Nutritional ecology of European rabbit (Oryctolagus cuniculus): Factors affecting chemical composition of gastric content

Nutritional ecology seeks to unravel the extensive web of nutritional links that directs animals in their interactions with their ecological and social environments. European rabbit (Oryctolagus cuniculus) populations its endemic locations are declining and it is considered a keystone species of the Mediterranean ecosystem prompteing the interest in its conservation. The main aim of this study was to determine the nutritional composition of the diet of European rabbits through the relative and absolute chemical composition of the gastric content. To address this objective, gastric content was collected from 80 European rabbits in a Mediterranean area for the analysis of its chemical composition. To this end, gastric content was analyzed for dry matter (DM), organic matter (OM), ash, crude protein (CP), highly digestible nonnitrogenous nutrients (HDNN), neutral detergent fibre (NDF), acid detergent fibre (ADF) and lignin. The rabbits were divided into two groups: EMPTY and FULL, depending on the level of stomach filling, directly related to food intake. Our results revealed a positive correlation between the rabbits weight with DM in the gastric content, total gastric content with DM in the gastric content, and DM in gastric content with all chemical parameters analysed. The mean relative values obtained were 8.8%, 25.5%, 40.4% and 25.4%, for ash, CP, NDF and HDNN, respectively. Moreover, EMPTY rabbits had both a proportional (+19%, p = 0.002 and -40%; p = 0.004, on NDF and HDNN, respectively) and absolute (-38%, p = 0.014, -52%; p = 0.012, -52%; p = 0.011 and +83%; p = 0.008 for OM, ash, HDNN, and lignin, respectively) different proportion of nutrients in gastric contents than FULL animals. Since there is a connection between this availability and the fitness of this species, understanding the chemical composition of the rabbit's diet can be utilised to delve into its biology. Our study provides information that will help elucidate the factors affecting the chemical composition of the gastric content of European rabbits to assist land use planners and conservationists in identifying sites for conservation in Mediterranean ecosystems.

The nutritional strategy of European rabbits is affected by age and sex: Females eat more and have better nutrient optimisation

The ecological interest in the European rabbit (Oryctolagus cuniculus) has grown since it was declared an endangered species. Nutrition is fundamental in its dispersion and the key to its success. This is the main reason why knowledge of their nutritional preferences/requirements could play a fundamental role in rabbit biology and, therefore, in their conservation. The objectives of the work will be to elucidate how age and sex affect both nutritional preferences/requirements, and the nutrient optimisation of European rabbits. To address this gap, 70 wild European rabbits were studied. The rabbits were divided according to their age: adult (n = 43) and young (n = 27). Two groups were differentiated according to the adult rabbits' sex: females (n = 28) and males (n = 15). We analysed the relative (%) and absolute (g) chemical composition of the rabbits' gastric contents: dry matter (DM), ashes (ASH), crude protein (CP), ether extract (EE), neutral detergent fibre (NDF), acid detergent fibre (ADF), and lignin, hemicelluloses and celluloses, highly digestible nonnitrogenous nutrients (HDNN: fat, starch, and soluble fibre), well from the blood was analysed with plasmatic urea nitrogen (PUN), nonesterified fatty acid (NEFA) and glucose (GLU). As a nutrient optimisation measure, the following indices between blood metabolites and stomach content were calculated: PUN/CP total content, NEFA/DM total content and GLU/DM total content ratios. Our works showed that age and sex affected the nutritional strategy of rabbits. Regarding age: adults showed lower CP (-14%; p = 0.0217) and higher HDNN (+21%; p = 0.0399) relative content than young rabbits, and absolute amount of most nutrients: DM (+59%; p = 0.001), OM (+43%; p = 0.0049), ASH (+54%; p = 0.0085), Hemicelluloses (+73%; p = 0.0084), Cellulose (+27%; p = 0.0452), and HDNN (+63%; p = 0.0012). In addition, adults showed better nutrient optimisation. Sex did not affect the relative chemical composition of the gastric content, but it showed a clear higher gastric content by females (+85%; p < 0.0001) and higher intake of most of the absolute chemical components: DM (+64%; p < 0.001), CP (+56%; p = 0.0005), OM (+58%; p = 0.0001), ASH (+44%; p = 0.0123), HDNN (+39%; p = 0.001), NDF (+59%; p = 0.001), ADF (+64%; p = 0.0003), lignin (+82%; p = 0.0036) and cellulose (+58%; p = 0.0002). Finally, we observed that females had better nutrient optimisation than males. This works supports the idea that feeding ecology and nutrition are particularly relevant to reproductive success and fitness in wild animals.

Effect of Increasing the Methionine Level and Reducing the Threonine Level in the Diet of Fast-Growing Rabbits

The main aim of this work was to evaluate a novel combination of the first limiting amino acids (lysine, methionine, and threonine) in fast-growing rabbits (combination MHL, shown to minimise levels of plasmatic urea nitrogen in previous research, medium level of lysine, high level of methionine, and low level of threonine) and compare it with current recommendations (combination MMM, medium level of all amino acids). A total of 165 weaned rabbits (28 d old) from a paternal line selected for growth rate were used in the growth trial. The effect of the diet on apparent fecal digestibility, as well as the apparent and true ileal digestibility, were studied. Nutrient retention was also determined. Although no differences in digestibility between diets were observed, animals fed with Diet MHL improved the global average daily gain (+2.3 g/d; p = 0.0482) and feed conversion ratio (-0.10; p = 0.0229). Animals fed with Diet MMM reduced the protein-to-energy ratio retained (p = 0.0086). In conclusion, Diet MHL promoted an improvement in growth traits in a paternal line. Consequently, we propose its levels of 6.4, 5.4, and 5.0 g/kg DM of true ileal digestible lysine, methionine, and threonine, respectively.

Nutritional Metabolites as Biomarkers of Previous Feed Intake in European Rabbit (Oryctolagus cuniculus): Applications on Conservation

European wild rabbit (Oryctolagus cuniculus) populations have drastically reduced, and recently, rabbits have been classed as “endangered” by the IUCN. This animal plays an important ecological role in Mediterranean ecosystems and its introduction could significantly contribute to ecological restoration. Rabbits have high nutrient requirements that apparently cannot be covered in all ecosystems, and there are clues that nutrition can limit their abundance and density. On the other hand, some studies reflect the effects of food availability on the metabolomic status of other animal species, but there are no specific studies on this keystone species. The main aim of this work is to find biomarkers to assess the previous levels of ingestion of European rabbits (Oryctolagus cuniculus). To address this gap, gastric content and blood samples were collected from European rabbits (n = 99) in a Mediterranean area for the analysis of glucose, non-esterified fatty acids (NEFA), plasmatic urea nitrogen (PUN), albumin, glutamate and total protein metabolites. Depending on their previous feed intake (gastric content and the ratio between the gastric content and the weight of the animal), the animals were divided into two groups (lower and normal previous feed intake). Our work shows that the metabolomic profiles of the animals were affected. Levels of glucose (+82%; p = 0.0003), NEFA (−61%; p = 0.0040) and PUN (+139%; p < 0.001) were different in the animals with lower previous feed intake than the animals with normal previous feed intake. This work summarises that metabolic phenotype can be interesting when seeking to discover the limiting nutrients and food availability in diets that could affect the ecological fitness and conservation of European wild rabbits. It is important to mention that in this work, only the effects on six different metabolites have been analysed and more studies are necessary to complement the knowledge of possible metabolites that indicate the level of ingestion in this species and others. These (and new) biomarkers could be used as a tool to provide information about individual or population characteristics that other physiological parameters cannot detect, improving the conservation physiology field.

Urea Nitrogen Metabolite Can Contribute to Implementing the Ideal Protein Concept in Monogastric Animals

Simple Summary

Can urea nitrogen metabolite contribute to implementing the ideal protein concept in monogastric animals? This work aims to critically analyse how this metabolite can contribute to accurately implementing the ideal protein concept in monogastric animals, particularly in pig, poultry, and rabbit nutrition. This information will contribute to evaluating its potential and limitations as biomarker, as well as to standardizing the use of this metabolite in precise amino acidic monogastric nutrition.

Abstract

The ideal protein concept refers to dietary protein with an amino acid profile that exactly meets an animal’s requirement. Low-quality protein levels in the diet have negative implications for productive and reproductive traits, and a protein oversupply is energetically costly and leads to an excessive N excretion, with potentially negative environmental impact. Urea Nitrogen (UN), which corresponds to the amount of nitrogen in the form of urea circulating in the bloodstream, is a metabolite that has been widely used to detect amino acid imbalances and deficiencies and protein requirements. This review aims to critically analyse how UN can contribute to accurately implementing the ideal protein concept in monogastric animals, particularly in pig, poultry, and rabbit nutrition (14,000 animals from 76 published trials). About 59, 37, and 4% of trials have been conducted in pigs, poultry, and rabbits, respectively. UN level was negatively correlated to main performance traits (Pearson Correlation Coefficient [PCC] of −0.98 and −0.76, for average daily gain and feed conversion ratio, respectively), and lower UN level was related to higher milk yield and concentration. High level of UN was positively correlated to N excretion (PCC = 0.99) and negatively correlated to protein retention (PCC = −0.99). Therefore, UN in blood seems to be a proper indicator of amino acid imbalance in monogastric animals. Great variability in the use of UN was observed in the literature, including uses as determination medium (blood, plasma, or serum), units, and feeding system used (ad libitum or restricted), among others. A standardization of the methods in each of the species, with the aim to harmonize comparison among works, is suggested. After review, UN measurement in plasma and, whenever possible, the utilization of the same nutritional methodology (ad libitum conditions or restriction with blood sampling after refeeding at standardised time) are recommended. More studies are necessary to know the potential of UN and other bioindicators for amino acid deficiencies evaluation to get closer to the ideal protein concept.

Do Growing Rabbits with a High Growth Rate Require Diets with High Levels of Essential Amino Acids? A Choice-Feeding Trial

As a consequence of the genetic selection process in growing rabbits, there are currently fast-growing animals exhibiting an average daily gain that may exceed 45 g/d. The protein requirements of these animals, namely amino acid requirements, may differ from animals with low growth rates. The objective of this work was to evaluate growth performance, the coefficient of total tract apparent digestibility (CTTAD), the apparent ileal digestibility (AID) of amino acids and nutrient retention of fast-growing rabbits when they had access to a diet with high levels of amino acids and/or a diet formulated with current nutritional recommendations in a choice-feeding trial. To this end, two diets were formulated: the M diet following current nutritional recommendations for growing rabbits (including 8.1, 5.8 and 6.9 g/kg dry matter (DM) of total lysine, sulphur amino acids and threonine, respectively) and the H diet with higher levels of total lysine, sulphur amino acids and threonine (9.4, 6.6 and 7.8 g/kg DM, respectively). A total of 220 weaned rabbits, from a paternal line selected for the growth rate, had free access to the M diet, the H diet or both (MH) diets from 28 to 63 days of age. The CTTAD of DM, crude protein and gross energy from 49 to 53 days of age as well as the AID of amino acids of the diets at 63 days of age were determined. Protein, amino acids and energy retained in the empty body from 28 to 63 days of age were also registered. No significant differences in growth performance, CTTAD, AID and nutrient retention between dietary treatments were observed. However, animals fed the H diet showed a higher AID of cysteine (p < 0.05) and higher threonine retention (p < 0.05) compared to the M diet. As regards the choice-feeding trial, MH animals showed a higher feed intake of the M diet compared to the H diet (+8.61%; p < 0.001), and furthermore, more than 50% of the animals preferred the M diet throughout the experimental period (p < 0.05). Our results suggest that animals with high growth rates do not show significantly higher productive traits when fed the H diet compared to the M diet. As regards choice feeding, MH animals were capable of choosing their preferred diet, showing high intra-individual repeatability in preference for the M diet. It would be interesting to continue studying this behaviour of choice based on amino acid levels.

Preliminary evaluation of fenugreek (Trigonella foenum-graecum) seed gum as a potential prebiotic for growing rabbits in Tunisia: effects on in vivo faecal digestibility and in vitro fermentation

<p>This study aims to determine the effect of dietary inclusion of fenugreek seed gum (FSG), rich in galactomannans, on nutrient apparent digestibility and caecal environment, as well as on <em>in vitro</em> caecal fermentation of Tunisian growing rabbits. Three experimental diets were formulated, including 0, 0.25 and 0.5% of FSG (FSG0, FSG0.25 and FSG0.5, respectively) for the <em>in vivo</em> trial and 0, 0.125, 0.25, 0.5 and 100% of FSG (FSG0, FSG0125, FSG0.25, FSG0.5 and FSG100, respectively) for the <em>in vitro</em> trial. In the <em>in vivo</em> trial, 45 weaned rabbits 31 d old (15 per treatment) were housed in individual cages until 94 d of age. Apparent digestibility coefficients were determined at two ages, from 38 to 41 and from 56 to 59 d old, and caecal traits were recorded after slaughtering. In the <em>in vitro</em> trial, the five experimental diets were incubated with a rabbit caecal inoculum. Gas production was measured and modelled until 72 h and the fermentation traits were measured. Apparent faecal digestibility coefficients of main nutrients and main caecal environment traits were not significantly affected by the dietary inclusion of FSG (<em>P</em>&gt;0.05). However, animals fed with FSG showed lower caecal pH (–0.15; <em>P</em>&lt;0.05) values. Regarding the in vitro fermentation, FSG100 increased asymptotic gas production (+11.25, <em>P</em>&lt;0.001), sharpness of the switching characteristic of the profile (+1.98, <em>P</em>&lt;0.001) and the maximum substrate degradation rate (RM) (+0.188, <em>P</em>&lt;0.001), but decreasing the time after incubation at which half of the asymptotic amount of gas has been formed (–5.86, <em>P</em>&lt;0.001) and at which RM occurs (–4.53, <em>P</em>&lt;0.01). Likewise, FSG100 significantly decreased caecal pH (–1.035, <em>P</em>&lt;0.001), lactic acid (–9.51, <em>P</em>&lt;0.069) and N-NH₃ concentrations (–12.81, <em>P</em>&lt;0.001). Meanwhile, it increased the total volatile fatty acids (VFA) production (+43.15, <em>P</em>&lt;0.001). Gradual dietary inclusion of FSG from 0 to 0.5% only significantly increased total VFA production in the caecum (+100 mmol/L per percentage point of FSG inclusion; <em>P</em>&lt;0.05). In conclusion, FSG is highly and rapidly in vitro fermented by rabbit caecal bacteria. However, dietary inclusion of FSG up to 0.5%, might be insufficient to affect the apparent digestibility and fermentation profile of growing rabbits to a great extent.</p>

Plasma urea nitrogen as an indicator of amino acid imbalance in rabbit diets

<p>In recent decades, recommendations on dietary protein content have been considerably reduced, while fibre content has been increased. Under these conditions, an adequate dietary amino acid balance could be crucial to optimise feed efficiency. Plasma urea nitrogen (PUN) level could be a good indicator of an amino acid imbalance and its potential has already been studied in other species, but not yet in rabbits. The main objective of the present work was to detect the possible interest of PUN in pinpointing amino acid deficiencies in rabbits. Two experimental diets were formulated from the same basal mixture, following all the recommendations for growing rabbits, except lysine, whose content was variable, following current guidelines in diet P8.1 or lower from those in P4.4 (with 8.1 and 4.4 g/kg dry matter of lysine and with 757 and 411 mg of lysine per MJ of digestible energy). Three different trials were designed: one where the animals were fed &lt;em&gt;ad libitum&lt;/em&gt; (AL) and two others in which fasting periods of 10 h were included; one where feeding was restored at 08:00 h (Fast8h) and the other at 18:00 h (Fast18h). A total of 72 three-way crossbred growing rabbits (24 animals for each trial in a split-plot trial) up to a total of 12 recordings were used. Blood samples were taken every 4 h in AL trial and every hour after refeeding up to a total of six controls, in trials Fast8h and<br />Fast18h. The differences between balanced and unbalanced diets in lysine were highest (&lt;em&gt;P&lt;/em&gt;&lt;0.001) between 04:00 h and 12:00 h in animals fed ad libitum, and at 3 h after refeeding (21:00 h) in Fast18h. These results suggest that PUN could be an adequate indicator to detect deficiencies in amino acids in growing rabbit<br />diets.</p>

Milk intake in kits: not only the total amount matters

<p>The aim of this work was to identify milk intake variation patterns in kits throughout lactation, to evaluate their permanent maternal component and their relationships with the performance of kits before and after weaning. To achieve this goal, we used 73 rabbit does, controlled between the 1st and the 4th lactation, which kindled 229 litters with a total of 2225 kits. The daily milk intake records per young rabbit were analysed using a principal component analysis (PCA). We found that 72.3% of the variability was explained by the first 3 principal components (PCs). PC1 explained 46.4% of the total variability, was associated with the total amount of milk intake during lactation and presented a repeatability of 0.27 (P&lt;0.05) for litters from the same female. High values of PC1 were related to higher weight of kits until slaughter age and higher feed intake during lactation and growing period. Consequently, they were related to a higher average daily gain, but a worse feed conversion ratio. PC2 explained 17.8%, was associated with the asymmetry of the milk intake (early vs. late) and presented a repeatability of 0.26 (P&lt;0.05). For a given total milk intake during lactation, those with a higher milk intake in early lactation and lower during late lactation (low values of PC2) presented lower risk of death and higher feed intake during lactation. PC3 explained 8.1% of the variability, was associated with flattening of the milk intake curve and presented a repeatability of 0.05 (P&gt;0.05). This component was little related to performance traits. Therefore, it seems that milk plays 2 different roles at the beginning of feed intake; the most important would affect development of the kits and thus is related with high intake. The second one, for a given total amount of milk intake during lactation, would create a kind of competition between milk and feed intake at the end of lactation. The effects of both components still persist during the growing period and seem to be moderately affected by the mother.</p>

Effects of rearing feeding programme on the young rabbit females’ behaviour and welfare indicators

<p>Restriction of young rabbit females during rearing is a widespread management technique that could have negative consequences on their welfare and behaviour. In the present work, a total of 24 young rabbit females aged 9 wk were used to evaluate 3 rearing feeding programmes until first parturition: CAL, fed ad libitum with a control diet [C: 11.0 MJ digestible energy (DE) and 114 g digestible protein (DP) per kg dry matter (DM)]; CR, receiving the C diet restricted (140 g/d) from 12 wk of age; and F, fed ad libitum with a low energy/high fibre diet [F: 8.7 MJ DE and 88 g DP per kg DM]. F females presented lower body weight than CAL and CR females at week 18 (–0.4 kg and –0.2 kg; P&lt;0.05), but differences in body weight disappeared at parturition. Feeding programme affected the daily feed intake of young females during rearing and gestation periods (on av. of 2 periods: 140, 127 and 179 g DM/d, for CAL, CR and F females, respectively; P&lt;0.001). Blood levels of glucose and insulin decreased with the age of rabbits (from 97 to 73 mg/dL for glucose and from 11 to 6 μUI/mL for insulin at 13 and 20 wk, respectively; P&lt;0.001). Concentration of non-esterified fatty acids was higher in the blood of CAL females (+0.13 mmol/L compared to F; P&lt;0.05), while corticosterone was higher in F females (+0.7 μg/dL compared to CAL; P&lt;0.05). The type of feeding schedule affected the lying still and eating behaviour (P&lt;0.01) of CR females, especially before and after feeding supply, as well as their behavioural stressed indicators (stereotypies; P&lt;0.01), which were more frequent in CR females before feeding supply at 20 weeks of age. Therefore, ad libitum use of a low energy/high fibre diet is an adequate feeding programme for young rabbit females, which does not alter their behavioural patterns.</p>

Milk yield prediction at late lactation in reproductive rabbit does

<p>Separating kits and mother to determine milk yield at 4^th wk of lactation (MY4) could have negative consequences on the training and development of young rabbits. In this work, a total of 313 lactation curves (28 d long), taken from 2 different trials, were used to fit regression models to estimate MY4. In both trials, females were subjected to a semi-intensive reproductive rhythm [insemination at 11 d post-partum (dpp) and weaning at 28 dpp], but diets, genetic types, parity order and day of controls were slightly different. The models included variables which, according to the bibliography, are related to milk yield and are often recorded in joint management (without separation of litters  rom mothers), such as litter size at weaning (LSW; both linear and quadratic), joint energy intake of doe plus litter at 4th wk of lactation (JEI; both linear and quadratic), perirenal fat thickness change (ΔPFTd) and milk yield at 3rd wk (MY3). The overlapping degree (OL) between current lactation and next pregnancy was included as a dummy variable, as well as their interactions with quantitative traits. To fit these models, 3  procedures were proposed to obtain accurate equations with biological meaning: Eq1, multiple linear regression (MLR) of data; Eq2, MLR with previous smoothing of sample distribution; and Eq3, MLR with previous smoothing and avoiding redundant samples and collinearities among variables. MY3 had a positive and relevant linear effect on MY4 for the 3 equations obtained (responsible for 39 to 50% of MY4 prediction). JEI had also a relevant role in MY4 prediction (28 to 61%), its positive effect being linear on Eq1, quadratic on Eq2 and both linear and quadratic on Eq3. ΔPFTd and LSW related traits were only included in Eq3, with a low relative weight, and OL inclusion did not improve prediction in any equation. Predicting MY4 was possible with the variables used, although certain precautions must be taken. Traditional MLR seems to predict central values properly, but extreme values poorly, whereas pre-treatment of data to smooth the dependent variable distribution appears to improve prediction of extreme values.</p>

Changes in cecal microbiota and mucosal gene expression revealed new aspects of epizootic rabbit enteropathy

Epizootic Rabbit Enteropathy (ERE) is a severe disease of unknown aetiology that mainly affects post-weaning animals. Its incidence can be prevented by antibiotic treatment suggesting that bacterial elements are crucial for the development of the disease. Microbial dynamics and host responses during the disease were studied. Cecal microbiota was characterized in three rabbit groups (ERE-affected, healthy and healthy pretreated with antibiotics), followed by transcriptional analysis of cytokines and mucins in the cecal mucosa and vermix by q-rtPCR. In healthy animals, cecal microbiota with or without antibiotic pretreatment was very similar and dominated by Alistipes and Ruminococcus. Proportions of both genera decreased in ERE rabbits whereas Bacteroides, Akkermansia and Rikenella increased, as well as Clostridium, γ-Proteobacteria and other opportunistic and pathogenic species. The ERE group displayed remarkable dysbiosis and reduced taxonomic diversity. Transcription rate of mucins and inflammatory cytokines was very high in ERE rabbits, except IL-2, and its analysis revealed the existence of two clearly different gene expression patterns corresponding to Inflammatory and (mucin) Secretory Profiles. Furthermore, these profiles were associated to different bacterial species, suggesting that they may correspond to different stages of the disease. Other data obtained in this work reinforced the notion that ERE morbidity and mortality is possibly caused by an overgrowth of different pathogens in the gut of animals whose immune defence mechanisms seem not to be adequately responding.

Comparison of immune response to lipopolysaccharide of rabbit does selected for litter size at weaning or founded for reproductive longevity

To evaluate differences in maternal lines to the immune response of reproductive rabbit does, a total of 64 animals of two different lines: (1) founded for hyper-longevity and litter size criteria (LP) and (2) selected for litter size at weaning (V) were used. Females were subjected to three different reproductive efforts: post-partum (PP) mating at first lactation and 9 kits during the second; post-weaning (PW) mating at first lactation and 9 kits during the second; and PW mating at first lactation and 5 kits during the second. At second weaning (30 days PP), an acute response was induced by intravenous infusion of lipopolysaccharide (LPS). LP females seemed to be lower affected during the hyper-acute phase than V females, showing lower plasma glucose content at 1.5 h post infusion (pi) and rectal temperature at 6 h pi; and showed higher ulterior immune response, with higher levels of C-reactive protein at 48 h pi and haptoglobin in plasma from 24 h pi. Survival test conferred a higher risk of culling for V than for LP females during the first hours after challenge. These results may suggest that, regarding immune response to LPS challenge, foundation by hyper-longevity productive criteria lead to obtain a more robust population of rabbit does, characterized by improved response ability.

How selection for reproduction or foundation for longevity could have affected blood lymphocyte populations of rabbit does under conventional and heat stress conditions

The present work characterises how selection for reproduction (by comparing two generations - 16th and 36th - of the V line selected for litter size at weaning) or foundation for reproductive longevity (the LP line) can affect the blood lymphocytes populations of reproductive rabbit does under normal [conventional housing, average daily minimum and maximum temperatures of 14°C and 20°C, respectively] and heat stress conditions [climatic chamber, 25°C and 36°C] from the first to the second parturition. Housing under heat stress conditions significantly reduced the B lymphocytes counts in female rabbits (-34 × 10(6)/L; P<0.05). The highest lymphocytes population value in blood (total, T CD5(+), CD4(+) and CD8(+)) was noted at the first parturition, while the B lymphocytes count was significantly lower at the second parturition (-61 × 10(6)/L; P<0.05). Selection for litter size at weaning (V females) reduced the average counts of total and B lymphocytes in blood (-502 and -60 × 10(6)/L, respectively; P<0.01), mainly because these populations in V36 females continuously lowered from the first to the second parturition under normal housing conditions. Thus, more selected females (V36) at the second parturition showed significantly lower counts in blood for total, T CD5(+) and CD25(+) lymphocytes (-1303, -446 and -33 × 10(6)/L, respectively; P<0.05). The main differences in blood counts between V36 and V16 females disappeared when housed under heat stress conditions, except for T CD5(+) and CD25(+), which significantly increased (T CD5(+): +428 × 10(6)/L; CD25(+): +41 × 10(6)/L; P<0.01) in the V16 vs. V36 females on day 10 post-partum. Under normal conditions, no differences between LP and V36 females were found for most lymphocyte populations; only higher counts were noted in CD25(+) (+20 × 10(6)/L; P<0.05) for LP females. However, the lymphocytes counts [especially total (+1327 × 10(6)/L; P<0.01) and T CD5(+) (+376 × 10(6)/L; P<0.10)] of LP females increased under heat vs. normal conditions when lymphocytes populations presented the lowest values (second parturition), while V36 females' counts remained invariable. Positive correlations were found between feed intake (r=+0.51; P<0.001) and females' perirenal fat thickness (r=+0.40; P<0.001) with B lymphocytes counts in the blood of primiparous rabbit females in the week 2 of lactation. These results indicate that selection for litter size at weaning might diminish their immune system's response and adaptation capacity, while the foundation for reproductive longevity criteria leads to more robust rabbit females as they present greater modulation under heat stress conditions when the immune system is affected.

Diet digestibility in growing rabbits: effect of origin and oxidation level of dietary fat and vitamin e supplementation

The effects of the dietary inclusion of fats with different origin (lard or vegetal oil), fatty acid profile (linseed or sunflower), oxidation level (fresh, peroxidised: 11 d at 55ºC or oxidised: 31 h at 140ºC) and vitamin E supplementation (0 or 100 ppm) on the rabbit diet apparent digestibility were studied. Digestibility coefficients of dry matter, organic matter, crude protein, ether extract and gross energy were determined in eight diets using 58 rabbits aged 49 d. Contrast analysis between groups of diets showed that lard, characterised by a greater saturated fatty acid content, compared with vegetal oils, rich in unsaturated fatty acid, reduced the apparent digestibility of ether extract (62.3 vs. 68.4%; P=0.0329). However, there were no significant differences in the nutrient digestibility when linseed or sunflower oils (rich in ω-3 or in ω-6 polyunsaturated fatty acids, respectively) were compared. The oxidation degree of the sunflower oil and the supplementation with 100 ppm of vitamin E to the diets did not modify the apparent digestibility values of any dietary fraction. <br />Key Words: rabbit, fat, ω-3/ω-6 fatty acids, oxidation level, tocopherol, digestibility.

Effect of selection for litter size and feeding programme on the performance of young rabbit females during rearing and first pregnancy

A total of 166 crossbred young female rabbits were used to study the effect of two types of crossbred does (H1 v. H2, old and current generations, respectively) from the cross of different generations of maternal lines selected for litter size, the use of a feeding programme based on a low energy rearing diet (F) and the presentation of a high-energy dietpre-partum(E) on the performance of young rabbit females until their first parturition and on the main litter traits at first kindling. Perirenal fat was thicker at the age of 3 months for H2 than for H1 does, but this difference disappeared at the first insemination (4·5 months). H2 does had a significantly larger total number and number of live pups at birth (+2·06 live pups) than H1, higher than expected (+1·06). As this greater foetal growth was obtained for a similar energy intake of does, possible differences may exist in partitioning and/or effficiencies of dietary and body energies in favour of foetal growth as the genetic propensity for litter size increased. The use of a low-energy diet significantly reduced the growth of does during the rearing period (−294 g), but they showed a greater compensatory growth during the first 4 weeks of gestation (+79 g) as a consequence of their higher energy intake, without any retardation in their reproductive development. Does receiving diet F until 28th day of gestation showed a significantly greaterpre-partumenergy intake and their number of pups born alive was lower (−1·3 pups). Finally, the litters of females receiving diet Epre-partumand during lactation had lower mortality during the 1st week (26·9 v. 42·9% dead pups) and throughout lactation than those receiving a moderate energy diet.

Long-term effect of selection for litter size and feeding programme on the performance of reproductive rabbit does 2. Lactation and growing period

A total of 166 crossbred does were used to study the possible long-term effect of two types of crossbred does (H1v.H2, old and current generations, respectively) from the cross of different generations of lines selected for litter size, the use of a rearing programme based on a low-energy diet, and the administration of a high-energy diet during reproductive life, on the performance and body condition of lactating rabbit does and their litters until slaughter. The body condition of the reproductive rabbit does increased in the successive cycles to the fourth parturition, being maintained from this moment on. Animals more selected for litter size at weaning presented a greater food intake (+3%;P<0·05) and milk yield (+6%;P<0·05) during the first 21 days of lactation, which could be related to greater maternal aptitude. The difference in the weight of pups at slaughter time (+24 g for H2 respect to H1 pups) was one third lower than that expected from the generation response of the paternal line (0·45 g/day), perhaps related to the different enteropathy incidence depending on the genetic type. The use of a high-energy diet during the reproduction period increased the milk yield (+22%;P<0·05) of does, as the growth (+16 g at weaning day;P<0·05) and survival index (+2%;P<0·05) of the litters during lactation, but could produce a more sudden weaning of pups as a consequence of their lower pre-weaning food intake (−42%;P<0·05), which has been related with a greater health risk index during the growing period (+4·2%;P<0·05). Reproductive does given a high fibre diet during the rearing period (from 3 kg live weight to 28th day of the first pregnancy) reached parturition with a higher live weight than does that received a moderate energy diet restricted during this same period (+142 g;P<0·05). All other parameters controlled for the lactating does and their litters were not affected by the type of diet received during the rearing period. Females that were not effectively mated at first AI (11 dayspost partum) showed a greater increase in their perirenal fat thickness between partum and the 11th day of lactation than those lactating females that showed an effective mating (+0·22v.+0·37 mm, respectively;P<0·05).

Pneumatosis cystoides intestinalis in a rabbit doe (Oryctolagus cuniculus)

Pneumatosis cystoides intestinalis (PCI) is an infrequent condition of animals characterized by the existence of numerous thin-walled, gas-filled cystic structures within the intestinal wall and adjacent lymph nodes. Microscopically, the cystic structures appear to be dilated lymphatics located in the lamina propria, submucosa, muscularis, subserosa, mesentery, and mesenteric lymph nodes. This report describes a case of pneumatosis cystoides intestinalis in a rabbit doe from an organic farm where 20 rabbit does were fed ad libitum with a natural diet consisting of whole barley, pea beans, alfalfa hay, and a pelleted vitamin-mineral blend. A combination of nutritional, bacterial, and other factors are hypothesized as possible predisposing factors in the development of PCI.

Equity, privatization and cost recovery in urban health care: the case of Lao PDR

Along with the shift from a planned to market-oriented economy, as in many other developing countries, Lao PDR has promoted health care partnerships with the private sector, and cost recovery in public hospitals, to increase resources in the public sector, while at the same time attempting to ensure appropriate access to health care for those without means to pay. In a multi-case design, this study compares two neighbourhoods of different socioeconomic status comprising 10 households, representing urban districts in three provinces. In-depth interviews were conducted over a 1-year period with three visits to each household. Members of the households were interviewed on their perceptions and utilization of health care services. Focus group discussions of public providers and individual interviews of private providers, leaders of the villages and hospital administrators provided complementary perspectives. The study found that both socioeconomic groups utilized private health services as their first choice, including private clinics and treatment abroad for those with high socioeconomic status, while the low socioeconomic group preferred private pharmacies. The unwelcoming attitudes of health staff and procedural barriers have led both groups to meet their health care needs in the private sector. Here the health care they receive is strictly limited to what they can pay for. For the poor, in most cases, this means drugs alone, i.e. no examination, no diagnosis and only limited advice. Limited financial resources often means receiving inappropriate and insufficient medication. Equity in health care remains theoretical rather than practical and the social goals of the reform have not been achieved.

Cost recovery beds in public hospitals in Indonesia

A policy of allowing public hospitals to provide some better quality, higher priced hospital beds for those able to pay was introduced as government policy in Indonesia after 1993. A study was conducted in 1998 in three public hospitals in East Java to investigate if the policy objective of cost-recovery was being achieved. Hospital revenue from these commercial beds was less than both the recurrent and total costs of providing them in all three hospitals, but exceeded recurrent costs minus staff salaries in two hospitals. One reason for the low cost-recovery ratios was that between 55% and 66% of the revenue was used as staff incentives, mostly to doctors. This was more than the maximum of 40% stipulated in the policy. The high proportions of total revenue going to staff were a result of hospital management having set bed fees too low. The policy may be contributing to the retention of doctors within public sector employment; however, it is not achieving its stated objective, especially over the longer term where full recovery of salaries and investment costs needs to be considered. Public hospitals that wish to invest in commercial beds need effective management and accounting systems so as to be able to monitor and control costs and set fees at levels that recoup the costs incurred. Further research is required to determine if this form of public-private mix has negative effects on equity and access for poorer patients.

User-payment, decentralization and health service utilization in Zambia

The study was undertaken to assess the impact of health sector reform from 1993 to 1997 in Zambia in respect of health care service utilization and the shift of caseload from hospitals to health centres. Four key indicators were chosen: general attendance, measles vaccinations, general admissions, and deliveries. Complete sets of district data were analyzed, covering 4.5 million people out of the total population in 1997 of 9.7 million. The results show, on the one hand, a dramatic decrease of about one-third in general attendance for both hospitals and health centres over a 2-year period, followed by a period with a continued but slower decrease. On the other hand, the results also show increases at health centres in measles vaccinations (up 40%), in admissions (up 25%) and in deliveries (up 60%). The study further documents a shift of caseload from hospitals to health centres for some key services. The health centre share increased from 72.2% to 79.8% for measles vaccinations, from 23.9% to 31.0% for general admissions, and from 22.9% to 32.4% for deliveries. However, the intended overall shift in outpatient caseload from hospitals to health centres did not materialize. The main lessons are: utilization patterns can be influenced by policies such as user-payment and decentralization; user payment in poor populations leads to dramatic declines in utilization of services; and decentralization with local control of resources could be an alternative to the traditional vertical disease programme approach for priority interventions.

The challenge of hospitals in health sector reform: the case of Zambia

Zambia underwent a period of health sector reform from 1993 to 1998. The reform attracted substantial support from the World Bank and bilateral donors. While significant achievements were made with respect to decentralization, increased accountability and donor collaboration, the reform stalled in 1998 without having achieved its objectives, largely because of the handling of hospital reform and the civil servants in the health sector. This study was an attempt to analyze this experience with the hospital issue. Service and infrastructure information was collected from all 88 hospitals in the country. Further, information was collected about the social, economic, and political context of the reform. The results show that an historical legacy from the colonial and post-colonial eras has left the country with an expensive and skewed hospital structure that is rapidly deteriorating and very difficult to reform. The referral system is not functioning: higher-level hospitals provide a higher level of care to their immediate catchment populations than is available to the population in general. The reality is thus far from the vision of equity of access to cost-effective quality care. Zambian doctors have either left the country or are concentrated at the highest referral levels in two provinces, leaving the lower levels and most of the country in the hands of expatriate doctors. There are no resources in the government or the private systems to maintain the current hospital infrastructure and things will likely deteriorate unless radical decisions are taken and implemented. The study further shows that the question of hospital reform is a political high-risk zone. If the problems are to be dealt with, the Zambian planners must, together with the politicians, work to create a broad national consensus for understanding the situation, its urgency, and the limited options for forward action.

Building a shared vision among leaders across sectors and professions

Many attempts have been made to give responsibility for leadership in health to community committees or inter-sectoral bodies. Often such attempts have failed due to lack of common understanding, vision and direction. The article provides a tool that can explore difference is in perception and facilitate the creation of a shared vision among leaders who have different backgrounds and insights with regards to health and community development. Through a test case at the University Teaching Hospital in Zambia this article provides an example of how the tool can be used in the change processes which are essential in any health reform. The test case describes the use of a Hospital Management Board, but the tool will be useful for any board, committee or group that is heterogeneous in respect of knowledge, view and insights.