Analyze Diet

Topic:Heart Rate

Heart rate in horses is a physiological parameter that reflects the number of heartbeats per minute. It is an important indicator of cardiovascular function and can be influenced by factors such as exercise, stress, excitement, and health status. Monitoring heart rate provides valuable insights into the horse's physical condition and can aid in assessing fitness levels or detecting potential health issues. In equine practice, heart rate is often measured using stethoscopes, heart rate monitors, or electrocardiograms. This page compiles peer-reviewed research studies and scholarly articles that explore the determinants, measurement techniques, and implications of heart rate variations in equine health and performance.
Echocardiographic measurements of right heart size and function in healthy horses.
Equine veterinary journal    February 15, 2016   Volume 49, Issue 1 58-64 doi: 10.1111/evj.12554
Decloedt A, De Clercq D, Ven Sofie S, Van Der Vekens N, Sys S, Broux B, van Loon G.Right ventricular (RV) function is scarcely described in horses. Objective: To establish reliable echocardiographic measurements of right heart size and function in horses. Methods: Descriptive study in healthy horses. Methods: Ten healthy untrained adult trotter horses underwent repeated echocardiography performed by 2 sonographers from right and left parasternal standard and nonstandard views. Nonstandard views included a right parasternal view focused on the right atrium, left parasternal long-axis pulmonary artery view, left parasternal long-axis view focused on the right ventricle includi...
Functionally relevant responses to human facial expressions of emotion in the domestic horse (Equus caballus).
Biology letters    February 13, 2016   Volume 12, Issue 2 20150907 doi: 10.1098/rsbl.2015.0907
Smith AV, Proops L, Grounds K, Wathan J, McComb K.Whether non-human animals can recognize human signals, including emotions, has both scientific and applied importance, and is particularly relevant for domesticated species. This study presents the first evidence of horses' abilities to spontaneously discriminate between positive (happy) and negative (angry) human facial expressions in photographs. Our results showed that the angry faces induced responses indicative of a functional understanding of the stimuli: horses displayed a left-gaze bias (a lateralization generally associated with stimuli perceived as negative) and a quicker increase in...
Using natriuretic peptides to detect cardiac diseases in horses.
The Veterinary record    December 19, 2015   Volume 177, Issue 24 622-623 doi: 10.1136/vr.h6887
Leroux AA.No abstract available
The Efficacy of Equine-Assisted Activities and Therapies on Improving Physical Function.
Journal of alternative and complementary medicine (New York, N.Y.)    December 14, 2015   Volume 22, Issue 1 9-24 doi: 10.1089/acm.2015.0171
Rigby BR, Grandjean PW.To summarize the physical benefits of therapeutic horseback riding and hippotherapy and suggest directions for future research. Methods: Review of databases for peer-reviewed articles related to equine-assisted activities and therapies. Databases included MEDLINE via EBSCO, Web of Science, PubMed, Google Scholar, and Academic Search Complete. Articles were limited to those with full-text access published in English since 1987. Results: Acute and residual improvements in physical benefits, such as gross motor function (e.g., walking, running, jumping), spasticity, muscle symmetry, posture, bala...
Effects of training at a walk on conventional and underwater treadmills on fiber properties and metabolic responses of superficial digital flexor and gluteal muscles to high-speed exercise in horses.
American journal of veterinary research    December 1, 2015   Volume 76, Issue 12 1058-1065 doi: 10.2460/ajvr.76.12.1058
Firshman AM, Borgia LA, Valberg SJ.To compare effects of training on conventional and underwater treadmills on fiber properties and metabolic responses of the superficial digital flexor (SDF) and gluteal muscles to high-speed exercise in horses. Methods: 6 unconditioned Quarter Horse-type horses. Methods: 6 horses were walked on underwater and conventional treadmills for 5 d/wk (maximum, 40 min/d) for 8 weeks in a randomized crossover design (60-day detraining period). Horses underwent a standardized exercise test (SET) at high speed before and after training. Analyte concentrations and fiber characteristics were measured in mu...
Oral creatine supplementation on performance of Quarter Horses used in barrel racing.
Journal of animal physiology and animal nutrition    November 28, 2015   Volume 100, Issue 3 513-519 doi: 10.1111/jpn.12411
Teixeira FA, Araújo AL, Ramalho LO, Adamkosky MS, Lacerda TF, Coelho CS.The aim of this study was to evaluate the effects of oral creatine supplementation on the athletic performance of equines used for barrel racing. Ten healthy Quarter Horses, or Quarter Horse crossbred, weighing 429.7 ± 25.3 kg and with mean age of 3.8 ± 1.2 years, were used. Animals were evaluated in four different moments (M1, M2, M3, M4), and between M3 and M4, they were supplemented with 28 g of creatine/100 kg of body weight, orally, for 45 days. Although significant alterations for LDH activity, plasma glucose and packed cell volume were observed, it was possible to conclude th...
Effect of Pre- and Postoperative Phenylbutazone and Morphine Administration on the Breathing Response to Skin Incision, Recovery Quality, Behavior, and Cardiorespiratory Variables in Horses Undergoing Fetlock Arthroscopy: A Pilot Study.
Frontiers in veterinary science    November 23, 2015   Volume 2 58 doi: 10.3389/fvets.2015.00058
Conde Ruiz C, Cruz Benedetti IC, Guillebert I, Portier KG.This prospective blinded randomized study aimed to determine whether the timing of morphine and phenylbutazone administration affects the breathing response to skin incision, recovery quality, behavior, and cardiorespiratory variables in horses undergoing fetlock arthroscopy. Ten Standardbred horses were premedicated with acepromazine (0.04 mg kg(-1) IM) and romifidine (0.04 mg kg(-1) IV). Anesthesia was induced with diazepam (0.05 mg kg(-1)) and ketamine (2.2 mg kg(-1)) IV at T0. Horses in group PRE (n = 5) received morphine (0.1 mg kg(-1)) and phenylbutazone (2.2 mg kg(-1)) I...
A long-day light program accelerates seasonal coat changes but is without effect on semen and metabolic parameters in Shetland pony stallions.
Theriogenology    November 12, 2015   Volume 85, Issue 5 946-953 doi: 10.1016/j.theriogenology.2015.11.003
Schrammel N, Deichsel K, Aurich J, Aurich C.Horses are seasonal breeders, and robust breeds may exhibit a winter hypometabolism when kept under semiferal conditions. In this study, we analyzed the effects of artificial long days on rectal temperature, heart rate, heart rate variability, hematology, coat changes, semen parameters, and plasma testosterone concentrations in Shetland stallions stabled overnight and assigned to a control group (CON, n = 9) kept under natural photoperiod, and a treatment group exposed to a long-day light program from 15 December to 20 March (AL, n = 9). During the 8-month study, rectal temperature, heart rate...
Pharmacokinetics of procaterol in thoroughbred horses.
Journal of veterinary pharmacology and therapeutics    November 5, 2015   Volume 39, Issue 3 264-270 doi: 10.1111/jvp.12272
Kusano K, Nomura M, Toju K, Ishikawa Y, Minamijima Y, Yamashita S, Nagata S.Procaterol (PCR) is a beta-2-adrenergic bronchodilator widely used in Japanese racehorses for treating lower respiratory disease. The pharmacokinetics of PCR following single intravenous (0.5 μg/kg) and oral (2.0 μg/kg) administrations were investigated in six thoroughbred horses. Plasma and urine concentrations of PCR were measured using liquid chromatography-mass spectrometry. Plasma PCR concentration following intravenous administration showed a biphasic elimination pattern. The systemic clearance was 0.47 ± 0.16 L/h/kg, the steady-state volume of the distribution was 1.21 ± 0.23 L/kg, ...
Preliminary investigation comparing a detomidine continuous rate infusion combined with either morphine or buprenorphine for standing sedation in horses.
Veterinary anaesthesia and analgesia    October 19, 2015   Volume 43, Issue 2 189-194 doi: 10.1111/vaa.12316
Potter JJ, MacFarlane PD, Love EJ, Tremaine H, Taylor PM, Murrell JC.To compare sedative and analgesic properties of buprenorphine or morphine for standing procedures combined with a detomidine continuous rate infusion (CRI). Methods: Blinded, prospective, randomized clinical pilot study. Methods: Ten horses presented for dental or sinus procedures. Methods: Horses received 0.02 mg kg(-1) acepromazine intravenously (IV), followed 30 minutes later by detomidine 10 μg kg(-1) IV. Five minutes later, buprenorphine 0.01 mg kg(-1) (n = 6) or morphine 0.1 mg kg(-1) (n = 4) was administered IV. Detomidine was administered by CRI (0.2 μg kg(-1) minute(-1)) and adjuste...
A comparison of the physiological response to tölt and trot in the Icelandic horse.
Journal of animal science    October 7, 2015   Volume 93, Issue 8 3862-3870 doi: 10.2527/jas.2015-9141
Stefánsdóttir GJ, Ragnarsson S, Gunnarsson V, Roepstorff L, Jansson A.This study compared the effect of ridden tölt and trot at 3 speeds on physiological responses in trained adult (15.3 ± 1.6 yr) Icelandic horses. The experiment had a crossover design with 8 horses, 2 treatments (incremental exercise test in tölt and trot), and 2 riders. Each horse performed 2 tests per day (1 gait with 2 riders, minimum 4.5 h between) on 2 separate days, with 1 d of rest in between. The exercise test consisted of three 642-m phases at 3.0 m/s (Speed), 4.0 m/s (Speed), and 5.0 m/s (Speed) and was performed outdoors on a 300-m oval gravel riding track in northern Iceland in M...
Prospective study of the primary evaluation of 1016 horses with clinical signs of abdominal pain by veterinary practitioners, and the differentiation of critical and non-critical cases.
Acta veterinaria Scandinavica    October 6, 2015   Volume 57 69 doi: 10.1186/s13028-015-0160-9
Curtis L, Burford JH, Thomas JS, Curran ML, Bayes TC, England GC, Freeman SL.The majority of research on the evaluation of horses with colic is focused on referral hospital populations. Early identification of critical cases is important to optimise outcome and welfare. The aim of this prospective study was to survey the primary evaluation of horses with clinical signs of abdominal pain by veterinary practitioners, and compare the initial presentation of critical and non-critical cases. Results: Data from 1016 primary evaluations of horses presenting with clinical signs of colic were submitted by 167 veterinary practitioners across the United Kingdom over a 13 month p...
Relationship between serum cortisol levels and some physiological parameters following reining training session in horse.
Animal science journal = Nihon chikusan Gakkaiho    September 30, 2015   Volume 87, Issue 5 729-735 doi: 10.1111/asj.12478
Casella S, Vazzana I, Giudice E, Fazio F, Piccione G.The changes of cortisol, red blood cells (RBC), hemoglobin (Hb), hematocrit (Hct), heart rate (HR), respiratory rate (RR) and rectal temperature (RT) were evaluated after a reining training session in eight Quarter Horses. All parameters were measured before exercise (T0), immediately after exercise (T1), 1 h after exercise (T2), 2 h after exercise (T3) and 24 h after exercise (T4). One-way analysis of variance (ANOVA) for repeated measures, followed Bonferroni's post hoc test, showed a significant effect of the reining training session (P < 0.0001) on cortisol, RBC, Hb, Hct, HR, RR and RT. Si...
Early-life object exposure with a habituated mother reduces fear reactions in foals.
Animal cognition    September 22, 2015   Volume 19, Issue 1 171-179 doi: 10.1007/s10071-015-0924-7
Christensen JW.Fear reactions in horses are a major cause of horse-human accidents, and identification of effective pathways for reduction in fearfulness can help decreasing the frequency of accidents. For a young mammal, the mother is one of the most salient aspects of its environment, and she can have a strong influence on her offspring's behaviour. This study investigated whether fearfulness in foals can be reduced through weekly exposure to usually frightening objects with a habituated mother during the first 8 weeks of life. Prior to foaling, mares (N = 22) were habituated to five initially fear-elic...
The effect of 7.2% hypertonic saline solution on echocardiographic parameters of healthy horses.
Equine veterinary journal    September 17, 2015   Volume 47, Issue 6 741-744 doi: 10.1111/evj.12496
Tavanaeimanesh H, Dezfouli MR, Vajhi A, Rostam A, Akbarinejad V, Sadeghian Chaleshtori S, Corley KT.The cardiovascular effects and duration of action of hypertonic saline are not yet fully understood in the horse. Objective: To determine the effects of hypertonic saline on cardiac measurements derived from echocardiography over a period of 90 min after infusion in euvolaemic and healthy horses. Methods: Experimental study. Methods: Five healthy conscious euvolaemic horses were infused with 5 ml/kg bwt hypertonic saline via a jugular catheter over 1 h. Immediately prior to infusion and at 0, 20, 40, 60 and 90 min after the completion of the infusion, echocardiographic images were obtained fro...
Speed and Cardiac Recovery Variables Predict the Probability of Elimination in Equine Endurance Events.
PloS one    August 31, 2015   Volume 10, Issue 8 e0137013 doi: 10.1371/journal.pone.0137013
Younes M, Robert C, Cottin F, Barrey E.Nearly 50% of the horses participating in endurance events are eliminated at a veterinary examination (a vet gate). Detecting unfit horses before a health problem occurs and treatment is required is a challenge for veterinarians but is essential for improving equine welfare. We hypothesized that it would be possible to detect unfit horses earlier in the event by measuring heart rate recovery variables. Hence, the objective of the present study was to compute logistic regressions of heart rate, cardiac recovery time and average speed data recorded at the previous vet gate (n-1) and thus predict...
Acupuncture Affects Autonomic and Endocrine but Not Behavioural Responses Induced by Startle in Horses.
Evidence-based complementary and alternative medicine : eCAM    August 30, 2015   Volume 2015 219579 doi: 10.1155/2015/219579
Villas-Boas JD, Dias DP, Trigo PI, Almeida NA, de Almeida FQ, de Medeiros MA.Startle is a fast response elicited by sudden acoustic, tactile, or visual stimuli in a variety of animals and in humans. As the magnitude of startle response can be modulated by external and internal variables, it can be a useful tool to study reaction to stress. Our study evaluated whether acupuncture can change cardiac autonomic modulation (heart rate variability); and behavioural (reactivity) and endocrine (cortisol levels) parameters in response to startle. Brazilian Sport horses (n = 6) were subjected to a model of startle in which an umbrella was abruptly opened near the horse. Before s...
Stress Response of Veterinary Students to Gynaecological Examination of Horse Mares – Effects of Simulator-Based and Animal-Based Training.
Reproduction in domestic animals = Zuchthygiene    August 26, 2015   Volume 50, Issue 5 866-871 doi: 10.1111/rda.12600
Nagel C, Ille N, Erber R, Aurich C, Aurich J.Invasive procedures in animals are challenging for veterinary students who may perceive a gynaecological examination of mares as stressful. Simulator-based training may reduce stress. In this study, students received equine gynaecology training 4 times either on horses (group H; n = 14) or a teaching simulator (group SIM; n = 13). One day and 14 days thereafter, their diagnostic skills were tested on horses (skills tests 1 and 2). During the skills tests, the students' stress response was analysed by heart rate, heart rate variability (HRV) parameters SDRR (standard deviation of beat-to-b...
Heart rate variability in horses with acute gastrointestinal disease requiring exploratory laparotomy.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    August 10, 2015   Volume 26, Issue 2 269-280 doi: 10.1111/vec.12362
McConachie EL, Giguère S, Rapoport G, Barton MH.To describe heart rate variability (HRV) in horses with acute gastrointestinal disease that undergo exploratory laparotomy. We hypothesized that horses with ischemic gastrointestinal disease will have reduced HRV compared to horses with nonischemic lesions. We further hypothesized that a reduction in HRV will be associated with nonsurvival. Methods: Prospective, clinical, observational study. Methods: University veterinary teaching hospital. Methods: Horses presented for acute colic (n = 57) or elective surgical procedures (n = 10) were enrolled. Methods: Admission heart rate (HR) was recorded...
The physiological consequences of crib-biting in horses in response to an ACTH challenge test.
Physiology & behavior    July 14, 2015   Volume 151 121-128 doi: 10.1016/j.physbeh.2015.07.015
Briefer Freymond S, Bardou D, Briefer EF, Bruckmaier R, Fouché N, Fleury J, Maigrot AL, Ramseyer A, Zuberbühler K, Bachmann I.Stereotypies are repetitive and relatively invariant patterns of behavior, which are observed in a wide range of species in captivity. Stereotypic behavior occurs when environmental demands produce a physiological response that, if sustained for an extended period, exceeds the natural physiological regulatory capacity of the organism, particularly in situations that include unpredictability and uncontrollability. One hypothesis is that stereotypic behavior functions to cope with stressful environments, but the existing evidence is contradictory. To address the coping hypothesis of stereotypies...
Technical note: Comparison of two methods to quantify exercise energy expenditure in trotters.
Journal of animal science    May 29, 2015   Volume 93, Issue 3 1145-1148 doi: 10.2527/jas.2014-8153
Fortier J, Deley G, Julliand V.This study aimed at quantifying energy expenditure during 4 specific training exercises, that is, promenade, jogging, parcours, and interval exercises, using field measurements of oxygen consumption and heart rate in trotters. Six animals performed 2 preliminary tests to determine their individual maximum velocity and to establish their individual oxygen consumption/heart rate relationship from an incremental test. Then, they undertook each of the 4 specific exercises separated by 1 wk to avoid fatigue. The intensity of the 4 exercises was expressed in percent of individual maximum velocity as...
Cardiovascular effects of pimobendan in healthy mature horses.
Equine veterinary journal    May 4, 2015   Volume 48, Issue 3 352-356 doi: 10.1111/evj.12432
Afonso T, Giguère S, Rapoport G, Barton MH, Coleman AE.Pimobendan is an inodilator used in dogs for the management of heart failure due to myxomatous valve disease or dilated cardiomyopathy. The lack of data regarding the effects of pimobendan in horses prevents the rational use of this drug. Objective: To determine the cardiovascular effects of pimobendan in healthy mature horses. Methods: Randomised experimental study. Methods: Five horses were fasted overnight prior to receiving i.v. pimobendan (0.25 mg/kg bwt), intragastric (i.g.) pimobendan (0.25 mg/kg bwt) or i.g. placebo with a washout period of one week between each administration. Horses ...
Physiological Demands of Flat Horse Racing Jockeys.
Journal of strength and conditioning research    May 2, 2015   Volume 29, Issue 11 3060-3066 doi: 10.1519/JSC.0000000000000977
Cullen S, OʼLoughlin G, McGoldrick A, Smyth B, May G, Warrington GD.The physiological demands of jockeys during competition remain largely unknown, thereby creating challenges when attempting to prescribe sport-specific nutrition and training guidelines. The purpose of this study was to evaluate the physiological demands and energy requirements of jockeys during flat racing. Oxygen uptake (V[Combining Dot Above]O2) and heart rate (HR) were assessed in 18 male trainee jockeys during a race simulation trial on a mechanical horse racing simulator for the typical time duration to cover a common flat race distance of 1,400 m. In addition, 8 male apprentice jockeys ...
Tenseness relaxed by vocalizing, illustrated by horses (Equus caballus) whinnying.
Journal of comparative psychology (Washington, D.C. : 1983)    April 27, 2015   Volume 129, Issue 3 311-315 doi: 10.1037/a0039032
Lemasson A, Remeuf K, Hausberger M.Animal calls are commonly considered indicators of a sudden change in their arousal state. However, reports evidencing associated internal physiological changes are rare. By homology with human "emotional" vocal productions (e.g., laughter and crying), we predicted that animal vocal productions may result in relaxing tenseness or excitement. In this study, 15 stallions equipped with a heart rate monitor were presented a mare at some distance so as to prevent contact, thereby increasing the males' arousal. Stallions' heart rates increased just before whinnying but returned to baseline rates whi...
Temporal and concentration effects of isoflurane anaesthesia on intestinal tissue oxygenation and perfusion in horses.
Veterinary journal (London, England : 1997)    April 27, 2015   Volume 205, Issue 1 62-68 doi: 10.1016/j.tvjl.2015.04.030
Hopster K, Hopster-Iversen C, Geburek F, Rohn K, Kästner SB.The aim of this study was to assess the effect of duration of anaesthesia and concentration of isoflurane on global perfusion as well as intestinal microperfusion and oxygenation. Nine Warmblood horses were premedicated with xylazine; anaesthesia was induced with midazolam and ketamine, and maintained with isoflurane. Horses were ventilated to normocapnia. During 7 h of anaesthesia, mean arterial blood pressures (MAP), heart rate, central venous pressure, pulmonary artery pressure, expiratory isoflurane concentration (ETIso) and cardiac output using lithium dilution were measured; cardiac in...
Comparison of cardiorespiratory variables in dorsally recumbent horses anesthetized with guaifenesin-ketamine-xylazine spontaneously breathing 50% or maximal oxygen concentrations.
The Canadian veterinary journal = La revue veterinaire canadienne    April 2, 2015   Volume 56, Issue 4 387-392 
Karrasch NM, Hubbell JA, Aarnes TK, Bednarski RM, Lerche P.This study compared cardiorespiratory variables in dorsally recumbent horses anesthetized with guaifenesin-ketamine-xylazine and spontaneously breathing 50% or maximal (> 90%) oxygen (O2) concentrations. Twelve healthy mares were randomly assigned to breathe 50% or maximal O2 concentrations. Horses were sedated with xylazine, induced to recumbency with ketamine-diazepam, and anesthesia was maintained with guaifenesin-ketamine-xylazine to effect. Heart rate, arterial blood pressures, respiratory rate, lithium dilution cardiac output (CO), inspired and expired O2 and carbon dioxide partial pr...
Effect of dantrolene premedication on various cardiovascular and biochemical variables and the recovery in healthy isoflurane-anesthetized horses.
American journal of veterinary research    March 31, 2015   Volume 76, Issue 4 293-301 doi: 10.2460/ajvr.76.4.293
McKenzie EC, Di Concetto S, Payton ME, Mandsager RE, Arko M.To determine the effect of dantrolene premedication on various cardiovascular and biochemical variables and recovery in isoflurane-anesthetized horses. Methods: 6 healthy horses. Methods: Each horse was anesthetized twice with a 21- to 28-day washout period between anesthetic sessions. Food was not withheld from horses before either session. During each session, dantrolene (6 mg/kg in 2 L of water) or water (2 L) was administered via a nasogastric tube 1 hour before anesthesia was induced. Anesthesia was maintained with isoflurane for 90 minutes, during which blood gas analyses and lithium-dil...
History of research in Japan on electrocardiography in the racehorse.
Journal of equine science    March 31, 2015   Volume 26, Issue 1 1-13 doi: 10.1294/jes.26.1
Hiraga A, Sugano S.Since the first recording of electrocardiograms (ECGs) of a horse in Japan was carried out in 1944, studies on ECGs have been performed intensively. During the early stages of research from the 1950s to 1960s, leads to use for ECG recording were evaluated using several different approaches including unipolar leads, bipolar limb leads, and bipolar chest leads. Based on these studies, the AB lead, which is oriented along the long axis of the heart, became the standard reference method in Japan. Electrodes of the AB lead are placed on the upper 1/4th point along a straight line between the wither...
Reduced high intensity training distance had no effect on VLa4 but attenuated heart rate response in 2-3-year-old Standardbred horses.
Acta veterinaria Scandinavica    March 20, 2015   Volume 57, Issue 1 17 doi: 10.1186/s13028-015-0107-1
Ringmark S, Lindholm A, Hedenström U, Lindinger M, Dahlborn K, Kvart C, Jansson A.Training of Standardbred race horses aims to improve cardiovascular and metabolic functions but studies on the effects of different training strategies from breaking till racing are lacking. Sixteen horses with the goal to race as 3-year-olds were studied from breaking (1-year-olds) to December as 3-year-olds. Horses were allocated to either a control (C) or reduced (R) training program from 2 years of age. The aim was to evaluate the effect of reducing the distance of high intensity exercise by 30% with respect to velocity at lactate concentration 4 mmol/l (VLa4), blood lactate and cardiovasc...
Myocardial insult and arrhythmias after acute hemorrhage in horses.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    March 5, 2015   Volume 25, Issue 2 248-255 doi: 10.1111/vec.12295
Navas de Solis C, Dallap Schaer BL, Boston R, Slack J.The objectives of this investigation were to: (1) Determine if acute hemorrhage is associated with increased plasma cardiac troponin I (cTnI) concentration or cardiac arrhythmias, (2) to describe the types of arrhythmias and their clinical course in horses following acute hemorrhage, (3) to determine the ability of clinical or clinicopathological variables to predict an increase in cTnI concentration and the presence of arrhythmias, and (4) to determine the associations of cTnI and cardiac arrhythmias with outcome. Methods: Prospective observational study. Methods: Large animal veterinary teac...
1 16 17 18 19 20 59