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Biomedical subjects

D G Smith

Publications and source records attributed to D G Smith.

At least 19 recordsLinked to original sources
PubMed2006

A randomized controlled trial of implant-retained mandibular overdentures.

Evidence from randomized clinical trials of implant-retained overdentures is very limited at the present time. The aim of this study was to compare implant-retained mandibular overdentures and conventional complete dentures in a randomized controlled trial (RCT). Our a priori hypothesis was that implant-retained mandibular overdentures would be significantly better than conventional complete dentures. Edentulous patients (n = 118) were randomly allocated to either an Implant Group (n = 62) or a Denture Group (n = 56). Patients completed the Oral Health Impact Profile (OHIP) and a denture satisfaction scale pre-treatment and three months post-treatment. Upon completion of treatment, both groups reported improvement (p < 0.001, Wilcoxon Ranks Sum test) in oral-health-related quality of life and denture satisfaction. There were no significant post-treatment differences between the groups, but a treatment effect may be masked by application of "intention to treat" analysis. The OHIP change scores were significantly greater for patients receiving implants than for those who refused them.

Age Factors↗
PubMed2005

A review of the factors affecting the survival of donkeys in semi-arid regions of sub-Saharan Africa.

The large fluctuations seen in cattle populations during periods of drought in sub-Saharan Africa are not evident in the donkey population. Donkeys appear to have a survival advantage over cattle that is increasingly recognized by smallholder farmers in their selection of working animals. The donkey's survival advantages arise from both socioeconomic and biological factors. Socioeconomic factors include the maintenance of a low sustainable population of donkeys owing to their single-purpose role and their low social status. Also, because donkeys are not usually used as a meat animal and can provide a regular income as a working animal, they are not slaughtered in response to drought, as are cattle. Donkeys have a range of physiological and behavioural adaptations that individually provide small survival advantages over cattle but collectively may make a large difference to whether or not they survive drought. Donkeys have lower maintenance costs as a result of their size and spend less energy while foraging for food; lower energy costs result in a lower dry matter intake (DMI) requirement. In donkeys, low-quality diets are digested almost as efficiently as in ruminants and, because of a highly selective feeding strategy, the quality of diet obtained by donkeys in a given pasture is higher than that obtained by cattle. Lower energy costs of walking, longer foraging times per day and ability to tolerate thirst may allow donkeys to access more remote, under-utilized sources of forage that are inaccessible to cattle on rangeland. As donkeys become a more popular choice of working animal for farmers, specific management practices need to be devised that allow donkeys to fully maximize their natural survival advantages.

Africa South of the Sahara↗
PubMed2005

The effect of providing feed supplementation and anthelmintic to donkeys during late pregnancy and lactation on live weight and survival of dams and their foals in central Ethiopia.

Anthelmintic treatment (A), feed supplementation (F), anthelmintic and feed supplementation (A+F) or traditional management (Control) was given to 166 pregnant female donkeys in three localities (Holetta, Debre Zeit and Adami Tulu) in Ethiopia during an on-farm study. Treatments started during the last trimester of pregnancy and continued until 6 months after parturition when the foals were weaned. The same treatments were administered to foals once they reached 1 month of age. Live weights of adults and foals were measured throughout the study along with work output of adult donkeys and survival to weaning of the foals. Faecal worm egg counts (FEC) and blood packed cell volumes (PCV) were recorded monthly. When applied alone, anthelmintic treatment (A) or feed supplementation (F) had no significant effect on live weight gain or foal survival. However, when combined, anthelmintic and feed supplementation (A+F) significantly (p<0.05) improved both live weight gain in adults and foals and foal survival. Workout was not affected by any of the treatments. Treatments A and A+F resulted in a highly significant (p<0.001) reduction in FEC in all three localities during the course of study and for at least 6 months after the last dose of anthelmintic in one of the study areas (Holetta). None of the treatments had any significant effect on PCV. Donkey owners in Ethiopia should be encouraged to adopt both anthelmintic treatment and feed supplementation if they expect tangible benefits in animal performance.

Animal Feed↗
PubMed2005

Seasonal variation in the parasite burden and body condition of working donkeys in East Shewa and West Shewa regions of Ethiopia.

A survey of donkeys arriving at markets in three localities in East and West Shewa regions of central Ethiopia was carried out during 2002. Total faecal worm egg counts and body condition scores were measured for a total of 963 donkeys over a 12-month period. Total faecal worm egg counts did not differ significantly between localities but there was significant (p < 0.001) seasonal variation within localities. Levels of helminth infection closely followed rainfall patterns, being lowest (956 eggs per gram of faeces, e.p.g.) at the end of the long dry season (February) and highest (2022 e.p.g.) in the middle of the long wet season (August). Body condition score was associated closely with level of helminth infection (Goodman-Kruskal measure of association 0.60-0.80). Seasonal variation in body condition score reflected the temporal changes in worm burden and the availability of forage. It is suggested that a body condition score of 3 or less could be used as a simple means of identifying donkeys that require therapeutic treatment with anthelmintic. It is further proposed that economically viable strategic control of helminths in donkeys could be achieved by administering a single annual dose of avermectin-based anthelmintic at the start of the long rainy season (May-June). This may allow donkeys to recover body condition when available forage is most abundant and nutritious. It is also recommended that protein-rich feed supplementation be provided during the later part of the dry season (November-January). This may help maintain body condition when forage is scarce and the helminth challenge is at its lowest.

Animal Diseases↗
PubMed2005

The impact of access to animal health services on donkey health and livelihoods in Ethiopia.

This study was carried out to assess the impact of animal healthcare services on poor donkey owners in Ethiopia. The services provided by the Donkey Sanctuary were used as a case study. A questionnaire survey was designed and carried out in the areas around Debre Zeit in the Highlands of Ethiopia. The staff carried out a survey at 10 sites. Six of these were in Donkey Sanctuary project areas and four were in control areas. The results showed that in project areas donkeys were significantly healthier and more productive than in non-project areas. Donkey owners in project sites felt better off for having access to animal healthcare services; donkey owners in non-project sites were less confident about their incomes and the health of their animals.

Agriculture↗
PubMed2005

The impact of donkey ownership on the livelihoods of female peri-urban dwellers in Ethiopia.

This paper is based on an impact assessment of a donkey provision programme in Ethiopia. The work was carried out in 2001 as part of a DFID Livestock Production Programme project 'Use and management of donkeys by poor societies in peri-urban areas in Ethiopia'. In order to establish whether donkey ownership was a cause or an effect of improved livelihoods, an investigation was carried out that compared non-donkey-owning households with households that had owned no donkey until they were given one by a local NGO. Indicators that poor people use to express their well-being, wealth and health status (components of their livelihoods) were identified and used to compare communities. Guidelines were prepared for project managers for carrying out livelihood indicator identification and impact assessment. The results showed that the informants used a range of indicators to assess their livelihoods. A selection of these were investigated in depth, including number of children per household attending school, number of people per household earning an income, type and quantity of staple foods bought, and ability to save. A trend was identified that demonstrated that donkey owners' livelihoods were improved compared to non-donkey owners.

Adolescent↗
PubMed2005

Digestible energy requirements of Mexican donkeys fed oat straw and maize stover.

The limited availability of food, together with the constraints that traditional management systems impose on the natural foraging behaviour of donkeys, often results in severe under-nutrition. Few studies have been conducted into the digestibility of different forages and little information exists on nutritional requirements of donkeys. In order to measure digestible energy requirements of donkeys under tropical conditions, an experiment was carried out at the Centre for Research in Agricultural Science (CICA) and the Faculty of Veterinary Medicine of the Universidad Aut6noma del Estado de México located in the Toluca valley, Central Mexico. Thirty-two donkeys of a body condition typical for Central Mexico were divided into four groups of 8 animals each according to their sex and live weight: group 1 (G1) comprised male donkeys below the average body weight (102+/-5 kg); group 2 (G2) comprised male donkeys of average body weight (121.5+/-4 kg); group 3 (G3) comprised female donkeys below average weight (111.8 +/- 5 kg); and group 4 (G4) comprised female donkeys of average weight (127.6 +/- 5 kg). A diet of oat straw or maize stover and 15% alfalfa hay was offered to meet exact maintenance requirements. The donkeys were monitored for 13 months. The live weight of all animals was recorded daily in order to monitor whether maintenance requirements were being met. Mean daily digestible energy (DE) requirements were measured during the winter, spring, summer and autumn of 2003-2004. Digestible energy requirements of all four sex and liveweight groups were significantly (p > 0.05) higher during the spring than during the other seasons of the year (13.5, 18.0, 10.4 and 14.3 MJ DE per day during winter, spring, summer and autumn, respectively). Predicted DE requirements of donkeys with a live weight range betweenn 90 and 150 kg using the data from the present study were less than those predicted using scaled-down horse feeding standards.

Animal Feed↗
PubMed2005

Participatory study on feeding strategies for working donkeys used by Campesino farmers in the highlands of central Mexico.

The aim of this work was to describe the feeding strategies for donkeys used by peasant farmers in central Mexico. Feeding strategies for the dry and wet seasons are described, as well as the nutritional characteristics of the main forages and supplements used by the farmers. The extent to which the feeding practices used by farmers matched the digestible energy and crude protein requirements of donkeys for maintenance and work was determined. It was concluded that grazing on native grassland could provide enough energy and protein for donkeys at maintenance level and for those performing only a moderate amount of work. More research in required in order to have better estimates of intake and plant species preferred by donkeys under prevailing grazing conditions.

Agriculture↗
PubMed2005

The role of postgraduate dental deans.

Postgraduate Dental Deans commission and manage the delivery of postgraduate dental and medical education and training for dental practitioners. They are charged with developing and quality assuring opportunities for trainees in primary and secondary care so that they can reach their full potential, and must work with local organisations to ensure that sufficient training places are available to meet the future needs of the NHS. Postgraduate dental deans influence training opportunities and standards in NHS Trusts as well as dental vocational training practices. They also play a role in developing national policies on postgraduate dental education and implement new initiatives. Their roles cover modernising dental careers, national and international recruitment and retention in primary and secondary care. They are involved in leading the development of the dental workforce, including professions complementary to dentistry as well as managing the provision and quality assurance of CPD for general practitioners. They also provide support for doctors and dentists facing difficult situations.

Administrative Personnel↗
PubMed2004

Efficacy of danofloxacin in the treatment of respiratory disease in European cattle.

The efficacy of an injectable formulation of danofloxacin (180 mg/ml) in the treatment of naturally occurring bovine respiratory disease was evaluated in field studies on farms in France, Ireland and the United Kingdom. Cattle aged one week to 15 months with clinical respiratory disease were randomly allocated to treatment with 6 mg/kg danofloxacin or 10 mg/kg tilmicosin, administered by a single subcutaneous injection on day 0. A second injection of danofloxacin was administered on day 2, only if predefined clinical criteria were met. Mannheimia haemolytica, Pasteurella multocida and Haemophilus somnus were isolated from pretreatment nasopharyngeal swabs taken on all the farms. After the treatment, there was a more rapid improvement in the clinical response of the 178 animals treated with danofloxacin by day 2 (P < 0.01) than in the 90 treated with tilmicosin. For both treatments, there were similar significant (P < 0.001) reductions in the mean rectal temperature and severity of clinical signs of abnormal respiration and depression, on days 4 and 10 compared with day 0; 78.1 per cent of the animals treated with danofloxacin and 78.5 per cent of those treated with tilmicosin completed the studies. Danofloxacin 18 per cent was clinically safe and as effective as tilmicosin in the treatment of bovine respiratory disease.

Animals↗
PubMed2003

Efficacy of danofloxacin 18% injectable solution in the treatment of Escherichia coli diarrhoea in young calves in Europe.

The efficacy of danofloxacin 18% against naturally occurring Escherichia coli diarrhoea was investigated in calves at seven European sites. Treatment commenced on day 0, with either a single subcutaneous injection of danofloxacin 18% (n=267) at 6 mg/kg repeated on day 2 if required, or reference product containing baquiloprim/sulphadimidine (n=37) or gentamicin (n=98) administered as recommended. E. coli was isolated from 90% to 100% of calves pre-treatment, and the prevalence of serotypes K99 and F41 was 8-46% and 46-92%, respectively. In both treatments, the majority of calves (93.2-93.9%) showed clinical improvement and completed the studies. There were significant reductions for both treatments, in severity of clinical signs on days 4 and 10 compared to day 0 (P<0.0001), and between days 4 and 10 (P<0.05), but no significant differences between treatments (P>0.05). Danofloxacin 18% was clinically safe, and as effective as the reference products in the treatment of E. coli diarrhoea in calves.

Animals↗
PubMed2003

Chronic fatigue syndrome in children: a cross sectional survey.

BACKGROUND: Chronic fatigue syndrome (CFS) in children is a controversial diagnosis with unclear aetiology, ill defined but likely increasing incidence, and debatable clinical management options. However these children experience real and considerable suffering. Appropriate research in this clinical population is sparse and usually occurs in tertiary referral units. METHODS: Cross sectional survey of 36 children attending a GP specialist interest clinic in southeast England. RESULTS: Patient sociodemographics and clinical morbidity were largely comparable to the literature from tertiary referral research centres. Some prognostic indicators for adults did not readily transfer to this younger age group, although several children had a positive family psychiatric history. Receiving treatment was associated with increased school attendance, but one third of subjects obtained no qualifications. Return to normal health or significant overall improvement was reported by 29/36 subjects. CONCLUSIONS: The outcomes in this setting are favourable and comparable to those seen in a controlled setting; this study supports the concept that the prognosis for CFS in children and adolescents is generally good. However, the impact of the illness is significant and this is perhaps most evident in terms of education. Current methods of reporting educational outcomes in the literature are varied and merit development of standardised tools.

Absenteeism↗
PubMed2002

CD23 shedding: requirements for substrate recognition and inhibition by dipeptide hydroxamic acids.

CD23 (low affinity IgE receptor, FcepsilonRII) is expressed as a Type II extracellular protein on a variety of cells such as B cells, monocytes and macrophages and is cleaved from the cell surface to generate several distinct fragments. The expression of CD23 on the cell surface as well as the generation of soluble fragments of CD23 has been shown to be involved in regulation of IgE synthesis. CD23 is released from the cell surface by a metalloprotease, analogous to the cleavage of other cell surface molecules such as TNF-alpha. This activity has been extensively studied with respect to biochemical characterization and ability to cleave specific mutants of CD23. Both local sequence and distal domains have been shown to affect cleavage of CD23. Selective dipeptide hydroxamic acid inhibitors of CD23 processing have been identified and demonstrated to very potently and selectively inhibit CD23 processing.

Binding Sites↗
PubMed2002

Pharmacokinetics of selamectin following intravenous, oral and topical administration in cats and dogs.

The pharmacokinetics of selamectin were evaluated in cats and dogs, following intravenous (0.05, 0.1 and 0.2 mg/kg), topical (24 mg/kg) and oral (24 mg/kg) administration. Following selamectin administration, serial blood samples were collected and plasma concentrations were determined by high performance liquid chromatography (HPLC). After intravenous administration of selamectin to cats and dogs, the mean maximum plasma concentrations and area under the concentration-time curve (AUC) were linearly related to the dose, and mean systemic clearance (Clb) and steady-state volume of distribution (Vd(ss)) were independent of dose. Plasma concentrations after intravenous administration declined polyexponentially in cats and biphasically in dogs, with mean terminal phase half-lives (t(1/2)) of approximately 69 h in cats and 14 h in dogs. In cats, overall Clb was 0.470 +/- 0.039 mL/min/kg (+/-SD) and overall Vd(ss) was 2.19 +/- 0.05 L/kg, compared with values of 1.18 +/- 0.31 mL/min/kg and 1.24 +/- 0.26 L/kg, respectively, in dogs. After topical administration, the mean C(max) in cats was 5513 +/- 2173 ng/mL reached at a time (T(max)) of 15 +/- 12 h postadministration; in dogs, C(max) was 86.5 +/- 34.0 ng/mL at T(max) of 72 +/- 48 h. Bioavailability was 74% in cats and 4.4% in dogs. Following oral administration to cats, mean C(max) was 11,929 +/- 5922 ng/mL at T(max) of 7 +/- 6 h and bioavailability was 109%. In dogs, mean C(max) was 7630 +/- 3140 ng/mL at T(max) of 8 +/- 5 h and bioavailability was 62%. There were no selamectin-related adverse effects and no sex differences in pharmacokinetic parameters. Linearity was established in cats and dogs for plasma concentrations up to 874 and 636 ng/mL, respectively. Pharmacokinetic evaluations for selamectin following intravenous administration indicated a slower elimination from the central compartment in cats than in dogs. This was reflected in slower clearance and longer t(1/2) in cats, probably as a result of species-related differences in metabolism and excretion. Inter-species differences in pharmacokinetic profiles were also observed following topical administration where differences in transdermal flux rates may have contributed to the overall differences in systemic bioavailability.

Administration, Oral↗
PubMed2001

Lawsonia intracellularis: getting inside the pathogenesis of proliferative enteropathy.

Although proliferative enteropathy (PE) has been recognised for several decades, Lawsonia intracellularis, the aetiological agent, was identified formally in only 1995. This organism is both highly fastidious and obligately intracellular bacterium, characteristics which have inevitably restricted investigations in all aspects of its biology. Despite these limitations, advances have been made in characterising and understanding L. intracellularis-host interaction both in vivo and in vitro. Based upon evidence provided by mainly pathological and histological investigations conducted to date, we review salient features of our current understanding of processes involved throughout the course of infection by this unique pathogen.

Animals↗
PubMed2001

Use of DNase to eliminate contamination in ancient DNA analysis.

Using polymerase chain reaction (PCR) amplification, it is possible to analyze DNA from limited source template. This method has proved especially valuable in studies of ancient DNA and in forensic investigations. However, PCR reactions containing minimal or damaged source template are prone to contamination by DNA from a number of other sources. While standard protocols to prevent and/or detect contamination do exist, methods of eliminating contamination are needed to ensure the validity of results obtained. We present a method to eliminate sources of contamination in reagents and labware through the use of a DNase prior to PCR amplification without damaging even the minimal amounts of template present in ancient DNA samples. This method, suggested previously for forensics applications, appears to be effective in eliminating contamination without interfering with the amplification of ancient template.

Deoxyribonucleases↗