Metacarpophalangeal Joint Pathology and Bone Mineral Density Increase with Exercise but Not with Incidence of Proximal Sesamoid Bone Fracture in Thoroughbred Racehorses

Proximal sesamoid bone (PSB) fracture is the leading cause of fatal musculoskeletal injury in Thoroughbred racehorses in Hong Kong and the US. Efforts are underway to investigate diagnostic modalities that could help identify racehorses at increased risk of fracture; however, features associated with PSB fracture risk are still poorly understood. The objectives of this study were to (1) investigate third metacarpal (MC3) and PSB density and mineral content using dual-energy X-ray absorptiometry (DXA), computed tomography (CT), Raman spectroscopy, and ash fraction measurements, and (2) investigate PSB quality and metacarpophalangeal joint (MCPJ) pathology using Raman spectroscopy and CT. Forelimbs were collected from 29 Thoroughbred racehorse cadavers (n = 14 PSB fracture, n = 15 control) for DXA and CT imaging, and PSBs were sectioned for Raman spectroscopy and ash fraction measurements. Bone mineral density (BMD) was greater in MC3 condyles and PSBs of horses with more high-speed furlongs. MCPJ pathology, including palmar osteochondral disease (POD), MC3 condylar sclerosis, and MC3 subchondral lysis were greater in horses with more high-speed furlongs. There were no differences in BMD or Raman parameters between fracture and control groups; however, Raman spectroscopy and ash fraction measurements revealed regional differences in PSB BMD and tissue composition. Many parameters, including MC3 and PSB bone mineral density, were strongly correlated with total high-speed furlongs.

Proximal sesamoid bone microdamage is localized to articular subchondral regions in Thoroughbred racehorses, with similar fracture toughness between fracture and controls

OBJECTIVE

To determine whether proximal sesamoid bone (PSB) microdamage and fracture toughness differ between Thoroughbred racehorses sustaining PSB fracture and controls.

STUDY DESIGN

Cadaveric case-control.

ANIMALS

Twenty-four Thoroughbred racehorses (n = 12 PSB fracture, n = 12 control).

METHODS

Proximal sesamoid bones were dissected, and gross pathological changes and morphological measurements were documented. High-speed exercise history data were evaluated. Microdamage was assessed in fracture, fracture-contralateral limb (FXCL) and control PSBs using whole bone lead uranyl acetate (LUA) staining with micro-CT imaging or basic fuchsin histological analysis. Fracture toughness mechanical testing was carried out in 3-point-bending of microbeams created from PSB flexor cortices. Data were analyzed using ordinal logistic and linear regression models.

RESULTS

Microdamage was detected most commonly in the articular subchondral region of PSBs via LUA micro-CT and basic fuchsin histology. There were no differences in microdamage between FXCL and control PSBs. Fracture toughness values were similar for FXCL (1.31 MPa√m) and control (1.35 MPa√m) PSBs. Exercise histories were similar except that horses sustaining fracture spent a greater percentage of their careers in rest weeks.

CONCLUSION

Microdamage was detected in the articular region of PSBs but was not greater in horses sustaining catastrophic PSB fracture. Fracture toughness of PSB flexor cortices did not differ between FXCL and control PSBs.

CLINICAL SIGNIFICANCE

Although uncommon, microdamage is localized to the articular region of Thoroughbred racehorse PSBs. Catastrophic PSB failure is not associated with lower PSB flexor cortex fracture toughness.

Determination of correlation of proximal sesamoid bone osteoarthritis with high-speed furlong exercise and catastrophic sesamoid bone fracture in Thoroughbred racehorses

OBJECTIVE

To examine whether proximal sesamoid bone (PSB) articular cartilage and bone osteoarthritic changes or palmar osteochondral disease (POD) scores were associated with exercise history and catastrophic PSB fracture in Thoroughbred racehorses.

SAMPLES

PSBs from 16 Thoroughbred racehorses (8 with and 8 without PSB fracture).

PROCEDURES

Exercise history was collected, and total career high-speed furlongs was used as the measure of total exercise per horse. At necropsy, medial and lateral condyles of the third metacarpus from each forelimb were assigned a POD score, followed by imaging with micro-CT for evaluation of osteophyte size. Three investigators that were blinded to the type of PSB (fracture or no fracture) used the Osteoarthritis Research Society International (OARSI) scoring system to evaluate acellularity, chondrocyte necrosis, cartilage fibrillation, chondrone formation, safranin O stain uptake, and tidemark advancement of 1 central sagittal tissue section/PSB (4 PSBs/horse). Cartilage thickness and bone necrosis were scored on the basis of histologic examination.

RESULTS

POD score, osteophyte size score, percentage of bone necrosis, tidemark advancement, chondrone formation, and total OARSI score were greater in horses with more accrued total career high-speed furlongs. Scores for POD, osteophyte size, fibrillation, acellularity, chondrone formation, and total OARSI were greater for horses with PSB fracture.

CONCLUSIONS AND CLINICAL REVELANCE

OARSI scoring revealed that more advanced osteoarthritic changes strongly correlated with total career high-speed furlongs and PSB fracture. However, the effect of exercise was dominant, suggesting that exercise history will be important to include in future models that aim to assess risk factors for catastrophic PSB fracture.

Variable but not random: temporal pattern coding in a songbird brain area necessary for song modification

Practice of a complex motor gesture involves motor exploration to attain a better match to target, but little is known about the neural code for such exploration. We examine spiking in a premotor area of the songbird brain critical for song modification and quantify correlations between spiking and time in the motor sequence. While isolated spikes code for time in song during performance of song to a female bird, extended strings of spiking and silence, particularly bursts, code for time in song during undirected (solo) singing, or "practice." Bursts code for particular times in song with more information than individual spikes, and this spike-spike synergy is significantly higher during undirected singing. The observed pattern information cannot be accounted for by a Poisson model with a matched time-varying rate, indicating that the precise timing of spikes in both bursts in undirected singing and isolated spikes in directed singing code for song with a temporal code. Temporal coding during practice supports the hypothesis that lateral magnocellular nucleus of the anterior nidopallium neurons actively guide song modification at local instances in time.NEW & NOTEWORTHY This paper shows that bursts of spikes in the songbird brain during practice carry information about the output motor pattern. The brain's code for song changes with social context, in performance versus practice. Synergistic combinations of spiking and silence code for time in the bird's song. This is one of the first uses of information theory to quantify neural information about a motor output. This activity may guide changes to the song.

Reduction of Thoroughbred racing fatalities at New York Racing Association racetracks using a multi-disciplinary mortality review process

Between January 1, 2013 and December 31, 2015, findings of a New York State Gaming Commission–Cornell University postmortem examination program were utilized in a multi-disciplinary mortality review process to review 129 racing fatalities at Thoroughbred racetracks operated by the New York Racing Association (NYRA). Musculoskeletal fractures comprised 79% of the fatalities; cardiopulmonary conditions accounted for 12% of the fatalities. Other causes of death included gastrointestinal (3%), respiratory (5%), and central nervous system (2%) conditions. Fetlock failure represented 50% of the musculoskeletal fatalities. The general distribution of these findings was very similar to that reported by the California Animal Health and Food Safety Laboratory System during the same period. These findings, used in conjunction with a comprehensive mortality review process and regulatory reform, have contributed to a significant reduction of the incidence of Thoroughbred racing fatalities at NYRA racetracks during the period of this review.

Genome-wide studies in multiple myeloma identify XPO1/CRM1 as a critical target validated using the selective nuclear export inhibitor KPT-276

RNA interference screening identified XPO1 (exportin 1) among the 55 most vulnerable targets in multiple myeloma (MM). XPO1 encodes CRM1, a nuclear export protein. XPO1 expression increases with MM disease progression. Patients with MM have a higher expression of XPO1 compared with normal plasma cells (P<0.04) and to patients with monoclonal gammopathy of undetermined significance/smoldering MM (P<0.0001). The highest XPO1 level was found in human MM cell lines (HMCLs). A selective inhibitor of nuclear export compound KPT-276 specifically and irreversibly inhibits the nuclear export function of XPO1. The viability of 12 HMCLs treated with KTP-276 was significantly reduced. KPT-276 also actively induced apoptosis in primary MM patient samples. In gene expression analyses, two genes of probable relevance were dysregulated by KPT-276: cell division cycle 25 homolog A (CDC25A) and bromodomain-containing protein 4 (BRD4), both of which are associated with c-MYC pathway. Western blotting and reverse transcription-PCR confirm that c-MYC, CDC25A and BRD4 are all downregulated after treatment with KPT-276. KPT-276 reduced monoclonal spikes in the Vk*MYC transgenic MM mouse model, and inhibited tumor growth in a xenograft MM mouse model. A phase I clinical trial of an analog of KPT-276 is ongoing in hematological malignancies including MM.

Copper porphyrins in deep-sea sediments: a possible indicator of oxidized terrestrial organic matter

Copper porphyrins have been isolated from deep-sea sediments collected during six legs of the Deep Sea Drilling Project-International Program of Ocean Drilling. These pigments are present in depositional areas receiving high inputs of terrestrially derived oxidized organic matter. Such areas include the Black Sea, the Bay of Biscay, the Blake-Bahama Basin, and slumped Miocene deposits off Cape Bojador on the west coast of Africa.

The use of lasers for treatment of upper respiratory tract disorders

Lasers have become important tools for the equine surgeon in the treatment of upper respiratory tract disease in the horse. Multiple wavelengths and delivery systems are available. Indications for the use of lasers in the upper respiratory tract primarily include minimally invasive procedures not possible with conventional surgical instrumentation. New applications for the use of lasers to treat upper respiratory disease are likely to evolve with the development and introduction of new wavelengths and delivery systems.

Of holes and wholes: the perception of surrounded regions

Fully enclosed regions in a two-dimensional image can often be perceived either as an object in front of a surface or as a hole through a surface. Several experiments were conducted to determine what factors affect perception of holes versus objects. Three types of factors were tested and found to influence this outcome. First, depth factors directly indicate that the enclosed region lies behind its surrounding surface. Second, grouping factors relate the enclosed region to an outer region that is generally perceived as a continuation of the surface seen through the hole. Finally, figural factors indicate whether the enclosed region is to be perceived as figure or ground. Relations among these factors and their implications for perceptual organization are discussed.

DNA ligase IV mutations identified in patients exhibiting developmental delay and immunodeficiency

DNA ligase IV functions in DNA nonhomologous end-joining and V(D)J recombination. Four patients with features including immunodeficiency and developmental and growth delay were found to have mutations in the gene encoding DNA ligase IV (LIG4). Their clinical phenotype closely resembles the DNA damage response disorder, Nijmegen breakage syndrome (NBS). Some of the mutations identified in the patients directly disrupt the ligase domain while others impair the interaction between DNA ligase IV and Xrcc-4. Cell lines from the patients show pronounced radiosensitivity. Unlike NBS cell lines, they show normal cell cycle checkpoint responses but impaired DNA double-strand break rejoining. An unexpected V(D)J recombination phenotype is observed involving a small decrease in rejoining frequency coupled with elevated imprecision at signal junctions.

Survivors of childhood abuse: their reported experiences with professional help

This article analyzes the self-reports of 384 adults who responded to a survey of people abused physically, sexually, or emotionally by family members in childhood. Most of the respondents sought help as adults from social workers and other mental health professionals for the long-term effects of their abusive experiences. This article analyses the reports of their help-seeking experiences against a backdrop of the reports of clinicians and researchers on working with survivors, as reported in the literature. Although survivors of childhood abuse often are described as having difficulty relating to professionals, these respondents persisted in seeking help and tended to report at least one experience with professional services that was very helpful. Their self-esteem and family functioning in adulthood was associated with having had a very helpful professional or service provider. The findings describe the responses most valued by survivors, as well as their views of the limitations of available services.

Late influences on perceptual grouping: illusory figures

Two experiments demonstrate that grouping can be strongly influenced by the presence of figures defined by illusory contours. Rectangular arrays were constructed in which a central column of figures could group either with those on one side, on the basis of perception of figures defined by illusory contours, or with those on the other side, on the basis of physically present inducing elements. In all displays, subjects grouped according to the illusory figures significantly more often than for control displays that contained the same inducing elements, but rearranged so that illusory contours were degraded or eliminated. A second experiment showed that in objectively defined grouping tasks, subjects grouped faster by illusory figures than by inducing elements. These results indicate that grouping can occur after illusory contours have been perceived.

Color, consciousness, and the isomorphism constraint

The relations among consciousness, brain behavior, and scientific explanation are explored in the domain of color perception. Current scientific knowledge about color similarity, color composition, dimensional structure, unique colors, and color categories is used to assess Locke's "inverted spectrum argument" about the undetectability of color transformations. A symmetry analysis of color space shows that the literal interpretation of this argument--reversing the experience of a rainbow--would not work. Three other color to color transformations might work, however, depending on the relevance of certain color categories. The approach is then generalized to examine behavioral detection of arbitrary differences in color experiences, leading to the formulation of a principled distinction, called the "isomorphism constraint," between what can and cannot be determined about the nature of color experience by objective behavioral means. Finally, the prospects for achieving a biologically based explanation of color experience below the level of isomorphism are considered in light of the limitations of behavioral methods. Within-subject designs using biological interventions hold the greatest promise for scientific progress on consciousness, but objective knowledge of another person's experience appears impossible. The implications of these arguments for functionalism are discussed.

Responding to children's disclosure of familial abuse: what survivors tell us

This study is based on the reports of 384 adults who were abused physically, sexually, and/or emotionally in childhood by family members. It describes the survivors' attempts, as children, to get help by disclosing the abuse to someone who might intervene; those who did not disclose explain their reasons. The results indicate that disclosure usually did not bring an end to the abuse, and that little action was taken to control the perpetrator, even after disclosure took place. The responses received by the children to their disclosure are linked to their levels of self-esteem and family functioning as adults.

Normal mode oscillation in the presence of inhomogeneous broadening

We investigate effects of inhomogeneous broadening of excitons on normal mode oscillation in semiconductor microcavities using a coupled oscillator model. We show that inhomogeneous broadening can drastically alter the coherent oscillatory energy exchange process even in regimes where normal mode splitting remains nearly unchanged. The depth, frequency, and phase of normal mode oscillations of excitons at a given energy within the inhomogeneous distribution depend strongly on the energy separation between the exciton and the normal mode resonance. In addition, for an inhomogeneous broadened system, pronounced oscillations in the intensity of the optical field or the total induced optical polarization no longer imply a similar oscillatory coherent energy exchange between excitons and cavity photons.

Genetics, phenotype, and natural history of autosomal dominant cyclic hematopoiesis

Cyclic hematopoiesis, (CH, or cyclic neutropenia) is a rare disease manifested by transient severe neutropenia that recurs approximately every 21 days. The hematologic profile of families with the autosomal dominant form (ADCH) has not been well characterized, and it is unknown if the phenotype is distinct from the more common sporadic congenital or acquired forms of CH. We studied nine ADCH families whose children displayed typical CH blood patterns. Pedigrees confirmed dominant inheritance without evidence of heterogeneity or decreased penetrance; three pedigrees suggested new mutations. Families were Caucasian with exception of one with a Cherokee Native American founder: A wide spectrum of symptom severity, ranging from asymptomatic to life-threatening illness, was observed within families. The phenotype changed with age. Children displayed typical neutrophil cycles with symptoms of mucosal ulceration, lymphadenopathy, and infections. Adults often had fewer and milder chronic neutropenia without distinct cycles. While CH is commonly described as "benign", four children in three of the nine families died of Clostridium or E. coli colitis, documenting the need for urgent evaluation of abdominal pain. Misdiagnosis with other neutropenias was common but can be avoided by serial blood counts in index cases. Genetic counseling requires specific histories and complete blood counts in relatives at risk to assess status regardless of symptoms, especially to determine individuals with new mutations. We propose diagnostic criteria for ADCH in affected children and adults. Recombinant human granulocyte colony-stimulating factor treatment resulted in dramatic improvement of neutropenia and morbidity. The differential diagnosis from other forms of familial neutropenia is reviewed.

Instrumentation and techniques for carbon dioxide lasers in equine general surgery

The carbon dioxide laser has become an important surgical instrument in human and veterinary medicine. The unique properties of this laser make it the instrument of choice for precise incision, coagulation, and vaporization of tissue at the body surface with minimal morbidity to the patient. This article describes the instrumentation and techniques used to perform a variety of equine general surgical procedures with the carbon dioxide laser. The benefits of surgery using the carbon dioxide laser include precise dissection with minimal trauma to adjacent tissues, good hemostasis, and the ability of the laser beam's thermal properties to kill bacteria or tumor cells in the operative field.

Remembering the earthquake: direct experience vs. hearing the news

Three groups of informants--two in California, one in Atlanta--recalled their experiences of the 1989 Loma Prieta earthquake shortly after the event and again 11/2 years later. The Californians' recalls of their own earthquake experiences were virtually perfect. Even their recalls of hearing the news of an earthquake-related event were very good: much higher than Atlantan recalls of hearing about the quake itself. Atlantans who had relatives in the affected area remembered significantly more than those who did not. These data show that personal involvement in the quake led to greatly improved recall, but do not show why. Many Californian informants reported low levels of stress/arousal during the event; arousal ratings were not significantly correlated with recall. The authors suggest that repeated narrative rehearsals may have played an important role.

Suspensory ligament desmitis

The gross and functional anatomy of the suspensory ligament (SL) and its ultrasonographic variability are described. Injuries of the suspensory apparatus are divided into lesions confined to the proximal one third of the metacarpus or metatarsus (proximal suspensory desmitis and avulsion fractures), lesions of the body, and branch lesions. Complete breakdown injuries are also discussed. In view of the close association of the SL, the second, third, and fourth metacarpal or metatarsal bones, and the proximal sesamoid bones, associated bony lesions are also considered.

Restoration of urban waterways and vacant areas: the first steps toward sustainability

Increased population pressure and human activities have significantly altered the effectiveness of functions of ecosystems ("ecosystem services") at the local and regional scale. Of primary importance is the decrease in water quality due to urban storm water runoff. A number of communities have initiated restoration strategies to improve water quality standards. One such strategy is the incorporation of riparian walkways with native flora. As a result of such restoration efforts, habitats for native fauna have improved, and the number and diversity of wildlife have increased in urban settings. Restoration of urban habitats also provides social and economic benefits to the surrounding community. Efforts to mitigate the loss of ecological resources by restoring native habitats on lots that cannot be developed or on abandoned lots hold a high, unrealized potential. Habitat restoration not only provides natural diversions to urban surroundings, but also enlightens and educates individual citizens about the importance of balanced ecosystems and the role of humans within ecosystems. Education is the primary step toward creating ecologically sustainable communities.

Practical management of superficial digital flexor tendinitis in the performance horse

The authors of this section represent a broad range of practice experience with horses that perform in rigorous and varied sport competitions. Each breed and performance application represent unique challenges of diagnosis and uncompromising demands on rehabilitated tendon injuries. This article will serve to guide, stimulate, and encourage veterinarians to apply scientific criteria to the evaluation of tendinitis therapy in the years to come so that we can arrive at a more valid consensus as to the "best" means of tendon and ligament injury management.

Evidence for locus heterogeneity in human autosomal dominant split hand/split foot malformation

Split hand/split foot (SHSF; also known as ectrodactyly) is a human developmental disorder characterized by missing central digits and other distal limb malformations. An association between SHSF and cytogenetically visible rearrangements of chromosome 7 at bands q21-q22 provides compelling evidence for the location of a causative gene at this location, and the locus has been designated SHFD1. In the present study, marker loci were localized to the SHFD1 critical region through the analysis of somatic cell hybrids derived from individuals with SHSF and cytogenetic abnormalities involving the 7q21-q22 region. Combined genetic and physical data suggest that the order of markers in the SHFD1 critical region is cen-D7S492-D7S527-(D7S479-D7S491)-SHFD1-++ +D7S554-D7S518-qter. Dinucleotide repeat polymorphisms at three of these loci were used to test for linkage of SHSF to this region in a large pedigree that demonstrates autosomal dominant SHSF. Evidence against linkage of the SHSF gene to 7q21-q22 was obtained in this pedigree. Therefore, combined molecular and genetic data provide evidence for locus heterogeneity in autosomal dominant SHSF. We propose the name SHSF2 for this second locus.

Autosomal dominant cyclic hematopoiesis: exclusion of linkage to the major hematopoietic regulatory gene cluster on chromosome 5

Autosomal dominant cyclic hematopoiesis (ADCH), or cyclic neutropenia, is a genetic disorder characterized by cyclic oscillations of neutrophils and other blood cells. To determine if the gene for ADCH mapped within the major hematopoietic regulatory gene cluster at 5q23.3-q33.3, we tested five families with ADCH for genetic linkage between the disorder and loci on chromosome 5q. Two-point analyses gave significant evidence in favor of excluding linkage between ADCH and the hematopoietic genes granulocyte-macrophage colony-stimulating factor (CSF), interleukins 3, 4, 5, and 9, and the receptor of macrophage-CSF. Furthermore, the exclusion data provide evidence for rejecting the hypothesis that ADCH may be encoded by a new gene mapping within this cluster.

From the clinic to the research laboratory. The role of the clinician in molecular genetic studies

BACKGROUND

The first physician to examine a patient with a genetic disorder or birth defect is usually a specialist in a field other than genetics. The presentation of certain categories of patients of particular interest to molecular genetics research may be distinct. The recognition of these patients by clinicians is fundamental to the study of genetic disorders at the DNA level.

OBSERVATIONS

Neurofibromatosis type 1 is a paradigm for how the study of a single genetic disease and its multiple molecular features has been facilitated by the use of various categories of patients. Other examples of interest to dermatologists, surgeons, and other specialists are discussed to demonstrate how the identification of key patients was instrumental in studies of gene localization and subsequent cloning, gene clusters or contiguous gene deletion syndromes, or mutation phenomena such as imprinting, uniparental disomy, and gonadal mosaicism. The molecular researcher has limited access to surgical specimens, and the donation of skin, tumor, and other tissues may lead to increased knowledge of new mutations in somatic mosaicism, or loss of heterozygosity of tumor suppression genes in cancer.

CONCLUSIONS

Guidelines are suggested to alert the physician to each of these categories of individuals with unusual presentation, as well as to recognize that the study of families with rare disorders may enable scientists to locate the responsible genes. The teamwork of clinician and molecular researcher is essential for the advancement of our understanding of DNA mechanisms in genetic disease. The ethics involved in referral of patients to molecular genetic research studies are discussed.

Familial hydrocephalus with a low-insertion umbilicus

Two brothers, age 16 months and 3 years, had a seemingly unique combination of hydrocephalus of the lateral ventricles and a low-insertion umbilicus. Both had similar mildly unusual facies and inguinal hernias; one had unilateral cryptorchidism. The older brother had tetralogy of Fallot, and the younger had mildly enlarged, echogenic kidneys with vesicoureteral reflux. Neither boy had adducted thumbs, pyramidal tract signs, or significant developmental delay. A review of the literature on familial hydrocephalus found no similar cases. A low-set umbilicus is not a frequently noted anomaly; its embryology and associated syndromes are discussed. The association of hydrocephalus and a low-set umbilicus appears to be the manifestation of a monogenic disorder in this family, and could be inherited in either an autosomal recessive or X-linked recessive manner.

Standing laparoscopic laser technique for ovariectomy in five mares

Laparoscopic laser instrumentation and endoscopic stapling techniques were used to perform 10 unilateral ovariectomy procedures on 5 standing Thoroughbred mares. In all instances, mares had a clinically normal reproductive tract and estrous cycle, and ovariectomy was performed to eliminate regular estrous behavior. All procedures were accompanied by minimal trauma and uncomplicated postoperative recovery. Mares were able to resume normal activity 2 weeks after surgery. Regular estrous behavior was eliminated in all 5 mares, although 1 mare continued to have signs of estrous behavior occasionally after the bilateral ovariectomy. Advantages of standing laparoscopic laser ovariectomy over open laparotomy or colpotomy techniques included minimal surgical morbidity, decreased postoperative discomfort, and rapid, uncomplicated healing. Disadvantages of laparoscopic laser ovariectomy included cost of specialized equipment, need for advanced training in laser and laparoscopic surgery, and increased operative time.

Lamellar body counts for rapid fetal lung maturity testing

OBJECTIVE

To evaluate amniotic fluid lamellar body counting as a fetal lung maturity test. Lamellar body particles can be rapidly counted using the platelet channel of most blood cell analyzers.

METHODS

We conducted a 3-year prospective clinical outcome study. During the interval under study, outcomes of 247 neonates were used to evaluate the test; 28 neonates developed respiratory distress syndrome (RDS). Lecithin-sphingomyelin ratio (L/S) was available for 187 cases.

RESULTS

All cases of RDS had lamellar body counts of 55,000/microL or less and L/S of 2.2 or less; 59% of cases with no RDS had counts greater than 55,000/microL and 70% of normal cases had L/S higher than 2.2.

CONCLUSION

Use of lamellar body counts is justified as a rapid screening test to predict fetal lung maturity. Immature results should be followed by a more specific test such as L/S.

Rapid fetal lung maturity testing: commercial versus NBD-phosphatidylcholine assay

We compared the TDx Fetal Lung Maturity test and the fluorescence polarization method using 1-palmitoyl-2(6-[(7-nitro-2,1,3-benzoxadiazol-4- yl)amino]caproyl)phosphatidylcholine (NBD-phosphatidylcholine). Using 76 paired human amniotic fluid samples, the fluorescence polarization values of the two methods were found to have a strong nonlinear correlation (r2 = 0.946). Both assays can be completed in less than 1 hour, have excellent precision (between-day variation less than 2%), and indicate the amount of surfactant phospholipid relative to albumin. The FLM assay is calibrated with surfactant/albumin standards; therefore, the reported results (in mg/g) correlate inversely with polarization of NBD-phosphatidylcholine. Strong correlations were seen for both assays with the lecithin-sphingomyelin ratio and phosphatidylglycerol. The correlations indicate that the recommended reference range for FLM will have more false predictions of immaturity than the NBD-phosphatidylcholine assay.

Thermal injury by in vitro incision of equine skin with electrosurgery, radiosurgery, and a carbon dioxide laser

Freshly harvested equine skin incised with an electrosurgical unit, a radiosurgical device, or a carbon dioxide (CO2) laser was examined by light microscopy to determine the extent of thermal injury caused by each instrument. There was no significant difference between the thermal injury caused by the electrosurgical unit in the pure-cut mode and the CO2 laser in the superpulse mode, or between the electrosurgical unit and the radiosurgical device in the fully filtered cut mode. However, thermal injury caused by the CO2 laser was significantly less than that caused by the radiosurgical device. The amount of thermal injury in this in vitro study was similar to that found in vivo with other species.

Common region: a new principle of perceptual grouping

A new principle of grouping is proposed that is based on elements being located within a common region of space. Demonstrations analogous to Wertheimer's original displays show that this factor strongly influences perceived grouping and is capable of overcoming the effects of other powerful grouping factors such as proximity and similarity. Grouping by common region is further shown to depend on perceived depth relations, indicating that it is influenced by processes that occur after at least some depth perception has been achieved. Further demonstrations suggest that it is dominated by the smallest background area and that it can follow a hierarchical embedding scheme. It is argued that common region cannot be reduced to the effects of proximity, closure, or any other previously known factor and therefore constitutes a genuinely new principle of grouping.

Standing laser surgery of the head and neck

The use of carbon dioxide and Nd:YAG lasers has expanded the capabilities of equine surgeons. These lasers are used to incise, vaporize, and coagulate tissue with minimal hemorrhage and reduced morbidity to the patient. In this article, practical fundamentals of laser surgery are briefly reviewed, and selected standing laser procedures of the head and neck are discussed.

Circumferential wiring of mid-body and large basilar fractures of the proximal sesamoid bone in 15 horses

Circumferential wiring was used to repair 12 mid-body fractures and four large basilar fractures of proximal sesamoid bones in 15 horses. Eighteen-gauge stainless steel wire was placed around both fragments in five horses, and through the proximal fragment and around the distal fragment in 10 horses. The horses were returned to work when they were clinically sound and fracture healing was evident radiographically. Eleven horses resumed athletic performance, three horses were used as breeding animals, and one horse was retired. Five horses performed at an athletic level equal to or better than their previous levels, and six horses performed at a lower level.

Lameness diagnosis and treatment in the Standardbred racehorse

Lameness of the Standardbred racehorse is a function of rigorous training programs, year-round racing schedules, hard racetrack surfaces, and the draft load. In this article, principles of lameness diagnosis and treatment are reviewed, with emphasis upon common or unique problems of the trotter and pacer. The role of physical therapy as an adjunct to medical and surgical treatment of lameness is described. Options for management of chronic pain are discussed, and a limited glossary of descriptive terms that are unique to harness racing is provided.

Measuring the number of lamellar body particles in amniotic fluid

We describe a method for determining the number and size distribution of lamellar bodies and compare the results prospectively with other tests for fetal lung maturity: lecithin-sphingomyelin ratio (L/S), phosphatidylglycerol, and fluorescence polarization. The technique uses an electronic particle counter calibrated for a size range of 1.7-7.3 fL. The number of lamellar bodies in amniotic fluid samples varied from 3800-166,000 particles per microliter and correlated strongly with L/S ratio (r = 0.75; N = 144) and fluorescence polarization (r = -0.78; N = 165). Amniotic fluid samples stored for up to 10 days at 4C had stable lamellar body counts (within +/- 11%). Longer storage tended to decrease the counts. Addition of more than 1% (v/v) whole blood significantly decreased the lamellar body counts. This technique shows promise for the rapid assessment of fetal lung maturity.

Carbon dioxide laser removal of a verrucous sarcoid from the ear of a horse

A verrucous sarcoid was removed from the ear of a horse, using a carbon dioxide laser. The use of carbon dioxide laser excision and ablation enabled complete removal of tumor cells, with minimal damage to underlying normal cartilage. Cosmetic healing was observed with minimal disfigurement. Recurrence of the tumor was not observed after 11 months.

Arthroscopic removal of apical and abaxial sesamoid fracture fragments in five horses

Five horses with apical and abaxial fractures of the proximal sesamoid bones were treated arthroscopically. Ipsilateral and contralateral triangulation were used to remove abaxial fragments; apical fragments were removed by ipsilateral triangulation. Excellent visibility of the fracture fragments was obtained with each method. Dissection and removal of fragments was accomplished with standard arthroscopic instruments, tendon-splitting knives, and curved scissors. Excellent functional and cosmetic results were achieved in all cases.

Midline scrotal ablation technique for unilateral cryptorchid castration in horses

Thirty-nine unilateral cryptorchid horses were castrated, using a midline scrotal ablation technique. This approach was satisfactory to access both inguinal rings, to eliminate the need for 2 incisions, and to allow for completion of the surgery by primary closure. These horses recovered from surgery with few complications, returned to work promptly, and had excellent cosmetic results.

Reference frames in mental rotation

Four experiments are reported that investigate whether images or reference frames are transformed during a mental rotation task. In all experiments a display of four identical letters (P1) was presented at either +90 degrees or -90 degrees from upright, and subjects had to decide whether the letters were normal or mirror-image reflections. A single letter (P2) was then presented 100 ms later in a variable orientation with the same task instructions. Reaction times to P2 were assessed to determine whether an image of P2 was rotated to upright or whether an internal reference frame was rotated into congruence with P2 from the orientation of P1. The results as a whole suggest that transformations of P2 can be initiated either relative to upright or relative to the orientation of P1. They further indicate that the probability of using each reference orientation can be changed by procedural variations. The findings are most parsimoniously interpreted as suggesting that mental rotation involves the transformation of reference frames rather than the transformation of template-like representations.

Prevalence of carpal fractures in thoroughbred and standardbred racehorses

The prevalence of carpal fractures was determined for 211 thoroughbred and 75 standardbred racehorses. Statistically significant differences were found in the location of fractures between the 2 breeds. In the thoroughbred and standardbred groups, total fractures (460) were distributed nearly equally between the left (224) and right (236) carpi. The most common site of fracture in the thoroughbred group was the distal aspect of the radiocarpal bone (112), whereas the most common site of fracture in standardbred horses was the proximal surface of the third carpal bone (61). Slab fractures were more common in the right carpus of thoroughbred horses (29 right/11 left), but were distributed equally between the left (11) and right (11) carpi of the standardbred group. Fractures of the distal border of the radius and intermediate carpal bone were more common in the left carpi of the thoroughbred group and were relatively uncommon among standardbred horses. Fractures within the intercarpal joints (313) were more common than those within the radiocarpal joints (147) in thoroughbred and standardbred horses.

Separability and integrality of global and local levels of hierarchical patterns

We used a constrained classification task to examine the perceptual relations between global and local levels in hierarchical patterns composed of many, relatively small elements and those composed of few, relatively large elements. In Experiments 1 and 3 subjects were asked to make classifications based on "form" or "texture." In Experiments 2 and 4 they were asked to classify according to the "shape" of the configuration or the elements. The results indicate that configural and elemental levels are perceptually separable for many-element patterns when processed as form and texture: Subjects could attend to either level without being affected by variation along the irrelevant dimension. However, when the same many-element patterns were processed for global and local shape, subjects could not selectively attend to either level. For few-element patterns, global configuration and local elements appeared to be perceptually integral dimensions. These results are relevant to two issues: the global precedence hypothesis and the explanations of integral and separable dimensions.

Separability and integrality of global and local levels of hierarchical patterns

We used a constrained classification task to examine the perceptual relations between global and local levels in hierarchical patterns composed of many, relatively small elements and those composed of few, relatively large elements. In Experiments 1 and 3 subjects were asked to make classifications based on "form" or "texture." In Experiments 2 and 4 they were asked to classify according to the "shape" of the configuration or the elements. The results indicate that configural and elemental levels are perceptually separable for many-element patterns when processed as form and texture: Subjects could attend to either level without being affected by variation along the irrelevant dimension. However, when the same many-element patterns were processed for global and local shape, subjects could not selectively attend to either level. For few-element patterns, global configuration and local elements appeared to be perceptually integral dimensions. These results are relevant to two issues: the global precedence hypothesis and the explanations of integral and separable dimensions.

Effect of ambient temperature upon the surface temperature of the equine limb

Ten clinically healthy adult horses were examined with the portable infrared thermometer at ambient temperatures of 5, 15, and 25 C to evaluate the thermal response of limbs of the horse to variations of ambient temperature. Limb surface temperature varied in direct proportion to changes in the ambient temperature, with considerable variation occurring among individual horses, especially at the lower temperatures. Areas of proximal parts of the limbs were more resistant to temperature variation than were distal parts. Ambient temperature had a statistically significant, but clinically unimportant, effect upon the bilateral symmetry (right side/left side) of limb surface temperature. At all ambient temperatures, the mean variation between left side and right side target areas was less than 1 degree C.

Holistic processes in the perception and transformation of disoriented figures

Two experiments tested whether mental rotation of complex, hierarchical stimuli occurs holistically or separately at global and local levels of structure. Large (global) letters were constructed from spatial arrangements of small (local) letters. Reflection conditions (normal vs. reflected) were produced by varying the two levels independently. The task was structured so that subjects could rotate one level of the stimulus in some conditions but had to rotate both levels in other conditions. Experiment 1 showed that rotation rate was not affected by the number of levels that had to be rotated to make a reflection decision. This result implies that the rotation of global and local levels occurred together rather than sequentially. Experiment 2 showed that the rotation of the two levels was holistic as opposed to parallel and independent. The results also demonstrate that global information is processed faster than local information regardless of whether or not a rotation is performed. These findings are discussed in relation to theories of mental rotation and global precedence.

Holistic processes in the perception and transformation of disoriented figures

Two experiments tested whether mental rotation of complex, hierarchical stimuli occurs holistically or separately at global and local levels of structure. Large (global) letters were constructed from spatial arrangements of small (local) letters. Reflection conditions (normal vs. reflected) were produced by varying the two levels independently. The task was structured so that subjects could rotate one level of the stimulus in some conditions but had to rotate both levels in other conditions. Experiment 1 showed that rotation rate was not affected by the number of levels that had to be rotated to make a reflection decision. This result implies that the rotation of global and local levels occurred together rather than sequentially. Experiment 2 showed that the rotation of the two levels was holistic as opposed to parallel and independent. The results also demonstrate that global information is processed faster than local information regardless of whether or not a rotation is performed. These findings are discussed in relation to theories of mental rotation and global precedence.

Textural effects in perceived pointing of ambiguous triangles

Five experiments examined the influence of textural stripes on perceived pointing of ambiguous (equilateral) triangles. Reaction times for discriminating specific directions of pointing were measured for plain triangles and for triangles containing stripes that were either coincident with or perpendicular to one of the three possible directions of pointing. Perceptual interference occurred when the stripes biased a direction other than one specified by the discrimination task. The magnitude of the interference decreased (a) as the environmental salience of the specified direction increased and (b) as the spatial frequency of the stripes increased. Further results indicated that this frequency effect is relative to the size of the triangle; it is not determined by absolute (retinal) frequency. Stripes in the ground region surrounding the triangle also produced interference. However, this interference decreased as the region around the triangle was cleared of stripes. The results are discussed in terms of factors that determine the qualitative and quantitative nature of the interference effect, particularly symmetry and spatial frequency.