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Topic:Epidemiology

Epidemiology in horses involves the study of the distribution and determinants of health-related states and events in equine populations. It encompasses the investigation of patterns, causes, and effects of diseases and health conditions within horse populations. This field of study aims to identify risk factors for disease and targets for preventive healthcare. Key components of equine epidemiology include disease surveillance, outbreak investigation, and the study of disease dynamics within herds or regions. Research in this area often focuses on infectious diseases, zoonotic diseases, and the impact of environmental factors on equine health. This page compiles peer-reviewed research studies and scholarly articles that explore various aspects of epidemiology in horses, including disease prevalence, transmission pathways, and strategies for disease prevention and control.
Occurrence of Equine Foamy Virus Infection in Horses from Poland.
Viruses    September 6, 2022   Volume 14, Issue 9 1973 doi: 10.3390/v14091973
Materniak-Kornas M, Rożek W, Rola J, Osiński Z, Löchelt M, Kuźmak J.Equine foamy virus (EFVeca) is a foamy virus of non-primate origin and among the least-studied members of this retroviral subfamily. By sequence comparison, EFVeca shows the highest similarity to bovine foamy virus. In contrast to simian, bovine or feline foamy viruses, knowledge about the epidemiology of EFVeca is still limited. Since preliminary studies suggested EFVeca infections among horses in Poland, we aimed to expand the diagnostics of EFVeca infections by developing specific diagnostic tools and apply them to investigate its prevalence. An ELISA test based on recombinant EFVeca Gag pr...
Epidemiology of equine influenza in the Maghreb area.
Comparative immunology, microbiology and infectious diseases    September 6, 2022   Volume 89 101868 doi: 10.1016/j.cimid.2022.101868
Kareche H, Daly JM, Laabassi F.Equine influenza (EI) is one of the most contagious respiratory infections in horses, donkeys and mules, caused by equine influenza A virus (EIV). It remains a disease with a strong economic stake for the equine industry. This review focuses on the epidemiological situation of EIV in the Maghreb area, which includes Algeria, Morocco and Tunisia. There is serological evidence for extensive circulation of EIV in the Maghreb area since the early 1970s, but reports of detailed investigation of outbreaks are scarce with no documented isolation or molecular characterization of EIV from Tunisia. Isol...
Molecular detection and assessment of the epidemiological risk factors associated with equine herpesvirus 2 and 5 in working equids in central Ethiopia.
Veterinary medicine and science    September 5, 2022   Volume 8, Issue 6 2396-2403 doi: 10.1002/vms3.925
Wondimagegnehu K, Leta S, Amenu K, Negussie H.Respiratory disease is the most common presenting complaint at veterinary clinics and a priority concern for equid owners and veterinary practitioners in Ethiopia. This study aimed to report the molecular detection of EHV-2 and EHV-5 and to assess the risk factors associated with infection in working equids in central Ethiopia. Nasopharyngeal swabs were collected from 58 horses and donkeys to detect EHV-2 and EHV-5 using PCR targeting the conserved region of glycoprotein B (gB) genes. From 58 equids, EHV-5 and EHV-2 were detected in 20 (34.5%) and 19 (32.8%) equids, respectively. Concurrent in...
Infection of young foals with Equine Parvovirus-Hepatitis following a fatal non-biologic case of Theiler’s disease.
Veterinary microbiology    September 5, 2022   Volume 274 109557 doi: 10.1016/j.vetmic.2022.109557
Meister TL, Arroyo LG, Shanahan R, Papapetrou MA, Reinecke B, Brüggemann Y, Todt D, Stang A, Hazlett M, Baird JD, Steinmann E.Theiler's disease (TD) is a (sub-)acute hepatitis in adult horses and one of the most common causes of acute hepatic failure. Recent findings indicate that equine parvovirus hepatitis (EqPV-H) likely causes TD and that its transmission occurs via iatrogenic and/or natural routes. Following the death of an EqPV-H positive mare with TD, close-contact mares and foals in the same paddock were monitored to evaluate if there was any evidence of EqPV-H. For this purpose, the serum of close contact horses was examined 6 and 42 days after the mare's death for the presence of EqPV-H DNA and changes in l...
Epidemiological and Phylogeographic Study of Equid Herpesviruses in Tunisia.
Pathogens (Basel, Switzerland)    September 5, 2022   Volume 11, Issue 9 1016 doi: 10.3390/pathogens11091016
Badr C, Souiai O, Arbi M, El Behi I, Essaied MS, Khosrof I, Benkahla A, Chabchoub A, Ghram A.Equid herpesvirus (EHV) is a contagious viral disease affecting horses, causing illness characterized by respiratory symptoms, abortion and neurological disorders. It is common worldwide and causes severe economic losses to the equine industry. The present study was aimed at investigating the incidence of EHVs, the genetic characterization of Tunisian isolates and a spatiotemporal study, using 298 collected samples from diseased and clinically healthy horses. The global incidence of EHV infection was found to be about 71.81%. EHV2 and EHV5 were detected in 146 (48.99%) and 159 (53.35%) sampled...
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...
Fecal Microbiota Comparison Between Healthy Teaching Horses and Client-Owned Horses.
Journal of equine veterinary science    September 1, 2022   Volume 118 104105 doi: 10.1016/j.jevs.2022.104105
Ayoub C, Arroyo LG, Renaud D, Weese JS, Gomez DE.The objective of this study was to compare the fecal microbiota of two healthy teaching horse herds with that of client-owned horses from the same geographic areas. The fecal microbiota of client-owned horses from Ontario Canada (n = 15) and Florida, USA (n = 11) was compared with that teaching horses from the University of Guelph, Ontario, Canada (n = 10) and the University of Florida, Florida, USA (n = 15). The fecal microbiota was characterized by sequencing of bacterial DNA using the V4 hypervariable region of the 16S rRNA gene. The diversity (inverse Simpson index) of the fecal mi...
An epidemiological overview of the equine influenza epidemic in Great Britain during 2019.
Equine veterinary journal    August 31, 2022   Volume 55, Issue 1 153-164 doi: 10.1111/evj.13874
Whitlock F, Grewar J, Newton R.During 2019, an epidemic of equine influenza (EI) occurred in Europe. Objective: To describe the epidemiology of the 2019 EI epidemic within Great Britain (GB). Methods: Retrospective descriptive study of laboratory confirmed EI cases. Methods: Epidemiological data were obtained from veterinary surgeons referring samples for EI virus testing. Where available, data on confirmed cases and their wider resident population on EI-infected premises were collated and described. On a national level, spatial and temporal representations, consisting of choropleth maps and epidemic curves, described the s...
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 ...
The healthy equine uterus harbors a distinct core microbiome plus a rich and diverse microbiome that varies with geographical location.
Scientific reports    August 30, 2022   Volume 12, Issue 1 14790 doi: 10.1038/s41598-022-18971-6
Holyoak GR, Premathilake HU, Lyman CC, Sones JL, Gunn A, Wieneke X, DeSilva U.The goal of this study was to understand the composition and existence of the resident uterine microbiome in healthy mares and to establish the presence of a core microbiome for the healthy equine uterus. We analyzed the microbiomes of 35 healthy mares that are long-time residents of three farms in Oklahoma, Louisiana, and Australia as well as that of 19 mares purchased from scattered owners in the Southern Mid-Western states of the United States. Over 6 million paired-end reads of the V4 region of the 16S rRNA gene were obtained resulting in 19,542 unique Amplicon Sequence Variants (ASVs). AS...
Whole genome sequence analysis of equid gammaherpesvirus -2 field isolates reveals high levels of genomic diversity and recombination.
BMC genomics    August 30, 2022   Volume 23, Issue 1 622 doi: 10.1186/s12864-022-08789-x
Onasanya AE, El-Hage C, Diaz-Méndez A, Vaz PK, Legione AR, Browning GF, Devlin JM, Hartley CA.Equid gammaherpesvirus 2 (EHV2) is a gammaherpesvirus with a widespread distribution in horse populations globally. Although its pathogenic significance can be unclear in most cases of infection, EHV2 infection can cause upper respiratory tract disease in foals. Co-infection of different strains of EHV2 in an individual horse is common. Small regions of the EHV2 genome have shown considerable genetic heterogeneity. This could suggest genomic recombination between different strains of EHV2, similar to the extensive recombination networks that have been demonstrated for some alphaherpesviruses. ...
Screening and estimation of antibacterial activity of bacteriocins produced by Enterococcus faecium LR isolated from raw horse milk samples.
Pakistan journal of pharmaceutical sciences    August 27, 2022   Volume 35, Issue 4 1125-1134 
Hassan Kadi R, Baghdadi AM.Lactic acid bacteria are microorganisms that can be present in meat, milk and fermented products, as well as fermented drinks and vegetables, and they inhibit the growth of pathogenic and decaying microorganisms. Our aim was isolating, screening, characterization and estimation of bacteriocin/s of Lactic acid bacteria isolated from Horses milk in Jeddah city, Saudi Arabia. That have antagonistic activity against a wide range of pathogenic bacteria. On MRS agar medium 16 LAB isolates were examined using the agar well diffusion method against the pathogenic bacteria (Gram-positive bacteria: S. a...
Identification of Equine Arteritis Virus Immunodominant Epitopes Using a Peptide Microarray.
Viruses    August 26, 2022   Volume 14, Issue 9 doi: 10.3390/v14091880
Mayers J, Westcott D, Steinbach F.Using the commercially available PEPperCHIP® microarray platform, a peptide microarray was developed to identify immunodominant epitopes for the detection of antibodies against Equine arteritis virus (EAV). For this purpose, the whole EAV Bucyrus sequence was used to design a total of 1250 peptides that were synthesized and spotted onto a microarray slide. A panel of 28 serum samples representing a selection of EAV strains was tested using the microarray. Of the 1250 peptides, 97 peptides (7.76%) showed reactivity with the EAV-positive samples. No single peptide was detected by all the positi...
International Spread of Multidrug-Resistant Rhodococcus equi.
Emerging infectious diseases    August 24, 2022   Volume 28, Issue 9 1899-1903 doi: 10.3201/eid2809.220222
Val-Calvo J, Darcy J, Gibbons J, Creighton A, Egan C, Buckley T, Schmalenberger A, Fogarty U, Scortti M, Vázquez-Boland JA.A multidrug-resistant clone of the animal and human pathogen Rhodococcus equi, MDR-RE 2287, has been circulating among equine farms in the United States since the 2000s. We report the detection of MDR-RE 2287 outside the United States. Our finding highlights the risk for MDR-RE spreading internationally with horse movements.
Diversity of Blastocystis Subtypes in Horses in Colombia and Identification of Two New Subtypes.
Microorganisms    August 24, 2022   Volume 10, Issue 9 1693 doi: 10.3390/microorganisms10091693
Baek S, Maloney JG, Molokin A, George NS, Cortés Vecino JA, Santin M. is a common intestinal protist in humans and animals worldwide. Wild and domestic animals are thought to be reservoirs of subtypes that also infect humans. There are limited studies on the prevalence and subtype distribution of in horses. In this study, 185 fecal samples were collected from horses (1 month to 17 years of age) in four regions of Colombia (Sabana de Bogotá, Costa Atlántica, Llanos Orientales, and Bogotá D.C.). presence and subtypes were determined by PCR and next generation amplicon sequencing. Eighty-one (43.8%) horses were positive for , with positive horses in all four...
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...
Epidemiological Study of Multiple Zoonotic Mosquito-Borne Alphaviruses in Horses in Queensland, Australia (2018-2020).
Viruses    August 23, 2022   Volume 14, Issue 9 doi: 10.3390/v14091846
Yuen KY, Henning J, Eng MD, Wang ASW, Lenz MF, Caldwell KM, Coyle MP, Bielefeldt-Ohmann H.The increased frequency of extreme weather events due to climate change has complicated the epidemiological pattern of mosquito-borne diseases, as the host and vector dynamics shift to adapt. However, little is known about the seroprevalence of common mosquito-borne virus infections in horses in Australia. In this study, serological surveys for multiple alphaviruses were performed on samples taken from 622 horses across two horse populations (racehorses and horses residing on The University of Queensland (UQ) campus) in Queensland using the gold standard virus neutralization test. As is the ca...
Synthesis and characterization of d5 -barbarin for use in barbarin-related research.
Drug testing and analysis    August 23, 2022   Volume 15, Issue 1 42-46 doi: 10.1002/dta.3357
Kudrimoti S, Machin J, Arojojoye AS, Awuah SG, Eisenberg R, Fenger C, Maylin G, Lehner AF, Tobin T.Based on structural similarities and equine administration experiments, Barbarin, 5-phenyl-2-oxazolidinethione from Brassicaceae plants, is a possible source of equine urinary identifications of aminorex, (R,S)-5-phenyl-4,5-dihydro-1,3-oxazol-2-amine, an amphetamine-related US Drug Enforcement Administration (DEA) controlled substance considered illegal in sport horses. We now report the synthesis and certification of d -barbarin to facilitate research on the relationship between plant barbarin and such aminorex identifications. D -barbarin synthesis commenced with production of d -2-oxo-2-phe...
Video analysis of jockey fall characteristics in horse racing.
Journal of science and medicine in sport    August 22, 2022   Volume 25, Issue 11 918-922 doi: 10.1016/j.jsams.2022.08.008
Nylund LE, Sinclair PJ, Hitchens PL, Cobley S.To identify characteristics of jockey falls associated with high-risk landings using a modified Equestrian Fall Assessment Instrument. Methods: Cross-sectional study. Methods: Video footage of 22 flat and 58 jump racing falls (N = 80) which occurred in Great Britain, Ireland, and New Zealand from 2013 to 2018 was systematically analysed using the modified Equestrian Fall Assessment Instrument. Race, horse, and jockey-level factors, including the nature of ground contact (landings), were characterised identifying factors associated with high-risk landings. High-risk landings refer to cases ...
Getah Virus (Alphavirus): An Emerging, Spreading Zoonotic Virus.
Pathogens (Basel, Switzerland)    August 20, 2022   Volume 11, Issue 8 945 doi: 10.3390/pathogens11080945
Li B, Wang H, Liang G.Getah virus (GETV) is a zoonotic virus transmitted by mosquitoes, belonging to the family, genus. It was first isolated from mosquitoes in Malaysia in 1955, being widespread in island countries in the South Pacific region. Since the beginning of the 21st century, GETV expanded its range and geographical distribution from low-latitude tropical regions to 60° north latitude, being isolated from 17 different species of mosquitoes belonging to five genera of Culicidae (, , , and ), as well as from midges in Eurasia. Molecular genetic evolution analysis revealed large molecular differences betw...
Multi-season transmission model of Eastern Equine Encephalitis.
PloS one    August 17, 2022   Volume 17, Issue 8 e0272130 doi: 10.1371/journal.pone.0272130
Petrucciani A, Yu G, Ventresca M.Eastern Equine Encephalitis (EEE) is an arbovirus that, while it has been known to exist since the 1930's, recently had a spike in cases. This increased prevalence is particularly concerning due to the severity of the disease with 1 in 3 symptomatic patients dying. The cause of this peak is currently unknown but could be due to changes in climate, the virus itself, or host behavior. In this paper we propose a novel multi-season deterministic model of EEE spread and its stochastic counterpart. Models were parameterized using a dataset from the Florida Department of Health with sixteen years of ...
Journeys, Journey Conditions, and Welfare Assessment of Unbroken (Unhandled) Horses on Arrival at a Slaughterhouse in Italy.
Animals : an open access journal from MDPI    August 15, 2022   Volume 12, Issue 16 2083 doi: 10.3390/ani12162083
Zappaterra M, Nanni Costa L, Felici M, Minero M, Perniola F, Tullio D, Padalino B.Transportation of horses to slaughterhouses can pose a welfare concern, in particular when horses are unbroken/unhandled. This study aimed to describe their journeys and journey conditions, document their welfare status on arrival in a slaughterhouse in Italy, and investigate possible associations between journey conditions and welfare issues. A total of 395 unbroken draft horses in 20 different consignments were assessed with a standardized protocol. The most common departure point (16/20 consignments, 80%) was a French assembly center, but many of these horses had Spanish passports, suggesti...
Spatiotemporal Environmental Drivers of Eastern Equine Encephalitis Virus in Central Florida: Towards a Predictive Model for a Lethal Disease.
Journal of medical entomology    August 13, 2022   Volume 59, Issue 5 1805-1816 doi: 10.1093/jme/tjac113
Mundis SJ, Harrison S, Pelley D, Durand S, Ryan SJ.Eastern equine encephalitis virus (EEEV) is a mosquito-borne virus that affects humans and horses, with a high case fatality rate in both species. The virus can be transmitted by several mosquito species and maintained in multiple reservoir hosts, making EEEV dynamics difficult to anticipate. In this study, we identified spatial and temporal factors that precede EEEV detection using sentinel chicken surveillance data from Orange County, Florida, from 2003 to 2017. We first examined the land cover and mosquito species composition associated with sentinel chicken sites. We then fit distributed l...
Longitudinal Testing of Leptospira Antibodies in Horses Located near a Leptospirosis Outbreak in Alpacas.
Veterinary sciences    August 12, 2022   Volume 9, Issue 8 426 doi: 10.3390/vetsci9080426
Bolwell C, Gee E, Adams B, Collins-Emerson J, Scarfe K, Nisa S, Gordon E, Rogers C, Benschop J.The objectives of this study were to determine if horses located near an outbreak of leptospirosis in alpacas had titres indicative of a previous or current infection and, if so, to determine the magnitude in change of titres over time. Further, the objective was to determine if horses with high titre results were shedding in their urine. Blood samples were collected from twelve horses located on or next to the farm with the outbreak in alpacas, on day zero and at four subsequent time points (two, four, six and nine weeks). The microscopic agglutination test was used to test sera for five se...
Neutralising antibodies to West Nile virus detected in horses in Windhoek, Namibia.
Journal of the South African Veterinary Association    August 12, 2022   Volume 93, Issue 1 39a-39c 
Molini U, Franzo G, Rautenbach I, Otto HV, Khaiseb S, Di Gennaro A, Ntahonshikira C, Baines I, Monaco F, Savini G, D'Alterio N.West Nile virus (WNV) is a vector-borne virus maintained in nature by a bird-mosquito cycle. However, it can occasionally and accidentally infect horses and human beings, leading to sometimes severe or even fatal outcomes in these species. Therefore, the monitoring of its circulation and disease occurrence is of relevance. Unfortunately, it is underdiagnosed or not diagnosed in several African counties, including Namibia, where no data is currently available for horses. In this study, 98 horses in three different stables in the Windhoek city area were investigated. They were found to have a se...
Investigation of Strongyle Prevalence and Associated Risk Factors in Horses in and around Alage District, Ethiopia.
Journal of parasitology research    August 12, 2022   Volume 2022 3935008 doi: 10.1155/2022/3935008
Alemayehu MT, Abebe BK, Haile SM.Horses are used for a variety of purposes in Ethiopia. However, their service is hampered by a variety of health issues. Strongylosis is a parasitic infestation of the gastrointestinal tract that has a significant impact on the working ability, reproductive performance, well-being, and welfare of horses. The existence of Strongylosis in the study area is reported from clinical cases; however, its prevalence has not been well studied. Unassigned: The current study was carried out from January 2019 to July 2019, to determine the prevalence and associated risk factors of Strongyle in horses in an...
Leishmania V. braziliensis infection in asymptomatic domestic animals within an endemic region in the Northeast of Brazil.
Revista da Sociedade Brasileira de Medicina Tropical    August 12, 2022   Volume 55 e0600 doi: 10.1590/0037-8682-0600-2021
Silva CJD, Lima KPB, Monteiro JFDCLS, Silva AKSFD, Silva FJD, Pereira AMS, Hernandes VP, Silva EDD, Silva CSAGE, Brandão Filho SP, Brito MEF.American cutaneous leishmaniasis is a commonly neglected, vector-borne tropical parasitic disease that is a major public health concern in Brazil. Leishmania (Viannia) braziliensis is the main species associated with the disease. Accurate diagnosis is based on epidemiological surveillance, clinical assessment, and laboratory testing. Leishmania (V.) braziliensis has been detected in several wild and synanthropic mammals. Their epidemiological role has not been entirely elucidated. This study aimed to assess potential L. braziliensis infections in asymptomatic domestic animals, by molecular and...
A review of horses as a source of spreading livestock-associated methicillin-resistant Staphylococcus aureus to human health.
Veterinary world    August 11, 2022   Volume 15, Issue 8 1906-1915 doi: 10.14202/vetworld.2022.1906-1915
Khairullah AR, Sudjarwo SA, Effendi MH, Ramandinianto SC, Widodo A, Riwu KHP.Livestock-associated methicillin-resistant Staphylococcus aureus (LA-MRSA) was first discovered in horses in 1989. Since then, LA-MRSA has begun to be considered an important strain of pathogenic bacteria in horses, which can cause LA-MRSA infection and colonization in humans with public health impacts. The anterior nares are the primary site of LA-MRSA colonization in horses, although LA-MRSA colonization may also occur in the gastrointestinal tract in horses. LA-MRSA-infected horses typically exhibit clinical infection or may not exhibit clinical infection. There are two potential risks asso...
Descriptive Study of Medication Usage and Occurrence of Disease and Injury During Gestation in Thoroughbred Broodmares.
Journal of equine veterinary science    August 11, 2022   Volume 118 104104 doi: 10.1016/j.jevs.2022.104104
Mouncey R, Arango-Sabogal JC, de Mestre A, Verheyen K.The study aimed to (1) describe the use of reproductive therapeutics; (2) estimate the incidence of disease and injury; and (3) describe non-reproductive medications administered during pregnancy in Thoroughbred broodmares. A prospective birth cohort was established on seven farms across the UK and Ireland. Details of dams' signalment, breeding history, reproductive management during the breeding season(s) and veterinary-attended episodes of illness or injury and medication usage during gestation were retrieved retrospectively for 275 pregnancies in 235 mares over two breeding seasons. Results...
Sex differences in cervical spinal cord and spinal canal development in Thoroughbred horses.
The Journal of veterinary medical science    August 10, 2022   Volume 84, Issue 10 1363-1367 doi: 10.1292/jvms.22-0234
Kondo T, Sato F, Tsuzuki N, Yamada K.Cervical vertebral stenotic myelopathy (CVSM), a common cause of cervical spinal cord compression, is a neurological disease characterized by general proprioceptive ataxia and weakness of hindlimbs that tends to develop in young adult Thoroughbred horses. Although male horses seem to be at increased risk for CVSM, the mechanism for the occurrence of sex differences in the prevalence of CVSM is still poorly understood. Hence, we hypothesized that sex differences in the development of cervical spinal cord and spinal canal would affect the development of CVSM. This study aimed to evaluate sex dif...
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