scholarly journals Use of Bandaging in the treatment of Digital Dermatitis

2021 ◽  
Vol 65 (2) ◽  
pp. 68-73
Author(s):  
P. Mudroň ◽  
L. L. Coles ◽  
P. Réková

Abstract The aim of this study was to compare two different methods for the treatment of digital dermatitis (DD) in dairy cows. Moreover, both treatment methods were tested if they could stop the recurrences of DD in the same patient. For this study, data were collected on two separate occasions across a six-month period (spring and the following autumn). During these two periods, 280 and 232 Holstein Friesian dairy cows were examined respectively in the crush. The following two treatment methods were compared: 1. Scarification of the lesion surface and antibiotic spray; 2. Resection of the lesion, antibiotic spray and powder, and covering with a bandage. A first control 3 weeks after the initial trimming period was carried out to check the condition of the lesions. The recurrence rate of DD was assessed during the second hoof trimming (autumn). In this study, no differences between two treatment methods could be observed as all treated animals have shown a 100 % healing. The assessment of a recurrence rate showed no new cases of acute DD in the group 1 (non-bandaging) and in the group 2; however, there was a 28.6 % recurrence rate in the group 1 (non-bandaging). The material costs and treatment time were also several times higher in the bandaging group. In conclusion, the tested methods did not differ in healing success rate, however, there are other important factors like time and costs that play an important role in the decision of a farmer or manager as to which treatment to use for their dairy cows.

2019 ◽  
Vol 6 (1) ◽  
pp. e000264 ◽  
Author(s):  
Marcus Klawitter ◽  
Dörte Döpfer ◽  
Theo Broderick Braden ◽  
Ermias Amene ◽  
Kerstin Elisabeth Mueller

Objectives and designThis trial evaluated the effect of bandaging of acute painful ulcerative bovine digital dermatitis (DD) lesion (stage M2) in dairy cows, tested using two different topical treatments.DesignRandomised clinical trial.SettingThis study was conducted using Holstein-Friesian cows ranging in age from heifers to fourth lactation in a single dairy herd and diagnosed with acute ulcerative DD lesions (stage M2) on the first examination (week 0). Cows were randomly assigned into either a non-bandaged or bandaged group across two treatment conditions: topical chlortetracycline spray (CTC) and Intra Hoof-Fit Gel (IHF). Lesions received standardised bandaging and treatment on a weekly basis. Unhealed lesions could receive up to five repeated treatments, at weekly intervals, within a four-week period. Both M-stage and locomotion were also evaluated and scored weekly. Cows with healthily formed skin (stage M0) were deemed healed and subsequently released from the study.ResultsIn total, 163 M2 lesions were diagnosed at week 0. Bandaged M2 lesions had a significantly higher probability of cure than non-bandaged lesions regardless of treatment type (HR: 4.1; P<0.001; 95 per cent CI: 2.5 to 6.8). Most healing occurred within the first three weeks of trial. Furthermore, bandaged lesions (group 2 and group 4) were significantly less likely to progress into the chronic hyperkeratotic or proliferative stage (M4) than non-bandaged lesions in group 1 and group 3 (HR: 0.10; P<0.001; 95 per cent CI: 0.04 to 0.22). Out of concern for the cow’s wellbeing, this study investigated the effects of bandaging on locomotion. Bandaging had no effect on locomotion for either cows treated with CTC (group 1: median Sprecher score, 2; IQR=1–2; group 2: median Sprecher score, 2; IQR=1–3; P=0.3) or IHF (group 3: median Sprecher score, 2; IQR=1–2; group 4: median Sprecher score, 2; IQR=1–3; P=0.3).


2014 ◽  
Vol 37 (2) ◽  
pp. 171-177 ◽  
Author(s):  
Branko Atanasov ◽  
Ljupco Mickov ◽  
Igor Esmerov ◽  
Ksenija Ilievska ◽  
Martin Nikolovski ◽  
...  

AbstractPostpartum anestrus is a physiological phenomenon in high-producing dairy cows. Static ovaries have been related as major contributors for its occurrence causing a significant reproductive problem to the dairy industry. Different treatment methods have been employed with inconsistent rate of success in initiation of cyclicity, requiring further investigations in order to achieve satisfactory results. The aim of the present study was to compare the ovarian response in cows diagnosed with static ovaries, more than 60 days postpartum using two different hormonal treatment (GnRH and eCG) methods. A total of 58 acyclic cows (no CL, follicles<8mm, P4<0.5ng/mL) were randomly divided into three groups: GnRH (Group 1, n=23), eCG (Group 2, n=23) and Controls (n=12), and allocated thereafter, into subgroups according to the applied doses of GnRH (100μg or 250μg); eCG (750 IU or 1000 IU) whilst control group cows were left untreated. Daily follicular growth rate and treatment respond interval were estimated based on repeated ultrasound examinations. Blood serum P4 sampling was done on d -7, d-0 (start of the experiment) and on d 7 after ovulation. Resumption of cyclic activity occurred in 55.17% (32/58) of the treated cows, 56.52% in Group 1; 60.86% in Group 2 and 41.66% in the control group. Overall, the follicular growth rate was similar between the trials group and significant with regard to the cows in the control group (p<0.05). eCG or GnRH treated cows responded significantly faster 6.85±0.2 and 7.84±0.2 days, respectively, in comparison to the control group cows (17±0.7 days, p<0.001). Treatment with a single dose of GnRH or eCG caused resumption of follicular growth and ovulation following luteogenesis (forming CL) without significant changes in P4 concentrations on day 7 after ovulation (p>0.05). Cows in Group 2 had significantly higher incidence of multiple ovulations than cows in Group 1 (p<0.05). The eCG treatment resulted in a faster response and higher ovulation rate compared to GnRH treatment. In conclusion, both treatments have shown acceptable results in resumption of cyclicity in dairy cows with static ovaries.


2021 ◽  
pp. 187-189
Author(s):  
Garima Anant ◽  
Aman Kaur ◽  
Prakriti Prakriti

Background: Quadratus lumborum block is done ultrasonographically in thoracolumbar fascial plane at the level of quadratus lumborum muscle to decrease post-operative pain in patients who underwent laparoscopic cholecystectomy . Methods: A prospective, randomized and comparative study was conducted in Pt. B.D. Sharma PGIMS, Rohtak. After informed and written consent, patients were recruited in the study and assigned into 2 groups. A detailed history was taken and examination was carried out. Group 1 patients received Inj.. diclofenac IM (intramuscular) 75 mg and in group 2 Bilateral QL (quadratus lumborum) block was given using 15 ml of 0.25 percent levobupivacaine. The results were measured by VAS score and 24hrs fentanyl consumption. At the end of the study, data was compiled and analyzed using SPSS version 17. Results: In the present study, there was no statistical signicant difference between the two groups. We found that the patients who received quadratus lumborum block had lesser fentanyl consumption and the VAS scores were also better.


2001 ◽  
Vol 26 (2) ◽  
pp. 313-321 ◽  
Author(s):  
N. H. Gardner ◽  
C. K. Reynolds ◽  
R.H. Phipps ◽  
A.K. Jones ◽  
D.E. Beever

AbstractThe study compared the impact of feeding different energy supplements (barley, molassed sugar beet and fat) prior to calving and the effects of feeding supplemental fat post-partum, on subsequent production and reproductive efficiency of dairy cows. Forty-eight multiparous Holstein-Friesian dairy cows were assigned to one of two groups, six weeks prior to expected calving date and fed a grass based total mixed ration according to ME requirements for late gestation. Group 1 was supplemented with barley (B) or molassed sugar beet feed (SB) prior to calving and was then given a high starch lactation ration. Group 2 was supplemented with either fat (F) or no supplement (C) pre partum, and was then given a similar lactation ration as Group 1 but supplemented with fat. Lactation rations were fed through to week-20 post partum and the cows were monitored during this period. Milk yield (P<0.002) and milkfat (P<0.02) production were higher and milk protein concentration (P<0.001) was lower in Group 2. The number of days to first rise in progesterone following parturition was greater (P<0.01) in Group 2. Due to the design of the study, effects of prepartum supplementation were only evaluated within each lactation ration group. Conception rate to first service was higher (P<0.001) for B than SB supplemented cows in Group 1 and higher (P<0.02) for F than C supplemented cows in Group 2. Services per conception were lower (P=0.06) for B than SB supplemented cows in Group 1 and lower (P<0.05) for F than C supplemented cows in Group 2. Overall pregnancy rates and days open were not significantly different between the groups. The data shows that pre-partum nutrition had an important role in determining subsequent fertility. Despite having negative effects early post partum, supplementing with fat did not affect overall reproductive performance but it did improve milk production.


2014 ◽  
Vol 59 (No. 3) ◽  
pp. 128-133
Author(s):  
E.G. Salgado-Hernández ◽  
A. Aparicio-Cecilio ◽  
F.H. Velásquez-Forero ◽  
D.A. Castillo-Mata

Parturient paresis and subclinical hypocalcemia are frequent metabolic disorders in dairy cows postpartum. The aim of this study was to determine the effect of postpartum partial milking in the first two milkings on blood serum calcium concentration in dairy cows. Twenty multiparous Holstein dairy cows were randomized into two groups. Cows of group 1 (n = 10) were partially milked at the first and second milking postpartum. Cows of group 2 (n = 10) were completely milked. Blood samples were collected from all animals 5&ndash;7 days before calving, within 30 min after calving, and 4, 8, 12, 16, 20, 24, 28, and 32 h after calving for determination of serum calcium (Ca), phosphorus (P), and magnesium (Mg) concentrations. Colostrum production was registered and sampled in the first and second milking. Concentration of Ca in colostrum was determined by atomic absorption spectrophotometry. Serum Ca and P concentrations decreased in both groups after parturition (P &lt; 0.05) and remained low during 32 h postpartum with no difference observed between groups (P &gt; 0.05). Serum concentrations of Mg were stable in all samples and no statistical difference was observed between groups (P &gt; 0.05). Colostrum production was higher in completely milked cows only in the first postpartum milking (P &lt; 0.05), but there was no difference between groups at the second milking. Total Ca secretion in colostrum was higher in the complete milking group at the first and second postpartum milking. Colostrum Ca secretion increased at the second milking with respect to the first one in both groups (P &lt; 0.05). There was no correlation between serum Ca and colostrum Ca (P &gt; 0.05). In this study, the partial milking of colostrum in the first and second milking postpartum did not prevent subclinical hypocalcemia in dairy cows. &nbsp;


2011 ◽  
Vol 114 (5) ◽  
pp. 1360-1368 ◽  
Author(s):  
Young Seok Park ◽  
Jong Hee Chang ◽  
Yong Gou Park ◽  
Dong-Seok Kim

Object The object of this study was to compare the recurrence rates of cystic craniopharyngiomas after neuroendoscopic cyst fenestration combined with Gamma Knife surgery (GKS) and after subtotal resection (STR) combined with GKS. Methods The records of 27 patients (age range 3–66 years) with cystic craniopharyngiomas that were treated surgically or neuroendoscopically before GKS between January 2000 and December 2007 were reviewed to compare recurrence rates. The patients were divided into 2 groups: Group 1 (13 patients) received the neuroendoscopic procedure before GKS, and Group 2 (14 patients) received an STR followed by GKS. Tumor volumes, radiation doses, visual field defects, endocrine levels, and recurrences were compared between the 2 groups. Patients with solid tumors and those who underwent complete resection were excluded from the study. Results The recurrence rate for Group 1 was higher than that of Group 2 (p = 0.046). The radiation dose near the optic chiasm was higher in Group 1 (p = 0.021) than in Group 2. However, endocrine function was better preserved in Group 1 than in Group 2. Conclusions This investigation confirms that STR followed by GKS results in a lower recurrence rate than neuroendoscopy and GKS. Neuroendoscopy and GKS, however, results in a better preservation of endocrine function. These results suggest that a generalized multimodal approach including endoscopic fenestration in addition to GKS is hindered by higher recurrence rates.


2021 ◽  
Vol 8 ◽  
Author(s):  
Sonja Fontana ◽  
Clemens M. Schiestl ◽  
Markus A. Landolt ◽  
Georg Staubli ◽  
Sara von Salis ◽  
...  

Background: Although skin adhesives have been used for decades to treat skin lacerations, uncertainty remains about long-term results, and complications.Methods: In this prospective, controlled, single-blinded, observational cohort study, outcomes were assessed by five plastic surgeons with standardized photographs at 6–12 months using a modified Patient and Observer Scar Assessment Scale (POSAS) and Vancouver Scar Scale (VSS); additionally, the POSAS was performed by the patients/caregivers and the physician; pain, requirement of anesthesia, treatment time, costs, complications, and quality of live (QoL) were assessed.Results: A total of 367 patients were enrolled; 230 were included in the main analysis; 96 wounds were closed using tissue adhesives (group 1); 134 were sutured (group 2). Assessment by the independent observers revealed an improved mean modified overall POSAS score in group 1 in comparison with group 2 [2.1, 95% CI [1.97–2.25] vs. 2.5, 95% CI [2.39–2.63]; p &lt; 0.001, d = 0.58] and mean VSS score [1.2, 95% CI [0.981–1.34] vs. 1.6, 95% CI [1.49–1.79], p &lt; 0.001, d = 0.53]. At the early follow-up, dehiscence rate was 12.5% in group 1 and 3.7% in group 2 (p &lt; 0.001); later on, one dehiscence remained per group. Mild impairment of QoL was found at the early follow-up in both groups, with no impairment remaining later on. Duration of treatment and treatment costs were lower in group 1.Conclusion: Both modalities of wound closure yield favorable esthetic results, and complications are rare. Adhesives are more cost-effective, and its application is less time-consuming; therefore, tissue adhesives offer considerable advantages when used appropriately.Trial Registration: Public trial registration was performed at www.ClinicalTrials.gov (Identifier: NCT03080467).


2019 ◽  
Author(s):  
Jian Lv ◽  
Yan-ming Xie ◽  
Zhan Gao ◽  
Jian-wu Shen ◽  
Yue-yi Deng ◽  
...  

Abstract Background Acute uncomplicated lower urinary tract infection (UTI) is one of the most common bacterial infections. Patients usually present with dysuria, urinary urgency, urinary frequency and suprapubic pain or tenderness. Approximately 150 million people are diagnosed with UTI each year worldwide. The high recurrence rate of lower UTI is a common problem of clinical treatment. The misuse of antibiotics has led to the emergence of a number of resistant bacterial strains. Thus, traditional Chinese medicine is considered as an alternative option for treating acute uncomplicated lower UTI. Thus, this study aims to evaluate the efficacy, safety and recurrence rate of Sanjin tablets (SJT) for the treatment of acute uncomplicated lower UTI; explore whether SJT can reduce or substitute the use of antibiotics in the treatment of acute uncomplicated lower UTI. Methods/Design In this study, a randomized, double blind, double dummy, parallel control of positive drug, multicentre clinical study will be established. A total of 252 patients with acute uncomplicated lower UTI (syndrome of dampness-heat in the lower jiao) will be randomly allocated in the ratio of 1:1:1 to three groups: experimental group, control group 1 and control group 2. The experimental group receives Sanjin tablets plus levofloxacin tablets (LT) placebo; the control group 1 receives LT plus SJT placebo; and the control group 2 receives SJT plus LT on the first 5 days, SJT plus LT placebo on the last 2 days. Each group will be treated for 7 days and followed-up for 1-2 times. The primary outcome measures of effective rate and recurrence rate are symptoms. Secondary outcome measures of effective rate and recurrence rate are the urine leukocyte, bacteriology examination and safety assessment. Outcomes will be assessed at baseline and after treatment. Discussion This study protocol will provide the research data of efficacy, safety and recurrence rate of SJT for the treatment of acute uncomplicated lower UTI; explore the possibility of using SJT to reduce or substitute the use of antibiotics. The results of this study will improve the rational use of drugs, especially the rational application of antibiotics. It will also enable safety evaluation from laboratory indices and adverse events, which will provide reliable evidence for clinical treatment.


2019 ◽  
Author(s):  
Pramila Rijal ◽  
Bei Bei Wang ◽  
Tiong Kit Tan ◽  
Lisa Schimanski ◽  
Philipp Janesch ◽  
...  

AbstractThe majority of antibodies induced by influenza neuraminidase (NA), like those against hemagglutinin (HA), are relatively specific to viruses isolated within a limited time-window as seen in serological studies and the analysis of many murine monoclonal antibodies. We report three broadly reactive human monoclonal antibodies (mAbs) targeting N1 NA. Two were isolated from a young adult vaccinated with trivalent influenza vaccine (TIV), which inhibited N1 NA from viruses isolated from human over a period of a hundred years. The third antibody isolated from a child with acute mild H7N9 infection inhibited both group 1 N1 and group 2 N9 NAs. In addition, the antibodies cross-inhibited the N1 NAs of highly pathogenic avian H5N1 influenza viruses. These antibodies are protective in prophylaxis against seasonal H1N1 viruses in mice. This study demonstrates that human antibodies to N1 NA with exceptional cross-reactivity can be recalled by vaccination and highlights the importance of standardizing the NA antigen in seasonal vaccines to offer optimal protection.ImportanceAntibodies to the influenza NA can provide protection against influenza disease. Analysis of human antibodies to NA lags behind that for HA. We show that human monoclonal antibodies against NA induced by vaccination and infection can be very broadly reactive and able to inhibit a wide spectrum of N1 NAs between 1918 and 2018. This suggests that antibodies to NA may be a useful therapy, and that efficacy of influenza vaccines could be enhanced by ensuring appropriate content of NA antigen.Highlights of the paperAntibodies that inhibit influenza viruses with N1 neuraminidase (NA), with broad reactivity for viruses isolated between 1918-2018, can be isolated from human recipients of seasonal influenza vaccineAntibodies targeting N1 NA of human seasonal H1N1 viruses can cross-react with a variety of avian N1 neuraminidasesAcute H7N9 infection can recall memory B cells to N1 NA and elicit cross-reactive antibodies to the group 1 N1 and group 2 N9 NAsAntibodies to N1 NA with this broad reactivity protect against lethal virus challenge


2017 ◽  
Vol 29 (1) ◽  
pp. 143
Author(s):  
G. Tortorelli ◽  
A. J. Azrak ◽  
V. da Costa Andrade ◽  
R. dos Santos Ramos ◽  
A. S. Moraes ◽  
...  

Progesterone plays an important role in the maintenance of pregnancy. It is hypothesised that insufficient progesterone early in pregnancy may result in embryonic loss, and that supplemental progesterone would decrease pregnancy loss in dairy cows. The aim of this study was to compare the effect of progesterone supplementation after timed AI on pregnancy rate of dairy cows. The experiment was conducted in a single commercial herd, in Sao Paulo State (Brazil), during a period of 1 year (January–December 2016). The cows were assigned at a nonpregnancy diagnosis 32 ± 3 days after AI to 1 to 6 resynchronization treatments. They were submitted to the same fixed time AI protocol: Day 0, 0.1 mg of gonadorelin, 2 mg of oestradiol benzoate, and an intravaginal device of 1.9 g of progesterone; Day 7, 25 mg of dinoprost tromethamine; Day 8, 25 mg of dinoprost tromethamine, 1 mg of oestradiol cipionate, and device withdrawal; Day 10, AI. At Day 14, the cows were alternately arranged in 2 groups. Group 1 received a 900-mg progesterone supplementation IM injection, and Group 2 did not receive progesterone supplementation. Then, 32 ± 3 days after insemination, pregnancy diagnosis was performed by transrectal ultrasonography, and the data were tabulated. Full statistical analysis will be done at the end of the study, when more than 500 cows will be allocated to the 2 groups. From January until April 2016, 230 lactating dairy cows were submitted to the experiment. Both groups had similar average days in lactation (166), average number of lactations (1.95), and average number of inseminations (4.3). Group 1 had a pregnancy rate of 25% (29/116), and group 2 had a pregnancy rate of 15.8% (18/114) (P = 0.01, one-way ANOVA). Based on these preliminary data, pregnancy rates of lactating dairy cows may be improved with progesterone supplementation on Day 4 after insemination. These results need to be confirmed on larger numbers of cows.


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