Topic:Heart Rate

Field-training in young two-year-old thoroughbreds: investigating cardiorespiratory adaptations and the presence of exercise induced pulmonary hemorrhage.
BMC veterinary research    April 26, 2024   Volume 20, Issue 1 159 doi: 10.1186/s12917-024-03997-x
Massie S, Bayly W, Ohmura H, Takahashi Y, Mukai K, Lu00e9guillette R.Comparatively little is known regarding the initial cardiorespiratory response of young racehorses to training. The objectives were to compare physiological parameters before and after introductory training and determine whether young Thoroughbreds show endoscopic signs of exercise-induced pulmonary hemorrhage (EIPH). Ten Thoroughbreds (20-23 months) underwent 12-weeks of introductory training, including weekly speed sessions. Two 600 m high-speed exercise tests (HSET) were performed following weeks 4 and 12 while wearing a validated ergospirometry facemask. Peak oxygen consumption (V̇Opk...
Comparative study of the bronchodilator efficacy and adverse effects of salbutamol and hyoscine butylbromide in horses with severe asthma.
Journal of veterinary internal medicine    April 12, 2024   doi: 10.1111/jvim.17057
Mozo Vives B, Mainguy-Seers S, Lavoie JP.Salbutamol and hyoscine butylbromide (HBB) are commonly used bronchodilators in horses with severe asthma (SA). Objective: To compare the bronchodilation potency, duration, and adverse effects of salbutamol and HBB in SA. Methods: Six horses in exacerbation of SA. Methods: The effects of inhaled salbutamol (1000 μg) and HBB (150 mg, IV) were compared in a randomized, blinded, crossover experiment. Lung function, intestinal borborygmi and heart rate were assessed before and sequentially until 180 minutes after drug administration, and analyzed with 2-way repeated-measures ANOVA and Dunne...
Splenic hematoma and hemoperitoneum in a Thoroughbred racehorse after racing.
Journal of the American Veterinary Medical Association    April 5, 2024   1-3 doi: 10.2460/javma.24.01.0011
Neville E, Pigott J.To describe the clinical presentation of a Thoroughbred filly with acute hemoperitoneum from a splenic source immediately after racing. Methods: A 3-year-old Thoroughbred filly used for racing and that had raced shortly before presentation to the hospital. Unassigned: On presentation, the filly was quiet, alert, and responsive with a heart rate of 76 beats/min, pale mucous membranes, and absent borborygmi. All other physical examination parameters were within normal limits. Abdominal ultrasound was performed and revealed echogenic free abdominal fluid and a splenic hematoma. Abdominocentesis y...
The pharmacokinetics and pharmacodynamics of fentanyl administered via transdermal patch in horses.
Frontiers in pain research (Lausanne, Switzerland)    March 20, 2024   Volume 5 1373759 doi: 10.3389/fpain.2024.1373759
Reed RA, Berghaus LJ, Reynolds RM, Holmes BT, Krikorian AM, Sakai DM, Ishikawa Y, Knych HK.Understanding the pharmacokinetics and pharmacodynamics of fentanyl in horses is crucial for optimizing pain management strategies in veterinary medicine. Unassigned: Six adult horses were enrolled in a randomized crossover design. Treatments included: placebo, two 100 mcg/h patches (LDF), four 100 mcg/h patches (MDF), and six 100 mcg/h patches (HDF). Patches were in place for 72 h. Blood was obtained for fentanyl plasma concentration determination, thermal threshold, mechanical threshold, heart rate, respiratory rate, and rectal temperature were obtained prior patch placement and at m...
Doppler ultrasonographic measurements of the lateral digital palmar artery in pregnant mares. Cardiovascular changes have been reported in late pregnancy in mares. However, there are no data on changes in peripheral blood flow. Doppler ultrasound represents a sensitive method for assessing the blood flow directed to the hoof. The aims of this study were to evaluate the blood flow parameters of the lateral palmar digital artery (LPDA) in pregnant mares and to assess intra- and interrater agreement between two observers with different levels of experience. The LPDAs of pregnant Italian Standardbred mares were examined. The vessels were located with B-mode ultrasound and analyzed with col...
Evaluation of a digital stethoscope for electrocardiographic recording in donkeys: preliminary results.
Journal of equine veterinary science    March 15, 2024   105048 doi: 10.1016/j.jevs.2024.105048
Bozzola C, Ortolina A, Guffanti I, Alberti E, Bronzo V, Zucca E.The digital stethoscope (DS) is a cost-effective single-lead digital stethoscope that allows simultaneous electrocardiographic (ECG) and phonocardiographic recordings on a smartphone. Despite its application in small animals and horses, there are currently no studies on its use in donkeys. The aim of this study was to evaluate the use of a new smartphone-based DS device in recording ECG tracings in donkeys. Standard base-apex lead ECG (sECG) and single-lead DS ECG (dECG) were simultaneously recorded for at least 30 s. Both sECG and dECG tracings were analysed by the same operator, recording he...
Evaluation of physical variables, thermal nociceptive threshold testing and pharmacokinetics during placement of transdermal buprenorphine matrix-type patch in healthy adult horses.
Frontiers in pain research (Lausanne, Switzerland)    March 11, 2024   Volume 5 1373555 doi: 10.3389/fpain.2024.1373555
Paranjape VV, Knych HK, Berghaus LJ, Cathcart J, Giancola S, Craig H, James C, Saksena S, Reed RA.Matrix type transdermal buprenorphine patches have not been investigated in horses and may provide an effective means of providing continuous pain control for extended period and eliminating venous catheterization. Unassigned: Assessment of the physiological variables (heart rate, respiratory rate, body temperature) and thermal nociceptive threshold testing, and describing the pharmacokinetic profile of transdermal buprenorphine matrix-type patch (20 μg h and 40 μg h dosing) in healthy adult horses. Unassigned: Randomised experimental study with a Latin-square design. Unassigned: Six adu...
Comparison of Detomidine or Romifidine in Combination with Morphine for Standing Magnetic Resonance Imaging in Horses.
Veterinary sciences    March 8, 2024   Volume 11, Issue 3 124 doi: 10.3390/vetsci11030124
Vullo C, Gugliandolo E, Biondi V, Biffarella M, Catone G, Tambella AM.The aim of this study was to determine the most appropriate sedation protocol for a standing magnetic resonance imaging (MRI) examination in horses, comparing continuous rate infusions (CRIs) of detomidine and romifidine combined with a single bolus of morphine. Sixteen horses referred for standing low-field open-magnet MRI were randomly assigned to one of two sedation protocols. The horses were premedicated with 0.03 mg/kg of intramuscular acepromazine, and those animals belonging to Group D received an intravenous (IV) loading dose of detomidine (0.01 mg/kg) 30 min later, while those of Grou...
Impact of different cooling solutions on autonomic modulation in horses in a novice endurance ride.
Animal : an international journal of animal bioscience    February 19, 2024   Volume 18, Issue 4 101114 doi: 10.1016/j.animal.2024.101114
Wonghanchao T, Sanigavatee K, Poochipakorn C, Huangsaksri O, Yalong M, Poungpuk K, Thanaudom K, Lertsakkongkul P, Lappolpaibul K, Deethong N, Chanda M.Cooling down is essential for horse recovery before veterinary inspection during an endurance ride. As salt potentially decreases water temperature, we tested whether adding salt to the water used to cool horses could aid their recovery. Twelve healthy Arabian horses participating in a novice endurance ride were divided evenly into two groups. Heart rate variability (HRV) variables, including time and frequency domains, non-linear results, and autonomic nervous system indices, were determined before recovery and at 1-min intervals for 9 min during recovery using either cold or cold-saline wa...
Retrospective Study of 25 Cases of Acorn Intoxication Colitis in Horses between 2011 and 2018 and Factors Associated with Non-Survival.
Animals : an open access journal from MDPI    February 12, 2024   Volume 14, Issue 4 599 doi: 10.3390/ani14040599
Hermange T, Ruault B, Couroucu00e9 A.The aim of this study is to describe clinical data associated with acorn intoxication and to find variables associated with survival. Data from horses presented at CISCO-ONIRIS from 2011 to 2018 with a diagnosis of acorn intoxication were included. Diagnosis was based on the following: season, the presence of acorns in the environment, clinical and hemato-biochemical parameters suggestive of a digestive/renal disease, the co-morbidity of companion animals, and post-mortem findings. Statistical analysis was completed using Student's t-test for mean comparisons and a Chi-square test for group co...
Treatment of lidocaine-refractory ventricular tachycardia using procainamide in an anesthetized horse.
Journal of the American Veterinary Medical Association    February 9, 2024   1-3 doi: 10.2460/javma.23.09.0535
Fernandez-Barrientos MA, Flynn H, Ratliff B, Kilcoyne I.To highlight the use of procainamide as a potential alternative treatment modality in cases of ventricular tachycardia that are refractory to lidocaine and magnesium sulfate. Methods: 1 adult horse weighing 380 kg. Unassigned: A 25-year-old Arabian gelding presented with severe colic signs. Due to persistent pain, it was elected to carry out an exploratory laparotomy. During the procedure a diagnosis of severe, unstable ventricular tachycardia was made based on the ECG findings, with an initial heart rate of 195 beats per minute and severe hypotension. Results: Initial treatment consisted of d...
Improved quality of life and pain relief in mature horses with osteoarthritis after oral transmucosal cannabidiol oil administration as part of an analgesic regimen.
Frontiers in veterinary science    February 6, 2024   Volume 11 1341396 doi: 10.3389/fvets.2024.1341396
Interlandi C, Tabbu00ec M, Di Pietro S, D'Angelo F, Costa GL, Arfuso F, Giudice E, Licata P, Macru00ec D, Crupi R, Gugliandolo E.The aim of this study was to evaluate the effect of oral cannabidiol (CBD) administration in addition to a conventional analgesic protocol on the clinical signs of 20 horses with mild joint osteoarthritis. The horses were randomly assigned to either the control group (C group) or the cannabidiol group (CBD group). Both groups were treated with phenylbutazone for 5 days. The CBD group received 0.03 mg/kg cannabidiol in hemp oil orally once daily for 14 days in addition to phenylbutazone treatment. All subjects were monitored for clinical parameters, oxidative status and blood counts. Pain...
Effect of a 14-Day Period of Heat Acclimation on Horses Using Heated Indoor Arenas in Preparation for Tokyo Olympic Games.
Animals : an open access journal from MDPI    February 6, 2024   Volume 14, Issue 4 546 doi: 10.3390/ani14040546
Munsters C, Siegers E, Sloet van Oldruitenborgh-Oosterbaan M.To optimise the performance and welfare of horses during equestrian competitions in hot climates, it is advised to acclimate them to the heat. The effects of training in a heated indoor arena were studied. Four Olympic horses (13.3 ± 2.2 years; three eventers, one para-dressage horse) were trained for 14 consecutive days in a heated indoor arena (32 ± 1 °C; 50-60% humidity) following their normal training schedule in preparation for the Tokyo Olympic games. Standardised exercise tests (SETs) were performed on Day 1 and Day 14, measuring heart rate (HR; bpm), plasma lactate concentration (LA...
Effects of β-Glucan Supplementation on LPS-Induced Endotoxemia in Horses.
Animals : an open access journal from MDPI    January 31, 2024   Volume 14, Issue 3 474 doi: 10.3390/ani14030474
Lacerenza MD, Arantes JA, Reginato GM, Passarelli D, Balieiro JCC, Amaral AR, Vendramini THA, Brunetto MA, Du00f3ria RGS.β-glucan is part of the cell wall of fungi and yeasts and has been known for decades to have immunomodulating effects on boosting immunity against various infections as a pathogen-associated molecular pattern that is able to modify biological responses. β-glucan has been used in rat models and in vitro studies involving sepsis and SIRS with good results, but this supplement has not been evaluated in the treatment of endotoxemia in horses. This study aims to evaluate the effects of preventive supplementation with β-glucan in horses submitted to endotoxemia by means of inflammatory response m...
Effect of physiological and pharmacological stress on heart rate, blood pressure, and echocardiographic measurements in healthy Warmblood horses.
Journal of veterinary internal medicine    January 4, 2024   doi: 10.1111/jvim.16967
Dufourni A, Buschmann E, Vernemmen I, Van Steenkiste G, van Loon G, Decloedt A.Echocardiographic measurements are important prognostic indicators but might be influenced by heart rate and blood pressure. This is particularly important when comparing repeated examinations. Objective: To determine the effect of physiological stress at mildly increased heart rates and pharmacological challenge using IV administration of N-butylscopolammonium bromide and metamizol sodium on heart rate, blood pressure, and echocardiographic measurements. Methods: Twenty healthy Warmblood horses. Methods: Randomized crossover study. Horses were examined echocardiographically by 2-dimensional, ...
Chiropractic effects on stride parameters and heart rate during exercise in sport horses.
Equine veterinary journal    January 4, 2024   doi: 10.1111/evj.14043
Lorello O, Rule E, Haughan J, Wang K, Niu M, Brown K, Navas de Solis C.Equine veterinarians performing chiropractic treatments are frequently asked to evaluate and treat sound horses to improve their performance and address pain associated with the axial skeleton. Studies describing the effects and mechanisms of chiropractic treatments in horses without overt lameness are scarce. Objective: This study aimed to evaluate the effect of chiropractic treatments on stride rate, length, symmetry, heart rate and rider-perceived quality of the ridden work in sport horses. Methods: A blind randomised controlled trial with crossover design. Methods: Thirty-eight horses ridd...
Behavioral observations, heart rate and cortisol monitoring in horses following multiple oral administrations of a cannabidiol containing paste (part 2/2).
Frontiers in veterinary science    January 3, 2024   Volume 10 1305873 doi: 10.3389/fvets.2023.1305873
Eichler F, Ehrle A, Machnik M, Jensen KC, Wagner S, Baudisch N, Bolk J, Pu00f6tzsch M, Thevis M, Bu00e4umer W, Lischer C, Wiegard M.As a remedy against stress and anxiety, cannabidiol (CBD) products are of increasing interest in veterinary medicine. Limited data is available describing the actual effectiveness of CBD in horses. The aim of this study (part 2 of 2) was to analyze stress parameters via behavioral observation, heart rate monitoring and assessment of blood and saliva cortisol levels in healthy horses treated repeatedly with a CBD containing paste. Twelve horses were randomly assigned to a treatment or a control group. Two pastes were orally administered in a double-blinded study design, one paste containing CBD...
Behavioral observations, heart rate and heart rate variability in horses following oral administration of a cannabidiol containing paste in three escalating doses (part 1/2).
Frontiers in veterinary science    December 11, 2023   Volume 10 1305868 doi: 10.3389/fvets.2023.1305868
Eichler F, Ehrle A, Jensen KC, Baudisch N, Petersen H, Bu00e4umer W, Lischer C, Wiegard M.Cannabidiol (CBD) products have been proposed to exert stress- and anxiety-relieving effects in animals. Despite the increasing popularity of CBD for veterinary use, the available research detailing the effects of CBD in horses is limited. The aim of this study (part 1 of 2) was to analyze stress parameters via behavioral observations and heart rate monitoring in healthy horses following single oral administration of a CBD containing paste in different doses. Study products were two pastes for oral administration, one containing CBD and one containing no active ingredient. Pastes were applied ...
Evaluation of substance P as a biomarker for pain in equine colic.
Journal of equine veterinary science    December 8, 2023   104979 doi: 10.1016/j.jevs.2023.104979
Gruber N, Gesell-May S, Scholler D, Zablotski Y, May A.Equine colic is an important condition associated with acute abdominal pain and one of the leading causes of death in horses. As such, objectively evaluating pain is of interest for attending veterinarians. Pain scales for assessment are present, but no single pain-specific biomarker has been reported. The aim of this study was to determine if substance P (SP) could be a reliable biomarker to reflect pain and serve as a parameter to predict outcome in equine colic. The hypothesis was that horses displaying severe colic signs present with higher values of SP in contrast to those with mild colic...
Effect of constant rate infusion of detomidine with and without vatinoxan on blood glucose and insulin concentrations in horses.
Veterinary anaesthesia and analgesia    November 19, 2023   S1467-2987(23)00359-8 doi: 10.1016/j.vaa.2023.11.005
Hallman I, Tapio H, Raekallio M, Karikoski N.To assess the effects of an α-adrenoceptor agonist (detomidine) constant rate infusion (CRI) with and without an α-adrenoceptor antagonist (vatinoxan) CRI on blood insulin and glucose concentrations, heart rate, intestinal borborygmi, and sedation during and after infusion in horses. Methods: Randomized, blinded, crossover, experimental study. Methods: A total of nine healthy, adult Finnhorse mares. Methods: Horses were treated with an intravenous (IV) detomidine loading dose (0.01 mg kg), followed by CRI (0.015 mg kg hour), and the same doses of detomidine combined with an IV vatinoxan load...
Evaluation of a smartphone electrocardiograph in healthy foals and comparison to standard base-apex electrocardiography.
Veterinary research communications    November 10, 2023   doi: 10.1007/s11259-023-10206-x
Bindi F, Vezzosi T, Sala G, Freccero F, Marmorini P, Bonelli F, Sgorbini M.Smartphone-based technology for ECG recording has recently spread as a complementary tool for electrocardiographic screening and monitoring in adult horses and in other animal species. The present study aimed to assess the feasibility and accuracy of a smartphone-based ECG in healthy foals. This was a prospective observational study (authorization n. 45,865/2016) including 22 foals aged less than 21 days. A reference standard base-apex ECG (rECG) was acquired, and a smartphone ECG (sECG) was recorded immediately after by using a smartphone-based single lead electrocardiograph. All ECG tracings...
Comparison of ventilatory and oxygen consumption measurements of yearling Thoroughbred colts and fillies exercising unridden on an all-weather track.
Veterinary journal (London, England : 1997)    November 4, 2023   Volume 300-302 106041 doi: 10.1016/j.tvjl.2023.106041
Katz LM, Gough K, McGivney CL, McGivney B, Sides RH, Hill EW, Bayly WM.Sex effects on ventilatory and oxygen consumption (V̇O) measurements during exercise have been identified in humans. This study's aim was to evaluate the hypothesis that there are sex effects on ventilatory and V̇O measurements in exercising, untrained yearling Thoroughbreds (Tb). Forty-one Tbs (16 colts, 25 fillies; 19.8 ± 1.4 months old) were recruited. Physiological, ventilatory and exercise data were gathered from horses exercising unridden at high intensity on an all-weather track from a global positioning-heart rate unit and a portable ergospirometry system. Data were analysed with an...
Training vs. racing: A comparison of arrhythmias and the repeatability of findings in Thoroughbred Chuckwagon racehorses.
Veterinary journal (London, England : 1997)    October 28, 2023   Volume 300-302 106040 doi: 10.1016/j.tvjl.2023.106040
Massie SL, Bezugley RJ, McDonald KJ, Lu00e9guillette R.Arrhythmias are commonly reported in exercising horses, however due to regulatory constraints electrocardiograms (ECGs) are acquired during training but not competition, raising questions about the repeatability of findings. The aims were (1) compare training and competition arrhythmias and (2) describe the repeatability of arrhythmias during maximal-intensity exercise. A convenience sample of 52 healthy Thoroughbreds (aged 8.7 ± 2.5 years) competing in the World Professional Chuckwagon Association were obtained, totaling 152 training or competition ECGs (2-7 ECGs/horse). Speed, heart rate ...
Insulin, but not adiponectin, is detectable in equine saliva using an automated, commercial assay.
Equine veterinary journal    October 23, 2023   doi: 10.1111/evj.14019
Barnabu00e9 MA, Elliott J, Harris PA, Menzies-Gow NJ.The hormones insulin and adiponectin are commonly measured in equids because of their involvement in endocrinopathic laminitis. These are currently measured in serum/plasma, although jugular venipuncture can cause stress in some animals and may be impossible in needle-shy individuals. However, both hormones can be measured in saliva in other species. Objective: To determine whether [insulin] and [total adiponectin] are detectable in equine saliva using automated assays and whether saliva collection is associated with changes in stress indicators. Additionally, the correlation between serum and...
Right dorsal colitis in horses: A multicenter retrospective study of 35 cases.
Journal of veterinary internal medicine    October 6, 2023   Volume 37, Issue 6 2535-2543 doi: 10.1111/jvim.16884
Flood J, Byrne D, Bauquier J, Agne GF, Wise JC, Medina-Torres CE, Wood K, Sullivan O, Stewart AJ.Right dorsal colitis (RDC) is a nonsteroidal anti-inflammatory drug (NSAID) induced, protein losing enteropathy in horses associated with a high case fatality rate. Objective: To describe signalment, NSAID usage, clinical presentations, clinical pathology, ultrasonographic findings, treatments, outcomes, and factors associated with survival in horses diagnosed with RDC. Methods: Thirty-five horses from 7 Australian equine hospitals diagnosed with RDC. Methods: Retrospective case series. Clinical records of cases were accepted if definitively or presumptively diagnosed by an internist with RDC ...
Fecal microbiota transplant for treatment of diarrhea in adult hospitalized horses-111 cases (2013-2018).
Open veterinary journal    September 30, 2023   Volume 13, Issue 9 1135-1140 doi: 10.5455/OVJ.2023.v13.i9.9
Quattrini C, Bozorgmanesh R, Egli P, Magdesian KG.Fecal microbiota transplant (FMT) is increasingly administered as part of the treatment of colitis in horses, yet there is little data as to its effectiveness. Retrospective evaluation of the effects of FMT on discharge status, fecal consistency, length of hospitalization, and improvement in clinical signs in horses hospitalized for diarrhea. Retrospective case-control study. Medical records of adult horses (>1 year old) that received at least one transfaunation treatment (2013-2018) in two referral hospitals were identified through a medical records database search. Medical records of cont...
Effect of Exercise in a Vector-Protected Arena for Preventing African Horse Sickness Transmission on Physiological, Biochemical, and Behavioral Variables of Horses.
Journal of equine veterinary science    September 28, 2023   Volume 131 104934 doi: 10.1016/j.jevs.2023.104934
Poochipakorn C, Wonghanchao T, Huangsaksri O, Sanigavatee K, Joongpan W, Tongsangiam P, Charoenchanikran P, Chanda M.During an African horse sickness (AHS) outbreak, horses were able to exercise daily in a net-covered arena, yet the physiological responses to exercise in a netted arena was unknown. In a cross-over study design, eight horses performed a 39-minute aerobic exercise in conventional (CA) and vector-protected arenas (VPA). Horses were slower in some gaits and covered less distance in the VPA arena (P < .01). Cortisol release, hematology, and heart rate variability (HRV) were also examined. An interaction between the riding arena and time was observed in hematocrit (P = .0013), hemoglobin (P ...
Effects of wearable therapies on jump performance in sport horses.
Frontiers in veterinary science    September 26, 2023   Volume 10 1235932 doi: 10.3389/fvets.2023.1235932
Schmidt TE, Gleason CB, Samaniego MR, White RR.Failure to properly prepare the equine athlete for exercise and support post-exercise recovery is a contributing factor to physical breakdown and lameness. Equine physiotherapy was not introduced until the early twentieth century and has since evolved to allow for wearable therapies such as therapeutic boots to be accessible to a broad spectrum of equestrians. The purpose of this study was to evaluate the effects of ceramic boots, boots combining vibration and cryotherapy, and boots containing tourmaline on the performance of sport horses during jumping as well as to examine changes in vital s...
Xylazine Infusion during Equine Colic Anesthesia with Isoflurane and Lidocaine: A Retrospective Study.
Animals : an open access journal from MDPI    September 13, 2023   Volume 13, Issue 18 2902 doi: 10.3390/ani13182902
Ruu00edz-Lu00f3pez P, Cuypers C, Schauvliege S.This retrospective study investigated the effect of a xylazine infusion on heart rate; mean arterial pressure; blood gases; anesthetic and dobutamine requirements; recovery quality and duration; percentage of death/survival; and days to die/discharge in horses after colic surgery under partial intravenous anesthesia with isoflurane and lidocaine infusion. Anesthetic records of equine colic surgery were reviewed from similar periods in 2020-2021 and 2021-2022. In both groups, after sedation with xylazine 0.7 mg/kg intravenously (IV) and induction with ketamine 2.2 mg/kg and midazolam 0.06 mg/kg...
High-level competition exercise and related fatigue are associated with stride and jumping characteristics in eventing horses.
Equine veterinary journal    September 11, 2023   doi: 10.1111/evj.13999
Burger D, Vidondo B, Gerber V, Deillon D, Mu00fcller A, Scheidegger M, Ku00e4ser R, Ramseyer A.Fatigue and related injuries to the musculoskeletal system are among the most frequent reasons for the withdrawal of high-level eventing horses from the sport. The safety of both horse and rider is very important, and early detection of fatigue is crucial. Objective: To investigate elite eventing horses in competitive events focusing on biomechanical, cardiovascular and metabolic variables across the cross-country test and to identify their potential associations with fatigue. Methods: Prospective observational exploratory field study. Methods: Observations on 54 cross-country tests of 33 hors...
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