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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.
Plasma disposition of gabapentin after the intragastric administration of escalating doses to adult horses.
Journal of veterinary internal medicine    February 8, 2020   Volume 34, Issue 2 933-940 doi: 10.1111/jvim.15724
Gold JR, Grubb TL, Green S, Cox S, Villarino NF.In humans, gabapentin an analgesic, undergoes non-proportional pharmacokinetics which can alter efficacy. No information exists on the pharmacokinetics of dosages >20 mg/kg, escalating dosages or dose proportionality of gabapentin in horses. Objective: Gabapentin exposure in plasma would not increase proportionally relative to the dose in horses receiving dosages ≥20 mg/kg. To assess the plasma pharmacokinetics of gabapentin after nasogastric administration of gabapentin at dosages of 10 to 160 mg/kg in adult horses. Methods: Nine clinically healthy adult Arabian and Quarter Horses....
Inter-user and intra-user variation of two tonometers in horses.
Equine veterinary journal    February 8, 2020   Volume 52, Issue 4 572-576 doi: 10.1111/evj.13208
Lewin AC, Liu CC, Camacho-Luna P, Alling C, Carter RT.It is currently unknown which of the two devices most commonly used in equine ophthalmology for intraocular pressure (IOP) estimation demonstrates the lowest inter-user and intra-user variation. Objective: To assess the inter-user and intra-user variation of two tonometers in sedated and unsedated horses. Methods: Randomised masked cross-over trial. Methods: Four examiners used the rebound (ICare TonoVet) and applanation (TonoPen ) tonometers to measure the intraocular pressure (IOP) in triplicate in 10 normal horses before and after sedation with xylazine. For inter-user variation, coefficien...
Subchondral lucencies of the proximal tibia in 17 horses.
Veterinary surgery : VS    February 7, 2020   Volume 49, Issue 4 778-786 doi: 10.1111/vsu.13387
Santschi EM, Whitman JL, Prichard MA, Lopes MAF, Pigott JH, Brokken MT, Jenson PW, Johnson CR, Morrow C, Brusie RW, Juzwiak JS, Morehead JP.To describe subchondral lucencies (SCL) in the equine proximal tibia, several treatment options, and clinical outcomes. Methods: Retrospective study. Methods: Seventeen horses with proximal tibial SCL. Methods: Medical record and radiograph review. Follow-up was obtained via examination and radiography when possible and by telephone and race records when required. The median duration of follow-up was 20 months (range, 0-48). Results: Proximal tibial SCL were associated with lameness in 14 of 17 horses. Subchondral lucencies were primary in 11 horses and secondary to an ipsilateral medial fem...
The Sick Adult Horse: Renal Clinical Pathologic Testing and Urinalysis.
The Veterinary clinics of North America. Equine practice    February 6, 2020   Volume 36, Issue 1 121-134 doi: 10.1016/j.cveq.2019.12.003
Schott HC, Esser MM.Clinicopathologic evaluation of renal function and renal disease in sick adult horses remains grounded in detection of azotemia, assessment of serum and urine electrolyte concentrations, and evaluation of urinalysis findings, including specific gravity, reagent strip analysis, and sediment examination. Because increases in serum or plasma urea nitrogen and creatinine concentrations are insensitive indicators of a decreased glomerular filtration rate, there is considerable interest in identifying novel biomarkers of renal function or injury in blood and urine, with serum symmetric dimethylargin...
Ovarian histopathology, pre- and post-operative endocrinological analysis and behavior alterations in 27 mares undergoing bilateral standing laparoscopic ovariectomy.
The Canadian veterinary journal = La revue veterinaire canadienne    February 6, 2020   Volume 61, Issue 2 181-186 
Devick IF, Leise BS, McCue PM, Rao S, Hendrickson DA.Determining if ovariectomy will abolish unwanted behaviors can be challenging in mares without ultrasonographic ovarian abnormalities and/or endocrine values not consistent with a granulosa cell tumor. The objective of the study was to identify mares that have a positive improvement in unwanted behaviors after elective standing laparoscopic ovariectomy and to determine if the change is associated with any pre- and post-operative endocrine profiles and/or with ovarian histological findings. During the study period 27 mares underwent a bilateral standing laparoscopic ovariectomy. Pre- and post-o...
Accuracy of transcranial magnetic stimulation and a Bayesian latent class model for diagnosis of spinal cord dysfunction in horses.
Journal of veterinary internal medicine    February 6, 2020   Volume 34, Issue 2 964-971 doi: 10.1111/jvim.15699
Rijckaert J, Raes E, Buczinski S, Dumoulin M, Deprez P, Van Ham L, van Loon G, Pardon B.Spinal cord dysfunction/compression and ataxia are common in horses. Presumptive diagnosis is most commonly based on neurological examination and cervical radiography, but the interest into the diagnostic value of transcranial magnetic stimulation (TMS) with recording of magnetic motor evoked potentials has increased. The problem for the evaluation of diagnostic tests for spinal cord dysfunction is the absence of a gold standard in the living animal. Objective: To compare diagnostic accuracy of TMS, cervical radiography, and neurological examination. Methods: One hundred seventy-four horses ad...
Differences in isolation rate and antimicrobial susceptibility of bacteria isolated from foals with sepsis at admission and after ≥48 hours of hospitalization.
Journal of veterinary internal medicine    February 5, 2020   Volume 34, Issue 2 955-963 doi: 10.1111/jvim.15692
Theelen MJP, Wilson WD, Byrne BA, Edman JM, Kass PH, Mughini-Gras L, Magdesian KG.Antimicrobial treatment protocols for foals with sepsis that do not improve clinically often are adjusted based on bacteriological and antimicrobial susceptibility testing results from samples collected at hospital admission. Objective: To evaluate whether hospitalization for ≥48 hours affects bacteriological and antimicrobial susceptibility testing results. Methods: Two-hundred sixty-seven foals <30 days of age admitted to a neonatal intensive care unit and diagnosed with sepsis. Methods: Medical records were reviewed retrospectively to identify foals with sepsis and positive bacteri...
Agreement of stall-side and laboratory major crossmatch tests with the reference standard method in horses.
Journal of veterinary internal medicine    February 4, 2020   Volume 34, Issue 2 941-948 doi: 10.1111/jvim.15710
Fenn MS, Bortsie-Aryee AD, Perkins GA, Mann S, Tomlinson JE, Wood EM, Mix SE, Stokol T.Crossmatching is used to prevent life-threatening transfusion reactions in horses. Laboratory methods are laborious and technically challenging, which is impractical during emergencies. Objective: Evaluate agreement between a stall-side crossmatch kit (KIT) and a laboratory method (LAB) in horses with known and unknown blood types. Methods: Twenty-four blood-typed and alloantibody-screened healthy adult horses (Aim 1) and 156 adult horses of unknown blood type (Aim 2). Methods: Prospective, blinded study. Expected positive (n = 35) and negative (n = 36) crossmatches among 24 antibody and blood...
Management of postoperative dysphagia after prosthetic laryngoplasty or arytenoidectomy.
Veterinary surgery : VS    February 4, 2020   Volume 49, Issue 3 529-539 doi: 10.1111/vsu.13389
Luedke LK, Cheetham J, Mohammed HO, Ducharme NG.To evaluate the efficacy of various treatments for dysphagia after laryngeal surgery. Methods: Retrospective. Methods: Horses treated for dysphagia after laryngeal surgery. Methods: Medical records of horses treated for dysphagia after prosthetic laryngoplasty (PLP) or partial arytenoidectomy (PA) were reviewed. Signalment, prior surgery, preoperative videoendoscopic diagnosis, and surgical treatments were recorded. Short- and long-term follow-up were obtained. Chi-square and logistical regression were performed to correlate independent variables and outcomes. Results: Forty-four percent of ho...
Fatal intestinal inflammatory lesions in equids in California: 710 cases (1990-2013).
Journal of the American Veterinary Medical Association    January 31, 2020   Volume 256, Issue 4 455-462 doi: 10.2460/javma.256.4.455
Macías-Rioseco M, Hill AE, Uzal FA.To determine incidences and underlying causes of fatal intestinal inflammatory lesions (FIILs) and demographic characteristics of affected equids necropsied at any of the California Animal Health and Food Safety Laboratory facilities between January 1, 1990, and April 16, 2013. Methods: 710 equids with FIILs, including colitis, duodenitis, enteritis, enterocolitis, enteropathy, enterotyphlitis, gastritis, gastroenteritis, ileitis, jejunitis, typhlitis, or typhlocolitis, alone or in combination. Methods: The medical records were reviewed, and data collected included animal age, sex, geographic ...
Equine Inflammatory Markers in the Twenty-First Century: A Focus on Serum Amyloid A.
The Veterinary clinics of North America. Equine practice    January 30, 2020   Volume 36, Issue 1 147-160 doi: 10.1016/j.cveq.2019.12.005
Long A, Nolen-Walston R.Serum amyloid A (SAA) is a marker of inflammation and infection in the horse that can be assessed in the field, with rapid and marked changes seen following initiation of an inflammatory stimulus. This quality of SAA also makes its clinical use challenging, because even small inflammatory conditions can cause large changes in SAA levels. Review of the current literature provides guidelines for responses of SAA to various conditions, which can be applied to specific clinical cases. The practitioner is encouraged to use SAA in conjunction with physical examination and other diagnostic modalities...
A Pilot Study Exploring the Relationship Between Digesta Retention Time in the Equine Gastrointestinal Tract and Compartment Models.
Journal of equine veterinary science    January 30, 2020   Volume 88 102941 doi: 10.1016/j.jevs.2020.102941
Hansen TL, Bobel JM, Rankins EM, Sanchez LC, Warren LK.Digesta retention time within specific segments of the equine gastrointestinal tract (GIT) may be more relevant to scientific inquiries than total tract mean retention time (TTMRT); however, measuring retention time in individual segments requires access to the digestive tract. The objective of this study was to compare prececal, cecal, and colonic mean retention time (MRT) with model-derived compartment MRT. A cecally fistulated gelding was fed indigestible particulate and liquid markers to determine TTMRT and dosed with different pairs of particulate and liquid markers into the cecum (hindgu...
Massive Africanized honeybee stings in two hair sheep and a mare.
Toxicon : official journal of the International Society on Toxinology    January 28, 2020   Volume 177 35-40 doi: 10.1016/j.toxicon.2020.01.015
Veado HC, Conceição RS, Nogueira K, Fino TCM, Silva AS, Castro MB, Soto-Blanco B, Câmara ACL.The findings of massive Africanized honeybee stings in two hair sheep and a mare are reported. One sheep died 15 h after attack, and the survivors developed skin necrosis on the sting sites. Pathological evaluation revealed necrosis in the dermis, degeneration of the tubular epithelial cells, and multifocal hemorrhages in heart and spleen. The massive attack by Africanized honeybees induced lesions in the skin, heart, muscles, kidneys, and lungs.
Insertional characteristics of three types of transfixation pin taps in third metacarpal bones from equine cadavers.
American journal of veterinary research    January 28, 2020   Volume 81, Issue 2 172-179 doi: 10.2460/ajvr.81.2.172
Mundy LN, Lescun TB, Main RP, Hall Griffin T.To compare heat generation and mechanical bone damage achieved with 2 tapered and 1 cylindrical transfixation pin taps in third metacarpal bones from equine cadavers. Methods: 18 pairs (36 specimens) of third metacarpal bones from euthanized horses with no known metacarpal disease. Methods: In each bone, an investigator drilled 3 holes for placement of a 6.3-mm cylindrical transfixation pin, a 6.3-mm tapered pin using a prototype tapered tap, and a 6.3-mm tapered pin using a revised tapered tap. One bone of each pair was tapped by hand and the other with an electric drill. Temperatures of the ...
Identification of Naturally Occurring Cartilage Damage in the Equine Distal Interphalangeal Joint Using Low-Field Magnetic Resonance Imaging and Magnetic Resonance Arthrography.
Frontiers in veterinary science    January 28, 2020   Volume 6 508 doi: 10.3389/fvets.2019.00508
van Zadelhoff C, Schwarz T, Smith S, Engerand A, Taylor S. To describe detectable and non-detectable naturally occurring cartilage damage of the equine distal interphalangeal (DIP) joint using plain magnetic resonance (MR) imaging and gadolinium and saline MR arthrography. The second objective was to quantify the sensitivity, specificity and accuracy in detection of cartilage damage. In a pilot study, the distal limbs of two horses with confirmed osteoarthritis of the DIP joint were imaged with low-field MR. Magnetic resonance images were assessed in consensus by three observers and compared to gross pathological findings. Subsequently, a prospectiv...
In-Person Caretaker Visits Disrupt Ongoing Discomfort Behavior in Hospitalized Equine Orthopedic Surgical Patients.
Animals : an open access journal from MDPI    January 27, 2020   Volume 10, Issue 2 doi: 10.3390/ani10020210
Torcivia C, McDonnell S.Horses have evolved to show little indication of discomfort or disability when in the presence of potential predators, including humans. This natural characteristic complicates the recognition of pain in equine patients. It has been our clinical impression that, whenever a person is present, horses tend to "perk up" and ongoing discomfort behavior (DB) more or less ceases. The objective of this study was to quantitatively evaluate and describe this effect. For each of 20 orthopedic surgical patients, continuous 24-h video was reviewed to record all occurrences of DB during a caretaker visit (3...
Pre- and post-race serum cardiac troponin T concentrations in Standardbred racehorses.
Veterinary journal (London, England : 1997)    January 27, 2020   Volume 256 105433 doi: 10.1016/j.tvjl.2020.105433
Hellings IR, Krontveit R, Øverlie M, Kallmyr A, Holm T, Fintl C.Elevated cardiac troponin T (cTnT) concentrations may provide evidence of myocardial injury but physiological post-exercise release also occurs. Reference intervals are not fully established in horses making interpretation difficult. The aims of this study were to establish an upper reference limit for serum cTnT, compare pre-and post-race serum cTnT concentrations, and to evaluate factors that may influence these in a population of healthy, race-fit Standardbred racehorses. Serum samples were collected pre- (n = 108) and 1-2 h post-racing (n = 101) and analysed using a high sensitivity-cTnT a...
Traditional and quantitative analysis of acid-base and electrolyte imbalances in horses competing in cross-country competitions at 2-star to 5-star level.
Journal of veterinary internal medicine    January 27, 2020   Volume 34, Issue 2 909-921 doi: 10.1111/jvim.15708
Kirsch K, Sandersen C.Early recognition and management of acid-base, fluid, and electrolyte disorders are crucial for the maintenance of health and performance in equine athletes. Objective: To analyze changes in acid-base and electrolyte status associated with exercise during cross-country competitions at different levels using traditional and quantitative approaches. Methods: Thirty-eight eventing horses. Methods: Prospective observational study. Jugular venous blood samples were collected before and after the cross-country test of 25 international eventing competitions ranging from 2-star (formerly 1-star) to 5-...
Clinical Pathology of the Racehorse.
The Veterinary clinics of North America. Equine practice    January 25, 2020   Volume 36, Issue 1 135-145 doi: 10.1016/j.cveq.2019.12.004
Hurcombe SDA.The assessment of blood analytes in racehorses can provide useful data on performance and health. The horses' adaptive responses to training that occur to optimize performance should be considered when interpreting alterations seen on laboratory results. Similarly, the alterations observed in laboratory test results can identify subclinical and clinical disease and be helpful for identifying organ dysfunction and, in many cases, monitoring progress and response to treatment. This article discusses hematologic and biochemical tests that are important in the evaluation of performance and health ...
Practical Tips on Sample Handling for Hematology, Chemistry, and Cytology Testing for Equine Patients:: Getting More Bang for your Buck.
The Veterinary clinics of North America. Equine practice    January 24, 2020   Volume 36, Issue 1 1-14 doi: 10.1016/j.cveq.2019.12.002
Newman AW.Clinical pathology results are only as good as the quality of samples and accompanying information submitted to the diagnostic laboratory. The frustration of nondiagnostic or equivocal test results can often be avoided by taking the time to follow sample handling and submission guidelines. This article discusses preanalytical errors that commonly affect the accuracy of hematology, chemistry, and cytology testing, and offers practical tips for preventing these errors and maximizing diagnostic yield.
Coagulation Assessment in the Equine Patient.
The Veterinary clinics of North America. Equine practice    January 24, 2020   Volume 36, Issue 1 53-71 doi: 10.1016/j.cveq.2019.12.001
DeNotta SL, Brooks MB.Horses with clinical signs of unprovoked or excessive hemorrhage should be evaluated for underlying platelet defects or coagulopathies. This article provides an overview of preliminary screening and definitive tests to assess coagulation and identify hemostatic defects in horses, as well as a review of the hemostatic disorders most frequently encountered in clinical practice.
Agreement between invasive and oscillometric arterial blood pressure measurements using the LifeWindow multiparameter monitor and two cuff sizes in anesthetized adult horses.
Veterinary anaesthesia and analgesia    January 24, 2020   Volume 47, Issue 3 315-322 doi: 10.1016/j.vaa.2020.01.001
Rousseau-Blass F, Pigé C, Pang DS.To assess agreement between oscillometric noninvasive blood pressure (NIBP) measurements using LifeWindow monitors (LW9xVet and LW6000V) and invasive blood pressure (IBP). To assess the agreement of NIBP readings using a ratio of cuff width to mid-cannon circumference of 25% and 40%. Methods: Prospective, randomized clinical study. Methods: A total of 43 adult horses undergoing general anesthesia in dorsal recumbency for different procedures. Methods: Anesthetic protocols varied according to clinician preference. IBP measurement was achieved after cannulation of the facial artery and connectio...
Comparison of 2 collection methods for cerebrospinal fluid analysis from standing, sedate adult horses.
Journal of veterinary internal medicine    January 24, 2020   Volume 34, Issue 2 972-978 doi: 10.1111/jvim.15702
Chidlow H, Giguère S, Camus M, Wells B, Howerth E, Berghaus R, McConachie Beasley E.Cerebrospinal fluid (CSF) analysis is an important component of the evaluation of horses with neurologic disease. Lumbosacral (LS) centesis is routine, but CSF is also collected from the space between the first and second cervical vertebrae (C1-C2). Objective: To compare collection times, CSF cytology results, and equine protozoal myelitis (EPM) titers of CSF collected from the C1-C2 and LS sites. Methods: Fifteen university-owned adult horses with no evidence of neurologic disease, and 9 horses with signs of neurologic disease: 3 university-owned and 6 client-owned. Methods: Prospective study...
Matrix metallopeptidase expression and modulation by transforming growth factor-β1 in equine endometrosis.
Scientific reports    January 24, 2020   Volume 10, Issue 1 1119 doi: 10.1038/s41598-020-58109-0
Szóstek-Mioduchowska A, Słowińska M, Pacewicz J, Skarzynski DJ, Okuda K.Equine endometrial fibrosis (endometrosis) is described as a degenerative chronic condition in the uterus. Its characteristic feature is excessive deposition of extracellular matrix (ECM) components around the endometrial glands and stroma. Although matrix metallopeptidases (MMPs) that mediate ECM turnover are important factors in the process of fibrosis, knowledge of their expression and regulation in endometrosis is limited. In other species, one of the important regulators of MMPs and tissue inhibitors of MMPs (TIMPs) is transforming growth factor (TGF)-β1. The goal of this study was to de...
Clinical Pathology in the Adult Sick Horse: The Gastrointestinal System and Liver.
The Veterinary clinics of North America. Equine practice    January 22, 2020   Volume 36, Issue 1 105-120 doi: 10.1016/j.cveq.2019.11.004
DeNotta SL, Divers TJ.The gastrointestinal tract and liver comprise key components of the equine digestive system and together have important functions in metabolism, digestion, absorption, detoxification, and synthesis. Disorders of the gastrointestinal tract and liver are common in clinical practice and can cause a variety of clinical signs. Hematologic and biochemical analysis can be helpful for identifying organ dysfunction, narrowing down the differential diagnostic list, and monitoring progress and response to treatment. This article details hematologic and biochemical tests that are important in the evaluati...
Studies on Edema Pathema in Hequ Horse in the Qinghai-Tibet Plateau.
Biological trace element research    January 22, 2020   Volume 198, Issue 1 142-148 doi: 10.1007/s12011-020-02043-9
Zhao K, Chi Y, Shen X.As a consequence of contracted and fenced grassland, the incidence of edema pathema in the Hequ horse is rising. The main pathological symptoms are edema, emaciation, anemia, heterophilia, inappetence, and dyskinesia. To study the cause of edema disease in Hequ horse, the Hequ horse farm with a high incidence was chosen as the experimental pasture, and the Azi husbandry experimental station without edema disorder was the control pasture. The research methods in this paper are included: (1) The mineral contents in soil, forage, blood, and liver were analyzed. (2) Routine parameters and biochemi...
Osteoarticular Infection in Three Young Thoroughbred Horses Caused by a Novel Gram Negative Cocco-Bacillus.
Case reports in veterinary medicine    January 19, 2020   Volume 2020 9785861 doi: 10.1155/2020/9785861
Hudson BJ, Chicken C, Blishen A, Todhunter KH, Begg AP, Chan L, Karagiannis T, Raymond B, Bogema D, Adkins AR, O'Sullivan CB, O'Rourke BA....We describe three cases of osteoarticular infection (OAI) in young thoroughbred horses in which the causative organism was identified by MALDI-TOF as . The pattern of OAI resembled that reported with infection in humans. Analysis by 16S rRNA PCR enabled construction of a phylogenetic tree that placed the isolates closer to and , rather than . Average nucleotide identity (ANI) comparison between the new isolate and and however revealed low probability that the new isolate belonged to either of these species. This preliminary analysis suggests the organism isolated is a previously unrecognis...
Hematology Red Flags: The Value of Blood Smear Examination in Horses.
The Veterinary clinics of North America. Equine practice    January 18, 2020   Volume 36, Issue 1 15-33 doi: 10.1016/j.cveq.2019.11.001
Stokol T.This article uses a case-based approach, complemented with diagnostic algorithms and images, to highlight hematologic changes of pathologic relevance in horses, namely, marked erythrocytosis, anemia or leukocytosis, inflammatory leukograms, lymphocytosis in adult horses, thrombocytopenia, and pancytopenia. These hematologic abnormalities occur with certain diseases and their identification can help clinicians narrow to down differential diagnostic lists. This article highlights the importance of blood smear examination, particularly, but not only, when numerical red flags are identified on aut...
Presence and function of β-adrenergic receptors in primary equine bronchial epithelia cells.
Pulmonary pharmacology & therapeutics    January 18, 2020   Volume 61 101897 doi: 10.1016/j.pupt.2020.101897
Schellenberg LM, Bonicelli J, Hochheim I, Regenthal R, Abraham G.The β-adrenergic receptor (β-AR) plays an important role in regulating a variety of cell and organ functions in different animal species and is an important target in asthma pathogenesis and therapy. The β-AR expression and function in equine bronchial epithelial cells (EBEC) were not known but innervation and significant decrease in receptor level were reported in the equine bronchial tissues from asthmatic horses. I-iodocyanopindolol (ICYP) binding studies were undertaken in primary freshly isolated and cultured EBEC to identify the presence of the β-ARs. The receptor distribution was as...
Caution at choosing a particular colony-forming unit from faecal Escherichia coli: it may not represent the sample profile.
Letters in applied microbiology    January 17, 2020   Volume 70, Issue 3 130-136 doi: 10.1111/lam.13252
Maciel JF, Gressler LT, da Silveira BP, Dotto E, Balzan C, Matter LB, Siqueira FM, de Vargas APC.Data about phylogenetic classification of Escherichia coli colonizing calves, lambs and foals are routinely neglected and restricted to outdated methodologies, even in the context of antimicrobial susceptibility (AS) testing. Thus, the aim of this study was to determine the phylogenetic diversity and the AS profile of E. coli colony-forming units (CFUs) from faecal samples of healthy animals. Five CFUs of E. coli were randomly selected from each faecal culture of calves (n = 13), foals (n = 13) and lambs (n = 13), totalizing 195 CFUs phylo-typed by quadruplex PCR. The AS profile of five ...
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