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Topic:Standardbred Horses

Standardbred horses are a breed known for their performance in harness racing, characterized by their ability to trot or pace at high speeds. This breed is distinguished by its well-muscled build, strong legs, and calm temperament. Standardbreds are primarily used in racing but are also versatile in other equestrian activities, including riding and driving. Their genetic lineage can be traced back to the late 18th century, with the establishment of the breed registry in the United States. This page compiles peer-reviewed research studies and scholarly articles that explore the genetics, physiology, and performance characteristics of Standardbred horses, as well as their management and health considerations in various equine disciplines.
Prognostic Indicators after Musculoskeletal Injuries in Standardbred Racehorses in Italy.
Journal of equine veterinary science    July 2, 2020   Volume 92 103180 doi: 10.1016/j.jevs.2020.103180
Bertuglia A, Pagliara E, Manca F, Pozzolo P, Mannelli A.The objective of this study was to report recovery time, retirement rate, racing performance, and presence of compensation pattern after musculoskeletal injuries (MSIs) in Standardbred racehorses (STBRs). This is a retrospective single open-cohort study, enrolling 356 STBRs in training in a single racetrack. Musculoskeletal injury was defined as any training-related injury after which the horse did not train for at least 15 days. The first and second MSIs encountered during the horse's racing career were considered. Medical records, training logbooks, and racing data were reviewed to determin...
Detection of atrial fibrillation with implantable loop recorders in horses.
Equine veterinary journal    June 28, 2020   Volume 53, Issue 2 397-403 doi: 10.1111/evj.13301
Buhl R, Hesselkilde EM, Carstensen H, Fenner MF, Jespersen T, Tfelt-Hansen J, Michael Sattler S.Cardiac arrhythmias in horses are diagnosed by auscultation or electrocardiogram (ECG), which results in a low sensitivity for detecting arrhythmias that occur sporadically. Implantable loop recorders (ILRs) are small ECG devices placed subcutaneously, to automatically detect arrhythmias in human patients. Objective: To test ILRs ability to detect atrial fibrillation (AF) in horses. Furthermore, we hypothesised that anatomical location of the implant site might influence signal quality. Signal quality was evaluated both during exercise and over time. Methods: Experimental study. Methods: In fi...
Correlation Between Serum Activity of Muscle Enzymes and Stage of the Estrous Cycle in Italian Standardbred Horses Susceptible to Exertional Rhabdomyolysis.
Journal of equine veterinary science    June 25, 2020   Volume 92 103175 doi: 10.1016/j.jevs.2020.103175
Pasolini MP, Pezzella R, Santoro P, Cocchia N, Greco M, Del Prete C, Della Valle G, Auletta L.Equine exertional rhabdomyolysis (ER) is a well-recognized clinical syndrome affecting racehorses. Prevalence analysis of ER showed that female sex was a significant risk factor. The aim of this research was to evaluate the differences and correlations in the serum activity of muscle enzymes and the stage of the estrous cycle in ER-susceptible and control (C) mares. Serum muscle enzyme activity before and after exercise and sex hormones were analyzed in the two groups of mares. Ten cyclic ER and 10 cyclic C mares were examined weekly for 4 weeks. During diestrus, ER horses had significantly hi...
Effect of digital hypothermia on lamellar inflammatory signaling in the euglycemic hyperinsulinemic clamp laminitis model.
Journal of veterinary internal medicine    June 25, 2020   Volume 34, Issue 4 1606-1613 doi: 10.1111/jvim.15835
Stokes SM, Burns TA, Watts MR, Bertin FR, Stefanovski D, Medina-Torres CE, Belknap JK, van Eps AW.Continuous digital hypothermia (CDH) prevents lamellar failure in the euglycemic hyperinsulinemic clamp (EHC) model of laminitis, but the protective mechanisms are unclear. Objective: To determine if CDH inhibits lamellar inflammatory signaling in the EHC model of laminitis. Methods: Eight Standardbred horses. Methods: Prospective experimental study. Horses underwent an EHC, with 1 forelimb treated with CDH and the other kept at ambient temperature (AMB). Horses were euthanized 48 hours after initiation of the EHC and lamellar tissue was analyzed via polymerase chain reaction (pro-inflammato...
A bitless bridle does not limit or prevent dynamic laryngeal collapse.
Equine veterinary journal    June 17, 2020   Volume 53, Issue 1 44-50 doi: 10.1111/evj.13287
Fretheim-Kelly Z, Fjordbakk CT, Fintl C, Krontveit R, Strand E.Bits have often been incriminated as a cause of upper respiratory tract obstruction in horses; however, no scientific studies are available to confirm or refute these allegations. Clinical signs of dynamic laryngeal collapse associated with poll flexion (DLC) are induced when susceptible horses are ridden or driven into the bit. Objective: To determine whether use of Dr Cook's™ Bitless Bridle, instead of a conventional snaffle bit bridle, would reduce the severity of DLC in affected horses measured objectively using inspiratory tracheal pressures. Methods: Intervention study using each horse...
Differential Proteomic Expression of Equine Cardiac and Lamellar Tissue During Insulin-Induced Laminitis.
Frontiers in veterinary science    June 12, 2020   Volume 7 308 doi: 10.3389/fvets.2020.00308
Campolo A, Frantz MW, de Laat MA, Hartson SD, Furr MO, Lacombe VA.Endocrinopathic laminitis is pathologically similar to the multi-organ dysfunction and peripheral neuropathy found in human patients with metabolic syndrome. Similarly, endocrinopathic laminitis has been shown to partially result from vascular dysfunction. However, despite extensive research, the pathogenesis of this disease is not well elucidated and laminitis remains without an effective treatment. Here, we sought to identify novel proteins and pathways underlying the development of equine endocrinopathic laminitis. Healthy Standardbred horses ( = 4/group) were either given an electrolyte in...
Benefits and risks of barefoot harness racing in Standardbred trotters.
Animal science journal = Nihon chikusan Gakkaiho    May 5, 2020   Volume 91, Issue 1 e13380 doi: 10.1111/asj.13380
Solé M, Lindgren G, Bongcam-Rudloff E, Jansson A.There is a lack of research on the benefits and risks of shoeing conditions in harness racing. Thus, our objectives were to: (a) investigate whether velocity times (VT; s/km) are affected by racing unshod (N = 76,932 records on 5,247 horses); (b) determine the potential risks of galloping, being penalized, and disqualification when competing unshod (N = 111,755 records on 6,423 horses); and (c) identify additional environmental factors that affect VT and risks. VT was found to be significantly influenced by shoeing condition (e.g., unshod, shod front, shod hind, or fully shod), but also by...
Two-dimensional, M-mode and left atrial velocity echocardiographic measurements in healthy Norwegian-Swedish Coldblooded Trotters.
Journal of veterinary cardiology : the official journal of the European Society of Veterinary Cardiology    May 4, 2020   Volume 29 60-73 doi: 10.1016/j.jvc.2020.04.006
Fintl C, Krontveit R, Risberg Å, Hanche-Olsen S, Slack J.The Norwegian-Swedish Coldblooded Trotter (NSCT) is an important breed in Norwegian and Swedish harness racing. In spite of this, little is known about its cardiac measurements and factors that may influence these. The aims of this study were to establish reference intervals (RI) for a series of conventional echocardiographic variables, primarily of the left heart, in NSCTs in race training and to evaluate any effects age, gender, estimated body weight (EBW), number of starts and racing performance may have on these. Methods: Sixty-three apparently healthy NSCTs in race training. Methods: Obse...
Normal regression of the internal umbilical remnant structures in Standardbred foals.
Equine veterinary journal    April 30, 2020   Volume 52, Issue 6 876-883 doi: 10.1111/evj.13267
McCoy AM, Lopp CT, Kooy S, Migliorisi AC, Austin SM, Wilkins PA.Diseases affecting the internal umbilical remnant are common in foals. Ultrasound is used to diagnose abnormalities of these structures, and to monitor treatment. However, little is known about the progression of normal internal umbilical remnant regression. Objective: To document normal regression of the umbilical remnant in foals over the first 6 weeks of life. Methods: Prospective, longitudinal cohort study. Methods: Weekly ultrasound examinations were performed beginning at 1 day of age in 34 healthy Standardbred foals. The umbilical vein was measured in cross section just cranial to the...
Asymmetrical Pulmonary Cytokine Profiles Are Linked to Bronchoalveolar Lavage Fluid Cytology of Horses With Mild Airway Neutrophilia.
Frontiers in veterinary science    April 24, 2020   Volume 7 226 doi: 10.3389/fvets.2020.00226
Hue E, Orard M, Toquet MP, Depecker M, Couroucé A, Pronost S, Paillot R, Richard EA.Few data on cytokine profiles in bronchoalveolar lavage fluid (BALF) are available for racehorses with mild/moderate equine asthma (EA); cytological diagnosis being most frequently made from only one lung. The purpose of the study was to compare cytokine mRNA expressions and protein concentrations in BALF from both lungs. As part of a larger study, 250 ml saline was randomly instilled in one lung and 500 ml in the contralateral lung of 30 clinically healthy Standardbred racehorses. This procedure was repeated 72 h later, inversing the volume per lung. Cytological cut-off values for diagnosis o...
Whole genome detection of sequence and structural polymorphism in six diverse horses.
PloS one    April 9, 2020   Volume 15, Issue 4 e0230899 doi: 10.1371/journal.pone.0230899
Al Abri MA, Holl HM, Kalla SE, Sutter NB, Brooks SA.The domesticated horse has played a unique role in human history, serving not just as a source of animal protein, but also as a catalyst for long-distance migration and military conquest. As a result, the horse developed unique physiological adaptations to meet the demands of both their climatic environment and their relationship with man. Completed in 2009, the first domesticated horse reference genome assembly (EquCab 2.0) produced most of the publicly available genetic variations annotations in this species. Yet, there are around 400 geographically and physiologically diverse breeds of hors...
The Oxidative Stress Markers of Horses-the Comparison with Other Animals and the Influence of Exercise and Disease.
Animals : an open access journal from MDPI    April 3, 2020   Volume 10, Issue 4 617 doi: 10.3390/ani10040617
Shono S, Gin A, Minowa F, Okubo K, Mochizuki M.Diacron-reactive oxygen metabolite (d-ROM) and biological antioxidant potential (BAP) levels in the serum of horses were measured (ponies, = 15; thoroughbred, = 31; other full-sized horses, = 7). The mean d-ROM levels in horses were significantly higher ( < 0.001) than those in dairy cattle ( = 25) and dogs ( = 31). However, d-ROM levels in horses were lower than the standard levels reported in humans. When d-ROM and BAP levels were plotted graphically, the points for horses with a disease (ringbone in 1 Japanese sports horse, cellulitis in 1 thoroughbred, melanoma in 1 Lipizzaner) fell ...
Effects of topical treatment of cannabidiol extract in a unique manuka factor 5 manuka honey carrier on second intention wound healing on equine distal limb wounds: a preliminary study.
Australian veterinary journal    February 24, 2020   Volume 98, Issue 6 250-255 doi: 10.1111/avj.12932
McIver VC, Tsang AS, Symonds NE, Perkins NR, Uquillas E, Dart CM, Jeffcott LB, Dart AJ.Evaluate the effect of topical 1% cannabidiol on second intention wound healing in distal limb wounds of horses. Methods: Experimental. Methods: Six Standardbred horses. Methods: A total of five 2.5 cm × 2.5 cm full thickness skin wounds were created on the dorsomedial aspect of the metacarpi of 6 horses. Wounds were contaminated with faeces on the day of wound creation. Each wound was then assigned to a treatment group; compounded 1% cannabidiol in unique manuka factor (UMF) 5 manuka honey, UMF 5 manuka honey, UMF 20 manuka honey or saline. Each treatment was applied topically daily ...
Evaluation of the effect of laser salpingopharyngostomy on the guttural pouch environment in horses.
Equine veterinary journal    February 19, 2020   Volume 52, Issue 5 752-759 doi: 10.1111/evj.13221
Jukic CC, Cowling NR, Perkins NR, van Eps AW, Ahern BJ.Laser salpingopharyngostomy has been used as an adjunct to primary medical therapy allowing for topical debridement, topical treatment or to potentially alter the guttural pouch environment in horses with guttural pouch disease. Objective: To evaluate the effect of a laser salpingopharyngostomy on the guttural pouch environment in healthy horses. Methods: Experimental study. Methods: In six adult Standardbred female horses, under standing sedation a stab incision was made ventral to the sternocephalicus tendon and a customised trocar inserted into the medial guttural pouch compartment. Baselin...
Metabolomic Response of Equine Skeletal Muscle to Acute Fatiguing Exercise and Training.
Frontiers in physiology    February 18, 2020   Volume 11 110 doi: 10.3389/fphys.2020.00110
Klein DJ, McKeever KH, Mirek ET, Anthony TG.The athletic horse, despite being over 50% muscle mass, remains understudied with regard to the effects of exercise and training on skeletal muscle metabolism. To begin to address this knowledge gap, we employed an untargeted metabolomics approach to characterize the exercise-induced and fitness-related changes in the skeletal muscle of eight unconditioned Standardbred horses (four male, four female) before and after a 12-week training period. Before training, unconditioned horses showed a high degree of individual variation in the skeletal muscle metabolome, resulting in very few differences ...
The effect of continuous digital hypothermia on lamellar energy metabolism and perfusion during laminitis development in two experimental models.
Equine veterinary journal    February 12, 2020   Volume 52, Issue 4 585-592 doi: 10.1111/evj.13215
Stokes SM, Bertin FR, Stefanovski D, Poulsen L, Belknap JK, Medina-Torres CE, Pollitt CC, van Eps AW.Continuous digital hypothermia (CDH) prevents lamellar failure in the euglycaemic hyperinsulinaemic clamp (EHC) and oligofructose (OF) laminitis models, but the mechanisms remain unclear. Objective: To evaluate the effects of CDH on lamellar energy metabolism and perfusion in healthy horses and during EHC and OF laminitis models. Methods: In vivo experiment. Methods: Archived samples were used from Standardbred geldings that received no treatment (CON) (n = 8) or underwent EHC (n = 8) or OF (n = 6) laminitis models. Both forelimbs were instrumented with a lamellar microdialysis system, a...
Lamellar energy metabolism and perfusion in the euglycaemic hyperinsulinaemic clamp model of equine laminitis.
Equine veterinary journal    February 12, 2020   Volume 52, Issue 4 577-584 doi: 10.1111/evj.13224
Stokes SM, Bertin FR, Stefanovski D, Belknap JK, Medina-Torres CE, Pollitt CC, van Eps AW.Hyperinsulinaemia is associated with the development of endocrinopathic laminitis; however, the mechanisms remain unclear. Objective: Evaluate the effects of hyperinsulinaemia on lamellar energy metabolism and perfusion during laminitis development. Methods: In vivo experiment. Methods: Eight Standardbred horses were instrumented with a microdialysis probe in the lamellae of a forelimb. A 24 hours baseline period (BASELINE) was followed by 48 hours of a continuous euglycaemic hyperinsulinaemic clamp (EHC) from 24 to 72 hours (CLAMP). Microdialysate was collected every 6 hours and analysed ...
A questionnaire study of parasite control in Thoroughbred and Standardbred horses in Australia.
Equine veterinary journal    February 7, 2020   Volume 52, Issue 4 547-555 doi: 10.1111/evj.13207
Wilkes EJA, Heller J, Raidal SL, Woodgate RG, Hughes KJ.Information regarding parasite control practices currently used on Thoroughbred and Standardbred studs in Australia is lacking. Anthelmintic resistance (AR) is a global problem which has implications for equine health and welfare. Objective: To identify parasite control practices currently used on horse studs in Australia and investigate the frequency of use of management factors that have been associated with the likelihood of promoting or delaying AR. Methods: Questionnaire study of equine parasite control on Thoroughbred and Standardbred studs in Australia. Methods: An online questionnaire ...
Complete resection of the alar folds in eight standing horses with a bipolar dividing and vessel-sealing device.
Veterinary surgery : VS    February 6, 2020   Volume 49, Issue 3 521-528 doi: 10.1111/vsu.13383
Kallmyr A, Giving EM, Moen LO, Øverlie M, Holm T, David F.To describe a resection technique of the alar folds in the standing horse. Methods: Retrospective case study. Methods: Eight Standardbred racing trotters. Methods: Horses in which alar fold collapse had been diagnosed between 2017 and 2018 were included in this study. All horses underwent alar fold resection under standing sedation and regional anesthesia with a bipolar electrosurgical open sealer/divider device (LigaSure). Intraoperative and postoperative complications were recorded. A Wilcoxon signed-rank test was used to compare differences in median prize money earning pre-surgery and post...
Effects of transportation on gastric pH and gastric ulceration in mares.
Journal of veterinary internal medicine    February 3, 2020   Volume 34, Issue 2 922-932 doi: 10.1111/jvim.15698
Padalino B, Davis GL, Raidal SL.Transportation has been suggested as a risk factor for gastric ulceration in horses, but limited evidence supports this assumption. Methods: Twenty-six Standardbred, Thoroughbred, and Warmblood mares from a university teaching herd. Methods: Twelve mares were confined for 12 hours, overnight, in reproductive stocks with indwelling nasogastric tubes (NGTs) to assess pH of gastric fluid (GF). Gastric ulceration was assessed endoscopically before and after confinement. Subsequently, 26 horses were transported for 12 hours, overnight, in 2 consignments. During transportation, GF was aspirated ...
Pre- and post-race serum cardiac troponin T concentrations in Standardbred racehorses.
Veterinary journal (London, England : 1997)    January 27, 2020   Volume 256 105433 doi: 10.1016/j.tvjl.2020.105433
Hellings IR, Krontveit R, Øverlie M, Kallmyr A, Holm T, Fintl C.Elevated cardiac troponin T (cTnT) concentrations may provide evidence of myocardial injury but physiological post-exercise release also occurs. Reference intervals are not fully established in horses making interpretation difficult. The aims of this study were to establish an upper reference limit for serum cTnT, compare pre-and post-race serum cTnT concentrations, and to evaluate factors that may influence these in a population of healthy, race-fit Standardbred racehorses. Serum samples were collected pre- (n = 108) and 1-2 h post-racing (n = 101) and analysed using a high sensitivity-cTnT a...
A Cross-Sectional Survey of the Training and Management of a Cohort of 2-Year-Old Standardbred Racehorses in New Zealand.
Journal of equine veterinary science    January 23, 2020   Volume 87 102936 doi: 10.1016/j.jevs.2020.102936
Legg K, Gee E, Bolwell C, Bridges J, Rogers CW.There are limited data on the training and management practices of Standardbred trainers in New Zealand. The aims of this study were to describe the 2-year-old training practices of Standardbred trainers and to examine if there were differences in the production process between public (commercial) and amateur (licensed-to-train) trainers. An online Qualtrics survey was conducted after the 2016/7 racing season and completed by 154 Standardbred trainers, 88 (57%) of which had 2-year-olds in training. Descriptive statistics were used to describe the data stratified by public and licensed-to-train...
Temporal and spatial changes in bone accrual, density, and strain energy density in growing foals.
Journal of the mechanical behavior of biomedical materials    December 5, 2019   Volume 103 103568 doi: 10.1016/j.jmbbm.2019.103568
Moshage SG, McCoy AM, Polk JD, Kersh ME.Bone adaptation is in part driven by mechanical loading, and exercise during youth has been shown to have life-long benefits for bone health. However, the development of early exercise-based interventions that reduce the incidence of fractures in racing horses is limited by the lack of characterization of normal development in growing bone. Previous efforts to quantify bone development in the horse have relied on repeated radiographs or peripheral quantitative computed tomography scans, which are limited in their assessment of the entire bone. In this study, we acquired computed tomography sca...
Risk factors for duration of equine rhinitis A virus respiratory disease.
Equine veterinary journal    November 28, 2019   Volume 52, Issue 3 369-373 doi: 10.1111/evj.13204
Rossi TM, Moore A, O'Sullivan TL, Greer AL.Infectious respiratory disease is common in young horses and can impact athletic performance and long-term health. Significant variation in the duration of clinical disease has been observed, even in the absence of secondary complications. The determination of factors associated with disease chronicity may facilitate clinical decision-making and the development of improved biosecurity protocols. Objective: To investigate contact network characteristics, and demographic variables associated with time to clinical recovery from Equine Rhinitis A virus respiratory disease. Methods: Prospective coh...
Blood type and breed-associated differences in cell marker expression on equine bone marrow-derived mesenchymal stem cells including major histocompatibility complex class II antigen expression.
PloS one    November 20, 2019   Volume 14, Issue 11 e0225161 doi: 10.1371/journal.pone.0225161
Kamm JL, Parlane NA, Riley CB, Gee EK, Dittmer KE, McIlwraith CW.As the search for an immune privileged allogeneic donor mesenchymal stem cell (MSC) line continues in equine medicine, the characterization of the cells between different sources becomes important. Our research seeks to more clearly define the MSC marker expression of different equine MSC donors. The bone marrow-derived MSCs from two equine breeds and different blood donor-types were compared over successive culture passages to determine the differential expression of important antigens. Eighteen Thoroughbreds and 18 Standardbreds, including 8 blood donor (erythrocyte Aa, Ca, and Qa antigen ne...
Effects of Horse Housing System on Energy Balance during Post-Exercise Recovery.
Animals : an open access journal from MDPI    November 14, 2019   Volume 9, Issue 11 doi: 10.3390/ani9110976
Connysson M, Rhodin M, Jansson A.This study examined the effects of two housing systems (free-range and box stalls) on recovery of energy balance after competition-like exercise in Standardbred horses. Eight adult geldings (mean age 11 years) were used. The study had a change-over design, with the box stall (BOX) and free-range group housing (FreeR) treatments each run for 21 days. The horses were fed forage ad libitum and performed two similar race-like exercise tests (ET), on day 7 and day 14 in each treatment. Forage intake was recorded during the last 6-7 days in each period. Blood samples were collected before, during, a...
Influence of digital hypothermia on lamellar events related to IL-6/gp130 signalling in equine sepsis-related laminitis.
Equine veterinary journal    October 24, 2019   Volume 52, Issue 3 441-448 doi: 10.1111/evj.13184
Dern K, Burns TA, Watts MR, van Eps AW, Belknap JK.Interleukin-6 (IL-6) is consistently increased in the digital lamellae in different studies of sepsis-related laminitis (SRL). IL-6 signalling through the gp130 receptor activates similar signalling (i.e. mTORC1-related signalling) previously reported to be activated in models of endocrinopathic laminitis. Objective: To assess the activation state of signalling proteins downstream of IL-6/gp130 receptor complex activation in an experimental model of SRL. Methods: Randomised experimental study. Methods: Lamellar phospho-(P) protein concentrations downstream of the IL-6/gp130 receptors were asse...
Results of racetrack examinations of Standardbred horses at race meetings in New South Wales.
Australian veterinary journal    October 21, 2019   Volume 97, Issue 12 509-514 doi: 10.1111/avj.12882
Knight PK.This study analysed the race day veterinary reports from harness racing meetings controlled by the New South Wales Greyhound and Harness Racing Regulatory Authority between 1 September 2008 and 30 June 2009. The findings of all prerace and postrace examinations were analysed, and the frequency of observations was recorded. Chi-square testing was used to determine whether the incidence of abnormalities differed between age groups and tracks. A total of 542 meetings were conducted during the period of the study, with veterinary examinations conducted at 395 of these meetings. A total of 520 vete...
Piroplasmosis in Italian Standardbred Horses: 15 Years of Surveillance Data.
Journal of equine veterinary science    October 18, 2019   Volume 83 102813 doi: 10.1016/j.jevs.2019.102813
Padalino B, Rosanowski SM, Di Bella C, Lacinio R, Rubino GTR.This study aimed to document the prevalence of chronic equine piroplasmosis (EP) in poorly performing Standardbred racehorses and to explore associations between the disease and sex, age, and hematological parameters. Blood was collected between 2004 and 2018; blood cell counts were performed using a cell counter analyzer, biochemical parameters using a photometer, and serum proteins using agarose gel electrophoresis. Blood smears were prepared, colored with a modified Giemsa, and an experienced technician identified the presence of protozoa. The horses were categorized into piroplasmosis posi...
Ultrasonographic assessment of normal jugular veins in Standardbred horses.
BMC veterinary research    October 16, 2019   Volume 15, Issue 1 343 doi: 10.1186/s12917-019-2104-5
Pasolini MP, Spinella G, Del Prete C, Valentini S, Coluccia P, Auletta L, Greco M, Meomartino L.Ultrasonography (US) is the recommended imaging technique to evaluate jugular veins. This prospective randomized clinical study was designed to collect a series of B-mode US measurements of manually distended jugular veins in healthy Italian Standardbreds and to find possible correlations between ultrasound measurements and animal morphometric characteristics. Forty-two horses, eight males and 34 females (range 3-22 years; bodyweight 494.4 ± 41.7 kg), were included in the study. The diameters and wall thicknesses of both jugular veins were measured at three different sites of the neck...
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