The effects of general anaesthesia on memory recall following day-case knee arthroscopy

Declaration: The authors would like to declare that this study has not been published or being reviewed by other journals. Retention of new information may be impaired during recovery from general anaesthesia. Patients are likely to be anxious if they cannot recall information conveyed at the surgeons’ postoperative visit. Previous studies have shown evidence of short-term memory impairment after GA. Patients undergoing day case knee arthroscopy under general anaesthesia were told five random words and three diagnostic findings from their operation, by the surgeon prior to discharge. The patients were telephoned the following day to test their recall of words and diagnostic findings, with a maximum possible score of eight. 96 patients were available for the telephone follow-up. The patients were grouped according to the interval between the end of anaesthesia and the time the information was given to them. For knee arthroscopy day cases it appears that, allowing as much time as possible after anaesthesia, at least two hours if possible, before reviewing a patient in the recovery area will likely enhance his/her later recall of the clinical information, potentially setting patient expectations at the appropriate level and improving compliance with postoperative rehabilitation. For the surgeons’ post-operative visit to be valuable to the patient, it should take place at least two hours following cessation of anaesthesia. It is advisable to endorse verbal communication with written information (AU)

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Haptic-Assisted Target Acquisition in a Visual Point-and-Click Task for Computer Users with Motion Impairments.

Haptic assistance is the process of using force feedback to aid the operator in human-computer interaction (HCI). This may take the form of guiding the operator toward a target or assisting them in its selection. Haptic feedback has previously been investigated to assist motion-impaired computer users; however, limitations of previous 2 DOF haptic target acquisition techniques such as gravity wells and high-friction-targets have hampered progress. In this paper, two new haptic-assistive techniques are presented that utilize the 3 DOF capabilities of the Phantom Omni to produce assistance that is designed specifically for motion-impaired computer users. These include haptic cones and V-shaped funnels. To evaluate the effectiveness of the new haptic techniques, a series of point-and-click experiments were undertaken in parallel with cursor analysis to compare the levels of performance. The task required the operator to produce a predefined sentence on the Windows-On-Screen Keyboard. The results of the study prove that higher performance levels can be achieved using techniques that are less constricting than traditional assistance and without many of the drawbacks. Haptic cones produced the most significant results when compared to an unassisted interface with a mean improvement of 53 percent in the number of missed clicks and 145 percent improvement in throughput.

Cytolysin gene expression in Enterococcus faecalis is regulated in response to aerobiosis conditions.

Here we investigate the expression of cylL(L)and cylL(S), the genes that encode the structural subunits of the cytolysin/haemolysin of Enterococcus faecalis, in response to aerobiosis conditions. Haemolysis assays of E. faecalis strains cultured under aerobic and anaerobic conditions revealed three different haemolytic phenotypes, one of which exhibited greater haemolysis under anaerobic conditions than under aerobic conditions, and was shown to be associated with the presence of the cyl genes. Reporter gene studies revealed that cylL(L) L(S) promoter activity was significantly greater (up to 8.6-fold) under anaerobic compared to aerobic conditions throughout batch growth, demonstrating that these genes are regulated in response to the degree of aerobiosis. Band shift assays confirmed the binding of a protein factor to the region between 202 and 37 bp upstream of the cylL(L)start codon, and a higher level of binding was observed with anaerobically derived cell-free extracts than with extracts of aerobically grown cells. This is the first report of an oxygen-regulated virulence factor in E. faecalis (that is distinct from the quorum-sensing regulatory system reported previously), and may be of in vivo relevance for the bacterium in biofilms and other environments characterised by oxygen gradients.

Evaluation of a biochemical test scheme for identifying clinical isolates of Enterococcus faecalis and Enterococcus faecium.

AIMS: To evaluate the full test scheme of Facklam and Sahm (1995) for the identification of clinical enterococcal isolates to genus and species level. METHODS AND RESULTS: Fifty-nine clinical isolates, previously provisionally classed as enterococci on the basis of just four biochemical tests of Facklam and Sahm and one other test, were subjected to genus and species identification using the full identification scheme of Facklam and Sahm; 98% of these strains were confirmed to be enterococci and of these, 69% were identified as Enterococcus faecalis and 31% as Enterococcus faecium. Six tests in the scheme (out of 24) gave anomalous or unreliable results for some strains, and two gave unexpected results for the majority of strains presumptively identified as Ent. faecium. CONCLUSIONS: Nine (out of 12) genus tests and nine (out of 12) species tests from the Facklam and Sahm scheme were reliable. Testing for the presence of the Lancefield antigen D was also useful. The majority of presumptive Ent. faecium strains gave different results for the sorbitol and raffinose tests from that expected. SIGNIFICANCE AND IMPACT OF THE STUDY: This study indicates the level of reliability for each of the tests in a current enterococcal identification scheme for differentiating clinical isolates, and showed that two tests gave consistently different test results from those expected for Ent. faecium.

The strategic use of estradiol to enhance fertility and submission rates of progestin-based estrus synchronization programs in dairy herds.

Two experiments were performed to evaluate the efficacy of a progestin-based estrus synchronization program that incorporated the use of estradiol at the initiation of progestin treatment and at 48 h after progestin withdrawal (Exp. 2). In Exp. 1, cyclic, lactating dairy cows (n = 112) were assigned to receive either 1 (1mg) or 2 (2mg) mg of estradiol benzoate via an i.m. injection on d -9 (d 0 = initiation of the breeding season). All cows received an intravaginal progesterone-releasing insert (IPI; CIDR-B) on d -9. On d -2, the IPI was withdrawn and all cows were administered 500 microg of cloprostenol sodium. Beginning on d 0, cows were bred by AI upon detection of estrus. Estrus was observed in similar proportions of cows in each treatment during the first 6 d of AI (90% across treatments), but the interval to estrus was shorter (P < .05) in 1mg (1.26 +/- .18 d) than in 2mg (1.77 +/- .18 d). Conception and pregnancy rates did not vary among treatments; however, cows in estrus on d 0 tended to be less fertile (P = .11) than those in estrus on d 1. In Exp. 2, 408 cyclic cows from three herds were assigned to receive either no synchrony treatment (Control, n = 214) or the treatments described in Exp. 1 (1mg, n = 100; 2mg, n = 94). Anestrous cows from all herds received an IPI from d -9 to -2 (n = 143; Anestrus). All cows in the 1mg, 2mg, and Anestrus groups, with the exception of those detected in estrus between d -1 and 0, also received 1 mg of estradiol benzoate on d 0. Greater than 90% of cows that received an IPI were in estrus between d -1 and 3, and 92.1% of cows in the Control group were in estrus by d 21. Conception rate to first service in 2mg (61.7%) was similar to Control (57.0%), tended to be higher (P = .06) than 1mg (49.0%), and was greater (P < .05) than Anestrus (39.9%). The mean day of conception was earlier (P < .05) in the 2mg (d 13.1 +/- 2.0) than the Control (d 23.2 +/- 1.6) and Anestrus (d 22.4 +/- 1.9) groups. Conception occurred earlier in 1mg (d 17.4 +/- 2.1) than in Control. The proportion of cows that were pregnant at the end of the breeding season tended (P = .09) to be greater in the 2mg and Anestrus groups. This regimen of estrus synchronization improved reproductive competence in cyclic cows and resulted in similar reproductive performance in anestrous cows and untreated cyclic cows inseminated at a spontaneous estrus.

Cloning sheep from cultured embryonic cells.

The production of transgenic farm animals will be greatly enhanced with the development of cultured cell lines that remain totipotent following nuclear transfer. Here, data are presented that demonstrate the generation of both male and female cloned lambs from two established embryonic cell lines. Cytoplasts derived from in vivo oocytes resulted in slightly greater development to blastocyst (24% v. 17%) and survival to term (7% v. 2%) compared with in vitro oocytes. There was no advantage in co-culturing cloned embryos with oviductal epithelial cells compared with synthetic oviductal fluid medium in terms of development to blastocyst (18% v. 31%) or survival to term (both 8%). Although the survival of cloned embryos immediately after transfer was high based on 'biochemical' pregnancy, 64-80% of embryos failed over the attachment phase with in vivo cytoplasts. Although the co-transfer of trophoblastic vesicles improved embryo survival to Day 35 (45% v. 25%), there was no difference at term. A high proportion of fetuses were lost during the last trimester (43%), resulting in 11% of embryos transferred developing to term using in vivo cytoplasts (12/112). Five lambs have survived and two rams are fertile. The current nuclear transfer process is inefficient and further research is needed to improve the development of healthy fetuses.

The prophylactic effect of a teat sealer on bovine mastitis during the dry period and the following lactation.

AIM: To determine the prophylactic efficacy of a teat sealer, administered at drying off, in reducing new intramammary infections in the dry period and the following lactation. METHODS: A total of 528 cows with late lactation somatic cell counts <2 00,000 cells/ml was identified in three commercial herds. Of these, bacteriological examination showed 482 cows were uninfected in all four quarters and 46 were infected in only one quarter. At drying off, uninfected quarters were randomly allocated to the following treatments: no infusion (negative controls), infusion with a bismuth subnitrate based teat sealer, infusion with teat sealer + antibiotic, or infusion with a cephalonium-based dry cow antibiotic (positive control). New infections were identified during the dry period by periodic udder palpations and at calving by bacteriological culture. RESULTS: All three infused treatments reduced the incidence of new intramammary infections due to Streptococcus uberis, both during the dry period and at calving, by about 90% (p <0.01). The majority of the infections were due to Streptococcus uberis. For all treatments, a 50% lower incidence of clinical mastitis over the first 5 months of the ensuing lactation was reported by farmers. X-ray imaging of 19 teats showed that the teat sealer material was retained, at least in part, in the lower teat sinus over about 100 days of the dry period. CONCLUSIONS: Closure of the teat canal from day one of the dry period as achieved by the teat sealer was as effective in reducing new dry period infections as the infusion of a long-acting dry cow antibiotic formulation. The lower incidence of new infections in the ensuing lactation among the infused quarters implies that fewer subclinical infections persisted from the dry period. Use of teat sealers at drying off appears to offer the same prophylactic efficacy as the dry cow antibiotic approach.

Metastatic mineralisation in brushtail possums (Trichosurus vulpecula) from Kawau Island.

AIMS: To describe the nature and incidence of metastatic mineralisation in brushtail possums (Trichosurus vulpecula) caught on Kawau Island. METHODS: Wild-caught possums were individually housed in captivity over a 24-month period and fed a cereal-based mash diet. Possums that became debilitated were examined post mortem for evidence of metastatic mineralisation of the heart, major blood vessels and kidneys. Serum and aortic segments were collected from affected animals and were analysed for mineral composition. Non-debilitated animals and possums that were experimentally poisoned with cholecalciferol were examined as a comparison. RESULTS: Fifteen of 42 possums (36%) captured on Kawau Island and housed in captivity were debilitated as a result of metastatic mineralisation of the walls of the aorta and/or of the kidney tubules, with four further possums having evidence of mineralisation when humanely killed. Phosphate and ammonium deposits were found in the aorta, and calcium deposits in the kidney tubules. Serum phosphorus and calcium levels were elevated in the debilitated animals. Similar lesions were found in only one of 288 possums captured from other North Island areas and housed in captivity over the same time period. CONCLUSION: Possums from Kawau Island appear to be more predisposed to metastatic mineralisation than possums from other areas of the North Island. The lesions observed in these possums were similar to those caused by cholecalciferol poisoning.

The prophylactic effect of a dry-cow antibiotic against Streptococcus uberis.

The prophylactic use of a dry-cow antibiotic for reducing the incidence of mastitis due to Streptococcus uberis was studied in four seasonally calving dairy herds involving 378 cows. The treatment was a long-acting dry-cow antibiotic preparation administered immediately after the last milking of lactation. New intramammary infections were identified by comparing the bacteriological status of quarters at drying off with that after calving, or through manual udder palpation during the dry period. The administration of dry-cow antibiotic to uninfected quarters at drying off reduced the overall incidence of new infections with Streptococcus uberis from 12.3% for untreated quarters to 1.2% of quarters (p<0.01). The reduction was significant (p<0.01) for both dry-period and post-calving infections. The susceptibility of uninfected quarters to new infection by Streptococcus uberis appeared to be unrelated to the infection status of a cow at drying off. Clinical infections during the dry period were most prevalent (97%) in quarters identified as having open teat canals. Fewer open teat canals (p<0.05) were observed among antibiotic treated quarters over the first 4 weeks of the dry period. Treated quarters had a lower (p<0.05) incidence of new clinical infection during the ensuing lactation and lower somatic cell counts. This did not affect production levels of milk, milk fat or protein. The results clearly indicated a prophylactic benefit for the dry cow antibiotic treatment against new Streptococcus uberis infections during the dry period.

The relationship between estimates of ovarian size in live cattle and subsequent measurements post mortem.

The reproductive tract of each of 122 cows was palpated transrectally by a veterinarian on the day before they were slaughtered, to obtain estimates of ovarian size and to identify palpable ovarian structures. Reproductive tracts were then retrieved post mortem. Ovarian volumes were recorded and compared with in vivo size scores (coded 1-5; 1 being the smallest). Ovarian volumes averaged 4.0 ml (score 1), 7.0 ml (2), 10.0 ml (3), 12.9 ml (4) and 15.9 ml (5). There was a linear increase in ovarian volume of 3.0 +/- 0.1 ml per score unit (r2 = 0.792). The curvilinear regression included a significant quadratic term (p<0.05), but only accounted proportionally for an additional 0.003 of the sums of squares. Ovarian size score was about proportional to volume and could be used as a non-surgical technique to measure ovarian volume in live cattle.

Electroencephalograms and electrocardiograms in young bulls following upper cervical vertebrae-to-brisket stunning.

Passing an electric current (50 Hz, 400 V open circuit, current limited to 1.5 A) from two electrodes acting as a common single electrode set applied on each side of the dorsal surface of the neck (cervical vertebrae C2 to C5 region) to another placed on the brisket of young bulls causes fibrillation of the cardiac muscle, does not induce epileptiform changes in the electroencephalogram, and produces a state of body rigidity. Passing the same electric current through the same neck electrodes, now acting as two separate electrodes, without the brisket electrode, does induce epileptiform activity similar to that seen with head-only stunning, does not fibrillate the heart, and produces a state of limb rigidity lasting for some time after the stun. Given that the presence of epileptiform activity is a criterion for effective electrical stunning and is indicative of insensibility, neck-to-brisket stunning as described here does not appear to be humane.

An experiment to measure the dose-response relationship of ovulation rate to FSH in cows selected with a history of twinning.

Fifteen mature cows and 12 two-year-old heifers were superovulated with purified follicle stimulating hormone (FSH-P) to study the relationship between FSH-P dose level and response (measured as number of palpated corpora lutea (CL) and plasma progesterone concentration). The cattle came from a high prolificacy breeding herd for which cows were originally purchased after producing at least two sets of twins; the heifers were bred in the herd. At dose levels of 8,16, 24 and 28 mg FSH-P in cows, averages respectively of 2.3, 3.5, 6.9 and 11.1 palpable CLs were found. There was an average difference in response of two CLs between heifers and cows (higher in heifers, though not significantly so). The relationship found between progesterone concentration and CL number could be a useful indicator of superovulation success in future experiments. The regression for cows was 1.25 +/- 0.11 ng/ml progesterone per unit increase in CL number, with a correlation of 0.92 between the two variables over the CL range 1 to 25. The corresponding value for heifers was 2.74 +/- 0.24 ng/ml per CL (correlation 0.94), or 2.50 +/- 0.40 ng/ml per CL (correlation 0.83) if one record (29 CL, 84 ng progesterone/ml) was excluded.

Detecting estrus in synchronized heifers-using tailpaint and an aerosol raddle.

A synchronization treatment was initiated when each of 1227 heifers (four trials) was tailpainted. The tailpaint was sprayed with an aerosol raddle at the end of the treatment period. The heifers were in herds of 20 to 279 animals. Each herd was observed for estrus at selected post treatment intervals. A heifer was considered to be (or to have been) in estrus when the raddle was rubbed off. In three of the trials, animals which had the raddle removed were inseminated at 48 h following the end of the synchronization treatment. The tailpaint of an inseminated animal was scored from 0 (less than 10% of the paint remained) to 5 (more than 90% of the paint remained) and was then reraddled with a second color. The detection-insemination sequence was always repeated at 72 and 96 h, and sometimes at 120 h. Animals which had been previously inseminated, but then had paint scores reduced by at least 2 units were reinseminated 24 h later. Over the four trials, 94.5% of the heifers were detected in estrus through the use of the tailpaint and raddle system. The remaining 67 animals included only 10 (0.8%) which had ovulated without being detected in estrus. The reinsemination rate on consecutive days was 11.3% and was highest among animals that had a tailpaint score of 4 or 5 at 48 h. The proportion of animals detected in estrus at selected posttreatment intervals varied with the different synchronization treatments used within one herd, or with the same treatment used in different herds. The combination of tailpaint, raddling, tailpaint scoring and reraddling is a simple sequence which can be effectively used to detect estrus among heifers synchronized in research or commercial herds.

Bovine leptospirosis: the effects of vaccination on serological responses as determined by complement fixation and microscopic agglutination tests.

Fifty-one calves were divided into six trial groups of seven to eleven animals and vaccinated with a commercial leptospiral vaccine containing serovars pomona and hardjo. Vaccinations were given at 6,7,14 or 21 months of age and animals in various groups were vaccinated on one to four occasions. Antibody responses were determined by the microscopic agglutination test (MAT) and the complement fixation test (CFT) at one to four weeks intervals until 66 weeks after the start of the trial. Fifty percent or greater agglutination in serum diluted 1:100 or more and 50% or greater fixation of complement in serum diluted 1:20 or more were considered positive titres in the MAT or CFI respectively. Positive titres were still present in some animals six weeks after vaccination at 21 months of age. In other cases MAT titres (range 1:100-1:3000) persisted for 7-23 weeks and CFI titres (range 1:20-1540) persisted for 1-14 weeks. Marked individual variation in serological findings occurred using either test. In general the number of animals producing a positive titre, and the magnitude and persistence of titres was related to the number of doses of vaccine given. It was concluded that for diagnostic purposes neither the CFT nor the MAT could reliably differentiate titres due to vaccination from those following natural infections.

Annual cycle of liveweight and reproductive changes of farmed male fallow deer (Dama dama) and the effect of daily oral administration of melatonin in summer on the attainment of seasonal fertility.

Entire bucks (N = 7) exhibited pronounced liveweight gains over spring and summer months (October-February), to reach a peak mean weight of 59.8 kg, and rapid liveweight losses over the rutting period (April-May) with a minimum mean liveweight of 54.2 kg. Mean neck girth and serum testosterone levels increased during late summer (January-March) and peaked at 387 mm and 12 ng/ml respectively immediately before the onset of the rut (April). Thereafter both measures declined during winter and spring months (June-December). Bucks castrated prepubertally (N = 11) exhibited similar but less pronounced changes in mean liveweight and neck girth, in the absence of any change in testosterone secretion. Peak mean testicular diameter of entire bucks (39 mm) occurred immediately before the rut and was followed by testicular regression over winter and spring months (June-November), such that the testes attained their minimum mean size of 18 mm diameter in early summer (November). Motile spermatozoa were absent from ejaculates collected in summer (November 1983, 1984; January 1984). However, ejaculates collected pre-rut (late March), immediately post-rut (June) and in early spring (September) contained successively increasing numbers of motile spermatozoa. A further 14 polled, entire bucks were given orally 5 mg (N = 7; Group A) or 20 mg (N = 7; Group B) melatonin at 15:30 h daily from 1 December 1983 to 14 January 1984 (45 days). Seven control bucks (Group C) received vehicle ration only. The measurements taken for bucks in Groups A and B were not significantly different (P greater than 0.1) on any sampling date and the data for these 2 groups were pooled. Mean serum testosterone concentrations and mean ejaculate volume were not significantly different between melatonin-treated and control bucks on any sampling date, although other measures exhibited significant differences (P less than 0.05) at various treatment or post-treatment dates: melatonin-treated bucks showed a transiently greater increase in neck muscle development during and immediately after treatment, a slight retardation of liveweight gain between 45 and 75 days after treatment, an earlier peak in maximum mean testicular diameter and an earlier onset of sperm presence in ejaculates.

Electroencephalographic studies of adult cattle associated with electrical stunning, throat cutting and carcass electro-immobilization.

Twelve adult cattle were electrically stunned head-only (400 V, 2.5 A, 50 Hz) behind the ears for four seconds. Within ten seconds of stun initiation, the carotid arteries, jugular veins, trachea and oesophagus were severed. Twenty seconds after the stun initiation, ten animals received an electro-immobilization current (80 V peak, 14.3 Hz, 5 ms square wave, 300 mA) nose to anus for periods ranging from 30-37 seconds. Electroencephalographic (EEG) traces were recorded before and after the stun up until electroimmobilization and at cessation of electro-immobilization by means of implanted electrodes, and animal movement was recorded on videotape. Before the stun, the EEG trace was within a window of sensibility (10-40 microV amplitude). During the stun, the amplitude increased and sometimes exceeded 500 microV. At the end of electro-immobilization, EEG amplitude was less than 10 microV, indicating insensibility. This amplitude was reached in the two non-immobilized animals 57 seconds and 63 seconds after stun initiation. During stunning, the forelegs and hindlegs usually tucked under the animals. Various degrees of foreleg extension then occurred. From about ten seconds post-stun, paddling movements occurred, at which time the EEG trace showed large-amplitude waves characteristic of a stunned animal. During immobilization, the animals stiffened and breathing stopped. After immobilization weak muscle spasms occurred that did not interfere with dressing operations. Non-immobilized animals moved excessively, inhibiting dressing. It is concluded that adult cattle rendered insensible by stunning do not recover sensibility during the stun/throat-cut/immobilization operation and therefore this procedure is humane.

An outbreak of vulvovaginitis in goats caused by a caprine herpesvirus.

A caprine herpesvirus related to infectious bovine rhinotracheitis virus but immunologically distinct from that virus was isolated from an outbreak of vulvovaginitis in a herd of Saanen goats. The morbidity rate was 52.5%, with 21 of 40 does showing clinical signs. The lesions healed rapidly with only two goats showing lesions two weeks after the disease was first detected. No effect on subsequent reproductive performance was observed. The mode of transmission of the virus was believed to be venereal.

Prostaglandin F(2alpha) - A fertility drug in dairy cattle?

Lactating dairy cows were injected once or twice with the Tham salt or an analogue of prostaglandin F(2alpha) (PGF) in a series of nine trials. In specific comparisons involving only those cows observed in estrus during the 24 h before they were inseminated, the average pregnancy rate to first insemination for over 2000 PGF treated cows was 69%, compared to 60% in a comparable number of untreated herd mates. The one trial in which this fertility effect did not occur was one in which semen of low fertility was used only with PGF treated cows. Exploitation of this fertility effect associated with the use of PGF requires accurate diagnosis of estrus. This is necessary because of variation in the interval from injection to estrus and can be achieved by the use of tail paint. This simple technique also allows single PGF injection regimens to be successfully used. The fertility advantages associated with the use of PGF have also been reported by others but may not have received due recognition because of the quest for a procedure which dispensed with the need for estrus detection.