Medication of the ear, nose and throat.
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Twelve adult cattle were electrically stunned head-only (400 V, 2.5 A, 50 Hz) behind the ears for four seconds. Within ten seconds of stun initiation, the carotid arteries, jugular veins, trachea and oesophagus were severed. Twenty seconds after the stun initiation, ten animals received an electro-immobilization current (80 V peak, 14.3 Hz, 5 ms square wave, 300 mA) nose to anus for periods ranging from 30-37 seconds. Electroencephalographic (EEG) traces were recorded before and after the stun up until electroimmobilization and at cessation of electro-immobilization by means of implanted electrodes, and animal movement was recorded on videotape. Before the stun, the EEG trace was within a window of sensibility (10-40 microV amplitude). During the stun, the amplitude increased and sometimes exceeded 500 microV. At the end of electro-immobilization, EEG amplitude was less than 10 microV, indicating insensibility. This amplitude was reached in the two non-immobilized animals 57 seconds and 63 seconds after stun initiation. During stunning, the forelegs and hindlegs usually tucked under the animals. Various degrees of foreleg extension then occurred. From about ten seconds post-stun, paddling movements occurred, at which time the EEG trace showed large-amplitude waves characteristic of a stunned animal. During immobilization, the animals stiffened and breathing stopped. After immobilization weak muscle spasms occurred that did not interfere with dressing operations. Non-immobilized animals moved excessively, inhibiting dressing. It is concluded that adult cattle rendered insensible by stunning do not recover sensibility during the stun/throat-cut/immobilization operation and therefore this procedure is humane.
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Relatively little is known about the variables that influence lung deposition of inhaled aerosols in children. A model of the upper airways of an infant could be a useful tool to study these variables in vitro. The objective of this study was to construct an anatomically correct model of the upper airways of a young child. A routine three-dimensional (3D) CT scan of the skull and neck of a child was selected that included the airway from the nasal cavity down to the subglottic region. The CT scan was edited to obtain an anatomically correct distinction between air and mucosa. Next, a model was constructed with a stereolithographic technique using a UV-sensitive resin. To validate the model, a 3D CT scan of the model was made and compared to the anatomy of the original image. To study aerosol deposition, the model was connected to a breathing simulator. Medical aerosols were delivered to the model by MDI/spacer during stimulated breathing. An upper airway model was made of a 9-month-old child that needed reconstructive surgery for a skull deformity and with normal anatomy of the upper airways. The nasal airway of the model was open for air passage and the oral airway was closed. The CT scan of the model matched the original in vivo CT scan closely. Aerosol deposition measurements showed that dose passing the model, or lung dose, was comparable with in vivo lung deposition data. We have constructed an anatomically correct model of the upper airways of a child, using a stereolithographic method for in vitro studies of aerosol deposition in young children. This model will be used to obtain insight in aerosol treatment that cannot be obtained in vivo.
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