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Topic:Clinical Study

Clinical studies in equine research involve the systematic investigation of health and disease in horses through structured scientific methods. These studies aim to evaluate the safety and efficacy of treatments, understand disease mechanisms, and improve veterinary care practices. Clinical studies can include randomized controlled trials, observational studies, and case-control studies. They may focus on various aspects such as pharmacokinetics, therapeutic interventions, and diagnostic techniques. This page compiles peer-reviewed research studies and scholarly articles that explore the design, implementation, and findings of clinical studies in equine medicine, providing insights into their impact on horse health and veterinary practices.
Effects of acellular equine amniotic allografts on the healing of experimentally induced full-thickness distal limb wounds in horses.
Veterinary surgery : VS    August 6, 2019   Volume 48, Issue 8 1416-1428 doi: 10.1111/vsu.13304
Fowler AW, Gilbertie JM, Watson VE, Prange T, Osborne JA, Schnabel LV.To characterize the growth factors contained in equine amniotic membrane allograft (eAM; StemWrap scaffold and StemWrap+ injection) and to evaluate the effect of eAM on equine distal limb wound healing. Methods: Prospective experimental controlled study. Methods: Eight adult horses. Methods: Transforming growth factor (TGF)-β1, vascular endothelial growth factor (VEGF), epidermal growth factor, platelet-derived growth factor-BB, and prostaglandin E2 (PGE2 ) concentrations in StemWrap+ were assessed with enzyme-linked immunosorbent assay. Two full-thickness 6.25-cm2 skin wounds were created on...
Comparison of fasted basal insulin with the combined glucose-insulin test in horses and ponies with suspected insulin dysregulation.
Veterinary journal (London, England : 1997)    August 5, 2019   Volume 252 105351 doi: 10.1016/j.tvjl.2019.105351
Olley RB, Carslake HB, Ireland JL, McGowan CM.Fasting horses for measurement of basal serum insulin concentration (fasting insulin; FI) has been recommended to standardise testing for insulin dysregulation (ID), yet limited data exist comparing it to dynamic tests. This study aimed to compare FI with the combined glucose-insulin test (CGIT) in horses suspect for ID. We hypothesised that FI would have poor sensitivity for detecting ID compared to CGIT using conventional cut-offs. Records were retrieved from CGITs performed in horses fasted for approximately 8h. Serum insulin and glucose concentrations were measured before and for 150min fo...
Effects of general anaesthesia in dorsal recumbency with and without vatinoxan on bronchoalveolar lavage cytology of healthy horses.
Veterinary journal (London, England : 1997)    August 5, 2019   Volume 251 105352 doi: 10.1016/j.tvjl.2019.105352
Rossi H, Raekallio M, Määttä M, Tapio H, Hanifeh M, Junnila J, Rajamäki MM, Mykkänen A.Pneumonia is one of the potential complications of general anaesthesia in horses. Anaesthesia is known to increase neutrophils in bronchoalveolar lavage fluid (BALF) of horses after lateral recumbency, but studies after dorsal recumbency are lacking. Our primary aim was to determine when lung inflammation reaches its maximum and how rapidly BALF cytology returns to baseline after anaesthesia in dorsal recumbency. A secondary aim was to investigate the possible effect of vatinoxan, a novel drug, on the BALF cytology results. Six healthy experimental horses were enrolled in this observational cr...
Effects of follicular ablation and induced luteolysis on LH and follicular fluid factors during the periovulatory period in mares.
Animal reproduction science    August 4, 2019   Volume 209 106142 doi: 10.1016/j.anireprosci.2019.106142
Martínez-Boví R, Zagrajczuk A, Donadeu FX, Skarzynski DJ, Piotrowska-Tomala K, Cuervo-Arango J.Haemorrhagic anovulatory follicles (HAFs) are the most common pathological anovulatory condition in the mare. To enhance understanding of the physiopathology of HAFs, the aim of the present study was to determine the effects of an induced-follicular wave on LH concentrations and follicular fluid factors relevant to the ovulatory process. Mares were allocated to treatment or control groups (n = 7/group) in a crossed over design during 14 oestrous cycles with a period of one cycle occurring when there were no treatments between the times when treatments were administered. In the treatment gr...
Clinical insights: Equine anaesthesia and analgesia.
Equine veterinary journal    August 3, 2019   Volume 51, Issue 5 563-564 doi: 10.1111/evj.13147
Southwood L.No abstract available
Letter to the Editor: Prospective, randomised clinical trial of four different presurgical hand antiseptic techniques in equine surgery.
Equine veterinary journal    August 3, 2019   Volume 51, Issue 5 705 doi: 10.1111/evj.13139
Kampf G, Verwilghen D.No abstract available
Letter to the Editor: Can quantitative computed tomography detect bone morphological changes associated with catastrophic proximal sesamoid bone fracture in Thoroughbred racehorses?
Equine veterinary journal    August 3, 2019   Volume 51, Issue 5 706-707 doi: 10.1111/evj.13138
Pease A, Marr C.No abstract available
Randomised study of the immunomodulatory effects of azithromycin in severely asthmatic horses.
The Veterinary record    August 3, 2019   Volume 185, Issue 5 143 doi: 10.1136/vr.105260
Mainguy-Seers S, Vargas A, Labrecque O, Bédard C, Hélie P, Lavoie JP.Neutrophilic inflammation is believed to contribute to the airway obstruction and remodelling in equine asthma. Azithromycin, an antibiotic with immunomodulatory properties, reduces pulmonary neutrophilia and hyper-responsiveness in human asthmatics and decreases airway remodelling in rodent models of asthma. It was therefore hypothesised that azithromycin would improve lung function, mucus accumulation and central airway remodelling by decreasing luminal neutrophilia in severe equine asthma. The effects of a 10-day treatment with either azithromycin or ceftiofur, an antimicrobial without immu...
Effect of artificial vagina lubricants on stallion sperm quality.
Theriogenology    August 2, 2019   Volume 139 121-125 doi: 10.1016/j.theriogenology.2019.08.004
Serafini R, Ghosh S, Love CC, Medrano JMR, Teague SR, LaCaze KA, Varner DD.Commercially available vaginal lubricants, typically labeled as non-spermicidal, are used to lubricate equine artificial vaginas prior to semen collection. Improper type or amount of lubricant might affect stallion sperm quality, either after short-time exposure or following cooled storage of extended semen previously exposed to lubricant. The aim of this study was to evaluate stallion sperm quality following exposure to lubricant-containing extender for 1 h (T1h) or 24 h (T24h). Three ejaculates were collected from each of four stallions using a small volume of petrolatum to lubricate a...
Pharmacokinetics of furosemide in thoroughbred horses subjected to supramaximal treadmill exercise with and without controlled access to water.
BMC veterinary research    August 2, 2019   Volume 15, Issue 1 275 doi: 10.1186/s12917-019-2017-3
Villarino NF, Lopez CM, Sams RA, Bayly WM.The primary objective of this study was to assess the disposition of furosemide in Thoroughbred horses treated intravenously with 1 mg/kg of furosemide 4 and 24 h before supramaximal treadmill exercise without and with controlled access to water, respectively. Another objective was to determine whether furosemide was detectable in the plasma of horses after exposure to supramaximal treadmill exercise. Thoroughbred horses (n = 4-6) were administered single intravenous doses of 1 mg/kg of furosemide at 4 and 24 h before supramaximal exercise on a high-speed treadmill, with controlled ...
Anatomical variations of the equine popliteal tendon.
Journal of veterinary science    August 1, 2019   Volume 20, Issue 4 e36 doi: 10.4142/jvs.2019.20.e36
Cuevas-Ramos G, Cova M, Arguelles D, Prades M.The function of the popliteal muscle and tendon in horses remains undescribed. In humans, it is considered a stabilizer of the posterior-lateral region of the knee; its function is closely related to that of the lateral collateral ligament (LCL) and meniscus. The popliteal tendon (PopT) constitutes the main proximal attachment of the popliteus muscle to the femur, and in humans, insertional variations have been described. Knowledge of anatomical variations is needed for the correct interpretation of diagnostic images and arthroscopic findings. To elucidate further the anatomy of the equine Pop...
Highlights of recent clinically relevant papers.
Equine veterinary education    August 1, 2019   Volume 31, Issue 9 450-451 doi: 10.1111/eve.13155
Wright S.No abstract available
Prospective randomized comparison of platelet rich plasma to extracorporeal shockwave therapy for treatment of proximal suspensory pain in western performance horses.
Research in veterinary science    August 1, 2019   Volume 126 38-44 doi: 10.1016/j.rvsc.2019.07.020
Giunta K, Donnell JR, Donnell AD, Frisbie DD.Proximal suspensory desmitis (PSD) is a frequent cause of lameness in the performance horse. Extracorporeal shockwave therapy (EST) and platelet rich plasma (PRP) have become common treatments for PSD yet clinical data on efficacy is limited. The main objective of this randomized, prospective clinical study was to compare long-term effectiveness of EST and PRP in Western performance horses. One hundred horses with lameness localized to the proximal suspensory ligament received treatment with either PRP or EST following baseline ultrasonographic evaluation. A veterinarian and agent evaluated th...
Equine infectious keratitis in Finland: Associated microbial isolates and susceptibility profiles.
Veterinary ophthalmology    July 31, 2019   Volume 23, Issue 1 148-159 doi: 10.1111/vop.12701
Mustikka MP, Grönthal TSC, Pietilä EM.To retrospectively describe laboratory findings, treatment, and outcome associated with equine infectious keratitis in Finland. Unassigned: Medical records of horses diagnosed with infectious keratitis in University of Helsinki Equine Hospital from January 2007 to June 2018 were reviewed. Results: Forty-seven cases were included. Keratomycosis was diagnosed in 27 eyes and bacterial keratitis in 20 eyes. Aspergillus flavus was the most frequent fungal isolate (9/17, 53%), followed by Cylindrocarpon sp. (3/17, 18%) and Aspergillus fumigatus (2/17, 12%). Susceptibility was tested for 10/11 Asperg...
Evaluation of a Simplified Loops System for Emergency Rescue Lifting of the Stranded or Recumbent Horse.
Animals : an open access journal from MDPI    July 31, 2019   Volume 9, Issue 8 511 doi: 10.3390/ani9080511
Madigan J, Costa L, Nieves S, Horgan M, Weberg K, Aleman M.Stranded and recumbent equids often require emergency rescue, and a successful rescue often requires vertical lifting of the animal. Currently, the devices used for vertical lifting of equids are not readily available at an incident or urgent situation. The current study describes and evaluates the use of a simple lift device utilizing commercially available, and reasonably priced, equipment. The system, referred to as the Loop Vertical Lift System or Loops System, is basically composed of four round slings placed in such a way that utilizes the skeletal system for support. The study demonstra...
Equine cheek tooth extraction: Comparison of outcomes for five extraction methods.
Equine veterinary journal    July 30, 2019   Volume 52, Issue 2 181-186 doi: 10.1111/evj.13150
Caramello V, Zarucco L, Foster D, Boston R, Stefanovski D, Orsini JA.Post-operative complications are reported for all methods of equine cheek tooth extraction but not all methods carry the same risks. An outcome comparison for commonly used methods is needed so that clinicians can make informed treatment decisions. Objective: We conducted a side-by-side comparison of five cheek tooth extraction methods, comparing types and incidence of complications among oral extraction, tooth repulsion (three surgical approaches) and lateral buccotomy techniques. Methods: Retrospective clinical study using hospital medical records. Methods: Medical records of all horses unde...
Equine odontogenic tumors: Clinical presentation, CT findings, and outcome in 11 horses. Morgan RE, Fiske-Jackson AR, Hellige M, Gerhauser I, Wohlsein P, Biggi M.Odontogenic tumors present as locally invasive, slow growing, firm swellings on the face. They are rare in all species and are characterized histologically by the degree of differentiation and dental tissue of origin. Radiographic appearance is not pathognomonic for these lesions. Computed tomographic (CT) examination allows exact determination of tumor extension and aggressiveness. The objectives of this retrospective, case series study were to describe the clinical presentation, CT characteristics, and outcome in horses with histologically confirmed odontogenic tumors, and to identify imagin...
Emergence of carriage of CTX-M-15 in faecal Escherichia coli in horses at an equine hospital in the UK; increasing prevalence over a decade (2008-2017).
BMC veterinary research    July 29, 2019   Volume 15, Issue 1 268 doi: 10.1186/s12917-019-2011-9
Isgren CM, Edwards T, Pinchbeck GL, Winward E, Adams ER, Norton P, Timofte D, Maddox TW, Clegg PD, Williams NJ.This study investigated changes over time in the epidemiology of extended-spectrum β-lactamase (ESBL) producing Escherichia coli within a single equine referral hospital in the UK. Faecal samples were collected from hospitalised horses in 2008 and 2017, processed using selective media and standard susceptibility laboratory methods. A novel real-time PCR with high resolution melt analysis was used to distinguish bla and bla within CTX-M-1 group. Results: In 2008, 457 faecal samples from 103 horses were collected, with ESBL-producing E. coli identified in 131 samples (28.7, 95% CI 24.6-33.1). I...
Equine cervical intervertebral disc degeneration is associated with location and MRI features. Veraa S, Bergmann W, Wijnberg ID, Back W, Vernooij H, Nielen M, van den Belt AM.Morphology of the equine cervical intervertebral disc is different from that in humans and small companion animals and published imaging data are scarcely available. The objectives of this exploratory, methods comparison study were (a) to describe MRI features of macroscopically nondegenerated and degenerated intervertebral discs (b) to test associations between spinal location and macroscopic degeneration or MRI-detected annular protrusion and between MRI-detected annular protrusion and macroscopic degeneration, and (c) to define MRI sequences for characterizing equine cervical intervertebral...
Wound Photobiomodulation Treatment Outcomes in Animal Models.
Journal of veterinary medicine    July 28, 2019   Volume 2019 6320515 doi: 10.1155/2019/6320515
Lopez A, Brundage C.The possibilities that photobiomodulation has brought on to the medical field are ever expanding and the scope it has reached is infinite. Determining how this relatively new treatment technique can be incorporated into the veterinary medical field is of interest to many medical professionals. In this review, we examine the treatment outcomes of low-level-laser therapy (LLLT) in different animal models to pinpoint any similarities between the studies. A search was conducted to identify LLLT studies using different animal models with an open or closed wound. The studies were compared to identif...
Equine urinary N-acetyl-β-D-glucosaminidase assay validation and correlation with other markers of kidney injury. Bayless RL, Moore AR, Hassel DM, Byer BJ, Landolt GA, Nout-Lomas YS.Detection of equine acute kidney injury (AKI) is hindered by limited markers of early renal damage in horses. N-acetyl-β-D-glucosaminidase (NAG), a lysosomal enzyme in renal tubular epithelium released into urine during tubular insult, has shown promise for early identification of AKI in humans and other species. We validated an assay for NAG in equine urine and measured urinary NAG in 7 azotemic and 7 non-azotemic client-owned adult horses. The enzymatic NAG assay was validated using within- and between-run coefficients of variation (CVs), recovery following standard addition, and linearity ...
Effect of body condition on intestinal permeability in horses.
American journal of veterinary research    July 25, 2019   Volume 80, Issue 8 792-798 doi: 10.2460/ajvr.80.8.792
Kopper JJ, Travers JL, Schott HC, Cook VL.To investigate effects of body condition on permeability of intestinal mucosa in horses. Methods: 13 horses (7 obese and 6 lean) from 8 to 15 years of age. Methods: Body condition score was assessed, and an oral sugar test (OST) was performed to evaluate glucose and insulin dynamics. Horses were allowed a 2-week diet acclimation period and were then euthanized. Tissue samples were collected from the jejunum, ileum, cecum, pelvic flexure, right dorsal colon, and rectum. Mucosal permeability was assessed by measuring transepithelial resistance and lipopolysaccharide (LPS) flux across tissue samp...
Prevalence of adverse events and their effect on completion of high speed treadmill exercise tests at a single institution (2000-2015).
Equine veterinary journal    July 25, 2019   Volume 52, Issue 2 232-237 doi: 10.1111/evj.13143
Brown K, Stefanovski D, Davidson E.Decline in high speed treadmill (HSTM) exercise testing may be attributed to the rise of over-ground endoscopy and telemetric electrocardiography, in addition to concerns of adverse events during treadmill exercise resulting in injury or inadequate testing. Objective: To describe adverse events occurring during HSTM exercise tests at a single institution and determine their effect on likelihood of completing diagnostic HSTM exercise testing. Methods: Retrospective cohort study. Methods: Pearson's chi-square test was used to determine if a significant difference in frequencies of adverse events...
The cresty neck score is an independent predictor of insulin dysregulation in ponies.
PloS one    July 24, 2019   Volume 14, Issue 7 e0220203 doi: 10.1371/journal.pone.0220203
Fitzgerald DM, Anderson ST, Sillence MN, de Laat MA.Generalized obesity, regional adiposity, hyperinsulinemia and hypertriglyceridemia are all potential indicators of equine metabolic syndrome (EMS). This study aimed to assess the relationship between morphometric measurements of body condition and metabolic hormone concentrations in ponies, with and without a neck crest or generalised obesity. Twenty-six ponies were assigned a body condition score (BCS) and cresty neck score (CNS). Height, girth, and neck measurements were taken. An oral glucose test (OGT; 0.75g dextrose/kg BW) was performed and blood samples collected prior to and 2 hours pos...
Comparative Anti-inflammatory Effects of Insulin and Flunixin on Acute-Phase Responses and Cardiovascular Biomarkers During Inflammatory Phase in Miniature Donkeys.
Journal of equine veterinary science    July 24, 2019   Volume 81 102788 doi: 10.1016/j.jevs.2019.102788
Samimi AS, Samimi K, Karimiafshar M, Tajik J.The objective of this study was to comparatively evaluate the anti-inflammatory effects of intravenous administration of insulin (in different doses) and flunixin on physiological variables, acute-phase responses, and cardiovascular biomarkers during inflammatory phase which was induced by Escherichia coli lipopolysaccharide (LPS) serotype O55:B5 in miniature donkeys. A total of twenty-four clinically healthy male adult miniature donkeys aged 5 ± 1 year and weighing 120 ± 10 kg were studied. The animals were assigned randomly to four experimental groups (three treatment and one positive co...
Epithelial-to-mesenchymal transition and keratinocyte differentiation in equine experimental body and limb wounds healing by second intention.
Veterinary dermatology    July 22, 2019   Volume 30, Issue 5 417-e126 doi: 10.1111/vde.12774
Jørgensen E, Pirone A, Jacobsen S, Miragliotta V.The re-epithelialization process in equine wound healing is incompletely described. For epithelial cells to migrate during embryogenesis they undergo epithelial-to-mesenchymal transition (EMT); this phenotypic transition occurs during wound healing in humans and rodents, but it has not been investigated in horses. Objective: To investigate keratinocyte differentiation and EMT in equine experimental excisional limb and body wounds healing by second intention. Methods: Six adult research horses. Methods: Immunohistochemical analysis was used to detect expression of the differentiation markers cy...
Long-term prognosis for return to athletic function after interspinous ligament desmotomy for treatment of impinging and overriding dorsal spinous processes in horses: 71 cases (2012-2017).
Veterinary surgery : VS    July 22, 2019   Volume 48, Issue 7 1278-1286 doi: 10.1111/vsu.13298
Prisk AJ, García-López JM.To determine the long-term return to performance of horses with impinging and/or overriding dorsal spinous processes (ORDSP) treated with interspinous ligament desmotomy (ISLD) and to determine the prognostic value of radiographic and scintigraphic grades. Methods: Retrospective study. Methods: Seventy-one horses with ORDSP treated with ISLD. Methods: Medical records were reviewed for signalment, physical examination, gait evaluation, and number of interspinous spaces treated. Preoperative radiographic and scintigraphic images were evaluated with grading scales. Follow-up was obtained with a t...
A study of residual lesions in horses that recovered from clinical signs of chronic equine dysautonomia.
Journal of veterinary internal medicine    July 22, 2019   Volume 33, Issue 5 2302-2311 doi: 10.1111/jvim.15567
Milne EM, Pirie RS, Hahn CN, Del-Pozo J, Drummond D, Moss S, McGorum BC.Equine dysautonomia (ED) causes degeneration and loss of autonomic neurons. Approximately 50% of chronic cases recover, but it is unclear how they survive neuronal loss. Objective: To assess lesions, autonomic neuron numbers, interstitial cells of Cajal (ICC), and neurodegeneration in recovered cases. Methods: Thirteen cases (group ED), euthanized 10.3 ± 5.2 (1-16) years from diagnosis and 6 age-matched controls (group C). Methods: Prospective, case control; routine post mortem examination, neuron counts in peripheral and enteric ganglia and immunohistochemical assessment of neural networ...
Agreement among equine veterinarians and between equine veterinarians and inertial sensor system during clinical examination of hindlimb lameness in horses.
Equine veterinary journal    July 21, 2019   Volume 52, Issue 2 326-331 doi: 10.1111/evj.13144
Leelamankong P, Estrada R, Mählmann K, Rungsri P, Lischer C.Hindlimb lameness evaluation is known to be challenging. Experience is essential for the ability of equine veterinarians to detect lameness. Nevertheless, even an experienced veterinarian is still subject to bias. Objective lameness detecting methods have been established to aid veterinarians. Objective: 1) To estimate the effect of experience on the interobserver agreement and the agreement between a body-mounted inertial sensor system (BMISS) and veterinarians on detecting hindlimb lameness, and 2) to estimate the agreement between the BMISS and highly experienced veterinarians on change in ...
Steroids and laminitis – the value of evidence over anecdote.
The Veterinary record    July 20, 2019   Volume 185, Issue 3 79-81 doi: 10.1136/vr.l4730
Rendle D.No abstract available