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Objective: To evaluate a regional anesthetic technique for blocking the abdominal midline in horses., Study Design: Anatomical description and prospective, crossover, placebo-controlled, blinded study., Animals: Adult horses; two cadavers, six healthy animals., Methods: In stage 1, 0.5% methylene blue with 0.25% bupivacaine (0.5 mL kg -1 ) was injected using ultrasonography into the internal rectus abdominis sheath (RAS) of two cadavers with a one-point or two-point technique. The dye spread was described after the dissection of the abdomens. In stage 2, each horse was injected with 1 mL kg -1 of 0.9% NaCl (treatment PT) or 0.2% bupivacaine (treatment BT) using a two-point technique. The abdominal midline mechanical nociceptive threshold (MNT) was measured with a 1 mm blunted probe tip and results analyzed with mixed-effect anova. Signs of pelvic limb weakness were recorded., Results: The cadaver dissections showed staining of the ventral branches from the eleventh thoracic (T11) to the second lumbar (L2) nerve with the one-point technique and T9-L2 with the two-point technique. Baseline MNTs were, mean ± standard deviation, 12.6 ± 1.6 N and 12.4 ± 2.4 N in treatments PT and BT, respectively. MNT increased to 18.9 ± 5.8 N (p = 0.010) at 30 minutes, and MNT was between 9.4 ± 2.0 and 15.3 ± 3.4 N from 1 to 8 hours (p > 0.521) in treatment PT. MNTs in treatment BT were 21.1 ± 5.9 to 25.0 ± 0.1 N from 30 minutes to 8 hours (p < 0.001). MNTs after the RAS injections were higher in treatment BT than PT (p = 0.007). No pelvic limb weakness was observed., Conclusions and Clinical Relevance: Antinociception of at least 8 hours without pelvic limb weakness was observed in the abdominal midline in standing horses after the RAS block. Further investigations are necessary to evaluate suitability for ventral celiotomies., (Copyright © 2023 Association of Veterinary Anaesthetists and American College of Veterinary Anesthesia and Analgesia. Published by Elsevier Ltd. All rights reserved.)

Objective: To compare the effects of hydromorphone and butorphanol in horses undergoing arthroscopy and describe the pharmacokinetics of hydromorphone in anesthetized horses., Study Design: Randomized controlled clinical trial., Animals: A total of 40 adult horses admitted for elective arthroscopy., Methods: Horses were randomly assigned to be administered intravenous hydromorphone (0.04 mg kg -1 ; group TxH; n = 19) or butorphanol (0.02 mg kg -1 ; group TxB; n = 21) prior to surgery as part of a standardized anesthetic protocol. Pain was scored by two observers unaware of group assignment using the Equine Utrecht University Scale for Facial Assessment of Pain (EQUUS-FAP) and a composite pain scale (CPS) prior to surgery (baseline), 2 hours (P2) and 4 hours (P4) following recovery from anesthesia. Blood samples were collected at various time points for determination of plasma hydromorphone concentration using liquid chromatography-tandem mass spectrometry. Data were analyzed with a mixed-effect model., Results: Median (range) baseline EQUUS-FAP was 1.2 (0.0-4.0) with no effect of group, time points or interaction. Baseline CPS was similar between groups. Group TxH baseline CPS was 2.5 (0.0-10.0), increased at P2 [4.5 (0-10.0); p = 0.046] and returned to baseline values at P4 [3.0 (0.0-11.0)]. Group TxB baseline CPS was 2.0 (0.0-8.0), increased at P2 [3.5 (0.0-11.0); p = 0.009] and P4 [5.0 (0.0-11.0); p < 0.001]. Pharmacokinetic terminal half-life was 774 ± 82.3 minutes, area under the curve was 1362 ± 314 ng minutes mL -1 , clearance was 30.7 ± 7.23 mL minute -1 kg -1 and volume of distribution at steady state was 884 ± 740 mL kg -1 ., Conclusions: Hydromorphone, but not butorphanol, decreased CPS back to baseline at P4 after recovery., Clinical Relevance: Hydromorphone may provide superior postoperative analgesia compared with butorphanol in horses undergoing arthroscopy., (Copyright © 2022 Association of Veterinary Anaesthetists and American College of Veterinary Anesthesia and Analgesia. Published by Elsevier Ltd. All rights reserved.)

Plastic particle occurrence in the digestive tracts of fishes from a tropical estuarine system in the Gulf of California was investigated. A total of 1095 fish were analysed, representing 15 species. In total 1384 particles of plastic debris were recovered from the gastrointestinal tracts of 552 specimens belonging to 13 species, and all consisted of threads, the majority of which were small microplastics (0.23 to 1.89), followed by large microplastics (2.07 to 4.49), and few mesoplastics (5.4 to 19.86). Plastic particles were identified using ATR-FTIR spectroscopy. The mean frequency of occurrence of plastics in the gastrointestinal tracts of fishes from this system was 50.5%, which is higher than frequencies reported in similar systems in other areas. The polymers identified by ATR-FTIR were polyamide (51.2%), polyethylene (36.6%), polypropylene (7.3%), and polyacrylic (4.9%). These results show the first evidence of plastic contamination for estuarine biota in the Gulf of California., (Copyright © 2021 Elsevier Ltd. All rights reserved.)

Additive manufacturing (AM) is recently imposing as a fast, reliable, and highly flexible solution to process various materials, that range from metals to polymers, to achieve a broad variety of customized end-goods without involving the injection molding process. The employment of biomaterials is of utmost relevance as the environmental footprint of the process and, consequently, of the end-goods is significantly decreased. Additive manufacturing can provide, in particular, an all-in-one platform to fabricate complex-shaped biobased items such as bone implants or biomedical devices, that would be, otherwise, extremely troublesome and costly to achieve. Polyhydroxyalkanoates (PHAs) is an emerging class of biobased and biodegradable polymeric materials achievable by fermentation from bacteria. There are some promising scientific and technical reports on the manufacturing of several commodities in PHAs by additive manufacturing. However, many challenges must still be faced in order to expand further the use of PHAs. In this framework, the present work reviews and classifies the relevant papers focused on the design and development of PHAs for different 3D printing techniques and overviews the most recent applications of this approach., (Copyright © 2021 The Authors. Published by Elsevier B.V. All rights reserved.)

Objective: To compare oxygenation and ventilation in white-tailed deer (Odocoileus virginianus) anesthetized with two treatments with and without oxygen supplementation., Study Design: Randomized, blinded, crossover study., Animals: A total of eight healthy adult white-tailed deer weighing 49-62 kg., Methods: Each deer was anesthetized twice intramuscularly: 1) treatment XK, xylazine (2 mg kg -1 ) and ketamine (6 mg kg -1 ) and 2) treatment XTZ, xylazine (2 mg kg -1 ) and tiletamine-zolazepam (4 mg kg -1 ). With the deer in sternal position, arterial and venous blood was collected before and at 30 minutes during administration of oxygen at 1 L minute -1 through a face mask. PaO 2 and heart rate (HR) were compared using two-way repeated measures anova. pH, PaCO 2 and lactate concentration were analyzed using mixed-effects linear models, p < 0.05., Results: When breathing air, PaO 2 was < 80 mmHg (10.7 kPa) in six and seven deer with XK and XTZ, respectively, and of these, PaO 2 was < 60 mmHg (8.0 kPa) in three and five deer, respectively. With oxygen supplementation, PaO 2 increased to 128 ± 4 and 140 ± 5 mmHg (17.1 ± 0.5 and 18.7 ± 0.7 kPa), mean ± standard error, with XK and XTZ, respectively (p < 0.001). PaO 2 was not significantly different between treatments at either time point. HR decreased during oxygen supplementation in both treatments (p < 0.001). Lactate was significantly lower (p = 0.047) with XTZ than with XK (2.2 ± 0.6 versus 3.5 ± 0.6 mmol L -1 ) and decreased (p < 0.001) with oxygen supplementation (4.1 ± 0.6 versus 1.6 ± 0.6 mmol L -1 ). PaCO 2 increased in XTZ during oxygen breathing., Conclusions and Clinical Relevance: Treatments XK and XTZ resulted in hypoxemia, which responded to oxygen supplementation. Both treatments are suitable for immobilization of white-tailed deer under the study circumstances., (Copyright © 2021 Association of Veterinary Anaesthetists and American College of Veterinary Anesthesia and Analgesia. Published by Elsevier Ltd. All rights reserved.)

Facial nerve paralysis (FNP) has a significant effect on a person's quality of life. In individuals with FNP undergoing facial rehabilitation, methods to analyze the loss of function are useful in diagnosis, treatment and follow up. To propose a protocol with kinematic analysis coupled with sEMG to evaluate the outcomes of FNP, quantifying the excursion degrees of the facial muscles and symmetry of voluntary movements. 10 patients (Group A) were followed by diagnosis until the end of the rehabilitation program. Kinematic analysis of 20 healthy adults (group B) was performed as a starting point to have a normality range and to test intra-subject and inter- intra rater reliability. An optoelectronic system and sEMG wireless electrodes were used. In Group A, a significant improvement in the movement of frontalis muscle (P = 0.0118) after 4-week treatment from the beginning (T0) 9.8 ± 4.5 mm to the end of rehabilitation (T1) 16.3 ± 5.8 mm and orbicularis oris (P = 0.0143) from T0 14.8 ± 5.5 mm to T1 20.3 ± 3.3 mm and, a reduction of % of maximum voluntary contractions (MVC) at T1 for frontalis and orbicularis compared to T0. This protocol provides meaningful data in a simple, reliable and objective way for the functional assessment of patients with PNF., (Copyright © 2020 Elsevier Ltd. All rights reserved.)

Objective: To describe the incidence of postanesthetic signs of colic (PASC) in horses and determine if perianesthetic administration of hydromorphone was associated with an increased risk of PASC., Study Design: Retrospective, cohort study., Animals: A total of 409 horses., Methods: Anesthesia and clinical records of horses admitted for various procedures from July 2018 to September 2019 were reviewed. Signs of colic and interventions were recorded up to 48 hours after anesthesia. A binomial logistic regression model was used to evaluate the association between the type of surgery, administration of hydromorphone, the duration of anesthesia and the incidence of PASC., Results: Overall, 25 (6.1%) horses developed PASC within 48 hours of general anesthesia. Of 60 horses that underwent colic surgery, 16 (26.7%) developed PASC. Of 349 horses that underwent noncolic procedures, nine (2.6%) developed PASC. Thus, the incidence of PASC was higher in horses that underwent colic surgery than in horses that underwent noncolic procedures [odds ratio (OR) = 13.74 (5.73-32.95)]. No effect of hydromorphone on the incidence of PASC was identified [OR = 1.61 (0.71-3.62)]. Longer procedures (>2 hours) were identified as an independent risk factor for PASC [OR = 4.13 (1.52-11.22)]., Conclusions: No association between hydromorphone and an increase in the incidence of PASC was identified. Anesthesia for colic surgery and duration of anesthesia were associated with an increased risk of PASC., Clinical Relevance: Hydromorphone did not increase the incidence of PASC in this population., (Copyright © 2020 Association of Veterinary Anaesthetists and American College of Veterinary Anesthesia and Analgesia. Published by Elsevier Ltd. All rights reserved.)

Background and Purpose: This study aims to determine the best choice of breathing exercises (BE) for patients with chronic obstructive pulmonary disease (COPD) via a network meta-analysis., Methods: We searched randomized controlled trials (RCTs) of adults with COPD investigating any BEs in MEDLINE, Embase, Cochrane Library, and ClinicalTrials.gov databases. The effects of comparative treatment on the St. George Respiratory Questionnaire as the outcome were analysed and ranked according to a surface under the cumulative classification curve (SUCRA) analysis., Results: The network meta-analysis included six RCTs involving 280 patients with four intervention groups, comprising control, diaphragmatic breathing training (DBT), yoga, and singing course. Performing SUCRA, we reported that yoga is 75% likely to be the best treatment available as DBT with 66%, instead of 35% for singing and 21% for control., Conclusion: DBT and yoga seem to be the best choices for breathing exercises in people with COPD., (Copyright © 2020 Elsevier Ltd. All rights reserved.)

Objective: To compare the pharmacokinetics and pharmacodynamics of hydromorphone in horses after intravenous (IV) and intramuscular (IM) administration., Study Design: Randomized, masked, crossover design., Animals: A total of six adult horses weighing [mean ± standard deviation (SD))] 447 ± 61 kg., Methods: Horses were administered three treatments with a 7 day washout. Treatments were hydromorphone 0.04 mg kg ⁻1 IV with saline administered IM (H-IV), hydromorphone 0.04 mg kg ⁻1 IM with saline IV (H-IM), or saline IV and IM (P). Blood was collected for hydromorphone plasma concentration at multiple time points for 24 hours after treatments. Pharmacodynamic data were collected for 24 hours after treatments. Variables included thermal nociceptive threshold, heart rate (HR), respiratory frequency (f R ), rectal temperature, and fecal weight. Data were analyzed using mixed-effects linear models. A p value of less than 0.05 was considered statistically significant., Results: The mean ± SD hydromorphone terminal half-life (t 1/2 ), clearance and volume of distribution of H-IV were 19 ± 8 minutes, 79 ± 12.9 mL minute ⁻1 kg ⁻1 and 1125 ± 309 mL kg ⁻1 . The t 1/2 was 26.7 ± 9.25 minutes for H-IM. Area under the curve was 518 ± 87.5 and 1128 ± 810 minute ng mL ⁻1 for H-IV and H-IM, respectively. The IM bioavailability was 217%. The overall thermal thresholds for both H-IV and H-IM were significantly greater than P (p < 0.0001 for both) and baseline (p = 0.006). There was no difference in thermal threshold between H-IV and H-IM. No difference was found in physical examination variables among groups or in comparison to baseline. Fecal weight was significantly less than P for H-IV and H-IM (p = 0.02)., Conclusions and Clinical Relevance: IM hydromorphone has high bioavailability and provides a similar degree of antinociception to IV administration. IM hydromorphone in horses provides a similar degree and duration of antinociception to IV administration., (Published by Elsevier Ltd.)

Objectives: The aim of this study was to identify the pattern of exercise left atrial (LA) dynamics, its gas exchange correlates, and prognosis in mitral regurgitation (MR) of primary and secondary origin., Background: The adaptive response and clinical significance of LA function during exercise in MR is undefined., Methods: A total of 196 patients with MR (81 with primary MR, 115 with secondary MR) and 54 control subjects underwent exercise stress echocardiography and cardiopulmonary exercise testing with LA function assessment. Patients with MR were divided into 4 groups according to etiology and severity using a cutoff of 3+., Results: LA dynamics was studied using speckle-tracking echocardiography. Compared with control subjects, patients with MR had a lower LA strain and strain rate at rest. Exercise LA strain and LA strain rate progressively worsened from primary MR <3+ through secondary MR ≥3+. In primary MR, some reserve in exercise LA strain and LA strain rate was observed, but not in secondary MR. In secondary MR, LA strain at rest and during exercise (18.1 ± 5.7 s -1 , 18.3 ± 6.9 s -1 , 18.6 ± 5.5 s -1 , 13.9 ± 3.8 s -1 ) and peak oxygen consumption (11.7 ± 3 ml/min/kg) were decreased compared with the other groups. In secondary MR ≥3+, the slope of ventilation versus carbon dioxide was higher compared with the other groups: 35.1 (interquartile range [IQR]: 29.0 to 44.2) compared with control subjects: 26.5 (IQR: 24.4 to 29.0); patients with primary MR <3+ (26.9; IQR: 24.0 to 31.9); those with primary MR >3+ (25.5; IQR: 23.4 to 29.0); and those with secondary MR <3+ (29.5; IQR: 26.5 to 33.7) (p < 0.05 for all). A progressive impairment in exercise LA mechanics combined with limited cardiac output increase and right ventricular-to-pulmonary circulation uncoupling was observed from primary to secondary MR. LAS during exercise was predictive of all-cause mortality and hospitalization for heart failure., Conclusions: In MR of any origin, exercise LA reservoir and pump function are impaired. For similar MR extent, secondary MR exhibits worse atrial function, resulting in the lowest exercise performance, limited cardiac output increase, impaired right ventricular-to-pulmonary circulation coupling, and the highest event rate., (Copyright © 2020 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.)

Estuarine gradients rule the dispersal of larval fishes leading to community replenishment and the recruitment of juveniles to adult populations. Here, the variations in density and diversity of fish larvae communities were assessed to understand whether the seasonal variability of environmental forcings in two tropical estuaries express the estuarine function for larvae. Spatial differences ruled larval dispersal. Larval recruitment to the Caeté Estuary occurs in the upper estuary in the late-dry season. Species richness is higher when temperature, salinity and precipitation increase, while changes in diversity is more pronounced in the lower estuary due to salinity variability. Larval recruitment to the Goiana Estuary occurs in the lower estuary, with peaks during wet warmer conditions. Species richness and diversity are also higher seawards. Thus, the seasonal fluctuation of the salinity ecocline had a greater power to predict larvae distribution and diversity by retaining larvae in essential habitats with suitable environmental conditions., (Copyright © 2019 Elsevier Ltd. All rights reserved.)

Objective: Describe the pharmacokinetics and pharmacodynamics of intravenous hydromorphone in healthy horses., Study Design: Masked, randomized, cross-over, Latin square design., Animals: A group of eight healthy adult horses METHODS: Horses were administered each of four treatments with an 8 day washout. Treatments groups included intravenous hydromorphone 0.02 mg kg -1 (LD), 0.04 mg kg -1 (MD), 0.08 mg kg -1 (HD) and saline (P). Blood samples for hydromorphone analysis were obtained for 24 hours after treatment. Plasma hydromorphone was quantified and pharmacokinetic parameters were determined using non-compartmental analysis. Pharmacodynamic data collected for 24 hours after treatment included thermal nociceptive threshold, heart rate (HR), respiratory rate (f R ) and rectal temperature, and analyzed using mixed-effects linear models., Results: Mean (± standard deviation) hydromorphone terminal half-life (t 1/2 ), systemic clearance and apparent volume of distribution at steady state (Vd ss ) were 18.1 ± 18.6, 34.0 ± 12.8, and 41.3 ± 32.5 minutes, 66.6 ± 5.3, 550.0 ± 76.4, and 92.7 ± 13.9 mL kg -1 minute -1 , and 1118 ± 369, 1460 ± 325 and 2242 ± 950 mL kg -1 for treatments LD, MD and HD, respectively. Thermal threshold increased significantly compared to baseline for all treatments for up to 12 hours. HR was elevated above baseline in treatments LD, MD and HD, extending to 30, 15 and 105 minutes after treatment, respectively. Respiratory rate was elevated above baseline in treatments MD and HD from 30 to 195 minutes and from 45 to 480 minutes after treatment, respectively. Temperature was elevated above baseline in treatment HD until 255 minutes after treatment., Conclusions: Hydromorphone exhibited a short t 1/2 , rapid clearance and large Vd ss in horses. It also provided a dose-dependent increase in thermal threshold with associated increases in HR, f R and rectal temperature., Clinical Relevance: Hydromorphone 0.04 mg kg -1 provided clinically relevant thermal antinociception with minimal adverse effects., (Copyright © 2018 Association of Veterinary Anaesthetists and American College of Veterinary Anesthesia and Analgesia. Published by Elsevier Ltd. All rights reserved.)

This study assessed the seasonal patterns of habitat utilization, feeding ecology and microplastic contamination in different ontogenetic phases of sympatric snooks (Centropomus undecimalis and C. mexicanus) inhabiting a tropical estuary. More than 50% of snooks, in all ontogenetic phases, ingested microplastics (1.5 ± 0.1 and 1.4 ± 0.1 particles ind -1 ). Juveniles migrated to nursery grounds in the upper estuary, during the early dry (C. undecimalis 6.5 ± 2.8 ind -1 ) (p < 0.01) and early rainy seasons (C. mexicanus 4.1 ± 1.9 ind -1 ). There, they fed mostly on invertebrates (Polychaeta) (p < 0.01), and became contaminated by microplastics (C. undecimalis: 0.8 ± 0.4 particles ind -1 ; C. mexicanus: 1.7 ± 0.5 particles ind -1 ). Sub-adults of both species forage principally in the estuarine habitats after shifting their diet from invertebrates (shrimps) in the upper reaches (1806.4 ± 1729.6 mg ind -1 ) to pelagic fishes (R. bahiensis) in seaward habitats (2507.7 ± 1758.4 mg ind -1 ). During feeding continues the contamination by microplastics (3.1 ± 0.8 part. ind -1 ). Adults use the adjacent coastal as feeding and spawning grounds during the rainy season. In this phase, snooks are mostly piscivorous (R. bahiensis: up to 5303.8 ± 3213.4 mg ind -1 ), but also ingest penaeid shrimp as complementary item (up to 175.9 ± 156.7). Microplastics contamination rates increased towards the adult phase, with maximum contamination coinciding with peaks of fish ingestion, suggesting trophic transfer of microplastics. The lower estuary and adjacent coastal zone were important contamination sites, especially during the rainy season (up to 3.1 ± 0.8 part. ind -1 ) (p < 0.01), when fishery activities is intense and river basin runoff increases. Consequently, the availability of microplastics is higher during this time of year in the lower portion of the estuary. Snooks had similar prey preferences, but the use of different habitats along the life cycle of each species avoids overlaps in estuarine use and minimizes competition., (Copyright © 2018 Elsevier B.V. All rights reserved.)

Estuarine pollution imposes rapid, increasing and lasting environmental modifications. In the present review, especial attention is given to estuaries in South America (SA), where legislation, policies and actions to guarantee environmental quality remain ineffective. There, the majority of estuaries face uncontrolled occupation of its margins by urban and industrial centres, agriculture and aquaculture expansion, water extraction and flow control. The lack of basic sanitation and poor environmental management (including territories within Marine Protected Areas) often lead to hydrological alterations, high nutrient loads, and the presence and dynamics of pollutants (nutrient loads, persistent organic pollutants (POPs), metals and plastic debris) along the entire estuarine ecocline. Organic enrichment has increased dissolved oxygen consumption, with wide spatio-temporal variability along latitudes and estuarine gradients. The toxicity, biogeochemistry and availability of metals and POPs depend on the annual fluctuations of salinity, water renewal, dissolved oxygen levels, suspended particulate loads, sediment mobility, grain size and composition at the sink. Plastic debris from land sources are widespread in estuaries, where they continue to fragment into microplastics. River basins are the main contributors of plastics to estuaries, whose transportation and accumulation are subjected to interannual water flow variations. Although some systems seems to be in a better condition in relation to others around the world (e.g. Goiana and Negro estuaries), many others are among the most modified worldwide (e.g. Guanabara Bay and Estero Salado System). We propose that, estuarine conservation plans should consider year-round fluctuations of the ecocline and the resulting cycles of retention and flush of environmental signals and their influence on trophic webs over the whole extent of estuarine gradients., (Copyright © 2018 Elsevier B.V. All rights reserved.)

Objective: To compare the effect of propofol and ketamine/diazepam for induction following premedication on intraocular pressure (IOP) in healthy dogs., Study Design: Prospective, quasi-experimental, unmasked, longitudinal., Animals: A total of 61 client-owned dogs., Methods: Dogs were anesthetized twice with a 4 week washout period. Premedication with dexmedetomidine (5 μg kg -1 ) and hydromorphone (0.1 mg kg -1 ) intramuscularly was followed by either propofol (4 mg kg -1 ) or ketamine (5 mg kg -1 ) and diazepam (0.25 mg kg -1 ) intravenously for induction and inhaled isoflurane for maintenance. IOP was measured by applanation tonometry using TonoPen-XL before premedication and after 5, 10, 20 and 30 minutes. IOP was measured again immediately after induction and after 3, 5, 10, 15, 20, 30 and 40 minutes. Data were analyzed using one- or two-way repeated measures ANOVA., Results: No difference was found between right and left IOP (p = 0.45), and data from both the eyes of each dog were averaged and considered as one set of data. Following premedication, IOP was significantly lower at all time points than at baseline when animals were grouped together, mean difference -1.6 ± 0.2 mmHg (p < 0.05). IOP increased immediately (12.2 ± 2.4 mmHg before versus 17.1 ± 3.8 mmHg after) and at 3, 5 (p < 0.001), 10 and 40 minutes (p = 0.009 and 0.045, respectively) after propofol administration. For ketamine/diazepam, IOP was increased immediately post-induction (13.0 ± 2.7 mmHg before versus 14.7 ± 2.8 mmHg after) and at 3, 5 (p < 0.001), 30 and 40 minutes (p = 0.010 and 0.037, respectively)., Conclusions and Clinical Relevance: Sedation with hydromorphone and dexmedetomidine significantly decreased IOP in normal dogs and may be an appropriate choice for dogs that cannot tolerate acute increases in IOP. However, IOP increased significantly after both induction protocols, abolishing the effect of premedication., (Copyright © 2018 Association of Veterinary Anaesthetists and American College of Veterinary Anesthesia and Analgesia. Published by Elsevier Ltd. All rights reserved.)

Objective: To establish evidence for the validity and reliability of three commonly used pain scales in dogs when assessed by video by specialists in anesthesia., Study Design: Mixed-method test-retest observational study., Subjects: A group of six American College of Veterinary Anesthesia and Analgesia board-certified specialists and 31 postoperative dogs., Methods: The evaluators scored 31 dogs using a visual analogue scale (VAS), numeric rating scale (NRS), and Glasgow pain scale (GPS). The evaluators individually scored the dogs using all three scales together and subsequently, at 3 month intervals, using each of the scales apart. Then, all evaluators in one room reviewed 23 of the videos. A camera was positioned for video and audio recording of discussion about the videos. Intra- and interobserver reliability was determined using a two-way random model intra-class correlation coefficient (ICC)., Results: Linear regression indicated a strong correlation among all scales when assigned together (VAS versus NRS, p < 0.0001, R 2  = 0.93; VAS versus GPS, p < 0.0001, R 2  = 0.59; and NRS versus GPS, p < 0.0001, R 2  = 0.61) and apart (VAS versus NRS, p < 0.0001, R 2  = 0.68; VAS versus GPS, p < 0.0001, R 2  = 0.40; and NRS versus GPS, p < 0.0001, R 2  = 0.47). Posture, appearance, vocalization, stiffness, interaction between the animal and a person and response to palpation were identified as important variables for assessing pain. Intra-observer reliability produced average ICC values of 0.90 for VAS, 0.89 for NRS and 0.85 for GPS. Interobserver reliability produced average ICC values when scores were assigned together (VAS: 0.93, NRS: 0.93 and GPS: 0.93) and when done separately (VAS: 0.91, NRS: 0.93 and GPS: 0.95)., Conclusions and Clinical Relevance: The preferred use of the VAS and NRS over the use of the GPS should be cautiously considered for research applications when experts are observers. Revisions of the GPS to clarify descriptors and remove or modify items that may not be associated with pain in dogs should be considered., (Copyright © 2018 Association of Veterinary Anaesthetists and American College of Veterinary Anesthesia and Analgesia. Published by Elsevier Ltd. All rights reserved.)

Objective: To apply the critical incident technique (CIT) methodology to a series of perianesthetic cardiac arrest events at a university teaching hospital to describe the factors that contributed to cardiac arrest., Study Design: CIT qualitative analysis of a case series., Animals: A group of 16 dogs and cats that suffered a perioperative cardiac arrest between November 2013 and November 2016., Methods: If an arrest occurred, the event was discussed among the anesthesiologists. The discussion included a description of the case, a description of the sequence of events leading up to the arrest and a discussion of what could have been done to affect the outcome. A written description of the case and the event including animal signalment and a timeline of events was provided by the supervising anesthesiologist following discussion among the anesthesiologists. Only dogs or cats were included. After the data collection period, information from the medical record was collected. A qualitative document analysis was performed on the summaries provided about each case by the supervising anesthesiologist, the medical record and any supporting documents. Each case was then classified into one or more of the following: animal, human, equipment, drug and procedural factors for cardiac arrest., Results: The most common factor was animal (n=14), followed by human (n=12), procedural (n=4), drugs (n=1) and equipment (n=1). The majority (n=11) of animals had multiple factors identified., Conclusions and Clinical Relevance: Cardiac arrests during anesthesia at a referral teaching hospital were primarily a result of animal and human factors. Arrests because of procedural, drug and equipment factors were uncommon. Most animals experienced more than one factor and two animals arrested after a change in recumbency. Future work should focus on root cause analysis and interventions designed to minimize all factors, particularly human ones., (Copyright © 2018 Association of Veterinary Anaesthetists and American College of Veterinary Anesthesia and Analgesia. Published by Elsevier Ltd. All rights reserved.)

Objective: To determine the impact of intraoperative anesthetic variables on the length of hospitalization, cost of care and mortality in dogs., Study Design: Retrospective, observational study., Animals: A total of 235 dogs undergoing general anesthesia., Methods: Medical records of dogs undergoing general anesthesia between 2007 and 2014 at the University of Georgia Veterinary Teaching Hospital were reviewed. Data collected included demographic data, American Society of Anesthesiologists (ASA) physical status, type and duration of anesthesia, hemodynamic variables, temperature, ventilation, fluid therapy and adjunctive drugs administered. Outcome variables were length of hospitalization in the intensive care unit (ICU), hospital charges and survival to discharge., Results: The only factor significantly associated with duration of ICU care was higher ASA status (p<0.0001). Factors associated with increased cost of hospitalization were ICU duration (p<0.0001), anesthesia duration (p<0.0001), hemorrhage amount (p<0.0001), colloid use (p=0.0081), increased age (p=0.0253), increased weight (p = 0.0293) and presence of hypertension (p=0.0179). Overall mortality rate was 5.1%. The only factors negatively associated with survival were the administration of colloids (p<0.0008) and ASA status (p=0.0314)., Conclusions and Clinical Relevance: Several intrinsic patient factors and intraoperative hemodynamic variables were significantly associated with postoperative morbidity and mortality in dogs. These factors might have prognostic value in conjunction with preoperative risk assessment, and patient outcome may be improved by stricter intraoperative control of these variables., (Copyright © 2017 Association of Veterinary Anaesthetists and American College of Veterinary Anesthesia and Analgesia. Published by Elsevier Ltd. All rights reserved.)

Objective: To determine the levels of agreement among first- and second-year veterinary students and experienced anesthesiologists in assessing postoperative pain in dogs from video-recordings., Study Design: Cross-sectional study., Subjects: Twenty-seven veterinary students, five anesthesiologists and 13 canine clinical patients., Methods: Prior to their enrolment in a core anesthesia course, veterinary students volunteered to watch 13 90 second videos of dogs. Dogs were hospitalized in an intensive care unit after a variety of surgical procedures. Students were asked to score the level of the dogs' pain using the Dynamic Interactive Visual Analog Scale and the Short Form of the Glasgow Composite-Measure Pain Scale. The same videotapes were scored by five board-certified anesthesiologists. The differences and agreement between the ratings of anesthesiologists and students, and first- and second-year students were determined with Mann-Whitney U-tests and Fleiss' or Cohen's kappa, respectively., Results: Pain scores assigned by students and anesthesiologists differed significantly (p < 0.01). Students assigned higher pain scores to dogs that were given low pain scores by anesthesiologists, and lower pain scores to dogs deemed to be in more pain by anesthesiologists. On average, students assigned higher scores on both scales., Conclusions and Clinical Relevance: Veterinary students early in their training assigned pain scores to dogs that differed from scores assigned by experienced anesthesiologists., (© 2015 Association of Veterinary Anaesthetists and the American College of Veterinary Anesthesia and Analgesia.)

Objective: To determine if lactate concentrations in jugular venous and auricular arterial blood differ in anesthetized sheep., Study Design: Prospective, controlled experimental study., Animals: Twelve healthy adult ewes, 4-7 years and weighing 62-77 kg., Methods: Jugular venous blood was collected before anesthesia (PreOv ) for measurement of lactate concentration, packed cell volume and total protein. Ewes were administered a standard anesthesia protocol. Jugular venous (IntraOv ) and auricular arterial (IntraOa ) blood samples were obtained 40 minutes after induction of anesthesia, and again in recovery (PostOv and PostOa ). An additional blood sample was drawn 6 weeks post-operatively from non-fasted sheep (NF&#95;Lact). Lactate concentrations were compared among PreOv , IntraOv and IntraOa , PostOv and PostOa , and between PreOv and NF&#95;Lact with paired t-test and repeated measure analyses of variance (anova) with PreOv as a covariate (p ≤ 0.05)., Results: IntraOv lactate concentration had decreased from PreOv There were significant differences between arterial and venous IntraO and PostO lactate concentrations. There was no significant difference between IntraO and PostO, or PreOv and NF&#95;Lact., Conclusions and Clinical Relevance: Lactate concentrations were significantly lower in anesthetized sheep compared to non-anesthetized sheep. Lactate concentrations in venous blood were higher than in arterial blood. Therefore, anesthetic status and sampling site should be considered when interpreting lactate concentrations, and the sampling site should be consistent for repeated measurements., (© 2014 Association of Veterinary Anaesthetists and the American College of Veterinary Anesthesia and Analgesia.)

Self-cleaning and self-sanitizing coatings are of utmost interest in several manufacturing domains. In particular, fabrics and textile materials are often pre-treated by impregnation or incorporation with antimicrobial pesticides for protection purposes against bacteria and fungi that are pathogenic for man or other animals. In this respect, the present investigation deals with the design and manufacture of self-cleaning and self-sanitizing coatings on plastic fabrics. The functionalization of the coatings was yield by incorporating active inorganic matter alone (i.e., photo-catalytic TiO2 anatase and Ag(+) ions) inside an organic inorganic hybrid binder. The achieved formulations were deposited on coextruded polyvinylchloride-polyester fabrics by air-mix spraying and left to dry at ambient temperature. The performance of the resulting coatings were characterized for their self-cleaning and self-sanitizing ability according to standardized testing procedure and/or applicable international regulations., (Copyright © 2014 Elsevier B.V. All rights reserved.)

The Goiana Estuary was studied regarding the seasonal and spatial variations of microplastics (<5mm) and their quantification relative to the zooplankton. The total density (n 100 m(-3)) of microplastics represented half of the total fish larvae density and was comparable to fish eggs density. Soft, hard plastics, threads and paint chips were found in the samples (n=216). Their origins are probably the river basin, the sea and fisheries (including the lobster fleet). In some occasions, the amount of microplastics surpassed that of Ichthyoplankton. The highest amount of microplastics was observed during the late rainy season, when the environment is under influence of the highest river flow, which induces the runoff of plastic fragments to the lower estuary. The density of microplastics in the water column will determine their bioavailability to planktivorous organisms, and then to larger predators, possibly promoting the transfer of microplastic between trophic levels. These findings are important for better informing researchers in future works and as basic information for managerial actions., (Copyright © 2014 Elsevier Inc. All rights reserved.)

Plastic marine debris is presently widely recognised as an important environmental pollutant. Such debris is reported in every habitat of the oceans, from urban tourist beaches to remote islands and from the ocean surface to submarine canyons, and is found buried and deposited on sandy and cobble beaches. Plastic marine debris varies from micrometres to several metres in length and is potentially ingested by animals of every level of the marine food web. Here, we show that synthetic polymers are present in subsurface plankton samples around Saint Peter and Saint Paul Archipelago in the Equatorial Atlantic Ocean. To explain the distribution of microplastics around the Archipelago, we proposed a generalised linear model (GLM) that suggests the existence of an outward gradient of mean plastic-particle densities. Plastic items can be autochthonous or transported over large oceanic distances. One probable source is the small but persistent fishing fleet using the area., (Copyright © 2013 Elsevier Ltd. All rights reserved.)

Anthropogenic activities influence the biogeochemical cycles of mercury, both qualitatively and quantitatively, on a global scale from sources to sinks. Anthropogenic processes that alter the temporal and spatial patterns of sources and cycling processes are changing the impacts of mercury contamination on aquatic biota and humans. Human exposure to mercury is dominated by the consumption of fish and products from aquaculture operations. The risk to society and to ecosystems from mercury contamination is growing, and it is important to monitor these expanding risks. However, the extent and manner to which anthropogenic activities will alter mercury sources and biogeochemical cycling in tropical and sub-tropical coastal environments is poorly understood. Factors as (1) lack of reliable local/regional data; (2) rapidly changing environmental conditions; (3) governmental priorities and; (4) technical actions from supra-national institutions, are some of the obstacles to overcome in mercury cycling research and policy formulation. In the tropics and sub-tropics, research on mercury in the environment is moving from an exploratory "inventory" phase towards more process-oriented studies. Addressing biodiversity conservation and human health issues related to mercury contamination of river basins and tropical coastal environments are an integral part of paragraph 221 of the United Nations document "The Future We Want" issued in Rio de Janeiro in June 2012., (Copyright © 2012 Elsevier Inc. All rights reserved.)

Plastic marine debris is a pervasive type of pollution. River basins and estuaries are a source of plastics pollution for coastal waters and oceans. Estuarine fauna is therefore exposed to chronic plastic pollution. Three important catfish species [Cathorops spixii (N=60), Cathorops agassizii (N=60) and Sciades herzbergii (N=62)] from South Western Atlantic estuaries were investigated in a tropical estuary of the Brazilian Northeast in relation to their accidental ingestion of plastic marine debris. Individuals from all three species had ingested plastics. In C. spixii and C. agassizii, 18% and 33% of individuals had plastic debris in their stomachs, respectively. S. herzbergii showed 18% of individuals were contaminated. All ontogenetic phases (juveniles, sub-adults and adults) were contaminated. Nylon fragments from cables used in fishery activities (subsistence, artisanal and commercial) played a major role in this contamination. These catfish spend their entire life cycles within the estuary and are an important feeding resource for larger, economically important, species. It is not yet possible to quantify the scale and depth of the consequences of this type of pollution. However, plastics are well known threat to living resources in this and other estuaries. Conservation actions will need to from now onto take plastics pollution into consideration., (Copyright © 2011 Elsevier Ltd. All rights reserved.)

Syzygium cumini seed kernel extracts were evaluated for the inhibition of alpha-glucosidase from mammalian (rat intestine), bacterial (Bacillus stearothermophilus), and yeast (Saccharomyces cerevisiae, baker's yeast). In vitro studies using the mammalian alpha-glucosidase from rat intestine showed the extracts to be more effective in inhibiting maltase when compared to the acarbose control. Since acarbose is inactive against both the bacterial and the yeast enzymes, the extracts were compared to 1-deoxynojirimycin. We found all extracts to be more potent against alpha-glucosidase derived from B. stearothermophilus than that against the enzymes from either baker's yeast or rat intestine. In an in vivo study using Goto-Kakizaki (GK) rats, the acetone extract was found to be a potent inhibitor of alpha-glucosidase hydrolysis of maltose when compared to untreated control animals. Therefore, these results point to the inhibition of alpha-glucosidase as a possible mechanism by which this herb acts as an anti-diabetic agent.

Several therapeutic agents that alter infarct size were administered to rats with myocardial infarcts induced by electrocauterization. The myocardial tissue damage and infarct size correlated well with the creatine phosphokinase myocardial band activity, and these markers were utilized to assess the action of the therapeutic agents on myocardial tissue damage. Hyaluronidase, insulin, potassium chloride, and isoproterenol increased myocardial tissue damage whereas heparin and prednisolone administration resulted in decreased myocardial tissue damage after induced myocardial infarction in rats.

Hemodynamic alterations were studied to determine their role in isoproterenol-induced cardiac arrhythmias in the desoxycorticosterone acetate--saline-treat rat. Since epinephrine, a catecholamine possessing an alpha-adrenergic receptor agonist component, was considerably less potent as an arrhythmogenic agent, an elevation in blood pressure was thought to be protective against arrhythmias. Both albuterol, a beta2-adrenergic agonist, alone and epinephrine administered following tolazoline, an alpha-adrenergic blocking agent, decreased blood pressure to that of isoproterenol but failed to elicit significant arrhythmias. Phenylephrine administered prior to isoproterenol resulted in significant arrhythmias despite the maintenance of mean blood pressure at normal levels. The study shows that blood pressure alterations are not important in the etiology of isoproterenol-induced arrhythmias in the corticoid-pretreated rat.

Polyethylene glycol 400, a commonly used plasticizer in many cosmetic aerosol hair sprays, was tested to determine its effect on perfusion pressure, perfusion vascular flow rate, and tidal volume in the perfused isolated guinea pig lung. Negative pressure was maintained within the chamber housing the intact lungs, and initial perfusion of the pulmonary vasculature was accomplished via the right side of the heart in situ after guinea pigs were sacrificed by decapitation. Polyethylene glycol 400 was injected into the pulmonary arterial system in doses of 0.01-30 microgram/ml after pretreatment with isoproterenol (1 microgram/ml). Isoproterenol was then readministered, followed by nebulized doses of the cosmetic chemical into the trachea at 0.3, 3, and 30% concentrations. Nebulized polyethylene glycol 400 was also administered in 50, 70, and 90% concentrations. Polyethylene glycol 400 significantly increased perfusion pressure and flow rate after injection into the pulmonary arterial system of the isolated lung. In addition, nebulized administration in concentrations of 0.3-30% significantly increased the perfusion flow rate; following the 50-90% nebulized doses, a significant increase in both perfusion pressure and flow rate was observed. Tidal volume decreased, regardless of the route of administration, as increasing doses of the cosmetic constituent were delivered to the isolated lung.

To obviate the myocardial depressant action of propranolol, the use of this drug in combination with a positive inotropic agent, mannitol, was studied in the ischemic heart of the dog. Mannitol (25%) administered prior to propranolol augmented myocardial contractility, as shown by an upward shift of the relationship between the pressure change with time and the mean left atrial pressure. Subsequent administration of propranolol did not offset the positive inotropic response to mannitol whereas it markedly reduced the heart rate from a control ischemic value of 127.8 +/- 3.4 to 109 +/- 4.0 beats/min. The myocardial oxygen requirement, as determined by the tension-time index per minute, decreased 26.3 +/- 1.2% below the control ischemic value. These findings suggest that hypertonic mannitol augments contractility in the ischemic failing heart while sustaining the desirable negative chronotropic action of propranolol. This procedure may potentiate the beneficial effects of propranolol on the myocardial oxygen balance and serve as an effective therapeutic modality in the control of acute irreversible ischemia.

Myocardial infarctions were produced in rats by electro-cauterization of the left anterior descending artery, and the extent of myocardial damage was measured by serial serum levels of creatine phosphokinase activity utilizing spectrophotometric analysis. All animals were also evaluated for myocardial damage by electrocardiographic wave alterations. A correlation between myocardial infarct size and serum creatine phosphokinase was demonstrated. Significant arrhythmias and death occurred only in experimental groups where myocardial infarction had been produced. This small animal model offers a quick, inexpensive, and simple method for screening therapeutic agents that alter infarct size.