Evaluation of Teat Coverage Persistency and Teat Health for Four New Prototype Dry Period Persistent Barrier Teat Dips

Mastitis research has shown that 40–50% of intramammary infections (IMI) are contracted during the dry or non-lactating period with the greatest percentages of these occurring during the first and last two weeks of the dry period. The ability to develop and apply external persistent barrier teat dip products (like a liquid bandage) that can persist for these 1 week periods could decrease IMI, thus improving animal health and performance, and product quality and safety. The objective of this study was to evaluate 4 new prototype faster drying persistent barrier dry cow teat dips, with particular interest and comparisons of dip persistency in providing teat end protection, and overall teat end and skin health. Dipping with the new fast drying dip (A, B, C, D) resulted in similar excellent teat end and skin health. Overall persistency was lower (only 5-35% teats protected for 3days), especially compared to commercial T-Hexx Dry. The stranding and stringing of these dips upon drying created problems with the dip sticking to legs and/ or being pulled off easier. Dip C did not show this and had higher persistency @ day 2, but all dips showed inferior persistency @ day 3 (similar to other fast dry dip trials) compared to commercially available T-Hexx Dry teat dip product. Overall, the new experimental dips were inferior to the commercial T-Hexx Dry product!Also, every future trial should have commercial T-Hexx Dry incorporated into it so direct comparisons within cow and trial can be made

Evaluation of Mare’s Milk Composition and Quality during Lactation

Our objective was to evaluate changes in the composition and quality of mare’s milk throughout lactation. Milk samples were obtained from fifteen mares immediately after foaling, and then once weekly from the first week of lactation up until the second through eighth week depending on the foaling date of each mare. Samples averaging 3 mL for colostrum samples, 3 mL for weekly sampling thereafter, and 2 oz. for DHI milk composition analysis, were collected after each teat was disinfected with a cotton ball that was moistened with 70% ethanol. Each 3 mL sample was examined for microbial growth via the application of approximately 0.1 mL milk sample on ¼ of a blood agar culture plate which was then incubated for 24 to 48 hours before being analyzed. Each 2 oz. sample was analyzed for fat, protein, lactose, milk urea nitrogen, and somatic cell count. The concentrations of fat, protein, and somatic cell counts decreased as a whole throughout lactation, while lactose and milk urea nitrogen concentrations increased. The averages for fat, protein, lactose, milk urea nitrogen, and somatic cell count were 1.73%, 2.08%, 6.62%, 25.77mg/dl, and 79,000 cells/ml (39,000 cells/ml without 1 outlier sample), respectively for the collection period. No bacterial infections were found on the culture plates. A California Mastitis Test (CMT) was also conducted, of which no inflammatory results were found. All mares maintained good condition throughout lactation, and foals grew well. Overall, composition was similar to other studies with horses showing excellent mammary health and milk quality

Effectiveness of individualized physiotherapy on pain and functioning compared to a standard exercise protocol in patients presenting with clinical signs of subacromial impingement syndrome. A randomized controlled trial

<p>Abstract</p> <p>Background</p> <p>Shoulder impingement syndrome is a common musculoskeletal complaint leading to significant reduction of health and disability. Physiotherapy is often the first choice of treatment although its effectiveness is still under debate. Systematic reviews in this field highlight the need for more high quality trials to investigate the effectiveness of physiotherapy interventions in patients with subacromial impingement syndrome.</p> <p>Methods/Design</p> <p>This randomized controlled trial will investigate the effectiveness of individualized physiotherapy in patients presenting with clinical signs and symptoms of subacromial impingement, involving 90 participants aged 18-75. Participants are recruited from outpatient physiotherapy clinics, general practitioners, and orthopaedic surgeons in Germany. Eligible participants will be randomly allocated to either individualized physiotherapy or to a standard exercise protocol using central randomization.</p> <p>The control group will perform the standard exercise protocol aiming to restore muscular deficits in strength, mobility, and coordination of the rotator cuff and the shoulder girdle muscles to unload the subacromial space during active movements. Participants of the intervention group will perform the standard exercise protocol as a home program, and will additionally be treated with individualized physiotherapy based on clinical examination results, and guided by a decision tree. After the intervention phase both groups will continue their home program for another 7 weeks.</p> <p>Outcome will be measured at 5 weeks and at 3 and 12 months after inclusion using the shoulder pain and disability index and patients' global impression of change, the generic patient-specific scale, the average weekly pain score, and patient satisfaction with treatment. Additionally, the fear avoidance beliefs questionnaire, the pain catastrophizing scale, and patients' expectancies of treatment effect are assessed. Participants' adherence to the protocol, use of additional treatments for the shoulder, direct and indirect costs, and sick leave due to shoulder complaints will be recorded in a shoulder log-book.</p> <p>Discussion</p> <p>To our knowledge this is the first trial comparing individualized physiotherapy based on a defined decision making process to a standardized exercise protocol. Using high-quality methodologies, this trial will add evidence to the limited body of knowledge about the effect of physiotherapy in patients with SIS.</p> <p>Trial registration</p> <p>Current Controlled Trials ISRCTN86900354</p

Magnetic resonance imaging, magnetic resonance arthrography and ultrasonography for assessing rotator cuff tears in people with shoulder pain for whom surgery is being considered

Background Shoulder pain is a very common symptom. Disorders of the rotator cuff tendons due to wear or tear are among the most common causes of shoulder pain and disability. Magnetic resonance imaging (MRI), magnetic resonance arthrography (MRA) and ultrasound (US) are increasingly being used to assess the presence and size of rotator cuff tears to assist in planning surgical treatment. It is not known whether one imaging method is superior to any of the others.Objectives To compare the diagnostic test accuracy of MRI, MRA and US for detecting any rotator cuff tears (i.e. partial or full thickness) in people with suspected rotator cuff tears for whom surgery is being considered.Search methods We searched the Cochrane Register of Diagnostic Test Accuracy Studies, MEDLINE, EMBASE, and LILACS from inception to February 2011. We also searched trial registers, conference proceedings and reference lists of articles to identify additional studies. No language or publication restrictions were applied.Selection criteria We included all prospective diagnostic accuracy studies that assessed MRI, MRA or US against arthroscopy or open surgery as the reference standard, in people suspected of having a partial or full thickness rotator cuff tear. We excluded studies that selected a healthy control group, or participants who had been previously diagnosed with other specific causes of shoulder pain such as osteoarthritis or rheumatoid arthritis. Studies with an excessively long period (a year or longer) between the index and reference tests were also excluded.Data collection and analysis Two review authors independently extracted data on study characteristics and results of included studies, and performed quality assessment according to QUADAS criteria. Our unit of analysis was the shoulder. for each test, estimates of sensitivity and specificity from each study were plotted in ROC space and forest plots were constructed for visual examination of variation in test accuracy. Meta-analyses were performed using the bivariate model to produce summary estimates of sensitivity and specificity. We were unable to formally investigate potential sources of heterogeneity because of the small number of studies.Main results We included 20 studies of people with suspected rotator cuff tears (1147 shoulders), of which six evaluated MRI and US (252 shoulders), or MRA and US (127 shoulders) in the same people. Many studies had design flaws, with the potential for bias, thus limiting the reliability of their findings. Overall, the methodological quality of the studies was judged to be low or unclear. for each test, we observed considerable heterogeneity in study results, especially between studies that evaluated US for the detection of full thickness tears and studies that evaluated MRA for the detection of partial thickness tears. the criteria for a positive diagnostic test (index tests and reference standard) varied between studies.Meta-analyses were not possible for studies that assessed MRA for detection of any rotator cuff tears or partial thickness tears. We found no statistically significant differences in sensitivity or specificity between MRI and US for detecting any rotator cuff tears (P = 0.13), or for detecting partial thickness tears (P = 1.0). Similarly, for the comparison between MRI, MRA and US for detecting full thickness tears, there was no statistically significant difference in diagnostic performance (P = 0.7). for any rotator cuff tears, the summary sensitivity and specificity were 98% (95% CI 92% to 99%) and 79% (95% CI 68% to 87%) respectively for MRI (6 studies, 347 shoulders), and 91% (95% CI 83% to 95%) and 85% (95% CI 74% to 92%) respectively for US (13 studies, 854 shoulders). for full thickness tears, the summary sensitivity and specificity were 94% (95% CI 85% to 98%) and 93% (95% CI 83% to 97%) respectively for MRI (7 studies, 368 shoulders); 94% (95% CI 80% to 98%) and 92% (95% CI 83% to 97%) respectively for MRA (3 studies, 183 shoulders); and 92% (95% CI 82% to 96%) and 93% (95% CI 81% to 97%) respectively for US (10 studies, 729 shoulders).Because few studies were direct head-to-head comparisons, we could not perform meta-analyses restricted to these studies. the test comparisons for each of the three classifications of the target condition were therefore based on indirect comparisons which may be prone to bias due to confounding.Authors' conclusions MRI, MRA and US have good diagnostic accuracy and any of these tests could equally be used for detection of full thickness tears in people with shoulder pain for whom surgery is being considered. the diagnostic performance of MRI and US may be similar for detection of any rotator cuff tears. However, both MRI and US may have poor sensitivity for detecting partial thickness tears, and the sensitivity of US may be much lower than that of MRI. the strength of evidence for all test comparisons is limited because most studies were small, heterogeneous and methodologically flawed, and there were few comparative studies. Well designed studies that directly compare MRI, MRA and US for detection of rotator cuff tears are needed.Universidade Federal de São Paulo, BrazilParker Institute, DenmarkOak FoundationTeesside University, UKUniversidade Federal de São Paulo, Dept Orthopaed & Traumatol, BR-04038032 São Paulo, BrazilMonash Univ, Sch Publ Hlth & Prevent Med, Dept Epidemiol & Prevent Med, Monash Dept Clin Epidemiol,Cabrini Hosp, Malvern, AustraliaUniv Birmingham, Birmingham, W Midlands, EnglandUniv Teesside, Hlth & Social Care Inst, Middlesbrough, Cleveland, EnglandUniversidade Federal de São Paulo, Dept Orthopaed & Traumatol, BR-04038032 São Paulo, BrazilWeb of Scienc

Evaluation of Teat Coverage Persistency and Teat Health for Four New Prototype Dry Period Persistent Barrier Teat Dips

Mastitis research has shown that 40–50% of intramammary infections (IMI) are contracted during the dry or non-lactating period with the greatest percentages of these occurring during the first and last two weeks of the dry period. The ability to develop and apply external persistent barrier teat dip products (like a liquid bandage) that can persist for these 1 week periods could decrease IMI, thus improving animal health and performance, and product quality and safety. The objective of this study was to evaluate 4 new prototype faster drying persistent barrier dry cow teat dips, with particular interest and comparisons of dip persistency in providing teat end protection, and overall teat end and skin health. Dipping with the new fast drying dip (A, B, C, D) resulted in similar excellent teat end and skin health. Overall persistency was lower (only 5-35% teats protected for 3days), especially compared to commercial T-Hexx Dry. The stranding and stringing of these dips upon drying created problems with the dip sticking to legs and/ or being pulled off easier. Dip C did not show this and had higher persistency @ day 2, but all dips showed inferior persistency @ day 3 (similar to other fast dry dip trials) compared to commercially available T-Hexx Dry teat dip product. Overall, the new experimental dips were inferior to the commercial T-Hexx Dry product!Also, every future trial should have commercial T-Hexx Dry incorporated into it so direct comparisons within cow and trial can be made.</p

Evaluation of Mare’s Milk Composition and Quality during Lactation

Our objective was to evaluate changes in the composition and quality of mare’s milk throughout lactation. Milk samples were obtained from fifteen mares immediately after foaling, and then once weekly from the first week of lactation up until the second through eighth week depending on the foaling date of each mare. Samples averaging 3 mL for colostrum samples, 3 mL for weekly sampling thereafter, and 2 oz. for DHI milk composition analysis, were collected after each teat was disinfected with a cotton ball that was moistened with 70% ethanol. Each 3 mL sample was examined for microbial growth via the application of approximately 0.1 mL milk sample on ¼ of a blood agar culture plate which was then incubated for 24 to 48 hours before being analyzed. Each 2 oz. sample was analyzed for fat, protein, lactose, milk urea nitrogen, and somatic cell count. The concentrations of fat, protein, and somatic cell counts decreased as a whole throughout lactation, while lactose and milk urea nitrogen concentrations increased. The averages for fat, protein, lactose, milk urea nitrogen, and somatic cell count were 1.73%, 2.08%, 6.62%, 25.77mg/dl, and 79,000 cells/ml (39,000 cells/ml without 1 outlier sample), respectively for the collection period. No bacterial infections were found on the culture plates. A California Mastitis Test (CMT) was also conducted, of which no inflammatory results were found. All mares maintained good condition throughout lactation, and foals grew well. Overall, composition was similar to other studies with horses showing excellent mammary health and milk quality.</p