Successful management of a solitary simple renal cyst in a dog

In this report, a dog is described that was referred to the Small Animal Department, Faculty of Veterinary Medicine (Ghent University) for further work-up and treatment of a solitary renal cyst. The cyst was treated successfully with ultrasound-guided drainage and percutaneous sclerotherapy. The dog was followed-up during twenty-four months post procedure with renal sonography. The complaints of intermittent lethargy disappeared after the first treatment. The ultrasonographic appearance of the cyst evolved from a round, anechoic, sharply demarcated lesion to an ill-defined, hyperechoic lesion

ECMO for COVID-19 patients in Europe and Israel

Since March 15th, 2020, 177 centres from Europe and Israel have joined the study, routinely reporting on the ECMO support they provide to COVID-19 patients. The mean annual number of cases treated with ECMO in the participating centres before the pandemic (2019) was 55. The number of COVID-19 patients has increased rapidly each week reaching 1531 treated patients as of September 14th. The greatest number of cases has been reported from France (n = 385), UK (n = 193), Germany (n = 176), Spain (n = 166), and Italy (n = 136) .The mean age of treated patients was 52.6 years (range 16–80), 79% were male. The ECMO configuration used was VV in 91% of cases, VA in 5% and other in 4%. The mean PaO2 before ECMO implantation was 65 mmHg. The mean duration of ECMO support thus far has been 18 days and the mean ICU length of stay of these patients was 33 days. As of the 14th September, overall 841 patients have been weaned from ECMO support, 601 died during ECMO support, 71 died after withdrawal of ECMO, 79 are still receiving ECMO support and for 10 patients status n.a. . Our preliminary data suggest that patients placed on ECMO with severe refractory respiratory or cardiac failure secondary to COVID-19 have a reasonable (55%) chance of survival. Further extensive data analysis is expected to provide invaluable information on the demographics, severity of illness, indications and different ECMO management strategies in these patients

Le myélome multiple chez les carnivores domestiques, étude bibliographique

Le myélome multiple est une tumeur hématopoïétique rare décrite chez le chien et le chat ainsi que chez de nombreux mammifères dont l homme. Il est caractérisé par une prolifération plasmocytaire maligne de localisation primitive médullaire osseuse et à développement systémique possible, et représente la cause la plus fréquente de gammapathie monoclonale chez les carnivores domestiques. L expression clinique du myélome multiple est peu spécifique et multi-organique. Le diagnostic de la maladie repose sur l observation simultanée de critères radiographiques, biologiques et cytologiques. Les examens électrophorétiques sanguins et urinaires, puis les analyses cytologiques représentent des étapes incontournables de la démarche diagnostique. Le traitement est basé sur l association d une chimiothérapie anticancéreuse alkylante à un traitement symptomatique. Un diagnostic précoce du myélome multiple et un monitorage thérapeutique rigoureux permettent de bons résultats dans le traitement de la maladie chez les carnivores domestiques, parfois même à long terme. Cependant le pronostic demeure variable en raison des rechutes fréquentes, des complications graves, et de la moins bonne réponse à la chimiothérapie chez le chat par rapport au chien. Après l étude de la lignée lymphocytaire B, des immunoglobulines et des gammapathies monoclonales dans une première partie, nous présentons l épidémiologie, l étiologie, la symptomatologie et la démarche diagnostique du myélome multiple chez le chien et le chat. Enfin, la troisième partie de ce travail est consacrée au traitement du myélome chez les carnivores domestiques et à son pronostic.MAISONS-ALFORT-Ecole Vétérin (940462302) / SudocSudocFranceF

Evidence-Based Assessment and Intervention for Autism in School Psychology

With the increasing prevalence of children and young people diagnosed with autism spectrum disorder (ASD) in Australia, school psychologists need to be aware of what constitutes best practice in assessment, diagnosis and intervention. This chapter focuses on defining ASD and the role of the Diagnostics and Statistics Manual of Mental Disorders (DSM), the early signs and symptoms of ASD and screening tools used during infancy and early childhood as well as the important contribution that psychologists make within a multidisciplinary team to the diagnostic process and funding eligibility for children during the school years. Early intervention for ASD and evidence-based educational practices, individual interventions and group-based interventions for ASD are also discussed in the context of cultural, geographic and systemic issues

A Rotation Alar Fold Flap for Cosmetic Nasal Plane Reconstruction: Description of the Technique and Outcome in Three Dogs

Nasal planum reconstruction is a surgical challenge, and several surgical techniques have been described. The objective of this study was to describe the rotation alar fold flap technique and to report clinical outcomes in a short case series. The feasibility of the technique was first assessed in a canine cadaveric model. The rotation alar fold flap was obtained by a single sharp horizontal incision of the dorsolateral nasal cartilage, preserving the caudal mucosal attachment to the ventral nasal concha. The flap was then rotated ventro-medially for the reconstruction of the ventral aspect of the nasal planum unilaterally or bilaterally. The rotation alar fold flap technique was used following a subtotal or partial planectomy for excision of a squamous cell carcinoma or mast cell tumors in three dogs. No intraoperative complications were recorded. Superficial surgical site infection was reported in two cases and minor dehiscence was reported in one case. However, survival of the flap was not affected. The cosmetic and functional outcomes were considered very satisfactory in all cases. The rotation alar fold flap technique offers a safe, valuable, feasible, functional and aesthetically satisfactory alternative surgical option for selected cases of localized tumor involving the central and ventral planum