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Topic:Equine Science

Equine Science encompasses the study of horses and their management, health, and performance. This field integrates various scientific disciplines such as biology, genetics, nutrition, physiology, and veterinary medicine to understand and improve the well-being and capabilities of horses. Areas of focus include equine anatomy, reproduction, behavior, and disease prevention. Research in equine science aims to enhance horse care, optimize training and performance, and address health challenges. This page compiles peer-reviewed research studies and scholarly articles that explore the diverse aspects of equine science, providing insights into the latest advancements and methodologies in the field.
Molograph 4.0: A demonstration of a non-invasive, automated system for evaluating aspects of the masticatory process in the horse.
Veterinary and animal science    April 26, 2025   Volume 28 100452 doi: 10.1016/j.vas.2025.100452
Sterkenburgh TR, Ordieres-Meré J, Villalba-Diez J.We outlined a monitoring system as a demonstration of the Internet of Medical Things (IoMT) in horses that provided the ability to record aspects of the equine chewing process. Here we take up the idea of a Molograph, which was already proposed in the mechanical form in 1941 by Leue and transferred into today's world. As a substantial practical advantage, the system now involved a non-invasive measurement that was taken in the horse's familiar environment. All patients were fed roughage. In terms of the examination scenario, we focused on the determination of the direction of chewing. The syst...
Marker based and markerless motion capture for equestrian rider kinematic analysis: A comparative study.
Journal of biomechanics    April 26, 2025   Volume 186 112728 doi: 10.1016/j.jbiomech.2025.112728
Cameron-Whytock H, Divall H, Lewis M, Apps C.The study hypothesised that a markerless motion capture system can provide kinematic data comparable to a traditional marker-based system for riders mounted on a horse. The objective was to assess the markerless system's accuracy by directly comparing joint and segment angle measurements taken during walking and trotting with those obtained from a marker-based system. Ten healthy adult participants performed five dynamic trials during walking and trotting. A twelve-camera marker-based system and eight-camera 2D video-based system were synchronised. Three-dimensional hip, knee, shoulder and elb...
Relationship between experience and head kinematics in race riding jockeys.
Scientific reports    April 26, 2025   Volume 15, Issue 1 14686 doi: 10.1038/s41598-025-98683-9
Legg KA, Cochrane DJ, Gee EK, Chin YY, Rogers CW.Thoroughbred race-riding requires jockeys to attenuate horse movement and maintain postural stability whilst galloping at high speeds. This study aimed to investigate the head movement of jockeys in relation to race-riding experience. Accelerometer and heart rate data were collected from twelve apprentice and two senior jockeys during 85 exercise rides and 82 trial rides. Mean head displacements were determined for each jockey by double integrating the filtered acceleration data. A mixed effect multivariable linear regression model was used to investigate the relationship between jockey experi...
Acute changes in serum iron concentrations in anesthetized healthy horses.
Veterinary anaesthesia and analgesia    April 25, 2025   Volume 52, Issue 4 417-420 doi: 10.1016/j.vaa.2025.04.006
Midon M, Clark-Price SC, Lin HC, Lascola KM, Boone L.To determine if serum iron concentrations decrease acutely during and after general anesthesia in healthy horses. Methods: Prospective experimental study. Methods: A convenience sample of 24 healthy adult horses (eight females, 16 geldings), weighing 545 ± 33 kg (mean ± standard deviation). Methods: Horses were anesthetized for 120 minutes with isoflurane, after premedication with intravenous (IV) xylazine (0.8 mg kg-1) and induction with IV midazolam (0.1 mg kg-1) and ketamine (2.2 mg kg-1). Blood samples for serum iron analysis were obtained just before premedication (baseline), after 60 m...
Novel Intracardiac Ultrasound Images Developed on a Cardiac Ultrasound Simulator and Validated in Live Horses.
Journal of veterinary internal medicine    April 24, 2025   Volume 39, Issue 3 e70087 doi: 10.1111/jvim.70087
Vernemmen I, Demeyere M, Van Steenkiste G, Buschmann E, Decloedt A, van Loon G.Ultrasonographic guidance of catheter-based interventions in horses is based primarily on transthoracic echocardiography (TTE). Intracardiac echocardiography (ICE) has the potential to provide detailed imaging of specific cardiac regions. Insight and training in echocardiographic guidance can be acquired using an echocardiography simulator. Objective: Use an echocardiography simulator for horses to determine specific ICE views for catheter-based interventions and validate these in live horses. Methods: Six adult healthy experimental horses. Methods: Observational study. An echocardiographic ph...
Population pharmacokinetics and clinical evaluation of intravenous acetaminophen and its metabolites in Andalusian horses.
Veterinary journal (London, England : 1997)    April 24, 2025   Volume 312 106357 doi: 10.1016/j.tvjl.2025.106357
Granados MM, Medina-Bautista F, Navarrete-Calvo R, Argüelles D, Domínguez-Pérez JM, Priego-Capote F, Muñoz-Rascón P, Serrano-Rodríguez JM.To date, no intravenous pharmacokinetics (PK) studies have assessed acetaminophen or its major metabolites (acetaminophen-glucuronide and acetaminophen-sulphate) in horses. The influence of sex on acetaminophen metabolism in horses is unclear, and Monte Carlo simulations have not been applied to explore potential clinical applications. This study aimed to determine the intravenous PK and safety of acetaminophen in Andalusian horses at 10 and 20 mg/kg, evaluate sex as a covariate, and simulate clinical regimens. Twenty mares and twenty stallions received intravenous acetaminophen, and plasma ...
A dorsal ultrasound-guided approach to perineural injection of the sixth and seventh cervical spinal nerves in horses is accurate and does not result in epidural placement.
Journal of the American Veterinary Medical Association    April 23, 2025   1-8 doi: 10.2460/javma.25.02.0101
Brown KA, Engiles JB, de Solis CN, Bills KW, Johnson AL, Davidson EJ.To determine the accuracy of a dorsal ultrasound-guided approach for perineural injection of the sixth and seventh cervical spinal nerves (CSNs) with the use of a clinically relevant volume of injectate (2 mL). We hypothesized that the majority of injections would result in identification of contrast solution in the intervertebral foramen (IVF) on CT and corresponding methylene blue dye staining of the CSN on postmortem evaluation, and distribution of injectate into the epidural space would not occur. Unassigned: 7 horses donated to the University of Pennsylvania New Bolton Center for euthanas...
Pilot Study: Simultaneous Daily Recording of Total Locomotor Activity and Heart Rate in Horses for Application in Precision Livestock Farming.
Animals : an open access journal from MDPI    April 22, 2025   Volume 15, Issue 9 1189 doi: 10.3390/ani15091189
Aragona F, Rizzo M, Arrigo F, Arfuso F, Fazio F, Giudice E, Pugliatti P, Piccione G, Giannetto C.Among physiological parameters, total locomotor activity (TLA) and heart rate (HR) are used as physiological indicators in animal welfare evaluations. The present study aimed to simultaneously record for 24 h the TLA and HR of ten clinically healthy horses housed in conventional individual boxes subjected to a natural photoperiod and temperature. An actigraphy-based data logger was placed on the headstall, and an equine HR monitor was placed around the chest to monitor TLA and HR, respectively. Activity was monitored with 5 min sampling intervals and HR with 5 s intervals. To make the data poi...
Welfare assessment of racehorses provides a baseline for continued monitoring.
Equine veterinary journal    April 21, 2025   doi: 10.1111/evj.14510
Annan R, Trigg L, Allen K, Hockenhull J, Valenchon M, Mullan S.Racehorse welfare continues to be a focus of stakeholders both within and outside of the industry, and there is a need for evidence-based animal welfare data. Objective: To gather data on racehorse welfare through a combination of animal-based observations and information about management practices, and to ascertain the feasibility of trained industry assessors carrying out a racehorse welfare assessment. Methods: Cross-sectional. Methods: Sixteen trained industry assessors conducted individual observations of 737 racehorses in 21 Flat racing (F), 27 National Hunt (NH) and 26 Dual-purpose (D) ...
Agreement between subjective gait assessment and markerless video gait-analysis in endurance horses.
Equine veterinary journal    April 21, 2025   doi: 10.1111/evj.14516
de Chiara M, Montano C, De Matteis A, Guidi L, Buono F, Auletta L, Del Prete C, Pasolini MP.Subjective evaluation of gait by official endurance veterinarians (OEVs) is used to determine 'fitness-to-compete' in horses participating in endurance competitions. Objective gait analysis systems could aid in quick and verifiable judgements. Objective: To assess the agreement between objective analysis of head and pelvis vertical movement asymmetry performed with a markerless artificial intelligence motion tracking system (AI-MTS) and subjective lameness assessment performed by an accredited FEI OEV to judge horse gaits. Methods: Cross-sectional. Methods: During three endurance competitions,...
Circadian Oscillation of Leukocyte Subpopulations and Inflammatory Cytokines over a 24-H Period in Horses.
Veterinary sciences    April 20, 2025   Volume 12, Issue 4 386 doi: 10.3390/vetsci12040386
The objective of the present study was to investigate the influence of daily rhythms on the immune and inflammatory systems in horses, considering white blood cell count (WBCs), leukocyte subpopulations (neutrophils, basophils, eosinophils, lymphocytes, and monocytes), CD4+, and CD8+ lymphocyte populations, interleukin-1β (IL-1β), interleukin-6 (IL-6), and tumor necrosis factor-α (TNF-α). Ten Italian Saddle horses (7-12 years old, body weight 480 ± 30 kg) underwent blood sampling every 4 h over a 24-h period. The COSINOR method was used to identify rhythms and their parameters. A one-way ...
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...
Performance of a non-contact veterinary infrared thermometer and reference intervals of equine temperature at different body sites.
Frontiers in veterinary science    April 17, 2025   Volume 12 1583839 doi: 10.3389/fvets.2025.1583839
Alberghina D, Tombolani C, Quintavalla F.Evaluating the body temperature of horses () is essential for monitoring their health. Rectal thermometry is the most common method for determining the temperatures of adult horses and foals. However, this method requires restraining the animals for several seconds, and it poses potential risks to both horses and humans. This study compared infrared and rectal thermometry in 126 horses, evaluating age and measurement site influences on body temperature. Horses were divided into three groups: foals (4-12 months), Shetland ponies (8-12 months), and adult horses (2-30 years). Rectal, ocular...
Differences between facilities in horse welfare profiles: slight differences in management/working conditions may be enough.
Animal : an international journal of animal bioscience    April 17, 2025   Volume 19, Issue 6 101520 doi: 10.1016/j.animal.2025.101520
Gueguen L, Palme R, Jego P, Henry S, Hausberger M.Many studies focus on animal welfare in terms of specific, either behavioural or physiological, indicators or on the impact of a particular management factor. However, an animal's welfare state results from the individual's perception of its general environment, which has consequences at both behavioural and physiological levels. Previous research on horses has shown that different riding schools could be characterised by different emotional/cognitive profiles of horses, in relation sometimes with one single management factor. In the present study, we aimed at determining if such facility-spec...
Computed tomographic measurements in 110 front hooves of non-lame Thoroughbred racehorses and Warmblood showjumpers.
Equine veterinary journal    April 15, 2025   Volume 57, Issue 5 1328-1340 doi: 10.1111/evj.14509
Szabó L, Pollard D, Nagy A.There are no published reference ranges on computed tomographic (CT) hoof wall and sole measurements. Objective: To establish reference ranges for CT measurements of the hoof wall and sole in non-lame horses, and to investigate associations between measurements and signalment, laterality, and medial or lateral sides. Methods: Retrospective, cross-sectional study. Methods: Soft tissue reconstructions of fan-beam CT studies of 110 front feet of 56 non-lame horses (30 Thoroughbred racehorses, 26 Warmblood showjumpers), performed in non- to semi-weightbearing positions, were analysed. Hoof wall th...
Endogenous Nature of Hydrocortisone Acetate in Horse.
Drug testing and analysis    April 14, 2025   doi: 10.1002/dta.3897
Kong FKW, Wong ASY, Wan TSM, Ho ENM.Hydrocortisone acetate, a synthetic acetate ester of hydrocortisone, was detected in horse blood samples collected from Thoroughbreds. Hydrocortisone acetate is generally considered an indicator for exogenous administration in horses. As hydrocortisone acetate has been previously reported to be endogenous in selected mammals, a proof-of-concept study was performed to evaluate the possible endogenous nature of hydrocortisone acetate in horses by in vitro incubation experiments using homogenized horse brain tissue.
Gross anatomy, computed tomographic contrast tenography, and needle endoscopy of the equine medial digital flexor tendon sheath.
Veterinary surgery : VS    April 14, 2025   Volume 54, Issue 6 1133-1144 doi: 10.1111/vsu.14263
Kerbert MP, Delling U, Verhaar N.To investigate the computed tomography (CT) and gross anatomy of the equine medial digital flexor tendon sheath (MDFTS), and the endoscopic anatomy and approach to the MDFTS. Methods: Ex vivo experimental study and one clinical case. Methods: Twelve clinically normal cadaveric hindlimbs. Methods: Dissection, native and contrast CT scans were conducted to evaluate the anatomy of the MDFTS. Based on these findings, the portal locations for the endoscopic approaches were determined. Six hindlimbs were used in the pilot phase and another six limbs were selected for the main study. Endoscopic image...
Effects of different grain types on nutrient apparent digestibility, glycemic responses, and fecal VFA content in weaned foals.
BMC veterinary research    April 14, 2025   Volume 21, Issue 1 273 doi: 10.1186/s12917-025-04716-w
Huang X, Li Q, Li X, Li C, Li J, He L, Jing H, Yang F, Li X.China's equine industry has shifted from traditional rough grazing to modern intensive farming, expanding the roles of horses into eventing, leisure, tourism, and meat and dairy production. Concurrently, equine nutrition has evolved from a forage-based diet to a more diverse regimen incorporating grain supplements to meet the heightened energy demands of intensive farming. However, nutrient digestibility and glycemic response vary considerably based on grain type, starch content, composition, and structural properties. Optimal grain selection is therefore essential for energy supplementation a...
Dynamic Adaptation of Heart Rate and Autonomic Regulation During Training and Recovery Periods in Response to a 12-Week Structured Exercise Programme in Untrained Adult and Geriatric Horses.
Animals : an open access journal from MDPI    April 13, 2025   Volume 15, Issue 8 1122 doi: 10.3390/ani15081122
Wonghanchao T, Sanigavatee K, Poochipakorn C, Huangsaksri O, Chanda M.Changes in resting heart rate (HR) and HR variability (HRV) are utilised to assess training effects in horses. However, limited research has examined how these variables reflect training effects during exercise sessions and recovery periods, particularly in horses of different ages. This study investigated how HR and HRV changed during exercise sessions and recovery periods in untrained adult horses (UAHs; = 9) and geriatric horses (UGHs; = 9). HR and HRV were measured before and during a 54 min exercise bout over a 12-week training programme. Mixed-effects model with Greenhouse-Geisser corr...
Pilot Study on the Profiling and Functional Analysis of mRNA, miRNA, and lncRNA in the Skeletal Muscle of Mongolian Horses, Xilingol Horses, and Grassland-Thoroughbreds.
Animals : an open access journal from MDPI    April 13, 2025   Volume 15, Issue 8 doi: 10.3390/ani15081123
Ding W, Gong W, Bou T, Shi L, Lin Y, Wu H, Dugarjaviin M, Bai D.Muscle fibers, as the fundamental units of muscle tissue, play a crucial role in determining skeletal muscle function through their growth, development, and composition. To investigate changes in muscle fiber types and their regulatory mechanisms in Mongolian horses (MG), Xilingol horses (XL), and Grassland-Thoroughbreds (CY), we conducted histological and bioinformatic analyses on the gluteus medius muscle of these three horse breeds. Immunofluorescence analysis revealed that Grassland-Thoroughbreds had the highest proportion of fast-twitch muscle fibers at 78.63%, while Mongolian horses had ...
Comparison of equine-induced pluripotent stem cell characteristics induced on different cell adhesion substrates.
Veterinary journal (London, England : 1997)    April 12, 2025   Volume 312 106351 doi: 10.1016/j.tvjl.2025.106351
Kushida C, Usui T, Tamura N, Kasashima Y, Sato K, Arai K.This study evaluated the effects of cell adhesion substrates that lead to the generation of equine-induced pluripotent stem cells (eiPSC) from embryonic skin fibroblasts by lipofection of plasmid vectors expressing five reprogramming factors. The reprogramming efficiency of cells induced on the E8 fragment of laminin-511 (eiPSC-511) was higher than that on Geltrex containing laminin-111 as a major laminin (eiPSC-111), and supplementation with a cocktail of small molecular compounds increased the number of iPSC colonies on both substrates. In the cell proliferation assay, eiPSC-511 showed highe...
Metformin and rosiglitazone affect motility, lipid peroxidation and mitochondrial activity of thawed equine spermatozoa.
Journal of equine veterinary science    April 11, 2025   Volume 149 105570 doi: 10.1016/j.jevs.2025.105570
Usuga A, Vergara AK, Tobón MC, Vargas S, Rojano B, Restrepo G.Maintaining sperm energy homeostasis in vitro is very important to improve the efficacy of stallion sperm preservation. Equine spermatozoa preferentially utilize oxidative phosphorylation over glycolysis to generate ATP. Metformin and rosiglitazone are antidiabetic compounds that enhances metabolic flexibility and glucose utilization. The aim of this study was to evaluate metformin and rosiglitazone supplementation of the freezing medium on quality and oxidative status of thawed stallion semen. A total of 15 ejaculates from five horses were collected and supplemented before freezing with metfo...
Exploring the genetic influences on equine analgesic efficacy through genome-wide association analysis of ranked pain responses.
Veterinary journal (London, England : 1997)    April 10, 2025   Volume 312 106347 doi: 10.1016/j.tvjl.2025.106347
Bacon EK, Donnelly CG, Finno CJ, Haase B, Velie BD.Multimodal analgesic administration is a promising strategy for mitigating side effects typically associated with analgesia; nevertheless, variation in analgesic effectiveness still poses a considerable safety concern for both horses and veterinarians. Pharmacogenomic studies have started delving into genetic influences on varying drug effectiveness and related side effects. However, current findings have narrow implications and are limited in their ability to individualize analgesic dosages in horses. Hydromorphone and detomidine were administered to a cohort of 48 horses at standardized time...
Exploring equine behavior: Wearable sensors data and explainable AI for enhanced classification.
Journal of equine veterinary science    April 10, 2025   Volume 149 105568 doi: 10.1016/j.jevs.2025.105568
Cetintav B, Yalcin A.Understanding equine behavior through advanced monitoring technologies is crucial for improving animal welfare, optimizing training strategies, and enabling early detection of health or stress-related issues. This study integrates wearable sensor data with Explainable Artificial Intelligence (XAI) techniques, particularly SHAP (Shapley Additive Explanations), to enhance interpretability in equine behavior classification. The data used in this study were sourced from an open-source dataset, ensuring transparency and reproducibility. Orginally, data were collected from 18 horses using sensor dev...
Aleurone supplementation enhances the metabolic benefits of training in Standardbred mares: impacts on glucose-insulin dynamics and gut microbiome composition.
Frontiers in physiology    April 10, 2025   Volume 16 1565005 doi: 10.3389/fphys.2025.1565005
Boshuizen B, De Maré L, Oosterlinck M, Van Immerseel F, Eeckhaut V, De Meeus C, Devisscher L, Vidal Moreno de Vega C, Willems M, De Oliveira JE....Aleurone, derived from the bran layer of grains like wheat and barley, has demonstrated positive effects on energy metabolism in pigs, mice, and untrained horses, influencing glucose-insulin dynamics and gut microbiome composition. Training itself enhances insulin sensitivity in horses, similar to the improvements in performance capacity observed in human athletes. This study aimed to investigate whether aleurone supplementation provides additional benefits to training by modulating insulin metabolism and gut microbiota in Standardbred mares. Unassigned: Sixteen Standardbred mares (aged 3-5 ye...
Cryopreservation of Horse Sperm.
Methods in molecular biology (Clifton, N.J.)    April 9, 2025   Volume 2897 193-206 doi: 10.1007/978-1-0716-4406-5_14
Miró J, Martínez-Rodero I, Yeste M, Catalán J.Cryopreservation is currently the only strategy for long-term conservation of equine sperm. To get optimal post-thaw sperm survival, carefully following each step of the freezing protocol is crucial. First, one needs to obtain and exhaustively analyze an ejaculate of good sperm quality. Then, the seminal plasma is removed by centrifugation, and the resulting pellet is resuspended in a certain volume of the freezing medium to reach the right sperm concentration. Finally, sperm samples are packaged into 0.5-mL straws, cooled, and frozen using an automatic, controlled-rate freezer. Once the tempe...
Physiological and behavioral parameters of pain and stress in mares during and after transvaginal ultrasound-guided follicular aspiration.
Frontiers in veterinary science    April 9, 2025   Volume 12 1574351 doi: 10.3389/fvets.2025.1574351
Van den Branden E, Salamone M, Broothaers K, Peere S, Polfliet E, Dewulf M, Van Steenkiste G, van Loon G, Smits K, Govaere J.The use of transvaginal ultrasound-guided follicle aspiration (TVA) for oocyte collection has become a widely used procedure in horses for embryo production (IVEP). The TVA procedure is characterized by various manipulations, which are physical restraint, perineal preparation, transrectal palpation, insertion of an intravaginal device, and needle punctures. These repeated transvaginal and transovarian punctures have raised concerns about their potential effects on mare welfare. Our study aimed to investigate the effects of TVA manipulations, and especially puncturing, on pain and stress in ma...
Head and Neck Positions Affect Equine Kinematic Variables in Marcha Batida Gait-A Pilot Study.
Animals : an open access journal from MDPI    April 9, 2025   Volume 15, Issue 8 doi: 10.3390/ani15081090
Martins NA, Fonseca BPA, Silvatti AP, Valente FL, Soares NL, Simonato SP, Rosa LP, Andrade MO, Barcelos KMDC.The Mangalarga Marchador (MM) breed naturally performs four-beat gaits known as "Marcha". Kinematic analysis can provide insights for optimizing training and competition performance in this breed while potentially mitigating welfare concerns associated with extreme head and neck positions (HNPs) applied without an adequate understanding of their impacts. We examined how different HNPs affect the MM horse's Marcha Batida gait. Four HNPs were evaluated: HPN1-loose reins, HPN2-the competition standard for MM, HPN3-an extremely elevated head and neck, and HPN4-a slightly behind-the-vertical positi...
The effects of a plant-based and a plant- and marine-based n-3 oil supplement on behavioural reactivity, heart rate variability, and plasma fatty acid profile in young healthy horses.
Journal of animal science    April 8, 2025   skaf117 doi: 10.1093/jas/skaf117
Hartwig S, Rankovic A, McCrae P, Gagliardi K, Burron S, Ellis J, Ma DWL, Shoveller AK.Behavioural reactivity in horses poses a welfare and safety risk to both the horse and the handler, however, beneficial effects have been observed when dietary fat is increased in replacement of sugar. Supplementation with the fatty acids (FA) eicosapentaenoic (EPA) and docosahexaenoic acid (DHA) appear to improve negative behaviours in rodents and humans, but the effect of α-linolenic acid (ALA), EPA, and DHA, specifically, on reactivity in horses is unknown. The objective of this study was to evaluate the effects of camelina oil (CAM; ALA-enriched) and a mix of camelina and algal oil (ALG; ...
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...
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