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  • Mega dairies: intensive farming? Or just efficient?

    Mega dairies: intensive farming? Or just efficient?

    Delegates who participated in the farm stream at the 2016 Association of Veterinary Students (AVS) Congress in Liverpool (myself included) had a visit to a so-called “mega dairy”.

    Ohio dairy.
    So-called “mega dairies” often receive bad press for their size.

    The herd we visited had around 1,000 milkers, which seems large when compared to the UK dairy herd average of 123 (according to AHDB Dairy). Yet, in the grand scheme of things – when considering the real dairy giants in places such as the US with herds ranging up to 30,000 and the proposed 100,000 cow dairy in China – it’s questionable as to whether this farm could really even be considered “mega.”

    Putting numbers aside, the real reason we were taken to the farm was to see how these large-scale, high-intensity dairy production units function.

    Preconceptions versus reality

    The public shudders at the words “intensive farming” and, as a vet student, I like to think I have a slightly more informed view on what that means. Saying that, I hadn’t been to a dairy farm on such a scale as this before and was pleasantly surprised by the forward-thinking approach to every aspect of dairying.

    The concept behind many of the methods used on this farm is based on maximising production by reducing stress levels in the dairy cow, thereby minimising any health implications and reduction in yield. This is done by time budgeting by accounting for time she wants to spend feeding, lying down, eating, drinking and socialising. The “leftover” time is used for milking, with management tasks fitted around – i.e. pregnancy diagnosing during her time at the feed face.

    Regulation and reduction

    Social cows.
    Milking is fitted around the cows’ “social” time.

    Interestingly, the zero-grazing system allows for the cow to regulate her own feed intake depending on her stage of lactation. The straw-based total mixed ration fed is the same for every cow, and differences in energy requirements rely on the reduction of rumen size during late pregnancy to sufficiently reduce intake. This minimises fat cows during late lactation and drying off.

    Digital motility assessing scales are used to pick up any load imbalances, which can then be addressed immediately, opposed to 2-3 weeks later, when the cow would begin to show clinical lameness. There is also emphasis on the milking parlour being a stress-free environment so the cattle can enjoy being there without the need for food bribery.

    Efficiency effects

    Maximising efficiency is key, not only in terms of the cow, but the unit as a whole. Water used on the farm is recycled five times by using it for drinking water, washing and filtering bedding sand from slurry. This process also allows the sand to be cleaned, dried out and reused for bedding. Large solar panels on the roofs of the open-sided housing sheds provide more than enough electricity for the whole unit, with the surplus being shipped out to the surrounding area.

    Research has shown the optimum environmental temperature for a cow is much lower than perceived – this is accounted for by the huge open-sided housing buildings and ventilation system. Each detail seems to have been meticulously considered, with continual monitoring and data analysis taking place to ensure production efficiency is maximal. In the efforts to reduce antimicrobial use within the veterinary profession, the farm’s claim to have halved its use, and any veterinary involvement in the last few years, can only be applauded.

    Time for change?

    Solar panels.
    Efficiency measures on the farm include water recycling and solar panels (file image).

    With its huge open sheds, cows bedded on a calculated depth for maximal comfort with access to feed at any time and constant monitoring for early signs of stress or ill health, while not the idealistic picture of a cow moseying around a field at her leisure, was not far off, and certainly not the grim jumped-to conclusion when it comes to intensive farming.

    Public perception is always going to be a huge hurdle for farming, but perhaps we can change that through the right sort of publicity, starting with abandoning the phrase ‘intensive farming’ and all associated misconceptions, and replacing it with something like ‘efficient’ or ‘environmentally friendly’ farming, because that is exactly what it is.

  • Fluid therapy: are fluids indicated?

    Fluid therapy: are fluids indicated?

    infusion pump
    Infusion pumps can be used to accurately deliver fluids and prevent overperfusion.

    Clinical examination for dehydration is one method used for assessing whether or not an animal needs fluid therapy.

    The skin tents at approximately 6% dehydration, and this is the sign most readily used by veterinary clinicians.

    But in addition, with progressive dehydration:

    • the eyes may become sunken due to dehydration of the retrobulbar fat pad
    • heart rate increases
    • pulse quality decreases and there may be absent peripheral pulses
    • capillary refill time will increase
    • there are changes in mucous membrane colour
    • extremities may become cold
    • urine output is decreased
    • progressive obtundation is seen

    The disadvantage of all of these signs are that they are very subjective.

    Next week, we shall look at objective assessment of dehydration.

  • Chocolate poisoning in dogs

    Bar of chocolate
    As little as 50 grams (1.8 oz) of general chocolate can be enough to poison a small dog, but the concentration of theobromine in dark chocolates (approximately 10g/kg) is up to 10 times that of milk chocolate. (source: Wikipedia)

    Chocolate is digested much more slowly by dogs than people. Therefore symptoms may not appear for many hours after the chocolate is eaten.

    Do not be fooled by this into thinking that everything is okay. The earlier chocolate poisoning is treated the more likely you are to save the dog’s life.

    No antidote

    In addition, the very slow deactivation of theobromine by dogs means that the effects of chocolate poisoning can be very prolonged – up to three days, so the dog may need to be hospitalised throughout this time.

    Theobromine has no specific antidote – cases are treated symptomatically. The prognosis depends on how much chocolate or cocoa powder the dog has eaten, and how long prior to being seen by the vet that the dog ate it.

    Don’t delay

    Up to 50% of dogs will die if treatment is delayed until severe, persistent vomiting has developed. If seizures have begun then an even higher proportion of dogs will die.

    Treated early enough, except for dogs that have consumed very large quantities of chocolate or cocoa powder, the outlook is generally quite good. Recovered dogs show no long term ill effects from the poisoning.

  • Blood testing for E cuniculi in rabbits

    Blood testing for E cuniculi in rabbits

    Figure 1. Neurological signs are considered the most common clinical presentation of encephalitozoonosis in pet rabbits. The most frequent neurological signs are often associated with vestibular disease and can include head tilt, ataxia, circling and rolling, nodding or swaying at rest, and nystagmus.
    Neurological signs, including head tilt, are considered the most common clinical presentation of encephalitozoonosis in rabbits.

    Image taken from article Treatment of Encephalitozoon cuniculi infection in rabbits by Elisabetta Mancinelli – the first in a two-part series that also includes Diagnosing Encephalitozoon cuniculi infection in rabbits.

    Antibodies to E cuniculi in rabbits can be detected on a blood test. Hence, a rabbit that has been infected by E cuniculi will produce antibodies that will produce a positive test.

    However, some rabbits appear to clear the infection completely and over time their blood test will become negative again.

    Have or have not

    Until recently, tests available in the UK could not distinguish between current and past infection. A negative result basically ruled out E cuniculi as the cause of illness but a positive result only told you the bunny had been infected at some point in time, and did not help to determine whether the infection was recent and ongoing.

    However, quantitative tests that can actually measure the levels of antibody in the blood sample (not just whether they are there or not) are now available in the UK, introduced by Medlab in Cheshire.

    By testing two separate samples (taken with an interval between them) it is now possible to determine if a rabbit is mounting an immune response to an active E cuniculi infection.

  • Work hard, play hard

    Work hard, play hard

    At the end of January I travelled down to Nottingham for the third annual Student Equine Veterinary Association (SEVA) symposium.

    Image: Roman Milert / Fotolia.
    Image: Roman Milert / Fotolia.

    The weekend was crammed with lectures, practicals and seminars relevant to horses in particular, for equine enthusiasts from all UK vet schools – and even some from further afield.

    Auspicious start

    Any congregation of vet students is eventful, and the weekend kicked off with us accidentally setting the toaster on fire before making our way to campus for the first set of lectures.

    It’s always interesting to see other vet schools in their settings: the short journey through the Midlands countryside was quite different from our commute in the West End of Glasgow.

    Sarcoid legend

    Big names in the equine vet world were present to deliver talks on a range of subjects from the emergency colic, orthopaedics, the racing vet and reproduction.

    The British weather was against some of the guest speakers and, after battling the snow to make his plane, Prof Derek Knottenbelt arrived a little later than planned to deliver his lecture on oncology – a highly amusing and informative presentation that proved the renowned sarcoid legend was worth the wait.

    Jonathon Pycock, as well as delivering a talk on reproduction, ran a seminar on the Veterinary Defence Society (VDS) and through the medium of hilarious anecdotes, encouraged students to make use of the VDS in the future should they ever get into a sticky legal situation.

    Practicals covered a wide range of subjects, but I had chosen cardiology and farriery.

    Matters of the heart

    The cardiology practical covered auscultation of the normal horse and localisation of a heart murmur in the abnormal horse, followed by ultrasound scanning of the heart; something I’d never done before.

    We were able to use electronic stethoscopes during the session – the difference they made was incredible (shame I haven’t got a spare £400 to upgrade from the manual one). We then had a related seminar on diagnosing and interpreting heart murmurs from auscultation recordings and ultrasound videos, which was very helpful in trying to distinguish heart sounds more clearly.

    cardiology practical
    Veterinary students taking part in the cardiology practical.

    Local Army Farriers ran a session on farriery, allowing us to practice removing a shoe, putting a shoe on and the approach to an abscess in the foot. We later discussed the use of different remedial shoes for various conditions and urged us to communicate effectively with farriers in order to work together to achieve the best solution to problems of the foot.

    Party on

    Saturday evening played host to a black tie ball, with great food and wine and a live string band, before continuing the party with many of the speakers also dancing among the students until the early hours.

    As with all vet events, I had a fantastic time and would urge other students to go to at least one of these symposiums or congress during their time at vet school.

    Even if it’s revision, I find learning something you think you might know reasonably well in a different format will highlight areas you need to work on and help consolidate things better. While the focus is primarily academic, I think these weekends are still always true to the vet school mantra of “work hard, play hard”, and I always have a fab time.

  • Myxoedema

    Myxoedema

    Myxoedema
    Dog with hypothyroidism presenting with myxoedema. There is facial oedema and the typical tragic facial expression. Image Jane Coatesworth / AHT.

    Myxoedema most commonly occurs in moderate to severe cases of hypothyroidism in dogs.

    Thickening of the skin occurs secondary to accumulation of glycosaminoglycans (mostly hyaluronic acid) in the dermis.

    Myxoedema is most common on the forehead and face, causing a puffy appearance and thickened skin folds above the eyes. The puffiness, plus slight drooping of the upper eyelid, gives some dogs a “tragic” facial expression.

    These changes also have been found in the GI tract, heart and skeletal muscles.

    Myxoedema coma, a rare syndrome, is the extreme expression of severe hypothyroidism. The course can develop rapidly; lethargy progresses to stupor and coma. The common signs of hypothyroidism (eg hair loss) are present, but other signs, such as hypoventilation, hypotension, bradycardia and profound hypothermia, are usually seen as well.

  • Idiopathic head tremors in dogs

    Idiopathic head tremors in dogs

    Idiopathic head tremors are common in young to middle aged dogs especially bulldogs, boxers and Labradors.

    Boxer
    Although upsetting to owners, episodes are not painful or upsetting for the dog.

    There is often a familial component and the tremors can be triggered by:

    • a recent painful event
    • a temporary dip in blood glucose
    • lowering of blood calcium
    • allergens
    • trauma
    • nothing discernible at all

    It is easy to confuse the condition with focal seizures.

    Anti-epileptic medication is not beneficial in true cases of idiopathic tremors. There is anecdotal evidence that feeding a sugar-rich meal can immediately alleviate the tremors, even in those cases where blood glucose levels have been normal.

    Idiopathic head tremors in Bailey the boxer. Video: LaurenDu / YouTube

  • Is cranial cruciate ligament surgery always necessary?

    Is cranial cruciate ligament surgery always necessary?

    rupture
    Rupture of the cranial cruciate ligament in an English Bulldog by Uwe Gille, licensed under CC-BY-SA-3.0

    For dogs weighing less than 15kg, cranial cruciate disease can be managed conservatively – weight loss until an appropriate Body Condition Score (BCS) is achieved, exercise restriction for 3 to 6 weeks, and possibly physical therapy and pain medication – allowing acceptable comfort and function.

    In dogs weighing more than 15kg, cruciate disease will eventually cause significant arthritis, and dysfunction is inevitable without surgical treatment.

    No single surgical technique is clearly superior, so the choice of surgical repair should be decided by the surgeon and the needs of the owner.

  • Lost and found: why microchipping is a must

    Lost and found: why microchipping is a must

    Hinckley Times article
    Doogle’s plight found its way into the hallowed pages of The Hinckley Times.

    One of our cats – Doogle, a home-loving feline who rarely sets foot outside the garden – recently got himself caught under my mum’s car, only to drop out when she’d driven along a few streets and run, startled, across the fields toward the next village.

    Posters, local press coverage and Facebook shares resulted in a few potential leads on his whereabouts (we’d localised him to 2-3 miles from home) but, as a cat that doesn’t normally roam far, we never thought he’d find his own way back. The only comforting factor was the knowledge he was microchipped – should someone find him and take him to a rescue centre or vet, he’d be returned to us.

    Cats vs. dogs

    As cats tend to stray (or get lost), the advantage of microchipping them is clear, but it isn’t a legal requirement. It will, however, become law in England and Scotland for dogs to be microchipped from 6 April 2016. This change in the law means that all dogs must be chipped by 8 weeks of age and the appropriate details registered to the chip must be up to date.

    Unfortunately, while we did have Doogle microchipped, we realised we hadn’t registered our contact details with the microchip company, despite him being 18 months old and having been chipped as a kitten.

    This is something many dog owners will have to consider in line with the new law: if an owner does not keep the dog’s information up to date on a relevant database, or the dog is unchipped, a notice may be served giving 21 days in which to rectify the situation. If they still fail to comply, a fine of up to £500 can be issued or the dog may be seized and microchipped.

    Raising awareness

    Doogle
    Doogle managed to make his way home without the aid of microchip technology, but not all pets are so lucky.

    Ignorance is no excuse, so we must make clients aware of the new regulations, and in some cases, the exemptions:

    • Working dogs that have their tails docked in accordance with the Animal Welfare Act 2006 are allowed an extended time limit of 12 weeks before they must be chipped (this applies to England and Wales only – tail docking is entirely banned in Scotland).
    • Implantation can also be delayed if a vet believes it could adversely affect a dog’s health. In these cases, the vet must certify this is the case and state the expiry of the exemption, by which time a chip must be inserted.

    The introduction of the law will help trace inherited defects, tackle puppy farming and promote responsible dog ownership, not to mention the peace of mind that chipping gives owners should their pets be lost or stolen.

    Much to our disbelief, Doogle managed to find his own way home two weeks after he first went missing, so we never relied on his microchip for him to be returned, but we can now appreciate the relief of knowing it’s there (with the correct details registered) if he ever disappears again.

  • Spaying bitches at time of mastectomy

    Spaying bitches at time of mastectomy

    spay
    Spay image: Jackie Morrison.

    It is advisable to always spay a bitch having a mastectomy.

    Approximately 50% of malignant mammary tumours in the dog have receptors for either oestrogen or progesterone. This means the presence of these female hormones promotes the growth of these tumours.

    Benign tumours also have female hormone receptors and can also be stimulated by hormonal cycling of the female dog. This means spaying is important, even if a tumour has already developed.

    In one study, bitches spayed at the time of mammary tumour removal (or two years prior) lived 45% longer than those that remained unspayed.