Can posterior capsular stretching rehabilitation protocol change scapula kinematics in asymptomatic baseball pitchers?

PURPOSE: Scapular dyskinesis is a recognized cause of shoulder pain in the throwing shoulder of baseball pitchers and athletes who participate in overhead sports. Past studies have assessed scapular kinematics using electromagnetic tracking devices and have shown a correlation between posterior shoulder tightness and forward scapular posture. The purpose of our study is to evaluate the scapular kinematics, before and after a 4-week posterior stretching protocol in asymptomatic pitchers. METHOD: Eleven asymptomatic collegiate baseball pitchers were involved in the study and divided into group A (6 pitchers) underwent 4 weeks of a regimented therapy protocol and group B (5 pitchers) did not receive any treatment. Each pitcher was tested on two separate days: at the first day of the study (S1) and after 4 weeks (S2). RESULTS: The results demonstrate that there are statistically significant differences in the kinematics of several athletes from the "treated group" (group A) between S1 and S2. It is also important to notice that variations in group A occurred in both flexextension and ab/adduction movements, strengthening the conclusion that the variation was real. CONCLUSION: The results of the study can indicate that, in order to prevent the pathologic cascade linked to these sports activities, this physical training protocol might become integral part of the normal daily exercises of baseball pitchers and overhead athletes. Level of evidence II.

The influence of resuscitation preferences on obstetrical management of periviable deliveries.

OBJECTIVE: To determine the relative influence of patients' resuscitation preferences on periviable delivery management. STUDY DESIGN: Surveyed 295 obstetrician-gynecologists about managing periviable preterm premature rupture of membranes. Across 10 vignettes, we systematically varied gestational age, occupation, method of conception and resuscitation preference. Physicians rated their likelihood (0 to 10) of proceeding with induction, steroids and cesarean. Data were analyzed via conjoint analysis. RESULT: Two hundred and five physician responses were included. Median ratings for management decisions were: induction 1.89; steroids 5.00; cesarean for labor 3.89; and cesarean for distress 4.11. Gestational age had the greatest influence on physician ratings across all decisions (importance values ranging from 72.6 to 86.6), followed by patient's resuscitation preference (range=9.3 to 21.4). CONCLUSION: Gestational age is weighted more heavily than patients' resuscitation preferences in obstetricians' decision making for periviable delivery management. Misalignment of antenatal management with parental resuscitation preferences may adversely affect periviable outcomes. Interventions are needed to facilitate more patient-centered decision making in periviable care.

Effects of indole-3-carbinol on immune responses, aberrant crypt foci, and colonic crypt cell proliferation in rats.

Male Sprague-Dawley rats were treated orally with indole-3-carbinol (13C) for 7 wk at levels of 150, 100, and 50 mg/kg body weight. The rats were injected with 10 mg/kg body weight of the colon carcinogen, azoxymethane (AOM) on d 2 and 9 of 13C treatment. At termination of the study, all rats were assessed for immune function (humoral immunity, specific cell-mediated immunity, and nonspecific cell-mediated immunity). Colonic tissue was collected and examined for the presence of aberrant crypt foci (ACF) and proliferation of crypt cells. Antibody responses to antigen challenge were significantly suppressed in the animals exposed to the high dose of 13C. Delayed-type hypersensitivity responses, natural killer cell activity, the number and multiplicity of ACF, and cell proliferation parameters were not significantly different from those of the controls. Therefore, there was no clear protective or enhancing effect of 13C on ACF numbers or colonic cell proliferation indices. There was no strong correlation between changes in immune responses and the preneoplastic biomarkers of colon cancer.

Increased susceptibility of adult rats to azoxymethane-induced aberrant crypt foci.

The purpose of this study was to compare azoxymethane-induced aberrant crypt foci development in the colons of young and adult rats. Young (4 weeks of age) and adult (50 weeks of age) Sprague-Dawley rats were treated with two weekly injections of azoxymethane or saline. Rats were killed either 6 or 14 weeks following the first injection, and the number, size and location of aberrant crypt foci were determined. At both the 6- and 14-week time points, the number of aberrant crypt foci in older rats was significantly greater than in young rats (P<0.01). A higher percentage of aberrant crypt foci were found in the region from the mid-colon to the cecum in older rats as compared to young rats. Colonic cell proliferation was evaluated using bromodeoxyuridine immunohistochemistry. Colonic cell proliferation indices in the rectal, mid-colon and cecal regions of young and older rats were similar in young compared to adult rats. Ten large ACF from each group were screened for mutations in the beta-catenin gene (Ctnnb1) by PCR single strand conformation polymorphism. No mutations were detected. These results demonstrate that older female rats are more susceptible to the induction of aberrant crypt foci by azoxymethane than young female rats. Differences in colonic cell proliferation or beta-catenin mutations in these two age groups do not appear to be responsible for differences in aberrant crypt foci development.

Occurrence of resveratrol in edible peanuts.

Resveratrol has been associated with reduced cardiovascular disease and reduced cancer risk. This phytoalexin has been reported in a number of plant species, including grapes, and may be one of the compounds responsible for the health benefits of red wine. Analytical methods for measuring resveratrol in wine and peanuts were adapted to isolate, identify, and quantify resveratrol in several cultivars of peanuts. Aqueous ethanol (80% v/v) extracts from peanuts without seed coats were purified over alumina/silica gel columns and analyzed by reversed phase HPLC using a C-18 column. Peanuts from each market type, Virginia, runner, and Spanish, produced in four different locations contained from 0.03 to 0.14 microg of resveratrol/g. Seed coats from runner and Virginia types contained approximately 0.65 microg/g of seed coat, which is equivalent to <0.04 microg/seed. Quantitative analysis of 15 cultivars representing 3 peanut market types, which had been cold stored for up to 3 years, indicated a range of 0.02-1.79 microg/g of peanut compared to 0.6-8.0 microg/mL in red wines.

Anterograde femoral nailing with a reamed interlocking titanium alloy nail.

Intramedullary nailing has become the gold standard for treatment of femoral diaphyseal fractures. Between March 1995 and December 1998 we performed 40 intramedullary nailings using the ACE femoral nail (De Puy). The patients were followed for an average of 27.9 months (range: 6-54 months). The mean age was 33.2 years (range: 17-87 years); the sex distribution was 33 males and 7 females. All fractures were unilateral (right 18, left 22). Most of the fractures were caused by traffic accidents (35), the others originated from sports, work and gunshot (1). Thirty-five fractures were closed and 5 were open: 1 was grade I, 2 were grade II and 2 grade IIIa according to Gustilo's classification. According to the AO classification 18 fractures were type A, 13 type B and 9 type C. The majority of patients had associated injuries: neurotrauma 2, chest trauma 2, and other fractures e.g. of the clavicula, lumbar spine, patella, tibia. Immediate surgery was performed in 34 cases, delayed surgery in 6 cases. All fractures were treated on a fracture table, with closed reduction, reaming of the intramedullary canal, proximal and distal locking and intraoperative control of rotation and length. The mean time to healing was 17.85 weeks (range: 18-50 weeks). The following complications were observed: 3 delayed unions, which united after dynamisation, one malunion, which required corrective osteotomy, and one nonunion, which healed after exchange nailing. We encountered no rotational deformity and no clinically relevant shortening. Six nails were removed due to irritation by locking screws. These results are comparable with those of larger series in the literature with other types of interlocking nails. The union rate in this series was 97.5%.

Dietary quercetin, immune functions and colonic carcinogenesis in rats.

Rats fed 100 mg/kg quercetin (QUE) daily for 7 weeks had significantly enhanced natural killer cell activity compared to their vehicle (VEH)-fed control. In contrast, rats fed 100 mg/kg QUE and treated with the colon carcinogen, azoxymethane had significantly reduced natural killer cell activity compared to their VEH-fed azoxymethane-treated control. There was no significant difference in natural killer cell activity between the two control groups. Antibody production and delayed-type hypersensitivity were not altered by QUE feeding in any treatment group. In vitro exposure of splenic natural killer cells to 1mM QUE significantly decreased natural killer cell cytotoxicity. Lower QUE concentrations produced a non-significant reduction in natural killer cell activity that was restored to control values at 1 x 10(-13)M QUE. The distribution, multiplicity and total number of colonic preneoplastic lesions, aberrant crypt foci, was not significantly different in the QUE-fed azoxymethane-treated rats when compared to azoxymethane-treated vehicle-fed rats at the conclusion of 7 week feeding period. We found no correlation between immune function and development of preneoplastic colon lesions in this study.

Effect of dietary chlorogenic acid on multiple immune functions and formation of aberrant crypt foci in rats.

Adult male Sprague-Dawley rats were fed 70 mg/kg body weight chlorogenic acid (CHA) for 7 wk. One CHA-fed group was also given 2 injections of the colon carcinogen azoxymethane (AZO) on d 2 and 9 of CHA treatment. Three major types of immune responses were assessed: antibody production, specific cell-mediated immunity, and nonspecific cell-mediated immunity. The formation of AZO-induced aberrant crypt foci (ACF) in the colon were observed, as was colonic cell proliferation. There were no significant effects of CHA treatment on any of the immune parameters examined or on formation of preneoplastic lesions or cell proliferation in the colon. The overall nonsignificant trends in immune function, colon cell proliferation, and ACF development were, however, more consistent with immunosuppression and enhanced preneoplasia.

Dietary curcumin enhances antibody response in rats.

The effects of dietary curcumin on three major types of immune function were examined in rats. Antibody (IgG) production, delayed-type hypersensitivity and natural killer cell activity were evaluated after 5 weeks of dietary exposure to 1, 20 or 40 mg/kg curcumin. The highest dose of curcumin significantly enhanced IgG levels. Rats receiving lower dietary concentrations (1 or 20 mg/kg) of curcumin were not different in IgG production from rats receiving no curcumin in their diet. Neither delayed-type hypersensitivity nor natural killer cell activity was different from control values at any dietary concentration of curcumin. In vitro incubation of YAC-1 and EL4 tumor cells and normal splenocytes in varying concentrations of curcumin for varying times revealed differences between cell types in curcumin's effects on cell proliferation and viability. No cytotoxic effect was seen in EL4 cells at 125 micrograms/ml curcumin at 4, 24 and 48 hrs incubations, however, cell proliferation was reduced by almost 50% at 24 hrs. YAC-1 cell viability and cell numbers were diminished at longer incubations. A lower curcumin concentration (1.25 micrograms/ml) enhanced cell growth in the YAC-1 cells at 24 and 48 hr. This enhancement was not seen in spleen or EL4 cells.

The value of soybean hulls as a replacement for corn in beef cattle diets formulated with or without added fat.

One hundred twenty crossbred yearling steers (average weight = 445 +/- 32 kg) were used in an 84-d randomized complete block design experiment to determine the value of soybean hulls (SH) as a replacement for corn in concentrate diets formulated with or without added fat (lard). The steers were blocked by weight and alloted to one of eight treatments in a 4 x 2 factorial arrangement of treatments. The main factors were amount of SH (0, 20, 40, or 60% of diet DM) and amount of added fat (0 or 5% of diet DM). The basal diet without added fat or SH contained cracked corn (80%), a urea-based protein supplement (15%), and ground corn cobs (5%). Replacing corn with SH linearly (P = .03) decreased ADG, increased DMI (linear, P = .003; quadratic, P = .06), and linearly (P < .001) decreased gain efficiency. Fat addition tended (P = .08) to improve efficiency; ADG and DMI were unaffected (P > .05) by fat addition. Similar diets were fed to 16 wethers (average weight = 47 +/- 2.3 kg) in a randomized complete block design experiment to determine digestibility of NDF and dietary concentration of DE. Replacing corn with SH linearly increased DMI (P = .001) and NDF (P < .001) and linearly decreased (P < .001) the digestibility of DM. The digestibility of NDF tended to increase with increased SH. The digestibility of energy linearly (P = .0001) decreased with increased SH. The amount of fat had no effect (P > .05) on DMI or intake of NDF or digestibilities of these nutrients. The addition of fat tended (P = .07) to improve the intake of DE.(ABSTRACT TRUNCATED AT 250 WORDS)

Supplemental protein sources for steers fed corn-based diets: II. Growth and estimated metabolizable amino acid supply.

Seventy Simmental-cross steers (average initial weight 301 +/- 24 kg) were individually fed in a 175-d completely randomized design experiment to evaluate the effects of source and level of protein in the diet on gain and feed efficiency. Steers were allotted to 1 of 10 treatments (seven steers per treatment) in a 3 x 3 factorial arrangement of treatments plus a urea-supplemented control diet. Main factors were source of supplemental protein (soybean meal [SBM], a high ruminal escape soybean meal [SP; SoyPLUS], or a combination of corn gluten meal and blood meal [CB; 50:50 on a nitrogen basis]) and level of each protein source (20, 30, or 40% of total dietary CP). Based on 18-h in situ ruminal incubation, escape N content of the protein sources was 66.0, 82.5, and 90.8% of total N and metabolizable amino acid (MAA) content was 29.1, 33.4, and 67.8 g/100 g of DM for SBM, SP, and CB respectively. The steers were fed 12.5% CP diets based on cracked corn (70%) on d 0 through 70 and were switched to a common 11.5% CP urea-supplemented cracked corn diet (80%) on d 71. The steers were housed in individual confinement stalls and had ad libitum access to feed. Replacing urea with SBM or SP increased (P < .05) 28- and 70-d ADG and DMI and increased (P < .05) 28-d efficiency (kg of gain/100 kg of feed). Replacing urea with CB did not improve (P > .05) 28- or 70-d ADG or DMI but did increase (P < .05) 28-d efficiency. The growth rate of steers at 28 and 70 d was correlated to a greater degree with ME intake (r2 = .83 and .85, respectively) rather than MAA supply, suggesting that the MAA supply was not first-limiting for growth. The source of supplemental protein fed during d 0 through 70 had no effect (P > .05) on 175-d DMI or efficiency; however, feeding SBM increased (P < .05) 175-d ADG compared with feeding urea, SP, or CB. Increasing supplemental true protein tended to linearly increase ADG and DMI at 28 and 70 d, but overall, ADG, DMI, and efficiency were not affected (P > .05) by treatment. Replacing urea with SBM or CB in the first 70 d decreased (P < .05) carcass quality grade, dressing percentage, and longissimus muscle area.(ABSTRACT TRUNCATED AT 400 WORDS)

Weight gain and reproductive performance of spring-born beef heifer calves intraruminally administered oxfendazole.

The effect of oxfendazole (Synanthic) on weight gain and reproductive performance of spring-born heifer calves was evaluated at five locations (IL, IN, MI, MO, ND). Three hundred thirty-eight mixed-breed beef heifers (293.4 kg) blocked by weight and age were randomly allotted to one of two treatments. Treatment 1 heifers were dewormed via intraruminal injection of oxfendazole. Treatment 2 heifers served as a control. Heifers were comingled during the winter phase in semi-confinement during the period from late January to late May (winter phase). Heifers were sorted by treatment at the beginning of the grazing season (approximately May 24, 1991) and remained separate until the end of the study (approximately July 31, 1991; summer phase). Dewormed heifers received oxfendazole (4.5 mg/kg BW) in late January and again 28 and 56 d after the beginning of the grazing season. Fecal samples were taken every 21 d from January through September and assayed for gastrointestinal parasite eggs. Fecal egg counts were similar across treatments at the beginning of the trial (P = .34). Deworming decreased fecal egg counts throughout the trial. Twenty-eight days after initial deworming a significant treatment effect on fecal egg counts was observed (P < .01). Winter ADG was significantly higher (P < .01) for dewormed heifers than for controls (.60 vs .52 kg, respectively). Summer ADG was not different between treatments. Dewormed heifers were 7.4 kg heavier than controls (P < .05) at the end of the trial. Age of puberty was not affected by treatment (P = .64). First-service conception and final pregnancy rates were not different between treatment.(ABSTRACT TRUNCATED AT 250 WORDS)

Effects of body composition, pre- and postpartum energy level and early weaning on reproductive performance of beef cows and preweaning calf gain.

Mature Charolais x Angus rotational cross cows were adjusted to moderate body condition by d 190 of gestation then randomly blocked to a maintenance (ME) or low-energy (LE) diet. At parturition, the 128 cows were randomly allotted within prepartum (PRP) diet to a high-energy (HE) or LE diet. At d 30 postpartum (PP), cows were randomly blocked to two treatments in which calves were weaned early (EW) or normally (NW) at 7 mo of age. Cows receiving a LE PRP diet had lighter calves at birth (34.7 vs 39.0 kg) and 105 d (127.9 vs 144.6 kg). Prepartum and PP energy interacted to affect postpartum anestrous interval (PPI, d) and cycling activity (%), respectively (LE-LE = 72.6, 33.3; LE-HE = 54.3, 56.3; ME-LE = 65.7, 52.9; ME-HE = 68.4, 54.3). High PP energy averaged over PRP diet increased (P less than .10) pregnancy rate by 22.7% and 105-d calf weight by 15.1 kg. Early weaning reduced PPI by 24.3 d (P less than .01) and first service conception rate by 21.7% (P less than .10). Cycling activity within 60 d PP was affected (P less than .01) by PRP diet and suckling status (LE-EW = 62.5, LE-NW = 26.7, ME-EW = 88.9, ME-NW = 13.3%). Thin cows had a longer PPI but had a higher first service conception rate than moderate and fleshy cows. Higher pregnancy rates were observed in cows approaching or maintaining average body condition from parturition to conception than for cows moving away from moderate body condition. Results suggest that fleshy and thin cows at parturition should be managed to approach moderate body condition before the breeding season to optimize reproductive performance and preweaning calf gain.

Effects of body composition, pre- and postpartum energy intake and stage of production of energy utilization by beef cows.

Mature Charolais x Angus cows (n = 128) were adjusted to a body condition score (BCS) of 3 (1 = very thin, 3 = moderate, 5 = very fat) between 130 and 190 d of gestation. When cows averaged 190 d of gestation, they were assigned randomly to a maintenance energy diet (ME) or to a diet very low in energy (LE). Cows were allotted within these prepartum (PRP) diets to a high-energy (HE) or LE diet at parturition. At 30 d postpartum (PP), cows were allotted to four treatments: a) slaughter at 0 (n = 32) or b) 48 h after calf removal (n = 32), c) cows whose calves were early weaned at 30 d PP (n = 32) or d) normally weaned at 205 d PP (n = 32). Low energy PRP intake reduced (P less than .01) BCS, cow weight, total empty body lipid (TEBL), body energy (BE) and daily predicted maintenance energy (PME)/W.75 by parturition. Pre- and postpartum energy intake combined to affect (P less than .10) these same factors in a similar manner at 30 d PP. From 30 to 60 d PP, early weaning reduced (P less than .05) PME/W.75. Cow BCS at 190 d of gestation had little effect (P greater than .10) on PME/W.75 or PME/Mcal of BE. Body condition score at parturition, however, affected (P less than .05) delta BCS, delta BE and PME/Mcal of BE by 30 and 60 d PP, with thinner cows losing less condition and requiring more PME/Mcal of BE. Cow BCS had a similar effect from 30 to 60 d PP. Total daily PME was greater for the fat cows during both the PRP and PP periods. Body composition, PRP and PP energy intake and early weaning affect energy requirements and energetic efficiency of beef cows.

Recombinant DNA approaches to feline leukemia virus immunization.

We have utilized 2 recombinant DNA strategies for immunization against FeLV in cats: (a) modified live virus was attenuated by mutation and recombination, and (b) an immunogen, consisting of subunit envelope protein, was prepared in genetically engineered yeast. Results indicated that the genetically manipulated live virus preparations were not protective against FeLV challenge because they were either not attenuated in virulence or were not sufficiently antigenic. Immunization with yeast-synthesized FeLV envelope protein followed by the modified live virus gave protective immunity in cats under experimental conditions. Future immunization attempts will concentrate on enhancing the immunogenic potency of the yeast- synthesized FeLV envelope protein.

In utero exposure of bovine fetuses to polychlorinated biphenyls.

Pregnant mature beef cows more than 6 mo from parturition were fed whole plant corn silage from either a silo (contaminated) that had been coated with a plastic containing polychlorinated biphenyls (Aroclor 1254) or from a silo (clean) that had not been coated with the plastic. In addition, a third group of cows was fed silage from the clean silo plus 200 mg Aroclor 1254 per head daily (added polychlorinated biphenyls). After 30 days on treatment, one cow from each of the three treatments had her fetus removed by Caesarean section for assay of liver, thyroid, and fat for polychlorinated biphenyls content. Tissue content of polychlorinated biphenyls for fetuses from cows fed clean silage, contaminated silage, or added polychlorinated biphenyls was (microgram/g): liver, 3.6, 4.7, and 54.1; thyroid, 2.3, 19.4, and 121.1; fat, .65, 18.1, and 130.6, indicating polychlorinated biphenyls cross the placenta readily. Cow milk (colostrum) contents of polychlorinated biphenyls on the 1st day following parturition for the three respective treatments were .54, 8.5, and 96.4 micrograms/g (clean silage, contaminated silage, and added polychlorinated biphenyls). Fetuses taken from cows that had been removed from polychlorinated biphenyl exposure for 6 mo reflected previous treatments of dams by increased fetal fat stores of polychlorinated biphenyls.

Cardiovascular and shivering responses in hypothermic and rewarmed young calves.

Aortic blood pressure, ECG, electromyogram, and heart rate were recorded in cold-stressed and rewarmed young Holstein bull calves. The calves were anesthetized and then cold-stressed by immersion in cold water until their core body temperature (colonic) was lowered 10 C. Hypothermia was continued for 1 additional hour and then the calves were rewarmed by 3 external rewarming methods or were allowed to recover naturally (unassisted). Aortic blood pressure began to decrease in cold-stressed calves by the time their core body temperature had decreased 2 C and continued to decrease during cooling. Heart rate initially increased then decreased with cooling. Blunting of the systolic blood pressure peaks and appearance of extraneous waveforms that obscured the normal component waveforms of the ECG complex were also observed during cooling. Aortic blood pressure and heart rate of cold-stressed calves increased soon after the start of recovery and eventually returned to base line even though the rate of recovery varied depending on the method of rewarming. The component waveforms of the ECG complex became more discernible as rewarming of the cold-stressed calves progressed.

Serum chemical values in hypothermic and rewarmed young calves.

Serum chemical values were determined in cold-stressed Holstein bull calves ranging from 1 to 7 days of age. The animals were anesthetized and cold-stressed until their core body temperature (colonic) was lowered 10 C. Animals were then rewarmed in warm water, with heat pads or heat lamps, or were allowed to recover naturally (unassisted) at room temperature. Blood samples were collected at selected intervals during cooling and recovery. Increases (P less than 0.05) were observed in the concentrations of glucose, calcium, phosphorus, iron, alkaline phosphatase, aspartate aminotransferase, lactate dehydrogenase, total protein, albumin, total globulin, serum urea nitrogen, uric acid, total bilirubin, indirect bilirubin, and cholesterol in the cold-stressed calves during cooling. Concentrations of chloride and insulin decreased (P less than 0.05) during the same period. Changes observed in many of the serum chemical values during rewarming were generally the reverse of the respective changes that occurred during cooling, although insulin values became exceedingly high in some cases midway or near the end of recovery. Serum enzyme values also remained high during most of recovery. Data did not indicate a clear advantage of one method of rewarming over the other methods used in terms of return of the serum chemical values to normal.