eChapters

An auricle (pinna) and ear canal (external auditory meatus) of external ear play an important rolein the process of hearing. The main function if external ear is to collect vsound waves and divert them towards the middle and inner ear. The external ear I'd prone to different conditions along with inflammation, infections and other disorders. Common conditions of the external ear include otitis external, Carmen impaction. Contact dermatitis, external otitis media. Antibiotics, antifungal, corticosteroids, ear wax softener, analgesics are useful in treating the disordersof external ear. Finally it is concluded that the function of drugs on the external ear is related to a variety of therapeutic approaches aimed atvalleviating symptoms, resolving infections and increasing healing.

Introduction

The external ear, comprising the auricle (pinna) and the ear canal (external auditory meatus), plays a vital role in the process of hearing. While its primary function is to gather sound waves and direct them towards the middle and inner ear, the external ear is also susceptible to various conditions, including infections, inflammations, and other disorders. In such cases, medications are often employed to alleviate symptoms and treat underlying issues. Understanding how drugs interact with the external ear can shed light on their therapeutic mechanisms and potential side effects.

Copper is an important mineral needed fir many physiological activities especially in the human body along with the formation of red blood cells, maintenance of nerve cells and support of the immune system. Whatever it may be, like various substances copper also exhibits toxicity if present in an excessive amounts. Thus article provides an information regarding the intricacies of copper toxicity, exploring it's sources, toxico dynamics, toxico kinetics. Clinical conditions, diagnosis as well as treatment. Copper intoxication can happen through many sources such as environmental as well as occupational. Common sources are contaminated water, dietary sources, occupational exposure as well as medications. Particularly after an ingestion, an absorption of copper takes place essentially in the stomach as well as smart intestine. Now the transportation of copper happens in the blood stream, mostly in bound to ceruloplasmin, a copper _ carrying protein. An elimination of copper occurs primarily through bile secretion into the feces along with a smaller part excreted especially vin Urine. Whatever it may be, in cases of overload, an accumulation of copper takes place in tissues namely the brain, liver and kidneys, resulting in toxicity. Copper toxicity results in the formation of reactive oxygen species ( ROS ), which cause oxidative damage to cellular to cellular structures namely lipids, proteins as well as DNA. Clinical signs and symptoms include gastro intestinal portion, neurological conditions, hepatic abnormalities, hemolytic anemia as well as renal impairment. Lesions of copper toxicity are hepatic lesions, hepatic cellular necrosis, inflammation as well as fibrosis, copper accumulation, biliary changes, neurological lesions, neuronal degeneration, gliosis, de myelination, renal lesions, tubular damage, interstitial inflammation as well as vascular changes

Cadmium, a roxic heavy metal, poses risk in a significant manner especially to human health and the environment. It's wide spread industrial use and presence in various products make exposure a concern particularly for both environmental and occupational settings. Understanding the source, toxico dynamics, toxico kinetics, clinical manifestations, diagnosis as well as treatment of cadmium poisoning is critical in mitigating it's adverse effects especially on human health. Cadmium gains an entry into the environment through natural processes namely volcanic activity as well as weathering of rocks. Whatever it may be, human activities along with mining, smelting, refining of metals and manufacturing of batteries, plastics as well as pigments, are major contributors to cadmium release especially into the environment. Additionally, cadmium is seen in tobacco smoke, resulting in exposure among smokers as well as passive smokers. Once released into the environment, cadmium gains entry into the human body through many routes such as inhalation, ingestion and dermal contact An inhalation of cadmium containing dust or fumes is a prominent route of exposure in an occupational settings especially in industries namely mining, smelting as well as welding. The consumption of contaminated water and food is another general route of exposure especially for the general population. After consumption, cadmium in essential manner accumulates especially in the kidneys as well as liver with a half life of approximately 10 - 30 years in the organs. It also accumulates particularly in bones, where it consists of half life of several decades.

Arsenic is a naturally occurring element that can be observed in various forms in the environment, including soil, water, and air. While arsenic has some industrial applications, it is also notorious for its toxicity to humans. Exposure to arsenic can happen through ingestion, inhalation, or skin contact, with ingestion being the most common route of exposure in cases of poisoning. Here, authors provide information regarding the source of arsenic intoxication, its toxicology kinetics and dynamics, clinical signs and symptoms, lesions, diagnosis, and treatment.

Introduction

In this article, authors provide information regarding source of intoxication also.

Source of Intoxication

Arsenic poisoning can lead to various sources, including:

Contaminated Water

Arsenic contamination of drinking water is a significant concern in many parts of the world, specifically in regions where natural geological formations consists of high levels of arsenic.

Aluminium is a ubiquitous metal and seen in an environment. Source of aluminium happens through dietary souce, food addivitives, packing materials, medications, environmental exposure as well as occupational exposure. Toxico kinetics is related to the interaction of aluminium with biological systems and toxicity also. Toxico dynamics of aluminium is related to the the oxidatve stress, neuro toxicity and bone toxicity. Diagnosis is based on MRI scan and measurement of serum as well as urine. Treatment is dependent on chelation therapy as well as avoidance of exposure. Finally it is concluded that aluminium toxicity leads to health risks in a significant manner along with potential adverse effects on neurological, gastro, intestinal, renal as well as skeletal systems.

Introduction

Aluminium is a ubiquitous metal observed naturally in the environment. It is widely used in various industrial and consumer products including cookware antacids, vaccines, and food additives. While aluminium is normally considered safe in low concentrations and exposure to high levels can lead to toxicity causing a range of adverse effects on human health. In this comprehensive article, authors will provide information regarding its toxicokinetics and toxicodynamics, clinical signs and symptoms, associated lesions, diagnosis and treatment strategies.

Understanding the Toxicity of Macrolide Endectocides

Introduction

Macrolide endectocides are a class of compounds widely used in veterinary medicine to combat internal and external parasites in livestock and companion animals. While these medications have proven to be effective in controlling parasites, there are concerns regarding their potential toxicity and adverse effects on animals and the environment.

Whar are Macrolide Endectocides

Macrolide endectocides belong to a group of compounds derived from naturally occurring macrolide antibiotics, such as avermectins and milbemycins. These compounds have broad-spectrum activity against various parasites, including nematodes, arthropods, and ectoparasites like ticks and mites. Some commonly used macrolide endectocides include ivermectin, doramectin, moxidectin, and eprinomectin.

Toxicity Concerns

While macrolide endectocides are generally safe and effective when used according to label instructions, there are instances where toxicity can occur. Factors influencing toxicity include:

Introduction

Phenothiazines are a class of drugs primarily used to treat psychiatric disorders such as schizophrenia, bipolar disorder, and severe anxiety. While they can be effective in managing these conditions, they also come with potential risks and toxic effects when not used properly. Understanding the toxicity of phenothiazines is essential for healthcare providers and patients alike to ensure safe usage and minimize adverse effects.

Mechanism of Action

Phenothiazines exert their therapeutic effects by blocking dopamine receptors in the brain, thereby altering neurotransmitter activity and reducing symptoms of psychosis. Additionally, they also block other receptors such as histamine and alpha-adrenergic receptors, contributing to their sedative and antiemetic properties.

Types of Phenothiazines

There arevarious phenothiazine derivatives available, including chlorpro mazine, fluphenazine, thioridazine, and promethazine, among others. Each may have slightly different pharmacological properties and side effect profiles, but they share common characteristics regarding toxicity.

Toxic Effects

Extra Pyramidal Symptoms (EPS)

One of the most well-known toxic effects of phenothiazines is the development of extrapyramidal symptoms, which include akathisia, parkinsonism, and tardive dyskinesia. These symptoms can range from mild discomfort to severe motor disturbances and can be particularly problematic with long-term use.

Introduction

Azoles, a class of organic compounds containing a five-membered nitrogen containing ring, have garnered significant attention in various fields, including agriculture, medicine, and industry. These compounds are renowned for their diverse applications, particularly as anti fungal agents in both human and veterinary medicine, as well as in agriculture for crop protection. Whatever it may be, alongside their efficacy, concerns have arisen regarding their potential toxicity and environmental impact.

The Role of Azoles

Azoles play a crucial role in combating fungal infections in humans and animals. They inhibit the synthesis of ergosterol, a vital component of fungal cell membranes, thereby disrupting fungal growth and proliferation. Additionally, azoles are used in agriculture to protect crops from fungal diseases, contributing to higher yields and improved food security.

Toxicological Concerns

While azoles have proven effective in controlling fungal infections, their use raises concerns due to potential adverse effects on human health and the environment. The toxicity of azoles stems from several factors, including their mode of action, chemical properties, and metabolic pathways.

Veterinary ultrasonographer has to write report of ultrasonography in different animals. The proper ultrasound report writing is the moral duty of the vet ultrasonographer. The accuracy of diagnosis must be ensured. The poor resolution/quality of machine may lead to erroneous diagnosis. Therefore, veterinarian must ensure good quality of machine and proper diagnosis. The report might be different in different animals e.g. report writing about uterus will be different in bitch, cows, buffaloes, camel, horse, goat and sheep. However following might be guidelines in writing ultrasound report of uterus. fetus, endometrium

Uterus: Position of uterus, contents in the uterus, shape and size in initial pregnancy and infections, appearance of myometrium, thickening of uterine layers, presence or absence of fluied/pus/masses, left and right horns and their contents. Observations on the images of uterine fluid and its echoicity, membrane appearance in pregnant animals. Special attentions should be paid to endometrium.

Endometrium: Appearance and thickness; any growth on the surface of endometrium. Images of retained portion of placenta can be ascribed in the cases of retained placenta.

Ovary: Ovaries are scanned to assess cyclic structures, size, shape, its Position/ location and internal echo pattern of follicles. This echo pattern will indicate whether follicle is normal, cystic or with any other abnormalities of follclular f luid. Ultrasound reports also include shape and size of corpus luteum. In cows and buffaloes, presence of cavity, looseness/compactness of luteal cells are also mentioned.

Ultrasonography of the GI tract presents problems and challenges for the sonographer. Sonography of the GI viscera was once throught to be impossible because of artifacts created by gas within the lumen but with the technical advancement in the ultrasonography now the problem has been solved. If the animal is kept of feed and adlib water is given to the dog with I/v fluid than ultrasonography becomes helpful in the diagnosis of gastrointestinal tract disorders. Other conditions such as esophageal carcinomas can also been diagnosed by ultrasonographic endoscopy. in human beings.

The normal ultrasonography of the liver, kidney, stomach & spleen in dogs has been standardized and its use in evaluation of pathological lesions has been reported but ultrasonographic evaluation of oesophagus & intestine, both in normal animals and diseased conditions is yet to be established. Therefore normal ultrasonography of the oesophagus & small intestine in dogs and the importance of diagnostic capability of ultrasonography in diagnosis of pathology of these organs have been compiled.

Mammary glands are important part of body which synthesize and store the milk in between milkings or suckling by the calf. Therefore it attains prime importance in any dairy animal. However, it has received little attention in buffaloes till now. Buffalo presents several unique characteristics in terms of milk production, length and shape of teats and arrangement of duct system in the mammary glands. Development of udder may be related to milk production and the knowledge of changes in its structure in relation to different physiological stages may also have practical implication.

Transducer Selection and Preparation of Scanning

Preparation of the site to be imaged will enhance the quality of the image. Therefore, any loose hair and dirt must be clean off. Ultrasound gel is applied to the area of interest. The gel acts as a coupling agent to prevent air from trapping between the transducer and skin. A 7.5 MHz transducer is ideal for imaging the teats. A 5.0 MHz transducer provides an adequate image. The mammary gland should be scanned with a 5.0-7.5 MHz transducer to give adequate penetration. All structures should be scanned in cross section and longitudinal planes.

This paper primarily considers the general principles of ultrasound and instrumentation and its application in camel reproduction.

Ultrasound waves are mechanical pressure waves similar to audible sound waves and must have a medium in which to audible sound waves and must have a medium in which to propagate. The “frequency” (f) is the number of high- or low- pressure regions crossing each area of tissue each second. The frequencies of the sound waves used in medical ultrasound are much higher than the human audible range (20 to 16000 Hz); hence the waves are called ultrasound. Ultrasound instrumentation

The gray scale imaging equipment uses only time delay and echo amplitude information in creating the image. Most equipment contains the same basic building- block circuits; transmitter, receiver, display and scan converter.

Transmitter

The first circuit building block, the transmitter circuit produces either a high- amplitude, short- duration voltage shock pulse or a driving voltage waveform. Then an output control attenuates the amplitude of the shock pulse or the driving voltage wave form before it is applied to the transducer.

Corpus luteum, one of the biological clock of the estrous cycle and pregnancy, is known foremost for its production of progesterone that blocks the pituitary release of gonadotrophins and prepare the uterus for pregnancy. The ovarian follicle wall consists of granulosa cell and theca cells vascularised and luteinize after ovulation to from a corpus luteum. Corpus luteum is temporary steroid- producing gland undergoes marked structural and functional changes far a short time span during its development functional life and regression. During estrous cycle, the corpus luteum undergoes an initial period of growth (metestrus), followed by a period of maximal function (diestus) and finally by a period of regression (proestrus) preceding the next ovulation (Robert, 1986). The most prominent cell in the CL is the large luteal steroidogenic cell.

Ultrasound imaging has been used to detect and measure the corpus luteum throughout the estrous cycle and corpus luteum has been characterized during pregnancy and non pregnancy. Changes in corpus luteum diameter as detected by ultrasonography are highly correlated with progesterone production. A high correlation has been found in the ultrasonographic detection of bovine corpora lutea (Lean et al., 1992) and between luteal tissue area measured ultrasonographically and plasma progesterone concentration (Bergfelt et al., 1989).

Real time ultrasonography provides means to directly image the reproductive tract. An extensive amount of information can be gained from even a single examination, including determination of ovarian (luteal or follicle detection) and uterine status, detection and monitoring of ovarian and uterine pathology, monitoring the post-partum mare, detection of twins, prediction of ovulation, fetal growth and development and determination of sex of fetus. When first introduced the use of ultrasonography was primarily limited to early pregnancy diagnosis only, with advancement of knowledge and interpretive skills, the diagnostic ultrasonography has a much more application in reproduction. Some of the applications are discussed in this lecture.

Procedure

The procedure and precautions for intrarectal ultrasonographic examination are similar to those for rectal palpation, and no additional restraint is required. The transducer should be protected by the examiner’s hand to prevent trauma to the rectal wall, and the transducer should be well-lubricated. Care should be taken to avoid fecal material attaching to the transducer. After evacuating fecal material from the rectum, the probe is introduced and moved across the reproductive tract in the following pattern: uterine body, right uterine horn, right ovary, right uterine horn, uterine body, left uterine horn, left ovary, left uterine horn, uterine body then cervix. Good contact must exist between the transducer and rectal wall. Air in the rectum or a gas or fluid-filled loop of bowel will result in a distorted image. To minimize scanning errors, principally those of omission, it is recommended to conduct the same scanning procedure during each examination.

Ultrasonography in bull is helpful in diagnosis of problems of testis and accessory glands. This can also be used in assessment of development of these organs. Such developmental assessment, when combined with endocrine data, is useful to know age of puberty, sexual development and dimension of these organs. The ultrasonographic images and data are available for testis, bulbourethral gland, prostate and seminal vesicles in the bull. Ultrasonography of testis of bull can be useful to assess developmental changes, testicular dimensions and pathological conditions of the testis viz. tumors, lesions, abscess etc. Epididymis can also be examined for change in lumen, inflammation, granuloma etc. The accessory sex glands can be better viewed in ultrasonographic scanning to assess their dimensions, normal developmental changes and alterations in their morphology. Before, ultrasonography is undertaken, one should thoroughly revise the knowledge of sectional anatomy and location of these organs.

Testis

Location: The testis, in the bull, is located in the scrotum. In abnormal conditions, the testis might be retained in the inguinal canal or abdomen. Before, ultrasonography, location of the testis should be assured. For this, the testis should be palpated to assess their pliability and rule out adhesions with the scrotal wall. In normal condition, the testis should be freely movable in the scrotum, soft of palpation and both the testis should touch the bottom end of scrotum.