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Opportunities and challenges with antibiotic use 抗生素使用的机遇和挑战
Pub Date : 2023-08-02 DOI: 10.12968/coan.2023.0019
L. Pantaleon
Antibiotic guidelines and consensus statements exist in veterinary medicine, but practitioners’ awareness of these guidelines is generally poor. Use and prescription of antibiotics is still, in some cases, based on anecdotal evidence or old dogmas. Antibiotics are an essential, scarce resource that must be used judiciously in order to preserve them for future generations. Education of the veterinary care team and pet owners about the issues with antibiotic resistance needs to be a fundamental aspect of stewardship. Understanding that antibiotic resistance is a global One Health issue that needs multidisciplinary collaboration to be addressed is paramount.
抗生素指南和共识声明存在于兽医学中,但从业者对这些指南的认识普遍较差。在某些情况下,抗生素的使用和处方仍然基于轶事证据或旧教条。抗生素是一种必要的稀缺资源,必须明智地使用,以便为子孙后代保存它们。兽医护理团队和宠物主人关于抗生素耐药性问题的教育需要成为管理工作的一个基本方面。认识到抗生素耐药性是一个全球性的“同一个健康”问题,需要多学科合作加以解决,这一点至关重要。
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引用次数: 0
Salbutamol toxicosis in dogs 狗的沙丁胺醇中毒
Pub Date : 2023-08-02 DOI: 10.12968/coan.2023.0017
Nicole Bates
Salbutamol exposure in dogs typically occurs when they bite and pierce a salbutamol inhaler. Onset of clinical signs can be rapid. Dogs may appear anxious and distressed, and common signs include tachycardia, tachypnoea and hypokalaemia. Transient hyperglycaemia may occur. Potential complications include muscle weakness, flaccid paralysis, arrhythmias, rhabdomyolysis and oral injury from the compressed gas in some inhalers. Any dog exposed to salbutamol requires examination and evaluation. The heart rate, blood pressure, electrocardiogram and electrolytes should be monitored. Treatment is aimed at correcting tachycardia and hypokalaemia, for which the treatment of choice is a non-selective beta-blocker. Salbutamol exposed dogs require hospitalisation until the heart rate and rhythm, central nervous system status and electrolytes normalise. Recovery generally occurs within 24 hours, but there is risk of persistent cardiac injury.
沙丁胺醇暴露在狗通常发生时,他们咬和刺穿沙丁胺醇吸入器。临床症状的发作可能很快。狗可能会表现出焦虑和痛苦,常见的症状包括心动过速、呼吸急促和低钾血症。可发生短暂性高血糖。潜在的并发症包括肌肉无力、弛缓性麻痹、心律失常、横纹肌溶解和某些吸入器中的压缩气体造成的口腔损伤。任何接触沙丁胺醇的狗都需要检查和评估。应监测心率、血压、心电图和电解质。治疗的目的是纠正心动过速和低钾血症,治疗的选择是一种非选择性受体阻滞剂。暴露于沙丁胺醇的狗需要住院治疗,直到心率和节律、中枢神经系统状态和电解质恢复正常。通常在24小时内恢复,但有持续心脏损伤的风险。
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引用次数: 0
Dietary hyperthyroidism in a dog with epileptic seizures 犬癫痫发作伴食源性甲状腺功能亢进
Pub Date : 2023-08-02 DOI: 10.12968/coan.2023.0016
M. Foreman
This report discusses a case of suspected dietary hyperthyroidism in a 2-year-old male crossbreed dog. The dog presented with a history of tonic-clonic seizures, seen over the previous 6 months, and was refractory to increasing doses of phenobarbitone. Serum total thyroxine concentrations were persistently elevated on repeated sampling; the rest of the investigations were normal. The initial diet – a raw food diet – was tested and found to contain detectable levels of total thyroxine. Dietary hyperthyroidism was therefore proposed as a potential cause of seizures in this case.
本报告讨论了一例疑似食性甲状腺功能亢进的2岁雄性杂交犬。犬在过去6个月有强直-阵挛性发作史,对增加苯巴比妥剂量难治。反复取样后血清总甲状腺素浓度持续升高;其余的调查都很正常。最初的饮食——生食饮食——经过测试,发现含有可检测水平的总甲状腺素。因此,膳食性甲状腺功能亢进被认为是本例癫痫发作的潜在原因。
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引用次数: 0
Advances in diagnosis and management of canine insulinoma: a review 犬胰岛素瘤的诊断与治疗进展
Pub Date : 2023-07-02 DOI: 10.12968/coan.2023.0014
Floryne O. Buishand, C. Scudder
Insulinomas are the most common pancreatic tumours in dogs. Diagnosis of insulinoma requires the concurrent presence of hypoglycaemia and serum insulin levels within or above the upper limit of the reference range. The diagnostic imaging modality of choice is triple-phase contrast enhanced tomography. Surgical resection is generally the most effective treatment option, leading to prolonged survival; however, medical management becomes necessary for many dogs at some point. After surgery, dogs can live for a few years without clinical signs of hypoglycaemia, but eventually clinical hypoglycaemia frequently recurs due to the outgrowth of micrometastases that were undetected at the time of surgery. This review consolidates and provides updated recommendations from the veterinary literature on the diagnosis and management of canine insulinomas.
胰岛素瘤是犬类最常见的胰腺肿瘤。胰岛素瘤的诊断需要同时存在低血糖和血清胰岛素水平在参考范围的上限以内或以上。诊断成像方式的选择是三相对比增强断层扫描。手术切除通常是最有效的治疗选择,可延长生存期;然而,在某些时候,对许多狗来说,医疗管理是必要的。手术后,狗可以在没有低血糖临床症状的情况下存活数年,但最终由于手术时未发现的微转移瘤的生长,临床低血糖经常复发。这篇综述整合并提供了最新的建议,从兽医文献对犬胰岛素瘤的诊断和管理。
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引用次数: 0
Canine heat-related illness – new perspectives from recent research 犬热相关疾病——来自最近研究的新观点
Pub Date : 2023-07-02 DOI: 10.12968/coan.2023.0015
Jude Bradbury, Emily J. Hall, Anne J. Carter, D. O'Neill
Heat-related illness (or heatstroke) is a potentially fatal condition in dogs that can be triggered by hot environments or physical activity. Awareness by dog owners and veterinary professionals of the key risk factors and triggers for heat-related illness can promote mitigation strategies to reduce the incidence and severity of the condition. Owners should seek veterinary treatment if their dog develops heat-related illness, but should always ‘cool first, transport second’ before travelling to their vet clinic. Recommended active cooling methods include immersing the animal in water or pouring water over the animal and ensuring air movement, for example using a fan or air conditioning. This article summarises recent research exploring the epidemiology of heat-related illness in UK dogs and aims to debunk common myths related to canine cooling.
与热有关的疾病(或中暑)是一种潜在的致命疾病,可能由炎热的环境或身体活动引发。狗主人和兽医专业人员对热相关疾病的主要风险因素和触发因素的认识可以促进缓解策略,以减少疾病的发病率和严重程度。如果他们的狗患上与热有关的疾病,主人应该寻求兽医治疗,但在前往兽医诊所之前,应该始终“先降温,再运输”。推荐的主动冷却方法包括将动物浸入水中或将水浇在动物身上,并确保空气流通,例如使用风扇或空调。这篇文章总结了最近的研究,探讨了英国狗的热相关疾病的流行病学,旨在揭穿与狗冷却有关的常见神话。
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引用次数: 1
Insights about the biology of trematodes within their gastropod hosts 关于吸虫在腹足类宿主体内的生物学的见解
Pub Date : 2023-06-02 DOI: 10.12968/coan.2023.0007
P. Castro
This article discusses the specialised behaviour, polymorphism, and caste formation of trematodes within their gastropod hosts and suggests the clinical implications of improved understanding of these dynamics.
本文讨论了吸虫在腹足类宿主内的特殊行为、多态性和种姓形成,并提出了提高对这些动力学理解的临床意义。
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引用次数: 0
Small animal Review 小动物评论
Pub Date : 2023-06-02 DOI: 10.12968/coan.2023.0011
Alex Gough
Spinal problems resulting from intervertebral disc extrusion or protrusion are commonly encountered in clinical practice, with presentations ranging from chronic pain and paresis to acute paraplegia. Small breed chondrodystrophic dogs are predisposed to these problems. Surgery is often indicated, especially in severe acute cases. Three recent papers look at different aspects of disc herniation.
由椎间盘突出或突出引起的脊柱问题在临床实践中很常见,其表现从慢性疼痛和瘫瘫到急性截瘫。小品种软骨营养不良的狗容易出现这些问题。外科手术通常是指,特别是在严重的急性病例。最近的三篇论文着眼于椎间盘突出的不同方面。
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引用次数: 0
A review of applications of artificial intelligence in veterinary medicine 人工智能在兽医学中的应用综述
Pub Date : 2023-06-02 DOI: 10.12968/coan.2022.0028a
Amy Owens, D. Vinkemeier, Hany Elsheikha
Artificial intelligence is a newer concept in veterinary medicine than human medicine, but its existing benefits illustrate the significant potential it may also have in this field. This article reviews the application of artificial intelligence to various fields of veterinary medicine. Successful integration of different artificial intelligence strategies can offer practical solutions to issues, such as time pressure, in practice. Several databases were searched to identify literature on the application of artificial intelligence in veterinary medicine. Exclusion and inclusion criteria were applied to obtain relevant papers. There was evidence for an acceleration of artificial intelligence research in recent years, particularly for diagnostics and imaging. Some of the benefits of using artificial intelligence included standardisation, increased efficiency, and a reduction in the need for expertise in particular fields. However, limitations identified in the literature included a requirement for ideal situations for artificial intelligence to achieve accuracy and other inherent, unresolved issues. Ethical considerations and a hesitancy to engage with artificial intelligence, by both the public and veterinarians, are further barriers that must be addressed for artificial intelligence to be fully integrated in daily practice. The rapid growth in artificial intelligence research substantiates its potential to improve veterinary practice.
与人类医学相比,人工智能在兽医学领域是一个较新的概念,但它现有的好处表明,它在这一领域也可能具有巨大的潜力。本文综述了人工智能在兽医学各个领域的应用。成功整合不同的人工智能策略,可以在实践中为时间压力等问题提供切实可行的解决方案。检索多个数据库,寻找人工智能在兽医学应用方面的文献。采用排除和纳入标准获得相关论文。有证据表明,近年来人工智能研究加速发展,尤其是在诊断和成像领域。使用人工智能的一些好处包括标准化、提高效率以及减少对特定领域专业知识的需求。然而,在文献中确定的限制包括对人工智能实现准确性和其他固有的未解决问题的理想情况的要求。公众和兽医对人工智能的伦理考虑和犹豫,是人工智能在日常实践中充分融入必须解决的进一步障碍。人工智能研究的快速发展证实了其改善兽医实践的潜力。
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引用次数: 0
A study of the most common disorders diagnosed in pet cats in the UK 一项关于英国宠物猫最常见疾病的研究
Pub Date : 2023-06-02 DOI: 10.12968/coan.2023.0009
D. O'Neill
Cats are a hugely popular pet in the UK, so greater awareness of common disorders affecting owned cats would assist owners to make better healthcare decisions. This article summarises a recent paper reporting on the most commonly diagnosed disorders in cats within VetCompass during 2019, with dental and obesity conditions at top of the list. Veterinary teams can improve feline health and welfare by sharing this information with owners.
猫在英国是一种非常受欢迎的宠物,所以提高对猫咪常见疾病的认识将有助于主人做出更好的医疗决定。本文总结了最近一篇关于2019年VetCompass中猫最常被诊断出的疾病的论文,其中牙齿和肥胖症高居榜首。兽医团队可以通过与主人分享这些信息来改善猫的健康和福利。
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引用次数: 0
Advances in veterinary care 兽医护理的进展
Pub Date : 2023-06-02 DOI: 10.12968/coan.2023.057
G. Davies
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引用次数: 0
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