Adam W Stern

Dr. Adam W Stern

Department of Comparative, Diagnostic & Population Medicine, University of Florida, 2015 SW 16th Avenue, Gainesville, FL 32608, USA

Research Focus & Metrics

Academic Career Length

8Years (2019-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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10 June 2021 in Journal of Veterinary Diagnostic Investigation
Verified
Journal Article
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NWNanny Wenzlow
Nanny Wenzlow
DNDan Neal
Dan Neal
Adam W SternAdam W Stern
Adam W Stern
DPDhani Prakoso
Dhani Prakoso
JLJunjie J. Liu
Junjie J. Liu
MLMaureen T. Long
Maureen T. Long
Estimation of the postmortem interval (PMI) is a poorly studied field in veterinary pathology. The development of field-applicable methods is needed given that animal cruelty investigations are increasing continually. We evaluated various histologic criteria in equine brain, liver, and muscle tissue to aid the estimation of PMI in horses, which is central to forensic investigations of suspicious death. After death, autolysis proceeds predictably, depending on environmental conditions. Currently, no field-applied methods exist that accurately estimate the PMI using histology in animals or humans through quantification of autolysis. Brain, liver, and skeletal muscle from 12 freshly euthanized horses were held at 22°C and 8°C for 72 h. Tissues were sampled at T0h, T1h, T2h, T4h, T6h, T12h, T24h, T36h, T48h, T60h, and T72h. For each tissue, we quantified 5 to 7 criteria associated with autolysis, based on the percentage of microscopic field involved. Each criterion was modeled, with temperature and time as independent variables. Changes were most predictable in liver and muscle over the first 72 h postmortem. The criteria for autolysis that were present most extensively at both temperatures were hepatocyte individualization and the separation of bile duct epithelium from the basement membrane. The changes that were present next most extensively were disruption of myofiber continuity, hypereosinophilia, and loss of striation. Brain changes were highly variable. The high statistical correlation between the parameter “autolysis” and the variables “time/temperature”, indicates that autolysis is progressive and predictable. Further investigation of these criteria is needed to establish histologic algorithms for PMI.

30 April 2021 in Pathogens
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Journal Article
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MLMainity Batista Linhares
Mainity Batista Linhares
HWHerbert Whiteley
Herbert Whiteley
JSJonathan Samuelson
Jonathan Samuelson
SHShih Hsuan Hsiao
Shih Hsuan Hsiao
Adam W SternAdam W Stern
Adam W Stern
KTKaren Terio
Karen Terio
Canine Distemper Virus (CDV) is a multi-host morbillivirus that infects virtually all Carnivora and a few non-human primates. Here we describe a CDV outbreak in an exotic felid rescue center that led to the death of eight felids in the genus Panthera. Similar to domestic dogs and in contrast to previously described CDV cases in Panthera, severe pneumonia was the primary lesion and no viral antigens or CDV-like lesions were detected in the central nervous system. Four tigers succumbed to opportunistic infections. Viral hemagglutinin (H)-gene sequence was up to 99% similar to strains circulating contemporaneously in regional wildlife. CDV lesions in raccoons and skunk were primarily encephalitis. A few affected felids had at least one previous vaccination for CDV, while most felids at the center were vaccinated during the outbreak. Panthera sharing a fence or enclosure with infected conspecifics had significantly higher chances of getting sick or dying, suggesting tiger-tiger spread was more likely than recurrent spillover. Prior vaccination was incomplete and likely not protective. This outbreak highlights the need for further understanding of CDV epidemiology for species conservation and public health.

18 August 2019 in Veterinary Pathology
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Journal Article
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EHEric J. Herman
Eric J. Herman
Adam W SternAdam W Stern
Adam W Stern
RFRichard J. Fox
Richard J. Fox
MDMichael Dark
Michael Dark
Hemangiosarcoma is a common neoplasm of the spleen in older dogs. However, diagnosis is complicated by necrosis and hemorrhage, which can mimic a number of benign processes. Currently, there is no consensus about the number of sections pathologists should examine to rule out hemangiosarcoma. To answer this question, we examined 413 histopathologic sections from 50 cases of canine hemangiosarcoma (mean: 8.1 sections per case; range, 5–14). Each section had the presence or absence of hemangiosarcoma determined by 2 board-certified anatomic pathologists. Then, 100 Monte Carlo simulations were performed, randomly selecting sections from each case 10 000 times and the results averaged. These simulations suggest that examination of 5 sections from a spleen with hemangiosarcoma yields a 95.02% chance of diagnosing hemangiosarcoma, while examination of 10 sections yields a 98.59% chance of diagnosis when hemangiosarcoma is in fact present. The data emphasize the need to submit the entire spleen for histopathologic examination in suspected cases of hemangiosarcoma and suggest that 5 sections obtained by a trained individual are likely sufficient for diagnosis.

12 October 2022 in Forensic Sciences
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Journal Article
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Adam W SternAdam W Stern
Adam W Stern
ACAnnMarie Clark
AnnMarie Clark
Jason ByrdJason Byrd
Jason Byrd
KLKatrina Leser
Katrina Leser
HRHaley Russo
Haley Russo
The observance of pink teeth during the postmortem period in humans is known as the pink teeth phenomenon. In contrast, postmortem pink discoloration of teeth is rarely reported in veterinary medicine. We examined the teeth of nine dogs and a cat postmortem, all of which had varying degrees of pink discoloration of the teeth. Pink discoloration occurred in all types of teeth (incisors, canine, premolar, and molar). The roots of several teeth were discolored, ranging from pink to red, and over a 2–3 week period one dog’s lower incisors’ color changed from pink to red. Although the mechanism causing teeth to change color is suspected to be the uptake of hemoglobin within dentin tubules, the trigger for this phenomenon is not well understood. Our findings confirm the occurrence of the pink teeth phenomenon in dogs and a cat.

20 November 2020 in Journal of Analytical Toxicology
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Journal Article
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Adam W SternAdam W Stern
Adam W Stern
MMManavi Muralidhar
Manavi Muralidhar
Postmortem chemistry can be a useful ancillary technique that the forensic pathologist can use during a death investigation. In stark contrast, there is limited information available for use of postmortem vitreous humor analysis in animals. In order to use postmortem vitreous humor in veterinary forensic investigations, validation of a method to analyze vitreous humor is required. The goal of this study was to determine the precision, bias, TEobs and sigma (σ) of the Element DC chemistry analyzer; assess its precision using the vitreous humor collected postmortem from dogs, cats and horses and assess the stability of postmortem vitreous humor from all the three species. Analysis of quality control material (QCM) and pooled vitreous humor samples for the three species was used to test for sodium (Na), chloride (Cl), potassium (K), magnesium (Mg), creatinine (Crea) and blood/vitreous urea nitrogen. Analysis of QCM showed that the Element DC was both precise and accurate. When analyzing the pooled vitreous humors, most within-run coefficients of variance (CVs) were found to be <5% and the between-run CVs for five out of six analytes were found to be <5% for dogs, cats and horses. In all the three species, the capped samples of vitreous humor were stable out of refrigeration for up to 5 h. The results of this study show that the Element DC can successfully be used to analyze the postmortem vitreous humor from dogs, cats and horses.

10 August 2023 in Toxics
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Journal Article
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Adam W SternAdam W Stern
Adam W Stern
DRDaliana Roig
Daliana Roig
CVCourtney Valerio
Courtney Valerio
TDThomas Denagamage
Thomas Denagamage
Analysis of vitreous urea nitrogen (VUN) and creatinine (CREA) has been shown to be a useful indicator of azotemia in human postmortem examinations. Previous studies in cats, dogs, horses, and cattle have shown a good correlation between serum and postmortem ocular fluid for urea and creatinine. The aim of this study was to evaluate differences in VUN, CREA, and magnesium (MG) concentrations in vitreous humor collected postmortem from cats that presented with renal or post-renal disease and cats without renal or post-renal disease. Nine cats with renal or post-renal disease and twenty cats without renal or post-renal disease that underwent autopsy were used in this study. Collection of postmortem vitreous humor was performed, and vitreous samples were frozen at −80 °C for a minimum of 24 h prior to analysis using an in-clinic dry chemistry analyzer. Overall, there were statistically significant differences for VUN, CREA, and MG between cats with renal or post-renal disease and cats without renal or post-renal disease. Analysis of vitreous humor from cats suspected to have renal or post-renal disease can provide useful diagnostic information pertaining to renal function and issues in the urethra and urinary bladder. Future studies exploring postmortem vitreous chemistry in cats are warranted.