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There are few 24 h time budgets for horses, especially for domesticated horses kept at pasture. Most time budgets utilise short-term scan sampling, which can miss behaviours. This study aimed to assess the seasonal variation in continuous behaviour of domesticated Icelandic horses at pasture during winter and spring in fair weather. Eight Icelandic horses (11.25 ± 9.19 years; 7 geldings, 1 stallion) were observed in a 26 acre field. Herd location and individual behaviour were continuously observed during 3 h periods amounting to 3 × 24 h in winter and late spring, compiled over 43 days (~21 days per season). Seasonal variation in behaviour (ANOVA), body condition (RMANOVA), and age-group variation (independent t-test) were assessed, as well as associations between weather, time period, and habitat choice (chi-square). During spring, horses showed more foraging (+18%; p < 0.001), movement (+0.5%; p < 0.05), recumbency (+5.7%; p < 0.01) and less standing (−24.6%; p < 0.001) than in winter. Behavioural synchronicity occurred between adult and juvenile horses. Mean body condition reduced from 5.6 to 4.8 in the winter. Habitat preferences varied by daytime and season, and non-feeding periods lasted less than 2 h. The 24 h foraging activity (winter: 12.7 ± 0.4 h, spring: 17 ± 0.25 h) supported the current recommendation of 12 h/24 h for domesticated horses to meet ethological requirements.

Visual observation to record grass intake is time-consuming and labour-intensive. Technological methods, such as activity monitors, have been used but only record head position. This study aimed to evaluate sound recorders attached to headcollars to acoustically measure grass intake behaviour in horses as a low-cost alternative method. Pilot Study 1 assessed 6 × 11 min periods comparing bites/min and chews/min between video footage (VD) and sound recorders (SR). Grazing was identified audibly (SRear) and visually through soundwave pattern software (SRwav). Chew rates (SRear: 47 ± 5 chews/min, VD: 43 ± 4 chews/min) were similar between methods. Pilot Study 2 compared hourly grass intake times between SRwav and visual observation (VO) for two horses during a 3 h period. Results showed significant correlation between methods (rho = 0.99, p < 0.01, Spearman). The main study measured intake behaviour using SRwav and VO methods for three free-ranging horses during 3 h observation periods over multiple days, adding up to 3 × 24 h in winter and in spring (n = 48). Mean differences per period between SRwav and VO were 1.8% ± 3 s.d. Foraging duration per period measured with SRwav closely matched VO (r2 = 0.99, p < 0.001). Sound recorders accurately recorded grass intake time and chews in grazing horses during moderate weather conditions.

These studies assessed the pressure forces exerted by horses to extract forage from haynets. Study 1 measured horse posture and pressure in Newtons (10 N = 1 kg Force) exerted on haynets when feeding from either a single (SH) or double layered (DH) haynet (3 kg Hay), hung low or high. Mean and maximum pull forces were higher for the DH vs. SH (DH: 81 ± 2 N, max 156 N; SH: 74 ± 2.9 N, max 121 N; p < 0.01). Horses pulled harder on low (max pull 144 ± 8 N) compared to high (109 ± 8 N; p < 0.05) hung haynets. Mean maximum angles (nose-poll-withers) recorded were 90° ± 9 for SH and 127° ± 10 for DH (p < 0.01). Study 2 was a latin square design measuring forces exerted by 10 horses when eating from haynets (6 kg fill) with hay or haylage and attached to the wall at single or double points. Pull pressures were significantly higher when eating haylage compared to hay (mean: 7.5 kg vs. 2 kg and max: 32 kg versus 12 kg, respectively, (p < 0.001). Forage type and fracture properties had the greatest effect on apprehension rates of hay from haynets. In this study, the majority of force exerted when eating from haynets was below 70 N for hay and for haylage 50% of pulls were higher than 50 N with 8% of pulls above 200 N.

Background: Recent public attention on drinking water supplies in the aftermath of waterborne infection outbreaks in Walkerton and North Battleford raises questions about safety. We analyzed information on waterborne outbreaks occurring between 1974 and 2001 in order to identify apparent trends, review the current status of monitoring and reporting, and gain a better understanding of the impact of drinking water quality on public health and disease burden. Methods: Data from outbreak investigations, published and unpublished, were categorized by the type of drinking water provider and were assessed to be definitely, probably or possibly waterborne in nature. Results: The final data set consisted of 288 outbreaks of disease linked to a drinking water source. There were 99 outbreaks in public water systems, 138 outbreaks in semi-public systems and 51 outbreaks in private systems. The main known causative agents of waterborne disease outbreaks were (in descending frequency of occurrence) Giardia, Campylobacter, Cryptosporidium, Norwalk-like viruses, Salmonella and hepatitis A virus. Summary: We found that severe weather, close proximity to animal populations, treatment system malfunctions, poor maintenance and treatment practices were associated with the reported disease outbreaks resulting from drinking water supplies. However, issues related to the accuracy, co-ordination, compatibility and detail of data exist. A systematic and coordinated national surveillance system for comparison purposes, trend identification and policy development is needed so that future waterborne disease outbreaks can be avoided. Introduction : Les éclosions récentes d'infections d'origine hydrique à Walkerton et à North Battleford ont galvanisé l'attention publique sur la qualité des réserves d'eau potable. Nous avons analysé des renseignements sur les éclosions d'origine hydrique ayant eu lieu au Canada entre 1974 et 2001 afin de dégager des tendances, de réexaminer le niveau de déclaration et d'accroître notre compréhension de l'impact de la qualité de l'eau potable sur le fardeau des maladies d'origine hydrique à l'échelle nationale. Méthode : Nous avons rassemblé des données d'enquêtes sur des éclosions d'origine hydrique à partir de sources publiées et non publiées recueillies auprès de professionnels de la santé publique au Canada. Nous avons catégorisé les données selon le type de service d'eau potable (public ou non). En tenant compte de la valeur probante des données disponibles, nous avons aussi catégorisé les éclosions selon notre certitude d'une origine hydrique (possible, probable ou certaine). Résultats : En tout, 288 éclosions de maladies ont été reliées à une source d'eau potable. Il y a eu 99 éclosions associées aux systèmes publics d'eau, 138 aux systèmes parapublics, et 51 aux systèmes privés. Les causes infectieuses connues (en ordre de fréquence) étaient Giardia, Campylobacter, Cryptosporidium, les norovirus, Salmonella et le virus de l'hépatite A. Discussion : Nous avons constaté que les conditions météorologiques, la proximité de populations animales, le mauvais fonctionnement du système de traitement et les carences dans les pratiques de traitement ou d'entretien étaient associés aux éclosions provenant de réserves d'eau potable. Notre recherche soulève plusieurs questions rattachées à l'exactitude, à la comparabilité, au niveau de détail et à la coordination des données. Un système de surveillance national, systématique et coordonné permettrait de mieux dégager des tendances et d'effectuer des comparaisons d'une province ou d'un territoire à l'autre, et appuierait l'élaboration d'interventions visant à alléger le fardeau des maladies d'origine hydrique.

The burden of foodborne disease is not well defined in many countries or regions or on a global level. The World Health Organization (WHO), in conjunction with other national public health agencies, is coordinating a number of international activities designed to assist countries in the strengthening of disease surveillance and to determine the burden of acute gastroenteritis. These data can then be used to estimate the following situations: (1) the burden associated with acute gastroenteritis of foodborne origin, (2) the burden caused by specific pathogens commonly transmitted by food, and (3) the burden caused by specific foods or food groups. Many of the scientists collaborating with the WHO on these activities have been involved in quantifying the burden of acute gastroenteritis on a national basis. This article reviews these key national studies and the international efforts that are providing the necessary information and technical resources to derive national, regional, and global burden of disease estimates.

Background Pediatric cancer incidence in Mexico is ~160/million/year with leukemias making 49.8% of the cases. While survival rates have been reported in various Mexican studies, no data is available from the Telethon Pediatric Oncology Hospital‐HITO, a nonprofit private institution specialized exclusively in comprehensive pediatric oncology care in the country that closely follows high‐income countries' advanced standards of cancer care. Aim To determine overall survival (OS) and relapse‐free survival (RFS) in patients treated at HITO between December 2013 and February 2018. Methods and results Secondary analysis of data extracted from medical records. It included 286 children aged 0–17 years diagnosed with various cancers grouped into three categories based on location: (1) Acute lymphoblastic leukemia (ALL), (2) tumors within the central nervous system (TWCNS), and (3) tumors outside the CNS (TOCNS). OS and RFS rates for patients who completed 1 (n = 230) and 3 (n = 132) years of follow‐up after admission were computed by sex, age, and cancer location, and separately for a subsample (1‐year = 191, 3‐years = 110) who fulfilled the HITO criteria (no prior treatment, underwent surgery/chemotherapy when indicated, and initiated therapy). TOCNS accounted for 45.1%, but ALL was the most frequent single diagnosis with 28%. Three‐year OS for patients with ALL, TWCNS, and TOCNS who fulfilled the HITO criteria were 91.9%, 86.7%, and 79.3%, respectively; for 3‐year RFS these were 89.2%, 60%, and 72.4%. Boys showed slightly higher OS and RFS, but no major differences or trends were seen by age group. Conclusion This study sets a relevant reference in terms of survival and relapse for children with cancer in Mexico treated at a private oncology center that uses a comprehensive and integrated therapeutic model.

In the last decade, haynets and slow feeders have been promoted as sustainable tools to improve the feeding management of horses and reduce forage waste, but little is known about their effects on ponies. Therefore, the aim of this study was to analyze the effects of different hay feeding methods on the ingestive behaviors, intake rate and mouth shaping of ponies belonging to two breed types, which are characterized by different head morphologies. Shetland type (SH, n  = 5) and Welsh/Cob type (WC, n  = 4) ponies were fed hay using four feeding methods: on the ground (G), a fully filled haynet (HF), a partially filled haynet (HL), and a slow-feeder hay box (HB). Head morphology was measured for each pony. Video recordings were then made to apply geometric morphometrics and to perform behavioral analysis. The intake rate was measured for each pony and each feeding method. Data obtained with geometric morphometrics were analyzed using principal component analysis (PCA) and canonical variate analysis (CVA). Behavioral data and intake rate measurements were analyzed using a mixed model, a post-hoc Tukey’s test, a Pearson’s correlation test, and a stepwise regression model. The geometric morphometrics results demonstrated that feeding method influenced mouth shaping (36% for G, 78% for HB, 77% for HF, 83% for HL, considering the total variance of shape) and affected the intake rate. Differences in mouth shaping and ingestive behaviors in SH and WC ponies also confirmed the role of morphology in feeding management. The HL proved to be the most effective tool to increase feeding consumption time when needed (5 h/kg for SH ponies and 3 h/kg for WC ponies, considering the intake time), although the HB may be the optimal choice to reduce the intake rate while maintaining a more natural posture. Future studies are suggested to fully understand how body size and morphology influence feeding in equine species.

In motile cells, the activities of the different Rho family GTPases are spatially segregated within the cell, and during cytokinesis there is evidence that this may also be the case. But while Rho's role as the central organizer for contractile ring assembly is well established, the role of Rac and the branched actin networks it promotes is less well understood. To characterize the contributions of these proteins during cytokinesis, we manipulated Rac and Arp2/3 activity during mitosis and meiosis in sea urchin embryos and sea star oocytes. While neither Rac nor Arp2/3 were essential for early embryonic divisions, loss of either Rac or Arp2/3 activity resulted in polar body defects. Expression of activated Rac resulted in cytokinesis failure as early as the first division, and in oocytes, activated Rac suppressed both the Rho wave that traverses the oocyte prior to polar body extrusion as well as polar body formation itself. However, the inhibitory effect of Rac on cytokinesis, polar body formation and the Rho wave could be suppressed by effector-binding mutations or direct inhibition of Arp2/3. Together, these results suggest that Rac- and Arp2/3 mediated actin networks may directly antagonize Rho signaling, thus providing a potential mechanism to explain why Arp2/3-nucleated branched actin networks must be suppressed at the cell equator for successful cytokinesis.

The surgical consent serves as a key link in preventing breakdowns in communication that could lead to wrong-patient, wrong-site, or wrong-procedure events. We conducted a quality improvement initiative at a large, urban pediatric academic medical center to reliably increase the percentage of informed consents for surgical and medical procedures with accurate safety data information at the first point of perioperative contact. Improvement activities focused on awareness, education, standardization, real-time feedback and failure identification, and transparency. A total of 54,082 consent forms from 13 surgical divisions were reviewed between May 18, 2011, and November 30, 2012. Between May 2011 and June 2012, the percentage of consents without safety errors increased from a median of 95.4% to 99.7%. Since July 2012, the median has decreased slightly but has remained stable at 99.4%. Our results suggest that effective safety checks allow discovery and prevention of errors.

Background. On 8 September 2006, 3 Georgia residents presented with symptoms of food-borne botulism, a potentially fatal illness caused by Clostridium botulinum neurotoxins. Methods. Investigators reviewed medical records and interviewed patients and family members. Foods from patients' homes and samples of the implicated commercial beverage were tested for botulinum toxin and C. botulinum by standard methods. Results. The patients presented with cranial neuropathies and flaccid paralysis; all patients required mechanical ventilation. The 3 Georgia patients had consumed carrot juice from the same bottle before illness onset. An additional case in Florida and 2 in Ontario, Canada, were subsequently identified in patients who had consumed carrot juice. Serum samples obtained from 5 patients tested positive for botulinum toxin type A—in one patient, 12 days after illness onset, and in another patient, 25 days after illness onset. Carrot juice produced by 1 manufacturer, recovered from patients' homes in Georgia, Florida, and Ontario, yielded type A toxin. The juice contained no added sugar, salt, or preservative; inappropriate refrigeration likely resulted in botulinum toxin production. Conclusion. This outbreak was caused by commercially produced, internationally distributed carrot juice that was contaminated with botulinum toxin. When toxemia persists, treatment for botulism should be considered even if diagnosed weeks after illness onset. The implicated pasteurized carrot juice had no barriers to growth of C. botulinum other than refrigeration; additional protective measures for carrot juice are needed to prevent future outbreaks. The US Food and Drug Administration has since issued industry guidance to reduce the risk of C. botulinum intoxication from low-acid refrigerated juices.