VTechWorks Repository :: Browsing by Author "McKenzie, Harold C."

Browsing by Author "McKenzie, Harold C."

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The Chondroid Conundrum: Transpharyngeal Removal of Guttural Pouch Chondroids in Horses
Cardona, Guillermo Andres (Virginia Tech, 2023-08-18)
The Clinical Pharmacology and Therapeutic Evaluation of Non-Steroidal Anti-Inflammatory Drugs in Adult Horses
Mercer, Melissa A.; Davis, Jennifer L.; McKenzie, Harold C. (MDPI, 2023-05-10)
This review firstly examines the underlying pathophysiology of pain and inflammation associated with orthopedic disease and endotoxemia. Then, it reviews the clinical pharmacology (pharmacokinetics and pharmacodynamics) of both conventional and non-conventional NSAIDs in the adult horse, and finally provides an overview of different modalities to evaluate the therapeutic efficacy of NSAIDs in research.
The Clinical Pharmacology of Acetaminophen in Adult Horses
Mercer, Melissa Ann (Virginia Tech, 2022-08-18)
Non-steroidal anti-inflammatory drugs (NSAIDs) are a mainstay of the management of pain and inflammation associated with musculoskeletal disorders and systemic inflammation in horses. The most utilized NSAIDs in equine practice are non-selective cyclooxygenase (COX) inhibitors, such as flunixin meglumine and phenylbutazone, which act through global inhibition of prostaglandin synthesis and release. While non-selective COX inhibitors are effective as anti-inflammatory agents, they are mired with complications with prolonged or high-dose use, particularly in critically ill patients. Therefore, non-selective COX-inhibitors have been displaced by selective COX-2 inhibitors for many practitioners due to the perceived reduced risk of gastrointestinal complications. It should be noted, however, that the use of COX-2 selective inhibitors in horses is not without risk. Due to the potential for significant adverse events in horses with critical illness treated with traditional NSAIDs, there is clinical need for safe, and effective anti-inflammatories and anti-pyretics for administration in these patients. The studies presented in this dissertation explore the pharmacokinetics, efficacy, and safety of acetaminophen in adult horses for use in musculoskeletal pain and pyrexia. In the first study, the pharmacokinetics and efficacy of oral acetaminophen at two different doses (20 mg/kg and 30 mg/kg) were examined in an experimentally induced lameness model and the analgesic efficacy of acetaminophen was compared to placebo and the non-selective COX inhibitor phenylbutazone. Acetaminophen when administered at 30 mg/kg produced a more rapid onset of greater improvement in subjective lameness scores and heart rate compared to other treatments in this model, and therefore would be more suitable as a monotherapy than acetaminophen dosed at 20 mg/kg. Acetaminophen dosed at 30 mg/kg resulted in a more rapid improvement in lameness scores than phenylbutazone at 2.2 mg/kg and was equivalent to phenylbutazone in lameness score reduction. However, results of this study necessitated further evaluation of the pharmacokinetics and safety of repeated oral dosing of acetaminophen at 30 mg/kg orally every 12 hours to determine clinical utility. In the second study, the pharmacokinetics, efficacy, and safety of oral acetaminophen (30 mg/kg) were examined in adult horses with naturally occurring chronic lameness. In that study, following 21 days of twice daily oral dosing at 30 mg/kg, acetaminophen was found to be safe with no evidence of gastric ulceration or hepatopathy in horses. Acetaminophen at 30 mg/kg twice daily for 21 days provided transient improvement in subjective and objective lameness evaluation when compared to baseline evaluation; however, the study concluded that acetaminophen may not be suitable as a monotherapy for management of moderate to severe orthopedic pain in horses In the third study, the pharmacokinetics and efficacy of oral acetaminophen (30 mg/kg) was examined in adult horses with experimentally induced endotoxemia when compared to placebo and the nonselective COX inhibitor flunixin meglumine. That study found that acetaminophen was superior to placebo and not statistically different from flunixin meglumine in reducing rectal temperature in adult horses with experimentally induced endotoxemia and may be an option for antipyresis in clinical cases, particularly when administration of traditional NSAIDs is contraindicated. Furthermore, acetaminophen administered at 30 mg/kg orally to adult horses with experimentally induced endotoxemia is an effective antipyretic but is unlikely to provide any alteration in systemic inflammatory response.
The effects of bit chewing on gastric emptying and orocecal transit times in clinically normal horses
Patton, Molly Elizabeth (Virginia Tech, 2023-02-14)
Small intestinal ileus affects up to half of all horses undergoing small intestinal surgery, leading to prolonged gastrointestinal (GI) transit time which can be life-threatening. Various prokinetic medications have been associated with varying side effects, questionable efficacy, and increased cost. Gum chewing as a form of sham feeding is used as a safe, effective, well-tolerated, and inexpensive way to ameliorate ileus following GI surgery in humans. Bit chewing for horses, an analogous activity, has been shown to significantly decrease GI total transit time (TTT); however, a direct effect of bit chewing on gastric emptying time (GET), small intestinal transit time (SITT), and total orocecal transit time (OCTT) has not been investigated. Our objective was to determine whether bit chewing increased small intestinal motility and decreased GE, SITT, and OCTT in clinically normal horses. Gastrointestinal motility was compared in horses that were bit chewing compared to control conditions (no bit chewing) in a prospective crossover design study using acetaminophen as a marker for GET and video endoscopy (ALICAM) capsules to determine GET, SITT, and OCTT. Bit chewing was well tolerated by all horses with no side effects noted. Bit chewing led to a shorter GET, SITT, and significantly shorter OCTT when compared to the control group (P = 0.015). Median times for bit chewing conditions were as follows: GE 2.86 hr, SITT 3.65 hr, and OCTT 6.15 hr whereas the median times for control conditions were as follows: GE: 5 hr, SITT 4.4 hr, and OCTT 9.92 hr. In summary, bit chewing proves to be a potential tool to hasten the motility of the oral GIT. It is safe, inexpensive, and potentially effective prokinetic treatment to horses suffering from postoperative ileus and further investigation is warranted.
Effects of Bit Chewing on Gastric Emptying, Small Intestinal Transit, and Orocecal Transit Times in Clinically Normal Horses
Patton, Molly E.; Andrews, Frank M.; Bogers, Sophie Helen; Wong, David; McKenzie, Harold C.; Werre, Stephen R.; Byron, Christopher R. (MDPI, 2023-08-04)
Ileus is a common life-threatening problem in horses, and currently available treatments may be ineffective. The purpose of this study was to determine whether bit chewing, a form of sham feeding, decreases the gastric emptying time (GET), small intestinal transit time (SITT), and total orocecal transit time (OCTT) in clinically normal horses in a prospective crossover study. Nine healthy horses were acclimated and fed a standardized diet. Following 24 h of fasting, self-contained video endoscopy capsules and acetaminophen were administered into the stomach via a nasogastric tube. Each horse underwent experimental (bit chewing for 20 min every 6 h) or control (no bit chewing) conditions, with a 3-week minimum washout period between conditions. The horses were enrolled in either part of the study until all video capsules were retrieved and/or 30 days lapsed. The video capsules were recovered from manure, and GET, SITT, and OCTT were determined from a video analysis. Bit chewing significantly decreased OCTT (p = 0.015) compared to the control conditions. Bit chewing decreased GET and SITT, but the differences were not significant. The mean (median) times determined via the video capsule analysis for the bit-chewing conditions were as follows: GET, 2.34 h (2.86 h); SITT, 3.22 h (3.65 h); and OCTT, 5.13 h (6.15 h), and for the control conditions, they were as follows: GET, 3.93 h (5 h); SITT, 3.79 h (4.4 h); and OCTT, 8.02 h (9.92 h). Bit chewing decreased OCTT in healthy horses. Because this segment of the gastrointestinal tract is frequently affected by ileus, bit chewing may be a safe and inexpensive intervention for that condition in horses. Further investigation in clinical patients with ileus is warranted.
Examining Student Perceptions of Professional Competency Teaching in Veterinary Education
Byrnes, Meghan Kathleen (Virginia Tech, 2021-12-13)
The purpose of this dissertation is first to provide an overview of professional competency development and teaching in veterinary education, and then to address the dearth of research in this area by examining students' motivational perceptions of their courses, how these perceptions compare and contrast across courses, and how their perceptions relate to their effort levels and course ratings. Professional competencies encompass cognitive, social, and personal resource skills such as interpersonal communication skills, collaboration, management, promotion of public health, lifelong learning, ethics, diversity competence, and adaptability to changing environments. The inclusion of professional competencies as a requisite portion of the veterinary curriculum has evolved substantially over the past 20 years. In this dissertation, two manuscripts are presented. The first (Chapter 2) is a literature review exploring the past 20 years of professional competency teaching and its development within, and inclusion into, the veterinary curriculum. The first manuscript concludes by describing recommendations from the literature for effective methods of inclusion of professional competencies into the veterinary curriculum. The second manuscript (Chapter 3) details a study conducted in a veterinary college with the aim of determining the extent to which students' motivational perceptions of their courses affect their effort and course ratings in veterinary courses. A second purpose of this study was to identify teaching strategies that can be used to improve the quality of teaching in professional competency courses. Results indicated that perceptions of empowerment, usefulness, and interest have the strongest relationship with effort and course ratings. Based on student responses to open-ended items, suggestions were made that instructors can use to improve student perceptions in their courses as a means to potentially increase student effort levels and overall course ratings. Together, these manuscripts contribute to current motivational theories and offer instructional design ideas to curriculum designers and educators who wish to improve students' motivation and engagement in professional competency development.
Glucocorticoid Receptor Density and Binding Affinity in Horses with Systemic Inflammatory Response Syndrome
Hoffman, Crystal Joyce (Virginia Tech, 2014-06-03)
There were three objectives of this study. The first was to determine if commercially available fluorochromes could be used to determine the glucocorticoid receptor (GR) density and binding affinity (BA) in equine peripheral blood mononuclear cells. The second was to determine if there was a correlation between elevated plasma cortisol and GR density or binding affinity in healthy adult horses. The third objective was to evaluate the HPA axis in adult horses presenting with systemic inflammatory response syndrome (SIRS), and to determine where any alterations in HPA axis function occur in these patients compared to healthy adults. For the first part of the study, peripheral venous blood was collected from 3 healthy research horses on 3 days. Peripheral blood mononuclear cells were isolated using Ficoll gradient centrifugation. Phycoerythrin (PE)-CD44 was then used to extracellularly label leukocytes, and then an intracellular GR antibody was used to determine a baseline measurement of GR density and fluorescein isothiocyanate (FITC)-dexamethasone was used to determine binding affinity via flow cytometric analysis. Comparison of control samples to those for CD44, GR density, and GR binding affinity showed a statistically significant difference for all samples (P<0.0001, P<0.0001, and P<0.0001 respectively). This showed that the CD44, GR antibody, and FITC-dexamethasone could successfully be used to analyze equine peripheral blood mononuclear cells for GR activity. For the second part of the study, an ACTH stimulation test was performed on 8 healthy horses in order to induce an increase in endogenous cortisol production. Plasma cortisol levels, GR density, and GR binding affinity were measured at baseline, 4, 8, and 24 hours after treatment. Median basal cortisol concentration was 4.9, range 3.2-6.1 μg/dl. This initially increased following ACTH stimulation to 5.6, range 4.8-7.4 μg/dl, then showed a significant decrease by 8 hours post ACTH administration to 1.4, range 1.1-2.7 μg/dl (P=0.0221). No correlation was observed between plasma cortisol concentration in healthy horses and GR density or binding affinity (r=-0.145, P=0.428 and r=0.046, P=0.802, respectively). For the third phase of the study, horses (N=10) with systemic inflammatory response syndrome (SIRS) were compared to healthy, age and sex matched controls (N=10) presenting for lameness evaluation or ophthalmologic examination. Blood was collected from SIRS cases and controls on presentation to the Equine Medical Center. A CBC, serum biochemistry, and serum ACTH and cortisol measurements were performed. GR density and binding affinity were also determined. Nonsurvivors had a significantly decreased GR binding affinity (P=0.008) and demonstrated a trend towards an increase in the ACTH:cortisol ratio. ROC analysis was performed for serum ACTH and cortisol concentrations, the ACTH:cortisol ratio, GR density and GR binding affinity, and triglycerides to determine cut-off values associated with nonsurvival. These were then used to analyze this population using Fischer's exact test to determine the odds ratio (OR) associated with nonsurvival for each variable. This revealed that a serum triglyceride concentration greater than 28.5 mg/dl was associated with nonsurvival (OR=117, 95% CI, 1.94-7060). The other variables were not found to be significantly associated with nonsurvival, although a Delta BA% of less than 35.79% was found to be closely associated with nonsurvival (OR=30.33, 95% CI, 0.96-960.5). Additionally, a significant negative correlation was detected between the plasma ACTH concentration and Delta BA% (r=-0.685, P=0.029) and the ACTH:cortisol ratio and the Delta BA% (r=-0.697, P=0.025). This study showed that nonsurviving horses with SIRS had a significantly decreased GR binding affinity compared to survivors, and a tendency toward an increase in their ACTH:cortisol ratios. This confirms that HPA axis dysfunction occurs in adult horses with SIRS as tissue resistance to glucocorticoids, and potentially relative adrenal insufficiency as well. These results suggest that there are horses with SIRS that might benefit from "physiologic" doses of synthetic glucocorticoids to complement their relative adrenal insufficiency in addition to their poor tissue sensitivity. Further research should focus on methods to more rapidly determine which horses might benefit from treatment with glucocorticoids on presentation, as well as to more accurately determine prognosis for survival.
The influence of equine bone marrow derived stem cells on the response of cultured peripheral blood mononuclear cells to endotoxin
MacDonald, Elizabeth Steward (Virginia Tech, 2015-10-05)
Endotoxemia is a major cause of morbidity and mortality in horses. The presence of large amounts of circulating endotoxin inititates a number of cell signaling pathways leading to a systemic inflammatory response. Activation of these pathways causes the release of a number of pro- and anti-inflammatory mediators. An overwhelming release of these mediators leads to the development of clinical signs associated with endotoxemia. Treatment options are limited mostly to supportive care at this time. Mesenchymal stem cells (MSCs) have been shown to have anti-inflamamtory and immune modulatory effects that may have some benefit for the treatment of horses with endotoxemia. To evaluate the effect of equine MSCs on the response to endotoxin challenge, the study was performed on two different stem cell lines with peripheral blood mononuclear cells (PBMCs) used as controls. After stimulation with endotoxin, secretion of tumor necrosis factor alpha (TNF-α), interleukin-6 (IL-6), interleukin-10 (IL-10), and interferon gamma (IFN-γ) were determined by ELISA. The immunogenic properties of MSCs were assessed with a one-way mixed lymphocyte reaction. In addition, the ability of MSCs to alter production of cytokines from stimulated PBMCs was assessed. TNF-α was not produced by MSCs when compared to PBMCs (p = < 0.001). There was no significant difference between MSCs and PBMCs in the production of IL-6. IL-10 production was significantly different (p = <0.001) at 6 and 12 hours with MSCs producing more than PBMCs in one stem cell line only. MSCs did not stimulate proliferation of PBMCs. Co-incubation of MSCs with PBMCs decreased the production of TNF-α in both stem cell lines although it was not statistically significant (p = 0.4 and 0.9) at either time point. IL-6 secretion was suppressed at twelve hours with co-incubation. IL-10 production was increased with co-incubation in one stem cell line. MSCs secrete soluble factors that can alter PBMC cytokine production and they do not appear to be immunostimulatory. These findings have potential implication for treatment of equine inflammatory conditions.
Pharmacokinetics and efficacy of orally administered acetaminophen (paracetamol) in adult horses with experimentally induced endotoxemia
Mercer, Melissa A.; Davis, Jennifer L.; McKenzie, Harold C.; Messenger, Kristen M.; Schaefer, Emily; Council-Troche, R. McAlister; Werre, Stephen R. (Wiley, 2023-03-01)
Background: Acetaminophen has been evaluated in horses for treatment of musculoskeletal pain but not as an antipyretic. Objectives: To determine the pharmacokinetics and efficacy of acetaminophen compared to placebo and flunixin meglumine in adult horses with experimentally induced endotoxemia. Animals: Eight university owned research horses with experimentally induced endotoxemia. Methods: Randomized placebo controlled crossover study. Horses were treated with acetaminophen (30 mg/kg PO; APAP), flunixin meglumine (1.1 mg/kg, PO; FLU), and placebo (PO; PLAC) 2 hours after administration of LPS. Plasma APAP was analyzed via LC-MS/MS. Serial CBC, lactate, serum amyloid A, heart rate and rectal temperature were evaluated. Serum IL-1β, IL-6, IL-8, IL-10, and TNF-α were evaluated by an equine-specific multiplex assay. Results: Mean maximum plasma APAP concentration was 13.97 ± 2.74 μg/mL within 0.6 ± 0.3 hour after administration. At 4 and 6 hours after treatment, both APAP (P = <.001, P =.03, respectively) and FLU (P =.0045 and P <.001, respectively) had a significantly greater decrease in rectal temperature compared to placebo. FLU caused greater heart rate reduction than APAP at 4 and 6 hours (P =.004 and P =.04), and PLAC at 4 hours (P =.05) after treatment. Conclusions and Clinical Importance: The pharmacokinetics of acetaminophen in endotoxemic horses differ from those reported by previous studies in healthy horses. Acetaminophen is an option for antipyresis in clinical cases, particularly when administration of traditional NSAIDs is contraindicated.
Pharmacokinetics and pulmonary distribution of Draxxin® (tulathromycin) in healthy adult horses
Leventhal, Hannah Rani (Virginia Tech, 2021-10-13)
The objective of this study was to determine the pharmacokinetics and tolerance of tulathromycin (Draxxin®; 2.5 mg/kg once) after intramuscular (IM), subcutaneous (SC), and slow intravenous (IV) administration to six adult horses. A three-phase design and 4-week washout period were used. Drug concentrations in blood and bronchoalveolar lavage (BAL) samples were determined by ultra-performance liquid chromatography tandem mass spectrometry and pharmacokinetic parameters calculated using noncompartmental analysis. Following SC and IM administration, all horses exhibited sweating, discomfort, and periods of recumbency. As signs were more severe after SC administration this route was only used in 3/6 horses. Intravenous administration of tulathromycin was well tolerated in all horses. Mean bioavailability was 99.4% IM and 115% SC. Mean maximum plasma concentration was 645 ng/ml IM and 373 ng/ ml SC. Mean half-life was 59.8 h, 54.8 h, and 57.9 h for IV, IM, and SC administration, respectively. Mean clearance was 3.25 ml/kg/min, and mean volume of distribution was 16.8 L/kg following IV administration. Drug was detectable in plasma and BAL samples for 120 h following all routes; however, adverse effects may prevent IM use and SC use is not recommended. Tulathromycin may be a practical and affordable antibacterial for use in adult equine patients.
Physiological response of grazing horses to seasonal fluctuations in pasture nonstructural carbohydrates
Kaufman, Katelyn Lucille (Virginia Tech, 2019-04-16)
Forage is an essential part of the equine diet for health and performance. Pasture nonstructural carbohydrates (NSC) have been shown to fluctuate diurnally and seasonally throughout the year due to various factors including environmental conditions and plant stress. The intake of elevated NSC content is linked with metabolic and digestive diseases, including colic and laminitis. A yearlong grazing study was conducted at the Virginia Tech Middleburg Agricultural Research and Extension Center from October 2016 through September 2017 to investigate fluctuations in pasture NSC concentrations as well as the metabolic and digestive response of grazing horses. Twelve sporthorse mares (15 ± 3.4 yrs) were maintained on an 8.5-ha cool season mixed grass pasture with water, mineral (Buckeye Nutrition, Dalton, OH), and white salt ad libitum. Weekly pasture samples (200 g wet weight) were clipped at random 2.5 cm from the plant base at 0800 (AM) and 1600 h (PM) on d 1 and 0800 (AM) and 1300 h (PM) on d 2. Samples were weighed and dried at 70º C and submitted to a commercial laboratory (Equianalytical, Ithaca, NY) to determine NSC content (water soluble carbohydrates [WSC] + starch). Environmental conditions were measured including ambient temperature, relative humidity, solar radiation, rainfall, soil and canopy temperature, and photosynthetically active radiation (PAR). Corresponding weekly blood samples were collected at 1300 h on d 2 via jugular venipuncture into 4 mL potassium oxalate, and 7 mL EDTA vacutainer tubes and analyzed for glucose (mg/dL), insulin (μIU/mL), and L-lactate (mg/dL). Each month, fecal grab samples were collected from the midrectum to measure pH and Dlactate (µM). Additionally, monthly glucose and insulin dynamics (% ∆) were assessed via a modified oral sugar test. Pasture nutrients including DE (2.35 ± 0.12 Mcal/kg), NSC (25.45 ± 4.02% DM), WSC (19.65 ± 3.47% DM), and starch (7.25 ± 1.29% DM) were higher in the afternoon hours (PM) compared to morning measurements (AM). Pasture CP and carbohydrate fractions were higher in the spring and fall months compared to summer and winter months with NSC concentrations being highest in May (wk 19) at 25.45% DM. Pasture NSC content was correlated (P ≤ 0.05) with relative humidity (r = 0.38), solar radiation (r = 0.32), and PAR (r = 0.51) and tended (P ≤ 0.1) to have a relationship with ambient temperature (r = 0.23) and rainfall (r = 0.23). There was seasonal variation in all morphometric measures in grazing horses. BW was highest in the spring (P < 0.0001), while BCS and CNS were highest in the fall (P = 0.0021 and P < 0.0001, respectively). Metabolic responses in grazing horses also fluctuated seasonally with glucose and insulin concentrations being most elevated in the spring (P < 0.0001). There was also seasonal variation in digestive measures in grazing horses. Plasma Llactate and fecal D-lactate means differed by month (P < 0.05) with the highest concentrations in April (11.8 ± 0.91 mg/dL and 4220.4 ± 185.5 µM, respectively). Fecal pH was most acidic in April (6.52 ± 0.08). Pasture NSC content was correlated with weight (r = 0.35), glucose (r = 0.21), and insulin (0.26) in grazing horses and tended to have a relationship with CNS (r = 0.14). There was also a relationship between NSC and plasma L-lactate (r = 0.33), fecal D-lactate (r = 0.48) and pH (r = -0.27). Lastly, glucose and insulin % ∆ (P < 0.0001) were greatest during spring months, but there was no effect of fasting insulin (P < 0.2787) or fasting glucose (P < 0.2055) on glucose % ∆. These data indicate a relationship between seasonal changes in pasture NSC content and the physiological response in grazing horses. Future aims include evaluating possible seasonal fluctuations in the hindgut microbiome of grazing horses to better understand the link between the equine microbiome and nutritionally-related disturbances. Improved grazing management strategies are needed to reduce the risk of metabolic and gastrointestinal disorders in horses, which may lead to subsequent colic and pasture associated laminitis.
Single dose pharmacokinetics of pimobendan in healthy horses
Jula, Catherine Antonia (Virginia Tech, 2024-08-27)
Few drugs are available to treat congestive heart failure and other cardiac diseases in horses. Pimobendan is an inodilator drug approved as Vetmedin® for treatment of canine cardiac disease. Previous research shows that pimobendan increases heart rate and contractility following intravenous administration in horses. The pharmacokinetics of oral pimobendan have not been investigated in horses. The hypothesis of this study was that pimobendan would be absorbed following oral administration to healthy adult horses and reach concentrations known to be therapeutic in other species. Additional objectives were to compare the absorption of compounded pimobendan capsules (C) and suspension (S) to Vetmedin® (V) and determine the effects of sample site on plasma drug concentrations in a pilot study using two horses. These two horses received C, S, or V (0.5 mg/kg via oral syringe, once) following a minimum 10 hour fast, using a crossover design with a minimum 1-week washout period. Samples were collected simultaneously from lateral thoracic and jugular catheters before and after drug administration at predetermined time points. Differences between formulation and sample site were analyzed by one-way ANOVA. After evaluation of the data from the initial 2 horses, an additional 4 horses received pimobendan, in the form of Vetmedin tablets® (V), in a similar manner. Only jugular samples were collected at the same predetermined time points. Plasma concentrations were determined by ultraperformance liquid chromatography tandem mass spectrometry (UPLC-MS/MS) and pharmacokinetic parameters determined by noncompartmental analysis. No significant differences were noted between formulations or sample site (P < 0.05). Concentrations in compounded formulations were 88%(S) and 90%(C) of label. For V, mean (±SD) maximum plasma concentration (Cmax) was 4.96 ± 2.13 ng/mL at 2.17 ± 0.98 hours, and area under the curve (AUC0-∞) was 22.1 ± 8.8*ng/mL. Concentration of the active metabolite of pimobendan, o-desmethyl-pimobendan, was below the limit of detection (0.07ng/mL) for all samples. At 0.5mg/kg orally, pimobendan plasma concentrations were considerably lower than reported in dogs and other species. There was no evidence of oral transmucosal absorption. Pimobendan was poorly absorbed in horses, regardless of formulation, and appears unlikely to have clinical effects.
The Suitability of Native Warm-Season Grasses for Equine
Ghajar, Shayan M. (Virginia Tech, 2020-06-22)
Introduced cool-season grasses are dominant in Virginia's grasslands, but their high digestible energy and non-structural carbohydrate (NSC) levels pose a risk for horses prone to obesity and laminitis. Native warm-season grasses (NWSG) have lower digestible energy and NSC levels that may be more suitable for horses susceptible to laminitis. The overall objectives of this research were to 1) assess voluntary intake, toxicological response, and apparent digestibility of NWSG hays fed to horses; 2) evaluate the characteristics of three NWSG species under equine grazing; and 3) evaluate establishment strategies for NWSG and wildflowers in Virginia. For the first objective, a hay feeding trial was conducted with 9 Thoroughbred geldings in a 3 x 3 Latin square design. Voluntary dry matter intake of indiangrass (Sorghastrum nutans) and big bluestem (Andropogon gerardii) hays by horses were 1.3% and 1.1% of BW/d, significantly lower than orchardgrass (Dactylis glomerata), an introduced cool-season grass, at 1.7% of BW/d. Biomarkers for toxicity remained within acceptable ranges for all treatments. Apparent DMD did not differ among hays, ranging from 39 to 43%. Non-structural carbohydrate levels were below the maximum recommended concentration for horses susceptible to laminitis. For the second objective, a grazing trial was conducted comparing indiangrass (IG), big bluestem (BB), and eastern gamagrass (Tripsacum dactyloides) (EG) yields, forage losses, changes in vegetative composition, and effects on equine bodyweight. Nine, 0.1-hectare plots were seeded with one of the three native grass treatments, and each plot was grazed by one Thoroughbred gelding in two grazing bouts, one in July and another in September 2019. Indiangrass had the highest available forage, at 4340 kg/ha, compared with 3590 kg/ha from BB (P < 0.0001). Eastern gamagrass plots established poorly, and had only 650 kg/ha available forage during the experiment. Grazing reduced standing cover of native grasses in IG and BB treatments by about 30%, and trampled forage constituted 36-68% of groundcover in those plots after each grazing bout. Horses lost weight on all treatments, but tended (P=0.09) greater weight loss on the indiangrass treatment at 1.5 kg/d compared to 0.5 kg/d in the BB and EG treatments. For the third objective, three experiments were conducted to evaluate different strategies for establishing NWSG and wildflowers. The first experiment compared large grazed plots with or without a 2 oz/acre rate of the herbicide imazapic. Imazapic led to higher biomass and percent cover in plots seeded only with NWSG. For plots seeded with a mix of NWSG and wildflowers, imazapic reduced wildflower establishment and resulted in higher biomass and percent cover of weeds over the course of the experiment. The second experiment examined four rates of imazapic application for NWSG and wildflower establishment in small plots seeded with either NWSG or a NWSG and wildflower mix, and found biomass and percent cover of weeds was lowest at a 6 oz/acre rate, while NWSG biomass and cover did not differ between treatments. Wildflower establishment was again reduced by imazapic. The third establishment experiment compared four site preparation strategies for wildflower establishment and found tillage resulted in the most cover and biomass of wildflowers.
Use of Glucose Monitoring Systems in Horses
Malik, Caitlin Elyse (Virginia Tech, 2022-08-31)
Traditional methods of blood glucose monitoring involve obtaining samples for measurement via laboratory methodology or point of care devices and require invasive collection techniques such as capillary stick, venipuncture, or the placement of intravenous catheters. Limitations of traditional methods include the limited information provided by intermittent testing and the stress associated with restraint and discomfort experienced by patients. The snapshot nature of the provided information restricts a clinician's ability to truly monitor trends in glucose concentrations over an extended period of time, influencing clinical decision making. The stress of invasive sampling can cause stress hyperglycemia in many veterinary species, complicating interpretation. Continuous interstitial glucose monitoring technology is widely used in the human medical field due to the expansive information provided in a minimally invasive manner. In recent years, the device technology has advanced and cost has improved, prompting application of these devices into the veterinary sector. Studies have shown good agreement between newer glucose monitoring systems and traditional methods in small animal patients with diabetes mellitus, allowing veterinarians to obtain comprehensive glucose data with minimal stress and discomfort to the patient. However, information regarding the use of this new technology in equine medicine is limited. The following study describes the evaluation of two widely available glucose monitoring systems, the Dexcom G6 and the FreeStyle Libre, in healthy adult horses.

Browsing by Author "McKenzie, Harold C."

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