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J. F. Prescott 《Equine Veterinary Education》2021,33(10):539-545
Antimicrobial stewardship (AMS) is the term increasingly used to describe the multiple approaches needed to sustain the efficacy of antimicrobial drugs in the face of the increasing development and spread of antimicrobial resistance in bacterial pathogens, and the global crisis in medicine that it is engendering. The concept and the practices associated with AMS continue to evolve but the general approach is a dynamic and multifaceted one of continuous improvement based on reducing, improving, monitoring and evaluating the use of antimicrobials so as to preserve their future efficacy and to protect human and animal health. Using many equine examples, this basic overview discusses the multiple and interacting elements of AMS: Practice guidelines, infection control and prevention, clinical microbiology, resistance and use surveillance, dosage, pharmacokinetics and pharmacodynamics, regulation, education and owner compliance, leadership, coordination and measurement. There have been impressive advances in recent years in reporting and analysis of AMR in horses, in the scrutiny and assessment of how antimicrobial drugs are used in horses and in identification of areas for improvement including dosing, surgical prophylaxis, infection control, development of practice standards and the use of clinical microbiology. Antimicrobial stewardship is taking shape as we start to see the emergence of evidence-based recommendations but far more is required. Containing and even rolling back AMR will need the continued engagement of practitioners, equine national and international practitioner organisations, researchers and educators in the academic community, horse owners, regulators and others. 相似文献
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RN Zadoks E Scholz SM Rowe JM Norris HB Pooley J House 《Australian veterinary journal》2023,101(4):142-152
Numerous culture-based diagnostics are available on the Australian and international markets for on-farm detection of bacterial pathogens in milk. Use of such diagnostics may provide an opportunity to improve the prudent use of antimicrobials in udder health management. Farms are low-resource settings in terms of diagnostic microbiology capacity. The World Health Organisation has identified criteria for the evaluation of diagnostic tests in low resource settings based on Accuracy, Sensitivity, Specificity, User-friendliness, being Rapid or Robust, Equipment-free and being Deliverable (ASSURED). Here, we review how those criteria can be interpreted in the context of microbiological diagnosis of mastitis pathogens, and how on-farm diagnostics that are currently available in Australia perform relative to ASSURED criteria. This evaluation identifies multiple trade-offs, both with regard to scientific criteria and with regards to convenience criteria. More importantly, the purpose of testing may differ between farms, and test performance should be evaluated relative to its intended use. The ability of on-farm mastitis diagnostics to inform mastitis treatment decision-making in a timely and cost-effective manner depends not just on test characteristics but also on farm-specific pathogen prevalence, and on the farm enterprise's priorities and the farm manager's potential courses of action. With most assay evaluations to date conducted in professional laboratories, there is a surprising dearth of information on how well any of the diagnostic tests perform on-farm and, indeed, of the on-farm decision-making processes that they aim to inform. 相似文献
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Results of several long-term studies of non-woody litter decomposition in forests indicate that we need to rethink why and how we measure rates of litter decomposition. Effects on litter decomposition rates were postulated to explain some of the nutritional effects of factors such as tree species, forest harvesting and fertilization. However, the accumulated experimental evidence indicates that litter decomposition rates do not mediate these responses. Many studies have reported litter mass loss becoming extremely slow at values considerably below 100%, indicating that early decay rates may not accurately foreshadow the entire decay process. Exclusion of soil faunal activities from current measurements of decomposition rates seriously reduces the likelihood that we are properly modeling decomposition. Finally, the use of regression and correlation analyses to determine which climate or initial litter quality factors control decay rate has led to many unwarranted and potentially misleading conclusions. These concerns are illustrated with examples from a suite of litter decomposition studies in British Columbia, Canada. Insights into nutrient cycling and carbon storage in ecosystems are more likely to arise from measuring the mass and nutrient content of annual litter input and determining the maximum decomposition limit and nutrient content at that stage, than by measuring early rates of decay. Improved predictions of relative decay rates of plant litters are likely to arise from a holistic approach based on plant life attributes rather than correlations based on individual initial litter chemistry parameters. Finally, a better understanding of the fate of faecal material of soil fauna is necessary before we can accurately predict and model litter decomposition. 相似文献
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Julia Dordel Suzanne W. Simard Jürgen Bauhus Brad Seely Luciano J. Pozas Cindy Prescott Hermann Hampel 《Forest Ecology and Management》2010,259(9):1846-1855
Toona ciliata (Australian red cedar), a valuable hardwood species, requires a nurse-tree overstorey to prevent damage from frost and drought in some regions of north-eastern Argentina. Different nurse-species offer different degrees of protection, resource competition, and thinning revenues. In addition, choice of nurse-species will influence trade-offs between T. ciliata establishment success, stem quality and productivity as well as revenue from intermediate and final harvests. We tested the effects of overstorey species and planting density on underplanted T. ciliata survival, stem morphology and growth. Initial stand densities of nurse-species Pinus taeda (625 stems/ha), P. elliottii × P. caribaea (625 stems/ha), and Grevillea robusta (833 stems/ha) were thinned by 0%, 25%, 50%, and 75% in three experiments, each using a randomized block design. Initial mortality, light availability and growth of T. ciliata, as well as growth of its nurse-trees, were measured before and two years after thinning. In the third year, we characterized T. ciliata stem morphology (straightness and height-to-diameter-ratio) and destructively harvested a subsample of T. ciliata in order to investigate T. ciliata biomass production and allocation patterns in response to overstorey species, thinning density and light availability. T. ciliata mortality was lower when planted under G. robusta than the pines, and increased in plots with greater exposure to solar radiation. T. ciliata productivity was also greater under G. robusta than under the pines, and was generally greatest where any of the nurse-species were thinned by 75%. Stem form was best when growing under P. taeda and in stands thinned by 50%, regardless of nurse-species. With the exception of early mortality, light levels appeared to have limited effects on T. ciliata growth dynamics. Neither growth rate nor stem morphology was strongly correlated with light availability. Total overstorey basal-area was highest in P. taeda stands and individual overstorey tree growth generally increased with decreasing stand densities, except for slower height growth of G. robusta in more open stands. Thinning operations resulted in sawn-wood revenue for the pine species only. Because stand productivity and stem quality were optimized under different nurse-species and thinning treatments, we conclude that the choice of nurse-species and thinning intensity will depend on management objectives and will change with market preferences and conditions. 相似文献
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