A GettingReadyFor
the Spring
Experts Preparing Preparing Pastur P e asture Fo F r Your or Your Broodmar Br e oodmar Q: Why is tall fescue pasture bad for my broodmare? A: Tall fescue is a species of grass that is used in pastures be-
cause of its ability to withstand the grazing pressures of livestock.
Some tall fescue varieties have an endophytic fungus invisible to
the human eye that produces toxins. If the toxins are ingested,
they can cause reproductive problems in your broodmare that
can ultimately lead to the death of your mare, foal, or both. One
action of the toxins is to interfere with normal dopamine secre-
tion in the brain, which prevents the broodmare from producing
milk prior to foaling. This is a bad situation because the newborn
foal needs to drink colostrum to ingest important antibodies im-
mediately following birth to help it fight infection during the
early months of its life. Another problem associated with mares
ingesting endophyte-infected tall fescue is a prolonged gestation
period. The longer gestational period allows the foal and the pla-
centa to grow larger in the mare, contributing to a difficult birth
known as dystocia, which makes an unassisted foaling difficult
for the mare. When the placenta grows, it gets thicker and heavi-
er, which can cause it to separate from the uterus, cutting off the
foal’s oxygen supply, leading to suffocation. Also a heavier pla-
centa may be retained in the mare after foaling, which may cause
There are precautions that every horse breeder should take at
least 6 months prior to the mare’s expected foaling date. First,
breeders should examine their pastures for tall fescue and if pres-
ent, have it tested for the fungus. Maryland Cooperative Ex-
tension agricultural educators in the counties can help with this
process. If endophyte-infected tall fescue is present in the brood-
mare’s pasture, eliminate the broodmare’s exposure to it at least
60–90 days prior to foaling. Ways this can be accomplished are
to move broodmares to pastures free of tall fescue or feed hay not
containing tall fescue on a dry lot. Serious horse breeders should
reestablish pastures without infected tall fescue. There are endo-
phyte free and safer endophyte varieties of tall fescue not associ-
ated with causing reproductive problems available on the market.
If the broodmare has been exposed to endophyte-infected tall
fescue and is past her foaling date, tall fescue should be removed
from her diet and the vet should be contacted immediately. A
drug called domperidone will most likely be given by the veteri-
narian to initiate milk production. Parturition may need to be ini-
tiated depending on how many days the broodmare is overdue.
Prevention is the best key to avoiding tall fescue toxicosis in
broodmare. For more information, call your local county MCE
agricultural educator or your veterinarian. Got a Question? Get an Answer! Equiery readers can
ask questions about their horses or horse farms and a panel of experts with the University of Maryland and Cooperative Extension Services will answer them. If you would like the panel to answer your question directly, you must e-mail it to Dr. Amy Ordakowski Burk at [email protected]or Erin Petersen at [email protected] or, you can fax your question to 410-489-7828 or mail it in to P.O. Box 610, Lisbon, MD 21765, and the questions will be forwarded to the panel, but only e-mailed questions will be answered directly. Written ques- tions only will be accepted, and select questions may be used for publication in an upcoming Equiery. www.equiery.com | 800-244-9580 MARCH 2004 | THE EQUIERY | 23
MAXIMUS FEDERAL SERVICES, INC. Notice of Independent Medical Review Determination Dated: 9/26/2013 1) MAXIMUS Federal Services, Inc. has determined the request for a 28 day functional restoration program is not medically necessary and appropriate. 2) MAXIMUS Federal Services, Inc. has determined the request for a 6 month follow-up aftercare program is not medically nec
ARTICLE IN PRESS Journal of Science and Medicine in Sport (2007) xxx , xxx—xxx Arterial oxygen saturation during ascending to altitude under various conditions: Lessons from the field Martin Burtscher Department of Sport Science, Medical Section,University of Innsbruck, Austria Received 10 January 2007 ; received in revised form 21 June 2007; accepted 5 August 2007 KEYWORDS