Analyze Diet

Topic:Animal Health

Animal Health encompasses a broad range of topics focused on maintaining and improving the well-being of equine species. This field addresses various aspects of horse care, including disease prevention, diagnosis, treatment, and management of health conditions. Key areas of interest include equine nutrition, vaccination protocols, parasite control, dental care, and the management of chronic conditions such as laminitis and colic. Additionally, animal health research in horses investigates the impact of exercise and training on physical health, the role of genetics in disease susceptibility, and the development of new therapeutic approaches. This page compiles peer-reviewed research studies and scholarly articles that explore the latest advancements, challenges, and best practices in preserving and enhancing the health of horses.
The first serological evidence of Anaplasma phagocytophilum in horses in Slovakia.
Acta veterinaria Hungarica    April 7, 2021   Volume 69, Issue 1 31-37 doi: 10.1556/004.2021.00007
Drážovská M, Vojtek B, Mojžišová J, Koleničová S, Koľvek F, Prokeš M, Korytár Ľ, Csanady A, Ondrejková A, Vataščinová T, Bhide MR.Anaplasma phagocytophilum is the causative agent of granulocytic anaplasmosis. It affects humans and several wild and domesticated mammals, including horses. The aim of our study was a preliminary survey of the occurrence of these re-emerging pathogens in horses in Slovakia. The sera from 200 animals of different ages and both sexes were tested for the presence of A. phagocytophilum antibodies by indirect immunofluorescence assay. Subsequently, detection of the 16S rRNA gene fragment of A. phagocytophilum was attempted by polymerase chain reaction (PCR) in each blood sample. Our results confir...
[Rescue of injured horses, cattle and pigs from manure and cesspools by the large animal rescue service Switzerland and Liechtenstein (GTRD CH/FL)®].
Schweizer Archiv fur Tierheilkunde    April 7, 2021   Volume 163, Issue 4 281-290 doi: 10.17236/sat00297
Moser M, Keller R, Blaser C, Fürst AE.One of the varied tasks of the Large Animal Rescue Service Switzerland and Liechtenstein (GTRD CH/FL)® is the recovery of animals from manure and cesspools. The aim of the present retrospective study was the evaluation of the rescue protocols of the GTRD CH/FL from such operations and the documentation of a rescue procedure. In the past 25 years, a total of 176 animals have been rescued from manure and cesspools. These included 113 cattle, 51 horses and 12 pigs. All animals could be safely rescued with the animal rescue and transport net (TBTN) or the large animal vertical rescue set (GTVBS)....
The animal welfare aspects of surgical artificial insemination in the canine.
Australian veterinary journal    April 6, 2021   Volume 99, Issue 4 137 doi: 10.1111/avj.13061
Gunn A, Hyatt J, Annandale A, Annandale H, Heil B, Joone C, Ontiveros M, Ruiz A, Krekeler N, Tazawa P, McGowan M.No abstract available
Orally administered β-glucan improves the hemolytic activity of the complement system in horses.
Veterinary world    April 5, 2021   Volume 14, Issue 4 835-840 doi: 10.14202/vetworld.2021.835-840
Picetti TS, Soveral LF, Miotto R, Erpen LMS, Kreutz Y, Guizzo JA, Frandoloso R, Kreutz LC.Immune-modulating molecules mainly act on innate immune cells, which are central to early defense against invading pathogens and contribute to developing adaptive immunity. Yeast-extracted β-glucan, a model immune-modulating molecule, is widely used in several animal species; however, its effect on horse immune parameters has not been thoroughly investigated yet. This study aimed to evaluate the effects of orally administered β-glucan on selected innate immune parameters in horses. Methods: Eighteen thoroughbred horses were assigned equally into three groups as follows: One control group (no...
Factors Associated with Mortality in Ontario Standardbred Racing: 2003-2015.
Animals : an open access journal from MDPI    April 5, 2021   Volume 11, Issue 4 1028 doi: 10.3390/ani11041028
Physick-Sheard P, Avison A, Sears W.Factors associated with mortality in standardbred racehorses were assessed through a retrospective annualized cohort study of all-cause mortality from 2003-2015 ( = 978) (identified in the Ontario Racehorse Death Registry). Race and qualifying data for official work-events were also gathered (1,778,330 work-events, 125,200 horse years). Multivariable logistic regression analysis revealed sex, age, and indices of workload and intensity and their interactions to be strongly associated with mortality. Track class, race versus qualifying performance, and work-event outcome (finish position, scratc...
Administration of pilocarpine by microneedle patch as a novel method for cystic fibrosis sweat testing.
Bioengineering & translational medicine    April 3, 2021   Volume 6, Issue 3 e10222 doi: 10.1002/btm2.10222
Li S, Hart K, Norton N, Ryan CA, Guglani L, Prausnitz MR.The sweat test is the gold standard for the diagnosis of cystic fibrosis (CF). The test utilizes iontophoresis to administer pilocarpine to the skin to induce sweating for measurement of chloride concentration in sweat. However, the sweat test procedure needs to be conducted in an accredited lab with dedicated instrumentation, and it can lead to inadequate sweat samples being collected in newborn babies and young children due to variable sweat production with pilocarpine iontophoresis. We tested the feasibility of using microneedle (MN) patches as an alternative to iontophoresis to administer ...
Serologic evidence of West Nile virus and Saint Louis encephalitis virus in horses from Southern Brazil.
Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology]    April 2, 2021   Volume 52, Issue 2 1021-1027 doi: 10.1007/s42770-021-00474-7
Weber MN, Mosena ACS, Baumbach LF, da Silva MS, Canova R, Dos Santos DRL, Budaszewski RDF, de Oliveira LV, Soane MM, Saraiva NB, Bellucco FT....Flaviviruses as West Nile virus (WNV), Saint Louis encephalitis virus (SLEV), Ilhéus virus (ILHV), and Rocio virus (ROCV) are previously reported in different Brazilian regions, but studies in Southern Brazil are still scarce. To improve the information regarding flaviviruses in Southern Brazil, horse serum samples were analyzed using RT-qPCR and a commercial ELISA-Ab against WNV followed by PRNT. All 1000 samples analyzed by real-time RT-PCR resulted negative. The 465 subsampled samples were analyzed by a commercial ELISA-Ab against WNV, and the 18.5% (86/465) positive samples were further a...
Environmental Detection and Potential Transmission of Equine Herpesviruses.
Pathogens (Basel, Switzerland)    April 1, 2021   Volume 10, Issue 4 423 doi: 10.3390/pathogens10040423
Dayaram A, Seeber PA, Greenwood AD.Equine herpesviruses (EHV) are a major health concern for domestic and wild equids and represent one of the most economically important disease agents of horses. Most known EHVs are transmitted directly between individuals as a result of direct exposure to exudates and aerosols. However, accumulating evidence suggests that environmental transmission may play a role including air, water, and fomites. Here, we reviewed studies on environmental stability and transmission of EHVs, which may influence viral dynamics and the use of environmental samples for monitoring EHV shedding.
The Influence of Diet Change and Oral Metformin on Blood Glucose Regulation and the Fecal Microbiota of Healthy Horses.
Animals : an open access journal from MDPI    April 1, 2021   Volume 11, Issue 4 976 doi: 10.3390/ani11040976
Ericsson AC, Johnson PJ, Gieche LM, Zobrist C, Bucy K, Townsend KS, Martin LM, LaCarrubba AM.Common treatments for Equine Metabolic Syndrome (EMS) and associated conditions include removal from pasture and adoption of an all-hay diet. Pharmacological treatments for EMS include metformin, a biguanide antihyperglycemic agent also administered to people to help improve glucose tolerance and insulin sensitivity. Both treatments may work, at least partially, through the gut microbiota, yet little is known regarding these effects in the equine host. To determine the influence on the fecal microbiota of this diet change and administration of metformin, six healthy horses were removed from pa...
Coenzyme Q-10 improves preservation of mitochondrial functionality and actin structure of cryopreserved stallion sperm.
Animal reproduction    March 31, 2021   Volume 18, Issue 1 e20200218 doi: 10.1590/1984-3143-AR2020-0218
Lançoni R, Celeghini ECC, Giuli V, de Carvalho CPT, Zoca GB, Garcia-Oliveros LN, Batissaco L, Oliveira LZ, de Arruda RP.Coenzyme Q-10 (CoQ-10) is a cofactor for mitochondrial electron transport chain and may be an alternative to improve sperm quality of cryopreserved equine semen. This work aimed to improve stallion semen quality after freezing by adding CoQ-10 to the cryopreservation protocol. Seven saddle stallions were utilized. Each animal was submitted to five semen collections and freezing procedures. For cryopreservation, each ejaculate was divided in three treatments: 1) Botucrio® diluent (control); 2) 50 μmol CoQ-10 added to Botucrio® diluent; 3) 1 mmol CoQ-10 added to Botucrio® diluent. Semen batc...
Urban Horses As Environmental Bioindicators for Leishmaniasis.
Vector borne and zoonotic diseases (Larchmont, N.Y.)    March 31, 2021   Volume 21, Issue 7 534-538 doi: 10.1089/vbz.2020.2760
Lopes KFC, Delai RM, Fazoli KGZ, Rey LMR, Lopes-Mori FMR, Benitez ADN, Borges Neto A, Bernardes JC, Caldart ET, Mitsuka-Breganó R, Navarro IT....The presence of DNA and anti- spp. antibodies in the serum of 112 healthy horses was investigated by evaluating the physical examination, from a rural society located in the north central region of Paraná. The antigens of , , and were used to perform the indirect enzyme-linked immunosorbent assay, where it was possible to detect the reaction in 27.67% of the samples. These were also subjected to the real-time quantitative PCR, which confirmed the presence of spp. DNA in 67.34% of the tested samples. The results show that the tested animals were previously exposed to the protozoan. Thus, the...
Effects of Spermine and Spermidine supplemented extenders on post-thaw Spermatological Parameters in Stallion Semen Cryopreservation.
Cryobiology    March 29, 2021   Volume 100 72-76 doi: 10.1016/j.cryobiol.2021.03.008
Olğaç KT, Akçay E.In this study, the effects of polyamines, Spermine and Spermidine, on long-term preservation and post-thaw spermatological parameters were evaluated. Moreover, determination of the most suitable polyamine and its dose that can be added to standard extenders were aimed. Four adult Arabian stallions were used in the study. Five ejaculates were collected from each of four stallions via artificial vagina two days interval. Each ejaculate was divided into 13 aliquots. INRA96 (95,5%), egg yolk (2%), and glycerol (2,5%) were used as a control extender. Extenders of experimental groups were prepared w...
An inactivated bacterium (paraprobiotic) expressing Bacillus thuringiensis Cry5B as a therapeutic for Ascaris and Parascaris spp. infections in large animals.
One health (Amsterdam, Netherlands)    March 26, 2021   Volume 12 100241 doi: 10.1016/j.onehlt.2021.100241
Urban JF, Nielsen MK, Gazzola D, Xie Y, Beshah E, Hu Y, Li H, Rus F, Flanagan K, Draper A, Vakalapudi S, Li RW, Ostroff GR, Aroian RV. and are important parasites in the family Ascarididae, large, ubiquitous intestinal-dwelling nematodes infecting all classes of vertebrates. Parasitic nematode drug resistance in veterinary medicine and drug recalcitrance in human medicine are increasing worldwide, with few if any new therapeutic classes on the horizon. Some of these parasites are zoonotic, , is passed from humans to pigs and . The development of new therapies against this family of parasites would have major implications for both human and livestock health. Here we tested the therapeutic ability of a paraprobiotic or dead ...
Detection of Equine Hoof Motion by Using a Hoof-Mounted Inertial Measurement Unit Sensor in Comparison to Examinations with an Optoelectronic Technique – A Pilot Study.
Journal of equine veterinary science    March 26, 2021   Volume 101 103454 doi: 10.1016/j.jevs.2021.103454
Hagen J, Jung FT, Brouwer J, Bos R.This study aimed to determine whether a hoof-mounted inertial measurement unit (IMU) system would provide similar timing characteristics and step lengths, in walk and trot on different grounds, compared to those of an established optoelectronic motion system. The right hoof of one horse was equipped with an IMU sensor with an optical reference marker on top. Fifteen steps on firm ground, and five on penetrable ground, were performed at walk and trot. Level of agreement between the two measurement systems was determined by assessing the concordance correlation coefficients, accuracy, and precis...
“Adopt-a-Tissue” Initiative Advances Efforts to Identify Tissue-Specific Histone Marks in the Mare.
Frontiers in genetics    March 26, 2021   Volume 12 649959 doi: 10.3389/fgene.2021.649959
Kingsley NB, Hamilton NA, Lindgren G, Orlando L, Bailey E, Brooks S, McCue M, Kalbfleisch TS, MacLeod JN, Petersen JL, Finno CJ, Bellone RR.No abstract available
Estimation of Liveweight from Body Measurements through Best Fitted Regression Model in Dezhou Donkey Breed.
Journal of equine veterinary science    March 26, 2021   Volume 101 103457 doi: 10.1016/j.jevs.2021.103457
Zhang Z, Zhan Y, Han Y, Liu Z, Wang Y, Wang C.Dezhou donkey is an excellent local hide, meat and milk breed in Shandong Province. To accelerate the speed of breeding, reproduction and conversation, correlation and multiple regression analysis between body weight (BW) and body size of Dezhou donkey rearing under intensive farms was made by SAS 9.4 software (Statistical Analysis for Windows). A total of 162 donkeys of both gender of age 2 ~ 10 years old were used to investigate the relationships between BW and body dimensional traits (cm) including height of withers, body length; thoracic depth, thoracic girth (TG), thoracic width (TW), cir...
Molecular characterization and antimicrobial resistance of potentially human-pathogenic Escherichia coli strains isolated from riding horses.
BMC veterinary research    March 25, 2021   Volume 17, Issue 1 131 doi: 10.1186/s12917-021-02832-x
Reshadi P, Heydari F, Ghanbarpour R, Bagheri M, Jajarmi M, Amiri M, Alizade H, Badouei MA, Sahraei S, Adib N.Transmission of antimicrobial resistant and virulent Escherichia coli (E. coli) from animal to human has been considered as a public health concern. This study aimed to determine the phylogenetic background and prevalence of diarrheagenic E. coli and antimicrobial resistance in healthy riding-horses in Iran. In this research, the genes related to six main pathotypes of E. coli were screened. Also, genotypic and phenotypic antimicrobial resistance against commonly used antibiotics were studied, then phylo-grouping was performed on all the isolates. Results: Out of 65 analyzed isolates, 29.23...
Study on Strongyle Infection of Donkeys and Horses in Hosaena District, Southern Ethiopia.
Veterinary medicine (Auckland, N.Z.)    March 22, 2021   Volume 12 67-73 doi: 10.2147/VMRR.S297951
Mathewos M, Fesseha H, Yirgalem M.Gastrointestinal helminth parasite infection is a major influencing factor against the profitability of working equines all over the world. Methods: This cross-sectional study was conducted in the Hosaena district to investigate the prevalence and the potential risk factors of strongyle infection. To address this, 384 equines; donkeys (n = 208), and horses (n = 176) were randomly selected for the coprological examination to identify strongyle eggs using the floatation technique. Results: The study revealed that the overall prevalence of strongyle infection in the Hosaena district was 54.2% and...
Equine Genital Squamous Cell Carcinoma Associated with EcPV2 Infection: RANKL Pathway Correlated to Inflammation and Wnt Signaling Activation.
Biology    March 21, 2021   Volume 10, Issue 3 244 doi: 10.3390/biology10030244
Mecocci S, Porcellato I, Armando F, Mechelli L, Brachelente C, Pepe M, Gialletti R, Passeri B, Modesto P, Ghelardi A, Cappelli K, Razzuoli E.Equine genital squamous cell carcinomas (egSCCs) are among the most common equine tumors after sarcoids, severely impairing animal health and welfare. papillomavirus type 2 (EcPV2) infection is often related to these tumors. The aim of this study was to clarify the molecular mechanisms behind egSCCs associated with EcPV2 infection, investigating receptor activator of nuclear factor-kappa B ligand (RANKL) signaling in NF-kB pathway, together with the Wnt and IL17 signaling pathways. We analyzed the innate immune response through gene expression evaluation of key cytokines and transcription fac...
Seroprevalence and Risk Factors for Exposure to Equine Coronavirus in Apparently Healthy Horses in Israel.
Animals : an open access journal from MDPI    March 21, 2021   Volume 11, Issue 3 894 doi: 10.3390/ani11030894
Schvartz G, Tirosh-Levy S, Barnum S, David D, Sol A, Pusterla N, Steinman A.Equine coronavirus (ECoV) infection is the cause of an emerging enteric disease of adult horses. Outbreaks have been reported in the USA, EU and Japan, as well as sporadic cases in the UK and Saudi Arabia. Infection of ECoV in horses in Israel has never been reported, and the risk of exposure is unknown. Importation and exportation of horses from and into Israel may have increased the exposure of horses in Israel to ECoV. While the disease is mostly self-limiting, with or without supportive treatment, severe complications may occur in some animals, and healthy carriers may pose a risk of infec...
Variation among stallions in sperm quality after single layer centrifugation.
Reproduction in domestic animals = Zuchthygiene    March 19, 2021   Volume 56, Issue 6 848-856 doi: 10.1111/rda.13924
Al-Kass Z, Brown A, Johannisson A, Ntallaris T, Morrell JM.Although single layer centrifugation (SLC) selects robust spermatozoa from stallion semen, the effect of individual variation has not been studied in detail. The objective of this study was to determine the variation among stallions in the effects of SLC on sperm quality during cooled storage for up to 48 hr. Semen samples from seven stallions (18 ejaculates) were split, with one portion being used for SLC and the other serving as a control (CON). Sperm quality (kinematics, reactive oxygen species (ROS) production, membrane integrity (MI) and chromatin integrity) were analysed at 0, 24 and 48...
Horses are sensitive to baby talk: pet-directed speech facilitates communication with humans in a pointing task and during grooming.
Animal cognition    March 18, 2021   Volume 24, Issue 5 999-1006 doi: 10.1007/s10071-021-01487-3
Lansade L, Trösch M, Parias C, Blanchard A, Gorosurreta E, Calandreau L.Pet-directed speech (PDS) is a type of speech humans spontaneously use with their companion animals. It is very similar to speech commonly used when talking to babies. A survey on social media showed that 92.7% of the respondents used PDS with their horse, but only 44.4% thought that their horse was sensitive to it, and the others did not know or doubted its efficacy. We, therefore, decided to test the impact of PDS on two tasks. During a grooming task that consisted of the experimenter scratching the horse with their hand, the horses (n = 20) carried out significantly more mutual grooming g...
Activity Time Budgets-A Potential Tool to Monitor Equine Welfare?
Animals : an open access journal from MDPI    March 17, 2021   Volume 11, Issue 3 850 doi: 10.3390/ani11030850
Auer U, Kelemen Z, Engl V, Jenner F.Horses' behavior can provide valuable insight into their subjective state and is thus a good indicator of welfare. However, its complexity requires objective, quantifiable, and unambiguous evidence-based assessment criteria. As healthy, stress-free horses exhibit a highly repetitive daily routine, temporal quantification of their behavioral activities (time budget analysis) can assist in equine welfare assessment. Therefore, the present systematic review aimed to provide an up-to-date analysis of equine time budget studies. A review of the literature yielded 12 papers that fulfilled the inclus...
Investigating the population structure and genetic diversity of Arabian horses in Oman using SNP markers.
Animal genetics    March 17, 2021   Volume 52, Issue 3 304-310 doi: 10.1111/age.13056
Al Abri MA, Brooks SA, Al-Saqri N, Alkharousi K, Johnson EH, Alqaisi O, Al-Rawahi A, Al Marzooqi W.Arabian horses were selected for metabolic efficiency, beauty, efficiency and endurance. Therefore, Bedouins have for centuries traced their prized horses' ancestries. With the establishment of the World Arabian Horse Organization (WAHO), registration of Arabian horses became centralized and countries worldwide registered them in its database. Most existing Arabian horses in Oman today were imported after the 1970s and are predominantly flat-racing Arabians. This work aimed at revealing the genetic background and diversity of Omani Arabian horses by comparing them with Arabian horses from a di...
Besnoitiosis in donkeys: an emerging parasitic disease of equids in Italy.
Parasitology research    March 16, 2021   Volume 120, Issue 5 1811-1819 doi: 10.1007/s00436-021-07089-9
Villa L, Gazzonis AL, Diezma-Diaz C, Perlotti C, Zanzani SA, Ferrucci F, Álvarez-García G, Manfredi MT.Besnoitiosis is an emerging parasitic disease of equids. Italy is one of the few European countries where the circulation of Besnoitia spp. antibodies was demonstrated. In this study, a case of clinical besnoitiosis in two donkeys in northern Italy is reported. The two animals were clinically examined. Serum and blood samples were analyzed for the detection of Besnoitia spp. antibodies and for hematology, biochemistry, and enzyme activity, respectively. ITS-1 PCR and sequencing were carried out on DNA extracted from skin biopsies. Clinical examination revealed numerous scleral pearls in eyes o...
Effects of Fatigue on Stride Parameters in Thoroughbred Racehorses During Races.
Journal of equine veterinary science    March 16, 2021   Volume 101 103447 doi: 10.1016/j.jevs.2021.103447
Takahashi Y, Takahashi T, Mukai K, Ohmura H.Exercise intensity during races is considerably high. To understand how Thoroughbreds adapt to fatigue conditions, stride parameters for the first and second lap of the race (2400-m, turf) were compared. A high-speed video system was set in a right lateral position about 20 m before the finishing post, with a field view width of about 16 m. The stride frequency, the length between each limb (hind step, diagonal step, fore step, and airborne step), and stride length were measured and analyzed using a generalized linear mixed model. Compared with the first lap, the mean ± standard deviation val...
Investigation of erythrocyte antigen frequencies in draft horse populations in Japan to assess blood donor suitability.
Journal of equine science    March 16, 2021   Volume 32, Issue 1 17-19 doi: 10.1294/jes.32.17
Kakoi H, Kikuchi M, Ishige T, Nagata SI, Hirosawa Y, Tanaka S, Kishinami T.Erythrocyte alloantigen frequencies of draft horses in Japan were investigated to assess blood donor suitability for transfusion. Here, 148 Japanese draft, 69 Percheron, and 65 Breton horses were blood-typed and subjected to an indirect antiglobulin test. Regarding the major immunogenic factors, the rates of Aa- and Qa-negative horses ranged from 0.35 to 0.49 and from 0.82 to 1.00, respectively. The rate of alloantibody-positive horses ranged from 0.12 to 0.35. Although the prevalence of alloantibodies in these horses was higher than that expected naturally, the rates of Aa- and Qa-negative ho...
Study design synopsis: Observational study design in equine research.
Equine veterinary journal    March 14, 2021   Volume 53, Issue 4 638-644 doi: 10.1111/evj.13427
Lawson A, Pinchbeck G.When planning to conduct research, thorough consideration of the study design is essential to enable valid results and purposeful conclusions. A good study design will provide a strong basis for robust conclusions that can contribute to the evidence base. Conversely, a poor study design may unintentionally lead to invalid conclusions with inappropriate claims of the clinical importance. The purpose of this article is to review important aspects of observational study design, with an emphasis on observational clinical research. The value of an observational study can be manifold and the benefit...
Prevalence of heterophilic antibodies in serum samples from horses in an equine hospital, and elimination of interference using chicken IgY.
Acta veterinaria Scandinavica    March 12, 2021   Volume 63, Issue 1 10 doi: 10.1186/s13028-021-00575-1
Dong B, Bergman D, Holst BS.Heterophilic antibodies in serum and plasma can interfere with mammalian antibodies in immunoassays and result in false test results, usually false positive. Although studies screening for heterophilic antibodies as well as elimination studies have been conducted in dogs and cats, knowledge of the presence of heterophilic antibodies in other species in veterinary medicine is limited. In this study, a 2-site sandwich-type interference assay that detects anti-mouse antibodies was used to detect heterophilic antibodies in a population of horses treated in an animal hospital. Results: A total of 1...
The Use of Platelet-Rich Plasma for Treatment of Tenodesmic Lesions in Horses: A Systematic Review and Meta-Analysis of Clinical and Experimental Data.
Animals : an open access journal from MDPI    March 12, 2021   Volume 11, Issue 3 doi: 10.3390/ani11030793
Montano C, Auletta L, Greco A, Costanza D, Coluccia P, Del Prete C, Meomartino L, Pasolini MP.The use of platelet-rich plasma (PRP) to enhance tenodesmic lesion healing has been questioned over the years. The aim of this study was to evaluate current literature to establish the effectiveness of PRP for treating tenodesmic lesions through a systematic review, in accordance with the PRISMA guidelines, and a meta-analysis. Studies comparing PRP with placebo or other treatments for horses with tenodesmic injuries or evaluated PRP effect on tendon and ligament explants were included. Outcomes were clinical, ultrasound, histologic, molecular evaluation, and adverse effects. Two authors indep...