Preoperative skin asepsis protocols using chlorhexidine versus povidone-iodine in veterinary surgery: A systematic review and meta-analysis.

OBJECTIVE To provide a systematic assessment of the efficacy of preoperative skin asepsis using chlorhexidine versus povidone-iodine based protocols for surgical site infection (SSI) prevention in veterinary surgery. STUDY DESIGN Systematic meta-analytical review according to PRISMA-P guidelines. SAMPLE POPULATION Studies comparing preoperative skin asepsis protocols using chlorhexidine versus povidone-iodine in veterinary surgery identified by systematic search between 1990 and 2020. METHODS A search using MEDLINE/Pubmed, Web of Science and CAB Abstracts was performed, followed by secondary searches of Google Scholar, Proquest Dissertation and Theses, and relevant bibliographic articles. Primary and secondary outcome measures were the efficacy of skin asepsis protocols using chlorhexidine versus povidone-iodine on SSI incidence and skin bacterial colonization, respectively. A meta-analysis was performed with a random-effect model, with effect size calculated as risk ratio (RR) or mean standard deviation (MSD) with 95% CI. Statistical significance was set at P < .05. RESULTS Among 1067 publications that met the initial search criteria, 9 relevant studies were eligible for analysis. No difference in the incidence of postoperative SSI or skin bacterial colonization between preoperative asepsis protocols using chlorhexidine versus povidone-iodine was found. Insufficient information and detail were frequent among studies and precluded a clear assessment of bias. CONCLUSION This study showed that asepsis protocols using chlorhexidine were comparable to povidone-iodine in preventing postoperative SSI and reducing skin bacterial colonization. CLINICAL SIGNIFICANCE Given the limitations of the studies that were included in terms of both quality and quantity, more high-quality randomized controlled trials are needed to confirm these conclusions

Reduction of Survey Sites in Dialectology: A New Methodology Based on Clustering

Many language change studies aim for a partial revisitation, i.e., selecting survey sites from previous dialect studies. The central issue of survey site reduction, however, has often been addressed only qualitatively. Cluster analysis offers an innovative means of identifying the most representative survey sites among a set of original survey sites. In this paper, we present a general methodology for finding representative sites for an intended study, potentially applicable to any collection of data about dialects or linguistic variation. We elaborate the quantitative steps of the proposedmethodology in the context of the “Linguistic Atlas of Japan” (LAJ). Next, we demonstrate the full application of the methodology on the “Linguistic Atlas of German-speaking Switzerland” (Germ.: “Sprachatlas der Deutschen Schweiz”—SDS), with the explicit aim of selecting survey sites corresponding to the aims of the current project “Swiss German Dialects Across Time and Space” (SDATS), which revisits SDS 70 years later. We find that depending on the circumstances and requirements of a study, the proposed methodology, introducing cluster analysis into the survey site reduction process, allows for a greater objectivity in comparison to traditional approaches. We suggest, however, that the suitability of any set of candidate survey sites resulting from the proposed methodology be rigorously revised by experts due to potential incongruences, such as the overlap of objectives and variables across the original and intended studies and ongoing dialect change

System Beratung

Was ist Beratung und wie funktioniert sie? Adrian Steiner gibt Antwort auf diese Fragen, indem er die formalen und funktionalen Merkmale einer idealtypischen Beratung festhält und dadurch den Blick auf die Qualität realer Beratungen ermöglicht. Wie beratend ist die Beratungspraxis tatsächlich? Diese Frage wird am Beispiel der Politikberatung ausführlich diskutiert. "Beratung" erweist sich als hochgradig neurotischer Begriff, der den fundamentalen Konflikt zwischen Anspruch (Reflexion) und Realität (Legitimation) widerspiegelt

Application note for the use of a wireless device measuring reticular pH under practice conditions in a Swiss dairy herd

Subacute ruminal acidosis (SARA) is caused by ingestion of diets high in rapidly fermentable carbohydrates and/ or deficient in physically active fiber, often suspected to occur in high yielding dairy cows. Although SARA has been defined as repeatedly occurring periods of low ruminal pH, both practical measuring methods and threshold values remain subject to research. Precision livestock farming comprises use of real-time monitoring and managing systems for livestock farmers. Reticular pH can be monitored continuously on individual cow level by use of an indwelling bolus situated in the reticulum, linked to a wireless data transmission system. Practical experience in use of such boluses is scarce. The first aim of this field application was to test a commercially available bolus under field conditions in a dairy herd, and to assess the data obtained on herd level. The second aim was to suggest criteria indicative of SARA on herd level. The threshold for this investigation was set at pH ≤ 5.5 for ≥ 3 h, simultaneously occurring in ≥ 3 cows, by combining a testing strategy and a threshold from two peer-reviewed publications. Of 15 boluses administered, 12 (80%) provided reliable data. Reticular pH was measured in 10-min intervals. Useful data were obtained during the first 80 days after bolus application. This was considerably lower than the 150 days as described by the manufacturer. Based on pH measurements, a mean individual pH curve for each cow was created through grouping pH values for each time point over the entire period. The mean individual curve showed a circadian pH change with low pH values in the evening and variation of mean individual pH values among cows. No event of three cows simultaneously showing a reticular pH ≤ 5.5 during a ≥ 3 h interval was recorded. Maximum time span during which pH was ≤ 5.5 in an individual cow was 4 h and 40 min. We conclude that use of the system on herd level is appropriate. Establishing a herd-level threshold for SARA based on continuous measuring systems requires integration of the mean individual pH curve, the individual minimal pH values, and the time span of low reticular pH

Locomotion behavior of dairy cows on traditional summer mountain farms in comparison with modern cubicle housing without access to pasture.

Pasture based systems enable cattle to express their natural behavior and are thus expected to provide better welfare than the majority of confinement systems. The aim of this study was to objectively measure locomotion activity of healthy dairy cattle kept on mountain pastures (n = 44) compared with cows kept in cubicle housing systems (n = 38). Selected cows were equipped with a validated 3D-accelerometer on one hind limb, and locomotion behavior was recorded for 48 hours. The 1-hour summaries of the variables lying time, walking time, standing bouts, walking bouts and number of strides were summed up to 24-hour summaries, and the means of the stride distance and stride duration were weighted by the variable number of strides. Mountain pasture cows had higher locomotor activity levels in comparison to cubicle cows. Mountain pasture cows spent less time lying down (528.1±109.5 min/day vs. 693.3±73.8 min/day; P<0.0001) and more time walking (75.6±25.9 min/day vs. 38.8±15.8 min/day; P <0.0001) than cubicle cows. Lying bout duration was longer in cubicle than in mountain pasture cows (90.9± 15.2 min/bout vs. 74.2 ± 21.1 min/bout; P = 0.0001), whilst the number of walking bouts was higher in mountain pasture cows than cubicle cows (199.1 ± 49.1 vs. 123.8 ± 43.8 bouts per day; P < 0.001). Likewise, the number of strides was higher in mountain pasture cows than cubicle cows (2040.5 ± 825.3 vs. 916.7 ± 408.6; P < 0.001). Mountain pasture cows had shorter stride duration (P < 0.0001) and shorter strides (P = 0.0002) than cubicle cows (1.8 ± 0.1 s/stride vs 2 ± 0.2 s/stride and 126.3 ± 18.1 vs 142.1 ± 17.8 m/stride, respectively). In summary, cows kept on mountain pasture were more active and spent longer than 12 hours / day standing. Lying markedly less than 12 hours per day seems to represent the normal behavior of pastured cows searching for fresh grass. This does not cause any obvious damage to the locomotor system as claws of cattle are well adapted to long periods of movement on mountain pastures

Case Report: Proximal Phalangeal Fracture Management in a European Bison (Bison bonasus).

Fracture of the digits is a well-known orthopedic condition in adult cattle, and mainly the distal phalanx (P3) is involved. To our knowledge, the treatment of fractures of the middle (P2) and proximal (P1) phalanges with orthopedic claw blocks has not yet been described in cattle and other ruminants. This report describes the first case of the successful management of a P1 fracture in an adult European bison. A 5-year-old female European bison (Bison bonasus) presented with severe weight bearing lameness of the left hind limb and a marked soft tissue swelling accentuated over the plantar and lateral aspects of the proximal and middle phalanges, associated with multifocal light bluish discoloration of the skin (hematoma) and increased local temperature. The cow was examined and managed because of a severely comminuted fracture of the lateral P1 of the left hind limb. Application of an orthopedic block on the healthy medial partner claw allowed to reduce the load of the affected digit. Combined with the administration of non-steroidal anti-inflammatory drugs, it supported immobilization and recovery. Radiographic re-evaluations at weeks 6, 9, and 11 after the injury revealed progressive callus formation and fracture consolidation. From week 9 onwards, until the end of treatment, no lameness was observed. The healing process was good, and both clinical and radiographical improvement were evident after immobilizing the affected digit by applying an orthopedic claw block on the healthy partner claw and administering non-steroidal anti-inflammatory drugs

Ovine footrot: A review of current knowledge

Footrot is a contagious foot disease mainly affecting sheep. It is caused by the Gram-negative anaerobic bacterium Dichelobacter nodosus. Warm, wet environmental conditions favour development of footrot, and under perfect conditions, it takes just 2–3 weeks from infection to manifestation of clinical signs. Affected sheep show lameness of various degrees and often graze while resting on their carpi. Local clinical signs vary in severity and extent from interdigital inflammation (benign footrot) to underrunning of the complete horn shoe in advanced stages of virulent footrot. Laboratory diagnosis ideally involves collection of four-foot interdigital swab samples followed by competitive real time PCR, allowing for detection of the presence of D. nodosus and differentiation between benign and virulent strains. Laboratory-based diagnostics at the flock level based on risk-based sampling and pooling of interdigital swab samples are recommended. The list of treatment options of individual sheep includes careful removal of the loose undermined horn, local or systemic administration of antimicrobials, systemic administration of non-steroidal anti-inflammatories (NSAIDs) and disinfectant footbathing. Strategies for control at the flock level are manifold and depend on the environmental conditions and the procedures traditionally implemented by the respective country. Generally, measures consist of treatment/culling of infected sheep, vaccination and prevention of reinfection of disease-free flocks. Gaining deeper insight into the beneficial effects of NSAIDs, screening for eco-friendly footbath solutions, developing better vaccines, including the development of a robust, reproducible infection model and elucidation of protective immune responses, as well as the elaboration of effective awareness training programs for sheep farmers, are relevant research gaps

Detection and localisation of unilateral hindlimb pathologies in cattle using the cow pedogram.

ISSN:0042-490