Attitudes and perceptions of veterinary paraprofessionals in New Zealand to postoperative pain in dogs and cats

AIM: To survey the attitudes and perceptions of veterinary paraprofessionals in New Zealand to postoperative pain in dogs and cats.

METHODS: In December 2011, veterinary paraprofessionals (VP) from throughout New Zealand were invited to participate in an online survey. Eleven questions, which were divided into five sections, were used to determine demographic information, the respondents’ assessment of pain after commonly performed surgeries in dogs and cats, their opinions on provision of analgesia, who had responsibility for pain monitoring and the use of any formal pain scoring system in the practice.

RESULTS: Data from 165 respondents were able to be used, and 162 (98%) respondents to the survey were female. According to the respondents’ estimates, fracture repair in dogs and repair of diaphragmatic hernias in cats had the highest pain score following surgery. Neutering procedures involving dogs were scored higher than for cats (p<0.01). All respondents agreed that animals benefit from perioperative analgesia. The veterinary nurse was reported to be predominantly responsible for monitoring pain in animals postoperatively by 116/165 (70.3%) respondents. Of 165 respondents, 154 (93%) considered that their knowledge of pain and assessment of pain could be enhanced.

CONCLUSIONS: This survey reflects the attitudes and perceptions of a sample of VP in New Zealand to postoperative pain in dogs and cats. The results indicate that all respondents believe that surgery results in sufficient pain to warrant analgesic therapy. Routine neutering surgeries were considered to be more painful in dogs than in cats. The current survey also provides information to educators on potential areas of focus, given that 93% of respondents felt that their knowledge of pain and assessment of pain could be enhanced.     

Attitudes of farm consultants in the South Island of New Zealand towards the role of veterinarians in farm businesses

AIMS: To assess the attitude of dairy farm consultants to the role of veterinarians on dairy farms and whether they viewed veterinary advice as impartial, free from commercial bias and central to farm productivity and profitability.

METHODS: A telephone survey was commissioned in September 2014 of 36 full-time farm consultants in the Canterbury and Otago region of New Zealand using a pre-prepared questionnaire to explore their attitudes towards the veterinary profession. Of those approached, 25 completed the survey.

RESULTS: The consultants surveyed agreed or strongly agreed (21/23) that they were the custodians of animal health expenditure on farms, which was seen as an expense to be controlled (19/25 agreed or strongly agreed). This view was held more strongly (9/9 agreed or strongly agreed) by consultants with >5 years’ professional experience, compared to 10/16 consultants with ≤5 years’ experience. Most consultants (24/25) disagreed that they did not respect veterinary advice, but agreed (24/25) that veterinarians almost always had a vested interest in the advice that they gave. The role of veterinarians was seen by respondents to be mainly treatment of sick animals (22/25) and provision of animal health products (24/25), but not in maximising farm profitability (selected by 8/25 respondents). Consultants viewed their own roles as providing advice on the influence of animal health on farm profitability (21/25), nutrition (22/25) and reproduction (20/25). Most respondents (21/25) stated that reducing disease and animal health issues was important, but they (21/25) also identified a reduction in farm animal health expenditure as a measure of success. Only 7/25 consultants felt that they should work in partnership with veterinarians.

CONCLUSIONS: This was a small scale study from one region of New Zealand but it indicates that consultants are ambivalent about the role and value of working more closely with veterinarians, and about the benefit that veterinary intervention may bring to a farm’s profitability.

CLINICAL RELEVANCE: More successful veterinary involvement on dairy farms will follow from a better understanding of how other rural professionals are involved in the farm’s management and in meeting the individual farmer’s goals and motivations.     

150th anniversary of veterinary education and the veterinary profession in North America: part 2, 1940-1970

This article is the second in a series of four to be published in the Journal of Veterinary Medical Education (JVME). These articles are abridged versions of six lectures that make up an elective course on the history of the veterinary profession in North America offered at Cornell University's College of Veterinary Medicine to students in all four years of the program. The course is built in part on a series of biographies and interviews captured in a collection at http://www.vet.cornell.edu/legacy, and complemented by a growing collection of historical and public policy blogs at http://www.veterinarylegacy.blogsite.com. This article describes the development of the veterinary profession from 1940 to 1970, with particular emphasis on World War II, the Land Grant colleges established in the mid- and late 1940s, women in veterinary medicine (1910-1970), and African-Americans (ca. 1890-1945). Though the article is somewhat Cornell-centric because the lectures were presented to Cornell students at their home institution, many events are representative of the broader American experience.     

Backyard chicken keeping in the Greater London Urban Area: welfare status,biosecurity and disease control issues

1. The aim of the study was to collect baseline data on welfare, biosecurity and diseases of backyard chickens kept in the Greater London Urban Area (GLUA), United Kingdom (UK).

2. A total of 65 backyard chicken flock-keepers were recruited from May to July 2010 through adverts on websites, at City farms, veterinary practices and pet feed stores and surveyed by means of a questionnaire. A total of 30 responses were suitable for analysis.

3. Information on keepers’ and flocks’ characteristics, housing and husbandry practices and owners’ knowledge of health problems in chickens and zoonotic diseases was collected. A welfare assessment protocol was developed and the flocks assessed accordingly.

4. Results showed that chickens were generally provided with living conditions that allowed them to perform their natural behaviours.

5. Most of the flock owners did not comply with the regulations of the Department for Environment, Food and Rural Affairs (Defra) on the feeding of catering waste.

6. Disease prevention measures such as vaccination and biosecurity, including limiting the access of human visitors, wild birds and rodents to the flocks were rare.

7. A lack of avian and zoonotic disease knowledge and awareness among the owners has implications for disease control and highlights the need for improved communication between owners, authorities and veterinarians.     

Experience and confidence of final year veterinary students in performing desexing surgeries

AIMS: To describe the level of experience and confidence of veterinary students in performing canine and feline desexing procedures at the end of their final clinical year.

METHOD: A cross-sectional survey was conducted with veterinary students at Massey University in November 2017 after completion of their final clinical year. The questions included career plans after graduation, number of assisted and unassisted desexing procedures performed, approximate time to complete desexing surgeries, level of confidence with different aspects of desexing surgeries, what aspects of their desexing surgery training were most helpful, and what could be done to improve training in desexing surgical skills in veterinary school.

RESULTS: The survey was completed by 70/95 (74%) students in their final clinical year. Among respondents, 55/70 (70%) had performed >2 unassisted feline neuters before graduation. However 38/70 (54%) students had never performed an unassisted feline spay, 31/70 (44%) had never performed an unassisted canine neuter, and 44/70 (63%) students had never performed an unassisted canine spay. The median reported times to complete a feline neuter, feline spay, canine neuter, and canine spay were 9, 40, 30 and 60 minutes, respectively. The median level of confidence for these procedures were 9, 6, 7 and 5 (on a scale from 1=least confident to 10=most confident), respectively. The reported time to complete procedures and the confidence in performing procedures did not change markedly with increasing total number of procedures performed. Students were most concerned about their ability to perform the desexing procedures in a reasonable amount of time and to prevent post-operative bleeding from occurring. Students were least concerned with their ability to manage post-operative pain in patients and to select the appropriate suture material. Free-text comments revealed that 62/70 (89%) students wanted more hands-on surgical experience prior to graduation.

CONCLUSION AND CLINICAL RELEVENCE: Many students are currently completing veterinary school with limited experience and low confidence with performing routine canine and feline desexing procedures. Further research is needed to identify the most effective ways for addressing this issue within the constraints of the veterinary curriculum and teaching hospital resources.     

Considering the relationship between domestic violence and pet abuse and its significance in the veterinary clinical and educational contexts

This thematic review examines the literature regarding the relationship between domestic violence (DV) and pet abuse (PA) particularly in the veterinary clinical and educational contexts. It examines the significance of this relationship for the veterinary profession including the veterinarian’s role and associated legal and ethical obligations, and relevant current veterinary education standards, to identify future clinical and educational directions. Articles were sourced from online databases by searching the keywords without date restrictions. Overall, 70 articles were retrieved and reviewed.

Pet abuse has been identified as a potential risk factor for DV, and DV perpetrators may harm or kill a pet to exert physical, psychological or emotional control over an intimate partner. Given that victims of DV often seek veterinary aid for their pets, veterinarians may act as frontline professionals in the recognition of the link between PA and DV. Veterinarians must assess individual cases for diagnostic indicators of non-accidental injury and consider demographic factors to identify suspected PA and DV. Despite existing legal and ethical obligations of the veterinarian relating to suspected PA and victims of DV, veterinarians have uncertainty and unpreparedness in addressing PA and DV in a clinical context. Many factors may contribute to the lack of veterinary intervention in suspected cases of PA and DV including concern for animal welfare, confusion about the reporting process and uncertainty in differentiating accidental versus non-accidental injuries in pets. Specific published guidelines regarding the recognition and reporting of PA and DV in the veterinary clinical context are required. Limited published evidence exists examining the implementation and success of veterinary training regarding the relationship between DV and PA. Ultimately, veterinary student education is needed to prepare veterinarians for their response to PA and DV in practice. Further research is required to examine the effects of the delivery of content regarding the link between PA and DV in the veterinary curriculum on veterinary student knowledge and attitudes.     

Commensal or pathogen – a challenge to fulfil Koch’s Postulates

1. Infectious diseases have a large impact on poultry health and economics. Elucidating the pathogenesis of a certain disease is crucial to implement control strategies.

2. Multiplication of a pathogen and its characterisation in vitro are basic requirements to perform experimental studies. However, passaging of the pathogen in vitro can influence the pathogenicity, a process targeted for live vaccine development, but limits the reproduction of clinical signs.

3. Numerous factors can influence the outcome of experimental infections with some importance on the pathogen, application route and host as exemplarily outlined for Histomonas meleagridis, Gallibacterium anatis and fowl aviadenoviruses (FAdVs).

4. In future, more comprehensive and detailed settings are needed to obtain as much information as possible from animal experiments. Processing of samples with modern diagnostic tools provides the option to closely monitor the host–pathogen interaction.     

An overview of positive pressure ventilation

Objective: The purpose of this article is to give the reader a brief overview of the indications for positive pressure ventilation (PPV). Data sources: Current human and veterinary literature. Summary: There are numerous indications for PPV in veterinary medicine. These include both pulmonary parenchymal disease and diseases that affect ventilation. When choosing PPV, a clinician must have a comprehensive understanding of the different ventilation mode options available and the physiologic effects of ventilation on the patient. Conclusions: PPV is becoming more widely used in veterinary medicine and is improving the survival of animals with hypoxemic and hypercapnic respiratory failure.     

Heterophil/lymphocyte ratio as a selection criterion for heat resistance in domestic fowls

1. Two experiments were conducted to examine the Heterophil/Lymphocyte ratio (H/L) as criterion for selection for resistance to heat stress and some aspects of general resistance in domestic fowls.

2. The first experiment on a small sample (n = 64) of light breed Iraqi local fowls showed that this ratio could be used as an indicator of heat stress resistance.

3. The second experiment on a large sample (n= 1160) of heavy parent stock confirmed the results. It showed that there was a different H/L ratio for the two strains and that there was much individual variability in the H/L ratio within‐strain that could be utilised for individual selection for heat resistance.

4. The H/L ratio was highly heritable; Resistant and Sensitive groups, defining all individuals with an H/L ratio over the upper 95% confidence limit as ‘Sensitive’ and those below as ‘Resistant’, produced progeny with significantly different H/L ratios.

5. There were indications of differences in mortality between the progeny of the Resistant and the Sensitive groups.

6. The H/L indicator could be used as a criterion to select for heat stress resistance.     

World watch

Four new viruses with veterinary and public health implications have been discovered in association with bats since mid-1994 - three in Australia and one in Malaysia. Bats are naturally infected by all four viruses and appear to be the natural reservoirs for these viruses. Thus, whenever attending bats, veterinarians need to be aware of the diseases that can be caused by these viruses, both for reasons of differential diagnosis and of occupational health and safety. Fact sheets with additional information on these new viruses are available on the CSIRO website ( http://www.csiro.au ).     

Three open issues on Avian Influenza – H5, H7, H9 against all odds

1. Scientific knowledge and certainties on Avian Influenza infections have been completely shaken following the emergence and spread of three “odd” subtypes, namely H5, H7 and H9.

2. These subtypes, particularly H5N1, also have public health implications in addition to causing animal disease.

3. Control of infection in animals and in-depth analysis of virus antigenic and genetic properties largely rely on the veterinary community which requires better weapons that will be efficacious only if revised tactics are developed and vigorously applied.     

Immortalized sheep microglial cells are permissive to a diverse range of ruminant viruses

Background: Ruminants, including sheep and goats (small ruminants), are key agricultural animals in many parts of the world. Infectious diseases, including many viral diseases, are significant problems to efficient production of ruminants. Unfortunately, reagents tailored to viruses of ruminants, and especially small ruminants, are lacking compared to other animals more typically used for biomedical research.

Objective: The purpose of this study was to determine the permissibility of a stably immortalized, sheep microglial cell line to viruses that are reported to infect ruminants: bovine viral diarrhea virus (BVDV), bovine herpesvirus 1 (BoHV-1), small ruminant lentiviruses (SRLV), and bovine respiratory syncytial virus (BRSV).

Methods: Sublines A and H of previously isolated, immortalized, and characterized (CD14-positive) ovine microglial cells were used. Bovine turbinate cells and goat synovial membrane cells were used for comparison. Cytopathic changes were used to confirm infection of individual wells, which were then counted and used to calculate the 50% tissue culture infectious dose. Uninoculated cells served as negative controls and confirmed that the cells were not previously infected with these viruses using polymerase chain reaction (PCR).

Results: Inoculation of the two microglial cell sublines with laboratory and field isolates of BVDV, BoHV-1, and BRSV resulted in viral infection in a manner similar to bovine turbinate cells. Immortalized microglia cells are also permissive to SRLV, similar to goat synovial membrane cells.

Conclusion and clinical relevance: These immortalized sheep microglial cells provide a new tool for the study of ruminant viruses in ruminant microglial cell line.     

Assessing obesity in adult dogs and cats presenting for routine vaccination appointments in the North Island of New Zealand using electronic medical records data

Aims: To assess the prevalence of obesity in adult dogs and cats presented to first-opinion veterinary clinics in the North Island of New Zealand for routine vaccination appointments, using electronic medical records.

Methods: Ten first-opinion veterinary clinics across the North Island of New Zealand provided electronic medical records for all routine vaccination appointments for adult (>1 year old) dogs and cats between 1 January 2011 and 30 June 2016. Animals with a body condition score (BCS) of 6 or 7 on a 9-point scale and 4 on a 5-point scale were classified as overweight; those with a BCS of 8 or 9 on a 9-point scale and 5 on a 5-point scale were classified as obese. A total of 106,144 records were available over the study period, of which 48,041 (45.2%) had both a recorded weight and BCS.

Results: Of the 24,247 records for dogs with both BCS and weight, 6,324 (26.1%) were classified as overweight, and 551 (2.3%) as obese. The prevalence of dogs classified as overweight or obese was highest in dogs aged between 5–13 years. The odds of desexed dogs being classified as overweight or obese was greater than the odds for intact dogs (OR=1.42 (95% CI=1.29–1.57), p<0.001) adjusting for the effects of age. Of the 23,794 records for cats with a recorded weight and BCS, 5,222 (21.9%) were classified as overweight, and 622 (2.6%) as obese. The prevalence of cats classified as overweight or obese was highest in cats aged between 5–11 years. The odds of desexed cats being classified as overweight or obese tended to be greater than the odds for intact cats (OR=1.14 (95% CI=0.98–1.31); p=0.075), adjusting for the effects of age.

Conclusions: Although there are limitations with using electronic medical records to estimate the prevalence of obesity in companion animal populations, the results highlight that a significant number of animals presenting for routine vaccination appointments were classified as overweight or obese.

Clinical Relevance: It is important for veterinarians to record both patient body condition and weight during routine preventative care appointments to allow accurate ongoing monitoring of trends in obesity at both the patient and population levels.

Abbreviations: BCS: Body condition score     

Policies for the vaccination of cats and dogs in New Zealand veterinary practices

AIMS: To determine current practices and attitudes towards vaccination of dogs and cats of veterinarians in New Zealand; the methods used for informing clients on which vaccines to use, and the preferred site for vaccination of cats.

METHODS: A postal questionnaire was sent to all 483 listed veterinary practices in New Zealand during February 2012. Some questions were specific to pet dogs, cats, or working farm dogs. Responses were categorised according to practice type and geographical region of the respondent. Factors associated with respondent recommendation of annual vaccination with modified live viral (MLV) vaccines were examined using logistic regression analysis. Vaccines that were considered to be essential for every animal were defined as core; those that may be recommended for animals whose location or lifestyle placed them at risk, were defined as non-core.

RESULTS: There were 204 useable returns, equivalent to a response rate of 42.2%, distributed across the country. Annual vaccination with MLV vaccines of dogs was recommended by 54/198 (27.3%) respondents, and of cats by 107/181 (59.1%) respondents. Factors associated with the recommendation of annual administration of MLV vaccines to dogs included being a companion animal practice, a desire for policies on vaccination to be left to individual clinics, and having one veterinarian in the practice. Administration of the final vaccination for puppies was recommended at ≥14 weeks old by 55/185 (29.7%) respondents, and for kittens at ≥13 weeks old by 42/183 (23%) respondents. Of respondents that administered MLV vaccines annually, 62/103 (60.2%) believed reducing the frequency of vaccination would reduce income, and 52/103 (50.5%) considered it would have a negative effect on animal health. Advice to enable clients to decide which non-core vaccines were administered was given by 181/199 (91%) respondents. Factors considered when recommending a vaccine included consideration of risk to individual patients (190/203; 93.6%), requirements of boarding kennels/catteries (165/203; 81.3%) and clinic vaccination policy (142/203; 70%). The preferred site for administering MLV vaccines to cats was the dorsal neck or inter-scapular region (137/198; 69.2%). Amongst respondents, 18 wanted disease surveillance information to allow for truly informed decisions to be made about vaccination.

CONCLUSIONS AND CLINICAL RELEVANCE: Veterinarians can now compare their own vaccination practices and attitudes with those of veterinarians nationally, and internationally. There is a need for national surveillance information and for continued education of the public and commercial kennel and cattery owners for optimal vaccination strategies to be developed.     

Swine fever: classical swine fever and African swine fever.

Because of the clinical and pathologic similarity to common endemic diseases, introduction of CSFV or ASFV strains of moderate to low virulence represents the greatest risk to North American swine herds. Producers, veterinarians, and diagnosticians should increase their awareness of these devastating diseases and request specific diagnostic testing whenever they are suspected. Production practices that improve biosecurity will reduce the risk of introduction of CSF and ASF and limit the spread if an incursion occurs. Additional resources. The following Web sites contain excellent color photographs that will assist producers and practitioners in identifying clinical signs and gross lesions associated with CSFV and ASFV: http://www.vet.uga.edu/vpp/gray_book/FAD and http://www.pighealth.com. The latter Web site and the OIE Web site (http://www.oie.int) offer updated information on current worldwide epizootics of ASF and CSF and other swine diseases. Details of biosecurity procedures can be found at http://www.agebb.missouri.edu; see publication G2340.     

Battery cage shape: Its effect on diurnal feeding pattern,egg shell cracking and feather pecking

1. Battery cages 460 mm in depth (deep) were compared with 305 mm cages (shallow); the two shapes provided equal areas per bird.

2. More eggs were produced per hen housed from 30 to 70 weeks in the shallow cages; the difference approached significance.

3. The pattern of feeding activity over the day was significantly more U‐shaped in the shallow cages; this pattern accords more closely with physiological requirements.

4. Feather damage caused by pecking was slightly but significantly more severe in the deep cages at 70 weeks.

5. The proportion of cracked eggs (collected from 60 to 70 weeks) was significantly lower in the shallow cages.

6. The arrangement of the hens was such that within the shallow cages a higher proportion of birds was present in the front half.

7. It is suggested that some of the advantages conferred by the shallow cage may be related to the greater accessibility of the food trough.     

Multi-factorial investigation of various housing systems for laying hens

1.?The advantages and disadvantages of various housing systems for laying hens were compared as a pilot study for work in commercial conditions.

2.?At 16 weeks of age, 284 hens were introduced into one of 6 housing systems: two types of conventional cages (small: SC; large: LC), furnished cages (small: SF; large: LF), and non-cage systems (single-tiered aviary: SA; free-range: FR).

3.?We evaluated the welfare, egg production, and immune response of the birds in these housing systems, built in the same location, for 18 months. For welfare evaluation, we examined their ethology, physiology, anatomy, production, and physical condition.

4.?The non-cage systems, especially FR, had a low score for freedom from pain, injury, and disease, together with other disadvantages, such as pale eggs and increased feed intake for production. However, the score for freedom to express normal behaviour was high and immune response was good in the non-cage systems.

5.?In the furnished cages, behaviour was more diverse in SF than in LF, and in SF immune response was comparable with the non-cage systems.

6.?For freedom from fear and distress, the non-cage systems had high scores for some indicators such as TI duration, H/L ratio and claw length, while aggressive pecking and feather pecking was worse in the housing systems with large group sizes.     

Environment and management factors affecting Pekin duck production and welfare on commercial farms in the UK

1.?Forty-six flocks of commercially-reared Pekin ducks were studied in 23 houses differing in their ventilation and brooding systems, and water and feed resources, in order to identify factors affecting duck welfare in commercial practice.

2.?A wide range of environmental variables were measured, together with the physical and plumage condition of the ducks at two ages, whilst companies supplied mortality and growth rate data.

3.?At 23 d, more than 98% of ducks had clean eyes, nostrils and feathers and an upright posture, and 86% had no gait abnormalities. By 41 d, body condition had deteriorated slightly with 84% of ducks having clean eyes, 67% clean feathers and 79% no gait abnormalities.

4.?Gait worsened with increasing temperature and litter moisture, and atmospheric ammonia concentrations. The incidence of foot pad lesions was 10% (moderate) and 3% (severe) and was positively correlated with increasing humidity and ammonia.

5.?Average mortality rates were 5?2% for ducks reared to 3?35 kg at 48 d with average growth rates of 60?3 to 81?3 g/d. High temperatures correlated with high mortality and reduced growth rate; growth rate was not related to poor gait.

6.?Controlling the ducks’ environment, particularly temperature, humidity, litter moisture and ammonia is crucial to duck welfare. Effective ventilation systems, high quality straw and access to some form of open water were considered important for duck welfare.     

Ovarian morphology and rates of ovarian follicular development in laying broiler breeders and commercial egg‐producing hens

1. Ovaries from a light‐bodied egg laying strain and a broiler breeder strain were compared at 26 and 82 weeks of age.

2. The rate of lay in both strains was lower in the older hens. The 82‐week‐old hens were subdivided into good and poor layers: the poor layers produced eggs at about half the rate of the good layers.

3. The yellow‐yolky ovarian follicles in both strains were smaller, more numerous and more closely ranked in hierarchies in 26‐week‐old hens than in 82‐week‐old hens.

4. No marked differences were seen between the strains at 26 or 82 weeks of age in the sizes, numbers or hierarchical arrangements of yellow‐yolky ovarian follicles.

5. The ovaries from 82‐week‐old good and poor layers from both strains contained similar numbers of yellow‐yolky follicles.

6. After feeding a fat‐soluble dye, the number of days over which eggs containing dye were laid did not differ between 26‐, 52‐ and 113‐week‐old hens from an egg laying strain. However, fewer eggs with dyed yolks were laid by the older hens.

7. These observations suggest that the decrease in egg production with age is due initially to a reduction in the rate of recruitment of yellow‐yolky follicles. Towards the end of the laying year it may also be due to an increased incidence of follicular atresia, internal ovulation and the production of membraneous or soft shelled eggs.