Organisations for which sentient animals are central to the business model need to demonstrate the safeguarding of animal welfare and well-being. This requires providing positive experiences for animals which is critical to maintaining the social licence to operate. A cross-sectional survey captured the attitudes of experienced horse sector participants regarding sentience, welfare and well-being. Almost all respondents (99.9%; n = 676/677), believed horses were sentient. Analysis of open-ended responses identified two themes: (1) Sentience is a pathway to understanding the mental state, welfare and well-being of horses; and (2) A moral obligation for humans to consider sentience. Respondents’ observations that horses reacted to stimuli and responded to their surroundings underpinned their belief that horses were sentient. Theme one related to respondents’ understanding of sentience and how sentience informed their interpretations of horse behaviours and the making of inferences regarding the equine mental state. Theme two related to a moral obligation believed to exist towards horses because humans manage the horses’ environment and need to consider the impact of their interactions with horses. These obligations were perceived as responsibilities to consider sentience when determining good welfare and well-being in horse activity settings, when interacting with horses and when training and competing with horses. The results suggested a sophisticated understanding of sentience existed among experienced horse sector participants, who recognised the sentient horse as worthy of care. We propose that leveraging experienced participants’ existing knowledge of sentience could support the implementation of the Five Domains model when updating organisational policies.

Species–environment relationships are often studied at large spatial scales, but effective conservation requires an understanding of local-scale environmental drivers and pressures. Widespread degradation and fragmentation of forests have increased the proportion of tropical mammal habitat that is affected by edge effects. Edge effects include greater exposure to anthropogenic disturbance and abiotic changes that synergistically influence how well populations can cope with climate change. We investigated relationships between distance to the forest edge, forest structure, microclimate and terrestrial mammal detections in a selectively logged forest at the boundary of Gunung Leuser National Park in Sumatra, Indonesia. We collected mammal detection data from motion-activated camera traps, microclimate data from automated climate data loggers and forest structure data from vegetation plots. Daily mean and maximum temperatures significantly decreased with distance from the forest edge, whereas tree height and minimum temperature increased. Mammal diversity was lower at the forest edge compared to the interior. Mammals were detected less frequently at the forest edge, although this relationship varied between mammal orders. Mammal detections were best explained by temperature, tree height and tree diameter at breast height. These results demonstrate that abiotic changes in forests brought on by edge effects have negative impacts on mammals, but these effects vary between mammal taxa because of differing sensitivities to human disturbance. Our findings highlight the importance of considering local-scale environmental drivers in determining species–environment relationships to identify key habitat features such as microclimate refuges that should be prioritized in ecosystem management.

The timing of pulmonary valve replacement in patients with pulmonary regurgitation following treatment of pulmonary stenosis is undefined. Although cardiac magnetic resonance-based right ventricular volumes in tetralogy of Fallot patients have been used as a guide in pulmonary stenosis patients, anatomic differences between tetralogy of Fallot and pulmonary stenosis patients complicate their application to pulmonary stenosis patients and could result in late referral for pulmonary valve replacement. We sought to determine if pulmonary stenosis patients referred for pulmonary valve replacement were at greater risk for morbidity or need for tricuspid valve intervention at the time of pulmonary valve replacement. A retrospective cohort study was performed on all adult patients with a diagnosis of pulmonary stenosis or tetralogy of Fallot followed at our centre. Clinical and imaging-based exposures were collected. Pre-specified endpoints included need for concomitant tricuspid valve repair or replacement and pre- and post-pulmonary valve replacement cardiac magnetic resonance-based volumetric measurements. Between 1/1999 and 1/2020, 235 patients underwent pulmonary valve replacement for pulmonary regurgitation (52 with pulmonary stenosis, 183 with tetralogy of Fallot). Pulmonary stenosis patients were more likely to have at least moderate tricuspid regurgitation (p = 0.010), undergo concomitant tricuspid valve intervention (p = 0.003), and require tricuspid valve repair or replacement secondary to annular dilation (p = 0.027) compared to tetralogy of Fallot patients. There was no difference in pre-pulmonary valve replacement right ventricular size between pulmonary stenosis and tetralogy of Fallot patients. These findings suggest that referral for pulmonary valve replacement may be occurring later in the disease course for pulmonary stenosis patients.

The first demonstration of laser action in ruby was made in 1960 by T. H. Maiman of Hughes Research Laboratories, USA. Many laboratories worldwide began the search for lasers using different materials, operating at different wavelengths. In the UK, academia, industry and the central laboratories took up the challenge from the earliest days to develop these systems for a broad range of applications. This historical review looks at the contribution the UK has made to the advancement of the technology, the development of systems and components and their exploitation over the last 60 years.

Congenital heart disease (CHD) is the most common birth defect for infants born in the United States, with approximately 36,000 affected infants born annually. While mortality rates for children with CHD have significantly declined, there is a growing population of individuals with CHD living into adulthood prompting the need to optimise long-term development and quality of life. For infants with CHD, pre- and post-surgery, there is an increased risk of developmental challenges and feeding difficulties. Feeding challenges carry profound implications for the quality of life for individuals with CHD and their families as they impact short- and long-term neurodevelopment related to growth and nutrition, sensory regulation, and social-emotional bonding with parents and other caregivers. Oral feeding challenges in children with CHD are often the result of medical complications, delayed transition to oral feeding, reduced stamina, oral feeding refusal, developmental delay, and consequences of the overwhelming intensive care unit (ICU) environment. This article aims to characterise the disruptions in feeding development for infants with CHD and describe neurodevelopmental factors that may contribute to short- and long-term oral feeding difficulties.

Adherence to a gluten-free diet (GFD) is the only available treatment for gluten-related disorders, although a GFD may also be followed for discretionary reasons. The main objectives of the present study were to (1) describe and test for differences in key nutrient intakes among Canadians who follow a GFD compared with Canadians with no dietary exclusions and (2) describe additional dietary avoidances adhered to by Canadians who avoid gluten. We conducted a secondary analysis of the cross-sectional 2015 Canadian Community Health Survey-Nutrition Survey, which included a general health survey and 24-h dietary recall (n 20 487). Participants were categorised as those who avoid dietary gluten and those who reported no avoidances. Key nutrient intakes were assessed, as a percentage of Dietary Recommended Intakes, including fibre, B vitamins, vitamin D, Ca, Fe, Na and Zn, and compared between the two groups using t tests. Canadians who avoided gluten had significantly lower intakes of folate, vitamin B12, vitamin D, Fe, Na and Ca compared with those who did not avoid any food groups. However, Canadians who reported following a GFD were significantly more likely to use vitamin or mineral supplements in the past 30 d. More than 20 % of those who avoided gluten also avoided dairy products. Findings suggest that following a GFD places Canadians at risk for nutrient inadequacies, particularly folate, Ca and vitamin D. Further research is required to further examine how multiple dietary avoidances among those who avoid gluten may contribute to dietary inadequacies.

Introduction: Distributing take-home naloxone (THN) kits from Emergency Departments (EDs) is an important strategy for preventing opioid overdose deaths. However, there is a lack of clear operational guidance for implementing ED-based THN programs. This scoping review had two objectives: 1) identify key strategies for THN distribution in EDs, and 2) develop a theory-informed implementation model that can be used to optimize the effectiveness of ED-based THN programs. Methods: We systematically searched health science databases through April 18, 2019. The search strategy combined terms representing the ED, naloxone, and take-home kits/bystander administration. Two reviewers independently screened the search results. We included all peer-reviewed articles that described THN distribution within EDs. A standardized form was used for data extraction. Included studies were coded by two reviewers and mapped to domains of the Consolidated Framework for Implementation Research (CFIR). A third reviewer with content expertise adjudicated disagreements in record screening and data coding. Results: Database searching retrieved 717 records after duplicates were removed. 87 full-text studies were assessed for eligibility. Two studies were added through other sources, resulting in a total of 21 studies included in the final review. Of note, 14 studies evaluated existing ED-based THN programs. We synthesized themes that emerged within each CFIR domain and identified four key implementation strategies: 1) develop ED policies on opioid harm reduction; 2) collaborate with community and government partners to ensure programs meet patient needs; 3) address provider attitudes and knowledge gaps through dedicated training; and 4) establish guidelines to identify patients who are at risk of opioid overdose, and engage at-risk patients to maximize THN acceptance. Conclusion: ED-based THN programs must be tailored to local community needs and available hospital resources. Innovative implementation strategies are needed to promote ED provider engagement, and reduce barriers to patient acceptance of THN in the ED. This scoping review highlights key considerations for ED-THN implementation that can guide EDs to establish new programs, or refine existing programs to maximize their effectiveness.

Submarine melting of tidewater glaciers is proposed as a trigger for their recent thinning, acceleration and retreat. We estimate spring submarine melt rates (SMRs) of Kangiata Nunaata Sermia in southwest Greenland, from 2012 to 2014, by examining changes in along-fjord freeboard and velocity of the seasonal floating ice tongue. Estimated SMRs vary spatially and temporally near the grounding line, with mean rates of 1.3 ± 0.6, 0.8 ± 0.3 and 1.0 ± 0.4 m d−1 across the tongue in 2012, 2013 and 2014, respectively. Higher melt rates correspond with locations of emerging subglacial plumes and terminus calving activity observed during the melt season using time-lapse camera imagery. Modelling of subglacial flow paths suggests a dynamic system capable of rapid re-routing of subglacial discharge both within and between melt seasons. Our results provide an empirically-derived link between the presence of subglacial discharge plumes and areas of high spring submarine melting and calving along glacier termini.

Mental health problems are inseparable from the environment. With virtual reality (VR), computer-generated interactive environments, individuals can repeatedly experience their problematic situations and be taught, via evidence-based psychological treatments, how to overcome difficulties. VR is moving out of specialist laboratories. Our central aim was to describe the potential of VR in mental health, including a consideration of the first 20 years of applications. A systematic review of empirical studies was conducted. In all, 285 studies were identified, with 86 concerning assessment, 45 theory development, and 154 treatment. The main disorders researched were anxiety (n = 192), schizophrenia (n = 44), substance-related disorders (n = 22) and eating disorders (n = 18). There are pioneering early studies, but the methodological quality of studies was generally low. The gaps in meaningful applications to mental health are extensive. The most established finding is that VR exposure-based treatments can reduce anxiety disorders, but there are numerous research and treatment avenues of promise. VR was found to be a much-misused term, often applied to non-interactive and non-immersive technologies. We conclude that VR has the potential to transform the assessment, understanding and treatment of mental health problems. The treatment possibilities will only be realized if – with the user experience at the heart of design – the best immersive VR technology is combined with targeted translational interventions. The capability of VR to simulate reality could greatly increase access to psychological therapies, while treatment outcomes could be enhanced by the technology's ability to create new realities. VR may merit the level of attention given to neuroimaging.

Growth and survival rates for larvae and pupae of Aedes vexans (Meigen) were measured in the laboratory at constant temperatures of 10°, 15°, 20°, 25°, and 30 °C. Growth rates in all stages increased with temperature except for 1st stage larvae which developed marginally faster at 25°C than at 30°C. The shortest stage at all temperatures was the 2nd, followed in most cases by the 3rd, 1st, and 4th larval stages, and then pupae; pupae and 4th stage larvae took markedly longer to develop at low temperatures. Average survival rate was about 99% every 3 h for larvae and 98% for pupae. At 10° and 15°C, 1st and 2nd stage larvae survived no better than later stages, but at the higher temperatures survival to the 3rd stage larva was better than 90% but decreased markedly in the 3rd and 4th stages. Overall survival was highest at 25°C. Mosquitoes reared at 10°C did not pupate, while those reared at 30 °C pupated but adults did not emerge.

These laboratory data were used in a computer program whose output under field temperature regimes was compared with events in the field. The program works in 3 h time-steps. Rate of development varies with temperature and utilizes a modification of the algorithm of Stinner et al. (1975); the modification removes time as the independent variable in the development equation. Mortality rates are constant at 1% every 3 h for larvae and 2% for pupae. The program’s predictions for graduation from one stage to the next in the field population were all within about 13 h of the observed times and at the start of the pupal stage after 400 h, the output was running 13 h slow. The program appears to run slow at median temperatures below 10 °C and fast at median temperatures above 14°C. Events in the laboratory rearings are offered as possible explanations for these discrepancies. Predicted population size was close to that observed until the late 4th stage larva, from which point it deviated markedly. Pupal mortality in the field was much higher than in the laboratory.

Feeding pregnant rats a protein-restricted (PR) diet induces altered expression of candidate genes in the liver of the adult offspring, which can be prevented by supplementation of the PR diet with folic acid (PRF). We investigated the effect of maternal nutrition during pregnancy on the liver transcriptome in their adult male offspring. Pregnant rats were fed control, PR or PRF diets. Male offspring were killed on day 84. The liver transcriptome was analysed by microarray (six livers per maternal dietary group) followed by post hoc analysis of relative mRNA levels and gene ontology. These results were confirmed for selected genes by real-time RT-PCR. There were 311 genes that differed significantly ( ≥ 1·5-fold change; P < 0·05) between PR offspring (222 increased) and control offspring, while 191 genes differed significantly between PRF offspring (forty-five increased) compared with offspring of control dams. There were sixteen genes that were significantly altered in both PR and PRF offspring compared with controls. Ion transport, developmental process, and response to reactive oxygen species (RROS) and steroid hormone response (SHR) ontologies were altered in PR offspring. Folic acid supplementation prevented changes within RROS and SHR response pathways, but not in ion transport or developmental process. There was no effect of maternal PR on mRNA expression of imprinted genes. Insulin 1 and Pleckstrin homology-like domain family A member 2 were increased significantly in PRF compared with PR offspring. The present findings show that the pattern of induced changes in the adult liver transcriptome were dependent on maternal protein and folic acid intakes during pregnancy.

Reinfection with hookworm (Necator americanus) following chemotherapy was studied over 2 years in a rural village in Madang Province, Papua New Guinea. The prevalence of hookworm infection had returned to pre-treatment levels after 2 years, and the geometric mean hookworm burden had returned to 58 % of the pre-treatment value. The rate of acquisition of adult worms was independent of host age, and was estimated as a geometric mean of 2·9–3·3 worms/host/year (arithmetic mean 7·9–8·9 worms/host/year). There was significant predisposition to hookworm infection; the strength of this predisposition did not vary significantly between age or sex classes.

Baseline data from an immuno-epidemiological study of hookworm infection in a rural village in Madang Province, Papua New Guinea are reported. Necator americanus was found to be the commonest helminth infection, with a prevalence of near 100% and intensity of 40 worms per host in adults. Enterobius vermicularis, Ascaris lumbricoides and Trichuris trichiura were also present, at prevalences of 53, 10 and 3% respectively; Ancylostoma duodenale was absent. The frequency distribution of N. americanus was highly over-dispersed, and was well described by a negative binomial distribution with aggregation parameter, k, of 0·370. Intensity of infection was significantly related to host age, but did not differ between the sexes. Haemoglobin levels and haematocrit values were indicative of anaemia in the community, but were unrelated to hookworm infection. Levels of antibodies (IgG, IgA and 1gM combined) against adult Necator cuticular collagen and excretory-secretory (ES) products were determined.

1. A pilot survey was designed to provide information on the mechanical conditions and fuel consumptions of vaporizing oil tractors, on their operation in the field and on the technique required to obtain such data.

2. Two areas were chosen offering a contrast in soil and farming types. A sampling frame was prepared for each area in which the farms were grouped according to the number of tractors.