1
|
Fefer G, Bynum L, Early P. Surgical management of a lumbar far lateral intervertebral disc extrusion in a cat. JFMS Open Rep 2024; 10:20551169241261577. [PMID: 39099733 PMCID: PMC11297504 DOI: 10.1177/20551169241261577] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/06/2024] Open
Abstract
Case summary A 9-year-old male castrated domestic shorthair cat was presented with a 2-week history of acute, progressive left pelvic limb lameness. Gait evaluation revealed a grade 3/5 left pelvic limb lameness with no apparent orthopedic cause for the lameness based on orthopedic examination or radiographs. The neurological examination was otherwise normal. MRI revealed a left-sided L6-7 far lateral intervertebral disc extrusion with possible secondary neuritis of the L6 spinal nerve. A left-sided L6-7 foraminotomy was performed to remove the extruded disc material and provide additional space for the significantly enlarged nerve root. An L6-7 fenestration was also performed. The patient made an excellent recovery with near-complete resolution of lameness at 26 days postoperatively. Relevance and novel information This case report contributes to the growing body of literature on lateral intervertebral disc extrusion as an etiological factor in pelvic limb lameness in cats, particularly when neurological deficits are absent. Furthermore, the case report highlights the diagnostic utility of cross-sectional advanced imaging for cats with lameness for which an orthopedic or radiographic cause cannot be identified. Finally, this case underscores the efficacy of surgical intervention as a treatment option for cats with lumbar far lateral intervertebral disc extrusions that do not improve with medical management alone. This finding could have implications for future surgical approaches in cats with similar findings.
Collapse
Affiliation(s)
- Gilad Fefer
- Department of Clinical Sciences, North Carolina State University, Raleigh, USA
| | - Lauren Bynum
- Department of Clinical Sciences, North Carolina State University, Raleigh, USA
| | - Peter Early
- Department of Clinical Sciences, North Carolina State University, Raleigh, USA
| |
Collapse
|
2
|
Fonseca A, Kenney S, Van Syoc E, Bierly S, Dini-Andreote F, Silverman J, Boney J, Ganda E. Investigating antibiotic free feed additives for growth promotion in poultry: effects on performance and microbiota. Poult Sci 2024; 103:103604. [PMID: 38484563 PMCID: PMC10951610 DOI: 10.1016/j.psj.2024.103604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2023] [Revised: 02/26/2024] [Accepted: 02/27/2024] [Indexed: 03/24/2024] Open
Abstract
The poultry industry is evolving towards antibiotic-free production to meet market demands and decelerate the increasing spread of the antimicrobial resistance. The growing need for antibiotic free products has challenged producers to decrease or completely stop using antimicrobials as feed supplements in broiler diet to improve feed efficiency, growth rate, and intestinal health. Natural feed additives (e.g., probiotics and phytobiotics) are promising alternatives to substitute antimicrobial growth promoters. The goal of our study was to characterize the effects of a Probiotic and an Essential Oils blend on broilers' performance and perform a time-series analysis to describe their excreta microbiome. A total of 320 Cobb 500 (1-day-old) chicks were raised for 21 d in 32 randomly allocated cages. Treatments consisted of 4 experimental diets: a basal diet, and a basal diet mixed with an Antibiotic (bacitracin methylene disalicylate), an essential oils blend (oregano oil, rosemary, and red pepper), or a Probiotic (Bacillus subtilis). Body weight (on 1, 10, and 21d), and feed intake (10d and 21d) were recorded and feed conversion ratio was calculated. Droppings were collected daily (1-21d) to characterize broilers' excreta microbiota by targeted sequencing of the bacterial 16S rRNA gene. The Probiotic significantly improved feed conversion ratio for starter phase 1 to 10d (P = 0.03), grower phase 10 to 21d (P = 0.05), and total period 1 to 21d (P = 0.01) compared to the Antibiotic. Feed supplements did not affect alpha diversity but did impact microbial beta diversity (P < 0.01). Age also impacted microbiome turnover as differences in alpha and beta diversity were detected. Furthermore, when compared to the basal diet, the probiotic and antibiotic significantly impacted relative abundance of Bifidobacterium (log2 fold change -1.44, P = 0.03), Intestinimonas (log2 fold change 0.560, P < 0.01) and Ligilactobacillus (log2 fold change -1.600, P < 0.01). Overall, Probiotic supplementation but not essential oils supplementation positively impacted broilers' growth performance by directly causing directional shifts in broilers' excreta microbiota structure.
Collapse
Affiliation(s)
- Ana Fonseca
- Department of Animal Science, The Pennsylvania State University, University Park, PA, USA; One Health Microbiome Center, The Pennsylvania State University, University Park, PA, USA
| | - Sophia Kenney
- Department of Animal Science, The Pennsylvania State University, University Park, PA, USA; One Health Microbiome Center, The Pennsylvania State University, University Park, PA, USA
| | - Emily Van Syoc
- Department of Animal Science, The Pennsylvania State University, University Park, PA, USA; One Health Microbiome Center, The Pennsylvania State University, University Park, PA, USA; Department of Biology, The Pennsylvania State University, University Park, PA, 16802, USA
| | - Stephanie Bierly
- Department of Animal Science, The Pennsylvania State University, University Park, PA, USA; One Health Microbiome Center, The Pennsylvania State University, University Park, PA, USA
| | - Francisco Dini-Andreote
- One Health Microbiome Center, The Pennsylvania State University, University Park, PA, USA; Department of Plant Science and Huck Institutes of the Life Sciences, The Pennsylvania State University, University Park, PA, USA
| | - Justin Silverman
- One Health Microbiome Center, The Pennsylvania State University, University Park, PA, USA; College of Information Sciences and Technology, The Pennsylvania State University, University Park, PA, USA; Department of Statistics, The Pennsylvania State University, University Park, PA, USA; Department of Medicine, The Pennsylvania State University, University Park, PA, USA; Institute for Computational and Data Science, The Pennsylvania State University, University Park, PA, USA
| | - John Boney
- Department of Animal Science, The Pennsylvania State University, University Park, PA, USA
| | - Erika Ganda
- Department of Animal Science, The Pennsylvania State University, University Park, PA, USA; One Health Microbiome Center, The Pennsylvania State University, University Park, PA, USA.
| |
Collapse
|
3
|
Bussières MP, Grasso S, Jull P. Preliminary evaluation of an indwelling epidural catheter for repeat methylprednisolone administration in canine lumbosacral stenosis. THE CANADIAN VETERINARY JOURNAL = LA REVUE VETERINAIRE CANADIENNE 2024; 65:462-472. [PMID: 38694734 PMCID: PMC11017932] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/04/2024]
Abstract
Objective To determine the complications, outcomes, and patency of a permanent epidural catheter and subcutaneous access port system (ECAPS) as part of conservative management of degenerative lumbosacral stenosis in dogs. Animals and procedure Medical records of 11 client-owned dogs that underwent an ECAPS insertion were evaluated retrospectively. Clinical signs, complications related to the procedure, and system patency are reported. Results All dogs had lumbosacral pain at their initial neurological assessment, with comfort levels adequately controlled following epidural infiltrations. None suffered from complications related to the ECAPS procedure. In 10 dogs, there were no malfunctions for the duration of the study. However, in 1 dog, there was a suspected leak at Day 814. The longest duration of patency reported in this study was 870 d (at the time of writing). Conclusion Placement of an ECAPS is a feasible technique and a viable option to permit repeated epidural injections of steroids in dogs with degenerative lumbosacral stenosis that is managed conservatively. Further studies are required to evaluate complication rates.
Collapse
Affiliation(s)
- Marie-Philippe Bussières
- The Veterinary Specialty Clinic for Anesthesia and Neurology (VSCAN), 2300 Carling Avenue, Ottawa, Ontario K2B 7G1
| | - Stefania Grasso
- The Veterinary Specialty Clinic for Anesthesia and Neurology (VSCAN), 2300 Carling Avenue, Ottawa, Ontario K2B 7G1
| | - Philip Jull
- The Veterinary Specialty Clinic for Anesthesia and Neurology (VSCAN), 2300 Carling Avenue, Ottawa, Ontario K2B 7G1
| |
Collapse
|
4
|
Iseselo MK, Tarimo EAM. Comprehension of informed consent and voluntary participation in registration cohorts for phase IIb HIV vaccine trial in Dar Es Salaam, Tanzania: a qualitative descriptive study. BMC Med Ethics 2024; 25:29. [PMID: 38481301 PMCID: PMC10935914 DOI: 10.1186/s12910-024-01033-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2023] [Accepted: 03/06/2024] [Indexed: 03/17/2024] Open
Abstract
BACKGROUND Informed consent as stipulated in regulatory human research guidelines requires volunteers to be well-informed about what will happen to them in a trial. However, researchers may be faced with the challenge of how to ensure that a volunteer agreeing to take part in a clinical trial is truly informed. This study aimed to find out volunteers' comprehension of informed consent and voluntary participation in Human Immunodeficiency Virus (HIV) clinical trials during the registration cohort. METHODS We conducted a qualitative study among volunteers who were enrolled in the registration cohort of HIV clinical trials in Dar es Salaam, Tanzania. A purposive sampling strategy was used to obtain twenty study participants. The data were collected between June and September 2020 using a semi-structured interview guide. In-depth interviews were used to collect the data to obtain deep insights of the individual study participants on the comprehension of informed consent and participation in the clinical trial. A thematic analysis approach was used to analyze the data. Themes and subthemes were supported by the quotes from the participants. RESULTS Volunteers described comprehension of informed consent from different perspectives. They reported that various components of the informed consent such as study procedure, confidentiality, risk and benefits were grasped during engagement meetings. Furthermore, the volunteers' decision to participate in the registration cohort was voluntary. However, trial aspects such as health insurance, free condoms, and medical checkups could have indirectly influenced their reluctance to withdraw from the study. CONCLUSION Engagement meetings may increase the comprehension of informed consent among potential participants for HIV clinical trials. However, trial incentives may influence participation, and thus future research should focus on the challenges of giving incentives in the study. This will ensure comprehension and voluntary participation in the context of HIV clinical trials.
Collapse
Affiliation(s)
- Masunga K Iseselo
- Department of Clinical Nursing, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
| | - Edith A M Tarimo
- Department of Nursing Management, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania
| |
Collapse
|
5
|
Těšický M, Schmiedová L, Krajzingrová T, Samblas MG, Bauerová P, Kreisinger J, Vinkler M. Nearly (?) sterile avian egg in a passerine bird. FEMS Microbiol Ecol 2024; 100:fiad164. [PMID: 38115624 PMCID: PMC10791042 DOI: 10.1093/femsec/fiad164] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2023] [Revised: 12/02/2023] [Accepted: 12/18/2023] [Indexed: 12/21/2023] Open
Abstract
During early ontogeny, microbiome affects development of the gastrointestinal tract, immunity, and survival in vertebrates. Bird eggs are thought to be (1) initially sterile (sterile egg hypothesis) and (2) colonized after oviposition through horizontal trans-shell migration, or (3) initially seeded with bacteria by vertical transfer from mother oviduct. To date, however, little empirical data illuminate the contribution of these mechanisms to gut microbiota formation in avian embryos. We investigated microbiome of the egg content (day 0; E0-egg), embryonic gut at day 13 (E13) and female faeces in a free-living passerine, the great tit (Parus major), using a methodologically advanced procedure combining 16S rRNA gene sequencing and microbe-specific qPCR assays. Our metabarcoding revealed that the avian egg is (nearly) sterile, but acquires a slightly richer microbiome during the embryonic development. Of the three potentially pathogenic bacteria targeted by qPCR, only Dietzia was found in E0-egg (yet also in negative controls), E13 gut and female samples, which might indicate possible vertical transfer. Unlike in poultry, we have shown that major bacterial colonization of the gut in passerines does not occur before hatching. We emphasize that protocols that carefully check for environmental contamination are critical in studies with low-bacterial biomass samples.
Collapse
Affiliation(s)
- Martin Těšický
- Faculty of Science, Department of Zoology, Charles University, Viničná 7, 128 43 Prague, Czech Republic
- Institute of Vertebrate Biology, v.v.i., The Czech Academy of Sciences, Květná 8, Brno 603 65, Czech Republic
- Institute of Paleonatomy, Domestification Research and History of Veterinary Medicine, Ludwig Maxmilian University of Munich, Kaulbachstr. 37 III, 80539 Munich, Germany
| | - Lucie Schmiedová
- Faculty of Science, Department of Zoology, Charles University, Viničná 7, 128 43 Prague, Czech Republic
- Institute of Vertebrate Biology, v.v.i., The Czech Academy of Sciences, Květná 8, Brno 603 65, Czech Republic
| | - Tereza Krajzingrová
- Faculty of Science, Department of Zoology, Charles University, Viničná 7, 128 43 Prague, Czech Republic
| | - Mercedes Gomez Samblas
- Faculty of Science, Department of Zoology, Charles University, Viničná 7, 128 43 Prague, Czech Republic
- Faculty of Science, Department of Parasitology, Campus Universitario de Fuentenueva, University of Granada, Profesor Adolfo Rancano, 18071 Granada, Spain
| | - Petra Bauerová
- Division of Air Quality, Czech Hydrometeorological Institute
, Tušimice Observatory, Tušimice 6, 432 01 Kadaň, Czech Republic
| | - Jakub Kreisinger
- Faculty of Science, Department of Zoology, Charles University, Viničná 7, 128 43 Prague, Czech Republic
| | - Michal Vinkler
- Faculty of Science, Department of Zoology, Charles University, Viničná 7, 128 43 Prague, Czech Republic
| |
Collapse
|
6
|
Fontes AC, Vieira MC, Oliveira M, Lourenço L, Viegas C, Faísca P, Seixas F, Requicha JF, Pires MA. Feline calicivirus and natural killer cells: A study of its relationship in chronic gingivostomatitis. Vet World 2023; 16:1708-1713. [PMID: 37766702 PMCID: PMC10521170 DOI: 10.14202/vetworld.2023.1708-1713] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2023] [Accepted: 08/04/2023] [Indexed: 09/29/2023] Open
Abstract
Background and Aims Feline chronic gingivostomatitis (FCGS) is a frequent chronic inflammatory condition in the oral cavity with an etiopathogenesis not completely identified. This study aimed to contribute to the knowledge of FCGS by identifying the presence of feline calicivirus (FCV) antigens and natural killer (NK) cells and comparing them. Materials and Methods Forty biopsies from the oral mucosa of cats diagnosed with chronic gingivostomatitis were subjected to immunohistochemical techniques to evaluate cells with FCV antigens and NK cells positive for CD56. Results NK cells were identified in all samples, with an average of 725.3 ± 409.1 cells. Regarding FCV, it was identified in 18 out of 30 samples (60%), with a different number of cells with virus in between the analyzed cases. In all cases, the number of cells infected with FCV was lower than the number of NK cells present in the same samples, but there was no statistical association between them. Conclusion This preliminary study shows that NK cells are present in gingivostomatitis lesions not exclusively caused by FCV-stimulus, as only 60% of all cases were positive for this virus, but other antigens should be considered in the etiology of FCGS.
Collapse
Affiliation(s)
- Ana C. Fontes
- Department of Veterinary Sciences, University of Trás-os-Montes and Alto Douro, Vila Real, Portugal
| | - Maria C. Vieira
- Department of Veterinary Sciences, University of Trás-os-Montes and Alto Douro, Vila Real, Portugal
| | - Marcela Oliveira
- Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Campus Gualtar, 4710-057 Braga, Portugal
- ICVS/3B’s-PT Government Associate Laboratory, Braga/Guimarães, Portugal
| | - Lígia Lourenço
- Department of Veterinary Sciences, University of Trás-os-Montes and Alto Douro, Vila Real, Portugal
| | - Carlos Viegas
- Department of Veterinary Sciences, University of Trás-os-Montes and Alto Douro, Vila Real, Portugal
- Animal and Veterinary Research Centre (CECAV) and AL4AnimalS, UTAD, Vila Real, Portugal
| | - Pedro Faísca
- Faculty of Veterinary Medicine and Research Centre for Biosciences and Health Technologies, Lusófona University, Lisboa, Portugal
- DNAtech, Lisboa, Portugal
| | - Fernanda Seixas
- Department of Veterinary Sciences, University of Trás-os-Montes and Alto Douro, Vila Real, Portugal
- Animal and Veterinary Research Centre (CECAV) and AL4AnimalS, UTAD, Vila Real, Portugal
| | - João F. Requicha
- Department of Veterinary Sciences, University of Trás-os-Montes and Alto Douro, Vila Real, Portugal
- Animal and Veterinary Research Centre (CECAV) and AL4AnimalS, UTAD, Vila Real, Portugal
| | - Maria A. Pires
- Department of Veterinary Sciences, University of Trás-os-Montes and Alto Douro, Vila Real, Portugal
- Animal and Veterinary Research Centre (CECAV) and AL4AnimalS, UTAD, Vila Real, Portugal
| |
Collapse
|
7
|
Fouquet G, Abbas G, Johnson JP, Pompermayer E, Harel C, Aldous E, Puchalski S, David F. Ultrasound-guided injection technique of the equine cervical nerve roots. Front Vet Sci 2022; 9:992208. [PMID: 36387391 PMCID: PMC9644134 DOI: 10.3389/fvets.2022.992208] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2022] [Accepted: 10/10/2022] [Indexed: 11/24/2022] Open
Abstract
Radiculopathy in horses is often a diagnosis of exclusion because of the non-specific clinical signs related to neck pain and possible forelimb lameness. There are no reported treatment options in the equine veterinary literature. The purpose of the study was to describe an ultrasound-guided injection of the cervical nerve root C3 to C8, to evaluate accuracy, time and safety and to anticipate possible complications on clinical cases. Under general anesthesia and with ultrasound guidance, five horses were injected from C3 to C8 with 1.5mL mix of contrast and latex. Immediately after euthanasia, the necks were taken for CT examination and then dissection was performed 3 days later. Data regarding the accuracy of injection, the presence of injectate in the nerve root, vertebral vessel or vertebral canal were recorded from both CT and dissection. The time of injection and ability to visualize the nerve root prior to injection were also recorded. Out of 60 intended injections, 55 (CT images) and 57 (dissection) led to injectate deposited within the target zone with direct contact between contrast/latex and cervical nerve roots noted in 76.4% and 73.7%, respectively. Presence of contrast/latex injectate within nerves (≤11%), vertebral vessels (<4%) and canal (<4%) were rarely encountered. No variation on success rate or safety noted based on the site of injection. The technique described has excellent accuracy, with injectate deposition in direct contact (≈75%) or close vicinity (≈25%) of C3-C8 cervical nerve roots. Injectate diffusion is likely to further improve success rate. Rare presence of injectate within nerve/sheath, vertebral vessels/canal along with diffusion warrants caution when performing this procedure in clinical cases.
Collapse
Affiliation(s)
- Gregoire Fouquet
- Equine Veterinary Medical Center, Member of Qatar Foundation, Doha, Qatar
| | - Ghazanfar Abbas
- Equine Veterinary Medical Center, Member of Qatar Foundation, Doha, Qatar
| | - Jessica P. Johnson
- Equine Veterinary Medical Center, Member of Qatar Foundation, Doha, Qatar
| | | | - Camille Harel
- Equine Veterinary Medical Center, Member of Qatar Foundation, Doha, Qatar
| | - Eman Aldous
- Equine Veterinary Medical Center, Member of Qatar Foundation, Doha, Qatar
| | - Sarah Puchalski
- Puchalski Equine Diagnostic Imaging Inc., Petaluma, CA, United States
| | - Florent David
- Equine Veterinary Medical Center, Member of Qatar Foundation, Doha, Qatar
- *Correspondence: Florent David
| |
Collapse
|
8
|
Kantele A, Paajanen J, Turunen S, Pakkanen SH, Patjas A, Itkonen L, Heiskanen E, Lappalainen M, Desquilbet L, Vapalahti O, Hielm-Björkman A. Scent dogs in detection of COVID-19: triple-blinded randomised trial and operational real-life screening in airport setting. BMJ Glob Health 2022; 7:bmjgh-2021-008024. [PMID: 35577391 PMCID: PMC9108438 DOI: 10.1136/bmjgh-2021-008024] [Citation(s) in RCA: 16] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2021] [Accepted: 03/14/2022] [Indexed: 12/18/2022] Open
Abstract
Objective To estimate scent dogs’ diagnostic accuracy in identification of people infected with SARS-CoV-2 in comparison with reverse transcriptase polymerase chain reaction (RT-PCR). We conducted a randomised triple-blinded validation trial, and a real-life study at the Helsinki-Vantaa International Airport, Finland. Methods Four dogs were trained to detect COVID-19 using skin swabs from individuals tested for SARS-CoV-2 by RT-PCR. Our controlled triple-blinded validation study comprised four identical sets of 420 parallel samples (from 114 individuals tested positive and 306 negative by RT-PCR), randomly presented to each dog over seven trial sessions. In a real-life setting the dogs screened skin swabs from 303 incoming passengers all concomitantly examined by nasal swab SARS-CoV-2 RT-PCR. Our main outcomes were variables of diagnostic accuracy (sensitivity, specificity, positive predictive value, negative predictive value) for scent dog identification in comparison with RT-PCR. Results Our validation experiments had an overall accuracy of 92% (95% CI 90% to 93%), a sensitivity of 92% (95% CI 89% to 94%) and a specificity of 91% (95% CI 89% to 93%) compared with RT-PCR. For our dogs, trained using the wild-type virus, performance was less accurate for the alpha variant (89% for confirmed wild-type vs 36% for alpha variant, OR 14.0, 95% CI 4.5 to 43.4). In the real-life setting, scent detection and RT-PCR matched 98.7% of the negative swabs. Scant airport prevalence (0.47%) did not allow sensitivity testing; our only SARS-CoV-2 positive swab was not identified (alpha variant). However, ad hoc analysis including predefined positive spike samples showed a total accuracy of 98% (95% CI 97% to 99%). Conclusions This large randomised controlled triple-blinded validation study with a precalculated sample size conducted at an international airport showed that trained scent dogs screen airport passenger samples with high accuracy. One of our findings highlights the importance of continuous retraining as new variants emerge. Using scent dogs may present a valuable approach for high-throughput, rapid screening of large numbers of people.
Collapse
Affiliation(s)
- Anu Kantele
- Meilahti Vaccine Research Center, MeVac, Department of Infectious Diseases, University of Helsinki and Helsinki University Hospital, Helsinki, Finland
- Human Microbiome Research Program, Faculty of Medicine, University of Helsinki, Helsinki, Finland
| | - Juuso Paajanen
- Department of Pulmonary Medicine, Heart and Lung Center, Helsinki University Hospital and University of Helsinki, Helsinki, Finland
| | - Soile Turunen
- School of Pharmacy, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland
- Nose Academy Ltd, Kuopio, Finland
| | - Sari H Pakkanen
- Meilahti Vaccine Research Center, MeVac, Department of Infectious Diseases, University of Helsinki and Helsinki University Hospital, Helsinki, Finland
- Human Microbiome Research Program, Faculty of Medicine, University of Helsinki, Helsinki, Finland
| | - Anu Patjas
- Meilahti Vaccine Research Center, MeVac, Department of Infectious Diseases, University of Helsinki and Helsinki University Hospital, Helsinki, Finland
- Human Microbiome Research Program, Faculty of Medicine, University of Helsinki, Helsinki, Finland
| | - Laura Itkonen
- Department of Equine and Small Animal Medicine, University of Helsinki, Helsinki, Finland
| | - Elina Heiskanen
- Department of Equine and Small Animal Medicine, University of Helsinki, Helsinki, Finland
| | - Maija Lappalainen
- HUS Diagnostic Center, HUSLAB, Clinical Microbiology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland
| | - Loic Desquilbet
- Department of Biostatistics and Clinical Epidemiology, Ecole nationale vétérinaire d'Alfort, Maisons-Alfort, France
| | - Olli Vapalahti
- HUS Diagnostic Center, HUSLAB, Clinical Microbiology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland
- Departments of Virology and Veterinary Biosciences, University of Helsinki, Helsinki, Finland
| | - Anna Hielm-Björkman
- Department of Equine and Small Animal Medicine, University of Helsinki, Helsinki, Finland
| |
Collapse
|
9
|
Luthuli M, Ngwenya N, Gumede D, Gunda R, Gareta D, Koole O, Siedner MJ, Wong EB, Seeley J. Participant recall and understandings of information on biobanking and future genomic research: experiences from a multi-disease community-based health screening and biobank platform in rural South Africa. BMC Med Ethics 2022; 23:43. [PMID: 35436913 PMCID: PMC9014601 DOI: 10.1186/s12910-022-00782-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2021] [Accepted: 04/11/2022] [Indexed: 11/11/2022] Open
Abstract
Background Limited research has been conducted on explanations and understandings of biobanking for future genomic research in African contexts with low literacy and limited healthcare access. We report on the findings of a sub-study on participant understanding embedded in a multi-disease community health screening and biobank platform study known as ‘Vukuzazi’ in rural KwaZulu-Natal, South Africa. Methods Semi-structured interviews were conducted with research participants who had been invited to take part in the Vukuzazi study, including both participants and non-participants, and research staff that worked on the study. The interviews were transcribed, and themes were identified from the interview transcripts, manually coded, and thematically analysed. Results Thirty-nine individuals were interviewed. We found that the research team explained biobanking and future genomic research by describing how hereditary characteristics create similarities among individuals. However, recollection and understanding of this explanation seven months after participation was variable. The large volume of information about the Vukuzazi study objectives and procedures presented a challenge to participant recall. By the time of interviews, some participants recalled rudimentary facts about the genetic aspects of the study, but many expressed little to no interest in genetics and biobanking. Conclusion Participant’s understanding of information related to genetics and biobanking provided during the consent process is affected by the volume of information as well as participant’s interest (or lack thereof) in the subject matter being discussed. We recommend that future studies undertaking biobanking and genomic research treat explanations of this kind of research to participants as an on-going process of communication between researchers, participants and the community and that explanatory imagery and video graphic storytelling should be incorporated into theses explanations as these have previously been found to facilitate understanding among those with low literacy levels. Studies should also avoid having broader research objectives as this can divert participant’s interest and therefore understanding of why their samples are being collected. Supplementary Information The online version contains supplementary material available at 10.1186/s12910-022-00782-z.
Collapse
Affiliation(s)
- Manono Luthuli
- Africa Health Research Institute, KwaZulu-Natal, South Africa.
| | - Nothando Ngwenya
- Africa Health Research Institute, KwaZulu-Natal, South Africa.,Division of Infection and Immunity, University College London, London, UK.,School of Nursing and Public Health, College of Health Sciences, University of KwaZulu-Natal, KwaZulu-Natal, South Africa
| | - Dumsani Gumede
- Africa Health Research Institute, KwaZulu-Natal, South Africa
| | - Resign Gunda
- Africa Health Research Institute, KwaZulu-Natal, South Africa.,Division of Infection and Immunity, University College London, London, UK.,School of Nursing and Public Health, College of Health Sciences, University of KwaZulu-Natal, KwaZulu-Natal, South Africa
| | - Dickman Gareta
- Africa Health Research Institute, KwaZulu-Natal, South Africa
| | - Olivier Koole
- Africa Health Research Institute, KwaZulu-Natal, South Africa.,Global Health and Development Department, London School of Hygiene and Tropical Medicine, London, UK
| | - Mark J Siedner
- Africa Health Research Institute, KwaZulu-Natal, South Africa.,Division of Infectious Diseases, Massachusetts General Hospital, Boston, MA, USA
| | - Emily B Wong
- Africa Health Research Institute, KwaZulu-Natal, South Africa.,Division of Infectious Diseases, Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Janet Seeley
- Africa Health Research Institute, KwaZulu-Natal, South Africa.,School of Nursing and Public Health, College of Health Sciences, University of KwaZulu-Natal, KwaZulu-Natal, South Africa.,Global Health and Development Department, London School of Hygiene and Tropical Medicine, London, UK
| |
Collapse
|
10
|
Abstract
Although lameness of the thoracic limb typically is due to orthopedic disease, there are several important neurologic conditions that result in lameness. Neurologic diseases cause lameness due to disease of the nerves, nerve roots, spinal cord, or muscles. Common differentials include lateralized intervertebral disc extrusions, caudal cervical spondylomyelopathy (wobbler disease), brachial plexus avulsion, neuritis, and peripheral nerve sheath tumors. Many of these diseases compress or destroy the nerve roots of the cervical intumescence, resulting in non-weight-bearing lameness, or root signature. Advanced diagnostics, such as magnetic resonance imaging, are necessary in these cases to determine the underlying cause.
Collapse
Affiliation(s)
- Sharon C Kerwin
- Department of Small Animal Clinical Sciences, College of Veterinary Medicine & Biomedical Sciences, Texas A&M University, TAMU 4474, College Station, TX 77843-4474, USA
| | - Amanda R Taylor
- MedVet Dayton, 2714 Springboro West, Moraine, OH 45439, USA; BluePearl North Hills, PA, USA.
| |
Collapse
|
11
|
Wolf JK, Early PJ, Pozzi A, Vigani A. Ultrasound-guided paravertebral perineural glucocorticoid injection for signs of refractory cervical pain associated with foraminal intervertebral disk protrusion in four dogs. J Am Vet Med Assoc 2021; 258:999-1006. [PMID: 33856871 DOI: 10.2460/javma.258.9.999] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
CASE DESCRIPTION 4 dogs, 7.5 to 10 years of age, were presented for evaluation of signs of chronic cervical pain and forelimb lameness secondary to cervical foraminal intervertebral disk protrusion (IVDP). All dogs were refractory to ≥ 2 weeks of conservative management including strict rest and pain management with anti-inflammatory drugs, methocarbamol, and gabapentin. CLINICAL FINDINGS The MRI findings included left foraminal IVDP at C2-3 causing mild C3 nerve root compression (dog 1), multifocal degenerative disk disease with mild focal left-sided disk protrusion at C6-7 without associated spinal cord or nerve root compression (dog 2), left foraminal C6-7 IVDP with suspected focal spinal cord atrophy or mild compression (dog 3), and right foraminal C6-7 IVDP and multifocal cervical intervertebral disk degeneration with annulus fibrosus protrusion (dog 4). TREATMENT AND OUTCOME Ultrasound-guided paravertebral perineural injections with methylprednisolone acetate (1 mg/kg [0.45 mg/lb]) at the C3 nerve root in dog 1 and at the C7 nerve root in the other 3 dogs were performed. Injections were repeated at intervals of 4 weeks to 3 months on the basis of clinical response. None of the dogs had any complications from the procedures. For dogs 1 and 4, there was complete resolution of lameness and signs of cervical pain following perineural injections, and for dog 3, there was complete resolution of lameness and only minimal residual cervical pain. Dog 2 did not have long-lasting improvement. CLINICAL RELEVANCE Findings indicated that ultrasound-guided paravertebral perineural injection can be an effective treatment of cervical foraminal IVDP for some dogs. Additional studies to determine appropriate case selection and better assess the overall success rate and risks associated with this technique are warranted.
Collapse
|
12
|
Ultrasound-guided perineural injections for the medical management of thoracic limb root signature in a dog. Vet Anaesth Analg 2021; 48:480-482. [PMID: 33865702 DOI: 10.1016/j.vaa.2021.03.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2020] [Revised: 03/02/2021] [Accepted: 03/05/2021] [Indexed: 11/21/2022]
|
13
|
Touzot-Jourde G, Geffroy O, Tallaj A, Gauthier O, Denoix JM. Ultrasonography-Guided Perineural Injection of the Ramus ventralis of the 7 and 8th Cervical Nerves in Horses: A Cadaveric Descriptive Pilot Study. Front Vet Sci 2020; 7:102. [PMID: 32158773 PMCID: PMC7052177 DOI: 10.3389/fvets.2020.00102] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2019] [Accepted: 02/11/2020] [Indexed: 11/13/2022] Open
Abstract
Objective: To describe the feasibility and dye diffusion of selective perineural injection of the 7 and 8th cervical nerve (C7 and C8) ramus ventralis under ultrasonographic guidance in horses. Study design: Prospective experimental pilot cadaver study. Animals: Four equine cadavers of similar body weight (420-480 kg) and neck conformation. Methods: Five C7 and five C8 rami were perineurally injected with a dye solution. Anatomic dissections including vertebral canal opening were conducted to confirm nerve dye staining and describe the extent of color diffusion. Results: The ramus ventralis of the spinal cervical nerves was visualized in all cadavers. All the injections were successful in staining a portion of the nerve trunk. Eight rami had a uniform transversal staining of the nerve trunk that longitudinally covered a distance >2 cm. One C7 and one C8 nerve trunk showed incomplete transversal staining with a more concentrated color on its half cranial aspect and a longitudinal coverage of <2 cm. Five injections resulted in dye extending proximally and medially into the epidural space. Volume had no appreciable effect on the extent of nerve staining. A greater proportion of epidural diffusion was found with injections done within less than one cm distally to the articular processes. All injections were considered to be selective for the targeted nerve. Conclusion and clinical relevance: Ultrasonography-guided perineural injection of C7 and C8 ramus ventralis is a feasible technique that may have multiple applications in multimodal analgesia in horses. Further clinical study will be necessary to determine the appropriate drug, dosage, and volume to inject and to confirm its usefulness.
Collapse
Affiliation(s)
- Gwenola Touzot-Jourde
- INSERM, UMR 1229, Regenerative Medecine and Skeleton, University of Nantes, ONIRIS, Department of Veterinary Clinical Sciences, Nantes, France
| | - Olivier Geffroy
- INSERM, UMR 1229, Regenerative Medecine and Skeleton, University of Nantes, ONIRIS, Department of Veterinary Clinical Sciences, Nantes, France
| | - Amélie Tallaj
- INRA/ENVA, UMR 957, Biomechanics and Equine Locomotor Pathology Research Unit, Centre for Imaging and Research in Equine Locomotor Disorders (CIRALE), National Veterinary School of Alfort, Maisons-Alfort, France
| | - Olivier Gauthier
- INSERM, UMR 1229, Regenerative Medecine and Skeleton, University of Nantes, ONIRIS, Department of Veterinary Clinical Sciences, Nantes, France
| | - Jean-Marie Denoix
- INRA/ENVA, UMR 957, Biomechanics and Equine Locomotor Pathology Research Unit, Centre for Imaging and Research in Equine Locomotor Disorders (CIRALE), National Veterinary School of Alfort, Maisons-Alfort, France
| |
Collapse
|
14
|
Elliott RC, Boucher C. Radicular compression of the nerve root in the intervertebral foramen by an intervertebral cervical disc extrusion of a dachshund. VETERINARY RECORD CASE REPORTS 2018. [DOI: 10.1136/vetreccr-2018-000646] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
| | - Charles Boucher
- University of PretoriaCompanion Animal Clinical StudiesPretoriaSouth Africa
| |
Collapse
|