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Topic:Age Factors

Age factors in horses encompass a range of physiological and developmental changes that occur as horses mature from foals to adults and eventually into their senior years. These factors include variations in metabolic rate, immune function, and musculoskeletal development, which can influence a horse's health, performance, and nutritional needs. Age-related changes can also affect how horses respond to medications, recover from injuries, and maintain overall vitality. Researchers study these aspects to understand better how age impacts equine health and management. This page compiles peer-reviewed research studies and scholarly articles that explore the effects of age on equine physiology, health management, and disease susceptibility.
Dominance rank is associated with body condition in outdoor-living domestic horses (Equus caballus).
Applied animal behaviour science    May 6, 2015   Volume 166 71-79 doi: 10.1016/j.applanim.2015.02.019
Giles SL, Nicol CJ, Harris PA, Rands SA.The aim of our study was to explore the association between dominance rank and body condition in outdoor group-living domestic horses, . Social interactions were recorded using a video camera during a feeding test, applied to 203 horses in 42 herds. Dominance rank was assigned to 194 individuals. The outcome variable body condition score (BCS) was recorded using a 9-point scale. The variables age and height were recorded and considered as potential confounders or effect modifiers. Results were analysed using multivariable linear and logistic regression techniques, controlling for herd group as...
Retrospective survey of bronchoalveolar lavage fluid cytology in Western Australian horses presented for evaluation of the respiratory tract: effect of season on relative cell percentages.
Australian veterinary journal    May 6, 2015   Volume 93, Issue 5 152-156 doi: 10.1111/avj.12315
Secombe CJ, Lester GD, Robertson ID, Cullimore AM.To characterise the cytological changes in equine bronchoalveolar lavage (BAL) samples over multiple years to determine if the prevalence of a relative mast cell response was influenced by season. Methods: Medical records of 228 horses with clinical signs consistent with non-infectious respiratory disease or poor performance where a BAL was performed were reviewed retrospectively. BAL fluid cytology and categorised clinical variables were analysed using a Chi-square test to determine associations. Results: The predominant signalment was a racing horse between 2 and 6 years of age, and poor ath...
Potential role of maternal lineage in the thoroughbred breeding strategy.
Reproduction, fertility, and development    May 5, 2015   doi: 10.1071/RD15063
Lin X, Zhou S, Wen L, Davie A, Yao X, Liu W, Zhang Y.Many studies have focused on identifying the genes or single nucleotide polymorphisms associated with the athletic ability of thoroughbreds, but few have considered differences in maternal and paternal heritability of athletic ability. Herein, we report on our association study of career race performances of 675 Australian thoroughbreds with their pedigrees. Racing performance data (prize money per start) were collected from the Bloodhound database. The performance of all horses was categorised as either poor or elite athletic achievement. Then, 675 foals were divided by their parents' perform...
The effect of mare’s age on multiple ovulation rate, embryo recovery, post-transfer pregnancy rate, and interovulatory interval in a commercial embryo transfer program in Argentina.
Animal reproduction science    May 5, 2015   Volume 158 53-59 doi: 10.1016/j.anireprosci.2015.04.007
Marinone AI, Losinno L, Fumuso E, Rodríguez EM, Redolatti C, Cantatore S, Cuervo-Arango J.Advanced maternal age is an important predisposing factor on the reduction of reproductive efficiency. The aim of this study was to evaluate the effect of donor's age on several reproductive parameters in a commercial equine embryo transfer program. Donors were classified into 3 age groups: Group 1=fillies (3 and 4 years old), Group 2=middle age mares (aged 5-10) and Group 3=old mares (aged 13-25). Embryo recovery, multiple ovulation and pregnancy rates and interovulatory intervals were compared amongst age groups. Group 1 (171/244, 70.1%) and Group 2 (774/1081, 71.6%) had a higher (P<0.005) e...
Neutrophil function in healthy aged horses and horses with pituitary dysfunction.
Veterinary immunology and immunopathology    April 30, 2015   Volume 165, Issue 3-4 99-106 doi: 10.1016/j.vetimm.2015.04.006
McFarlane D, Hill K, Anton J.Immunosuppression leading to opportunist bacterial infection is a well-recognized sequela of equine pituitary pars intermedia dysfunction (PPID). The mechanisms responsible for immune dysfunction in PPID however, are as of yet poorly characterized. Horses with PPID have high concentrations of hormones known to impact immune function including α-melanocyte stimulating hormone (α-MSH) and insulin. α-MSH and related melanocortins have been shown in rodents and people to impair neutrophil function by decreasing superoxide production (known as oxidative burst activity), migration and adhesion. T...
Effect of a probiotic on prevention of diarrhea and Clostridium difficile and Clostridium perfringens shedding in foals.
Journal of veterinary internal medicine    April 22, 2015   Volume 29, Issue 3 925-931 doi: 10.1111/jvim.12584
Schoster A, Staempfli HR, Abrahams M, Jalali M, Weese JS, Guardabassi L.Up to 60% of foals develop diarrhea within 6 months after birth. Preventive measures are limited but potentially probiotics could be used. Objective: To evaluate the effect of a newly designed probiotic on the incidence of foal diarrhea in a randomized field trial. Methods: Seventy-two healthy neonatal foals. Methods: Randomized, placebo-controlled field trial. Foals were administered a placebo or probiotic for 3 weeks and monitored for an additional week. A total of 3 fecal samples were taken from each foal at biweekly intervals. Statistical modeling was applied for comparison of incidence an...
Maternal age and in vitro culture affect mitochondrial number and function in equine oocytes and embryos.
Reproduction, fertility, and development    April 17, 2015   Volume 27, Issue 6 957-968 doi: 10.1071/RD14450
Hendriks WK, Colleoni S, Galli C, Paris DB, Colenbrander B, Roelen BA, Stout TA.Advanced maternal age and in vitro embryo production (IVP) predispose to pregnancy loss in horses. We investigated whether mare age and IVP were associated with alterations in mitochondrial (mt) DNA copy number or function that could compromise oocyte and embryo development. Effects of mare age (<12 vs ≥12 years) on mtDNA copy number, ATP content and expression of genes involved in mitochondrial replication (mitochondrial transcription factor (TFAM), mtDNA polymerase γ subunit B (mtPOLB) and mitochondrial single-stranded DNA-binding protein (SSB)), energy production (ATP synthase-couplin...
Clinical treatment and prognosis of equine odontoclastic tooth resorption and hypercementosis.
Equine veterinary journal    April 3, 2015   Volume 48, Issue 2 188-194 doi: 10.1111/evj.12406
Lorello O, Foster DL, Levine DG, Boyle A, Engiles J, Orsini JA.Equine odontoclastic tooth resorption and hypercementosis is an infrequent and underdiagnosed form of severe dental disease in horses that can affect quality of life. The study was performed to compare the clinical, radiographic, histological and prognostic findings specific to equine odontoclastic tooth resorption and hypercementosis in horses. Removal of affected teeth is currently the best treatment. Objective: The goals are to report salient clinical and histological features of the disease and its management in a case series describing an under-reported syndrome in horses and the long-ter...
Prevalence of equine viral arteritis in Algeria.
Revue scientifique et technique (International Office of Epizootics)    March 31, 2015   Volume 33, Issue 3 967-974 doi: 10.20506/rst.33.3.2334
Laabassi F, Amelot G, Laugier C, Zientara S, Nasri AM, Hans A.In order to determine the prevalence of equine viral arteritis in Algeria, 268 sera from non-vaccinated horses were collected from the western and eastern regions. Serological analysis of the sera, which were collected from 2009 to 2011, was performed using the virus neutralisation test, as described by the World Organisation for Animal Health. Overall, 20 sera (7.46%) were seropositive, 152 (56.71%) were negative and 96 sera (35.82%) were cytotoxic. Equine arteritis virus (EAV) seroprevalence was significantly higher in the western region (Tiaret) than in the eastern region (Barika and El-Eul...
Prevalence of dental disorders in an abattoir population of horses in South Africa by oral examination of intact and bisected heads.
Veterinary journal (London, England : 1997)    March 27, 2015   Volume 205, Issue 1 110-112 doi: 10.1016/j.tvjl.2015.03.021
Vemming DC, Steenkamp G, Carstens A, Olorunju SA, Stroehle RM, Page PC.Dental care is an integral part of equine veterinary practice. The objectives of this cross sectional study were to describe the prevalence of dental disorders in an abattoir population of horses, and to compare oral examination of intact and bisected heads. Heads from 40 horses, 19 males and 21 females, were examined and divided into immature, adult or older horses based on dental age. Older horses had a significantly higher prevalence of infundibular caries (91.7%), diastemata (66.7%) and fractures (58.3%), whereas dental wear disorders affected all age groups. Gasterophilus spp. larvae were...
Age-dependent expression of osteochondrosis-related genes in equine leukocytes.
Veterinary record open    March 24, 2015   Volume 2, Issue 1 e000058 doi: 10.1136/vetreco-2014-000058
Mendoza L, Piquemal D, Lejeune JP, Vander Heyden L, Noguier F, Bruno R, Sandersen C, Serteyn D.Osteochondrosis (OC) is a developmental disease in horses which has a significant impact on the horse's welfare and performance. The early disturbance in the process of endochondral ossification progresses to inflammatory and repair processes in older horses. Previously, differentially expressed genes in leukocytes of OC-affected horses have been identified. The aim of the present study is to detect age-related changes in these differentially expressed genes. Methods: The expression of OC-related genes was analysed by real-time PCR and subsequent statistical analysis (ΔΔCT) in the leukocytes...
Cytoskeletal alterations associated with donor age and culture interval for equine oocytes and potential zygotes that failed to cleave after intracytoplasmic sperm injection.
Reproduction, fertility, and development    March 24, 2015   Volume 27, Issue 6 944-956 doi: 10.1071/RD14468
Ruggeri E, DeLuca KF, Galli C, Lazzari G, DeLuca JG, Carnevale EM.Intracytoplasmic sperm injection (ICSI) is an established method to fertilise equine oocytes, but not all oocytes cleave after ICSI. The aims of the present study were to examine cytoskeleton patterns in oocytes after aging in vitro for 0, 24 or 48h (Experiment 1) and in potential zygotes that failed to cleave after ICSI of oocytes from donors of different ages (Experiment 2). Cytoplasmic multiasters were observed after oocyte aging for 48h (P<0.01). A similar increase in multiasters was observed with an increased interval after ICSI for young mares (9-13 years) but not old (20-25 years) mares...
Seroprevalence of Toxoplasma gondii and Neospora spp. Infections in Arab Horses, Southwest of Iran.
Jundishapur journal of microbiology    March 21, 2015   Volume 8, Issue 3 e14939 doi: 10.5812/jjm.14939
Tavalla M, Sabaghan M, Abdizadeh R, Khademvatan S, Rafiei A, Razavi Piranshahi A.Because of the economic importance of the Arab race horses and also the role of Toxoplasma gondii and Neospora spp. in abortion and reproductive failure of these animals, we decided to perform this study. Objective: We designed this study to investigate the seroprevalence of anti-Toxoplasma gondii and anti-Neospora spp. antibodies in Arab horses from 12 cities of Khuzestan province in southwest of Iran. Methods: From October 2009 to March 2011, a total of 235 blood samples were collected from jugular veins of Arab horses of different ages and genders from 12 cities of Khuzestan province. All t...
Not just a number: effect of age on fertility, pregnancy and offspring vigour in thoroughbred brood-mares.
Reproduction, fertility, and development    March 20, 2015   Volume 27, Issue 6 872-879 doi: 10.1071/RD14390
Scoggin CF.Advancing age can adversely affect a thoroughbred brood-mare's reproductive efficiency and influence the commercial and athletic potential of her progeny. Causes for the decline in fertility include decreased oocyte and embryo quality, anatomical defects and endometrial degeneration. In addition, evidence exists that as the age of a dam increases, her foals will be at increased risk of morbidity and mortality during the neonatal period. Health issues can have lasting and deleterious effects on surviving foals, including decreased sale value and reduced athletic performance. The purpose of this...
Age-associated changes in granulosa cell transcript abundance in equine preovulatory follicles.
Reproduction, fertility, and development    March 17, 2015   Volume 27, Issue 6 906-913 doi: 10.1071/RD14467
Sessions-Bresnahan DR, Carnevale EM.Age-related changes in follicle paracrine signalling are not defined, and follicular gene transcript abundance could predict oocyte viability. Granulosa cells from preovulatory follicles of mares considered Young (n=12; 4-14 years), Mid-aged (n=9; 15-19 years) and Old (n=14; 20-27 years) were evaluated for transcript abundance related to systemic and follicle-specific pathways. Gene transcript abundance for receptors of insulin, adiponectin and peroxisome proliferating factor-γ were higher or tended to be higher in Mid-aged or Old than Young mares. Transcript abundance for interleukin (IL)-6 ...
Influences of age and sex on leukocytes of healthy horses and their ex vivo cytokine release.
Veterinary immunology and immunopathology    March 6, 2015   Volume 165, Issue 1-2 64-74 doi: 10.1016/j.vetimm.2015.02.011
Schnabel CL, Steinig P, Schuberth HJ, Koy M, Wagner B, Wittig B, Juhls C, Willenbrock S, Murua Escobar H, Jaehnig P, Feige K, Cavalleri JM.Leukocytes and their functional capacities are used extensively as biomarkers in immunological research. Commonly employed indicators concerning leukocytes are as follows: number, composition in blood, response to discrete stimuli, cytokine release, and morphometric characteristics. In order to employ leukocytes as biomarkers for disease and therapeutic monitoring, physiological variations and influencing factors on the parameters measured have to be considered. The aim of this report was to describe the ranges of selected leukocyte parameters in a sample of healthy horses and to analyse wheth...
Energy-related parameters and their association with age, gender, and morphometric measurements in healthy donkeys.
Veterinary journal (London, England : 1997)    March 6, 2015   Volume 204, Issue 2 201-207 doi: 10.1016/j.tvjl.2015.03.004
Mendoza FJ, Estepa JC, Gonzalez-De Cara CA, Aguilera-Aguilera R, Toribio RE, Perez-Ecija A.Donkeys are commonly afflicted by endocrine and metabolic disturbances but few studies have investigated endocrine variables involved in energy regulation and their association with morphometric indices, age or gender in this species. Hemostatic and clinical differences have been demonstrated between horses and donkeys, so to consider both species as metabolically and endocrinologically similar could lead to misdiagnosis. In this study, plasma concentrations of glucose, triglycerides and endocrine factors involved in energy homeostasis (insulin, glucagon, leptin, adiponectin, ghrelin and insul...
Does heterozygosity at the DMRT3 gene make French trotters better racers?
Genetics, selection, evolution : GSE    February 26, 2015   Volume 47, Issue 1 10 doi: 10.1186/s12711-015-0095-7
Ricard A.Recently, a mutation was discovered in the DMRT3 gene that controls pacing in horses. The mutant allele A is fixed in the American Standardbred trotter breed, while in the French trotter breed, the frequency of the wild-type allele C is still 24%. This study aimed at measuring the effect of DMRT3 genotypes on the performance of French trotters and explaining why the polymorphism still occurs in this breed. Using a mixed animal model, genetic parameters and environmental effects on performance traits were estimated from data on 173 176 French trotter races. The effect of the DMRT3 gene was then...
Intra-articular treatment with triamcinolone compared with triamcinolone with hyaluronate: A randomised open-label multicentre clinical trial in 80 lame horses.
Equine veterinary journal    February 2, 2015   Volume 48, Issue 2 152-158 doi: 10.1111/evj.12383
de Grauw JC, Visser-Meijer MC, Lashley F, Meeus P, van Weeren PR.Intra-articular (IA) injection of corticosteroids with or without hyaluronate (HA) has been used for decades in equine practice for treatment of noninfectious synovitis and osteoarthritis. However, to date, no large-scale randomised equine field trials have been reported that address the supposed superior clinical efficacy of the combination of corticosteroid + HA compared with IA injection of corticosteroid alone. Objective: To compare the clinical efficacy of IA triamcinolone acetonide (TA, 12 mg) compared with IA TA (12 mg) + high molecular weight HA (20 mg) in horses with clinical jo...
Brainstem auditory evoked responses in foals: reference values, effect of age, rate of acoustic stimulation, and neurologic deficits.
Journal of veterinary internal medicine    January 27, 2015   Volume 29, Issue 1 362-367 doi: 10.1111/jvim.12499
Lecoq L, Gains M, Blond L, Parent J.Age and rate of acoustic stimulation affect peak latencies in brainstem auditory evoked responses (BAER) in humans. Those effects are unknown in foals. Objective: Our goals were to (1) establish reference values for BAER in foals by using 3 different stimulation protocols, (2) evaluate the effects of age and stimulation frequencies on BAER tracing in foals up to 6 months old, and (3) compare the data with BAER obtained from foals with central nervous system (CNS) disorders. Methods: Thirty-nine neurologically normal foals and 16 foals with neurologic diseases. Methods: Prospective observationa...
Central corneal thickness measurements and ultrasonographic study of the growing equine eye.
Veterinary ophthalmology    January 27, 2015   Volume 18, Issue 6 462-471 doi: 10.1111/vop.12252
Herbig LE, Eule JC.The aim of this study was to determine the central corneal thickness (CCT) of healthy equine eyes with high-frequency ultrasound (HF) and ultrasound biomicroscopy (UBM) and to measure the axial dimensions with B-mode ultrasound. Additionally, the influence of the age on the measured dimensions of the globe was analyzed. Methods: Fifty warm blood horses (mean age 23.0 ± 21.12 months) were divided into 3 age groups (group 1: 0-6 months; group 2: ≥7-30 months; and group 3: ≥31-78 months). Methods: Corneal measurements were performed with a 22-MHz and a 50-MHz transducer. Crystalline lens thi...
Effects of season, age, sex, and housing on salivary cortisol concentrations in horses.
Domestic animal endocrinology    January 21, 2015   Volume 52 11-16 doi: 10.1016/j.domaniend.2015.01.003
Aurich J, Wulf M, Ille N, Erber R, von Lewinski M, Palme R, Aurich C.Analysis of salivary cortisol is increasingly used to assess stress responses in horses. Because spontaneous or experimentally induced increases in cortisol concentrations are often relatively small for stress studies, proper controls are needed. This requires an understanding of the factors affecting salivary cortisol over longer times. In this study, we have analyzed salivary cortisol concentration for 6 mo in horses (n = 94) differing in age, sex, reproductive state, and housing. Salivary cortisol followed a diurnal rhythm with the highest concentrations in the morning and a decrease throug...
Microscopic examination of endometrial biopsies of retired sports mares: an explanation for the clinically observed subfertility?
Research in veterinary science    January 15, 2015   Volume 99 171-179 doi: 10.1016/j.rvsc.2015.01.005
Kilgenstein HJ, Schöniger S, Schoon D, Schoon HA.After their retirement from sports, performance mares often show a poor breeding success. The objective of this study was the microscopic evaluation of endometrial biopsies of retired sports mares (n = 189) to search for alterations that may explain subfertility. Mares of this study aged 3-23 years showed endometritis (30%) and endometrosis (77%); mild forms predominated. In regard to those mares biopsied during the breeding season (n = 99), 50% had glandular differentiation disorders, i.e. glandular inactivity (8%) or irregular glandular differentiation (42%). Compared to literature d...
Voluntary surveillance program for equine influenza virus in the United States from 2010 to 2013.
Journal of veterinary internal medicine    January 14, 2015   Volume 29, Issue 1 417-422 doi: 10.1111/jvim.12519
Pusterla N, Kass PH, Mapes S, Wademan C, Akana N, Barnett C, MacKenzie C, Vaala W.Recent surveillance studies for equine respiratory viruses have shown that equine influenza virus (EIV) continues to be a prevalent respiratory virus of equids throughout the United States and Europe. Objective: To gain a better understanding of the prevalence and epidemiology of EIV shed by horses, mules and donkeys in the United States from March 2010 to November 2013. Methods: 2,605 equids. Methods: Nasal secretions from index cases with acute onset of respiratory disease were tested by qPCR for EIV. Multilevel logistic regression was used to model the association between EIV status and pre...
Musculoskeletal lesions and lameness in 121 horses with carpal sheath effusion (1999-2010). Jorgensen JS, Genovese RL, Döpfer D, Stewart MC.Equine carpal sheath effusion has multiple etiologies. The purpose of this retrospective study was to describe the prevalence of distinct musculoskeletal lesions lameness in a sample of horses with a clinical diagnosis of carpal sheath effusion. A total of 121 horses met inclusion criteria. Seventy-four percent (89/121) of horses were lame at presentation; middle-aged (9-18 years, 80%) and older (> 18 years, 85%) horses were lame more frequently than young horses (< 9 years, 44%). Ninety-three percent (113/121) were diagnosed with osseous and/or soft tissue abnormalities. Of these 113 ho...
Suspensory ligament degeneration associated with pituitary pars intermedia dysfunction in horses.
Veterinary journal (London, England : 1997)    January 6, 2015   Volume 203, Issue 3 348-350 doi: 10.1016/j.tvjl.2014.12.037
Hofberger S, Gauff F, Licka T.In older horses, pituitary pars intermedia dysfunction (PPID) and suspensory ligament (SL) degeneration are common. The aim of the present study was to identify histopathological changes in the SL in horses with PPID. SLs of four horses with clinical signs of PPID (17-26 years of age) were compared with SLs from four old horses (18-31 years of age) and three young horses (4-9 years of age). In horses with PPID, there was reduced longitudinal arrangement of collagen fibres in SLs, along with inclusions of cartilage, extracellular matrix and haemorrhage, as well as significant proteoglycan accum...
Risk factors associated with the transmission of Brazilian spotted fever in the Piracicaba river basin, State of São Paulo, Brazil.
Revista da Sociedade Brasileira de Medicina Tropical    January 1, 2015   Volume 48, Issue 1 11-17 doi: 10.1590/0037-8682-0281-2014
Souza CE, Pinter A, Donalisio MR.Brazilian spotted fever (BSF) is a disease transmitted by ticks for which the etiological agent is Rickettsia rickettsii. The present essay evaluates the risk factors associated with the transmission of cases of BSF in the time period between 2003 and 2013 in the Piracicaba river basin, state of São Paulo. Methods: This essay presents a retrospective study to identify the factors associated with the transmission of cases of BSF among all suspected cases identified by the System for Epidemiological Surveillance of São Paulo (CVE). After the description of temporal distribution (onset of sympt...
Prevalence, location and symmetry of noncatastrophic ligamentous suspensory apparatus lesions in California Thoroughbred racehorses, and association of these lesions with catastrophic injuries.
Equine veterinary journal    December 14, 2014   Volume 48, Issue 1 27-32 doi: 10.1111/evj.12367
Hill AE, Gardner IA, Carpenter TE, Lee CM, Hitchens PL, Stover SM.Knowledge of the site distribution of ligamentous injuries facilitates clinical diagnosis of suspensory apparatus conditions. Objective: To determine if lesions within the suspensory ligament (SL) and distal ligaments of the proximal sesamoid bones (DSLs) were associated with suspensory apparatus failure or metacarpal lateral condylar fracture in California Thoroughbred racehorses. Methods: Cross-sectional study. Methods: Suspensory apparatus specimens from 327 deceased Thoroughbred racehorses were sectioned within the SL body and branches, and oblique and straight DSLs. Purple lesions ≥2 ...
Number and density of equine preantral follicles in different ovarian histological section thicknesses.
Theriogenology    December 9, 2014   Volume 83, Issue 6 1048-1055 doi: 10.1016/j.theriogenology.2014.12.004
Alves KA, Alves BG, Rocha CD, Visonná M, Mohallem RF, Gastal MO, Jacomini JO, Beletti ME, Figueiredo JR, Gambarini ML, Gastal EL.Regardless of species, advances in preantral follicle culture and cryopreservation and transplant of ovarian tissue techniques are dependent on the number and density of preantral follicles in the ovary. This study tested the effect of different histological section thicknesses on number, classification, and density of equine preantral follicles. An ovarian fragment was obtained from 5- to 10-year-old mares (n = 14) after slaughter, and each fragment was submitted to three histological section thickness treatments: 3, 5, and 7 μm. The area (cm(2)) of each ovarian fragment was measured, and...
Idiopathic focal eosinophilic enteritis (IFEE), an emerging cause of abdominal pain in horses: the effect of age, time and geographical location on risk.
PloS one    December 2, 2014   Volume 9, Issue 12 e112072 doi: 10.1371/journal.pone.0112072
Archer DC, Costain DA, Sherlock C.Idiopathic focal eosinophilic enteritis (IFEE) is an emerging cause of abdominal pain (colic) in horses that frequently requires surgical intervention to prevent death. The epidemiology of IFEE is poorly understood and it is difficult to diagnose pre-operatively. The aetiology of this condition and methods of possible prevention are currently unknown. The aims of this study were to investigate temporal and spatial heterogeneity in IFEE risk and to ascertain the effect of horse age on risk. Results: A retrospective, nested case-control study was undertaken using data from 85 IFEE cases and 848 ...
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