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Essential haematology for companion animal vets in first opinion practice 第一意见实践中陪伴动物兽医的基本血液学
Pub Date : 2023-06-02 DOI: 10.12968/coan.2022.0011
Sei Ming Lee, Sara Pflaum
Haematology provides a vital source of diagnostic information in veterinary medicine. Advancement in technology has improved the availability of in-house automated analysers in first opinion practices, allowing practitioners quick access to complete blood count results to aid day-to-day clinical decisions. Most in-house analysers use flow cytometry or electrical impedence technologies which provide fairly accurate complete blood count results. However, practitioners must exercise care when interpreting these results as sample factors such as lipaemia, haemolysis, and the presence of atypical white blood cells, may have an effect on the accuracy of the results. Interpreting complete blood count results alongside a good quality blood smear is important, as it serves as a quality control tool to assess the accuracy of the complete blood count results and also provides useful information on the cell morphology. Good sample handling and good smear making technique are important to produce a blood smear of diagnostic value.
血液学是兽医学诊断信息的重要来源。技术的进步提高了内部自动分析仪在第一意见实践中的可用性,使从业者能够快速获得完整的血细胞计数结果,以帮助日常临床决策。大多数内部分析仪使用流式细胞术或电阻抗技术,提供相当准确的全血细胞计数结果。然而,从业者在解释这些结果时必须谨慎,因为血脂、溶血和非典型白细胞的存在等样本因素可能会影响结果的准确性。将全血细胞计数结果与高质量的血液涂片一起解释是很重要的,因为它可以作为评估全血细胞计数结果准确性的质量控制工具,并提供有关细胞形态的有用信息。良好的样品处理和良好的涂片制作技术对于产生具有诊断价值的血液涂片是重要的。
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引用次数: 0
Good leadership: what emergency veterinarians value most when evaluating job opportunities and employment longevity 良好的领导能力:急诊兽医在评估工作机会和工作寿命时最看重的是什么
Pub Date : 2023-06-02 DOI: 10.12968/coan.2023.0008
L. Kogan, M. Booth, M. Rishniw
This study was designed to examine the factors that impact emergency veterinarians' decisions in selecting a place of employment and their perceptions of job aspects that are important to foster a work environment conducive to long term employment. An electronic survey was distributed to members of the Veterinary Information Network through its data collection portal. The factors rated by veterinarians as most important in selecting a place of employment include collegiality of co-workers, working with a highly trained support staff, and the opportunity to work fewer, but longer, shifts. Factor analysis identified five factors conducive to long-term employment: schedule, professional growth, environmental tone/atmosphere, medical support, and leadership. The factor found to be most important was leadership. All factors, except for professional growth, were rated as more important by female versus male practitioners. Emergency medicine recruitment and retention efforts can benefit from focusing on schedule, professional growth, environmental tone/atmosphere, medical support and leadership. By better understanding the impact of gender, children status, and years in practice on the perceived importance in creating workplace environments conducive to long term employment, hospitals can be better equipped to meet the needs current employees as well as potential new hires.
本研究旨在探讨影响急诊兽医选择工作地点的因素,以及他们对工作方面的看法,这些方面对培养有利于长期就业的工作环境很重要。通过数据收集门户向兽医信息网的成员分发了一份电子调查。兽医们认为,在选择工作地点时,最重要的因素包括同事之间的合作、与训练有素的支持人员一起工作、轮班时间少但时间长。因子分析确定了五个有利于长期就业的因素:时间表、专业成长、环境基调/氛围、医疗支持和领导力。研究发现,最重要的因素是领导力。除了职业发展之外,女性从业者认为所有因素都比男性从业者更重要。急诊医学人员的招聘和留用工作可以从关注日程安排、专业成长、环境基调/氛围、医疗支持和领导力中受益。通过更好地了解性别、儿童状况和多年的实践对创造有利于长期就业的工作环境的重要性的影响,医院可以更好地满足现有员工和潜在新员工的需求。
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引用次数: 0
Minimally invasive laparoscopic methods of biopsy in small animal practice 微创腹腔镜小动物活检方法的实践
Pub Date : 2023-06-02 DOI: 10.12968/coan.2023.28.06.66
Angelo Tapia-Araya, Simone Monti, José Sampayo, Francisco Martinez Gomariz, Juan Granados Ortega, Silvia Enciso, Francisco Sánchez-Margallo
Laparoscopic surgery has benefitted from many technical advances, achieving better results and reduced complications in comparison to conventional surgical techniques. Specialist equipment has been developed to better aid the minimally invasive approach, allowing for more precision, becoming a method of choice for biopsy. It is of particular value in patients where the sites are small or present in locations unsuitable for image-guided biopsy, or where adequate tissue cannot be obtained by image-guided biopsy. Laparoscopy has been proven to offer several benefits to the patient both intraoperatively and postoperatively, therefore, it can be said that laparoscopy provides a safe and effective means of obtaining biopsies in small animal practice.
腹腔镜手术得益于许多技术进步,与传统手术技术相比,获得了更好的结果,减少了并发症。专门的设备已经开发出来,以更好地辅助微创方法,允许更高的精度,成为活检的一种选择方法。对于病灶较小或存在于不适合图像引导活检的位置,或无法通过图像引导活检获得足够组织的患者,它特别有价值。腹腔镜已被证明在术中和术后为患者提供了许多好处,因此,可以说腹腔镜在小动物实践中提供了一种安全有效的活检方法。
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引用次数: 0
Dog friendly clinics: helping pets have a positive experience 狗友好诊所:帮助宠物有一个积极的经验
Pub Date : 2023-06-02 DOI: 10.12968/coan.2023.0013
Kate Main
As one of the project leads for the dog friendly clinic scheme, Kate Main, Veterinary Intervention Development Officer at Dogs Trust outlines key areas of how the initiative can improve veterinary visits for dogs.
作为狗狗友好诊所计划的项目负责人之一,狗狗信托基金会的兽医干预发展官员凯特·梅因概述了该计划如何改善狗狗的兽医就诊情况的关键领域。
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引用次数: 0
Management of Mycoplasma agassizii infection in a Horsfield tortoise (Testudo horsfieldii) 陆龟阿加西支原体感染的处理
Pub Date : 2023-04-02 DOI: 10.12968/coan.2023.0002
Julie Vandekerckove
A 3-year-old Horsfield tortoise was presented for lethargy, anorexia, blepharedema and mucopurulent ocular and nasal discharge. Culture of nasal exudates was negative, but real-time polymerase chain reaction on an oral swab revealed the presence of Mycoplasma agassizii. Multimodal therapy consisted of ocular and nasal flushing, systemic and topical antibiotics, nebulisation, analgesia and supportive care in the form of warmth, fluid therapy and nutritional support. As Mycoplasma spp. remain latent within the body, correction of husbandry and nutritional deficits was particularly important to enhance the animal's immune system, in order to prevent recrudescence of clinical signs. To avoid disease spread, the client was advised against introducing new tortoises into the collection.
我们报告一只3岁的马氏陆龟,表现为嗜睡、厌食、红斑及眼鼻粘液脓性分泌物。鼻腔分泌物培养阴性,但口腔拭子实时聚合酶链反应显示阿加西支原体存在。多模式治疗包括眼和鼻冲洗、全身和局部抗生素、雾化、镇痛和以温暖、液体治疗和营养支持形式的支持性护理。由于支原体在体内潜伏,纠正饲养和营养不足对增强动物免疫系统,防止临床症状复发尤为重要。为了避免疾病传播,业主被建议不要引进新的龟群。
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引用次数: 0
A study of short tibia syndrome and its association with cranial cruciate ligament degeneration in dogs 犬胫骨短综合征及其与颅交叉韧带变性的关系研究
Pub Date : 2023-04-02 DOI: 10.12968/coan.2022.0029
F. Hanna
The purpose of this study was to describe the radiological findings of short tibia syndrome and its possible association with cranial cruciate ligament degeneration in dogs. A retrospective study calculated limb length discrepancy, with a particular emphasis on the tibia, using entire hind limb radiographs taken from 84 dogs with long progressive ligamentous degeneration and subsequent rupture of the cranial cruciate ligament and a control group. The control group was subdivided into two groups; group A consisted of nine dogs that had a definite traumatic injury to the stifle before the rupture of the cranial cruciate ligament and had no histological evidence of ligament degeneration, and group B consisted of 22 healthy dogs which had no history, clinical or radiological evidence supporting a diagnosis of cranial cruciate ligament degeneration or rupture, but presented with other orthopaedic conditions that required radiographs of both hind limbs to be performed. In the study population group, all 84 dogs had a statistically significant total limb length discrepancy measurement because of significant underlying tibial asymmetry. Entire hind limbs radiographs showed one tibia appearing shorter than the other and different grades of stifle osteoarthritis. The radiographic investigation showed that 67% of the inter-observer inter-class correlation coefficients had high correlation and the remaining 33% had good correlation. Short tibia syndrome was consistently associated with stifle joint instability, cruciate ligament disease and progressive osteoarthritis. The radiographic investigation made by the three observers showed that tibial measurements were repeatable and reproducible, and the selected tibial measurement protocol had good to high correlation and was therefore dependable and reliable.
本研究的目的是描述短胫骨综合征的放射学表现及其可能与狗的颅交叉韧带变性有关。一项回顾性研究计算了四肢长度差异,特别强调了胫骨,使用了84只患有长进行性韧带变性并随后发生颅交叉韧带破裂的狗的整个后肢x线片和对照组。对照组再分为两组;A组9只犬在颅交叉韧带断裂前有明确的膝关节外伤性损伤,无组织学证据;B组22只健康犬,无病史、临床或影像学证据支持颅交叉韧带变性或断裂的诊断,但有其他骨科疾病,需要进行双后肢x线片检查。在研究人群组中,由于明显的潜在胫骨不对称,所有84只狗的总肢体长度差异测量具有统计学意义。整个后肢x线片显示一侧胫骨比另一侧短,不同程度的膝关节骨关节炎。x线调查显示,67%的观察者间类间相关系数具有高相关性,其余33%具有良好相关性。胫骨短综合征一贯与膝关节不稳定、交叉韧带疾病和进行性骨关节炎相关。三位观测者的x线调查表明,胫骨测量具有重复性和可重复性,所选择的胫骨测量方案具有良好到高度的相关性,因此可靠可靠。
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引用次数: 0
Decoding puppy behaviour 解读小狗的行为
Pub Date : 2023-04-02 DOI: 10.12968/coan.2023.000
Lorna Winter
To celebrate National Puppy Day, Lorna Winter breaks down the five most common ways puppies communicate with us through their body language, and the best way to respond.
为了庆祝全国小狗日,洛娜·温特分析了小狗通过肢体语言与我们交流的五种最常见的方式,以及最好的回应方式。
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引用次数: 0
Minimally invasive laparoscopic methods of biopsy in small animal practice 微创腹腔镜小动物活检方法的实践
Pub Date : 2023-04-02 DOI: 10.12968/coan.2023.28.00.000
A. Tapia-Araya, Simone Monti, José Sampayo, F. M. Gomariz, Juan Granados Ortega, S. Enciso, F. Sánchez-Margallo
Laparoscopic surgery has benefitted from many technical advances, achieving better results and reduced complications in comparison to conventional surgical techniques. Specialist equipment has been developed to better aid the minimally invasive approach, allowing for more precision, becoming a method of choice for biopsy. It is of particular value in patients where the sites are small or present in locations unsuitable for image-guided biopsy, or where adequate tissue cannot be obtained by image-guided biopsy. Laparoscopy has been proven to offer several benefits to the patient both intraoperatively and postoperatively, therefore, it can be said that laparoscopy provides a safe and effective means of obtaining biopsies in small animal practice.
腹腔镜手术得益于许多技术进步,与传统手术技术相比,获得了更好的结果,减少了并发症。专门的设备已经开发出来,以更好地辅助微创方法,允许更高的精度,成为活检的一种选择方法。对于病灶较小或存在于不适合图像引导活检的位置,或无法通过图像引导活检获得足够组织的患者,它特别有价值。腹腔镜已被证明在术中和术后为患者提供了许多好处,因此,可以说腹腔镜在小动物实践中提供了一种安全有效的活检方法。
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引用次数: 0
Using interpersonal skills to manage challenging client behaviour 运用人际交往技巧处理客户的挑战行为
Pub Date : 2023-02-02 DOI: 10.12968/coan.2023.0004
Emma Stansfield
Widespread pandemic-related disruption has led to increasingly challenging client interactions. The British Veterinary Association found that 57% of veterinary staff surveyed in 2021 reported feeling intimidated by client behaviour during the previous year; a 10% increase from 2019. The psychological impact of consistently difficult or abusive interactions can be significant and contribute to the high incidences of stress, burnout, attrition and potentially suicide increasingly noted in the industry. This understanding further highlights the need to focus on developing individual self-care strategies and leaders offering appropriate support to their team. Historically, veterinary education has overlooked the importance of training in interpersonal skills, such as communication, conflict resolution and emotional intelligence. However, human and veterinary medicine is evolving with increasing recognition of the significance of communication skills training to help prevent and manage of challenging client behaviour. This may help to ensure practitioners are better prepared for the challenges that await them.
与大流行相关的广泛中断导致客户互动日益具有挑战性。英国兽医协会发现,在2021年接受调查的兽医工作人员中,有57%的人表示,在过去的一年里,他们对客户的行为感到害怕;比2019年增长10%。持续的困难或虐待互动的心理影响可能是显著的,并有助于高发生率的压力,倦怠,磨损和潜在的自杀在行业中越来越多地注意到。这种理解进一步强调了关注发展个人自我保健策略和领导者为其团队提供适当支持的必要性。从历史上看,兽医教育忽视了人际交往技能培训的重要性,如沟通、解决冲突和情商。然而,人类和兽医学正在发展,人们越来越认识到沟通技巧培训对预防和管理具有挑战性的客户行为的重要性。这可能有助于确保从业者为等待他们的挑战做好更好的准备。
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引用次数: 1
Dermatological diseases of snakes and lizards and how to investigate them 蛇和蜥蜴的皮肤病及其调查方法
Pub Date : 2023-02-02 DOI: 10.12968/coan.2022.0025
J. Chitty
Snake and lizard skin is highly adapted to being tough and impervious, reflecting their evolutionary emergence in a more arid lifestyle. These special features include the formation of scales and the need to shed the skin at intervals to permit growth. To the clinician, these adaptations present a different range of diseases compared to those in more ‘routine’ species, most of all, the need for a different approach to their investigation. This article looks at the most common clinical signs of dermatological diseases in snakes and lizards and explains how to investigate based on the differential diagnoses for each sign.
蛇和蜥蜴的皮肤高度适应坚韧和不透水,这反映了它们在更干旱的生活方式中进化而来。这些特殊的特征包括鳞片的形成和需要间隔脱落皮肤以允许生长。对临床医生来说,与那些更“常规”的物种相比,这些适应表现出不同的疾病范围,最重要的是,需要一种不同的研究方法。本文着眼于蛇和蜥蜴中最常见的皮肤病临床症状,并解释如何根据每个症状的鉴别诊断进行调查。
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引用次数: 0
期刊
Companion Animal
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