Analyze Diet

Topic:Veterinary Procedure

Veterinary procedures in horses encompass a range of medical and surgical interventions performed to diagnose, treat, and manage equine health conditions. These procedures are designed to address various health issues, from routine care to emergency interventions. Common veterinary procedures include vaccinations, dental care, lameness evaluations, reproductive services, and surgical interventions such as colic surgery or fracture repair. This page compiles peer-reviewed research studies and scholarly articles that explore the methodologies, outcomes, and advancements in veterinary procedures for horses, providing insights into their application and efficacy in equine medicine.
Calcium electroporation: The bioelectrochemical treatment of spontaneous equine skin tumors results in a local necrosis.
Bioelectrochemistry (Amsterdam, Netherlands)    June 14, 2019   Volume 129 251-258 doi: 10.1016/j.bioelechem.2019.05.018
Galant L, Delverdier M, Lucas MN, Raymond-Letron I, Teissie J, Tamzali Y.Electrochemotherapy (ECT) is an anticancer bioelectrochemical therapy where electrical field pulses (electropermeabilization) increase intracellular concentration of antitumor drugs. The procedure is very effective against skin tumors. The restrictive regulations concerning anticancer drugs in veterinary medicine limit use of ECT. Electroporation with calcium (Electroporation Calcium Therapy)(ECaT) was proved to be effective in vivo on induced tumors in laboratory animals. This study evaluated the effects of ECaT in equine sarcoids (spontaneous skin tumors) on an animal cohort. Pulse parameter...
A Competency-Guided Veterinary Curriculum Review Process.
Journal of veterinary medical education    June 13, 2019   Volume 47, Issue 2 137-147 doi: 10.3138/jvme.1217-183r1
Varnum AT, West AB, Hendrickson DA.Competencies can guide outcomes assessment in veterinary medical education by providing a core set of specific abilities expected of new veterinary graduates. A competency-guided evaluation of Colorado State University's (CSU) equine veterinary curriculum was undertaken via an alumni survey. Published competencies for equine veterinary graduates were used to develop the survey, which was distributed to large animal alumni from CSU's Doctor of Veterinary Medicine program. The results of the survey indicated areas for improvement, specifically in equine business, surgery, dentistry, and radiolog...
Ex Vivo Assessment of an Ultrasound-Guided Injection Technique of the Lumbosacral Disc in the Horse.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    June 11, 2019   Volume 32, Issue 5 383-388 doi: 10.1055/s-0039-1691793
Robert M, Manet H, Manneveau G, Geffroy O. The aim of this study was to describe an ultrasound-guided injection technique of the lumbosacral disc in horses through the cranial vertebral notch of the sacrum and to evaluate both accuracy and potential complications of the technique on equine cadavers. Methods:  Twenty-four injections of the lumbosacral area were performed on 12 equine cadavers shortly after euthanasia under ultrasound guidance with the horse in recumbency using two different dyes (one colour for each side). The lumbosacral area was dissected in each horse and the accuracy of the technique, as well as its potential c...
Pressure algometry for assessment of abdominal wall sensitivity in horses after ventral midline coeliotomy.
Veterinary anaesthesia and analgesia    June 10, 2019   Volume 46, Issue 6 820-828 doi: 10.1016/j.vaa.2019.03.008
Visser EM, Menke ES, van Loon JP.To assess the clinical course of abdominal wall sensitivity after ventral midline coeliotomy in horses by determining mechanical nociceptive thresholds (MNTs) during hospitalization, and to determine the inter-observer reliability of pressure algometry on the abdominal wall. Methods: Observational, cohort study. Methods: A total of 13 horses presenting with signs of abdominal pain/colic undergoing ventral midline coeliotomy and 10 healthy horses without an abdominal incision. Methods: Measurements were performed on days 1, 3, 5, 7 and 9 postoperatively using a pressure algometer. Measurement s...
Plasma concentrations at two dexmedetomidine constant rate infusions in isoflurane anaesthetized horses: a clinical study.
Veterinary anaesthesia and analgesia    June 10, 2019   Volume 46, Issue 5 627-635 doi: 10.1016/j.vaa.2019.04.013
Bettembourg V, Dulgheriu D, Haga HA.To determine dexmedetomidine plasma concentrations at two infusion rates in isoflurane anaesthetized horses and compare cardiovascular effects and anaesthetic recovery between treatments. Methods: Prospective, randomized, masked clinical study. Methods: Healthy, adult, client-owned, non-food producing horses presented for castration. Methods: Premedication consisted of acepromazine, romifidine and morphine, and anaesthesia was induced with ketamine and midazolam. The horses were randomized to receive dexmedetomidine 0.5 μg kg hour (treatment DL, n = 7) or 1.75 μg kg hour (treatment DH, n =...
Evaluation of automated erythrocyte methodology in new world camelids using the ADVIA 2120 hematology analyzer.
Veterinary clinical pathology    June 9, 2019   Volume 48, Issue 2 239-249 doi: 10.1111/vcp.12733
Viesselmann LC, Flatland B, Stokol T, Sisson S, Schaefer DMW.Accurate erythrocyte measurements with ADVIA hematology analyzers require isovolumetric cell sphering in one reaction and hemolysis in another. However, camelid erythrocytes are resistant to sphering and osmotic lysis, and no published evaluation of ADVIA methods for camelids exists. Objective: The objectives were to demonstrate whether camelid erythrocytes sphere in the ADVIA red blood cell/platelet (RBC/PLT) reagent and lyse in the ADVIA cyanide HGB reagent, and to determine optimal ADVIA settings for camelids. Methods: Camelid and canine blood were diluted to 1:625 in RBC/PLT reagent and ev...
Evaluation of Two Handheld Point-of-Care Blood Gas Analyzers in Healthy Donkeys.
Journal of equine veterinary science    June 8, 2019   Volume 79 94-99 doi: 10.1016/j.jevs.2019.05.026
Bonelli F, Laus F, Briganti A, Evangelista F, Bazzano M, Conte G, Sgorbini M.There has been increasing interest in blood gas analysis in donkeys. "Point-of-care (POC) testing" is a diagnostic testing performed on or immediately next to the patient. This study assesses the agreement between two POC blood gas analyzers in donkeys. Arterial and venous blood samples were collected from 17 donkeys and analyzed using a fully automated blood gas analyzer (ABL 700 Series Radiometer, Denmark) (RAD) and two POC blood gas analyzers (i-STAT System; VetStat, Idexx). The parameters revealed by all three devices were submitted to a canonical discriminant analysis, to evaluate which p...
Race-day performance of horses with epiglottic entrapment, and following surgical correction using intra-oral curved bistoury hook in anaesthetised horses.
Veterinary journal (London, England : 1997)    June 7, 2019   Volume 250 24-27 doi: 10.1016/j.tvjl.2019.05.015
Shaw DJ, Rosanowski SM.Epiglottic entrapment is a condition in racing horses, associated with abnormal respiratory noises and exercise intolerance. Epiglottic entrapment has been linked to both poor and superior athletic performance, leading to concerns regarding whether surgery is indicated, and whether surgical correction may have a deleterious effect on future race performance. The objective of the current study was to assess the race-day performance of horses racing with epiglottic entrapment and the effect of surgical correction on performance outcomes using an intra-oral technique in anaesthetised horses. A ca...
A “modified Obel” method for the severity scoring of (endocrinopathic) equine laminitis.
PeerJ    June 7, 2019   Volume 7 e7084 doi: 10.7717/peerj.7084
Meier A, de Laat M, Pollitt C, Walsh D, McGree J, Reiche DB, von Salis-Soglio M, Wells-Smith L, Mengeler U, Mesa Salas D, Droegemueller S, Sillence MN.Laminitis is a common equine disease characterized by foot pain, and is commonly diagnosed using a five-grade Obel system developed in 1948 using sepsis-related cases. However, endocrinopathic laminitis is now the most common form of the disease and clinical signs may be mild, or spread across two Obel grades. This paper describes a modified method which assigns scores to discreet clinical signs, providing a wider scale suitable for use in a research setting. Methods: The "modified Obel" method was developed using an iterative process. First, a prototype method was developed during the detaile...
Effects of 1-MHz Ultrasound on Epaxial Muscle Temperature in Horses.
Frontiers in veterinary science    June 6, 2019   Volume 6 177 doi: 10.3389/fvets.2019.00177
Adair HS, Levine D. The purpose of this study was to examine the tissue temperature changes that occur at various depths during 1.0-MHz ultrasound (US) treatments of the epaxial muscles in horses. Ten healthy adult mares with no lameness or orthopedic disease weighing between 465 and 576 kg were studied. Two 1.0 MHz US treatments, one at an intensity of 1.0 W/cm and one at 2.0 W/cm, were administered to the epaxial region. Needle thermistors were inserted in the epaxial muscles below the skin surface at depths of 1.0, 3.0, and 5.0 cm, directly under the US treatment area. Depths were verified with diagnostic u...
Richter’s hernia in a 3-month-old colt – A rare event.
The Canadian veterinary journal = La revue veterinaire canadienne    June 4, 2019   Volume 60, Issue 6 651-653 
Avison A.Umbilical hernias are among the most common congenital defects in horses. Complications of umbilical hernias are uncommon, and Richter's hernias are rare. This report describes a case of Richter's hernia in a 3-month-old colt that was presented with signs of acute colic. The foal underwent a herniorrhaphy with intestinal resection and anastomosis. Hernie de Richter chez un poulain âgé de 3 mois — une rare manifestation. Les hernies ombilicales figurent parmi les défauts congénitaux les plus communs chez les chevaux. Les complications des hernies ombilicales sont peu fréquentes et les he...
Sensor analysis and initial assessment of detectable first hoof contacts and last break-overs as unique signal fluctuations for equine gait analysis.
Translational animal science    June 4, 2019   Volume 3, Issue 4 1389-1398 doi: 10.1093/tas/txz089
Atkins CA, Pond KR, Madsen CK, Moorman VJ, Roman-Muniz IN, Archibeque SL, Grandin T.The objective of the control study was to assess 2 prominent fluctuations in a single optical signal as being either a true first hoof contact or a last break-over based on descriptive measures. The study builds on initial findings from a preliminary investigation of the embedded-optical-base system's (EOBS) capabilities in signal capturing and feasibility as potential alternative to existing gait technologies, such as piezoelectric (e.g., load cell) systems. Hoof contacts and break-overs were measured (0 to 1 au; arbitrary units) using a 2.4-m (length) × 0.9-m (width) platform containing 1 E...
Stimulation of subchondral bone cyst healing by placement of a transcondylar screw in the equine medial femoral condyle.
Veterinary surgery : VS    June 2, 2019   Volume 48, Issue 7 1194-1203 doi: 10.1111/vsu.13247
Frazer LL, Santschi EM, Fischer KJ.To predict the bone formation stimulus of a transcondylar screw across an equine subchondral bone cyst (SBC) in an equine medial femoral condyle (MFC). Methods: Finite element modeling (FEM) of an equine MFC with a 2 cm SBC under several transcondylar screw conditions. Methods: The right stifle of a yearling thoroughbred without stifle disease that had been euthanized for reasons unrelated to this study and donated to the University. Methods: The FEM was derived from computed tomography of a yearling thoroughbred and analyzed in ABAQUS v6.14. The transcondylar screw was modeled as a 4.5-mm s...
Evaluation of the risk of incisional infection in horses following application of protective dressings after exploratory celiotomy for treatment of colic.
Journal of the American Veterinary Medical Association    June 1, 2019   Volume 254, Issue 12 1441-1447 doi: 10.2460/javma.254.12.1441
Kilcoyne I, Dechant JE, Kass PH, Nieto JE.OBJECTIVE To assess incidence of incisional infection in horses following management with 1 of 3 protective dressings after exploratory celiotomy for treatment of acute signs of abdominal pain (ie, colic) and determine the risk of complications associated with each wound management approach. DESIGN Prospective, randomized, controlled study. ANIMALS 85 horses. PROCEDURES Horses were assigned to 3 groups. After standardized abdominal closure, a sterile cotton towel (group 1) or polyhexamethylene biguanide-impregnated dressing (group 2) was secured over the incision site with 4 or 5 cruciate sutu...
Effect of fentanyl on thermal and mechanical nociceptive thresholds in horses and estimation of anti-nociceptive plasma concentration.
Veterinary journal (London, England : 1997)    May 31, 2019   Volume 249 82-88 doi: 10.1016/j.tvjl.2019.05.012
Echelmeyer J, Taylor PM, Hopster K, Rohn K, Delarocque J, Kästner SBR.There are few investigations relating anti-nociception to plasma concentrations of fentanyl in horses. The study objective was to evaluate analgesic efficacy and duration in horses and determine the minimum anti-nociceptive plasma concentrations. Eight horses were treated with saline (P) and fentanyl (F=2.5μg/kg; F=5μg/kg; F=10μg/kg) given IV over 5min, with a wash-out period of 10 days. To evaluate thermal (°C) and mechanical (N) nociceptive threshold single stimulations were applied prior to (baseline) and 10, 30, 60, 90, 120, 180, 240, 300, 360, 420, 540min and 22.5h after treatment. Pl...
A Retrospective Study of the Incidence and Management of Complications Associated With Regional Nerve Blocks in Equine Dental Patients.
Journal of veterinary dentistry    May 30, 2019   Volume 36, Issue 1 40-45 doi: 10.1177/0898756419848165
Tanner RB, Hubbell JAE.Regional anesthesia of the equine head is commonly performed to allow oral extraction of diseased teeth in the standing horse. The use of 4 blocks (infraorbital nerve, maxillary nerve, mental nerve, and mandibular nerve) is well documented for desensitization of dental quadrants for oral surgery for exodontia, but descriptions of associated complications are limited. A total of 270 regional nerve blocks were performed on 162 equine patients in a second opinion referral hospital setting. Criteria for inclusion in the study included a 24-hour stay in hospital, that the blocks be performed by one...
Ultrasound-Guided Inferior Alveolar Nerve Block in the Horse: Assessment of the Extraoral Approach in Cadavers.
Journal of veterinary dentistry    May 30, 2019   Volume 36, Issue 1 46-51 doi: 10.1177/0898756419844836
Johnson JP, Peckham RK, Rowan C, Wolfe A, O'Leary JM.Blinded techniques to desensitize the inferior alveolar nerve (IAN) include intraoral, angled, and vertical extraoral approaches with reported success rates of 100%, 73%, and 59%, respectively. It has not been determined whether an ultrasound-guided extraoral approach is feasible. Further, the fascicular nature of the inferior alveolar and lingual nerves of the horse has not been described. The objectives of this study were to describe a low-volume ultrasound-guided vertical extraoral inferior alveolar nerve block technique and to describe the fascicular nature of these nerves. An ultrasound-g...
Effect of Preparation Method on the Protein Profile of Equine Amnion Dressings.
Journal of proteome research    May 29, 2019   Volume 18, Issue 6 2676-2685 doi: 10.1021/acs.jproteome.9b00240
McCoy AM, Arrington J, Yau PM.The protein content of amnion is thought to be the primary contributor to its efficacy as a biological dressing for wounds. Protein elution into antibiotic processing media has been reported, but the effect of antiseptic-based processing methods is unknown. Amniotic membranes were collected from eight healthy mares. Samples were collected after removal of gross debris. Tissues were subsequently divided and processed with either 0.05% chlorhexidine or 2% iodine/0.25% acetic acid. After protein extraction and trypsin digestion, the proteins were labeled with 8-plex iTRAQ tags, combined, and anal...
Surgical correction of a meningoencephalocele in a thoroughbred filly.
Veterinary surgery : VS    May 28, 2019   Volume 48, Issue 8 1483-1489 doi: 10.1111/vsu.13240
Buck AM, Hunt RJ.To describe the surgical correction of a closed meningoencephalocele in a thoroughbred filly. Methods: Case report. Methods: One thoroughbred filly, 1.5 months old at the time of surgery. Methods: A meningoencephalocele was identified at birth and diagnosed with radiography and MRI. The abnormal tissue was excised and submitted for histopathology, the dura was closed, and the defect in the skull was corrected with a titanium mesh. Results: Histopathology confirmed the presence of neural parenchyma consisting of neurons and glial cells. The filly remained without neurologic deficits 7 month...
Arthrographic Study of the Communication between the Tarsal Joints in Crioulo Horses.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    May 28, 2019   Volume 32, Issue 4 269-273 doi: 10.1055/s-0039-1688770
 The aim of the present study is to assess an arthrographic technique based on the access to the equine tarsus via distal intertarsal and on the existence and frequency of communication between distal and tarsocrural joints in the tarsus of Crioulo horses. Methods:  Fifty Crioulo horses of both sexes from 3 to 8 years old were included in the experiment. Animals with radiographic signs of tarsal osteoarthritis and joint space loss were excluded from the experiment. Contrast was injected in the distal intertarsal joint and radiographs were taken at two different times - Time 0 (after contra...
Update on Surgical Treatment of Wobblers.
The Veterinary clinics of North America. Equine practice    May 27, 2019   Volume 35, Issue 2 299-309 doi: 10.1016/j.cveq.2019.04.002
Pezzanite L, Easley J.Cervical vertebral compressive myelopathy (CVCM) represents the most significant disease of the spinal cord in horses for which surgical treatment is described. Current surgical methods used include ventral interbody fusion with kerf cut cylinders and dorsal laminectomy. Polyaxial pedicle screw and rod constructs and ventral locking compression plating have been introduced in the treatment of equine CVCM and present promising alternative approaches to achieve ventral interbody fusion. Advancements in diagnostic imaging and endoscopy of the cervical vertebral canal may improve reliable preopera...
Fatal pulmonary hemorrhage in a horse during bronchoalveolar lavage – single case report.
BMC veterinary research    May 24, 2019   Volume 15, Issue 1 169 doi: 10.1186/s12917-019-1922-9
Varegg MS, Kløverød KM, Austnes MK, Siwinska N, Słowikowska M, Zak A, Madej JA, Kandefer-Gola M, Ciaputa R, Nowak M, Niedzwiedz A.Pulmonary hemorrhage is a rare cause of death in horses. Hemorrhage within the respiratory tract has many causes, including mycosis of the guttural pouch, invasive procedures causing serious trauma to nasal conchae, or lung biopsy. We report on a rare case of a fatal pulmonary hemorrhage in a horse after a severe cough during bronchoalveolar lavage. To the best of our knowledge, this is the first report of spontaneous hemorrhage in a horse during bronchoalveolar lavage. Methods: A 21-year-old mare which belonged to the didactic herd of The Faculty of Veterinary Medicine underwent BAL procedure...
Standing Needle Arthroscopy of the Metacarpophalangeal and Metatarsophalangeal Joint for Removal of Dorsal Osteochondral Fragmentation in 21 Horses.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    May 24, 2019   Volume 32, Issue 5 420-426 doi: 10.1055/s-0039-1688984
Bonilla AG. The aim of this study was to report the technique, experience and outcome of standing arthroscopic removal of dorsal osteochondral fragmentation of the metacarpophalangeal and metatarsophalangeal joint using a 1.2-mm needle arthroscope. Methods:  This was a prospective clinical study. Methods:  All horses referred for standing arthroscopic removal of dorsoproximal first phalanx fragments or fragments embedded in the distal aspect of the synovial plica were included. Relevant information from the cases was recorded. Follow-up was obtained by a telephone questionnaire. Results:  Twenty-...
Paper spray high-resolution accurate mass spectrometry for quantitation of voriconazole in equine tears.
Analytical and bioanalytical chemistry    May 23, 2019   Volume 411, Issue 20 5187-5196 doi: 10.1007/s00216-019-01898-9
Lerch M, Allbaugh RA, Sebbag L, Mochel JP, Weller P, Borts DJ.Paper spray high-resolution accurate mass spectrometry is a fast and versatile analysis method. This ambient ionization technique enables the quantitation of xenobiotics in complex biological matrices without chromatography or conventional sample extraction. The simplicity, rapidity, and affordability of the paper spray mass spectrometry (PS-MS) method make the technique especially attractive for clinical investigations where fast and affordable sample analysis is crucial. A new PS-MS method for the quantitation of voriconazole in equine tears was developed and validated. For a concentration r...
Arthrodesis of the metacarpophalangeal and metatarsophalangeal joints to treat osteoarthritis in 17 horses.
Veterinary surgery : VS    May 23, 2019   Volume 48, Issue 5 850-857 doi: 10.1111/vsu.13236
Chapman HS, Richardson DW, Ortved KF.To describe arthrodesis of the metacarpophalangeal (MCP) or metatarsophalangeal (MTP) joint with a locking compression plate (LCP) and a metallic tension band and report the outcome of horses treated for osteoarthritis (OA) with this technique. Methods: Retrospective case series. Methods: Seventeen horses with OA of the MCP or MTP joint treated with arthrodesis. Methods: Medical records (2004-2017) of horses treated for OA with arthrodesis of the MCP or MTP joint with an LCP and metallic tension band were reviewed. Preoperative variables included age, sex, breed, affected limb, and lameness gr...
Standing Hand-Assisted Laparoscopic Diagnosis and Treatment of a Rare Case of Uterine Adenocarcinoma in an 18-Year-Old Mare.
Journal of equine veterinary science    May 23, 2019   Volume 79 39-44 doi: 10.1016/j.jevs.2019.05.021
Quéré E, Bourzac C, Farfan M, Losada A, Volmer C, Mespoulhès-Rivière C.An 18-year-old French Trotter mare was presented to the Clinique Equine, Ecole Nationale Vétérinaire d'Alfort, for exploration of a 3-month-duration vaginal bleeding. A transrectal ultrasound examination identified a mass within the right uterine horn wall, which had been suspected during transrectal palpation. It was described as a firm heterogeneous intramural mass (7 × 12 cm) in the right uterine horn, located few centimeters cranially to the bifurcation. Hysteroscopy confirmed the ulcerated and irregular shape of the mass. A standing hand-assisted flank laparoscopy was performed to ca...
Modified stall-side crossmatch for transfusions in horses.
Journal of veterinary internal medicine    May 18, 2019   Volume 33, Issue 4 1775-1783 doi: 10.1111/jvim.15519
Casenave P, Leclere M, Beauchamp G, Blais MC.After-hours or out-of-clinic crossmatches are often limited by the lack of access to specialized material and technical expertise. Objective: The goal was to adapt a stall-side crossmatch test for pretransfusion evaluation in horses. Methods: Twelve healthy mares (plasma and blood donors, teaching mares). Methods: In a prospective study, blood from 12 mares was used to compare the results of 132 crossmatches performed with a rapid gel assay to crossmatches performed with a microgel column assay, and with predicted compatibilities based on blood types and detection of antibodies at a reference ...
Evaluation of surgical models for training veterinary students to perform enterotomies.
Veterinary surgery : VS    May 17, 2019   Volume 48, Issue 6 985-996 doi: 10.1111/vsu.13228
Grimes JA, Wallace ML, Schmiedt CW, Parks AH.To compare surgical models for teaching enterotomies to students. Methods: Prospective, randomized study. Methods: Second-year veterinary students (n = 59) and faculty surgeons/surgery residents (n = 19). Methods: Participants performed an enterotomy on each of 3 models (equine cadaver intestine, SurgiReal small intestine simulator, and SynDaver canine bowel) and completed a survey comparing them to either an enterotomy on an anesthetized pig (students) or intestinal surgery experience (faculty/residents). Surveys results were compiled and analyzed. Results: Both student and faculty/resident g...
Comparison of the Effects of Five Semen Extenders on the Quality of Frozen-Thawed Equine Epididymal Sperm.
Journal of equine veterinary science    May 16, 2019   Volume 79 1-8 doi: 10.1016/j.jevs.2019.05.002
Neuhauser S, Bollwein H, Siuda M, Handler J.Cryopreservation of epididymal sperm allows the saving of genetic material in case of unexpected death or emergency castration. The aim of the present study was the comparison of five different combinations of extenders commercially available for equine frozen semen processing for cryopreservation of epididymal sperm. Epididymal sperm were harvested from gonads of 10 healthy stallions after routine castration by retrograde flush technique. Then, samples were split and diluted with (1) INRA96 + INRA Freeze, (2) BotuSemen + BotuCRIO, (3) EquiPlus + Gent Freeze, (4) EquiPlus + EquiPlus Freeze...
Stem Cells in Equine Veterinary Practice-Current Trends, Risks, and Perspectives.
Journal of clinical medicine    May 14, 2019   Volume 8, Issue 5 doi: 10.3390/jcm8050675
Kornicka K, Geburek F, Röcken M, Marycz K.With this Editorial, we introduce the Special Issue "Adipose-Derived Stem Cells and Their Extracellular Microvesicles (ExMVs) for Tissue Engineering and Regenerative Medicine Applications" to the scientific community. In this issue, we focus on regenerative medicine, stem cells, and their clinical application.
1 43 44 45 46 47 289