Developmental factors associated with inappropriate coping strategies among sexual aggressors of children

BACKGROUND

Many studies in the field of sexual offending focus on the presence of inadequate coping strategies prior to sexual offending, and the role these strategies play in the sequence of the offense. However, little is known about the development of strategies-such as substance abuse and, especially, deviant sexual fantasies-to manage daily difficulties.

OBJECTIVE

To better understand the antecedents of the development of inadequate coping strategies, we conducted a series of structural equation modeling (SEM) analyses.

PARTICIPANTS AND SETTINGS

Based on 274 sexual aggressors of children, these analyses were based on components of Maniglio (2011a) theoretical model, in which victimization before the age of 18 leads to the development of psychological problems and, ultimately, the reliance on deviant sexual fantasies as a coping strategy.

METHODS

Two models were created through exploratory factorial analysis: the first model comprised 19 manifest variables, while the second model consisted of 15 manifest variables. All the retained variables were related to Maniglio's (2011a) hypothesis.

RESULTS

The analyses not only confirm Maniglio's hypothesis but also produced two statistically significant models (RMSEA = 0.069, CFI = 0.93 and TLI = 0.92 for Model 1 & RMSEA = 0.074, CFI = 0.93 and TLI = 0.91 for Model 2) composed of three indirect trajectories and one direct trajectory on the one hand, and four indirect trajectories and one direct trajectory on the other hand.

CONCLUSIONS

These results are consistent with those of studies that have highlighted the heterogeneity of sexual aggressors of children.

Tofacitinib withdrawal and retreatment in moderate-to-severe chronic plaque psoriasis: a randomized controlled trial

BACKGROUND

Tofacitinib is an oral Janus kinase inhibitor being investigated for the treatment of moderate-to-severe plaque psoriasis.

OBJECTIVES

To compare outcomes following tofacitinib withdrawal with outcomes of continuation.

METHODS

In this phase 3 study (NCT01186744), patients received tofacitinib 5 mg (n = 331) or 10 mg (n = 335) twice daily for 24 weeks. The patients who achieved both ≥ 75% reduction in Psoriasis Area and Severity Index (PASI 75) score from baseline and Physician's Global Assessment (PGA) of 'clear' or 'almost clear' (PGA response) received a placebo (withdrawal) or the previous dose. At relapse (> 50% reduction in the PASI improvement during initial treatment) or week 40, the patients received the initial dose.

RESULTS

Initial treatment: 33·5% and 55·2% achieved both PASI 75 and PGA responses with tofacitinib 5 and 10 mg twice daily, respectively, making them eligible for the treatment-withdrawal period. Withdrawal: 56·2%, 62·3%, 23·3% and 26·1% maintained PASI 75 responses with tofacitinib 5, 10 mg, placebo (5 mg) and placebo (10 mg) twice daily, respectively; 49·9%, 63·9%, 22·9% and 18·0% maintained PGA responses; and 92·3%, 93·0%, 32·8% and 42·9% did not relapse. Elevations in low-density lipoprotein-cholesterol levels following initial treatment (mean increase: 8·71 mg dL(-1) with 5 mg twice daily, 10·26 mg dL(-1) with 10 mg twice daily) were reversed upon withdrawal. Retreatment: 36·8% and 61·0% of patients who relapsed achieved PASI 75 responses with tofacitinib 5 or 10 mg after 16 weeks; 44·8% and 57·1% regained PGA responses.

CONCLUSIONS

Patients who received continuous treatment maintained a response more effectively when compared with placebo recipients. Safety profiles were comparable in both the continuous treatment group and retreatment group. Of those patients who relapsed, up to 60% recaptured a response with tofacitinib.

Sexual aggressors' perceptions of effectiveness of strategies to cope with negative emotions and deviant sexual fantasies

The aim of this study was to investigate sexual aggressors' perceptions of effectiveness of strategies to cope with high-risk situations and their reasons for not using the adaptive coping strategies they learned in treatment. A total of 32 sexual aggressors, incarcerated in a maximum security psychiatric institution, filled out the Coping Strategy Report daily for 2 months. A lack of will, ignorance, and an emotional disturbance were the most frequently reported reasons for not using adaptive coping strategies to deal with a negative mood, whereas anticipation of failure and emotional disturbance were most frequently reported with interpersonal conflicts. For deviant sexual fantasies, child molesters most frequently reported a lack of will and an anticipation of failure as justification for not using adaptive coping strategies, whereas sexual aggressors of women most frequently reported a lack of will and emotional disturbance. For negative moods and interpersonal conflicts, behavioral strategies, such as social skills, were reported to be the most effective. Cognitive strategies, such as covert sensitization, were reported to be most effective for coping with deviant sexual fantasies. Theoretical and clinical implications of these results are discussed.

Victim-choice polymorphia among serious sex offenders

The victim-choice polymorphia of 178 sexual aggressors divided into six subtypes, incest offenders, pseudoincest offenders, sexual aggressors of familiar children, sexual aggressors of unfamiliar children, sexual aggressors of familiar women, and sexual aggressors of unfamiliar women, was compared. Results showed that sex offenders remained stable in their choice of victim from one offence to another in terms of victim age, victim gender, and aggressor-victim relationship. Subjects characterised by high levels of polymorphia were pseudoincest offenders and sexual aggressors of familiar women, whereas sexual aggressors of both unfamiliar women and unfamiliar children were characterised by low levels of polymorphia. Recommendations regarding how to further refine sex offender typologies are discussed.

Characterization and immunohistochemical localization of nucleoside triphosphate diphosphohydrolase (NTPDase) in pig adrenal glands (presence of a non-sedimentable isoform)

Considering that adrenal glands possess a variety of purinoceptors associated with various cell types and that some of these cells (chromaffin cells) secrete large amounts of adenine nucleotides, it was of interest to localize nucleoside triphosphate diphosphohydrolase (NTPDase) in these glands and to define the biochemical characteristics of this ectonucleotidase. Immunolocalization produced a moderate reaction in capsula and medulla, with no signal in zona glomerulosa and zona reticularis. In contrast, a very strong reaction was found in zona fasciculata. Biochemical analysis of particulate fractions isolated from whole glands revealed high levels of ATPase and ADPase activities. This appeared to be attributable to the NTPDase since the level of ADPase was as high as ATPase. Both ATPase and ADPase activities were similarly inhibited by sodium azide. Additionally electrophoretograms with these two substrates showed comparable patterns. Western blots with 'Ringo', an antibody that recognizes the different isoforms of mammalian NTPDases, showed the presence of isoforms of NTPDases at 54 and 78 kDa, respectively. Interestingly, the 54 kDa isoform remains in the supernatant of a chromaffin granule lysate after ultracentrifugation. Up until now little interest has been given to the relationship between adrenal medulla and cortex. Presence of purinoceptors and ectonucleotidases in both these regions together with the effects of ATP in vivo and in vitro in different species indicate that purines play a significant role in adrenal glands.

Respiratory monitoring: arterial blood gas analysis, pulse oximetry, and end-tidal carbon dioxide analysis

The use of arterial blood gas analysis, pulse oximetry, and capnography has become commonplace in the assessment of veterinary patients. Blood gas analysis allows for the qualitative and quantitative assessment of both metabolic and respiratory acid-base problems, including the interrelationships between ventilation, oxygenation, and metabolic conditions. Blood gas analysis is a useful adjunct to clinical patient assessment and other diagnostics in determining appropriate therapy for specific and complex conditions. Both pulse oximetry and capnography are useful monitoring tools. However, they have technical limitations and cannot comprehensively evaluate patient oxygenation and ventilation. Pulse oximetry and capnography are not replacements for arterial blood gas analysis, but rather serve as adjunctive monitoring tools.

Pathways in the offending process of extrafamilial sexual child molesters

The aim of the current study was to investigate specific pathways in the offending process of extrafamilial sexual child molesters. Forty-four men who had committed at least one sexual offense against a nonfamilial prepubescent child were included in this study and were classified using cluster analysis. Subjects using the coercive pathway (n = 30) had generally used psychoactive substances before their offenses. Furthermore, they had molested a female victim without perceived vulnerability and whom they had already well known. These molesters had not planned their offense, which was of short duration (less than 15 min), and involved coital activities and coercion (verbal and/or physical). Subjects using the noncoercive pathway (n = 14) had generally used pornography and deviant sexual fantasies before their offenses. Moreover, they had molested a male victim, in whom they perceived a psychosocial vulnerability and who was not familiar to them. These molesters had planned their offense, which was of longer duration (more than 15 min) and involved noncoital activities without coercion. These two pathways were compared to the two pathways in the offending process identified by Ward and his colleagues.

Hypocalcemia and hypomagnesemia

The occurrence of hypocalcemia is well documented in clinical veterinary medicine. In this article, we have attempted to provide an overview of the established causes as well as information on more recently recognized etiologies such as the ionized hypocalcemia seen in cats with urethral obstruction and the presence of the disorder in critically ill patient populations. Hypomagnesemia has been identified as the most common electrolyte abnormality in canine and feline critically ill patients. Magnesium depletion and experience with supplementation appear to have most significance in diabetic ketoacidotic patients with the development of associated refractory hypokalemia. (N. Dhupa, BVM, MRCVS, unpublished observations, 1997). Although cardiac arrythmias are associated with hypomagnesemia in human patients, documentation of this association in veterinary patients is lacking. Because hypomagnesemia has been associated with other electrolyte abnormalities in human and veterinary populations, the detection of hypokalemia (particularly if refractory to therapy), hyponatremia, hypophosphatemia, or hypocalcemia should indicate the possibility of coexisting hypomagnesemia.

Is the Reaction Catalyzed by 3-Hydroxy-3-Methylglutaryl Coenzyme A Reductase a Rate-Limiting Step for Isoprenoid Biosynthesis in Plants?

3-Hydroxy-3-methylglutaryl coenzyme A reductase (HMGR) catalyzes the irreversible conversion of 3-hydroxy-3-methylglutaryl coenzyme A to mevalonate and is considered a key regulatory step controlling isoprenoid metabolism in mammals and fungi. The rate-limiting nature of this enzyme for isoprenoid biosynthesis in plants remains controversial. To investigate whether HMGR activity could be limiting in plants, we introduced a constitutively expressing hamster HMGR gene into tabacco (Nicotiana tabaccum L.) plants to obtain unregulated HMGR activity. The impact of the resulting enzyme activity on the biosynthesis and accumulation of particular isoprenoids was evaluated. Expression of the hamster HMGR gene led to a 3- to 6-fold increase in the total HMGR enzyme activity. Total sterol accumulation was consequently increased 3- to 10-fold, whereas end-product sterols such as sitosterol, campesterol, and stigmasterol were increased only 2-fold. The level of cycloartenol, a sterol biosynthetic intermediate, was increased more than 100-fold. Although the synthesis of total sterols appears to be limited normally by HMGR activity, these results indicate that the activity of one or more later enzyme(s) in the pathway must also be involved in determining the relative accumulation of end-product sterols. The levels of other isoprenoids such as carotenoids, phytol chain of chlorophyll, and sesquiterpene phytoalexins were relatively unaltered in the transgenic plants. It appears from these results that compartmentation, channeling, or other rate-determining enzymes operate to control the accumulation of these other isoprenoid end products.

Estrus synchronization efficiency of PGF2α injection in Shorthorn-Hereford and crossbred Charolais cattle not having exhibited estrus at 4 or 7 days prior to treatment

The objective of this study was to compare the estrus synchronization efficiency of PGF2alpha in cattle (n = 470) not having shown estrus for 4 (D4 treatment) or 7 d (D7 treatment) after onset of the breeding season. The physiological status of crossbred Charolais cows was studied, and their reproductive performance was compared to that of Shorthorn-Hereford cows. The percentage of cows in estrus during the 7 d prior to PGF2alpha treatment was superior (P < 0.01) to that observed during the 4 d preceding PGF2alpha. The daily rates of estrus were similar during the 2 periods. For both the Shorthorn-Hereford (87.8 vs 74.7%; P < 0.03) and crossbred Charolais (87.8 vs 66.3%; P < 0.005) females, the estrus synchronization rate during the 5 d post PGF2alpha was higher in treatment D7 than in the D4 treatment. Therefore, for both Shorthorn-Hereford (92.8 vs 81.4%) and crossbred Charolais (93.1 vs 75.0%) the D7 program permitted insemination in 12 d (before and after PGF2alpha) of a higher percentage (P < 0.01) of females than the D4 program did in 9 d. The intervals PGF2alpha to estrus and their variances were similar for both treatments. The conception rate of Shorthorn-Hereford was the same whether they were inseminated after spontaneous (73.4%) or PGF2alpha-induced estrus (D4 treatment: 78.5%; D7 treatment: 72.2%). However, crossbred Charolais cows inseminated after a PGF2alpha-induced estrus in the D4 treatment had a fertility rate (50.9%) slightly inferior (P < 0.07) to that of cows inseminated after spontaneous estrus (70.1%) or after PGF2alpha-induced estrus in the D7 treatment (67.4%). The reproductive performances of multiparous Shorthorn-Hereford and crossbred Charolais were similar in treatment D7; however, in the D4 treatment, the conception rate of Shorthorn-Hereford was higher than that of crossbred Charolais (81.0 vs 42.9%; P < 0.002). Primiparous crossbred Charolais in the D4 treatment had a slightly lower (P < 0.10) synchronization rate (48%) than nulliparous (71%) and multiparous crossbred Charolais (78%). In contrast, the reproductive performances of nulliparous, primiparous and multiparous crossbred Charolais were similar in the D7 treatment. These results indicate that the efficiency of PGF2alpha to synchronize estrus is greater when the estrus detection period increases from 4 to 7 d before PGF2alpha. Only in the D7 treatment was the fertility rate of crossbred Charolais similar to that of Shorthorn-Hereford.

Relationships between conflict, affect and deviant sexual behaviors in rapists and pedophiles

The aim of the current study was to determine the relationship in sexual offenders between conflict, affective states and particular sexual behaviors (fantasies and masturbatory activities while having such fantasies). To this end we developed the "Fantasy Report", a self-assessment method for recording affective components and sexual behaviors. Thirteen rapists and 9 pedophiles filled out the Fantasy Report every 2 days for a period of 60 days. In rapists, negative mood and the presence of conflicts coincided with both overwhelming deviant sexual fantasies and increased masturbatory activities while having such fantasies. Furthermore, the emotions most frequently reported by rapists following conflicts were loneliness, humiliation, anger and feelings of inadequacy and rejection. Affective components, however, were not associated with nondeviant sexual behaviors. For the pedophiles, the data revealed a significant relationship only between negative moods and deviant sexual fantasies. These data are interpreted to mean that, in sexual offenders, negative affect is a crucial component in the chain that leads to deviant sexual behaviors.

Penile responses of rapists and nonrapists to rape stimuli involving physical violence or humiliation

The sexual arousal profile of a subgroup of rapists with a history of low-level physical violence during their offenses was assessed. Twenty subjects participated: 10 rapists and 10 nonrapists. Stimuli consisted of audiotapes with the following five thematic contents: mutually consenting sexual activities; rape involving physical violence; rape involving humiliation; physical aggression without sexual activities; neutral. Penile responses were recorded during stimuli presentation using a mercury-in-rubber strain gauge. Data showed no differences between both groups for the rape stimuli involving physical violence. For the rape stimuli involving humiliation, however, the penile responses of the two groups differed. With those stimuli the average penile response of the rapists was higher than that of the nonrapists. Therefore, for this subgroup of rapists the association between sexual activities and humiliation presents a higher erotic value than the association between sexual activities and physical violence. Implication of these results as to the discriminant validity and classificatory accuracy of phallometry in rapists is discussed.

Comparaison de l'effet de deux analogues de la prostaglandine F2α sur la synchronisation de l'œstrus chez la vache de boucherie

The objective of this study was to compare the efficiency of cloprostenol and fenprostalene in synchronizing estrus. Before treatment, estrus was detected during 4.5 d for multiparous cows in exp. 1 (n = 105) and 7.5 d for primiparous and nulliparous females in exp. 2 (n = 86). Females that were not in estrus (exp. 1: n = 74 and exp. 2: n = 58) received at random, either 500 μg of cloprostenol (i.m.) or 1 mg of fenprostalene (s.c). Cattle synchronized with cloprostenol or fenprostalene that presented estrus within 5 d showed similar fertility rates (exp. 1: 86.1% vs. 88.0% and exp. 2: 89.3% vs. 72.2% for cloprostenol and fenprostalene, respectively) and PGF2α-estrus intervals (exp. 1: 68 h vs. 73 h and exp. 2: 57 h vs. 57 h). However, the incidence of synchronization (exp. 1: 97.3% vs. 67.6%, P < 0.001; and exp. 2: 93.3% vs. 64.3%, P < 0.01) and pregnancy rates (exp. 1: 83.8% vs. 59.5%, P < 0.05; and exp. 2: 83.3% vs. 46.4%, P < 0.01) were statistically higher for cloprostenol than for fenprostalene. In exp. 2, primiparous cows and heifers obtained similar reproductive performances. The fertility rate of cattle treated with cloprostenol in exp. 2 was higher than that of untreated cattle (89.3% vs. 50.0%, P < 0.001, n = 56). In exp. 1, the variance of interval to estrus was similar for both analogues, but in exp. 2, it was less variable after the administration of cloprostenol (P < 0.05). Intervals between cloprostenol injection and estrus (0–10 and 0–15 d) were shorter (P < 0.05) and less variable (P < 0.001) than fenprostalene–estrus intervals. These results indicate that cloprostenol has a better potential for estrus synchronization than fenprostalene. Key words: Cloprostenol, fenprostalene, estrus synchronization, prostaglandin F2α, beef cattle

Histological populations and atresia of ovarian follicles in postpartum cattle treated with an agonist of gonadotropin-releasing hormone

Surface and histological changes of ovarian follicles and degree of atresia were characterized 3 and 6 d after a treatment with a GnRH agonist (buserelin) in postpartum beef cows. Sixteen cyclic cows on d 7 of their estrous cycle and eight acyclic cows were used. On d 0 of the experimental period, eight cyclic cows were injected with 2 mL of physiological saline and the remaining eight cyclic cows and the acyclic cows were injected i.m. with 8 micrograms of buserelin. Ovaries were collected 3 or 6 d later (n = 4 cows per group per day). All follicles (> 1.57 mm) were observed microscopically, measured using routine histological techniques, and classified as either nonatretic or atretic, with early or late atresia, and grouped into Class 1, 1.57 to 3.67 mm, Class 2, 3.68 to 8.56 mm, or Class 3, > 8.56 mm. Buserelin induced formation of new corpora lutea in all cows but one (acyclic cow). Class 1 follicles decreased on d 3 but increased on d 6 (day x treatment, P < .004), whereas those of Class 2 increased (P < .07) on both d 3 and 6 after buserelin treatment. However, within Class 2 follicles, we detected an increase on d 3 and 6 in the number (P < .01) and proportion (P < .07) of atretic follicles, an increase in the number of follicles in late atresia on d 6 (day x treatment, P < .03), and a decrease in the number (P < .06) and proportion (P < .03) of nonatretic follicles on d 6 (day x treatment).(ABSTRACT TRUNCATED AT 250 WORDS)

Sexual preference assessment of sexual aggressors: predictors of penile response magnitude

A current method used to assess the sexual preference of sexual aggressors is the recording of their penile responses during the presentation of erotic stimuli. This method is ineffective in subjects who do not obtain sufficient penile responses. Whether variables related either to the subjects or their crimes would correlate with the magnitude of penile responses during sexual preference assessment was studied. The penile responses of 92 subjects were recorded. Older and pre-sentencing subjects showed a lower maximum penile response magnitude than younger and sentenced subjects. Results are discussed as they relate to the validity of physiological assessment of sexual preference.

Synchronization of estrus and fertility in beef cattle with two injections of buserelin and prostaglandin

Postpartum beef cows and heifers in Group 1 received 8 mug of buserelin on Day 0 (the beginning of the experiment) and 500 microg of cloprostenol (PGF) on Day 6 (GnRH I, n=54). In Group 2 (GnRH II, n=54), the females were injected with buserelin on Day 0 (8 microg) and Day 3 (4 microg), and PGF on Day 6 and Day 9 for females not detected in estrus previously. Animals were bred by AI 12 hours after the onset of estrus. Blood samples were collected on Day -11 and Day 0 to assess cyclicity and on Day 3 and Days 6 to 12 to examine luteal activity. Progesterone levels did not differ between the 2 groups between Days 0 to 9. In both groups, the proportion of spontaneous estruses from Days 0 to 6 was reduced. Precision of estrus was higher (P<0.005) in the GnRH II group than in the GnRH I group of cows that were detected in estrus between Days 6 and 9. The synchronization rate, interval to estrus, pregnancy and conception rates were similar in GnRH I and GnRH II groups. The conception rate and interval to estrus were similar in cyclic and acyclic cows. Increasing the number of buserelin injections enhanced the precision of estrus, but not the conception rate, without any detrimental effect on luteal activity and induced more estruses in postpartum acyclic beef cattle.

Influence of an agonist of gonadotropin-releasing hormone (buserelin) on estrus synchronization and fertility in beef cows

The objective of this experiment was to determine the effect of sequential treatment with buserelin (a GnRH agonist) and cloprostenol (a prostaglandin F2 alpha analog) on estrous response and fertility in beef cattle with different ovarian conditions. On d 0 (1st d of treatment), the control group (n = 52, 10 heifers and 42 cows) and the GnRH group (n = 48, 10 heifers and 38 cows) received 2 mL of saline or 2 mL of Receptal (8 micrograms of buserelin), respectively. On d 6, all cows that had not exhibited spontaneous estrus were given i.m. 500 micrograms of cloprostenol (PGF). Ultrasonography on d 0 and assays of progesterone in blood on d -11, 0, and 6 were used to identify follicular and luteal status of animals. Cattle were observed for estrus from d 0 to 10. Cows showing estrus were bred artificially 12 h after onset of estrus. Over the 10-d period, the number of cows detected in estrus and pregnancy and conception rates were identical for the two groups. However, between d 0 and 6, the proportion of cows exhibiting estrus was lower (P less than .01) in the GnRH group than in the control group. Between d 6 and 10, the synchronization rate and precision of estrus were greater (P less than .01) in the buserelin-treated group than in the control group. Conception rate and interval from PGF injection to onset of estrus were not different between the two treatment groups. Presence of a large (greater than 10 mm) follicle on d 0 enhanced synchronization rate and precision of estrus.(ABSTRACT TRUNCATED AT 250 WORDS)

Effects of Synchro-Mate B and prostaglandin F2α on estrus synchronization and fertility in beef cattle

The efficiency and precision of estrus synchronization and fertility were evaluated after prostaglandin F2α (PGF) treatment with or without pretreatment with Synchro-Mate B (SMB) in beef cattle. In the treatment group (SMB-PGF, n = 109), postpartum suckled (n = 53), and nonsuckled (n = 32) cows and virgin heifers (n = 24) received SMB for 9 d and PGF 72 h before implant withdrawal. In the control group (Control, n = 111), postpartum suckled (n = 51), and nonsuckled (n = 36) cows and virgin heifers (n = 24) were observed for estrus and bred at spontaneous estrus over a 6-d period. Those not detected in estrus were then injected with PGF and bred at induced estrus over an additional 6-d period. Synchronization rate at induced estrus was higher (95.4 vs. 84.2%, P < 0.01) and time interval from induction to onset of estrus was shorter (37.0 ± 2.1 h vs. 56.7 ± 2.8 h, P < 0.01) in the SMB-PGF group than after PGF in the Control group. Whether the time around the mean interval to estrus (precision) was ± 6, ± 12, ± 18 or ± 24 h, the synchronization rate was always higher (P < 0.01) in the SMB-PGF than in the Control group. Heifers and cows in both groups had similar estrus synchronization rates and mean intervals to estrus. Suckled and nonsuckled cows behaved similarly in their estrus response within the SMB-PGF group but not in the Control group. Our results indicate that administration of PGF 72 h before SMB implant withdrawal could be a very efficient and precise synchronization method without a negative effect on fertility in beef cattle. Key words: Estrus synchronization, beef cattle, Synchro-Mate B, prostaglandin F2α

Effect of vitamin E and selenium supplementation on some immune parameters following vaccination against brucellosis in cattle

Twenty-four 7-mo-old beef heifers (Charolais Simmental cross), weighing 213 kg, were used to determine the effect of vitamin E (VitE) and(or) selenium (Se) supplementation on the humoral response to a standard dose of Brucella abortus strain 19 vaccine and on the levels of naturally occurring immunoglobulins (Ig) to several antigens. The treatments were as follows: Group 1, no supplement; Group 2, supplementation with 6 g of elemental Se; Group 3, supplementation with 1,400 IU/d of VitE; and Group 4, Se and VitE supplements combined. There were no significant differences in anti-B. abortus IgG1, IgG2, or IgM antibody levels due to Se, VitE or Se/VitE treatments; the concentrations of IgA antibody were too low to be measured with the ELISA test used. Statistical analysis revealed that the levels of total and IgM natural antibody to Salmonella typhimurium were higher in Group 3. Perhaps VitE supplementation given in conjunction with B. abortus vaccine enhanced the production of antibody to S. typhimurium in several animals whose humoral system had been activated by previous exposure to this organism.

Validation of a non-invasive device to measure intracavernous pressure as an index of penile rigidity

Many authors agree with the importance of developing devices to measure penile rigidity. The devices that have been developed over recent years have defined penile rigidity in terms of stiffness. Penile stiffness, however, is believed to result from an increase in intracavernous pressure. The device presented here was therefore designed to estimate intracavernous pressure, rather than penile stiffness, as an index of penile rigidity. Validation of the penile cuff device was achieved by simultaneously recording penile cuff pressure and intracavernous pressure on patients undergoing artificial erections. The results showed a linear relationship and highly positive correlation coefficients between the 2 measures. The results demonstrate that the penile cuff may be used to estimate intracavernous pressure as an index of penile rigidity. The findings are discussed in terms of the possible applications of the cuff as a clinical tool to measure both penile tumescence and penile rigidity.

Type of dietary lipids exerts a major influence on the secretory activity of the exocrine pancreas: medium-term studies

A possible influence of the type of dietary lipids on the pancreas exocrine function was tested on rats. For this purpose, four groups of rats were fed on different diets comprising 5% of different types of lipids: fish oil, evening primose oil, hydrogenated beef tallow, and a mixture of fish oil and evening primose oil. After a 6 week feeding period, the secretory activity of the pancreas was measured. Under resting conditions, rats fed hydrogenated beef tallow release different proportions of amylase, lipase, and serine proteases as compared to rats fed unsaturated lipids. In stimulated conditions, there was no significant difference in the relative proportions of enzymes secreted by the pancreas among the different groups of rats but the secretory response to cerulein stimulation from rats fed saturated lipids was increased by more than 40%. These results demonstrate that the type of dietary lipids exerts a major influence on the secretory activity of the pancreas.

Influence of steroids on the exocrine pancreas: presence of laminated bodies in the acinar lumen following castration and adrenalectomy

The influences of combined adrenalectomy and castration and of a replacement therapy with estradiol and glucocorticoids were examined in the rat pancreas. At the light microscope level, the surgical treatment changed the overall shape of the acini and caused widening of intralobular and interlobular spaces as well as partial depletion of zymogen granules. A significant reduction of the acinar lumen size was observed in castrated-adrenalectomized (CasX-AdreX) animals. This could be reversed by a replacement therapy with glucocorticoids. Moreover, triamcinolone even caused a significant lumen enlargement as compared to sham-operated animals. Such an enlargement was not observed with dexamethasone. Both these glucocorticoids caused an increase in zymogen granule content of the acinar cell. At the ultrastructural level, hitherto undescribed type of precipitates was observed in the acinar lumen of CasX-AdreX rats. Precipitates that exhibited a laminated aspect were identified as luminal laminated bodies. The latter could have some interest from the etiological point of view of certain pancreatic diseases, such as cystic fibrosis and pancreatitis. Replacement therapy with estradiol did not affect the frequency of these precipitates, but glucocorticoid had a significantly inhibitory effect. From our observation, it is clear that some steroid exert a profound influence on the acinar cell and that a replacement therapy with glucocorticoids or estradiol do not totally restore the normal aspect of the pancreas acinar tissue. It suggests that some unknown factors from adrenals or testis are still required in addition to glucocorticoids and estrogens for the maintenance of the structural integrity of the gland.

Bulbocavernosus reflex: its validity as a diagnostic test of neurogenic impotence

Measurement of the bulbocavernosus reflex is used widely to diagnose underlying neurogenic disorders in erectile dysfunction. A prolonged bulbocavernosus reflex latency (that is more than 45 msec.) or the absence of a reflex response of the bulbocavernosus muscles during electrical stimulation of the glans penis is considered a sign of neurological disease. Since only a few experimental studies have been performed in man related to the neurophysiological mechanism of erection, and since the results of these studies were contradictory the diagnostic validity of bulbocavernosus reflex measurement was reassessed. We determine whether men with abnormal bulbocavernosus reflex latencies have concomitant organic erectile dysfunction as confirmed by nocturnal plethysmographic and rigidity recordings. The bulbocavernosus reflex was recorded in 90 subjects and 19 had abnormal bulbocavernosus reflex latencies. Of these 19 subjects 8 had normal nocturnal erections, thus, confirming a diagnosis of psychogenic impotence. These results cast some doubts on the validity of bulbocavernosus reflex measurement for the diagnosis of organic erectile dysfunction due to a neurological disease.

Reflex contractions of the ischiocavernosus muscles following electrical and pressure stimulations

In a previous study, we have demonstrated that voluntary muscular contractions of the ischiocavernosus muscles (IC) correlate with changes in intracavernous pressure and, therefore, with penile rigidity. The purpose of our current research project was to verify whether reflex contractions of the IC muscles exist and under what conditions. Our results confirm that reflex contractions occur following electrical or pressure stimulations. Following electrical stimulation, the mean latency of the reflex contractions was 67.5 ms for the IC muscles and 34.9 ms for the bulbocavernosus muscles (BC). Following pressure stimulation, the pressure threshold necessary to elicit contractions of the IC muscles varied between 18.2 mm. Hg and 34.8 mm. Hg. We also observed that pressure variation (increase and decrease) rather than a relatively constant pressure is necessary to produce this reflex response. We interpret these results to suggest that pressure stimulations on the glans penis during coitus contribute to the erectile process and, specifically, to the increase in intracavernous pressure. These findings suggest the possibility of a physiotherapeutic management for patients with penile rigidity problems.

Relationship between perineal muscle contractions, penile tumescence, and penile rigidity during nocturnal erections

The mechanism of penile erection and erectile dysfunction is still unclear and widely debated. The role of the perineal muscles in the erectile process, especially in changes in intracavernous pressure, is increasingly being studied on the hypothesis that perineal muscular contractions are essential to full penile rigidity. In a previous investigation we studied the correlation between voluntary perineal muscle contractions and intracavernous pressure during artificially induced erections. The purpose of the current study was to examine whether under normal conditions of nocturnal erection a similar relationship exists between the electromyographic activities of perineal muscles and changes in penile rigidity. Nocturnal penile recordings were made of seven volunteers with psychogenic erectile dysfunctions. During nocturnal erections simultaneous computerized recordings were made of penile tumescence, penile rigidity, and electromyographic activities of perineal muscles. The peaks for the three variables were reached simultaneously. The results of this study suggest the existence of two different physiologic phases: a vascular phase and a muscular phase. Furthermore, in cases of dysfunctions, specific diagnostic assessment and therapeutic management will be required for both penile tumescence and penile rigidity.

Effect of intraruminally administered, selenium soluble-glass boluses on selenium status in cows and their calves

Intraruminal selenium soluble-glass boluses were administered by balling gun to 65 of 125 crossbred beef cows (Shorthorn X Charolais) during the last trimester of pregnancy. Elevated (P less than .01) whole blood glutathione peroxidase (GSH-Px) concentrations were observed monthly for the next 10 mo following initiation of treatment, reaching the maximum magnitude (263 vs 41) at the fourth month. Monthly milk samples showed elevated selenium concentrations (P less than .01, April through August; P less than .05 through September). Intraruminal, selenium soluble-glass bolus administration to gestating cows was highly effective in raising the selenium status of their progeny. Although the control calves were in low-selenium status, no acute cases of nutritional muscular dystrophy were observed during this experiment.

The Successful Management of Leptospirosa hardjo Infection in a Beef Herd in Northern Ontario

Abortion, premature calving, hemolytic anemia and fatal hematuria were associated with high levels (titer > 10(-4)) of antibody to Leptospira interrogans serovar hardjo and with isolation of hardjo in a herd of 265 beef cattle in the Great Clay Belt of northern Ontario. This herd was bred by artificial insemination, after heat detection by vasectomized bulls. The antibody prevalence rate in the herd was 54 to 60% over a five year period. The rate tended to reach 100% by age three years and to be below 5% in yearlings, which were raised in isolation from older cattle. Hardjo was isolated from the urine of a cow that aborted in the eighth month of pregnancy, and from kidneys of yearling steers which had been exposed to an older cow. Maternal antibody levels in calves paralleled those in their dams, protecting calves while they were being naturally exposed to infection, thus contributing to the achievement of balance between host and parasite. A controlled vaccination trial was conducted in 50 initially seronegative yearling steers and heifers. Serological response to vaccine was limited to a maximum agglutinin titer of 10(-2) in 8% of vaccinated cattle. Vaccination reduced the infection rate from 86% in the controls to 46% in the treated group, indirectly reducing the number of calves for which colostral antibody against hardjo would be available. A vaccination program was not implemented in the herd. Hardjo infection appeared to die out over a period of six years following the initial five year study period, with antibody prevalence falling from 60% to 0.7% and reactors persisting only in two eight year old cows. Decline in infection was coincident with changes in management which protected heifers from exposure to infection until their third pregnancy, and which probably lowered the reservoir of infection by increased culling from older age classes.

Induction of Parturition in the Cow using Cloprostenol and Dexamethasone in Combination

Two experiments were designed to test the hypothesis that induction of parturition in the cow would be more predictable with the simultaneous use of a combination of cloprostenol and dexamethasone than with either hormone used alone.In experiment I all 19 beef cows treated with 500 mug cloprostenol and 25 mg dexamethasone in combination calved within 72 hours whereas dexamethasone (n = 19) or cloprostenol (n = 16) treatments alone each resulted in two induction failures. In those cows successfully induced, the mean interval from treatment to birth was 34.6 +/- 1.4 hours for the cloprostenol plus dexamethasone group, 43.3 +/- 2.4 hours for the dexamethasone group and 44.9 +/- 2.1 hours for the cloprostenol group. Control cows (n = 15) did not calve during the first 72 hours after treatment with saline. The incidence of retained placenta ranged from 19 to 53% in induced groups whereas placentae were not retained by cows in the control group.In experiment II all 30 beef cows in the cloprostenol plus dexamethasone group calved within the 72 hour limit, with a mean interval of 39.1 +/- 1.0 hours. Twenty-six of 31 cows calved within 72 hours with a mean interval of 51.9 +/- 3.4 hours after a single injection of cloprostenol and 29 of 33 cows calved within 72 hours with a mean interval of 52.6 +/- 3.3 hours after two injections of cloprostenol, 12 hours apart. Five of 34 control cows calved within 72 hours of time of treatment. The incidence of retained placenta was again high in induced cows. Results indicate that the simultaneous administration of cloprostenol and dexamethasone does constitute a safe, reliable and effective method of inducing parturition in the cow.

Intraruminal selenium pellet for control of nutritional muscular dystrophy in cattle

Administration of an intraruminal selenium pellet to a herd of pregnant crossbred cows was evaluated for controlling nutritional muscular dystrophy in an area of northern Ontario with numerous losses of calves. Cows were winter-fed grass silage. Each spring cows and calves went to pasture. A single dose of intraruminal selenium pellet was given to 80 cows during last 3 mo of pregnancy the 1st yr only while the remaining 80 were controls. During 3 consecutive years, efficacy of intraruminal selenium pellet was evaluated by selenium status of recipient cows and their offspring as well by the incidence of nutritional muscular dystrophy. Selenium in plasma, as well as glutathione peroxidase in whole blood, in the cows administered intraruminal selenium pellet, were higher than in the deficient controls. Ten months after intraruminal selenium pellet treatment, selenium in tissues was higher in treated than in untreated cows but within normal ranges. Before cows were turned out to pasture the 1st yr, milk selenium of intraruminal selenium pellet cows were higher than controls. This technique of selenium dosing was effective in raising the selenium status of the progeny. There was no evidence of nutritional muscular dystrophy in calves from selenium-dosed cows, while 15 calves born of the untreated cows showed clinical symptoms of nutritional muscular dystrophy.

[Early and late outcome after aortocoronary bypass: experience in 500 cases]

Between 1971 and 1976, 500 patients underwent aortocoronary bypass surgery. There were 15 operative deaths (3%) and the total frequency of perioperative infarction was 7%. The operative mortality was 7.4% in unstable angina, as compared with 1.1% in stable angina (P less than 0.01). The proportion of grafts patent at 2 weeks was 92% and at 18 months 87.6%. Postoperative follow-up was complete for 99% of the patients. There were 15 late deaths (3%) and the rates of survival at 2 and 4 years were 94.4% and 92.1% respectively. The actuarial curve of survival after surgery was not significantly different from that of the general population. After a mean follow-up of 27 months 73% of the patients were completely free of angina and 19% were markedly improved. The rate of recurrence of angina averaged 10% per year and the annual infarction rate was 0.7%. Fourteen patients (3%) underwent reoperation during the follow-up period. Thus, coronary revascularization surgery offers effective and sustained relief of incapacitating angina and might also improve survival if the operative mortality is low.

You are what you wear

Uniforms and professional roles are frequently tied in the minds of both staff and patient, so it may be advisable to return to greater use of uniforms by hospital professional staffs.