Extrafusal and intrafusal motor units in the kitten

In the lateral flexor digitorum longus muscle (FDL) of anaesthetized kittens aged 3-21 days, alpha (alpha) and gamma (gamma) motoneurone conduction velocities were measured together with motor unit tensions. Conduction velocity lay in the range 8-27 msec-1 for alpha motoneurones and 2-10 msec-1 for gamma motoneurones. Motor unit tetanic tensions were 3-47 mN with the largest units being 2-2.2% of whole muscle tension. The hypothesis was tested that motor axons conducting within the gamma range and presumed to be innervating the intrafusal fibres of muscle spindles, on stimulation, produced measurable tension. Stimulating gamma motoneurones in the adult produces no tension. The hypothesis was based on histological observations that while in the adult, intrafusal fibres were about one third of the size of extrafusal fibres, in kittens the two were nearly equal, both in length and diameter. It was shown by means of signal averaging during stimulation of ventral root filaments that whenever tension was recorded in the muscle an impulse could be detected in the muscle nerve conducting at alpha motoneurone tempo. It is concluded that in the kitten, despite the fact that intrafusal and extrafusal fibres are of similar size, stimulating single gamma motoneurones does not develop measurable tension.

Can lactate-evoked cardiovascular responses be used to identify muscle ergoreceptors?

The increase in blood pressure and heart rate which accompanies muscular exercise is in part a reflex mediated by afferent nerve fibres in the group III and IV (small myelinated and unmyelinated) range. It has been reported that perfusion of lactate ions into hind limb muscles is an effective stimulus for these reflex responses. To investigate this hypothesis further, and to test adequacy of the controls used, a solution containing 15 mM lactic acid was perfused through a hind limb of urethane-anaesthetised rats, the leg's circulation being isolated from the rest of the body. During lactate perfusion, increases were seen in arterial blood pressure and heart rate. Denervation of the entire leg abolished the responses. To locate the receptors involved in the reflex, selective denervations of skin or muscle were performed. Clear responses were never seen when the leg was skinned or denervated by section of cutaneous nerves. On the other hand, responses to lactate perfusion were still seen following section of all nerves supplying the muscles of the leg, leaving the cutaneous innervation largely intact. It is concluded that perfusion of a hindlimb with lactate solutions is not an adequate technique to identify ergoreceptors in muscle.

Development of the sensory innervation of muscle spindles in the kitten

This is a report of the changes observed in the pattern of sensory innervation of muscle spindles in hindlimb muscles of kittens during the first four weeks of life. The structural analysis, made on teased, silver-stained preparations, was complemented by a series of recordings of afferent responses of kitten spindles during ramp-and-hold stretches of the muscle. The primary endings of spindles from newborn animals showed a large degree of variability in their branching pattern and branches formed a network across the intrafusal fibres. In older animals there was less variability and lateral branches of stem axons began to encircle the intrafusal fibres. The process of maturation was characterized by a more uniform shape of the endings and more complete, evenly spaced, annulospiral terminals. Recordings of the responses of primary endings of spindles during muscle stretch showed that several features of the adult response were already present in the newborn, although the overall rate of discharge was very much lower. It was concluded that the changes observed in the structure of the sensory endings of kitten spindles did not have clearly identifiable physiological correlates. It appears that an annulospiral shape of the sensory terminals is not a necessary prerequisite for the generation of stretch responses. The predominant factor which appears to determine the responses of spindles to stretch is the maturity of the intrafusal fibres, in particular, the bag2 fibre.

Correlating resting discharge with small signal sensitivity and discharge variability in primary endings of cat soleus muscle spindles

1. In a previous report we proposed that primary endings of cat soleus muscle spindles can be separated into two kinds. One kind, called by us silent endings, at muscle lengths shorter than Lm -10 (maximum body length -10 mm), fell silent after a 5 mm shortening step. Spontaneous endings, on the other hand, were able to resume a resting discharge after a brief pause at all muscle lengths down to Lm -20. This report examines further differences between the two kinds of endings. 2. There were consistent differences in the muscle length dependence of the maintained level of resting discharge of the two kinds of endings, measured after a conditioning contraction or a contraction followed by a shortening step. The resting discharge of spindles with spontaneous endings, after both forms of conditioning increased progressively with length. For silent endings, after a conditioning contraction, resting discharge fell slightly at longer lengths. 3. Discharge variability, measured at a number of muscle lengths, showed a dependence both on mean interimpulse interval and on spindle type, being higher in silent than spontaneous spindles. 4. Small signal sensitivity was measured with the use of 1 Hz sinusoidal stretches applied longitudinally to the tendon. Sine wave amplitude was adjusted to give a 30% depth of modulation of the resting discharge. Spontaneous endings were consistently less sensitive to the stretches than silent endings at all muscle lengths. Average sensitivities, measured over a range of lengths between Lm -4 and Lm -20 mm were 0.30 imp.s-1.microns -1 for spontaneous endings and 0.66 imp.s-1.microns -1 for silent endings.(ABSTRACT TRUNCATED AT 250 WORDS)

The discharge of cat tendon organs during unloading contractions

Tendon organs respond preferentially to contractions of a select set of motor units. If a tendon organ is given a resting discharge by raising the passive tension in the muscle, other motor units can be identified which on contraction interrupt the discharge, presumably by unloading the passive tension. These experiments investigate the possibility that stimulation of motor units with unloading effects can reduce the response of a tendon organ to a loading contraction. We find that over most of the range of muscle lengths the unloading contraction produces only a transient lowering of the firing rate. Only at short muscle lengths where further shortening is accompanied by a steep fall in tension is the unloading contraction able to induce a sustained reduction of afferent discharge.

Vibration sensitivity of cat muscle spindles at short muscle lengths

Experiments are described in which the vibration sensitivity was tested for primary and secondary endings of soleus muscle spindles of the anaesthetised cat. The vibratory stimulus was applied longitudinally to the muscle tendon and, after locating the site of the spindle in the muscle, applied transversely to muscle fibres directly overlying the spindle. All measurements were made with the muscle slack, at 20 mm shorter than its maximum physiological length (Lm-20 mm). Spindles were separated into two groups: spontaneous spindles, which maintained background activity at this length, and silent spindles, which did not. Two forms of muscle conditioning were used: hold-long, in which the muscle was stretched by 5 mm, contracted and then returned to the test length, and hold-test, in which a conditioning contraction was given at the test length. After hold-test, most spindles responded to longitudinal vibration; after hold-long, most did not. This difference in responsiveness was attributed to the presence or absence of slack in intrafusal and extrafusal fibres, due to the muscle's thixotropic property. When the vibration was applied transversely, at a site directly overlying the spindle, responses of silent spindles continued to show thixotropic behaviour, whereas responses of spontaneous spindles were almost independent of the form of muscle conditioning. It is proposed that the ability of spontaneous spindles to maintain background activity at short muscle lengths is due to connective tissue or elastic fibre links between the sensory ending and the spindle capsule. The vibratory stimulus, applied transversely, reaches the sensory ending via these strands which, as non-muscle tissue, do not alter their mechanical state as a result of muscle conditioning.

Mycoplasma recovery from the male genitourinary tract: voided urine versus the urethral swab

A study of Mycoplasma recovery from the genitourinary tract was made on a group of 50 males attending a venereal disease clinic. The purpose of the investigation was to compare recovery rates of mycoplasma from two types of clinical specimens-the urethral swab and voided urine. The total number of positive cultures did not differ significantly when either the swab or urine was used; Mycoplasma hominis type 1 was the only taxonomic species isolated, either alone or mixed with T-strain mycoplasma. Recovery rates of the two types from both the swab and the urine did not differ significantly. Age did not relate to the presence of mycoplasma in the group studied.

Mycoplasma salivarium in the blood of a child with leukemia

Mycoplasma salivarium was recovered from the blood of a five-year-old girl who had leukemia and subsequently developed pneumonitis. The patient's pneumonitis failed to respond to nafcillin, a cell-wall-active antibiotic, but eventually she recovered from the pneumonia after a regimen of erythromycin. Sputum, oropharyngeal, and nasopharyngeal cultures revealed normal bacterial flora; a blood culture was negative for bacteria. Throat and sputum cultures were negative for mycoplasma; however, M salivarium was recovered from the patient's blood. The patient had a cold hemagglutinin titer of 1:250.

Hepatitis a outbreak epidemiologically linked to a food handler in Melbourne, Victoria

Hepatitis A is caused by the hepatitis A virus (HAV). Transmission occurs by the faecal-oral route, either by direct contact with an HAV-infected person or by ingestion of HAV-contaminated food or water. Hepatitis A outbreaks are uncommon in Australia. In 2008, Victoria experienced an outbreak of hepatitis A due to an infected food handler.

A multi-jurisdiction outbreak of Salmonella Typhimurium phage type 135 associated with purchasing chicken meat from a supermarket chain

A multi-jurisdiction case control study was conducted after an increase of Salmonella Typhimurium phage type 135 notifications (a local designated subgroup) was observed throughout Australia. Hypothesis generating interviews conducted in three jurisdictions identified consumption of chicken, eggs, beef and bagged carrots as common among cases and that a high proportion of cases (> 80%) reported purchasing their groceries from a particular supermarket chain (Supermarket A). We conducted a case control study to test whether S. Typhimurium 135 infections were associated with these food items and the purchasing of these products from Supermarket A. The study comprised 61 cases and 173 controls. Cases were younger than controls (p = 0.003) and their distribution by jurisdiction was also significantly different (p < 0.001). In multivariate analysis, cases had significantly higher odds of having eaten chicken purchased from Supermarket A (OR = 3.2, 95% CI 1.2,9.0) or having eaten chicken from a fast food outlet (OR = 2.8, 95% CI 1.0,7.7) compared to controls. Two positive S. Typhimurium 135 results were obtained through a chicken sampling survey conducted at four Supermarket A stores in Victoria. The results of this study were presented to industry and retail representatives, which facilitated better communication between these groups.

An outbreak of shigellosis in a child care centre

Outbreaks of shigellosis in child care are not commonly reported in Australia, however Shigella bacteria can easily spread in these settings. We report an outbreak of shigellosis in a child care centre and discuss the control measures implemented. This investigation identified 20 confirmed cases of Shigella sonnei biotype g and a further 47 probable cases in children and staff who attended a child care centre, and their household contacts. The investigation highlighted the importance of stringent control measures and protocols for dealing with outbreaks of Shigella and other enteric infections in the child care setting, and the importance of prompt notification by both doctors and child care centres, of suspected outbreaks.

Evaluation of Campylobacter infection surveillance in Victoria

Campylobacter infection is a notifiable infectious disease in Victoria and with more than 6,000 cases notified annually, it is the second most commonly notified disease after chlamydia. The objectives of Campylobacter infection surveillance in Victoria are to monitor the epidemiology of Campylobacter infection, identify outbreaks, initiate control and prevention actions, educate the public in disease prevention, evaluate control and prevention measures, and plan services and priority setting. An evaluation of the system was undertaken to assess performance against its objectives, identify areas requiring improvement and inform a decision of whether Campylobacter infection should remain a notifiable infectious disease. The surveillance system was assessed on the attributes of data quality, timeliness, simplicity and acceptability using notifiable infectious diseases data and interviews with doctors who had failed to notify, and laboratory and public health staff. The evaluation found that the system collects core demographic data with high completeness that are appropriately reviewed, analysed and reported. In 2007, 12% of Campylobacter isolates were subtyped and only one to 3 outbreaks were identified annually from 2002 to 2007. Fifty-four per cent of cases were notified by doctors and 96% by laboratories, although nearly half of laboratory notifications were not received within the prescribed timeframe. Half of the surveyed non-notifying doctors thought that Campylobacter infection was not serious enough to warrant notification. The Campylobacter surveillance system is not fully satisfying its objectives. Investment in the further development of analytical methods, electronic notification and Campylobacter subtyping is required to improve simplicity, acceptability, timeliness and sensitivity.

Urethritis attributable to Neisseria meningitidis, group X: a case report

Neisseria meningitidis, Group X, was recovered from the anterior urethra of a 27-year-old male patient with urethritis. This isolate represents the first reported recovery of this organism from this anatomic site in association with this disease. He was treated with probenicid by mouth, followed by 4.8 million units of aqueous procaine penicillin G injected intramuscularly and became asymptomatic in three days. His recovery strongly indicates that the meningococcus was the etiologic agent of the urethritis since the condition promptly cleared with penicillin therapy.

Enhancing foodborne disease surveillance across Australia in 2001: the OzFoodNet Working Group

In 2000, the OzFoodNet network was established to enhance surveillance of foodborne diseases across Australia. OzFoodNet consists of 7 sites and covers 68 per cent of Australia's population. During 2001, sites reported 15,815 cases of campylobacteriosis, 6,607 cases of salmonellosis, 326 cases of shigellosis, 71 cases of yersiniosis, 61 cases of listeriosis, 47 cases of shiga-toxin producing E. coli and 5 cases of haemolytic uraemic syndrome. Sites reported 86 foodborne outbreaks affecting 1,768 people, of whom 4.0 per cent (70/1,768) were hospitalised and one person died. There was a wide range of foods implicated in these outbreaks and the most common agent was S. Typhimurium. Sites reported two international outbreaks; one of multi-drug resistant S. Typhimurium Definitive Type 104 due to helva imported from Turkey, and one of S. Stanley associated with dried peanuts from China. The National Centre for Epidemiology and Population Health conducted a national survey of gastroenteritis. Preliminary data from interviews of 2,417 people suggests that the incidence of foodborne illness is significantly higher than previously thought. OzFoodNet initiated case control studies into risk factors for Campylobacter, Salmonella, Listeria, and shiga-toxin producing E. coli. OzFoodNet developed a foodborne disease outbreak register for Australia; established a network of laboratories to type Campylobacter; prepared a survey of pathology laboratories; reviewed Australian data on listeriosis; and assessed the usefulness of sentinel surveillance for gastroenteritis. This program of enhanced surveillance has demonstrated its capacity to nationally investigate and determine the causes of foodborne disease.

Opsonization of pneumococci by whole serum from sickle cell disease patients

An in vitro opsonic activity test was developed to measure the ability of whole serum from sickle cell disease patients to enhance the phagocytosis of Streptococcus pneumoniae by normal white blood cells. At the 30- and 60-minute incubation time periods, there was a 2- to 3-log reduction in the number of colonyforming units of S pneumoniae with both normal and sickle cell serum indicating opsonization of the organisms. However, the reduction in colony-forming units was significantly greater with normal than with sickle cell serum at both time periods (P <.0005 and P <.025 for the 30- and 60-minute time intervals, respectively). The sickle cell sera used in this assay were obtained from pediatric patients (age range, 1 to 15 years) and from adults (age range, 16 to 30 years). Based on this assay, sera from the adult sickle cell patients had a lower mean opsonic activity than that of the pediatric group. The significance of the lower opsonic activity in the adults with sickle cell disease is unknown and requires additional investigation.

An investigation of the Jendrassik manoeuvre

Several mechanisms were investigated by which the Jendrassik manoeuvre might potentiate tendon jerk and H-reflexes, recorded here as surface EMG from the triceps surae muscle group. If fusimotor activation is involved, then, after muscle conditioning designed to leave spindles in a slack state, interposing a Jendrassik manoeuvre before reflex testing should have increased reflex amplitude by restoring spindle sensitivity; but this was not the case. The Jendrassik manoeuvre failed to increase facilitation of the soleus H-reflex by a quadriceps volley, contrary to expectations if it operates by presynaptic disinhibition. There was no increase in the level of ongoing EMG during a Jendrassik manoeuvre, indicating that it does not operate by direct facilitation of motoneurones. The Jendrassik manoeuvre produced less reflex potentiation when spindles had a high rate of resting discharge. A remaining, untested mechanism is the modulation of oligosynaptic pathways that may contribute to the largely monosynaptic reflex response.