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  1. Article: Factors influencing the effectiveness of the Gudair vaccine for controlling Johne’s disease in sheep flocks in Australia

    Dhand, Navneet K / Plain, Karren M / Green, Alexandra C / Martinez, Esteban / Eppleston, Jeff / Ly, Anna / Arif, Shumaila / Emery, David

    Preventive veterinary medicine. 2021 Aug., v. 193

    2021  

    Abstract: Ovine Johne’s disease is a chronic debilitating disease of sheep caused ...

    Abstract Ovine Johne’s disease is a chronic debilitating disease of sheep caused by Mycobacterium avium subsp. paratuberculosis (Mptb) which results in diarrhoea, emaciation and mortalities in infected animals. Vaccination with Gudair® has been a key strategy for controlling the disease in Australia since its approval in 2002. Previous research conducted in Australia has demonstrated that the vaccine is quite effective in reducing sheep mortalities. While some farms have also been successful in reducing the prevalence of the disease in their flocks to undetectable levels, sheep in other flocks continue to shed Mptb in faeces even after an ongoing vaccination program . This study was conducted to investigate management, husbandry and biosecurity factors associated with paratuberculosis infection in Gudair® vaccinated sheep flocks in Australia. We enrolled 64 sheep farmers and interviewed them to obtain information about their management and biosecurity practices. Pooled faecal samples were collected from sheep at each farm and cultured to create two outcome variables: Mptb positive (yes/no) and disease prevalence level (nil, < 1 %, ≥ 1 %). Binary and ordinal logistic regression analyses were conducted to evaluate the association of management, husbandry and biosecurity factors with these outcome variables. Farms were more likely to have Mptb positive sheep and a higher disease prevalence in their flocks if they: (a) provided supplementary feed on the ground (instead of in a trough); (b) had a greater number of neighbours with sheep; and (c) had introduced rams from a greater number of sources. The results suggest the effectiveness of Gudair® vaccination to control OJD can be improved if sheep producers maintain other risk management strategies and biosecurity practices. Extension agencies should advise farmers not to relax their biosecurity practices and to purchase rams from only low-risk sources, even if they are continuing to vaccinate their flocks.
    Keywords Mycobacterium avium subsp. paratuberculosis ; biosecurity ; diarrhea ; disease prevalence ; emaciation ; farms ; feces ; feed supplements ; paratuberculosis ; regression analysis ; risk management ; vaccination ; vaccines ; veterinary medicine ; Australia
    Language English
    Dates of publication 2021-08
    Publishing place Elsevier B.V.
    Document type Article
    ZDB-ID 43399-8
    ISSN 1873-1716 ; 0167-5877
    ISSN (online) 1873-1716
    ISSN 0167-5877
    DOI 10.1016/j.prevetmed.2021.105394
    Database NAL-Catalogue (AGRICOLA)

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  2. Article ; Online: Case definition terminology for paratuberculosis (Johne’s disease)

    R. J. Whittington / D. J. Begg / K. de Silva / A. C. Purdie / N. K. Dhand / K. M. Plain

    BMC Veterinary Research, Vol 13, Iss 1, Pp 1-

    2017  Volume 13

    Abstract: Abstract Paratuberculosis (Johne’s disease) is an economically significant condition caused ...

    Abstract Abstract Paratuberculosis (Johne’s disease) is an economically significant condition caused by Mycobacterium avium subsp. paratuberculosis. However, difficulties in diagnosis and classification of individual animals with the condition have hampered research and impeded efforts to halt its progressive spread in the global livestock industry. Descriptive terms applied to individual animals and herds such as exposed, infected, diseased, clinical, sub-clinical, infectious and resistant need to be defined so that they can be incorporated consistently into well-understood and reproducible case definitions. These allow for consistent classification of individuals in a population for the purposes of analysis based on accurate counts. The outputs might include the incidence of cases, frequency distributions of the number of cases by age class or more sophisticated analyses involving statistical comparisons of immune responses in vaccine development studies, or gene frequencies or expression data from cases and controls in genomic investigations. It is necessary to have agreed definitions in order to be able to make valid comparisons and meta-analyses of experiments conducted over time by a given researcher, in different laboratories, by different researchers, and in different countries. In this paper, terms are applied systematically in an hierarchical flow chart to enable classification of individual animals. We propose descriptive terms for different stages in the pathogenesis of paratuberculosis to enable their use in different types of studies and to enable an independent assessment of the extent to which accepted definitions for stages of disease have been applied consistently in any given study. This will assist in the general interpretation of data between studies, and will facilitate future meta-analyses.
    Keywords Veterinary medicine ; SF600-1100
    Language English
    Publishing date 2017-11-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article: Case definition terminology for paratuberculosis (Johne’s disease)

    Whittington, R. J / Begg, D. J / de Silva, K / Dhand, N. K / Plain, K. M / Purdie, A. C

    BMC veterinary research. 2017 Dec., v. 13, no. 1

    2017  

    Abstract: Paratuberculosis (Johne’s disease) is an economically significant condition caused ...

    Abstract Paratuberculosis (Johne’s disease) is an economically significant condition caused by Mycobacterium avium subsp. paratuberculosis. However, difficulties in diagnosis and classification of individual animals with the condition have hampered research and impeded efforts to halt its progressive spread in the global livestock industry. Descriptive terms applied to individual animals and herds such as exposed, infected, diseased, clinical, sub-clinical, infectious and resistant need to be defined so that they can be incorporated consistently into well-understood and reproducible case definitions. These allow for consistent classification of individuals in a population for the purposes of analysis based on accurate counts. The outputs might include the incidence of cases, frequency distributions of the number of cases by age class or more sophisticated analyses involving statistical comparisons of immune responses in vaccine development studies, or gene frequencies or expression data from cases and controls in genomic investigations. It is necessary to have agreed definitions in order to be able to make valid comparisons and meta-analyses of experiments conducted over time by a given researcher, in different laboratories, by different researchers, and in different countries. In this paper, terms are applied systematically in an hierarchical flow chart to enable classification of individual animals. We propose descriptive terms for different stages in the pathogenesis of paratuberculosis to enable their use in different types of studies and to enable an independent assessment of the extent to which accepted definitions for stages of disease have been applied consistently in any given study. This will assist in the general interpretation of data between studies, and will facilitate future meta-analyses.
    Keywords animals ; frequency distribution ; herds ; immune response ; livestock and meat industry ; meta-analysis ; Mycobacterium avium subsp. paratuberculosis ; paratuberculosis ; pathogenesis ; researchers ; terminology ; vaccine development ; veterinary medicine
    Language English
    Dates of publication 2017-12
    Size p. 328.
    Publishing place BioMed Central
    Document type Article
    Note Review
    ISSN 1746-6148
    DOI 10.1186/s12917-017-1254-6
    Database NAL-Catalogue (AGRICOLA)

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  4. Article: Multidisciplinary Approach to PAD: Who's on Your Team?

    Dhand, Sabeen

    Seminars in interventional radiology

    2019  Volume 35, Issue 5, Page(s) 378–383

    Abstract: The complexity of peripheral arterial disease (PAD) and its multiorgan involvement requires the utilization of a multispecialty team approach. Members of this team include a vascular specialty (interventional radiology, cardiology, and vascular surgery), ...

    Abstract The complexity of peripheral arterial disease (PAD) and its multiorgan involvement requires the utilization of a multispecialty team approach. Members of this team include a vascular specialty (interventional radiology, cardiology, and vascular surgery), podiatry, orthopedic surgery, primary care, infectious disease, endocrinology, plastic surgery, wound care nursing, and dietetics. A team approach has been proven to significantly improve patient outcomes as well as decreasing amputation rates. In order to promote collaboration and avoid duplication of care, the team can be broken down into three main pillars: medical management, wound care, and revascularization. A complete team approach is vital for this population, with an overall goal to treat all manifestations of the disease and prevent further progression and risk of major sequelae of the disease.
    Language English
    Publishing date 2019-02-05
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 848341-3
    ISSN 1098-8963 ; 0739-9529
    ISSN (online) 1098-8963
    ISSN 0739-9529
    DOI 10.1055/s-0038-1676094
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Successful bilateral lung transplantation from a recent SARS-CoV-2 PCR positive donor.

    Jyothula, Soma S S K / Patel, Jayeshkumar / Dhand, Abhay

    Transplant infectious disease : an official journal of the Transplantation Society

    2023  Volume 25, Issue 3, Page(s) e14031

    MeSH term(s) Humans ; SARS-CoV-2/genetics ; COVID-19/diagnosis ; Lung Transplantation/adverse effects ; Tissue Donors ; Polymerase Chain Reaction ; COVID-19 Testing
    Language English
    Publishing date 2023-03-06
    Publishing country Denmark
    Document type Letter
    ZDB-ID 1476094-0
    ISSN 1399-3062 ; 1398-2273
    ISSN (online) 1399-3062
    ISSN 1398-2273
    DOI 10.1111/tid.14031
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Do Center-specific Factors Impact Utilization of Organs From COVID-positive Donors in the United States?

    Okumura, Kenji / Ohira, Suguru / Nishida, Seigo / Dhand, Abhay

    Transplantation direct

    2023  Volume 9, Issue 3, Page(s) e1456

    Language English
    Publishing date 2023-02-22
    Publishing country United States
    Document type Journal Article
    ISSN 2373-8731
    ISSN 2373-8731
    DOI 10.1097/TXD.0000000000001456
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: 1-Year Outcomes of Lung Transplantation for Coronavirus Disease 2019-Associated End-Stage Lung Disease in the United States.

    Okumura, Kenji / Jyothula, Soma / Kaleekal, Thomas / Dhand, Abhay

    Clinical infectious diseases : an official publication of the Infectious Diseases Society of America

    2023  Volume 76, Issue 12, Page(s) 2140–2147

    Abstract: Background: Lung transplantation can provide quality of life and survival benefits for patients with coronavirus disease 2019 (COVID-19)-associated end-stage lung disease. Characteristics and outcomes of these lung transplant recipients are limited to ... ...

    Abstract Background: Lung transplantation can provide quality of life and survival benefits for patients with coronavirus disease 2019 (COVID-19)-associated end-stage lung disease. Characteristics and outcomes of these lung transplant recipients are limited to mostly single-center experiences or provide a short-term follow-up.
    Methods: Characteristics of deceased donors and adult lung transplant recipients for COVID-19-associated end-stage lung disease between August-2020 and June-2022 were analyzed using deidentified United Network for Organ Sharing database. Post-transplant patient survival of COVID-19 recipients was analyzed and compared with non-COVID-19 recipients. Secondary outcomes were length of hospitalization, post-transplant complications, and rates of organ rejection.
    Results: During the study period, 400 lung transplants for COVID-associated end-stage lung disease comprised 8.7% of all lung transplants performed in United States. In the COVID-19 group, Hispanic males received lung transplants at significantly higher rates. The COVID-19 group was younger and had greater need for intensive care unit stay, mechanical ventilation, hemodialysis, extracorporeal membrane oxygenation support, and receipt of antibiotics pre-lung transplant. They had higher lung allocation score, with a shorter wait-list time and received more double lung transplants compared with non-COVID-19 recipients. Post-transplant, the COVID-19 cohort had longer hospital stays, with similar 1-year patient survival (COVID, 86.6% vs non-COVID, 86.3%). Post-transplant, COVID-19-associated deaths were 9.2% of all deaths among lung transplant recipients.
    Conclusions: Lung transplantation offers a effective option for carefully selected patients with end-stage lung disease from prior COVID-19, with short-term and long-term outcomes similar to those for lung transplant recipients of non-COVID-19 etiology.
    MeSH term(s) Adult ; Male ; Humans ; United States/epidemiology ; Heart Transplantation ; Quality of Life ; Survival Rate ; COVID-19 ; Lung Transplantation ; Tissue Donors ; Lung Diseases ; Graft Survival ; Retrospective Studies
    Language English
    Publishing date 2023-02-10
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1099781-7
    ISSN 1537-6591 ; 1058-4838
    ISSN (online) 1537-6591
    ISSN 1058-4838
    DOI 10.1093/cid/ciad072
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Utilization and discard of organs from donors with COVID-19 in the United States.

    Okumura, Kenji / Nishida, Seigo / Dhand, Abhay

    Clinical transplantation

    2023  Volume 37, Issue 3, Page(s) e14892

    MeSH term(s) Humans ; United States ; COVID-19 ; Tissue Donors ; Tissue and Organ Procurement ; Donor Selection ; Graft Survival
    Language English
    Publishing date 2023-01-04
    Publishing country Denmark
    Document type Letter
    ZDB-ID 639001-8
    ISSN 1399-0012 ; 0902-0063
    ISSN (online) 1399-0012
    ISSN 0902-0063
    DOI 10.1111/ctr.14892
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Severe COVID-19 in solid organ transplant recipients in the post-vaccination era: Persistence in the burden of disease and in disparities of care.

    Dhand, Abhay / Okumura, Kenji / Nishida, Seigo

    Transplant infectious disease : an official journal of the Transplantation Society

    2023  Volume 26, Issue 1, Page(s) e14205

    MeSH term(s) Humans ; COVID-19/epidemiology ; COVID-19/prevention & control ; Organ Transplantation/adverse effects ; Cost of Illness ; Transplant Recipients ; Vaccination
    Language English
    Publishing date 2023-11-27
    Publishing country Denmark
    Document type Editorial
    ZDB-ID 1476094-0
    ISSN 1399-3062 ; 1398-2273
    ISSN (online) 1399-3062
    ISSN 1398-2273
    DOI 10.1111/tid.14205
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Letter to the Editor: How does ex vivo liver perfusion help improve the outcomes of liver transplantation in donation after cardiac death donors?

    Okumura, Kenji / Dhand, Abhay / Misawa, Ryosuke / Nishida, Seigo

    Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society

    2023  Volume 30, Issue 3, Page(s) E18–E19

    MeSH term(s) Humans ; Liver Transplantation/adverse effects ; Liver/surgery ; Tissue Donors ; Death ; Perfusion ; Organ Preservation ; Tissue and Organ Procurement
    Language English
    Publishing date 2023-10-30
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 2006866-9
    ISSN 1527-6473 ; 1527-6465
    ISSN (online) 1527-6473
    ISSN 1527-6465
    DOI 10.1097/LVT.0000000000000289
    Database MEDical Literature Analysis and Retrieval System OnLINE

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