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Topic:Clinical Study

Clinical studies in equine research involve the systematic investigation of health and disease in horses through structured scientific methods. These studies aim to evaluate the safety and efficacy of treatments, understand disease mechanisms, and improve veterinary care practices. Clinical studies can include randomized controlled trials, observational studies, and case-control studies. They may focus on various aspects such as pharmacokinetics, therapeutic interventions, and diagnostic techniques. This page compiles peer-reviewed research studies and scholarly articles that explore the design, implementation, and findings of clinical studies in equine medicine, providing insights into their impact on horse health and veterinary practices.
Detection of strain variation in isolates of Rhodococcus equi from an affected foal using repetitive sequence-based polymerase chain reaction. Bolton T, Kuskie K, Halbert N, Chaffin K, Healy M, Lawhon S, Jackson A, Cohen N.Rhodococcus equi is an important pathogen of foals aged 1-6 months. Evidence exists that foals are exposed to a wide diversity of R. equi strains in their environment. However, limited data are available regarding the extent to which genotypic variation exists among isolates infecting individual foals. Therefore, electrophoresis of repetitive sequence-based polymerase chain reaction (rep-PCR) amplicons in an automated microfluidics chip format was used to genotype 9 virulent R. equi isolates obtained from distinct anatomic locations in a single foal. Four of the isolates were obtained from dif...
Efficacy and safety of mitomycin C as an agent to treat corneal scarring in horses using an in vitro model.
Veterinary ophthalmology    July 14, 2010   Volume 13, Issue 4 211-218 doi: 10.1111/j.1463-5224.2010.00782.x
Buss DG, Sharma A, Giuliano EA, Mohan RR.Mitomycin C (MMC) is used clinically to treat corneal scarring in human patients. We investigated the safety and efficacy of MMC to treat corneal scarring in horses by examining its effects at the early and late stages of disease using an in vitro model. Methods: An in vitro model of equine corneal fibroblast (ECF) developed was used. The ECF or myofibroblast cultures were produced by growing primary ECF in the presence or absence of transforming growth factor beta-1 (TGFbeta1) under serum-free conditions. The MMC dose for the equine cornea was defined with dose-dependent trypan blue exclusion...
Repeatability and reproducibility of the Obel grading system for equine laminitis.
The Veterinary record    July 14, 2010   Volume 167, Issue 2 52-55 doi: 10.1136/vr.c3668
Menzies-Gow NJ, Stevens KB, Sepulveda MF, Jarvis N, Marr CM.The aim of this study was to evaluate both the repeatability (intraobserver agreement) and reproducibility (interobserver agreement) of Obel grading, the most widely accepted method for describing the severity of equine laminitis. The study comprised two parts. In study A, to test intraobserver agreement, 25 ponies were graded twice by a single blinded experienced equine veterinary surgeon, on the first occasion via clinical examination and on the second occasion via a video recording of the initial clinical examination. In study B, to test interobserver agreement, video recordings of 13 ponie...
Modulation of peripheral markers of the serotoninergic system in healthy horses.
Research in veterinary science    July 14, 2010   Volume 90, Issue 3 392-395 doi: 10.1016/j.rvsc.2010.06.023
Alberghina D, Amorini AM, Lazzarino G.To evaluate the changes in plasma and platelet serotonin (5-HT) as markers of the serotoninergic system in equines, 5-HT content was measured by high performance liquid chromatography (HPLC) in deproteinized plasma obtained from peripheral blood samples of 12 clinically healthy horses, before and after feeding. 5-HT was measured in platelet rich plasma (PRP) and in platelet poor plasma (PPP). 5-HT in platelets (p5-HT) was obtained by subtracting free 5-HT in PPP (f5-HT) from 5-HT in PRP. After food ingestion, significant increases in p5-HT and f5-HT (p < 0.001), and no changes in the f5-HT/p5-...
Handsewn semiclosed single-layer jejunocecal side-to-side anastomosis in the horse.
Veterinary surgery : VS    July 10, 2010   Volume 39, Issue 6 771-775 doi: 10.1111/j.1532-950X.2010.00711.x
Gandini M.To report a technique for semiclosed 1-layer side-to-side jejunocecal anastomosis in horses. Methods: Experimental study and clinical reports. Methods: Part 1--In vitro: Intestinal specimens from 24 horses collected immediately after death at an abattoir. Part 2--CLINICAL CASES: 10 horses with clinical signs of colic requiring jejunocecostomy. Methods: Mean time to perform twelve 2-layer handsewn (HS2L) and 12 semiclosed 1-layer modified handsewn (SC) jejunocecal anastomoses was compared. Mean bursting pressures of anastomoses measured with a modified tank inflation test were compared. The SC ...
Combined moxidectin and environmental therapy do not eliminate Chorioptes bovis infestation in heavily feathered horses.
Veterinary dermatology    July 9, 2010   Volume 22, Issue 1 17-23 doi: 10.1111/j.1365-3164.2010.00892.x
Rüfenacht S, Roosje PJ, Sager H, Doherr MG, Straub R, Goldinger-Müller P, Gerber V.Chorioptes bovis infestation is a common cause of pastern dermatitis in the horse, with a predilection in draft horses and other horses with thick hair 'feathers' on the distal limbs. The treatment of this superficial mite is challenging; treatment failure and relapse are common. Furthermore, C. bovis infestation may affect the progression of chronic pastern dermatitis (also known as chronic proliferative pastern dermatitis, chronic progressive lymphoedema and dermatitis verrucosa) in draft horses, manifesting with oedema, lichenification and excessive skin folds that can progress to verruci...
Optimization of a procedure to accurately detect equine TNFα in serum samples.
Veterinary immunology and immunopathology    July 6, 2010   Volume 138, Issue 1-2 118-123 doi: 10.1016/j.vetimm.2010.06.018
Lavoie-Lamoureux A, Maghni K, Lavoie JP.The systemic component of chronic inflammatory diseases may lead to clinical complications. High levels of TNFα, a pro-inflammatory cytokine, are found in human patients with COPD and asthma. Horses are also susceptible to an array of chronic inflammatory disorders possibly associated with systemic inflammation, including respiratory diseases. Currently, there is no commercially available ELISA validated to assess TNFα in equine serum samples. Moreover, the reported normal mean concentration of serum TNFα in horses vary greatly. Hence, we sought to optimize and validate a procedure to quant...
Evaluation of the role of superoxide anions in endotoxin-induced impairment of beta-adrenoceptor-mediated vasodilation in equine digital veins.
American journal of veterinary research    July 3, 2010   Volume 71, Issue 7 773-779 doi: 10.2460/ajvr.71.7.773
Mallem MY, Thuleau A, Noireaud J, Desfontis JC, Gogny M.To investigate the role of superoxide anions in the lipopolysaccharide (LPS)-induced impairment of beta-adrenoceptor-mediated equine digital vein (EDV) vasodilation. Methods: EDVs isolated from forelimbs of 24 healthy adult horses. Methods: Endothelium-intact or endothelium-denuded EDV rings were incubated with or without LPS (10 microg/mL) of Escherichia coli (O55:B5) for 4 hours. Cumulative concentration-relaxation curves resulting from administration of isoprenaline, a nonselective beta-adrenoceptor agonist, or from administration of SR 58611A, a selective beta(3)-adrenoceptor agonist, were...
Evaluation of 30- and 25-diopter intraocular lens implants in equine eyes after surgical extraction of the lens.
American journal of veterinary research    July 3, 2010   Volume 71, Issue 7 809-816 doi: 10.2460/ajvr.71.7.809
McMullen RJ, Davidson MG, Campbell NB, Salmon JH, Gilger BC.To determine appropriate intraocular lens (IOL) implant strength to approximate emmetropia in horses. Methods: 16 enucleated globes and 4 adult horses. Methods: Lens diameter of 10 enucleated globes was measured. Results were used to determine the appropriate-sized IOL implant for insertion in 6 enucleated globes and 4 eyes of adult horses. Streak retinoscopy and ocular ultrasonography were performed before and after insertion of 30-diopter (D) IOL implants (enucleated globes) and insertion of 25-D IOL implants (adult horses). Results: In enucleated globes, mean +/- SD lens diameter was 20.14 ...
Associations of horse age, joint type, and osteochondral injury with serum and synovial fluid concentrations of type II collagen biomarkers in Thoroughbreds.
American journal of veterinary research    July 3, 2010   Volume 71, Issue 7 741-749 doi: 10.2460/ajvr.71.7.741
Nicholson AM, Trumble TN, Merritt KA, Brown MP.To determine the effects of horse age, osteochondral injury, and joint type on a synthesis biomarker and 3 degradative biomarkers of type II collagen in Thoroughbreds. Methods: Healthy rested adult (3- to 12-year-old) Thoroughbreds (n = 19), yearling (1- to 2-year-old) Thoroughbreds (40), and Thoroughbred racehorses (2 to 7 years old) undergoing arthroscopic surgery for removal of osteochondral fragments that resulted from training or racing (41). Methods: Samples of blood and metacarpophalangeal, metatarsophalangeal, or carpal joint synovial fluid (SF) were collected from all horses. Commerci...
Pharmacokinetics and pharmacodynamics of dexamethasone after oral administration in apparently healthy horses.
American journal of veterinary research    July 3, 2010   Volume 71, Issue 7 831-839 doi: 10.2460/ajvr.71.7.831
Grady JA, Davis EG, Kukanich B, Sherck AB.To assess pharmacokinetic and pharmacodynamic properties of dexamethasone administered PO as a solution or powder, compared with properties of dexamethasone solution administered IV, in apparently healthy horses. Methods: 6 adult horses. Methods: Serum cortisol concentration for each horse was determined before each treatment (baseline values). Dexamethasone (0.05 mg/kg) was administered PO (in solution or powdered form) or IV (solution) to horses from which feed had or had not been withheld (unfed and fed horses, respectively). Each horse received all 6 treatments in random order at 2-week in...
Comparison of macrostructural and microstructural bone features in Thoroughbred racehorses with and without midbody fracture of the proximal sesamoid bone.
American journal of veterinary research    July 3, 2010   Volume 71, Issue 7 755-765 doi: 10.2460/ajvr.71.7.755
Anthenill LA, Gardner IA, Pool RR, Garcia TC, Stover SM.To compare macrostructural and microstructural features of proximal sesamoid bones (PSBs) from horses with and without PSB midbody fracture to gain insight into the pathogenesis of PSB fracture. Methods: PSBs from 16 Thoroughbred racehorses (8 with and 8 without a PSB midbody fracture). Methods: Parasagittal sections of fractured and contralateral intact PSBs from horses with a PSB fracture and an intact PSB from age- and sex-matched control horses without a PSB fracture were evaluated for visual, radiographic, microradiographic, histologic, and his-tomorphometric differences in bone porosity,...
Determination of the prevalence of antimicrobial resistance to macrolide antimicrobials or rifampin in Rhodococcus equi isolates and treatment outcome in foals infected with antimicrobial-resistant isolates of R equi.
Journal of the American Veterinary Medical Association    July 2, 2010   Volume 237, Issue 1 74-81 doi: 10.2460/javma.237.1.74
Giguère S, Lee E, Williams E, Cohen ND, Chaffin MK, Halbert N, Martens RJ, Franklin RP, Clark CC, Slovis NM.To determine the prevalence of antimicrobial resistance to macrolide antimicrobials or rifampin in Rhodococcus equi isolates and to describe treatment outcome in foals infected with antimicrobial-resistant isolates of R equi. Methods: Cross-sectional study. Methods: 38 isolates classified as resistant to macrolide antimicrobials or rifampin received from 9 veterinary diagnostic laboratories between January 1997 and December 2008. Methods: For each isolate, the minimum inhibitory concentration of macrolide antimicrobials (ie, azithromycin, erythromycin, and clarithromycin) and rifampin was dete...
What is your diagnosis? Bone fragment in hock joint.
Journal of the American Veterinary Medical Association    July 2, 2010   Volume 237, Issue 1 29-30 doi: 10.2460/javma.237.1.29
Verwilghen DR, Bolen G, Paindaveine P, Busoni V.No abstract available
Use of a modified Vinsot technique for partial phallectomy in 11 standing horses.
Journal of the American Veterinary Medical Association    July 2, 2010   Volume 237, Issue 1 82-86 doi: 10.2460/javma.237.1.82
Arnold CE, Brinsko SP, Love CC, Varner DD.6 geldings and 5 stallions were evaluated from January 2007 through April 2009 for the following conditions requiring phallectomy: chronic paraphimosis (n = 7), squamous cell carcinoma of the penis (3), and priapism (1). Results: None of the 7 horses with paraphimosis was able to retract the penis. Chronicity of the paraphimosis in 6 horses ranged from 2 weeks to 2 months and was unknown in the seventh horse. Horses with paraphimosis had been medically treated without success. The horse with priapism had developed the condition secondary to acepromazine administration 2 days prior to referral ...
Serum thyroid hormone, insulin, glucose, triglycerides and protein concentrations in normal horses: association with topical dexamethasone usage.
Veterinary journal (London, England : 1997)    July 1, 2010   Volume 188, Issue 3 307-312 doi: 10.1016/j.tvjl.2010.05.033
Abraham G, Allersmeier M, Schusser GF, Ungemach FR.The aim of this study was to determine if topical application of dexamethasone affected the serum concentrations of thyroid hormones (triiodothyronine T(3) and thyroxine T(4)), glucose, triglycerides, total protein and insulin in normal horses. Ten horses were treated twice daily for 10 days with 50 g dexamethasone using an ointment formulation. Thyroid hormones and insulin were assayed using standard radioimmunoassay methods, while glucose, triglycerides and total protein were determined using a standard enzymatic method and the Biuret reaction, respectively. An increase in serum glucose and ...
Electrophoretically mediated microanalysis for the evaluation of interspecies variation in cholinesterase metabolism.
Electrophoresis    July 1, 2010   Volume 31, Issue 14 2374-2376 doi: 10.1002/elps.200900769
Moura J, Simplício AL.This study describes an electrophoretically mediated microanalysis method, suitable for the preclinical evaluation of the hydrolysis of ester drugs by the serum of different animals and for further characterization of human-animal correlation. Dog, cat, cow, horse, sheep, rat and human serum were diluted (25%) in the appropriate buffer and replaced the enzyme solution usually used in electrophoretically mediated microanalysis methods for the study of enzyme kinetics. They were then compared in terms of the ability to hydrolyze acetylthiocholine and butyrylthiocholine (0.25 mM) by in-capillary ...
[The extent of temperature sense and pain appreciation recovery in the dermatomes of cauda equine roots after lumbar intervertebral dischernia elimination].
Fiziologiia cheloveka    July 1, 2010   Volume 36, Issue 3 95-101 
Shchurova EN, Khudiaev AT.Temperature sense and pain appreciation has been studied in the dermatomes of cauda equine roots in patients with lumbar intervertebral disc hernia before treatment, in the immediate and long-term periods of observation after disc hernia elimination. Temperature sense and pain appreciation has been determined to be disordered not only in the dermatome of compressed root, but in the dermatomes located proximally and distally as well. The manifestation of negative changes was observed to a greater extent during temperature sense examination. After disc hernia elimination the recovery of temperat...
In vivo priming and ex vivo activation of equine neutrophils in black walnut extract-induced equine laminitis is not attenuated by systemic lidocaine administration.
Veterinary immunology and immunopathology    June 30, 2010   Volume 138, Issue 1-2 60-69 doi: 10.1016/j.vetimm.2010.06.016
Loftus JP, Williams JM, Belknap JK, Black SJ.Laminitis is a crippling disease of horses characterized by an inflammatory response in the tissue that suspends the axial skeleton within the hoof. Pain is a common feature of laminitic pathology and its management is an important component of the treatment regime for this disease. Systemic lidocaine administration is commonly utilized to manage pain in equine laminitis; however, the potential anti-inflammatory effects of this drug during the treatment of equine laminitis have not been investigated. Here, we sought to determine if lidocaine concentrations achieved in the plasma (therapeutic c...
Caecal intussusceptions in horses: a New Zealand perspective.
Australian veterinary journal    June 29, 2010   Volume 88, Issue 7 272-276 doi: 10.1111/j.1751-0813.2010.00591.x
Bell RJ, Textor JA.To establish the prevalence of intussusceptions involving the caecum in a population of horses admitted to a university hospital for colic. Methods: Retrospective clinical study Methods: Medical records of all horses admitted to the Massey University Veterinary Teaching Hospital between 1991 and 2004 were examined for information of those horses diagnosed with an intussusception involving the caecum. Results: A total of 135 horses were admitted for colic surgery during the study period and 61 horses had a diagnosis of ileocaecal (37), caecocaecal (5) or caecocolic intussusception (19) made eit...
Molecular investigation of the viral kinetics of equine herpesvirus-1 in blood and nasal secretions of horses after corticosteroid-induced recrudescence of latent infection.
Journal of veterinary internal medicine    June 24, 2010   Volume 24, Issue 5 1153-1157 doi: 10.1111/j.1939-1676.2010.0554.x
Pusterla N, Hussey SB, Mapes S, Johnson C, Collier JR, Hill J, Lunn DP, Wilson WD.Recrudescence of latent equine herpesvirus 1 (EHV-1) with subsequent viral shedding via nasal secretions is a potential source of infection for susceptible horses and has been implicated in outbreaks occurring in closed populations. Objective: To describe the viral kinetics of reactivated EHV-1 in blood and nasal secretions from latently infected horses after administration of corticosteroids, and to study the infectious nature of reactivated EHV-1 to sentinel horses. Methods: Eight healthy horses. Methods: Four horses infected 4 months previously with EHV-1 received dexamethasone on 5 consecu...
Ventricular arrhythmias during race recovery in Standardbred Racehorses and associations with autonomic activity.
Journal of veterinary internal medicine    June 24, 2010   Volume 24, Issue 5 1158-1166 doi: 10.1111/j.1939-1676.2010.0553.x
Physick-Sheard PW, McGurrin MK.A lack of information on normal heart rhythm at maximal effort hampers investigation of poor performance and sudden death in Standardbred racing. Objective: To characterize rhythm variations during scheduled racing in clinically normal Standardbred horses. Methods: Two hundred and eighty-eight Standardbred horses competing in 40 scheduled races at a Southern Ontario racetrack. Methods: Observational study, convenience sampling: Heart rhythm was monitored by ECG from harnessing to postrace recovery and assessed visually and by examining heart rate intervals. Rhythm variations were used as respo...
Plasma leptin level in hyperlipidemic mares and their newborn foals.
Reproduction in domestic animals = Zuchthygiene    June 23, 2010   Volume 46, Issue 2 275-280 doi: 10.1111/j.1439-0531.2010.01658.x
Kędzierski W, Kusy R, Kowalik S.The aim of this study was to evaluate the relationship between plasma leptin and lipid levels in breeding mares and their newborn foals. The study was conducted on 17 Polish cold-blood mares and their newborn foals. The mares were divided into two groups, according to the course of delivery. These groups were seven mares which had a normal delivery and 10 mares which had required veterinary intervention during their delivery. Blood samples were taken from the jugular vein of both the mares and their foals. The blood samples were taken within 30 min after delivery, as well as on four successive...
Reproductive parameters of Mangalarga Marchador mares in a commercial embryo transfer programme.
Reproduction in domestic animals = Zuchthygiene    June 23, 2010   Volume 46, Issue 2 261-267 doi: 10.1111/j.1439-0531.2010.01656.x
Lopes Ede P, Siqueira JB, Pinho RO, Guimarães JD, Rocha AN, de Carvalho GR, Torres CA.The objective of this study is to evaluate the reproductive efficiency in donors and recipient Mangalarga Marchador mares in commercial programmes of embryo transfer (ET) and the effects of some reproductive characteristics and ET methodology on conception rates in the recipient mares. A total of 1140 flushing procedures were performed and 830 embryos (72.8%) were recovered. There were no differences between the rates of embryonic recovery in the different breeding seasons (p > 0.05) and 92.8% of the recovered embryos were 8-9 days old. There was no difference in the embryonic recovery regardi...
Predictors of race-day jockey falls in flat racing in Australia.
Occupational and environmental medicine    June 23, 2010   Volume 67, Issue 10 693-698 doi: 10.1136/oem.2009.050567
Hitchens PL, Blizzard CL, Jones G, Day L, Fell J.Riding thoroughbred racehorses is a hazardous occupation. In this study, we investigated risk factors associated with falls by licensed thoroughbred racing jockeys participating in flat races conducted in Australia. Methods: Data on race-day falls were extracted from stewards' reports. Denominator data were provided by Racing Information Services Australia on races conducted in Australia from August 2002 until July 2006. Incidence rate ratios (IRRs) were estimated using Poisson regression. Analyses were stratified by race grade (maiden, class, open/restricted). Results: In multivariable analys...
Patient variation in veterinary medicine: part I. Influence of altered physiological states.
Journal of veterinary pharmacology and therapeutics    June 19, 2010   Volume 33, Issue 3 213-226 doi: 10.1111/j.1365-2885.2009.01139.x
Martinez M, Modric S.In veterinary medicine, the characterization of a drug's pharmacokinetic (PK) properties is generally based upon data that are derived from studies that employ small groups of young healthy animals, often of a single breed. These are also the data from which population predictions are often generated to forecast drug exposure characteristics in the target population under clinical conditions of use. In veterinary medicine, it is rare to find information on the covariates that can influence drug exposure characteristics. Therefore, it is important to recognize some of the factors that can alter...
Age-related differences in prostaglandin E2 synthesis by equine cartilage explants and synoviocytes.
Journal of veterinary pharmacology and therapeutics    June 19, 2010   Volume 33, Issue 3 268-276 doi: 10.1111/j.1365-2885.2009.01131.x
Briston L, Dudhia J, Lees P.Time- and concentration-related actions of lipopolysaccharide (LPS) on the synthesis of prostaglandin E(2) (PGE(2)) were investigated in cartilage explants and synoviocytes harvested from 3 age groups of horses, all with clinically normal joint function: group A 20 years. Cartilage explants from group A horses were least and those from group C were most sensitive to LPS. Significant increases in PGE(2) concentration (P <or= 0.01) were obtained in group C horses in response to LPS concentrations of 1.0 microg/mL (and higher) after exposure for 24, 36 and 48 h, whereas explants from group A h...
In vitro mechanical evaluation of a novel pin-sleeve system for external fixation of distal limb fractures in horses: a proof of concept study.
Veterinary surgery : VS    June 18, 2010   Volume 39, Issue 5 601-608 doi: 10.1111/j.1532-950X.2010.00707.x
Brianza S, Brighenti V, Boure L, Sprenger V, Pearce S, Schwieger K.To evaluate the efficacy of a novel pin-sleeve cast (PSC) system for external fixation of distal limb fractures in horses and to compare it with the transfixation pin cast (TPC) system. Methods: Experimental. Methods: One bone substitute each was used for the TPC and PSC systems. The PSC was tested in 4 configurations characterized by different pin preloads. Methods: Specimens were loaded in axial compression in the elastic range. Variables compared statistically were: bone substitute axial displacement and axial strain measured above implants with strain gauges. Pin preload was correlated wit...
Quantitative analysis of stress echocardiograms in healthy horses with 2-dimensional (2D) echocardiography, anatomical M-mode, tissue Doppler imaging, and 2D speckle tracking.
Journal of veterinary internal medicine    June 18, 2010   Volume 24, Issue 4 918-931 doi: 10.1111/j.1939-1676.2010.0542.x
Schefer KD, Bitschnau C, Weishaupt MA, Schwarzwald CC.Stress echocardiography is used to diagnose myocardial dysfunction in horses, but current methods are not well standardized. The influence of heart rate (HR) on measurements is largely unknown. Objective: To investigate the use of 2-dimensional echocardiography (2DE), anatomical M-mode (AMM), tissue Doppler imaging (TDI), and 2D speckle tracking (2DST) at rest and after exercise for quantification of regional and global left-ventricular (LV) function. Methods: Five athletic Warmblood horses; 11.6+/-3.6 years; 529+/-48 kg. Methods: Prospective study. Three separate echocardiographic examination...
Use of a pinless external fixator for unilateral mandibular fracture repair in nine equids.
Veterinary surgery : VS    June 18, 2010   Volume 39, Issue 6 761-764 doi: 10.1111/j.1532-950X.2010.00709.x
Haralambus RM, Werren C, Brehm W, Tessier C.To report use of a pinless external fixator (PEF) for unilateral mandibular fractures in 9 equids. Methods: Case series. Methods: Equids (n=9) with unilateral mandibular fractures. Methods: All fractures were stabilized with the AO/ASIF PEF using a minimum of 4 clamps, under general anesthesia. Fracture configuration, complications, outcome, and owner satisfaction were evaluated. Results: All fractures were stabilized; 2 equids were euthanatized; 1 because of an inability to stand after surgery and 1 because of owner decision after PEF dislodgement. Seven repairs healed with good outcome and o...