Ulcerative stomatitis associated with yellow bristle grass in New Zealand dairy cows.

CASE HISTORY: A line of 25 cull cows were all found to have ulcerative lesions of the tongue at post-mortem inspection in a New Zealand slaughter plant. A further 9 of 10 cows inspected at the farm of origin had similar oral lesions. There were no other clinical signs or indicators of ill-health observed at ante-mortem inspection in the abattoir or on the farm. The cows had been fed baleage for 3 weeks prior to slaughter, made from pasture in paddocks heavily contaminated with yellow bristle grass (Setaria pumila). CLINICAL FINDINGS: There was extensive and deep transverse linear ulceration in the lingual fossa immediately rostral to the torus linguae. At histological examination, full-thickness ulceration of the stratified squamous epithelium was observed with a bed of disorganised collagenous tissue and extensive mixed inflammatory infiltrate extending into the sub-epithelial connective tissue and skeletal muscle. Barbed plant fragments were embedded in both the superficial and deeper areas of inflammation. Detailed examination of the baleage also found that yellow bristle grass seedheads were present. DIAGNOSIS: Based on the presence of barbed plant material in the tongue and yellow bristle grass seeds in the baleage, a diagnosis of ulcerative stomatitis associated with yellow bristle grass was made. CLINICAL RELEVANCE: Clinicians should be aware of the potential for hay or baleage contaminated with yellow bristle grass to cause oral lesions in cattle.

An electronic patient-reported outcomes measurement system in paediatric orthopaedics.

PURPOSE: The purpose of the study was to evaluate the reliability, review differences and assess patient satisfaction of electronic patient-reported outcome measures (PROMs) compared with paper PROMs. METHODS: Participants between 12 and 19 years of age with a knee-related primary complaint were randomized into two groups. Group 1 completed paper PROMs followed by electronic, while Group 2 received the electronic followed by paper. PROMs included the Pediatric International Knee Documentation Committee (Pedi-IKDC), Hospital for Special Surgery (HSS) Pediatric Functional Activity Brief Scale (HSS Pedi-FABS), Tegner Activity Level Scale, Visual Analogue Scale (VAS), PedsQL Teen and a satisfaction survey. RESULTS: In all, 87 participants were enrolled with one excluded due to incomplete PROMs. Of the 86 participants, 54 were female and 32 were male with an average age of 14.3 years (12 to 18). A high degree of reliability was found when comparing the paper and electronic versions of the Pedi-IKDC (0.946; p < 0.001), HSS Pedi-FABS (0.923; p < 0.001), PedsQL Teen (0.894; p < 0.001), Tegner Activity Level Scale before injury (0.848; p < 0.001) and the Tegner Activity Level Scale after (0.930; p < 0.001). Differences were noted between the VAS scores, with paper scores being significantly higher than electronic (5.3 versus 4.6; p < 0.001). While not significant, a trend was noted in which electronic PROMs took, overall, less time than paper (10.0 mins versus 11.2 mins; p = 0.096).Of all participants, 69.8% preferred the electronic PROMs, 67.4% felt they were faster, 93.0% stated they would complete forms at home prior to appointments and 91.8% were not concerned about the safety/privacy of electronic forms. CONCLUSION: PROMs captured electronically were reliable when compared with paper. Electronic PROMs may be quicker, will not require manual scoring and are preferred by patients. LEVEL OF EVIDENCE: II.

Mechanisms of tongue protraction and narial closure in the marine toad Bufo marinus.

Electromyography, kinematic analysis, muscle stimulation and denervation techniques were used to investigate the muscular mechanisms of narial closure during breathing and of tongue protraction during prey capture in the marine toad Bufo marinus. Toads were video-taped during breathing and feeding under a variety of conditions: before surgery, after unilateral or bilateral denervation of the M. submentalis, and after unilateral or bilateral denervation of the Mm. genioglossus basalis and medialis. Deeply anesthetized toads were video-taped during stimulation of several cranial muscles, and electromyograms were recorded from the M. submentalis during feeding before and after its denervation. Bufo marinus differs from many other anurans in having a relatively long tongue that experiences large accelerations (> 31 g) during protraction. Tongue protraction occurs in two phases: an early phase during which the lingual tip moves upward and forward relative to the mandibular tip as the tongue shortens, and a later phase during which the lingual tip moves downward and forward relative to the mandibular tip as the tongue elongates under its own momentum. Relative to an external reference, the lingual tip follows a straight trajectory from mouth to prey, which depends critically upon precise coordination of tongue and jaw movements. The M. submentalis is necessary for normal tongue protraction during feeding. In contrast, the Mm. genioglossus basalis and medialis are necessary for forward movement of the tongue pad over the symphysis. In B. marinus, a simple anatomical change (elongation of the tongue) has functional consequences (inertial elongation) that profoundly affect the mechanisms of neuromuscular control. Though seldom studied, it seems likely that morphological evolution has had a profound influence on mechanisms of motor control in animals generally.

Studies on ventilation of Caiman crocodilus (Crocodilia: Reptilia).

The ventilatory mechanics of freely moving Caiman crocodilus were studied by cinefluorescopy and electromyography. The buccal oscillations serve only to flush the internal nares in olfaction. Ventilations are coincident with abdominal oscillations. The larynx ordinarily lies adpressed to the internal nares so that the posterior buccal chamber is excluded from the path of air flow during ventilation and does not contribute to respiratory dead space. The pulmonary pressures may be variably polyphasic and the tracheal flows diphasic. Exhalation involves an anterior shift of the liver by action of the transverse abdominal muscles, while inhalation proceeds due to contraction of the diaphragmatic muscle pulling the liver caudad. The various costal muscles facilitate air flow by shifting the position of the ribs. They also play a role in fixation of the flexible rib cage so that it resists the aspirating and compressing actions of the hepatic piston. The pattern of muscular activity shifts as the trunk is immersed; expiration becomes passive and inspiration requires increased muscular effort. The ribs, instead of changing position with each breath are comparatively fixed by the costal muscles, while changes in the volume of the pleural cavity are caused almost exclusively by movements of the hepatic piston.