{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T09:17:30Z","timestamp":1778923050725,"version":"3.51.4"},"reference-count":39,"publisher":"American Veterinary Medical Association (AVMA)","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["javma"],"published-print":{"date-parts":[[2021,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n<jats:sec id=\"s001\">\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>To identify and quantify potential ergonomic hazards associated with routine reproductive examinations of cattle.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s002\">\n<jats:title>SAMPLE<\/jats:title>\n<jats:p>7 bovine veterinarians.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s003\">\n<jats:title>PROCEDURES<\/jats:title>\n<jats:p>Each veterinarian was observed and videotaped during 2 bovine reproductive examination appointments. During each appointment, a force-matching protocol was used to estimate the entry force used by the veterinarian to insert an arm into a cow's rectum. Veterinarian posture and repetitive movements and the work environment were assessed and quantified during review of the video recordings. Descriptive data were generated.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s004\">\n<jats:title>RESULTS<\/jats:title>\n<jats:p>Of the 14 appointments observed, 9 and 5 involved examination of beef and dairy cows, respectively. For all veterinarians, an arm inclination \u2265 60\u00b0 was observed during most reproductive examinations. The number of examinations performed per hour ranged from 19.1 to 116.8. The estimated entry force ranged from 121 to 349 N. During all 9 appointments involving beef cows, the veterinarian participated in other tasks (eg, operating overhead levers, opening gates, or assisting with cattle handling) that represented ergonomic hazards.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s005\">\n<jats:title>CONCLUSIONS AND CLINICAL RELEVANCE<\/jats:title>\n<jats:p>Results confirmed that reproductive examination of cattle exposes veterinarians to various ergonomic hazards involving awkward positions and repetitive and forceful exertions that can contribute to musculoskeletal discomfort and injury, particularly of the upper extremities (neck, shoulders, upper back, arms, elbows, wrists, and hands). Veterinarians frequently participated in other tasks during reproductive examination appointments that exposed them to additional ergonomic hazards. Risk mitigation strategies should prioritize minimizing exposure of veterinarians to tasks not directly associated with the reproductive examination procedure to decrease their overall ergonomic hazard burden.<\/jats:p>\n<\/jats:sec>","DOI":"10.2460\/javma.258.11.1243","type":"journal-article","created":{"date-parts":[[2021,5,12]],"date-time":"2021-05-12T14:48:22Z","timestamp":1620830902000},"page":"1243-1253","source":"Crossref","is-referenced-by-count":1,"title":["Ergonomic assessment of veterinarians during performance of bovine reproductive examinations"],"prefix":"10.2460","volume":"258","author":[{"given":"Robyn M.","family":"Reist","sequence":"first","affiliation":[{"name":"Canadian Centre for Health and Safety in Agriculture, University of Saskatchewan, Saskatoon, SK S7N 2Z4 Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brenna L.","family":"Bath","sequence":"additional","affiliation":[{"name":"Canadian Centre for Health and Safety in Agriculture, University of Saskatchewan, Saskatoon, SK S7N 2Z4 Canada."},{"name":"School of Rehabilitation Science, College of Medicine, University of Saskatchewan, Saskatoon, SK S7N 2Z4 Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Murray D.","family":"Jelinski","sequence":"additional","affiliation":[{"name":"Department of Veterinary Medicine, Western College of Veterinary Medicine, University of Saskatchewan, Saskatoon, SK S7N 2Z4 Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nathan E. N.","family":"Erickson","sequence":"additional","affiliation":[{"name":"Department of Veterinary Medicine, Western College of Veterinary Medicine, University of Saskatchewan, Saskatoon, SK S7N 2Z4 Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chris R.","family":"Clark","sequence":"additional","affiliation":[{"name":"Department of Veterinary Medicine, Western College of Veterinary Medicine, University of Saskatchewan, Saskatoon, SK S7N 2Z4 Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine M.","family":"Trask","sequence":"additional","affiliation":[{"name":"Canadian Centre for Health and Safety in Agriculture, University of Saskatchewan, Saskatoon, SK S7N 2Z4 Canada."},{"name":"Division of Ergonomics, School of Engineering Sciences in Chemistry, Biotechnology and Health, KTH Royal Institute of Technology, Stockholm, Sweden."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1272","reference":[{"key":"R1","series-title":"J Am Vet Med Assoc","doi-asserted-by":"publisher","first-page":"207","DOI":"10.2460\/javma.248.2.207","article-title":"Survey of occupational hazards in Minnesota veterinary practices in 2012","volume":"248","author":"Fowler HN","year":"2016","unstructured":"Fowler HN, Holzbauer SM, Smith KE,  Survey of occupational hazards in Minnesota veterinary practices in 2012. J Am Vet Med Assoc 2016;248:207\u2013218.10.2460\/javma.248.2.207"},{"key":"R2","series-title":"Am J Ind Med","doi-asserted-by":"publisher","first-page":"855","DOI":"10.1002\/ajim.22076","article-title":"Cumulative trauma disorders among California veterinarians","volume":"55","author":"Berry SL","year":"2012","unstructured":"Berry SL, Susitaival P, Ahmadi A,  Cumulative trauma disorders among California veterinarians. Am J Ind Med 2012;55:855\u2013861.10.1002\/ajim.22076"},{"key":"R3","series-title":"Appl Ergon","doi-asserted-by":"publisher","first-page":"444","DOI":"10.1016\/j.apergo.2009.09.009","article-title":"Prevalence and risk factors associated with musculoskeletal discomfort in New Zealand veterinarians","volume":"41","author":"Scuffham AM","year":"2010","unstructured":"Scuffham AM, Legg SJ, Firth EC,  Prevalence and risk factors associated with musculoskeletal discomfort in New Zealand veterinarians. Appl Ergon 2010;41:444\u2013453.10.1016\/j.apergo.2009.09.009"},{"key":"R4","series-title":"Can Vet J","first-page":"871","article-title":"Musculoskeletal discomfort among Canadian bovine practitioners: prevalence, impact on work, and perception of physically demanding tasks","volume":"59","author":"Zeng X","year":"2018","unstructured":"Zeng X, Reist R, Jelinski M,  Musculoskeletal discomfort among Canadian bovine practitioners: prevalence, impact on work, and perception of physically demanding tasks. Can Vet J 2018;59:871\u2013879."},{"key":"R5","series-title":"Can Vet J","first-page":"411","article-title":"Occupational arm, shoulder, and neck syndrome affecting large animal practitioners","volume":"37","author":"Ailsby RL","year":"1996","unstructured":"Ailsby RL. Occupational arm, shoulder, and neck syndrome affecting large animal practitioners. Can Vet J 1996;37:411."},{"key":"R6","series-title":"Bov Pract","first-page":"1","article-title":"Rectal palpation associated cumulative trauma disorders and acute traumatic injury affecting bovine practitioners","volume":"34","author":"Cattell MB","year":"2000","unstructured":"Cattell MB. Rectal palpation associated cumulative trauma disorders and acute traumatic injury affecting bovine practitioners. Bov Pract 2000;34:1\u20135."},{"key":"R7","series-title":"J Am Vet Med Assoc","doi-asserted-by":"publisher","first-page":"410","DOI":"10.2460\/javma.257.4.410","article-title":"Risk factors associated with work-preventing musculoskeletal discomfort in the upper extremities of bovine practitioners","volume":"257","author":"Reist RM","year":"2020","unstructured":"Reist RM, Bath BL, Jelinski MD,  Risk factors associated with work-preventing musculoskeletal discomfort in the upper extremities of bovine practitioners. J Am Vet Med Assoc 2020;257:410\u2013416.10.2460\/javma.257.4.410"},{"key":"R8","series-title":"PLoS One","doi-asserted-by":"publisher","first-page":"e89362","DOI":"10.1371\/journal.pone.0089362","article-title":"Self-reported musculoskeletal disorders of the distal upper extremities and the neck in German veterinarians: a cross-sectional study","volume":"9","author":"Kozak A","year":"2014","unstructured":"Kozak A, Schedlbauer G, Peters C,  Self-reported musculoskeletal disorders of the distal upper extremities and the neck in German veterinarians: a cross-sectional study. PLoS One 2014;9:e89362.10.1371\/journal.pone.0089362"},{"key":"R9","series-title":"Arh Hig Rada Toksikol","doi-asserted-by":"publisher","first-page":"198","DOI":"10.1515\/aiht-2017-68-3011","article-title":"The examination of work-related musculoskeletal discomforts and risk factors in veterinarians","volume":"68","author":"Ergan M","year":"2017","unstructured":"Ergan M, Balkurt F, Balkurt Z. The examination of work-related musculoskeletal discomforts and risk factors in veterinarians. Arh Hig Rada Toksikol 2017;68:198\u2013205.10.1515\/aiht-2017-68-3011"},{"key":"R10","series-title":"J Agromedicine","doi-asserted-by":"publisher","first-page":"35","DOI":"10.1080\/1059924X.2018.1536574","article-title":"Assessment of musculoskeletal injuries associated with palpation, infection control practices, and zoonotic disease risks among Utah clinical veterinarians","volume":"24","author":"Rood KA","year":"2019","unstructured":"Rood KA, Pate ML. Assessment of musculoskeletal injuries associated with palpation, infection control practices, and zoonotic disease risks among Utah clinical veterinarians. J Agromedicine 2019;24:35\u201345.10.1080\/1059924X.2018.1536574"},{"key":"R11","series-title":"N Z Vet J","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1080\/00480169.2010.64872","article-title":"Tasks considered by veterinarians to cause them musculoskeletal discomfort, and suggested solutions","volume":"58","author":"Scuffham AM","year":"2010","unstructured":"Scuffham AM, Firth EC, Stevenson MA,  Tasks considered by veterinarians to cause them musculoskeletal discomfort, and suggested solutions. N Z Vet J 2010;58:37\u201344.10.1080\/00480169.2010.64872"},{"key":"R12","series-title":"Proceedings. 20th Congr Int Ergon Assoc","first-page":"639","article-title":"Up to our elbows in ergonomics: quantifying the risks of bovine rectal palpations","author":"Reist R","year":"2018","unstructured":"Reist R, Jelinski M, Bath B,  Up to our elbows in ergonomics: quantifying the risks of bovine rectal palpations, in Proceedings. 20th Congr Int Ergon Assoc 2018;639\u2013649."},{"key":"R13","series-title":"Musculoskeletal disorders and workplace factors: a critical review of epidemiologic evidence for work-related musculoskeletal disorders of the neck, upper extremity, and low back","author":"Bernard B","unstructured":"Bernard B, Putz-Anderson V, Burt S,  CDC. Musculoskeletal disorders and workplace factors: a critical review of epidemiologic evidence for work-related musculoskeletal disorders of the neck, upper extremity, and low back. Available at: www.cdc.gov\/niosh\/docs\/97\u2013141\/pdfs\/97\u2013141.pdf. Accessed Oct 12, 2020."},{"key":"R14","series-title":"Am J Ind Med","first-page":"285","article-title":"Risk factors for work-related musculoskeletal disorders: a systematic review of recent longitudinal studies","volume":"53","author":"da Costa BR","year":"2010","unstructured":"da Costa BR, Ramos Vieira E. Risk factors for work-related musculoskeletal disorders: a systematic review of recent longitudinal studies. Am J Ind Med 2010;53:285\u2013323."},{"key":"R15","series-title":"Appl Anim Behav Sci","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/0168-1591(93)90094-6","article-title":"Behavioral agitation during handling of cattle is persistent over time","volume":"36","author":"Grandin T","year":"1993","unstructured":"Grandin T. Behavioral agitation during handling of cattle is persistent over time. Appl Anim Behav Sci 1993;36:1\u20139.10.1016\/0168-1591(93)90094-6"},{"key":"R16","series-title":"Ergonomics","doi-asserted-by":"publisher","first-page":"288","DOI":"10.1080\/0014013042000327724","article-title":"Estimation of hand force in ergonomic job evaluations","volume":"48","author":"Bao S","year":"2005","unstructured":"Bao S, Silverstein B. Estimation of hand force in ergonomic job evaluations. Ergonomics 2005;48:288\u2013301.10.1080\/0014013042000327724"},{"key":"R17","series-title":"Ann Occup Hyg","doi-asserted-by":"publisher","first-page":"977","DOI":"10.1093\/annhyg\/mew043","article-title":"Full-shift trunk and upper arm postures and movements among aircraft baggage handlers","volume":"60","author":"Wahlstr\u00f6m J","year":"2016","unstructured":"Wahlstr\u00f6m J, Bergsten E, Trask C,  Full-shift trunk and upper arm postures and movements among aircraft baggage handlers. Ann Occup Hyg 2016;60:977\u2013990.10.1093\/annhyg\/mew043"},{"key":"R18","series-title":"Ergonomics","doi-asserted-by":"publisher","first-page":"455","DOI":"10.1080\/00140130210136954","article-title":"Significance of house painters\u2019 work techniques on shoulder muscle strain during overhead work","volume":"45","author":"Stenlund B","year":"2002","unstructured":"Stenlund B, Lindbeck L, Karlsson D. Significance of house painters\u2019 work techniques on shoulder muscle strain during overhead work. Ergonomics 2002;45:455\u2013468.10.1080\/00140130210136954"},{"key":"R19","series-title":"Appl Ergon","doi-asserted-by":"publisher","first-page":"1133","DOI":"10.1016\/j.apergo.2014.02.002","article-title":"Investigating shoulder muscle loading and exerted forces during wall painting tasks: influence of gender, work height and paint tool design","volume":"45","author":"Rosati PM","year":"2014","unstructured":"Rosati PM, Chopp JN, Dickerson CR. Investigating shoulder muscle loading and exerted forces during wall painting tasks: influence of gender, work height and paint tool design. Appl Ergon 2014;45:1133\u20131139.10.1016\/j.apergo.2014.02.002"},{"key":"R20","series-title":"Occup Environ Med","doi-asserted-by":"publisher","first-page":"844","DOI":"10.1136\/oem.2003.010637","article-title":"Work related shoulder disorders: quantitative exposure-response relations with reference to arm posture","volume":"61","author":"Svendsen SW","year":"2004","unstructured":"Svendsen SW, Bonde JP, Mathiassen SE,  Work related shoulder disorders: quantitative exposure-response relations with reference to arm posture. Occup Environ Med 2004;61:844\u2013853.10.1136\/oem.2003.010637"},{"key":"R21","series-title":"Am J Orthop (Belle Mead NJ)","first-page":"353","article-title":"Pain mapping for common shoulder disorders","volume":"40","author":"Bayam L","year":"2011","unstructured":"Bayam L, Ahmad MA, Naqui SZ,  Pain mapping for common shoulder disorders. Am J Orthop (Belle Mead NJ) 2011;40:353\u2013358."},{"key":"R22","series-title":"Occup Environ Med","doi-asserted-by":"publisher","first-page":"696","DOI":"10.1136\/oem.59.10.696","article-title":"Pushing and pulling in association with low back and shoulder complaints","volume":"59","author":"Hoozemans MJ","year":"2002","unstructured":"Hoozemans MJ, van der Beek AJ, Frings-Dresen MH,  Pushing and pulling in association with low back and shoulder complaints. Occup Environ Med 2002;59:696\u2013702.10.1136\/oem.59.10.696"},{"key":"R23","series-title":"Clin Biomech (Bristol, Avon)","doi-asserted-by":"publisher","first-page":"367","DOI":"10.1016\/S0268-0033(99)00004-2","article-title":"Variation in spinal load and trunk dynamics during repeated lifting exertions","volume":"14","author":"Granata KP","year":"1999","unstructured":"Granata KP, Marras WS, Davis KG. Variation in spinal load and trunk dynamics during repeated lifting exertions. Clin Biomech (Bristol, Avon) 1999;14:367\u2013375.10.1016\/S0268-0033(99)00004-2"},{"key":"R24","series-title":"Scand J Work Environ Health","doi-asserted-by":"publisher","first-page":"215","DOI":"10.5271\/sjweh.30","article-title":"Sources of variance in exposure to nonneutral trunk postures in varying work situations","volume":"21","author":"van der Beek AJ","year":"1995","unstructured":"van der Beek AJ, Kuiper JI, Dawson M,  Sources of variance in exposure to nonneutral trunk postures in varying work situations. Scand J Work Environ Health 1995;21:215\u2013222.10.5271\/sjweh.30"},{"key":"R25","series-title":"Ergonomics","doi-asserted-by":"publisher","first-page":"853","DOI":"10.1080\/00140139.2017.1417643","article-title":"Biomechanically determined hand force limits protecting the low back during occupational pushing and pulling tasks","volume":"61","author":"Weston EB","year":"2018","unstructured":"Weston EB, Aurand A, Dufour JS,  Biomechanically determined hand force limits protecting the low back during occupational pushing and pulling tasks. Ergonomics 2018;61:853\u2013865.10.1080\/00140139.2017.1417643"},{"key":"R26","series-title":"Pushing & pulling\u2014general","unstructured":"Canadian Centre for Occupational Health and Safety. Pushing & pulling\u2014general. Available at: www.ccohs.ca\/oshanswers\/ergonomics\/push1.html. Accessed Jul 8, 2019."},{"key":"R27","series-title":"Trop Anim Health Prod","doi-asserted-by":"publisher","first-page":"525","DOI":"10.1007\/s11250-017-1463-9","article-title":"Minor corral changes and adoption of good handling practices can improve the behavior and reduce cortisol release in Nellore cows","volume":"50","author":"Pereira Lima ML","year":"2018","unstructured":"Pereira Lima ML, Negr\u00e3o JA, de Paz CCP,  Minor corral changes and adoption of good handling practices can improve the behavior and reduce cortisol release in Nellore cows. Trop Anim Health Prod 2018;50:525\u2013530.10.1007\/s11250-017-1463-9"},{"key":"R28","series-title":"Proceedings. 42nd Annu Conf Assoc Can Ergonomists","article-title":"The use of force matching to quantify job demands","author":"Molenaar S","year":"2013","unstructured":"Molenaar S, McKinnon C, Van Velzer CT. The use of force matching to quantify job demands, in Proceedings. 42nd Annu Conf Assoc Can Ergonomists 2013."},{"key":"R29","series-title":"Appl Ergon","doi-asserted-by":"publisher","first-page":"846","DOI":"10.1016\/j.apergo.2011.01.008","article-title":"Variability and misclassification of worker estimated hand force","volume":"42","author":"Dale AM","year":"2011","unstructured":"Dale AM, Rohn AE, Patton A,  Variability and misclassification of worker estimated hand force. Appl Ergon 2011;42:846\u2013851.10.1016\/j.apergo.2011.01.008"},{"key":"R30","series-title":"Hierarchy of controls","unstructured":"National Institute for Occupational Safety and Health. Hierarchy of controls. Available at: www.cdc.gov\/niosh\/topics\/hierarchy\/default.html. Accessed Sept 14, 2019."},{"key":"R31","series-title":"Physiother Can","doi-asserted-by":"publisher","first-page":"24","DOI":"10.3138\/ptc.2017-65","article-title":"Get \u2018er done: experiences of Canadian farmers living with chronic low back disorders","volume":"71","author":"Bath B","year":"2019","unstructured":"Bath B, Jaindl B, Dykes L,  Get \u2018er done: experiences of Canadian farmers living with chronic low back disorders. Physiother Can 2019;71:24\u201333.10.3138\/ptc.2017-65"},{"key":"R32","series-title":"Ergonomics for the prevention of musculoskeletal disorders","unstructured":"The Swedish Work Environment Authority. Ergonomics for the prevention of musculoskeletal disorders. Available at: www.av.se\/globalassets\/filer\/publikationer\/foreskrifter\/engelska\/ergonomics-for-the-prevention-of-musculoskeletal-disorders-afs-2012\u20132.pdf. Accessed Oct 12, 2020."},{"key":"R33","series-title":"J Occup Environ Med","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1097\/JOM.0b013e318270d535","article-title":"Safe lifting programs at long-term care facilities and their impact on workers\u2019 compensation costs","volume":"55","author":"Restrepo TE","year":"2013","unstructured":"Restrepo TE, Schmid FA, Gucer PW,  Safe lifting programs at long-term care facilities and their impact on workers\u2019 compensation costs. J Occup Environ Med 2013;55:27\u201335.10.1097\/JOM.0b013e318270d535"},{"key":"R34","series-title":"Ann Occup Hyg","doi-asserted-by":"publisher","first-page":"283","DOI":"10.1016\/S0003-4878(01)00005-9","article-title":"Grassroots ergonomics: initiating an ergonomics program utilizing participatory techniques","volume":"45","author":"Zalk DM","year":"2001","unstructured":"Zalk DM. Grassroots ergonomics: initiating an ergonomics program utilizing participatory techniques. Ann Occup Hyg 2001;45:283\u2013289.10.1016\/S0003-4878(01)00005-9"},{"key":"R35","series-title":"Appl Ergon","doi-asserted-by":"publisher","first-page":"342","DOI":"10.1016\/j.apergo.2007.08.006","article-title":"Effectiveness of participatory ergonomic interventions on health outcomes: a systematic review","volume":"39","author":"Rivilis I","year":"2008","unstructured":"Rivilis I, Van Eerd D, Cullen K,  Effectiveness of participatory ergonomic interventions on health outcomes: a systematic review. Appl Ergon 2008;39:342\u2013358.10.1016\/j.apergo.2007.08.006"},{"key":"R36","series-title":"2018\u201319 veterinary medicine entry admission statistics","unstructured":"University of Saskatchewan Western College of Veterinary Medicine. 2018\u201319 veterinary medicine entry admission statistics. Available at: admissions.usask.ca\/veterinary-medicine.php#Admissionprocess. Accessed Jan 30, 2019."},{"key":"R37","series-title":"Annual Data Report 2016\u20132017","unstructured":"Association of American Veterinary Medical Colleges. Annual Data Report 2016\u20132017. Available at: www.aavmc.org\/About-AAVMC\/Public-Data Accessed Oct 20, 2020."},{"key":"R38","series-title":"Int Arch Occup Environ Health","doi-asserted-by":"publisher","first-page":"939","DOI":"10.1007\/s00420-007-0286-9","article-title":"Gender differences in workers with identical repetitive industrial tasks: exposure and musculoskeletal disorders","volume":"81","author":"Nordander C","year":"2008","unstructured":"Nordander C, Ohlsson K, Balogh I,  Gender differences in workers with identical repetitive industrial tasks: exposure and musculoskeletal disorders. Int Arch Occup Environ Health 2008;81:939\u2013947.10.1007\/s00420-007-0286-9"},{"key":"R39","series-title":"Arch Phys Med Rehabil","first-page":"69","article-title":"Grip and pinch strength: normative data for adults","volume":"66","author":"Mathiowetz V","year":"1985","unstructured":"Mathiowetz V, Kashman N, Volland G,  Grip and pinch strength: normative data for adults. Arch Phys Med Rehabil 1985;66:69\u201374."}],"container-title":["Journal of the American Veterinary Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/javma\/258\/11\/javma.258.11.1243.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/avmajournals.avma.org\/downloadpdf\/journals\/javma\/258\/11\/javma.258.11.1243.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/avmajournals.avma.org\/downloadpdf\/journals\/javma\/258\/11\/javma.258.11.1243.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,6]],"date-time":"2023-10-06T01:22:34Z","timestamp":1696555354000},"score":1,"resource":{"primary":{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/javma\/258\/11\/javma.258.11.1243.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,1]]},"references-count":39,"journal-issue":{"issue":"11"},"URL":"https:\/\/doi.org\/10.2460\/javma.258.11.1243","relation":{},"ISSN":["0003-1488"],"issn-type":[{"value":"0003-1488","type":"print"}],"subject":[],"published":{"date-parts":[[2021,6,1]]}}}