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Choosing efficient actions: Deciding where to walk
Authors: Sally A. Linkenauger aff001; Veronica Weser aff002; Dennis R. Proffitt aff002
Authors place of work: Department of Psychology, Lancaster University, Lancaster, United Kingdom aff001; Department of Psychology, University of Virginia, Charlottesville, VA, United States of America aff002
Published in the journal: PLoS ONE 14(9)
Category: Research Article
doi: https://doi.org/10.1371/journal.pone.0219729Summary
Humans evolved to be endurance animals. Our ancestors were persistence hunters; they would chase animals, including gazelles, until they ran them into exhaustion. Put simply, people evolved in an ecological niche that selected for endurance and efficiency of locomotion. To locomote to any destination, one could take countless different paths, each requiring different amounts of energy. Because the ground is typically not flat or homogeneous, the straight direct path is often not the most energetically efficient. For hills below 14°, the direct straight path up the hill is the most energetically efficient. However, for hills above 14°, walkers would minimize their absolute energy expenditure by taking a zigzagged path so that their gradient of ascension is 14° [1]. In three experiments, we assessed the degree to which people make bioenergetically efficient decisions about locomotion through path selection. In Experiment 1, people were immersed into a virtual environment and adjusted the angle of ascension of a virtual path up hills of various gradients so that when taking the path, they would expend the least amount of energy when they reached the top. The second experiment was of a similar design, but was conducted in the real word. In the last experiment, in a virtual environment, participants choose between two paths up hills of various gradient, where these paths varied in the energy required for ascent. Participants made these judgements both before and after motor experience with gradient climbing on an incline trainer. For steep hills, we found that people choose much straighter paths over the bioenergetically optimal zigzagged paths. Motor experience did lead to higher probability for choosing optimal paths for steep hills, but lead to less optimal paths for shallower ones. These results show clearly that individuals show a straight path bias when deciding how to ascend hills.
Keywords:
Bioenergetics – Biological locomotion – virtual reality – Decision making – Running – Walking – Climbing – Conservation of energy
Introduction
The most fundamental economic decisions that people make concern the costs and benefits of expending energy. For all organisms, energy is a limited resource. Yet, everything that we do, from running a marathon to reading this sentence, results in some form of energetic expenditure. In our day-to-day lives, our energetic resources are unlikely to be in danger of depletion as our energetic output is typically low and the available energetic replenishment in our environment is copious. Yet in several contexts, our ability to conserve our available energy is crucial to our survival. Consider backpackers lost in the woods around the English Lake District, soldiers traversing across a hostile landscape, or injured and/or chronic pain patients and older people attempting to fulfill their daily responsibilities. For each of these groups, taking the route of least overall energetic expenditure to one’s destination could be the difference between safety and danger, freedom and imprisonment, or autonomy and dependence.
Human’s bodies, more than most other mammalian species, evolved for physical endurance. Humans have evolved enhanced endocrine systems and morphological adaptations to complement long distance locomotion [2]. In fact, for distances of and over 20 miles, on a hot day, humans are one of the fastest land mammals on earth. Presumably, this energetic advantage allowed humans to prosper by running prey to exhaustion in harsh habitats with fierce competition from other predators [3]. Put simply, we evolved in an environment where endurance and efficiency of locomotion was indispensable to our survival, which made the conservation of energy of paramount importance. Because landscape topography is rarely flat and varies in steepness, the straightest path is often not the most energetically conservative route. Thus, humans must regulate their energetic expenditure across terrains of different acclivities. Optimizing energy expenditure in such conditions requires humans to determine the most energetically efficient route to their desired destination. However, little is known about this fundamental economic choice process, human’s perceptual sensitivity to the energetic costs associated with locomotion on alternative paths across terrains of various inclines. Here, we conducted three studies in which we assessed perceptual sensitivity to bioenergetic costs of different routes in slant ascension by having individuals discriminate between paths based on their bioenergetic costs.
Much is known about the bioenergetic costs of locomotion across different types of terrains, and specifically, the bioenergetic costs associated with humans ascending and descending geographical slants have been well documented [1,4,5,6,7]. As people locomote directly up steeper gradients, they expend more energy; however, they also traverse the shortest distance to reach the given height. To travel at a shallower gradient and, therefore, expend less energy with respect to gradient, people could take a zigzagged path up the slope. However, they will traverse a longer distance to reach the same height, which requires more energy with respect to path length. As a result, there is an energetic tradeoff between path steepness and path length in terms of the overall energy expended traversing the hill. See Fig 1. The left path (Panel A) is shorter than the right path (Panel B), which means that less energy will be spent with respect to path length; however, the left path ascends at a steeper gradient than the right path, which means more energy will be spent with respect to path steepness.
Fig. 1. Depiction of two paths up a geographical slant that differ in steepness and length. The path in Panel A is shorter but steeper, while the path in Panel B is longer and shallower. When ascending (or descending) any given gradient, the most energetically economical gradient path is the one in which the product of the energy expended with respect to steepness and path length is minimized (see [1], for more detail). For geographical slants below 14°, the most energetically economical path is the direct, straight path. For geographical slants above 14°, the most energetically economical path is at a zigzag in which the gradient of ascension (or descension) is 14° [1]. Consider a 30° slope (θ3, see Fig 2). A walker could take a countless number of paths to ascend the slope. For example, she could take a straight path up the slope, and thereby, ascend at a gradient of 30°; or she could deviate from a straight path by 62° to the right (or 28° from the horizontal, θ1), traversing the slope in a zigzagged path, and thereby ascend at a gradient of 14° (θ2). By taking the latter path, the walkers will have reached her destination by expending the minimal amount of energy. See [8,9, 10] for similar work on routes and bioenergetics.
Fig. 2. Panel A: A geographical slant with a slope of 30°. Panel B: Given the slope of hill and the desired ascension gradient, one can calculate the angle of deviation of the path from the straight path (θ1) via the equation: θ1=sin−1(sinθ2sinθ3), where θ2 is desired path gradient and θ3 is the slope of the hill. Although the optimal path in hill ascent and descent can be calculated, as of yet, it is unknown whether humans are sensitive to the energetic costs of various alternative paths. For example, in the absence of sophisticated equipment or advanced knowledge of physiology, would our aforementioned walker be able to determine that a 14° gradient of ascension (zigzagged path) up a 30° hill is the most energetically economical path? If humans are sensitive to the energetic costs of various alternative paths, the precision of this sensitivity is also unclear. Would our hiker know to take a zigzagged path at exactly 14° or would she only be sensitive an approximate range of zigzagged paths around 14°?
The only indirect evidence that suggests that individuals could potentially be sensitive to the optimal paths up (and down) hills comes from looking at pre-existing mountain paths. After determining the most energetically optimal incline to which hills should be ascended and descended, Minetti [1] assessed the gradient of ascension of randomly selected mountain paths in the Italian Alps and the Himalayan mountains for slopes steeper than 14°. Of the 31 paths analyzed, the mean path gradient was 15.58° (SD = 4.30°). Such a coincidence of the mountain paths being so close to the most energetically economical incline is unlikely to have occurred by chance. However, these mountain paths have evolved over an indefinite number of years by numerous travelers many of whom have likely ascended and descended the same slope several times. Hence, these path gradients could be a result of human’s sensitivity to the energetic costs of different routes, but could also be explained by trial and error from several attempts or even humans following paths previously taken by other animals. Consequently, these results cannot be generalized to human perception, especially on an individual basis.
However, there is good reason to believe that humans should have at least a rudimentary sensitivity to the energetic costs of different gradients of ascent (descent). Indeed, previous research has shown that humans are extremely sensitive to their energetic expenditure in other tasks as evidenced by fast rates of motor adaptations to the most energetically optimal method of performance [11, 12]. Specifically, while performing motor tasks, humans tend to change their motor behavior over time to “self-optimize”, which according to Sparrow & Newell [13] is the “natural adoption of a movement pattern that minimizes movement expenditure” (p. 179). For example, humans automatically adjust their gait when locomoting at different speeds to achieve metabolic efficiency [6, 14]. Also, when running at a fixed stride rate and speed, individuals naturally adopt the most energetically efficient stride length [15]. Even when performing novel motor tasks, humans quickly adjust to minimize energetic expenditure. Such as, when crawling on a treadmill at a constant speed, humans adjust their four-limbed gait to achieve optimal metabolic efficiency across different gradients [16]. In addition to novel tasks, there is some evidence that experience with a behaviour does actually lead to faster and higher levels of self-optimization; those without experience tend to be more variable and take longer to achieve a lower degree of self-optimization [17, 18].
Although it is fascinating that our motor systems are capable of automatically adjusting to optimize motor performance, it is unlikely that individuals are aware and consciously making decisions about slight biomechanical adjustments, which optimize their energetic efficiency. Hence, it is unclear as to whether this self-optimization can be generalized to when individuals are making explicit decisions about route choice and consequently, people may be unable to select the most bioenergetically efficient route.
Indeed, most people have little or no experience climbing hills above 15° as we rarely encounter them in our environment. For example, the steepest road in the UK, Hardknott Pass, Cumbria, has an incline of 18°. The steepest paved road in the world, Baldwin Street, NZ, is only 19° [19]. Typically, commonly locomoted paths with inclines steeper than 15° are accompanied by staircases, which reduce the kinematic and energetic costs associated with climbing the slope. In fact, when stairs and slopes are of the same steepness, the bioenergetic costs of climbing stairs always exceeds the costs of climbing slopes [20]. It is likely that people have had little or no experience determining the optimal path for hills above 15°, because such steep inclines would have rarely or never been encountered. Instead, people may adopt a heuristic to always take the straight path up a hill, because for hills below 15°, the straight path is optimal. Hence, this heuristic would be a satisficing solution similar to those seen in decision making processes [21]. If this is the case, then individuals should be more likely to take a straight path even when a zigzagged path is more energetically efficient.
We addressed this question by conducting several experiments in which individuals judged the bioenergetic costs associated with different routes in hill ascension by determining the bioenergetically optimal path using the psychophysical methods of adjustment and constant stimuli. In order to present hills of various steepness with paths of different ascension gradients, two of the experiments were conducted in virtual reality. To assure generalizability of our results in virtual reality, we also conducted a study in the real world.
Experiment 1: Path adjustment in virtual reality
To assess human’s ability to identify the bioenergetically optimal path when ascending hills, we immersed participants in a virtual environment in which they stood at the foot of a hill. They were instructed to adjust the ascension gradient of a pathway so that the pathway required the least amount of energy to ascend to the top of the hill.
Methods
Participants
Twelve individuals (5 female) were recruited to participate in the experiment via opportunity sampling from Lancaster University. All participants had normal or corrected-to-normal vision and had no morphological abnormalities. All participants provided informed consent and the study was approved by the Lancaster University Ethic Committee.
Stimuli and apparatus
The virtual environment was presented in an Oculus Rift DK2 head-mounted display (HMD) which provided stereopsis. The virtual environment and experimental program was programmed using Unity3D gaming engine. The participants provided responses using a standard Xbox controller. The environment consisted of a grassy hill. On the hill, we positioned a brick path as well as a park bench to provide cues to size and depth. The textures of the grass and path were consistent to provide participants with cues due to texture gradient. The program consisted of 22 trials of 11 hills (0–55° in steps of 5°) each of which were presented twice. Participants could adjust the degree of the path’s zig-zag on the hill using the rear top triggers on the Xbox controller. The left trigger decreased the degree of zig-zag, and the right trigger increased the zig-zag. When the “a” button was pressed, the response was recorded and the program proceeded to the next trial. In half the trials, the path starting position was straight, and in half, the path starting position was a 45° deviation from vertical (zigzag).
Procedure
Prior to donning the HMD, participants held Xbox controller and were instructed how to perform the task. Specifically, participants were instructed to view the hill and respond as to whether they thought themselves capable of walking up the hill without climbing (without using their hands). If they responded that they could ascend the hill, they were to use the triggers to adjust the degree of zigzag of the path so that the path was the most energetically efficient. Participants did not make estimates for paths that they responded that could not ascend. To increase understanding, participants were told that energetically efficient could also be characterized as the easiest path upon which they would have expended the least amount of energy when having reached the top of the hill. When they were satisfied with their path estimate, they were told to press the “a” button to progress to the next trials. After completing all the trials, participants took off the HMD and completed a questionnaire that assessed physical fitness, exercise practices, and frequency of walking and climbing hills.
Results
For one of the participants, we experienced technical difficulties with the equipment, and as a consequence, their data was not included in the analysis. On average, participants estimated the maximum hill up which they could ascend was 36.59° (SD = 9.76°). We assessed accuracy of responses by subtracting the energetically optimal angular deviation from the vertical path from their estimates of deviation from the vertical path for each hill to create an error score. Hence, positive error scores signal that participants had a smaller gradient of ascension than optimal (too much zigzag). Negative scores signal that participants had a larger gradient of ascension than optimal (not enough zigzag).
To assess whether error differed as a function of hill slant, we conducted a univariate analysis of variance (ANOVA) with participant as a random factor, slope as fixed factor, and error score as the dependent measure. Slope was significant with higher slopes being more negative than shallower slopes, F(10, 77.17) = 27.79, p<0.001, ŋp2 = .78. This difference appears to be driven by slopes above and below 15°, see Fig 3. Consequently, we conducted two more of the same ANOVAs for hills above and below 15°. For hills above 15°, we found no significant difference in error scores as a function of slope, p = .38. The average participant error for hills above 15° was -26.67° (SE = 2.86°). Using a one-sample t-test, we tested the average of participants’ errors for hills above 15° against 0 (accuracy). We found that participants’ errors were significantly less than zero, t(10) = 9.31, p< 0.001, d = 2.81. This finding suggests that participants opted for paths of a higher gradient of ascension or less zigzag than optimal.
Fig. 3. Error scores for each slope. Error bars represent 95% CIs. For hills below 15°, error estimates did significantly differ with respect to slope, F(10, 30.57) = 5.20, p = .005, ŋp2 = .34. Using a one-sample t-test, we tested the average of participants’ errors for hills below 15° against 0 (accuracy). We found that participants’ errors, M = 4.31, SE = 1.34, were significantly greater than zero, t(10) = 3.23, p = 0.001, d = .97. Post-hoc comparisons (Bonferroni corrections) showed that the 15° hill (M = 11.47°, SE = 1.80°,) had more positive error than the 0° (M = 0.0°, SE = 1.88°, p < .001), 5° (M = 0.32°, SE = 1.88°, p = .001) but not the 10°(M = 5.27, SE = 1.80, p = .12), ps < .05. There were no significant differences between the errors in the 0°, 5°, and 10° hills, ps > .28. This finding suggests that for 15° hills, participants chose paths of a lower gradient of ascension or more zigzag than optimal, see Fig 4. We did not find any relationship between the questionnaire responses and route choices across any of these experiments.
Fig. 4. Participants estimations of their deviation from vertical in comparison to optimal. Error bars represent +/- 1 SEM. Experiment 2: Path adjustment in the real world
To ensure our results in virtual reality were generalizable to real environments, we conducted a similar design as in Experiment 1, but in the real world. Individuals made judgements about their route choice on a steep hill on campus. Participants also made judgements of hill steepness. With respect to geographical slant perception, a large field of research has investigated how individuals perceive the steepness of hills. In general, people drastically overestimate geographical slant [22]. However, individual differences in slant perception vary depending on the energetic state of the perceiver. Those who are out of shape, encumbered by a heavy object, fatigued, or ageing and elderly perceived hills to be steeper than those who are in shape, energized and young. Hence, we see the steepness of a given hill with respect to the energetic costs associated with ascending the hill [23]. Hence, here, were also interested if individuals’ perceptions of steepness were related to route choice.
Methods
Participants
Twenty-six University of Virginia students (8 male, mean ± SD age: 19.42 ± 0.99 years, rage 18–22) participated. All participants provided informed consent and the study was approved by the University of Virginia Ethics Committee. All had normal or corrected-to-normal vision. They were naive to the purpose of the experiment.
Stimuli and apparatus
A hill on the grounds of the University of Virginia was used in the study. The hill was always viewed from the front, in daylight. Participants stood at the base of the hill, with their view of the hill unobstructed. The average inclination of the hill was 26º as measured by a Suunto clinometer having an accuracy of 0.5".
The visual judgments of hill steepness were made by using a disk that consisted of an adjustable angle representing the cross-section of the inclination of a hill affixed to a protractor. See Fig 5.
Fig. 5. Panel A: the experimenter view of the visual disk with the protractor. Panel B: the adjustable hill seen by participants. The slop of the hill was changed by moving the green tab so that the resulting green segment best represented a cross-section of the hill. When making their visual judgments, participants were asked to adjust the disk by moving the green tab either closer to or further away from the green bottom half of the disk depicting the horizon or a 0° slant, with the aim of making a cross-section that best represented the angle of inclination of the hill. The protractor (in Panel A) was never seen by the participant, but it allowed the experimenter to determine the angle to which the participant set the cross-section. The participants usually held the disk approximately perpendicular to their line of sight while observing the hill head-on.
The participants reported their haptic judgments by using a tilt board with a flat palm rest; the tilt of the board could be adjusted upward or downward to match the slope of the hill. The tilt board also had a digital protractor on its side which allowed the experimenter to determine the angle the subject chose. The tilt board itself was mounted on a tripod whose height could be adjusted to about waist level for each individual participant. While reporting their haptic judgments, participants were asked to match the tilt board to the slope of the hill before them using their dominant hand. The tilt board was out of the participant’s view and they were not permitted to look at their hand while making the adjustments.
Procedure
The participants viewed the hills binocularly from the front while standing on an “X” clearly marked in white paint at the base of the hill. Participants were instructed to look directly ahead and to refrain from looking at the hill sideways. Participants made three separate judgements of the angle of inclination of the hill with respect to the horizontal: visual, haptic and a novel angle of ascent task for two different distances up the hill (331cm and 220cm) in a randomly assigned order.
To determine the ideal angle of ascent, a second experimenter stood directly in front of the participant at either the near (220 cm) or far (331 cm) distance up the hill. The participant was instructed to pick a path up the hill that would leave him or her with the most energy upon reaching the top if climbing at a comfortable pace. Upon selecting that angle, they were told to instruct the experimenter to move to the left or to the right (counter balanced across near and far distances) until the line between the participant and the experimenter matched the ideal angle of ascent. Once the experimenter on the hill was in place, the participant climbed the hill in a straight line at the angle they chose. Upon reaching the second experimenter, the participant was asked if the chosen path was too steep, too shallow or just right. The research assistants running the study had no expectations about how the participants ought to behave, nor were they aware of the bioenergetically optimal path. The response was recorded.
The participant then descended the hill at the same angle they ascended while holding the zero-end of the tape measurer. Once the participant reached the “X” at the base of the hill, the experimenter on the hill recorded the distance. This distance was later used to calculate the angle the participant selected using arccosine of the predetermined distance over the distance the participant climbed. Participants never saw the distance traveled, nor did they see the experimenter climb up the hill. If the participant judged the path climbed as too steep or too shallow, the procedure was repeated until the angle was deemed appropriate for the hill. No feedback regarding the choice of path was given. After the participant finished all 3 judgment tasks, they completed a questionnaire that assessed physical fitness, exercise practices, and frequency of walking and climbing hills.
Results
As in Experiment 1, we calculated error scores by subtracting the optimal deviation from the vertical path from participants’ estimates of the angular deviation from the vertical path for both the near and far task. We calculated that the energetically optimal angular deviation from vertical for this hill is 56.81°.
To investigate participants’ accuracy in the task, we conducted two one-sample t-tests comparing participants’ error scores in the near and far condition to 0° (perfect accuracy). For the near task, error scores were significantly less than 0, M = -19.87°, SE = 2.32°, t(25) = 8.56, p < .001, d = 1.68.
For the far task, error scores were also significantly less than 0, M = -23.09°, SE = 1.55°, t(25) = 14.85, p< 0.001, d = 2.92. To compare near and far estimates, we conducted a paired samples t-test, with near versus far as the within-subjects variable and error scores as the dependent measure. We found no significant different difference between the near and far estimates, t(25) = 1.47, p = 0.16, two-tailed test, see Fig 6.
Fig. 6. Error scores for near and far estimates of route choice. Error bars represent 95% CIs. As found in Experiment 1, participants opted for paths whose gradient of ascension was steeper than optimal. Put simply, individual chose paths than did not have a high enough deviation from vertical. However, the average participant error for the 25° path in Experiment 1 was 32°, so participants’ performance was better than in this experiment, see Fig 7. However, the tasks were a bit different, and additionally, the participants in each experiment were culturally different. The important point here to note is that participants in both the virtual reality and real world studies both opted for paths whose gradient of ascensions were steeper than optimal and to a relatively similar degree.
Fig. 7. Estimates of the path’s deviation from vertical for both the near and far path. Error bars represent 95% CIs. To assess judgements of steepness, we compared both the verbal and haptic estimates to accuracy (26°) using one-sample t-tests. Visual matching estimates were greater than the actual incline, M = 48.17°, SE = 1.72°, t(25) = 8.50, p<0.001, d = 1.67. Haptic estimates were not significantly different than the actual incline, M = 24.95°, SE = 8.81°, t(25) = .61, p = 0.55. see Fig 8. We were interested in whether estimates of steepness where related to errors in optimal path choice. Consequently, we conducted correlations between near and far estimates and visual matching estimates of steepness. We found that errors in far estimates were significantly positively correlated to steepness estimates, r = 0.59, p = 0.001, two-tailed, see Fig 9. In other words, individuals that saw the hills as steeper chose routes that deviated farther from the straight path. We did not find a significant correlation with near estimates, r = .26, p = .19.
Fig. 8. Estimates of slope for the haptic and visual matching tasks. The line represents the actual slope. Error bars represent 95% CIs. Fig. 9. The relationship between route choice and slope estimates. Error bars represent 95% CIs. Experiment 3: Path choice before and after motor experience
Even when hiking, we typically do not choose our own angle of descent, but rather we pick among path that has been pre-specified, either by wear by previous travelers or by proper paths. Thus, in the real world, the choice is usually between different existing paths rather than creating one’s own path. Thus, although individuals may not be able to create the energetically optimal path, they may be able to identify it and chose it when presented amongst less optimal alternatives. To test this contention, we had participants engage in a forced choice task in which they were presented with two paths.
Experiments 1 and 2 have all shown that people do not adjust to the optimal gradient of ascension when ascending hills. People consistently chose paths that are more vertical and direct than paths that are more zig-zagged and require less energy. If people are given motor feedback about the difficulty of hill ascension, perhaps they may adjust their route choice to less energetically expensive route. Thus, here we had participants chose their route choice before and after gaining motor experience ascending an incline.
Methods
Participants
Twenty-two students at Lancaster University volunteered to participate in return for credit in an introductory psychology course. All participants had normal or corrected-to-normal vision and had no morphological abnormalities. All participants provided informed consent and the study was approved by the Lancaster University Ethic Committee.
Stimuli and apparatus
The virtual environment was presented in an Oculus Rift DK2 head-mounted display (HMD) which provided stereopsis. The virtual environment and experimental program was programmed using Unity3D gaming engine. The participants provided responses using a standard Xbox controller. The environment consisted of a grassy hill. On the hill, we positioned two brick paths as well as a consistent grass texture provide cues to size and depth, see Fig 10. Participants were presented with 8 different hills slants (from 0° to 35° in 5° increments). Hence, 4 hills were above 15° and 4 were above. For 6 of the trials the optimal path was on the left and for the remaining trials, the optimal path was on the right.
Fig. 10. Panel A) An illustration of trials in which participants chose between straight and zigzag paths. For hills below 15°, the optimal path was the straight path; for hills above 15°, the optimal path was the zigzag path. Panel B) An illustration of trials in which participants chose between 2 zigzag paths. For hills below 15°, the optimal path was the less zigzagged path; for hills above 15°, the optimal path was the most zigzagged path. For 4 of the trials, participants were presented with a straight path and a large zigzag, see Fig 9A. For 4 other trials, participants were presented with a smaller zigzag and a straight path. For the final four trials, participants were presented with the large zigzag and a small zigzag, see Fig 9B. For hills above 15°, the large zigzag was the optimal zigzag and the small zigzag was half of the optimal zigzag. Hence, we could compare between mere straight biases and alternative less deviations from vertical (lesser zigzags), see Table 1. For hills below 15°, the large zigzag was a 45° deviation from vertical (which would be optimal for the 20°, the smallest optimal deviation from vertical for hills above 15°) and the small zigzag was 22.5° (half of that).
Tab. 1. For each hill, the deviations from vertical in the different trials are listed in degrees. Trials were presented in random order. For each hill, participants could choose the optimal route using the rear top triggers on the Xbox controller. The left trigger selected the left path, and the right trigger selected the right path. After either trigger was pressed, a new trial was presented. The experiment consisted a total of 96 trials (8 hill gradients x 12). To provide motor experience, we used a JLL-T100 incline trainer treadmill whose incline can be adjusted from 0° to 21.80° (40% gradient); the treadmill could only be adjusted by increments of 1% gradient.
Procedure
Prior to donning the HMD, participants were handed the Xbox controller and instructed how to complete the experiment. They were instructed that they would be standing at the foot of a hill on which there were two paths. Their task was to pick the path on which they would expend the least amount of energy (we clarified this for participants in several ways by explaining that this would be the easiest path on which they would feel the least tired when finished ascending the hill). Participants then donned the HMD and completed the virtual reality program.
After the first completion of the virtual reality program, participants walked on the treadmill for 5 minutes. After each minute on the treadmill, the incline was increased by 10% gradient. Thus, for the first minute, participants walked on a flat treadmill; for the second minute, participants walked on a 10% gradient (5.71°); for the third minute, participants walked on a 20% gradient (11.31°); for the forth minute, participants walked on a 30% gradient (16.70°); and, for the fifth minute, participants walked on a 40% gradient (21.80°). After five minutes, participants were led off the treadmill, put the HMD back on, and completed the virtual reality program a second time. Afterwards, they completed a questionnaire that assessed physical fitness, exercise practices, and frequency of walking and climbing hills.
Results
In order to assess bioenergetic sensitivity, we calculated the probability of choosing the bioenergetically optimal path choice for each participant in the pre-test and the post-test. Within each test, we calculated the probabilities for the straight versus large zig-zag path, straight versus small zig zag, and large zigzag versus small zigzag for above and below 15°. This transformation led to 12 probabilities per participant.
We then conducted a repeated-measures ANOVA with pre/post, above/under 15°, and path choice (straight/large zigzag, straight/small zigzag and small/large size zag) as within-subjects variables and probability scores as our dependent measure. We found no significant main effects of pre/post, above/under 15°, or path choice, ps>0.09. However, we did find significant interactions between pre/post and above/under 15°, F(1, 22) = 18.60, p < .001, ŋp2 = 0.47.
Post-hoc comparisons showed that for hills below 15°, participants were significantly more likely to choose the less optimal path following motor experience, M = .57, SE = .04, than prior to motor experience, M = 0.77, SE = .04, t(21) = 3.47, p = 0.002. Basically, participants were more likely to opt for the zigzag path rather than the straight path. Similarly, for hills above 15°, participants were significantly more likely to choose the more optimal zigzag path following motor experience, M = 0.75, SE = .06, than prior to motor experience, M = 0.53, SE = .07, t(21) = 4.39, p<0.001.
Additionally, we found a significant interaction between above/under 15° and path choice, F(2, 42) = 5.52, p = 0.007, ŋp2 = 0.21, see Fig 11. To investigate this in more detail, we conducted two separate repeated-measures ANOVAs for above and below 15°. Each ANOVA had pre/post and path choice as within-subjects variables and probabilities as the dependent measure. For hills under 15°, we found a significant effect of pre/post (as described above in the post-hoc tests), p = 0.002. We also found a significant effect of path choice, F(2,42) = 4.25, p = 0.02, ŋp2 = 0.17. Bonferonni post-hoc tests revealed no differences between the different path choices, ps > .10.
Fig. 11. Probability of choosing the optimal route choice for hills above and below 15° before and after motor experience. Error bars represent 95% CIs. For hills above 15°, we found a significant influence of pre/post as reported above, p < .001. We also found a significant influence of path choice, F(2, 42) = 5.35, p = .009, ŋp2 = .20. However, Bonferonni post-hoc tests revealed no differences between the different path choices, ps > 0.07.
Discussion
People’s route choices when ascending hills do not indicate a high degree of sensitivity to energetic expenditure. People prefer straighter paths, and consequently, do not take the energetically optimal route both when generating their own path and when picking between different paths in both real and virtual environments. However, we do find that motor experience ascending a slant leads to increases in the probability of choosing routes that deviate more from vertical whether they are energetically efficient or not.
People seem to choose straight, direct paths. One possible reason for this tendency is that, in an environment with abundant resources, time is deemed as more important than energetic expenditure. Although we directly instructed participants to make their route choices based on energetic expenditure, clearly, none of our participants were in any danger of energy depletion. The straight path is the optimal path in terms of time, so perhaps participants saw the straight path as the fastest way up the hill, and the zig-zag paths appeared burdensomely long. Following motor experience, where we emphasized the difficulty of climbing steep hills, participants then began to opt for the more zigzag paths. It is possible this emphasis led participants to weigh energetic expenditure as more important than time.
Another possible reason for choosing the straight path is lack of experience with steep hill ascension. In our environments, we rarely, if ever, climb hills steeper than 14°. For example, as previously mentioned, the steepest paved road in the world is only 19°, and the steepness of this road is such a rare occurrence that it has become an internationally popular tourist destination. In the rare event that we ascend steep hills, we are usually aided by stairs or some other convenience that allows us to avoid climbing directly up the hill. Hence, most people could be unaware of the energetic costs associated with climbing steep hills, and consequentially underestimate their bioenergetic costs. As a result, we opt for shorter routes, because the energy expended with respect to gradient is underestimated relative to energy expended due to length. If this is the case, then individuals from mountainous or less sculpted environments should have greater sensitivity to the bioenergetic costs associated with route choice due to greater experience with hill ascension. In fact, some tribes in Africa still engage in persistence hunting [24]; it would be interesting to see if these individuals show a greater degree of bioenergetic sensitivity to route choice.
A similar reason for this straight path bias is that choosing the straight path is an efficient satisficing heuristic that works for the vast majority of the environmental topographies that we encounter and/or act upon. The cost of the information processing associated with determining the most bioenergetically efficient route choice likely supersedes the costs associated taking a straight path instead of a zigzagged path up a steep hill (on the rare instance in which we ascend one). Hence, we take the straight path, because it almost always is the most efficient route.
Following brief motor experience with hill ascension, participants chose more bioenergetically efficient paths for hills above 15° and less bioenergetically efficient paths below 15°. However, overall, if merely considering both above and below together, after motor experience, participants chose zigzag paths over straight paths regardless of whether it was the optimal path. One could attribute this finding to response bias in that participants gleaned that we expected them to choose more zigzag paths and complied with our hypothesis. We cannot completely rule out this out. However, for participants to have anticipated this hypothesis, they must have found the motor experience with hill ascension more difficult than they anticipated and consequently identified the zigzag path as the easier option. Otherwise, they would have just as likely anticipated that we expected them to increase the number of straight paths that they chose. Additionally, for the 5° and 10° hills, participants were still more likely to take the straight path than the zigzag path, suggesting that they did not merely adopt a strategy of always picking the zigzag path after receiving motor experience. As a result, a more likely explanation of the change after motor experience is that participants underestimated the difficulty associated with ascending steep hills.
We found similar results in participants’ route choices in virtual reality as we found in the real world. This finding corresponds to previous research that has found that hills steepness is perceived similarly in real and virtual environments [22]. We did find smaller errors in the real world in that people did choose a path that had a greater deviation from vertical. However, aside from taking place in the real world, Experiment 2 also differed from Experiments 1 in that participants were required to partially ascend the hill. As shown in Experiment 3, even brief motor experience ascending hills leads to more bioenergetically efficient route choice. Hence, the slight mean difference in deviation from vertical in Experiments 1 and 2 could also be attributed to this design difference. More importantly, in both Experiments 1 and 2, we found large underestimates in the optimal deviation from vertical in people’s path estimates. Consequently, we can be reasonably sure that our results in VR generalize to the real world.
Interestingly, we found that individuals that perceived hills steeper also chose paths that had a greater deviation from vertical. In other words, those that saw the hill as being steeper chose paths required less energy to ascend. A wealth of research has suggested that our perceptions of hill steepness are influenced by our ability to ascend hills [23]. For example, out of shape, elderly and encumbered people perceive hills to be steeper than individuals who are physically fit, youthful and unencumbered [25]. Therefore, our perceptions of hill steepness may influence the paths we choose when ascending hills in that those with less bioenergetic resources see the hill as steeper, and therefore opt to take routes that are more energetically conservative. Conversely, those with more bioenergetic resources see hills as shallower and, therefore take the straighter, shorter paths. However, an alternative explanation could be that fitness influences both estimates independently of each other or even that the type of route that the individual plans to take influences perceptions of steepness. Future research should be able to distinguish between these possibilities.
In our modern, day to day environment, the ability to distinguish between paths of various energetic expenditure is much less important than it was when we relied on long distance running as a method of food procurement. However, we still face situations in which choosing energetically efficient paths would be extremely beneficial, albeit not as routinely. Consider soldiers in the military traversing the landscape in the Middle East or hikers lost in the mountains. The visibly at the top of a hill provides vital information about their surroundings and the location of friend or foe. Additionally, in both of these cases, energy conservation is of upmost importance. These findings suggest that these individuals may expend energy unnecessarily by taking inefficient routes.
These findings also beg the question as to why mountain paths on steep mountains follow more bioenergetically optimal zigzagged paths. We can think of several reasons why this may be the case. Firstly, our population consisted of mainly UK and US undergraduates that have less experience with traversing steep hills than those living in mountainous terrains. Indeed, likely choosing straighter paths is the best heuristic for these students to use in an environment when hills over 15° are rarely encountered. Similarly, perhaps discovering the optimal path is a learning process that occurs over time through trial and error. Likely, the individuals that created these mountain paths climbed these hills often over the course of their life, and eventually adopted the optimal path following a good deal of experience. Our findings in Experiment 3 support this contention in that participants were more likely to choose zigzagged paths on steep hills when provided with motor experience climbing steep hills. However, from our results, we can be reasonably sure that the identification of the bioenergetically optimal route choice is not automatically instilled in us, but rather something that we develop through experience.
This research does not just end at energy expenditure, but can also be applied to other variables associated with traversing inclines. If we are bad at determining bioenergetic costs, it is likely that we are also bad at determining the safety associated with different paths especially for those who are ageing or engaged in physical rehabilitation. By mapping out our capabilities and deficiencies, we will be able to develop heuristics/tools that take advantage of our strengths and compensate for our weaknesses when making decisions with respect to path choice.
Supporting information
S1 File [sav]
Experiment 1 data.S2 File [sav]
Experiment 2 data.S3 File [sav]
Experiment 3 data.
Zdroje
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- Microbiological contamination of young children’s hands in rural Bangladesh: Associations with child age and observed hand cleanliness as proxy
- Expansion of the agricultural frontier in the largest South American Dry Forest: Identifying priority conservation areas for snakes before everything is lost
- Utility of lung ultrasound in ANCA-associated vasculitis with lung involvement
- Aerial surveys cause large but ephemeral decreases in bear presence at salmon streams in Kodiak, Alaska
- Exposure to particle debris generated from passenger and truck tires induces different genotoxicity and inflammatory responses in the RAW 264.7 cell line
- Influence of the cultivation medium and pH on the pigmentation of Trichophyton rubrum
- Intra-arterial catheter-directed CT angiography for assessment of endovascular aortic aneurysm repair
- Association of antibiotic exposure with the mortality in metastatic colorectal cancer patients treated with bevacizumab-containing chemotherapy: A hospital-based retrospective cohort study
- The genetic alteration spectrum of the SWI/SNF complex: The oncogenic roles of BRD9 and ACTL6A
- Plasma chemistry in nesting leatherback sea turtles (Dermochelys coriacea) from Florida: Understanding the importance of sample hemolysis effects on blood analytes
- Myotendinous asymmetries derived from the prolonged practice of badminton in professional players
- Computational tools to detect signatures of mutational processes in DNA from tumours: A review and empirical comparison of performance
- Exposure to lipopolysaccharide (LPS) reduces contractile response of small airways from GSTCD-/- mice
- Generation of a protective murine monoclonal antibody against the stem of influenza hemagglutinins from group 1 viruses and identification of resistance mutations against it
- Comparative compositional and functional analyses of Bothrops moojeni specimens reveal several individual variations
- Radiation hardness of cadmium telluride solar cells in proton therapy beam mode
- Bourdieu, networks, and movements: Using the concepts of habitus, field and capital to understand a network analysis of gender differences in undergraduate physics
- A 32-channel parallel transmit system add-on for 7T MRI
- Comparison between Aptima Assays (Hologic) and the Allplex STI Essential Assay (Seegene) for the diagnosis of Sexually transmitted infections
- Knowledge gaps of STIs in Africa; Systematic review
- Correction: Bovine herpesvirus 1 can cross the intact zona pellucida of bovine oocytes after artificial infection
- Distribution of corneal spherical aberration in a Tanzanian population
- Correction: Determinants of physical activity: A path model based on an ecological model of active living
- Wild pollinator activity negatively related to honey bee colony densities in urban context
- Subclinical alterations in left ventricular structure and function according to obesity and metabolic health status
- The epidemiological signature of influenza B virus and its B/Victoria and B/Yamagata lineages in the 21st century
- Identification of bovine CpG SNPs as potential targets for epigenetic regulation via DNA methylation
- Nitric oxide regulates the expression of heme carrier protein-1 via hypoxia inducible factor-1α stabilization
- Development of highly efficient protocols for extraction and amplification of cytomegalovirus DNA from dried blood spots for detection and genotyping of polymorphic immunomodulatory genes
- Construction of pseudomolecule sequences of Brassica rapa ssp. pekinensis inbred line CT001 and analysis of spontaneous mutations derived via sexual propagation
- Effects of flavoring compounds used in electronic cigarette refill liquids on endothelial and vascular function
- Rural pipeline and willingness to work in rural areas: Mixed method study on students in midwifery and obstetric nursing in Mali
- Role of phospholipase A2 receptor 1 antibody level at diagnosis for long-term renal outcome in membranous nephropathy
- Prevalence of anemia in diabetic adult outpatients in Northeast Ethiopia
- Characterization of melanin and optimal conditions for pigment production by an endophytic fungus, Spissiomyces endophytica SDBR-CMU319
- Genetic variability and consequence of Mycobacterium tuberculosis lineage 3 in Kampala-Uganda
- Comparison of in vitro and computational experiments on the relation of inter-beat interval and duration of repolarization in a specific type of human induced pluripotent stem cell-derived cardiomyocytes
- Current and potential contributions of community pharmacy teams to self-harm and suicide prevention: A qualitative interview study
- Prediction of risk scores for colorectal cancer patients from the concentration of proteins involved in mitochondrial apoptotic pathway
- With or without U(K): A pre-Brexit network analysis of the EU ETS
- Graph-theoretical analysis for energy landscape reveals the organization of state transitions in the resting-state human cerebral cortex
- Task-uninformative visual stimuli improve auditory spatial discrimination in humans but not the ideal observer
- Residual stenosis after carotid artery stenting: Effect on periprocedural and long-term outcomes
- gapFinisher: A reliable gap filling pipeline for SSPACE-LongRead scaffolder output
- A plant biostimulant made from the marine brown algae Ascophyllum nodosum and chitosan reduce Fusarium head blight and mycotoxin contamination in wheat
- Monte-Carlo value analysis of High-Throughput Satellites: Value levers, tradeoffs, and implications for operators and investors
- Educational and health outcomes associated with bronchopulmonary dysplasia in 15-year-olds born preterm
- Loss of prostatic acid phosphatase and α-synuclein cause motor circuit degeneration without altering cerebellar patterning
- Neuropathy and neural plasticity in the subcutaneous white adipose depot
- Roles of differential expression of miR-543-5p in GH regulation in rat anterior pituitary cells and GH3 cells
- The enemy’s gaze: Immersive virtual environments enhance peace promoting attitudes and emotions in violent intergroup conflicts
- Protective effect of lactobacillus plantarum on alcoholic liver injury and regulating of keap-Nrf2-ARE signaling pathway in zebrafish larvae
- Koopman Mode Analysis of agent-based models of logistics processes
- Empirical mode decomposition based long short-term memory neural network forecasting model for the short-term metro passenger flow
- Male sexual dysfunction in obesity: The role of sex hormones and small fibre neuropathy
- Multi-agent reinforcement learning with approximate model learning for competitive games
- Identification of olfactory genes and functional analysis of BminCSP and BminOBP21 in Bactrocera minax
- The use of urinary fluoride excretion to facilitate monitoring fluoride intake: A systematic scoping review
- Development of a family caregiver needs-assessment scale for end-of-life care for senility at home (FADE)
- Epidemiology of pneumonia in the pre-pneumococcal conjugate vaccine era in children 2-59 months of age, in Ulaanbaatar, Mongolia, 2015-2016
- H-EM: An algorithm for simultaneous cell diameter and intensity quantification in low-resolution imaging cytometry
- Public expenditure on Non-Communicable Diseases & Injuries in India: A budget-based analysis
- Doxorubicin induces trans-differentiation and MMP1 expression in cardiac fibroblasts via cell death-independent pathways
- uORF-Tools—Workflow for the determination of translation-regulatory upstream open reading frames
- Comparative analysis of postural control and vertical jump performance between three different measurement devices
- Hierarchical multi-view aggregation network for sensor-based human activity recognition
- Clavien–Dindo classification for grading complications after total pharyngolaryngectomy and free jejunum transfer
- Significantly different expression levels of microRNAs associated with vascular invasion in hepatocellular carcinoma and their prognostic significance after surgical resection
- Clinical correlates of workplace injury occurrence and recurrence in adults
- Medicine and the media: Medical experts’ problems and solutions while working with journalists
- Phylogenic classification and virulence genes profiles of uropathogenic E. coli and diarrhegenic E. coli strains isolated from community acquired infections
- Genetic relatedness in carbapenem-resistant isolates from clinical specimens in Ghana using ERIC-PCR technique
- Forest resilience under global environmental change: Do we have the information we need? A systematic review
- Improving the production of podophyllotoxin in hairy roots of Hyptis suaveolens induced from regenerated plantlets
- Controls on planktonic foraminifera apparent calcification depths for the northern equatorial Indian Ocean
- Notch and Delta are required for survival of the germline stem cell lineage in testes of Drosophila melanogaster
- Children with HIV: A scoping review of auditory processing skills
- Correction: Two distinct actin waves correlated with turns-and-runs of crawling microglia
- Expression of Concern: Neurotoxicity Induced by Bupivacaine via T-Type Calcium Channels in SH-SY5Y Cells
- Sex-dependent and -independent transcriptional changes during haploid phase gametogenesis in the sugar kelp Saccharina latissima
- Vehicle modeling for the analysis of the response of detectors based on inductive loops
- New Mycobacteroides abscessus subsp. massiliense strains with recombinant hsp65 gene laterally transferred from Mycobacteroides abscessus subsp. abscessus: Potential for misidentification of M. abscessus strains with the hsp65-based method
- A prognostic Bayesian network that makes personalized predictions of poor prognostic outcome post resection of pancreatic ductal adenocarcinoma
- Impact of care provider network characteristics on patient outcomes: Usage of social network analysis and a multi-scale community detection
- Valid group comparisons can be made with the Patient Health Questionnaire (PHQ-9): A measurement invariance study across groups by demographic characteristics
- Comparison of risk models for mortality and cardiovascular events between machine learning and conventional logistic regression analysis
- Upgraded molecular models of the human KCNQ1 potassium channel
- 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: Secretome profiling of PC3/nKR cells, a novel highly migrating prostate cancer subline derived from PC3 cells
- The extraordinary osteology and functional morphology of the limbs in Palorchestidae, a family of strange extinct marsupial giants
- Primary hyperhidrosis prevalence and characteristics among medical students in Rio de Janeiro
- Implementation of home blood pressure monitoring among French GPs: A long and winding road
- In vitro and molecular chemosensitivity in human cholangiocarcinoma tissues
- Saiga horn user characteristics, motivations, and purchasing behaviour in Singapore
- The health and cost burden of antibiotic resistant and susceptible Escherichia coli bacteraemia in the English hospital setting: A national retrospective cohort study
- Retraction: Comprehensive Comparison of Three Different Immunosuppressive Regimens for Liver Transplant Patients with Hepatocellular Carcinoma: Steroid-Free Immunosuppression, Induction Immunosuppression and Standard Immunosuppression
- Can acute suicidality be predicted by Instagram data? Results from qualitative and quantitative language analyses
- Computational and experimental analysis of the glycophosphatidylinositol-anchored proteome of the human parasitic nematode Brugia malayi
- Antibacterial activity of silver nanoparticles of different particle size against Vibrio Natriegens
- Genetic variations associated with response to dutasteride in the treatment of male subjects with androgenetic alopecia
- To eat or not to eat: Reward delay impulsivity in children with loss of control eating, attention deficit / hyperactivity disorder, a double diagnosis, and healthy children
- Factors associated with newborn care knowledge and practices in the upper Himalayas
- Correction: A more physiological approach to lipid metabolism alterations in cancer: CRC-like organoids assessment
- Correlates of concurrent partnerships and patterns of condom use among men who have sex with men and transgender women in Peru
- Ocular and systemic risk factors associated with recurrent disc hemorrhage in primary open-angle glaucoma
- Development of a denoising convolutional neural network-based algorithm for metal artifact reduction in digital tomosynthesis for arthroplasty: A phantom study
- Low-level sensory processes play a more crucial role than high-level cognitive ones in the size-weight illusion
- The prevalence of asthma and allergic rhinitis in Nigeria: A nationwide survey among children, adolescents and adults
- Retraction: Human Cystathionine-β-Synthase Phosphorylation on Serine227 Modulates Hydrogen Sulfide Production in Human Urothelium
- Which clinical and biochemical predictors should be used to screen for diabetes in patients with serious mental illness receiving antipsychotic medication? A large observational study
- Characteristics of diabetic macular edema patients refractory to anti-VEGF treatments and a dexamethasone implant
- Correction: Effects of dietary n-6: n-3 polyunsaturated fatty acid ratios on meat quality, carcass characteristics, tissue fatty acid profiles, and expression of lipogenic genes in growing goats
- Speckle tracking derived reference values of myocardial deformation and impact of cardiovascular risk factors – Results from the population-based STAAB cohort study
- Impact of pterygium on the ocular surface and meibomian glands
- Lack of association between hypothyroxinemia of prematurity and transient thyroid abnormalities with adverse long term neurodevelopmental outcome in very low birth weight infants
- Transcriptome divergence during leaf development in two contrasting switchgrass (Panicum virgatum L.) cultivars
- Study on Dalfampridine in the treatment of Multiple Sclerosis Mobility Disability: A meta-analysis
- Circulating progenitor cells and the expression of Cxcl12, Cxcr4 and angiopoietin-like 4 during wound healing in the murine ear
- EUSKOR: End-to-end coreference resolution system for Basque
- Inactivating pathogenic bacteria in greywater by biosynthesized Cu/Zn nanoparticles from secondary metabolite of Aspergillus iizukae; optimization, mechanism and techno economic analysis
- Exopolysaccharide producing rhizobacteria and their impact on growth and drought tolerance of wheat grown under rainfed conditions
- Structural equation modeling for hypertension and type 2 diabetes based on multiple SNPs and multiple phenotypes
- Correction: Association between ultraviolet radiation exposure dose and cataract in Han people living in China and Taiwan: A cross-sectional study
- Short-term exercise training improves cardiac function associated to a better antioxidant response and lower type 3 iodothyronine deiodinase activity after myocardial infarction
- Unexpected low genetic variation in the South American hystricognath rodent Lagostomus maximus (Rodentia: Chinchillidae)
- PRC2 activates interferon-stimulated genes indirectly by repressing miRNAs in glioblastoma
- Surgical resection is sufficient for incidentally discovered solitary pulmonary nodule caused by nontuberculous mycobacteria in asymptomatic patients
- “I do all I can but I still fail them”: Health system barriers to providing Option B+ to pregnant and lactating women in Malawi
- Impact of major illnesses and geographic regions on do-not-resuscitate rate and its potential cost savings in Taiwan
- Implementation of intermittent theta burst stimulation compared to conventional repetitive transcranial magnetic stimulation in patients with treatment resistant depression: A cost analysis
- Genome-wide analysis of DNA methylation profile identifies differentially methylated loci associated with human intervertebral disc degeneration
- Correction: Artificial neural networks reveal individual differences in metacognitive monitoring of memory
- Combining fish and environmental PCR for diagnostics of diseased laboratory zebrafish in recirculating systems
- Reading skill modulates the effect of parafoveal distractors on foveal lexical decision in deaf students
- Association between the posterior part of the circle of Willis and the vertebral artery hypoplasia
- Exposure to marital conflict: Gender differences in internalizing and externalizing problems among children
- Ethanol locks for the prevention of catheter-related infection in patients with central venous catheter: A systematic review and meta-analysis of randomized controlled trials
- The effect of age and perturbation time on online control during rapid pointing
- Oilseed rape (Brassica napus) resistance to growth of Leptosphaeria maculans in leaves of young plants contributes to quantitative resistance in stems of adult plants
- Lymphocyte proliferation induced by high-affinity peptides for HLA-B*51:01 in Behçet’s uveitis
- Sensitization of avian pathogenic Escherichia coli to amoxicillin in vitro and in vivo in the presence of surfactin
- Genomic characterization of the complete terpene synthase gene family from Cannabis sativa
- Inhibition of gap junctional intercellular communication by an anti-migraine agent, flunarizine
- Levels of serum eosinophil cationic protein are associated with hookworm infection and intensity in endemic communities in Ghana
- Plant growth promoting rhizobacterium Stenotrophomonas maltophilia BJ01 augments endurance against N2 starvation by modulating physiology and biochemical activities of Arachis hypogea
- Hierarchical integrated and segregated processing in the functional brain default mode network within attention-deficit/hyperactivity disorder
- Rising co-payments coincide with unwanted effects on continuity of healthcare for patients with schizophrenia in the Netherlands
- Analysis of Zobellella denitrificans ZD1 draft genome: Genes and gene clusters responsible for high polyhydroxybutyrate (PHB) production from glycerol under saline conditions and its CRISPR-Cas system
- False-negative errors in next-generation sequencing contribute substantially to inconsistency of mutation databases
- Identification of potassium phosphite responsive miRNAs and their targets in potato
- Quantification of bell-shaped size selectivity in shrimp trawl fisheries using square mesh panels and a sorting cone after a Nordmøre grid
- Deactivation of somatosensory and visual cortices during vestibular stimulation is associated with older age and poorer balance
- Combined immunization with attenuated live influenza vaccine and chimeric pneumococcal recombinant protein improves the outcome of virus-bacterial infection in mice
- Flooding performance evaluation of alkyl aryl sulfonate in various alkaline environments
- An artificial intelligent diagnostic system on mobile Android terminals for cholelithiasis by lightweight convolutional neural network
- Enhanced detection of prion infectivity from blood by preanalytical enrichment with peptoid-conjugated beads
- COI metabarcoding primer choice affects richness and recovery of indicator taxa in freshwater systems
- Retraction: APRIL Induces Tumorigenesis and Metastasis of Colorectal Cancer Cells via Activation of the PI3K/Akt Pathway
- The intake pattern and feed preference of layer hens selected for high or low feed conversion ratio
- Individualized pattern recognition for detecting mind wandering from EEG during live lectures
- Ontogenetic expression of thyroid hormone signaling genes: An in vitro and in vivo species comparison
- Post-activation potentiation effect of eccentric overload and traditional weightlifting exercise on jumping and sprinting performance in male athletes
- Effectiveness of different central venous catheter fixation suture techniques: An in vitro crossover study
- Quantitative detection of ALK fusion breakpoints in plasma cell-free DNA from patients with non-small cell lung cancer using PCR-based target sequencing with a tiling primer set and two-step mapping/alignment
- Nuclei deformation reveals pressure distributions in 3D cell clusters
- Strategies for increasing diagnostic yield of community-onset bacteraemia within the emergency department: A retrospective study
- Rapid evolution of Mexican H7N3 highly pathogenic avian influenza viruses in poultry
- Certified service dogs – A cost-effectiveness analysis appraisal
- Endothelial dysfunction and low-grade inflammation in the transition to renal replacement therapy
- Assessing the impact of a research funder’s recommendation to consider core outcome sets
- Validity of six consumer-level activity monitors for measuring steps in patients with chronic heart failure
- Detection of deceptive motions in rugby from visual motion cues
- The impact of antenatal care on neonatal mortality in sub-Saharan Africa: A systematic review and meta-analysis
- Epidemiological investigation and management of bloody diarrhea among children in India
- Irisin promotes C2C12 myoblast proliferation via ERK-dependent CCL7 upregulation
- Bacteria isolated from Bengal cat (Felis catus × Prionailurus bengalensis) anal sac secretions produce volatile compounds potentially associated with animal signaling
- Petri net–based model of the human DNA base excision repair pathway
- Complexation and conformation of lead ion with poly-γ-glutamic acid in soluble state
- The effects of sympathetic activity induced by ice water on blood flow and brachial artery flow-mediated dilatation response in healthy volunteers
- The Youth-Physical Activity Towards Health (Y-PATH) intervention: Results of a 24 month cluster randomised controlled trial
- The COPD multi-dimensional phenotype: A new classification from the STORICO Italian observational study
- Morphological identification of Amphitetranychus species (Acari: Tetranychidae) with crossbreeding, esterase zymograms and DNA barcode data
- Maintaining hope after a disabling stroke: A longitudinal qualitative study of patients’ experiences, views, information needs and approaches towards making treatment decisions
- Cultural differences in the use of acoustic cues for musical emotion experience
- Effects of a rifampicin pre-treatment on linezolid pharmacokinetics
- High prevalence of multidrug resistant Enterobacteriaceae among residents of long term care facilities in Amsterdam, the Netherlands
- Infection/inflammation-associated preterm delivery within 14 days of presentation with symptoms of preterm labour: A multivariate predictive model
- Prognostic value of preoperative hydronephrosis in patients with bladder cancer undergoing radical cystectomy: A meta-analysis
- Correction: Early life predictors of midlife allostatic load: A prospective cohort study
- PCR-free whole exome sequencing: Cost-effective and efficient in detecting rare mutations
- Epstein-Barr virus genome packaging factors accumulate in BMRF1-cores within viral replication compartments
- Symbiotic incompatibility between soybean and Bradyrhizobium arises from one amino acid determinant in soybean Rj2 protein
- Does anticoagulation needed for distally located incidental pulmonary thromboembolism in patients with active cancer?
- Control of human testis-specific gene expression
- Speaking up culture of medical students within an academic teaching hospital: Need of faculty working in patient safety
- Appraisal on the wound healing potential of Melaleuca alternifolia and Rosmarinus officinalis L. essential oil-loaded chitosan topical preparations
- Understanding parental perspectives on outcomes following paediatric encephalitis: A qualitative study
- Results of scoping review do not support mild traumatic brain injury being associated with a high incidence of chronic cognitive impairment: Commentary on McInnes et al. 2017
- Native seed, soil and atmosphere respond to boreal forest topsoil (LFH) storage
- Development of a quantitative polymerase chain reaction assay and environmental DNA sampling methods for Giant Gartersnake (Thamnophis gigas)
- Genetic diversity and population structure of four Chinese rabbit breeds
- Knowledge, attitude and behaviors towards patients with mental illness: Results from a national Lebanese study
- Correction: An impact evaluation of two rounds of mass drug administration on the prevalence of active trachoma: A clustered cross sectional survey
- Comparative prognostic accuracy of sepsis scores for hospital mortality in adults with suspected infection in non-ICU and ICU at an academic public hospital
- Graph convolutional network approach applied to predict hourly bike-sharing demands considering spatial, temporal, and global effects
- Impact of traffic variability on geographic accessibility to 24/7 emergency healthcare for the urban poor: A GIS study in Dhaka, Bangladesh
- Feeling the heat: Elevated temperature affects male display activity of a lekking grassland bird
- Constructing a comprehensive disaster resilience index: The case of Italy
- Intraocular pressure according to different types of tonometry (non-contact and Goldmann applanation) in patients with different degrees of bilateral tearing
- Prevalent vertebral fracture is dominantly associated with spinal microstructural deterioration rather than bone mineral density in patients with type 2 diabetes mellitus
- Silent volumetric multi-contrast 7 Tesla MRI of ocular tumors using Zero Echo Time imaging
- Nonverbal synchrony in virtual reality
- Do speed cameras reduce road traffic collisions?
- A zero-shot learning approach to the development of brain-computer interfaces for image retrieval
- Use of non-HIV medication among people living with HIV and receiving antiretroviral treatment in Côte d’Ivoire, West Africa: A cross-sectional study
- DNA barcoding of southern African crustaceans reveals a mix of invasive species and potential cryptic diversity
- Development of an international external quality assurance program for HIV-1 incidence using the Limiting Antigen Avidity assay
- Correction: The mean cell volume difference (dMCV) reflects serum hypertonicity in diabetic dogs
- Structural characteristics of lipocalin allergens: Crystal structure of the immunogenic dog allergen Can f 6
- Transport oil product consumption and GHG emission reduction potential in China: An electric vehicle-based scenario analysis
- Ontogenetic shift in the energy allocation strategy and physiological condition of larval plaice (Pleuronectes platessa)
- Increased proliferation and altered cell cycle regulation in pancreatic stem cells derived from patients with congenital hyperinsulinism
- Diagnostic accuracy of Xpert MTB/RIF assay and non-molecular methods for the diagnosis of tuberculosis lymphadenitis
- Assessment of glucose-6-phosphate dehydrogenase activity using CareStart G6PD rapid diagnostic test and associated genetic variants in Plasmodium vivax malaria endemic setting in Mauritania
- Spatial distribution of breast cancer in Sudan 2010-2016
- Human-induced fire regime shifts during 19th century industrialization: A robust fire regime reconstruction using northern Polish lake sediments
- Enhanced effectiveness of oil dispersants in destabilizing water-in-oil emulsions
- Development of UV spectrophotometry methods for concurrent quantification of amlodipine and celecoxib by manipulation of ratio spectra in pure and pharmaceutical formulation
- Iron and manganese co-limit growth of the Southern Ocean diatom Chaetoceros debilis
- Bilateral and unilateral load-velocity profiling in a machine-based, single-joint, lower body exercise
- Veterans Health Administration nurses’ training and beliefs related to care of patients with traumatic brain injury
- Supplementation strategies affect the feed intake and performance of grazing replacement heifers
- Active transcutaneous bone conduction hearing implants: Systematic review and meta-analysis
- Parameterization-induced uncertainties and impacts of crop management harmonization in a global gridded crop model ensemble
- Acidification effects on isolation of extracellular vesicles from bovine milk
- GPR40 full agonism exerts feeding suppression and weight loss through afferent vagal nerve
- Mining version history to predict the class instability
- Humpback whale song occurrence reflects ecosystem variability in feeding and migratory habitat of the northeast Pacific
- A phase 2 study of an oral mTORC1/mTORC2 kinase inhibitor (CC-223) for non-pancreatic neuroendocrine tumors with or without carcinoid symptoms
- Asprosin response in hypoglycemia is not related to hypoglycemia unawareness but rather to insulin resistance in type 1 diabetes
- Muscle oxygenation maintained during repeated-sprints despite inspiratory muscle loading
- Reconstructing systematic persistent impacts of promotional marketing with empirical nonlinear dynamics
- Trans-national conservation and infrastructure development in the Heart of Borneo
- Prediction of cardiovascular disease risk among people with severe mental illness: A cohort study
- Data in question: A survey of European biobank professionals on ethical, legal and societal challenges of biobank research
- Hypertensive APOL1 risk allele carriers demonstrate greater blood pressure reduction with angiotensin receptor blockade compared to low risk carriers
- Reconstructing birth in Australopithecus sediba
- Value of contrast-enhanced ultrasound for preoperative assessment of liver reserve function in patients with liver tumors
- Correction: Identifying obesity/overweight status in children and adolescents; A cross-sectional medical record review of physicians’ weight screening practice in outpatient clinics, Saudi Arabia
- Incidence and risk factors of loss to follow-up among HIV-infected children in an antiretroviral treatment program
- Changes in intracellular folate metabolism during high-dose methotrexate and Leucovorin rescue therapy in children with acute lymphoblastic leukemia
- Functional role and evolutionary contributions of floral gland morphoanatomy in the Paleotropical genus Acridocarpus (Malpighiaceae)
- On the efficiency of HIV transmission: Insights through discrete time HIV models
- Metabolic cost calculations of gait using musculoskeletal energy models, a comparison study
- Comparison of molecular profile in triple-negative inflammatory and non-inflammatory breast cancer not of mesenchymal stem-like subtype
- Evolutionary analysis of six chloroplast genomes from three Persea americana ecological races: Insights into sequence divergences and phylogenetic relationships
- Cultural transmission in a food preparation task: The role of interactivity, innovation and storytelling
- Correction: Effects of affective priming through music on the use of emotion words
- Safety and immunogenicity of investigational seasonal influenza hemagglutinin DNA vaccine followed by trivalent inactivated vaccine administered intradermally or intramuscularly in healthy adults: An open-label randomized phase 1 clinical trial
- Estimation of vaccination coverage from electronic healthcare records; methods performance evaluation – A contribution of the ADVANCE-project
- Dietary phytogenics and galactomannan oligosaccharides in low fish meal and fish oil-based diets for European sea bass (Dicentrarchus labrax) juveniles: Effects on gut health and implications on in vivo gut bacterial translocation
- Suicide by hanging: Results from a national survey in Switzerland and its implications for suicide prevention
- Gene dysregulation in peripheral blood of moyamoya disease and comparison with other vascular disorders
- Genome wide genetic dissection of wheat quality and yield related traits and their relationship with grain shape and size traits in an elite × non-adapted bread wheat cross
- Safety and tolerability of artesunate-amodiaquine, artemether-lumefantrine and quinine plus clindamycin in the treatment of uncomplicated Plasmodium falciparum malaria in Kinshasa, the Democratic Republic of the Congo
- Factors influencing the admission decision for Medical Psychiatry Units: A concept mapping approach
- Comparison of post-traumatic changes in circulating and bone marrow leukocytes between BALB/c and CD-1 mouse strains
- Physiological stress reactivity and recovery related to behavioral traits in dogs (Canis familiaris)
- Associations between birth order with mental wellbeing and psychological distress in midlife: Findings from the 1970 British Cohort Study (BCS70)
- Non-steroidal anti-inflammatory drugs use in older adults decreases risk of Alzheimer’s disease mortality
- The cost-effectiveness of neonatal versus prenatal screening for congenital toxoplasmosis
- Ancient technology and punctuated change: Detecting the emergence of the Edomite Kingdom in the Southern Levant
- Flowers as viral hot spots: Honey bees (Apis mellifera) unevenly deposit viruses across plant species
- Randomized control trial of Tools of the Mind: Marked benefits to kindergarten children and their teachers
- Preserving cultural heritage: Analyzing the antifungal potential of ionic liquids tested in paper restoration
- PNPLA3 rs738409 G allele carriers with genotype 1b HCV cirrhosis have lower viral load but develop liver failure at younger age
- Correction: Unraveling the genetic complexity underlying sorghum response to water availability
- Impact of tear metrics on the reliability of perimetry in patients with dry eye
- Using DNA barcoding to improve invasive pest identification at U.S. ports-of-entry
- Correction: Effects of Lactobacillus plantarum 15-1 and fructooligosaccharides on the response of broilers to pathogenic Escherichia coli O78 challenge
- Physico-chemical characterization and transcriptome analysis of 5-methyltryptophan resistant lines in rice
- Patient factors affecting successful linkage to treatment in a cervical cancer prevention program in Kenya: A prospective cohort study
- Is this a man’s world? The effect of gender diversity and gender equality on firm innovativeness
- Procalcitonin to stop antibiotics after cardiovascular surgery in a pediatric intensive care unit—The PROSACAB study
- Temporal trends, predictors, and outcomes of acute kidney injury and hemodialysis use in acute myocardial infarction-related cardiogenic shock
- Quantitation of free glycation compounds in saliva
- Resolving an 87-year-old taxonomical curiosity with the description of Psylla frodobagginsi sp. nov. (Hemiptera: Sternorrhyncha: Psyllidae), a second distinct Psylla species on the New Zealand endemic plant kōwhai
- The effect of cathodal tDCS on fear extinction: A cross-measures study
- Physiological responses to affiliation during conversation: Comparing neurotypical males and males with Asperger syndrome
- Human cord blood (hCB)-CD34+ humanized mice fail to reject human acute myeloid leukemia cells
- Investigating the dispersal of antibiotic resistance associated genes from manure application to soil and drainage waters in simulated agricultural farmland systems
- Continuous norming of psychometric tests: A simulation study of parametric and semi-parametric approaches
- Phylogenetic microbiota profiling in fecal samples depends on combination of sequencing depth and choice of NGS analysis method
- Cost-effectiveness of apixaban compared to other anticoagulants in patients with atrial fibrillation in the real-world and trial settings
- Biochemical profile and in vitro biological activities of extracts from seven folk medicinal plants growing wild in southern Tunisia
- Low genetic differentiation yet high phenotypic variation in the invasive populations of Spartina alterniflora in Guangxi, China
- A mathematical model for designing networks of C-Reactive Protein point of care testing
- Prevalence of hypochondriac symptoms among health science students in China: A systematic review and meta-analysis
- Femtosecond laser induced step-like structures inside transparent hydrogel due to laser induced threshold reduction
- From In Situ to satellite observations of pelagic Sargassum distribution and aggregation in the Tropical North Atlantic Ocean
- The polyether ionophore salinomycin targets multiple cellular pathways to block proliferative vitreoretinopathy pathology
- BRAF V600E and Pten deletion in mice produces a histiocytic disorder with features of Langerhans cell histiocytosis
- HIV prevalence and risk behavior among male and female adults screened for enrolment into a vaccine preparedness study in Maputo, Mozambique
- Sputum microbiota and inflammation at stable state and during exacerbations in a cohort of chronic obstructive pulmonary disease (COPD) patients
- Direct estimation of the parameters of a delayed, intermittent activation feedback model of postural sway during quiet standing
- Occurrence mechanism and coping paths of accidents of highly aggregated tourist crowds based on system dynamics
- Correction: Low Dose Aerosol Fitness at the Innate Phase of Murine Infection Better Predicts Virulence amongst Clinical Strains of Mycobacterium tuberculosis
- Effects of enalapril and paricalcitol treatment on diabetic nephropathy and renal expressions of TNF-α, p53, caspase-3 and Bcl-2 in STZ-induced diabetic rats
- Correction: Public reaction to Chikungunya outbreaks in Italy—Insights from an extensive novel data streams-based structural equation modeling analysis
- Correction: Comparison of neurodegenerative types using different brain MRI analysis metrics in older adults with normal cognition, mild cognitive impairment, and Alzheimer’s dementia
- Intra-individual variability of sleep and nocturnal cardiac autonomic activity in elite female soccer players during an international tournament
- Therapeutic efficacy of equine botulism heptavalent antitoxin against all seven botulinum neurotoxins in symptomatic guinea pigs
- Interleukin 10 knock-down in bovine monocyte-derived macrophages has distinct effects during infection with two divergent strains of Mycobacterium bovis
- Clinical outcomes of bortezomib-based therapy in Taiwanese patients with multiple myeloma: A nationwide population-based study and a single-institute analysis
- Scope and efficacy of the broad-spectrum topical antiseptic choline geranate
- Hematological and biochemical parameters for Chinese rhesus macaque
- Veterinary peer study groups as a method of continuous education—A new approach to identify and address factors associated with antimicrobial prescribing
- Correction: The prognosis of heart failure patients: Does sodium level play a significant role?
- Maternal malaria but not schistosomiasis is associated with a higher risk of febrile infection in infant during the first 3 months of life: A mother-child cohort in Benin
- Systematic identification of facility-based stillbirths and neonatal deaths through the piloted use of an adapted RAPID tool in Liberia and Nepal
- Effects of salbutamol and phlorizin on acute pulmonary inflammation and disease severity in experimental sepsis
- Correction: Age, sex and storage time influence hair cortisol levels in a wild mammal population
- Reasons to care: Personal motivation as a key factor in the practice of the professional foster carer in Romania
- Determinants of clinical, functional and personal recovery for people with schizophrenia and other severe mental illnesses: A cross-sectional analysis
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- A randomized controlled trial examining the efficacy of an internet-based cognitive behavioral therapy program for adolescents with anxiety disorders
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- Correction: Lkb1 Deficiency Alters Goblet and Paneth Cell Differentiation in the Small Intestine
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- Development and verification of prediction models for preventing cardiovascular diseases
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- Detailed global modelling of soil organic carbon in cropland, grassland and forest soils
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- Retraction: Modulation of the Pentose Phosphate Pathway Induces Endodermal Differentiation in Embryonic Stem Cells
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- Genetic evidence for plural introduction pathways of the invasive weed Paterson’s curse (Echium plantagineum L.) to southern Australia
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- Retraction: Analysis of Mycobacterium tuberculosis-Specific CD8 T-Cells in Patients with Active Tuberculosis and in Individuals with Latent Infection
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- Correction: A controlled-release oral opioid supports S. aureus survival in injection drug preparation equipment and may increase bacteremia and endocarditis risk
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- Correction: Permissivity of Primary Human Hepatocytes and Different Hepatoma Cell Lines to Cell Culture Adapted Hepatitis C Virus
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- Correction: In vitro larval rearing protocol for the stingless bee species Melipona scutellaris for toxicological studies
- Correction: Morphological and molecular identification of the dioecious “African species Volvox rousseletii (Chlorophyceae) in the water column of a Japanese lake based on field-collected and cultured materials
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- Expression of Concern: miRNA 17 Family Regulates Cisplatin-Resistant and Metastasis by Targeting TGFbetaR2 in NSCLC
- Group leaders establish cooperative norms that persist in subsequent interactions
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- Agreement between the Cochrane risk of bias tool and Physiotherapy Evidence Database (PEDro) scale: A meta-epidemiological study of randomized controlled trials of physical therapy interventions
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- The performance of different case definitions for severe influenza surveillance among HIV-infected and HIV-uninfected children aged <5 years in South Africa, 2011–2015
- Analgesic drug use in elderly persons: A population-based study in Southern Italy
- RCER: Reliable Cluster-based Energy-aware Routing protocol for heterogeneous Wireless Sensor Networks
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- Changing educational gradient in long-term care-free life expectancy among German men, 1997-2012
- A non-parametric significance test to compare corpora
- Evaluating the impact of policies recommending PrEP to subpopulations of men and transgender women who have sex with men based on demographic and behavioral risk factors
- Different levels of statistical learning - Hidden potentials of sequence learning tasks
- Dry period heat stress induces microstructural changes in the lactating mammary gland
- Organic resolution function and effects of platinum nanoparticles on bacteria and organic matter
- High levels of fasting glucose and glycosylated hemoglobin values are associated with hyperfiltration in a Spanish prediabetes cohort. The PREDAPS Study
- Genetically distinct Group B Streptococcus strains induce varying macrophage cytokine responses
- Dynamic up- and down-regulation of the default (DMN) and extrinsic (EMN) mode networks during alternating task-on and task-off periods
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- Everolimus in de novo kidney transplant recipients participating in the Eurotransplant senior program: Results of a prospective randomized multicenter study (SENATOR)
- Lipopolysaccharide induces mouse translocator protein (18 kDa) expression via the AP-1 complex in the microglial cell line, BV-2
- Does effectiveness in performance appraisal improve with rater training?
- National trends in inpatient endometriosis admissions: Patients, procedures and outcomes, 2006−2015
- Affective and enjoyment responses to 12 weeks of high intensity interval training and moderate continuous training in adults with Crohn’s disease
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- Cabbage stem flea beetle’s (Psylliodes chrysocephala L.) susceptibility to pyrethroids and tolerance to thiacloprid in the Czech Republic
- Implicit learning of artificial grammatical structures after inferior frontal cortex lesions
- Potential survival benefits from optimized chemotherapy implementation in advanced ovarian cancer: Projections from a microsimulation model
- Predictors of SLE relapse in pregnancy and post-partum among multi-ethnic patients in Malaysia
- Heat stress responses in a large set of winter wheat cultivars (Triticum aestivum L.) depend on the timing and duration of stress
- Mice deficient in NKLAM have attenuated inflammatory cytokine production in a Sendai virus pneumonia model
- Dysregulation of microRNAs and target genes networks in human abdominal aortic aneurysm tissues
- Quality of life and associated factors among patients with breast cancer under chemotherapy at Tikur Anbessa specialized hospital, Addis Ababa, Ethiopia
- Evaluation of suitable reference genes in Brassica juncea and its wild relative Camelina sativa for qRT-PCR analysis under various stress conditions
- Time-related immunomodulation by stressors and corticosterone transdermal application in toads
- Machine learning discovery of longitudinal patterns of depression and suicidal ideation
- Multi-scale patterns of tick occupancy and abundance across an agricultural landscape in southern Africa
- A matter of taste: Spatial and ontogenetic variations on the trophic ecology of the tiger shark at the Galapagos Marine Reserve
- Retraction: Adaptive double threshold energy detection based on Markov model for cognitive radio
- Adrenal gland size in obstructive sleep apnea: Morphological assessment of hypothalamic pituitary adrenal axis activity
- Out-of-pocket health spending among Medicare beneficiaries: Which chronic diseases are most costly?
- A large-scale chromosomal inversion is not associated with life history development in rainbow trout from Southeast Alaska
- Deployment, suicide, and overdose among comorbidity phenotypes following mild traumatic brain injury: A retrospective cohort study from the Chronic Effects of Neurotrauma Consortium
- Association between alcohol intake and measures of incident CKD: An analysis of nationwide health screening data
- Exploration of icariin analog structure space reveals key features driving potent inhibition of human phosphodiesterase-5
- A quantitative approach for the analysis of clinician recognition of acute respiratory distress syndrome using electronic health record data
- Morphological, microbiological and ultrastructural aspects of sepsis by Aeromonas hydrophila in Piaractus mesopotamicus
- Recidivism rates in individuals receiving community sentences: A systematic review
- The association of intensive care with utilization and costs of outpatient healthcare services and quality of life
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- Geographic differentiation of agritourism activities in Poland vs. cultural and natural attractiveness of destinations at district level
- Social participation reduces isolation among Japanese older people in urban area: A 3-year longitudinal study
- Explaining age-related decline in theory of mind: Evidence for intact competence but compromised executive function
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- Barriers and enablers to the implementation of a complex quality improvement intervention for acute kidney injury: A qualitative evaluation of stakeholder perceptions of the Tackling AKI study
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- Experimental H1N1pdm09 infection in pigs mimics human seasonal influenza infections
- Emission characteristics of diethylhexyl phthalate (DEHP) from building materials determined using a passive flux sampler and micro-chamber
- Multi-focus microscope with HiLo algorithm for fast 3-D fluorescent imaging
- Pontoscolex corethrurus: A homeless invasive tropical earthworm?
- Modeling reciprocal effects in medical research: Critical discussion on the current practices and potential alternative models
- Does palliative chemotherapy really palliate and are we measuring it correctly? A mixed methods longitudinal study of health related quality of life in advanced soft tissue sarcoma
- Developing cookies formulated with goat cream enriched with conjugated linoleic acid
- The effects of combining focus of attention and autonomy support on shot accuracy in the penalty kick
- Association between hot flashes severity and oxidative stress among Mexican postmenopausal women: A cross-sectional study
- A combined strategy of neuropeptide prediction and tandem mass spectrometry identifies evolutionarily conserved ancient neuropeptides in the sea anemone Nematostella vectensis
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- Antitumor activity of a novel dual functional podophyllotoxin derivative involved PI3K/AKT/mTOR pathway
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- Prognosis of severe acquired brain injury: Short and long-term outcome determinants and their potential clinical relevance after rehabilitation. A comprehensive approach to analyze cohort studies
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- Variant analysis pipeline for accurate detection of genomic variants from transcriptome sequencing data
- Identification of candidate flowering and sex genes in white Guinea yam (D. rotundata Poir.) by SuperSAGE transcriptome profiling
- Optimizing the intrinsic parallel diffusivity in NODDI: An extensive empirical evaluation
- The quality of guidelines for diabetic foot ulcers: A critical appraisal using the AGREE II instrument
- Mastitis risk effect on the economic consequences of paratuberculosis control in dairy cattle: A stochastic modeling study
- Confounding by indication of the safety of de-escalation in community-acquired pneumonia: A simulation study embedded in a prospective cohort
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- Drivers of HIV-1 transmission: The Portuguese case
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- A biface production older than 600 ka ago at Notarchirico (Southern Italy) contribution to understanding early Acheulean cognition and skills in Europe
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- The expression of equine keratins K42 and K124 is restricted to the hoof epidermal lamellae of Equus caballus
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- Inhibition of polymerase chain reaction: Pathogen-specific controls are better than human gene amplification
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- Downscaling satellite soil moisture using geomorphometry and machine learning
- Choosing efficient actions: Deciding where to walk
- The zooarchaeology and isotopic ecology of the Bahamian hutia (Geocapromys ingrahami): Evidence for pre-Columbian anthropogenic management
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- Human papillomavirus infection among head and neck squamous cell carcinomas in southern China
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- Quartet-based inference of cell differentiation trees from ChIP-Seq histone modification data
- Detection and prognostic relevance of circulating tumour cells (CTCs) in Asian breast cancers using a label-free microfluidic platform
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- Comparing record linkage software programs and algorithms using real-world data
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- Effectiveness, safety/tolerability of OBV/PTV/r ± DSV in patients with HCV genotype 1 or 4 with/without HIV-1 co-infection, chronic kidney disease (CKD) stage IIIb-V and dialysis in Spanish clinical practice – Vie-KinD study
- The genome of Alcaligenes aquatilis strain BU33N: Insights into hydrocarbon degradation capacity
- A randomized pilot efficacy and safety trial of diazoxide choline controlled-release in patients with Prader-Willi syndrome
- LMX1A inhibits C-Myc expression through ANGPTL4 to exert tumor suppressive role in gastric cancer
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- Effect of PEPFAR funding policy change on HIV service delivery in a large HIV care and treatment network in Nigeria
- Friends, relatives, sanity, and health: The costs of politics
- European public perceptions of homelessness: A knowledge, attitudes and practices survey
- An overview of the quality assurance programme for HIV rapid testing in South Africa: Outcome of a 2-year phased implementation of quality assurance program
- Transcatheter aortic valve implantation versus surgical aortic valve replacement in patients at low and intermediate risk: A risk specific meta-analysis of randomized controlled trials
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- Genomic analyses reveal an absence of contemporary introgressive admixture between fin whales and blue whales, despite known hybrids
- Tipping the balance towards long-term retention in the HIV care cascade: A mixed methods study in southern Mozambique
- Diagnosis and classification of pediatric acute appendicitis by artificial intelligence methods: An investigator-independent approach
- Stylistic variation on the Donald Trump Twitter account: A linguistic analysis of tweets posted between 2009 and 2018
- Kinematic determinants of scoring success in the fencing flick: Logistic and linear multiple regression analysis
- Preferences for formal and traditional sources of childbirth and postnatal care among women in rural Africa: A systematic review
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- Associations between industry involvement and study characteristics at the time of trial registration in biomedical research
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- Development of peptide biosensor for the detection of dengue fever biomarker, nonstructural 1
- The predictive performance of SAPS 2 and SAPS 3 in an intermediate care unit for internal medicine at a German university transplant center; A retrospective analysis
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- Multiple biomarkers of sepsis identified by novel time-lapse proteomics of patient serum
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- Beta power encodes contextual estimates of temporal event probability in the human brain
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- Use of high-content analysis and machine learning to characterize complex microbial samples via morphological analysis
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- A mutation in mouse Krüppel-like factor 15 alters the gut microbiome and response to obesogenic diet
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- A mitochondria-targeted fatty acid analogue influences hepatic glucose metabolism and reduces the plasma insulin/glucose ratio in male Wistar rats
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- Improved ICU mortality prediction based on SOFA scores and gastrointestinal parameters
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- Multidrug-resistant profile and prevalence of extended spectrum β-lactamase and carbapenemase production in fermentative Gram-negative bacilli recovered from patients and specimens referred to National Reference Laboratory, Addis Ababa, Ethiopia
- Primary myelofibrosis marrow-derived CD14+/CD34- monocytes induce myelofibrosis-like phenotype in immunodeficient mice and give rise to megakaryocytes
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- How Knowledge Stock Exchanges can increase student success in Massive Open Online Courses
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- Correction: Reward abundance interferes with error-based learning in a visuomotor adaptation task
- Correction: Potential user interest in new long-acting contraceptives: Results from a mixed methods study in Burkina Faso and Uganda
- Correction: Recombinant rabbit beta nerve growth factor production and its biological effects on sperm and ovulation in rabbits
- Critically ill patients with community-onset intraabdominal infections: Influence of healthcare exposure on resistance rates and mortality
- Validating a popular outpatient antibiotic database to reliably identify high prescribing physicians for patients 65 years of age and older
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- Plasma metabolite biomarkers for multiple system atrophy and progressive supranuclear palsy
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- Surgical approach for complete cochlear coverage in EAS-patients after residual hearing loss
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- Shortening duration of ertapenem in outpatient parenteral antimicrobial therapy for complicated urinary tract infections: A retrospective study
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- Repeated transspinal stimulation decreases soleus H-reflex excitability and restores spinal inhibition in human spinal cord injury
- Expression of Concern: Resveratrol Enhances Antitumor Activity of TRAIL in Prostate Cancer Xenografts through Activation of FOXO Transcription Factor
- Correlation of CT texture changes with treatment response during radiation therapy for esophageal cancer: An exploratory study
- Modeling spatial variation in density of golden eagle nest sites in the western United States
- Retraction: Autophagy in Muscle of Glucose-Infusion Hyperglycemia Rats and Streptozotocin-Induced Hyperglycemia Rats via Selective Activation of m-TOR or FoxO3
- Correction: In Porphyromonas gingivalis VimF Is Involved in Gingipain Maturation through the Transfer of Galactose
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- A novel therapeutic strategy for esophageal varices using endoscopic treatment combined with splenic artery embolization according to the Child-Pugh classification
- Correction: Development of a high-throughput assay to measure measles neutralizing antibodies
- Correction: Provider preference for payment method under a national health insurance scheme: A survey of health insurance-credentialed health care providers in Ghana
- Correction: Second-line HIV treatment failure in sub-Saharan Africa: A systematic review and meta-analysis
- Potential impact of efflux pump genes in mediating rifampicin resistance in clinical isolates of Mycobacterium tuberculosis from India
- Feed-forward visual processing suffices for coarse localization but fine-grained localization in an attention-demanding context needs feedback processing
- Level Set method-based two-dimensional numerical model for simulation of nonuniform open-channel flow
- Compared to non-drinkers, individuals who drink alcohol have a more favorable multisystem physiologic risk score as measured by allostatic load
- Effect of poor glycaemic control on plasma levels and activity of protein C, protein S, and antithrombin III in type 2 diabetes mellitus
- Retraction: IL-21 Regulates the Differentiation of a Human γδ T Cell Subset Equipped with B Cell Helper Activity
- Sugar transporters in Fabaceae, featuring SUT MST and SWEET families of the model plant Medicago truncatula and the agricultural crop Pisum sativum
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- Ground reaction forces and muscle activity while walking on sand versus stable ground in individuals with pronated feet compared with healthy controls
- Correction: Roadway traffic crash prediction using a state-space model based support vector regression approach
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- Targeted in-vitro-stimulation reveals highly proliferative multi-virus-specific human central memory T cells as candidates for prophylactic T cell therapy
- Influence of ocean circulation and the Kuroshio large meander on the 2018 Japanese eel recruitment season
- Growth response of the ichthyotoxic haptophyte, Prymnesium parvum Carter, to changes in sulfate and fluoride concentrations
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- Retraction: Impacts of rock properties on Danxia landform formation based on lithological experiments at Kongtongshan National Geopark, northwest China
- Correction: SVR12 rates higher than 99% after sofosbuvir/velpatasvir combination in HCV infected patients with F0-F1 fibrosis stage: A real world experience
- Retraction: Plexin-B1 Activates NF-κB and IL-8 to Promote a Pro-Angiogenic Response in Endothelial Cells
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- Association between temperature, sunlight hours and alcohol consumption
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- Correction: The step-to-step transition mode: A potential indicator of first-fall risk in elderly adults?
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- Correction: Maturation of three-dimensional, hiPSC-derived cardiomyocyte spheroids utilizing cyclic, uniaxial stretch and electrical stimulation
- Correction: To keep or not to keep? Decision making in adolescent pregnancies in Jamestown, Ghana
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