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The Veterinary Clinics of North... Jul 2023Feline osteoarthritis is common; despite vague clinical signs, it can result in mobility impairment and quality of life concerns. An integrative approach to management... (Review)
Review
Feline osteoarthritis is common; despite vague clinical signs, it can result in mobility impairment and quality of life concerns. An integrative approach to management may include analgesic medications, dietary modifications, nutraceuticals, environmental modifications, physical rehabilitation, acupuncture, and regenerative medicine. Management of concurrent disease and consideration for patient tolerance and owner compliance are critical in formulating a treatment plan in cats with osteoarthritis.
Topics: Cats; Animals; Quality of Life; Osteoarthritis; Dietary Supplements; Cat Diseases
PubMed: 36964025
DOI: 10.1016/j.cvsm.2023.02.015 -
Journal of Veterinary Internal Medicine 2024Urinary incontinence (UI) is a disorder of micturition that can occur in dogs of any age, sex, and breed depending on the underlying cause and time of onset. Diagnosis...
Urinary incontinence (UI) is a disorder of micturition that can occur in dogs of any age, sex, and breed depending on the underlying cause and time of onset. Diagnosis and treatment for various causes of UI in dogs have been described by multiple comprehensive single author review articles, but large prospective clinical trials comparing treatment outcomes in veterinary medicine are lacking. The objectives of this consensus statement therefore are to provide guidelines on both recommended diagnostic testing and treatment for various causes of UI in dogs. Specifically, pathophysiology directly related to the canine urinary system will be reviewed and diagnostic and therapeutic challenges will be addressed. A panel of 12 experts in the field (8 small animal internists [L. Adams, J. Bartges, A. Berent, J. Byron, J. Foster, A. Kendall, S. Vaden, J. Westropp], 2 neurologists [J. Coates, N. Olby], 1 radiologist [G. Oetelaar], and 1 surgeon [C. Adin]) was formed to assess and summarize evidence in the peer-reviewed literature and to complement it with consensus recommendations using the Delphi method. Some statements were not voted on by all panelists. This consensus statement aims to provide guidance for management of both male and female dogs with underlying storage or voiding disorders resulting in UI.
Topics: Male; Dogs; Animals; Female; Prospective Studies; Urinary Incontinence; Consensus; Dog Diseases
PubMed: 38217372
DOI: 10.1111/jvim.16975 -
The Veterinary Clinics of North... Sep 2023Many dogs and cats were euthanized in US animal shelters through the 1940s, sharply declining in the 1980s. Early age neutering of young cats and dogs grew frequent in... (Review)
Review
Many dogs and cats were euthanized in US animal shelters through the 1940s, sharply declining in the 1980s. Early age neutering of young cats and dogs grew frequent in the 1990s; adoptions from shelters increased, leading to a decline in shelter euthanasia of dogs. Several publications, beginning in 2013, revealed heightened risks of joint disorders and some cancers for some dog breeds when neutered at young ages. These risks are breed-, gender-, and body-size specific and related to neutering age. Current guidelines suggest making a personalized decision for each dog's neutering age. Recommendations are presented for 40 breeds and mixed-breed weight classes.
Topics: Animals; Dogs; Cats; Castration; Euthanasia, Animal; Cat Diseases; Dog Diseases
PubMed: 37330274
DOI: 10.1016/j.cvsm.2023.05.005 -
Veterinary Journal (London, England :... Jun 2024Acute kidney injury (AKI) is defined as an injury to the renal parenchyma, with or without a decrease in kidney function, as reflected by accumulation of uremic toxins... (Review)
Review
Acute kidney injury (AKI) is defined as an injury to the renal parenchyma, with or without a decrease in kidney function, as reflected by accumulation of uremic toxins or altered urine production (i.e., increased or decreased). AKI might result from any of several factors, including ischemia, inflammation, nephrotoxins, and infectious diseases. AKI can be community- or hospital-acquired. The latter was not previously considered a common cause for AKI in animals; however, recent evidence suggests that the prevalence of hospital-acquired AKI is increasing in veterinary medicine. This is likely due to a combination of increased recognition and awareness of AKI, as well as increased treatment intensity (e.g., ventilation and prolonged hospitalization) in some veterinary patients and increased management of geriatric veterinary patients with multiple comorbidities. Advancements in the management of AKI, including the increased availability of renal replacement therapies, have been made; however, the overall mortality of animals with AKI remains high. Despite the high prevalence of AKI and the high mortality rate, the body of evidence regarding the diagnosis and the management of AKI in veterinary medicine is very limited. Consequently, the International Renal Interest Society (IRIS) constructed a working group to provide guidelines for animals with AKI. Recommendations are based on the available literature and the clinical experience of the members of the working group and reflect consensus of opinion. Fifty statements were generated and were voted on in all aspects of AKI and explanatory text can be found either before or after each statement.
Topics: Animals; Acute Kidney Injury; Cats; Dogs; Dog Diseases; Cat Diseases; Consensus; Veterinary Medicine; Renal Replacement Therapy
PubMed: 38325516
DOI: 10.1016/j.tvjl.2024.106068 -
The Canadian Veterinary Journal = La... Aug 2023This column is a communications tool for food animal production and related issues. It is expected to fill an important gap, as much of the narrative regarding food...
This column is a communications tool for food animal production and related issues. It is expected to fill an important gap, as much of the narrative regarding food animal agriculture and food animal veterinary practice is not written by food animal veterinarians. This column will be a regular feature of , coordinated by Dr. Robert Tremblay and intended to inform food animal veterinarians and others who want to understand more about the day-to-day professional activities of food animal veterinarians. Recently retired, Dr. Tremblay spent 40 y in professional life working in large animal veterinary medicine. For most of that time, his primary interest was food animal medicine. Dr. Tremblay takes great satisfaction in having been involved in food animal veterinary medicine. He is grateful to have worked with dedicated food animal veterinarians, farmers, and ranchers in Canada and beyond. .
Topics: Male; Animals; Humans; Agriculture; Farmers; Veterinarians; Canada; Communication; Veterinary Medicine
PubMed: 37529394
DOI: No ID Found -
The Veterinary Clinics of North... May 2024Interventional oncology (IO) is a rapidly growing field in veterinary medicine and has been accepted as a fourth pillar of treatment of neoplastic disease with other... (Review)
Review
Interventional oncology (IO) is a rapidly growing field in veterinary medicine and has been accepted as a fourth pillar of treatment of neoplastic disease with other modalities including surgery, chemotherapy, and radiation therapy. The major categories of IO therapies in companion animals are focused on the use of locoregional therapies and stenting of malignant obstructions. Although significant assessment of veterinary IO techniques is still necessary, early evaluation of these varying techniques is demonstrating promising results.
Topics: Animals; Neoplasms; Medical Oncology; Stents; Radiology, Interventional
PubMed: 38184437
DOI: 10.1016/j.cvsm.2023.12.005 -
The Canadian Veterinary Journal = La... Aug 2023
Topics: Animals; Ethics, Medical; Education, Veterinary; Ethics; Veterinary Medicine
PubMed: 37529385
DOI: No ID Found -
Journal of Veterinary Emergency and... 2024
Topics: Cardiopulmonary Resuscitation; Animals; Practice Guidelines as Topic; Veterinary Medicine; Heart Arrest
PubMed: 38728061
DOI: 10.1111/vec.13382 -
Kidney360 Nov 2023Veterinary nephrology is a specialized field of veterinary medicine providing a high level of care for animals with all types of kidney disease. Veterinarians complete...
Veterinary nephrology is a specialized field of veterinary medicine providing a high level of care for animals with all types of kidney disease. Veterinarians complete extensive training to become board-certified in veterinary nephrology-urology. Companion animal nephrology is the most advanced field; however, all species are afflicted by a variety of renal disorders. Most naturally occurring animal kidney diseases have similar disorders found in people; where veterinary research is lacking, clinical management is often modified from standard of care in people. Veterinarians have become adept at scaling down procedures to safely perform them on dogs and cats weighing only a few kilograms. Advanced diagnostics (renal biopsy, cystoscopy, fluoroscopic studies, etc. ) and therapeutics (renal replacement therapy, interventional endourology, etc. ) are commonly performed within the practice of veterinary nephrology-urology. Collaboration between veterinary and human nephrologists may advance both disciplines and improve care for people and animals alike.
Topics: Animals; Cats; Dogs; Humans; Nephrology; Cat Diseases; Dog Diseases; Kidney; Kidney Diseases; Animal Diseases
PubMed: 37840194
DOI: 10.34067/KID.0000000000000273 -
The Veterinary Clinics of North... Mar 2024
Topics: Animals; Practice Management, Veterinary; Veterinary Medicine; Education, Veterinary
PubMed: 38061946
DOI: 10.1016/j.cvsm.2023.11.001