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The elusive vertebral subluxation is the central defining clinical principle of the chiropractic profession. After almost 115 years of discussion there is still little consensus regarding the nature of the vertebral subluxation or its potential associated neurological manifestations. Some authors even deny that the subluxation exists. In this paper a model is presented that assumes that the putative vertebral subluxation represents a state of altered afferent input which is responsible for ongoing maladaptive central plastic changes that over time can lead to dysfunction, pain and other symptoms. A growing body of research that investigates the neuromodulatory effects of chiropractic care supports this model. This paper explores this research and discusses it in light of the vitalistic principles upon which chiropractic was founded. The model outlined in this paper may go some way to explain some of the beneficial effects of chiropractic care on nonmusculoskeletal conditions previously reported in the literature. [ABSTRACT FROM AUTHOR]

Objective: To summarise the key findings of the 2007 New Zealand College of Chiropractic Stakeholders Advisory Committee survey of the New Zealand chiropractic profession. Method: The survey questionnaire comprised 50 questions divided into 5 sections: the chiropractic practitioner, the chiropractic practice, professional functions and referrals, accident compensation and the chiropractic patient. Hard copy surveys were mailed to all 306 chiropractors with a New Zealand postal address who were issued with an Annual Practicing Certificate during the 2005/2006 year. Chiropractors were invited to either complete the hard copy survey or complete the survey online using an electronic version. Summary: 152 chiropractors responded to the survey. The results indicate there is a desire amongst the profession to increase the number of chiropractors in New Zealand. They also suggest that, despite the lack of mandate by the New Zealand Chiropractic Board for a set minimum number of continuing education hours, most New Zealand chiropractors appear to be engaging in a satisfactory level of continuing education. [ABSTRACT FROM AUTHOR]

This paper describes the experience of creating a continuing professional education on-line risk management program that is designed to meet Florida's educational requirements for licensure as a risk manager in health-care settings and details the challenges faced when the in-class didactic program of 15 eight-hour sessions is reformatted as an on-line program. Structuring instructor/learner interactivity remains a challenge, especially if the program allows learner control and is a key feature in marketing the program. The article presents the dilemmas for state regulators as they work to determine if the on-line program meets legislative intent and statutory requirements because the learning platform does not have a clock function that accumulates time for each learner. While some details reflect the uniqueness of the 120-hour educational requirements for risk managers in Florida, the experience of the authors provides insight into the development of continuing professional education distance learning programs that are multidisciplinary and move primarily from a time-based format into a curriculum that uses time as only one dimension of the evaluation of learning. [ABSTRACT FROM AUTHOR]

Objective: This article describes and discusses changes in asthma, bedwetting and allergy symptoms in a four-year-old child receiving chiropractic care. Clinical Features: A four-year-old child diagnosed with asthma and a history of allergies, bedwetting and disrupted sleep presented for chiropractic care. Intervention and Outcome: The child received spinal and cranial adjustments based on Sacro Occipital Technique (SOT) protocol. After 32 weeks of chiropractic care the child no longer had asthma symptoms, bedwetting had ceased and a positive change in other presenting symptoms was noted. Conclusion: There are a growing number of case reports that describe improvements in childhood problems such as asthma and nocturnal enuresis in children receiving chiropractic care. Thus far clinical trials have failed to provide sufficient evidence to support the potential link between improvements in these childhood problems and chiropractic care. Further study is required to investigate the role chiropractors may play in caring for children with these disorders. [ABSTRACT FROM AUTHOR]

Purpose: Survival in stage I seminoma is almost 100%. Computed tomography (CT) surveillance is an international standard of care, avoiding adjuvant therapy. In this young population, minimizing irradiation is vital. The Trial of Imaging and Surveillance in Seminoma Testis (TRISST) assessed whether magnetic resonance images (MRIs) or a reduced scan schedule could be used without an unacceptable increase in advanced relapses., Methods: A phase III, noninferiority, factorial trial. Eligible participants had undergone orchiectomy for stage I seminoma with no adjuvant therapy planned. Random assignment was to seven CTs (6, 12, 18, 24, 36, 48, and 60 months); seven MRIs (same schedule); three CTs (6, 18, and 36 months); or three MRIs. The primary outcome was 6-year incidence of Royal Marsden Hospital stage ≥ IIC relapse (> 5 cm), aiming to exclude increases ≥ 5.7% (from 5.7% to 11.4%) with MRI ( v CT) or three scans ( v 7); target N = 660, all contributing to both comparisons. Secondary outcomes include relapse ≥ 3 cm, disease-free survival, and overall survival. Intention-to-treat and per-protocol analyses were performed., Results: Six hundred sixty-nine patients enrolled (35 UK centers, 2008-2014); mean tumor size was 2.9 cm, and 358 (54%) were low risk (< 4 cm, no rete testis invasion). With a median follow-up of 72 months, 82 (12%) relapsed. Stage ≥ IIC relapse was rare (10 events). Although statistically noninferior, more events occurred with three scans (nine, 2.8%) versus seven scans (one, 0.3%): 2.5% absolute increase, 90% CI (1.0 to 4.1). Only 4/9 could have potentially been detected earlier with seven scans. Noninferiority of MRI versus CT was also shown; fewer events occurred with MRI (two [0.6%] v eight [2.6%]), 1.9% decrease (-3.5 to -0.3). Per-protocol analyses confirmed noninferiority. Five-year survival was 99%, with no tumor-related deaths., Conclusion: Surveillance is a safe management approach-advanced relapse is rare, salvage treatment successful, and outcomes excellent, regardless of imaging frequency or modality. MRI can be recommended to reduce irradiation; and no adverse impact on long-term outcomes was seen with a reduced schedule.

The effects of 100 μM Pb(NO₃)₂ on 7-day-old Arabidopsis thaliana seedlings grown from seeds pretreated with a nitric oxide donor, sodium nitroprusside (SNP), or a nitric oxide scavenger, 2-(4-carboxyphenyl)-4,4,5,5-tetramethylimidazoline-1-oxyl-3-oxide (cPTIO) were investigated. Physiological stress induced by Pb (reduced root growth) was less evident in seedlings grown from seeds pretreated with SNP. However, SNP pretreatment of seeds did not affect Pb accumulation in the seedlings. Pb exposure caused oxidative stress by elevating hydrogen peroxide (H₂O₂) and lipid hydroperoxide contents of the seedlings. SNP pretreatment of seeds counteracted Pb toxicity by reducing the H₂O₂ and lipid hydroperoxide contents of Pb-exposed seedlings. Additionally, Pb-induced rises in antioxidative enzyme activities were reversed by SNP pretreatment of seeds. It was concluded that the ameliorating effects of SNP pretreatment were associated with the release of nitric oxide because cPTIO reversed these effects of SNP pretreatment of seeds and more importantly SNP pretreatment did not trigger an avoidance mechanism., (Copyright © 2011 Elsevier Inc. All rights reserved.)

Objective: The aim of the current study was to investigate changes in the intrinsic inhibitory interactions within the somatosensory system subsequent to a session of spinal manipulation of dysfunctional cervical joints., Method: Dual peripheral nerve stimulation somatosensory evoked potential (SEP) ratio technique was used in 13 subjects with a history of reoccurring neck stiffness and/or neck pain but no acute symptoms at the time of the study. Somatosensory evoked potentials were recorded after median and ulnar nerve stimulation at the wrist (1 millisecond square wave pulse, 2.47 Hz, 1 x motor threshold). The SEP ratios were calculated for the N9, N11, N13, P14-18, N20-P25, and P22-N30 peak complexes from SEP amplitudes obtained from simultaneous median and ulnar (MU) stimulation divided by the arithmetic sum of SEPs obtained from individual stimulation of the median (M) and ulnar (U) nerves., Results: There was a significant decrease in the MU/M + U ratio for the cortical P22-N30 SEP component after chiropractic manipulation of the cervical spine. The P22-N30 cortical ratio change appears to be due to an increased ability to suppress the dual input as there was also a significant decrease in the amplitude of the MU recordings for the same cortical SEP peak (P22-N30) after the manipulations. No changes were observed after a control intervention., Conclusion: This study suggests that cervical spine manipulation may alter cortical integration of dual somatosensory input. These findings may help to elucidate the mechanisms responsible for the effective relief of pain and restoration of functional ability documented after spinal manipulation treatment., (Copyright 2010 Elsevier Inc. All rights reserved.)

Objective: This pilot study sought to (1) determine whether a 4-week period of chiropractic care improved the ability of chronic neck pain patients to respond to an 8-week period of exercise rehabilitation and (2) determine effect sizes to use in sample size calculations for future studies., Methods: Twenty male and female participants (age, 43 +/- 12 years; body mass index, 27 +/- 4.5 [mean +/- SD]) with chronic nonspecific neck pain were randomized into either a chiropractic care combined with exercise or an exercise only group. Group 1 received 4 weeks of chiropractic care, and group 2 waited 4 weeks before both groups participated in an 8-week exercise intervention. The following outcome measures were assessed in week 1 (baseline), week 4, and at week 12: Neck Disability Index (NDI); Visual Analogue Scale (VAS), both now and worst; neck flexion-relaxation response; and feed-forward activation (FFA) times. A repeated-measures analysis of variance was used to evaluate the changes in the NDI and VAS over time. Effect sizes were calculated for changes in neuromuscular parameters., Results: There were significant decreases in the NDI score (P < .001) and VAS in (P < .005) in both groups with no significant differences between the groups. Effect sizes (ESs) were as follows: NDI (.293); VAS now (.175); VAS worst (.392); flexion-relaxation (.636); FFA times: sternocleidomastoid (.1321), anterior scalene (.195). This lead to sample size estimates as follows: flexion-relaxation response, 64 subjects per group; NDI, 145 subjects per group; VAS, 166 subjects per group., Conclusions: Chiropractic care combined with exercise and exercise alone are both effective at reducing functional disability and pain in chronic nonspecific neck pain patients. Future studies will need at least 64 subjects per group to determine if there are differences between the groups and if these differences are attributable to changes in neuromuscular measures., (Copyright 2010 National University of Health Sciences. Published by Mosby, Inc. All rights reserved.)

Objective: The purpose of this study was to evaluate the interexaminer reliability of a leg length analysis protocol between an experienced chiropractor and an inexperienced chiropractic student who has undergone an intensive training program., Methods: Fifty participants, aged from 18 to 55 years, were recruited from the New Zealand College of Chiropractic teaching clinic. An experienced chiropractor and a final-year chiropractic student were the examiners. Participants were examined for leg length inequality in the prone straight leg and flexed knee positions by each of the examiners. The examiners were asked to record which leg appeared shorter in each position. Examiners were blinded to each other's findings. kappa statistics and percent agreement between examiners were used to assess interexaminer reliability., Results: kappa analysis revealed substantial interexaminer reliability in both leg positions and also substantial agreement when straight and flexed knee results were combined for each participant. kappa scores ranged from 0.61, with 72% agreement, for the combined positions to 0.70, with 87% agreement, for the extended knee position. All of the kappa statistics analyzed surpassed the minimal acceptable standard of 0.40 for a reliability trial such as this., Conclusion: This study revealed good interexaminer reliability of all aspects of the leg length analysis protocol used in this study.

Objective: This study investigates changes in the intrinsic inhibitory and facilitatory interactions within the sensorimotor cortex subsequent to a single session of cervical spine manipulation using single- and paired-pulse transcranial magnetic stimulation protocols., Method: Twelve subjects with a history of reoccurring neck pain participated in this study. Short interval intracortical inhibition, short interval intracortical facilitation (SICF), motor evoked potentials, and cortical silent periods (CSPs) were recorded from the abductor pollicis brevis and the extensor indices proprios muscles of the dominant limb after single- and paired-pulse transcranial magnetic stimulation of the contralateral motor cortex. The experimental measures were recorded before and after spinal manipulation of dysfunctional cervical joints, and on a different day after passive head movement. To assess spinal excitability, F wave persistence and amplitudes were recorded after median nerve stimulation at the wrist., Results: After cervical manipulations, there was an increase in SICF, a decrease in short interval intracortical inhibition, and a shortening of the CSP in abductor pollicis brevis. The opposite effect was observed in extensor indices proprios, with a decrease in SICF and a lengthening of the CSP. No motor evoked potentials or F wave response alterations were observed, and no changes were observed after the control condition., Conclusion: Spinal manipulation of dysfunctional cervical joints may alter specific central corticomotor facilitatory and inhibitory neural processing and cortical motor control of 2 upper limb muscles in a muscle-specific manner. This suggests that spinal manipulation may alter sensorimotor integration. These findings may help elucidate mechanisms responsible for the effective relief of pain and restoration of functional ability documented after spinal manipulation.

This study examined whether the existence of hyperosmotic internal fluids in embryos of euryhaline crabs (Hemigrapsus sexdentatus and H. crenulatus) in dilute seawater reflects osmotic isolation due to impermeability of the egg envelope, as proposed for other decapods, or active osmoregulation. When ovigerous crabs with eggs at gastrula stage were transferred from 100% seawater (osmolality 1000 mmol kg(-1)) to 50% seawater, embryogenesis and hatching of zoea were completed normally, but were delayed. Hatching failed if the transfer to 50% seawater occurred before gastrulation, and embryogenesis was abnormal in 25% seawater. In 100% seawater, embryos at all stages were internally hyperosmotic by 150-250 mmol kg(-1). On transfer to 50% seawater, osmolality initially decreased but remained 200-350 mmol kg(-1) hyperosmotic to the medium for several weeks until hatching. High efflux rates of tritium-labelled water (t((1/2)) 16-75 min) and (22)Na (t(1/2) 109-374 min) from H. crenulatus embryos were inconsistent with the osmotic isolation hypothesis. It is concluded that post-gastrula embryos were actively hyper-osmoregulating. The diffusional water permeability of the embryos decreased during development while the sodium efflux rate increased 10-fold. Very rapidly exchanging pools of water and sodium (t(1/2) a few seconds to minutes) probably corresponded to peri-embryonic fluid and implied that the egg envelope was a negligible barrier to diffusion of water and salts. Higher Na(+)/K(+)-ATPase activities in late embryos of H. crenulatus incubated in 50% seawater than in embryos incubated in full strength seawater were consistent with an acclimation response. An area of the embryonic surface located over the yolk in the region of the embryonic dorsal organ stained with AgNO(3). Staining appeared at gastrulation, persisted throughout development and was lost at hatching. Deposits of AgCl between the outer and inner membranes, identified by X-ray microanalysis, suggest that the dorsal organ was a site of chloride extrusion. A model for osmoregulation in post-gastrula embryos is proposed: osmotic uptake of water is balanced by excretion of water and salts via the dorsal organ and salt loss is balanced by active uptake over the general embryonic ectoderm.

Extant abalone retain an ancestral system of gas exchange consisting of paired bipectinate gills. This paper examines the hypothesis that fundamental inefficiencies of this arrangement led to the extensive radiation observed in prosobranch gas exchange organs. Oxygen uptake at 15 degrees C was examined in the right gill of resting adult blackfoot abalone, Haliotis iris Martyn 1784. Pre- and post-branchial haemolymph and water were sampled and oxygen content, partial pressure (Po2), pH, and haemocyanin content measured; in vivo haemolymph flow rate was determined by an acoustic pulsed-Doppler flowmeter. During a single pass across the gills, mean seawater Po2 fell from 138.7 Torr to 83.4 Torr, while haemolymph Po2 rose from 37.2 Torr to 77.0 Torr raising total O2 content from 0.226 to 0.346 mmol L(-1). Haemolymph flowed through the right gill at a mean rate of 9.6 mL min(-1) and carried 0.151 to 0.355 mmol L(-1) of haemocyanin (mean body mass 421 g). Only 34.7% of the oxygen carried in the arterial haemolymph was taken up by the tissues and less than half of this was contributed by haemocyanin. A diffusion limitation index (Ldiff) of 0.47-0.52, a well-matched ventilation-perfusion ratio (1.2-1.4) and a diffusing capacity (D) of 0.174 micromol O2 kg(-1) Torr(-1) indicate that the gills operate efficiently and are able to meet the oxygen requirements of the resting abalone.

The abalone Haliotis iris retains the ancestral gastropod arrangement of a pair of bipectinate gills (ctenidia). The gills share a single branchial chamber, are supplied from a common haemolymph sinus and effectively support the whole of oxygen uptake by the animal. Using chronic indwelling cannulae and pulsed Doppler probes, post-branchial haemolymph oxygen partial pressures (PaO2) and haemolymph flow rates were measured in the left and right efferent ctenidial veins. During periods of internal hypoxia following emersion and handling, total branchial haemolymph flow (24.4+/-3.6 ml kg-1 min-1) was partitioned nearly equally between the left and right gills (13.3+/-2.6 and 10.8+/-1.4 ml kg-1 min-1, respectively) and their PaO2 values were similar (81.9+/-6.1 and 87.3+/-4.7 mmHg, respectively). In animals settled for >24 h, branchial haemolymph flow decreased to 9.1+/-2.1 ml kg-1 min-1, primarily resulting from a virtual shutdown of the left gill flow to only 4.6% of total flow (left, 0.41+/-0.34 ml kg-1 min-1; right, 8.6+/-2.0 ml kg-1 min-1). At rest, right gill PaO2 (85.5+/-6.8 mmHg) was essentially unchanged while PaO2 of the slowly perfused left gill rose to 105.3+/-10.2 mmHg, close to the PO2 of the exhalant seawater (104.5+/-3.1 mmHg). The aerobic metabolic scope of H. iris therefore appears to be met primarily by circulatory adjustments at the left gill, which at rest is highly perfusion limited (left Ldiff, 0.14+/-0.07; right Ldiff, 0.44+/-0.08).

The archaeogastropod Haliotis iris possesses paired bipectinate gills and normally four to six shell holes. In still water, endogenous water flow entered the branchial chamber anteriorly to the left of the head and was exhaled primarily from the three most posterior holes. The first or second anterior aperture was occasionally weakly inhalant. Cardiac interaction superimposed an oscillatory component upon ciliary ventilation but did not augment mean flow. At normal endogenous flow rates 49% of oxygen was extracted from the branchial flow, increasing to 71% at lower flows. In still water, normoxic M(O(2)) was 0.47 micromol g(-1) h(-1). Oxyregulation occurred down to P(O(2)) approximately 80 Torr, with partial oxyregulation down to 45 Torr (P (crit)), and oxyconformity below this. The oxyregulatory plateau was absent in artificially ventilated animals but normoxic M(O(2)) was higher (0.65 micromol g(-1) h(-1)). Endogenous ventilation was unaffected by hypoxia to 15 Torr. Heart rate decreased by approximately 20% at 26 Torr before falling more steeply. Oxygen uptake from the branchial ventilation stream fully accounted for normoxic M(O(2)). In hypoxia (<30 Torr), no uptake occurred from the head or foot despite extensive eversion of the epipodium. Blood oxygen measurements excluded the right mantle as a significant gas exchange organ. Changes in oxygen uptake caused by changes in the velocity of external water currents support the concept of induced ventilation and suggest that in still water aerobic respiration was ventilation-limited. Although ciliary ventilation appears adequate to support resting aerobic metabolism, induced ventilation may provide increased aerobic scope for activity and repayment of oxygen debt.

The adults of Hemigrapsus edwardsii and Hemigrapsus crenulatus are euryhaline crabs and strong hyper-osmoregulators. Their embryos are carried externally attached to the abdominal pleopods of female crabs, where they are exposed to temporal and spatial changes in salinity associated with their intertidal and estuarine habitats. Although embryos lack the branchial and excretory organs responsible for adult osmoregulation, post-gastrula embryos were highly tolerant of exposure to hypo-osmotic sea water. Detached eggs (embryos+envelopes), of both species, at all developmental stages between gastrulation and hatching, exhibited 80-100% survival for periods up to 96 h in sea water (osmolality, 1050 mmol kg(-1)) and in dilutions to 50%, 10%, and 1%. Cleavage stages were less tolerant of dilution; H. edwardsii, <50% survived 24 h in 10% sea water; H. crenulatus <50% survived 6 h in 10% sea water. Post-gastrulation stages strongly hyper-osmoregulated but cleavage stages were hyper-osmoconformers (maintaining internal osmolality approximately 150 mmol kg(-1) above external). Osmoregulatory capacity was reduced just prior hatching, particularly in H. crenulatus, although salinity tolerance remained high. Gastrulation therefore marks a critical stage in the ontogeny of osmoregulation and salinity tolerance. Total Na+/K(+)-ATPase activity increased greatly during embryogenesis of H. crenulatus (undetectable in blastulae; gastrulae 0.31+/-0.05 pmol P(i) embryo(-1) min(-1); pre-hatching 16.4+/-1.0 pmol P(i) embryo(-1) min(-1)). Na+/K(+)-ATPase activity increased in embryos exposed to dilute sea water for 24 h implicating regulation of this transporter in a short-term acclimation response.

Postprandial changes in haemolymph glucose concentration ([Glc]H) were measured in 4-day-fasted juvenile intermoult spiny lobsters, Jasus edwardsii, provided with meals composed of glycogen, maltose, sucrose, glucose, or fructose in a gelatine base, or with gels of the algal glycans agar, alginate and carrageenan. Baseline [Glc]H was 0.61+/-0.02 mmol L(-1). After consumption of glycogen, maltose or sucrose, [Glc]H approximately doubled, peaked after 3 h and returned to baseline between 12 and 24 h. Glucose and fructose meals were followed by periods of sustained hyperglycaemia lasting more than 24 h (peaking at approximately 2.5 times baseline at 6 and 3 h respectively). Suggested explanations for augmented hyperglycaemic responses to glucose and fructose are: 1) these monosaccharides by-passed contact digestion and absorption in the R-cells of the digestive gland, directing them away from storage and toward transepithelial scavenging routes; or 2) glucose and fructose directly elicited release of crustacean hyperglycaemic hormone via a chemosensory reflex. Agar and alginate induced significant postprandial glycaemic responses, consistent with reports of carbohydrases in this species and indicating their potential for inclusion in artificial diets as both binders and energy sources. Carrageenan, a highly sulphated galactan, did not produce a glycaemic response. The measurement of glycaemic responses is a quick method of obtaining nutritional information on carbohydrates considered for inclusion in formulated diets prior to lengthy growth trials.

In Jasus edwardsii (Hutton) the vascular resistance of each of the seven major arterial systems leaving the heart was increased in response to several of the following neurotransmitters and neurohormones: acetylcholine, adrenalin, serotonin, dopamine, octopamine and peptides proctolin and FLRFamide-related peptide F(1). The resistance to flow through the infrabranchial sinus (IBS), part of the venous system, was also sensitive to these drugs. Unexpectedly, the responses of the IBS continued after removal of the gills. Differences in the profiles of responses of the arteries to individual hormones and in the magnitudes and the time courses of back pressure changes, eliminate a common downstream location such as the venous sinuses or gills, as the source of the arterial responses. Vasoactive drugs were effective when applied either via the lumen or, with longer delay, to the basal side of an artery via the IBS. It is concluded that the resistance of each of these sections of the vascular system is independently controllable by hormones.

Crabs generally produce urine iso-osmotic to their haemolymph, but terrestrial crabs are able to vary the composition of their final excretory fluid (termed P) postrenally, in the branchial chambers. Regulatory aspects of branchial urine processing were investigated in the Christmas Island red crab Gecarcoidea natalis acclimated to drinking either freshwater (FW crabs) or 70% seawater (SW crabs). FW crabs released dilute P (mean [Cl(-)] 8.8 mmol l(-1)). Drinking 70% seawater caused the mean [Cl(-)] of the P to rise to 376 mmol l(-1) over 5 days, approaching the haemolymph [Cl(-)]. FW crabs with saline-perfused branchial chambers absorbed chloride at a high rate (10 mmol kg(-1) h(-1)), and haemolymph [Cl(-)] increased at approximately 20 mmol l(-1) h(-1). SW crabs exhibited elevated haemolymph osmolalities and ion concentrations and zero branchial chloride uptake. FW crabs that were salt-loaded by branchial chamber perfusion over several hours downregulated, and eventually ceased, chloride uptake. The rate of downregulation, but not the initial chloride flux, was dependent on initial haemolymph [Cl(-)]. Intravascular infusion of NaCl caused immediate reduction in branchial [Cl(-)] of 80%. Crabs ingested and regurgitated the perfusion saline, supporting suggestions that reingestion of urine could conserve water and ions. Dopamine upregulated branchial chloride transport in G. natalis. This is consistent with the ion-regulatory effects of dopamine in euryhaline marine brachyurans but contrasts with its inhibitory effects in the terrestrial anomuran Birgus latro. Dopamine increased the rate of urine release in FW crabs. Urine composition appears to be unimportant in ionic regulation, except in the case of magnesium, levels of which were elevated in the urine of SW crabs.

We investigated divalent cation and anaerobic end-product concentrations and the interactive effects of these substances and pH on haemocyanin oxygen-binding (Hc-O(2)) in the New Zealand abalone Haliotis iris. During 24 h of environmental hypoxia (emersion), D-lactate and tauropine accumulated in the foot and shell adductor muscles and in the haemolymph of the aorta, the pedal sinus and adductor muscle lacunae, whereas L-lactate was not detected. Intramuscular and haemolymph D-lactate concentrations were similar, but tauropine accumulated to much higher levels in muscle tissues. Repeated disturbance and short-term exposure to air over 3 h induced no accumulation of D- or L-lactate and no change in [Ca(2+)], [Mg(2+)], pH and O(2)-binding properties of the native haemolymph. The haemolymph showed a low Hc-O(2) affinity, a large reverse Bohr effect and marked cooperativity. Dialysis increased Hc-O(2) affinity, obliterated cooperativity and decreased the pH-sensitivity of O(2) binding. Replacing Mg(2+) and Ca(2+) restored the native O(2)-binding properties and the reverse Bohr shift. L- and D-lactate exerted minor modulatory effects on O(2)-affinity. At in vivo concentrations of Mg(2+) and Ca(2+), the cooperativity is dependent largely on Mg(2+), which modulates the O(2) association equilibrium constants of both the high-affinity (K(R)) and the low-affinity (K(T)) states (increasing and decreasing, respectively). This allosteric mechanism contrasts with that encountered in other haemocyanins and haemoglobins. The functional properties of H. iris haemocyanin suggest that high rates of O(2) delivery to the tissues are not a priority but are consistent with the provision of a large O(2) reserve for facultatively anaerobic tissues during internal hypoxia associated with clamping to the substratum.

Heterozius rotundifrons and Cyclograpsus lavauxi are crabs of similar size, whose intertidal habitats overlap. They differ in the number and size of their eggs. A 2 g ovigerous H. rotundifrons incubates 675 large yolky eggs (mean single-egg mass 269 microg; egg clutch 9.15 % of mass of female crab; increasing to 435 microg and 13.4 % at hatching). The egg clutch of a 2 g C. lavauxi is larger (15.4 % of crab mass increasing to 18.9 % at hatching) and contains more numerous (28 000), smaller (10.9 microg increasing to 20.3 microg) eggs. The longer development time of the larger eggs (194 days versus 56 days at 15 degrees C) results from a delayed increase in metabolic rate (diapause) and not metabolic scaling. On the basis of the total mass of single eggs, the mass-specific metabolic rates of early embryonic stages of H. rotundifrons (0.72 micromol g(-1 )h(-1) for the blastula stage at 15 degrees C) and C. lavauxi (1.13 micromol g(-1 )h(-1)) were similar to those of the adult female crabs (0.70 micromol g(-1 )h(-1) for H. rotundifrons and 0.91 micromol g(-1 )h(-1) for C. lavauxi) and increased 13- and 10-fold, respectively, by the time of hatching. Thus, early embryonic metabolic rates were much lower than expected from their mass, but the metabolic rates of pre-hatching embryos were consistent with the allometry of juveniles and adults. Possible interpretations of this apparently anomalous scaling of embryonic metabolic rates are discussed. Mass-specific rates of oxygen consumption by ovigerous females (including the eggs) of both species were higher than for non-ovigerous crabs, in water and in air, and increased greatly during the development of the eggs. This difference was attributable mainly to the increasing metabolic rates of the attached embryos, but early ovigerous crabs (blastula stage) of both species also demonstrated a small elevation in metabolic rate by the crab itself, i.e. a metabolic cost of egg-bearing. In contrast, the elevation of the rate of oxygen consumption by late ovigerous females of C. lavauxi was less than predicted from the metabolic rate of eggs in a stirred respirometer. This suggests that, towards the end of development in C. lavauxi, the oxygen supply to the eggs in situ may be diffusion-limited by unstirred layers, an effect not observed for the larger eggs and more open egg clutch of H. rotundifrons. The cost of development, in terms of total oxygen consumption of single eggs, from extrusion to hatching, was 3.34 micromol O2 (approximately 1.5 J) for H. rotundifrons and 0.105 micromol O2 (approximately 0.05 J) for C. lavauxi. This 30-fold ratio approximates the ratios of their initial masses and yolk contents but represents only approximately one-third of the initial energy contents of the eggs.

Patching after endarterectomy, especially carotid artery surgery, is a common procedure to repair and close the surgical site. Both synthetic and natural materials can be used, but saphenous vein is preferred due to its greater long-term patency. In situations where it is not possible to use the saphenous vein, both Dacron and expanded polytetrafluoroethylene (ePTFE) patches have been used successfully. Expanded PTFE patches are readily available, soft and pliable, have excellent biocompatibility and do not require preclotting prior to implantation. Comparison of two types of ePTFE patches versus natural vessel show that they have more than adequate properties for their intended use.

Arterial and mixed venous blood were sampled through chronically implanted cannulae from rested and swimming hagfish. PaO2 remained high when hagfish were swum for 15 min at a velocity of 20 cm s-1. PvO2 fell from 17.2 mmHg at rest to 3.5 mmHg after swimming, and the arteriovenous pH difference increased from 0.15 to 0.25 pH units. Whole blood oxygen equilibrium curves were essentially hyperbolic (Hill's n value = 1.38) and gave a half-saturation PO2 (P50) value of 12.3 mmHg at pH 7.8 and 16 degrees C. A CO2-Bohr factor (phi = delta logP50/delta pH) of -0.43 and a limited buffering capacity of the blood, amounting to approx. 4 slykes, were observed. The role of the blood in transporting oxygen and carbon dioxide both at rest and after swimming is established by in vivo blood gas measurements and in vitro oxygen-binding data. The low internal PvO2 at rest is close to the P50 measured under similar conditions and the hyperbolic equilibrium curve permits further oxygen unloading when PvO2 falls during swimming.