27 results on '"Evelyn Hall"'
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2. Early postoperative results of Descemet’s stripping endothelial keratoplasty in six dogs with corneal endothelial dystrophy
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Jeffrey S. Smith, Cameron J. G. Whittaker, Evelyn Hall, Sara M Thomasy, Gregory Moloney, Kelly A. Caruso, Gladys Boo, and Rajnesh Devasahayam
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Male ,medicine.medical_specialty ,genetic structures ,Endothelium ,040301 veterinary sciences ,Visual Acuity ,Ocular hypertension ,Fibrin ,0403 veterinary science ,03 medical and health sciences ,Dogs ,Postoperative Complications ,0302 clinical medicine ,Corneal endothelial dystrophy ,Ophthalmology ,Cornea ,medicine ,Postoperative results ,Animals ,Dog Diseases ,Postoperative Period ,Descemet's stripping endothelial keratoplasty ,Intraoperative Complications ,Surgical treatment ,Corneal Dystrophies, Hereditary ,General Veterinary ,biology ,business.industry ,04 agricultural and veterinary sciences ,medicine.disease ,eye diseases ,Treatment Outcome ,medicine.anatomical_structure ,030221 ophthalmology & optometry ,biology.protein ,Female ,sense organs ,business ,Descemet Stripping Endothelial Keratoplasty - Abstract
Objective To describe and assess the clinical outcome and intraoperative and postoperative complications of Descemet's stripping endothelial keratoplasty (DSEK) in the treatment of canine corneal endothelial dystrophy. Animals studied Six dogs (six eyes) diagnosed with progressive corneal edema resulting from abnormal dystrophic endothelial cells underwent Descemet's stripping endothelial keratoplasty. Procedures Six patients underwent Descemet's stripping endothelial keratoplasty (DSEK). The patients were examined preoperatively and postoperatively at 24 hours, 7 days, 1, 2, and 3 months after surgery. Corneal edema and ultrasonic pachymetry were evaluated preoperatively and postoperatively. The positions of DSEK grafts were evaluated 3 months after surgery using optical coherence tomography. Intraoperative and postoperative complications were noted. Results The degree of corneal edema and corneal thickness improved postoperatively in all the patients (n = 6). Fibrin was encountered intraoperatively in one out of the six eyes (1/6) and postoperatively in two out of the six eyes (2/6). One out of the six DSEK grafts was partially scrolled (1/6). Secondary ocular hypertension was observed in one out of the six eyes (1/6). Corneal vascularization was encountered in four out of six patients (4/6). Conclusions Descemet's stripping endothelial keratoplasty is an effective surgical treatment option for corneal endothelial dystrophy in dogs. Corneal edema resolved and corneal thickness reduced significantly. The early postoperative results are encouraging. Further investigation is warranted to document any long-term complications and to study the longevity of the transplanted grafts.
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- 2019
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3. Developing an Advanced Alternative Payment Model for Stress Urinary Incontinence
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Jill Rathbun, Evelyn Hall, Daniel H Biller, Jonathan P. Shepherd, Mikio A. Nihira, Tanaz R Ferzandi, Eric A. Hurtado, Jerry L. Lowder, Matthew A. Barker, Haley Gardiner, Simon Patton, and Adam S Holzberg
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Urology ,media_common.quotation_subject ,Urinary Incontinence, Stress ,Control (management) ,030232 urology & nephrology ,MEDLINE ,Urinary incontinence ,Medicare ,Reimbursement Mechanisms ,03 medical and health sciences ,0302 clinical medicine ,Health care ,medicine ,Health insurance ,Humans ,Operations management ,health care economics and organizations ,media_common ,030219 obstetrics & reproductive medicine ,business.industry ,Obstetrics and Gynecology ,Payment ,United States ,Models, Economic ,Surgery ,Female ,medicine.symptom ,business ,Sustainable growth rate ,Medicaid - Abstract
Historically, our health care system has been based on a fee-for-service model, which has resulted in high-cost and fragmented care. The Center for Medicare & Medicaid Services is moving toward a paradigm in which health care providers are incentivized to provide cost-effective, coordinated, value-based care in an effort to control costs and ensure high-quality care for all patients. In 2015, the Medicare Access and Children's Health Insurance Program Reauthorization Act repealed the Sustainable Growth Rate and the fee-for-service model, replacing them with a 2-track system: Merit-based Incentive Payment System and the advanced Alternative Payment Model (aAPM) system. In 2016, the American Urogynecologic Society Payment Reform Committee was created and tasked with developing aAPMs for pelvic floor disorders. The purpose of this article is to describe the stress urinary incontinence aAPM framework, the data selected and associated data plan, and some of the challenges considered and encountered during the aAPM development.
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- 2020
4. Cystoscopy at the time of incontinence and prolapse surgery
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Evelyn Hall, Lauren E. Stewart, and Cassandra L. Carberry
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medicine.medical_specialty ,Urinary system ,Lower risk ,Pelvic Organ Prolapse ,03 medical and health sciences ,Gynecologic Surgical Procedures ,0302 clinical medicine ,medicine ,Urinary tract injury ,Humans ,030212 general & internal medicine ,Intraoperative Complications ,Surgical repair ,Pelvic organ ,Intraoperative Care ,030219 obstetrics & reproductive medicine ,medicine.diagnostic_test ,business.industry ,General surgery ,Prolapse surgery ,Obstetrics and Gynecology ,Cystoscopy ,Urinary Incontinence ,Urologic Surgical Procedures ,Female ,Complication ,business - Abstract
PURPOSE OF REVIEW This article provides an update on the use of cystoscopy at the time of prolapse and incontinence surgery. RECENT FINDINGS Iatrogenic lower urinary tract injury is a known complication of antiincontinence procedures and surgical repair of pelvic organ prolapse. Intraoperative cystoscopy improves detection of lower urinary tract injuries in women undergoing pelvic floor surgery. The pelvic surgeon has a number of agents available to aid in the cystoscopic visualization of ureteral efflux. When injuries of the urinary tract are identified and treated intraoperatively, there is decreased morbidity, lower healthcare costs, and a lower risk of litigation than when detection is delayed. Therefore, many organizations, including the American College of Obstetricians and Gynecologists (ACOG), the American Urogynecologic Society (AUGS), and the American Urological Association (AUA) recommend cystoscopy at the time of pelvic floor surgery. SUMMARY Cystoscopy should be universally employed at the time of prolapse and incontinence surgery, except in instances of isolated repair of the posterior compartment.
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- 2018
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5. Pelvic floor disorders in women with gynecologic malignancy
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Evelyn Hall, Katina Robison, and Kyle Wohlrab
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medicine.medical_specialty ,Genital Neoplasms, Female ,MEDLINE ,Pelvic Floor Disorders ,03 medical and health sciences ,Gynecologic Surgical Procedures ,Postoperative Complications ,0302 clinical medicine ,Intersection ,Risk Factors ,Prevalence ,medicine ,Humans ,030219 obstetrics & reproductive medicine ,business.industry ,General surgery ,Obstetrics and Gynecology ,Cancer ,medicine.disease ,body regions ,Gynecologic malignancy ,030220 oncology & carcinogenesis ,Genital neoplasm ,Urologic Surgical Procedures ,Female ,business - Abstract
This article serves as an update on issues relating to the intersection of pelvic floor disorders and gynecology oncology.Gynecologic cancer survivors experience pelvic floor disorders (PFDs) at a higher rate than their age-matched peers, often because of shared risk factors and as sequelae of cancer treatment. Concomitant pelvic floor and oncologic surgery can serve as a method to promote quality of life. Studies have demonstrated concomitant surgery to be well tolerated in appropriately selected patients, but only about 2% of oncologic surgeries are coordinated to include the treatment of PFDs. Conversely, women undergoing surgery for PFD have a low, but real risk of occult malignancy. Therefore, preoperative counseling is warranted in select populations. This article will discuss the management of concurrent PFDs and gynecologic malignancies.Healthcare providers should be familiar with screening, management and referral of women with pelvic floor disorders in the gynecologic oncology population.
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- 2018
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6. Why did severe feather pecking and cannibalism outbreaks occur? An unintended case study while investigating the effects of forage and stress on pullets during rearing
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Evelyn Hall, Paul H Hemsworth, David N. Phalen, Greg M. Cronin, R.L. Hopcroft, and Peter J. Groves
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Litter (animal) ,040301 veterinary sciences ,Pecking order ,Foraging ,Forage ,Biology ,0403 veterinary science ,Animal science ,Fodder ,Stress, Physiological ,Animals ,Cannibalism ,Feather pecking ,Australia ,0402 animal and dairy science ,Outbreak ,Feeding Behavior ,04 agricultural and veterinary sciences ,General Medicine ,Feathers ,Housing, Animal ,040201 dairy & animal science ,Aggression ,Female ,Animal Science and Zoology ,Flock ,Chickens - Abstract
This 2 × 2 factorial experiment aimed to investigate the effects of stimulating foraging behavior from wk 6 and imposed stress at wk 16 on the development of severe feather pecking (SFP) in chickens reared for free-range egg production. Non-beak-trimmed ISA Brown chicks were purchased at one day old and floor-reared on wood shavings. From wk 6, straw was provided daily in dispensers (Forage vs. No forage) to stimulate foraging. At wk 15, there were 16 pens of 50 pullets. "Stressors" were applied to half the pens in wk 16 via combined transport, relocation, and mixing (TRM) of pullets, simulating activities around transfer from the rearing to egg-laying farm (TRM vs. Not TRM). Range access was permitted from wk 21. Behavior, plumage damage (PD), growth, egg production, feed use, injuries, and mortalities were recorded, along with litter moisture and pH. In wk 26, an SFP outbreak commenced. By wk 34, PD was worse in south- than north-aspect pens (P < 0.001). Further, PD was more affected by side of the shed than the experimental treatments. In wk 30, an outbreak of injurious pecking (IP) commenced in the 4 TRM-treatment pens on the south side, with IP deaths almost 3 times more common in the Forage+TRM than No forage+TRM treatment. We suggest factors associated with a 13-day rainfall event that occurred in late winter predisposed the flock to SFP. While multiple factors such as winter cold, muddy ranges, damp floor litter with elevated pH, among others coincided, hens were clearly more impacted in south- than north-aspect pens. Once initiated, SFP possibly spread via social learning, and by wk 40, ∼98% of hens had PD. Interestingly, the IP outbreak was related to a combination of factors (stressors?), such as being housed in colder, damper south-aspect pens (note: southern hemisphere), having added Forage, and TRM. These unexpected relationships could help direct future research to identify the specific factors involved in the causation of SFP and IP/cannibalism outbreaks.
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- 2018
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7. Topical vapocoolant spray reduces nociceptive response to ear notching in neonatal piglets
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Peter White, Lauren Oehlers, Sabrina Lomax, and Evelyn Hall
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Male ,Swine ,040301 veterinary sciences ,Positive control ,Body Temperature ,law.invention ,0403 veterinary science ,Randomized controlled trial ,law ,Animals ,Pain Management ,Medicine ,0501 psychology and cognitive sciences ,050102 behavioral science & comparative psychology ,Anesthetics, Local ,Ear, External ,Ear notching ,Aerosols ,Tissue temperature ,General Veterinary ,business.industry ,05 social sciences ,Lidocaine ,Large white ,04 agricultural and veterinary sciences ,Nociception ,Animals, Newborn ,Anesthesia ,Vocal response ,Female ,Cryoanaesthesia ,business ,Anesthesia, Local - Abstract
To evaluate the efficacy of a vapocoolant spray (VS) to provide local anaesthesia for piglets during ear notching.Randomized study.Eleven 10 day old and forty 3-5 day old Large White piglets.Temperature validation studies using thermocouples and a temperature data logger were conducted on dead and live tissue to determine optimal spray distance and duration to reduce tissue temperature to below 10 °C. A behavioural trial was conducted to assess efficacy for ear notching. Piglets were randomly assigned to one of four treatment groups: positive control (POS; n = 10), VS (n = 10), lignocaine (LIG; n = 10) and negative control (NEG; n = 10). Spray was administered to the margin of each ear, from a distance of 10 cm, and for a duration of 2 seconds immediately prior to ear notching. Behavioural observation was used to assess movement and vocal response, with responses categorized as no response (0) and response (1).Temperature and tissue validation studies indicated that a 2 second spray from 10 cm reduced tissue temperature to below 10 °C, and reduced response to stimulation of the skin with an 18 gauge needle (p0.001). There was a significant effect of treatment on response to ear notching (p0.001). The probability of a piglet to respond to ear notching was 98.7% for NEG piglets, compared with those treated with VS (5.3%), LIG (1.1%) and sham-notched piglets (0.9%).This study contributes new data on the pain of ear notching in piglets. The application of a topical VS prior to ear notching reduced the antinociceptive response of piglets to the procedure, similar to that of a local anaesthetic. Cryoanaesthesia presents a simple and effective option for reducing the pain response to this simple husbandry procedure.
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- 2018
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8. Effects of ovarian structures identified at Ovsynch™ enrolment, disease history and lactation variables on odds of pregnancy to a fixed-time artificial insemination after Ovsynch™
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John K. House, Evelyn Hall, S Ranjbar Ni, and L Ingenhoff
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medicine.medical_specialty ,Pregnancy Rate ,040301 veterinary sciences ,Lameness, Animal ,medicine.medical_treatment ,Ice calving ,Luteal phase ,Insemination ,Gonadotropin-Releasing Hormone ,0403 veterinary science ,Ovarian Follicle ,Ovulation Induction ,Corpus Luteum ,Pregnancy ,Follicular phase ,Animals ,Lactation ,Medicine ,Mastitis, Bovine ,Insemination, Artificial ,Progesterone ,Dairy cattle ,Ultrasonography ,Estrous cycle ,Gynecology ,General Veterinary ,business.industry ,Obstetrics ,Artificial insemination ,0402 animal and dairy science ,04 agricultural and veterinary sciences ,General Medicine ,medicine.disease ,040201 dairy & animal science ,Cattle ,Female ,Estrus Synchronization ,business - Abstract
Objective To determine the effects of ovarian structures present at Ovsynch (TM) enrolment, disease history, lactation variables and times bred on pregnancy per fixed-time artificial insemination (FTAI) following fixed-time insemination after Ovsynch and to determine the relationship between the size of ovarian follicular structures and concurrent presence of a corpus luteum (CL).Methods The study was conducted in a 3000-cow Holstein dairy herd. Over a 6-month period, 886 non-pregnant cows were examined by transrectal ultrasound and enrolled into 1132 Ovsynch events. Enrolled cows were synchronised using an Ovsynch-56 protocol. At enrolment, both ovaries were scanned by transrectal ultrasound to identify and record the presence and size of ovarian structures. Cows that did not return to oestrus were pregnancy tested 32-38 days post-insemination. Univariable and multivariable generalised linear mixed models (GLMMs) were used to determine the effect of each variable on pregnancy per FTAI. A univariable GLMM was also used to analyse the relationship between size of the dominant follicular structure and concurrent presence of a CL.Results CL size (P = 0.039) and presence of a luteal cyst (P = 0.002) at Ovsynch enrolment significantly increased the odds of pregnancy. Occurrence of lameness (P = 0.035) or mastitis (P = 0.008) between calving and enrolment significantly decreased the odds of pregnancy. Neither the presence nor size of a follicular structure significantly affected the odds of pregnancy, although cows with larger follicular structures were less likely to have a concurrent CL (P < 0.001).Conclusion Presence of luteal tissue at Ovsynch enrolment and recent disease events affected pregnancy per FTAI in cows inseminated after Ovsynch.
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- 2017
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9. Variability in gynecologic case volume of obstetrician-gynecologist residents graduating from 2009 to 2017
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Evelyn Hall, Brittany Star Hampton, and Christina Raker
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medicine.medical_specialty ,medicine.medical_treatment ,education ,Graduate medical education ,Hysteroscopy ,Workload ,Hysterectomy ,Obstetrician gynecologist ,Accreditation ,03 medical and health sciences ,0302 clinical medicine ,Gynecologic Surgical Procedures ,medicine ,Humans ,Minimally Invasive Surgical Procedures ,030212 general & internal medicine ,030219 obstetrics & reproductive medicine ,Case volume ,business.industry ,Obstetrics and Gynecology ,Internship and Residency ,Surgical procedures ,Surgical training ,Obstetrics ,Education, Medical, Graduate ,Gynecology ,Family medicine ,Female ,Laparoscopy ,Clinical Competence ,business ,Residency training - Abstract
Residency training in obstetrics-gynecology has changed significantly over time, with residents expected to master an increasing number of surgical procedures. Residency operative case logs are tracked by the Accreditation Council for Graduate Medical Education, which sets case minimums for all procedures. In 2018, the Accreditation Council for Graduate Medical Education created a combined minimally invasive hysterectomy category and now requires graduating residents to complete a minimum of 70 minimally invasive hysterectomies.The objectiges of the study were to evaluate the range of operative gynecological experience across graduating obstetrician-gynecologist residents in the United States and to estimate the number of residents able to meet new Accreditation Council for Graduate Medical Education minimum hysterectomy cases.Accreditation Council for Graduate Medical Education surgical case logs of graduating obstetrician-gynecologist residents from 2009 to 2017 were analyzed for case volume trends.The average total number of gynecological cases per resident decreased from 438.2 to 431.5 (P.0001). Minimally invasive hysterectomy averages increased from 43.6 to 69.3 (P.0001), a trend driven principally by an increase in total laparoscopic hysterectomies. Mean case log decreases were noted in invasive cancer (70.7 to 54.3), incontinence and pelvic floor (85.6 to 56.7), and total abdominal hysterectomies (74.4 to 42.9); (P.0001 for all). Mean increases were seen in total laparoscopic (118.8 to 146.3) and operative hysteroscopy (68.6 to 77.1) cases (P.0001 for all). The ratio of the 90th percentile to the 10th percentile of resident case logs showed substantial variation in surgical volume for all procedures, although this ratio decreased over time. Graduates who logged 70 minimally invasive hysterectomy cases were estimated to fall at the 51st percentile in 2017; this was down from the 91st percentile in 2009.Nationwide, graduates of obstetrician-gynecologist residency experience significant variability in their surgical training. Based on our extrapolation of Accreditation Council for Graduate Medical Education data, approximately half of residency graduates fell below the 70 case minimally invasive hysterectomy minimum in 2017. Meeting the new Accreditation Council for Graduate Medical Education hysterectomy minimums may be challenging for a significant proportion of residency programs. Understanding the scope and variability of gynecology training is needed to continue to improve and address gaps in resident education.
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- 2019
10. Survey of horse transportation in Australia: issues and practices
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Pietro Celi, Peter Knight, Barbara Padalino, Evelyn Hall, Sharanne Raidal, G. Muscatello, Leo B. Jeffcott, Padalino B., Raidal S.L., Hall E., Knight P., Celi P., Jeffcott L., and Muscatello G.
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Adult ,Diarrhea ,medicine.medical_specialty ,Colic ,040301 veterinary sciences ,media_common.quotation_subject ,Heat Stress Disorders ,Health outcomes ,animal welfare ,0403 veterinary science ,Road transport ,Health problems ,Pregnancy ,Surveys and Questionnaires ,Animal welfare ,Animals ,Humans ,Medicine ,0501 psychology and cognitive sciences ,Horses ,050102 behavioral science & comparative psychology ,Animal Husbandry ,Management practices ,Aged ,media_common ,transportation ,Behavior, Animal ,General Veterinary ,business.industry ,Incidence (epidemiology) ,05 social sciences ,Australia ,Pneumonia ,04 agricultural and veterinary sciences ,General Medicine ,Middle Aged ,horse ,Family medicine ,Physical therapy ,Wounds and Injuries ,Veterinary (all) ,Female ,Horse Diseases ,business ,Amateur ,Welfare - Abstract
Objective To survey amateur and professional participants on equine transportation management, practices and outcomes in Australia. Methods An online survey targeting people who organised horse movements at least monthly was made available to a broad cross-section of amateur and professional equine associations. Respondents were invited to provide demographic details and information relating to their routine transportation management practices and their experiences of issues relating to the transportation of horses. Results Of 797 usable responses involving approximately 17,000 horses and 313,000 individual horse transport events, transport-related behavioural problems were reported by 38% of respondents, particularly at loading. Transport-related health problems had been experienced during or after transportation by horses in the care of 67% of respondents. The most common problems reported were traumatic injuries (45.0%), diarrhoea (20.0%), muscular problems (13.0%), respiratory problems (12.3%), overheating (10.5%) and colic (10.3%). In the 2 years reviewed in the survey, 9.4% of participants reported at least one case of transport-associated pneumonia and 35 horses had died, most commonly from fractures, colic or pneumonia. Although respondents identifying as amateurs transported horses less frequently and over shorter distances, the incidence of transport-related problems was similar between amateurs and professionals. Respondents reported specific precautions before, during and after transportation, although management was often not compliant with the Australian Code of horse transportation. Conclusions Responses indicated that there remains a substantial risk of adverse welfare and health outcomes for horses transported in Australia and management practices reported may not be compliant with current recommendations for transportation.
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- 2016
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11. Diagnosing feline immunodeficiency virus (FIV) infection in FIV-vaccinated and FIV-unvaccinated cats using saliva
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Evelyn Hall, Richard Malik, Jacqueline M. Norris, and Mark E. Westman
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Male ,0301 basic medicine ,Feline immunodeficiency virus ,Saliva ,040301 veterinary sciences ,Point-of-Care Systems ,animal diseases ,viruses ,Immunology ,Population ,Enzyme-Linked Immunosorbent Assay ,Immunodeficiency Virus, Feline ,Biology ,Antibodies, Viral ,Real-Time Polymerase Chain Reaction ,Polymerase Chain Reaction ,Sensitivity and Specificity ,Microbiology ,Serology ,0403 veterinary science ,03 medical and health sciences ,Saliva testing ,Feline Acquired Immunodeficiency Syndrome ,Animals ,Immunology and Allergy ,education ,education.field_of_study ,General Veterinary ,virus diseases ,Viral Vaccines ,04 agricultural and veterinary sciences ,General Medicine ,biochemical phenomena, metabolism, and nutrition ,biology.organism_classification ,Virology ,Vaccination ,030104 developmental biology ,Infectious Diseases ,Cats ,biology.protein ,Female ,Reagent Kits, Diagnostic ,Antibody - Abstract
We recently showed that two immunochromatography point-of-care FIV antibody test kits (Witness FeLV/FIV and Anigen Rapid FIV/FeLV) were able to correctly assign FIV infection status, irrespective of FIV vaccination history, using whole blood as the diagnostic specimen. A third FIV antibody test kit, SNAP FIV/FeLV Combo (an enzyme-linked immunosorbent assay [ELISA]), was unable to differentiate antibodies produced in response to FIV vaccination from those incited by FIV infection. The aim of this study was to determine if saliva is a suitable diagnostic specimen using the same well characterized feline cohort. FIV infection status of these cats had been determined previously using a combination of serology, polymerase chain reaction (PCR) testing and virus isolation. This final assignment was then compared to results obtained using saliva as the diagnostic specimen utilizing the same three point-of-care FIV antibody test kits and commercially available PCR assay (FIV RealPCR). In a population of cats where one third (117/356; 33%) were FIV-vaccinated, both immunochromatography test kits accurately diagnosed FIV infection using saliva via a centrifugation method, irrespective of FIV vaccination history. For FIV diagnosis using saliva, the specificity of Anigen Rapid FIV/FeLV and Witness FeLV/FIV was 100%, while the sensitivity of these kits was 96% and 92% respectively. SNAP FIV/FeLV Combo respectively. SNAP FIV/FeLV Combo had a specificity of 98% and sensitivity of 44%, while FIV RealPCR testing had a specificity of 100% and sensitivity of 72% using saliva. A revised direct method of saliva testing was trialed on a subset of FIV-infected cats (n=14), resulting in 14, 7 and 0 FIV positive results using Anigen Rapid FIV/FeLV, Witness FeLV/FIV and SNAP FIV/FeLV Combo, respectively. These results demonstrate that saliva can be used to diagnose FIV infection, irrespective of FIV vaccination history, using either a centrifugation method (Anigen Rapid FIV/FeLV and Witness FeLV/FIV) or a direct method (Anigen Rapid FIV/FeLV). Collection of a saliva specimen therefore provides an acceptable alternative to venipuncture (i) in fractious cats where saliva may be easier to obtain than whole blood, (ii) in settings when a veterinarian or trained technician is unavailable to collect blood and (iii) in shelters where FIV testing is undertaken prior to adoption but additional blood testing is not required.
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- 2016
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12. The Promise of PROMIS in Pelvic Organ Prolapse
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James W. Griffith, A. Alverdy, Margaret G. Mueller, Katarzyna Bochenska, Christina Lewicky-Gaupp, Evelyn Hall, and Kimberly Kenton
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Adult ,Patient-Reported Outcomes Measurement Information System ,medicine.medical_specialty ,Urology ,030232 urology & nephrology ,Severity of Illness Index ,Pelvic Organ Prolapse ,03 medical and health sciences ,0302 clinical medicine ,Gynecologic Surgical Procedures ,Quality of life ,Severity of illness ,Medicine ,Health Status Indicators ,Humans ,Prospective Studies ,Prospective cohort study ,Aged ,Sleep disorder ,030219 obstetrics & reproductive medicine ,Pelvic floor ,business.industry ,Obstetrics and Gynecology ,Middle Aged ,medicine.disease ,Distress ,medicine.anatomical_structure ,Cross-Sectional Studies ,Cohort ,Preoperative Period ,Physical therapy ,Quality of Life ,Surgery ,Female ,business - Abstract
Objectives The aims of the study were to determine the relationship between pelvic organ prolapse (POP) and health-related quality of life dimensions and to evaluate the utility of the PROMIS Profile in women undergoing surgical treatment for POP. Methods We performed a planned ancillary analysis of 103 women recruited between January 2014 and December 2015 to the Restricted Convalescence Outcomes following Urogynecologic Procedures study. All participants underwent surgery for POP and completed the Pelvic Floor Distress Inventory (PFDI-20), Pelvic Floor Impact Questionnaire (PFIQ-7), Patient Global Impression of Severity Scale, and the 57-item Patient Reported Outcomes Measurement Information System (PROMIS-57) questionnaire, preoperatively and at 3 months postoperatively. Data were analyzed using Pearson and Spearman correlations. Results Preoperative PFDI-20 and PFIQ-7 scores were significantly correlated with all PROMIS domains including physical function, anxiety, depression, fatigue, sleep disturbance, satisfaction with participation in social roles, pain interference, and higher pain intensity. Worse self-reported condition assessments on the Patient Global Impression of Severity were significantly correlated with worse physical function, more pain interference, and higher pain intensity on the PROMIS Profile at baseline. Postoperatively, PFDI-20, PFIQ-7, and all PROMIS Profile domain scores improved significantly (P ≤ 0.05). Correlations between PDFI-20, PFIQ-7, and PROMIS domains persisted at 3 months. Conclusions In a cohort of women undergoing surgery for POP, pelvic floor symptom severity is associated with health-related quality of life domains measured by the PROMIS-57.
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- 2018
13. Cobalt accumulation in horses following repeated administration of cobalt chloride
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Evelyn Hall, KF Hesp, Ross Wenzel, Philip Doble, and Derek Major
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inorganic chemicals ,Creatinine ,General Veterinary ,Red Cell ,Urinary system ,chemistry.chemical_element ,Horse ,General Medicine ,Urine ,Cobalt ,Excretion ,chemistry.chemical_compound ,Plasma ,Animal science ,chemistry ,Blood plasma ,Animals ,Female ,Horses ,New South Wales ,Sports - Abstract
Objective To monitor cobalt concentrations in urine, red blood cells and plasma after chronic parenteral administration of cobalt chloride evaluate these results against the current International Federation of Horseracing Authorities thresholds for detecting cobalt misuse. Design Eight mares were randomly assigned to four treatment groups, with two mares in each group: Group 1 - control group, Group 2 - 25 milligrams cobalt intravenously as CoCl2 weekly, Group 3 - 50 milligrams cobalt intravenously as CoCl2 weekly, and Group 4 - 25 milligrams cobalt intravenously mid-week and at the end of the week. Urine and blood samples were collected before each weekly administration so that trough levels were assessed. In the group receiving two doses per week, urine and blood were collected prior to the dose given at the end of each week. Samples were initially collected at time zero then weekly for 10 weeks. Three further collections of urine and blood were made at days 81, 106 and 127. Methods Urine creatinine measurements to assess horse hydration status were performed by the Jaffe reaction method. Cobalt determinations in plasma, blood and urine were by inductively coupled plasma-mass spectrometry. Haematocrit concentrations, used to calculate red cell cobalt levels, were performed using a microhematocrit centrifuge. Statistical analyses were conducted in Genstat (v17, VSNi). Results Marked cobalt accumulation was evident with increasing cobalt concentrations for all sample matrices in specimens collected immediately prior to cobalt administration. Correlation between the sample matrices improved when urine cobalt concentration was adjusted for creatinine level. Red cell cobalt levels remained elevated for at least 12 weeks after cessation of administration, consistent with the lifespan of the red cell. There was no significant change in haematocrit concentrations for the duration of the study. Conclusion The current urine cobalt threshold was only effective at detecting acute cobalt exposure while the plasma cobalt threshold was able to consistently identify chronic high-level cobalt exposure and potential cobalt misuse. The threshold values legislated for urine cobalt do not correlate with those set for plasma. The acute nature of urinary cobalt excretion provides a relatively small window through which cobalt administration is detected. Plasma and red cell cobalt concentrations can provide a clearer picture of potential cobalt misuse.
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- 2018
14. Comparison of the effect of oxygen supplementation using flow-by or a face mask on the partial pressure of arterial oxygen in sedated dogs
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Andrew J. Dart, Evelyn Hall, A M Wong, E Uquillas, and CM Dart
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Male ,Narcotics ,040301 veterinary sciences ,Partial Pressure ,Arterial oxygen ,0403 veterinary science ,Random Allocation ,Dogs ,Animals ,Hypnotics and Sedatives ,Blood gas analysis ,Likelihood Functions ,Oxygen supplementation ,General Veterinary ,Chemistry ,0402 animal and dairy science ,Masks ,Oxygen Inhalation Therapy ,04 agricultural and veterinary sciences ,General Medicine ,Partial pressure ,Arteries ,Medetomidine ,040201 dairy & animal science ,Oxygen ,Anesthesia ,Female ,Blood Gas Analysis ,New South Wales ,Methadone - Abstract
AIMSTo compare the effect of oxygen supplementation using flow-by or a face mask on the partial pressure of arterial oxygen (PaO2) in sedated dogs.METHODSTwenty healthy dogs weighing >15 kg, of mix...
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- 2018
15. Effect of body position and time on quantitative computed tomographic measurements of lung volume and attenuation in healthy anesthetized cats
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Timothy Foo, Joanna L. Pilton, Fernando Martinez-Taboada, Evelyn Hall, and Mariano Makara
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Thorax ,Male ,Pulmonary Atelectasis ,Time Factors ,Posture ,Atelectasis ,Hounsfield scale ,Recumbent Position ,medicine ,Tidal Volume ,Animals ,Lung volumes ,Anesthesia ,Lung ,Tidal volume ,CATS ,General Veterinary ,business.industry ,General Medicine ,respiratory system ,medicine.disease ,respiratory tract diseases ,medicine.anatomical_structure ,Cats ,Female ,Nuclear medicine ,business ,Lung Volume Measurements ,Tomography, X-Ray Computed - Abstract
OBJECTIVE To quantify the effect of time and recumbency on CT measurements of lung volume and attenuation in healthy cats under general anesthesia. ANIMALS 8 healthy research cats. PROCEDURES Anesthetized cats were positioned in sternal recumbency for 20 minutes and then in left, right, and left lateral recumbency (40 minutes/position). Expiratory helical CT scan of the thorax was performed at 0 and 20 minutes in sternal recumbency and at 0, 5, 10, 20, 30, and 40 minutes in each lateral recumbent position. For each lung, CT measurements of lung volume and attenuation and the extent of lung areas that were hyperaerated (−1,000 to −901 Hounsfield units [HU]), normoaerated (−900 to −501 HU), poorly aerated (−500 to −101 HU), or nonaerated (−100 to +100 HU [indicative of atelectasis]) were determined with a semiautomatic threshold-based technique. A restricted maximum likelihood analysis was performed. RESULTS In lateral recumbency, the dependent lung had significantly greater attenuation and a lower volume than the nondependent lung. Within the dependent lung, there was a significantly higher percentage of poorly aerated lung tissue, compared with that in the nondependent lung. These changes were detected immediately after positioning the cats in lateral recumbency and remained static with no further significant time-related change. CONCLUSIONS AND CLINICAL RELEVANCE Results indicated that once anesthetized healthy cats were positioned in lateral recumbency, the dependent lung lobes underwent a rapid reduction in lung volume and increase in lung attenuation that did not progress over time, predominantly attributable to an increase in poorly aerated lung tissue.
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- 2018
16. Evaluation of different methods of securing cellophane bands for portosystemic shunt attenuation
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Michelle Robyn, Joffe, Evelyn, Hall, Christopher, Tan, and Laurencie, Brunel
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Male ,Portal System ,Dogs ,Cellophane ,Cadaver ,Animals ,Female ,Surgery, Veterinary ,Ligation - Abstract
To compare mechanisms of and pressures at failure of 4 methods of securing 2 types of cellophane bands around a vein.Ex vivo mechanical evaluation.Cellophane bands composed of 3 or 4 layers were applied around a cadaveric external jugular vein (EJV) to create 25% or 50% attenuation. These bands were secured with a medium or medium-large polymer locking ligation clip (PLLC), or a medium or medium-large titanium ligation clip (TLC). Sterile saline 0.9% was instilled into the lumen of the EJV until a pressure of 100 mm Hg was reached. Failure mechanism and luminal pressure at failure were compared between groups.Medium clips failed less often than medium-large clips (P .001) and consistently sustained 100 mm Hg without failing. Three-layer cellophane bands were 4.1 times more likely to fail than 4-layer bands (P = .003, CI 1.6-10.2) and failed at lower pressures (28.32 ± 3.59 mm Hg and 44.81 ± 6.51 mm Hg, respectively, P = .027). Failure rates of the cellophane band constructs did not differ whether secured with PLLC or with TLC (P = .635) or with 25% vs 50% attenuation (P = .780).A single medium clip withstood physiological forces and secured a cellophane band at up to 50% attenuation. A 3-layer cellophane band was more likely to fail compared with a 4-layer cellophane band.These ex vivo results provide evidence to support the application of a 4-layer cellophane band secured with a single medium PLLC or TLC for portosystemic shunt attenuation. A single medium PLLC should be used to eliminate computed tomography artifacts during postoperative evaluation of shunt closure.
- Published
- 2018
17. Development of a vision impairment score for the assessment of functional vision in dogs: Initial evidence of validity, reliability, and responsiveness
- Author
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Jacky Reid, Kelly A. Caruso, Kathleen L. Graham, Andrew White, Christina McCowan, Cameron J. G. Whittaker, and Evelyn Hall
- Subjects
Male ,medicine.medical_specialty ,Activities of daily living ,genetic structures ,040301 veterinary sciences ,Intraclass correlation ,Vision Disorders ,0403 veterinary science ,03 medical and health sciences ,0302 clinical medicine ,Physical medicine and rehabilitation ,Dogs ,Quality of life ,Surveys and Questionnaires ,Content validity ,medicine ,Criterion validity ,Animals ,Humans ,Dog Diseases ,General Veterinary ,business.industry ,Ownership ,Construct validity ,Reproducibility of Results ,04 agricultural and veterinary sciences ,eye diseases ,Impaired Vision ,Peripheral vision ,030221 ophthalmology & optometry ,Female ,business - Abstract
To describe the development and initial validation of a questionnaire measuring functional vision in dogs.A 17-item survey was designed to quantify functional vision in dogs. The Vision Impairment Score (VIS) was determined by summing responses to each question. Questions were assigned to one of five subcategories: overall vision, daily activities, peripheral vision, near vision, and distance vision. Content validity was established during development phases, and construct validity via comparing results of known groups (blind vs sighted; normal vs impaired vision; surgery to improve vision vs nonrestorative surgery), and through factor analysis. Concurrent criterion validity was determined with use of a validated health-related quality-of-life (HRQL) assessment tool. Reliability and responsiveness assessments were investigated using intraclass correlation coefficient (ICC) and effect size (ES), respectively.Responses (221) from 201 dog owners were included. Compared to sighted dogs (n = 153), blind dogs (n = 48) had a higher VIS and greater impairment in all subcategories. Among sighted dogs, a higher VIS was obtained in dogs with low vision compared to those with normal vision (P 0.001). A higher VIS was associated with poorer HRQL (P 0.001). Perfect reliability was obtained for 6/17 questions, and excellent reliability for 11/17 questions (intraclass correlation 1.0 and0.9, respectively), and the VIS was highly responsive to therapeutic intervention (effect size 1.46).Results suggest the VIS may be clinically useful in assessing and obtaining a quantifiable measure of functional vision in dogs. Ongoing validation of the tool for clinical use is needed.
- Published
- 2018
18. Risk factors forEscherichia coliO157 shedding and super-shedding by dairy heifers at pasture
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K. J. Williams, Michael P. Ward, Om P. Dhungyel, and Evelyn Hall
- Subjects
Epidemiology ,Rain ,Prevalence ,Cattle Diseases ,Biology ,Escherichia coli O157 ,medicine.disease_cause ,Pasture ,Feces ,Animal science ,Faecal consistency ,Risk Factors ,medicine ,Animals ,Longitudinal Studies ,Escherichia coli ,Escherichia coli Infections ,Bacterial Shedding ,geography ,geography.geographical_feature_category ,Temperature ,Body Score ,Humidity ,Original Papers ,Infectious Diseases ,Multivariate Analysis ,Cattle ,Female - Abstract
SUMMARYWe undertook a longitudinal study within a cohort of 52 dairy heifers maintained under constant management systems and sampled weekly to investigate a comprehensive range of risk factors which may influence shedding or super-shedding ofE. coliO157 (detected by direct faecal culture and immunomagnetic separation).E. coliO157 was detected from 416/933 (44·6%) samples (faeces and recto-anal mucosal swabs) and 32 (3·4%) samples enumerated at >10000 c.f.u./g. Weekly point prevalence ranged from 9·4% to 94·3%. Higher temperature (P P = 0·02), relative humidity (P P = 0·013) and body score (P = 0·029) were positively associated with increased shedding. Higher rainfall (P P = 0·002) and increased faecal consistency (P = 0·023) were positively associated with super-shedding. Increased solar exposure had a negative effect on both shedding and super-shedding within bivariate analyses but in the final multivariate model for shedding demonstrated a positive effect (P = 0·017). Results suggest that environmental factors are important inE. coliO157 shedding in cattle.
- Published
- 2014
- Full Text
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19. The impact of gender and age on the nutritional parameters of alpaca (Vicugna pacos) meat, colour stability and fat traits
- Author
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Russell D. Bush, David L. Hopkins, Paul L. Greenwood, R. van de Ven, Evelyn Hall, and Melanie A. Smith
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Male ,Meat ,Longissimus Thoracis ,Color ,Biology ,Vicugna pacos ,Thiobarbituric Acid Reactive Substances ,Age and gender ,chemistry.chemical_compound ,0404 agricultural biotechnology ,Animal science ,Sex Factors ,Age groups ,Isocitrate dehydrogenase activity ,biology.domesticated_animal ,Food Quality ,Animals ,Muscle, Skeletal ,Glycogen ,Fatty Acids ,0402 animal and dairy science ,Age Factors ,food and beverages ,04 agricultural and veterinary sciences ,Anatomy ,Hydrogen-Ion Concentration ,040401 food science ,040201 dairy & animal science ,Dietary Fats ,Isocitrate Dehydrogenase ,chemistry ,Adipose Tissue ,Female ,Camelids, New World ,Food Analysis ,Food Science - Abstract
Meat quality parameters for 50 huacaya alpacas, representing three age groups (18, 24 and 36months) and two genders (females and castrated males) were studied. Prior to chilling, samples of m. longissimus thoracis et lumborum (LL) were taken to determine isocitrate dehydrogenase activity and glycogen concentration, and further meat quality samples were taken after 24h. Alpaca meat has low levels (1%) of intramuscular fat in the LL, m. semimembranosus and m. biceps femoris, but the level in the LL increases with animal age, with levels of desirable polyunsaturated fatty acids (PUFA) ranging from 96.3 to 136.4mg/100g. Lipid oxidisation post retail display ranged from 1.27 to 1.96MDA/kg meat. Colour stability testing indicated alpaca meat was relatively stable during retail display with day of display having no significant effect on lightness (L*), or the 630nm/580nm ratio. These results may relate to the high proportion (76%) of glycolytic and type IIX muscle fibres in LL.
- Published
- 2016
20. The protective rate of the feline immunodeficiency virus vaccine: An Australian field study
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Matthew Harris, Richard Malik, Mark E. Westman, Jacqueline M. Norris, and Evelyn Hall
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0301 basic medicine ,Male ,medicine.medical_specialty ,Feline immunodeficiency virus ,040301 veterinary sciences ,animal diseases ,viruses ,Feline immunodeficiency virus vaccine ,Prevalence ,0403 veterinary science ,03 medical and health sciences ,Internal medicine ,Feline Acquired Immunodeficiency Syndrome ,Medicine ,Animals ,HIV vaccine ,CATS ,General Veterinary ,General Immunology and Microbiology ,biology ,business.industry ,Vaccination ,Public Health, Environmental and Occupational Health ,Australia ,virus diseases ,Viral Vaccines ,04 agricultural and veterinary sciences ,biochemical phenomena, metabolism, and nutrition ,biology.organism_classification ,Virology ,030104 developmental biology ,Infectious Diseases ,biology.protein ,Cats ,Molecular Medicine ,Female ,FIV infection ,Antibody ,business - Abstract
A case-control field study was undertaken to determine the level of protection conferred to client-owned cats in Australia against feline immunodeficiency virus (FIV) using a commercial vaccine. 440 cats with outdoor access from five Australian states/territories underwent testing, comprising 139 potential cases (complete course of primary FIV vaccinations and annual boosters for three or more years), and 301 potential controls (age, sex and postcode matched FIV-unvaccinated cats). FIV status was determined using a combination of antibody testing (using point-of-care test kits) and nucleic acid amplification, as well as virus isolation in cases where results were discordant and in all suspected FIV-vaccinated/FIV-infected cats ('vaccine breakthroughs'). Stringent inclusion criteria were applied to both 'cases' and 'controls'; 89 FIV-vaccinated cats and 212 FIV-unvaccinated cats ultimately satisfied the inclusion criteria. Five vaccine breakthroughs (5/89; 6%), and 25 FIV-infected controls (25/212; 12%) were identified, giving a vaccine protective rate of 56% (95% CI -20 to 84). The difference in FIV prevalence rates between the two groups was not significant (P=0.14). Findings from this study raise doubt concerning the efficacy of Fel-O-Vax FIV® under field conditions. Screening for FIV infection may be prudent before annual FIV re-vaccination and for sick FIV-vaccinated cats. Owners should not rely on vaccination alone to protect cats against the risk of acquiring FIV infection; other measures such as cat curfews, the use of 'modular pet parks' or keeping cats exclusively indoors, are recommended.
- Published
- 2016
21. Sex identification in the eastern blue-tongued lizard (Tiliqua scincoides White, ex Shaw, 1790) using morphometrics
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CA Phillips, Rsp Johnson, JB Roffey, and Evelyn Hall
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0106 biological sciences ,Male ,Sex Determination Analysis ,040301 veterinary sciences ,Population ,Zoology ,010603 evolutionary biology ,01 natural sciences ,0403 veterinary science ,Reference Values ,biology.animal ,Animals ,Body Size ,education ,Morphometrics ,education.field_of_study ,Sex Characteristics ,General Veterinary ,biology ,Lizard ,Tiliqua scincoides ,Lizards ,04 agricultural and veterinary sciences ,General Medicine ,Anatomy ,Thorax ,Trunk ,Sexual dimorphism ,White (mutation) ,Female ,Snout ,Head - Abstract
Objective To establish a repeatable, well-tolerated, non-invasive technique for sex identification in eastern blue-tongued lizards (Tiliqua scincoides). Methods Measurements were obtained from 69 free living eastern blue-tongued lizards presented for treatment that were either deceased on arrival or subsequently euthanased on welfare grounds. Weight, head width (H), snout vent length (SVL) and trunk length (T) were recorded. Ratios for head width to snout vent length (H/SVL%) and head width to trunk length (H/T%) were calculated. Sex was identified at necropsy. Results Evidence of sexual dimorphism in this population was shown. However, the degree of difference was subtle, requiring the use of ratios in order to refine the technique. Ratios of H/SVL% and H/T% showed significant predictability with respect to sex identification in both adult and sub-adult lizards. Conclusion This study established a protocol for a repeatable, non-invasive technique for sex identification in the eastern blue-tongued lizard (Tiliqua scincoides) and provides a normal reference range.
- Published
- 2015
22. A retrospective analysis of the impact of an obstetrician on delivery and care outcomes at four district hospitals in Ghana
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K. A. Danso, Talya Peltzman, Justice Sevugu, Joseph Adomako, Frank W.J. Anderson, and Evelyn Hall
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medicine.medical_specialty ,Population ,Developing country ,Ghana ,Health Services Accessibility ,Health personnel ,Obstetrics and gynaecology ,Nursing ,Pregnancy ,Physicians ,Infant Mortality ,Retrospective analysis ,Medicine ,Childbirth ,Humans ,Maternal Health Services ,education ,Retrospective Studies ,education.field_of_study ,business.industry ,Infant, Newborn ,Pregnancy Outcome ,Obstetrics and Gynecology ,Infant ,Retrospective cohort study ,General Medicine ,Delivery, Obstetric ,Hospitals, District ,Infant mortality ,Obstetrics ,Maternal Mortality ,Family medicine ,Female ,Clinical Competence ,business - Published
- 2015
23. Evaluation of a cow-side milk progesterone assay and assessment of the positive predictive value of oestrus diagnosis by dairy farmers in New South Wales
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Evelyn Hall, L Ingenhoff, and John K. House
- Subjects
medicine.medical_specialty ,Routine testing ,040301 veterinary sciences ,Enzyme-Linked Immunosorbent Assay ,Luteal phase ,Sensitivity and Specificity ,0403 veterinary science ,Animal science ,Pregnancy ,Medicine ,Animals ,Dairy cattle ,Progesterone ,Estrous cycle ,Gynecology ,General Veterinary ,business.industry ,0402 animal and dairy science ,food and beverages ,04 agricultural and veterinary sciences ,General Medicine ,040201 dairy & animal science ,Predictive value ,Dairying ,medicine.anatomical_structure ,Milk ,Herd ,Cattle ,Female ,New South Wales ,Heat detection ,business ,Estrus Detection ,Corpus luteum - Abstract
Objectives The three objectives of this study were to determine the positive predictive value (PPV) of oestrus diagnosis (heat detection accuracy) by dairy farmers, calculate the diagnostic sensitivity and specificity of the P4 Rapid milk progesterone assay for detecting a corpus luteum and evaluate the economics of using a cow-side milk progesterone assay designed to aid oestrus diagnosis. Methods Milk samples were collected from 752 cows diagnosed in oestrus by farm personnel on 14 dairy farms. Samples were tested using the P4 Rapid milk progesterone assay to estimate the PPV of oestrus diagnosis at each farm and a crude pooled mean of PPV of oestrus diagnosis across all farms. A further 156 milk samples were collected from cows with luteal tissue status determined by transrectal ultrasound and tested by the P4 Rapid assay to enable calculation of the sensitivity and specificity of the P4 Rapid assay. Results For pooled farm samples, the PPV was 97.0%, with a range between farms of 88.9–100%. Sensitivity of the P4 Rapid milk progesterone assay for detecting a corpus luteum was 90.1% and specificity was 98.7%. Misclassification of oestrus in cows previously identified as pregnant was the most common cause of false-positive oestrus diagnoses by farm personnel. Conclusion Routine testing of milk progesterone in all cows diagnosed in oestrus is not economically justified and may even slightly reduce submission rates; conversely, strategic use of cow-side milk progesterone assays can improve herd reproductive performance by facilitating decisions on whether to rebreed cows previously diagnosed as pregnant.
- Published
- 2014
24. EFFECTS OF TWO CONTRAST INJECTION PROTOCOLS ON FELINE AORTIC AND HEPATIC ENHANCEMENT USING DYNAMIC COMPUTED TOMOGRAPHY
- Author
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Mariano, Makara, Jennifer, Chau, Evelyn, Hall, Heide, Kloeppel, Juan, Podadera, and Vanessa, Barrs
- Subjects
Male ,Time Factors ,Iohexol ,Angiography ,Contrast Media ,Aortography ,Random Allocation ,Hepatic Artery ,Liver ,Injections, Intravenous ,Intestine, Small ,Cats ,Animals ,Female ,Prospective Studies ,Tomography, X-Ray Computed ,Pancreas - Abstract
This prospective study compared aortic and hepatic enhancement achieved using a contrast injection protocol with a fixed rate of 5 ml/s vs. that achieved using a protocol with fixed injection duration of 20 s in eight cats. Cats were assigned into two groups (Group 1, rate 5 ml/s; Group 2, duration 20 s). The dose of contrast was the same in both groups (740 mgI/kg). Regions of interest (ROI) were drawn in the aorta and liver for transverse scans acquired at the hepatic hilus. Time to peak aortic enhancement occurred significantly earlier in Group 1 (M = 11s, SD = 1.63) than in Group 2 (M = 25.5 s, SD = 2.51). Peak aortic enhancement was significantly higher in Group 1 (M = 1906.51 HU, SD = 368.64) than in Group 2 (M = 745.08 HU, SD = 201.84). Duration of aortic enhancement equal to or above 300 HU was statistically longer in Group 2 (M = 24.5 s, SD = 8.39) than in Group 1 (M = 10 s, SD = 1.63). There were no significant differences in time to peak liver enhancement, peak liver enhancement, or duration of hepatic arterial phase between groups. Findings supported the hypothesis that longer injection duration results in a broader bolus geometry with a longer time to peak and a lower peak aortic enhancement in cat. This strong influence of injection duration on timing of aortic enhancement may help future users optimize protocols for CT angiography of the aorta and multiphasic evaluation of the liver, pancreas, and small intestine.
- Published
- 2013
25. Effects of stifle flexion angle and scan plane on visibility of the normal canine cranial cruciate ligament using low-field magnetic resonance imaging
- Author
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Juan, Podadera, Patrick, Gavin, Travis, Saveraid, Evelyn, Hall, Jennifer, Chau, and Mariano, Makara
- Subjects
Male ,Dogs ,Cadaver ,Animals ,Female ,Anterior Cruciate Ligament ,Magnetic Resonance Imaging ,Stifle - Abstract
Low-field magnetic resonance imaging (MRI) is commonly used to evaluate dogs with suspected cranial cruciate ligament injury; however, effects of stifle positioning and scan plane on visualization of the ligament are incompletely understood. Six stifle joints (one pilot, five test) were collected from dogs that were scheduled for euthanasia due to reasons unrelated to the stifle joint. Each stifle joint was scanned in three angles of flexion (90°, 135°, 145°) and eight scan planes (three dorsal, three axial, two sagittal), using the same low-field MRI scanner and T2-weighted fast spin echo scan protocol. Two experienced observers who were unaware of scan technique independently scored visualization of the cranial cruciate ligament in each scan using a scale of 0-3. Visualization score rank sums were higher when the stifle was flexed at 90° compared to 145°, regardless of the scan plane. Visualization scores for the cranial cruciate ligament in the dorsal (H (2) = 19.620, P = 0.000), axial (H (2) = 14.633, P = 0.001), and sagittal (H (2) = 8.143, P = 0.017) planes were significantly affected by the angle of stifle flexion. Post hoc analysis showed that the ligament was best visualized at 90° compared to 145° in the dorsal (Z = -3.906, P = 0.000), axial (Z = -3.398, P = 0.001), and sagittal (Z = -2.530, P = 0.011) planes. Findings supported the use of a 90° flexed stifle position for maximizing visualization of the cranial cruciate ligament using low-field MRI in dogs.
- Published
- 2013
26. Effect of ventilation technique and airway diameter on bronchial lumen to pulmonary artery diameter ratios in clinically normal beagle dogs
- Author
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Mariano, Makara, Matthias, Dennler, Manuela, Schnyder, Rima, Bektas, Patrick, Kircher, Evelyn, Hall, and Tony, Glaus
- Subjects
Male ,Trachea ,Dogs ,Respiration ,Animals ,Bronchi ,Female ,Prospective Studies ,Pulmonary Artery ,Pulmonary Ventilation ,Tomography, X-Ray Computed - Abstract
In dogs, a mean broncho-arterial ratio of 1.45 ± 0.21 has been previously defined as normal. These values were obtained in dogs under general inhalational anesthesia using a single breath-hold technique. The purpose of the study was to determine whether ventilation technique and bronchial diameter have an effect on broncho-arterial ratios. Four healthy Beagle dogs were scanned twice, each time with positive-pressure inspiration and end expiration. For each ventilation technique, broncho-arterial ratios were grouped into those obtained from small or large bronchi using the median diameter of the bronchi as the cutoff value. Mean broncho-arterial ratios obtained using positive-pressure inspiration (1.24 ± 0.23) were statistically greater than those obtained at end expiration (1.11 ± 0.20) P = 0.005. There was a strong positive correlation between bronchial diameter and broncho-arterial ratios for both ventilation techniques (positive-pressure inspiration rs = .786, P0.0005 and end expiration rs = .709, P0.0005). Mean broncho-arterial ratio for the large bronchi obtained applying positive-pressure inspiration was 1.39 cm ± 0.20 and during end expiration was 1.22 cm ± 0.20. Mean broncho-arterial ratio for the small bronchi obtained during positive-pressure inspiration was 1.08 cm ± 0.13 and during end expiration was 1.01 cm ± 0.13. There was a statistically significant difference between these groups (F = 248.60, P = 0.005). Findings indicated that reference values obtained using positive-pressure inspiration or from the larger bronchi may not be applicable to dogs scanned during end expiration or to the smaller bronchi.
- Published
- 2012
27. Mapping quantitative trait loci (QTL) in sheep. IV. Analysis of lactation persistency and extended lactation traits in sheep
- Author
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Peter C. Thomson, Evelyn Hall, Elisabeth Jonas, David McGill, Mary K. Lam, and Herman W. Raadsma
- Subjects
Male ,lcsh:QH426-470 ,Quantitative Trait Loci ,Quantitative trait locus ,Biology ,Awassi ,Animal science ,Quantitative Trait, Heritable ,Lactation ,medicine ,Genetics ,Animals ,Inbreeding ,Genetics(clinical) ,Udder ,Association mapping ,Ecology, Evolution, Behavior and Systematics ,lcsh:SF1-1100 ,Sheep ,Research ,Chromosome Mapping ,food and beverages ,Regression analysis ,General Medicine ,Major gene ,lcsh:Genetics ,medicine.anatomical_structure ,Cattle ,Female ,Animal Science and Zoology ,lcsh:Animal culture - Abstract
Background In sheep dairy production, total lactation performance, and length of lactation of lactation are of economic significance. A more persistent lactation has been associated with improved udder health. An extended lactation is defined by a longer period of milkability. This study is the first investigation to examine the presence of quantitative trait loci (QTL) for extended lactation and lactation persistency in sheep. Methods An (Awassi × Merino) × Merino single-sire backcross family with 172 ewes was used to map QTL for lactation persistency and extended lactation traits on a framework map of 189 loci across all autosomes. The Wood model was fitted to data from multiple lactations to estimate parameters of ovine lactation curves, and these estimates were used to derive measures of lactation persistency and extended lactation traits of milk, protein, fat, lactose, useful yield, and somatic cell score. These derived traits were subjected to QTL analyses using maximum likelihood estimation and regression analysis. Results Overall, one highly significant (LOD > 3.0), four significant (2.0 < LOD < 3.0) and five suggestive (1.7 < LOD < 2.0) QTL were detected across all traits in common by both mapping methods. One additional suggestive QTL was identified using maximum likelihood estimation, and four suggestive (0.01 < P < 0.05) and two significant (P < 0.01) QTL using the regression approach only. All detected QTL had effect sizes in the range of 0.48 to 0.64 SD, corresponding to QTL heritabilities of 3.1 to 8.9%. The comparison of the detected QTL with results in cattle showed conserved linkage regions. Most of the QTL identified for lactation persistency and extended lactation did not coincide. This suggests that persistency and extended lactation for the same as well as different milk yield and component traits are not controlled by the same genes. Conclusion This study identified ten novel QTL for lactation persistency and extended lactation in sheep, but results suggest that lactation persistency and extended lactation do not have a major gene in common. These results provide a basis for further validation in extended families and other breeds as well as targeting regions for genome-wide association mapping using high-density SNP arrays.
- Published
- 2011
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