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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.
Continuous administration of low-dose GnRH in mares II. Pituitary and ovarian responses to uninterrupted treatment beginning near the autumnal equinox and continuing throughout the anovulatory season.
Theriogenology    June 27, 2007   Volume 68, Issue 4 673-681 doi: 10.1016/j.theriogenology.2007.05.057
Collins SM, Zieba DA, Williams GL.We tested the hypothesis that continuous subcutaneous treatment with low-dose GnRH, administered to mares from late September/early October through March, would prevent the development of seasonal anovulation. Quarter Horse mares (n=20) were stratified by age and body condition score and assigned randomly to either a saline control (n=9) or a GnRH (n=11) treatment group. Gonadotropin-releasing hormone was delivered continuously via osmotic minipumps, with sham pumps placed in control mares. Initial pumps were inserted on Day 3 following ovulation or during the follicular phase if the next anti...
Hormonal patterns in normal and hyperleptinemic mares in response to three common feeding-housing regimens.
Journal of animal science    June 25, 2007   Volume 85, Issue 11 2873-2881 doi: 10.2527/jas.2007-0182
Storer WA, Thompson DL, Waller CA, Cartmill JA.We previously reported that a rise in plasma leptin concentrations followed the rise in insulin and glucose in meal-fed horses, whereas horses maintained on pasture had little fluctuations in hormonal patterns. We have also described a hyperleptinemic-hyperinsulinemic condition that occurs in about 30% of our light horse mares of high body condition maintained on pasture. The present experiment was designed to 1) study the effect of 3 common feeding-housing regimens on leptin and other metabolic hormones in mares and 2) determine whether the hyperleptinemic condition interacted with these regi...
Relationships between uterine culture, cytology and pregnancy rates in a Thoroughbred practice.
Theriogenology    June 21, 2007   Volume 68, Issue 3 395-402 doi: 10.1016/j.theriogenology.2007.05.050
Riddle WT, LeBlanc MM, Stromberg AJ.Endometrial cytology and culture specimens (n=2123) were collected concurrently with a guarded uterine culture instrument from 970 mares (738 barren, 1230 foaling and 155 maiden mares) during three breeding seasons (2001-2004). Results were compared to the 28-d pregnancy rate for the cycle from which the samples were taken. Cytological smears were evaluated for inflammation at x100 and graded as: not inflammatory (0-2 neutrophils/field), moderate inflammation (2-5 neutrophils/field), severe inflammation (>5 neutrophils/field), or hypocellular (scant epithelial cells and no neutrophils). Ute...
In vitro-produced equine embryos: production of foals after transfer, assessment by differential staining and effect of medium calcium concentrations during culture.
Theriogenology    June 21, 2007   Volume 68, Issue 4 521-529 doi: 10.1016/j.theriogenology.2007.04.046
Hinrichs K, Choi YH, Walckenaer BE, Varner DD, Hartman DL.Viability of equine embryos produced by oocyte maturation, intracytoplasmic sperm injection and embryo culture to the blastocyst stage in vitro was evaluated after transfer of embryos to recipient mares. No pregnancies were produced after transfer of five blastocysts that had been cultured in G media. Transfer of 10 blastocysts cultured in modified DMEM/F-12 medium produced five pregnancies and three live foals; the two lost pregnancies developed only trophoblast (based on transrectal ultrasonography). To evaluate the status of the inner cell mass, equine blastocysts produced in vivo and in vi...
Vaginal lactic acid bacteria in the mare: evaluation of the probiotic potential of native Lactobacillus spp. and Enterococcus spp. strains.
Antonie van Leeuwenhoek    June 21, 2007   Volume 93, Issue 1-2 71-78 doi: 10.1007/s10482-007-9180-4
Fraga M, Perelmuter K, Delucchi L, Cidade E, Zunino P.Lactic acid bacteria (LAB) are important members of the human vaginal microbiota and their presence is considered beneficial. However, little is known about native vaginal bacteria in other animal species such as the horse. The aim of this work was to quantify the vaginal lactic acid bacteria and lactobacilli of mares and to establish if selected equine vaginal lactic acid bacteria, particularly Lactobacillus and Enterococcus spp. strains, could exhibit potential as probiotics. The vaginal lactic acid bacteria and lactobacilli of 26 mares were quantified by plate counts. Five strains (three La...
Are 6-month-old foals sensitive to dam’s influence?
Developmental psychobiology    June 20, 2007   Volume 49, Issue 5 514-521 doi: 10.1002/dev.20225
Henry S, Briefer S, Richard-Yris MA, Hausberger M.A recent study has shown that gently handling dams in front of their few days old foals may strongly influence the development of human-foal relationships. In the present study, we test whether 6-month-old foals remain sensitive to their dams' influence. The study was performed on 16 foal-mare dyads, with half of the mares receiving positive contacts from the experimenter in presence of their 6-month-old foals (n = 8) whereas the other mares were not handled (n = 8). All foals were tested 15 and 30-35 days later under various conditions (reaction to a motionless human, approach test, saddle-pa...
Mechanisms behind intrauterine device-induced luteal persistence in mares.
Animal reproduction science    June 14, 2007   Volume 107, Issue 1-2 94-106 doi: 10.1016/j.anireprosci.2007.06.010
Rivera Del Alamo MM, Reilas T, Kindahl H, Katila T.Intrauterine glass balls are used to prevent oestrous signs in sports mares, but the mechanism of action is unknown. It has been suggested that the glass ball can mimic an embryo or act via an induced chronic uterine inflammation and absent or continuous low-grade prostaglandin (PG) release. The purpose of this study was to induce prolonged luteal function in mares using a small intrauterine device (IUD) and to study the mechanisms behind prolonged IUD-induced luteal function. A uterine swab and a biopsy specimen were obtained in early oestrus. A water-filled plastic ball, diameter 20mm and we...
Detection of equine X chromosome mosaicism in a mare using an equine X whole chromosome painting probe (WCPP)–a case report.
Acta veterinaria Hungarica    June 9, 2007   Volume 55, Issue 2 207-212 doi: 10.1556/AVet.55.2007.2.6
Bugno M, Słota E, Pieńkowska-Schelling A, Schelling C.An infertile mare with hypoplastic ovaries was subjected to cytogenetic analysis. Fluorescence in situ hybridisation (FISH) using the equine X whole chromosome painting probe (WCPP) was carried out on a chromosome preparation obtained from blood lymphocyte culture. The number of analysed spreads was high (235) and in the X chromosome aneuploidy in mosaic form was diagnosed. The karyotype formula was 63,X / 64,XX / 65,XXX. The ratio of the three lines was 15%, 82% and 3%, respectively. The application of the FISH technique with WCPP is discussed.
Equine endometrial biopsy: enhancement of clinical value by more extensive histopathology and application of new diagnostic techniques?
Theriogenology    June 8, 2007   Volume 68, Issue 3 413-422 doi: 10.1016/j.theriogenology.2007.04.040
Schlafer DH.During the 1960s and 1970s, the clinical value of equine endometrial histopathology was firmly established after it was shown that fertility outcome was correlated with the presence and severity of specific microscopic lesions. The objective of this paper is to summarize reports from the veterinary literature published after the mid 1980s that describe new diagnostic methods of assessing equine uterine health using material collected by endometrial biopsy.
The effect of skin allografting on the equine endometrial cup reaction.
Theriogenology    June 7, 2007   Volume 68, Issue 2 237-247 doi: 10.1016/j.theriogenology.2007.04.058
Adams AP, Oriol JG, Campbell RE, Oppenheim YC, Allen WR, Antczak DF.This research tested the hypothesis that immunological sensitization of mares by skin allografting, followed by the establishment of pregnancy using semen from the skin-graft donor, would give rise to secondary immune responses to the developing horse conceptus, resulting in an earlier demise of the fetally derived endometrial cups. Maiden mares received skin allografts from a stallion homozygous for Major Histocompatibility Complex (MHC) antigens and/or equivalent autografts and were subsequently mated to the skin-graft donor stallion during the next two breeding seasons. Mares that had been ...
Effective priming of foals born to immune dams against influenza by a canarypox-vectored recombinant influenza H3N8 vaccine.
Journal of comparative pathology    June 7, 2007   Volume 137 Suppl 1 S76-S80 doi: 10.1016/j.jcpa.2007.04.016
Minke JM, Toulemonde CE, Dinic S, Cozette V, Cullinane A, Audonnet JC.A classical limitation of early life immunization is the interference by maternally derived antibodies, which are known to inhibit the immune response to modified-live and killed vaccines. Several studies have convincingly shown that even minute amounts of maternally derived antibodies against equine influenza can strongly interfere with successful vaccination of foals born to immune mares. In this study we evaluated the response of foals born to vaccinated mares to immunization with a canarypox-vectored recombinant vaccine against equine influenza virus H3N8. The recombinant vaccine was able ...
Negative effect of estradiol on luteinizing hormone throughout the ovulatory luteinizing hormone surge in mares.
Biology of reproduction    June 6, 2007   Volume 77, Issue 3 543-550 doi: 10.1095/biolreprod.107.061705
Ginther OJ, Utt MD, Beg MA, Gastal EL, Gastal MO.The negative effect of estradiol-17beta (E2) on LH, based on exogenous E2 treatments, and the reciprocal effect of LH on endogenous E2, based on hCG treatments, were studied throughout the ovulatory follicular wave during a total of 103 equine estrous cycles in seven experiments. An initial study developed E2 treatment protocols that approximated physiologic E2 concentrations during the estrous cycle. On Day 13 (ovulation = Day 0), when basal concentrations of E2 and LH precede the ovulatory surges, exogenous E2 significantly depressed LH concentrations to below basal levels. Ablation of all f...
Bilateral occurrence of granulosa-theca cell tumors in an Arabian mare.
The Canadian veterinary journal = La revue veterinaire canadienne    June 5, 2007   Volume 48, Issue 5 502-505 
Frederico LM, Gerard MP, Pinto CR, Gradil CM.An Arabian mare was referred for right granulosa-theca cell tumor (GTCT) evaluation. The mare was presented 4.5 years later for a left GTCT, after successfully conceiving and delivering a normal foal in the interim. The concurrent or nonconcurrent occurrence of bilateral GTCT in mares appears to be rare. Une jument Arabe a été référée pour l’évaluation d’une tumeur de la granulosa et de la thèque du côté droit (TGT). La jument avait été présentée 4,5 ans plus tôt pour une TGT du côté gauche, ayant entre temps conçu et mis au monde un poulain normal. La présence, simultan...
eFSH in clinical equine practice.
Theriogenology    June 4, 2007   Volume 68, Issue 3 429-433 doi: 10.1016/j.theriogenology.2007.04.027
McCue PM, LeBlanc MM, Squires EL.Equine follicle stimulating hormone (eFSH) has been used to induce follicular development in transitional mares and problem acyclic mares, as well as superovulate cycling mares. The most efficacious protocol is to administer 12.5 mg eFSH, intramuscularly, twice daily beginning 5 to 7 days after ovulation when the diameter of the largest follicle is 20 to 25 mm. Prostaglandins are to be administered on the second day of eFSH therapy. Treatment with eFSH is continued for 3 to 5 days until follicle(s) are >or=35 mm in diameter. The mare is subsequently allowed to 'coast' for 36 h, after which hum...
Use of a low-volume uterine flush for diagnosing endometritis in chronically infertile mares.
Theriogenology    May 31, 2007   Volume 68, Issue 3 403-412 doi: 10.1016/j.theriogenology.2007.04.038
LeBlanc MM, Magsig J, Stromberg AJ.Low-volume uterine flush (n=401) was performed in 308 infertile mares to diagnose endometritis. Mares evaluated were either barren after three or more breedings or had two or more unsuccessful embryo recovery attempts during consecutive cycles. Culture results were compared with cytological and histological findings, efflux clarity and pH to substantiate that the micro-organisms recovered were truly pathogens. Cytological specimens were evaluated for presence of epithelial and inflammatory cells, bacteria, yeast and debris. Endometrial biopsies (n=110) were examined for the presence of neutrop...
Electrosurgery as the sole means of haemostasis during the laparoscopic removal of pathologically enlarged ovaries in mares: a report of 55 cases.
Equine veterinary journal    May 25, 2007   Volume 39, Issue 3 210-214 doi: 10.2746/042516407x17116522
Lloyd D, Walmsley JP, Greet TR, Payne RJ, Newton JR, Phillips TJ.There is little published clinical evidence on the use of a laparoscopic approach for the removal of pathologically enlarged ovaries in standing mares. Objective: To show the orders of success and complication rates that can be expected if pathologically enlarged ovaries are removed from standing, sedated mares under laparoscopic guidance using only electrosurgical means of haemostasis. Methods: A retrospective analysis was made of 55 mares in which the removal of an enlarged ovary was attempted by applying a standard laparoscopic procedure for routine ovariectomy in standing mares including a...
Behavior, milk yield, and milk composition of machine-and hand-milked Murgese mares.
Journal of dairy science    May 23, 2007   Volume 90, Issue 6 2773-2777 doi: 10.3168/jds.2006-603
Caroprese M, Albenzio M, Marino R, Muscio A, Zezza T, Sevi A.A 25-d trial was performed to assess the effects of machine and hand milking on behavior, and milk yield and composition of mares; the trial involved 8 Murgese mares. Milk yield was higher (7.69 vs. 4.91 kg) and milking time was shorter (1.80 vs. 5.40 min) in machine-milked than in hand-milked mares. Machine milking of mares also resulted in a greater fat content of milk (1.63%) than did hand milking (1.06%). Milking system did not affect casein content, nitrogen fractions, or somatic cell counts. No differences in behavioral activities and in response to humans emerged. Results indicate that ...
Mucus and the mare: how little we know.
Theriogenology    May 18, 2007   Volume 68, Issue 3 386-394 doi: 10.1016/j.theriogenology.2007.04.011
Causey RC.Uterine infections are a major cause of infertility, but the role of mucus in equine uterine defense is not well understood. Mucociliary currents play an important role in protecting mucous membranes, including the upper and lower respiratory tracts of mammals, and are required for feeding and oxygenation of many aquatic invertebrates. Although phagocytosis has long been considered the first line of uterine defense in the mare, there are concerns about its efficacy in the uterine lumen. Additional local defenses, such as mucociliary currents, have therefore been proposed. The uterine epitheliu...
Survival rate and short-term fertility rate associated with the use of fetotomy for resolution of dystocia in mares: 72 cases (1991-2005).
Journal of the American Veterinary Medical Association    May 17, 2007   Volume 230, Issue 10 1502-1505 doi: 10.2460/javma.230.10.1502
Carluccio A, Contri A, Tosi U, De Amicis I, De Fanti C.To determine survival rate, complications, and short-term fertility rate after fetotomy in mares. Methods: Retrospective study. Methods: 72 mares with severe dystocia. Methods: Records from 1991 to 2005 were searched for mares with dystocia in which a fetotomy was performed. Data relating to presentation and position of foals; survival rate, complications, and short-term fertility rate in mares; and 45-day pregnancy rate in mares bred 2 to 3 months after fetotomy were recorded. Results: Anterior fetal presentation was detected for 54 of 72 (75%) mares, posterior presentation was detected for 1...
In vitro development of equine oocytes from preserved ovaries after intracytoplasmic sperm injection.
The Journal of reproduction and development    May 17, 2007   Volume 53, Issue 4 877-885 doi: 10.1262/jrd.18167
Matsukawa K, Akagi S, Adachi N, Sato F, Hasegawa T, Takahashi S.In this study, we evaluated the meiotic competence of equine oocytes from ovaries preserved for one day. We also investigated fertilization, cleavage rate, developmental competence and freezability of equine embryos after intracytoplasmic sperm injection (ICSI). After collection from ovaries, the oocytes were classified into two groups comprised of those having compact cumulus layers (Cp) or those having expanded cumulus layers (Ex). Oocytes with a first polar body were subjected to fertilization by ICSI using frozen-thawed stallion spermatozoa and were then cultured in CR1aa medium. The rates...
Continuous administration of low-dose GnRH in mares I. Control of persistent anovulation during the ovulatory season.
Theriogenology    May 7, 2007   Volume 68, Issue 1 67-75 doi: 10.1016/j.theriogenology.2007.03.024
Williams GL, Amstalden M, Blodgett GP, Ward JE, Unnerstall DA, Quirk KS.Three experiments were conducted during the operational breeding season to confirm that continuous, subcutaneous infusion of low-dose GnRH would not disrupt established estrous cycles (Experiment 1), and test the hypotheses that a similar treatment would stimulate secretion of LH and induce development of ovulatory follicles in persistently anovulatory mares (Experiments 2 and 3). Treatment with GnRH (5 microg/h) increased (P<0.001) serum P4 during the luteal phase (7.7+/-0.5 versus 6.4+/-0.5 ng/mL), tended to increase serum LH (2.6+/-0.27 versus 1.9+/-0.25 ng/mL), and did not modify intero...
Immune parameters in mares resistant and susceptible to persistent post-breeding endometritis: effects of immunomodulation.
Veterinary immunology and immunopathology    May 3, 2007   Volume 118, Issue 1-2 30-39 doi: 10.1016/j.vetimm.2007.04.009
Fumuso EA, Aguilar J, Giguère S, Rivulgo M, Wade J, Rogan D.Our objective was to characterize immune parameters in susceptible (SM) and resistant (RM) mares, with and without artificial insemination (AI) and immunomodulation. Eight RM and eight SM were selected based on their reproductive history and functional tests. Both groups of mares were evaluated during three consecutive cycles: Cycle 1, untreated cycle (control); Cycle 2, AI with dead semen; Cycle 3, AI with dead semen and immunomodulation. Endometrial biopsies were taken during the three cycles as follows: Cycle 1--at estrus, when follicles > or =35mm and at diestrus (7+/-1 days after ovulatio...
Relationships of follicle versus oocyte maturity to ultrasound morphology, blood flow, and hormone concentrations of the preovulatory follicle in mares.
Biology of reproduction    May 2, 2007   Volume 77, Issue 2 202-208 doi: 10.1095/biolreprod.107.061184
Ginther OJ, Gastal EL, Gastal MO, Siddiqui MA, Beg MA.The effects of ultrasound morphology, vascularity, and follicular-fluid hormones of the preovulatory follicle on oocyte recovery rate and on follicle and oocyte maturity rates were studied for 60 spontaneous and solitary preovulatory follicles in mares. An ovulation-inducing dose of hCG was given when the follicle was >or=32 mm (Hour 0), and a procedure for oocyte recovery was done 30 h later (Hour 30). Between Hours 0 and 30, diameter of the follicle increased less and circulating estradiol (E2) concentrations decreased more in groups with successful versus nonsuccessful oocyte recovery an...
Potential involvement of EGF-like growth factors and phosphodiesterases in initiation of equine oocyte maturation.
Animal reproduction science    April 20, 2007   Volume 103, Issue 1-2 187-192 doi: 10.1016/j.anireprosci.2007.04.006
Lindbloom SM, Farmerie TA, Clay CM, Seidel GE, Carnevale EM.Human chorionic gonadotropin (hCG) was administered to mares in estrus with large, dominant ovarian follicles to initiate follicular and oocyte maturation. Follicular contents were collected at 0, 2, 4 and 6 h after hCG. Epiregulin, amphiregulin and phosphodiesterase (PDE) mRNA contents of granulosa cells (PDE 4D) were determined by reverse transcription and real-time PCR; PDE 3A mRNA content of single oocytes was determined similarly. Copy numbers of mRNA did not increase for PDE 3A or 4D over the time interval studied. Amounts of epiregulin and amphiregulin mRNA were correlated (r=0.98) when...
Elevated plasma testosterone concentrations during stallion-like sexual behavior in mares (Equus caballus).
Hormones and behavior    April 19, 2007   Volume 52, Issue 2 205-210 doi: 10.1016/j.yhbeh.2007.04.005
Gastal MO, Gastal EL, Beg MA, Ginther OJ.Mounting interactions in mares isolated from stallions and the relationship to stage of the estrous cycle and level of circulating hormones were studied for 3 years in a herd averaging 105 mares. Mares were assigned to mounting, standing, and control groups. A control mare was selected by being within 1 day of the number of days after ovulation in a mounting mare. A total of 15 mounting interactions were detected by chance observation during the 3 years. A blood sample was collected immediately after the mounting interaction from each mare in the three groups, and a transrectal ultrasonographi...
Retrospective study of bacterial isolates and their antimicrobial susceptibilities in equine uteri during fertility problems.
Research in veterinary science    April 16, 2007   Volume 84, Issue 1 1-6 doi: 10.1016/j.rvsc.2007.02.008
Frontoso R, De Carlo E, Pasolini MP, van der Meulen K, Pagnini U, Iovane G, De Martino L.Bacterial pathogens are a potential cause when a mare fails to conceive to a fertile stallion on a well-managed breeding farm on one or more cycles in the same season. Furthermore, emerging bacterial resistance to commonly used (topical) antibiotics has been demonstrated. In this study, a total of 586 uterine swabs from mares with fertility problems were evaluated and the bacterial isolates were identified and measured for resistance to 10 antibiotics most commonly used during bacterial equine infection. Forty-nine percent of the examined mares were positive at bacteriological investigations. ...
Endocrine profiles of periparturient mares and their foals.
Journal of animal science    April 12, 2007   Volume 85, Issue 7 1660-1668 doi: 10.2527/jas.2006-771
Berg EL, McNamara DL, Keisler DH.The aim of this study was to characterize concentrations of leptin, IGF-I, and thyroid stimulating hormone (TSH) in the blood serum of mares pre-and postpartum, in the milk serum of mares postpartum, and in the blood serum of their foals. Nine pregnant Quarter Horse mares and their offspring were used in this study. Once weekly between 1000 and 1200 h for 2 wk before their predicted parturition date, mares were weighed, assigned a BCS, and blood was sampled via jugular venipuncture. Within 2 h of parturition and before the foals nursed (d 0), blood samples were obtained from the mares and foal...
Histomorphological and immunohistochemical characterization of equine granulosa cell tumours.
Journal of comparative pathology    April 10, 2007   Volume 136, Issue 2-3 167-176 doi: 10.1016/j.jcpa.2007.01.011
Ellenberger C, Bartmann CP, Hoppen HO, Kratzsch J, Aupperle H, Klug E, Schoon D, Schoon HA.Benign (n=33) and malignant metastasizing (n=1) granulosa cell tumours (GCTs) from 34 mares aged 3-21 years, and normal (control) ovaries from nine mares aged 3-10 years, were examined histologically and immunohistochemically (for inhibin alpha, glutathione S-transferase alpha [GSTalpha], c-erbB-2 oncoprotein [cerb], cytokeratin, vimentin, desmin and alpha-actin), the results being related where appropriate to clinical signs and endocrinological data. Availability permitting, serum samples from GCT-affected mares before and several weeks after ovariectomy were examined for the following hormon...
Temporal relationships among LH, estradiol, and follicle vascularization preceding the first compared with later ovulations during the year in mares.
Animal reproduction science    April 8, 2007   Volume 102, Issue 3-4 314-321 doi: 10.1016/j.anireprosci.2007.04.003
Gastal EL, Gastal MO, Donadeu FX, Acosta TJ, Beg MA, Ginther OJ.Diameter of the preovulatory follicle, plasma concentrations of LH and estradiol, and vascularization of the follicle wall, based on color-Doppler signals, were characterized in 40 pony mares for 6 days preceding ovulation (Days -6 to -1; preovulatory period). Comparisons between the preovulatory periods preceding the first compared with a later ovulation during the year were used to study the relationships between LH and estradiol and between vascularization and estradiol. Diameter of the preovulatory follicle was greater (P<0.02) and concentration of LH was less (P<0.02) during the fir...
A nonsurgical method allowing continuous core temperature monitoring in mares for extended periods, including during endurance exercise.
Equine veterinary journal. Supplement    April 4, 2007   Issue 36 65-69 doi: 10.1111/j.2042-3306.2006.tb05515.x
Smith JE, Barnes AL, Maloney SK.Body temperature can be a useful measure of how well the horse responds to thermal challenges of exercise and environment. Currently there is little information available about how body temperature changes throughout an endurance ride, and no nonsurgical methods to evaluate internal temperature of exercising horses during prolonged periods and during long distances. Objective: To develop and test a nonsurgical method, using temperature loggers, of continuously recording internal temperature during exercise and over an extended period. Methods: Loggers were inserted transcervically into the ute...
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