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Resilience assessment of Puerto Rico’s coral reefs to inform reef management
Authors: David A. Gibbs aff001; Jordan M. West aff002
Authors place of work: Oak Ridge Institute for Science Education fellow at U.S. Environmental Protection Agency, Washington, D.C., United States of America aff001; U.S. Environmental Protection Agency, Office of Research and Development, Washington, D.C., United States of America aff002
Published in the journal: PLoS ONE 14(11)
Category: Research Article
doi: https://doi.org/10.1371/journal.pone.0224360Summary
Globally increasing sea surface temperatures threaten coral reefs, both directly and through interactions with local stressors. More resilient reefs have a higher likelihood of returning to a coral-dominated state following a disturbance, such as a mass bleaching event. To advance practical approaches to reef resilience assessments and aid resilience-based management of coral reefs, we conducted a resilience assessment for Puerto Rico’s coral reefs, modified from methods used in other U.S. jurisdictions. We calculated relative resilience scores for 103 sites from an existing commonwealth-wide survey using eight resilience indicators—such as coral diversity, macroalgae percent cover, and herbivorous fish biomass—and assessed which indicators most drove resilience. We found that sites of very different relative resilience were generally highly spatially intermixed, underscoring the importance and necessity of decision making and management at fine scales. In combination with information on levels of two localized stressors (fishing pressure and pollution exposure), we used the resilience indicators to assess which of seven potential management actions could be used at each site to maintain or improve resilience. Fishery management was the management action that applied to the most sites. Furthermore, we combined sites’ resilience scores with projected ocean warming to assign sites to vulnerability categories. Island-wide or community-level managers can use the actions and vulnerability information as a starting point for resilience-based management of their reefs. This assessment differs from many previous ones because we tested how much information could be yielded by a “desktop” assessment using freely-available, existing data rather than from a customized, resilience-focused field survey. The available data still permitted analyses comparable to previous assessments, demonstrating that desktop resilience assessments can substitute for assessments with field components under some circumstances.
Keywords:
Pollution – Islands – Corals – Coral reefs – Simpson index – Herbivory – Puerto Rico – Bleaching
Introduction
The widely varying responses of coral reefs to stressors such as increased sea surface temperatures (SST) may be due to many factors, such as variation in a reef’s exposure to the stressor, sensitivity to the stressor, and capacity to adapt [1]. While the attributes of sensitivity and adaptive capacity are considered defining components of resilience [2], resilience can be defined as a system’s capacity to absorb recurring disturbances (resistance) and regain essentially the same state and processes as before (recovery) [3]. A reef’s resilience can be characterized by the trajectory it takes following disturbance; high resilience reefs will tend towards dominance by corals, while low resilience reefs will tend towards dominance by other organisms [3]. Although resilience is relevant with respect to any kind of environmental disturbance, for coral reefs a major concern is resilience to rising SST and its interaction with local stressors [4]. Prolonged elevated SST can disturb reefs by causing corals to bleach (lose the symbiotic dinoflagellates that provide a large share of their nutrients), potentially leading to coral mortality.
Resilience-based management has become an important principle for managing reefs with respect to multiple stressors at multiple spatial scales. However, to manage reefs based on resilience, managers must know which reefs or areas tend to be more resilient and which tend to be less [3]. The resilience of reefs can be identified by conducting a resilience assessment, the goal of which is to inform reef management at one or more spatial scales [5]. Resilience is generally defined relative to a pool of sites or an area of interest, rather than in absolute terms. There are two main reasons to conduct resilience assessments: 1) to help target where to engage in various environmental management actions, and 2) to evaluate the effectiveness of reef management and conservation actions taken to increase resilience [6]. Potential outputs of resilience assessments include the spatial distribution of sites of varying resilience, the range in relative resilience, drivers of resilience [7], and management actions that can be informed by resilience [8]. These can be highly localized actions, like selecting sites where outplanting corals will be most beneficial and likely to succeed, or broader-scale actions, like designing marine protected areas to include sites with a range of resilience [9].
Resilience assessments are based on identification of measurable properties (i.e., indicators) of coral reefs that relate directly or indirectly to how reefs respond to disturbance [7], or to the probability that reef condition will change following disturbance [3]. Resilience indicators can be used to help identify which properties of reefs drive high resilience in an area, which is important for understanding how reefs respond to the stressor of interest. Ideally, resilience indicators capture reef state (pattern) and function (process), both of which contribute to sensitivity and adaptive capacity [6]. It should then follow that management actions that increase these indicators (such as the creation of herbivore management areas to increase herbivore biomass [10]) will increase reef resilience.
Methods for reef resilience assessments were formalized by [6]. Their detailed methods included datasheets with over 55 potential indicators and numeric/qualitative criteria for five different resilience levels for each indicator. [11] used 19 indicators in a small part of the southern Great Barrier Reef; each indicator could be assigned one of three weights based on a review of the literature and one of four resilience categories for each site. [12] used literature reviews and expert opinion to identify eleven of the most important resilience indicators, then scored those indicators on a Likert scale for a resilience assessment in Java, Indonesia. [7] described a simplified assessment method that has since been adapted for St. Croix, U.S. Virgin Islands [13], the Commonwealth of the Northern Mariana Islands [8,9], West Hawai’i, USA [14], and the Florida reef tract [15] in an effort to conduct resilience assessments for all U.S. coral reef jurisdictions using similar methods. In addition to mapping resilience by survey site, assessments have generally included management recommendations, such as where coral restoration is most likely to be effective and where protected areas should be enforced or established.
We assessed the resilience of coral reefs to ocean warming around the U.S. Caribbean commonwealth of Puerto Rico using the methods of [7] and [2]. The assessment encompasses the entire island, as well as the outlying islands. We adapted their basic methods to suit local context and expanded upon other jurisdictions’ assessments. Unlike some previous resilience assessments, this assessment is not based on a field survey designed specifically to measure resilience because we wanted to explore the feasibility of the approach using only readily available data. We therefore limited ourselves to using existing commonwealth-wide data. This gave us the opportunity to explore what level of understanding of a jurisdiction’s resilience could be achieved through a desktop-only assessment instead of through a custom-survey assessment. Because field surveys tailored to resilience assessments are not feasible in all situations, this serves as a test of what can be done using desktop methods alone. Additionally, this contributes to resilience-based management of Puerto Rico’s coral reefs by the transparent characterization of resilience and potential reef management actions.
Methods
Indicator data acquisition
We calculated resilience indicators from the National Coral Reef Monitoring Program (NCRMP) survey of Puerto Rico’s coral reefs during summer 2014, the most recent comprehensive survey of Puerto Rico’s reefs [16]. This survey used a probabilistic design in which sampling location was stratified by depth, habitat, region of Puerto Rico, and presence of a marine protected area. As a probabilistic survey, the survey was designed to represent Puerto Rico’s coastal waters as a whole rather than to include the full range of reef quality, long-term monitoring sites, or particular reefs of interest to resource managers, the tourism sector, etc. The survey included 230 sites at which were conducted 25x4 m fish belt transects [17]; topographic complexity surveys using 24 vertical relief measurements in the same transects [18]; and 20 m line-point intercept (LPI) benthic surveys [19]. In addition, 10x1 m coral colony demographic surveys were conducted at 111 of the sites using the same stratification system [20]; these recorded species, dimensions, and health status for all colonies greater than 4 cm diameter.
Indicator and site selection
Indicators for resilience to increasing SST may not be the same as indicators of resilience to other large-scale climate stressors, such as ocean acidification (OA) or changing storm patterns. For example, the dozens of indicators of [12] and [6] focused on resilience to warmer oceans, rather than on other consequences of planet-scale changes. We intended our indicators to do likewise. Furthermore, we wanted to select indicators that best represent Puerto Rico’s reefs in particular, as recommended in previous assessments [6–8,21]. We first narrowed the universe of potential resilience indicators by comparing those used in assessments in other locations with reef biocriteria metrics for Puerto Rico that were developed for a biological condition gradient (BCG) project [22] (S1 Table). The BCG is an approach for assessing the condition of an ecosystem on an absolute scale using a suite of indicators selected by experts. A BCG is under development for Puerto Rico’s coral reefs [22] and was relevant for selecting indicators because it is another indicator-based approach to measuring reef condition. We determined which previously used resilience indicators and which Puerto Rico biocriteria metrics we could calculate from the available data. Because NCRMP was not designed for a resilience assessment, not all the data included in other resilience assessments were available for Puerto Rico, primarily coral recruitment.
We then conducted a series of webinars with five experts on Puerto Rico’s coral reefs, during which we asked for recommendations on what indicators to use (following methods similar to those of [6] and [13]). The experts recommended that all of the indicators used in previous assessments except for one should be included in the Puerto Rico assessment. The recommended indicators were: Simpson diversity of scleractinian corals, fraction of scleractinian colonies without disease, percent cover of scleractinian corals, percent cover of macroalgae, total herbivorous fish biomass, and the average thermal tolerance of scleractinian corals. SST variation was deemed unlikely to be an important resilience indicator in Puerto Rico because of the relatively consistent variation across the study area, making it the only indicator with available data used in previous assessments to not be recommended as an indicator for this assessment. For consistency with previous assessments and because of evidence for the role of temperature variability in bleaching response (e.g., [23]), we calculated resilience with and without the temperature variation indicator. The experts agreed that coral recruitment would be valuable as a resilience indicator but noted that it could not be calculated from the available data because NCRMP protocols did not record colonies <4 cm maximum diameter. The panel also recommended that rugosity be included as an indicator. This list of indicators is more ecologically focused than some other resilience assessments that used different methods (e.g., [4]), but it is in line with other assessments based on [7].
Because Simpson diversity, fraction of corals without disease, and average coral thermal tolerance required colony-specific information from the demographic survey, we used only survey sites at which a demographic survey was conducted. Of the 111 such sites, NCRMP surveyed eight sites at which there were no colonies large enough to collect demographic data (>4 cm diameter). This left 103 sites with adequate data for calculation of all indicators. About half of these sites were around Puerto Rico’s main island and half were around smaller islands, like Vieques, Culebra, and Mona (mean maximum depth of all sites: 13 m, standard deviation: 6.4 m).
Indicator and resilience score calculation
We followed the methods of [7] and [2] to calculate resilience indicators. For all indicators, larger values mean greater resilience. A brief description of the calculation of each indicator is below:
Coral diversity index: The Gini-Simpson diversity index (1 –Simpson index) [24] of all scleractinian colonies >4 cm maximum diameter.
Fraction of hard coral colonies without disease: The number of colonies >4 cm diameter without any disease divided by the total number of colonies >4 cm diameter.
Scleractinian coral percent cover: The percent of the points in the LPI survey at which scleractinian corals were found.
Macroalgae cover: The proportion of the points in the LPI survey at which macroalgae were found. NCRMP categories for this indicator included: Dictyota, Lobophora, Peysonnellia, Halimeda, MacroOtherCalcareous (i.e., upright calcareous algae, not encrusting algae), and MacroOtherFleshy. We subtracted this value from 1 so that larger values meant less macroalgae.
Rugosity: Twenty-four vertical relief measurements were taken within each 25x4 m transect, grouped into six categories (<20 cm, 20–50 cm, 50–100 cm, 100–150 cm, 150–200 cm, and >200 cm), and averaged for each site to create a single rugosity measurement.
Herbivorous fish biomass: NCRMP fish surveys recorded fish abundances in 5 cm size classes (e.g., 10–15 cm, 15–20 cm). We classified the following species as herbivores: Acanthurus bahianus, A. chirurgus, A. coeruleus, Kyphosus sectatrix, Scarus iseri, Sc. taeniopterus, Sc. vetula, Sparisoma atomarium, Sp. aerofrenatum, Sp. chrysopterum, Sp. rubripinne, and Sp. viride. We used average length-weight coefficients (a and b) for each species, which were retrieved from fishbase.org (downloaded June 27, 2016) in the fish length-mass equation w = a*Lb, where w = weight and L = fish length. We used the midpoint of the length class for that fish’s length (e.g., 12.5 cm for the 10–15 cm class), except for fish that were <5 cm, which we assigned a length of 3 cm. We summed the biomass of all herbivorous fish at each site for this indicator.
Average thermal tolerance of scleractinian corals: We used the Puerto Rico BCG assignments of taxa to five thermal tolerance categories for this indicator [22]. A few rare species found at a few sites did not have thermal tolerances assigned in the BCG report. For these taxa, we used the averaged values of their congeners. We applied these tolerance values to all colonies in the demographic surveys to calculate the average tolerance of colonies >4 cm diameter at each site.
Sea surface temperature variation: We used detrended standard deviation in SST over 1985–2012, using degree-heating week (DHW) data from NOAA Coral Reef Watch, from [25]. The resulting grid was at 1/24-degree resolution (about 20 km2). We assigned each survey station the SST variation value of the pixel it was in; the nineteen stations not within a pixel because they were too close to the coast for the model were assigned the value of the pixel to which they were closest (S. Heron, pers. comm.). Due to the variation in sites’ depths, different sites will actually experience the reported variation differently.
After we calculated the raw indicator values, we rescaled each indicator to 1, with 1 being the highest value of that indicator found at any of the 103 sites. Finally, we averaged the rescaled indicators (with and without the temperature variation indicator) to obtain a composite relative resilience score for each site. We rescaled those values to 1, so that the site with the highest resilience among those surveyed had a value of 1. Rescaling individual indicators and the resilience score to 1 emphasizes that they are relative to the surveyed sites. Unless otherwise specified, further analyses and results reported below are without the temperature variation indicator, per the experts’ recommendation.
We ranked the composite resilience scores between 1 and 103 and divided them into quartiles. Our use of quartiles differs from some previous resilience assessments [8,14,15], which categorized sites based on the average and standard deviation of the resilience scores or divided sites into resilience and stressor categories based on fixed numeric cutoffs [13]. We used quartiles to assign sites to resilience categories because of the skewed distribution of resilience scores. Our use of quartile-based resilience categories instead of resilience scores or standard deviation-based resilience categories further emphasizes the relative nature of the resilience assessment. This emphasis on relativity is similar to that of [26], who identified oases of healthy reefs within degraded areas using distributions of surveyed sites.
We examined the spatial distribution of resilience scores in two ways. First, we used the Spatial Autocorrelation (Global Moran’s I) geoprocessing tool in ArcGIS Pro v2.0 to assess whether sites were aggregated, randomly arranged, or over-dispersed by resilience quartile. We did this using both inverse distance and inverse distance squared for the spatial relationship conceptualization (the rate at which sites near each other are expected to be similar) because neither one is obviously more conceptually applicable, and with an infinite distance threshold (i.e., all sites were compared to all other sites), again because there was no empirical basis for limiting comparisons to a specific distance. Second, we used the inverse distance weighting raster interpolation tool in ArcGIS Pro v2.0 to interpolate resilience scores for pixels 0.02 x 0.02 degrees (approximately 2.2 x 2.2 km) within approximately 10 km of the coast (see S1 Text for tool parameterization details). This create a resilience surface using the resilience scores of nearby sites. Because NCRMP survey sites are chosen probabilistically, they fit the assumptions of this tool. Note that this analysis interpolates resilience scores for areas with non-reef habitat, like soft bottom habitat.
Relationships between individual indicators and their contributions to resilience
Looking only at composite resilience scores masks the variation behind those scores, as well as important information from the indicators themselves. Indeed, knowing the relative influence of different indicators on resilience scores can help with designing monitoring programs and management actions [8]. Therefore, we examined the contribution of individual indicators to the composite resilience scores in three ways. First, we created box plots of rescaled indicators to visualize how much each indicator varied. The more variable an indicator is, the more useful it is for distinguishing resilience between sites [2]. Second, we created a matrix of Spearman rank-correlation coefficients between all indicators. We used Spearman correlation coefficients because the distributions of several of the indicators were heavily skewed. Third, we performed an exploratory factor analysis (EFA) with a varimax rotation on all the indicators to identify latent variables in the resilience assessment. We retained factors with an eigenvalue > 1 using a scree plot for latent variable interpretation. All calculations and statistical analyses were performed in R [27].
Indicator weighting sensitivity analysis
In the above calculation of resilience scores, all indicators were equally weighted. In other words, we assumed they contribute equally to reef resilience. Because this is probably an unrealistic assumption, but the actual importance of each indicator is unknown [7,11], we assessed to what extent the weighting of indicators affected resilience rankings and quartiles. In addition to the unweighted resilience scores, we calculated resilience scores using nine different indicator weighting systems (Table 1). This is not an exhaustive list of weighting options, nor do we think that any one of them is correct, just as we do not propose that all indicators equally measure reef resilience. Rather, the weighting systems are supposed to show to what extent the resilience scores are robust to the null model that each indicator equally represents reef resilience. To calculate the weighted resilience scores, we multiplied each indicator by its weight and averaged those weighted values for each site, then rescaled to 1 (as with the unweighted indicators).
Tab. 1. Weighting systems for resilience indicators. Weighting systems 1 and 2 randomly assigned weights within specified ranges to indicators while systems 3–9 were based on Table 2 in [12], which provides relative importance values for reef resilience indicators based on a review of literature and expert opinion. The weights of indicators in systems 3–9 are ordered based on their order in the “Resilience - perceived importance” column in that table. For example, in our weighting system 3—our most extreme system—the highest-ranked indicator from Table 2 of [12] (coral thermal tolerance) is given eight times as much weight in the resilience score calculation as is the lowest ranked indicator used from that table (rugosity/topographic complexity). Systems 4 through 6 are essentially less extreme versions of system 3. Systems 7 through 9 rescale the indicators to the lowest-ranked of the indicators used in this assessment (rugosity/topographic complexity) according to values from Table 2 in [12]. Thus, systems 7 through 9 are the most ecologically grounded of all the scaling systems.
After we applied the weighting systems, we calculated by how much the resilience rank of each site changed under each weighting system and how many sites changed their resilience quartile. We used these to assess how much the various weighting systems affected resilience scores.
Stressor calculation
Increasing SST interacts with and compounds the effects of localized stressors [28]. Previous resilience assessments, such as [29] and [9], have recognized these localized stressors as important moderators of resilience. Thus, in addition to the above resilience indicators, we also calculated two stressors that can be used to inform reef management: potential fishing pressure, relative land-based pollution loads (a combination of nitrogen and sediment loads).
Potential fishing pressure: [30] created a grid of estimated potential line, net, trap, and dive fishing pressure around Puerto Rico by surveying fishermen (see also [31]). We assigned the total fishing pressure of each grid cell to the survey stations. Nine stations around Vieques and Culebra islands were so close to shore that they were not in the fishing grid; we assigned those stations the total fishing pressure of the nearest grid cell.
Relative land-based nitrogen and sediment levels: We estimated relative land-based pollutant loads at survey sites in two steps: 1) loads at the mouths of Puerto Rico’s rivers and streams, and 2) dispersal of those pollutants to survey sites. We used the free and open watershed modeling software OpenNSPECT to calculate loads at river mouths [32], following the data acquisition and model manuals [33]. Although OpenNSPECT produced numerical values, its outputs are better interpreted relative to each other rather than as actual estimates of pollutants. With this in mind, we validated OpenNSPECT’s watershed flow and sediment outputs against US Geological Survey (USGS) stream gage data. Next, we used a simple LBSP dispersal model based on the distance between reef survey sites and the seven nearest river mouths modeled by OpenNSPECT to release more than 183 kg N per year (0.5 kg N per day) to estimate relative loads at NCRMP sites. To obtain a single land-based relative pollution estimate for each site, we averaged the nitrogen and sediment estimates and rescaled to one [9], essentially producing relative LBSP scores for each site. This resulted in 59 sites around the main island because our data sources were restricted to the main island. For additional information, refer to S2 Text.
Management option queries
We used a subset of indicators, resilience scores, and stressors at each survey site to identify potential management actions that could be used to improve or maintain reef resilience through a decision support framework (Table 2) (akin to [8]). The queries are meant to be preliminary; sites would need further investigation and a detailed implementation plan before any of the management actions could be instituted. Moreover, the thresholds or criteria used in the queries are flexible; they can be changed based on needs and context. These queries simply provide an idea of where certain kinds of actions might be more useful and where combinations of actions might be applied. The actions in Table 2 aim to restore, protect and/or improve reef resilience by: 1) restoring reef species, structures and functions where they have been degraded; 2) protecting reefs; and 3) improving recovery from bleaching and disease events. Customized queries can be made using the data in S2 Table and the provided R script (S1 Information File).
Tab. 2. Management action queries based on resilience indicators, resilience scores, and stressors. Not all queries use all three types of information. Bleaching exposure and vulnerability
We overlaid the resilience results on downscaled estimates of the year by which annual significant bleaching (ASB) will occur under the climate change representative concentration pathway (RCP) 8.5 radiative forcing scenario from [34]. Combining resilience (sensitivity plus adaptive capacity) and temperature increase (exposure) allowed us to approximate reef vulnerability [2]. Because of the relatively narrow range of onset years for ASB (10 years), we divided sites into two exposure categories: 2036–2041 (60 sites) and 2042–2046 (43 sites). Twenty-seven stations did not fall within the ASB onset projection raster; we assigned those sites to the nearest raster cell. We classified sites with high ASB exposure and low resilience as having high vulnerability, sites with low ASB exposure and high resilience as having low vulnerability, and sites with both high ASB exposure and resilience or both low ASB exposure and resilience as having moderate vulnerability. As in [2], a step up in exposure (from low to high) is assumed to be equivalent to a step down in resilience (from high to low) in terms of vulnerability. As with resilience and the stressor estimates, vulnerability is relative among the sites surveyed.
Results
Indicators and resilience scores
The distribution of indicators, stressors and unweighted resilience scores are shown in Fig 1. Following the experts’ suggestions of which indicators to use, we focused on resilience scores without the temperature variation indicator, but we also calculated resilience scores with the temperature variation indicator for comparability with previous assessments that used that indicator [8,9,13,15]. There was slightly greater variation in resilience scores without the temperature indicator (standard deviation = 0.127) than with it (standard deviation = 0.108) but a very strong correlation between the two resilience scores (Pearson’s r = 0.99). Unless otherwise specified, further results are without the temperature variation indicator.
Fig. 1. Rescaled indicators, unweighted resilience scores, and stressors for 103 reef survey sites around Puerto Rico. Indicators have the raw minimum and maximum values found at all 103 sites above their boxplots; numbers without units are unitless indicators. Resilience scores and stressors do not have raw minimum and maximum values because they are calculated relative to the maximum at the surveyed sites. Brown bars are resilience indicators, blue bars are resilience scores, and grays bars are stressors. Survey sites were randomly distributed across the survey area in terms of resilience quartile using both the inverse distance and inverse distance squared methods, although there was a non-significant tendency towards clustering (inverse distance: Moran’s Index = 0.0650, Expected Index = -.009804, z-score = 1.503, p-value = 0.13; inverse distance squared: Moran’s Index = 0.315, Expected Index = -.009804, z-score = 1.672, p-value = 0.09). Some areas did appear to tend towards higher or lower resilience (Fig 2). For example, all four of the sites in Desecheo National Wildlife Refuge to the west of Puerto Rico were in the highest resilience quartile, while five of the six sites near Vieques National Wildlife Refuge to the east of Puerto Rico were in the lowest two quartiles and six of the seven sites around Cabo Rojo/Mayaguez on the west coast of Puerto Rico were in the lowest two quartiles. On the other extreme, the four southwestern-most sites, all within 1500 m of each other, span the four quartiles, ranging from resilience ranks 25 to 98. To the extent there is clustering of sites by resilience, it can be seen in Fig 3, in which interpolated resilience is higher in some patches than in others.
Fig. 2. Survey sites (n = 103) with resilience rank scores, calculated without using the temperature variation indicator. Isla de Mona is the inset in the top left. Resilience quartiles are based on resilience scores without the temperature variation indicator. Fig. 3. Resilience scores interpolated up to 10 km from the coast using inverse distance weighting of the resilience scores of survey sites. Sites outside the interpolation raster were not used in the interpolation. Not all of the interpolated locations historically had coral reefs or do currently have them. Relationships between individual indicators and their contributions to resilience
Many of the coral-related indicators were moderately positively or negatively correlated with each other (Table 3). Interestingly, coral thermal tolerance and Simpson diversity had the strongest negative correlation (rho = -0.54). Herbivore biomass was most strongly correlated with two coral measures (rugosity and hard coral cover), while temperature variation did not have any correlations >|0.19|. Macroalgae cover did not have any correlations >|0.17|.
Tab. 3. Spearman rank correlation coefficients between resilience indicators at 103 survey sites. In terms of variation within each indicator, diseased colonies and coral thermal tolerance contributed the least to distinguishing between the resilience of sites due to their relatively small amount of variation (Fig 1). Four indicators’ rescaled ranges included the smallest possible value (0), meaning that their rescaled values extended between 0 and 1 (Simpson diversity, hard coral percent cover, macroalgae percent cover, and herbivore biomass). Those indicators would be expected to be most useful in distinguishing reef resilience.
The exploratory factor analysis identified four factors with eigenvalues > 1 (χ2 = 1.4, df = 2) (Table 4). The first factor explained 17.4% of the variance, the second factor explained 14.8%, the third factor explained 11.6%, and the fourth explained 7.5%. The first factor was dominated by hard coral cover and the other three indicators with loadings >|0.1| were all coral-related, so it could therefore be interpreted as a coral-driven factor. The second factor was dominated by herbivore biomass but the other three indicators with loadings >|0.1| were also coral-related, so the second factor could be interpreted as herbivores and their habitat requirements. The third factor was dominated by average coral thermal tolerance, with temperature variation and two coral indicators also registering >|0.1|. This might be interpreted as the aggregate temperature sensitivity of the coral community. Finally, the fourth factor is not dominated by any single indicator. It is also the only factor where the loading of macroalgae percent cover loading is >|0.1|. This factor might be a catch-all for benthic community structure.
Tab. 4. Loadings from an exploratory factor analysis using varimax rotation. Four factors had eigenvalues > 1 and were therefore extracted. Blank cells had loadings <|0.1|. Indicator weighting sensitivity analysis
For all weighting systems, resilience ranks changed the most for the middle-ranked sites. In general, the wider the range of weights, the larger the changes in weighting ranks from unweighted to weighted (Table 1). For example, Fig 4 shows the relationship between the unweighted ranks and three weighted ranks. The greatest level of dispersion around the 1 : 1 line is for weighting system 3, in which weights ranged from 1 to 8.
Fig. 4. Relationship between unweighted resilience ranks and select weighted resilience ranks for 103 sites around Puerto Rico. Because resilience quartiles may sometimes be more useful than resilience ranks for management purposes, Table 5 shows how many sites changed resilience quartiles under each weighting system. Except for the extreme weighting system 3, over 80% of sites stayed in the same resilience quartile in the other ecologically based scenarios (systems 4–9), and in no other system did sites change by more than one quartile. Unsurprisingly, the system with the greatest number of quartile changes was the one with the widest range of weights (system 3).
Tab. 5. Percent of sites that changed or maintained their resilience quartiles under nine indicator weighting systems in comparison with unweighted indicators (n = 103). Stressors
There was a nearly 20,000-fold difference in fishing pressure across survey sites (Fig 5a). The highest-pressure area was in southwest Puerto Rio, followed by the north-central coast. Similarly, there was a 22,000-fold difference in the average land-based pollution scores across sites (Fig 5b). The distribution of land-based pollution exposure was extremely skewed; 53 of the 59 sites with scores were less than 0.2. Thus, this stressor was dominated by the few sites that were close to large rivers, due to the combined use of site distance from river mouth and pollutant load (generally greater in larger watersheds) in the calculation of LBSP exposure. Our exclusion of the contributions of coastal development and sewage outfalls could result in mis-ranking some reef sites.
Fig. 5. Fishing and land-based sources of pollution (LBSP) stressors, rescaled to a maximum of 1. a) Estimated rescaled potential fishing pressure from lines, nets, traps, and diving (Shivlani & Koeneke, 2011). Numbers are relative fishing pressure. Reef survey sites (n = 103) are coded by resilience quartile. Isla de Mona is the inset in the top left. Resilience quartiles are based on resilience calculated without the temperature variation indicator. b) Rescaled LBSP exposure (sediment and nitrogen) at main island survey sites within 15 km of a river mouth (n = 59). Values are rescaled LBSP (maximum value = 1). Management queries
Twenty two of the 103 sites did not have any applicable management actions, 43 sites fit one action, 28 sites fit two actions, six sites fit three actions, four sites fit four actions, and no sites fit more than four actions (Fig 6). The most common action was fishery management (38 sites) and the least common was management of land-based sources of pollution (5 sites). One reason that the LBSP management criteria fit fewer sites was that only the 59 sites around the main island had LBSP estimates. Had we been able to generate LBSP estimates for the outlying islands, presumably some of those sites would have fit the LBSP management criteria, too.
Fig. 6. Reef survey sites (n = 103) showing which management queries applied to each site. Bleaching exposure and vulnerability
Estimates of the year of onset of ASB for the survey sites using [34] ranged from 2036 to 2046, with the most common year being 2039 (41 sites). There were 20 low vulnerability sites, 55 moderate vulnerability sites, and 28 high vulnerability sites. Sites were intermixed across Puerto Rico by the three levels of relative vulnerability (Fig 7).
Fig. 7. Reef survey sites (n = 103) with resilience rank (without temperature variation indicator), year of onset for annual significant bleaching (ASB) under RCP8.5 scenario, and site vulnerability category. Isla de Mona is the inset in the top left. ASB onset estimates are from van Hooidonk et al. (2016). Low exposure sites have ASB onset in 2042 or later while high exposure sites have ASB onset in 2041 or earlier. Vulnerability matrix: combination of exposure (year of onset of ASB) and resilience to produce relative vulnerability categories: high, moderate, and low. High resilience sites are sites in the two most resilient quartiles while low resilience sites are in the two least resilient quartiles. All data—including NCRMP site information provided by NOAA, raw and rescaled indicators, resilience scores, relative stressor values, management queries by site, and vulnerability assignments, for all indicator weighting systems—are included in S2 Table.
Discussion
We assessed the relative resilience of reefs to warming ocean temperatures at 103 sites around Puerto Rico. Because Puerto Rico has not had a survey specifically designed to measure resilience, we used this as an opportunity to explore whether the same kinds of analyses could be performed with a desktop assessment as during an assessment with a field component. We were able to perform many of the same analyses undertaken in recent assessments of other U.S. coral reef jurisdictions because the reef survey we used (National Coral Reef Monitoring Program (NCRMP)) included data for the majority of necessary resilience indicators. The two exceptions were recruitment and connectivity, which we could not explore because NCRMP did not collect the necessary information on coral recruits and high-resolution near-shore current data were not available. However, we were able to perform two analyses that previous assessments had not conducted because of the probabilistic design of the survey we used: interpolation of a resilience surface from resilience survey points, and evaluation of the level of spatial aggregation of sites by resilience quartile. While we have demonstrated that it is possible to conduct a complete resilience assessment using a survey that was not designed for that purpose, such assessments will be heavily affected by the indicators that can be created from the source survey and its spatial coverage and resolution. In Puerto Rico, spatial coverage was fairly complete.
For this assessment, we mapped resilience in two ways: as point estimates at survey sites, and as a resilience surface that interpolated resilience around Puerto Rico using the sites’ resilience scores. In conjunction with statistical testing of resilience aggregation by quartile, these maps suggest a high level of intermixing of different resilience levels at sites in close proximity. Thus, no one region of Puerto Rico was clearly the most or least resilient, except perhaps for Desecheo National Wildlife Refuge, at which all four sites were in the highest resilience quartile. Although the actual resilience scores and relative scores of sites depend on how well the NCRMP survey captures indicators’ variation across reefs, this finding of high spatial variability in resilience is probably robust to that because this appears to be an island-wide property of the data. Where reefs of vastly different resilience are close to each other, they will likely have different management objectives and needs. Ultimately, this requires fine-scale reef management.
To support resilience-based management of Puerto Rico’s coral reefs, we demonstrated how a manager can query indicators, resilience scores, and stressors to identify sites at which certain adaptation actions would be appropriate, akin to [9]. Some actions might be designed to restore lost resilience (e.g., coral restoration to regenerate reef structure and function), others might be designed to protect existing resilience (e.g., land-based pollution management, tourism outreach, fishery management, reef protection), and others might be designed to improve resilience by boosting recovery potential (e.g., bleaching and disease management. If an action decreases sensitivity or increases adaptive capacity (or both), this supports resilience.
While the management queries presented here capture reef conditions as of the most recent data collection and use the best available information, they can also be modified in a few ways as new information becomes available. First, new queries can be added, or existing ones removed, based on managers’ preferences; the analysis (including query) R code and data are available in the supplementary materials. Several of the queries focus on reducing non-climate stressors (e.g., LBSP management, fishing management), but this is just one of at least seven general categories of adaptation strategies recommended in the literature [35]. Second, the criteria for the queries could be changed. For example, the disease management query could include a criterion about coral diversity. In any case, this management query technique is flexible, giving managers additional latitude in how to construct their actions.
Another elaboration on the management action queries might be to use different queries or criteria in different parts of Puerto Rico, based on local conditions or objectives. Using the same data, the assessment could be conducted at scales at which local management occurs. While our Puerto Rico-wide assessment is relevant for territory-wide planning and high-level scanning for options, a localized assessment would support management at smaller scales. For example, at the Puerto Rico-wide scale, of the five sites that met the LBSP management query criteria, three are off southeast Puerto Rico (the only sites in the area), suggesting that those might be good places to initially focus on LBSP management if a new project or focal watershed is being considered. Similarly, a few clusters of sites met the restoration target criteria in southwest Puerto Rico and off Culebra; those might be natural areas for conducting local assessments for starting coral restoration projects. Although this assessment can suggest some places to prioritize looking, whether these areas are truly conducive to the suggested management actions depends on many other factors.
Although summarizing sites by aggregate resilience score is useful, it entails some problems. First, it omits the information contained by the individual indicators, and second, it introduces additional assumptions to the analysis. Regarding the first issue, sites can achieve very high resilience by having high scores for every indicator or by having higher scores for more indicators than do other sites. For this assessment, the most resilient sites did not have the highest resilience scores for every indicator. For example, three of the indicators at the most resilient site had the highest scores while the other four indicators had moderate or low values relative to other sites. This was true for other very high resilience sites as well. It suggests that no specific site was “most resilient” in every aspect; even the most resilient sites could increase aspects of their resilience to levels found at other sites. This has been the case in previous assessments, for example, in West Hawai’i [14] and in the Florida Keys [15]. In both of those assessments, the most resilient sites were very low for one or more indicators. More generally, resilience scores may not be correlated with measures like bleaching response while individual indicators are, thereby masking important associations for which the resilience indicators were selected in the first place. For example, [21] found that responses to bleaching were correlated with particular resilience indicators (such as community thermal tolerance and thermal history), but not correlated with the composite resilience score.
Regarding the second issue—summarizing sites by resilience score introducing additional assumptions to the analysis—we undertook the weighting sensitivity analysis because of the uncertainty associated with combining indicators into a composite score. This uncertainty arises from the lack of a formal model for combining indicators in the region that accounts for non-linearities and context-dependence [3]. In effect, by using a variety of weights, we contrasted several non-mechanistic ecological models against our null model (unweighted indicators). The indicator weighting sensitivity analysis suggested that indicator weighting within the range of weights suggested by [12] will affect the ranks of the mid-resilience sites more than the ranks of extreme sites (Fig 4). Nevertheless, the results of the assessment were generally robust to ecologically based weighting systems, especially if resilience quartiles were used rather than ranks. The different weighting systems appeared to have little effect on the more derived products of the resilience assessment, such as the management queries or vulnerability analysis. For example, the distribution of sites among vulnerability levels was very similar using the nine weighting systems, although the sites in each category differed somewhat depending on the weighting system (S2 Table). In terms of management uses of the resilience assessment, using resilience quartiles for management decisions will be less affected by weighting assumptions than pure resilience ranks or scores will be. This is beneficial for managers because it means that the management queries are more robust to weighting uncertainties than are actions based directly on resilience scores or ranks.
As with assessments in other U.S. jurisdictions, having four of the seven indicators be coral-related inherently weights resilience scores towards the status of the coral community over other community or ecosystem dimensions, such as fish. The panel discussed this during indicator selection and felt it reflected what contributes to Puerto Rico’s reef resilience. Two analyses also confirmed the predominance of the status of the coral community in resilience scores. In the exploratory factor analysis, the first factor was essentially a composite of the coral indicators. Meanwhile, despite having just one indicator, herbivorous fish dominated the second factor, which explained almost as much variance as did the first factor (17.4% for the first factor vs. 14.8% for the second factor (Table 4)). Spearman correlations between indicators (Table 3) further show the lack of independence and potential redundancy between certain indicators, such as the coral and coral-associated (i.e., rugosity) indicators. While this emphasis on coral community status is standard in resilience assessments, it is necessary to be cognizant of it.
Perhaps the most important indicators that were not available for this assessment were coral recruitment and reef connectivity [5,8] and reef calcification or accretion rates [5,26]. Although connectivity was given a lower importance score by [12] than six of the indicators we used, it was still deemed important by our expert panel and has been included in resilience assessments for which there have been available data. For example, [8] used available fine-scale ocean current models and a coral recruitment indicator to identify sources and sinks for coral larvae around the Commonwealth of the Northern Mariana Islands, and [4] used coarser information to speculate on connectivity. Including connectivity allows inference about which sites are sources and sinks for larvae and enables management queries about ensuring connectivity, one of the seven general adaptation strategies of [35]. By not including process indicators like connectivity and accretion rate, assessments miss the drivers of the observed system state, capturing only the results of unmeasured drivers [3,6]. Although this assessment only includes state indicators because of the design of the available survey, it still covers a wide range of important state indicators.
Inherent in the use of resilience indicators is the assumption that reefs possessing higher scores for these indicators are more resilient to a specific type of disturbance, such as increased sea surface temperatures from climate change. [6] recommended that resilience assessments be repeated following bleaching events or large storms to test whether this is true. There has generally been little testing for individual indicators (i.e., few before - and after-disturbance studies, although see [21]). In the intervening years since the data used in this paper were collected, there has been a global bleaching event and devastating Hurricane Maria in 2017. Although there have been reef surveys since the survey this assessment is based on, they have not specifically revisited sites included in this assessment and thus cannot validate these resilience indicators for Puerto Rico. Without some sense of which of these indicators accurately indicate resilience to increasing SST in Puerto Rico, they remain largely untested hypotheses. Nevertheless, since there are no “validated” resilience indicators for Puerto Rico and many other jurisdictions, using the ones with the greatest support is the best path forward for those trying to protect and restore reefs.
Continuing to improve and verify resilience concepts will be essential to the effective pursuit of ‘climate-smart’ management [36]. Within the context of the climate-smart adaptation planning cycle for coral reefs [35,37], this work falls under step 2, assessing climate impacts and vulnerabilities. Both resilience and vulnerability assessments provide critical information to support identifying adaptation options (step 4) and evaluating and selecting priority adaptation actions (step 5), in both cases as an information input into processes such as the Adaptation Design Tool [37]. For resilience assessments to be useful for those steps, they need to be at the correct spatial scale and resolution. Although this assessment can help with broader scale prioritization and goal setting, it is probably at a larger scale than is ideal for local actions because of its comparison of all sites across Puerto Rico. One way to facilitate making this assessment useful at scales smaller than Puerto Rico would be to create an online tool that allows users to select a subset of monitoring sites or geographic areas and perform the assessment for their custom-selected area or pool of sites.
Supporting information
S1 Table [docx]
List of resilience indicators considered by expert panel for inclusion in resilience assessment.S2 Table [xlsx]
Raw and rescaled indicators, resilience scores, ranks and quartiles, stressor values, management queries, onset year of annual significant bleaching, vulnerability category, and NCRMP site info for each site for each indicator weighting system.S3 Table [docx]
Data sources for OpenNSPECT model.S4 Table [docx]
Correlation between OpenNSPECT flow and sediment output and USGS gage data (r).S1 Text [docx]
Parameters used for geospatial analyses.S2 Text [docx]
Methods for calculating land-based sources of pollution around Puerto Rico.S1 Fig [tif]
Relationship between OpenNSPECT output and USGS stream gage data.S2 Fig [nhd]
Flow, sediment, and nitrogen at river and stream mouths, as output from OpenNSPECT.S1 Information File [rmd]
R script for conducting resilience assessment.
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- Resistome metagenomics from plate to farm: The resistome and microbial composition during food waste feeding and composting on a Vermont poultry farm
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- Forecasting type-specific seasonal influenza after 26 weeks in the United States using influenza activities in other countries
- Chronic exercise modulates the cellular immunity and its cannabinoid receptors expression
- Characterization of the diverse plasmid pool harbored by the blaNDM-1-containing Acinetobacter bereziniae HPC229 clinical strain
- What does mitogenomics tell us about the evolutionary history of the Drosophila buzzatii cluster (repleta group)?
- A cell-based evaluation of a non-essential amino acid formulation as a non-bioactive control for activation and stimulation of muscle protein synthesis using ex vivo human serum
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- Relationship between pattern electroretinogram and optic disc morphology in glaucoma
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- Land snail dispersal, abundance and diversity on green roofs
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- Diagnosis and treatment of acute respiratory illness in children under five in primary care in low-, middle-, and high-income countries: A descriptive FRESH AIR study
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- Toxicity and sublethal effects of two plant allelochemicals on the demographical traits of cotton aphid, Aphis gossypii Glover (Hemiptera: Aphididae)
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- Maternal health and birth outcomes in a South African birth cohort study
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- Molecular evolution of genes encoding allergen proteins in the peanuts genus Arachis: Structural and functional implications
- Structural characterization of the saxitoxin-targeting APTSTX1 aptamer using optical tweezers and molecular dynamics simulations
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- Formal comment on “Assessing the impact of the ‘one-child policy’ in China: A synthetic control approach”
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- Reconciling the statistics of spectral reflectance and colour
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- A global assessment of street-network sprawl
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- Behavioral response of naïve and non-naïve deer to wolf urine
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- Change in left inferior frontal connectivity with less unexpected harmonic cadence by musical expertise
- Structural mechanism for regulation of DNA binding of BpsR, a Bordetella regulator of biofilm formation, by 6-hydroxynicotinic acid
- How does open innovation lead competitive advantage? A dynamic capability view perspective
- Bull efficiency using dairy genetic traits
- Improved cortical boundary registration for locally distorted fMRI scans
- Extractive single document summarization using binary differential evolution: Optimization of different sentence quality measures
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- Sugar labeling: How numerical information of sugar content influences healthiness and tastiness expectations
- Optimally adjusted last cluster for prediction based on balancing the bias and variance by bootstrapping
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- Heterogeneity of porcine bone marrow-derived dendritic cells induced by GM-CSF
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- Association between metabolic body composition status and risk for impaired renal function: A cross-sectional study
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- Infective endocarditis and diabetes mellitus: Results from a single-center study from 1994 to 2017
- Patient satisfaction with HIV services in Vietnam: Status, service models and association with treatment outcome
- Ion concentration polarization (ICP) of proteins at silicon micropillar nanogaps
- The trajectory of patterns of light and sedentary physical activity among females, ages 14-23
- Coadministration of kla peptide with HPRP-A1 to enhance anticancer activity
- Measuring the complexity of directed graphs: A polynomial-based approach
- Estimation of maize evapotraspiration under drought stress - A case study of Huaibei Plain, China
- Publication rates in animal research. Extent and characteristics of published and non-published animal studies followed up at two German university medical centres
- Developmental conservation of microRNA gene localization at the nuclear periphery
- Exploring critical factors of the perceived usefulness of blended learning for higher education students
- Anti-Alzheimer potential, metabolomic profiling and molecular docking of green synthesized silver nanoparticles of Lampranthus coccineus and Malephora lutea aqueous extracts
- Protective effect of Platymiscium floribundum Vog. in tree extract on periodontitis inflammation in rats
- Direct transport vs secondary transfer to level I trauma centers in a French exclusive trauma system: Impact on mortality and determinants of triage on road-traffic victims
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- Bacterial communities in the rhizosphere, phyllosphere and endosphere of tomato plants
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- The CSF-1-receptor inhibitor, JNJ-40346527 (PRV-6527), reduced inflammatory macrophage recruitment to the intestinal mucosa and suppressed murine T cell mediated colitis
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- Antibacterial efficacy of cold atmospheric plasma against Enterococcus faecalis planktonic cultures and biofilms in vitro
- Mechanisms of African swine fever virus pathogenesis and immune evasion inferred from gene expression changes in infected swine macrophages
- Application of ensemble methods to analyse the decline of organochlorine pesticides in relation to the interactions between age, gender and time
- Mitogenomic diversity in Sacred Ibis Mummies sheds light on early Egyptian practices
- Automated detection of a nonperfusion area caused by retinal vein occlusion in optical coherence tomography angiography images using deep learning
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- Inducible UCP1 silencing: A lentiviral RNA-interference approach to quantify the contribution of beige fat to energy homeostasis
- iCrotoK-PseAAC: Identify lysine crotonylation sites by blending position relative statistical features according to the Chou’s 5-step rule
- Emerging practices supporting diabetes self-management among food insecure adults and families: A scoping review
- Does aneurysm side influence the infarction side and patients´ outcome after subarachnoid hemorrhage?
- Raising the bar: Recovery ambition for species at risk in Canada and the US
- Management of locally advanced non-small cell lung cancer in the modern era: A national Italian survey on diagnosis, treatment and multidisciplinary approach
- Foraging strategies are maintained despite workforce reduction: A multidisciplinary survey on the pollen collected by a social pollinator
- Incidence of colorectal cancer in Eritrea: Data from the National Health Laboratory, 2011-2017
- Integrated analysis of miRNA landscape and cellular networking pathways in stage-specific prostate cancer
- Evaluation of the reactogenicity, adjuvanticity and antigenicity of LT(R192G) and LT(R192G/L211A) by intradermal immunization in mice
- Role of rhesus macaque IFITM3(2) in simian immunodeficiency virus infection of macaques
- Variation in the LRR region of Pi54 protein alters its interaction with the AvrPi54 protein revealed by in silico analysis
- Evolutionarily conserved susceptibility of the mitochondrial respiratory chain to SDHI pesticides and its consequence on the impact of SDHIs on human cultured cells
- Statistical determination of synergy based on Bliss definition of drugs independence
- The association between sleep problems and academic performance in primary school-aged children: Findings from a Norwegian longitudinal population-based study
- Estimating the national cost burden of in-hospital needlestick injuries among healthcare workers in Japan
- 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
- Integrative proteomic and phosphoproteomic profiling of prostate cell lines
- Treatment paths for localised prostate cancer in Italy: The results of a multidisciplinary, observational, prospective study (Pros-IT CNR)
- Why are undergraduate emerging adults anxious and avoidant in their romantic relationships? The role of family relationships
- 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
- Decreased retinal thickness in patients with Alzheimer’s disease is correlated with disease severity
- Moving system with action sport cameras: 3D kinematics of the walking and running in a large volume
- Factors influencing subclinical atherosclerosis in patients with biopsy-proven nonalcoholic fatty liver disease
- Boundary violations and adolescent drinking: Observational evidence that symbolic boundaries moderate social influence
- Inadequate conflict of interest policies at most French teaching hospitals: A survey and website analysis
- A new resolution function to evaluate tree shape statistics
- Thermostat wars? The roles of gender and thermal comfort negotiations in household energy use behavior
- Patients undergoing surgery for lumbar spinal stenosis experience unique courses of pain and disability: A group-based trajectory analysis
- Lifetime prevalence of intimate partner violence against women in an urban Brazilian city: A cross-sectional survey
- The factors associated with being left-behind children in China: Multilevel analysis with nationally representative data
- High heat tolerance in plants from the Andean highlands: Implications for paramos in a warmer world
- Quantifying pediatric patient need for second- and third-line HIV treatment: A tool for decision-making in resource-limited settings
- Discovery of actionable genetic alterations with targeted panel sequencing in children with relapsed or refractory solid tumors
- Iodine status of non-pregnant women and availability of food vehicles for fortification with iodine in a remote community in Gulf province, Papua New Guinea
- Fibre and extracellular matrix contributions to passive forces in human skeletal muscles: An experimental based constitutive law for numerical modelling of the passive element in the classical Hill-type three element model
- The status of imported Barremian-Bedoulian flint in north-eastern Iberia during the Middle Neolithic. Insights from the variscite mines of Gavà (Barcelona)
- Psychology of personal data donation
- Radiocarbon dating and cultural dynamics across Mongolia’s early pastoral transition
- MARGO (Massively Automated Real-time GUI for Object-tracking), a platform for high-throughput ethology
- Visual detection of time-varying signals: Opposing biases and their timescales
- 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
- Dacentrurine stegosaurs (Dinosauria): A new specimen of Miragaia longicollum from the Late Jurassic of Portugal resolves taxonomical validity and shows the occurrence of the clade in North America
- Integrated pan-cancer gene expression and drug sensitivity analysis reveals SLFN11 mRNA as a solid tumor biomarker predictive of sensitivity to DNA-damaging chemotherapy
- Does membrane feeding compromise the quality of Aedes aegypti mosquitoes?
- 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
- Comorbidities and costs in HIV patients: A retrospective claims database analysis in Germany
- 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
- Local unemployment changes the springboard effect of low pay: Evidence from England
- A comparison of body composition assessment methods in climbers: Which is better?
- Comparison of an in-house ‘home-brew’ and commercial ViroSeq integrase genotyping assays on HIV-1 subtype C samples
- Elucidating genetic variability and population structure in Venturia inaequalis associated with apple scab diseaseusing SSR markers
- Clustering via hypergraph modularity
- Indomethacin enhances anti-tumor efficacy of a MUC1 peptide vaccine against breast cancer in MUC1 transgenic mice
- Multistage fuzzy comprehensive evaluation of landslide hazards based on a cloud model
- Inducible microRNA-200c decreases motility of breast cancer cells and reduces filamin A
- Pharmacological signatures of the reduced incidence and the progression of cognitive decline in ageing populations suggest the protective role of beneficial polypharmacy
- Continuous influenza virus production in a tubular bioreactor system provides stable titers and avoids the “von Magnus effect”
- Complex interaction networks of cytokines after transarterial chemotherapy in patients with hepatocellular carcinoma
- Gender essentialism in transgender and cisgender children
- Insertional mutagenesis in the zoonotic pathogen Chlamydia caviae
- Being there: A scoping review of grief support training in medical education
- Does the psychological profile influence the position of promising young futsal players?
- 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
- Olfactory screening of Parkinson’s Disease patients and healthy subjects in China and Germany: A study of cross-cultural adaptation of the Sniffin’ Sticks 12-identification test
- Molecular evolution of cytochrome C oxidase-I protein of insects living in Saudi Arabia
- Correlates of leisure-time sedentary behavior among 181,793 adolescents aged 12-15 years from 66 low- and middle-income countries
- Cost-effectiveness analysis of Mucosal Leishmaniasis diagnosis with PCR-based vs parasitological tests in Colombia
- Spatiotemporal analysis of historical records (2001–2012) on dengue fever in Vietnam and development of a statistical model for forecasting risk
- Resilience assessment of Puerto Rico’s coral reefs to inform reef management
- 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
- An expansin-like protein expands forage cell walls and synergistically increases hydrolysis, digestibility and fermentation of livestock feeds by fibrolytic enzymes
- Joint image compression and encryption based on sparse Bayesian learning and bit-level 3D Arnold cat maps
- Urticating setae of tarantulas (Araneae: Theraphosidae): Morphology, revision of typology and terminology and implications for taxonomy
- Live observation of the oviposition process in Daphnia magna
- On the accuracy of displacement-based wave intensity analysis: Effect of vessel wall viscoelasticity and nonlinearity
- Nodosilinea signiensis sp. nov. (Leptolyngbyaceae, Synechococcales), a new terrestrial cyanobacterium isolated from mats collected on Signy Island, South Orkney Islands, Antarctica
- A 3’ UTR SNP rs885863, a cis-eQTL for the circadian gene VIPR2 and lincRNA 689, is associated with opioid addiction
- Characterizing the Randot Preschool stereotest: Testability, norms, reliability, specificity and sensitivity in children aged 2-11 years
- Tributyltin chloride (TBT) induces RXRA down-regulation and lipid accumulation in human liver cells
- Amazon climatic factors driving terpene composition of Iryanthera polyneura Ducke in terra-firme forest: A statistical approach
- Differences in clinical features of cluster headache between drinkers and nondrinkers in Japan
- Distribution of macular ganglion cell layer thickness in foveal hypoplasia: A new diagnostic criterion for ocular albinism
- Polo-like kinase 1 (Plk1) inhibition synergizes with taxanes in triple negative breast cancer
- Effect of mechanochemical activation of natural phosphorite structure as well as phosphorus solubility
- Automated content analysis across six languages
- A deep learning reconstruction framework for X-ray computed tomography with incomplete data
- Integrating interconception care in preventive child health care services: The Healthy Pregnancy 4 All program
- The prognostic significance of tumor-infiltrating lymphocytes assessment with hematoxylin and eosin sections in resected primary lung adenocarcinoma
- Effectiveness of novel fabrics to resist punctures and lacerations from white shark (Carcharodon carcharias): Implications to reduce injuries from shark bites
- Bacillus Calmette-Guérin (BCG) therapy lowers the incidence of Alzheimer’s disease in bladder cancer patients
- Serial block-face scanning electron microscopy reveals neuronal-epithelial cell fusion in the mouse cornea
- Salt or fish (or salted fish)? The Bronze Age specialised sites along the Tyrrhenian coast of Central Italy: New insights from Caprolace settlement
- Pragmatic language dysfunction in systemic lupus erythematosus patients: Results from a single center Italian study
- Association between cerebral atrophy and osteoporotic vertebral compression fractures
- Latitudinal gradient of cyanobacterial diversity in tidal flats
- Gene expression based survival prediction for cancer patients—A topic modeling approach
- Understanding allergic multimorbidity within the non-eosinophilic interactome
- The association between psychological distress and angina pectoris: A population-based study
- Comparative analysis on Facebook post interaction using DNN, ELM and LSTM
- Cerebellum-mediated trainability of eye and head movements for dynamic gazing
- Psychological and physiological effects of applying self-control to the mobile phone
- Omecamtiv mecarbil lowers the contractile deficit in a mouse model of nebulin-based nemaline myopathy
- Genome-wide SNP analyses reveal population structure of Portunus pelagicus along Vietnam coastline
- Modulating transcription through development of semi-synthetic yeast core promoters
- Left-handed metamaterial bandpass filter for GPS, Earth Exploration-Satellite and WiMAX frequency sensing applications
- Cost-effectiveness analysis of PSA-based mass screening: Evidence from a randomised controlled trial combined with register data
- A good tennis player does not lose matches. The effects of valence congruency in processing stance-argument pairs
- Validation of the group tasks uncertainty model (MITAG) in a German sample
- Parent psychological wellbeing in a single-family room versus an open bay neonatal intensive care unit
- Optimizing the procedure of grain nutrient predictions in barley via hyperspectral imaging
- In-situ time resolved spectrographic measurement using an additively manufactured metallic micro-fluidic analysis platform
- Race disparity in blood sphingolipidomics associated with lupus cardiovascular comorbidity
- Characterization of the placental transcriptome through mid to late gestation in the mare
- Indirect violence exposure and mental health symptoms among an urban public-school population: Prevalence and correlates
- Diagnostic ability of multifocal electroretinogram in early multiple sclerosis using a new signal analysis method
- Predictors of never having a mammogram among Chinese, Vietnamese, and Korean immigrant women in the U.S.
- The impact of hepatic steatosis on portal hypertension
- How do and could clinical guidelines support patient-centred care for women: Content analysis of guidelines
- Study of the epidemiological behavior of malaria in the Darien Region, Panama. 2015–2017
- School-based obesity prevention for busy low-income families—Organisational and personal barriers and facilitators to implementation
- Neighborhood crime, disorder and substance use in the Caribbean context: Jamaica National Drug Use Prevalence Survey 2016
- Genomic comparison of diverse Salmonella serovars isolated from swine
- Significance of the lobe-specific emphysema index to predict prolonged air leak after anatomical segmentectomy
- Modeling of inter-organizational coordination dynamics in resilience planning of infrastructure systems: A multilayer network simulation framework
- Manipulating the odds: The effects of Machiavellianism and construal level on cheating behavior
- Early recognition of anorexia through patient-generated assessment predicts survival in patients with oesophagogastric cancer
- Identifying publications in questionable journals in the context of performance-based research funding
- ITGAM is a risk factor to systemic lupus erythematosus and possibly a protection factor to rheumatoid arthritis in patients from Mexico
- Nurses’ and patients’ experiences and preferences of the ankle-brachial pressure index and multi-site photoplethysmography for the diagnosis of peripheral arterial disease: A qualitative study
- Cluster tendency assessment in neuronal spike data
- Voluntary medical male circumcision for HIV prevention among adolescents in Kenya: Unintended consequences of pursuing service-delivery targets
- Primary care in five European countries: A citizens’ perspective on the quality of care for children
- High Order Profile Expansion to tackle the new user problem on recommender systems
- Psychometric properties of the Korean version of the Health Literacy on Social Determinants of Health Questionnaire (K-HL-SDHQ)
- Flood hazard mapping and assessment in data-scarce Nyaungdon area, Myanmar
- 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
- Long-term vancomycin use had low risk of ototoxicity
- Overcoming platinum resistance in ovarian cancer by targeting pregnancy-associated plasma protein-A
- Exploration of muscle loss and metabolic state during prolonged critical illness: Implications for intervention?
- Pan-caspase inhibitor F573 mitigates liver ischemia reperfusion injury in a murine model
- Efficacy of interleukin 10 gene hydrofection in pig liver vascular isolated ‘in vivo’ by surgical procedure with interest in liver transplantation
- Molecular characteristics of segment 5, a unique fragment encoding two partially overlapping ORFs in the genome of rice black-streaked dwarf virus
- Early economic evaluation of MRI-guided laser interstitial thermal therapy (MRgLITT) and epilepsy surgery for mesial temporal lobe epilepsy
- GLADS: A gel-less approach for detection of STMS markers in wheat and rice
- Anterior tooth-use behaviors among early modern humans and Neandertals
- Incidence patterns of orofacial clefts in purebred dogs
- Capacity of the medullary cavity of tibia and femur for intra-bone marrow transplantation in mice
- Association of thoracic spine deformity and cardiovascular disease in a mouse model for Marfan syndrome
- Predicting atrial fibrillation in primary care using machine learning
- M3VR—A multi-stage, multi-resolution, and multi-volumes-of-interest volume registration method applied to 3D endovaginal ultrasound
- A developmental trajectory supporting the evaluation and achievement of competencies: Articulating the Mastery Rubric for the nurse practitioner (MR-NP) program curriculum
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- Default Mode Network structural alterations in Kocher-Monro trajectory white matter transection: A 3 and 7 tesla simulation modeling approach
- Phylogenetic revision of Gymnotidae (Teleostei: Gymnotiformes), with descriptions of six subgenera
- Population genetic analysis of 36 Y-chromosomal STRs yields comprehensive insights into the forensic features and phylogenetic relationship of Chinese Tai-Kadai-speaking Bouyei
- 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
- Fixation of genetic variation and optimization of gene expression: The speed of evolution in isolated lizard populations undergoing Reverse Island Syndrome
- One simple claudication question as first step in Peripheral Arterial Disease (PAD) screening: A meta-analysis of the association with reduced Ankle Brachial Index (ABI) in 27,945 subjects
- Direct cost of health care for individuals with community associated Clostridium difficile infections: A population-based cohort study
- Association between serum homocysteine level and cognitive function in middle-aged type 2 diabetes mellitus patients
- A qualitative research synthesis of contextual factors contributing to female overweight and obesity over the life course in sub-Saharan Africa
- Insight into the relationship between aryl-hydrocarbon receptor and β-catenin in human colon cancer cells
- Hidden noise in immunologic parameters might explain rapid progression in early-onset periodontitis
- 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
- Detection of Schistosoma japonicum and Oncomelania hupensis quadrasi environmental DNA and its potential utility to schistosomiasis japonica surveillance in the Philippines
- Does age influence the quality of life in children with atopic dermatitis?
- Questioning the lasting effect of galvanic vestibular stimulation on postural control
- Identification of a novel monocytic phenotype in Classic Hodgkin Lymphoma tumor microenvironment
- Characterization of 20 complete plastomes from the tribe Laureae (Lauraceae) and distribution of small inversions
- Binding and dynamics of melatonin at the interface of phosphatidylcholine-cholesterol membranes
- Recent climate-driven ecological change across a continent as perceived through local ecological knowledge
- Nonalcoholic fatty liver disease is an early predictor of metabolic diseases in a metabolically healthy population
- Occurrence and multilocus genotyping of Giardia duodenalis from post-weaned dairy calves in Sichuan province, China
- Retinoic acid-stimulated ERK1/2 pathway regulates meiotic initiation in cultured fetal germ cells
- Gender disparities in scientific production: A nationwide assessment among physicians in Peru
- Effect of F1 and F2 generations on genetic variability and working steps of doubled haploid production in maize
- Mitochondrial dysfunction in rheumatoid arthritis: A comprehensive analysis by integrating gene expression, protein-protein interactions and gene ontology data
- A caspase-6-cleaved fragment of Glial Fibrillary Acidic Protein as a potential serological biomarker of CNS injury after cardiac arrest
- A handy method to remove bacterial contamination from fungal cultures
- The self-care profiles and its determinants among adults with hypertension in primary health care clinics in Selangor, Malaysia
- The mutational landscape of quinolone resistance in Escherichia coli
- Exploring the influence of self-perceptions on the relationship between motor competence and identity in adolescents
- Study on the damage characteristics of gas-bearing shale under different unloading stress paths
- EPILAT-IRA Study: A contribution to the understanding of the epidemiology of acute kidney injury in Latin America
- 16S rDNA droplet digital PCR for monitoring bacterial DNAemia in bloodstream infections
- Three-dimensional (3D) brain microphysiological system for organophosphates and neurochemical agent toxicity screening
- Diversity of endocervical microbiota associated with genital Chlamydia trachomatis infection and infertility among women visiting obstetrics and gynecology clinics in Malaysia
- Health impact of hepatic-venous-occlusive disease in a small town in Ethiopia—Case study from Tahtay koraro district in Tigray region, 2017
- Development of a novel automatable fabrication method based on electrospinning co electrospraying for rotator cuff augmentation patches
- Development of a quantitative PCR assay for the detection and enumeration of a potentially ciguatoxin-producing dinoflagellate, Gambierdiscus lapillus (Gonyaulacales, Dinophyceae)
- Association of clinical factors with survival outcomes in laryngeal squamous cell carcinoma (LSCC)
- Seasonal oyster harvesting recorded in a Late Archaic period shell ring
- Population preferences for breast cancer screening policies: Discrete choice experiment in Belarus
- Respiratory health and inflammatory markers - Exposure to respirable dust and quartz and chemical binders in Swedish iron foundries
- Trends and predictors of mother-to-child transmission of HIV in an era of protocol changes: Findings from two large health facilities in North East Nigeria
- Elevated Ki-67 (MIB-1) expression as an independent predictor for unfavorable pathologic outcomes and biochemical recurrence after radical prostatectomy in patients with localized prostate cancer: A propensity score matched study
- Genome-wide identification and gene expression analysis of SOS family genes in tuber mustard (Brassica juncea var. tumida)
- Carvedilol improves glucose tolerance and insulin sensitivity in treatment of adrenergic overdrive in high fat diet-induced obesity in mice
- Institutional differences in USMLE Step 1 and 2 CK performance: Cross-sectional study of 89 US allopathic medical schools
- Molecular epidemiological characteristics of dengue virus carried by 34 patients in Guangzhou in 2018
- Heteroplasmy in the complete chicken mitochondrial genome
- Candida blood stream infections observed between 2011 and 2016 in a large Italian University Hospital: A time-based retrospective analysis on epidemiology, biofilm production, antifungal agents consumption and drug-susceptibility
- Sixty years since the creation of Lake Kariba: Thermal and oxygen dynamics in the riverine and lacustrine sub-basins
- Association of uric acid in serum and urine with subclinical renal damage: Hanzhong Adolescent Hypertension Study
- Appropriate management of acute gastroenteritis in Australian children: A population-based study
- The plasma metabolome of women in early pregnancy differs from that of non-pregnant women
- Effectiveness of four types of neuraminidase inhibitors approved in Japan for the treatment of influenza
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- Diminuendo al bottom—Clarifying the semantics of music notation by re-modeling
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- Serum uromodulin is associated with the severity of clinicopathological findings in ANCA-associated glomerulonephritis
- Male support for cervical cancer screening and treatment in rural Ghana
- ADAPTS: Automated deconvolution augmentation of profiles for tissue specific cells
- Comparison of shape quantification methods for genomic prediction, and genome-wide association study of sorghum seed morphology
- An attempt to identify the issues underlying the lack of consistent conceptualisations in the field of student mathematics-related beliefs
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- 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
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- The association between self-efficacy and self-management behaviors among Chinese patients with type 2 diabetes
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- Affective disorders in the elderly in different European countries: Results from the MentDis_ICF65+ study
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- Exploiting open source 3D printer architecture for laboratory robotics to automate high-throughput time-lapse imaging for analytical microbiology
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- 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
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- Microbial metabolisms in an abyssal ferromanganese crust from the Takuyo-Daigo Seamount as revealed by metagenomics
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- 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
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- 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
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- 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
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- 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
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- 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
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- Mathematical determination of the HIV-1 matrix shell structure and its impact on the biology of HIV-1
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- 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
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- 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
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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
- scafSLICR: A MATLAB-based slicing algorithm to enable 3D-printing of tissue engineering scaffolds with heterogeneous porous microarchitecture
- Association of serum leptin and adiponectin concentrations with echocardiographic parameters and pathophysiological states in patients with cardiovascular disease receiving cardiovascular surgery
- Operation of cognitive memory inhibition in adults with Down syndrome: Effects of maintenance load and material
- Influences on surgical antimicrobial prophylaxis decision making by surgical craft groups, anaesthetists, pharmacists and nurses in public and private hospitals
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- Expression of Concern: The Role of the RACK1 Ortholog Cpc2p in Modulating Pheromone-Induced Cell Cycle Arrest in Fission Yeast
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- Investigating cooperation with robotic peers
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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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- Unravelling travellers’ route choice behaviour at full-scale urban network by focusing on representative OD pairs in computer experiments
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- 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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- A substitution mutation in a conserved domain of mammalian acetate-dependent acetyl CoA synthetase 2 results in destabilized protein and impaired HIF-2 signaling
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- Reliability and construct validity of the stepping-forward affordance perception test for fall risk assessment in community-dwelling older adults
- Socioeconomic determinants of nutritional status among ‘Baiga’ tribal children In Balaghat district of Madhya Pradesh: A qualitative study
- 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
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- 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
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- Phosphorylation-dependent activity-based conformational changes in P21-activated kinase family members and screening of novel ATP competitive inhibitors
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- 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
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- 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
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- 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
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- 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
- Factors affecting acceptance of at-birth point of care HIV testing among providers and parents in Kenya: A qualitative study
- Removal efficiency of central vacuum system and protective masks to suspended particles from dental treatment
- Psychological well-being and distress in patients with generalized anxiety disorder: The roles of positive and negative functioning
- Conventional rotator cuff versus all-suture anchors—A biomechanical study focusing on the insertion angle in an unlimited cyclic model
- Are viral-infections associated with Ménière’s Disease? A systematic review and meta-analysis of molecular-markers of viral-infection in case-controlled observational studies of MD
- An evaluation of genetic causes and environmental risks for bilateral optic atrophy
- Comparative vector competence of the Afrotropical soft tick Ornithodoros moubata and Palearctic species, O. erraticus and O. verrucosus, for African swine fever virus strains circulating in Eurasia
- Effects of the solubility of yeast cell wall preparations on their potential prebiotic properties in dogs
- Carbogen gas-challenge BOLD fMRI in assessment of liver hypoxia after portal microcapsules implantation
- Socioeconomic determinants of cancer screening utilisation in Latin America: A systematic review
- Development of an easy-to-use questionnaire assessing critical care nursing competence in Japan: A cross-sectional study
- Towards successful business process improvement – An extension of change acceleration process model
- Correction: Dietary polyphenols as a safe and novel intervention for modulating pain associated with intervertebral disc degeneration in an in-vivo rat model
- Correction: Phylogenetic analysis of hepatitis C virus among HIV/ HCV co-infected patients in Nigeria
- Correction: Relationship between self-disclosure to first acquaintances and subjective well-being in people with schizophrenia spectrum disorders living in the community
- Impact of ATM rs1801516 on late skin reactions of radiotherapy for breast cancer: Evidences from a cohort study and a trial sequential meta-analysis
- Involvement of human and canine MRP1 and MRP4 in benzylpenicillin transport
- Soil organic matter rather than ectomycorrhizal diversity is related to urban tree health
- Clinical risk assessment in early pregnancy for preeclampsia in nulliparous women: A population based cohort study
- The relation between circulating levels of vitamin D and parathyroid hormone in children and adolescents with overweight or obesity: Quest for a threshold
- Behavioural evidence for segments as subordinate units in Chinese spoken word production: The form-preparation paradigm revisited
- Correction: Measuring the impact of an interdisciplinary learning project on nursing, architecture and landscape design students’ empathy
- Analysis of the characteristics of chemotherapy-resistant renal cell carcinomas based on global transcriptional analysis of their tissues and cell lines
- The characteristics and treatment patterns of patients with Parkinson’s disease in the United States and United Kingdom: A retrospective cohort study
- Sex differences in youth elite swimming
- Unconventional SCCmec types and low prevalence of the Panton-Valentine Leukocidin exotoxin in South African blood culture Staphylococcus aureus surveillance isolates, 2013-2016
- Prosocial perceptions of taxation predict support for taxes
- Correction: Clonality analysis of pulmonary tumors by genome-wide copy number profiling
- Improved oxygenation following methylprednisolone therapy and survival in paediatric acute respiratory distress syndrome
- Normative values for relative schoolbag weight in primary school children aged 6-14 from Czech Republic: A pilot study
- Correction: Intensive longitudinal modelling predicts diurnal activity of salivary alpha-amylase
- Correction: SNV discovery and functional candidate gene identification for milk composition based on whole genome resequencing of Holstein bulls with extremely high and low breeding values
- Monoclonal antibody anti-PBP2a protects mice against MRSA (methicillin-resistant Staphylococcus aureus) infections
- Diurnal variations of amplitude of accommodation in different age groups
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- Correction: Fast, quantitative, murine cardiac 19F MRI/MRS of PFCE-labeled progenitor stem cells and macrophages at 9.4T
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- Correction: An international randomised placebo-controlled trial of a four-component combination pill (“polypill”) in people with raised cardiovascular risk
- Correction: Evaluation of lung toxicity risk with computed tomography ventilation image for thoracic cancer patients
- Retraction: Pathological Roles of Interleukin-22 in the Development of Recurrent Hepatitis C after Liver Transplantation
- Correction: Elevational Distribution and Ecology of Small Mammals on Tanzania's Second Highest Mountain
- Correction: Decreased breast cancer-specific mortality risk in patients with a history of thyroid cancer
- Correction: Fecal microbiota dysbiosis in macaques and humans within a shared environment
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