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Randomised trial.

Allocates by chance. It is the only design that can separate a cause from a mere co-occurrence.

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HOHorse

Effect of dietary carbohydrates and time of year on ACTH and cortisol concentrations in adult and aged horses

2018 · Domestic Animal Endocrinology

In sixteen healthy horses the basal value reached 57.7 in October against 13.2 pg/ml in March, and older animals on starch-rich feed reached 60.0 against 15.7 pg/ml in similarly fed younger ones: the authors treat feeding as a possible confounder able to lead to wrongly classifying a horse as affected.

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HOHorse

The effect of weightbearing and limb load cycling on equine lamellar perfusion and energy metabolism measured using tissue microdialysis

2016 · Equine Veterinary Journal

In a randomised experiment with nine Standardbreds, frequent load cycling and thirty minutes of walking improved measures of lamellar perfusion, whereas an hour of one-sided standing and sedation changed nothing measurable.

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HOHorse

Digital lamellar inflammatory signaling in an experimental model of equine preferential weight bearing

2023 · Journal of Veterinary Internal Medicine

In the same model of an enforced offloading posture, inflammatory signalling in the lamellar tissue of the loaded limb was raised; the authors treat these pathways as possibly important, in the conditional, and rank them neither above nor below reduced perfusion as a cause.

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HUHuman

Heavy Slow Resistance Versus Eccentric Training as Treatment for Achilles Tendinopathy: A Randomized Controlled Trial

2015 · The American Journal of Sports Medicine

In 58 people with chronic Achilles tendinopathy, eccentric training and heavy slow resistance training improved function and pain equally and durably out to 52 weeks, with no difference between the approaches.

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HOHorse

Beneficial effects of autologous bone marrow-derived mesenchymal stem cells in naturally occurring tendinopathy

2013 · PLoS ONE

In a randomised trial in 12 horses with career-ending flexor tendon injury, the treated tendons showed a better-ordered structure and a more normal composition than the control tendons after six months.

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HUHuman

Colchicine in Patients with Chronic Coronary Disease

2020 · The New England Journal of Medicine

Randomised double-blind trial in 5,522 people with chronic coronary heart disease: the composite endpoint occurred in 6.8 per cent on low-dose colchicine and in 9.6 per cent on placebo, with a mean follow-up of 28.6 months.

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HOHorse

Dust exposure and pulmonary inflammation in Standardbred racehorses fed dry hay or haylage: A pilot study

2021 · The Veterinary Journal

Compared with dry hay, haylage lowered both the respirable dust (0.02 against 0.06 mg/m³) and beta-glucan and the neutrophils of the lung lavage, although in only seven horses.

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HOHorse

Effects of low-dust forages on dust exposure, airway cytology, and plasma omega-3 concentrations in Thoroughbred racehorses: A randomized clinical trial

2022 · Journal of Veterinary Internal Medicine

Steamed hay and haylage lowered dust exposure to the same degree, yet only haylage reduced the neutrophils within six weeks and shifted the fatty acid profile towards the inflammation-resolving side.

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HOHorse

Efficacy of dexamethasone, salbutamol, and reduced respirable particulate concentration on aerobic capacity in horses with smoke-induced mild asthma

2020 · Journal of Veterinary Internal Medicine

When the fine particulate load of the ambient air fell from about 36 to about 7 micrograms per cubic metre, maximal oxygen uptake rose by 13.2%, with no difference between the corticosteroid and saline groups; the final exercise test in every animal followed an additional dose of salbutamol, and a comparison group kept under continued exposure was lacking.

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HOHorse

Inhaled ciclesonide is efficacious and well tolerated in the treatment of severe equine asthma in a large prospective European clinical trial

2021 · Equine Veterinary Journal

Among 224 horses, 73.4% reached the defined success on inhaled ciclesonide against 43.2% on sham treatment; the authors stress the considerable placebo share.

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HOHorse

Use of inhaled ciclesonide for treatment of moderate asthma in Thoroughbred racehorses

2025 · Journal of Veterinary Internal Medicine

Inhaled ciclesonide improved clinical signs and mast cell proportion in racehorses with moderate asthma even without any change in husbandry; the effect on neutrophilic forms remained unresolved.

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HOHorse

Nebulized dexamethasone sodium phosphate in the treatment of horses with severe asthma

2021 · Journal of Veterinary Internal Medicine

Orally administered dexamethasone improved airway resistance, the nebulised form did not, while both routes suppressed the adrenal axis.

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HOHorse

Intra-articular triamcinolone acetonide improves lung function in horses with severe asthma

2019 · Equine Veterinary Journal

Triamcinolone injected into the hocks improved the lung function of asthmatic horses within a week, so that a joint treatment can delay the diagnosis of a lung disease.

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HOHorse

Effects of azithromycin on bronchial remodeling in the natural model of severe neutrophilic asthma in horses

2022 · Scientific Reports

Azithromycin added to inhaled fluticasone lowered airway neutrophilia more strongly, but improved neither lung function nor the regression of the smooth muscle over five months.

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HOHorse

Effect of injected dexamethasone on relative cytokine mRNA expression in bronchoalveolar lavage fluid in horses with mild asthma

2019 · BMC Veterinary Research

Horses with mild asthma showed interleukin-17 raised around fivefold and interleukin-10 lowered; dexamethasone lowered individual cytokines but did not change the cell profile, which points to continuing environmental exposure as the driver.

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HOHorse

Effect of intrabronchial administration of autologous adipose-derived mesenchymal stem cells on severe equine asthma

2022 · Stem Cell Research & Therapy

The animal's own adipose-derived cells did not achieve proof of equivalence with dexamethasone, but did improve clinical signs and individual inflammatory cytokines, with an effect over a year.

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MUMultiple species

Caregiver placebo effect for dogs with lameness from osteoarthritis

2012 · Journal of the American Veterinary Medical Association

In the placebo group (58 dogs), owners saw an improvement in 39.7 per cent of cases and veterinary surgeons in 44.8 per cent, while the force plate showed no change in 46 of the 58 dogs.

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HOHorse

Induction of laminitis by prolonged hyperinsulinaemia in clinically normal ponies

2007 · The Veterinary Journal

In nine healthy ponies with no history of laminitis, all five animals treated with insulin developed laminitis in all four feet after a mean of 55.4 hours with blood glucose held normal, none of the four comparison animals did, and no digestive or general signs appeared.

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HOHorse

Equine laminitis: induced by 48 h hyperinsulinaemia in Standardbred horses

2010 · Equine Veterinary Journal

Four of four Standardbred trotters treated with insulin developed laminitis in less than 48 hours and none of the four comparison animals did, even though all treated animals had a calculated insulin sensitivity in the normal range beforehand.

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HOHorse

Effect of feeding glucose, fructose, and inulin on blood glucose and insulin concentrations in normal ponies and those predisposed to laminitis

2012 · Journal of Animal Science

In a crossover trial in twelve ponies at one gram per kilogram per day, inulin changed blood glucose and insulin only slightly and fructose distinctly less than glucose, while laminitis-prone and normal ponies separated most clearly after glucose.

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HOHorse

Effects of endotoxaemia and carbohydrate overload on glucose and insulin dynamics and the development of laminitis in horses

2009 · Equine Veterinary Journal

In groups of eight horses, five grams of oligofructose per kilogram alone made only two animals laminitic, preceding endotoxin made five, and endotoxin alone none, while both stimuli lowered insulin sensitivity without reinforcing one another.

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HOHorse

Equine laminitis model: cryotherapy reduces the severity of lesions evaluated seven days after induction with oligofructose

2009 · Equine Veterinary Journal

Carried out in 18 horses in three groups, this paper documents the model: oligofructose doses regarded as triggering still produced measurable lamellar damage seven days later, which 72 hours of limb cooling reduced markedly.

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HOHorse

Strip-grazing: Reduces pony dry matter intakes and changes in bodyweight and morphometrics

2022 · Equine Veterinary Journal

Twelve ponies on plots sized for 1.5 per cent of bodyweight took in a calculated 2.33 per cent with immediate full access and gained 4.82 per cent in weight, against 1.59 to 1.82 per cent and 1.16 to 1.54 per cent where the area was allocated in portions.

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HOHorse

Insulinaemic and glycaemic responses to three forages in ponies

2018 · The Veterinary Journal

At equal dry matter, soaked hay triggered the lowest insulin response, dry hay almost three times as high and haylage around six times as high, while the glucose response barely differed; this is the only randomised trial that compares soaked and dry hay directly.

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HOHorse

Dietary restriction in combination with a nutraceutical supplement for the management of equine metabolic syndrome in horses

2013 · The Veterinary Journal

A supplement and not the soaking was randomised, both groups receiving soaked hay; what remains usable is the measurement in the hay, with 38 per cent less non-structural carbohydrate and 6.78 per cent less digestible energy, together with the finding that the improvement in insulin sensitivity depended on the starting state and on weight loss.

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HOHorse

The sodium-glucose co-transporter 2 inhibitor velagliflozin reduces hyperinsulinemia and prevents laminitis in insulin-dysregulated ponies.

2018 · PLoS One

In the untreated control arm 14 of 37 ponies with an existing insulin disorder developed laminitis on a starch-rich ration, whereas lowering insulin prevented it; only the fate of the control group matters here, and the substance tested is deliberately not discussed.

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HUHuman

The Effect of Including Benchmark Prevalence Data of Common Imaging Findings in Spine Image Reports on Health Care Utilization Among Adults Undergoing Spine Imaging: A Stepped-Wedge Randomized Clinical Trial

2020 · JAMA Network Open

Among more than 238,000 adults analysed, stating in the report how common a finding is in people without symptoms did not measurably change the use of health care services, but slightly reduced the prescribing of opioids.

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HOHorse

Efficacy and effects of various anti-crib devices on behaviour and physiology of crib-biting horses

2016 · Equine Veterinary Journal

In a randomised crossover trial in eight horses, two anti-crib collars and a muzzle lowered crib-biting with no difference between them and with no detectable rise on the day after removal, while surgically placed gum rings in six horses worked only temporarily and were probably painful; the research group calls for the housing conditions to be addressed rather than the behaviour prevented mechanically.

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HOHorse

The effect of short-term prevention on the subsequent rate of crib-biting in thoroughbred horses

1998 · Equine Veterinary Journal. Supplement

An anti-crib collar prevented crib-biting in six of eight horses over 24 hours, and on the following day these horses crib-bit clearly more often than the comparison horses and than before, which the authors read as an increase in internal motivation during prevention.

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HOHorse

Study of crib-biting and gastric inflammation and ulceration in young horses

2002 · The Veterinary Record

19 young horses that had begun crib-biting shortly before had clearly more damaged and more inflamed stomachs at the outset than 16 unaffected animals, together with a lower faecal pH; a randomly allocated acid-buffering ration improved the stomach findings, but crib-biting declined in both groups, only somewhat more strongly on that ration.

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HOHorse

The route of administration drastically affects ivermectin activity against small strongyles in horses

2017 · Veterinary Parasitology

In two experiments on naturally infected horses, efficacy against small strongyles was 100 per cent after oral dosing and 36 to 64 per cent after intramuscular injection, although blood levels were higher there: what decides is the exposure of the worms in the gut lumen, not the plasma concentration.

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HOHorse

Shortened egg reappearance periods of equine cyathostomins following ivermectin or moxidectin treatment: morphological and molecular investigation of efficacy and species composition

2022 · International Journal for Parasitology

In 36 grazing horses with post-mortem work after two and five weeks, the disappearance of eggs does not mirror the disappearance of the parasites: very high efficacy against adult worms (99.9 and 99.7 per cent after two weeks, 88.3 and 57.6 per cent after five) alongside nil efficacy against luminal larval stages after five weeks; larval counts were reported for moxidectin only.

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HOHorse

Comparison of the larvicidal efficacies of moxidectin or a five-day regimen of fenbendazole in horses harboring cyathostomin populations resistant to the adulticidal dosage of fenbendazole

2015 · Veterinary Parasitology

In a blinded experiment on 18 young horses with complete worm counts, the five-day fenbendazole regime lowered egg counts by 44.6 per cent but reached 71.2 per cent against late mucosal larvae, while moxidectin reached 99.9 per cent on eggs and 85.2 per cent on those same stages: egg reduction and larval reduction move independently of one another.

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HOHorse

Comparison of a single dose of moxidectin and a five-day course of fenbendazole to reduce and suppress cyathostomin fecal egg counts in a herd of embryo transfer-recipient mares

2014 · Journal of the American Veterinary Medical Association

In 82 treated mares egg reduction after 14 days was 99.9 per cent against 41.9 per cent, yet after 45 days the second group already exceeded its starting values while the first stayed below them for more than 90 days: a check value at two weeks says nothing about how long the effect lasts.

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HOHorse

Local and systemic inflammatory and immunologic reactions to cyathostomin larvicidal therapy in horses

2015 · Veterinary Immunology and Immunopathology

In 18 young horses larvicidal treatment produced only a mild local inflammatory reaction with no systemic response, which the authors rate as of little clinical importance; they recall the case fatality of larval cyathostominosis of around 50 per cent and do not test what egg counts can show.

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HOHorse

Effects of fecal microbiota transplantation on clinical outcomes and fecal microbiota of foals with diarrhea

2024 · Journal of Veterinary Internal Medicine

In 25 foals with diarrhoea the transfer of gut flora appeared safe but changed neither survival nor resolution of the diarrhoea; three foals originally allocated to the control group were switched to treatment during the trial, which weakens the randomised comparison.

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HOHorse

The longitudinal effect of a multi-strain probiotic on the intestinal bacterial microbiota of neonatal foals

2016 · Equine Veterinary Journal

In a randomised field trial in 38 newborn foals the effects of a multi-strain product on the microbiome remained limited, and the proportion of lactobacilli and bifidobacteria did not rise while it was given.

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HOHorse

Efficacy of Saccharomyces boulardii for treatment of horses with acute enterocolitis

2005 · Journal of the American Veterinary Medical Association

In 14 horses with acute enterocolitis the severity and duration of the illness were milder and shorter under a yeast than under placebo, the yeast passing through the digestive tract without colonising it durably.

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HUHuman

Magnesium Bisglycinate Supplementation in Healthy Adults Reporting Poor Sleep: A Randomized, Placebo-Controlled Trial

2025 · Nature and Science of Sleep

In 155 adults with poor sleep, insomnia severity fell by 3.9 points after four weeks against 2.3 points on placebo; the effect was small, and in an exploratory analysis people with a low dietary magnesium intake benefited more.

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HUHuman

Magnesium-L-threonate improves sleep quality and daytime functioning in adults with self-reported sleep problems: A randomized controlled trial

2024 · Sleep Medicine: X

Eighty adults over 21 days: readings for deep and REM sleep captured with a measurement ring, along with several self-reported measures of mood and daytime form, came out better than on placebo; co-authors are from the ingredient supplier.

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HOHorse

Effects of magnesium with or without boron on headshaking behavior in horses with trigeminal-mediated headshaking

2019 · Journal of Veterinary Internal Medicine

Randomised dietary trial in six affected and six healthy geldings: headshaking frequency fell by 52 per cent on magnesium and by 64 per cent on magnesium with boron, but the pelleted base feed without any addition already lowered it by 44 per cent.

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HOHorse

Comparative Efficacy of Topical Pyrethroids and Benzoyl Peroxide for Treating Chorioptic Mange in Spanish-Breton Horses

2025 · Journal of Parasitology Research

In a double-blind randomised trial in 32 Breton horses over seventy days the mite count fell markedly further under the combination, but the skin changes improved only to a limited degree and not at all in the most severely affected horses, which the authors attribute to the short study duration.

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HOHorse

Alleviating lesions of chronic progressive lymphedema in Belgian draft horses by successfully treating Chorioptes bovis infestation with moxidectin 0.5% pour-on

2023 · Veterinary Parasitology

In a placebo-controlled trial in 19 draught horses, itching and mange lesions had clearly receded after mite treatment, but the skin fold score as a measure of established tissue change had not, and in three of the ten treated horses mites reappeared after 24 weeks.

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HOHorse

Randomised controlled trial of the treatment of pastern dermatitis with a formulation containing kunzea oil

2009 · Veterinary Record

Of 37 randomised horses only 21 completed the study; the preparation containing kunzea oil clearly reduced the lesion area after seven days, which the comparison antifungal did not, while neither fungal diagnostics nor a placebo group nor follow-up for relapse was provided for.

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HUHuman

Effects of targeted delivery of propionate to the human colon on appetite regulation, body weight maintenance and adiposity in overweight adults

2015 · Gut

An ester that releases propionate specifically in the colon acutely raised satiety hormones and, over 24 weeks in 60 overweight adults, reduced weight gain, abdominal fat and liver fat compared with the inulin control.

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HUHuman

A randomized dietary intervention to increase colonic and peripheral blood SCFAs modulates the blood B- and T-cell compartments in healthy humans

2022 · The American Journal of Clinical Nutrition

In a 21-day crossover study with 20 healthy adults, a high-fibre diet raised plasma butyrate from 2.02 to 2.85 micromoles per litre, and the numbers of B cells and of certain T cells in the blood fell; clinical significance unclear.

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HUHuman

Substitution of Refined Conventional Wheat Flour with Wheat High in Resistant Starch Modulates the Intestinal Microbiota and Fecal Metabolites in Healthy Adults: A Randomized, Controlled Trial

2022 · The Journal of Nutrition

In 80 healthy adults, replacing white flour with high-amylose wheat flour raised faecal butyrate excretion by 38 per cent compared with the control, while total fatty acids and stool weight remained unchanged.

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HUHuman

Therapeutic Effects of Butyrate on Pediatric Obesity: A Randomized Clinical Trial

2022 · JAMA Network Open

In 54 children with obesity, 96 per cent on sodium butyrate over six months reached the predefined target of a reduction in body mass index, against 56 per cent on placebo, with additionally lower waist circumference, insulin and interleukin-6.

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HUHuman

Effects of short-chain fatty acid-butyrate supplementation on expression of circadian-clock genes, sleep quality, and inflammation in patients with active ulcerative colitis: a double-blind randomized controlled trial

2024 · Lipids in Health and Disease

In 36 people with active ulcerative colitis, sodium butyrate over twelve weeks lowered faecal calprotectin and the high-sensitivity inflammatory marker in the blood and improved sleep and quality-of-life scores; small sample, single centre.

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HOHorse

The effect of the fat to starch ratio in young horses' diet on plasma metabolites, muscle endurance and fear responses

2025 · Journal of Animal Physiology and Animal Nutrition

In 20 four-year-old Warmblood stallions over nine weeks, plasma metabolites did not differ between a high-starch and a high-fat ration; only exploratory behaviour tended to diverge between the groups.

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HOHorse

Effect of vaccination against leptospirosis on the frequency, days to recurrence and progression of disease in horses with equine recurrent uveitis

2005 · Veterinary Ophthalmology

In 41 already diseased horses over one year, vaccination reduced neither the frequency of relapse (7 of 20 against 12 of 21) nor the progression in a way that could be secured; only the interval to the first relapse lengthened markedly, and the authors record that the data do not support routine use as an accompanying treatment.

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HOHorse

The Effect of Noseband Tightening on Horses' Behavior, Eye Temperature, and Cardiac Responses

2016 · PLoS One

In twelve horses randomly allocated to four settings, a rise in heart rate, a fall in heart rate variability and a rise in eye temperature appeared only with the strap fully closed, while chewing was already reduced from one finger onwards and a marked catch-up behaviour followed unbridling.

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HOHorse

Do tight nosebands have an effect on the upper airways of horses?

2024 · Veterinary Medicine and Science

In a randomised, blinded trial with sixteen ridden horses the measured pharyngeal diameter remained unchanged, while the amount of secretion, the lateral deviation of the epiglottic folds and collapse of the pharyngeal wall increased with the tight strap and the pain ethogram score rose, without exceeding the threshold in any horse.

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HOHorse

Comparison of Rein Forces and Pressure Beneath the Noseband and Headpiece of a Snaffle Bridle and a Double Bridle

2025 · Animals (Basel)

In eleven dressage horses with the noseband set to two fingers, the pressure under the strap did not differ between snaffle and double bridle, while pressure and force at the poll were higher with the double bridle and rein tension lower; only the order of the two bridles within the same horse was randomised.

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HOHorse

Sleep Pattern Interference in the Cognitive Performance of Lusitano Horses

2024 · Animals

The only randomised trial of lying deprivation in the horse showed no statistically meaningful cognitive disadvantage in ten Lusitanos after 72 hours without lying down, only trends towards longer times in both tasks.

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HOHorse

A randomized placebo-controlled double-blinded study comparing oral and subcutaneous administration of mistletoe extract for the treatment of equine sarcoid disease

2024 · Journal of Veterinary Internal Medicine

In 45 horses across three groups over 14 months, no statistically secure difference was found between mistletoe extract and placebo, neither with oral nor with subcutaneous administration, while oral administration was well tolerated.

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HOHorse

Treatment of clinically diagnosed equine sarcoid with a mistletoe extract (Viscum album austriacus)

2010 · Journal of Veterinary Internal Medicine

In 53 horses with 444 sarcoids, lesions regressed fully or in part in 13 of 32 treated horses against 3 of 21 control horses; the authors called the extract safe and effective in the clinically diagnosed sarcoid, while the complete disappearance of individual lesions fell short of statistical confirmation.

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HOHorse

Treating insect-bite hypersensitivity in horses with active vaccination against IL-5.

2018 · The Journal of Allergy and Clinical Immunology

In 34 Icelandic horses (19 vaccinated, 15 on a dummy preparation) 47 per cent of the vaccinated animals halved and 21 per cent improved by three quarters their lesion score, against 13 and 0 per cent on placebo, with 17 of the 19 vaccinated horses forming antibodies and improvement depending on a minimum level: a first successful but partial immunotherapy, not a cure.

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HOHorse

Allergen-specific immunotherapy in horses with insect bite hypersensitivity: a double-blind, randomized, placebo-controlled study.

2014 · Veterinary Dermatology

In 20 horses over one year the clinical values never differed between desensitisation and sham treatment; both groups improved to a similar degree, which the authors attribute to the repellent applied weekly in both groups.

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HOHorse

Essential oil spray reduces clinical signs of insect bite hypersensitivity in horses.

2020 · Australian Veterinary Journal

In a blinded crossover trial in 20 horses all four values recorded by the veterinary surgeons, itch included, improved against baseline and against the dummy preparation, while the keepers reported complete disappearance in 85 per cent and only one of four tissue samples was entirely unremarkable.

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HOHorse

A cream containing omega-3-fatty acids, humectants and emollients as an aid in the treatment of equine Culicoides hypersensitivity.

2019 · Veterinary Dermatology

In the half-body comparison over the first four weeks the skin lesions on the treated side improved against the untreated side, while itch and coat quality did not change meaningfully; from day 28 both sides were treated, so that the later comparison was no longer controlled.

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SPSpecies-independent

A randomised controlled trial of an Intervention to Improve Compliance with the ARRIVE guidelines (IICARus)

2019 · Research Integrity and Peer Review

1,689 randomised manuscripts: the editorial request to complete an ARRIVE checklist produced full compliance in neither group; only the information on housing improved, from 52.1 to 74.1 per cent.

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HOHorse

MicroRNA29a Treatment Improves Early Tendon Injury

2017 · Molecular Therapy

Randomised, blinded study in 17 horses with an induced lesion of the superficial digital flexor tendon: intralesional microRNA treatment lowered collagen 3 transcripts, reduced the cross-sectional area of the lesion and improved the histological score compared with placebo.

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