Injection site-pain and bruising are common side effects of subcutaneous heparin injections. These adverse outcomes are problematic for both the patient and the nurse. Specifically, site-pain causes the patient discomfort and bruising limits possible sites for subsequent injections. It is important that nurses use an injection technique that minimises the incidence of adverse outcomes when administering subcutaneous heparin injections. This study examines the effect of duration of subcutaneous heparin injection on site-pain intensity and bruise size experienced by a group of patients being treated with heparin for ischaemic stroke or transient ischaemic attacks.A quasiexperimental design with subjects serving as their own control was used to address the study objectives. The independent variable was the duration of the injection and the dependent variables were site-pain and bruise size. A convenience sample of 34 subjects receiving 5000 units of a subcutaneous Fragmin injection twice a day were recruited from a large teaching hospital. Subjects rated the level of perceived site-pain intensity during injection using the vertical Visual Analogue Scale. Injection-site bruising was measured at 48 and 60 hours after injection. Data were analysed using the Wilcoxon Sign-Rank test. Results indicated that injection technique B (30-second injection duration) resulted in significantly less intense site-pain during administering the injection and fewer and smaller bruises.The findings of this study indicate that injecting subcutaneous heparin over a longer duration may reduce injection site-pain and bruising.

Doctor of Philosophy / Department of Diagnostic Medicine/Pathobiology / Daniel U. Thomson / Cattle health and welfare are of utmost concern to producers, packers, processors, and consumers of beef. In addition, poor animal welfare can lead to decreases in economic return, in the form of production losses, product losses, or even live animal losses. Two major contributors to such losses include carcass bruising and cattle fatigue, or Fatigued Cattle Syndrome. Bruising in fed beef cattle costs the industry millions of dollars annually, and cattle fatigue leads to production losses and animal death during and after transport. Much research in cattle welfare is focused upon the more vulnerable classes of cattle in the industry, such as small calves, cull beef cows, and cull dairy cows. Limited research exists on the animal welfare concerns in fed beef cattle, likely because these animals are considered healthier and better fit for transport compared to other classes. The overall goal of this research was to assess the health and welfare of fed cattle after transport to commercial slaughter facilities by addressing two large concerns in the industry: 1) bruising in fed cattle and 2) Fatigued Cattle Syndrome and its prevalence and physiologic characteristics. The first objective of this research focused upon bruising, and was to determine whether a relationship exists between trauma incurred during unloading and prevalence of carcass bruising in finished beef cattle at commercial slaughter facilities. In addition, other risk factors which may contribute to carcass bruising in finished beef cattle are addressed. The second and third objectives focused upon Fatigued Cattle Syndrome in the fed cattle population. The second objective of this research was to determine the prevalence of abnormal mobility scores and the clinical signs associated with to abnormal mobility in finished cattle in six commercial slaughter facilities across the United States. The third objective was to determine if mobility score and clinical signs reflect concurrent changes in physiologic parameters such as blood concentrations of specific biochemical markers and biomechanical integrity of hooves. This information is both valuable and novel in the fed beef cattle industry. Along with the implementation of practices that will promote better health and welfare of fed cattle presented to slaughter facilities, gathering such information will help improve animal welfare, increase economic returns, and strengthen consumer confidence in the industry.

The intent of this study was to monitor the effect of Canadian winter commercial transport conditions on animal outcomes. A methodology was developed to measure acceleration on trailers transporting cull cows and a preliminary comparison of acceleration and carcass bruising revealed that further study of the relationship was warranted. The accelerometer methodology was used as one tool to examine factors influencing internal trailer microclimate and trailer acceleration on shrink, and severe bruising in finished cattle. This research has improved our understanding of Canadian winter transport conditions affecting finished cattle and demonstrated that there is a relationship between vertical rms of acceleration (P=0.0025), beta agonist use (P=0.0323), total wait time (P=0.0052) and the two way interaction of carcass position and yield score (P=0.0025) with cattle bruising. It also demonstrated that there is a relationship between journey duration (P<0.001), allometric coefficient (P<0.001), temperature humidity index (P<0.001) and prod use during loading (P=0.0012) with cattle shrink. / October 2015

Thesis (MSc Food Sc (Food Science))--University of Stellenbosch, 2009. / ENGLISH ABSTRACT: Fresh ostrich meat competes in well regulated and competitive international markets; therefore food quality and safety are of the utmost importance. At the same time the production process must be well controlled to be cost effective. Losses in meat yield through bruising and the trimming thereof as well as a high initial microbial load that causes a decrease in shelf-life is thus undesirable. The main objectives of this study were firstly to investigate the expected prevalent microbial growth on ostrich meat as well as possible environmental contaminants to establish which bears the greatest risk. Secondly to establish the best practice of removing bruised areas from carcasses from both a microbiological and meat yield perspective. Lastly to investigate bruises on carcasses to predict the possible causes thereof so as to minimize bruising during transport and handling. From this study it was concluded that the prevalent growth on carcasses was predominantly Grampositive which increased ten fold from post-evisceration to post-chilling, this was also associated with a marked increase in Gram-negative organisms. The most dangerous vector for contamination was found to be standing water containing Gram-negative human pathogens including Shigella, Salmonella and E. coli. Bruises to the necks (52.58% of all bruises) were the most frequent, the high side railings on transport trucks the probable cause thereof. It was indicated that aerobic viable counts decreased after cold trimming, where the opposite occurred on warm trimmed surfaces, while the average loss in meat yield per bird due to bruising was smaller for cold trimming. / AFRIKAANSE OPSOMMING: Vars volstruisvleis kompeteer in goed gereguleerde en kompeterende internasionale markte; dus is voedselkwaliteit en –veiligheid baie belangrik. Terselfdertyd moet die produksieproses goed beheer word en koste effektief wees. Verliese aan vleisopbrengs as gevolg van kneusings en die verwydering daarvan, sowel as ‘n hoë inisiële mikro-organisme lading wat ‘n verkorte rakleeftyd tot gevolg het, is dus ongewens. Die hoofdoelwitte van die studie was eerstens om die verwagte mikro-organisme groei op volstruisvleis en op moontlike omgewings kontaminasie bronne te ondersoek om vas te stel watter bronne die grootste risiko dra vir besmetting. Tweedens om die beste praktyd vir die verwydering van kneusings van die volstruiskarkasse te bepaal uit beide ‘n mikrobiologiese en vleisopbrengs oogpunt. Laastens om die omvang en verspreiding van karkaskneusings te ondersoek om die oorsaak daarvan te probeer aandui en sodoende kneusings tydens vervoer en hantering te verminder. Uit die studie was die volgende duidelik; die mikrobiese groei op karkasses was hoofsaaklik Gram-positief, tellings het tienvoudig toegeneem vanaf ontweiding tot na verkoeling, met ‘n gepaardgaande merkbare toename in Gram-negatiewe organismes. Die gevaarlikste oorsaak van omgewingskontaminasie was staande water wat Gram-negatiewe menslike patogene (insluitend; Shigella, Salmonella en E. coli) bevat het. Nekkneusings (52.58% van all kneusings) was die algemeenste; met die hoogte van die kantreëlings van die volstruistrokke die moontlike oorsaak daarvan. Dit is bewys dat die aerobe mesofiele plaattelings afgeneem het na koue verwydering, maar dat die teenoorgestelde gesien is op warm gesnyde areas; die gemiddelde verlies in vleisopbrengs per volstruis as gevolg van kneusingverwydering is kleiner tydens koue verwydering.

Developing a more scientific way to determine the load threshold for capillary wall failure would be a big step forward in characterizing whether bruising is result from an abuse or an accident. In this thesis, the upper portion of the human arm was modeled and analyzed under dynamic loading conditions. Since the diameter of the arm is much larger than that of the capillary, a four-level hierarchical sub-modeling method was used to mathematically link the transient response of the global arm model to the response of a small volume in the muscle tissue containing one capillary. Soft tissue in the arm was modeled in two distinct ways. In one method each component of soft tissue was modeled used isotropic linear elastic properties to find the loading threshold that produces a hoop stress in the capillary wall equal to the capillary failure stress. In the other approach, nonlinear, hyper-elastic properties for skin, adipose, muscle tissue and capillary wall were employed to make the tissue behavior more realistic to that of a human arm. Material-appropriate constitutive functions were chosen for each layer. A mathematical technique implement in MATLAB was used to estimate and subtract rigid body motion from the total displacement to avoid excessive displacements of sub-models and focus more on the deformation-only displacement. It was found that modeling the skin, adipose, muscle and capillary as hyper-elastic resulted in significantly smaller deformations but larger loads that resulted in capillary failure.

Amid the COVID-19 pandemic, there has been an increase in the number of abuse cases, with bruising being the most common indicator. Often when a victim comes forward to report an assault, only slight redness may be observed, which may not accurately represent the injury severity. This study focuses on the use of Alternate Light Source (ALS) to detect and document such injuries more effectively. Following institutional approval, blunt trauma was inflicted on fifty-five healthy participants with no known medical conditions. The participant was seated while a spherical object weighing 465 grams was dropped at a height of 1.5 meters through a vertical tube onto the ventral/anterior surface of the participant’s forearm. The injury site was observed under four different lighting conditions. Findings were documented with photography over specific time intervals over 21 days. A comparison was made between body composition and skin tone on their effect on the visibility of the bruise. Our findings concluded that bruising in females persisted for a longer period, and the optimal wavelength for documentation of bruises is 415 nanometers with a yellow filter. A blinded study was conducted using the same methodology to assess the accuracy of ALS for detection of bruises. The blinded study results showed an accuracy of 75%. Although the results showed high accuracy, it was determined that the results rely on the researcher’s perception of bruising. Therefore, the results of the blinded study were inconclusive. Subsequently, peer review of the photographs was conducted to evaluate the effect of bias in detection of bruises. Similar to the results from the blinded study, the observation of the bruise remains highly subjective. The representative sample size was insufficient to provide statistical analysis between the observations of each reviewer. Therefore, the results from the peer review study were also inconclusive. Although ALS is effective in the documentation of bruises, caution is advised when using ALS to detect bruises as skin pigments, and pre-existing skin conditions may interfere with the interpretation.

Subcutaneous anticoagulant medications like Heparin and Low-Molecular Weight Heparin are injections that readily cause bruising, pain, induration, and hematoma formation at the injection site. It is known that these adverse reactions can be correlated to the technique used to administer these medications; however, there is no established technique that reduces bruising, pain, induration, and hematoma formation at the site. Currently, the only protocol for subcutaneous Heparin and Low-Molecular Weight Heparin is that it is to be administered subcutaneously in the abdomen and when using a prefilled syringe, the air bubble should not be removed. The purpose of this study was to identify current nursing practice for the administration of these medications and to compare the results to researched techniques that resulted in less adverse site reactions. A total of 33 participants were recruited. The survey targeted six researched techniques found, after a comprehensive literature review, to have reduced site adverse effects associated with subcutaneous Heparin and Low-Molecular Weight Heparin. After completing the survey, it was found that current practice does not reflect techniques researched to reduce bruising, pain, induration, and hematoma formation at the site. In fact, very few completed one of the six research techniques that were questioned, which included: a two minute application of a cold compress/pack before and/or after the injection, an injection duration lasting 30 seconds, slow removal of the needle over five seconds, application of pressure after the injection for a minimum of 30 seconds, use of a hot pack/compress after the injection, and the use of a3 mL syringe. It was also found that there were inconsistencies in techniques that have been previously established as current protocol for these medications.

Thesis (MScAgric (Animal Sciences))--University of Stellenbosch, 2010. / ENGLISH ABSTRACT: Namibia by nature is very well suited for livestock production and is a net exporter of beef. Beef is currently exported to South Africa, the European Union (EU) and Japan while market access to the United States of America is being explored. Food safety, traceability and lately animal welfare are all aspects which are requested by Namibians trading partners when exporting meat to those countries. The first two aspects have been addressed with the introduction of the Farm Assured Namibian Beef scheme (FAN Meat) which also provides basic guidelines for animal welfare. Beef in Namibia is produced from extensively managed enterprises which are privately owned and managed, or state owned and communally utilized. The events of handling and transport are considered stressful to all animals but especially so to extensively raised animals and their reaction to these events has the potential to severely infringe on their welfare. The aim of this study was to determine the effect of pre-, during, and post-transportation handling on animal welfare status under Namibian transport conditions. The study also investigated the influence of breed on the meat quality of Namibian beef. The level of bruising recorded on slaughter was used to measure animal welfare. Interviews with producers were conducted to describe the pre-transport handling. Questionnaires that included variables considered as important indicators of animal welfare during transport were distributed to truck drivers. Observations of the off-loading event and animal behaviour were completed in lairage at the export abattoir in Windhoek. The variables that were identified as high risk factors and had a significant influence on the level of bruising under Namibian transport conditions include animal factors (i.e. breed type, age, sex, condition and subcutaneous fat cover), pre-transport handling (i.e. re-branding of animals), transport related risks (loading density and animals lying down during transit) as well as lairage factors (i.e. fit of truck floor to off-loading ramp, the way animals moved to holding pens, pen size and minimum environmental temperatures). The influence of breed on meat tenderness and water-holding capacity of the Longissimus dorsi muscle of the four main beef breeds (i.e. Brahman, Bonsmara, Simbrah and Simmental), as well as the effect of different aging periods on meat quality (i.e. 2, 9, 16, 23, 30 & 37 days post mortem) were investigated. The Brahman differed significantly (p < 0.05) from the other three breeds in terms of all aging treatments; with higher Warner-Bratzler shear force values reported for this breed. Interactions between days post mortem and breed were found for the Simbrah, and Simmental breeds, which may be indicative of a delayed response to aging of meat samples obtained from Simbrah animals. This can possibly be ascribed to an increased calpastatin activity in these animals. Meat samples obtained from the Bonsmara steers showed the highest rate of tenderization, with this effect retained until day 30 post mortem. Recommendations as pertaining to the ante mortem handling of cattle are made. / AFRIKAANSE OPSOMMING: Namibië word gekenmerk deur toestande wat uitstekend vir diereproduksie is, met die land wat as ‘n netto uitvoerder van beesvleis beskou word. Vleis word na Suid-Afrika, die Europese Unie (EU) en Japan uitgevoer, met die moontlikheid van die Verenigde State van Amerika wat as ‘n uitvoermark ondersoek word. Voedselveiligheid, naspeurbaarheid en dierewelsyn is drie vereistes wat deur die invoerders van Namibiese vleis daargestel word. Die eerste twee vereistes is reeds deur die implementering van die Farm Assured Namibian beesvleis skema (FAN Meat) aangespreek, met die skema wat basiese riglyne vir dierewelsyn voorskryf. Namibiese beesvleis word geproduseer onder grootskaalse ekstensiewe boerdery omstandighede, wat of privaat besit en bestuur word, of aan die regering behoort en deur plaaslike gemeenskappe benut word. Die invloed van hantering en vervoer is besonder stresvol vir diere en in besonder vir diere wat onder ekstensiewe omstandighede geproduseer word. Omdat diere onder ekstensiewe omstandighede ongewoond aan hantering en vervoer is, kan dié twee aksies ‘n ernstige impak op die welsyn van sulke diere hê. Die doelwit van die studie was om die invloed van hantering voor-, tydens en na-vervoer onder Namibiese vervoertoestande te ondersoek. Die invloed van ras op Namibiese beesvleiskwaliteit is ook ondersoek. Die mate van kneusing waargeneem met slagting was as standaard gebruik om die welsynstatus van diere te bepaal. Onderhoude is met produsente gevoer om inligting oor die pre-vervoer toestande in te win. Vraelyste wat veranderlikes wat as belangrike indikators van dierewelsyn tydens vervoer beskou kan word, ingesluit het, is aan vragmotorbestuurders versprei. Waarnemings van die aflaai en verwante diergedrag was by die houfasiliteite van die uitvoer abattoir in Windhoek, waarnatoe die diere vervoer is, gedoen. Verskeie hoë risiko faktore wat ‘n betekenisvolle invloed op die mate van kneusing wat tydens vervoer opgedoen is, gehad het, is in die studie geïdentifiseer. Hierdie faktore het dierverwante eienskappe (d.i. ras, ouderdom, geslag, liggaamskondisie en onderhuidse vetvoorsiening), voorvervoer hantering (d.i. herbrandmerk van diere), vervoerverwante risiko’s (d.i. aantal diere per trok kompartement en diere wat tydens vervoer gaan lê), asook ontwerp van houfasiliteite (d.i. verbinding tussen trokvloer en laaibrug, die manier wat diere na houkampies beweeg het, grootte van houkampies en lae omgewingstemperature), ingesluit. Die invloed van ras op die sagtheid en waterhouvermoë van die Longissimus dorsi spier van die vier hoof vleisbeesrasse (d.i. Brahman, Bonsmara, Simbrah en Simmentaler), asook verskillende verouderingstydperke op vleiskwaliteit (d.i. 2, 9, 16, 23, 30 en 37 dae post mortem) van die vier rasse is ondersoek. Die Brahman het betekenisvol (p < 0.05) van die ander drie rasse in terme van die effek van veroudering op vleiskwaliteit verskil, met hoë Warner-Bratzler skeursterkte waardes wat vir dié ras aangeteken is. ‘n Interaksie tussen aantal dae post mortem en ras is gevind vir die Simbrah en Simmentaler rasse, wat dui op ‘n vertraagde effek van vleisveroudering vir die Simbrah ras, moontlik as gevolg van ‘n hoër mate van kalpastatien aktiwiteit. Vleismonsters bekom van jong Bonsmara bulle het die grootste mate van versagting getoon, met die voordeel wat waargeneem is tot dag 30 van die post mortem vleisveroudering. Aanbevelings betreffende die voorslag hantering van beeste word gemaak.

Doctor of Philosophy / Department of Diagnostic Medicine/Pathobiology / Daniel U. Thomson / A series of studies were conducted in order to develop, test, implement, and utilize an objective and comprehensive gross pathology scoring system for cattle at slaughter. Individual lung, liver, and rumen gross pathology data was collected from 19,229 head of cattle and corresponding individual pre-harvest and carcass data for a subset of 13,226 head.. Across the entire population 22.6% and 9.8% of cattle displayed mild and severe lesions, respectively. Severe lung lesions at the time of slaughter were associated with a decreased ADG of 0.07 kg/ day and a carcass weight 7.1 kg less than that of their cohorts with no visible signs of pulmonary BRDC lesions (P < 0.01). Overall, 68.6 % of cattle observed had normal livers, free from abscesses and other abnormalities. Cattle with a severe liver abscess at the time of slaughter were associated with a 0.10 kg/day during the feeding period (P < 0.01). Of cattle severely affected by liver abscesses (A+, 4.6%), 14.9% also displayed severe BRDC lung lesions and 28.3 % of cattle displayed mild BRDC lung lesions. Rumenitis lesions were observed in 24.1% of the overall study population. Severe rumenitis lesions were associated with a significant decrease in average daily gain and carcass weight (0.03kg/day and 2.20 kg, respectively, P < 0.01). The system was also implemented on a population of cull cows at a commercial abattoir in the Great Lakes region of the U.S. (n=1,461; 87% Holstein, 13% other cows). Severe liver abscesses, were observed in 18.5% of cull cows at slaughter. Severe rumenitis lesions or rumenitis scars were observed in 10% and severe BRDC lesions were observed in 10.3% o of the population. A prospective study of a commercially available, direct fed microbial oral drench of Megasphaera elsdenii (NCIMB 41125) was conducted in 4,863 head of yearling feeder cattle. No significant effects of treatment were detected for final live weight (599 vs. 601 kg; P=0.79) or hot carcass weight (386 vs. 387 kg P=0.81) for Con and M.e., respectively. Fourteen point two percent and 14.0% of Con and M.e., respectively displayed a liver abscess of varying severity at the time of slaughter. Overall, 8.27 and 7.96% % of Con and M.e. cattle were observed with an altered rumen epithelial health status. The ordinal odds ratio of a M.e. treated animal having a more severe liver abscess score or rumen health score was not significant (Estimate: 0.96, 95% C.L. 0.733-1.259, P=0.771; Estimate: 1.01, 95% C.L. 0.625-1.63 P=0.96, respectively.) Comprehensive monitoring of gross pathology at slaughter is commercially plausible and provides valuable data for veterinarians, nutritionists and management personnel.