veterinary profession

兽医专业
  • 文章类型: Editorial
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  • 文章类型: Journal Article
    生成兽医护理中遇到的潜在道德伤害事件(PMIE)的分类法,并开发一种工具来测量兽医人群中暴露于PMIE后的道德困扰和创伤后成长。
    兽医专业人员的道德困扰-创伤后成长量表(MD-PTG-VP)的开发和初步评估采用了来自兽医专业人员(兽医,兽医护士,来自澳大利亚和新西兰的兽医技术人员)跨越三个阶段:(1)项目生成,(2)内容验证,和(3)构造验证。在第一阶段,受访者(n=46)被问及他们是否经历过六个PMIE中的任何一个,并确定他们经历过的任何未列出的PMIE。在第二阶段,一组不同的受访者(n=11)评估了10个PMIE的相关性,清晰度和适当性。在第3阶段,最终仪器与第三组受访者(n=104)进行了测试,他们也完成了简短的创伤后应激障碍评分访谈(SPRINT)。一种衡量创伤后压力的方法,与压力相关的生长量表(SRGS-SF)是一种感知创伤后生长的衡量标准。在每个MD-PTG-VP分量表的受访者得分之间计算Spearman相关系数,SPRINT,和SRGS-SF评估结构效度。
    在第1阶段生成了在兽医护理中遇到的PMIE的10项分类法。项目被认为是相关的,明确和适当的兽医专业人员在第二阶段。这些包括在开发的仪器中,该仪器测量暴露于10PMIE的频率和影响,产生三个子量表得分(暴露频率,道德上的痛苦,和创伤后成长)。通过测量与SPRINT和SRGS-SF的相关性来评估结构效度表明令人满意的效度。
    MD-PTG-VP提供了一种信息工具,可用于检查在动物护理中经常遇到的PMIE暴露后的专业人员的心理健康和福祉。需要进一步评估以确定人群规范并确认反映临床表现的得分截止值。
    一旦完全验证,该仪器可能有助于量化兽医专业人员PMIE暴露的正面和负面方面的频率和强度,以便可以进行准确的人群比较并随时间测量变化。
    UNASSIGNED: To generate a taxonomy of potentially morally injurious events (PMIE) encountered in veterinary care and develop an instrument to measure moral distress and posttraumatic growth following exposure to PMIE in the veterinary population.
    UNASSIGNED: Development and preliminary evaluation of the Moral Distress-Posttraumatic Growth Scale for Veterinary Professionals (MD-PTG-VP) employed data from veterinary professionals (veterinarians, veterinary nurses, veterinary technicians) from Australia and New Zealand across three phases: (1) item generation, (2) content validation, and (3) construct validation. In Phase 1 respondents (n = 46) were asked whether they had experienced any of six PMIE and to identify any PMIE not listed that they had experienced. In Phase 2 a different group of respondents (n = 11) assessed a list of 10 PMIE for relevance, clarity and appropriateness. In Phase 3 the final instrument was tested with a third group of respondents (n = 104) who also completed the Short Post-Traumatic Stress Disorder Rating Interview (SPRINT), a measure of posttraumatic stress, and the Stress-Related Growth Scale-Short Form (SRGS-SF) a measure of perceived posttraumatic growth. Spearman\'s correlation coefficients were calculated between respondent scores on each of the MD-PTG-VP subscales, the SPRINT, and the SRGS-SF to assess construct validity.
    UNASSIGNED: A 10-item taxonomy of PMIE encountered in veterinary care was generated in Phase 1. Items were deemed relevant, clear and appropriate by veterinary professionals in Phase 2. These were included in the developed instrument which measures frequency and impact of exposure to 10 PMIE, yielding three subscale scores (exposure frequency, moral distress, and posttraumatic growth). Assessment of construct validity by measuring correlation with SPRINT and SRGS-SF indicated satisfactory validity.
    UNASSIGNED: The MD-PTG-VP provides an informative tool that can be employed to examine professionals\' mental health and wellbeing following exposure to PMIE frequently encountered in animal care. Further evaluation is required to ascertain population norms and confirm score cut-offs that reflect clinical presentation.
    UNASSIGNED: Once fully validated this instrument may be useful to quantify the frequency and intensity of positive and negative aspects of PMIE exposure on veterinary professionals so that accurate population comparisons can be made and changes measured over time.
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  • 文章类型: Journal Article
    澳大拉西亚多样和无与伦比的生态景观为异国情调的动物实践创造了独特的环境,其特点是其丰富的生物多样性和严格的立法。从1960年代的起源到目前作为专门的专业利基市场的地位,大洋洲的异国情调的宠物兽医行业经历了非凡的演变。该行业在教育和培训方面面临障碍,有限的专门机构提供全面的计划,导致雇主必须弥合的知识差距。然而,热情的兽医紧密的社区已经形成了独特的培训途径和机会,建立一个充满活力和高技能的专业团队。
    The diverse and unparalleled ecological landscape of Australasia has forged a unique environment for exotic animal practice, characterized by its rich biodiversity and stringent legislation. From its origins in the 1960s to its current status as a dedicated specialist niche, the exotic pet veterinary profession in Australasia has undergone a remarkable evolution. The profession faces hurdles in education and training, with limited dedicated institutes offering comprehensive programs, leading to a knowledge gap that employers must bridge. However, the close-knit community of passionate veterinarians has forged unique training pathways and opportunities, establishing a vibrant and highly skilled group of professionals.
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  • 文章类型: Journal Article
    本文重点介绍了兽药在工业猪和家禽生产部门的发展。在目前关于抗菌素耐药性(AMR)公共问题的争议背景下,兽医行业倾向于推广一种预防医学模式,该模式应该减少畜牧业中抗生素的使用。然而,专门从事猪和家禽生产的兽医(“工业兽医”)实际上几十年来一直采用这种方法来保护动物健康。根据20世纪70年代至2010年代期间在法国西部执业或执业的猪和家禽兽医的28次采访,本文旨在了解这种形式的专业知识是如何发展的,以及支撑它的商业模式。与公共话语相反,公共话语提倡预防方法,以使专业知识多样化并使兽医收入与药品销售脱节,确实是这种经济模式允许在工业畜牧业中发展这种方法。因此,减少抗生素使用的现代策略应该寻求更少的更新兽医的专业知识,而不是寻找新的方法来在经济上提高其价值。
    This article focuses on the development of veterinary medicine in the industrial pig and poultry production sector. In the current context of controversies over the public problem of antimicrobial resistance (AMR), the veterinary profession is tending to promote a model of preventive medicine that is supposed to reduce the use of antibiotics in livestock farming. However, veterinarians specializing in pig and poultry production (\"industrial vets\") have in fact been adopting such approaches to animal health for several decades. Based on 28 interviews with pig and poultry veterinarians practicing or having practiced in western France between the 1970s and the 2010s, the article aims to understand how such a form of professional expertise has developed, and the business model that underpins it. Contrary to public discourses which promote preventive approaches as a way to diversify professional expertise and to disconnect veterinary incomes from drug sales, it is indeed this economic model that has allowed the development of such approaches within industrial livestock farming. Modern strategies for reducing antibiotic use should therefore seek less to renew the professional expertise of veterinarians than to find new ways to valorize it economically.
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  • 文章类型: Journal Article
    兽医面临许多人畜共患感染的风险。在本文中,我们从问卷调查和一系列与工作相关的人畜共患病例中总结了人畜共患感染的描述,旨在增加兽医对职业人畜共患病风险的认识。
    我们在两项研究中收集了芬兰兽医感染的人畜共患感染的数据:1)2009年使用问卷,2)邀请遇到职业性人畜共患的兽医在2019年的结构化访谈中报告。
    在2009年的问卷调查中,有306名兽医报告了人畜共患细菌皮肤感染(12%),皮肤癣菌病(癣;4.2%),病毒感染(3.9%),细菌性胃肠炎(3.3%),其他细菌性人畜共患病(2.3%),和寄生虫感染/侵扰(2.3%)。在2019年的采访中,报告了16例职业性人畜共患病病例。其中,7人被选入病例系列。选定的病例包括狗咬伤后的Capnocytophagacanimorsus败血症,与小牛接触后的隐孢子虫病,分娩辅助后的皮肤李斯特菌病,沙门菌肠胃炎在化验室感染,马接触后的毛癣菌皮肤癣菌病,尸检时炭疽杆菌暴露,通过马咬伤接触狂犬病。在七个案例中的四个,兽医不同意或强烈不同意在事件发生前对人畜共患病有充分的了解。问卷调查和病例系列的结果说明了兽医可能遇到的人畜共患病原体的多样性。有必要改善兽医的职业健康,并提高职业卫生部门的认识。我们鼓励使用“一个健康”方法来解决这一需求。
    UNASSIGNED: Veterinarians are at risk for numerous zoonotic infections. In this paper, we summarise descriptions of zoonotic infections from a questionnaire study and a series of work-related zoonotic cases, aiming to add to the knowledge on occupational zoonotic risks of veterinarians.
    UNASSIGNED: We collected data on zoonotic infections contracted by veterinarians in Finland in two studies:1) using a questionnaire in 2009, and 2) inviting veterinarians who had encountered an occupational zoonosis to report it in structured interviews in 2019.
    UNASSIGNED: In the questionnaire study in 2009, of 306 veterinarians several reported zoonotic bacterial skin infections (12%), dermatophytosis (ringworm; 4.2%), virus infections (3.9%), bacterial gastroenteritis (3.3%), other bacterial zoonoses (2.3%), and parasitic infections/infestations (2.3%). In the 2019 interviews, 16 occupational zoonosis cases were reported. Of them, seven were selected to the case series. The selected cases included Capnocytophaga canimorsus sepsis following a dog bite, cryptosporidiosis after a contact with calves, cutaneous listeriosis following calving assistance, Salmonella gastroenteritis contracted at laboratory, Trichophyton dermatophytosis after equine contact, Bacillus anthracis exposure at necropsy, and exposure to rabies through a horse bite. In four of the seven cases, the veterinarian disagreed or strongly disagreed with having had good knowledge of the zoonosis before the incident. The results from the questionnaire study and the case series illustrate the variety of zoonotic pathogens that veterinarians may encounter. There is a need to improve the occupational health of veterinarians and to increase awareness in the occupational health sector. We encourage addressing this need using a One Health approach.
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  • 文章类型: Journal Article
    本研究的目的是通过研究农场中采用的管理实践与绵羊和山羊的生产或健康相关结果的关联,评估兽医在改善奶羊和山羊的健康和福利方面的潜在益处。希腊。这项工作在希腊各地进行的一项调查中,探索了444个小型反刍动物奶牛场与“与兽医的专业关系”的关联。其中106个变量,与基础设施有关,动物,生产结果,健康管理,健康问题和人力资源,被评估。在384个(86.5%)农场中,与兽医保持专业关系。兽医每年访问这些农场的中位数为5。在与兽医有专业关系的农场,与管理实践相关的24个变量(35.8%)和与生产或健康相关的6个变量(30.0%)存在显著差异.在多变量分析中,以下结果具有显著相关性:粪便样本中的epg计数(p=0.014),每母羊/母鹿的平均年产奶量(p=0.015),散装罐牛奶中的体细胞计数(p=0.037),和临床乳腺炎的年发病率(p=0.044)。此外,兽医的特征与散装罐牛奶中的体细胞计数有关:兽医的性别(p<0.0001)和年龄(p=0.004)。结果证明,兽医咨询和临床服务在绵羊和山羊奶牛场的应用有助于改善健康,动物的生产和福利。
    The objective of the present study was to evaluate the potential benefits of veterinarians in improving the health and welfare of dairy sheep and goats by studying the associations of management practices employed in the farms with production- or health-related outcomes in sheep and goat farms in Greece. This work explored associations with \'professional relationship with a veterinarian\' at 444 small ruminant dairy farms in an investigation performed around Greece, where 106 variables, related to infrastructure, animals, production outcomes, health management, health problems and human resources, were assessed. In 384 (86.5%) farms, a professional relationship with a veterinarian was maintained. The median value of visits made annually by veterinarians to these farms was five. In farms with a professional relationship with a veterinarian, significant differences were found in 24 variables (35.8%) related to management practices and 6 (30.0%) production- or health-related outcomes. In multivariable analysis, the following emerged with a significant association: epg counts in faecal samples (p = 0.014), average annual milk production per ewe/doe (p = 0.015), somatic cell counts in bulk-tank milk (p = 0.037), and annual incidence of clinical mastitis (p = 0.044). Moreover, associations of the characteristics of veterinarians emerged with somatic cell counts in bulk-tank milk: the gender (p < 0.0001) and the age (p = 0.004) of the veterinarians. The results attest that the application of veterinary advice and clinical services in sheep and goat dairy farms contributes to the improved health, production and welfare of animals.
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  • 文章类型: Journal Article
    兽医的癌症概况很少受到研究关注,尽管该行业可能会接触各种已知和可疑的致癌物。在这项大规模的队列研究中,我们评估了丹麦兽医的癌症发病率,芬兰,冰岛,挪威,瑞典,超过40年(1961-2005年)。该队列包括4708名兽医和119,503人年随访。兽医的总体癌症发病率接近所有国家和所有年龄组的总人口发病率。在男兽医中,1961-1990年结肠癌的标准化发病率(SIR)升高(1.86,95%置信区间(CI)1.39-2.44),前列腺癌(1.35,95%CI1.07-1.67),尤其是皮肤黑色素瘤(3.62,95%CI2.78-2.84),而在最近的随访期间不再有任何统计学上显著的超额。唇癌观察到SIR降低(0.11,95%CI0.00-0.62),喉癌(0.38,95%CI0.12-0.89),肺癌(0.59,95%CI0.47-0.74),和胃癌(0.58,95%CI0.38-0.86),随着时间的推移,SIR没有明显的变化。在霍奇金淋巴瘤(仅1961-1990年)中也观察到男性兽医中的非显着过度。和白血病.这项多国研究表明,在1990年代之前,男性兽医中几种癌症的发病率升高,但此后没有。一些发现可能归因于生活方式因素,而不是直接归因于工作条件,但是患肾癌和膀胱癌的风险过高,例如,可能与工作暴露有关。
    The cancer profile of veterinarians has received little research attention, despite the profession potentially being exposed to a wide range of known and suspected carcinogens. In this large-scale cohort study, we assessed cancer incidence in veterinarians in Denmark, Finland, Iceland, Norway, and Sweden, across more than 40 years (1961-2005). The cohort comprised 4708 veterinarians and 119,503 person-years at follow-up. The overall cancer incidence in veterinarians was close to the incidence in the total population in all countries and in all age groups. In male veterinarians, the standardized incidence ratios (SIR) in 1961-1990 were elevated for colon cancer (1.86, 95% confidence interval (CI) 1.39-2.44), prostate cancer (1.35, 95% CI 1.07-1.67), and especially skin melanoma (3.62, 95% CI 2.78-2.84), while there was no longer any statistically significant excess in the more recent follow-up period. Decreased SIRs were observed for lip cancer (0.11, 95% CI 0.00-0.62), laryngeal cancer (0.38, 95% CI 0.12-0.89), lung cancer (0.59, 95% CI 0.47-0.74), and stomach cancer (0.58, 95% CI 0.38-0.86), without a marked change in SIR over time. Non-significant excesses among male veterinarians were also observed in Hodgkin lymphoma (1961-1990 only), and leukaemia. This multi-country study indicates that there was an elevated incidence of several cancer types among male veterinarians before the 1990s but not after that. Some of the findings might rather be attributed to lifestyle factors and not directly to work conditions, but the excess risk of cancers of kidney and bladder, for example, might be related to work exposures.
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  • 文章类型: Journal Article
    倡导的概念在国际上对兽医行业越来越重要。然而,在实践中作为倡导者的模棱两可和复杂性令人担忧。本文探讨了在动物研究领域工作的兽医所涉及的“动物宣传”。他们负责健康和福利方面的建议。在关注在特定竞争领域工作的兽医的身份时,本文提供了有关兽医自身如何履行其作为“动物倡导者”角色的经验见解。分析33名英国“兽医”的采访数据,因此,本文研究了兽医对动物的倡导,考虑到他们作为动物倡导者的角色的执行方式。专注于“减轻痛苦”的主题,\'为\'说话,和“推动变革”是在动物研究机构工作的兽医充当动物倡导者的三种主要方式,我们为在动物护理和伤害共存的地区工作的兽医提出了一些复杂性。最后,最后,我们呼吁对其他兽医领域的动物宣传进行进一步的实证探索,并呼吁对产生这种宣传需求的更广泛的社会制度给予更多的关注。
    The concept of advocacy is of increasing importance to the veterinary profession internationally. However, there are concerns around the ambiguity and complexity of acting as an advocate in practice. This paper explores what \'animal advocacy\' involves for veterinarians working in the domain of animal research, where they are responsible for advising on health and welfare. In focusing on the identity of veterinarians working in an arena of particular contestation, this paper provides empirical insights into how veterinarians themselves perform their role as an \'animal advocate\'. Analysing interview data with 33 UK \'Named Veterinary Surgeons\', this paper therefore examines what \'counts\' as animal advocacy for veterinarians, considering the way their role as animal advocate is performed. Focusing on the themes of \'mitigating suffering\', \'speaking for\', and \'driving change\' as three central ways in which veterinarians working in animal research facilities act as animal advocates, we draw out some of the complexities for veterinarians working in areas where animal care and harm coexist. Finally, we conclude by calling for further empirical exploration of animal advocacy in other veterinary domains and for more critical attention to the wider social systems which produce the need for such advocacy.
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  • 文章类型: Journal Article
    牛肉兽医为日益复杂的牛肉产业系统提供服务。系统思维提供了更好地理解和沟通各种问题的途径,例如流行的心智模型,比赛质量相对于客户需求的重要性,和识别杠杆,以更好地适应和持续改进。在系统中思考可以识别并帮助我们理解有组织和相互联系的模式或结构,这些模式或结构导致在肉牛兽医学实践中观察到和体验到的结果。
    Beef cattle veterinarians provide services to the increasingly complex beef industry system. Systems thinking offers pathways to better understand and communicate ranges of issues such as prevailing mental models, importance of match quality relative to clientele needs, and identification of leverage to better adapt and continually improve. Thinking in systems identifies and helps us to understand patterns or structures that are organized and interconnected that result in the outcomes observed and experienced in the practice of beef cattle veterinary medicine.
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  • 文章类型: Journal Article
    背景:全世界对外来宠物的福利越来越关注。就本文而言,外来宠物被认为是非驯养物种,在良好做法(最低护理标准)方面存在知识差距的地方,兽医诊断和治疗。本研究中包括的外来宠物的类别是:小型哺乳动物(<20公斤),大型哺乳动物(>20公斤),鸟,爬行动物,两栖动物,鱼类和无脊椎动物。狗,猫,兔子,仓鼠,沙鼠,豚鼠,老鼠,老鼠,雪貂被排除在研究之外。在2020年7月至8月期间,对都柏林大学的宠物饲养人员进行了一项在线调查,以提供爱尔兰的第一个经验数据。在这项试点研究(本主题系列的第一项)中,我们旨在描述异国情调的宠物所有权,饲养异国宠物的挑战和好处,并从宠物主人的角度获得兽医服务。
    结果:通过在线调查,这项试点研究从都柏林大学学院的工作人员(n=〜3600FTE)中的83位国内宠物主人和32位异国宠物主人那里收集了证据。爱尔兰最大的三级机构。在拥有宠物的家庭中,超过10%的家庭仅拥有异国情调的宠物的家庭中,确定拥有异国情调的宠物的患病率为34.4%。鱼(n=15),爬行动物(n=13)和鸟类(n=8)是最常见的外来宠物。34%的异国宠物主人从未寻求过兽医服务,最常见的原因是缺乏当地兽医专家(n=10)和良好的所有者知识(n=8)。然而,确定对动物需求的适当指导是外来宠物主人的共同挑战(n=13)。根据物种的不同,照顾异国情调的合理每月费用为20-180欧元。
    结论:这项初步研究对兽医教育具有重要意义,以支持兽医社区为外来宠物拥有社区提供服务。还需要考虑外来宠物所有权的政策问题,并应进一步研究支持外来宠物健康和福利的拟议策略,例如引入白名单和负责任的宠物所有权指南。
    BACKGROUND: There has been increasing concern expressed about the welfare of exotic pets worldwide. For the purposes of this article, an exotic pet is considered to be a non-domesticated species, where there are knowledge gaps on good practice (minimum standards of care), veterinary diagnostics and treatments. The categories of exotic pets included in this study were: small mammals (< 20 kg), large mammals (> 20 kg), birds, reptiles, amphibians, fish and invertebrates. Dogs, cats, rabbits, hamsters, gerbils, guinea pigs, mice, rats, and ferrets were excluded from the study. An online survey of pet owning staff at University College Dublin was conducted between July and August 2020 to provide the first empirical data for Ireland. In this pilot study (the first in this thematic series) we aim to characterise exotic pet ownership, the challenges and benefits of keeping exotic pets, and access to veterinary services from the pet owner\'s perspective.
    RESULTS: Using an online survey this pilot study gathered evidence from 83 domestic and 32 exotic pet owners within the staff (n = ~ 3600 FTE) at University College Dublin, the largest third level institution in Ireland. The prevalence of exotic pet ownership was determined to be 34.4 % of households with more than 10 % of pet owning households owning only exotic pets. Fish (n = 15), reptiles (n = 13) and birds (n = 8) were the most common types of exotic pets. Thirty-four per cent of exotic pet owners never sought veterinary services, the most common reasons were due to lack of local veterinary specialists (n = 10) and good owner knowledge (n = 8). However identifying appropriate guidance on the animals\' needs was a common challenge for exotic pet owners (n = 13). A reasonable monthly cost of caring for an exotic ranged from €20-180, depending on the species.
    CONCLUSIONS: This pilot study contains important implications for veterinary education to support the veterinary community with providing services to the exotic pet owning community. Policy issues with exotic pet ownership also need to be considered and further research into the proposed strategies to support the health and welfare of exotic pets should be carried out such as the introduction of white lists and guidelines on responsible pet ownership.
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