Analyze Diet

Topic:Veterinary Research

Veterinary research in horses encompasses the study of diseases, health management, and medical treatments specific to equine species. This field investigates various aspects of horse health, including infectious diseases, metabolic disorders, and musculoskeletal conditions. Researchers focus on understanding the pathophysiology of equine ailments, developing diagnostic tools, and evaluating therapeutic interventions. The study of horse health also involves examining preventive measures such as vaccination protocols and nutritional management to promote overall well-being. This page collects peer-reviewed research studies and scholarly articles that explore the diverse areas of veterinary science related to horses, providing insights into disease mechanisms, treatment strategies, and advancements in equine healthcare.
A retrospective study of owner-requested testing as surveillance for equine infectious anemia in Canada (2009-2012).
The Canadian veterinary journal = La revue veterinaire canadienne    December 6, 2017   Volume 58, Issue 12 1294-1300 
Higgins SN, Howden KJ, James CR, Epp T, Lohmann KL.This retrospective study was undertaken to estimate i) the surveillance coverage for equine infectious anemia (EIA) based on owner-requested testing, and ii) the incidence of case detection from this surveillance activity to inform a review of Canada's national disease control strategy. Based on sample submissions by accredited veterinarians to laboratories CFIA-approved for EIA testing between 2009 and 2012, the estimated national surveillance coverage was 14% for all years, and 72 cases of EIA were detected. The annual national incidence of EIA detection ranged from 0.03 to 0.08 cases/1000 h...
Veterinary Medical Ethics.
The Canadian veterinary journal = La revue veterinaire canadienne    December 6, 2017   Volume 58, Issue 12 1253-1255 
Rollin BE.No abstract available
Identification of Reference Genes for Analysis of microRNA Expression Patterns in Equine Chorioallantoic Membrane and Serum.
Molecular biotechnology    December 5, 2017   Volume 60, Issue 1 62-73 doi: 10.1007/s12033-017-0047-2
Dini P, Loux SC, Scoggin KE, Esteller-Vico A, Squires EL, Troedsson MHT, Daels P, Ball BA.MicroRNAs (miRNAs) have important posttranscriptional regulatory abilities, and there is considerable interest in evaluating their expression patterns in different pathophysiological states. The most common method of quantifying miRNA expression is quantitative reverse transcription PCR; however, the identification of tissue-specific and species-specific reference miRNA is a prerequisite for miRNA expression analysis. Currently, no reference genes have been described for evaluating miRNA expression in equine serum and chorioallantoic membrane (CAM) during pregnancy. The aim of the present stud...
Ultrasonographic measurements of localized fat accumulation in Shetland pony mares fed a normal v. a high energy diet for 2 years.
Animal : an international journal of animal bioscience    December 4, 2017   Volume 12, Issue 8 1602-1610 doi: 10.1017/S1751731117003251
Siegers EW, de Ruijter-Villani M, van Doorn DA, Stout TAE, Roelfsema E.Health risks associated with obesity are more likely a factor of the localization of fat excess, rather than of elevated BW per se. The aim of this randomized controlled clinical trial was to determine the effect of a long-term high energy diet on BW, fat accumulation and localization. Eight Shetland pony mares, 3 to 7 years old, were randomly divided into a control and a high energy (HE) diet group fed either maintenance or double maintenance energy requirements (200% net energy (NE)) for two consecutive summers, with a low energy diet in the winter in between. Body condition score (BCS) did ...
Development of a clinical prediction score for detection of suspected cases of equine grass sickness (dysautonomia) in France.
Veterinary research communications    December 4, 2017   Volume 42, Issue 1 19-27 doi: 10.1007/s11259-017-9704-y
Randleff-Rasmussen PK, Leblond A, Cappelle J, Bontemps J, Belluco S, Popoff MR, Marcillaud-Pitel C, Tapprest J, Tritz P, Desjardins I.Equine grass sickness (EGS) (equine dysautonomia) is a neurodegenerative condition of grazing equines. Pre-mortem diagnosis of EGS is a challenge for practitioners as definitive diagnosis requires ileal/myenteric lymph node biopsies. This study aimed to develop a clinical score that could be used by practitioners to improve the detection of acute or subacute EGS cases in the field. Suspected EGS cases were declared by veterinary practitioners. A case was classified as confirmed positive if ileal or rectal biopsy samples showed neuronal degeneration typical of EGS. A semi-quantitative scoring s...
Quantitative Analysis and Development of the Fore Feet of Arabian Foals from Birth to 1 Year of Age.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    December 4, 2017   Volume 30, Issue 6 403-412 doi: 10.3415/VCOT-16-11-0158
Faramarzi B, Salinger A, Kaneps A, Nout-Lomas Y, Greene H, Dong F. The goal of this study was to quantify external and internal anatomical characteristics of the foal foot throughout the first year of age.  Digital radiographs and photographs were taken bimonthly of the forefeet of nine Arabian foals, beginning at about 2 weeks of age until 12 months of age. Sixty-eight linear and angular variables were measured using NIH (National Institutes of Health) software. Statistical analyses were performed using piecewise random coefficient model and -values < 0.05 were considered significant.  Distinct changes in hoof development were identified betwe...
Endometrial expression of estrogen and progesterone receptors in non-cyclic mares treated only with long-acting progesterone.
Theriogenology    December 2, 2017   Volume 108 185-191 doi: 10.1016/j.theriogenology.2017.11.037
Maciel LFS, Silva ESM, Oliveira-Filho JP, Fritsch SC, Rossi RS, Lourenção JAC, Meira C.Administration of progesterone (P4) after estradiol is usually performed to prepare non-cyclic mares as embryo recipients. However, there are successful pregnancy reports after embryo transfer in non-cyclic mares treated only with progestins. The objective of this study was to evaluate endometrial gene expression and immunostaining for estrogen receptor alpha (ERα), beta (ERβ) and progesterone receptor (PR) in seasonal anestrous mares treated with long acting P4 (LA P4). Endometrial tissue from eight seasonal anestrous mares was collected immediately before administration of 1.5 g of LA P4 ...
Skeletal muscle from aged American Quarter Horses shows impairments in mitochondrial biogenesis and expression of autophagy markers.
Experimental gerontology    December 2, 2017   Volume 102 19-27 doi: 10.1016/j.exger.2017.11.022
Li C, White SH, Warren LK, Wohlgemuth SE.Aging is associated with decreased mitochondrial content and function in skeletal muscle, possibly due to compromised biogenesis and autophagic removal of dysfunctional mitochondria. The aim of this study was to compare markers of mitochondrial content and biogenesis and of autophagy between skeletal muscle from young and aged American Quarter Horses. Citrate synthase protein and mtDNA copy number were decreased in triceps brachii (TB) muscle (P<0.05) from aged horses, suggesting an age-related decline in mitochondrial content. Concomitantly, mRNA expression of PGC-1α and TFAM, regulators ...
What’s in a word? The need for SIRS and sepsis definitions in equine medicine and surgery.
Equine veterinary journal    December 2, 2017   Volume 50, Issue 1 7-9 doi: 10.1111/evj.12780
Wilkins PA.No abstract available
Effects of transdermal lidocaine or lidocaine with prilocaine or tetracaine on mechanical superficial sensation and nociceptive thermal thresholds in horses.
Veterinary anaesthesia and analgesia    December 2, 2017   Volume 45, Issue 2 227-233 doi: 10.1016/j.vaa.2017.10.003
Söbbeler FJ, Kästner SB.To evaluate the transdermal local anaesthetic effect of lidocaine or lidocaine combined with prilocaine or tetracaine in horses. Methods: Experimental, randomized study. Methods: A total of five healthy adult warmblood horses. Methods: Horses were clipped bilaterally at the withers, cranial saddle area and caudal saddle area. Baseline measurements for mechanical superficial sensation via von Frey filaments and nociceptive thermal thresholds were performed. A 5% lidocaine patch (12 hour exposure, treatment L), a lidocaine/prilocaine cream (each 2.5%, treatment LP) and a lidocaine/tetracaine cre...
Intracytoplasmic sperm injection in domestic and wild mammals.
Reproduction (Cambridge, England)    December 1, 2017   Volume 154, Issue 6 F111-F124 doi: 10.1530/REP-17-0357
Salamone DF, Canel NG, Rodríguez MB.Intracytoplasmic sperm injection (ICSI) has become a useful technique for clinical applications in the horse-breeding industry. However, both ICSI blastocyst and offspring production continues to be limited for most farm and wild species. This article reviews technical differences of ICSI performance among species, possible biological and methodological reasons for the variable efficiency and potential strategies to improve the outcomes. One of the major applications of ICSI in animal production is the reproduction of high-value specimens. Unfortunately, some domestic species like the bovine s...
Low Prevalence of Enzootic Equine Influenza Virus among Horses in Mongolia.
Pathogens (Basel, Switzerland)    November 30, 2017   Volume 6, Issue 4 61 doi: 10.3390/pathogens6040061
Sack A, Daramragchaa U, Chuluunbaatar M, Gonchigoo B, Bazartseren B, Tsogbadrakh N, Gray GC.Horses are critically important for Mongolian herders' livelihoods, providing transportation and food products, and playing important cultural roles. Equine influenza virus (EIV) epizootics have been frequent among Mongolia's horses, with five occurring since 1970. We sought to estimate the prevalence for EIV infection among horses and Bactrian camels with influenza-like illness between national epizootics. In 2016-2017, active surveillance for EIV was periodically performed in four aimags (provinces). Nasal swabs were collected from 680 horses and 131 camels. Seven of the horse swabs were "po...
Access to a main alphaherpesvirus receptor, located basolaterally in the respiratory epithelium, is masked by intercellular junctions.
Scientific reports    November 30, 2017   Volume 7, Issue 1 16656 doi: 10.1038/s41598-017-16804-5
Van Cleemput J, Poelaert KCK, Laval K, Maes R, Hussey GS, Van den Broeck W, Nauwynck HJ.The respiratory epithelium of humans and animals is frequently exposed to alphaherpesviruses, originating from either external exposure or reactivation from latency. To date, the polarity of alphaherpesvirus infection in the respiratory epithelium and the role of respiratory epithelial integrity herein has not been studied. Equine herpesvirus type 1 (EHV1), a well-known member of the alphaherpesvirus family, was used to infect equine respiratory mucosal explants and primary equine respiratory epithelial cells (EREC), grown at the air-liquid interface. EHV1 binding to and infection of mucosal e...
Effects of staining method and clinician experience on the evaluation of stallion sperm morphology.
Animal reproduction science    November 29, 2017   Volume 188 165-169 doi: 10.1016/j.anireprosci.2017.11.021
Murcia-Robayo RY, Jouanisson E, Beauchamp G, Diaw M.Evaluation of sperm morphology is part of the assessment of fertility in human and animal reproduction. Analyses can be performed using different techniques, including the use of staining methods In our prospective study, the morphology of equine sperm was evaluated using 3 staining methods Diff-Quik, eosin-nigrosin, and SpermBlue, the latter being a relatively new stain commonly used for human sperm. Our hypotheses were that (1) SpermBlue allows easier assessment of horse sperm morphology and facilitates better identification of sperm abnormalities, and (2) sperm morphology classification dif...
In vivo evaluation of effects of sedation on results of acoustoelastography of the superficial digital flexor tendons in clinically normal horses.
American journal of veterinary research    November 29, 2017   Volume 78, Issue 12 1421-1425 doi: 10.2460/ajvr.78.12.1421
De Gasperi D, Dzierzak SL, Muir P, Vanderby R, Brounts SH.OBJECTIVE To assess the effects of sedation on results of acoustoelastography of the superficial digital flexor tendons (SDFTs) in clinically normal horses. ANIMALS 27 clinically normal horses. PROCEDURES For each horse, the pathology index (PI) for the SDFT of each thoracic limb was determined by use of acoustoelastography at 4 locations (5, 10, 15, and 20 cm distal to the accessory carpal bone). Horses were evaluated before and after they were sedated with a combination of detomidine hydrochloride (0.01 mg/kg, IV) and butorphanol tartrate (0.01 mg/kg, IV). A repeated-measures ANOVA was used ...
Seroepidemiology of non-primate hepacivirus (NPHV) in Japanese native horses.
The Journal of veterinary medical science    November 29, 2017   Volume 80, Issue 1 186-189 doi: 10.1292/jvms.17-0527
Hayashi S, Tanaka T, Moriishi K, Hirayama K, Yamada A, Hotta K.Non-primate hepacivirus (NPHV) is recently identified as a closely related homologue of hepatitis C virus. The previous studies showed a high prevalence of NPHV infection among Japanese domestic horses originated from abroad. The historical distribution of NPHV among horses in Japan, therefore, is still unknown. In this study, seroepidemiological study of NPHV was conducted using 335 sera from five breeds of Japanese native horses. These horses are maintained as the pedigree and are reared apart from other horse breeds. The detection of antibodies against NPHV were conducted by western blot an...
Molecular characterization of Theileria equi in horses from the state of Rio de Janeiro, Brazil.
Ticks and tick-borne diseases    November 28, 2017   Volume 9, Issue 2 349-353 doi: 10.1016/j.ttbdis.2017.11.011
Peckle M, Pires MS, Silva CBD, Costa RLD, Vitari GLV, Senra MVX, Dias RJP, Santos HA, Massard CL.Theileria equi is one of the etiologic agents of the equine piroplasmosis. This infectious disease is transmitted by ticks and is a worldwide problem in the international horse movement. The 18S rRNA gene of T. equi is often used for genotyping and phylogenetic purpose. This study aimed to analyze the degree of the heterogeneity of the 18S rRNA gene of T. equi in horses from the state of Rio de Janeiro, Brazil. The complete T. equi 18S rRNA sequences were obtained from twenty naturally infected horses. The PCR amplicons were cloned and sequenced. The phylogenetic analyses were performed using ...
Nonstrangulating intestinal infarctions associated with Strongylus vulgaris: Clinical presentation and treatment outcomes of 30 horses (2008-2016).
Equine veterinary journal    November 27, 2017   Volume 50, Issue 4 474-480 doi: 10.1111/evj.12779
Pihl TH, Nielsen MK, Olsen SN, Leifsson PS, Jacobsen S.Strongylus vulgaris is re-emerging in horses kept under surveillance-based parasite control regimens. Information on nonstrangulating intestinal infarction associated with S. vulgaris is needed to improve recognition of the condition. Objective: To describe the typical clinical presentation, laboratory findings, gross pathology, treatment and outcome of horses with nonstrangulating intestinal infarction. Methods: Retrospective case series. Methods: Nonstrangluating intestinal infarction was diagnosed in 30 horses with a localised intestinal infarction with concurrent signs of S. vulgaris mig...
Radiological prevalence of equine odontoclastic tooth resorption and hypercementosis.
Equine veterinary journal    November 27, 2017   Volume 50, Issue 4 481-487 doi: 10.1111/evj.12776
Rehrl S, Schröder W, Müller C, Staszyk C, Lischer C.Equine odontoclastic tooth resorption and hypercementosis (EOTRH) is a painful and progressive dental disease that mainly affects the incisors and canine teeth of aged horses. Diagnosis is based on radiographs to detect early stages of the disease. EOTRH is probably underdiagnosed and its prevalence in Germany unknown. Objective: This study was performed to determine the radiological prevalence of EOTRH in a large horse population in Berlin-Brandenburg, Germany. Methods: Prevalence study. Methods: The study population (142 horses) consisted of all horses 10 years and older that were presented...
Protein biomarker of cell proliferation determines survival to discharge in cases of equine large colon volvulus.
Equine veterinary journal    November 27, 2017   Volume 50, Issue 4 452-456 doi: 10.1111/evj.12767
Kucera CR, Stranahan LW, Hughes F, Blikslager AT, Gonzalez LM.Progenitor cells play critical roles in epithelial repair following ischaemic injury. Protein biomarkers have been used to identify intestinal progenitor cell subpopulations. This study aims to determine if a critical number of intestinal progenitor cells can predict tissue viability and survival to discharge of large colon volvulus (LCV) cases. Objective: The objectives were to 1) identify intestinal progenitor cell subpopulations using biomarkers: proliferating cell nuclear antigen (PCNA), sex determining region Y box 9 (SOX9), phospho-histone H3 (PHH3) and Ki-67, 2) define cut-off values fo...
24-Hour Kinetics of Cardiac Troponin-T Using a “High-Sensitivity” Assay in Thoroughbred Chuckwagon Racing Geldings after Race and Associated Clinical Sampling Guidelines.
Journal of veterinary internal medicine    November 24, 2017   Volume 32, Issue 1 433-440 doi: 10.1111/jvim.14870
Shields E, Seiden-Long I, Massie S, Leguillette R.A "high-sensitivity" cardiac troponin-T (hscTnT) assay recently has been validated for use in horses and is a specific biomarker of myocardial damage. Postexercise release kinetics of cTnT utilizing the hscTnT assay have yet to be established in horses. Objective: To determine: (1) cTnT release kinetics in racing Thoroughbreds after a high-intensity 5/8th mile Chuckwagon race; (2) the effects of age on pre- and postrace cTnT concentrations; and (3) sampling guidelines for clinicians evaluating horses presenting after exercise. Methods: Samples were obtained from 38 Thoroughbred geldings aged 5...
Investigation of Known Genetic Mutations of Arabian Horses in Egyptian Arabian Foals with Juvenile Idiopathic Epilepsy.
Journal of veterinary internal medicine    November 24, 2017   Volume 32, Issue 1 465-468 doi: 10.1111/jvim.14873
Aleman M, Finno CJ, Weich K, Penedo MCT.The carrier status of lavender foal syndrome (LFS), cerebellar abiotrophy (CA), severe combined immunodeficiency (SCID), and occipitoatlantoaxial malformation (OAAM1) in foals with juvenile idiopathic epilepsy (JIE) is unknown. Objective: To determine the carrier status of LFS, CA, SCID, and OAAM1 in foals with JIE. Methods: Ten foals with JIE. Methods: Archived DNA samples were tested for known genetic mutations causing LFS, CA, SCID, and OAAM1. The inclusion criteria consisted of having been diagnosed with JIE by ruling out other causes of seizures in foals and supported by electroencephalog...
MHC haplotype diversity in Persian Arabian horses determined using polymorphic microsatellites.
Immunogenetics    November 23, 2017   Volume 70, Issue 5 305-315 doi: 10.1007/s00251-017-1039-x
Sadeghi R, Moradi-Shahrbabak M, Miraei Ashtiani SR, Miller DC, Antczak DF.Previous research on the equine major histocompatibility complex (MHC) demonstrated strong correlations between haplotypes defined by polymorphic intra-MHC microsatellites and haplotypes defined using classical serology. Here, we estimated MHC diversity in a sample of 124 Arabian horses from an endangered strain native to Iran (Persian Asil Arabians), using a validated 10-marker microsatellite panel. In a group of 66 horses related as parent-offspring pairs or half-sibling groups, we defined 51 MHC haplotypes, 49 of which were new. In 47 of the remaining 58 unrelated horses, we could assign on...
Assessment of genomic inbreeding in Polish Konik horses.
Polish journal of veterinary sciences    November 23, 2017   Volume 20, Issue 3 603-605 doi: 10.1515/pjvs-2017-0074
Kamiński S, Hering DM, Jaworski Z, Zabolewicz T, Ruść A.The aim of this study was to assess the inbreeding coefficient of Polish Konik horses based on runs of homozygosity (ROH). Ninety six horses kept in 6 herds located across Poland were genotyped with the use of EquineSNP60 BeadChip (Illumina). SNP markers with a Minor Allele Frequency lower than 0.01 and SNPs assigned to chromosome X or Y were excluded from the study. A total of 50 708 SNPs were included for statistical analysis (SVS software, Golden Helix). The analysis showed that the population is in genetic equilibrium, with He and Ho estimates both equal to 0.3086. Seven categories of Runs...
Paradigm shifts in understanding equine laminitis.
Veterinary journal (London, England : 1997)    November 22, 2017   Volume 231 33-40 doi: 10.1016/j.tvjl.2017.11.011
Patterson-Kane JC, Karikoski NP, McGowan CM.Laminitis, one of the most debilitating conditions of all equids, is now known to be the result of several systemic disease entities. This finding, together with other recent developments in the field of laminitis research, have provoked a rethink of our clinical and research strategies for this condition. First, laminitis is now considered to be a clinical syndrome associated with systemic disease (endocrine disease, sepsis or systemic inflammatory response syndrome, SIRS) or altered weight bearing rather than being a discrete disease entity. Next, laminitis associated with endocrine disease ...
The effects of Kinesio Taping on the trajectory of the forelimb and the muscle activity of the Musculus brachiocephalicus and the Musculus extensor carpi radialis in horses.
PloS one    November 22, 2017   Volume 12, Issue 11 e0186371 doi: 10.1371/journal.pone.0186371
Zellner A, Bockstahler B, Peham C.The present study aimed to investigate the effects of Kinesio Taping on the trajectory of the forelimb and the muscle activity of the M. brachiocephalicus and the M. extensor carpi radialis in horses. 19 horses and ponies of different breeds (body weight: 496±117 kg), gender (8 mares, 10 geldings and 3 stallions) and ages (14.9±6.9 years old) were analysed without Kinesio Tape ("no tape"), with Kinesio Tape (muscle facilitation application on both muscles of both sides, "with tape") and immediately after Kinesio Taping ("post tape") through kinematic motion analysis and surface electromyogra...
Evaluation of microRNA expression in plasma and skeletal muscle of thoroughbred racehorses in training.
BMC veterinary research    November 22, 2017   Volume 13, Issue 1 347 doi: 10.1186/s12917-017-1277-z
McGivney BA, Griffin ME, Gough KF, McGivney CL, Browne JA, Hill EW, Katz LM.Circulating miRNAs (ci-miRNAs) are endogenous, non-coding RNAs emerging as potential diagnostic biomarkers. Equine miRNAs have been previously identified including subsets of tissue-specific miRNAs. In order to investigate ci-miRNAs as diagnostic tools, normal patterns of expression for different scenarios including responses to exercise need to be identified. Human studies have demonstrated that many ci-miRNAs are up-regulated following exercise with changes in expression patterns in skeletal muscle. However, technical challenges such as haemolysis impact on accurate plasma ci-miRNA quantific...
Osteogenic differentiation of equine adipose tissue derived mesenchymal stem cells using CaCl2.
Research in veterinary science    November 21, 2017   Volume 117 45-53 doi: 10.1016/j.rvsc.2017.11.010
Elashry MI, Baulig N, Heimann M, Bernhardt C, Wenisch S, Arnhold S.Adipose tissue derived mesenchymal stem cells (ASCs) may be used to cure bone defects after osteogenic differentiation. In this study we tried to optimize osteogenic differentiation for equine ASCs using various concentrations of CaCl in comparison to the standard osteogenic protocol. ASCs were isolated from subcutaneous adipose tissue from mixed breed horses. The osteogenic induction protocols were (1) the standard osteogenic medium (OM) composed of dexamethasone, ascorbic acid and β-glycerol phosphate; (2) CaCl based protocol composed of 3, 5 and 7.5mM CaCl. Differentiation and proliferatio...
Effects of selective α2 -adrenergic receptor agonists on electrical field-stimulated contractions of isolated bronchi in horses.
Journal of veterinary pharmacology and therapeutics    November 21, 2017   Volume 41, Issue 2 246-253 doi: 10.1111/jvp.12470
Menozzi A, Pozzoli C, Poli E, Colla C, Placenza G, Bertini S.We investigated the effects of different selective α -adrenergic receptor (AR) agonists (detomidine, medetomidine, xylazine, and brimonidine) on the contractions of horse-isolated bronchi induced by electrical field stimulation (EFS) and by carbachol. No effects were observed on the contraction induced by carbachol, while α -AR agonists reduced EFS-evoked contractions in a concentration-related fashion. The rank order of potency (pD ) was brimonidine (7.40 ± 0.20) >medetomidine (7.09 ± 0.24) >detomidine (6.13 ± 0.55) >xylazine (4.59 ± 0.16). The maximal effects (E ) were...
Objective evaluation of the systemic effects of topical application of 1% atropine sulfate ophthalmic solution in healthy horses.
Journal of the American Veterinary Medical Association    November 21, 2017   Volume 251, Issue 11 1324-1330 doi: 10.2460/javma.251.11.1324
Wehrman RF, Gemensky-Metzler AJ, Zibura AE, Nyhart AB, Chandler HL.OBJECTIVE To determine the safety of topical administration of 1% atropine ophthalmic solution in healthy horses by objectively measuring gastrointestinal transit time. DESIGN Randomized, masked, controlled crossover study. ANIMALS 6 adult geldings. PROCEDURES Horses were randomly assigned (3/group) to first receive topical treatment of the left eye with 1% atropine or artificial tears solution; the right eye was left untreated. After 24 hours of treatment every 6 hours, 200 nontoxic beads were administered to each horse via nasogastric intubation and treatment frequency was decreased to every...