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Metabolic differentiation of homologous leg muscles of two aquatic birds at the level of enzymatic organization.

The quantitative determination of succinic dehydrogenase (SDH), hexokinase (HK), phosphorylase, phosphofructokinase (PFK), glycerol-3-phosphate dehydrogenase (G-3-PDH) and lactate dehydrogenase (LDH) was carried out in the homologous leg muscles of two aquatic Birds. It appears that the leg muscle fibres of the coot, a surface swimmer are more oxidative in nature and appear to utilize glucose as source of energy. The leg muscles of the dabchick, a diving Bird, on the other hand, seem to depend on glycogen as source of energy. The relative activity levels of HK, phosphorylase and PFK support the accepted rôle of glycogen as primary substrate of carbohydrate catabolism in the leg muscles. The ratio of G-3-PDH/LDH in the leg muscles revealed that glycerol 3-phosphate cycle appears to be insufficient to account for the major part of NADH oxidation. However, the LDH activity is quite high in all the muscles. These results led us to believe that glycerol 3-phosphate cycle may function during rest, when the rate of glycolysis will be low.

Animals↗

Repeatability of objective measurements on the rear legs of dairy cows.

The objective of this paper was to estimate the repeatability of objective measurements on the rear legs of dairy cows to see whether higher repeatability estimates could be obtained compared to the corresponding subjective linear score. Between September and November 1998, seven measurements of distance among dewclaw, hip, hock, pinbone, and thurl were taken on 73 cows from the University of Illinois dairy farm. Measurements were combined to define triangles and therefore angles reflecting rear leg structure. Three novice evaluators participated in the experiment, and, on a given day, two sets of measurements were taken by two evaluators. Cows were measured twice at a 1- to 4-wk interval. Size, evaluator, and order of measurement were included in the model as fixed effects. Cow, interactions of cow x evaluator and cow x order of measurement were random effects included in the model. The model explained over 80% of the variation for each variable. Repeatability estimates of the length measurements ranged from 0.61 to 0.89. Repeatability estimates of angles were much lower ranging from 0.00 to 0.24. The variation in natural standing position of the cow hampered the accuracy of the objective measurements. Low estimates of repeatability for angles describing rear leg suggested that objective measurements by novice evaluators were not sufficiently reliable to potentially replace the subjective linear score for rear leg curvature determined by experts. Usefulness of further investigation to find objective measurements that would give a better description of rear legs conformation compared to the corresponding current type trait was questionable.

Aging↗

Fixation methods for implantable port chamber: comparative study using glue, self-stabilizing leg and suture fixations in rabbits.

OBJECTIVE: To evaluate the fixation strength and tissue reaction of the glue fixation and self-stabilizing leg fixation methods and to compare the results with those of the conventional tagging suture fixation method. MATERIALS AND METHODS: Twelve healthy rabbits were selected and three different methods of implanting the port chamber were employed on the back of each rabbit. A total of thirty six port chambers were implanted with these three different methods, viz. the glue fixation method using tissue adhesive, the self-stabilizing leg method using a self-expandable stabilizing leg, and the suture fixation method. The fixation strength and the gross and histopathologic changes of each fixation method were evaluated at three days, one week, two weeks and four weeks after port implantation. RESULTS: The glue fixation method showed a good fixation strength, which was similar to that of the tagging suture method (p = 0.3486). Five of the six ports (83%) implanted with the glue fixation method which were examined after two weeks showed cracks on the external surface, but this had no adverse effects on their function. A large amount of granulation tissue reaction was found at the bottom of the chamber (p = 0.0025). The fixation with the self-stabilizing leg showed relatively lower fixation strength (p = 0.0043), but no turning-over of the chamber occurred. The fixation strength improved with time after the first week, and minimal granulation tissue reaction was observed with this method. CONCLUSION: The glue fixation method exhibited equal fixation strength compared to the suture fixation, but showed cracking and a large amount of granulation tissue, whereas the fixation with a self-stabilizing leg showed weaker fixation strength.

Alloys↗

Influence of high levels of pyridoxine on twisted legs in broilers.

Three experiments were conducted using commercially available broiler chicks to study the influence of high levels of pyridoxine on incidence of twisted legs. Chicks were grown in wire floored battery brooders to two weeks of age when they were weighed and visually scored for twisted legs. Supplementation of a diet containing 2.2 mg synthetic vitamin B6/kg with 10 and 20 mg/kg pyridoxine resulted in a significant decrease (P less than or equal to .05) in incidence of twisted legs in Experiment 1. In Experiment 2, supplementation with 30, 60, or 100 mg/kg numerically reduced incidence, but the differences were not statistically significant. Incidence of twisted legs was significantly increased by injecting chicks with .5 ml physiological saline at 1 and 7 days of age in comparison to noninjected controls. Including 10 mg pyridoxine HCl in the saline reduced the incidence but it was still numerically higher than the noninjected controls. Factors other than vitamin B6 nutrition appear to play a more important role in the etiology of twisted legs in broiler chicks.

Animals↗

Effects of a nonspecific nitrogen deficiency on growth rate and leg problems in chicks.

Five experiments were conducted using crystalline amino acid and semipurified diets containing adequate levels of all indispensable amino acids, vitamins, and minerals to study the effects of dispensable amino acids on growth and the incidence of leg abnormalities of male chicks. Purified diets containing 5% L-glutamic acid as the sole source of nonspecific nitrogen resulted in poor growth and feed efficiency, high mortality, and a high incidence of leg abnormalities with many severe cases of this condition. Increasing the dietary level of L-glutamic acid to 10% of the purified diet or supplementing the 5% L-glutamic acid diet with 2.40% glycine or 1.68% L-serine improved weight gain but did not eliminate the leg conditions. Higher L-serine (3.36%) resulted in a growth depression, indicating that this level was toxic to the birds. It was necessary to increase the dietary L-glutamic acid to 12.5% to reduce the incidence of leg problems to a minimum. Plasma dispensable amino acid levels (aspartic acid, glutamic acid, and alanine) paralleled the levels of L-glutamic acid in the diets fed to the chicks. Plasma serine and glycine levels were increased by adding either serine or glycine, but the magnitude of the increase of either amino acid was greatest with the addition of that amino acid to the diet. Plasma proline concentrations increased when chick diets were supplemented with high levels of glycine (2.4%), serine (3.36%), or glutamic acid (9.7%) in relation to those supplemented with only 5% L-glutamic acid. Feeding an intact protein (isolated soybean protein) diet did not alleviate leg disorders, although it did improve weight gain.

Amino Acids, Essential↗

The role of environment and management on leg abnormalities in meat-type fowl.

Continuous light with 1 h of darkness at midnight is a common photoperiod for raising meat-type fowl. The logic behind the 1 h of darkness, usually provided between midnight and 0100 h, is to acclimate the birds to darkness in the event of a power failure. Increasing evidence from several research laboratories indicates that lighting regimens other than continuous light, such as intermittent or step-up lighting, can lower the incidence of leg abnormalities in meat-type fowl. Some evidence suggests that increased exercise contributes in part to the reduction in lameness due to lighting. Management can influence the incidence of leg and foot problems via effects on rate of gain, flooring systems, and litter moisture. Rapid weight gains have been correlated with tibial dyschondroplasia (TD), although more evidence is needed to determine whether other types of leg deformities, such as long bone distortion, are related to rapid growth rates. Using low intensity X-ray imaging (hand-held lixiscope), live breeders with TD lesions can be identified and the incidence of TD can be reduced in breeder flocks through genetic selection. In addition, turkeys can be selected for wider shanks to improve walking ability. Slippery surfaces should be avoided to prevent spraddled legs. With the exception of TD, broilers reared in cages have more leg deformities than floor-reared birds. Dry litter conditions can help prevent foot pad dermatitis caused by Staphylococcus aureus and other bacteria.

Animals↗

Randomised, cross-over, placebo controlled trial of magnesium citrate in the treatment of chronic persistent leg cramps.

BACKGROUND: Nocturnal leg cramps are common and distressing. The only treatment of proven effectiveness is quinine, but this has a number of side effects. Magnesium salts have been shown to reduce leg cramp distress in pregnancy. This study tests whether magnesium citrate is effective in the treatment of leg cramps in non-pregnant individuals by conducting in a randomised, double-blind, cross-over placebo-controlled trial. MATERIAL/METHODS: Volunteers suffering regular leg cramps were recruited. Magnesium citrate equivalent to 300 mg magnesium and matching placebo were given for 6 weeks each. The number of cramps recorded in the cramp diary during the final 4 weeks of magnesium and placebo treatment, severity and duration of cramps and the participants' subjective assessment of effectiveness were analysed. RESULTS: In subjects who started with placebo (n=29) the median (95% CI) number of cramps was 9 (6-17) on placebo and 5 (4-8) on magnesium. For the group starting with magnesium (n=17) the median no of cramps was 9 (5-13) on magnesium and 8 (4-14) on placebo. There was no significant carry-over effect (p=0.88), but a highly significant period effect (p=0.008). There was a trend towards less cramps on magnesium (p=0.07). There was no difference in cramp severity and duration between the groups. Significantly more subjects thought that the treatment had helped after magnesium than after placebo 36 (78%) and 25 (54%) respectively, (p=0.03). Diarrhoea was recorded as a side effect of magnesium. CONCLUSIONS: The results suggest that magnesium may be effective in treatment of nocturnal leg cramps. Further evaluation is recommended.

Aged↗

Knee-ligament injuries associated with leg fractures. Prospective study.

It has been proved in 25-35% of the cases that knee-ligament injuries are associated with fracture of the femoral diaphysis. No such association has been confirmed between leg fractures and knee ligaments. In order to find out if this is a coincidence, a prospective study was conducted on 229 patients who had undergone operations for leg fractures at various locations and of variable intensity. It was established in 41 cases (17.34%) that the leg fracture was associated with knee-ligament injuries, resulting in joint instability. A significantly higher percentage of associated ligament lesions was found in open fractures as opposed to closed leg fractures. The examination was carried out with the patient under general or block anesthesia. On the basis of what was established it is recommended that the knee be examined clinically in all leg osteosynthesis cases.

Adolescent↗

Clinical quality indicators of venous leg ulcers: development, feasibility, and reliability.

In the clinical setting, diagnosis and treatment of venous leg ulcers can vary considerably from patient to patient. The first step to reducing this variation is to document venous leg ulcer care through use of quantitative scientific documentation principles. This requires the development of valid and reliable evidence-based quality indicators of venous leg ulcer care. A Scandinavian multidisciplinary, cross-sectional panel of wound healing experts developed clinical quality indicators on the basis of scientific evidence from the literature and subsequent group nominal consensus of the panel; an independent medical doctor tested the feasibility and reliability of these clinical indicators, assessing the quality of medical technical care on 100 consecutive venous leg ulcer patients. Main outcome measures were healing, recurrence, pain, venous disease diagnosis, differential diagnosis and treatment, and inter- and intra-rater reliability. The indicators proved feasible and reliable to measure (inter-rater kappa = 0.79, P < 0.01 and intra-rater kappa = 0.89, P < 0.1). Within 3 months of initial examination, venous etiology was verified by duplex in 61 of the 98 participating patients (62%) and 31 (32%) were assessed for venous surgery. Distal arterial pressure was measured following initial examination in 33 of the patients (34%). All patients (100%) were prescribed compression therapy. Of the 98 patients, 11 (11%) had ulcers recur in 3 months and 72 (73%) healed in 12 months, which is in line with the literature. It is feasible to reliably measure the quality of medical technical venous leg ulcer care in the clinical setting using a few strategic clinically relevant indicators of quality.

Aged↗

[A surgically treated case of acute pulmonary embolism owing to deep vein thrombosis of the leg mainly caused by uterine myoma].

A 49-year-old woman with deep vein thrombosis of the left leg suddenly complained of slight dyspnea during her hospitalization. Enhanced chest CT and pulmonary arterial DSA revealed pulmonary emboli, while phlebography of the left leg and lower abdominal CT showed a uterine myoma compressing the left external iliac vein, which was regarded as a chief cause of deep vein thrombosis of the left leg. The patient became dyspneic severely with a rapid increase of pulmonary arterial pressure and a decrease of arterial oxygen pressure. Therefore, pulmonary embolectomy and deep vein thrombectomy of the left leg and pelvis was performed using a cardiopulmonary bypass. Hysterectomy was also performed after weaning the bypass. The postoperative course was uneventful without recurrence of pulmonary embolism. This was a very rare case of pulmonary embolism, because, as far as we investigated, no literature has reported deep vein thrombosis of the leg caused by uterine myoma. We emphasize the availability of the enhanced CT for diagnosis of pulmonary embolism.

Acute Disease↗

[Mini-invasive distraction technique for treatment of severe ankle and foot deformities secondary to ischemic contracture of the leg].

OBJECTIVE: To explore the Ilizarov mini-invasive distraction technique for the treatment of severer ankle and foot deformities secondary to ischemic contracture of the leg. METHODS: Based on the tension-stress low of Ilizarov, a serial of adjustable three dimensions external distractive instrument was developed in our department. From April 2002 to March 2004, 8 patients with ankle and foot deformities secondary to ischemic contracture of the leg induced by trauma and fracture were treated with the distractive instrument. Of them, 4 patient were male and 4 female, aged from 13 to 31 years with an average of 23 years. Five affected legs were in the left and 3 in the right. Preoperative abnormal style included talipes equines in 6 feet and equinovarus in 2 feet, with extensive scar contracture in the legs. Five patients suffered from failure of soft tissue release before, two patients with severe bony deformity of the feet were underwent limited foot triple osteotomy in this department before the distractive correction. The distraction was begun from 7 d after operation and distractive time from 29 to 60 d with an average 46 d. RESULTS: All of the 8 patients were followed up from 10 months to 29 months, with an average of 13 months. All of deformities in the feet were corrected satisfactorily, full feet contacted with the ground in stand or walking and achieved with good function. No complication, such as pin tract infection, skin necrosis and neurovascular injury was occurred in this group. CONCLUSIONS: Mini-invasive distraction technique for treatment of severe ankle and foot deformity secondary to ischemic contracture of the leg is safe and mini-injury, it is also an effective approach for the treatment of various kinds of rigid foot anomaly.

Adolescent↗

Localization of regenectin in regenerates of American cockroach (Periplaneta americana) legs.

The localization of regenectin, a sucrose-binding C-type lectin, in the regeneration of the cockroach leg was investigated by immunoblotting and immunofluorescence studies. Regenectin was found to appear transiently around developing muscle cells in regenerating legs in the late stage of regeneration. With maturation of the muscles, it disappeared and was not detectable in completely regenerated legs. These findings suggest that regenectin is a cementing substance connecting developing muscle cells. Regenectin was not detected in embryos or nymphal legs at various developmental stages, suggesting that it might not be involved in normal development of embryos and legs.

Animals↗

[Late vascular damage after unilateral leg amputation].

The higher incidence of infrarenal aortic aneurysms in war-veterans with above knee amputations indicates that leg amputation besides arteriosclerotic risk factors constitutes a relevant pathogenetic factor for the late development of an abdominal aortic aneurysm. A retrospective study of 25 mainly young patients with above knee amputation showed that already one year after leg-loss a typical adaptive narrowing of the pelvic and leg arteries with significant reduction of the flow volume of 37% on the amputated side could be registered. Unilateral flow reduction resp. interruption causes an asymmetric flow pattern at the aortic bifurcation. The changed hemodynamics are probably the main cause for late damage to the aorto-iliac vessels. The clinical importance of these results is that patients with unilateral leg amputation should have regular follow up investigation in order to detect late sequelae on the aorto-iliac vessels and to perform elective surgery for abdominal aortic aneurysm. Ipsilateral occlusive arterial disease as well as abdominal aortic aneurysms must be regarded as secondary late damage after leg amputation justifying obligatory indemnification.

Adolescent↗

[The value of occlusion plethysmography and stress venous pressure in functional diagnosis following leg vein thrombosis].

In 52 patients with condition after thrombosis of the deep leg veins before discharge from hospital the venous capacity and the venous outflow were measured on the two legs by means of occlusion plethysmography of the veins as well as the percental decrease of the venous pressure during action of the leg muscles by means of phlebodynamometry. The results have been compared with the phlebography. 10 patients again had a venous system without pathologic findings, in 12 patients unchangedly was a complete and in 30 ones in incomplete occlusion. By means of the measuring of the venous pressure still existing obstacles of the outflow of the pelvic and femoral region could be separated from the lower leg and their degree of severity, too, could be quantified. The venous capacity and the venous outflow allowed with sufficient security to delimit the values of the healthy leg from those of the postthrombotic one, whereas a localization of the height and a further quantification of the postthrombotic condition failed. Improved technology of the devices as well as the establishment of venous capacity and venous outflow in one measuring process increase the value of the venous occlusion plethysmography clearly as a non-invasive method which can be carried out by a function-assistant.

Adult↗

Influence of a 12.5 per cent rapeseed diet and an avian reovirus on the production of leg abnormalities in male broiler chickens.

The incidence of different forms of leg abnormality were recorded in reovirus (S1133) infected and control male broiler chickens fed on a normal commercial diet or one of similar nutritive value containing 12.5 per cent rapeseed meal. Regular serological examination showed that birds remained free from Mycoplasma gallisepticum and M synoviae infection throughout the 10 week period of investigation. Precipitating antibodies to the reovirus were detected in 90 per cent of the infected birds between the third and 10th week after infection. Carotene levels in rapeseed fed groups showed no significant differences between reovirus infected and control birds or between birds with or without clinical signs of leg abnormality. The most frequent and severe leg abnormalities were present in the infected birds fed on the rapeseed diet, followed by those fed on the normal commercial diet. There was a highly significant difference (P less than 0.01) between the number of birds with leg abnormalities in each of these groups and their corresponding control groups. The lesions which were mainly responsible for these differences were tenosynovitis and enlarged hocks. Oral infection with reovirus did not appear to make the birds more susceptible to other types of leg abnormality, although the severest lesions of dyschondroplasia were seen in birds which had been exposed to the dual effects of reovirus and rapeseed diet.

Animal Feed↗

Hemodynamic and biochemical changes in severe induced subtotal ischemia of the leg. Studies with a pig model.

To investigate hemodynamic and biochemical changes in acutely ischemic leg muscle, the arterial flow to one hind leg was reduced to 5% of resting flow in nine pigs. Blood sampled from the aortic arch and femoral vein before and during ischemia and during 2.5 hours of reperfusion was analyzed and blood flow was measured in the femoral artery. The flow increased to 140% of preischemic values after 10 min of reperfusion and thereafter normalized. Efflux of potassium, magnesium, CK, LDH and ASAT increased only slightly during ischemia, but responded immediately to reperfusion, with maxima at 2-10 min, and thereafter declined to around normal values. Venous pH in the leg fell in the first 2.5 hours of ischemia (7.32-7.11), then remained constant until reperfusion started, when a nadir of 6.99 was reached, and rose to 7.29 by the end of the study. O2 consumption in the leg increased 3.8 times from preischemia to 1 min after reperfusion. Control pigs did not show the mentioned changes. This standardized ischemic trauma resembles the situation in humans with severe unilateral leg ischemia and can facilitate investigations of response to medication.

Animals↗

Relative growth of leg segments of the German cockroach, Blattella germanica.

Measurements were made on the lengths of all the nine leg segments--coxa, trochanter, femur, tibia, and five tarsomeres--for three pairs of legs of both sexes throughout postembryonic stages. "Growth contours" were constructed to outline the temporal and spatial patterns of growth. Growth center was located in or near the 1st tarsomere of all the three pairs of legs, whereas growth depression was found in the 4th and 5th tarsomeres. Consequently, the relative length of the 1st tarsomere increased with the advance of the stage, while that of the 4th and 5th tarsomeres decreased. Ratios were calculated between the lengths of any dual combinations of the nine segments. Among these ratios, the tibia to femur ratio most distinctly changed with the kinds of legs. The 1st to the 5th tarsomere ratio most extensively increased with stage. Differences in relative length between the fore-, mid- and hindleg were examined for each of the nine segments. The differences were largest in the 1st tarsomere and tended to decrease toward the segments of both ends of the leg. The differences in coxa, trochanter, femur, and tibia tended to increase with stage, whereas those in five tarsomeres showed a decreasing tendency.

Animals↗

Separation of wound healing from regeneration in the cockroach leg.

It has been shown that after a critical point in the moult cycle of a cockroach, wound healing can occur but regeneration of pattern does not take place until the following intermoult period. Leg removal after the critical point is used to separate the processes of wound healing and leg regeneration. This permits the study of patterns of cell division resulting from wound healing to be distinguished from those involved in leg regeneration. During wound healing, cell division occurs in the epidermal cells of approximately the distal half of the trochanter. The cells then return to the resting state until after the next ecdysis. Regeneration starts with cell division occurring in the distal half of the trochanter, and then spreading to include cells of the proximal trochanter and distal coxa. This spread and the following patterns of growth and redifferentiation appear to be the same as for regeneration following leg removal prior to the critical point, with the more distal structures completing early stages of regeneration first. Scanning electron micrographs of the cuticle of the trochanter after the ecdysis following leg removal support the evidence from the patterns of cell division in suggesting that the distal half of the trochanter is dedifferentiated during wound healing.

Animals↗