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Topic:Clinical Pathology

Clinical pathology in horses involves the study and analysis of biological samples to diagnose and monitor diseases and health conditions. This discipline encompasses various laboratory tests and procedures that assess the physiological and biochemical status of equines. Common analyses include hematology, biochemistry, urinalysis, and cytology, each providing insights into different aspects of equine health. Hematology evaluates blood components, such as red and white blood cells and platelets, to identify conditions like anemia or infection. Biochemistry tests measure enzymes, electrolytes, and metabolites to assess organ function and metabolic status. Urinalysis examines urine samples for indicators of renal function and systemic diseases. Cytology involves the microscopic examination of cells from tissues or fluids to detect abnormalities. This page aggregates peer-reviewed research studies and scholarly articles that explore the methodologies, applications, and diagnostic value of clinical pathology in equine medicine.
A Critical Overview of the Use of Platelet-Rich Plasma in Equine Medicine Over the Last Decade.
Frontiers in veterinary science    March 31, 2021   Volume 8 641818 doi: 10.3389/fvets.2021.641818
Camargo Garbin L, Lopez C, Carmona JU.In the 1990s, the role of platelets in inflammation and tissue healing was finally recognized. Since then, the clinical use of platelet-derived products (hemocomponents), such as, platelet-rich plasma (PRP), markedly increased. The promise of a more economical option of a disease-modifying treatment led to the intensive and continuous research of PRP products and to its widespread clinical use. A number of protocols and commercial kits have been developed with the intention of creating a more practical and reliable option for clinical use in equine patients. Still, the direct comparison betwee...
Attenuated Total Reflection Fourier Transform Infrared (ATR FT-IR) Spectroscopy for the Quantitative Analysis of Deuterium in Plasma: Application to Total Body Water Determination in Humans and Other Animals.
Applied spectroscopy    March 30, 2021   Volume 75, Issue 6 698-705 doi: 10.1177/00037028211002532
Ward LC.Conventional methods for measuring the concentration of deuterium in body fluids are by either isotope ratio mass spectrometry or Fourier transform infrared transmission (FT-IR) spectroscopy. The latter method is often preferred as it is less expensive and time consuming; however, having a lower sensitivity means a larger sample volume is required. This study investigated an alternative FT-IR spectroscopic method, attenuated total reflection Fourier transform infrared spectroscopy (ATR FT-IR), which has the potential to provide shorter analysis times while requiring smaller sample volumes. Deu...
Current Concepts in Fluid Therapy in Horses.
Frontiers in veterinary science    March 29, 2021   Volume 8 648774 doi: 10.3389/fvets.2021.648774
Crabtree NE, Epstein KL.Despite the frequent inclusion of fluid therapy in the treatment of many conditions in horses, there are limited studies available to provide evidenced-based, species-specific recommendations. Thus, equine fluid therapy is based on the application of physiology and extrapolation from evidence in other veterinary species and human medicine. The physiologic principles that underly the use of fluids in medicine are, at first glance, straightforward and simple to understand. However, in the past 20 years, multiple studies in human medicine have shown that creating recommendations based on theory i...
Meropenem Administered via Intravenous Regional Limb Perfusion for Orthopedic Sepsis in Horses: A Clinical Retrospective Study.
Frontiers in veterinary science    March 26, 2021   Volume 8 629627 doi: 10.3389/fvets.2021.629627
Mosichuk AP, Smith JS, Tatarniuk DM, Troy JR, Kreuder AJ.Septic synovitis is a critical orthopedic condition in horses. Early intervention is key, with antibiotic therapy typically initiated prior to culture and susceptibility reports becoming available. The pharmacokinetics of several antibiotics have been studied in horses for use in intravenous regional limb perfusion (IVRLP) for septic synovitis, including the carbapenem antibiotic, meropenem. For a variety of factors, some veterinary clinicians may select IVRLP meropenem as therapy for these cases. Meropenem is a vital antibiotic in human medicine, making veterinary use divisive. However, verif...
Colonic Health in Hospitalized Horses Treated with Non-Steroidal Anti-Inflammatory Drugs – A Preliminary Study.
Journal of equine veterinary science    March 26, 2021   Volume 101 103451 doi: 10.1016/j.jevs.2021.103451
van Galen G, Saegerman C, Hyldahl Laursen S, Jacobsen S, Andersson Munk M, Sjöström H, Holm Lindmark S, Verwilghen D.Non-steroidal anti-inflammatory drugs (NSAIDs) can cause right dorsal colitis, but longitudinal clinical studies are lacking. This study investigates whether NSAID treated horses develop right dorsal colonic pathology in a clinical setting. Non-gastrointestinal hospitalized horses treated with NSAIDs >4 days, and untreated hospital-owned teaching horses and non-gastrointestinal client-owned hospitalized horses were included. All horses were monitored over time with clinical examinations (focusing on presence of colic, depression, reduced appetite, unstructured feces), ultrasonographic intestin...
Venom-Induced Consumption Coagulopathy Unresponsive to Antivenom After Echis carinatus sochureki Envenoming.
Wilderness & environmental medicine    March 26, 2021   Volume 32, Issue 2 221-225 doi: 10.1016/j.wem.2021.01.004
Gopalakrishnan M, Yadav P, Mathur R, Midha N, Garg MK.Snakebite envenoming is a serious and life-threatening but neglected problem in the tropics. The focus in the Indian subcontinent is usually on the Indian cobra (Naja naja), common krait (Bungarus caeruleus), Russell's viper (Daboia russelii), and Indian saw-scaled viper (Echis carinatus). The Indian polyvalent antivenom contains hyperimmunized horse antibodies against only these 4 species. However, regional intraspecific variations are important in viper envenomings, leading to marked differences in clinical presentation and response to the available polyvalent antivenom. Echis carinatus soch...
Equine leptospirosis: Experimental challenge of Leptospira interrogans serovar Bratislava fails to establish infection in naïve horses.
Equine veterinary journal    March 25, 2021   Volume 53, Issue 4 845-854 doi: 10.1111/evj.13442
Zilch TJ, Lee JJ, Saleem MZ, Zhang H, Cortese V, Voris N, McDonough SP, Divers TJ, Chang YF.Little information is available about experimental inoculation of leptospirosis in horses and the pathogenicity of Leptospira interrogans serovar Bratislava in this host. Objective: To determine the serological, clinical, pathological and haematological responses of horses to L. interrogans serovar Bratislava strain PigK151. Methods: Randomised controlled in vivo experiment. Methods: Ten seronegative female foals were divided into 2 groups, control (n = 4) and challenged (n = 6). The challenged group received 1 × 109 leptospires divided equally between topical ocular and intraperitoneal...
What have we learned from 7 years of equine rhinitis B virus qPCR testing in nasal secretions from horses with respiratory signs.
The Veterinary record    March 24, 2021   Volume 188, Issue 10 e26 doi: 10.1002/vetr.26
Bernardino P, James K, Barnum S, Corbin R, Wademan C, Pusterla N.Equine rhinitis B virus (ERBV) has been given little attention by practitioners compared to other respiratory viruses, mainly because of the lack of diagnostic modalities and association with clinical disease. The objective of the study was to determine the frequency of detection of ERBV in nasal secretions from 6568 horses with acute onset of respiratory signs. ERBV-positive qPCR results from nasal secretions submitted to a molecular diagnostic laboratory from 2013 to 2019 were reviewed. A total of 333 ERBV qPCR-positive samples (5.1%) were detected with increasing yearly frequency since the ...
Comparison of Four Different Allergy Tests in Equine Asthma Affected Horses and Allergen Inhalation Provocation Test.
Journal of equine veterinary science    March 17, 2021   Volume 102 103433 doi: 10.1016/j.jevs.2021.103433
Klier J, Lindner D, Reese S, Mueller RS, Gehlen H.Potential triggers for equine asthma are allergens from hay and straw dusts, mold spores and storage mites. The contribution of these environmental trigger factors to equine asthma is still largely uncertain. The aim of this study was to compare results of four allergy tests from healthy and asthma-affected horses, and to evaluate the clinical relevance of allergens tested positive via specific inhalation provocation test. Fifteen horses were classified using a clinical scoring system as asthmatic (n = 9) or control (n = 6). Four different allergy tests (functional in vitro test, intraderm...
Treatment of equine sarcoids using recombinant poxviruses expressing feline interleukin-2.
Veterinary dermatology    March 16, 2021   Volume 32, Issue 3 283-e77 doi: 10.1111/vde.12941
Loschelder-Ostrowski J, Winter JC, Merle R, Klopfleisch R, Gehlen H.Interleukin (IL)-2 stimulates antitumour immunity and is successfully used for the treatment of different neoplasias. Objective: Canarypox virus locally expressing feline IL-2 is safe and can be used to treat equine sarcoids. Methods: Twenty horses of different breeds with a median age of eight years (interquartile range 6.0-13.3 years) and a total number of 59 sarcoids were included in the study. Methods: In this prospective clinical trial, sarcoids were injected twice seven days apart, with a recombinant canarypox virus expressing feline IL-2. Complete blood counts (CBC) and fibrinogen level...
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...
Diagnostic Imaging and Cytological Analysis Aid the Clinical Investigation of Long Digital Extensor Tendon Subtendinous Bursitis in a Horse.
Journal of equine veterinary science    March 16, 2021   Volume 101 103449 doi: 10.1016/j.jevs.2021.103449
Lapjit C, Charoenchanikran P, Petchkaew P, Sukpipattanamongkol S, Yodsheewan R, Theerapan W, Chanda M.The fetlock joint is a high mobility structure that accommodates enormous loading during locomotion. An injury of the superficial constituent such as subtendinous bursitis may occur due to repeated trauma. An 8-year old school riding horse was presented with dorsomedial distension in the left hindlimb fetlock region. The lesion was noted following routine exercise. The horse demonstrated no lameness and a negative response to the fetlock flexion test. Radiographic findings revealed a smooth surface cortical thickening on the medial aspect of the distal third metatarsal bone. Furthermore, the u...
Effect of seasons and sex on the physical, hematological, and blood biochemical parameters of Noma horses.
Journal of equine science    March 16, 2021   Volume 32, Issue 1 21-25 doi: 10.1294/jes.32.21
Ono T, Inoue Y, Hisaeda K, Yamada Y, Hata A, Miyama TS, Shibano K, Kitagawa H, Ohzawa E, Iwata E.This study aimed to evaluate the influence of seasons and sex on body size and hematological and biochemistry parameters of Noma horses, a native Japanese breed. Body size was larger in winter than in summer. Laboratory testing variables, including erythrocytic parameters and urea nitrogen, total cholesterol, and creatinine kinase levels, were higher in winter, while the eosinophil count was higher in summer. These seasonal differences may be related to increased energy consumption of horses due to heat stress. The higher eosinophil counts may have been related to the dermatitis observed in su...
Impact of Ambient Temperature Sample Storage on the Equine Fecal Microbiota.
Animals : an open access journal from MDPI    March 15, 2021   Volume 11, Issue 3 819 doi: 10.3390/ani11030819
Martin de Bustamante M, Plummer C, MacNicol J, Gomez D.Sample storage conditions are an important factor in fecal microbiota analyses in general. The objective of this study was to investigate the effect of sample storage at room temperature on the equine fecal microbiota composition. Fecal samples were collected from 11 healthy horses. Each sample was divided into 7 sealed aliquots. One aliquot was immediately frozen at -80 °C; the remaining aliquots were stored at room temperature (21 to 22 °C) with one transferred to the freezer at each of the following time points: 6, 12, 24, 48, 72 and 96 h. The Illumina MiSeq sequencer was used for high-th...
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...
Study design synopsis: How to conduct, prepare, analyse and report equine biomechanical studies.
Equine veterinary journal    March 12, 2021   Volume 53, Issue 4 645-648 doi: 10.1111/evj.13439
Egenvall A, Marr CM, Byström A.No abstract available
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...
Ex vivo comparison of standing and recumbent repair of incomplete parasagittal fractures of the first phalanx in horses.
Veterinary surgery : VS    March 12, 2021   Volume 50, Issue 4 775-783 doi: 10.1111/vsu.13612
Labens R, Jermyn K.To assess suspensory ligament extensor branch location and fracture gap reduction with simulation of standing and recumbent cortical bone screw repair of experimental incomplete parasagittal proximal phalanx (P1) fractures. Methods: Controlled laboratory study. Methods: Twenty equine cadaver forelimbs. Methods: Simulated fractures were repaired twice in random order. A proximal cortical bone screw was placed in lag fashion with the limb unloaded (simulated recumbent repair) and loaded to 38% of body weight (range, 375-568 kg; simulated standing repair). Changes in fracture gap width were ass...
Relationship between hepatic grayish-white solid nodules in horses imported from Canada and larval Echinococcus multilocularis infection.
The Canadian veterinary journal = La revue veterinaire canadienne    March 12, 2021   Volume 62, Issue 3 285-288 
Hifumi T, Tanaka T, Hernandez EP, Akioka K, Yamada K, Imamura Y, Hatai H, Miyoshi N.Histopathological and genetic examinations were conducted on grayish-white solid hepatic nodules in 150 horses imported from Canada, in order to investigate larval Echinococcus multilocularis infection. Ten of the 150 horses (6.7%) were diagnosed with alveolar hydatid disease. The sequences of the mitochondrial cytochrome b genes obtained from all 10 polymerase chain reaction positive samples had 99 to 100% identity with the European haplotype E1 of E. multilocularis. Therefore, we concluded that the infections likely originated in Canada. Relation entre les nodules hépatiques solides blanc-g...
Use of quantitative real-time PCR to determine the local inflammatory response in the intestinal mucosa and muscularis of horses undergoing small intestinal resection.
Equine veterinary journal    March 10, 2021   Volume 54, Issue 1 52-62 doi: 10.1111/evj.13429
Lisowski ZM, Lefevre L, Mair TS, Clark EL, Hudson NPH, Hume DA, Pirie RS.Studies in rodents and humans have demonstrated that intestinal manipulation or surgical trauma initiates an inflammatory response in the intestine which results in leucocyte recruitment to the muscularis externa causing smooth muscle dysfunction. Objective: To examine the intestinal inflammatory response in horses undergoing colic surgery by measuring relative differential gene expression in intestinal tissues harvested from surgical colic cases and control horses. Methods: Prospective case-control study. Methods: Mucosa and muscularis externa were harvested from healthy margins of resected s...
The pharmacokinetics of a fentanyl matrix patch applied at three different anatomical locations in horses.
Equine veterinary journal    March 10, 2021   Volume 54, Issue 1 153-158 doi: 10.1111/evj.13424
Skrzypczak H, Reed R, Brainard B, Sakai D, Barletta M, Quandt J, Smyth C, Ruch M, Knych H.Matrix fentanyl patches have not been investigated in horses and may represent an effective means of providing analgesia over an extended time period without venous catheterisation. Objective: To describe the pharmacokinetics of a matrix transdermal fentanyl patch in horses. Methods: Randomised experiment, Latin-square design. Methods: Six adult horses were given each of three treatments with a 96-hour washout. For each treatment, two 100 µg/h matrix fentanyl patches were applied to the inguinal region (TXA), metacarpus (TXM) or ventral tail base (TXT) for 72 hours. Blood samples for fentan...
Clinical features, treatment, and outcome of aural hematomas in horses: 7 cases (2008-2019).
Journal of the American Veterinary Medical Association    March 9, 2021   Volume 258, Issue 6 654-660 doi: 10.2460/javma.258.6.654
Boorman S, Boone LH, White A.To characterize the clinical features, treatment, and outcome of aural hematomas in horses. Methods: 7 horses with 1 or 2 aural hematomas (8 ears in total) treated at a veterinary teaching hospital in 2008 through 2019. Methods: Data retrieved from medical records included signalment, pertinent historical information, clinical signs, diagnostic procedures (including dermatologic assessment), and treatments. Case outcome was determined from documentation in the medical record or via telephone communication with owners or referring veterinarians. Results: 3 horses were presented after recurrence...
Three-dimensional printed guides for screw placement in equine navicular bones.
Veterinary surgery : VS    March 9, 2021   Volume 50, Issue 4 758-766 doi: 10.1111/vsu.13616
Perez-Jimenez EE, Biedrzycki AH, Morton AJ, McCarrel TM.To determine the influence of a custom 3D-printed guide for placement of cortical bone screws in the equine navicular bone. Methods: Ex vivo study. Methods: Eight pairs of normal adult equine forelimbs. Methods: A 3.5 × 55 mm cortical screw was placed in the longitudinal axis of each intact navicular bone. Screws were placed with a 3D-printed guide (3D) in one bone and with a traditional aiming device (AD) in the contralateral bone within each pair. Duration of surgery and the number of fluoroscopy images were compared between techniques. Screw placement was subjectively evaluated by gros...
A Comparison of the Colonic Microbiome and Volatile Organic Compound Metabolome of Anoplocephala perfoliata Infected and Non-Infected Horses: A Pilot Study.
Animals : an open access journal from MDPI    March 9, 2021   Volume 11, Issue 3 doi: 10.3390/ani11030755
Slater R, Frau A, Hodgkinson J, Archer D, Probert C.Anoplocephala perfoliata is a common equine tapeworm associated with an increased risk of colic (abdominal pain) in horses. Identification of parasite and intestinal microbiota interactions have consequences for understanding the mechanisms behind parasite-associated colic and potential new methods for parasite control. A. perfoliata was diagnosed by counting of worms in the caecum post-mortem. Bacterial DNA was extracted from colonic contents and sequenced targeting of the 16S rRNA gene (V4 region). The volatile organic compound (VOC) metabolome of colonic contents was characterised using gas...
Evaluation of Treatment With Respiratory Gene Technology and Serum in a Group of Standard Bred Racehorses With Cytological Evidence of Mild Equine Asthma.
Journal of equine veterinary science    March 8, 2021   Volume 101 103435 doi: 10.1016/j.jevs.2021.103435
Hansen S, Laustsen L, Otten ND, Skovgaard K, Bech R, Byrgesen S, Hopster-Iversen C, Fjeldborg J.Alternative treatment options to glucocorticoids for equine asthma is desirable due to withdrawal time. The objective was to evaluate if serum and Respiratory Gene Technology (RGT), a commercial kit to produce autologous conditioned serum, was effective in reducing bronchoalveolar lavage (BAL) neutrophils and mast cells in racehorses with cytological evidence of mild equine asthma . Thirty-six Standardbred trotters in active training were enrolled in this randomized clinical trial; a healthy control group (n=11), a RGT group (n=12) and a serum group (n=13). Endoscopy including tracheal wash (T...
Determination of Positional Parameters of the Distal Phalanx Within the Hoof Capsule in Sound Colombian Paso Horses.
Journal of equine veterinary science    March 8, 2021   Volume 101 103434 doi: 10.1016/j.jevs.2021.103434
Cardona GA, Uribe A, Ortved K.The economic relevance, populational importance and expansion of the Colombian Paso Horse to other latitudes calls for a growth in studies based on this type of horse. Lack of written reports about the relationship of the distal phalanx (DP) within the hoof in this gaited horse makes it important to establish a baseline to determine hoof health and possible alterations. The purpose of this study was to report, for the first time, the positional parameters of the distal phalanx, and its relationship within the hoof in sound Colombian Paso Horses. A latero-medial radiographic image of each dig...
Effects of a nutraceutical supplement on gastrointestinal health in racing standardbreds.
Journal of animal physiology and animal nutrition    March 6, 2021   Volume 105, Issue 3 558-568 doi: 10.1111/jpn.13508
Wellard L, Medyk K, Pearson W.Feed additives that accelerate gastrointestinal transit time may help support normal gastrointestinal function in horses at risk for impaction colic. Previous research has demonstrated significant stimulatory effect of a hemp-based nutraceutical product (Gs Formula; GF) on contractility of gastric smooth muscle and gastrin production in vitro. Objective: To quantify effects of GF on indicators of GIT transit time and tight junction proteins. Methods: Randomized placebo-controlled cross-over study. Methods: Eight Standardbreds were administered 200 plastic beads by nasogastric tube before (base...
Complications following equine sacroiliac region analgesia are uncommon: A study in 118 horses.
PloS one    March 2, 2021   Volume 16, Issue 3 e0247781 doi: 10.1371/journal.pone.0247781
Offord SCJ, Read RM, Pudney CJ, Bathe AP.Diagnosis of sacroiliac region pain is supported by a positive response to sacroiliac region analgesia (SIRA). Varying techniques have been described for SIRA; with clinician preference often dictating method. Potential complications following SIRA include ataxia and recumbency. No study has specifically evaluated the prevalence of complications. To describe the complication prevalence following SIRA in a referral clinic. Retrospective cohort study. Review of records from horses presented to two of the authors at Rossdales, Newmarket, between January 2014 and December 2018, that underwent SIRA...
Assay variability and storage stability of the myeloperoxidase index of the ADVIA 2120i hematology analyzer in canine and equine whole blood samples.
Veterinary clinical pathology    March 2, 2021   Volume 50, Issue 1 28-36 doi: 10.1111/vcp.12981
Chu SAA, Stokol T.The myeloperoxidase index (MPXI), on ADVIA hematology analyzers, reflects the mean neutrophil myeloperoxidase staining. It is used as a marker of inflammation in animals and people, but assay variability and storage stability are unknown. Objective: We aimed to determine MPXI precision and stability with refrigerated storage of canine and equine EDTA-anticoagulated blood and compared MPXI results between two analyzers. Methods: Inter-assay coefficients of variations (CVs) were determined from three human-based controls assayed before and after a 20- or 21-day calibration. Blood from 14-16 dogs...
Validation of a flow cytometric assay to detect intraerythrocytic reactive oxygen species in horses.
Veterinary clinical pathology    March 1, 2021   Volume 50, Issue 1 20-27 doi: 10.1111/vcp.12976
Serpa PBS, Woolcock A, Taylor SD, Pires Dos Santos A.Oxidative stress refers to the accumulation of reactive oxygen species (ROS). Most assays for ROS detection are costly, laborious, and usually use indirect markers. The use of 2',7'-dichlorodihydrofluorescein diacetate (DCFH-DA) is a possible alternative. This substance becomes a fluorochrome when oxidized by ROS, with the resultant fluorescence proportional to ROS concentration. Erythrocytes are highly exposed to ROS, resulting in cell damage and consequently impaired oxygen delivery. The effects of this exposure in physiologic and pathologic conditions necessitate an improvement in ROS detec...
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