Rumination time and monitoring of health disorders during early lactation.

The objective was to evaluate the association between changes in daily rumination time (dRT) and early stages of disease during early lactation and to assess the performance of two proposed disease detection indices. This cohort study included 210 multiparous Holstein cows at the University of Florida Dairy Unit. Cows were affixed with a neck collar containing rumination loggers providing rumination time. The occurrence of health disorders (mastitis, metritis, clinical hypocalcemia, depression/dehydration/fever (DDF), digestive conditions, lameness and clinical ketosis) was assessed until 60 days in milk. Two indices were developed to explore the association between dRT and disease: (i) Cow index (CIx), based on changes in dRT in the affected cow during the days before the diagnosis of health disorders; (ii) Mates index (MIx), index based on deviations in dRT relative to previous days and healthy pen mate cohorts. Subsequently, an alert model was proposed for each index (ACIx and AMIx) considering the reference alert cut-off values as the differences between average index values in healthy and sick cows for each specific disease. The sensitivity (SE) of ACIx detecting disease ranged from 42% (digestive conditions and DDF) to 80% (clinical hypocalcemia) with 84% specificity (SP). The SE of AMIx ranged from 46% (digestive conditions and DDF) to 100% (clinical hypocalcemia) with 85% SP. Consistent reductions in rumination activity, both within cow and relative to healthy mate cohorts, were observed for each health disorder at the day of diagnosis. However, the ability of the proposed algorithms for detecting each specific disease was variable.

Advantages and challenges of using physics curricula as a model for reforming an undergraduate biology course.

We report on the development of a life sciences curriculum, targeted to undergraduate students, which was modeled after a commercially available physics curriculum and based on aspects of how people learn. Our paper describes the collaborative development process and necessary modifications required to apply a physics pedagogical model in a life sciences context. While some approaches were easily adapted, others provided significant challenges. Among these challenges were: representations of energy, introducing definitions, the placement of Scientists' Ideas, and the replicability of data. In modifying the curriculum to address these challenges, we have come to see them as speaking to deeper differences between the disciplines, namely that introductory physics--for example, Newton's laws, magnetism, light--is a science of pairwise interaction, while introductory biology--for example, photosynthesis, evolution, cycling of matter in ecosystems--is a science of linked processes, and we suggest that this is how the two disciplines are presented in introductory classes. We illustrate this tension through an analysis of our adaptations of the physics curriculum for instruction on the cycling of matter and energy; we show that modifications of the physics curriculum to address the biological framework promotes strong gains in student understanding of these topics, as evidenced by analysis of student work.

Radiation-induced craniofacial bone growth inhibition: development of an animal model.

Craniofacial deformities caused by therapeutic radiation-induced bone growth inhibition can occur in up to 100% of survivors of childhood head and neck cancers. The mechanism of radiation-induced craniofacial bone growth inhibition is poorly understood. The objective of this study is to establish a model of radiation-induced craniofacial bone growth inhibition to study the pathophysiology of radiation on growing membranous bone. Seven-week-old male New Zealand white rabbits were randomized into 4 groups (n = 10/group) and received a single dose of orthovoltage radiation (0, 15, 25, or 35 Gy) to the right orbital-zygomatic complex. Serial radiographs and computed tomography scans were performed for cephalometric analysis, bone volume, and bone density measurements until skeletal maturity at 21 weeks. Statistically significant ( P < 0.05) reductions in orbital-zygomatic complex linear bone growth, bone volume, and bone density were found after radiation with 25 or 35 Gy compared with nonirradiated control animals. A significant ( P < 0.05) decrease in orbital-zygomatic complex volume was noted after 15-Gy radiation but there were no significant effects on linear bone growth as assessed by cephalometric analysis at this dose. This study establishes the rabbit orbital-zygomatic complex as a suitable model for the study of radiation-induced craniofacial bone growth inhibition and will permit investigation into the underlying cellular and molecular basis of this injury.

The role of Mepitel silicone net dressings in the management of fingertip injuries in children.

Forty-five children with isolated fingertip injuries were randomized for treatment with either Mepitel silicone net dressings or paraffin gauze dressings. Over a 4 week period, the objective adherence of the dressing, and the perceived level of stress caused to the child by the dressing change were scored by linear analogue scales. The wounds were also assessed for the progress of healing and presence of infection. Twenty children received Mepitel dressings and 25 had paraffin gauze dressings. There was no difference in duration of healing or complication rates between the two groups. Statistically lower scores were seen for the Mepitel group for the first 3 weeks in both adherence and stress scores. These results suggest that silicone net dressings may be a less adherent and less painful method of dressing fingertip injuries in children.

Prostatitis: diagnosis and treatment in primary care.

Prostatitis refers to the inflammation and/or infection of the prostate gland, which occurs in several forms or syndromes and presents with varied etiologies, clinical features, and sequelae. The four common forms of prostatitis are acute bacterial prostatitis, chronic bacterial prostatitis, nonbacterial prostatitis, and prostatodynia. Differential diagnosis of prostatitis is based on history, physical exam findings, and, frequently, analysis of expressed prostatic secretions. Complaints may vary, but pain or discomfort in the rectal or perineal area is usually present. Clinicians in primary care settings should be knowledgeable about the types of prostatitis, etiology, and pathogenesis; the methods of diagnosis; and treatment/education issues.

Alpha-1-antichymotrypsin is an effective inhibitor of pancreatitis-induced lung injury.

BACKGROUND: Pancreatitis-induced adult respiratory distress syndrome (ARDS) may result from an imbalance between leucocyte proteases, produced by infiltrating neutrophils, and endogenous protease inhibitors. OBJECTIVE: The aim of this study was to evaluate the role of recombinant alpha-1-antichymotrypsin (rACT P3-P3'), an endogenous serine protease inhibitor, in ameliorating lung injury associated with pancreatitis. DESIGN: Sprague-Dawley rats were randomly divided into control (saline infusion) and pancreatitis groups, which were treated immediately with saline or rACT P3-P3' (50 mg/kg body weight). METHODS: Myeloperoxidase (MPO) was employed as a monitor of neutrophil traffic in the lung, and wet-dry lung weights as a measure of pulmonary endothelial permeability. Lungs were also evaluated histologically. RESULTS: Caerulein (5 micrograms/kg body weight/h) induced pancreatitis in all animals, with an increase in serum amylase from 1851 +/- 208 IU (control) to 5198 +/- 924 IU (pancreatitis), P < 0.05. Pancreatitis caused a significant increase in MPO activity (7.8 +/- 1.1 units compared with 2.08 +/- 0.5 units in controls, P < 0.001) and wet-dry lung weight ratios (12.8 +/- 3.3 compared with 3.2 +/- 0.1 in controls, P < 0.001), indicating significant pulmonary neutrophil influx and microvascular leakage, respectively. These increases in MPO activity and wet-dry ratios were decreased in the pancreatitis group treated with rACT P3-P3' (MPO 4.68 +/- 0.7 units, wet-dry ratio 4.2 +/- 0.5, P < 0.05 compared with the untreated pancreatitis group). CONCLUSION: These data support the hypothesis that deficient endogenous protease inhibition may be responsible for the neutrophil-mediated lung injury observed in pancreatitis and suggest that there may be a therapeutic role for recombinant protease inhibitors such as alpha-1 antichymotrypsin.

Role of nitric oxide in lung injury associated with experimental acute pancreatitis.

This study evaluated the effect of varying the synthesis of nitric oxide with sodium nitroprusside or N-nitro-L-arginine methyl ester (L-NAME) in a pancreatitis-lung injury model. Rats (n = 45) were randomized to control or caerulein-induced pancreatitis groups, treated with saline, sodium nitroprusside (0.4 micrograms/kg) or L-NAME (10 mg/kg). Myeloperoxidase activity was used as a measure of neutrophil infiltration. Wet to dry (W:D) lung weight and bronchoalveolar lavage (BAL) protein concentrations were used to assess vascular leakage. Pancreatitis was shown to induce pulmonary neutrophil influx: mean(s.e.m.) myeloperoxidase activity 6.79(0.5) units/g in caerulein-treated animals versus 2.08(0.5) units/g in controls (P < 0.001). Animals with pancreatitis showed increased microvascular leakage compared with controls (mean(s.e.m.) W:D lung weight 7.01(0.5) versus 2.85(0.2), P < 0.001; BAL protein concentration 2539(222) versus 347(32) micrograms/ml, P < 0.001). Compared with the saline-treated pancreatitis group, these changes were reduced by sodium nitroprusside (mean(s.e.m.) myeloperoxidase activity to 2.5(0.4) units/g, P < 0.001; W:D lung weight to 3.8(0.37), P < 0.001; BAL protein concentration 1389(182) micrograms/ml, P < 0.05). L-NAME exacerbated the pancreatitis-induced pulmonary oedema (W:D lung weight increased to 11.96(0.6), P < 0.001), protein leakage (BAL protein concentration rose to 3707(309) micrograms/ml, P < 0.05) and neutrophil infiltration (myeloperoxidase activity increased to 9.01(0.3) units/g, P < 0.05). These data suggest that, in vivo, nitric oxide inhibits pancreatitis-induced lung injury, possibly in part by inhibiting pulmonary neutrophil influx.

Functional Significance of Varices in the Muricid Gastropod Ceratostoma foliatum.

Functional significance of varices in the muricid gastropod Ceratostoma foliatum was investigated from the standpoints of (1) frequency of landing in the two upside-down orientations after short vertical falls of less than five body lengths through seawater and energy costs of righting from these upside-down positions, and (2) scaling relationships of varix areas with other body dimensions. Field manipulations showed that C. foliatum occupied habitats that mostly permit short falls of less than five body lengths upon dislodgment, as might occur during predation by fish. After short vertical falls in the laboratory, animals landed 48% of the time on their aperture sides (upright), 15% on their right sides (on right and middle varices), and 37% on their left sides (on left and middle varices). These frequencies differed significantly from the expected frequencies calculated on the basis of the percentage circumference delineated by each varix pair (50%, 31%, and 19%, respectively). Righting from the right-side orientation was slower and four times more energetically costly than from the left-side orientation, underscoring the advantage conferred by animals, if not landing in the upright position after short falls, preferentially landing on their left sides. Removal of individual varices showed that the large, right varix is most influential in producing this "destabilization." Landings are biased to the side from which rightings are easiest due to a combination of the location of center of mass within the left side of the main body whorl and the broad right varix possibly acting as an upward-trailing vane. Morphometric relationships of shell length, live weight, varix areas, aperture dimensions, and labial spine (tooth) length were investigated over a wide range of body sizes in an attempt to infer varix function. Aperture area scaled allometrically with length. Right-, middle-, and left-varix areas also grew relatively larger as the animals increased in length. In contrast, combined varix areas around the aperture increased in direct proportion with aperture area, forming a broad shelf surrounding the aperture. We infer from this that, in addition to their effects on landing orientation from both long and short vertical falls, the varices of C. foliatum may function to protect the aperture, and thus protect the soft body parts that protrude from it during feeding and locomotion.

Modifications of a cholinesterase method for determination of erythrocyte cholinesterase activity in wild mammals.

A method to determine erythrocyte cholinesterase (ChE) activity was modified for use in wild mammals. Erythrocyte ChE of California voles (Microtus californicus) was primarily acetylcholinesterase (AChE), which was similar to the brain and unlike plasma which was primarily butyrylcholinesterase (BChE). Triplicate erythrocyte AChE analyses from individual animals of several species of wild rodents revealed a mean coefficient of variation of 8.7% (SD = 4.3%). Erythrocyte ChE activity of several wild mammals of California revealed that mule deer (Odocoileus hemionus) had the highest erythrocyte AChE activity (1,514.5 mU/ml) and dusky-footed woodrats (Neotoma fuscipes) had the lowest activity (524.3 mU/ml). No ChE activity was found in erythrocytes of several species of birds and fish.

The CT appearances of jejunojejunal intussusception.

A case of jejunojejunal intussusception is presented, in which a malignant melanoma deposit acted as the lead point. The diagnosis was made on CT and the appearances are described.