Factors influencing the onset and progression of pododermatitis in captive flamingos (Phoenicopteridae).

Pododermatitis is a worldwide problem in captive flamingos. We performed an evaluation of different influence factors (age, sex, weight, origin, breeding status) and a comparison of foot lesions between several zoological institutions and the feet of free-ranging Greater flamingos (Phoenicopterus roseus). A scoring system was used to determine the prevalence and types of lesions and severity. Cracks and nodules developed as early as 3 months of age and papillomatous growths as early as 6 to 7 months of age in captivity. Nodules with ulceration occurred significantly more often in birds older than 31 years and heavier than 4 kg. The comparison of different institutions revealed that birds kept in enclosures with natural-floored water ponds had significantly less severe lesions than birds kept in concrete water ponds. None of the free-ranging flamingos, which live on a muddy underground, showed any lesion. This study demonstrates that flooring, weight and age are important in the onset and progression of pododermatitis in flamingos.

Les pododermatites représentent dans tout le monde un problème chez les flamants détenus en captivité. Dans la présente étude, on examine divers facteurs (âge, sexe, poids, origine, couvaison) pouvant influencer cette pathologie et on compare les lésions constatées dans diverses conditions de détention entre elles ainsi que par rapport aux pattes de flamants roses (Phoenicopterus roseus) sauvages. La prévalence et les divers types de lésions, de même que leur gravité sont déterminées sur la base d'un catalogue de critères. Des fissures et des nodules se développent déjà chez des animaux âgés de trois mois; on peut observer des proliférations papillomateuses pour la première fois vers l'âge de 6 à 7 mois. Les nodules avec ulcération centrale s'observent significativement plus souvent chez des animaux de plus de 31 ans de même que chez ceux qui pèsent plus de 4 kg. Les flamants provenant d'enclos avec des étangs au fond naturel présentent des lésions moins fréquentes et plus bénignes que ceux détenus dans des enclos avec des étangs au fond en béton. On n'a observé aucune lésion podale chez les flamants roses sauvages vivant sur un sol argileux. La présente étude démontre que le sol, le poids et l'âge jouent un rôle dans l'apparition et le développement des pododermatites chez les flamants détenus en captivité.

Effects of exercise training on limb blood flow in patients with reduced ventricular function.

BACKGROUND: Among the factors that contribute to limiting exercise tolerance in chronic heart failure are reduced peripheral blood flow and impaired vasodilatory capacity. Exercise training improves vasodilatory capacity in normal subjects, but controlled studies of exercise training evaluating upper and lower limb blood flow rates have not been performed in patients with reduced ventricular function. Improved vasodilatory capacity could help explain how training increases exercise capacity in these patients. METHODS: Twenty patients (mean age 55 +/- 6 years) with reduced left ventricular function (mean ejection fraction 32% +/- 6%) after a myocardial infarction were randomized to a 2-month high-intensity residential rehabilitation program or to a control group and were monitored over the subsequent year. Both groups were treated according to current practice with angiotensin-converting enzyme inhibition therapy. Training began 1 month after myocardial infarction. Baseline and postischemic flow rates were measured by plethysmography in both the upper and lower limbs 1 month, 3 months, and 1 year after the infarction. Peak oxygen uptake (VO2) and cardiac output were measured before and after training, and peak VO2 was determined again after 1 year. RESULTS: After 2 months of training peak VO2 increased 25%, VO2 at the lactate threshold increased 40%, and maximal cardiac output increased from 12.1 +/- 1.6 L/min to 13.9 +/- 2.4 L/min in the exercise group (all p < 0.05), whereas no differences were observed in the control group. At the 1-year follow-up no further increases in peak VO2 were noted in either group, but the higher value persisted in the trained group. However, changes in limb flow rates were poorly related to changes in both peak VO2 and maximal cardiac output. Improvements in baseline and postischemic flow rates occurred mainly in the lower limbs and were observed in the two groups to a similar degree. CONCLUSION: Exercise training is highly effective in improving exercise capacity in patients with reduced ventricular function after myocardial infarction. These improvements parallel an increase in maximal cardiac output, but they are unrelated to vasodilatory capacity. In patients with reduced ventricular function after myocardial infarction, lower limb vasodilatory capacity improves gradually over the subsequent year, and these improvements occur irrespective of exercise training.

[Anesthesia and immobilization in reptiles]. / Narkose und Immobilisation bei Reptilien.

In reptiles anesthesia is recommended not only for painful treatment but also for diagnostic procedures like radiology, sonography, endoscopy and MRI. Special attention should be directed to the anesthetic regimen because of anatomical and physiological differences to mammals. To achieve optimum body temperature (normally 25-30 degrees C) preanesthetic heating is useful. In most cases ketamine hydrochloride is used as an injectable anesthetic. Our own anesthesias (n = 263) are compared to those in the literature. Important disadvantages are species-specific dosages between 15 and 220 mg/kg body weight and poor relaxation. The results of 132 anesthesias performed by the authors using Isoflurane are discussed with reference to the literature. The main advantages were independence of species-specific problems and excellent analgesia and relaxation. Due to total relaxation, manual intermittent positive-pressure ventilation (IPPV) is necessary.

Megaoesophagus in rats: a clinical, pathological and morphometrical study.

Megaoesophagus was observed in 82 Long-Evans rats aged 3-32 months. Clinically, the hair was coarse, the neck distended, the mouth opened, wetted by saliva and soiled by bedding material, and the respiration characterized by tachypnoea and inspiratory crackles. By radiography, after barium administration, the oesophagus was seen to be dilated and filled with impacted dry food in the precardial region. The size of the dilatation varied depending on the oesophageal region and reached a diameter of 12 mm in the most severe case. Histologically, the muscular layers of the dilated portions showed focal inflammation and single fibre necrosis. Each affected oesophagus had (1) an increased circumference and radius and a reduced number of myenteric ganglion cells in both the thoracic and abdominal portions, and (2) a decreased thickness of the muscular layers in the thoracic portion and at the level of the cardia. A simple geometrical model showed that the reduced ganglion cell number was not due to a change in shape of the dilated oesophagus. Since no sign of infectious disease was found in these animals, and rats of other strains kept at the same time under the same conditions were not affected, a hereditary aetiology is suggested.

[The radiologic differential diagnosis in girth increase of the gastric cavity and the body in lizards (Squamata: Sauria)]. / Zur röntgenologischen Differentialdiagnose bei Umfangsvermehrungen der Leibeshöhle bzw. des Rumpfes bei Echsen (Squamata: Sauria).

The extended girth is one of the few important and obvious symptoms in lizards (Sauria). Radiological examination proved to be the most important method in the clinical diagnostic procedure. Standard and contrast images using oral and cloacal application of barium sulphate or iodophoric contrast media were frequently indicated. Based on 442 X-rays from 162 lizards out of 20 genus the significant radiological, physiological and pathological findings are described. Frequent findings were dystocia in oviparous and viviparous lizards (18.5%), gastritis and enteritis (12.3%), ascites (9.3%), fractures of the spine and osteodystrophia (9.3%), obstipation (6.2%), foreign bodies (4.9%), neoplasia (4.3%) and enteroliths (4.3%). Pneumonia (3.7%), was as frequent as the physiological lung tympany (3.7%). Pregnancy was the most frequent physiological finding (8%). The radiological findings, are described in detail, especially in regard to differentiation between physiological and pathological conditions.

[The use of diagnostic imaging methods in reptiles]. / Zur Anwendung bildgebender diagnostischer Verfahren bei Reptilien.

Useful methods of clinical imaging in reptiles are described using examples. Most important in reptiles is radiography with or without contrast media. Invasive diagnostic methods often used are endoscopy and laparoscopy. Ultra sound scanning in reptiles is established for controlling ovary function.

[Surgical therapy of laying distress in reptiles]. / Chirurgische Therapie der Legenot bei Reptilien.

Based on 29 operations on reptiles with egg-binding (dystocia) successful methods for surgical therapy in turtles, tortoises, snakes and lizards are described. Indications, anesthesia, surgical techniques and postoperative treatment are explained. A totally new method for dystocia surgery in some turtles and tortoises is described. The knee fold was used for extraction of the eggs.

[Perinatal relation of the blood-cerebrospinal fluid barrier and its effect on protein composition of the cerebrospinal fluid]. / Die perinatalen Verhältnisse der Blut-Liquorschranke und ihr Einfluss auf die Proteinzusammensetzung des Liquors.

The lumbar spinal fluid of 70 infants aged 238-461 days after conception was examined for total protein with the Cu-Folin-differential test, and for variation of single CSF proteins as a function of developmental age using agar gel electrophoresis. In the early stages of development all CSF fractions as well as total protein are increased compared with adult persons. The absolute amounts decrease after birth more or less rapidly (partly exponentially) and reach a minimum between the 52nd and 57th week of development (prealbumin and beta 1-globulin somewhat earlier, albumin somewhat later). Except for beta 1-globulin this minimum is always lower than the normal adult values. There seems to be a linear correlation between the logarithm of the total protein (also of certain single proteins) and the gestational age over a wide range of development. The behaviour of the haptoglobin and immunoglobulin fractions demonstrates especially well that many independent factors may simultaneously influence the concentration of the CSF proteins (e.g. plasma content of proteins, permeability of the blood/brain or blood/CSF barrier) and that these factors themselves depend on both the developmental state (gestational age) and chronological age (birth). This study, in agreement with the results of other authors suggests that in human neonates the reference range of those CSF parameters which depend on barrier conditions should be related to the gestational age rather than to the chronological age.