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Search 66,525 equine research studies and published journal articles.
A consort-guided randomized, blinded, controlled clinical trial on the effects of 6 weeks training on heart rate variability in thoroughbred horses.
Journal of veterinary internal medicine    December 10, 2024   Volume 39, Issue 1 e17253 doi: 10.1111/jvim.17253
Santosuosso E, Léguillette R, Shoemaker S, Baumwart R, Temple S, Hemmerling K, Kell T, Bayly W.Fitness assessment of horses remains challenging. Heart rate variability (HRV) can be used to monitor human athlete's training, but its value is unknown in horses. Objective: The linear domain HRV variables are affected by fitness. Methods: Twelve healthy untrained thoroughbreds were randomly split into a training group (6 weeks of incremental racetrack training) and a control group (no training). Methods: Linear domain HRV variables were analyzed (high frequency [HF], low frequency [LF], their normalized units [Hf, Lf], root mean square of successive differences between beats [RMSSD], Poinc...
Preliminary Evidence of Human Plasmodium in Domestic Animals from a Malaria-Endemic Region in Indonesia.
F1000Research    December 10, 2024   Volume 10 645 doi: 10.12688/f1000research.53946.4
Munirah M, Wahyuni S, Wahid I, Hamid F.In Indonesia, malaria incidence is at a high rate despite maximum preventive efforts. Therefore, this study aims to determine the possibility of a reservoir among domestic animals in malaria-endemic areas. Animal blood was collected using EDTA tubes, then smeared and stained with Giemsa for microscopic identification. About 10 μl of blood was dropped on to a filter paper to capture DNA. Nested PCR was used for parasite molecular detection, while species were identified using the sequenced DNA. A total of 208 and 62 animal blood samples were collected from Gaura village, West Sumba and Fak...
Detection of Over 110 Anabolic-Androgenic Steroids, Corticosteroids and/or Their Esters in Horse Hair Using Ultra-High-Performance Liquid Chromatography-High-Resolution Mass Spectrometry and Gas Chromatography-Tandem Mass Spectrometry After Solid-Supported Liquid Extraction.
Drug testing and analysis    December 10, 2024   doi: 10.1002/dta.3837
So YM, Kwok WH, Ching CCW, Wong COL, Wan TSM, Ho ENM.Anabolic-androgenic steroids (AAS) are banned substances in both human and equine sports. They are often administered intramuscularly to horses in esterified forms for the purpose of extending their duration of action. As such, the detection of intact esters of endogenous steroids in hair is particularly advantageous, as it can provide unequivocal proof of their external origin. Compared with urine and blood matrices, hair in general allows a longer detection window as long as the administered drug can be incorporated into hair and has not degraded. This can be useful in doping control of equi...
Role of cannabidiolic acid or the combination of cannabigerol/cannabidiol in pain modulation and welfare improvement in horses with chronic osteoarthritis.
Frontiers in veterinary science    December 10, 2024   Volume 11 1496473 doi: 10.3389/fvets.2024.1496473
Aragona F, Tabbì M, Gugliandolo E, Giannetto C, D'Angelo F, Fazio F, Interlandi C.Cannabidiol (CBD) is a non-psychotropic cannabinoid obtained from hemp (Cannabis sativa L.) used for pain management in companion animals including horses. The present study aimed to evaluate the efficacy of cannabidiolic acid (CBDA) and cannabigerol/cannabidiol oil (CBG/CBD) oral administration in alleviating pain in adult horses affected by chronic osteoarthritis (OA). Twenty-four horses (10 geldings and 14 mares), aged between 11 and 18 years old, were equally divided into two groups. One group received CBDA 15% oil and the other group received CBG/CBD oil (CBG20%-CBD10%) for 14 consecuti...
Study of Variation of ACOX1 Gene Among Different Horse Breeds Maintained in Iran.
Animals : an open access journal from MDPI    December 10, 2024   Volume 14, Issue 24 3566 doi: 10.3390/ani14243566
Boozarjomehri Amnieh S, Hassanpour A, Moghaddam S, Sakhaee F, Ropka-Molik K.The gene is vital for fatty acid metabolism and is linked to environmental stress and physical exertion adaptation. The p.Asp237Ser variant (rs782885985) in is associated with increased enzyme activity and reactive oxygen species (ROS) levels. This study examined the polymorphism across six horse breeds in Iran: Arabian, Thoroughbred, KWPN, Caspian, Kurdish, and Turkmen. The goal was to identify differences in genotype distribution, potentially serving as genetic markers under selection pressure related to breed-specific traits. In a sample of 324 horses, genomic DNA was analyzed using PCR...
Immunodeficiencies in Foals.
The Veterinary clinics of North America. Equine practice    December 9, 2024   Volume 40, Issue 2S e1-e19 doi: 10.1016/j.cveq.2024.11.006
Magdesian KG.Knowledge of immunodeficiencies is crucial to neonatal medicine, in that they predispose to sepsis in the newborn and neonatal foal, as well as recurrent infections in older foals. The most common immunodeficiency in newborn and neonatal foals is failure of passive transfer, which is an example of an acquired immunodeficiency. Congenital or developmental immunodeficiencies may be transient or permanent, and can either affect the cell-mediated or humoral arms of immunity, and in some cases both. Affected foals often have chronic or recurrent respiratory or gastrointestinal infections, often wit...
How does the chemical composition of dung affect nitrous oxide and methane emissions in pasture soils?
Journal of environmental management    December 9, 2024   Volume 373 123630 doi: 10.1016/j.jenvman.2024.123630
Amaral Júnior FP, Souza de Sousa CE, Rafael de Almeida Moreira B, Rodrigues Alves BJ, Longhini VZ, da Silva Cardoso A, Ruggieri AC.There is an important gap in how variations in herbivore dung composition affect GHG emissions on pastures, especially due to differences in dry matter (DM) and nitrogen contents. Oversimplifications can compromise the accuracy of mitigation strategies. This study aims to address this gap by investigating how the chemical composition of dung from different species influences GHG emissions in pasture systems. The results showed that drier dung led to higher cumulative N₂O emissions. The highest emissions were observed from goat at 9.47 mg N-N₂O g⁻ dry soil, followed by sheep at 5.95 mg ...
Egg reappearance periods associated with anthelmintic treatments given to horses in winter and summer over two years.
Veterinary parasitology, regional studies and reports    December 9, 2024   Volume 57 101182 doi: 10.1016/j.vprsr.2024.101182
Scott I, Lawrence KE, Gee EK.Shortened egg reappearance periods (ERP) have been seen as an early warning of anthelmintic resistance development in cyathostomins in horses. The hypothesis has been that in these instances, efficacy against egg laying adult cyathostomins remains high, but a decline in activity against later larval stages leads to the earlier resumption of egg shedding after treatment. In this study using a single herd of horses we investigated the ERP of a number of commonly used equine anthelmintics and examined whether ERP might show seasonal variation between winter and summer. Four main Faecal egg count ...
Promoting mental health in military veterans. Methodology and evaluation tools in a pilot study involving an Equine-Assisted Intervention.
Rivista di psichiatria    December 9, 2024   Volume 59, Issue 6 298-305 doi: 10.1708/4386.43838
Military veterans exposed to stressful or traumatic events may experience adjustment difficulties in the post-deployment period, developing a high risk of mental health-related issues. Promising complementary practices such as Equine-Assisted Therapy (EAT) are now widely used, although standardized protocols are missing. The present study aimed to develop an EAT standardized intervention. Methods: A total of 16 veterans were enrolled for the study (11 veterans for the EAT group and 5 veterans for the control group). The EAT lasted 9 months and both a quantitative (State-Trait Anxiety Inventory...
Effects of Porcine Zona Pellucida Immunocontraception on Mare Body Condition and Foaling Season Length in Two Western Wild Horse Populations.
Animals : an open access journal from MDPI    December 9, 2024   Volume 14, Issue 23 doi: 10.3390/ani14233550
Rutberg AT, Grams KA.Wildlife managers and the public have expressed considerable interest in the use of contraception to help manage the populations of wild horses and burros (Equus caballus and E. asinus). Field testing has shown that two preparations of the porcine zona pellucida (PZP) vaccine, a simple emulsion (ZonaStat-H) and PZP-22 (which supplements ZonaStat-H with a controlled-release component) effectively prevent pregnancy in individual mares and can substantially reduce population foaling rates. To determine whether some PZP preparations might have secondary effects that harm treated mares or their foa...
Effectiveness of Equine-Assisted Activities and Therapies for Children with Autism Spectrum Disorder: An Update.
Children (Basel, Switzerland)    December 8, 2024   Volume 11, Issue 12 1494 doi: 10.3390/children11121494
Zoccante L, Sabaini S, Bonatti SM, Rigotti E, Lintas C, Marconi M, Zaffanello M.Autism Spectrum Disorder (ASD) is a complex neurodevelopmental condition requiring personalised therapeutic approaches. This study evaluated the effectiveness of Equine-Assisted Activities and Therapies (EAATs) in 86 children with varying ASD severity levels (levels 1-3). Methods: Vineland Adaptive Behaviour Scales and the Parenting Stress Index were used. Between May 2022 and October 2023, participants completed 20 weekly sessions of 45 min each, tailored to their individual needs. Results: Children with level 3 ASD demonstrated greater challenges in communication (level 1: 67.1 ± 29.0 vs. l...
Traumatic Hemothorax With Rib Fixation in a Professional Jockey Following a Horse Stomping Incident.
Cureus    December 8, 2024   Volume 16, Issue 12 e75349 doi: 10.7759/cureus.75349
Cervantes-Sevilla JR, Ramírez-Cervera M, Guzman-Ruvalcaba MJ.Traumatic hemothorax is a serious condition requiring immediate intervention. We present a case of a 48-year-old male professional jockey who suffered traumatic hemothorax, bilateral pulmonary contusions, and multiple rib fractures after being stomped by a horse. Management included intercostal drainage placement, costal fixation from the 5th to the 10th rib, and intensive care unit admission. Postoperative complications included, acute kidney injury, rhabdomyolysis, and severe acute respiratory distress syndrome. This case highlights the importance of a multidisciplinary approach in managing ...
Histopathological and diagnostic aspects of glanders based on a case series from Brazil.
Journal of equine veterinary science    December 8, 2024   Volume 145 105248 doi: 10.1016/j.jevs.2024.105248
Nassar AFC, Chiebao DP, Fava CD, Miyashiro S, Castro V, Ogata RA, Yamamora JM, Monteiro CAS, Monteiro EJB.Glanders is a zoonotic disease of equids caused by the bacterium Burkholderia mallei, responsible for considerable economic loss. This study aimed to describe the clinical manifestations, pathological findings, and also bacteriological and molecular methods for agent detection in naturally infected animals (16 adult horses and one fetus) detected by serological survey from three glanders outbreaks. Of the 16 horses, 6 (37.5%) did not show clinical signs. After necropsy,samples of organs, lymph nodes, lesions and secretions were collectedfor histopathology, bacterial isolation, and PCR. The cli...
Efficacy of 0.2% povidone-iodine and 0.1% polyhexamethylene biguanide as preoperative antiseptics in equine ophthalmic procedures.
Veterinary ophthalmology    December 8, 2024   doi: 10.1111/vop.13306
Farkas A, Thieme K, Soimala T, Jensen CK, Eule JC.This retrospective study evaluates the efficacy of povidone-iodine (PI) and polyhexamethylene biguanide (PHMB) as preoperative antiseptics in equine ophthalmic procedures. Methods: Horses that underwent routine ophthalmic surgery and procedures. Methods: Data were collected retrospectively from the medical records of equine patients undergoing ophthalmic procedures. Inclusion criteria were sampling for aerobic microbial culture at three different time points (T0: pre-irrigation, T1: post-irrigation, and T2: postoperatively) and T0 showing bacterial growth. Microbiological outcomes were assesse...
Mare milk and fermented mare milk alleviate dextran sulfate sodium salt-induced ulcerative colitis in mice by reducing inflammation and modulating intestinal flora.
Journal of dairy science    December 7, 2024   Volume 108, Issue 3 2182-2198 doi: 10.3168/jds.2024-25181
Li Y, Yue X, Ren X, Pang Y, Wang T, Huangfu B, Mikhailovich ZA, Vasilievich KV, Zhang M, Luan Y, Wang Q, He X.Mare milk (MM) and fermented mare milk (FM) are specialized animal milks with high nutritional value, containing a variety of functionally active substances that are capable of resisting inflammatory responses and oxidative stress. However, little relevant research on the maintenance of intestinal homeostasis has been performed. This study aimed to investigate the effects of MM and FM on the prevention of dextran sulfate sodium salt (DSS)-induced ulcerative colitis in a mouse model and to preliminarily elucidate the underlying mechanisms. The results showed that MM and FM had different degrees...
Transport-related respiratory pathogens in horses travelling long distances: A prospective study on arrival at the slaughterhouse.
Research in veterinary science    December 7, 2024   Volume 183 105498 doi: 10.1016/j.rvsc.2024.105498
Padalino B, Pellegrini F, Felici M, Zappaterra M, Catella C, Cordisco M, Lorusso E, Cirone F, Pratelli A.Respiratory disorders (RDs) are a common transport-related welfare consequence in horses. This prospective study described the journeys of horses transported to two slaughterhouses in Italy, documented the prevalence of potentially RD-related pathogens, and identified possible predisposing factors. Data were recorded from arrival until 48 h after arrival and included the collection of Deep Nasopharyngeal Swabs (DNS), journey details and welfare assessment of horses (n = 155). PCR was used to quantify the presence of influenza A virus, reovirus, equine herpesvirus type 1 and 4, adenovirus, r...
Effect of a dietary nutraceutical “STRUCTURE-Joint” on response of horses to intra-articular challenge with IL-1: implications for tissue adaptation to stress.
Translational animal science    December 7, 2024   Volume 8 txae172 doi: 10.1093/tas/txae172
Korac L, Golestani N, MacNicol J, Souccar-Young J, Witherspoon S, Wildish A, Topfer S, Pearson W.The purpose was to determine local (articular) and systemic effects of intra-articular interleukin-1 in horses supplemented with a dietary PUFA supplement [STRUCTURE-Joint (ST-J)]. Sixteen (16) healthy, mature, light breed horses were randomly assigned to diets containing 0 or 120 mL (n = 8 per group) of ST-J for 30 d. On days 0 (prior to beginning supplementation) and 27, recombinant equine interleukin-1β (reIL-1 β) (75 ng) was injected into the left or right intercarpal joint to induce mild, transient synovitis. Synovial fluid was obtained by aseptic arthrocentesis at postinjection hou...
Global prevalence of Borrelia burgdorferi and Anaplasma phagocytophilum coinfection in wild and domesticated animals: A systematic review and meta-analysis.
Journal of global health    December 6, 2024   Volume 14 04231 doi: 10.7189/jogh.14.04231
Ma W, Gao L, Wu X, Zhong L, Huang X, Yang R, Wu H, Zhu L, Ma W, Peng L, Li B, Song J, Luo S, Bao F, Liu A.Both Borrelia burgdorferi (Bb) and Anaplasma phagocytophilum (Ap) can infect humans and animals through tick-borne transmission, resulting in zoonosis. Under certain conditions, human infection can lead to Lyme disease (LD) and human granulocytosis (HGA), whereas infection in animals can cause various acute and non-specific symptoms. The combination of Bb and Ap has been reported to increase the disease severity in infected animals. In this systematic review and meta-analysis, we investigated the global diversity of Bb and Ap coinfection in animals and their prevalence and distribution regardi...
Performance of Warmblood horses following tenoscopic desmotomy of the main part of the accessory ligament of the superficial digital flexor tendon for treatment of tendinopathy: 62 cases.
Equine veterinary journal    December 5, 2024   doi: 10.1111/evj.14437
Blatter M, Chapman HS, Heinzel-Gutenbrunner M, von Plato G, Rijkenhuizen A.Desmotomy of the accessory ligament of the superficial digital flexor tendon (AL-SDFT) has been described for the treatment of superficial digital flexor tendon (SDFT) tendinopathy in Thoroughbred and Standardbred racehorses, and in event horses. To our knowledge, the outcome of this procedure has not been described in a population of warmblood horses. Objective: To report on the outcome of treatment of SDFT tendinopathy in warmblood horses using tenoscopic desmotomy of the main part of the AL-SDFT. Methods: Prospective observational case series. Methods: All 62 horses included in the case ser...
Microbiological pathogens in fecal samples of foals during the first year of life.
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    December 5, 2024   Volume 52, Issue 6 327-335 doi: 10.1055/a-2450-9531
Jung C, Gentil M, Müller E.The objective of the study was to investigate the age dependent occurrence of different infectious agents in foals with diarrhea. Methods: Fecal samples, which were submitted to a commercial laboratory for a PCR-profile "Foal Diarrhea Pathogens" from 01.01.2021 up to 31.12.2022 (n=144), were examined for Equine Coronavirus (ECoV), , (), toxin-encoding genes , , , and , toxin-encoding genes and , as well as Rotavirus A via PCR. Results: Pathogens could be detected in a high proportion (42.9%) of the samples. Rotavirus A was the most prevalent pathogen in the current study, followed by clos...
The use of sex-sorted semen in horses.
Journal of equine veterinary science    December 5, 2024   Volume 145 105251 doi: 10.1016/j.jevs.2024.105251
Samper JC, Hernandez Aviles JC, Ramirez-Agamez LF, Love CC, Gonzalez-Marin C, Fleury P, Dini P, De La Fuente A, Foss R, Campos FL, Ross PJ.The application of sex-sorted semen in horses has historically lagged the bovine industry due to differences in the reproductive physiology and grater variability in equine semen quality. Recent advancements, including SuperGen™ sorters and Ultraplus™ semen processing methods developed by STgenetics® (Navasota, Texas), have significantly improved the efficiency of the sex-sorting process and reduced the sperm damage previously reported. To facilitate the broader use sex-sorted semen in the equine industry, it is essential to address challenges such as shipping cooled semen to a central so...
[Uroperitoneum in neonatal foals – Investigation on incidence, symptoms, laboratory findings and prognosis].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    December 5, 2024   Volume 52, Issue 6 318-326 doi: 10.1055/a-2450-9437
Bernick A, Wehrend A.Uroperitoneum is a typical disease in newborn foals. It occurs rarely but regularly. The aim of the present study is to present clinical signs, laboratory findings and prognosis of foals with uroperitoneum. Methods: Medical records of 33 foals suffering from uroperitoneum that were treated between 2006 and June 2018 were reviewed retrospectively. Results: The incidence was 2.3% based of all presented foals during the first 14 days of life in the investigation period. Colts (78.8%) were significant more often affected (p=0,012) than fillies (21.2%). Common clinical signs were disturbed general ...
Sleeping and Eating Behavior Recognition of Horses Based on an Improved SlowFast Network.
Sensors (Basel, Switzerland)    December 5, 2024   Volume 24, Issue 23 7791 doi: 10.3390/s24237791
Liu Y, Zhou F, Zheng W, Bai T, Chen X, Guo L.The sleeping and eating behaviors of horses are important indicators of their health. With the development of the modern equine industry, timely monitoring and analysis of these behaviors can provide valuable data for assessing the physiological state of horses. To recognize horse behaviors in stalls, this study builds on the SlowFast algorithm, introducing a novel loss function to address data imbalance and integrating an SE attention module in the SlowFast algorithm's slow pathway to enhance behavior recognition accuracy. Additionally, YOLOX is employed to replace the original target detecti...
Clinical efficacy of inhaled corticosteroids in equine asthma: A meta-analysis and number needed to treat.
Pulmonary pharmacology & therapeutics    December 5, 2024   Volume 88 102342 doi: 10.1016/j.pupt.2024.102342
Equine asthma, a prevalent chronic inflammatory condition affecting the equine population, significantly compromises the performance and quality of life in affected horses. Inhaled corticosteroids (ICS) are often the first-line pharmacological intervention due to their potent anti-inflammatory properties. This meta-analysis investigates the clinical efficacy of ICS in treating equine asthma, emphasizing the number needed to treat (NNT) and the likelihood of achieving a clinical response. A comprehensive literature search identified relevant studies comparing ICS with placebo (PCB) controlled t...
Ice application without water drainage supports optimal hoof cooling in adult horses.
Journal of equine veterinary science    December 5, 2024   Volume 145 105255 doi: 10.1016/j.jevs.2024.105255
Folk KM, White RR, Gleason CB.Cryotherapy is often used to reduce inflammation in acute equine laminitis cases. Certain hoof temperatures have been suggested as effective in minimizing the inflammatory process; however, there is limited evidence on which methods are best at achieving these temperatures. Our objective was to determine how different methods of cryotherapy influence the rate and extent of cooling for the equine hoof wall. Four horses received three hoof cooling treatments and a control (CON; no treatment application) in a 4 × 4 Latin square design. Treatments included (1) ice surrounding the hoof in a 5 L fl...
Effect of hay nets on subluxations, pain-pressure thresholds, and cervical range of motion in the axial skeleton of adult horses.
Journal of equine veterinary science    December 5, 2024   Volume 145 105256 doi: 10.1016/j.jevs.2024.105256
DeBoer M, Rieck T, Johnson L, Redenius H, Martinson K.Horses have become more intensively managed, including the use of hay nets to increase intake time and reduce hay waste, but their impact on health is not well known. The objectives were to compare changes in subluxations, range of motion, and the pain-pressure threshold in the axial skeleton of horses fed hay with (NET) or without (CON) hay nets. In September 2021, 13 adult horses were blocked by bodyweight (BW) and randomly assigned to the NET or CON treatments for one year. After one year, horses switched treatments and the trial concluded in September 2023. Horses were housed in dry lots w...
Unraveling the maternal heritage: identifying the complex origins of indigenous Indian horse and pony breeds through mitochondrial genome analysis.
Mammalian genome : official journal of the International Mammalian Genome Society    December 4, 2024   Volume 36, Issue 1 118-128 doi: 10.1007/s00335-024-10089-6
Ahlawat S, Sharma U, Niranjan SK, Chhabra P, Arora R, Sharma R, Singh KV, Vijh RK, Mehta SC.This study explored the maternal genetic diversity of six indigenous Indian horse and pony breeds (Bhutia, Kathiawari, Manipuri, Marwari, Spiti, and Zanskari) using comprehensive mitochondrial genome (mitogenome) analysis. Blood samples from 53 horses across diverse agro-climatic zones of India were analyzed, revealing 36 distinct haplotypes, with a haplotype diversity of 0.889 and nucleotide diversity of 0.00347. These indices suggest significant maternal genetic diversity in Indian equines. A median-joining (MJ) network, based on the hypervariable region of the D-loop along with sequences of...
Double-blinded, randomized tolerance study of a biologically enhanced Nanogel with endothelin-1 and bradykinin receptor antagonist peptides via intra-articular injection for osteoarthritis treatment in horses.
BMC veterinary research    December 4, 2024   Volume 20, Issue 1 547 doi: 10.1186/s12917-024-04352-w
Terlinden A, Jacquet S, Manivong S, Cullier A, Cassé F, Legendre F, Garcia AA, Roullin G, Moldovan F, Sirois P, Banquy X, Galéra P, Audigié F....Osteoarthritis is a leading cause of pain and retirement in athletic horses. Hydro-expansive functionalized nanogels, acting as Drug Delivery Systems, constitute one of the current therapeutic prospects. These nanogels have the potential to combine mechanical benefits through polymers with the biological effect of prolonged release of bioactive molecules. The purpose of this double-blinded randomized tolerance study versus negative control was to evaluate the response of healthy joints to a single injection of the expected efficient dose (further referred to as the trial dose) and overdose of ...
Electrocardiograms from different types of exercise in Eventing horses with and without cardiac signs.
Equine veterinary journal    December 4, 2024   Volume 57, Issue 4 991-1000 doi: 10.1111/evj.14449
Navas de Solis C, Solomon C, Durando M, Stefanovski D.Exercising arrhythmias can be clinically irrelevant or associated with poor performance, collapse and sudden cardiac death. Objective: To test if readable exercising ECGs can be recorded by grooms or riders and to describe arrhythmias in ECGs from different types of exercise in Eventing horses and investigate associations with type of workout, the presence of previous cardiac signs and intensity of exercise. Methods: Cohort study. Methods: Single lead exercising ECGs were obtained by riders or grooms during training and competition from a convenience sample of horses in training for Eventing c...
Equine Asthma Diagnostics: Review of Influencing Factors and Difficulties in Diagnosing Subclinical Disease.
Animals : an open access journal from MDPI    December 4, 2024   Volume 14, Issue 23 3504 doi: 10.3390/ani14233504
Lendl L, Barton AK.This literature review focuses on diagnostics of equine asthma (EA), possible influencing factors on diagnostic techniques and latest developments in diagnosing horses during EA remission or with subclinical disease. Routine EA diagnostics include a clinical examination of the respiratory system with percussion and auscultation including a rebreathing examination, and clinical pathology including white blood cells and arterial blood gas analysis. Subsequent diagnostics include bronchoscopy to evaluate the amount and viscosity of respiratory secretion, bronchoalveolar lavage, and the cytology o...