A new study¹ published in the Equine Veterinary Journal's (EVJ) special American Association of Equine Practitioners supplement has concluded that maggots can play an integral role in modern veterinary care for a variety of wounds in horses.

The study assessed the efficacy of maggot debridement therapy in a diversity of equine lesions and found that the method was beneficial in 93% of cases.

Maggots have been used for the treatment of wounds for hundreds of years. Freshly emerged, germ-free larvae of the common green bottle fly are usually used for the purpose. Their wound-healing action is attributed to a debridement effect, an antiseptic effect, a direct effect on cytokine and cell proliferation involved in wound healing and breakdown of biofilm formation. Maggots also destroy and digest bacteria and may also be beneficial in the fight against multi-drug-resistant bacteria such as MRSA.

The study involved the retrospective analysis of 41 horses with various lesions including foot injury, limb laceration, soft tissue abscesses and musculoskeletal infection. Depending on the type, size and location of the wound the maggots were applied either in direct or indirect contact. In some cases a second maggot application was necessary to reach the desired level of healing. Debridement, disinfection and healing occurred in all but three cases, in less than a week. Of the three that did not respond two were complicated by the presence of tumours and one by pre-existing damage to the underlying bone.

Olivier Lepage of the University of Lyon, who led the study, said: "These results show that maggot debridement therapy potentially has an integral place in modern veterinary wound care. It can be used to treat many types of lesions, although not those involving tumours or bone sequestration. Associated high costs present a limiting factor but maggot debridement therapy should certainly be considered for lesions that fail to respond to conventional methods."

Professor Celia Marr, Editor of the EVJ, said: "Horses often suffer from non-healing wounds, particularly in the limbs where the skin is under continuous movement and there is very little subcutaneous tissue. Although at first glance this study might seem counter-intuitive and we might think of maggots as being the last thing one would want on a clean wound, it shows that maggots can be an effective way to clear damaged tissue and this is an important adjunctive approach in equine wound management."

¹The use of maggot debridement therapy in 41 equids OM Lepage, A Doumbia, MF Perron-Lepage and M Gangl. EVJ ISSN 0425-1644 DOI: 10.1111/j.2042-3306.2012.00609.x

The study is published by Wiley-Blackwell and can be accessed at http://onlinelibrary.wiley.com/doi/10.1111/j.2042-3306.2012.00609.x/abstract

WellVet, the annual event held to help veterinary professionals thrive and support each other, has announced the line up for this year's conference, which will be held online on Saturday 23rd May 2020.

Five time European champion and British record-holding athlete, Laura Muir MRCVS, will be in conversation with Gudrun Ravetz and Rob Pope for a keynote session at the virtual event. The line-up also includes Bake-Off star, Rosie Brandreth-Poynter, alongside a number of other expert session leaders for personal development, baking, exercise, crafts and social elements.

The day long programme will start with a run, meditation or yoga. The plenary sessions and workshops include topics such as change management, establishing a ‘new normal', and how to build wellbeing into daily life.

Wellvet co-founder Ru Tipney said: "We're delighted to host an event which brings together so many amazing people to lead valuable - and potentially life-changing sessions - for delegates. We have content for everyone, from student sessions to workshops designed for practice managers and owners."

To include a social aspect, the virtual conference platform provides opportunities for networking and connecting with fellow delegates during and after the event. Ru said: "The vibe we've had at the last two WellVet events has been pretty special. WellVet works because of the mutual encouragement, openness and support of delegates. We're delighted to have found a platform to give a rich social experience alongside all the great content."

The content and networking functions are available for a year after the event and the organisers are keen to stress there's no need to sit through the whole day in one go. Delegates are invited to dip in and out, revisit sessions, and connect with others afterwards. Tickets are subsidised at £40 for a full delegate pass and £10 for students and new graduates.

For more information and to buy tickets, visit: www.wellvet.co.uk

Dechra is conducting a survey of vets about otitis externa in dogs, and there's a Fortnum's hamper up for grabs.

The five-minute survey includes questions on the number of otitis externa cases seen in practice, consultation times, common compliance issues, cytology uptake and client behaviour change frameworks.

Completed entries will be entered into a draw for a Fortnum & Mason hamper worth £100.

Charlotte Hill, brand manager at Dechra said: “The otitis externa in dogs survey will provide us with valuable insight into vets’ experiences of the condition.

"It will also allow us to identify any trends that may exist to help us improve how we as a profession approach otitis externa, while supporting owners when treating the condition which can be frustrating to manage.

https://forms.office.com/e/J7frrbL56A 

Warwick John Seymour-Hamilton, a former veterinary surgeon who was struck off 27 years ago, has had his ninth application to be restored to the Register rejected on the basis that he would pose a risk to animal welfare if he were to practise as a veterinary surgeon.

Mr Seymour-Hamilton made previous unsuccessful applications for restoration in 1995, 2010, 2015, 2016, 2017, 2018, 2019 and 2020.

Mr Seymour-Hamilton was originally removed from the Register in 1994 following an inspection of his veterinary practice premises in Orpington, Kent, that found that the condition of the practice, including the equipment and facilities, were of such a risk to animal health and welfare that it brought the profession into disrepute.

In considering his current application, the Committee had to take several factors into account, including: whether Mr Seymour-Hamilton had accepted the findings of his original hearing; whether he demonstrated insight into his past conduct; protection of the public and the public interest; the future welfare of animals committed to his care should he be restored; length of time off the Register; his conduct since removal; and evidence that he’d kept up-to-date in terms of the knowledge and skills required of a practising veterinary surgeon.

Mr Seymour-Hamilton accepted the facts of the original charges but did not accept the conclusions of the two veterinary surgeons who inspected his practice, who, he claimed, had falsely accused him.

As a result, the Committee concluded that Mr Seymour-Hamilton did not accept the seriousness of the original findings against him, nor had he demonstrated any insight into either the original charges, nor what was required of him to enable a successful application for restoration.

Judith Webb, chairing the Committee and speaking on its behalf, said: “The Committee is driven to the conclusion that the applicant has displayed total disregard for rules and regulations. In his evidence he stated that he is professionally competent to spay a cat  and  he had done so in Calais. This was in recent years and whilst struck off by the RCVS, and after more than 25 years out of the profession. He was unable to see that he had done anything wrong in this.”

As to protection of the public and the future welfare of animals committed to his care, the Committee found that Mr Seymour-Hamilton continued to display a lack of understanding of the role and purpose of regulation. He had shown no insight into previous decisions or of what was required of him to enable a successful restoration, despite being given advice in that regard. He presented no compelling evidence to indicate that he would be safe to practise veterinary surgery were he to be restored to the Register.  

Regarding Mr Seymour-Hamilton’s conduct since removal from the Register, the Committee found he did not demonstrate sufficient relevant conduct in relation to his fitness to practise. The Committee noted that, on previous occasions, he had indicated he had illegally practised veterinary surgery and admitted using his own animals to experimentally administer new and untested remedies.

The Committee found that, in relation to the 27 years since removal from the Register, Mr Seymour-Hamilton had not undertaken the prolonged, intensive and formal retraining needed to ensure he was now fit to practise. It also found that, since the last restoration hearing in 2020, Mr Seymour-Hamilton had undertaken very little continuing professional development, maintaining that he was too busy with his work relating to herbal remedies to attend formal veterinary training.

Judith Webb added: “He claimed that he does not find it difficult to keep up-to-date, because he is able to perform online searches if he is in need of information. He thinks that he is competent to operate even after 27 years out of the profession, and maintains that he could operate now. In the view of the Committee, the applicant is totally unaware of current veterinary principles such as it being an evidence-based profession, use of clinical audit and reflective learning. He does not appear to have accepted the purpose of the regulator in protecting public interest, including maintaining public confidence in the profession, nor its role in upholding professional standards and promoting animal welfare. 

The Committee considers that where some 27 years have passed since the applicant has practised, there will inevitably be a serious risk to the welfare of animals if he is restored to the Register. In addition, the Committee is firmly of the opinion that it would not be in the public interest for the application for restoration to the RCVS Register to be granted in this case.”

The full documentation from the restoration hearing can be found at: www.rcvs.org.uk/disciplinary

Dorwest Herbs has highlighted research that suggests a highly rational mode of action for kelp seaweed as an aid in the treatment of obesity when used alongside a weight reduction diet. The company is asking vets and nurses to look at the evidence and consider using licensed herbal medicines to help cats and dogs lose weight naturally. To help you evaluate the product, Dorwest is giving away 50 trial packs of Kelp Seaweed Tablets.

Mary Boughton MBE, Quality Director at Dorwest Herbs and the UK's leading specialist in the formulation of veterinary herbal medicines said: "We have lots of evidence that Kelp Seaweed Tablets work as an aid in the treatment of obesity but traditional explanations were based on the effect of iodine supplementation on thyroid function as a mode of action. That just didn't hold water for us. However, in common with many conventional medicines, the mechanisms for mode of action of herbal medicines are often not known. So, it was with some excitement that we heard of research that demonstrated that fucoxanthin, a pigment found in kelp, upregulates expression of UCP1 (uncoupling protein) and produces weight loss in the same region as conventional anti-obesity drugs."

Various studies estimate pet obesity may affect 30 to 60 per cent of pets in the UK and arthritis, heart disease and diabetes are just some of the diseases that occur with increasing frequency in obese pets. The research indicates that fucoxanthin has an effect on glucose metabolism and may lower the risk of coronary heart disease in humans. Phlorotannins found in brown seaweed have also recently been indentified as interfering with both the onset and consequences of osteoarthritis. Mary Boughton points out that multiple effects are often seen when herbal treatments are used, "Herbal treatments contain thousands of plant derived chemical compounds and are known for their diverse action, as opposed to the 'magic bullet' effect seen with conventional medicines. In a condition such as obesity where we see many disruptions of normal metabolism and several co-morbid conditions, choosing a herbal treatment makes sense. Kelp Seaweed Tablets are the logical alternative."

Dorwest has prepared a fully referenced technical information sheet detailing recent scientific studies and data from herbal formularies with reference to the role of kelp seaweed in obesity management.

To help vets and nurses further evaluate Kelp Seaweed Tablets - a licensed herbal medicine - used as part of a weight management programme the company is giving away 50 FREE trial packs containing seven weeks of Kelp Seaweed Tablets for a large breed dog, a case report sheet and the technical information sheet. There is also a prize of £100 of John Lewis shopping vouchers for the most informative case report received before the end of February 2010.  There is one pack available per practice, while stocks last.

To request a technical information sheet or pack call Dorwest Herbs on 01308 897272.

Author, veterinary skills coach and mentor, Dave Nicol MRCVS has announced that he is taking enrollments for the first VetX Accelerated Learning and Mentoring Group, which offers 'life skills' teaching, online mentoring support, problem-solving and a networking resource for new and recent grads.

Dave (pictured right) says he has created the group to address two problems. Firstly, the chronic lack of support for new graduates in their early years leading to avoidable levels of stress and burnout. Secondly, the knock on side-effect of this poor support, that many graduates turn their back on the profession for good, leading to a national skills shortage and recruitment crisis.

Dave said: "Veterinary graduates across the UK have been crying out for more support for years and this lack of support is the main reason for career dissatisfaction and burnout.

"Through a coordinated program of lectures blended with group mentoring and access to a like-minded peer network beyond university, VetX delivers a level of support that is simply not available through any other current means."

Dave is quick to avoid pointing any fingers of blame at practices, saying: "In my experience employers start out with good intentions, but then the reality of clinical life sets in and most just run out of time to deliver the support required. VetX solves this problem by taking much of the mentoring workload away from the practice."

Although the programme is open to all and is designed to complement in-house training, Dave says VetX gives smaller, independent practices the chance to compete with larger corporate groups which offer in-house mentoring schemes in a very cost-effective way.

The VetX programme is now open for enrollment and will take in a maximum of 50 new or recent graduates beginning in September 2017. Dave says early enrollment is advised as places are filling fast.

For more information about VetX or enrolling on the new programme, visit: http://www.drdavenicol.com/vetxclinics

Virbac Animal Health is offering a client e-shot and text alert service for practices taking part in its Canine Prostate Awareness Month initiative this year.

Canine Prostate Awareness Month takes place during November 2012 following its debut last year when more than 400 practices signed up to support it.

Timed to coincide with 'Movember' when thousands of men grow moustaches to raise funds for male prostate and testicular cancer, Canine Prostate Awareness Month aims to highlight the prevalence of the disease in dogs and to encourage practices and owners to test for it. In addition to the new e-shot and text alert service, Virbac already provides post card reminders; free dog leads; educational and display materials and a press release for use by practices with their local media.

Participating practices that diagnose a dog with Benign Prostatic Hyperplasia during Canine Prostate Awareness Month are being asked to contact Virbac with details, as the company plans to collate a series of case studies from the initiative this year. The five best cases studies submitted before the end of the year will win Love2Shop vouchers to the value of £50.

Chris Geddes MRCVS, Virbac Product Manager, said: "There's a lot of interest already in this year's Canine Prostate Awareness Month so we're working hard to ensure it's even bigger and better than last year.

The serious message is that more than 80% of entire male dogs over the age of five suffer from Benign Prostatic Hyperplasia¹.  Canine Prostate Awareness Month gives practices a reason to highlight the risk and encourage owners to test for it. Timing Canine Prostate Awareness Month to coincide with Movember is a good way to interest dog owners at a time when some might be considering the state of their own prostate."

For further information on Canine Prostate Awareness Month, email cpam@virbac.co.uk; contact your Virbac Territory Manager or contact the company direct on 01359 243243.

Reference

1.    O'Shea J.D. Studies on the canine prostate gland: Factors influencing its size and weight. J. Comp. Pathol. 1962 72: 321-331.

The Veterinary Benevolent Fund (VBF) has announced that the new Vet Helpline, which will now be answered by a live person 24 hours a day, has launched in time for Christmas - an especially difficult time for many people.

The new service runs on a new telephone number: 0303 040 2551. Add it to your address book now, if not for yourself, in case you need to pass on the information to a colleague who needs help.

The new Vet Helpline has been made possible with support from the new RCVS joint initiative “Mind Matters”

Rosie Allister, Chair of Vet Helpline said: “It’s so important that people who take the brave and positive step to seek help by calling Vet Helpline are able to connect with one of our trained volunteers as quickly as possible. We know many are deterred by reaching a voicemail, so connecting to a human being is vitally important and can have an important positive impact. We are so grateful for this vote of confidence in Vet Helpline from the Mind Matters initiative. 

"Everyone involved in running Vet Helpline is a volunteer and the team is so incredibly passionate and keen to see the service continually improve. The launch of our confidential e-mail service last year, which hides all email addresses (accessible via www.vetlife.org.uk), was a huge positive step forward and now this evolution to live answering is another. We are adamant that although the phone number is changing, the non-judgmental, completely confidential and empathetic support that we offer will not."

As one of the four arms of support offered by the VBF, Vet Helpline sits alongside services offering financial support, help with mental health conditions, including drug and alcohol addiction, and a library of resources aimed at promoting well-being on the Vetlife website - www.vetlife.org.uk. 

Improve Veterinary Education has launched an 18-module programme in veterinary dentistry and oral surgery.

The programme covers periodontal treatments, restorative dentistry, orthodontics and maxillofacial surgeries, among others.

Improve says training will be delivered via a mixture of face-to-face theory and practical skills using real-life cases that can be immediately applied in practice.

The course is led by Alix Freeman (pictured), a European and RCVS Specialist in Veterinary Dentistry, who developed the course content. 

Alix said: “This course will equip you with the theoretical knowledge and practical skills to enable you to perform advanced dentistry and oral surgery procedures in practice. 

"The tutors will enthuse you with their passion for dentistry and oral surgery.

"You'll be taught the most up to date and innovative treatments in a leading dedicated dental training lab with the best equipment and materials.

"You'll gain the confidence to undertake root canal treatments, jaw fracture planning and repair, oronasal fistula repair and oral oncologic surgery.

"This is the first advanced dentistry certificate of its kind in the UK and is sure to be very popular”.

Upon completion, participants will be eligible for the General Practitioner Advanced Certificate in Small Animal Dentistry (GPAdvCert SADen&OS) from the International School of Veterinary Postgraduate Studies (ISVPS).

https://improveinternational.com/uk/coursedate/gpadvcert-in-small-animal-dentistry-and-oral-surgery 

Merial Animal Health, makers of Previcox® have launched a new technical manual containing expert thinking on canine osteoarthritis (OA) and other orthopaedic subjects.

Recipients will also have the opportunity to test themselves and their colleagues on the technical content for their chance to win £500 worth of CPD vouchers.

Previcox product manager Claire Parry-Baggott said: "We have been very fortunate in being able to work with some of the UK's most highly regarded experts in the field of OA.

"The first issue just released contains two papers, the first from Gareth Clayton-Jones, BVetMed DVR DSAO HonFRCVS, RVC specialist in both small animal othopaedics and diagnostic imaging. Mr Jones discusses anterior cruciate ligament rupture, including examination, radiography and treatment options.

"The second paper in this first edition is from specialist in small animal orthopaedics Prof. John Innes BVSc PhD CertVR DSAS(orth) MRCVS, of the University of Liverpool, who looks at elbow dysplasia. In his paper Professor Innes provides a detailed but practical guide to the condition."

Additionally to support Gareth Clayton-Jones' first issue there is a DVD highlighting common clinical presentations of dogs suffering from stifle disease.

Claire said: "With two papers in this first issue there's a total of £1,000 of CPD vouchers up for grabs."

"Each paper has a related quiz containing key questions from the discussion. The winner will be the first correct entry drawn at random," she explains. "Other topics to be covered in the series include Osteochondritis Dissecans (OCD); pain and analgesics; rehabilitation; hips; and spines.

"The manual is set to provide a comprehensive, up-to-date practical guide to OA and related conditions. Subsequent papers will be issued on a quarterly basis and will also contain a quiz sheet with the opportunity to win £500 of CPD vouchers," concludes Claire.

If you haven't already received your copy, contact your local Merial territory manager or call the customer hotline on 0870 6000 123.

The Waltham Equine Studies Group has published new research which highlights the effectiveness of grazing muzzles as a tool to help with weight management in ponies.

The research, which was conducted in collaboration with Dr Annette Longland of Equine and Livestock Nutrition Services (ELNS) in Wales², also showed that longer grass can be more difficult for muzzled ponies to graze, and can cause frustration-related behaviour in some individuals. 

According to Waltham, grazing muzzles have already been shown to reduce the pasture intake of ponies by around 80% by significantly reducing bite size and intake.¹ Ponies fitted with grazing muzzles may spend more time engaging in foraging and eating than their non-muzzled counterparts, yet the majority either lose weight or retain their body condition. This in turn helps reduce susceptibility to obesity and related disorders, such as insulin dysregulation and laminitis.

Four mature ponies were selected for the study. Their dry matter (DM) and water-soluble carbohydrate (WSC) intakes were measured in spring, summer, and autumn pastures on four, three-hour occasions per pony per season when fitted with or without a grazing muzzle. In addition ponies, with and without muzzles, were allowed to take 10 bites of swards maintained at different heights.

When wearing grazing muzzles pasture intake was reduced by 77% during spring and summer and by 83% during the autumn. Without muzzles the ponies generally reduced the sward length by half with the first bite but when muzzled the reduction was variable and the ponies appeared to experience greater difficulty in accessing the longer versus the shorter swards.

The short (less than 10cm), upright, grass appeared to be the easiest to eat, as leaf blades and stems protruded through the holes in the muzzle. The medium and long swards proved more difficult. They bent under the pressure of the muzzle and became flattened, causing the ponies to adopt various strategies to access the grass. In some cases they pawed the ground to unearth the sward and access it through the muzzle. Alternatively they rammed the solid base of the muzzle hard onto the grass, causing it to buckle and make some blades or stems accessible. These were then yanked vigorously often causing the entire plant to be uprooted and eaten.

Water soluble carbohydrate levels in the sward were similar across the seasons although they were slightly higher in autumn. However, once muzzled the ponies’ intake of WSC wasn’t significantly different across the seasons; strengthening the evidence that the use of grazing muzzles is effective.

Clare Barfoot RNutr and the research and development manager at Spillers said: "While the frustration displayed when the muzzled ponies were on longer grass swards indicates that care should be taken to provide an accessible grass length, grazing muzzles remain an effective weight management tool. They allow turnout over large areas, increasing exercise and allow slow “trickle” feeding, to control weight gain and reduce the risk of obesity-related disorders, without significantly compromising the natural behaviour and wellbeing." 

Waltham says grazing muzzles must be used with care, should be properly fitted and horses and ponies should be adapted gradually to wearing them. Group and individual behaviour should be monitored closely to observe any potential concerns caused by changes to the herd dynamics. Ensure that muzzled ponies are confident in drinking and eating through their muzzles before turning them out for prolonged periods. Muzzles must not be used continuously (not more than 10 hours per day) and total exclusion muzzles are not advised. Regular weight monitoring is recommended as some individuals can still gain weight when muzzled.

References

1. A Longland, ELNS, Pantafallen Fach, Tregaron, SY25 6NG, P Harris, WALTHAM Centre For Pet Nutrition, C Barfoot, Mars Horsecare UK Ltd, Old Wolverton, Buckinghamshire UK. (2011) The effect of wearing a grazing muzzle vs not wearing a grazing muzzle on pasture dry matter intake by ponies. J Equine Veterinary Science 31: 282-283
2. Effects of Grazing Muzzles on Intakes of Dry Matter and Water-Soluble Carbohydrates by Ponies Grazing Spring, Summer, and Autumn Swards, as well as Autumn Swards of Different Heights Journal of Equine Veterinary Science 40 26-33