| 1. |
- Dahlberg, Josef, et al.
(författare)
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Microbiota data from low biomass milk samples is markedly affected by laboratory and reagent contamination
- 2019
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Ingår i: PLoS ONE. - : Public Library of Science (PLoS). - 1932-6203. ; 14
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Tidskriftsartikel (refereegranskat)abstract
- Discoveries of bacterial communities in environments that previously have been described as sterile have in recent years radically challenged the view of these environments. In this study we aimed to use 16S rRNA sequencing to describe the composition and temporal stability of the bacterial microbiota in bovine milk from healthy udder quarters, an environment previously believed to be sterile. Sequencing of the 16S rRNA gene is a technique commonly used to describe bacterial composition and diversity in various environments. With the increased use of 16S rRNA gene sequencing, awareness of methodological pitfalls such as biases and contamination has increased although not in equal amount. Evaluation of the composition and temporal stability of the microbiota in 288 milk samples was largely hampered by background contamination, despite careful and aseptic sample processing. Sequencing of no template control samples, positive control samples, with defined levels of bacteria, and 288 milk samples with various levels of bacterial growth, revealed that the data was influenced by contaminating taxa, primarily Methylobacterium. We observed an increasing impact of contamination with decreasing microbial biomass where the contaminating taxa became dominant in samples with less than 10 4 bacterial cells per mL. By applying a contamination filtration on the sequence data, the amount of sequences was substantially reduced but only a minor impact on number of identified taxa and by culture known endogenous taxa was observed. This suggests that data filtration can be useful for identifying biologically relevant associations in milk microbiota data.
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| 2. |
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| 3. |
- Dahlberg, Josef, et al.
(författare)
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Microbiota of bovine milk, teat skin, and teat canal: Similarity and variation due to sampling technique and milk fraction
- 2020
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Ingår i: Journal of Dairy Science. - : American Dairy Science Association. - 0022-0302 .- 1525-3198. ; 103, s. 7322-7330
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to evaluate the effect of sampling technique and milk fraction on bovine milk microbiota data and to compare the microbiota in milk to microbiota on the teat end and in the teat canal. Representative milk samples are highly important for assessment of bacteriological findings and microbiota in milk. Samples were obtained from 5 healthy lactating dairy cows at udder quarter level during 1 milking. Swab samples from the teat. end and teat canal, and milk samples collected using different techniques and in different milk fractions were included. Milk was collected by hand stripping and through a teat canal cannula before and after machine milking, through a trans-teat wall needle aspirate after milking, and from udder quarter composite milk. The microbiota of the samples was analyzed with sequencing of the V1-V3 region of the 16S rRNA gene. In addition, somatic cell counts and bacterial cultivability were analyzed in the milk samples. Microbiota data were analyzed using multivariate methods, and differences between samples were tested using analysis of similarity (ANOSIM). Differences between samples were further explored via individual studies of the 10 most abundant genera. The microbiota on the teat end, in the teat canal, and in udder quarter composite milk, collected using a milking machine, differed in composition from the microbiota in milk collected directly from the udder quarter. No differences in milk microbiota composition were detected between hand-stripped milk samples, milk samples taken through a teat canal cannula, or milk samples taken as a trans-teat wall needle aspirate before or after milking. We conclude that for aseptic milk samples collected directly from the lactating udder quarter, sampling technique or milk fraction has minor effect on the microbiota composition.
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| 4. |
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| 5. |
- Wickström, Erik, et al.
(författare)
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Relationship between somatic cell count, polymorphonuclear leucocyte count and quality parameters in bovine bulk tank milk
- 2009
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Ingår i: Journal of Dairy Research. - 0022-0299 .- 1469-7629. ; 76, s. 195-201
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Tidskriftsartikel (refereegranskat)abstract
- The somatic cell count (SCC) in bovine bulk tank milk is presently used as an indicator of raw milk quality, reflecting the udder health status of the herd. During mastitis, SCC increases, mostly owing to an influx of polymorphonuclear leucocytes (PMN) from blood into milk, with a concomitant change in milk composition. Bulk tank milk samples were categorized according to their SCC, as well as polymorphonuclear leucocyte count (PMNC), to study relationships between SCC, PMNC and various raw milk quality traits, i.e. contents of total protein, whey protein, casein, fat and lactose, casein number, proteolysis and rheological properties. The proportion of PMN, obtained by direct microscopy, was significantly higher in samples with high SCC compared with low SCC samples. SCC and PMNC were strongly correlated, yielding a correlation coefficient of 0.85. High SCC samples had lower lactose and casein contents, lower casein number and more proteolysis than low SCC samples. Samples with high PMNC had a lower casein number than low PMNC samples. Samples with high and low SCC or PMNC did not differ in respect to rheological properties. Our results do not indicate that PMNC is a better biomarker than SCC for raw bulk tank milk quality, as previously proposed.
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| 6. |
- Alder, Susanna, et al.
(författare)
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Incomplete excision of cervical intraepithelial neoplasia as a predictor of the risk of recurrent disease : a 16-year follow-up study
- 2020
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Ingår i: American Journal of Obstetrics and Gynecology. - : Elsevier. - 0002-9378 .- 1097-6868. ; 222:2, s. 172.e1-172.e12
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Women treated for high-grade cervical intraepithelial neoplasia (CIN, grade 2 or 3) are at elevated risk of developing cervical cancer. Suggested factors identifying women at highest risk for recurrence post-therapeutically include incomplete lesion excision, lesion location, size and severity, older age, treatment modality and presence of high-risk human papilloma virus (hrHPV) after treatment. This question has been intensively investigated over decades, but there is still substantial debate as to which of these factors or combination of factors most accurately predict treatment failure.OBJECTIVES: In this study, we examine the long-term risk of residual/recurrent CIN2+ among women previously treated for CIN2 or 3 and how this varies according to margin status (considering also location), as well as comorbidity (conditions assumed to interact with hrHPV acquisition and/or CIN progression), post-treatment presence of hrHPV and other factors.STUDY DESIGN: This prospective study included 991 women with histopathologically-confirmed CIN2/3 who underwent conization in 2000-2007. Information on the primary histopathologic finding, treatment modality, comorbidity, age and hrHPV status during follow-up and residual/recurrent CIN2+ was obtained from the Swedish National Cervical Screening Registry and medical records. Cumulative incidence of residual/recurrent CIN2+ was plotted on Kaplan-Meier curves, with determinants assessed by Cox regression.RESULTS: During a median of 10 years and maximum of 16 years follow-up, 111 patients were diagnosed with residual/recurrent CIN2+. Women with positive/uncertain margins had a higher risk of residual/recurrent CIN2+ than women with negative margins, adjusting for potential confounders (hazard ratio (HR)=2.67; 95% confidence interval (CI): 1.81-3.93). The risk of residual/recurrent CIN2+ varied by anatomical localization of the margins (endocervical: HR=2.72; 95%CI: 1.67-4.41) and both endo- and ectocervical (HR=4.98; 95%CI: 2.85-8.71). The risk did not increase significantly when only ectocervical margins were positive/uncertain. The presence of comorbidity (autoimmune disease, human immunodeficiency viral infection, hepatitis B and/or C, malignancy, diabetes, genetic disorder and/or organ transplant) was also a significant independent predictor of residual/recurrent CIN2+. In women with positive hrHPV findings during follow-up, the HR of positive/uncertain margins for recurrent/residual CIN2+ increased significantly compared to women with hrHPV positive findings but negative margins.CONCLUSIONS: Patients with incompletely excised CIN2/3 are at increased risk of residual/recurrent CIN2+. Margin status combined with hrHPV results and consideration of comorbidity may increase the accuracy for predicting treatment failure.
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| 7. |
- Dahlberg, Josef, et al.
(författare)
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Absence of changes in the milk microbiota during Escherichia coli endotoxin induced experimental bovine mastitis
- 2023
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Ingår i: Veterinary research (Print). - : BioMed Central (BMC). - 0928-4249 .- 1297-9716. ; 54
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Tidskriftsartikel (refereegranskat)abstract
- Changes in the milk microbiota during the course of mastitis are due to the nature of a sporadic occurring disease difficult to study. In this study we experimentally induced mastitis by infusion of Escherichia coli endotoxins in one udder quarter each of nine healthy lactating dairy cows and assessed the bacteriological dynamics and the milk microbiota at four time points before and eight time points after infusion. As control, saline was infused in one udder quarter each of additionally nine healthy cows that followed the same sampling protocol. The milk microbiota was assessed by sequencing of the 16 S rRNA gene and a range of positive and negative controls were included for methodological evaluation. Two different data filtration models were used to identify and cure data from contaminating taxa. Endotoxin infused quarters responded with transient clinical signs of inflammation and increased SCC while no response was observed in the control cows. In the milk microbiota data no response to inflammation was identified. The data analysis of the milk microbiota was largely hampered by laboratory and reagent contamination. Application of the filtration models caused a marked reduction in data but did not reveal any associations with the inflammatory reaction. Our results indicate that the microbiota in milk from healthy cows is unaffected by inflammation.
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| 8. |
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| 9. |
- Johnzon, Carl-Fredrik, et al.
(författare)
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The Effect of Lipopolysaccharide-Induced Experimental Bovine Mastitis on Clinical Parameters, Inflammatory Markers, and the Metabolome : A Kinetic Approach
- 2018
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Ingår i: Frontiers in Immunology. - : FRONTIERS MEDIA SA. - 1664-3224. ; 9
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Tidskriftsartikel (refereegranskat)abstract
- Mastitis is an inflammatory condition of the mammary tissue and represents a major problem for the dairy industry worldwide. The present study was undertaken to study how experimentally induced acute bovine mastitis affects inflammatory parameters and changes in the metabolome. To this end, we induced experimental mastitis in nine cows by intramammary infusion of 100 pg purified Escherichia call lipopolysaccharide (LPS) followed by kinetic assessments of cytokine responses (by enzyme-linked immunosorbent assay), changes in the metabolome (assessed by nuclear magnetic resonance), clinical parameters (heat, local pain perception, redness, swelling, rectal temperature, clot formation, and color changes in the milk), and milk somatic cell counts, at several time points post LPS infusion. Intramammary LPS infusion induced clinical signs of mastitis, which started from 2 h post infusion and had returned to normal levels within 24-72 h. Milk changes were seen with a delay compared with the clinical signs and persisted for a longer time. In parallel, induction of IL-6 and TNF-alpha were seen in milk, and there was also a transient elevation of plasma IL-6 whereas plasma TNF-alpha was not significantly elevated. In addition, a robust increase in CCL2 was seen in the milk of LPS-infused cows, whereas G-CSF, CXCL1, and histamine in milk were unaffected. By using a metabolomics approach, a transient increase of plasma lactose was seen in LPS-induced cows. In plasma, significant reductions in ketone bodies (3-hydroxybutyrate and acetoacetate) and decreased levels of short-chain fatty acids, known to be major products released from the gut microbiota, were observed after LPS infusion; a profound reduction of plasma citrate was also seen. Intramammary LPS infusion also caused major changes in the milk metabolome, although with a delay in comparison with plasma, including a reduction of lactose. We conclude that the LPS-induced acute mastitis rapidly affects the plasma metabolome and cytokine induction with similar kinetics as the development of the clinical signs, whereas the corresponding effects in milk occurred with a delay.
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| 10. |
- Lakic, Branislav, et al.
(författare)
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Is there a special mechanism behind the changes in somatic cell and polymorphonuclear leukocyte counts, and composition of milk after a single prolonged milking interval in cows?
- 2009
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Ingår i: Acta Veterinaria Scandinavica. - : Springer Science and Business Media LLC. - 0044-605X .- 1751-0147. ; 51, s. 1-10
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Tidskriftsartikel (refereegranskat)abstract
- Background: A single prolonged milking interval (PMI) e.g. after a technical stop in an automatedmilking system is of concern for the producer since it is associated with a short-lasting increase inmilk somatic cell count (SCC), which is a major quality criterion used at the dairy plants. Thecontent of polymorphonuclear leukocytes (PMN) and how the milk quality is influenced has notbeen much investigated. The SCC peak occurs without any obvious antigen challenge, possiblyindicating a different leukocyte attraction mechanism after a PMI than we see during mastitis.Methods: Composite cow milk samples were taken at the milkings twice daily during 7 days beforeand 5 days after a PMI of 24 h. Milk was analyzed for SCC, PMN, fat, protein and lactose, and atsome occasions also casein and free fatty acids (FFA).Results: During the PMI the proportion of milk PMN increased sharply in spite of marginallyincreased SCC. The peak SCC was not observed until the second milking after the PMI, in theafternoon day 1. However, the peak SCC value in morning milk did not occur until one day later,concomitantly with a decrease in the proportion of PMN. After declining, SCC still remainedelevated while PMN proportion was decreased throughout the study as was also the milk yield,after the first accumulation of milk during the PMI. Milk composition was changed the day after thePMI, (increased fat and protein content; decreased lactose, whey protein and FFA content) but thechanges in the following days were not consistent except for lactose that remained decreased therest of the study.Conclusion: The PMI resulted in increased SCC and proportion of PMN. Additionally, it gave riseto minor alterations in the milk composition in the following milkings but no adverse effect on milkquality was observed. The recruitment of PMN, which was further enhanced the first day after thePMI, appeared to be independent of milk volume or accumulation of milk per se. Hence, we suggestthat there is a special immunophysiological/chemoattractant background to the increased migrationof leukocytes into the milk compartment observed during and after the PMI.
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| 11. |
- Lakic, Branislav, et al.
(författare)
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The effect of a single prolonged milking interval on inflammatory parameters, milk composition and yield in dairy cows
- 2011
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Ingår i: Veterinary Immunology and Immunopathology. - : Elsevier BV. - 0165-2427 .- 1873-2534. ; 140, s. 110-118
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Tidskriftsartikel (refereegranskat)abstract
- A technical stop in automatic milking systems may result in a severely prolonged milking interval (PMI) with subsequent impact on milk somatic cell count (SCC). This study investigated the inflammatory reaction, milk composition and yield during SCC peak observed in composite milk after exposing cows to a single PMI of 24h. At the first milking after the PMI, a sharply increased proportion of milk polymorphonuclear leukocytes (PMN) but marginally increased SCC were observed. The peak in SCC was not seen until morning milking day 2 after the PMI, notably, concomitantly with a decreased PMN proportion. An increase in blood lactose, milk bovine serum albumin and serum amyloid A (SAA) and a drop in milk alpha lactalbumin (ALA) were seen concomitantly with the peak in PMN. All parameters mentioned, had returned to base line after day 2. The changes in SCC and SAA had the longest duration. Lactate dehydrogenase in afternoon milk was decreased during the whole study as was also afternoon milk yield. Interleukin-1 beta could not be detected in milk at any time. SAA and ALA, respectively, may influence chemotaxis and the changed concentrations observed after the PMI might have contributed to the increased migration of PMN to milk. (C) 2010 Elsevier B.V. All rights reserved.
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| 12. |
- Sundler, Annelie Johansson, 1973-, et al.
(författare)
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The patient’s first point of contact (PINPOINT) – protocol of a prospective multicenter study of communication and decision-making during patient assessments by primary care registered nurses
- 2023
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Ingår i: BMC Primary Care. - : BioMed Central Ltd. - 2731-4553. ; 24:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: A major challenge for primary care is to set priorities and balance demands with available resources. The registered nurses in this study are practice nurses working in primary care offices, playing a large role in initial assessments. The overall objective of this research is to investigate practices of communication and decision-making during nurses’ initial assessment of patients’ health problems in primary care, examine working mechanisms in good practices and develop feasible solutions. Methods: Project PINPOINT aims for a prospective multicenter study using various methods for data collection and analysis. A purposive sample of 150 patient‒nurse consultations, including 30 nurses and 150 patients, will be recruited at primary care centers in three different geographic areas of southwest Sweden. The study will report on outcomes of communication practices in relation to patient-reported expectations and experiences, communication processes and patient involvement, assessment and decision-making, related priorities and value conflicts with data from patient questionnaires, audio-recorded real-time communication, and reflective interviews with nurses. Discussion: This research will contribute to the knowledge needed for the guidance of first-line decision-making processes to best meet patient and public health needs. This knowledge is necessary for the development of assessments and decisions to be better aligned to patients and to set priorities. Insights from this research can empower patients and service providers and help understand and enhance feasible person-centered communication strategies tailored to patients’ level of health literacy. More specifically, this research will contribute to knowledge that can strengthen nurses’ communication, assessments, and clinical decision-making in primary care. In the long term, this will contribute to how the competencies of practice nurses and other professionals are organized and carried out to make the best use of the resources within primary care. Trial registration: ClinicalTrials.gov Identifier: NCT06067672.
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| 13. |
- Wredle, Ewa, et al.
(författare)
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The effect of pasture turnout on milk somatic cell count, polymorphonuclear leukocytes and milk composition in cows housed in tie stalls
- 2014
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Ingår i: Acta Agriculturae Scandinavica, Section A - Animal Science. - : Informa UK Limited. - 0906-4702 .- 1651-1972. ; 64, s. 226-232
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Tidskriftsartikel (refereegranskat)abstract
- This study investigated milk somatic cell count (SCC), polymorphonuclear leukocytes (PMNs) and milk composition in dairy cows, which were kept in tie stalls, during the first days after pasture turnout. Thirty-five cows of the Swedish Red Breed, free of clinical signs of mastitis and with a geometric mean of SCC 67 x 10(3) cells/mL, were turned out to pasture after the morning milking on day 0 and then monitored for the next five days on pasture. Samples of cow composite milk were taken at every milking and analysed for SCC, PMN percentage of the total SCC and milk composition. There was a marked increase in both PMN proportion and SCC with the highest SCC value during the study recorded at the evening milking on day 0. The highest value in morning milk was observed on day 1. Milk SCC values in evening and morning milk declined after day 0 and day 1, respectively, but remained on a higher level compared with before turnout to pasture. Milk composition was only slightly altered. Since the changes in SCC and milk composition were of low magnitude, although statistically significant, these effects of pasture turnout can be considered as of minor importance for the milk quality.
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| 14. |
- Östensson, Karin
(författare)
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Från manligt till kvinnligt
- 2010
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Ingår i: Veterinär - yrke i förvandling. - 9789163374425 ; , s. 83-110
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Bokkapitel (populärvet., debatt m.m.)
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| 15. |
- Östensson, Karin, et al.
(författare)
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Management Factors Influencing Milk Somatic Cell Count and Udder Infection Rate in Smallholder Dairy Cow Herds in Southern Vietnam
- 2011
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Ingår i: Journal Of Animal And Veterinary Advances. - : Medwell Publications. - 1680-5593. ; 10, s. 847-852
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Tidskriftsartikel (refereegranskat)abstract
- The present study was conducted to investigate management factors influencing milk Somatic Cell Count (SCC) and udder infection rate in lactating cows housed at smallholder farms in Southern Vietnam. In total 115 lactating cows at 20 farms were included in the study. Management and milking routines were registered and quarter milk samples were taken for analysis of SCC and bacterial species. Watering routine was found to significantly influence herd milk SCC (p = 0.008) and the method of teat cup cleaning showed a tendency to influence herd milk SCC (p = 0.078). Streptococcus agalactiae was the most common bacteria species in all management groups. Cleaning teat cups with detergent at every milking was a routine observed to be associated with lower infection rate of Streptococcus agalactiae. The results of this study show the presence of several in-adequate management and hygienic practices associated with high SCC which if improved could lead to improved udder health and subsequently higher milk yield.
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| 16. |
- Östensson, Karin, et al.
(författare)
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Prevalence of subclinical mastitis and isolated udder pathogens in dairy cows in Southern Vietnam
- 2013
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Ingår i: Tropical Animal Health and Production. - : Springer Science and Business Media LLC. - 0049-4747 .- 1573-7438. ; 45, s. 979-986
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Tidskriftsartikel (refereegranskat)abstract
- Dairy production is not traditional in Vietnam. The farmers have little practical knowledge and udder health control is generally lacking. In order to give the farmers appropriate advice, knowledge about the distribution of udder pathogens is crucial. The aim of the study was to investigate the prevalence of sub-clinical mastitis and to identify udder pathogens isolated from smallholder dairy herds in Southern Vietnam. Twenty farms with a herd somatic cell count (SCC) ranging from low (a parts per thousand currency sign400 x 10(3) cells/mL) to high (> 400 x 10(3) cells/mL) were randomly selected. Milk samples were collected from 458 quarters of 115 clinically healthy cows. SCC was analyzed on farm by a portable cell counter. Bacteriological samples were taken using Mastistrip(A (c)) cassettes and sent to Sweden for examination. For all herds the mean herd SCC was 632 x 10(3)/mL milk. The prevalence of subclinical mastitis at quarter SCC basis was 63.2 % and at cow basis 88.6 %. Only 40 % of all cows were bacteriologically negative in all quarters. Streptococcus agalactiae was the most commonly found bacteria species, isolated from 96 of the 458 quarter samples, in 13 of the 20 farms. The results indicate pronounced subclinical mastitis problems among the dairy cows in this region mainly due to infections with S. agalactiae. The high prevalence of this highly contagious pathogen is probably attributable to the generally poor milking hygiene and low awareness of proper measures to prevent occurrence and spread of udder infections. A strict, targeted action program for the herds in this area is required in order to lower the prevalence of subclinical mastitis.
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| 17. |
- Östensson, Karin
(författare)
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Sveriges Veterinärförbund 150 år
- 2010
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Ingår i: Veterinär - yrke i förvandling. - 9789163374425 ; , s. 8-67
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Bokkapitel (populärvet., debatt m.m.)
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