Animalcare is hosting a free online CPD event about breakthrough pain management, presented by RCVS & EBVS European Veterinary Specialist in Anaesthesia & Analgesia, Matt Gurney on Tuesday 13th July 2021 at 7pm (BST).

The webinar is the first of several events which will focus attention on patients owned by the estimated 80% of owners who feel that their pets with canine osteoarthritis (OA) may be suffering from off-days that can be associated with breakthrough pain¹.

During the session, Matt will explain the impact breakthrough pain has on the pet and owner and how to approach it more effectively using analgesic and rehabilitation tools and strategies.  

James Beaumont, Marketing Manager at Animalcare, said: “Veterinary surgeons have told us that they estimate that nearly half of their canine OA cases on daily NSAIDs experience breakthrough pain.²

"Additionally, a proportion of pet owners state their dogs experience off-days and believe their pet suffers as a result of the condition³."

Animalcare says that some of the main factors in osteoarthritis breakthrough pain can include variable plasma drug levels between doses, intermittent treatment protocols or poor owner adherence with the vet’s recommendation, flare-ups and disease progression.

To register for the event, visit: https://tinyurl.com/43bm8mdx. All those who register will also be able to view a recording and enter a free prize draw for the chance to win tickets to attend London Vet Show live in November.

MSD Animal Health Equine is seeking feedback from equine practices about how Horse Health Week, it's annual campaign to promote equine health, can be further improved and developed.

This year’s Horse Health Week, which ran at the end of September, focused on the small things that can be done to help keep Britain’s horses happy and healthy. Equine practices were encouraged to get involved and engage with their clients throughout the week with the support of a toolkit that offered both off and online communication materials.

The toolkit included a social media campaign for practices to run called #BonVoyageBuzz. Horse owners were invited to send 'Buzz' around the (virtual) world by sharing and tagging on Facebook. By the last count, he'd reached Denmark, the U.S., Canada and Saudi Arabia. The final part of Horse Health Week was a survey that gave the views of horse owners on preventative healthcare. 

MSD says the week was welcomed and supported by a number of equine vet practices which reported that the campaign generated high levels of engagement from horse owners.

Peter Young, Equine Business Manager said: "Horse Health Week was created to help practices promote their businesses and educate and promote the benefits of preventative healthcare, so we are delighted that we’ve had such a good uptake of the resources we provided this year. A number of equine practices uploaded the daily animations we created to help encourage maximimum engagement.  Some also reported the animations and posters being mentioned at yard appointments so, together with equine vet practices, we’ve successfully helped raise awareness and are eduating horse owners."

If you would like to provide feedback speak to your MSD Animal Health Equine Account Manager.  For further details, visit: www.healthyhorses.co.uk/horse-week.

MSD Animal Health has launched its 2021 veterinary surgeon research bursaries and is inviting applications.

Three bursaries are available - two in ruminant and one in companion animal research, each worth up to £4,000.

Annabelle Mohring, Veterinary Advisor at MSD Animal Health said: "We appreciate that the last 18 months have been challenging for many veterinary surgeons and adding new research to this may not be considered a priority. But with the pace of change rapidly increasing, improving business skills and scientific knowledge will become more important than ever for the profession.

"Research forms the foundation of the industry and being awarded a bursary has proved to be a career-changing experience for some participants. We're now welcoming applications as part of our investment in the veterinary community."

Each project should be completed within one to two years and the veterinary surgeon proposals will be judged by objective third party university academics to ensure independent assessment.

The deadline for the MSD Animal Health Veterinary Surgeon Research Bursaries is 30th November 2021.

For further information, visit: www.msdahresearchbursary.co.uk.

Photo: Hattie Barnes who was awarded the 2020 Veterinary Surgeon Bursary in the companion animal sector. She was awarded £4,000 for her analytical, cadaver-based study to investigate different draping protocols in elective orthopaedic surgery. Hattie is currently undertaking a 3-year residency in Equine Surgery at the University of Liverpool.

The Bella Moss Foundation (BMF) has launched a free practice hygiene audit tool.

The BMF Practice Hygiene Self Audit is a web-based assessment tool that allows staff to monitor cleanliness across the practice – from theatre and prep rooms to laundry and waiting rooms.

The tick sheet format allows staff to rate the hygiene protocols in each area, resulting in a room-by-room percentage hygiene score, as well as an overall contamination risk score.

The tool was developed by vet and RCVS Practice Standards Scheme (PSS) expert Pam Mosedale and VN lecturer Louise O'Dwyer, along with Edinburgh academic Tim Nuttall and Chris Laurence.

Pam said: "Given the relaunch of the PSS later in the year, which will include new modules on infection control, the BMF audit tool is especially timely.

"We hope that people will try the audit tool and it will lead them to have more of a team discussion about hygiene routines and protocols in practice. We know some areas get more attention than others - for example, how often do things like the toys in the waiting area really get cleaned?

“By using the audit, staff will easily be able to see what rooms/areas might need a bit more cleaning.

She added: "It's a simple no-frills tool but the whole idea is for it to be helpful and easy to use, so more practices are encouraged to have regular quantifiable monitoring systems in place to keep an eye on their hygiene protocols."

Co-creator Louise O'Dwyer said: “The BMF Practice Hygiene Self Audit will help ensure often overlooked aspects of cleaning and infection control are considered and implemented.

“It needs to be embraced by all members of staff, from non-clinical staff through to veterinary surgeons, as every individual has the potential to make an impact within their practice by taking action on infection control.”

To test the tool and see how clean your practice is, go to: www.thebellamossfoundation.com/practice-hygiene-self-audit 

MSD Animal Health has launched a new app for veterinary surgeons based on its paper-based Suckler Herd Performance Checklist tool.

The Suckler Herd Performance Checklist is designed to help veterinary surgeons and farmers work together to draw up a workable action plan to address the main areas influencing optimum herd health and performance.

The new app works on tablet computers, as well as Apple and Android smartphones, and allows vets to e-mail audit results directly to farmer clients following an interactive on-farm assessment.

MSD Animal Health’s beef and youngstock marketing manager Robert Simpson said:  “This additional engagement tool helps a vet assess performance across the five crucial time periods and processes impacting on the efficiency of beef suckler herds. 

“For example, reducing calf morbidity and mortality rates in a suckler herd starts with management practices before conception.

"Optimum performance also requires following proper management protocols throughout the youngstock period from birth to weaning, including effective colostrum administration, vaccination, nutrition and hygiene.

“It can also be used to provide confidence to vets who are less experienced with suckler herds, allowing them to follow a structured evidence-based approach when on farm,” he said.

A study by Janssen Animal Health has, according to the company, demonstrated that a leading herbal wormer had no demonstrable efficacy against common poultry worms¹.

The trial, done to Good Clinical Practice (GCP) Standards, involved 48 chickens that had become naturally infected with three different poultry worms - Capillaria (Hairworm) species, Heterakis gallinarum (Caecal worm) and Ascaridia galii (Large roundworm). The birds were randomly assigned to one of three groups:

A. Flubenvet treated group
B. Herbal wormer treated group
C. Control (untreated) group.

The herbal treatment was administered for 3 days in-feed, as required by the 'on-pack' instructions and Flubenvet was given for 7 days as required on the product data sheet. Droppings were collected from individual birds and group pens at intervals for 2 weeks and examined for the presence of worm eggs

Table 1: Worm Count Summaries

The results showed that very few worm eggs were present after one 7-day treatment with Flubenvet. In contrast, those that had no treatment or the herbal treatment still had hundreds of worm eggs in their droppings, suggesting that there were still many adult egg-laying worms present inside the chickens.

Janssen says poultry keepers who rely on preparations like this particular natural wormer may well be building up problems, as the additional numbers of worm eggs in the environment add to the infection pressure and can result in greater worm burdens for their birds. Birds with high worm burdens are more likely to become ill.

• H. gallinarum - causes mild illness but also acts as a carrier for the microscopic protozoan parasite Histomonas meleagridis (Blackhead) in turkeys. The eggs of the worm can live for years in soil so this parasite can be difficult to eradicate and re-infection is common unless regular and effective worming is carried out.
• Capillaria - causes malnutrition, emaciation and anaemia in chickens and death in other poultry species.
• Ascaridia gali - causes emaciation, drop in egg production, ill thrift, anaemia, intestinal blockage and death. Occasionally the parasitic worms may be found in chicken eggs. Earthworms are a common intermediate host, particularly likely to result in parasitic infection of free-range poultry when they eat earthworms.

According to the Veterinary Medicines Regulations 2009 any product making veterinary medicinal claims needs to be licensed by the Veterinary Medicines Directorate. A licensed product has to show proven efficacy and safety for the animal species involved. Licensed veterinary medicines can be identified by their Vm number, which is shown on-pack. Products termed 'nutritional supplements', that are not licensed do not require the manufacturer to produce any proof of efficacy or safety. It is often easy to buy such products 'off the shelf' because they are not subject to any controls. Any poultry keeper who cares about the health and welfare of the birds is advised to think carefully about their choice of wormer and to seek advice from a vet pharmacist or Suitably Qualified Person (SQP).

¹ Evaluation of the efficacy of flubendazole in comparison with a herbal wormer in the treatment of naturally acquired infections of Ascaridia galli, Heterakis gallinarum, and intestinal Capillaria spp in Chickens, Janssen Animal Health

The BVA is urging veterinary professionals to continue working in small teams and support neighbouring practices to mitigate against coronavirus contact tracing programmes and ensure full geographical cover for veterinary services.

BVA’s advice comes as the four nations of the UK launch contact tracing programmes to move from blanket lockdown restrictions to a more targeted approach, in line with strategies to ease lockdown restrictions.

Although slightly different across the UK, each programme will ask those who test positive for coronavirus to identify people they have been in recent contact with and those people will be contacted and asked to self-isolate for 14 days.

Relevant contact appears to be spending more than 15 minutes within two metres of another person or being in direct face-to-face contact (less than one metre) with them. At present, the schemes are voluntary, but may become mandatory at a later stage.

Northern Ireland: Test, trace, isolate, support
England: NHS Test and Trace
Scotland: Test and Protect
Wales: Test Trace Protect

Employees in self-isolation are entitled to Statutory Sick Pay for every day they are in isolation, as long as they meet the eligibility conditions. Further roll out of testing may enable people to return to work sooner that 14 days if they receive a negative test.

BVA President Daniella Dos Santos said: "The next step in the Covid-19 response is shifting to a more targeted approach, but it’s clear that this could have a very significant impact on individual veterinary practices if a member of the team tests positive. The nature of veterinary work means we are in close contact with our colleagues in order to work safely with animals.

“Many veterinary teams will be understandably anxious about the impact on their ability to staff a full rota to maintain 24/7 care. And there are significant concerns about the impact on animal health and welfare if practices are unable to provide veterinary services.

"Our advice is to continue working in fixed pairs or small teams as much as possible to reduce your contact with different individuals and continue to practise good hygiene and biosecurity.

"We continue to ask neighbouring practices to work together to support those impacted by self-isolation and ensure full geographical cover for veterinary services.

"We recognise some veterinary professionals will be worried, but we urge everyone to comply with the contact tracing programmes."

Rig Vet Recruitment has added a new title to its range of personnel recruitment guides with the introduction of “Rig’s Practice VN Guide”.

The guide covers all the issues you might face when employing a locum nurse, and gives a handy checklist of things to cover with your temporary employee to help make sure that he or she gets up to speed as fast as possible.

“We were so pleased with the positive responses we received when we launched the locum vet guides last year that locum vet nurses’ versions were an obvious next step,” said Justin Carpenter, Rig Vet Recruitment Managing Director.

He added: “At the end of last year, we conducted a survey among some vet nurses and frankly were surprised at how little information on practice admin and procedures some VNs were given on their first day,” Justin continued. “For example, 88 per cent were not given a formal induction, 78 per cent were not advised on fire and health & safety regulations, and when expected to undertake reception work, 97 percent were not informed on phone protocols or appointment systems.

The guide is available free of charge from Rig Veterinary Recruitment: enquiries@rigvets.co.uk

Rig Vet Recruitment are on stand number 719 at BSAVA Congress 2008.

Grahame Gardner has launched 'Smitten', a new range of scrubwear for women with a 20% introductory discount.

The company says the new range incorporates the influence of streetwear, resulting in a relaxed scrubwear collection which young and style conscious staff will love.

The fabrics used in the new range have been designed for the working environment. The first fabric to be launched to the UK market is 'Miracle' a stretchable and comfortable fabric which Grahame Gardner says feels great to the touch, but wears well and complements the fashionable garment styles.

James Greenlees, Managing Director at Grahame Gardner said: "There is no question that Scrubwear has come a long way over the past decade and at Grahame Gardner we have played a major part in this evolution, firstly with the hugely popular Urbane Scrubs and now Smitten. Smitten represents the next incarnation of scrubwear, and allows more individuality than ever before within healthcare uniforms. We cannot wait to get this out into the workplace as we know it will certainly make a real impact with our customers."

More information can be found at www.grahamegardner.co.uk, under scrubs and patientwear within the GG Collection.

A new study published this month in the Equine Veterinary Journal (EVJ)¹ has concluded that toxins from the seeds of the sycamore tree (Acer pseudoplatanus) are the likely cause of Atypical Myopathy (AM) in Europe.

However, to avoid confusion, the authors of the study point out that the American Sycamore (also just called 'the sycamore' in the USA), is a completely different species: Platanus occidentalis. Furthermore, the sycamore found in the UK is also known as the sycamore maple in other countries.

The new research follows on the heels of a study in the USA earlier this year that linked toxins from the box elder tree (Acer negundo) with Seasonal Pasture Myopathy (SPM), the US equivalent of AM². The discovery marks an important step for the future prevention of this fatal disease.

Atypical Myopathy is a highly fatal muscle disease in the UK and Northern Europe. In ten years, approximately twenty European countries have reported the disease. Incidences tend to occur repeatedly in the autumn and in the spring following large autumnal outbreaks. Horses that develop AM are usually kept in sparse pastures with an accumulation of dead leaves, dead wood and trees in or around the pasture and are often not fed any supplementary hay or feed. SPM is a very similar disorder, prevalent in Midwestern USA and Eastern Canada that is now known to be caused by the ingestion of hypoglycin A, contained in seeds from the box elder tree.

The new European research¹ was conducted by an international team led by Dominic Votion, University of Liege and involved 17 horses from Belgium, Germany and The Netherlands, suffering from Atypical Myopathy. High concentrations of a toxic metabolite of hypoglycin A, were identified in the serum of all of the horses. The pastures of 12 of the horses were visited by experienced botanists and the Acer pseudoplatanus, the sycamore maple, was found to be present in every case. This was the only tree common to all visited pastures.

Researchers believe hypoglycin A is the likely cause of both AM in Europe and SPM in North America. The sycamore and the box elder are known to produce seeds containing hypoglycin A and the pastures of the afflicted horses in Europe and the USA were surrounded by these trees.

Hypoglycin-A is found in various levels in the seeds of plants in the genus Acer as well as in various other genera in the family Sapindaceae such as ackee (Blighia sapida).  In ackee, hypoglycin-A levels do vary with ripeness of the fruit and, if the fruit is eaten before it is mature, it causes hypoglycaemia to different degrees including a condition called "Jamaican vomiting sickness" (because of ackee's use in Jamaican cooking) and occasionally death in humans.

Researchers at the Universities of Minnesota² and Liege are continuing their work to try to uncover exactly how the equine disease occurs. Dr Adrian Hegeman of University of Minnesota said: "It is likely that the most important contributing factors to horses becoming poisoned by hypoglycin-A are the availability of seed in the field combined with lack of other feeding options. The seeds from two species of maples (box elder and sycamore maples) that we have tested include significant quantities of hypoglycin-A.

"We know that seeds contain highly variable quantities from seed to seed, even within a single tree. We do not know yet how hypoglycin-A levels vary seasonally, nor do we know how its abundance varies with different levels of stress to the plant, though this may well explain seasonal variability in the occurrence of the malady. It is possible that conditions that stress the plants may contribute to significant seasonal changes in hypoglycin-A levels.  At this point we just don't know.  It is common held knowledge that trees under stress usually produce more seed."

Dr Jeff Gillman of University of Minnesota said: "Without question, further analysis of the seeds and other tissues from Acer species needs to be performed along with sampling of plant materials over multiple seasons and at various stress levels. Additionally, one cannot rule out more complex explanations for the seasonality of disease occurrence such as: animals may begin feeding on seed materials in response to depletion of more palatable choices under drought conditions; or simple explanations such as high wind events driving seeds into fields. These sorts of explanations for the occurrence of the disease do not depend on botanical variations in toxicity across seasons, sites or stress levels, yet also require consideration.

"Although limited examples are available, the experience of animals at a pasture site might also confer some degree of behavioral resistance to poisoning due to exposure at sub-lethal levels with prior exposure to seeds in the pasture."

Professor Celia Marr, Editor of Equine Veterinary Journal said: "This is an important advancement in our understanding of what causes AM and how it can be prevented. In immediate practical terms owners can take prompt measures to avoid exposing their horses to sycamore seeds this autumn. Where horses are grazing in the vicinity of sycamore trees, it is imperative that they are provided with sufficient supplementary feed as this will minimise the risk that horses might be tempted to ingest seeds containing this toxin. This must be done carefully and leaving wet hay on the ground should be avoided so providing extra carbohydrate feeds may be more practical."

References

1. The European study can be accessed at http://onlinelibrary.wiley.com/doi/10.1111/evj.12117/abstract
2. Related research from the University of Minnesota can be accessed at http://onlinelibrary.wiley.com/doi/10.1111/j.2042-3306.2012.00684.x/abstract

Improve International has announced that two of its programmes now count towards RCVS Advanced Practitioner (AP) status. 

The company's Postgraduate Certificate (PgC) programme in Dentistry and Oral Surgery - delivered and awarded in partnership with Harper Adams University (HAU) and the International School of Veterinary Studies (ISVPS) - has been added to the list of qualifications conferring eligibility for applications for the AP Status in Small Animal Dentistry.  

In addition, Improve's Postgraduate Diploma (PgD) in Advanced Veterinary Practice Sciences, achieved by obtaining the PgC in Small Animal Surgery, plus the ISVPS General Practitioner Advanced Certificate (GPAdvCert) in Small Animal Orthopaedic Surgery (together with two further modules with HAU), has also been recognised as an eligible entry qualification for application for the RCVS’ AP status in Small Animal Orthopaedics.    

The GPAdvCert programme in Orthopaedic Surgery is due to start in September 2020 with the PgC programme in Dentistry and Oral Surgery commencing in January 2021.  

Improve says that depending on the situation with coronavirus at the time, it will provide appropriate personal protective equipment for attending delegates and arrange for live sessions to be streamed online if physical attendance is not possible. Practical sessions will be rescheduled for the earliest possible date and the company has also revised its terms and conditions to provide maximum flexibility to delegates in case their circumstances change.

Photo: David Babington, Business Development Director, Improve International

Veterinary surgeons are being called on to help recruit dogs for a clinical study called EPIC - the Evaluation of Pimobendan In dogs with Cardiomegaly caused by pre-clinical mitral valve disease (MVD).

The long-term study, which is supported by Boehringer Ingelheim, will assess whether using pimobendan in the pre-clinical phase of MVD has a benefit in extending the time to the onset of clinical signs. It involves 36 centres globally with the aim of recruiting 360 dogs in total.  In order for dogs to be eligible for the study they must: 

• have a moderate to high intensity systolic heart murmur due to mitral valve disease
• have radiographic evidence of cardiomegaly (Vertebral Heart Score (VHS) > 10.5)
• be at least six years of age
• weigh between 4.1kg and 15kg
• have not been on, nor have previously chronically received, any prescription medication for their cardiac disease
• be in good general health, with no other conditions that may have an impact on their expected lifespan (certain medications are allowed to be used concurrently).

The three veterinary cardiologists from the UK involved in the randomised, double-blinded, placebo-controlled, parallel group study are Adrian Boswood MA VetMB DipECVIM-ca DVC MRCVS from the Royal Veterinary College (the RVC) in Hertfordshire, Sarah Smith MA VetMB DVC MRCVS from Sarah Smith Cardiology in Derbyshire and Mark Patteson MA VetMB, PhD DVC CertVR MRCVS from Heart Vets at Vale Referrals, Gloucestershire.

Adrian Boswood, veterinary cardiologist from RVC said: "The implications of this study for dogs and their owners could be enormous. If the research shows that pimobendan is effective before clinical signs of MMVD appear, this could lead to a new treatment option for practitioners."

For further information on the study or if you have a dog that may be suitable for the trial, please contact the nearest study investigator - Adrian Boswood on 01707 666605, Sarah Smith on 07515 359241 or Mark Patteson on 01453 547934.

In what is believed to be a first for the profession, a group of experts have joined forces to publish 'Chronic Pain in the Dog', a blog about managing pain.

The blog, which is sponsored by Vetoquinol and available exclusively to VetSurgeon.org members, offers opinions and advice from Dr Jo Murrell, BVSc PhD CertVA DipECVA MRCVS, Head of Anaesthesia at Bristol Vet School, Kate L White MA Vet MB DVA Dipl ECVAA MRCVS, European Specialist in Veterinary Anaesthesia & Analgesia, Associate Professor in Veterinary Anaesthesia and Clinical Sub Dean at Nottingham University Veterinary School and Krista Visser 't Hooft, DVM, DipACVIM (Internal Medicine), MRCVS, Specialist in Medicine.

A new blog entry is posted every few days, and each one focuses on just one aspect of pain management, to make it easy to digest in a busy day. The aim is to help build the clinician's understanding of the topic over time.

It is also hoped that the blog will build into a useful information resource, both to raise awareness of pain management and aid clinicians in making decisions about how to approach complex cases.

VetSurgeon members can subscribe to be alerted to new blog entries by email, and (at the time of writing) there is a prize of a £10 Amazon voucher for every 50th veterinary surgeon to do so. 

Click here to read the blog and subscribe.