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Topic:Equine Diseases

Equine diseases encompass a wide range of health conditions that can affect horses, including infectious diseases, metabolic disorders, and genetic conditions. These diseases can impact the overall health, performance, and well-being of horses. Common equine diseases include equine influenza, equine herpesvirus, laminitis, and equine metabolic syndrome. Diagnosis and management of these diseases often require a combination of clinical evaluation, laboratory testing, and appropriate treatment strategies. This page gathers peer-reviewed research studies and scholarly articles that explore the etiology, pathophysiology, diagnosis, and treatment options for various equine diseases, providing valuable insights for veterinarians and researchers in the field.
Warmblood fragile foal syndrome: Pregnancy loss in Warmblood mares.
Equine veterinary journal    November 14, 2024   Volume 57, Issue 4 915-923 doi: 10.1111/evj.14435
Kehlbeck A, Blanco M, Venner M, Freise F, Gunreben B, Sieme H.Fragile foal syndrome (FFS) or warmblood FFS Type 1 (WFFS) is a recessive, autosomal, hereditary, genetic defect causing late abortions, stillbirths and non-viable foals. Whether early pregnancy losses occur is unknown. Objective: To investigate how WFFS affects pregnancies and whether early pregnancy losses occur in WFFS matings and if there is a difference in pregnancy success between matings where both parents were allele carriers and those where only mare or stallion were WFFS carriers. Methods: Retrospective cohort study. Methods: Breeding records from a Warmblood stud farm were evaluated...
Clinical and epidemiological aspects in equine aural plaques.
Veterinary research communications    November 13, 2024   Volume 49, Issue 1 1 doi: 10.1007/s11259-024-10572-0
Rodrigues GG, Alves DS, Bromberger CR, Nomelini QSS, Borges AS, de Oliveira-Filho JP, Delfiol DJZ.The association between aural plaques, Equus caballus papillomavirus (EcPV), and the different breeds of horses and risk factors is poorly described. The objective of this study was to determine the clinical prevalence of aural plaques in Mangalarga Marchador (MM) and Quarter Horse (QH) horses in Brazil, to evaluate the association of this prevalence with some risk factors, and to detect the presence of EcPV DNA (types 1-10) in aural plaques biopsies. A total of 400 MM and 425 QH horses, were clinically evaluated. For each horse, an identification form was completed, containing information on ...
Effect of Simple Oral Dental Extraction on Systemic Serum Amyloid A Concentrations in Horses.
Veterinary medicine and science    November 13, 2024   Volume 10, Issue 6 e70104 doi: 10.1002/vms3.70104
Sidwell AE, Duz M, Khan A, Bodnàr R, Hole SL.The translocation of gingival commensals resulting in measurable systemic inflammation has been described in humans and non-equine veterinary species with dental disorders, particularly periodontal disease. Routine odontoplasty does not result in increased serum amyloid A (SAA) concentration in horses, but a measurable increase in SAA concentration in horses undergoing dental extractions could suggest that local inflammation resulting from more severe dental disease has potential for wider, systemic consequences that warrants further study. To determine whether SAA increases in horses undergoi...
Validation of Vetscan Imagyst®, a diagnostic test utilizing an artificial intelligence deep learning algorithm, for detecting strongyles and Parascaris spp. in equine fecal samples.
Parasites & vectors    November 12, 2024   Volume 17, Issue 1 465 doi: 10.1186/s13071-024-06525-w
Steuer A, Fritzler J, Boggan S, Daniel I, Cowles B, Penn C, Goldstein R, Lin D.Current methods for obtaining fecal egg counts in horses are often inaccurate and variable depending on the analyst's skill and experience. Automated digital scanning of fecal sample slides integrated with analysis by an artificial intelligence (AI) algorithm is a viable, emerging alternative that can mitigate operator variation compared to conventional methods in companion animal fecal parasite diagnostics. Vetscan Imagyst is a novel fecal parasite detection system that uploads the scanned image to the cloud where proprietary software analyzes captured images for diagnostic recognition by a d...
Protective Role of Cepharanthine Against Equid Herpesvirus Type 8 Through AMPK and Nrf2/HO-1 Pathway Activation.
Viruses    November 12, 2024   Volume 16, Issue 11 doi: 10.3390/v16111765
Li S, Li L, Sun Y, Khan MZ, Yu Y, Ruan L, Chen L, Zhao J, Jia J, Li Y, Wang C, Wang T.Equid herpesvirus type 8 (EqHV-8) is known to cause respiratory disease and miscarriage in horses and donkeys, which is a major problem for the equine farming industry. However, there are currently limited vaccines or drugs available to effectively treat EqHV-8 infection. Therefore, it is crucial to develop new antiviral approaches to prevent potential pandemics caused by EqHV-8. This study evaluates the antiviral and antioxidant effects of cepharanthine against EqHV-8 by employing both in vitro assays and in vivo mouse models to assess its therapeutic efficacy. To assess the effectiveness of ...
Visualization of anatomical structures in the carpal region of the horse using cone beam computed tomography in comparison with conventional multidetector computed tomography.
Frontiers in veterinary science    November 11, 2024   Volume 11 1431777 doi: 10.3389/fvets.2024.1431777
Hagenbach M, Bierau J, Cruz AM, Koch C, Manso-Díaz G, Büttner K, Staszyk C, Röcken M.In the diagnostics of orthopedic diseases in the horse, diagnostic imaging often plays a decisive role. Cone beam computed tomography (CBCT) imaging is used in both human and small animal medicine and becoming increasingly popular. To see whether CBCT imaging can be useful in the diagnosis of orthopedic diseases of the carpal region of the horse and to explore possible limitations we compared CBCT images with multidetector computed tomography (MDCT) images of the carpal region of equine cadaveric specimens. Unassigned: Twenty-eight forelimbs from fifteen horses, slaughtered for reasons unrelat...
Visualization of anatomical structures in the carpal region of the horse using cone beam computed tomography in comparison with conventional multidetector computed tomography.
Frontiers in veterinary science    November 11, 2024   Volume 11 1431777 doi: 10.3389/fvets.2024.1431777
Hagenbach M, Bierau J, Cruz AM, Koch C, Manso-Díaz G, Büttner K, Staszyk C, Röcken M.In the diagnostics of orthopedic diseases in the horse, diagnostic imaging often plays a decisive role. Cone beam computed tomography (CBCT) imaging is used in both human and small animal medicine and becoming increasingly popular. To see whether CBCT imaging can be useful in the diagnosis of orthopedic diseases of the carpal region of the horse and to explore possible limitations we compared CBCT images with multidetector computed tomography (MDCT) images of the carpal region of equine cadaveric specimens. Unassigned: Twenty-eight forelimbs from fifteen horses, slaughtered for reasons unrelat...
Hydroallantois in a mare associated with schistosomus and unilateral ovarian agenesis in the fetus.
Journal of equine veterinary science    November 10, 2024   Volume 144 105228 doi: 10.1016/j.jevs.2024.105228
Arroyo E, Whitelock LM, Stanton ME, Stevenson V, de Aguiar LH, Kelleman A.Hydropsical conditions in domestic animals are characterized by abnormal fluid accumulation. While their complete pathophysiology remains unclear, factors such as changes in chorioallantoic membranes, placentitis, or fetal abnormalities may contribute. Hydrops present as a medical emergency that can cause complications for the mare. Early diagnosis and treatment are crucial for the mare's prognosis, as fetal survival is often poor. This report describes a case of hydroallantois in a 9-year-old pregnant Quarter mare at 271 days of gestation, leading to dystocia of a non-viable foal with multipl...
Preliminary Functional Analysis of the Gut Microbiome in Colic Horses.
Animals : an open access journal from MDPI    November 10, 2024   Volume 14, Issue 22 3222 doi: 10.3390/ani14223222
Thomson P, Garrido D, Santibáñez R, Lara F.The gut microbiome plays a critical role in maintaining horse health, influencing digestion, immunity, and overall well-being. However, in certain conditions like colic, there is evidence of significant alterations in the microbial community. To analyze the composition of the fecal microbiome and the enriched predicted metabolic functions of horses with colic compared to a control group, 14 horses with colic and 14 control horses were recruited. From a stool sample, DNA extraction was carried out for subsequent 16S rRNA metagenomic analysis. The composition of the microbiome was analyzed from ...
Detection of fungal and bacterial organisms from clinical uterine samples of horses using Next-Generation Sequencing in comparison with culture.
Journal of equine veterinary science    November 9, 2024   105214 doi: 10.1016/j.jevs.2024.105214
Cheong SH, Franklin-Guild R, Goodman LB, Lago-Alvarez Y, Lee YL, de Aguiar LH, de Amorim MD, Altier C.Fungal and bacterial culture is currently the primary method for pathogen detection and identification. Next-generation sequencing is a powerful method for detecting and identifying the presence of microbial DNA in samples. We evaluated the correlation between fungal and bacterial culture with next-generation sequencing in equine uterine samples. Fungal cultures (n=63) were evaluated based on their culture results. In culture positive (n=16) samples, next-generation sequencing identified the same organism in 10 samples (62.5%), 5 samples did not identify fungal agents, and 1 sample identified ...
Is Butyrate Concentration in the Equine Gastrointestinal Tract Altered During and After Surgery for Treatment of Large Colon Obstruction?
Animals : an open access journal from MDPI    November 8, 2024   Volume 14, Issue 22 3203 doi: 10.3390/ani14223203
Barton CK, Hassel DM, Anders K, Weir TL.A major cause of morbidity and mortality in horses with large colon obstructive lesions is injury to the colonic mucosal barrier from ischemic injury. Since butyrate has been shown to play a critical role in the maintenance of a healthy mucosal barrier, it may play a role in the recovery process. This study's objective was to determine whether the differences in butyrate concentrations existed between horses with surgical large colon obstructive lesions and healthy horses both during and after surgery. Eleven horses presenting with surgical colic lesions were enrolled; colonic samples were acq...
Association of Equine Squamous and Glandular Gastric Disease with Dental Status in 54 Horses.
Animals : an open access journal from MDPI    November 7, 2024   Volume 14, Issue 22 3189 doi: 10.3390/ani14223189
Lensing R, Wirth C, Thünker F, Merle R, Barton AK.Gastric pH is a key factor in the development of equine squamous gastric disease (ESGD). Although acid injury is unlikely the primary cause of equine glandular gastric disease (EGGD), low pH may promote mucosal damage. Gastric pH is influenced by roughage uptake, as chewing increases the alkaline saliva production. The proton pump inhibitor omeprazole is currently recommended by the American/European College of Veterinary/Equine Internal Medicine (ACVIM/ECEIM) for ESGD and EGGD. We hypothesized that dental disorders decrease saliva production and gastric pH, predisposing horses to EGUS. Gastro...
Detection of equine parvovirus-hepatitis and efficacy of governmental regulation for equine biologics purity. Scupham AJ, Tong C.In 2018, a new virus, named equine parvovirus-hepatitis (EqPV-H), was discovered in a biologic product that had been administered to horses that subsequently developed clinical signs of equine serum hepatitis (Theiler disease). Further correlation of the virus with the disease sparked federal requirements that all equine biologics be free of EqPV-H. The initial quantitative real-time PCR (qPCR) test for EqPV-H has proved to be sensitive to co-extracted PCR inhibitors in template nucleic acids, causing false-negative results. We investigated the use of digital PCR (dPCR) as a more robust test. ...
Prevalence of gastrointestinal and blood parasites in horses of Nakhon Si Thammarat province, Thailand.
Veterinary world    November 5, 2024   Volume 17, Issue 11 2460-2468 doi: 10.14202/vetworld.2024.2460-2468
Phetkarl T, Fungwithaya P, Lewchalermvong K, Sontigun N.The global prevalence of gastrointestinal (GI) and blood parasite infections in horses is a significant concern due to their substantial impact on morbidity, mortality, and economic losses in the horse industry. In Thailand, limited research has been conducted on these parasites in horse populations, and data from southern Thailand are lacking. Consequently, this study aimed to estimate the prevalence of GI and blood parasites in horses in Nakhon Si Thammarat province, Thailand. Unassigned: In total, 79 fecal and blood samples were collected from horses across 11 farms in Nakhon Si Thammarat p...
Equine Encephalomyelitis Outbreak, Uruguay, 2023-2024.
Emerging infectious diseases    November 2, 2024   Volume 31, Issue 1 doi: 10.3201/eid3101.240915
Frabasile S, Morel N, Pérez R, Marrero LM, Burgueño A, Cortinas MN, Bassetti L, Negro R, Rodríguez S, Bórmida V, Gayo V, de Souza VC, Naveca FG....We report the genomic analysis from early equine cases of the Western equine encephalitis virus outbreak during 2023-2024 in Uruguay. Sequences are related to a viral isolate from an outbreak in 1958 in Argentina. A viral origin from South America or continuous enzootic circulation with infrequent spillover is possible.
Changes in Immunoglobulins G and A in the Saliva and Serum of Horses with Equine Gastric Ulcer Syndrome (EGUS) and Their Relationship with Other Immune and Redox Status Biomarkers.
Biology    November 1, 2024   Volume 13, Issue 11 doi: 10.3390/biology13110891
Botía M, Martín-Cuervo M, Martínez-Subiela S, Cerón JJ, Ayala I, Hansen S, Muñoz-Prieto A.Equine Gastric Ulcer Syndrome (EGUS) is a widespread disease with a very high prevalence and importance in horses. It includes two conditions: Equine squamous gastric disease (ESGD), linked to acid disturbances, and Equine Glandular Gastric Disease (EGGD), associated with inflammation and immune system issues. In saliva, increased levels of immunological markers have been observed in this disease, indicating immune system involvement. In addition, changes in biomarkers of oxidative stress have been described. In horses, IgG and IgA are proteins that appear in saliva and serum and are considere...
Matrikine stimulation of equine synovial fibroblasts and chondrocytes results in an in vitro osteoarthritis phenotype. Gagliardi R, Koch DW, Loeser R, Schnabel LV.Osteoarthritis (OA) is a debilitating disease that impacts millions of individuals and has limited therapeutic options. A significant hindrance to therapeutic discovery is the lack of in vitro OA models that translate reliably to in vivo preclinical animal models. An alternative to traditional inflammatory cytokine models is the matrikine stimulation model, in which fragments of matrix proteins naturally found in OA tissues and synovial fluid, are used to stimulate cells of the joint. The objective of this study was to determine if matrikine stimulation of equine synovial fibroblasts and chond...
The first report of submandibular lymph node infection with Flavobacterium ceti in a horse and its complete genome sequence.
Microbial pathogenesis    October 31, 2024   Volume 197 107096 doi: 10.1016/j.micpath.2024.107096
Ryu SH, Jang B, Kim BS, Park KT.This is the first report describing the isolation and genome sequence of Flavobacterium ceti (F. ceti IJFC025) from a draining submandibular lymph node abscess in a 6-year-old mixed-breed mare in Korea. Since F. ceti is not a usual infectious pathogen that causes equine health problems, this study presents the complete genome sequence of F. ceti isolated from a submandibular lymph node abscess sample in Jeju, South Korea, in 2022. The entire genome sequence of F. ceti IJFC025 consisted of a 3,144,426-bp chromosome with 35.6 % G + C content. Gene prediction revealed that this strain possesse...
A dominant missense variant within LMBR1 related to equine polydactyly.
Communications biology    October 31, 2024   Volume 7, Issue 1 1420 doi: 10.1038/s42003-024-07065-w
Luan Y, Zhong L, Li C, Yue X, Ye M, Wang J, Zhu Y, Wang Q.Polydactyly was recorded before 100 BCE and attracted widespread interest because of its relationship to limb health and ancestral traits in horses. However, the underlying reasons for the development of polydactyly remain unclear. To search for polydactyly-related genes, we utilize a paternal half-sib family and screen for variants that match the mode of inheritance. Through this screening process, 77 variants in 65 genes are filtered. A missense variant (EqCab3.0 chr4: <107353368> A > G) (rs1138485164) in the 3rd exon of LMBR1 is identified as a source of amino acid sequence variatio...
Towards the Identification of New Biomarkers in Saliva and Serum for Treatment Monitoring of Equine Gastric Ulcer Syndrome: A Liquid Proteomic Approach.
Animals : an open access journal from MDPI    October 28, 2024   Volume 14, Issue 21 doi: 10.3390/ani14213105
Muñoz-Prieto A, Rubić I, Rešetar Maslov D, González-Sánchez JC, Mrljak V, Cerón JJ, Hansen S.Equine gastric ulcer syndrome (EGUS) is a common condition in horses. This study explores the use of liquid proteomics to identify new biomarkers in saliva and serum to monitor EGUS treatment. The proteomes of horses with EGUS before and after a successful treatment with omeprazole were analysed. In saliva, 503 proteins were identified, with 7 upregulated and 6 downregulated post-treatment. Among the proteins that changed, there was an increase in vimentin, linked to wound healing, and a decrease in podocalyxin, associated with tissue damage. In serum, 206 proteins were found, with significant...
Comparison of a customized glycemic pellets challenge with the oral sugar test to measure glycemic and insulinemic responses in horses.
Journal of veterinary internal medicine    October 28, 2024   Volume 38, Issue 6 3281-3287 doi: 10.1111/jvim.17191
Thane K, Sonntag J, Warnken T, Reiche D, Uricchio C, Frank N.Testing for insulin dysregulation (ID) in horses is commonly performed to guide management and therapeutic strategies. Objective: To evaluate a newly developed glycemic pellets challenge (GPC) and compare results to those obtained using the low-dose oral sugar test (OST). Methods: Twenty-four adult horses with unknown insulin status. Methods: A randomized crossover trial was performed. Horses underwent GPC (0.5 g glycemic carbohydrates/kg body weight) and OST (0.15 mL corn syrup/kg body weight) 7 days apart. Feed was withheld before testing and blood samples were collected at T0, T60, T1...
bla SED-1 beta-lactamase-producing Citrobacter sedlakii isolated from horses and genomic comparison with human-derived isolates.
Journal of applied microbiology    October 27, 2024   Volume 135, Issue 11 doi: 10.1093/jambio/lxae278
Tasnim Y, Stanley C, Rahman MK, Awosile B.We aim to detect beta-lactamase-producing Citrobacter sedlakii from horses and compare the genomic characteristics with isolates from humans. Results: We characterized phenotypically and genotypically nine C. sedlakii isolates from the feces of horses and then compared them to human-derived isolates using whole genome sequencing and phylogenomic methods. Seven isolates (7/9) were ampicillin-resistant, while at least one isolate was resistant to ceftriaxone, gentamicin, meropenem, and streptomycin. All nine isolates were carriers of the chromosomal-mediated blaSED-1  beta-lactamase gene, which...
Enhanced ROS Production and Mitochondrial Metabolic Shifts in CD4+ T Cells of an Autoimmune Uveitis Model.
International journal of molecular sciences    October 26, 2024   Volume 25, Issue 21 doi: 10.3390/ijms252111513
Söth R, Hoffmann ALC, Deeg CA.Equine recurrent uveitis (ERU) is a spontaneously occurring autoimmune disease and one of the leading causes of blindness in horses worldwide. Its similarities to autoimmune-mediated uveitis in humans make it a unique spontaneous animal model for this disease. Although many aspects of ERU pathogenesis have been elucidated, it remains not fully understood and requires further research. CD4+ T cells have been a particular focus of research. In a previous study, we showed metabolic alterations in CD4+ T cells from ERU cases, including an increased basal oxygen consumption rate (OCR) and elevated ...
Pneumocephalus due to temporohyoid osteoarthropathy in a 16-year-old Friesian mare.
Journal of equine veterinary science    October 26, 2024   Volume 143 105210 doi: 10.1016/j.jevs.2024.105210
Witt P, Stas EKL, Hardeman LC, van Proosdij ER, Weerts EAWS, Lloyd-Edwards RA, Veraa S, Kranenburg LC, van den Boom R.A sixteen-year-old Friesian mare was admitted to the university clinic with the following clinical signs: anorexia, weight loss, fever, bilateral nasal discharge, unilateral facial paralysis and a non-healing corneal lesion. Endoscopic examination of the upper airways showed thickening of the proximal portion of the right stylohyoid bone. Computed tomography imaging showed pneumocephalus due to grade 3 unilateral temporohyoid osteoarthropathy (THO) with fracture of the petrous temporal bone. The horse did not improve following medical treatment. Surgical intervention was declined by the owner ...
Advancements in equine ophthalmic imaging enhance understanding of ocular and orbital anatomy and disease in standing sedated horses.
Journal of the American Veterinary Medical Association    October 25, 2024   Volume 262, Issue S2 S47-S56 doi: 10.2460/javma.24.06.0376
McMullen RJ.To review data on the advances in equine ophthalmic imaging that have been made during the past 5 years and highlight advantages of using multiple imaging modalities to improve clinical observational skills and improve diagnostic accuracy. Methods: A literature review from 2019 through 2024 of equine ophthalmic digital photography, fundus photography, ocular and orbital ultrasonography (US), ultrasound biomicroscopy (UBM), confocal microscopy (CM), spectral domain optical coherence tomography (SD-OCT), radiography, CT, and MRI. Results: Digital photography remains the cornerstone of equine oph...
A systematic review of the prevalence of post-operative complications after general anaesthesia in adult horses (2000-2023).
Equine veterinary journal    October 24, 2024   Volume 57, Issue 4 827-861 doi: 10.1111/evj.14416
Loomes K, de Grauw J, Gozalo-Marcilla M, Redondo JI, Bettschart-Wolfensberger R.Equine post-operative morbidity represents a significant concern for both veterinary surgeons and horse owners. Objective: To estimate the prevalence of post-operative complications in horses after elective/non-abdominal surgery or colic surgery. Methods: Systematic review. Methods: A database search identified eligible studies which reported the prevalence of equine post-operative complications published as a full paper in English in a peer-reviewed journal between 2000 and 2023. Studies were evaluated using the JBI Critical Appraisal Checklist for Prevalence Studies and GRADE (Grading of Rec...
Treatment of equine keratomycosis, part 1: selection of appropriate therapy based on clinical presentation and diagnostic testing improves clinical outcomes.
Journal of the American Veterinary Medical Association    October 23, 2024   1-11 doi: 10.2460/javma.24.06.0431
Smith HL, Love KR, Antezana A, Barr EM, Gilger BC, Oh A.To determine clinical outcome, treatment costs, and hospitalization duration in horses treated for keratomycosis and identify ophthalmic examination and diagnostic results associated with these outcomes. Methods: This was a retrospective study of 126 equine keratomycosis cases between 2004 and 2020 with fungal infection confirmed on cytology, culture, and/or histopathology and a minimum of 1-month follow-up. Details of the ophthalmic examination, diagnostic test results, and treatment and cost outcomes were recorded. Outcomes of interest were analyzed by treatment type. The relationship of pat...
Osseous pathologic changes in the thoracic region of the equine vertebral column: A descriptive post-mortem study in three breeds.
Equine veterinary journal    October 21, 2024   Volume 57, Issue 5 1290-1301 doi: 10.1111/evj.14429
Spoormakers TJP, Veraa S, Graat EAM, van Weeren PR, Brommer H.Data on equine thoracic pathology hardly exist in breeds other than Thoroughbreds. Objective: To describe pathological changes of the osseous thoracic vertebral column in Warmblood horses, Shetland ponies and Konik horses, and to compare prevalence and severity. Methods: Descriptive post-mortem study. Methods: Computed tomography was used to examine the thoracic vertebral column of 34 Warmblood horses, 28 Shetland ponies, and 18 Konik horses. Osteoarthritis (OA), periarticular osteolysis, osseous cyst-like lesions and fragments of articular processes (APJs), costovertebral and costotransverse ...
Urinary incontinence and sabulous cystitis in mares: report of five cases.
Brazilian journal of veterinary medicine    October 21, 2024   Volume 46 e005024 doi: 10.29374/2527-2179.bjvm005024
de Melo UP, Ferreira C.This report describes five cases of urinary incontinence in Quarter Horse mares associated with the development of sabulous cystitis. The animals in this study had a history of persistent urinary incontinence for eight months, with clinical signs of continuous dribbling urine during rest and movement. The initial treatment with antibiotics and anti-inflammatory drugs was ineffective. Clinical examination revealed severe scalding in the perineal region and on the medial aspect of the hind limbs, along with neurological signs such as ataxia, hind limb paresis, and diminished perineal reflexes. T...
Genetic Factors of Equine Osteochondrosis and Fetlock Osteochondral Fragments: A Scoping Review – Part 2.
Veterinary journal (London, England : 1997)    October 21, 2024   106258 doi: 10.1016/j.tvjl.2024.106258
Van Mol B, Janssens S, Oosterlinck M, Pille F, Buys N.Equine osteochondrosis and osteochondral fragments in the fetlock joint are linked to various environmental and genetic risk factors. To assess the scope of the literature linking these risk factors to the development of these osteochondral disorders, while identifying knowledge gaps and challenges to guide future research, a scoping review was performed. This article constitutes the second part of this scoping review and focuses on genetic factors, with the first part addressing environmental factors. To identify potentially relevant papers, online bibliographical databases PubMed and Web of ...
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