Activity

A 15-month-old 6.5-kg (14.3-lb) castrated male mixed-breed dog was evaluated because of a 4-month history of progressive intermittent non-weight-bearing lameness of the left pelvic limb.

Orthogonal radiography of the hip joints revealed a 4-mm atypical radiolucent lesion on the distal caudomedial aspect of the left femoral head and a disproportionately large-diameter femoral medullary canal with a low canal flare index. PF-07265807 purchase Prolonged unresponsiveness to medical management and progressive enlargement of the lesion prompted the recommendation for total hip replacement (THR).

THR was performed to restore pain-free function of the left pelvic limb and normal activity. A circular osteochondral flap was grossly evident on the femoral head. Histopathologic findings for this portion of the bone indicated an arteriopathy-induced focal subchondral osteonecrosis that had resulted in articular surface collapse. The noted idiopathic arteriopathy had disrupted the normal blood supply to the affected area. On reexaminatioecognized because establishing a definitive diagnosis requires early recognition and histologic evaluation before advanced degenerative changes develop that obscure the underlying etiology.

To characterize induction and recovery characteristics of 3 commonly used inhalant anesthetics in prairie rattlesnakes (

) isoflurane, sevoflurane, and desflurane.

12 healthy adult prairie rattlesnakes.

In a randomized crossover design, snakes underwent anesthetic induction with 5% isoflurane, 8% sevoflurane, or 18% desflurane, with a washout period of ≥ 7 days between anesthetic events. Anesthetic depth parameters were recorded throughout induction and recovery, including time to loss and return of righting reflex, muscle tone, ability to intubate, response to pressure, and time to return to spontaneous respiration. Every 5 minutes throughout the anesthetic procedures, heart rate, respiratory rate, and percentage expired anesthetic gas were recorded.

No snakes died during the study. Sevoflurane anesthesia resulted in anesthetic gas avoidance behavior in snakes during induction and had the significantly longest recovery time to extubation and time to return of pressure response, compared with the other inhalant anesthetics. Anesthesia with isoflurane resulted in a significantly longer time to return of righting reflex, compared with sevoflurane or desflurane. No significant difference was noted in time to loss of pressure response among the 3 anesthetic gases. Desflurane anesthesia resulted in the significantly quickest loss of righting reflex among the anesthetic protocols; despite this, 4 of 12 desflurane anesthetized snakes did not achieve an anesthetic plane deep enough for intubation.

Isoflurane and sevoflurane, but not desflurane, inhalation anesthesia resulted in consistent and predictable loss of righting reflex and induction of anesthesia deep enough to allow intubation in snakes.

Isoflurane and sevoflurane, but not desflurane, inhalation anesthesia resulted in consistent and predictable loss of righting reflex and induction of anesthesia deep enough to allow intubation in snakes.

To evaluate the effect of UV germicidal irradiation of the air on the incidence of upper respiratory tract infections (URIs) in kittens in a nursery.

4- to 8-week-old kittens admitted to a kitten nursery in 2016 and 2018.

2 UV germicidal irradiation systems (1 within the heating, ventilation, and air conditioning system and 1 attached to the ceiling) were installed in a kitten nursery. Data were collected on the number of kittens in which a URI was diagnosed by means of a physical examination. The incidence of URIs was compared between 2016, when no UV systems were used, and 2018, when the UV systems were used.

The overall incidence of URIs in 2016 was 12.4 cases/100 kitten admissions and in 2018 was 1.6 cases/100 kitten admissions, a significant decrease of 87.1% between the years.

A significant reduction in the incidence of URIs in kittens in a nursery was noted when the UV germicidal irradiation systems were used. Therefore, airborne transmission of feline respiratory pathogens may be more important than has been previously recognized. Ultraviolet germicidal irradiation systems that disinfect the air may be an effective adjunct to standard infection prevention and control protocols in reducing the risk of the transmission of respiratory pathogens among kittens in nurseries and shelters. However, additional studies are needed to confirm the findings reported here.

A significant reduction in the incidence of URIs in kittens in a nursery was noted when the UV germicidal irradiation systems were used. Therefore, airborne transmission of feline respiratory pathogens may be more important than has been previously recognized. Ultraviolet germicidal irradiation systems that disinfect the air may be an effective adjunct to standard infection prevention and control protocols in reducing the risk of the transmission of respiratory pathogens among kittens in nurseries and shelters. However, additional studies are needed to confirm the findings reported here.Background The growing trend in providing palliative care and end-of-life services has dictated that healthcare providers be adequately trained to care for people with serious illnesses, such as multiple sclerosis (MS) and neuromyelitis optica spectrum disorder (NMOSD). These progressive inflammatory diseases lead to physical, cognitive and emotional deficits and have exceptionally high care demands leading to high levels of distress. Because the impact on the delivery of patient care is influenced by the specialists’ knowledge and comfort discussing end-of-life issues, it is concerning that interventions to address unmet palliative care needs in MS and NMOSD rarely include clinician-patient dyads. Objectives To evaluate the neurology clinicians’ knowledge and level of comfort discussing palliative care and end-of-life issues. Design A cross sectional survey was conducted. The statistical analyses included frequencies, chi square statistics and logistic regression. Setting/Subjects 414 MS specialists answered an online anonymous survey.