Integrating primary care and specialty physicians in the operations of ambulatory satellite facilities.
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Biomedical subjects
Publications and source records attributed to C M Cannon.
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The present study examined the effect of the calcium ionophore A23187 or angiotensin II (AII) on the expression of ovarian metalloproteinase inhibitor and activity in rat granulosa cells and intact ovaries. Granulosa cells were collected from rats primed with pregnant mares' serum gonadotrophin (PMSG) and cultured for 24 h with A23187, AII, or the AII receptor antagonist, saralasin, in the presence or absence of LH. Metalloproteinase inhibitor activity and progesterone concentrations were determined in the media. In the A23187 experiment, addition of A23187 to granulosa cells, cultured without LH, decreased inhibitor activity, especially at the concentrations of 10 and 100 mumol l-1 (decrease to 33 +/- 7% and 31 +/- 5% of control culture values, respectively). Addition of LH to the media increased inhibitor activity 3.04 +/- 0.39 times compared with the control; however, A23187 (10 and 100 mumol l-1), in the presence of LH, decreased inhibitor activity by approximately 67%. The ionophore had disparate effects on progesterone production. Without LH, A23187 increased progesterone production by 2.96 +/- 0.47 times at 10 mumol l-1 and by 5.53 +/- 0.65 times at 100 mumol l-1. However, in LH-stimulated cells, progesterone was inhibited by A23187 at 1 and 10 mumol l-1 but was unchanged at 100 mumol l-1. In the angiotensin experiment, addition of AII (0-10,000 nmol l-1) or saralasin (1 mumol l-1) did not affect inhibitor activity or progesterone concentrations compared with control values in the absence or presence of LH. For the angiotensin experiment in vivo, PMSG-primed rats were injected with hCG followed by saralasin (10 mmol l-1) 1 or 3 h later and killed at 4, 8, or 12 h after hCG. Expression of the ovarian tissue inhibitor of metalloproteinase-1 (TIMP-1) increased by 1.7 times at 4 h, 3.3 times at 8 h, and 3.0 times at 12 h after hCG compared with values in ovaries collected at the time of hCG injection. Administration of saralasin at 1 or 3 h after hCG had no effect on expression of TIMP-1 or on serum concentrations of progesterone or oestradiol. In summary, A23187 decreased granulosa cell-derived inhibitor activity, whereas All had no effect. We propose that calcium may play a role in modulating proteolysis associated with ovulation, while AII does not appear to regulate ovarian metalloproteinase inhibitor activity.
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The development of a computerised data handling and analysis system to aid the operation of a health and management program for commercial dairy herds is described. The aims for the system are outlined, and the development of the system over a period of 8 years to meet these aims is described. The documentation used in the current system is described in relation to the various procedures involved in the operation of the dairy herd health program. Two features which make this system unique are its use for the selection of problem and high risk cows for examination and treatment, and the provision of analyses of recent performance in a number of facets of health and production, which aid in the identification of emerging problems. It is considered that future improvements in the system will be in the areas of milk production recording and calf rearing and disease recording.
A health program service was implemented on 9 farms, for periods ranging up to 7 years. Reproductive performance was substantially improved, when performance indicators were compared with values for the herds prior to commencement of the service. On average, the mean calving to conception intervals for the herds were reduced by 24 days over their periods of participation in the program, from an initial value of 119 days. The intercalving interval was reduced by an average of 27 days. This improvement was associated with a reduction in the mean dry period length of 20 days, from an initial value of 117 days. There was a tendency for the lactation lengths to be reduced to an undesirable extent due to slow adaptation by management to the improvement in reproductive performance, but the problem was corrected late in the study. The improvement in performance was attributed to improved oestrus detection, correction of temporary nutritional deficiencies, and prompt treatment of genital tract disorders in individual animals. Results for a range of performance indicators related to reproductive function are reported in detail.
A study of mastitis prevalence in 10 herds which participated in a herd health program is reported for varying periods, up to a maximum of 10 years. The program was based on teat dipping with idophor or sodium hypochlorite teat dip, regular maintenance of the milking machine, and selective dry period treatment of quarters which were classified as infected on the basis of California Mastitis Test score and bacteriological examination of milk samples taken before drying off. The procedures reduced mastitis prevalence (measured in cows being dried off), incidence of clinical mastitis, and disposal of cows due to mastitis. Results obtained were similar to those found in short-term studies of control programs based on teat dipping and dry period therapy. The only significant difficulty which arose in maintaining the control program over 10 years was loss of enthusiasm by farmers for teat dipping. This was usually induced by teat irritation problems apparently caused by teat dipping. The use of a monitoring procedure for mastitis prevalence was important in persuading farmers to return to the use of teat dip.
A health program for dairy herds is defined as a planned and coordinated approach to achieving and maintaining optimal health and productive efficiency of livestock. A program is described, which has been developed over a period of eight years to fulfill this definition in providing veterinary services to commercial dairy herds. It is demonstrated that clinical veterinary services to participating herds did not satisfactorily achieve the stated aim and therefore an alternative approach was developed. This approach is centred around the concept of performance targets, and each herd is monitored closely by means of a computer-based health and productivity monitoring system in order to detect deviation from target performance. When such deviations occur, the monitoring system is used to diagnose the nature of the problem. The detailed targets adopted in this study are described and the examinations which are undertaken on cattle are outlined. These examinations are aimed at correcting problems, or at confirming satisfactory performance. Further details of the findings of the study are outlined in following papers.
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