Analyze Diet

Topic:Risk Factors

Risk factors in horses refer to variables or conditions that increase the likelihood of disease, injury, or other adverse health outcomes in equine populations. These factors can be intrinsic, such as age, breed, and genetic predisposition, or extrinsic, including environmental conditions, management practices, and exposure to infectious agents. Understanding risk factors is important for developing preventive strategies and improving health management in horses. This page aggregates peer-reviewed research studies and scholarly articles that explore the identification, assessment, and mitigation of risk factors in equine health, with the aim of enhancing disease prevention and promoting overall well-being in horses.
Fasciolosis in Algerian livestock: Epidemiological trends and economic consequences.
Journal of helminthology    July 11, 2025   Volume 99 e77 doi: 10.1017/S0022149X25100503
Fennouh C, Mokrani D, Dahmani H, Salhi O, Ouchetati I, Nabi M, Aouina K, Chettih I, Ouchene N, Khelifi Touhami NA.Fasciolosis, a parasitic disease of ruminants, poses significant economic and animal-health challenges in Algeria. This study aimed to assess spatial, temporal, and species-specific patterns of fasciolosis prevalence across diverse agro-climatic zones and to estimate associated economic losses. Between 2013 and 2023, eight wilayas El-Tarf, Skikda, Jijel (Region I), Blida, Mila (Region II), and M'Sila, Medea, Laghouat (Region III) were surveyed. Systematic postmortem inspections of 1,569,392 animals (349,176 cattle; 982,669 sheep; 235,639 goats; 1,882 camels; 26 horses) were performed by qualif...
True Prevalence and Seroprevalence of Piroplasmosis in Horses in Southwestern Europe.
Animals : an open access journal from MDPI    July 11, 2025   Volume 15, Issue 14 2047 doi: 10.3390/ani15142047
Duaso J, Perez-Ecija A, Navarro A, Martínez E, De Las Heras A, Mendoza FJ.Equine piroplasmosis (EP) is an endemic parasitic disease in southern European countries, such as Spain. Andalusia, the most southwestern region of Europe, is the community with the highest number of registered horses and farms in Spain and one of the main international exporters of Andalusian (Spanish Purebred) horses worldwide. Considering the current expansion of this disease and the possible effect of climate change on its prevalence, studying the EP prevalence in this region is compelling. Molecular (PCR) and serological methods (cELISA and IFAT) were used to study the true and apparent p...
Aetiological relevance of haematological, biochemical and endocrine parameters on equine odontoclastic tooth resorption and hypercementosis (EOTRH).
Equine veterinary journal    July 8, 2025   doi: 10.1111/evj.14555
Tretow M, Hain AM, Bienert-Zeit A.The dental syndrome EOTRH is a painful, progressive dental disease with an unknown aetiology. The often painful nature of EOTRH emphasises the need for a better knowledge of the underlying pathogenic mechanism and risk factors. A comparative analysis of haematological, biochemical and endocrine values in EOTRH-affected and non-affected horses has not been described. Objective: To compare haematological, biochemical, and endocrine parameters in EOTRH-affected and non-affected horses to detect risk factors for horses developing EOTRH. Methods: Cross sectional. Methods: Blood samples of 154 Icela...
Striking a Balance: Stakeholder Perceptions of Risk in Horse Racing.
Equine veterinary journal    July 7, 2025   doi: 10.1111/evj.14561
McCarthy J, Cameron-Whytock HA, Bennet ED.Thoroughbred racing is a major industry, and in recent years, public concerns about equine safety have become more prominent, particularly in relation to on-track injuries and fatalities. This has challenged the industry's social licence to operate (SLO). Objective: To investigate and elucidate how UK and Irish racing stakeholders perceive risks to racehorses on race day and how those risks should be managed. Methods: Qualitative analysis of stakeholder perspectives using a constructionist approach. Methods: Twelve stakeholders from veterinary, communication and regulatory sectors within racin...
Frequent location and severity of sports-related fractures in children in a tertiary care-center. A retrospective observational cohort study.
Orthopaedics & traumatology, surgery & research : OTSR    July 4, 2025   104327 doi: 10.1016/j.otsr.2025.104327
Cordonnier T, Germon V, Lemé C, Jouve JL, Launay F, Pesenti S.Despite benefits in children, sport practice has been reported with higher risk of fractures. Our objective was to report the characteristics of sport-related fractures in children and to compare them to fractures sustained in a domestic context. Our hypothesis was that sports-related fractures more frequently required surgical treatment, and could therefore be considered more severe METHODS: We conducted a retrospective cohort study including patients under 16 years old, diagnosed with a fracture at the emergency department, excluding skull and face fractures. Demographic data, context of inj...
Quantitative proteomics unveils potential plasma biomarkers and provides insights into the pathophysiological mechanisms underlying equine metabolic syndrome.
BMC veterinary research    July 2, 2025   Volume 21, Issue 1 425 doi: 10.1186/s12917-025-04879-6
Espinosa-López EM, Ortiz-Guisado B, Diez de Castro E, Durham A, Aguilera-Tejero E, Gómez-Baena G.Equine Metabolic Syndrome (EMS) is a multifactorial endocrine disorder characterized by obesity, insulin dysregulation (ID), and an increase in the risk of laminitis, a painful condition that can lead to euthanasia in severe cases. Diagnosing EMS is challenging and often relies on clinical history including obesity, difficulty in losing weight, and recurring episodes of laminitis. The gold standard for laboratory support of an EMS diagnosis is the identification of ID, with basal insulin being the simplest and most accessible method, especially in a field setting. However, various factors such...
Horse handlers’ knowledge, attitudes, and perceptions of African horse sickness in South-West, Nigeria.
Scientific reports    July 1, 2025   Volume 15, Issue 1 21880 doi: 10.1038/s41598-025-07991-7
Akinniyi OO, Lawal TR, Rufai N, Jolayemi KO, Amaje J.African horse sickness (AHS) is endemic in Nigeria. Despite this, little is known about the perspective of horse handlers in Nigeria regarding AHS. The study aimed to evaluate the knowledge, attitudes, and perceptions (KAP) of horse handlers in Southwest Nigeria regarding AHS. A cross-sectional survey study was conducted, which involved convenient sampling of 131 horse handlers in Lagos and Oyo States by February - April 2024. The pre-validated questionnaires were administered via face-to-face interviews, covering demographics, knowledge of AHS transmission, clinical signs, prevention and cont...
Rabies in livestock in the United States (2012-2021).
American journal of veterinary research    June 30, 2025   1-8 doi: 10.2460/ajvr.25.01.0019
Payette-Stroman A, Ross Y, Ma X, Boutelle C, Holschbach C, Blanton JD, Wallace R.Rabies in livestock in the United States (US) poses a significant public health concern due to the potential for human exposure and economic losses to producers. Understanding the epidemiology of rabies in livestock supports broader One Health goals by enhancing early detection of viral incursions and protecting both animal and human health. This study assessed the epidemiology of rabies in livestock in the US from 2012 to 2021 using surveillance data reported to the National Rabies Surveillance System. A sensitivity analysis was conducted to estimate economic losses, including livestock value...
Mapping the epidemiology and intensity of Parascaris equorum infection in equids in Erbil Province, Iraq.
Parasitology international    June 30, 2025   Volume 109 103115 doi: 10.1016/j.parint.2025.103115
Aziz KJ, Issa NA, Mikaeel FB, Ismael SS.This study investigated the prevalence, intensity, and associated risk factors of Parascaris equorum (P. equorum) infection in equids using both parasitological and molecular methods. Data on age, sex, body condition, and housing conditions were systematically collected to evaluate their influence on infection risk. Fecal samples from 294 equines (148 horses, 47 mules, 63 donkeys, and 36 ponies) were examined microscopically using direct wet-mount and flotation techniques, with infection intensity quantified using the McMaster technique to determine eggs per gram (EPG). Molecular confirmation ...
Risk Factors Associated with the Prevalence of Antibodies Against Brucellosis in Equids from Western Pará, Brazil.
Microorganisms    June 30, 2025   Volume 13, Issue 7 1525 doi: 10.3390/microorganisms13071525
Picanço EMB, Assis FFV, Peleja PL, Sousa ABB, Barrêto Júnior RA, Lima RF, Neves KAL, Minervino AHH.This study aimed to determine the prevalence of antibodies against equine brucellosis in three distinct equid groups (farm animal, urban carthorse, and sport horse) in Western Pará, Brazil, and to identify associated risk factors. A cross-sectional study, involving 75 farms across 14 municipalities, sampled 1069 equids composed of urban carthorses and sport horses. Serum samples were tested for antibodies against spp. using the buffered acidified plate antigen (BAPA) test for screening, followed by the serum agglutination in tubes with 2-mercaptoethanol (2-ME) for confirmation. Univariate an...
Spinal Injuries from Equestrian Activity: A US Nationwide Study.
Journal of clinical medicine    June 26, 2025   Volume 14, Issue 13 4521 doi: 10.3390/jcm14134521
Loder RT, Walker AL, Blakemore LC. Equestrian activities can result in spine injuries. Most studies are from single centers, and none use a national database. It was the purpose of this study to describe the demographics, injury mechanisms, and types of equestrian-associated spinal injuries using a US national ED database. The National Electronic Injury Surveillance System database was queried for equestrian-related spine injuries from 2000-2023. ED disposition was categorized as discharged or not discharged. Statistical analyses accounted for the weighted, stratified nature of the data to obtain national estimates. There we...
Donkey and Hybrid Anaesthetic Mortality in an Observational, Prospective, Multicentre Cohort Study.
Animals : an open access journal from MDPI    June 25, 2025   Volume 15, Issue 13 1880 doi: 10.3390/ani15131880
Boocock H, Flyps J, Escobar A, Redondo JI, Taylor PM, Gozalo-Marcilla M, Johnston GM, Bettschart-Wolfensberger R, Sullivan R.Equid anaesthetic mortality is of interest to practitioners. Data for donkey and hybrid mortality have not been specifically described. The main aim of this worldwide observational, prospective, multicentre cohort study was to report on mortality in the 7 days following a general anaesthetic or standing sedation in donkeys and hybrids. This study hypothesised that donkeys and hybrids would have higher mortalities compared to horses. Data were collected as part of the fourth Confidential Enquiry into Perioperative Equine Fatalities (CEPEF4). A total of 825 cases were included, with 757 donkeys ...
Equine zoonotic disease risks in remote Aboriginal and Torres Strait Islander communities: a critical review.
Australian veterinary journal    June 22, 2025   Volume 103, Issue 10 693-714 doi: 10.1111/avj.13462
Christofi E, Hoopes J, El-Hage C, Coffin J, Riley T, Cumming B.Since their arrival in the 1700s, horses have played a significant role in shaping the identity of rural and remote communities. However, Indigenous perspectives on the historical role of horses in communities have been largely underrepresented. In remote regions, where access to veterinary and medical services is limited, interactions between people and free-roaming horses present a potential risk for zoonotic disease transmission. This review identifies potential pathways for the transmission of equine zoonoses in rural and remote Aboriginal and Torres Strait Islander communities, aiming to ...
Attitudes and experiences of UK vets towards control and prevention of strangles.
The Veterinary record    June 20, 2025   Volume 196, Issue 12 e5697 doi: 10.1002/vetr.5697
Whitlock F, McGlennon A, Newton R, Riley K.As part of her undergraduate research project, Cambridge vet student Katie Riley surveyed the attitudes of UK veterinarians with regard to preventing and controlling strangles, including the use of vaccination. Here, she and Fleur Whitlock, Abigail McGlennon and Richard Newton of Equine Infectious Disease Surveillance discuss her findings.
The Confidential Enquiry into Perioperative Equine Fatalities: phase 4 (CEPEF4) – a worldwide observational, prospective, multicentre cohort study in 2025.
Veterinary anaesthesia and analgesia    June 16, 2025   S1467-2987(25)00136-9 doi: 10.1016/j.vaa.2025.06.005
Gozalo-Marcilla M, Redondo JI, Bettschart-Wolfensberger R, Domenech L, Doménech J, Johnston GM, Taylor PM.To report on the Confidential Enquiry into Perioperative Equine Fatalities 4 (CEPEF4). Methods: Confidential, observational, prospective, multicentre, cohort study. Methods: 47,396 horses/ponies undergoing general anaesthesia (GA). Methods: Characteristics of each GA (249 variables) were collected. Outcomes after seven days were ALIVE (or discharged), EUTHANASIA or DEAD. Logistic regression analysed patient demographics and the anaesthetic drugs (p < 0.05). Results: Data were collected from 47,396 GAs in 93 centres in 28 countries. Death rates were 1.2% overall, 0.6% for cases classified as NO...
Prevalence and risk of orthopedic diagnoses in insured Swedish Warmblood horses.
Preventive veterinary medicine    June 11, 2025   Volume 242 106596 doi: 10.1016/j.prevetmed.2025.106596
Bonow S, Hernlund E, Eriksson S, Strandberg E, Gelinder Viklund Å.Sweden has a strong tradition of insuring horses for veterinary costs, and orthopedic diagnoses are the most common for insurance claims. The aim of this study was to investigate differences in prevalence and risk of orthopedic diagnoses for Swedish warmblood (SWB) horses classified as jumping (J) or dressage (D) horses. Also, other factors that may influence orthopedic health were investigated, i.e., sex, birth cohort, and participation in young horse tests and competition. The data consisted of 15,619 insured SWB horses born between 2010 and 2020. Horses were classified as J or D horses acco...
Multiple introductions of equine influenza virus into the United Kingdom resulted in widespread outbreaks and lineage replacement.
PLoS pathogens    June 9, 2025   Volume 21, Issue 6 e1013227 doi: 10.1371/journal.ppat.1013227
Mojsiejczuk L, Whitlock F, Chen H, Magill C, Aranday-Cortes E, Bone J, Tong L, Da Silva Filipe A, Bryant N, Newton JR, Chambers TM, Reedy SE....Influenza A viruses (IAVs) are prime examples of emerging viruses in humans and animals. IAV circulation in domestic animals poses a pandemic risk as it provides new opportunities for zoonotic infections. The recent emergence of H5N1 IAV in cows and subsequent spread over multiple states within the USA, together with reports of spillover infections in humans, cats and mice highlight this issue. The horse is a domestic animal in which an avian-origin IAV lineage has been circulating for >60 years. In 2018/19, a Florida Clade 1 (FC1) virus triggered one of the largest epizootics recorded in the ...
Global prevalence and risk factors of equine infectious anemia: A systematic review and meta-analysis.
Veterinary world    June 6, 2025   Volume 18, Issue 6 1440-1451 doi: 10.14202/vetworld.2025.1440-1451
Firdausy LW, Fikri F, Wicaksono AP, Çalışkan H, Purnama MTE.Equine infectious anemia (EIA) is a lentiviral disease affecting members of the Equidae family, with global distribution and significant implications for animal health and biosecurity. Despite numerous individual reports, a comprehensive synthesis of its global prevalence and risk factors remains lacking. This study aimed to conduct a systematic review and meta-analysis to estimate the global prevalence of EIA, identify diagnostic trends, and evaluate factors associated with heterogeneity across studies. Unassigned: A systematic search was conducted in six major databases (PubMed, Scopus, Web ...
Use of a point prevalence survey to measure antimicrobial use and antimicrobial resistance in equine veterinary hospitals.
Equine veterinary journal    June 4, 2025   doi: 10.1111/evj.14535
Leus EK, Collins N, Gruyaert M, Kennedy RN, McConnell E, McGorum BC, Luethy D, Sanz M, Versporten A, Viljoen A, Lyle CH.Antimicrobial resistance (AMR) is increasingly recognised in equine medicine. Antimicrobial use (AMU) is a key driver of AMR. Objective: To pilot a point prevalence survey (PPS), based on the Global-PPS used in human hospitals, to obtain data on antibiotic prescribing and AMR in equine hospitals and to identify targets for improvement in AMU. Methods: Point prevalence survey. Methods: Eight equine hospitals located in Australia, Belgium, South Africa, the United Kingdom and the United States were recruited. Data on AMU were collected from all in-patients on antibiotic treatment at 08h00 on fou...
Exploring the operational logistics of implementing isolation protocols at equestrian facilities.
Preventive veterinary medicine    June 3, 2025   Volume 242 106592 doi: 10.1016/j.prevetmed.2025.106592
Turcotte GK, O'Sullivan TL, Spence KL, Winder CB, Greer AL.Horses may travel for a variety of reasons, leading to potential exposure to pathogens. Typically, these movements are bidirectional with horses returning to their home facility, therefore also risking pathogen exposure to resident horses at home facilities. The Canadian National Farm and Facility Level Biosecurity Standard for the Equine Sector was designed to outline best practices for managing biosecurity at equestrian facilities, however, there is a gap between the implementation of these recommendations and the day-to-day operations of equestrian facilities. This study aimed to explore th...
Effects of jockey position and surfaces on horse movement asymmetry and horse-jockey synchronisation during trotting exercise.
PloS one    June 2, 2025   Volume 20, Issue 5 e0324753 doi: 10.1371/journal.pone.0324753
Horan K, Pfau T.Racehorses and jockeys can incur injuries, not only during gallops, but also during routine trotting exercise to access gallop tracks or warm-up. Understanding how jockey position affects racehorse movement may influence safety, and this may vary across different surface conditions. This study used inertial sensing technology (XSens MTw sensors) and linear mixed models to quantify and determine the significance (p ≤ 0.05) of jockey riding position ('rising' versus 'two-point seat') and surface type (artificial, grass and tarmac) on: 1) time offsets between stance and flight phases; 2) ho...
Seroprevalence of Neospora spp. in horses reared in rural and urban areas in southern Brazil.
Tropical animal health and production    May 30, 2025   Volume 57, Issue 5 236 doi: 10.1007/s11250-025-04496-3
Granella MCS, Mendes RP, da Silva Casa M, Ribeiro GSN, Sangioni LA, Vogel FSF, Braünig P, Ferian PE, Salbego FZ, Schwarz DGG, Fonteque JH.Protozoan Neospora spp. is known to negatively affect horses reared in rural and urban environments, being studied for causing abortion, neonatal mortality and central nervous system disorders in horses. This study aimed to verify the occurrence of anti-Neospora spp. antibodies in horses bred in rural and urban areas from southern Brazil and the risk factors associated with infection. The study consisted of 400 horses, which 241 were bred in rural areas and 159 in urban areas. The detection of serum anti-Neospora spp. antibodies was determined using Immunofluorescence Antibody Test (IFAT). The...
Risk factors for, metrics of, and consequences of access to veterinary care for companion animals: A scoping review.
PloS one    May 30, 2025   Volume 20, Issue 5 e0325455 doi: 10.1371/journal.pone.0325455
O'Connor A, Totton SC, Hernandez M, Meyers E, Meyers K, Abreu HM, Spofford N, Morrison J.Barriers to accessing veterinary care can be challenging for companion-animal caregivers and may lead to preventable health conditions or even death of pets. Objective: We conducted a scoping review to: 1) catalog the definitions of access to veterinary care (A2VC) used by researchers, 2) identify risk factors for and consequences of A2VC, and 3) map the risk factors onto dimensions of access to care (affordability, availability, accessibility, accommodation, acceptability). Methods: Primary research on companion animals not involved in commercial enterprises (e.g., horse racing) examining con...
Knowledge levels regarding antibiotics and their use among horse owners in the State of Rio Grande do Norte, Brazil.
Brazilian journal of veterinary medicine    May 30, 2025   Volume 47 e000425 doi: 10.29374/2527-2179.bjvm000425
Araújo IRDS, de Brito EL, de Melo UP, Mariz ALB, Cavalheiro MT, Ferreira C, de Morais LF, de Souza RF.This study aimed to evaluate the use of antimicrobials in horses, focusing on administration practices, adherence to veterinary prescriptions, and the impact on the development of antimicrobial resistance. The research was based on a questionnaire completed by 220 horse owners in the State of Rio Grande do Norte, Brazil. The data collected covered aspects including antibiotic use, prescription sources, the performance of culture and susceptibility tests, and the disposal of veterinary drug waste. The results indicated that 98.63% of horse owners administered antibiotics mainly to treat respira...
Space-time clustering of rabies in equines in Brazil from 2006 to 2023.
Research in veterinary science    May 27, 2025   Volume 193 105724 doi: 10.1016/j.rvsc.2025.105724
Silva VVD, Leite DPSBM, Gonçalves LMT, Pinto GOA, Oliveira PRF, Mota RA.Rabies is a lethal zoonosis caused by the rabies virus (RABV), primarily transmitted by the common vampire bat (Desmodus rotundus). Brazil, home to the largest equine population in South America, faces ongoing challenges with equine rabies, which impacts both the economy and public health. This study aimed to identify spatial and temporal patterns of rabies in equines in Brazil between 2006 and 2023. Data from the Zoosanitary Information System (SIZ) of the Brazilian Ministry of Agriculture, Livestock, and Food Supply (MAPA) were used. The incidence risk (IR) was calculated for each region and...
Prevalence of trypanosomiasis in domesticated animals in Indonesia: A systematic review and meta-analysis.
Veterinary world    May 25, 2025   Volume 18, Issue 5 1333-1344 
Firdausy LW, Fikri F, Wicaksono AP, Çalışkan H, Purnama MTE.Trypanosomiasis is a vector-borne parasitic disease with significant implications for animal health and rural livelihoods in Indonesia. Despite surveillance efforts, comprehensive national-level estimates of its prevalence in domesticated animals remain lacking. This study aimed to synthesize the pooled prevalence of trypanosomiasis across Indonesian provinces, identify contributing factors, and assess trends over time using a systematic review and meta-analysis. Unassigned: A systematic search was conducted in seven electronic databases (PubMed, Scopus, Web of Science, ScienceDirect, Cochrane...
Stoicism or Defeat? The Psychological Impact of the Kiln Environment on Working Donkeys and Mules.
Animals : an open access journal from MDPI    May 23, 2025   Volume 15, Issue 11 doi: 10.3390/ani15111525
Taylor K, Harrison A, Capaldo T.One of the most problematic situations for the estimated 60 million working donkeys and mules across the world is within the brick kiln environment. In countries such as Egypt, Nepal, India and Pakistan, donkeys and mules carry dried bricks into small kilns either by pulling carts or carrying loaded packs. The health and welfare problems of this environment are well documented: they may carry excessive loads; work long hours, have difficulties accessing food, water and rest options; and can frequently suffer untreated illnesses including dental problems, lameness and open wounds from poorly fi...
Equine viral arteritis: Seroprevalence patterns and risk factors in equids from western Europe.
Research in veterinary science    May 19, 2025   Volume 192 105701 doi: 10.1016/j.rvsc.2025.105701
Franco JJ, Gonzálvez M, Cano-Terriza D, Barbero-Moyano J, Jose-Cunilleras E, Alguacil E, García J, García-Bocanegra I.Equine viral arteritis is a notifiable infectious disease with sanitary and economic implications at a global scale. A cross-sectional serosurvey was performed to determine the exposure of equids to the Alphaarterivirus equid [Equine Arteritis Virus (EAV)] in three regions in western Europe. Serum samples from 1425 equids (1196 horses, 104 donkeys, and 125 mules/hinnies) from Catalonia (northeastern Spain), Andalusia (southern Spain) and southeastern United Kingdom (UK) were collected during the period 2011-2023. The overall EAV seroprevalence in EAV-unvaccinated equids was 9.7 % (138/1425; 9...
Seroepidemiological study of Toxoplasma gondii in equines in Northern Egypt.
Frontiers in veterinary science    May 19, 2025   Volume 12 1561145 doi: 10.3389/fvets.2025.1561145
Elmahallawy EK, Hassan MF, Cano-Terriza D, Albalawi NO, Fajardo T, Gouda AA, Atiba A, Hendawy A, Villena I, Barakat AM, Alzaylaee H, Almería S....Toxoplasmosis, caused by the intracellular protozoan (), continues to be a widespread parasitic zoonotic disease globally. The seroepidemiology of infection in Egyptian equids, particularly donkeys, remains insufficiently explored. The present study was designed to assess the seroprevalence of in equines from Northern Egypt. Unassigned: A total of 360 serum samples from two equine species (157 horses and 203 donkeys) were obtained during 2023. The Modified Agglutination Test (MAT, cut-off of 1:25) was used to screen for the anti- antibodies. The study also analyzed potential risk factors th...
Equine fatalities in equestrian eventing.
Equine veterinary journal    May 15, 2025   Volume 57, Issue 5 1387-1394 doi: 10.1111/evj.14529
Cameron-Whytock HA, O'Brien D, Lewis V, Parkin T, Bennet ED.To date, industry and research outputs that have aimed to improve safety in equestrian eventing have tended to focus on identifying risk factors for horse falls during cross-country, which have been identified as the greatest risk of injury and fatality for riders. There is an absence of research that investigates fatalities of horses within the sport of eventing. Objective: To use a combination of media reports and eventing federation databases to describe and document equine fatalities in equestrian eventing, including their context, location and a basic pathology. Methods: Descriptive study...