Analyze Diet

Topic:Disease

The study of diseases in horses encompasses a wide range of conditions affecting equine health, including infectious diseases, metabolic disorders, and genetic abnormalities. These diseases can impact various systems within the horse, such as respiratory, gastrointestinal, and musculoskeletal systems, and can lead to significant health challenges. Research in this area focuses on understanding the pathophysiology, diagnosis, prevention, and treatment of equine diseases. Common diseases studied include equine influenza, equine herpesvirus, and laminitis. This page provides access to peer-reviewed research studies and scholarly articles that explore the etiology, clinical presentation, and management strategies of diseases in horses, contributing to the advancement of equine veterinary medicine.
Investigation of Selected Prevalence Factors Associated with EHV-2 and/or EHV-5 Infection in Horses with Acute Onset of Fever and Respiratory Signs.
Viruses    April 25, 2025   Volume 17, Issue 5 612 doi: 10.3390/v17050612
James K, Chappell DE, Craig B, Pariseau C, Wright C, van Harreveld P, Barnum S, Pusterla N.The purpose of this study was to determine any associations of EHV-2, EHV-5, and dual infection with EHV-2/-5 with demographic parameters, clinical signs, and coinfection with other common respiratory pathogens. Nasal swabs collected from 9737 horses were tested for EHV-2 and EHV-5, as well as EHV-1, EHV-4, EIV, , ERAV, and ERBV, by qPCR. Clinical signs and demographic parameters were recorded, and prevalence factors were evaluated for significance regarding EHV-2 and/or EHV-5 infection. Out of the 9737 horses in this study, 17.8% tested EHV-2-positive ( = 1731), 15.8% tested EHV-5-positive ( ...
Integration of machine learning and viscoelastic testing to improve survival prediction in horses experiencing acute abdominal pain at a veterinary teaching hospital.
Equine veterinary journal    April 24, 2025   doi: 10.1111/evj.14517
Macleod BM, Wilkins PA, McCoy AM, Bishop RC.Viscoelastic coagulation testing (VCT) identifies subclinical disruption of coagulation homeostasis and may improve prognostication, particularly for patients with severe systemic inflammation or shock. Machine learning (ML) algorithms may capture complex relationships between clinical variables better than linear regression (GLM). Objective: To evaluate the utility of ML models incorporating VCT and clinical data to predict survival outcomes in horses with acute abdominal pain. Methods: Retrospective observational cohort study. Methods: VCT (VCM Vet™) was performed on 57 horses with acute a...
Sorghum poisoning in ruminants and horses: a review.
Toxicon : official journal of the International Society on Toxinology    April 24, 2025   Volume 261 108375 doi: 10.1016/j.toxicon.2025.108375
Vasconcelos de Sousa AL, Riet-Correa F, Botelho de Castro M, Machado M.We reviewed the history, epidemiology, clinical signs, pathology, pathogenesis, treatment, control, and prophylaxis of Sorghum poisoning in livestock. Economic losses in the livestock industry associated with sorghum have been reported since the 19th century. Hyperacute/acute poisoning associated with cyanide (HCN) or nitrate/nitrite frequently occurs in ruminants that consume high quantities of growth and regrowth sorghum after drought, followed by rainfall, respectively. Chronic cystitis-ataxia syndrome primarily affects horses after weeks of grazing on sorghum pastures, while congenital art...
Management of an Equine Herpesvirus-1 Outbreak During a Multi-Week Equestrian Event.
Viruses    April 24, 2025   Volume 17, Issue 5 doi: 10.3390/v17050608
Pusterla N, Lawton K, Barnum S, Flynn K, Hankin S, Runk D, Mendonsa E, Doherty T.The present study reports on the management of an EHV-1 outbreak at a large, multi-week equestrian event with ongoing showing. Within a 48 h period, 8 horses out of a cohort of 38 horses from the same trainer displayed elevated rectal temperatures ranging from 38.4 to 39.0 °C. Initial testing using a point-of-care PCR assay detected EHV-1 in 2/8 horses, with the results being confirmed at a later time by qPCR. As a precautionary measure and because of the inability to isolate the entire at-risk population, the 38 horses were relocated to an equine facility outside the equestrian event for dai...
Comparative Efficacy of Topical Pyrethroids and Benzoyl Peroxide for Treating Chorioptic Mange in Spanish-Breton Horses.
Journal of parasitology research    April 22, 2025   Volume 2025 8948099 doi: 10.1155/japr/8948099
Carbonell JD, Fernández N, Escobar MJ, Álvarez MT, Sánchez L, Hernández A, Meana A.Chorioptic mange is a challenging condition to treat due to the superficial locations of the nonhematophagous mite , and while topical acaricides are recommended, the clinical feature relapses are frequent. In a double-blinded clinical trial, three randomized groups of Spanish-Breton horses ( = 32) naturally infected with on their legs were evaluated over a period of 70 days. All treatments were applied once every 14 days for three treatments. Before treatment and on Day (D)10, D25, D37, D56, and D70, each leg per animal was scored according to equine pastern dermatitis clinical presentat...
Assessing the inflammatory response in horses undergoing gastric ulceration using salivary ADA and S100A12 as biomarkers.
Research in veterinary science    April 22, 2025   Volume 190 105667 doi: 10.1016/j.rvsc.2025.105667
The inflammatory status in horses with gastric ulcers was monitored by two inflammatory biomarkers, S100A12 and adenosine deaminase (ADA), using saliva samples from healthy and horses with gastric ulcers. Two trials were developed: an experimental trial, in which gastric ulceration was induced in 8 horses by feed deprivation, and a clinical trial, in which 20 horses without any symptomatology and 37 with symptoms compatible with gastric ulcers were used. S100A12 and ADA levels were measured in the saliva samples of all horses using previously validated assays. In both trials, horses with gastr...
Did Horses Act as Intermediate Hosts That Facilitated the Emergence of 1918 Pandemic Influenza?
The Journal of infectious diseases    April 22, 2025   Volume 232, Issue 3 521-524 doi: 10.1093/infdis/jiaf197
Furmanski M, Murcia PR.The ecological factors that led to the 1918 influenza pandemic remain unknown. We hypothesize that horses acted as intermediate hosts spreading a prepandemic avian-origin virus before 1918. This is supported by reports describing a large epizootic of unusually severe equine influenza beginning in 1915. Furthermore, the high horse demand during World War I resulted in one of the biggest equine mobilizations in North America between 1914 and 1918. This extensive movement of horses provided abundant opportunities for virus reassortment between prepandemic avian and human influenza viruses. Archiv...
Prevalence and molecular epidemiology of the novel equine parasite Theileria haneyi in China.
Equine veterinary journal    April 21, 2025   doi: 10.1111/evj.14505
Yang G, Chen Y, Chen K, Hu Z, Li J, Wang J, Guo W, Wang X, Du C.Equine piroplasmosis (EP), caused by Theileria equi (T. equi) and Babesia caballi (B. caballi), is a tick-borne disease with significant economic impacts on the equine industry. Theileria haneyi (T. haneyi), a newly identified pathogen of EP, is globally distributed but has not been reported in China, where its epidemiological patterns remain undefined. Objective: To develop diagnostic techniques for T. haneyi and to assess its prevalence and risk factors in China. Methods: Assay development and cross sectional survey. Methods: A nested PCR (nPCR) nucleic acid diagnostic technique targeting th...
Motor pathway evaluation by transcranial magnetic stimulation in Swedish horses with acquired equine polyneuropathy.
Equine veterinary journal    April 21, 2025   doi: 10.1111/evj.14506
May A, Hanche-Olsen S, Goehring LS, Matiasek K, Jäderlund KH, Zablotski Y, Gröndahl G.Acquired equine polyneuropathy in Nordic horses (AEP) is the most prevalent equine polyneuropathy in Norway, Sweden, and Finland and is characterised by pelvic limb knuckling due to metatarsophalangeal extension dysfunction. Objective: To evaluate the function of descending motor pathways in AEP using transcranial magnetic stimulation (TMS). Methods: An analytical, observational cohort design. Methods: Clinical findings and TMS results of 20 horses from an AEP outbreak in Sweden were evaluated at 5-month intervals. Latency time (LT) in milliseconds (ms) between coil discharge and onset of musc...
Altered expression of collagen gene family members and its epigenetic background in equine Sarcoids.
Research in veterinary science    April 21, 2025   Volume 190 105656 doi: 10.1016/j.rvsc.2025.105656
Pawlina-Tyszko K, Semik-Gurgul E, Podstawski P, Herc W, Witkowski M, Ropka-Molik K.Alterations in the genes involved in the creation of the extracellular matrix (ECM) were observed in our earlier transcriptome studies of sarcoids and their cell culture model. For a complete characterization of the underlying molecular pathways, it is imperative to comprehend the involvement of ECM modifications in the oncogenic transformation of sarcoid fibroblasts. Thus, the aim of this investigation was to describe the expression patterns of a set of genes that are essential for the rearrangements of the extracellular matrix, namely collagen genes, and elucidate possible mechanisms underly...
Microscopic examination of haemoparasites and the first molecular detection of Theileria equi in horses in Myanmar.
Parasitology research    April 21, 2025   Volume 124, Issue 4 42 doi: 10.1007/s00436-025-08488-y
Khaing Y, Htun LL, Linn KS, Kyaw WO, Nwae TT, Chel HM, Win SY, Murata S, Nakao R, Nonaka N, Bawm S.The study aimed to determine the prevalence of blood parasites in horses and identify risk factors and molecular detection of piroplasm species (Theileria equi and Babesia caballi) of horses in Myanmar. Blood samples (n = 302) were collected from five regions of Myanmar. Blood smears were screened for presence of piroplasms. Samples positive for piroplasms were subjected to molecular identification using primers specific to the small subunit ribosomal RNA (SSU rRNA) of piroplasms. The overall prevalence of blood parasites (piroplasms, Trypanosoma spp., and microfilaria of Setaria equina) w...
Histological and morphometric changes in cardiac conduction fibers after spontaneous myocardial infarction in horses and dogs.
Veterinary world    April 19, 2025   Volume 18, Issue 4 827-836 doi: 10.14202/vetworld.2025.827-836
Gómez-Torres F, Ballesteros-Acuña L, Ruíz-Sauri A.Arrhythmic sudden cardiac death in dogs and horses often results from ventricular arrhythmia secondary to myocardial damage. Despite this, limited data exist on the histomorphometric changes in cardiac conduction fibers (CCFs) and cardiac conduction cells (CCCs) following spontaneous myocardial infarction (MI). This study aimed to characterize morphometric and histological alterations in conduction fibers and their junctions with cardiomyocytes in infarcted hearts of horses and dogs. Unassigned: Ten hearts from horses and 10 from dogs that had died suddenly were examined. Histological and immu...
Minimal disruption of equine gut microbiota by intravenous cephalothin treatment.
The Journal of veterinary medical science    April 18, 2025   Volume 87, Issue 6 690-696 doi: 10.1292/jvms.25-0105
Kinoshita Y, Niwa H, Ueno T.In horses, the gut microbiota plays a critical role in maintaining intestinal homeostasis and overall health, but antimicrobial administration can disrupt its balance, resulting in dysbiosis, which can cause antibiotic-associated diarrhea. This study assessed the impact of intravenous cephalothin sodium administration on the equine gut microbiota by using microbial amplicon sequencing targeting the 16S-ITS-23S rRNA operon. Fecal samples from 39 clinically normal horses, 16 antibiotic-treated horses (cephalothin, n=5; minocycline, n=5; metronidazole, n=6, each administered for 5 days), and seve...
Metagenomic and proteomic analyses reveal similar reproductive microbial profiles and shared functional pathways in uterine immune regulation in mares and jennies.
PloS one    April 16, 2025   Volume 20, Issue 4 e0321389 doi: 10.1371/journal.pone.0321389
da Silva-Álvarez E, Gómez-Arrones V, Correa-Fiz F, Martín-Cano FE, Gaitskell-Phillips G, Carrasco JJ, Rey J, Aparicio IM, Peña FJ, Alonso JM....This study aims to unveil potential differences in the vaginal and uterine microbiomes in mares and jennies, and to identify possible mechanisms involved in uterine immune homeostasis. The microbiota was characterized using 16S rRNA sequencing, and the uterine proteome was analyzed using UHPLC/MS/MS in 18 samples from healthy mares and 14 from jennies. While taxonomic analysis revealed high interspecies similarities, β-diversity analysis showed distinct clustering, with only two vaginal taxa and five uterine taxa differing between species. Despite compositional differences, PICRUSt analysis s...
[Diagnostic imaging of the equine cervical spine – Part one: Radiography – A review of the literature on findings and their clinical significance].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    April 15, 2025   Volume 53, Issue 2 109-119 doi: 10.1055/a-2557-0115
Hellige M, Geburek F.A number of indications exist that necessitate radiologic examination of the equine cervical spine. Different neurologic and pain-associated clinical signs within the scope of lameness or poor performance may be associated to pathologies of the cervical spine. Moreover, the number of requests for radiographic examinations of the cervical spine, for example as part of the pre-purchase examination, has increased significantly in recent years. However, the interpretation of radiographs represents a challenge, particularly in the case of clinically sound horses, as it often necessitates the resolu...
The effect of amphiregulin on equine endometrial fibroblasts: in vitro responses of fibroblast derived from non-fibrotic and fibrotic endometrium.
Reproductive biology    April 14, 2025   Volume 25, Issue 2 101018 doi: 10.1016/j.repbio.2025.101018
Wójtowicz A, Sadowska A, Piotrowska-Tomala K, Szóstek-Mioduchowska A.The role of AREG in the development of fibrosis in the progression of endometrosis in mare remains unknown. We aimed to determine the effects of AREG on fibroblast functional characteristics as well as the expression of extracellular matrix (ECM)-associated genes in fibroblast derived from non-fibrotic and fibrotic equine endometria. Our findings suggest that the mechanisms associated with ECM remodeling regulated by AREG in non-fibrotic fibroblasts may be dysregulated in the progression of fibrosis in endometrosis.
Characteristics of Chrysosporium spp. Pathogens Causing Skin Mycoses in Horses.
Journal of fungi (Basel, Switzerland)    April 9, 2025   Volume 11, Issue 4 doi: 10.3390/jof11040297
Kukhar Y, Bailina G, Smagulova A, Uakhit R, Kiyan V.Equine skin mycoses are a significant concern in Kazakhstan's livestock industry due to the country's historical livestock farming practices, the development of equestrian sports, and food traditions. Skin infections are among the most common fungal infections in horses. Emerging pathogens of equine dermatophytosis include keratinophilic Chrysosporium spp., which can degrade and metabolize keratin found in superficial tissues. This, combined with their thermotolerance, contributes to their pathogenicity. In this study, we investigated the biological properties and pathogenicity of two Chrysosp...
Blood-Meal Hosts of the Enzootic Vector of Eastern Equine Encephalomyelitis Virus, Culiseta melanura, in Michigan, United States.
The American journal of tropical medicine and hygiene    April 8, 2025   tpmd240637 doi: 10.4269/ajtmh.24-0637
Keven JB, Walker ED.Eastern equine encephalomyelitis virus (EEEV) is endemic in Michigan, showing an upsurge in human cases and in infections of white-tailed deer, horses, and other animals in the past decade (2010-2020). However, blood-host associations of the enzootic mosquito vector Culiseta melanura in the Great Lakes region are poorly known compared with other better-studied regions. Vertebrate sources of blood meals of Cs. melanura collected from resting boxes were determined through sequencing of the mitochondrial cytochrome B gene generated from polymerase chain reaction. Thirty-six unique avian species w...
Investigating the interplay of stressors and health in horses through fecal cortisol metabolite analysis.
Frontiers in veterinary science    April 8, 2025   Volume 12 1545577 doi: 10.3389/fvets.2025.1545577
Nowak AC, Macho-Maschler S, Biermann NM, Palme R, Dengler F.Horses are highly sensitive to stress, which can affect their wellbeing and lead to various health issues. Effective and objective stress assessment is therefore crucial for improving their care and management. The production of the glucocorticoid cortisol is increased in response to stressful stimuli and its metabolites can be measured non-invasively in feces. Therefore, this study aimed to explore the impact of different environmental and physiological stressors on fecal cortisol metabolite (FCM) concentrations in horses, with a particular focus on the relationship between stress, health, an...
Characteristics of the Mare-Uterine-Culture-Based Bacterial Composition Using Practical Clinical Evaluation Methods.
Pathogens (Basel, Switzerland)    April 7, 2025   Volume 14, Issue 4 doi: 10.3390/pathogens14040357
Carvalho IB, Branco S, Laranjo M, Queiroga MC, Bettencourt E.Uterine health is paramount to fertility in broodmares and for the success of a breeding project, and the Lusitano breed is no exception. This study aimed to characterize the mare uterine microbiota using practical clinical evaluation methods. Mares were examined by transrectal palpation and ultrasonography, followed by the collection of samples by one of three different techniques: uterine lavage, biopsy, or swab. The results of cytology, histology, microbiology, and antimicrobial susceptibility testing were recorded, and statistical analyses were performed. Inflammation was present in 42.2% ...
Immunological insights into the occurrence of Lawsonia intracellularis in horses from southern Brazil using flow cytometry.
Veterinary world    April 7, 2025   Volume 18, Issue 4 755-762 doi: 10.14202/vetworld.2025.755-762
Matté YA, Baldasso DZ, Rezende MA, Lui JFM, Seibel AC, Guizzo JA, Frandoloso R, Kreutz LC.Lawsonia intracellularis is an obligatory intracellular bacterium associated with equine proliferative enteropathy (EPE), which significantly impacts equine health. Despite its clinical relevance, epidemiological and diagnostic approaches for this infection in horses have remained underexplored. This study aimed to evaluate the humoral immune response in horses immunized with an experimental vaccine for L. intracellularis and to determine the occurrence of anti-L. intracellularis antibodies in horses from southern Brazil using the flow cytometry antibody test (FCAT). Unassigned: A total of 12 ...
Determination of the miRNA profile of extracellular vesicles from equine mesenchymal stem cells after different treatments.
Stem cell research & therapy    April 5, 2025   Volume 16, Issue 1 162 doi: 10.1186/s13287-025-04287-5
Klymiuk MC, Speer J, Marco I, Elashry MI, Heimann M, Wenisch S, Arnhold S.Osteoarthritis (OA) is a common and incurable disease in humans and animals. To gain a better understanding of the pathogenesis and identify potential treatments, miRNAs will be extracted and analysed from extracellular vesicles (EVs) of equine adipose derived mesenchymal stem cells (AdMSCs). Methods: For this purpose we cultivated and pretreated AdMSCs under different conditions: interleukin 1β, shock wave, chondrogenic differentiation, chondrogenic differentiation under hypoxia, or after senescence. After treatment, EVs were harvested from the cell culture supernatants. Next-generation sequ...
Extracellular Vesicle-Derived microRNA Crosstalk Between Equine Chondrocytes and Synoviocytes-An In Vitro Approach.
International journal of molecular sciences    April 3, 2025   Volume 26, Issue 7 doi: 10.3390/ijms26073353
Castanheira CIGD, Anderson JR, Clarke EJ, Hackl M, James V, Clegg PD, Peffers MJ.This study describes a novel technique to analyze the extracellular vesicle (EV)-derived microRNA (miRNA) crosstalk between equine chondrocytes and synoviocytes. Donor cells (chondrocytes, n = 8; synoviocytes, n = 9) were labelled with 5-ethynyl uridine (5-EU); EVs were isolated from culture media and incubated with recipient cells (chondrocytes [n = 5] were incubated with synoviocyte-derived EVs, and synoviocytes [n = 4] were incubated with chondrocyte-derived EVs). Total RNA was extracted from recipient cells; the 5-EU-labelled RNA was recovered and sequenced. Differential expression analysi...
Clostridioides difficile in feral horse populations in Australia.
Applied and environmental microbiology    April 2, 2025   Volume 91, Issue 5 e0211424 doi: 10.1128/aem.02114-24
Hain-Saunders NMR, Knight DR, Harvey A, Bruce M, Hampson BA, Riley TV.Clostridioides difficile is a known cause of diarrhea and colitis in human and non-human animals. While C. difficile is regularly isolated from domesticated horses, little is known about its prevalence in wild or feral populations. In Australia, the horse population encompasses a mix of both domesticated and feral animals, with the feral population of 400,000 estimated to be the largest in the world. This study investigated the presence and characteristics of C. difficile in Australian feral horses and evaluated their potential as a source or reservoir of C. difficile in the wider community. F...
Haemaphysalis longicornis ticks are unable to transstadially transmit Theileria haneyi to horses.
Frontiers in veterinary science    April 2, 2025   Volume 12 1572944 doi: 10.3389/fvets.2025.1572944
Poh KC, Oyen K, Onzere CK, Kappmeyer LS, Bastos RG.The recent discovery of , a tick-borne hemoparasite that causes mild clinical signs of equine piroplasmosis, has added complexity to the diagnosis of this reportable disease, which is prevalent among equids globally. Knowledge gaps regarding competent tick vectors that can transmit and the recent outbreak of in the US has prompted us to conduct this study. Our objective was to investigate whether can transstadially transmit to horses. Unassigned: larvae (0.5 g) and nymphs ( = 500) were fed on a splenectomized -infected horse for parasite acquisition. During the tick feeding period, ...
Expert commentary on HORSE/MITO18 and CHIPOR.
Journal of gynecologic oncology    April 1, 2025   Volume 36, Issue 2 e87 doi: 10.3802/jgo.2025.36.e87
Karabeg E, Harter P.No abstract available
Equine Blood Microbiome in a Cohort of Clinically Healthy Trail Riding Horses.
Journal of veterinary internal medicine    April 1, 2025   Volume 39, Issue 3 e70082 doi: 10.1111/jvim.70082
Simms N, Bertone JJ, Melgarejo T, O'Shea C, Linde A.Emerging research suggests the presence of a blood microbiome in clinically healthy individuals. Characterizing bacterial composition and abundance in blood from a group of healthy horses is of clinical interest. Objective: Horses in a closed herd environment will have blood microbiomes with similarities among individuals. Methods: Twenty trail-riding horses of different breeds and ages living in relative isolation on a dry lot pasture in Colorado at 7680 ft elevation. Methods: Cross-sectional study. Blood was collected from the jugular vein into serum, blood collection, and EDTA tubes. Samp...
Pain Assessment of Horses With Trigeminal-Mediated Headshaking (TMHS) at Rest Between Episodes.
Journal of veterinary internal medicine    April 1, 2025   Volume 39, Issue 3 e70064 doi: 10.1111/jvim.70064
Franzen V, Reisbeck D, Leibl Y, Schoster A, May A.While there is agreement that horses experience pain during the actual headshaking attacks, there is still a lack of research about the time between the individual episodes in this species. Objective: To evaluate the signs of pain in horses with TMHS at rest in the absence of common triggering factors. Methods: Twenty TMHS horses (not head shaking at the time of pain assessment), 20 horses with colic, and 20 clinically healthy horses. Methods: Descriptive study assessing pain in TMHS horses during the absence of clinical signs using the Horse Grimace scale (HGS). To grade the pain shown with T...
Progressive evolution of Streptococcus equi from Streptococcus equi subsp. zooepidemicus and adaption to equine hosts.
Microbial genomics    March 28, 2025   Volume 11, Issue 3 doi: 10.1099/mgen.0.001366
Wilson HJ, Dong J, van Tonder AJ, Ruis C, Lefrancq N, McGlennon A, Bustos C, Frosth S, Léon A, Blanchard AM, Holden M, Waller AS, Parkhill J. subsp. causes the equine respiratory disease 'strangles', which is highly contagious, debilitating and costly to the equine industry. emerged from the ancestral subsp. and continues to evolve and disseminate globally. Previous work has shown that there was a global population replacement around the beginning of the twentieth century, obscuring the early genetic events in this emergence. Here, we have used large-scale genomic analysis of and its ancestor to identify evolutionary events, leading to the successful expansion of . One thousand two hundred one whole-genome sequences of were ...
Description of a Modified Two-Step Omphalectomy Technique Using the LigaSure™ Device to Remove the Whole Extrahepatic Umbilical Vein: A Case Series Study in Equine and Donkey Foals.
Animals : an open access journal from MDPI    March 28, 2025   Volume 15, Issue 7 doi: 10.3390/ani15070981
Buzon-Cuevas A, Duaso J, Sanchez de Medina A, Sierra JM, Perez-Ecija A, Mendoza FJ.Umbilical disorders are common in equids, although scarce information is available in donkeys compared to horses. Foals with these disturbances have high morbidity and mortality rates. The conventional omphalectomy technique does not remove the whole umbilical vein, which can lead to infection in the remnant vein or even liver abscess. At the moment, if the whole umbilical vein needs to be removed, a longer ventral midline incision must be performed, which is linked with several complications. This retrospective case series study focused on a modified two-step omphalectomy using the LigaSureTM...
1 9 10 11 12 13 481