Internet perceptions among older adults in Sweden

IntroductionThe digital inequality is still present after decades of development and diffusion of digital media. Age is one of the most important factors predicting access, use, skills, and outcomes, which is somewhat paradoxical as information and communication technologies can create opportunities for older adults to sustain independent living. To increase understanding of older adults' online engagement, this study focuses on perceptions of the internet usage and how it can be a useful tool in everyday life.MethodA representative survey (n = 841).ResultsAnalyses point to decreasing support for the internet with increasing age - also within the group of 66 to 85 years old. There are significant correlations between perceptions and internet experience, whereas sociodemographic factors have weak explanatory power. Interestingly, large shares of older adults do not have any opinion of the internet, which could partly explain the persistence of the digital divide and difficulties to increase digital literacy.DiscussionOnline experience and level of anxiety overrule socio-demographics in explanatory power to perceptions. The internet is perceived useful, but also interferes with common habits, the view of digital technology in everyday life and computer anxiety. The findings could affect policy implementation, where it would be useful to implement the idea of the Internet and create an awareness that might precede an intention to advance one's use

Places and Spaces Without News: The Contested Phenomenon of News Deserts

News deserts have gained prominence both in academic literature and policy discussions about local news in recent years. Although there is no agreed definition of the term, it usually refers to the lack of or diminishing availability, access, or use of local news or media in a community. It is seen as a significant phenomenon that highlights inequalities in local news provisions, challenges of local media operations in the digital environment, and issues around the quality of local journalism and the critical information needs of communities. This thematic issue aims to contribute to the field by bringing together different approaches to the topic, considering varied empirical studies and methodological designs, and providing perspectives from countries around the world with different media systems and cultures. The articles in the thematic issue address three broad issues: approaches to studying news deserts, local news production and news deserts, and the impact of news deserts on communities. Overall, the contributions reveal that the presence of a news desert is not a simple question of a locality having or not having a local media outlet. The concept is better understood as processes affecting access and quality of local news involving places, news media outlets and production, communities, and audiences. We end the editorial highlighting areas for further research, including the need for more holistic, conceptual, and comparative work on the topic

Long-term outcomes in dogs with elbow dysplasia, assessed using the canine orthopaedic index

BackgroundElbow dysplasia (ED) is an important cause of lameness in dogs. This study aimed to report long-term outcomes in dogs with elbow osteoarthritis. MethodsDemographic data, medical management, and scores from The American College of Veterinary Surgeons' Canine Orthopaedic Index (COI) were collected from owners of dogs radiographically screened for ED, graded as normal, mild, or moderate. Telephone interviews were performed in 2017 (Q1), followed by an email survey in 2020 (Q2). The association between ED grade and deterioration in COI scores over time was evaluated with logistic regression. ResultsA total of 765 replies were collected for Q1 and 293 for Q2. At Q2, 222 dogs (76%) were alive, with a median age of 8 years (range 5-12 years). No association was found between ED and changes in COI score over time or between ED and survival (p = 0.071). Dogs with mild and moderate ED were treated with analgesic medications to a higher degree than dogs without ED (p < 0.05). LimitationsOnly owner-assed data were assessed; no clinical orthopaedic examination or follow-up radiographic evaluation was performed. ConclusionsNo association was found between the grade of ED and the worsening of clinical signs in dogs with elbow osteoarthritis

The epidemiology of patellar luxation in an insured Swedish dog population

Patellar luxation (PL) is a common orthopaedic condition in dogs. This study aimed to evaluate the incidence and cause-specific mortality rate, age at diagnosis, and risk factors for medial PL (MPL), lateral PL (LPL), and bidirectional PL (BPL). Other diagnoses in dogs with PL were also explored. The study population included just over 600,000 dogs insured by Agria Pet Insurance in Sweden (2011–2016). There were 2726 dogs with PL. Medial patellar luxation affected 90 % of the dogs with PL, followed by LPL (5.9 %), BPL (2.4 %), and unspecified PL (1.6 %). The median age at first diagnosis during the study period was 2.8 years for MPL, 2.7 years for LPL, and 1.5 years for BPL. In total, 168 (6.2 %) of the dogs with PL had cruciate ligament rupture. There were substantial breed-specific differences in the risk of PL: almost all breeds at increased risk of MPL were small-sized, while several of the breeds at increased risk of LPL were large-sized. The breeds at high risk of BPL varied in size. Females had an increased risk of MPL (RR 1.2, 95 % CI: 1.1–1.3,

Type and impact of clinical incidents identified by a voluntary reporting system covering 130 small animal practices in mainland Europe

Background Veterinary healthcare can be a complex process and may lead to unwanted, potentially harmful patient safety incidents as a consequence, negatively impacting both the practice team and client satisfaction. The aim of this study was to identify how such incidents impact cats and dogs by analysing reports gathered in a large-scale voluntary incident reporting system. Methods Descriptive statistical analysis was used to study a total of 2155 incident reports, submitted by 130 practices on mainland Europe. Results Incidents caused harm in more than 40% of reports. Medication-related incidents were the most frequent type of incident recorded (40%). Treatment-related incidents were the most common type of incident causing patient harm (55%). Anaesthesia-related incidents were the most severe type of incident, resulting in patient death in 18% of these reports. Most incidents were reported from hospital wards, and a significantly higher proportion of cats were harmed by incidents compared to dogs. Conclusion This study demonstrates that patients are regularly harmed by incidents, with medication-related incidents being most common. In depth understanding of incident data can help develop interventions to reduce the risk of incident recurrence

Evaluation of post-operative complications after mastectomy performed without perioperative antimicrobial prophylaxis in dogs

Background Mastectomy is the most common procedure for treatment of mammary tumours. Dogs undergoing mastectomy have a risk of developing surgical site infections (SSI) and other postoperative complications. However, potential risk factors associated with such complications have been sparsely investigated. Thus, the objective of this retrospective study was to determine the incidence of, and identify risk factors for, SSI and non-SSI postoperative complications after mastectomy performed without perioperative antimicrobial prophylaxis in privately owned otherwise clinically healthy dogs. Results Medical records were reviewed retrospectively for 135 client-owned female dogs, 10-35 kg in weight and three to 10 years of age, which had undergone mastectomy due to mammary tumours at three referral animal hospitals in Sweden over a 3-year period. Twelve (8.9%) dogs developed SSI, and 21 dogs (17.1%) dogs suffered a non-SSI postoperative complication. The incidence of SSI and all complications (SSI and non-SSI) were higher in dogs that had two to three (SSI: P = 0.036 and all complications: P = 0.0039) and four to five (SSI and all complications: P = 0.038) mammary glands excised, compared to dogs that had one mammary gland excised. The incidence of SSI was 1.7% (n = 1/60) in dogs that had one gland removed. The incidence of non-SSI postoperative complications was higher in dogs with a higher body weight (P = 0.02). Conclusions The incidence of SSI was lower than or similar to previously reported incidences of SSI in dog populations that have undergone tumour excisional surgery, despite the fact that dogs in the present study had not received perioperative antibiotics. Dogs that had two or more glands excised had an increased risk of developing SSI and non-SSI complications compared to dogs that had one gland excised. Furthermore, higher BW was associated with an increased risk of non-SSI complications. Results from the study indicate that routine use of perioperative antibiotics in tumour excisional surgery can be questioned, at least in single gland mastectomy in otherwise clinically healthy dogs

Long-Term Prognosis of Quality of Life in Dogs Diagnosed With Mild to Moderate Elbow Dysplasia in Sweden

Objective: The objective of this study was to increase knowledge regarding long-term prognosis of mild to moderate elbow dysplasia (ED) using a canine orthopedic index.Study Design: Cross-sectional observational study.Sample Population: Sixty dogs randomly selected from each of five different breeds and three ED groups: ED0 (control), ED1, and ED2, based on the Kennel Club's screening results. The total number of selected dogs was 900 (60*5*3).Methods: Questionnaires were administered to owners by telephone interview. Bayesian network modeling was used to assess the relation between ED grade, treatment options, dog demographics, and quality-of-life indicators.Results: Seven hundred sixty-five questionnaires were collected (85% response rate), of which 61 concerned dogs euthanized due to osteoarthritis. There was no direct association between ED grade and owner's perceived quality of life, but ED1 and ED2 dogs were more likely to receive veterinary care and subsequent NSAID treatment compared to ED0 dogs. A significant association was found between the occurrence of euthanasia due to orthopedic disease and ED scores 1 and 2 in the sample (p &lt; 0.001).Conclusion: The degree of osteoarthritis was not directly associated with the canine orthopedic index, except for ED2 and lameness score. It can be speculated that owners who paid closer attention to orthopedic symptoms and perceived them as impairing their dogs' lives were also more likely to seek veterinary care and get treatment, irrespective of the ED grading.Impact: ED1-graded dogs had a lower risk than might be expected to develop visible clinical symptoms and showed a similar quality of life as dogs with ED0. ED2-graded dogs were more likely than ED0-graded dogs to have their lives impaired by lameness, according to the owners' perception

Evaluation of primary wound healing and potential complications after perioperative infiltration with lidocaine without adrenaline in surgical incisions in dogs and cats

BackgroundPre-emptive local analgesia with the use of lidocaine is practised increasingly in veterinary medicine as part of applied multimodal analgesia, despite its controversial impact on wound healing. The purpose of this prospective, randomised, double-blinded, placebo-controlled clinical study was to evaluate if preoperative subcutaneous infiltration of lidocaine has a negative impact on primary wound healing of surgical incisions. Fifty-two companion animals (3 cats and 49 dogs) were enrolled in the study. The inclusion criteria were as follows: American Society of Anaesthesiologists (ASA) score I or II, a minimum body weight of 5 kg, and a planned incisional length of at least 4 cm. Surgical incisions were infiltrated subcutaneously with lidocaine without adrenaline or NaCl (placebo). Follow-up questionnaires for owners and veterinarians and thermography of the surgical wound were used to assess wound healing. Antimicrobial use was documented.ResultsThere was no significant difference in either the total score or the individual assessment points between the treatment and the placebo group on the owner or the veterinary questionnaires in regard to primary wound healing (P > 0.05 for all comparisons). No significant difference was found between the thermography results of the treatment and placebo group (P = 0.78), and there was no significant correlation between the total score from the veterinary protocol and thermography results (Spearman's correlation coefficient - 0.10, P = 0.51). Surgical site infections developed in 5/53 (9.4%) surgeries and its occurrence varied significantly between the treatment and the placebo group as all cases of infection were in the placebo group (P = 0.05).ConclusionThe results of this study indicate that lidocaine used as a local anaesthetic did not affect wound healing in patients with ASA scores I-II. The results suggest that lidocaine infiltration in surgical incisions can be safely used to reduce pain

Risk factors for severe postoperative complications in dogs with cranial cruciate ligament disease-A survival analysis

Objective: To analyze the effect of surgical technique and other risk factors on severe postoperative complications in dogs with cranial cruciate ligament disease (CCLD). Materials and Methods: A cohort study of 255 dogs (287 stifles) surgically treated for CCLD at two veterinary university hospitals (2011 & ndash;2016) was performed. The electronic medical records were reviewed and dog owners and referring veterinarians contacted for additional information. The complications were classified as minor, major and catastrophic, where major and catastrophic were considered severe. A multivariable Cox proportional hazards model was applied to assess risk factors for severe postoperative complications.Results: Three surgical techniques were used; lateral fabellotibial suture (LFS, 141 stifles), tibial plateau leveling osteotomy (TPLO, 77 stifles) and tibial tuberosity advancement (TTA, 69 stifles). The most common severe postoperative complications were surgical site infections or complications related to the surgical implant. Severe postoperative complications occurred in 31 % of the stifles treated with TPLO, 22 % of the stifles treated with LFS and 25 % of the stifles treated with TTA. The multivariable Cox proportional hazards model identified surgical technique (p = 0.0258) as a risk factor for severe postoperative complications; TPLO had a significantly lower hazard than LFS (hazard ratio (HR) = 0.37, p = 0.007) when controlling for body weight and age, which also were identified as risk factors (HR = 1.05, p < 0.001 and HR = 0.91, p = 0.047, respectively).Conclusion and Clinical relevance: Although TPLO procedures had the highest occurrence of severe postoperative complications, the hazard was lower than for LFS after adjusting for body weight and age. This implies that it is important to consider potential effect-modifiers when comparing postoperative complications after CCLD surgery

Extended Spectrum Beta-Lactamase/AmpC-Producing E Coli in Dogs Treated with Antimicrobials in Surgical Wards

The aim of this study is to investigate the prevalence and carriage of Extended Spec - trum Beta-Lactamase (ESBL) and AmpC- producing strains of E. coli and Klebsi - ella spp in hospitalized dogs treated with antimicrobials. Tissue and fecal samples from 66 dogs were analyzed for presence of AmpC or ESBL producing bacteria. The dogs had to have been admitted to the surgical ward for at least 24 hours and have received antimicrobial treatment. Samples were plated onto bovine blood agar and after incubation for 24 + 24 h, five colonies morphologically consistent with E.coli and Klebsiella spp , were selected and recultured onto media containing antimicrobials. Dogs carrying ESBL/AmpC- producing bacteria were retested for rectal colonisation at 3-6 months intervals for up to 16 months. Five (7.6%) dogs carried bacterial strains posi - tive for ESBL/AmpC- producing- genes in feces. All tissue samples were negative. One dog, previously positive for bla CMY-2 , carried ESBL genotype bla TEM-52 , in the second sample. Four dogs remained posi - tive throughout the testing. None of the dogs had signs of infection or symptoms associ - ated with the carriage of ESBL or plasmid mediated-AmpC- producing bacteria. Seven unique MLVA-types were identified. The results from this study show fecal car - riage for as long as 16 months of ESBL/ AmpC- producing E.coli in dogs treated with antimicrobials. Although clonal spread could not be verified in this study, the risk of dissemination of multiresistant bacteria in animal hospitals and in the community must be considered