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Biomedical subjects

S B Adams

Publications and source records attributed to S B Adams.

At least 37 records · Page 2Linked to original sources

Cytokines and soluble interleukin 2 receptors in rheumatoid arthritis.

Cytokines (IL-1 alpha and IL-2) and soluble interleukin 2 receptors (sIL-2r) were evaluated in patients with rheumatoid arthritis (RA) and controls. In RA, serum sIL-2r and IL-1 alpha were increased, and sIL-2r were significantly higher in synovial fluid than in serum. Serum levels of sIL-1r but not IL-1 alpha were increased in patients with acute infections, suggesting additional discriminatory specificity for IL-1 alpha. Both tender and swollen joint scores were higher for patients with RA with serum sIL-2r levels greater than or equal to 700 U/ml. Quantitation of immune mediators may be useful in the clinical assessment of RA in addition to their implication regarding the pathogenesis of the disease.

Adult↗

Bilateral wedge ostectomy on an 18-month-old llama with severe bilateral carpal valgus.

An 18-month-old llama was admitted with severe (45 degrees and 40 degrees) bilateral carpal valgus. The llama had grown normally until it was 6 months old, when the carpal deviations had commenced. Radiography revealed abnormalities at the distal ulnar physes. Premature closure of these physes or abnormal distal ulnar growth may have been the cause of the carpal valgus. The owners requested surgical correction of the condition. Medial wedge osteotomies of each radius were performed 3 weeks apart. Internal fixation of the osteotomized radial bones was accomplished with small right-angled T plates, and the limbs were placed in full-limb casts for 3 weeks and tube casts for 3 more weeks. Both limbs healed in straight alignment, and the llama was able to walk and run normally. Dorsal subluxation of the right radiocarpal joint was noticed after the operation. This was believed to be caused by the uncorrected dorsal bowing of the distal portion of the radius, which had occurred secondary to the severe carpal valgus.

Animals↗

Recognition and management of ileus.

Ileus may occur in horses of all ages secondarily to drug administration, colic, exhaustion, peritonitis, or metabolic disorders. Ileus most commonly occurs following abdominal surgery for colic and is a significant cause of postoperative mortality in these horses. The most common clinical signs of ileus are decreased or absent intestinal sounds and gastric reflux. Ileus is treated by eliminating the initiating causes, correcting metabolic imbalances, decompressing distended bowel, providing analgesia, stimulating motility with drugs, and regulating exercise and feed and water intake.

Animals↗

Effect of butorphanol, pentazocine, meperidine, or metoclopramide on intestinal motility in female ponies.

Effect of butorphanol, pentazocine, meperidine, and metoclopramide on jejunal and pelvic flexure myoelectric and mechanical activity in 4 female ponies was investigated. The agent to be tested or saline solution was administered IV at the start of a 6-hour recording trial. In the jejunum, duration between activity fronts of regular spiking activity, defined as the length of the migrating myoelectric complex (MMC), was measured. The average duration of the MMC during control trials was 150 +/- 46 minutes. The average duration of the MMC after meperidine, butorphanol, pentazocine, and metoclopramide administration was 295 +/- 70 minutes, 260 +/- 60 minutes, 275 +/- 60 minutes, and 163 +/- 64 minutes, respectively. Meperidine, butorphanol, or pentazocine significantly increased the MMC duration (P less than 0.05), and did not significantly alter the pelvic flexure activity. Seemingly, meperidine, butorphanol, and pentazocine inhibited cyclic myoelectric activity in the jejunum. Metoclopramide had no effect on jejunal or pelvic flexure motility.

Analgesics↗

Surgical repair of a supraglenoid tubercle fracture in a horse.

A fractured right supraglenoid tubercle in a 15-month-old Thoroughbred gelding was repaired by partial biceps brachii tenotomy, interfragmentary compression, and tension band wiring. The horse is currently being ridden daily and has remained sound for 4 years.

Animals↗

Umbilical cord remnant infections in foals: 16 cases (1975-1985).

Infection of the umbilical cord remnants was diagnosed in 16 foals. The infection was found in the urachus alone in 3 foals, the umbilical arteries in 2 foals, the urachus and umbilical arteries in 3 foals, the urachus and umbilical vein in 2 foals, and the urachus, umbilical vein, and umbilical arteries in 2 foals. The specific location of the infection was not determined in 4 foals. Eleven foals developed an acquired patent urachus between 4 and 16 days of age. Seven foals had one or more joints infected. All foals with umbilical cord remnant infections were treated with orally, intramuscularly, or intravenously administered antibiotics and 9 foals had the umbilical cord remnants excised. Nine foals survived, 6 of which had had excision of the infected remnants. Only 2 foals with joint infections survived.

Animals↗

Electromyographic, myomechanical, and intraluminal pressure changes associated with acute extraluminal obstruction of the jejunum in conscious ponies.

Bipolar electrodes, strain gauge force transducers, intraluminal pressure recording catheters, and extraluminal intestinal obstructors were surgically implanted in 4 ponies to record myoelectrical and mechanical activity of the distal portion of the jejunum and ileum. After determining normal intestinal activity and pressures, the distal portion of the jejunum was obstructed with an extraluminal obstructor. Myoelectrical and mechanical activity recorded from jejunal segments proximal to the obstruction increased significantly (P less than 0.01), whereas activity distal to the obstruction remained unchanged. Intraluminal pressure increases were recorded during periods of intestinal spasm. Obstruction pressures remained unchanged from preobstruction pressures.

Animals↗

Diskospondylitis in five horses.

Diskospondylitis was diagnosed in 5 horses admitted to the Purdue University Large Animal Clinic during a 3-year period. Each horse had evidence of cervical pain. Clinical signs and radiography were useful for identifying the diskospondylitis. Cerebrospinal fluid was normal.

Animals↗

Neostigmine methylsulfate delays gastric emptying of particulate markers in horses.

Eight horses were allotted to 2 groups, each of 4 horses. All horses were given 100 plastic markers intragastrically via a nasogastric tube. One group of animals (control group) was not given medication after marker administration. The other group (test group) was given neostigmine methylsulfate (0.022 mg/kg of body weight) in the subcutaneous tissue at the time of marker administration and 30, 60, and 90 minutes later. All horses were killed 135 minutes after marker administration to locate the beads in the gastrointestinal tract. Gastric emptying of the markers was significantly delayed (P less than 0.05) in horses given neostigmine methylsulfate.

Animals↗

Small intestine incarceration through the epiploic foramen of the horse.

Fifteen horses were referred to Purdue University or to the University of Georgia because of colic. Each of these horses had small intestine incarcerated through the epiploic foramen. However, signs of pain, gastric reflux, and small intestine distention were not consistent signs, as would have been expected with small intestine strangulation/obstruction. In 10 of the 15 cases, abdominal fluid analysis provided the decisive information needed for surgical intervention. Surgery was performed in 14 cases. The small intestine was incarcerated through the epiploic foramen in a right-to-left direction in 12 cases and in a left-to-right direction in 3 cases. The intestinal incarceration was reduced by gentle traction on the adjacent unaffected intestine. Resection and anastomosis were performed in 10 cases. Twelve of the 14 surgical patients died, and it was believed that the failure to intervene surgically at an earlier time contributed to these poor results. Surgery was delayed in most cases because of the inconsistent clinical signs observed in these horses. It was concluded that small intestine incarceration through the epiploic foramen should be suspected in any case of colic that has inconsistent physical findings and does not resolve in short time. Further, serial abdominal fluid analysis should be used in such cases in order to detect changes or trends that would indicate a lesion requiring surgical intervention.

Animals↗

Choledocholithiasis in a horse.

Choledocholithiasis was diagnosed in a five-year-old gelding on the basis of laboratory results and histopathology. Surgery was performed to relieve the obstruction. The horse responded favorably and at 39 days postoperatively was clinically and clinicopathologically normal.

Animals↗

Motility of the distal portion of the jejunum and pelvic flexure in ponies: effects of six drugs.

Bipolar stainless steel electrodes were surgically implanted in 4 ponies to record myoelectrical and mechanical activity of the distal portion of the jejunum and pelvic flexure. After determining normal activity, the effects of neostigmine, xylazine, flunixin meglumine, dipyrone, panthenol, and atropine sulfate were determined. Flunixin meglumine, dipyrone, and panthenol had no effect on the motility of the jejunum or pelvic flexure. Xylazine and atropine sulfate decreased motility of the distal portion of the jejunum and pelvic flexure, with atropine sulfate having a greater effect and lasting longer. Neostigmine stimulated propulsive motility in the pelvic flexure only.

Animals↗

Impedance monitoring of equine intestinal motility.

Myoelectrical and myomechanical activities of the distal portion of the jejunum and pelvic flexure were studied in 7 ponies, using permanently implanted monopolar and bipolar stainless steel electrodes. Dental acrylic embedded recording electrodes were surgically sutured to the serosal surface of the distal portion of the jejunum and pelvic flexure. Myoelectrically, regular spike bursts and irregular spike bursts were observed in the jejunum. Short spike bursts and long spike bursts were recorded and associated with spike potentials, using impedance recording techniques. Electrical and mechanical data could be monitored simultaneously from the same recording electrode, using separate channels on a physiograph. This method proved effective to monitor periodically myomechanical activity at the same time that myoelectrical activity was being evaluated. The recording system required fewer recording devices to be attached to the intestinal tract, was an inexpensive method of obtaining myomechanical recordings, and did not alter markedly the myoelectrical activity when mechanical activity was being monitored.

Action Potentials↗

Treatment of radial-ulnar and tibial fractures in cattle, using a modified Thomas splint-cast combination.

In a retrospective study involving 15 cattle, radial-ulnar or tibial fractures were repaired with a modified Thomas splint combined with plaster cast. The cattle ranged in age from 1 day to 5 years and weighed from 46 to 775 kg. Eight cattle had radial-ulnar fractures and 7 had tibial fractures. The fractures healed in 14 cattle. The most frequent long-term complication was deviation of the involved long bones after healing. The degree of deviation decreased over several months' time in most cases. Thirteen of the 14 cattle with healed fractures were used for breeding or milking and their capacity for those functions was not diminished.

Animals↗