Araştırma Makalesi
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Use of essential oil mixture to improve antioxidant capacity and concentrations of cecum short-chain fatty acids in Turkish domestic geese (Anser anser)

Yıl 2022, Cilt: 69 Sayı: 3, 313 - 318, 30.06.2022
https://doi.org/10.33988/auvfd.876578

Öz

The aim of this study is to investigate the effect of essential oil mixture supplemented in drinking water on antioxidant capacity and intestinal health in geese. One hundred eight chicks (which were 3 days old) were randomly allocated to 3 groups and each group was allocated to 6 subgroups. Research groups have been as follows: C (Control; without supplementation); E1 (0.4 ml/L essential oil mixture supplementation) and E2 (0.8 ml/L essential oil mixture supplementation). The duration of the experiment was 13 weeks. In the first 4 weeks of the trial, the animals were fed for the chick period. In the last 9 weeks of the trial, geese were fed in the pasture under the conditions of Kars province. In the 4th week and at the end of the experiment, GSH exhibited a linear response (P=0.008 and P=0.004, respectively). However, MDA, GSH, SOD, GPx, CAT, nitric oxide, ceruloplasmin, albumin, total protein and globulin were not affected. At the end of the experiment, acetic acid, butyric acid, isocaproic acid and total short-chain fatty acid concentrations were linearly affected with the gradued level of essential oil mixture. There were no significant differences in propionic acid, isobutyric acid, valeric acid, isovaleric acid, caproic acid and BCFA concentrations. In conclusion, water containing essential oil mixture in geese can be used to improve antioxidant capacity and intestinal health.

Destekleyen Kurum

This study was funded by the Kafkas University Coordination of Scientific Research Projects with 2019-TS-12 project number.

Proje Numarası

2019-TS-12

Teşekkür

Some part of this article was summarized from the first author’s master thesis.

Kaynakça

  • Aarestrup FM, Kruse H, Tast E, et al (2000): Associations between the use of antimicrobial agents for growth promotion and the occurrence of resistance among Enterococcus faecium from broilers and pigs in Denmark, Finland, and Norway. Microb Drug Resist, 6, 63-70.
  • Aksoy Y (2002): Antioksidan mekanizmada glutatyonun rolü. T Klin Tıp Bilimleri, 22, 442-448.
  • AOAC (2000): Official methods of analysis. 1-41. In: 17th Ed. Association of Official Analytical Chemists. AOAC International, Maryland.
  • Beutler E, Duron O, Kelly BM (1963): Improved method for the determination of blood glutathione. J Lab Clin Med, 61, 882-888.
  • Carvalho RN, Moura LS, Rosa PTV, et al (2005): Supercritical fluid extraction from rosemary (Rosmarinus officinalis): Kinetic data, extract’s global yield, composition and antioxidant activity. J Supercrit Fluids, 35, 197-204.
  • Chen W, Jiang YY, Wang JP, et al (2015): Effect of flaxseed on the fatty acid profile of egg yolk and antioxidant status of their neonatal offspring in Huoyan Geese. Animal, 9, 1749-1755.
  • Cimrin T, Tunca RI, Avsaroglu MD, et al (2020): Effects of an antibiotic and two phytogenic substances (cinnamaldehyde and 1,8-cineole) on yolk fatty acid profile and storage period-associated egg lipid peroxidation level. R Bras Zootec, 49, e20190270.
  • Colombo JP, Richterich R (1964): Zur bestimmung des caeruloplasmin im plasma [on the determination of ceruloplasmin in plasma]. Schweiz Med Wochenschr, 23, 715-720.
  • D’antuono LF, Gallet, GC, Bocchini P (2000): Variability of essential oil content and composition of origanum vulgare I. populations from a north mediterranean area (Liguria Region, Northern Italy). Annals of Botany, 86, 471– 478.
  • Demir P, Aksu Elmalı D (2012): Economical analysis of goose breeding commercially by small family farms. World's Poultry Science Journal, 68, 5-10.
  • Doumas BT, Watson WA, Biggs HG (1971): Albumin standards and the measurement serum albumin with bromcresol green. Clinica Chimica Acta, 31, 87-96.
  • Durna Aydın O (2020): Effect of drinking water supplementation of different aromatic plant essential oils on performance and some blood parameters in quail breeders (Coturnix coturnix japonica). Eurasian J Vet Sci, 36, 16-21.
  • Durna Aydın O, Merhan O, Yıldız G, et al (2020): The effect of oregano oil (Origanum vulgare) on the fattening performance and blood oxidantantioxidant balance in post-weaned Tuj lambs. Kafkas Univ Vet Fak Derg, 26, 59-64.
  • Durna Aydın O, Yıldız G (2020): The effects of thyme oil and black cumin oil in broiler feeding on growth performance, intestinal histomorphology, and cecal volatile fatty acids. Turk J Vet Anim Sci, 44, 17-25.
  • Durna Aydin O, Yıldız G, Merhan O (2021): Effects of probiotic (Lactobacillus farciminis) supplementation in quail (Coturnix coturnix japonica) rations on growth performance, blood antioxidant capacity and cecal some short-chain fatty acid concentrations. Kafkas Univ Vet Fak Derg, 27, 15-20.
  • Gauquelin T, Bertaudiere-Montes A, Badri W, et al (2002): Sex ratio and sexual dimorphism in mountain dioecious thuriferous juniper (Juniperus thurifera L., Cupressaceae). Bot J Linn Soc, 138, 237-244.
  • Habibi R, Sadeghi GH, Karimi A (2014): Effect of different concentrations of ginger root powder and its essential oil on growth performance, serum metabolites andantioxidant status in broiler chicks under heat stress. Br Poult Sci, 55, 228-237.
  • Jamroz D, Jakobsen K, Knudsen KEB, et al (2002): Digestibility and energy value of non-starch polysaccharides in young chickens, ducks and geese, fed diets containing high amounts of barley. Comp Biochem Phys, 131, 657-668.
  • Jamroz D, Kamel C (2002): Plant extacts enhance broiler performance. In non ruminant nutrition: Antimicrobial agents and plant extracts on immunity, health and performance. J Anim Sci, 80, 41.
  • Kahraman R, Alp M, Kocabağlı N, et al (1996): The effects of fastrack and sodium bicarbonate on performance of broilers. Turk J Vet Anim Sci, 20, 383 - 386.
  • Knudsen KEB, Hedemann MS, Lærke HN (2012): The role of carbohydrates in intestinal health of pigs. Anim Feed Sci Technol, 173, 41–53.
  • Koç H (2002): Lokman Hekimden Günümüze Bitkilerle Sağlıklı Yaşama. T.C. Kültür Bakanlığı Yayınları, Ankara.
  • Liu HY, Walden TB, Cai D, et al (2019): Dietary fiber in bilberry ameliorates pre-obesity events in rats by regulating lipid depot, cecal short-chain fatty acid formation and microbiota composition. Nutrients, 11, 1350.
  • Meimandipour A, Shuhaim M, Soleiman AF, et al (2010): Selected microbial roups and short-chain fatty acids profile in a simulated chicken cecum supplemented with two strains of Lactobacillus. Poult Sci, 89, 470-476.
  • Merken HM, Merken CD, Beecher G (2001): Kinetics method for the quantitation of anthocyanins, flavonal and flavones in food. J Agric Food Chem. 49, 2727-2732.
  • Miranda KM, Espey MG, Wink DA (2001): A rapid, simple spectrophotometric method for simultaneous detection of nitrate and nitrite. Nitric Oxide, 5, 62-71.
  • Muller K, Blum NM, Kluge H, et al (2012): Influence of broccoli extract and various essential oils on performance and expression of xenobiotic- and antioxidant enzymes in broiler chickens. Brit J Nutr, 108, 588–602.
  • NRC (1994): Nutrient Requirements of Poultry. 34 – 45. In: 9th rev. ed. National Academy Press, Washington DC.
  • Olivier GW (1976): The world market of oregano. 142–146. In: Padulosi S, (ed.) Oregano, 14. Proceedings of the IPGRI International Workshop. Rome, Italy.
  • Öztürk B, Konyalıoğlu S, Baykan LS (2002): Türkiye’de doğal yayılış gösteren bazı Thymus L. taksonlarının uçucu yağlarının karşılaştırmalı antioksidan etkileri. 387-388. 14. Bitkisel İlaç Hammaddeleri Toplantısı, Eskişehir.
  • Parihar MS, Hemnani T (2003): Phenolic antioxidants attenu¬ate hippocampal neuronal cell damage against kainic acid ınduced excitotoxicity. J Biosci, 28, 121-128.
  • Rinttilla T, Apajalahti J (2013): Intestinal microbiota and metabolites Implications for broiler chicken health and performance. J Appl Poult Res, 22, 647–658.
  • Saracila M, Panaite T, Tabuc C, et al (2020): Dietary ascorbic acid and chromium supplementation for broilers reared under thermoneutral conditions vs. high heat stress. Scientific Papers-Animal Science Series: Lucrări Ştiinţifice - Seria Zootehnie, 73, 41-47.
  • Sevim B, Gümüş E, Harman H, et al (2020): Effects of Dietary Rosemary Essential Oil on Growth Performance, Carcass Traits and Some Hematological Values of Chukar Partridge. TURJAF, 8, 430-435.
  • SPSS (2011): Statistical Packages for the Social Sciences, 20th ed. IBM Inc, Chicago, USA.
  • Summanen J, Vuorela P, Rauha JP, et al (2001): Effect of simple aromatic compounds and flavonoids on Ca+2 fluxes in rat pituitary GH4C1 Cells. Eur J Pharmacol, 414, 125-133.
  • Tan L, Yuan D, Chen YB (2012): Differ Bacillus probiotics affect growth perform ammon emission excreta broilers. Chinnese J Anim Nutr, 24, 877-885.
  • Unno T, Osakabe N (2018): Green tea extract and black tea extract differentially influence cecal levels of short chain fatty acids in rats. Food Sci Nutr, 6, 728–735.
  • Wang L, Zhang Y, Fan G, et al (2019): Effects of orange essential oil on ıntestinal microflora in mice. J Sci Food Agric, 99, 4019-4028.
  • Weng YJ, Gan HY, Li X, et al (2019): Correlation of diet, mic-robiota and metabolite networks in ınflammatory bowel disease. J Dig Dis, 20, 447–459.
  • Wiseman M (2012): Evaluation of Tasco® as a candidate prebiotic in broiler chickens. Master of Science Thesis. 39-43. Dalhousie University, Nova Scotia.
  • Yoshioka T, Kawada K, Shimada T, et al (1979): Lipid peroxidation in maternal and cord blood and protective mechanism against activated-oxygen toxicity in the blood. Am J Obstet Gynecol, 135, 372-376.
  • Zhang WF, Li DF, Lu WQ, et al (2003): Effects of isomalto-oligosaccharides on broiler performance and intestinal microflora. Poult Sci, 82, 657-663.
Yıl 2022, Cilt: 69 Sayı: 3, 313 - 318, 30.06.2022
https://doi.org/10.33988/auvfd.876578

Öz

Proje Numarası

2019-TS-12

Kaynakça

  • Aarestrup FM, Kruse H, Tast E, et al (2000): Associations between the use of antimicrobial agents for growth promotion and the occurrence of resistance among Enterococcus faecium from broilers and pigs in Denmark, Finland, and Norway. Microb Drug Resist, 6, 63-70.
  • Aksoy Y (2002): Antioksidan mekanizmada glutatyonun rolü. T Klin Tıp Bilimleri, 22, 442-448.
  • AOAC (2000): Official methods of analysis. 1-41. In: 17th Ed. Association of Official Analytical Chemists. AOAC International, Maryland.
  • Beutler E, Duron O, Kelly BM (1963): Improved method for the determination of blood glutathione. J Lab Clin Med, 61, 882-888.
  • Carvalho RN, Moura LS, Rosa PTV, et al (2005): Supercritical fluid extraction from rosemary (Rosmarinus officinalis): Kinetic data, extract’s global yield, composition and antioxidant activity. J Supercrit Fluids, 35, 197-204.
  • Chen W, Jiang YY, Wang JP, et al (2015): Effect of flaxseed on the fatty acid profile of egg yolk and antioxidant status of their neonatal offspring in Huoyan Geese. Animal, 9, 1749-1755.
  • Cimrin T, Tunca RI, Avsaroglu MD, et al (2020): Effects of an antibiotic and two phytogenic substances (cinnamaldehyde and 1,8-cineole) on yolk fatty acid profile and storage period-associated egg lipid peroxidation level. R Bras Zootec, 49, e20190270.
  • Colombo JP, Richterich R (1964): Zur bestimmung des caeruloplasmin im plasma [on the determination of ceruloplasmin in plasma]. Schweiz Med Wochenschr, 23, 715-720.
  • D’antuono LF, Gallet, GC, Bocchini P (2000): Variability of essential oil content and composition of origanum vulgare I. populations from a north mediterranean area (Liguria Region, Northern Italy). Annals of Botany, 86, 471– 478.
  • Demir P, Aksu Elmalı D (2012): Economical analysis of goose breeding commercially by small family farms. World's Poultry Science Journal, 68, 5-10.
  • Doumas BT, Watson WA, Biggs HG (1971): Albumin standards and the measurement serum albumin with bromcresol green. Clinica Chimica Acta, 31, 87-96.
  • Durna Aydın O (2020): Effect of drinking water supplementation of different aromatic plant essential oils on performance and some blood parameters in quail breeders (Coturnix coturnix japonica). Eurasian J Vet Sci, 36, 16-21.
  • Durna Aydın O, Merhan O, Yıldız G, et al (2020): The effect of oregano oil (Origanum vulgare) on the fattening performance and blood oxidantantioxidant balance in post-weaned Tuj lambs. Kafkas Univ Vet Fak Derg, 26, 59-64.
  • Durna Aydın O, Yıldız G (2020): The effects of thyme oil and black cumin oil in broiler feeding on growth performance, intestinal histomorphology, and cecal volatile fatty acids. Turk J Vet Anim Sci, 44, 17-25.
  • Durna Aydin O, Yıldız G, Merhan O (2021): Effects of probiotic (Lactobacillus farciminis) supplementation in quail (Coturnix coturnix japonica) rations on growth performance, blood antioxidant capacity and cecal some short-chain fatty acid concentrations. Kafkas Univ Vet Fak Derg, 27, 15-20.
  • Gauquelin T, Bertaudiere-Montes A, Badri W, et al (2002): Sex ratio and sexual dimorphism in mountain dioecious thuriferous juniper (Juniperus thurifera L., Cupressaceae). Bot J Linn Soc, 138, 237-244.
  • Habibi R, Sadeghi GH, Karimi A (2014): Effect of different concentrations of ginger root powder and its essential oil on growth performance, serum metabolites andantioxidant status in broiler chicks under heat stress. Br Poult Sci, 55, 228-237.
  • Jamroz D, Jakobsen K, Knudsen KEB, et al (2002): Digestibility and energy value of non-starch polysaccharides in young chickens, ducks and geese, fed diets containing high amounts of barley. Comp Biochem Phys, 131, 657-668.
  • Jamroz D, Kamel C (2002): Plant extacts enhance broiler performance. In non ruminant nutrition: Antimicrobial agents and plant extracts on immunity, health and performance. J Anim Sci, 80, 41.
  • Kahraman R, Alp M, Kocabağlı N, et al (1996): The effects of fastrack and sodium bicarbonate on performance of broilers. Turk J Vet Anim Sci, 20, 383 - 386.
  • Knudsen KEB, Hedemann MS, Lærke HN (2012): The role of carbohydrates in intestinal health of pigs. Anim Feed Sci Technol, 173, 41–53.
  • Koç H (2002): Lokman Hekimden Günümüze Bitkilerle Sağlıklı Yaşama. T.C. Kültür Bakanlığı Yayınları, Ankara.
  • Liu HY, Walden TB, Cai D, et al (2019): Dietary fiber in bilberry ameliorates pre-obesity events in rats by regulating lipid depot, cecal short-chain fatty acid formation and microbiota composition. Nutrients, 11, 1350.
  • Meimandipour A, Shuhaim M, Soleiman AF, et al (2010): Selected microbial roups and short-chain fatty acids profile in a simulated chicken cecum supplemented with two strains of Lactobacillus. Poult Sci, 89, 470-476.
  • Merken HM, Merken CD, Beecher G (2001): Kinetics method for the quantitation of anthocyanins, flavonal and flavones in food. J Agric Food Chem. 49, 2727-2732.
  • Miranda KM, Espey MG, Wink DA (2001): A rapid, simple spectrophotometric method for simultaneous detection of nitrate and nitrite. Nitric Oxide, 5, 62-71.
  • Muller K, Blum NM, Kluge H, et al (2012): Influence of broccoli extract and various essential oils on performance and expression of xenobiotic- and antioxidant enzymes in broiler chickens. Brit J Nutr, 108, 588–602.
  • NRC (1994): Nutrient Requirements of Poultry. 34 – 45. In: 9th rev. ed. National Academy Press, Washington DC.
  • Olivier GW (1976): The world market of oregano. 142–146. In: Padulosi S, (ed.) Oregano, 14. Proceedings of the IPGRI International Workshop. Rome, Italy.
  • Öztürk B, Konyalıoğlu S, Baykan LS (2002): Türkiye’de doğal yayılış gösteren bazı Thymus L. taksonlarının uçucu yağlarının karşılaştırmalı antioksidan etkileri. 387-388. 14. Bitkisel İlaç Hammaddeleri Toplantısı, Eskişehir.
  • Parihar MS, Hemnani T (2003): Phenolic antioxidants attenu¬ate hippocampal neuronal cell damage against kainic acid ınduced excitotoxicity. J Biosci, 28, 121-128.
  • Rinttilla T, Apajalahti J (2013): Intestinal microbiota and metabolites Implications for broiler chicken health and performance. J Appl Poult Res, 22, 647–658.
  • Saracila M, Panaite T, Tabuc C, et al (2020): Dietary ascorbic acid and chromium supplementation for broilers reared under thermoneutral conditions vs. high heat stress. Scientific Papers-Animal Science Series: Lucrări Ştiinţifice - Seria Zootehnie, 73, 41-47.
  • Sevim B, Gümüş E, Harman H, et al (2020): Effects of Dietary Rosemary Essential Oil on Growth Performance, Carcass Traits and Some Hematological Values of Chukar Partridge. TURJAF, 8, 430-435.
  • SPSS (2011): Statistical Packages for the Social Sciences, 20th ed. IBM Inc, Chicago, USA.
  • Summanen J, Vuorela P, Rauha JP, et al (2001): Effect of simple aromatic compounds and flavonoids on Ca+2 fluxes in rat pituitary GH4C1 Cells. Eur J Pharmacol, 414, 125-133.
  • Tan L, Yuan D, Chen YB (2012): Differ Bacillus probiotics affect growth perform ammon emission excreta broilers. Chinnese J Anim Nutr, 24, 877-885.
  • Unno T, Osakabe N (2018): Green tea extract and black tea extract differentially influence cecal levels of short chain fatty acids in rats. Food Sci Nutr, 6, 728–735.
  • Wang L, Zhang Y, Fan G, et al (2019): Effects of orange essential oil on ıntestinal microflora in mice. J Sci Food Agric, 99, 4019-4028.
  • Weng YJ, Gan HY, Li X, et al (2019): Correlation of diet, mic-robiota and metabolite networks in ınflammatory bowel disease. J Dig Dis, 20, 447–459.
  • Wiseman M (2012): Evaluation of Tasco® as a candidate prebiotic in broiler chickens. Master of Science Thesis. 39-43. Dalhousie University, Nova Scotia.
  • Yoshioka T, Kawada K, Shimada T, et al (1979): Lipid peroxidation in maternal and cord blood and protective mechanism against activated-oxygen toxicity in the blood. Am J Obstet Gynecol, 135, 372-376.
  • Zhang WF, Li DF, Lu WQ, et al (2003): Effects of isomalto-oligosaccharides on broiler performance and intestinal microflora. Poult Sci, 82, 657-663.
Toplam 43 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Veteriner Cerrahi
Bölüm Araştırma Makalesi
Yazarlar

Özlem Durna Aydın 0000-0003-4532-6795

Gültekin Yıldız 0000-0002-1003-9254

Oğuz Merhan 0000-0002-3399-0667

Songül Ulufer Bulut 0000-0001-9533-0165

Ayşe Kanıcı Tarhane 0000-0002-4541-0738

Pınar Ambarcıoğlu 0000-0001-6572-4219

Ali Haydar Kırmızıgül 0000-0002-9283-1391

Ekin Emre Erkılıç 0000-0003-2461-5598

Enes Akyüz 0000-0002-3288-2058

Mert Sezer 0000-0003-1691-7764

Proje Numarası 2019-TS-12
Yayımlanma Tarihi 30 Haziran 2022
Yayımlandığı Sayı Yıl 2022Cilt: 69 Sayı: 3

Kaynak Göster

APA Durna Aydın, Ö., Yıldız, G., Merhan, O., Ulufer Bulut, S., vd. (2022). Use of essential oil mixture to improve antioxidant capacity and concentrations of cecum short-chain fatty acids in Turkish domestic geese (Anser anser). Ankara Üniversitesi Veteriner Fakültesi Dergisi, 69(3), 313-318. https://doi.org/10.33988/auvfd.876578
AMA Durna Aydın Ö, Yıldız G, Merhan O, Ulufer Bulut S, Kanıcı Tarhane A, Ambarcıoğlu P, Kırmızıgül AH, Erkılıç EE, Akyüz E, Sezer M. Use of essential oil mixture to improve antioxidant capacity and concentrations of cecum short-chain fatty acids in Turkish domestic geese (Anser anser). Ankara Univ Vet Fak Derg. Haziran 2022;69(3):313-318. doi:10.33988/auvfd.876578
Chicago Durna Aydın, Özlem, Gültekin Yıldız, Oğuz Merhan, Songül Ulufer Bulut, Ayşe Kanıcı Tarhane, Pınar Ambarcıoğlu, Ali Haydar Kırmızıgül, Ekin Emre Erkılıç, Enes Akyüz, ve Mert Sezer. “Use of Essential Oil Mixture to Improve Antioxidant Capacity and Concentrations of Cecum Short-Chain Fatty Acids in Turkish Domestic Geese (Anser Anser)”. Ankara Üniversitesi Veteriner Fakültesi Dergisi 69, sy. 3 (Haziran 2022): 313-18. https://doi.org/10.33988/auvfd.876578.
EndNote Durna Aydın Ö, Yıldız G, Merhan O, Ulufer Bulut S, Kanıcı Tarhane A, Ambarcıoğlu P, Kırmızıgül AH, Erkılıç EE, Akyüz E, Sezer M (01 Haziran 2022) Use of essential oil mixture to improve antioxidant capacity and concentrations of cecum short-chain fatty acids in Turkish domestic geese (Anser anser). Ankara Üniversitesi Veteriner Fakültesi Dergisi 69 3 313–318.
IEEE Ö. Durna Aydın, “Use of essential oil mixture to improve antioxidant capacity and concentrations of cecum short-chain fatty acids in Turkish domestic geese (Anser anser)”, Ankara Univ Vet Fak Derg, c. 69, sy. 3, ss. 313–318, 2022, doi: 10.33988/auvfd.876578.
ISNAD Durna Aydın, Özlem vd. “Use of Essential Oil Mixture to Improve Antioxidant Capacity and Concentrations of Cecum Short-Chain Fatty Acids in Turkish Domestic Geese (Anser Anser)”. Ankara Üniversitesi Veteriner Fakültesi Dergisi 69/3 (Haziran 2022), 313-318. https://doi.org/10.33988/auvfd.876578.
JAMA Durna Aydın Ö, Yıldız G, Merhan O, Ulufer Bulut S, Kanıcı Tarhane A, Ambarcıoğlu P, Kırmızıgül AH, Erkılıç EE, Akyüz E, Sezer M. Use of essential oil mixture to improve antioxidant capacity and concentrations of cecum short-chain fatty acids in Turkish domestic geese (Anser anser). Ankara Univ Vet Fak Derg. 2022;69:313–318.
MLA Durna Aydın, Özlem vd. “Use of Essential Oil Mixture to Improve Antioxidant Capacity and Concentrations of Cecum Short-Chain Fatty Acids in Turkish Domestic Geese (Anser Anser)”. Ankara Üniversitesi Veteriner Fakültesi Dergisi, c. 69, sy. 3, 2022, ss. 313-8, doi:10.33988/auvfd.876578.
Vancouver Durna Aydın Ö, Yıldız G, Merhan O, Ulufer Bulut S, Kanıcı Tarhane A, Ambarcıoğlu P, Kırmızıgül AH, Erkılıç EE, Akyüz E, Sezer M. Use of essential oil mixture to improve antioxidant capacity and concentrations of cecum short-chain fatty acids in Turkish domestic geese (Anser anser). Ankara Univ Vet Fak Derg. 2022;69(3):313-8.