen supply in growing lambs fed low or high dietary crude protein concentrations.

    PubMed

    Kiran, D; Mutsvangwa, T

    2010-03-01

    Urea-nitrogen recycling to the gastrointestinal tract (GIT), N metabolism, and urea transporter-B (UT-B) mRNA abundance in ruminal epithelium were evaluated in partially defaunated (PDFAUN) and faunated (FAUN) growing lambs fed 2 levels (10%, low, or 15%, high) of dietary CP (DM basis). Four Suffolk ram lambs (43.9 +/- 1.4 kg initial BW) were used in a 4 x 4 Latin square design with 27-d periods. Sunflower oil was fed (6%; DM basis) as an anti-protozoal agent. Nitrogen balance was measured from d 22 to 26, with concurrent measurement of urea-N kinetics using continuous intrajugular infusions of [(15)N(15)N]-urea. Feeding sunflower oil decreased (P < 0.01) total ruminal protozoa by 88%, and this was associated with a decrease (P < 0.01) in ruminal ammonia-N concentrations. Endogenous production of urea-N (UER; 26.1 vs. 34.6 g/d) and urea-N loss in urine (UUE; 10.1 vs. 15.7 g/d) were less (P < 0.01), and urea-N entering the GIT (GER; 16.0 vs. 18.9 g/d) tended to be less (P = 0.06) in PDFAUN as compared with FAUN lambs. However, as a proportion of UER, GER was greater (P < 0.01) and the proportion of recycled urea-N that was utilized for anabolism (i.e., UUA) tended to be greater (P = 0.09) in PDFAUN lambs. Partial defaunation increased (P < 0.01) microbial N supply. The UER, GER, and UUE were greater (P < 0.01) in lambs fed the high diet. However, as a proportion of UER, GER and its anabolic use were greater (P < 0.01) in lambs fed the low diet. The expression of UT-B mRNA in PDFAUN lambs was numerically greater (by 20%; P = 0.15) compared with FAUN lambs. In summary, results indicate that part of the mechanism for improved N utilization in defaunated ruminants is an increase in the proportion of endogenous urea-N output that is recycled to the GIT, thus potentially providing additional N for microbial growth.

  9. Propionate supplementation improves nitrogen use by reducing urea flux in sheep.

    PubMed

    Agarwal, U; Hu, Q; Bequette, B J

    2015-10-01

    Feeding and postruminal infusion of propionate is known to increase N retention in ruminants. Our aim was to determine the role of rumen propionate on urea N recycling and gluconeogenesis in growing sheep. In Exp. 1, wether sheep ( = 6; 32.5 ± 3.57 kg BW) fitted with a rumen cannula were fed to 1.8 × ME requirement a concentrate-type ration (172 g CP/kg DM and 10.4 MJ ME/kg DM) and continuously infused into the rumen with isoenergetic (10% of dietary ME intake) solutions of either sodium acetate (control) or sodium propionate for 9-d periods in a crossover design. In Exp. 2, a different group of wether sheep ( = 5; 33.6 ± 3.70 kg BW) fitted with a rumen cannula were fed, on an isonitrogenous basis, either a control (151 g CP/kg DM and 8.4 MJ ME/kg DM) or sodium propionate-supplemented (139 g CP/kg DM and 8.9 MJ ME/kg DM) diet at 2-h intervals. [N] urea was continuously infused intravenously for the last 5 d of each period, and total urine was collected by vacuum and feces were collected by a harness bag. Over the last 12 h, [C]glucose was continuously infused intravenously and hourly blood samples were collected during the last 5 h. Propionate treatments increased ( < 0.001) the proportion of rumen propionate in both experiments. In Exp. 1, N retention was not affected by propionate infusion as compared with isoenergetic acetate. There was no effect on urea entry (synthesis) rate (UER) in Exp. 1; however, sodium propionate infusion tended ( < 0.1) to increase urinary urea elimination (UUE). In Exp. 2, feeding propionate increased ( < 0.01) N retention by 0.8 g N/d. In addition, UER was reduced by approximately 2 g urea N/d, leading to a reduction ( < 0.05) in UUE (7.0 vs. 6.2 g urea N/d). Between the 2 experiments, the proportion of UER recycled to the gut was greater with the forage-type diet in Exp. 2 (approximately 60%) compared with the concentrate-type diet in Exp. 1 (approximately 40%), although urea N fluxes across the gut remained unchanged in both