48 results on '"Stevens KB"'
Search Results
2. Dominance Analysis of Bright and Dark Dispositional Predictors of Socially Desirable Responding.
- Author
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Miller BK, Kirby EG, and Stevens KB
- Abstract
Although the role of so-called dark traits in the prediction of maladaptive behavior has seen a large increase in interest by researchers, the Big Five still maintain their ubiquity in the prediction of most behaviors. This study uses measures of the Dark Tetrad and the Big Five personality traits to predict a very specific form of maladaptive behavior: the impression management form of socially desirable responding. In regression-based dominance analysis, results suggest that not all of the Big Five nor the Dark Tetrad provide statistically significant incremental validity but as a block, the Big Five dominate the Dark Tetrad in the prediction of the purposeful misrepresentation of one's self to others on self-report inventories. More specifically, four of the Big Five as well as the traits of Machiavellianism and sadism from the Dark Tetrad are significant predictors of impression management., Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
- Published
- 2024
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3. Genetic Counseling and Family Screening Recommendations in Patients with Telomere Biology Disorders.
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Ongie L, Raj HA, and Stevens KB
- Subjects
- Humans, Telomere genetics, Telomere metabolism, Genetic Testing, Mutation, Genetic Counseling, Telomerase genetics, Telomerase metabolism
- Abstract
Purpose of Review: Telomere biology disorders (TBDs) encompass a spectrum of genetic diseases with a common pathogenesis of defects in telomerase function and telomere maintenance causing extremely short telomere lengths. Here, we review the current literature surrounding genetic testing strategies, cascade testing, reproductive implications, and the role of genetic counseling., Recent Findings: The understanding of the genetic causes and clinical symptoms of TBDs continues to expand while genetic testing and telomere length testing are nuanced tools utilized in the diagnosis of this condition. Access to genetic counseling is becoming more abundant and is valuable in supporting patients and their families in making informed decisions. Patient resources and support groups are valuable to this community. Defining which populations should be offered genetic counseling and testing is imperative to provide proper diagnoses and medical management for not only the primary patient, but also their biological relatives., (© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
- Published
- 2023
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4. Is UK Puppy Purchasing Suffering a Long COVID Effect? Ongoing Negative Impacts of the COVID-19 Pandemic upon Puppy Purchase Motivations and Behaviours in 2021.
- Author
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Packer RMA, Brand CL, Belshaw Z, Pegram CL, Dale F, Stevens KB, and O'Neill DG
- Abstract
The COVID-19 pandemic led to a surge in acquisitions of puppies in the UK, dubbed the "Pandemic Puppy" phenomenon. In addition to an increased demand for puppies, widespread changes to both why and how puppies were purchased during this period compared to pre-pandemic 2019 purchases were documented, many of which threatened canine welfare (e.g., puppies being collected away from their place of birth, without seeing their mother). This study aimed to explore which changes to the pre-purchase and purchase motivations and behaviours of UK owners who purchased a puppy aged <16 weeks in the 2020 phase of the COVID-19 pandemic had persisted into 2021 or had returned to pre-pandemic 2019 levels. An online survey was conducted during February to April 2022 from which 2080 valid responses were analysed ("2021 puppies") and compared with previously collected data from comparable cohorts in 2019 ( n = 1148, "2019 puppies") and 2020 ( n = 4369, "Pandemic Puppies"). While the majority of the peak pandemic changes documented in 2020 had returned to their 2019 pre-pandemic baseline, others persisted into 2021. Multinomial logistic regression models revealed that the shifts during 2020 towards owners viewing their puppy pre-purchase over video calls or via video recordings/photos rather than in-person and towards collecting their puppy from outside of their breeders' property rather than inside had persisted into 2021 and had not returned to pre-pandemic levels. Year-on-year significant rises in the number of puppies sold with a passport were documented between 2019 and 2021, with over 1 in 10 2021 puppies having been sold with a passport, the figure more than doubling since 2019. An increasing number of these puppies sold with a passport were under the minimum legal age for import at sale. Going forward, these concerning changes require further monitoring and human behaviour change interventions to tackle, including increased buyer awareness but also legislative approaches to prevent the greatest harm.
- Published
- 2023
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5. From top to bottom: gridded human population estimates in data-poor situations.
- Author
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Stevens KB
- Subjects
- Humans, Animals, Population Density, Surveys and Questionnaires, Livestock, Population Dynamics, Censuses, Animals, Wild
- Abstract
Where disease risks are heterogeneous across population groups or space, or dependent on transmission between individuals, spatial data on population distributions - human, livestock and wildlife - are required to estimate infectious disease risks, burdens and dynamics. As a result, large-scale, spatially explicit, high-resolution human population data are being increasingly used in a wide range of animal- and public-health planning and policy development scenarios. Official census data, aggregated by administrative unit, provide the only complete enumeration of a country's population. While census data from developed countries are generally up-to-date and of high quality, in resource-poor settings they are often incomplete, out of date, or only available at the country or province level. The challenges associated with producing accurate population estimates in regions that lack high-quality census data have led to the development of census-independent approaches to small-area population estimations. Known as bottom-up models, as opposed to the census-based top-down approaches, these methods combine microcensus survey data with ancillary data to provide spatially disaggregated population estimates in the absence of national census data. This review highlights the need for high-resolution gridded population data, discusses problems associated with using census data as top-down model inputs, and explores census-independent, or bottom-up, methods of producing spatially explicit, high-resolution gridded population data, together with their advantages.
- Published
- 2023
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6. Factors associated with foot-and-mouth disease seroprevalence in small ruminants and identification of hot-spot areas in northern Nigeria.
- Author
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Begovoeva M, Ehizibolo DO, Adedeji AJ, Oguche MO, Oyekan O, Ijoma SI, Atai RB, Wungak Y, Dogonyaro BB, Lazarus DD, Samson M, Ularamu H, Muhammad M, Rosso F, Sumption KJ, Beard PM, Ludi AB, Stevens KB, and Limon G
- Subjects
- Sheep, Animals, Seroepidemiologic Studies, Nigeria epidemiology, Cross-Sectional Studies, Enzyme-Linked Immunosorbent Assay veterinary, Ruminants, Goats, Risk Factors, Foot-and-Mouth Disease epidemiology, Sheep Diseases, Goat Diseases epidemiology, Foot-and-Mouth Disease Virus
- Abstract
Many small ruminants infected with foot-and-mouth disease (FMD) remain asymptomatic, with the capacity to promote silent viral spread within domestic and wildlife species. However, little is known about the epidemiological role played by small ruminants in FMD. In particular, there are few studies that examine FMD seroprevalence, spatial patterns and risk factors for exposure in small ruminants. A cross-sectional study was conducted in northern Nigeria (Bauchi, Kaduna, and Plateau States) to determine the true seroprevalence of FMD in backyard small ruminants, identify factors associated with FMD seroconversion at animal and household levels, and identify spatial patterns for FMD virus exposure. Data on animal (n = 1800) and household (n = 300) characteristics were collected using a standardised questionnaire. Sera samples from 1800 small ruminants were tested for antibodies against non-structural proteins of FMD virus. True seroprevalence was estimated stochastically to account for variability and uncertainty in the test sensitivity and specificity previously reported. Risk factors for FMD seropositivity were identified at animal and household levels and spatial patterns were determined. The overall true seroprevalence for FMD virus, in the small ruminant population tested, was estimated to be 10.2 % (95 % Credible Interval (CrI) 0.0-19.0), while State-level estimates were 17.3 % (95 % CrI 0.0-25.8) for Kaduna, 6.9 % (95% CrI 0.0-15.8) for Bauchi, and 3.6 % (95 % CrI 0.0-12.6) for Plateau. State and species were the main risk factors identified at animal level, with interaction detected between them. Compared to goats in Plateau, the odds of testing positive were higher for goats in Bauchi (Odds Ratio (OR)= 1.83, 95 % CI 1.13-2.97, p = 0.01) and Kaduna (OR=2.97, 95 % CI 1.89-4.67, p < 0.001), as well as for sheep in Plateau (OR=3.78, 95 % CI 2.08-6.87, p < 0.001), Bauchi (OR=1.61, 95 % CI 0.91-2.84, p = 0.10), and Kaduna (OR=3.11, 95 % CI 1.61-6.01, p = 0.001). Households located in Kaduna were more likely to have a higher number of seropositive SR compared to those in Plateau (Prevalence Ratio (PR)= 1.75, 95 % CI 1.30-2.36, p < 0.001), and households keeping sheep flocks were more likely to be seropositive (from 1 to 10 sheep: PR=1.39, 95 % CI 1.05-1.82, p = 0.02; more than 10 sheep: PR=1.55, 95 % CI 1.12-2.15, p = 0.008) compared to those that did not keep sheep. A hot-spot was detected in Kaduna, and a cold-spot in Plateau. These results reveal that small ruminants had been recently exposed to FMD virus with spatial heterogeneity across the study area., Competing Interests: Conflict of interest The authors declare no competing interest., (Copyright © 2023 Food and Agriculture Organization of the United Nations (FAO). Published by Elsevier B.V. All rights reserved.)
- Published
- 2023
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7. How much is that doodle in the window? Exploring motivations and behaviours of UK owners acquiring designer crossbreed dogs (2019-2020).
- Author
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Burnett E, Brand CL, O'Neill DG, Pegram CL, Belshaw Z, Stevens KB, and Packer RMA
- Abstract
Background: Demand for intentional crosses of purebred dog breeds, often labelled 'designer crossbreeds' (e.g., Labrador Retriever X Poodle, the 'Labradoodle'), has recently increased in the UK. This study aimed to explore this phenomenon by comparing pre-purchase motivations, pre-purchase and purchase behaviours of UK owners of designer crossbred puppies purchased during 2019-2020 with those of owners of purebred puppies purchased during the same period., Results: Data were collected in an online cross-sectional survey between November-December 2020. Responses from n = 6293 puppies (designer crossbred puppies: n = 1575; purebred puppies: n = 4718) were analysed. Perceived hypoallergenicity was cited as a motivator for breed/crossbreed choice by almost half of designer crossbreed owners (47.1%), six times more than purebred dog owners (7.86%; odds ratio [OR]: 9.12, 95% CI: 7.70-10.8). Designer crossbred puppies were more likely to have been acquired via a general selling website (e.g., Gumtree; 13.8%) compared to purebred puppies (7.67%; OR: 2.19, 95% CI: 1.77-2.71), or an animal-specific selling websites (e.g., Pets4Homes; 55.7%) compared to purebred puppies (37.4%; OR: 1.89, 95% CI: 1.65-2.17). Designer crossbreed owners were less likely to see their puppy in person prior to purchase than purebred owners (60.4% vs. 67.0%, respectively; OR: 0.74, 95% CI: 0.64-0.85), and at purchase, designer crossbred puppies were less likely to be seen with their mother (73.1% vs. 79.8%, respectively; OR: 0.82, 95% CI: 0.70-0.95), and littermates (67.7% vs. 78.1%, respectively; OR: 0.63, 95% CI: 0.55-0.73). Designer crossbreeds had a significantly higher purchase price, with 25.7% of designer crossbreed puppies costing £2000-£2999 compared to 15.1% of purebred puppies (X
2 = 207.31, p < 0.001)., Conclusions: The recent boom in designer crossbreeds in the UK has been fuelled by a desire for perceived hypoallergenic and generally healthy dogs that fit the lifestyles of households with children and limited experience with dogs. Some sought-after traits in designer crossbreeds are misconceptions that risk canine welfare, including relinquishment risk, if owner expectations are not met. Purchasing practices fuelling this boom support irresponsible breeding and selling practices, which combined with reduced pressure for health testing from buyers, may result in a higher disease burden and poorer future welfare for this growing designer dog population., (© 2022. The Author(s).)- Published
- 2022
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8. Pandemic Puppies: Demographic Characteristics, Health and Early Life Experiences of Puppies Acquired during the 2020 Phase of the COVID-19 Pandemic in the UK.
- Author
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Brand CL, O'Neill DG, Belshaw Z, Pegram CL, Stevens KB, and Packer RMA
- Abstract
The UK recorded sharp rises in puppy purchasing during the 2020 phase of the COVID-19 pandemic, with many first-time dog owners purchasing puppies to improve their mental health during this challenging period. Government restrictions on movement and social interaction during the pandemic led to animal welfare concerns over puppies’ reduced time-sensitive exposures to key environmental and social stimuli during their critical developmental period. This study aimed to compare demographics, health and early-life experiences of puppies purchased and brought home < 16 weeks of age between 23 March−31 December 2020 (“Pandemic Puppies”), with dogs purchased and brought home < 16 weeks during the same date period in 2019 (“2019 puppies”). An online survey of UK-based puppy owners was conducted between 10 November and 31 December 2020 with valid responses representing 5517 puppies (Pandemic Puppies: n = 4369; 2019 puppies: n = 1148). Multivariable logistic regression modelling revealed that Pandemic Puppies were less likely to have attended puppy training classes (67.9% 2019 vs. 28.9% 2020; p < 0.001) or had visitors to their home (94.5% 2019 vs. 81.8% 2020; p < 0.001) aged < 16 weeks compared with 2019 puppies. Fewer Pandemic Puppies underwent veterinary checks prior to purchase than 2019 puppies (2019: 91.3% vs. 2020: 87.4%; p < 0.001), but more were sold with a passport (2019: 4.1% vs. 2020: 7.1%; p < 0.001). Pandemic Puppies were significantly more likely to be ‘Designer Crossbreeds’ (2019: 18.8% vs. 2020: 26.1%; p < 0.001) and less likely to be Kennel Club registered than 2019 puppies (2019: 58.2% vs. 2020: 46.2%; p < 0.001). Greater support from veterinary and animal behavioural professionals is likely needed to ameliorate the health and behavioural impacts of growing up in a pandemic upon this vulnerable population.
- Published
- 2022
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9. Household and animal factors associated with sheeppox and goatpox sero-prevalence and identification of high-risk areas in selected States of northern Nigeria.
- Author
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Adedeji AJ, Ijoma SI, Atai RB, Dogonyaro BB, Adole JA, Maurice NA, Osemeke OH, Waziri IA, Atuman YJ, Lyons NA, Stevens KB, Beard PM, and Limon G
- Subjects
- Animals, Bayes Theorem, Capripoxvirus, Cross-Sectional Studies, Goats, Nigeria epidemiology, Prevalence, Sheep, Goat Diseases epidemiology, Goat Diseases virology, Poxviridae Infections epidemiology, Sheep Diseases epidemiology, Sheep Diseases virology
- Abstract
Sheeppox and goatpox (SGP) are transboundary, highly contagious diseases affecting sheep and goats with characteristic clinical signs. SGP affect populations of small ruminants in Africa, Asia and the Middle East and, as a result, threaten farmers' livelihoods. Despite their importance, studies looking at factors that increase the risk of sheeppox-virus (SPPV) and goatpox-virus (GTPV) exposure and infection are limited. A cross-sectional study was conducted in three states of Northern Nigeria (Bauchi, Kaduna and Plateau) to determine the sero-prevalence and spatial patterns of SGP, and identify risk factors for SPPV/GTPV exposure at animal and household level. Sera samples were collected from 1,800 small ruminants from 300 households. Data on putative risk factors were collected using a standardised questionnaire. Twenty-nine small ruminants were sero-positive to SGP - apparent weighted sero-prevalence 2.0 %; 95 % C.I. 1.1-.3.0 %. Sero-positive animals came from 19 (6.3 %) households. Analysis of the questionnaire showed that a fifth (20.3 %) of farmers claimed to have experienced SGP outbreaks previously in their flocks, with 33 (1.8 %) of the individual animals sampled in this study reported to have had clinical signs. At animal level, the odds of being sero-positive were higher in older animals (>24months; OR = 8.0, p = 0.008 vs ≤24 months) and small ruminants with a history of clinical SGP (OR = 16.9, p = 0.01). Bringing new small ruminants into the household and having a history of SGP in the flock were the main factors identified at household level. Households were less likely to be sero-positive if the time between bringing animals into the household and sampling was over a year (PR = 0.31, p = 0.05), while households with a history of SGP were more likely to be sero-positive regardless of the timeframe. Important spatial heterogeneity was found. The Bayes smooth rate ranged from 0.06 to 4.10 % across local government areas (LGA), with LGA in the north-east or north-west of the study area identified as hot-spots for SGP exposure. Results from this study shed new light on the understanding of SGP epidemiology and provide key inputs to design risk-based surveillance and intervention programmes in the area., (Copyright © 2021 The Authors. Published by Elsevier B.V. All rights reserved.)
- Published
- 2021
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10. Pandemic Puppies: Characterising Motivations and Behaviours of UK Owners Who Purchased Puppies during the 2020 COVID-19 Pandemic.
- Author
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Packer RMA, Brand CL, Belshaw Z, Pegram CL, Stevens KB, and O'Neill DG
- Abstract
Widespread media reports suggest that unusually high numbers of the public purchased, or sought to purchase, puppies following the first 'lockdown' phase of the COVID-19 pandemic in the UK, dubbed "Pandemic Puppies". This study aimed to explore this phenomenon by comparing pre-purchase motivations and behaviours, and purchase behaviours of UK owners purchasing puppies aged < 16 weeks from 23 March 2020-31 December 2020 with those of owners who purchased puppies during the same date-period in 2019. An online survey was conducted during November-December 2020, from which 5517 valid responses were analysed (2019 puppies: n = 1148; 2020 'Pandemic Puppies': n = 4369). Over 1 in 10 Pandemic Puppy owners had not considered purchasing a puppy before the pandemic, and 2 in 5 felt their decision to purchase a puppy had been influenced by the pandemic, most commonly by having more time to care for a dog (86.7%). Multivariable logistic regression models revealed that Pandemic Puppy owners were more likely to be first-time dog owners and have children in their household, were less likely to seek out a breeder that performed health testing on their breeding dog(s) or view their puppy in-person, and were more likely to pay a deposit without seeing their puppy. At purchase, Pandemic Puppies were more likely to be younger, delivered or collected from outside their breeders' property, seen without their littermates, and cost > £2000 compared with 2019 puppies. Changes in puppy purchasing during the pandemic raise welfare concerns for this unique population, including relinquishment, behavioural problems and poor health.
- Published
- 2021
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11. Spatio-temporal distribution and agroecological factors associated with canine leptospirosis in Great Britain.
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Taylor C, Brodbelt DC, Dobson B, Catchpole B, O'Neill DG, and Stevens KB
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- Animals, Dogs, Leptospira, Risk Factors, Spatio-Temporal Analysis, United Kingdom epidemiology, Dog Diseases epidemiology, Dog Diseases microbiology, Leptospirosis epidemiology, Leptospirosis veterinary
- Abstract
Leptospirosis is an important global zoonotic disease that affects a wide range of mammalian species. Canine leptospirosis outbreaks have been reported after metereological events such as flooding (eg. in Brazil and the United States of America) suggesting an environmental association, but there has been no such study in Great Britain (GB). The distribution of cases across GB is also unreported. Objectives of this study were to: (1) assess the spatio-temporal variation of leptospirosis test submissions (2) explore associations between agroecological risk factors and distribution of different canine leptospirosis serogroups in GB, and (3) generate probability of presence maps for the different serogroups. Data analysed comprised laboratory submissions (n = 3986) to IDEXX laboratories between 1
st January 2009 and 31st December 2018 for PCR or MAT leptospirosis testing. Spatial and seasonal scan statistics were used to investigate spatial and temporal clustering of positive tests, logistic regression was used to identify significant agroecological risk factors for positive tests, and the Maxent algorithm was used to model the environmental niche of four serogroups. There was an increased risk of a positive test result in the West Midlands of England (relative risk = 2.16) and between October and January (relative risk = 1.54). Logistic regression identified season and region to be significantly associated with a positive diagnosis,with higher odds of a positive test in Autumn (OR = 1.86 95 %CI 1.29-2.69) and Winter (OR = 1.51, 95 %CI 1.02-2.23) and in the East (OR = 2.20, 95 %CI = 1.31-3.71) and West Midlands (OR = 2.32, 95 %CI 1.45-3.71). The increased test-positive proportion in Autumn together with the increased odds of a positive diagnosis in Autumn suggests there may be a seasonal pattern to the canine leptospirosis in GB. The most important variable associated with higher leptospirosis presence in all ecological niche models was higher average annual temperature. The importance and retention of other variables differed between serogroups. Overall, a higher probability of leptospirosis presence was predicted in southern England and a low probability in Scotland and northern England. Although leptospirosis vaccine usage provides protection against the majority of serogroups identified here, one is not represented in the currently licensed vaccine formulations and therefore leptospirosis should remain a differential diagnosis in vaccinated dogs demonstrating consistent clinical signs of the disease., (Copyright © 2021 The Author(s). Published by Elsevier B.V. All rights reserved.)- Published
- 2021
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12. Modelling habitat suitability in Jordan for the cutaneous leishmaniasis vector (Phlebotomus papatasi) using multicriteria decision analysis.
- Author
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Takahashi EA, Masoud L, Mukbel R, Guitian J, and Stevens KB
- Subjects
- Animals, Disease Reservoirs parasitology, Environment, Female, Humans, Insect Vectors parasitology, Jordan epidemiology, Leishmania growth & development, Rats, Refugees, Risk, Ecosystem, Leishmaniasis, Cutaneous epidemiology, Leishmaniasis, Cutaneous transmission, Phlebotomus parasitology
- Abstract
Cutaneous leishmaniasis (CL) is a zoonotic vector-borne neglected tropical disease transmitted by female Phlebotomine sand flies. It is distributed globally but a large proportion of cases (70-75%) are found in just ten countries. CL is endemic in Jordan yet there is a lack of robust entomological data and true reporting status is unknown. This study aimed to map habitat suitability of the main CL vector, Phlebotomus papatasi, in Jordan as a proxy for CL risk distribution to (i) identify areas potentially at risk of CL and (ii) estimate the human population at risk of CL. A literature review identified potential environmental determinants for P. papatasi occurrence including temperature, humidity, precipitation, vegetation, wind speed, presence of human households and presence of the fat sand rat. Each predictor variable was (a) mapped; (b) standardized to a common size, resolution and scale using fuzzy membership functions; (c) assigned a weight using the analytical hierarchy process (AHP); and (d) included within a multicriteria decision analysis (MCDA) model to produce monthly maps illustrating the predicted habitat suitability (between 0 and 1) for P. papatasi in Jordan. Suitability increased over the summer months and was generally highest in the north-western regions of the country and along the Jordan Valley, areas which largely coincided with highly populated parts of the country, including areas where Syrian refugee camps are located. Habitat suitability in Jordan for the main CL vector-P. papatasi-was heterogeneous over both space and time. Suitable areas for P. papatasi coincided with highly populated areas of Jordan which suggests that the targeted implementation of control and surveillance strategies in defined areas such as those with very high CL vector suitability (>0.9 suitability) would focus only on 3.42% of the country's total geographic area, whilst still including a substantial proportion of the population at risk: estimates range from 72% (European Commission's Global Human Settlement population grid) to 89% (Gridded Population of the World) depending on the human population density data used. Therefore, high impact public health interventions could be achieved within a reduced spatial target, thus maximizing the efficient use of resources., Competing Interests: The authors have declared that no competing interests exist.
- Published
- 2020
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13. Pathology and Epidemiology of Cutaneous and Renal Glomerular Vasculopathy in Dogs.
- Author
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Holm LP, Stevens KB, and Walker DJ
- Subjects
- Animals, Dogs, Humans, Kidney Glomerulus pathology, Dog Diseases pathology, Kidney Diseases veterinary, Skin Ulcer veterinary, Thrombotic Microangiopathies veterinary, Vascular Diseases veterinary
- Abstract
Cutaneous and renal glomerular vasculopathy (CRGV) has been recognized as a potentially life-threatening condition of dogs in the UK since 2012, although there was a single (non-azotaemic) case reported in the UK in 2000. Prior to that, CRGV was recognized in the 1980s in southern USA as a disease affecting solely racing greyhounds (which gave rise to the colloquial name of 'Alabama rot'). CRGV manifests as ulcerative skin lesions, generally sparing the dorsum. It is variably associated with systemic signs including anaemia, thrombocytopenia and acute kidney injury, which, when it develops, is often severe and fatal. CRGV is characterized histopathologically as a thrombotic microangiopathy. To date in the UK, more than 230 dogs of varying breed and age have been humanely destroyed and histopathologically confirmed to be suffering from CRGV. The aetiology remains unknown, but the seasonal distribution (highest case incidence November-May each year) suggests that environmental or climatic factors may play a role in disease development. Further research to determine the aetiology and improve ante-mortem diagnostic testing, therapeutic options and preventive strategies is urgently needed., (Copyright © 2020 Elsevier Ltd. All rights reserved.)
- Published
- 2020
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14. Geographic distribution and environmental risk factors of lymphoma in dogs under primary-care in the UK.
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Schofield I, Stevens KB, Pittaway C, O'Neill DG, Fecht D, Dobson JM, and Brodbelt DC
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- Animals, Dogs, England, Primary Health Care, Risk Factors, United Kingdom, Dog Diseases, Lymphoma veterinary
- Abstract
Objectives: To integrate external data sources with VetCompass postcode data to explore the spatial distribution and examine potential associations with environmental risk factors in dogs diagnosed with lymphoma at primary care veterinary practices., Materials and Methods: Cases of lymphoma were identified from electronic patient records of 455,553 dogs under primary veterinary care during 2013 in the UK. Cases were defined as either laboratory-confirmed or non-laboratory-confirmed. Disease maps at the postcode-district level were used to define the geographic distribution of lymphoma incidence and spatial clustering was explored. Environmental risk factors from external data sources were transferred to a compatible format and logistic regression modelling was used to examine associations between environmental herbicide, fungicide and radon concentrations with lymphoma., Results: From the denominator population of 455,553 dogs, 279 lymphoma cases (187 with laboratory confirmation and 93 without) were identified. Heterogeneous geographic variation was observed with weak evidence of clustering around London and the south-west of England. Herbicide and fungicide exposures were weakly associated with a diagnosis of lymphoma in the univariable analysis. After accounting for the age at diagnosis and breed in the multivariable analysis, herbicide exposure was associated with a diagnosis of lymphoma., Clinical Significance: The heterogeneous distribution of lymphoma in UK dogs provides further evidence for geographic variation of lymphoma, perhaps in part associated with underlying environmental risk factors. The results suggest an association between environmental herbicide and canine lymphoma., (© 2019 British Small Animal Veterinary Association.)
- Published
- 2019
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15. Spatial modelling for low pathogenicity avian influenza virus at the interface of wild birds and backyard poultry.
- Author
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La Sala LF, Burgos JM, Blanco DE, Stevens KB, Fernández AR, Capobianco G, Tohmé F, and Pérez AM
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- Animal Husbandry methods, Animals, Animals, Wild, Argentina epidemiology, Influenza in Birds virology, Models, Theoretical, Population Surveillance, Poultry Diseases virology, Risk, Anseriformes, Charadriiformes, Epidemiological Monitoring veterinary, Influenza A virus physiology, Influenza in Birds epidemiology, Poultry, Poultry Diseases epidemiology
- Abstract
Low pathogenicity avian influenza virus (LPAIV) is endemic in wild birds and poultry in Argentina, and active surveillance has been in place to prevent any eventual virus mutation into a highly pathogenic avian influenza virus (HPAIV), which is exotic in this country. Risk mapping can contribute effectively to disease surveillance and control systems, but it has proven a very challenging task in the absence of disease data. We used a combination of expert opinion elicitation, multicriteria decision analysis (MCDA) and ecological niche modelling (ENM) to identify the most suitable areas for the occurrence of LPAIV at the interface between backyard domestic poultry and wild birds in Argentina. This was achieved by calculating a spatially explicit risk index. As evidenced by the validation and sensitivity analyses, our model was successful in identifying high-risk areas for LPAIV occurrence. Also, we show that the risk for virus occurrence is significantly higher in areas closer to commercial poultry farms. Although the active surveillance systems have been successful in detecting LPAIV-positive backyard farms and wild birds in Argentina, our predictions suggest that surveillance efforts in those compartments could be improved by including high-risk areas identified by our model. Our research provides a tool to guide surveillance activities in the future, and presents a mixed methodological approach which could be implemented in areas where the disease is exotic or rare and a knowledge-driven modelling method is necessary., (© 2019 Blackwell Verlag GmbH.)
- Published
- 2019
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16. What Does It Really Look Like to Properly Address a "Human Error Problem" in Biopharma? The Human Performance Blue-Sky Description That Will Help Improve Industry Performance.
- Author
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Berry C, Chviruk B, Hernandez D, Beaugard M, Stevens KB, Polizzotto J, Bjerregaard L, and Purbrick D
- Subjects
- Biopharmaceutics organization & administration, Drug Industry organization & administration, Humans, Psychology, Industrial, Task Performance and Analysis, Biopharmaceutics standards, Drug Industry standards, Risk Management, Scientific Experimental Error trends
- Abstract
A clear picture of what Human Performance success looks like is now available from BioPhorum, where members of the Human Performance workstream have defined a blue-sky for the industry. This blue-sky document is both a guide and an assessment tool, which includes warning flags that help to identify significant obstacles in the way of effective human performance integration with operations that must be addressed. The effort to improve reliable operations within biopharma using elements of human performance borrowed from other industries have experienced uneven results and slow progress across the last seven years and has been bogged down for multiple significant reasons. These include a mental model that persists within the industry where workers are assumed to be the problem that needs fixing, the mistaken belief that Lean/Operational Excellence is a cure-all and nearly equivalent to human performance, neglecting the need to fundamentally rethink why and how investigations are performed, and truly underestimating the time, effort, strength of sponsor support, and strategy needed to change how work is designed, executed, and then later learned from. LAY ABSTRACT: Human Performance is an integrated risk management approach to improving systems, that includes human factors and systems safety, that leads to higher reliability and enhanced operational resilience. A clear picture of what Human Performance looks like in biopharma is available from the BioPhorum, where members of the Human Performance workstream have defined a blue-sky for the industry. This blue-sky document is both a guide and an assessment tool that will help to identify the steps to effective human performance integration with operations. The effort to improve reliable operations within biopharma using elements of human performance borrowed from other industries has experienced uneven results and slow progress across the last seven years and has been bogged down for multiple significant reasons. These include a mental model that persists within the industry where workers are assumed to be the problem that needs fixing, the mistaken belief that Lean practices (intended to improve productivity & efficiency) is a cure-all and nearly equivalent to human performance, neglecting the need to fundamentally rethink why and how investigations are performed, and truly underestimating the time, effort, strength of sponsor support needed to change how work is designed, executed, and then later learned from., (© PDA, Inc. 2019.)
- Published
- 2019
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17. Spatio-temporal and risk factor analysis of alleles related to Scrapie resistance in sheep in Great Britain before, during and after a national breeding program.
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Alarcon P, Marco-Jimenez F, Arnold M, Wolf A, Rajanayagam B, Stevens KB, and Adkin A
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- Alleles, Animals, Risk Factors, Scrapie epidemiology, Sheep, Sheep Diseases epidemiology, Sheep, Domestic, Spatio-Temporal Analysis, United Kingdom epidemiology, Breeding, Disease Resistance genetics, Genotype, Scrapie genetics, Sheep Diseases genetics
- Abstract
Certain genotypes of sheep have been identified to increase their susceptibility (the VRQ allele) or resistance (the ARR allele) to classical scrapie. This study's aim was to assess the spatio-temporal pattern of the ARR and VRQ alleles in Great Britain (GB) and to explore the risk factors associated to their presence. Data was collected from the GB scrapie active surveillance program, the sheep and goat inventory survey (GB census survey) and the agricultural survey for the period 2002-2015. Spatio-temporal trends of genotypes were assessed through the use of choropleth maps, spatial cluster and linear regression analyses. Multivariable mixed effect logistic regression analyses were performed to investigate the association between the resistant or susceptible genotypes, and breeds, farm purpose, animal purpose, surveillance stream, country location and herd size. The results show a significant upward trend in the frequency of most resistant ARR alleles (1.15% per year, 95%CI: 0.76-1.53) and significant downward trend of most susceptible VRQ alleles (-0.40% per year; 95%CI: -0.69 to -0.10]. The trend continues after the termination of the national scrapie plan in 2009. Breeds such as Herdwick (OR = 0,26; 95%CI: 0.14-0.46), Shetland (OR = 0.22; 95%CI: 0.13-0.39), Swaledale (OR = 0.58; 95%CI: 0.47-0.73), Scottish blackface (OR = 0.54; 95%CI: 0.41-0.71) and Welsh Montain (OR: 0.59; 95%CI: 0.44-0.79) were identified with lower odds ratios of having the resistant ARR allele, while Beulah speckled face (OR = 1.58; 95%CI: 1.04-2.41), Jacob (OR = 2.91; 95%CI: 1.33-6.40), Lleyn (OR = 2.94; 95%CI: 1.28-6.74) and Suffolk (OR = 2.19; 95%CI: 1.69-2.84) had higher odds ratios of having the ARR allele. Other risk factors associated to presence of ARR allele were finishing farms (OR = 1.15; 95%CI: 1.06-1.24) and farms in Scotland (OR = 0,78; 95%CI: 0.73-0.83) and in Lowland grazing areas (OR = 1.53; 95%CI: 1.39-1.67). Factors associated with presence the VRQ genotype were farms in Scotland (OR = 0,85; 95%CI: 0.77-0.93) and breeds such as Herdwick (OR = 2.2; 95%CI: 1.08-4.97), Shetland (OR = 4.12; 95%CI: 2.20-7.73) and Sweledale (OR = 1.51; 95%CI: 1.10-2.09). For the most resistant genotype, two significant spatial clusters were identified: a high-risk cluster in the south-west of GB (RR = 1.51, p < 0.001) and a low-risk cluster in northern GB (RR = 0.65, p < 0.001). For the most susceptible genotypes, one significant high-risk cluster was identified in Wales (RR = 2.89 and p = 0.013). Surveillance for classical scrapie could be improved with a risk-based approach by focussing on those areas and farm types identified to have higher frequency of VRQ alleles and less frequency of ARR alleles. Scrapie control strategies could focus on developing breeding programs on farms with Shetland, Herdwick and Swaledale breeds., (Crown Copyright © 2018. Published by Elsevier B.V. All rights reserved.)
- Published
- 2018
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18. Spatiotemporal patterns and agroecological risk factors for cutaneous and renal glomerular vasculopathy (Alabama Rot) in dogs in the UK.
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Stevens KB, Jepson R, Holm LP, Walker DJ, and Cardwell JM
- Subjects
- Animals, Disease Outbreaks statistics & numerical data, Dogs, Kidney Diseases epidemiology, Kidney Glomerulus pathology, Risk Factors, Seasons, Skin Diseases epidemiology, Spatio-Temporal Analysis, United Kingdom epidemiology, Vascular Diseases epidemiology, Disease Outbreaks veterinary, Kidney Diseases veterinary, Skin Diseases veterinary, Vascular Diseases veterinary
- Abstract
The annual outbreaks of cutaneous and renal glomerular vasculopathy (CRGV) reported in UK dogs display a distinct seasonal pattern (November to May) suggesting possible climatic drivers of the disease. The objectives of this study were to explore disease clustering and identify associations between agroecological factors and CRGV occurrence. Kernel-smoothed maps were generated to show the annual reporting distribution of CRGV, Kuldorff's space-time permutation statistic used to identify significant spatiotemporal case clusters and a boosted regression tree model developed to quantify associations between CRGV case locations and a range of agroecological factors. The majority of diagnoses (92 per cent) were reported between November and May while the number of regions reporting the disease increased between 2012 and 2017. Two significant spatiotemporal clusters were identified-one in the New Forest during February and March 2013, and one adjacent to it (April 2015 to May 2017)-showing significantly higher and lower proportions of cases than the rest of the UK, respectively, for the indicated time periods. A moderately significant high-risk cluster (P=0.087) was also identified in the Manchester area of northern England between February and April 2014. Habitat was the predictor with the highest relative contribution to CRGV distribution (20.3 per cent). Cases were generally associated with woodlands, increasing mean maximum temperatures in winter, spring and autumn, increasing mean rainfall in winter and spring and decreasing cattle and sheep density. Understanding of such factors may help develop causal models for CRGV occurrence., Competing Interests: Competing interests: None declared., (© British Veterinary Association 2018. No commercial re-use. See rights and permissions. Published by BMJ.)
- Published
- 2018
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19. Signalment risk factors for cutaneous and renal glomerular vasculopathy (Alabama rot) in dogs in the UK.
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Stevens KB, O'Neill D, Jepson R, Holm LP, Walker DJ, and Cardwell JM
- Subjects
- Animals, Disease Outbreaks statistics & numerical data, Dogs, Female, Kidney Diseases epidemiology, Kidney Glomerulus pathology, Male, Risk Factors, Seasons, Skin Diseases veterinary, United Kingdom epidemiology, Vascular Diseases epidemiology, Disease Outbreaks veterinary, Dog Diseases epidemiology, Kidney Diseases veterinary, Skin Diseases epidemiology, Vascular Diseases veterinary
- Abstract
Seasonal outbreaks of cutaneous and renal glomerular vasculopathy (CRGV) have been reported annually in UK dogs since 2012, yet the aetiology of the disease remains unknown. The objectives of this study were to explore whether any breeds had an increased or decreased risk of being diagnosed with CRGV, and to report on age and sex distributions of CRGV cases occurring in the UK. Multivariable logistic regression was used to compare 101 dogs diagnosed with CRGV between November 2012 and May 2017 with a denominator population of 446,453 dogs from the VetCompass database. Two Kennel Club breed groups-hounds (odds ratio (OR) 10.68) and gun dogs (OR 9.69)-had the highest risk of being diagnosed with CRGV compared with terriers, while toy dogs were absent from among CRGV cases. Females were more likely to be diagnosed with CRGV (OR 1.51) as were neutered dogs (OR 3.36). As well as helping veterinarians develop an index of suspicion for the disease, better understanding of the signalment risk factors may assist in the development of causal models for CRGV and help identify the aetiology of the disease., Competing Interests: Competing interests: None declared., (© British Veterinary Association 2018. No commercial re-use. See rights and permissions. Published by BMJ.)
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- 2018
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20. Comparative Epidemiology of Highly Pathogenic Avian Influenza Virus H5N1 and H5N6 in Vietnamese Live Bird Markets: Spatiotemporal Patterns of Distribution and Risk Factors.
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Mellor KC, Meyer A, Elkholly DA, Fournié G, Long PT, Inui K, Padungtod P, Gilbert M, Newman SH, Vergne T, Pfeiffer DU, and Stevens KB
- Abstract
Highly pathogenic avian influenza (HPAI) H5N1 virus has been circulating in Vietnam since 2003, whilst outbreaks of HPAI H5N6 virus are more recent, having only been reported since 2014. Although the spatial distribution of H5N1 outbreaks and risk factors for virus occurrence has been extensively studied, there have been no comparative studies for H5N6. Data collected through active surveillance of Vietnamese live bird markets (LBMs) between 2011 and 2015 were used to explore and compare the spatiotemporal distributions of H5N1- and H5N6-positive LBMs. Conditional autoregressive models were developed to quantify spatiotemporal associations between agroecological factors and the two HPAI strains using the same set of predictor variables. Unlike H5N1, which exhibited a strong north-south divide, with repeated occurrence in the extreme south of a cluster of high-risk provinces, H5N6 was homogeneously distributed throughout Vietnam. Similarly, different agroecological factors were associated with each strain. Sample collection in the months of January and February and higher average maximum temperature were associated with higher likelihood of H5N1-positive market-day status. The likelihood of market days being positive for H5N6 increased with decreased river density, and with successive Rounds of data collection. This study highlights marked differences in spatial patterns and risk factors for H5N1 and H5N6 in Vietnam, suggesting the need for tailored surveillance and control approaches.
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- 2018
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21. Skin disease in captive bats: results of an online survey of zoos and rehabilitators in Europe, North America and Australasia.
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Fountain KI, Stevens KB, Lloyd DH, and Loeffler A
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- Animals, Animals, Zoo, Australasia epidemiology, Ear Auricle pathology, Europe epidemiology, North America epidemiology, Risk Factors, Seasons, Skin Diseases epidemiology, Skin Diseases pathology, Wings, Animal pathology, Chiroptera, Skin Diseases veterinary
- Abstract
Background: Bats may be held captive in zoos and breeding programmes, and for rehabilitation due to illness, abandonment or injury., Objectives: To describe the frequency and characteristics of skin disease in captive bats., Methods: Zoos (n = 164) in Europe, North America, Australia and New Zealand, Wildlife Disease Association members and rehabilitators were invited to complete online questionnaires on skin lesions and housing. Associations between lesion type and site, frequency, species, age, suspected cause and season, and their association with housing in zoos were tested using chi-squared and two-sample z-tests., Results: Skin lesions were seen by 38.5% (15 of 39) of responding zoos and more frequently by rehabilitators (66.7%, 18 of 27; P = 0.024). Of the total of 153 lesions of any type reported by zoos and rehabilitators, almost two thirds occurred on the pinnae (49 of 153, 32%) or wing membranes (45 of 153, 29%). Amongst pinnal lesions, crusting (27%), swelling and redness (25%) and necrosis (20%) were most frequent. In zoos, pinnal (P = 0.001) and wing lesions (P = 0.045) were associated with "season", being more common in winter. Pruritus was rare but more often reported from rehabilitation centres (12 of 77 observed lesions) than from zoos (1 of 76) (P = 0.0015). Lesions most often affected adult and geriatric bats in zoos, and juveniles and adults in rehabilitation. Eight respondents reported that skin disease necessitated euthanasia in individual bats. There was no significant association between type of housing and lesions., Conclusion: Pinnal and wing lesions were common in captive bats, often with necrosis. Further research into the causes is needed to improve health and welfare of captive bats., (© 2016 ESVD and ACVD.)
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- 2017
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22. Spatial Heterogeneity of Habitat Suitability for Rift Valley Fever Occurrence in Tanzania: An Ecological Niche Modelling Approach.
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Sindato C, Stevens KB, Karimuribo ED, Mboera LE, Paweska JT, and Pfeiffer DU
- Abstract
Background: Despite the long history of Rift Valley fever (RVF) in Tanzania, extent of its suitable habitat in the country remains unclear. In this study we investigated potential effects of temperature, precipitation, elevation, soil type, livestock density, rainfall pattern, proximity to wild animals, protected areas and forest on the habitat suitability for RVF occurrence in Tanzania., Materials and Methods: Presence-only records of 193 RVF outbreak locations from 1930 to 2007 together with potential predictor variables were used to model and map the suitable habitats for RVF occurrence using ecological niche modelling. Ground-truthing of the model outputs was conducted by comparing the levels of RVF virus specific antibodies in cattle, sheep and goats sampled from locations in Tanzania that presented different predicted habitat suitability values., Principal Findings: Habitat suitability values for RVF occurrence were higher in the northern and central-eastern regions of Tanzania than the rest of the regions in the country. Soil type and precipitation of the wettest quarter contributed equally to habitat suitability (32.4% each), followed by livestock density (25.9%) and rainfall pattern (9.3%). Ground-truthing of model outputs revealed that the odds of an animal being seropositive for RVFV when sampled from areas predicted to be most suitable for RVF occurrence were twice the odds of an animal sampled from areas least suitable for RVF occurrence (95% CI: 1.43, 2.76, p < 0.001)., Conclusion/significance: The regions in the northern and central-eastern Tanzania were more suitable for RVF occurrence than the rest of the regions in the country. The modelled suitable habitat is characterised by impermeable soils, moderate precipitation in the wettest quarter, high livestock density and a bimodal rainfall pattern. The findings of this study should provide guidance for the design of appropriate RVF surveillance, prevention and control strategies which target areas with these characteristics., Competing Interests: The authors have declared that no competing interests exist.
- Published
- 2016
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23. Spatial analysis and identification of environmental risk factors affecting the distribution of Indoplanorbis and Lymnaea species in semi-arid and irrigated areas of Haryana, India.
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Sangwan AK, Jackson B, De Glanville W, Pfeiffer DU, and Stevens KB
- Abstract
Fasciolosis, amphistomosis and schistosomosis, transmitted by the freshwater snail species Indoplanorbis and Lymnaea , are important snail-borne diseases in India as they affect the entire spectrum of domestic animals causing substantial mortality and economic loss. Identifying any heterogeneity in the spatial distribution of these snail-borne diseases will allow for targeted disease control and efficient use of resources. The objectives of this study were threefold: (i) to describe and explore the spatial distribution of Indoplanorbis and Lymnaea in Rohtak and Jhajjar districts of Haryana, India (ii) to identify factors associated with occurrence of these freshwater snail species and (iii) to produce a map showing the predicted risk of occurrence of Lymnaea and Indoplanorbis spp. in the study area. Snails were collected from water bodies of 99 settlements out of a total of 453 in the study area. Kernel smoothing was used to generate a kernel ratio map while Kulldorff's spatial scan statistic was used to detect clusters of settlements with a high/low risk. Multivariable logistic regression showed that snails were almost ten times more likely to be present in rice-growing areas than in those not growing rice (OR 9.24) and that snails were less likely to be present with each 1 km increase in distance from a canal (OR 0.86). The regression model was used to produce a map illustrating the predicted risk of snail occurrence. Since the distribution of vector snails mirrors the distribution of snail-borne parasitic diseases, such spatial analysis helps to determine the relative risk of snail-infestation as well as snail-borne diseases' distribution and planning of control activities.
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- 2016
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24. Spatial and temporal epidemiological analysis in the Big Data era.
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Pfeiffer DU and Stevens KB
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- Animals, Cloud Computing, Databases, Factual, Geographic Information Systems, Animal Diseases epidemiology, Data Interpretation, Statistical, Epidemiologic Research Design veterinary
- Abstract
Concurrent with global economic development in the last 50 years, the opportunities for the spread of existing diseases and emergence of new infectious pathogens, have increased substantially. The activities associated with the enormously intensified global connectivity have resulted in large amounts of data being generated, which in turn provides opportunities for generating knowledge that will allow more effective management of animal and human health risks. This so-called Big Data has, more recently, been accompanied by the Internet of Things which highlights the increasing presence of a wide range of sensors, interconnected via the Internet. Analysis of this data needs to exploit its complexity, accommodate variation in data quality and should take advantage of its spatial and temporal dimensions, where available. Apart from the development of hardware technologies and networking/communication infrastructure, it is necessary to develop appropriate data management tools that make this data accessible for analysis. This includes relational databases, geographical information systems and most recently, cloud-based data storage such as Hadoop distributed file systems. While the development in analytical methodologies has not quite caught up with the data deluge, important advances have been made in a number of areas, including spatial and temporal data analysis where the spectrum of analytical methods ranges from visualisation and exploratory analysis, to modelling. While there used to be a primary focus on statistical science in terms of methodological development for data analysis, the newly emerged discipline of data science is a reflection of the challenges presented by the need to integrate diverse data sources and exploit them using novel data- and knowledge-driven modelling methods while simultaneously recognising the value of quantitative as well as qualitative analytical approaches. Machine learning regression methods, which are more robust and can handle large datasets faster than classical regression approaches, are now also used to analyse spatial and spatio-temporal data. Multi-criteria decision analysis methods have gained greater acceptance, due in part, to the need to increasingly combine data from diverse sources including published scientific information and expert opinion in an attempt to fill important knowledge gaps. The opportunities for more effective prevention, detection and control of animal health threats arising from these developments are immense, but not without risks given the different types, and much higher frequency, of biases associated with these data., (Copyright © 2015 Elsevier B.V. All rights reserved.)
- Published
- 2015
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25. Sources of spatial animal and human health data: Casting the net wide to deal more effectively with increasingly complex disease problems.
- Author
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Stevens KB and Pfeiffer DU
- Subjects
- Africa, Western epidemiology, Animals, Data Mining, Databases, Factual, Disease Outbreaks prevention & control, Geographic Information Systems, Hemorrhagic Fever, Ebola epidemiology, Hemorrhagic Fever, Ebola prevention & control, Humans, Information Storage and Retrieval, Telemedicine methods, Epidemiologic Methods, Geographic Mapping, Population Surveillance methods, Web Browser
- Abstract
During the last 30years it has become commonplace for epidemiological studies to collect locational attributes of disease data. Although this advancement was driven largely by the introduction of handheld global positioning systems (GPS), and more recently, smartphones and tablets with built-in GPS, the collection of georeferenced disease data has moved beyond the use of handheld GPS devices and there now exist numerous sources of crowdsourced georeferenced disease data such as that available from georeferencing of Google search queries or Twitter messages. In addition, cartography has moved beyond the realm of professionals to crowdsourced mapping projects that play a crucial role in disease control and surveillance of outbreaks such as the 2014 West Africa Ebola epidemic. This paper provides a comprehensive review of a range of innovative sources of spatial animal and human health data including data warehouses, mHealth, Google Earth, volunteered geographic information and mining of internet-based big data sources such as Google and Twitter. We discuss the advantages, limitations and applications of each, and highlight studies where they have been used effectively., (Copyright © 2015 Elsevier Ltd. All rights reserved.)
- Published
- 2015
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26. Modeling habitat suitability for occurrence of highly pathogenic avian influenza virus H5N1 in domestic poultry in Asia: a spatial multicriteria decision analysis approach.
- Author
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Stevens KB, Gilbert M, and Pfeiffer DU
- Subjects
- Animals, Asia epidemiology, Decision Support Techniques, Ecosystem, Poultry, Spatial Analysis, Influenza A Virus, H5N1 Subtype pathogenicity, Influenza in Birds epidemiology, Models, Statistical
- Abstract
Risk maps are one of several sources used to inform risk-based disease surveillance and control systems, but their production can be hampered by lack of access to suitable disease data. In such situations, knowledge-driven spatial modeling methods are an alternative to data-driven approaches. This study used multicriteria decision analysis (MCDA) to identify areas in Asia suitable for the occurrence of highly pathogenic avian influenza virus (HPAIV) H5N1 in domestic poultry. Areas most suitable for H5N1 occurrence included Bangladesh, the southern tip and eastern coast of Vietnam, parts of north-central Thailand and large parts of eastern China. The predictive accuracy of the final model, as determined by the area under the receiver operating characteristic curve (ROC AUC), was 0.670 (95% CI 0.667-0.673) suggesting that, in data-scarce environments, MCDA provides a reasonable alternative to the data-driven approaches usually used to inform risk-based disease surveillance and control strategies., (Crown Copyright © 2012. Published by Elsevier Ltd. All rights reserved.)
- Published
- 2013
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27. Identification of potential risk factors associated with highly pathogenic avian influenza subtype H5N1 outbreak occurrence in Lagos and Kano States, Nigeria, during the 2006-2007 epidemics.
- Author
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Métras R, Stevens KB, Abdu P, Okike I, Randolph T, Grace D, Pfeiffer DU, and Costard S
- Subjects
- Animals, Case-Control Studies, Containment of Biohazards methods, DNA, Viral genetics, Hand Disinfection, Humans, Influenza A Virus, H5N1 Subtype genetics, Influenza A Virus, H5N1 Subtype isolation & purification, Influenza in Birds prevention & control, Nigeria epidemiology, Polymerase Chain Reaction, Prevalence, Risk Factors, Disease Outbreaks veterinary, Influenza A Virus, H5N1 Subtype pathogenicity, Influenza in Birds epidemiology, Poultry virology, Poultry Diseases epidemiology
- Abstract
Highly pathogenic avian influenza HPAI H5N1 was first reported in Africa in 2006, in Nigeria. The country experienced severe outbreaks in 2006 and 2007, strongly affecting the poultry population. Current knowledge on potential risk factors for HPAI H5N1 occurrence in poultry farms in Nigeria is limited. Therefore, we conducted a case-control study to identify potential farm-level risk factors for HPAI H5N1 occurrence in two areas of the country that were affected by the disease in 2006 and 2007, namely the States of Lagos and Kano. A case-control study was conducted at the farm level. A convenience sample of 110 farms was surveyed. Data on farm characteristics, farm management and trade practices were collected. Logistic regression was used to identify factors associated with farms that confirmed positive for HPAI. Having a neighbouring poultry farm was identified as a potential risk factor for disease occurrence [OR, 5.23; 95% CI, (0.88-30.97); P-value = 0.048]. Farm staff washing their hands before handling birds was a protective factor [OR, 0.14; 95% CI, (0.05-0.37); P-value <0.001], as well as not allowing traders to enter the farm [OR, 0.23; 95% CI, (0.08-0.70); P-value = 0.008]. Our study highlighted the importance of trade and proximity between poultry farms in the epidemiology of HPAI H5N1 and the role of biosecurity in disease prevention in Kano and Lagos States. Despite the limitations owing to the sampling strategy, these results are consistent with other risk factor studies previously conducted on HPAI H5N1 in both Africa and other regions, suggesting similar risk factor patterns for HPAI H5N1 virus spread and substantiating current knowledge regarding the epidemiology of the disease. Finally, this study generated information from areas where data are difficult to obtain., (© 2012 Blackwell Verlag GmbH.)
- Published
- 2013
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28. Spatial modelling of disease using data- and knowledge-driven approaches.
- Author
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Stevens KB and Pfeiffer DU
- Subjects
- Animals, Bayes Theorem, Factor Analysis, Statistical, Geographic Information Systems, Geography, Medical methods, Geography, Medical statistics & numerical data, Humans, Risk, Data Interpretation, Statistical, Disease Outbreaks statistics & numerical data, Models, Statistical, Spatial Analysis
- Abstract
The purpose of spatial modelling in animal and public health is three-fold: describing existing spatial patterns of risk, attempting to understand the biological mechanisms that lead to disease occurrence and predicting what will happen in the medium to long-term future (temporal prediction) or in different geographical areas (spatial prediction). Traditional methods for temporal and spatial predictions include general and generalized linear models (GLM), generalized additive models (GAM) and Bayesian estimation methods. However, such models require both disease presence and absence data which are not always easy to obtain. Novel spatial modelling methods such as maximum entropy (MAXENT) and the genetic algorithm for rule set production (GARP) require only disease presence data and have been used extensively in the fields of ecology and conservation, to model species distribution and habitat suitability. Other methods, such as multicriteria decision analysis (MCDA), use knowledge of the causal factors of disease occurrence to identify areas potentially suitable for disease. In addition to their less restrictive data requirements, some of these novel methods have been shown to outperform traditional statistical methods in predictive ability (Elith et al., 2006). This review paper provides details of some of these novel methods for mapping disease distribution, highlights their advantages and limitations, and identifies studies which have used the methods to model various aspects of disease distribution., (Copyright © 2011. Published by Elsevier Ltd.)
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- 2011
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29. Malassezia pachydermatis and M nana predominate amongst the cutaneous mycobiota of Sphynx cats.
- Author
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Volk AV, Belyavin CE, Varjonen K, Cadiergues MC, Stevens KB, and Bond R
- Subjects
- Animals, Carrier State microbiology, Cats, Dermatitis, Seborrheic microbiology, Dermatitis, Seborrheic veterinary, Dermatomycoses microbiology, Female, Malassezia classification, Male, Skin microbiology, Species Specificity, Carrier State veterinary, Cat Diseases microbiology, Dermatomycoses veterinary, Malassezia isolation & purification
- Abstract
Carriage of Malassezia species yeasts in healthy Sphynx cats was compared with that in Devon Rex cats (DRC), Cornish Rex cats (CRC) and domestic shorthair (DSH) cats. Swab samples from the external ear, anus and claw folds, and contact plate samples from the axillae and groins, were incubated on modified Dixon's agar at 32°C for 7 days. Malassezia species were isolated from all 18 Sphynx cats; M pachydermatis accounted for 118/140 isolates. Of 20 isolates of M nana, 16 were recovered from the ear canal. M slooffiae was isolated from the claw fold of one cat and the left groin of another. The high counts of M pachydermatis obtained from the axillae, groins and claw folds of the Sphynx cats exceeded those of healthy DSH, CRC and DRC; axillary populations were comparable to those of seborrhoeic DRC. These data support recent reports of high Malassezia species colonisation in Sphynx cats., (Copyright © 2010 ISFM and AAFP. Published by Elsevier Ltd. All rights reserved.)
- Published
- 2010
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30. Repeatability and reproducibility of the Obel grading system for equine laminitis.
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Menzies-Gow NJ, Stevens KB, Sepulveda MF, Jarvis N, and Marr CM
- Subjects
- Animals, Horses, Reproducibility of Results, Single-Blind Method, Veterinarians, Video Recording, Foot Diseases veterinary, Horse Diseases classification, Lameness, Animal classification, Observer Variation, Severity of Illness Index
- Abstract
The aim of this study was to evaluate both the repeatability (intraobserver agreement) and reproducibility (interobserver agreement) of Obel grading, the most widely accepted method for describing the severity of equine laminitis. The study comprised two parts. In study A, to test intraobserver agreement, 25 ponies were graded twice by a single blinded experienced equine veterinary surgeon, on the first occasion via clinical examination and on the second occasion via a video recording of the initial clinical examination. In study B, to test interobserver agreement, video recordings of 13 ponies were graded independently by 58 blinded experienced equine veterinary surgeons. A weighted kappa (kappa(w)) statistic was used to determine the measure of agreement between gradings. Intraobserver agreement of Obel grading was shown to be moderate (kappa(w)=0.54), and interobserver agreement was found to be substantial (kappa(w)=0.65). In addition, intraobserver agreement improved from moderate to substantial (kappa(w) increased from 0.54 to 0.70) when the Obel grades were grouped and horses were categorised as either sound, or as having mild (grade 1 or 2) or severe (grade 3 or 4) lameness.
- Published
- 2010
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31. Classical sheep scrapie in Great Britain: spatial analysis and identification of environmental and farm-related risk factors.
- Author
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Stevens KB, Del Río Vilas VJ, and Guitián J
- Subjects
- Animals, Demography, Models, Biological, Risk Factors, Sheep, United Kingdom epidemiology, Animal Husbandry, Environment, Scrapie epidemiology
- Abstract
Background: Previous studies suggest that the spatial distribution of classical sheep scrapie in Great Britain is uneven and that certain flock characteristics may be associated with occurrence of the disease. However, the existence of areas of high and low disease-risk may also result from differences in the spatial distribution of environmental characteristics. In this study we explored the spatial pattern of classical scrapie in Great Britain between 2002 and 2005 and investigated the association between disease occurrence and various environmental and farm-related risk factors., Results: Exploratory spatial analysis: South Wales was found to have a higher density of scrapie-positive farms than the rest of Great Britain. In addition, a small cluster of high-risk farms was identified in the center of this region in which clustering of scrapie-positive farms occurred up to a distance of approximately 40 km. SPATIAL MODELLING: A mixed-effects regression model identified flock-size and soil drainage to be significantly associated with the occurrence of scrapie in England and Wales (area under the curve (AUC) 0.71 +/- 0.01, 95% CI 0.68 - 0.74). The predictive risk map based on the estimated association between these factors and disease occurrence showed most of Wales to be at risk of being confirmed positive for scrapie with areas of highest risk in central and south Wales. In England, areas with the highest risk occurred mainly in the north and the midlands., Conclusion: The observed distribution of scrapie in Great Britain exhibited a definite spatial pattern with south Wales identified as an area of high occurrence. In addition both flock (flock size) and environmental variables (soil drainage) were found to be significantly associated with the occurrence of the disease. However, the model's AUC indicated unexplained variation remaining in the model and the source of this variation may lie in farm-level characteristics rather than spatially-varying ones such as environmental factors.
- Published
- 2009
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32. Farm-level factors associated with above-average production on pig farms in Evia, Greece.
- Author
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Theodoropoulos G, Stevens KB, Hartsa A, Theodoropoulou H, and Pfeiffer DU
- Subjects
- Animals, Anthelmintics pharmacology, Confidence Intervals, Cross-Sectional Studies, Female, Greece epidemiology, Helminthiasis, Animal prevention & control, Litter Size, Logistic Models, Male, Multivariate Analysis, Odds Ratio, Pregnancy, Swine growth & development, Animal Husbandry methods, Reproduction physiology, Swine physiology, Swine Diseases epidemiology, Swine Diseases prevention & control
- Abstract
The aim of this study was to identify farm-level factors associated with above-average production of pig farms in Evia, Greece. Cross-sectional data on pig farm characteristics and management, farmer characteristics, worming practices, anthelmintics used, and the parasite loads of 10 randomly selected boars, sows, weaners, and fatteners were collected from 28 pig enterprises in the Evian region of Greece (74% of the total number of pig enterprises in this region). Above-average productivity was defined as weaning 18 or more piglets per sow per year. A multivariate logistic regression model found that employing immigrant workers reduced the odds of a farm being an above-average producer (OR 0.016, 95% CI 0.001-0.27), while having a veterinarian select the anthelmintic strategy significantly increased the odds of a farm being an above-average producer (OR 10.24, 95% CI 0.78-135.13). None of the gastrointestinal parasites under investigation were significantly associated with above-average productivity. It is concluded that despite the fact that endoparasite load was not significantly associated with above-average production, a quantification of the impact of intestinal worms on pig productivity is needed to know how much control can be envisaged for gastrointestinal worms before reaching the threshold at which it is no longer physically or financially reasonable to continue pursuing control.
- Published
- 2009
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33. Factors contributing to the contamination of peripheral intravenous catheters in dogs and cats.
- Author
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Jones ID, Case AM, Stevens KB, Boag A, and Rycroft AN
- Subjects
- Animals, Catheterization, Peripheral adverse effects, Catheterization, Peripheral methods, Cats, Cross Infection microbiology, Dogs, Equipment Contamination, Female, Infusions, Intravenous adverse effects, Infusions, Intravenous methods, Infusions, Intravenous veterinary, Logistic Models, Male, Risk Factors, United Kingdom, Cat Diseases microbiology, Catheterization, Peripheral veterinary, Catheters, Indwelling microbiology, Cross Infection veterinary, Dog Diseases microbiology
- Abstract
The aim of this study was to identify factors that contribute significantly to the bacterial contamination of peripheral intravenous catheters in dogs and cats. Between January and June 2005, intravenous catheters were removed from 84 dogs and 15 cats at the Queen Mother Hospital for Animals, Royal Veterinary College. None of the factors under consideration was significantly associated with bacterial contamination, but 42.9 per cent of the animals with clinical signs consistent with a peripheral catheter-related infection, 34.8 per cent of the animals in which blood had been collected from the catheter immediately after its insertion, and 21.1 per cent of the animals in which a T-connector rather than a Y-connector had been used had contaminated cannulae, compared with 19.0 per cent, 19.7 per cent and 8.3 per cent, respectively, of the animals that did not have signs of such an infection, from which blood was not taken immediately, and that had a Y-connector rather than a T-connector. Binary logistic regression showed that the animals with clinical signs of a catheter-related infection were 10 times more likely to have a contaminated catheter (odds ratio [OR] 10.9, 95 per cent confidence interval [CI] 0.89 to 134) and the animals fitted with Y-connectors rather than T-connectors were 10 times less likely to have a contaminated catheter (OR 0.10, 95 per cent CI 0.008 to 1.25).
- Published
- 2009
- Full Text
- View/download PDF
34. In vitro comparison of bacterial contamination of peripheral intravenous catheter connectors.
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Jones ID, Case AM, Stevens KB, Boag A, and Rycroft AN
- Subjects
- Analysis of Variance, Animals, Biofilms, Colony Count, Microbial veterinary, Cross Infection microbiology, Cross Infection prevention & control, Cross Infection veterinary, Equipment Contamination prevention & control, Escherichia coli physiology, In Vitro Techniques, Sheep, Catheters, Indwelling microbiology, Infusions, Intravenous instrumentation, Infusions, Intravenous methods
- Published
- 2009
- Full Text
- View/download PDF
35. Effect of left-sided valvular regurgitation on mortality and causes of death among a population of middle-aged and older horses.
- Author
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Stevens KB, Marr CM, Horn JN, Pfeiffer DU, Perkins JD, Bowen IM, Allan EJ, Campbell J, and Elliott J
- Subjects
- Age Distribution, Animals, Aortic Valve Insufficiency mortality, Cause of Death, Cohort Studies, Female, Follow-Up Studies, Heart Murmurs diagnosis, Heart Murmurs epidemiology, Heart Ventricles, Horses, Male, Mitral Valve Insufficiency mortality, Surveys and Questionnaires, Survival Analysis, United Kingdom epidemiology, Aortic Valve Insufficiency veterinary, Heart Murmurs veterinary, Horse Diseases mortality, Mitral Valve Insufficiency veterinary
- Abstract
The effect of left-sided valvular regurgitation (LSVR) on the mortality of middle-aged and older horses was investigated in a prospective cohort study involving 19 yards and 1153 horses. The horses were examined to determine whether they had a cardiac murmur and its type, and their age, sex, breed type and occupation were recorded. They were followed up at intervals of two years by postal questionnaire, and after four years information on 773 horses was available. There was no significant difference in the mortality of the horses with and without LSVR, but small horses had a significantly higher risk of having LSVR than small ponies (odds ratio [OR] 2.33), and older horses were slightly more likely to have LSVR than young horses (OR 1.07). Twenty-nine per cent of the deaths reported by the owners were due to orthopaedic problems, 23.3 per cent to gastrointestinal problems, and only 7.9 per cent to cardiovascular problems. Orthopaedic problems were the main cause of death in the horses, and gastrointestinal problems were the main cause of death in the ponies.
- Published
- 2009
- Full Text
- View/download PDF
36. Changes in the glomerular filtration rate of 27 cats with hyperthyroidism after treatment with radioactive iodine.
- Author
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Boag AK, Neiger R, Slater L, Stevens KB, Haller M, and Church DB
- Subjects
- Animals, Cats, Female, Hyperthyroidism complications, Hyperthyroidism physiopathology, Male, Renal Insufficiency complications, Renal Insufficiency physiopathology, Renal Insufficiency veterinary, Thyroxine blood, Cat Diseases physiopathology, Cat Diseases radiotherapy, Glomerular Filtration Rate veterinary, Hyperthyroidism veterinary, Iodine Radioisotopes therapeutic use, Radiopharmaceuticals therapeutic use
- Abstract
Hyperthyroidism is a common endocrinopathy of older cats and is associated with an increased glomerular filtration rate (gfr). Renal dysfunction is also common in older cats and may develop after they have been treated for hyperthyroidism. This paper describes the changes in the gfr of 27 hyperthyroid cats in the six months after their treatment with radioactive iodine ((131)I), and evaluates whether any commonly measured pretreatment parameters (serum biochemistry, systolic blood pressure, urine specific gravity) could predict a clinically significant decline in renal function. The gfr of all the cats had decreased one month after treatment, and the mean gfr was significantly lower. There was no further significant change in gfr between one and six months. The only independent variable associated with the final gfr was the pretreatment plasma glucose concentration (P=0.003).
- Published
- 2007
- Full Text
- View/download PDF
37. Characteristics of commercial pig farms in Great Britain and their use of antimicrobials.
- Author
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Stevens KB, Gilbert J, Strachan WD, Robertson J, Johnston AM, and Pfeiffer DU
- Subjects
- Animal Feed, Animals, Anti-Infective Agents administration & dosage, Anti-Infective Agents therapeutic use, Breeding, Meat, Surveys and Questionnaires, Swine, Swine Diseases etiology, Swine Diseases prevention & control, United Kingdom epidemiology, Animal Husbandry, Anti-Infective Agents supply & distribution, Swine Diseases epidemiology
- Abstract
A mail survey of 1889 pig producers in Great Britain with more than 100 sows or more than 1000 pigs was carried out to investigate their use of antimicrobials and other health-related management practices. The response rate was 25.5 per cent. Antimicrobials were most commonly administered in feed. Depending on the production system, between 60 and 75 per cent of the farms had used antimicrobials in their weaner rations and 20 to 62 per cent had used them in their grower rations. Antimicrobial injections had been used on 59 per cent of the farms. The use of antimicrobials in pigs of different age groups was variously associated with the scale of production, membership of a quality assurance scheme, the use of vaccination and whether the farmer thought the farm environment could be improved. Half the respondents (49 per cent) indicated that they used growth promoters in their weaners, but fewer used these in their growers (45 per cent) and finishers (34 per cent). Although 63 per cent of the farmers felt that the continued use of antimicrobials for disease prevention was justified, only 21 per cent felt that their continued use as growth promoters was justified.
- Published
- 2007
- Full Text
- View/download PDF
38. Influence of dipping practices on the seroprevalence of babesiosis and anaplasmosis in the foot-and-mouth disease buffer zone adjoining the Kruger National Park in South Africa.
- Author
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Stevens KB, Spickett AM, Vosloo W, Pfeiffer DU, Dyason E, and Du Plessis B
- Subjects
- Anaplasma marginale immunology, Animals, Babesia bovis immunology, Babesiosis epidemiology, Cattle, Longitudinal Studies, Seasons, Seroepidemiologic Studies, South Africa epidemiology, Surveys and Questionnaires, Anaplasmosis epidemiology, Antibodies, Bacterial blood, Antibodies, Protozoan blood, Babesiosis veterinary, Cattle Diseases epidemiology, Tick Control
- Abstract
A serological survey of bovine babesiosis and anaplasmosis was conducted in the foot-and-mouth disease buffer zone surrounding the Kruger National Park in South Africa between 2001 and 2003 to determine whether the withdrawal of government-subsidized dipping in certain regions had affected the seroprevalence of these tick-borne diseases. Seroprevalence of Anaplasma marginale and Babesia bovis increased during the study period. This increase was greater in Limpopo Province where farmers had to supply their own acaricide than in Mpumalanga Province where dipping materials were provided by the local Veterinary Services. The number of animals testing positive for B. bigemina decreased in both provinces during the study period, which was attributed to possible vector displacement rather than more effective tick control measures. Responses to a questionnaire on ticks and tick-borne diseases revealed local knowledge on the subject to be highly variable and sometimes incorrect.
- Published
- 2007
- Full Text
- View/download PDF
39. Prevalence of methicillin-resistant Staphylococcus aureus among staff and pets in a small animal referral hospital in the UK.
- Author
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Loeffler A, Boag AK, Sung J, Lindsay JA, Guardabassi L, Dalsgaard A, Smith H, Stevens KB, and Lloyd DH
- Subjects
- Animal Technicians, Animals, Carrier State microbiology, Cats, Dogs, Humans, Mouth Mucosa microbiology, Nasal Mucosa microbiology, Staphylococcus aureus drug effects, Staphylococcus aureus genetics, Staphylococcus aureus physiology, United Kingdom, Veterinarians, Environmental Microbiology, Hospitals, Animal, Methicillin Resistance, Staphylococcal Infections microbiology, Staphylococcal Infections veterinary, Staphylococcus aureus isolation & purification
- Abstract
Objectives: The occurrence of methicillin-resistant Staphylococcus aureus (MRSA) and the possible relatedness between human and animal isolates were investigated among veterinary staff and hospitalized animals in a referral small animal hospital in the UK., Methods: A total of 300 swab samples were taken from nasal and oral mucosae of 78 veterinary staff, 45 dogs, 12 cats and from 30 environmental surfaces. Staphylococci were isolated by selective enrichment and characterized by biochemical tests and antimicrobial disc susceptibility testing. MRSA isolates were genotypically confirmed by PCR and typed by PFGE., Results: MRSA was isolated from 14 staff (17.9%), four dogs (9%), and three environmental sites (10%) yielding a total of 28 MRSA isolates. PFGE analysis revealed that most MRSA isolates were indistinguishable (56%) or closely related (26%) to EMRSA-15, one of the two epidemic MRSA strains dominant in UK hospitals. Like EMRSA-15, the predominant strain isolated from staff, dogs and environmental sites was resistant to fluoroquinolones in addition to all beta-lactams., Conclusions: The study provides evidence of EMRSA-15 mucosal carriage in veterinary staff and hospitalized dogs, with the risk of MRSA carriage in veterinary staff being significantly higher than reported for the UK healthy community. EMRSA-15 was predominant in the hospital environment, including humans, dogs, and inanimate objects, but the mode by which the strain was introduced and spread remains uncertain.
- Published
- 2005
- Full Text
- View/download PDF
40. Factors associated with the wastage and achievements in competition of event horses registered in the United Kingdom.
- Author
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O'Brien E, Stevens KB, Pfeiffer DU, Hall J, and Marr CM
- Subjects
- Animals, Databases, Factual, Female, Logistic Models, Male, Surveys and Questionnaires, United Kingdom, Horses classification, Registries statistics & numerical data, Sports
- Abstract
The aims of this study were to estimate the wastage of horses registered for eventing in Britain, to investigate the reasons for this wastage and to evaluate factors affecting the horses' achievement of grade I status (at least 61 points) while registered. An analysis of the database of the British Eventing register found that 33.7 per cent of horses registered for the first time in 1999 were not re-registered for eventing in subsequent years. By using multivariable logistic regression analysis, it was shown that horses that were kept at an event yard were more likely to be re-registered than those kept on other premises (odds ratio [or] 2.0, 95 per cent confidence interval [ci] 1.2 to 3.2), and those that took part in showjumping while registered were also more likely to be re-registered (or 1.5, 95 per cent ci 1.1 to 2.2). Horses that took part in unaffiliated eventing while registered were less likely to be re-registered the following year (or 0.7, 95 per cent ci 0.5 to 0.9), as were those that were not insured (or 0.7, 95 per cent ci 0.5 to 1.0) and those from outside the British Isles (or 0.6, 95 per cent ci 0.3 to 1.0). Veterinary problems were the most commonly cited explanation (35.1 per cent) why horses that remained in their original ownership were not re-registered with British Eventing the following year. Horses from Australia were more likely to achieve grade I status than horses from the British Isles (or 9.7, 95 per cent ci 7.1 to 13.2), as were horses from New Zealand (or 6.4, 95 per cent ci 5.0 to 8.2), the usa (or 5.2, 95 per cent ci 3.8 to 7.2) and France (or 2.8, 95 per cent ci 2.1 to 3.7), but horses from the Netherlands (or 0.5, 95 per cent ci 0.3 to 0.9) and Belgium (or 0.3, 95 per cent ci 0.1 to 0.9) were less likely to achieve grade I status. Mares were less likely to achieve grade I status than geldings (or 0.4, 95 per cent ci 0.4 to 0.5).
- Published
- 2005
- Full Text
- View/download PDF
41. Clinical and clinicopathological changes in 6 healthy ponies following intramuscular administration of multiple doses of imidocarb dipropionate.
- Author
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Meyer C, Guthrie AJ, and Stevens KB
- Subjects
- Animals, Antiprotozoal Agents administration & dosage, Babesiosis prevention & control, Babesiosis veterinary, Bile Acids and Salts metabolism, Female, Horse Diseases prevention & control, Horses blood, Imidocarb administration & dosage, Injections, Intramuscular veterinary, Kidney metabolism, Kidney physiology, Kidney Function Tests veterinary, Liver metabolism, Liver physiology, Liver Function Tests veterinary, Male, gamma-Glutamyltransferase metabolism, Antiprotozoal Agents pharmacology, Horses physiology, Imidocarb analogs & derivatives, Imidocarb pharmacology, Kidney drug effects, Liver drug effects
- Abstract
Haematological variables and selected serum indices, particularly those affected by changes in renal and hepatic function, were examined in 6 healthy ponies following 4 intramuscular doses of 4 mg/kg imidocarb dipropionate administered every 72 hours. This treatment regime has been reported to sterilise experimental Babesia equi infections in horses and may have value in preventing the spread of this disease during exportation of possible carrier horses to non-endemic countries. Serum bile acids and serum gamma glutamyltransferase activity were measured to evaluate the effect of this treatment regime on hepatic function. Owing to the absence of any increase in these variables it was concluded that this treatment regime had no clinically detectable deleterious effect on hepatic function in healthy ponies. Urinary gamma glutamyltransferase : creatinine ratios (IU/g), serum creatinine and fractional clearance of sodium, potassium and phosphate (%) were calculated as a measure of renal function. Urinary GGT and urinary GGT : creatinine ratios were significantly elevated on Day 5 of the trial, with 2 of the trial animals also exhibiting mild azotaemia indicative of changes in renal function. The changes in urine GGT : urine creatinine ratios observed in this study also provides evidence of the value of this ratio for the early detection of renal toxicity, following exposure to nephrotoxic agents.
- Published
- 2005
- Full Text
- View/download PDF
42. Equine hepatic disease: the effect of patient- and case-specific variables on risk and prognosis.
- Author
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Smith MR, Stevens KB, Durham AE, and Marr CM
- Subjects
- Age Factors, Animals, Breeding, Case-Control Studies, Cause of Death, Female, Horse Diseases epidemiology, Horses, Liver Diseases epidemiology, Liver Diseases mortality, Male, Prognosis, Risk Factors, Sex Factors, Horse Diseases mortality, Liver Diseases veterinary
- Abstract
Reasons for Performing Study: Liver disease is fairly common in horses and, although previous literature suggests that fatality rates are high, impressions gained from current clinical practice suggest that this is no longer the case., Objectives: A case-control study was undertaken in 2 hospitals to investigate whether age, gender or breed type predisposed horses to developing hepatic disease, with the additional aim of determining whether these factors and disease category had any effect on outcome., Methods: Eighty-eight cases were identified by review of computerised archives at 2 hospitals. Three cases admitted immediately before and after the cases were used as controls. Multivariant models were developed to explore the relationship between age, breed type and gender and the development of liver disease, and within the clinical cases, to identify whether any of these factors or specific forms of liver disease were associated with fatality rate., Results: Ponies were more likely to develop hepatic disease than light riding horses, but neither age nor gender were significant risk factors. Overall, the fatality rate was fairly low; horses with unclassified hepatopathies had the lowest fatality rate and those with cholangiohepatitis, pyrrolizidine alkaloid toxicity and chronic active hepatitis had significantly higher fatality rates in comparison. However, age, breed type and gender had no detectable effect on outcome., Conclusions and Potential Relevance: Such data could be of particular value to equine practitioners, as the cases were drawn from both primary and referral practice, and were all seen within the last 5 years.
- Published
- 2003
- Full Text
- View/download PDF
43. The circumstances surrounding the outbreak and spread of equine influenza in South Africa.
- Author
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Guthrie AJ, Stevens KB, and Bosman PP
- Subjects
- Animals, Disease Outbreaks prevention & control, Emergencies veterinary, Horse Diseases diagnosis, Horse Diseases prevention & control, Horses, Orthomyxoviridae Infections epidemiology, Orthomyxoviridae Infections prevention & control, Quarantine veterinary, South Africa epidemiology, Viral Vaccines, Disease Outbreaks veterinary, Horse Diseases epidemiology, Influenza A virus immunology, Orthomyxoviridae Infections veterinary
- Abstract
Equine-2 influenza A virus (H3N8) infection first occurred among naïve horses in South Africa in December 1986. The virus was introduced following the importation of six horses from the United States of America. While the release of in-contact horses from quarantine three days after the arrival of these six horses played a role in the rapid spread of the disease in South Africa, other outbreaks of disease were associated with viral introduction by personnel or contaminated instruments. The control measures and implications of the introduction of equine influenza to South Africa are also discussed.
- Published
- 1999
- Full Text
- View/download PDF
44. Adult reading assessment: are we doing the best with what we have?
- Author
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Stevens KB and Price JR
- Subjects
- Achievement, Adult, Educational Measurement standards, Health Care Surveys, Humans, Intelligence Tests, Reproducibility of Results, Neuropsychological Tests standards, Reading
- Abstract
This article describes a survey completed by 728 neuropsychologists for the purpose of gathering information about the assessment of reading in adults as part of neuropsychological examinations. The survey information gathered addressed (a) the general frequency of assessing adult reading, (b) the assessment tools used, (c) the general purposes for the assessment of reading, (d) the need for a review describing available adult reading norm-referenced tests, and (e) the need for the development of criterion-referenced reading tests appropriate for determining functional reading abilities. Survey findings are reported and discussed. A list and description of reading tests appropriate for assessing reading in adults also is provided in the Appendix.
- Published
- 1999
- Full Text
- View/download PDF
45. Etiology of acute gastroenteritis in hospitalized children in Melbourne, Australia, from April 1980 to March 1993.
- Author
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Barnes GL, Uren E, Stevens KB, and Bishop RF
- Subjects
- Acute Disease, Adolescent, Campylobacter jejuni isolation & purification, Child, Child, Preschool, Female, Hospitalization, Humans, Infant, Infant, Newborn, Male, Rotavirus isolation & purification, Salmonella isolation & purification, Seasons, Time Factors, Gastroenteritis etiology
- Abstract
Acute infectious diarrhea is common in children. Control requires knowledge of causes. Few comprehensive long-term studies of etiology have been undertaken in developed countries. This report is of a 13-year survey of 4,637 children from 0 to 14 years of age, admitted to a large children's hospital for treatment of gastroenteritis, in which viruses, bacteria, and parasites were sought. A recognized enteric pathogen was identified in 56.6% of children. Group A rotaviruses occurred in 39.6% of children overall and in 55% of children 12 to 23 months of age. They were a frequent cause (18.7%) of acute gastroenteritis in children under 6 months and in those aged 5 to 13 years (16%). Rotaviruses were almost entirely responsible for winter admission peaks. Enteric adenovirus types 40 and 41 (6% overall) were more frequent in children under 12 months (9.4%). Salmonella spp. (5.8%) and Campylobacter jejuni (3.4%) were more common in children over 5 years (13.1% and 6.7%, respectively). The 43.5% of cases (60% in children under 6 months) where no enteric pathogen was identified are cause for concern. The involvement of small viruses (including caliciviruses and astroviruses) may be clarified when molecular biology techniques are utilized to address this gap in our knowledge. This comprehensive 13-year study of the cause of acute infectious diarrhea in children in developed countries reinforces the importance of rotavirus and highlights a large group for whom the etiology remains unknown, an issue of particular concern with babies under 6 months of age. New techniques have the potential to identify old and new pathogens causing disease in these vulnerable infants.
- Published
- 1998
- Full Text
- View/download PDF
46. Response bias in plaintiffs' histories.
- Author
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Lees-Haley PR, Williams CW, Zasler ND, Marguilies S, English LT, and Stevens KB
- Subjects
- Adult, Female, Headache etiology, Humans, Male, Mental Disorders etiology, Self Concept, Sexual Behavior, Brain Injuries complications, Brain Injuries diagnosis, Brain Injuries psychology, Forensic Medicine legislation & jurisprudence, Prejudice
- Abstract
This study investigated response bias in self-reported history of factors relevant to the assessment of traumatic brain injury, toxic brain injury and related emotional distress. Response bias refers to systematic error in self-report data. A total of 446 subjects (comprising 131 litigating and 315 non-litigating adults from five locations in the United States) completed a symptom questionnaire. Data were obtained from university faculty and students, from patients in clinics specializing in physiatry neurology, and family medicine, and from plaintiffs undergoing forensic neuropsychological evaluations. Comparisons were made for litigant and non litigant ratings of their past and current cognitive and emotional functioning, including life in general, ability to concentrate, memory, depression, anxiety, alcohol, drugs, ability to work or attend school, irritability, headaches, confusion, self-esteem, and fatigue. Although there is no basis for hypothesizing plaintiffs to be healthier than the general population, plaintiffs rated their pre-injury functioning superior to non-plaintiffs. These findings suggest that response biases need to be taken into account by forensic examiners when relying on litigants' self-reports of pre-injury status.
- Published
- 1997
- Full Text
- View/download PDF
47. Psycholegal implications of malingered head trauma.
- Author
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Price JR and Stevens KB
- Abstract
In this article we examine the roles of individuals involved in traumatic head injury claims. These roles are described in terms of their integrated affects on one another, the outcome of the claim, and ultimately, society. Particular focus is on the role of the neuropsychologist as diagnostician, therapist, expert witness, and consultant; however, the roles of the plaintiff, the defendants, the attorneys, the judges, and juries also are addressed. The costs for invalid claims are high and ultimately fall on society in terms of higher health care costs, insurance premiums, and taxes. Because of this impact on society, the responsibility of neuropsychologists who diagnose, treat, and serve as expert witnesses and consultants in head injury claims cannot be underestimated.
- Published
- 1997
- Full Text
- View/download PDF
48. Teaching memorized spelling with a microcomputer: time delay and computer-assisted instruction.
- Author
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Stevens KB, Blackhurst AE, and Slaton DB
- Subjects
- Achievement, Child, Female, Generalization, Psychological, Humans, Male, Software, Computer-Assisted Instruction instrumentation, Mental Recall, Microcomputers, Verbal Learning
- Abstract
A computer-assisted instruction program was evaluated that used a constant time-delay procedure to teach 5 students 18 spelling words. In addition to delivering the instructional procedure, the program managed the presentation of training content based on individual student responding and collected instructional data on individual student performance. The procedure was effective at teaching 4 of the 5 students the words, and generalization occurred from the computer-delivered keyboard response format to a teacher-delivered hand-written response format. Maintenance data varied among the students. The study demonstrated the feasibility of using microcomputers to deliver time-delay instruction in special education classrooms and suggested several research questions related to specific features of microcomputer-delivered time-delay instruction.
- Published
- 1991
- Full Text
- View/download PDF
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