Epidemiologic study of Holstein dairy cow performance and reproduction near a high-voltage direct-current powerline

Spinal cord stimulation and the pregnant patient-specific considerations for management: A case series and review of the literature

OBJECTIVES

The use of spinal cord stimulation (SCS) is a form of neuromodulation used to treat chronic pain in those patients who are refractory to conventional medical management. Not uncommonly, SCS can dramatically improve a patient's quality of life, and those who are in the childbearing years may go on to become pregnant. The purpose of this case series is to describe: 1) implantation considerations in women of childbearing age; 2) use of rechargeable systems; 3) the obstetric and anesthetic concerns in patients with spinal cord stimulators; 4) risks of using SCS in the peripartum period.

MATERIALS AND METHODS

Two female patients with complex regional pain syndrome I (CRPS I) who were well managed with SCS became pregnant. In both patients, the leads were placed through the T12/L1 interspace and the generator was placed in the buttock region. In the first patient, the device was deactivated prior to conception and maintained off for the duration of the pregnancy. The second patient became pregnant on two separate occasions, with active SCS for a portion of the first trimester. During her second pregnancy, the patient elected to use of SCS at 30 weeks' gestation.

RESULTS

The developing fetuses with intrauterine exposure to SCS were followed out for a minimum of two years and are developmentally normal. The physical presence of the device did not complicate obstetric or anesthetic care. Rechargeable SCS systems were not adversely affected when turned off for the duration of the pregnancy.

CONCLUSION

Implantation of SCS devices in women of childbearing years should take into account the future needs of both obstetric and anesthetic care by avoiding the abdomen and lower lumbar spine whenever possible. There was no appreciable decline of battery capacity in present day constant current rechargeable generators when deactivated for the duration of pregnancy.

Effect of 10 kV, 30 ?T, 60 Hz electric and magnetic fields on milk production and feed intake in nonpregnant dairy cattle

Milk production is the main agricultural income in the province of Québec, and the electrical distribution network traverses the rural dairy production region. This study evaluates the hypothesis that electric and magnetic fields may affect dairy production. Sixteen multiparous nonpregnant lactating Holstein cows (weighing 662 +/- 65 kg and with 150.4 +/- 40 days of lactation) were confined to wooden metabolic crates during the experiment with a 12:12 h light:dark cycle. The cows were divided into two replicates of eight cows each and exposed to a vertical EF of 10 kV/m and an uniform horizontal MF of 30 microT at 60 Hz. Replicate one was exposed for three periods. Each period was represented by an estrous cycle ranging from 24 to 27 days. During the first period, the electric and magnetic fields (E&MF) were off; during the second period they were on; and during the final period, they were off. The second replicate was exposed for three periods also, but the exposure protocol was reversed (first period, on; second period, off; last period, on). Exposure to E&MF (on) resulted in an average decrease of 4.97, 13.78, and 16.39% in milk yield, fat corrected milk yield, and milk fat, respectively; and an increase of 4.75% in dry matter intake.

Effects of electric and magnetic fields on nocturnal melatonin concentrations in dairy cows

Sixteen multiparous, pregnant, lactating Holstein cows (weighing 600 +/- 50 kg, at 184.8 +/- 52 d of lactation, and at 101.9 +/- 43 d of gestation) were confined to wooden metabolism cages and exposed to a vertical electric field of 10 kV/m and a uniform horizontal magnetic field of 30 microT. The trial was conducted using a switchback statistical design. Cows were divided into two sequence groups of 8 cows each. One sequence group was exposed for three periods of 28 d each. The electric and magnetic fields were off during the first period, on during the second period, and off during the final period. The second sequence group was exposed for three periods also, but the activity of the fields was reversed (on during the first period, off during the second period, and on during the third period). On d 25 of each exposure period, blood samples were obtained every 0.5 h for 14 h starting at 1700 h to determine melatonin concentration. Nocturnal melatonin concentrations did not show any variation that could be attributed to exposure to electric and magnetic fields.

Teratogen update: electromagnetic fields

Public concern is increasing about the potential health effects of extremely low frequency (ELF) electromagnetic fields (EMFs) naturally present or generated by electrical appliances and those of very low frequency (VLF) fields, like those generated by video display terminals (VDTs). There are arguments in favour of EMFs being biologically active but no mechanism has been identified that explains the link between EMFs and bioeffects. More than 50 studies on exposures of animals to EMFs have been performed within the last few years. Although there were a few statistically significant effects in the studies reviewed, no replicable results were found among laboratories. The extent of effects observed, if any, was always low, and deserves further investigation before relevance to humans can be considered. Human data reviewed concern the potential reproductive effects (mainly) spontaneous abortions, low birthweight, and congenital malformations) of exposure to various sources of EMFs: maternal residence, heated waterbeds, electric blankets, and ceiling heating coils, occupational exposure (mainly video display terminals), and magnetic resonance imaging. The totality of the evidence that is thus far available provides no convincing evidence to indicate that low frequency EMFs of the sort that might be met in occupational or daily life exposures does any harm to the human reproductive process. It is suggested that those counseling pregnant women follow the guidelines established by WHO in agreement with the International Non-ionizing Radiation Committee. This group does not consider that the results of published studies provide a basis for restricting human exposure to electromagnetic fields and radiation.

Biological effects of electric and magnetic fields on productivity of dairy cows

Sixteen multiparous Holstein cows (weighing 600 +/- 50 kg, in 184.8 +/- 52 d of lactation, and at 101.9 +/- 43 d of gestation) were confined to wooden metabolic cages and exposed to a vertical electric field of 10 kV/ m and to a uniform horizontal magnetic field of 30 microT (microtesla). The trial was conducted as a switch-back statistical design. Cows were divided into two replicates of 8 cows each. One replicate was exposed for three periods of 28 d each. During the first period, the electric and magnetic fields were off; during the second period, they were on; and, during the final period, they were off. The second replicate was exposed for three periods also, but the activity of the fields was reversed (first period, on; second period, off; and third period, on). Blood samples were obtained twice weekly for the determination of cortisol and progesterone and once weekly for the determination of pH and blood gases. Milk samples were collected once weekly to determine milk components (fat, protein, SNF, and SCC). Milk yield and feed consumption were measured daily. Most of the variables studied (bicarbonate, pH, O2 and CO2 partial pressures, cortisol concentration in blood, uncorrected milk yield, and milk components other than milk fat) showed no variation that could be attributed to exposure to electric and magnetic fields. Associations were found between the electric and magnetic fields and increased DMI, 4% FCM yield, milk fat content, and plasma progesterone.

Effects of a high-voltage direct-current transmission line on beef cattle production

Two herds of beef cattle were maintained beneath a +/- 500 kV direct-current transmission line during a 30-month period, and were compared with two similar herds maintained away from the transmission line. Exposures of animals under the line were five to 30 times greater than those of control animals, depending on the parameter of interest, with average exposure magnitudes of 5.6 kV/m, 4.1 nA/m2, and 13 k ions/cm3, respectively, for electric field, ion current, and density of ions. Productivity and health status of cows and calves were similar between lines and control treatments. Mean body mass of cows increased with maturity, from 438 kg in 1985 to 496 kg in 1987. Calf gain averaged 0.93 kg per head per day. No unusual sources of mortality were observed. Based on this confinement study, beef cattle permitted to graze in the vicinity of a high-voltage, direct-current transmission lines are not expected to experience any decrease in frequency of conception, calving, growth rate, or survival.