Evaluation of performance characteristics of the medicinal leech (Hirudo medicinalis) for the treatment of venous congestion.

Medicinal leeches (Hirudo medicinalis) are a standard treatment for venous congestion, a complication that can occur after reconstructive surgery. If the cause of venous congestion cannot be surgically corrected, then medicinal leeches are used to temporarily increase perfusion levels and maintain physiologic requirements within the congested tissue. Leeches increase perfusion within congested tissue by actively drawing off blood as a bloodmeal. Furthermore, the leech bite continues to bleed and relieve congestion after detachment because of the anticoagulation effects of leech saliva left behind in the bite. In a porcine model, a 10 x 10 cm cutaneous flank flap was congested by clamping the venae comitantes. Four medicinal leeches were allowed to attach to the congested flap, and parameters of active feeding and passive bleeding after detachment were recorded. The average bloodmeal volume for the medicinal leeches was 2.45 ml. Average passive bleeding for the first 2 and 4 hours after leech detachment totaled 2.21 and 2.50 ml, respectively, with 90 percent of passive bleeding occurring within 5 hours after detachment. Laser Doppler imaging indicated that the spatial arrangement of surface perfusion increases were localized to a 1.6-cm-diameter circle around the leech head (bite) and corresponded well with the visual return of normal skin tones to the same area. This study provides a realistic and quantitative estimate of the spatial and volumetric characteristics of leech feeding and passive bleeding using a clinically relevant model of acute, severe congestion.     

Effect of the medicinal leech salivary gland secretion on the state of rat subcutaneous mast cells

It is firstly showed that the medicinal leech salivary gland secretion (SGS) as a polycomponent system of proteins and low-molecular weight substances, activates rat subcutaneous mast cells in vitro prompting a decrease in the heparin saturation index and increasing some characteristic mast cells morphometric parameters. The same mast cell changes were detected by analysis of some specimens of subcutaneous cellular tissue in the point of skin injured by the leech bite. It is shown that these changes are saved during 3 days. The mechanical injury of rat skin does not effect the mast cells activation. Activation of mast cells by SGS is extended to the distant subcutaneous mast cells. It is expressed in sharp decreasing of heparin saturation index although not statistically positive. The secondary leeching on these distant points provokes reduction of mast cells activation and some decrease of post-leeching blood heparin content: 0.154 +/- 0.03 units/ml (n = 10) as compared with post-leeching blood heparin contents analysed from the wound after the primary leeching (0.160 +/- 0.03 units/ml, n = 10). Proceeding from these findings, participation of heparin secreted from activated mast cells in the support of post-leeching bleeding is suggested, the phenomenon which provides unloading of capillary pool by application of medicinal leeches for treatment many diseases.     

Chewing pattern and muscular activation in open bite patients

Different studies have indicated, in open bite patients, that masticatory muscles tend to generate a small maximum bite force and to show a reduced cross-sectional area with a lower EMG activity. The aim of this study was to evaluate the kinematics parameters of the chewing cycles and the activation of masseters and anterior temporalis muscles of patients with anterior dental open bite malocclusion. There have been no previous reports evaluating both kinematic values and EMG activity of patients with anterior open bite during chewing. Fifty-two young patients (23 boys and 29 girls; mean age±SD 11.5±1.2 and 10.2±1.6years, respectively) with anterior open bite malocclusion and 21 subjects with normal occlusion were selected for the study. Kinematics parameters and surface electromyography (EMG) were simultaneously recorded during chewing a hard bolus with a kinesiograph K7-I Myotronics-Usa. The results showed a statistically significant difference between the open bite patients and the control group for a narrower chewing pattern, a shorter total and closing duration of the chewing pattern, a lower peak of both the anterior temporalis and the masseter of the bolus side. In this study, it has been observed that open bite patients, lacking the inputs from the anterior guidance, that are considered important information for establishing the motor scheme of the chewing pattern, show narrower chewing pattern, shorter lasting chewing cycles and lower muscular activation with respect to the control group.     

Mandibular border positions in eugnathic subjects during the second bite lifting

This research was aimed at performing a clinical functional analysis during the second bite lifting, in order to define mandibular border positions and possible differences by sex and/or age. Out of a total of 9680 examined children from the region of Medimurje, Croatia, 103 were found to be eugnathic, with dentition in occlusion during the phase of the second bite lifting. All the eugnathic patients belonged to the class I by Angle, without any caries, fillings or extracted teeth. They were divided into three predefined groups for the sake of comparison. The obtained values of mandibular border positions in eugnathic subjects during the second bite-lifting phase vary with age and with the number of present permanent teeth in occlusion. Generally, all the values are higher in girls than in boys, which speaks in favour of the assumption that mandibular border positions are determined by sex, hormonal activity, growth and intercuspidation. Also, girls show a higher TMJ flexibility as well as a higher mandibular mobility. The knowledge of these facts will contribute to a more precise treatment in child prosthetics and pedodontics.     

S. haematobium as a Common Cause of Genital Morbidity in Girls: A Cross-sectional Study of Children in South Africa

Background

Schistosoma (S.) haematobium infection is a common cause of genital morbidity in adult women. Ova in the genital mucosal lining may cause lesions, bleeding, pain, discharge, and the damaged surfaces may pose a risk for HIV. In a heterogeneous schistosomiasis endemic area in South Africa, we sought to investigate if young girls had genital symptoms and if this was associated with urinary S. haematobium.

Methodology

In a cross-sectional study of 18 randomly chosen primary schools, we included 1057 schoolgirls between the age of 10 and 12 years. We interviewed assenting girls, whose parents had consented to their participation and examined three urines from each of them for schistosome ova.

Principal findings

One third of the girls reported to have a history of genital symptoms. Prior schistosomal infection was reported by 22% (226/1020), this was associated with current genital symptoms (p<0.001). In regression analysis the genital symptoms were significantly associated both with urinary schistosomiasis (p<0.001) and water contact (p<0.001).

Conclusions

Even before sexually active age, a relatively large proportion of the participating girls had similar genital symptoms to those reported for adult genital schistosomiasis previously. Anti-schistosomal treatment should be considered at a young age in order to prevent chronic genital damage and secondary infections such as HIV, sexually transmitted diseases and other super-infections.     

Contrasting mortality in young freshwater leeches and triclads

A guild of leeches and triclads coexist and are the most numerous invertebrate predators on the stony shores of productive British lakes. Populations of all species are food-limited. Mortality of recruited young is considerably higher in leech than in triclad populations, and this paper investigates reasons for this. In particular, the feeding success of young leeches and triclads in relation to prey species, prey size, prey condition (alive or crushed), spatial heterogeneity (with or without the presence of stones or gravel), and the presence or absence of other young or adults predators (leeches or triclads) of the same or different species are investigated in the laboratory. Feeding success by young leeches and triclads on crushed prey without the presence of stones was high, but declined dramatically in leeches but not triclads when stones were present. Young leeches and triclads were inept at capturing live prey, of a small or large size, with the exception of soft-bodied prey such as oligochaetes. Feeding success by young predators on live prey was not increased by the presence of other young predators of the same or different species. With only a few exceptions, the presence of adult leeches, and to a much lesser extent adult triclads, increased the feeding success, growth and survival of young leeches and triclads. It is concluded that the high mortality of young leeches, compared to triclads, in field populations is due to their inability to locate damaged food in an environment with spatial heterogeneity due to a poorly developed chemosensory system. High and low levels of juvenile morality are accompanied by high and low reproductive rates in leech and triclad populations, respectively. It is unusual for a food limited population to have a high level of recruitment, but it is speculated that the characteristically high reproductive output in parasitic leeches, from which predaceous leeches are derived or have affinities, has been retained to counterbalance high juvenile mortality rates.     

Mimicry of food intake: the dynamic interplay between eating companions

Numerous studies have shown that people adjust their intake directly to that of their eating companions; they eat more when others eat more, and less when others inhibit intake. A potential explanation for this modeling effect is that both eating companions'' food intake becomes synchronized through processes of behavioral mimicry. No study, however, has tested whether behavioral mimicry can partially account for this modeling effect. To capture behavioral mimicry, real-time observations of dyads of young females having an evening meal were conducted. It was assessed whether mimicry depended on the time of the interaction and on the person who took the bite. A total of 70 young female dyads took part in the study, from which the total number of bites (N = 3,888) was used as unit of analyses. For each dyad, the total number of bites and the exact time at which each person took a bite were coded. Behavioral mimicry was operationalized as a bite taken within a fixed 5-second interval after the other person had taken a bite, whereas non-mimicked bites were defined as bites taken outside the 5-second interval. It was found that both women mimicked each other''s eating behavior. They were more likely to take a bite of their meal in congruence with their eating companion rather than eating at their own pace. This behavioral mimicry was found to be more prominent at the beginning than at the end of the interaction. This study suggests that behavioral mimicry may partially account for social modeling of food intake.     

The Feeding Strategies of the Leech Erpobdella octoculata (L.): A Laboratory Study

The feeding behaviour of the freshwater leech Erpobdella octoculata was analysed by exposing potential invertebrate and vertebrate prey organisms (alive, wounded or dead) to leech attack in dishes, in the laboratory. The fact that E. octoculata is a macrophagous feeder that swallows living prey organisms whole (preferentially Chironomus larvae) is documented. However, it was repeatedly observed that adult leeches sucked the body fluids from wounded larvae. Likewise, cut pieces of earthworms, dead crustaceans and crushed water snails were attacked and the soft parts sucked in with the aid of the unarmed pharynx. Adult leeches sucked the body fluids from dead, decaying bodies of vertebrates (fish, newt larvae). Newly hatched young are blood suckers that rapidly attacked the wounded regions of Chironomus larvae and other invertebrates such as crushed water snails. It is concluded that the common leech E. octoculata is not only a predator, but also a fluid sucker and a scavenger. The ecological implications of this finding are discussed.     

The growth of the skull and jaw muscles and its functional consequences in the New Zealand rabbit (Oryctolagus cuniculus)

Between weaning and adulthood, the length and height of the facial skull of the New Zealand rabbit (Oryctolagus cuniculus) double, whereas much less growth occurs in the width of the face and in the neurocranium. There is a five-fold increase in mass of the masticatory muscles, caused mainly by growth in cross-sectional area. The share of the superficial masseter in the total mass increases at the cost of the jaw openers. There are changes in the direction of the working lines of a few muscles. A 3-dimensional mechanical model was used to predict bite forces at different mandibular positions. It shows that young rabbits are able to generate large bite forces at a wider range of mandibular positions than adults and that the forces are directed more vertically. In young and adult animals, the masticatory muscles differ from each other with respect to the degree of gape at which optimum sarcomere length is reached. Consequently, bite force can be maintained over a range of gapes, larger than predicted on basis of individual length-tension curves. Despite the considerable changes in skull shape and concurrent changes in the jaw muscles, the direction of the resultant force of the closing muscles and its mechanical advantage remain stable during growth. Observed phenomena suggest that during development the possibilities for generation of large bite forces are increased at the cost of a restriction of the range of jaw excursion.     

Experiments on Spirulina culture on waste-effluent media and at the pilot plant

The prevalence of the microsporidian, Nosema herpobdellae, in the leech, Erpobdella octoculata, collected from a eutrophic English lake, was examined at monthly intervals over two years. The leech has an annual life cycle and, for each cohort, infection appeared in recently recruited animals in early autumn and prevalence levels rose to a peak in late autumn or winter before declining till the cohort died out the following autumn. Prevalence levels never exceeded 9%. The effect of the parasite on young leeches was difficult to assess, but there was some evidence of parasite-induced host mortality in older animals.     

A performance-based cost to honest signalling in male green anole lizards (Anolis carolinensis)

Sexual signals are considered costly to produce and maintain under the handicap paradigm, and the reliability of signals is in turn thought to be maintained by these costs. Although previous studies have investigated the costly nature of signal production, few have considered whether honesty might be maintained not by the costliness of the signal itself, but by the costs involved in producing the signalled trait. If such a trait is itself costly to produce, then the burden of energetic investment may fall disproportionately on that trait, in addition to any costs of signal maintenance that may also be operating. Under limited resource conditions, these costs may therefore be great enough to disrupt an otherwise reliable signal-to-trait relationship. We present experimental evidence showing that dietary restriction decouples the otherwise honest relationship between a signal (dewlap size) and a whole-organism performance trait (bite force) in young adult male Anolis carolinensis lizards. Specifically, while investment in dewlap size is sustained under low-resource condition relative to the high-resource treatment, investment in bite force is substantially lower. Disruption of the otherwise honest dewlap size to bite force relationship is therefore driven by costs associated with the expression of performance rather than the costs of signal production in A. carolinensis.     

Difficulties in assigning trace makers from theropodan bite marks: an example from a young diplodocoid sauropod

Bite marks on the bones of dinosaurs are relatively rare for non‐tyrannosaur dominated faunas, and few have been described in detail. Here, we describe a femur of a young diplodocoid sauropod in the Carnegie Quarry (Late Jurassic Morrison Formation) at Dinosaur National Monument that shows extensive bite marks to the proximal part of the bone. This is the only record of bite marks from this extensive quarry of over 1500 vertebrate elements, making this a most unusual find. Identification of the tracemaker is difficult as multiple large theropods are known from the quarry. Furthermore, we show that subtly different actions of feeding can potentially result in very different spacing of bite marks making matches to tooth patterns in the jaws of potential bite makers very uncertain. Although identification is uncertain, the tracemaker is clearly not a tyrannosaurid, but the selective scrape feeding pattern seen here is similar to the of tyrannosaurid theropods. This technique may be more widely distributed among large carnivorous theropods than previously realized.     

SOME ASPECTS OF THE BIOLOGY OF THE MARINE LEECH HEMIBDELLA SOLEAE

The biology of the marine leech Hemibdella soleae was studied. It was found that multiple infections were common, the leeches being attached by the posterior sucker to spines on the ctenoid scales of the upper surface of the sole. It was observed that in aqqaria they change position every few days, tending to migrate antoriorly and this orientation may perhaps be directed by the arrangement of the scales.
Cocoons, which are not deposited at 8 C or below, are attached to the shell fragments with which the soles camouflage themselves and the young leeches hatch after about forty-one days at 17 C. Leeches reach maturity about twenty-three days after finding a host and are fully grown after a further fortnight.
British Hemibdella seem to be confuned to Soleu solea although several other hosts (All Soleidae) have been recorded for this leech in the Mediterranean.     

眼镜王蛇咬伤救治成功临床分析

目的探讨眼镜王蛇咬伤患者的最佳抢救方法。方法对6例眼镜王蛇咬伤患者的抢救过程进行回顾性分析总结。结果通过及时使用抗蛇毒血清、中草药等治疗,6例患者均痊愈出院。结论早期正确局部处理伤口是抢救成功的前提;早期足量应用抗眼镜蛇毒血清和抗银环蛇毒血清治疗是抢救成功的关键;中西医结合治疗是抢救成功和治愈的保证。     

Development of Babesiosoma stableri (Dactylosomatidae; Adeleida; Apicomplexa) in its Leech Vector (Batracobdella picta) and the Relationship of the Dactylosomatids to the Piroplasms of Higher Vertebrates

The sporogonic and merogonic development of Babesiosoma stableri Schmittner & McGhee, 1961 within its definitive host and vector, a leech Batracobdella picta (Verrill, 1872), was studied by light and electron microscopy. Gamonts released from frog erythrocytes in the blood meal of the leech associated in syzygy and fused; the gamonts were isogamous and only 1 microgamete was formed. The ultrastructural appearance of the resulting zygote was similar to that of the gamonts, but it was larger. The zygote had an apical complex (including a polar ring, conoid and 2 pre-conoidal rings and micronemes, but no recognizable rhoptries), triple-membraned pellicle, about 40 subpellicular microtubules and prominent stores of amylopectin. Zygotes penetrated the cells of the intestine and underwent sporogony directly within the cytosplasm of the ieech epithelial cell without the formation of a parasitophorous vacuole. Eight sporozoites budded simultaneously around the periphery of an irregularly shaped oocyst. No oocyst wall was formed. Each sporozoite had a complete apical complex (including rhoptries), abundant amylopectin inclusions and a triple-membraned pellicle with about 32 subpellicular microtubules. The sporozoites initiated merogonic replication primarily within the salivary cells of the leech although other tissues, such as muscle, were infected. Each meront produced 4 merozoites by simultaneous budding, forming a cruciform meront typical of the intraerythrocytic development of this parasite. The meront was located directly within the cytoplasm of the host cell. Merozoites, with abundant amylopectin, had a complete apical complex and triple-membraned pellicle with about 40 subpellicular microtubules. The merozoites either initiated a further cycle of replication, or they moved into the ductules of the leech salivary cells which extend to the tip of the proboscis. Observations on gametogenesis. syngamy and sporogony of B. stableri in its leech host indicate that the family Dactylosomatidae should be placed in the suborder Adeleina (Eucoccidiida: Apicomplexa). Babesiosoma stableri was transmitted to uninfected frogs (Rana spp.) by the bite of infected leeches. Prepatent periods ranged from 26 to 38 days at 25° C. Despite a directed search in laboratory reared tadpoles which had each been injected intraperitoneally with 150,000 merozoites, no pre-erythrocytic developmental stages were observed. Similarities in their biology suggest close phylogenetic affinities of the dactylosomatids, and other adeleid blood parasites, with the piroplasms of higher vertebrates.     

Molecular identification and sequence analysis of Hillarin, a novel protein localized at the axon hillock.

The monoclonal antibody Lan3-15 identifies a novel protein, Hillarin, that is localized to the axon hillock of leech neurons. Using this antibody we have identified a full length cDNA coding for leech Hillarin and determined its sequence. The gene encodes a 1274 residue protein with a predicted molecular mass of 144013 Da. Data base searches revealed that leech Hillarin has potential orthologues in fly and nematode and that these proteins share two novel protein domains. The W180 domain is characterized by five conserved tryptophans whereas the H domains share 21 invariant residues. In contrast to the arrangement in fly and nematode the cassette containing the W180 and H domains is repeated twice in leech Hillarin. This suggests that the leech Hillarin sequence originated from a duplication event of an ancestral protein with single cassette structure.     

Foraging mechanics and their outcomes for cattle grazing reproductive tropical swards

For grazing animals an important determinant of animal performance is the rate of nutrient intake (RNI) which depends on diet quality and instantaneous intake rate (IIR). In turn, diet quality and IIR are the outcome of the interaction between the morphology and behaviour of the animal and the structure of the sward. Using artificial microswards of Panicum maximum we evaluated the effect of four levels of the tensile resistance of stems in tropical swards on the grazing behaviour of cattle of two age classes (1- and 3-year-old steers) faced with a stem barrier either in a vertical (experiment 1, E1) or horizontal plane (experiment 2, E2). The animals did not select against low tensile resistance stems (LTRS) but did avoid high tensile resistance stems (HTRS) which resulted in a significant difference (P < 0.001) between diet DM (dry matter) digestibility and forage DM digestibility in swards with HTRS. IIR decreased (P < 0.001) on average 62% in E1 and 67% in E2 as stem tensile resistance increased, 144% and 177% in E1 and E2, respectively. This led to a reduction (P < 0.001) in digestible DM IIR in both young and mature cattle respectively of 56% and 68% in E1, and 45% and 79% in E2, as stem tensile resistance increased. The decline in IIR was due to an increase in time per bite and a reduction in bite dimensions that were the result of different mechanisms in the two experiments: when leaves were taller than the stems (E1) the decrease in bite area was associated with an asymptotic increase (P < 0.001) in bite force in mature animals, and a maintenance (P = 0.456) of bite force in young animals, suggesting that maximum bite force regulated bite area in E1. This was not the case in E2 because both bite area and bite force decreased (P < 0.05) with the increase in stem tensile resistance suggesting that the animals were not able to gather enough plant material with the tongue in order for bite force to regulate bite area. We conclude that bite force and tongue force regulate selectivity and bite dimensions, which are the ultimate determinants of the RNI; IIR is the primary determinant of the RNI with diet quality being of lesser importance; and HTRS act as deterrents to achieving maximum IIR in tropical swards, particularly in mature cattle.     

Ultrastructural observations on the developmental stages of Lankesterella minima (Apicomplexa) in experimentally infected Rana catesbeiana tadpoles

During May to August 1988, the prevalence of Lankesterella minima in bullfrog tadpoles and adults in the vicinity of Lake Sasajewun, Algonquin Park, Ontario, was 54.8% and 29.4%, respectively. The parasite was transmitted to laboratory-reared tadpoles through the bite of experimentally infected, laboratory-reared leeches (Batracobdella picta). Intraerythrocytic sporozoites were observed in the experimentally infected tadpoles 36 days postexposure (PE) to leech bites. Sporogonic stages in these tadpoles were examined by light and electron microscopy. Oocysts developed in vascular endothelial cells of several organs. Multinucleate oocysts at 29 days PE lay in a parasitophorous vacuole and contained several large inclusions. Mature oocysts, observed 32 days PE, contained about 70 sporozoites that exhibited typical apicomplexan features. In the posterior region of the sporozoites, 12 helically arranged chains of electron-lucent intrapellicular extended anteriorly from a dense terminal ring.     

The epidemiology of dog bite injuries in Switzerland – characteristics of victims,biting dogs and circumstances

Abstract

Dogs are a potential source of several health hazards for humans. Public attention has recently focussed on dog bites, and different prevention strategies have been suggested. As few data on dog bite epidemiology are available, a prospective study was conducted in family practices (FP) and emergency departments (ED) in Switzerland. The objectives of this study were to estimate the incidence of dog bites receiving medical treatment and to identify possible risk factors. An annual dog bite incidence rate of 180/100 000 population was estimated. The highest incidence rates were found in children, young adults and dog owners. While head and neck injuries were most common (37% of FP and 45% of ED cases) amongst children and these tended to have more severe sequelae, adults' injuries most commonly involved the extremities. Victim–dog interactions prior to the incident often were observed in children, particularly in infants (82% of 0–4-year-old cases) and in family dog bites (88%). Biting dogs were most commonly medium or large in size, male, and aged < 5 years. The three most popular breeds (Shepherd, Retriever Dogs and Swiss Mountain Breeds) also were the three most common biters. However, Shepherd dogs and Rottweilers were more common among biting dogs. No difference in bite risk was found between pure-bred and cross-bred dogs. Results of this study suggest that dog bites are a common event in the community. A multifactorial approach to dog bite prevention is recommended.     

毒蛇咬伤致急性呼吸衰竭38例救治分析

目的探讨毒蛇咬伤致急性呼吸衰竭的发病机制和治疗措施。方法选择毒蛇咬伤患者38例,应用抗蛇毒血清、机械通气等综合治疗。结果经综合救治措施治疗,38例全部痊愈出院。结论综合救治措施是抢救毒蛇咬伤致急性呼吸衰竭最有效的方法。