Analyze Diet

Topic:Disease Treatment

Disease treatment in horses encompasses a range of medical interventions and management strategies aimed at addressing various health conditions affecting equine species. These treatments can include pharmacological approaches, such as the administration of antibiotics, anti-inflammatory drugs, and antiparasitic medications, as well as non-pharmacological methods like physical therapy, dietary adjustments, and surgical procedures. The selection of appropriate treatments depends on the specific disease, its severity, and the individual needs of the horse. This topic brings together peer-reviewed research studies and scholarly articles that explore the efficacy, safety, and advancements in therapeutic options for equine diseases, providing insights into best practices and emerging trends in equine veterinary medicine.
Participatory appraisal for healthcare and welfare management strategies of donkeys (Equus ascinus) in Balochistan, Pakistan.
Frontiers in veterinary science    September 2, 2022   Volume 9 1005079 doi: 10.3389/fvets.2022.1005079
Kamran K, Akbar A, Naseem M, Samad A, Samiullah , Achakzai JK, Rehman ZU, Sohail Sajid M, Ali A.In spite of the significant importance of the donkeys () as draft animal in resource-poor countries like Pakistan, they are equines not receiving the appropriate care. They face challenges including injuries, diseases, lack of basic environment and mismanagement by their owners. The present study aims to provide a brief update on the current status of management of healthcare and the welfare of domestic donkeys using participatory epidemiological tools. These tools can help to provide better strategies for improving their productivity and inclusion in human society. This study was mainly focus...
Co-Occurrence of Hypoglycin A and Hypoglycin B in Sycamore and Box Elder Maple Proved by LC-MS/MS and LC-HR-MS.
Toxins    September 1, 2022   Volume 14, Issue 9 doi: 10.3390/toxins14090608
El-Khatib AH, Engel AM, Weigel S.Hypoglycin A (HGA) and methylenecyclpropylglycine (MCPrG) are formed by some maple trees (Acer species) and have been associated with incidences of atypical myopathy among horses in pastures. In this work, a simple and sensitive ultra-performance liquid chromatography tandem mass spectrometry (UPLC-MS/MS) method without derivatization was developed for the quantification of HGA and MCPrG in maple samples and validated according to EU guidelines. The LOQ presented here for HGA (16.4 µg/kg) is considerably lower than the lowest published LOQ (500 µg/kg). This method confirms that sycamore and ...
Clinical insights: Clinicopathological parameters for diagnosing and predicting outcome of horses with colic.
Equine veterinary journal    August 31, 2022   Volume 54, Issue 6 1005-1010 doi: 10.1111/evj.13871
Long A.No abstract available
Longitudinal assessment of adrenocortical steroid and steroid precursor response to illness in hospitalized foals.
Domestic animal endocrinology    August 31, 2022   Volume 82 106764 doi: 10.1016/j.domaniend.2022.106764
Dembek K, Timko K, Moore C, Johnson L, Frazer M, Barr B, Toribio R.Sepsis is a major cause of morbidity and mortality in neonatal foals. Relative adrenal insufficiency (RAI), defined as an inadequate cortisol response to stress, has been associated with sepsis, prematurity, and poor outcome in newborn foals. In addition to cortisol, the adrenal gland synthesizes several biologically important steroids and steroid precursors, including aldosterone, androgens, and progestogens. However, concentration of these hormones during hospitalization and their association with the severity of disease and mortality in critically ill foals have not been completely evaluate...
Efficacy of vaccination against equine herpesvirus type 1 (EHV-1) infection: Systematic review and meta-analysis of randomised controlled challenge trials.
Equine veterinary journal    August 31, 2022   Volume 55, Issue 3 389-404 doi: 10.1111/evj.13870
Marenzoni ML, De Waure C, Timoney PJ.Equid herpesvirus type 1 (EHV-1) infection can cause a range of disease syndromes of variable severity that can result in a lethal outcome and restriction of horse movements, especially in the case of outbreaks involving neurological disease. Vaccination is one of the tools used to control the infection. It is widely known that vaccination is not completely effective in ensuring protection against disease caused by this virus. In fact, the real efficacy of vaccination against EHV-1 related disease has not been measured and no systematic reviews exist on this topic. Objective: To perform a syst...
Current status of glanders in Brazil: recent advances and challenges.
Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology]    August 31, 2022   Volume 53, Issue 4 2273-2285 doi: 10.1007/s42770-022-00814-1
Mota RA, Junior JWP.Glanders is an infectious disease that causes serious damage to the equine production chain in countries where it occurs endemically and poses a risk to public health. This study aimed to conduct an integrative review of the advances in the knowledge of glanders in Brazil over the last three decades since its re-emergence. Documentary research was conducted for the period between the years 2000 and 2022. SCOPUS and PUBMED databases were used to search for scientific articles, dissertations, and thesis, in addition to the Brazilian Digital Library of Thesis and Dissertations (BDTD). A total of ...
Factors that influence owner consent for exploratory laparotomy in horses with colic in Australia and New Zealand.
Equine veterinary journal    August 31, 2022   Volume 55, Issue 4 656-665 doi: 10.1111/evj.13868
Averay K, Wilkins C, de Kantzow M, Simon O, van Galen G, Sykes B, Verwilghen D.Horse owners' motivators and barriers for consent to exploratory laparotomy are poorly understood. Objective: To (1) determine the proportion of Australian and New Zealand horse owners who would consent to exploratory laparotomy and (2) identify motivators and barriers for consent. Methods: Cross-sectional survey. Methods: A questionnaire was developed and distributed online. Descriptive statistics were calculated by tabulating respondents by their answers to whether they would consent to exploratory laparotomy. Univariate and multivariate analyses were used to identify variables associated wi...
Pentosan polysulfate regulates hepcidin expression in native Mongolian horses.
The Journal of veterinary medical science    August 30, 2022   Volume 84, Issue 10 1437-1441 doi: 10.1292/jvms.22-0113
Wijekoon S, Tsogbadrakh M, Sunaga T, Wang Y, Mwale C, Kim S, Alimaa D, Okumura M.The aim of this study was to investigate the anti-hepcidin effect of pentosan polysulfate (PPS) in Mongolian horses. Twenty-six healthy horses were randomly allocated in to two-groups; one group was treated with a PPS once a week for 4-weeks while another group keeping as placebo. Blood samples at day 0 (D0), before race (BR; day 28) and after race (AR; day 28) were analyzed for serum biochemistry, hepcidin and iron concentrations. Significant reduction of hepcidin was observed at AR in PPS group when compared with BR placebo (P<0.05) and AR placebo (P<0.01). Mean hepcidin concentration ...
The Relevance of Internal Working Models of Self and Others for Equine-Assisted Psychodynamic Psychotherapy.
International journal of environmental research and public health    August 30, 2022   Volume 19, Issue 17 10803 doi: 10.3390/ijerph191710803
Kovács G, van Dijke A, Leontjevas R, Enders-Slegers MJ.Attachment characteristics play a key role in mental health and in understanding mental disorders. The aim of this study was to gain insight into the role the attachment characteristics can play in treatment effects in adult patients with intrapsychic and interpersonal problems who underwent Equine-assisted Short-term Psychodynamic Psychotherapy (ESTPP). In the first part of the study, we compared the effects of ESTPP to treatment-as-usual from a previous dataset regarding psychological dysfunction. For this, an explorative experimental non-randomized pre-treatment and 1-year post-treatment de...
Equine genital leptospirosis: Evidence of an important silent chronic reproductive syndrome.
Theriogenology    August 28, 2022   Volume 192 81-88 doi: 10.1016/j.theriogenology.2022.08.029
Di Azevedo MIN, Lilenbaum W.Leptospirosis may be associated with important syndromes in equines, including reproductive ones. Recently, our group demonstrated a reproductive syndrome of leptospirosis in ruminants (Bovine Genital Leptospirosis - BGL), that presents its own agent, particular diagnostic methods, and specific treatment and prevention, requiring special attention. We realized that the genital syndrome of leptospirosis may not be exclusive to ruminants and may also affect horses. The aim of the present study is to gather the available data on leptospirosis in equine reproduction and propose a new genital lepto...
Emergent and Neglected Equine Filariosis in Egypt: Species Diversity and Host Immune Response.
Pathogens (Basel, Switzerland)    August 27, 2022   Volume 11, Issue 9 979 doi: 10.3390/pathogens11090979
Abo-Aziza FAM, Hendawy SHM, Abdullah HHAM, El Namaky A, Laidoudi Y, Mediannikov O.Equine filariosis (EF) is a neglected vector-borne disease caused by nematode species belonging to the Onchocercidae and Setariidae families. Aside from their zoonotic potential, some species are responsible for serious health problems in equids worldwide, leading to significant economic difficulties. Here, we molecularly investigated equine blood samples (320 horses and 109 donkeys from Egypt) and four adult worms isolated from the peritoneal cavity of 5 out of the 94 slaughtered donkeys. In addition, quantitative enzyme-linked immunoassays (ELISAs) targeting circulating cytokines were used t...
Transillumination Techniques for Vessel Identification During Small Colon Resection in Six Horses.
Journal of equine veterinary science    August 27, 2022   Volume 118 104113 doi: 10.1016/j.jevs.2022.104113
Giusto G, Cerullo A, Gandini M.Transillumination has been described in human surgery to improve vessel visualization but has not been described in horses. Since the equine mesocolon contains a great amount of fat which restricts visualization of the vessels, this technique could be useful during small colon resection. To describe transillumination of the mesocolon to provide an improved vessel identification during resection and anastomosis of the small colon in horses. Data of horses that underwent resection and anastomosis of small colon were recorded. Two transillumination techniques were used during resection and anasto...
Fetlock Joint Angle Pattern and Range of Motion Quantification Using Two Synchronized Wearable Inertial Sensors per Limb in Sound Horses and Horses with Single Limb Naturally Occurring Lameness.
Veterinary sciences    August 25, 2022   Volume 9, Issue 9 456 doi: 10.3390/vetsci9090456
Pagliara E, Marenchino M, Antenucci L, Costantini M, Zoppi G, Giacobini MDL, Bullone M, Riccio B, Bertuglia A.Fetlock joint angle (FJA) pattern is a sensitive indicator of lameness. The first aim of this study is to describe a network of inertial measurement units system (IMUs) for quantifying FJA simultaneously in all limbs. The second aim is to evaluate the accuracy of IMUs for quantifying the sagittal plane FJA overground in comparison to bi-dimensional (2-D) optical motion capture (OMC). 14 horses (7 free from lameness and 7 lame) were enrolled and analyzed with both systems at walk and trot on a firm surface. All enrolled horses were instrumented with 8 IMUs (a pair for each limb) positioned at t...
The use of a hyperosmolar irrigation solution is safe in an equine stifle joint model but does not reduce joint swelling.
American journal of veterinary research    August 24, 2022   Volume 83, Issue 10 ajvr.22.04.0074 doi: 10.2460/ajvr.22.04.0074
Hayden LR, Stoker AM, Johnson PJ, McCracken MJ.To determine the following: (1) whether an irrigation solution that is hyperosmolar (HYPER) relative to synovial fluid decreases tissue extravasation during an arthroscopic protocol when compared to a relatively hypoosmolar solution, (2) the safety of a HYPER solution based on viability of joint tissues following joint irrigation, and (3) if the use of a HYPER solution decreases water content in stifle joint tissue. Methods: 8 adult horses. Methods: A prospective, blinded, randomized controlled trial was performed to compare lactated Ringer's solution (LRS; 273 mOsm/L) and a HYPER (600 mOsm/L)...
Synovium secretome as a disease-modifying treatment for equine osteoarthritis.
American journal of veterinary research    August 24, 2022   Volume 83, Issue 10 ajvr.22.05.0082 doi: 10.2460/ajvr.22.05.0082
Hernandez SM, Begum L, Keller LE, Fu Q, Zhang S, Fortier LA.To identify chondroprotective factors as potential disease-modifying osteoarthritis treatments using an unbiased, bottom-up proteomics approach. Methods: Paired equine cartilage explants and synovial membrane were collected postmortem from 4 horses with no history of lameness and grossly normal joints at necropsy. Methods: Six groups were established: cartilage, synoviocytes, and cartilage + synoviocytes (coculture), all with or without interleukin (IL)-1β. The catabolic effect of IL-1β was verified by glycosaminoglycan (GAG) released from cartilage into media by 1,9-dimethyl-methylene blue ...
Equine skeletal scintigraphy: Comparing normal bone-to-soft tissue ratio 2 and 4 hours after injection with either hydroxymethylene diphosphonate or methylene diphosphonate.
The Veterinary record    August 24, 2022   Volume 191, Issue 10 e2077 doi: 10.1002/vetr.2077
Pelli AC, Winter K, Offhaus J, Brehm W, Gerlach K.In equine skeletal scintigraphy, there is no information about the possible influence of different phosphonate compounds on image quality. This prospective randomised study determined bone uptake changes and image quality for hydroxymethylene diphosphonate (HDP) and methylene diphosphonate (MDP) in equine patients at different time points. Scintigraphic images of the radius and the tibia of 20 horses were acquired at 2 and 4 hours after injection of either technetium-labelled HDP or MDP. Three regions of interest were identified-in the bone diaphysis, adjacent soft tissue and background area-t...
Clodronate detection and effects on markers of bone resorption are prolonged following a single administration to horses.
Equine veterinary journal    August 23, 2022   Volume 55, Issue 4 696-706 doi: 10.1111/evj.13866
Knych HK, Finno CJ, Katzman S, Ryan D, McKemie DS, Kass PH, Arthur RM.Clodronate is a potent antiresorptive agent labelled for use in horses over 4 years of age, for the treatment of navicular syndrome. Concerns regarding the extra-label use of clodronate in equine athletes, such as racehorses, have been raised as inhibition of osteoclast activity by clodronate has been postulated to interfere with normal bone healing, which is imperative to the repair of microfractures. The paucity of data describing the long-term pharmacokinetics of clodronate and effects on biomarkers of bone resorption necessitates further study. Objective: (1) To determine clodronate conc...
Hyponatremia in horses with septic pneumopathy.
Journal of veterinary internal medicine    August 23, 2022   Volume 36, Issue 5 1820-1826 doi: 10.1111/jvim.16522
Migliorisi A, Barger A, Austin S, Foreman JH, Wilkins P.Hyponatremia is common in horses with bacterial pleuropneumonia, but no further characterization of this abnormality has been reported. Objective: Describe admission plasma sodium concentration ([Na]) in horses with septic pneumopathy and evaluate any association of plasma [Na] with markers of systemic inflammation. Methods: Medical records of horses >1 month of age that between 2008 and 2021 had a transtracheal aspirate (TTA) performed, abnormal TTA cytology, positive TTA culture, pulmonary disease on ultrasonography, radiography or both, and plasma [Na] assessed by direct ion-selective-e...
Pre-Activated Granulocytes from an Autoimmune Uveitis Model Show Divergent Pathway Activation Profiles upon IL8 Stimulation In Vitro.
International journal of molecular sciences    August 23, 2022   Volume 23, Issue 17 doi: 10.3390/ijms23179555
Hoffmann ALC, Hauck SM, Deeg CA, Degroote RL.In the pathophysiology of autoimmune-mediated uveitis, granulocytes have emerged as possible disease mediators and were shown to be pre-activated in equine recurrent uveitis (ERU), a spontaneous disease model. We therefore used granulocytes from ERU horses to identify early molecular mechanisms involved in this dysregulated innate immune response. Primary granulocytes from healthy and ERU horses were stimulated with IL8, and cellular response was analyzed with differential proteomics, which revealed significant differences in protein abundance of 170 proteins in ERU. Subsequent ingenuity pathw...
Blood Transfusion in Equids-A Practical Approach and Review.
Animals : an open access journal from MDPI    August 23, 2022   Volume 12, Issue 17 2162 doi: 10.3390/ani12172162
Jamieson CA, Baillie SL, Johnson JP.Transfusion medicine is a crucial part of equine intensive and critical care. Blood transfusions can save lives in both acute and chronic cases of anemia, hemorrhage, and hemolysis. It is vital to have a comprehensive theoretical and practical understanding of the techniques, implications, risks, and complications. This review covers the physiology and pathophysiology of conditions requiring transfusion, as well as step by step guidance for practitioners of all experience levels. This review is designed to serve as a practical reference for those who are treating horses in either the field or ...
The equine ascarids: resuscitating historic model organisms for modern purposes.
Parasitology research    August 20, 2022   Volume 121, Issue 10 2775-2791 doi: 10.1007/s00436-022-07627-z
Cain JL, Nielsen MK.The equine ascarids, Parascaris spp., are important nematode parasites of juvenile horses and were historically model organisms in the field of cell biology, leading to many important discoveries, and are used for the study of chromatin diminution. In veterinary parasitology, Parascaris spp. are important not only because they can cause clinical disease in young horses but also because they are the only ascarid parasites to have developed widespread anthelmintic resistance. Despite this, much of the general biology and mechanisms of anthelmintic resistance are poorly understood. This review co...
Longitudinal monitoring of fetlock lesions in Thoroughbred racehorses using standing 18F-sodium fluoride positron emission tomography.
American journal of veterinary research    August 18, 2022   Volume 83, Issue 10 ajvr.22.03.0062 doi: 10.2460/ajvr.22.03.0062
Pye J, Spriet M, O'Brion J, Carpenter R, Blea JA, Dowd JP.To assess the repeatability of equine 18F-sodium fluoride (18F-NaF) positron emission tomography (PET) findings, and to evaluate the ability of PET to monitor the progression of areas of increased radiopharmaceutical uptake (IRU) in the fetlocks of Thoroughbred racehorses. Methods: 25 racehorses with clinical signs related to fetlock injuries. Methods: This study is a prospective, longitudinal clinical study. Twenty-five racehorses (54 fetlocks) underwent three 18F-NaF PET scans 6 weeks apart. The first 18F-NaF PET scan was performed at the start of a 12-week period of rest from racing (lay-up...
The bactericidal effect of two photoactivated chromophore for keratitis-corneal crosslinking protocols (standard vs. accelerated) on bacterial isolates associated with infectious keratitis in companion animals.
BMC veterinary research    August 17, 2022   Volume 18, Issue 1 317 doi: 10.1186/s12917-022-03397-z
Suter A, Schmitt S, Hübschke E, Kowalska M, Hartnack S, Pot S.Bacterial corneal infections are common and potentially blinding diseases in all species. As antibiotic resistance is a growing concern, alternative treatment methods are an important focus of research. Photoactivated chromophore for keratitis-corneal crosslinking (PACK-CXL) is a promising oxygen radical-mediated alternative to antibiotic treatment. The main goal of this study was to assess the anti-bactericidal efficacy on clinical bacterial isolates of the current standard and an accelerated PACK-CXL treatment protocol delivering the same energy dose (5.4 J/cm2). Methods: Clinical bacterial...
Inhalative Nanoparticulate CpG Immunotherapy in Severe Equine Asthma: An Innovative Therapeutic Concept and Potential Animal Model for Human Asthma Treatment.
Animals : an open access journal from MDPI    August 16, 2022   Volume 12, Issue 16 2087 doi: 10.3390/ani12162087
Klier J, Fuchs S, Winter G, Gehlen H.Severe equine asthma is the most common globally widespread non-infectious equine respiratory disease (together with its mild and moderate form), which is associated with exposure to hay dust and mold spores, has certain similarities to human asthma, and continues to represent a therapeutic problem. Immunomodulatory CpG-ODN, bound to gelatin nanoparticles as a drug delivery system, were successfully administered by inhalation to severe equine asthmatic patients in several studies. It was possible to demonstrate a significant, sustained, and allergen-independent one-to-eight-week improvement in...
Clostridial Diseases (Botulism and Tetanus).
The Veterinary clinics of North America. Equine practice    August 12, 2022   Volume 38, Issue 2 269-282 doi: 10.1016/j.cveq.2022.05.004
Swink JM, Gilsenan WF.Botulism and tetanus are the 2 primary manifestations of neurologic disease caused by clostridial toxins. Only a small dose of clostridial toxin is required to induce severe, and often fatal, disease. Consequently, definitive diagnosis of either disease is nearly impossible to achieve antemortem or postmortem; presumptive diagnosis is usually made based on physical and neurologic examination findings. Because the severity of clinical signs can worsen rapidly, prognosis worsens when therapeutic intervention is delayed. Highly effective vaccines are available against both botulism and tetanus an...
Intravenous Magnesium Sulphate in Standing Horses: Effects on Physiological Parameters, Plasma Concentration of Magnesium and Nociceptive Threshold Tests☆.
Journal of equine veterinary science    August 11, 2022   Volume 118 104103 doi: 10.1016/j.jevs.2022.104103
La Rosa L, Twele L, Duchateau L, Gasthuys F, Kästner SB, Schauvliege S.A bolus of 50 mg kg MgSO (treatment Mg) or the same volume of saline (treatment S) was infused over 15 minutes in 5 adult healthy horses. T0 was the end of the infusion. Physiological parameters were recorded throughout the study period. Measurements of electrical, thermal, and mechanical nociceptive thresholds were performed at the pelvic limbs at baseline (before T0), and at specific timepoints. Blood samples were taken at fixed timepoints before, during and until 12 hours after the infusion. For statistical analysis, the 95% confidence intervals (CI's) for the differences in nociceptive th...
Functionalized Nanogels with Endothelin-1 and Bradykinin Receptor Antagonist Peptides Decrease Inflammatory and Cartilage Degradation Markers of Osteoarthritis in a Horse Organoid Model of Cartilage.
International journal of molecular sciences    August 11, 2022   Volume 23, Issue 16 8949 doi: 10.3390/ijms23168949
Cullier A, Cassé F, Manivong S, Contentin R, Legendre F, Garcia Ac A, Sirois P, Roullin G, Banquy X, Moldovan F, Bertoni L, Audigié F, Galéra P....Osteoarthritis (OA) is a degenerative and heterogeneous disease that affects all types of joint structures. Current clinical treatments are only symptomatic and do not manage the degenerative process in animals or humans. One of the new orthobiological treatment strategies being developed to treat OA is the use of drug delivery systems (DDS) to release bioactive molecules over a long period of time directly into the joint to limit inflammation, control pain, and reduce cartilage degradation. Two vasoactive peptides, endothelin-1 and bradykinin, play important roles in OA pathogenesis. In this ...
Efficient and Scalable Process to Produce Novel and Highly Bioactive Purified Cytosolic Crystals from Bacillus thuringiensis.
Microbiology spectrum    August 10, 2022   Volume 10, Issue 4 e0235622 doi: 10.1128/spectrum.02356-22
Chicca J, Cazeault NR, Rus F, Abraham A, Garceau C, Li H, Atwa SM, Flanagan K, Soto ER, Morrison MS, Gazzola D, Hu Y, Liu DR, Nielsen MK, Urban JF....Bacillus thuringiensis (Bt) is a Gram-positive soil bacterium that is widely and safely applied in the environment as an insecticide for combatting insect pests that damage crops or are disease vectors. Dominant active ingredients made by Bt are insect-killing crystal (Cry) proteins released as crystalline inclusions upon bacterial sporulation. Some Bt Cry proteins, e.g., Cry5B (formally Cry5Ba1), target nematodes (roundworms) and show exceptional promise as anthelmintics (cures for parasitic nematode diseases). We have recently described inactivated bacteria with cytosolic crystal(s) (IBaCC) ...
Clostridioides (Clostridium) difficile-associated disease, epiploic foramen entrapment, and gastric rupture in a Thoroughbred racehorse: case report and literature review. Asin J, Nyaoke AC, Samol MA, Arthur RM, Uzal FA.Epiploic foramen entrapment (EFE) is a common cause of small intestinal colic in horses and may lead to intestinal strangulation. Strangulating intestinal obstruction impairs the gastrointestinal outflow and can lead to secondary gastric rupture and endotoxemia. Clostridioides difficile can cause enterotyphlocolitis with colic in horses of all ages, and the process is commonly referred to as C. difficile-associated disease (CDAD). Here we report the results of the postmortem examination of a 7-y-old Thoroughbred racehorse with concurrent CDAD, EFE, and gastric rupture that was euthanized follo...
Prevalence of and risk factors associated with Salmonella shedding among equids presented to a veterinary teaching hospital for colic (2013-2018).
Equine veterinary journal    August 9, 2022   Volume 55, Issue 3 446-455 doi: 10.1111/evj.13864
Kilcoyne I, Magdesian KG, Guerra M, Dechant JE, Spier SJ, Kass PH.Gastrointestinal disease has been associated with shedding of Salmonella with previous studies demonstrating that horses with colic have a higher risk of acquiring and shedding Salmonella organisms. Objective: The purpose of this study was to determine the prevalence of and risk factors associated with Salmonella shedding in a colic population at a referral clinic. Methods: Retrospective case-control study. Methods: For each colic case that was positive for Salmonella (n = 56), two colic cases (n = 112) that tested negative for Salmonella, were enrolled as controls. Associations between va...
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