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Equine veterinary journal.

Periodical
Veterinary Medicine
Horse Diseases
Publisher:
Equine Veterinary Journal, Ltd. Hobokken, NJ : Wiley (2009)
Frequency: 8 issues per year, 2009-
Country: United States
Language: English
Author(s):
British Equine Veterinary Association.
Start Year:1968 -
ISSN:
0425-1644 (Print)
2042-3306 (Electronic)
0425-1644 (Linking)
Impact Factor
2.2
2022
NLM ID:173320
(DNLM):E11740000(s)
(OCoLC):01568146
Coden:EQVJAI
LCCN:sn 83005310
Classification:W1 EQ967
Scintigraphic comparison of intra-arterial injection and distal intravenous regional limb perfusion for administration of mesenchymal stem cells to the equine foot.
Equine veterinary journal    October 8, 2013   Volume 46, Issue 4 479-483 doi: 10.1111/evj.12137
Trela JM, Spriet M, Padgett KA, Galuppo LD, Vaughan B, Vidal MA.Intra-arterial (i.a.) and intravenous (i.v.) regional limb perfusions (RLP) through the median artery and cephalic vein, respectively, have been previously investigated for administration of mesenchymal stem cells (MSCs) to the equine distal limb. Limitations due to thrombosis of the arteries after i.a. RLP and poor distribution of MSCs to the foot with i.v. RLP were observed. These techniques need to be modified for clinical use. Objective: Evaluate the distribution, uptake and persistence of radiolabelled MSCs after i.a. injection through the median artery without a tourniquet and after i.v....
Factors affecting the perception of recovery quality in horses after anaesthesia.
Equine veterinary journal    September 30, 2013   Volume 46, Issue 3 328-332 doi: 10.1111/evj.12133
Farmer E, Chase-Topping M, Lawson H, Clutton RE.A significant effect of gender, experience and background, i.e. an evaluator's relationship with horses as equine anaesthetists, orthopaedic surgeons, practitioners or owners, on perceptions of recovery quality after anaesthesia would reduce the validity of recovery quality scoring systems. Objective: To determine the effects of evaluator background, experience and gender on their perceptions of recovery quality; and questionnaire response rate as a function of background. Methods: Cross-sectional survey. Methods: A total of 440 potential evaluators were invited to evaluate the video-recorded ...
Vascular perfusion of the dorsal and palmar condyles of the equine third metacarpal bone.
Equine veterinary journal    September 25, 2013   Volume 46, Issue 3 370-374 doi: 10.1111/evj.12136
Alber MT, Brown MP, Merritt KA, Trumble TN.Palmar osteochondral disease (POD) is an overload arthrosis that commonly affects fetlock joints of racing Thoroughbreds (TB) but the aetiopathogenesis of the disease has not been well defined. Objective: The aim of this study was to compare India ink perfusion in the dorsal and palmar condyles of the third metacarpal bone (McIII) in both passively flexed and maximally extended fetlock joints from paired equine cadaver limbs. Methods: Descriptive cadaver study comparing perfusion of condyles of McIII in paired cadaver limbs in flexion (control group) and maximal extension (intervention group)....
Isolation of Treponema and Tannerella spp. from equine odontoclastic tooth resorption and hypercementosis related periodontal disease.
Equine veterinary journal    September 17, 2013   Volume 46, Issue 3 358-363 doi: 10.1111/evj.12115
Sykora S, Pieber K, Simhofer H, Hackl V, Brodesser D, Brandt S.Red complex bacteria, i.e. Porphyromonas gingivalis, Treponema denticola and Tannerella forsythia, are involved in the onset and progression of periodontal disease in man, yet seldom inhabit the oral cavity of healthy individuals. Periodontal disease is also encountered in horses, with equine odontoclastic tooth resorption and hypercementosis (EOTRH) constituting a particular form of disease. However, only little is known about the oral microbiome of healthy and periodontitis-affected equids. Objective: We aimed to test the hypothesis that red complex bacteria are also associated with EOTRH-re...
Polymorphisms in TNC and COL5A1 genes are associated with risk of superficial digital flexor tendinopathy in National Hunt Thoroughbred racehorses.
Equine veterinary journal    September 16, 2013   Volume 46, Issue 3 289-293 doi: 10.1111/evj.12134
Tully LJ, Murphy AM, Smith RK, Hulin-Curtis SL, Verheyen KL, Price JS.To explore whether genetic susceptibility is a potential risk factor for superficial digital flexor (SDF) tendinopathy in Thoroughbred (TB) racehorses. Objective: To identify informative single nucleotide polymorphisms (SNPs) that capture genetic diversity across a range of candidate genes and to investigate, in a case-control study, their association with SDF tendinopathy in UK National Hunt TB racehorses in training. Methods: Case-control candidate gene association study. Methods: This study used in silico gene assembly and DNA sequencing to screen candidate genes for SNPs. Seven candidate g...
Phospholipids in sera of horses with summer eczema: lipid analysis of the autoserum preparation used in therapy.
Equine veterinary journal    September 12, 2013   Volume 46, Issue 3 322-327 doi: 10.1111/evj.12135
Hallamaa RE, Batchu KC, Tallberg T.Equine summer eczema, also known as insect bite hypersensitivity, affects horses recurrently during summer months. The treatment of this allergic pruritus is difficult and therefore there is a need for efficacious treatments. Autoserum therapy, based on the use of autogenous serum that is specifically prepared for oral administration and given when the animal shows clinical signs has been introduced recently. Lipids are thought to be responsible for the effect of this therapy. Objective: The main aim of this study was to analyse the phospholipid content of autogenous serum preparations and to ...
Temporal trends in prevalence of bacteria isolated from foals with sepsis: 1979-2010.
Equine veterinary journal    September 11, 2013   Volume 46, Issue 2 169-173 doi: 10.1111/evj.12131
Theelen MJ, Wilson WD, Edman JM, Magdesian KG, Kass PH.Sepsis is an important cause of death in foals. Knowledge of which pathogens are likely to be involved is important for selection of antimicrobial drugs for initial treatment. Objective: To identify temporal trends in prevalence of bacteria isolated from foals with sepsis between 1979 and 2010. Methods: Retrospective review of medical records. Methods: All foals ≤30 days of age presented to the Veterinary Medical Teaching Hospital (VMTH) at the University of California, Davis between 1979 and 2010, with a diagnosis of sepsis confirmed by culture of bacteria from blood or internal organs (ant...
Three dimensional, radiosteriometric analysis (RSA) of equine stifle kinematics and articular surface contact: a cadaveric study.
Equine veterinary journal    September 11, 2013   Volume 46, Issue 3 364-369 doi: 10.1111/evj.12127
Halley SE, Bey MJ, Haladik JA, Lavagnino M, Arnoczky SP.Studies examining the effect of stifle joint angle on tibial rotation, adduction-abduction angle and articular contact area are lacking. Objective: To test the hypothesis that tibial rotation, adduction-abduction angle and articular contact area change with stifle joint angle. Methods: Descriptive study of normal kinematics and articular contact patterns of the equine stifle through the functional range of motion using 3 dimensional (3D) radiosteriometric analysis (RSA) and equine cadaver stifles. Methods: Multiple, radiopaque markers were embedded in the distal femur and proximal tibia and se...
Serial plasma vasopressin concentration in healthy and hospitalised neonatal foals.
Equine veterinary journal    September 11, 2013   Volume 46, Issue 3 306-310 doi: 10.1111/evj.12121
Borchers A, Magdesian KG, Schenck PA, Kass PH.Vasopressin dysregulation occurs in critically ill human patients and in neonatal foals. Limited data about serial plasma vasopressin dynamics exist in sick neonatal foals. Objective: To evaluate serial plasma arginine vasopressin (AVP) concentrations in sick neonatal foals. Methods: Prospective, longitudinal clinical study. Methods: Plasma samples were collected from 7 healthy and 26 sick foals before and after initial fluid resuscitation and 12, 24, 36, 48 and 96 h after presentation. Foals with a modified sepsis score ≥ 11 were considered septic. Results: Admission AVP was increased in se...
The effect of exercise on plasma concentrations of inflammatory markers in normal and previously laminitic ponies.
Equine veterinary journal    September 11, 2013   Volume 46, Issue 3 317-321 doi: 10.1111/evj.12132
Menzies-Gow NJ, Wray H, Bailey SR, Harris PA, Elliott J.The mechanisms underlying predisposition to pasture-associated laminitis remain unclear; chronic inflammation is implicated, and this may be exacerbated by physical inactivity. Objective: To determine whether exercise affects the inflammatory profile of normal and previously laminitic ponies. Methods: Prospective case-control study. Methods: The short (1 day) and longer term (14 days) effects of low intensity (10 min walking and 5 min trotting) exercise on plasma inflammatory marker concentrations in normal (NL) and previously laminitic (PL) nonobese ponies (n = 6/group) was determined. Plasma...
Temporal trends in in vitro antimicrobial susceptibility patterns of bacteria isolated from foals with sepsis: 1979-2010.
Equine veterinary journal    September 11, 2013   Volume 46, Issue 2 161-168 doi: 10.1111/evj.12130
Theelen MJ, Wilson WD, Edman JM, Magdesian KG, Kass PH.Monitoring the development of antimicrobial resistance is important for the rational selection of appropriate antimicrobial drugs to initiate treatment of foals with sepsis. Objective: To identify temporal trends in antimicrobial susceptibility patterns of bacteria isolated from foals with sepsis. Methods: Retrospective review of medical records. Methods: Foals aged <30 days with a diagnosis of sepsis, confirmed by culture of bacteria, were included. Susceptibility data, expressed as minimum inhibitory concentrations (MICs) (MIC50 , MIC90 , MIC range) and percent of isolates that were suscepti...
Contrast-enhanced computed tomographic evaluation of the deep digital flexor tendon in the equine foot compared to macroscopic and histological findings in 23 limbs.
Equine veterinary journal    September 11, 2013   Volume 46, Issue 3 300-305 doi: 10.1111/evj.12129
van Hamel SE, Bergman HJ, Puchalski SM, de Groot MW, van Weeren PR.Distal deep digital flexor tendinopathy is an important cause of foot lameness in horses that is difficult to diagnose with radiography and ultrasonography. Magnetic resonance imaging is a well-accepted and validated technique for the identification of deep digital flexor tendon (DDFT) lesions, but has some practical and financial drawbacks. Contrast-enhanced computed tomography (CECT) has been proposed as a suitable alternative, but validation studies are currently lacking. Objective: To assess the accuracy of CECT for the identification and characterisation of deep digital flexor tendinopath...
Outcome of horses with synovial structure involvement following solar foot penetrations in four UK veterinary hospitals: 95 cases.
Equine veterinary journal    September 10, 2013   Volume 46, Issue 3 352-357 doi: 10.1111/evj.12124
Findley JA, Pinchbeck GL, Milner PI, Bladon BM, Boswell J, Mair TS, Suthers JM, Singer ER.The factors associated with outcome following solar foot penetration involving synovial structures treated using endoscopic lavage have not been described in the UK population. Objective: To provide descriptive data on horses with synovial contamination or sepsis following solar penetration in 4 UK equine referral hospitals and to identify specific factors associated with the outcome. Methods: Retrospective case series. Methods: Data were collected from 4 veterinary hospitals. Follow-up data were obtained via a telephone questionnaire. Two multivariable logistic regression models were generate...
Detection and molecular characterisation of equine infectious anaemia virus from field outbreaks in Slovenia.
Equine veterinary journal    September 9, 2013   Volume 46, Issue 3 386-391 doi: 10.1111/evj.12138
Kuhar U, Završnik J, Toplak I, Malovrh T.In 2009, a surprisingly high number of animals seropositive for equine infectious anaemia virus (EIAV; 26 horses from 13 farms) were detected in Slovenia. Objective: To develop a polymerase chain reaction (PCR) assay for the detection of the proviral nucleic acid, to phylogenetically characterise the Slovenian EIAV strains and to investigate whether transmission in utero occurred. Methods: Cross-sectional clinical study. Methods: In total, 26 horses (including 2 foals and 4 pregnant mares) and 4 fetuses were examined in this study. A PCR assay using the EIAV F1 and EIAV R1 primers was designed...
Arthroscopic anatomy of the equine cervical articular process joints.
Equine veterinary journal    September 3, 2013   Volume 46, Issue 3 345-351 doi: 10.1111/evj.12112
Pepe M, Angelone M, Gialletti R, Nannarone S, Beccati F.Although arthropathy of the cervical articular process joints (APJs) is common, descriptions of the arthroscopic technique of the cervical APJ have not been reported previously. Objective: To develop an arthroscopic approach to the APJ and to describe the arthroscopic anatomy of the APJ. Methods: Descriptive cadaver study and clinical case report. Methods: The regional anatomy was reviewed and the technique developed on fresh cadaver necks. A series of cadaveric APJ arthroscopies from C2-C3 to C6-C7 were performed to evaluate the procedure, which was then used in 3 clinical cases. A descriptio...
Identification of methylenecyclopropyl acetic acid in serum of European horses with atypical myopathy.
Equine veterinary journal    September 3, 2013   Volume 46, Issue 2 146-149 doi: 10.1111/evj.12117
Votion DM, van Galen G, Sweetman L, Boemer F, de Tullio P, Dopagne C, Lefère L, Mouithys-Mickalad A, Patarin F, Rouxhet S, van Loon G, Serteyn D....It is hypothesised that European atypical myopathy (AM) has a similar basis as seasonal pasture myopathy in North America, which is now known to be caused by ingestion of hypoglycin A contained in seeds from the tree Acer negundo. Serum from horses with seasonal pasture myopathy contained the conjugated toxic metabolite of hypoglycin A, methylenecyclopropyl acetic acid (MCPA). Methods: Retrospective study on archived samples. Objective: 1) To determine whether MCPA-carnitine was present in serum of European horses confirmed to have AM; 2) to determine whether Acer negundo or related Acer speci...
Effect of orally administered sodium bicarbonate on caecal pH.
Equine veterinary journal    August 30, 2013   Volume 46, Issue 2 223-226 doi: 10.1111/evj.12111
Taylor EA, Beard WL, Douthit T, Pohlman L.Caecal acidosis is a central event in the metabolic cascade that occurs following grain overload. Buffering the caecal acidosis by enterally administered sodium bicarbonate (NaHCO3 ) may be beneficial to affected horses. Objective: To determine the effect and duration of enterally administered NaHCO3 on caecal pH in healthy horses. Methods: Experimental study using horses with caecal cannulas. Methods: Nine horses had been previously fitted with a caecal cannula. Six horses received 1.0 g/kg bwt NaHCO3 and 3 control horses were given 3 l of water via nasogastric tube. Clinical parameters, ...
Infectious agents associated with diarrhoea in neonatal foals in central Kentucky: a comprehensive molecular study.
Equine veterinary journal    August 30, 2013   Volume 46, Issue 3 311-316 doi: 10.1111/evj.12119
Slovis NM, Elam J, Estrada M, Leutenegger CM.Diarrhoea caused by infectious agents is common in foals but there is no comprehensive molecular work-up of the relative prevalence of common agents and appearance of coinfections. Objective: To determine the prevalence of 9 infectious agents in gastrointestinal (GI)-diseased and healthy foals with ages ranging from 1 to 20 weeks of age and to what degree coinfections are associated with clinical signs of GI disease. Methods: Retrospective controlled observational study. Methods: The population consisted of 88 Thoroughbred foals aged 2 days to 17 weeks born on 32 different studfarms in Kentuck...
Noninvasive determination of atrial fibrillation cycle length by atrial colour tissue Doppler imaging in horses.
Equine veterinary journal    August 30, 2013   Volume 46, Issue 2 174-179 doi: 10.1111/evj.12108
Decloedt A, de Clercq D, van der Vekens N, Verheyen T, van Loon G.Atrial fibrillation cycle length (AFCL) is an indicator of atrial electrical remodelling during atrial fibrillation (AF). Objective: To compare AFCL measured invasively from an intra-atrial electrogram (AFCLEGM ) with AFCL measured noninvasively by atrial colour tissue Doppler imaging (AFCLTDI ). Methods: Prospective descriptive clinical study. Methods: Measurements were performed in 31 episodes of AF or flutter in 29 horses (588 ± 61 kg bwt, 9 ± 3 years old) admitted for transvenous electrical cardioversion. The AFCLEGM was measured from an intracardiac electrogram using a bipolar sensi...
Distal hindlimb kinematics of galloping Thoroughbred racehorses on dirt and synthetic racetrack surfaces.
Equine veterinary journal    August 30, 2013   Volume 46, Issue 2 227-232 doi: 10.1111/evj.12113
Symons JE, Garcia TC, Stover SM.The effect of racetrack surface (dirt or synthetic) on distal hindlimb kinematics of racehorses running at competition speeds is not known. Objective: To compare distal hindlimb and hoof kinematics during stance of breezing (unrestrained gallop) racehorses between dirt and synthetic surfaces. Methods: Two-dimensional kinematic video analysis of 5 Thoroughbred racehorses galloping at high speeds (12-17 m/s) on a dirt racetrack and a synthetic racetrack. Methods: The positions of kinematic markers applied to the left hindlimb were recorded at 500 Hz. Position, velocity and acceleration of jo...
Tensile properties in collagen-rich tissues of Quarter Horses with hereditary equine regional dermal asthenia (HERDA).
Equine veterinary journal    August 30, 2013   Volume 46, Issue 2 216-222 doi: 10.1111/evj.12110
Bowser JE, Elder SH, Pasquali M, Grady JG, Rashmir-Raven AM, Wills R, Swiderski CE.Hereditary equine regional dermal asthenia (HERDA) is an autosomal recessive disorder of Quarter Horses characterised by skin fragility. Horses with HERDA have a missense mutation in peptidyl-prolyl cis-trans isomerase B (PPIB), which encodes cyclophilin B and alters folding and post translational modifications of fibrillar collagen. Objective: The study aimed to test the hypothesis that tendons, ligaments and great vessels, which, like skin, are rich in fibrillar collagen, will also have abnormal biomechanical properties in horses with HERDA. Methods: Ex vivo biomechanical study comparing...
Ultrasound-guided injection of the maxillary nerve in the horse.
Equine veterinary journal    August 30, 2013   Volume 46, Issue 2 180-184 doi: 10.1111/evj.12106
O'Neill HD, Garcia-Pereira FL, Mohankumar PS.Infiltration of the equine maxillary nerve with local anaesthetic can be useful for both diagnostic and surgical procedures. The deep location and proximity of the nerve to surrounding vascular and orbital structures make an accurate, complication-free injection a challenge using traditional techniques reliant upon surface anatomical landmarks. Objective: To develop an ultrasound-guided injection technique of the maxillary nerve in equine cadavers and to evaluate its efficacy and potential for complications in vivo. Methods: Descriptive cadaver anatomical and clinical study. Methods: The relev...
Incidence, causes and outcomes of lameness cases in a working military horse population: a field study.
Equine veterinary journal    August 30, 2013   Volume 46, Issue 2 194-197 doi: 10.1111/evj.12084
Putnam JR, Holmes LM, Green MJ, Freeman SL.Lameness is a common problem in the horse. Despite this, information on the incidence of lameness in horses in the UK is restricted to studies of lameness in performance horses, racehorses or referral hospital populations. Objective: To determine the overall incidence and common causes of lameness in a working horse population and incidence, duration and outcome of conditions observed. Methods: Prospective questionnaire study. Methods: Questionnaires were used to record lameness episodes in 294 horses in an equine military establishment. Information recorded included age, years of service, typ...
Congenital defects of the soft palate in 15 mature horses.
Equine veterinary journal    August 30, 2013   Volume 46, Issue 2 185-188 doi: 10.1111/evj.12123
Barakzai SZ, Fraser BS, Dixon PM.Horses, usually foals, with a congenital defect of the soft palate have been reported infrequently, and most reports describe a surgical procedure to repair the defect. Results of conservative management have not been previously reported. Objective: To describe 15 horses affected with soft palate defects that were presented for examination when mature. Methods: Retrospective case series. Methods: Clinical records from horses identified as having been diagnosed with a soft palate defect when older than one year were reviewed retrospectively. Follow-up was obtained wherever possible. Results: Na...
Plasma and pulmonary pharmacokinetics of desfuroylceftiofur acetamide after weekly administration of ceftiofur crystalline free acid to adult horses.
Equine veterinary journal    August 30, 2013   Volume 46, Issue 2 252-255 doi: 10.1111/evj.12107
Fultz L, Giguère S, Berghaus LJ, Davis JL.Current labelling for the use of ceftiofur crystalline free acid (CCFA) in horses states that 2 i.m. doses must be administered 4 days apart to provide 10 days of therapeutic coverage. A 10 day treatment regimen is not sufficient for the long-term treatment of horses with severe lung consolidation or pleuropneumonia. There are currently no data to guide an appropriate dosing interval when a longer treatment regimen is warranted. Objective: To determine steady-state plasma and pulmonary epithelial lining fluid (PELF) concentrations of desfuroylceftiofur acetamide (DCA) after weekly i.m. adminis...
Investigation of rhythms of secretion and repeatability of plasma adrenocorticotropic hormone concentrations in healthy horses and horses with pituitary pars intermedia dysfunction.
Equine veterinary journal    August 30, 2013   Volume 46, Issue 1 113-117 doi: 10.1111/evj.12114
Rendle DI, Litchfield E, Heller J, Hughes KJ.There is little published information on whether measurement of plasma ACTH concentration at a single timepoint is a repeatable indicator of pituitary pars intermedia dysfunction (PPID). Objective: To determine whether ultradian or circadian fluctuations in ACTH production influence plasma ACTH concentration in normal horses and horses with PPID. Methods: Prospective observational study. Methods: Plasma ACTH concentration in 8 non-PPID horses and 8 horses with PPID was measured at 08.00, 11.00, 14.00 and 17.00 h on 5 nonconsecutive days within a 3 week period. In addition, at 08.30 h on one da...
Magnetic resonance microscopy atlas of equine embryonic development.
Equine veterinary journal    August 30, 2013   Volume 46, Issue 2 210-215 doi: 10.1111/evj.12102
Jenner F, Närväinen J, de Ruijter-Villani M, Stout TA, van Weeren PR, Brama P.Equine embryogenesis post implantation is not well studied, and only two-dimensional illustrations are available. A thorough appreciation of the complex three-dimensional relationship between tissues and organs and their development is, however, crucial for understanding physiological and pathological mechanisms. Objective: The goals were 2-fold: 1) to establish a freely accessible online atlas as a reference tool for the scientific and pedagogic communities; and 2) to create a framework for integration of data with known spatiotemporal distribution, such as gene expression or cell lineage. Me...
Clinical and pharmacokinetic effects of regional or general anaesthesia on intravenous regional limb perfusion with amikacin in horses.
Equine veterinary journal    August 30, 2013   Volume 46, Issue 3 375-379 doi: 10.1111/evj.12125
Mahne AT, Rioja E, Marais HJ, Villarino NF, Rubio-Martinez LM.Antimicrobial i.v. regional limb perfusion (IV-RLP) is clinically performed on anaesthetised or sedated horses with or without regional anaesthesia. To date, no scientific data are available on the clinical and pharmacokinetic effects of these anaesthetic protocols on antimicrobial IV-RLP, which is believed to result in better tourniquet efficiency due to decreased movement. Objective: To determine the effects of regional or general anaesthesia on the clinical and synovial pharmacokinetic parameters of amikacin administered by IV-RLP to horses. Methods: Experimental crossover study. Methods: E...
Ultrasound-guided biopsy of the cricoarytenoideus lateralis muscle: technique and safety in horses.
Equine veterinary journal    August 30, 2013   Volume 46, Issue 2 244-248 doi: 10.1111/evj.12105
O'Neill HD, Ballegeer EA, De Feijter-Rupp HL, Stick JA, Derksen FJ, Robinson NE.Current diagnosis of recurrent laryngeal neuropathy (RLN) depends upon disease recognition in the clinically affected horse. Biopsy of the intrinsic laryngeal muscles may provide a method to identify the changes in fibre-type composition that occur in RLN before clinical signs become apparent. Objective: To develop an ultrasound-guided biopsy technique of the left cricoarytenoideus lateralis muscle (CALM) and evaluate its efficacy and safety in vivo. Methods: A longitudinal descriptive study. Methods: Six standing horses underwent ultrasound-guided biopsy of the left CALM. Frozen muscle cores ...
Infectious risk factors and clinical indicators for tracheal mucus in British National Hunt racehorses.
Equine veterinary journal    August 30, 2013   Volume 46, Issue 2 150-155 doi: 10.1111/evj.12109
Cardwell JM, Smith KC, Wood JL, Newton JR.Many studies of respiratory disease in racehorses have focused on a combination of increased tracheal mucus and airway neutrophilia. Examination of each component separately should provide further insight into this condition. Objective: To identify infectious risk factors for endoscopically visible tracheal mucus in National Hunt racehorses. Methods: A 2 year prospective longitudinal study. Methods: Monthly quantitative bacteriological examinations of tracheal wash samples and viral serological examinations were conducted. Risk factors for 'small amounts of mucus' (mucus score = 1/3) and 'incr...
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