The information infrastructure that supports evidence-based veterinary medicine: a comparison with human medicine

In human medicine, the information infrastructure that supports the knowledge translation processes of exchange, synthesis, dissemination, and application of the best clinical intervention research has developed significantly in the past 15 years, facilitating the uptake of research evidence by clinicians as well as the practice of evidence-based medicine. Seven of the key elements of this improved information infrastructure are clinical trial registries, research reporting standards, systematic reviews, organizations that support the production of systematic reviews, the indexing of clinical intervention research in MEDLINE, clinical search filters for MEDLINE, and point-of-care decision support information resources. The objective of this paper is to describe why these elements are important for evidence-based medicine, the key developments and issues related to these seven information infrastructure elements in human medicine, how these 7 elements compare with the corresponding infrastructure elements in veterinary medicine, and how all of these factors affect the translation of clinical intervention research into clinical practice. A focused search of the Ovid MEDLINE database was conducted for English language journal literature published between 2000 and 2010. Two bibliographies were consulted and selected national and international Web sites were searched using Google. The literature reviewed indicates that the information infrastructure supporting evidence-based veterinary medicine practice in all of the 7 elements reviewed is significantly underdeveloped in relation to the corresponding information infrastructure in human medicine. This lack of development creates barriers to the timely translation of veterinary medicine research into clinical practice and also to the conduct of both primary clinical intervention research and synthesis research.     

Connecting knowledge resources to the veterinary electronic health record: opportunities for learning at point of care

Electronic health records (EHRs) provide clinical learning opportunities through quick and contextual linkage of patient signalment, symptom, and diagnosis data with knowledge resources covering tests, drugs, conditions, procedures, and client instructions. This paper introduces the EHR standards for linkage and the partners-practitioners, content publishers, and software developers-necessary to leverage this possibility in veterinary medicine. The efforts of the American Animal Hospital Association (AAHA) Electronic Health Records Task Force to partner with veterinary practice management systems to improve the use of controlled vocabulary is a first step in the development of standards for sharing knowledge at the point of care. The Veterinary Medical Libraries Section (VMLS) of the Medical Library Association's Task Force on Connecting the Veterinary Health Record to Information Resources compiled a list of resources of potential use at point of care. Resource details were drawn from product Web sites and organized by a metric used to evaluate medical point-of-care resources. Additional information was gathered from questions sent by e-mail and follow-up interviews with two practitioners, a hospital network, two software developers, and three publishers. Veterinarians with electronic records use a variety of information resources that are not linked to their software. Systems lack the infrastructure to use the Infobutton standard that has been gaining popularity in human EHRs. While some veterinary knowledge resources are digital, publisher sites and responses do not indicate a Web-based linkage of veterinary resources with EHRs. In order to facilitate lifelong learning and evidence-based practice, veterinarians and educators of future practitioners must demonstrate to veterinary practice software developers and publishers a clinically-based need to connect knowledge resources to veterinary EHRs.     

Information-seeking behaviors of first-semester veterinary students: a preliminary report

Although emphasis in veterinary education is increasingly being placed on the ability to find, use, and communicate information, studies on the information behaviors of veterinary students or professionals are few. Improved knowledge in this area will provide valuable information for course and curriculum planning and the design of information resources. This article describes a survey of the information-seeking behaviors of first-semester veterinary students at Purdue University. A survey was administered as the first phase of a progressive semester-long assignment for a first semester DVM course in systemic mammalian physiology. The survey probed for understanding of the scientific literature and its use for course assignments and continuing learning. The survey results showed that students beginning the program tended to use Google for coursework, although some also used the resources found through the Purdue libraries' Web sites. On entering veterinary school, they became aware of specific information resources in veterinary medicine. They used a small number of accepted criteria to evaluate the Web site quality. This study confirms the findings of studies of information-seeking behaviors of undergraduate students. Further studies are needed to examine whether those behaviors change as students learn about specialized veterinary resources that are designed to address clinical needs as they progress through their training.     

Effective bibliographic searching for animal alternatives in veterinary medical education: the UC Davis web site

To prepare students in just four years to enter veterinary practice, veterinary medical educators offer an array of laboratory and clinical experiences coordinated with didactic instruction. Recent curricular changes have reduced the numbers of animals involved in painful or terminal procedures. For each use of animals, veterinary educators are required by the USDA's policies 11 and 12 to complete animal-use protocols that include questions on alternatives to procedures causing more than momentary pain or distress. Veterinary medical educators seeking improved teaching resources and methods or completing animal-use protocols may find it frustrating to locate the relevant information, which is dispersed across many databases. This paper addresses a gap facing veterinary educators by presenting user-friendly searching tools that are targeted toward (a) locating teaching resources and (b) conducting effective bibliographic searches on standard teaching laboratory procedures, as required for animal-use protocols. These tools simplify searching by providing streamlined access to the resources being sought. Facilitating efficient and effective searching by users can improve teaching and simplify compliance with USDA requirements.     

Searching for veterinary evidence: A guide for equine professionals

There is more and more online information available at our fingertips, but how do we efficiently identify and extract relevant information for good clinical decision making? The aim of this review article is to provide equine professionals with the building blocks to be able to develop skills for expertly navigating the scientific literature in a timely fashion. This includes what key questions you need to ask before starting (why am I searching and how much time do I have), where the best places are to search and how to find freely available legal copies of papers (articles, conference proceedings, book chapters and dissertations). Additionally, how to best conduct an information search and what you get from searches of varying comprehensiveness. Finally, this article will cover where to find databases of research syntheses where others have already carried out the hard work for you and some advanced techniques which are likely to save you substantial amounts of time. This article draws together expertise from a panel of veterinary clinicians, nurses and technicians, information specialists and librarians and clinical researchers.     

Field treatment of search dogs: lessons learned from the World Trade Center disaster

Objective: To provide a synthesis of information learned by the veterinary community during the care and treatment of search and rescue dogs in a large‐scale urban disaster. Summary: Disaster medicine requires several stages. The most important stage is the planning stage. To function effectively and safely in a disaster situation, a disaster response plan and prior training in disaster response are essential. The execution of a disaster plan requires coordination and communication with multiple agencies. Treatment of search and rescue dogs involves front line field care for life‐threatening emergencies, a first aid station or MASH unit in close proximity to the disaster and/or base of operations for stabilization and general medical care, and local full service veterinary hospitals for specialty and extended care. New or Unique information provided: This report is a summary of experiences gained in preparing for and implementing veterinary care in a major disaster. Medical conditions that affected search and rescue dogs and were treated by veterinary disaster responders at the World Trade Center are presented.     

因特网中预防兽医学资源及其开发利用

Ｉntemet中预防兽医学资源包括虚拟图书馆和信息资源中心、虚拟兽医院和虚拟实验室、学术研究机构、学术组织和团体、学术期刊和电子出版物、学术论坛及网络教育等类型，本文给出了许多精选的网络资源地址，并讨论了有关开发利用的一些问题。     

新冠肺炎疫情背景下《兽医内科学》线上线下融合教学的构想

《兽医内科学》是动物医学专业本科教育的专业方向课,具有较强的理论性、实践性和系统性,是动物医学专业的临床主干课程之一,也是动物临床医学的核心课。目前,该课程主要以线下双语教学方式为主,但随着信息化教育技术不断发展及国际交流合作越来越普及化,全线下教学模式局限性日渐凸显,尤其面对2020年初新冠疫情的暴发,线上居家教学成为教师和学生教与学的唯一方式。线下线上融合的双语教学能更充分的利用在线优质教育资源,对于实现资源共享、推动兽医教育与先进国家接轨、培养综合型高级兽医专业人才、增强国际竞争力具有重大意义。本文拟借助超星学习通平台探索一种教学效果相对理想的《兽医内科学》线上线下融合教学模式,并在实践教学中应用推广,主要从教学内容、教学模式、网络平台、师资队伍、教材开发等诸多方面对教学资源进行补充与创新、继续发展和完善,目标在于将《兽医内科学》双语教学发展到高水平阶段,以满足学生的学习和发展需求。     

The poison-proof practice

Toxicology is the medical discipline that studies the often dramatic effects that poisons can have on living organisms. The body of toxicological information that the practicing veterinarian must deal with is growing exponentially. The veterinary clinician must come to understand the source of potential toxicants, circumstances leading up to poisoning episodes, must recognize the clinical signs of a wide variety of poisons, be able to diagnose intoxications, successfully treat and manage exposed animals, and institute strategies that educate the public and help prevent future poisonings. This is a tremendously tall order and can be not a little bit overwhelming. Fortunately, the clinicians are not alone and have tremendous resources in their corner, including veterinary schools, regional poison and drug centers, national veterinary hot lines utilizing board-certified veterinary toxicologists, local toxicologists and an ever-growing body of literature concerning small animal poisoning management. This discussion will investigate ways in which to make this seemingly daunting field much more palatable to small animal practitioners.     

The informatics imperative in veterinary medicine: collaboration across disciplines

Information and data management are essential to support the collaborative and interdisciplinary pursuits of an academic veterinary medicine enterprise, ranging from research conducted by individual investigators, education processes, clinical care, and outreach to administration and management. Informatics is an academic discipline that focuses on the creation, management, storage, retrieval, and use of information and data and how technology can be applied to improve access to and use of these resources. In this article, we discuss the challenges in integrating informatics across a large academic enterprise from a veterinary medicine point of view. As a case study, we describe an example program of informatics at the University of Minnesota designed to support interdisciplinary collaboration.     

Nutritional considerations for animals with pulmonary disease.

Recent publications in the human and veterinary literature have indicated that patients with pulmonary disease require specific nutritional consideration to ensure that optimal benefit is derived with nutrition support. Although additional research is needed in this area, preliminary recommendations can be made using information from the scant studies performed thus far in veterinary medicine and from information extrapolated from the human literature. These recommendations are likely to provide significant clinical benefit to patients with pulmonary disease. This article aims to provide the reader with a summary of the available information and links to other relevant sources.     

Information technology in veterinary pharmacology instruction

Veterinary clinical pharmacology encompasses all interactions between drugs and animals and applies basic and clinical knowledge to improve rational drug use and patient outcomes. Veterinary pharmacology instructors set educational goals and objectives that, when mastered by students, lead to improved animal health. The special needs of pharmacology instruction include establishing a functional interface between basic and clinical knowledge, managing a large quantity of information, and mastering quantitative skills essential to successful drug administration and analysis of drug action. In the present study, a survey was conducted to determine the extent to which veterinary pharmacology instructors utilize information technology (IT) in their teaching. Several IT categories were investigated, including Web-based instructional aids, stand-alone pharmacology software, interactive videoconferencing, databases, personal digital assistants (PDAs), and e-book applications. Currently IT plays a largely ancillary role in pharmacology instruction. IT use is being expanded primarily through the efforts of two veterinary professional pharmacology groups, the American College of Veterinary Clinical Pharmacology (ACVCP) and the American Academy of Veterinary Pharmacology and Therapeutics (AAVPT). The long-term outcome of improved IT use in pharmacology instruction should be to support the larger educational mission of active learning and problem solving. Creation of high-quality IT resources that promote this goal has the potential to improve veterinary pharmacology instruction within and across institutions.     

Diagnostic toxicology for the food animal practitioner.

In most competent veterinary diagnostic laboratories, analytic findings are interpreted by a veterinary toxicologist to determine the significance of the finding in light of historical, clinical, and pathologic findings. A veterinary toxicologist also provides consultation about possible toxic rule-outs for a case, treatment of affected animals, and prevention of additional cases. Once all of the information is available, a complete summary of the findings can be provided to the client. When the procedures outlined herein are followed, including a systematic approach to collecting all the evidence (historical, clinical, pathologic, and analytic), using proper sampling techniques, and maintaining good communication among the clinician, client, and laboratory, the usefulness of the toxicology investigation is maximized.     

浅议兽用中药新资源的开发

近年来,在市场和政策的双重促进下,中兽药行业发展突飞猛进,但作为一个资源依赖型的产业,兽用中药资源的利用与开发对行业的健康可持续发展至关重要。本文首先就兽用中药资源的历史发展及开发现状展开了论述,然后针对如何开发兽用中药新资源进行了重点探讨。指出新资源的开发,有助于扩充中兽药行业的药物来源,减少与人药的资源争夺,降本增效,促进中兽药行业高质量健康发展;同时提出新资源的开发应坚持中兽医药理论为指导,并以临床疗效为最终导向,走中兽药特色的道路。     

Microarrays in veterinary diagnostics

Microarrays have numerous applications in the clinical setting, and these uses are not confined to the study of common human diseases. Indeed, the high-throughput technology affects clinical diagnostics in a variety of contexts, and this is reflected in the increasing use of microarray-based tools in the development of diagnostic and prognostic tests and in the identification of novel therapeutic targets. While much of the value of microarray-based experimentation has been derived from the study of human disease, there is equivalent potential for its role in veterinary medicine. Even though the resources devoted to the study of animal molecular diagnostics may be less than those available for human research, there is nonetheless a growing appreciation of the value of genome-wide information as it applies to animal disease. Therefore, this review focuses on the basics of microarray experimentation, and how this technology lends itself to a variety of diagnostic approaches in veterinary medicine.     

Veterinary Randomized Clinical Trial Reporting: A Review of the Small Animal Literature

The randomized clinical trial (RCT) is a valuable research method for the evaluation of new treatment and prevention regimens in veterinary medicine. Reporting of clinical trials in other disciplines has not been complete. Without complete information on the conduct and results of a clinical trial, readers cannot optimize their use of the information presented. This report represents an objective review of randomized clinical trials in the veterinary small animal literature from 1986 to 1990. Results indicate that RCT reports in the small animal veterinary literature are incomplete. The importance of reporting on particular aspects of RCT research is described.     

Understanding veterinary practitioners' decision-making process: implications for veterinary medical education

Understanding how veterinary practitioners make clinical decisions, and how they use scientific information to inform their decisions, is important to optimize animal care, client satisfaction, and veterinary education. We aimed to develop an understanding of private practitioners' process of decision making. On the basis of a grounded-theory qualitative approach, we conducted a telephone survey and semi-structured face-to-face interviews. We identified a decision-making framework consisting of two possible processes to make decisions, five steps in the management of a clinical case, and three influencing factors. To inform their decision, veterinary surgeons rarely take the evidence-based medicine (EBM) approach. They consult first-opinion colleagues, specialists, laboratories, and the Internet rather than scientific databases and peer-reviewed literature, mainly because of limited time. Most interviewees suggested the development of educational interventions to better develop decision-making skills in veterinary schools. Adequate information and EBM tools are needed to optimize the time spent in query and assessment of scientific information, and practitioners need to be trained in their use.     

OLIVER: an online library of images for veterinary education and research

As part of a strategic move by the University of Sydney toward increased flexibility in learning, the Faculty of Veterinary Science undertook a number of developments involving Web-based teaching and assessment. OLIVER underpins them by providing a rich, durable repository for learning objects. To integrate Web-based learning, case studies, and didactic presentations for veterinary and animal science students, we established an online library of images and other learning objects for use by academics in the Faculties of Veterinary Science and Agriculture. The objectives of OLIVER were to maximize the use of the faculty's teaching resources by providing a stable archiving facility for graphic images and other multimedia learning objects that allows flexible and precise searching, integrating indexing standards, thesauri, pull-down lists of preferred terms, and linking of objects within cases. OLIVER offers a portable and expandable Web-based shell that facilitates ongoing storage of learning objects in a range of media. Learning objects can be downloaded in common, standardized formats so that they can be easily imported for use in a range of applications, including Microsoft PowerPoint, WebCT, and Microsoft Word. OLIVER now contains more than 9,000 images relating to many facets of veterinary science; these are annotated and supported by search engines that allow rapid access to both images and relevant information. The Web site is easily updated and adapted as required.     

Recommendations for designing and conducting veterinary clinical pathology biologic variation studies

The recent creation of a veterinary clinical pathology biologic variation website has highlighted the need to provide recommendations for future studies of biologic variation in animals in order to help standardize and improve the quality of published information and to facilitate review and selection of publications as standard references. The following recommendations are provided in the format and order commonly found in veterinary publications. A checklist is provided to aid in planning, implementing, and evaluating veterinary studies on biologic variation (Appendix  S1 ). These recommendations provide a valuable resource for clinicians, laboratorians, and researchers interested in conducting studies of biologic variation and in determining the quality of studies of biologic variation in veterinary laboratory testing.