Understanding the pharmaceutical approach to pain management in canine osteoarthritis

2021 ◽  
Vol 26 (6) ◽  
pp. 73-80
Author(s):  
Hannah Capon
Keyword(s):  
Surveillance System ◽  
Best Practice ◽  
Animal Health ◽  
Management Strategies ◽  
Companion Animal ◽  
Multimodal Approach ◽  
Pharmaceutical Management ◽  
Veterinary Surgeons ◽  
Canine Population ◽  
Canine Osteoarthritis

Canine osteoarthritis was recently reclassified as a welfare concern by the Veterinary Companion Animal Surveillance System (VetCompass), an initiative run by the Royal College of Veterinary Surgeons, focused on improving companion animal health. This condition is a common cause for consultation in first opinion practice, with an estimated 35% of the canine population being affected. Chronic pain is complex and a multimodal approach is best for management, which includes pharmaceuticals employed in a methodical manner. This article provides an overview of the types of pain associated with canine osteoarthritis, as well as how to recognise them. Making reference to hypothetical cases, the appropriate pharmaceutical management is described. Further management strategies, as part of a multimodal approach, are summarised to ensure best practice.

Can communication in farm animal veterinary practice be improved through a focus on the non-verbal element? A clinical forum

Livestock ◽  
2020 ◽  
Vol 25 (1) ◽  
pp. 24-29
Author(s):  
Fiona MacGillivray ◽  
Wendela Wapenaar ◽  
George Giles ◽  
Owen Atkinson ◽  
Sarah Whittick ◽  
...  
Keyword(s):  
Communication Skills ◽  
Animal Health ◽  
Companion Animal ◽  
Verbal Communication ◽  
The Other ◽  
Veterinary Practice ◽  
Veterinary Profession ◽  
Patient Interaction ◽  
Veterinary Surgeons ◽  
The University

As farm veterinary surgeons, we are in the position of needing to communicate our information, ideas and feelings about animal health and welfare with our farmer clients. Studies looking at communication in the healthcare and companion animal veterinary profession show that effective communication skills help achieve a positive client/patient interaction and outcome, including satisfaction levels. Communication has three elements: verbal, non-verbal and paraverbal. Non-verbal communication conveys more effectively than the other two elements how we feel about and our attitudes towards a situation and person. Having a better understanding of non-verbal communication, as part of an overall approach to improving communication skills, could therefore help veterinary surgeons have better interactions with their farmers, leading to a more satisfying relationship for both parties. Research ongoing at the University of Nottingham and Bristol is aiming to establish a methodology to measure non-verbal parameters in the farmer-vet interaction using GoPro cameras.

scholarly journals Towards an integrated animal health surveillance system in Tanzania: making better use of existing and potential data sources for early warning surveillance

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Janeth George ◽  
Barbara Häsler ◽  
Erick Komba ◽  
Calvin Sindato ◽  
Mark Rweyemamu ◽  
...  
Keyword(s):  
Early Warning ◽  
Surveillance System ◽  
Animal Health ◽  
Health Surveillance ◽  
Surveillance Data ◽  
Data Sources ◽  
Surveillance Systems ◽  
Cross Sectional Survey ◽  
Traceability System ◽  
Spatial Coverage

Abstract Background Effective animal health surveillance systems require reliable, high-quality, and timely data for decision making. In Tanzania, the animal health surveillance system has been relying on a few data sources, which suffer from delays in reporting, underreporting, and high cost of data collection and transmission. The integration of data from multiple sources can enhance early detection and response to animal diseases and facilitate the early control of outbreaks. This study aimed to identify and assess existing and potential data sources for the animal health surveillance system in Tanzania and how they can be better used for early warning surveillance. The study used a mixed-method design to identify and assess data sources. Data were collected through document reviews, internet search, cross-sectional survey, key informant interviews, site visits, and non-participant observation. The assessment was done using pre-defined criteria. Results A total of 13 data sources were identified and assessed. Most surveillance data came from livestock farmers, slaughter facilities, and livestock markets; while animal dip sites were the least used sources. Commercial farms and veterinary shops, electronic surveillance tools like AfyaData and Event Mobile Application (EMA-i) and information systems such as the Tanzania National Livestock Identification and Traceability System (TANLITS) and Agricultural Routine Data System (ARDS) show potential to generate relevant data for the national animal health surveillance system. The common variables found across most sources were: the name of the place (12/13), animal type/species (12/13), syndromes (10/13) and number of affected animals (8/13). The majority of the sources had good surveillance data contents and were accessible with medium to maximum spatial coverage. However, there was significant variation in terms of data frequency, accuracy and cost. There were limited integration and coordination of data flow from the identified sources with minimum to non-existing automated data entry and transmission. Conclusion The study demonstrated how the available data sources have great potential for early warning surveillance in Tanzania. Both existing and potential data sources had complementary strengths and weaknesses; a multi-source surveillance system would be best placed to harness these different strengths.

scholarly journals Secondary Analysis of an Electronic Surveillance System Combined with Multi-focal Interventions for Early Detection of Sepsis

2017 ◽  
Vol 26 (01) ◽  
pp. 47-66 ◽  
Author(s):  
Bonnie Westra ◽  
Sean Landman ◽  
Pranjul Yadav ◽  
Michael Steinbach
Keyword(s):  
Early Detection ◽  
Surveillance System ◽  
Point Of Care ◽  
Management Strategies ◽  
Secondary Analysis ◽  
Length Of Hospital Stay ◽  
Separate Analysis ◽  
Electronic Surveillance ◽  
Predictive Values ◽  
Sensitivity Specificity

SummarySummary: To conduct an independent secondary analysis of a multi-focal intervention for early detection of sepsis that included implementation of change management strategies, electronic surveil-lance for sepsis, and evidence based point of care alerting using the POC AdvisorTM application. Methods: Propensity score matching was used to select subsets of the cohorts with balanced covariates. Bootstrapping was performed to build distributions of the measured difference in rates/ means. The effect of the sepsis intervention was evaluated for all patients, and High and Low Risk subgroups for illness severity. A separate analysis was performed patients on the intervention and non-intervention units (without the electronic surveillance). Sensitivity, specificity, and the positive predictive values were calculated to evaluate the accuracy of the alerting system for detecting sepsis or severe sepsis/ septic shock.Results: There was positive effect on the intervention units with sepsis electronic surveillance with an adjusted mortality rate of –6.6%. Mortality rates for non-intervention units also improved, but at a lower rate of –2.9%. Additional outcomes improved for patients on both intervention and non-intervention units for home discharge (7.5% vs 1.1%), total length of hospital stay (-0.9% vs –0.3%), and 30 day readmissions (-6.6% vs –1.6%). Patients on the intervention units showed better outcomes compared with non-intervention unit patients, and even more so for High Risk patients. The sensitivity was 95.2%, specificity of 82.0% and PPV of 50.6% for the electronic surveillance alerts. Conclusion: There was improvement over time across the hospital for patients on the intervention and non-intervention units with more improvement for sicker patients. Patients on intervention units with electronic surveillance have better outcomes; however, due to differences in exclusion criteria and types of units, further study is needed to draw a direct relationship between the electronic surveillance system and outcomes.

Controversies in the management of early endometrial carcinoma: an update

2017 ◽  
Vol 6 (6) ◽  
pp. 2124 ◽  
Author(s):  
P. Reddi Rani ◽  
Jasmina Begum ◽  
K. Sathyanarayana Reddy
Keyword(s):  
Developing Countries ◽  
Endometrial Carcinoma ◽  
Young Women ◽  
Genital Tract ◽  
Best Practice ◽  
Management Strategies ◽  
Evidence Based ◽  
Fertility Sparing Surgery ◽  
Fertility Sparing ◽  
Cure Rates

Endometrial carcinoma (EC) is the commonest genital tract malignancy in developing countries and is usually confined to the uterus at the time of diagnosis with excellent prognosis and high cure rates. But the management is associated with lot of controversies like in staging, best surgical approach, extent of lymphadenectomy, adjuvant therapy, fertility sparing surgery in young women etc. A thorough surgical staging is important to determine uterine and extrauterine spread and also understanding of the pathophysiology and management strategies to identify women who are at high risk and tailoring the adjuvant treatment if necessary without increasing the morbidity. This evidence based narrative review conducted by searching Medline (1994- 2015) and other online articles from Pubmed, Google scholar. Articles were selected based on their currency and relevance to the discussion they summarize the current literature to provide an approach to best practice management of early endometrial carcinoma.

scholarly journals Invasive Lantana camara L. Shrub in Ethiopia: Ecology, Threat, and Suggested Management Strategies

2018 ◽  
Vol 10 (7) ◽  
pp. 184 ◽  
Author(s):  
Firew Bekele Abebe
Keyword(s):  
Biological Control ◽  
National Parks ◽  
Review Paper ◽  
Invasive Alien Species ◽  
Animal Health ◽  
Management Strategies ◽  
Lantana Camara ◽  
Dire Dawa ◽  
Dispersal Agents ◽  
Agricultural Loss

Lantana camara L. is one of the worst invasive alien species that are categorized worldwide. The objective of this review paper was to review the dispersal and threats posed by Lantana camara L. in Ethiopia and based on review results, to suggest management strategies that can bring solutions to the threats posed by the weed. Both biological characteristics of Lantana camara L. and its dispersal agents have contributed to the success of its dispersal. Even though Lantana camara L. is dispersed in other places within Ethiopia, Debrezeit, Dire Dawa, Harar and Somali are the hotspot areas for the weed. Biodiversity and potential agricultural loss, human and animal health problems and infestation in national parks are the identified threats that Lantana camara L. posed within the country. Utilization of Lantana camara L. for various purposes, prevention of its further dispersal into non-infected areas, use of fire, mechanical and biological control and awareness creation are the suggested management strategies that can bring solutions to the threats posed by the weed within the country.

The Angler in the Environment: Social, Economic, Biological, and Ethical Dimensions

2011 ◽  
Keyword(s):  
Best Practices ◽  
Best Practice ◽  
Research Question ◽  
Management Strategies ◽  
Leisure Activity ◽  
Quality Data ◽  
Fish Stocks ◽  
Catch And Release ◽  
Practice Behaviors ◽  
Negative Impacts

<i>Abstract</i> .—Recreational fishing is popular worldwide. However, the potential negative impacts of this leisure activity can influence the sustainability of targeted fish stocks. Although management strategies are frequently used to control the actions of anglers, participants themselves must ultimately be confident that changes in their behavior will lead to the conservation of recreational fish stocks before regulations are followed and best practices adopted. Directly involving recreational anglers in research used to quantify the value of best practices, such as in the case of catch and release, can help reinforce the notion among anglers that best practice behaviors facilitate conservation and sustainable exploitation. Using the framework of citizen science and the principles of experiential education (immersion, involvement, ownership, and legacy), we present a case study whereby recreational anglers were directly involved in research that tested how attributes of catch-and-release fishing for bonefish <i>Albula </i> spp. can influence the postrelease survival. By accompanying anglers to the shallow flats and actively involving them in hands-on research aimed at addressing relevant behaviors in the context of catch and release, such programs can promote an increased awareness and sense of personal ownership over the research question and the conservation benefits that it intends to facilitate. With data generated through direct involvement, the participation of recreational anglers in our research culminated in the development of a best practices brochure about catch and release for bonefish. It is our experience that research programs involving recreational anglers need to be well conceived and structured so as to adequately balance the quality of the experience for the participants with the need for generating quality data. Welldesigned “research angler” programs as a form of tourism or even ecotourism could help scientists not only to enhance their ability to conduct fisheries research, but also to broaden the impacts of their research program and the speed at which best practices are adopted.

Managerial Practices in a High Cost Manufacturing Environment

2018 ◽  
pp. 1749-1768
Author(s):  
Renu Agarwal ◽  
Christopher Bajada ◽  
Paul J. Brown ◽  
Roy Green
Keyword(s):  
New Zealand ◽  
Best Practice ◽  
Management Practices ◽  
Management Practice ◽  
Low Cost ◽  
Management Strategies ◽  
Manufacturing Firms ◽  
Labour Cost ◽  
Managerial Practices ◽  
Management Capability

This chapter explores the management strategies adopted by manufacturing firms operating in high versus low cost economies and investigates the reasons for differences in the management practice choices. The study reported in this chapter identifies a subset of countries that have either high or low labour costs, with USA, Sweden, and Japan being high, and India, China, and Brazil being low labour cost economies. The high labour cost manufacturing firms are found to have better management practices. In this chapter, the authors find that Australia and New Zealand manufacturing firms face relatively high labour cost but lag behind world best practice in management performance. The chapter concludes by highlighting the need for improvement in management capability for Australian and New Zealand manufacturing firms if they are to experience a reinvigoration of productivity, competitiveness, and long-term growth.

Global IT Risk Management Strategies

2008 ◽  
pp. 285-298 ◽  
Author(s):  
Chrisan Herrod
Keyword(s):  
Risk Management ◽  
Financial Risk ◽  
Best Practice ◽  
New Technologies ◽  
Management Strategies ◽  
Regulatory Compliance ◽  
It Risk Management ◽  
Reputational Risk ◽  
Risk Management Strategies ◽  
It Risk

This chapter describes why it is important for organizations to develop and implement an IT risk management function and use best practice risk assessment methodologies that provide a standard to measure and assess risk within organizations. Information technology risk management is a significant new function that can help companies achieve world class IT service. IT risk management includes regulatory compliance, information security, disaster recovery, and project risks. IT risk management should be part of a company’s risk management strategy on an equal footing with financial risk management and reputational risk management. As the complexity of IT infrastructures increases and as businesses continue to rely upon the Internet as the communication backbone for e-business, the associated risks increase. For these reasons, deciding upon and implementing a risk management process and a standard methodology will greatly reduce the risks associated with the introduction of new technologies that support the mission of the business.

Thoracics

2020 ◽  
pp. 215-246
Author(s):  
James Bennett ◽  
Gerard Gould
Keyword(s):  
Best Practice ◽  
Bronchopleural Fistula ◽  
Management Strategies ◽  
Lung Ventilation ◽  
Bronchial Obstruction ◽  
Dynamic Hyperinflation ◽  
One Lung Ventilation ◽  
Cardiac Herniation ◽  
Life Threatening ◽  
Practice Methods

In this chapter on life-threatening thoracic problems in anaesthesia, the authors offer their guidance and expertise on the best-practice methods of dealing with each of these. These problems include tracheal/bronchial obstruction, inhaled foreign body, tracheal injury or laceration, bronchopleural fistula, hypoxia/pneumothorax/high airway pressure during one-lung ventilation, dynamic hyperinflation, cardiac herniation postpneumonectomy, major airway bleeding, and bleeding during mediastinoscopy. In addition, the definitions, presentation, management strategies, investigations, risk factors, exclusions and causes, and any special considerations for each potential thoracically related situation are given and elaborated upon. Lists of up-to-date online resources and further reading are also provided here, offering invaluable know-how to encourage the reader to broaden their knowledge.

Sign in / Sign up

Export Citation Format

Share Document