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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.
Tapeworms as a cause of intestinal disease in horses.
Parasitology today (Personal ed.)    May 14, 1999   Volume 15, Issue 4 156-159 doi: 10.1016/s0169-4758(99)01416-7
Proudman CJ, Trees AJ.Until recently, the equine tapeworm Anoplocephala perfoliata was difficult to diagnose and considered to be of questionable pathogenicity. Here, Chris Proudman and Sandy Trees describe recent advances in the immunodiagnosis of this parasite that have facilitated epidemiological studies. These studies suggest that A. perfoliata may be an important cause of intestinal disease in the horse and demonstrate a dose-response relationship between infection intensity and risk of disease. If tapeworm infection is a risk factor for ileocaecal colic, the identification and treatment of infected individual...
Parietal hernia of the small intestine into the epiploic foramen of a horse.
Journal of the American Veterinary Medical Association    May 13, 1999   Volume 214, Issue 9 1354-1335 
Hammock PD, Freeman DE, Magid JH, Foreman JH.A 12-year old 573-kg (1,261-lb) Quarter Horse gelding was referred with colic of 12 hours' duration and with poor response to medical treatment. On the basis of physical and laboratory findings, a pelvic flexure impaction was suspected. The horse was treated medically. Because signs of mild abdominal pain persisted and the heart rate had increased, an exploratory celiotomy was performed 30 hours after signs of colic were first noticed. At surgery, the ileum was found partially entrapped within the epiploic foramen, in a left-to-right direction, to form a parietal hernia. The entrapped intestin...
Ablation of the nephrosplenic space for treatment of recurring left dorsal displacement of the large colon in a racehorse.
Journal of the American Veterinary Medical Association    May 13, 1999   Volume 214, Issue 9 1361-1335 
Zekas LJ, Ramirez S, Brown MP.Left dorsal displacement of the large colon was diagnosed in a 3-year-old Thoroughbred gelding. Conservative treatment that included lunging after administration of phenylephrine and rolling while under general anesthesia was not successful. The displaced segment of colon was reduced surgically through a ventral midline incision, but displacement recurred 4 days after surgery. Ablation of the nephrosplenic space by suturing the nephrosplenic ligament to the splenic capsule was performed through the left flank. At followup 1 year after surgery, the horse had not had further signs of colic and h...
[Hypothesis concerning the anatomical basis of cauda equina syndrome and transient nerve root irritation after spinal anesthesia].
Revista espanola de anestesiologia y reanimacion    May 6, 1999   Volume 46, Issue 3 99-105 
Reina MA, López A, de Andrés JA.Cauda equine syndrome is a rare neurological complication associated with subarachnoid anesthesia, and particularly with the use of 5% hyperbaric lidocaine and small gauge catheters. Our aim was to study a possible anatomical factor that might impede adequate dilution of local anesthetic and explain the development of cauda equine syndrome and transitory radicular irritation. Methods: The spinal dura matters and their contents from two male human cadavers were examined after organs had been extracted for transplantation. Both men had recently died at ages 56 and 65 years of age. Samples were f...
Magnetic resonance (MR) imaging studies on horses. Kneissl S, Konar M, Bindeus T, Vrba S, Buchner F.No abstract available
Ultrasonographic evaluation of equine tendons: a quantitative in vitro study of the effects of amplifier gain level, transducer-tilt, and transducer-displacement. van Schie JT, Bakker EM, van Weeren PR.The objective of the in vitro experiments described in this paper was to quantify the effects of some instrumental variables on the quantitative evaluation, by means of first-order gray-level statistics, of ultrasonographic images of equine tendons. The experiments were done on three isolated equine superficial digital flexor tendons that were mounted in a frame and submerged in a waterbath. Sections with either normal tendon tissue, an acute lesion, or a chronic scar, were selected. In these sections, the following experiments were done: 1) a gradual increase of total amplifier gain output su...
Ultrasonographic evaluation of back lesions.
The Veterinary clinics of North America. Equine practice    April 28, 1999   Volume 15, Issue 1 131-159 doi: 10.1016/s0749-0739(17)30169-4
Denoix JM.With progressive advances in ultrasonographic equipment, evaluation of a number of axial skeletal structures is now possible. Ultrasonography is presently the best technique for evaluation of the SSpL and lumbosacral intervertebral discs. It is a useful adjunct to radiography for assessment of spinous processes and AP injuries.
Spinal biomechanics and functional anatomy.
The Veterinary clinics of North America. Equine practice    April 28, 1999   Volume 15, Issue 1 27-60 doi: 10.1016/s0749-0739(17)30162-1
Denoix JM.Knowledge of the normal functional behavior and mechanical properties of the vertebral column is important to understand the pathogenesis of back lesions, to identify the clinical manifestations of back pain, and to ensure a rational approach to physical therapy. The purpose of this article is to present a synthesis of in vivo and in vitro data obtained from different but complementary investigations. Presently, in vivo studies are limited; few gait-specific kinematic and electromyographic investigations are in process. Higher stresses to reach the maximal range of intervertebral motion can be...
Thermographic diagnostics in equine back pain.
The Veterinary clinics of North America. Equine practice    April 28, 1999   Volume 15, Issue 1 161-viii doi: 10.1016/s0749-0739(17)30170-0
Graf von Schweinitz D.Infrared thermographic imaging (ITI) is the most sensitive objective imaging currently available for the detection of back disease in horses. It is, however, only a physiological study primarily of vasomotor tone overlying other superficial tissue factors. Interpretation requires extreme care in imaging protocol and in understanding the significance of altered sympathetic nervous tone and the sympathetic distribution. Most discussions on back pain have centered on nociception and inflammatory events. ITI provides information and localization for more significant than diagnosing areas of hot sp...
Freezing of stallion semen with addition of glycine betaine.
Zentralblatt fur Veterinarmedizin. Reihe A    April 27, 1999   Volume 46, Issue 2 87-90 doi: 10.1046/j.1439-0442.1999.00195.x
Lindeberg H, Kurtén A, Koskinen E, Katila T.The effect of addition of glycine betaine to a lactose-EDTA freezing medium on the post-thaw motility of stallion semen was determined. The first three semen-rich fractions of nine stallions were collected with an open-end Krakow artificial vagina on consecutive weekdays. Semen was frozen using the Hannover method with freezing media containing glycine betaine in various concentrations from 0 to 5%. After thawing, sperm motility was analysed both by a light microscope and by a Hamilton-Thorn Motility Analyser. Total and progressive post-thaw motilities of semen containing 0.25-3% glycine betai...
Multidisciplinary investigation of the aetiopathogenesis of parasagittal fractures of the third metacarpal and metatarsal bones of Thoroughbreds.
Equine veterinary journal    April 23, 1999   Volume 31, Issue 2 96 doi: 10.1111/j.2042-3306.1999.tb03800.x
Pool RR.No abstract available
Subchondral bone changes and cartilage damage.
Equine veterinary journal    April 23, 1999   Volume 31, Issue 2 94-95 doi: 10.1111/j.2042-3306.1999.tb03799.x
Radin EL.No abstract available
Birth trauma in newborn foals.
Equine veterinary journal    April 23, 1999   Volume 31, Issue 2 92 doi: 10.1111/j.2042-3306.1999.tb03798.x
Rossdale PD.No abstract available
Structural variation of the distal condyles of the third metacarpal and third metatarsal bones in the horse.
Equine veterinary journal    April 23, 1999   Volume 31, Issue 2 130-139 doi: 10.1111/j.2042-3306.1999.tb03806.x
Riggs CM, Whitehouse GH, Boyde A.This study examined 3-dimensional (3D) distribution of sectors with contrasting density in the equine third metacarpal (McIII) and third metatarsal (MtIII) bones with a view to explaining the aetiology of distal condylar fractures. Macroradiography and computed tomographic (CT) imaging were used in the nondestructive study of bones obtained from horses, most of which were Thoroughbreds in race training. Distal condylar regions of McIII and MtIII were also studied in microradiographs of 100 microm thick mediolateral sections cut perpendicular to the dorsal and palmar/plantar articular surfaces....
Aetiopathogenesis of parasagittal fractures of the distal condyles of the third metacarpal and third metatarsal bones–review of the literature.
Equine veterinary journal    April 23, 1999   Volume 31, Issue 2 116-120 doi: 10.1111/j.2042-3306.1999.tb03803.x
Riggs CM.Fractures are the cause of considerable morbidity and mortality among Thoroughbred racehorses. A significant proportion of these injuries occur in the absence of any particular traumatic incident. Evidence of prefracture pathology interpreted as fatigue damage has been identified in some such cases, but the aetiology of many of these so-called 'spontaneous' fractures remains obscure. Parasagittal fractures of the third metacarpal (McIII) and third metatarsal (MtIII) bones are one of the more common fractures to affect Thoroughbred racehorses. The configuration of each of these fracture types i...
Muscle characteristics and plasma lactate and ammonia response after racing in Standardbred trotters: relation to performance.
Equine veterinary journal    April 23, 1999   Volume 31, Issue 2 170-173 doi: 10.1111/j.2042-3306.1999.tb03811.x
Ronéus N, Essén-Gustavsson B, Lindholm A, Persson S.Blood samples from the jugular vein and muscle biopsies (gluteus medius) in 25 Standardbred trotters were obtained 5-10 min after racing. The biopsies were analysed for fibre type composition and enzymatic profile and blood samples for plasma lactate and ammonia concentrations. Muscle characteristics, plasma lactate and ammonia concentrations after racing were compared with each horse's individual performance index (IPI). The IPI is calculated annually from the individual horse's racing performance (% placing 1, 2 or 3, total annual earnings, average earning per start, and best racing record),...
Investigations on the ability of clenbuterol hydrochloride to reduce clinical signs and inflammation associated with equine influenza A infection.
Equine veterinary journal    April 23, 1999   Volume 31, Issue 2 160-168 doi: 10.1111/j.2042-3306.1999.tb03810.x
Kästner SB, Haines DM, Archer J, Townsend HG.Twenty-four Quarter Horse and Quarter Horse-cross yearlings were experimentally infected with influenza A virus (Influenza A/equine/Saskatoon/90 [H3N8]) by nebulisation. In a double blind controlled trial the horses were randomly assigned to 3 groups of 8 animals. Group 1 received a placebo, (carrier syrup), Group 2 the labelled dose and Group 3 twice the labelled dose of clenbuterol hydrochloride. All treatments were given per os b.i.d. for 10 days and started on the day of infection. The horses were monitored for clinical signs of influenza infection for 14 days. Bronchoalveolar lavages were...
Galloping exercise induces regional changes in bone density within the third and radial carpal bones of Thoroughbred horses.
Equine veterinary journal    April 23, 1999   Volume 31, Issue 2 111-115 doi: 10.1111/j.2042-3306.1999.tb03802.x
Firth EC, Delahunt J, Wichtel JW, Birch HL, Goodship AE.This study was performed to test the hypothesis that a localised bone hypertrophy could occur within the subchondral cancellous architecture of the third and radial carpal bones. Using 2 levels of controlled and defined exercise, it was observed that a high intensity treadmill exercise protocol resulted in functional adaptation of the carpal bones. The increase in trabecular thickening and density was seen to be localised to those regions underlying common sites of cartilage degradation, the interface of the thickened trabeculae with the normal architecture in the third carpal bone was coincid...
Thoracic trauma in newborn foals.
Equine veterinary journal    April 23, 1999   Volume 31, Issue 2 149-152 doi: 10.1111/j.2042-3306.1999.tb03808.x
Jean D, Laverty S, Halley J, Hannigan D, Léveillé R.In a report describing life ending fractures (255 horses) from the Livestock Disease Diagnostic Center, Kentucky (1993 and 1994), 32 foals had rib fractures. The purpose of our study was to examine the incidence of rib fractures in newborn foals on a Thoroughbred studfarm by physical and radiographic examination, to determine factors which may contribute to the problem and to document any clinical consequences. All foals (263) included were examined within 3 days of birth. The thoracic cage was palpated externally for abnormalities and all foals were placed in dorsal recumbency to evaluate tho...
Repeated administration of trimethoprim/sulfadiazine in the horse–pharmacokinetics, plasma protein binding and influence on the intestinal microflora.
Journal of veterinary pharmacology and therapeutics    April 22, 1999   Volume 22, Issue 1 20-26 doi: 10.1046/j.1365-2885.1999.00183.x
Gustafsson A, Båverud V, Franklin A, Gunnarsson A, Ogren G, Ingvast-Larsson C.Six healthy adult horses were given repeated administrations of trimethoprim/ sulfadiazine (TMP/SDZ) intravenously (i.v.) (2.5 mg/kg TMP and 12.5 mg/kg SDZ) and orally (p.o.) as a paste (5 mg/kg TMP and 25 mg/kg SDZ). Both formulations were given twice daily for 5 days, with a 3-week interval between i.v. and oral administration. The influence of the drug combination on the intestinal microflora was examined and the plasma concentrations, pharmacokinetic parameters and plasma protein binding were determined. There were no major changes in the bacterial intestinal flora and no clinical evidence...
Glucose uptake in horses with polysaccharide storage myopathy.
American journal of veterinary research    April 22, 1999   Volume 60, Issue 4 458-462 
De La Corte FD, Valberg SJ, MacLeay JM, Williamson SE, Mickelson JR.To determine whether excessive glycogen accumulation in skeletal muscle of Quarter Horses with polysaccharide storage myopathy (PSSM) is a result of enhanced cellular uptake of glucose. Methods: 6 horses with PSSM and 10 healthy (control) horses. Methods: Intravenous glucose tolerance tests (IVGTT), oral glucose tolerance tests (OGTT), and modified insulin tolerance tests (MITT) were performed. Plasma glucose and insulin concentrations were measured in blood samples collected before and for up to 8 hours after glucose or insulin administration. Results: Peak glucose concentrations during IVGTT...
Effects of extrathoracic airway obstruction on intrathoracic pressure and pulmonary artery pressure in exercising horses.
American journal of veterinary research    April 22, 1999   Volume 60, Issue 4 485-494 
Hackett RP, Ducharme NG, Ainsworth DM, Erickson BK, Erb HN, Soderholm LV, Thorson LM.To determine whether dorsal displacement of the soft palate (DDSP) results in pulmonary artery hypertension and leads to increases in transmural pulmonary artery pressure (TPAP); to determine whether pulmonary hypertension can be prevented by prior administration of furosemide; and to determine whether tracheostomy reduces pulmonary hypertension. Methods: 7 healthy horses. Methods: Horses were subjected to 3 conditions (control conditions, conditions after induction of DDSP, and conditions after tracheostomy). Horses were evaluated during exercise after being given saline (0.9% NaCl) solution ...
Comparison of microbiologic and high-performance liquid chromatography assays to determine plasma concentrations, pharmacokinetics, and bioavailability of erythromycin base in plasma of foals after intravenous or intragastric administration.
American journal of veterinary research    April 22, 1999   Volume 60, Issue 4 414-419 
Lakritz J, Wilson WD, Mihalyi JE.To determine pharmacokinetics and bioavailability of erythromycin base after intragastric administration and erythromycin lactobionate after IV administration to healthy foals and to compare a microbiologic assay with a high-performance liquid chromatography (HPLC) method to determine plasma concentrations of erythromycin A. Methods: 6 healthy foals that were 2 to 4 months old. Methods: Foals were given single doses of erythromycin (10 mg/kg of body weight, IV, and 25 mg/kg, intragastrically) in a crossover study. Venous blood samples were obtained at specific times after drug administration, ...
Lack of local anaesthetic efficacy of fentanyl in the abaxial sesamoid block model.
Journal of veterinary pharmacology and therapeutics    April 22, 1999   Volume 22, Issue 1 52-55 doi: 10.1046/j.1365-2885.1999.00176.x
Harkins JD, Tobin T.Fentanyl and other opioid drugs have their effect in the central nervous system; however, activity at peripheral sites has also been demonstrated. Pain-suppression activity at peripheral sites raises the possibility of skilled individuals producing local anaesthetic effects with small doses of opioid drugs that would be difficult to detect forensically and could be used to affect the outcome of a race. Therefore, the local pain-suppression effect (peripheral nerve inhibition) of fentanyl was tested using an abaxial sesamoid block/hoof withdrawal model. With this model, fentanyl did not produce...
Alveolar clearance in horses with chronic obstructive pulmonary disease.
American journal of veterinary research    April 22, 1999   Volume 60, Issue 4 495-500 
Votion DM, Vandenput SN, Duvivier DH, Lambert P, van Erck E, Art T, Lekeux PM.To assess sensitivity of scintigraphic alveolar clearance rate as an indicator of alveolar epithelium damage in horses. Methods: 5 healthy horses (group A) and 5 with chronic obstructive pulmonary disease (COPD; group B). Methods: Horses underwent clearance rate (k [%/min]) determination. Clearance rate of group-B horses was determined after remission of the disease following 2 months at pasture (remission 1), stabling in a controlled environment (remission 2), and during crisis induced by exposure to moldy hay and straw. Methacholine challenge test was performed at each investigation period t...
Intrafollicular content of luteinizing hormone receptor, alpha-inhibin, and aromatase in relation to follicular growth, estrous cycle stage, and oocyte competence for in vitro maturation in the mare.
Biology of reproduction    April 20, 1999   Volume 60, Issue 5 1120-1127 doi: 10.1095/biolreprod60.5.1120
Goudet G, Belin F, Bézard J, Gérard N.The intrafollicular content of LH receptor, alpha-inhibin, and aromatase are known good indicators of follicular status. We investigated the amounts of these proteins in granulosa and cumulus cells in relation to oocyte competence for in vitro maturation, follicular growth, and estrous cycle stage in the mare. Follicular punctures were performed 34 h after an injection of crude equine gonadotropins, either during the follicular phase, at the end of the follicular phase, or during the luteal phase. The cumulus-oocyte complex, granulosa cells, and follicular fluid of follicles larger than 5 mm w...
Subconjunctival haemorrhages in neonatal thoroughbred foals.
The Veterinary record    April 16, 1999   Volume 144, Issue 11 279-282 doi: 10.1136/vr.144.11.279
Munroe G.A survey of 169 neonatal thoroughbred foals revealed that 8.3 per cent had subconjunctival haemorrhages, but there was no indication of a relationship between retinal and subconjunctival haemorrhages. The haemorrhages were not related to any abnormality of the foals and there was no sex or eye predisposition. In most cases the haemorrhages were fresh and red, occurred mainly dorsally or dorsonasally and extended up to the limbus; they resolved completely within four to 10 days, depending on their initial severity and extent. They had no effect on the foals' vision in the short or long term. Th...
Determinants of the maximal change in pleural pressure during tidal breathing in COPD-affected horses.
Veterinary journal (London, England : 1997)    April 16, 1999   Volume 157, Issue 2 160-165 doi: 10.1053/tvjl.1998.0281
Robinson NE, Derksen FJ, Olszewski M, Berney C, Boehler D, Matson C, Hakala J.In six COPD-affected horses, we analysed the factors responsible for the changes in pleural pressure (delta Pplmax) that occur during tidal breathing. Four-hundred-and-sixty-eight measurements of each parameter: pulmonary resistance (RL), dynamic elastance (Edyn), air flow rates, and the timing of breathing, were gathered during a trial of the bronchodilator pirbuterol. Data were placed into seven ranks, based on the magnitude of delta Pplmax; rank 1: 5-15; rank 2: 15-25; rank 3: 25-35; rank 4: 35-45; rank 5: 45-55; rank 6: 55-65; and rank 7 > 65 cm H2O. Up to rank 4 (45 cm H2O), the increa...
Methicillin-resistant Staphylococcus aureus outbreak in a veterinary teaching hospital: potential human-to-animal transmission.
Journal of clinical microbiology    April 16, 1999   Volume 37, Issue 5 1459-1463 doi: 10.1128/JCM.37.5.1459-1463.1999
Seguin JC, Walker RD, Caron JP, Kloos WE, George CG, Hollis RJ, Jones RN, Pfaller MA.During a 13-month period, 11 equine patients visiting a veterinary teaching hospital for various diagnostic and surgical procedures developed postprocedural infections from which methicillin (oxacillin)-resistant Staphylococcus aureus (MRSA) strains were isolated. The S. aureus isolates were identified by conventional methods that included Gram staining, tests for colonial morphology, tests for clumping factor, and tests for coagulase and urease activities and were also tested with the API STAPH IDENT system. Antimicrobial susceptibility tests were performed by the disk diffusion method. The b...
Evaluation of peritoneal fluid pH, glucose concentration, and lactate dehydrogenase activity for detection of septic peritonitis in horses.
Journal of the American Veterinary Medical Association    April 14, 1999   Volume 214, Issue 7 1032-1036 
Van Hoogmoed L, Rodger LD, Spier SJ, Gardner IA, Yarbrough TB, Snyder JR.To determine whether peritoneal fluid pH, glucose concentration, and lactate dehydrogenase activity can be used to differentiate horses with septic peritonitis from those with nonseptic peritonitis. Methods: Prospective study. Methods: 46 horses, including 10 healthy horses, 15 horses with septic peritonitis, and 21 horses with nonseptic peritonitis. Methods: Peritoneal fluid and blood samples were analyzed for pH, glucose concentration, and lactate dehydrogenase activity. Complete blood cell counts were performed, and peritoneal fluid samples were submitted for bacterial culture. Results: Hor...