A randomised,blinded, crossover study to assess the efficacy of a feed supplement in alleviating the clinical signs of headshaking in 32 horses

Reasons for performing study: Feed supplements are commonly used by owners to alleviate headshaking; however, randomised, controlled trials are required to assess their efficacy. Objective: To determine the efficacy of a feed supplement for alleviation of the clinical signs of headshaking using a randomised, blinded, placebo‐controlled trial. Methods: Using a crossover design, 44 horses previously diagnosed with chronic idiopathic headshaking received both the supplement and a matching placebo per os for 28 days with a washout period between of 14 days. Video recordings were taken at rest and exercise prior to the study and at the end of both periods of treatment. The degree of headshaking was assessed in a blinded, randomised manner by 2 veterinary surgeons. At the same time points, owners completed a questionnaire to assess the severity of headshaking signs. A Wilcoxon signed rank test was used to compare the scores while on supplement and placebo. Results: Using the video assessments, there was no significant difference between scores while on supplement compared with placebo (P = 0.7). Using the questionnaire responses, there was no significant difference between scores for any activity when the placebo and the supplement were compared with each other. However, owners reported significant improvement during all activities for both placebo and supplement compared with pretreatment scores. Conclusions and potential relevance: The supplement offered no benefit over a placebo in alleviating the clinical signs of headshaking. There appeared to be a significant proxy placebo effect when the outcome was based on subjective owner perception of clinical signs. This study demonstrated no beneficial effect of this supplement on the clinical signs of headshaking. The study did show a significant placebo effect, thereby highlighting the necessity of properly conducted, randomised controlled trials, with blinding, to assess true treatment effects in trials in animals.     

Observations on calf scours in New Zealand

Extract

Scouring syndromes constitute a major disease group in dairy calves in New Zealand.     

Congenital pyloric stenosis in two kittens corrected by pyloroplasty

Abstract

Extract

Rural veterinary practice faces difficulties in many parts of the world. Falling farm incomes and increasing costs have sometimes resulted in reduced use of veterinary services. There seems to be widespread agreement that an increased emphasis on preventive medicine would improve the situation for both the farmer and his veterinarian. There appear to be no commonly agreed formal criteria for the development and evaluation of health programmes, either in human or veterinary medicine, but increasing attention is being paid to the problem(1) Anon Statistical indicators for the planning and evaluation of public health programmes: 11th report of the World Health Organisations expert committee on health statistics W. H. O. Tech. Reports No. 365 1971  [Google Scholar] (12) Morris, R. S. 1969. Assessing the ecnomic value of veterinary services to primary industries. Aust. vet. J., 45: 295–300.  [Google Scholar] (14) Morris, R. S. 1975. Criteria for the design and evaluation of bovine mastitis control systems. International Dairy Federation Proceedings, 85: 395–409. In [Google Scholar] (15) Schulberg, H. C., Sheldon, A. and Baker, F., eds. 1970. Program evaluation in the health fields, N.Y.: Behavioural Publications.  [Google Scholar], In some ways the evaluation of animal health programmes should be the easier, for there are fewer ethical problems and economic criteria are of paramount importance in rural practice.     

Experimental observations on prophylactic and therapeutic vaccination against foot-rot in sheep

Extract

I have taken as my subject for this address the topic, “Change”, and will deal with two aspects of change, one the challenge of change due to new knowledge and techniques and second the change we must make in our attitude to other agricultural disciplines and ancillary veterinary personnel.     

An experimental sod seeder

The design and development of an efficient sod‐seeder for the Ngongoni Veld of Natal is described.     

Treatment of cervical oesophageal rupture in horses

Oesophageal rupture in horses has only been previously described in detail in isolated case reports. The objectives of this study were to describe the clinical findings, specific treatment and outcome of oesophageal rupture in horses. Medical records of horses diagnosed with oesophageal rupture between 1994–2008 were reviewed. Clinical findings, treatment and outcome were recorded. Seven horses with cervical oesophageal perforations were included in the study. Two horses were subjected to euthanasia without treatment and 5 were treated surgically. Treatment involved a fasciotomy of the cervical musculature and oesophageal tube placement. Three of 5 horses survived long‐term (>one year). Our study showed that surgical treatment of cervical oesophageal rupture involving fasciotomy and oesophagostomy tube placement can be successful with 3/5 of treated horses surviving more than one year.     

Sedative effects of dexmedetomidine,dexmedetomidine–pethidine and dexmedetomidine–butorphanol in cats

The purpose of this study was to assess the clinical effects of dexmedetomidine, both alone and combined with pethidine or butorphanol, in cats. A prospective randomized blind study was performed. Thirty cats were randomly assigned to three groups of 10 animals: D: dexmedetomidine (20 μg/kg IM); DP: dexmedetomidine (10 μg/kg IM) and pethidine (2.5 mg/kg IM); DB: dexmedetomidine (10 μg/kg IM) and butorphanol (0.4 mg/kg IM). Quality of sedation, analgesia, muscle relaxation and the possibility of performing some clinical procedures were compared using a multifactorial scale. Sedation, analgesia and muscle relaxation increased progressively over time and did not differ in the three protocols. The three protocols facilitated the completion of several clinical procedures. The clinical variables studied showed a similar behaviour in the three protocols and remained close to the baseline, except for a drop in heart rate in protocol D. In conclusion, dexmedetomidine, either alone or combined with pethidine or butorphanol, offers suitable sedation, analgesia and relaxation to perform various clinical procedures in cats.     

Epidemiology of human atopic dermatitis – seven areas of notable progress and seven areas of notable ignorance

Background – This narrative review highlights areas within the epidemiology of human atopic dermatitis (AD) where significant progress has been made and where considerable ignorance still exists. The review is supported by systematic reviews wherever possible, with the purpose of stimulating fresh approaches to human and veterinary research into AD. Progress – Areas of progress include valid and repeatable methods of disease definition, global documentation of disease prevalence and impact, clarification of the role of some genetic factors, such as filaggrin gene mutations, clear evidence that environmental factors are key, as demonstrated by the positive social class gradient and rising prevalence, a possible protective effect of infections in early life, documentation of comorbidities, such as a reduced risk of glioma, and mapping the evidence base through systematic reviews and an online global resource of clinical trials. Ignorance – Areas where significant uncertainty still exists include the question of whether AD is more than one disease, the tendency for researchers to look at the same old risk factors, lack of specific environmental risk factors that are amenable to manipulation, inconsistencies in the hygiene hypothesis, sparse knowledge about adult AD, lack of evidence that eczema can be prevented, and little scientific work exploring what causes flares in people with established AD.