{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T19:00:13Z","timestamp":1790103613494,"version":"4.0.1"},"reference-count":35,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2013,4,22]],"date-time":"2013-04-22T00:00:00Z","timestamp":1366588800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["beva.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Equine Veterinary Journal"],"published-print":{"date-parts":[[2013,11]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Reasons for performing the study<\/jats:title>\n                    <jats:p>\n                      Increased levels of pregnanes have been reported in foals with neonatal maladjustment syndrome (\n                      <jats:styled-content style=\"fixed-case\">NMS<\/jats:styled-content>\n                      ). These steroids may cross the blood\u2013brain barrier and have depressive effects in the central nervous system leading to behavioural abnormalities and altered states of consciousness in affected foals.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      The aim of this study was to determine the pregnane profile of foals with\n                      <jats:styled-content style=\"fixed-case\">NMS<\/jats:styled-content>\n                      and compare it with that of healthy controls and sick, non\u2010\n                      <jats:styled-content style=\"fixed-case\">NMS<\/jats:styled-content>\n                      foals.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study design<\/jats:title>\n                    <jats:p>Prospective\u2010clinical study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Thirty\u2010two foals with a clinical diagnosis of\n                      <jats:styled-content style=\"fixed-case\">NMS<\/jats:styled-content>\n                      , 12 foals with other neonatal disorders and 10 healthy control foals were selected for the study. Heparinised blood samples were collected from each group of foals and pregnane and androgen concentrations determined using liquid chromatography mass spectrometry at 0, 24 and 48\u2009h of age.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Healthy foals showed a significant decrease in pregnane concentrations over the first 48\u2009h of life (P&lt;0.01). Foals with\n                      <jats:styled-content style=\"fixed-case\">NMS<\/jats:styled-content>\n                      and sick, non\u2010\n                      <jats:styled-content style=\"fixed-case\">NMS<\/jats:styled-content>\n                      foals had significantly increased progesterone, pregnenolone, androstenedione, dehydroepiandrosterone and epitestosterone concentrations compared with healthy foals (P&lt;0.05). Progesterone and pregnenolone concentrations of sick, non\u2010\n                      <jats:styled-content style=\"fixed-case\">NMS<\/jats:styled-content>\n                      foals decreased significantly over 48\u2009h (P&lt;0.05), whereas concentrations in\n                      <jats:styled-content style=\"fixed-case\">NMS<\/jats:styled-content>\n                      foals remained increased.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and potential relevance<\/jats:title>\n                    <jats:p>\n                      Pregnane concentrations of ill, neonatal foals remain increased following birth, reflecting a delayed, or interrupted, transition from intra\u2010 to extra\u2010uterine life. Serial progesterone and pregnenolone measurement may be useful in aiding diagnosis of\n                      <jats:styled-content style=\"fixed-case\">NMS<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/evj.12065","type":"journal-article","created":{"date-parts":[[2013,2,19]],"date-time":"2013-02-19T13:00:26Z","timestamp":1361278826000},"page":"661-665","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":50,"title":["Abnormal plasma neuroactive progestagen derivatives in ill, neonatal foals presented to the neonatal intensive care unit"],"prefix":"10.1111","volume":"45","author":[{"given":"M.","family":"Aleman","sequence":"first","affiliation":[{"name":"Department of Medicine and Epidemiology School of Veterinary Medicine University of California  USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. 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