PubMed Health⌕ Search

Biomedical subjects

T A Bailey

Publications and source records attributed to T A Bailey.

At least 37 records · Page 2Linked to original sources

Adult bacteremic pneumococcal pneumonia in a community teaching hospital, 1992-1996. A detailed analysis of 108 cases.

OBJECTIVES: To review the clinical and laboratory findings of 108 adult patients with bacteremic pneumococcal pneumonia admitted to a community hospital and to determine the value of sputum Gram stains and cultures in the diagnosis of pneumococcal pneumonia in this setting. METHODS: Using the laboratory logbooks to identify adult inpatients with pneumococcal bacteremia from January 1, 1992, to June 30, 1996, were reviewed medical records. RESULTS: We found 108 patients. There was an apparent increase in prevalence from 1995 to 1996 compared with 1992 to 1994. Patients included 44 men and 64 women. Ages ranged from 20 to 95 years (median, 70 years). The fatality rate was 24.1% and increased with advancing age (no patient younger than 45 years died, and 36.8% of patients aged 85-95 years died). Cigarette smoking, cardiovascular disease, chronic obstructive lung disease, malignant disease, and diabetes mellitus were major underlying conditions. Fever, dyspnea, and cough were the most common presenting symptoms. Sputum Gram stain was useful in the diagnosis when moderate to abundant Gram-positive diplococci were seen. Sputum culture was less useful. Factors associated with higher fatality rate were being 65 years of age or older, APACHE II (Acute Physiologic and Chronic Health Evaluation II) score greater than 15, intensive care unit admission, low or normal leukocyte count, thrombocytopenia, renal dysfunction, diffused infiltrates on chest radiography, bilateral pneumonia, and sputum culture positive for Streptococcus pneumoniae. CONCLUSIONS: We found a recent increase in the prevalence of bacteremic pneumococcal pneumonia in adults. Gram stain of sputum is useful, but sputum culture is less sensitive in the diagnosis of pneumococcal pneumonia. The fatality rate remains high. More effort should be made at prevention using pneumococcal immunization.

Adult↗

Comparative morphology of the alimentary tract and its glandular derivatives of captive bustards.

This study describes the gross anatomy of the alimentary tract of Houbara Bustards (Chlamydotis undulata macqueenii), Kori Bustards (Ardeotis kori), Rufous-crested Bustards (Eupodotis ruficrista) and White-bellied Bustards (Eupodotis senegalensis) maintained in captivity by the National Avian Research Center in the United Arab Emirates. The morphology of the alimentary tract and the proportions of each region were similar in all 4 species. The length of the oesophagus, combined proventriculus and ventriculus, small intestine, and large intestine formed 24.2-28.4%, 7.3-9.7%, 40.5-55.1% and 9.1-14.7% of the total alimentary tract length respectively. Neither crop nor oesophageal enlargement was observed in the birds examined in this study, although male Kori Bustards possessed a saccus oralis in the oropharyngeal cavity. Oesophagi, proventriculi, ventriculi, caeca and large intestine were well developed in all species. The small intestine was shorter than that of other avian herbivores and granivores when compared on a bodyweight basis. The well differentiated stomachs and well developed caeca of the bustards examined in this study are characteristic of omnivores. Analysis of the mean lengths of the alimentary tract components and weight of the liver and pancreas showed sexual dimorphism in cases where male and female data were available for direct comparison.

Animals↗

Avian paramyxovirus type 1 infection in houbara bustards (Chlamydotis undulata macqueenii): clinical and pathologic findings.

Clinical and pathologic findings of avian paramyxovirus type 1 (PMV-1) in 19 houbara bustards (Chlamydotis undulata macqueenii) imported from Pakistan into the United Arab Emirates and one captive-bred bird are reported. Clinical signs included circling, walking backward, ataxia, opisthotonos, torticollis, recumbency, head tilt, head shaking, head tremor, tucking of head under keel, nasal discharge, conjunctivitis, and diarrhea. The length of time imported birds exhibited clinical signs varied from 4 days to 18 mo after importation. Hemagglutinating antibodies against PMV-1 were detected in the sera of all 17 birds from which blood samples were collected, and PMV-1 was isolated from pooled brain, spleen, and lung tissues from two birds with acute clinical signs. There were no distinctive gross lesions at necropsy, and histologic findings were consistent with but not pathognomonic for PMV-1. All houbara bustards managed in a captive breeding and restoration program established by the National Avian Research Center have been vaccinated against PMV-1 since October 1992, and no case of PMV-1 has been reported in this collection since that time.

Animals↗

Parasites of wild houbara bustards in the United Arab Emirates.

Seven free-living houbara bustards (Chlamydotis undulata macqueeni) wild-caught in the United Arab Emirates (UAE) were examined for helminth parasites. Of five birds investigated post mortem, one was free of gastrointestinal helminths. Two other birds expelled worms following clinical examination and anthelmintic treatment. This is the first report of the parasites of free-living, as opposed to captive, houbara bastards in the UAE. In infested wild birds, fewer species of helminths were recovered than had been found in captive birds and those species present had also been found in captive houbaras. Despite heavy worm burdens, the infested birds were in good condition. Two species of cestodes (Otiditaenia conoideis, Hispaniolepis falsata), two of acanthocephalans (Centrorhynchus lancea, Mediorhynchus taeniatus) and two of nematodes (Hartertia rotundata, Allodapa sp.) were recovered. Histopathological examination of tissue samples from the intestine of three birds revealed no significant pathological changes attributable to the presence of parasites but only localized responses at the sites of parasite attachment.

Acanthocephala↗

An epornitic of avian pox in houbara bustards (Chlamydotis undulata macqueenii).

An epornitic of avian pox occurred in a flock of 123 houbara bustards (Chlamydotis undulata macqueenii) received at the Sulman Falcon Hospital in the State of Bahrain in February 1993. Birds displayed conjunctivitis, excessive lacrimation and papilloma-like growths forming amorphous clusters on the third eyelid and on the conjunctiva. Examination of eyelid samples under transmission electron microscopy revealed pox virus particles displaying the classical morphology of vaccinia-avipox virions. Typical pox lesions were also detected 5 days post infection (p.i.) on chorioallantoic membrane (CAM). The virus titre on CAM was 10(7) focus-forming units (FFU)/ml. In tissue culture, only a slight cytopathogenic effect (CPE) was detected 5 days p.i. the virus titre on cell cultures was 10(4.5)FFU/ml. The virus infection in cell culture appeared to be abortive and no CPE was seen after three passages in secondary chicken embryo fibroblasts. No neutralization of the cell-grown virus was detected on serological studies using antisera directed against fowl, pigeon, canary and sparrowpox viruses. The discussion is framed around the different cultural properties of the houbara bustard pox virus isolate and its relationship to other known viral strains.

Animals↗

Trichomoniasis in birds of prey (order Falconiformes) in Bahrain.

Of 5360 falcons examined at the Sulman Falcon Hospital in Bahrain between 1987 and 1993, 1675 (31.2 per cent) had lesions of trichomoniasis. These lesions were commonly found in the oral and nasal cavities, the infraorbital sinuses, the crop and oesophagus and, more rarely, in the coelomic cavity, attached to the wall of the abdominal air sacs, and in the trachea, partially obstructing its lumen. Several therapeutic methods and the results obtained are described.

Air Sacs↗

Radiographic monitoring of the ossification of long bones in kori (Ardeotis kori) and white-bellied (Eupodotis senegalensis) bustards.

A serial radiographic study was conducted on eight kori bustard (Ardeotis kori) and four white-bellied bustard (Eupodotis senegalensis) chicks to determine the pattern of long bone development and to establish radiographic standards for assessing skeletal maturity. The ossification pattern, appearance of secondary ossification centres, and epiphyseal fusion of the long bones in kori and white-bellied bustards were similar to those in houbara bustards (Chlamydotis undulata macqueenii), rufous-crested bustards (Eupodotis ruficrista), domestic fowl (Gallus gallus), house wrens (Troglodytes aedon aedon), racing pigeons (Columba livia). and barn owls (Tyto alba). Secondary ossification centres were present at the proximal and distal tibiotarsus, proximal tarsometatarsus and proximal metacarpal III. The ossification of long bones occurred earlier in female kori bustards compared with males.

Animals↗

Understanding and treating depression among cancer patients.

Cancer is a devastating disease. Awareness of this disorder tremendously impacts an individual's life, creating a host of changes to occur. Depression is one concern that many cancer patients experience. It is important to make an accurate and complete assessment of depressive symptoms. Furthermore, a heightened awareness of patients' culture and their perceptions is vital to their assessment, diagnosis, and treatment of depression. In cases of clinical depression, appropriate antidepressants prescribed along with the treatment for cancer are significant for the patient. Palliative counseling for patients and supportive counseling for their family are recommended as part of a treatment plan.

Antidepressive Agents↗

Ventricular septal defect in a houbara bustard (Chlamydotis undulata macqueenii).

A ventricular septal defect was found in a juvenile captive-bred houbara bustard (Chlamydotis undulata) that died suddenly. The case history indicated that the bird had a retarded growth and maturation rate. Gross pathology demonstrated massive internal hemorrhage, an enlarged heart with an interventricular septal defect, one shrunken liver lobe, and hypoplastic kidneys. Histologically, the liver was characterized by fatty degeneration, and there was hydropic degeneration of the cardiac muscle fibers. We suggest that the occurrence of this defect led to cardiac insufficiency, which resulted in sudden death caused by hemorrhage from the liver.

Animals↗

Bacterial flora of the conjunctiva and nasal cavity in normal and diseased captive bustards.

A survey was carried out to describe the normal aerobic bacterial flora of the conjunctiva and nasal cavity of captive houbara bustards (Chlamydotis undulata), kori bustards (Ardeotis kori), and white-bellied bustards (Eupodotis senegalensis) maintained at the National Avian Research Center, Abu Dhabi, United Arab Emirates. A total of 58 samples were examined from the nasal cavity and 55 samples from the conjunctiva of healthy bustards. There was no bacterial growth in 45% of conjunctival samples. Bacteria isolated from the conjunctiva of healthy birds included Micrococcus spp., Staphylococcus auricularis, Staphylococcus xylosus, Staphylococcus capitis, Staphylococcus warneri, Bacillus spp., and Enterobacter amigenus. Bacteria isolated from the nasal cavity of healthy birds included Bacillus spp., Micrococcus spp., S. auricularis, S. xylosus, Staphylococcus simulans, Staphylococcus saprophyticus, Staphylococcus hyicus, Staphylococcus cohnii, Staphylococcus sciuri, Aerococcus spp., and Providencia rettgeri. These findings were compared with bacterial isolates from bustards with clinical signs of ocular or upper respiratory tract diseases. Mycoplasma spp., Pseudomonas aeruginosa, Pseudomonas stutzeri, Proteus mirabilis, Escherichia coli, Klebsiella spp., Aeromonas hydrophila, and Staphylococcus aureus were the pathogenic bacteria isolated from the conjunctiva of 34.3% bustards with ocular discharges. Mycoplasma spp., P. aeruginosa, Pseudomonas spp., P. mirabilis, E. coli, Klebsiella pneumoniae, and S. aureus were the pathogenic bacteria isolated from the nasal cavity of 74% bustards with upper respiratory tract diseases.

Animals↗

Causes of morbidity in bustards in the United Arab Emirates.

The findings of 1746 clinical examinations of 594 bustards of six different species are presented, and the differences of causes of morbidity between imported adult, captive adult, and captive juvenile bustards are discussed. Wing tip trauma, keel trauma, and other soft tissue-related traumatic injuries were the most commonly diagnosed clinical conditions in captive adult bustards, accounting for 50.7% of the total findings in this category. Soft tissue-related related traumatic injuries accounted for 26.3% and 5.3% of the findings of imported adult and captive juvenile bustards, respectively. Musculoskeletal disorders were the most commonly diagnosed clinical conditions in captive juvenile bustards, accounting for 61.3% of the total findings in this category. Nutritional bone disease was the single most important musculoskeletal disorder in captive juvenile bustards, accounting for 24% of total findings. Musculoskeletal disorders accounted for 22.9% and 4.9% of findings in captive adult and imported adult bustards, respectively. Parasitic observations accounted for 24.7% of the total findings in imported adult bustards. Infectious viral diseases were almost exclusively confined to the imported adult bustards, making up 20.1% of findings in this group. Opthalmologic conditions accounted for 15.1% of findings in imported adult bustards.

Animals↗