Fatal babesiosis in an untravelled British dog.
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Biomedical subjects
Publications and source records attributed to M G Kerr.
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Five hundred and sixty-six Irish wolfhound puppies aged six to 15 weeks were tested for congenital portosystemic shunts by the dynamic bile acid method. Plasma ammonia concentration was also measured in 165 of the puppies both fasting and postprandially. Nineteen puppies (3.4 per cent), nine males and 10 females, had portosystemic shunts. Smaller litters appeared to be more likely to contain affected puppies. The postprandial bile acid concentration was a reliable predictor of the presence of a shunt, with the highest concentration in a normal puppy being 38 mumol/litre and the lowest in an affected puppy being 43 mumol/litre. In contrast, fasting bile acid concentrations were normal in the majority of the affected puppies. There was considerable overlap in fasting plasma ammonia concentrations between normal and affected puppies (26 puppies, 15.8 per cent of those tested). Postprandial ammonia concentration appeared to give better separation between the two groups, apart from two individuals which produced bizarre results. It was concluded that the postprandial or dynamic bile acid test is an appropriate test for the mass screening of Irish wolfhound puppies for portosystemic shunts, and guidelines are proposed for the interpretation and follow-up of the test.
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Temporal changes in sweat composition were studied in 4 horses during epinephrine (adrenaline) infusion (0.13 to 0.31 micrograms/kg/min for 3 hours), heat exposure (41 C, [33 C wet bulb] for 5 to 6 hours), and exercise (16 to 18 km/hr for 58 to 80 km). Four ponies also were studied during heat exposure. Sweat produced by each of the stimuli was hypertonic for Na+, K+, and Cl-. These electrolyte concentrations remained constant during the central period of the experiments, with changes occurring near the beginning and toward the end. The Na+ was significantly higher and K+ significantly lower in epinephrine-induced sweat than in heat-induced sweat, and the pattern of change in sweat Na/K ratio varied among the 3 stimuli. The Ca2+ concentration decreased with time and was hypotonic after 15 minutes of epinephrine-induced sweating. Concentrations of Mg2+ and protein decreased exponentially with time. There was a high correlation between them, although the Mg2+ was not protein-bound. Sweat urea concentration was directly related to plasma urea concentration. When plasma glucose concentration became greater than 10 to 12 mmole/L during epinephrine infusion, glucose appeared in the sweat and its concentration rose to 8 to 12 mmole/L of sweat when plasma glucose was more than 20 mmole/L.
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Simulated patients have been used to foster active learning and problem solving skills in an undergraduate programme of reproductive medicine. These simulators were trained to present a series of clinical problems and were used in a variety of approaches. They served to highlight communication skills and to force attention on the recognition, assessment and management of patient problems.
Our experience with laparoscopy as the primary means of assessment of the female genital tract is described in 279 women attending a subfertility clinic. Thirty-two per cent of patients with primary infertility and 60 per cent of patients with secondary infertility had significant pelvic disease. We feel that laparoscopy should replace other methods for the routine primary assessment of the genital tract in infertile women.