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Biomedical subjects

R R Dubielzig

Publications and source records attributed to R R Dubielzig.

At least 37 records · Page 2Linked to original sources

Mechanisms of acute intraocular pressure increases after phacoemulsification lens extraction in dogs.

OBJECTIVE: To investigate the mechanisms by which intraocular pressure (IOP) increases acutely after phacoemulsification (PE) lens extraction in clinically normal dogs. ANIMALS: 24 young adult dogs. PROCEDURE: Intraocular pressure was monitored for up to 24 hours after unilateral intercapsular PE in 17 clinically normal, adult dogs. In 8 of these dogs, use of 2% hydroxypropyl methylcellulose (HPMC) aided capsulorhexis. Mean volume of irrigation, PE time, and power were constant between groups. After surgery, dogs were randomized then euthanatized, and eyes were examined grossly and histologically at 0 (n = 4), 3 (n = 7), and 24 hours (n = 6) after PE. Seven additional dogs underwent anterior chamber decompression alone (n = 4) or served as morphologic controls (n = 3). RESULTS: Intraocular pressure peaked by postoperative hour 3 at 49.9 +/- 5.0 mm of Hg and normalized by 24 hours. Use of HPMC did not affect the peak or duration of IOP increase. Blood refluxed into the collecting channels and corneoscleral trabecular meshwork in operated eyes. Computer-aided morphologic analysis indicated significant (P < 0.001) reduction in ciliary cleft cross-sectional surface area and width immediately after PE, but not after anterior chamber decompression alone. Cleft collapse was significantly (P < 0.02) greater at 24 than at 3 hours, despite return of IOP to control values by 24 hours. Plasmoid aqueous also was found in the meshwork. CONCLUSIONS AND CLINICAL RELEVANCE: Sudden, large increases in IOP with few overt clinical signs may occur immediately after lens extraction in dogs. Such increases risk compromising the corneal incision and may damage the optic nerve, thereby complicating lens extraction. Structural alterations in the trabecular meshwork persist after IOP has normalized in 24 hours and may contribute to genesis of glaucoma in the late postoperative period.

Analysis of Variance↗

Dysbaric osteonecrosis in divers and caisson workers. An animal model.

Dysbaric osteonecrosis was induced successfully in adult sheep after 12 to 13, 24-hour exposures to compressed air (2.6-2.9 atmospheres absolute) during a 2-month period. All exposed sheep had decompression sickness and extensive bone and marrow necrosis in their long bones. Radiographic analysis of these progressive lesions showed mottled to distinct medullary opacities and endosteal thickening characteristic of dysbaric osteonecrosis. Six months after the last hyperbaric exposure, neovascularization of once ischemic fatty marrow was centripetal from the diaphyseal cortex. Proliferating endosteal new bone, fatty marrow calcification, and appositional new bone formation were widespread. Juxtaarticular osteonecrosis involved marrow fibrosis and loss of osteocytes in subchondral cortical bone. Tidemark reduplication in juxtaarticular bone and cartilage thinning suggested possible early osteoarthritis induction by recurrent episodes of transient ischemia after multiple hyperbaric exposures. Dysbaric osteonecrosis appears to involve a bone compartment syndrome of elevated intramedullary pressure initiated by decompression induced N2 bubble formation in the fatty marrow of the long bones. An animal model that can be used to investigate the pathogenesis, diagnosis, and treatment of dysbaric osteonecrosis is discussed.

Animals↗

Fatal Toxoplasma gondii infection in golden lion tamarins (Leontopithecus rosalia rosalia).

Four of five golden lion tamarins (Leontopithecus rosalia rosalia) died after a brief period of illness 13 to 21 days following the consumption of a feral mouse by the group. Three of the four animals died within hours after being observed as clinically healthy. The fourth animal became weak, failed to respond to treatment, and died several hours after treatment. At necropsy, there were bands of serosal and mucosal hemorrhages of the intestines, and the lungs were mottled. Histologically, necrosis and acute inflammation associated with tachyzoites of Toxoplasma gondii were found in intestines, liver, heart, lung, and eyes. The communally consumed mouse was presumed to be the source of T. gondii infection in this exhibit. The surviving tamarin probably did not share food.

Animals↗

Liposome-encapsulated muramyl tripeptide phosphatidylethanolamine for the treatment of feline mammary adenocarcinoma--a multicenter randomized double-blind study.

Forty cats with previously untreated, histologically confirmed mammary gland adenocarcinoma received a radical mastectomy of the affected mammary chain(s). All cats were stratified according to clinical stage and randomized to receive either weekly intravenous liposome-encapsulated muramyl tripeptide phosphatidylethanolamine or placebo (lipid-equivalent) for eight consecutive weeks in this double-blind study. Thirty-six of the 40 cats were available for follow-up. No significant differences in either disease-free interval or survival were found as a result of treatment. Cats with clinical stage II disease had a statistically significantly longer disease-free interval (p < 0.02), and overall survival (p < 0.005) when compared with clinical stage III cats.

Acetylmuramyl-Alanyl-Isoglutamine↗

Feline inductive odontogenic tumor (inductive fibroameloblastoma)--a tumor unique to cats.

The inductive fibroameloblastoma is a rare odontogenic tumor that occurs in young cats of either sex, predominantly in the anterior maxilla. This article critically reviews the previously published examples with emphasis on microscopic features, relationship to ameloblastic fibroma, and biologic behavior; an additional example is described. This tumor differs microscopically from human ameloblastic fibromas in that it is not well-circumscribed but rather originates multifocally within the supporting connective tissue as characteristic, spherical condensations of fibroblastic connective tissue (ectomesenchyme) associated with islands of odontogenic epithelium. Its biologic behavior requires further study but the tumor apparently is unique to cats and is distinct from human ameloblastic fibroma. Consequently, feline inductive odontogenic tumor is suggested as being a more appropriate designation than inductive fibroameloblastoma.

Ameloblastoma↗

Morphologic changes of the ascending colon during experimental ischemia and reperfusion in ponies.

The morphologic changes following ascending colon volvulus result from the interaction of inflammatory and coagulation mediators. The objective of this study was to establish a quantifiable histopathologic scoring system to evaluate the serial pathomorphologic changes during ischemia and reperfusion. Such a scoring system could then be applied to subsequent studies designed to attenuate bowel lesions by regulating activity of individual mediators. Ten normal, healthy adult ponies were randomly divided into two equal groups. Following anesthesia and a 30-minute stabilization period, the colon of ponies in the experimental group was twisted 720 degrees for 2 hours of ischemia and then untwisted for 2 hours of reperfusion. The control ponies underwent 4 hours of anesthesia. Full-thickness colonic biopsy specimens were obtained from the antimessenteric border of the pelvic flexure and prepared for light and transmission electron microscopy at 0, 1, 2, 3, and 4 hours after twisting. The mean histopathology score at 0 hours for control ponies was 1.2 and remained unchanged; the score for the experimental ponies was 1.8 and progressed to 4.2 by 4 hours. At 2 hours of ischemia, there was edema of the submucosa and lamina propria attributable to accumulation of platelets, fibrin, and neutrophils in capillaries of the lamina propria. The morphologic changes in experimental ponies progressed to complete destruction of the mucosa with congestion, hemorrhage, and microvascular thrombosis. Mean histopathology scores of control and experimental ponies were significantly different at 1 hour of ischemia, and lesions progressively worsened through the reperfusion period.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗

Primary gastrointestinal lymphosarcoma with epitheliotropism in three Shar-pei and one boxer dog.

Three male Shar-pei dogs and one female spayed Boxer dog ranging in age from 4 years, 4 months to 7 years, 8 months had 4-7-week histories of diarrhea, progressive anorexia, weight loss, and vomiting. The dogs were depressed, lethargic, and hypoalbuminemic, with losses of 23-39% of body weight. Endoscopic examination revealed gastric ulceration with areas of mucosal hyperemia and pallor. Small nodules with occasional central depressions were present in three dogs. Gastric and proximal duodenal mucosal biopsies showed neoplastic lymphocytes infiltrating the lamina propria, with invasion of the superficial and glandular epithelial basement membrane. Immunohistochemical evaluation of two dogs was negative for anti-canine IgG and positive for anti-CD3. Necropsy of the Boxer and two Shar-peis confirmed epitheliotropic gastric and small intestinal lymphoma in all three dogs, with mesenteric lymph node and hepatic involvement in two and one dog, respectively.

Animals↗

Liposome-encapsulated muramyl tripeptide phosphatidylethanolamine adjuvant immunotherapy for splenic hemangiosarcoma in the dog: a randomized multi-institutional clinical trial.

Canine splenic hemangiosarcoma (HSA) is a spontaneous tumor with high metastatic potential. Despite surgical excision, most dogs die within 2 months of diagnosis as a result of widespread visceral metastasis. This study was designed to determine the efficacy of liposome-encapsulated muramyl tripeptide phosphatidylethanolamine (L-MTP-PE) when used in combination with splenectomy and systemic chemotherapy for the treatment of HSA in the dog. Thirty-two dogs with HSA and without gross evidence of metastases were treated with splenectomy, stratified by clinical stage, and randomized to receive doxorubicin/cyclophosphamide chemotherapy and either L-MTP-PE immunotherapy or lipid equivalent (placebo liposomes). Dogs were subsequently followed to determine disease-free survival and overall survival times. The effects of L-MTP-PE on serum tumor necrosis factor-alpha and interleukin 6 activity were assessed on a small subset of dogs. Dogs receiving L-MTP-PE had significantly prolonged disease-free survival (P = 0.037) and overall survival (P = 0.029) compared with dogs receiving placebo. Dogs with clinical stage I disease had significantly prolonged disease-free survival (P = 0. 026) and overall survival (P = 0.017) compared with dogs with clinical stage II disease. Dogs receiving L-MTP-PE had significantly greater serum tumor necrosis factor-alpha (P < 0.001) and interleukin 6 (P = 0.007) activities compared with placebo-treated dogs. L-MTP-PE has significant antimetastatic activity in highly malignant, spontaneously occurring, splenic HSA in the dog. Canine HSA may have potential as a large animal model for additional investigation of antimetastatic chemoimmunotherapy.

Acetylmuramyl-Alanyl-Isoglutamine↗

Adjuvant therapy for osteosarcoma in dogs: results of randomized clinical trials using combined liposome-encapsulated muramyl tripeptide and cisplatin.

Two randomized, double-blind clinical trials in dogs with spontaneous appendicular osteosarcoma treated with combination chemoimmunotherapy are reported. In both trials, dogs without overt metastasis underwent complete amputation of the affected limb. In trial 1, 40 dogs were treated with cisplatin chemotherapy [(CDDP), 70 mg/m2 i.v. every 28 days x 4]. Following CDDP, dogs without evidence of overt metastasis (n = 25) were randomized to receive liposome-encapsulated muramyl tripeptide phosphatidylethanolamine ](L-MTP-PE), 2 mg/m2 i.v.) or placebo liposomes (lipid equivalent) twice weekly for 8 weeks. Of 14 dogs in the placebo group, 13 (93%) died of metastasis; the median survival time was 9.8 months. Of 11 dogs in the L-MTP-PE group, 8 (73%) developed metastasis; the median survival time was 14.4 months, which was significantly longer than that of the placebo group (P < 0.01). In trial 2, 64 dogs received CDDP (70 mg/m2 i.v. every 21 days x 4) and were randomized to concurrently receive L-MTP-PE (2 mg/m2 i.v.) twice or once weekly, or placebo liposomes once weekly for 8 weeks. Median survival times were 10.3, 10.5, and 7.6 months, respectively. There were no significant differences among the three treatment groups in trial 2. Survival times for dogs receiving L-MTP-PE in trial 1 were significantly longer than those for dogs in trial 2 that received four doses of CDDP concurrently with twice weekly L-MTP-PE (P < 0. 04). The results of the first trial confirm our previous observation that L-MTP-PE has antimetastatic activity in dogs with osteosarcoma when given following amputation. The results of the second trial demonstrate that there is no survival advantage of administering L-MTP-PE concurrently with CDDP.

Acetylmuramyl-Alanyl-Isoglutamine↗

The so-called calcifying epithelial odontogenic tumour in dogs and cats (amyloid-producing odontogenic tumour).

This paper describes the microscopical features of a rare odontogenic tumour that occurs in dogs and cats and which has been referred to as the calcifying epithelial odontogenic tumour (CEOT), although it is not the counterpart of the human tumour of that name. We have proposed amyloid-producing odontogenic tumour (APOT) as an appropriate alternative term. The tumour is composed of irregularly shaped strands of squamous epithelium, which in some areas exhibit palisading of the basal cells, similar to that seen in ameloblastomas. Stellate reticulum occurs focally in some examples. The second prominent feature is the presence of amyloid which tends to calcify. Finally, in some examples, a collagenous matrix, which is apparently a form of dentine, is present focally, adjacent to the epithelium. These histological features are compared with those of the canine keratinizing ameloblastoma and the human CEOT. To date, to few examples have been reported to determine accurately the biological behaviour of APOTs, but some have recurred after excision; none has metastasized.

Ameloblastoma↗

The contraceptive effects of levonorgestrel in the domestic cat.

The effects of subdermal implantation of levonorgestrel (LNG) on reproduction were studied in domestic cats (Felis domestica). Levonorgestrel was administered via a slow-release subdermal silastic implant to 10 queens. The implants contained 16 mg of LNG and were designed to release 60 micrograms of the drug daily. Each treated queen received one implant. Five queens (control, group 1) received subdermal silastic implants containing no drug. Changes in body weight, mammary gland structure (determined by palpation), serum blood glucose concentrations, and reproductive factors (occurrence of estrous cycles, serum progesterone concentrations, and pregnancy) were monitored for 1 year. Four treated queens (treatment/recovery, group 2) were used to investigate reproductive function following 12 months of LNG treatment. To assess effects of treatment on macroscopic and microscopic anatomic features of reproductive and nonreproductive tissues, the remaining six cats (treatment/histology, group 3) were studied. Hemiovariohysterectomy was performed in two queens each at 0, 2, and 6 months of the study. Later, the remainder of the reproductive tract was harvested at necropsy (two after 2 months of treatment, two after 6 months, two after 12 months) to assess change in individual queens. Nonreproductive tissues were also examined at necropsy to determine effects of LNG in these six queens. All queens retained the implants during the period of study without detectable discomfort. Estrus was suppressed and no pregnancies were recorded in the four LNG-treated cats that were housed with a male. Treatment with LNG had no effect on body weight, physical mammary gland structure, or serum blood glucose concentrations.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗

Choroidal melanoma in a dog.

B-scan ultrasonography of the right eye of a 6-year-old sexually intact female mixed-breed dog revealed complete retinal detachment and a semiconical solid mass of tissue that projected from the area of the optic disc into the vitreal space subretinally. Microscopic examination of an ultrasound guided fine-needle aspirate of the mass revealed a moderate number of mildly pleomorphic melanocytes. Histologic examination of the excised globe revealed a large, heavily pigmented intraocular neoplastic mass in the choroid around the optic nerve, bulging into the subretinal space. The histologic diagnosis was benign choroidal melanoma, with invasion into the intraocular portion of the optic nerve. In dogs, tumors of melanocytic origin are the most common primary ocular neoplasm, but primary choroidal melanocytic neoplasms are the rarest of this type.

Animals↗

Rhabdomyosarcoma of the tongue in a horse.

A 5-year-old Quarter Horse mare was examined because of a 6-month history of quidding and nasal discharge that contained feed material. Physical examination revealed weight loss and dorsal displacement of the soft palate, caused by a soft tissue mass located at the dorsal aspect of the base of the tongue. Surgical resection of the mass was successfully performed through an oral approach. The histopathologic diagnosis was rhabdomyosarcoma.

Animals↗

Primary mesenchymal or mixed-cell-origin lung tumors in four dogs.

Primary lung tumors of mesenchymal or mixed cell origin were diagnosed in 4 dogs with clinical and radiographic abnormalities indicating an intrathoracic mass. Each dog had 1 large intrapulmonary lesion, and 1 dog also had nodules scattered throughout all lung lobes. Two dogs were euthanatized; 1 had a biphasic pulmonary blastoma; and the other had a pulmonary chondroblastic osteosarcoma with intrapulmonary metastases. The masses in the other 2 dogs were hamartomas (lipomatous in 1, microcystic in the other), which were resected. Both dogs survived more than 1 year after surgery. Primary lung tumors are uncommon in dogs and are generally malignant (adenocarcinomas or carcinomas). Tumors of connective tissue or mixed cell origin are rare, but the outcome is potentially good after surgical removal.

Animals↗

Case report 775. Canine osteosarcoma with associated avascular necrosis and sequestrum formation.

A young dog was found to have an osteosarcoma of the proximal femur containing a radiologically evident sequestrum of dead bone. Although the tumor was extensive, the plain films were most remarkable for the presence of a sequestrum. MR scans revealed the extent of the lesion, with low signal throughout the lesion consistent with the heavily calcified tumor and central avascular bone. At the 1-year follow-up, lung metastases had developed, but the dog appeared well.

Animals↗