Bishop Veterinary Hospital

Background: Acute mountain sickness (AMS) is a common disease that may have a pulmonary component, as suggested by interstitial pulmonary edema quantified by the B-line score (BLS) on ultrasound (US). This subclinical pulmonary edema has been shown to increase with ascent to high altitude and AMS severity, but has not been prospectively associated with AMS incidence in a large prospective study. Materials and Methods: This prospective observational study was part of a randomized controlled trial enrolling healthy adults over four weekends ascending White Mountain, California. Subjects were assessed by lung US and the Lake Louise Questionnaire at 4110 ft (1240 m), upon ascent to 12,500 ft (3810 m), and the next morning at 12,500 ft (3810 m). Results: Three hundred five USs in total were completed on 103 participants, with 73% total incidence of AMS. The mean (±standard deviation) BLS increased from baseline (1.15 ± 1.80) to high altitude (2.56 ± 2.86), a difference of 1.37 (±2.48) (p = 0.04). Overall BLS was found, on average, to be higher among those diagnosed with AMS than without (2.97 vs. 2.0, p = 0.04, 95% confidence interval [CI] -∞ to -0.04). The change in BLS (ΔBLS) from low altitude baseline was significantly associated with AMS (0.88 vs. 1.72, r2 = 0.023, 95% CI -∞ to -0.01, p = 0.048). Conclusions: Interstitial subclinical pulmonary edema by lung US was found to have a small but significant association with AMS.

This is the 16th supplement since publication of the 7th edition of the Check-list of North American Birds (American Ornithologists' Union [AOU] 1998). It summarizes decisions made between April 15, 2015, and April 15, 2016, by the AOU's Committee on Classification and Nomenclature-North and Middle America. The Committee has continued to operate in the manner outlined in the 42nd Supplement (AOU 2000).

Pterodroma feae Fea's Petrel.Puffinus baroli Barolo Shearwater.(A) Gallinula chloropus Common Moorhen.(A) Calidris virgata Surfbird.

Veterinary RecordVolume 168, Issue 21 p. 560-561 Research Managing metabolic disease and reproductive performance in dairy cattle Jonathan Statham MA, VetMB, CertCHP, MRCVS, Corresponding Author Jonathan Statham MA, VetMB, CertCHP, MRCVS mail@jstatham.demon.co.uk Bishopton Veterinary Group, Mill Farm, Studley Road, Ripon, North Yorkshire, HG4 2QRe-mail: mail@jstatham.demon.co.ukSearch for more papers by this author Jonathan Statham MA, VetMB, CertCHP, MRCVS, Corresponding Author Jonathan Statham MA, VetMB, CertCHP, MRCVS mail@jstatham.demon.co.uk Bishopton Veterinary Group, Mill Farm, Studley Road, Ripon, North Yorkshire, HG4 2QRe-mail: mail@jstatham.demon.co.ukSearch for more papers by this author First published: 28 May 2011 https://doi.org/10.1136/vr.d3300Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat No abstract is available for this article. Volume168, Issue21May 2011Pages 560-561 RelatedInformation

Extensive skin loss from the forelimb of a Border collie was repaired by a microvascular caudal superficial epigastric flap, with secondary meshing of the flap to increase coverage. The caudal superficial epigastric artery and vein were anastomosed to the brachial artery and vein. End-to-end anastomosis to the brachial artery and vein did not compromise peripheral blood flow, and no flap necrosis was observed after subsequent limited meshing of the flap.

Objective: To estimate the contributions of five risk factors to changes in US traffic crash mortality: (1) alcohol use by drivers and pedestrians, (2) not wearing a seat belt, (3) lack of an air bag, (4) not wearing a motorcycle helmet, and (5) not wearing a bicycle helmet. Design: Longitudinal study of deaths; attributable deaths were estimated using data from other studies. Setting: US traffic crashes in 1982–2001. Subjects: People who died in a crash. Main outcome measures: Counts of deaths attributed to each risk factor, change in rates of deaths, and counts of lives saved by changes in risk factor prevalence. Results: There were 858 741 traffic deaths during the 20 year period. Estimated deaths attributed to each factor were: (1) alcohol use, 366 606; (2) not wearing a seat belt, 259 239; (3) lack of an air bag, 31 377; (4) no motorcycle helmet, 12 095; (5) no bicycle helmet, 10 552. Over the 20 years, mortality rates attributed to each risk factor declined: alcohol by 53%; not wearing a seat belt by 49%; lack of an air bag by 17%; no motorcycle helmet by 74%; no bicycle helmet by 39%. There were 153 168 lives saved by decreased drinking and driving, 129 297 by increased use of seat belts, 4305 by increased air bag prevalence, 6475 by increased use of motorcycle helmets, and 239 by increased use of bicycle helmets. Conclusions: Decreased alcohol use and increased use of seat belts were associated with substantial reductions in crash mortality from 1982 through 2001. Increased presence of air bags, motorcycle helmets, and bicycle helmets were associated with smaller reductions.