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From waste to food: Optimising the breakdown of oil palm waste to provide substrate for insects farmed as animal feed
Authors: Elizabeth Dickinson aff001; Mark Harrison aff002; Marc Parker aff002; Michael Dickinson aff002; James Donarski aff002; Adrian Charlton aff002; Rosie Nolan aff003; Aida Rafat aff004; Florence Gschwend aff004; Jason Hallett aff004; Maureen Wakefield aff002; Julie Wilson aff001
Authors place of work: Department of Mathematics, University of York, Heslington, York, United Kingdom aff001; Fera Science Ltd., Sand Hutton, York, United Kingdom aff002; Biorenewables Development Centre Ltd, Dunnington, York, United Kingdom aff003; Department of Chemical Engineering, Imperial College London, London, United Kingdom aff004
Published in the journal: PLoS ONE 14(11)
Category: Research Article
doi: https://doi.org/10.1371/journal.pone.0224771Summary
Waste biomass from the palm oil industry is currently burned as a means of disposal and solutions are required to reduce the environmental impact. Whilst some waste biomass can be recycled to provide green energy such as biogas, this investigation aimed to optimise experimental conditions for recycling palm waste into substrate for insects, farmed as a sustainable high-protein animal feed. NMR spectroscopy and LC-HRMS were used to analyse the composition of palm empty fruit bunches (EFB) under experimental conditions optimised to produce nutritious substrate rather than biogas. Statistical pattern recognition techniques were used to investigate differences in composition for various combinations of pre-processing and anaerobic digestion (AD) methods. Pre-processing methods included steaming, pressure cooking, composting, microwaving, and breaking down the EFB using ionic liquids. AD conditions which were modified in combination with pre-processing methods were ratios of EFB:digestate and pH. Results show that the selection of pre-processing method affects the breakdown of the palm waste and subsequently the substrate composition and biogas production. Although large-scale insect feeding trials will be required to determine nutritional content, we found that conditions can be optimised to recycle palm waste for the production of substrate for insect rearing. Pre-processing EFB using ionic liquid before AD at pH6 with a 2 : 1 digestate:EFB ratio were found to be the best combination of experimental conditions.
Keywords:
Insects – Oil palm – Data acquisition – Larvae – Metabolites – NMR spectroscopy – Biogas – Lignin
Introduction
Lignocellulosic plant biomass is the most abundant raw material on Earth, composed of approximately 40–50% cellulose, 20–40% hemicellulose and 20–35% lignin [1]. In particular, the Oil Palm Industry, with plantations spreading across Asia, Africa and Latin America, creates vast waste streams made up of empty fruit bunches (EFB), oil palm fronds and trunks, the disposal of which is a major environmental problem, often burnt as a means of disposal, resulting in air pollution [2]. Agricultural waste of Peninsular Malaysia has been estimated at 17 Mt, 77% of which is from the oil palm industry [3]. Solutions of waste disposal are being sought, and some of those proposed are to use the waste palm kernel shells and palm press fibres as biofuel to create steam used in the oil palm mill processes, or the creation of mulch from EFB and ash to be reused as fertiliser, both of which lead to self-sufficiency, sustainability and improved net energy balance of the oil palm mills [2, 4]. Returning EFB to the land, however, can result in eutrophication [5], therefore, with no specific utilization of EFB, other breakdown technologies are being investigated, such as gasification for power generation [5, 6]. Waste biomass is also increasingly being used as a source of renewable energy in the production of gases such as methane by anaerobic digestion (AD) [7]. The high sugar content and abundance of lignocellulose also make it a promising substrate for microorganism cultivation and procedures such as AD and composting have the potential to produce highly nutritious substrate for insect growth [8]. In May 2017, the EU amended their regulations, allowing the feeding of insects to farmed fish largely as a high protein alternative to fishmeal [9], a positive step towards food sustainability that will help to address over fishing as demand for meat and fish increases. Moreover, insect protein provides the amino acids methionine and cysteine, essential to animal nutrition, but lacking in many plant based protein sources which are currently used in animal feed, such as soybean [10].
However, using insects reared on oil palm waste as a sustainable source of protein for farmed animals poses several challenges. EFB are intrinsically resistant to breakdown and processing must be optimised to produce the most nutritious substrate for larval growth. As a waste product which is naturally (but slowly) decomposed by fungi present in the local environment [11], the biomass requires mycotoxin monitoring, to ensure both larvae survival and that any toxins are not passed further up the food chain [12]. The use of AD to break down biomass, rather than fermentation or composting, should minimise the growth of fungi and thereby minimise the risk of mycotoxin contamination. AD is also a reproducible, low cost method, which can be established is oil palm mills of developing countries.
Here we evaluate the results of various pre-processing methods, designed to breakdown the biomass before AD, using metabolomic analysis with liquid chromatography–high resolution mass spectrometry (LC-HRMS) and nuclear magnetic resonance (NMR) spectroscopy. These techniques in combination with multivariate statistical methods allow detailed analysis of the biomass composition [13].
Microwaving at high temperature and pressure has been shown to be an effective method for initial biomass breakdown [14]. Gentler pre-processing methods such as steaming [15, 16] and heating under pressure may be more suitable, however, particularly in developing countries, as these processes will be less expensive than microwaving, and heat and steam are already generated and readily available within the oil palm mills [2, 4]. Ionic liquids are increasingly used for biomass breakdown [17], with the current focus on inexpensive and recoverable solvents [18].
Previous studies on the breakdown of EFB by AD (often mixed with other oil palm industry waste) focus on conditions that favour the production of biogas [16, 19, 20]. To the best of our knowledge, this is the first investigation of procedures (pre-processing and AD experimental conditions) that aims to minimise biogas production in order to retain nutrients and produce a substrate suitable for insect rearing. Conditions should favour proliferation of hydrolytic, acidogenic and acetogenic microorganisms, and minimise the growth of colonies of methanogenic microorganisms such as archaea [19] (Table 1). It is essential to establish the point at which AD should be stopped before production of toxic breakdown products. Small-scale experiments were carried out to allow various experimental conditions to be investigated in an iterative process and consequently the quantities of substrate produced were not adequate for an extensive feeding trial.
Tab. 1. Key stages during anaerobic digestion. Although conditions are optimised for larval feed, the biogases produced during AD are also studied here as these could potentially fuel the processing with any additional waste from the AD reused as fertiliser [7]. Efficient optimisation of biomass breakdown and substrate production could therefore have impact on farming policy and the possibility of energy-neutral sites.
Materials and methods
The EFB was obtained from a sustainable, government owned, oil palm mill in Indonesia. The metabolomic analysis of pre-processed EFB was used to select the most appropriate methods prior to AD. AD conditions were optimised using a “feedback loop” (Fig 1). For clarity, pre-processed EFB will refer to samples prior to AD and digested EFB will refer to EFB samples post AD.
Fig. 1. Flow–chart showing the iterative processes in the investigation. Results from metabolomic analyses were used to select suitable pre–processing methods, with a feedback loop for selection of AD experimental conditions. Only preliminary feeding trials could be carried out due to the small volumes of digested EFB produced. EFB pre-processing
Secateurs were used to chop EFB into pieces of approximately 1cm in length and 100g reserved without further processing as a control. A 100g of the EFB were ground more finely using an analytical mill, referred to as “milled”. A further 100g of EFB was combined with 250ml of water in the rice bowl of a conventional kitchen steamer and steamed for 60 minutes, referred to as “steamed”.
For pressure cooked samples, 100g of EFB was placed on the trivet of a conventional kitchen hob pressure cooker and 250ml of water added, before cooking under pressure for 15 minutes. Due to concerns about the age of the original pressure cooker, this process was repeated with a new pressure cooker, giving 6 observations.
For each of four different temperatures (190, 210, 230 and 250°C), three vessels containing 3g of EFB and 60ml of water were microwaved separately (ramp = 15 min, hold = 0 min, maximum power = 1800W) and the pre-processed EFB combined from the three vessels. For 250°C, the pressure limit of 45 bar was reached and the temperature recorded as 247°C.
Although traditional composting process of EFB can take months or even years [21], short-term composting was investigated for comparison and to investigate possible fungal toxins. Chopped EFB were composted over a three-month period, by leaving on soil in a standard greenhouse, covered by black plastic. Due to the time taken for composting, analysis of these samples was not performed before AD.
N,N-dimethylbutylammonium hydrogen sulfate (synthesised in house) containing 20 wt% water was used for pre-processing EFB by ionic liquid (IL) [18] with 148g biomass (10 wt% moisture content) fed to 2L batch reactor with jacketed oil circulator. The preheated IL (950g) was added and the reaction time started when the internal temperature of the biomass and IL reached 150°C. Stirring was applied at 120 rpm and, after 1 hour reaction time, the oil bath was turned off and the reaction slurry allowed to cool down. When the temperature of the reaction slurry reached 75°C, the reactor was opened and the slurry transferred to a clean plastic container; ethanol was used to assist the transfer of the viscous slurry. The slurry/ethanol mix was then vacuum filtered to separate the cellulose pulp from the IL/ethanol. Washing with ethanol continued until a total of 2L had been added, before the cellulose pulp was transferred to four centrifuge falcon tubes. Water was added to each falcon tube, vortexed for 2 mins and then allowed to settle for 1 hour. This washing step was repeated four times, until wash water reached pH 5, to remove all IL.
Metabolomics
EFB control, pre-processed and digested EFB samples were snap frozen in liquid nitrogen for 30 minutes then lyophilised for a minimum of 72 hours, before grinding. For both LC-HRMS and NMR, samples were analysed in triplicate to check for technical variation and the same extraction, sample preparation and data acquisition procedures were used for pre-processed EFB and digested EFB. For method evaluation, additional replicates were analysed for steamed EFB (six in total) and a further 230°C microwaved sample was analysed when acquiring 2D NMR data at a later date. Table 2 summarises the samples analysed.
Tab. 2. Details of sample conditions (ratios shown are digestate:EFB). LC-HRMS data acquisition and confirmatory analysis
75mg of lyophilised sample were extracted into 1.5ml 1 : 1 MeOH:H2O, shaken for 30 minutes, then centrifuged at 21,000g for 10min at 20°C. The supernatant (unfiltered) was then diluted with 1 : 1 MeOH: H2O and 1ml pipetted to 2ml screw top vials. Quality Control samples (QCs) for pre-processed EFB and for digested EFB were obtained by pooling the relevant EFB samples.
LC–HRMS analysis was conducted on samples in a random order, with QC samples run between every 8 experimental samples (a “batch”), resulting in four batches for pre-processed EFB samples and six batches for digested EFB, ensuring that no batch was dominated by any particular experimental group. A reverse phase aqueous chromatography column, ACE 3Q 150x3mm, 3μm (Advanced Chromatography Technologies, Aberdeen, UK), was used. Mobile phases were 0.1% formic acid in water (mobile phase A, MPA) and 0.1% formic acid in acetonitrile (mobile phase B, MPB). Gradient applied was 100% MPA for 5 minutes before increasing to 100% MPB over 15 minutes. This was held for 10 minutes before reverting to 100% MPA and held for 2 minutes. Injection volume was 10 μl, flow rate was 0.4 mlmin-1 and column temperature was 25°C. The MS used was a Thermo Exactive Orbitrap (Thermo Fisher Scientific, MA, USA.) set at 50,000 resolution FWHM @ 200 m/z with an acquisition speed of 2Hz. Data were acquired between 50 and 1000 m/z for 30 minutes per sample. The column was conditioned before sample analysis using 6 QC injections. Both positive and negative mode LC–HRMS data were acquired as two separate analytical runs for both pre-processed EFB and digested EFB samples, resulting in four LC-HRMS datasets (Table 3). Data alignment and peak picking were performed using Progenesis QI (Nonlinear Dynamics, Waters Corporation, Newcastle Upon Tyne, UK).
Tab. 3. The number of samples in the six data sets analysed with the number of peaks or data points found in each. Confirmatory analyses were performed on an Orbitrap Velos Pro (Thermo Fisher Scientific, MA, USA.) A precursor list of potentially significant accurate masses was generated from the multivariate statistical analysis and used as precursor ions for MS/MS and MSn analysis in both positive and negative ionisation modes. Collision Induced Dissociation (CID) fragmentation was employed using 35 ev. A fragmentation event was only triggered if the precursor mass had a signal of 1000 (au) or greater. After fragmentation, FTMS detection was used to obtain accurate mass product ions. A MS3 event was subsequently triggered on the 3 most abundant product ions of the precursor mass if the product ions had a signal of 500 (au) or greater. MS3 ions were detected by the ion trap producing nominal mass product ions. Where available, corresponding analytical standards were analysed concurrently to confirm compound identity. LC conditions were as described above.
Sixteen analytical standards (≥97% purity, sourced from Sigma Aldrich, Gillingham, UK, TCI UK Ltd, Oxford, UK, Fisher Scientific UK Ltd, Loughborough, UK, and VWR International Ltd, Lutterworth, UK) were made to a stock concentration of 1mgml-1 in either methanol or ultra-pure water (18.2 MΩ), depending on solubility. A combined standard comprising all 16 metabolites at a concentration of 10μgml-1 in MeOH:H2O was produced and a dilution of this standard to 1μgml-1 also created. These standards were used to confirm/disconfirm the identity of the proposed 16 significant metabolites using retention time and product ion comparison (Table 4) [22].
Tab. 4. NMR spectroscopy
75 mg of lyophilised sample were extracted in 1.5ml of 250mM D2O phosphate buffer (K2HPO4/KH2PO4, pH = 7.0) with 1mM sodium azide and 1mM trimethylsilylpropionic acid - d4 sodium salt (TSP), and vortexed for 30min. Samples were then centrifuged at 21,000g for 10min at 20°C. The supernatant was filtered using 13mm PTFE 0.45μm Klarity syringe filters, and 600μl added to 5mm Wilmad NMR tubes.
1H-NMR data was acquired on a Bruker Avance 500 MHz NMR spectrometer equipped with a TCI cryoprobe. 1D Spectra were acquired at a central frequency of 500.1323546 MHz data, for 256 transients (and 8 dummy scans) into 65536 data points over a spectral width of 14.0019 ppm, with 90° pulse length of 11.25 μs, with on-resonance pre-saturation to suppress the intensity of the water signal for 3s, and with a total delay of 6 s, giving an acquisition time of 4.67 s and a total experiment time of approximately 47 minutes. A sine bell-shaped window function phase shifted by 90° was applied over all data points before Fourier transformation, phase, and baseline correction. All spectra were acquired at 300 K. The chemical shift of all data was referenced to the TSP resonance at 0 ppm. In house software written for Matlab (The Mathworks, Inc, Natick, MA, USA) was used to produce a matrix of potential metabolites for each EFB sample (observation).
To aid metabolite assignment, 2D NMR data were acquired for some samples (Pre-processed EFB: IL and 230°C Microwave; Digested EFB: Pressure cooked, 230°C Microwave, and IL (all at 2 : 1 ratio straw digestate inoculant:EFB)). All data acquisition was performed at a temperature of 300 K without sample rotation, using the software package Topspin v 1.3 Patch level 3 (Bruker, Germany). 1H-1H total correlation spectroscopy (TOCSY) data were recorded using the standard spectrometer mlevphpr library pulse sequence (RD-90°x –t1 - mlev17-acq) with 16 unrecorded (dummy) scans and 8 transients over a spectral width of 14.0019ppm, into 4096 data points collected in F2 and 384 increments in F1, and TPPI phase cycling, with 90° pulse length of 11.25 μs, a t1 delay of 60.24μs and spin lock time of 150ms. On-resonance pre-saturation was used to suppress the intensity of the water signal during relaxation delay for 1.5s. Prior to Fourier transformation, a QSINE window function with Sine bell shift = 2 was applied in both dimensions, and data were zero filled to 4096 and 1024 data points for F2 and F1 respectively.
The 1H–13C gradient enhanced heteronuclear single quantum coherence (HSQC) NMR spectra were acquired using the standard library gradient enhanced pulse sequence [23] at the central frequencies of 500.1323541 MHz (1H, F2 dimension) and 125.7691082 MHz (13C, F1 dimension). A carbon–proton coupling constant of 145 Hz, gradient ratios, all using a sine shaped gradient of 80, 20.1, 11 and −5% for gradients 1, 2, 3 and 4, respectively, a homospoil gradient pulse length of 1 ms, a gradient pulse length of 600 μs, a homospoil gradient pulse recovery delay of 200 μs, a delay of 862.07 μs to select for all carbon proton multiplicities, an interscan delay of 1.5 s, and an acquisition mode of echo–antiecho were used. 90° pulse lengths of 11.25 and 13.0 μs were used for 1H and 13C, respectively, 1536 complex data points were collected in the F2 dimension with a spectral width of 13.33 ppm, with 8 unrecorded (dummy) scans and 8 transients, giving an acquisition time of 0.11532 s and proton carbon decoupling using a waltz decoupling sequence with a decoupling power of 10 dB was applied during the acquisition period. 512 increments were collected in the F1 dimension over a spectral width of 200.0 ppm. A QSINE window function with Sine bell shift = 2 was applied over all data points and the data were zero filled to 2048 and 1024 data points in the F2 and F1 dimensions, respectively, prior to Fourier transformation, phase and baseline correction. The chemical shifts of all data were referenced to the resonance of the TSP peak at 0 ppm in both the 1H and the 13C dimensions.
Statistical analysis
All data analyses were conducted in R version 3.4.4 (R Core Team 2018, R Foundation for Statistical Computing, Vienna, Austria). For LC-HRMS data, initial data exploration using principal component analysis (PCA) showed batch differences to be the greatest source of variance for each dataset (S1 Fig and S2 Fig). To remove this technical variation, batch correction techniques were applied [24]. The effectiveness of batch correction was assessed using the Bhattacharrya distance [25] (S1 Table) and F-tests to measure within/between batch variability. For 1D NMR, the spectral region for the water resonance was removed to prevent varying water suppression affecting analyses. In addition, as acetic acid was added to some digestion experiments to reduce the pH to 6 (see Methods Section and S2 Table), the region corresponding to acetic acid (1.90–1.94ppm) was removed from 1D NMR spectra obtained for digested EFB. Data were normalised to total sum of the spectral integral and UV-scaled data were used throughout analysis of NMR and LC-HRMS data, but unscaled data were used to check peak size.
PCA was performed on 1D NMR and positive and negative mode LC-HRMS data from both pre-processed and digested EFB, giving six data sets in total (Table 3).
Partial least squares regression (PLSR) was used to predict biogas production, using 1D NMR data from digested EFB and the plsr package [26]. All models were cross validated using 10-fold cross validation, or split into a training and test set (0.75 : 0.25), overfitting was checked by root mean square error of prediction (RMSEP) and by R2.
Anaerobic Digestion (AD)
AD treatments were carried out at the Biorenewables Development Centre, York, using a biomethane potential kit (BMP) on all pre-processed EFB samples and untreated control, automatically measuring the cumulative biogas produced. Three experimental conditions were investigated (in triplicate) in each of three separate experimental runs over 21 days with the results from earlier runs used to inform later experiments (Fig 1). A volatile solids (VS)-based dosing ratio of one part digestate VS to two parts EFB feedstock VS was used in order to produce a more textured end product for larvae to attach to and compared with the standard 2 : 1 ratio and a pH value of 6 (in comparison to pH 7, both still at 2 : 1 ratio) was used to inhibit methanogenic microorganisms and favour hydrolytic, acidogenic and acetogenic microorganisms. The percentage of total dry solids and VS within the samples were determined by heating a known amount of sample at 105°C and 550°C, respectively, in a Thermolyne muffle furnace (Thermo Scientific, UK) until a steady weight was reached. BMP analysis (in triplicate) was carried out using an AER 800 respirometer (Challenge Technology, Arkansas, USA according to the manufacturer’s instructions [27]). The seed microbial culture/inocolum (digestate from an AD plant fed with maize silage and pig slurry) was sieved to remove any large particles to give a solution containing particulates that were < 1 mm. Exact quantities used in the BMP vessels to achieve the VS ratios are shown in S2 Table. For those experiments run at pH6, the initial pH was set to 6 using 5M acetic acid. Vessel headspace was purged with nitrogen to remove any residual air which may have affected the results. The BMP test was run under anaerobic conditions, at 35°C and 300 rpm. To prevent possible inhibition of larval growth due to the presence of metabolites in the substrate which had been produced post hydrolysis, a replicate from each sample type underwent AD treatment for a shorter period of time to try to avoid a build-up of these metabolites in the growth substrate (15 days after run 1 and 4 days for experimental run 2), and final samples were taken after 21 days for metabolomic analysis. Gas chromatography was performed to confirm the quantity of volatile fatty acids (VFAs) to gauge level and stage of breakdown by AD. Ideally it was hoped that the samples which had an initial pH of 6 would have a greater content of VFAs due to the inhibition of methanogens. A Hewlett Packard 5890 Series 2 GC with a Supelco capillary column was used. The column length was 30 m, with an internal diameter of 0.25 mm and a fused silica film of 0.25 μm thickness. The carrier gas was hydrogen with a flow rate of 1 ml min-1. The injector temperature was 230°C with an approximate 10 : 1 split injection. The column temperature started at 100°C and increased by 10°C per minute until 225°C was reached; this was then held for 2 minutes giving a final run time of 14.5 minutes. The GC used a flame ionisation detector; the temperature of the detector was set at 300°C. VFA standards were run prior to the samples to gauge elution times for the identification of peaks in the samples. This data was used to determine the total VFAs in the sample.
Pilot insect feeding trials
To gain preliminary results on the suitability of digested EFB as a substrate and test for toxicity, Hermetia illucens (black soldier fly; BSF) larvae were fed on digested EFB. One hundred newly emerged larvae (<24 h post eclosion) were added to 25 g of feed in clear plastic deli pots (12 oz; base 9.5 cm diameter) covered with a layer of muslin, which was secured by a plastic lid. Five holes approximately 3 mm diameter were punched through the plastic lid to provide ventilation. Larvae were monitored and feed was added as required by the larvae based on the amount and appearance of the feed remaining in the pot and the mass of the larvae. Larvae were maintained at 27°C, 70% r.h. throughout the trial.
After 17 days subsisting only on digested EFB, ten black soldier fly larvae were chosen randomly and their mean mass calculated. Feeding trials were carried out with digested EFB removed from AD experiments at day 15 (run 1), day 4 (run 2) and day 21 (run 2).
Results
Metabolomic analysis of pre-processed EFB
LC-HRMS
PCA of the LC-HRMS data in both positive and negative mode shows compositional differences between the pre-processing methods (Fig 2). The greatest variance (PC1) in both modes is due to differences between high temperature microwaved samples and other pre-processed/control samples. The loadings for PC1 showed the peaks contributing most are predominantly from species responsible for fruit flavours and fragrances, including metabolites found in cooked/roasted fruits, such as vanillin and derivatives and syringaldehyde, with higher intensities for samples microwaved at 250 and 230°C. In positive mode, peaks identified (confirmed with analytical standards) as the sugar levoglucosan, and fusaric acid, a mycotoxin from the fungus Fusarium, were also found to have higher intensities in samples microwaved at 250 and 230°C. PC2 shows separation of samples processed using ionic liquid (IL), mainly due to higher intensities for disaccharides in EFB samples pre-processed with IL.
Fig. 2. PCA scores plots showing (A) positive mode and (B) negative mode LC–HRMS data from the pre–processed EFB. One outlier, pre–processed by steam, was removed from the negative mode data. The first two principal components are shown for the positive data, whereas the first and third principal components are shown for negative data as the variance along the second component was due to a single (pressure–cooked) observation. For negative mode data, after removal of one outlier (steam), the variance along PC2 is still mainly due to differences in one pressure-cooked sample (not shown), but PC3 shows the same separation of samples processed using ionic liquid as seen along PC2 in positive mode data (Fig 2). Metabolites contributing most to the variance between pre-processing methods are shown in Table 4 together with their level of identification [22], with (unscaled) intensities plotted in S3 Fig and S4 Fig.
NMR
PCA scores plots of the 1H-NMR data show differences in composition between pre-processing methods (Fig 3). As with the LC-HRMS data, the greatest variance is due to differences in the EFB samples that were microwaved at 230°C and above (PC1). Regions related to this variance were matched to a variety of “Lignin and Cell Wall” compounds using the Biological Magnetic Resonance Data Bank [28], as well as fragrances and flavours, including vanillin (identified in LC-HRMS data and confirmed by analytical standard, Table 4). The concentrations of these compounds are higher in high temperature microwaved samples than for other pre-processing methods (S5 Fig), corroborating LC-HRMS results. PC2 shows some separation of IL samples, with highest concentrations of some compounds, most likely trilignols and tetralignols, in samples processed by moderate cooking methods (S6 Fig). This can be attributed to improved breakdown of lignin into dimers or monomers by high temperature microwaving or lignin removal by IL. The NMR spectrum obtained after processing with ionic liquids (S7 Fig) shows the absence of broader resonances from higher molecular weight components seen for other pre-processing methods. The separation of IL samples is clearer along PC3, from lower intensities for lignin compounds (tetralignins and trimers), and resonances from residual ionic liquid N,N dimethylbutylammonium hydrogen sulfate, confirmed by TOCSY to be present (S7 Fig, S8 Fig and S9 Fig).
Fig. 3. PCA scores plots showing 1D 1H–NMR data obtained from the pre–processed EFB. (A) shows the first two principal components and (B) shows the first and third principal components. Comparison of the HSQC spectra (S10 Fig) from EFB microwaved at 230°C and that of EFB pre-processed by ionic liquids shows overlapping peaks from lignin oligomers in the microwaved sample whereas simple sugars remain after lignin has been removed by IL.
Anaerobic digestion
Although one month is a typical retention period for AD units, digestion of the EFB occurred faster than expected with most solids having been broken down after just two weeks. Due to this, the AD treatment was stopped after three weeks to prevent the substrate becoming too soupy for the larvae. End point samples (21 days) from the first AD run were not submitted for feeding trials as late digestion breakdown products, such as alcohols (Table 1), would be toxic to larvae and samples were removed earlier in the process for feeding trials in subsequent experiments. We found that samples digested at pH6 had greater quantities of volatile fatty acids (S3 Table), an indication that methanogens had been inhibited. The highest biogas production (per gram of VS used) was found for EFB pre-processed by IL and ran with a starting pH of 6, closely followed by microwaved (where only samples microwaved at 230°C were submitted for AD), both with a 2 : 1 digestate:EFB volatile solids (VS) ratio (S11 Fig). The lowest production of biogas was found for composted EFB, closely followed by milled EFB, steamed EFB (all with a 2 : 1 digestate:EFB VS ratio) and then microwaved EFB with a 1 : 2 digestate:EFB VS ratio.
Metabolomic analysis of digested EFB
NMR
PCA on NMR data from digested EFB also showed separation of the microwaved samples (Fig 4) due to higher intensities for peaks corresponding to lignin dimers (S12 Fig) and lower peaks, attributed to fragrant compounds, such as eucalyptol and fenchol (S13 Fig). Due to the overlap of many resonances from high molecular weight lignin and its various polymer subunits, confirmation of the specific metabolites causing the distinction between groups of samples was not performed by NMR spectroscopy using analytical standards. Instead, resonances were tentatively assigned using database searches and 2D NMR spectra. After removing microwaved samples, PCA revealed clustering of observations according to pH with samples processed by pressure cooking or using ionic liquid showing the greatest differences due to the acidity of digestion (Fig 4). Metabolites potentially responsible for the differences include lignin dimers and monomers, higher at pH6, as well as xylose, a derivative of vanillin (both identities confirmed in LC-HRMS) and eugenol, lower at pH6 (S14 Fig). The microwaved sample digested at pH6 shows particularly high intensity for a large peak potentially corresponding to a lignin dimer (S15 Fig). The composted and control groups, that were also digested at both pH6 and pH7, show little difference due to pH level.
Fig. 4. PCA scores plots showing 1D 1H–NMR data from the digested EFB. (A) shows the separation of microwaved samples, which have been removed before PCA in (B), coloured by pH, and (C) coloured by digestate:EFB ratio. Although with much lower intensity, the TOCSY of the digested EFB pre-processed by IL shows the same spin system present before AD, showing that traces of IL are still present after AD (S16 Fig). Comparison of HSQC spectra before and after AD for the samples pre-processed by microwaving shows diagnostic peaks for lignin unit linkages [29] and ends of oligomers in the aromatic region before AD, which are not seen in the spectrum after digestion, providing evidence of greater breakdown of lignin oligomers by AD (Fig 5).
Fig. 5. HSQC spectra from EFB sample pre–processed by microwaving at 230°C before (A and B) and after digestion (C). Expansion of the aromatic region is shown in A, showing common lignin polymer linkages, which are no longer observed after AD (C). LC-HRMS
No consistent compositional differences between pre-processing methods were apparent after AD (S17 Fig and S18 Fig). As LC-HRMS experiment here measures the small molecular weight constituents, the lack of differences between samples supports the fact that differences in NMR were due to high molecular weight compounds, such as lignin. The mycotoxin fusaric acid, identified in the pre-processed EFB, was not detected in the digested EFB LC-HRMS data.
Modelling biogas production
Partial least squares regression (PLS-R) was performed to relate peaks in the NMR spectra (obtained after digestion) to biogas production (Fig 6). Cross-validation was repeated ten times, with 75% of the data randomly assigned as training data each time and the remaining 25% used as test data. For the test data, we obtained a mean R2 value of 0.63 (RMSEP = 92.96), which when compared to the fit for the training data, R2 = 0.65 (RMSEP = 84.41), shows the model is not overfitting. The modelled biogas production is plotted against the measured biogas in Fig 6. It can be seen that pre-processing with ionic liquids or using a 2 : 1 digestate to EFB ratio after microwaving produces most biogas, i.e. samples with a low concentration of lignin polymers after AD. On the other hand, microwaved samples undergoing AD at pH6 or at a 1 : 2 ratio produce little biogas in comparison, as do other samples in these conditions. The variable importance in projection (VIP) scores in Fig 6C show the specific regions of the NMR spectrum, those with the largest VIP scores, that are related to biogas output. These regions or peaks with VIP score >25 were found to have the same chemical shifts as those identified in PCA, most likely to be assigned to lignin dimers and trimers.
Fig. 6. Results of PLS–R using 1D NMR data to model biogas production. A relationship is shown between peaks in the NMR spectra (after AD) and the amount of biogas produced for (A) the training data and (B) an independent test set. Variable importance in projection (VIP) scores are shown in (C). Large VIP scores (VIP score> 25) on the plot indicate the specific regions or peaks of the NMR spectrum that are related most to how much biogas yield. Preliminary insect feeding trials
A heating fault in the insectory led to a significant temperature drop in the first feeding trial, involving digested EFB taken at day 15, causing larvae to die before any results could be noted. For the second AD run, samples were removed for feeding trials at day 4 and larvae survived on digested EFB from all pre-processing methods. Although growth was minimal over the 17 day period in comparison to control larvae fed on chicken feed (usual substrate for larvae used to maintain the colony), it is likely that toxic compounds are not present in the digested EFB at this stage. In terms of growth, the best results were obtained for larvae fed on EFB pre-processed by IL (mean mass of 10 larvae = 130 mg), particularly when digested at pH6, whereas composted EFB gave the worst results (mean mass of 10 larvae = 35 mg, S19 Fig). For comparison, the mass of ten larvae on chicken feed after 14–18 days would be approximately 2000 mg.
For samples taken at day 21, larvae did not survive when fed on four of the digested EFB substrates (digestate control only (no EFB), milled, composted and ionic liquids) and, for larvae that did survive, often fewer than ten were large enough to measure growth.
The only substrate digested for 21 days at pH7 on which larvae survived was EFB that was not pre-processed. As few larvae survived, only 5 contributed to each replicate measurement although the masses obtained were similar to those for untreated EFB digested for just 4 days. All other substrates on which larvae survived were digested at pH6 with untreated EFB being the only sample digested for 21 days giving better results than obtained for 4-day digestion. Composted samples, digested at pH 6, gave similar larval mass when digested for 4 or 21 days, but larvae fed on EFB pre-processed by ionic liquid, digested at pH6, for 21 days were much lower in mass than larvae fed on the same samples after just 4 days digestion.
Discussion
Distinctive aromas were particularly noticeable during pre-processing experiments that involved heating EFB and therefore the identification of metabolites responsible for flavours and fragrances is not unexpected. The higher concentrations of vanillin and syringaldehyde detected in microwaved samples can be explained as the thermal depolymerization of lignin [30–33], both being indicators of burning biomass [34]. It follows that increased temperatures and pressures increase the breakdown of lignin in EFB.
Another compound associated with the pyrolysis of lignocellulosic biomass, levoglucosan, is only detected in the high temperature (≥230°C) microwaved EFB samples. It has been shown that Maillard reaction products such as levoglucosan are toxic to some microorganisms, reducing the growth of many bacterial colonies [35]. This will in turn change the microbial population during AD and could explain the lower biogas production for EFB microwaved at 230°C after digestion in the ratio 1 : 2 digestate:EFB. With a higher proportion of EFB present during AD, it could be that colony growth, including microorganisms producing biogas, has been inhibited by the presence of bacteriocidal levoglucosan,
Malic acid, shown to be important in producing fatty acids in palm fruit [36], was found to increase with pre-processing temperature, being highest for microwaved samples in line with the use of microwave-assisted hydrothermal (MH) techniques for the extraction of malic acids from plants and fruit wastes [37].
Sugar content was found to vary between pre-treatment methods, with higher concentrations of glucose and xylose detected in high temperature microwaved EFB, indicating greater breakdown of cellulose, hemicellulose and other disaccharides and polysaccharides. Glucose was confirmed by analytical standards (in LC-HRMS) and is clearly evident in the 1D 1H NMR spectrum of microwaved samples. Rather than converting sugars into monomers and simultaneous Maillard reaction products via application of heat, processing with ionic liquid removes the lignin to leave cellulose, a polymer of D-glucose subunits. We found the highest concentration of disaccharides after pre-treatment by IL, which after hydrolysis during AD resulted in the best proliferation of microbial communities and gave the most promising results in larvae feeding trials. The higher concentration of disaccharides in EFB pre-processed by IL is most likely to be from the degradation of polymeric hemicellulose that was not removed by the IL and remained after pre-processing, and from amorphous cellulose. The presence of trace IL detected by 1D and 2D NMR spectroscopy was not detrimental to the bacterial communities during AD, nor did it have a negative effect on larval growth. As the environmental risk and toxicity of ionic liquids has been raised [38], it is encouraging to see that the ionic liquid used here is not toxic to the larvae.
It could be that the higher levels of the mycotoxin fusaric acid observed in microwaved samples are due to increased extraction as a result of greater sample breakdown. As the waste biomass, left unmonitored by the palm oil industry, can be infected with Fusarium, the presence of fusaric acid in EFB is not surprising, but that this mycotoxin could subsequently enter the food chain is of concern. It is therefore encouraging that this mycotoxin is not detected after anaerobic digestion. Although the EFB is less concentrated, in some AD experiments in the ratio of 1 : 2 with the straw inoculant, fusaric acid should still be detected by LC-HRMS if present.
Due to the small-scale preliminary feeding trials, small size of the larvae and the semi-liquid nature of the digested EFB it was very difficult to assess an accurate survival rate, however, preliminary larvae feeding trials using EFB digested for 4 days suggested that this substrate was unlikely to be toxic. Although further investigation would be necessary to verify the absence of mycotoxins in the larvae themselves after feeding on waste biomass, the inevitable fungal infection of waste biomass did not produce a toxic substrate for the larvae. Preliminary feeding trial results also suggested that end of digestion products such as alcohols could be toxic to larvae. Larvae did not survive on half of the EFB samples digested for 21 days, and conditions in which they did survive had few surviving larvae. The results provide some evidence that digestion at pH6 does inhibit methanogenic microorganisms and favour hydrolytic, acidogenic and acetogenic microorganisms. Interestingly, the highest mean larval mass was obtained for untreated EFB digested for 21 days at pH6, although the standard error is high. It is possible that the lack of pre-processing led to slower digestion, therefore less toxic end of digestion products had been generated than in other samples.
These conditions produced very little biogas, whereas the EFB pre-processed by IL and digested for 4 days at pH6 not only showed promise in preliminary feeding trials, also produced most biogas, peaking in biogas production around day five (S11 Fig). The results of the PLS-R analysis suggest that biogas production is related to lignin content. Pre-processing methods that either remove lignin (IL) or break down the lignin polymers into much smaller units (microwaving) led to greatest biogas production (Fig 6). VIP scores confirm the relationship between biogas production and regions of the spectrum related to lignin dimers and trimers as well as sugars.
In conclusion, we have identified optimal conditions under which anaerobic digestion of EFB has the potential to provide substrate for farmed insects in addition to producing biogas. The use of complementary analytical techniques allowed the breakdown of this waste biomass to be explored. LC-HRMS allowed compositional differences between pre-processing methods to be identified prior to AD, such as increased levels of bacteriocidal levoglucosan. By measuring biogas production, we were able to observe the effect of this compound on the microbial community. Our NMR results after AD show the main differences between pre-processing methods are related to the concentration of lignin dimers, trimers and tetralignols. This is corroborated by the fact that no consistent differences between pre-processing methods after AD were identified by LC-HRMS, as such high molecular weight compounds would not be detected by this technique. The use of 2D NMR spectroscopy provided further evidence of increased lignin breakdown after pre-processing by microwaving and IL and aided identification of remaining IL, which preliminary survival trials showed is not toxic to larvae. Comparison with HSQC spectra in the literature [29, 39, 40] allowed diagnostic lignin unit linkage peaks within the aromatic region to be identified. For microwaved samples, the presence of these peaks before AD and absence after AD (Fig 5) shows that the lignin has been successfully broken down into smaller units such as dimers and monomers. However, microwaving is not optimal in terms of the effect on microbial communities as well as being expensive. Preference was for lower energy and cost/recyclable processes, such as steaming or heating the EFB under pressure, as these pre-processing methods would be transferrable to oil palm mills in developing countries, which generate heat and steam already as part of their industrial processes [4]. To conclude, we found that pre-processing EFB using ionic liquid before anaerobic digestion at pH6 with a 2 : 1 digestate:EFB ratio for 4–5 days could provide a nutritious substrate for insect farming whilst simultaneously producing more biogas than other conditions. Moreover, the method is both economically viable and environmentally friendly, particularly as the ionic liquid can be recovered and recycled [18], which could improve the mass-energy balance of any oil palm mills, should these practices be adopted in industry. Further work, involving the scaling up the digestion of EFB, perhaps mixed with other biomass, is required to allow full feeding trials to take place.
Supporting information
S3 Fig [tif]
Peak intensities (unscaled) for compounds identified by LC-HRMS of pre-processed EFB (before AD).S4 Fig [tif]
Peak intensities (unscaled) for compounds identified by LC-HRMS of pre-processed EFB (before AD).S5 Fig [tif]
Examples of peaks with highest intensities (unscaled) in microwaved samples, identified in NMR data from pre-processed EFB (before AD).S6 Fig [tif]
Examples of peaks with lowest intensities (unscaled) in samples processed using ionic liquids, identified in NMR data from pre-processed EFB (before AD).S8 Fig [tif]
Examples of peaks with highest intensities (unscaled) in samples processed using ionic liquids, identified in NMR data from pre-processed EFB (before AD).S9 Fig [tif]
2D NMR 1H-1H TOCSY obtained from EFB pre-processed by ionic liquids.S11 Fig [a]
Mean cumulative biogas production for each AD run (1–3), reported in ml per gram of volatile solid, after subtraction of mean digestate value.S12 Fig [tif]
Examples of peaks with highest intensities (unscaled) in microwaved samples, identified in NMR data from digested EFB (after AD).S13 Fig [tif]
Examples of peaks with lowest intensities (unscaled) in microwaved samples, identified in NMR data from digested EFB (after AD).S14 Fig [tif]
Examples of peaks showing differences in intensities (unscaled) due to pH, identified in NMR data from digested EFB (after AD).S15 Fig [tif]
Examples of peaks showing differences in intensities (unscaled) due to pH, identified in NMR data from digested EFB (after AD).S16 Fig [tif]
2D NMR 1H-1H TOCSY obtained for EFB after pre-processing by ionic liquids and after anaerobic digestion.S17 Fig [tif]
PCA scores plots for the first two principal components obtained from positive mode LC-HRMS data from the EFB after AD, with observations coloured by pre-processing method.S18 Fig [tif]
PCA scores plots for the first two principal components obtained from negative mode LC-HRMS data from the EFB after AD, with observations coloured by pre-processing method.S1 Table [pdf]
Mean Bhattacharrya distance between PCA scores for different LC-HRMS batches, before and after removal of batch differences.S2 Table [pdf]
Dosing quantities and experimental conditions for each AD experiment.S3 Table [pdf]
Total volatile fatty acid (VFA) of digested EFB samples.
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- Raising the bar: Recovery ambition for species at risk in Canada and the US
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- Assessing reliability of intra-tumor heterogeneity estimates from single sample whole exome sequencing data
- Dispersion of Legionella bacteria in atmosphere: A practical source location estimation method
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- Barriers to implementation of emergency obstetric and neonatal care in rural Pakistan
- Testosterone supplementation improves insulin responsiveness in HFD fed male T2DM mice and potentiates insulin signaling in the skeletal muscle and C2C12 myocyte cell line
- Ang-(1-7)/ MAS1 receptor axis inhibits allergic airway inflammation via blockade of Src-mediated EGFR transactivation in a murine model of asthma
- Factors influencing bird-building collisions in the downtown area of a major North American city
- Collembola laterally move biochar particles
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- Results from a World Health Organization pilot of the Basic Emergency Care Course in Sub Saharan Africa
- Scientists’ opinions and attitudes towards citizens’ understanding of science and their role in public engagement activities
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- Morphology, phylogeny, and taxonomy of two species of colonial volvocine green algae from Lake Victoria, Tanzania
- Metabolomics profiles associated with HbA1c levels in patients with type 2 diabetes
- Exploring local realities: Perceptions and experiences of healthcare workers on the management and control of drug-resistant tuberculosis in Addis Ababa, Ethiopia
- Sex differences in the treatment and outcome of emergency general surgery
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- Barriers to integration of bioinformatics into undergraduate life sciences education: A national study of US life sciences faculty uncover significant barriers to integrating bioinformatics into undergraduate instruction
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- Insertional mutagenesis in the zoonotic pathogen Chlamydia caviae
- Being there: A scoping review of grief support training in medical education
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- Effect of self-rated health status on functioning difficulties among older adults in Ghana: Coarsened exact matching method of analysis of the World Health Organization’s study on global AGEing and adult health, Wave 2
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- Correlates of leisure-time sedentary behavior among 181,793 adolescents aged 12-15 years from 66 low- and middle-income countries
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- Spatiotemporal analysis of historical records (2001–2012) on dengue fever in Vietnam and development of a statistical model for forecasting risk
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- Effect of community based health education on knowledge and attitude towards iron and folic acid supplementation among pregnant women in Kiambu County, Kenya: A quasi experimental study
- Implementation and effectiveness of non-specialist mediated interventions for children with Autism Spectrum Disorder: A systematic review and meta-analysis
- A tailored cognitive behavioral program for juvenile justice-referred females at risk of substance use and delinquency: A pilot quasi-experimental trial
- Impact of adjusted kidney volume measured in the bench surgery on one-year renal function in kidney transplantation
- Machine learning algorithm validation with a limited sample size
- The magnitude of suicidal ideation, attempts and associated factors of HIV positive youth attending ART follow ups at St. Paul’s hospital Millennium Medical College and St. Peter’s specialized hospital, Addis Ababa, Ethiopia, 2018
- The nonlinear effect of financial and fiscal policies on poverty alleviation in China—An empirical analysis of Chinese 382 impoverished counties with PSTR models
- Impacts of risk and competition on the profitability of banks: Empirical evidence from Pakistan
- Molecular characterization of lung adenocarcinoma from Korean patients using next generation sequencing
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- Joint image compression and encryption based on sparse Bayesian learning and bit-level 3D Arnold cat maps
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- Live observation of the oviposition process in Daphnia magna
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- Differences in clinical features of cluster headache between drinkers and nondrinkers in Japan
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- The prognostic significance of tumor-infiltrating lymphocytes assessment with hematoxylin and eosin sections in resected primary lung adenocarcinoma
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- Psychological and physiological effects of applying self-control to the mobile phone
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- Modulating transcription through development of semi-synthetic yeast core promoters
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- The impact of hepatic steatosis on portal hypertension
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- Methods for the identification of farm escapees in feral mink (Neovison vison) populations
- Transcriptional analysis of amino acid, metal ion, vitamin and carbohydrate uptake in butanol-producing Clostridium beijerinckii NRRL B-598
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- Pan-caspase inhibitor F573 mitigates liver ischemia reperfusion injury in a murine model
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- Incidence patterns of orofacial clefts in purebred dogs
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- Prevention of suicidal behaviour: Results of a controlled community-based intervention study in four European countries
- An assessment of khat consumption habit and its linkage to household economies and work culture: The case of Harar city
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- The role of stigma in the acceptance and disclosure of HIV among recently diagnosed men who have sex with men in Australia: A qualitative study
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- Questioning the lasting effect of galvanic vestibular stimulation on postural control
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- The mutational landscape of quinolone resistance in Escherichia coli
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- Development of a novel automatable fabrication method based on electrospinning co electrospraying for rotator cuff augmentation patches
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- Molecular epidemiological characteristics of dengue virus carried by 34 patients in Guangzhou in 2018
- Heteroplasmy in the complete chicken mitochondrial genome
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- Appropriate management of acute gastroenteritis in Australian children: A population-based study
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- Effectiveness of four types of neuraminidase inhibitors approved in Japan for the treatment of influenza
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- Propofol-based total intravenous anesthesia did not improve survival compared to desflurane anesthesia in breast cancer surgery
- Association between ossification of the posterior longitudinal ligament and ossification of the nuchal ligament in the cervical spine
- Effects of Debaryomyces hansenii treatment on intestinal mucosa microecology in mice with antibiotic-associated diarrhea
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- Evolution of high tooth replacement rates in theropod dinosaurs
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- Effects of an incremental theory of personality intervention on the reciprocity between bullying and cyberbullying victimization and perpetration in adolescents
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- Identifying resurrection genes through the differentially expressed genes between Selaginella tamariscina (Beauv.) spring and Selaginella moellendorffii Hieron under drought stress
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- Mathematical modeling reveals the factors involved in the phenomena of cancer stem cells stabilization
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- Magnitude and associated factors of postpartum depression among women in Nekemte town, East Wollega zone, west Ethiopia, 2019: A community-based study
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- The household economic costs associated with depression symptoms: A cross-sectional household study conducted in the North West province of South Africa
- Increased cell size, structural complexity and migration of cancer cells acquiring fibroblast organelles by cell-projection pumping
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- Characterization of two thermophilic cellulases from Talaromyces leycettanus JCM12802 and their synergistic action on cellulose hydrolysis
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- Highly accurate prediction of flammability limits of chemical compounds using novel integrated hybrid models
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- Yeasts affect tolerance of Drosophila melanogaster to food substrate with high NaCl concentration
- The effect of climate change on cholera disease: The road ahead using artificial neural network
- Grit (effortful persistence) can be measured with a short scale, shows little variation across socio-demographic subgroups, and is associated with career success and career engagement
- Micro-dislodgement during transcatheter aortic valve implantation with a contemporary self-expandable prosthesis
- Improving the antimicrobial efficacy against resistant Staphylococcus aureus by a combined use of conjugated oligoelectrolytes
- Kin discrimination and outer membrane exchange in Myxococcus xanthus: Experimental analysis of a natural population
- Inflammatory cell infiltrates, hypoxia, vascularization, pentraxin 3 and osteoprotegerin in abdominal aortic aneurysms – A quantitative histological study
- Effects of virtual reality rehabilitation training on gait and balance in patients with Parkinson's disease: A systematic review
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- Association between housing tenure and self-rated health in Japan: Findings from a nationwide cross-sectional survey
- Investigation of biochemical and physiological parameters of the newborn Saiga antelope (Saiga tatarica) in Gansu Province, China
- One-year follow-up of changes in refraction and aberrations induced by corneal incision
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- An assessment of the Dutch experience with health insurers acting as healthcare advisors
- Perception of potential harm and benefits of HIV vaccine trial participation: A qualitative study from urban Tanzania
- Veterans with Gulf War Illness exhibit distinct respiratory patterns during maximal cardiopulmonary exercise
- Deep brain stimulation restores the glutamatergic and GABAergic synaptic transmission and plasticity to normal levels in kindled rats
- Metformin strongly affects transcriptome of peripheral blood cells in healthy individuals
- Cranberry extracts promote growth of Bacteroidaceae and decrease abundance of Enterobacteriaceae in a human gut simulator model
- Long-term retention on antiretroviral therapy among infants, children, adolescents and adults in Malawi: A cohort study
- Histochemical quantification of collagen content in articular cartilage
- Optogenetically transduced human ES cell-derived neural progenitors and their neuronal progenies: Phenotypic characterization and responses to optical stimulation
- Ion torrent high throughput mitochondrial genome sequencing (HTMGS)
- Outpatient antibiotic prescription rate and pattern in the private sector in India: Evidence from medical audit data
- Acute Influenza A virus outbreak in an enzootic infected sow herd: Impact on viral dynamics, genetic and antigenic variability and effect of maternally derived antibodies and vaccination
- Prevalence and correlates of low serum calcium in late pregnancy: A cross sectional study in the Nkongsamba Regional Hospital; Littoral Region of Cameroon
- Home-cage monitoring ascertains signatures of ictal and interictal behavior in mouse models of generalized seizures
- CRISPR/Cas9 gene editing in the West Nile Virus vector, Culex quinquefasciatus Say
- Genetic susceptibility to angiotensin-converting enzyme-inhibitor induced angioedema: A systematic review and evaluation of methodological approaches
- Proton pump inhibitor use increases the risk of peritonitis in peritoneal dialysis patients
- Comparative distribution of extended-spectrum beta-lactamase–producing Escherichia coli from urine infections and environmental waters
- Sex differences in thigh muscle volumes, sprint performance and mechanical properties in national-level sprinters
- Maternal serum and cord blood leptin concentrations at delivery
- Winter nitrification in ice-covered lakes
- Intolerance of uncertainty fuels depressive symptoms through rumination: Cross-sectional and longitudinal studies
- Monitoring exercise-induced muscle damage indicators and myoelectric activity during two weeks of knee extensor exercise training in young and old men
- Can adoption of pollution prevention techniques reduce pollution substitution?
- The association between self-efficacy and self-management behaviors among Chinese patients with type 2 diabetes
- Poly-arginine-18 peptides do not exacerbate bleeding, or improve functional outcomes following collagenase-induced intracerebral hemorrhage in the rat
- Affective disorders in the elderly in different European countries: Results from the MentDis_ICF65+ study
- Evaluation of forearm vascular resistance during orthostatic stress: Velocity is proportional to flow and size doesn’t matter
- Proton pencil minibeam irradiation of an in-vivo mouse ear model spares healthy tissue dependent on beam size
- Maternal stress in Shank3ex4-9 mice increases pup-directed care and alters brain white matter in male offspring
- Aspartate aminotransferase-to-platelet ratio index (APRI): A potential marker for diagnosis in patients at risk of severe malaria caused by Plasmodium vivax
- Exploiting open source 3D printer architecture for laboratory robotics to automate high-throughput time-lapse imaging for analytical microbiology
- Long non-coding RNAs and latent HIV – A search for novel targets for latency reversal
- Clinical characteristics of neonatal fulminant necrotizing enterocolitis in a tertiary Children's hospital in the last 10 years
- Effects of neuromuscular electrical stimulation training on muscle size in collegiate track and field athletes
- Adaptive fuzzy flow rate control considering multifractal traffic modeling and 5G communications
- Evaluation of four commercial tests for detecting ceftiofur in waste milk bulk tank samples
- A smart tele-cytology point-of-care platform for oral cancer screening
- Vasopressin SNP pain factors and stress in sickle cell disease
- Carbonate production of Micronesian reefs suppressed by thermal anomalies and Acanthaster as sea-level rises
- Microbial metabolisms in an abyssal ferromanganese crust from the Takuyo-Daigo Seamount as revealed by metagenomics
- Incidence of chronic kidney disease hospitalisations and mortality in Espírito Santo between 1996 to 2017
- The impact of short-term machine perfusion on the risk of cancer recurrence after rat liver transplantation with donors after circulatory death
- Proteomic profiling of the thrombin-activated canine platelet secretome (CAPS)
- Blood metal levels and serum testosterone concentrations in male and female children and adolescents: NHANES 2011–2012
- The effects of prolonged single night session of videogaming on sleep and declarative memory
- Diversity, distribution and dynamics of large trees across an old-growth lowland tropical rain forest landscape
- Mapping developmental QTL for plant height in soybean [Glycine max (L.) Merr.] using a four-way recombinant inbred line population
- Vaginal ring acceptability and related preferences among women in low- and middle-income countries: A systematic review and narrative synthesis
- UM171 induces a homeostatic inflammatory-detoxification response supporting human HSC self-renewal
- Positive selection and precipitation effects on the mitochondrial NADH dehydrogenase subunit 6 gene in brown hares (Lepus europaeus) under a phylogeographic perspective
- Evaluation of Minimum Inhibitory Concentrations for 154 Mycoplasma synoviae isolates from Italy collected during 2012-2017
- Enhancement of antibiotics antimicrobial activity due to the silver nanoparticles impact on the cell membrane
- Correction: Smoking, alcohol use disorder and tuberculosis treatment outcomes: A dual co-morbidity burden that cannot be ignored
- Correction: Effect of corruption on perceived difficulties in healthcare access in sub-Saharan Africa
- Knowledge-based best of breed approach for automated detection of clinical events based on German free text digital hospital discharge letters
- Importance of thorough tissue and cellular level characterization of targeted drugs in the evaluation of pharmacodynamic effects
- Integrated value-chain and risk assessment of Pig-Related Zoonoses in Ghana
- Failed sperm retrieval from severely oligospermic or non-obstructive azoospermic patients on oocyte retrieval day: Emergent oocyte cryopreservation is a feasible strategy
- Cassava yield traits predicted by genomic selection methods
- Verification of hub genes in the expression profile of aortic dissection
- Pig farmers’ willingness to pay for management strategies to reduce aggression between pigs
- Metabolomic response of Euglena gracilis and its bleached mutant strain to light
- Diagnostic value of ASVS for insulinoma localization: A systematic review and meta-analysis
- Newly educated care managers’ experiences of providing care for persons with stress-related mental disorders in the clinical primary care context
- Real-time telemetry monitoring of oxygen in the central complex of freely-walking Gromphadorhina portentosa
- Qualification programmes for immigrant health professionals: A systematic review
- An analytical model to minimize the latency in healthcare internet-of-things in fog computing environment
- Grain filling of early-season rice cultivars grown under mechanical transplanting
- Intercalation of small molecules into DNA in chromatin is primarily controlled by superhelical constraint
- Correlative evidence for co-regulation of phosphorus and carbon exchanges with symbiotic fungus in the arbuscular mycorrhizal Medicago truncatula
- How to design a dose-finding study on combined agents: Choice of design and development of R functions
- Altered expression of Notch1 in Alzheimer's disease
- The ZJU index is a powerful surrogate marker for NAFLD in severely obese North American women
- Trunk velocity-dependent Light Touch reduces postural sway during standing
- Evaluation of cytological diagnostic accuracy for canine splenic neoplasms: An investigation in 78 cases using STARD guidelines
- Trade-offs in motivating volunteer effort: Experimental evidence on voluntary contributions to science
- Does caching strategy vary with microclimate in endangered Mt. Graham red squirrels?
- Assessment of energy expenditure during high intensity cycling and running using a heart rate and activity monitor in young active adults
- Evaluating rectal swab collection method for gut microbiome analysis in the common marmoset (Callithrix jacchus)
- Implementation of a screening, brief intervention and referral to treatment programme for risky substance use in South African emergency centres: A mixed methods evaluation study
- Can the CalproQuest predict a positive Calprotectin test? A prospective diagnostic study
- The calcium sensor OsCBL1 modulates nitrate signaling to regulate seedling growth in rice
- Acceptability of and treatment preferences for recurrent bacterial vaginosis—Topical lactic acid gel or oral metronidazole antibiotic: Qualitative findings from the VITA trial
- Mathematical determination of the HIV-1 matrix shell structure and its impact on the biology of HIV-1
- Contingent negative variation during a modified cueing task in simulated driving
- CAMDI interacts with the human memory-associated protein KIBRA and regulates AMPAR cell surface expression and cognition
- Effect of feeding patterns on growth and nutritional status of children aged 0-24 months: A Chinese cohort study
- A fecal sequel: Testing the limits of a genetic assay for bat species identification
- Measuring the impact of chronic conditions and associated multimorbidity on health-related quality of life in the general population in Hong Kong SAR, China: A cross-sectional study
- Short and long-term clinical effectiveness and cost-effectiveness of a late-phase community-based balance and gait exercise program following hip fracture. The EVA-Hip Randomised Controlled Trial
- Vaccine cold chain in general practices: A prospective study in 75 refrigerators (Keep Cool study)
- Brazilian norms for the Bank of Standardized Stimuli (BOSS)
- Distinct varieties of aesthetic chills in response to multimedia
- Interaction between apolipoprotein E genotype and hypertension on cognitive function in older women in the Nurses’ Health Study
- Correction: Resistance profile of the HIV-1 maturation inhibitor GSK3532795 in vitro and in a clinical study
- New formulation of the Gompertz equation to describe the kinetics of untreated tumors
- Development of visual perception of others’ actions: Children’s judgment of lifted weight
- Retrospective comparative analysis of intraocular lens calculation formulas after hyperopic refractive surgery
- Human vitreous concentrations of citicoline following topical application of citicoline 2% ophthalmic solution
- Development and validation of exhaled breath condensate microRNAs to identify and endotype asthma in children
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- Risk factors affecting dairy cattle protective grouping behavior, commonly known as bunching, against Stomoxys calcitrans (L.) on California dairies
- Acceleration of chemical shift encoding-based water fat MRI for liver proton density fat fraction and T2* mapping using compressed sensing
- Characterisation and microbial community analysis of lipid utilising microorganisms for biogas formation
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- Exploring optimization strategies for improving explicit water models: Rigid n-point model and polarizable model based on Drude oscillator
- Artificial insemination with fresh, liquid stored and frozen thawed semen in dromedary camels
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- Numerical study on the start and unstart phenomena in a scramjet inlet-isolator model
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- Urban growth simulation in different scenarios using the SLEUTH model: A case study of Hefei, East China
- Chronic bronchitis without airflow obstruction, asthma and rhinitis are differently associated with cardiovascular risk factors and diseases
- Factors associated with medication adherence among people with diabetes mellitus in poor urban areas of Cambodia: A cross-sectional study
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- Force field generalization and the internal representation of motor learning
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- Minimal genetic differentiation of the malaria vector Nyssorhynchus darlingi associated with forest cover level in Amazonian Brazil
- The impact of leisure activities on older adults’ cognitive function, physical function, and mental health
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- Association of serum leptin and adiponectin concentrations with echocardiographic parameters and pathophysiological states in patients with cardiovascular disease receiving cardiovascular surgery
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- Influences on surgical antimicrobial prophylaxis decision making by surgical craft groups, anaesthetists, pharmacists and nurses in public and private hospitals
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- Transgenerational deep sequencing revealed hypermethylation of hippocampal mGluR1 gene with altered mRNA expression of mGluR5 and mGluR3 associated with behavioral changes in Sprague Dawley rats with history of prolonged febrile seizure
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- Prognostic significance of non-sustained ventricular tachycardia on stored electrograms in pacemaker recipients
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- Real-world evidence of the effectiveness of ombitasvir-paritaprevir/r ± dasabuvir ± ribavirin in patients monoinfected with chronic hepatitis C or coinfected with human immunodeficiency virus-1 in Spain
- Unique transcriptomic landscapes identified in idiopathic spontaneous and infection related preterm births compared to normal term births
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- Autophagy deficiency exacerbates colitis through excessive oxidative stress and MAPK signaling pathway activation
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- Unravelling travellers’ route choice behaviour at full-scale urban network by focusing on representative OD pairs in computer experiments
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- Increasing knowledge of HIV status in a country with high HIV testing coverage: Results from the Botswana Combination Prevention Project
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- Comparison of the fecal, cecal, and mucus microbiome in male and female mice after TNBS-induced colitis
- Identifying candidate diagnostic markers for early stage of non-small cell lung cancer
- Complex alternative splicing of human Endonuclease V mRNA, but evidence for only a single protein isoform
- Correction: KML001 Induces Apoptosis and Autophagic Cell Death in Prostate Cancer Cells via Oxidative Stress Pathway
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- Frequency cluster formation and slow oscillations in neural populations with plasticity
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- Evaluation of various methods of selection of B. subtilis strains capable of secreting surface-active compounds
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- Study on characteristics of fire plume in building facade window under lateral blow
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- Effects of 6-mercaptopurine in pressure overload induced right heart failure
- The association between haemoglobin levels in the first 20 weeks of pregnancy and pregnancy outcomes
- Implementation and evaluation of an antimicrobial stewardship programme in companion animal clinics: A stepped-wedge design intervention study
- Factors associated with persistently high-cost health care utilization for musculoskeletal pain
- Nitrogen and chlorophyll status determination in durum wheat as influenced by fertilization and soil management: Preliminary results
- Effect of repeated in vivo microCT imaging on the properties of the mouse tibia
- Coupling environment and physiology to predict effects of climate change on the taxonomic and functional diversity of fish assemblages in the Murray-Darling Basin, Australia
- Hematology and plasma biochemistries in the Blanding’s turtle (Emydoidea blandingii) in Lake County, Illinois
- CRISPR-Cas influences the acquisition of antibiotic resistance in Klebsiella pneumoniae
- Phosphorylation-dependent activity-based conformational changes in P21-activated kinase family members and screening of novel ATP competitive inhibitors
- Antidepressant prescriptions, discontinuation, depression and perinatal outcomes, including breastfeeding: A population cohort analysis
- Why men with a low-risk prostate cancer select and stay on active surveillance: A qualitative study
- Imported severe malaria and risk factors for intensive care: A single-centre retrospective analysis
- Combined treatment (image-guided thrombectomy and endovascular therapy with open femoral access) for acute lower limb ischemia: Clinical efficacy and outcomes
- Low-latency single channel real-time neural spike sorting system based on template matching
- Quantifying the scale effect in geospatial big data using semi-variograms
- Paper-and-pencil versus computerized administration mode: Comparison of data quality and risk behavior prevalence estimates in the European school Survey Project on Alcohol and other Drugs (ESPAD)
- Regression adjusted colocalisation colour mapping (RACC): A novel biological visual analysis method for qualitative colocalisation analysis of 3D fluorescence micrographs
- Ostrich eggshell bead diameter in the Holocene: Regional variation with the spread of herding in eastern and southern Africa
- Spatial and temporal variations in female size at maturity of a Southern Rock Lobster (Jasus edwardsii) population: A likely response to climate change
- Inactive USP14 and inactive UCHL5 cause accumulation of distinct ubiquitinated proteins in mammalian cells
- Training rhesus macaques to take daily oral antiretroviral therapy for preclinical evaluation of HIV prevention and treatment strategies
- Left ventricular structural and functional changes in Friedreich ataxia – Relationship with body size, sex, age and genetic severity
- Magnitude and factors associated with anemia among pregnant women attending antenatal care in Bench Maji, Keffa and Sheka zones of public hospitals, Southwest, Ethiopia, 2018: A cross -sectional study
- Effectiveness of telerehabilitation in the management of adults with stroke: A systematic review
- Hydrogen sulphide-induced hypometabolism in human-sized porcine kidneys
- Correction: Comparison of the molecular properties of retinitis pigmentosa P23H and N15S amino acid replacements in rhodopsin
- Retraction: Regulation of gastric smooth muscle contraction via Ca2+-dependent and Ca2+-independent actin polymerization
- Evaluation of neutral oral contrast agents for assessment of the small bowel at abdominal staging CT
- Blood type and breed-associated differences in cell marker expression on equine bone marrow-derived mesenchymal stem cells including major histocompatibility complex class II antigen expression
- Induced abortion and future use of IVF treatment; A nationwide register study
- Psychosocial determinants of sustained maternal functional impairment: Longitudinal findings from a pregnancy-birth cohort study in rural Pakistan
- Measurement of finger joint angle using stretchable carbon nanotube strain sensor
- Determinants of mortality among patients with drug-resistant tuberculosis in northern Nigeria
- Drugs modulating stochastic gene expression affect the erythroid differentiation process
- Efficacy of UB0316, a multi-strain probiotic formulation in patients with type 2 diabetes mellitus: A double blind, randomized, placebo controlled study
- Prognostic value of des-γ-carboxy prothrombin in patients with hepatocellular carcinoma treated with transarterial chemotherapy: A systematic review and meta-analysis
- Avermectin induces the oxidative stress, genotoxicity, and immunological responses in the Chinese Mitten Crab, Eriocheir sinensis
- Antibiotic use in mandarin production (Citrus reticulata Blanco) in major mandarin-producing areas in Thailand: A survey assessment
- Application of CPI cutoff value based on parentage testing of duos and trios typed by four autosomal kits
- Correction: Good and Bad in the Hands of Politicians: Spontaneous Gestures during Positive and Negative Speech
- Adolescents with worse levels of oral health literacy have more cavitated carious lesions
- Effective methods for the inactivation of Francisella tularensis
- Detection of early-stage Alzheimer’s pathology using blood-based autoantibody biomarkers in elderly hip fracture repair patients
- Correlation between internal pudendal artery stenosis and erectile dysfunction in patients with suspected coronary artery disease
- Analysis of HER2 genomic binding in breast cancer cells identifies a global role in direct gene regulation
- Population productivity of shovelnose rays: Inferring the potential for recovery
- Correction: Long-term clinical outcomes in a cohort of patients with solitary plasmacytoma treated in the modern era
- Effects of tetracycline on myocardial infarct size in obese rats with chemically-induced colitis
- Mineral absorption is an enriched pathway in a brain region of restless legs syndrome patients with reduced MEIS1 expression
- Changes in weight and body composition across five years at university: A prospective observational study
- Adeno-associated virus-mediated expression of human butyrylcholinesterase to treat organophosphate poisoning
- Effects of insulin signaling on mouse taste cell proliferation
- Patient-level cost of home- and facility-based child pneumonia treatment in Suba Sub County, Kenya
- TAP: A static analysis model for PHP vulnerabilities based on token and deep learning technology
- Cost-effectiveness of QuantiFERON-TB Gold In-Tube versus tuberculin skin test for diagnosis and treatment of Latent Tuberculosis Infection in primary health care workers in Brazil
- Multifaceted intervention for the prevention and management of musculoskeletal pain in nursing staff: Results of a cluster randomized controlled trial
- Changes over time in creatinine clearance and comparison of emergent adverse events for HIV-positive adults receiving standard doses (300 mg/day) of lamivudine-containing antiretroviral therapy with baseline creatinine clearance of 30–49 vs ≥50 mL/min
- Population dynamics of foxes during restricted-area culling in Britain: Advancing understanding through state-space modelling of culling records
- Impacts of experimental advisory exit speed sign on traffic speeds for freeway exit ramp
- In-hospital outcomes and 30-day readmission rates among ischemic and hemorrhagic stroke patients with delirium
- Monitoring quality indicators for the Xpert MTB/RIF molecular assay in Ethiopia
- Delivering genes across the blood-brain barrier: LY6A, a novel cellular receptor for AAV-PHP.B capsids
- Correction: Using remote sensing to detect whale strandings in remote areas: The case of sei whales mass mortality in Chilean Patagonia
- Comparison of the inoculum size effects of antibiotics on IMP-6 β-lactamase-producing Enterobacteriaceae co-harboring plasmid-mediated quinolone resistance genes
- Contrast-enhanced computed tomography findings of canine primary renal tumors including renal cell carcinoma, lymphoma, and hemangiosarcoma
- Non-invasive in vivo imaging of UCP1 expression in live mice via near-infrared fluorescent protein iRFP720
- Overexpression of pink1 or parkin in indirect flight muscles promotes mitochondrial proteostasis and extends lifespan in Drosophila melanogaster
- Fiber stiffness, pore size and adhesion control migratory phenotype of MDA-MB-231 cells in collagen gels
- Comparison of two experimental ARDS models in pigs using electrical impedance tomography
- Are primary school children attending full-day school still engaged in sports clubs?
- Stroke risks in women with dysmenorrhea by age and stroke subtype
- Changes in patterns of mortality rates and years of life lost due to firearms in the United States, 1999 to 2016: A joinpoint analysis
- In vitro modeling of Batrachochytrium dendrobatidis infection of the amphibian skin
- Development and validation of LC-MS/MS method for imatinib and norimatinib monitoring by finger-prick DBS in gastrointestinal stromal tumor patients
- Correction: Habitat disturbance and the organization of bacterial communities in Neotropical hematophagous arthropods
- Characterisation of early metazoan secretion through associated signal peptidase complex subunits, prohormone convertases and carboxypeptidases of the marine sponge (Amphimedon queenslandica)
- Time trends between 2002 and 2017 in correlates of self-reported sitting time in European adults
- Performance of patient acuity rating by rapid response team nurses for predicting short-term prognosis
- Changes in HbA1c during the first six years after the diagnosis of Type 2 diabetes mellitus predict long-term microvascular outcomes
- Correction: Antimicrobial resistance genotypes and phenotypes of Campylobacter jejuni isolated in Italy from humans, birds from wild and urban habitats, and poultry
- Correction: Mental health and quality of life outcomes in family members of patients with chronic critical illness admitted to the intensive care units of two Brazilian hospitals serving the extremes of the socioeconomic spectrum
- Correction: Establishing an infrastructure for collaboration in primate cognition research
- Correction: The impact of public health insurance on health care utilisation, financial protection and health status in low- and middle-income countries: A systematic review
- Health provider and service-user experiences of sensory modulation rooms in an acute inpatient psychiatry setting
- Comparison of potential drug-drug interactions with metabolic syndrome medications detected by two databases
- The Polish version of the Cultural Intelligence Scale: Assessment of its reliability and validity among healthcare professionals and medical faculty students
- Selection of optimal reference genes for qRT-PCR analysis of shoot development and graviresponse in prostrate and erect chrysanthemums
- Metastasis risk prediction model in osteosarcoma using metabolic imaging phenotypes: A multivariable radiomics model
- Defining hospital community benefit activities using Delphi technique: A comparison between China and the United States
- Establishment of the experimental procedure for prediction of conjugation capacity in mutant UGT1A1
- A robust multi-objective optimization framework to capture both cellular and intercellular properties in cardiac cellular model tuning: Analyzing different regions of membrane resistance profile in parameter fitting
- Sea star wasting disease demography and etiology in the brooding sea star Leptasterias spp.
- Diagnostic plasma miRNA-profiles for ovarian cancer in patients with pelvic mass
- Genetic diversity and drug resistance of HIV-1 among infected pregnant women newly diagnosed in Luanda, Angola
- I’ve been robbed! – Can changes in floral traits discourage bee pollination?
- Visualising statistical models using dynamic nomograms
- Assessing the capacity of Malawi’s district and central hospitals to manage traumatic diaphyseal femoral fractures in adults
- Diagnostic performance of basal cortisol level at 0900-1300h in adrenal insufficiency
- The Mastery Rubric for Bioinformatics: A tool to support design and evaluation of career-spanning education and training
- Microdissection and whole chromosome painting confirm karyotype transformation in cryptic species of the Lariophagus distinguendus (Förster, 1841) complex (Hymenoptera: Pteromalidae)
- Quality of Kangaroo Mother Care services in Ethiopia: Implications for policy and practice
- Gemcitabine potentiates the anti-tumour effect of radiation on medullary thyroid cancer
- iTRAQ-based high-throughput proteomics analysis reveals alterations of plasma proteins in patients infected with human bocavirus
- The detection of a non-anemophilous plant species using airborne eDNA
- Perception and control of low cable operation forces in voluntary closing body-powered upper-limb prostheses
- Neoadjuvant chemotherapy plus surgery versus concurrent chemoradiotherapy in stage IB2-IIB cervical cancer: A systematic review and meta-analysis
- Randomized methods to characterize large-scale vortical flow networks
- Disentangling the coexistence strategies of mud-daubing wasp species through trophic analysis in oases of Baja California peninsula
- Front-of-pack nutritional labels: Understanding by low- and middle-income Mexican consumers
- Distress in patients with end-stage renal disease: Staff perceptions of barriers to the identification of mild-moderate distress and the provision of emotional support
- Pathways to antibiotics in Bangladesh: A qualitative study investigating how and when households access medicine including antibiotics for humans or animals when they are ill
- DOC export is exceeded by C fixation in May Creek: A late-successional watershed of the Copper River Basin, Alaska
- Behavioral observation of prosocial behavior and social initiative is related to preschoolers’ psychopathological symptoms
- Evaluating the impact of citations of articles based on knowledge flow patterns hidden in the citations
- Correction: Economic sanctions and academia: Overlooked impact and long-term consequences
- Correction: A novel association between relaxin receptor polymorphism and hematopoietic stem cell yield after mobilization
- Expression of Concern: Cooperativity of Oncogenic K-Ras and Downregulated p16/INK4A in Human Pancreatic Tumorigenesis
- Price dispersion of generic medications
- Sex differences in body composition but not neuromuscular function following long-term, doxycycline-induced reduction in circulating levels of myostatin in mice
- The emotion regulation effect of cognitive control is related to depressive state through the mediation of rumination: An ERP study
- Comparison of SMS-EPI and 3D-EPI at 7T in an fMRI localizer study with matched spatiotemporal resolution and homogenized excitation profiles
- Left ventricular mass normalization for body size in children based on an allometrically adjusted ratio is as accurate as normalization based on the centile curves method
- Correction: Combining biophysical parameters, spectral indices and multivariate hyperspectral models for estimating yield and water productivity of spring wheat across different agronomic practices
- Correction: Flowers as viral hot spots: Honey bees (Apis mellifera) unevenly deposit viruses across plant species
- 'Small small quarrels bring about happiness or love in the relationships’: Exploring community perceptions and gendered norms contributing to male perpetrated intimate partner violence in the Central Region of Ghana
- The performance of practitioners conducting facial comparisons on images of children across age
- Increased amounts and stability of telomeric repeat-containing RNA (TERRA) following DNA damage induced by etoposide
- Patients with limitation or withdrawal of life supporting care admitted in a medico-surgical intermediate care unit: Prevalence, description and outcome over a six-month period
- Correction: Diverse radiofrequency sensitivity and radiofrequency effects of mobile or cordless phone near fields exposure in Drosophila melanogaster
- Predicting the performance of TV series through textual and network analysis: The case of Big Bang Theory
- Risk of temperature, humidity and concentrations of air pollutants on the hospitalization of AECOPD
- Mixed methods grant applications in the health sciences: An analysis of reviewer comments
- Renal abnormalities among children with sickle cell conditions in highly resource-limited setting in Ghana
- Size matters: How reaching and vergence movements are influenced by the familiar size of stereoscopically presented objects
- Willingness to receive institutional and community-based eldercare among the rural elderly in China
- An improved deep learning method for predicting DNA-binding proteins based on contextual features in amino acid sequences
- Beyond executive functions, creativity skills benefit academic outcomes: Insights from Montessori education
- A LAMP assay for the rapid and robust assessment of Wolbachia infection in Aedes aegypti under field and laboratory conditions
- Nonarteritic anterior ischemic optic neuropathy is associated with cerebral small vessel disease
- Fiber-tract localized diffusion coefficients highlight patterns of white matter disruption induced by proximity to glioma
- The fight against polio through the NO-DO newsreels during the Francoism period in Spain
- Ocean sound levels in the northeast Pacific recorded from an autonomous underwater glider
- Cost-consequence analysis of influenza vaccination among the staff of a large teaching hospital in Rome, Italy: A pilot study
- The relationship among the progression of inflammation in umbilical cord, fetal inflammatory response, early-onset neonatal sepsis, and chorioamnionitis
- How medical professional students view older people with dementia: Implications for education and practice
- An enhanced nonparametric EWMA sign control chart using sequential mechanism
- Land use change, carbon stocks and tree species diversity in green spaces of a secondary city in Myanmar, Pyin Oo Lwin
- Is there a difference in women’s experiences of care with medication vs. manual vacuum aspiration abortions? Determinants of person-centered care for abortion services
- Maternal complications in pregnancy and childbirth for women with epilepsy: Time trends in a nationwide cohort
- Adsorption of oxytetracycline on kaolinite
- Interdisciplinary stratified care for low back pain: A qualitative study on the acceptability, potential facilitators and barriers to implementation
- The role of resource transfer in positive, non-additive litter decomposition
- The impact of language on the interpretation of resuscitation clinical care plans by doctors. A mixed methods study
- Quantum dots reveal heterogeneous membrane diffusivity and dynamic surface density polarization of dopamine transporter
- Genomic analysis of Shiga toxin-producing Escherichia coli from patients and asymptomatic food handlers in Japan
- The heavy metals lead and cadmium are cytotoxic to human bone osteoblasts via induction of redox stress
- Anatomical, taxonomic, and phylogenetic reappraisal of a poorly known ghost knifefish, Tembeassu marauna (Ostariophysi: Gymnotiformes), using X-ray microcomputed tomography
- Matrix-assisted laser desorption/ionization time of flight mass spectrometry identification of Vibrio (Listonella) anguillarum isolated from sea bass and sea bream
- Recommendations of older adults on how to use the PROM ‘TOPICS-MDS’ in healthcare conversations: A Delphi study
- The winner takes it all—Competitiveness of single nodes in globalized supply networks
- Hamsters in the city: A study on the behaviour of a population of common hamsters (Cricetus cricetus) in urban environment
- Correction: Liquid biopsies for omics-based analysis in sentinel mussels
- Size matters! Association between journal size and longitudinal variability of the Journal Impact Factor
- Drug resistance and epidemiology characteristics of multidrug-resistant tuberculosis patients in 17 provinces of China
- A model-based framework for chronic hepatitis C prevalence estimation
- Adding rewards to regulation: The impacts of watershed conservation on land cover and household wellbeing in Moyobamba, Peru
- Clinical determinants of social media use in individuals with schizophrenia
- Arsenic and nutrient absorption characteristics and antioxidant response in different leaves of two ryegrass (Lolium perenne) species under arsenic stress
- An evolution of socioeconomic related inequality in teenage pregnancy and childbearing in Malawi
- A single plasmid based CRISPR interference in Synechocystis 6803 – A proof of concept
- Structural vulnerability to narcotics-driven firearm violence: An ethnographic and epidemiological study of Philadelphia’s Puerto Rican inner-city
- Temporal trends in intracerebral hemorrhage: Evidence from the Austrian Stroke Unit Registry
- Prevalence and risk factors for multi-drug resistant Escherichia coli among poultry workers in the Federal Capital Territory, Abuja, Nigeria
- Prediction of disease-related metabolites using bi-random walks
- Clinical use, efficacy, and durability of maraviroc for antiretroviral therapy in routine care: A European survey
- Biomarker discovery in inflammatory bowel diseases using network-based feature selection
- The Cinderella Complex: Word embeddings reveal gender stereotypes in movies and books
- Exoproteome profiling of Trypanosoma cruzi during amastigogenesis early stages
- Reproducible phenotype alteration due to prolonged cooling of the pupae of Polyommatus icarus butterflies
- Nutritional treatment with an immune-modulating enteral formula alleviates 5-fluorouracil-induced adverse effects in rats
- Pharmacy-based predictors of non-adherence, non-persistence and reinitiation of antihypertensive drugs among patients on oral diabetes drugs in the Netherlands
- Systematic review of the accuracy of plasma preparation tubes for HIV viral load testing
- Circadian clock regulates the shape and content of dendritic spines in mouse barrel cortex
- “Anybody can make kids; it takes a real man to look after your kids”: Aboriginal men’s discourse on parenting
- Correction: A 1D computer model of the arterial circulation in horses: An important resource for studying global interactions between heart and vessels under normal and pathological conditions
- Maternal interpregnancy weight change and premature birth: Findings from an English population-based cohort study
- Correction: Identifying performance benchmarks and determinants for reproductive performance and calf survival using a longitudinal field study of cow-calf herds in western Canada
- Prognostic value of the model for end-stage liver disease excluding INR score (MELD-XI) in patients with adult congenital heart disease
- Treatment of Urethral Pain Syndrome (UPS) in Sweden
- Migration and political polarization in the U.S.: An analysis of the county-level migration network
- Epidemiology and complications of late-onset sepsis: an Italian area-based study
- The relationship between women’s experience of intimate partner violence and other socio-demographic factors, and under-5 children’s health in South Africa
- Association between trunk and gluteus muscle size and long jump performance
- Multimorbidity and complex multimorbidity in Brazilian rural workers
- Correction: Interspecific Phylogenic Relationships within Genus Melilotus Based on Nuclear and Chloroplast DNA
- Insulin-like growth factor (IGF)-II- mediated fibrosis in pathogenic lung conditions
- Wolf diet and prey selection in the South-Eastern Carpathian Mountains, Romania
- In vitro activity of aryl-thiazole derivatives against Schistosoma mansoni schistosomula and adult worms
- Sample size issues in multilevel logistic regression models
- Seed germination ecology of Ageratum houstonianum: A major invasive weed in Nepal
- Experiences of lifestyle change among women with gestational diabetes mellitus (GDM): A behavioural diagnosis using the COM-B model in a low-income setting
- Pharmacologic management of HCV treatment in patients with HCV monoinfection vs. HIV/HCV coinfection: Does coinfection really matter?
- The association between cigarette smoking and serum thyroid stimulating hormone, thyroid peroxidase antibodies and thyroglobulin antibodies levels in Chinese residents: A cross-sectional study in 10 cities
- Mouse movement measures enhance the stop-signal task in adult ADHD assessment
- Ecosystem functioning in urban grasslands: The role of biodiversity, plant invasions and urbanization
- Correction: KETOS: Clinical decision support and machine learning as a service – A training and deployment platform based on Docker, OMOP-CDM, and FHIR Web Services
- Does craniofacial morphology affect third molars impaction? Results from a population-based study in northeastern Germany
- Hyperconnectivity during screen-based stories listening is associated with lower narrative comprehension in preschool children exposed to screens vs dialogic reading: An EEG study
- Weight loss is associated with improved quality of life among rural women completers of a web-based lifestyle intervention
- Long-term high-grain diet altered the ruminal pH, fermentation, and composition and functions of the rumen bacterial community, leading to enhanced lactic acid production in Japanese Black beef cattle during fattening
- Beyond detoxification: Pleiotropic functions of multiple glutathione S-transferase isoforms protect mice against a toxic electrophile
- Golgi reassembly and stacking protein 65 downregulation is required for the anti-cancer effect of dihydromyricetin on human ovarian cancer cells
- SSR marker development in Clerodendrum trichotomum using transcriptome sequencing
- Risk factors for the carriage of Streptococcus infantarius subspecies infantarius isolated from African fermented dairy products
- Development of an intervention tool for precision oral self-care: Personalized and evidence-based practice for patients with periodontal disease
- Personal values in adolescence and psychological distress in adults: A cross-sectional study based on a retrospective recall
- Overactive bladder and bladder pain syndrome/interstitial cystitis in primary Sjögren’s syndrome patients: A nationwide population-based study
- Clinical utility of combined preimplantation genetic testing methods in couples at risk of passing on beta thalassemia/hemoglobin E disease: A retrospective review from a single center
- Hip stress distribution - Predictor of dislocation in hip arthroplasties. A retrospective study of 149 arthroplasties
- Mortality, morbidity, and cardiac surgery in Injection Drug Use (IDU)-associated versus non-IDU infective endocarditis: The need to expand substance use disorder treatment and harm reduction services
- Pup mortality in New Zealand sea lions (Phocarctos hookeri) at Enderby Island, Auckland Islands, 2013-18
- In vitro endothelial cell migration from limbal edge-modified Quarter-DMEK grafts
- Liquid Chromatography/Mass Spectrometry based serum metabolomics study on recurrent abortion women with antiphospholipid syndrome
- Gut carriage of antimicrobial resistance genes among young children in urban Maputo, Mozambique: Associations with enteric pathogen carriage and environmental risk factors
- Prepubertal nutrition alters Leydig cell functional capacity and timing of puberty
- Reliability of the Swedish version of the Evidence-Based Practice Attitude Scale assessing physiotherapist’s attitudes to implementation of evidence-based practice
- Mitochondrial alarmins are tissue mediators of ventilator-induced lung injury and ARDS
- Complete Chloroplast Genomes of Vachellia nilotica and Senegalia senegal: Comparative Genomics and Phylogenomic Placement in a New Generic System
- Retraction: Over-Expression of Superoxide Dismutase Ameliorates Cr(VI) Induced Adverse Effects via Modulating Cellular Immune System of Drosophila melanogaster
- Effect of pre-season training phase on anthropometric, hormonal and fitness parameters in young soccer players
- Exosomes from conditioned media of bone marrow-derived mesenchymal stem cells promote bone regeneration by enhancing angiogenesis
- Outcome of patients with heart failure after transcatheter aortic valve implantation
- Fatty acid profile of Romanian’s common bean (Phaseolus vulgaris L.) lipid fractions and their complexation ability by β-cyclodextrin
- Appropriate empirical antibiotic therapy and mortality: Conflicting data explained by residual confounding
- Treatment of corneal endothelial damage in a rabbit model with a bioengineered graft using human decellularized corneal lamina and cultured human corneal endothelium
- Telbivudine on IgG-associated hypergammaglobulinemia and TGF-β1 hyperactivity in hepatitis B virus-related liver cirrhosis
- Correction: Axial variation of deoxyhemoglobin density as a source of the low-frequency time lag structure in blood oxygenation level-dependent signals
- Correction: Mobile health-based physical activity intervention for individuals with spinal cord injury in the community: A pilot study
- Retraction: Placental expression of CD100, CD72 and CD45 is dysregulated in human miscarriage
- Correction: Use of IoT sensing and occupant surveys for determining the resilience of buildings to forest fire generated PM2.5
- Correction: The modulation of facial mimicry by attachment tendencies and their underlying affiliation motives in 3-year-olds: An EMG study
- Correction: Cognitive impairment in multiple sclerosis: An exploratory analysis of environmental and lifestyle risk factors
- Discovering novel disease comorbidities using electronic medical records
- Glutathione contributes to efficient post-Golgi trafficking of incoming HPV16 genome
- Epidemiology and antimicrobial resistance of methicillin-resistant Staphylococcus aureus isolates colonizing pigs with different exposure to antibiotics
- Social information use in adolescents: The impact of adults, peers and household composition
- Public practices on antibiotic use: A cross-sectional study among Qatar University students and their family members
- Effects of Topper Training on psychosocial problems, self-esteem, and peer victimisation in Dutch children: A randomised trial
- Comparative studies of two generations of NanoString nCounter System
- General practitioners’ perceptions of delayed antibiotic prescription for respiratory tract infections: A phenomenographic study
- Can altered magnetic field affect the foraging behaviour of ants?
- Parasitic infections and medical expenses according to Health Insurance Review Assessment claims data in South Korea, 2011–2018
- A prospective observational study of on-treatment plasma homocysteine levels as a biomarker of toxicity, depression and vitamin supplementation lead-in time pre pemetrexed, in patients with non-small cell lung cancer and malignant mesothelioma
- A strategy to identify protein-N-myristoylation-dependent phosphorylation reactions of cellular proteins by using Phos-tag SDS-PAGE
- Expression profile of sonic hedgehog signaling-related molecules in basal cell carcinoma
- Seasonal alternation of the ontogenetic development of the moon jellyfish Aurelia coerulea in Maizuru Bay, Japan
- Reliability of measurement of active trunk movement in wheelchair basketball players
- Chinese SLE Treatment and Research group (CSTAR) registry: Clinical significance of thrombocytopenia in Chinese patients with systemic lupus erythematosus
- Does source credibility matter for point-of-decision prompts? A quasi-experimental field study to increase stair use
- Male-pattern baldness and incident coronary heart disease and risk factors in the Heinz Nixdorf Recall Study
- Quality and utilization patterns of maternity waiting homes at referral facilities in rural Zambia: A mixed-methods multiple case analysis of intervention and standard of care sites
- Determining an optimal pool size for testing beef herds for Johne’s disease in Australia
- Correction: Change in larval fish assemblage in a USA east coast estuary estimated from twenty-six years of fixed weekly sampling
- APOE-knockout in rabbits causes loss of cells in nucleus pulposus and enhances the levels of inflammatory catabolic cytokines damaging the intervertebral disc matrix
- Testing Species Assignments in Extant Terebratulide Brachiopods: A Three-dimensional Geometric Morphometric Analysis of Long-Looped Brachidia
- A daily diary study on maladaptive daydreaming, mind wandering, and sleep disturbances: Examining within-person and between-persons relations
- Improved chemotherapy modeling with RAG-based immune deficient mice
- Effect of tracheal antimicrobial peptide on the development of Mannheimia haemolytica pneumonia in cattle
- The internal realities of individuals with type 2 diabetes – a functional framework of self-management practices via Grounded Theory approach
- Role of platelet parameters in early detection and prediction of severity of preeclampsia: A comparative cross-sectional study at Ayder comprehensive specialized and Mekelle general hospitals, Mekelle, Tigray, Ethiopia
- eIF4E and 4EBP1 are prognostic markers of head and neck squamous cell carcinoma recurrence after definitive surgery and adjuvant radiotherapy
- Smoking and other determinants of bone turnover
- Oxygen delivery, oxygen consumption and decreased kidney function after cardiopulmonary bypass
- School engagement of children in early grades: Psychometric, and gender comparisons
- Correction: A review of the elusive bicolored iris Snouted Treefrogs (Anura: Hylidae:Scinax uruguayus group)
- Perceived attractiveness of Czech faces across 10 cultures: Associations with sexual shape dimorphism, averageness, fluctuating asymmetry, and eye color
- Discovery of stable and prognostic CT-based radiomic features independent of contrast administration and dimensionality in oesophageal cancer
- Correction: Population-based dementia prediction model using Korean public health examination data: A cohort study
- Location, location, location: Close ties among older continuing care retirement community residents
- Correction: ISED: Constructing a high-resolution elevation road dataset from massive, low-quality in-situ observations derived from geosocial fitness tracking data
- Correction: Use of validated objective methods of locomotion characteristics and weight distribution for evaluating the efficacy of ketoprofen for alleviating pain in cows with limb pathologies
- Monitoring fine root growth to identify optimal fertilization timing in a forest plantation: A case study in Northeast Vietnam
- Metabolic costs of spontaneous swimming in Sprattus sprattus L., at different water temperatures
- Enterovirus 71 vaccine acceptance among parents of children < 5 years old and their knowledge of hand, foot and mouth disease, Chongqing, China, 2017
- Correction: Transcriptome profiling of mouse brain and lung under Dip2a regulation using RNA-sequencing
- Genetic diversity and antiretroviral resistance-associated mutation profile of treated and naive HIV-1 infected patients from the Northwest and Southwest regions of Cameroon
- Maximum parsimony interpretation of chromatin capture experiments
- Multiple innate antibacterial immune defense elements are correlated in diverse ungulate species
- Incidence and characteristics of ventricular tachycardia in patients after percutaneous coronary revascularization of chronic total occlusions
- Estimating measures of latent variables from m-alternative forced choice responses
- Clade F AAVHSCs cross the blood brain barrier and transduce the central nervous system in addition to peripheral tissues following intravenous administration in nonhuman primates
- First evidence of hepatitis E virus infection in a small mammal (yellow-necked mouse) from Croatia
- The inhibitory effects of polypyrrole on the biofilm formation of Streptococcus mutans
- Self-reported adverse drug effects and associated factors among H. pylori infected patients on standard triple therapy: Prospective follow up study
- Upregulation of ERK phosphorylation in rat dorsal root ganglion neurons contributes to oxaliplatin-induced chronic neuropathic pain
- Characterization of the relationship between neutron production and thermal load on a target material in an accelerator-based boron neutron capture therapy system employing a solid-state Li target
- Remote heart rate monitoring - Assessment of the Facereader rPPg by Noldus
- Seroprevalence of rubella virus antibodies among pregnant women in the Center and South-West regions of Cameroon
- Effectiveness of steam sterilization of reusable medical devices in primary and secondary care public hospitals in Nepal and factors associated with ineffective sterilization: A nation-wide cross-sectional study
- Relevance of HTLV-1 proviral load in asymptomatic and symptomatic patients living in endemic and non-endemic areas of Argentina
- Ritualized aggressive behavior reveals distinct social structures in native and introduced range tawny crazy ants
- The value of kinetic glomerular filtration rate estimation on medication dosing in acute kidney injury
- Screening and characterization of long noncoding RNAs involved in the albinism of Ananas comosus var. bracteatus leaves
- Visual attention to emotional faces in adolescents with social anxiety disorder receiving cognitive behavioral therapy
- A Q fever outbreak associated to courier transport of pets
- Antibodies against measles and rubella virus among different age groups in Thailand: A population-based serological survey
- Molecular diet analysis of Anguilliformes leptocephalus larvae collected in the western North Pacific
- Correction: The relationship between context, structure, and processes with outcomes of 6 regional diabetes networks in Europe
- Correction: The C-reactive protein/albumin ratio as an independent predictor of mortality in patients with severe sepsis or septic shock treated with early goal-directed therapy
- Interleukin 21 (IL-21) regulates chronic allograft vasculopathy (CAV) in murine heart allograft rejection
- Semantic computational analysis of anticoagulation use in atrial fibrillation from real world data
- The implementation of HTA in medicine pricing and reimbursement policies in Indonesia: Insights from multiple stakeholders
- International experiences during United States ophthalmology residency training: Current structure of international experiences and perspectives of faculty mentors at United States training institutions
- Questionable utility of digoxin in left-ventricular assist device recipients: A multicenter, retrospective analysis
- Genotyping and outcomes of presumptive second line ART failure cases switched to third line or maintained on second line ART in Mumbai, India
- A mathematical model of honey bee colony dynamics to predict the effect of pollen on colony failure
- Airway microbiome composition correlates with lung function and arterial stiffness in an age-dependent manner
- An odorant receptor from Anopheles gambiae that demonstrates enantioselectivity to the plant volatile, linalool
- Factors associated with full immunization of children 12–23 months of age in Ethiopia: A multilevel analysis using 2016 Ethiopia Demographic and Health Survey
- Additional evidence that the rat renal interstitium contracts in vivo
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