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.
Ceva Animal Health, maker of the veterinary behaviour products DAP and Feliway, is once again sponsoring the Association of Pet Behaviour Counsellors' series of one day behaviour seminars to keep veterinary professionals up-to-date with companion animal behavioural issues.
Featuring presentations by top pet behaviourists, the seminars will cover a range of topics based on questions that pet owners frequently ask veterinary professionals in practice.
Contributing to six hours CPD per event, the topics covered in the seminars are:
Places on the seminars cost from £70. For further information, please contact the APBC on 01386 751151 or visit http://www.apbc.org.uk/
The Blue Cross and National Veterinary Services (NVS) are celebrating the success of a new initiative to generate additional saleable items for the charity, with the help of vet practices across the UK.
Earlier this year, The Blue Cross teamed up with NVS to launch a campaign to sign up vet practices who use NVS services to encourage their staff and clients to donate bags of unwanted clothes and bric-a-brac for the charity to sell and raise funds. This week saw the arrival of the 5,000th bag of donated items arrive at The Blue Cross warehouse
Jonathan Chambers Blue Cross spokesperson said: "We are extremely grateful to NVS, the vet practices taking part in the scheme and their clients. We are overwhelmed at the response so far and looking forward to receiving many more bags of goods in the future. Although the donated items may be unwanted possessions to some, each bag generates about £20 of income for us. This means the scheme has so far provided an amazing £100,000 worth of income towards helping sick and homeless animals in the care of The Blue Cross."
Caitrina Harrison, Sales & Marketing Director for NVS said: "We are delighted to be supporting The Blue Cross with this worthwhile initiative. We have an experienced and flexible logistics team, who have been able to help with the delivery and collection of the clothing bags throughout the UK. We have had excellent feedback from many veterinary practices who have got involved and the requests for clothing bags keep coming in."
Veterinary practices who receive their stock and drugs from NVS that are not yet part of The Blue Cross donation scheme can sign up now by contacting julie.godwin@nvs-ltd.co.uk or Jonathan Chambers at The Blue Cross: trading@bluecross.org.uk.
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."
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 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 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).
Eclipse Veterinary Software has released a new mobile addition to its equine veterinary practice management system.
Eclipse Mobile allows veterinary surgeons to access up-to-date clinical information wherever it is needed, be that on the yard, at the practice, or while making field visits.
When Eclipse Mobile is offline, all the information the vet needs is stored on the device. When next connected via 3G or Wi-Fi, any new details are sent to and from the practice - syncing notes made by the vet, adding follow-on appointments and To Do messages, services delivered and products administered to keep everyone up-to-date throughout the day.
Whilst online, client payments can be taken via debit/ credit cards within the app and detailed drug batch information recorded using the iPad/iPhone's camera as a barcode scanner, if required.
Jeanne Razzell, CEO of Eclipse said: "Many of the vets we work with have been keen to carry animal histories with them on visits, including the latest lab test results, together with recent clinical notes, and diagnostic imaging, e.g. x-rays, ultrasounds and MRI, CT or bone scans. Now, with Eclipse Mobile, every vet can have all of this information at their fingertips automatically - at every appointment; both in the consult room and on the road."
Eclipse Mobile is available for iPad, iPad mini, iPhone, Android smart phones/tablets and Microsoft Windows Surface
For more information, contact Jeanne Razzell, CEO, Eclipse Veterinary Software Limited, on +44 (0)1799 532988 or +44 (0)7515 906466. Website: www.eclipsesoftware.info
Elanco Animal Health has launched an updated Atopica Comfort Club, a support initiative for veterinary professionals treating either canine atopic dermatitis or feline allergic dermatitis cases with Atopica.
The Atopica Comfort Club loyalty scheme now has a new website which enables all members of the practice team to see the cases being managed and the offers available for new and existing users post diagnosis. The initiative provides veterinary practices with a free of charge Atopica redemption scheme through both induction and maintenance periods.
Elanco says the new website will also enable veterinary practices to view and redeem offers instantly, receive reminders about offers and updates together with emails to confirm offers have been redeemed and the products despatched.
Alice Laurens, DVM MRCVS, Dermatology Marketing Manager at Elanco Animal Health, said: “The Comfort Club loyalty scheme embraces a multi-modal approach and ensures better comfort is provided to Atopica patients with options to offer a flea product, shampoo, essential fatty acids and an adapted diet.”
To support the new Atopica Comfort Club loyalty program, Elanco has also produced a ‘practice log book’ to enable vets to record details on each case which can then be entered onto the Comfort Club website.
For further information, or to book a lunch and learn meeting, please contact your local Elanco Animal Health key account manager or email elancoCAH.uk@elanco.com.
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.
The first webinar Does Ease of Use Have to Come at the Expense of Efficacy? is presented by Claire Harrison BSc (Hons) RVN VTS (Dentistry) AFHEA, Dentistry Nurse at the Hospital for Small Animals at the Royal ‘Dick’ School of Veterinary Studies.
Claire will consider the best practice of daily toothbrushing for oral homecare and explore what practices can do to contextualise care for the many owners who struggle to achieve this goal.
Animalcare highlights research which shows that the number of pet owners who brush their pet’s teeth daily is very small: one study in Sweden suggested that only 8% of dog owners and 4% of cat owners met this target¹.
Senior Brand Manager Eleanor Workman Wright said: “With periodontal disease so common in dogs and cats, supporting owners to maintain an oral health regime for their pet is essential.
"Daily toothbrushing remains best practice but many owners are just not able to do this, so it is important to suggest effective alternatives in order to protect their pet’s oral health.
“During this webinar series dental experts will explore a range of approaches which can be used with owners & pets throughout the different stages of their pets’ lives, either as an alternative to toothbrushing, or as part of a programme to build up to toothbrushing.”
To register, visit: www.animalcare.co.uk/dentalwebinars
Further webinars in the oral homecare series will be delivered in January 2023.
Reference
Typically, diagnosis of endocrine disease is based on a thorough history and physical examination, followed by laboratory tests.
However clinical signs vary substantially across animals with endocrine disorders, so this new app uses AI and big data from millions of dogs in the RVC VetCompass database to improve the chances of an accurate diagnosis.
Dr Dan O’Neill, Associate Professor for Companion Animal Epidemiology at the RVC, said: "By applying the latest AI technology, the app is designed to assist primary care veterinary surgeons to better detect and diagnose Cushing’s Syndrome.
"The app provides a guide to the probability of Cushing’s syndrome as an explanation in patients showing both typical and atypical clinical signs for Cushing’s"
The app is free to download on both Apple and Android devices in the UK and EU countries by searching for 'the endocrinology app".
The RCVS ERP provides an ethics review mechanism for researchers who are based in practice and don't have access to this process through university and industry connections.
The subcommittee has representation across a range of areas of veterinary expertise, including veterinary nursing, and also includes lay researchers and scientists.
Since its formation as a trial service in 2016, the ERP has reviewed more than 530 research proposals on behalf of the College.
Nicola said: “I am honoured to be offered this position.
"Having been a member of RCVS ERP for the past three years and undertaking a similar role as the Chair of the Clinical Research Ethical Review Board at the Royal Veterinary College, I felt that I had the right expertise to take on the role
“It is vitally important that all research, regardless of where it is undertaken, undergoes ethical review to ensure that robust results are produced especially when they have the potential to influence clinical practice, and so I really welcome the work the ERP has been undertaking.
“As chair of the ERP I hope to build on the success of my predecessor and continue to support those working in clinical practice that is not associated with a university to undertake valuable research and add to the body of evidence that supports our clinical decision-making.”
www.rcvs.org.uk/ethics
Ki-67 is a proliferation marker used for assessing tumour aggressiveness, however the traditional method of assessing Ki-67 scores involves manually counting the proliferating cells, which is subjective, time-consuming and prone to variability.
Finn says its new AI-assisted Ki-67 scoring test represents a significant advancement in veterinary diagnostic oncopathology.
The AI algorithm analyses Ki-67 labelling across the entire section of tumour.
Positively labelled cells are highlighted, scores are calculated, and the results are validated by a pathologist before reporting.
This more automated analysis enables the evaluation of large volumes of histological data, ensuring consistent and reliable prognostic assessments.
Finn says it also removes the subjectivity and variability associated with identifying areas of highest cell proliferation, which is a crucial aspect of tumour scoring.
https://www.finnpathologists.com
Some interesting statistics from insurers Petplan today. Turns out that almost a third of 3000 pet owners surveyed by the company admitted accidentally injuring their pet, resulting in an average vet bill of £170.
Nearly 6 out of 10 owners admitted stepping on their pet, while 21% confessed to dropping them. The next biggest threat posed to pets by their owners was accidental poisoning.
The survey found that dogs are most likely to be stepped on, whilst guinea pigs are most likely to be dropped by their overly affectionate owners.
The survey also found that 1/3rd of pets hurt themselves jumping off furniture, and one in five have been injured running in front of a car.
More than a third of pets injure themselves eating something they shouldn't, including the dog that swallowed a pair of knickers, which ended up costing £1,200 to retrieve.
Intervet/Schering-Plough Animal Health has released diagnostic data which the company says indicates that calf scour problems caused by cryptosporidia are on the increase.
A summary of 2010 results from the company's ScourCheck scheme, which identifies infectious scour pathogens in calf faeces, show the protozoan parasite Cryptosporidium parvum being present in 37% of samples.
Intervet/Schering-Plough ruminant veterinary adviser Drew McGurren said: "Ever since we started testing calf faecal samples in the 1990s, rotavirus and cryptosporidia have always been identified as the two main pathogens implicated in infectious scour problems. But the latest data - and feedback from vets in practice - suggest cryptosporidia incidence is on an upward trend.
"Ten years ago our top line reporting used to refer to rotavirus being implicated in around a third of all infectious calf scour problems and cryptosporidia in roughly a quarter. But in 2009, we detected cryptosporidia in 30% of samples. And this year - from the 250 plus faecal samples we have looked at so far - the incidence seems to be even higher."
Drew stressed that scours caused by cryptosporidia are not always confined to housed calves: "Suckler calves between one and two weeks of age can be very susceptible to infection at grass, particularly if conditions underfoot are muddy around ring feeders. Early May has seen quite a lot of rain, and the parasite thrives in damp conditions."
The major source of cryptosporidia is thought to be either adult cows (which act as carriers without showing signs of disease) or infected scouring calves passing the parasite in their faeces. Drew said: "The infectious dose of the organism is very low and if ring feeders are not moved regularly the disease threat that builds up can be very similar to the housed situation. Faecal contamination of feed and water troughs can also be reduced by raising and covering them.
"Cryptosporidiosis in calves is often seen in combination with other diseases, particularly rotavirus. So vaccinating cows against rotavirus with Rotavec-Corona one to three months pre-calving - as well as a sound colostrum feeding regime and maintaining high hygiene standards - can often tip the balance in your favour."
Intervet Schering-Plough says that if cryptosporidia is diagnosed as the problem, parasite replication and excretion can be reduced with Halocur. This is the only product licensed to treat and prevent cryptosporidiosis. Administered orally to calves after feeding (daily for seven days), it can reduce the severity of diarrhoea and prevent the infection spreading to other calves. Treated calves have also been shown to require fewer antibiotic and anti-inflammatory treatments, as well as less rehydration therapy.
Vetoquinol has released the second set of results from a survey of over 1000 dog owners which the company says has revealed some surprising findings on owner attitudes to pain and pain relieving medications.1
In particular, Vetoquinol says it thinks veterinary surgeons will be surprised by the depth of feeling expressed by pet owners about the issue, and that there are areas where there is potential for the profession to relate to the concerns of clients and adapt communication accordingly.
The key findings highlight that dog owners are likely to be shocked by a diagnosis of long term painful illness in their pet and are very likely to search for further information on the Internet about the pet's condition. Most dog owners think that NSAIDs are likely to cause side effects, with the perceived risk being much greater than the actual level of risk. The results also indicate that even low levels of risk of side effects may be unacceptable to dog owners.
Mark Leddy, Marketing Manager at Vétoquinol said that the strength of the bond between pet and owner should always be front of mind: "A diagnosis of osteoarthritis, for instance, is such a common one, often being made several times a day, so it is easy to become matter of fact about it; yet for the client that news may actually be quite traumatic and the impact hugely underestimated."
Where clients get their information from is important:
The majority of respondents (95%) felt that treatment of osteoarthritis should be started as soon as signs appear and then long term, either consistently or as needed. However, despite recognising the need for treatment, many expressed concerns about side effects when giving their dog long-term medication, with 77% considering it important or very important to choose a medication with a limited range of side effects.
Vetoquinol says the reality is that one in a thousand pets given an NSAID is likely to experience side effects, which vets may feel is not something owners should worry about unduly. The reality for pet owners is that they perceive the risk to be much greater and if informed of the actual level of risk may still experience a significant level of fear that their pet, with whom they have a special relationship, could be that one in a thousand.
Mark Leddy says that, based on these results, there is great scope for the veterinary team to discuss the level and type of risk entailed in administering medication: "Such an approach will help pet owners make more informed decisions about treatment, allay their concerns and provide them with the support they need at what is probably a very difficult time for them."
1. A survey of 1048 dog owners, carried out by petbuzz, on behalf of Vétoquinol, March 2011
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.
Parasitologists from ESCCAP (European Scientific Counsel Companion Animal Parasites) have been voicing their concern over the implications of the imminent changes to the UK's DEFRA-run Pet Travel Scheme (PETS).
Under the new regulations, which take effect from Jan 2012, tick control will no longer be mandatory. According to ESCCAP, a recent study has demonstrated that a population of exotic tick species has already become established in the south-east of England1. With up to 15,000 animals travelling under PETS each month, the possibility of exotic ticks (and their associated tick-borne diseases) entering and establishing in the UK becomes increasingly likely. The European Parliament has yet to rule on mandatory tapeworm control. The decision will impact on the future distribution of, and disease threat from, Echinococcus multilocularis.
ESCCAP UK is advising all veterinary surgeons to discuss the risks with their clients and to ensure they make an informed decision about tick control when the new legislation comes into effect.
In addition, the UK branch of ESCCAP is holding a free seminar in Bristol on 28th October to highlight the role that veterinary practices can play in helping clients understand how the changes could impact upon their pet's health.
ESCCAP says the seminar will provide all the information clinicians need to have an informed dialogue with clients. Presentations will provide an overview of the impact of the changes to PETS in relation to rabies, Echinococcus and ticks, as well as advice about how to communicate the information to pet owners and the tools and support available.
Additional support includes ESCCAP UK's website http://www.esccapuk.org.uk/, which offers updates on the PETS situation, guidelines for parasite control programmes and podcasts for veterinary surgeons, nurses and pet owners.
The seminar takes place at Engineers' House, The Promenade, Clifton Down, Bristol BS8 3NB.
To register, telephone: 01684 568998, or email: info@esccapuk.org.uk
Reference1. Smith F D, Ballantyne R, Morgan E R, Wall R (2011) Prevalence, distribution and risk associated with tick infestation of dogs in Great Britain. Medical and Veterinary Entomology. doi: 10.1111/j.1365-2915.2011.00954.x
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.
Last year's event generated an impressive amount of media coverage about ticks on Radio Four's Today programme, BBC Radio 1, 2 and 5, BBC TV Breakfast, BBC TV News, Good Morning Britain, ITV News and Channel 5 news, amongst others, providing an opportunity for practices to convert heightened public awareness into more protected pets.
Amanda Melvin, Small Animal Marketing Manager at MSD Animal Health said: "Last year’s Tick Awareness Month was a great success thanks to the high involvement of veterinary practices. We would like to give as many practices as possible the chance to get involved this year so are urging surgeries to get in touch early and we will ensure you get a pack of support resources for this nationwide event."
For further information, contact your MSD Animal Health representative or visit: www.bigtickproject.co.uk.
Researchers from Marwell Zoo, the Wildfowl and Wetlands Trust and the School of Veterinary Medicine at the University of Surrey, trialled a series of monitoring strategies on primates and birds to help zookeepers ensure the health and safety of animals in their care.
According to the authors, the introduction of the practice over a period of 13 weeks at two zoological collections in the South of England, clearly demonstrated the level of physical and psychological wellbeing of the animals, and the effect of certain interventions.
The welfare assessment grid requires daily monitoring of a range of factors, such as the animals' physical condition, their psychological wellbeing and the quality of the environment, as well as the daily procedures they experience. These factors were not all previously part of the regular health checks that zookeepers were required to assess when they were undertaking animal welfare audits. In each area the primates and birds were scored, helping to monitor their progress and highlight any potential problems.
Although welfare protection of zoo animals is enshrined in both European and domestic legislation, monitoring it comprehensively in zoos has proven difficult due to the absence of clear and consistent guidance.
Sarah Wolfensohn, Professor of Animal Welfare at the University of Surrey, said: "Ensuring a high standard of animal welfare is paramount for any zoo, but it has not always been possible. This innovative system will give zookeepers clear guidance on what they should be looking out for in terms of physical and psychological characteristics in animals, which will help monitor their overall wellbeing.
"Zoos are a key part of educating us all about our environment and the animals we share it with across the world, and we all want to know that the animals we do see in zoos are being given the best possible care for their welfare."
Adaptation of the animal welfare assessment grid (AWAG) for monitoring animal welfare in zoological collections. W. S. M. Justice, M. F. O'Brien, O. Szyszka, J. Shotton, J. E. M. Gilmour, P. Riordan and S. Wolfensohn. Veterinary Record. 181,43.
Photo: Amur Leopard ©2017 Marwell Wildlife
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
The project looked first at how effective CVS small animal first opinion practices were at conducting echocardiography.
It found that a barrier to wider uptake was a lack of up-to-date equipment, along with a lack of current knowledge and training - both in using ultrasound and echocardiography equipment and in interpreting images.
CVS says that as a result, many colleagues were routinely referring suspected cardiac disease cases.
The project leaders then reviewed and recommended practice equipment, so that clinicians had the tools to perform echocardiograms in practice.
This included buying echocardiography tables - so that practitioners could scan an animal’s chest from underneath, more advanced cardiac ultrasound machines and electrocardiogram (ECG) machines.
The company then produced a range of resources for vets and nurses, to help them to improve echocardiography scan rates and nurse cardiology clinics, including clinical guidelines, machine guides and client resources.
It then held a number of training sessions for its vets and nurses, focusing on the latest advancements in heart disease diagnosis and treatment for vets, and training nurses how to conduct nurse cardiology clinics, how to perform and interpret electrocardiography, how to take blood pressure readings and thoracic point of care ultrasound (POCUS).
Lynsay Morgan, Regional Clinical Lead at CVS who is responsible for the cardiac ultrasound clinical improvement project, said: “We want to empower our first opinion small animal vets to perform more echo evaluations and to work up their cardiology cases to a high standard.
"We also want our nurses to be involved in patients’ life-long care, and provide ongoing support to owners of pets with heart disease.
“We hope this project will improve case identification, increase skills and confidence, and see optimum diagnosis and management of cardiac disease.”