Led by the RVC’s VetCompass Programme, researchers say the study1 was the largest exploration of cherry eye in dogs in the world.
The research team followed the anonymised veterinary health records of 905,553 dogs for a year and identified that 0.20% (1,802 dogs) were affected by this condition.
Certain breeds showed showed significantly high proportions of dogs with cherry eye, including: Neapolitan Mastiffs (4.9%), English Bulldogs (4.8%), Lhasa Apsos (1.6%) and American Cocker Spaniels (1.5%).
Importantly, say the researchers, some popular designer breeds of flat-faced dogs were also hugely affected, such as the Puggle (Pug x Beagle) (2.1%) and Jug (Jack Russell Terrier x Pug) (1.2%), suggesting the recent craze for designer crossbreeds does not eliminate health issues associated with the parental pure breeds.
Overall, brachycephalic breeds had 6.9 times the risk of cherry eye compared with dogs with medium skull length, with the Neapolitan Mastiff at the top of the league table with a risk factor of x34.
Other findings from the study included:
Dr Dan O’Neill, Associate Professor in Companion Animal Epidemiology at the RVC and lead author of the paper, said: “Given that humans designed dog breeds in the first place, we all carry a heavy responsibility to constantly improve our designs to breed away from poor health for these dogs.
"The hugely increased risks of cherry eye in popular flat-faced breeds such as English Bulldogs suggests that we have some way to go before we can consider many flat-faced breeds as designed for optimal health.
"The findings from this study will hopefully help prospective owners make better informed choices when purchasing a dog. We urge all would-be dog owners to follow advice from the UK Brachycephalic Working Group to ‘stop and think before buying a flat-faced dog’.”
Reference
The following batches are affected:
Dechra is contacting wholesale dealers and asking practices to examine inventory immediately and quarantine products subject to this recall.
For further information contact Ms Carol Morgan: carol.morgan@dechra.com.
RSPCA Chief Veterinary Officer, Caroline Allen, today praised the vets and nurses who are providing essential care to animals through the crisis.
She said: “This is an incredibly challenging time for the RSPCA, trying to advise the public and keeping emergency services going with fewer staff, strained resources and in line with Government advice.
"I know this is equally stressful and challenging for vet staff too and I wanted to say a huge thank you from everyone at the RSPCA for your hard work, dedication and support you are giving the RSPCA.
"Our call centre team and officer are working hard to maintain a frontline animal welfare service, but we know there may be occasions where we are unable to attend and this may impact demand on the local vet practice."
Current guidance from the BVA defines emergency and urgent treatment as:
Caroline continued: "There are some circumstances particular to the RSPCA, such as animals that have been subject to abuse or severe neglect, or injured/unwell unowned animals, that may not initially appear to be such an “emergency” in the traditional sense, but our officers will only be collecting them if there is considered to be ‘significant impact on health/welfare and likely to deteriorate if left unmanaged’ as covered by the BVA emergency criteria. We would greatly appreciate your support in ensuring we can protect the welfare of these animals.
"Our National Control Centre will also be following the guidance from the BVA and will be limiting, wherever possible, sending members of the public to vets. However, on occasions where there is a welfare need that would justify an essential journey, we will always ask members of the public to call practices first and follow their social distancing protocols.
"For vets who provide care for our shelters and private boarders we understand the support available will be limited, we will be producing further advice for our teams around options, including remote support.
"We do understand and appreciate the current restrictions being put in place by the BVA and we do understand the very serious strain on practices and teams at this time and we hope that we can continue to work together during this unprecedented time."
Dr Botes faced a total of nine charges against him, relating to performing (or recommending) inappropriate total hip replacements on five dogs without adequate investigation and without getting informed consent from the owners.
One of the charges also related to a failure to keep adequate, clear and detailed clinical records in relation to the five dogs.
Dr Botes denied the first two charges which were later dismissed because the owner did not attend the hearing and counsels agreed that it would not be in the public interest to pursue them.
Dr Botes admitted the other seven charges and that they amounted to serious professional misconduct, and they were therefore found proven by the Committee.
In considering whether the charges amounted to serious professional misconduct, the Committee considered an expert report from Professor John Innes, RCVS Specialist in Small Animal Surgery (Orthopaedics) and Mr Midgley, RCVS Advanced Practitioner (Small Animal Orthopaedics).
Ian Arundale, Chair of the Committee, said: “In coming to its decisions, the Committee took into account Professor Innes’ opinions that it was not reasonable for Dr Botes to have carried out the THR without sufficient investigation into Kilo’s pain; that the THR undertaken in respect of Sora was not in the animal’s best interests; and that it was ‘entirely unnecessary’ to recommend the THR in respect of Penny.
"In addition, the Committee has found that both THRs performed in respect of Daisy were not in her best interests.
"Thus, in the Committee’s view, Dr Botes’ actions and omissions did not ensure the animals’ health and welfare.”
The Committee took into account that the THRs in question were a source of financial gain, that Dr Botes’ conduct was repeated over a considerable period of time and that he was in an increased position of trust and responsibility because of perceived expertise in small animal orthopaedics and its education.
However, the Committee took into account, as a mitigating factor, that Dr Botes has indicated some insight into some aspects of the charges in his written communications to the College, in his witness statement dated 29 December 2021, and in his admissions at the start of this inquiry.
The Committee then considered what would be an appropriate and proportionate sanction, hearing from several character witnesses including Dr Midgely, who was put forward as Dr Botes’ proposed supervisor if the committee agreed to a postponement with undertakings.
When making their decision, the Committee took into account the fact that Dr Botes had been suspended from the Register in 2008 for six months for serious professional misconduct over the care of a dog that had been involved in a road traffic accident.
The Committee considered a postponement of judgment with undertakings, which was submitted by Dr Botes’ counsel.
However, the Committee took the view that a postponement would not be appropriate because the failings were not in limited aspects of practice but were wide-ranging, covering the fundamental requirements of any veterinary surgeon.
In the Committee’s view, this would mean nothing less than direct supervision, where Dr Botes’ practice was directly monitored on a day-to-day basis would be sufficient to protect animals, clients, and to uphold the wider public interest.
It would be impracticable to formulate undertakings capable of effectively addressing these issues.
The Committee also noted that the disgraceful conduct was serious and there was a pattern of sustained and persistent misconduct.
The Committee therefore did not believe that no further action, a reprimand or a warning were appropriate or proportionate outcomes.
The Committee also considered whether suspension was appropriate but concluded that there was a real risk of repetition of the behaviours outlined in the charges, and so the Committee was unable to conclude that Dr Botes would be fit to return to practice after a period of suspension.
The Committee therefore decided to direct that Dr Botes should be removed from the Register indefinitely.
In coming to this decision, the Committee carefully applied the principle of proportionality and took into account the impact of such a sanction on Dr Botes both professionally and financially, and took into account his witness statement in this regard.
Ian Arundale added: “In light of the gravity of the conduct, and all of the factors taken into account, any lesser sanction would lack a deterrent effect and would undermine public confidence in the profession and the regulatory process.
"Removal was the only appropriate and proportionate sanction.”
Dr Botes has 28 days from being notified of his removal from the Register to lodge an appeal with the Privy Council.
The Committee’s full findings can be viewed at www.rcvs.org.uk/disciplinary
The Group says the new checklist has been developed to help potential new owners find a happy, healthy kitten, and to avoid the heartache and potential costs involved with taking on a sick kitten or one which is frightened of people.
The Kitten Checklist includes suggestions to view the kitten with its mother, tips on spotting signs of ill health or asking about inherited conditions, what to ask about the kitten’s breeding and history, how to assess its behaviour and judge how comfortable the kitten is likely to be around people.
BVA President Daniella Dos Santos said: "Buying or homing a new kitten is a huge decision but as vets we’re aware that many people may make it quite rashly, basing their choice on looks or emotion and not asking the right questions.
"Sometimes it will work out okay but the aftermath of poor decisions can range from frustrating and costly to completely devastating. No one wants to unknowingly take home a kitten that is suffering from a hidden health condition or that will be distressed or anxious in its new surroundings, and no vet enjoys breaking the news that a young animal may need extensive and costly treatment before it has even settled into its new home."
The Kitten Checklist can be downloaded from: http://www.thecatgroup.org.uk/pdfs/The-Kitten-Checklist.pdf.
If you'd like to share the Kitten Checklist on your practice social media page, right click on the image above, save to your computer, upload to Facebook with a comment about the new Checklist, adding the url it can be downloaded from to your post.
In what researchers say was the largest study of its type to date, dogs with Cushing’s syndrome were identified from the electronic patient records of practices participating in the UK VetCompass programme during 2016.
Both pre-existing and incident cases of Cushing’s syndrome during 2016 were included to estimate the one-year period prevalence.
Available demographic data for study dogs included date of birth, sex, neuter status, breed and mean lifetime bodyweight above 18 months.
Multivariable binary logistic regression modelling was used to assess the associations between risk factors and Cushing’s syndrome.
Dr Imogen Schofield, corresponding author for the paper, said: “A total of 1527 Cushing’s syndrome cases were identified in this study, from a population of 905,544 dogs in 2016.
"The estimated one-year period prevalence for Cushing’s syndrome in dogs was 0.17% (95% confidence interval 0.05 to 0.07).
“The findings of this study provide evidence from primary-care clinical records on the epidemiology of Cushing’s syndrome which can help primary-care veterinarians during diagnosis.
"Seven breeds were associated with increased odds of Cushing’s syndrome; the Bichon frise (OR=6.17, 95% CI 4.22 to 9.00), Border terrier (5.40, 95% CI 3.66 to 7.97), miniature schnauzer (3.05, 95% CI 1.67 to 5.57), Lhasa apso (2.52, 95% CI 1.49 to 4.28), Yorkshire terrier (1.82, 95% CI 1.23 to 2.70), Staffordshire bull terrier (1.52, 95% CI 1.08 to 2.13) and Jack Russell terrier (1.50, 95% CI 1.07 to 2.08).
"Four breeds were at decreased odds of Cushing’s syndrome: the Golden retriever (0.24, 95% CI 0.06 to 0.98), Labrador retriever (0.3, 95% CI 0.17 to 0.54), Border collie (0.32, 95% CI 0.13 to 0.78) and cocker spaniel (0.44, 95% CI 0.21 to 0.90), which could help vets in practice lower their index of suspicion for Cushing’s syndrome for these breeds.
"Dogs with a bodyweight higher than their breed-sex mean had 1.44 times the odds of Cushing’s syndrome than those within their breed mean (95% CI 1.17 to 1.78), suggesting either overweight dogs or larger examples of the breed are at increased risk of this condition, or that dogs with Cushing’s syndrome gain weight.”
Nicola Di Girolamo, Editor of JSAP, said: “When we look at risk factor analysis in previous studies, the generalisability of their findings to the general population of dogs in the UK have typically been limited due to studying dogs from referral populations or due to a lack of multivariable analysis.
"The findings of this study help to address that knowledge gap, supporting some of the risk factors previously reported, and by identifying novel associations, such as that in the Border terrier.
"Awareness of breeds with high or low risk could help to enhance the index of suspicion for veterinary surgeons working in primary-care practice where Cushing’s syndrome is predominantly diagnosed and managed.”
Photo: BSAVA
The recognised qualifications are expected to take 12 months to complete and are assessed via a combination of online written exams, a skills portfolio, case scenarios, assignments and practical exams.
VetSkill's Qualifications Manager, Sam McMillan, said: "It’s an exciting time within the veterinary nursing industry and to be involved in the creation of such iconic qualifications.
"We’re thrilled with the positive reaction gained by the industry and are confident that developing these skills based qualifications will give veterinary nurses the opportunity for further career growth and improve nurse retention in the industry."
The winners and runners up will be honoured at a ceremony taking place on the eve of BSAVA Congress on 1st April 2020.
The television presenter Matt Baker will be hosting the Ceva Animal Welfare Awards for the third consecutive year, alongside head judge Chris Laurence MBE FRCVS, who puts his name to the Vet of the Year Award.
The award categories include:
Chris Laurence Vet of the Year – sponsored by Vet Record
Vet Nurse of the Year – sponsored by Agria Pet Insurance
Charity Team of the Year – sponsored by PDSA
Charitable Contribution of the Year – sponsored by Blue Cross
International Cat Care Welfare of the Year – sponsored by International Cat Care
Farmer of the Year – sponsored by R.A.B.I. and Farmers Guardian
Farm Educator of the Year – sponsored by NADIS and Farmers Guardian
Outstanding Contribution to Animal Welfare – sponsored by Your Dog and Your Cat magazines
To nominate someone, visit wwww.cevawelfare.com. They can come from all walks of life and will be assessed on the evidence provided in the original nomination.
Entries must be in by Tuesday 31 December 2019.
Ms Benson faced six charges.
The first was that between January 2018 and November 2019 she took a number of bags of dog food and two horse wormer syringes from the practice without paying for them.
Charge 2 alleged that between November 2018 and November 2019 she took a number of items of animal food and one or more boxes of horse wormer and paid less than the correct amount for them.
Charge 3 was that between October 2018 and November 2019 she arranged for or allowed a friend to receive a discount on items from the practice, without consent from the practice.
Charge 4 alleged that in December 2019 she asked a veterinary surgeon colleague to input details of treatment and/or medicine for her cat into the clinical records of another of her animals that was also registered to the practice.
Charge 5 was that in relation to charges 1, 2 and 3, her conduct was dishonest.
Charge 6 alleged that in relation to charge 4, her conduct was dishonest, potentially compromised the integrity of a professional colleague and was potentially detrimental to animal welfare.
At the outset of the hearing, Ms Benson admitted to charges 1,2,3,4 and 6 of the allegations and the Committee accepted these admissions. The Committee considered evidence from Ms Benson’s colleagues including witness statements, written testimonial and clinical records for her animals.
When asked about taking items from the practice, Ms Benson explained that she did not intend to take items without paying for them and that she had not realised how much she had taken. She also explained that she had paid back in full what she owed to the practice. The Committee considered that Ms Benson’s conduct had involved a degree of premeditation as she had repeatedly taken items over an extended period. They also considered that there had been a potential risk of injury to animals resulting from Ms Benson’s request to incorrectly write up her animal’s veterinary records.
The defence attested that no actual harm had come to any animal because of Ms Benson’s actions and that she previously had an unblemished career in veterinary nursing. She had also admitted most of the charges against her and paid for the items she had taken in full.
Cerys Jones, chairing the Committee and speaking on its behalf, said: “The Committee considered that in the case of Ms Benson, there had been a potential risk to animals had her pet’s records been incorrectly completed, although no harm resulted. The request to alter the records had been a short, single event, but the taking of items had been repeated over a period.
"The Committee also considered that Ms Benson had abused the trust placed in her as a senior nurse with managerial responsibility. We took into account that there was some evidence of Ms Benson being overloaded by work, but there was no evidence of any health condition during the time of the misconduct which might explain her actions.”
The Committee therefore found Ms Benson guilty of serious professional misconduct and decided that a nine-month suspension from the Register was the most appropriate sanction.
Cerys Jones said: “The Committee accepted that Ms Benson had developing insight in making her admissions and we give her credit for her long unblemished career. She admitted to a large part of the allegation, expressed remorse for her actions and has repaid the practice. We have also heard a number of positive testimonials which spoke positively of Ms Benson’s recent conduct.
“However, dishonesty is a serious matter in relation to professional practice and taking no action in response to the serious nature of Ms Benson’s disgraceful conduct would not be proportionate or serve to protect animals and maintain public confidence in the profession.
“Having carefully considered matters, the Committee decided that the appropriate and proportionate sanction, was to suspend Ms Benson’s registration for nine months.”
Ms Benson has 28 days from being informed of the outcome of the hearing to appeal the Committee’s decision.
The study1 took the form of an online survey of over 5,500 owners, which exploring the the early socialisation, health and behaviour of ‘pandemic puppies’ purchased in 2020 compared to 2019 puppies.
The study found that puppies bought during the pandemic in 2020, in comparison to pre-pandemic in 2019, were more likely to have been ‘designer crossbreeds’, for example a Cockapoo or Cavapoo, instead of Kennel Club registered purebred dogs.
The 2020 cohort of pandemic puppies were also more likely to already hold a pet passport at purchase, indicating they may have been imported from Europe – perhaps illegally – to meet the greatly increased demand and prices for puppies.
Amongst the positive findings was the fact that many of the health and socialisation experiences examined didn’t vary significantly between puppies purchased in 2019 and 2020.
However, researchers say there was still a concern that 2020 ‘pandemic puppies’ were less likely than 2019 puppies to attend puppy training classes or to have experienced visitors to their homes (under the age of 16 weeks in both circumstances).
This, they say, means pandemic puppies may be more likely to experience stranger-related fear and anxiety and other behavioural problems related to insufficient socialisation, from being unable to attend puppy classes under 16 weeks of age; a critical period for the development of puppies.
In addition, those puppies sourced from Europe may have been transported over long distances without their mother, a stressful experience which the researchers say could cause problem behaviours in the future.
Pandemic puppies may therefore need extra support from the veterinary profession, particularly those specialising in animal behaviour.
Dr Claire Brand, Researcher in Canine Welfare at the RVC said: “Despite many owners’ concerted efforts to raise their puppies as well as possible, some puppies missed out on key experiences of puppyhood, such as going to puppy classes, or experiencing visitors in their homes.
"This has potential consequences for the future behaviour of ‘pandemic puppies’ and so we are encouraging owners to seek out training and behaviour advice from accredited professionals so that these now adult dogs can learn to live happily in our post-lockdown world.”
The company has completed a health hazard assessment which concluded that any risk to animal and human health is likely to be low and no greater than expected for this product under normal conditions, as described on the product labelling.
The recall is for the following batches only:
Batch Numbers:
0265-900302-900246-900112-900295-909053-919103-91
Norbrook Laboratories Ltd is contacting veterinary surgeons to examine inventory immediately and quarantine products subject to this recall.
For further information, contact Gary Mckee on +44 2830 264435 or email gary.mckee@norbrook.co.uk
The Burgess Excel Vet Awards have three categories: UK Rabbit Vet of the Year; Rabbit Nurse of the Year and Rabbit Veterinary Practice of the Year.
The newly-announced judging panel is made up of:
The judges will be looking for exceptional knowledge of rabbit care and husbandry and evidence of continued commitment to educating the public on how to care for rabbits correctly. Practices will be assessed on their provision of rabbit-specific materials and their efforts throughout the year to engage with rabbit owners.
Suzanne Moyes, said: "Our work with Rabbit Awareness Week has provided a unique opportunity to gain an insight into the positive impact veterinary practices can have on rabbit welfare. Research consistently demonstrates that there are too many rabbit owners out there who are neglecting the welfare needs of their pets and education is key to addressing this.
"Many vets and vet nurses will have first-hand experience encountering rabbits in practice that have been admitted with entirely preventable illnesses or diseases. As a profession, if we can spend more time engaging with and informing pet owners on how to correctly care for their rabbits, we can drive significant change that positively benefits their lives. That’s a unique position for vets and vet nurses to be in."
John Chitty (pictured right), co-director of Anton Vets in Andover said: "Rabbits are one of the UK’s most popular pets but unfortunately they’re also one of the most neglected. Despite the growing threat of fatal diseases such as RVHD2, vaccine numbers are dangerously low and far too many rabbits are being seen with nutritional and husbandry related issues.
"These awards will highlight the importance of providing the right levels of care and attention to learning the particular needs of rabbits. Doing so has numerous benefits, not just for the UK’s pet rabbits, but for the veterinary practices that are taking care of them too, as research shows rabbit owners will seek out practices that specialise in rabbit care as a preference."
Nominations for the Burgess Excel Vet Awards will open in March 2020 and winners will be announced at the London Vet Show 2020.
One winner from each of the three categories will receive a cash prize of £500.
Veterinary surgeons, nurses and other interested parties can register their interest in the Burgess Excel Vet Awards now by visiting www.burgesspetcare.com/excel-vet-awards.
Miss Miles and her co-defendants mistakenly believed that the animals, which included a lamb, hens, piglets, goats, a calf, dogs and a pig, were in poor condition.
They went to steal the animals from their owners' properties after dark, dressed in dark clothing; some in balaclavas.
Miss Miles was sentenced to a community order for a period of 18 months rehabilitation activity requirement and 100 hours unpaid work rehabilitation, to pay £250 compensation, an £85 victim surcharge, and £400 in costs.
The Committee found that the facts of the case were proved on admission by Miss Miles and on the basis that they accepted the copy of the Certificate of Conviction.
Deciding on Miss Miles’ fitness to practise, the Committee considered the evidence before it and the advice of the Legal Assessor.
It also considered the transcript of remarks of the sentencing judge, as well as the fact that the events which led to the convictions occurred while Miss Miles was a registered veterinary nurse with the RCVS.
In terms of mitigating factors, the Committee considered that there was no financial gain associated with Miss Miles’ actions.
In terms of aggravating factors, it noted the risk of injury to animals, that Miss Miles’ behaviour was pre-meditated, that individuals had been targeted in their own homes after dark, the stress and emotional harm to the owners, and that there had been repeated criminal offending.
The Committee also considered Miss Miles’ motivations in respect of animal welfare in coming to its decision.
However, it assessed the offences to be serious, taking into account their nature and circumstances.
Paul Morris, chairing the Committee and speaking on its behalf, said: “The Committee was aware that breaches of the Code do not in themselves mean that the respondent is unfit to practise by reason of the conviction.
"However, the Committee took into account the nature and circumstances of the conviction and also considered the wider public interest.
"The Committee was satisfied that the respondent’s behaviour which led to the conviction created a real risk of harm to the animals in question, as was clear from the basis upon which the respondent was sentenced.
“Further, the behaviour which led to the conviction for the repeated offences in the circumstances in question brings the veterinary nursing profession into disrepute.
"To find otherwise would undermine public confidence in the profession and fail to uphold proper standards of conduct and behaviour.
“Accordingly, the Committee found that the conviction, set out in the charge, renders the respondent unfit to practise.”
When determining an appropriate sanction, the Committee considered the same aggravating factors it had evaluated when assessing fitness to practice. However, further mitigating factors, in addition to the fact that Miss Miles had no financial gain, included:
The Committee considered the testimonials and character references which attested to Miss Miles’ exemplary practice, integrity, professionalism, compassionate approach to animals, commitment to animal welfare, work in educating others in animal welfare, and commitment to campaigning for animal welfare.
However, it was noted that Miss Miles gave the impression to the Committee that while she accepted that it was wrong to commit the criminal offences, she also believed that her intention to protect the animals’ welfare was a justification.
Speaking on the sanction, Paul Morris said: “The Committee was of the view that the conviction was particularly serious, in that it involved offences of dishonesty on a repeated basis.
"The Committee also took into account that the respondent has invoked her beliefs to undermine an aspect of the sentencing judge’s remarks and has used those beliefs to justify her actions at the time before this Committee.
“However, the risk of re-offending is low and, as already stated, the Committee accepts the respondent’s assertion that she does not intend to break the law again, and the Committee is assured in this regard by the lack of repetition in the last six years.
"There was insight shown by the respondent into the effect of her conviction on public trust and confidence in the profession.
"The Committee weighed the demands of the public interest, as well as the previously stated mitigating and aggravating factors.
"In all the circumstances of this particular case, the Committee concluded that both a reprimand and a warning as to future conduct is sufficient and proportionate to meet the need to maintain public confidence in the profession and uphold proper standards.”
The Committee went on to consider an order of suspension but decided that this would serve no useful purpose in light of the low risk of repetition of criminal offending, the nature of which was unconnected to her daily role as an RVN.
It could see no identifiable risk to animals now and in the future.
The Committee decided that to impose a suspension would be punitive and disproportionate.
The reprimand and warning sanction imposed on the respondent will remain on her RCVS record indefinitely and will be taken into consideration should there be any future misconduct.
https://www.rcvs.org.uk/concerns/disciplinary-hearings/
The Association says following the launch two years ago BEVApod has become such a popular information and learning resource that members have been asking for more content.
The new BEVApod will include regular features from equine vet Brad Hill, clinical Assistant Professor in Equine Practice at the University of Nottingham (pictured right), who will be exploring the many aspects of life in equine practice. He will be sharing real life stories to help promote a sense of togetherness and support mental health and wellbeing.
Brad said: “Although based at Nottingham, I am passionate about maintaining links to all areas of the equine profession. This podcast will provide a platform to bring the experiences of others directly to the listener wherever they are.”
Brad will be releasing a new episode every other week and has already lined up some participants, including Maddy Campbell, Ellen Singer, Graham Duncanson, Jack Wallace and Gemma Kirk.
BEVApod will also host clinical episodes on a monthly basis, taken from the BEVA Clinical Catch-Up recordings.
BEVA President Lucy Grieve said: “These are live webinars where we invite a practitioner to present on a clinical topic and then open it up for an informal discussion. We have turned the recordings of these into podcasts so that our members can listen to the recordings whilst travelling between clients. It makes great use of travel time and fills the void we all sometimes feel when we are alone with just our thoughts in the car.”
Current clinical catch-ups available on BEVApod include a panel discussion with experts on PPE, a discussion on equine obesity with Lucy Grieve and Cathy McGowan and treating and managing liver disease with Sarah Smith.
You can listen to the BEVApod here https://beva.podbean.com
A research project funded by The Horse Trust has found that various types of ocular tumours can be successfully treated with mitomycin C, a cytotoxic antibiotic isolated from a bacterium.
The research concludes that mitomycin C offers a safe and cost effective alternative to current treatment options such as surgery and radiation.
The research project was led by Fernando Malalana, while working as The Horse Trust's Clinical Scholar in Equine Internal Medicine at University of Liverpool. Fernando is now working as a Clinician Teacher in Equine Internal Medicine at the university.
Ocular tumours are more difficult to treat than tumours in other parts of the horse's body due to the risk of damaging the eye. In the study, Malalana investigated the use of mitomycin C in treating ocular squamous cell carcinoma, the most common ocular tumour in horses, and occular sarcoids, skin tumors that frequently affect the eyelids .
Mitomycin C is an antibiotic isolated from a bacterium, Streptomyces caespitosus. It is known to have cytotoxic effects and has been used to treat tumours in horses before, but only in combination with surgery.
Currently, the main method of treating ocular squamous cell carcinoma is by removing the tumour surgically or with radiation. Both treatments are costly and have a number of associated risks. There is also the risk of damage or scarring to the eye.
Fourteen horses with ocular squamous cell carcinoma, three of which were affected bilaterally, were included in the study. Mitomycin C was applied to the conjunctival sac of the affected eye; in some of the cases the treatment was combined with surgery. Malalana found that of the 8 eyes treated with mitomycin C alone, clinical resolution occurred in 6 cases. Of the 9 eyes treated with both surgery and mitomycin C, clinical resolution occurred in 7 cases.
Mitomycin C was also used to treat various types of sarcoids found in the eye. Currently, the most effective treatment for occular sarcoids is radioactive wire. However, radioactive wire treatment is not ideal as it is expensive, only offered in two locations in the UK, and has potential health risks to the vet applying the wire due to exposure to radioactivity.
Six horses and two donkeys with occular sarcoids, including one horse that was affected bilaterally, were treated with mitomycin C, which was injected directly into the tumour. Malalana found that of the nine nodular and fibroplastic occular sarcoids treated with the antibiotic, all were completely cleared. However, the vets did not have good results with verrucous sarcoids.
Malalana said: "The results of this research should offer hope to the owners of horses that have eye tumours. We have already been contacted by vets from across Europe to find out more information about this treatment and hope that it will be offered to more horses with occular tumours in the future".
Vets at the University of Liverpool are now testing the use of mitomycin C on other tumours that are difficult to treat surgically, including melanomas near the horse's anus. So far, two cases have been treated, but it is too early to tell whether treatment has been successful.
Malalana's research has been submitted to Veterinary Ophthalmology journal.
At the meeting, which took place last Thursday, Council members were asked to decide how to proceed with three specific proposals on reforming the disciplinary system:
Acknowledging some of the concerns that have been raised about changing the standard of proof, RCVS Registrar Eleanor Ferguson said: “The RCVS is now one of just a few regulators that still uses the criminal standard of proof in determining the facts of a case. We have sought these changes as part of our ongoing aim to develop a compassionate and forward-looking disciplinary system with the protection of the public absolutely at its heart, whilst also acknowledging the huge toll the process takes on the mental health of veterinary professionals.
"Research that we carried out into the impact of changing the standard of proof indicated that it would not lead to a major increase in cases being referred from the Preliminary Investigation Committee to the Disciplinary Committee. Importantly the number is likely to be very low because the standard of proof only applies to proving the facts of a case; the judgement as to whether proven facts amount to serious professional misconduct will follow the same process as at present.
"We estimated that during 2019, there could have been just two more cases brought to DC under a altered standard of proof, with an additional three cases that were borderline but probably wouldn’t have proceeded any further. Conversely, we also estimated that three cases that did go to DC during 2019 would probably not have done, had the ‘Charter Case Committee’ option been available.
"Ultimately, the aim of the RCVS in regulating the veterinary professions is to protect the public and animal welfare as well as upholding the reputation of the professions. We believe these changes will better achieve that aim."
The consultation on whether to change the standard of proof as well as to introduce the Charter Case Protocol and ‘mini-PICs’ is now planned for later this year.
Further information about the proposals, including some of the arguments for and against changing the standard of proof, can be found in the papers for RCVS Council at: www.rcvs.org.uk/who-we-are/rcvs-council/council-meetings/4-june-2020/ (pages 70-97).
This year, eight veterinary nurses stood for two available places on VN Council.
1,740 veterinary nurses voted, a turnout of 8.4% which was significantly down on previous years (12.4% in 2021, 17.1% in 2020 and 14.5% in 2017).
Holly Witchell led the field with 533 votes and Jessica Beckett came a close second with 451 votes.
Eleanor Ferguson, RCVS Registrar and Returning Officer for both elections, said: “Many congratulations to all successful candidates, who we look forward to welcoming on to RCVS and VN Councils in July.
"Thank you once again this year to everyone who made the decision to stand in this year’s elections and to those who took the time to vote for their preferred candidates.
"We’re not exactly sure why both elections saw falling turnouts this year, but we do appreciate how extremely busy the professions are at the moment, and that everyone’s time is at a premium.
"As part of our ‘Council culture’ project we are looking at ways of improving all aspects of communicating the work around RCVS Council, VN Council and their committees, including around standing for and voting in elections.”
The full results for the RCVS Council election can be found on the 2022 election page.
Cladaxxa is a combined amoxicillin/clavulanic antibiotic, which Krka says is bioequivalent to the market reference product1,2,3,4.
The new product is available in three strengths of flavoured tablet, with the 200/50 mg formulation also licensed for cats.
Cladaxxa is presented in blister packaging to protect the clavulanic acid, which is highly sensitive to moisture.
The tablets are ready-scored to help with accurate dosing and halved tablets can be returned to the protective blister packaging to be used within the following 24 hours.
Cladaxxa comes in packs of 60 or 100 tablets.
Krka’s National Sales Manager Will Ridgway, said: "Treating bacterial infections is an important everyday task for vets in practice.
"Cladaxxa is a great example of Krka using its expertise in end to end product design to deliver efficacy and value to our customers.”
References
The article points towards the corporatisation of the profession, with 51% of practices now owned by private equity groups and 67% belonging to a group of three practices or more, as the main driver for an increase in vets' fees of over twice the rate of inflation between 2015 and 2020.
However, what the article focuses on, which is the issue of complex and very expensive treatments for pets, is a multifactorial problem which cannot be entirely blamed on corporatisation.
At its heart lie advances in science which now allow vets to offer ever more complex treatments and diagnostics which, when used in human medicine to prolong a human life might sometimes seem expensive, but when used to prolong the life of a dog, can seem frankly a bit bonkers.
Indeed the article does point towards over-treatment being partly driven by 'celebrity vets advocating increasingly complex surgeries'.
Then there's the fact that both parties to the transaction are often heavily invested in the idea of doing whatever can be done to save the dog: the pet owner, who has anthropomorphised their pet since they first collected it, and the vet, who's entire career has been dedicated to doing their best for the patient in their care.
Then of course there's the inflationary effect of insurance on treatment.
After all, if the animal is insured, why wouldn't you throw the kitchen sink at it?
Things are complicated by the difficulty in estimating the cost of veterinary treatment at the outset, when so much depends on the unknown outcome of diagnostic tests, the progression of disease and the success or failure of treatment. It's not like quoting for a new exhaust system.
There's also the inflationary effect of the increasingly litigious and socially litigious world we live in. It would be no surprise if veterinary surgeons have become more likely to test for everything, when the consequences of missing something is soul-destroying trial by social media.
And finally, there's the subjective value of money.
Nevertheless, the Daily Mail has a point.
Selling any product or service is about meeting clients' and customers' needs.
If you keep increasing the price of your product range until all you can offer is a Rolls Royce, sooner or later you're going to price yourself out of the market.
One other lesson for the profession from that article: 'No comment' is not a good look for a caring profession.
The project, which is funded by the RCVS Mind Matters Initiative, is designed to find out about current attitudes, beliefs, and alcohol use behaviours of those working in clinical settings within the UK veterinary sector.
Researchers Dr Jennifer Seddon, Olivia Cormier MRCVS, and Dr Emma Davies, from Oxford Brookes University are inviting people aged 18 and over who are working in the UK veterinary sector, including vets, veterinary nurses, practice managers, veterinary care assistants, receptionists, and those undertaking other in-practice roles, who currently drink or have drunk alcohol in the past three months to take part in an online survey which takes no more than 15 minutes.
Olivia said: “Evidence from research conducted in 2009 showed that veterinary professionals may be more likely to drink at risky levels compared to people in the general population.
"There is a vital need for new research in this area, not only so we can better understand what the current situation looks like, but so that we can learn how best to provide tailored support to this group.”
The survey is anonymous and confidential, and no personal data will be gathered or shared with MMI or the RCVS.
After completing the survey, participants can choose to enter a prize draw to win one of three £100 Amazon vouchers.
https://brookeshls.co1.qualtrics.com/jfe/form/SV_0pHn8qy4ZIVTTgy
Photo: www.depositphotos.com
The ‘2022 AAFP/ISFM Cat Friendly Veterinary Interaction Guidelines: Approach and Handling Techniques’ and the ‘2022 ISFM/AAFP Cat Friendly Veterinary Environment Guidelines’ cover all aspects of a cat’s veterinary experience, including the journey to the practice and interactions with veterinary team members, as well as the clinical environment.
The new guidelines cover things like:
Dr Nathalie Dowgray, Head of ISFM (pictured right), said: "We are extremely proud of our new guidelines; they have been a lot of hard work with large amounts of literature to review and multiple time zones to work across, but the effort has been worth it.
"We hope all veterinarians working with cats will take the time to read them and apply the concepts and ideas to their clinics and to how they personally interact with their feline patients.’
The guidelines are available at: https://journals.sagepub.com/page/jfm/collection/cat-friendly-special-issue
According to the charity, the fire broke out in an adjacent building in the early hours of the morning and caused considerable damage before it was put out by the fire brigade.
Luckily, the building was unoccupied at the time and nobody was hurt.
Structural damage was caused to the building and the charity reports that much of its office contents were damaged or destroyed by fire, smoke or water, including its servers.
However, because of coronavirus, the charity had already put systems in place to operate remotely, so it expects to continue service more or less as normal.
The company says that despite the development of alternatives to natural bone grafting, such as allografts and synthetic products, autologous bone graft is still considered the standard. However, it has a number of disadvantages, such as donor site morbidities and lameness, limited availability of graft volume (particularly in small size pets) and additional surgical time.
Biocera-Vet is a new bone substitute indicated in surgical procedures where bone grafting is necessary, such as arthrodesis, complex fractures, corrective osteotomy used in correction of limb deformities or as add-on to Tibial Tuberosity Advancement (TTA).
Biocera-Vet is an injectable synthetic self-hardening calcium-phosphate cement combining osteo-inductive, osteo-conductive and osteo-integrative properties designed to support a fast and strong consolidation.
TheraVet says Biocera-Vet also presents an excellent safety profile thanks to its biocompatibility, reduced comorbidities and superior ergonomics which save a significant amount of surgical time.
Dr Olivier Stiévenart, an orthopaedic veterinary surgeon at Surgivet in Belgium said: "Using Biocera-Vet has enabled us to optimise our patient care considerably, by reducing the operating time by at least 30 minutes. The use of an efficient and rapid bone substitute represents a real progress in terms of both operations and the animal’s quality of life".
Julie Schurgers, Chief Commercial Officer of TheraVet, said: "Biocera-Vet is a unique product on the veterinary bone substitute market, combining outstanding bone consolidation properties with an excellent safety profile and superior ergonomics. We are very excited today to announce its commercialisation on the market and are convinced that this innovative product will significantly improve the daily practices of veterinarians, for the well-being of patients and their owners."
The product is now available in Belgium, and will be rolled out in France and the Netherlands shortly, with the rest of Europe following later in 2021 / 2022.
For more information, visit: https://www.thera.vet/en/biocera-vet.
For the study, the researchers analysed rehoming adverts placed on the websites of 16 Dogs Trust and RSPCA centres in 2015 and 2018. Data was collected on 1793 dogs across the 16 centres.
The percentage of dogs classified as 'extreme brachycephalic' using the Kennel Club definition increased from 2.76% (n=24) in 2015 to 5.19% (n=48) in 2018.The researchers speculate that owners may be passing on the financial burden of caring for and treating chronic health issues in brachycephalic dogs to the rehoming charities.
Dr Anne Carter, Senior Lecturer in Animal Science at Nottingham Trent University said: "The increasing numbers and rising popularity of brachycephalic breeds is already influencing the demographic spread in rescue centres. This pattern that is likely to continue, particularly as these dogs reach 3–4 years old, which we have found is the most common age for dogs being relinquished.
"Differing breeds require highly contrasting intensities of care, housing, and particularly veterinary care. Owners may often choose brachycephalic dogs with limited consideration for their potential health conditions. These dogs then enter rescue centres, placing additional strain on resources due to cost of treatment and additional length of stay for recovery.”
Feeding companion animals with unprocessed products has become increasingly popular, and whilst ready-prepared raw pet foods are produced in highly controlled environments, Horiba says they may still present a bacterial risk.
Conor’s presentation will include discussion about the main pathogens that can cause issues, such as E. coli, Campylobacter and Salmonella.
He will also touch on potential risk to owners, for example raw food associated with zoonotic diseases, including TB; whilst also covering possible benefits too.
Paul Lymer, Veterinary Business Manager at Horiba UK said: “Veterinary teams are in a unique position when it comes to supporting and advising owners on day-to-day care.
“We appreciate though that raw feeding is definitely a topic which prompts discussion amongst both veterinary staff and pet owners.
"So our latest CPD webinar will help to educate and present a balanced view, ensuring that although the choice remains with the owner on what to feed, veterinary staff are armed with the knowledge to help them do so safely.”
To register for the event, visit: https://register.gotowebinar.com/register/6301418110266818573