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OBJECTIVES: To evaluate the clinical outcome and percentage increase in rima glottidis area achieved using a combined technique of cricoarytenoid and thyroarytenoid cartilage lateralization compared with cricoarytenoid cartilage lateralization alone in live anesthetized dogs clinically affected with bilateral laryngeal paralysis. STUDY DESIGN: Randomized prospective clinical study. ANIMALS: Twenty dogs with bilateral laryngeal paralysis. Methods-Bilateral laryngeal paralysis was diagnosed by direct laryngoscopy. Each dog was allocated randomly to 1 of 2 surgical groups: CAL (cricoarytenoid lateralization) and CTAL (cricoarytenoid and thyroarytenoid lateralization). Photographs were taken of each larynx before and after surgery, the images were digitized, and the preoperative and postoperative areas of each rima glottidis were measured. The percentage increase in rima glottidis area produced by each of the arytenoid lateralization procedures was compared. Follow-up was obtained by telephone survey of owners and referring veterinarians. RESULTS: There was no significant difference in mean (+/- SD) percentage increase in rima glottidis area for the CAL group (241.5 +/- 42.9%) or the CTAL group (236.4 +/- 44.5%). Clinical follow-up (median, 18 months postoperatively) indicated 60% of the dogs were still alive and only 1 dog had died as a result of complications related to surgery. CONCLUSIONS: CTAL for the treatment of canine laryngeal paralysis does not significantly increase rima glottidis area compared with CAL alone. The mean percentage increase in rima glottidis area obtained with both procedures was comparable to previously reported mean increases with CAL in live anesthetized dogs. Both procedures resulted in good long-term clinical outcome. CLINICAL RELEVANCE: CTAL is as effective as CAL in providing an increased rima glottidis for the treatment of bilateral laryngeal paralysis in dogs. 相似文献
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Pauly D Alder J Bennett E Christensen V Tyedmers P Watson R 《Science (New York, N.Y.)》2003,302(5649):1359-1361
Formal analyses of long-term global marine fisheries prospects have yet to be performed, because fisheries research focuses on local, species-specific management issues. Extrapolation of present trends implies expansion of bottom fisheries into deeper waters, serious impact on biodiversity, and declining global catches, the last possibly aggravated by fuel cost increases. Examination of four scenarios, covering various societal development choices, suggests that the negative trends now besetting fisheries can be turned around, and their supporting ecosystems rebuilt, at least partly. 相似文献
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1. The habitat of Texas wild‐rice (Zizania texana Hitchcock), known only from the spring‐fed upper San Marcos River in Central Texas, was classified in terms of physical and chemical conditions, depth, current velocity, associated aquatic macrophytes, and substrate composition. 2. Randomly selected transects in sites with and without Texas wild‐rice were evaluated during May, August and January 1994–1995. Physical and chemical conditions (temperature, dissolved oxygen, specific conductance, pH) were found to be nearly constant and uniform both among transect types and sampling dates. Chemical analysis of the substrate likewise showed few differences among transect types. Turbidity was found to be significantly different among transect types on only one sampling date (Kα0.05=0.60; p=0.009), but even non‐significant levels of turbidity may present biologically significant impacts to wild‐rice plants. 3. Differences in substrate particle size were highly significant (Kα0.05=0.71; p=0.001) with Texas wild‐rice occupying sites having moderately coarse to coarse sandy soils (73%) compared with the moderately fine to fine clay soils found at non‐rice sites (82%). However, no significant differences were found in organic matter content among rice and non‐rice transects ( =2.09 and 2.56%, respectively). 4. Texas wild‐rice was found primarily in shallow areas of the river (<1 m) and at higher current velocities than those of non‐rice sites ( ≥0.46 m s−1 and ≤0.22 m s−1, respectively). 5. Texas wild‐rice appears to be more commonly associated with other native species rather than exotic species. Mean percentage composition of exotic macrophytes did not exceed 29% in areas where Texas wild‐rice grew, but they accounted for nearly 47% of the composition in areas where rice did not grow. 6. The results of this study will allow for reliable and accurate identification of the remaining suitable habitat of Texas wild‐rice in the San Marcos River for possible reintroduction and development of management plans. Copyright © 1999 John Wiley & Sons, Ltd. 相似文献