Simulator-Assisted Training of Abomasal Surgery-A Pilot Study Using Blended Learning and Face-to-Face Teaching

Two stimulators were developed, one simplified and one realistic, in the present study for learning abomasal surgery for veterinary students. The simulators were tested in a pilot study: The upcoming blended learning format was compared with traditional face-to-face teaching. A total of 21 5th-year students participated in the study. While one group learned the surgical technique in traditional face-to-face simulator training, the second group completed interactive video training asynchronously. Afterwards, skills were examined in person. The results showed that the different groups did not lead to different performance results. Participation in the study increased self-assessment of skills by an average of about 7 of 36 points, as well as the learning success and motivation of students in both groups. The simulators developed were well liked by the students and rated as appropriate by 12 practicing bovine veterinarians. The pilot study indicates that blended learning could be a suitable alternative to traditional face-to-face teaching. This should be followed by further research to support the use of blended learning in the veterinary education of clinical skills.

The clinical efficacy of pentoxifylline and l-glutamine on ischemia and reperfusion injury in cattle with displaced abomasum: a longitudinal study

This study aimed to assess the clinical efficacy of pentoxifylline (PTX) and L-glutamine (L-Gln) treatment on ischemia and reperfusion (I/R) injury in the abomasal tissue, acute phase response (APR), oxidative stress (OS), cytokine response, hemostatic, and coagulation disorders in the 96-h period before and after surgery in displaced abomasum (DA) cases. The study sample consisted of 48 dairy cows with DA that were categorized into four groups as group S (Sham group) (9 Left displaced abomasum (LDA)+3 Right displaced abomasum (RDA), group P (PTX) (10 LDA+2 RDA), group G (L-Gln) (10 LDA+2 RDA), and group P+G (PTX+L-Gln) (10 LDA+2 RDA). Acute-phase protein (Haptoglobin), oxidative stress indicators (malondialdehyde, nitric oxide, and glutathione), cytokines (tumor necrosis factor (TNF)-α and interleukin-1β (IL-1β), coagulation factors (D-Dimer, Antithrombin (ATIII), Thrombin-antithrombin complex, Plasminogen activator inhibitor-1), and enzyme activities (lactate dehydrogenase, gamma- -glutamyl transferase, sorbitol dehydrogenase, glutamate dehydrogenase, adenosine deaminase, myeloperoxidase, and creatine phosphokinase) in blood serum samples and coagulometric analyses of blood plasma were performed in samples taken before the operation and at 30 and 60 min and 2, 5, 10, 24, 48, 72, and 96 h after the operation. In DA cases, while post-operative treatment procedures with PTX and L-Gln were effective in decreasing APR and OS, these were ineffective in prohibiting the inflammatory response coordinated by cytokines. For the treatment and prevention of I/R injury in the DA cases, PTX and L-Gln procedures hold promise with their effects on APR, OS, and hemostatic dysfunction. Additional treatment procedures are required for the suppression of inflammatory response, and the effectiveness of preconditioning treatment may be evaluated.

Preliminary Experiment Using Sensors for Cow Health Monitoring after Surgical Treatment for the Left Displacement of the Abomasum

The aim of the current study was to determine the effectiveness of two surgical techniques regarding cow respiratory rates, heart rates, and rumination time using two sensors: an experimental device created by the Institute of Biomedical Engineering of Kaunas University of Technology (Lithuania) and the Hi-Tag rumination monitoring system (SCR) produced by SCR Engineers Ltd., Netanya, Israel. The cows were divided into two groups: the PA1 group, containing cows treated by percutaneous abomasopexy (n = 10), and the RSO2 group, containing cows treated by right side omentopexy (n = 8). For the control group (KH), according to the principle of analogs (number of lactations, breed, and days in milk), we selected clinically healthy cows (n = 9). After the surgical treatment for the abomasal displacement, the experimental device was applied for the recording of the heart and breathing rates, 12 h tracking of the rumination time was implemented using the SCR, and the body temperature was measured. After 12 h, the blood was taken for biochemical and morphological tests. With the help of experimental sensors, we found that the more efficient abomasal displacement surgical method was the right side omentopexy: During the first 12 h after right side omentopexy, we found a 5.19 beats/min lower (1.10 times lower) average value of the respiratory rate, a 1.13 times higher level of the heart rate, a 0.15 °C higher temperature, and a 3.29 times lower rumination time compared to the clinically healthy cows. During the first 12 h after percutaneous abomasopexy, we found a 5.19 beats/min higher (1.07 times) average value of heart rate, a 0.02 °C higher temperature, a 6.21 times lower rumination time, and a 0.12 beats/min lower (1.01 times lower) average value of respiratory rate compared to the clinically healthy cows.