In This Issue—June 1, 2012

JAVMA News

Food and Drug Administration officials hope agricultural and pharmaceutical industries will follow plans that would end some production uses of antimicrobials important for human medicine. The agency and trade associations also are working on preventive measures for manufacturers to take to increase the safety of pet food.

See page 1266

Letters to the Editor

See page 1279

What Is Your Diagnosis?

See pages 1283, 1289

Pathology in Practice

See pages 1293

Effect of anesthetic breathing circuit type on thermal loss in cats during inhalation anesthesia

Results of a new study suggest that in cats undergoing inhalation anesthesia for ovariohysterectomy, duration of the procedure has a greater influence on thermal loss than does the specific type of anesthetic circuit used. In the study, 141 domestic cats hospitalized for routine ovariohysterectomy were randomly assigned to undergo inhalation anesthesia with a nonrebreathing circuit or a reduced-volume circle system, with oxygen flow rates of 200 and 30 mL/kg/min (90.9 and 13.6 mL/lb/min), respectively. No difference in body temperature was found between the 2 treatment groups at any measurement time. However, the duration of the surgical procedure had a significant effect on body temperature, regardless of the type of anesthetic circuit used.

See page 1296

Incidence of intervertebral disk degeneration–related diseases and associated mortality rates in dogs

Insurance claim records for 665,249 dogs with health-care coverage and 552,120 dogs with life insurance coverage were searched to identify dogs with diseases related to intervertebral disk degeneration. Overall, the incidence rate of IVD degeneration-related diseases was 27.8 (95% confidence interval [CI], 27.2 to 28.4) occurrences/10,000 dog-years at risk, indicating that approximately 0.3% of dogs in this population were affected each year. The incidence rate of IVD degeneration-related disease was greater in male than in female dogs and increased with age. Overall mortality rate attributed to IVD degeneration-related diseases was 9.4 (95% CI, 8.9 to 9.8) deaths/10,000 dog-years at risk and was greater in males than in females.

See page 1300

Samarium Sm 153 lexidronam for the treatment of dogs with primary tumors of the skull

A new review of medical records for 20 dogs with multilobular osteochondrosarcoma (n = 13) or osteosarcoma (7) of the skull suggests that administration of samarium Sm 153 lexidronam (153Sm-EDTMP) may be a treatment option when other treatments have failed or surgery is not feasible. No clinically important adverse effects related to 153Sm-EDTMP treatment were documented. When dogs were evaluated 21 days after administration of 153Sm-EDTMP, 4 had subjective improvement, 13 had progressive disease, and 3 had insufficient follow-up to assess response. Survival time, defined as the time from 153Sm-EDTMP administration to the date of death, ranged from 3 to 1,314 days (median, 144 days).

See page 1310

Rapid prototype modeling and customized titanium plate fabrication for correction of a persistent hard palate defect in a dog

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An 8-month-old crossbred dog was evaluated because of a predominantly right-sided oronasal fistula involving the rostral third of the hard palate and, at its widest aspect, spanning the palate at the level of the maxillary canine teeth. Following CT, rapid prototyping technology was used to create a stereolithographic model of the skull, allowing fabrication of a customized titanium plate for intranasal stenting. The titanium plate was inserted via a rostral nasal approach and secured rostrally with 1.5-mm screws and caudally with 2.4-mm screws from the nasal bridge. An oronasal fistula formed laterally at the edge of the plate, but bonding of a dental glass ionomer product resulted in successful resolution of the fistula.

See page 1316

Use of zoledronate for treatment of a bone fragility disorder in horses

In recent years, a debilitating, progressive bone fragility disorder primarily affecting the axial skeleton and proximal aspects of the appendicular skeleton has been identified among horses in California. In a prospective case series involving 10 horses with clinical and scintigraphic evidence of a BFD, treatment with zoledronate (0.075 mg/kg [0.034 mg/lb, IV, once]) at the time of diagnosis appeared to be useful. Clinical improvement (defined as improvement in the lameness score, resolution of signs of musculoskeletal pain, or both) was detected in 9 of 10 horses; scintigraphic uptake was unchanged in 2 and subjectively decreased in 8. Placebo-controlled studies are necessary to accurately determine efficacy and long-term safety.

See page 1323

Investigation of an outbreak of besnoitiosis in donkeys in northeastern Pennsylvania

Besnoitiosis is caused by infection with protozoan parasites of the genus Besnotia; these cyst-forming coccidians affect multiple species worldwide. In 2010, an outbreak of besnoitiosis was documented in 2 donkey operations in Northeastern Pennsylvania. Eight of 29 donkeys had lesions suggestive of besnoitiosis, and the diagnosis was confirmed in 6 of the 8. The most common lesion site was the nares, followed by the skin and sclera. Donkeys with clinical disease had higher antibody titers and tested positive for a greater number of immunoblot bands than did donkeys without clinical disease. All 5 animals evaluated with a PCR assay for Besnoitia spp had positive results. Ponazuril was not effective in the 1 infected donkey that was treated.

See page 1329

Results of computed tomography in horses with ethmoid hematoma

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Results of a new study suggest that CT could provide anatomic information that may facilitate treatment of horses with ethmoid hematoma, particularly in patients with bilateral disease and paranasal sinus involvement. Medical records for 16 horses with ethmoid hematoma were reviewed for the study. Computed tomography provided new diagnostic information that affected treatment in 10 of the 16 horses. Eight horses had bilateral disease, but this was undetected in 5 horses prior to CT. Paranasal sinus involvement was incompletely defined prior to CT in 7 of the 16 horses. Six of 10 horses had a successful outcome, with recurrence in 4 of 10. Five of 6 patients in which treatment addressed all lesion sites identified by CT had a successful outcome.

See page 1338

Frequency of use and proficiency in performance of surgical skills expected of entry-level veterinarians by general practitioners

In general, new veterinary graduates should be most proficient at the procedures, skills, and areas of knowledge most frequently used in practice, as this will allow them to make the most immediate contributions to the practices at which they work. In a survey sent to 750 general practitioners randomly chosen from the AVMA membership database, respondents were asked to rate the proficiency and frequency of use expected of entry-level veterinarians in regard to 26 surgical skills. Response rate was 52%. Greater than 60% of respondents expected new graduates to have high proficiency and require minimal supervision for 21 of the 26 skills. Results indicated a broad consensus among general practitioners independent of demographic characteristics.

See page 1345

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