The nine-page booklet is being distributed electronically to all BEVA members, together with a guide on spotting some of the warning signs horses may display, written by equine veterinary surgeon and behaviourist Gemma Pearson.
A report commissioned by the BEVA in 2013 indicated that an equine vet could expect to sustain between seven and eight work-related injuries that impeded them from practicing, during a 30-year working life.
Data available from the Health and Safety Executive suggests that this is a very high number of injuries compared to other civilian occupations, including those working in the construction industry, prison service and the fire brigade.
The new guide has been produced ‘by horse vets for horse vets’ with BEVA members contributing their views, experiences and suggestions to early drafts.
It provides information for those handling and involved with equine veterinary care; to make workers consider the steps that they can take to make their activities as safe as reasonably possible by assessing a situation and implementing measures to limit the risk that vets and others are exposed to.
The guide also aims to challenge prevailing attitudes and culture. It outlines how to make ‘on the spot’ or ‘mental’ risk assessments and when to stop if a procedure becomes unsafe.
The guide is accompanied by an illustrated leaflet Signs of Increased Arousal Combined with a Negative Effective State. Written by Gemma Pearson, BVMS Cert AVP (EM) MRCVS who specialises in equine behaviour and learning theory, it explains signs of increased arousal including facial expressions, stance, movement and response.
David Mountford, CEO of BEVA said: "The new guidelines have been carefully developed to ensure that they are as pertinent, pragmatic and helpful as possible for vets in practice. Hopefully they will help to make the equine veterinary workplace a little safer."
The new guides can be downloaded at: https://www.beva.org.uk/workplacesafety
Four veterinary nurses are contesting two places in this year’s VN Council elections. Two of these are existing VN Council members eligible for re-election while two candidates are not currently on VN Council. They are:
Ballot papers and candidates’ details are due to be posted to all veterinary nurses eligible to vote during the week commencing 13 March, and all votes must be cast, either online or by post, by 5pm on Friday 28 April 2017.
Once again the College is inviting members of the profession to 'Quiz the candidates' by putting their questions directly to all those standing for election. Each candidate will then be invited to choose two questions to answer from all those received, and produce a video recording of their answers. Recordings will be published on the RCVS website on Thursday 16 March.
The biographies and statements for each candidate in the elections can be found at www.rcvs.org.uk/vnvote17.
Eleanor Ferguson, RCVS Registrar, said: "This year we will be publishing the candidate biographies and statements online ahead of the start of the official voting period. This is to allow both veterinary surgeons and veterinary nurses to be better informed about the candidates and their reasons for standing before they put their questions forward.
"We would strongly encourage all members of the professions to review the candidate profiles and pose questions for them to answer. We hope it will spark some interesting debates about how the profession is regulated."
Nurses should email their question (NB only one per person) to VNvote17@rcvs.org.uk, post it on the College’s Facebook page (www.facebook.com/thercvs) or on Twitter using the hashtag #VNvote17 by midday on Monday 27 February.
Specifically, Ms Hodgkinson was alleged to have placed five orders between 1 September 2013 and 1 April 2015:
The medications for charges (i) to (iii) above, were intended for her own personal use, as she had previously at various times been prescribed Codeine, Naproxen and Amitriptyline after being involved in a serious car accident in November 2012, as a result of which she suffered from chronic back pain and other problems.
Charges (iv) and (v) above, were intended for her dog, ‘Minnie’, but the dosages ordered were incorrect. The medications were never removed from the practice or given to Minnie, but were instead returned to the wholesaler.
From the outset Ms Hodgkinson admitted the charges against her, although she believed that other staff at the practice had placed similar personal orders and that she had been given permission to do so as well. Ms Hodgkinson also accepted that the facts amounted to disgraceful conduct in a professional respect.
The Committee accepted Ms Hodgkinson’s admission of the charges and, accordingly, found the charges proved. The question of whether the facts amounted to serious professional misconduct was, however, a matter for the Committee’s judgement, notwithstanding Ms Hodgkinson’s admission.
In reaching its decision, the Committee took into account Ms Hodgkinson’s assertion that she believed she had been given permission to order medication through the practice. She did admit however that she must have been mistaken in that belief. The Committee also took note of the College’s submission that a number of aggravating features were present which amounted to serious professional misconduct, namely: the potential risk posed to animal welfare; Ms Hodgkinson’s ignorance of fundamental legislative provisions; a breach of trust placed in her by virtue of her RVN status; the fact that the misconduct was repeated over a period of time; and a lack of awareness of professional responsibilities at the time of the conduct. The Committee therefore had no hesitation that the conduct did amount to serious professional misconduct.
The Committee then turned to the question of sanction. A number of mitigating factors were put forward in Ms Hodgkinson’s defence including the fact that a period of lengthy suspension or removal from the register would result in her losing an offer of employment, the fact that up to the relevant conduct she had had an unblemished career and the fact that she had made early admissions of guilt and shown insight into her misconduct.
The Committee decided that a period of 10 months’ suspension would be appropriate and proportionate in this case.
Chitra Karve, who chaired the Committee and spoke on its behalf, said: "The length of the period of suspension…is intended to reflect this Committee’s view, assisted as it has been by the experience and knowledge of a practising RVN and a veterinary surgeon, of the seriousness of the respondent’s conduct in its totality and of the need for the message to go out to all veterinary professionals that the ordering of POMs without the authority of a valid prescription is a most serious instance of misconduct. In such circumstances the personal mitigations that a practitioner might place before a Disciplinary Committee, whilst not immaterial, is inevitably of limited persuasion. And that is what this Committee has concluded in this particular case, having reflected carefully on the mitigation factors placed before it.
"Having weighed the matters of personal mitigation against the fact that a rudimentary knowledge of the governing legislation was effectively all that was required of the Respondent to ensure that the misconduct complained of did not occur, it is the clear view of the Committee that it would be failing in its public duty were it to do anything less than to impose a period of suspension from practice and the least period of suspension that is appropriate in this case is one of ten months. The Committee therefore instructs the Registrar to act accordingly."
Enrobactin contains enrofloxacin but is uniquely available in 10ml bottles for convenient dispensing in practice.
Enrobactin can be used to treat digestive, respiratory tract and skin and wound infections and features a distinctive caramel aroma.
Madeline Haynes, Product Manager, said: "Offering practices solutions which are efficacious but also easy to use is a key focus at Virbac, particularly given the importance in practice of using antibiotics responsibly and accurately across all species. Enrobactin is a good example of this and we are pleased to launch it."
Bell Equine is one of the leading equine hospitals and was the first practice worldwide to install a standing MRI unit for horses.
CVS says the acquisition reflects its increased focus on equine practice, with further expansion of its Equine Division planned in the UK and Europe during 2017.
Equine Director Ben Jacklin said: "The acquisition of such an outstanding hospital is an exciting step for us. Bell Equine has always been at the forefront of the equine profession, both clinically and non-clinically, and as such it is a perfect match for the Equine Division of CVS."
Julian Samuelson, former managing director of Bell Equine, will continue in the role of Clinical Director. He said: "We are delighted to be joining forces with CVS and are very much looking forward to working closely with the Group to help realise the exciting potential of its equine ambitions. We look forward to the opportunity to continue to lead the profession, both within and outside CVS."
GRAM (Guidance for the Rational use of AntiMicrobials) is a 500-page guide written by a panel of 10 independent European experts from the fields of microbiology, pharmacology and dermatology, all of whom are specialists in internal medicine, surgery and epidemiology. Based on rational use with compliance at the forefront, GRAM provides tools for improved diagnosis and positive treatment outcomes.
The guide consists of 37 disease fact sheets, 29 practical recommendations and six reference synopses. It features a range of topics including:
Andy Forsyth, senior technical veterinary advisor at Ceva said: "Antimicrobial resistance continues to be a concern in both human and animal health. GRAM will help educate veterinary professionals on how they can play their part in creating sustainable antibiotic use."
To request a copy of GRAM or for further information on sustainable antibiotic use, contact your local Ceva Animal Health territory manager.
The Best UK Vets Awards are given to the practices that accumulate the largest number of positive reviews from clients on vethelpdirect.com and any-uk-vet.co.uk over the course of the year.
Penmellyn Vets achieved 839 positive ratings; 200 more than their nearest rivals, reflecting the tremendous level of engagement they have with their clients, something which also shone through in the sentiments expressed in their client reviews.
Penmellyn Vets is an independent practice owned by six veterinary surgeons, who are all based in Cornwall. They have been providing veterinary care to the pets and horses of Cornwall for over 130 years. They still cover their own out of hours’ care and their services include preventative healthcare packages for their cat and dog-owning clients, ‘LifeCare’ and ‘LifeCare+’. The latter grants clients access to unlimited vet and nurse consultations 6 days a week – something that is currently only offered by Penmellyn Vets in Cornwall.
Philip Harris, one of the partners at Penmellyn Vets said: "We are absolutely delighted to have won this award and want to say thank you to each and every one of our clients who took the time to leave a review. And my thanks to the Penmellyn staff for their hard work and commitment to providing the outstanding customer service that has been recognised by this award. I couldn’t be more proud of them. We’re an independent practice and very traditional in many ways, so I think as we’ve grown as a group, with a goal of excellence always in patient care, our values have kept us grounded and very client-centric. We look forward to celebrating the award with our team at the awards ceremony in the coming weeks."
Blacks Vets in Dudley were awarded the Silver award after receiving a very commendable 620 qualifying client reviews.
Tracey Jewkes, Managing Director, said: "We are delighted to have been awarded Silver in the Best UK Vet 2017 Award and would like to take this opportunity to send a heartfelt thank you to our wonderful clients for voting for us again this year. Our consistency at the top of this award for the past 3 years is a reflection of both the calibre and heart Team Blacks give to pets, clients and each other year after year. We could not be more proud of each and every team member here, nor could we feel more privileged to take great care of so many much loved pets in our local community."
Inglis Veterinary Hospital in Dunfermline, Scotland received 358 qualifying reviews and received the Bronze award. They also went on to win the Best Scottish Vet Award 2017.
The full list of winners is:
This year’s winners of the small category awards are:
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.
The company is offering up to £50* worth of vouchers to use at J.A.K Marketing Ltd when purchasing GI diets (including canine and feline recovery packs). It is also offering a ‘buy three get one free’ deal on its recovery packs, which also come with complimentary Get Well Soon counter displays for practice receptions.
To promote its range of complete liquid diets for tube feeding critically ill patients, Royal Canin is giving practices which order three packs a free Vygon Vet Nutrisafe tube feeding kit worth £9.49. The kit contains 12 syringes, a drawing up straw and three different sizes of feeding tubes. The company says its liquid diets are specifically designed for tube feeding, offer precise nutrition for critically ill patients and can be accurately delivered with the Vygon tube feeding kits.
For further information, contact your Royal Canin Veterinary Business Manager.
* Spend £199 on GI diets (including canine and feline recovery packs) and receive a £20 voucher from J.A.K Marketing Ltd., spend £399 and receive a £50 voucher. The vouchers will be emailed direct to the practice from J.A.K. There is a 14 working day lead time on this. All offers are valid for the UK and NI and end on 31 March.
The Practice Standards Scheme was launched in 2005 and then relaunched in 2015 to better recognise and reward how practices use their resources to create a positive outcome for patients and clients.
The modules and awards for all species groups (small animals, farm animal, and equine) have now been updated and a summary of the changes can be found at the end of each set of the respective modules.
Pam Mosedale, Lead Assessor, said: "These updates are part of our continuous efforts to ensure we have a flexible PSS, one that can respond to feedback and constantly reflect the realities of everyday practice.
"We would encourage all PSS-accredited practices to familiarise themselves with the updated modules, especially if they have an accreditation or awards assessment in the near future."
To view the updates, visit: http://www.rcvs.org.uk/practice-standards-scheme/ and download the appropriate 'related document' (v1.2)
In the UK, the product is marketed under the brand names Vetofol and Inductofol.
An issue of coring has been reported, where the shearing off of a portion of the 20mm bromobutyl bung occurs as the vial is pierced to withdraw the product. This may result in particles from the bung entering the product and potentially being drawn up into the syringe upon extraction of the product from the vial. It may also result in the bung not resealing fully after use.
If you have any queries in relation to the recall or require details of the product in other markets, contact Mrs Deborah Curran Tel. +4428 30264435 or email deborah.curran@norbrook.co.uk.
The company, which operates 16 practices, achieved the highest placing of any veterinary business, reaching 38 in The Sunday Times 'Best 100 Best Small Companies To Work For' league table. It is the first animal health / veterinary business to rank in the prestigious list 5 years running, and it remains the only veterinary practice ever to achieve a three star 'extraordinary' rating in the list’s history.
The Best Companies to Work For survey is now in its 17th year and is designed to rank the cream of Britain’s motivated workforces. It is widely recognised as the most searching and extensive research into employee engagement carried out in the UK.
To achieve the listing in the Best Companies table, all of the White Cross team anonymously answered a series of in-depth questions about everything from personal development opportunities, to workplace wellbeing, contributions in the local community and overall opinions about the business.
Tim Harrison, Managing Director of White Cross Vets, said: "It really has been a case of high fives all round since we found out about this year’s placing, which puts us in this prestigious league table for the fifth consecutive year. We are a family run business that places a huge amount of importance on the wellbeing and happiness of our people and to be recognised for that is incredibly rewarding."
White Cross Vets was also recently awarded with an industry award in recognition of the initiatives it has introduced to ensure its team remain happy, healthy and fulfilled in their work. The company scooped the Society of Practising Veterinary Surgeons’ inaugural Wellbeing Award after the judges scored entrants on everything from development opportunities through to stress reduction initiatives and how they promote wellbeing.
Tim added: "Our employment initiatives include everything from giving everybody a day off and cake for their birthday, right through to providing four donation days a year where people can volunteer with a charity of their choice. We also provide a health care scheme and recently started offering subsidised Fitbits and gym membership as well as running a cycle to work scheme.
"One of our big priorities also involves supporting mental health, and we provide training on this, alongside a 24 hour helpline for emotional and wellbeing support.
"In addition to all of this, each year we run an annual congress packed with Continuing Professional Development (CPD) opportunities and thought-leadership talks on the latest topics affecting our industry. It’s at this event that we also hold an awards ceremony for our 170 strong team, where vets, nurses and client care co-ordinators are singled out for their superb achievements."
Further investigation revealed that the products in question: AVA Mature Cat Chicken 2kg, AVA Mature Cat Chicken 4kg, AVA Senior Cat Chicken 2kg and AVA Adult Cat Neutered Indoor 1.5kg, all had insufficient levels of thiamine (vitamin B1), which caused the cats to exhibit symptoms of sudden collapse, fitting, widespread twitching and general unsteadiness.
Talking to the BBC, Pets at Home spokesperson Brian Hudspith said it was important to alert veterinary surgeons as well as customers because thiamine deficient cats would usually present with quite different symptoms, including stiff limbs and the head falling onto the sternum.
He said: "Rather than the more typical cervical ventroflexion (head falling onto the chest) associated with thiamine deficiency, in the three cases we saw the predominant clinical signs included sudden collapse, fitting, widespread twitching and general unsteadiness on their legs, which began suddenly after 4-6 weeks of being on the diet."
Pet owners who have bought the products are being advised by the company to dispose of the contents and return the packaging to any Pets at Home store for a full refund. Owners who think their cat is demonstrating any of the symptoms are being advised to seek immediate veterinary advice, and to contact the company's customer advisors on 0800 328 4204.
The plan is designed to help mimic the way cats eat in the wild and so provide them with both physical and mental stimulation. It also encourages cats to hunt, explore, climb and play – activities which boost cats’ positive behaviour and wellbeing.
Developed by feline behaviour specialist Dr. Sarah Ellis and Dr. Lizzie Rowe at International Cat Care, the plan is also designed to help to prevent overeating and promote a balance between energy intake and energy output, in order to avoid weight gain, as well as encouraging weight loss in overweight cats.
It is estimated that there are 10 million pet cats in the UK1 and the charity points to data which suggests that 39 – 52% of them are overweight or obese2,3, something which is a major health and welfare issue4-9, and can ultimately lead to early death10.
The charity says research shows that current feeding practices are contributing to this obesity epidemic, with a number of factors associated with a cat’s modern lifestyle leading to overeating. For example, most cats need little or no exertion to obtain their food, making it more likely that the calories they take in through eating will outweigh the calories they use up through exercise (leading to weight gain). Furthermore, the way we feed our cats generally does not match the lifestyle they were designed for, resulting in a lack of mental stimulation and reduced opportunity to express natural, instinctive hunting behaviours. This can lead to boredom, apathy, anxiety, frustration and stress in cats, resulting in reduced wellbeing and potentially the development of problem behaviours.
Sarah said: "By making a few simple changes to the way we feed our cats, we can help them to live longer, healthier and happier lives."
The plan recommends:
A detailed version of the feeding plan, along with the full report behind the development of the plan, can be found on International Cat Care’s website:
https://icatcare.org/advice/general-care/keeping-your-cat-healthy/feeding-your-cat-or-kitten
A short version of the feeding plan can also be found there.
References
The practice says that because thiamine deficiency in cats is generally rare, the number of recent cases seen in the UK has been a cause for concern amongst veterinary surgeons.
Symptoms may include severe weight loss or anorexia, vomiting, impaired vision, dilated pupils, tremors and seizures. Prompt treatment is needed, usually in the form of thiamine injections, an oral supplement and an immediate change of food as a precaution.
Laurent Garosi RCVS & European Veterinary Specialist in Neurology at Davies Veterinary Specialists said: "In 20 years I have only seen a handful of cases. My concern is that there may be many more cats out there in need of a diagnosis which is why we are building awareness and supporting our referring vets in the diagnosis of this condition."
To that end, Laurent posted on the subject on Facebook, which immediately went viral, with more than 1.1 million people reached and 9000+ shares.
Davies Veterinary Specialists has followed Laurent's post with support and advice for pet owners, explaining the symptoms to look out for and the emergency measures to take. The practice has also sent more detailed information direct to its referring practices:
What are the signs of thiamine deficiency in cats? Initially most cats will show anorexia and some degree of vomiting preceding neurological signs which include fairly rapid onset of impaired vision, dilated pupils, ataxia, vestibular signs, tremors and seizures.
How do you diagnose thiamine deficiency? It is based on a combination of factors: clinical presentation, MRI findings, which are fairly typical (although not pathognomonic) and response to thiamine supplementation. Absolute confirmation is technically difficult and not widely available: direct measurement of thiamine in the blood may not reflect deficiency, as this is not a good reflection of tissue concentration of Thiamine. Indirect methods are functional tests looking at effects of thiamine or lack of it: demonstration of reduced transketolase activity in red blood cells which is not readily available for most veterinary practices, or other indirect methods such measuring abnormal metabolites such as organic acids in the urine.
What are the causes of thiamine deficiency in dogs and cats? There are three main causes: 1) inability to absorb thiamine due to gastro-intestinal disease, 2) inability to process thiamine due to liver disease and 3) decreased level of thiamine in food. The latter can be caused by the heating process used for food preparation (thiamine is destroyed by heat), addition of sulphur dioxide or sulphite preservatives to meat which inactivate thiamine and feeding food rich in thiaminase activity such as some raw fish. Therefore all-raw fish diet in cats can be a cause of thiamine deficiency.
What to do if you suspect you have a cat with thiamine deficiency and whose diet consists of a product being recalled? Unless the cat is showing neurological signs, the first step is to stop the diet and switch to another diet not listed in the recall. Thiamine supplementation (intramuscular injection) is advised in the first instance in a case with compatible neurological signs. Other causes for the neurological signs must be considered in the case of failing to respond to Thiamine injections within 24-48 hours.
DVS says it is working closely with their referring vets to raise awareness and diagnose any affected animals.
For more information, visit: www.vetspecialists.co.uk and www.facebook.com/DVSvets/
The College says it has become increasingly recognisant of how a blame culture can lead to a fear of making mistakes, something which can have a negative impact on both the mental health and wellbeing of members of the profession and, ultimately, animal health and welfare.
The anonymous online survey, which is being conducted by the Open Minds Alliance, is described by the College as a major step towards moving to a learning culture which has a greater focus on openness, reflective practice, learning and personal development.
Nick Stace, RCVS Chief Executive Officer, said: "Moving towards a learning culture is one of the key aims of our Strategic Plan 2017-19 and we have already started to make some progress in this area with our Mind Matters Initiative, for example. This survey will help establish a baseline against which we can measure any improvements over the course of the next three years.
"As a regulator this is part of our attempt to be much clearer about the kind of culture we would like to see in the professions; one that encourages members of the veterinary team to learn from each other, and from their mistakes, and to be more open about when things do go wrong in order to better manage public and professional expectations.
"By moving towards a learning culture we can also hopefully reduce levels of stress and mental ill-health within the profession, as practitioners will feel they can be more open about their mistakes and take steps to improve their practice – rather than feeling like they cannot talk about what goes wrong, which can lead to fear and anxiety.
"This is no easy task – particularly when public expectations of what veterinary surgeons and veterinary nurses can and should do is increasing – but we hope that by being brave and open about this new ambition we can galvanise veterinary associations, educators, practices and individual veterinary surgeons and veterinary nurses and make a real difference."
The survey will also be asking to what extent members of the profession feel that the College, as the regulator, contributes to any blame culture and where improvements could be made to the concerns investigation and disciplinary process to help combat it.
Eleanor Ferguson, RCVS Registrar and Director of Legal Services, added: "It is a common misconception that if you make a mistake then this will be investigated by the College and you will end up in front of a Disciplinary Committee.
"However, we recognise that mistakes can and will happen and that expecting 100% perfection is unrealistic. The real professional conduct issues arise when members of the profession try to cover up their mistakes, whether that is to professional colleagues or clients, which often does far more damage than if the person was open and honest about what had gone wrong.
"We do also accept that there is always room for improvement in our own processes and if there are positive steps we can take to make the investigation and disciplinary process less onerous for members of the professions then we would like to hear your suggestions."
Click here to take part in the survey.
The Veterinary Hospital and Surgery acquired the Magdalen Arms in late 2014 and started work on the conversion of the listed building in March 2015, with particular care needed to preserve original features including its Dutch gables and the falcon logo of local brewery Lacon’s, which is incorporated into the brick work.
The new hospital was officially opened at the end of February, with the Mayor of Great Yarmouth, Malcolm Bird, and local 2012 Paralympic gold medallist Jessica-Jane Applegate unveiling the plaque. More than 1,000 local people came to have a look round, many bringing their canine friends.
Clinical Director Elissa Norman said: "In recent years we had outgrown our original surgery and it started to become difficult to offer the level of service we wanted to within the space we had.
"We knew that the Magdalen Arms, in addition to being a well-known local landmark, offered all the space we needed, a central location and plenty of parking. The structure of the building made the conversion quite complex but the final result is beyond our expectations and we can’t wait to see the reaction of our clients when they bring their pets to us for the first time."
"We now have staff on site with patients 24 hours a day, 365 days of the year, plenty of parking and we can offer full access for disabled clients all of which were a priority for us. The reception area is spacious and inviting, the consult rooms are well equipped and the new cat ward will create a less stressful environment for our feline patients.
"Watching this much-loved building take shape as a brand-new hospital with all the facilities we need for our patients, their owners and our staff has been special and I’m looking forward to helping it take on a different role within the community. While the building work is now finished, we have lots of plans to develop the service we offer further over the next few months."
"We are grateful to the Mayor Malcolm Bird and to Jessica-Jane for helping us celebrate the opening of the hospital and it was great to welcome so many local people and show them around as they have been so supportive during the conversion. It is clear that the building holds a strong place in many of their memories but that they are as excited as we are to see the amazing transformation that has taken place. We look forward to serving them and caring for their pets in the years ahead."
ISFM points to an editorial published ten years ago in The Lancet (Hypertension: uncontrolled and conquering the world), which presented alarming facts about hypertension in people: the risk of becoming hypertensive during a lifetime exceeds 90% for people in developed countries, with over 1.5 billion adults expected to have hypertension by 2025. It also said: 'screening is not done systematically, and the diagnosis is often made at a late stage when target organ damage has already happened'.
The Society says there are broadly similar concerns in our feline companions. Hypertension is a well-recognised condition in older cats, yet probably remains significantly underdiagnosed. The consequences can be severe, with target organ damage typically affecting the eyes, heart, brain and kidneys. Some damage, such as blindness resulting from complete retinal detachment, is irreversible. Other damage, however, is more amenable to antihypertensive treatment, highlighting the importance of early diagnosis and intervention. However, this presents challenges, particularly as routine blood pressure monitoring is generally performed infrequently in cats. Furthermore, cats are notoriously susceptible to stress in the veterinary clinic, which can lead to 'white coat hypertension' and hamper interpretation of results.
The new ISFM consensus guidelines are published in its Journal of Feline Medicine and Surgery1. The recommendations are those of an expert panel of veterinary clinicians and academics gathered from the UK, Australia, New Zealand, Spain, France and the USA, and cover several key areas. They include: how often to monitor blood pressure for cats of different ages and health status; when antihypertensive therapy is justified based on different systolic blood pressure readings and evidence of target organ damage; and what an investigation of hypertensive cats should include.
Samantha Taylor, a specialist in feline medicine and one of the co-chairs of the guidelines panel, said: "Well-illustrated and easy to read, it is hoped that these guidelines will encourage more widespread monitoring of blood pressure in veterinary clinics to increase the early identification of this treatable condition, and prevent the severe clinical consequences of untreated hypertension."
Accompanying the guidelines, which are endorsed by the American Association of Feline Practitioners, are further resources to assist veterinarians with the diagnosis of hypertension. A blood pressure evaluation form can be downloaded from the supplementary material; in addition, a series of short videos produced by the ISFM on measuring blood pressure in cats is available in various languages at https://www.youtube.com/user/iCatCare/playlists.
Reference
During the race, which runs between Johannesburg and Durban in April 2017, Jason and Paul will cover 900km (559 miles) on their velocipedes.
They're raising money for a charity called Chipembere Rhino Foundation, a charity which works to monitor rhino and curb poaching. According to the charity, there are 20,000 African white rhino and 4,800 African black rhino remaining, which classifies them as ‘near-threatened’ and ‘critically endangered’ respectively. Against that background, poaching levels have reached crisis point, with 2,700 rhinos killed between 2000 and 2013, and a further 1215 in 2014 alone.
The importance of the charity's work was further highlighted today after news that poachers have shot an African white Rhino for its horn at Thoiry Zoo outside Paris.
Jason said: "We are living in a world where our natural resources, from water and minerals to animals and plants, are becoming increasingly rare and as a result they are highly prized and valuable. Habitat destruction and poaching are two of the greatest risks facing the world's wildlife. Rhinos are being killed for their horns, elephants for their tusks, pangolins for their scales and now even donkeys are being killed for their skins. We only have one planet and we all need to do what we can to protect it."
If you’d like to support Jason and Paul in their efforts, you can do so at http://www.justgiving.com/teams/rhinocycle
Underlying the plan are three 'Brexit Principles', devised by the College and formally adopted by RCVS Council, which will guide the College’s relationship with the Government during the forthcoming Brexit negotiations.
The College says each Principle is supported by a number of specific policies that the College will lobby for in the coming months, all designed to positively engage with the post-referendum reality and with government policy.
The Principles are:
RCVS Chief Executive Nick Stace said: "It is crucially important for the College and the profession as a whole to think boldly about the post-Brexit future; we cannot expect government to give us all of the answers, instead we must work to find solutions ourselves so as to shape the future of the profession from within."
The College has also asked the Institute for Employment Studies (IES) to undertake research into the attitudes and intentions of all EU-graduated veterinary surgeons and veterinary nurses currently working in the UK. They will all have receive a personalised email from IES with a link to this online survey, and their answers will help inform the College’s approach to Brexit. This research will help the College to understand better the impact that Brexit may already be having, how it can support EU veterinary professionals working in the UK, and build an evidence base regarding the potential impact that Brexit may have on the veterinary workforce.
For more information on the College’s Brexit activities, visit: www.rcvs.org.uk/brexit
The company, which until now has only offered loans to practice clients for veterinary treatment, is now offering practice staff loans of £1,000-£25,000 for periods ranging from 1-5 years at an APR from 7.9%, with joint applications acceptable.
Stewart Halperin, BVMS, MRCVS, founder and CEO of CarefreeCredit (pictured right), said: "I first started the company to enable other vets to provide interest-free loans to clients facing large bills for uninsured pets.
"Since then, I’ve been thinking of other ways to help practice staff in our profession and realised a quick and simple low-cost loan facility would be a great way to go beyond helping their clients to helping the staff themselves in their daily lives.
"Now, with just a simple phone call taking just 5 minutes, veterinary staff can easily access the finance they want for whatever purpose they need."
For further information call 0345 313 0177.
Dechra says phenobarbital is effective as a monotherapy in 60 to 80 per cent of dogs with idiopathic epilepsy, but that in 40% of dogs, seizures cannot be controlled with phenobarbital alone. In these cases the company's potassium bromide treatment Libromide, is licensed to be used alongside Soliphen as a concurrent therapy.
According to the company, the combination of phenobarbital and potassium bromide has been shown to reduce seizure number and severity in dogs with refractory idiopathic epilepsy; in tests, the combination treatment reduced the mean seizure rate from 27.4 seizures per month to 2.2 seizures.
Dechra Veterinary Products Brand Manager Craig Sankey said: "Epilepsy is the most common chronic canine neurological disorder, affecting around 0.62 per cent of dogs.
"It can be a distressing condition for both the animal and its owner so we are launching a therapy that can reduce the number of seizures in even the most challenging cases.
"We have also produced new guidelines for prescribing vets, detailing step by step how the treatments can act alone or concurrently. We believe using Soliphen as a sole therapy or in conjunction with Libromide will make a positive contribution to veterinary professionals in their ongoing treatment and management of dogs with epilepsy."
For more information, visit www.dechra.co.uk
The university has 'hired' 'Simba', 'Tia' and 'Fern' to join its interview panel during recruitment sessions at the university’s Sighthill campus.
The dogs are let loose amongst applicants taking part in a group discussion about Labradors, their features and their biological needs, as academic staff assess students vying for a place on the nursing programme.
The university says there is a serious point behind the dogs’ participation, with their presence helping staff assess applicants’ ability to communicate with both animals and humans – a core skill for someone embarking on a career as a veterinary nurse.
The dogs also helped create a tension-free atmosphere in the room, encouraging the candidates to relax and perform to the best of their ability.
Jodie Smith, lecturer and programme recruitment officer, said: "Having dogs present in interviews, in particular good quality Labradors, tests the aptitude of potential students for dealing with animals.
"Their presence also helps the assessors hone in on candidates' intuitive skills for working with dogs, which make up a large proportion of the patients in any veterinary practice.
"Each year we have very tough competition for places on the BSc (Hons) veterinary nursing programme. Incorporating dogs into the selection procedure allows applicants to display their skills in an authentic setting and greatly helps the decision-making process."
Brand Manager Dr Amy Scott said: "Because pain is often very difficult for owners to spot, the website highlights some of the common signs that indicate their cat or dog is suffering.
"We have also included a range of additional measures that owners can take to improve the quality of life and maintain the joint health of their pet once Metacam has been prescribed. These include weight management, regular and gentle exercise and alternative therapies such as hydrotherapy or the use of joint supplements such as Seraquin."
The website highlights common painful conditions such as arthritis, as well as more acute scenarios such as post injury or surgery. It also describes the changes in behaviour owners should be aware of that could indicate their pet is in pain, for example reluctance to exercise, change in appetite, displays of aggression or depression.
Amy added: "The correct use of NSAIDs is also an important consideration for effective pain management. To help with this, the website contains a section on Metacam administration for owners, featuring a short video on accurate dosing and treatment."
Following last year's campaign, Merial commissioned a survey to learn more about how horse owners seek and receive information about the wider aspects of preventative healthcare, and in particular about the relationship with their veterinary practice.
In the survey of 455 horse owners, which was carried out by CMI Research, 78% said their veterinary surgeon was the most important source of information. The next most important influencers were yard managers/grooms at just 22%.
Louise Radford MRCVS from Merial said: "We wanted to learn more about client education and the opportunities for practices to get more from their client relationships, including vaccination and booster uptake. However we hadn’t estimated just how much horse owners rely on their vet for information!"
"However there appears to be a significant gap between vets as a source of information, and their client’s purchasing habits. Health plans are a great example of the potential for improved compliance, with benefits to the horse, client and practice. Yard health plans present an opportunity to increase booster uptake and also to include animals that might not otherwise be vaccinated.
"Of those horse owners and grooms surveyed who did not vaccinate some or all of their horses, their reasons included horses that never leave the yard, or are old, young, or do not interact with other horses. Yet we know that horses that don’t travel are still at risk of equine flu, as virus can travel up to a mile as an aerosol on the wind, in addition to being carried on objects such as buckets and tack.
"So as the key influencers on preventative healthcare, there is much that practices can do to further engage with clients to increase uptake of products and services, improve client loyalty, and ultimately boost the practice business."
For more information on Equine Flu Awareness Month- 2017, including client materials and video content, visit www.equinefluawareness.com