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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 short-term stress, xylazine tranquilization and anesthetization with xylazine plus ketamine on plasma concentrations of cortisol, luteinizing hormone, follicle stimulating hormone and prolactin in ovariectomized pony mares. Long-term ovariectomized pony mares were subjected to one of four treatments: 1) control group - no treatment, 2) stressed group - 5 min of restraint via a twitch, 3) tranquilized group - administered xylazine (1.1 mg i.v. per kg of body weight), and 4) anesthetized group - administered xylazine followed 2 min later by ketamine (2.2 mg i.v. per kg of body weight). Blood samples were taken at -40, -30, -20, -10, -0.5, 10, 20, 30, 40, 50, 60 and 90 min and at 2, 3, 4, 6, 8 and 24 h relative to onset of treatment. Stress increased (P<0.05) cortisol concentrations 20 to 50 min after treatment a...
Cortisol concentrations in blood and urine of horses. A survey of the concentrations of cortisol in blood and urine samples taken from thoroughbred and standardbred horses after racing is presented. Statistical analysis showed the only significant difference between thoroughbred and standardbred horses was a higher cortisol concentration in thoroughbred urine. Urine volume and pH had no significant influence on the urinary cortisol concentration, however 9.5% of the urinary cortisol variation could be explained due to the influence of plasma cortisol concentration. The results of cortisol and ACTH administrations are also shown and compared with ...
Development of a scoring system for the early diagnosis of equine neonatal sepsis. A sepsis scoring system was developed and tested prospectively in a blind study of 190 neonatal foals admitted to the University of Florida Veterinary Medical Teaching Hospital's neonatal intensive care unit. The system used 14 readily available historical, clinical or laboratory variables and weighted each item to arrive at a sepsis score. The score was found to have a sensitivity of 93 per cent, a specificity of 86 per cent, positive accuracy rate of 89 per cent and negative accuracy rate of 92 per cent. The sepsis score was far more sensitive and specific for infection, even in very early c...
Exploratory celiotomy for suspected urinary tract disruption in neonatal foals: a review of 18 cases. The medical records of 18 neonatal foals, in which exploratory celiotomies were performed for suspected urinary tract lesions, were reviewed. Despite clinical signs and laboratory values indicative of disruption of the urinary tract, three foals did not have a site of urinary tract leakage at surgery. Eight foals had ruptured bladders and seven foals had urachal lesions. Ultrasonography was used as a pre-operative diagnostic procedure in eight foals to evaluate the presence of free peritoneal fluid and urinary tract integrity. Nine foals were alive six months after discharge. Seven of the nine...
Retrospective assessment of dobutamine therapy for hypotension in anesthetized horses. Dobutamine was infused (1.7 micrograms/kg/minute) into 200 anesthetized horses as treatment for hypotension. The horses had been premedicated with xylazine, and anesthesia was induced with guaifenesin and ketamine and maintained with halothane. One hundred fifty-seven horses (79%) responded with an average increase in systolic blood pressure of at least 10 mm Hg within 10 minutes. A cardiac arrhythmia developed in 56 horses (28%) after dobutamine administration: 34 with sinus bradycardia, 18 with atrioventricular block, 2 with premature atrial contractions, and 2 with atrioventricular dissocia...
Platelet activating factor as a mediator of equine cell locomotion. Equine polymorphonuclear (PMN) and mononuclear (MN) leucocytes were separated on Percoll gradients and used to study the chemoattractant properties of the polar ether-linked phospholipid, platelet activating factor (PAF). Six concentrations of PAF ranging from 1 ng/ml to 100 micrograms/ml were studied in each of two in vitro assay systems, the agarose microdroplet and a microfilter technique. Very significant (p less than 0.01) increases in the movement of both PMN and MN cells were obtained with most concentrations of PAF. In two instances there was no apparent concentration-response relation...
Association of arytenoid chondritis with equine lymphocyte antigens but no association with laryngeal hemiplegia, umbilical hernias and cryptorchidism. Associations were sought between ELA A1-A10 and W11 antigens and the presence of laryngeal hemiplegia, arytenoid chondritis, umbilical hernias and cryptorchidism in Thoroughbreds and/or Quarter Horses. No significant associations were detected between laryngeal hemiplegia and any ELA antigen in Thoroughbreds. The association between arytenoid chondritis and A9 was significant with a relative risk (RR) of 15.6 and aetiologic fraction (EF) of 0.80 in Thoroughbreds. There were apparent associations based on RR between A4 and A5 in Quarter Horses with umbilical hernias (RR = 7.5 and 6.1 respective...
Exploratory celiotomy for gastrointestinal disease in neonatal foals: a review of 20 cases. The medical records of 20 neonatal foals in which exploratory celiotomies were performed for gastrointestinal disease were reviewed. In all 20 foals, persistent pain and/or progressive abdominal distension were the primary clinical findings influencing the decision to operate. However, ancilliary laboratory data were important to the proper medical management of these foals during anaesthesia and following surgery. Surgical diagnoses of the 20 foals included ileus (nine foals; 45 per cent), small colon obstruction (five foals; 25 per cent), large colon displacement (three foals; 15 per cent), ...
Effects of halothane anesthesia on the clearance of gentamicin sulfate in horses. Inhalation anesthetics decrease the clearance of some drugs that are eliminated by renal excretion. The purpose of the study reported here was to investigate the effects of halothane anesthesia on the pharmacokinetics and urinary excretion of gentamicin sulfate, using the horse as a model. Using a crossover design, pharmacokinetic values after a single IV dose of gentamicin (4 mg/kg) were compared in halothane-anesthetized and unanesthetized horses. Compared with unanesthetized horses, the anesthetized horses had significant decreases in total body clearance (P less than 0.01) and apparent vol...
Follicular growth and estradiol influence on luteal function in mares. Follicular growth, circulating estradiol concentrations and endometrial prostaglandin F2 alpha (PGF2 alpha) production were measured to determine whether there is an interrelationship among these factors associated with luteolysis. Follicular growth was monitored by rectal palpation every other day during diestrus in 16 mares. Plasma estradiol was determined for daily samples during all estrous cycles. Endometrial tissue was removed for PGF2 alpha analysis by radioimmunoassay on d 10, 12, 14 or 16 during several normal cycles and after d 30 during spontaneously prolonged cycles. Circulating es...
Effects of lesion size and location on equine articular cartilage repair. The mechanisms and completeness of equine articular cartilage repair were studied in ten horses over a nine month period. Large (15 mm square) and small (5 mm square) full-thickness lesions were made in weight bearing and nonweight bearing areas of the radiocarpal, middle carpal and femoropatellar joints. The horses were euthanized in groups of two 1, 2.5, 4, 5 and 9 months later. Gross pathology, microradiography, and histopathology were used to evaluate qualitative aspects of articular repair. Computer assisted microdensitometry of safranin-O stained cartilage sections was used to quantitate...
Noncatalytic protein component of elastase from horse leucocytes. A protein with regulatory function. 1. Noncatalytic protein component (NPC), a strongly acidic protein (pH = 4.5) was separated from native horse leucocyte elastase 1. 2. This protein reduces elastinolytic properties of elastases: 1 and 2A probably by decreasing their isoelectric points. 3. A possible regulatory role of this protein may be inferred from a higher affinity of elastase 1 to NPC rather than to elastin.
Uterine contractions in nonpregnant and early pregnant mares and jennies as determined by ultrasonography. Uterine contractions in 8 nonpregnant and 13 pregnant mares were studied using ultrasonography. A 1-min video tape recording was made of longitudinal real-time images of the uterine body. An overall uterine contractile activity score (0 = no or minimal activity to 4 = maximal activity) was assigned to each video tape segment. There was a day effect (P less than .01) and an interaction (P less than .01) of reproductive status X day. Uterine activity scores were highest on d 14 to d 18 (d 0 = day of ovulation) for nonpregnant mares and on d 10 to d 14 for pregnant mares. Uterine activity scores ...
Histology of the post partum equine uterus as determined by endometrial biopsies. Altogether 156 equine endometrial biopsies were carried out during the post partum (p.p.) period: immediately after parturition until 15 days after foaling. The histological changes are described. The rapid restoration of the equine endometrium is remarkable. The destruction of the luminal epithelium is minor and regeneration takes place rapidly. Remnants of the placenta, the microcotyledons and desquamated cells, have disappeared by 5 p.p. The transformation of glands from a pronounced secretory pattern to normal appearance also takes only 5 days. The occurrence of neutrophils and lymphocytes...
Capnographic monitoring during anesthesia with controlled ventilation in the horse. Forty-five horses were maintained on halothane or isoflurane anesthesia for at least 90 minutes and received positive pressure ventilation after the first 30 minutes of anesthesia. Parameters monitored included end-tidal partial pressure of carbon dioxide (ETPCO2), arterial blood pressure, and arterial blood gases and pH. There was a statistically significant correlation between end-tidal carbon dioxide and arterial partial pressure of carbon dioxide (PaCO2) for both halothane and isoflurane anesthesia. There was no significant correlation between end-tidal carbon dioxide and either body weigh...
[Iron and iron-binding capacity in the serum of clinically healthy horses]. Serum iron concentration and iron-binding capacity were determined in 34 respectively 35 clinically healthy horses of different sex, with the age of 3 to 21 years. In the Warm blooded horse, the Half bred, the Haflinger horse, the Heavy horse and the Arabian Haflinger the mean serum iron concentration amounted to 253 +/- 66 micrograms/dl, 202 +/- 87 micrograms/dl, 166 +/- 67 micrograms/dl, 183 micrograms/dl and 366 micrograms/dl, while the iron-binding capacity in the Warm blooded horse, the Half bred, the Haflinger horse, the Thoroughbred, the Heavy horse and the Arabian Haflinger ran up to 4...
Effect of sample freezing on the isolation of Mycoplasma spp. from the clitoral fossa of the mare. The growth of Mycoplasma equigenitalium and Mycoplasma subdolum from specimens collected from the clitoral fossa of each of four Standardbred mares was not diminished by freezing of the specimens in liquid nitrogen (-196 degrees C) for up to 30 days when compared to samples cultured immediately.
Results of operative treatment of equine colic with special reference to surgery of the ileum. This retrospective study presents the results of surgical treatment of obstructive colic in horses operated in the last decade (1976-1985). The overall short-term recovery rate (i.e. discharged from hospital) was 51% of cases presented for surgery, and 68% of cases which were considered to be amenable to surgical therapy. For long-term results (6 months-8 years follow up) these percentages must be reduced by about 15% due to mortality after discharge. Special attention has been given to surgery of the ileum, which is often involved in strangulation or obturation, and accounts for about 26% of ...
[The use of a beta 2-mimetic agent (clenbuterol) in equine pregnancy disorders and obstetrics]. A clinical study about the effects of a beta 2-mimetic agent (Clenbuterol) in mares with pregnancy disorders or disorders during the periparturient period (n = 34) is reported. In general, a single dose of 0.3 mg Clenbuterol given i.v. induces sufficient tocolysis. Subsequent doses or follow-up treatment depend upon individual development during dystocia, indication of treatment and clinical preparturient status (dorsoflexio uteri ante partum, abortus imminens, preparturient labor pains).
[Indirect blood pressure determination in the horse with the Dinamap 1255 research monitor]. In 26 horses measurings of blood pressure, using the Dinamap 1255 research monitor, were performed and compared for accuracy with blood pressure values obtained by direct measurement in the arteria carotis. It was found that oscillometrically ascertained initial blood values in standing horses have a sufficient correlation to initial blood pressure values obtained by direct measurement. But every blood pressure change is registered too late, when using the oscillometric blood pressure apparatus. This temporal delay becomes unacceptable, when a considerable increase in blood pressure occurs. A ...
Use of an immediate, qualitative progesterone assay for determination of day of ovulation in an equine embryo transfer program. An immediate, qualitative enzyme-linked immunosorbent assay (ELISA) for progesterone was evaluated for use in determining the day of ovulation in an equine embryo transfer program. Plasma samples were collected from 27 mares from the third day of estrus to the second day of diestrus for 50 cycles. Ovulation was detected by ultrasound examination per rectum. Plasma progesterone concentrations were estimated using the qualitative assay to detect the time of the rise in progesterone after ovulation. Qualitative scores were compared to progesterone concentrations for the same samples as measured b...
Use of stapling instruments to aid in the removal of ovarian tumours in mares. Ovarian granulosa theca cell tumours were removed surgically in 10 mares. Stapling instruments were used to facilitate haemostasis of the ovarian pedicle in five out of 10 cases and as a sole method of haemostasis in the remaining five cases. Postoperative haemorrhage from the ovarian pedicle was suspected in only one case. All cases survived long term follow-up from six months to four years. Results from this series of cases indicate that stapling instruments provide a rapid, easy and efficient means of ligating ovarian pedicles when performing ovariectomy in the mare.
[The progress of a fibrinolytic therapy with streptokinase, urokinase and warfarin in a thoroughbred with intermittent lameness with special reference to resonance thrombography]. A thoroughbred horse, suffering from intermittent lameness was treated with streptokinase, urokinase and warfarin. The appearing fibrinolytic changes in coagulation were exhibited in a resonance thrombogram. In attendant coagulation studies fibrinogen- and fibrin-degradation products were demonstrated. The stallion does not show any lameness since the end of the treatment and is standing in a breeding station since March 1988.
Modification of the structural and redox properties of cytochrome c by heteropolytungstate binding. Complex formation between horse heart ferricytochrome c and large three-dimensional polyanions has been investigated, in order to study the influence of surface electrostatic interactions on the structural and redox properties of cytochrome c. Cytochrome c binds the large heteropolytungstates (NaSb9W21O86)18- and (KAs4W40O140)27- with a 1/1 polyanion/cytochrome c ratio, and the smaller ion (SiW11O39)8- with a 2/1 ratio. Upon complexation, cytochrome c undergoes structural changes that are dependent on the size and charge of the polyanion, and on the pH and ionic strength of the medium. Three d...
