Omneity® Pellets
All-In-One Vitamin & Mineral Pellet
The Veterinary clinics of North America. Equine practice.
Publisher:
W.B. Saunders,
Frequency: Three no. a year
Country: United States
Language: English
Start Year:1985 -
ISSN:
0749-0739 (Print)
1558-4224 (Electronic)
0749-0739 (Linking)
1558-4224 (Electronic)
0749-0739 (Linking)
Impact Factor
1.1
2022
| NLM ID: | 8511904 |
| (DNLM): | SR0053812(s) |
| (OCoLC): | 11078671 |
| LCCN: | sn 84006968 |
| Classification: | W1 VE929F |
The anatomy and physiology of the suspensory apparatus of the distal phalanx. The equine hoof capsule protects the softer, more sensitive, structures within. Failure of the connection between hoof and bone (suspensory apparatus of the distal phalanx or SADP) results in the crippling lameness of laminitis. Active basal cell proliferation occurs principally in tubular hoof and proximal and distal lamellae. The remaining lamellae are virtually non-proliferative and the hoof wall moves past the stationary distal phalanx, by controlled activation and inhibition of constituent proteases. The lamellar corium derives most of its blood supply from the branches of the terminal ar...
Home care for horses with chronic laminitis. Home care for horses with chronic laminitis has been discussed rarely in the veterinary literature even though, at any given time, most of us have at least 1 chronic laminitis case in our care that is being managed at home by the owner. Almost all of our knowledge on this aspect of laminitis treatment has been gleaned through experience, by individually working through the medical, ethical, financial, and emotional challenges these cases can present. Much has already been presented on the medical management of the laminitic horse and on strategies for trimming and shoeing the laminitic foot. T...
Progression of venographic changes after experimentally induced laminitis. Venography (retrograde venous angiography) is a relatively simple and practical method for vascular assessment of the digits in the standing horse. The technique is a useful adjunct to routine radiography. The clinical use of the laminitis venogram has resulted in a more comprehensive understanding of the collateral pathology associated with distal phalanx displacement and abnormal hoof growth. The effectiveness of therapeutic procedures such as hoof wall resection, coronary band grooving, deep digital flexor tenotomy, and therapeutic shoeing can be assessed by serial venography. This article ...
Overview of current laminitis research. All cases of laminitis are characterized by failure of the attachment of the epidermal cells of the epidermal laminae to the underlying basement membrane of the dermal laminae despite the diversity of diseases that underlie the syndrome. The preponderance of evidence supports roles for inflammation, metabolic derangement, endothelial and venous dysfunction, and matrix degradation as causes of laminitis. Inflammation, oxidant stress, and matrix degradation may be factors common to each of these mechanisms that lead to the laminar damage of laminitis. The understanding of the pathophysiology and...
Laminitis treatment: a personal memoir. The author has completed 40 years as a veterinarian treating horses with laminitis. The article is a recollection of his experiences with laminitis and the various treatment methods he came across while trying to treat the disease.
Marketing your equine practice. The take-home message in marketing your equine practice is simple: understand your position in the target market and the buying behavior of your current and prospective customers. Time well spent on analysis and evaluation of options can maximize customer value in the services and products you offer. This allows you to capture profit and to attain your personal and professional goals as an equine practitioner.
Current economic trends in equine practice. Current economic trends in equine practice are trends of weakness. Most practices, after a decade of double-digit growth, have migrated to survival mode within a few months. Understanding that all regions and disciplines are affected differently, using the Porter five forces model, we can identify changes that must be made in our business models first to survive and then to position ourselves to prosper when the recession ends. If we are to avoid long-term damage to our practices, we must use cost control and work efficiency in addition to price concessions.
Customer service in equine veterinary medicine. This article explores customer service in equine veterinary medicine. It begins with a discussion about the differences between customers and clients in veterinary medicine. An overview of the nature of the veterinary-client-patient relationship and its effects on the veterinarian's services sheds light on how to evaluate your customer service. The author reviews a study performed in 2007 that evaluated 24 attributes of customer service and their importance to clients of equine veterinarians in their decision to select a specific veterinarian or hospital. The article concludes with an overview...
The transition from veterinary school to equine practice. The transition from veterinary school to equine practice can be challenging. This article provides suggestions and advice for new graduates in areas that include internships, associate positions, financial considerations, balancing personal and professional responsibilities, mentorship, continuing education, and professionalism.
Mergers and acquisitions involving equine veterinary practices. This article discusses mergers and acquisitions involving equine veterinary practices. Combining practices can be professionally and economically advantageous but requires a great deal of thought, planning, and implementation. If due diligence is performed and true business teamwork is undertaken, the benefits can be enormous and rewarding.
Equine associate employment agreements from the employer’s perspective. This article discusses equine associate employment agreements from the employer's perspective. It should also be of interest to prospective equine associates. The substantive issues and questions are the same, and neither employers nor employees are likely to get far unless they "walk a mile in the other's moccasins".
Medical records in equine veterinary practice. Quality medical records are the cornerstone of successful equine veterinary practice. The scope and integrity of the information contained in a practice's medical records influence the quality of patient care and client service and affect liability risk, practice productivity, and overall practice value.
Design of an equine ambulatory practice. In this article, the author discusses the design of an equine ambulatory practice. He suggests a more systematic approach to the design of an ambulatory practice that should answer the needs of group and solo practices. Today's practitioners must actively manage their practices so that their resources can be leveraged in such a fashion that a return can be realized on their capital investment and the hours spent in practice.
Ethics in equine practice economics. Ethics is a valuable standard for the structure of equine practice. It relies on sound moral character, beginning with the leaders in the practice. The leadership in each practice regularly needs to review its role in promoting ethical standards. This is not new information but deserves to be revisited with emphasis at this particular time in our society. Nothing less than commitment to grass root stability offers any hope to reverse those actions.
Practice evaluation and sale transactions: preserving value through economic turmoil. There are several options to value a veterinary practice (market approach, asset approach, and income approach) and several methods within these approaches. Examples of an income-based approach include excess earnings, discounted future returns, and single period capitalization of earnings. A qualified valuator will use his or her professional opinion and experience to determine the most appropriate method for one's practice situation. This article outlines the excess earnings method for which where the principal components of value are net assets and goodwill.
Design of a multifaceted referral equine hospital. There is no simple recipe for designing a multifaceted practice. However, keys to any design are the devotion of the people involved and proper positioning of such people in the organization. Anyone designing such a practice also must pay keen attention to details and a keep a finger constantly on the pulse of the business to ensure that it maintains a sound financial footing and a consistent vision. Little money is made from savings or pushing financials. Profits come mainly through building additional sales, maintaining a clear vision, and making shrewd investments. Like for every small busi...
Gender shifts in equine veterinary practice. This article examines gender shifts in equine veterinary practice. A significant gender compensation gap continues across the spectrum of professions, including veterinary medicine. Many styles of practice serve the disparate and sometimes conflicting goals of financial well-being, patient care, and physical family presence.
Enteroliths and other foreign bodies. This article focuses on obstructive diseases of the large intestine (large and small colons) caused by intraluminal bodies. Large intestinal obstructions from intraluminal bodies can be divided into the following categories: enteroliths or mineral concretions, bezoars (hair or plant material), and ingested foreign objects. Clinical presentation and treatment of obstructive diseases are presented in this article and are similar regardless of the cause.
Acute diarrhea in hospitalized horses. The development of diarrhea among hospitalized horses is a major concern for equine veterinary hospitals and referral centers. It is a potential complication of hospitalization for surgical or medical procedures and can contribute to the morbidity and mortality of horses with gastrointestinal and non-gastrointestinal diseases. Unfortunately, it can be difficult to pinpoint the exact cause of acute diarrhea or colitis, and in most cases, the specific etiologic agent is presumptive or undetermined. This article discusses the major etiologic agents of diarrhea in hospitalized horses, considers fa...
Update on recent advances in equine abdominal surgery. In recent years important advancements in colic surgery have led to improved prediction of survival rates, better survival rates, and decreased complication rates. This article describes several modalities to combat and prevent incisional hernia and intestinal adhesion formation in horses undergoing colic surgery. These modalities have had a positive impact on reducing complications in horses after surgery.
The bacterial community of the horse gastrointestinal tract and its relation to fermentative acidosis, laminitis, colic, and stomach ulcers. The gastrointestinal tract of the horse has unique characteristics that make it well suited for the ingestion and utilization of roughage. The horse is considered a simple-stomached herbivore and is classed as a hindgut fermenter. The upper segments of the gastrointestinal tract resemble those of a typical simple-stomached animal. The lower have undergone modification to become voluminous and host to a large number of microbial populations similar to those of the compartmental stomach of ruminant animals. The main advantage of this arrangement is the ability of the horse to extract valuable nu...
Parasitism and colic. Equids are hosts to dozens of species of internal parasites that infect no other domestic animals. Virtually all horses, especially those exposed to pasture, experience some level of parasitism continuously. Despite pathologic evidence of parasitic damage in various organs and tissues, few parasitisms are manifested systemically in well-managed horses. Contrary to conventional wisdom, only three common parasitisms of horses are likely to be manifested as colic: Strongylus vulgaris, Parascaris equorum, and Anoplocephala perfoliata. This article discusses the life cycles, pathophysiology, manife...
Update on treatments for endotoxemia. Endotoxemia is a major cause of morbidity and mortality in horses affected by colic. This article briefly reviews the pathogenesis of endotoxemia in horses with colic, reviews current established treatments, and describes new advances in the treatment of endotoxemia.
Prognosticating equine colic. Prognosticating survival in horses with colic is challenging because of the number of diseases and pathophysiologic processes that can cause the behavior. Although the treatment of horses with colic has improved dramatically over the years, case fatality can still be high because of the delay in recognizing the problem, the time delay inherent in receiving veterinary care, and the lack of effective treatment for the more severe diseases. Intensive case management and surgery for these horses may be expensive and emotionally draining for owners; therefore, providing an accurate prognosis is key...
New perspectives in equine gastric ulcer syndrome. Equine gastric ulcer syndrome (EGUS) is common in horses. A history of mild intermitted recurrent colic signs after eating is noted in many horses. Management of horses with abdominal pain caused by gastric ulcers is especially difficult, because non-steroidal anti-inflammatory agents, typically used to control abdominal pain, may exacerbate this condition. Effective pharmacologic agents are available to treat EGUS and eliminate abdominal pain, but more comprehensive measures of environmental and dietary management are needed to manage horses with EGUS and prevent recurrence. This article focu...
Coagulopathies in horses with colic. The most common coagulopathy in horses with colic is a hypercoagulable state associated with disseminated intravascular coagulation. The intensity of this coagulopathy depends on the severity and duration of the gastrointestinal lesion, with the ischemic and inflammatory problems and peritonitis being the most frequently affected by coagulopathies. Early initiation of prophylactic therapy significantly reduces the severe hypercoagulable state in horses with intestinal conditions which are recognized to be at high risk for disseminated intravascular coagulation. In addition to the systemic coag...
Impactions of the small and large intestines. Impactions of the small and large intestines are frequently diagnosed as the cause of colic in horses. An impaction is an accumulation of dehydrated ingesta in a portion of the digestive tract, typically at sites where the intestinal diameter decreases. The specific pathogenesis for impactions is not fully understood, although risk factors have been identified for several types of impactions. Treatment for impactions includes withholding feed until the impaction passes, rehydrating the ingesta, and, if necessary, administering analgesic agents. In severe cases, surgery may be necessary to reli...
