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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.
Effects of homogenizing methods on accuracy and precision of equine strongylid egg counts.
Veterinary parasitology    September 5, 2018   Volume 261 91-95 doi: 10.1016/j.vetpar.2018.09.001
Went HA, Scare JA, Steuer AE, Nielsen MK.Recommendations for control of equine strongylid parasites are based on regular determination of fecal egg counts to identify high strongylid shedders and to evaluate treatment efficacy. The McMaster technique has long been used as the standard egg counting technique in equine veterinary practice in most parts of the world, but recent work has found the Mini-FLOTAC technique to perform with significantly better accuracy and precision. The Mini-FLOTAC system comes with a homogenizing device, termed the Fill-FLOTAC, and it has been hypothesized that this device might have a significant impact on...
Personality, abnormal behaviour, and health: An evaluation of the welfare of police horses.
PloS one    September 5, 2018   Volume 13, Issue 9 e0202750 doi: 10.1371/journal.pone.0202750
Schork IG, de Azevedo CS, Young RJ.An animal's welfare depends on an individual's capacity to adapt to the environment in which it lives. This adaptation is directly associated with the quality of the environment and to the possibility of expressing natural behaviours. Horses kept in stables often display a range of abnormal behaviours related to lack of control over their environment, which can lead to behavioural and health problems. An individual's personality also plays an important role in its susceptibility and resilience to the development of diseases and abnormal behaviour; thus, an evaluation of horses' personalities c...
Some aspects on tick species in Mongolia and their potential role in the transmission of equine piroplasms, Anaplasma phagocytophilum and Borrelia burgdorferi L.
Parasitology research    September 3, 2018   Volume 117, Issue 11 3557-3566 doi: 10.1007/s00436-018-6053-x
Narankhajid M, Yeruult C, Gurbadam A, Battsetseg J, Aberle SW, Bayartogtokh B, Joachim A, Duscher GG.Ticks are cosmopolitan vectors of numerous diseases, and detection of various pathogens in ticks can help to assess their distribution. In the current study, 528 adult ticks were collected from grazing animals or the ground in ten different Mongolian provinces. Dermacentor nuttalli constituted 76.1% of them and was found in all ecozones except the eastern desert. Dermacentor marginatus (8.3%), Dermacentor silvarum (1.1%) and Ixodes persulcatus (3.0%) were found in the northern forest areas and Hyalomma asiaticum (11.4%) only in the southern (semi-)desert. Of these, 359 ticks were subjected to ...
Analysis of 4 Years of Injury in Professional Rodeo.
Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine    September 1, 2018   Volume 30, Issue 6 591-597 doi: 10.1097/JSM.0000000000000654
Sinclair Elder AJ, Nilson CJ, Elder CL.To analyze injury frequency, density, location, type, mechanism of injury (MOI), activity phase of injury, and injury risk in professional rodeo. Retrospective epidemiological review. Professional Rodeo Cowboys Association sanctioned rodeos from 2011 to 2014. Professional Rodeo Cowboys Association competitors competing in bull riding, bareback riding, saddle bronc riding, team roping, tie-down roping, and steer wrestling. Injury reports were documented by sports medicine personnel. Variables assessed include event, frequency, density, location, type, MOI, activity phase of injury, and injury d...
Zoonotic Viral Diseases of Equines and Their Impact on Human and Animal Health.
The open virology journal    August 31, 2018   Volume 12 80-98 doi: 10.2174/1874357901812010080
Kumar B, Manuja A, Gulati BR, Virmani N, Tripathi BN.Zoonotic diseases are the infectious diseases that can be transmitted to human beings and vice versa from animals either directly or indirectly. These diseases can be caused by a range of organisms including bacteria, parasites, viruses and fungi. Viral diseases are highly infectious and capable of causing pandemics as evidenced by outbreaks of diseases like Ebola, Middle East Respiratory Syndrome, West Nile, SARS-Corona, Nipah, Hendra, Avian influenza and Swine influenza. Unassigned: Many viruses affecting equines are also important human pathogens. Diseases like Eastern equine encephalitis (...
Comparative seroprevalence and risk factor analysis of Trypanosoma evansi infection in equines from different agro-climatic zones of Punjab (India).
Revue scientifique et technique (International Office of Epizootics)    August 31, 2018   Volume 36, Issue 3 971-979 doi: 10.20506/rst.36.3.2729
Sumbria D, Singla LD, Kumar R, Bal MS, Kaur P.As parasitaemia is low and fluctuating during the chronic stage of infection, accurate detection of Trypanosoma evansi in blood is difficult. The primary aims of this investigation were to assess for the first time the seroprevalence of T. evansi in all agro-climatic zones of Punjab, by indirect enzyme-linked immunosorbent assay (iELISA) and card agglutination test (CATT/T. evansi), and to evaluate the risk factors associated with latent trypanosomosis. A total of 319 equine serum samples collected from 12 districts of Punjab (India) belonging to different agro-climatic zones revealed 39 (12.2...
Molecular and serological surveillance of African horse sickness virus in eastern and central Saudi Arabia.
Revue scientifique et technique (International Office of Epizootics)    August 31, 2018   Volume 36, Issue 3 889-898 doi: 10.20506/rst.36.3.2722
Hemida MG, Alhammadi M, Daleb A, Alnaeem A.African horse sickness virus (AHSV) is one of the most devastating viral diseases of the family Equidae. Infection with AHSV threatens not only the Saudi equine industry but also the equine industry worldwide. This is due to the high morbidity and mortality rates among the infected population of up to 100%. The World Organisation for Animal Health (OIE) lists AHSV among its notifiable diseases; this requires Member Countries to monitor the situation with regard to AHSV very carefully in order to avoid the spread of the virus. The OIE also suggests the systematic monitoring of AHSV in the equin...
Comparison among three different serological methods for the detection of equine influenza virus infection.
Revue scientifique et technique (International Office of Epizootics)    August 31, 2018   Volume 36, Issue 3 789-798 doi: 10.20506/rst.36.3.2714
Favaro PF, Reischak D, Brandao PE, Villalobos EMC, Cunha EMS, Lara MCC, Benvenga GU, Dias RA, Mori E, Richtzenhain LJ.The equine influenza virus (EIV) H3N8 subtype is responsible for all EIV outbreaks worldwide while the H7N7 subtype is less pathogenic and is considered extinct as it has not been confirmed in outbreaks since 1980. Although EIV is enzootic in Brazil, few reports describe the actual EIV antibody status in the country. The aims of this study were: - to evaluate the efficiency of different serum treatments described by the World Organisation for Animal Health (OIE) and the World Health Organization (WHO) to remove non-specific haemagglutination inhibitors for the haemagglutination inhibition (HI)...
Conjunctival aerobic bacterial flora in healthy Silesian foals and adult horses in Poland.
BMC veterinary research    August 31, 2018   Volume 14, Issue 1 261 doi: 10.1186/s12917-018-1598-6
Zak A, Siwinska N, Slowikowska M, Borowicz H, Ploneczka-Janeczko K, Chorbinski P, Niedzwiedz A.Commensal bacterial and fungal flora of the conjunctival sac has been described in horses and other animals. The identification of commensal flora of the conjunctival sac may aid in the diagnosis of ocular inflammatory diseases, such as conjunctivitis or more severe ulcerative keratitis, common in horses. Moreover, damage of ocular protective barriers may lead to an opportunistic infection. The study was carried out in Silesian horses kept at a single breeding center in South-western Poland, in order to limit any breed-dependant and climate-dependant variables affecting the results. Following ...
Detection and genotyping of equid herpesvirus 1 in Uruguay.
Revue scientifique et technique (International Office of Epizootics)    August 31, 2018   Volume 36, Issue 3 799-806 doi: 10.20506/rst.36.3.2715
Castro ER, Arbiza J.Infection with equid alphaherpesvirus 1 (EHV-1) causes respiratory disease, abortion and neurological disorders in horses. Molecular epidemiology studies have demonstrated that a single nucleotide polymorphism (A2254/G2254) in the genome region of open reading frame 30 which results in an amino acid variation (N752/D752) of the EHV-1 DNA polymerase, is significantly associated with the neuropathogenic potential of naturally occurring strains. In recent years, an increase in the number of cases of equine neurological disease caused by neuropathogenic variants of EHV-1 has been observed in numer...
Avian influenza A virus adaptation to the equine host and identification of host-specific markers.
Acta virologica    August 31, 2018   Volume 62, Issue 3 266-276 doi: 10.4149/av_2018_220
Mucha V, Hollý J, Varečková E, Kostolanský F.Avian influenza A viruses (IAVs) are able to overcome the interspecies barrier and adapt to the new non-avian host. The process of adaptation requires the adaptive changes of IAV genome resulting in amino acid substitutions. The aim of this work was the description of amino acid substitutions in avian influenza A viruses (IAVs) occurring during their adaptation to equine host. Today, viruses of the equine influenza H3N8 subtype, first isolated in 1963, represent a single genetic lineage of IAV causing a respiratory disease in horses. We compared the amino acid sequences of the conserve...
Hepacivirus A Infection in Horses Defines Distinct Envelope Hypervariable Regions and Elucidates Potential Roles of Viral Strain and Adaptive Immune Status in Determining Envelope Diversity and Infection Outcome.
Journal of virology    August 29, 2018   Volume 92, Issue 18 e00314-18 doi: 10.1128/JVI.00314-18
Ramsay JD, Evanoff R, Mealey RH.Hepacivirus A (also known as nonprimate hepacivirus and equine hepacivirus) is a hepatotropic virus that can cause both transient and persistent infections in horses. The evolution of intrahost viral populations (quasispecies) has not been studied in detail for hepacivirus A, and its roles in immune evasion and persistence are unknown. To address these knowledge gaps, we first evaluated the envelope gene (E1 and E2) diversity of two different hepacivirus A strains (WSU and CU) in longitudinal blood samples from experimentally infected adult horses, juvenile horses (foals), and foals with sever...
Serial evaluation of resting and exercising overground endoscopic examination results in young Thoroughbreds with no treatment intervention.
Equine veterinary journal    August 25, 2018   Volume 51, Issue 2 192-197 doi: 10.1111/evj.12994
McGivney CL, Sweeney J, Gough KF, Hill EW, Katz LM.We hypothesised that grade/appearance for upper respiratory tract (URT) disorders identified at the first overground endoscopy (OGE) examination would vary at subsequent examinations. Objective: To compare OGE examinations from horses evaluated on at least two occasions under similar exercise conditions without treatment intervention. Methods: Retrospective cohort. Methods: Pre-exercise and exercising OGE recordings from Thoroughbred horses undergoing multiple examinations under similar exercise conditions were reviewed, with the first two recordings for each horse statistically evaluated. Pai...
Prevalence of owner-reported ocular problems and veterinary ocular findings in a population of horses aged ≥15 years.
Equine veterinary journal    August 25, 2018   Volume 51, Issue 2 212-217 doi: 10.1111/evj.13005
Malalana F, McGowan TW, Ireland JL, Pinchbeck GL, McGowan CM.Previous studies suggest that ocular disease is common among aged horses but owners may fail to identify or underestimate their clinical relevance. Objective: To document the prevalence of owner-reported ocular disease in horses aged ≥15 years. In a subset of these horses, to document ophthalmic findings from veterinary examination and compare with owner-reported ocular disease, and to determine risk factors for veterinary ophthalmic findings. Methods: Cross-sectional study. Methods: Owners of aged horses completed a survey on management, clinical signs and medical history. Risk factors for ...
Evidence of equine influenza A (H3N8) activity in horses from Eastern and Central Saudi Arabia: 2013-2015.
Equine veterinary journal    August 25, 2018   Volume 51, Issue 2 218-221 doi: 10.1111/evj.13001
Hemida MG, Perera RAPM, Chu DKW, Alnaeem AA, Peiris M.Equine influenza virus (EIV) is one of the main causes of viral respiratory affections in horses. Little is known about the prevalence of EIV in Saudi Arabia especially the H3N8 serotype. Objective: To assess prevalence of equine influenza in horse populations in Eastern and Central Saudi Arabia. Methods: Cross-sectional study. Methods: We collected 145 sera, 323 nasal and 323 rectal swabs from horses from six major cities in Eastern and Central regions. None of the horses were vaccinated against EIV. Sera were tested in ELISA assays for influenza A type-specific antibodies and by haemagglutin...
Review: Epigenetics, developmental programming and nutrition in herbivores.
Animal : an international journal of animal bioscience    August 24, 2018   Volume 12, Issue s2 s363-s371 doi: 10.1017/S1751731118001337
Chavatte-Palmer P, Velazquez MA, Jammes H, Duranthon V.Epidemiological studies in humans and animal models (including ruminants and horses) have highlighted the critical role of nutrition on developmental programming. Indeed, it has been demonstrated that the nutritional environment during the periconceptional period and foetal development can altered the postnatal performance of the resultant offspring. This nutritional programming can be exerted by maternal and paternal lineages and can affect offspring beyond the F1 generation. Alterations in epigenetic mechanisms have been proposed as the causative link behind the programming trajectories obse...
Two Multicenter Surveys on Equine Back-Pain 10 Years a Part.
Frontiers in veterinary science    August 23, 2018   Volume 5 195 doi: 10.3389/fvets.2018.00195
Riccio B, Fraschetto C, Villanueva J, Cantatore F, Bertuglia A.Despite back-pain being a common cause of poor performance in sport horses, a tailored diagnostic workflow and a consolidated therapeutic approach are currently lacking in equine medicine. The aim of the study was to assess the evolution in the veterinarian approach to diagnose and treat back-pain over a 10 years period. To investigate this topic, two surveys were addressed to equine veterinarians working in practice throughout Europe 10 years apart (2006 and 2016). The answers were organized in an Excel dataset and analyzed. There were 47 respondents in 2006 and 168 in 2016, from 8 European C...
Management practices associated with strongylid parasite prevalence on horse farms in rural counties of Kentucky.
Veterinary parasitology, regional studies and reports    August 23, 2018   Volume 14 25-31 doi: 10.1016/j.vprsr.2018.08.002
Scare JA, Steuer AE, Gravatte HS, Kálmán C, Ramires L, Dias de Castro LL, Norris JK, Miller F, Camargo F, Lawyer A, De Pedro P, Jolly B, Nielsen MK.Anthelmintic resistance among cyathostomin parasites is a wide-spread problem. The parasite control guidelines written by the American Association of Equine Practitioners (AAEP) encourages the preservation of anthelmintic efficacy by reducing treatment frequency, using targeted deworming, and implementing environmental management practices. While there is knowledge regarding parasite management practices of affluent horse farms in the United States, surveys rarely explore the rural and underserved regions. The purpose of this study was to observe the management practices of horse farms in rura...
Identification of third stage larval types of cyathostomins of equids: An improved perspective.
Veterinary parasitology    August 22, 2018   Volume 260 49-52 doi: 10.1016/j.vetpar.2018.08.007
Santos DW, Madeira de Carvalho LM, Molento MB.Cyathostomins comprise around 50 parasite species of equids, offering a great challenge regarding their individual identification. The objective of our work was to improve identification of infective third stage larvae (L3) with a morphological key supplemented with detailed scientific illustrations based on our research and available literature. The highlighted features were; the number, arrangement, and shape of intestinal cells (IC), general features and the total body length of the eight different Cyathostomin sensu latum types (Type A, B, C, D, E, F, G, H), Gyalocephalus capitatus, and Po...
Antifungal non-invasive soak under general anaesthetic to treat fungal rhinitis in an Australian Quarter Horse gelding at pasture.
Australian veterinary journal    August 22, 2018   Volume 96, Issue 8 297-301 doi: 10.1111/avj.12720
Lean NE, Ahern BJ.Mycotic rhinitis is a rare disease in horses, with few cases reported worldwide and none reported in Australia. Fungal infection of the upper respiratory tract can occur in all species, but its prevalence in horses is considerably lower than in canines or humans. The disease is linked to a variety of pathogens and the clinical signs are associated with subsequent upper respiratory tract damage. Methods: A 6-year-old Quarter Horse gelding in Queensland, Australia, was presented with chronic nasal discharge and dyspnoea following previous unsuccessful medical treatment of 9 months' duration. C...
Environmental stressors may cause equine herpesvirus reactivation in captive Grévy’s zebras (Equus grevyi).
PeerJ    August 22, 2018   Volume 6 e5422 doi: 10.7717/peerj.5422
Seeber PA, Quintard B, Sicks F, Dehnhard M, Greenwood AD, Franz M.Equine Herpesviruses (EHV) are common and often latent pathogens of equids which can cause fatalities when transmitted to non-equids. Stress and elevated glucocorticoids have been associated with EHV reactivation in domestic horses, but little is known about the correlation between stress and viral reactivation in wild equids. We investigated the effect of an environmental stressor (social group restructuring following a translocation event) on EHV reactivation in captive Grévy's zebras (). A mare was translocated by road transport from Zoo Mulhouse, France, to join a resident group of three ...
Genetic diversity of common Gasterophilus spp. from distinct habitats in China.
Parasites & vectors    August 22, 2018   Volume 11, Issue 1 474 doi: 10.1186/s13071-018-3042-y
Zhang B, Huang H, Wang H, Zhang D, Chu H, Ma X, Ge Y, Ente M, Li K.Gasterophilus species are widely distributed around the world. The larvae of these flies parasitize the digestive tract of equids and cause damage, hindering horse breeding and protection of endangered species. However, study of the genetic structure of geographically distinct Gasterophilus populations is lacking. Here, we analyzed the genetic diversity of Gasterophilus pecorum, G. intestinalis, G. nasalis and G. nigricornis from three typical grasslands (meadow, desert and alpine steppes) in China as compared to published sequences from Italy, Poland and China (Daqing and Yili), based on the ...
Determination of the specific gravity of eggs of equine strongylids, Parascaris spp., and Anoplocephala perfoliata.
Veterinary parasitology    August 18, 2018   Volume 260 45-48 doi: 10.1016/j.vetpar.2018.08.004
Norris JK, Steuer AE, Gravatte HS, Slusarewicz P, Bellaw JL, Scare JA, Nielsen MK.Given the ever-increasing levels of anthelmintic resistance in livestock parasites globally, it is recommended to use parasite fecal egg counts to make treatment decisions and to evaluate treatment efficacy. The consensus in equine parasitology is to use a flotation medium with a specific gravity (SG) of ≥ 1.20 to float the main parasite egg types of interest in egg counting techniques. However, the density of common equine endoparasite eggs has been sparsely investigated. Equine tapeworm eggs are known to be particularly difficult to determine and count in fecal samples. It is unknown wheth...
Population genomics of Culiseta melanura, the principal vector of Eastern equine encephalitis virus in the United States.
PLoS neglected tropical diseases    August 17, 2018   Volume 12, Issue 8 e0006698 doi: 10.1371/journal.pntd.0006698
Soghigian J, Andreadis TG, Molaei G.Eastern Equine Encephalitis (EEE) (Togaviridae, Alphavirus) is a highly pathogenic mosquito-borne arbovirus that circulates in an enzootic cycle involving Culiseta melanura mosquitoes and wild Passeriformes birds in freshwater swamp habitats. Recently, the northeastern United States has experienced an intensification of virus activity with increased human involvement and northward expansion into new regions. In addition to its principal role in enzootic transmission of EEE virus among avian hosts, recent studies on the blood-feeding behavior of Cs. melanura throughout its geographic range sugg...
Prevalence of and risk factors for equine glandular and squamous gastric disease in polo horses.
The Canadian veterinary journal = La revue veterinaire canadienne    August 15, 2018   Volume 59, Issue 8 880-884 doi: 10.1186/1751-0147-55-45
Banse HE, MacLeod H, Crosby C, Windeyer MC.The objectives of this study were to determine the prevalence rates and risk factors for equine glandular gastric disease (EGGD) and equine squamous gastric disease (ESGD) in a population of 63 polo horses in competition. The prevalence of EGGD grade ≥ 1 was 69% and EGGD ≥ 2 was 31%. The prevalence of ESGD grade ≥ 1 was 54% and grade ≥ 2 was 37%. The risk factors retained in the final multivariable models were years of experience in polo competition for EGGD grade ≥ 1 and for grade ≥ 2, with decreased experience being associated with EGGD and weekly exercise duration and non-steroi...
Pooling of genital swabs for detection by PCR of Taylorella equigenitalis, the cause of contagious equine metritis.
Equine veterinary journal    August 11, 2018   Volume 51, Issue 2 227-230 doi: 10.1111/evj.12986
Mawhinney I, Errington J, Stamper N, Torrens N, Engelsma MY, Roest HIJ.Sets of genital swabs are routinely taken from horses to screen for the presence of Taylorella equigenitalis, the cause of contagious equine metritis. Typically, two to four different sites are swabbed at a time and tested by culture or PCR. Objective: This study explored the feasibility of pooling these swabs for a single PCR test per animal instead of testing each swab individually. Methods: In vitro. Methods: PCR signal strengths (Ct values) from 149 historical PCR positive genital swabs, together with historical data on the number of swabs in a set expected to be positive, were used to ass...
Serological investigation of racehorse vaccination against equine influenza in Morocco.
Veterinary microbiology    August 11, 2018   Volume 223 153-159 doi: 10.1016/j.vetmic.2018.08.014
Dilai M, Piro M, Fougerolle S, El Harrak M, Mahir W, El Mourid R, Legrand L, Paillot R, Fassi Fihri O.In order to evaluate the vaccination status against equine influenza (EI) in Moroccan racehorses, a serological investigation was carried out on 509 racehorses using three serological tests: an Enzyme-Linked Immunosorbent Assay (ELISA), the Hemagglutination Inhibition (HI) test and the Single Radial Haemolysis (SRH) assay. The serological analysis showed 56% of seropositivity by ELISA, 67% by HI and 89.4% by SRH (with 69.9% above the clinical protection threshold). Using the Kappa test, the SRH and HI assays showed a strong agreement, the SRH and ELISA assays had a moderate agreement and the H...
Multi-drug resistant Escherichia coli in diarrhoeagenic foals: Pulsotyping, phylotyping, serotyping, antibiotic resistance and virulence profiling.
Veterinary microbiology    August 7, 2018   Volume 223 144-152 doi: 10.1016/j.vetmic.2018.08.009
Kennedy CA, Walsh C, Karczmarczyk M, O'Brien S, Akasheh N, Quirke M, Farrell-Ward S, Buckley T, Fogherty U, Kavanagh K, Parker CT, Sweeney T....Extraintestinal pathogenic E. coli (ExPEC) possess the ability to cause extraintestinal infections such as urinary tract infections, neonatal meningitis and sepsis. While information is readily available describing pathogenic E. coli populations in food-producing animals, studies in companion/sports animals such as horses are limited. In addition, many antimicrobial agents used in the treatment of equine infections are also utilised in human medicine, potentially contributing to the spread of antibiotic resistance determinants among pathogenic strains. The aim of this study was to phenotypical...
Impact of pharyngeal endoscopic tip placement and water flushing interval on upper respiratory tract disorders in horses undergoing overground endoscopy.
Equine veterinary journal    August 6, 2018   Volume 51, Issue 2 173-178 doi: 10.1111/evj.12991
McGivney CL, Sweeney J, Gough KF, Hill EW, Katz LM.Endoscopic tip placement in the pharynx and water flushing interval (FI) may affect exercising upper respiratory tract (URT) endoscopic results. Objective: To determine associations between the endoscopic tip position in the pharynx and automated FI with overground endoscopic (OGE) results. Methods: Randomised balanced 2X5 factorial design. Methods: A total of n = 200 horses undergoing OGE were randomly assigned into 10 groups (n = 20/group) of different automated endoscopic FIs (no flushing, 60, 120, 180, 240 s) with the endoscope tip positioned either rostrally (position A) or caudally ...
Exploratory factor analysis of signalment and conformational measurements in Thoroughbred horses with and without recurrent laryngeal neuropathy.
Equine veterinary journal    August 6, 2018   Volume 51, Issue 2 179-184 doi: 10.1111/evj.12984
McGivney CL, Gough KF, McGivney BA, Farries G, Hill EW, Katz LM.Conflicting results have been reported for risk factors for recurrent laryngeal neuropathy (RLN) based on resting endoscopic evaluation and comparison of single conformation traits, with many traits correlated to one another. Objective: To simplify identification of signalment and conformation traits (i.e. variables) associated with RLN cases and controls diagnosed with exercising overground endoscopy (OGE) using exploratory factor analysis (EFA). Methods: Prospective cohort. Methods: Pearson's rank correlation was used to establish significance and association between variables collected from...
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