Characterization of CM-398, a Novel Selective Sigma-2 Receptor Ligand, as a Potential Therapeutic for Neuropathic Pain

Sigma receptors modulate nociception, offering a potential therapeutic target to treat pain, but relatively little is known regarding the role of sigma-2 receptors (S2R) in nociception. The purpose of this study was to investigate the in vivo analgesic and anti-allodynic activity and liabilities of a novel S2R selective ligand, 1-[4-(6,7-dimethoxy-1,2,3,4-tetrahydroisoquinolin-2-yl)butyl]-3-methyl-1,3-dihydro-1,3-benzimidazol-2-one (CM-398). The inhibition of thermal, induced chemical, or inflammatory pain as well as the allodynia resulting from chronic nerve constriction injury (CCI) model of neuropathic pain were assessed in male mice. CM-398 dose-dependently (10–45 mg/kg i.p.) reduced mechanical allodynia in the CCI neuropathic pain model, equivalent at the higher dose to the effect of the control analgesic gabapentin (50 mg/kg i.p.). Likewise, pretreatment (i.p.) with CM-398 dose-dependently produced antinociception in the acetic acid writhing test (ED50 (and 95% C.I.) = 14.7 (10.6–20) mg/kg, i.p.) and the formalin assay (ED50 (and 95% C.I.) = 0.86 (0.44–1.81) mg/kg, i.p.) but was without effect in the 55 °C warm-water tail-withdrawal assay. A high dose of CM-398 (45 mg/kg, i.p.) exhibited modest locomotor impairment in a rotarod assay and conditioned place aversion, potentially complicating the interpretation of nociceptive testing. However, in an operant pain model resistant to these confounds, mice experiencing CCI and treated with CM-398 demonstrated robust conditioned place preference. Overall, these results demonstrate the S2R selective antagonist CM-398 produces antinociception and anti-allodynia with fewer liabilities than established therapeutics, adding to emerging data suggesting possible mediation of nociception by S2R, and the development of S2R ligands as potential treatments for chronic pain.

Examination of the Novel Sigma-1 Receptor Antagonist, SI 1/28, for Antinociceptive and Anti-allodynic Efficacy against Multiple Types of Nociception with Fewer Liabilities of Use

Neuropathic pain is a significant problem with few effective treatments lacking adverse effects. The sigma-1 receptor (S1R) is a potential therapeutic target for neuropathic pain, as antagonists for this receptor effectively ameliorate pain in both preclinical and clinical studies. The current research examines the antinociceptive and anti-allodynic efficacy of SI 1/28, a recently reported benzylpiperazine derivative and analog of the S1R antagonist SI 1/13, that was 423-fold more selective for S1R over the sigma-2 receptor (S2R). In addition, possible liabilities of respiration, sedation, and drug reinforcement caused by SI 1/28 have been evaluated. Inflammatory and chemical nociception, chronic nerve constriction injury (CCI) induced mechanical allodynia, and adverse effects of sedation in a rotarod assay, conditioned place preference (CPP), and changes in breath rate and locomotor activity were assessed after i.p. administration of SI 1/28. Pretreatment with SI 1/28 produced dose-dependent antinociception in the formalin test, with an ED50 (and 95% C.I.) value of 13.2 (7.42-28.3) mg/kg, i.p. Likewise, SI 1/28 produced dose-dependent antinociception against visceral nociception and anti-allodynia against CCI-induced neuropathic pain. SI 1/28 demonstrated no impairment of locomotor activity, conditioned place preference, or respiratory depression. In summary, SI 1/28 proved efficacious in the treatment of acute inflammatory pain and chronic neuropathy without liabilities at therapeutic doses, supporting the development of S1R antagonists as therapeutics for chronic pain.

Oxidative Metabolism as a Modulator of Kratom's Biological Actions

The leaves of Mitragyna speciosa (kratom), a plant native to Southeast Asia, are increasingly used as a pain reliever and for attenuation of opioid withdrawal symptoms. Using the tools of natural products chemistry, chemical synthesis, and pharmacology, we provide a detailed in vitro and in vivo pharmacological characterization of the alkaloids in kratom. We report that metabolism of kratom's major alkaloid, mitragynine, in mice leads to formation of (a) a potent mu opioid receptor agonist antinociceptive agent, 7-hydroxymitragynine, through a CYP3A-mediated pathway, which exhibits reinforcing properties, inhibition of gastrointestinal (GI) transit and reduced hyperlocomotion, (b) a multifunctional mu agonist/delta-kappa antagonist, mitragynine pseudoindoxyl, through a CYP3A-mediated skeletal rearrangement, displaying reduced hyperlocomotion, inhibition of GI transit and reinforcing properties, and (c) a potentially toxic metabolite, 3-dehydromitragynine, through a non-CYP oxidation pathway. Our results indicate that the oxidative metabolism of the mitragynine template beyond 7-hydroxymitragynine may have implications in its overall pharmacology in vivo.

A Novel Mitragynine Analog with Low-Efficacy Mu Opioid Receptor Agonism Displays Antinociception with Attenuated Adverse Effects

Mitragynine and 7-hydroxymitragynine (7OH) are the major alkaloids mediating the biological actions of the psychoactive plant kratom. To investigate the structure-activity relationships of mitragynine/7OH templates, we diversified the aromatic ring of the indole at the C9, C10, and C12 positions and investigated their G-protein and arrestin signaling mediated by mu opioid receptors (MOR). Three synthesized lead C9 analogs replacing the 9-OCH3 group with phenyl (4), methyl (5), or 3'-furanyl [6 (SC13)] substituents demonstrated partial agonism with a lower efficacy than DAMGO or morphine in heterologous G-protein assays and synaptic physiology. In assays limiting MOR reserve, the G-protein efficacy of all three was comparable to buprenorphine. 6 (SC13) showed MOR-dependent analgesia with potency similar to morphine without respiratory depression, hyperlocomotion, constipation, or place conditioning in mice. These results suggest the possibility of activating MOR minimally (G-protein Emax ≈ 10%) in cell lines while yet attaining maximal antinociception in vivo with reduced opioid liabilities.

Kratom Alkaloids, Natural and Semi-Synthetic, Show Less Physical Dependence and Ameliorate Opioid Withdrawal

Chronic administration of opioids produces physical dependence and opioid-induced hyperalgesia. Users claim the Thai traditional tea "kratom" and component alkaloid mitragynine ameliorate opioid withdrawal without increased sensitivity to pain. Testing these claims, we assessed the combined kratom alkaloid extract (KAE) and two individual alkaloids, mitragynine (MG) and the analog mitragynine pseudoindoxyl (MP), evaluating their ability to produce physical dependence and induce hyperalgesia after chronic administration, and as treatments for withdrawal in morphine-dependent subjects. C57BL/6J mice (n = 10/drug) were administered repeated saline, or graded, escalating doses of morphine (intraperitoneal; i.p.), kratom alkaloid extract (orally, p.o.), mitragynine (p.o.), or MP (subcutaneously, s.c.) for 5 days. Mice treated chronically with morphine, KAE, or mitragynine demonstrated significant drug-induced hyperalgesia by day 5 in a 48 °C warm-water tail-withdrawal test. Mice were then administered naloxone (10 mg/kg, s.c.) and tested for opioid withdrawal signs. Kratom alkaloid extract and the two individual alkaloids demonstrated significantly fewer naloxone-precipitated withdrawal signs than morphine-treated mice. Additional C57BL/6J mice made physically dependent on morphine were then used to test the therapeutic potential of combined KAE, mitragynine, or MP given twice daily over the next 3 days at either a fixed dose or in graded, tapering descending doses. When administered naloxone, mice treated with KAE, mitragynine, or MP under either regimen demonstrated significantly fewer signs of precipitated withdrawal than control mice that continued to receive morphine. In conclusion, while retaining some liabilities, kratom, mitragynine, and mitragynine pseudoindoxyl produced significantly less physical dependence and ameliorated precipitated withdrawal in morphine-dependent animals, suggesting some clinical value.

Development of New Benzylpiperazine Derivatives as σ1 Receptor Ligands with in Vivo Antinociceptive and Anti-Allodynic Effects

σ-1 receptors (σ1R) modulate nociceptive signaling, driving the search for selective antagonists to take advantage of this promising target to treat pain. In this study, a new series of benzylpiperazinyl derivatives has been designed, synthesized, and characterized for their affinities toward σ1R and selectivity over the σ-2 receptor (σ2R). Notably, 3-cyclohexyl-1-{4-[(4-methoxyphenyl)methyl]piperazin-1-yl}propan-1-one (15) showed the highest σ1R receptor affinity (Ki σ1 = 1.6 nM) among the series with a significant improvement of the σ1R selectivity (Ki σ2/Ki σ1= 886) compared to the lead compound 8 (Ki σ2/Ki σ1= 432). Compound 15 was further tested in a mouse formalin assay of inflammatory pain and chronic nerve constriction injury (CCI) of neuropathic pain, where it produced dose-dependent (3-60 mg/kg, i.p.) antinociception and anti-allodynic effects. Moreover, compound 15 demonstrated no significant effects in a rotarod assay, suggesting that this σ1R antagonist did not produce sedation or impair locomotor responses. Overall, these results encourage the further development of our benzylpiperazine-based σ1R antagonists as potential therapeutics for chronic pain.

Lyophilized Kratom Tea as a Therapeutic Option for Opioid Dependence

BACKGROUND

Made as a tea, the Thai traditional drug "kratom" reportedly possesses pharmacological actions that include both a coca-like stimulant effect and opium-like depressant effect. Kratom has been used as a substitute for opium in physically-dependent subjects. The objective of this study was to evaluate the antinociception, somatic and physical dependence produced by kratom tea, and then assess if the tea ameliorated withdrawal in opioid physically-dependent subjects.

METHODS

Lyophilized kratom tea (LKT) was evaluated in C57BL/6J and opioid receptor knockout mice after oral administration. Antinociceptive activity was measured in the 55 °C warm-water tail-withdrawal assay. Potential locomotor impairment, respiratory depression and locomotor hyperlocomotion, and place preference induced by oral LKT were assessed in the rotarod, Comprehensive Lab Animal Monitoring System, and conditioned place preference assays, respectively. Naloxone-precipitated withdrawal was used to determine potential physical dependence in mice repeatedly treated with saline or escalating doses of morphine or LKT, and LKT amelioration of morphine withdrawal. Data were analyzed using one- and two-way ANOVA.

RESULTS

Oral administration of LKT resulted in dose-dependent antinociception (≥1 g/kg, p.o.) absent in mice lacking the mu-opioid receptor (MOR) and reduced in mice lacking the kappa-opioid receptor. These doses of LKT did not alter coordinated locomotion or induce conditioned place preference, and only briefly reduced respiration. Repeated administration of LKT did not produce physical dependence, but significantly decreased naloxone-precipitated withdrawal in morphine dependent mice.

CONCLUSIONS

The present study confirms the MOR agonist activity and therapeutic effect of LKT for the treatment of pain and opioid physical dependence.

Discovery of a Highly Selective Sigma-2 Receptor Ligand, 1-(4-(6,7-Dimethoxy-3,4-dihydroisoquinolin-2(1H)-yl)butyl)-3-methyl-1H-benzo[d]imidazol-2(3H)-one (CM398), with Drug-Like Properties and Antinociceptive Effects In Vivo

The sigma-2 receptor has been cloned and identified as Tmem97, which is a transmembrane protein involved in intracellular Ca²⁺ regulation and cholesterol homeostasis. Since its discovery, the sigma-2 receptor has been an extremely controversial target, and many efforts have been made to elucidate the functional role of this receptor during physiological and pathological conditions. Recently, this receptor has been proposed as a potential target to treat neuropathic pain due to the ability of sigma-2 receptor agonists to relieve mechanical hyperalgesia in mice model of chronic pain. In the present work, we developed a highly selective sigma-2 receptor ligand (sigma-1/sigma-2 selectivity ratio > 1000), 1-(4-(6,7-dimethoxy-3,4-dihydroisoquinolin-2(1H)-yl)butyl)-3-methyl-1H- benzo[d]imidazol-2(3H)-one (CM398), with an encouraging in vitro and in vivo pharmacological profile in rodents. In particular, radioligand binding studies demonstrated that CM398 had preferential affinity for sigma-2 receptor compared with sigma-1 receptor and at least four other neurotransmitter receptors sites, including the norepinephrine transporter. Following oral administration, CM398 showed rapid absorption and peak plasma concentration (Cmax) occurred within 10 min of dosing. Moreover, the compound showed adequate, absolute oral bioavailability of 29.0%. Finally, CM398 showed promising anti-inflammatory analgesic effects in the formalin model of inflammatory pain in mice. The results collected in this study provide more evidence that selective sigma-2 receptor ligands can be useful tools in the development of novel pain therapeutics and altogether, these data suggest that CM398 is a suitable lead candidate for further evaluation.

Multifunctional opioid receptor agonism and antagonism by a novel macrocyclic tetrapeptide prevents reinstatement of morphine-seeking behaviour

BACKGROUND AND PURPOSE

The macrocyclic tetrapeptide natural product CJ-15,208 (cyclo[Phe-d-Pro-Phe-Trp]) is a multifunctional μ-opioid receptor and κ-opioid receptor agonist and κ-opioid receptor antagonist that produces antinociception and prevents stress-induced reinstatement of extinguished cocaine-conditioned place preference (CPP). We hypothesized that an analogue of CJ-15,208, cyclo[Pro-Sar-Phe-d-Phe], would demonstrate multifunctional μ-opioid receptor and κ-opioid receptor ligand activity, producing potent antinociception with fewer liabilities than selective μ-opioid receptor agonists, while preventing both drug- and stress-induced reinstatement of morphine-induced CPP.

EXPERIMENTAL APPROACH

The opioid receptor agonist and antagonist activity of cyclo[Pro-Sar-Phe-d-Phe] was characterized after i.c.v. and i.p. administration to C57BL/6J or transgenic opioid receptor "knockout" mice using the 55°C warm-water tail-withdrawal assay. Liabilities of locomotor coordination, respiration and spontaneous ambulation, and direct rewarding or aversive properties were assessed. Finally, the ability of cyclo[Pro-Sar-Phe-d-Phe] to block morphine- and stress-induced reinstatement of extinguished CPP was determined.

KEY RESULTS

cyclo[Pro-Sar-Phe-d-Phe] demonstrated dose-dependent, short-lasting antinociception, with an ED₅₀ (and 95% confidence interval) of 0.15 (0.05-0.21) nmol i.c.v. and 1.91 (0.40-3.54) mg·kg^-1 i.p., mediated by μ- and κ-opioid receptors. The macrocyclic tetrapeptide also demonstrated potent dose-dependent κ-opioid receptor antagonist-like activity at 2.5, but not at 4.5, h after administration. cyclo[Pro-Sar-Phe-d-Phe] displayed reduced liabiities compared with morphine, attributed to its additional activity at κ-receptors. Pretreatment with cyclo[Pro-Sar-Phe-d-Phe] prevented stress- and drug-induced reinstatement of extinguished morphine-place preference responses in a time-dependent manner.

CONCLUSIONS AND IMPLICATIONS

These data suggest that cyclo[Pro-Sar-Phe-d-Phe] is a promising lead compound for both the treatment of pain with reduced sideeffects and preventing both drug- and stress-induced relapse in morphine-abstinent subjects.

Design, Synthesis, and Characterization of the Macrocyclic Tetrapeptide cyclo[Pro-Sar-Phe-d-Phe]: A Mixed Opioid Receptor Agonist-Antagonist Following Oral Administration

Substance abuse remains a serious public health crisis, affecting millions of people worldwide. Macrocyclic tetrapeptides like CJ-15,208 and [d-Trp]CJ-15,208 demonstrate opioid activity shown to attenuate the rewarding effects of cocaine in conditioned place preference assays in mice, making them promising lead compounds for treating substance abuse. In the present study, we report the rational design, synthesis, conformational analysis, and continued pharmacological evaluation of the novel macrocyclic tetrapeptide cyclo[Pro-Sar-Phe-d-Phe] to further explore this unique molecular scaffold. This peptide was rationally designed based on X-ray and NMR structures of related macrocyclic tetrapeptides. Following synthesis, its solution-phase conformations were determined by NMR and molecular modeling. The peptide adopted multiple conformations in polar solvents, but a single conformation in chloroform that is stabilized by intramolecular hydrogen bonding. The peptide is orally bioavailable, producing antinociception and antagonism of kappa opioid receptor (KOR) stimulation following oral administration in a mouse 55 °C warm-water tail-withdrawal assay. Notably, cyclo[Pro-Sar-Phe-d-Phe] blocked both stress- and drug-induced reinstatement of cocaine and morphine conditioned place preference in mice following oral administration, and displayed a decreased side-effect profile compared to morphine. Thus, cyclo[Pro-Sar-Phe-d-Phe] is a promising lead compound for the treatment of substance abuse.

Characterization of Sigma 1 Receptor Antagonist CM-304 and Its Analog, AZ-66: Novel Therapeutics Against Allodynia and Induced Pain

Sigma-1 receptors (S1R) and sigma-2 receptors (S2R) may modulate nociception without the liabilities of opioids, offering a promising therapeutic target to treat pain. The purpose of this study was to investigate the in vivo analgesic and anti-allodynic activity of two novel sigma receptor antagonists, the S1R-selective CM-304 and its analog the non-selective S1R/S2R antagonist AZ-66. Inhibition of thermal, induced chemical or inflammatory pain, as well as the allodynia resulting from chronic nerve constriction injury (CCI) and cisplatin exposure as models of neuropathic pain were assessed in male mice. Both sigma receptor antagonists dose-dependently (10–45 mg/kg, i.p.) reduced allodynia in the CCI and cisplatin neuropathic pain models, equivalent at the higher dose to the effect of the control analgesic gabapentin (50 mg/kg, i.p.), although AZ-66 demonstrated a much longer duration of action. Both CM-304 and AZ-66 produced antinociception in the writhing test [0.48 (0.09–1.82) and 2.31 (1.02–4.81) mg/kg, i.p., respectively] equivalent to morphine [1.75 (0.31–7.55) mg/kg, i.p.]. Likewise, pretreatment (i.p.) with either sigma-receptor antagonist dose-dependently produced antinociception in the formalin paw assay of inflammatory pain. However, CM-304 [17.5 (12.7–25.2) mg/kg, i.p.) and AZ-66 [11.6 (8.29–15.6) mg/kg, i.p.) were less efficacious than morphine [3.87 (2.85–5.18) mg/kg, i.p.] in the 55°C warm-water tail-withdrawal assay. While AZ-66 exhibited modest sedative effects in a rotarod assay and conditioned place aversion, CM-304 did not produce significant effects in the place conditioning assay. Overall, these results demonstrate the S1R selective antagonist CM-304 produces antinociception and anti-allodynia with fewer liabilities than established therapeutics, supporting the use of S1R antagonists as potential treatments for chronic pain.

CM156, a high affinity sigma ligand, attenuates the stimulant and neurotoxic effects of methamphetamine in mice

Methamphetamine (METH) is a highly addictive psychostimulant drug of abuse. Low and high dose administration of METH leads to locomotor stimulation, and dopaminergic and serotonergic neurotoxicity, respectively. The behavioral stimulant and neurotoxic effects of METH can contribute to addiction and other neuropsychiatric disorders, thus necessitating the identification of potential pharmacotherapeutics against these effects produced by METH. METH binds to σ receptors at physiologically relevant concentrations. Also, σ receptors are present on and can modulate dopaminergic and serotonergic neurons. Therefore, σ receptors provide a viable target for the development of pharmacotherapeutics against the adverse effects of METH. In the present study, CM156, a σ receptor ligand with high affinity and selectivity for σ receptors over 80 other non-σ binding sites, was evaluated against METH-induced stimulant, hyperthermic, and neurotoxic effects. Pretreatment of male, Swiss Webster mice with CM156 dose dependently attenuated the locomotor stimulation, hyperthermia, striatal dopamine and serotonin depletions, and striatal dopamine and serotonin transporter reductions produced by METH, without significant effects of CM156 on its own. These results demonstrate the ability of a highly selective σ ligand to mitigate the effects of METH.

A novel substituted piperazine, CM156, attenuates the stimulant and toxic effects of cocaine in mice

Cocaine is a highly abused drug without effective pharmacotherapies to treat it. It interacts with sigma (sigma) receptors, providing logical targets for the development of medications to counteract its actions. Cocaine causes toxic and stimulant effects that can be categorized as acute effects such as convulsions and locomotor hyperactivity and subchronic effects including sensitization and place conditioning. In the present study, 3-(4-(4-cyclohexylpiperazin-1-yl)butyl)benzo[d]thiazole-2(3H)-thione (CM156), a novel compound, was developed and tested for interactions with sigma receptors using radioligand binding studies. It was also evaluated against cocaine-induced effects in behavioral studies. The results showed that CM156 has nanomolar affinities for each of the sigma receptor subtypes in the brain and much weaker affinities for non-sigma binding sites. Pretreatment of male Swiss-Webster mice with CM156, before administering either a convulsive or locomotor stimulant dose of cocaine, led to a significant attenuation of these acute effects. CM156 also significantly reduced the expression of behavioral sensitization and place conditioning evoked by subchronic exposure to cocaine. The protective effects of CM156 are consistent with sigma receptor-mediated actions. Together with previously reported findings, the data from CM156 and related sigma compounds indicate that sigma receptors can be targeted to alleviate deleterious actions of cocaine.

Attenuation of methamphetamine-induced effects through the antagonism of sigma (sigma) receptors: Evidence from in vivo and in vitro studies

Methamphetamine (METH) and many other abused substances interact with sigma receptors. sigma receptors are found on dopaminergic neurons and can modulate dopaminergic neurotransmission. Antisense knock down of sigma receptors also mitigates METH-induced stimulant effects, suggesting that these proteins are viable medication development targets for treating psychostimulant abuse. In the present study, AC927, a sigma receptor antagonist, was evaluated for its ability to attenuate METH-induced effects in vivo and in vitro. Radioligand binding studies showed that AC927 had preferential affinity for sigma receptors compared to 29 other receptors, transporters and ion channels. Pretreatment of male, Swiss Webster mice with AC927 significantly attenuated METH-induced locomotor stimulation, striatal dopamine depletions, striatal dopamine transporter reductions, and hyperthermia. When the neurotoxicity of METH was further examined in vitro under temperature-controlled conditions, co-incubation with AC927 mitigated METH-induced cytotoxicity. Together, the results demonstrate that AC927 protects against METH-induced effects, and suggests a new strategy for treating psychostimulant abuse.

Effects of Application of Fungicide During the Dormant Period on Phomopsis Cane and Leaf Spot of Grape Disease Intensity and Inoculum Production

Efficacy of application of the fungicides calcium polysulfide or fixed copper during the dormant period on control of Phomopsis cane and leaf spot of grape (Vitis spp.), caused by Phomopsis viticola, was examined under field conditions during the 2003 and 2004 growing seasons in Ohio. Dormant-period fungicide applications were made either in the fall (after leaf drop and periderm tissue formation on the first-year canes, mid-November), or spring (at bud-swell, mid-April), or both. Disease incidence and severity on leaves and internodes were examined. In addition, effects of dormant-period application on sporulation of P. viticola were determined by examining the number of conidia in rain-splashed water in the spring and formation of mature pycnidia on cane sections in the winter. Fall-and-spring and spring applications of calcium poly-sulfide provided 12 to 88% reduction in disease intensity (incidence or severity), whereas calendar-based protectant mancozeb applications reduced overall disease intensity by 47 to 100%. Fixed-copper applications did not provide a consistent reduction of the disease. Fall applications of dormant-period fungicide provided little or no effect by itself. There was a significantly lower number of conidia observed in collected splashed rain water from vines treated with fall-and-spring applications of calcium polysulfide than in rain water from nonsprayed vines. Fall-and-spring and spring applications of calcium polysulfide provided a significant reduction in the number of mature pycnidia formed on incubated cane sections compared with the nonsprayed control (5 versus 10 pycnidia/cm²), whereas fixed copper did not provide a significant reduction.

Evaluation of a Disease Warning System for Phomopsis Cane and Leaf Spot of Grape: A Field Study

A field evaluation of a warning system for Phomopsis cane and leaf spot of grape (Vitis spp.), caused by Phomopsis viticola, was conducted in Ohio over 3 years (2002 to 2004) by applying fungicides and fungicide-adjuvant combinations based on predicted infection events. Three different criteria for risk-light, moderate, and high-were evaluated with the warning system. The warning system is based on measured weather conditions (temperature and wetness duration following rain) and a model for risk of leaf and internode infection. Vines were sprayed with fungicides based on either the warning system or a calendar-based 7-day protectant program, from 2.5-cm shoot growth (Eichhorn-Lorenz [E-L] stage 7) to the end of the broom (E-L stage 27). Fungicides were tested with or without an adjuvant (JMS Stylet-Oil or Regulaid). In the controls, the mean percentage of leaves and internodes with infections ranged from 36 to 100%, the number of lesions per leaf ranged from 1 to 28, and percentage of internodes covered by lesions ranged from 1 to 12%. Both the calendar-based protectant treatment (based on use of mancozeb) and the warning system treatment based on spraying in response to light or moderate predicted infection events (especially with mancozeb + Regulaid) resulted in significantly less disease incidence and severity compared with the controls. The mean percent control (relative difference in disease between a treatment and the control) was higher for the protectant schedule (˜55% and ˜80% for incidence and severity, respectively, based on application of mancozeb) than for the warning system (˜36% and ˜60% for incidence and severity, respectively, based on application of mancozeb + Regulaid), but there were two to three times more fungicide applications with the protectant schedule than with the warning system.

Subjective and objective evaluation of veal lean color

Because veal lean color continues to be a primary factor that determines veal carcass value and is typically assessed by subjective means, it is important to explore objective methods for color assessment. Objective and subjective evaluations of veal flank and breast lean color were compared as predictors of longissimus lean color at 24 h postmortem. One hundred fifty special-fed Holstein veal calves were Kosher-slaughtered with blood samples collected upon exsanguination and analyzed for hematocrit and hemoglobin content. Lean color was evaluated in the flank and breast at 0, 6, 12, and 24 h postmortem. Color of the longissimus was evaluated at 6 h, when possible, and at 24 h. A panel of three trained individuals used a 5-point color standard developed in the Netherlands to visually evaluate lean color. A Minolta Chromameter CR-300 was used to obtain L*, a*, and b* values. A plant employee assigned packer grades at slaughter. Temperature and pH were also measured at each time period. Hemoglobin was more highly correlated than hematocrit with colorimeter values. Hemoglobin levels correlated well with a* values of the flank at 0 h postmortem (r = 0.52) although the correlation declined at 24 h (r = 0.30). The correlation between packer grades and 24-h visual loin color was r = 0.41. Visual loin color at 24 h postmortem was selected as the predicted variable for regression analysis. Temperature and pH did not contribute significantly to any prediction equations. The equation using breast L*, a*, and b* values at 24 h postmortem to predict 24-h loin color gave a higher prediction coefficient (R2 = 0.44) than the corresponding equation using 0-h breast values (R2 = 0.28). Objective measurement of lean color may be useful in veal carcass grading because it is more precise than subjective methods and would allow for uniformity among processing plants.

The quality manager

In the entire quality management jigsaw, no one piece is more important than an adequately trained and qualified quality manager. The terms quality co-ordinator and quality improvement officer do nothing to assist the understanding of this vital member of a hospital's staff. This paper describes the qualifications and role of a quality manager and emphasises that few such qualified quality managers exist in Australian hospitals.

Evaluation of a Disease Warning System for Downy Mildew of Grapes

An electronic warning system for grape downy mildew- based on models for the infection of leaves of Vitis lambrusca, production of sporangia by Plasmopara viticola in lesions, and sporangial survival-was tested over 7 years in Ohio. Grapevines were sprayed with metalaxyl plus mancozeb (Ridomil MZ58) when the warning system indicated that environmental conditions were favorable for sporulation and subsequent infection. Over the 7 years, plots were sprayed from one to four times according to the warning system, and from four to 10 times according to the standard calendar-based schedule (depending on the date of the initiation of the experiment). The warning system resulted in yearly reductions of one to six sprays (with median of three sprays). Disease incidence (i.e., proportion of leaves with symptoms) in unsprayed plots at the end of the season ranged from 0 to 86%, with a median of 68%. Incidence generally was very similar for the warning-system and standard-schedule treatments (median of 7% of the leaves with symptoms), and both of these incidence values were significantly lower (P < 0.05) than that found for the unsprayed control, based on a generalized-linear-model analysis. Simplifications of the disease warning system, where sprays were applied based only on the infection or sporulation components of the system, were also effective in controlling the disease, although more fungicide applications sometimes were applied. Effective control of downy mildew, therefore, can be achieved with the use of the warning system with fewer sprays than a with a standard schedule.

Characteristics of veal calves upon arrival, at 28 and 84 days, and at end of the production cycle

Holstein bull calves arriving at five special-fed veal farms (eight production groups) were scored for various physical condition traits and blood-sampled within 2 h after arrival and at 28 d, 84 d, and 1 wk prior to slaughter at 116 to 143 d. Of 1179 total calves in the production groups, 758 calves were scored and evaluated. Blood cell analyses (red and white blood cell counts, hemoglobin, and packed cell volume) were conducted at all four sampling times; total serum protein concentration was obtained at 0 and 28 d. The study was initiated in autumn and ended the following autumn. Mean initial and final body weights were 46.3+/-0.17 and 209.7+/-0.77 kg; mean mortality was 2.5%. Average daily gain of the eight groups ranged from 1.23 to 1.70 kg/d. Subjective scores of 5 = excellent to 1 = very poor condition were used to evaluate 16 different physical condition characteristics. With the exception of leg joint, hoof, and foot scores, most of the physical condition scores exhibited improvement during the first 28 d. Foot and leg impairments did not appear to hinder the ambulatory ability of the calves during the production period. Physical condition scores at d 0 and 28 were generally not related to numbers or types of medical treatments (enteric, respiratory, other, or total) or to average daily gain during the production period. Means for most erythrocytic and leukocytic traits upon arrival (d 0) were within normal ranges, although 27.4% of the calves were clinically or marginally anemic. Final mean hemoglobin and packed cell volume were 8.53 g/dl and 26.1%. Forty-three percent of the calves at d 0 were colostral deficient, assuming that total serum protein concentrations of <5.5 g/dl indicate colostral deficiency. No blood trait was consistently correlated with body weight gain when gain during the production period was divided into quartiles and the blood traits were averaged by gain quartile. Calves in the lowest serum total protein quartile (mean 4.58 g/dl) had more respiratory and total medical treatments than quartiles with higher total protein means. Dairy bull calves arriving at veal production units after transporting from the dairy farm to the auction market (or other collection facility) have several physical impairments. However, most of these physical impairments are improved early in the veal feeding period and are not generally related to subsequent growth rate or medical treatment.

Risk management: how doctors, hospitals and MDOs can limit the costs of malpractice litigation

The concerns of doctors regarding their risk of malpractice litigation and the costs of indemnity premiums are resulting in calls for legal reforms to limit their liability. We do not believe these returns will be successful either practically or politically. Medical defence organisations often attempt to vindicate the doctor rather than settle the dispute--a strategy that might be morally satisfying to doctors but which is also more expensive than the approach taken by commercial insurers. Risk management--the activities required to minimise financial loss for hospitals and the doctors who work in them--is disorganised or absent in most hospitals. Hospital managers lack incentives for risk management because the costs of litigation do not come out of their budgets. The five mainstays of effective risk management are credentialling of medical staff, incident monitoring and tracking, complaints monitoring and tracking, infection control, and documentation in the medical record. The implementation of risk management activities in hospitals is the immediate responsibility of hospital management, not doctors.

Implant sequence effects in intact male Holstein veal calves: carcass characteristics

Seven sequences of growth promotant implants were used in intact male Holstein veal calves (n = 443). Implants were administered on d 0 (within 4 d after arrival at the veal barn), 42, and 84. The implants used were placebo (0), Z (36 mg zeranol), ET (20 mg estradiol, 200 mg testosterone), EP/2 (10 mg estradiol, 100 mg progesterone), EP (20 mg estradiol, 200 mg progesterone), and EBA (24 mg estradiol, 120 mg trenbolone acetate). The following sequences were compared: 0-0-0 (negative control), 0-ET-ET, Z-ET-ET, 0-EP-EP, Z-EP-EP, 0-EP/2-EBA, and Z-0-EBA. Sequences 0-EP-EP, Z-EP-EP, and 0-EP/2-EBA increased (P<.05) carcass weight from 3.3 to 3.9% compared to nonimplanted controls. There were no differences (P>.05) in percentage of carcass weight accounted for by the fore vs. rear halves of carcasses, suggesting there was no difference in the distribution of weight. Although there were differences in longissimus area, the results were not consistent, except that there was a trend for longissimus area to be increased by the use of estrogenic-androgenic implants (ET and EBA). There were no differences among implant sequences for carcass conformation, fat cover, muscle texture, marbling/ feathering, muscle color, or muscle chemical composition. Of four implant sequences (0-0-0, 0-ET-ET, 0-EP-EP, and 0-EP/2-EBA) tested for differences in Warner-Bratzler shear force tenderness, the latter two sequences averaged higher (P<.05) for shear force than did the negative control. These results suggest that aggressive implant strategies in young, intact Holstein bull calves (raised as veal) have minimal effects on carcass characteristics.

Implant sequence effects in intact male Holstein veal calves: live and slaughter traits

Seven sequences of growth promotant implants were used in special-fed intact male Holstein veal calves (n = 443). Calves received implants 4 d after arrival at the veal barn, 42, and 84. The following implants were used: placebo (0), Z (36 mg zeranol), ET (20 mg estradiol, 200 mg testosterone), EP/2 (10 mg estradiol, 100 mg progesterone), EP (20 mg estradiol, 200 mg progesterone), and EBA (24 mg estradiol, 120 mg trenbolone acetate). The following sequences were compared: 0-0-0 (negative control), 0-ET-ET, Z-ET-ET, 0-EP-EP, Z-EP-EP, 0-EP/2-EBA, and Z-0-EBA. From 0 to 42 d, Z implants increased (P<.05) ADG by 3.4% compared to placebo. However, implant schemes without an initial Z implant (0-ET-ET and 0-EP-EP) had higher (P<.05) mean ADG for the period from d 42 to 84. From 84 d to the end of the experiment, only the 0-EP/2-EBA treatment increased (P<.05) ADG compared to 0-0-0. Over the entire trial 0-ET-ET, 0-EP-EP, Z-EP-EP, and 0-EP/2-EBA implant sequences increased (P<.05) ADG by 3.2, 3.2, 2.4, and 4.7%, respectively, compared to the 0-0-0 sequence. Blood traits measured within 2 wk before slaughter were not affected by implant sequence, except that sequences with EP had higher (P<.05) leukocyte counts than were observed for the other sequences. Testicular weight was less (P<.01) for all of the implant sequences than for the negative control and less (P<.05) for Z-ET-ET than for 0-ET-ET, 0-EP-EP, 0-EP/2-EBA, and Z-0-EBA. The type and frequency of medical treatments did not differ among implant sequences for any of the 42-d phases, or over the entire trial. Generally, the growth promotant implants currently approved for beef cattle resulted in approximately 50% of the increase in growth rate in Holstein intact bull calves, as has been observed in beef-type steers or heifers.

Comparison of rain effects on splash dispersal of three colletotrichum species infecting strawberry

ABSTRACT Rain simulation studies were performed to compare splash dispersal of three Colletotrichum species: C. acutatum (C. acutatum-O isolate from Ohio and C. acutatum-M isolate from Mississippi), C. fragariae (isolate from Mississippi), and C. gloeosporioides (isolate from Florida). Conidial dispersal was assessed by counting colonies formed from spore-bearing splash droplets deposited in sheltered petri plates containing a selective medium. Colonies were converted to number of conidia based on germination rates of spores on the media. The interpolated total number of dispersed conidia over a 61 min rain and 72 cm from the point source (Sigma) was calculated. For all species, a rain intensity of 30-mm/h resulted in significantly greater dispersal than an intensity of 11-mm/h. C. fragariae had the lowest amount of spore dispersal, and C. acutatum-O had the highest dispersal. C. acutatum-M and C. gloeosporioides were intermediate in magnitude of conidial splash dispersal. However, differences were directly attributed to differences in spore density per fruit at the source. When Sigma was corrected for source strength (Sigma(r)), the species were very similar, with only C. acutatum-M having a mean Sigma(r) significantly less than the others. Proportions and rates of spore removal (per minute) from source fruits were higher for C. acutatum-O and C. gloeosporioides than for other isolates. Wash-off rates of conidia deposited on healthy fruits were the same for all species. Deposition flux density of spores that had been uniformly sprayed over the entire soil surface of the experimental area was affected by species. A significant difference in means was observed between C. acutatum and C. fragariae-the latter had a somewhat lower flux density. This is the first demonstration that closely related species infecting the same plant species are similar in terms of splash dispersal.

Effects of individual housing design and size on behavior and stress indicators of special-fed Holstein veal calves

The objectives of this study were to determine effects of housing design (calves tethered in open stalls vs untethered in individual pens) and widths of 56, 66, and 76 cm (2 x 3 factorial arrangement of treatments) on indicators of stress and behavior in special-fed veal calves. Three production cycles (groups) were used, each with 36 Holstein bull calves. Calves (n = 108) were randomly allotted to treatments upon arrival at the facility. Blood samples were collected four times (wk 4, 9, 13, and 18) during the 18-wk production cycle. Blood serum values for cortisol and alpha1-acid glycoprotein (AGP) exhibited few treatment differences. Blood leukocyte differential counts at 4 and 18 wk (segmented neutrophils [N], banded neutrophils, lymphocytes [L], basophils, and the N:L ratio) were not different (P > .05) among housing designs or widths. However, there were differences (P < .05) in monocytes and eosinophils during the 28-d period after arrival; calves in stalls 76 cm wide had the greatest percentage of both leukocytes, and calves in the 66-cm stalls had the lowest monocyte percentage. Calves were recorded on videotape during wk 4, 13.5, and 18 to determine frequencies and durations of postures and behaviors (e.g., lying, standing, chewing, tongue playing, grooming, and investigative activities). There were no consistent differences (P > .05) in postures or behaviors among calves in different housing designs or widths. Calves spent approximately 71 and 31% in lying and standing positions, with no preference for the right or left side while recumbent. There was a tendency for calves in wider stalls or pens at wk 9 and 18 to exhibit more self-grooming activities. Tongue playing and investigative and chewing activities were exhibited in all treatments, but no differences (P > .05) were observed. However, calves housed in the 56-cm pens displayed difficulty in changing from lying to a standing position and were unable to extend one or more legs while recumbent. Even though there were few differences in behavioral, physiological, growth, or anatomical traits in this study, further increases in age and(or) weight of finished calves will require a reassessment of the appropriateness of individual veal calf housing design and dimensions.

Key principles of quality management for health information departments and their managers

This article briefly summarises the key factors essential for successful quality management in a medical record department. The article suggests that health information managers should play a larger role in overall hospital quality management and their credibility in this activity would be enhanced if they were to first look to their own departments.

Calibration and evaluation of an electronic sensor for rainfall kinetic energy

ABSTRACT A novel sensor for measuring the kinetic energy of impacting raindrops, developed based on a soil-mass erosion sensor, was tested in the laboratory, with a rain simulator, and in the field. Drop impactions on the sensor-consisting of a piezoelectric crystal and associated electronics-produce an electrical charge that equals a fixed amount of energy. Calibration of the sensor was done in the laboratory using water drops of known diameter impacting with known velocity, and thus, with known kinetic energy. The relationship between pulse-count output of the sensor minus the background pulse counts when no drops were impacting (O; per min) and kinetic energy flux density (i.e., power [P; mJ cm(-2) min(-1)]) was found to be described by the formula P; = (0.204 + 0.065 . O)(0.67). The measurement threshold was 0.34 mJ cm(-2) min(-1). Using the sensor, generated rains with intensities of 23 to 48 mm/h were found to have powers of 0.4 to 2.2 mJ cm(-2) min(-1). In 2 years of field testing, 85 individual rain episodes were monitored, with mean intensities ranging from 0.1 to 42 mm/h. These rains had mean powers ranging from 0 to 5 mJ cm(-2) min(-1), and the highest power for a 5-min sampling period was 10 mJ cm(-2) min(-1). Both power and intensity varied greatly over time within rain episodes, and there was considerable variation in power at any given rain intensity, emphasizing the importance of measuring rather than simply predicting power. Although there was no known true power measurements for the generated or natural rains, estimates were realistic based on theoretical calculations, assuming that the gamma distribution represents raindrop sizes. The sensor is important in assessing the risk of rain splash dispersal of plant pathogens.

Quality and its measurement

The concept of assessing or measuring the quality of clinical care has to date not been an integral part of Australian hospital culture. Assessing and measuring quality of clinical care in a way that enables it to be quantified is an essential ingredient for quality improvement. While indirect measures, familiar enough in hospitals, are available they are rarely seen as techniques for assessing the quality of care. Technology that has now been available for the past 10-15 years involves making judgements by using medical record data compared with a matrix of outcome and process criteria. This approach makes quantification of quality possible. The methodology employed, Structured Quality Review (a term devised by Wilson and Goldschmidt), is described. Quality Standards in Medicine, a commercial product embracing Structured Quality Review, is described as a tool for assessing the quality of clinical care and measuring quality improvement.

Effects of a Cover Crop on Splash Dispersal of Colletotrichum acutatum Conidia

ABSTRACT A rain simulator, with generated rains of 11 and 30 mm/h, was used to determine the effect of a cover crop or intercrop on the splash dispersal of Colletotrichum acutatum conidia. Dispersal through sudangrass, which can be used as a 'living mulch', was tested at two planting densities (140 or 280 kg/ha) and two heights (5 and 20 cm) and compared with a control consisting of a bare soil. Dispersal of C. acutatum conidia was assessed by counting colonies formed from spore-bearing splash droplets deposited in sheltered petri plates containing a selective medium. Both a cover crop and rain intensity significantly affected splash dispersal as measured by the interpolated total number of colonies (denoted by Sigma) from 0 to 72 cm from the inoculum source and in a time span of 61 min of generated rain (P < 0.001). However, there was no significant interaction of cover crop and intensity (P > 0.90). Dispersal with a 30-mm/h rain was higher than dispersal with a 11-mm/h rain, and presence of a cover crop significantly reduced dispersal compared with bare soil (P < 0.001). Of the treatments with sudangrass, cover crop planting density did not affect dispersal overall, but there was greater spore dispersal with the taller sudangrass at the higher planting density, due in part to the higher rate of water splashing with the tall grass compared with the short grass. Spore deposition in the petri plates could be functionally related to distance and time using a diffusion-type model, and parameter estimates could be used to explain the effects of cover crop on Sigma. Although the relationship between cover crop properties and splash dispersal is complex, results show the potential beneficial effects of the cover crop on disease management.

Credentialling of hospital medical staff

This article is a brief account of what is meant by credentialling and what hospitals have to do to make credentialling an effective, rather than a token, exercise. Credentialling is a key element in reducing the risk of litigation for hospitals and the doctors who work in them. This article provides a history of this initiative in Australia and describes the context in which many hospitals find themselves from time to time. The relationship between appointing doctors and credentialling them is discussed and emphasis is placed on the structured process that is essential if difficulties, including legal ones, are to be avoided. A brief account of the various methods used is given.

A comparison of milk protein sources in diets of calves up to eight weeks of age

Four dietary ratios of dried skim milk and whey protein concentrate as the primary protein sources in milk replacers were evaluated using digestibility, growth performance, health characteristics, and blood measurements of calves that were 12 to 36 h of age to 8 wk of age. Sixteen Holstein bull calves, housed individually within an environmentally controlled facility, were randomly allotted to diets. Protein sources in the milk replacer were expressed as ratios (percentages) of dried skim milk to whey protein concentrate in diet 1, 100:0; diet 2, 67:33; diet 3, 33:67; and diet 4, 0:100. There were no significant differences in the mean number of days that calves scoured. Apparent biological value and N retention differed among diets over all weeks. Apparent digestibilities and biological values (percentages) over all weeks were diet 1, 82.50 and 67.71; diet 2, 82.85 and 70.15; diet 3, 83.82 and 67.46; and diet 4, 84.03 and 72.25, respectively. Diets varying in the ratio of dried skim milk to whey protein concentrates had no effect on health, growth, or apparent digestibilities in Holstein calves up to 8 wk of age.

Body measurements and body weights of special-fed Holstein veal calves

Changes in various body dimensions of special fed veal calves were measured and correlated with body weight (BW) at three specific times during the growth period as contemporaries and over the entire feeding period as noncontemporaries. The calves (n = 826) were weighed and measured for body length, heart girth, wither height, and hip width at 2, 8, and 16 wk after arrival at the veal farms. Each of the four measurements, expressed as ratios to BW, decreased over the feeding period; decline in the ratio of hip width to BW was less than the decreases in the other ratios. Linear models to predict contemporary BW within each age group based on all body measurements were developed; R2 values for models for 2, 8, and 16 wk were 0.72, 0.77, and 0.76, respectively. Within each of the three age classes, a model including linear, quadratic, and cubic terms of heart girth yielded the highest R2 values of any single measurement (0.46, 0.63, and 0.67 for data for 2, 8, and 16 wk, respectively). The addition of heart girth as a second linear measurement to three-term models containing only one other measurement increased the R2 more than did the addition of any other single linear expression, except for the equation based on body length. When all records on all calves were combined and the observations were treated as noncontemporaries, the R2 was 0.97 for a linear model that included all four measurements. However, this R2 was essentially the same as the R2 from a three-term model using only heart girth. The cubic models in descending order of R2 values were heart girth, body length, hip width, and wither height. These results suggest that BW can be predicted accurately in a group of noncontemporary male veal calves ranging from 2 to 16 wk after the start of the feeding period. However, the BW of calves within contemporary groups (2, 8, and 16 wk) cannot be predicted accurately according to R2 values.

Effects of individual housing design and size on special-fed Holstein veal calf growth performance, hematology, and carcass characteristics

The objective was to evaluate the effects of individual housing design (stalls vs pens) with widths of 56, 66, and 76 cm (2 x 3 factorial treatment arrangement) on growth, hematology, cleanliness, ambulation, abomasal hairball, and carcass measurements. Three groups of 36 Holstein bull calves (n = 108) were randomly allotted within group to treatments. There were no effects (P > .05) of housing design, width, or two-way interactions for BW, ADG, carcass weight, or dressing percentage. Blood samples were collected at approximately 33-d intervals. Mean values for hemoglobin, hematocrit, white blood cell count (WBC), and red blood cell count (RBC) were not different among treatments (P > .05), with the exception of d 28 hemoglobin, which was greater in the calves housed in 66-cm vs 76-cm stall. There were differences (P < .05) due to design and design x width effects for hind-quarter cleanliness; manure accumulation tended to be greater in pens vs stalls as width increased. There were increases (P < .05) in left front knee swelling scores as stall or pen size decreased; no important differences were observed in ambulatory ability among treatment groups. There were design effects (P < .05) for excitability scores, with calves in stalls being more excitable. There were no important treatment effects (P > .05) for liver, spleen, and lung condition, number of abomasal hairballs, or 0- and 24-h after slaughter flank or brisket color. These results indicate that housing designs and widths did not affect veal calf growth performance, WBC, RBC, hemoglobin, hematocrit, ambulation, or muscle color.

Effect of Rain Distribution Alteration on Splash Dispersal of Colletotrichum acutatum

ABSTRACT Splash dispersal of Colletotrichum acutatum conidia from infected strawberry fruit was assessed using a rain simulator to determine the properties of rain (e.g., intensity [millimeters/hour] or drop size distribution) most related to dissemination. Dispersal with a simulated rain corresponding to a natural rain of about 11 mm/h was compared with dispersal of three other simulated rains that had larger and smaller drop sizes, on average, than idealized natural rains. Splash droplets were collected in sheltered petri plates with a selective medium for Colletotrichum, and colonies formed from conidia entrained in the droplets were counted and used as the measure of dispersal. Colonies were mostly confined to a 27-cm radius from the source, and density of colonies decreased exponentially with the distance squared, as indicated by the fit of a diffusion-type model to the data. Splash dispersal was more affected by drop size distribution than rain intensity or other properties of the generated rains. That is, there was a direct positive relationship between total colonies over 61 min of rain for a circular area with a 72-cm radius (Sigma) and the mass (volume) median diameter of impacting drops (D(0)') for four rain-simulation treatments. In a separate study, strawberry fruit were exposed to the same four simulated rains at two distances from a point source and for two rain durations. Although the proportion of infected fruit (y) increased with time and decreased with distance, rain treatment did not significantly affect y, as predicted based on past work with a wide range of intensities of simulated rains.

Effects of Temperature on Sporulation and Latent Period of Colletotrichum Spp. Infecting Strawberry Fruit

Effects of temperature on sporulation of Colletotrichum acutatum, C. gloeosporioides, and C. fragariae, causes of anthracnose of strawberry, were determined in controlled-environment studies. Detached immature fruit were inoculated with a conidial suspension and incubated up to 36 days at constant temperatures of 5, 10, 15, 20, 25, 30, and 35°C. Latent period (time to first sporulation) depended on temperature and ranged from 2 to 3 days at 25°C to 6 to 17 days at 5°C. C. acutatum had a shorter latent period than the other species at 5 and 10°C; at higher temperatures, latent periods of the species were very similar. During the first 4 days of sporulation, there was an optimum-type relationship between the logarithm of conidia per fruit [log(Y)] and temperature, with maximum observed sporulation (generally 10⁶ to 10⁷ conidia per fruit) from 15 to 30°C. Sporulation increased over time at temperatures of 15°C and above. The greatest difference among the species was at 5 and 10°C, where tested C. acutatum isolates produced from 10 to 100 more conidia per fruit than the other species. Polynomial regression equations were used successfully to represent log(Y) as a function of temperature and incubation time. The rate of increase in sporulation over time was a function of temperature, with a predicted optimum of 22 to 26°C. Equations were validated by predicting sporulation of the three species infecting fruit attached to plants growing in controlled-environment chambers. Although the predictions tended to be slightly larger than observed, mean error [100(observed - predicted)/ observed] was only -0.7% (95% confidence interval: -2.4 to 1.0%).

Blood, growth, and other characteristics of special-fed veal calves in private cooperator herds

The objectives of this study were to determine the mean values for mortality, blood, and growth traits and the correlations among blood and growth traits on privately owned farms producing special-fed veal. Mortality percentages were available on 13 groups of special-fed veal calves (n = 1403) from four farms; growth and some blood traits were available on 9 groups from four farms (n = 975). Mean mortality percentages for periods 0 to 2, 2 to 7, and 7 to 16 wk, and over 16 wk were 1.0, 1.0, 1.0, and 3.1%, respectively. Means for average daily gain for 2 to 7 wk were 1.37 +/- .008 kg and for 7 to 16 wk were 1.52 +/- .001 kg. When calves arrived at the veal farm, total plasma protein averaged 6.2 +/- .05 g/dl. Examination of total plasma protein upon arrival of calves indicated that 81% of the calves had received colostrum. The base level indicating colostral deficiency was < 5.5 g/dl of total plasma protein; 51% of the calves had total plasma protein > 6.0 g/dl at arrival. Mean hemoglobin concentrations at arrival and at 2, 7, and 16 wk were 11.1 +/- .15, 10.6 +/- .18, 9.2 +/- .14, and 7.8 +/- .13 g/dl, respectively. Means for hemoglobin were generally higher than previously reported for special-fed veal calves reared in individual stalls. Hemoglobin and red blood cell counts were correlated positively with 16-wk average daily gain and body weight, and midtrial white blood cell counts were correlated negatively with average daily gain and body weight from 2 to 7 wk; there were no other significant relationships between blood traits and growth performance measures.

Assuring a residue-free food supply: special-fed veal

The importance of extra-label drug use is discussed as this provision relates to special-fed veal production. Presently, there are 3 drugs approved and labeled for use in veal calves. Other medications and pharmaceuticals required to maintain and enhance calf health and well-being must be provided by consulting veterinarians under extra-label drug use provisions. Although special-fed veal has recently been reclassified as a minor use species (within Inter-Regional-4 designation), a sufficiently broad spectrum of safe and effective drugs will probably not be approved for use in veal calves within an acceptable and reasonable period. The use and practice of extra-label drug use provisions have apparently not represented a food safety hazard if the FSIS National Residue Program results are considered a measure of relative food safety. In 1988, the percentage of violative residues (based on all contaminants including antibiotics) was 3.3%; in 1991, this percentage was 0.24%. If existing extra-label drug use provisions were antagonistic with continuing efforts to enhance food safety, the percentage of violative residues would not have decreased. Perhaps not coincidentally, a comprehensive Veal Quality Assurance Educational Program (VQAEP) also was initiated in 1988. This industry-funded, industry-directed program is comparable to QAEP or total quality management programs conducted in other species and production systems. Over 80% of all US special-fed veal producers and others involved in the veal industry have participated in VQAEP seminars since 1988, with repeated attendance by many producers. Although the VQAEP has been effective, the goal of this and other programs must be zero violative residues.

Effects of different doses of zeranol on growth, hemoglobin, and carcass traits in veal calves

Effects of different doses of zeranol on ADG, hemoglobin (Hb), feed efficiency (FE), and carcass traits were evaluated in special-fed veal calves in two trials. On d 0, calves were implanted subcutaneously in the middle third of the ear with either 0 (control, placebo pellet), 12, 24, 36, or 48 mg of zeranol. Trial 1 was conducted from February through May 1990 with 120 Holstein bull calves (17 to 21 d of age on d 0) and Trial 2 was conducted from May through August 1991 with 100 Holstein bull calves (24 to 28 d of age d 0). Calves were fed on an individual calf basis. Calves in Trial 1 that were implanted with 48 mg of zeranol had improved FE (P < .05) and ADG (P < .05) during Period 1 (0 to 43 d). No significant differences in ADG or FE were observed among treatments in Trial 2. Hemoglobin levels at slaughter averaged 7.88 +/- .096 and 8.19 +/- .149 g/dL over all treatments for Trials 1 and 2, respectively. The only postslaughter trait affected by zeranol dose was testicular weight. In both trials, testicular weight at slaughter decreased (P < .05) with increasing doses of zeranol. Dressing percentage tended to be higher for 48-mg implants than for controls but the difference was not significant. There were no significant zeranol dose effects on longissimus muscle area, flank color, carcass conformation, or percentage of fore- vs hind-quarter weight. These results indicated that higher doses of zeranol improved ADG and FE during the first 6 wk after the trial period (to 8 wk of age), decreased testicular weight, and increased hide-on carcass dressing percentage for calves implanted with 48 mg of zeranol compared with those that received 0 mg of zeranol.

Mastitis in beef cows and its effects on calf weight gain

Quarter milk samples from 51 purebred (Angus, Polled Hereford, and Simmental) and 69 crossbred (Angus x Simmental x Charolais three-way cross) beef cows were collected aseptically at three times during lactation to determine the prevalence of intramammary infection, milk somatic cell counts (SCC), and effects of infection on calf weight gain. Quarter infection prevalence was 13.1, 14.9, and 27.5% in early, mid, and late lactation; corresponding cow infection prevalence was 25.8, 29.2, and 54.4%. Staphylococcus aureus was isolated from 2.9, 2.7, and 3.2% of quarters in early, mid, and late lactation, respectively. Corynebacterium bovis, generally regarded as a minor pathogen, was isolated from 4.0, 7.6, and 18.2% of quarters at the three respective times. Geometric SCC means (10(3) cells/ml) were 1,522, 344, and 509 for S. aureus-infected quarters; 344, 899, and 221 for Staphylococcus hyicus-infected quarters; 65, 36, and 86 for C. bovis-infected quarters; and 20, 17, and 18 for uninfected quarters in early, mid, and late lactation, respectively. Adjusted 205-d weight gain for calves with S. aureus-infected dams was 9.6 kg less (P less than .05) than for calves with uninfected dams. Adjusted 205-d weight gain for calves with dams infected with any mastitis pathogen did not differ significantly from that of calves with uninfected dams. At weaning half of the infected cows and half of the uninfected cows were given an intramammary infusion product containing 300 mg of cephapirin benzathine in each quarter; the remaining cows were untreated controls. Quarter samples were collected aseptically from all cows 14 to 28 d after subsequent calving. Quarter prevalence of infection after calving was lower (P less than .05) in treated (8.2%) than in control (22.4%) cows. Significantly more infections present at weaning were eliminated in treated than in control cows, but the new infection rate during the dry period and early lactation did not differ between the two groups.

Felodipine in combination with a beta-adrenoceptor blocker as an effective substitute for triple therapy in severe hypertension. The Australian Felodipine Multicentre Study Group

We have studied the efficacy and tolerability of felodipine plus a beta-adrenoceptor blocker in 79 patients with essential hypertension previously treated with a combination of three or more anti-hypertensive agents, one of which was a beta-adrenoceptor blocker. After a 4-week run-in period on the same beta-blocker plus placebo (as a substitute for the other agents in the regimen), felodipine was added and its dose titrated to achieve a supine diastolic blood pressure or less than 90 mm Hg. This was followed by a 12-week maintenance phase in all patients, and 47 patients entered an optional long-term follow-up for an additional 9 months. The mean supine blood pressure was 149/88 mm Hg at entry and 174/108 mm Hg after the run-in phase. Felodipine significantly reduced the blood pressure to 142/85 mm Hg after dose titration and to 141/84 mm Hg after 12 weeks, 94% of patients achieving a supine diastolic blood pressure of 90 mm Hg or below. This reduction was maintained in the patients who were followed for 12 months. The adverse events recorded were usually mild, transient, and typical for an effective precapillary vasodilator. Nine of 74 patients (11%) were withdrawn in the first phase of the study because of adverse events and 5 of 47 patients were withdrawn during the long-term follow-up. These results show that the efficacy and tolerability of a combination of felodipine with a beta-blocker allow a simplified regimen for hypertensive patients who were previously taking three or more drugs for satisfactory blood pressure control.

Insulin-like growth factors stimulate chemotaxis in human melanoma cells

Insulin and insulin-like growth factors stimulate motility in the highly metastatic human melanoma cell line, A2058. Insulin-like growth factor-I (IGF-I) is the most potent with a maximal response at a concentration of 10 nM compared to the activities of insulin and insulin-like growth factor-II (IGF-II) which peak at 300-400 nM. Using checkerboard analysis, the responses to IGF-I and insulin are predominantly chemotactic, although insulin had a significant chemokinetic component. Pertussis toxin does not inhibit the response to any of these polypeptides. However, in previous studies, it was shown that the motile response to autocrine motility factor from these same A2058 cells was markedly inhibited by pertussis toxin. 125I-labelled IGF-I binds saturably and specifically to the A2058 cells. Scatchard analysis indicates a high binding affinity (Kd approximately 3 x 10(-10) M) and an estimated 5000 receptors/cell. These studies indicate that in addition to their mitogenic properties, certain growth factors may profoundly enhance metastasis of tumor cells by their ability to induce motility.

Switch hair as an indicator of magnesium and copper status of beef cows

Samples of switch hair, blood, and urine were obtained periodically over 5.5 months from 11 Angus and 13 Angus-Charolais cows grazing either all-grass or grass-legume swards. Liver samples were obtained at the end of the study. Hair growth rate and mineral concentrations in switch hair (magnesium [Mg], copper [Cu]), blood serum (Mg, Cu), urine (Mg), and liver (Cu) were determined. Significant (P less than 0.05) hair-growth rate differences were observed among sampling periods (daily mean = 0.58 +/- 0.01 mm). Angus black-pigmented switch hair contained more (P less than 0.001) Mg than did the light-pigmented Angus-Charolais hair. The effect of season was observed on hair Mg and Cu and on serum Mg (P less than 0.01). Serum and hair Mg concentration correlated in both breed groups after removal of individual cow treatment effects (Angus: r = 0.58, P less than 0.001, n = 64; Angus-Charolais: r = 0.46, P less than 0.001, n = 76). Likewise, urine Mg and hair Mg concentrations correlated (Angus: r = 0.35, P less than 0.05, n = 53; Angus-Charolais: r = 0.26, P less than 0.05, n = 63). Sward type had a pronounced effect on serum and urine Mg concentrations and a slight effect on hair Mg concentrations (P less than 0.10) only during midsummer. Cattle with switch hair Mg values less than 25 to 30 mg (light pigmentation) and 100 to 125 mg (black pigmentation)/kg of dry matter (DM) may be hypomagnesemic.(ABSTRACT TRUNCATED AT 250 WORDS)

Effects of deficient and adequate dietary magnesium concentrations on body magnesium concentrations in wethers

Effects of 2 dietary Mg concentrations (deficient and adequate: 0.04 and 0.12 g of Mg/100 g of dry matter, respectively) on body fluid and tissue Mg concentrations and performance of wether lambs were evaluated in a 28-day trial. Nine blood and 6 urine samples were collected from each wether. After 28 days, CSF and wool samples were collected, and diet, body fluids, and tissues were analyzed for mineral concentration. Diet effects on serum and urine Mg concentrations were noticed after day 3 (P less than 0.01; P less than 0.05, respectively). Mean serum and urine Mg concentrations for 6 sampling periods were correlated (r = 0.83, P less than 0.001; No. of samples = 12). The effect of dietary Mg on CSF Mg concentrations approached significance (P less than 0.10). Effects of diet on cardiac muscle, liver, and 3rd metatarsal bone Mg contents or hematologic criteria were not observed. Diet affected wool and kidney cortex Mg contents (P less than 0.02). Individual mean 28-day serum Mg concentration was correlated with wool Mg content (r = 0.73, P less than 0.05; n = 8) and with kidney cortex Mg content (r = 0.75, P less than 0.05; n = 8). Wethers fed low Mg diet excreted less urine Ca (P less than 0.001) and had slightly lower serum Ca and K values (P less than 0.10) than did wethers fed high Mg. Significant differences in cardiac muscle, liver, spleen, or kidney cortex Ca contents were not observed. Wethers fed low Mg diet consumed less dry matter and gained less weight (P less than 0.001) than did wethers fed high Mg diet. Body fluid and tissue macromineral concentrations of 1 wether with hypomagnesemic tetany are presented for prognostic and diagnostic purposes.