Atrial fibrillation (AF) is the most common cardiac arrhythmia that can potentially result in stroke. Vitamin K antagonists (VKA) like warfarin were for many decades the only oral anticoagulants available for stroke prevention in patients with non-valvular atrial fibrillation (AF) at high risk of stroke. Recently, new oral anticoagulants (NOACS) have been introduced that act via direct inhibition of thrombin (dabigatran) or activated factor X (edoxaban, rivaroxaban and apixaban). Unlike VKAs, these anticoagulants do not require routine INR monitoring and posses favorable pharmacological properties. NOACs act rapidly, and have a stable and predictable dose-related anticoagulant effect with few clinically relevant drug-drug interactions. Phase III trials comparing these agents to warfarin for stroke prevention in patients with non-valvular AF demonstrated that they are at least as efficacious and safe as warfarin. Evolution of clinical guidelines to incorporate the new anticoagulants for stroke prevention in non-valvular AF may result in a reduction in the incidence of AF-related strokes. Safe and effective use of these new drugs in clinical practice requires understanding of their distinct pharmacological properties.
Animal handling is a growing issue of concern in many countries around the world. Developed countries in particular show keen interest in the way animals are produced for processing. In such countries, animal welfare is increasingly becoming a primary matter in the process of keeping animals either as pets or for food and at homes or on farms. Not only are they protecting the rights of these animals but compromised handling of animal has negative effects on the carcass and overall meat quality characteristics. Poor quality animal and meat will have poor processing properties, functional quality, eating quality, and more likely to be unaccepted by consumers. Lesser attention has been paid by most developing countries on this issue. By this book chapter, it is expected that developing countries also take interest in proper on-farm and pre-slaughter handling of animals due to their beneficial effect on meat and carcass qualities.
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