NGUHIU DRMWANGIJAMESA. "
J. Nguhiu-Mwangi; P.M.F. Mbithi; J.K. Wabacha; and P.G. Mbuthia. Sole haemorrhage is the most diagnostic sign of subclinical and chronic laminitis in cattle.Bull. Anim. Hlth. Prod. Afr. 2006 special.". In:
issueProceedings of the 5th Biennial Scientific conference, Faculty of Veterinary Medicine, September 6th . University of Nairobi; 2006.
Abstract{ The insidious nature of laminitis makes it difficult to diagnose early enough. In most cases diagnosis is made after the condition has devastated the claw irreversibly with inevitable consequences of culling the animal. A study to determine prevalence and risk factors of laminitis was conducted on 300 dairy cows in 29 zero-grazed and 3 pasture-grazed farms within Nairobi and the peri-urban districts between December 2005 and May 2006. Locomotion score was made by walking the cows on unyielding surface to evaluate gait and straightness of the back. After washing the hind claws of each cow, they were grossly examined for any sign of claw lesions. A 1-2mm layer of horn was trimmed-off from the soles of these claws and the soles scrutinized for underlying signs of laminitis. Each weight-bearing surface of the claw was divided into 6 universally recognized zones. The prevalence of subclinical and chronic laminitis was 49.3% and 21% respectively. Claw deformities were observed in 47% of the cows but may all not have been associated with laminitis. Signs and lesions on the claws suggesting presence of laminitis but could also occur independent of laminitis were: horizontal ridges of the claw wall, sole and heel erosions, double soles and white line separation. It was observed that 82% of the cows with subclinical and chronic laminitis had sole horn haemorrhages. However, all the cows with sole haemorrhages had either subclinical or chronic laminitis. But all the cows with subclinical laminitis had haemorrhages. This implies that sole haemorrhage is mainly a good sign of subclinical laminitis. The number of zones involved determined severity of the haemorrhages. There was significant association at 95% CI between sole haemorrhage-score and number of haemorrhagic zones in which subclinical laminitis was associated with slight to moderate haemorrhages (score 1 and 2
NGUHIU DRMWANGIJAMESA. "
Nguhiu-Mwangi, J. and Tsigadi, S.A. Categorizing Wounds to Improve Clinical Management and Prognostic Outcome: A Retrospective Study Kenya Veterinarian: vol 30 (issue 2), 2006).". In:
Faculty of Veterinary Medicine Biennial Conference. 2004 Kabete Nairobi. University of Nairobi; 2006.
AbstractTrauma and surgeries are common causes of wounds that require proper management to prevent complications, economic losses, pain and suffering, death or euthanasia of the affected animals. A retrospective study of 243 wounds in cattle, sheep and goats treated between 1981 and 2006 is described. It describes practical clinical methods of categorizing and correlating wounds based on their management, complications, and prediction of prognosis. Location of a wound in the body is one of the most important factors that determine the mode of management, possible complications and anticipated outcome. Approximately 22% of the wounds were located on the ventral abdomen and thoracic regions and these healed rapidly due to good drainage of exudates. Periarticular and articular wounds constituted 17.3% and required protective and supportive bandages to prevent contamination and minimize movement. Wounds in areas prone to gross contamination constituted 14.3%, took long to heal and had a high incidence of suture dehiscence. The type of wound meant the state in which it was, while the level of tissues involved determined depth. About 46.1% of wounds involved areas with scarcity of tissue and healed slowly, while sepsis and abscessation formed 39.2% of the wounds and healed after prolonged treatment. Wounds involving dense muscular tissue were 23.6% and these healed within 3 weeks of treatment, but skin-deep wounds made 6.7% and healed within 2 weeks. Those involving the bone were 4.5% and took an average of 16 weeks to heal. Bites and gangrenous wounds were unmanageable and frequently resulted in high patient mortality, while partially granulating wounds healed rapidly. Wounds penetrating to any body cavity were best managed closed rather than open. Effective wound management-entailed debridement of deep-seated necrotic tissue, removal of foreign materials or special surgery to enhance drainage. The complicating factors included presence of subcutaneous emphysema, oedema, sepsis, foreign bodies, maggots and abscesses. Location, type and depth of wounds are therefore useful factors for categorizing wounds and these factors influence management and prognostic outcomes.