Dr Corsi consulted with Kika's owners about the management of her pregnancy at the end of November 2017, finding at least 4 puppies on an x-ray taken at the time.
The first of five charges against Dr Corsi was that on the 14th December, after being advised by Kika's owners that the dog had produced two live puppies and one dead puppy the previous night, she failed to advise them that Kika needed an immediate veterinary examination.
The second charge was that, having been telephoned for a second time by the owner, she still failed to advise the owners that Kika required an immediate veterinary examination.
The third charge was that, following an examination of Kika that afternoon, and having ascertained that Kika required a caesarean section to remove one undelivered puppy, Dr Corsi failed to perform the caesarean section that day and advised the owner that Kika could undergo the caesarean section (at the practice, performed by her) the next day (or words to the effect).
The charge also stated that she failed to advise the owner that Kika’s health and welfare required the caesarean section to be performed that day; and that she failed to advise them that, if she or another veterinary surgeon at the practice could not perform the surgery that day, Kika needed to be referred to the out-of-hours clinic so that the caesarean section could take place on the 14th December.
The fourth charge was that Dr Corsi failed to recognise that Kika’s health and welfare required a caesarean section to be performed on 14th December.
The fifth charge was that, on 16th December 2017, having been telephoned by the owner at about 5pm and having been informed that Kika was weak and had not been eating post-operatively, Dr Corsi failed to advise the owner that Kika should be presented urgently for a veterinary examination.
The Disciplinary Committee considered the facts of the case and heard evidence from a number of witnesses including the owners of Kika and Dr Corsi, and from Mr Maltman MRCVS who was called as an expert witness on behalf of the College and Mr Chitty, who was called as an expert witness on behalf of Dr Corsi.
Having considered all of the evidence, the Committee found all aspects of the first and second charges proven in their entirety.
The Committee found the majority of the third charge not proved, with the exception of the fact that it found that Dr Corsi did advise the owner that she could undertake the Caesarean section on 15 December 2017.
In light of the Committee’s findings in respect of the aspects of charge three that were not proved, charge four was also found not proved.
Finally, the Committee considered that charge five was found not proved.
The Committee then went on to consider whether the charges that were found proven amounted to serious professional misconduct either individually and/or cumulatively.
Committee Chair Cerys Jones said: "In light of the evidence of both parties’ experts, the Committee was of the view that there was a risk of harm or injury resulting from Dr Corsi’s failure - the Committee decided that this was an aggravating factor.
"However, the Committee took into account that, at the time of both calls, Dr Corsi had a rationale for her decision, that she asked appropriate questions and received answers which led her to make what she considered to be a reasoned assessment.
"She had also made arrangements in both calls to be kept updated either at a pre-arranged time or sooner if Kika’s condition changed. On this basis, the Committee was satisfied that, while this was an error of judgement, it did not fall so far short of what was expected as to amount to disgraceful conduct."
Therefore, the Committee decided that while Dr Corsi’s conduct in Charges 1 and 2 demonstrated a departure from professional standards, the falling short was not so grave as to amount to disgraceful conduct in a professional respect.
The full decision can be read here: https://www.rcvs.org.uk/concerns/disciplinary-hearings/
A few examples of the products in J.A.K Marketing's 'ThinkGreen' portfolio include the Purfect Anaesorber, BAG’EMS biodegradable poop bags, Tick Twister products (made from recycled plastic) and Bamboo stick cotton buds.
The website also gives a snapshot of the sorts of things that J.A.K itself does to reduce its impact on the environment, including the use of environmentally-friendly brown paper and recycled cardboard boxes for packaging. The company has also switched to certified sustainable FSC paper for most of its printed marketing materials (including the master catalogue) and is working with courier companies who have targets in reducing CO2 emissions.
Managing Director, John Holland said: "J.A.K Marketing is committed to the protection and preservation of the world’s ecosystem. By undertaking our productivity and operations responsibly and sustainably, we recognise that reducing the environmental impact of our activities is very important. We will strive to achieve environmental excellence within the veterinary industry and will continue to work closely with our employees and commercial partners to establish and follow the principles of our ThinkGreen policy."
Sales Director, James Johnson said: "With growing interest towards the protection of the environment, we need to make it easier for veterinary practices to identify products where there is a benefit to the environment by simply switching to a like for like ‘greener’ alternative. As part of our long-term strategy, we are dedicated to growing this area of our business, welcoming feedback from the profession of how we can all work together to achieve this."
Those wanting to offer inspiration and feedback can do so on the form at the bottom of the ‘ThinkGreen’ page: www.jakmarketing.co.uk/thinkgreen.
The company says the product is highly effective against common bacteria including Staphylococci, Clostridia, Corynebacteria and Streptococci, and gram-negative bacteria including Bacteroides spp, Pasteurellae, and Proteus spp.
Clavubactin is available in a range of dose strengths to treat all sizes of patient. It is presented as a doubly divisible tablet for accurate and flexible dosing and to help avoid the development of antibiotic resistance associated with under dosing. The tablets come in blister packs of 10, designed to help reduce unnecessary exposure when dispensing in practice.
Dechra Brand Manager Carol Morgan said: "The introduction of Clavubactin to our antibiotic portfolio will give veterinary professionals even more choice of effective and targeted treatments in their day-to-day practice."
The survey was conducted after it was found that only 10% of job adverts on VetSurgeon.org and 16% on VetNurse.co.uk include an indication of the salary. By contrast, a quick analysis of the adverts on other leading job boards for professionals found that 66% of jobs advertised for doctors include salary details, 87% for human nurses, 64% for architects and 92% for computer programmers.
The survey received 1,147 responses: 524 from veterinary surgeons and 622 from veterinary nurses.
When asked how they would likely react to job advertisements seen online or in print:
61.5% of vets said they would read adverts which display a salary first (before those that don't)
51.5% of vets said they would respond to adverts which display the salary first (before those that don't).
21.9% of vets said they would ignore ads that don't show a salary.
Only 30.3% said they would consider the job adverts equally, regardless of whether or not they displayed a salary.
Respondents were then asked what impression it gave them if a practice advertised a job without stating a salary. 57% of vets said 'negative', 41.4% said 'neutral' and 1.3% said 'positive'.
The final question asked how annoying it is to read job adverts which only describe a salary using words like 'competitive' or 'generous'.
9.5% of vets said: 'Not at all annoying"
37.7% said 'Mildly irritating'
52.7% said 'Very annoying. It's a waste of my time to ring and find my definition of 'competitive' is not the same as the advertiser's.'
Interestingly, veterinary nurses were even more salary conscious, being much more likely to prioritise adverts which give salary details and ignore those that don't (full results of the nurse survey here).
The bottom line is that if you spend £99 to advertise a job on VetSurgeon and you don't advertise the salary, you're effectively throwing away £22 there and then. Might as well just set fire to a £20 note. Even if you think that is a price worth paying (and let's not forget that it'll be a considerably more expensive mistake if you advertise elsewhere), you then have to think of the monetary value of having sent someone away with a negative impression of your practice, or worse still if you described the salary as 'competitive' or 'generous'.
It is worth highlighting that on VetSurgeon and VetNurse, employers are invited to advertise the 'Minimum Offer', described to jobseekers as the starting point for discussions, or a salary range. Both are designed to give jobseekers something to go on, whilst still allowing room for negotiation.
To help employers get the most out of their recruitment adverts on VetSurgeon.org and VetNurse.co.uk, we're sharing a special training video, which you can watch below. If nothing else, a quick reminder of what you need to include in the advert:
The study, which was conducted in in collaboration with the University of Edinburgh and Nottingham Trent University, looked at the relationship between the owners of over 2000 Pugs, French and English Bulldogs and their pets.
The researchers found that while 20% of the brachycephalic dogs in the study had undergone at least one corrective surgery, only 6.8% of owners consider their dog to be less healthy than average for their breed.
Furthermore, despite 17.9% of owners reporting breathing problems and 36.5% reporting overheating, a staggering 70.9% of owners still considered their dog to be in ‘very good health’ or ‘the best health possible'.
The average age of the dogs in the study was a youthful 2.17 years, which suggests a particularly steep and recent increase in ownership, and points towards a looming health crisis as they age and their disorders worsen.
Furthermore, the study revealed that the dog-owner relationship is influenced by expectations in advance of owning a short-muzzled dog.
Dogs whose behaviour, maintenance and veterinary costs were worse than expected prior to ownership led to owners reporting ownership of their dog to be a greater burden.
With more brachycephalic dogs being relinquished to rescue centres across the UK, the researchers say realistic expectations of ownership are crucial to maintaining long-lasting relationships between owners and short-muzzled dogs.
Dr Rowena Packer, Research Fellow at the Royal Veterinary College and leader of the study, said: "With the UK experiencing a brachycephalic crisis, a greater understanding of the relationships between owners and dogs of these breeds is vital.
"Emotional forces may trump rationality, with owners clearly loving their dogs but considering high levels of disease as healthy for these breeds. With the welfare of many thousands of dogs at stake, along with emotional and financial burdens on their owners, research that unravels these complex relationships is much needed."
Dr Dan O’Neill, Senior Lecturer at the Royal Veterinary College and Chairman of the UK Brachycephalic Working Group, said: "After almost a decade working on brachycephalic dogs, I have come to realise that the issue is as much a human problem as it is a dog problem.
"As humans, we design, breed and choose the dogs we own but our dogs have to live, for better or worse, with those outcomes. With such great power comes great responsibility. Deeper understanding of the human reasons for our choices can help us make better decisions and to improve the welfare of our ‘best friend’."
Bill Lambert, Senior Health and Welfare Manager at the Kennel Club, said: "By contrasting perception and reality, this research provides vital insights which can help advance practical tools and resources to enable better understanding of the health conditions these popular breeds can suffer from and inform puppy buyers’ and owners’ decisions. Similarly, it highlights how crucial it is that all those who care about dog welfare continue to work collaboratively to raise awareness of brachycephalic-related conditions, and encourage puppy buyers to do thorough research and go to a responsible breeder who prioritises health. This is the remit of the Brachycephalic Working Group, made up of vets, welfare organisations and breed clubs, who will no doubt use the insight from this paper to inform future work."
Reference
Photo: Charles Bradbury
To win, OVs are asked to submit a question to a speaker of their choice by Monday 12 August.
The question judged the most interesting will win the free ticket and five runners up will each receive a 50% discounted ticket. In each case, the OV can choose their preferred day to attend.
The full programme can be found at: https://officialvet.com/programme/ and questions can be submitted to enquiries@improve-ov.com or by private message through Facebook at https://www.facebook.com/officialvet/
Improve says this year's speakers will address an increasing threat from notifiable diseases in the UK, with evidence of M. bovis infection linked to a raw pet food diet identified in cats, an outbreak of equine viral arteritis in Dorset and cases of African swine fever recently reported in western Europe. The programme includes small animal and farm animal focused lecture streams on both days, an equine stream on the first day and a series of specialist workshops on the second.
Dr Andrew Soldan (pictured right), Veterinary Director at APHA, said: "Notifiable diseases are an ongoing threat to the health and welfare of animals and our farming industries in the UK. Animal keepers and vets play a vital role in their early detection. We’re particularly concerned by the risk of African swine fever following the disease being found in wild boar in Belgium last year.
"Small animal and mixed practice OVs can help us reduce the risk of ASF infecting UK pigs by informing pig keepers of the risk and advising them of the importance of not feeding kitchen scraps and catering waste to pigs.
"We’re currently in the vector season so bluetongue is another disease to look out for in cattle and sheep. Providing advice to livestock farmers on how they can minimise the risk of its introduction through vaccination and checking the source of imported animals is another important role for OVs."
David Babington MRCVS, Business Development Director at Improve International, said: "OVs play a crucial role in monitoring our exposure to notifiable diseases and in alerting us to possible outbreaks. For this reason, providing a full update on the current disease status is an important element of this year’s programme, though we will also cover other important topics, including illegal puppy imports, pet travel and, inevitably I’m afraid, Brexit."
For more information on the Official Veterinarian Conference and exhibition or to register visit: www.officialvet.com.
Dechra says the combination of triamcinolone acetonide and salicylic acid works to provide effective symptomatic treatment, particularly for certain types of otitis externa that are not caused by a bacterial or yeast infection, such as flare ups caused by allergies.
Dechra Brand Manager Carol Morgan said: "Otitis externa is a condition that causes inflammation of the external ear canal and it can have a debilitating effect on cats and dogs.
"Recicort is a moderately potent steroid with an anti-inflammatory and vasoconstrictive action that works by suppressing the inflammatory response and the symptoms of various disorders often associated with itching. It doesn’t contain an antibiotic or antimycotic so it won’t contribute to antimicrobial resistance either.
"This prescription-only treatment is an important addition to our dermatology portfolio for veterinary professionals who are looking for a suite of highly effective and cost effective treatments."
Recicort is available in 20 ml bottles. For more information visit: www.dechra.co.uk
This year’s Protect and Prevent campaign urged rabbit owners to get their rabbits vaccinated, following the continued outbreak of rabbit viral haemorrhagic disease (RVHD2). Veterinary practices were also urged to make sure they were stocking the necessary vaccines to protect rabbits against RVHD2, RVHD and myxomatosis.
The company says that over 5000 campaign packs were downloaded from the Rabbit Awareness Week website and sales of RVHD2 vaccines in the veterinary sector in June 2019 were 55% up on June 2018.
Peter Lancaster, Marketing Manager at Burgess Pet Care said: "We would like to say a huge thank you to the RAW partners, veterinary practices, rescue centres, pet shop retailers and, of course, rabbit owners, for their continued support in helping us to improve the health and wellbeing of rabbits."
Dr Richard Saunders BVSc DZooMed MRCVS, veterinary advisor to RWAF said: "We heard lots of heart-breaking stories from owners and vets alike about rabbits, sometimes whole groups of rabbits, which had not been vaccinated. None of those people realised just how widespread the RVHD2 is, and how easy it is to pick it up. We will continue to campaign and share our message that it is very much better late than never to vaccinate rabbits against all three killer diseases of rabbits: myxomatosis, Rabbit Viral Haemorrhagic Disease 1 and 2."
PDSA Vet Nurse, Kristiana Shirley, said: "Rabbit Awareness Week provided us with a great opportunity to engage with rabbit owners and raise awareness of the key preventative healthcare our bunnies so vitally need.
"During Rabbit Awareness Week in June, we saw a significant increase in the number of vaccines given when compared to previous months, and an increase in our rabbit MOTs too, which we hope is just the start of a trend which sees more owners protecting their rabbits from preventable, fatal diseases."
For more information on Rabbit Awareness Week, including free access to rabbit CPD, visit www.rabbitawarenessweek.co.uk
First prize went to the University of Edinburgh’s Molly Vasanthakumar (pictured right) for her Knowledge Summary comparing the ecological impact of woven versus disposable drapes. Molly found that there is not enough evidence that disposable synthetics reduce the risk of surgical site infections when compared to reusable woven drapes, based on her assessment of the available literature.
Molly said: “The Veterinary Evidence student competition gave me an opportunity to identify a specific issue, find and appraise the evidence and then apply it to a practical setting.
"Winning the competition has given me a chance to further my skills in evidence-based veterinary medicine [EBVM] and also raise awareness of an incredibly important and topical issue."
Molly received her prize at RCVS Day, and her published paper can now be read in Veterinary Evidence: http://bit.ly/MollyVasanthakumar
Second prize went to Honoria Brown of the University of Cambridge, whose paper asked: "Can hoof wall temperature and digital pulse pressure be used as sensitive non-invasive diagnostic indicators of acute laminitis onset?"
Honoria said: "Writing this Knowledge Summary was the perfect chance, not only to develop my ability to navigate and analyse databases, but also to present my findings for the benefit of other clinicians who face these issues.
"I feel that these skills will be very useful to me later in my career, and I am grateful to Veterinary Evidence for providing me with the opportunity."
Jacqueline Oi Ping Tong from the University of Edinburgh won third prize for her critical appraisal of the evidence for whether a daily probiotic improved clinical outcomes in dogs with idiopathic diarrhoea. She said: "This experience makes me recognise the importance of evidence-based veterinary medicine to the veterinary community; it connects scientific research to everyday practice.
"It was a great opportunity to engage in EBVM early in my veterinary career, and start learning how to critically appraise the current evidence."
Jacqueline and Honoria’s Knowledge Summaries have been accepted for future publication in Veterinary Evidence.
All submissions were subjected to the same standards and peer-review process as normal journal submissions.
RCVS Knowledge’s Executive Director, Chris Gush, said: "EBVM and its application into practice starts as part of the undergraduate degree, and we are delighted to encourage and champion student involvement.
"This new initiative from our journal taps into the student body’s potential to help grow the evidence base, whilst preparing the next generation of veterinary professionals for when they graduate."
The Veterinary Evidence Student Awards are running again for 2020 and are open for submissions.
The awards are open to all undergraduates studying veterinary medicine, veterinary nursing or bioveterinary science (and equivalent). More information can be found here: http://bit.ly/VEstudentawards
The focus groups are part of a study which will form part of Kerrie's MBA dissertation.
Kerrie says her research topic was triggered by an analysis of leadership statistics in the veterinary profession: "There is a dearth of information about the number of leadership roles occupied by women in the veterinary profession.
"We knew that in the XLVets community, our joint efforts to run leadership programmes and help aspiring owners have meant that one in five of our practice owners are women but we don't know how that compares with other veterinary sectors and business models.
"We'd like to see many, many more women in strategic positions within our community and in the wider profession. This research will look at the barriers to leadership that women might experience and will help us develop enabling and support strategies."
Kerrie says there is some interesting data coming from her own company: "When we look at the numbers, our entry level leadership programmes are almost completely female in terms of uptake and our recent aspiring owner meeting had an equal male-female split, which was great to see. So, our feeling is that we are starting to see the impact of more female graduates coming through. Whether that's happening as quickly as it should do throughout the profession is another matter and we hope the research will throw some light on this."
Female veterinary surgeons both within and outside the XLVet community, in leadership positions, aspiring to leadership, or leadership-averse and from any sphere of veterinary practice are invited to contact Kerrie to take part and contribute. She hopes to share the results of her work with the profession towards the end of the year.
Anyone wanting to take part should email Kerrie at kerrie.hedley@xlvets.co.uk.
The study, titled ‘Physics of animal health: On the mechanobiology of hoof growth and form’, represents the fruit of a collaboration between researchers in equine medicine, maths, physics and stem cell biology. It was conducted by the School of Veterinary Medicine and Science at University of Nottingham in collaboration with the Waltham Centre for Pet Nutrition and the Royal Veterinary College.
Lead author Dr Cyril Rauch said: "With new scientific inputs from physics, mathematics and biology, this study provides an entirely new paradigm regarding hard growing tissues such as the horse hoof, which can be applied across cattle, sheep and other species, to unify a set of apparently disparate conditions and clarify the roles of physics and/or biology."
Using hooves from horses euthanased for non-research purposes, the study revealed how it is possible for the hoof growth rate to be greater than the potential proliferation rate of epithelial cells. It also explained how the synthesis of the hoof capsule starts from the coronet and that the soft papillae undergo gradual transition through three interpapillary regions into hard keratinised tissue.
Mathematics, physics and cell biology were then used in the study to explain and describe how the dorsal hoof wall can grow in a curved manner rather than the usual straight manner as a result of faster growth from the coronary band at the quarters compared to the toe region.
Evaluation of the feet from live underweight and obese subjects (assessed using Body Condition Scoring) allowed the influence of body weight on the balances of the stresses affecting hoof growth to be evaluated. The results suggest that being proportionally heavier may promote straighter hoof growth and that being too lean may precipitate poor hoof growth and the development of a hoof with a dorsal curved shape.
The study also showed that a high concentration of insulin stimulated equine progenitor keratinocytes (the outermost layer of cells on the hoof wall) to grow in culture. If this also happens chronically within the live animal, it is possible that it could affect the growth stresses within the hoof and so promote a dorsal curved hoof shape.
Co-author Nicola Menzies-Gow said: "These results taken together can explain how the hoof grows and how it is possible for it to develop a dorsal curvature. However, it should be acknowledged that this does not take into account the genetic or metabolic influences on hoof growth nor the role of hoof trimming and shoeing in maintaining a mechanically healthy hoof. It is appreciated that the underlying biology of hoof growth remains an essential factor for hoof pathologies."
Dr Cyril Rauch continued: “Given that the hoof is a weight bearing element it is essential to untangle the biology from the physics in this system; only then can meaningful biological and/or physical causes be prescribed for particular hoof shape. Removing the cause(s) when physically or biologically possible is essential to resolve hoof conditions."
The company says VeggieDent Zen provides the same dental benefits as VeggieDent FR3SH Dental Chews, but also includes L-theanine.
L-theanine is an amino acid which Virbac says is known to positively influence GABA levels in the brain to help reduce anxiety and increase mental focus. According to the company, one VeggieDent Zen chew daily can help to calm and reduce anxiety in dogs whilst also providing regular oral care.
VeggieDent Zen is free from GMO corn, wheat, gluten and meat, and contains no colourants or artificial ingredients. The new chews also hold the Veterinary Oral Health Council (VOHC) seal for tartar control.
Claire Lewis, Product Manager at Virbac said: "Dental chews are a great way for pet owners to provide passive dental care at home. With VeggieDent Zen we are pleased to be able to offer pet owners a convenient, multi-functional approach to supporting their pet’s health and well-being."
VeggieDent Zen comes in 4 chew sizes (Extra-Small, Small, Medium & Large) and is available from the veterinary wholesalers now.
For information on VeggieDent Zen, contact your Virbac Territory Manager.
The survey follows the launch last year of a new feature on VetSurgeon Jobs and VetNurse Jobs which allows employers to highlight the salary and benefits they offer. Specifically, the system allows practices to display a 'minimum offer', described to the job seeker as the starting point for a discussion, or a salary range.
Still, currently only 10% of job adverts on VetSurgeon.org and 16% on VetNurse.co.uk include the salary, despite some evidence that broadly speaking, advertising a salary can improve response rates.
But do veterinary job seekers want to see the salary advertised, and if so, how much of a different could it make? These are questions this survey seeks to answer.
My guess is that it may be more important to veterinary nurses than veterinary surgeons, because there is probably a greater variability in salaries amongst nurses, and more jobs where you'd struggle to pay the mortgage.
It'll be interesting to see.
To take part in the survey, which is completely anonymous, visit: https://www.surveygizmo.com/s3/5110214/Should-veterinary-salaries-be-advertised. It's 4 quick fire questions which should take you less than a minute.
It might explain why, according to the research, around 14% of British adults actively encourage fox visitors into their garden, with 10% of adults leaving out food, water or toys for foxes and 48% of them admitting they would feel disappointed if their garden fox did not return at night.
Bayer highlights research which showed an increase in the number of foxes infected with Angiostrongylus, from 7.3% in 2008 to 18.3% in 20152,3.
More recent work led by the aptly named Professor Mark Fox at the Royal Veterinary College has shown that, in the Greater London area, nearly three out of four foxes (74.4%) are infected with the parasite.4
Mark said: "We had previously mapped the distribution of Angiostrongylus in pet dogs by seeing how many cases every small animal practice in Britain had seen over the previous 12 months. This revealed the parasite’s widespread distribution coupled with hotspots of infection in Greater London/south-east England and South Wales, where dogs were four to five times more likely to be infected than elsewhere in the country.
"We then investigated why hot spots were seen in these locations and, apart from land type, dog density and climatic factors, we found that the mere presence of foxes locally increased the risk of infection in dogs five-fold."
"The overall prevalence of infection in Greater London was very high, at just under 75 per cent4, and prevalence was maintained at this level throughout the year. These results suggest that foxes act as year-round, wild animal reservoirs of infection for urban dogs."
Donna Tomlinson, Bayer Senior Brand Manager said: "The recent ‘pet foxes’ pet owner research results coupled with the lungworm prevalence fox studies highlights the growing concern of the spread of Angiostrongylus vasorum in the UK and the need for adequate preventative measures for pet dogs.
"Veterinary professionals are perfectly placed to advise dog owners on the risk of their pets becoming infected with the parasite, including the growing role of foxes as potential wild animal reservoirs of Angiostrongylus, as well as advising pet owners to use a monthly spot-on prevention such as Advocate.
"Treatment with products containing moxidectin, such as Advocate, not only kills lungworms present at the time of treatment but also kills larvae after ingestion preventing new infections. Regular monthly use prevents disease and ensures that no lungworm larvae are shed in dogs’ faeces which helps to prevent the spread of the parasite in the environment."
To highlight the increased prevalence of lungworm in foxes Bayer has created a poster for veterinary practices, which you can get from the Bayer Vet Centre at: https://www.vetcentre.bayer.co.uk/marketing-and-resources/advocate-fox-poster
References
The company says Salmoporc has been used on German and Polish farms for over 15 years and has proved to be safe and effective in controlling salmonella.
The vaccine can be administered orally in piglets and via subcutaneous injection in sows.
Company vet Dr Rike Schmelz said: "Salmonella in pigs is growing threat and an important zoonotic disease. According to the 2018 European Food Safety Authority (EFSA) report, salmonellosis is the second most reported zoonosis in Europe with over 90,000 cases reported in humans.
"Salmonella typhimurium and monophasic Salmonella typhimurium represented 17 per cent of confirmed human cases in 2017 so constitutes a major risk to humans."
VetSurgeon.org understands the new vaccine is expected in the UK sometime after October, before which it can be obtained under a Special Import Certificate.
Lead author Professor Clare Rusbridge, Chief of Neurology at Fitzpartick Referrals, conducted the study because of a lack of clarity on the recognition and diagnosis of the clinical signs associated with CM as opposed to syringomyelia (SM).
CM is an abnormality in the skull, making it smaller, and impacting on the brain to alter the flow of cerebrospinal fluid; this results in pain and a collection of fluid pockets within the spinal cord. These fluid pockets are commonly known as SM and over time can cause irreversible damage to a dog’s spinal cord. However it is not clear whether signs of pain in affected dogs are due to CM or SM or both.
To try to rectify this, Clare studied the medical records of all the cavalier King Charles spaniels diagnosed with CM-associated clinical signs presenting to her at Fitzpatrick Referrals over a five year period. She documented the historical and examination findings and related them to the MRI findings, including presence and size of the SM.
She found common signs in all dogs were vocalisation, spinal pain (neck, middle or lower back), reduced activity, reduced stairs or jumping ability, aversion to being touched or groomed, altered emotional state (described as being more timid, anxious, withdrawn or aggressive) and sleep disturbance.
A tendency to rub or scratch at the head or ears was common but was more likely in dogs with small or no SM suggesting that this may be a sign of head discomfort associated with CM. Head and ear rubbing was not associated with the presence of material within the middle ear (a condition which is also common in this breed and often given the acronym PSOM).
The only signs that were specific to SM were phantom scratching, scoliosis (twisted spine) and weakness and these were only present when the SM was large (at least 4mm wide).
Clare says this study is important because it suggests that CM alone is a cause of pain in many dogs. The aim now is to use the information gained in this study to develop a questionnaire to determine risk of CM and monitor the response to clinical signs.
Photo: Charlie on a bad day
The survey, which received 2445 responses from BVA members, found that 16% of vets and vet students have personally experienced discrimination within a veterinary workplace or learning environment in the past twelve months, while 20% had witnessed discrimination.
Senior colleagues were most commonly responsible for the discrimination (47% of incidents), with discrimination from clients accounting for 35% of incidents.
Sex discrimination was the most common type reported (44% of incidents) and was particularly prevalent in academic settings and in production animal, equine, and mixed practices.
Race discrimination was the next most commonly reported (27% of incidents).
Respondents also gave details of discrimination in relation to other protected characteristics, including age, sexuality, disability and gender reassignment.
Younger vets were more likely than older vets to have personally experienced discrimination in the past year (27% of those under 35 had experienced discrimination).
Female vets were more than twice as likely to have experienced discrimination than their male colleagues (19% and 8% respectively).
The incidence of discrimination was higher amongst vets from a range of minority ethnic backgrounds. Those who described their sexual orientation as bi, gay or lesbian were twice as likely to have personally experienced discrimination in the past year.
Despite the high incidence of discrimination reported, responses to the same survey showed that only 56% of the profession feel concerned about discrimination.
British Veterinary Association Junior Vice President Daniella Dos Santos (pictured right) said: "This is the first time anyone has collected such a significant body of evidence on this issue and the results are truly shocking. It is completely unacceptable that so many members of the veterinary team are subject to discrimination not just from clients but from members of our own profession.
"Worryingly, it seems that the scale of the issue will come as a surprise to many members of our profession and so it is vital that we all join the conversation and reflect on what role we can play to improve equality and inclusion. The veterinary team must become a safe and supportive environment for everyone. We cannot accept anything less for ourselves, for our colleagues and for our profession."
Only 12% of respondents were satisfied with how their incident had been dealt, rising to 23% among those who felt able to report. Daniella said: "Many of the experiences documented in our report are shocking and distressing and this distress is often compounded by what comes next. It was very saddening to hear that so many people have felt unable to report their experiences or that their reports were handled badly by those who received them.
"Experiencing discrimination can be very traumatic, without the ‘double-whammy’ of having your complaint dismissed or mishandled by managers or senior staff. We need to make sure everyone who experiences discrimination is able to get the outcome they deserve.
"Through the discrimination questionnaire we heard many distressing stories from vets, students, vet nurses and other colleagues. We are incredibly grateful to them for sharing these with us so that we can raise awareness of what’s happening in our veterinary workplaces."
To raise awareness of the scale of the issue, the BVA is inviting all members of the veterinary team to join a "Big Conversation on equality and inclusion in the veterinary professions", starting with the release of its report on the current situation on discrimination, which can be downloaded here, then inviting everyone to join online engagement sessions through social media and BVA members to feed in views via their regional representatives ahead of Council on 24 July.
The equine events will initially take place at Rossdales Equine Hospital in Suffolk on 22nd October and at Ashbrook Veterinary Hospital in Cheshire on 5th December.
The roadshow will see a range of speakers renowned in the fields of equine veterinary medicine and QI share practical examples of improving outcomes for equine patients. Interactive workshops, real-life scenarios and case studies will show how QI techniques can be applied in practice to help teams prevent and respond to errors.
Confirmed speakers include Professor Debra Archer, Head of Equine Surgery and Professor in Equine Surgery at the University of Liverpool, Dr Alice Bird, Senior Clinical Anaesthetist at the Animal Health Trust and Dr Rachel Dean, Director of Clinical Research and Excellence in Practice, VetPartners.
President Elect of BEVA, Tim Mair, said: "There are many challenges to being an equine vet and running a successful equine practice. Even in large practices and equine hospitals, there is a risk that we operate in our own little bubble and assume that what we are doing is best practice, whereas in reality we could often do a better job.
"Clinical governance and quality improvement are tools that allow us to critically appraise our day-to-day work and identify ways in which we can continuously improve what we do – to the benefit of our patients and clients, as well as to ourselves."
The canine hip dysplasia roadshow will begin on 9th October in Gatwick, Surrey.
The event will review the condition prevalent in dogs, how best to investigate it and the available treatment options. Case examples will be used to show how the evidence can be evaluated, explain how to measure treatment outcomes and show how the use of checklists can help minimise potential errors.
It will be hosted by Mark Morton, RCVS Specialist in Small Animal Surgery (Orthopaedics). He said: "As vets we probably all undertake bits of QI on a day-to-day basis (whether we realise it or not!) but there is so much more we can do to embed it into our clinical work. Checklists, treatment guidelines and clinical auditing significantly improve our patient care and our outcomes.
"Whilst looking at hip dysplasia and the treatment options in detail, hopefully this roadshow will show how we can apply these ideas to improve our management of this condition as well as using them elsewhere.”
For the full programme of each event and to buy tickets, visit bit.ly/RCVSKnowledgeEvents.
Anyone interested in booking an RCVS Knowledge roadshow for their region can do so by contacting ebvm@rcvsknowledge.org.
The survey, which takes about 5 minutes (I timed it), is designed to canvas opinion about the priorities for learning and development.
Rich Casey, Junior Vice President of the VMG (pictured right), said: "From marketing to HR to financial planning and all points in between, today’s veterinary leaders require expertise in every aspect of running a successful business.
"We want to create a truly valuable, constructive and evidence-based CPD calendar for next year. Views from those working in the profession will help us to fully understand what good leadership and management look like in the veterinary world and we will then make sure that the programme promotes best practice in these important areas. We thank everyone who takes the time to complete the survey."
The survey can be accessed here: https://www.surveymonkey.co.uk/r/VETCPDPR
A new infographic and educational webinar are now available to share on social media, to increase farmer awareness and provide best practice guidance.
The infographic and webinar explain how vaccination is considered best practice for control of the disease, giving better disease control whilst ensuring responsible use of antibiotics.
Independent sheep veterinary consultant Dr Fiona Lovatt, who leads the cross-industry Sheep Antibiotic Guardian Group, said: "Despite EAE being responsible for over 35% of all abortion diagnoses, only one million of the 3.5 million replacement ewes in the national flock each year are vaccinated against EAE. Any sheep farmer that either buys in ewes for replacements or has close neighbours that also lamb sheep, risks bringing enzootic abortion into their flock.
"Once the disease infects an unvaccinated flock, some ewes are ‘programmed’ to abort at their next lambing, leaving no choice but to put remedial measures in place – usually including both vaccination and antibiotic treatment.
"This means EAE is a disease that, once in a flock, carries high costs both financially and emotionally in terms of lamb losses and farmer stress. Hence it is important that flocks receive appropriate vaccination at least four weeks before ewes go to the ram and avoid the inappropriate use of antibiotics closer to lambing."
Fiona points out that a single dose of EAE vaccine costs about £2.40 and is an investment that effectively lasts the ewe for her lifetime in the flock, protecting against losses. In contrast, abortion or stillbirth – which accounts for around a quarter of all lamb losses each year – costs over £25 for every single lost lamb.
Fiona added: "Every injection of antibiotics also costs an additional £1. But is just a ‘sticking plaster’ with short-lasting effectiveness in terms of disease control but long-lasting damage in terms of mounting resistance."
Ceva says it will continue to work closely with veterinary practices to secure stock of Cevac Chlamydia vaccine to ensure farmers can purchase and use the vaccine at the right time. Ceva also provides subsidised blood sampling for diagnostic purposes.
For further information, call Ceva Animal Health on 01494 781510 or email cevauk@ceva.com.
Photo: Mike Benjamin
The double-blind placebo-controlled study will examine whether the pheromone collar can help reduce the severity or development of certain potentially problematic behaviours in puppies and it is open to puppies less than 12 weeks of age.
Puppies will have to wear a collar until they are six months of age and their owners will be asked to complete a check sheet relating to their puppy’s behaviour every month. Each month a new collar will be sent direct to their home.
To encourage enrolment, the University of Lincoln is offering veterinary professionals a £10 voucher for every successful sign up to the trial.
Owners who complete all questionnaires will receive a pack of canine health and welfare goodies from Ceva Animal Health. The pack will include Adaptil Junior, Adaptil Transport and Logic Oral Hygiene Gel.
Owners will also be entered into a draw to win an iPad.
A marketing pack is available to raise awareness of the study and includes a waiting room poster, owner leaflets and a social media post for Twitter, Facebook or Instagram.
For further information, email the University of Lincoln at puppydevelopment@lincoln.ac.uk.
Achieved by VMG members who have demonstrated an ability to effectively manage a veterinary practice, hospital or unit, the CVPM is aimed at experienced managers and members of the veterinary team in a leadership or management role. The qualification tests the knowledge of candidates in areas including management, HR, communication, marketing and financial planning.
VMG Director Georgina Hills (pictured right) said: "Effective veterinary leaders require expertise in all aspects of running a successful business, as well as a deep understanding of the veterinary sector and the CVPM is unique in testing their knowledge across the board. It is increasingly recognised as a benchmark for excellence and we are delighted to have seen an uplift in applications last year."
Further details on the CVPM and the application form are available here: https://www.vetmg.com/education/cvpm/
The charge against Ms Law was that in November 2017, having performed surgery on Kiwi, a German Shepherd/Wolfhound-cross dog, to address gastric dilation volvulus (GDV), she failed to obtain informed consent to the entirety of the surgical process and management, including post-operative aftercare.
The charge also stated that she failed to provide adequate analgesia to Kiwi before, during or after the surgery, failed to provide appropriate and adequate fluid therapy to Kiwi, failed to offer an appropriate and adequate post-operative care plan and/or post-operative transfer for Kiwi to another practice and failed to inform the owners that there would be nobody present at the practice to provide post-operative monitoring and aftercare for Kiwi for approximately seven hours during the night.
Finally the charge stated that Ms Law allowed Kiwi to remain at the practice overnight from 12:30am to 07:45am without adequate monitoring or post-operative aftercare.
Ms Law admitted some of the charges against her, including that she had failed to obtain informed consent, failed to offer an appropriate and/or adequate post-operative care plan, failed to inform the owners that there would be nobody present at the practice and allowed Kiwi to remain at the practice overnight without adequate monitoring and/or post-operative aftercare. However, she denied that she failed to provide adequate analgesia or fluid therapy to Kiwi.
The Committee found all of the charges proved, with the exception of failing to provide adequate analgesia during the perioperative period.
Having considered the facts, the Committee then moved on to consider whether the admitted and proven charges against Ms Law amounted to serious professional misconduct, taking into account any aggravating and mitigating factors. The aggravating features were that, as a result of Ms Law’s failures in relation to analgesia and fluid therapy, there was either actual injury to Kiwi, or a risk of such injury.
In mitigation, the Committee considered that she promptly and accurately diagnosed GDV, and proceeded to perform the necessary emergency surgery. The Committee considered that the charges related to a single isolated incident and that Ms Law has had an unblemished career to date. They also noted that Ms Law had made open and frank admissions as to the majority of the charges.
The Committee found that the conduct of Ms Law set out in the majority of the charges did not amount to serious professional misconduct. However, in the judgement of the Committee, Ms Law’s conduct in allowing Kiwi to remain at the practice overnight without adequate monitoring or post-operative aftercare did amount to serious professional misconduct.
Jane Downes, who chaired the Committee and spoke on its behalf, said: "The Committee considers that the respondent (Ms Law) has insight into the serious mistake that she made in failing to ensure that Kiwi was checked or monitored overnight. The Committee has found that this was a single isolated incident, which involved a serious lapse of clinical judgement, which will probably stay in the mind of the respondent for the rest of her career.
"The respondent has been in practice for some nine years now, and apart from this incident, there is no suggestion that the respondent has fallen short of the standards expected of her on any other occasion. The Committee does not consider that there is a risk that the respondent is likely to leave an animal overnight after major surgery again, without ensuring that it is checked during that time, and, as such, the Committee considers that there is no future risk to the welfare of animals so far as the respondent is concerned."
The Committee considered that the finding of disgraceful conduct in a professional respect in this case is too serious for no further action to be taken, having regard to the need to maintain public confidence in the profession and declare and uphold proper standards of conduct.
The Committee therefore concluded that the appropriate sanction in this case was to issue a reprimand to Ms Law, in relation to the finding of serious professional misconduct.
Jane Downes added: "The Committee considers that this sanction, coupled with the findings of fact and disgraceful conduct made against the respondent, is sufficient to maintain public confidence in the profession and uphold proper standards of conduct. The Committee does not consider it necessary to issue a warning to the respondent about her future conduct, on the basis that the Committee has concluded that there is no risk of repetition."
There were three charges against Ms Creese, all pertaining to the period between July 2016 and November 2017.
The first charge was that she failed to ensure that there were adequate systems and processes in place for out-of-hours’ care for in-patients.
The second charge was that she publicised that the practice had "24 hour care provided by our vets at our practice" and/or "Care 24/7 for your pets" on its website, which suggested that staff were present at the practice 24 hours a day when they were not and as such publicity was dishonest and/or misleading.
The third charge against Ms Creese was that she failed to ensure that Kiwi's owners were informed about arrangements at the practice for out-of-hours’ care for in-patients.
At the outset of the hearing, Ms Creese denied all the charges against her.
After hearing evidence from relevant witnesses, the Committee considered that the practice did have in place systems and processes for out-of-hours care for in-patients and that there was no evidence of repeated or ignored failures of these systems and processes. The Committee therefore found the charges against Ms Creese not proved and all three were dismissed.
For the study, 309 university students were randomly assigned to one of three four-week stress prevention programs featuring varying levels of exposure to animal-assisted activities and evidenced-based stress management content.
The research found that students who were considered at a higher risk of poor academic performance saw a significant boost in executive function including improvements in attention, memory, self-regulation and improved cognitive function when they received exclusive exposure to interaction with the dogs.
This improvement was not seen in students who participated in a more traditional stress management learning program using lectures containing information about stress management or sessions that combined such information with lower levels of animal interaction.
Lead study investigator, Associate Professor Patricia Pendry, from Washington State University said:"Academic stress and associated negative impact on student performance is a significant issue for universities today and something we need to better address.
"While more traditional learning programs continue to play a role, the results of the study are exciting as they indicate this type of intervention can be a positive stress management tool especially for students who are at-risk of poor academic performance.
“We know from previous research the positive effects of animal visitation programs on the mood3 of college students – and even recently discovered their positive effect on stress hormone levels4. However, this is the first study to demonstrate that more frequent and regular inclusion of dogs can positively affect aspects of cognitive functioning that may be more difficult to change with existing interventions."
Study co-author and expert in Human-Animal Interaction expert Professor Nancy Gee said: "This study was informed by previous research and reinforces the growing body of evidence showing the benefits of pets for people in many different contexts and for at-risk groups.
"This type of animal-assisted stress reduction program is both easy to implement and low cost – offering a fantastic way for universities to support their students. After participating, participants feel calmer and more socially supported and this leads to an improvement in mental health and cognition.
"My hope is that evidence-based interventions which are already gaining popularity can become common practice in educational settings."
References:
Tracey, who started working in practice as a trainee in 1986 and qualified in 1989, spent her nursing career in both mixed and small animal practice in her home town of Hinckley, Leicestershire before retiring in 2018.
She says the book is mainly aimed at people thinking of embarking on a career as a veterinary nurse, but she also hopes colleagues in the profession will enjoy it, particularly those who are newer to the profession and have an interest in how things have progressed over the last three decades.
Tracey said: "Having enjoyed a very long career as a veterinary nurse, I wanted to take the opportunity to share some of my experiences, the happy, the sad and the sometimes downright crazy!
"The role of the veterinary nurse has changed so much over the last thirty years and continues to evolve with each passing year. My story is a light-hearted journey from my early years as a fresh-faced trainee to a fully qualified head nurse, will all the highs and lows along the way.
"The book will hopefully appeal to all members of the veterinary profession, past, present and future as well as to animal lovers everywhere. It was written from the heart to celebrate the work that veterinary nurses do, the diversity of their role and the steep learning curves that many of us had to climb."
You can read a sample of the book here.
Confessions of a veterinary nurse is available from all good bookstores, and Amazon, priced at £10.99.