Our time is now – how companion animal veterinarians can transform biomedical science

Over the past decade, there has been growing interest in the “One Health” agenda, defined by the One Health Initiative to be “a worldwide strategy for expanding interdisciplinary collaborations and communications in all aspects of health care for humans, animals and the environment.” The concept has spawned numerous conferences, under‐ and post‐graduate courses and has been the topic of dozens of articles that have discussed how medical doctors, scientists and veterinarians can work together to improve the health of both animals and humans. Although there is widespread agreement about the potential benefits of medical doctors and veterinarians working more closely together, this is far from routine practice for most companion animal veterinarians. This article reflects on why the topic of “One Health” is attracting such interest at the moment and discusses some of the reasons why the “One Health” agenda offers companion animal veterinarians a chance to be centre stage in the global drive to improve the health of both animals and humans.     

Trends in transfusion medicine in dogs at a veterinary school clinic: 315 cases (1986-1989).

Transfusion practices in dogs treated at Tufts University Foster Hospital for Small Animals were monitored for 1 year before and 2 years after receipt (by the School) of a Transfusion Medicine Academic Award, a 5-year National Institutes of Health curriculum and career development grant. The most important changes observed were increased use of packed RBC instead of fresh whole blood for initial treatment of anemia and hemorrhage attributable to coagulopathies and surgery. In addition, increased use of plasma was part of the treatment of disseminated intravascular coagulation. Change was not observed in the use of plasma for dogs with hypoalbuminemia.     

One medicine, one university: the DVM/MPH program at the University of Illinois

The University of Illinois at Urbana-Champaign College of Veterinary Medicine (UIUC-CVM) and the University of Illinois-Chicago School of Public Health (UIC-SPH) are in the fourth year of a collaborative Doctor of Veterinary Medicine and Master of Public Health dual-degree program. The two campuses, one urban and one rural, are 150 miles apart but are sister schools within the University of Illinois system. This article describes the origin of the program, how the program functions across two campuses, its academic focus, required coursework, and research projects designed to fulfill the program's capstone requirements. The article shows how two campuses can be linked through a combination of online and on-site didactic coursework, briefly describes innovative proposals for projects within the United States and abroad, and highlights faculty committed to educating cross-trained public-health professionals while addressing the national need for veterinarians trained in public health. The authors also discuss how the dual-degree program has led to the formation of the Illinois Center for One Medicine, One Health (ICOMOH), an intra-university collaboration focusing on the interface of human, animal, and ecosystem health.     

The challenges of implementing an integrated One Health surveillance system in Australia

As 75 per cent of emerging infectious diseases are of animal origin, a One Health approach that integrates the health of humans, animals and the environment could provide an earlier opportunity for zoonotic disease detection and prevention. In Australia, human, animal and ecological health are managed by separate sectors with limited communication. This study aims to explore how professionals in these fields perceive a One Health approach to zoonotic disease surveillance, aiming to identify the challenges to the implementation of an integrated system in Australia. Using a qualitative research method, ten semistructured interviews were conducted with academic experts to gain insight into the possibility of developing an integrated surveillance system in Australia. A thematic analysis of the data was undertaken. Findings showed the absence of a clear definition and subsequent vision for the future of One Health act as a barrier to interdisciplinary collaboration, and that siloed approaches by different sectors restrict the ability for professionals to work collaboratively across disciplines. An understanding of disease transmission was considered by participants to be a necessary requirement for a successful One Health approach. Finally, participants considered political will an essential requirement for the integration of surveillance systems. This study demonstrates that for a One Health approach to be implemented in an Australian setting, those working in the fields of human, animal and ecological health must agree on several aspects. The establishment of a formal governance body with representatives from each sector could assist in overcoming long‐standing barriers of privacy and distrust. Further, developing interdisciplinary training in One Health concepts for medical, environmental and veterinary students may encourage cross‐disciplinary collaboration. Finally, demonstrating to policymakers the economic benefit of improved and timely detection of zoonoses may help in facilitating a structured One Health approach to disease surveillance in Australia.     

Predictors of depression and anxiety in first-year veterinary students: a preliminary report

Historically, veterinary medical students' mental health has rarely been investigated, but recently there has been renewed interest in this topic. The present study evaluated depression and anxiety levels in a cross-sectional investigation of 93 first-year veterinary medical students enrolled at Kansas State University (KSU). During their first semester, students completed the Center for Epidemiological Studies Depression Scale (CES-D) and the Mental Health Inventory's Anxiety Scale (MHI-A). Results indicate that 32% of these first-year KSU veterinary students were experiencing clinical levels of depressive symptoms. Additionally, students reported elevated anxiety scores. Predictors of depression and anxiety levels include homesickness, physical health, and unclear instructor expectations. Areas of intervention with a focus on improving veterinary medical student well-being are discussed.     

One Health as a moral dilemma: Towards a socially responsible zoonotic disease control

During the last decade, the concept of One Health has become the international standard for zoonotic disease control. This call for transdisciplinary collaboration between professionals in human, animal and environmental health has produced several successes in zoonotic disease control, surveillance and research. Despite the lack of a clear definition, a shared agenda or institutional governance, One Health has proven to be a fruitful idea. Due to its ambiguity, the One Health concept functions as a boundary object: by leaving room for interpretation to fit different purposes, it facilitates cooperation. In many cases, this results in the promotion of health of humans, animals and the environment. However, there are also situations in which this mutual benefit of a One Health approach is not that evident, for instance, when healthy animals are culled to protect public health. Although such a strategy could well be part of a One Health approach, it is hard to understand how this contributes to the health of concerning animals. Consequently, these practices often lead to public debate. This raises questions on how we should understand the One Health concept in zoonotic disease control. Is it really about equally improving the health of humans, animals and the environment and is this even possible? Or is it ultimately just public health that counts? In cases of conflict between different values, the lack of a universal definition of the One Health concept contributes to this complexity. Although boundary objects have many positive aspects, in the context of One Health and zoonotic disease control, this conception seems to conceal underlying normative differences. To address moral dilemmas related to a One Health approach in zoonotic disease control, it is important to reflect on moral status and the meaning of health for humans, animals and the environment.     

Aspects of future animal health: the Animal Health Foresight Project

Against a background of social, political, and environmental change, the challenge to provide the most appropriate education for future veterinarians is daunting. A consideration of the multiple roles of veterinarians in our future society indicates that a different perspective is essential for progress to be made. One example of an approach to reach such a perspective is the Animal Health Foresight Project, which was jointly sponsored in 2005 by the Canadian Food Inspection Agency and the US Department of Agriculture. A new paradigm emerged from this study. This article explores the conclusions of this project and their potential implications for the future of animal health and for veterinary medical education. Outcomes of the Foresight Project led to the development of a new paradigm. The implications for and the possible influence on future animal health and on veterinary medical education are contemplated.     

Client donation program for acquiring dogs and cats to teach veterinary gross anatomy

A donor program for procuring dogs and cats to meet the needs of anatomical instruction was initiated six years ago at Tufts University School of Veterinary Medicine. The program was initiated in order to comply with state regulations that preclude the use of shelter animals and to satisfy ethical objections of students and faculty. The donor program has successfully met the animal needs for teaching gross anatomy and, in addition, provides opportunities to integrate clinical perspectives and ethics beginning from the first year of veterinary education.     

A new approach to teaching veterinary public health at the Ohio State University

Public-health practitioners with expertise in the area of veterinary public health are expected to understand the prevention and control of zoonotic infectious diseases in both human and animal populations. This focus on multiple species is what makes the veterinary public health (VPH) official unique. The development of a new VPH specialization within the existing Master of Public Health (MPH) degree program at the Ohio State University represents a significant new collaboration between the College of Veterinary Medicine and the College of Public Health. The main objective of the VPH specialization is to educate and train professionals to provide them with the skills, knowledge, and resources necessary to protect and improve human health using a One Medicine approach. The program targets a population of students who will likely enter the professional veterinary medicine curriculum but have one year available to enhance their preparatory training in health sciences before beginning the program. A core series of VPH courses was initiated to complement the existing MPH course requirements. The program has been successful in attracting students from the primary target population, but it has also attracted students wanting the MPH as a terminal degree and veterinarians returning to school to expand their career options.     

JAK/STAT通路抑制剂AG490对单核细胞增生李斯特菌感染的影响

为检测Janus激酶/信号转导与转录激活子(JAK/STAT)信号通路抑制剂α-氰-3, 4-二羟基-N-苄基肉桂酰胺(AG490)对单核细胞增生李斯特菌(LM)感染小鼠脑微血管内皮细胞和小鼠的影响,将不同浓度抑制剂AG490与细胞共同孵育,然后将LM分别感染细胞,MTT法检测不同浓度抑制剂AG490对细胞活性的影响;利用菌落计数法计算LM的侵袭率和胞内细菌数量,检测AG490对LM介导的小鼠生存曲线的影响;利用试剂盒检测抑制剂AG490对LM介导的乳酸脱氢酶(LDH)、白细胞介素-1β(IL-1β)、干扰素-γ(IFN-γ)和白细胞介素-6(IL-6)分泌的影响;利用实时定量PCR检测AG490对LM介导的炎性小体NLRP3的mRNA水平影响。结果:抑制剂AG490在5、10或15μmol/L浓度时未见对细胞活性有明显影响,AG490显著抑制了LM的侵袭、胞内和脏器内细菌数量,提高小鼠成活率,显著提高LM介导的LDH、IFN-γ、IL-6、IL-1β和NLRP3的mRNA水平。本研究表明,JAK/STAT信号通路抑制剂AG490可调控细胞内LM的存活,增强LM介导的细胞炎性小体水平,为调查LM引起脑膜炎的致病机制提供科学依据。     

Diagnosis and treatment of glaucoma in client-owned rabbits (Oryctolagus cuniculus): 16 eyes from 11 rabbits (2008–2019)

BackgroundAlthough rabbits are commonly used as laboratory models for human glaucoma, management of this disease in pet rabbits has received little attention in the current literature. Spontaneous congenital glaucoma was initially described in New Zealand Whites as an autosomal recessive trait manifesting early in life. Glaucoma may also develop secondary to cataracts, uveitis, or other ocular pathologies. Findings associated with glaucoma in rabbits include elevated intraocular pressure (IOP), corneal edema, loss of vision, optic nerve head cupping, and progressive buphthalmia. Topical medications, intravitreal gentamicin injections, and various surgical techniques have been used to manage glaucoma in rabbits. This case series details the presentation, diagnosis, treatment, and clinical progression of glaucoma in rabbits at Cummings Veterinary Medical Center at Tufts University and VCA South Shore (Weymouth) Animal Hospital from 2008-2019.MethodsThe records of Cummings Veterinary Medical Center at Tufts University and VCA South Shore (Weymouth) Animal Hospital were retrospectively reviewed to identify records of rabbits diagnosed with glaucoma by a board-certified veterinary ophthalmologist or ophthalmology resident between 2008-2019.ResultsGlaucoma was diagnosed in 16 eyes from 11 rabbits. Median IOP at diagnosis was 39 mmHg (26-55 mmHg) with various clinical signs at presentation including vision loss (11 rabbits, 16 eyes), buphthalmia (8 rabbits, 11 eyes), corneal edema (4 rabbits, 5 eyes), and optic nerve head cupping (5 rabbits, 6 eyes). Other ocular examination findings included cataracts (5 rabbits, 8 eyes) and uveitis (4 rabbits, 8 eyes). Two rabbits were seropositive for Encephalitozoon cuniculi. All eyes were initially treated with topical medications, with 10 eyes from 7 rabbits refractory to initial medical management. Two rabbits (3 eyes) showed progressive reduction in IOPs with long-term continuing topical therapy. Two rabbits (2 eyes) underwent unilateral enucleation and 3 rabbits (5 eyes) received intravitreal gentamicin injections.ConclusionsEtiology of glaucoma in rabbits is likely more varied than previously thought, as many of the cases described were not consistent with primary congenital glaucoma. Topical treatments were effective in many rabbits. In those refractory to medical management, enucleation or intravitreal gentamicin injection were successful in decreasing IOP as second-line therapy when performed.     

IMAGING DIAGNOSIS—URINARY OBSTRUCTION SECONDARY TO PROSTATIC LYMPHOMA IN A YOUNG DOG

A 3-year old, intact male Doberman pinscher was examined at the Foster Hospital for Small Animals at Tufts University for a 2-week history of stranguria, dyschezia, and weight loss. Ultrasonographically, there was bilateral hydronephrosis, right-sided hydroureter, hepatosplenomegaly, symmetric mild prostatomegaly, and a distended urinary bladder. Fine needle aspirates and biopsies of the prostate yielded a diagnosis of lymphoma. Lymphoma is a rare cause of prostatomegaly in the dog. Sonographic findings are nonspecific; fine needle aspirates or biopsies are needed to ascertain the diagnosis.     

Motor neuron abiotrophy in a saluki.

A nine-week-old saluki puppy was presented to Tufts University School of Veterinary Medicine for progressive, generalized weakness and bilateral forelimb deformities. Examination suggested a diffuse neuromuscular lesion. Cerebrospinal fluid (CSF) analysis showed normal nucleated cell count and protein level; however, many macrophages had vacuolated cytoplasm. Electromyography (EMG) recordings suggested denervation in paraspinal and appendicular muscles. Tibial motor nerve conduction velocity was normal, but direct evoked muscle potential had reduced amplitude. Histopathology revealed diffuse, symmetrical, degenerative motor neuronopathy of the ventral horn of the spinal cord with associated lesions in nerves and muscles. Histopathology was consistent with an abiotrophy that was likely inherited.     

One Health: From theory to practice

One Health approaches to human and veterinary medicine are critical to professionals addressing global issues of food security and disease prevention. However, we have yet to develop a sufficient strategy to translate our theoretical understanding to practical application. This paper will explore the current shortcomings of One Health, within both the medical and veterinary communities, and highlight solutions to overcome these challenges.     

ULTRASONGRAPHIC FINDINGS IN HEPATIC AND SPLENIC LYMPHOSARCOMA IN DOGS AND CATS

In a survey of patients with histologically-confirmed hepatic lymphosarcoma at Tufts University, abnormal ultrasound findings were detected in 3 of 14; two had diffuse hepatic hypoechogenicity, one had a focal hypoechoic lesion. In contrast, 5 of 6 patients with spleic lymphosarcoma had an abnormality on ultrasongraphy; two had diffuse hypoechogenicity, one had multiple hypoechoic foci, one had a large, cavitated-appearing mass, and one had an irregular border. In our experience, ultrasonography is an insensitive means of detecting hepatic lymphosarcoma but appears more sensitive for detection of splenic lymphosarcoma.     

Satellite teaching hospitals and public-private collaborations in veterinary medical clinical education

Veterinary teaching hospitals (VTHs) are facing more and greater challenges than at any time in the past. Changes in demand, expanding information, improving technology, an evolving workforce, declining state support, and an increasingly diverse consumer base have combined to render many traditional VTH modes of operation obsolete. In pursuit of continued success in achieving their academic mission, VTHs are exploring new business models, including innovative collaborations with the private sector. This report provides details on existing models for public-private collaboration at several colleges and schools of veterinary medicine, including those at Kansas State University, Purdue University, the University of Florida, and Tufts University. Although each of these institutions' models is unique, several commonalities exist, related to expansion of the case load available for teaching, the potential positive impact on recruitment and retention of clinical faculty, and the potential for easing financial pressures on the associated VTH. These new models represent innovative approaches that work to meet many of the key emerging challenges facing VTHs today.     

A model euthanasia workshop: one class's experience at Tufts University

Performing euthanasia is likely one of the most challenging tasks a veterinarian faces. Four students at Tufts University School of Veterinary Medicine felt that they and their classmates needed additional training on this subject. They informally surveyed their classmates to determine what topics and formats the students desired. The findings were used to develop the Euthanasia Workshop at the university, a voluntary series of lectures and discussions on technical and emotional issues relating to euthanasia. The four students then informally surveyed 30 North American veterinary colleges to determine the scope of euthanasia training in other veterinary programs. They found that euthanasia, while often covered within other courses, is rarely taught as a stand-alone course.     

Linking veterinary and human public-health education: collaborations at the University Of Tennessee

The increasing demand for veterinarians in public health has created an environment for innovative educational approaches, providing opportunities for veterinary students to gain additional education in public health. At the University of Tennessee, this environment has enabled a collaboration between the College of Veterinary Medicine and the College of Education, Health, and Human Sciences to establish a veterinary concentration in an existing Master of Public Health degree program. The veterinary public-health concentration was approved in 2004. In addition, other courses and initiatives have been developed at the College of Veterinary Medicine, creating stronger collaborations with academic units and public-health professionals.     

One Health and the neglected zoonoses: turning rhetoric into reality

Successful adoption of a One Health approach could have far-reaching impacts on poverty alleviation, health and food security, particularly in developing countries through integrated control of neglected zoonoses. However, the practical implementation of this approach presents many challenges. Anna Okello and colleagues argue that, for effective implementation, lessons learned and 'best practice' must be led by national and regional stakeholders drawn from a variety of disciplines. High-profile regional and international institutions can play an important role in the global governance of One Health by encouraging individual countries to devise appropriate tailored solutions that are workable within their own context.     

Public-health education at Kansas State University

What are veterinary medical and public-health professionals doing to remedy the immediate and impending shortages of veterinarians in population health and public practice? This question was addressed at the joint symposium of the Association of American Veterinary Medical Colleges and the Association of Schools of Public Health, held in April 2007. Thinking locally, faculty and students at Kansas State University (KSU) asked similar questions after attending the symposium: What are we doing within the College of Veterinary Medicine to tackle this problem? What can we do better with new collaborators? Both the professional veterinary curriculum and the Master of Public Health (MPH) at KSU provide exceptional opportunities to address these questions. Students are exposed to public health as a possible career choice early in veterinary school, and this exposure is repeated several times in different venues throughout their professional education. Students also have opportunities to pursue interests in population medicine and public health through certificate programs, summer research programs, study abroad, and collaborations with contributing organizations unique to KSU, such as its Food Science Institute, National Agricultural Biosecurity Center, and Biosecurity Research Institute. Moreover, students may take advantage of the interdisciplinary nature of public-health education at KSU, where collaborations with several different colleges and departments within the university have been established. We are pleased to be able to offer these opportunities to our students and hope that our experience may be instructive for the development of similar programs at other institutions, to the eventual benefit of the profession at large.