Class I and II Small Heat Shock Proteins Together with HSP101 Protect Protein Translation Factors during Heat Stress

The ubiquitous small heat shock proteins (sHSPs) are well documented to act in vitro as molecular chaperones to prevent the irreversible aggregation of heat-sensitive proteins. However, the in vivo activities of sHSPs remain unclear. To investigate the two most abundant classes of plant cytosolic sHSPs (class I [CI] and class II [CII]), RNA interference (RNAi) and overexpression lines were created in Arabidopsis (Arabidopsis thaliana) and shown to have reduced and enhanced tolerance, respectively, to extreme heat stress. Affinity purification of CI and CII sHSPs from heat-stressed seedlings recovered eukaryotic translation elongation factor (eEF) 1B (α-, β-, and γ-subunits) and eukaryotic translation initiation factor 4A (three isoforms), although the association with CI sHSPs was stronger and additional proteins involved in translation were recovered with CI sHSPs. eEF1B subunits became partially insoluble during heat stress and, in the CI and CII RNAi lines, showed reduced recovery to the soluble cell fraction after heat stress, which was also dependent on HSP101. Furthermore, after heat stress, CI sHSPs showed increased retention in the insoluble fraction in the CII RNAi line and vice versa. Immunolocalization revealed that both CI and CII sHSPs were present in cytosolic foci, some of which colocalized with HSP101 and with eEF1Bγ and eEF1Bβ. Thus, CI and CII sHSPs have both unique and overlapping functions and act either directly or indirectly to protect specific translation factors in cytosolic stress granules.

Genetic variation in the blood of llamas, Llama glama, and alpacas, Llama pacos

Blood samples of llamas and alpacas were typed using haemolytic, electrophoretic and isoelectric focusing procedures to assay polymorphism at 13 loci. Blood group variation was assessed using six antibody specificities produced by allo- and heteroimmunizations. Two red cell factors (A and B) behave as autosomal, codominant alleles at a closed A locus. The other four factors (C, D, E and F) behave as autosomal, dominant traits. Biochemical variation was found for red cell enzymes catalase, phosphogluconate dehydrogenase, glucose phosphate isomerase and for plasma proteins transferrin and post-albumin. No variants were found for haemoglobin, phosphoglucomutase and albumin. Estimates of probability of exclusion were 0.883 for llamas and 0.681 for alpacas, which are adequate initial levels of efficacy for purposes of parentage verification. Preliminary estimate of Nei's genetic distance measure (D) suggests that llamas and alpacas are more likely related as subspecies than as separate species.

Facilitation of Asian elephant (Elephas maximus) standing immobilization and anesthesia with a sling

An Asian elephant (Elephas maximus) required general anesthesia for orthopedic foot surgery. The elephant was unable to lie down, so it was placed in a custom-made sling, administered i.m. etorphine hydrochloride in the standing position, and lowered to lateral recumbency. General anesthesia was maintained with isoflurane administered through an endotracheal tube. After surgery, the isoflurane anesthesia was terminated, with immobilization maintained with additional i.v. etorphine. The elephant was lifted to the vertical position, and the immobilizing effects of etorphine were reversed with naltrexone. The suspension system and hoist for the sling were designed specifically for the elephant house.

Recognizing the phenomenon of readiness: concept analysis and case study

The concept of a phenomenon known as readiness will be analyzed. Using the Wilsonian method, the concept is broken down into a practical definition that allows nurses to assess this phenomenon in clinical practice. Nurses in AIDS care work with a patient population whose optimal health is often dependent on the ability to incorporate major lifestyle changes into their daily lives. Nursing interventions that assist patients to incorporate change must be presented to patients at a time when the patient's ability to succeed is optimal. The ability to recognize readiness in patients is essential for nurses providing AIDS care. This article discusses the concept of readiness, which may be necessary before behavior modification can occur. The phenomenon of readiness has application for various changes in behaviors, including adherence to primary prevention strategies.

Surgical removal of infected phalanges from an Asian elephant (Elephas maximus)

A 40-yr-old female Asian elephant (Elephas maximus) developed cellulitis and became lame in her left front leg. A draining tract behind the lateral nail of her left front foot was discovered. This lesion was treated by aggressive irrigation using a variety of disinfectant solutions. Radiographically, there was degeneration and fragmentation of the distal phalanx of the fifth digit and patterns suggestive of osteomyelitis of the second (middle) phalanx. The fragments of the distal phalanx and the affected portion of the second phalanx were removed surgically. Six months after surgery the incision had healed but a fistulous tract remained on the palmar surface of the foot. The tract extended to the second phalanx, and there was radiographic evidence of osteomyelitis in the second phalanx and the distal portion of the proximal phalanx. The remainder of the second phalanx and the distal portion of the proximal phalanx were surgically removed. Aggressive aftercare allowed complete wound closure by second intention.

Hormonal indicators of pregnancy in llamas and alpacas

OBJECTIVE

To determine concentrations of estrone sulfate in serum, estrone sulfate in urine, relaxin in serum, and progesterone in serum in pregnant llamas and alpacas and to assess the potential of these hormones as pregnancy indicators.

DESIGN

Prospective study.

ANIMALS

19 parous pregnant camelids (8 llamas and 11 alpacas).

PROCEDURE

Estrone sulfate concentrations (in serum and in urine) and progesterone concentrations (in serum) were determined by enzyme immunoassay. Relaxin concentrations (in serum) were measured by radioimmunoassay. Serum and urine samples were collected daily for the first 30 days after breeding and, thereafter, once weekly until parturition.

RESULTS

Estrone sulfate concentrations (in serum and in urine) peaked twice during pregnancy. The first took place 21 days after breeding and the second during the last month of pregnancy. Relaxin concentrations increased at 3 months of gestation to > 20 ng/mL, decreased at 5 months to 5 ng/mL, then increased from 8 months of pregnancy until parturition. Progesterone concentrations were detectable 4 days after breeding and were maintained > 2 ng/mL throughout pregnancy.

CLINICAL IMPLICATIONS

The first increase in estrone sulfate concentration over basal values may indicate early interaction between mother and embryo, whereas the second increase may reflect fetal viability. Use of estrone sulfate concentration to diagnose pregnancy in llamas and alpacas is highly dependent on time of sampling. Relaxin concentration in serum is a superior indicator of pregnancy after the second month in the Ilama and alpaca because its existence is suggestive of interaction between mother and fetus, and concentrations are greater than basal values for a long period of pregnancy. Progesterone is not a direct product of the embryo or fetus and only indirectly confirms a diagnosis of pregnancy.

Serum alpha-tocopherol, vitamin A, and blood selenium concentrations, and glutathione peroxidase activity in llamas fed alfalfa hay

OBJECTIVES

To measure blood selenium concentration and glutathione peroxidase (GSH-Px) activity and serum concentrations of vitamin A and alpha-tocopherol, and to determine the correlation between blood selenium concentration and GSH-Px activity of llamas fed alfalfa hay.

DESIGN

Mean (+/- SD) serum vitamin A and alpha-tocopherol concentrations, blood selenium concentrations, and GSH-Px activity were calculated from 9 sequential blood samples collected from llamas fed a diet of alfalfa hay.

ANIMALS

15 clinically normal llamas (8 males, 7 females) between 10 and 14 months of age.

PROCEDURE

Llamas were fed alfalfa hay for 40 days prior to sample collection and then for the duration of the trial. Vitamin E, selenium, and concentrations of vitamin A precursors were measured in the hay. Blood samples were collected on days 0, 6, 7, 9, 13, 20, 42, 64, and 98. Blood selenium concentrations were measured, using an inductively coupled spectrometric method. Blood GSH-Px activity was measured with a spectrophotometer, using a modification of a previously described assay. Isocratic high-performance liquid chromatography with florescent detection was used to determine serum alpha-tocopherol and vitamin A concentrations.

RESULTS

The alfalfa hay contained 0.2 mg/kg of selenium, 5 mg/kg of vitamin E, and 0.9 mg/kg of vitamin A precursors. The mean (+/- SD) blood selenium concentration and GSH-Px activity were 0.179 +/- 0.032 micrograms/ml and 25.76 +/- 6.53 mU NADPH oxidized/min/mg of Hb, respectively, with a correlation coefficient of 0.97. The mean (+/- SD) concentrations for serum alpha-tocopherol and vitamin A were 128.1 +/- 41.7 and 74.8 +/- 5.5 micrograms/dl, respectively.

CONCLUSIONS

Blood selenium concentrations in llamas are highly correlated to GSH-Px activity. Blood selenium concentrations in llamas appear to be similar to other domestic ruminants and diets containing 0.2 mg/kg of selenium appear to provide an adequate dietary source. The concentrations of vitamin A precursors and vitamin E in the hay were below currently recommended dietary levels for llamas, and alfalfa hay appears to provide an unreliable source of vitamins A and E in this species. Further studies are required to determine optimal dietary concentrations and to substantiate a reference range for these vitamins in llamas.

Development and challenges of wildlife husbandry: concluding remarks

The author summarises the other articles contained in Vol. 15 (1), March 1996, of the Scientific and Technical Review of the Office International des Epizooties. Articles cover the following subjects: care and management of reptiles, amphibians, birds, ratites, carnivores, suids, camelids and cervids; and the health consequences of keeping these species in captivity. Housing, feeding and management are often less than perfect, and the special requirements of particular animals may not be understood. Constant vigilance is necessary to avert diseases. There is scope for for further research on the diseases of specific animals, and on the validity in wildlife of diagnostic tests developed for domestic animals.

Husbandry and diseases of camelids

Camels of the Old World and the New World have provided the indigenous human population with meat, milk, fibre and fuel, also serving as beasts of burden to carry loads, for millennia. With the advent of motorized vehicles, the use of camelids became obsolete except in isolated situations. The numbers of camelids diminished dramatically. A reversal of that trend is now occurring, with a recognition that these animals still function in their respective environments better than any other species of livestock. Camelids have always been popular animals in zoos. Camels and two of the South American camelids are domestic animals which adapt well to contained management. They have a unique ability to obtain nourishment from harsh forages. Their reproductive physiology is different from that of any other livestock species.

An overview of wildlife husbandry and diseases in captivity

Wild animals have been maintained in close association with humans since the dawn of human creation. Tremendous advances have been made in the care and management of wild animals, but some areas still need improvement. It is therefore important to identify the husbandry factors which minimize or maximize the occurrence of infectious or parasitic diseases. A universal influence on all animals is stress, and it is critical that managers, administrators, veterinarians and regulatory officials understand the basic concepts and take steps to minimize stress in captive wild animal husbandry. To study the epizootiology of infectious and parasitic diseases, one must also understand the nidus concept of disease, which essentially holds that all animals evolved with a group of infectious and parasitic agents that have generally lived in harmony with their host. Now, with the movement of animals and agents throughout the world, explosive outbreaks of disease may occur, unless the responsible persons know which species may be closely associated, and follow appropriate husbandry practices and appropriate quarantine procedures.

Husbandry and diseases of captive wild swine and peccaries

Wild swine and peccaries are popular exhibit animals throughout the world, but the anatomy and behaviour of these species make it difficult to construct housing and enclosures which are suitable from an aesthetic and sanitation standpoint. African wild suids may serve as reservoir hosts for African swine fever. Likewise, African suids are susceptible to most of the viral, bacterial and parasitic diseases of domestic swine. Wild swine and peccaries are not an important source of zoonotic diseases. Despite having similar anatomy, peccaries differ from wild European and African suids in their susceptibility to diseases (e.g. peccaries are not affected by African swine fever.

Resumption of ovarian follicular activity and uterine involution in the postpartum llama

Resumption of ovarian follicle activity and uterine involution was studied in the post partum llama. Thirty-nine adult multiparous llamas were monitored by ultrasonography and analysis of urinary estrone sulfate for 30 d post partum at the La Raya Research Station in Peru. Uterine involution was measured in terms of reduction of length and diameter of both uterine horns. Correlation analysis was used to relate follicle size and concentration of estrone sulfate. Analysis of variance was used to determine rate of uterine involution relative to days post partum. The left ovary was palpated and scanned by Day 3 post partum in contrast to Day 1 post partum for the right ovary. Ovulatory size follicles, 7 mm, were present by Day 7.4 post partum (range 4 to 14 d). Follicle growth was detected as early as Day 4 post partum with follicle size being less during the first follicle wave (7.4 mm) compared to the second and third waves (9 to 10 mm). Concentrations of urinary estrone sulfate were positively related (P<0.05) to follicular size, but to a lesser degree during the first follicle wave (19.4 ng/mg Cr), than to the second wave (25.4 ng/mg Cr). Uterine involution, as measured by diameter, was different between the left (gravid) and right (nongravid) uterine horn (P<0.05) for the 17 d post partum, and was also different from that of control females for the 21 d post partum. Uterine involution was complete in 63% of females by Day 21 post partum.

Comparison of methods for measuring serum immunoglobulin concentrations in neonatal llamas

Blood samples were collected from 25 neonatal llamas before suckling and at 24, 48, 72, 96, and 120 hours of age. Nine tests for determining serum immunoglobulin concentrations were performed on each sample, to compare within-test variation and correlations among tests. The single radial immunodiffusion assay was the only quantitative test and therefore, was judged the most accurate test for determining the status of passive transfer of immunoglobulins in neonatal llamas. Measurement of globulin concentration and total serum protein, and the sodium sulfite precipitation test were accurate when compared with radial immunodiffusion assay results. Measurements of total serum solids by use of a hand-held refractometer and of albumin concentration, and the zinc sulfate turbidity and 10% glutaraldehyde coagulation tests were not reliable for detecting failure of passive transfer in neonatal llamas. Ten of 25 neonatal llamas were suspected of having partial to complete failure of passive transfer on the basis of results of the single radial immunodiffusion assay. The other tests used in this study identified between 4 and 7 of these 10 llamas at 24 hours of age. On follow-up communication 4 to 6 months after the last-blood sample collection, none of the 25 llamas were identified as having been clinically ill or had received any treatments for illness associated with low immunoglobulin concentrations.

The postpartum llama: fertility after parturition

Fertility was evaluated at various times during the postpartum period in the llama. Fifty-six parous female llamas chosen at random were bred at 10, 20, and 30 days postpartum with six intact males. Half of the females copulated only once and the other half twice within an interval of 24 h. Ovarian activity was monitored by ultrasonography and analysis of urinary estrone sulfate and pregnanediol glucuronide (PdG). At the time of copulation, all females had developed ovulatory-size follicles. Ovulation was confirmed by the presence of a CL at 8 days after breeding and PdG concentrations > 1 ng/mg creatinine (Cr). Conception was defined as PdG concentrations > 1 ng/mg Cr at 15 days after breeding and the presence of a CL. Pregnancy was defined as the presence of a CL, PdG concentrations > 1 ng/mg Cr and an embryonic vesicle 20 days postbreeding. There were no significant differences in the proportion of females ovulating after breeding at different times postpartum; however, conception and pregnancy were significantly greater in females bred at Day 20 or 30. Ovarian follicle size was significantly larger at 30 days (9.1 mm) than at 10 and 20 days (7.9 and 8.8 mm, respectively) of breeding, with no difference in concentrations of estrone sulfate. The proportion of females conceiving as a result of breeding at 10 days postpartum (6 out of 10) was significantly less than for females bred at 20 (13 out of 15) or 30 days (16 out of 18).(ABSTRACT TRUNCATED AT 250 WORDS)

Body contouring surgery

This article discusses nursing care of patients having body contouring surgery of the abdomen, thighs, and breasts. Specific surgery reviewed includes lipoplasty, abdominoplasty, thigh lift, breast reduction, and breast augmentation.

Hyperthermia in llamas and alpacas

Hyperthermia is a threat to heavily fibered llamas and alpacas in hot humid climates. Hyperthermia produces severe metabolic alterations that cause organ damage that may be nonresponsive to simply lowering the body temperature to within normal limits. Early detection and aggressive therapy are crucial to preventing death or permanent organ damage.

Health care of the geriatric llama and alpaca

Older llamas and alpacas are likely to be retained in a herd, rather than being culled as would be done in other livestock operations. Aging takes its toll on all organ systems, but dental and skeletal problems tend to be accentuated. Preventative practices may slow the development of problems.

Ovarian and endocrine patterns associated with reproductive abnormalities in llamas and alpacas

Ovarian activity was characterized in llamas and alpacas with hypoplastic ovaries, cystic follicles, or ovulatory failure. Ovarian follicular activity was determined by transrectal ultrasonography and urinary estrone sulfate analysis; pituitary response was determined by measurement of plasma concentrations of luteinizing hormone. Llamas and alpacas with hypoplastic ovaries had follicles < or = 6 mm (minimal ovulatory size, 7 mm). Cystic follicles, defined as > 12 mm, were maintained for a mean of 9 days. Follicular activity in the ovary contralateral to the cystic follicle tended to be suppressed while the cystic follicle was present. Ovarian response to copulation in females with cystic follicles varied according to the stage of the cystic follicle. Animals with ovulatory failure did not release adequate luteinizing hormone after copulation, even though they had mature and normal follicles (8 to 12 mm). The cystic follicle syndrome appears to be temporary, whereas the syndromes involving hypoplastic ovaries and ovulatory failure may permanently affect fertility.

The forehead lift

Clients desiring to decrease a tired, worried appearance may be candidates for a forehead lift. Often, clients inquire about a facelift or blepharoplasty when a forehead lift would be the procedure most likely to produce the results that the client desires. Providers caring for clients undergoing a forehead lift must use a holistic approach and assess all aspects of the client to ensure a positive health care experience.

Chemotherapy and treatment scheduling: the Johns Hopkins Oncology Center Outpatient Department

The Chemotherapy and Treatment Scheduling System provides integrated appointment and facility scheduling for very complex procedures. It is fully integrated with other scheduling systems at The Johns Hopkins Oncology Center and is supported by the Oncology Clinical Information System (OCIS). It provides a combined visual and textual environment for the scheduling of events that have multiple dimensions and dependencies on other scheduled events. It is also fully integrated with other clinical decision support and ancillary systems within OCIS. The system has resulted in better patient flow through the ambulatory care areas of the Center. Implementing the system required changes in behavior among physicians, staff, and patients. This system provides a working example of building a sophisticated rule-based scheduling system using a relatively simple paradigm. It also is an example of what can be achieved when there is total integration between the operational and clinical components of patient care automation.

Effect of flunixin meglumine and cimetidine hydrochloride on the pH in the third compartment of the stomach of llamas

A Tigon fistula was surgically implanted into the third compartment of the stomach of 5 llamas to allow measurement of gastric pH. The llamas were allotted into 2 groups and given flunixin meglumine or cimetidine hydrochloride for 3 days. After 4 days without treatment, the drugs given to each group were reversed. Measurements of gastric pH were taken every 30 minutes for 6 hours, using an automated pH meter. The pH measurements after drug administration were compared with measurements obtained during a pretreatment control period. Gastric pH during pretreatment control periods had a mean of 1.43 +/- 0.063 (mean +/- SE). The use of flunixin did not significantly decrease gastric pH, compared with pretreatment controls. Gastric pH was significantly higher within the first 30 minutes after administering cimetidine, compared with pretreatment controls, but this difference disappeared at all later times.

Coccidioidomycosis in llamas in the United States: 19 cases (1981-1989)

Coccidioidomycosis was diagnosed in 19 llamas (California, 9; Arizona, 10). All but 1 had a disseminated form, with pyogranulomas principally in the lungs, thoracic lymph nodes, liver, and kidneys. However, lesions were found in tissue specimens from most organ systems. Antemortem diagnosis was based on radiographic evaluation of the lungs, serologic testing, or presence of spherules of Coccidioides immitis in pyogranuloma aspirates, skin scrapings, or biopsy specimens. Animals residing in endemic areas of southwestern United States are at risk, and llamas appear to be highly susceptible to developing disseminated forms of coccidioidomycosis.

Pituitary response to repeated copulation and/or gonadotropin-releasing hormone administration in llamas and alpacas

The response of the pituitary gland and ovary to repeated copulatory periods and/or gonadotropin-releasing hormone (GnRH, i.v. 1000 micrograms) administration was determined in llamas and alpacas. Eighty adult females (41 llamas and 39 alpacas with ovulatory follicles) were divided into three general groups for each species as follows: copulation (one or two copulations at either 6- or 24-h intervals) GnRH treatment (one or two treatments at either 6- or 24-h intervals), and combined treatment (copulation followed by GnRH treatment, or GnRH followed by copulation at either 6- or 24-h intervals). An additional control (nontreated) group was composed of 4 llamas and 4 alpacas. The first copulation or treatment with GnRH provoked LH release sufficient to cause ovulation in most of the females (alpacas, 89%; llamas, 92%); urinary pregnanediol glucuronide values, used to verify ovulation, were significantly elevated 48 h after copulation and/or GnRH treatment. A second stimulus, copulation or GnRH, provoked no LH response with concentrations similar to those in nontreated controls and in females not ovulating. Llamas and alpacas thus were refractory to a second copulatory or GnRH stimulus with regard to LH release for up to 24 h following an initial ovulatory release of LH.

The effect of ovarian follicle size on pituitary and ovarian responses to copulation in domesticated South American camelids

The relation of ovarian follicle size to pituitary and ovarian responses to copulation was studied in domesticated South American camelids (llamas and alpacas). Females from each species were divided into four groups according to follicle size: small (4-5 mm), growing (6-7 mm), mature (8-12 mm), and regressing (10-7 mm). The pituitary response to copulation was determined by analysis of LH and FSH concentrations in plasma. The ovarian response to copulation was determined by ultrasonography and by analysis of estrone sulfate (follicular status) and pregnanediol glucuronide (luteal status) concentrations in urine. Females with small follicles (4-5 mm) released less LH after copulation than did those with larger follicles, and ovulation was not induced. Females with growing and mature follicles (7-12 mm) released LH in response to copulation that was adequate to induce ovulation and to initiate normal luteal activity. While copulation-induced LH release in females with regressing follicles was similar to that released in animals with growing and mature follicles, regressing follicles were luteinized instead of being ovulated. The luteal structure formed as a result of luteinization of follicles had a short life span, i.e., 5.1 days. Copulation-induced LH release was significantly higher in llamas vs. alpacas in animals with mature or regressing follicles, but not in those with small or growing follicles. Urinary estrone sulfate and pregnanediol glucuronide concentrations correlated positively with the presence of follicles and corpora lutea, respectively.

Urinary steroids in the periparturient and postpartum periods through early pregnancy in llamas

Urinary steroids were determined daily in the periparturient and postpartum periods, including early pregnancy, in the female llama. Estrone sulfate (E(1)S) and pregnanediol glucuronide (PdG) concentrations were determined by enzyme immunoassay with values corrected for variations in urine concentration by creatinine. Estrone sulfate concentrations, elevated during the last 20 days of gestation through 12 hours before parturition, were declining at the time of delivery. Pregnanediol glucuronide concentrations followed a pattern similar to that of estrone sulfate except that values began to decrease 5 days before parturition. Values for both E(1)S and PdG were basal by 24 hours after delivery. The first significant elevation of estrone sulfate, indicative of initial follicle development, was observed 5 days after parturition. Pregnanediol glucuronide concentrations were low during the postpartum period until 4 to 5 days after breeding. The PdG values rose steadily following copulatory-induced ovulation, which was initiated at about 2 weeks postpartum; values continued to increase through the first 15 days of pregnancy.

Radiographic findings in young llamas with forelimb valgus deformities: 28 cases (1980-1988)

Twenty-eight llamas with a mean age of 6.2 months had bilateral forelimb valgus deformities. The range of valgus deformity, as measured on a craniocaudal radiographic view, was 6 to 25 degrees, with a similar degree of deviation in each limb. Morphologic abnormalities in the distal portion of the radius and ulna were more prominent in the ulna and included metaphyseal and epiphyseal flaring, physeal ectasia, and metaphyseal sclerosis. Distal radial epiphyseal ectasia, and metaphyseal sclerosis. Distal radial epiphyseal wedging was believed to be secondary to the ulnar deformity. Radial bowing with lateral and caudal concavity and unequal cortical thickness was evident. Epiphyseal and metaphyseal flaring with physeal ectasia was noticed in the distal portion of the third and fourth metacarpal bones. Carpal bones were unaffected.

Ovarian follicular dynamics in the llama

Ovarian follicular dynamics were determined in adult llamas by ultrasonography and palpation per rectum and hormone analysis (estradiol-17 beta and estrogen conjugates) of plasma and urine. The relationship of gonadotropin secretion to follicular development was determined by the analysis of plasma FSH and LH concentrations. Progesterone analysis of plasma was used to verify or deny the presence of CL. Final follicular development (from 3 mm) averaged 4.8 days, while the duration of the mature follicle (8-12 mm) averaged 5.0 days; regression of the follicle occurred over about 4 days. The development of a subsequent dominant follicle usually began within 2-3 days after onset of regression of the dominant follicle. While several follicles were present at the time of the demise of the dominant follicle, only one follicle continued to develop. The interval between ovarian follicle waves averaged 11.1 days. Dominant follicle activity alternated between ovaries in 81% of the cycles. The occurrence of dominant follicles was evenly distributed between ovaries. While plasma estradiol and estrogen conjugate concentrations were positively associated (p less than 0.05) with follicular activity, urinary estrogen conjugate concentrations best reflected ovarian follicular dynamics (p less than 0.001). Daily FSH concentrations in plasma were not correlated with follicular activity. LH concentrations in plasma were low in all animals throughout the study, indicating estrogen from developing ovarian follicles does not induce the release of LH. Progesterone values were low during the study, indicating that the llama does not spontaneously ovulate, at least under the conditions of this study. In summary, llamas have overlapping ovarian follicle waves that occur at about 11-day intervals.(ABSTRACT TRUNCATED AT 250 WORDS)

Fetal membranes and ancillary structures of llamas (Lama glama)

The placenta of llamas is epitheliochorial, with patchy areas of dense folded papillation serving as the placentome. The amnion of the full-term placenta is closely adhered to either the allantois or the chorion and remains with these structures at the time of parturition. Llamas and alpacas, like dromedaries, have an extra fetal membrane that is derived from the epidermis of the fetus. In association with the watery amniotic fluid of llamas, the epidermal membrane is slippery, facilitating delivery of the fetus.

Chlamydiosis in captive raptors

Chlamydia psittaci was isolated from four red-tailed hawks (Buteo jamaicensis) that died suddenly and from seven birds that survived at a raptor rehabilitation center in California in 1983. One hundred captive raptors representing 14 species in five families were subsequently tested serologically and by direct cloacal culture. C. psittaci was isolated from seven clinically normal birds. Forty-four percent of the raptors were considered positive using an enzyme-linked immunosorbent assay (ELISA), and 19% were suspects. The ELISA was repeated on 54 raptors in 1986. Forty-one percent of the birds were considered positive, and 35% were suspect, indicating that C. psittaci is endemic in the population.

Endocrine responses in the llama to copulation

Nine adult female llamas were used to determine the time course for secretion of luteinizing hormone (LH) and estradiol-17beta (E(2)) following a single copulation (average 18 min), and progesterone (P(4)) during the development of the subsequent luteal phase. Heparinized blood samples were obtained through an indwelling jugular cannula at 15-min intervals for up to 24 h following copulation and then once daily for up to 10 d. Luteinizing hormone, assayed by radioimmunoassay (RIA) using a monoclonal antibody 518B7 against the beta subunit of bovine LH, was determined at 15 min intervals for 24 h following copulation. Estradiol-17beta was determined by RIA at 4-h intervals following copulation, then daily, while P(4) values were determined daily by enzyme immunoassay. A significant increase in LH concentration was observed by 15 min after the onset of copulation, with the peak of the preovulatory surge of LH occurring at 2 h; values were basal by 7 h after copulation. Estradiol-17beta values, unchanged through 18 h after copulation, tended to decline at 22 h (24 h, P<0.10) and were significantly lower than 18 h values by 48 h (P<0.05) after copulation. The first significant P(4) increase occurred at 3 d after copulation, with values increasing through 10 d. The LH surge observed subsequent to copulation is consonant with the llama being an induced ovulator.

Quality assurance: definition and importance

Quality assurance is an essential part of health care and nursing. While many nurses are familiar with the words "quality assurance," most are not directly involved in the process. Because of increased requirements for licensure and accreditation, and an increased desire for cost-containment, more nurses will become active participants in quality assurance programs. Some institutions are making participation in quality assurance part of the "clinical ladder/advancement" process.

Reference ranges for hematologic and serum biochemical values in llamas (Lama glama)

Hematologic and serum biochemical values were determined in 174 llamas of all age groups and both sexes from ranches in California and Nevada. Compared with hematologic values for horses and cattle, llama erythrocytes were more numerous (10.1 to 17.3 x 10(6)/microliters), but the PCV was lower (25 to 45%) because the smaller elliptical cells pack tighter. The mean corpuscular volume was half that of horses and cattle (22 to 29.5 fl). The mean corpuscular hemoglobin concentration was higher (38.9 to 46.2 g/dl), and the mean corpuscular hemoglobin slightly lower (9.6 to 12.6 pg). Most serum biochemical values were similar to those of cattle and horses, with the exception of triiodothyronine (48 to 468 ng/dl) and thyroxin (9.8 to 30 micrograms/dl), which are up to 10 times higher than values for other domestic species.

Diagnosis of inhalant allergy in a chimpanzee using "in vivo" and "in vitro" tests

A 25 year old, 70 kg female chimpanzee had a 12 year history of intermittent signs of upper respiratory tract allergic disease. In June 1987, she was given Terfenadinea, 60 mg b.i.d., with excellent resolution of symptoms. During her annual physical examination, while maintained under ketamine anesthesia, the chimp was skin tested intradermally for respiratory allergies prevalent in the Sacramento area, and blood was drawn for "in vitro" evaluation. Strong positive skin reactions were obtained against grass, weed and tree antigens mixes, with little reaction to mold and mite allergens. Pollen specific IgG4 levels, as measured by fluorescence allergosorbent test (FAST)b, were elevated, and these data are discussed. The serum IgE results corresponded closely with traditional intradermal skin tests, suggesting the application of the human test (FAST)b to the chimpanzee, and potentially other nonhuman primates. The specificity, convenience, absence of risk of serum testing make it an attractive alternative to intradermal skin tests in nonhuman primates.

Immune response of the llama (Lama glama) to tetanus toxoid vaccination

An ELISA was developed to measure serum concentrations of tetanus toxoid-specific immunoglobulins. The titers obtained with this assay were compatible with those obtained by the standard mouse toxin-neutralization test. Serum samples from 123 llamas were analyzed for ELISA titers to tetanus toxoid. Of the 82 vaccinated adults, 75 (91%) had titers greater than or equal to 1:50. The vaccination status and titers of weanlings and juveniles (3 to 12 months old) varied; of the 21 vaccinated, 17 (81%) had titers greater than or equal to 1:50 and 7 of 9 (78%) unvaccinated llamas had titers less than 1:50. The ELISA titers of unvaccinated llamas less than 8 weeks old (crias) were matched with the maternal titers. All crias with titers less than 1:50 had dams with titers greater than or equal to 1:50.

Knemidokoptes mutans (Acari: Knemidocoptidae) in a great-horned owl (Bubo virginianus)

A routine examination of a captive juvenile great-horned owl (Bubo virginianus) revealed bilateral proliferative papillary hyperkeratosis on the feet. Microscopic examination of skin scrapings produced numerous mites identified as Knemidokoptes mutans. This is the first record of this parasite in a great-horned owl. A single dose of ivermectin (200 micrograms/kg) was effective in treatment of this infection.

Earthworms near leprosy patients' homes are negative for acid-fast bacilli by fite stain, providing no link between leprous armadillos (Dasypus novemcinctus) and human leprosy

Enzootic leprosy has been recognized in armadillos in Louisiana since 1975. Contact with armadillos is being assessed as a risk factor for leprosy in three white women, lifelong residents of separate rural areas in northern Louisiana, which is a region without endemic leprosy. None has had any known exposure to human leprosy. Each was aware of armadillos (Dasypus novemcinctus) near or under her home for decades. In considering Possible environmental sources forMycobacterium leprae, we observed that all three had earthworm growth areas for fishing bait where soil was kept moist near their homes. The worms attracted armadillos. Since armadillos subsist on worms, grubs, and insects and because of the common feature of a "worm farm" near each home, we reasoned that earthworms might containM. leprae and be part of a cycle involving the armadillo and human beings. Worms from each home worm farm were studied. One site was sampled twice at patient 1's home, five sites were sampled once at patient 2's home, and three sites were sampled once at patient 3's home. A sample consisted of 3-4 worms, which were washed, purged, fixed live in 10% formalin, embedded in paraffin, sectioned, and stained with the Fite stain. Each was sagittally sectioned and examined by three independent observers. No acid-fast bacilli or other acid-fast structures were identified. We conclude that it is unlikely that earthworms are an environmental source or reservoir ofM. leprae.

Meeting the psychologic needs of the breast reconstruction patient

With the advent of tissue expansion, breast reconstruction is being performed routinely on an ambulatory surgery basis. Nurses in the ambulatory setting may not realize the great need that this patient has for emotional support.

Evaluation of a combination of xylazine, ketamine, and halothane for anesthesia in llamas

Anesthesia induced by use of a combination of xylazine, ketamine, and halothane, under conditions of spontaneous and mechanically controlled ventilation, was evaluated in 5 llamas positioned in dorsal recumbency. Using chronically implanted catheters, systemic arterial blood pressure, pulmonary arterial pressure, right atrial pressure, heart rate and rhythm, cardiac output, blood pH and gas tensions, body temperature, and respiratory rate were measured before anesthesia induction (baseline), throughout the anesthetic period, and for 1 hour into the recovery period. During anesthesia, llamas undergoing spontaneous ventilation developed hypercapnia and respiratory acidosis. Cardiovascular function was decreased during both types of ventilation. The combination of xylazine, ketamine, and halothane in various doses and 2 ventilation procedures (spontaneous and controlled) provided a reliable method for general anesthesia in llamas, but marked cardiovascular depression developed during anesthesia maintenance with halothane. Spontaneous ventilation resulted in potentially clinically important respiratory acidosis.

Leprosy in six isolated residents of northern Louisiana. Time-clustered cases in an essentially nonendemic area

Northern Louisiana has been essentially free of indigenous leprosy, and now it is not. Six new cases of leprosy have been diagnosed: three in 1986, the other three in 1985, 1983, and 1982, respectively. The patients had been lifelong residents of six scattered rural parishes. Leprosy had never been reported from five of them. No patient had had contact with human leprosy. The patients were white; four were women; the mean +/- SD age at onset was 60.3 +/- 16.4 years (age range, 31 to 80 years); and the mean +/- SD interval to diagnosis was 1.2 +/- 1.4 years. One patient had Hodgkin's disease at the age of 25 years and leprosy at the age of 31 years; another patient had cervical carcinoma. All rural northern Louisiana residents coexist with armadillos (Dasypus novemcinctus), some of which are infected with Mycobacterium leprae, the significance of which is unknown. Hypothetically, exposure to an unknown human case, reactivation of "asymptomatic" leprosy through immunosenescence or immunosuppression, or infection from an environmental source might have occurred. Because the patients lacked contact, travel, residence, and exposure risk factors, the origin of leprosy in the new indigenous cases is noteworthy and is not understood.

Serological survey for rabies antibodies in raptors from California

Fifty-three newly captive birds of prey were tested serologically for neutralizing antibodies against rabies virus, using a fluorescent focus inhibition test. No significant antibody titers were detected with this sensitive and specific technique in any of these birds. This study supports the contention that free-ranging birds of prey are of limited importance in the epidemiology of rabies.