Outcomes for circulatory death and brainstem death pancreas transplantation with or without use of normothermic regional perfusion.

Simultaneous pancreas and kidney transplantation is the optimum treatment for patients with type 1 diabetes and renal failure, providing survival benefit over deceased donor kidney transplant alone. Here the authors demonstrate that utilization of donation after circulatory death pancreases is a safe approach to expanding the donor pool with equivalent results to donation after brainstem death transplantation. They also demonstrate that pancreas transplantation after normothermic regional perfusion is feasible, but it will require ongoing prospective study to ensure that the benefits seen for liver transplantation do not come at the expense of pancreas transplant outcomes.

Injuries and deformities in fish: their potential impacts upon aquacultural production and welfare.

Fish can be the recipients of numerous injuries that are potentially deleterious to aquacultural production performance and welfare. This review will employ a systematic approach that classifies injuries in relation to specific anatomical areas of the fish and will evaluate the effects of injury upon production and welfare. The selected areas include the (1) mouth, (2) eye, (3) epidermis and (4) fins.

Are fish the victims of 'speciesism'? A discussion about fear, pain and animal consciousness.

Fish welfare is currently a hotly debated topic; this is mainly due to the issue of whether or not fish have the capacity for conscious awareness, or subjective states. Because of the contentious nature of animal consciousness, the subject is often avoided in many welfare arguments, but it is argued that since welfare should be about how animals feel, this issue is unavoidable. There is also good reason to believe that the issue of assessing subjective states is not as insurmountable as some believe.

Opportunities for learning about animal welfare from online courses to graduate degrees.

Knowledge of animal welfare has become essential for veterinarians. However, there is no clear consensus about how to provide veterinarians and students with this critical information. The challenges associated with finding qualified instructors and fitting additional courses into an already full curriculum mean that options for learning about animal welfare beyond the veterinary school classroom must be explored.

Management of artificial nutrition in East Anglia: a community study.

In the Cambridge health district the growth of artificial nutritional support was prospectively assessed over a five-year period (1988-93). The aim of this study was to investigate the variation in the prevalence of enteral tube feeding (ETF) and parenteral nutrition (PN) in hospital and at home and to assess the organisation. There was a fourfold variability in the prevalence of artificial nutritional support in the eight districts.

Heparin lock practice in total parenteral nutrition.

Catheter occlusion can complicate parenteral feeding. Careful management can reduce the incidence of occlusion. Low-dose heparin lock is an effective preventive measure.

Artificial nutrition support for patients in the Cambridge Health District.

This paper describes the results of a one-year prospective survey of patients who received artificial enteral and parenteral nutritional support at home and in the hospitals of the Cambridge Health District. Enteral tube feeding accounted for most of the artificial nutritional support provided both in hospital and in the community. The findings of the study suggest that nutritional support is an important adjunct to the treatment of serious clinical disorders, and that the care of such patients can be improved by the establishment of a multidisciplinary enteral and parenteral nutrition team.