The role was created last November when the Animal & Plant Health Agency (APHA) started allowing para-professional staff to support vets in carrying out TB testing in England.
UK Farmcare says there are now 49 fully authorised ATTs in England with another 21 TB testing under veterinary supervision and three undergoing the theory part of the training.
To become an ATT, applicants must be at least 18 years old, hold a valid UK driving licence and passport, possess a clean criminal record and then be approved by the APHA. Applicants also need at least three graded GCSEs or equivalent in English, Maths and a science or food production subject and at least six months cattle handling experience.
https://ukfarmcare.com/an-introduction-to-the-att-role.
BraveBites contains protein, fish oil (rich in omega-3) and prebiotics.
The snack, which was developed with a veterinary nutritionist, has a soft texture and high palatability.
Camille, who worked for a year at Fitzpatrick Referrals, said: “In dogs undergoing cancer treatment, decreased appetite and weight loss are common.
"They negatively affect both prognosis and quality of life.
“Owners were constantly asking what they could still give their dog when food refusal started.”
Camille says that in a field test across 40 veterinary clinics in Belgium and the Netherlands, over 95% of oncology patients accepted the snack well, with a reported improvement in appetite and quality of life
BraveBites is available direct to vets, with educational material, client brochures, and quality-of-life monitoring tools.
http://www.bravebitespetfood.com
Researchers at the University of Edinburgh’s Royal (Dick) School of Veterinary Studies are to start testing whether a compound of cooling chemicals, extracted from mint, can be used to treat laminitis, a condition which affects seven per cent of the British horse population.
The new project, funded by The Horse Trust and led by Professor Sue Fleetwood-Walker, builds on recent work that revealed for the first time that, there is significant nerve damage, as well as inflammation, within the hoof of laminitic horses. This explains why anti-inflammatory drugs are so ineffective in treating the pain of chronic laminitis and highlights the need for therapies to treat nerve injury-induced or ‘neuropathic’ pain in horses.
Prof Fleetwood-Walker’s team discovered in 2006 that the ‘mint’ chemicals have a pain–killing effect in laboratory studies of chronic pain. They will now investigate whether this synthetic treatment could help horses with laminitis.
Kruuse has launched Krutex Polyisoprene Surgical Gloves, which are both powder and latex-free to minimise the risk of glove-related allergy to latex protein.
The gloves are made from synthetic polyisoprene, which has a molecular structure similar to natural rubber latex. This, says the company, means the gloves have a fit, sensitivity and comfort equal to natural rubber latex. The company says they are also designed to provide increased fingertip sensitivity.
Andrew Groom Managing Director, Kruuse UK Ltd said: "After feedback from our customers showed an increasing concern regarding latex allergies amongst clinicians, we were encouraged to develop this addition to our well established range of gloves."
Krutech latex free gloves join the existing Krutech range which includes; Vet Gel surgeons' gloves, Krutech latex surgical gloves, Krutech latex, vinyl and nitrile examination gloves and the widely used arm length gloves range. The new range is supplied in boxes of 25 sterile, single packed pairs and are available in half sizes from 6.0 to 9.0.
The International Veterinary Epilepsy Task Force (IVETF), a group of 26 veterinary practitioner, neuropharmacology, neuropathology and neurology experts led by Holger Volk, Professor of Veterinary Neurology and Neurosurgery at the RVC, has issued new guidelines for treating and caring for dogs with epilepsy.
The guidelines have been adopted by the American College of Veterinary Internal Medicine (ACVIM) and published in the form of a ‘consensus statement’ in the Journal of Veterinary Internal Medicine (JVIM).
Professor Volk, who co-chaired the consensus statement process, said: "I was honoured to have been asked to co-chair such an important forum in American veterinary practice. This will be another landmark paper to help improve the care vets deliver for the patients with epilepsy, both in America and beyond.
"Epilepsy is one of the most common neurological diseases encountered by veterinary surgeons and practitioners around the world. The prevalence of the condition means there have been numerous research studies carried out over the years. But, despite such frequent research, there has been a lack of consistency when it comes to diagnosis and treatment.
"This lack of cohesion and collaboration made it difficult for owners and veterinary professionals to communicate effectively on the issue of pet epilepsy. This has led to the global veterinary community changing its approach and, in recent years, working more closely together."
Professor Volk says the aim of these latest guidelines is to provide joined up and collaborative thinking, teaching and learning on various different aspects of the condition that specifically affect America. These include the development of treatment strategies and any potential issues with chronic anti-epileptic drug treatment.
The ACVIM guidelines follow on from seven in-depth consensus statements produced by the IVETF and published open access in BMC Veterinary Research last year, outlining recommendations and classifications on all aspects of canine epilepsy. It was the first time this many veterinary neurology clinicians and neuroscientists formally agreed on the key aspects of the condition.
Professor Volk, who is also the Clinical Director of the RVC’s Small Animal Referral Hospital, added: "There is a real exciting buzz around canine and feline Epilepsy currently. Finally getting to global consensus from the international veterinary community will accelerate research and lead to improved patient care and quality of life for owners and patients alike."
As part of its continued support of the 2016 regional events organised by VPMA and SPVS, in partnership with Zoetis, the company is sponsoring the ‘Focus on the Practice Team’ course on Thursday 13 October at Chesford Grange, Warwickshire. Four veterinary professionals will be selected at random to win a place worth £210.
Royal Canin says the day will bring together some of the best experts in leadership, management, employment law and staff training to ensure that practices are ahead of the game when it comes to trained, happy and well managed staff.
The first half of the day will concentrate on the impact front of house employees can have on client communication, whilst the second half will cover HR issues. Guest speakers include Brian Faulkner from The Colourful Consultancy, Nick Steele from Zoetis, Veterinary Mentor, Carolyne Crowe, and Alison Lambert from Onswitch.
To have a go at winning a free place, send an email with your name, job title, the name of your veterinary practice and the reason why you would like to attend to royalcaninvet.gbr@royalcanin.com by Friday 30 September. The company will then select four applicants at random and will inform the winners via email by Friday 7 October.
Places on the course can also be booked by calling 01453 872731 or by visiting www.spvs-vpma-events.co.uk. Focus days cost £175 plus VAT for non-members and £125 plus VAT for VPMA and SPVS members (group/ bulk booking discounts are also available). The cost includes lunch and refreshments.
The Walpole Bay Tidal Pool is the biggest in the UK, covering four acres.
Everyone taking part is being challenged to raise at least £100 for Vetlife, to go towards its helpline, health support and financial support for the veterinary community.
Sea temperature at this time of year is a decidedly brisk 10 degrees Celsius, but Vetlife says the dress code is reasonably relaxed: anything from a swimming costume to a full diving dry suit!
https://events.more-human.co.uk/event/1713190086537x259173669533122560
The map gives an overview of the regulation applying to virtual care in different countries and it shows how virtual veterinary care is regulated predominantly in Western European countries only.
For the countries where veterinary virtual care is subject to regulation, the new map shows which countries:
https://vvca.org/resources/europe
Dechra Veterinary Products is encouraging veterinary practitioners to find the cat that has been treated with Felimazole® for the longest period of time, for the chance to win a luxury chocolate hamper.
The company wants to gather profiles of hyperthyroid cats undergoing treatment, including their age and length of treatment, so that it can further inform the veterinary profession about feline hyperthyroidism, the most at-risk cats and how to successfully treat the condition with the leading product Felimazole.
Practitioners simply need to provide details of their patient's age, when the cat was diagnosed with hyperthyroidism and how long it has been treated with Felimazole. Submissions will be entered into a prize draw with the first placed practice and cat's owner each winning a luxury chocolate hamper, while second and third places will receive luxury chocolate boxes.
Carol Morgan, Felimazole product manager at Dechra Veterinary Products says: "The majority of cats suffering with hyperthyroidism are over seven years of age, so we are interested in finding the longest-treated and the current ages of cats on Felimazole. The information we receive from practitioners is invaluable, so we will collate and report our findings to the veterinary profession to ensure it has the most up-to-date information about the disease."
For details of how to enter the competition, contact your local Dechra territory manager, call Dechra on 01743 441632 or email marketing@dechra.com.
The RCVS Charitable Trust is offering up to 10 grants worth around £500 each, to support UK veterinary surgeons looking to pursue themes of clinical or non-clinical research involving short-term visits to veterinary or medical centres, or research institutes, outside the UK.
The Travel Awards are open to registered members of the RCVS, as well as to candidates registered for a PhD at a UK veterinary school. The awards are available for up to 12 months from the award date, and awards cannot be made for projects taking place before 31 October 2011.
The successful candidates will be asked to submit an article to the veterinary press and provide the Trust with a diary record including photographs, and/or short video.
All applications must be received by 5pm on Monday 31 October 2011.
Further information including full application criteria, is available from www.rcvstrust.org.uk/grants/
Alternative, contact grants@rcvstrust.org.uk or call 0207 202 0741.
The RCVS is to hold an online hustings on Tuesday, 19 March at 7pm to help voters decide who they wish to vote for in the upcoming RCVS Council elections, and is inviting members of the veterinary profession to suggest questions for the candidates to answer.
Gordon Hockey, RCVS Registrar said: "From feedback we've received, one of the reasons why people don't vote is because they know little about the candidates or their views. We hope this hustings will provide the candidates with a platform to address the veterinary electorate directly, and give voters the chance to put their own questions to those hoping to serve on Council."
The hustings will be run as a live webinar by 'The Webinar Vet' and will be free to listen to. However, the College says that due to the high number of candidates standing for election, it isn't possible to hold a debate, so questions should be submitted in advance (see below). Each candidate will be allocated around three minutes to introduce themselves and answer up to three questions of their choosing. The whole event will run for just under an hour.
Anthony Chadwick, who runs The Webinar Vet, will moderate proceedings, and Gordon Hockey will be on-hand to address any factual inaccuracies.
Veterinary surgeons can register to listen to the hustings at www.thewebinarvet.com/rcvs and submit their questions at the same time; alternatively, questions can be emailed to Ian Holloway at the RCVS (i.holloway@rcvs.org.uk).
Questions should be relevant to the role of the RCVS and the role of Council Members (see www.rcvs.org.uk/about). If questions should remain anonymous, please say so.
Ballot papers and candidates' biographies and manifestos are due to be posted on 7 March. Votes may be cast online, by text message or by post, by 5pm on Friday, 26 April 2013.
Super early bird tickets are available till 28th May.
Rose’s programme recommendations are:
BEVA Congress programme will be embracing the overarching theme of “use it wisely or lose it forever”, chosen by BEVA President Bruce Bladon.
Bruce said: “Antibiotics is an issue which goes so far beyond equine practice and is one of the genuine threats to humanity.
"We must use these precious and finite resource wisely, or, quite reasonably, regulators will prevent us having access to them.
“But this theme resonates further, to the “social licence” which threatens the future of equine sport.
"Rather than platitudes about horse welfare, we now need to show the positive steps we can take to minimise equine injury.
"We need to be developing screening programmes and to be instrumental in safety programmes.
"Otherwise, we may lose equestrian sport forever.”
Individual super early bird BEVA members prices for a three-day pass are £539 for vets for all three days (with concessionary available for those in their first three years of graduation or earning less than £25,000).
Day tickets and practice passes are also available.
Super early bird ends on 28 May 2025.
http://www.bevacongress.org
The Royal College of Veterinary Surgeons Trust's Adopt-A-Book campaign has raised almost £17k in sponsorship to pay for the restoration of books in the historical collection.
The latest book to be restored under the scheme is a nineteenth century edition of Every man his own farrier, by F. Clater, which has been restored thanks to veterinary surgeon Fiona Dalzell.
Fiona said: "I have always loved books, and especially old books, but I got inspired by the Adopt-a-Book scheme when I came to the RCVS for a meeting of the Veterinary History Society".
These editions, she says, are "works of art in their own right," and it has given her a "huge amount of pleasure to know that you can do so much just from a small donation."
RCVS Trust Director Cherry Bushell explained the idea behind a campaign: "When you think of 'adoption', you may more readily recall the rescue animals treated in veterinary practices than old books. However, these old books also need your help - and are an important part of the veterinary heritage that the Trust seeks to preserve."
Restoring a book can cost between £25 and £250, and adopted books carry a book-plate naming their benefactor. They can also be dedicated 'in memoriam'.
Since its inception six years ago, the Adopt-a-Book campaign has raised £16, 851, and funded the restoration of 139 volumes:
Those interested in supporting this work by adopting a book can view available titles at www.rcvs.org.uk/adoptabook or contact Clare Boulton, RCVS Trust Librarian (c.boulton@rcvstrust.org.uk or 020 7202 0752).
The BVA has welcomed an update report on dog breeding issues by the Associate Parliamentary Group for Animal Welfare (APGAW).
Working with a small group of stakeholders including the British Veterinary Association, Dogs Trust, Kennel Club and RSPCA, this report looks at what has been done since the first APGAW report in late 2009 and the airing of Pedigree Dogs Exposed (2008) and Pedigree Dogs Exposed: Three Years On (2012).
BVA Past President Harvey Locke said: "The BVA fully endorses the recommendations and practical solutions offered by this timely report."
Mr Locke drew attention to a number of points in the report's action plan including:
Mr Locke added: "I am pleased that the APGAW report recognises the vital role that education plays in tackling irresponsible dog ownership and would very much like to see the inclusion of animal welfare as part of the core curriculum.
"I am also delighted that the group recognises the value of a puppy contract. The BVA Animal Welfare Foundation and RSPCA have recently launched a puppy contract and puppy information pack (PIP) which arms buyers with the knowledge to give themselves the best chance of getting a fit, healthy and happy, well socialised pet to join their household. The contract and PIP have also been designed to help good breeders demonstrate the care and attention they have devoted to their puppies' breeding and upbringing.
"Much work has already been undertaken to improve dog breeding but there is much more to be done and the momentum must not be lost. I am most grateful to Neil Parish MP, chairman of APGAW, for his commitment to producing this report. It is an excellent means of keeping the issue high on the agenda by encouraging wider dialogue and debate within Parliament and in the EU."
The Badger Trust's legal challenge to Defra's plans for targeted badger cull pilots has failed in the High Court on all three grounds.
Whilst the RSPCA has expressed its disappointment, the British Veterinary Association and British Cattle Veterinary Association have welcomed the judgement.
BVA President Carl Padgett said: "We are pleased that the High Court has ruled Defra's policy lawful and that the pilot badger culls can now go ahead.
"The BVA and BCVA believe that the government's approach has been robust and justifiable as it is based on our current scientific knowledge.
"Bovine TB is a devastating disease and we must tackle the disease in wildlife alongside cattle controls if we are to get on top of it."
David Bowles, the RSPCA's Director of Communications, said: "We are bitterly disappointed that the UK Government in England is ploughing on with plans to kill badgers but the fight is not over yet.
"We believe culling is not a long-term, sustainable solution and will be of little help in reducing the disease - perhaps even making things worse in some areas. It will wipe out huge numbers of this much-loved species, virtually eliminating badgers from these areas, including many animals which are healthy.
"It is not as if there aren't alternatives to a cull. Vaccination could be a more effective and sustainable way of dealing with the disease, and one which does not involve killing most of the badger population in very large areas of the countryside."
RCVS Knowledge says it first identified the need for an open access and easily accessible means of distributing veterinary evidence in early 2014. The concept for a new digital journal was announced at the 2014 EBVM Network Conference, and began with the mission statement of improving front-line clinical standards, funded initially by a donation from the RCVS.
In its first year Veterinary Evidence has published 58 papers which have been downloaded over 34,000 times by an international audience spanning 20 countries. It has also streamlined its submission process and added a range of new tools and resources. The tools include a downloadable submission template and a range of checklists and guidelines to help the practitioner conduct evidence-based medicine.
Looking to the future, the charity says that its website platform will be overhauled later in 2017, so practitioners can find articles quickly and implement their findings in practice.
RCVS Knowledge is now running a survey to find out what topics you'd like to see covered by Veterinary Evidence. All participants will entered into a draw for a new iPad.
Veterinary Evidence is also on the hunt for a new Editor-in-Chief, to move the journal into its next chapter. The Editor-in-Chief will have a passion for EBVM and engaging with the veterinary community and will help provide readers with the content they need. If you’re interested in applying for this role you can view the full job description here.
Underlying the strategic plan are what the College says are its four updated values of compassion, collaboration, clarity and courage.
The plan lays out four strategic ambitions, each focused on one of its stakeholder groups, each one under the banner of 'Stronger Together'.
Veterinary professionals: "The RCVS will help veterinary professionals meet high standards and champion accessible, team-based veterinary care, delivered in settings that support professional autonomy and leadership."
This includes reviewing the Code of Professional Conduct and supporting guidance, achieving new veterinary legislation and ensuring that educational standards and career pathways meet the diverse needs of society.
Animal owners and keepers: "The RCVS will support animal health and welfare and public health by enabling access to veterinary care informed by the needs of consumers and service users."
This includes supporting and informing the public in how to get the best from veterinary professionals, with increased transparency, agency and choice.
Society at large: "The RCVS will champion the role that veterinary professionals play in One Health and public health, take a leadership role on environmental sustainability and biodiversity, and continue to look at how it can play a role in the global veterinary professions."
This includes leading the conversation on issues such as the cost of veterinary care, building enthusiasm for veterinary work in the minds of the next generation of potential professionals and ensuring veterinary professionals responsible for public health are well supported with robust standards and safeguards.
Staff team and governance: "The RCVS will attract and retain the diversity of talent and skills to deliver what’s needed now and anticipate what might be next and build a culture that allows people to thrive."
This includes developing an infrastructure for success, including the new RCVS headquarters, and underpinning structures for finance, communications and digital, creating a working culture with sound values and supportive management.
Lizzie Lockett, RCVS Chief Executive Officer, said: “The overall theme of the plan recognises that there are many other individuals and organisations that have a stake in our mission to inspire confidence in veterinary care and protect the public interest by ensuring animal health and welfare, and public health, are advanced through thriving world-class veterinary professions.
“This is where the ‘stronger together’ comes in, recognising that, in our role as a royal college that regulates, we are very well placed to bring people and organisations together to meet our common purpose of improved animal health and welfare and public health in a collaborative, proactive way.”
www.rcvs.org.uk/strategy25
The British Veterinary Association has given a cautious welcome to the merger of the Animal Health Agency (AH) and the Veterinary Laboratories Agency (VLA) announced yesterday by Secretary of State Caroline Spelman.
Professor Bill Reilly, President of the BVA said: "On the face of it there could be significant benefits in merging these two key animal health organisations. Already, at local and national levels, the two agencies are required to work closely and if done properly we could have one body that is completed committed to animal health.
"However, every veterinary surgeon will want reassurance that the merger will not simply become another way to cut costs by reducing the number of people working on disease surveillance and research. It is vital that both organisations continue to deliver under the new body.
"The merger could have an impact on responsibility and cost sharing plans, the tendering exercise for Official Veterinarian (OV) work, and the future of animal health delivery in the devolved administrations. The BVA is therefore calling for a wide consultation on how the merged organisation will work to ensure the best for the veterinary profession, farming community and all other interested organisations."
The RCVS is seeking nominations for its 2014 Honours and Awards Round, and wants to hear about any individuals, of whatever age or experience, who have made an outstanding contribution to the profession.
The annual Honours scheme comprises two distinct and prestigious types of award: Honorary Fellowships for RCVS-registered veterinary surgeons and Honorary Associateships for non-veterinary surgeons. Both sets of awards are presented each year at RCVS Day - the College's AGM and award ceremony in London.
The College says it is keen for the Fellowship nominations net to be cast as widely as possible in order to offer recognition of veterinary achievements not only in more traditional fields like academia and clinical practice, but also in science, education, industry and politics.
In addition, Honorary Fellowship nominees no longer need to have been an RCVS member for 30 years, meaning that younger veterinary surgeons who have gone significantly above and beyond the call of duty will also be eligible for consideration.
Honorary Associateships are intended to celebrate the achievements of those who have contributed to the health and welfare of animals by working in fields related to the veterinary profession, and could be from a similarly wide range of backgrounds, for example, veterinary nurses, scientists, lecturers, farriers, charity workers, farmers, conservationists or those in industry and commerce.
Nick Stace, RCVS Chief Executive, said: "At my first RCVS Day this summer, I was hugely impressed with the calibre of candidates who received our awards, and delighted we were able to formally mark their achievements. The veterinary profession has a lot of talented people who deserve to be recognised for the contribution they have made, whether in science and academia, or in politics and clinical practice. Everyone knows someone who is worthy of this kind of recognition and I urge you to take the next step and nominate them for an award."
There are no restrictions on who can make a nomination, although the closing deadline is 13 September 2013. Full details on how to make a nomination are available at www.rcvs.org.uk/honours.
XLVets has called on experts in people development, legal, IT and HR, as well as its practice owners, managers and team leaders to develop a package of coronavirus resources. The package includes guidance and best practice, tips offered by XLVets members, expert guidance in the use of technology to support home workers, access to the XLVets Thriving in Practice wellbeing initiative and more.
To access the resources at www.xlvets.co.uk without charge or obligation, email admin@xlvets.co.uk.
Colm McGinn (pictured right), from XLVets said: "We are very good at working together to develop solutions for problems and supporting each other. This is a national challenge and while our members have faced some difficult decisions, they've been able to share that decision-making process with their peers, calling on them for ideas, guidance and support.
"It's a big ask for just one or two partners to interpret the guidance in a rapidly changing environment and to stay informed about advice from regulatory bodies and associations. We've all benefited from sharing knowledge and it's lifted some of the pressure that comes from taking individual action, while still having freedom to do what's right for your own practice and people. I can't think of a better time for us to share our learning and resources for the greater good."
For more information, visit: https://www.xlvets.co.uk/the-boss.
In the study titled “Evaluation of urethral orifice cross-section dimensions following perineal urethrostomy in male cats”, 24 male cats with lower urinary tract disease underwent the procedure. The urethral orifice cross-section was estimated by the largest urinary catheter that could be easily inserted through the stoma at three time points: preoperatively, intra-operatively and 12 days postoperatively. Cases of obstruction recurrence and stricture were documented within the six month follow up period.
Uri Segal, corresponding author for the paper, said: “The intraoperative stoma ranged from 1 to 10 (median 10) Fr and the 12-day postoperative stoma ranged from 4 to 10 (median 8) Fr. There was significant reduction of stoma size 12 days postoperatively, compared to the measurements taken intraoperatively.
"Postsurgical stricture formation and re-obstruction was documented in five of 24 (21%) of cats. Obstruction recurrence is probable if the intra-operative stoma size is 8 Fr or less. Furthermore, if the stoma size is 6 Fr or less, re-obstruction is almost certain (all of these cases in the study were re-obstructions). Conversely, an intra-operative stoma of more than 8Fr had a low risk of recurrence.”
Nicola Di Girolamo, editor of JSAP said: “These findings may function as a guiding rule for surgeons performing perineal urethrostomy, by providing an intraoperative measure of how likely re-obstruction and stricture formation is to occur. It should be remembered, however, that the functional urethral stoma cross-section may vary during the urination cycle and the measurements in this study are likely to only represent a fraction of the functional urethral cross-section size.”
The full article can be found in the August issue of the Journal of Small Animal Practice. It can also be read online here: https://onlinelibrary.wiley.com/doi/10.1111/jsap.13148
Reference
The pack contains species-specific microchipping law guides, a practice registration guide, a cat chipping cheat sheet, flyers about registration and flyers about Identi’s silent microchipping scanner.
The company has also produced three short videos with more information for vet professionals about Identi, what it does, registering microchips and compulsory cat microchipping.
Tammie O’Leary, commercial lead at Identi, said: “From June 10th, it will be compulsory that owned cats in England are microchipped and registered in the same way.
"With these changes imminent, it is important that staff are up to date with the relevant legislation and the potential consequences of pet keepers not adhering to the law.
"identi’s new Practice Pet Protection Pack will provide busy vet professionals with comprehensive information answering a wide range of microchipping questions in a quick and simple format.”
For a copy of the Practice Pet Protection Pack, email: contact@identichip.co.uk
The pair were invited to carry out the laparoscopic surgery on four dogs suffering from pulmonic stenosis by the British Veterinary Centre.
Chris Linney said: “The British Veterinary Clinic had previously referred a case to Fabio at Willows and subsequently got in touch about a further four cases in need of surgery, inviting us to fly out to Abu Dhabi to operate on these cases for them.
“It was a pioneering moment for the British Veterinary Centre and a first for the region and the Middle East.
“It’s the very first time that interventional cardiology has been performed in the UAE so, with the fantastic facilities and dedicated staff at the BVC, we have made history in the region!
“It was also the first time that Fabio and I had worked together and now we hope that this will be the first of many such collaborations.”
Fabio added: “With our collective expertise and knowledge, we know we can improve the lives of so many dogs that are living with conditions like pulmonic stenosis.
“Two of the dogs required balloon valvuloplasty and two required pulmonary stents inserted.
“All four dogs had great initial post-operative results and would be expected to lead happier, healthier lives as a result of these procedures.'