[An unexpected case of lower left-side abdominal pain. Acute reactivation of chronic osteomyelitis]

Osteomyelitis caused by S. aureus can be reactivated after decades. Our patient presented with an acute episode of lower left-side abdominal pain and subfebrile temperature due to a reactivation of a S. aureus osteomyelitis in the iliac bone which was initially misinterpreted as a sigma diverticulitis. Diagnosis was established by conventional radiographs as well as CT and MR scans. Harvesting the responsible germ by a bone biopsy prior to therapy is mandatory. Therapy consists of a surgical debridement combined with a long-lasting antibiotic therapy. Relapse can be found after long latency.

[Working conditions and health of general practitioners in Rhineland-Palatinate, Germany: first results of a state-wide survey]

AIM

The present study was designed to assess work stress and strain of German general practitioners as well as their health situation by means of standardised and validated instruments. A further objective was to investigate potential means to systematically prevent stress in the target population.

METHODS

The Institute of Occupational, Social and Environmental Medicine of the University Medical Centre of Mainz carried out a state-wide anonymous survey between June and July 2009. Altogether, 2 092 practice-based GPs in the federal German state of Rhineland-Palatinate were asked to take part in the cross-sectional study via postal mail.

RESULTS

808 GPs participated (response rate 38.6%), n=790 of these were eligible for the analysis. We found high levels of work strain and perceived stress. The estimated weekly workload was 54.4 h, about one quarter of which (13.4 h) was dedicated to administrative work. 86.8% of the GPs exceeded the cut-off >1 of the ERI-Q (short version) indicating a high stress level. In the preceding year, participants had kept up their work on an average of 8 days on which they actually felt too sick to work. Measures to prevent stress, as suggested by the general practitioners themselves aim at a reduction of administrative work, an improvement of the financial situation - especially in terms of a higher financial security - and a decrease of the workload. Users of professional supervision and systematic relaxation techniques rated these as helpful regarding stress reduction.

CONCLUSION

The present study is an important first step to systematically assess the working situation and health of GPs in Germany. The results reported here indicate an urgent need for actions to prevent stress.

Influence of diet on calcium metabolism, tissue calcification and urinary sludge in rabbits (Oryctolagus cuniculus)

Rabbits absorb more calcium (Ca) from their diet than they require, and excrete surplus via urine, which therefore contains a typical 'sludge'. This makes rabbits susceptible to Ca-containing uroliths. But given the Ca content of diets of free-ranging specimens, and the limited reports of urinary sludge and Ca contents in free-ranging lagomorphs, we can suspect that rabbits are naturally adapted to high urinary Ca loads. We fed four groups of New Zealand hybrid rabbits [n = 28, age at start 5-6 weeks) pelleted diets consisting of lucerne hay only (L, Ca 2.32% dry matter (DM)], lucerne:oats 1:1 (LG, Ca 1.36%), grass hay only (G, Ca 1.04%), or grass:oats 1:1 (GG, 0.83%) for 25 weeks, with water available ad libitum. Diets were not supplemented with Ca, phosphorus, or vitamin D. Rabbits on diets LG and GG had lower food and water intakes, lower faeces and urine output, grew faster and had higher body mass at slaughter (mainly attributable to adipose tissue). Apparent Ca digestibility decreased in the order L-LG-G/GG. Rabbits on L had larger and heavier kidneys, more urinary sediment at sonography, and a higher urinary Ca content than the other groups. No animal showed signs of urolithiasis/calcinosis at X-ray, sonography, or gross pathology. Kidney/aorta histology only sporadically indicated Ca deposits, with no systematic difference between groups. Under the conditions of the experiment, dietary Ca loads in legume hay do not appear problematic for rabbits, and other factors, such as water supply and level of activity may be important contributors to urolithiasis development in veterinary patients. However, due to the lower Ca content of grass hay, the significantly lower degree of urinary sludge formation, and the significantly higher water intake related with grass hay feeding, grass hay-dominated diets are to be recommended for rabbits in which urolithiasis prevention is an issue.

Dry matter and calcium digestibility in captive veiled chameleons (Chamaeleo calyptratus)

Although metabolic bone disease (MBD) is a very common disease in reptiles kept as pets, empirical data on the calcium (Ca) metabolism of reptiles are still scarce. We used the opportunity of a large-scale experimental study on growth and clinical manifestations of MBD in captive veiled chameleons (Chamaeleo calyptratus) to measure the apparent dry matter (DM) and Ca digestibility in 19 animals (6-49 g), receiving locust nymphs (Locusta migratoria) of two size classes (0.05 and 0.5 g) with or without supplementation of Ca, vitamin A and cholecalciferol (Group A: Ca 0.04-0.09%DM; Group B: Ca 0.47-0.84%DM). Dry matter digestibility was significantly lower for animals receiving smaller-sized prey. A regression analysis of dietary Ca vs. digestible Ca content revealed a complete 'true' digestibility of Ca for the range of investigated diets, which might indicate that requirements for this mineral were not yet exceeded by the diets used (so that a reduction in Ca absorption would be induced). Options of higher dietary Ca provision, and reactions of chameleons to such diets, should be further investigated.

The histology around the cemented Müller straight stem: A post-mortem analysis of eight well-fixed stems with a mean follow-up of 12.1 years

The aim of this study was to obtain detailed long-term data on the cement-bone interface in patients with cemented stems, implanted using the constrained fixation technique. A total of eight stems were removed together with adjacent bone during post-mortem examinations of patients with well-functioning prostheses. Specimens were cut at four defined levels, contact radiographs were obtained for each level, and slices were prepared for histological analysis. Clinical data, clinical radiographs, contact radiographs and histological samples were examined for signs of loosening and remodelling. The mean radiological follow-up was 9.6 years and all stems were well-fixed, based on clinical and radiological criteria. Contact radiographs revealed an incomplete cement mantle but a complete filling of the medullary canal for all implants. Various amounts of polyethylene particles were evident at the cement-bone interface of seven stems, with no accompanying inflammatory reaction. Cortical atrophy and the formation of an 'inner cortex' were confirmed in six of eight stems by contact radiographs and histology, but were only visible on two clinical radiographs. Our results confirm that a complete cement mantle is not essential for the survival of Müller straight stems into the mid term, and support our hypothesis that no benefit to long-term survival can be expected from modern cementing techniques.

[New methods for the diagnosis of implant-associated infections]

For successful treatment of prosthetic joint infection, the identification of the infecting microorganism is crucial. Cultures of synovial fluid and intraoperative periprosthetic tissue represent the standard method for diagnosing prosthetic joint infection. Rapid and accurate diagnostic tools which can detect a broad range of causing microorganisms and their antimicrobial resistance are increasingly needed. With newer diagnostic techniques, such as sonication of removed implants, microcalorimetry, molecular methods and mass spectrometry, the sensitivity has been significantly increased. In this article, we describe the conventional and newer diagnostic techniques with their advantages and potential future applications.

Collection and analysis of breath and breath condensate exhaled by feral pigeons (Columba livia) and chickens (Gallus domesticus)

Samples of exhaled breath and breath condensate were collected from 20 feral pigeons (Columba livia) while they were anaesthetised and intubated, and when they were kept unanaesthetised in an acrylic box. Samples were also collected from six chickens (Gallus domesticus) while they were kept in an acrylic box. The samples were analysed for pH, nitric oxide (NO), hydrogen peroxide and leukotriene B4. The volume of condensate collected from the pigeons was independent of bodyweight and significantly more (1.66 [0.64] ml/kg) was obtained while they were in the acrylic box than when they were intubated (0.87 [0.32] ml/kg). The mean volume collected from the chickens was 0.15 (0.06) ml/kg. Cooled samples had higher concentrations of NO than uncooled samples. The pH of the samples of condensate collected from birds in the acrylic box were significantly higher (7.9 [0.3]) than those from the intubated birds (5.3 [0.1]), and samples from the chickens had significantly higher pH values than samples from the pigeons (8.2 [0.2] v 7.9 [0.3]).

Fixation and loosening of the cemented Muller straight stem: a long-term clinical and radiological review

The original forged Müller straight stem (CoNiCr) has shown excellent ten- to 15-year results. We undertook a long-term survival analysis with special emphasis on radiological changes within a 20-year period of follow-up. In all, 165 primary total hip replacements, undertaken between July 1984 and June 1987 were followed prospectively. Clinical follow-up included a standardised clinical examination, and radiological assessment was based on a standardised anteroposterior radiograph of the pelvis, which was studied for the presence of osteolysis, debonding and cortical atrophy. Survival of the stem with revision for any reason was 81% (95% confidence interval (CI), 76 to 86) at 20 years and for aseptic loosening 87% (95% CI, 82 to 90). At the 20-year follow-up, 15 of the surviving 36 stems showed no radiological changes. Debonding (p = 0.005), osteolysis (p = 0.003) and linear polyethylene wear (p = 0.016) were associated with aseptic loosening, whereas cortical atrophy was not associated with failure (p = 0.008). The 20-year results of the Müller straight stem are comparable to those of other successful cemented systems with similar follow-up. Radiological changes are frequently observed, but with a low incidence of progression, and rarely result in revision. Cortical atrophy appears to be an effect of ageing and not a sign of loosening of the femoral component.

Gross anatomy of the intestine in the giraffe (Giraffa camelopardalis)

We describe the macroscopic anatomy of the intestine of the giraffe (Giraffa camelopardalis). The small intestine was divided into duodenum, jejunum and ileum as usual. The caecum was attached to the ileum by a long ileocaecal fold, and to the proximal ansa of the ascending colon by a caecocolic fold. The ascending colon was the most developed portion of the gross intestine and had the most complex arrangement with three ansae: the proximal ansa, the spiral ansa and the distal ansa. The proximal ansa completely encircled the caecum, describing a 360 degrees gyrus, and represented the widest portion of the intestine. The spiral ansa was formed by three and a half centripetal gyri, a central flexure and three centrifugal gyri. The last centrifugal gyrus left the spiral and described nine flexures of different form and direction over the left side of the mesentery. The two portions that formed each of these flexures ran parallel to each other. The last part of this gyrus ran parallel to the jejunum. When compared with domestic cattle, giraffe had a comparatively short small intestine and a comparatively long large intestine, with a resulting small ratio of small:large intestine. Reasons are presented why this should be considered a peculiarity of cattle-like ruminants rather than a different representative of a browser-grazer dichotomy in general.

The influence of dietary tannin supplementation on digestive performance in captive black rhinoceros (Diceros bicornis)

Free-ranging browsers such as the black rhinoceros (Diceros bicornis) consume a diet that contains tannins, whereas the diets offered to them in captivity consist mostly of items known to contain hardly any such secondary plant compounds. Tannins could have potentially beneficial effects, including the chelation of dietary iron (iron storage disease is a common problem in black rhinos). Here, we tested the acceptance, and the consequences on digestion variables, of a low-dose tannin supplementation in captive animals. Eight black rhinoceroses from three zoological institutions were used. Faecal output was quantified by total faecal collection. Diets fed were regular zoo diets supplemented with either tannic acid (T, hydrolysable tannin) or quebracho (Q, condensed tannins); overall tannin source intake increased at 5-15 g/kg dry matter (DM) in relation to regular zoo diets. Adaptation periods to the new diets were >2 months. Additional data were taken from one hitherto unpublished study. Data were compared to measurements in the same animals on their regular zoo diets. All animals accepted the new diets without hesitation. There was no influence of tannin supplementation on digestion coefficients of DM and its constituents, or faecal concentrations of short-chain fatty acids or lactate. Water intake did not increase during tannin supplementation. Should the inclusion of dietary tannin sources be an objective in the development of diets for captive rhinoceroses, moderate doses such as used in this study are unlikely to cause relevant depressions of digestive efficiency and will not interfere with bacterial fermentation in a relevant way.

Quantification of Enterobacteriaceae in faeces of captive black rhinoceros (Diceros bicornis) in relation to dietary tannin supplementation

Free-ranging browsing herbivores ingest a range of secondary plant compounds, such as tannins, with their natural diet. As many of these substances have been shown to have antibacterial properties, it could be speculated that a lack of such compounds in captive zoo diets could favour the growth of potentially pathogenic intestinal bacteria. The effect of a supplementation of a conventional diet (N, consisting mainly of grass hay and/or lucerne hay and pelleted compound feeds) fed to eight captive black rhinoceroses (Diceros bicornis) from three zoological institutions with either tannic acid (T), a source of hydrolysable tannins, or quebracho (Q), a source of condensed tannins, was investigated. The number of faecal colony forming units (CFU) of Enterobactericeae was determined by colony count of dilution series from fresh faeces applied to MacConkey agar plates. Tannins were added to the diets at approximately 5-15 g/kg dry matter, depending on the varying intake of roughage and compound feeds by the animals. There was no difference in the number of CFU between diets N (95.0 x 10(5) +/- 225.3 x 10(5)/g fresh faeces) and T (164.3 x 10(5) +/- 225.1 x 10(5)/g fresh faeces); in contrast, diet Q led to a significant reduction in CFU (4.3 x 10(5) +/- 6.5 x 10(5)/g fresh faeces) compared with the other diets. These findings suggest that condensed tannins could have the potential to reduce the number of potentially pathogenic intestinal bacteria, and that the deliberate inclusion of tannin sources in the diets of captive wild animals should be further investigated. The fact that tannic acid, shown to have antibacterial effects in various in vitro studies, did not have an effect in this study, emphasizes that the relevance of tannin supplementation for intestinal health must be verified in vivo.

Effect of captivity and mineral supplementation on body composition and mineral status of mustached bats (Pteronotus parnellii rubiginosus)

We investigated the whole-body crude nutrient (fat, protein, ash) and mineral (Ca, P, Mg, Na, K) composition of mustached bats of three different groups: animals from the wild (n = 6), and animals from captivity on an unsupplemented feeding regime of mealworms (n = 7), and on a feeding regime in which the mealworms were kept on a mineral substrate prior to feeding (n = 6). It was shown that mealworms from the mineral substrate had higher Ca contents than mealworms from the conventional substrates. In an earlier study, differences in bone mineral density had been found between the groups. These differences, however, were not reflected in differences in whole-body composition. Captive animals showed a larger variation in body weight and fat content, indicating potential shortcomings of the dietary and husbandry regime.

Mineral absorption in the black rhinoceros (Diceros bicornis) as compared with the domestic horse

To test whether mineral recommendations for horses are likely to guarantee adequate mineral provision for black rhinoceroses (Diceros bicornis), we investigated the apparent absorption (aA) of macro- and microminerals in eight black rhinoceroses from three zoological institutions in a total of 32 feeding trials with total faecal collection, with additional data from three unpublished studies (18 feeding trials). Feeds and faeces were analysed for Ca, P, Mg, Na, K, Fe, Mn, Cu, Zn and Co. The resulting aA coefficients, and the linear relationships of apparently absorbable dietary mineral content to total dietary mineral content [per 100 g dry matter (DM)], were compared with data for domestic horses. Rhinoceroses had significantly higher aA coefficients for Ca and Mg (because of a higher calculated 'true' absorption), and lower ones for Na and K (because of calculated higher endogenous faecal losses). High absorption efficiency for divalent cations is hypothesized to be an adaptation to a natural diet of particularly high Ca:P ratio (approximately 14:1); an effective removal of Ca from the ingesta guarantees sufficient P availability at the fermentation site in the hindgut. Higher faecal losses of Na and K are hypothesized to be linked to a higher faecal bulk per DM intake in black rhinoceroses as compared with horses because of a generally lower digestive efficiency. There were no relevant differences in the absorption patterns of microminerals. In particular, there were no discernable differences in Fe absorption within the rhinoceroses for diets with and without tannin supplementation. Several of the zoo diets assessed in this study were deficient in Cu, Mn or Zn, and most contained excessive levels of Fe when compared with horse requirements. The findings of this study indicate that differences in mineral absorption between occur even between species of similar digestive anatomy; that in particular, Ca absorption might vary between hindgut fermenters with Ca:P ratio in their natural diet; that Na might be a particularly limiting factor in the ecology of free-ranging rhinoceroses; that moderate doses of tannins do not seem to markedly influence mineral absorption; and that diets for captive animals should contain adequate, but not excessive mineral levels.

[Corrective osteotomy of post-traumatic malunions and pseudarthroses in the femur using a fork plate: a prospective analysis of 23 consecutive cases]

INTRODUCTION

The fork plate is a further development of the AO fixed-angle blade plate, which facilitates the seeding of the angle blade. In a prospective study we evaluated the applicability of the fork plate for the correction of post-traumatic malunions and pseudarthroses in the femur.

MATERIAL AND METHODS

Between 01/1993 and 12/2003 a consecutive series of 23 patients were operated due to post-traumatic malunion or pseudarthrosis of the femur with an average age of 46 years at the time of surgery. The operative procedure is analogous to the one using angle blade plates. The most important surgical step, the placement of the fork instead of the blade, is more precise thanks to stepwise control with the image intensifier.

RESULTS

All preexisting malunions and pseudarthroses were corrected with the fork plate as preoperatively planned. Complications not related to the implant were found in 13%, all of which resolved without sequelae. In 87% we found a bony union of the osteotomy after 3 months, and the three remaining femora healed within an additional 2-12 months without loss of the correction achieved.

CONCLUSION

In all of the cases analyzed, the fork plate proved to be of value for correction of femoral malunion and pseudarthrosis. In relation to the angle blade plate, the fork plate features a modified surgical technique with the same possible indications. As a consequence this modification provides a high level of therapeutic safety even with a small number of annual operations performed.

[The cemented MS-30 stem. A multi-surgeon series of 333 consecutive cases]

INTRODUCTION

So far there is only one peer-reviewed long-term publication from the inventors' clinic for the MS-30 stem.

MATERIAL AND METHODS

In a retrospective study we followed the first 333 consecutive MS-30 stems. All patients with 5- to 11-year follow-up were clinically and radiographically evaluated. At the time of implantation the criteria of modern cementing techniques were not implemented. Clinical evaluation was done using the scores of Harris and Merle d'Aubigné and Postel. Radiographic evaluation included quality of the cement mantle (true lateral radiographs taken under fluoroscopy), stem subsidence, loosening signs, and the risk for pending failure.

RESULTS

At follow-up 12 hips had undergone femoral revision: 3 for aseptic loosening, 6 for infection, 1 for periprosthetic fracture, and 2 for recurrent dislocation. The overall survival for all reasons at 10 years was 96.1%; survival with aseptic loosening as an end point was 99.0%. The median Harris Hip Score at follow-up was 80 (26-100) points. Radiological evaluation revealed a thin cement mantle (<2 mm) in approximately 2/3, predominantly on the lateral views (Gruen zones 8/9). One-third of all reviewed prostheses were considered at risk for pending failure, which strongly correlated with the initial quality of the cement mantle.

CONCLUSION

Midterm results with the MS-30 stem are encouraging and an even better long-term outcome can be expected with a better cement technique.

Differences in Bone Mineral Content and Density between Male and Female Budgerigars (Melopsittacus undulatus) during the Non-reproductive Season

It is known that female birds increase medullary mineral stores in long bones shortly before egg laying. Here, we present results from two groups of budgerigars, in both of which females had significantly higher bone mineral contents and densities, as measured by peripheral quantitative computed tomography of the tibiotarsus, during a reproductively dormant period. The results could indicate that female birds can accumulate mineral stores outside of the breeding season.

Collection of exhaled breath and exhaled breath condensate in veterinary medicine. A review

Collection of exhaled breath (EB) and exhaled breath condensate (EBC) is a noninvasive method for obtaining samples from the lower airways. While this technique has been well established for the diagnosis of lower respiratory tract diseases in human medicine, only a few studies have been performed in veterinary medicine. This article critically reviews the collection methods and parameter values measured in various animal species published to date and points out directions for further research.

Digestion studies in captive Hippopotamidae: a group of large ungulates with an unusually low metabolic rate

We performed intake and digestibility studies in four common (Hippopotamus amphibius) and four pygmy (Hexaprotodon liberiensis) hippos from two zoological institutions, using acid detergent lignin as an internal marker for the quantification of faecal output. In the case of one pygmy hippo, where total faecal collection was also possible, there was no distinct difference between the two methods of faecal output quantification. Two animals from each species were tested on a conventional zoo diet of hay and concentrates (diet HC) and on hay only (diet H). The other two animals received fresh grass at two different levels of intake (diets G1 and G2). Dry matter (DM) intake was higher on HC than on H or G diets, and averaged 37 +/- 11 for common and 35 +/- 14 g/kg(0.75) for pygmy hippos. There were no species differences in the average digestibility (aD) coefficients. Non-dietary faecal nitrogen averaged 65 +/- 4% of total faecal nitrogen, aD of crude protein (CP) averaged 67 +/- 9% and true protein digestibility 89 +/- 3%. Average digestibility of DM and crude fibre averaged 54 +/- 11% and 45 +/- 17%, respectively. In comparison with ruminants, hippos generally achieve lower aD for DM, organic matter and fibre parameters, but equal or higher aD CP coefficients. This is most likely due to the absence of significant fermentative activity in the hindgut and the corresponding low metabolic faecal nitrogen losses. Digestible energy intake was higher on HC than on H or G diets and averaged 0.30 +/- 0.11 MJ/kg(0.75) metabolic body mass. This value is extremely low for ungulates, supporting earlier suspicions that hippos have particularly low metabolic rates, and explains the proneness of this species to obesity in captivity when fed energy-dense pelleted feeds.

Digestion coefficients achieved by the black rhinoceros (Diceros bicornis), a large browsing hindgut fermenter

In contrast to the grazing white (C. simum) and Indian (R. unicornis) rhinoceros, the black rhinoceros (D. bicornis) is an exclusive browser. Due to the particular fermentation characteristics of browse, one would expect browsers to display both shorter ingesta retention times and lower digestion coefficients on comparable diets than grazers. In order to generate a database to test this hypothesis, we performed digestibility studies in eight black rhinoceroses (D. bicornis) from three zoological institutions, using total faecal collection for the quantification of faecal output. One to three regularly fed zoo rations of roughage, concentrates and varying proportions of browse material were used per animal. Additional data was taken from three hitherto unpublished studies as well as several published sources. When compared with horses on similar rations, black rhinoceroses achieved lower digestion coefficients for organic matter and CF. In general, an increase in dietary CF content led to a steeper decrease in organic matter and GE digestibility in black rhinoceroses than in horses. When comparing available data for rhinoceroses, browsing species showed a steeper decrease in organic matter digestibility than grazing species with increasing dietary cell wall content. Endogenous losses as determined by linear regression analysis were within the range reported for horses and Indian rhinoceroses. The results suggest that the horse is not a useful model animal for evaluating diets for black rhinoceroses energetically. In general, diets fed to captive black rhinoceroses seem to include higher proportions of concentrates than diets for other rhinoceros species, and an increase in browse or roughage would reduce digestion coefficients to levels observed in animals fed natural forage.

Antioxidant Status of Faeces of Captive Black Rhinoceros (Diceros bicornis) in Relation to Dietary Tannin Supplementation

In context with the frequent observations of excessive iron (Fe) storage in captive black rhinoceroses (Diceros bicornis), it has been suggested that both an excessive dietary Fe content and a lack of dietary Fe-chelating substances, such as tannins, is the underlying cause. Therefore, studies on the effects of tannin supplementation to captive diet are warranted. Six captive rhinoceroses were fed their normal zoo diet (N), and a similar diet supplemented with either tannic acid (T, hydrolysable tannin) or quebracho (Q, condensed tannins), and the total antioxidant capacity (TAC) was measured as mmol Trolox equivalents per kg fresh faeces. The TAC values on diets N (1.24 +/- 0.39 mmol/kg fresh faeces) and T (1.34 +/- 0.33 mmol/kg fresh faeces) were similar, but significantly higher on diet Q (2.32 +/- 0.61 mmol/kg fresh faeces). In contrast to expectations, faecal TAC increased with increasing faecal Fe, possibly as a result of the fact that the faecal Fe content was positively correlated to the proportion of concentrate feeds in the diet, which also contain antioxidants, such as vitamin E, in addition to Fe. Increased antioxidant status caused by the use of tannin substances could have a beneficial effect on animal health, but if tannins should be incorporated in designed diets, other tannin sources, such as grape pomace should be tested.

Breed predisposition for BSE: epidemiological evidence in Bavarian cattle

We present epidemiological data from Bavaria that indicates that animals of the Brown Swiss (BS) cattle breed might be more susceptible to BSE than animals from other breeds, both in terms of disease prevalence and length of the incubation period. BS animals were disproportionately represented among the BSE cases (BS represented about 9% of the susceptible population but 27% of actual cases). BS were slaughtered at a higher age (5.8 years vs. 5.0 years for other breeds), and there is a higher prevalence of feeding proprietary feeds to BS calves than calves from other breeds. There was no difference in the recorded feeding practice of BSE-positive animals from BS or other breeds. These results would lead to expect a higher prevalence of BSE in the BS population, with BS BSE animals being of equal age or older than BSE animals from other breeds. In contrast, median age at BSE detection was significantly lower in BS animals than in other breeds (61.4 vs. 68.8 months). There was no difference in the identification categories of BSE between BS animals and animals of other breeds that could explain this difference in age. BS cattle are reported to have more octapeptid repeats in the prion protein gene than other breeds, which could account for shorter incubation periods and higher susceptibility. These observations suggest that BS animals and their tissues should be used in further studies into genetic determinants of BSE susceptibility in cattle.

Investigations of the potential risk factors associated with cases of bovine spongiform encephalopathy in Bavaria, Germany

In order to identify the management and feeding practices that might have contributed to the occurrence of bovine spongiform encephalopathy (BSE) in Bavaria, Germany, information from 110 dairy farms on which a case of BSE had been reported was compared with information derived from a questionnaire sent to approximately 10,000 Bavarian farms on which no case of BSE had been reported up to February 2003. Representative information was obtained from 4006 dairy farms. The results indicated that in comparison with these control farms a higher proportion of the BSE farms had also kept pigs or poultry, although the difference was not significant, and that a significantly higher proportion of the BSE farms had fed proprietary concentrates and/or milk replacers to their calves.

[Is computer navigation a useful tool in unicompartmental knee arthroplasty? A pilot cadaver study]

We conducted this pilot cadaver study to investigate whether the use of a navigation system during minimally invasive unicompartmental knee arthroplasty leads to more consistent results than the conventional hand-guided technique. We describe the accuracy of implant positioning in using standard instrumentation and computer navigation. Radiographic assessment showed that accurate component placement was achieved using both methods. These results were not statistically significant. The computer navigated femoral component placement without intramedullary (IM) rod was as accurate as the conventional method with IM rod. The study showed that computer navigation can produce accurate results even without an intramedullary rod. Image guidance can maintain the accuracy of the standard instrumentation and enhance 3D vision and the intraoperative orientation of the surgeon.

Energy and fibre intake in a group of captive giraffe (Giraffa camelopardalis) offered increasing amounts of browse

We investigated the effect of diet on intake of energy and fibre in a group of three captive adult giraffe by weighing offered diet items and leftovers for 7 days after an adaptation period of 7 days. Digestion coefficients were calculated using, as internal marker, the acid detergent lignin content of a faecal sample pooled from subsamples taken during the last 5 days of intake measurement. Two lucerne hay-only diets of differing quality (L1, L2) were fed, as well as the regular diet of lucerne hay and concentrates (L2C), and the regular diet supplemented with 3 or 6 kg of edible, fresh browse material (L2CB3, L2CB6). The proportion of roughage in the ingested diets L2CB6 (45 +/- 5% dry matter), L2CB3 (35 +/- 3%) and L2C (37 +/- 10%) did not differ significantly. Digestible energy intake was low on the hay-only diets [L1: 0.28 +/- 0.06 MJ/kg body weight (BW)0.75; L2: 0.33 +/- 0.10 MJ/kg BW0.75] and increased from L2C (0.60 +/- 0.13 MJ/kg BW0.75) to a significant increase with L2CB3 (0.72 +/- 0.17 MJ/kg BW0.75); no further increase was obvious for L2CB6 (0.63 +/- 0.15MJ/kg BW0.75). The results confirm that giraffes are unlikely to meet energy requirements on lucerne hay-only diets. In a feeding scenario where both lucerne hay and the concentrate component of the diet are fed ad libitum, the animals tended to exchange hay for browse when browse was added. Only the higher level of browse supplementation led to a potentially beneficial increase in fibre intake. Whether additional browse supplementation will lead to increased intakes in a feeding scenario with restricted concentrate provision can be suspected but remains to be demonstrated.

Biochemische Serumparameter bei in Gefangenschaft gehaltenen Gazellen

Ziel der Untersuchung war, Serumparametervon klinisch unauffälligen Gazellen der Al Wabra Wildlife Preservation (AWWP), Qatar, mit Referenzbereichen von Haus- und anderen Wildwiederkäuern zu vergleichen, um einerseits Rückschlüsse auf den Ernährungszustand der Tiere zu ermöglichen und andererseits Referenzbereiche für die untersuchten Arten zu etablieren. Material und Methoden: Von 250 klinisch gesunden Tieren der Arten Sömmeringgazelle (Gazella soemmerringii), Spekegazelle (Gazella spekei), Dor-kasgazelle (Gazella dorcas), Saudigazelle (Gazella saudiya), Echtgazelle (Gazella gazella), Arabische Kropfgazelle (Gazella subgutturosa marica) und Chinkaragazelle (Gazella benetti) wurden biochemische Serumparameter und Mineralgehalte gemessen. Ergebnisse: Hinsichtlich des Ernährungszustandes war die Versorgung mit Spurenelementen (Selen, Kupfer, Zink, Eisen) in der AWWP gemäß den gemessenen Serumgehalten gewährleistet. Die Gehalte an Phosphor, Gesamtprotein und Albumin deuteten jedoch auf eine suboptimale Fütterung hin, die vermutlich mit der minderen Qualität des in der Region verfügbaren Raufutters zusammenhängt. Die Gehalte an Natrium, Kalium, Kalzium, Magnesium, Chlor, Triglyzeriden, Cholesterin, Kreatinin sowie die ALT- und γ-GT-Aktivität lagen-wie bei anderen Wildwiederkäuern auch - im Referenzbereich für Hauswiederkäuer, der daherfür die Beurteilung dieser Parameter bei Wiederkäuern generelle Gültigkeit besitzen dürfte. Die Gehalte an Glukose, Harnstoff-Stickstoff, Kreatinkinase sowie die AP-Aktivität hingegen scheinen bei Wildwiederkäuern generell erhöht zu sein. Während andere Wildwiederkäuer für AST mit Hauswiederkäuern vergleichbare Werte aufweisen, ist die Aktivität dieses Enzyms bei Gazellen in dieser und in anderen Studien durchweg erhöht. Schlussfolgerung und klinische Relevanz: Die in der Untersuchung festgestellten Besonderheiten müssen bei der Beurteilung von Blutanalysen beachtet werden.

Observations on the Macroscopic Digestive Anatomy of the Himalayan Tahr (Hemitragus jemlahicus)

We measured macroscopic anatomical parameters of the digestive tract of 12 female Himalayan tahrs. According to morphological criteria used sensu Hofmann for the classification of ruminants into feeding types - in particular the reticuloruminal capacity measured as wet content weights, the ruminal pillar thickness, the reticular honeycomb structure, the size of the omasum and the size of the parotid glands - tahrs can be classified as predominantly grazing ruminants. As reported in other ruminant species, the length of the large intestine was a more constant parameter over a range of body weights than that of the small intestine. The weight of the parotid glands scaled to metabolic body weight.

Studies on digestive physiology and feed digestibilities in captive Indian rhinoceros (Rhinoceros unicornis)

We performed intake, digestibility and ingesta passage studies in 11 Indian rhinoceroses (Rhinoceros unicornis) from four zoological institutions, using total faecal collection for the quantification of faecal output. The regularly fed zoo ration of roughage and concentrates (ration RC) and a roughage-only ration (ration R) were used; the roughage source differed between the facilities and comprised grass hay, grass silage, straw and lucerne hay. Dry matter intake ranged between 0.8 and 1.3% of body weight on ration RC and 0.5-1.2% on ration R. Digestibility coefficients achieved were similar to those reported for horses on diets of comparable composition. Endogenous losses as determined by linear regression analysis were within the range reported for horses. Measurements of faecal volatile fatty acids, faecal lactate and faecal pH also showed similarity to similar measurements in horses. The mean retention times of fluids (Co-EDTA) and particles (Cr-mordanted fibre <2 mm) in the whole gastrointestinal tract averaged 42 and 61 h, respectively, and were the longest ever recorded in a monogastric ungulate with this marker system. The results suggest that the horse is a useful model animal for designing diets for Indian rhinoceroses. Why digestive parameters are similar between these species in spite of enormous differences in body weight and retention times remains to be answered.

Outcomes of the MS-30 cemented femoral stem

The MS-30 (Morscher-Spotorno) cemented femoral stem is a straight, three-dimensionally tapered, collarless implant for cemented fixation in total hip replacement, manufactured from a FeCrNiMnMoNb-alloy. This paper documents the review of 4 original follow-ups performed at four orthopaedic hospitals: three at the author's institution (Basel/Switzerland 2, Pietra Ligure/Italy 1), and one at the University Orthopaedic Hospital of Heidelberg/ Germany. A total of 911 hips in 867 patients have been provided with the MS-30 stem. All stems were fixed with Palacos bone cement, the great majority with antibiotic (Gentamicine) loaded cement. The mean observation time was 10.2, 5.6, 10.2 and 6.5 years. One hundred and sixty-four hips were lost due to patients death, 121 patients were unable to come to the follow-up check. Ten patients only were lost to follow-up. The total number of hips with a clinical radiological follow-up was 597. The clinical and radiological assessment was in accordance with the International Documentation and Evaluation System (IDES) forms from the Institute of Documentation of the M.E. Müller Foundation in Berne/Switzerland. RESULTS The overall survivorship in the four follow-ups were 100% after 10 years, 98.4% and 99.2% after 5.5.years, 98.5% after 10 years and finally 96.1% after 6.5 years. The respective percentages of survival for aseptic loosening were 100%, 99.2%, 100%, 98.5% and 98.8%. CONCLUSION According to the NIH (National Institute of Health, United Kingdom) a survival rate of 95% regarding aseptic loosening justifies or even recommends further clinical use of the respective endoprosthesis system.

Intake, ingesta retention, particle size distribution and digestibility in the hippopotamidae

Although several aspects of the digestive physiology of the hippopotamidae-non-ruminating foregut fermenters-have been described, ingesta kinetics and passage characteristics of these species are not well understood. The most outstanding feature of the hippo digestive physiology reported so far is the very long mean ingesta retention times (MRTs) measured by Foose [Foose, T., 1982. Trophic strategies of ruminant versus nonruminant ungulates. PhD dissertation, University of Chicago, Chicago.]. Since those data had been investigated with animals without water access, we intended to measure MRT in hippos which were allowed to enter water pools during the night. MRT parameters as well as dry matter (DM) digestibility were determined in four common (Hippopotamus amphibius) and four pygmy hippos (Hexaprotodon liberiensis) on two different diets each using cobalt ethylendiamintetraacetate (Co-EDTA) as a fluid, chromium (Cr)-mordanted fibre (<2 mm) as a particle and acid detergent lignin (ADL) as an internal digestibility marker. Four of the animals additionally received cerium (Ce)-mordanted fibres (2-10 mm) as particle markers. Total MRTs for fluids and particles ranged between 20-35 and 48-106 h in the common and between 13-39 and 32-107 h in the pygmy hippos. The difference between fluid and particle retention was greater than usually reported in ruminants. Excretion patterns of the markers differed from those usually observed in ruminants but resembled those reported for macropods (kangaroos), indicating a plug-flow reactor-like physiology in the hippo forestomach (FRST). This finding complements other described similarities between the macropod and the hippo forestomach. The measurements of larger particle retention profiles suggest that in the hippo, larger particles might be excreted either faster or at the same rate as smaller particles, indicating a general difference between ruminants and hippos with respect to differential particle retention. The digestive physiology of hippos is characterised by a generally low food intake, long ingesta retention times and dry matter digestibilities lower than reported in ruminants. Moderate digestibilities in spite of long retention times might be the result of the generally high average ingesta particle size in hippos. The comparatively easy management of pygmy hippos, together with the significant correlations between food intake, MRT and digestibility in the pygmy hippos of this study, recommends this species for further studies on the interplay of these parameters in herbivore digestive physiology.