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Biomedical subjects

H Erb

Publications and source records attributed to H Erb.

At least 19 recordsLinked to original sources

Clinical appearances, healing patterns, risk factors, and outcomes of horses with fungal keratitis: 53 cases (1978-1996)

OBJECTIVE: To compare initial clinical appearances, healing mechanisms, risk factors, and outcomes of horses with fungal keratitis. DESIGN: Retrospective analysis. ANIMALS: 52 horses (53 eyes) with fungal keratitis. PROCEDURE: Medical records and clinical photographs of eyes were reviewed. Keratomycoses were categorized on the basis of clinical appearance at initial examination and pattern of healing. RESULTS: Five distinct forms of mycotic keratitis were recognized. Of 53 affected eyes, 34 (64%) retained sight and had varying degrees of corneal scarring after treatment, 6 (11%) had a cosmetic appearance but were blind, and 13 (25%) were enucleated. Bacterial-like ulcers were the most frequent type and the most difficult for predicting outcome. Eyes affected by superficial fungal keratitis were likely to be chronically infected and to require debridement and extended treatment but usually healed with minimal scarring. Keratomycosis with a surrounding furrow resulted in a grave prognosis. Aspergillus organisms were isolated from 9 of 10 such eyes. Cake-frosting material was a positive prognostic sign. Fungal corneal stromal abscesses tended to be caused by yeast. CLINICAL IMPLICATIONS: This information will aid practitioners in recognizing various forms of fungal keratitis and guide them when making therapeutic decisions and prognoses for affected horses.

Abscess↗

Epidemiology.

Explore the source record for details and available documents.

Animals↗

Chondrocyte-fibrin matrix transplants for resurfacing extensive articular cartilage defects.

Cartilage resurfacing by chondrocyte implantation, with fibrin used as a vehicle, was examined in large (12 mm) full-thickness articular cartilage defects in horses. Articular chondrocytes, isolated from a 9-day-old foal, were mixed with fibrinogen and injected with thrombin, in a 1:1 mixture, into 12 mm circular defects on the lateral trochlea of the distal femur of eight normal horses. The contralateral femoropatellar (knee) joint served as a control in which the defect was left empty. Synovial fluid from the femoropatellar joints was sampled on days 0, 4, 7, 30, 120, and 240 postoperatively. Groups of four horses were killed at 4 or 8 months postoperatively, and the repair tissue was evaluated by gross and histologic examination with use of hematoxylin and eosin and safranin O staining and by autoradiography. Biochemical analyses included quantitation of proteoglycan, total collagen, and type-II collagen in the repair tissue. Grossly, grafted defects had improved filling of the cartilage lesions; histologically, these areas consisted of differentiated chondrocytes in the deep and middle zones. The cellular arrangement in these zones resembled that of hyaline cartilage. The control defects contained poorly attached fibrous tissue throughout. Grafted tissue at 8 months had increased proteoglycan synthesis evident by both safranin O staining and autoradiography. Glycosaminoglycan quantitation by dye-binding assay confirmed a significantly elevated glycosaminoglycan content in grafted defects (58.8 micrograms/mg of dry weight) compared with control defects (27.4 micrograms/mg; p < 0.05). Similarly, the levels of chondroitin sulfate/dermatan sulfate was significantly elevated in the grafted defects, and this was the predominant glycosaminoglycan epitope present. There was a statistically significant (p < 0.05) increase in type-II collagen in the grafted tissue at 8 months (61.2% grafted; 25.1% control). This resurfacing attempt with use of allograft chondrocytes, secured in large full-thickness articular defects with polymerized fibrin, resulted in an improved cartilage surface in comparison with the control defects, a significantly greater aggrecan level, and a significantly higher proportion of type-II collagen.

Animals↗

Alteration of growth, advancement of puberty, and season-appropriate circannual breeding during 28 months of photoperiod reversal in woodchucks (Marmota monax).

In woodchucks (Marmota monax), as in other marmotine rodents, endogenous circannual metabolic and reproductive cycles persist and free-run at intervals of 10-12 mo for up to 4 yr in a neutral photoperiod of 12L:12D. The annual metabolic cycle is not altered by exposure to constant long days or short days for several months. In the wild, changes in food intake cause body weight to peak in late summer and reach nadirs in early spring, and there is a single annual breeding season in late winter. To determine whether normal changes in photoperiod entrain the endogenous circannual cycle, aspects of reproduction, food intake, and body weight were studied for 28 mo in eight groups of woodchucks housed in light-controlled rooms. These included four groups of 7-10 males and four groups of 7-10 females exposed to automated and continuous daily changes in photoperiod. The imposed changes in photoperiod resembled native Northern Hemisphere (boreal) changes or Southern Hemisphere (austral) changes in photoperiod. The treatments started at the summer solstice shortly after capture as 2.5-mo-old juveniles or 14.5-mo-old yearling adults. In austral vs. boreal woodchucks, started as juveniles, annual increases in testosterone and testis descent at 5, 14, and 23 mo of study were advanced by 2, 5, and 6 mo, respectively. Annual increases in progesterone at 7, 16, and 25 mo of study were advanced by 4, 5, and 6 mo, respectively. The older woodchucks were significantly but less dramatically affected by austral photoperiod for the first 6 mo of study, and by 8-12 mo were advanced the same as the younger animals. At 16-17 and 26-27 mo of photoperiod reversal, 16 austral females had normal pregnancy rates (78%) and produced normal-sized litters (4.3 +/- 0.2) that were advanced by 5 and 6 mo, respectively, relative to those of boreal controls. Body weights in austral vs. boreal juveniles were reduced at 3-5 mo of study but not in older woodchucks. At 1 and then 2 yr of austral lighting, peaks in body weight were advanced by 4 and then 5 mo relative to boreal controls in young animals, and by 2 and then 5 mo in older animals. Between 1 and 2 yr of austral lighting in both age groups the nadirs in food intake (45 g per day) were about 16-25% of peak food intake 6-8 mo earlier, as in boreals, but advanced by 5-6 mo relative to boreals.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗

Path analysis for seven postpartum disorders of Holstein cows.

Path analysis and multiple logistic regression with an extrabinomial variation error term (to account for herd) were used to model seven postpartum clinical disorders of dairy cows and factors related to the calf. Data were from 7761 lactation records from 34 commercial herds in the vicinity of Cornell University. Stillbirth increased the odds of developing metritis and retained placenta. The odds of developing dystocia and mastitis were lower when the sex of the calf was female. However, cows that twinned had increased odds of developing dystocia and retained placenta. Dystocia was related to an increase in the odds of retained placenta. Milk fever, dystocia, and ketosis each increased the odds of developing left-displaced abomasum. Postpartum periods with dystocia, retained placenta, or ketosis had increased odds of metritis. Two interaction terms involved parity: stillbirth for milk fever and retained placenta for ketosis. The extrabinomial variation error term contributed to the fit in all models.

Animals↗

Bile acid concentrations in the diagnosis of hepatobiliary disease in the cat.

The clinical usefulness of measuring serum bile acid concentrations as a diagnostic test for hepatobiliary disease was examined in 80 cats that were suspected of having hepatic disease. Serum values of total bilirubin, alkaline phosphatase (ALP), alanine transaminase (ALT), and aspartate transaminase (AST) also were measured. Fasting serum bile acid values were determined by use of solid-phase radioimmunoassay for total conjugated bile acids or by a direct enzymatic spectrophotometric method. A definitive diagnosis was established by histologic examination of the liver, and on the basis of these findings, cats were assigned to groups (1 to 8, respectively) including: extrahepatic bile duct obstruction, hepatic lipidosis, cirrhosis, intrahepatic cholestasis (cholangiohepatitis, cholangitis), neoplasia, hepatic necrosis, portosystemic vascular anomalies, and miscellaneous. Cats in group 8 had no morphologic evidence of hepatobiliary disease or had hepatic lesions that were mild. Test efficacy of fasting serum bile acids, total bilirubin, ALP, ALT, and AST were expressed by use of 4 indices: sensitivity, specificity, positive predictive value, and negative predictive value. The diagnostic efficacy of fasting serum bile acids was examined alone and in combinations with the other tests. There was wide overlapping of values of fasting serum bile acids, total bilirubin, ALP, ALT, and AST among cats in groups 1 to 7. The specificity of fasting serum bile acids for the diagnosis of hepatic disease exceeded 90% at values greater than or equal to 5 mumol/L and reached 100% at greater than or equal to 15 mumol/L.(ABSTRACT TRUNCATED AT 250 WORDS)

Alanine Transaminase↗

24-Hour urine protein/creatinine ratio in dogs with protein-losing nephropathies.

The 24-hour urine protein/creatinine (U[P/C]) ratio was examined in 19 healthy dogs and in 38 dogs with protein-losing nephropathies. A positive correlation existed between the U(P/C) ratio and the 24-hour urine protein output per kilogram of body weight. The U(P/C) ratio in 18 of 19 healthy dogs was less than 0.2; one dog had a ratio of 0.38. The median U(P/C) ratio in dogs with glomerulonephritis (n = 26) and amyloidosis (n = 6) was 5.73 and 22.50, respectively. The median U(P/C) ratio in dogs with chronic interstitial nephritis (n = 6) was 2.89. In the presence of hypoalbuminemia (albumin less than or equal to 1.5 g/dl), a U/(P/C) ratio greater than 1 indicated a nephrotic syndrome. Severe protein-losing nephropathies (ie, severe glomerulonephritis and amyloidosis) were characterized by U(P/C) ratios greater than 10 and urine protein values exceeding 159 mg/kg/day. The 24-hour U/(P/C) may be more sensitive than the 24-hour urine protein output per kilogram of body weight in the detection of mild glomerular disease. Abnormal U(P/C) ratios were present in 5 dogs, 2 with glomerulonephritis and 3 with chronic interstitial nephritis; that had normal or mildly increased 24-hour urine protein output.

Amyloidosis↗

[Intravenous administration of anti-D hyperimmunoglobulin after mismatched transfusion (author's transl)].

620 ml of 0 Rh-positive blood (310 ml CCD.ee + 310 ml CcD.EE) were administered to a 27-year-old 0 Rh-negative (ccddee) woman in connection with an emergency curettage. 16 hours after this mismatched transfusion an intravenous infusion of anti-D hyperimmunoglobulin was started: 8000 mug (13 mug/ml blood) were given within 14 hours (570 mug/h) under strict supervision. The 10% immunoglobulin preparation had been diluted 20 times. There were only slight variations in heart rate and blood pressure, slight fever and mild increase in serum bilirubin after the infusion. There was slight haemoglobinuria in one urine sample, but no signs of kidney damage. The direct Coombs test was slightly positive after two days, negative after four and six days. The indirect Coombs test was negative after six months. The patient has not become pregnant since. Slow intravenous infusion of highly diluted anti-D hyperimmunoglobulin, under strict clinical supervision, is probably appropriate for Rh prophylaxis after transfusion mismatch. The dose of 13 mug/ml could probably be considerably reduced. 250 mug anti-D per hour should not be exceeded.

Adult↗

[Single dose treatment of trichomoniasis].

The present regiman for the treatment of trichomoniasis with Tinidazol is 150 mg. twice daily for 7 days with a total dose of 2,100 mg. The success rate of this regimen is 85-90%. With a single dosage treatment of 2,000 mg. (Four 500 mg. tablets for the patient and her sexual partner) the success rate improved to 100%. Toxic side effects were not observed. The treatment was well tolerated and well accepted.

Administration, Oral↗