Incidence and Risk Factors for Secondary Surgery and Amputation After Lower Extremity Limb Salvage.

Background: Traumatic defects of the lower extremity (LE) require robust soft tissue to cover critical structures and facilitate healing. Free tissue transfer (FTT) is often necessary when local tissue is inadequate. While much of the literature emphasizes free flap viability in successful limb salvage, there is limited understanding regarding the need for additional surgeries or eventual amputation.

Effects of particle size reduction of meadow hay on feed intake, performance, and apparent total tract nutrient digestibility in dairy cows.

Forage-based diets are encouraged in organic dairy cattle production as this can increase the net human food supply, but their voluminous nature can limit dry matter intake (DMI) and performance. This study investigates the effects of a substantial particle size reduction of hay on dairy cows' feed intake, performance, and body characteristics, as well as on apparent total tract digestibility (ATTD). Eighteen lactating Holstein cows were allocated to two balanced feeding groups.

All Public Health is Local: Lessons From Eagle County During the First 2 Years of the Coronavirus Disease-2019 Pandemic.

Background: During the coronavirus disease-2019 (COVID-19) pandemic cumulative United States COVID-19 deaths per capita were higher than all other large, high-income nations, but with substantial variation across the country.

Objective: The aim was to detail the public health response during the pandemic in Eagle County, Colorado.

Research Design And Measures: Observational study using pre-COVID-19 county public health metrics.