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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.
Endotoxemia in horses: protection provided by antiserum to core lipopolysaccharide. An equine antiserum to core lipopolysaccharide was produced by inoculation of 6 horses with a boiled cell bacterin made from the J-5 mutant of Escherichia coli O111:B4. The antiserum immunoglobulin G titer to J-5 mutant E coli, as determined by enzyme-linked immunosorbent assay, was 1:15,006. Pooled serum prepared before inoculation (preimmune serum) had a J-5 immunoglobulin G titer of 1:350. The J-5 antiserum was tested for its protective efficacy in sublethal endotoxemia in 14 horses. Four horses served as nontreated controls and were given nothing before endotoxin challenge exposure (10 mic...
Albumin and immunoglobulins G, A and M in aqueous humour from clinically normal equine eyes. The levels of albumin, immunoglobulin G (including IgG [T]), IgA and IgM in the serum and aqueous humour of 47 horses and ponies with no ophthalmic abnormalities were determined by single radial immunodiffusion. There was a linear relationship between serum and aqueous albumin levels. No relationship of serum and aqueous IgG levels was observed. IgA was detected in only one aqueous sample. IgM was not detected in aqueous humour from any eye in this study. The factors which may influence albumin and immunoglobulin levels in normal aqueous humour are discussed.
Species-specific serodiagnosis of equine piroplasma infections by means of complement fixation test (CFT), immunofluorescence (IIF), and enzyme-linked immunosorbent assay (ELISA). The increasing horse trade requires a reliable immunodiagnosis of equine piroplasma infections due to import restrictions imposed by various countries, including the United States of America. It was the aim of our investigations to establish the suitability of serological tests for the detection of parasite carriers and, eventually, to differentiate between Babesia caballi and B. equi infections. The investigations were carried out on 11 ponies with experimentally-induced B. caballi and/or B. equi infection. The infections were confirmed by the demonstration of parasites in blood smears 2-13 d...
Desmitis of the fetlock annular ligament in the horse. Desmitis of the fetlock annular ligament was diagnosed in 30 horses during a period of eight years. Most of the horses had been lame for a prolonged period and had chronically distended digital flexor tendon sheaths. Air tendograms demonstrated thickened palmar or plantar annular ligaments. In 25 horses the ligament was cut longitudinally; of these, 16 horses returned to full work without any difficulty and one became sound after a second operation. Follow up time varied from three months to seven-and-a-half years. None of the five untreated horses returned to work.
Effectiveness of oxfendazole against early and later 4th-stage Strongylus vulgaris in ponies. Twenty pony foals (reared worm free), 6.5 to 10 weeks of age, were inoculated with Strongylus vulgaris and allocated to 5 groups, each with 4 foals. One week after inoculation, 1 group of 4 foals was given oxfendazole (OFZ) at a dosage rate of 10 mg/kg of body weight, another group was given 2 such treatments 48 hours apart, and a 3rd group was given a placebo. All treatments were administered by stomach tube. Three weeks later, foals were euthanatized and necropsied in a test for efficacy against early 4th-stage larvae. Oxfendazole was 80% and 94.9% effective against early 4th-stage S vulgari...
Effects of flunixin meglumine, phenylbutazone and a selective thromboxane synthetase inhibitor (UK-38,485) on thromboxane and prostacyclin production in healthy horses. The efficacy of three agents which alter the metabolism of arachidonic acid was investigated in normal, conscious horses. A dose response evaluation was made of flunixin meglumine and phenylbutazone, two cyclo-oxygenase inhibitors, and of a selective thromboxane synthetase inhibitor, UK-38,485. Radioimmunoassay of thromboxane B2 (TxB2) and 6-keto prostaglandin F1 alpha (PGF1 alpha) was used to assess the concentrations of thromboxane A2 (TxA2) and prostacyclin (PGI2) respectively, in serum. Flunixin was the most potent inhibitor of serum TxB2 and 6-keto PGF1 alpha production. UK-38,485 also de...
Intravenous acid infusion without lowering arterial pH stimulates breathing. The aim of this study was to determine whether increases in ventilation would occur during intravenous acid infusion even if systemic arterial pH was held constant. In six awake ponies, HCl (500 ml, approximately 0.312 M) was infused into the right atrium at a total dose of 1.0 meq/kg over 18 min while an equivalent dose of NaOH was infused into the left heart to restore systemic arterial pH to normal. Total ventilation increased at the onset of the infusion and remained elevated although systemic arterial pH was normal to slightly alkaline. The increase in ventilation during the initial 2 min...
Pulmonary function in the horse during anaesthesia: a review. The effect of abnormal body position on cardiovascular and pulmonary function in the awake and anaesthetised horse is reviewed. Parameters such as pulmonary shunt, lung volumes, blood gases and alveolar-arterial oxygen partial pressure differences are discussed. Withholding food for 24 hours and mechanical ventilation may be used to improve blood gas values associated with abnormal recumbency during anaesthesia. During prolonged recovery, horses should be encouraged to adopt sternal recumbency.
Equine intravenous glucose tolerance test: glucose and insulin responses of healthy horses fed grain or hay and of horses with pituitary adenoma. Intravenous glucose tolerance testing (0.5 g/kg of body weight) was done on 2 groups of healthy horses maintained with hay (group 1, n = 5) and with hay plus grain supplementation (group 2, n = 5) and on a group of horses with clinically diagnosed pituitary adenoma (group 3, n = 10). Healthy horses showed an immediate increase of plasma glucose concentration after the IV glucose injection, with return of values to base line in 1 hour. Group 3 horses showed resting hyperglycemia and a delayed return of glucose values to base line (3 hours). Group 3 horses showed resting hyperinsulinemia and a f...
Gentamicin dosage in foals aged one month and three months. The absorption and disposition kinetics of gentamicin were compared at two dosage levels (2 and 4 mg/kg bodyweight [bwt]) in one- and three-month-old foals. Following intramuscular (im) injection of single 2 mg/kg bwt doses, the drug was absorbed rapidly and produced peak serum concentration (18.2 mu 5.3 +/- g/ml, n = 8) at 30 mins. Much wider variations were associated with the amount of drug absorbed and the serum gentamicin concentrations after administration at the higher dosage level. The half-life of gentamicin was similar in the one-month-old (3.7 +/- 1.7 h, n = 8) and three-month-old (...
Histologic findings in the gastrointestinal tract of horses with colic. Thirty horses were admitted to the University of Georgia Veterinary Medical Teaching Hospital with colic severe enough to warrant surgery and/or euthanasia. Gastrointestinal tracts of these 30 horses were histologically examined for morphologic changes. The horses were grouped according to cause of the colic (ie, simple obstruction, strangulation obstruction, thromboemboli, and inflammation). Lesions were graded as to severity, and grade scores were correlated with survival or nonsurvival. Mucosal changes developed distal and proximal to the primary lesion site and, although there were some di...
Congenital malformation of the large colon causing colic in a horse. An abnormal mesocolic attachment which resulted in a stellate malformation of the left colon adjacent to the pelvic flexure was suspected to be the cause of intermittent episodes of colic in a horse. Resection and side-to-side anastomosis of the large colon at the level of the sternal and diaphragmatic flexures was performed and the horse made an uneventful recovery from surgery. Only minor serum biochemical changes were observed in the initial postoperative period. The abnormal mesocolic attachment was probably a congenital anomaly.
Relationship between spinal biomechanics and pathological changes in the equine thoracolumbar spine. The relationship between spinal biomechanics and pathological changes occurring in functionally normal equine thoracolumbar spines was studied in 23 horses. Ventrolateral vertebral body osteophytes occurred in 36 per cent of the spines. The majority occurred between the 10th and 17th thoracic vertebrae with the largest being found between the 11th and 13th thoracic vertebrae, the region of the thoracic spine where the greatest amount of lateral bending and axial rotation occurs. Impingement of the dorsal spinous processes was detected in 86 per cent of the spines with most lesions occurring be...
Airway responses to aerosolized methacholine and citric acid in ponies with recurrent airway obstruction (heaves). We measured lung function and airway reactivity in response to methacholine and citric acid administered by aerosol in 2 groups of ponies (principal and control). Principal ponies had a history of heaves, a disease characterized by recurrent airway obstruction. Control ponies had no history of respiratory disease. Both principal and control ponies were paired (principal and control), and measurements were made when principal ponies were in clinical remission (Period A), following barn exposure when principal ponies had acute airway obstruction (Period B), and 1 and 2 wk after they were returne...
Acute postoperative diarrhoea in colic horses. A retrospective study on surgical cases of colic in horses (n = 216) revealed that 42 (19.4%) developed post-surgical diarrhoea. Salmonella spp. were isolated in 6 (16.2%) of the cases (n = 37) exhibiting diarrhoea. In 35.7% of the cases (n = 42) recovery from surgery was disturbed by other complications; 23.8% (10/42) died, 2 of which from primary acute diarrhoea due to salmonellosis. Most of the outbreaks of diarrhoea occurred in winter and spring. From the associated variables examined, the duration of colic signs revealed a significant difference between the cases which developed acute pos...
Comparison of two techniques for quantitation of encysted cyathostome larvae in the horse. Haustral portions of intestine of 6 horses were isolated by excising the taeniae coli from the cecum and the ventral colon. Uniform 5-cm X 5-cm sections were cut from the haustra and were illuminated from the serosal side with a strong light source (mural transillumination). Cyathostome larvae encysted in the mucosa and submucosa were observed at 15 X magnification and counted. Two separate counts of the larvae in 80 replicates of tissue by the mural transillumination technique (MTT) revealed no significant (P less than 0.05) difference between sample means. Larvae in tissue sections were coun...
The sympatho-adrenal system and plasma levels of adrenocorticotropic hormone, cortisol and catecholamines in equine grass sickness. Plasma levels of adrenocorticotropic hormone (ACTH), cortisol and catecholamines were used to study the role of the sympatho-adrenal system in equine grass sickness. Statistical evaluation determined differences of hormone levels between seven horses with grass sickness (one acute, five subacute and one chronic), six horses with colic (one with laminitis) and 16 control horses before and after mild stress. Plasma levels of the hormones were higher in horses with acute and subacute grass sickness than in the other groups. No differences were detected between horses with colic and stressed contr...
Pharmacokinetics of amikacin in pony foals after a single intramuscular injection. Six healthy pony foals, from 2 to 11 days of age, were given a single IM injection of amikacin sulfate (250 mg/ml) at a dosage rate of 7 mg/kg of body weight. Serum amikacin concentrations were measured serially over a 24-hour period. The mean peak serum concentration was 14.7 micrograms/ml at 0.5 hour. The elimination rate constant for amikacin was 0.24/hour, the elimination half-life was 3.0 hours, and the apparent volume of distribution was 0.58 L/kg.
Malignant melanoma of the coronary band in a horse. A malignant melanoma developed in the digit of a horse. Metastasis was extensive.
Eikenella corrodens osteomyelitis of the axis in a foal. Eikenella corrodens, a previously unrecognized pathogen in the horse, was isolated from the spinous process of the axis of a colt with signs of severe neck pain. Dorsal laminectomy (excising the infected spinous process and lamina) was performed and the colt was treated with antibiotics for 6 weeks. Recovery was uncomplicated.
Indolent-like corneal ulcers in 3 horses. Three horses were admitted with indolent-like corneal ulcers. All horses were treated topically with antibiotics. Two horses had ulcers with redundant epithelial borders, which were debrided with cotton-tipped applicators after topical anesthesia was induced. One ulcer healed after 2 debridements. Of 2 horses treated surgically, one had complications.
Detection of antibodies to Mycoplasma felis in horses. Mycoplasma felis has been isolated from horses with pleuritis, and limited research indicates that mycoplasma pleuritis can be reproduced in horses. The serodiagnostic potential of the indirect hemagglutination and the metabolism-inhibition tests was evaluated by testing 177 horses for antibodies to M felis. Seven horses with M felis pleuritis developed antibodies, and 6 horses with sterile or bacterial pleuritis had high titers suggesting a previous M felis infection. Six horses with pleuritis (one sterile and five bacterial) had low or no titers to M felis. Only one of 30 horses with conditi...
Eyeworms (Thelazia lacrymalis) in one- to four-year-old Thoroughbreds at necropsy in Kentucky (1984 to 1985). From Mar 1, 1984, to Feb 28, 1985, both eyes from 189 one- to four-year-old Thoroughbreds (88 males, 90 females, and 11 geldings) in Kentucky were examined at necropsy for eyeworms. Thelazia lacrymalis was recovered from 45% of 1-year-old horses, 26% of 2-year-old horses, 45% of 3-year-old horses, and 50% of 4-year-old horses; overall, 43% of 1- to 4-year old horses were infected. Prevalence of eyeworms in horses in the present study was comparable with that in horses of similar ages examined at necropsy in Kentucky in 2 previous studies (1975 to 1976 and in 1979), except for the lower percent...
Effects of lateral recumbency on regional lung function in anesthetized horses. Six horses were anesthetized and placed in lateral recumbency for 1 hour and then were turned to the opposite side for an additional hour. A short-lived radioactive gas, 81mKr, was used to determine the relative spatial distribution of ventilation (V) and perfusion (Q) in these horses. Effects of time, side down, and turning on the distribution were evaluated. A consistent gradient of V/Q was found at all times, with the highest V/Q values at the top (non-dependent) portion of the lung field and the lowest at the bottom (dependent). This gradient was also present within each lung, as well as b...
Iron deficiency and pseudo-iron deficiency in hospitalized horses. Values for serum ferritin, serum iron, and serum total-iron binding capacity were determined in 100 hospitalized horses. Six foals had iron deficiency, as indicated by low serum ferritin and iron concentrations. Twenty-eight horses had low serum iron content and normal or high serum ferritin content and were considered to have pseudo-iron deficiency, possibly in response to infection. Ten horses had serum ferritin concentrations that were quite high, probably indicating iron overload.
Cross-sectional area of the aditus laryngis and rima glottidis before and after transection of the left recurrent laryngeal nerve in the horse. The ventral-to-dorsal height of the rima glottidis was measured from lateral pharyngeal radiographs after correction for magnification. The rima glottidis height was used to enlarge accurately endoscopic photographs of 5 horses taken before and after transection of the left recurrent laryngeal nerve. Areas of the rima glottidis and aditus laryngis were measured, using a computerized digitizer. Mean area of the aditus laryngis was 1,908 mm2 before neurectomy and 1,346 mm2 after neurectomy (P = 0.025). Mean area of the rima glottidis was 1,198 mm2 before neurectomy and 805 mm2 after neurectomy (...
Androgen and progesterone effects on follicle-stimulating hormone and luteinizing hormone secretion in anestrous mares. Anestrous lighthorse mares were treated in December with dihydrotestosterone (DHT; 150 micrograms/kg of body weight), progesterone (P; 164 micrograms/kg), both DHT and P (DHT+P), testosterone (T; 150 micrograms/kg), or vehicle (n = 4/group). Daily blood sampling was started on Day 1, and on Day 4 all mares were administered a pretreatment injection of gonadotropin-releasing hormone (GnRH) and were bled frequently to characterize the responses of follicle-stimulating hormone (FSH) and luteinizing hormone (LH) concentrations. Treatment injections were given on Day 4 and then daily through Day 17...
