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1.
J Vet Intern Med ; 38(3): 1608-1617, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38664973

RESUMO

BACKGROUND: Changes in the brain can affect the flow velocity of cerebrospinal fluid (CSF). In humans, the flow velocity of CSF is not only altered by disease but also by age and sex. Such influences are not known in dogs. HYPOTHESIS: Peak flow velocity of CSF in dogs is associated with body weight, age, and sex. ANIMALS: Peak flow velocity of CSF was measured in 32 client-owned dogs of different breeds, age, and sex. METHODS: Peak flow velocity of CSF was determined by phase-contrast magnetic resonance imaging (PC-MRI) at the mesencephalic aqueduct, foramen magnum (FM), and second cervical vertebral body (C2). Dogs were grouped according to body weight, age, and sex. Flow velocity of CSF was compared between groups using linear regression models. RESULTS: Dogs with body weight >20 kg had higher CSF peak velocity compared with dogs <10 kg within the ventral and dorsal subarachnoid space (SAS) at the FM (P = .02 and P = .01, respectively), as well as in the ventral and dorsal SAS at C2 (P = .005 and P = .005, respectively). Dogs ≤2 years of age had significantly higher CSF peak flow velocity at the ventral SAS of the FM (P = .05). Females had significantly lower CSF peak flow velocity within the ventral SAS of FM (P = .04). CONCLUSION: Body weight, age, and sex influence CSF peak flow velocity in dogs. These factors need to be considered in dogs when CSF flow is quantitatively assessed.


Assuntos
Peso Corporal , Líquido Cefalorraquidiano , Animais , Cães , Masculino , Feminino , Líquido Cefalorraquidiano/fisiologia , Fatores Etários , Fatores Sexuais , Imageamento por Ressonância Magnética/veterinária
2.
Equine Vet J ; 56(3): 631-641, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-37694590

RESUMO

BACKGROUND: Fatigue and related injuries to the musculoskeletal system are among the most frequent reasons for the withdrawal of high-level eventing horses from the sport. The safety of both horse and rider is very important, and early detection of fatigue is crucial. OBJECTIVES: To investigate elite eventing horses in competitive events focusing on biomechanical, cardiovascular and metabolic variables across the cross-country test and to identify their potential associations with fatigue. STUDY DESIGN: Prospective observational exploratory field study. METHODS: Observations on 54 cross-country tests of 33 horses at five competitive, high-level events were evaluated using sternal accelerometric analysis of stride parameters between and at the jumps. Blood lactate concentration and heart rate were determined 10 min after finishing. The differences in kinematic parameters between the course start and end were analysed with mixed models for repeated measures. Associations between blood lactate and heart rate recovery with the kinematic variables were quantified with Pearson correlation coefficients. RESULTS: We observed numerous stride characteristics between the jumps and the jumps changing over time during the courses. Blood lactate concentrations were positively correlated with the mean maximal strike power at the jumps in the last minute of the course (r = 0.41; p < 0.001), and the latter was negatively correlated with the mean stride height over the jumps (r = -0.41; p = 0.003). MAIN LIMITATIONS: The sample contained horses of varying breeds, sexes and ages, and different horses participated in different events. CONCLUSIONS: We identified several kinematic changes during a cross-country test depending on event, speed and fatigue.


Assuntos
Condicionamento Físico Animal , Esportes , Cavalos , Animais , Condicionamento Físico Animal/fisiologia , Ácido Láctico , Fadiga/veterinária , Frequência Cardíaca
3.
J Equine Vet Sci ; 127: 104565, 2023 08.
Artigo em Inglês | MEDLINE | ID: mdl-37209788

RESUMO

To successfully inseminate mares, precise detection of ovulation time is crucial, especially when using frozen-thawed semen. Monitoring body temperature, as has been described in women, could be a noninvasive way to detect ovulation. The objective of this study was to investigate the relationship between the time of ovulation and the variation of body temperature in mares based on automatic continuous measurements during estrus. The experimental group included 21 mares for 70 analyzed estrous cycles. When the mares showed estrous behavior, they were administered intramuscular deslorelin acetate (2.25 mg) in the evening. At the same time, monitoring of body temperature using a sensor device fixed at the left lateral thorax was started and continued for over 60 hours. In 2-hour intervals, transrectal ultrasonography was performed to detect ovulation. Estimated body temperature in the 6 hours following ovulation detection was on average 0.06°C +/- 0.05°C (mean +/- SD) significantly higher when compared with body temperature at the same time on the preceding day (P = .01). In addition, a significant effect of PGF2α administration for estrus induction on the body temperature was found, being significantly higher until 6 hours before ovulation compared to that of uninduced cycles (P = .005). In conclusion, changes in body temperature during estrus in mares were related to ovulation. The increase in body temperature immediately after ovulation might be used in the future to establish automatized and noninvasive systems to detect ovulation. However, the identified temperature rise is relatively small on average and hardly identifiable in the individual mares.


Assuntos
Temperatura Corporal , Preservação do Sêmen , Feminino , Cavalos , Animais , Ovulação , Estro , Ciclo Estral , Preservação do Sêmen/veterinária
4.
Acta Vet Scand ; 65(1): 3, 2023 Feb 02.
Artigo em Inglês | MEDLINE | ID: mdl-36732796

RESUMO

BACKGROUND: Intervertebral disc disease (IVDD) is a common diagnosis and well-investigated pathological condition in French Bulldogs with neurological deficiencies. However there is currently only one recently published retrospective descriptive study looking for recurrence rates of IVDD in French Bulldogs. Medical reports of French Bulldogs with a first episode of IVDD and surgical treatment were evaluated and reviewed for clinical signs of recurrence. Risk factors for Total-Recurrence, Cervical- and Thoracolumbar-Recurrence were evaluated by means of logistic regression models. The aim of this study was to assess frequency and risk factors associated with the recurrence of IVDD in French Bulldogs. RESULTS: One hundred twenty-seven French Bulldogs with a first episode of IVDD and surgical treatment were evaluated. 52.7% (67/127) of these patients showed signs of recurrence. The recurrence rate in the cervical spine was slightly lower (47%) compared to the thoracolumbar spine (56.6%). A significant association with recurrence could be found for the factor age: French Bulldogs with a first episode of IVDD ≤ 3 years seem to be prone for Total-Recurrence (P = 0.002) and Cervical-Recurrence (with ORs ranging from 0.02 to 0.03 for patients older than 3 years). 50% of the recurrences (median) occurred within the first 12 month after the first episode of IVDD. CONCLUSIONS: Recurrence of IVDD can be expected in more than half of French Bulldogs affected by IVDD. Especially young French Bulldogs are prone for recurrence in cervical spine. Almost every fourth patient with IVDD suffers from a recurrence within 12 months. Future dog owners should be informed about the risk of IVDD and the early onset of recurrences in French Bulldogs.


Assuntos
Doenças do Cão , Degeneração do Disco Intervertebral , Deslocamento do Disco Intervertebral , Disco Intervertebral , Cães , Animais , Estudos Retrospectivos , Degeneração do Disco Intervertebral/epidemiologia , Degeneração do Disco Intervertebral/cirurgia , Degeneração do Disco Intervertebral/veterinária , Deslocamento do Disco Intervertebral/epidemiologia , Deslocamento do Disco Intervertebral/cirurgia , Deslocamento do Disco Intervertebral/veterinária , Recidiva , Disco Intervertebral/patologia , Doenças do Cão/epidemiologia , Doenças do Cão/cirurgia , Doenças do Cão/etiologia
5.
Sci Rep ; 12(1): 19538, 2022 11 14.
Artigo em Inglês | MEDLINE | ID: mdl-36376420

RESUMO

In February 2021, in response to emergence of more transmissible SARS-CoV-2 virus variants, the Canton Grisons launched a unique RNA mass testing program targeting the labour force in local businesses. Employees were offered weekly tests free of charge and on a voluntary basis. If tested positive, they were required to self-isolate for ten days and their contacts were subjected to daily testing at work. Thereby, the quarantine of contact persons could be waved.Here, we evaluate the effects of the testing program on the tested cohorts. We examined 121,364 test results from 27,514 participants during February-March 2021. By distinguishing different cohorts of employees, we observe a noticeable decrease in the test positivity rate and a statistically significant reduction in the associated incidence rate over the considered period. The reduction in the latter ranges between 18 and 50%. The variability is partly explained by different exposures to exogenous infection sources (e.g., contacts with visiting tourists or cross-border commuters). Our analysis provides the first empirical evidence that applying repetitive mass testing to a real population over an extended period of time can prevent spread of COVID-19 pandemic. However, to overcome logistic, uptake, and adherence challenges it is important that the program is carefully designed and that disease incursion from the population outside of the program is considered and controlled.


Assuntos
COVID-19 , SARS-CoV-2 , Humanos , Pandemias/prevenção & controle , Incidência , COVID-19/epidemiologia , COVID-19/prevenção & controle , Suíça/epidemiologia
6.
J Vet Intern Med ; 36(6): 2104-2112, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-36366870

RESUMO

BACKGROUND: Oligodendroglioma (OG) accounts for 22% of primary brain tumors in dogs. Oligodendroglioma in dogs is graded as low-grade (II) or high-grade (III), based on the presence of microvascular proliferation and necrosis. OBJECTIVE: To investigate if magnetic resonance imaging (MRI) features differ between OG II and III in dogs. ANIMALS: Thirty-two dogs with histological diagnosis of intracranial OG and MRI. METHODS: Retrospective descriptive study. Histology was reviewed to grade OG according to the revised classification. Brain MRI results were reviewed following criteria including contrast enhancement (CE) pattern, presence of cystic structures, gradient-recalled-echo (GRE) signal voids, and necrosis based on signal intensity, as well as diffusion-weighted imaging characteristics. The MRI features were compared between OG II and III using Fisher's exact tests and logistic regression models. RESULTS: Histology identified 8 dogs with OG II (25%) and 24 with OG III (75%). All OG III showed moderate-to-marked CE including 18/24 (75%) with a ring pattern. These features were not seen in OG II. Heterogeneity, cystic structures, GRE signal voids, and necrosis were associated with OG III. No difference in diffusion characteristics was detected between OG II and III. CONCLUSION AND CLINICAL IMPORTANCE: Moderate-to-marked CE and ring pattern were present in dogs with OG III but not in OG II. The presence of cystic structures, GRE signal voids, and necrosis was strongly associated with OG III. Although the importance of brain tumor grading in dogs with regard to prognosis and treatment options remains unknown, the results indicate that MRI reflects the histological features used for grading OG in dogs.


Assuntos
Neoplasias Encefálicas , Doenças do Cão , Oligodendroglioma , Animais , Cães , Oligodendroglioma/diagnóstico por imagem , Oligodendroglioma/veterinária , Oligodendroglioma/patologia , Estudos Retrospectivos , Imageamento por Ressonância Magnética/veterinária , Neoplasias Encefálicas/diagnóstico por imagem , Neoplasias Encefálicas/veterinária , Necrose/diagnóstico por imagem , Necrose/veterinária , Doenças do Cão/diagnóstico por imagem , Doenças do Cão/patologia
7.
Theriogenology ; 190: 46-51, 2022 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-35932522

RESUMO

Prediction of impending foaling is highly desirable as early intervention may improve mare and foal outcomes. However, monitoring the peripartum mare is a time-consuming challenge for breeders and many foaling prediction systems have limitations. "Heating up" of the mare is empirically used by breeders as a sign of upcoming parturition in mares. The purpose of this study was to investigate if an increase in skin temperature shortly before parturition is detectable and to determine whether such physiological changes could be an additional valuable parameter to predict foaling. For that, 56 foalings of 14 Warmblood mares, 5 Arabian mares, 27 Thoroughbred mares, and 2 mares of other breeds were analyzed in this 2-year-study. Eight mares were monitored in both years. Mares were between 4 and 22 years old (average: 10 ± 5.5 years) and the mean pregnancy length was 342 days (±9 days), resulting in 14 births from primiparous mares and 42 multiparous mares. For monitoring the periparturient mares, the Piavet® system (Piavita AG, Zurich, Switzerland) was fixed daily when the mares had returned from the field between 4:00 and 6:00 p.m. and collected the next morning between 6:30 and 7:30 a.m. until the time of foaling. Nocturnal rhythms of the skin temperature with the highest values at the start of measurements and a nadir at 6:00 a.m. were observed. On the foaling night, we found a rise in skin temperature starting on average around 90 min prepartum. Skin temperatures recorded at 50 min before parturition and at each 5 min time point until rupture of the allantochorion were significantly higher (p < 0.05) than the mean temperatures measured in the 5 nights before parturition at the same time, reaching a difference of approximately 0.5 °C. There was a significant effect of parity (p = 0.04) on skin temperature during the last hours before foaling where primiparous mares showed a higher mean temperature than uni- or pluriparous mares as early as from 180 min on before parturition. In conclusion, our study shows an increase in skin temperature in most mares within 90 min before birth. Using new biomechanical and digital technologies, this finding could generate an additional potential parameter for the detection of impending parturition. However, skin temperature cannot be used as the only predictive diagnostic of impending parturition in the absence of other parameters.


Assuntos
Parto , Temperatura Cutânea , Animais , Feminino , Cavalos , Monitorização Fisiológica , Paridade , Parto/fisiologia , Período Periparto , Gravidez
8.
J Wildl Dis ; 58(4): 705-715, 2022 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-35917400

RESUMO

The wildlife trade has been characterized as one of the biggest risk factors in the emergence of new infectious diseases. In the shadow of COVID-19, there is growing political and scientific urgency to manage this risk. Existing studies and experiences make it clear that something must be done but are less clear on how to get it done. It is a quite different task to accumulate evidence on the presence of pathogens, their locations in the supply chain, and their spillover to new hosts than to identify effective ways to prevent and mitigate emerging disease under real-world conditions. This study sought peer-reviewed evidence on the effectiveness, acceptability, feasibility, and sustainability of risk reduction interventions for zoonotic and nonzoonotic disease emergence in the wildlife trade. An environmental scan triangulated information from a scoping review following a Preferred Reporting Items for Systematic Reviews and Meta-analysis extension for scoping review protocol, two narrative literature reviews, and key informant interviews of 26 international wildlife health experts. Existing literature has been inattentive to program implementation or evaluation studies. There was insufficient evidence to identify effective and sustainable risk management actions. Studies on the effects of social, epidemiologic, and ecologic context on intervention success was lacking, as was research using a complex systems perspective. The lack of systematic program evaluations or implementation studies leaves decision makers with insufficient evidence to select interventions likely to be acceptable, effective, and sustainable within and across the disparate context of the wildlife trade. This necessitates adaptive risk management and innovations in program implementation and evaluation to ensure evidence-based risk management.


Assuntos
COVID-19 , Comércio de Vida Silvestre , Animais , COVID-19/prevenção & controle , COVID-19/veterinária , Lacunas de Evidências , Gestão de Riscos
9.
Vet Comp Orthop Traumatol ; 35(5): 305-313, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-35672019

RESUMO

OBJECTIVE: The aim of this study was to evaluate differences in paraspinal musculature between dogs with and without atlantoaxial instability (AAI) using computed tomography scans. STUDY DESIGN: Retrospective multicentre study evaluating transverse reconstructed computed tomography scans of 83 small breed dogs (34 with and 49 without AAI) for the cross-sectional paraspinal musculature area at three levels (Occiput/C1, mid-C1, mid-C2). Ratio of moments, dorsal-to-ventral muscle-area ratios (d-v-ratio) and ratios of the dorsal and ventral musculature to C2 height (d-C2-ratio and v-C2-ratio) were evaluated for differences between groups using multivariate analysis of variance (p < 0.05) taking the head-neck position into account. RESULTS: Dogs with AAI showed a significantly lower d-v-ratio at levels 2 and 3, d-C2-ratio at level 2 and ratio of moments at all levels. When head-neck positions were analysed separately, ratio of moments was significantly lower in affected dogs at level 1 and 2. Also lower was d-C2-ratio at level 2, but only in flexed positioning. The head-neck position had a significant influence on ratio of moments and d-v-ratio at all three levels and on d-C2-ratio at level 1. CONCLUSION: Significant changes in muscle area were observed only for the hypaxial muscles at the C1 level, indicating a limited role of muscular adaption in AAI patients. Our results confirm an altered ratio of moments in dogs with AAI. The head-neck position has a significant impact and should be taken into account when evaluating spinal musculature.


Assuntos
Articulação Atlantoaxial , Doenças do Cão , Instabilidade Articular , Doenças da Coluna Vertebral , Cães , Animais , Articulação Atlantoaxial/diagnóstico por imagem , Estudos Transversais , Instabilidade Articular/diagnóstico por imagem , Instabilidade Articular/veterinária , Doenças da Coluna Vertebral/veterinária , Tomografia Computadorizada por Raios X/veterinária , Vértebras Cervicais , Doenças do Cão/diagnóstico por imagem
10.
Prev Vet Med ; 204: 105638, 2022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-35430446

RESUMO

Brachyspira hyodysenteriae is one of the agents of swine dysentery (SD) and its eradication is an effective, but costly control measure. Being a voluntary measure, knowledge about drivers of motivation and satisfaction regarding the eradication of SD would help to convince farmers to eradicate. We aimed to describe eradications performed in Switzerland and to analyse factors influencing the pig owners' perception (motivation and satisfaction) of SD eradications to provide a basis to formulate recommendations and guidelines. Pig farmers (n = 68) having conducted an SD eradication and being interested in the study were interviewed using a standardised digital questionnaire. We assessed their motivation as moderately or highly motivated. Based on the farmers' evaluation of nine aspects of the eradication, satisfaction was considered to be moderate (<7/9 aspects positively evaluated) or high (≥7/9). Farms with fattening pigs and farms with breeding stock were analysed separately in subsets. First, multivariable factor analysis for mixed data (FAMD) were performed to describe the main patterns of variation. Then, risk factors for motivation and satisfaction were quantified by means of logistic regression models. Mainly total depopulations (73.5%) had been performed. Of the 36 farmers with breeding pigs, 24 were highly motivated, and 20 highly satisfied. Of the 61 farmers with fattening pigs, 45 were highly motivated and 42 highly satisfied. The FAMD revealed that the two main components explained only 17.0% and 11.0% (breeding stock) and 13.0% and 11.0% (fattening pigs) of the total variation, respectively. For farmers with breeding stock no significant factors for motivation were detected, but they were more satisfied (OR 25.0) when they had a batch farrowing of 3 weeks. Farmers with fattening pigs were more likely to be more motivated when providing access to outdoor areas (OR 3.3) and when it was their own initiative (OR 5.5). Farmers were more likely to be satisfied when they had only fattening pigs (OR 5.7), when the eradication was their own initiative (OR 5.5) and when they did not disinfect the barns during the eradication (OR 15.6). Farmers deciding themselves to eradicate are presumably more likely convinced of the benefits of the eradication. Satisfaction associated with a 3-weeks batch farrowing might be related to an easier to organise eradication and no disinfection to reduced labour and costs. In summary, the majority of the farmers were satisfied with the eradication. Education could promote self-motivation of farmers, and subsidies might support the implementation of SD eradications.


Assuntos
Brachyspira hyodysenteriae , Disenteria , Doenças dos Suínos , Animais , Disenteria/veterinária , Motivação , Satisfação Pessoal , Suínos , Doenças dos Suínos/prevenção & controle
11.
Vet Surg ; 51(4): 620-630, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35292990

RESUMO

OBJECTIVE: To determine cutoff values for the diagnosis of atlantoaxial instability (AAI) based on cross-sectional imaging in small-breed dogs. STUDY DESIGN: Retrospective multicenter study. SAMPLE POPULATION: Client-owned dogs (n = 123) and 28 cadavers. METHODS: Dogs were assigned to three groups: a control group, a "potentially unstable" group, and an AAI-affected group, according to imaging findings and clinical signs. The ventral compression index (VCI), cranial translation ratio (CTR), C1-C2 overlap, C1-C2 angle, atlantoaxial distance, basion-dens interval, dens-to-axis length ratio (DALR), power ratio, and clivus canal angles were measured on CT or T2-weighted magnetic resonance (MR) images. Receiver operating characteristic (ROC) analysis was performed to define cutoff values in flexed (≥25°) and extended (<25°) head positions. RESULTS: Cutoff values for the VCI of ≥0.16 in extended and ≥0.2 in flexed head positions were diagnostic for AAI (sensitivity of 100% and 100%, specificity of 94.54% and 96.67%, respectively). Cutoff values for the other measurements were defined with a lower sensitivity (75%-96%) and specificity (70%-97%). A combination of the measurements did not increase the sensitivity and specificity compared with the VCI as single measurement. CONCLUSION: Cutoff values for several imaging measurements were established with good sensitivity and specificity. The VCI, defined as the ratio between the ventral and dorsal atlantodental interval, had the highest sensitivity and specificity in both head positions. CLINICAL SIGNIFICANCE: The use of defined cutoff values allows an objective diagnosis of AAI in small-breed dogs. The decision for surgical intervention, however, should remain based on a combination of clinical and imaging findings.


Assuntos
Articulação Atlantoaxial , Doenças do Cão , Instabilidade Articular , Doenças da Coluna Vertebral , Animais , Articulação Atlantoaxial/diagnóstico por imagem , Articulação Atlantoaxial/patologia , Doenças do Cão/diagnóstico por imagem , Doenças do Cão/patologia , Cães , Instabilidade Articular/diagnóstico por imagem , Instabilidade Articular/veterinária , Imageamento por Ressonância Magnética/veterinária , Estudos Retrospectivos , Doenças da Coluna Vertebral/veterinária , Tomografia Computadorizada por Raios X/veterinária
12.
Swiss Med Wkly ; 151: w30105, 2021 11 22.
Artigo em Inglês | MEDLINE | ID: mdl-34843180

RESUMO

BACKGROUND: When the periods of time during and after the first wave of the ongoing SARS-CoV-2/COVID-19 pandemic in Europe are compared, the associated COVID-19 mortality seems to have decreased substantially. Various factors could explain this trend, including changes in demographic characteristics of infected persons and the improvement of case management. To date, no study has been performed to investigate the evolution of COVID-19 in-hospital mortality in Switzerland, while also accounting for risk factors. METHODS: We investigated the trends in COVID-19-related mortality (in-hospital and in-intermediate/intensive-care) over time in Switzerland, from February 2020 to June 2021, comparing in particular the first and the second wave. We used data from the COVID-19 Hospital-based Surveillance (CH-SUR) database. We performed survival analyses adjusting for well-known risk factors of COVID-19 mortality (age, sex and comorbidities) and accounting for competing risk. RESULTS: Our analysis included 16,984 patients recorded in CH-SUR, with 2201 reported deaths due to COVID-19 (13.0%). We found that overall in-hospital mortality was lower during the second wave of COVID-19 than in the first wave (hazard ratio [HR] 0.70, 95% confidence interval [CI] 0.63- 0.78; p <0.001), a decrease apparently not explained by changes in demographic characteristics of patients. In contrast, mortality in intermediate and intensive care significantly increased in the second wave compared with the first wave (HR 1.25, 95% CI 1.05-1.49; p = 0.029), with significant changes in the course of hospitalisation between the first and the second wave. CONCLUSION: We found that, in Switzerland, COVID-19 mortality decreased among hospitalised persons, whereas it increased among patients admitted to intermediate or intensive care, when comparing the second wave to the first wave. We put our findings in perspective with changes over time in case management, treatment strategy, hospital burden and non-pharmaceutical interventions. Further analyses of the potential effect of virus variants and of vaccination on mortality would be crucial to have a complete overview of COVID-19 mortality trends throughout the different phases of the pandemic.


Assuntos
COVID-19 , Mortalidade Hospitalar , Hospitais , Humanos , Pandemias , SARS-CoV-2 , Suíça/epidemiologia
13.
Swiss Med Wkly ; 151: w20547, 2021 07 19.
Artigo em Inglês | MEDLINE | ID: mdl-34324698

RESUMO

BACKGROUND: As clinical signs of COVID-19 differ widely among individuals, from mild to severe, the definition of risk groups has important consequences for recommendations to the public, control measures and patient management, and needs to be reviewed regularly. AIM: The aim of this study was to explore risk factors for in-hospital mortality and intensive care unit (ICU) admission for hospitalised COVID-19 patients during the first epidemic wave in Switzerland, as an example of a country that coped well during the first wave of the pandemic. METHODS: This study included all (n = 3590) adult polymerase chain reaction (PCR)-confirmed hospitalised patients in 17 hospitals from the hospital-based surveillance of COVID-19 (CH-Sur) by 1 September 2020. We calculated univariable and multivariable (adjusted) (1) proportional hazards (Fine and Gray) survival regression models and (2) logistic regression models for in-hospital mortality and admission to ICU, to evaluate the most common comorbidities as potential risk factors. RESULTS AND DISCUSSION: We found that old age was the strongest factor for in-hospital mortality after having adjusted for gender and the considered comorbidities (hazard ratio [HR] 2.46, 95% confidence interval [CI] 2.33−2.59 and HR 5.6 95% CI 5.23−6 for ages 65 and 80 years, respectively). In addition, male gender remained an important risk factor in the multivariable models (HR 1.47, 95% CI 1.41−1.53). Of all comorbidities, renal disease, oncological pathologies, chronic respiratory disease, cardiovascular disease (but not hypertension) and dementia were also risk factors for in-hospital mortality. With respect to ICU admission risk, the pattern was different, as patients with higher chances of survival might have been admitted more often to ICU. Male gender (OR 1.91, 95% CI 1.58−2.31), hypertension (OR  1.3, 95% CI 1.07−1.59) and age 55–79 years (OR 1.15, 95% CI 1.06−1.26) are risk factors for ICU admission. Patients aged 80+ years, as well as patients with dementia or with liver disease were admitted less often to ICU. CONCLUSION: We conclude that increasing age is the most important risk factor for in-hospital mortality of hospitalised COVID-19 patients in Switzerland, along with male gender and followed by the presence of comorbidities such as renal diseases, chronic respiratory or cardiovascular disease, oncological malignancies and dementia. Male gender, hypertension and age between 55 and 79 years are, however, risk factors for ICU admission. Mortality and ICU admission need to be considered as separate outcomes when investigating risk factors for pandemic control measures and for hospital resources planning.


Assuntos
COVID-19 , Mortalidade Hospitalar , Hospitalização/estatística & dados numéricos , Pandemias , Adulto , Idoso , COVID-19/diagnóstico , COVID-19/mortalidade , Comorbidade , Humanos , Unidades de Terapia Intensiva , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Estudos Retrospectivos , Fatores de Risco , SARS-CoV-2 , Suíça/epidemiologia
14.
Animals (Basel) ; 11(7)2021 Jun 30.
Artigo em Inglês | MEDLINE | ID: mdl-34208975

RESUMO

Over the last decade, South American camelids (SAC) have gained increasing popularity in Switzerland. They are used for several purposes such as fiber and meat production, as companion or guard animals and for trekking activities. The purpose of this study was to investigate the frequency and reasons for pregnancy loss and perinatal death in SAC herds. Within the scope of this study, early embryonic losses could not be identified, as pregnancy examinations by ultrasonography are not performed routinely. Aborted and stillborn fetuses were collected, necropsied and analyzed for infectious abortifacients. A nationwide survey among breeders was carried out. During a 1.5-year period, only eight cases of aborted or stillborn alpaca and llama (out of a population of 6550 animals) were reported by the breeders, and their causes were subsequently analyzed. In half of the cases, Coxiella burnetii was identified in the fetoplacental material. Abortions and stillbirths were reported to be rare in Swiss herds. As a conclusion, recording of embryonic losses through ultrasound training of veterinarians should be impaired and breeders motivated to have abortions and perinatal mortality examined. Special focus should be laid on C. burnetii due to its zoonotic risk.

15.
Vet Comp Orthop Traumatol ; 34(4): 268-278, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-33979877

RESUMO

OBJECTIVE: The study aimed to determine the influence of head neck position on imaging measurements used to assess the craniovertebral junction (CVJ) and to recommend the most appropriate position for the evaluation of the CVJ. STUDY DESIGN: A cross-sectional sample of adult dogs' cadavers was subjected to a computed tomography scan of the cranium and the cranial cervical region in three standardized head positions. Imaging measurements often used to assess the CVJ were measured. The influence of the head neck position, breed, weight and gender on imaging measurements was tested using repeated measures analysis of variance. RESULTS: Twenty-eight cadavers of small breed dogs were enrolled in the study. All cadavers examined had occipital dysplasia. All transarticular imaging measurements were dependent on the head neck position. In addition, the breed, weight and gender had an influence on several measurements. CONCLUSION: We recommend a standardized head neck position of 50 degrees flexion if quantitative imaging measurements of the CVJ are used to diagnose pathologies in this region. Future studies should focus on the definition of cut-off values for quantitative imaging measurements of the CVJ to differentiate between healthy and diseased small breed dogs. Regarding atlantoaxial instability, a combination of six parameters (C1-C2 angle, C1-C2 overlap, atlantoaxial distance, dens-to-axis length ratio, ventral compression index and clivus canal angle) is promising for its diagnosis.


Assuntos
Articulação Atlantoaxial , Doenças do Cão , Instabilidade Articular , Animais , Articulação Atlantoaxial/diagnóstico por imagem , Cadáver , Vértebras Cervicais , Estudos Transversais , Cães , Instabilidade Articular/veterinária , Tomografia Computadorizada por Raios X/veterinária
16.
Front Vet Sci ; 8: 595455, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33748204

RESUMO

Objective: To assess the inter-evaluator and intra-evaluator reliability of a software program used to extract kinematic variables by a commercially available extremity-mounted inertial measurement unit system in sound horses at the trot under soft and hard ground conditions and treadmill exercise. Animals: Thirty adult, sound and healthy French Montagne stallions. Procedures: Data collection was performed with six IMUs strapped to the distal, metacarpal, metatarsal and tibial regions of every horse. Per surface (treadmill, soft and hard ground) 10 stallions were trotted three times. Prior to the analysis done by six evaluators (three experienced, three inexperienced) the data was blinded and copied three times. For every analysis a minimum of five strides had to be selected. To assess the intra- and inter-evaluator reliability a selection of gait variables was used to calculate intra and inter correlation coefficients (ICCs) as well as variance partitioning coefficients (VPCs). Results: All of the tested gait variables showed high levels of reliability. There was no mentionable difference considering the correlation coefficients between the intra and inter reliability as well as between the three different surfaces. VPCs showed that the factor horse is by far the most responsible for any appearing variance. The experience of the evaluator had no influence on the results. Conclusions and Clinical Relevance: The software program tested in this study has a high inter- and intra-evaluator reliability under the chosen conditions for the selected variables and acts independent of the ground situation and the experience of the evaluator. On the condition of a correct application it has the potential to become a clinically relevant and reliable gait analysis tool.

17.
PLoS One ; 16(1): e0244999, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33406156

RESUMO

Surveillance of infectious diseases in livestock is traditionally carried out at the farms, which are the typical units of epidemiological investigations and interventions. In Central and Western Europe, high-quality, long-term time series of animal transports have become available and this opens the possibility to new approaches like sentinel surveillance. By comparing a sentinel surveillance scheme based on markets to one based on farms, the primary aim of this paper is to identify the smallest set of sentinel holdings that would reliably and timely detect emergent disease outbreaks in Swiss cattle. Using a data-driven approach, we simulate the spread of infectious diseases according to the reported or available daily cattle transport data in Switzerland over a four year period. Investigating the efficiency of surveillance at either market or farm level, we find that the most efficient early warning surveillance system [the smallest set of sentinels that timely and reliably detect outbreaks (small outbreaks at detection, short detection delays)] would be based on the former, rather than the latter. We show that a detection probability of 86% can be achieved by monitoring all 137 markets in the network. Additional 250 farm sentinels-selected according to their risk-need to be placed under surveillance so that the probability of first hitting one of these farm sentinels is at least as high as the probability of first hitting a market. Combining all markets and 1000 farms with highest risk of infection, these two levels together will lead to a detection probability of 99%. We conclude that the design of animal surveillance systems greatly benefits from the use of the existing abundant and detailed animal transport data especially in the case of highly dynamic cattle transport networks. Sentinel surveillance approaches can be tailored to complement existing farm risk-based and syndromic surveillance approaches.


Assuntos
Doenças dos Bovinos/epidemiologia , Surtos de Doenças/veterinária , Animais , Bovinos , Fazendas , Gado , Vigilância de Evento Sentinela , Suíça , Meios de Transporte
18.
Theriogenology ; 161: 1-7, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33271287

RESUMO

A duration of parturition beyond 300 min negatively impacts the health of the sow and the survival of piglets during parturition. Hence, oxytocin is widely used to speed up the parturition. However, oxytocin's negative side effects raise the need of finding alternative treatments such as those already implemented in human medicine. The aim of this study was to evaluate the efficacy of Prostaglandin E2 (PGE2) applied intravaginally (PGE2-V) (1.0 mg) or intramuscularly (PGE2-M) (2.5 mg) to improve the parturition process after expulsion of the fourth piglet compared to a placebo (P-V), which was sterile intravaginal gel or intramuscular oxytocin application (OXY-M) (20 iu) in free farrowing systems.In total, 201 eutocic sows were examined after stratification by parity and random allocation into groups: 54 (P-V), 48 (OXY-M), 50 (PGE2-V), 49 (PGE2-M). Farrowing duration (time between first piglet and last piglet), piglet interval and placenta expulsion duration (time between first and last placenta) were recorded, and each piglet was scored for meconium staining and vitality. Furthermore, stillborn piglets were categorized into ante-partum and intra-partum deaths.Under the present conditions, neither administration of PGE2 nor oxytocin revealed a significant effect on the farrowing process or the vitality of the piglets when compared to untreated sows. Nonetheless, significant differences could be detected between PGE-2 and oxytocin treatments. The duration of farrowing was significantly shorter in oxytocin-treated sows (156 min) compared to sows treated intramuscularly with PGE2 (238 min). Furthermore, the placenta expulsion duration in the OXY-M group (130 min) significantly differed from PGE2-V (198 min) and PGE2-M group (218 min). Although these accelerations of parturition might be considered as a beneficial effect, routine treatment with uterotonic agents after birth of the fourth piglet in free farrowing eutocic sows cannot be recommended, because an overall benefit when compared to untreated sows was not approved.


Assuntos
Dinoprostona , Ocitocina , Parto/efeitos dos fármacos , Animais , Animais Recém-Nascidos , Dinoprostona/administração & dosagem , Feminino , Ocitocina/administração & dosagem , Paridade , Placenta , Gravidez , Suínos
19.
J Vet Intern Med ; 35(1): 341-351, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33236379

RESUMO

BACKGROUND: Hyperosmolar agents frequently are used to decrease intracranial pressure but their effects on electrolyte and acid-base variables have not been prospectively investigated. OBJECTIVES: Compare duration and magnitude of changes in electrolyte and acid-base variables after hyperosmolar treatment. ANIMALS: Twenty-eight client-owned dogs with intracranial hypertension caused by various pathologies. METHODS: Prospective, randomized, nonblinded, experimental cohort study. Fifteen dogs received a single dose (4 mL/kg) of 7.2% hypertonic saline (HTS), 13 dogs received 20% mannitol (MAN) 1 g/kg IV. Electrolyte and acid-base variables were measured before (T0 ), and 5 (T5 ), 60 (T60 ), and 120 (T120 ) minutes after administration. Variables were compared between treatments and among time points within treatment groups. RESULTS: Mean plasma sodium and chloride concentrations were higher after HTS than MAN at T5 (158 vs 141 mEq/L; 126 vs 109 mEq/L) and significant differences were maintained at all time points. After HTS, plasma sodium and chloride concentrations remained increased from T0 at all time points. After MAN, plasma sodium and chloride concentrations decreased at T5 , but these changes were not maintained at T60 and T120 . Plasma potassium concentration was lower at T5 after HTS compared with T0 (3.6 vs 3.9 mEq/L) and compared to MAN (3.6 vs 4.1 mEq/L). At T60 and T120 , plasma ionized calcium concentration was lower after HTS than MAN (1.2 vs 1.3 mmol/L). No significant differences were found in acid-base variables between treatments. CONCLUSIONS AND CLINICAL IMPORTANCE: At the administered dose, dogs receiving HTS showed sustained increases in plasma sodium and chloride concentrations, whereas dogs receiving MAN showed transient decreases. Future studies should assess the effects of multiple doses of hyperosmolar agents on electrolyte and acid-base variables.


Assuntos
Doenças do Cão , Hipertensão Intracraniana , Animais , Estudos de Coortes , Doenças do Cão/tratamento farmacológico , Cães , Eletrólitos , Hipertensão Intracraniana/tratamento farmacológico , Hipertensão Intracraniana/veterinária , Manitol/uso terapêutico , Estudos Prospectivos
20.
Vet Surg ; 49(7): 1367-1377, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32652599

RESUMO

OBJECTIVE: To determine the influence of a purpose-built frame on the accuracy of screw placement during computer-assisted orthopedic surgery (CAOS) of the equine extremity. STUDY DESIGN: Experimental cadaveric study. SAMPLE POPULATION: Twenty-four paired equine cadaveric limbs obtained from seven horses. METHODS: Three 4.5-mm cortex screws were inserted in lag technique in three different planes of orientation in the proximal phalanx (P1) by means of CAOS. In the study group (n = 12 limbs), the tracker was anchored on a purpose-built frame designed to stabilize the extremity. In the control group (n = 12 limbs), a conventional tracker array was used that was anchored directly on P1. The stability of both tracker arrays was assessed during the procedure by using fiducial markers. After screw placement, preoperative and postoperative computed tomographic images were assessed to measure surgical accuracy aberrations (SAA) between the planned and achieved screw position. Descriptive statistics and repeated-measures analysis of variance were performed to compare SAA measurements between the study and control group. RESULTS: Both tracker arrays remained consistently stable in all specimens. Mean overall SAA of screw insertion were lower in the study group (0.7 mm; median, 0.5; range 0-3.4) than in the control group (1.2 mm; median, 0.9; range, 0-4.2 mm). CONCLUSION: The mean SAA achieved in cortex screw placement using CAOS lies within the range of approximately 1 mm. The use of a purpose-built frame avoided additional drilling of the target bone and improved surgical accuracy compared with the conventional tracker array. CLINICAL SIGNIFICANCE: The purpose-built frame described in this report can be used to facilitate CAOS in equine orthopedics without compromising surgical accuracy.


Assuntos
Parafusos Ósseos/veterinária , Membro Anterior/cirurgia , Membro Posterior/cirurgia , Cavalos/cirurgia , Procedimentos Ortopédicos/veterinária , Cirurgia Assistida por Computador/veterinária , Animais , Cadáver , Procedimentos Ortopédicos/instrumentação , Procedimentos Ortopédicos/métodos , Cirurgia Assistida por Computador/instrumentação , Cirurgia Assistida por Computador/métodos
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