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Handsewn semiclosed single-layer jejunocecal side-to-side anastomosis in the horse.
Veterinary surgery : VS    July 10, 2010   Volume 39, Issue 6 771-775 doi: 10.1111/j.1532-950X.2010.00711.x
Gandini M.To report a technique for semiclosed 1-layer side-to-side jejunocecal anastomosis in horses. Methods: Experimental study and clinical reports. Methods: Part 1--In vitro: Intestinal specimens from 24 horses collected immediately after death at an abattoir. Part 2--CLINICAL CASES: 10 horses with clinical signs of colic requiring jejunocecostomy. Methods: Mean time to perform twelve 2-layer handsewn (HS2L) and 12 semiclosed 1-layer modified handsewn (SC) jejunocecal anastomoses was compared. Mean bursting pressures of anastomoses measured with a modified tank inflation test were compared. The SC ...
Combined moxidectin and environmental therapy do not eliminate Chorioptes bovis infestation in heavily feathered horses.
Veterinary dermatology    July 9, 2010   Volume 22, Issue 1 17-23 doi: 10.1111/j.1365-3164.2010.00892.x
Rüfenacht S, Roosje PJ, Sager H, Doherr MG, Straub R, Goldinger-Müller P, Gerber V.Chorioptes bovis infestation is a common cause of pastern dermatitis in the horse, with a predilection in draft horses and other horses with thick hair 'feathers' on the distal limbs. The treatment of this superficial mite is challenging; treatment failure and relapse are common. Furthermore, C. bovis infestation may affect the progression of chronic pastern dermatitis (also known as chronic proliferative pastern dermatitis, chronic progressive lymphoedema and dermatitis verrucosa) in draft horses, manifesting with oedema, lichenification and excessive skin folds that can progress to verruci...
Novel keratins identified by quantitative proteomic analysis as the major cytoskeletal proteins of equine (Equus caballus) hoof lamellar tissue.
Journal of animal science    July 9, 2010   Volume 88, Issue 12 3843-3855 doi: 10.2527/jas.2010-2964
Carter RA, Shekk V, de Laat MA, Pollitt CC, Galantino-Homer HL.The dermo-epidermal interface that connects the equine distal phalanx to the cornified hoof wall withstands great biomechanical demands, but is also a region where structural failure often ensues as a result of laminitis. The cytoskeleton in this region maintains cell structure and facilitates intercellular adhesion, making it likely to be involved in laminitis pathogenesis, although it is poorly characterized in the equine hoof lamellae. The objective of the present study was to identify and quantify the cytoskeletal proteins present in the epidermal and dermal lamellae of the equine hoof by ...
Assessment of left ventricular size and function in horses using anatomical M-mode echocardiography.
Journal of veterinary cardiology : the official journal of the European Society of Veterinary Cardiology    July 8, 2010   Volume 12, Issue 2 111-121 doi: 10.1016/j.jvc.2010.01.002
Grenacher PA, Schwarzwald CC.To study the applicability of anatomical M-mode (AMM) for assessment of left ventricular (LV) size and function in horses, evaluate agreement with conventional M-mode (CMM), determine reliability, and establish reference intervals for AMM measurements. Methods: 98 horses; 13.1 +/- 5.6 years; 538 +/- 78 kg. Methods: Two-dimensional and M-mode recordings were analyzed retrospectively. Standard LV dimensions and indices of LV function, including time intervals, were measured in CMM and compared with AMM studies in long-axis (lx) and short-axis (sx) views. Results: The percentages of measureable c...
Toxicological effects of aflatoxins in horses.
Veterinary journal (London, England : 1997)    July 8, 2010   Volume 188, Issue 3 270-273 doi: 10.1016/j.tvjl.2010.06.002
Caloni F, Cortinovis C.Aflatoxins are a group of mycotoxins principally produced by Aspergillus flavus and A. parasiticus, which are both natural contaminants of food and feedstuff. Aflatoxin B(1) is the most prevalent member of this group that is normally detected and is the most powerful hepatocarcinogen known. Few naturally occurring episodes of aflatoxicosis in horses have been reported in the literature. Indeed, the published information about aflatoxin exposure, metabolism and the effects on horses is limited and controversial, possibly indicating a lack of awareness rather than the rarity of the occurrence. T...
Equus caballus major histocompatibility complex class I is an entry receptor for equine herpesvirus type 1.
Journal of virology    July 7, 2010   Volume 84, Issue 18 9027-9034 doi: 10.1128/JVI.00287-10
Kurtz BM, Singletary LB, Kelly SD, Frampton AR.In this study, Equus caballus major histocompatibility complex class I (MHC-I) was identified as a cellular entry receptor for the alphaherpesvirus equine herpesvirus type 1 (EHV-1). This novel EHV-1 receptor was discovered using a cDNA library from equine macrophages. cDNAs from this EHV-1-susceptible cell type were inserted into EHV-1-resistant B78H1 murine melanoma cells, these cells were infected with an EHV-1 lacZ reporter virus, and cells that supported virus infection were identified by X-Gal (5-bromo-4-chloro-3-indolyl-beta-d-galactopyranoside) staining. Positive cells were subjected t...
Factors affecting pre-ovulatory follicle diameter in the mare: the effect of mare age, season and presence of other ovulatory follicles (multiple ovulation).
Theriogenology    July 7, 2010   Volume 74, Issue 7 1241-1247 doi: 10.1016/j.theriogenology.2010.05.027
Morel MC, Newcombe JR, Hayward K.The importance of elucidating factors affecting reproductive performance and efficiency is of paramount concern to the equine industry. Oocyte viability is known to be one of the determinants of reproductive success and evidence suggests that it may be linked to follicle size. The aims of this study were, therefore, to ascertain: i) the average diameter and range of pre-ovulatory follicles in Thoroughbred mares; ii) whether this is affected by either mare age, time within the breeding season, or the presence of multiple pre-ovulatory follicles (MO). One thousand, four hundred and ninety two Th...
Genetic heterogeneity and variation in viral load during equid herpesvirus-2 infection of foals.
Veterinary microbiology    July 7, 2010   Volume 147, Issue 3-4 253-261 doi: 10.1016/j.vetmic.2010.06.031
Brault SA, Bird BH, Balasuriya UB, MacLachlan NJ.Equine herpesvirus-2 (EHV-2) infection has been implicated as a cause of a variety of clinical disorders in young horses, including upper respiratory tract disease, generalized malaise, fever, pharyngeal lymphoid hyperplasia, and lymphadenopathy. Considerable sequence heterogeneity has been demonstrated previously among EHV-2 strains, and individual horses can be concurrently infected with more than one virus strain. In this study, the temporal variation of the viral load and genomic diversity of the glycoprotein B (gB) gene of EHV-2 in the nasal secretions of a cohort of foals was characteriz...
Total RNA isolation from stallion sperm and testis biopsies.
Theriogenology    July 7, 2010   Volume 74, Issue 6 1099-1106e11062 doi: 10.1016/j.theriogenology.2010.04.023
Das PJ, Paria N, Gustafson-Seabury A, Vishnoi M, Chaki SP, Love CC, Varner DD, Chowdhary BP, Raudsepp T.Sperm mRNA transcriptional profiles can be used to evaluate male fertility, yet differences between species in sperm attributes and packaging require adjustments in sperm RNA isolation protocols. The objective was to optimize RNA isolation methodology for fresh, frozen, and extended ejaculates, and epididymal sperm of stallions. Additionally, a protocol for RNA isolation from testis biopsies was established. Separation of sperm from somatic cells was critical for assuring the isolation of sperm-specific RNA. The highest purity was obtained by centrifuging ejaculates and epididymal sperm at 200...
Optimization of a procedure to accurately detect equine TNFα in serum samples.
Veterinary immunology and immunopathology    July 6, 2010   Volume 138, Issue 1-2 118-123 doi: 10.1016/j.vetimm.2010.06.018
Lavoie-Lamoureux A, Maghni K, Lavoie JP.The systemic component of chronic inflammatory diseases may lead to clinical complications. High levels of TNFα, a pro-inflammatory cytokine, are found in human patients with COPD and asthma. Horses are also susceptible to an array of chronic inflammatory disorders possibly associated with systemic inflammation, including respiratory diseases. Currently, there is no commercially available ELISA validated to assess TNFα in equine serum samples. Moreover, the reported normal mean concentration of serum TNFα in horses vary greatly. Hence, we sought to optimize and validate a procedure to quant...
Differences in grazing behavior of horses and cattle at the feeding station scale on woodland pasture.
Animal science journal = Nihon chikusan Gakkaiho    July 6, 2010   Volume 81, Issue 3 384-392 doi: 10.1111/j.1740-0929.2010.00748.x
Shingu Y, Kondo S, Hata H.In this study, grazing behavior of mares and cows was compared on woodland pastures, in the context of foraging hierarchy. A horse-group (12 native Hokkaido horses) and a cattle-group (5 Hereford cows) were grazed on the woodland pastures of 13.3 ha and 5.8 ha, respectively. They grazed mainly on Sasa nipponica. Grazing behavior at a feeding station (FS) scale was recorded for three focal animals in each group. Mares took one bite per FS at a high percentage of FSs (24.3%) and cows took one, two and three bites per FS at high percentage (20.3%, 19.2% and 15.4%, respectively). Although feeding ...
Analysis of Ca2+/Mg2+ selectivity in alpha-lactalbumin and Ca(2+)-binding lysozyme reveals a distinct Mg(2+)-specific site in lysozyme.
Proteins    July 6, 2010   Volume 78, Issue 12 2609-2624 doi: 10.1002/prot.22776
Permyakov SE, Khokhlova TI, Uversky VN, Permyakov EA.The triggering of Ca(2+) signaling pathways relies on Ca(2+)/Mg(2+) specificity of proteins mediating these pathways. Two homologous milk Ca(2+)-binding proteins, bovine alpha-lactalbumin (bLA) and equine lysozyme (EQL), were analyzed using the simplest "four-state" scheme of metal- and temperature-induced structural changes in a protein. The association of Ca(2+)/Mg(2+) by native proteins is entropy-driven. Both proteins exhibit strong temperature dependences of apparent affinities to Ca(2+) and Mg(2+), due to low thermal stabilities of their apo-forms and relatively high unfavorable enthalpi...
Equine estrogens impair nitric oxide production and endothelial nitric oxide synthase transcription in human endothelial cells compared with the natural 17{beta}-estradiol.
Hypertension (Dallas, Tex. : 1979)    July 6, 2010   Volume 56, Issue 3 405-411 doi: 10.1161/HYPERTENSIONAHA.110.151969
Novensa L, Selent J, Pastor M, Sandberg K, Heras M, Dantas AP.Conjugated equine estrogen therapy is the most common hormone replacement strategy used to treat postmenopausal women. However, the ability of an individual conjugated equine estrogen to modulate NO production and, therefore, to induce cardiovascular protection is largely unknown. The effects of equine and naturally occurring estrogens on NO generation were evaluated in human aortic endothelial cells by measuring in vivo NO production, as well as NO synthase (eNOS) activity and expression. The transcriptional activity on the eNOS gene was determined by the ability of estrogen receptors (alpha ...
Deciphering membrane-associated molecular processes in target tissue of autoimmune uveitis by label-free quantitative mass spectrometry.
Molecular & cellular proteomics : MCP    July 4, 2010   Volume 9, Issue 10 2292-2305 doi: 10.1074/mcp.M110.001073
Hauck SM, Dietter J, Kramer RL, Hofmaier F, Zipplies JK, Amann B, Feuchtinger A, Deeg CA, Ueffing M.Autoimmune uveitis is a blinding disease presenting with autoantibodies against eye-specific proteins as well as autoagressive T cells invading and attacking the immune-privileged target tissue retina. The molecular events enabling T cells to invade and attack the tissue have remained elusive. Changes in membrane protein expression patterns between diseased and healthy stages are especially interesting because initiating events of disease will most likely occur at membranes. Since disease progression is accompanied with a break-down of the blood-retinal barrier, serum-derived proteins mask the...
Survey for tick-borne zoonoses in the state of Espirito Santo, southeastern Brazil.
The American journal of tropical medicine and hygiene    July 3, 2010   Volume 83, Issue 1 201-206 doi: 10.4269/ajtmh.2010.09-0595
Spolidorio MG, Labruna MB, Machado RZ, Moraes-Filho J, Zago AM, Donatele DM, Pinheiro SR, Silveira I, Caliari KM, Yoshinari NH.Blood samples collected from 201 humans, 92 dogs, and 27 horses in the state of Espirito Santo, Brazil, were tested by polymerase chain reaction, indirect immunofluorescence assays, and indirect enzyme-linked immunosorbent assay for tick-borne diseases (rickettsiosis, ehrlichiosis, anaplasmosis, borreliosis, babesiosis). Our results indicated that the surveyed counties are endemic for spotted fever group rickettsiosis because sera from 70 (34.8%) humans, 7 (7.6%) dogs, and 7 (25.9%) horses were reactive to at least one of the six Rickettsia species tested. Although there was evidence of ehrlic...
Evaluation of 30- and 25-diopter intraocular lens implants in equine eyes after surgical extraction of the lens.
American journal of veterinary research    July 3, 2010   Volume 71, Issue 7 809-816 doi: 10.2460/ajvr.71.7.809
McMullen RJ, Davidson MG, Campbell NB, Salmon JH, Gilger BC.To determine appropriate intraocular lens (IOL) implant strength to approximate emmetropia in horses. Methods: 16 enucleated globes and 4 adult horses. Methods: Lens diameter of 10 enucleated globes was measured. Results were used to determine the appropriate-sized IOL implant for insertion in 6 enucleated globes and 4 eyes of adult horses. Streak retinoscopy and ocular ultrasonography were performed before and after insertion of 30-diopter (D) IOL implants (enucleated globes) and insertion of 25-D IOL implants (adult horses). Results: In enucleated globes, mean +/- SD lens diameter was 20.14 ...
Associations of horse age, joint type, and osteochondral injury with serum and synovial fluid concentrations of type II collagen biomarkers in Thoroughbreds.
American journal of veterinary research    July 3, 2010   Volume 71, Issue 7 741-749 doi: 10.2460/ajvr.71.7.741
Nicholson AM, Trumble TN, Merritt KA, Brown MP.To determine the effects of horse age, osteochondral injury, and joint type on a synthesis biomarker and 3 degradative biomarkers of type II collagen in Thoroughbreds. Methods: Healthy rested adult (3- to 12-year-old) Thoroughbreds (n = 19), yearling (1- to 2-year-old) Thoroughbreds (40), and Thoroughbred racehorses (2 to 7 years old) undergoing arthroscopic surgery for removal of osteochondral fragments that resulted from training or racing (41). Methods: Samples of blood and metacarpophalangeal, metatarsophalangeal, or carpal joint synovial fluid (SF) were collected from all horses. Commerci...
Evaluation of the role of superoxide anions in endotoxin-induced impairment of beta-adrenoceptor-mediated vasodilation in equine digital veins.
American journal of veterinary research    July 3, 2010   Volume 71, Issue 7 773-779 doi: 10.2460/ajvr.71.7.773
Mallem MY, Thuleau A, Noireaud J, Desfontis JC, Gogny M.To investigate the role of superoxide anions in the lipopolysaccharide (LPS)-induced impairment of beta-adrenoceptor-mediated equine digital vein (EDV) vasodilation. Methods: EDVs isolated from forelimbs of 24 healthy adult horses. Methods: Endothelium-intact or endothelium-denuded EDV rings were incubated with or without LPS (10 microg/mL) of Escherichia coli (O55:B5) for 4 hours. Cumulative concentration-relaxation curves resulting from administration of isoprenaline, a nonselective beta-adrenoceptor agonist, or from administration of SR 58611A, a selective beta(3)-adrenoceptor agonist, were...
Pharmacokinetics and pharmacodynamics of dexamethasone after oral administration in apparently healthy horses.
American journal of veterinary research    July 3, 2010   Volume 71, Issue 7 831-839 doi: 10.2460/ajvr.71.7.831
Grady JA, Davis EG, Kukanich B, Sherck AB.To assess pharmacokinetic and pharmacodynamic properties of dexamethasone administered PO as a solution or powder, compared with properties of dexamethasone solution administered IV, in apparently healthy horses. Methods: 6 adult horses. Methods: Serum cortisol concentration for each horse was determined before each treatment (baseline values). Dexamethasone (0.05 mg/kg) was administered PO (in solution or powdered form) or IV (solution) to horses from which feed had or had not been withheld (unfed and fed horses, respectively). Each horse received all 6 treatments in random order at 2-week in...
Maternal immune responses to trophoblast: the contribution of the horse to pregnancy immunology.
American journal of reproductive immunology (New York, N.Y. : 1989)    July 3, 2010   Volume 64, Issue 4 231-244 doi: 10.1111/j.1600-0897.2010.00895.x
Noronha LE, Antczak DF.The horse has proven to be a distinctively informative species in the study of pregnancy immunology for several reasons. First, unique aspects of the anatomy and physiology of the equine conceptus facilitate approaches that are not possible in other model organisms, such as non-surgical recovery of early stage embryos and conceptuses and isolation of pure trophoblast cell populations. Second, pregnant mares make strong cytotoxic antibody responses to paternal major histocompatibility complex class I antigens expressed by the chorionic girdle cells, permitting detailed evaluation of the antigen...
Paroxysmal nocturnal hemoglobinuria clones in severe aplastic anemia patients treated with horse anti-thymocyte globulin plus cyclosporine.
Haematologica    July 3, 2010   Volume 95, Issue 7 1075-1080 doi: 10.3324/haematol.2009.017889
Scheinberg P, Marte M, Nunez O, Young NS.Clones of glycosylphosphatidylinositol-anchor protein-deficient cells are characteristic in paroxysmal nocturnal hemoglobinuria and are present in about 40-50% of patients with severe aplastic anemia. Flow cytometry has allowed for sensitive and precise measurement of glycosylphosphatidylinositol-anchor protein-deficient red blood cells and neutrophils in severe aplastic anemia. Methods: We conducted a retrospective analysis of paroxysmal nocturnal hemoglobinuria clones measured by flow cytometry in 207 consecutive severe aplastic anemia patients who received immunosuppressive therapy with a h...
Comparison of macrostructural and microstructural bone features in Thoroughbred racehorses with and without midbody fracture of the proximal sesamoid bone.
American journal of veterinary research    July 3, 2010   Volume 71, Issue 7 755-765 doi: 10.2460/ajvr.71.7.755
Anthenill LA, Gardner IA, Pool RR, Garcia TC, Stover SM.To compare macrostructural and microstructural features of proximal sesamoid bones (PSBs) from horses with and without PSB midbody fracture to gain insight into the pathogenesis of PSB fracture. Methods: PSBs from 16 Thoroughbred racehorses (8 with and 8 without a PSB midbody fracture). Methods: Parasagittal sections of fractured and contralateral intact PSBs from horses with a PSB fracture and an intact PSB from age- and sex-matched control horses without a PSB fracture were evaluated for visual, radiographic, microradiographic, histologic, and his-tomorphometric differences in bone porosity,...
What is your diagnosis? Bone fragment in hock joint.
Journal of the American Veterinary Medical Association    July 2, 2010   Volume 237, Issue 1 29-30 doi: 10.2460/javma.237.1.29
Verwilghen DR, Bolen G, Paindaveine P, Busoni V.No abstract available
West Nile virus activity – United States, 2009.
MMWR. Morbidity and mortality weekly report    July 2, 2010   Volume 59, Issue 25 769-772 
West Nile virus (WNV) was first detected in the Western Hemisphere in 1999 in New York City and has since caused seasonal epidemics of febrile illness and neurologic disease across the United States, where it is now the leading cause of arboviral encephalitis. This report updates a previous report and summarizes WNV activity in the United States reported to CDC in 2009. A total of 38 states and the District of Columbia (DC) reported 720 cases of WNV disease. Of these, 33 states and DC reported 386 cases of WNV neuroinvasive disease, for an incidence of 0.13 per 100,000 population. The five sta...
Stereological and allometric studies on neurons and axo-dendritic synapses in the superior cervical ganglia of rats, capybaras and horses.
Cell and tissue research    July 2, 2010   Volume 341, Issue 2 223-237 doi: 10.1007/s00441-010-1002-8
Loesch A, Mayhew TM, Tang H, Ladd FV, Ladd AA, de Melo MP, da Silva AA, Coppi AA.The superior cervical ganglion (SCG) in mammals varies in structure according to developmental age, body size, gender, lateral asymmetry, the size and nuclear content of neurons and the complexity and synaptic coverage of their dendritic trees. In small and medium-sized mammals, neuron number and size increase from birth to adulthood and, in phylogenetic studies, vary with body size. However, recent studies on larger animals suggest that body weight does not, in general, accurately predict neuron number. We have applied design-based stereological tools at the light-microscopic level to assess ...
Use of a modified Vinsot technique for partial phallectomy in 11 standing horses.
Journal of the American Veterinary Medical Association    July 2, 2010   Volume 237, Issue 1 82-86 doi: 10.2460/javma.237.1.82
Arnold CE, Brinsko SP, Love CC, Varner DD.6 geldings and 5 stallions were evaluated from January 2007 through April 2009 for the following conditions requiring phallectomy: chronic paraphimosis (n = 7), squamous cell carcinoma of the penis (3), and priapism (1). Results: None of the 7 horses with paraphimosis was able to retract the penis. Chronicity of the paraphimosis in 6 horses ranged from 2 weeks to 2 months and was unknown in the seventh horse. Horses with paraphimosis had been medically treated without success. The horse with priapism had developed the condition secondary to acepromazine administration 2 days prior to referral ...
Determination of the prevalence of antimicrobial resistance to macrolide antimicrobials or rifampin in Rhodococcus equi isolates and treatment outcome in foals infected with antimicrobial-resistant isolates of R equi.
Journal of the American Veterinary Medical Association    July 2, 2010   Volume 237, Issue 1 74-81 doi: 10.2460/javma.237.1.74
Giguère S, Lee E, Williams E, Cohen ND, Chaffin MK, Halbert N, Martens RJ, Franklin RP, Clark CC, Slovis NM.To determine the prevalence of antimicrobial resistance to macrolide antimicrobials or rifampin in Rhodococcus equi isolates and to describe treatment outcome in foals infected with antimicrobial-resistant isolates of R equi. Methods: Cross-sectional study. Methods: 38 isolates classified as resistant to macrolide antimicrobials or rifampin received from 9 veterinary diagnostic laboratories between January 1997 and December 2008. Methods: For each isolate, the minimum inhibitory concentration of macrolide antimicrobials (ie, azithromycin, erythromycin, and clarithromycin) and rifampin was dete...
Serum thyroid hormone, insulin, glucose, triglycerides and protein concentrations in normal horses: association with topical dexamethasone usage.
Veterinary journal (London, England : 1997)    July 1, 2010   Volume 188, Issue 3 307-312 doi: 10.1016/j.tvjl.2010.05.033
Abraham G, Allersmeier M, Schusser GF, Ungemach FR.The aim of this study was to determine if topical application of dexamethasone affected the serum concentrations of thyroid hormones (triiodothyronine T(3) and thyroxine T(4)), glucose, triglycerides, total protein and insulin in normal horses. Ten horses were treated twice daily for 10 days with 50 g dexamethasone using an ointment formulation. Thyroid hormones and insulin were assayed using standard radioimmunoassay methods, while glucose, triglycerides and total protein were determined using a standard enzymatic method and the Biuret reaction, respectively. An increase in serum glucose and ...
Geographic distribution modeling and spatial cluster analysis for equine piroplasms in Greece.
Infection, genetics and evolution : journal of molecular epidemiology and evolutionary genetics in infectious diseases    July 1, 2010   Volume 10, Issue 7 1013-1018 doi: 10.1016/j.meegid.2010.06.014
Kouam MK, Masuoka PM, Kantzoura V, Theodoropoulos G.Maximum entropy ecological niche modeling and spatial scan statistic were utilized to predict the geographic range and to investigate clusters of infections for equine piroplasms in Greece, using the Maxent and SaTScan programs, respectively. The eastern half of the country represented the culminating area with high probabilities (p>0.75) of presence of equine piroplasms and encompassed most regions with high concentration of equid host populations. The most important environmental factor that contributed to the ecological niche modeling was land cover followed by temperature. Significant c...
[The extent of temperature sense and pain appreciation recovery in the dermatomes of cauda equine roots after lumbar intervertebral dischernia elimination].
Fiziologiia cheloveka    July 1, 2010   Volume 36, Issue 3 95-101 
Shchurova EN, Khudiaev AT.Temperature sense and pain appreciation has been studied in the dermatomes of cauda equine roots in patients with lumbar intervertebral disc hernia before treatment, in the immediate and long-term periods of observation after disc hernia elimination. Temperature sense and pain appreciation has been determined to be disordered not only in the dermatome of compressed root, but in the dermatomes located proximally and distally as well. The manifestation of negative changes was observed to a greater extent during temperature sense examination. After disc hernia elimination the recovery of temperat...