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Topic:Mares

Mares and horses are integral components of equine studies, focusing on the reproductive and behavioral aspects of equine biology. Mares, or adult female horses, play a significant role in breeding programs and are often studied for their reproductive physiology, gestation, and maternal behaviors. Horses, as a broader category, encompass both sexes and all age groups, providing a comprehensive view of equine anatomy, physiology, and behavior. Research in this area often investigates the differences and similarities between mares and other horses in terms of hormonal cycles, reproductive health, and social interactions. This page compiles peer-reviewed studies and scholarly articles that explore the biological and behavioral characteristics of mares and horses, offering insights into their roles in equine science and management.
Colostrum conductivity, pH and Brix index as predictors of passive immunity transfer in foals.
Equine veterinary journal    October 16, 2024   Volume 57, Issue 4 898-903 doi: 10.1111/evj.14421
Magalhaes HB, Canisso IF.Foal immunity relies heavily on the absorption of colostrum immunoglobulins; thus, colostrum evaluation is used to predict the transfer of passive immunity (TPI), and its conductivity is associated with TPI in cattle. Leading up to and at parturition, a reduction in colostrum pH and conductivity is thought to be necessary for TPI; however, this remains to be determined. Objective: To assess conductivity, pH, and Brix refractometer index of colostrum to predict the TPI in foals. Methods: Field study. Methods: The colostrum of 241 mares was assessed for conductivity, pH, and Brix index using han...
Plasma Lipidomics Reveals Lipid Signatures of Early Pregnancy in Mares.
International journal of molecular sciences    October 15, 2024   Volume 25, Issue 20 11073 doi: 10.3390/ijms252011073
Perera TRW, Bromfield EG, Gibb Z, Nixon B, Sheridan AR, Rupasinghe T, Skerrett-Byrne DA, Swegen A.Understanding the systemic biochemistry of early pregnancy in the mare is essential for developing new diagnostics and identifying causes for pregnancy loss. This study aimed to elucidate the dynamic lipidomic changes occurring during the initial stages of equine pregnancy, with a specific focus on days 7 and 14 post-ovulation. By analysing and comparing the plasma lipid profiles of pregnant and non-pregnant mares, the objective of this study was to identify potential biomarkers for pregnancy and gain insights into the biochemical adaptations essential for supporting maternal recognition of pr...
TLR-2 and TLR-4 mRNA expression in different grades of histopathological lesions of equine endometrium from follicular phase.
Reproduction in domestic animals = Zuchthygiene    October 14, 2024   Volume 59 Suppl 3 e14657 doi: 10.1111/rda.14657
Cerveira-Pinto M, Wójtowicz A, Pires MA, Kordowitzki P, Skarzynski D, Ferreira-Dias G, Szóstek-Mioduchowska A, Amaral A.Increased synthesis and deposition of collagen (COL) in the extracellular matrix (ECM) of equine endometrium contributes to endometrosis. Toll-like receptors (TLRs) are transmembrane receptors involved in the innate immune response, recognized for their role in antigen recognition and previously associated with equine endometritis. The TLRs not only recognize pathogen-associated molecular patterns but also regulate inflammations, fibrosis and cancer. The aim of this study was to explore the relationship between TLR expression at different stages of Kenney and Doig's (K-D) grading and COL1 exp...
Development of an equine endometrial histology scoring system to complement the Kenney-Doig scale.
Reproduction in domestic animals = Zuchthygiene    October 14, 2024   Volume 59 Suppl 3 e14614 doi: 10.1111/rda.14614
Martínez-Bartolomé I, Masot J, Serres C.Kenney-Doig scale is considered the international standard method for classifying uterine biopsies in mares; however, its objectivity has been questioned by various studies. In the present study, we analysed the degree of agreement between two pathologists when assessing the same set of 201 uterine biopsies, obtaining a slight to moderate level of agreement (κ = .34/κ = .57). Subsequently, we developed a numerical scale based on the evaluation of histological parameters, including inflammation, fibrosis, glandular density and lymphatic lacunae. Partial scores were summed to obtain a ...
A new hormonal protocol supports early development of in vitro-produced embryos after transfer to anoestrus mares.
Reproduction in domestic animals = Zuchthygiene    October 14, 2024   Volume 59 Suppl 3 e14622 doi: 10.1111/rda.14622
Muñoz-García CC, Luis-Calero M, Fernández-Hernández P, Pizarro-Hernández A, Fernández-González R, Gutiérrez-Adán A, Sánchez-Calabuig MJ....The present study aimed to evaluate whether primed anoestrus mares are suitable recipients for embryos produced by intracytoplasmic sperm injection (ICSI). Anoestrus was confirmed in four mares and daily doses of oestradiol benzoate (6 mg in total) over 5 days were administered; after 3 days of rest, oral altrenogest was administered at 0.088 mg/kg and embryos (1 to 5 embryos per mare; 15 in total) were transferred 3.5 days after progesterone onset. Uterine lavage was conducted 48 h after transfer. The results revealed an 80% embryo recovery rate, and among the retrieved embryos, 6...
Isolated and multiple causes of equine dystocia.
Acta veterinaria Scandinavica    October 11, 2024   Volume 66, Issue 1 55 doi: 10.1186/s13028-024-00772-8
Ellerbrock M, Krohn J, Büttner K, Wehrend A.Dystocia is rare in horses, but is life-threatening for mares and foals. Therefore, veterinary research depends on up-to-date data to optimise equine dystocia management. In addition, knowledge of the prognosis of equine dystocia is necessary to advise animal owners. This retrospective study of equine dystocia aimed to enrich existing datasets with up-to-date information. For the first time, the focus was on the causes of dystocia that occurred alone or in combination. Over a period of 10 years, 72 cases of dystocia were analysed using a standardised, predetermined diagnosis code. Results: Of ...
Streptococcus ovis associated abortion in an Icelandic mare.
Journal of equine veterinary science    September 27, 2024   105202 doi: 10.1016/j.jevs.2024.105202
Agerholm JS, Damborg P, Christoffersen M.Streptococci are well-known opportunistic bacterial abortifacients in mares. Colonization of the pregnant uterus is considered to happen after transcervical migration of bacteria from the lower genital tract mucosa. Streptococcus ovis is a pathogen mainly associated with inflammatory lesions in sheep. This species has not been reported in association with disease in horses. In the present case, S. ovis was isolated in monoculture from the lung of an 8-months-old equine fetus and was associated with development of acute suppurative bronchopneumonia, umbilical cord cellulitis and placentitis in ...
Pharmacokinetics of Two Formulations of Altrenogest Administered to Mares.
Drug testing and analysis    September 22, 2024   doi: 10.1002/dta.3796
Loy J, Cawley A, Sornalingam K, Scrivener CJ, Keledjian J, Noble GK.Altrenogest is a synthetic progestin that suppresses reproductive behaviours and assists pregnancy maintenance in female horses. Two formulations are available, a 'weekly' intramuscular injection and a daily oral formulation. Altrenogest administration has returned positive swabs for steroids; consequently, using injectable altrenogest in racing mares is prohibited. Oral administration may be permitted in race mares if there is one clear day between dosing and racing. The only pharmacokinetic data available were generated from geldings. Therefore, to assist veterinarians and analysts in determ...
Closed laceration of the trachea, esophagus and guttural pouches in a mare caused by blunt trauma.
Journal of equine veterinary science    September 21, 2024   Volume 143 105196 doi: 10.1016/j.jevs.2024.105196
Lopes MAF, Hollenbach E, Schliewert EC, Murphy MA, Corrêa F.A mare was admitted for progressive swelling of the neck, lethargy and anorexia. Radiography revealed perilaryngeal, peritracheal, and periesophageal emphysema. Endoscopy revealed pharyngeal and tracheal roof collapse, and a small laceration on the trachea. Treatment with antimicrobials, fluids, and flunixin was initiated. To prevent exacerbation of the emphysema, temporary tracheostomy was performed. Clipping for the tracheostomy revealed a hoofprint mark on the ventral neck. Subsequent endoscopies revealed laceration of the esophagus and guttural pouch septum communicating with the visceral ...
A novel method for equine embryo transfer from contaminated recipient mares into second healthy recipients for surviving embryos.
Journal of equine veterinary science    September 19, 2024   Volume 142 105200 doi: 10.1016/j.jevs.2024.105200
Derbala MK, Abu-Seida AM, El-Metwally AE, Asfour HAE.Embryo transfer (ET) is regarded as one of the reproductive methods for genetic improvement initiatives in the horse business. The current study aimed to increase the success rate of ET by re-flushing and re-transferring of embryos from contaminated recipient mares into second healthy recipients. The study involved 25 recipient mares that demonstrated embryonic vesicles inside intraluminal fluid (ILF) on ultrasound scanning 2 ± 0.5 days after ET. Seven recipient mares were left without re-flushing and re-transferring of embryos (control group) and 18 recipient mares (treated group) were subje...
Yawning in sync: implications for social cohesion in horses.
Current zoology    September 16, 2024   Volume 71, Issue 2 137-151 doi: 10.1093/cz/zoae052
The increasing interest in the study of spontaneous (SY) and contagious yawning (CY) was so far focused on several taxa, especially primates. Here, we focused on SY and CY in horses, a suitable species due to their complex social dynamics that has been largely overlooked in research on these phenomena. By analyzing videos of 48 horses on pasture, we identified 2 yawning morphologies: Covered ( ) and Uncovered Teeth ( ). Using EquiFACS, we quantitatively demonstrated that and differ in terms of muscle recruitment. Moreover, we provide the first evidence for the presence of CY by comparing 2...
Effect of intrafollicular administration of PGE2 or PGF2α in early estrus on ovulation, hemorrhagic anovulatory follicles formation, progesterone secretion and pregnancy outcome in the mare.
Theriogenology    September 16, 2024   Volume 230 157-164 doi: 10.1016/j.theriogenology.2024.09.015
Gaber JTH, Cuervo-Arango J, Plaza-Dávila M, Martínez-Boví R.This experiment was performed to evaluate whether intrafollicular treatment of PGE2 or PGF2α administered in early estrus would induce normal ovulation, progesterone production (Experiment 1) and pregnancy (Experiment 2). In Experiment 1, mares in estrus after 2 days of endometrial edema were injected in all largest dominant follicles (28-35 mm in diameter) with 0.5 mL of sterile water containing 500 μg PGE2 (n = 6), 125 μg PGF2α (n = 6) or placebo (n = 7) (Hour 0). Ultrasound examinations were performed daily, until ovulation or anovulation was detected, and daily blood samples ...
Effects of maternal dietary supplementation with antioxidants on clinical status of mares and their foal.
BMC veterinary research    September 11, 2024   Volume 20, Issue 1 404 doi: 10.1186/s12917-024-04252-z
Del Prete C, Vastolo A, Pasolini MP, Cocchia N, Montano C, Cutrignelli MI.The peripartum period constitutes a delicate physiological moment in mares showing a transient state of oxidative stress. Diet supplementation with antioxidants during pregnancy in women appears to have a beneficial effect on mother and neonate health. The aim of this work was to evaluate the effects of diet supplementation with a commercial product containing a mix of antioxidants (Oxyliver®, Candioli) on the length of gestation, weight, and haemato-biochemical parameters in Italian Salernitano mares and their newborn foals. Eight late-term pregnant mares were randomly divided into two group...
Does the Uterine Ozone Therapy Alter the Transcript Profile of Anti- and Proinflammatory Genes in Mares With Endometritis?
Reproduction in domestic animals = Zuchthygiene    September 10, 2024   Volume 59, Issue 9 e14718 doi: 10.1111/rda.14718
Botelho JHV, Pessoa GO, Caixeta ES, Sales G, de Oliveira KR, Nascimento Neto JDP, Ferreira RD, Palhão MP.This study aimed to evaluate the localised effects of intrauterine ozone therapy on endometrial recovery in mares with endometritis. Our investigation assessed changes in gene expression profiles of anti-inflammatory (IL-1RA and IL-10), proinflammatory (IL-R1B3i and TNFα) and pleiotropic (IL-6) cytokines, along with detailed histological measurements of epithelial and endometrial thickness and the glandular area ratio. Twenty mares were assigned to a 2 × 2 factorial design based on endometritis diagnosis and treatment (control or 42 μg/mL ozone insufflation), resulting in four groups: N...
The influence of lactation on insulin and glucose metabolism, lipid profile, and cytokines in pregnant mares.
Theriogenology    September 10, 2024   Volume 230 107-114 doi: 10.1016/j.theriogenology.2024.09.003
Affonso FJ, Alonso MA, Bringel B, Douglas R, de Paula Nogueira G, Boakari YL, Fernandes CB.Glucose metabolism adapts to gestation, resulting in progressive physiological insulin resistance and increased insulin secretion to maintain maternal euglycemia and glucose availability for the developing fetus. These changes can impact mare fertility and maternal and neonatal health. This is the first comparison of body condition, regional adiposity, insulin and glucose dynamics, lipid metabolism, and cytokine production between lactating and non-lactating mares before, during pregnancy, and early postpartum. Twelve pregnancies from 9 broodmares, five nonlactating (NL) and seven lactating (L...
The Effect of Seminal Plasma on the Equine Endometrial Transcriptome.
Reproduction in domestic animals = Zuchthygiene    September 9, 2024   Volume 59, Issue 9 e14711 doi: 10.1111/rda.14711
Fedorka CE, El-Sheikh-Ali H, Scoggin KE, Coleman S, Humphrey EA, Troutt L, Troedsson MHT.The establishment of pregnancy involves a fine-tuned balance between protection and tolerance within the maternal immune system, as the female needs to accept a foreign antigen (the semi-allogenic fetus) while still being able to combat pathogens from the uterus. In the horse, the first uterine exposure to paternal antigens is during mating when sperm is introduced to the tissue and draining lymphatics of the uterus. Additionally, it has been suggested that seminal plasma and its proteins within it play an essential role in preparing the female tract for a suitable immunologic environment but ...
Oral trazodone results in quantifiable sedation but does not result in a xylazine-sparing effect in healthy adult horses.
American journal of veterinary research    September 6, 2024   1-6 doi: 10.2460/ajvr.24.07.0185
Swanton WE, Johnson R, Zhao Q, Schroeder C.To evaluate sedation and IV xylazine requirements to achieve 45% of baseline head height above ground measurements following oral (PO) administration of 2 trazodone dosages. Methods: 8 healthy, adult mares of various weights and breeds belonging to a university teaching herd were utilized in a blinded, crossover study design. Horses were randomly assigned to 1 of 3 PO treatments: control (no trazodone), trazodone at 3 mg/kg (low dose [LD]), or trazodone at 6 mg/kg (high dose [HD]). Before treatment, cardiac auscultation, EquiSed sedation score, and head height above ground (HHAG; cm) measureme...
The Effect of Different Storage Temperatures over Time on the pH of Mammary Gland Secretions in Periparturient Mares.
Animals : an open access journal from MDPI    September 6, 2024   Volume 14, Issue 17 doi: 10.3390/ani14172598
Canisso IF, Amorim GBAG, Magalhaes HB.The objectives of this study were (i) to determine pH and electrolyte concentrations in MGS collected prepartum and at parturition, (ii) to characterize mare milk pH during the first week postpartum, and (iii) to evaluate pre-foaling MGS pH at three storage temperatures. This study outlined two hypotheses: (i) all mares exhibit acidic pH, increased calcium, magnesium, and potassium, and reduced sodium concentrations regardless of prepartum pH and electrolytes; (ii) pre-foaling MGS pH varies with storage temperature and time in an initial value-dependent manner. Twenty-three multiparous mares w...
Equine ART and antral follicle count: Can we deepen our understanding to improve outcomes?
Reproduction in domestic animals = Zuchthygiene    September 5, 2024   Volume 59 Suppl 2 e14625 doi: 10.1111/rda.14625
Le Breton A, Lewis N.Assisted reproductive technologies (ARTs) are performed worldwide in the equine industry to produce genetically valuable foals. Among them, ovum pick up (OPU) combined with intra-cytoplasmic sperm injection (ICSI) can now be more efficient than embryo transfer (ET) under optimal conditions. However, OPU is not a benign procedure for the mare and the process is costly. Improved efficiency is therefore in the interest of everyone, maximizing mare welfare and optimizing economics for the client. One of the key factors of success is the antral follicle count (AFC) at the time of OPU and subsequent...
Increased packed cell volume alters point of care viscoelastic clotting parameters in horses.
Equine veterinary journal    September 3, 2024   doi: 10.1111/evj.14413
Bishop RC, Jonk KM, Migliorisi A, Austin SM, Mullins EC, Wilkins PA.Polycythaemia and coagulopathy are identified risk factors for non-survival in critically ill horses. Assessment of coagulation is recommended for critical care monitoring but may be affected by concurrent polycythaemia. Objective: To evaluate the effects of induced polycythaemia on coagulation parameters as measured by a point-of-care viscoelastic coagulation device (VCM Vet™). Methods: Prospective interventional study. Methods: Healthy adult horses (n = 7) were given 6 mcg/kg of phenylephrine IV over 15 min to induce transient polycythaemia. Samples for packed cell volume (PCV), to...
Cervix-Deep Rectal Temperature Differential on the Day of Ovulation is Correlated With Embryo Recovery Results in Mares.
Reproduction in domestic animals = Zuchthygiene    August 31, 2024   Volume 59, Issue 9 e14716 doi: 10.1111/rda.14716
Funes J, Ismer A, Hoogewijs M, Wilsher S.Variations in temperature throughout the reproductive tract have been noted in many species. A recent study found the cervix-rectum temperature differential (CR-TD) in cattle was related to fertility. The present study aimed to assess the CR-TD in mares around the time of ovulation and relate it to embryo recover. Over 52 cycles, mares were inseminated with a fertile stallion and embryo recovery was undertaken on Day 7 post ovulation. Further 10 control mares were not inseminated. Rectal and cervical temperatures were measured using a precision thermometer on four or five occasions: the day of...
Effect of hCG and prostaglandin on ovarian, luteal development, and hormonal changes in embryo donor mares during the hot summer months in subtropics.
Open veterinary journal    August 31, 2024   Volume 14, Issue 8 2057-2072 doi: 10.5455/OVJ.2024.v14.i8.35
Alkhadrawy JMH, Aboelmaaty AM, Abou-Ahmed MM, Ghallab AM.Commercial embryo flushing of horses has required hormonal management of both the donor and recipient mares throughout the breeding season. Unassigned: This study aimed to find out the effect of using human chorionic gonadotropin (hCG) and prostaglandin F2α (PG) on the ovarian and uterine dynamics and hemodynamics, estradiol (E2), progesterone, oxidants-antioxidants, and blood biochemicals in embryo donor mares during the hottest months of the year in a subtropical climate. Unassigned: Three Control estrous cycles of native mares (10-20 years; = 10) followed by two treated cycles with hCG an...
Intra-uterine injection of amnion-derived acellular bioscaffold product in mares, a description of systemic and intra-uterine effects over 21 days.
Journal of equine veterinary science    August 30, 2024   Volume 142 105180 doi: 10.1016/j.jevs.2024.105180
Kelley D, Walbornn S, Bartley C, Kaczor J, Premanandan C, Newton N, Holland R, Schnobrich M.Amnion-derived acellular bioscaffold (ADABP) products demonstrate interesting anti-inflammatory and healing properties which could be beneficial for intrauterine use. The objective of this study was to evaluate the safety of intrauterine injection of ADABP on systemic and uterine health. The study design randomly assigned subjects to one of two groups, control mares (n = 3) which received 3 mL injection of sterile saline in the base of each uterine horn, and treatment mares (n = 9) which received 3 mL of ADABP in the base of one uterine horn and 3 mL injection of sterile saline in the base of ...
Collagen and collagenases in mare’s endometrium with endometrosis.
Theriogenology    August 30, 2024   Volume 230 28-36 doi: 10.1016/j.theriogenology.2024.08.031
Centeno LAM, Bastos HBA, Bueno VLC, Trentin JM, Fiorenza M, Panziera W, Winter GHZ, Kretzmann NA, Fiala-Rechsteiner S, Mattos RC, Rubin MIB.Equine endometrosis is a degenerative and predominantly fibrotic condition resulting from progressive and irreversible multifactorial causes that influence the endometrium of mare. Tissue remodeling in the equine endometrium occurs as part of the pathogenesis of endometrosis, a process characterized by a shift in extracellular matrix (ECM) components. The relationship between matrix metalloproteinases and their specific inhibitors is crucial for the remodeling process. Collagen play a significant role in maintaining a healthy uterus and may promote fibrotic processes. The aim of this study was...
Effects of weaning-related stress on the emotional health of horses-A scoping review.
Equine veterinary journal    August 29, 2024   doi: 10.1111/evj.14412
Dwyer J, Roshier AL, Campbell M, Hill B, Freeman SL.Weaning represents one of the most stressful events in the life of a horse, and may have long-term impacts on behaviour. There are a range of approaches used to wean foals from mares, including abrupt and progressive separation methods. There is currently a lack of consensus on how stress and impact are measured. Objective: To conduct a scoping review to identify and chart measures of weaning-related stress on the mare and foal. Methods: Scoping review. Methods: The scoping review was conducted using the PRISMA extension for scoping reviews. Systematic searches were conducted in three scientif...
Investigations into the role of platelet-activating factor in the peri-conception period of the mare.
Reproduction (Cambridge, England)    August 27, 2024   Volume 168, Issue 4 e240049 doi: 10.1530/REP-24-0049
Lawson EF, Ghosh A, Grupen C, Netherton J, Aitken RJ, Smith ND, Lim R, Drury HR, Pickford R, Gibb Z, Baker M, Tanwar PS, Swegen A.In many mammals, the lipid platelet-activating factor (PAF) has important functions in female reproduction and fertility. This study shows that PAF is present in the reproductive tissues of mares and is involved in processes related to ovulation and early pregnancy. Platelet-activating factor (PAF) has been implicated in a number of reproductive processes ranging from ovulation to embryo motility but has not been widely explored in the mare. To identify the presence and examine the role of PAF in the equine periconception processes, targeted mass spectrometry coupled with chromatographic separ...
Feeding a Saccharomyces cerevisiae Fermentation Product to Mares in Late Gestation Alters the Biological Activity of Colostrum.
Animals : an open access journal from MDPI    August 24, 2024   Volume 14, Issue 17 2459 doi: 10.3390/ani14172459
Terpeluk ER, Schäfer J, Finkler-Schade C, Rauch E, Rohn K, Schuberth HJ.The quality of equine colostrum is typically defined by refractometry or the concentration of maternal antibodies. However, the activity of other equine colostral bioactive molecules has not yet been investigated. This study analyzed whether the administration of a fermentation product (SCFP) influences the biological activity of mare colostrum and whether the biological activity of colostrum has a lasting immunomodulating effect for foals. A total of fourteen pregnant mares received 20 g/day of a SCFP for a period of twelve weeks prior to the calculated date of birth (SCFP-group). Twelve pre...
[Methods for parturition monitoring in the mare – an overview].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    August 22, 2024   Volume 52, Issue 4 210-221 doi: 10.1055/a-2343-5153
Lindinger H, Wehrend A.Various systems are available for birth monitoring in horses, whereby a distinction must be made between methods for more accurate prediction of the date of birth in order to intensify monitoring of the mare in a timely manner as well as methods for detecting individuals that are in labor. Basically, it should be noted that there are almost no studies that compare different methods on the same population of mares. As the time of birth approaches, physiological parameters of mare and fetus change, but their variability is too high to predict the exact parturition time point prospectively. The b...
Evaluation of circulating miRNAs in mares approaching parturition.
Domestic animal endocrinology    August 19, 2024   Volume 89 106879 doi: 10.1016/j.domaniend.2024.106879
Kikuchi M, Murase H, Urata K, Ishige T, Nagata SI, Tozaki T, Kakoi H, Ishiguro-Oonuma T, Kizaki K.Circulating microRNAs (miRNAs) are stable in body fluids and can serve as biomarkers for various diseases and physiological states. Although pregnancy-related miRNAs have been identified in various mammals, studies on parturition-related circulating miRNAs in mares are limited. Therefore, this study aimed to identify parturition-related miRNAs and examine their potential applications in the prediction of parturition date. miRNAs were extracted from the plasma of Thoroughbred mares 30 days (295-326 days pregnant) and 5 (323-352 days pregnant) - 0 (328-357 days pregnant) days before parturition,...
Molecular detection of Chlamydia abortus in endometrial biopsies of mares from western Canada. Ricard RM, Wobeser B. is a reported cause of infertility and endometritis in sheep, cattle, and pigs; however, the association between uterine disease and is poorly understood in horses. Recently, a high prevalence of in equine aborted chorioallantoises was reported in horses in western Canada. Based on this high prevalence, investigation into the effects of on infertility and endometritis in western Canadian mares is prudent. We examined 98 formalin-fixed, paraffin-embedded endometrial biopsies from western Canada submitted between 2014 and 2022 using a -specific 16S rRNA PCR test; 40 samples tested positive f...
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