Veterinary Visits Research Articles

Understanding the associations between owner and pet demographics on pet body condition among those experiencing homelessness and housing vulnerability in Canada

Approximately 35 000 people experience homelessness in some form each night in Canada, with similar rates (approximately 1/200 individuals) among developed countries. Ten to twenty percent of those individuals are pet owners. Animal companionship provides a variety of mental and physical benefits to people who are living homeless or vulnerably housed, but many in the non-vulnerable sector, including veterinary professionals and animal welfare advocates, express concern for the health and welfare of these animals. We describe the demographics of a population of animals owned by individuals experiencing homelessness and housing vulnerability, and investigate animal and owner factors influencing body condition score and over-conditioning using data collected from Community Veterinary Outreach (CVO). Community Veterinary Outreach is a registered charity focused on improving the health and welfare of people and their pets who are experiencing homelessness and housing vulnerability. The organization provides free services to clients in ten Canadian communities. Data associated with 636 owners and 946 animals were collected during clinics held between April 2018 and March 2020, representing a total of 1124 visits. The population of dogs and cats seen by CVO was demographically similar to populations seen in general companion animal veterinary practice and were in similar health. For both species, the mean body condition score was 5.4/9, where an ideal score is five for cats and four to five for dogs, and 38 % of animals were considered over-conditioned (overweight/obese). Risk factor analysis demonstrated significant associations between being over-conditioned and pet age and the reason for the veterinary visit for cats, and pet age, the number of abnormal findings on physical exam, and a previous CVO visit for dogs. Pet age, sex-neuter status, disease of the oral cavity, and a previous CVO visit were significantly associated with body condition score in cats. Body condition score in dogs was associated with owner age, and with interactions between pet age and breed size group, and between sex-neuter status and owner-reported housing security. These findings suggest that animals owned by those experiencing homeless and housing vulnerability are generally in good health and similar factors influence body condition score and over-conditioning as animals seen in general companion animal veterinary practice. Further efforts to provide support to pet owners within these communities by veterinarians will help support the good health of this population.

Benefit–Risk Assessment of the French Surveillance Protocol of Apparently Healthy Biting Dogs and Cats for Human Rabies Prevention

In France, apparently healthy dogs and cats that bite humans must undergo an observation period of 15 days with three veterinary visits to ascertain that they remain healthy, indicating that no zoonotic transmission of rabies virus occurred via salivary presymptomatic excretion. This surveillance protocol is mandatory for all pets that have bitten humans, despite France’s rabies-free status in non-flying mammals (i.e., a very low rabies risk). In this context, we aimed to perform a benefit–risk assessment of the existing regulatory surveillance protocol of apparently healthy biting animals, as well as alternative surveillance protocols. A scenario-tree modelling approach was used to consider the possible successions of events between a dog or cat bite and a human death attributed to either rabies or to lethal harm associated with the surveillance protocol (e.g., lethal traffic accidents when traveling to veterinary clinics or anti-rabies centers). The results demonstrated that the current French surveillance protocol was not beneficial, as more deaths were generated (traffic accidents) than avoided (by prompt post-exposure prophylaxis administration). We showed here that less stringent risk-based surveillance could prove more appropriate in a French context. The results in this study could allow policy-makers to update and optimize rabies management legislation.

Risk-factors associated with veterinary-related fear and aggression in owned domestic dogs

Fear and aggression in dogs within veterinary clinics can lead to canine welfare impairments and pose a safety concern for veterinary staff. However, few studies have explored potential underlying causes for this fear and aggression. We used an online cross-sectional survey targeted to current dog owners to examine risk-factors associated with fear and aggression within veterinary clinics. The factors we assessed in the survey were related to dog characteristics (e.g., sex, breed), fear and aggression responses in everyday scenarios (e.g., stranger-directed fear), experiences at the veterinary clinic (e.g., frequency of visits), training, early socialization, and owner demographics (e.g., gender, age). Data were analyzed using mixed linear regression models, with participant as a random effect to account for multiple dogs within the same household. For fear within veterinary clinics, dogs (n = 1346) were significantly more likely to be rated as fearful by their owners if they were neutered at ≤1 year of age; received their first nail trim at an older age; were rated as having severe non-social fear, or stranger-directed fear and aggression, or as being stressed or aggressive during body handling; had a negative change in behaviour after an aversive clinic experience; and if owners indicated being nervous during situations within the veterinary clinic. For aggression within veterinary clinics, dogs (n = 1776) were more likely to be rated as aggressive if they were reported to be fearful of the veterinary clinic, fearful of feet toweling, or stressed or aggressive during body handling, if the owner reported using positive punishment during routine training, or if any of the following had occurred during clinic visits: examination shortened, use of towel restraint or muzzling, dog bite directed at staff member, general use of positive punishment on the dog, and if the owner indicated being nervous during situations within the veterinary clinic. Random effects for participant were significant for both fear and aggression models, with intra-class correlation coefficients of 0.36 (CI: 0.21−0.54, p = 0.0004) and 0.16 (CI: 0.06−0.36, p = 0.017), respectively, indicating some correlation in behaviour amongst dogs owned by the same person. These results suggest that both fear and aggression within veterinary clinics are related to dog personality, previous early experiences and veterinary clinic experiences, and owner experiences during veterinary visits. These findings can be used to generate hypotheses for future research aimed at preventing the development of fear and aggression within a veterinary setting.

From the other perspective: Behavioural factors associated with UK sheep farmers' attitudes towards antibiotic use and antibiotic resistance.

Research suggests that many sheep farmers continue to carry out traditional antibiotic use practices despite new ’good practice’ recommendations. The aim of this study was to group farmers depending on their attitudes around antibiotic use and antibiotic resistance, and determine the behaviours that are associated with the farmers in these groups. In 2017, a flock health survey was sent to British sheep farmers. K-means cluster analysis was used to identify groups of farmers with similar attitudes towards antibiotic use and resistance. A multivariable logistic regression model was built to determine the associations between farmers’ past behaviours and their antibiotic attitude group. There were 461 responses. Two groups of farmers were identified based on their antibiotic attitudes. Cluster 1 were defined as the "discordant" group who had positive views of using antibiotics prophylactically and negative views of reducing antibiotic use. Cluster 2 were defined as the "concordant" group who were positive about reducing antibiotic use and had negative views about using antibiotics prophylactically. Using antibiotics in all lambs (OR = 2.689, CI = 1.571, 4.603), using antibiotics in all ewes (OR = 3.388, CI = 1.318, 8.706), always trimming diseased feet over the past three years (OR = 2.487, CI = 1.459, 4.238), not using a computer to record information over the past three years (OR = 1.996, CI = 1.179, 3.381), not changing worming practices over the past three years (OR = 1.879, CI = 1.144, 3.087), and farmers’ perceptions that their sheep flock did not make a financial loss in the past three years (OR = 2.088, CI = 1.079, 4.040) were significantly associated with belonging to the discordant group. Talking to their veterinarian about antibiotic use or the frequency of veterinary visits were not associated with antibiotic attitude group. These results suggest that farmers who had attitudes relating to antibiotic use that did not align with current recommendations carried out more traditional practices, which were strengthened by their positive perceptions of profitability.

Wildlife rehabilitation centers as a potential source of transmission of SARS-CoV-2 into native wildlife of Latin America.

The COVID‐19 pandemic has impacted the entire world, causing a great number of mortality of humans and affecting the economy, while conservation efforts are finally recognized to prevent further pandemics. The wildlife rehabilitation centers (WRCs) play a relevant role in animal welfare; nevertheless, they also represent an imminent risk of pathogen transmission between humans‐to‐animals and between animals. Moreover, WRCs could spread pathogens into natural habitats through the reintroduction of infectious individuals. These biosafety concerns at WRCs may increase as the economic and social impact of the COVID‐19 extends. We explored the current situation of Latin American WRCs under the COVID‐19 pandemic to determine the feasibility of SARS‐CoV‐2 introduction, amplification, and spread within these institutions. We surveyed WRCs from eight Latin American countries. We found that pandemic is affecting these institutions in many aspects: workers with symptoms compatible with COVID‐19, reduced economic resources, and lack of information and support from governmental authorities. These have forced WRCs to reduce the workforce, veterinary visits, and animal food rations and to increase the number of animals released. This scenario generates a risky environment for the transmission of SARS‐CoV‐2, especially for felids, mustelids, and non‐human primates. Therefore, it is imperative to respect quarantine periods, monitor incoming patients, increase biosecurity measures, develop and apply guidelines and recommendations for the protection of personnel and biosafety of enclosures and instruments. It is of utmost importance the proper and safer reintroduction of recovered wildlife.

Herd health and production management visits on Canadian dairy cattle farms: Structure, goals, and topics discussed

Regular veterinary visits to improve herd health and production management (HHPM) are important management components on many dairy cattle farms. These visits provide opportunities for constructive conversations between veterinarians and farmers and for shifting management from a reactionary approach to proactively optimizing health and welfare. However, little is known about the structure of HHPM farm visits and to what extent veterinarians provide assistance beyond purely technical services. Therefore, our aims in this cross-sectional study were to describe HHPM farm visit structure, determine which dairy-specific topics were discussed, and assess whether the focus of the visits aligned with farmers' priorities. Veterinary practitioners (n = 14) were recruited to record audio and video of regularly scheduled HHPM farm visits (n = 70) using an action camera attached to their chest or head. A questionnaire was distributed to farmers containing closed- and open-ended questions to assess their goals and perceptions related to farm management and HHPM farm visits. Descriptive statistics and negative binomial and Poisson regression models were used to study dairy-specific topics initiated by the farmer or veterinarian during various activities. A mean of 51% of the visit duration was dedicated to transrectal pregnancy and fertility diagnostics, and a considerable amount of time (30%) was spent on visit preparation, transitions between tasks, and leaving. A total of 488 discussions were initiated by either the veterinarian (55%) or the farmer (45%). Mean length of discussions was 2 min, and only 17% of the HHPM visit duration was spent discussing dairy-specific topics. Veterinarians initiated 62% of their discussions about herd issues, whereas farmer-initiated discussions revolved around herd health in 39% of the discussions. Discussion topics most frequently raised by participants included fertility, udder health, calf health and management, and transition diseases. Consistently, farmers' answers to a rank question regarding their main HHPM farm visit goals indicated that their priorities were to have transrectal pregnancy and fertility diagnostics performed and to improve herd fertility and general herd health. Answers to an open-ended question revealed that additional aims of many farmers were to receive information, have questions answered, and identify and discuss problems. A farmer's belief that HHPM farm visits were "absolutely" tailored toward his or her goals was positively associated with number of discussions during the visit and their conviction that they "always" voiced their wishes and needs to the veterinarian. Opportunities to broaden the focus of HHPM farm visits and improve communication between farmers and veterinarians should be identified and veterinarians should be trained accordingly, which would increase veterinarians' ability to add value during HHPM farm visits.

Frequency, Stressfulness and Type of Ethically Challenging Situations Encountered by Veterinary Team Members During the COVID-19 Pandemic.

Ethically challenging situations (ECS) are common in veterinary settings and can lead to moral stress. However, there is no published information about how a global pandemic affects the frequency and types of ECS encountered by veterinary team members. An online mixed methods survey was developed to determine the frequency, stressfulness and types of ECS experienced by veterinarians, animal health technicians and veterinary nurses since the advent of the global COVID-19 pandemic in March 2020. Responses from 540 veterinary team members from 22 countries were analyzed. With the advent of the COVID-19 pandemic, the median frequency of ECS encountered by respondents increased from several times per month to several times per week (Spearman Rank Correlation 0.619, P < 0.0001). The most common ECS (encountered at least several times per week) were: challenging decisions about how to proceed when clients have limited finances (64.4%), conflict between personal well-being and professional role (64.3%), conflict between the interests of clients and the interests of their animals (59.6%). These were followed by challenging decisions about what counts as an essential veterinary service (48.1%); conflict between well-being of family/household members and professional role (46.3%); and challenging decisions about whether to perform non-contact veterinary visits (46.3%). The most stressful ECS (reported to be very or maximally stressful) were: conflicts between the interests of clients and the interests of their animals (50.2%), other (42.9%), conflicts between the interests of my employer and my own interests (42.5%), challenging decisions about how to proceed when clients have limited finances (39.4%), conflict between personal well-being and professional role (38.0%), and conflict between well-being of family/household members and professional role (33.6%). Thematic analysis of free-text responses revealed biosecurity, client financial limitations, animal welfare, working conditions, and client relations as prominent themes. This is, to the best of our knowledge, the first study to describe the impacts of the pandemic on ECS experienced by veterinary teams globally. It identifies an increase in the frequency of ECS associated with the COVID-19 pandemic, and a number of stressors unique to the pandemic. We identified a number of resources and strategies that may help veterinary team members navigate ethical challenges that may emerge in their daily work, as well as in the context of global crises.

A cross-sectional survey of UK veterinary practices to determine prevalence of patient stress-reducing and welfare-enhancing approaches believed to be undertaken in companion animal practice

Low stress animal handling approaches to veterinary inpatient care have been recommended to reduce the adverse effects of veterinary visits on patient health and wellbeing and improve staff safety. Evidence examining the utilization of low-stress handling techniques (LSHT) within the United Kingdom is limited. The aim of this study was to identify the reported prevalence of compliance with LSHT guidelines recommended by key organizations which promote welfare-friendly veterinary practice.A cross-sectional, observational, descriptive online survey was used. The survey was distributed by e-mail to all veterinary practices meeting the inclusion criteria and consenting to being contacted for market research purposes. Using 4-point Likert-type questions, veterinary professionals were asked to identify how often they believed their practice complied with 74 LSHT guidelines across seven themes. The recommendations were derived from four reputable welfare organizations.Of 1,012 contactable veterinary practices, 91 (9%) responded. Based on number of statements within a theme that most respondents answered always/regularly. Practices appeared to utilize LSHTs in the practice waiting room, consultations, inpatient care, and practice ethos. Less adherence to LSHT was shown in the wards, updating of patient records, and in client education. Lack of provision of client literature was a noticeable reported weakness across a range of indices and topics. Practice membership of the International Society for Feline Medicine “Cat friendly” scheme had small but significant positive effects across several themes.In conclusion, the apparent utilization of LSHT, facilities, and equipment varies across dimensions and potential explanations for this are discussed in the context of animal welfare.

A 3-year retrospective analysis of canine intestinal parasites: fecal testing positivity by age, U.S. geographical region and reason for veterinary visit

BackgroundCanine life stage is a key factor in parasite prevalence as clinical signs associated with parasitism are more common in pups. In adult dogs, health status and geographical region may also play a role in parasite prevalence. The purpose of this study was to evaluate fecal test results using zinc sulfate flotation by centrifugation combined with fecal antigen testing for hookworms (Ancylostoma spp. Uncinaria stenocephala), ascarids (Toxocara canis, Toxascaris spp., Baylisascaris spp.) and whipworms (Trichuris vulpis) sorted by age, geographical region and veterinary visit type.MethodsA retrospective sample of intestinal parasite panels submitted to IDEXX Laboratories from 1,626,104 individual dogs were selected from the continental USA from 1 January 2017 to 31 December 2019. These data contain results from fecal exams performed using zinc sulfate flotation by centrifugation paired with coproantigen immunoassay results for hookworms, ascarids, whipworms and Giardia (Fecal Dx® with Giardia coproantigen immunoassay plate). For paired testing, if either the coproantigen assay or flotation test was positive, the sample was considered to be positive. Data were summarized by age category, U.S. Census Bureau geographical region (Northeast, South, Midwest, West) and veterinary visit type. Visit types were subdivided into Wellness Visits and Other Clinical Visits in which a fecal sample was submitted.ResultsIn dogs presenting for either Wellness Visits or Other Clinical Visits in which Giardia testing was included, Giardia had the highest positivity (combined results for microscopy and coproantigen: 12.2 and 10.8%, respectively), followed by hookworms (combined microscopy and coproantigen: 4.1 and 4.2%, respectively), ascarids (combined microscopy and coproantigen: 2.5 and 1.7%, respectively) and whipworms (combined microscopy and coproantigen: 1.1 and 1.4%, respectively). When all test results were pooled together, pups aged 2–6 months were observed to have the highest proportion of positive results by either microscopy or coproantigen immunoassay regardless of clinical visit type. Parasite positivity varied by geographical region. Regardless of visit type, age or geographical region, the coproantigen method was observed to find a higher proportion of positive test results than microscopy in Giardia, ascarids, hookworms and whipworms.ConclusionsThe Fecal Dx® coproantigen immunoassay combined with the zinc sulfate flotation by centrifugation method uncovers a higher number of positive hookworm, ascarid and whipworm infections than zinc sulfate flotation alone in both pups and adult dogs across all geographical regions of the USA regardless of visit type.Graphical

2021 AAHA/AAFP Feline Life Stage Guidelines*

ABSTRACT The guidelines, authored by a Task Force of experts in feline clinical medicine, are an update and extension of the AAFP–AAHA Feline Life Stage Guidelines published in 2010. The guidelines are published simultaneously in the Journal of Feline Medicine and Surgery (volume 23, issue 3, pages 211–233, DOI: 10.1177/1098612X21993657) and the Journal of the American Animal Hospital Association (volume 57, issue 2, pages 51–72, DOI: 10.5326/JAAHA-MS-7189). A noteworthy change from the earlier guidelines is the division of the cat’s lifespan into a five-stage grouping with four distinct age-related stages (kitten, young adult, mature adult, and senior) as well as an end-of-life stage, instead of the previous six. This simplified grouping is consistent with how pet owners generally perceive their cat’s maturation and aging process, and provides a readily understood basis for an evolving, individualized, lifelong feline healthcare strategy. The guidelines include a comprehensive table on the components of a feline wellness visit that provides a framework for systematically implementing an individualized life stage approach to feline healthcare. Included are recommendations for managing the most critical health-related factors in relation to a cat’s life stage. These recommendations are further explained in the following categories: behavior and environmental needs; elimination; life stage nutrition and weight management; oral health; parasite control; vaccination; zoonoses and human safety; and recommended diagnostics based on life stage. A discussion on overcoming barriers to veterinary visits by cat owners offers practical advice on one of the most challenging aspects of delivering regular feline healthcare.

2021 AAHA/AAFP Feline Life Stage Guidelines.

The guidelines, authored by a Task Force of experts in feline clinical medicine, are an update and extension of the AAFP-AAHA Feline Life Stage Guidelines published in 2010. The guidelines are published simultaneously in the Journal of Feline Medicine and Surgery (volume 23, issue 3, pages 211-233, DOI: 10.1177/1098612X21993657) and the Journal of the American Animal Hospital Association (volume 57, issue 2, pages 51-72, DOI: 10.5326/JAAHA-MS-7189). A noteworthy change from the earlier guidelines is the division of the cat's lifespan into a five-stage grouping with four distinct age-related stages (kitten, young adult, mature adult, and senior) as well as an end-of-life stage, instead of the previous six. This simplified grouping is consistent with how pet owners generally perceive their cat's maturation and aging process, and provides a readily understood basis for an evolving, individualized, lifelong feline healthcare strategy. The guidelines include a comprehensive table on the components of a feline wellness visit that provides a framework for systematically implementing an individualized life stage approach to feline healthcare. Included are recommendations for managing the most critical health-related factors in relation to a cat's life stage. These recommendations are further explained in the following categories: behavior and environmental needs; elimination; life stage nutrition and weight management; oral health; parasite control; vaccination; zoonoses and human safety; and recommended diagnostics based on life stage. A discussion on overcoming barriers to veterinary visits by cat owners offers practical advice on one of the most challenging aspects of delivering regular feline healthcare.

Effectiveness of Aqua-acupuncture for Reducing Stress of Canine Patients in Veterinary Clinics

The objective of this study was to evaluate the potential of cyanocobalamin (vitamin B12) aqua-acupuncture (aqua-AP) for mitigating veterinary clinic visit stress in dogs. Twenty dogs with a history of stress behaviors at veterinary clinics were recruited and randomly assigned to either Control Group (sham aqua-AP) or Test Group (aqua-AP at GV-20 and bilateral An-shen). Only dogs with an elevated heart rate (HR) or exhibiting a positive stress behavior 10 minutes after arrival were included. The change (baseline to 15 and 30-minutes post-treatment) was compared between the 2 study groups for each stress measurement: HR, salivary cortisol and stress behavior score (average of panting, trembling, vocalizing, pacing, hiding, lip smacking). The study showed behavior score improvement at 15-min and 30-min post-treatment in both groups, however, improvement in the aqua-AP group was double that of the control dogs (61% vs 28% at 15 min, 50% vs 23% at 30 min, respectively). When considering only panting behavior, which dominated the behavioral score, the Test Group improvement when compared to Control Group at 15-min (46% vs 10% decrease, respectively) and 30-min (50% vs 23% decrease, respectively) demonstrated a statistically significant difference between the 2 study groups (p= 0.008 at 15 min and 0.004 at 30 min). In both groups, the study did not find significant changes in either HR or salivary cortisol concentration (SCC), although the HRs were reduced in both groups. This small pilot study suggests vitamin B12 aqua-acupuncture (GV-20, An-shen) could be useful for reducing canine visit stress at veterinary clinics.

Effectiveness of Aqua-acupuncture for Reducing Stress of Canine Patients in Veterinary Clinics

The objective of this study was to evaluate the potential of cyanocobalamin (vitamin B12) aqua-acupuncture (aqua-AP) for mitigating veterinary clinic visit stress in dogs. Twenty dogs with a history of stress behaviors at veterinary clinics were recruited and randomly assigned to either Control Group (sham aqua-AP) or Test Group (aqua-AP at GV-20 and bilateral An-shen). Only dogs with an elevated heart rate (HR) or exhibiting a positive stress behavior 10 minutes after arrival were included. The change (baseline to 15 and 30-minutes post-treatment) was compared between the 2 study groups for each stress measurement: HR, salivary cortisol and stress behavior score (average of panting, trembling, vocalizing, pacing, hiding, lip smacking). The study showed behavior score improvement at 15-min and 30-min post-treatment in both groups, however, improvement in the aqua-AP group was double that of the control dogs (61% vs 28% at 15 min, 50% vs 23% at 30 min, respectively). When considering only panting behavior, which dominated the behavioral score, the Test Group improvement when compared to Control Group at 15-min (46% vs 10% decrease, respectively) and 30-min (50% vs 23% decrease, respectively) demonstrated a statistically significant difference between the 2 study groups (p= 0.008 at 15 min and 0.004 at 30 min). In both groups, the study did not find significant changes in either HR or salivary cortisol concentration (SCC), although the HRs were reduced in both groups. This small pilot study suggests vitamin B12 aqua-acupuncture (GV-20, An-shen) could be useful for reducing canine visit stress at veterinary clinics.

A Review on Mitigating Fear and Aggression in Dogs and Cats in a Veterinary Setting.

Simple SummaryThe majority of dogs and cats are fearful during veterinary visits, and some individuals may show aggression as a result. We review ways to avoid negative experiences and promote positive emotions in animals visiting the veterinarian. Whenever an animal is in the practice, the veterinary team should endeavour to make the visit as pleasant as possible, by using non-threatening body language and by creating positive associations. High-value food (unless an animal needs to be fasted) or toys should be used generously throughout the visit. In the interaction with the animals, low-stress handling methods, brief pauses and adjusting the procedure based on the animal’s body language help them to feel secure. Distractions can be used to minimise perceived pain such as from injections. If a known painful area needs to be treated, pain killers are advised. For animals that are very fearful, several medication options are available that can be given prior to the veterinary visit to help them with their fears. With reward-based training, animals can learn to accept veterinary procedures. A stress-free veterinary visit benefits all involved parties—the animals, their owners, as well as the veterinary team.A high proportion of dogs and cats are fearful during veterinary visits, which in some cases may escalate into aggression. Here, we discuss factors that contribute to negative emotions in a veterinary setting and how these can be addressed. We briefly summarise the available evidence for the interventions discussed. The set-up of the waiting area (e.g., spatial dividers; elevated places for cat carriers), tailoring the examination and the treatment to the individual, considerate handling (minimal restraint when possible, avoiding leaning over or cornering animals) and offering high-value food or toys throughout the visit can promote security and, ideally, positive associations. Desensitisation and counterconditioning are highly recommended, both to prevent and address existing negative emotions. Short-term pain from injections can be minimised by using tactile and cognitive distractions and topical analgesics, which are also indicated for painful procedures such as ear cleanings. Recommendations for handling fearful animals to minimise aggressive responses are discussed. However, anxiolytics or sedation should be used whenever there is a risk of traumatising an animal or for safety reasons. Stress-reducing measures can decrease fear and stress in patients and consequently their owners, thus strengthening the relationship with the clients as well as increasing the professional satisfaction of veterinary staff.

How has the pandemic affected what we do and how we feel?

As life suddenly changed with the introduction of the first lockdown, it soon became obvious that day-to-day farming was also being impacted. Routine veterinary visits, trips to the usual trade shows, farm discussion meetings and the like all stopped. But how could that information void be filled and, more to the point, how could communication best carry on? The FarmComm study took place in May with supplementary questions asked at the UK-Vet Healthy Herd conference.

Teaching Gentle Canine and Feline Handling as a Veterinary Clinical Skill.

This article was migrated. The article was marked as recommended. Gentle animal handling techniques decrease the fear, anxiety, and stress (FAS) felt by companion animals during veterinary visits. These techniques, relatively new in the veterinary field, can be taught to veterinary students in a progressive clinical skills curriculum using models and live animals. This article includes a series of comprehensive lesson plans that are simple to adopt and easy to modify to fit the needs of individual institutions teaching these skills. These laboratories, each reviewing and building on content previously presented, are meant to be accompanied with specific feedback offered by instructors overseeing student performance of skills. Students' deliberate practice of these techniques is meant to build, refine, and reinforce gentle animal handling from the start of their veterinary education to prepare them to handle animals using these techniques during their clinical training and beyond.

Proteomic analysis of tear film composition in diabetic dogs

AbstractPurposeDiabetes mellitus is becoming an increasing concern in veterinary practice and research. Not treated, it can lead to serious systemic complications and even animal death. The most common form of diabetes in dogs resembles type 1 diabetes in humans. Tear film is easily accessible fluid that can be collected during routine veterinary visit. Based on research conducted in humans, we propose that diabetes can reflect on tear film proteomic composition.MethodsThe study was conducted on 49 dogs. Enrollment was restricted to clinically stable diabetic dogs. Nineteen healthy age‐ and sex‐matched dogs were included as a control group. Tear film was collected with Schirmer strips from the diabetes and sex‐ and age‐matched control group. Two‐dimensional electrophoresis was performed followed by MALDI‐TOF mass spectrometry identification of differential proteins. Quantitative analysis of the differentiating electrophoretic spots was done with 2Delta software. Metabolic pathways associated with those proteins were identified with Panther GO software.ResultsNine out of a total 489 proteins detected on all of the gels were identified as significantly differentially expressed (p ≤ 0.05) in tear film samples collected from diabetic patients. Eight of the nine proteins were assigned to downregulated, namely Phosphatydylinositol‐4 kinase, Pro‐melanin concentrating hormone, Flotillin‐1, Protein mono‐adp ribosyltransferase, ATP‐dependent RNA helicase, GRIP and coiled coil domain containing protein 2, Tetratricopeptide repeat protein 36, Myosin light chain 6B and Prelamin A/C. One of the nine proteins (SRC kinase signalling inhibitor 1) was assigned to upregulated.ConclusionsTear film obtained from dogs with diabetes differs from the healthy controls. Those findings correspond with research conducted in humans, and can add value to our understanding about the course of the disease in dogs. Also, dogs serve well as an animal model of various human diseases.

A cross-sectional study of pet owners' attitudes and intentions towards nutritional guidance received from veterinarians.

Beliefs of pet owners strongly influence their decision-making surrounding their pets' diet. Thus, nutritional guidance is an essential component of veterinary practice and integral to managing rising rates of pet obesity. This study examined pet owners' trust of, perceived effectiveness of, and intentions to follow nutritional guidance received from their veterinarian in managing their pets' diet. A cross-sectional study of 1402 dog and cat owners in the USA and Canada was conducted using an online questionnaire tool. Data were analysed using descriptive statistics and logistic regression modelling. Clients are concerned about the effectiveness of veterinary nutrition recommendations. Cat owners were more likely than dog owners to consider the nutritional guidance they receive from veterinarians effective for their pets' diet (1.75, P=0.04). Length of pet ownership, feeding dry diets and frequency of veterinary visits were all positively associated with owners considering veterinary nutritional guidance to be effective in managing pets' diet. Identifying these perspectives can aid in developing strategies to provide nutrition support to pet owners to improve their perceptions of, self-efficacy with, and compliance with veterinary nutrition recommendations.

Size, demography, ownership profiles, and identification rate of the owned dog population in central Italy.

The One Health paradigm recognizes that information on infectious diseases, zoonosis and related predictors in animal populations is essential. Pets live in close contact with humans and interact with wild animals, but the lack of reliable information on pet population size, demography and ownership profiles is a constant worldwide. Reliable data must be made available in order to address proper public health policies regarding the design of surveillance plans, the management of canine welfare and stray dog phenomenon, the control of dog behaviour-related problems, and the livestock/wildlife endangerment. Dog identification & registration (I&R) have become mandatory in most European countries in recent years, but the process is far from being widely accomplished, thus resulting in an underestimation of the real canine population. To date, data on the completeness of Dog Registries is very limited. A cross-sectional survey through 630 face-to-face questionnaires was performed with the aim of investigating the dog population size, demography, ownership profiles, and the I&R rate in central Italy. Logistic regression models investigated risk factors with the following outcome variables: dog presence into the Dog Registry, veterinary care frequency, and dog ownership. The present study identified that the dog population is higher than previously reported in Italy and in Europe, whilst lower compared to countries with a poor Human Development Index (a statistic composite index of life expectancy, education, and per capita income indicators used by United Nation). Almost half of the interviewed people (47%) owned at least one dog, totalling 315 dogs. The mean number of dogs per household was 0.7 and 1.5 per dog-owning household. The Bayesian model estimated 481,294 (95% CI: 470,860-491,978) dogs (90 dogs/km2; human:dog ratio 9.0, 95% CI: 8.8-9.2) suggesting that a high density of people does not limit the dog ownership. Dogs resulted predominant among pets. The majority of dogs were males, crossbred, acquires as a gift, lived in rural areas, outdoors and attended a veterinary visit 1-2 times per year. The percentage of neutered dogs were higher in females (55%) than in males (8%). Only 75.3% (95% CI: 73.6-76.9) of the dogs were correctly identified and registered. The Dog Registry completeness increased during the first decades after its establishment, but no improvement has been made afterwards. The dogs correctly identified and registered were more likely to be purebred, neutered, lived in urban areas and visited a veterinarian frequently. Several strategies are recommended to encourage I&R, including promoting responsible dog ownership, engaging private veterinarians and dog breeders, and establishing an effective control system. The present study identified also that the dog source and the kind of feeding were variables associated with the veterinary care frequency. Owning a dog was associated with living in rural areas and the presence of children. The present study reported the poor presence of reliable predictors for the dog ownership. This is the first study to provide an estimate of the canine population abundance, characteristics, and ownership profiles in a European large metropolitan area.

Development of an Early Warning System for Owners Using a Validated Health-Related Quality of Life (HRQL) Instrument for Companion Animals and Its Use in a Large Cohort of Dogs.

Preventive measures in human healthcare are recognized as a means of providing early detection of disease, however, the veterinary profession has not been as effective in communicating the benefits of preventive measures to pet owners. Readily available pet healthcare information on the internet, owners not understanding that regular health evaluations can ensure the well-being of their pets and owners confusing the signs of chronic disease with normal aging have contributed to declining numbers of veterinary visits. The use of web-based generic health–related quality of life (HRQL) measures to evaluate health status (wellness) remotely could facilitate veterinary preventive medicine. This publication describes the development and practical application of an integrated alert system for an online generic HRQL measurement instrument (VetMetrica™) which generates scores in four domains of HRQL—Energetic/Enthusiastic (E/E), Happy/Content (H/C), Active/Comfortable (A/C), and Calm/Relaxed (C/R)—for 2 age groups (young/middle-aged, ≤7 years and old, ≥8 years). The alert provides an early warning, via email to owners, that a potentially significant deterioration in health status has occurred. The model accurately predicted the health status of 93 and 83% of sick young/middle aged and old dogs respectively, with healthy dogs predicted with 83% accuracy. HRQL data, collected via a white-labeled veterinary clinic branded app designed to facilitate connected care between owner and veterinarian, were analyzed for 6,108 dogs, aged between 6 weeks and 16 years. Of these 5,002 were deemed to be in perfect health by their owners, yet the alert was triggered for 1,343 (27%) of these, 75% of which were young/middle-aged and 25% were old, indicating that acute injuries notwithstanding, many middle aged dogs may have been suffering from undetected chronic disease such as osteoarthritis. This work has demonstrated that the use of VetMetrica™ delivered via the PetDialog™ app, which supports 24/7 remote health monitoring is an efficient way for vets to provide all their owners with the opportunity to monitor their animal's wellness throughout their lifetime, providing the vet with a mechanism to identify health problems early while stimulating owners to be more proactive in seeking veterinary attention.