马属动物结,代,促脉的脉图目测定脉

以图示脉和目测定脉是中西兽医界长期未能实现的愿望。本文通过对中兽医文献的研究和对16例马、骡、驴的结、代脉脉象图的分析,总结了马属动物结、代、促脉的临床判定标准,并提出其脉图目测定脉标准,首次实现了以图示脉和目测定脉的愿望。马属动物结、代、促脉的临床判定标准是:缓而不规则的间歇为结脉,规则的间歇为代脉,数而不规则的间歇为促脉。其脉图目测定脉标准是:1.在若干个基本脉搏波之后出现1个表示脉搏歇止的异常波,异常波有规律地出现者为代脉,无规律地出现者属结脉或促脉;2.在定标1mv=10mm、走纸速度25mm/秒的前提下,在脉图记录纸上1个基本波与1个表示不规则间歇的异常波的波长合计,多于10个中格(长度多于50mm)者为结脉,少于10个中格者为促脉。     

Accuracy of a third (Dolphin Voyager) versus first generation pulse oximeter (Nellcor N-180) in predicting arterial oxygen saturation and pulse rate in the anesthetized dog

OBJECTIVE: To compare the accuracy of a 3rd (Dolphin Voyager) versus 1st generation pulse oximeter (Nellcor N-180). STUDY DESIGN: Prospective laboratory investigation. ANIMALS: Eight adult dogs. METHODS: In anesthetized dogs, arterial oxygen saturation (SpO(2)) was recorded simultaneously with each pulse oximeter. The oxygen fraction in inspired gas (FiO(2)) was successively reduced from 1.00 to 0.09, with re-saturation (FiO(2) 0.40) after each breathe-down step. After each 3-minute FiO(2) plateau, SpO(2) and pulse rate (PR) were compared with the fractional arterial saturation (SaO(2)) and PR determined by co-oximetry and invasive blood pressure monitoring, respectively. Data analysis included Bland-Altman (B-A) plots, Lin's concordance correlation factor (rho(c)), and linear regression models. RESULTS: Over a SaO(2) range of 33-99%, the overall bias (mean SpO(2) - SaO(2)), precision (SD of bias), and accuracy (A(rms)) for the Dolphin Voyager and Nellcor N-180 were 4.3%, 4.4%, and 6.1%, and 3.2%, 3.0%, and 4.3%, respectively. Bias increased at SaO(2) < 90%, more so with the Dolphin Voyager (from 1.6% to 8.6%) than Nellcor N-180 (from 3.2% to 4.5%). The SpO(2) readings correlated significantly with SaO(2) for both the Dolphin Voyager (rho(c) = 0.94) and Nellcor N-180 (rho(c) = 0.97) (p < 0.001). Regarding PR, bias, precision, and accuracy (A(rms)) for the Dolphin Voyager and Nellcor N-180 were -0.5, 4.6, and 4.6 and 1.38, 4.3, and 4.5 beats minute(-1), respectively. Significant correlation existed between pulse oximeter and directly measured PR (Dolphin Voyager: rho(c) = 0.98; Nellcor N-180: rho(c) = 0.99) (p < 0.001). CONCLUSIONS AND CLINICAL RELEVANCE: In anesthetized dogs with adequate hemodynamic function, both instruments record SaO(2) relatively accurately over a wide range of normal saturation values. However, there is an increasing overestimation at SaO(2) < 90%, particularly with the Dolphin Voyager, indicating that 3rd generation pulse oximeters may not perform better than older instruments. The 5.4-fold increase in bias with the Dolphin Voyager at SaO(2) < 90% stresses the importance of a 93-94% SpO(2) threshold to ensure an arterial saturation of >or=90%. In contrast, PR monitoring with both devices is very reliable.     

Ability of pulse wave transit time to detect changes in stroke volume and to estimate cardiac output compared to thermodilution technique in isoflurane-anaesthetised dogs

Objective

To evaluate the ability of pulse wave transit time (PWTT) to detect changes in stroke volume (SV) and to estimate cardiac output (CO) compared with the thermodilution technique in isoflurane-anaesthetized dogs.

高压脉冲电场对牛乳杀菌效果的研究

以牛乳为试验材料,经场强50-100 kV/cm、脉冲数400-1200的高压脉冲电场进行杀菌处理后用倾注法进行菌落总数测定,发现高压脉冲电场对牛乳有一定的杀菌效果,得出杀菌率与电场条件优化的二次回归方程.分析表明,杀菌率与电场强度和脉冲数正相关,电场强度的通径系数和灵敏度高于脉冲数的通径系数和灵敏度.说明场强与脉冲数是影响杀菌效果的重要因素,场强的影响效果更为明显.     

Some New Data on Angolan Muridae

The stomach content of four species of mullet (Mugil cephalus, Liza dumerili, Liza richardsonii and Liza tricuspidens), was analyzed. The nature of the stomach content gave some indication of the areas in which each species of mullet had been feeding, the type of substratum from which each had been feeding and the diatom species which each ate.     

Appraisal of the ‘penumbra effect’ using lingual pulse oximetry in anaesthetized dogs and cats

ObjectiveFactors described as contributors to the ‘penumbra effect’ in relation to pulse oximetry include optical shunting, circulatory anastomoses and probe parallelity. This study aimed to clarify the main underlying mechanism involved.Study designProspective clinical trial.AnimalsA total of 30 dogs and 15 cats (client-owned).MethodsIn anaesthetized dogs and cats, a pulse oximeter probe was placed on the tongue to measure haemoglobin oxygen saturation (SpO₂) and perfusion index. In 15 dogs, the probe was positioned at the root (baseline) of the tongue, then at 0.5 and 1 cm rostral to it, to investigate the effect of circulatory anastomoses on SpO₂ values. In cats (which do not have lingual arteriovenous anastomoses), the probe was positioned at the root and apex of the tongue. To assess the effect of probe parallelity on SpO₂ values in dogs, two lines were drawn parallel to the planes of the light-emitting diode and the detector surfaces and the intersection angle calculated using ImageMeter Pro, Google Play. In a further 15 dogs, the probe was placed at the tongue edge (0% optical shunt), with 50% optical shunt, then with the 50% optical shunt shielded. Data were analysed using Friedman’s test, Student t test and Pearson’s correlation coefficient (p < 0.05).ResultsIn dogs, SpO₂ values were significantly higher at 1.0 cm than at baseline (p < 0.0001). In cats, there were no significant differences in SpO₂ values at each location. There was no significant difference in SpO₂ between 0% and 50% optical shunt in dogs. SpO₂ had a moderate negative correlation with tongue thickness and negligible correlation with intersection angle.Conclusions and Clinical relevanceCirculatory anastomoses are probably responsible for observed changes in SpO₂ as the probe is placed towards an extremity, rather than optical shunting or probe parallelity.     

An investigation into the detection of the pulse in conscious and anaesthetized dogs

ObjectivesTo record the success rate of veterinary professionals and students at identifying the pulse in conscious and anaesthetized dogs. To explore the influence of clinical experience, pulse location, anaesthesia and likely confounding variables on the success of pulse palpation.Study designProspective, observational, randomized study.AnimalsA total of 54 client-owned dogs scheduled for general anaesthesia.MethodsFor each dog, three participants (senior anaesthetist, anaesthesia resident/nurse, veterinary student/animal care assistant) attempted pulse palpation at three locations (femoral, radial and dorsal pedal pulse) in conscious and anaesthetized dogs. The time to pulse palpation was measured with a stopwatch for each attempt and data were modelled using a multivariate Cox regression survival analysis (significance p < 0.05).ResultsThe overall success rate of pulse palpation was 77%, with a median time of 10.91 seconds (interquartile range 9.09 seconds). Success rate was lower in conscious dogs (67%) than in anaesthetized dogs (87%). There was a 77% lower likelihood of success at the radial than at the femoral pulse [hazard ratio (HR) 0.23, 95% confidence interval (CI) 0.38–0.69, p < 0.001]. Veterinary students/animal care assistants had a 71% lower likelihood of success than senior anaesthetists (HR 0.29, 95% CI 0.22–0.39, p < 0.001). Age, weight and American Society of Anesthesiologists physical status had no significant influence. Premedication/anaesthetic drugs, heart rate or mean arterial pressure had no significant influence on the time to pulse palpation in anaesthetized dogs. The median time to palpation was less than 10 seconds for all experience groups at the femoral location.ConclusionsPalpation of the femoral location had the greatest likelihood of success with the least amount of time. Monitoring the femoral pulse during induction of anaesthesia is suggested as a method for confirming spontaneous circulation. Pulse palpation improves with clinical experience.     

Evaluation of Masimo signal extraction technology pulse oximetry in anaesthetized pregnant sheep

ObjectiveEvaluation of the accuracy of Masimo signal extraction technology (SET) pulse oximetry in anaesthetized late gestational pregnant sheep.Study designProspective experimental study.AnimalsSeventeen pregnant Merino ewes.MethodsAnimals included in study were late gestation ewes undergoing general anaesthesia for Caesarean delivery or foetal surgery in a medical research laboratory. Masimo Radical-7 pulse oximetry (SpO₂) measurements were compared to co-oximetry (SaO₂) measurements from arterial blood gas analyses. The failure rate of the pulse oximeter was calculated. Accuracy was assessed by Bland &; Altman's (2007) limits of agreement method. The effect of mean arterial blood pressure (MAP), perfusion index (PI) and haemoglobin (Hb) concentration on accuracy were assessed by regression analysis.ResultsForty arterial blood samples paired with SpO₂ and blood pressure measurements were obtained. SpO₂ ranged from 42 to 99% and SaO₂ from 43.7 to 99.9%. MAP ranged from 24 to 82 mmHg, PI from 0.1 to 1.56 and Hb concentration from 71 to 114 g L^?1. Masimo pulse oximetry measurements tended to underestimate oxyhaemoglobin saturation compared to co-oximetry with a bias (mean difference) of ?2% and precision (standard deviation of the differences) of 6%. Accuracy appeared to decrease when SpO₂ was <75%, however numbers were too small for statistical comparisons. Hb concentration and PI had no significant effect on accuracy, whereas MAP was negatively correlated with SpO₂ bias.Conclusions and clinical relevanceMasimo SET pulse oximetry can provide reliable and continuous monitoring of arterial oxyhaemoglobin saturation in anaesthetized pregnant sheep during clinically relevant levels of cardiopulmonary dysfunction. Further work is needed to assess pulse oximeter function during extreme hypotension and hypoxaemia.     

Efficacy of itraconazole as a combined continuous/pulse therapy in feline dermatophytosis: preliminary results in nine cases

This study evaluated the efficacy of itraconazole as a combined continuous/pulse therapy for feline dermatophytosis. Nine cats with dermatophytosis caused by Microsporum canis were treated with itraconazole at 10 mg kg(-1) orally once daily for 28 days and then on an alternate week regimen (1 week off, 1 week on) at the same dosage. Cats were re-evaluated by physical examination and fungal culture at days 28, 42, 56 and 70 if necessary. Treatment was stopped when two consecutive negative fungal cultures were obtained. Eight cats were cured after 56 days, with two negative cultures obtained at days 28 and 42. In one case, a positive culture was obtained at day 28, but negative cultures were achieved at days 42 and 56. This protocol appears to be effective in the treatment of feline dermatophytosis, although these preliminary results should be confirmed by a controlled study.     

Comparison of cardiac output determined by arterial pulse pressure waveform analysis method (FloTrac/Vigileo) versus lithium dilution method in anesthetized dogs

Objective – To compare the determination of cardiac output (CO) via arterial pulse pressure waveform analysis (FloTrac/Vigileo) versus lithium dilution method. Design – Prospective study. Setting – University teaching hospital. Animals – Six adult dogs. Interventions – Dogs were instrumented for CO determinations using lithium dilution (LiDCO) and FloTrac/Vigileo methods. Direct blood pressure, heart rate, arterial blood gases, and end‐tidal isoflurane (ETIso) and CO₂ concentrations were measured throughout the study while CO was manipulated with different depth of anesthesia and rapid administration of isotonic crystalloids at 60 mL/kg/h. Measurements and Main Results – Baseline CO measurements were obtained at 1.3% ETIso and were lowered by 3% ETIso. Measurements were obtained in duplicate or triplicate with LiDCO and averaged for comparison with corresponding values measured continuously with the FloTrac/Vigileo method. For 30 comparisons between methods, a mean bias of ?100 mL/kg/min and 95% limits of agreement between ?311 and +112 mL/kg/min (212 mL/kg/min) was determined. The mean (mL/kg/min) of the differences of LiDCO?Vigileo=62.0402+?0.8383 × Vigileo, and the correlation coefficient (r) between the 2 methods 0.70 for all CO determinations. The repeatability coefficients for the individual LiDCO and FloTrac/Vigileo methods were 187 and 400 mL/kg/min, respectively. Mean LiDCO and FloTrac/Vigileo values from all measurements were 145 ± 68 mL/kg/min (range, 64–354) and 244 ± 144 mL/kg/min (range, 89–624), respectively. The overall mean relative error was 48 ± 14%. Conclusion – The FloTrac/Vigileo overestimated CO values compared with LiDCO and the relative error was high, which makes this method unreliable for use in dogs.     

Evaluation of the reliability of pulse oximetry,at different attachment sites,to detect hypoxaemia in immobilized impala (Aepyceros melampus)

ObjectiveEvaluation of the reliability of pulse oximetry at four different attachment sites compared to haemoglobin oxygen saturation measured by a co-oximeter and calculated by a blood gas analyser in immobilized impala.Study designRandomized crossover study.AnimalsA total of 16 female impala.MethodsImpala were immobilized with etorphine or thiafentanil alone, or etorphine in combination with a novel drug. Once immobilized, arterial blood samples were collected at 5 minute intervals for 30 minutes. Then oxygen was insufflated (5 L minute⁻¹) intranasally at 40 minutes and additional samples were collected. A blood gas analyser was used to measure the arterial partial pressure of oxygen and calculate the oxygen haemoglobin saturation (cSaO₂); a co-oximeter was used to measure the oxygen haemoglobin saturation (SaO₂) in arterial blood. Pulse oximeter probes were attached: under the tail, to the pinna (ear) and buccal mucosa (cheek) and inside the rectum. Pulse oximeter readings [peripheral oxygen haemoglobin saturation (SpO₂) and pulse quality] were recorded at each site and compared with SaO₂ and cSaO₂ using Bland-Altman and accuracy of the area root mean squares (A_rms) methods to determine the efficacy. P value < 0.05 was considered significant.ResultsPulse quality was ‘good’ at each attachment site. SpO₂ measured under the tail was accurate and precise but only when SaO₂ values were above 90% (bias = 3, precision = 3, A_rms = 4). The ear, cheek and rectal probes failed to give accurate or precise readings (ear: bias = −4, precision = 14, A_rms = 15; cheek: bias = 12, precision = 11, A_rms = 16; and rectum: bias = 5, precision = 12, A_rms = 13).Conclusions and clinical relevanceIn order to obtain accurate and precise pulse oximetry readings in immobilized impala, probes must be placed under the tail and SaO₂ must be above 90%. Since SaO₂ values are usually low in immobilized impala, pulse oximeter readings should be interpreted with caution.     

Agreement of SpO2, SaO2 and ScO2 in anesthetized cynomolgus monkeys (Macaca fascicularis)

Objective To assess the agreement between three measurements of arterial oxygen saturation (SpO₂, SaO₂ and ScO₂) in anesthetized cynomolgus monkeys. Study Design Prospective study. Animals Eleven mature, male cynomolgus monkeys (Macaca fasicularis). Methods Monkeys were anesthetized with intramuscular ketamine followed by intravenous propofol. The trachea of each was intubated and the lungs ventilated. Arterial oxygen saturation was measured with a Nonin 8500 V pulse oximeter, using a lingual clip on the cheek. Arterial blood samples were taken from an indwelling catheter. Inspired oxygen concentration was varied from 12 to 20%, and 88 paired arterial blood samples and saturation measurements were taken. Arterial oxygen saturation in the blood samples was measured using a cooximeter. The saturation was also calculated from the arterial oxygen tension using the Adair equation. The results were compared using Bland and Altman's method. Results The pulse oximeter readings were 2.7% higher than that of the cooximeter, with a limit of agreement of ?3.9 to 9.3%. The pulse oximeter readings were 1.8% higher than the calculated saturation, with a limit of agreement of ?6.5% to 10.1%. The cooximeter readings were 0.9% lower than the calculated saturation, with a limit of agreement of ?5.6% to 3.8%. Conclusions The agreement between SpO₂ and other measurements of arterial oxygen saturation in this study is typical for this technique. The bias and limits of agreement are consistent with reports in other species. Clinical relevance The Nonin 8500 V is a useful pulse oximeter for clinical use in primates.     

Electrophysiological and Morphological Evidence for Synchronized GnRH Pulse Generator Activity Among Kisspeptin/Neurokinin B/Dynorphin A (KNDy) Neurons in Goats

Neurons in the arcuate nucleus (ARC) that concomitantly express kisspeptin, neurokinin B (NKB) and dynorphin A are termed KNDy neurons and are likely candidates for the intrinsic gonadotropin-releasing hormone (GnRH) pulse generator. Our hypothesis is that KNDy neurons are functionally and anatomically interconnected to generate discrete neural signals that govern pulsatile GnRH secretion. Our goal was to address this hypothesis using electrophysiological and anatomical experiments in goats. Bilateral electrodes targeting KNDy neurons were implanted into ovariectomized goats, and GnRH pulse generator activity, represented by characteristic increases in multiple-unit activity (MUA volleys), was measured. Spontaneous and pheromone- or senktide (an NKB receptor agonist)-induced MUA volleys were simultaneously recorded from both sides of the ARC. An anterograde tracer, biotinylated dextran amine (BDA), was also injected unilaterally into the ARC of castrated male goats, and the distribution of fibers containing both BDA and NKB was examined using dual-labeling histochemistry. The results showed that MUA volleys, regardless of origin (spontaneous or experimentally induced), occur simultaneously between the right and left sides of the ARC. Tract tracing indicated that axons projecting from NKB neurons in the ARC were directly apposed to other NKB neuronal cells located bilaterally in the ARC. These results demonstrate that GnRH pulse generator activity occurs synchronously between both sides of the ARC in goats and that KNDy neurons are bilaterally interconnected in the ARC via NKB-containing fibers. Taken together, the results suggest that KNDy neurons form a neuronal circuit to synchronize burst activity among KNDy neurons and thereby generate discrete neural signals that govern pulsatile GnRH secretion.     

An evaluation of pulse oximeters in dogs, cats and horses

Objective Evaluation of five pulse oximeters in dogs, cats and horses with sensors placed at five sites and hemoglobin saturation at three plateaus. Study design Prospective randomized multispecies experimental trial. Animals Five healthy dogs, cats and horses. Methods Animals were anesthetized and instrumented with ECG leads and arterial catheters. Five pulse oximeters (Nellcor Puritan Bennett‐395, NPB‐190, NPB‐290, NPB‐40 and Surgi‐Vet V3304) with sensors at five sites were studied in a 5 × 5 Latin square design. Ten readings (SpO₂) were taken at each of three hemoglobin saturation plateaus (98, 85 and 72%) in each animal. Arterial samples were drawn concurrently and hemoglobin saturation was measured with a co‐oximeter. Accuracy of saturation measurements was calculated as the root mean squared difference (RMSD), a composite of bias and precision, for each model tested in each species. Results Accuracy varied widely. In dogs, the RMSD for the NPB‐395, NPB‐190, NPB‐290, NPB‐40 and V3304 were 2.7, 2.2, 2.4, 1.7 and 2.7% respectively. Failure to produce readings for the NPB‐395, NPB‐190, NPB‐290, NPB‐40 and V3304 were 0, 0, 0.7, 0, and 20%, respectively. The Pearson correlation coefficients for the tongue, toe, ear, lip and prepuce or vulva were 0.95, 0.97, 0.69, 0.87 and 0.95, respectively. In horses, the RMSD for the NPB‐395, NPB‐190, NPB‐290, NPB‐40 and V3304 were 3.1, 3.0, 4.7, 3.3 and 2.1%, respectively while rates of failure to produce readings were 10, 21, 0, 17 and 60%, respectively. The Pearson correlation coefficients for the tongue, nostril, ear, lip and prepuce or vulva were 0.98, 0.94, 0.88, 0.93 and 0.94, respectively. In cats, the RMSD for all data for the NPB‐395, NPB‐190, NPB‐290, NPB‐40 and V3304 were 5.9, 5.6, 7.9, 7.9 and 10.7%, respectively while failure rates were 0, 0.7, 0, 20 and 32%, respectively. The correlation coefficients for the tongue, rear paw, ear, lip and front paw were 0.54, 0.79,.0.64, 0.49 and 0.57, respectively. For saturations above 90% in cats, the RMSD for the NPB‐395, NPB‐190, NPB‐290, NPB‐40 and V3304 were 2.6, 4.4, 4.0, 3.5 and 4.8%, respectively, while failure rates were 0, 1.7, 0, 25 and 43%, respectively. Conclusions and clinical relevance Accuracy and failure rates (failure to produce a reading) varied widely from model to model and from species to species. Generally, among the models tested in the clinically relevant range (90–100%) RMSD ranged from 2–5% while failure rates were highest in the V3304.     

Neuroendocrine control of reproductive function in ruminants

Gonadotropin‐releasing hormone (GnRH) is a key molecule in the control of reproduction in mammals. It is generally thought that the secretion of GnRH into the pituitary portal vessels is governed by two distinct neural mechanisms: the pulsatile and surge mode centers. The former is called the GnRH pulse generator, and this neural substrate plays a role as the master regulator of the reproductive function. An electrophysiological technique for monitoring the neural activity of the GnRH pulse generator has been established in the Shiba goat. The central actions of several neuropeptides have been assessed using this system. Results suggest that several neuropeptides including neuropeptide Y, cholecystokinin‐octapeptide and melanocortins are involved in the regulation of the GnRH pulse generator activity in the goat. Each input of those neuropeptides likely represents a unique mechanism conveying specific information about changes in the internal and external environments such as olfactory signals, nutrition, stress, and steroidal milieu, to the GnRH pulse generator. Further elucidations of actions of neurotransmitters on the GnRH pulse generator may serve for better understanding of the neuroendocrine control of reproduction in the ruminant.     

Bovine C-terminal octapeptide of RFamide-related peptide-3 suppresses luteinizing hormone (LH) secretion from the pituitary as well as pulsatile LH secretion in bovines

Gonadotropin-inhibiting hormone (GnIH), observed in quail as a member of the RFamide neuropeptide family, suppresses luteinizing hormone (LH) secretion from the avian pituitary. Rats and cattle have an active gene of another member of the RFamide neuropeptide family, termed RFamide-related peptide-3 (RFRP-3), although bovine RFRP-3 is different from that of rats in both length and amino-acid sequence. A single injection of GnIH or RFRP-3 inhibited LH secretion in rodents, which continued for various periods. This study was conducted to evaluate the effects of bovine C-terminal octapeptide of RFRP-3 (RFRP-3-8) on LH secretion from cultured anterior pituitary (AP) cells of cattle, and the effects of RFRP-3-8 injections on pulsatile LH secretion in castrated male calves. The suppressive effect of RFRP-3-8 on LH secretion from AP cells was observed in the presence of gonadotropin-releasing hormone (GnRH), but not in the absence of GnRH in culture media. In another experiment collecting blood samples serially from castrated male calves with repeated intravenous injections of RFRP-3-8 (n = 6) or saline (n = 6), the RFRP-3-8 group showed suppressed LH pulse frequency during the injection period (P < 0.05); however, the RFRP-3-8 group showed no difference from the saline group in all measures of LH secretion in the postinjection period. In conclusion, our results suggested that RFRP-3-8 suppresses LH secretion from cultured AP cells, as well as LH pulse frequency in cattle.