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1.
Virus Evol ; 9(1): vead014, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36968264

RESUMO

Avian influenza virus subtype H9N2 is endemic in Bangladesh's poultry population. The subtype affects poultry production and poses a potential zoonotic risk. Insufficient understanding of how the poultry trading network shapes the dissemination of avian influenza viruses has hindered the design of targeted interventions to reduce their spread. Here, we use phylodynamic analyses of haemagglutinin sequences to investigate the spatial spread and dispersal patterns of H9N2 viruses in Bangladesh's poultry population, focusing on its two largest cities (Dhaka and Chattogram) and their poultry production and distribution networks. Our analyses suggest that H9N2 subtype avian influenza virus lineage movement occurs relatively less frequently between Bangladesh's two largest cities than within each city. H9N2 viruses detected in single markets are often more closely related to viruses from other markets in the same city than to each other, consistent with close epidemiological connectivity between markets. Our analyses also suggest that H9N2 viruses may spread more frequently between chickens of the three most commonly sold types (sunali-a cross-bred of Fayoumi hen and Rhode Island Red cock, deshi-local indigenous, and exotic broiler) in Dhaka than in Chattogram. Overall, this study improves our understanding of how Bangladesh's poultry trading system impacts avian influenza virus spread and should contribute to the design of tailored surveillance that accommodates local heterogeneity in virus dispersal patterns.

2.
Rev Sci Tech ; 40(2): 497-509, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-34542099

RESUMO

Growth in the livestock sector is associated with heightened risk for epidemic diseases. The increasing spillover of new diseases from wildlife is being driven by wide-scale anthropogenic changes allowing for more frequent and closer wildlife-human and wildlife-livestock contacts. An increasing number of epidemics in livestock are associated with rapid transition of livestock systems from extensive to intensive, and local to global movement of livestock and their products through value chain networks with weak biosecurity. Major livestock epidemics in the past two decades have had substantial economic impacts, and the COVID-19 pandemic highlights the devastating socio-economic consequences that spillovers can have when not identified and controlled early in the process of emergence. This highlights the importance of Veterinary Services to integrated, whole-of-society efforts to control infectious diseases in animals. Emphasis within Veterinary Services must be placed on prevention and preparedness. The authors suggest four areas for continued improvement in Veterinary Services to meet this challenge. These are a) continued development of staff capacity for risk assessment and value chain analysis, together with improved policies and communication, b) appropriate adaptation of approaches to prevention and control in resource-poor settings, c) improved multi-sectoral and transboundary cooperation, which enables the sharing of resources and expertise, and d) systematic approaches that enable Veterinary Services to influence decisionmaking for trade, markets, business, public health, and livelihood development at the national and regional levels.


La croissance du secteur de l'élevage est associée à un risque accru de maladies épidémiques. Les changements anthropiques à grande échelle sont à l'origine du nombre croissant de maladies émergentes atteignant de nouvelles espèces réceptives (spillover) à partir de réservoirs sauvages, à la faveur de contacts plus fréquents et plus rapprochés entre la faune sauvage et les humains, d'une part, et entre la faune sauvage et les animaux domestiques, d'autre part. On considère qu'un nombre croissant d'épidémies affectant le bétail sont dues à la transition rapide des systèmes d'élevage extensif vers des systèmes intensifs, et aux mouvements du bétail et des produits de l'élevage de l'échelle locale à l'échelle mondiale par le biais de réseaux de chaînes de valeur dotés d'un faible niveau de biosécurité. Au cours des deux dernières décennies, d'importantes épidémies affectant le bétail ont eu un impact économique considérable ; en outre, la pandémie de COVID-19 a mis en évidence les conséquences socio-économiques dévastatrices des atteintes de nouvelles espèces réceptives par des agents pathogènes, lorsque ces maladies ne sont pas détectées et maîtrisées dès le processus d'émergence. Cela souligne l'importance cruciale des Services vétérinaires dans les efforts de lutte contre les maladies infectieuses chez les animaux, qui doivent être intégrés et mobiliser la société entière. Les Services vétérinaires doivent mettre un accent particulier sur la prévention et la préparation. Les auteurs proposent quatre aspects d'amélioration continue pour que les Services vétérinaires puissent relever ce défi. Il s'agit : a) du développement permanent des compétences des personnels vétérinaires en matière d'évaluation du risque et d'analyse des chaînes de valeur, et leur articulation avec de meilleures politiques et une communication plus performante ; b) une adaptation adéquate des méthodes de prévention et de contrôle dans les configurations faiblement dotées en ressources ; c) une meilleure coopération multisectorielle et transfrontalière afin de partager les ressources et les compétences ; d) des dispositifs systémiques permettant aux Services vétérinaires d'influencer les prises de décision en matière d'échanges internationaux, de marchés, de commerce, de santé publique et de développement des moyens de subsistance, à l'échelle nationale et régionale.


El crecimiento del sector pecuario está condicionado por la existencia de un mayor riesgo de enfermedades epidémicas. La creciente diseminación de nuevas enfermedades a partir de animales silvestres es consecuencia de transformaciones antrópicas a gran escala que posibilitan un contacto más frecuente y estrecho de la fauna silvestre con el ser humano y el ganado. Cada vez son más las epidemias del ganado que tienen que ver con la rápida transición de los sistemas pecuarios de un régimen de producción extensiva a otro de producción intensiva y con el paso de la dimensión local a la mundial de la circulación de animales y sus derivados a través de redes de cadenas de valor que presentan una endeble seguridad biológica. En los últimos dos decenios ha habido grandes epidemias que han afectado al ganado y tenido importantes consecuencias económicas. La pandemia de COVID-19 es un elocuente ejemplo de los devastadores efectos socioeconómicos que puede tener la extensión de un patógeno cuando no se detecta y controla en un momento lo bastante precoz del proceso de emergencia. Ello pone de relieve la importancia que revisten los Servicios Veterinarios para que toda la sociedad pueda reaccionar de forma integrada a la hora de combatir las enfermedades infecciosas de los animales. Dentro de los Servicios Veterinarios, conviene poner el acento en la prevención y la preparación. Para lograr este objetivo los autores señalan cuatro ámbitos que exigen una constante mejora: a) el desarrollo continuo de la capacidad del personal en materia de determinación de riesgos y análisis de cadenas de valor, ligado a la mejora de las políticas y la comunicación; b) la adecuada adaptación de los métodos de prevención y control en contextos de escasos recursos; c) una mejor cooperación multisectorial y transfronteriza, que permita poner en común recursos y competencias técnicas; y d) enfoques sistemáticos que hagan posible que los Servicios Veterinarios influyan en los procesos decisorios relativos al desarrollo del comercio, los mercados, las empresas, la salud pública y los medios de sustento a escala tanto nacional como regional.


Assuntos
COVID-19 , Pandemias , Animais , Animais Selvagens , COVID-19/veterinária , Humanos , Gado , SARS-CoV-2
3.
Aust Vet J ; 98(4): 148-155, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32090324

RESUMO

OBJECTIVE: To evaluate the proportion of non-ambulatory dogs with cervical intervertebral disc herniation (IVDH) in a private clinic and to compare signalment and outcome between those that underwent single or multiple ventral slot decompression (VSD). DESIGN: Retrospective cohort study. METHODS: After screening 43,378 medical records (January 2010-September 2016), those of 185 dogs with non-ambulatory tetraparesis or tetraplegia along with cervical IVDH that had undergone single (123) or multiple (62) VSD were included in this study. Data on signalment, preoperative neurological status, location of affected intervertebral disc(s), time to ambulation and short-term outcome were compared between single and multiple VSD groups. RESULTS: The proportion of non-ambulatory dogs with IVDH was 35.3%. The prevalence of non-ambulation was higher in male dogs (0.56%) than in female dogs (0.26%; P < 0.001) and in neutered dogs than in unneutered dogs (0.51% and 0.27%, respectively, P < 0.001). After surgery, 96.2% of the dogs reached ambulatory status. Dogs with multiple IVDH were older than those with single IVDH. Sex, neutering status or size did not affect the outcome or ambulation status postsurgery. The Pekingese was the most commonly affected breed in both groups. There was no difference in the time to reach ambulation and the presence of neurological deficits after surgery between dogs that underwent single and multiple VSD. CONCLUSIONS: In this cohort, dogs undergoing multiple VSD had a good postoperative outcome, and their short-term functional recovery was equal to that of dogs undergoing single ventral slot compression.


Assuntos
Doenças do Cão , Degeneração do Disco Intervertebral/veterinária , Deslocamento do Disco Intervertebral/veterinária , Disco Intervertebral , Animais , Cães , Feminino , Masculino , Estudos Retrospectivos
4.
IEEE Trans Med Imaging ; 39(5): 1494-1500, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-31714220

RESUMO

For fully characterizing renal cell carcinoma (RCC), information about the 3D tissue microstructure is essential. Histopathology, which represents the current diagnostic gold standard, is destructive and only provides 2D information. 3D X-ray histology endeavors to overcome these limitations by generating 3D data. In a laboratory environment, most techniques struggle with limited resolution and the weak X-ray attenuation contrast of soft tissue. We recently developed a laboratory-based method combining nanoscopic X-ray CT with a cytoplasm-specific X-ray stain. Here, we present the application of this method to human RCC biopsies. The NanoCT slices enable pathological characterization of crucial structures by reproducing tissue morphology with a similar detail level as corresponding histological light microscopy images. Beyond that, our data offer deeper insights into the 3D configuration of the tumor. By demonstrating the compatibility of the X-ray stain with standard pathological stains, we highlight the feasibility of integrating staining based NanoCT into the pathological routine.


Assuntos
Carcinoma de Células Renais , Neoplasias Renais , Carcinoma de Células Renais/diagnóstico por imagem , Técnicas Histológicas , Humanos , Imageamento Tridimensional , Neoplasias Renais/diagnóstico por imagem , Microtomografia por Raio-X
5.
Sci Rep ; 9(1): 6268, 2019 04 18.
Artigo em Inglês | MEDLINE | ID: mdl-31000728

RESUMO

Automated diagnosis of tuberculosis (TB) from chest X-Rays (CXR) has been tackled with either hand-crafted algorithms or machine learning approaches such as support vector machines (SVMs) and convolutional neural networks (CNNs). Most deep neural network applied to the task of tuberculosis diagnosis have been adapted from natural image classification. These models have a large number of parameters as well as high hardware requirements, which makes them prone to overfitting and harder to deploy in mobile settings. We propose a simple convolutional neural network optimized for the problem which is faster and more efficient than previous models but preserves their accuracy. Moreover, the visualization capabilities of CNNs have not been fully investigated. We test saliency maps and grad-CAMs as tuberculosis visualization methods, and discuss them from a radiological perspective.


Assuntos
Processamento de Imagem Assistida por Computador/métodos , Redes Neurais de Computação , Tórax/diagnóstico por imagem , Tuberculose/diagnóstico , Algoritmos , Bases de Dados Factuais , Aprendizado Profundo/economia , Humanos , Processamento de Imagem Assistida por Computador/economia , Aprendizado de Máquina , Radiografia/métodos , Máquina de Vetores de Suporte , Tórax/patologia , Tuberculose/diagnóstico por imagem , Tuberculose/economia , Tuberculose/patologia , Raios X
6.
Urologe A ; 58(2): 151-154, 2019 Feb.
Artigo em Alemão | MEDLINE | ID: mdl-30623218

RESUMO

Chyluria, a symptom that is very rare in the western world, describes the excretion of chyle into the urogenital system. We present the case of a 61-year-old woman with a severe form of nonparasitic chyluria. We were able to detect the fistula due to a newly developed diagnostic combination of Sudan III red with ureterorenoscopy. Prior to this, we had performed a lymphoscintigraphy twice without detecting the lymphorenal fistula, although lymphoscintigraphy is the current diagnostic standard. This is the first case report of severe, nonparasitic chyluria.


Assuntos
Quilo , Fístula , Nefropatias , Feminino , Fístula/diagnóstico , Humanos , Rim , Nefropatias/diagnóstico , Pessoa de Meia-Idade , Urina
7.
IEEE Trans Med Imaging ; 38(2): 649-656, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30188818

RESUMO

X-ray grating interferometry is a powerful emerging tool in biomedical imaging, providing access to three complementary image modalities. In addition to the conventional attenuation modality, interferometry provides a phase modality, which visualizes soft tissue structures, and a dark-field modality, which relates to the number and size of sub-resolution scattering objects. A particularly strong dark-field signal originates from the alveoli or air sacs in the lung. Dark-field lung radiographs in animal models have already shown increased sensitivity in diagnosing lung diseases, such as lung cancer or emphysema, compared to conventional X-ray chest radiography. However, to date, X-ray dark-field lung imaging has either averaged information over several breaths or has been captured during a breath hold. In this paper, we demonstrate the first time-resolved dark-field imaging of a breath cycle in a mechanically ventilated mouse, in vivo, which was obtained using a grating interferometer. We achieved a time resolution of 0.1 s, visualizing the changes in the dark-field, phase, and attenuation images during inhalation and exhalation. These measurements show that the dark-field signal depends on the air volume and, hence, the alveolar dimensions of the lung. Conducting this type of scan with animal disease models would help to locate the optimum breath point for single-image diagnostic dark-field imaging and could indicate if the changes in the dark-field signal during breath provide a diagnostically useful complementary measure.


Assuntos
Interferometria/métodos , Pulmão/diagnóstico por imagem , Radiografia Torácica/métodos , Animais , Feminino , Processamento de Imagem Assistida por Computador , Pneumopatias/diagnóstico por imagem , Camundongos , Camundongos Endogâmicos C57BL , Respiração Artificial
8.
Food Chem Toxicol ; 117: 79-88, 2018 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-29680271

RESUMO

A facultative post market monitoring of potential health impacts of genetically modified (GM) feedstuffs on livestock consuming these feeds after pre-market risk assessment is under ongoing consideration. Within the IPAFEED database, scientific studies on health effects beyond performance in livestock and the results of a systematic search for evidence of outcome effects due to GM feed are consolidated. These outcomes were reviewed and checked for consistency in order to identify plausible syndromes suitable for conducting surveillance. The 24 selected studies showed no consistent changes in any health parameter. There were no repeated studies in any species by GM crop type and animal species. As such, there is insufficient evidence to inform the design of surveillance systems for detecting known adverse effects. Animal health surveillance systems have been proposed for the post market monitoring of potential adverse effects in animals. Such systems were evaluated for their applicability to the detection of hypothetical adverse effects and their strengths and weaknesses to detect syndromes of concern are presented. For known adverse effects, applied controlled post-market studies may yield conclusive and high-quality evidence. For detecting unknown adverse effects, the use of existing surveillance systems may still be of interest. A simulation tool developed within the project can be adapted and applied to existing surveillance systems to explore their applicability to the detection of potential adverse effects of GM feed.


Assuntos
Doenças dos Animais/diagnóstico , Ração Animal/efeitos adversos , Plantas Geneticamente Modificadas/efeitos adversos , Vigilância de Produtos Comercializados , Doenças dos Animais/prevenção & controle , Animais , Análise Custo-Benefício , Produtos Agrícolas/genética , União Europeia , Vigilância de Produtos Comercializados/economia , Vigilância de Evento Sentinela
9.
Transbound Emerg Dis ; 65(4): 1067-1077, 2018 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-29575643

RESUMO

The New Zealand dairy sector relies on robust biosecurity measures to control and mitigate a wide range of threats to the industry. To optimize the prioritization of organisms and manage the risk they pose to the sector in a transparent and credible way, the Dairy Biosecurity Risk Evaluation Framework (D-BRiEF) was developed. This comprehensive framework was specifically designed for decision support, using a standardized approach to address the full spectrum of biosecurity threats to the sector, including exotic and endemic animal disease organisms, pest plants and insects. D-BRiEF is underpinned by three main processes, namely (i) hazard identification; (ii) multicriteria risk assessment; and (iii) communication for risk management. Expert knowledge and empirical data, including associated uncertainty, are harnessed in a standardized format. Results feed into a probability-impact model that was developed in close collaboration with dairy sector economists to provide overall comparative 10-year quantitative economic impact estimates for each assessed risk organism. A description of the overarching framework, which applies to diverse organism groups, is presented with detailed methodology on both endemic and exotic animal disease risk organisms. Examples of visual outputs are included, although actual ranking results are not reported due to industry confidentiality. D-BRiEF can provide a decision advantage to DairyNZ biosecurity risk managers and sector stakeholders by creating a transparent process that can be interrogated and updated at multiple levels to fully understand the layers of risk posed by different organisms.


Assuntos
Criação de Animais Domésticos/métodos , Doenças dos Bovinos/prevenção & controle , Controle de Doenças Transmissíveis/métodos , Contenção de Riscos Biológicos/veterinária , Indústria de Laticínios , Medidas de Segurança , Animais , Bovinos , Feminino , Nova Zelândia , Probabilidade , Medição de Risco , Gestão de Riscos
10.
BMC Vet Res ; 14(1): 12, 2018 Jan 12.
Artigo em Inglês | MEDLINE | ID: mdl-29329534

RESUMO

BACKGROUND: Since its first report in 2007, avian influenza (AI) has been endemic in Bangladesh. While live poultry marketing is widespread throughout the country and known to influence AI dissemination and persistence, trading patterns have not been described. The aim of this study is to assess poultry trading practices and features of the poultry trading networks which could promote AI spread, and their potential implications for disease control and surveillance. Data on poultry trading practices was collected from 849 poultry traders during a cross-sectional survey in 138 live bird markets (LBMs) across 17 different districts of Bangladesh. The quantity and origins of traded poultry were assessed for each poultry type in surveyed LBMs. The network of contacts between farms and LBMs resulting from commercial movements of live poultry was constructed to assess its connectivity and to identify the key premises influencing it. RESULTS: Poultry trading practices varied according to the size of the LBMs and to the type of poultry traded. Industrial broiler chickens, the most commonly traded poultry, were generally sold in LBMs close to their production areas, whereas ducks and backyard chickens were moved over longer distances, and their transport involved several intermediates. The poultry trading network composed of 445 nodes (73.2% were LBMs) was highly connected and disassortative. However, the removal of only 5.6% of the nodes (25 LBMs with the highest betweenness scores), reduced the network's connectedness, and the maximum size of output and input domains by more than 50%. CONCLUSIONS: Poultry types need to be discriminated in order to understand the way in which poultry trading networks are shaped, and the level of risk of disease spread that these networks may promote. Knowledge of the network structure could be used to target control and surveillance interventions to a small number of LBMs.


Assuntos
Criação de Animais Domésticos , Comércio , Influenza Aviária/epidemiologia , Aves Domésticas , Animais , Bangladesh/epidemiologia , Galinhas , Estudos Transversais , Patos , Monitoramento Epidemiológico/veterinária , Influenza Aviária/prevenção & controle , Doenças das Aves Domésticas/virologia
11.
Transbound Emerg Dis ; 65(2): 408-419, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-28815990

RESUMO

Highly pathogenic avian influenza (HPAI) viruses continue to threaten smallholder poultry producers in several South-east Asian countries, including Vietnam. In particular, the free-grazing duck system has been repeatedly highlighted as a major risk factor for HPAI outbreaks. Free-grazing ducks, which scavenge on rice paddies after the harvest, account for a large proportion of the duck population in Vietnam and the wider South-east Asian region. However, the structure and dynamics of the free-grazing duck production from farm to consumption has not been described for Vietnam. In this study, we used a value chain approach to provide a complete picture of the actors involved in the production and marketing of free-grazing duck eggs and spent layer ducks, as well as to investigate the governance structure of this food system. Group interviews and key informant interviews were conducted in two provinces located in the Mekong River Delta (MRD) and the Red River Delta (RRD). The results presented here highlight similarities and differences in farming and trade practices between the two provinces. The trade of spent layer ducks involved large volumes of live ducks being sent to China and Cambodia for consumption, generating a substantial risk of transboundary spread of pathogens, including HPAI viruses. We describe the major role of "duck yards", which act as hubs in the northbound trade of spent layer ducks. These yards should be considered as essential links in the value chain of spent layer ducks when considering HPAI surveillance and control. The veterinary authorities are only marginally involved in the value chain activities, and their influence could be strengthened by increasing surveillance activities for instance in duck yards. Last, we discuss the dynamics of the duck value chain and further implications for future HPAI management policies.


Assuntos
Criação de Animais Domésticos/métodos , Comércio/estatística & dados numéricos , Transmissão de Doença Infecciosa/estatística & dados numéricos , Patos/virologia , Virus da Influenza A Subtipo H5N1/patogenicidade , Influenza Aviária/transmissão , Doenças das Aves Domésticas/transmissão , Animais , Camboja , China , Surtos de Doenças/veterinária , Influenza Aviária/epidemiologia , Doenças das Aves Domésticas/epidemiologia , Fatores de Risco , Vietnã/epidemiologia
12.
Transbound Emerg Dis ; 65(2): e264-e271, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29120101

RESUMO

Mortality data are routinely collected for many livestock and poultry species, and they are often used for epidemiological purposes, including estimating transmission parameters. In this study, we infer transmission rates for African swine fever virus (ASFV), an important transboundary disease of swine, using mortality data collected from nine pig herds in the Russian Federation with confirmed outbreaks of ASFV. Parameters in a stochastic model for the transmission of ASFV within a herd were estimated using approximate Bayesian computation. Estimates for the basic reproduction number varied amongst herds, ranging from 4.4 to 17.3. This was primarily a consequence of differences in transmission rate (range: 0.7-2.2), but also differences in the mean infectious period (range: 4.5-8.3 days). We also found differences amongst herds in the mean latent period (range: 5.8-9.7 days). Furthermore, our results suggest that ASFV could be circulating in a herd for several weeks before a substantial increase in mortality is observed in a herd, limiting the usefulness of mortality data as a means of early detection of an outbreak. However, our results also show that mortality data are a potential source of data from which to infer transmission parameters, at least for diseases which cause high mortality.


Assuntos
Vírus da Febre Suína Africana/fisiologia , Febre Suína Africana/transmissão , Surtos de Doenças/veterinária , Febre Suína Africana/mortalidade , Febre Suína Africana/prevenção & controle , Febre Suína Africana/virologia , Animais , Número Básico de Reprodução , Teorema de Bayes , Federação Russa/epidemiologia , Suínos
14.
Risk Anal ; 37(12): 2350-2359, 2017 12.
Artigo em Inglês | MEDLINE | ID: mdl-28334452

RESUMO

Various foot-and-mouth disease (FMD) virus strains circulate in the Middle East, causing frequent episodes of FMD outbreaks among Israeli livestock. Since the virus is highly resistant in semen, artificial insemination with contaminated bull semen may lead to the infection of the receiver cow. As a non-FMD-free country with vaccination, Israel is currently engaged in trading bull semen only with countries of the same status. The purpose of this study was to assess the risk of release of FMD virus through export of bull semen in order to estimate the risk for FMD-free countries considering purchasing Israeli bull semen. A stochastic risk assessment model was used to estimate this risk, defined as the annual likelihood of exporting at least one ejaculate of bull semen contaminated with viable FMD virus. A total of 45 scenarios were assessed to account for uncertainty and variability around specific parameter estimates and to evaluate the effect of various mitigation measures, such as performing a preexport test on semen ejaculates. Under the most plausible scenario, the annual likelihood of exporting bull semen contaminated with FMD virus had a median of 1.3 * 10-7 for an export of 100 ejaculates per year. This corresponds to one infected ejaculate exported every 7 million years. Under the worst-case scenario, the median of the risk rose to 7.9 * 10-5 , which is equivalent to the export of one infected ejaculate every 12,000 years. Sensitivity analysis indicated that the most influential parameter is the probability of viral excretion in infected bulls.


Assuntos
Vírus da Febre Aftosa/patogenicidade , Febre Aftosa/transmissão , Sêmen/virologia , Animais , Bovinos , Comércio , Surtos de Doenças/veterinária , Feminino , Febre Aftosa/epidemiologia , Febre Aftosa/virologia , Vírus da Febre Aftosa/isolamento & purificação , Israel , Masculino , Oriente Médio/epidemiologia , Modelos Estatísticos , Método de Monte Carlo , Medição de Risco/estatística & dados numéricos , Vacinação/veterinária
15.
Herz ; 42(3): 232-240, 2017 May.
Artigo em Alemão | MEDLINE | ID: mdl-28144714

RESUMO

In comparison to transthoracic echocardiography (TTE) transesophageal echocardiography (TEE) enables an acquisition of images with better spatial resolution due to the use of higher ultrasound frequencies. Thus, the morphology and function of cardiac structures can principally be analyzed better and more accurately with TEE than with TTE. In addition, using three-dimensional (3D) TEE data sets standardized sectional planes can be constructed by post-processing, which enables quantitative assessment of the target structures. The size and function of the left ventricle can objectively and reproducibly be measured. End diastolic left ventricular volume and total stroke volume of the left ventricle can be accurately determined in patients with heart valve disease. Furthermore, particular cardiac structures that cannot be totally evaluated by two-dimensional (2D) echocardiography, can be completely analyzed by 3D TEE. In 2D images for example, only analyses of the right coronary cusp of the aortic valve are possible because only the center of the right coronary cusp can be visualized using conventional sectional level presentation. Using 3D TEE the non-coronary cusp and the left coronary cusp can also be visualized in the mid-sectional plane by post-processing of the 3D data set. Additional important structures of 3D TEE analysis are the left atrial auricle, the interatrial septum and the mitral valve. Planimetry of valvular and regurgitation orifices as well as the monitoring of interventions for treatment of structural heart diseases are further fields of application of clinically established 3D TEE diagnostics.


Assuntos
Ecocardiografia Tridimensional/métodos , Ecocardiografia Transesofagiana/métodos , Doenças das Valvas Cardíacas/diagnóstico por imagem , Aumento da Imagem/métodos , Volume Sistólico , Disfunção Ventricular Esquerda/diagnóstico por imagem , Medicina Baseada em Evidências , Humanos
16.
Transbound Emerg Dis ; 64(2): 504-512, 2017 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-26192820

RESUMO

African swine fever (ASF) is a devastating viral disease of swine that is present in both pigs and wild boar in the western part of the Russian Federation and the eastern part of the European Union. It represents a significant threat for the European pig production industry as neither treatment nor vaccine is available. This study analysed the spatial and spatio-temporal distributions of ASF cases that were reported in domestic pigs and wild boar for assessing the likelihood of wild boar-to-domestic pig and farm-to-farm transmission routes in the epidemic that occurred from 2007 to 2014 in the Krasnodar and the Tver regions, two of the most affected areas of the Russian Federation. Results suggest that in both regions, the spatial proximity to an infectious farm was a strong risk factor for infection of a susceptible farm. In the Krasnodar region, the results of the statistical analysis suggest that the epidemics in wild boar and in domestic pigs were independent from each other. In contrast, there seemed to be a dependence between the two epidemics in the Tver region. But because outbreaks in domestic pigs were not statistically significantly clustered around wild boar cases, the joint spatial distribution of wild boar cases and of outbreaks in domestic pigs in the Tver region may be explained by regular spillovers from the domestic pig to the wild boar population. These findings confirm the need to maintain high biosecurity standards on pig farms and justify strict control measures targeted at domestic pig production such as culling of infected herds and local movement restrictions.


Assuntos
Febre Suína Africana/transmissão , Surtos de Doenças/veterinária , Análise Espaço-Temporal , Febre Suína Africana/epidemiologia , Vírus da Febre Suína Africana , Animais , Federação Russa/epidemiologia , Sus scrofa/virologia , Suínos
17.
Epidemiol Infect ; 145(4): 802-817, 2017 03.
Artigo em Inglês | MEDLINE | ID: mdl-27938416

RESUMO

Animal health surveillance enables the detection and control of animal diseases including zoonoses. Under the EU-FP7 project RISKSUR, a survey was conducted in 11 EU Member States and Switzerland to describe active surveillance components in 2011 managed by the public or private sector and identify gaps and opportunities. Information was collected about hazard, target population, geographical focus, legal obligation, management, surveillance design, risk-based sampling, and multi-hazard surveillance. Two countries were excluded due to incompleteness of data. Most of the 664 components targeted cattle (26·7%), pigs (17·5%) or poultry (16·0%). The most common surveillance objectives were demonstrating freedom from disease (43·8%) and case detection (26·8%). Over half of components applied risk-based sampling (57·1%), but mainly focused on a single population stratum (targeted risk-based) rather than differentiating between risk levels of different strata (stratified risk-based). About a third of components were multi-hazard (37·3%). Both risk-based sampling and multi-hazard surveillance were used more frequently in privately funded components. The study identified several gaps (e.g. lack of systematic documentation, inconsistent application of terminology) and opportunities (e.g. stratified risk-based sampling). The greater flexibility provided by the new EU Animal Health Law means that systematic evaluation of surveillance alternatives will be required to optimize cost-effectiveness.


Assuntos
Doenças dos Animais/epidemiologia , Monitoramento Epidemiológico/veterinária , Animais , Bovinos , União Europeia , Aves Domésticas , Inquéritos e Questionários , Suínos , Suíça
18.
Vet Rec ; 180(4): 97, 2017 Jan 28.
Artigo em Inglês | MEDLINE | ID: mdl-27852963

RESUMO

African swine fever (ASF) is a major pig health problem, and the causative virus is moving closer to Western European regions where pig density is high. Stopping or slowing down the spread of ASF requires mitigation strategies that are both effective and practical. Based on the elicitation of ASF expert opinion, this study identified surveillance and intervention strategies for ASF that are perceived as the most effective by providing the best combination between effectiveness and practicality. Among the 20 surveillance strategies that were identified, passive surveillance of wild boar and syndromic surveillance of pig mortality were considered to be the most effective surveillance strategies for controlling ASF virus spread. Among the 22 intervention strategies that were identified, culling of all infected herds and movement bans for neighbouring herds were regarded as the most effective intervention strategies. Active surveillance and carcase removal in wild boar populations were rated as the most effective surveillance and intervention strategies, but were also considered to be the least practical, suggesting that more research is needed to develop more effective methods for controlling ASF in wild boar populations.


Assuntos
Febre Suína Africana/prevenção & controle , Surtos de Doenças/veterinária , Vigilância de Evento Sentinela/veterinária , Febre Suína Africana/epidemiologia , Animais , Surtos de Doenças/prevenção & controle , Europa (Continente)/epidemiologia , Estudos de Viabilidade , Avaliação de Programas e Projetos de Saúde , Suínos
19.
Prev Vet Med ; 135: 9-16, 2016 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-27931934

RESUMO

The term 'biosecurity' encompasses many measures farmers can take to reduce the risk of pathogen incursion or spread. As the best strategy will vary between settings, veterinarians play an important role in assessing risk and providing advice, but effectiveness requires farmer acceptance and implementation. The aim of this study was to assess the effectiveness of specifically-tailored biosecurity advice packages in reducing endemic pathogen presence on UK beef suckler farms. One hundred and sixteen farms recruited by 10 veterinary practices were followed for three years. Farms were randomly allocated to intervention (receiving specifically-tailored advice, with veterinarians and farmers collaborating to develop an improved biosecurity strategy) or control (receiving general advice) groups. A spreadsheet-based tool was used annually to attribute a score to each farm reflecting risk of entry or spread of bovine viral diarrhoea virus (BVDV), bovine herpesvirus-1 (BHV1), Mycobacterium avium subsp. paratuberculosis (MAP), Leptospira interrogans serovar hardjo (L. hardjo) and Mycobacterium bovis (M. bovis). Objectives of these analyses were to identify evidence of reduction in risk behaviours during the study, as well as evidence of reductions in pathogen presence, as indications of effectiveness. Risk behaviours and pathogen prevalences were examined across study years, and on intervention compared with control farms, using descriptive statistics and multilevel regression. There were significant reductions in risk scores for all five pathogens, regardless of intervention status, in every study year compared with the outset. Animals on intervention farms were significantly less likely than those on control farms to be seropositive for BVDV in years 2 and 3 and for L. hardjo in year 3 of the study. Variations by study year in animal-level odds of seropositivity to BHV1 or MAP were not associated with farm intervention status. All farms had significantly reduced odds of BHV1 seropositivity in year 2 than at the outset. Variations in farm-level MAP seropositivity were not associated with intervention status. There were increased odds of M. bovis on intervention farms compared with control farms at the end of the study. Results suggest a structured annual risk assessment process, conducted as a collaboration between veterinarian and farmer, is valuable in encouraging improved biosecurity practices. There were some indications, but not conclusive evidence, that tailored biosecurity advice packages have potential to reduce pathogen presence. These findings will inform development of a collaborative approach to biosecurity between veterinarians and farmers, including adoption of cost-effective strategies effective across pathogens.


Assuntos
Doenças dos Bovinos/epidemiologia , Fazendeiros/psicologia , Criação de Animais Domésticos , Animais , Bovinos , Doenças dos Bovinos/virologia , Inglaterra/epidemiologia , Prevalência , Medição de Risco , Assunção de Riscos , Inquéritos e Questionários , País de Gales/epidemiologia
20.
J Vet Intern Med ; 30(6): 1887-1895, 2016 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-27859753

RESUMO

BACKGROUND: Reporting of observational studies in veterinary research presents challenges that often are not addressed in published reporting guidelines. OBJECTIVE: To develop an extension of the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) statement that addresses unique reporting requirements for observational studies in veterinary medicine related to health, production, welfare, and food safety. DESIGN: Consensus meeting of experts. SETTING: Mississauga, Canada. PARTICIPANTS: Seventeen experts from North America, Europe, and Australia. METHODS: Experts completed a pre-meeting survey about whether items in the STROBE statement should be modified or added to address unique issues related to observational studies in animal species with health, production, welfare, or food safety outcomes. During the meeting, each STROBE item was discussed to determine whether or not rewording was recommended and whether additions were warranted. Anonymous voting was used to determine consensus. RESULTS: Six items required no modifications or additions. Modifications or additions were made to the STROBE items 1 (title and abstract), 3 (objectives), 5 (setting), 6 (participants), 7 (variables), 8 (data sources/measurement), 9 (bias), 10 (study size), 12 (statistical methods), 13 (participants), 14 (descriptive data), 15 (outcome data), 16 (main results), 17 (other analyses), 19 (limitations), and 22 (funding). CONCLUSION: The methods and processes used were similar to those used for other extensions of the STROBE statement. The use of this STROBE statement extension should improve reporting of observational studies in veterinary research by recognizing unique features of observational studies involving food-producing and companion animals, products of animal origin, aquaculture, and wildlife.


Assuntos
Guias como Assunto , Estudos Observacionais como Assunto , Relatório de Pesquisa/normas , Criação de Animais Domésticos/normas , Animais , Métodos Epidemiológicos , Projetos de Pesquisa/normas , Medicina Veterinária
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