Recommendations, would contain lo% polyunsaturated fatty acids, 82% monounsaturated fatty acids, Nine miiltiparous Holstein cows were used in a and 18% saturated fatty acids 1 6 ; . Milk fat that replicated 3 x 3 Latin square to evaluate the response contains increased proportions of unsaturated fatty to diets containing equal amounts of supplemental fat acids can be produced 3 , 5, l l ; , but how close to the from extrulded soybeans or sunflower seeds. Both fat ideal milk fat composition one can come with normal sources contained about 66% polyunsaturated fatty dietary manipulation is unknown. acids; for soybeans, about 8% was linolenic acid, but Dietary manipulation is one means of altering the sunflower ; seeds contained mostly linoleic acid. Peri- fatty acid composition of milk. The use of ruminally ods were 5 wk, and data were collected the last 3 wk protected unsaturated fats and oils can dramatically of each period. Total mixed diets were DM basis ; alter the fatty acid composition of carcass and milk 25% corn silage, 25% alfalfa hay, and 50% concenfat 8, 11 however, formaldehyde treatment or trate mix. Control concentrate mix contained primar- other similar methods of treatment have not been ily corn, barley, and soybean meal; extruded soybeans approved for use in the US. Even with the extensive or rolled sunflower seeds replaced portions of the biohydrogenation that occurs normally in the rumen corn, barley, and soybean meal in isonitrogenous 171, the proportion of unsaturated fatty acids i n 17% C P ; diets. Milk yield was higher for cows fed milk fat can be increased about 40% e.g., 36 to 46% supplemental fat. Percentages of milk fat and protein of milk fatty acids vs. 24 to 29% ; by dietary oilseeds and DMI were similar for all three dietary treat- such as soybeans 4 , 131, sunflower seeds SFS ; 5 , ments. Milk fat from cows fed soybeans or sunflower 231, or safflower seeds 2 3 ; . The fatty acid composiseeds contained higher concentrations of unsaturated tion of these oilseeds varies; SFS and safflower seeds fatty acids and long-chain fatty acids than did milk are among the most unsaturated fat sources. These fat from cows fed the control diet. Milk yield and seeds typically contain 66 and 77% linoleic acid compositioin were similar for cows fed soybeans or c 1 respectively 6, 23 ; , but virtually no linosunflower ; seeds. Soybeans or sunflower seeds can be lenic acid C 1 8 Soybeans are also highly unsatuused as dietary fat supplements to increase milk yield rated but contain less linoleic acid 58% c 1 8 : and and the pr'oportion of unsaturated fatty acids in milk measurable amounts 8 % ; of c Such differfat. ences, although possibly appearing to be small, may Key words: unsaturated fat, fat, lactating cows ; be sufficient to alter milk fatty acid composition as Abbreviation key: ESB extruded soybeans, SFS well as the processing and flavor characteristics of products made from the milk 3 ; . The dairy processsunflower seeds. ing industry is searching for such apparently small but unique differences that may favorably impact INTRODUCTION product quality and marketability. Milk c 1 8 was increased when soybean oil instead of sunflower oil Health-conscious consumers are demanding dairy products that are lower in fat, especially saturated was abomasally infused into cows 6 ; . Whether a fat. The ideal milk fat, based on current dietary similar response may occur from dietary soybeans is unknown. The fatty acid composition of milk fat was similar for cows fed SFS or safflower seeds 2 3 however, previous experiments have not compared Received December 15, 1994. dietary soybeans and SFS. Accepted February 27, 1996. 'Published with the approval of the director of the South Dakota Soybeans are readily available to dairy producers Agricultural Experiment Station as Publication Number 2806 of in many areas of the country, SFS are available in the Journal Series. * Present address: Associated Milk Producers, Inc., Appleton, WI some areas, and safflower seeds have limited availability. Thus, if dietary soybeans and SFS have a 54911. Human skin. British Journal of Dermatology 97: 501-503, 1977. Chabab, A., Sultan, C., Fenart, O., and Descomps, B. Stimulation of aromatase. The incidence of symptoms of hypercorticism as described above in long-term clinical trials was similar to that seen in the short-term clinical trials. A randomized, open, parallel-group multicenter safety study specifically compared the effect of ENTOCORT EC 9 mg day ; and prednisolone 40 mg day ; on bone mineral density over 2 years when used at doses adjusted to disease severity. Bone mineral density decreased significantly less with ENTOCORT EC than with prednisolone in steroid-nave patients, whereas no difference could be detected between treatment groups for steroid-dependent patients and previous steroid users. The incidence of treatment-emergent symptoms of hypercorticism was significantly higher with prednisolone treatment. CLINICAL LABORATORY TEST FINDINGS The following potentially clinically significant laboratory changes in clinical trials, irrespective of relationship to ENTOCORT EC, were reported in 1% of patients: hypokalemia, leukocytosis, anemia, hematuria, pyuria, erythrocyte sedimentation rate increased, alkaline phosphatase increased, atypical neutrophils, C-reactive protein increased, and adrenal insufficiency.
ACADEMIC APPOINTMENTS: 1983 - 1984 Private Veterinary Medical practice, Oklahoma City, OK 1984 - 1985 Instructor, Veterinary Pathology, Kansas State University, Manhattan, KS 1985 - 1988 Research Fellow, Veterinary Pathology, Kansas State University, Manhattan, KS 1988 - 1994 Assistant Professor, Dept. of Veterinary Pathology Pathobiology, Texas A&M University, College Station, TX 1994 - present Associate Professor, Dept. of Veterinary Pathobiology, Texas A&M University, College Station, TX HONORS AND AWARDS: 1979 Phi Kappa Phi Honor Society 1983 Phi Zeta, Honor Society of Veterinary Medicine 1987 C.L. Davis Foundation: Scholarship Award in Veterinary Pathology 1985 1988 AVMA Foundation: ALPO Postdoctoral Research Fellow 1992 1993 TAMU Center for Teaching Excellence: Montague Scholar Award 1993 Merck Award for Creativity in Teaching 1993 CVM Faculty Award in Teaching, TAMU Assoc. of Former Students 1995 Texas Vet. Med. Assoc. Faculty Achievement Award, in Teaching 1997-1999 Wylie Professorship in Teaching 2000 University Faculty Achievement Award, TAMU Assoc. of Former Students 2000 Carl J. Norden Distinguished Teacher Award, TAMU College of Vet. Med. 2003 John H. Milliff Veterinary Faculty Award, TAMU College of Vet. Med. 2005 Carl J. Norden Distinguished Teacher Award, TAMU College of Vet. Med.
PLASMA-LYTE 148 D5W . 23 PLASMA-LYTE 56. 23 PLASMA-LYTE 56 D5W . 23 PLASMA-LYTE A. 23 PLASMA-LYTE R . 23 PLASMA-LYTE R D5W . 23 PLAVIX Clopidogrel Bisulfate ; . 36 podofilox . 34 polyethylene glycol 3350. 27 polymyxin b-trimethoprim. 25 potassium bicarb effervescent. 23 potassium chloride . 23 potassium chloride microencapsulated crystals cr. 23 PRANDIN Repaglinide ; . 30 PRAVACHOL Pravastatin Sodium ; 80mg . 17 pravastatin sodium. 17 prazosin hcl cap 1mg . 17 PRECOSE Acarbose ; . 30 PRED G . 25 PRED MILD . 25 prednisolone. 30 prednisolone acetate ophth ; . 25 prednisolone sodium phosphate. 30 prednisolone sodium phosphate ophth ; . 25 prednisone. 30 PREFEST. 30 PREMARIN Estrogens, Conjugated ; . 30 PREMARIN W APPLICATOR Estrogens, Conjugated Vaginal ; . 30 PREMPHASE Conjugated Estrogens-Medroxyprogesterone Acetate ; . 30 PREMPRO Conjugated Estrogens-Medroxyprogesterone Acetate ; . 30 prenatal mv and min w fe-fa-ca . 35 prenatal vit w docusate-fe fumarate-folic acid . 35 prenatal vit w ferrous fumarate-folic acid. 35 prenatal vit w iron carbonyl-fe gluconate-folic acid . 35 prenatal vit w iron carbonyl-fe sulfate-folic acid . 35 prenatal vit w iron carbonyl-folic acid . 35 prenatal vit w iron polysaccharide complex-folic acid . 35 prenatal vit w selenium-fe fumarate-folic acid . 35 prenatal without a vit w fe fumarate-folic acid. 35 PREVACID CAP 15MG, 30mg DR . 27 PREVACID GRA . 27 PREVACID IV INJ. 27 PREVACID TAB 15MG, 30mg STB . 27 PREVPAC Amoxicillin-Clarithromycin w Lansoprazole ; . 27 PRILOSEC OTC Omeprazole Magnesium ; . 27 * This prescription drug is not normally covered in a Medicare Prescription Drug Plan. The amount you pay when you fill a prescription for this drug does not count towards your total drug costs that is, the amount you pay does not help you qualify for catastrophic coverage.
The most common complication of CD is obstruction or blockage of the intestine due to swelling and the formation of scar tissue. The result is thickening of the bowel wall and a significantly narrowed intestinal passage. Symptoms of intestinal obstruction include crampy pain around the mid-abdomen, frequently associated with vomiting. The abdomen may also become bloated and distended. Medications may relieve the obstruction by reducing the local area of inflammation, but surgery may be required if the obstruction is severe and does not respond to medical treatment. Surgery may also be indicated if the blockage recurs frequently. Another complication is sores or ulcers within the intestinal tract that sometimes turn into fistulas. These affect about 30% of people with CD and often become infected. If the fistula is small, medical treatment may be sufficient to heal it. Large or multiple fistulas, on the other hand, may signal the need for surgery, particularly if they are accompanied by fairly persistent symptoms, such as fever or abdominal pain. Occasionally a fistula forms an abscess, or collection of pus, near the intestine. This is a pocket of infection that requires drainage either through a catheter inserted by a radiologist or a special drain that is surgically inserted. The areas around the anus and rectum are often involved. In addition to fistulas, cracks or fissures may also develop in the lining of the mucus membrane of the anus. Another type of complication commonly encountered in people with CD is related to malnutrition or the presence of nutritional deficiencies. These are deficiencies of proteins, calories, and vitamins. They generally do not develop unless the disease is extensive and of long duration, conditions that may contribute to inadequate dietary intake and poor absorption of nutrients. Medical treatment is usually effective in the replacement of nutrients. For example, a deficiency in vitamin B12 can be corrected by an injection of this vitamin. Similarly, an iron deficiency can be reversed by taking this mineral in liquid or tablet form, and is also often given as an infusion requiring a day or overnight admission to a hospital high dependency ward. Nutritional supplements, containing both vitamins and minerals, are available in concentrated form and prednisone.

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