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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
Authors: Korin Eckstrom aff001; John W. Barlow aff002
Authors place of work: Department of Microbiology and Molecular Genetics, The University of Vermont, Burlington, Vermont, United States of America aff001; Department of Animal and Veterinary Sciences, The University of Vermont, Burlington, Vermont, United States of America aff002
Published in the journal: PLoS ONE 14(11)
Category: Research Article
doi: https://doi.org/10.1371/journal.pone.0219807Summary
Food waste diversion and composting, either mandated or voluntary, are growing alternatives to traditional waste disposal. An acceptable source of agricultural feed and composting material, methane-emitting food residuals, including post-consumer food scraps, are diverted from landfills allowing recapture of nutrients that would otherwise be lost. However, risk associated with the transfer of antimicrobial resistant bacteria (ARB), antibiotic resistance genes (ARGs), or pathogens from food waste is not well characterized. Using shotgun metagenomic sequencing, ARGs, microbial content, and associated virulence factors were successfully identified across samples from an integrated poultry farm that feeds post-consumer food waste. A total of 495 distinct bacterial species or sub-species, 50 ARGs, and 54 virulence gene sequences were found. ARG sequences related to aminoglycoside, tetracycline, and macrolide resistance were most prominent, while most virulence gene sequences were related to transposon or integron activity. Microbiome content was distinct between on-farm samples and off-farm food waste collection sites, with a reduction in pathogens throughout the composting process. While most samples contained some level of resistance, only 3 resistance gene sequences occurred in both on - and off-farm samples and no multidrug resistance (MDR) gene sequences persisted once on the farm. The risk of incorporating novel or multi-drug resistance from human sources appears to be minimal and the practice of utilizing post-consumer food scraps as feed for poultry and composting material may not present a significant risk for human or animal health. Pearson correlation and co-inertia analysis identified a significant interaction between resistance and virulence genes (P = 0.05, RV = 0.67), indicating that ability to undergo gene transfer may be a better marker for ARG risk than presence of specific bacterial species. This work expands the knowledge of ARG fate during food scrap animal feeding and composting and provides a methodology for reproducible analysis.
Keywords:
Virulence factors – Livestock – Metagenomics – Antimicrobial resistance – Antibiotic resistance – Poultry – Shotgun sequencing – Farms
Introduction
The global crisis of antimicrobial resistance (AMR) has been attributed to antimicrobial overuse, improper prescribing, extensive use as growth promoters in agriculture, and the slowing development of new antimicrobials [1]. As we continue in the “post-antibiotic era”, increasing pressure is placed on proper stewardship and surveillance efforts. In particular, environmental and agricultural reservoirs of resistance have been identified as key points of intervention. However, this work has focused primarily on soils, wastewater, and manures. An additional component of the agricultural cycle is the fate of food wastes and residuals, however investigation into the contribution of these materials to AMR persistence or introduction is limited.
Diversion of food scraps to agriculture is not only a sustainable practice, but in states such as Vermont it is being promoted as an alternative to meet current regulations. In the wake of Vermont’s Universal Recycling Law (Act 148) [2] and similar legislation in other states or municipalities, the fate of microbial species in food waste and residuals is under scrutiny; agricultural composts and soils represent a major contact point between the environment, animals, and humans, yet the extent of novel bacteria and associated antimicrobial resistance genes (ARGs) in comingled food residuals is unknown. Poultry farms may represent increased risk, as in contrast to the regulation of feeding of food waste to species such as swine, in Vermont there are no prohibitions on using raw food scraps as poultry feed[3].
As legislation implementing food waste composting and diversion becomes more popular, risk assessment of food wastes and residuals must be performed. Mandates such as Vermont’s Universal Recycling Law (Act 148) suggests these materials might be used for agricultural feed and composting, particularly within the poultry production chain, but also for energy production on farms that utilize anaerobic digesters. Previous work has shown that both AMR microorganisms and ARGs exist in food products [4–7] at the point of consumer purchase or within households, which are also the largest producers of food wastes [8]. These comingled food residuals may carry antimicrobial resistant bacteria and genes from multiple sources, yet their fate once they are incorporated into the farm setting is unknown.
Current guidelines for feeding food wastes to commercial poultry operations recognize the risk of pathogen introduction. Few restrictions exist for feeding food waste to chickens, and to our knowledge, no regulations address the potential transmission of ARGs from food waste to livestock. As there is direct contact between the “vehicle” (food waste) and the animal, a potential new source of antimicrobial resistance in the food cycle is born from implementing post-consumer food scrap feeding on commercial poultry farms.
Assessment of ARB and ARGs has been performed in similar materials, such as swine or dairy cattle manures [9–14], yet the extent and relative importance of food scraps as a source of resistance is largely unknown. The purpose of this study to identify the range and magnitude of ARGs in food scraps received by an integrated poultry farm and composting operation. Samples of post-consumer food wastes and residuals were collected at the sources and across the farm system, from importation and use as poultry feed, to the finished composts and egg products.
Traditional approaches to resistance monitoring or risk assessment have utilized culture-based techniques or lower-throughput culture-independent strategies such as qPCR. In this study, we utilized shotgun metagenomic sequencing to assess both the bacterial and resistance gene diversity throughout the food scrap acquisition, feeding and post-feeding composting processes. This technique has recently been used to investigate the resistome of sources such as manures, agricultural soils, lakes, and hospital effluents [11,15–17]. Additionally, the use of cloud-based bioinformatics resources showcases the accessibility of these tools for ARG surveillance for projects of any scale.
In this study, the focus is placed on the potential impacts of human food waste composting on the poultry farm resistome, as well as commercial products leaving the farm. The primary aim of this work was the identification and characterization of antibiotic resistance genes (ARGs) in food wastes, composts, and farm products, which was achieved using shotgun metagenomics methods. Additional aims include the assessment of microbial communities and potentially pathogenic species, as well as associated virulence factors from all samples to elucidate the potential mechanisms of resistance transfer within the farm environment. Finally, the relationships between these genes and bacterial communities were successfully investigated and the results provide insight to potential avenues for future studies of food waste management practices.
Materials and methods
Collaborating farm
All data were obtained from a single commercial diversified farm located in northeastern Vermont (44°32'56.9"N 72°13'52.5"W). The study farm produces eggs for wholesale and direct to consumer retail sales, seasonal produce, and soil amendments including compost and vermiculture worm castings. With the exception of feeding post-consumer food waste, which can not be certified as an organic feed, the farm follows USDA National Organic Program standards for husbandry practices, including no use of antimicrobials. The farm provides a commercial compost collection service collecting food scraps and food manufacturing wastes from regional businesses and institutions.
Sample collection
Samples were collected both on-farm and at individual food scrap collection sites in February 2017. On-farm samples included i) raw food scraps (RFSC); ii) three stages of windrow composting piles: raw compost (RWCO), unfinished compost (UFCO), and finished compost (FICO); iii) three stages of worm casting: the initial layer of substrate (TWCA), immediately after sifting (SWCA), and the packaged commercial product (WOCA); and iv) eggs from the laying hens within the barn, including outer wash as a representative of the barn environment (EGWA) and shells to represent composition upon leaving the farm (EGSH). Off-farm samples were taken as representatives from each bin present at the site, including a regional school district kitchen (SCHO), outpatient hospital kitchen (HOSP), nursing home kitchen (NURH), and grocery store (GROC). A visual representation of the sampling scheme is shown in Fig 1. Additionally, a blank sample (TRBL) was included in all analysis to capture any noise generated from environmental or reagent contamination. For each substrate type, four sterile RNA/DNA free 50 mL conical tubes (Ambion, Thermo Fisher, Waltham, MA) were filled using grab sampling across various depths and locations of on-farm piles or across bins at collection sites. However, due to the time of year, much of the substrate was frozen and this did impact the ability to sample more than a few inches into the core of outdoor samples. For eggs, three eggs were taken directly from hen houses within the barn. All samples were transported on ice back to the University of Vermont and stored at -80°C until further processing and DNA extraction.
Fig. 1. Map of sampling scheme and directionality of food waste movement on the farm. All samples were collected in compliance with University of Vermont Research Protections Guidelines. Because the study involved only collection of food waste, compost materials and eggs, no human subjects, vertebrate animal, or biosafety oversight protocol approvals were required.
Pre-processing and DNA extraction
Due to the nature of food scrap samples, significant efforts were put into the “pre-processing” of all samples to reduce the amount of eukaryotic DNA contamination. Eukaryotic genomes, particularly those of plants, are orders of magnitude larger than microbial genomes and present a challenge to profiling intermingled food wastes. Physically removing these cells prior to DNA extraction (described here as “pre-extraction processing”) allows for shallower sequencing and a reduction in the need to bioinformatically remove potential host sequences (human, chicken, crops, etc.) saving on costs at each step. To accomplish this, we developed physical host tissue depletion and DNA enrichment and extraction methods in a series of preliminary experiments comparing variations in agitation and filtration using a series of compost samples collected in the months prior to formal sample collection in February. Optimization of DNA yield and host cell removal following tissue pre-extraction processing was determined by comparing crude estimates of genomic DNA and 16S rRNA gene (primers 27-F and 519-R, [18]) to 18S rRNA gene (primers EK1-F and EK1250-R [19]) amplicon yields on DNA extracted from compost samples using 3 different filter sizes (20, 40, or 60 micron) and 3 different commercially available DNA extraction kits. The combination of a 40 micron filter and DNA extraction using the Qiagen (formerly MoBio) PowerSoil kit (Qiagen, Hilden, Germany) resulted in the consistently highest crude genomic DNA yields.
These pre-extraction processing procedures (e.g. physical agitation and vacuum filtration) were then completed for the study samples. Briefly, 1 g of each sample was added to 10 mL sterile UltraPure water (Thermo Fisher, Waltham, MA) in a 50 mL conical Tube (Ambion, Thermo Fisher, Waltham, MA). A total of four tubes were prepared for each sample. Sterile water was warmed to 42° C to improve bacterial disruption upon vortexing. This was performed for all samples except the egg shell and egg wash. For egg wash, whole eggs were placed into individual sterile Whirl-Paks with 40 mL of sterile, warmed water and gently shaken for 2 minutes. Wash material was then placed into a sterile 50 mL conical for further processing. Once washed, for egg shell samples, the eggs were cracked on the edge of a sterile beaker and all interior products were discarded. Any remaining albumin was rinsed thoroughly with additional sterile water. The shell was then crushed with a gloved hand and inserted into a sterile 50 mL conical tube with 40 mL of warmed (42° C) sterile water and agitated/crushed for 2 minutes with a sterile glass rod (method adapted from a previous study [20]).Once prepared, all sample mixtures were transferred to a multitube vortexer and shaken for 5 minutes at 1500 rpm to disrupt bacterial adhesion to any food scraps or soil particles. All samples were then filtered through a 40 micron SteriFlip (Millipore Sigma, Darmstadt Germany) tube using vacuum filtration and combined into a single 40 mL volume per sample type. This was then centrifuged for 15 minutes at 2,000 g to pellet biological material. Supernatant was discarded and pellets were resuspended in 800 μL of sterile water prior to DNA extraction. Samples were stored at -20° C if not immediately used for extraction.
DNA was extracted from sample filtrates using the Qiagen PowerSoil kit. Manufacturer’s protocol was followed with the following changes. Briefly, instead of unprocessed soil, for each sample 400 μL of the pre-processed liquid filtrates was added to a sterile tube containing beads. Total DNA was eluted and stored at -20° C until quantitation and sequencing.
The concentration of DNA in each sample was quantitated using the Qubit 2.0 dsDNA BR Assay system (Thermo Fisher, Waltham, MA). The manufacturer’s protocol was followed and 1 μL of sample DNA to 199 μL of working solution was used. Concentrations ranged from <0.025 ng/μL in the trip blank to 13.5 ng/μL in the finished compost, with an average of 3.7 ng/μL in experimental samples.
Library preparation and shotgun metagenomic sequencing
Library preparation and sequencing was performed at the UVM Cancer Center Advanced Genomics Lab (Burlington, VT). DNA quality was assessed, and fragmentation was performed using the Bioanalyzer system and Covaris respectively. A total of 2 ng of DNA from each sample was used for library preparation using the Nextera reagent kit (Illumina Inc., USA). All libraries were checked for quality using the Bioanalyzer system prior to sequencing. All 14 samples (13 samples + 1 trip blank) were sequenced via 100 bp single end (SE) Illumina HiSeq shotgun sequencing. Two lanes in total were used, from different flow cells and on different days, as technical replicates as well as to increase the total sequencing depth.
Initial sequence analysis was performed by the UVM Bioinformatics Shared Resources (Burlington, VT). This included demultiplexing (assigning reads to their sample using the barcodes from the library preparation stage), quality checking using FastQC [21] and storage on a remote server (Vermont Advanced Computing Core, VACC). Once sequences were retrieved, quality was examined using FastQC output files. Average sequence quality was above Q 30 for all samples, indicating that both lanes had high-quality sequences.
Sequence analysis
The CosmosID (CosmosID Rockville, MD) software suite was used for both identification and classification of functional genes and bacterial content in all samples. Briefly, CosmosID is a cloud-based platform that uses curated reference datasets to rapidly assign metagenomic reads to the species, sub-species, and even strain level, as well as a wide array of virulence factors, antimicrobial resistance genes, and other functional databases. This is accomplished using two main algorithms, the first of which is the ‘pre-computation phase that constructs a whole genome phylogeny tree using sets of fixed length n-mers (referred to as biomarkers) from the curated database. Once constructed, the second ‘per-sample phase’ searches metagenomic reads from submitted samples against the biomarker ‘fingerprints’ for identification. Resulting statistics are aggregated to maintain overall precision and allow for sample composition, including relative abundance estimates, frequency of a biomarker hit, total coverage of the reference sequence (Total Match %), and total coverage of unique biomarkers (Unique Match %). For this study, frequency and total reads were used to calculate further metrics for analysis.
Results of alignment to CosmosID databases Bacteria Q3 2017, Antibiotic Resistance Q4 2016, and Virulence Factors Q4 2016 were exported in .csv format for additional analysis in R (version 3.4.3). Previous studies utilizing shotgun metagenomics have noted that reads associated with reagent contamination can occur [22,23] and contributes to potential false positives within shotgun sequencing datasets. As a result, filtering was conducted by using all results from the trip/extraction blank (TRBL). Briefly, any samples with an extract match (i.e. same strain or gene) or match on the same branch (i.e. matched to same node within the database) to those within either TRBL sample were removed from further analysis. This strategy was used as some results may simply be rare, and occurrence in a blank rather than a read threshold allows these rare results to be conserved. Additionally, redundant results in the form of repetitive branch hits may result from short or erroneous reads. For example, if a sample contained both a branch result for Staphylococcus and a more specific result of Staphylococcus aureus, the less specific branch results were removed so as to not artificially inflate sample diversity. These types of removals are responsible for the majority of filtered hits (Table 1).
Tab. 1. Raw reads, unfiltered reads, and filtered hits for each sample. Finally, an additional parameter was calculated to aid comparison of experimental samples. As each sample contained differential proportions of reads associated with Eukaryotic DNA, an abundance ratio similar to gene copy/16S rRNA copy was created. The metric allowed for a better representation of the abundance of resistance genes and virulence factors by accounting for the putative bacterial load of the sample. Abundance ratios were calculated as total bacterial hits/total reads per sample and hits/ total bacterial hits and expressed as counts/bacteria in results.
Statistical analysis
Analysis on filtered results were performed using R (version 3.4.3), including total genes per sample, abundance ratios, and aggregation of results by sample. Heat maps of virulence factors and ARGs were generated using the pheatmap package [24] (v.1.0.12) and were scaled by row to normalize results by gene across samples. Calculations of sample diversity (richness, Shannon, and Simpson) were performed using the vegan package [25](v.2.4–6). The metaMDS function using Bray-Curtis distances were used for NMDS ordination of bacterial communities in the vegan package.
Relationships between functional genes and bacteria were assessed by Pearson’s correlation coefficient and co-inertia analysis. Correlation tests were performed using the Hmisc package [26] (v.4.1–1). Co-inertia analysis was performed using the made4 package [27]. Visualizations and figures were made using ggplot2 [28].
Results and discussion
Sequencing and additional read filtering
Total data generated, read numbers, and results of filtering are shown in Table 1. Total reads ranged from 3,753,273 to 33,835,024 per sample, excluding blanks. Total depth and read number did not appear to significantly impact results between samples however, as total read number is not directly associated with bacterial reads (e.g. NURH on lane 1 versus EGWA or HOSP samples, which had vastly different total reads yet similar bacterial reads). Blank samples had lower total reads and reads associated with bacteria. After filtering, an average of 54 bacterial species, 7 resistance genes, and 9 virulence factors per sample were identified (Table 1).
Prior studies used ARDB and Resqu databases for ARG annotation for analysis [16,29]. However, source material from these studies were lake sediment and sterile swabs of paper money, respectively, which likely contain less diverse Eukaryotic DNA contamination compared to food waste and compost samples; for example, when a single eukaryotic host can be identified (i.e. human) those sequences can be filtered and removed, but this is an intensive process when dealing with an unknown number of plant genomes in composted materials. The steps taken to physically deplete these eukaryotic sequences via filtration in this study present a potential alternative to more expensive lysis buffers, probe depletion, or other chemical mechanisms of host depletion. Additionally, bioinformatic reduction of host contamination is difficult for environmental samples such as these, as the number and type of host sequences is unknown. Given the potential future use of shotgun metagenomics for large-scale surveillance efforts, efforts to reduce both reagent and sequencing costs makes these methods more attainable for many research groups and/or governing bodies. Our preliminary experiments with physical filtration were limited in scope and continued research validating physical depletion or enrichment methods is warranted.
In order to accurately and efficiently identify both ARGs and bacteria present, we used the CosmosID bioinformatic pipeline. By utilizing an algorithm based on data mining and phylogenetic approaches, rather than sequence assembly and alignment, these results were less susceptible to errors that eukaryotic sequences may have introduced during contig or genome assembly. This approach allows for better coverage of individual genes given the relatively short sequences generated by shotgun sequencing. CosmosID databases are heavily curated and updated, including over 150,000 bacterial genomes, and recently ranked highest in sensitivity and accuracy when compared to other popular metagenomic analysis tools [30]. Additionally, CosmosID has been applied to the analysis of environmental reservoirs such as rivers [31,32] demonstrating the breadth of reference genomes outside of purely clinical isolates.
Characterization and persistence of ARGs
A total of 50 unique ARGs were found, ranging from 0 to 21 per sample, with individual gene abundance ratios ranging from 0 to 0.102 counts/bacteria. Total abundance ratios per sample, a proxy for overall “load” of ARGs, ranged from 0 to 0.431. Genes spanning 8 drug types were found, as well as ARGs regulating resistance mechanisms (Fig 2). Egg wash (EGWA), egg shells (EGSH), and unfinished composts (UFCO) had the most resistance genes of the on-farm samples, while the nursing home kitchen waste carried the most resistance genes of the site samples. Samples from hospital kitchen (HOSP), sifted worm castings (SWCA), and commercial worm castings (WOCA) did not have any resistance gene sequences identified after filtering.
Fig. 2. Bar chart of the total number of antibiotic resistance genes (ARGs) found by drug class and sample. In this instance, results for each duplicate were combined into a single bar. ARG sequences related to aminoglycoside (12), tetracycline (12), and macrolide (9) resistance were found most frequently. Additionally, 10 gene sequences related to multidrug resistance (MDR) were isolated in NURH samples. Resistance genes appearing in multiple samples or of particular risk to human infection are shown in Table 2. Of these, streptomycin resistance gene aph(6) Id was present in the most samples, and has been previously found in wastewater [33] and lakes [16]. Several ARGs known to reside on plasmids and mobile genetic elements were found as well, including tetM, tetO, and tetW [34,35].
Tab. 2. Selected ARGs, known functions and associated samples. Abundance ratios of all ARGs found by sample are shown visually in Fig 3. In addition to variation in overall load, ARGs appear to cluster by sample similarity or stage of composting. For example, clusters are composed of samples directly related to each other, such as FICO and TWCA or RWCO, UFCO, and food scrap collection sources. This pattern is observed with the presence of specific genes themselves. Tetracycline resistance genes tetH/L/M/O/W/X are all present in both the raw food scraps and egg samples, while genes such as lmrD are only present in off-farm food waste collection sites. Macrolide resistance genes, such as mefA/mel, msrD, and lmrD, are only in egg and site samples. A similar resistome profile was detected in fecal and cecal samples from broiler chickens on nine commercial farms using the commercial feeds included different antimicrobial agents [36]. In contrast to this previous study, the farm in our study had no history of antimicrobial use in the laying hens suggesting at least some ARGs in this flock may be introduced with the food scraps. A limitation of our current study is the restricted scope of sampling across additional time points to characterize variation in ARG families in food scraps and farm sources and across different sources including the chickens, other domestic animal species and humans.
Fig. 3. Heatmap displaying the differences in abundance ratio of ARGs between samples. Heatmap was scaled by row (individual ARGs) and created using the pheatmap package. Other genes appear to be mitigated by the composting process. Tetracycline resistance genes, some of the most widespread of ARGs identified in this study, become undetected in later stages. For example, tetH, tetW, and tetX are all present at the raw compost stage, with tetW dropping out by the intermediate stage (UFCO), and only tetX being present in the finished compost (FICO) and initial worm castings (TWCA). These particular Tetracycline resistance genes have been commonly found in other compost and manure samples, including swine [9] and cattle [37]. Only one ARG, Aminoglycoside resistance gene aph(6)-1d is present across all stages of composting until it is no longer detected in SWCA and WOCA samples. This gene is known to reside on plasmids and integrative elements and is capable of expression in both gram-positive and gram-negative species [38] indicating transfer across a variety of bacterial species and perhaps explaining its persistence throughout the composting cycle. As such, it may make an ideal candidate for use as a marker gene of plasmid transfer in future studies.
Virulence factors: Integrases, transposons, and enabling gene transfer
Fifty-four unique virulence factor associated genes were identified, with at least one being present in every sample type. The most frequently found were the genes intl1, sul1, and tnpA. Individual abundance ratios varied from 2.02−6 to 0.0402 and sample averages from 0.0002 to 0.056. While less abundant than ARGs identified, the total number of genes per sample was higher; an average of 9 virulence factor genes were found per sample compared to 7 ARGs.
Visualization of abundance ratio by heatmap displayed a more diffuse pattern of virulence gene abundance compared to ARGs (Fig 4). Low abundance carriage of multiple genes was common, especially among EGSH, EGWA, RFSC, UFCO, and UFCO. Of the virulence factors detected, several key integrases and a transposon regulator were identified (Table 3). Intl1, tnpA and sul1 are commonly associated with the transfer of antimicrobial resistance [39,40] and may contribute to the transfer of ARGs within the farm setting, regardless of the survival or viability of the microorganisms that receive them.
Fig. 4. Heatmap displaying the differences in abundance ratio of virulence factors between samples. Heatmap was scaled by row (individual virulence genes) and created using the pheatmap package. Tab. 3. Selected virulence genes, function, associated organism and sample. Microbial communities, niches, and EKSAPE pathogens
Microbial composition to the level of species or strain was accomplished using the CosmosID platform, a significant advantage over amplicon techniques. This allowed for not only the assessment of community structures and diversity, but also tracking of specific bacterial pathogens of concern.
Microbiome composition appears to be clustered both by sample type and composting stage (Fig 5). At the sample level, composition is driven most strongly by location (on-farm or a site-specific food waste) (Fig 5B), but variation can be seen between the various stages of composting as well (Fig 5A). Within the farm, distinct similarity can be seen between samples near the barn or in close contact with poultry (RFSC, EGSH, EGWA) and those at various stages of composting or vermicomposting. Additionally, worm casting samples after interaction with the worms (SWCA and WOCA) are very distinct from other composting samples. This is driven by the introduction of specific phyla seen only in these samples, including Thaumarchaeota, Verrucomicrobia, and Gemmatimonadetes. These have been prevalent in other vermicomposting studies [41–43]. In particular, Verrucomicrobia was found to correlate with cured composts [41] and be promoted by earthworms [42]. Other vermicomposting studies have indicated that dominant phyla may act as antagonists and help reduce pathogenic species [44].
Fig. 5. Nonmetric Multidimensional Scaling (NMDS) plot using Bray-Curtis distance of the microbiome of each a) sample and b) group. Food wastes refer to all samples collected off-farm. The composition in relative abundance for the twenty most abundant species is shown in Fig 6A. The drivers behind the distances shown in Fig 6 can be traced to specific phyla here. As mentioned, vermicomposting samples contained several distinct phyla, but few of these were of high abundance overall. Notable species include E. cecorum in egg samples, L. lactis in food wastes, and the shifts in abundance of Actinobacteria species. Detection of E. cecorum, a known poultry commensal [45], and L. lactis, an additive during the fermentation of dairy products and other foods [46], in such specific niches highlights the sensitivity of shotgun sequencing for detection of bacterial species in a wide variety of food products. Additionally, by tracking the relative abundance of various members of the Actinobacteria phylum throughout composting a distinct compost profile emerges (Fig 6B). Species that were of low or zero abundance in food scraps or raw composts incrementally rise in abundance as composts matures or is transferred to the worm casting process, including S. viridis, T. fusca, and M. thermoresistible.
Fig. 6. Heatmap of the top A) 20 bacterial species in all samples, B) members of the Actinobacteria Phylum, and C) EKSCAPE pathogens. The Phylum of each species precedes each species name. Heatmap is scaled as the log10 percent read abundance within each sample, with abundances <0.1% all being represented as the same color. In addition to shifts in phyla abundance, specific strains and species can be tracked across samples due to the use of shotgun metagenomic sequencing. In terms of clinical infection risk, many surveillance efforts track the occurrence of ESKAPE pathogens. EKSAPE pathogens (Enterococcus faecium, Staphylococcus aureus, Klebsiella pneumoniae, Acinetobacter baumanii, Pseudomonas aeruginosa, and Enterobacter species) are responsible for the majority of nosocomial infections globally and can readily acquire antimicrobial resistance [47, 48]. Pathogens on this list were identified in several samples in this study but did not persist or occur in any samples that would be leaving the farm or used in agricultural land application (Fig 6C). Klebsiella pneumoniae and Acinetobacter baumanii were both isolated from the nursing home samples but were not present in any other materials.
Salmonella enterica was also present in food wastes from the nursing home, a species commonly causing severe food borne illness. Shell eggs are a potential source of food borne Salmonella enterica serovars Enteritidis and Typhimurium in humans, and salmonella control is an issue of particular concern for poultry farms. Salmonella control programs in laying flocks may include vaccination, introduction of new birds from salmonella free sources, environmental cleaning and disinfection procedures including rodent and fly control, treatment or decontamination of poultry feed, and a monitoring program for salmonella in the environment and eggs [49,50]. The farm in this study had previously completed limited monitoring of eggs for Salmonella using culture-based methods, identifying no egg contamination. Our results suggest metagenomic approaches might be used for pathogen monitoring in animal feeds, environmental samples, and products from farms [51,52]. As a result of our study findings the farmer has discontinued feeding of food wastes from the nursing home to the hens, and is exploring the potential of feeding food scraps following an initial composting step. Further research is warranted to understand the application (including the diagnostic sensitivity and specificity) of next-generation sequencing approaches in on-farm food-borne pathogen monitoring and control.
Staphylococcus aureus was present in all four off-farm collection sites and the raw and unfinished composts. While not identified in any off-farm collection sites sampled at this single point in time, Pseudomonas aeruginosa and members of the Enterobacteriaceae family were identified in the raw and unfinished composts and raw food scraps and raw composts respectively. However, none of these appeared in the egg samples or finished compost products, indicating they are not a pressing risk to animal or environmental health. Only S. aureus was able to be characterized at the strain level, with strain MV8 being present in the majority of samples (sites and raw compost, excluding the unfinished compost). This strain has been identified as sequence type (ST) 8 and containing a derivative of the SCCmec IV element responsible for methicillin resistance [53]. Other isolates of this group (ST 8) have been identified globally in cases of community-acquired methicillin-resistant S. aureus infections (CA-MRSA), such as USA 300 throughout the United States and CA-MRSA/J in Japan [54]. The disappearance or removal below detectable levels of this strain is promising evidence for the attenuation of EKSAPE pathogens by the composting process.
Association between resistome and virulome
Transfer of specific genes or species appears to be rare between collection sites and farm samples. Only 3 ARGs, 9 virulence factors, and 18 bacterial species were found in both a collection site and any on-farm material, which may indicate successful mitigation by the composting process as seen in other studies [55]. However, only four collection sites were sampled, so additional analyses were performed to assess the relationship between bacterial composition and persistence of antibiotic resistance genes.
Prior work has demonstrated a relationship between antibiotic resistance genes and associated sample microbiome [56,57]. To investigate this potential relationship, Pearson correlations between richness, Shannon and Simpson diversities, and ARG counts and diversity were performed (Tables 4 and 5). None of these proved significant however, which prompted the investigation of potential interactions between resistance genes and virulence genes facilitating gene transfer events. Co-occurrence of virulence genes and antibiotic resistance has been shown in Pseudomonas aeruginosa [58] and has a stronger association than antibiotic use alone in populations of E. coli [59,60]. In the current study, this relationship between antibiotic resistance genes and virulence factors produced the only statistically significant result, with Shannon diversities of these gene categories being positively correlated (0.553, p = 0.05).
Tab. 4. Summary of diversity metrics for each sample. Tab. 5. Results of Pearson correlation testing. This relationship was further explored through co-inertia analysis. Briefly, co-inertia analysis is a multivariate method that can robustly couple tables, ecological or otherwise, given time points or samples are shared across measured variables [61]. For example, this technique has been applied to soil ecology studies, assessing patterns of syntony in samples across environmental characteristics such as pH or temperature with microbial communities or species. The main benefit of co-inertia analysis over similar techniques such as redundancy analysis (RDA) or canonical correspondence analysis (CCA), is that it is not constrained by the number of variables or observations. Thus, it is capable of measuring the global co-structure between two sets of variables regardless of if they can be measured on a gradient. In this study, it was applied to assess the similarity between patterns of microbial communities and functional genes (ARGs and virulence genes); results are expressed on a scale of 0 to 1, which 0 being unrelated and 1 being strong patterns of covariance. The results of co-inertia analyses provided further evidence of syntony between resistance and virulence genes (RV = 0.647), compared to 0.445 between that of bacterial communities and ARGs and 0.358 between bacteria and virulence genes. Similar mechanisms of regulation and induction, such as biofilm formation, communication, and HGT have been implicated in the link between resistance and virulence genes [62].
These results may shed light on the dynamics of ARG transfer specifically within the composting environment; large population shifts occurred during thermophilic phases, but the genes regulating gene transfer are more consistent. Notably, in samples where no ARGs were identified (WOCA, SWCA, HOSP) fewer virulence genes were present. Both SWCA and WOCA carried only sul1, intl1, and orf6 and HOSP contained intl1, orfC, tniC, and tnpA. Conversely, samples with the most ARGs (EGWA, EGSH, NURH, and UFCO) contained 26, 15, 6, and 16 virulence genes respectively.
Alternatively, differentiation between total microbial community and so-called reservoir hosts should be explored. Wang et al., investigated this relationship using both metagenomic and metatranscriptomic data in a controlled setting to elucidate the effects of composting stage on resistome profile [63]. While core resistome profiles were quite stable, the core ARGs were carried by different bacterial phyla as environmental conditions changed during the composting stages; this succession of phyla maintaining core ARG families may be happening in food waste composting and may be responsible for the relationships identified in our study. Identification of these reservoir hosts should be conducted in further sampling efforts in addition to characterization of important virulence or functional genes facilitating ARG persistence.
Limitations of the current study
There are a number of limitations of our current study that may help explain some of the findings. First, due to financial and logistical constraints we completed sampling at a single point in time on a single farm across the farm system and food waste collection sites. A longitudinal study design repeatedly sampling all sites over time would improve our understanding of ARG dynamics in the system and provide improved evidence of differences associated with steps in the food waste processing. This may be especially important to confirm our finding of a reduction in ARGs during the final steps of composting and vermiculture. Similarly, extending this study to multiple farms would be a critical next step, and we are aware of at least 3 other diversified farms in Vermont that are feeding comingled post-consumer and institutional food waste to commercial poultry flocks. We also did not include direct sampling of the poultry or other animals on the farm and limited our samples to materials including eggs collected from the chicken house. Future studies might include fecal and skin sampling of the poultry (e.g. cloacal and skin swabs), however in this study we restricted samples to egg samples (external egg wash and shell) due to convenience, elimination of the requirement for animal institutional animal care and use committee approval, and relevance as a food product sold from this farm. A more comprehensive study would include culture-based analysis of the samples in order to identify, isolate and quantify resistant bacteria across the farm system. Screening samples for a panel of antimicrobials representing all classes can be labor intensive. We propose that among the strengths of the metagenomic approach is it can be used in series with culture-based methods; where the genomic results can be used to inform subsequent selective culture media choice for isolation of phenotypically resistant organisms from stored samples.
Alternatively, where a culturing approach may still be cost prohibitive or unsuccessful for environmental microbes, recent advances in long-read sequencing for metagenomics position this method as a viable option. The main advantage of long-read sequencing is the illumination of genetic context; by sequencing longer read fragments, users are not limited to simply detecting the presence of ARGs but can also identify gene clusters that show co-occurrence with other resistance genes or mobile elements that are the likely mechanisms of transfer. Specific tools have been developed for this purpose, such as the accessible web service NanoARG [64] or the interactive software MEGAN-LR [65]. These new sequencing technologies have already been used for rapid detection of ARGs, where the Oxford Nanopore MinION was successfully used in a veterinary hospital to detect ARGs, assess their taxonomy and origin, and to inform mitigation strategies [65,66]. Long-read sequencing should provide contextual information for ARGs found in multiple stages of the composting process. For example, while aph(6) 1d was found in multiple samples in this study, we cannot determine if a single organism is carrying this gene or if it is being transferred via a mobile element to the microbial community along the composting stream. The use of long-read sequencing will likely become common place in future studies of this kind, as the MinION device is well-suited to a field setting due to its portability needs and could be an valuable tool in guiding bioremediation throughout the food waste composting cycle.
Conclusion
The aim of this work was to identify, characterize, and provide insight into the dynamics of antibiotic resistance genes during food waste management on a farm feeding food scraps to poultry and subsequently composting the material. Using shotgun metagenomic sequencing we were able to accomplish this by evaluating the microbiome, resistome, and relevant functional genes of collected samples. While limited to a single farm, these results indicate that ARGs and pathogenic bacterial species are reduced in both number and abundance during the food waste composting process, recapitulating results shown in manure composting operations and expanding knowledge of this important management practice. Notably, the relationship between virulence factors and antibiotic resistance genes should be further explored and may be key in preventing additional spread of ARGs throughout the food waste composting process and at the commercial scale. Given the driver of improved agricultural sustainability, we expect the import of commercial food waste on to farm systems is likely to increase in the near future, including on small to medium sized farms such as the one in this study. Research should focus on expanding this work to additional farming systems and compost management styles to fully assess the associated risk; this work provides an accessible analytical framework and baseline data for future studies.
Supporting information
S1 Table [xlsx]
ARG sequences frequency and abundance identified by sample after sequence read filtering.S2 Table [xlsx]
Virulence factor sequences frequency and abundance identified by sample after sequence read filtering.S3 Table [xlsx]
Bacterial taxa sequences frequency and abundance identified by sample after sequence read filtering.
Zdroje
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Článok vyšiel v časopisePLOS One
Najčítanejšie tento týždeň
2019 Číslo 11- Metamizol jako analgetikum první volby: kdy, pro koho, jak a proč?
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- The mutational landscape of quinolone resistance in Escherichia coli
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- Study on the damage characteristics of gas-bearing shale under different unloading stress paths
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- 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)
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- 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
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- 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
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- Appropriate management of acute gastroenteritis in Australian children: A population-based study
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- Bioinformatic analysis of a novel Echinococcus granulosus nuclear receptor with two DNA binding domains
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- Involvement of extracellular vesicles in the macrophage-tumor cell communication in head and neck squamous cell carcinoma
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- Out-of-pocket expenditure and catastrophic health expenditure for hospitalization due to injuries in public sector hospitals in North India
- Concurrent validity and discriminative ability of Dutch performance-based motor tests in 5 to 6 years old children
- Cumulative viral load as a predictor of CD4+ T-cell response to antiretroviral therapy using Bayesian statistical models
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- The clinicopathological significance of Thrombospondin-4 expression in the tumor microenvironment of gastric cancer
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- Effects of Debaryomyces hansenii treatment on intestinal mucosa microecology in mice with antibiotic-associated diarrhea
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- Evolution of high tooth replacement rates in theropod dinosaurs
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- Ethnic-racial identity affirmation: Validation in Aboriginal Australian children
- Non-intubated anesthesia in patients undergoing video-assisted thoracoscopic surgery: A systematic review and meta-analysis
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- Synergistic immuno-modulatory activity in human macrophages of a medicinal mushroom formulation consisting of Reishi, Shiitake and Maitake
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- Diversity pattern of Plasmodium knowlesi merozoite surface protein 4 (MSP4) in natural population of Malaysia
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- The impact of “male clinics” on health-seeking behaviors of adult men in rural Kenya
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- Quantitative assessment of interstitial lung disease in Sjögren’s syndrome
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- Finding phrases: On the role of co-verbal facial information in learning word order in infancy
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- Magnitude and associated factors of postpartum depression among women in Nekemte town, East Wollega zone, west Ethiopia, 2019: A community-based study
- Comparison of continuous wave and cold lateral condensation filling techniques in 3D printed simulated C-shape canals instrumented with Reciproc Blue or Hyflex EDM
- Effect of caffeine on neuromuscular function following eccentric-based exercise
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- Alcohol consumption and survival after breast cancer diagnosis in Japanese women: A prospective patient cohort study
- Selection of reference genes for normalization of cranberry (Vaccinium macrocarpon Ait.) gene expression under different experimental conditions
- The household economic costs associated with depression symptoms: A cross-sectional household study conducted in the North West province of South Africa
- Increased cell size, structural complexity and migration of cancer cells acquiring fibroblast organelles by cell-projection pumping
- Acute low- compared to high-load resistance training to failure results in greater energy expenditure during exercise in healthy young men
- Impact of body mass index and metabolically unhealthy status on mortality in the Japanese general population: The JMS cohort study
- Characterization of two thermophilic cellulases from Talaromyces leycettanus JCM12802 and their synergistic action on cellulose hydrolysis
- Ecohydrology of urban trees under passive and active irrigation in a semiarid city
- Cyclosporine A eyedrops with self-nanoemulsifying drug delivery systems have improved physicochemical properties and efficacy against dry eye disease in a murine dry eye model
- LFastqC: A lossless non-reference-based FASTQ compressor
- Highly accurate prediction of flammability limits of chemical compounds using novel integrated hybrid models
- Nonsteroidal anti-inflammatory drugs and acetaminophen ameliorate muscular mechanical hyperalgesia developed after lengthening contractions via cyclooxygenase-2 independent mechanisms in rats
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- Yeasts affect tolerance of Drosophila melanogaster to food substrate with high NaCl concentration
- The effect of climate change on cholera disease: The road ahead using artificial neural network
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- Micro-dislodgement during transcatheter aortic valve implantation with a contemporary self-expandable prosthesis
- Improving the antimicrobial efficacy against resistant Staphylococcus aureus by a combined use of conjugated oligoelectrolytes
- Kin discrimination and outer membrane exchange in Myxococcus xanthus: Experimental analysis of a natural population
- Inflammatory cell infiltrates, hypoxia, vascularization, pentraxin 3 and osteoprotegerin in abdominal aortic aneurysms – A quantitative histological study
- Effects of virtual reality rehabilitation training on gait and balance in patients with Parkinson's disease: A systematic review
- Serum miR-33a is associated with steatosis and inflammation in patients with non-alcoholic fatty liver disease after liver transplantation
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- Investigation of biochemical and physiological parameters of the newborn Saiga antelope (Saiga tatarica) in Gansu Province, China
- One-year follow-up of changes in refraction and aberrations induced by corneal incision
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- Perception of potential harm and benefits of HIV vaccine trial participation: A qualitative study from urban Tanzania
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- Deep brain stimulation restores the glutamatergic and GABAergic synaptic transmission and plasticity to normal levels in kindled rats
- Metformin strongly affects transcriptome of peripheral blood cells in healthy individuals
- Cranberry extracts promote growth of Bacteroidaceae and decrease abundance of Enterobacteriaceae in a human gut simulator model
- Long-term retention on antiretroviral therapy among infants, children, adolescents and adults in Malawi: A cohort study
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- Optogenetically transduced human ES cell-derived neural progenitors and their neuronal progenies: Phenotypic characterization and responses to optical stimulation
- Ion torrent high throughput mitochondrial genome sequencing (HTMGS)
- Outpatient antibiotic prescription rate and pattern in the private sector in India: Evidence from medical audit data
- Acute Influenza A virus outbreak in an enzootic infected sow herd: Impact on viral dynamics, genetic and antigenic variability and effect of maternally derived antibodies and vaccination
- Prevalence and correlates of low serum calcium in late pregnancy: A cross sectional study in the Nkongsamba Regional Hospital; Littoral Region of Cameroon
- Home-cage monitoring ascertains signatures of ictal and interictal behavior in mouse models of generalized seizures
- CRISPR/Cas9 gene editing in the West Nile Virus vector, Culex quinquefasciatus Say
- Genetic susceptibility to angiotensin-converting enzyme-inhibitor induced angioedema: A systematic review and evaluation of methodological approaches
- Proton pump inhibitor use increases the risk of peritonitis in peritoneal dialysis patients
- Comparative distribution of extended-spectrum beta-lactamase–producing Escherichia coli from urine infections and environmental waters
- Sex differences in thigh muscle volumes, sprint performance and mechanical properties in national-level sprinters
- Maternal serum and cord blood leptin concentrations at delivery
- Winter nitrification in ice-covered lakes
- Intolerance of uncertainty fuels depressive symptoms through rumination: Cross-sectional and longitudinal studies
- Monitoring exercise-induced muscle damage indicators and myoelectric activity during two weeks of knee extensor exercise training in young and old men
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- The association between self-efficacy and self-management behaviors among Chinese patients with type 2 diabetes
- Poly-arginine-18 peptides do not exacerbate bleeding, or improve functional outcomes following collagenase-induced intracerebral hemorrhage in the rat
- Affective disorders in the elderly in different European countries: Results from the MentDis_ICF65+ study
- Evaluation of forearm vascular resistance during orthostatic stress: Velocity is proportional to flow and size doesn’t matter
- Proton pencil minibeam irradiation of an in-vivo mouse ear model spares healthy tissue dependent on beam size
- Maternal stress in Shank3ex4-9 mice increases pup-directed care and alters brain white matter in male offspring
- Aspartate aminotransferase-to-platelet ratio index (APRI): A potential marker for diagnosis in patients at risk of severe malaria caused by Plasmodium vivax
- Exploiting open source 3D printer architecture for laboratory robotics to automate high-throughput time-lapse imaging for analytical microbiology
- Long non-coding RNAs and latent HIV – A search for novel targets for latency reversal
- Clinical characteristics of neonatal fulminant necrotizing enterocolitis in a tertiary Children's hospital in the last 10 years
- Effects of neuromuscular electrical stimulation training on muscle size in collegiate track and field athletes
- Adaptive fuzzy flow rate control considering multifractal traffic modeling and 5G communications
- Evaluation of four commercial tests for detecting ceftiofur in waste milk bulk tank samples
- A smart tele-cytology point-of-care platform for oral cancer screening
- Vasopressin SNP pain factors and stress in sickle cell disease
- Carbonate production of Micronesian reefs suppressed by thermal anomalies and Acanthaster as sea-level rises
- Microbial metabolisms in an abyssal ferromanganese crust from the Takuyo-Daigo Seamount as revealed by metagenomics
- Incidence of chronic kidney disease hospitalisations and mortality in Espírito Santo between 1996 to 2017
- The impact of short-term machine perfusion on the risk of cancer recurrence after rat liver transplantation with donors after circulatory death
- Proteomic profiling of the thrombin-activated canine platelet secretome (CAPS)
- Blood metal levels and serum testosterone concentrations in male and female children and adolescents: NHANES 2011–2012
- The effects of prolonged single night session of videogaming on sleep and declarative memory
- Diversity, distribution and dynamics of large trees across an old-growth lowland tropical rain forest landscape
- Mapping developmental QTL for plant height in soybean [Glycine max (L.) Merr.] using a four-way recombinant inbred line population
- Vaginal ring acceptability and related preferences among women in low- and middle-income countries: A systematic review and narrative synthesis
- UM171 induces a homeostatic inflammatory-detoxification response supporting human HSC self-renewal
- Positive selection and precipitation effects on the mitochondrial NADH dehydrogenase subunit 6 gene in brown hares (Lepus europaeus) under a phylogeographic perspective
- Evaluation of Minimum Inhibitory Concentrations for 154 Mycoplasma synoviae isolates from Italy collected during 2012-2017
- Enhancement of antibiotics antimicrobial activity due to the silver nanoparticles impact on the cell membrane
- Correction: Smoking, alcohol use disorder and tuberculosis treatment outcomes: A dual co-morbidity burden that cannot be ignored
- Correction: Effect of corruption on perceived difficulties in healthcare access in sub-Saharan Africa
- Knowledge-based best of breed approach for automated detection of clinical events based on German free text digital hospital discharge letters
- Importance of thorough tissue and cellular level characterization of targeted drugs in the evaluation of pharmacodynamic effects
- Integrated value-chain and risk assessment of Pig-Related Zoonoses in Ghana
- Failed sperm retrieval from severely oligospermic or non-obstructive azoospermic patients on oocyte retrieval day: Emergent oocyte cryopreservation is a feasible strategy
- Cassava yield traits predicted by genomic selection methods
- Verification of hub genes in the expression profile of aortic dissection
- Pig farmers’ willingness to pay for management strategies to reduce aggression between pigs
- Metabolomic response of Euglena gracilis and its bleached mutant strain to light
- Diagnostic value of ASVS for insulinoma localization: A systematic review and meta-analysis
- Newly educated care managers’ experiences of providing care for persons with stress-related mental disorders in the clinical primary care context
- Real-time telemetry monitoring of oxygen in the central complex of freely-walking Gromphadorhina portentosa
- Qualification programmes for immigrant health professionals: A systematic review
- An analytical model to minimize the latency in healthcare internet-of-things in fog computing environment
- Grain filling of early-season rice cultivars grown under mechanical transplanting
- Intercalation of small molecules into DNA in chromatin is primarily controlled by superhelical constraint
- Correlative evidence for co-regulation of phosphorus and carbon exchanges with symbiotic fungus in the arbuscular mycorrhizal Medicago truncatula
- How to design a dose-finding study on combined agents: Choice of design and development of R functions
- Altered expression of Notch1 in Alzheimer's disease
- The ZJU index is a powerful surrogate marker for NAFLD in severely obese North American women
- Trunk velocity-dependent Light Touch reduces postural sway during standing
- Evaluation of cytological diagnostic accuracy for canine splenic neoplasms: An investigation in 78 cases using STARD guidelines
- Trade-offs in motivating volunteer effort: Experimental evidence on voluntary contributions to science
- Does caching strategy vary with microclimate in endangered Mt. Graham red squirrels?
- Assessment of energy expenditure during high intensity cycling and running using a heart rate and activity monitor in young active adults
- Evaluating rectal swab collection method for gut microbiome analysis in the common marmoset (Callithrix jacchus)
- Implementation of a screening, brief intervention and referral to treatment programme for risky substance use in South African emergency centres: A mixed methods evaluation study
- Can the CalproQuest predict a positive Calprotectin test? A prospective diagnostic study
- The calcium sensor OsCBL1 modulates nitrate signaling to regulate seedling growth in rice
- Acceptability of and treatment preferences for recurrent bacterial vaginosis—Topical lactic acid gel or oral metronidazole antibiotic: Qualitative findings from the VITA trial
- Mathematical determination of the HIV-1 matrix shell structure and its impact on the biology of HIV-1
- Contingent negative variation during a modified cueing task in simulated driving
- CAMDI interacts with the human memory-associated protein KIBRA and regulates AMPAR cell surface expression and cognition
- Effect of feeding patterns on growth and nutritional status of children aged 0-24 months: A Chinese cohort study
- A fecal sequel: Testing the limits of a genetic assay for bat species identification
- Measuring the impact of chronic conditions and associated multimorbidity on health-related quality of life in the general population in Hong Kong SAR, China: A cross-sectional study
- Short and long-term clinical effectiveness and cost-effectiveness of a late-phase community-based balance and gait exercise program following hip fracture. The EVA-Hip Randomised Controlled Trial
- Vaccine cold chain in general practices: A prospective study in 75 refrigerators (Keep Cool study)
- Brazilian norms for the Bank of Standardized Stimuli (BOSS)
- Distinct varieties of aesthetic chills in response to multimedia
- Interaction between apolipoprotein E genotype and hypertension on cognitive function in older women in the Nurses’ Health Study
- Correction: Resistance profile of the HIV-1 maturation inhibitor GSK3532795 in vitro and in a clinical study
- New formulation of the Gompertz equation to describe the kinetics of untreated tumors
- Development of visual perception of others’ actions: Children’s judgment of lifted weight
- Retrospective comparative analysis of intraocular lens calculation formulas after hyperopic refractive surgery
- Human vitreous concentrations of citicoline following topical application of citicoline 2% ophthalmic solution
- Development and validation of exhaled breath condensate microRNAs to identify and endotype asthma in children
- Arthroscopic release for frozen shoulder: Does the timing of intervention and diabetes affect outcome?
- Risk factors affecting dairy cattle protective grouping behavior, commonly known as bunching, against Stomoxys calcitrans (L.) on California dairies
- Acceleration of chemical shift encoding-based water fat MRI for liver proton density fat fraction and T2* mapping using compressed sensing
- Characterisation and microbial community analysis of lipid utilising microorganisms for biogas formation
- Sexuality in male partners of women with fibromyalgia syndrome: A qualitative study
- Exploring optimization strategies for improving explicit water models: Rigid n-point model and polarizable model based on Drude oscillator
- Artificial insemination with fresh, liquid stored and frozen thawed semen in dromedary camels
- Moving into an urban drug scene among people who use drugs in Vancouver, Canada: Latent class growth analysis
- Numerical study on the start and unstart phenomena in a scramjet inlet-isolator model
- Effects of dietary supplementation with apple peel powder on the growth, blood and liver parameters, and transcriptome of genetically improved farmed tilapia (GIFT, Oreochromis niloticus)
- Urban growth simulation in different scenarios using the SLEUTH model: A case study of Hefei, East China
- Chronic bronchitis without airflow obstruction, asthma and rhinitis are differently associated with cardiovascular risk factors and diseases
- Factors associated with medication adherence among people with diabetes mellitus in poor urban areas of Cambodia: A cross-sectional study
- Mammary microbiome of lactating organic dairy cows varies by time, tissue site, and infection status
- Force field generalization and the internal representation of motor learning
- Polyphenism of visual and chemical secondary sexually-selected wing traits in the butterfly Bicyclus anynana: How different is the intermediate phenotype?
- 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
- Post-treatment Lyme disease symptoms score: Developing a new tool for research
- Expression of Concern: The Role of the RACK1 Ortholog Cpc2p in Modulating Pheromone-Induced Cell Cycle Arrest in Fission Yeast
- Equine bronchial fibroblasts enhance proliferation and differentiation of primary equine bronchial epithelial cells co-cultured under air-liquid interface
- Investigating cooperation with robotic peers
- Synthesis, purification and crystallization of a putative critical bulge of HAR1 RNA
- Prosthetic push-off power in trans-tibial amputee level ground walking: A systematic review
- A case study of the use of verbal reports for talent identification purposes in soccer: A Messi affair!
- 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
- Obesity is associated with an impaired survival in lymphoma patients undergoing autologous stem cell transplantation
- Periodontal disease: Repercussions in pregnant woman and newborn health—A cohort study
- Origins of Chinese reindeer (Rangifer tarandus) based on mitochondrial DNA analyses
- Regional, racial, gender, and tumor biology disparities in breast cancer survival rates in Africa: A systematic review and meta-analysis
- How effective are films in inducing positive and negative emotional states? A meta-analysis
- 3D nanostructural characterisation of grain boundaries in atom probe data utilising machine learning methods
- An outbreak of tuberculosis in a middle school in Henan, China: Epidemiology and risk factors
- Initial clinical radiological findings and staging to predict prognosis of primary hepatic angiosarcoma: A retrospective analysis
- A new early Eocene deperetellid tapiroid illuminates the origin of Deperetellidae and the pattern of premolar molarization in Perissodactyla
- Longevity and marginal bone loss of narrow-diameter implants supporting single crowns: A systematic review
- Impact of UVC-sustained recirculating air filtration on airborne bacteria and dust in a pig facility
- Cold-related Florida manatee mortality in relation to air and water temperatures
- Conceptual fluency in inductive reasoning
- Clinical outcomes and treatment patterns among Medicare patients with nonvalvular atrial fibrillation (NVAF) and chronic kidney disease
- Improvements in the learnability of smartphone haptic interfaces for visually impaired users
- Role of the malic enzyme in metabolism of the halotolerant methanotroph Methylotuvimicrobium alcaliphilum 20Z
- Cyclic loading test study on a new cast-in-situ insulated sandwich concrete wall
- Natural compounds as angiogenic enzyme thymidine phosphorylase inhibitors: In vitro biochemical inhibition, mechanistic, and in silico modeling studies
- Analysis of virulence potential of Escherichia coli O145 isolated from cattle feces and hide samples based on whole genome sequencing
- Pre-clinical medical student reflections on implicit bias: Implications for learning and teaching
- Prognostic significance of non-sustained ventricular tachycardia on stored electrograms in pacemaker recipients
- Determinants of preterm birth among mothers who gave birth at public hospitals in the Amhara region, Ethiopia: A case-control study
- Real-world evidence of the effectiveness of ombitasvir-paritaprevir/r ± dasabuvir ± ribavirin in patients monoinfected with chronic hepatitis C or coinfected with human immunodeficiency virus-1 in Spain
- Unique transcriptomic landscapes identified in idiopathic spontaneous and infection related preterm births compared to normal term births
- Restrained expansion of the recall germinal center response as biomarker of protection for influenza vaccination in mice
- Arabidopsis TRM5 encodes a nuclear-localised bifunctional tRNA guanine and inosine-N1-methyltransferase that is important for growth
- Achievement of weight loss in patients with overweight during dietetic treatment in primary health care
- Autophagy deficiency exacerbates colitis through excessive oxidative stress and MAPK signaling pathway activation
- The impacts of parity on lung function data (LFD) of healthy females aged 40 years and more issued from an upper middle income country (Algeria): A comparative study
- Reorganization of spatial configurations in visual working memory: A matter of set size?
- Unravelling travellers’ route choice behaviour at full-scale urban network by focusing on representative OD pairs in computer experiments
- Evaluating the higher-order structure of the Profile of Emotional Competence (PEC): Confirmatory factor analysis and Bayesian structural equation modeling
- HIV prevalence and correlated factors among male clients of female sex workers in a border region of China
- Next generation sequencing and RNA-seq characterization of adipose tissue in the Nile crocodile (Crocodylus niloticus) in South Africa: Possible mechanism(s) of pathogenesis and pathophysiology of pansteatitis
- Association between advanced maternal age and maternal and neonatal morbidity: A cross-sectional study on a Spanish population
- Ethnic differences in the prevalence, socioeconomic and health related risk factors of knee pain and osteoarthritis symptoms in older Malaysians
- Increasing knowledge of HIV status in a country with high HIV testing coverage: Results from the Botswana Combination Prevention Project
- Friends with benefits: The effects of vegetative shading on plant survival in a green roof environment
- Comparison of the fecal, cecal, and mucus microbiome in male and female mice after TNBS-induced colitis
- Identifying candidate diagnostic markers for early stage of non-small cell lung cancer
- Complex alternative splicing of human Endonuclease V mRNA, but evidence for only a single protein isoform
- Correction: KML001 Induces Apoptosis and Autophagic Cell Death in Prostate Cancer Cells via Oxidative Stress Pathway
- Unique developmental trajectories of risk behaviors in adolescence and associated outcomes in young adulthood
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- Overexpression of Saussurea involucrata dehydrin gene SiDHN promotes cold and drought tolerance in transgenic tomato plants
- Foxtail millet (Setaria italica (L.) P. Beauv) CIPKs are responsive to ABA and abiotic stresses
- Autonomous drone hunter operating by deep learning and all-onboard computations in GPS-denied environments
- Heterogeneity Diffusion Imaging of gliomas: Initial experience and validation
- Frequency cluster formation and slow oscillations in neural populations with plasticity
- DHP23002 as a next generation oral paclitaxel formulation for pancreatic cancer therapy
- Diagnostic accuracy of SOX11 immunohistochemistry in mantle cell lymphoma: A meta-analysis
- Analytical solution to swing equations in power grids
- Pathways to conspiracy: The social and linguistic precursors of involvement in Reddit’s conspiracy theory forum
- Spatiotemporally random and diverse grid cell spike patterns contribute to the transformation of grid cell to place cell in a neural network model
- Empathic concern and personal distress depend on situational but not dispositional factors
- Who is more susceptible to job stressors and resources? Sensory-processing sensitivity as a personal resource and vulnerability factor
- Cost-effectiveness of integrating postpartum antiretroviral therapy and infant care into maternal & child health services in South Africa
- A substitution mutation in a conserved domain of mammalian acetate-dependent acetyl CoA synthetase 2 results in destabilized protein and impaired HIF-2 signaling
- One step at a time: Physical activity is linked to positive interpretations of ambiguity
- Calreticulin regulates vascular endothelial growth factor-A mRNA stability in gastric cancer cells
- Evaluation of various methods of selection of B. subtilis strains capable of secreting surface-active compounds
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- Molecular characterisation of the synovial fluid microbiome in rheumatoid arthritis patients and healthy control subjects
- On sorption hysteresis in wood: Separating hysteresis in cell wall water and capillary water in the full moisture range
- Inbreeding, Allee effects and stochasticity might be sufficient to account for Neanderthal extinction
- 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
- ‘When you talk to someone in a bad way or always put her under pressure, it is actually worse than beating her’: Conceptions and experiences of emotional intimate partner violence in Rwanda and South Africa
- Effects of 6-mercaptopurine in pressure overload induced right heart failure
- The association between haemoglobin levels in the first 20 weeks of pregnancy and pregnancy outcomes
- Implementation and evaluation of an antimicrobial stewardship programme in companion animal clinics: A stepped-wedge design intervention study
- Factors associated with persistently high-cost health care utilization for musculoskeletal pain
- Nitrogen and chlorophyll status determination in durum wheat as influenced by fertilization and soil management: Preliminary results
- Effect of repeated in vivo microCT imaging on the properties of the mouse tibia
- Coupling environment and physiology to predict effects of climate change on the taxonomic and functional diversity of fish assemblages in the Murray-Darling Basin, Australia
- Hematology and plasma biochemistries in the Blanding’s turtle (Emydoidea blandingii) in Lake County, Illinois
- CRISPR-Cas influences the acquisition of antibiotic resistance in Klebsiella pneumoniae
- Phosphorylation-dependent activity-based conformational changes in P21-activated kinase family members and screening of novel ATP competitive inhibitors
- Antidepressant prescriptions, discontinuation, depression and perinatal outcomes, including breastfeeding: A population cohort analysis
- Why men with a low-risk prostate cancer select and stay on active surveillance: A qualitative study
- Imported severe malaria and risk factors for intensive care: A single-centre retrospective analysis
- Combined treatment (image-guided thrombectomy and endovascular therapy with open femoral access) for acute lower limb ischemia: Clinical efficacy and outcomes
- Low-latency single channel real-time neural spike sorting system based on template matching
- Quantifying the scale effect in geospatial big data using semi-variograms
- Paper-and-pencil versus computerized administration mode: Comparison of data quality and risk behavior prevalence estimates in the European school Survey Project on Alcohol and other Drugs (ESPAD)
- Regression adjusted colocalisation colour mapping (RACC): A novel biological visual analysis method for qualitative colocalisation analysis of 3D fluorescence micrographs
- Ostrich eggshell bead diameter in the Holocene: Regional variation with the spread of herding in eastern and southern Africa
- Spatial and temporal variations in female size at maturity of a Southern Rock Lobster (Jasus edwardsii) population: A likely response to climate change
- Inactive USP14 and inactive UCHL5 cause accumulation of distinct ubiquitinated proteins in mammalian cells
- Training rhesus macaques to take daily oral antiretroviral therapy for preclinical evaluation of HIV prevention and treatment strategies
- Left ventricular structural and functional changes in Friedreich ataxia – Relationship with body size, sex, age and genetic severity
- Magnitude and factors associated with anemia among pregnant women attending antenatal care in Bench Maji, Keffa and Sheka zones of public hospitals, Southwest, Ethiopia, 2018: A cross -sectional study
- Effectiveness of telerehabilitation in the management of adults with stroke: A systematic review
- Hydrogen sulphide-induced hypometabolism in human-sized porcine kidneys
- Correction: Comparison of the molecular properties of retinitis pigmentosa P23H and N15S amino acid replacements in rhodopsin
- Retraction: Regulation of gastric smooth muscle contraction via Ca2+-dependent and Ca2+-independent actin polymerization
- Evaluation of neutral oral contrast agents for assessment of the small bowel at abdominal staging CT
- Blood type and breed-associated differences in cell marker expression on equine bone marrow-derived mesenchymal stem cells including major histocompatibility complex class II antigen expression
- Induced abortion and future use of IVF treatment; A nationwide register study
- Psychosocial determinants of sustained maternal functional impairment: Longitudinal findings from a pregnancy-birth cohort study in rural Pakistan
- Measurement of finger joint angle using stretchable carbon nanotube strain sensor
- Determinants of mortality among patients with drug-resistant tuberculosis in northern Nigeria
- Drugs modulating stochastic gene expression affect the erythroid differentiation process
- Efficacy of UB0316, a multi-strain probiotic formulation in patients with type 2 diabetes mellitus: A double blind, randomized, placebo controlled study
- Prognostic value of des-γ-carboxy prothrombin in patients with hepatocellular carcinoma treated with transarterial chemotherapy: A systematic review and meta-analysis
- Avermectin induces the oxidative stress, genotoxicity, and immunological responses in the Chinese Mitten Crab, Eriocheir sinensis
- Antibiotic use in mandarin production (Citrus reticulata Blanco) in major mandarin-producing areas in Thailand: A survey assessment
- Application of CPI cutoff value based on parentage testing of duos and trios typed by four autosomal kits
- Correction: Good and Bad in the Hands of Politicians: Spontaneous Gestures during Positive and Negative Speech
- Adolescents with worse levels of oral health literacy have more cavitated carious lesions
- Effective methods for the inactivation of Francisella tularensis
- Detection of early-stage Alzheimer’s pathology using blood-based autoantibody biomarkers in elderly hip fracture repair patients
- Correlation between internal pudendal artery stenosis and erectile dysfunction in patients with suspected coronary artery disease
- Analysis of HER2 genomic binding in breast cancer cells identifies a global role in direct gene regulation
- Population productivity of shovelnose rays: Inferring the potential for recovery
- Correction: Long-term clinical outcomes in a cohort of patients with solitary plasmacytoma treated in the modern era
- Effects of tetracycline on myocardial infarct size in obese rats with chemically-induced colitis
- Mineral absorption is an enriched pathway in a brain region of restless legs syndrome patients with reduced MEIS1 expression
- Changes in weight and body composition across five years at university: A prospective observational study
- Adeno-associated virus-mediated expression of human butyrylcholinesterase to treat organophosphate poisoning
- Effects of insulin signaling on mouse taste cell proliferation
- Patient-level cost of home- and facility-based child pneumonia treatment in Suba Sub County, Kenya
- TAP: A static analysis model for PHP vulnerabilities based on token and deep learning technology
- Cost-effectiveness of QuantiFERON-TB Gold In-Tube versus tuberculin skin test for diagnosis and treatment of Latent Tuberculosis Infection in primary health care workers in Brazil
- Multifaceted intervention for the prevention and management of musculoskeletal pain in nursing staff: Results of a cluster randomized controlled trial
- Changes over time in creatinine clearance and comparison of emergent adverse events for HIV-positive adults receiving standard doses (300 mg/day) of lamivudine-containing antiretroviral therapy with baseline creatinine clearance of 30–49 vs ≥50 mL/min
- Population dynamics of foxes during restricted-area culling in Britain: Advancing understanding through state-space modelling of culling records
- Impacts of experimental advisory exit speed sign on traffic speeds for freeway exit ramp
- In-hospital outcomes and 30-day readmission rates among ischemic and hemorrhagic stroke patients with delirium
- Monitoring quality indicators for the Xpert MTB/RIF molecular assay in Ethiopia
- Delivering genes across the blood-brain barrier: LY6A, a novel cellular receptor for AAV-PHP.B capsids
- Correction: Using remote sensing to detect whale strandings in remote areas: The case of sei whales mass mortality in Chilean Patagonia
- Comparison of the inoculum size effects of antibiotics on IMP-6 β-lactamase-producing Enterobacteriaceae co-harboring plasmid-mediated quinolone resistance genes
- Contrast-enhanced computed tomography findings of canine primary renal tumors including renal cell carcinoma, lymphoma, and hemangiosarcoma
- Non-invasive in vivo imaging of UCP1 expression in live mice via near-infrared fluorescent protein iRFP720
- Overexpression of pink1 or parkin in indirect flight muscles promotes mitochondrial proteostasis and extends lifespan in Drosophila melanogaster
- Fiber stiffness, pore size and adhesion control migratory phenotype of MDA-MB-231 cells in collagen gels
- Comparison of two experimental ARDS models in pigs using electrical impedance tomography
- Are primary school children attending full-day school still engaged in sports clubs?
- Stroke risks in women with dysmenorrhea by age and stroke subtype
- Changes in patterns of mortality rates and years of life lost due to firearms in the United States, 1999 to 2016: A joinpoint analysis
- In vitro modeling of Batrachochytrium dendrobatidis infection of the amphibian skin
- Development and validation of LC-MS/MS method for imatinib and norimatinib monitoring by finger-prick DBS in gastrointestinal stromal tumor patients
- Correction: Habitat disturbance and the organization of bacterial communities in Neotropical hematophagous arthropods
- Characterisation of early metazoan secretion through associated signal peptidase complex subunits, prohormone convertases and carboxypeptidases of the marine sponge (Amphimedon queenslandica)
- Time trends between 2002 and 2017 in correlates of self-reported sitting time in European adults
- Performance of patient acuity rating by rapid response team nurses for predicting short-term prognosis
- Changes in HbA1c during the first six years after the diagnosis of Type 2 diabetes mellitus predict long-term microvascular outcomes
- Correction: Antimicrobial resistance genotypes and phenotypes of Campylobacter jejuni isolated in Italy from humans, birds from wild and urban habitats, and poultry
- Correction: Mental health and quality of life outcomes in family members of patients with chronic critical illness admitted to the intensive care units of two Brazilian hospitals serving the extremes of the socioeconomic spectrum
- Correction: Establishing an infrastructure for collaboration in primate cognition research
- Correction: The impact of public health insurance on health care utilisation, financial protection and health status in low- and middle-income countries: A systematic review
- Health provider and service-user experiences of sensory modulation rooms in an acute inpatient psychiatry setting
- Comparison of potential drug-drug interactions with metabolic syndrome medications detected by two databases
- The Polish version of the Cultural Intelligence Scale: Assessment of its reliability and validity among healthcare professionals and medical faculty students
- Selection of optimal reference genes for qRT-PCR analysis of shoot development and graviresponse in prostrate and erect chrysanthemums
- Metastasis risk prediction model in osteosarcoma using metabolic imaging phenotypes: A multivariable radiomics model
- Defining hospital community benefit activities using Delphi technique: A comparison between China and the United States
- Establishment of the experimental procedure for prediction of conjugation capacity in mutant UGT1A1
- A robust multi-objective optimization framework to capture both cellular and intercellular properties in cardiac cellular model tuning: Analyzing different regions of membrane resistance profile in parameter fitting
- Sea star wasting disease demography and etiology in the brooding sea star Leptasterias spp.
- Diagnostic plasma miRNA-profiles for ovarian cancer in patients with pelvic mass
- Genetic diversity and drug resistance of HIV-1 among infected pregnant women newly diagnosed in Luanda, Angola
- I’ve been robbed! – Can changes in floral traits discourage bee pollination?
- Visualising statistical models using dynamic nomograms
- Assessing the capacity of Malawi’s district and central hospitals to manage traumatic diaphyseal femoral fractures in adults
- Diagnostic performance of basal cortisol level at 0900-1300h in adrenal insufficiency
- The Mastery Rubric for Bioinformatics: A tool to support design and evaluation of career-spanning education and training
- Microdissection and whole chromosome painting confirm karyotype transformation in cryptic species of the Lariophagus distinguendus (Förster, 1841) complex (Hymenoptera: Pteromalidae)
- Quality of Kangaroo Mother Care services in Ethiopia: Implications for policy and practice
- Gemcitabine potentiates the anti-tumour effect of radiation on medullary thyroid cancer
- iTRAQ-based high-throughput proteomics analysis reveals alterations of plasma proteins in patients infected with human bocavirus
- The detection of a non-anemophilous plant species using airborne eDNA
- Perception and control of low cable operation forces in voluntary closing body-powered upper-limb prostheses
- Neoadjuvant chemotherapy plus surgery versus concurrent chemoradiotherapy in stage IB2-IIB cervical cancer: A systematic review and meta-analysis
- Randomized methods to characterize large-scale vortical flow networks
- Disentangling the coexistence strategies of mud-daubing wasp species through trophic analysis in oases of Baja California peninsula
- Front-of-pack nutritional labels: Understanding by low- and middle-income Mexican consumers
- Distress in patients with end-stage renal disease: Staff perceptions of barriers to the identification of mild-moderate distress and the provision of emotional support
- Pathways to antibiotics in Bangladesh: A qualitative study investigating how and when households access medicine including antibiotics for humans or animals when they are ill
- DOC export is exceeded by C fixation in May Creek: A late-successional watershed of the Copper River Basin, Alaska
- Behavioral observation of prosocial behavior and social initiative is related to preschoolers’ psychopathological symptoms
- Evaluating the impact of citations of articles based on knowledge flow patterns hidden in the citations
- Correction: Economic sanctions and academia: Overlooked impact and long-term consequences
- Correction: A novel association between relaxin receptor polymorphism and hematopoietic stem cell yield after mobilization
- Expression of Concern: Cooperativity of Oncogenic K-Ras and Downregulated p16/INK4A in Human Pancreatic Tumorigenesis
- Price dispersion of generic medications
- Sex differences in body composition but not neuromuscular function following long-term, doxycycline-induced reduction in circulating levels of myostatin in mice
- The emotion regulation effect of cognitive control is related to depressive state through the mediation of rumination: An ERP study
- Comparison of SMS-EPI and 3D-EPI at 7T in an fMRI localizer study with matched spatiotemporal resolution and homogenized excitation profiles
- Left ventricular mass normalization for body size in children based on an allometrically adjusted ratio is as accurate as normalization based on the centile curves method
- Correction: Combining biophysical parameters, spectral indices and multivariate hyperspectral models for estimating yield and water productivity of spring wheat across different agronomic practices
- Correction: Flowers as viral hot spots: Honey bees (Apis mellifera) unevenly deposit viruses across plant species
- 'Small small quarrels bring about happiness or love in the relationships’: Exploring community perceptions and gendered norms contributing to male perpetrated intimate partner violence in the Central Region of Ghana
- The performance of practitioners conducting facial comparisons on images of children across age
- Increased amounts and stability of telomeric repeat-containing RNA (TERRA) following DNA damage induced by etoposide
- Patients with limitation or withdrawal of life supporting care admitted in a medico-surgical intermediate care unit: Prevalence, description and outcome over a six-month period
- Correction: Diverse radiofrequency sensitivity and radiofrequency effects of mobile or cordless phone near fields exposure in Drosophila melanogaster
- Predicting the performance of TV series through textual and network analysis: The case of Big Bang Theory
- Risk of temperature, humidity and concentrations of air pollutants on the hospitalization of AECOPD
- Mixed methods grant applications in the health sciences: An analysis of reviewer comments
- Renal abnormalities among children with sickle cell conditions in highly resource-limited setting in Ghana
- Size matters: How reaching and vergence movements are influenced by the familiar size of stereoscopically presented objects
- Willingness to receive institutional and community-based eldercare among the rural elderly in China
- An improved deep learning method for predicting DNA-binding proteins based on contextual features in amino acid sequences
- Beyond executive functions, creativity skills benefit academic outcomes: Insights from Montessori education
- A LAMP assay for the rapid and robust assessment of Wolbachia infection in Aedes aegypti under field and laboratory conditions
- Nonarteritic anterior ischemic optic neuropathy is associated with cerebral small vessel disease
- Fiber-tract localized diffusion coefficients highlight patterns of white matter disruption induced by proximity to glioma
- The fight against polio through the NO-DO newsreels during the Francoism period in Spain
- Ocean sound levels in the northeast Pacific recorded from an autonomous underwater glider
- Cost-consequence analysis of influenza vaccination among the staff of a large teaching hospital in Rome, Italy: A pilot study
- The relationship among the progression of inflammation in umbilical cord, fetal inflammatory response, early-onset neonatal sepsis, and chorioamnionitis
- How medical professional students view older people with dementia: Implications for education and practice
- An enhanced nonparametric EWMA sign control chart using sequential mechanism
- Land use change, carbon stocks and tree species diversity in green spaces of a secondary city in Myanmar, Pyin Oo Lwin
- Is there a difference in women’s experiences of care with medication vs. manual vacuum aspiration abortions? Determinants of person-centered care for abortion services
- Maternal complications in pregnancy and childbirth for women with epilepsy: Time trends in a nationwide cohort
- Adsorption of oxytetracycline on kaolinite
- Interdisciplinary stratified care for low back pain: A qualitative study on the acceptability, potential facilitators and barriers to implementation
- The role of resource transfer in positive, non-additive litter decomposition
- The impact of language on the interpretation of resuscitation clinical care plans by doctors. A mixed methods study
- Quantum dots reveal heterogeneous membrane diffusivity and dynamic surface density polarization of dopamine transporter
- Genomic analysis of Shiga toxin-producing Escherichia coli from patients and asymptomatic food handlers in Japan
- The heavy metals lead and cadmium are cytotoxic to human bone osteoblasts via induction of redox stress
- Anatomical, taxonomic, and phylogenetic reappraisal of a poorly known ghost knifefish, Tembeassu marauna (Ostariophysi: Gymnotiformes), using X-ray microcomputed tomography
- Matrix-assisted laser desorption/ionization time of flight mass spectrometry identification of Vibrio (Listonella) anguillarum isolated from sea bass and sea bream
- Recommendations of older adults on how to use the PROM ‘TOPICS-MDS’ in healthcare conversations: A Delphi study
- The winner takes it all—Competitiveness of single nodes in globalized supply networks
- Hamsters in the city: A study on the behaviour of a population of common hamsters (Cricetus cricetus) in urban environment
- Correction: Liquid biopsies for omics-based analysis in sentinel mussels
- Size matters! Association between journal size and longitudinal variability of the Journal Impact Factor
- Drug resistance and epidemiology characteristics of multidrug-resistant tuberculosis patients in 17 provinces of China
- A model-based framework for chronic hepatitis C prevalence estimation
- Adding rewards to regulation: The impacts of watershed conservation on land cover and household wellbeing in Moyobamba, Peru
- Clinical determinants of social media use in individuals with schizophrenia
- Arsenic and nutrient absorption characteristics and antioxidant response in different leaves of two ryegrass (Lolium perenne) species under arsenic stress
- An evolution of socioeconomic related inequality in teenage pregnancy and childbearing in Malawi
- A single plasmid based CRISPR interference in Synechocystis 6803 – A proof of concept
- Structural vulnerability to narcotics-driven firearm violence: An ethnographic and epidemiological study of Philadelphia’s Puerto Rican inner-city
- Temporal trends in intracerebral hemorrhage: Evidence from the Austrian Stroke Unit Registry
- Prevalence and risk factors for multi-drug resistant Escherichia coli among poultry workers in the Federal Capital Territory, Abuja, Nigeria
- Prediction of disease-related metabolites using bi-random walks
- Clinical use, efficacy, and durability of maraviroc for antiretroviral therapy in routine care: A European survey
- Biomarker discovery in inflammatory bowel diseases using network-based feature selection
- The Cinderella Complex: Word embeddings reveal gender stereotypes in movies and books
- Exoproteome profiling of Trypanosoma cruzi during amastigogenesis early stages
- Reproducible phenotype alteration due to prolonged cooling of the pupae of Polyommatus icarus butterflies
- Nutritional treatment with an immune-modulating enteral formula alleviates 5-fluorouracil-induced adverse effects in rats
- Pharmacy-based predictors of non-adherence, non-persistence and reinitiation of antihypertensive drugs among patients on oral diabetes drugs in the Netherlands
- Systematic review of the accuracy of plasma preparation tubes for HIV viral load testing
- Circadian clock regulates the shape and content of dendritic spines in mouse barrel cortex
- “Anybody can make kids; it takes a real man to look after your kids”: Aboriginal men’s discourse on parenting
- Correction: A 1D computer model of the arterial circulation in horses: An important resource for studying global interactions between heart and vessels under normal and pathological conditions
- Maternal interpregnancy weight change and premature birth: Findings from an English population-based cohort study
- Correction: Identifying performance benchmarks and determinants for reproductive performance and calf survival using a longitudinal field study of cow-calf herds in western Canada
- Prognostic value of the model for end-stage liver disease excluding INR score (MELD-XI) in patients with adult congenital heart disease
- Treatment of Urethral Pain Syndrome (UPS) in Sweden
- Migration and political polarization in the U.S.: An analysis of the county-level migration network
- Epidemiology and complications of late-onset sepsis: an Italian area-based study
- The relationship between women’s experience of intimate partner violence and other socio-demographic factors, and under-5 children’s health in South Africa
- Association between trunk and gluteus muscle size and long jump performance
- Multimorbidity and complex multimorbidity in Brazilian rural workers
- Correction: Interspecific Phylogenic Relationships within Genus Melilotus Based on Nuclear and Chloroplast DNA
- Insulin-like growth factor (IGF)-II- mediated fibrosis in pathogenic lung conditions
- Wolf diet and prey selection in the South-Eastern Carpathian Mountains, Romania
- In vitro activity of aryl-thiazole derivatives against Schistosoma mansoni schistosomula and adult worms
- Sample size issues in multilevel logistic regression models
- Seed germination ecology of Ageratum houstonianum: A major invasive weed in Nepal
- Experiences of lifestyle change among women with gestational diabetes mellitus (GDM): A behavioural diagnosis using the COM-B model in a low-income setting
- Pharmacologic management of HCV treatment in patients with HCV monoinfection vs. HIV/HCV coinfection: Does coinfection really matter?
- The association between cigarette smoking and serum thyroid stimulating hormone, thyroid peroxidase antibodies and thyroglobulin antibodies levels in Chinese residents: A cross-sectional study in 10 cities
- Mouse movement measures enhance the stop-signal task in adult ADHD assessment
- Ecosystem functioning in urban grasslands: The role of biodiversity, plant invasions and urbanization
- Correction: KETOS: Clinical decision support and machine learning as a service – A training and deployment platform based on Docker, OMOP-CDM, and FHIR Web Services
- Does craniofacial morphology affect third molars impaction? Results from a population-based study in northeastern Germany
- Hyperconnectivity during screen-based stories listening is associated with lower narrative comprehension in preschool children exposed to screens vs dialogic reading: An EEG study
- Weight loss is associated with improved quality of life among rural women completers of a web-based lifestyle intervention
- Long-term high-grain diet altered the ruminal pH, fermentation, and composition and functions of the rumen bacterial community, leading to enhanced lactic acid production in Japanese Black beef cattle during fattening
- Beyond detoxification: Pleiotropic functions of multiple glutathione S-transferase isoforms protect mice against a toxic electrophile
- Golgi reassembly and stacking protein 65 downregulation is required for the anti-cancer effect of dihydromyricetin on human ovarian cancer cells
- SSR marker development in Clerodendrum trichotomum using transcriptome sequencing
- Risk factors for the carriage of Streptococcus infantarius subspecies infantarius isolated from African fermented dairy products
- Development of an intervention tool for precision oral self-care: Personalized and evidence-based practice for patients with periodontal disease
- Personal values in adolescence and psychological distress in adults: A cross-sectional study based on a retrospective recall
- Overactive bladder and bladder pain syndrome/interstitial cystitis in primary Sjögren’s syndrome patients: A nationwide population-based study
- Clinical utility of combined preimplantation genetic testing methods in couples at risk of passing on beta thalassemia/hemoglobin E disease: A retrospective review from a single center
- Hip stress distribution - Predictor of dislocation in hip arthroplasties. A retrospective study of 149 arthroplasties
- Mortality, morbidity, and cardiac surgery in Injection Drug Use (IDU)-associated versus non-IDU infective endocarditis: The need to expand substance use disorder treatment and harm reduction services
- Pup mortality in New Zealand sea lions (Phocarctos hookeri) at Enderby Island, Auckland Islands, 2013-18
- In vitro endothelial cell migration from limbal edge-modified Quarter-DMEK grafts
- Liquid Chromatography/Mass Spectrometry based serum metabolomics study on recurrent abortion women with antiphospholipid syndrome
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- 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
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- 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
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- 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
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- 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
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- 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
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- 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
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- 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
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- A Q fever outbreak associated to courier transport of pets
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- 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
- HHIP overexpression inhibits the proliferation, migration and invasion of non-small cell lung cancer
- Infusion of HIV-1 Nef-expressing astrocytes into the rat hippocampus induces enteropathy and interstitial pneumonitis and increases blood–brain-barrier permeability
- Correlation analysis of cold-related gene expression with physiological and biochemical indicators under cold stress in oil palm
- Student engagement and wellbeing over time at a higher education institution
- Gender-based differences in platelet function and platelet reactivity to P2Y12 inhibitors
- Influence of season and social context on male giant panda (Ailuropoda melanoleuca) vocal behaviour
- Development of an intravaginal ring for the topical delivery of Aurora kinase A inhibitor, MLN8237
- Differential phosphorylation determines the repressor and activator potencies of GLI1 proteins and their efficiency in modulating the HPV life cycle
- Polymorphisms of FDPS, LRP5, SOST and VKORC1 genes and their relation with osteoporosis in postmenopausal Romanian women
- Depression increases the risk of rotator cuff tear and rotator cuff repair surgery: A nationwide population-based study
- Interleukin-38 interacts with destrin/actin-depolymerizing factor in human keratinocytes
- Correction: Fast, quantitative, murine cardiac 19F MRI/MRS of PFCE-labeled progenitor stem cells and macrophages at 9.4T
- Persistent post-discharge opioid prescribing after traumatic brain injury requiring intensive care unit admission: A cross-sectional study with longitudinal outcome
- Genome-wide histone modification profiling of inner cell mass and trophectoderm of bovine blastocysts by RAT-ChIP
- Aerobic exercise increases post-exercise exogenous protein oxidation in healthy young males
- Selection for tandem stop codons in ciliate species with reassigned stop codons
- Research ethics in inter- and multi-disciplinary teams: Differences in disciplinary interpretations
- Correction: Analyzing data from the digital healthcare exchange platform for surveillance of antibiotic prescriptions in primary care in urban Kenya: A mixed-methods study
- Correction: People making deontological judgments in the Trapdoor dilemma are perceived to be more prosocial in economic games than they actually are
- LFRET, a novel rapid assay for anti-tissue transglutaminase antibody detection
- Effects of isotemporal substitution of sedentary behavior with light-intensity or moderate-to-vigorous physical activity on cardiometabolic markers in male adolescents
- Topical estrogen application to wounds promotes delayed cutaneous wound healing in 80-week-old female mice
- 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
- Correction: The center of pressure and ankle muscle co-contraction in response to anterior-posterior perturbations
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