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ABSTRACT OF THE WEEK

Clinician's brief
Volume 19 | Issue 5 (Jul-Aug 2021)

Enteral & Parenteral Nutrition in the Intensive Care Unit

Clin Brief. Jul-Aug 2021;19(5):. 9 Refs
Daniel L Chan1
1 Royal Veterinary College, University of London, London NW1 0TU, UK.

Author Abstract

Many critically ill patients have significant injuries that can increase the risk for malnourishment. Learn how proper identification, careful planning, and execution of a nutritional plan can be key to successful recovery.

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Archives Highlights:
'Brave Enough': A Qualitative Study of Veterinary Decisions to Withhold or Delay Antimicrobial Treatment in Pets.
The use of antimicrobials by companion animal veterinarians in the absence of a clear indication is often powerfully driven by behavioural beliefs, chiefly, fears of clinical deterioration and of failing to meet client expectations.
Rabies surveillance in the United States during 2021.
Texas (n = 456 [12.4%]), Virginia (297 [8.1%]), Pennsylvania (287 [7.8%]), North Carolina (248 [6.8%]), New York (237 [6.5%]), California (220 [6.0%]), and New Jersey (201 [5.5%]) together accounted for > 50% of all animal rabies cases reported in 2021. Of the total reported rabid animals, 3,352 (91.5%) involved wildlife, with bats (n = 1,241 [33.9%]), raccoons (1,030 [28.1%]), skunks (691 [18.9%]), and foxes (314 [8.6%]) representing the primary hosts confirmed with rabies. Rabid cats (216 [5.9%]), cattle (40 [1.1%]), and dogs (36 [1.0%]) accounted for 94% of rabies cases involving domestic animals in 2021. Five human rabies deaths were reported in 2021.
High-pressure injection of paint into the hand: A small injury with serious consequences.
High-pressure injection injury to the hand is a serious lesion threatening the limb. Several injected materials are involved, and paint is known to have the most serious consequences, with a high amputation rate. Early diagnosis and prompt treatment are two important prognostic factors for a better outcome.
Delayed embryonic development or a long sperm survival in two mares-A registration conundrum.
Donor mares were inseminated with semen from one stallion during one oestrous cycle and semen from a different stallion on the subsequent oestrous cycle. Embryo(s) were collected 8?days after ovulation during the second oestrous cycle and transferred into synchronised recipient mares. Genetic testing was performed to determine parentage of the two foals. For both foals, DNA parentage testing excluded the second stallion as the genetic sire and confirmed that the first stallion, whose semen was inseminated on the previous oestrous cycle, was the actual genetic sire.
Simple, Practical, and Inexpensive Diagnostics: They Tell Us More Than We May Think
Despite the ever-expanding assortment of diagnostic tests becoming available, do not overlook simple, practical, and affordable diagnostic tests. When performed correctly, these economical tests provide a wealth of information to facilitate diagnosis and treatment of patients.

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