Promoting greater efficiency in the delivery of veterinary services.
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Biomedical subjects
Publications and source records attributed to D M McCurnin.
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Geriatric health care remains a virtually untapped area in spite of changing public views and scientific knowledge on aging. The number of older dogs and cats will continue to grow into the next century. Owners of older dogs and cats are willing to invest in quality health care services. A geriatric health care program can expand veterinary services in a practice and is a natural extension of pediatric and adult maintenance programs.
Competition between veterinary practices has never been more intense. Consumers today are not looking for businesses that are open limited hours, selling outdated products and services, and operating in worn-out facilities in out-of-the-way locations. Consumers today are generally looking for the following eight things: (1) value; (2) choice of products/services; (3) new facilities and items; (4) convenient location; (5) long business hours; (6) one-stop shopping; (7) no hassles; and (8) friendly, personal, knowledgeable people to help in a clean, bright environment. As the veterinary medical profession responds to changing client needs, the following 10 survival strategies can be used: (1) focus on satisfying the client, (2) study successful practices, (3) regularly analyze management information, (4) improve marketing skills, (5) improve client value, (6) uniquely position the practice, (7) eliminate waste, (8) regularly make improvements, (9) support change, and (10) get started. Your practice will continue to grow and prosper even in the shadow of a megapractice if you practice will a positive attitude and provide quality services that are valued and needed by your clients.
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A hospital-based case-control study of companion dogs examined the risk of developing canine malignant lymphoma associated with the use of chemicals in and about the home. Information from a self-administered owner questionnaire and/or a telephone interview of about 491 cases, 466 nontumor controls, and 479 tumor controls indicated that owners in households with dogs that developed malignant lymphoma applied 2,4-dichlorophenoxyacetic acid (2,4-D) herbicides to their lawn and/or employed commercial lawn care companies to treat their yard significantly more frequently than control owners (odds ratio = 1.3). In addition, the risk of canine malignant lymphoma rose to a twofold excess with four or more yearly owner applications of 2,4-D. The findings in this study are consistent with occupational studies in humans, which have reported modest associations between agricultural exposure to 2,4-D and increased risk of non-Hodgkin's lymphoma, the histology and epidemiology of which are similar to those of canine malignant lymphoma. The present study suggests that human health implications of 2,4-D exposure in the home environment should receive further investigation.
The femoral heads of 12 dogs with naturally occurring Legg-Calvé-Perthes disease were studied by light and electron microscopic techniques. In the early stages of the disease, the bony capital femoral epiphysis was necrotic, but the articular cartilage and growth plate cartilage were not affected. By the early stages of repair, the femoral head had collapsed. the articular cartilage was thickened and furrowed at the sites of collapse, and the chondrocytes appeared more metabolically active. Sites of bone resorption were associated with osteoclasts and macrophages. In some specimens there were areas of necrosis in the metaphysis which interrupted normal enchondral ossification in the growth plate. By the final stages of repair, the epiphysis was almost completely revascularized with the exception of the central proximal segment. In some areas, repair tissue had penetrated into the deeper layers of the articular cartilage. The flattening of the femoral head in Legg-Calvé-Perthes disease appears to be the result of several processes: mechanical collapse, asymmetric growth, and disturbed enchondral ossification at the growth plate.
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