Hiatal herniation as a complication of chronic diaphragmatic herniation

Three of four cases of chronic diaphragmatic herniation seen over a period of 12 months developed hiatal herniation within five to eight days of corrective surgery for the diaphragmatic herniation. None of the dogs had shown any prior signs referrable to hiatal herniation. The features that developed subsequent to diaphragmatic herniorrhaphy in all cases were dyspnoea, increased intra-abdominal pressure due to decreased abdominal domain and laxity of the oesophageal hiatus as judged subjectively at the time of surgery for hiatal herniation correction. These conditions may be significant underlying factors for the development of hiatal herniation not preceded by diaphragmatic herniation in the dog. Those associated factors accepted as important in humans, including reduced lower oesophageal sphincter tone and gastroesophageal reflux, may not be of similar importance in small animals.     

Characterization of intracellular and extracellular saxitoxin levels in both field and cultured Alexandrium spp. samples from Sequim Bay, Washington

Traditionally, harmful algal bloom studies have primarily focused on quantifying toxin levels contained within the phytoplankton cells of interest. In the case of paralytic shellfish poisoning toxins (PSTs), intracellular toxin levels and the effects of dietary consumption of toxic cells by planktivores have been well documented. However, little information is available regarding the levels of extracellular PSTs that may leak or be released into seawater from toxic cells during blooms. In order to fully evaluate the risks of harmful algal bloom toxins in the marine food web, it is necessary to understand all potential routes of exposure. In the present study, extracellular and intracellular PST levels were measured in field seawater samples (collected weekly from June to October 2004–2007) and in Alexandrium spp. culture samples isolated from Sequim Bay, Washington. Measurable levels of intra- and extra-cellular toxins were detected in both field and culture samples via receptor binding assay (RBA) and an enzyme-linked immunosorbent assay (ELISA). Characterization of the PST toxin profile in the Sequim Bay isolates by pre-column oxidation and HPLC-fluorescence detection revealed that gonyautoxin 1 and 4 made up 65 ± 9.7 % of the total PSTs present. Collectively, these data confirm that extracellular PSTs are present during blooms of Alexandrium spp. in the Sequim Bay region.     

Detection of canine microalbuminuria using semiquantitative test strips designed for use with human urine

Background — Commercial testing for microalbuminuria in human urine is often performed with point-of-care semiquantitative test strips followed by quantitative testing when indicated. An ELISA that quantifies canine urine albumin concentration has been developed, but semiquantitative test strips for use in the dog are not available.
Objective — The purpose of this study was to prospectively determine the concordance of canine urine albumin concentrations measured by a commercial human test strip and by ELISA.
Methods — Urine samples were obtained from 67 dogs evaluated for a variety of clinical conditions. Dipstick urinalyses were performed on all samples; clinician discretion determined method of urine collection and performance of urine sediment examination and/or urine culture. Urine albumin concentration was determined using test strips (Clinitek Microalbumin, Bayer Corporation, Elkhart, Ind, USA), and results were compared with those obtained by ELISA.
Results — The Clinitek strips correctly determined albumin concentration in 42 of 67 (63%) urine samples tested. Concordance was lowest (48%) for dogs with microalbuminuria (10–300 μg/mL by ELISA). Clinitek strip sensitivity and specificity for correct identification of microalbuminuria were 48% and 75%, respectively. Concordance was lower in dogs with urinary tract infection or hematuria and in samples collected by catheterization. Sensitivity and specificity for correct identification of microalbuminuria after exclusion of dogs with urinary tract infection or hematuria were 59% and 83%, respectively.
Conclusion — These results suggest that the Clinitek strips lack sufficient concordance with results obtained by ELISA to be reliable screening tests for microalbuminuria in the dog. A reliable semiquantitative point-of-care test for canine urine albumin concentrations below those detected by standard urine dipsticks is still needed.     

Assessing the role of federal community assistance programs to develop biomass utilization capacity in the western United States

As forest biomass utilization becomes cost effective to harvest, more areas at risk of catastrophic wildfire can be thinned of dense brush and small diameter trees. In an effort to increase biomass utilization, the USDA Forest Service granted more than $36 million in National Fire Plan-Economic Action Program funds in the western United States during fiscal years 2001 to 2003. Interviews with program coordinators and grant recipients were used to characterize the types of investment strategies used and to assess accomplishments relative to national fuels reduction objectives. Findings include a strong emphasis on grants leveraging other funding sources, coordination of resources to increase utilization capacity, and the need for technical assistance to facilitate project design and implementation. We conclude that community assistance programs may help to create the type of utilization capacity necessary to reduce hazardous fuels, but that sustained progress will depend on synergistic activities on multiple fronts and improved demonstration of program accomplishments.     

Cutaneous lesions.

Although not a substitute for histologic examination, lumps, bumps, and lesions of the skin and subcutis readily lend themselves to cytologic examination via FNB, fine-needle nonaspiration biopsy, imprinting, or scraping of lesions. These techniques are used to obtain cells that can be examined by a clinical pathologist or cytologist to provide a diagnosis, decide a course of therapy, or offer a prognosis. Although histologic and cytologic examinations do not always agree, many times there is excellent correlation between the two disciplines. There are few patients with cutaneous lesions that would not benefit from cytologic examination of their lesion.     

Health effects associated with ozone and nitrogen dioxide exposure

Of the oxidants and nitrogenous compounds found in ambient air, O₃ and NO₂ are among those most thoroughy investigated. Large health data bases have been compiled in air quality criteria documents, which serve as the basis for review of primary (health) national ambient air quality standards (NAAQS) for each pollutant. When comparisons can be made, O₃ is generally more toxic than other photochemical oxidant species at or near ambient levels, although NO₂ does not appear to be of more concern with respect to carcinogenesis. Public health effects of concern for O₃ range from acute symptoms (e.g. cough) and decreased lung function to persistent functional changes and permanent scarring of lung tissue, a possible precursor to chronic lung disease. Impairment of immune defenses and increased susceptibility to lung infection have also been associated with O₃ exposure. Populations at greatest risk include exercising healthy persons, children, and those with preexisting lung disease. Nitrogen dioxide exhibits similar health effects but at higher concentrations. These effects include acute symptoms and lung function impairment, increased susceptibility to acute respiratory infection, and possibly conditions leading to chronic lung disease. Populations potentially at risk include children, asthmatics, and individuals who exercise in the presence of NO₂. Health effects data for O₃ and NO₂ are under consideration in the current review of both primary NAAQS.     

Splenic Infarction in 16 Dogs: A Retrospective Study

Sixteen dogs with splenic infarction due to causes other than splenic torsion were identified. Dogs with splenic infarction often had multiple concurrent diseases, and surgical management of splenic infarction was associated with high mortality. Splenic infarction occurred in dogs with hypercoagulable conditions associated with liver disease, renal disease, and hyperadrenocorticism, or as a consequence of uniform splenomegaly, neoplasia, or thrombosis associated with cardiovascular disease. Clinical signs and common laboratory findings generally reflected the underlying disease process. A variety of splenic abnormalities were detected by abdominal ultrasound in 15 dogs, with the ventral extremity of the spleen being most often abnormal. Four dogs were euthanized or died because of the presence of severe systemic disease, whereas 12 dogs underwent laparotomy. Complete splenectomy was performed in 9 dogs and partial splenectomy was performed in 2 dogs. Seven dogs died in the immediate postoperative period, 3 required chronic veterinary care, and 2 had uncomplicated long-term recoveries. Splenic infarction should be regarded as a sign of altered blood flow and coagulation, rather than as a primary disease, and surgical management should be reserved for patients with life-threatening complications such as hemoabdomen or sepsis.     

Spontaneous cholecystocutaneous fistula in a dog

The purpose of this case report was to describe the surgical correction of a cholecystocutaneous fistula in a dog. A 6 yr old Vizsla presented with a 2 mo history of a chronic draining wound on the right ventral thorax. Diagnostics revealed numerous fistulous tracts opening at a single site on the right ventrolateral chest wall, extending caudodorsally through the chest wall and diaphragm to the region of the right medial liver lobe. Exploratory laparotomy revealed the apex of the gallbladder adhered to the diaphragm with a tract of fibrous tissue extending along the diaphragm laterally to the right thoracic wall. Cholecystectomy was performed. The fistulous tract was incised to expose the lumen of the fistula, and the fistula was omentalized. Twenty-eight months after surgery, the dog had had no recurrence of the fistulous tract. Exploratory laparotomy allowed excellent visualization of the intra-abdominal path of the fistula and facilitated the ease of resection of the source. Cholecystectomy resulted in rapid and complete resolution of the fistula without the need for excision of the fistula. Although rare, gallbladder disease should be a differential for chronic fistulous tracts.     

Impact of diet on development of bronchial-associated immunity in the neonatal piglet

Bronchial-associated immune development is critically important to protect neonates from respiratory infections. Herein, bronchial-associated immune development in formula-fed and sow-reared pigs is described. Colostrum-fed newborn piglets were fed medicated sow milk replacer formula beginning at 48 h of life or remained with the sow. Blood and tissues were sampled at one-week (d7) and three-weeks (d21) of age. Lymphocyte subpopulations, including T helper 2, cytotoxic T, memory T, and NK cells, in peripheral blood, mediastinal lymph nodes, and thoracic lymph nodes were identified using flow cytometry. Additionally, IL-1β, IL-6, IL-12, TNFα, TGF-β1, TGF-β2, IFNα, IFNβ, and dectin gene expression were analyzed by quantitative RT-PCR. Total IgG, IgM, and IgA concentrations in serum were analyzed. Dietary and developmental effects were observed. This set of baseline measurements provides a framework for future respiratory challenge studies where the effects of diet on the neonate's ability to resist and/or recover from infection can be tested.