Effects of Concentrate Feed Starch Source Offered Twice a Day on Feed Intake and Milk Production of Cows During the Early Postpartum Period.

This experiment determined the effects of two different starch sources when offered twice a day to cows during the early postpartum period (1 to 23 d postpartum, treatment period) on dry matter intake (DMI), feeding behavior, and milk production. The subsequent effects on milk production in the carryover period (24 to 72 d) where cows received a common diet (grazed perennial ryegrass pasture plus concentrate supplements) were also measured. Thirty-two multiparous dairy cows were offered concentrate feed (8 kg DM/d) containing 5 kg DM of crushed wheat grain or ground corn grain (7 h in vitro starch digestibility of 65.

The Impact of Evolving Endometriosis Guidelines on Diagnosis and Observational Health Studies.

Study Question: Do recent changes in European Society of Human Reproduction and Embryology (ESHRE) clinical guidelines result in more comprehensive diagnosis of women with endometriosis?

Summary Answer: The latest shift in clinical guidelines results in diagnosis of more women with endometriosis but current ESHRE diagnostic criteria do not capture a sizable percentage of women with the disease.

What Is Known Already: Historically, laparoscopy was the gold standard for diagnosing endometriosis, a complex gynecological condition marked by a heterogeneous set of symptoms that vary widely among women. More recently, changes in clinical guidelines have shifted to incorporate imaging-based approaches such as transvaginal sonography and magnetic resonance imaging.

The Patient Perspective on Discussion of Perioperative Code Status: A Blind Spot in Efforts to Promote Goal-Concordant Surgical Care.

Despite long-standing recognition that providers should discuss DNR (do-not-resuscitate) orders prior to surgery, there is evidence that perioperative code status discussions are frequently of limited quality. Limited attention has been paid to patient perspectives. Determine the scope of literature on management of perioperative DNR orders from the patient perspective.