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Iotti B, Valdano E, Savini L, Candeloro L, Giovannini A, Rosati S, Colizza V, Giacobini M. Farm productive contexts and the dynamics of bovine viral diarrhea (BVD) transmission. Prev Vet Med 2019; 165:23-33. [PMID: 30851924 DOI: 10.1016/j.prevetmed.2019.02.001] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2017] [Revised: 08/22/2018] [Accepted: 02/01/2019] [Indexed: 11/19/2022]
Abstract
Bovine viral diarrhea (BVD) is a viral disease that affects cattle and that is endemic to many European countries. It has a markedly negative impact on the economy, through reduced milk production, abortions, and a shorter lifespan of the infected animals. Cows becoming infected during gestation may give birth to Persistently Infected (PI) calves, which remain highly infective throughout their life, due to the lack of immune response to the virus. As a result, they are the key driver of the persistence of the disease both at herd scale, and at the national level. In the latter case, the trade-driven movements of PIs, or gestating cows carrying PIs, are responsible for the spatial dispersion of BVD. Past modeling approaches to BVD transmission have either focused on within-herd or between-herd transmission. A comprehensive portrayal, however, targeting both the generation of PIs within a herd, and their displacement throughout the country due to trade transactions, is still missing. We overcome this by designing a multiscale metapopulation model of the spatial transmission of BVD, accounting for both within-herd infection dynamics, and its spatial dispersion. We focus on Italy, a country where BVD is endemic and seroprevalence is very high. By integrating simple within-herd dynamics of PI generation, and the highly-resolved cattle movement dataset available, our model requires minimal arbitrary assumptions on its parameterization. We use our model to study the role of the different productive contexts of the Italian market, and test possible intervention strategies aimed at prevalence reduction. We find that dairy farms are the main drivers of BVD persistence in Italy, and any control strategy targeting these farms would lead to significantly higher prevalence reduction, with respect to targeting other production compartments. Our multiscale metapopulation model is a simple yet effective tool for studying BVD dispersion and persistence at country level, and is a good instrument for testing targeted strategies aimed at the containment or elimination of this disease. Furthermore, it can readily be applied to any national market for which cattle movement data is available.
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Affiliation(s)
- Bryan Iotti
- University of Turin, Department of Veterinary Sciences, Turin 10095, Italy
| | - Eugenio Valdano
- Universitat Rovira i Virgili, Departament d'Enginyeria Informàtica i Matemàtiques, Tarragona 43007, Spain
| | - Lara Savini
- Istituto Zooprofilattico Sperimentale dell'Abruzzo e del Molise G. Caporale, Teramo 64100, Italy
| | - Luca Candeloro
- Istituto Zooprofilattico Sperimentale dell'Abruzzo e del Molise G. Caporale, Teramo 64100, Italy
| | - Armando Giovannini
- Istituto Zooprofilattico Sperimentale dell'Abruzzo e del Molise G. Caporale, Teramo 64100, Italy
| | - Sergio Rosati
- University of Turin, Department of Veterinary Sciences, Turin 10095, Italy
| | - Vittoria Colizza
- Sorbonne Universités, UPMC Univ Paris 06, Institut Pierre Louis d'Epidémiologie et de Santé Publique, Paris 75011, France.
| | - Mario Giacobini
- University of Turin, Department of Veterinary Sciences, Turin 10095, Italy
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Colitti B, Muratore E, Careddu ME, Bertolotti L, Iotti B, Giacobini M, Profiti M, Nogarol C, Böttcher J, Ponzo A, Facelli R, Rosati S. Field application of an indirect gE ELISA on pooled milk samples for the control of IBR in free and marker vaccinated dairy herds. BMC Vet Res 2018; 14:387. [PMID: 30518363 PMCID: PMC6282388 DOI: 10.1186/s12917-018-1716-5] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2018] [Accepted: 11/26/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The aim of the present study was to assess the reliability of a new strategy for monitoring the serological response against Bovine Herpesvirus 1 (BoHV1), the causative agent of infectious bovine rhinotracheitis (IBR). Bulk milk samples have already been identified as cost effective diagnostic matrices for monitoring purposes. Nevertheless, most eradication programs are still based on individual standard assays. In a region of northwestern Italy (Piedmont), the voluntary eradication program for IBR has become economically unsustainable. Being the prevalence of infection still high, glycoprotein E-deleted marker vaccines are commonly used but gE blocking ELISAs are less sensitive on bulk milk samples compared to blood serum. RESULTS A recently developed indirect gE ELISA showed high versatility when applied to a wide range of matrices. In this study, we applied a faster, cost effective system for the concentration of IgG from pooled milk samples. The IgG enriched fractions were tested using a gE indirect ELISA for monitoring purposes in IBR-positive and IBR-marker-vaccinated herds. Official diagnostic tests were used as gold standard. During a 3 years study, a total 250 herds were involved, including more than 34,500 lactating cows. The proposed method showed a very good agreement with official diagnostic protocols and very good diagnostic performances: only 37 positive animals were not detected across the entire study. CONCLUSIONS The results highlighted the ability of the proposed method to support the surveillance of IBR in the Piedmont region, reducing the costs without affecting the diagnostic performances.
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Affiliation(s)
- Barbara Colitti
- Department of Veterinary Science, University of Turin, Largo Paolo Braccini, 2 10095 Grugliasco, Turin, Italy
| | - Elvira Muratore
- Department of Veterinary Science, University of Turin, Largo Paolo Braccini, 2 10095 Grugliasco, Turin, Italy
| | - Maria Elena Careddu
- Istituto Zooprofilattico Sperimentale del Piemonte della Liguria e della Valle D’Aosta (IZSPLV), 12100 Cuneo, Italy
| | - Luigi Bertolotti
- Department of Veterinary Science, University of Turin, Largo Paolo Braccini, 2 10095 Grugliasco, Turin, Italy
| | - Bryan Iotti
- Department of Veterinary Science, University of Turin, Largo Paolo Braccini, 2 10095 Grugliasco, Turin, Italy
| | - Mario Giacobini
- Department of Veterinary Science, University of Turin, Largo Paolo Braccini, 2 10095 Grugliasco, Turin, Italy
| | - Margherita Profiti
- Department of Veterinary Science, University of Turin, Largo Paolo Braccini, 2 10095 Grugliasco, Turin, Italy
| | - Chiara Nogarol
- Department of Veterinary Science, University of Turin, Largo Paolo Braccini, 2 10095 Grugliasco, Turin, Italy
| | - Jens Böttcher
- Tiergesundheitsdienst bayern e.V, 85586 Poing, Germany
| | - Andreino Ponzo
- Azienda sanitaria locale Cuneo (ASL CN1), 12100 Cuneo, Italy
| | - Roberto Facelli
- Associazione Regionale Allevatori Piemonte (ARAP), 12020 Madonna dell’Olmo, Cuneo, Italy
| | - Sergio Rosati
- Department of Veterinary Science, University of Turin, Largo Paolo Braccini, 2 10095 Grugliasco, Turin, Italy
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Ricci A, Racioppi V, Iotti B, Bertero A, Reed K, Pascottini O, Vincenti L. Assessment of the temperature cut-off point by a commercial intravaginal device to predict parturition in Piedmontese beef cows. Theriogenology 2018; 113:27-33. [DOI: 10.1016/j.theriogenology.2018.02.009] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2017] [Revised: 02/06/2018] [Accepted: 02/08/2018] [Indexed: 11/29/2022]
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Biasato I, Zanatta R, Maniscalco L, Evangelista R, Iotti B, Iussich S. Left subclavian artery dissection associated with connective tissue abnormalities resembling Marfan-like syndrome in an English bulldog. J Vet Cardiol 2018. [PMID: 29519682 DOI: 10.1016/j.jvc.2018.02.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
The unexpected demise of a 12-year-old male neutered English bulldog solicited a gross examination, which revealed a blood-filled space occurring in the proximal left subclavian artery (LSA). It originated about 1 cm from the branching point of the vessel and progressively dilated for 3 cm distal to this origin. Histopathological investigation showed that the tunica media of the LSA was more than 50% split, with the blood-filled space dissecting through the arterial wall. In the tunica media of the LSA, severe multifocal fragmentation and/or loss of the elastic fibers was observed. The retained disorganized elastic fibers were separated and disoriented due to accumulations of acid mucopolysaccharide. Marked, diffuse medial, and adventitial fibrous tissue deposition was also identified. The cause of death was attributed to acute hemorrhagic and necrotizing pancreatitis with pulmonary edema, suggesting that LSA dissection was an incidental finding. Subclavian artery dissection is extremely rare in humans, where the involvement of the LSA in cases of aortic dissection both with or without Marfan syndrome has been reported. Aortic and pulmonary artery dissection in bovines and aortic aneurysm and dissection in dogs have been reported to be associated with Marfan and Marfan-like syndromes, respectively. Histopathological findings suggestive of underlying connective tissue abnormalities resembling Marfan-like syndrome (i.e., the appearance of the elastic tissue and the degenerative changes of the tunica media) were detected in the first case of LSA dissection in dogs and veterinary medicine, herein described.
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Affiliation(s)
- Ilaria Biasato
- Department of Veterinary Sciences, University of Turin, Largo Paolo Braccini 2, 10095, Grugliasco (TO), Italy.
| | - Renato Zanatta
- Department of Veterinary Sciences, University of Turin, Largo Paolo Braccini 2, 10095, Grugliasco (TO), Italy
| | - Lorella Maniscalco
- Department of Veterinary Sciences, University of Turin, Largo Paolo Braccini 2, 10095, Grugliasco (TO), Italy
| | - Rocchina Evangelista
- Department of Veterinary Sciences, University of Turin, Largo Paolo Braccini 2, 10095, Grugliasco (TO), Italy
| | - Bryan Iotti
- Department of Veterinary Sciences, University of Turin, Largo Paolo Braccini 2, 10095, Grugliasco (TO), Italy
| | - Selina Iussich
- Department of Veterinary Sciences, University of Turin, Largo Paolo Braccini 2, 10095, Grugliasco (TO), Italy
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Abstract
The study of complex networks, and in particular of social networks, has mostly concentrated on relational networks, abstracting the distance between nodes. Spatial networks are, however, extremely relevant in our daily lives, and a large body of research exists to show that the distances between nodes greatly influence the cost and probability of establishing and maintaining a link. A random geometric graph (RGG) is the main type of synthetic network model used to mimic the statistical properties and behavior of many social networks. We propose a model, called REDS, that extends energy-constrained RGGs to account for the synergic effect of sharing the cost of a link with our neighbors, as is observed in real relational networks. We apply both the standard Watts-Strogatz rewiring procedure and another method that conserves the degree distribution of the network. The second technique was developed to eliminate unwanted forms of spatial correlation between the degree of nodes that are affected by rewiring, limiting the effect on other properties such as clustering and assortativity. We analyze both the statistical properties of these two network types and their epidemiological behavior when used as a substrate for a standard susceptible-infected-susceptible compartmental model. We consider and discuss the differences in properties and behavior between RGGs and REDS as rewiring increases and as infection parameters are changed. We report considerable differences both between the network types and, in the case of REDS, between the two rewiring schemes. We conclude that REDS represent, with the application of these rewiring mechanisms, extremely useful and interesting tools in the study of social and epidemiological phenomena in synthetic complex networks.
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Affiliation(s)
- Bryan Iotti
- Department of Veterinary Sciences, University of Turin, 10095 Grugliasco, Turin, Italy
| | - Alberto Antonioni
- Grupo Interdisciplinar de Sistemas Complejos, Departamento de Matemáticas, Universidad Carlos III de Madrid, E-28911 Leganés, Madrid, Spain.,Institute for Biocomputation and Physics of Complex Systems, University of Zaragoza, E-50018 Zaragoza, Spain
| | - Seth Bullock
- Department of Computer Science, University of Bristol, BS8 1UB Bristol, England, United Kingdom
| | - Christian Darabos
- Research Computing, Academic and Campus Technology Services, Dartmouth College, Hanover, New Hampshire 03755, USA
| | - Marco Tomassini
- Information Systems Department, Faculty of Business and Economics, University of Lausanne, CH-1015 Lausanne, Switzerland
| | - Mario Giacobini
- Department of Veterinary Sciences, University of Turin, 10095 Grugliasco, Turin, Italy
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Nogarol C, Decaro N, Bertolotti L, Colitti B, Iotti B, Petrini S, Lucente MS, Elia G, Perona G, Profiti M, Buonavoglia C, Rosati S. Pestivirus infection in cattle dairy farms: E2 glycoprotein ELISA reveals the presence of bovine viral diarrhea virus type 2 in northwestern Italy. BMC Vet Res 2017; 13:377. [PMID: 29202756 PMCID: PMC5715619 DOI: 10.1186/s12917-017-1305-z] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2016] [Accepted: 11/27/2017] [Indexed: 12/04/2022] Open
Abstract
Background Bovine viral diarrhea virus (BVDV) types 1 and 2 are members of the Pestivirus genus of the Flaviviridae family. This genus also includes the HoBi-like virus, tentatively classified as BVDV type 3. BVDV-1 is widely distributed in Italy despite the extensive use of BVDV-1-based vaccines, while BVDV-2 and HoBi-like Pestivirus have been detected occasionally. Monitoring the occurrence of sporadic or atypical pestiviruses is a useful approach to evaluate the need for additional vaccine strains that can be used in BVDV control programs. Results In this study we developed a multiwell antibody ELISA based on the recombinant E2 protein of the three bovine pestiviruses. We evaluated the assay’s applicability for surveillance purposes using pooled milk samples, each prepared from a maximum of 35 lactating cows and collected from 176 dairy herds. As expected, the majority of the pooled samples reacted to a greater extent against the BVDV-1 E2 antigen. All three milk pools from a single farm reacted to the BVDV-2 antigen, however. Further analysis using spot tests, antigen detection, and sequence analysis of the 5′-UTR region confirmed the presence of five persistently infected calves carrying a BVDV-2a strain. Conclusions This study highlights for the first time that sporadic circulation of BVDV-2 can be predicted by immunoenzymatic methods in the absence of specific vaccination. Electronic supplementary material The online version of this article (10.1186/s12917-017-1305-z) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Chiara Nogarol
- Department of Veterinary Science, University of Turin, Turin, Italy
| | - Nicola Decaro
- Department of Veterinary Medicine, University of Bari, Bari, Italy
| | - Luigi Bertolotti
- Department of Veterinary Science, University of Turin, Turin, Italy
| | - Barbara Colitti
- Department of Veterinary Science, University of Turin, Turin, Italy
| | - Bryan Iotti
- Department of Veterinary Science, University of Turin, Turin, Italy
| | - Stefano Petrini
- Istituto Zooprofilattico Sperimentale dell'Umbria e delle Marche, Perugia, Italy
| | | | - Gabriella Elia
- Department of Veterinary Medicine, University of Bari, Bari, Italy
| | - Giovanni Perona
- Department of Veterinary Science, University of Turin, Turin, Italy
| | | | | | - Sergio Rosati
- Department of Veterinary Science, University of Turin, Turin, Italy. .,, Largo Paolo Braccini, 2, 10095, Grugliasco, Italy.
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Muratore E, Bertolotti L, Nogarol C, Caruso C, Lucchese L, Iotti B, Ariello D, Moresco A, Masoero L, Nardelli S, Rosati S. Surveillance of Infectious Bovine Rhinotracheitis in marker-vaccinated dairy herds: Application of a recombinant gE ELISA on bulk milk samples. Vet Immunol Immunopathol 2017; 185:1-6. [DOI: 10.1016/j.vetimm.2017.01.003] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2016] [Revised: 10/07/2016] [Accepted: 01/23/2017] [Indexed: 10/20/2022]
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Pagani E, Tarducci A, Borrelli A, Iotti B, Tursi M, Zanatta R. Accuracy of Ultrasonographic Measurements of Adrenal Glands in Dogs: Comparison with Necroscopic Findings. Anat Histol Embryol 2016; 46:187-194. [DOI: 10.1111/ahe.12256] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2015] [Accepted: 09/20/2016] [Indexed: 11/30/2022]
Affiliation(s)
- E. Pagani
- Section of Clinical Sciences; Department of Veterinary Sciences; University of Turin; L. Paolo Braccini 2 10095 Grugliasco TO Italy
| | - A. Tarducci
- Section of Clinical Sciences; Department of Veterinary Sciences; University of Turin; L. Paolo Braccini 2 10095 Grugliasco TO Italy
| | - A. Borrelli
- Section of Clinical Sciences; Department of Veterinary Sciences; University of Turin; L. Paolo Braccini 2 10095 Grugliasco TO Italy
| | - B. Iotti
- Section of Epidemiology; Department of Veterinary Sciences; University of Turin; L. Paolo Braccini 2 10095 Grugliasco TO Italy
| | - M. Tursi
- Section of Anatomic Pathology; Department of Veterinary Sciences; University of Turin; L. Paolo Braccini 2 10095 Grugliasco TO Italy
| | - R. Zanatta
- Section of Clinical Sciences; Department of Veterinary Sciences; University of Turin; L. Paolo Braccini 2 10095 Grugliasco TO Italy
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Badenes-Ribera L, Frias-Navarro D, Iotti B, Bonilla-Campos A, Longobardi C. Misconceptions of the p-value among Chilean and Italian Academic Psychologists. Front Psychol 2016; 7:1247. [PMID: 27602007 PMCID: PMC4993781 DOI: 10.3389/fpsyg.2016.01247] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2016] [Accepted: 08/05/2016] [Indexed: 11/26/2022] Open
Abstract
Common misconceptions of p-values are based on certain beliefs and attributions about the significance of the results. Thus, they affect the professionals' decisions and jeopardize the quality of interventions and the accumulation of valid scientific knowledge. We conducted a survey on 164 academic psychologists (134 Italian, 30 Chilean) questioned on this topic. Our findings are consistent with previous research and suggest that some participants do not know how to correctly interpret p-values. The inverse probability fallacy presents the greatest comprehension problems, followed by the replication fallacy. These results highlight the importance of the statistical re-education of researchers. Recommendations for improving statistical cognition are proposed.
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Affiliation(s)
- Laura Badenes-Ribera
- Department of Methodology of the Behavioral Sciences, University of Valencia Valencia, Spain
| | - Dolores Frias-Navarro
- Department of Methodology of the Behavioral Sciences, University of Valencia Valencia, Spain
| | - Bryan Iotti
- Veterinary and Prevention Department, University of Turin Turin, Italy
| | - Amparo Bonilla-Campos
- Department of Methodology of the Behavioral Sciences, University of Valencia Valencia, Spain
| | - Claudio Longobardi
- Department of Psychology, University of TurinTurin, Italy; Research Center on Development and Educational, Faculdade Européia de VitòriaCariacica, Brazil
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Iussich S, Maniscalco L, Di Sciuva A, Iotti B, Morello E, Martano M, Gattino F, Buracco P, De Maria R. PDGFRs expression in dogs affected by malignant oral melanomas: correlation with prognosis. Vet Comp Oncol 2016; 15:462-469. [DOI: 10.1111/vco.12190] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2015] [Revised: 09/23/2015] [Accepted: 10/05/2015] [Indexed: 12/11/2022]
Affiliation(s)
- S. Iussich
- Department of Veterinary Sciences; University of Turin; Turin Italy
| | - L. Maniscalco
- Department of Veterinary Sciences; University of Turin; Turin Italy
| | - A. Di Sciuva
- Department of Veterinary Sciences; University of Turin; Turin Italy
| | - B. Iotti
- Department of Veterinary Sciences; University of Turin; Turin Italy
| | - E. Morello
- Department of Veterinary Sciences; University of Turin; Turin Italy
| | - M. Martano
- Department of Veterinary Sciences; University of Turin; Turin Italy
| | - F. Gattino
- Department of Veterinary Sciences; University of Turin; Turin Italy
| | - P. Buracco
- Department of Veterinary Sciences; University of Turin; Turin Italy
| | - R. De Maria
- Department of Veterinary Sciences; University of Turin; Turin Italy
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Iotti B, Valazza A. A reliable, low-cost picture archiving and communications system for small and medium veterinary practices built using open-source technology. J Digit Imaging 2015; 27:563-70. [PMID: 24793019 DOI: 10.1007/s10278-014-9692-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
Abstract
Picture Archiving and Communications Systems (PACS) are the most needed system in a modern hospital. As an integral part of the Digital Imaging and Communications in Medicine (DICOM) standard, they are charged with the responsibility for secure storage and accessibility of the diagnostic imaging data. These machines need to offer high performance, stability, and security while proving reliable and ergonomic in the day-to-day and long-term storage and retrieval of the data they safeguard. This paper reports the experience of the authors in developing and installing a compact and low-cost solution based on open-source technologies in the Veterinary Teaching Hospital for the University of Torino, Italy, during the course of the summer of 2012. The PACS server was built on low-cost x86-based hardware and uses an open source operating system derived from Oracle OpenSolaris (Oracle Corporation, Redwood City, CA, USA) to host the DCM4CHEE PACS DICOM server (DCM4CHEE, http://www.dcm4che.org ). This solution features very high data security and an ergonomic interface to provide easy access to a large amount of imaging data. The system has been in active use for almost 2 years now and has proven to be a scalable, cost-effective solution for practices ranging from small to very large, where the use of different hardware combinations allows scaling to the different deployments, while the use of paravirtualization allows increased security and easy migrations and upgrades.
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Affiliation(s)
- Bryan Iotti
- Dipartimento di Scienze Veterinarie, Università degli Studi di Torino, Torino, Italy,
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Gandini M, Giusto G, Iotti B, Valazza A, Sammartano F. In vitro description of a new technique for stapled side-to-side jejunocecal anastomosis in horses and CT scan anatomical comparison with other techniques. BMC Vet Res 2014; 10 Suppl 1:S9. [PMID: 25238113 PMCID: PMC4122904 DOI: 10.1186/1746-6148-10-s1-s9] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Background Stapled jejunocecal anastomoses are commonly performed in equine abdominal surgery. They carry higher complication rates compared to handsewn techniques. In human surgery various causes likely to lead to failure of stapled techniques have been evaluated, including staple line failure. Recently Freeman proposed a technique to perform a stapled jejunocecal anastomosis in horses while avoiding blind pouch formation. The aim of this study is to describe a method for stapled side-to-side jejunocecal anastomosis in horses and to compare it with other techniques with computed tomography to assess stomal area, shape and blind pouch size. Methods Intestinal specimens comprising the cecum, ileum and jejunum from 18 horses were collected and were divided into three groups. In Group S a standard stapled side-to-side jejunocecal anastomosis was performed. In Group F the anastomosis was performed using a modified technique proposed by Freeman. In Group G the anastomosis was performed with a modified technique proposed by the authors. Inflated bowel segments were CT scanned to obtain a MultiPlanar Reconstruction of the stoma and afferent small intestine before calculating the cross-sectional area of each of these regions. The ratio of the measured areas was compared between the three techniques. The volume of the blind-end pouch was measured and its ratio with the intestinal area compared between techniques. The cecum was opened and the length of the stoma measured with a caliper and compared to the intended initial length. Results The stomal/intestinal area ratio was not significantly different between techniques. No statistically significant difference was found in the stomal ideal/real perimeter ratio. There was no statistically significant difference in the intended/real stomal length ratio, and all techniques featured an increase in stomal length ranging from 2 to 12 %. Blind pouch formation was a consistent finding in Group S and was virtually absent in Groups F and G. Conclusions Both the Freeman and the new (G) technique were comparable to the standard technique in terms of stomal area, stomal shape and difference in stomal elongation. They consistently produced a smaller blind pouch and allowed easier placement of the staplers.
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Gandini M, Iotti B, Nervo T. Field caesarean section in seven miniature horses and ponies (2009-2012). Reprod Domest Anim 2013; 48:e49-51. [PMID: 23489709 DOI: 10.1111/rda.12158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2012] [Accepted: 01/28/2013] [Indexed: 11/27/2022]
Affiliation(s)
- M Gandini
- Department of Veterinary Sciences, University of Turin, Grugliasco (TO), Italy.
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