resumably other tissues. To gain insight into veterinary nurse knowledge of pain recognition and control in rabbits. We used a survey to establish current attitudes amongst veterinary nurses towards pain management in pet rabbits and factors that might shape those attitudes. The survey was advertised at national and international veterinary conferences, in veterinary publications and on social media. A total of 284 questionnaires (95% from the UK) were completed and analysed. The majority of respondents (78%) nursed 1-10 rabbits per month and 5.6% of the respondents reported regularly running a rabbit clinic. The respondents were regularly involved in nursing during common procedures such as castration and ovariohysterectomy. Responsibility for post-operative pain assessment was reported to be by "nurses only" (50%), "nurses and vets" (42%) and occasionally by "vets only" (3%). The majority of respondents reported that they did not use a pain scale but often relied on behavioural indicators, while 20% used the Rabbit Grimace Scale. The majority of the respondents reported being "fairly confident" at recognising pain in rabbits. Veterinary nurses are involved in many aspects of rabbit care, and they are generally confident at nursing this species. This survey also suggests the need for more data on the use of pain assessment tools in rabbits and the importance of teamwork between nurses and veterinarians.Veterinary nurses are involved in many aspects of rabbit care, and they are generally confident at nursing this species. This survey also suggests the need for more data on the use of pain assessment tools in rabbits and the importance of teamwork between nurses and veterinarians.Comprehensive studies on the spatial distribution, water quality, recharge source, and hydrochemical evolution of regional groundwater form the foundation of rational utilization of groundwater resources. In this study, we investigated the water levels, hydrochemistry, and stable isotope composition of groundwater in the vicinity of the Qinghai Lake in China to reveal its recharge sources, hydrochemical evolution, and water quality. The level of groundwater relative to the level of water in the Qinghai Lake ranged from -1.27 to 122.91 m, indicating most of the groundwater to be flowing into the lake. The local evaporation line (LEL) of groundwater was simulated as δ2 H = 6.08 δ18 O-3.01. The groundwater surrounding the Qinghai Lake was primarily recharged through local precipitation at different altitudes. The hydrochemical type of most of the groundwater samples was Ca-Mg-HCO3 ; the hydrochemistry was primarily controlled by carbonate dissolution during runoff. At several locations, the ionic concentrations in groundwater exceeded the current drinking water standards making it unsuitable for drinking. The main source of nitrate in groundwater surrounding the Qinghai Lake was animal feces and sewage, suggesting that groundwater pollution should be mitigated in areas practicing animal husbandry in the Qinghai-Tibet Plateau, regardless of industrial and urbanization rates being relatively low in the region. The scientific planning, engineering, and management of livestock manure and wastewater discharge from animal husbandry practices is a crucial and is urgently required in the Tibetan Plateau. The prognostic factors for long-term survival after curative resection of pancreatic adenocarcinoma are still poorly understood. The purpose of this study was to identify the prognostic factors of long-term survival after resection of pancreatic adenocarcinoma based on actual 5-year survival including different lymph node status classifications. A total of 106 patients who underwent pancreatectomy were enrolled at our institution and retrospectively analyzed according to actual survival (> vs < 5 years), as well as several currently available node classifications N0/N1, N0/N1/N2, and lymph-node ratio (LNR) including multivariate logistic regression. The actual 5-year overall survival rate of the series was 12.26%. In a univariate analysis, operative blood loss and blood transfusion, completion of adjuvant treatment, histological differentiation, perineural invasion, N0/N1, N0/N1/N2 and LNR were significant predictive factors for actual long-term survival. A multivariate analysis showed that only N0/N1 was an independent predictive factor for actual 5-year survival (OR 1.593; 0.730-1.325; p= 0.264). The nodal involved status is the strongest independent unfavorable factor for actual long-term survival after pancreatic resection for adenocarcinoma.The nodal involved status is the strongest independent unfavorable factor for actual long-term survival after pancreatic resection for adenocarcinoma.Appropriate waiting time for hip fracture surgery is disputed. The American Academy of Orthopaedic Surgeons recommends surgery within 48 hours of presentation, although evidence suggests that earlier surgery (within 24 hours) reduces the risks of complications and death. The authors asked (1) Do patients who receive earlier radiographic evaluation of hip fracture undergo surgery earlier? and (2) Is "surgery delay" (time from presentation to surgery) associated with postoperative opioid use, duration of hospital stay, and 30-day and 1-year mortality rates? The authors identified 511 adults 60 years or older who were admitted to their emergency department with hip fractures from 2015 through 2017. Patients were divided into 6 cohorts according to length of surgery delay and 3 cohorts according to length of radiography delay (time from presentation to first hip radiograph). The authors found that medium radiography delay (>2 to 4 hours) was associated with an additional 11 hours of surgery delay compared with short radiography delay (≤2 hours; P=.026). Longer surgery delay (>12 hours) was associated with use of 9.6 more morphine equivalents (95% confidence interval, 0.7 to 8.6) during the first 24 hours postoperatively compared with shorter surgery delay (≤12 hours). Surgery delay of greater than 36 hours was an independent risk factor for longer hospital stay (odds ratio, 2.8; 95% confidence interval, 1.7 to 4.8). Thirty-day and 1-year mortality rates were significantly higher among patients who experienced a surgery delay of greater than 36 hours compared with those who experienced a surgery delay of 36 hours or less. read more [Orthopedics. 2020;43(6)e609-e615.].