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Sorption of inorganic and total phosphorus from dairy and swine slurries to soil.

Understanding P sorption from animal manures is essential to formulate best management practices with regard to land application of manure from the standpoint of crop production and environmental quality. Little research has focused on the construction of P sorption isotherms where the P source is manure. The objectives of this study were to: (i) develop a procedure to characterize how inorganic P (P(i)) and total P (P(t)) from dairy slurry and swine slurry sorbs to soil; and (ii) compare the sorption characteristics of P(i) and P(t) where the P source was dairy slurry, swine slurry, or potassium phosphate (KH2PO4). Sorption solutions were prepared in 0.1 M KCl at pH 6 and equilibrated with soils at a 1:25 (w/v) soil/solution ratio for 24 h. Inorganic P, P(t), Al, and Fe in the equilibrated solutions were measured. For all soils, P(i) and P(t) sorption capacity of dairy slurry was greater than KH2PO4. Total P sorption capacity of swine slurry was greater than KH2PO4, while P(i) sorption capacity was less than KH2PO4. Overall, P(i) and P(t) sorption strengths of the manure slurries were less than or equal to KH2PO4. Increased P(i) sorption from dairy slurry was correlated with Fe and Al desorption. Reduction of P(i) sorption capacity from swine slurry was related to preferential sorption of organic P. Additional studies need to be conducted to determine how differences in P sorption between manures and fertilizer impact in-field P availability to a crop and potential for losses in runoff water.

Adsorption↗

Reduction of enteric microbes in flushed swine wastewater treated by a biological aerated filter and UV irradiation.

An aerobic biofilter system was studied to assess its effectiveness for reducing enteric microbial indicators in flushed swine wastewater under different seasonal conditions. A laboratory-scale, low-pressure UV collimated beam apparatus was used to investigate the effectiveness of UV irradiation for inactivating enteric bacteria, coliphages, and bacterial spores in treated and untreated swine wastewater having unfiltered absorbances of 5 to 11 cm(-1) and total suspended solids concentrations of 500 to 1200 mg/L. Fecal coliforms, Escherichia coli, enterococci, somatic coliphages, and male-specific coliphages were reduced by 97 to 99% in the biofilter system when reactor water temperatures were between 23 and 32 degrees C. Salmonella were reduced by 95 to 97% when water temperatures were 17 to 32 degrees C. Of the six microbial indicators studied. Clostridium perfringens spores were typically reduced the least by the biofilter system. At an average absorbed UV irradiation dose of 13 mJ/cm2, maximum reductions of fecal coliforms, E. coli, enterococci, C. perfringens spores, and somatic coliphages in biofilter system effluent were 2.2, 2.1, 1.3, 0.2, and 2.3 log10, respectively. The results of this study show that the aerobic biofilter system can be an effective alternative for treatment of flushed swine waste. Ultraviolet irradiation can be effective for further reducing enteric microbe concentrations in biologically-treated swine waste, as well as in lower quality wastewaters, indicating its general potential for pathogen reductions in low-quality wastewaters intended for beneficial reuse.

Aerobiosis↗

Lifetime reproductive and financial performance of female swine.

OBJECTIVE: To evaluate reproductive and financial performance for commercial swine herds grouped on the basis of pattern of removal of female swine. DESIGN: Cohort study. SAMPLE POPULATION: 25 swine herds. PROCEDURES: Lifetime reproductive productivity was summarized as number of pigs weaned per herd day per mated female and as number of herd days per pig weaned per mated female. Factors associated with these 2 measures were determined by use of linear regression. Financial data from a commercial database were used to estimate maximum number of parities at removal associated with profitability. Sensitivity analysis was used to simulate how variations in daily maintenance cost and value per weaned pig would influence profitability. RESULTS: Mean number of pigs weaned per herd day per mated female was 0.054; mean number of herd days per pig weaned per mated female was 20.2. Both these measures were associated with proportion of nonproductive days during herd life, preweaning mortality rate per litter weaned, mean lifetime number of pigs born alive per litter weaned, and mean lifetime lactation duration. Maximum parity at time of removal associated with profitability ranged from 5 to 8. Daily maintenance costs per female had a greater impact on lifetime profitability than did value per weaned pig. CONCLUSIONS AND CLINICAL RELEVANCE: Results suggest that lifetime reproductive and financial performance is optimized among swine herds that have higher proportions of high-parity females.

Animal Husbandry↗

Nutrient management practices among swine operations of various sizes.

OBJECTIVE: To determine feeding, cropping, and manure-handling practices of swine operations of various sizes. DESIGN: Producer survey. SAMPLE POPULATION: 85 sow units and 132 finish floors. PROCEDURE: Swine producers were surveyed by mail and during farm visits for information regarding herd characteristics and management practices, with emphasis on the 3 components of the nutrient cycle: cropping, feeding and nutrition, and manure handling. Farms were categorized by operation type as sow units or finish floors and, subsequently, stratified by size as small sow units (< 600 head), large sow units (> or = 600 head), small finish floors (< 2,000 head), and large finish floors (2 > or = 2,000 head). RESULTS: Large sow units and large finish floors were approximately twice as likely to use environmentally sound nutrient management practices as small sow units or small finish floors. These large operations were more likely to use progressive feeding practices, to be aware of their nutrient flows, and to be capable of using these nutrients properly. CONCLUSIONS AND CLINICAL RELEVANCE: There is a need for greater environmental awareness among all swine producers, especially among small producers. This provides a possible growth area for large-animal veterinary consultants. Economy of scale and increased governmental regulations allow large farms to use environmentally sound practices. Thus, large swine farms are not necessarily harmful to the environment.

Animal Feed↗

Microbial perspective on fiber utilization by swine.

Dietary fiber may contribute up to 30% of the maintenance energy needs of growing pigs. Higher energy contributions may be obtained from dietary fiber fed to sows, along with some improvements in reproduction, health, and well-being. As long as cereal grain supplies and high-quality protein supplements are abundant, the use of fibrous feeds for swine most likely will be limited. However, as the human demand for cereal grains increases, swine producers, especially those with reproductive animals, may be economically forced to incorporate alternative feedstuffs. These feedstuffs might include lignified plant cell wall material such as grasses and legumes, and feed-milling and distillery by-products that contain a high level of fiber residues. The microflora in swine large intestine will be able to adapt to these lignified forages and by-product feeds much better than the microflora in humans. Swine microflora contain highly active ruminal cellulolytic and hemicellulolytic bacterial species, which include Fibrobacter succinogenes (intestinalis), Ruminococcus albus, Ruminococcus flavefaciens, Butyrivibrio spp., and Prevotella ruminicola. Additionally, a new highly active cellulolytic bacterium, Clostridium herbivorans, has been recently isolated from pig large intestine. The populations of these microorganisms are known to increase in response to the ingestion of diets high in plant cell wall material. The numbers of cellulolytic bacteria from adult animals are approximately 6.7 times greater than those found in growing pigs. None of these highly active cellulolytic bacterial species are found in the human large intestine. Thus, the pig large intestinal fermentation of fiber seems to more closely resemble that of ruminants than that of humans.

Animals↗

The effects of calcium benzoate in diets with or without organic acids on dietary buffering capacity, apparent digestibility, retention of nutrients, and manure characteristics in swine.

Eight barrows (Yorkshire x [Finnish Landrace x Dutch Landrace]), initially 30 kg BW, were fitted with ileal cannulas to evaluate the effects of supplementing Ca benzoate (2.4%) and organic acids (OA) in the amount of 300 mEq acid/kg feed on dietary buffering capacity (BC), apparent digestibility and retention of nutrients, and manure characteristics. Swine were allotted in a 2 x 4 factorial arrangement of treatments according to a cyclic (8 x 5) changeover design. Two tapioca-corn-soybean meal-based diets were formulated without and with acidogenic Ca benzoate. Each diet was fed in combination with OA (none, formic, fumaric, or n-butyric acid). Daily rations were equal to 2.8 x maintenance requirement (418 kJ ME/BW(.75)) and were given in two portions. Chromic oxide (.25 g/kg) was used as a marker. On average, Ca benzoate lowered BC by 54 mEq/kg feed. This salt enhanced (P < .05) the ileal digestibility (ID) of DM, OM, arginine, isoleucine, leucine, phenylalanine, alanine, aspartic acid, and tyrosine (by up to 2.4 percentage units). Also, the total tract digestibility (TD) of DM, ash, Ca and GE, and Ca retention (percentage of intake) was greater (P < .05) in swine fed Ca benzoate, whereas N retention remained unaffected. Addition of all OA (formic and n-butyric acid, in particular) exerted a positive effect (P < .05) on the ID of amino acids (except for arginine, methionine, and cysteine). A similar effect (P < .05) was found for the TD of DM, OM, CP, Ca and total P and for the retention of N and Ca. In swine fed Ca benzoate, urinary pH decreased by 1.6 units (P < .001). In conclusion, dietary OA have a beneficial effect on the apparent ileal/total tract nutrient digestibilities, and Ca benzoate increased urine acidity, which could be effective against a rapid ammonia emission from manure of swine.

Animal Feed↗

Fine mapping a quantitative trait locus affecting ovulation rate in swine on chromosome 8.

Ovulation rate is an integral component of litter size in swine, but is difficult to directly select for in commercial swine production. Because a QTL has been detected for ovulation rate at the terminal end of chromosome 8p, genetic markers for this QTL would enable direct selection for ovulation rate in both males and females. Eleven genes from human chromosome 4p16-p15, as well as one physiological candidate gene, were genetically mapped in the pig. Large insert swine genomic libraries were screened, clones were isolated and then screened for microsatellite repeats, and informative microsatellite markers were developed for seven genes (GNRHR, IDUA, MAN2B2, MSX1, PDE6B, PPP2R2C, and RGS12). Three genes (LRPAP1, GPRK2L, and FLJ20425) were mapped using genotyping assays developed from single nucleotide polymorphisms. Two genes were assigned since they were present in clones that contained mapped markers (HGFAC and HMX1). The resulting linkage map of pig chromosome 8 contains markers associated with 14 genes in the first 27 cM. One inversion spanning at least 3 Mb in the human genome was detected; all other differences could be explained by resolution of mapping techniques used. Fourteen of the most informative microsatellite markers in the first 27 cM of the map were genotyped across the entire MARC swine resource population, increasing the number of markers typed from 2 to 14 and more than doubling the number ofgenotyped animals with ovulation rate data (295 to 600). Results from the revised data set for the QTL analysis, assuming breed specific QTL alleles, indicated that the most likely position of the QTL resided at 4.85 cM on the new linkage map (F1,592 = 20.5150, genome-wide probability less than 0.015). The updated estimate of the effect of an allele substitution was -1.65 ova for the Meishan allele. The F-ratio peak was closest to markers for MAN2B2 (4.80 cM) and was flanked on the other side by markers for PPP2R2C. Two positional candidate genes included in this study are MAN2B2 and RGS12. These results validate the presence of a QTL affecting ovulation rate on chromosome 8 and facilitate selection of positional candidate genes to be evaluated.

Animals↗

Effects of dietary 1,3-butylene glycol on adipose tissue metabolism from lean and obese swine.

One,three-butylene glycol (BG) was isocalorically substituted for glucose and fed ad libitum to lean (XB) and obese (HL) swine at 0, 10, and 20% of the total dietary ME from 25 kg body weight until slaughter at 90 kg. BG depressed rate and efficiency of gain in both groups. Plasma beta-hydroxybutyrate concentration was increased by the ketogenic energy substitution. Plasma glucose and free fatty acids were not influenced by diet composition. Adipose tissue utilization of glucose for lipogenesis was depressed by BG in both XB and HL animals after 4 wk of treatment. Insulin added in vitro increased glucose utilization by approximately 20% in adipose tissue from both breed groups; however, the BG induced depression of glucose utilization for fatty acid synthesis was still evident. Insulin-stimulated glucose utilization was greater in XB then in L swine. After 12 wk of dietary treatment, animals given BG had significantly increased plasma insulin concentration and decreased plasma urea concentrations. Although the absolute rates of lipogenesis had decreased after 12 wk of treatment, similar diet-related results were obtained. Insulin did not stimulate glucose utilization by adipose tissue from animals of either breed group at this latter sampling. Fatty acid esterification was slightly depressed by BG at the 4 wk sampling, but after 12 wk of treatment, only a significantly breed group effect was evident. Subcutaneous fat thickness, loineye area and carcass percentage lean cuts were not influenced by diet composition. This experiment demonstrated that ketogenic energy and substitution in the diet does depress the rate of de novo lipogenesis from glucose as measured by in vitro incubation of swine adipose tissue. Supplementation of the incubation media with massive quantities of insulin did not reverse the dietary treatment effects, and animals of both lean and obese phenotypes responded similarly to the dietary treatment. The absence of dietary treatment effects on indices of body fat content suggest that ketone bodies may be substituted for glucose as a lipogenic substrate in swine.

3-Hydroxybutyric Acid↗

Stimulation of swine growth by porcine growth hormone.

Highly purified porcine growth hormone (pGH; USDA-B1) was administered by im injection (22 micrograms X kg body weight-1 X d-1) to rapidly growing Yorkshire barrows for 30 d. Growth hormone significantly increased growth rate (10%), feed efficiency (4%), cartilage growth and muscle mass. However, pGH did not affect carcass adipose tissue mass. Intramuscular lipid content of the longissimus was increased 50% by pGH administration. Plasma pGH concentration was elevated (7- to 11-fold) for 3 to 5 h post-injection. Chronic administration of pGH depressed pituitary GH content and concentration approximately 45%. No GH antibodies were detected in the plasma of GH-treated swine. Plasma somatomedin-C concentration was increased 55% by GH treatment 3 h post-injection. Plasma glucose and insulin concentrations were both significantly increased in GH-treated swine, suggesting that the animals had developed a state of insulin resistance. Plasma-free fatty acid concentration tended to be higher in GH-treated animals. Treatment of swine with pGH significantly decreased plasma blood urea nitrogen. Assessment of animal health during the trial and postmortem indicated that pGH administration did not have any adverse effects. In summary, treatment of young, rapidly growing swine with pGH stimulated growth performance without affecting animal health or inducing the production of GH antibodies.

Animals↗

Thoughts on fiber utilization in swine.

There is continued incentive for the development of alternative feed resources for use in swine production. The availability of distillery by-products may be expected to increase as the use of corn and cereal grains for ethanol production expands. The acceptability of distillery by-products, milling by-products, forages and other fibrous feeds as energy sources for swine depends on such factors as cell wall content of the plant, degree of microbial fermentation in the large intestine, and extent of absorption and utilization of the volatile fatty acids produced. Physiological effects of dietary fiber, including effects on gastric emptying, rate of transit of digesta, gut motility, digestive secretions, and absorption and utilization of breakdown products need quantification. Limited evidence suggests that there are genetic differences in the response of pigs to dietary fiber and in their ability to utilize it as an energy source. Recombinant DNA technology offers the possibility of cloning cellulase genes from microorganisms for application in swine feeding programs. The extent to which biotechnology will be applied in swine feeding will depend ultimately on the economic incentive for developmental effort and on unknown biological limitations of the pig and its gastrointestinal microbial ecosystem.

Animals↗

On the safety of 5-[125I]iodo-2'-deoxyuridine--Preclinical evaluation in swine.

To increase tumor incorporation and minimize hepatic degradation of radio-IUdR, compartmental administration routes are being considered as an alternative to intravenous (i.v.) injections. Although there are significant data on the biodistribution and some reports on radiotoxicity of i.v.-administered 125IUdR, similar results for other routes of delivery are not available. We have undertaken a series of experiments intended to examine radiation effects of 125IUdR after intravesical (3 swine; eight 3 mCi doses at 4-day intervals), intracarotid (3 swine; two 10 mCi doses at 2-week intervals), and intra-aortic (5 swine, single dose of 10 mCi) administration in a swine model. Liver, renal functions, and complete blood counts were monitored throughout the duration of the experiment. Pharmacokinetics, systemic distribution of radioactivity and metabolites were measured. The normal tissue 125IUdR uptake and histology were determined after necropsy. No adverse systemic effects were identified. Clinical observations, laboratory data, and necropsy results were within normal range.

Administration, Intravesical↗

Swine as a model for cardiovascular research: improved cardiopulmonary bypass techniques.

A large-animal model is essential for the assessment of functional parameters in cardiovascular surgical research. To date the canine model has been used successfully because of its availability and tolerance to cardiopulmonary bypass. However, because of decreased availability and increased cost, an alternative animal model is now needed. The swine model has been used in experimental cardiac procedures, but complications during cardiopulmonary bypass have presented a formidable challenge. These complications include enormous fluid shifts from the vascular bed, increased metabolic acidosis, and marked hemoglobinuria. To eliminate these deleterious complications within the swine model, a number of technical alterations were achieved. The priming solution used for the extracorporeal circuit was altered to consist of 1000 mL lactated Ringer's solution. 500 mL 20% mannitol, 500 mL 6% dextran in 5% detrose solution. 50 mEq sodium bicarbonate, and 10,000 IU heparin. The extracorporeal circuit employed the use of membrane oxygenation. Three different blood flow rates (150, 175, and 200 mL/kg min-1) were studied. We conclude that the optimum blood flow rate for cardiopulmonary bypass in swine is in the range of 175-200 mL/kg min-1. Membrane oxygenation results in less damage to blood during cardiopulmonary bypass. The asanguinous hyperosmolar priming solution is beneficial for cardiopulmonary bypass in swine to greatly reduce fluid shifts, prevent metabolic acidosis, and eliminate hemoglobinuria.

Acidosis↗

A technique for conducting noninvasive cardiac electrophysiology studies in conscious swine.

A noninvasive method was developed in swine for conducting cardiac electrophysiology (EP) studies without the potential confounding effects of sedatives or anesthetics. Following a 1-week conditioning regimen in the EP laboratory, 1-month-old Hanford miniature swine underwent transvenous pacemaker (PM) implantation under isoflurane anesthesia. Two bipolar screw-in pacing leads were inserted into the left external jugular vein, with one positioned in the right atrial appendage and one in the myocardium at the right ventricular apex. The leads were attached to a multiprogrammable pulse generator, and the pacing system was placed in a subcutaneous pocket. At weekly intervals following implantation, conscious, unsedated swine were remained in a sling for noninvasive programmed stimulation (NIPS) using a programmable telemetry system. A NIPS protocol to induce arrhythmias was performed separately for the atrium and ventricle. Data for this model are reported. Complications occurred in 6 of 26 animals studied and included one infection of the PM pocket, three cases of dislodgement of the atrial lead, and rotation of the generator within the pocket in two animals, preventing communication with the PM. This technique has been used to perform EP studies successfully in swine and has been utilized in a variety of studies of the cardiac conduction system.

Animals↗

Characterization and mechanism of side-effects of Oxygent HT (highly concentrated fluorocarbon emulsion) in swine.

Perfluorooctyl bromide is an oxygen-carrying perfluorocarbon presently under development as an artificial blood substitute (Oxygent HT). Intravenous (i.v.) Oxygent HT elicits a mild side-effect profile in man characterized by early onset headache and nausea and delayed onset fever. Early onset flushing has also been observed. Species of Artiodactyla are sensitive to particulate injections and demonstrate a transient pulmonary hypertensive response thought to be associated with the large number of pulmonary intravascular macrophages found in these species. Because of this sensitivity, we chose the swine as a model for further investigations. In anesthetized and conscious swine, i.v. Oxygent HT transiently increased mean pulmonary artery pressure (mPAP) and caused flushing. Both effects peaked at 30 min post injection and were resolved by 2 hrs. Plasma thromboxane B2 (TxB) increased in response to Oxygent HT. Oxygent HT-induced changes in mPAP, flush, and plasma TxB were blocked by aspirin and ibuprofen. Dexamethasone and SQ 29,548 (thromboxane receptor antagonist) blocked the mPAP increase. In conscious swine, Oxygent HT caused a febrile response which was blocked by ibuprofen or dexamethasone. Thus, both early- and late-onset effects of Oxygent HT in swine are blocked by interference with the arachidonic acid cascade. These findings suggest that the 2-phase "flu-like" syndrome induced by Oxygent HT is secondary to the release of products of the arachidonic acid cascade and may be effectively prophylaxed in man with corticosteroids or long plasma half-life cyclooxygenase inhibitors.

Animals↗

Efficacy of a dexamethasone-eluting nitinol stent on the inhibition of pseudo-intimal hyperplasia in a transjugular intrahepatic portosystemic shunt: an experimental study in a swine model.

OBJECTIVE: We wanted to evaluate the feasibility and efficacy of using a dexamethasone (DM)-eluting nitinol stent to inhibit the pseudo-intimal hyperplasia following stent placement in the transjugular intrahepatic portosystemic shunt tract (TIPS) of a swine. MATERIALS AND METHODS: Fifteen stents were constructed using 0.15 mm-thick nitinol wire; they were 60 mm in length and 10 mm in diameter. The metallic stents were then classified into three types; type 1 and 2 was coated with the mixture of 12% and 20%, respectively, of DM solution and polyurethane (PU), while type 3 was a bare stent that was used for control study. In fifteen swine, each type of stent was implanted in the TIPS tract of 5 swine, and each animal was sacrificed 2 weeks after TIPS creation. The proliferation of the pseudo-intima was evaluated both on follow-up portogram and pathologic examination. RESULTS: One TIPS case, using the type 1 stent, and two TIPS cases, using the type 2 stent, maintained their luminal patency while the others were all occluded. On the histopathologic analysis, the mean of the maximum pseudo-intimal hyperplasia was expressed as the percentage of the stent radius that was patent, and these values were 51.2%, 50% and 76% for the type 1, 2, and 3 stents, respectively. CONCLUSION: The DM-eluting stent showed a tendency to reduce the development of pseudo-intimal hyperplasia in the TIPS tract of a swine model with induced-portal hypertension.

Alloys↗

Microbiology of the swine head meat deboning process.

The microbiology of swine head meat was evaluated by comparing the levels of aerobic plate count (APC), coliforms, and Escherichia coli as well as the incidence and levels of Salmonella spp. in swine head meat harvested by either the old or a new improved procedure. Based on 144 samples (72 by each procedure), the levels of APC, coliforms, and E. coli were 4.52 +/- 0.26, 2.37 +/ 0.42, and 2.25 +/ 0.42, and log(10) CFU/g respectively, regardless of the procedure used for harvesting the meat. The incidence (27/22) versus 28/72) and MPN levels (4 to 93 versus 4 to 1100) of Salmonella spp. determined by the Bacteriological Analytical Manual (BAM) methods also were the same for meat obtained using either the old or the new procedure. The BAM method detected a higher incidence of Salmonella spp. (55/144) than other methods, PCR(38/144; BAX, Du Pont) or DNA hybridization (41/144; Gene-Trak). Time of harvesting during the processing day or site of origin of the head meat (check versus tongue versus back of head) had no effect on the incidence of Salmonella spp. The data in this study indicate that the levels of bacteria encountered in swine head meat are a reflection of the harvesting procedures themselves, as well as levels in and around the head and oral cavity of swine.

Animals↗

Determination of MICs of streptomycin for resistant Salmonella isolates in swine and poultry using a micro-broth dilution system.

The MICs of streptomycin for Salmonella isolates from swine and poultry were determined by a micro-broth dilution technique. The Salmonella isolates were recovered from the lymph nodes and cecal contents of market-age swine and from the cecal contents of poultry at the time of slaughter and were found by disk diffusion to be resistant to 10 microg of streptomycin. MIC testing was carried out with the Sensititre susceptibility system for streptomycin, which uses a microwell concentration gradient of 16 to 800 microg/ml. Results indicated that >80% of the swine isolates had MICs of < or = 64 microg/ml, while 51% of poultry isolates exhibited MICs of > or = 128 microg/ml. The highest MICs observed in swine and poultry were 256 and 800 microg/ml, respectively. Replicate tests performed on 12 of the isolates chosen at random indicated a 100% correlation between runs. Advantages of this system include easily read results and precoated wells. Disadvantages include the cost and the inability to test concentrations of streptomycin other than those in the wells. We found this micro-broth dilution commercial test kit to provide a relatively quick and easy testing procedure for the determination of streptomycin resistance in Salmonella.

Animals↗

Increase in interleukin-6 and fibrinogen in peripheral blood after swine dust inhalation.

OBJECTIVES: The inhalation of dust from swine confinement buildings causes inflammatory responses in the airways with a rise of interleukin-6 (IL-6). The purpose of this study was to confirm the increase in serum IL-6 after inhalation of swine dust and investigate a possible increase in plasma fibrinogen. METHODS: Eight healthy nonsmoking volunteers inhaled dust for 4 hours inside a swine confinement building. Inhalable dust and endotoxin were sampled. The concentrations of IL-6 and fibrinogen were determined in serum and plasma. RESULTS: The study showed a clear increase in the concentrations of IL-6 and fibrinogen after exposure. CONCLUSIONS: As fibrinogen is an important risk factor for ischemic heart disease, the increased concentration of fibrinogen among persons exposed to swine dust may increase the risk for this disease.

Adult↗