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Gysin M, Tschuor F, Schweizer DE, Nett C, Geissbühler U. [Digitization in Swiss veterinary practices]. SCHWEIZ ARCH TIERH 2019; 161:307-317. [PMID: 31064737 DOI: 10.17236/sat00207] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
INTRODUCTION Data on the digitization in Swiss veterinary practices and clinics were collected in a survey from June 2017 to the end of December 2017. Data of 171 practices contributed to the survey. Animal records were filed in 96.5% with a practice management program. Nine out of ten practices operate an x-ray machine whereof 70% digitally record the radiographs. While a moderate diversity of practice management systems is used, numerous different radiographic recording, archiving and viewing systems are utilized. Data exchange with other practices and owners preferably takes place via e-mail, followed by upload servers and digital data carriers. Data protection receives less attention in veterinary medicine than in comparison to human medicine. A protected data exchange platform coupled with AMICUS and ANIS is under construction via standardized DICOM (https://www.dicomstandard.org/current/) and HL7 (https://www.hl7.org/) interfaces.
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Affiliation(s)
- M Gysin
- Klinische Radiologie, Departement für klinische Veterinärmedizin, Vetsuisse-Fakultät, Universität Bern
| | - F Tschuor
- Schweizerische Vereinigung für Kleintiermedizin SVK-ASMPA
| | - D E Schweizer
- Klinische Radiologie, Departement für klinische Veterinärmedizin, Vetsuisse-Fakultät, Universität Bern
| | - C Nett
- Schweizerische Vereinigung für Kleintiermedizin SVK-ASMPA
| | - U Geissbühler
- Klinische Radiologie, Departement für klinische Veterinärmedizin, Vetsuisse-Fakultät, Universität Bern
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Peter R, Demuth D, Müntener C, Lampart M, Heim D, Mevissen M, Schüpbach-Regula G, Schuller S, Stucki F, Willi B, Burkhardt W, Francey T, Nett C, Tschuor F, Naegeli H. [AntibioticScout.ch: A decision supporting tool for antimicrobial stewardship: application to companion animal medicine]. SCHWEIZ ARCH TIERH 2017; 159:525-533. [PMID: 28952960 DOI: 10.17236/sat00129] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
INTRODUCTION Bacterial resistances to antimicrobial drugs pose serious public health challenges. The observed increase of resistances is attributed to the uncontrolled, massive and often unnecessary administration of antibiotics both in human and veterinary medicine. To support the responsible use of antimicrobials in animals and help veterinarians selecting the most suitable antimicrobial drugs, we developed the AntibioticScout.ch as a comprehensive decision supporting tool providing online access to the current knowledge of rational antibiotic prescription practices. User-friendly search functions allow for the fast and efficient retrieval of information that is structured in this database by animal species, organ systems and therapeutic indications. In addition, an online form allows to report treatment failures in order to identify problematic cases as well as ensuing risks and take appropriate mitigation measures. The present report describes the workflow of this decision support system applied to the prudent use of antimicrobials in companion animal medicine.
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Affiliation(s)
- R Peter
- Institut für Veterinärpharmakologie und -toxikologie, Universität Zürich
| | - D Demuth
- Institut für Veterinärpharmakologie und -toxikologie, Universität Zürich
| | - C Müntener
- Institut für Veterinärpharmakologie und -toxikologie, Universität Zürich
| | - M Lampart
- Klinik für Kleintiermedizin, Vetsuisse-Fakultät, Universität Zürich
| | - D Heim
- Bundesamt für Lebensmittelsicherheit und Veterinärwesen BLV, Bern
| | - M Mevissen
- Abteilung für Veteinärpharmakologie und -toxikologie, Vetsuisse-Fakultät, Universität Bern
| | - G Schüpbach-Regula
- Veterinary Public Health Institut (VPHI), Vetsuisse-Fakultät, Universität Bern
| | - S Schuller
- Klinik für Kleintiermedizin, Vetsuisse-Fakultät, Universität Bern
| | - F Stucki
- Bundesamt für Lebensmittelsicherheit und Veterinärwesen BLV, Bern
| | - B Willi
- Klinik für Kleintiermedizin, Vetsuisse-Fakultät, Universität Zürich
| | - W Burkhardt
- Klinik für Kleintiermedizin, Vetsuisse-Fakultät, Universität Zürich
| | - T Francey
- Klinik für Kleintiermedizin, Vetsuisse-Fakultät, Universität Bern
| | - C Nett
- Schweizerische Vereinigung für Kleintiermedizin SVK-ASMPA
| | - F Tschuor
- Schweizerische Vereinigung für Kleintiermedizin SVK-ASMPA
| | - H Naegeli
- Institut für Veterinärpharmakologie und -toxikologie, Universität Zürich
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Abstract
A 3-year-old cat was presented with anorexia and vomiting. Palpation revealed a caudal abdominal mass. Ultrasound and explorative abdominal surgery revealed a cystic mass in the jejunum. Histopathologic findings were consistent with an epidermoid cyst. The cyst was likely of congenital origin, since the cat had not undergone previous abdominal surgery, and gradually grew to reach a size that caused intestinal obstruction. Extrapolating from findings in people, intestinal epidermoid cysts are considered benign with a good long-term prognosis when completely excised.
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Müller C, Sieber-Ruckstuhl N, Decaro N, Keller S, Quante S, Tschuor F, Wenger M, Reusch C. Hepatitis contagiosa canis Infektion bei 4 Hunden in der Schweiz. SCHWEIZ ARCH TIERH 2012; 152:63-8. [DOI: 10.1024/0036-7281.a000015] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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Reusch CE, Hafner M, Tschuor F, Lutz TA, Zini E. [Diabetes remission in cats: a review]. SCHWEIZ ARCH TIERH 2011; 153:495-500. [PMID: 22045453 DOI: 10.1024/0036-7281/a000259] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Remission from diabetes is seen in 25 - 50 % of cats during the first months of therapy. The likelihood of remission is higher in old cats and cats with normal cholesterol than in young cats and cats with increased cholesterol. The results of an ongoing study indicate that initial intravenous insulin therapy has positive effects on remission rates and quality of metabolic control.
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Affiliation(s)
- C E Reusch
- Klinik für Kleintiermedizin, Universität Zürich.
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Dietiker-Moretti S, Müller C, Sieber-Ruckstuhl N, Tschuor F, Osto M, Franchini M, Ackermann M, Lutz T, Reusch C, Zini E. Comparison of a Continuous Glucose Monitoring System with a Portable Blood Glucose Meter to Determine Insulin Dose in Cats with Diabetes Mellitus. J Vet Intern Med 2011; 25:1084-8. [DOI: 10.1111/j.1939-1676.2011.00778.x] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2010] [Revised: 05/14/2011] [Accepted: 07/05/2011] [Indexed: 11/27/2022] Open
Affiliation(s)
- S. Dietiker-Moretti
- From the Clinic for Small Animal Internal Medicine; Vetsuisse Faculty; (Dietiker-Moretti, Müller, Sieber-Ruckstuhl, Tschuor, Reusch, Zini)
| | - C. Müller
- From the Clinic for Small Animal Internal Medicine; Vetsuisse Faculty; (Dietiker-Moretti, Müller, Sieber-Ruckstuhl, Tschuor, Reusch, Zini)
| | - N. Sieber-Ruckstuhl
- From the Clinic for Small Animal Internal Medicine; Vetsuisse Faculty; (Dietiker-Moretti, Müller, Sieber-Ruckstuhl, Tschuor, Reusch, Zini)
| | - F. Tschuor
- From the Clinic for Small Animal Internal Medicine; Vetsuisse Faculty; (Dietiker-Moretti, Müller, Sieber-Ruckstuhl, Tschuor, Reusch, Zini)
| | - M. Osto
- Institute of Veterinary Physiology; Vetsuisse Faculty; (Osto, Lutz)
| | - M. Franchini
- Institute of Virology; Vetsuisse Faculty (Franchini, Ackermann); University of Zurich; Zurich; Switzerland
| | - M. Ackermann
- Institute of Virology; Vetsuisse Faculty (Franchini, Ackermann); University of Zurich; Zurich; Switzerland
| | - T.A. Lutz
- Institute of Veterinary Physiology; Vetsuisse Faculty; (Osto, Lutz)
| | - C.E. Reusch
- From the Clinic for Small Animal Internal Medicine; Vetsuisse Faculty; (Dietiker-Moretti, Müller, Sieber-Ruckstuhl, Tschuor, Reusch, Zini)
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Tschuor F, Zini E, Schellenberg S, Wenger M, Kaufmann K, Furrer D, Lutz TA, Reusch CE. Remission of diabetes mellitus in cats cannot be predicted by the arginine stimulation test. J Vet Intern Med 2010; 25:83-9. [PMID: 21143647 DOI: 10.1111/j.1939-1676.2010.0649.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND Cats with diabetes mellitus frequently achieve clinical remission, suggesting residual β-cell function. Responsiveness of β-cells to arginine persists the longest during diabetes progression, making the intravenous arginine stimulation test (IVAST) a useful tool to assess residual insulin and glucagon secretion. HYPOTHESIS Diabetic cats with and without remission will have different arginine-induced insulin or glucagon response. ANIMALS Seventeen cats with diabetes, 7 healthy cats. METHODS Blood samples collected on admission and during subsequent IVAST. Glucose, insulin, and glucagon were measured. Response to IVAST was assessed by calculating the insulin and glucagon area under the curve (AUC) and the AUC glucagon-to-insulin ratio. Diabetic cats were treated with insulin and were followed for 18 weeks. Remission was defined as normoglycemia and disappearance of clinical signs of diabetes for ≥4 weeks, without requiring insulin. RESULTS Seven diabetic cats (41%) achieved remission. On admission, blood glucose concentration was significantly lower in cats with remission (median, 389 mg/dL; range, 342-536 mg/dL) than in those without remission (median, 506 mg/dL; range, 266-738 mg/dL). After IVAST, diabetic cats with remission had higher AUC glucagon-to-insulin ratios (median, 61; range, 34-852) than did cats without remission (median, 26; range, 20-498); glucose, insulin, and glucagon AUCs were not different. Diabetic cats had lower insulin AUC than did healthy cats but comparable glucagon AUC. CONCLUSIONS AND CLINICAL IMPORTANCE Diabetic cats with and without remission have similar arginine-stimulated insulin secretion on admission. Although cats with remission had lower blood glucose concentrations and higher AUC glucagon-to-insulin ratios, large overlap between groups prevents use of these parameters in clinical practice.
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Affiliation(s)
- F Tschuor
- Clinic for Small Animal Internal Medicine, Vetsuisse Faculty, University of Zurich, Winterthurerstrasse, Zurich, Switzerland
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Glaus T, Schnyder M, Dennler M, Tschuor F, Wenger M, Sieber-Ruckstuhl N. [Natural infection with Angiostrongylus vasorum: characterisation of 3 dogs with pulmonary hypertension]. SCHWEIZ ARCH TIERH 2010; 152:331-8. [PMID: 20582899 DOI: 10.1024/0036-7281/a000076] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Pulmonary hypertension (PH), together with its accompanying clinical signs and underlying causes, e.g. pulmonary thrombosis, are more and more recognized as an important clinical entity also in dogs. This article characterizes the clinical picture of 3 dogs with PH caused by natural infection with Angiostrongylus vasorum. All 3 dogs were of small breeds ( < 10 kg), the age at the time of diagnosis was 1, 2 and 11 years. Clinically, dyspnea and exercise intolerance were the predominating signs, 2 dogs developed hemoptysis, 1 dog developed right sided congestive heart failure. Severe arterial hypoxemia (PaO2 41 - 53 mmHg) reflected the severity of pulmonary parenchymal and vascular damage. Severe hyperglobulinemia (59 und 88 g/l) in two dogs implicated a long lasting infection. Anthelmintic treatment in 2 dogs resulted in quick clinical, radiographic and echocardiographic normalization. PH is the consequence of multiple causes and pathomechanisms, and the recognition of PH is primarily of differential diagnostic relevance. Prognosis and therapy in cases with PH mainly depend on the underlying cause, rather than on the PH and on its degree.
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Affiliation(s)
- T Glaus
- Abteilung für Kardiologie, Universität Zürich, Zürich.
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Moretti S, Tschuor F, Osto M, Franchini M, Wichert B, Ackermann M, Lutz T, Reusch C, Zini E. Evaluation of a Novel Real-Time Continuous Glucose-Monitoring System for Use in Cats. J Vet Intern Med 2010; 24:120-6. [DOI: 10.1111/j.1939-1676.2009.0425.x] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Abstract
Portable blood glucose meters (PBGMs) are useful in the management of diabetes mellitus in cats. In the present study we compared the performance of two PBGMs: the AlphaTRAK (Abbott Animal Health, Maidenhead, England) specifically developed for dogs and cats, and the Ascensia ELITE (Bayer HealthCare, Zurich, Switzerland) developed for humans. Quality parameters, including precision and accuracy, were better for the AlphaTRAK meter compared to Ascensia ELITE. While the AlphaTRAK meter results did not differ from the reference method, results from the Ascensia ELITE were significantly (P<0.001) lower. The superior performance of the AlphaTRAK meter supports its use to monitor blood glucose levels in cats.
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Affiliation(s)
- E Zini
- Clinic for small animal internal medicine, University of Zürich
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11
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Moretti S, Zini E, Tschuor F, Reusch CE. [First experiences with the continuous real-time glucose monitoring system (Guardian REAL-time CGMS) in a cat with diabetes mellitus]. SCHWEIZ ARCH TIERH 2009; 151:27-30. [PMID: 19160168 DOI: 10.1024/0036-7281.151.1.27] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Affiliation(s)
- S Moretti
- Klinik für Kleintiermedizin der Universität Zürich, Zürich
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Sieber-Ruckstuhl NS, Kley S, Tschuor F, Zini E, Ohlerth S, Boretti FS, Reusch CE. Remission of diabetes mellitus in cats with diabetic ketoacidosis. J Vet Intern Med 2008; 22:1326-32. [PMID: 19000245 DOI: 10.1111/j.1939-1676.2008.0201.x] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
BACKGROUND Diabetic ketoacidosis (DKA) has long been considered a key clinical feature of type-1 diabetes mellitus (DM) in humans although. An increasing number of cases of ketoacidosis have been reported in people with type-2 DM. HYPOTHESIS/OBJECTIVES Cats initially diagnosed with DKA can achieve remission from diabetes. Cats with DKA and diabetic remission are more likely to have been administered glucocorticoids before diagnosis. ANIMALS Twelve cats with DKA and 7 cats with uncomplicated DM. METHODS Retrospective case review. Medical records of cats presenting with DKA or DM were evaluated. Diabetic remission was defined as being clinically unremarkable for at least 1 month after insulin withdrawal. The cats were assigned to 1 of 3 groups: (1) cats with DKA and diabetic remission; (2) cats with DKA without diabetic remission; and (3) cats with DM and diabetic remission. RESULTS Seven cats with DKA had remission from diabetes. These cats had significantly higher concentrations of leukocytes and segmented neutrophils, and significantly lower concentrations of eosinophils in blood and had pancreatic disease more often than did cats with uncomplicated DM and diabetic remission. With regard to pretreatment, 3/7 cats in group 1, 1/5 cats in group 2, and 1/7 cats in group 3 had been treated with glucocorticoids. CONCLUSIONS AND CLINICAL IMPORTANCE Remission of DM in cats presenting with DKA is possible. Cats with DKA and remission have more components of a stress leucogram, pancreatic disease, and seemed to be treated more often with glucocorticoids than cats with uncomplicated DM and diabetic remission.
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Affiliation(s)
- N S Sieber-Ruckstuhl
- Clinic for Small Animal Internal Medicine, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland.
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Alt N, Kley S, Tschuor F, Zapf J, Reusch CE. Evaluation of IGF-1 levels in cats with transient and permanent diabetes mellitus. Res Vet Sci 2007; 83:331-5. [PMID: 17367830 DOI: 10.1016/j.rvsc.2007.01.014] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2006] [Revised: 01/08/2007] [Accepted: 01/29/2007] [Indexed: 11/25/2022]
Abstract
It was investigated if IGF-1 levels in cats which experience diabetic remission (i.e. transient diabetes mellitus) differ from those in cats with permanent disease. Thirteen of 32 diabetic cats showed remission within 16 weeks after initiating insulin therapy, 19 cats continued to need insulin therapy. IGF-1 concentrations were measured before (t(0)), 1-3 (t(1)) and 4-8 (t(2)) weeks after initiating insulin therapy. No difference in IGF-1 levels was found between cats with transient and permanent diabetes at any point in time. In both groups of cats IGF-1 concentrations were significantly lower compared to those of controls before insulin administration. After starting insulin therapy IGF-1 increased significantly in both groups. In cats with transient diabetes IGF-1 levels were not different from controls already at t(1), whereas in cats with permanent diabetes it took until t(2). Although IGF-1 levels seem to normalize faster in cats with transient diabetes mellitus, measurement is not helpful to predict the course of the disease.
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Affiliation(s)
- N Alt
- Clinic of Small Animal Internal Medicine, Vetsuisse Faculty, University of Zurich, Switzerland
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