[Effect of a multimodal pain management protocol and age on wound healing after thermal disbudding of female German Holstein calves]. / Einfluss eines multimodalen Schmerz­managements sowie des Alters zum Zeitpunkt des Eingriffes auf die Wundheilung nach thermischer Zerstörung der Hornanlage bei weiblichen Deutsch-Holstein-Kälbern.

INTRODUCTION: Hot-iron disbudding of calves is a stressful and painful procedure and leaves a burn wound. Pain management procedures and the effects of hot-iron disbudding on biochemical markers of pain perception and stress response have been widely investigated in recent years. The aim of this study was to investigate the potential effects of pain management and age of the calf on the healing of burn wounds caused by disbudding. 327 healthy female German Holstein calves were included in this randomised, triple-blinded, prospective study. Calves were either disbudded at the age of four to 10 or 15 to 28 days using a gas-powered hot iron. Each calf was randomly allocated to one of nine possible treatment groups (BG). All calves received either the active ingredients to be tested (xylazine hydrochloride with 0.2 or 0.05 mg / kg body mass (BM) intramuscular for sedation, procaine hydrochloride (2 %) each 8 ml locally on both sides subcutaneously (SC) to the cornual nerves, meloxicam with 0,5 mg / kg BM SC for anti-inflammatory purposes) or an identical amount of saline solution (placebo). Calves in the group `thermE` and `ScheinE` received only placebo. In group `ScheinE` disbudding was simulated and in `thermE` it was carried out. The calves were clinically monitored starting one day before and ending 28 days after the procedure and the burn wounds were assessed. Both the rectal temperature and parameters of wound healing changed significantly during the study period and had characteristic profiles over time. Wound healing was not influenced by the different analgesic protocols, indicating that a multimodal analgesia does not pose a risk for wound healing after thermal disbudding. There were no observed differences between the age groups. The results of this study show, that disbudding of young calves and a multimodal pain management protocol does not affect wound healing in calves.

INTRODUCTION: L'ébourgeonnage thermique des veaux est une procédure stressante et douloureuse qui laisse une brûlure. Les procédures de gestion de la douleur et les effets de l'ébourgeonnage thermique sur les marqueurs biochimiques de la perception de la douleur et de la réponse au stress ont été largement étudiés ces dernières années. Le but de cette étude était d'étudier les effets potentiels de la gestion de la douleur et de l'âge du veau sur la cicatrisation des brûlures causées par l'ébourgeonnage. 327 veaux Holstein allemands femelles en bonne santé ont été inclus dans cette étude prospective randomisée en triple aveugle. Les veaux ont été soit ébourgeonnés à l'âge de 4 à 10 jours ou de 15 à 28 jours à l'aide d'un thermocautère à gaz. Chaque veau a été réparti au hasard dans l'un des neuf groupes de traitement possibles (BG). Tous les veaux ont reçu soit les principes actifs à tester (chlorhydrate de xylazine à 0,2 ou 0,05 mg/kg de masse corporelle (BM) par voie intramusculaire pour sédation, chlorhydrate de procaïne (2 %) 8 ml localement des deux côtés par voie sous-cutanée (SC) jusqu'aux nerfs cornuaux , méloxicam à 0,5 mg/kg de masse corporelle SC à visée anti-inflammatoire) ou une quantité identique de solution saline (placebo). Les veaux du groupe « thermE ¼ et « ScheinE ¼ ont reçu uniquement un placebo. Dans le groupe

[Cortisol concentrations in sheep before, during and after sham foot trimming on a tilt table - the suitability of different matrices]. / Kortisolkonzentrationen bei Schafen vor, während und nach der simulierten Klauenbehandlung im Kippstand ­ Eignung verschiedener Matrices.

INTRODUCTION: Matrices that can be collected non-invasively for quantification of a stress response in sheep have received little attention in the veterinary literature. This study examines the suitability of blood, tears and saliva for determining a stress response in sheep undergoing sham foot trimming on a tilt table. The cortisol concentration of blood, tears and saliva and the concentration of cortisol metabolites in faeces were measured in 13 healthy Meat Merino ewes once a day for six days. Sham foot trimming on a tilt table was used as the stressor and was done during a one-hour period on day 4; cortisol concentrations of blood and tears were measured at 0, 10, 20, 30, 40 and 60 minutes. Cortisol concentrations of blood (maximum at 30 minutes) and tears (maximum at 40 minutes) increased during the procedure and then decreased. There were significant correlations between cortisol concentrations of blood and tears (p = 0,04) during sham foot trimming (area under the curve, 0 to 60 minutes). Over the entire 6-day study period, significant correlations were seen between the cortisol concentrations of blood and tears (r = 0,55; p.

INTRODUCTION: Les marqueurs qui peuvent être collectés de manière non invasive pour quantifier une réponse au stress chez le mouton ont fait l'objet de peu d'attention dans la littérature vétérinaire. Cette étude examine la pertinence du sang, des larmes et de la salive pour déterminer une réponse au stress chez des moutons subissant un parage fictif des pieds sur une table basculante. La concentration de cortisol dans le sang, les larmes et la salive ainsi que la concentration de métabolites de cortisol dans les fèces ont été mesurées chez 13 brebis Meat Merino saines une fois par jour pendant six jours. Le parage fictif des pieds sur une table inclinable a été utilisé comme facteur de stress et a été effectué pendant une période d'une heure le jour 4; les concentrations de cortisol dans le sang et les larmes ont été mesurées à 0, 10, 20, 30, 40 et 60 minutes. Les concentrations de cortisol dans le sang (maximum à 30 minutes) et les larmes (maximum à 40 minutes) ont augmenté au cours de la procédure puis ont diminué. Il y avait des corrélations significatives entre les concentrations de cortisol dans le sang et les larmes (p = 0,04) lors du parage fictif des onglons (aire sous la courbe, 0 à 60 minutes). Sur l'ensemble de la période d'étude de 6 jours, des corrélations significatives ont été observées entre les concentrations de cortisol dans le sang et les larmes (r = 0,55 ; p < 0,001), le sang et la salive (r = 0,53 ; p < 0,001) et les larmes et la salive (r = 0,78 ; p < 0,001). La concentration fécale de métabolites de cortisol était significativement augmentée au jour 5 (p 0,05), mais la concentration de cortisol des autres supports n'a pas changé de manière significative au cours de la période d'étude de 6 jours. Le parage fictif des pieds sur une table basculante a été considéré comme un facteur de stress aigu chez les moutons en raison de l'augmentation des concentrations de cortisol dans le sang, des larmes et de l'augmentation des concentrations de métabolites de cortisol dans les selles. La concentration de cortisol dans les larmes était similaire à celle du sang et, par conséquent, la collecte de larmes représente une alternative viable et non invasive au sang pour les tests de cortisol. Le délai des pics entre la concentration maximale de cortisol dans les larmes et le sang doit être pris en compte lors de l'interprétation des résultats.

[Thermographic monitoring of skin surface temperature associated with hot-iron disbudding in calves]. / Einsatz der Thermographie zum Monitoring der operationsbedingten Hitzeentwicklung während der thermischen Enthornung von Kälbern.

INTRODUCTION: The goal of this study was to determine the skin surface temperatures of the head using thermography in 28 German Holstein heifer calves at the time of hot iron disbudding. Calves were divided into group 1 (hot-iron disbudding, n = 14) and 2 (sham disbudding, n = 14). Thermographic measurements were made at eight locations of the head (area surrounding both horn buds, both horn buds, muzzle, mucous membranes of the muzzle, both eyes) at nine time points (- 60 min (basal value), time of disbudding, 5, 30, 60, 90, 120, 240 and 480 min after disbudding) using a high-end thermographic camera (ThermoPro TP8, Firma DIAS Infrared GmbH). The rectal temperature was measured 60 min before and 5, 240 and 480 min after disbudding. The statistical software SAS version 9.4 was used for analysis. Skin surface temperatures and rectal temperature correlated at several locations (rp ≥ 0.45; p ≤ 0.05). The maximum temperature (approx. 67 ºC) was measured at the horn buds immediately after the hot-iron procedure. By five and 30 min after hot-iron disbudding, the temperature of the horn buds had decreased by up to 50%, whereas the temperatures at the other locations had increased significantly (p.

INTRODUCTION: Le but de cette étude était de montrer les températures de surface dans la zone de tête chez 28 veaux femelles Holstein allemandes autour de la période d'écornage en utilisant la thermographie. À cette fin, les animaux étudiés ont été divisés en deux groupes (1: écornage thermique (thermE), N = 14; 2: pseudo-écornage (ScheinE), N = 14). À neuf reprises (- 60 [valeur au repos], 0, 5, 30, 60, 90, 120, 240, 480 min) des mesures thermographiques ont été effectuées à huit endroits dans la zone de la tête (environs du bourgeon de corne gauche (UliHa), bourgeon de corne gauche (liHa), œil gauche (liAu), mufle (FM), muqueuse nasale (SHFM), œil droit (reAu), bourgeon de corne droite (reHa), environs du bourgeon de corne droit (UreHa)). Ces mesures ont été réalisés à l'aide d'une caméra d'imagerie thermique haut de gamme (ThermoPro TP8, société DIAS Infrared GmbH). De plus, la température interne du corps (ICT) a été enregistrée par voie rectale aux minutes - 60, 5, 240 et 480. L'évaluation statistique de chaque caractéristique a été effectuée avec SAS, version 9.4. À plusieurs endroits (reAu, liAu, SHFM, liHa), une relation entre les ICT mesurées par voie rectale et les températures de surface déterminées par thermographie a pu être démontrée (rp ≥ 0,45; p ≤ 0,05). La température maximale (env. 67 °C) a pu être constatée au niveau des bourgeons de corne directement après l'écornage thermique. Cinq et 30 minutes après l'intervention, la température au niveau des bourgeons de corne avait diminué jusqu'à 50%, tandis que les températures de surface des autres emplacements chez les veaux des deux groupes avaient augmenté par rapport à la valeur au repos (p.

[Thermographic examination of head surface temperatures of calves under field conditions]. / Thermographische Erfassung der Oberflächentemperatur im Kopfbereich von Kälbern unter Stallbedingungen.

INTRODUCTION: Thermographic examination of 157 German Holstein heifer calves was performed to investigate the feasibility of this technique for on-farm recording of surface temperature of the head and to examine potential factors that affect the recordings. Baseline values were obtained from six defined locations on the head including both eyes, both horn buds, the muzzle and the mucous membrane of the muzzle using a high-end thermographic camera (ThermoPro TP8, Firma DIAS Infrared GmbH). Evaluation of the influence of various factors on thermographic measurements showed that ambient temperature had the largest effect on surface temperature of the head (regression coefficient, 0.10 to 0.32, p ≤ 0.01) whereas humidity had no effect (in t-test p ≥ 0.33 over all locations). There was a no correlation between rectal temperature and surface temperature (rp ≤ 0.05). The surface temperature decreased with increasing age of the calves (regression coefficient, - 0.42 to - 0.14, p ≤ 0.01). The agreement between double readings made shortly after one another was excellent at all locations (r ≥ 0.95). The emission of infrared energy varied among different locations; the most infrared energy was emitted by the eyes and the least by the muzzle. Paired locations (eyes and horn buds) had symmetric emission patterns of infrared energy. Measuring the surface temperature of the head of calves in their normal barn environment using a standardised protocol was feasible and thus could potentially be used for monitoring calves under field conditions.

INTRODUCTION: Un total de 157 veaux femelles provenant d'un troupeau de 1 500 vaches holstein ont été examinées au moyen d'une caméra thermographique haut de gamme (Ther-moPro TP8, Firma DIAS Infrared GmbH). Le but de la présente étude était d'étudier la faisabilité de cette technique pour l'enregistrement à la ferme de la température de surface de la tête de veaux laitiers et d'examiner les facteurs potentiels qui affectent les enregistrements. Tous les veaux ont été doucement tenus par une personne formée afin de normaliser la procédure. Les valeurs de base ont été obtenues à partir de six endroits définis sur la tête, y compris les deux yeux, les deux boutons de corne, le mufle et la muqueuse du museau. L'évaluation de l'influence de divers facteurs sur les mesures thermographiques a montré que la température ambiante avait le plus grand effet sur la température de surface de la tête (coefficient de régression, 0,10 à 0,32, p ≤ 0,01) alors que l'humidité n'avait aucun effet (dans le test t, p ≥ 0,33 sur tous les lieux). Il n'y avait pas de corrélation entre la température rectale et la température de surface (rp ≤ 0,05). La température de surface diminuait avec l'âge des veaux (coefficient de régression, -0,42 à -0,14, p ≤ 0,01). La concordance entre les lectures doubles faites peu de temps après les autres était excellente dans tous les sites (r ≥ 0,95) L'émission d'énergie infrarouge variait selon les endroits. L'énergie infrarouge la plus importante a été émise par les yeux et la plus faible par le mufle. Les sites appariés (yeux et cornes) présentaient des profils d'émission symétriques d'énergie infrarouge. La thermographie peut être utilisée chez veaux Holstein pour la détection de différentes température de surface de la tête.

Activity pattern, reproductive behaviors and gonadal hormones in the raccoon dog (Nyctereutes procyonoides).

The objectives of this study were to (1) assess year-round behaviors and activity patterns of captive raccoon dogs (Nyctereutes procyonoides) and (2) characterize the species' reproductive endocrinology. Behaviors and activity patterns of 12 (5.7) animals were recorded over a 1-year period. During that time, fecal samples were collected 2-7 times/week from 16 (7.9) individuals (six of these were included in the behavioral study) for the analysis of testosterone, progesterone and estrogen metabolite concentrations. Activity pattern and excretion of gonadal steroids followed a seasonal pattern. Specifically, dogs were cathemeral in summer, and primarily nocturnal in winter. In the males, testosterone concentrations were at baseline from April through September, began to rise in October and reached peak concentrations in February (P<0.05). In the females, elevated estrogen (P<0.05) was observed in March followed by an increase in progestagen concentrations from March through May (P<0.05) in both pregnant and pseudopregnant animals. Gender significantly influenced monthly testosterone/estrogen ratio (P<0.01); values were higher in males than in females throughout the year with overall percentage of overlapping values between males and females being 28%. In summary, this study characterized cirannual fluctuations in behaviors and gonadal steroid metabolites in the raccoon dog maintained in captivity. Because there is no obvious sexual dimorphism, the differences in testosterone/estrogen ratio may be useful for gender differentiation (72% accuracy), especially among individuals living in the wild.

Comparison of tenoscopic and ultrasonographic methods of examination of the digital flexor tendon sheath in horses.

The purpose of this study was to compare sonographic and tenoscopic findings with the purpose of establishing the accuracy and limitations of ultrasonograophy as a non-invasive diagnostic modality in evaluating the DFTS and its enclosed tendons. The medical records from 22 horses which underwent tenoscopic desmotomy of the palmar/plantar annular ligament were evaluated in a retrospective study. The qualitative assessment of sonogrophic and tenoscopic findings were documented for the digital flexor tendon sheath (DFTS), the palmar/plantar annular ligament (PAL), the superficial digital flexor tendon (SDFT) and the deep digital flexor tendon (DDFT). The abnormalities diagnosed sonographically within the DFTS were verifiable tenoscopically with a sensitivity of 90.9% and a specificity of 53.8%. The positive predictive value of sonographic examination at the DFTS was 62.5%. The sensitivity of the sonographic examination at the PAL was 68.8%, the specificity was 50% and the positive predictive value 73.3%. Sonographic examination of the SDF tendons revealed abnormal findings in 12 tendons. The tenoscopic examination confirmed these findings on six tendons when they had a pronounced fibrillated or rough tendon surface or tear on the border. Six superficial flexor tendons and seven deep digital flexor tendons had abnormalities seen tenoscopically which were not visible on sonographic examination. Sonographic examination located lesions of the DDFT in four limbs. On tenoscopic examination the lesions could be detected in seven other DDF tendons, including signs of inflammation at the tendon surface that were not seen ultrasonographically (sensitivity 36.4%). Recognition of the limitations of sonographic results should be kept in mind so as not to misinterpret findings, especially if echogenic materials are observed.

[Sled dog racing and animal welfare aspects]. / Schlittenhundesport unter Tierschutzgesichtspunkten.

Transport, housing and the dimensions of strain during training and race are important aspects of animal welfare. The race veterinarian has a great responsibility. He is responsible for the treatment of injured dogs and he has to give advice on all medical and animal welfare questions. The presence of the veterinarian during the entire race is very important. These veterinarians should have special knowledge of small animals and of sled dogs in particular. There should be health checks of sled dogs before and after racing similar to horse sport tournaments.

Varieties of serous surface papillary carcinoma of the peritoneum in northern Germany: a thirty-year autopsy study.

From a total of 62,858 autopsy files kept over a 30-year period (1961-1990), all cases that met the following criteria were extracted: (a) main tumor masses in the peritoneum with no evidence of origin from any adjacent organ; (b) histologic features suggestive of serous ovarian carcinoma; (c) ovaries definitely recognizable as having either no tumorous involvement or tumor confined to the surface and cortex of the ovaries; and (d) in patients with a history of abdominal operations, availability of slides and reports. From 670 stages III and IV serous carcinomas of the ovary, we retrieved 57 cases (8%) of serous surface papillary carcinoma (SSPC) of the peritoneum. All SSPCs occurred in women with an age range from 47 to 84 years (median 66 years). Eight cases (14%) were grade I, 36 (63%) were grade II, and 13 (23%) were grade III. Histologically, four cases (7%) resembled malignant epithelial mesothelioma in major parts of the tumor, and in one case endometrioid differentiation of the tumor was conspicuous. Additional histochemical and immunohistochemical examinations were performed in 30 cases of SSPC. In 14 cases (47%) neutral mucosubstances were identified by periodic acid-Schiff positivity after diastase predigestion, and in 16 cases (53%) acid mucosubstances were identified by alcian blue staining. In one of these cases the alcian blue-positive substances were abolished under predigestion by testicular hyaluronidase. Tumor cells stained positive for cytokeratin (100% of the cases), B72.3 (90%), Ber-EP4 (83%), CD 15 (57%), placental alkaline phosphatase (53%), CA 125 (43%), vimentin (23%), and carcinoembryonic antigen (10%). The survival rates at 1 year for SSPC (0%) were significantly shorter (p = 0.03) in comparison with stages III and IV ovarian carcinomas (34%). Problems of definition and differential diagnosis of SSPC are discussed.

[Ethical and legal questions regarding the killing of animals to avoid considerable pain and suffering]. / Ethische und rechtliche Fragen bei der Tötung von Tieren zur Vermeidung erheblicher Schmerzen und Leiden.

The ethical and legal problems that are connected with the killing of animals are continuously discussed. Problems with the interpretation of "reasonable reason" and the public criticism of killing to get luxury goods as well as of the methods of killing show the main points. In contrast to the killing of animals in the interest of people the euthanasia of animals to prevention of considerable, not to soothed pain and suffering is appreciated generally as reasonably and ethically justified. The ethical justification confronts with legal problems based on the conflicting position of animals in civil law. These problems are important for a practising veterinarian.

[Epidemiologic studies of C. bovis and T. saginata infections in eastern and western Germany]. / Epidemiologische Untersuchungen zum C. bovis- und T. saginata-Befall in den ost- und westdeutschen Ländern.

An investigation on the epidemiological situation of cysticercosis/taeniasis (Taenia saginata--GOEZE, 1782) showed clear differences in the proportion of cattle infected with C. bovis in the eastern and western part of Germany. Reasons for the high level of the C. bovis infection in the former GDR are a bad waste water situation and an increased intensification of agriculture (high concentration of cattle, increased irrigation).

Cytological early detection of cervical carcinoma: possibilities and limitations. Analysis of failures.

Gynecological cytology has been intensified in the district of Schwerin since 1968. The incidence of cervical carcinoma decreased from 38.9 per 100,000 women in 1969 to 19.8 in 1991 (50% of the initial figure). The mortality decreased from 25.1 to as little as 7.0 (28% of the initial figure). Because invasive cervical carcinoma is theoretically avoidable, a total of 577 new cases observed from 1980 to 1988 were investigated in respect of participation in screening and reasons for the failures. 317 (55%) of these women did not participate in the examination more than five years before diagnosis of invasive cancer. 260 (45%) of these women were examined by gynecologists once, several times (87 (67%)) or annually (173 (33%)) during a five year period prior to the diagnosis of cancer. An independent review of the smears explained the highest number of negative smears by nonobtaining of representative material and only 19% as a ministerpretation of the cytological finding. The gynecologists failed to: take smears (36 women); carry out a cytological control or histological verification (48); obtain adequate smears (116); consider clinical symptoms (22).

[Mesenchymal tumors after surgery and radiation therapy of breast carcinoma]. / Mesenchymale Tumoren nach Operation und Strahlentherapie von Mammakarzinomen.

An account is given in this paper of 6 women aged between 41 and 70 years in whom mesenchymal tumors developed after surgery and postoperative radiotherapy for mammary carcinoma. Malignant fibrous histiocytoma developed in 2 women, five and a half or ten and a half years after primary therapy. Angiosarcoma (Stewart-Treves syndrome) was recorded from another 2 women, three and a half or ten years after primary treatment. One women exhibited a chondrosarcoma, following an interval of six and a half years. Premalignant early phase of Stewart-Treves syndrome was diagnosed, after 8 years, in a woman who was 41 years of age. The criteria for assumption of post-radiogenic secondary tumor, as demanded by Cahan et al. (1948), are discussed in some detail. Its avoidance or early detection is considered to depend on individual, stage-related therapeutic planning and long-term follow-up of patients who had undergone surgery and postoperative radiotherapy for mammary carcinoma.

Tissue-specific expression of glucokinase: identification of the gene product in liver and pancreatic islets.

The tissue distribution of glucokinase (ATP:D-hexose 6-phosphotransferase, EC 2.7.1.1) was examined by protein blotting analysis. Antibodies raised against rat liver glucokinase recognized a single protein subunit with an apparent Mr of 56,500 on nitrocellulose blots of cytosol protein from liver, separated by sodium dodecyl sulfate/polyacrylamide gel electrophoresis. A protein of identical electrophoretic mobility was detected by immunoblotting of cytosol protein from pancreatic islets. Hepatic glucokinase and the immunoreactive islet product bound to and were eluted from DEAE-cellulose at the same ionic strength. Glucokinase was displayed as a set of two spots with apparent pI values of 5.54 and 5.64 by immunoblotting after two-dimensional gel electrophoresis. The two isoforms appeared equally abundant in liver extract, whereas the component with a pI of 5.64 was predominant in islets. By quantitative immunoblotting, glucokinase was estimated to represent 0.1% of total cytosol protein in liver and 1/20th as much in islets. The glucokinase activity of both liver and islet cytosols was suppressed by the antibodies to hepatic glucokinase. Immunoblotting of cytosol protein from intestinal mucosa, exocrine pancreas, epididymal adipose tissue, kidney, brain, and spleen failed to reveal the glucokinase protein. Thus, significant expression of the glucokinase gene appears restricted to the liver and pancreatic islets.

The value of cytodiagnosis in cervix cancer precursors and the latency and progression of carcinoma in situ.

The biological behaviour, the progression rate and the latency period of the carcinoma in situ of the cervix uteri are discussed. We have tried to find out this by concluding indirectly and evaluating epidemiologically our own material, and considering the literature. Between 1966 and 1982 we bioptically diagnosed 3.327 in situ and 1.653 invasive carcinomas. Among these there were 155 (9.4%) microcarcinomas. The annual average age of women with carcinomata in situ in the years 1973 to 1982 was between 35 and 40 years with tendency to younger groups. The average age of women with invasive carcinomas with the microcarcinoma excluded ranged from 51 to 59 years. The average age of 114 women with microcarcinomas during 1973 to 1982 was 47 years. The carcinoma in situ is a precursor of the invasive carcinoma in almost each case. The progression rate is approximately 30 to 50%. The period of latency from carcinoma in situ to microcarcinoma amounts to 7 to 10 years on the average, to clinically manifest invasive carcinoma 10 to 15 years. A reliable prognosis is impossible for the individual case. After the establishment of a cytological department at the Pathological Institute Schwerin in 1968 the annual number of cytological examinations has increased to 74,000 women in 1982 (approximately 40% of women over 20 years; 50% of women between 20 and 60 years). The incidence of invasive cervical carcinoma decreased from 1969 to 1982 from 38.9 to 20.7 per 100,000 (53% of the initial figure). The mortality decreased from 25.1 to as little as 9.7 per 100,000 (39%).(ABSTRACT TRUNCATED AT 250 WORDS)

Nuclear medicine liver function tests for pregnant women and children. 1. Breath tests with 14C-methacetin and 13C-methacetin.

Stable isotopes, such as 13C, should be substituted for the long-lived radionuclide 14C in the 14C breath test when doing liver function tests in children and pregnant women. For comparison 13C, 15N-methacetin and 14C-methacetin were synthesized as suitable diagnostic agents. Methods are described for the measurement of 14C and 13C in the breath. After oral administration of labelled methacetin to healthy subjects and patients with liver diseases a good correspondence between 13C- and 14C-measurements in the same subject on the one hand, and a good discrimination between controls and patients on the other hand were shown. Findings with regard to 14C measurements in urine are discussed supporting the supposed advantage of 13C-methacetin over 14C-methacetin application.