Multiple organ dysfunction syndrome in humans and dogs

Objective: To describe the clinical appearance and theories on the pathogenesis of multiple organ dysfunction syndrome (MODS) in humans, and to review the evidence suggesting that a similar syndrome occurs in critically ill dogs. Human‐based studies: Currently, there are a multitude of publications describing the pathogenesis and clinical course of MODS in humans. Providing much of the basis for on‐going research and the development of clinical applications, a consensus statement made by the American College of Chest Physicians and Society of Critical Care Medicine defined parameters that had guided and shaped much of what is known about MODS. Veterinary‐based studies: To date, there are few publications describing MODS in dogs and much of what is known has been derived from case reports and reviews of various critical illnesses in dogs. While a similar syndrome of multiple organ dysfunction likely exists in dogs, a consensus statement defining clinical parameters has not been made. Data sources: Veterinary and human literature review. Conclusions: The development of MODS in human critical illness is widely recognized and major strides have been made in the understanding of this complex syndrome. Scoring schemes applied to human MODS patients have established that with increasing numbers of failing organs, there is a worse prognosis. As a similar finding likely exists in dogs, an awareness of MODS is vital to veterinary critical care clinicians and a consensus definition of MODS in dogs is warranted.     

Cyclosporine and ketoconazole for the treatment of perianal fistulas in dogs

OBJECTIVE: To evaluate efficacy and cost of using cyclosporine and ketoconazole for the treatment of perianal fistulas in dogs. DESIGN: Clinical trial. ANIMALS: 12 dogs with perianal fistulas. PROCEDURE: Dogs received cyclosporine and ketoconazole orally (target whole blood trough cyclosporine concentrations of 400 to 600 ng/ml). Study endpoints were resolution of clinical signs, remission, and recurrence of disease. Adverse effects and cost of medications were reported. Results were compared with those from previous studies in humans and in dogs in which single agent cyclosporine treatment for perianal fistulas was used. RESULTS: All dogs had resolution of clinical signs. Eight dogs went into remission; however, 5 of those 8 had recurrence of fistulas. Adverse effects of treatment were minimal and well tolerated. Cost of treatment was comparable to traditional surgical options and less than single agent cyclosporine treatment. CONCLUSIONS AND CLINICAL RELEVANCE: Administration of cyclosporine with ketoconazole is an effective and cost-comparable treatment for perianal fistulas in dogs.     

Expression and characterisation of a Psoroptes ovis glutathione S-transferase

The astigmatid mite Psoroptes ovis is the causative agent of sheep scab, a highly contagious parasitic disease of sheep. Infection causes severe allergic dermatitis, resulting in damage to the fleece and hide, loss of condition and occasional mortality. Interest in the P. ovis allergens led us to characterise a glutathione S-transferase (GST) which displays homology to GST allergens isolated from the house dust mite, Dermatophagoides pteronyssinus and the cockroach, Blatella germanica. A cDNA encoding a mu-class GST from P. ovis was expressed in Escherichia coli and the recombinant protein purified for biochemical analysis. SDS-PAGE analysis indicated that the purified product was homogeneous and had an apparent molecular weight of 30 kDa. The recombinant GST (rGST) is active towards the substrate 1-chloro-2,4-dinitrobenzene (CDNB), whereas 1,2-dichloro-4-nitrobenzene (DCNB) is a poor substrate. The recombinant protein was also tested for recognition by IgE and IgG antibodies in serum from P. ovis na?ve and P. ovis infested sheep. Neither IgE nor IgG antibodies were detected to the rGST. Prausnitz--Küstner testing with rGST did not provoke a characteristic weal and flare response. Biopsies collected at the PK test sites were stained for eosinophils, neutrophils, mast cells and basophils. Neutrophil, mast cell and basophil counts were not significantly different to the controls. Eosinophil numbers were significantly higher than controls, but were not due to an IgE response.     

Contributing understanding of mitigation options for phosphorus and sediment to a review of the efficacy of contemporary agricultural stewardship measures

Experiences from the Mitigation Options for Phosphorus and Sediment (MOPS) projects, which aim to determine the effectiveness of measures to reduce pollutant loading from agricultural land to surface waters, have been used to contribute to the findings of a recent paper (Kay et al., 2009, Agricultural Systems, 99, 67-75), which reviewed the efficacy of contemporary agricultural stewardship measures for ameliorating the water pollution problems of key concern to the UK water industry. MOPS1 is a recently completed 3-year research project on three different soil types in the UK, which focused on mitigation options for winter cereals. MOPS1 demonstrated that tramlines can be the major pathway for sediment and nutrient transfer from arable hillslopes, and that although minimum tillage, crop residue incorporation, contour cultivation, and beetle banks also have potential to be cost-effective mitigation options, tramline management is the one of the most promising treatments for mitigating diffuse pollution losses, as it was able to reduce sediment and nutrient losses by 72-99% in four out of five site years trialled. Using information from the MOPS projects, this paper builds on the findings of Kay et al. to provide an updated picture of the evidence available and the immediate needs for research in this area.     

Does access to internet promote innovation? A look at the U.S. broadband industry

Access to the Internet is an essential determinant of innovation, which has received little attention in the literature. This paper emphasizes the role of Internet accessibility in lowering information costs and therefore boosting regional innovation activity. We construct a simple theoretical model to illustrate the positive impact of decreased discovery costs, proxied by the accessibility of the Internet, on innovation. To test this hypothesis, we exploit a county‐level data set in the U.S. and run three types of regression with and without instruments: OLS, negative binomial, and Poisson. Within each method, we employ four levels of download speeds. We find a positive relationship between the access to the Internet and the number of patents filed in that specific county. This effect is particularly strong in the case of access to download speeds of 10 Mbps. Our analysis suggests that access to the Internet lowers information disseminating costs and therefore encourages more patents filed in the county. The results also indicate that access to the Internet matters more than faster Internet speed for innovation. Policy implications for these results suggest that if there were a minimum Internet access initiative, there could potentially be a significant increase in innovation by the U.S.     

TEMPOROMANDIBULAR JOINT MORPHOLOGY IN CAVALIER KING CHARLES SPANIELS

Temporomandibular joint dysplasia has been reported in several breeds of dog. Three Cavalier King Charles Spaniel (CKCS) skulls were examined and radiographed during the course of a separate study and all demonstrated changes consistent with bilateral temporomandibular joint dysplasia. Subsequently, skull radiographs from all CKCS dogs examined at the University of Glasgow Veterinary School between 1991 and 2001 were reviewed (n = 26). Only two of these dogs were radiographed specifically for investigation of the temporomandibular joint, although varying degrees of dysplasia were identified in all dogs where the joints were adequately visualized (n = 20). The head of four CKCS cadavers was also radiographed, and similar changes were found. This finding suggests that temporomandibular joint dysplasia is a widespread asymptomatic condition in the CKCS and should be regarded as a normal morphologic variation rather than a pathologic anomaly. Subtle changes are best seen on lateral oblique radiographs, although marked changes are also visible on dorsoventral views. The rotational angle or angle of articulation of each of the dysplastic mandibular condyles was measured and was related to the severity of the dysplastic changes. However, there was overlap between the values calculated for these abnormal joints and normal ones in other breeds, suggesting this measurement was of limited significance and the shape of the components of the temporomandibular joint are more relevant when assessing this joint for the presence of dysplastic changes.     

The effects of kaolin particle film on Plutella xylostella behaviour and development

Studies were conducted to evaluate the effect of a kaolin-based particle film against the diamondback moth, Plutella xylostella (L.) (Lepidoptera: Plutellidae). The effect of the particle film on development, survival and host plant selection was tested on calabrese seedlings, Brassica oleracea italica Plenck cv. Fiesta F(1), under controlled environmental conditions in the laboratory. Survival to adulthood was significantly reduced and development time increased on kaolin-treated compared with water-treated host plants. The hatch rate of neonate P. xylostella larvae from eggs laid on an artificial substrate was unaffected by the particle film applied after oviposition. Experiments showed that, when given the choice, significantly fewer larvae first made contact with the kaolin-treated compared with the water-treated plant material and that after 24 h there were still significantly fewer larvae present on kaolin-treated leaves. Adult females, however, deposited more eggs on host plants coated with the kaolin particle film. As part of this series of experiments the water control treatment was compared with plant material which had been sprayed with kaolin on the upper surface only and on both leaf surfaces. In general, any observed treatment effect was enhanced with an increase in the particle film coverage. The results warrant the extension of investigations of kaolin-based particle films to field-based P. xylostella management strategies.