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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.
Retained placenta in Friesian mares: incidence, and potential risk factors with special emphasis on gestational length.
Theriogenology    February 6, 2004   Volume 61, Issue 5 851-859 doi: 10.1016/s0093-691x(03)00260-7
Sevinga M, Barkema HW, Stryhn H, Hesselink JW.During the foaling seasons of 1999 and 2000, the incidence of retained placenta in 495 normal parturitions of 436 Friesian brood mares was studied. Retained placenta was defined as a failure to expel all fetal membranes within 3 h of the delivery of the foal. Furthermore, the sex of the foal, month of breeding, sire and dam's sire, age of the mare, and time of day of foaling, were studied as factors that might be associated with retained placenta in Friesian mares after normal foalings, and with gestational length. The analysis was carried out using marginal logistic regression, and mixed line...
Evaluation of decision criteria for detection of spinal cord compression based on cervical myelography in horses: 38 cases (1981-2001).
Equine veterinary journal    February 6, 2004   Volume 36, Issue 1 14-20 doi: 10.2746/0425164044864642
van Biervliet J, Scrivani PV, Divers TJ, Erb HN, de Lahunta A, Nixon A.Different criteria have been described based on height reduction of the total myelographic contrast column and components of it as tests for compression of the spinal cord due to cervical stenotic myelopathy (CSM). Fifty percent height reduction of the dorsal myelographic column (DMC), <2 mm empiric height of the DMC and a 40% reduction of the ratio of stenosis calculated based on the height reduction of the entire dural diameter (DD) have been described as decision criteria for considering the test result positive. The reasons for selecting these decision criteria or their accuracies have ...
Transcranial magnetic stimulation: normal values of magnetic motor evoked potentials in 84 normal horses and influence of height, weight, age and sex.
Equine veterinary journal    February 6, 2004   Volume 36, Issue 1 51-57 doi: 10.2746/0425164044864660
Nollet H, Deprez P, van Ham L, Dewulf J, Decleir A, Vanderstraeten G.Cervical spinal cord dysfunction is a common problem in equine medicine and the currently available tests give no objective information about the functionality of the nervous tracts. Therefore, transcranial magnetic stimulation (TMS) was performed in 84 healthy horses of different height in order to have an objective measure for the integrity of the descending motor tracts in normal horses. Objective: To obtain reference values for onset latency and peak-to-peak amplitude of magnetic motor evoked potentials (MMEPs) and to evaluate the possible effect of height, age and gender on the neurophysi...
Measurement of respiratory function by impulse oscillometry in horses.
Equine veterinary journal    February 6, 2004   Volume 36, Issue 1 21-28 doi: 10.2746/0425164044864714
van Erck E, Votion D, Art T, Lekeux P.Due to technical implementations and lack of sensitivity, pulmonary function tests are seldom used in clinical practice. Impulse oscillometry (IOS) could represent an alternative method. Objective: To define feasibility, methodology and repeatability of IOS, a forced oscillation technique that measures respiratory resistance (Rrs) and reactance (Xrs) from 5 to 35 Hz during spontaneous breathing, in horses. Methods: Using 38 healthy horses, Rrs and Xrs reference values were defined and influence of individual biometrical parameters was investigated. In addition, IOS measurements of 6 horses sho...
Is isoflurane safer than halothane in equine anaesthesia? Results from a prospective multicentre randomised controlled trial.
Equine veterinary journal    February 6, 2004   Volume 36, Issue 1 64-71 doi: 10.2746/0425164044864723
Johnston GM, Eastment JK, Taylor PM, Wood JL.Approximately 1 in 100 horses suffer unexpectedly from anaesthetic-related death. Identification and use of the safest anaesthetic drugs should support this aim. Experimental evidence has suggested that isoflurane should be a safer maintenance agent in equine anaesthesia than halothane. Objective: The death rate would be reduced in horses being maintained with isoflurane compared to halothane. Methods: A multicentre randomised controlled trial was undertaken to compare the effects of isoflurane and halothane for maintenance of equine anaesthesia for all types of operation. Data were analysed f...
Total and partial ovariohysterectomy in seven mares.
Equine veterinary journal    February 6, 2004   Volume 36, Issue 1 29-33 doi: 10.2746/0425164044864633
Rötting AK, Freeman DE, Doyle AJ, Lock T, Sauberli D.Ovariohysterectomy appears to have a low mortality rate in mares, but the procedure needs to be reviewed because of the high risk of life-threatening complications. Objective: That ovariohysterectomy can be effective treatment for a variety of uterine diseases in mares and carries a good prognosis. Methods: Diagnosis, clinical data, surgical technique, post operative care, complications and outcome were recorded from medical records of 7 mares that underwent total (6) and partial (1) ovariohysterectomy at the University of Illinois from 1994 to 2001. Results: The indications for ovariohysterec...
A dose titration of triamcinolone acetonide on insulin-like growth factor-1 and interleukin-1-conditioned equine cartilage explants.
Equine veterinary journal    February 6, 2004   Volume 36, Issue 1 58-63 doi: 10.2746/0425164044864615
Sandler EA, Frisbie DD, McIlwraith CW.Previous in vitro pilot studies have defined a potentially beneficial effect of insulin-like growth factor-1 (IGF-1) and triamcinolone acetonide (TA) on interleukin-1 (IL-1)-conditioned equine cartilage. Furthermore, an optimal dose for IGF-1 treatment alone has been documented previously using the same test system as in the current project. Objective: To perform a dose titration of TA on IL-1-conditioned equine articular cartilage explants in the presence of an optimised IGF-1 dose, in order to optimise a triamcinolone concentration for use in combination with IGF-1 for future investigations....
Serum osteocalcin in donkeys as evaluated with an equine-specific radioimmunoassay.
Journal of animal physiology and animal nutrition    February 1, 2004   Volume 88, Issue 1-2 1-6 doi: 10.1111/j.1439-0396.2004.00443.x
Carstanjen B, Amory H, Youssao I, Remy B.The purpose of this study was to validate an equine-specific osteocalcin (OC) radioimmunoassay (RIA) for use in donkeys and to establish age-related changes in serum OC concentrations in healthy donkeys. Serial dilutions of donkey serum showed parallelism with standard curves obtained with the equine-specific OC RIA. There was a tight linear regression between donkey serum OC values obtained with the equine specific OC RIA and a commercially available bovine-specific OC RIA. Serum OC levels of 27 healthy donkeys, analysed with the equine-specific OC RIA, showed a tight negative logarithmic reg...
Treatment and prevention of equine gastric ulcer syndrome.
The Veterinary clinics of North America. Equine practice    January 27, 2004   Volume 19, Issue 3 575-597 doi: 10.1016/j.cveq.2003.08.012
Buchanan BR, Andrews FM.EGUS is a common problem in horses and foals. Acids are the important causative factors and current therapy targets the suppression of gastric HCl and creation of a permissive environment for ulcer healing. Diagnosis is based on history, clinical signs, gastroscopy, and response to treatment. Of the products available, only GastroGard (FDA approved) and ranitidine have been shown to be efficacious in the treatment of EGUS. Ranitidine is often associated with treatment failure as a result of incorrect dosing and lack of owner compliance, because of the three times daily dosing required. Also, E...
Treatment of acute and chronic gastrointestinal inflammation.
The Veterinary clinics of North America. Equine practice    January 27, 2004   Volume 19, Issue 3 697-714 doi: 10.1016/j.cveq.2003.08.010
Jones SL.Treating inflammation in the equine gastrointestinal tract remains a challenge. Our most potent anti-inflammatory drugs, COX inhibitors and glucocorticoids, have unwanted effects on the gastrointestinal tract and host defense that often limit their use. Newer strategies targeting specific cells and molecules that regulate a subset of the events occurring during inflammation are rapidly becoming available and should allow clinicians to reduce the detrimental effects of inflammation without inhibiting the beneficial aspects.
Treatment of gastrointestinal ischemic injury.
The Veterinary clinics of North America. Equine practice    January 27, 2004   Volume 19, Issue 3 715-727 doi: 10.1016/j.cveq.2003.08.004
Blikslager AT.Ischemic injury is one of the most important causes of mortality in equine veterinary medicine. Although treatment of reperfusion injury has been attempted in a number of experimental trials to reduce the level of injury subsequent to an ischemic episode, this research has not resulted in the development of useful clinical treatments. Nevertheless, recent studies assessing intraluminal application of solutions containing antioxidants, nutrients, and vasodilators are promising. Furthermore, focusing on improving mucosal recovery after an ischemic event may provide an alternative method of reduc...
Clinical application of prokinetics.
The Veterinary clinics of North America. Equine practice    January 27, 2004   Volume 19, Issue 3 729-vii doi: 10.1016/j.cveq.2003.08.001
Van Hoogmoed LM.Intestinal stasis or ileus is a significant cause of mortality and morbidity in horses and has been attributed to a variety of causes, including loss of intrinsic or extrinsic electrical activity, incoordination of contractile activity from regional stimuli, and dissociation between electrical and mechanical activity. Proposed mechanisms include systemic shock, electrolyte disturbances, persistent luminal distention, ischemia, inflammation, peritonitis, endotoxemia, and anesthesia. Because the cause of ileus is likely multifactorial, a variety of pharmaceutics have been used to target specific...
Gastrointestinal protectants and cathartics.
The Veterinary clinics of North America. Equine practice    January 27, 2004   Volume 19, Issue 3 599-615 doi: 10.1016/j.cveq.2003.08.008
Tillotson K, Traub-Dargatz JL.The purpose of this article is to provide the reader with an overview of gastrointestinal cathartics and protectants and to point out possible applications for use in the horse with gastrointestinal disease. Most of the treatments described in this article have been used by the authors with apparent success; however, controlled studies with subsequent publication in the scientific literature with respect to these treatments in the horse are, for the most part, lacking. The authors view this emerging field of treatment as exciting and look forward to substantiating the efficacy of several of th...
Management of comminuted fractures of the proximal phalanx in horses: 64 cases (1983-2001).
Journal of the American Veterinary Medical Association    January 23, 2004   Volume 224, Issue 2 254-263 doi: 10.2460/javma.2004.224.254
Kraus BM, Richardson DW, Nunamaker DM, Ross MW.To report the outcome of surgical treatment of comminuted fractures of the proximal phalanx in horses. Methods: Retrospective study. Methods: 64 horses. Methods: Medical records and radiographs were reviewed to obtain information regarding signalment, fracture classification, and treatment. Follow-up information was obtained by telephone conversation or evaluation of production records. Results: Thirty-eight horses had moderately comminuted fractures of the proximal phalanx. Two horses were euthanatized immediately. Fractures of the proximal phalanx in 36 horses were repaired with open reducti...
Segmental ostectomy of the second and fourth metacarpal and metatarsal bones in horses: 17 cases (1993-2002).
Journal of the American Veterinary Medical Association    January 23, 2004   Volume 224, Issue 2 271-274 doi: 10.2460/javma.2004.224.271
Jenson PW, Gaughan EM, Lillich JD, Bryant JE.To determine clinical findings in and outcome of horses with fractures of the second or fourth metacarpal or metatarsal bone that underwent segmental ostectomy, leaving the proximal and distal portions of the bone undisturbed. Methods: Retrospective case series. Methods: 17 horses. Methods: Medical records were reviewed, and information on signalment, affected bone, lesion type, surgical procedure, amount of bone removed, and surgical and postsurgical complications was obtained. Follow-up information was obtained through telephone conversations with owners, trainers, and referring veterinarian...
Thermal cautery of the cornea for treatment of spontaneous chronic corneal epithelial defects in dogs and horses.
Journal of the American Veterinary Medical Association    January 23, 2004   Volume 224, Issue 2 250-224 doi: 10.2460/javma.2004.224.250
Bentley E, Murphy CJ.A thermal cautery technique was used to treat spontaneous chronic corneal epithelial defects (SCCEDs) in 9 eyes of 8 dogs and 2 eyes of 2 horses. Animals were sedated, and a topical anesthetic was applied. A handheld thermal cautery unit was then used to make multiple, small (< or = 1 mm in diameter), superficial burns throughout the affected area. The cautery unit was applied just until the slightest degree of contraction of the collagen fibrils was observed. After the stromal bed of the defect was treated, a rim of epithelium that extended approximately 1 mm around the denuded stroma was ...
Exostoses of the caudal perimeter of the radial physis as a cause of carpal synovial sheath tenosynovitis and lameness in horses: 10 cases (1999-2003).
Journal of the American Veterinary Medical Association    January 23, 2004   Volume 224, Issue 2 264-270 doi: 10.2460/javma.2004.224.264
Nixon AJ, Schachter BL, Pool RR.To determine the clinical, radiographic, ultrasonographic, and arthroscopic findings associated with tenosynovitis of the carpal synovial sheath induced by exostoses that originate from the caudal surface of the physeal scar of the distal radius and determine the results of surgical removal of those exostoses in horses. Methods: Retrospective study. Methods: 10 horses. Methods: Medical records of horses with effusion in the carpal synovial sheath and lameness evaluated from 1999 to 2003 were examined. Results: All horses had a history of intermittent mild to moderate effusion of the carpal syn...
Effect of oral administration of dantrolene sodium on serum creatine kinase activity after exercise in horses with recurrent exertional rhabdomyolysis.
American journal of veterinary research    January 15, 2004   Volume 65, Issue 1 74-79 doi: 10.2460/ajvr.2004.65.74
McKenzie EC, Valberg SJ, Godden SM, Finno CJ, Murphy MJ.To determine the effect of oral administration of dantrolene sodium on serum creatine kinase (CK) activity after exercise in horses with recurrent exertional rhabdomyolysis (RER). Methods: 2 healthy horses and 5 Thoroughbreds with RER. Methods: 3 horses received 2 doses of dantrolene (4, 6, or 8 mg/kg, p.o., with and without withdrawal of food) 2 days apart; 90 minutes after dosing, plasma dantrolene concentration was measured spectrofluorometrically. On the basis of these results, 5 Thoroughbreds with RER from which food was withheld received dantrolene (4 mg/kg) or an inert treatment (water ...
Expression of bone morphogenetic protein-6 and -2 and a bone morphogenetic protein antagonist in horses with naturally acquired osteochondrosis.
American journal of veterinary research    January 15, 2004   Volume 65, Issue 1 110-115 doi: 10.2460/ajvr.2004.65.110
Semevolos SA, Nixon AJ, Strassheim ML.To determine the mRNA expression of bone morphogenetic protein (BMP)-6 and -2 and a BMP antagonist (Noggin) in horses with osteochondrosis. Methods: Samples of articular cartilage from affected stifle or shoulder joints of 10 immature horses with naturally acquired osteochondrosis and corresponding joints of 9 clinically normal horses of similar age; additionally, samples of distal femoral growth plate cartilage and distal femoral articular cartilage were obtained from a normal equine fetus. Methods: Cartilage specimens were snap-frozen in liquid nitrogen, and total RNA was isolated. Adjacent ...
Effects of injection of botulinum toxin type B into the external anal sphincter on anal pressure of horses.
American journal of veterinary research    January 15, 2004   Volume 65, Issue 1 26-30 doi: 10.2460/ajvr.2004.65.26
Adam-Castrillo D, White NA, Donaldson LL, Furr MO.To determine effects on anal pressure of horses after local injection of the external anal sphincter with Clostridium botulinum toxin type B. Methods: 11 healthy adult horses. Methods: Peak and resting anal sphincter pressures were measured with a custom-made rectal probe that was connected to a pressure transducer. Pressures were measured before treatment and after injection with botulinum toxin type B (BTB) or saline (0.9% NaCl) solution. Dose titration with 500, 1,000, 1,500, and 2,500 U of BTB was completed. Physical changes, behavior, and anal pressure were recorded for each horse. Result...
Evaluation of plasma carboxy-terminal cross-linking telopeptide of type I collagen concentration in horses.
American journal of veterinary research    January 15, 2004   Volume 65, Issue 1 104-109 doi: 10.2460/ajvr.2004.65.104
Carstanjen B, Hoyle NR, Gabriel A, Hars O, Sandersen C, Amory H, Remy B.To evaluate a human assay for quantification of carboxy-terminal cross-linking telopeptide of type I collagen (CTX-I), assess the influence of age on plasma CTX-I concentration, investigate the relationship between plasma CTX-I and serum osteocalcin concentrations, and determine whether concentrations of plasma CTX-I or serum osteocalcin fluctuate in circadian manner in horses. HORSES: 75 clinically normal horses. Methods: Cross-reactivity between equine serum CTX-I and CTX-I antibodies in an automated electrochemiluminescent sandwich antibody assay (ECLIA) was evaluated via a specificity test...
Pulmonary epithelial lining fluid and plasma ascorbic acid concentrations in horses affected by recurrent airway obstruction.
American journal of veterinary research    January 15, 2004   Volume 65, Issue 1 80-87 doi: 10.2460/ajvr.2004.65.80
Deaton CM, Marlin DJ, Smith NC, Harris PA, Roberts CA, Schroter RC, Kelly FJ.To determine the pulmonary epithelial lining fluid (ELF) concentrations and degree of oxidation of ascorbic acid in horses affected by recurrent airway obstruction (RAO) in the presence and absence of neutrophilic airway inflammation. Methods: 6 RAO-affected horses and 8 healthy control horses. Methods: Nonenzymatic antioxidant concentrations were determined in RBC, plasma, and ELF samples of control horses and RAO-affected horses in the presence and absence of airway inflammation. Results: ELF ascorbic acid concentration was decreased in RAO-affected horses with airway inflammation (median, 0...
Characterisation of IgG(T) serum antibody responses to two larval antigen complexes in horses naturally- or experimentally-infected with cyathostomins.
International journal for parasitology    January 9, 2004   Volume 34, Issue 1 101-108 doi: 10.1016/j.ijpara.2003.09.008
Dowdall SM, Proudman CJ, Klei TR, Mair T, Matthews JB.Cyathostomins are the most common parasitic nematodes of horses. Larval stages, which inhabit the intestinal wall, are particularly pathogenic and can cause severe colitis and colic. Despite their clinical importance, diagnostic techniques for the prepatent stages do not exist. A method that could estimate mucosal infection intensity would have a major impact on the control and diagnosis of cyathostominosis. Here, serum IgG(T) responses to two larval antigen complexes of 25 and 20 kDa were quantified in horses with experimental infections, natural infections and in horses that presented with c...
Scintigraphic abnormalities of the pelvic region in horses examined because of lameness or poor performance: 128 cases (1993-2000).
Journal of the American Veterinary Medical Association    January 9, 2004   Volume 224, Issue 1 88-95 doi: 10.2460/javma.2004.224.88
Davenport-Goodall CL, Ross MW.To identify scintigraphic abnormalities in the pelvic region of horses examined because of hind limb lameness or poor performance and determine the clinical relevance of areas of abnormal radiopharmaceutical uptake (ARU) in these horses. Methods: Retrospective study. Methods: 128 horses. Methods: Medical records were reviewed, and information on signalment, history, admitting complaints, physical examination findings, and results of lameness examinations was recorded. Clinical relevance of areas of ARU was determined by comparison with results of other diagnostic tests. For horses with clinica...
Displacement of maxillary premolar teeth in a filly.
Journal of veterinary dentistry    January 7, 2004   Volume 20, Issue 3 143-145 doi: 10.1177/089875640302000302
Capik I, Ledecky V, Mihály M.Abnormalities of dental development such as hypoplasia of cementum, oligodontia, polydontia, enamel hypoplasia, brachygnathia, and prognathia are quite common in the horse. Abnormalities of eruption are less common and often associated with trauma. This case report describes the diagnosis and therapy for pre-eruption displacement of the maxillary left third and fourth premolar teeth resulting from previous facial trauma in a 1.5-year-old filly.
Magnetic resonance imaging of the equine digit with chronic laminitis. Murray RC, Dyson SJ, Schramme MC, Branch M, Woods S.Chronic laminitis is a severe disease affecting the equine digit. It was hypothesized that magnetic resonance (MR) imaging would improve visualization of structures within the foot and pathology associated with chronic laminitis. This study aimed to describe the MR imaging findings in chronic laminitis, compare different pulse sequences for visualization of pathology, and to compare MR imaging with standard radiography. Twenty (10 forelimb, 10 hindlimb) cadaver limbs from 10 horses clinically diagnosed with chronic laminitis (group L) and 10 limbs without laminitis (group N) were used. Laterom...
[Evolution of bacterial resistance to certain antibacterial agents in horses in a veterinary hospital].
The Canadian veterinary journal = La revue veterinaire canadienne    January 2, 2004   Volume 44, Issue 12 978-981 
Peyrou M, Higgins R, Lavoie JP.Evolution of bacterial resistance to certain antibacterial agents in horses in a veterinary hospital. A total of 255 antibiograms, conducted according to the Kirby-Bauer method from bacterial isolates collected from horses at the Hôpital Vétérinaire d'Enseignement at the Université de Montréal between 1996 and 1998 were compared with the results obtained about 10 years ago with corresponding bacterial species. A significant increase in the percentage of strains resistant to trimethoprim-sulfamethoxazole (TMP-SXT), penicilline, tetracycline, and to gentamicin was observed. The percentages ...
Scintigraphy of the sacroiliac joint region in asymptomatic riding horses: scintigraphic appearance and evaluation of method. Erichsen C, Eksell P, Widström C, Berger M, Holm KR, Johnston C.The sacroiliac region in 33 clinically normal riding horses was examined with scintigraphy to determine the normal scintigraphic appearance, to evaluate a semiquantitative method used to calculate a sacroiliac joint (SI joint) ratio, and to identify factors that affect the scintigraphic appearance of the pelvis. The scintigraphic examination included dorsal views of each SI joint region and one lateral view of the urinary bladder. Two predefined areas (the SI joint and the area between the tuber sacrale and the SI joint) were evaluated subjectively by comparing the intensity in each area to th...
IL-4, IL-5 and IFN-gamma mRNA expression in pulmonary lymphocytes in equine heaves.
Veterinary immunology and immunopathology    January 1, 2004   Volume 97, Issue 1-2 87-96 doi: 10.1016/j.vetimm.2003.08.013
Cordeau ME, Joubert P, Dewachi O, Hamid Q, Lavoie JP.Heaves is a common condition of horses of cold climate that is characterized by small airway inflammation and obstruction following exposure of susceptible horses to moldy hay and straw. It has been shown that helper T lymphocytes (Th) orchestrate the inflammatory response in asthma and in various animal models of allergic lung diseases by the release of Th2-type cytokines. Results of previous studies indicate that a predominant expression of Th2-type response by airway cells may also be present in heaves. To evaluate the temporal mRNA expression of Th1 (IFN-gamma) and Th2 (IL-4, IL-5) type cy...
Effect of trabecular orientation on mechanical resistance and ultrasound propagation in specimens of equine vertebrae.
Ultrasound in medicine & biology    December 31, 2003   Volume 29, Issue 12 1777-1785 doi: 10.1016/j.ultrasmedbio.2003.08.003
Cavani F, Fini M, de Terlizzi F, Cadossi M, Ciminelli L, Ortolani S, Cherubini R, De Aloysio D, Giavaresi G, Cadossi R, Canè V.Osteoporosis involves alterations, not only in density, but also in the architectural organisation of the bone; in particular, trabecular orientation, following the skeletal load directions, lends a high degree of stiffness to the whole bone. We investigated the relationship between trabecular orientation, density, stiffness and ultrasound (US) propagation in two orthogonal directions (par. = parallel to, and ort. = orthogonal to the main orientation of the trabeculae) in cylindrical equine bone specimens (thoracic vertebrae) where a preferential orientation is present. A total of 15 cylinders...