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Topic:Veterinary Practice

Veterinary practice in relation to horses encompasses the medical care, management, and treatment of equine species. This field involves various aspects of equine health, including preventive care, diagnosis, and treatment of diseases, surgical interventions, and emergency care. Equine veterinarians employ a range of diagnostic tools and techniques such as physical examinations, imaging, and laboratory tests to assess and monitor horse health. In addition to addressing physical ailments, veterinary practice also includes nutritional management, reproductive health, and performance-related issues. This page compiles peer-reviewed research studies and scholarly articles that explore the methodologies, advancements, and outcomes in veterinary practices specific to equine health.
Intrathecal Immunoglobulin for treatment of adult patients with tetanus: A randomized controlled 2×2 factorial trial.
Wellcome open research    November 5, 2018   Volume 3 58 doi: 10.12688/wellcomeopenres.14587.2
Loan HT, Yen LM, Kestelyn E, Hao NV, Thanh TT, Dung NTP, Turner HC, Geskus RB, Wolbers M, Tan LV, Van Doorn HR, Day NP, Wyncoll D, Hien TT....Despite long-standing availability of an effective vaccine, tetanus remains a significant problem in many countries. Outcome depends on access to mechanical ventilation and intensive care facilities and in settings where these are limited, mortality remains high. Administration of tetanus antitoxin by the intramuscular route is recommended treatment for tetanus, but as the tetanus toxin acts within the central nervous system, it has been suggested that intrathecal administration of antitoxin may be beneficial. Previous studies have indicated benefit, but with the exception of one small trial n...
Letter to the Editor: Evidence-based farriery – does it exist?
Equine veterinary journal    November 2, 2018   Volume 51, Issue 1 136-137 doi: 10.1111/evj.13023
Coughlan NE, Cuthbert C, O Sullivan C, McSweeney D.No abstract available
Evaluation of videoendoscopic examinations of arytenoid function in the 2-year-old Thoroughbred: Can we all agree?
Equine veterinary journal    October 27, 2018   Volume 51, Issue 3 364-369 doi: 10.1111/evj.13030
McLellan J, Plevin S.Upper respiratory tract (URT) endoscopic examination is a routine part of prepurchase examinations. Discrepancies have been documented in the assessment of arytenoid function grades (AFG) between veterinarians. Objective: To document intra- and interobserver agreement for a population of multi-experience level veterinarians for assessment of AFG of 2-year-old Thoroughbreds. Methods: Observational cohort study. Methods: One-hundred and fourteen URT videoendoscopic examinations were evaluated by 10 veterinarians. Veterinarians were categorised based on experience, into five groups, each group wi...
Equine Mesenchymal Stem Cells: Properties, Sources, Characterization, and Potential Therapeutic Applications.
Journal of equine veterinary science    October 24, 2018   Volume 72 16-27 doi: 10.1016/j.jevs.2018.10.007
Gugjoo MB, Amarpal , Makhdoomi DM, Sharma GT.Properties like sustained multiplication and self-renewal, and homing and multilineage differentiation to undertake repair of the damaged tissues make stem cells the lifeline for any living system. Therefore, stem cell therapy is regarded to carry immense therapeutic potential. Though the dearth of understanding about the basic biological properties and pathways involved in therapeutic benefits currently limit the application of stem cells in humans as well as animals, there are innumerable reports that suggest clinical benefits of stem cell therapy in equine. Among various stem cell sources, ...
[Use of bisphosphonates in horses – a review].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    October 19, 2018   Volume 46, Issue 5 323-333 doi: 10.15653/TPG-170804
Düsterdieck-Zellmer KF.Systemic administration of tiludronate or clodronate decreases lameness in some horses suffering from navicular syndrome within 2-6 months of treatment. In horses that fail to respond to the first treatment, a follow-up treatment may still improve the lameness. Horses with a lameness duration of less than 6 months have better odds of experiencing improvement in lameness. Bisphosphonate (BP) treatment can result in renal damage, and it is recommended to assess renal function prior to and after treatment. Horses with pre-existing renal compromise should not be treated with BP, as this may promot...
Equine Wound Management: Bandages, Casts, and External Support.
The Veterinary clinics of North America. Equine practice    October 17, 2018   Volume 34, Issue 3 557-574 doi: 10.1016/j.cveq.2018.07.010
Eggleston RB.Successful management of equine wounds relies on knowledge of the stages of wound healing, factors that can alter those stages, how healing stages can be manipulated, and adherence to the principles of wound healing. Challenges that complicate wound management include the inability to immobilize and/or confine equine patients, and maintain a clean environment during the critical initial stages of healing. Because of these challenges, the equine practitioner relies heavily on bandaging and external coaptation techniques to successfully treat and manage wounds. The type of bandage used is dictat...
Choosing the Best Approach to Wound Management and Closure.
The Veterinary clinics of North America. Equine practice    October 17, 2018   Volume 34, Issue 3 499-509 doi: 10.1016/j.cveq.2018.07.005
Kamus L, Theoret C.This article aims to help the practitioner by providing the tools to decide which type of closure or healing is best in a given situation. An overview of the main criteria and the different approaches to wound closure is presented. Each wound must be considered as a unique problem that requires a clinician to take into account all of its characteristics and limits to determine the best management approach.
Biological variation of routine haematology and biochemistry measurands in the horse.
Equine veterinary journal    October 17, 2018   Volume 51, Issue 3 384-390 doi: 10.1111/evj.13017
Wright ME, Croser EL, Raidal S, Baral RM, Robinson W, Lievaart J, Freeman KP.Clinical pathology results are typically interpreted by referring to population-based reference intervals. The use of individualised (subject-based) reference intervals is more appropriate for measurands with a high degree of variation between individuals. Objective: To determine the biological variation of routinely analysed equine haematology and biochemistry measurands and calculate indices of individuality and reference change values which enable production of individualised reference intervals, in a group of healthy, privately owned horses. Methods: In a prospective cohort study, thirty-n...
Medical Therapy in Equine Wound Management.
The Veterinary clinics of North America. Equine practice    October 17, 2018   Volume 34, Issue 3 591-603 doi: 10.1016/j.cveq.2018.07.008
Hanson RR.Suitable use of prophylactic antimicrobial drugs for wounds depends on the accurate selection of appropriate antibiotics, dosing regimen, and duration of use. Regional intravenous delivery and intraosseous infusion of antibiotics are pivotal to a successful outcome for deep-rooted infections, inadequately perfused tissue, and infected wounds containing biofilm. Antibiotic-impregnated polymethylmethacrylate beads are predominantly helpful for wounds that have a poor blood supply and for those containing surgical implants that must remain in place.
Lentiviral-based reporter constructs for profiling chondrogenic activity in primary equine cell populations.
European cells & materials    October 12, 2018   Volume 36 156-170 doi: 10.22203/eCM.v036a12
Martin-Pena A, Porter RM, Plumton G, McCarrel TM, Morton AJ, Guijarro MV, Ghivizzani SC, Sharma B, Palmer GD.Successful clinical translation of mesenchymal stem cell (MSC)-based therapies for cartilage repair will likely require the implementation of standardised protocols and broadly applicable tools to facilitate the comparisons among cell types and chondroinduction methods. The present study investigated the utility of recombinant lentiviral reporter vectors as reliable tools for comparing chondrogenic potential among primary cell populations and distinguishing cellular-level variations of chondrogenic activity in widely used three-dimensional (3D) culture systems. Primary equine MSCs and chondroc...
Pharmacokinetics of Intrarectal Altrenogest in Horses.
Journal of equine veterinary science    October 10, 2018   Volume 72 41-46 doi: 10.1016/j.jevs.2018.10.001
Ellis KE, Council-Troche RM, Von Dollen KA, Beachler TM, Bailey CS, Davis JL, Lyle SK.Hospitalized pregnant mares being held nil per os (PO) because of medical or surgical events present a dilemma for pregnancy maintenance therapy, which commonly includes oral altrenogest. Rectal administration of medications is a recognized route for achieving systemic concentrations, but there are no data on the pharmacokinetics of rectal altrenogest administration in horses. The purpose of this study was to determine the pharmacokinetics of altrenogest following PO or per rectum (PR) administration in mares. Using a randomized two-way crossover study design, six horses received altrenogest (...
Objective pain assessment in horses (2014-2018).
Veterinary journal (London, England : 1997)    October 9, 2018   Volume 242 1-7 doi: 10.1016/j.tvjl.2018.10.001
van Loon JPAM, Van Dierendonck MC.In recent decades, much effort has been invested in scientific studies of objective and reliable assessment of pain in horses. Various types of pain assessment tools have been described and (partly) validated for different types of pain in horses. Currently, composite pain scales and facial expression-based pain scales seem to be the most promising tools for pain assessment in horses and numerous studies have recently been published on the use of these pain scales in horses. Therefore, this narrative review mainly focusses on these two types of pain scales and on the studies that have appeared...
Celebrating excellence in equine medicine.
The Veterinary record    October 6, 2018   Volume 183, Issue 13 400 doi: 10.1136/vr.k4178
No abstract available
Bursting strength of surgeon’s and self-locking knots for closure of ventral midline celiotomy in horses.
Veterinary surgery : VS    October 1, 2018   Volume 47, Issue 8 1080-1086 doi: 10.1111/vsu.12957
McGlinchey L, Hanson RR, Boone LH, Rosanowski SM, Coleridge M, Souza C, Munsterman AS.To compare the bursting strength and failure mode of ventral midline celiotomy closed with a simple continuous suture pattern with 1 of 2 knot combinations, a novel self-locking knot combination of a forwarder start with an Aberdeen end knot (F-A) and a traditional combination of a surgeon's start with a surgeon's end knot (S-S). Methods: Ex vivo experimental. Methods: Equine cadavers (n = 14). Methods: A 20-cm ventral midline celiotomy was created in 14 equine cadavers. Horses were assigned to celiotomy closure with an F-A or S-S knot combination. Prior to closure, a 200-L inflatable blad...
Clinical insights: Advances in diagnostic imaging: Fractures.
Equine veterinary journal    September 29, 2018   Volume 50, Issue 6 708-709 doi: 10.1111/evj.12996
Manso-Diaz G, Weller R, Biggi M.No abstract available
Force and strain during horseback riding: bridging the gap between theory and clinical practice.
The Journal of sports medicine and physical fitness    September 27, 2018   Volume 59, Issue 3 536-538 doi: 10.23736/S0022-4707.18.08170-7
Portaro S, Filardi V, Naro A, Cacciola A, Andronaco V, Gatani U, Calabrò RS, Gemelli G, Milardi D, Bramanti A.No abstract available
Effect of the addition of epinephrine to a lidocaine solution on the efficacy and duration of palmar digital nerve blocks in horses with naturally occurring forefoot lameness.
American journal of veterinary research    September 27, 2018   Volume 79, Issue 10 1028-1034 doi: 10.2460/ajvr.79.10.1028
Alvarez AV, Schumacher J, DeGraves FJ.OBJECTIVE To determine whether addition of epinephrine to a lidocaine solution would prolong and potentiate the efficacy of a palmar digital nerve block (PDNB) in horses. ANIMALS 6 adult horses with naturally occurring forefoot lameness. PROCEDURES Initially, a PDNB with a 2% lidocaine solution was performed on the affected foot of each horse. Three days later, the PDNB was repeated with a 1% lidocaine solution or a 1% lidocaine solution containing epinephrine (dilution, 1:200,000). After another 3-day washout period, the PDNB was repeated with the treatment opposite that administered for the ...
Is there a future for ‘specials’ in equine practice?
The Veterinary record    September 22, 2018   Volume 183, Issue 11 338 doi: 10.1136/vr.k3984
No abstract available
Reliability of equine visual lameness classification as a function of expertise, lameness severity and rater confidence.
The Veterinary record    September 21, 2018   Volume 184, Issue 2 63 doi: 10.1136/vr.105058
Starke SD, Oosterlinck M.Visual equine lameness assessment is often unreliable, yet the full understanding of this issue is missing. Here, we investigate visual lameness assessment using near-realistic, three-dimensional horse animations presenting with 0-60 per cent movement asymmetry. Animations were scored at an equine veterinary seminar by attendees with various expertise levels. Results showed that years of experience and exposure to a low, medium or high case load had no significant effect on correct assessment of lame (P>0.149) or sound horses (P≥0.412), with the exception of a significant effect of case l...
Assessment of systolic and diastolic function in clinically healthy horses using ambulatory acoustic cardiography.
Equine veterinary journal    September 21, 2018   Volume 51, Issue 3 391-400 doi: 10.1111/evj.13014
Zuber N, Zuber M, Schwarzwald CC.Assessment of cardiac electromechanical function in horses requires training, experience and specialised equipment and does not allow continuous monitoring over time. Objective: The objective of this study was to establish the use of an acoustic ECG monitor (Audicor ) in healthy horses. It provides noninvasive, examiner-independent, continuous analyses combining ECG and phonocardiography to calculate indices of cardiac mechanical activity and haemodynamics. Device usability was investigated, reference intervals calculated and reproducibility of analyses assessed. Methods: Prospective descripti...
How to score sedation and adjust the administration rate of sedatives in horses: a literature review and introduction of the Ghent Sedation Algorithm.
Veterinary anaesthesia and analgesia    September 19, 2018   Volume 46, Issue 1 4-13 doi: 10.1016/j.vaa.2018.08.005
Schauvliege S, Cuypers C, Michielsen A, Gasthuys F, Gozalo-Marcilla M.To summarize the different methods used to assess sedation and/or adjust the dose or administration rate of alpha-2 agonists in horses and to propose an algorithm to adjust the administration rate of a constant rate infusion of an alpha-2 agonist in horses. Methods: PubMed and Web of Science; search terms: horse, sedation and score. Conclusions: Most authors distinguish between sedation depth, sedation quality and degree of ataxia. These three features are evaluated using scoring systems similar to those classically used to assess pain, i.e. simple descriptive scales, numerical rating scales (...
Age-associated changes in the equine flash visual evoked potential.
Veterinary ophthalmology    September 13, 2018   Volume 22, Issue 4 388-397 doi: 10.1111/vop.12601
Ström L, Michanek M, Ekesten B.To investigate age-associated changes of flash visual evoked potentials (FVEPs) in sedated horses. Methods: Twenty-eight clinically healthy Standardbred Warmblooded trotters, aged 36 hours to 28 years. Methods: Light-adapted FVEPs and FERGs were recorded (An-vision RETIport, Roland-consult, Germany) in response to flash stimuli. Sedation was obtained using alpha-2-agonists intravenously. Akinesia of the eyelids was induced and pupils were dilated. Results: Reproducible FVEPs and FERGs were readily recorded from all foals and horses. The FVEP waveform included up to four positive components (...
Long-term management of horses with atopic dermatitis in southeastern England: a retrospective questionnaire study of owners’ perceptions.
Veterinary dermatology    September 3, 2018   Volume 29, Issue 6 526-e176 doi: 10.1111/vde.12685
Loeffler A, Herrick D, Allen S, Littlewood JD.Allergic pruritus and urticaria in the horse are challenging for veterinarians and owners; little is known about their long-term management. Objective: To summarize intradermal allergen test results (IDT), and to assess owners' perceptions of skin disease and the effects of medical treatment and management changes in their atopic horses over time. Methods: Eighty two horses with atopic dermatitis in southeastern England between 2006 and 2011. Methods: The IDT results were reviewed retrospectively. Owners completed telephone questionnaires on skin changes, medication, effect of allergen-specifi...
The clinical diagnosis of equine sarcoids – Part 1: Assessment of sensitivity and specificity using a multicentre case-based online examination.
Veterinary journal (London, England : 1997)    September 1, 2018   Volume 242 77-82 doi: 10.1016/j.tvjl.2018.08.009
Koch C, Martens A, Hainisch EK, Schüpbach G, Gerber V, Haspeslagh M.Equine clinicians and researchers often make the diagnosis of equine sarcoids (ES) on clinical assessment alone, without histopathological confirmation. However, the accuracy of the clinical diagnosis of ES has not been critically assessed. To assess sensitivity, specificity, positive and negative predictive values of the clinical diagnosis of ES, 40 clinical cases with histologically confirmed equine skin lesions (26 ES and 14 non-ES) were compiled in a representative online examination. For each case and lesion, at least one photograph and all relevant information were presented in a standar...
The clinical diagnosis of equine sarcoids-Part 2: Assessment of case features typical of equine sarcoids and validation of a diagnostic protocol to guide equine clinicians in the diagnosis of equine sarcoids.
Veterinary journal (London, England : 1997)    September 1, 2018   Volume 240 14-18 doi: 10.1016/j.tvjl.2018.08.010
Haspeslagh M, Gerber V, Knottenbelt DC, Schüpbach G, Martens A, Koch C.Research has shown that the accuracy of the clinical diagnosis of equine sarcoids (ES) can be improved. Particularly, less experienced veterinarians are often mistaken in their clinical judgement despite a high level of diagnostic confidence. The aim of this study was to develop and assess the performance of a diagnostic protocol (DP) to improve diagnostic accuracy and identify diagnostically challenging cases. The design of the DP was based on typical clinical features of ES and its algorithm was optimised through repeated tests on clinical cases prior to validating its performance in a repre...
Gene Therapy Using Plasmid DNA Encoding VEGF164 and FGF2 Genes: A Novel Treatment of Naturally Occurring Tendinitis and Desmitis in Horses.
Frontiers in pharmacology    August 31, 2018   Volume 9 978 doi: 10.3389/fphar.2018.00978
Kovac M, Litvin YA, Aliev RO, Zakirova EY, Rutland CS, Kiyasov AP, Rizvanov AA.This clinical study describes the intralesional application of the plasmid DNA encoding two therapeutic species-specific growth factors: vascular endothelial growth factor (VEGF164) and fibroblast growth factor 2 (FGF2) in seven horses to restore naturally occurring injuries of the superficial digital flexor tendon (SDFT) (tendinitis) and in three horses with suspensory ligament branch desmitis. Following application all horses were able to commence a more rapid exercise program in comparison to standardized exercise programs. Clinical observation and ultrasonic imaging was used to evaluate th...
Evaluation of chromocystoscopy in the diagnosis of cystitis in female donkeys.
PloS one    August 29, 2018   Volume 13, Issue 8 e0202596 doi: 10.1371/journal.pone.0202596
Abd El Kader NA, Farghali HA, Abu-Seida AM, Salem NY, Khattab MS.Early detection of cystitis in equine is essential to improve the prognosis and outcome of therapy. However, the conventional white light endoscopy is not sufficiently accurate for this purpose. Hence, this study evaluated chromoendoscopy as a recent diagnostic tool for cystitis in female donkeys. For this purpose, 5 apparently normal donkeys (control group) and 5 female donkeys with cystitis (diseased group) were used. Physical and rectal examinations, urine analysis, white light cystoscopy, methylene blue-based chromoendoscopy and histopathology were performed in all animals. Turbid urine ex...
Prevalence of owner-reported ocular problems and veterinary ocular findings in a population of horses aged ≥15 years.
Equine veterinary journal    August 25, 2018   Volume 51, Issue 2 212-217 doi: 10.1111/evj.13005
Malalana F, McGowan TW, Ireland JL, Pinchbeck GL, McGowan CM.Previous studies suggest that ocular disease is common among aged horses but owners may fail to identify or underestimate their clinical relevance. Objective: To document the prevalence of owner-reported ocular disease in horses aged ≥15 years. In a subset of these horses, to document ophthalmic findings from veterinary examination and compare with owner-reported ocular disease, and to determine risk factors for veterinary ophthalmic findings. Methods: Cross-sectional study. Methods: Owners of aged horses completed a survey on management, clinical signs and medical history. Risk factors for ...
[Nutrition of horses with equine pituitary pars intermedia dysfunction (“Cushing’s syndrome”) treated with pergolid – A field study].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    August 24, 2018   Volume 46, Issue 4 249-256 doi: 10.15653/tpg-170574
Kienzle E, Bockhorni T.The nutritional status of 36 patients with equine pituitary pars intermedia dysfunction (PPID) under pergolide treatment was investigated. Methods: The body condi tion score (BCS) and feeding were determined at the beginning of the study and after 60 and 120 days. Sampled blood for control of pergolid therapy were used for insulin and glucose measurement. A standardized questionnaire regarding the symptoms of the disease, including hypertrichosis and weight change, was completed by the owners. Results: The mean BCS (scale of 1 = cachexia to 9 = grossly obese) was 3.1 ± 0.8 (large horses 2.7 Â...
Two Multicenter Surveys on Equine Back-Pain 10 Years a Part.
Frontiers in veterinary science    August 23, 2018   Volume 5 195 doi: 10.3389/fvets.2018.00195
Riccio B, Fraschetto C, Villanueva J, Cantatore F, Bertuglia A.Despite back-pain being a common cause of poor performance in sport horses, a tailored diagnostic workflow and a consolidated therapeutic approach are currently lacking in equine medicine. The aim of the study was to assess the evolution in the veterinarian approach to diagnose and treat back-pain over a 10 years period. To investigate this topic, two surveys were addressed to equine veterinarians working in practice throughout Europe 10 years apart (2006 and 2016). The answers were organized in an Excel dataset and analyzed. There were 47 respondents in 2006 and 168 in 2016, from 8 European C...
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