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Journal of the American Veterinary... Nov 2022
Topics: Cricetinae; Male; Animals; Mesocricetus; Lethargy; Hindlimb; Rodent Diseases
PubMed: 36434764
DOI: 10.2460/javma.22.07.0292 -
The Canadian Veterinary Journal = La... Mar 2021An electronic survey was distributed to assess American and Canadian veterinarians' perceptions on dog and cat vaccination rates. The top veterinarian concerns for...
An electronic survey was distributed to assess American and Canadian veterinarians' perceptions on dog and cat vaccination rates. The top veterinarian concerns for vaccinating a healthy adult dog were anaphylaxis, soreness at the injection site, and lethargy; for cats, these concerns included vaccine-associated sarcoma, lethargy, and soreness at injection site. Veterinarians reported that the most common concerns mentioned by reluctant or resistant clients to vaccinating their dogs or cats were beliefs that vaccinations are costly and unnecessary or may lead to chronic or severe illness. There was a positive correlation between an organized anti-vaxx movement against mandatory vaccination for children in their community and the number of vaccine resistant or concerned clients. That the number of resistant clients was associated with the presence of an organized anti-vaxx movement implies that the human anti-vaxx movement is impacting pet owners' views on companion animal vaccinations.
Topics: Animals; Canada; Cat Diseases; Cats; Dog Diseases; Dogs; Humans; Perception; Surveys and Questionnaires; United States; Vaccination; Veterinarians; Veterinary Medicine
PubMed: 33692579
DOI: No ID Found -
Cureus Jan 2023A 58-year-old man without any personal or familial cardiac history presented to the emergency department with complaints of worsening left-sided chest pain that began at...
A 58-year-old man without any personal or familial cardiac history presented to the emergency department with complaints of worsening left-sided chest pain that began at rest, described as a burning sensation and escalating to a 9/10 severity. He denied any personal or familial cardiac history but admitted that he had not been medically evaluated in approximately five years. His physical examination was notable for obesity, xerosis, macroglossia, and bilateral lower extremity edema. His initial labs demonstrated critical troponin levels that peaked at 11.5 ng/mL and he was diagnosed with a myocardial infarction and underwent cardiac catheterization with percutaneous stenting of the left anterior descending artery. His post-operative period was complicated by prolonged lethargy that was determined to be myxedema coma two days later when his thyroid stimulating hormone level was found to be 78 mIU/mL.
PubMed: 36751196
DOI: 10.7759/cureus.33370 -
Injury Prevention : Journal of the... Sep 1997
Topics: Canada; Child; Child, Preschool; Health Care Reform; Health Promotion; Humans; Regional Medical Programs; Wounds and Injuries
PubMed: 9338823
DOI: 10.1136/ip.3.3.156 -
Scientific Reports Mar 2021Heat-related illness is a potentially fatal condition in dogs. Rapid and accurate recognition of the severity can improve clinical management in affected dogs and lead...
Heat-related illness is a potentially fatal condition in dogs. Rapid and accurate recognition of the severity can improve clinical management in affected dogs and lead to better outcomes. This study explored retrospective VetCompass veterinary clinical records to investigate the clinical signs recorded for dogs presenting with heat-related illness to primary-care veterinary practice from 2016 to 2018. The relative risk of death associated with these clinical signs was reported and used to develop a novel clinical grading tool. From the clinical records of 856 heat-related illness events, the most frequently recorded clinical signs were respiratory changes (68.73%) and lethargy (47.79%). The clinical signs with the highest relative risk of death were neurological dysfunction, gastrointestinal haemorrhage and bleeding disorders. The novel VetCompass Clinical Grading Tool for Heat-Related Illness in dogs defines three grades: mild (altered respiration, lethargy), moderate (gastrointestinal signs, a single seizure, episodic collapse) and severe (neurological dysfunction, gastrointestinal haemorrhage, bleeding disorders). This novel grading tool offers a simple, evidence-based device to improve recognition of heat-related illness in dogs and promote improved decision-making for earlier interventions such as cooling and hospitalisation. This could improve outcomes and protect the welfare of dogs in the face of rising global temperatures.
Topics: Animals; Dog Diseases; Dogs; Heat Stress Disorders; Severity of Illness Index; Symptom Assessment
PubMed: 33767275
DOI: 10.1038/s41598-021-86235-w -
Cureus Mar 2023Recognizing and treating reversible causes of lethargy and altered mental status is crucial for emergency department physicians. One such tool that can quickly help...
Recognizing and treating reversible causes of lethargy and altered mental status is crucial for emergency department physicians. One such tool that can quickly help guide resuscitation and a patient's workup is a point-of-care glucose reading. This simple test is performed routinely; however, how much thought is given to the accuracy of these tests? What factors can alter these results? Here, we present a patient who was reported to be hyperglycemic in the field by emergency medical services (EMS) but was profoundly hypoglycemic during his workup in the emergency department. This case report highlights factors that can cause false hyper- and hypoglycemic readings on point-of-care glucose meters.
PubMed: 37082479
DOI: 10.7759/cureus.36356 -
Journal of the American Veterinary... Dec 2017
Topics: Animals; Arrhythmias, Cardiac; Diagnosis, Differential; Dog Diseases; Dogs; Electrocardiography; Fatal Outcome; Gastric Dilatation; Lethargy; Male; Orchiectomy; Stomach Volvulus; Tachycardia, Supraventricular; Vomiting
PubMed: 29190199
DOI: 10.2460/javma.251.12.1383 -
Journal of the American Veterinary... Jun 2022Assess US veterinarians' perceptions regarding vaccine concerns (their own and owners') and the association between owners' vaccine concerns and COVID-19 antivaccination...
OBJECTIVE
Assess US veterinarians' perceptions regarding vaccine concerns (their own and owners') and the association between owners' vaccine concerns and COVID-19 antivaccination sentiments.
SAMPLE
Members of the Veterinary Information Network.
PROCEDURES
An electronic survey distributed via the Veterinary Information Network data collection portal.
RESULTS
1,341 US veterinarians completed the survey. Top veterinarian concerns for vaccinating a healthy adult dog were anaphylaxis, soreness at injection site, and lethargy; for cats, these concerns included vaccine-associated sarcoma, lethargy, and soreness at injection site. Veterinarians reported that the most common concerns mentioned by owners included that the pet does not go outside, that vaccinations are unnecessary, that vaccinations can lead to chronic or severe illness, and cost. Veterinarians reported an increased number of dog and cat owners reluctant about or resistant to the idea of rabies vaccines and core vaccines since the time that COVID-19 vaccines became widely available. There was an association between veterinarians' perceptions of local COVID-19 antivaccination sentiments and the increase in the number of vaccine-resistant or -concerned clients.
CLINICAL RELEVANCE
There appears to be little overlap between veterinarians' primary concerns related to vaccinations and their perception of dog and cat owners' primary concerns. The fact that the number of resistant clients is positively associated with the presence of veterinarians' perceptions of a local COVID-19 antivaccination sentiment suggests that human antivaccination sentiments impact pet owners' views of companion animal vaccinations. A better understanding of the cognitive biases that impact owners' vaccine decisions can help veterinarians better communicate with vaccine-reluctant clients and increase vaccination compliance rates.
Topics: Humans; Cats; Dogs; Animals; Veterinarians; Cat Diseases; COVID-19; COVID-19 Vaccines; Lethargy; Ownership; Dog Diseases; Surveys and Questionnaires; Vaccination; Veterinary Medicine
PubMed: 35905158
DOI: 10.2460/javma.22.03.0109 -
Aviation, Space, and Environmental... Jun 2014In 1976, Graybiel and Knepton proposed the term "sopite syndrome" to describe a symptom complex centering on drowsiness and lethargy related to motion sickness. However,...
In 1976, Graybiel and Knepton proposed the term "sopite syndrome" to describe a symptom complex centering on drowsiness and lethargy related to motion sickness. However, existing descriptions and definitions of sopite syndrome have limitations in fully conveying the appropriate information to the reader. Our objective is to propose a revised definition providing a more adequate conceptual framework for research. The proposed definition of sopite syndrome addresses the nonspecificity of soporific symptoms, the health state of the individuals, and the existence of a motion stimulus.
Topics: Depression; Fatigue; Humans; Lethargy; Motion Sickness; Sleep Stages; Terminology as Topic
PubMed: 24919391
DOI: 10.3357/asem.3891.2014 -
Journal of Cardiovascular and Thoracic... 2022A male infant with a history of ventriculoperitoneal (VP) implantation due to congenital hydrocephalus presented with fever and lethargy at the age of 8 month-old....
A male infant with a history of ventriculoperitoneal (VP) implantation due to congenital hydrocephalus presented with fever and lethargy at the age of 8 month-old. Pericardial effusion was detected in transthoracic echocardiography, and he underwent pericardial window operation and was discharged in a stable condition. At 11 months of age, he presented again with fever, lethargy, recurrent vomiting, and respiratory distress. In both plain chest radiography and transthoracic echocardiography, VP shunt migration to the heart cavity was observed. The VP shunt had entered into the right ventricle after perforating the diaphragm and pericardium. The patient underwent open-heart surgery due to vegetation at the tip of the VP shunt inside the right heart. Vegetation was removed and the tip of the shunt was returned to the peritoneal cavity. Two weeks after discharge, the patient presented again with symptoms of tachypnea and lethargy. The imaging revealed the entry of the VP shunt about two centimeters into the anterior mediastinum. The patient was transferred to the operation room and the VP shunt was shortened and re-inserted into the peritoneal cavity. Antibiotic treatment was continued for six weeks and the patient was discharged in stable condition. In follow-up visits after two years, the VP shunt functioned well and no particular complication was observed. This case demonstrates that in patients with VP shunt implantation presenting with pulmonary and cardiac symptoms such as respiratory distress, pericardial effusion, and cardiac tamponade after VP shunt implantation, the possibility of VP shunt catheter migration to the mediastinal cavity should be considered.
PubMed: 36699559
DOI: 10.34172/jcvtr.2022.30523