The LAPLAP study: a randomized placebo-controlled clinical trial assessing postoperative functional recovery using intraperitoneal local anaesthetic in laparoscopic colorectal surgery.

AIM: Postoperative pain remains a major factor in recovery from colorectal resection. There is increasing interest in opioid-sparing analgesia, and intraperitoneal local anaesthetic (IPLA) has recently been shown to be useful in minor laparoscopic and open colorectal procedures. The aim of this study was to evaluate the impact of IPLA on functional recovery following major laparoscopic surgery. In this controlled trial, mobility, as measured by the De Morton Mobility Index (DEMMI), was used as a surrogate for postoperative functional recovery. METHOD: Patients undergoing laparoscopic colorectal resection were randomized either to continuous ropivacaine (0.2% at 4-6 ml/h) or to saline (0.9%) which were administered via intraperitoneal catheter for 3 days postoperatively. Results were analysed in a double-blind manner. DEMMIs were assessed on postoperative days 1, 2, 3, 7 and 30, and data on pain, opioid consumption, gut and respiratory function, length of stay (LOS) and complications were recorded. RESULTS: Ninety-six patients were recruited. There was no difference in primary outcome (i.e., functional recovery) between IPLA and placebo groups. Opioid consumption and LOS were similar between groups, and no differences were found for any secondary outcome measure. There were no adverse events related to ropivacaine. CONCLUSION: Infusional intraperitoneal local anaesthetic appears to be safe but does not improve functional recovery or analgesic consumption following elective laparoscopic colorectal surgery, in the setting of an established enhanced recovery programme.

Avian pox in crimson rosellas (Platycercus elegans) in southern Australia.

Poxviral infection was identified in a crimson rosella presented to the Australian Wildlife Health Centre (Victoria) in 2002, and from a second crimson rosella in 2008. Both cases were characterized by proliferative lesions on non-feathered skin. Routine histopathology identified intra-lesional epidermal changes consistent with those caused by poxvirus. Electron microscopy confirmed the presence of poxvirus in inclusions in the first case, and genetic analysis of DNA extracted from both cases found an identical viral genome that differs from all other known poxviruses. We conclude that this infection in crimson rosellas is caused by a previously unrecognized avian poxvirus endemic to this region of Australia, and with low virulence.

Vibrational mechanics in an optical lattice: controlling transport via potential renormalization.

We demonstrate theoretically and experimentally the phenomenon of vibrational resonance in a periodic potential, using cold atoms in an optical lattice as a model system. A high-frequency (HF) drive, with a frequency much larger than any characteristic frequency of the system, is applied by phase modulating one of the lattice beams. We show that the HF drive leads to the renormalization of the potential. We used transport measurements as a probe of the potential renormalization. The very same experiments also demonstrate that transport can be controlled by the HF drive via potential renormalization.

The Panopticon device: An integrated Paul-trap-hemispherical mirror system for quantum optics.

We present the design and construction of a new experimental apparatus for the trapping of single Ba+ ions in the center of curvature of an optical-quality hemispherical mirror. We describe the layout, fabrication, and integration of the full setup, consisting of a high-optical access monolithic "3D-printed" Paul trap, the hemispherical mirror, a diffraction-limited in-vacuum lens (NA = 0.7) for collection of atomic fluorescence, and a state-of-the art ultra-high vacuum vessel. This new apparatus enables the study of quantum electrodynamics effects such as strong inhibition and enhancement of spontaneous emission and achieves a collection efficiency of the emitted light in a single optical mode of 31%.

A new lineage of trypanosomes from Australian vertebrates and terrestrial bloodsucking leeches (Haemadipsidae).

Little is known about the trypanosomes of indigenous Australian vertebrates and their vectors. We surveyed a range of vertebrates and blood-feeding invertebrates for trypanosomes by parasitological and PCR-based methods using primers specific to the small subunit ribosomal RNA (SSU rRNA) gene of genus Trypanosoma. Trypanosome isolates were obtained in culture from two common wombats, one swamp wallaby and an Australian bird (Strepera sp.). By PCR, blood samples from three wombats, one brush-tailed wallaby, three platypuses and a frog were positive for trypanosome DNA. All the blood-sucking invertebrates screened were negative for trypanosomes both by microscopy and PCR, except for specimens of terrestrial leeches (Haemadipsidae). Of the latter, two Micobdella sp. specimens from Victoria and 18 Philaemon sp. specimens from Queensland were positive by PCR. Four Haemadipsa zeylanica specimens from Sri Lanka and three Leiobdella jawarerensis specimens from Papua New Guinea were also PCR positive for trypanosome DNA. We sequenced the SSU rRNA and glycosomal glyceraldehyde phosphate dehydrogenase (gGAPDH) genes in order to determine the phylogenetic positions of the new vertebrate and terrestrial leech trypanosomes. In trees based on these genes, Australian vertebrate trypanosomes fell in several distinct clades, for the most part being more closely related to trypanosomes outside Australia than to each other. Two previously undescribed wallaby trypanosomes fell in a clade with Trypanosoma theileri, the cosmopolitan bovid trypanosome, and Trypanosoma cyclops from a Malaysian primate. The terrestrial leech trypanosomes were closely related to the wallaby trypanosomes, T. cyclops and a trypanosome from an Australian frog. We suggest that haemadipsid leeches may be significant and widespread vectors of trypanosomes in Australia and Asia.

Mortality in northern corroboree frog tadpoles (Pseudophryne pengilleyi) associated with Tetrahymena-like infection.

CASE REPORT: Mortality of northern corroboree frog tadpoles and eggs occurred in association with Tetrahymena-like ciliates. The predominant lesions in the tadpoles were inflammation and necrosis of the dermis and skeletal muscle. Some of the egg capsules also contained ciliates, but were overgrown with bacteria and fungi. CONCLUSION: Disease occurred, secondary to underlying husbandry issues, and resolved following their correction.

Structural proteins of Kaposi's sarcoma-associated herpesvirus antagonize p53-mediated apoptosis.

The tumor suppressor p53 is a central regulatory molecule of apoptosis and is commonly mutated in tumors. Kaposi's sarcoma-associated herpesvirus (KSHV)-related malignancies express wild-type p53. Accordingly, KSHV encodes proteins that counteract the cell death-inducing effects of p53. Here, the effects of all KSHV genes on the p53 signaling pathway were systematically analyzed using the reversely transfected cell microarray technology. With this approach we detected eight KSHV-encoded genes with potent p53 inhibiting activity in addition to the previously described inhibitory effects of KSHV genes ORF50, K10 and K10.5. Interestingly, the three most potent newly identified inhibitors were KSHV structural proteins, namely ORF22 (glycoprotein H), ORF25 (major capsid protein) and ORF64 (tegument protein). Validation of these results with a classical transfection approach showed that these proteins inhibited p53 signaling in a dose-dependent manner and that this effect could be reversed by small interfering RNA-mediated knockdown of the respective viral gene. All three genes inhibited p53-mediated apoptosis in response to Nutlin-3 treatment in non-infected and KSHV-infected cells. Addressing putative mechanisms, we could show that these proteins could also inhibit the transactivation of the promoters of apoptotic mediators of p53 such as BAX and PIG3. Altogether, we demonstrate for the first time that structural proteins of KSHV can counteract p53-induced apoptosis. These proteins are expressed in the late lytic phase of the viral life cycle and are incorporated into the KSHV virion. Accordingly, these genes may inhibit cell death in the productive and in the early entrance phase of KSHV infection.

A nested PCR for the ssrRNA gene detects Trypanosoma binneyi in the platypus and Trypanosoma sp. in wombats and kangaroos in Australia.

Trypanosome infections in their natural hosts are frequently difficult to detect by microscopy, and culture methods are unreliable and not suitable for all species of Trypanosoma. A nested PCR strategy for detecting and identifying Trypanosoma species, suitable for detecting both known and unknown trypanosomes, is presented. Thirty-two blood samples from 23 species of Australian birds and mammals were screened by a nested PCR for the presence of Trypanosoma sp. ssrRNA. Three infections were detected, one in an eastern grey kangaroo (Macropus giganteus), one in a common wombat (Vombatus ursinus) and one in a platypus (Ornithorhynchus anatinus). The kangaroo and wombat are new host records for Trypanosoma sp.; the platypus parasite was Trypanosoma hinneyi. The three parasites could be distinguished by restriction fragment length polymorphisms of the amplified fragment of the ssrRNA gene. The kangaroo and wombat parasites were also isolated in a semi-solid blood agar medium. The culture forms of the kangaroo trypanosome had an expanded flagellar sheath in which structures similar to hemidesmosomes were detected by EM. The nested PCR was at least as sensitive as culture, and analysis of the PCR products gave parasite-specific fingerprints. Therefore this method could be suitable for rapidly screening host animals for the presence of trypanosomes and identifying the infecting strain.

Electrocardiography in anaesthetised red-eared sliders (Trachemys scripta elegans).

Electrocardiographic (ECG) values were measured in nine red-eared sliders (Trachemys scripta elegans), anaesthetised with either ketamine, ketamine/xylazine or ketamine/midazolam, for the purpose of cardiocentesis. Lead II traces were then recorded through three cutaneous electrodes. The ECG complexes consisted of small upright P waves, larger R waves and no Q or S wave deflections, very long QT intervals, small upright T waves, and a short TP interval. No SV waves were recorded. This pattern was similar to the ECGs reported in other reptilian species, and differs from mammalian ECGs in having lower amplitude waveforms, a much longer repolarisation phase (longer ST and QT intervals), and a considerably shorter TP interval. A significant correlation was found between the heart rate and the QT and ST intervals, a lower heart rate being associated with a longer period of repolarisation without significantly prolonging the depolarisation (P, PR and QRS) intervals.

Degenerative leukoencephalopathy and myelopathy in dasyurids.

From June 1985 to November 1992 eight eastern quolls (Dasyurus viverrinus) and six Tasmanian devils (Sarcophilus harrisii), held at institutions in Australia and Canada, developed progressive blindness and posterior paresis progressing to paralysis. All were aged individuals. At necropsy white matter tracts, particularly in the spinal cord, optic tracts, and cerebellum, contained evidence of severe axon degeneration with vacuolation and macrophage infiltration. The surrounding tissue had evidence of gliosis. The etiology of the condition is unknown but may be a form of age-related degeneration.

Coracoid fractures in wild birds: repair and outcomes.

OBJECTIVE: To describe the surgical repair of the fractured avian coracoid and compare release rates back to the wild for birds treated surgically with those treated conservatively. DESIGN: Medical records of 17 birds presented to Healesville Sanctuary with fractured coracoids were examined retrospectively. Nine birds were treated conservatively and eight birds were treated surgically. Release rates back to the wild were compared between the two groups. RESULTS: Of the nine birds treated conservatively two were released back to the wild. Of the eight birds treated surgically six were released back to the wild. CONCLUSIONS: In this study greater success at returning birds with fractured coracoids to the wild was achieved with surgical repair than conservative treatment. Surgical repair is recommended for birds intended to be released back into the wild.

The anatomy and perfusion of the renal portal system in the red-eared slider (Trachemys scripta elegans).

The anatomy of the renal portal system of the red-eared slider (Trachemys scripta elegans) is described, based on dissection of six double latex-injected specimens (three males, three females). The anatomy of these vessels, which had not previously been described in this species, was found not to differ significantly from the fundamental chelonian pattern. Fluoroscopic radioangiography revealed that venous blood returning from the hindlimbs flowed predominantly to the liver and bypassed the kidneys. Blood from the tail either flowed to the kidneys or bypassed them and flowed directly to the liver. A putative valve is described that governs venous blood flow from the caudal body to or around the kidneys.

The effect of the renal portal system on pharmacokinetic parameters in the red-eared slider (Trachemys scripta elegans).

The premise that drugs not be injected into the caudal body of reptiles because they will be carried by the renal portal system to the kidneys, where they may be nephrotoxic or rapidly excreted, was tested by comparing the pharmacokinetics of gentamicin (excreted via glomerular filtration in mammals) and carbenicillin (excreted partly via renal tubular secretion in mammals) following injection into the forelimb or hindlimb of red-eared sliders (Trachemys scripta elegans). Ten sliders received intramuscular gentamicin (10 mg/kg) in a forelimb (n = 5) or a hindlimb (n = 5), and plasma levels of the drug were assayed over time. Following drug clearance, the experiment was repeated with the site of injection reversed so that each animal acted as its own control. Another 10 sliders were similarly treated, using intramuscular carbenicillin (200 mg/kg). Injection site of gentamicin had no effect on any pharmacokinetic parameter (time to maximum plasma concentration, maximum plasma concentration, half-life, area under the curve, clearance, and volume of distribution). However, the area under the curve of plasma carbenicillin concentration vs. time was significantly lower following hindlimb injection, in comparison with forelimb injection, at 1, 4, and 8 hr, which may reflect reduced bioavailability of the drug, as would be expected with renal portal perfusion and tubular excretion on first pass through the kidney. This effect on carbenicillin likely is not clinically important because plasma levels remained above recommended minimum inhibitory concentrations. Because blood draining the caudal body of reptiles passes through the kidneys or the liver before reaching the central circulation, the effect on the pharmacokinetics of a drug injected in that region will vary with its renal or hepatic extraction rate. Generally, this effect is unlikely to be significant.

Fatal columbid herpesvirus-1 infections in three species of Australian birds of prey.

We document columbid herpesvirus-1 (CoHV-1) infection in two barking owls (Ninox connivens), a powerful owl (Ninox strenua) and an Australian hobby (Falco longipennis). Antemortem signs of infection were non-specific and the birds either died soon after they were identified as ill or were found dead unexpectedly. Gross postmortem findings were also not specific. Microscopically, marked to massive splenic and hepatic necrosis with the presence of eosinophilic inclusion bodies in remaining splenocytes and hepatocytes was found in all birds. Herpesvirus virions were identified in liver sections from one of the boobook owls by electron microscopy. Using CoHV-1-specific primers and polymerase chain reaction, CoHV-1 DNA was amplified from tissue samples from all birds. A comparison of these sequences to previously reported sequences of CoHV-1 found them to be identical or to vary by a single base pair. These findings increase the number of known species of birds of prey that are susceptible to CoHV-1 infection and indicate that rock pigeons (Columbia livia) should not be included in the diet of captive Australian birds of prey.

Sarcoptic mange in a wild swamp wallaby (Wallabia bicolor).

A wild adult male swamp wallaby from Victoria was found to be infested with Sarcoptes scabiei. Hyperkeratotic skin lesions were confined predominantly to the head and shoulders. This is the first report of sarcoptic mange in a swamp wallaby.