Triggers for prophylactic use of platelet transfusions and optimal platelet dosing in thrombocytopenic dogs and cats.

Prophylactic platelet transfusions are frequently given to human patients with hypoproliferative thrombocytopenia. For several decades, the most common transfusion trigger was 20,000/microL, but the trend is now to use 10,000/microL in the absence of other risk factors for bleeding. This trigger seems to reduce the number of transfusions without increasing the risk of severe bleeding. Most studies involved in establishing platelet transfusion policies have involved patients with acute leukemia, with fewer studies involving patients undergoing hematopoietic stem cell transplantation or aggressive chemotherapy for other cancers and patients with aplastic anemia. In the presence of other risk factors for spontaneous bleeding, 20,000/microL is still considered an appropriate trigger. The trigger for prophylactic transfusion before surgery has not undergone the same recent scrutiny as has the trigger for spontaneous bleeding. The recommendation remains to raise the platelet count to 50,000 to 100,000/microL if possible, although it is recognized that surgery and other invasive procedures have been performed at lower platelet counts without major bleeding. Prophylactic transfusion is not used in disorders of platelet consumption and destruction to prevent spontaneous bleeding but is used before surgery. Because of the comparative lack of experience with platelet transfusion in veterinary medicine, it is difficult to make generalizations for dogs and cats. Using the guidelines established for therapeutic and prophylactic transfusion of human patients is a reasonable starting point, however. A therapeutic transfusion policy is suggested in the veterinary setting provided that the patient can be closely observed for critical bleeding and a prompt transfusion can be given. This policy should ultimately reduce the overall number of platelet transfusions given to hospital patients. If an animal cannot be closely observed or the ability to transfuse on demand is limited, prophylactic transfusion is recommended. The triggers for initiating a platelet transfusion in dogs are extrapolated from human data; these values are lower by 50% for cats. Because of the imprecision of platelet counting at low values, platelet counts must always be interpreted in conjunction with clinical signs of hemorrhage. If platelet-rich plasma or platelet concentrate is available, a dose of 1 platelet unit per 10 kg is recommended, although resources may dictate a smaller dose. This will raise the recipient platelet count by a maximum of about 40,000/microL. Assuming a trigger of 10,000/microL, a transfusion will probably be required approximately every 3 days. It must be remembered that the frequency of platelet transfusions may be greater in the presence of factors accelerating platelet loss or destruction. If fresh whole blood is used, a rule of thumb is to transfuse 10 mL/kg, which will raise the recipient platelet count by a maximum of approximately 10,000/microL. Daily transfusions or transfusions every other day will probably be required.     

Error assessment in decision-tree models applied to vegetation analysis

Methods were developed to evaluate the performance of a decision-tree model used to predict landscape-level patterns of potential forest vegetation in central New York State. The model integrated environmental databases and knowledge on distribution of vegetation. Soil and terrain decision-tree variables were derived by processing state-wide soil geographic databases and digital terrain data. Variables used as model inputs were soil parent material, soil drainage, soil acidity, slope position, slope gradient, and slope azimuth. Landscapescale maps of potential vegetation were derived through sequential map overlay operations using a geographic information system (GIS). A verification sample of 276 field plots was analyzed to determine: (1) agreement between GIS-derived estimates of decision-tree variables and direct field measurements, (2) agreement between vegetation distributions predicted using GIS-derived estimates and using field observations, (3) effect of misclassification costs on prediction agreement, (4) influence of particular environmental variables on model predictions, and (5) misclassification rates of the decision-tree model. Results indicate that the prediction model was most sensitive to drainage and slope gradient, and that the imprecision of the input data led to a high frequency of incorrect predictions of vegetation. However, in many cases of misclassification the predicted vegetation was similar to that of the field plots so that the cost of errors was less than expected from the misclassification rate alone. Moreover, since common vegetation types were more accurately predicted than rare types, the model appears to be reasonably good at predicting vegetation for a randomly selected plot in the landscape. The error assessment methodology developed for this study provides a useful approach for determining the accuracy and sensitivity of landscape-scale environmental models, and indicates the need to develop appropriate field sampling procedures for verifying the predictions of such models.     

Resolution of a Left Ureteral Stone Using Electrohydraulic Lithotripsy in a Thoroughbred Colt

A 3-year-old Thoroughbred colt was presented for evaluation of azotemia and anorexia. Physical examination revealed a ureterolith in the left ureter, approximately 10 cm from the bladder, which was thought to obstruct urine flow by approximately 90% when viewed cystoscopically. Ultrasonographic examination of both kidneys revealed indistinct corticomedullary junctions, and the right kidney was more hyperechoic. A percutaneous biopsy of the right kidney revealed chronic interstitial nephritis with marked interstitial medullary fibrosis. Medical therapy consisting of IV fluids, sodium chloride PO, and ammonium chloride PO was initiated. Ureteroscopic electrohydraulic lithotripsy via a perineal urethrostomy was used to successfully remove the stone. Klebsiella oxytoca , which responded to oral enrofloxacin therapy, was cultured from the urine after surgery. Azotemia resolved and the horse resumed training.     

Survey of cattle in northeast Colorado for evidence of chronic wasting disease: geographical and high-risk targeted sample.

A geographically targeted survey of potentially high-risk, adult cattle in chronic wasting disease (CWD)-endemic areas in Colorado was initiated to assess the possibility of the spread of CWD from deer to cattle under natural conditions. Surveyed cattle were sympatric with free-roaming deer in geographically defined areas where CWD occurs and where CWD prevalence has been estimated. To qualify for inclusion in the survey, cattle had to be at least 4 years old and had to have spent a minimum of 4 years in surveyed areas. Brains from culled cattle were examined microscopically and immunohistochemically for tissue alterations indicative of a transmissible spongiform encephalopathy (TSE). Two hundred sixty-two brains were suitable for evaluation and were found to lack changes indicative of a TSE infection. Prion deposition was not demonstrable using a method involving formic acid and proteinase-K treatment before application of monoclonal antibody to bovine prion protein (F99/97.6.1). Some incidental neuropathologic changes unrelated to those of TSEs were detected. Findings from this study suggest that large-scale spread of CWD from deer to cattle under natural range conditions in CWD-endemic areas of northeast Colorado is unlikely.     

Characterization of endotoxin from the rumen bacterium Megasphaera elsdenii.

Phenol-water extraction of Megasphaera elsdenii, a predominant gram-negative coccus in rumens of cattle fed high-grain diets, yielded material that exhibited typical characteristics of endotoxin. The extract was lethal to mice and to chicken embryos, caused biphasic fever in rabbits, leukopenia in mice, and local and generalized Shwartzman reactions; and induced tolerance to the lethal effect of the endotoxin in mice. The material contained carbohydrate, protein, lipid, phosphorus, and 2-keto-3-deoxyoctonate, but no nucleic acid. The beta-hydroxymyristic acid was absent. Results imply that M elsdenii endotoxin has many biological and chemical characteristics common to enterobacterial endotoxin. However, the median lethal doses in mice and in chicken embryos, and minimal dose required to elicit a local Shwartzman reaction, indicate that M elsdenii endotoxin's potency is low, which may explain why the large gram-negative bacterial population in the rumen of cattle is generally innocuous.     

Ontogeny of a specific high-affinity binding site for ovine placental lactogen in fetal and postnatal liver

Ovine placental lactogen (oPL) exerts actions in sheep and rodent fetal tissues that growth hormone (GH) does not. However, in postnatal tissues, both oPL and GH possess these activities. Although a high-affinity binding site for oPL in ovine fetal liver has been reported, some investigators believe this to be the GH receptor. It was our objective to discriminate between oPL and GH binding to fetal liver microsomes using competitive saturation analyses. Microsomal membranes from fetal liver (Days 60, 90, 105, 120, and 135 of gestation) and postnatal liver (1 wk of age) were incubated with increasing amounts of [¹²⁵I]oPL in the absence or presence of a 100-fold molar excess of unlabeled oPL. Saturable binding of [¹²⁵I]oPL was observed with fetal liver and postnatal liver microsomes. The K_d of the oPL-binding site in fetal liver was 122.1 ± 8.2 pM (mean ± standard error), and receptor concentrations remained relatively constant (9.8 ± 1.1 fmol/mg of membrane protein) across gestation. The highest concentration of oPL binding was detected in 1-wk postnatal liver microsomes (53.0 fmol/mg of membrane protein). Saturation analyses using [¹²⁵I]GH and [¹²⁵I] prolactin (PRL) were also conducted with fetal liver membrane preparations. Although specific binding for these two radiolabeled ligands was observed in control tissues, no specific binding was observed in fetal liver. These data are in agreement with earlier reports that a high-affinity binding site for oPL exists in fetal tissues. The fact that saturable binding could not be demonstrated for either GH or PRL with fetal liver microsomes contradicts recent suggestions that oPL is binding the GH receptor.     

Metabolism of choline in the rhizosphere and its possible influence on plant growth

The addition of choline chloride (1 mM ) to the rooting medium of Zea mays seedlings as well as enhancing salt tolerance, caused the pH of the medium to drop rapidly by 1.5 to 2.0 pH units in 24 h. This compares with a drop of 0.2 to 0.3 pH units in the presence of NH₄⁺ under equivalent conditions. In pot experiments choline treatment promoted the growth of maize and other species under alkaline conditions more effectively than NH₄⁺. The acidification of the root medium was due to choline catabolism by bacteria, characterised as a strain of Pseudomonas fluorescens, introduced into the medium by the seedling roots. Choline is probably metabolised by the organism via betaine aldehyde and betaine to sarcosine. The acidification step is associated with the oxidation of betaine aldehyde to betaine. The possible role of rhizosphere pH changes and the modification of plant metabolism by chemicals found in the soil are discussed in relation to plant growth under natural conditions.     

Changes in landscape patterns in Georgia,USA

The objectives of this study were to determine how landscape patterns in Georgia, USA have changed through time and whether the spatial patterns varied by physiographic region. Historical aerial photography was used to analyze spatial patterns of land use from the 1930's to the 1980's. Land use patterns were quantified by: (1) mean number and size of patches; (2) fractal dimension of patches; (3) amount of edge between land uses; and (4) indices of diversity, dominance, and contagion. Forest cover increased in aerial extent and in mean patch size. The mean size of agricultural patches increased in the coastal plain and decreased in the mountains and piedmont. Edges between land uses decreased through time, indicating less dissection of the landscape. Fractal dimensions also decreased, indicating simpler patch shapes. Indices of diversity and dominance differed through time but not among regions; the contagion index differed among regions but not through time. A geographic trend of decreasing diversity and increasing dominance and contagion was observed from the mountains to the lower coastal plain. Landscape patterns exhibited the greatest changes in the piedmont region. Overall, the Georgia landscape has become less fragmented and more connected during the past 50 years. Changing patterns in the landscape may have implications for many ecological processes and resources.