Search Results (622)

Introduction: Cervical cancer remains a leading cause of mortality among women, particularly in regions with limited resources. Persistent high-risk human papillomavirus (HR-HPV) infection is the main etiological factor for CIN and cervical cancer. This study aimed to evaluate the association between HPV genotypes, age, and cytological findings and the presence of CIN2–3 in women presenting with abnormal cervical cytology. Methods: This cross-sectional study included 189 women with abnormal cytology who attended a tertiary center in Peru. All participants underwent partial HPV genotyping using the Cobas 4800 assay, colposcopic evaluation, and colposcopically directed biopsies, which served as the diagnostic reference. Sociodemographic characteristics and reproductive histories were also collected. Multiple logistic regression was performed to assess the associations among specific HPV genotypes, age, cytological results, and CIN2–3 outcomes. Results: Most participants were between 30 and 59 years of age (76.7%), and multiparity was common (77.8%). The most frequent cytological abnormalities were ASC-US (36.0%) and LSIL (28.0%), followed by HSIL (20.1%). HPV16 was detected in 24.3% of cases, HPV18 in 2.1%, and other HR-HPV types in 73.6%. HSIL cytology showed high concordance with histological CIN2–3 (>95%). Logistic regression demonstrated that age ≥ 30 years (aOR 4.50, 95% CI 1.90–10.65) and HPV16 infection (aOR 4.19, 95% CI 1.95–9.00) were the strongest independent predictors of high-grade disease. HPV18 was rare and not significantly associated, whereas other HR-HPV types showed an inverse association with CIN2–3. Conclusion: HPV16 and age ≥ 30 years were the most significant predictors of CIN2–3 in women with abnormal cytology, underscoring the dominant oncogenic role of HPV16. Integrating HPV genotyping, cytological findings, and age into risk-stratified algorithms could optimize cervical cancer prevention, ensuring timely detection of high-grade lesions while minimizing overtreatment in low-risk populations. Full article

Background/Objectives: A novel treatment of absolute uterine factor infertility is uterus transplantation. In preparation for human surgery, autotransplantation was performed in a sheep model to assess ischemia-reperfusion injury of the uterine wall. Methods: Seven multiparous ewes underwent live-donor uterus autotransplantation; in six, the procedure was completed successfully. Tissue blocks of complete uterine wall, endometrium, and myometrium were obtained at four predefined time points: native (baseline), after 1 h of cold ischemia, after 30 min of warm ischemia, and after 30 min of reperfusion. Samples were analyzed by differential scanning calorimetry and routine hematoxylin–eosin histology. Results: Histology demonstrated preserved epithelial, glandular, and stromal structures, with only minimal, reversible changes that increased with the ischemic duration. Differential scanning calorimetry confirmed alterations in thermal stability: in the uterine wall and myometrium, the calorimetric enthalpy decreased from baseline (3.40 ± 0.53 J/g) to reperfusion (2.62 ± 0.22 J/g), indicating structural loosening; in contrast, the endometrium calorimetric enthalpy slightly increased, suggesting greater flexibility and less susceptibility to ischemia-reperfusion injury. Conclusions: In this preliminary study, differential scanning calorimetry proved to be an effective and sensitive method for detecting early structural alterations in the uterine wall that could negatively impact post-transplant function. Cold and warm ischemia did not cause irreversible damage within a two-hour time frame, supporting the feasibility of short-term preservation in uterus transplantation. The myometrium demonstrated more significant vulnerability than the endometrium, which highlights the necessity of protective strategies to preserve smooth muscle integrity during transplantation. Full article

Background and Clinical Significance: Advanced pelvic organ prolapse (POP) associated with perineal herniation of pelvic and abdominal organs is a sporadic occurrence in gynaecological practice. Generally, POP affects up to 50% of multiparous women at some point during their lives. Advanced forms (grade III or IV) represent less than 10% of all cases, with severe grade IV prolapse occurring in fewer than 2% of patients. Case Presentation: We report the case of a 48-year-old nulliparous woman with no prior surgical history and no known medical conditions at presentation. The patient presented with severe grade IV POP (Baden–Walker Classification), characterised by abdominal pain, vaginal bleeding and significant urinary incontinence. A computed tomography scan was performed, revealing an extremely large perineal hernia, containing the uterus, urinary bladder, and small bowel loops—a rare finding with only isolated cases reported in the medical literature. Surgical treatment involved a total intracapsular hysterectomy with right-sided adnexectomy and colpoperineorrhaphy. After the surgery, the overall status of the patient was good. However, less than two months later, she returned, complaining of a recurrence of the initial pathology, and was diagnosed with grade II/III POP recurrence despite having no connective tissue disorders or other classical predisposing factors such as pregnancies, pelvic surgery history or obstetric trauma. The case was further complicated by a femoral neck fracture, stage V chronic kidney disease, COVID-19 pneumonia, and a Clostridium difficile infection. All these complications led to the postponement of the gynaecological reintervention procedure. Conclusions: We emphasise the significant challenges in managing this kind of perineal hernia, under unusual conditions and without common risk factors. A personalised, multidisciplinary approach is required, including careful follow-up to prevent early recurrence. Full article

Hyperprolific genetic lines achieve large litters but are at increased risk of metabolic stress, impaired sow condition, and reduced piglet viability. This study aimed to evaluate whether a phase-specific feeding program from service to weaning improves sow metabolic status and body condition, and enhances offspring performance, compared with a standard program. Sixty gilts and 268 multiparous sows were randomly allocated to a control group (standard commercial diets; C) or a treatment group (phase-specific diet; T) covering early and late gestation, peripartum, and lactation. Compared to a commercial feeding strategy, four custom-made, phase-specific diets were fed as follows: for early gestation (greater amount of essential aa and fat content), late gestation (higher amount of CP and essential aa), peripartum (improved nutrient profile at lower fat and fiber content), and lactation (higher essential aa and calorie content). On gestation day 113, T gilts had greater backfat thickness (BFT) and lower blood β-hydroxybutyrate (BHBA) than C. T multiparous sows showed greater BFT and longissimus muscle depth (LMD) and lower BHBA on day 113, fewer stillborn piglets, lower incidences of neonatal diarrhea, and fewer negative lactation curves and postpartum hypophagia. On day 28 of lactation, T litters had heavier piglets, and LMD remained higher in T sows. The phase-specific feeding program improved the metabolic state, body condition, and reproductive outcomes in hyperprolific sows and enhanced offspring growth through weaning. Full article

The parturition season of grazing Tibetan ewes spans from October to March, a period that exacerbates the adverse impacts of nutrient-deficient herbage on milk yield, body condition, and postpartum recovery. To alleviate the weight loss of ewes during the cold seasons, we provided concentrate supplements at four levels (dry matter (DM) basis), 260 g (C1), 440 g (C2), 520 g (C3), and 610 g (C4), alongside a basal diet of grazed pasture. A total of 96 multiparous Tibetan ewes (third parity, body weight: 45.17 ± 3.69 kg (body weight (BW) were enrolled within 12–18 h postpartum and randomly allocated to four dietary groups (n = 24 ewes per group). We measured growth performance, ruminal histomorphology, fermentation parameters, and digestive enzymes. A multi-omics technique (16S rRNA gene sequencing and RNA-seq) was employed to investigate the mechanisms underlying alterations in ruminal function. The results showed that increasing the concentrate level decreased body weight loss and increased average dry matter intake (p < 0.05). Rumen morphology was significantly altered: papilla width and muscle layer thickness were greatest in the C4 group, whereas submucosal thickness was highest in the C1 group (p < 0.05). Cellulase activity was lowest in the C1 group (p < 0.05). Papilla width of lactating Tibetan ewes in the C4 group was higher (p < 0.05) than that in the C1 and C3 groups. Concentrate supplementation altered ruminal microbiota composition and diversity. Each group exhibited a distinct microbial signature: the C1 group was characterized by Lachnospiraceae_XPB1014_group, Candidatus_Omnitrophus, Paenibacillus, and unclassified_Oligoflexaceae; the C2 group was enriched in Papillibacter, Anaerovibrio, V9D2013_group, and unclassified_Peptococcaceae; the C3 group was characterized by unclassified_Bacteroidales_RF16_group; and the C4 group was characterized by Ruminococcus, Pseudobutyrivibrio, and Mitsuokella (p < 0.05). Transcriptomic analysis identified differentially expressed genes (TRPA1, EPHB1, GATA3, C4, ABCG2, THBS4, and TNFRSF11B) that are predominantly involved in immune regulation, signal transduction, and nutrient digestion. The results of Spearman correlation analysis showed that Anaerovibrio was negatively correlated with propionate (r = −0.565, p < 0.05). However, it was positively correlated with the ratio of acetate and propionate (r = 0.579, p < 0.05). Moreover, Lachnospiraceae_XPB1014_group was negatively correlated with cellulase (r = −0.699, p < 0.05) and α-amylase (r = −0.514, p < 0.05). These findings suggest that the increasing concentrate supplementation alleviates body weight loss in lactating Tibetan sheep by orchestrating improvements in rumen histomorphology, digestive function, altering bacteria composition, and ruminal immune and modulating host epithelial gene expression. Full article

Compost barn systems are relevant alternatives to discussing production efficiency, welfare, and sustainability in dairy farming. However, studies evaluating these systems in different climates are still scarce, especially in subtropical climate zones. Here, we assess whether dairy cows’ behaviour, health and hygiene in compost barn systems are influenced by different climatic conditions and calving orders in Argentina’s central and extra-Pampean basins from the perspective of Bayesian inference. We evaluated dairy cows (n = 40) in a compost barn system simultaneously at two locations in Argentina: Rafaela and Salta. The following variables were evaluated: environmental factors, animal behaviour, respiratory rate, udder and hock hygiene, and locomotion degree of milking cows. There was a total of 10 primiparous cows and 10 multiparous cows at each location, randomly selected, which were in the first third of lactation (<90 DIM). Using Bayesian inference, we observed that Rafaela had a temperature-humidity index (THI) above 70, and Salta had a milder environment, with lower average temperature and higher relative humidity. Thus, climatic interference is evident in behaviour, triggering more behavioural and physiological mechanisms for heat abatement in primiparous females in Rafaela. At the same time, the mild conditions in Salta led to better thermal energy transfer by multiparous females compared to primiparous cows. This shows that the microclimate could interfere with the social hierarchy of cows when they are under heat stress. These findings highlight the importance of considering both calving orders and climate when designing management strategies for dairy systems. Full article

No studies have induced maternal behavior in goats through hormonal treatment. We evaluated whether ovariectomized goats treated with estradiol benzoate (EB2; n = 7 nulliparous and 10 multiparous goats) or progesterone + estradiol benzoate (P4 + EB2; n = 7 nulliparous and 7 multiparous goats), before or after vagino-cervical stimulation (VCS), displayed maternal behavior. When all goats were measured within treatments, in the EB2 group, low-pitch bleats were more frequent, and the time spent cleaning the kids was longer after VCS (p < 0.01), while location changes were more frequent before VCS. In nulliparous goats, those in the EB2 group emitted more low-pitch bleats after VCS than before (p = 0.04). The frequency of location changes was higher before VCS than after (p = 0.05). In multiparous goats, the frequency of smelling the kids and aggression toward the kids before VCS was higher in the EB2 group than in the P4 + EB2 group (p < 0.01). Within treatments, the EB2 group emitted more low-pitch bleats after VCS than before (p = 0.01), and the duration of cleaning the kids was longer after VCS than before (p = 0.028). Within the P4 + EB2 group, the kids were smelled more frequently after VCS than before (p = 0.03). The maternal index after vagino-cervical stimulation was higher in goats with EB2 (p = 0.002). Nulliparous goats treated with P4 + EB2 had a higher maternal index compared with those treated with EB2 alone (p = 0.04). In conclusion, regardless of parity, maternal behavior induced with the EB2 treatment was better when VCS was applied. Likewise, maternal experience altered the response. In multiparous females, any of the treatments were better after VCS, while in nulliparous females, this was only evident with the EB2 treatment. Full article

Background/Objectives: Exclusive breastfeeding (EBF) during hospitalization is essential for infant health but remains suboptimal in many Gulf Cooperation Council (GCC) countries. Maternal factors and the COVID-19 pandemic may have influenced breastfeeding practices. Understanding these determinants is crucial for improving postnatal care. This study aimed to identify determinants of breastfeeding practices during hospitalization before and during the COVID-19 pandemic in Bahrain. Methods: This retrospective cohort study reviewed electronic records of 321 mothers and their newborns discharged between March 2019 and March 2021 from a larger pool of 4500 cases. A structured data collection form was used to capture maternal age, parity, nationality, mode of delivery, COVID-19 period of delivery (pre-pandemic vs. pandemic), breastfeeding method, and reasons for mixed feeding. Descriptive and inferential statistical analyses were conducted to identify associations between variables. Results: Multiparous mothers had significantly higher exclusive breastfeeding rates than primiparous mothers (p = 0.016). The mode of delivery showed a strong association with breastfeeding outcomes, with vaginal births linked to higher EBF rates (p < 0.01). A notable decline in EBF was observed during the COVID-19 pandemic period, from 40% pre-pandemic to 14% during the pandemic. Conclusions: Exclusive breastfeeding during hospitalization is significantly influenced by delivery method and maternal parity. Although the COVID-19 pandemic may have contributed to reduced EBF rates, further research is required to validate these trends. These findings emphasize the importance of supportive hospital policies, particularly for first-time and cesarean mothers, and stress the need to strengthen breastfeeding practices during public health emergencies. Full article

Oral fluid sampling is a well-established, non-invasive method for disease surveillance in growing pigs; however, its application in group-housed gestating sows is under-researched. This study (1) characterized sow behaviors associated with oral fluid sampling and (2) documented the transfer of an environmental target into pen-based oral fluid samples. Field observations were conducted on a commercial sow farm in 12 pens of gestating sows sorted by parity (gilts, parity one, and multiparous sows). Sow oral fluid sampling behaviors were quantified by recording interactions with rope samplers using video cameras and then analyzing the recorded footage. All oral fluid sampling attempts were successful. Unlike growing pigs, experience with rope samplers (“training”) did not increase sow participation, but participation in oral fluid collection did increase as sampling time increased. The transfer of environmental components into oral fluid samples was demonstrated by introducing a fluorescent tracer into the pen and then detecting specific fluorescence in the samples (8 of 12 pens). These findings support the implementation of oral fluid sampling in group-housed sows and provide practical recommendations for optimizing surveillance protocols, including extended sampling times and use of at least two ropes per pen. Full article

The objective of this research was to evaluate the effect of two doses of hCG (100 and 300 IU) administered at two different times after fixed-time artificial insemination (FTAI) on some response variables related to early fetal loss and total litter weight in goats during the reproductive transition period. Crossbred multiparous goats (n = 40) were subjected to an estrus induction protocol, subsequently inseminated, and randomly distributed into five experimental groups (n = 8): (1). G100-7, 100 IU hCG, 7 d post FTAI; (2). G100-14, 100 IU hCG, 14 days post FTAI; (3). G300-7, 300 IU hCG, 7 d post FTAI; (4). G300-14, 300 IU hCG, 14 days post FTAI; and (5). CONT, 0.5 mL of saline solution, 7 and 14 days post FTAI. The variables of corpus luteum area, embryonic implantation rate, embryonic efficiency index 1 and 2, conception rate, fertility rate, fecundity rate, fetal losses at days 30 and 45, total fetal losses, and the total weight of the litter favored G300-14. The use of hCG (300 IU) in the reproductive transition period is an effective reproductive strategy, reducing early fetal losses, improving embryonic efficiency, and increasing total litter weight, all of which are fundamental to the reproductive success of marginal goat production systems. Full article

Maternal nutrition during gestation and lactation influences offspring development and metabolic health. Lecithin, a crucial phospholipid commonly used in animal diets to improve lipid absorption and energy metabolism, is a viable approach to optimize this synergy and improve neonatal resilience. This study aimed to investigate the regulation mechanism of maternal lecithin supplementation during late gestation and lactation on the growth performance and hepatic glycolipid metabolism of offspring. Twenty-four multiparous sows were randomly allocated to receive either a control (CON) diet or a lecithin-supplemented diet (2 kg/t lecithin) on day 95 of gestation until weaning (day 21 postpartum). Blood samples were collected from sows during late gestation and on day 21 of lactation, as well as from umbilical cords and weaned piglets at 21 days. Results showed that suckling piglets from lecithin group had faster growth rate, especially during 1–7 d of suckling period. Lecithin supplement reduced the serum cholesterol of pregnant sows, while not affected it in serum of umbilical cord. In contrast, both the serum cholesterol and glucose level presented upward trend in lactating sows in the lecithin group. Accordingly, maternal lecithin supplement increased the serum glucose level, as well as the levels of hepatic lipid and glucose levels, accompanied by decreasing the hepatic levels of certain long-chain fatty acids of 21-day-old piglets compared with the CON group. Furthermore, maternal lecithin supplement activated hepatic glycolipid metabolism via regulating the mRNA level of hepatic gluconeogenesis and lipid synthesis in 21-day-old piglets. In short, this study demonstrated that maternal lecithin supplementation improved hepatic energy homeostasis in offspring by activating gluconeogenesis and optimizing lipid storage, thereby enhancing neonatal growth performance and metabolic resilience for weaning challenges. Full article

The low profitability of small-scale dual-purpose (milk–meat) farming has caused the decline of Tsurcana sheep, making hormonal reproductive optimization essential to sustain Tsurcana sheep farming. We aimed to identify an effective protocol for out-of-season estrous induction in Tsurcana micro-farms. Five protocols were tested in multiparous ewes under free-range conditions (n = 100; 20/group): T1—prostaglandin F₂α (PGF₂α) on day 9/gonadotropin-releasing hormone (GnRH) on day 12; T2—PGF₂α on day 9/pregnant mare serum gonadotropin (PMSG) on day 11; T3—PGF₂α + PMSG on day 9/GnRH on day 12; T4—PGF₂α on day 12/PMSG on day 13; T5—PMSG on day 13. The fluorogestone acetate (FGA) sponges were removed on day 9 (T1–T3), day 12 (T4), or day 13 (T5). The estrous responses (70–100%) mainly occurred 36–48 h post-sponge removal, with no differences between protocols or time points. The sponge losses (≤10%) were similar among groups. The occurrence of vaginitis differed significantly between the groups (p = 0.008) and was restricted to the long-duration treatments (T4 and T5; ≤10%). Singleton births predominated, the twinning rate was modest (highest in T1–T3), and no multiple births occurred. The lambing, singleton, twinning, and prolificacy rates, as well as birth weights, showed no significant differences between the groups. The estrous responses correlated strongly with the pregnancy, lambing, and singleton rates (Kendall’s τ = 0.82, p < 0.05). Cost analysis identified T1 as the most efficient protocol. Short-duration sponge retention combined with PGF₂α and GnRH (T1) provides the optimal reproductive results for sustainable Tsurcana micro-farming. Full article

Paratuberculosis is a widespread infectious disease in ruminants that leads to significant economic losses in livestock production. In this study, we developed a practical method for predicting the likelihood of the herd-level presence of the infection and estimating its prevalence in subgroups of a dairy herd—specifically, first-time calving cows (primiparous) and those that have calved more than once (multiparous). We fit a Bayesian hierarchical model to cow-level data, incorporating prior knowledge about regional prevalence of infection to improve the accuracy and reliability of the estimates. The model was tested using synthetic data representing six regional scenarios in four countries (Chile, Denmark, Italy, and Hungary). The likelihood that a herd is infected is evaluated using Bayes factors and posterior probability of infection. Both the Bayes factor and the posterior probability of infection classified the simulated herds in accordance with the proportions of infected herds. Summary measures obtained for within-herd true prevalence estimates demonstrated acceptable accuracy. The R and STAN codes of the model are available as an open-access tool. The model can be customized for any region using real local data and prior information. The relationship between true and apparent prevalence is linear and stable and therefore can be estimated well. We found that, in Hungary, the TP/AP ratios were 1.6 and 1.5 for primi- and multiparous cows, respectively. Full article

Prepartum vaccination of dairy cows against newborn calf diarrhea protects calves during the first weeks of life via the colostrum. Vaccination may also induce non-specific effects (NSEs) beyond antibody production, altering the disease susceptibility and productivity of the vaccinated mother. This retrospective study analyzed herd records and on-site survey data from 73,378 dairy cows on 20 German farms using linear mixed-effects models and random forest algorithms. Management practices and milk yield showed stronger associations with outcomes than vaccination. However, the cows vaccinated with non-live vaccines had increased odds of retained placenta and metritis (OR: 1.5–1.7), as well as endometritis (OR: 3–6), and were 20–24% less likely to conceive than non-vaccinated cows. Among non-live vaccinated cows, those vaccinated 2.5–4 weeks before calving had an 8% higher non-return rate compared to those vaccinated 6–8 weeks prior. Multiparous cows receiving live vaccine components were 1.9 times more likely to conceive, compared to non-live vaccinated multiparous cows. These findings suggest potential NSE of prepartum vaccination on uterine health and fertility. However, this study’s retrospective design limits causal interpretation, and the benefits in calves may outweigh possible adverse effects. Further research should clarify the mechanisms and optimize vaccine timing and composition. Full article

This study evaluated the effectiveness of a 3D-printed cannula in inducing ovulation in female rabbits without exogenous GnRH analogues. A total of 325 inseminations were performed across different physiological stages: nulliparous, multiparous lactating, and multiparous non-lactating does. Two insemination methods were compared: a physical stimulation technique using the 3D-printed cannula and a control method involving hormonal induction with buserelin acetate. Females were either synchronized with eCG or left untreated. Delivery rates and litter sizes were recorded to assess fertility outcomes. Results indicated that the insemination procedure had a noticeable effect on delivery rate, with the control group showing greater rates (79%) compared to the cannula group (65%). In conclusion, these findings suggest that physical stimulation via the cannula can induce ovulation without exogenous hormones. This hormone-free approach offers a promising and welfare-friendly alternative for rabbit artificial insemination, aligning with efforts to reduce hormone use in livestock production. Further optimization of cannula design and technique may improve results, particularly in less responsive groups, supporting sustainable and ethical reproductive management. Full article