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Lateral patellar dislocations often occur in a young, athletic population of recurrent dislocators with generalized laxity and an interest in returning to an active lifestyle. A recent appreciation for the distal patellotibial complex has directed surgeons toward attempting to re-create the native anatomy and knee biomechanics during medial patellar reconstructive procedures. By reconstructing the medial patellotibial ligament (MPTL) in addition to the medial patella-femoral ligament (MPFL) and medial quadriceps tendon-femoral ligament (MQTFL), the current article describes a potentially more stable construct that can be utilized in patients with subluxation with the knee in full extension, patellar instability with the knee in deep flexion, genu recurvatum, and generalized hyperlaxity. Additionally, the current technique utilizes a tibialis anterior allograft. The purpose of this Technical Note is to describe, in detail, the current authors' technique for a combined MPFL, MQTFL, and MPTL reconstruction.

Objectives The importance of the effects of stress on cats is well recognised, with visits to the veterinary clinic a common cause of stress. The aim of this study was to explore owners’ experiences of stress, both for themselves and their cat, during veterinary visits, and to gather data on owners’ perception of resources within the clinic to reduce stress in their cats. Methods A questionnaire aimed at cat owners with recent experience of an outpatient visit to the veterinary clinic was developed and distributed. Questions covered demographics; their most recent veterinary visit; their general experience of visits over the past 3 years; measures taken by the clinic to reduce stress; and awareness of the Cat Friendly Clinic programme. There were various question types, with owners often asked to rate stress from 1 (least stressful) to 10 (most stressful). Results A total of 277 respondents gave details about their experience of consultations over the past 3 years. Owners rated the stress of travelling to the clinic, other animals in the waiting room and the consultation itself (all median 6, interquartile range 4–8) as the most stressful elements. Most owners reported gentle methods of removing the cat from their carrier; however, almost a third (n = 81/263; 30.8%) had seen their cat scruffed during a consultation. Cat-only waiting rooms were viewed as the most effective measure to reduce stress in the clinic. Conclusions and relevance Veterinary clinics are already taking steps to address stress in cats, and owners have a good awareness of stress in their cats. Future work should focus on trialling specific interventions to determine their effectiveness in reducing stress in feline patients, and measures currently perceived by owners to be highly effective, such as cat-only waiting rooms, should be used where feasible.

Since its founding in 1990, the profession of oncology navigation has grown and evolved. Although core concepts serve as a unifying thread throughout the profession, there has not been formal agreement on standardization of definitions, scopes, and roles for the various types of navigators. This has created challenges for sustainability, including reimbursement for navigation services. Emerging from the Biden Cancer Initiative's patient navigation working group, the Professional Oncology Navigation Task Force was created to serve as the voice of professional oncology organizations with an ultimate goal of solidifying definitions, scopes, and roles of navigators across the care continuum. Task group members are committed to cross-disciplinary partnership (including nursing, social work, and nonclinically licensed navigation). As the Task Force worked to define, refine, and disseminate professional standards (with input from the navigation community), the work done by the National Navigation Roundtable was vital to our evolving understanding of the profession. This article outlines the importance of that partnership and highlights the relevant findings of each article in this supplement of Cancer to the standardization work. LAY SUMMARY: Within the profession of oncology navigation, definitions, scopes, and roles of navigators have not been solidified. Standardization of the profession is critical to allow for continued growth and evolution as well as policy direction. This article introduces the work of the Professional Oncology Navigation Task Force, which created the Oncology Navigation Standards of Professional Practice with input from professional leaders and community stakeholders. The article also links the work of the National Navigation Roundtable and the critical need to coordinate and amplify efforts across groups.

Acetylacetone (AcAc) has proven to be a fruitful but highly challenging model system for the experimental and computational interrogation of strong intramolecular hydrogen bonds. Key questions remain, however, regarding the identity of the minimum-energy structure of AcAc and the dynamics of intramolecular proton transfer. Here, we investigate the OH/OD stretch and bend regions of the enol tautomer of AcAc and its deuterated isotopologue with transient absorption and 2D IR spectroscopy. The OH bend region reveals a single dominant diagonal transition near 1625 cm

BackgroundMonocytes and macrophages play a pivotal role in inflammation during acute SARS-CoV-2 infection. However, their contribution to the development of post-acute sequelae of SARS-CoV-2 infection (PASC) are not fully elucidated.MethodsA cross-sectional study was conducted comparing plasma cytokine and monocyte levels among three groups: participants with pulmonary PASC (PPASC) with a reduced predicted diffusing capacity for carbon monoxide [DLCOc, ResultsPlasma IL-1Ra levels were elevated but FGF levels were reduced in PG compared to NG. Circulating monocytes and three subsets were significantly higher in PG and RG compared to NG. PG and RG exhibited higher levels of CD169+ monocyte counts and higher CD169 expression was detected in intermediate and non-classical monocytes from RG and PG than that found in NG. Further correlation analysis with CD169+ monocyte subsets revealed that CD169+ intermediate monocytes negatively correlated with DLCOc%, and CD169+ non-classical monocytes positively correlated with IL-1α, IL-1β, MIP-1α, Eotaxin, and IFN-γ.ConclusionThis study present evidence that COVID convalescents exhibit monocyte alteration beyond the acute COVID-19 infection period even in convalescents with no residual symptoms. Further, the results suggest that monocyte alteration and increased activated monocyte subsets may impact pulmonary function in COVID-19 convalescents. This observation will aid in understanding the immunopathologic feature of pulmonary PASC development, resolution, and subsequent therapeutic interventions.

Flavin containing monooxygenases (FMOs) are promiscuous enzymes known for metabolizing a wide range of exogenous compounds. In C. elegans, fmo-2 expression increases lifespan and healthspan downstream of multiple longevity-promoting pathways through an unknown mechanism. Here, we report that, beyond its classification as a xenobiotic enzyme, fmo-2 expression leads to rewiring of endogenous metabolism principally through changes in one carbon metabolism (OCM). These changes are likely relevant, as we find that genetically modifying OCM enzyme expression leads to alterations in longevity that interact with fmo-2 expression. Using computer modeling, we identify decreased methylation as the major OCM flux modified by FMO-2 that is sufficient to recapitulate its longevity benefits. We further find that tryptophan is decreased in multiple mammalian FMO overexpression models and is a validated substrate for FMO-2. Our resulting model connects a single enzyme to two previously unconnected key metabolic pathways and provides a framework for the metabolic interconnectivity of longevity-promoting pathways such as dietary restriction. FMOs are well-conserved enzymes that are also induced by lifespan-extending interventions in mice, supporting a conserved and important role in promoting health and longevity through metabolic remodeling.

Direct link between FLASH sintering, structure, microstructure and higher residual compressive internal stress state compared to conventional sintering.

The dispersive spreading of microscopic particles in shear flows is influenced both by advection and thermal motion. At the nanoscale, interactions between such particles and their confining boundaries become unavoidable. We address the roles of electrostatic repulsion and absorption on the spatial distribution and dispersion of charged nanoparticles in near-surface shear flows, observed under evanescent illumination. The electrostatic repulsion between particles and the lower charged surface is tuned by varying electrolyte concentrations. Particles leaving the field of vision can be neglected from further analysis, such that the experimental ensemble is equivalent to that of Taylor dispersion with absorption. These two ingredients modify the particle distribution, deviating strongly from the Gibbs-Boltzmann one at the nanoscale studied here. The overall effect is to restrain the accessible space available to particles, leading to a striking, ten-fold reduction in the spreading dynamics as compared to the non-interacting case.

Herein, we present the initial steps toward developing a framework that will enable the characterization of photoinitiated dynamics within large molecular ions in the gas phase with temporal and energy resolution. We combine the established techniques of tag-loss action spectroscopy on cryogenically trapped molecular ions with ultrafast vibrational spectroscopy by measuring the linear action spectrum of N2-tagged protonated diglycine (GlyGlyH+·N2) with an ultrafast infrared (IR) pulse pair. The presented time-domain data demonstrate that the excited-state vibrational populations in the tagged parent ions are modulated by the ultrafast IR pulse pair and encoded through the messenger tag-loss action response. The Fourier transform of the time-domain action interferograms yields the linear frequency-domain vibrational spectrum of the ion ensemble, and we show that this spectrum matches the linear spectrum collected in a traditional manner using a frequency-resolved IR laser. Time- and frequency-domain interpretations of the data are considered and discussed. Finally, we demonstrate the acquisition of nonlinear signals through cross-polarization pump-probe experiments. These results validate the prerequisite first steps of combining tag-loss action spectroscopy with two-dimensional IR spectroscopy for probing dynamics in gas-phase molecular ions.

Penelitian ini bertujuan untuk mengetahui pembentukan peradaban periode kenabian Muhammad SAW merupakan kelompok dari bani Hasyim. Bani Hasyim merupakan kabilah yang berkuasa dalam suku Qurays. Pada saat menyebarkan agama Islam di Mekkah, Nabi Muhammad menngunakan dua cara yaitu secara bersembunyi-sembunyi dan secara terang-terangan. Penduduk Yatsrib sebelum islam terdiri dari dua suku bangsa yaitu arab dan yahudi yang keduanya ini saling bermusuhan. Karena kegiatan dagang di Yatsrib dikuasai atau berada di bawah kekuasaan yahudi. Waktu permusuhan dan kebencian antara kaum yahudi dan arab semakin tajam, kaum yahudi melakukan siasat memecah belah dengan melakukan intrik dan menyebarkan permusuhan dan kebencian diantara suku Aus dan Khazraj. Siasat ini berhasil dengan baik, dan mereka merebut kembali posisi kuat terutama dibidang ekonomi. Setelah kedua suku berdamai dan suku khazraj pergi ke Makkah, dan setelah di Makkah Nabi Muhammad SAW menemui rombongan mereka pada sebuah kemah. Beliau memperkenalkan islam dan mengajak mereka agar bertauhid kepada Allah SWT karena sebelumnya mereka telah mendengar ajaran taurat dari kaum yahudi dan mereka tidak merasa asing lagi dengan ajaran Nabi maka mereka menyatakan masuk islam dan berjanji akan mengajak penduduk Yastrib masuk islam. Penelitian inimenggunakan metode (library reseach) dengan mengumpulkan sejumlah buku-buku, majalah, jurnal, lifet yang berkenaan dengan masalah dan tujuan penelitian. Pengumpulan data dengan hasil penelitian terdahulu yang menjadi pendukung data pada tema penelitian terkait periodisasi perkembangan peradaban islam dan ciri-cirinya dengan proses penelitian dimulai dengan tahapan mengidentifikasi, menemukan informasi yang relevan, menganalisis hasil temuan, dan kemudian mengembangkan dan mengekspresikannya menjadi temuan baru berkaitan dengan pembentukan peradaban periode kenabian makkah.

BackgroundMonocytes and macrophages play a pivotal role in inflammation during acute SARS-CoV-2 infection. However, their contribution to the development of post-acute sequelae of SARS-CoV-2 infection (PASC) are not fully elucidated.MethodsA cross sectional study was conducted comparing plasma cytokine and monocyte levels among three groups: participants with pulmonary PASC (PPASC) with a reduced predicted diffusing capacity for carbon monoxide [DLCOc, ResultsPlasma IL-1Ra levels were elevated but FGF levels were reduced in PG compared to NG. Circulating monocytes and three subsets were significantly higher in PG and RG compared to NG. PG and RG exhibited higher levels of CD169+monocyte counts and higher CD169 expression was detected in intermediate and non-classical monocytes from RG and PG than that found in NG. Further correlation analysis with CD169+monocyte subsets revealed that CD169+intermediate monocytes negatively correlated with DLCOc%, and CD169+non-classical monocytes positively correlated with IL-1α, IL-1β, MIP-1α, Eotaxin, and IFNγ.ConclusionThis study present evidence that COVID convalescents exhibit monocyte alteration beyond the acute COVID-19 infection period even in convalescents with no residual symptoms. These data provide further rational for determining the role of monocyte subsets in PPASC pathogenesis.

Objectives The COVID-19 pandemic saw major changes to small animal veterinary practice, many of which may have had an impact on stress in cats presented to the clinic. The aim of this study was to examine the nature of feline outpatient visits before and during the pandemic, and examine signs of stress noted in cats before, during and after these visits. Methods A questionnaire was used to gather data on cat owner experiences of visits to the veterinary clinic. Data were gathered on the owner’s most recent experience of a consultation, with consultations occurring in February 2020 or earlier coded as a standard consultation, and consultations occurring in March 2020 or later coded as COVID-19 consultations. Results A total of 371 responses were received, with 210 coded as standard consultations and 161 coded as COVID-19 consultations. Consultation type varied significantly between standard and COVID-19 consultations ( P Conclusions and relevance The findings suggest that outpatient visits to the veterinary clinic were stressful for cats both prior to and during the COVID-19 pandemic, but some measures taken during the pandemic, for example less use of waiting rooms, could be used alongside existing cat friendly measures to help to reduce stress in feline patients.

Highly effective combination antiretroviral therapy has reduced HIV infection to a manageable chronic disease, shifting the clinical landscape toward management of noninfectious comorbidities in people living with HIV (PLWH). These comorbidities are diverse, generally associated with accelerated aging, and present within multiple organ systems. Mechanistically, immune dysregulation and chronic inflammation, both of which persist in PLWH with well-controlled virally suppressive HIV infection, are suggested to create and exacerbate noninfectious comorbidity development. Persistent inflammation often leads to fibrosis, which is the common end point pathologic feature associated with most comorbidities. Fibrocytes are bone marrow–derived fibroblast-like cells, which emerged as key effector cells in tissue repair and pathologic fibrotic diseases. Despite their relevance to fibrosis, the circulating fibrocyte concentration in PLWH remains poorly characterized, and an understanding of their functional role in chronic HIV is limited. In this study, utilizing PBMCs from a cross-sectional adult HIV cohort study with matched uninfected controls (HIV−), we aimed to identify and compare circulating fibrocytes in blood. Both the percentage and number of fibrocytes and α-smooth muscle actin+ fibrocytes in circulation did not differ between the HIV+ and HIV− groups. However, circulating fibrocyte levels were significantly associated with increasing age in both the HIV+ and HIV− groups (the percentage and number; r = 0.575, p ≤ 0.0001 and r = 0.558, p ≤ 0.0001, respectively). Our study demonstrates that circulating fibrocyte levels and their fibroblast-like phenotype defined as collagen I and α-smooth muscle actin+ expression are comparable between, and strongly associated with, age irrespective of HIV status.

Mycobacterium tuberculosis is a clonal pathogen proposed to have co-evolved with its human host for millennia, yet our understanding of its genomic diversity and biogeography remains incomplete. Here we use a combination of phylogenetics and dimensionality reduction to reevaluate the population structure of M. tuberculosis, providing an in-depth analysis of the ancient Indo-Oceanic Lineage 1 and the modern Central Asian Lineage 3, and expanding our understanding of Lineages 2 and 4. We assess sub-lineages using genomic sequences from 4939 pan-susceptible strains, and find 30 new genetically distinct clades that we validate in a dataset of 4645 independent isolates. We find a consistent geographically restricted or unrestricted pattern for 20 groups, including three groups of Lineage 1. The distribution of terminal branch lengths across the M. tuberculosis phylogeny supports the hypothesis of a higher transmissibility of Lineages 2 and 4, in comparison with Lineages 3 and 1, on a global scale. We define an expanded barcode of 95 single nucleotide substitutions that allows rapid identification of 69 M. tuberculosis sub-lineages and 26 additional internal groups. Our results paint a higher resolution picture of the M. tuberculosis phylogeny and biogeography., Mycobacterium tuberculosis is a clonal pathogen that has co-evolved with humans for millennia. Here, Freschi et al. reevaluate the population structure of M. tuberculosis, providing an in-depth analysis of the ancient Indo-Oceanic Lineage 1 and the modern Central Asian Lineage 3, and expanding our understanding of Lineages 2 and 4.

Objectives To evaluate the self-reported incidence of sleep disturbances, defined as ≤7 hours of sleep per 24-hour period, in patients undergoing arthroscopic-assisted knee surgery. Methods Patients who underwent arthroscopic knee surgery over the course of a 4-month period were prospectively included. Patients were excluded if a history of insomnia or other sleep altering medical history was reported. Self-reported sleep metrics included average number of hours of sleep per night, average number of awakenings during sleep per night, perceived quality of sleep, average pain level during sleep and number of hours of physical activity/therapy per week. Data were collected at weeks 1, 3, and 6 postoperatively. Joint circumference was measured on postoperative day 1 and served as an indicator of a knee effusion. Paired t-tests were used to compare preoperative to postoperative hours of sleep. Simple and multiple linear regression were used to evaluate relationships between surgical variables and postoperative sleep metrics. Results There were 123 patients who underwent arthroscopic knee surgery during the prospective enrolment period; 83 patients were included in the final analysis. The overall incidence of preoperative sleep disturbances was 20% (n=17). The overall incidence of self-reported postoperative sleep disturbances was 99%, 96% and 90% at weeks 1, 3 and 6, respectively. The average number of hours slept was significantly reduced at 1, 3 and 6 weeks postoperatively compared with the preinjury state (p 0.05). Conclusion Sleep disturbances were commonly reported in patients following arthroscopic knee surgery without correction of sleep metrics by 6 weeks postoperatively. The majority of sleep disturbances in this cohort correlated with an increased knee effusion. A multidisciplinary team approach is recommended to counsel patients regarding the potential for and problems with acute sleep disturbances following arthroscopic knee surgery. Level of evidence: 3.

This paper sheds light on the design and field results of a strategic Long-Term Polymer Injectivity Test (LTPIT) to de-risk phased commercial polymer-flooding in the largest sandstone field worldwide in pursuit of production acceleration, reserves growth and cost optimization. Effluent water with up to 170,000ppm TDS was used in conjunction with a pre-selected sulfonated polymer to evaluate injectivity at multiple rates and polymer concentrations under sub-fracturing conditions. Reservoir parting pressure was judiciously estimated to be around 2,500 psi. Polymer and water injected below parting pressure flowed into and through the Wara reservoir matrix as evidenced by the increase in downhole pressure with increasing injection rate in line with Darcy’s law. Polymer solutions expressed in-situ viscosities of up to 2.75 cP when injected below fracture parting pressure while displaying pseudoplastic flow characteristics. Water on the other hand displayed Newtonian behavior. Polymer adsorption onto the Wara formation developed a residual resistance factor of 1.17 for an effective water permeability reduction of approximately 20%. Polymer injection evidently improved reservoir conformance and resulted in more uniform zonal intake. Injected fluid distribution between 4,693 to 4,706 ft decreased from 85% to 71% and injection out of this depth range increased from 3% to 15.5%. Step rate testing with varying polymer concentrations evinced that increasing polymer concentration will decrease injection rate and, therefore, the duration of any mobility control polymer flood in the Wara reservoir will be affected by polymer concentration. A dynamic model was developed using CMG STARS and calibrated to wellbore petrophysics, polymer concentrations, downhole pressures, injection rates and pertinent surveillance/monitoring data. Numerical simulation sensitivity analysis indicates that 1800 ppm of the pre-selected sulfonated polymer (ZLPAM 40520), dissolved in effluent water, is the optimal concentration with 0.8 PV of injection being the optimal injected volume in terms of oil recovery and project economics. The benefits associated with polymer injection in terms of production acceleration, incremental recovery and cost optimization can be significantly increased by fast-tracking polymer injection using optimal well configuration. Performance forecasts using field data demonstrated that polymer injection has the potential to considerably reduce water-handling requirements, thus resulting in major cost savings. Furthermore, assuming an oil price of $80/bbl, drilling additional wells to establish 40-acre spacing for polymer injection can result in 9.4% incremental recovery at a Unit Technical Cost (UTC) of 19.3 $/bbl inclusive of the cost associated with polymer, additional wells, surface facilities, operations and maintenance. The results of this strategic field trial establish the techno-economic feasibility of phased commercial polymer-flooding in the Wara reservoir of the Greater Burgan field in Kuwait.

BackgroundLow-density granulocytes (LDGs) are a distinct subset of neutrophils whose increased abundance is associated with the severity of COVID-19. However, the long-term effects of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection on LDG levels and phenotypic alteration remain unexplored.MethodsUsing participants naïve to SARS-CoV-2 (NP), infected with SARS-CoV-2 with no residual symptoms (NRS), and infected with SARS-CoV-2 with chronic pulmonary symptoms (PPASC), we compared LDG levels and their phenotype by measuring the expression of markers for activation, maturation, and neutrophil extracellular trap (NET) formation using flow cytometry.ResultsThe number of LDGs was elevated in PPASC compared to NP. Individuals infected with SARS-CoV-2 (NRS and PPASC) demonstrated increased CD10+ and CD16hi subset counts of LDGs compared to NP group. Further characterization of LDGs demonstrated that LDGs from COVID-19 convalescents (PPASC and NRS) displayed increased markers of NET forming ability and aggregation with platelets compared to LDGs from NP, but no differences were observed between PPASC and NRS.ConclusionsOur data from a small cohort study demonstrates that mature neutrophils with a heightened activation phenotype remain in circulation long after initial SARS-CoV-2 infection. Persistent elevation of markers for neutrophil activation and NET formation on LDGs, as well as an enhanced proclivity for platelet-neutrophil aggregation (PNA) formation in COVID-19 convalescent individuals may be associated with PPASC prognosis and development.

Background Antenatal pelvic floor muscle exercises (PFME) in women without prior urinary incontinence (UI) are effective in reducing postnatal UI; however, UK midwives often do not provide advice and information to women on undertaking PFME, with evidence that among women who do receive advice, many do not perform PFME. Methods The primary aim of this feasibility and pilot cluster randomised controlled trial is to provide a potential assessment of the feasibility of undertaking a future definitive trial of a midwifery-led antenatal intervention to support women to perform PFME in pregnancy and reduce UI postnatally. Community midwifery teams in participating NHS sites comprise trial clusters (n = 17). Midwives in teams randomised to the intervention will be trained on how to teach PFME to women and how to support them in undertaking PFME in pregnancy. Women whose community midwifery teams are allocated to control will receive standard antenatal care only. All pregnant women who give birth over a pre-selected sample month who receive antenatal care from participating community midwifery teams (clusters) will be sent a questionnaire at 10–12 weeks postpartum (around 1400–1500 women). Process evaluation data will include interviews with midwives to assess if the intervention could be implemented as planned. Interviews with women in both trial arms will explore their experiences of support from midwives to perform PFME during pregnancy. Data will be stored securely at the Universities of Birmingham and Exeter. Results will be disseminated through publications aimed at maternity service users, clinicians, and academics and inform a potential definitive trial of effectiveness. The West Midlands–Edgbaston Research Ethics Committee approved the study protocol. Discussion Trial outcomes will determine if criteria to progress to a definitive cluster trial are met. These include women’s questionnaire return rates, prevalence of UI, and other health outcomes as reported by women at 10–12 weeks postpartum. Progress to a definitive trial however is likely to be prevented in the UK context by new perinatal pelvic health service, although this may be possible elsewhere. Trial registration https://doi.org/10.1186/ISRCTN10833250. Registered 09/03/2020

BACKGROUND It is recommended that patients taking immunosuppressive anti-CD20 monoclonal antibodies (mAbs) receive pneumococcal vaccinations before their first dose to ensure optimal immune response. An initial medication use evaluation reviewed adherence to Centers for Disease Control and Prevention (CDC) pneumococcal immunization recommendations at the study site, and room for improvement was identified. The nursing team implemented workflow changes to increase nursing involvement in vaccination coordination, education, tracking, and administration. We sought to evaluate the impact of a nursing intervention on optimal pneumococcal vaccination administration rates in patients receiving anti-CD20 mAbs at a multiple sclerosis (MS) center. METHODS We performed a single-center, retrospective, pre/post medication use evaluation. Inclusion criteria were older than 18 years with a diagnosis of MS and received their first anti-CD20 mAb infusion at the study site during the preintervention or postintervention time frame. RESULTS We included 406 and 73 patients in the preintervention and postintervention studies, respectively. The nursing intervention significantly improved the percentage of patients receiving optimal pneumococcal vaccination before their first infusion from 58% to 84% and significantly reduced the number with unknown vaccination status from 17% to 3%. Patients who received optimal follow-up vaccination with 23-valent pneumococcal polysaccharide vaccine after optimal 13-valent pneumococcal conjugate vaccine administration improved from 9% to 56%. CONCLUSIONS A nursing team intervention improved adherence to CDC pneumococcal immunization recommendations for patients receiving anti-CD20 mAb therapy. This project highlights the value of interdisciplinary team collaboration between health system specialty pharmacies and specialized nursing teams in the care of patients with MS.

BACKGROUND: There has been increasing provision of veterinary telemedicine consultations, particularly during the COVID-19 pandemic; however, little evidence currently exists examining these remote consultations. The aim of this cross-sectional study was to explore veterinary and cat owner experiences of telemedicine consultations during the pandemic.METHODS: Two questionnaires, one aimed at veterinary professionals and one at cat owners, were launched in September 2020. Questions explored the type of consultation conducted remotely, the perceived advantages and disadvantages of telemedicine, and the role of telemedicine in the future of veterinary practice.RESULTS: Responses were received from 242 veterinary professionals and 98 owners with experience of telemedicine. Monitoring and advice consultations were felt to be most suited to telemedicine. Reduced stress for owners/cats was seen as an advantage of telemedicine, while lack of clinical examination and risk of misdiagnosis were viewed as disadvantages. Most respondents (85.7% [n = 84/98] of owners; 67.4% [n = 163/242] of veterinary professionals) felt practices should continue to offer telemedicine consultations.CONCLUSION: With increasing pet ownership and practice workload, telemedicine may play a crucial role in the future of veterinary practice. Future work should focus on a strategic approach to feline telemedicine, integrating it alongside face-to-face visits and developing technologies to maximise its advantages.