Belfast-based Des Thompson MRCVS was presented with the first ever RCVS Queen's Medal by Her Majesty at Buckingham Palace this afternoon. 

Des, pictured right showing off the new medal with his wife Rosalie, received two separate nominations for the medal, both citing his decades of active involvement in veterinary politics which includes being president of the RCVS, the British Small Animal Veterinary Association (BSAVA), the Society of Practising Veterinary Surgeons (SPVS) and the Northern Ireland Veterinary Association, among other organisations.

Also cited was his willingness to help other members of the profession, particularly young vets at the beginning of their careers, through his involvement with organisations such as the Young Vet Network in Northern Ireland and the Veterinary Benevolent Fund.

The Queen's Medal was launched in 2013, with the approval of Her Majesty as Patron of the RCVS, and is now the highest award that can be bestowed upon a veterinary surgeon in recognition of a particularly outstanding contribution to the profession. In receiving the medal, Des was joined by Professor Stuart Reid, current RCVS President, Colonel Neil Smith, immediate past President, and Gordon Hockey, RCVS Registrar.

Des said: "It was a complete honour and a wonderful experience to be received by Her Majesty at Buckingham Palace today, and I'm thrilled to have been awarded the RCVS Queen's Medal. Her Majesty was interested to hear about Northern Ireland, and the fact that I've been practising there since I qualified."

The British Safety Council has launched a new qualification to help people who drive as part of their work stay safe on the roads.

According to the organisation, the Level 2 Award in Safe Driving at Work provides work drivers with key knowledge of the hazards and risks associated with driving and equips them with valuable guidance on the measures available for reducing these risks, such as vehicle inspection, behaviour and defensive driving.

According to estimates from the Health and Safety Executive (HSE), up to a third of all road traffic accidents in Britain involve someone involved in work-related activity. In 2013, according to government figures, 1,713 people died on the road, with the total number of casualties standing at 183,670.

The Ofqual-regulated qualification, which is designed to be delivered by employers or training organisations, instructs learners on a range of topics including the particular risks associated with vulnerable road users, such as cyclists and pedestrians, the importance of regular vehicle safety checks and how to adapt driving style in response to changes in driving conditions or the actions of others.

Alex Botha, the British Safety Council's Chief Executive, said: "Driving can be a risky activity, a fact borne out by the high number of injuries and fatalities that occur annually on our roads.

"However, simple steps can be taken by employers and drivers to manage and reduce this risk. Our new Level 2 Award in Safe Driving at Work provides learners with all the essential knowledge to help them stay safe on the roads.

"Learners can expect to leave the qualification with a thorough knowledge of the main risks posed by driving - whether to themselves or other road users - and how to reduce them.

"Once registered with us, employers or training centres deliver the training using the high-quality teaching and student materials provided. Qualifications are assessed through a 45-minute multiple-choice examination that can be either taken online or on paper.

"This is a stand-alone qualification designed for delivery as a short course. It is also well-suited for integration into wider vocational programmes of study or, for example, as part of an induction programme. Students need no former knowledge or experience, so can come from a diverse range of educational and employment backgrounds.

"Safer driving habits should also feed through into workers' personal lives, providing employers with a valuable corporate social responsibility tool to help make our roads safer in and out of work."

Bayer Animal Health has launched Back to Basics, a new guide to antibiotic use which focuses on the concerns raised by vets and vet students about antibiotics in a survey carried out by the company.

465 vets and 40 students took part in the survey in March 2014. Of these:

• 61% of vets said that they prescribe an antibiotic product every day that they have patient contact.
• 52% of vets and 64% of vet students were unable to name, unprompted, even one specific drug licensed for use in cats and dogs from each of the major classes of antibiotics.
• 63% of vets said that they would like to better understand how antibiotics work and when to prescribe them. 
• 50% admitted they would like to feel more confident in using a wider range of antibiotics appropriately in their patients.
• 81% of vets confirmed that the topic of antibiotic resistance is something that concerns them for the future.
• 87% said that they felt a responsibility to do what they can to help reduce it. 
• Only 42% of vets said the topic of antibiotic resistance is something that frequently factors into their clinical decisions.
• Only 14% said they would feel confident discussing with a peer how likely it is that a specific antibiotic will contribute to resistance.

27% of vets admitted that they struggle to know which antibiotic is the most appropriate for a specific condition. This uncertainty was particularly the case if the patient is un-responsive to the vet's first choice antibiotic, or the condition develops to require a new or additional antibiotic choice. Bayer says it is also clear that many vets may not be aware that pradofloxacin is the least likely of the veterinary fluoroquinolones to select for antibiotic resistance,² as 23% of vet students and 9% of vets said they believe that all antibiotics carry the same risk of selecting for resistance.

The company says Back to Basics is designed to fill the gaps in knowledge identified by the survey. It presents each of the major classes of veterinary antibiotic and details how they work. It also includes an antibiotics 'jargon buster' to help vets and vet students better understand the commonly used measures of antibiotic activity and make more informed decisions about the use of antibiotics in practice.

Bayer has also developed an online self-assessment quiz that allows vets and students to check their knowledge. The quiz and the guide are both available at www.veraflox.co.uk

References

• Bayer Animal Health survey of 465 practising UK vets and 40 students in clinical years. March 2014.
• Wetzstein, HG. Comparative mutant prevention concentrations of pradofloxacin and other veterinary fluoroquinolones indicate differing potentials in preventing selection of resistance. Antimicrob Agents Chemother.2005;49(10):4166-4173 .

ECC vet Shailen Jasani has launched a crowdfunding campaign to raise funds for further development of his pet bereavement website, www.theralphsite.com

The Ralph Site is a non-profit pet bereavement support online resource and Facebook community which Shailen set up in 2011 after the loss of his cat Ralph. 

Shailen says that over the past three years, the site has proved to be a much needed resource, with many pet carers benefiting from what it offers and a growing number of practices referring their bereaved clients to the site for information and support, and a sympathetic and empathetic virtual ear. So far, the site has had approximately 60,000 visitors and the Facebook community now stands at an impressive 34,000 Likes.

Shailen manages the site by himself and has has also personally funded all of the expenses to date including design, development, on-going management and promotion costs, to the tune of £30,000.

However, he says he now needs further funds to make the site work properly on smartphones and tablets, improve the memorial section and promote it more widely to pet owners, for which he is turning to crowdfunding and hoping that members of the profession will support what he is doing, both with contributions and by helping spread the word amongst family, colleagues and clients. 

Shailen said: "The issue of pet bereavement and the impact of pet loss on their carers is a serious one which is slowly but surely gaining increasing recognition. A resource such as the Ralph Site is invaluable for practices to be able to link and refer clients to. I very much hope colleagues will get behind my campaign."

To find out more about the campaign, visit: http://igg.me/at/theralphsite/x

A survey conducted earlier this year by Novartis Animal Health¹ has shown that owners of dogs diagnosed with atopic dermatitis want to learn more about the condition after their veterinary consultation.

When asked about what would help them understand and cope with their dog receiving a diagnosis of atopic dermatitis, 42% of dog owners said that they want reliable information about the condition on the Internet that they can read at their own pace. 27% said that hearing or reading about case studies of dogs that were diagnosed with atopic dermatitis would be a source of help and reassurance.

That isn't to take anything away from the importance of the relationship between owner and vet: 49% of respondents said that having enough time to discuss everything with their vet is the most important thing following a diagnosis of atopic dermatitis.

However, the reality of busy small animal practice means that some vets are apparently finding themselves short of time, with 62% saying that they would like to have more time in consultations to explain the diagnosis fully.

To support both vets and owners, Novartis has produced a range of education materials available at www.itchfreepet.co.uk. They include information about a variety of skin conditions in dogs and cats, including causes, clinical signs, diagnostics and treatment options, which can all be used to support recommendations made during consultations.

Novartis says it is also continuing to support vets with the 'Comfort Club' scheme, through which owners get the 2nd, 6th and 12th month of Atopica treatment free of charge. The club also allows clients to try other dermatology products that might help their pet's condition free of charge, including shampoo, EFA's and specialist diets.

Ricardo Garvao, category manager at Novartis said: "By providing reliable information and tools to help re-iterate and expand on the information given to owners by their vets, we hope to help both parties make the most of the face to face time that they have with each other. Ultimately this will strengthen the vet-client relationship, which can only improve long-term clinical outcomes.

"Good client education is vital, demonstrated by the fact that nearly a quarter (23 per cent) of pet owners that admit to giving up on their vet's advice claim that this is because they haven't understood it. A large part of the trust building process is being able to recommend a management strategy with proven efficacy and safety data for long-term use, such as Atopica. Atopica has been keeping dogs with atopic dermatitis comfortable for a decade due to its proven ability to safely provide long-term reduction of pruritus and skin lesions associated with the disease, as demonstrated by the recently published independent paper 'The use of ciclosporin: a decade of experience in veterinary dermatology."

Reference

1. All statistics taken from the Atopica Decade of Comfort surveys, which asked 1000 dog owners and 132 practicing vets across the UK to give their opinions, experience and understanding of canine atopic dermatitis.

Zoetis (maker of Cerenia, the anti-emetic) is using social media for its latest campaign to remind owners that vets have a solution for dogs that suffer from travel sickness.

The company highlights research which shows the problem is more common than one might think, with 62% of dogs experiencing travel sickness for the first time as puppies. What's more, 1/3rd of owners say they would travel with their dogs more often if they didn't get car sick.

Stephanie Smith, Marketing Manager for Cerenia said: "While less than half of vets in the UK report seeing at least one canine motion sickness case each month, we know that over one third (34%) of dogs that travel experience motion sickness. That's a lot of opportunity for vets to provide pets and owners with some relief."

To spread the word, the company has set up an educational microsite: www.nonstoptravelfun.co.uk which it is now promoting with an online social media campaign, including twitter #nonstoptravelfun and targeted bloggers and pet sites. The company has also been advertising the microsite on Facebook and Google, which I'm told has driven thousands of visitors over the past fortnight.

Stephanie added: "Motion sickness can impact the whole family, making travelling an unpleasant experience. Our new campaign aims to raise awareness for the issue and encourage pet owners to seek veterinary help for the problem, so they can enjoy non-stop travel fun, without the sickness."

Researchers from the University of Bristol have published the results of a study which has identified risk factors for syringomyelia (SM) and which could help breeders select away from characteristics which predispose dogs to the disease.

Syringomyelia, which more commonly affects toy breeds such as the Cavalier King Charles Spaniel and the Chihuahua, causes fluid-filled cavities in the spinal cord. In these toy breeds, SM is usually secondary to a specific malformation of the skull called Chiari-like Malformation (CM).

The research looked at the relationship between head shape and the incidence of  CM/SM. Dogs were measured in several countries using a standardised "bony landmark" measuring system and photos analysed by researchers.

The researchers found two significant risk factors associated with CM/SM in the skull shape of the CKCS: brachycephaly (the broadness of the top of skull relative to its length) and the distribution of doming of the skull. The study suggests that brachycephaly, with resulting doming towards the front of the head, is associated with CM/SM.

Thomas Mitchell, the undergraduate student who conducted the study under the supervision of Dr Clare Rusbridge, said: "Dog breeders are very experienced at selecting for a certain conformation or appearance in dogs. Our findings may allow breeders to select away from the condition over fewer generations by choosing appropriate matings and offspring to continue breeding programmes. The identification of an appearance that might protect against developing the disease is a significant step forward in tackling this painful condition.

"The study also provides guidance to breed clubs, breeders and judges that have a responsibility to avoid obvious conditions or exaggerations which would be harmful in any way to the health, welfare or soundness of the breed.  It will also provide vets with verified advice to provide to breeders outside the show ring and to occasional hobbyists."

The study has been published online in the journal Canine Genetics and Epidemiology, and a video animation which shows the differences in head shape is available on YouTube.

The work was funded by a grant from the Kennel Club Charitable Trust and the Companion Cavalier Club provided a grant for the publication of the research.

Reference

• Syringomyelia: determining risk and protective factors in the conformation of the Cavalier King Charles Spaniel dog, Thomas J Mitchell, Susan P Knowler, Henny van den Berg, Jane Sykes and Clare Rusbridge, Canine Genetics and Epidemiology 2014, 29 July 2014.

Fitzpatrick Referrals has announced the launch of a new cancer and soft tissue surgery referral service headed by Professor Nick Bacon (pictured right) and Dr Laurent Findji. 

Professor Bacon and Dr Findji are American and European Board-Certified Surgeons respectively, with extensive experience in cancer care and soft tissue surgery innovation.

Professor Bacon joins the service directly from his post as Head of Oncology at the University of Florida, College of Veterinary Medicine. He will also take up the position of part-time Chair of Oncology at the new University of Surrey School of Veterinary Medicine.

Dr Findji joins the team from his prior role as director of the VRCC in Essex, bringing his expertise in cancer and soft tissue surgery advancements. 

Professor Noel Fitzpatrick, founder of Fitzpatrick Referrals, said: "With these two eminent and globally recognised Specialists leading the new service, the UK will now be able to provide an innovative approach and comprehensive diagnosis, treatment, management and prognosis for all cancer and soft-tissue patients. The service will also be able to use the additional expertise available through the University of Surrey and both Specialists will be available for referring vets to discuss cases and to offer advice on the innovative treatment options available."

Professor Stuart Carmichael, the new service's director, said: "We would only introduce a service like this when we know it can provide the best options, the most comprehensive care and the highest level of expertise available. This is a referral service which will change the way that cancer patients are dealt with in the UK."

Noel added: "It's a testament to the reputation of Fitzpatrick Referrals and the University of Surrey, our partner in education, that we have been able to attract talents as great as Nick and Laurent. This is an exciting time not only for the hospital, but also for first-opinion practices throughout the UK who can avail of this world-class opportunity to offer a potentially life-saving service to their clients for their patients."

The service will operate initially from a self-contained clinic at the existing Fitzpatrick Referrals Orthopaedic + Neurology Hospital in Surrey and will be accepting patients from 1^st October. 

The BSAVA is reminding everyone that the closing date for the BSAVA PetSavers' 40th Anniversary Awards is Friday 1^st August .

To celebrate 40 years of funding veterinary projects, the charity has up to £5000 for each vet school to fund veterinary undergrad student projects, and also a £5000 award going to veterinary nursing projects, both RVNs and undergrad students.

Derek Attride, chairman of the grants awarding committee, said: "The PetSavers 40th anniversary grants reflects the charity's commitment to ensuring that first-class research into small companion diseases continue in the future. This grant is the first of its kind for PetSavers and is a great opportunity for veterinary students and veterinary nurses to work on a companion animal clinical research project."

The closing date for applications will be the 1st August 2014. Veterinary students should apply through their university and veterinary nurses can apply directly to the BSAVA.  Each university will be able to submit five applications.

The awards will be announced in December 2014 and the projects will have to be completed and written up by December 2015.

Further information about the anniversary grants can be found at www.petsavers.org.uk 

Vetpartners is offering grants to support those of its RVNs who want to boost their clinical skills by doing veterinary work overseas.

The veterinary group is stumping up more than £100,000 for the initiative, which will enable 20 vets and nurses, and 56 new grads from across the group to work with the Worldwide Veterinary Service (WVS) and other overseas animal charities.

The grants are for £1,500 and those taking part will also get up to one week of paid time off work whilst they volunteer.

VetPartners CEO Jo Malone said: “We wanted to support colleagues to have a fantastic experience while improving their skills in a different environment.

"It will give people a chance to use their clinical skills to give back to charities which are doing great work.

“If you’re working in a veterinary practice in Europe, you have support from team members around you and great facilities and equipment compared to the more challenging conditions working for a charity overseas.

"Working in these more challenging environments while they are volunteering will help build resilience, as our team members are unlikely to have experienced anything like this before.

“Charities like the World Veterinary Service are working ethically to help animals that may or may not have ever had veterinary care, and are doing a great job so we are delighted to support them.”

A study published in the Journal of Small Animal Practice has concluded that the majority of suspected adverse drug reactions (SADR) in veterinary medicine go unreported.

The authors say that whilst it has long been suspected that adverse drug reactions are under-reported, this study is the first to show the scale of the problem, using real data from veterinary clinical records.

For the study, researchers looked for electronic heath records within the Small Animal Veterinary Surveillance Network (SAVSNET) which contained “adverse drug reactions” and “side effects” in the free-text clinical narratives.

The results were then analysed to determine the suspected product, the seriousness and expectedness of the event, and whether the event had been reported to the Veterinary Medicines Directorate or Marketing Authorisation Holders.

Of the 827 cases of suspected adverse drug reactions identified out of a total of 10,565 records reviewed, approximately 90% were not reported.

74% were related to dogs and 70% were listed as “expected” (i.e. already listed in the product information).

The clinical severity of the reaction didn’t appear to impact whether it was reported. 

Dr Heather Davies, lead author of the study, said: “As adverse drug reaction reporting rate is directly linked to the regulators ability to mitigate safety issues, this paper is a call to arms encouraging all veterinary professionals to report suspected adverse drug reactions and regulators to make reporting quicker and easier.

"It also the highlights the promise that big real-world data sets hold in enhancing drug safety monitoring processes.” 

https://onlinelibrary.wiley.com/doi/full/10.1111/jsap.13721

The Royal Veterinary College has carried out the first ever open-heart surgery to treat a stenotic tricuspid valve in a dog.

The three-year-old Labrador, Mabel, suffered from congenital tricuspid dysplasia. She was referred to cardiology specialists at RVC Small Animal Referrals where her tricuspid valve was found to be completely fused in the middle, with just two very small openings for her blood to flow through. 

In a procedure that took a little over an hour, the RVC team examined and worked on the valve. The College reports that Mabel’s surgery was a success and her stenosis was relieved.

Mabel was subsequently found to have a moderate amount of regurgitation into the right atrial chamber, but after a few more days of additional monitoring at the RVC she was able to return home. 

The surgery was carried out by Professor of Small Animal Surgery Dan Brockman at the Queen Mother Hospital for Animals. He was assisted by a team of RVC specialists to provide pre and post-operative care, including a perfusionist, a team of three anaesthetists, two surgery nurses, three surgeons and a cardiology veterinary specialist-in-training. In addition, Professor of Veterinary Cardiology Virginia Luis Fuentes and veterinary specialist-in-training Dr Rosie Payne were members of the Cardiology Service’s investigation into Mabel’s condition.

RVC students were also involved in the Mabel’s initial examinations at the hospital, providing them with an insight into the procedure. The examinations included cardiac ultrasound using the newest generation of cardiac ultrasound equipment, which is able to capture 3D and 4D images. The new ultrasound scanner was funded in part by the RVC’s charity, the Animal Care Trust. 

After the surgery, the emergency and critical care (ECC) team and the Cardiology Service took over Mabel’s care, with Professor Brockman remaining involved. This saw up to four senior ECC clinicians, a number of veterinary specialists-in-training and half a dozen highly trained ECC technicians working in shifts around the clock to care for Mabel and ensure a good recovery.  

According to the RVC, there have been previous attempts by veterinary surgeons to open stenotic valves with balloon valvuloplasty. However, because it is very difficult to tear the stenotic valve, this approach has not proved very successful. There is also a high risk when putting canines onto bypass. Canines have fragile blood vessels, and cannulae need to be inserted into several of these vessels, creating a danger that a major vessel tears. 

Commenting on why the RVC team decided to perform this procedure at this point, and on Mabel, Dan said: "Lots of things fed into this decision. First and foremost, we had a patient whose pathology made surgery the best solution. I explained to the owner and was very honest that this procedure would be really breaking new ground. Based on what the human paediatric cardiac surgeons will do, and our limited experience of balloon-valvuloplasty suggests this is the best approach for these dogs

"The operation itself is risky, much worse than most other operations. In our hands, for this type of disease, we have about an 80% chance of getting them through the procedure. The owner has to gamble what life the dog has left against the promise of a more normal quality of life and life-span following the operation."

In relation to Mabel’s prognosis if the surgery had not been undertaken, Professor Luis Fuentes said: "It is likely that the signs of right-sided heart failure would have been more difficult to control. Her ability to exercise would have become less and less, and she would have also been at risk of having abnormal heart rhythms associated with the enlargement of the right atrium. Generally we expect them to develop more and more signs as the disease progresses. These are difficult cases to manage on a long-term basis with drugs. Her life expectancy would have been substantially reduced.

"I thought Mabel was almost a perfect candidate to have the procedure here as Dan has a lot of experience replacing tricuspid valves in dogs with tricuspid dysplasia. In those cases there is usually leaking, but Mabel’s case was unusual in that she has minimal leaking and she was most affected by the stenosis. That means you may not have to implant any additional valve structure."

Speaking two weeks after the operation, owner Annabelle Meek, from Melton Mowbray, said: "Mabel has just come back in from wandering around the perimeter of my garden for the first time since before the operation. It’s more than half an acre and she has been ambling around happily following a scent.

"I would like to thank absolutely everybody. It’s been an enormous team effort on all sides. Every single person I met at the RVC, from the man on the gate to all the hospital staff, was so friendly. After she came home Dan Brockman phoned me every day to see how she was doing. The RVC should be very proud of what they have done for Mabel."