Biosecurity in Animal Production and Veterinary Medicine

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Author :
Publisher : CABI
ISBN 13 : 1789245680
Total Pages : 525 pages
Book Rating : 4.7/5 (892 download)

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Book Synopsis Biosecurity in Animal Production and Veterinary Medicine by : Jeroen Dewulf

Download or read book Biosecurity in Animal Production and Veterinary Medicine written by Jeroen Dewulf and published by CABI. This book was released on 2019-12-01 with total page 525 pages. Available in PDF, EPUB and Kindle. Book excerpt: Globally, the way the animal production industry copes with infectious diseases is changing. The (excessive) use of antimicrobials is under debate and it is becoming standard practice to implement thorough biosecurity plans on farms to prevent the entry and spread of pathogenic micro-organisms. Not only in farm animal production, but also in facilities where companion animals are kept, including in veterinary practices and clinics, awareness of the beneficial implications of a good biosecurity plan has raised. The book Biosecurity in Animal Production and Veterinary Medicine is the first compilation of both fundamental aspects of biosecurity practices, and specific and practical information on the application of the biosecurity measures in different animal production and animal housing settings.

Critical Needs for Research in Veterinary Science

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Author :
Publisher : National Academies Press
ISBN 13 : 0309164982
Total Pages : 238 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Critical Needs for Research in Veterinary Science by : National Research Council

Download or read book Critical Needs for Research in Veterinary Science written by National Research Council and published by National Academies Press. This book was released on 2005-10-18 with total page 238 pages. Available in PDF, EPUB and Kindle. Book excerpt: Research in veterinary science is critical for the health and well-being of animals, including humans. Food safety, emerging infectious diseases, the development of new therapies, and the possibility of bioterrorism are examples of issues addressed by veterinary science that have an impact on both human and animal health. However, there is a lack of scientists engaged in veterinary research. Too few veterinarians pursue research careers, and there is a shortage of facilities and funding for conducting research. This report identifies questions and issues that veterinary research can help to address, and discusses the scientific expertise and infrastructure needed to meet the most critical research needs. The report finds that there is an urgent need to provide adequate resources for investigators, training programs, and facilities involved in veterinary research.

Aquaculture Biosecurity

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Author :
Publisher : John Wiley & Sons
ISBN 13 : 0470376635
Total Pages : 198 pages
Book Rating : 4.4/5 (73 download)

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Book Synopsis Aquaculture Biosecurity by : A. David Scarfe

Download or read book Aquaculture Biosecurity written by A. David Scarfe and published by John Wiley & Sons. This book was released on 2008-02-08 with total page 198 pages. Available in PDF, EPUB and Kindle. Book excerpt: Published in Cooperation with THE WORLD AQUACULTURE SOCIETY Aquaculture loses millions of dollars in revenue annually due to aquatic animal diseases. Disease outbreaks continue to threaten profitable and viable aquaculture operations throughout the world. As a result, aquaculture biosecurity programs that address aquatic animal pathogens and diseases have become an important focus for the aquaculture industry. Aquaculture Biosecurity: Prevention, Control, and Eradication of Aquatic Animal Disease provides valuable information that will increase success in combating infectious aquatic disease. Key representatives of international, regional, and national organizations presented their views on this important issue as part of a special session at the 2004 World Aquaculture Society Annual Conference. The chapters of this book cover a wealth of experience from the varied perspectives of these experts on biosecurity, policies, and measures to take the offensive against the spread of diseases in aquatic animals. With contributions from renowned international experts, covering approaches to biosecurity policies and measures currently practiced, Aquaculture Biosecurity: Prevention, Control, and Eradication of Aquatic Animal Disease is a vital reference for all those concerned about protecting aquaculture from impacts of aquatic animal disease.

Biosecurity and livestock production

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Author :
Publisher : Nordic Council of Ministers
ISBN 13 : 9289344547
Total Pages : 52 pages
Book Rating : 4.2/5 (893 download)

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Book Synopsis Biosecurity and livestock production by : Lindahl, Elisabet

Download or read book Biosecurity and livestock production written by Lindahl, Elisabet and published by Nordic Council of Ministers. This book was released on 2016-03-08 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt: Biosecurity is important for a healthy livestock production; it may be defined as the prevention of disease causing agents entering or leaving any place where livestock including poultry are present. A number of biosecurity measures are available to minimize the risk of introducing and of spreading diseases of which some are zoonotic; i.e. diseases transmissible between animals and humans. This report provides information on biosecurity measures safeguarding animal health and animal welfare and it highlights topics such as barriers and motivation to biosecurity, training and education, value of partnership and economy. Broadly speaking biosecurity describes the process and objective of managing biological risks associated with food and feed production in agriculture and fisheries.

The Use of Drugs in Food Animals

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Author :
Publisher : National Academies Press
ISBN 13 : 0309175771
Total Pages : 276 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis The Use of Drugs in Food Animals by : National Research Council

Download or read book The Use of Drugs in Food Animals written by National Research Council and published by National Academies Press. This book was released on 1999-01-12 with total page 276 pages. Available in PDF, EPUB and Kindle. Book excerpt: The use of drugs in food animal production has resulted in benefits throughout the food industry; however, their use has also raised public health safety concerns. The Use of Drugs in Food Animals provides an overview of why and how drugs are used in the major food-producing animal industriesâ€"poultry, dairy, beef, swine, and aquaculture. The volume discusses the prevalence of human pathogens in foods of animal origin. It also addresses the transfer of resistance in animal microbes to human pathogens and the resulting risk of human disease. The committee offers analysis and insight into these areas: Monitoring of drug residues. The book provides a brief overview of how the FDA and USDA monitor drug residues in foods of animal origin and describes quality assurance programs initiated by the poultry, dairy, beef, and swine industries. Antibiotic resistance. The committee reports what is known about this controversial problem and its potential effect on human health. The volume also looks at how drug use may be minimized with new approaches in genetics, nutrition, and animal management.

Veterinary Medicine - E-BOOK

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0702070580
Total Pages : 2278 pages
Book Rating : 4.7/5 (2 download)

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Book Synopsis Veterinary Medicine - E-BOOK by : Peter D. Constable

Download or read book Veterinary Medicine - E-BOOK written by Peter D. Constable and published by Elsevier Health Sciences. This book was released on 2016-10-25 with total page 2278 pages. Available in PDF, EPUB and Kindle. Book excerpt: Treat the diseases affecting large animals! Veterinary Medicine, 11th Edition provides up-to-date information on the diseases of horses, cattle, sheep, goats, and pigs. Comprehensive coverage includes the principles of clinical examination and making a diagnosis, along with specific therapy recommendations. For easier use, this edition has been divided into two volumes and restructured into a logical, anatomically based approach to disease. From internationally known veterinary experts Peter Constable, Kenneth Hinchcliff, Stanley Done, and Walter Grünberg, this book is the definitive, one-stop reference for farm animal and equine care. Comprehensive coverage includes information essential to any large-animal veterinarian, especially those working with horses, cattle, sheep, goats, or pigs. Coverage of diseases addresses major large-animal diseases of all countries, including foreign animal and emerging diseases. User-friendly format makes it easier to quickly absorb key information. Quick review/synopsis sections make important information on complex diseases easy to find. NEW! Convenient, easy-access format is organized by organ systems, and divides the content into two compact volumes with the same authoritative coverage. Nearly 200 new color photographs and line drawings are included in this edition. NEW full-color design improves navigation, clarifies subject headings, and includes more boxes, tables, and charts for faster reference. New Diseases Primarily Affecting the Reproductive System chapter is added. Updated and expanded chapter on pharmacotherapy lists therapeutic interventions and offers treatment boxes and principles of antibiotic use. Expanded sections on herd health include biosecurity and infection control, and valuable Strength of Evidence boxes. NEW or extensively revised sections include topics such as the Schmallenberg and Bluetongue viral epidemics of ruminants in Europe, Wesselbron disease in cattle, hypokalemia in adult cattle, equine multinodular pulmonary fibrosis, Hendra virus infection, porcine reproductive and respiratory syndrome, torque teno virus, and numerous recently identified congenital and inherited disorders of large animals. Additional content is provided on lameness in cattle and the diseases of cervids.

Workforce Needs in Veterinary Medicine

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Author :
Publisher : National Academies Press
ISBN 13 : 0309257441
Total Pages : 322 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis Workforce Needs in Veterinary Medicine by : National Research Council

Download or read book Workforce Needs in Veterinary Medicine written by National Research Council and published by National Academies Press. This book was released on 2013-11-17 with total page 322 pages. Available in PDF, EPUB and Kindle. Book excerpt: The U.S. veterinary medical profession contributes to society in diverse ways, from developing drugs and protecting the food supply to treating companion animals and investigating animal diseases in the wild. In a study of the issues related to the veterinary medical workforce, including demographics, workforce supply, trends affecting job availability, and capacity of the educational system to fill future demands, a National Research Council committee found that the profession faces important challenges in maintaining the economic sustainability of veterinary practice and education, building its scholarly foundations, and evolving veterinary service to meet changing societal needs. Many concerns about the profession came into focus following the outbreak of West Nile fever in 1999, and the subsequent outbreaks of SARS, monkeypox, bovine spongiform encephalopathy, highly pathogenic avian influenza, H1N1 influenza, and a variety of food safety and environmental issues heightened public concerns. They also raised further questions about the directions of veterinary medicine and the capacity of public health service the profession provides both in the United States and abroad. To address some of the problems facing the veterinary profession, greater public and private support for education and research in veterinary medicine is needed. The public, policymakers, and even medical professionals are frequently unaware of how veterinary medicine fundamentally supports both animal and human health and well-being. This report seeks to broaden the public's understanding and attempts to anticipate some of the needs and measures that are essential for the profession to fulfill given its changing roles in the 21st century.

Critical Role of Animal Science Research in Food Security and Sustainability

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Author :
Publisher : National Academies Press
ISBN 13 : 0309316472
Total Pages : 436 pages
Book Rating : 4.3/5 (93 download)

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Book Synopsis Critical Role of Animal Science Research in Food Security and Sustainability by : National Research Council

Download or read book Critical Role of Animal Science Research in Food Security and Sustainability written by National Research Council and published by National Academies Press. This book was released on 2015-03-31 with total page 436 pages. Available in PDF, EPUB and Kindle. Book excerpt: By 2050 the world's population is projected to grow by one-third, reaching between 9 and 10 billion. With globalization and expected growth in global affluence, a substantial increase in per capita meat, dairy, and fish consumption is also anticipated. The demand for calories from animal products will nearly double, highlighting the critical importance of the world's animal agriculture system. Meeting the nutritional needs of this population and its demand for animal products will require a significant investment of resources as well as policy changes that are supportive of agricultural production. Ensuring sustainable agricultural growth will be essential to addressing this global challenge to food security. Critical Role of Animal Science Research in Food Security and Sustainability identifies areas of research and development, technology, and resource needs for research in the field of animal agriculture, both nationally and internationally. This report assesses the global demand for products of animal origin in 2050 within the framework of ensuring global food security; evaluates how climate change and natural resource constraints may impact the ability to meet future global demand for animal products in sustainable production systems; and identifies factors that may impact the ability of the United States to meet demand for animal products, including the need for trained human capital, product safety and quality, and effective communication and adoption of new knowledge, information, and technologies. The agricultural sector worldwide faces numerous daunting challenges that will require innovations, new technologies, and new ways of approaching agriculture if the food, feed, and fiber needs of the global population are to be met. The recommendations of Critical Role of Animal Science Research in Food Security and Sustainability will inform a new roadmap for animal science research to meet the challenges of sustainable animal production in the 21st century.

Livestock Health and Farming

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Author :
Publisher : BoD – Books on Demand
ISBN 13 : 1789859034
Total Pages : 158 pages
Book Rating : 4.7/5 (898 download)

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Book Synopsis Livestock Health and Farming by : Muhammad Abubakar

Download or read book Livestock Health and Farming written by Muhammad Abubakar and published by BoD – Books on Demand. This book was released on 2020-04-22 with total page 158 pages. Available in PDF, EPUB and Kindle. Book excerpt: Livestock Health and Farming provides a detailed description of key aspects of livestock health issues and farming practices. Chapters cover such topics as antimicrobial resistance in livestock, nutrition and its role in animal health and farming, nutrition and health management in dairy animals, and livestock feeding in semi-arid regions.

Prudent and efficient use of antimicrobials in pigs and poultry

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Author :
Publisher : Food & Agriculture Org.
ISBN 13 : 9251318913
Total Pages : 44 pages
Book Rating : 4.2/5 (513 download)

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Book Synopsis Prudent and efficient use of antimicrobials in pigs and poultry by : Food and Agriculture Organization of the United Nations

Download or read book Prudent and efficient use of antimicrobials in pigs and poultry written by Food and Agriculture Organization of the United Nations and published by Food & Agriculture Org.. This book was released on 2019-10-30 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt: Antimicrobials are widely used in both humans and livestock and have greatly contributed to better human and animal health. However, these benefits are being threatened by the global emergence of antimicrobial resistance (AMR). Because humans and animals often share the same bacteria and may be treated with the same types of antibacterial drugs, resistance to antibiotics is the most critical aspect of AMR for the livestock sector. One way to mitigate the emergence of AMR is to reduce the overall use of antibiotics by combining prudent and medically rational use with other disease preventive measures. This manual will contribute to addressing the challenge of AMR by promoting the prevention of infections and the prudent use of antibiotics in the pig and poultry sectors, the livestock sectors that generally have the highest use of antibiotics. It should be regarded as a practical complement to national governance and regulatory measures. The manual is intended to assist pharmacists, veterinarians, other animal health workers, farm owners and their staff in using antibiotics in a prudent and medically efficient way without loss in productivity. It is especially targeted to farmers with commercialized medium- or large-scale production, veterinarians and other animal health personnel in non-EU Eastern European and Balkan countries, the Caucasus, and Central Asia, who are dealing with pigs and poultry. However, in many cases the principles and practices described here are universally useful and may be applied elsewhere.

Management of Animal Care and Use Programs in Research, Education, and Testing

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Author :
Publisher : CRC Press
ISBN 13 : 1498748457
Total Pages : 917 pages
Book Rating : 4.4/5 (987 download)

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Book Synopsis Management of Animal Care and Use Programs in Research, Education, and Testing by : Robert H. Weichbrod

Download or read book Management of Animal Care and Use Programs in Research, Education, and Testing written by Robert H. Weichbrod and published by CRC Press. This book was released on 2017-09-07 with total page 917 pages. Available in PDF, EPUB and Kindle. Book excerpt: AAP Prose Award Finalist 2018/19 Management of Animal Care and Use Programs in Research, Education, and Testing, Second Edition is the extensively expanded revision of the popular Management of Laboratory Animal Care and Use Programs book published earlier this century. Following in the footsteps of the first edition, this revision serves as a first line management resource, providing for strong advocacy for advancing quality animal welfare and science worldwide, and continues as a valuable seminal reference for those engaged in all types of programs involving animal care and use. The new edition has more than doubled the number of chapters in the original volume to present a more comprehensive overview of the current breadth and depth of the field with applicability to an international audience. Readers are provided with the latest information and resource and reference material from authors who are noted experts in their field. The book: - Emphasizes the importance of developing a collaborative culture of care within an animal care and use program and provides information about how behavioral management through animal training can play an integral role in a veterinary health program - Provides a new section on Environment and Housing, containing chapters that focus on management considerations of housing and enrichment delineated by species - Expands coverage of regulatory oversight and compliance, assessment, and assurance issues and processes, including a greater discussion of globalization and harmonizing cultural and regulatory issues - Includes more in-depth treatment throughout the book of critical topics in program management, physical plant, animal health, and husbandry. Biomedical research using animals requires administrators and managers who are knowledgeable and highly skilled. They must adapt to the complexity of rapidly-changing technologies, balance research goals with a thorough understanding of regulatory requirements and guidelines, and know how to work with a multi-generational, multi-cultural workforce. This book is the ideal resource for these professionals. It also serves as an indispensable resource text for certification exams and credentialing boards for a multitude of professional societies Co-publishers on the second edition are: ACLAM (American College of Laboratory Animal Medicine); ECLAM (European College of Laboratory Animal Medicine); IACLAM (International Colleges of Laboratory Animal Medicine); JCLAM (Japanese College of Laboratory Animal Medicine); KCLAM (Korean College of Laboratory Animal Medicine); CALAS (Canadian Association of Laboratory Animal Medicine); LAMA (Laboratory Animal Management Association); and IAT (Institute of Animal Technology).

Food Security in a Global Economy

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Publisher : University of Pennsylvania Press
ISBN 13 : 9780812220445
Total Pages : 212 pages
Book Rating : 4.2/5 (24 download)

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Book Synopsis Food Security in a Global Economy by : Gary Smith

Download or read book Food Security in a Global Economy written by Gary Smith and published by University of Pennsylvania Press. This book was released on 2008-10-23 with total page 212 pages. Available in PDF, EPUB and Kindle. Book excerpt: At the end of the nineteenth century, the health and productivity of the livestock and poultry industries and the safety of foods of animal origin in the United States were severely compromised by infectious diseases. Bovine tuberculosis was a widespread and significant food safety hazard, with large numbers of human TB cases caused by contaminated milk. Texas fever, foot and mouth disease, brucellosis, glanders, trichinosis, and fowl plague challenged both animal and human health. Government intervention in veterinary public health made great strides during the first half of the twentieth century, however, and the U.S. food supply was proclaimed to be the safest in the world. In the countries of the developing world, infectious diseases of animals and humans remain prevalent and pose serious threats to a globalized society, in which the health status of animals in one nation is directly linked to the health status of animal and human populations throughout the world. The problems and their solutions are immensely complex and difficult and extend well beyond the challenges of controlling infectious diseases. As a result, those involved in the food industry, and especially veterinarians, face the question, "Is it possible to feed a burgeoning world population while respecting the welfare of livestock and poultry, containing the spread of disease, and managing the Earth's natural resources?" In Food Security in a Global Economy, contributors from across the globe and from a range of disciplines—veterinarians, public health officials, researchers, scholars, and industry experts—provide analysis and cutting-edge research. From the spread of avian influenza to the burgeoning problems associated with more affluent and urbanizing populations in the developing world, Food Security in a Global Economy provides a comprehensive overview of the issues that form the central challenge for veterinary medicine in the twenty-first century.

Instant Insights: Improving Biosecurity in Livestock Production

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Author :
Publisher : Burleigh Dodds Science: Instant Insights
ISBN 13 : 9781801466318
Total Pages : 0 pages
Book Rating : 4.4/5 (663 download)

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Book Synopsis Instant Insights: Improving Biosecurity in Livestock Production by : Prof Jeroen Dewulf

Download or read book Instant Insights: Improving Biosecurity in Livestock Production written by Prof Jeroen Dewulf and published by Burleigh Dodds Science: Instant Insights. This book was released on 2023-08-22 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This collection highlights the need for improved biosecurity in livestock production as a result of increased disease risk, focussing primarily on pig, poultry and beef cattle production. Chapters review the emergence and re-emergence of key pathogens and the role of effective biosecurity measures in mitigating future disease outbreaks.

Welfare of production animals: assessment and management of risks

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Author :
Publisher : BRILL
ISBN 13 : 9086866905
Total Pages : 588 pages
Book Rating : 4.0/5 (868 download)

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Book Synopsis Welfare of production animals: assessment and management of risks by : Frans J.M. Smulders

Download or read book Welfare of production animals: assessment and management of risks written by Frans J.M. Smulders and published by BRILL. This book was released on 2023-09-04 with total page 588 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book, the fifth in the series 'Food Safety Assurance and Veterinary Public Health', has been conceived by a total of 33 internationally recognised experts from 11 different countries in Europe and from the USA, Canada and Australia, with backgrounds ranging from veterinary medicine, animal science, biology and microbiology to psychology, philosophy and ethics. It provides an up-to-date overview of the science of animal welfare and its assessment, of options for the assessment and management of risks for the welfare of production animals, and of the ramifications these may have for the safety of foods of animal origin. This volume is targeted at veterinary practitioners, official veterinarians in a control function, animal and food scientists, welfare scientists, students in animal welfare, auditing and inspection officials and risk managers at all levels of animal production. Other publications in the Food Safety Assurance and Veterinary Public Health series are: * Volume 1. Food safety assurance in the pre-harvest phase * Volume 2. Safety assurance during food processing * Volume 3. Risk management strategies: monitoring and surveillance * Volume 4. Towards a risk-based chain control

Animal Health at the Crossroads

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Author :
Publisher : National Academies Press
ISBN 13 : 0309092590
Total Pages : 287 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Animal Health at the Crossroads by : National Research Council

Download or read book Animal Health at the Crossroads written by National Research Council and published by National Academies Press. This book was released on 2005-12-17 with total page 287 pages. Available in PDF, EPUB and Kindle. Book excerpt: The confirmed case of "mad cow" disease (BSE) in June 2005 illustrates the economic impact of disease outbreaks, as additional countries closed their markets to U.S. beef and beef products. Emerging diseases also threaten public health-11 out of 12 of the major global disease outbreaks over the last decade were from zoonotic agents (that spread from animals to humans). Animal Health at the Crossroads: Preventing, Detecting, and Diagnosing Animal Diseases finds that, in general, the U.S. animal health framework has been slow to take advantage of state-of-the-art technologies being used now to protect public health; better diagnostic tests for identifying all animal diseases should be made a priority. The report also recommends that the nation establish a high-level, authoritative, and accountable coordinating mechanism to engage and enhance partnerships among local, state, and federal agencies, and the private sector.

Bovine Reproduction

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Author :
Publisher : John Wiley & Sons
ISBN 13 : 1118470850
Total Pages : 2735 pages
Book Rating : 4.1/5 (184 download)

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Book Synopsis Bovine Reproduction by : Richard M. Hopper

Download or read book Bovine Reproduction written by Richard M. Hopper and published by John Wiley & Sons. This book was released on 2014-08-18 with total page 2735 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bovine Reproduction is a comprehensive, current reference providing information on all aspects of reproduction in the bull and cow. Offering fundamental knowledge on evaluating and restoring fertility in the bovine patient, the book also places information in the context of herd health where appropriate for a truly global view of bovine theriogenology. Printed in full color throughout, the book includes 83 chapters and more than 550 images, making it the most exhaustive reference available on this topic. Each section covers anatomy and physiology, breeding management, and reproductive surgery, as well as obstetrics and pregnancy wastage in the cow. Bovine Reproduction is a welcome resource for bovine practitioners, theriogenologists, and animal scientists, as well as veterinary students and residents with an interest in the cow.

Current Veterinary Therapy - E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 141606933X
Total Pages : 736 pages
Book Rating : 4.4/5 (16 download)

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Book Synopsis Current Veterinary Therapy - E-Book by : David E. Anderson

Download or read book Current Veterinary Therapy - E-Book written by David E. Anderson and published by Elsevier Health Sciences. This book was released on 2008-07-17 with total page 736 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by leading food animal researchers, practitioners, and educators, this comprehensive guide provides quick access to the latest medical and surgical interventions for cattle, sheep, and goats. The concise, quick-reference format and logical body systems organization make it ideal for use in both the clinical setting and the field. You’ll easily locate key information on preventing, treating, and managing disease in food animals, as well as expert insights on improving outcomes for individual animals and herd populations. Authoritative, cutting-edge coverage offers clinically relevant strategies for diagnosing and managing a wide range of diseases and disorders in food animals, with a focus on cattle, sheep, and goats. Logically organized content is easy-to-follow and provides a practical approach to determining appropriate medical and surgical interventions. Concise, easy-to-read format helps you find essential information quickly and easily. Expert editors, consultants, and writers ensure the accuracy, relevance, and timeliness of each topic to keep you on the cutting edge of food animal therapy. New editors and a new team of section editors bring a fresh perspective and authoritative guidance on caring for food animals. Completely revised and updated content includes new sections on topics such as: Genital surgery Pharmacology and therapeutics Restraint, anesthesia, and pain management Cow-calf/small ruminant production medicine Feedlot production medicine Coverage of hot topics in the field includes biosecurity in feedlots, therapy in organic livestock medicine, and ethical responsibilities in selecting drugs for use in food animals. Expanded treatment options incorporate surgical interventions where appropriate, including laparoscopic procedures.