Analyze Diet

Topic:Blood

The study of blood in horses encompasses the examination of its components, functions, and its role in equine health and disease. Blood consists of various elements, including red blood cells, white blood cells, platelets, and plasma, each serving specific functions such as oxygen transport, immune response, clotting, and nutrient distribution. Analyzing blood parameters can provide insights into the physiological and pathological states of horses. Common blood tests in equine medicine assess parameters like hematocrit, hemoglobin concentration, and white cell counts to monitor health status, diagnose conditions, and guide treatment decisions. This page compiles peer-reviewed research studies and scholarly articles that explore the composition, function, and clinical applications of blood analysis in horses.
Effect of dietary omega-3 fatty acid source on plasma and red blood cell membrane composition and immune function in yearling horses.
Journal of animal science    September 25, 2009   Volume 88, Issue 1 248-257 doi: 10.2527/jas.2009-2253
Vineyard KR, Warren LK, Kivipelto J.To determine the effect of different sources of dietary n-3 fatty acids (FA) on plasma and red blood cell (RBC) FA composition and immune response, 18 Quarter Horse yearlings were randomly and equally assigned to 1 of 3 treatments: encapsulated fish oil (n = 6), milled flaxseed (n = 6), or no supplementation (control, n = 6). Fish oil contained 15 g of eicosapentaenoic acid (C20:5n-3) and 12.5 g of docosahexaenoic acid (C22:6n-3), and flaxseed contained 61 g of alpha-linolenic acid (C18:3n-3) per 100 g of FA. Horses had free access to bahiagrass pasture during the active growing season and wer...
Sensitization of skin mast cells with IgE antibodies to Culicoides allergens occurs frequently in clinically healthy horses.
Veterinary immunology and immunopathology    September 23, 2009   Volume 132, Issue 1 53-61 doi: 10.1016/j.vetimm.2009.09.015
Wagner B, Miller WH, Erb HN, Lunn DP, Antczak DF.IgE antibodies are mediators of mast cell degranulation during allergic diseases. The binding of IgE to its high-affinity IgE receptor on mast cell surfaces is called "sensitization" and precedes the development of clinical allergy. Previously, intradermal injection of anti-IgE or the anti-IgG(T) antibody CVS40 induced immediate skin reactions in horses. This suggested that both IgE and IgG(T) sensitize equine skin mast cells. Here, we investigated sensitization to allergen and with IgE or IgG(T) in clinically healthy horses of different age groups. In addition, immediate skin reactions to Cul...
Vitamin K deficiency bleeding in a Standardbred colt.
Journal of veterinary internal medicine    September 22, 2009   Volume 23, Issue 6 1307-1310 doi: 10.1111/j.1939-1676.2009.0388.x
McGorum BC, Henderson IS, Stirling D, Wallace R, Haggart C, Thomas AE.No abstract available
Effects of blood contamination on peritoneal D-dimer concentration in horses with colic.
Journal of veterinary internal medicine    September 16, 2009   Volume 23, Issue 6 1232-1238 doi: 10.1111/j.1939-1676.2009.0381.x
Delgado MA, Monreal L, Armengou L, Segura D, Ríos J.Peritoneal D-Dimer concentration can be determined to assess peritoneal fibrinolysis activity in horses with gastrointestinal disorders. However, blood contamination of peritoneal fluid may occur during collection and could alter peritoneal D-Dimer concentration. Objective: Blood contamination in peritoneal fluid does not affect interpretation of peritoneal D-Dimer concentration in horses with colic. Methods: Thirty-four horses with colic and 4 healthy horses. Methods: Peritoneal fluid and blood samples were simultaneously collected upon admission. Then, peritoneal fluid was serially contamina...
Assessment of prothrombin time, activated partial thromboplastin time, and fibrinogen concentration on equine plasma samples following different storage conditions. Casella S, Giannetto C, Fazio F, Giudice E, Piccione G.The aim of the present study was to assess the effect of different storage conditions on prothrombin time (PT), activated partial thromboplastin time (aPTT), and fibrinogen concentration in clinical samples from healthy horses. A total of 100 healthy horses of varying breeds and gender, ranging in age from 4 to 18 years, with a mean body weight of 480 +/- 70 kg, were used. Blood was collected by jugular venipuncture, and a hemochrome-cytometric examination was conducted on all samples. All blood samples were centrifuged and divided into 4 different aliquots to assess clotting parameters by mea...
A study of cardiovascular function under controlled and spontaneous ventilation in isoflurane-medetomidine anaesthetized horses.
Veterinary anaesthesia and analgesia    August 28, 2009   Volume 36, Issue 5 426-435 doi: 10.1111/j.1467-2995.2009.00477.x
Kalchofner KS, Picek S, Ringer SK, Jackson M, Hässig M, Bettschart-Wolfensberger R.To determine, in mildly hypercapnic horses under isoflurane-medetomidine balanced anaesthesia, whether there is a difference in cardiovascular function between spontaneous ventilation (SV) and intermittent positive pressure ventilation (IPPV). Methods: Prospective randomized clinical study. Methods: Sixty horses, undergoing elective surgical procedures under general anaesthesia: ASA classification I or II. Methods: Horses were sedated with medetomidine and anaesthesia was induced with ketamine and diazepam. Anaesthesia was maintained with isoflurane and a constant rate infusion of medetomidine...
Comparison of viscoelastic coagulation analysis and standard coagulation profiles in critically ill neonatal foals to outcome.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    August 21, 2009   Volume 19, Issue 1 88-95 doi: 10.1111/j.1476-4431.2009.00378.x
Dallap Schaer BL, Bentz AI, Boston RC, Palmer JE, Wilkins PA.To determine if changes in viscoelastic variables are associated with abnormalities observed in the standard coagulation profile and patient outcome in foals with suspected septicemia. Methods: Prospective clinical trial during 2003 and 2004 foal season. Methods: Neonatal intensive care unit at a veterinary teaching hospital. Methods: Thirty critically ill foals <72-hour-old admitted sequentially meeting criteria for systemic inflammatory response associated with infection. Methods: Hemostatic evaluation, using standard coagulation testing and viscoelastic analysis, was performed at admissi...
Whole blood selenium concentrations in endurance horses.
Veterinary journal (London, England : 1997)    August 19, 2009   Volume 186, Issue 2 192-196 doi: 10.1016/j.tvjl.2009.07.017
Haggett E, Magdesian KG, Maas J, Puschner B, Higgins J, Fiack C.Exercise causes an increase in the production of reactive oxygen species, which can result in oxidant/antioxidant disequilibrium. Deficiency of antioxidants can further alter this balance in favor of pro-oxidation. Selenium (Se) is one of many antioxidant catalysts, as a component of the glutathione peroxidase enzymes. Soils and forages vary widely in Se concentration and a deficient diet can lead to sub-clinical or clinical deficiency in horses. Endurance horses are prone to oxidative stress during long periods of aerobic exercise and their performance could be affected by Se status. This stu...
Effect of administration of propofol and xylazine hydrochloride on recovery of horses after four hours of anesthesia with desflurane.
American journal of veterinary research    August 4, 2009   Volume 70, Issue 8 956-963 doi: 10.2460/ajvr.70.8.956
Steffey EP, Mama KR, Brosnan RJ, Imai A, Maxwell LK, Cole CA, Stanley SD.To compare characteristics of horses recovering from 4 hours of desflurane anesthesia with and without immediate postanesthetic IV administration of propofol and xylazine. Animals-8 healthy horses (mean +/- SEM age, 6.6 +/- 1.0 years; mean body weight, 551 +/- 50 kg). Methods: Horses were anesthetized twice. Both times, anesthesia was induced with a combination of xylazine hydrochloride, diazepam, and ketamine hydrochloride and then maintained for 4 hours with desflurane in oxygen. Choice of postanesthetic treatment was randomly assigned via a crossover design such that each horse received an ...
Re-emergence of West Nile virus in Italy.
Zoonoses and public health    July 30, 2009   Volume 57, Issue 7-8 476-486 doi: 10.1111/j.1863-2378.2009.01245.x
Monaco F, Lelli R, Teodori L, Pinoni C, Di Gennaro A, Polci A, Calistri P, Savini G.In August 2008, West Nile disease re-emerged in Italy. The infection is affecting the North Eastern regions and, as of November 2008, has caused 33 clinical cases and five fatalities in horses. Until now, no deaths have been reported in birds. Mosquitoes, blood, serum and tissue samples, from horses and birds, within and around the outbreak area, have been collected and tested by various methods both serologically and virologically. West Nile virus strains have been isolated from blood samples of one horse and one donkey and from pools of brain, kidneys, heart and spleen of a pigeon and three ...
Detection of bloodstream infection in neonatal foals with suspected sepsis using real-time PCR.
The Veterinary record    July 28, 2009   Volume 165, Issue 4 114-117 doi: 10.1136/vetrec.165.4.114
Pusterla N, Mapes S, Byrne BA, Magdesian KG.No abstract available
Multivariate analysis for characteristics of heat tolerance in horses in Brazil.
Tropical animal health and production    July 7, 2009   Volume 42, Issue 2 185-191 doi: 10.1007/s11250-009-9404-x
Castanheira M, Paiva SR, Louvandini H, Landim A, Fiorvanti MC, Paludo GR, Dallago BS, McManus C.The environment in which the horse is reared affects its ability to maintain thermal balance which is in turn related to thermal characteristics and regulatory physiological mechanisms. In this study a multivariate analysis of physiological traits in relation to heat tolerance in horses was carried out in the Federal District, Brazil. The aim was to test the ability of these analyses to separate groups of animals and determine which physiological traits are most important in the adaptation to heat stress. Forty adult horses (4 to 13 years) were used, ten from each of four different genetic gro...
Effect of age and mitogen on the frequency of interleukin-4 and interferon gamma secreting cells in foals and adult horses as assessed by an equine-specific ELISPOT assay.
Veterinary immunology and immunopathology    June 25, 2009   Volume 133, Issue 1 66-71 doi: 10.1016/j.vetimm.2009.06.010
Ryan C, Giguère S, Hagen J, Hartnett C, Kalyuzhny AE.Peripheral blood mononuclear cells (PBMCs) were obtained from 6 foals <1 week of age, 6 foals between 3 and 4 months of age, and 10 adult horses. PBMCs were stimulated with concanavalin A (ConA) or calcium ionomycin-phorbol myristate acetate (CaI-PMA) and the frequency of interferon IFN-gamma and IL-4 secreting cells was measured using an equine-specific ELISPOT assay. The number of IFN-gamma secreting cells was significantly lower in both groups of foals than in adult horses regardless of the mitogen used for stimulation. The number of IFN-gamma secreting cells was significantly higher in ...
Exercise-induced up-regulation of MMP-1 and IL-8 genes in endurance horses.
BMC physiology    June 24, 2009   Volume 9 12 doi: 10.1186/1472-6793-9-12
Cappelli K, Felicetti M, Capomaccio S, Pieramati C, Silvestrelli M, Verini-Supplizi A.The stress response is a critical factor in the training of equine athletes; it is important for performance and for protection of the animal against physio-pathological disorders.In this study, the molecular mechanisms involved in the response to acute and strenuous exercise were investigated using peripheral blood mononuclear cells (PBMCs). Results: Quantitative real-time PCR (qRT-PCR) was used to detect modifications in transcription levels of the genes for matrix metalloproteinase-1 (MMP-1) and interleukin 8 (IL-8), which were derived from previous genome-wide expression analysis. Signific...
Haematological and serum biochemical reference values for apparently healthy working horses in Pakistan.
Research in veterinary science    June 23, 2009   Volume 87, Issue 3 389-395 doi: 10.1016/j.rvsc.2009.05.003
Pritchard JC, Burn CC, Barr AR, Whay HR.This study aimed to establish comprehensive reference values for horses working in developing countries, and to compare them against accepted values for horses in developed countries, supporting diagnosis and clinical decision-making. Horses in developing countries usually perform strenuous work in hot, resource-limited conditions, so their 'normal' blood parameters may differ from other horses. Blood was analysed from 203 working horses in Pakistan, meeting defined clinical criteria. Age, sex, body condition and work-type showed small significant effects, but none were clinically relevant. Of...
Evaluation of a modified thrombelastography assay initiated with recombinant human tissue factor in clinically healthy horses.
Veterinary clinical pathology    June 22, 2009   Volume 38, Issue 4 462-466 doi: 10.1111/j.1939-165X.2009.00157.x
Leclere M, Lavoie JP, Dunn M, Bédard C.Thrombelastography (TEG) is used to evaluate the viscoelastic properties of blood during clotting and provides a global assessment of hemostasis and clot lysis. TEG analysis initiated with recombinant human tissue factor (TF) has not been evaluated in clinically healthy horses. Objective: The purpose of this study was to determine whether TEG results are affected by the time elapsed between sampling and analysis (storage time) of equine blood samples and to establish a preliminary equine reference interval for a modified TEG assay, using recombinant human TF to initiate coagulation. Methods: C...
Effect of blood lactate-guided conditioning of horses with exercises of differing durations and intensities on heart rate and biochemical blood variables.
Journal of animal science    June 19, 2009   Volume 87, Issue 10 3211-3217 doi: 10.2527/jas.2009-2001
Lindner A, Mosen H, Kissenbeck S, Fuhrmann H, Sallmann HP.The velocity at which blood lactate concentration ([LA]) of 4 mmol/L is reached (v(4)) is widely used to determine fitness, but there are few published data on using [LA] as a guide for the exercise speed for training in horses. In this study, the effect of 3 conditioning programs with [LA] guided exercise speeds on v(4), v(200) (speed at a heart rate of 200 beats/min), blood [LA], plasma FFA ([FFA]), and alanine concentrations ([alanine]), before and after exercise, as well as heart rate during exercise, of horses was examined. Six 2-yr-old Haflinger stallions underwent an initial treadmill-b...
Overtrained horses alter their resting pulsatile growth hormone secretion.
American journal of physiology. Regulatory, integrative and comparative physiology    June 3, 2009   Volume 297, Issue 2 R403-R411 doi: 10.1152/ajpregu.90778.2008
de Graaf-Roelfsema E, Veldhuis PP, Keizer HA, van Ginneken MM, van Dam KG, Johnson ML, Barneveld A, Menheere PP, van Breda E, Wijnberg ID....The influence of intensified and reduced training on nocturnal growth hormone (GH) secretion and elimination dynamics was studied in young (1.5 yr) Standardbred geldings to detect potential markers indicative for early overtraining. Ten horses trained on a treadmill for 32 wk in age-, breed-, and gender-matched fixed pairs. Training was divided into four phases (4, 18, 6, and 4 wk, respectively): 1) habituation to high-speed treadmill trotting, 2) normal training, in which speed and duration of training sessions were gradually increased, 3) in this phase, the horses were divided into 2 groups:...
Stability and reproducibility of ADVIA 120-measured red blood cell and platelet parameters in dogs, cats, and horses, and the use of reticulocyte haemoglobin content (CH(R)) in the diagnosis of iron deficiency.
Tijdschrift voor diergeneeskunde    May 13, 2009   Volume 134, Issue 7 272-278 
Prins M, van Leeuwen MW, Teske E.Modern laser-based haematology analysers such as the ADVIA 120 have species-specific software and offer the possibility of assessing new haematological parameters. These parameters have yet to be evaluated, and as these analysers are often used in referral laboratories, it is important to know whether the values of haematological parameters change during sample transport. Therefore, samples of EDTA-anticoagulated blood from nine healthy dogs and EDTA- and citrate-anticoagulated blood from six healthy horses were collected and stored at room temperature for 72 and 48 hours, respectively. In can...
Effects of high and low inspired fractions of oxygen on horse erythrocyte membrane properties, blood viscosity and muscle oxygenation during anaesthesia.
Veterinary anaesthesia and analgesia    May 12, 2009   Volume 36, Issue 4 287-298 doi: 10.1111/j.1467-2995.2009.00459.x
Portier K, Crouzier D, Guichardant M, Prost M, Debouzy JC, Kirschvink N, Fellmann N, Lekeux P, Coudert J.To evaluate whether a period of hyperoxia or after a period of hypoxia produced changes attributable to reactive oxygen species in anaesthetized horses. Methods: Prospective randomized experimental study. Methods: Six healthy (ASA I) geldings, aged 4.5-9.5 years and weighing 510-640 kg(-1). Methods: After 30 minutes breathing air as carrier gas for isoflurane, horses were assigned randomly to breathe air as carrier gas (CG0.21) or oxygen as carrier gas (CG1.00) for a further 90 minutes. After an interval of 1 month each horse was re-anaesthetized with the other carrier gas for the 90 minute te...
alpha-Lipoic acid supplementation enhances heat shock protein production and decreases post exercise lactic acid concentrations in exercised standardbred trotters.
Research in veterinary science    May 8, 2009   Volume 87, Issue 3 462-467 doi: 10.1016/j.rvsc.2009.04.009
Kinnunen S, Hyyppä S, Oksala N, Laaksonen DE, Hannila ML, Sen CK, Atalay M.Heat shock protein (HSP) expression is an adaptive mechanism against the disruption of cell homeostasis during exercise. Several antioxidant supplementation strategies have been used to enhance tissue protection. In this study, we examined the effects of a redox modulator, alpha-lipoic acid (LA) on HSP responses in six standardbred trotters following intense aerobic exercise. DL-LA supplementation (25 mg kg(-1) d(-1)) for five weeks increased the resting levels of HSP90 (1.02+/-0.155 in control and 1.26+/-0.090 after supplementation in arbitrary units) and the recovery levels of inducible HSP7...
Prediction of incipient pasture-associated laminitis from hyperinsulinaemia, hyperleptinaemia and generalised and localised obesity in a cohort of ponies.
Equine veterinary journal    May 8, 2009   Volume 41, Issue 2 171-178 doi: 10.2746/042516408x342975
Carter RA, Treiber KH, Geor RJ, Douglass L, Harris PA.The ability to predict ponies at increased risk of laminitic episodes, when exposed to nutrient dense pasture, would facilitate management to avoid disease. Objective: To identify variables and clinically useful cut-off values with reproducible diagnostic accuracy for the prediction of ponies that subsequently developed laminitis when exposed to nutrient dense pasture. Methods: A cohort of predominantly Welsh and Dartmoor ponies from a closed herd was evaluated in March 2006 (n = 74) and March 2007 (n = 57). Ponies were categorised as never laminitic or previously laminitic according to report...
Blood culture status in mature horses with diarrhoea: a possible association with survival.
Equine veterinary journal    May 8, 2009   Volume 41, Issue 2 160-164 doi: 10.2746/042516409x360208
Johns I, Tennent-Brown B, Schaer BD, Southwood L, Boston R, Wilkins P.The incidence and implications of positive blood cultures in mature horses with diarrhoea is unknown. The diagnosis of bacteraemia may alter treatment and prognosis. Objective: The proportion of horses with diarrhoea that are blood culture positive is higher than previously assumed and a positive blood culture has a negative impact on survival. Methods: Blood cultures were taken at admission and 24 h after admission from 31 mature horses with diarrhoea. Results: Nine (29%) horses were blood culture positive within 24 h of admission. Organisms isolated included Corynebacterium spp. (n = 6), Str...
Effect of sedation with detomidine and butorphanol on pulmonary gas exchange in the horse.
Acta veterinaria Scandinavica    May 7, 2009   Volume 51, Issue 1 22 doi: 10.1186/1751-0147-51-22
Nyman G, Marntell S, Edner A, Funkquist P, Morgan K, Hedenstierna G.Sedation with alpha2-agonists in the horse is reported to be accompanied by impairment of arterial oxygenation. The present study was undertaken to investigate pulmonary gas exchange using the Multiple Inert Gas Elimination Technique (MIGET), during sedation with the alpha2-agonist detomidine alone and in combination with the opioid butorphanol. Methods: Seven Standardbred trotter horses aged 3-7 years and weighing 380-520 kg, were studied. The protocol consisted of three consecutive measurements; in the unsedated horse, after intravenous administration of detomidine (0.02 mg/kg) and after sub...
Evaluation of systemic relaxin blood profiles in horses as a means of assessing placental function in high-risk pregnancies and responsiveness to therapeutic strategies.
Annals of the New York Academy of Sciences    May 7, 2009   Volume 1160 169-178 doi: 10.1111/j.1749-6632.2008.03802.x
Ryan PL, Christiansen DL, Hopper RM, Bagnell CA, Vaala WE, Leblanc MM.Placental insufficiency is regarded as the primary factor contributing to late-term abortion and perinatal death of foals. Often when problems associated with late-term pregnancy in the horse are manifest the condition is well-advanced and therapeutic intervention may not be effective in rescuing the pregnancy. If a compromised pregnancy due to placental insufficiency could be identified early, the pregnancy might be sustained through medical intervention. Because the placenta is the sole source of circulating relaxin in the mare, we hypothesized that systemic relaxin may serve as a biomarker ...
Method for co-purification of equine neutrophil elastase and myeloperoxidase from a limited blood volume.
Research in veterinary science    May 5, 2009   Volume 87, Issue 3 358-363 doi: 10.1016/j.rvsc.2009.04.002
de la Rebière de Pouyade G, Serteyn D, Deby-Dupont G, Franck T.Neutrophil myeloperoxidase (MPO) and elastase can be released in severe inflammatory diseases and cause tissue injuries. Equine enzymes have already been individually purified from large blood quantities. We describe the isolation of both enzymes from a same limited blood volume. Both MPO and elastase were extracted by crushing PMN isolated by centrifugation on a percoll-gradient from a 460 ml blood collection. MPO and elastase were separated by an ionic exchange chromatography phase and further purified by gel filtration chromatography on Superdex 200 and 75, respectively. Enzymes were identi...
Microsatellite loci in urine supernatant and stored samples from racehorses.
American journal of veterinary research    May 2, 2009   Volume 70, Issue 5 648-657 doi: 10.2460/ajvr.70.5.648
Chen JW, Uboh CE, Soma LR, Li X, Guan F, You Y.To evaluate whether urine supernatant contains amplifiable DNA and to determine factors that influence genotyping of samples from racehorses after storage and transportation. Methods: 580 urine, 279 whole blood, and 40 plasma samples obtained from 261 Thoroughbreds and Standardbreds. Methods: Genomic DNA was isolated from stored blood and urine samples collected from racehorses after competition. Quantified DNA was evaluated to determine whether 5 equine microsatellite loci (VHL20, HTG4, AHT4, HMS6, and HMS7) could be amplified by use of PCR techniques. Fragment size of each amplified locus wa...
Effects of long-term extracorporeal blood perfusion of the distal portion of isolated equine forelimbs on metabolic variables and morphology of laminar tissue.
American journal of veterinary research    May 2, 2009   Volume 70, Issue 5 669-677 doi: 10.2460/ajvr.70.5.669
Patan B, Budras KD, Licka TF.To establish an ex vivo model of blood perfusion in the distal portion of isolated equine forelimbs that closely represents the in vivo situation in the laminar tissue of the hoof. Methods: 18 forelimbs collected from 9 healthy adult horses following slaughter at a licensed abattoir. Methods: The distal portion of isolated equine forelimbs from 9 horses were perfused under physiologic conditions over a period of 6, 8, and 10 hours with autologous blood. To determine cell viability in perfused tissues, indicators for metabolism (lactate generation and glucose and oxygen consumption) as well as ...
Daily pattern of some fatty acids in the athletic horse.
Journal of animal physiology and animal nutrition    April 24, 2009   Volume 93, Issue 1 7-14 doi: 10.1111/j.1439-0396.2007.00790.x
Piccione G, Assenza A, Borruso M, Fazio F, Caola G.In the sport field, non-esterified fatty acids (NEFA) are important for the physical performance during the aerobic exercise of short intensity and long duration. In man, rat, goat and in the sedentary horse studies on the chronometabolism showed the presence of a circadian rhythm of the plasmatic concentration of NEFA while data for the athletic horse are lacking. To define a chronogram helpful for a specific planning and the differentiation of the training programmme in the athletic horse, the circadian pattern of some fatty acids (NEFA, palmitic, stearic, oleic, linoleic and linolenic acids...
Disruption of the periovulatory LH surge by a transient increase in circulating 17beta-estradiol at the time of ovulation in mares.
Animal reproduction science    April 23, 2009   Volume 117, Issue 1-2 178-182 doi: 10.1016/j.anireprosci.2009.04.003
Ginther OJ, Almamun M, Shahiduzzaman AK, Beg MA.The mechanism for a reported temporal association between ovulation and a transient disruption in the periovulatory increase in LH concentrations was studied in nine mares treated with human chorionic gonadotropin when the preovulatory follicle was >/=32mm. Examinations for ovulation detection and blood collection were done at 2-h intervals and the results were retrospectively centralized to ovulation (Hour 0). Concentrations of LH began to increase (P<0.03) rapidly at Hour -18, decreased (P<0.04) between Hours 0 and 6, and again increased (P<0.0001) after Hour 12. A progressive de...
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