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Dry period heat stress induces microstructural changes in the lactating mammary gland
Authors: Bethany Dado-Senn aff001; Amy L. Skibiel aff001; Thiago F. Fabris aff001; Geoffrey E. Dahl aff001; Jimena Laporta aff001
Authors place of work: Department of Animal Sciences, University of Florida, Gainesville, FL, United States of America aff001
Published in the journal: PLoS ONE 14(9)
Category: Research Article
doi: https://doi.org/10.1371/journal.pone.0222120Summary
The bovine dry period is a non-lactating period between consecutive lactations characterized by mammary gland involution and redevelopment phases to replace senescent mammary epithelial cells with active cells primed for the next lactation. Dairy cows exposed to heat stress during the dry period experience milk yield reductions between 3–7.5 kg/d in the next lactation, partially attributed to processes associated with mammary cell growth and turnover during the dry period. However, the carry-over impact of dry period heat stress on mammary morphology during lactation has yet to be determined. In the current study, we hypothesized that exposure to heat stress during the dry period would alter alveolar microstructure and cellular turnover (i.e. proliferation and apoptosis) during lactation. Cows were either subjected to heat stress (HT, access to shade; n = 12) or cooling (CL, access to shade, fans, and soakers; n = 12) for a 46 d dry period. Upon calving, all cows were treated similarly with access to cooling for their entire lactation. Six cows per treatment were randomly selected for mammary gland biopsies at 14, 42, and 84 days in milk. Tissues were sectioned and stained for histological analysis. During lactation, HT cows produced 4 kg less colostrum and 3.7 kg less milk compared with CL cows. Lactating mammary gland microstructure was impacted after exposure to dry period heat stress; HT cows had fewer alveoli and a higher proportion of connective tissue in the mammary gland relative to CL cows, however alveolar area was similar between treatments. Rates of mammary epithelial cell proliferation and apoptosis were similar between treatment groups. This suggests that heat stress exposure during the dry period leads to reductions in milk yield that could be caused, in part, by a reduction in alveoli number in the lactating mammary gland but not to dynamic alterations in cellular turnover once lactation is established.
Keywords:
Biology and life sciences – Cell biology – Physical sciences – Cell processes – Anatomy – Medicine and health sciences – Pathology and laboratory medicine – Reproductive system – Physiology – Reproductive physiology – Diagnostic medicine – Signs and symptoms – Endocrinology – nutrition – Body fluids – Diet – Physics – Cell death – Classical mechanics – Beverages – Milk – apoptosis – Endocrine physiology – Biological tissue – Connective tissue – Surgical and invasive medical procedures – Exocrine glands – Mechanical stress – Thermal stresses – Biopsy – Breast tissue – Mammary glands – Hyperthermia
Introduction
Heat stress is a costly and wide-spread concern to the dairy industry. Physiologically, heat stress is induced when a dairy cow is pushed above her thermoneutral zone at a temperature-humidity index (THI) of 68, forcing the cow to promote heat loss through sweating and panting and reduce heat production by limiting feed intake and decreasing milk production [1–3]. Rising global temperatures impair dairy cow productivity by reducing milk production, impairing reproductive success, and increasing morbidity and mortality. This leads to annual economic losses around $1 billion when lactating cows experience heat stress [4–7].
Even when not directly exposed to heat stress during lactation, a dairy cow can experience negative consequences when heat stress occurs during the dry period. We have previously shown that cows exposed to heat stress during the dry period experience decreases in milk production by 3 to 7.5 kg/d and increased incidences of health disorders in the next lactation [8–11]. Indeed, a recent economic analysis predicted that if cows are not provided heat stress abatement during the dry period, milk production losses could cost the US dairy industry an additional $810 million annually [12]. The dry period is a non-lactating state initiated six to eight weeks before parturition and is characterized by phases of mammary gland involution via programmed cell death (i.e. apoptosis) and redevelopment via cell division and growth (i.e. cellular proliferation) [13]. The purpose of this period is to promote mammary epithelial cell (MEC) turnover, where senescent epithelial cells are replaced with fully-functional cells in preparation for the next lactation [14]. Once lactation begins, the overall capacity of the mammary gland to synthesize and store milk is dependent on the number of MECs, which is regulated by rates of apoptosis and cellular proliferation, and the activity per cell [15].
Heat stress impacts cellular morphology and processes such as apoptosis and proliferation in the mammary gland. In vitro heat shock in connective and epithelial tissue results in a number of morphological alterations including structure and function of the plasma membrane, disruption of the Golgi complex, mitochondrial swelling, and alterations in cytoskeletal elements [16,17]. Specifically in mammary tissue, heat stress impairs MEC protein synthesis, alters organization of keratin and actin filaments, and downregulates genes involved in cellular growth and ductal branching while promoting expression of genes involved in apoptotic, phagocytic, and cell survival responses [18–23]. In addition, we have shown that heat stress experienced by the developing fetus in-utero (i.e. during late gestation, coinciding with the dry period) leads to reduced mammary alveolar area and MEC proliferation during these animals’ first lactation [24]. Dry period heat stress has been shown to impair MEC proliferation, thus potentially impairing the ability of the hyperthermic dry cow to successfully undergo the redevelopment phase in preparation for the next lactation [9,25].
While we understand some direct implications of heat stress on dry period mammary development in the dam and the long-lasting repercussions in the offspring, less is known about the carry-over effect of dry period heat stress on mammary morphology in the dam’s upcoming lactation. Thus, the objective of this study was to determine the impact of dry period heat stress on dairy cow mammary microstructure and cellular processes as they enter the next lactation. We hypothesized that dry period heat stress would alter alveolar architecture and impair MEC proliferation and apoptosis during lactation, thus reducing capacity for milk synthesis and storage which may further explain observed reductions in milk yield.
Materials and methods
Animals and treatments
Cows
This study was approved by the Institutional Animal Care and Use Committee at the University of Florida and was conducted from May to December 2016 at the University of Florida Dairy Unit (Hague, FL) using a herd of multiparous Holstein cows. Cows were dried off approximately 46 days before expected calving date according to UF Dairy Unit standard operating procedures and randomly assigned to one of two treatment groups for the duration of the dry period; heat stressed (HT; n = 12) or cooled (CL; n = 12). Mature-equivalent milk production in the previous lactation and parity were similar between treatments. For the entire dry period, both groups were housed in a shaded, sand-bedded free-stall barn; the CL group had access to water soakers and fans whereas the HT group did not. Fans ran continuously whereas water soakers were activated for 1.5 min in 6 min intervals when ambient temperature exceeded 21.1°C. Ambient temperature and relative humidity of the barn were recorded every 15 min for the entire dry period with Hobo Pro series Temp probes (Onset Computer Corp., Pocasset, MA). The temperature humidity index (THI) was calculated for the HT and CL areas of the barn based on the equation by Dikmen et al. [26]: THI = (1.8 x T + 32)–[(0.55–0.0055 x RH) x (1.8 x T – 26)], T = ambient temperature (°C) and RH = relative humidity (%). During the entire dry period, cows were fed a common close-up total mixed ration (TMR), formulated to the National Research Council recommendations (14.11% CP, 45.15% NDF, 0.68% Ca, 0.32% P, 0.12% Na, 1.06% Cl, 0.51% Mg, 0.32% S). Daily dry matter intake (DMI) of individual cows was measured from dry-off to calving and from calving up to 42 days in milk (DIM) using a Calan gate system (American Calan Inc., Northwood, NH). After calving, all cows were treated similarly, housed in shaded, free-stall barns with water soakers and fans and fed lactating cow TMR (17.54% CP, 30.38% NDF, 0.88% Ca, 0.44% P, 0.54% Na, 0.55% Cl, 0.42% Mg, 0.22% S). Cows were milked two times daily according to Dairy Unit standard operating procedure.
Physiological measures and milk yield
During the dry period, rectal temperature was recorded twice daily at 0730 h and 1430 h, and respiration rate three times per week at 1400 h by counting the number of flank movements in one minute. Post-calving, rectal temperature and respiration rate were recorded every 7 days at 1430 h and 1400 h, respectively, until 84 DIM. Colostrum yield, daily milk yield, and cow body weights were obtained from AfiFarm Dairy Herd Management Software (Afimilk Ltd., Kibbutz, Afikim, Israel) from birth to 84 or 280 DIM (for weight and milk yield respectively). Gestation length was calculated by subtracting calving date from the artificial insemination date. Calf birth weight was recorded prior to first colostrum feeding.
Mammary biopsies and tissue processing
Mammary biopsies were collected on 14, 42, and 84 DIM for a randomly selected subset of cows (n = 6 per treatment). Biopsies were collected according to the procedures from Farr et al. with slight modifications [27]. Briefly, cows were sedated via intravenous xylazine (Akom, Inc., Decatur, IL; 35 μl/kg BW). The biopsy site was selected, taking care to avoid major blood vessels, and sterilized by shaving and scrubbing with iodine and ethanol solutions. Tissue was collected in alternating rear right and left quarters of the gland between consecutive biopsies which were at least 28 d apart. Local anesthesia was provided through lidocaine (3 mL) administered subcutaneously at the biopsy site. A stainless-steel biopsy tool on a drill was inserted into a 3–4 cm incision in the mammary parenchyma and was activated to cut a core of mammary tissue. After collection, the biopsy incision was closed using sterile 18 mm Michel wound clips and sprayed with an antibacterial adhesive. Clips were removed after 3 days. The tissue collected was immediately washed in sterile saline, trimmed and sectioned, and stored overnight in cassettes in 4% paraformaldehyde at 4°C. The cassettes were subjected to a serial ethanol rinse (25%, 50%, 70% and 100%) for dehydration and returned to 70% ethanol for storage at 4°C. Following the standard procedures of the University of Florida Molecular Pathology Core, tissues were processed, paraffin embedded, sectioned at 5 μm, and affixed to slides. These sections were stained with hematoxylin and eosin (H&E), Masson’s trichrome, or further processed for immunohistochemistry (Ki67 and TUNEL). The H&E and Masson’s trichrome staining were conducted by the Molecular Pathology Core according to standard manufacturer protocol at standard times for animal tissue with histology grade xylene and graded ethanol series (Hematoxylin 7211, Clarifier1, Bluing, and Eosin Y Alcoholic; Thermo Fisher Scientific). These stained slides were used to identify, analyze, and quantify mammary tissue microstructure (i.e. alveoli area and number) and connective tissue area.
Immunohistochemistry
Ki67 assay for cell proliferation
The Ki67 assay was performed to detect the number of proliferating cells (stained brown; positive) and non-proliferating cells (stained blue; negative) in a section of mammary tissue. The protocol for Ki67 staining was previously described in a companion study [24] using the UltraVision One Detection System: HRP Polymer/DAB Plus Chromogen kit (Thermo Fisher Scientific, Cat# TL-015-HDJ). Briefly, sections were deparaffinized and rehydrated. For antigen retrieval, slides were placed in coplin jars containing heated 1x citrate buffer in a 95°C water bath for 20 min, cooled for 10 min, then washed. Unless otherwise stated, all washes were performed in 1x tris-buffered saline with 0.1% Tween-20 (TBSt) and all incubations occurred at room temperature (~ 25°C). Sections were incubated with H2O2 for 15 min, washed, and incubated with UltraV block for 5 min. Slides were incubated for 30 min with primary antibody (Monoclonal Mouse Anti-Human Ki67 Antigen Clin MIB-1, Dako Agilent, Cat# M724029-2) previously diluted 1 : 100 in 1x TBSt. Upon washing, slides were incubated with Ultravision One HRP polymer for 30 min, washed again, then incubated with diluted DAB Plus chromogen for 5 min. Sections were washed with ddH2O and counterstained with hematoxylin for 1 min. Sections were dehydrated in an ethanol and xylene wash series and mounted with Permount (Thermo Fisher, Cat# SP15). Positive and negative controls were established using calf jejunum (high proliferative rates) and bovine mammary tissue at 14 DIM without primary antibody incubation, respectively.
Tdt dUTP nick-end labeling (TUNEL) assay for apoptosis
The TUNEL assay was conducted to quantify the number of cells undergoing apoptosis (stained brown; positive) and those not undergoing apoptosis (stained blue; negative) in a section of mammary tissue. The procedure followed was previously described in a companion paper [24] Briefly, we used the ApopTag Plus Peroxidase in situ Apoptosis Kit (Millipore, Cat# S7101) according to manufacturer’s instructions. Tissues were deparaffinized and rehydrated, and antigen retrieval was performed by incubating slides in 20 μg/ml proteinase K (Invitrogen, Cat# AM2542) for 8 min. Unless otherwise stated, incubations occurred at room temperature. Slides were washed in ddH2O then quenched in 3% H2O2 for 10 min. Slides were incubated in equilibration buffer for 10 min then incubated in a 1 : 3 working dilution of TdT enzyme in reaction buffer for 60 min at 37°C. Sections were washed in stop/wash buffer and 1x PBS followed by antibody incubation of anti-digoxigenin-peroxidase for 30 min and a DAB incubation for 8 min. Counterstaining was applied using methyl green stain (Sigma, Cat#198080), then slides were washed 3x. The sections were dehydrated in butanol and xylene washes and mounted with Permount (Thermo Fisher, Cat# SP15). Positive and negative controls were rat mammary tissue at 3–5 d involution (high apoptotic rates) and a section of bovine mammary tissue at 14 DIM incubated with TdT enzyme diluted in stop/wash solution instead of reaction buffer, respectively.
Quantification of histological sections
The EVOS XL Core imaging system (Advanced Microscopy Group Bothell, WA) was used to capture images of H&E, Masson’s trichrome, Ki67, and TUNEL histological sections. ImageJ software was used for tissue quantification. The ImageJ Point Picker plugin was utilized to count alveoli number in H&E stained sections and the number of positive and negative cells in Ki67 and TUNEL sections. Area measurements for individual alveolar area (H&E) and connective tissue area (Masson’s trichrome) were calibrated to the image size and magnification (i.e. pixels to μm). Total tissue area for photomicrographs taken at 20x is 574,497 μm2 and at 40x is 96,820 μm2. Alveolar area was traced using the freehand tool, whereas connective tissue area was quantified by threshold measurement. Briefly, Masson’s trichrome images were converted to RGB stack color (black and white) and set at threshold of 55 for all sections. This converted connective tissue stain to a red color and all other tissue stain to white. The percentage area was calculated as the area of the red color as a proportion of the total image area.
For H&E stained sections, three photomicrographs were captured per section with a 10X objective for quantification of alveolar number and a 20X objective for alveoli area. The 10X magnification was chosen for alveolar number to ensure alveoli presence in each field. All photomicrographs captured were selected from random fields of view, taking care to avoid tissue edges. Alveoli were defined as structures with a lumen surrounded by a single layer of MEC, and alveolar area was quantified by measuring an individual alveoli’s luminal area excluding the surrounding MEC. Mammary ducts were not counted or measured. Care was taken to avoid all intralobular ducts and apparent interlobular ducts. Alveoli number and area were averaged across the three photomicrographs per section for each cow at each timepoint for statistical analysis.
Sections from Masson’s trichrome staining were taken at 20X magnification with three randomly captured photomicrographs per section to measure connective tissue area. Connective tissue was defined as tissue stained blue, whereas all other remaining tissue (i.e. alveolar cells, ductal epithelial cells, myoepithelial cells, immune cells, adipocytes, endothelial cells, and red blood cells) was stained pink or dark purple as a covariate. The remaining tissue area was not calculated. Connective tissue area was averaged across the three photomicrographs per section for each cow at each timepoint for statistical analysis.
Histological sections from Ki67 and TUNEL assays were captured with three photomicrographs taken randomly per section at a 40X objective. In each capture, every cell was counted and defined as either positive (stained brown) or negative (stained blue). Cells were classified as either MEC or stromal cell. Mammary epithelial cells encompassed alveolar cells, ductal epithelial cells, and myoepithelial cells, whereas stromal cells included cells in the surrounding epithelium such as fibroblasts, immune cells, adipocytes, endothelial cells, and red blood cells. Results are expressed as proportion of positive cells per section. To calculate the proportion of cells either proliferating (Ki67) or undergoing apoptosis (TUNEL), the total number of positive cells per section were divided by the total number of cells per section (positive and negative) for each cell type (MEC or stromal cells).
Statistical analyses
Statistical analysis was conducted in SAS v. 9.4 (SAS Institute, Cary, NC) with all data tested for normality. PROC GLM was used for one-way ANOVA analysis of colostrum yield, gestation length, and calf birth weight with calf sex as a covariate and a sex by treatment interaction was included for calf weight. Cell proliferation or apoptosis was analyzed by generalized linear mixed models using PROC GLIMMIX with a binomial distribution and logit link function. Fixed effects included treatment, DIM, and their interaction, and cow ID within treatment as random effect. Correlation between alveoli number and MEC number was assessed using Pearson’s correlation (PROC CORR). All other data were analyzed by generalized linear mixed models using PROC MIXED with fixed effects of treatment, DIM (repeated measures), and their interaction. The first-order autoregressive covariance structure (AR(1)) was used as the covariate structure. Significance was declared at P ≤ 0.05 and tendency was declared at 0.05 < P ≤ 0.10. Data are presented as least squares means (LSM) ± standard error (SE) unless otherwise stated. The minimal data set can be found in S1 Table.
Results
Physiological measures and milk yield
During the dry period, THI was similar between pens (74.6 vs. 74.4 ± 0.3 for HT vs. CL respectively), yet respiration rate (69.5 vs. 53.8 ± 2.1, P < 0.01) and rectal temperature in the morning (38.56 vs. 38.35 ± 0.03, P < 0.01) and afternoon (39.09 vs. 38.74 ± 0.03, P < 0.01) were higher for the HT cows relative to CL cows across the duration of the dry period, indicating abatement of heat stress in the cooled group during the dry period was successful (Table 1). Respiration rate for both groups increased as the dry period progressed (P = 0.02). Dry matter intake was not different between treatments during the dry period (11.91 vs 9.83 ± 1.16, P = 0.24; Table 1).
Tab. 1. Physiological parameters, colostrum and milk yield.
Multiparous Holstein cows were exposed to dry period heat stress (HT, n = 12) or cooling (CL, n = 12) for ~46 d pre-calving. Measurements occurred both during the dry period (when treatment was applied) and during lactation (after treatment exposure). Data are presented as LSM± SE.
Cows exposed to heat stress during the dry period had a shorter gestation length and gave birth to lower birthweight calves than did cows provided with active cooling during the dry period (P = 0.43, Table 1). There was no difference between treatment groups in body weight at calving (P = 0.81), but HT cows tended to weigh less over 84 DIM (P = 0.06, Table 1). Regardless of treatment, body weight also tended to change across 84 DIM, but there was no treatment by time interaction (P(DIM) = 0.06, P(INT) = 0.20). After calving, when both groups of cows were provided with active cooling, rectal temperature, respiration rates, and DMI were similar between treatment groups and averaged 38.71° C, 58 bpm, and 17.4 kg/d (P > 0.34, Table 1). As lactation progressed, rectal temperature of the cows decreased (P < 0.01). There was an interaction between DIM and treatment on respiration rate for the lactating cows (P = 0.02); whereby respiration rate was significantly higher at 7 DIM in HT cows but was higher in CL cows at 28 DIM.
Cows that were cooled during the dry period produced 4 kg more colostrum and 3.7 kg/day more milk than HT cows across 280 DIM (Table 1, P < 0.01). Milk yield changed over the course of lactation for both groups (P < 0.01), but there was no interaction between DIM and treatment (P = 0.76, Fig 1).
Fig. 1. Weekly milk yield through 280 days in milk (DIM).
Multiparous Holstein cows were heat stressed (HT, access to shade only, n = 12) or cooled (CL, access to shade, fans, and water soakers, n = 12) during their previous dry period (~46 d pre-calving). Milk yield was lower in HT compared to CL dams (P < 0.01). * indicates P ≤ 0.05 and # indicates 0.10 ≤ P > 0.05. All data are presented as LSM ± SE.
Mammary gland microstructure
There were fewer alveoli in the mammary gland of HT cows compared to CL cows (167.3 vs. 197.7 ± 9.3, P = 0.04; Fig 2A and 2B) across 84 DIM, but individual alveoli area was similar between treatment groups (56345 vs. 59057 ± 9488 μm2, for HT vs. CL respectively, P = 0.84; Fig 2C). There were no significant interactions between DIM and treatment for alveoli area and number (P > 0.59). Alveoli number was positively correlated with the number of MEC (r = 0.89, P < 0.001). Cows heat-stressed during the dry period had a significantly higher proportion of mammary connective tissue during lactation relative to cows cooled during the dry period (22.7 vs. 14.8 ± 2.5% respectively, P = 0.05; Fig 2D and 2E). There was also a DIM effect whereby mammary tissue at 14 DIM had a greater percentage of connective tissue compared with 42 and 84 DIM (23.8 vs. 17.4 vs. 15.0 ± 2.5%, respectively, P = 0.04). No interaction between treatment and DIM was observed (P = 0.63).
Fig. 2. Histological evaluation of the lactating mammary gland.
Multiparous Holstein cows were heat stressed (HT, access to shade only, n = 6) or cooled (CL, access to shade, fans, and water soakers, n = 6) during the entire dry period (~46 d pre-calving). Mammary biopsies were collected at 14, 42, and 84 days in milk (DIM). (A) Hematoxylin and eosin (H&E) stained mammary tissue at 10X, (B) number of alveoli in the mammary gland of CL and HT cows, (C) area of alveoli in mammary gland of CL and HT cows. (D) Masson’s trichrome stained mammary tissue at 20X, (E) proportion of connective tissue in mammary gland of CL and HT cows. Alveoli number was lower in HT compared to CL dams (P = 0.04). Alveoli area was not different between treatments (P = 0.84). The proportion of connective tissue was higher in HT compared to CL dams (P = 0.05) and higher at 14 DIM compared to 42 and 84 DIM (P = 0.04). No interactions between treatment and DIM were observed. All data are presented as LSM ± SE. Disparate letters indicate a significant difference over time (i.e. 14 DIM vs. 42 DIM, 14 DIM vs. 84 DIM, or 42 DIM vs. 84 DIM). An asterisk indicates a significant difference and n.s. indicates a non-significant difference between treatments. AL = alveoli, DUCT = mammary duct. Scale bar is 200 μm for H&E staining and 100 μm for Masson’s trichrome staining.
Cell proliferation and apoptosis
There was no difference between CL and HT dry period treatments in proportion of total proliferating cells (1.8 vs. 2.1 ± 0.5%, for HT vs. CL respectively, P = 0.55; Fig 3A and 3B) or proportion of MEC or stromal proliferating cells (P > 0.62) during lactation at 14, 42, or 84 DIM. There was a significant DIM effect where the percent of proliferating MEC and total cells (MEC + stromal) was decreased at 14 DIM compared to 84 DIM (MEC: 0.8 vs. 3.3 ± 0.6%, P = 0.02; Total cells: 1.3 vs. 3.2 ± 0.6%, P = 0.04). Exposure to heat-stress during the dry period did not impact the proportion of total apoptotic cells (0.26 vs. 0.19 ± 0.05%, for HT vs. CL respectively, P = 0.28; Fig 3A and 3C) or proportion of MEC or stromal apoptotic cells (P > 0.18) during lactation at 14, 42, or 84 DIM. There were no treatment by time interactions for cell proliferation or apoptosis (P > 0.35).
Fig. 3. Mammary immunohistochemistry of proliferating and apoptotic cells in lactating Holstein cows.
Multiparous cows were heat stressed (HT, access to shade only, n = 6) or cooled (CL, access to shade, fans, and water soakers, n = 6) during the entire dry period (~46 d pre-calving). Mammary biopsies were collected at 14, 42, and 84 days in milk (DIM). (A) Ki67 assay for cell proliferation and Tdt dUTP nick-end labeling (TUNEL) assay for apoptosis in mammary tissue at 40X, (B) proportion of proliferating cells in MEC, stromal, and total (MEC + stromal) mammary cells, and (C) proportion of apoptotic cells in MEC, stroma, and total mammary cells. Positive controls for (D) Ki67 (jejunum tissue from a 2-day old calf) and (E) TUNEL assays (rat mammary tissue at 3–5 d involution). Neither percentage of proliferating cells (P > 0.55) nor percentage of apoptotic cells (P > 0.18) was different between treatment groups. However, there was a significant DIM effect where the proportion of proliferating MEC and total cells was lower at 14 DIM compared to 84 DIM (P ≤ 0.04). All data are presented as LSM ± SE. Red arrows indicate positive cells (stained brown). AL = alveoli lumen, STR = stroma. Scale bar is 100 μm.
Discussion
Dry period heat stress has been shown to cause milk yield losses in the subsequent lactation by our group and others [8,9,28–30], and is associated with lower MEC proliferation in the dry period [9]. However, less is understood about the carry-over effect of dry period heat stress on mammary morphology during the subsequent lactating period. This study describes the alterations to dairy cow mammary microstructure and cellular processes in the lactating mammary gland after heat stress exposure during the regenerative involution of the dry period. During the dry period, rectal temperature and respiration rate were elevated in the HT cows relative to CL cows despite a similar THI between the barns, indicating achievement of heat stress abatement for the CL group, consistent with previous studies [8,9,31]. After calving when all cows were provided heat stress abatement, previously CL and HT cows had similar rectal temperatures and respiration rates that fell within the thermoneutral ranges and were lower than those observed during the dry period for the HT cows. This indicates that upon initiation of lactation, when both groups were cooled, neither group was experiencing severe levels of heat stress [32]. Thus, we assume any differences between groups in terms of mammary morphology or cellular processes during lactation can be attributed to heat stress exposure during the dry period.
Cows exposed to heat stress during the dry period gave birth an average 7 days earlier and to lighter calves than CL cows, corroborating many studies of dry period heat stress in dairy cattle [33–35]. In the lactation following exposure to heat stress, HT cows produced 4 kg less colostrum and 3.7 kg/d less milk. This milk yield difference is within the reported range of a 3 to 7.5 kg/d difference in milk yield between multiparous cows that were either exposed to heat stress or provided fans and water soakers during the dry period [8–10,36]. As expected, milk yield changed across the lactation period. Contrasting the shape of the lactation curves of CL and HT cows, it is evident that there is increased milk production in cows that are CL during the dry period.
Both groups exhibit an increase in milk production that peaked around 84 DIM, which is typical for dairy cows in similar environmental conditions [37], however the increase in milk yield is greater in cows that were CL during the dry period. Biopsy collection timepoints of 14, 42, and 84 DIM occur before or at peak milk yield, thus capturing changes in mammary morphology and cellular processes during early and peak lactation, before the decline in lactation [15]. Further investigation of the impact of dry period heat stress on mammary histology during late lactation should be conducted, as milk yields for both treatment groups were similar at that time.
As previously shown by our group [9,36], cows under dry period heat stress consume approximately 1 kg/d less dry matter compared to those that were provided with heat abatement, although in this study it is not statistically different. Importantly, after calving, when both groups of cows are provided heat abatement, DMI was not different. This indicates that differences observed in milk production cannot be attributed to the impact of heat stress on reduced intakes and energy balance during lactation. Therefore, alterations in mammary morphology are likely to play a primary role in milk losses.
Alveoli number, but not individual alveoli area, was significantly lower during lactation in mammary tissue of cows exposed to dry period HT compared with CL cows. This is contradictory to a companion study of in-utero heat-stressed heifers that found a reduction in alveolar area, but not alveolar number, in the first lactation of heifers exposed to heat stress in-utero [24]. Discrepancies between these two studies may be attributed to the differences in timing of heat stress exposure, i.e. during the dry period immediately prior to lactation vs. during in-utero development nearly two years before lactation began. Indeed, the two responses may differ as the effect of in utero heat stress persists across multiple lactations whereas the impact of dry period heat stress on a mature cow to a second lactation is unclear [38]. Alternatively, differences may be explained by the biological influence of heat stress exposure, as dry period heat stress can lead to direct impacts on MEC cell death and proliferation while in-utero heat stress may alter fetal mammogenesis, methylation profile, or early stem cell development within the mammary gland [9,18,24,39]. Additionally, parity may impact these results, as primiparous mammals can experience improved MEC survival, altered MEC differentiation, and reduced alveolar size and density during lactation when compared to their multiparous counterparts [40–42].
Regardless of the foregoing differences, reductions in alveolar number and area can have negative consequences on overall luminal area and milk secretion and storage in the mammary gland, potentially leading to the losses in milk production evident in both studies [24,43]. As expected, alveoli number was highly correlated with MEC number, because alveoli are luminal structures surrounded by a single layer of MEC. Both MEC number and activity regulate the capacity of the mammary gland to synthesize and store milk, with cellular activity being the main driver of milk yields during early lactation in dairy cattle [44]. While we do not have a measure of activity per MEC in the current study, it is logical to predict that a significant reduction in alveolar number during early lactation would also prevent the overall activity and functionality of the mammary gland to reach its full synthetic capacity. In addition, secreted milk is stored in the alveoli and ducts of the gland until milk ejection; thus, mammary storage capacity is in part dependent on the number of alveoli [45].
Dry period HT cows had a significantly higher percentage of mammary connective tissue during lactation compared with cooled cows. Proportions of mammary epithelial tissue and connective tissue are inextricably linked; as the percentage of connective tissue increases, alveolar luminal area decreases and vice versa [46]. It is possible that the reduced parenchymal growth caused by dry period heat stress allows the existing connective tissue to persist resulting in the greater proportion observed during lactation. Consequently, this shift in tissue types may impact the overall secretory capacity of the gland. Consistent with our heat stress model, other stressors related to intramammary infection have been shown to reduce epithelial area while increasing stromal area during lactation, potentially leading to impaired milk production [47,48]. Traditionally, the secretory mammary epithelium is given primary consideration when analyzing the impact of heat stress on cellular morphology and production phenotype. However, this epithelium is closely linked to the stroma through the basement membrane extracellular matrix. Therefore, other supportive cell types such as fibroblasts and adipocytes may play crucial roles in mammary gland remodeling during the dry period and maintaining milk synthesis during lactation, particularly under heat stress [46,49]. Additional research is needed to understand connective tissue dynamics under dry period heat stress.
Dry period heat stress did not influence the proportion of proliferating cells nor the proportion of apoptotic cells during the first 84 DIM. Cellular apoptosis and proliferation can be greatly impacted by heat stress. In vitro heat shock initiates cell death of damaged MECs through apoptosis, impairs MEC cellular proliferation, and alters the cellular cytoskeleton through impaired protein synthesis to promote thermotolerance and protection of MECs [21–23]. Heat stress leads to downregulated expression of genes related to cellular growth and ductal branching and upregulated expression of genes involved in apoptotic, phagocytic, and cell survival responses [18–20,23]. However, in the current study, cows were directly exposed to treatment of heat stress or heat stress abatement only during the dry period, so lack of direct heat stress exposure later during lactation may reduce the likelihood of altered rates MEC cell death or proliferation. Indeed, Tao et al. (2011) demonstrated that dry period heat-stressed cows experienced impaired MEC proliferation during the late dry period that did not continue into lactation [9]. These same authors also found no differences in apoptotic rates during the dry period or lactation, evaluated at 2 and 20 DIM, consistent with the current study which expanded the sampling dates up to 84 DIM. However, other cell death processes, like autophagy, were impacted by dry period heat stress particularly during the early dry period [25]. Further investigation of these processes during lactation is warranted In addition, proliferative and apoptotic rates during early and peak lactation are not as dynamic as in the preceding dry period; thus may not be as greatly impacted by dry period heat stress [13,44,46]. Proliferation of MECs remains relatively low across lactation with a tendency for reduced rates during early lactation (i.e. 14 DIM) [44]. Apoptotic rates exceed rates of cellular proliferation, but do not drive lactation persistency until later in lactation when cellular apoptosis leads to an observed decline in mammary cell number [44]. In a companion study, in-utero heat stress did not impact rates of apoptosis but tended to impair MEC proliferation when these heifers reached their first lactation. Again, discrepancies between these two studies may be attributed to the differences in the biology behind the timing of heat stress exposure or parity, as primiparous cows exhibit differences in MEC differentiation during lactation [41,42].
After heat stress insult across the duration of the dry period, dairy cows experience reductions in milk yield that appears to be influenced, in part, by a reduction in alveoli number and an increase in connective tissue but not changes in cellular turnover during lactation. This is consistent with the shape of the lactation curves between treatment groups–reduced yield at the start of lactation but no differences in persistency across 35 weeks in milk. In the present study due to timing of mammary biopsies, we cannot determine if this alteration in alveolar and connective tissue architecture originates during the dry period or upon establishment of lactation around 14 DIM. However, alveoli area and number were consistent across the lactation period indicating that epithelial structure during lactation does not change dramatically. Connective tissue percentage was higher at 14 DIM compared to 42 and 84 DIM, but this may be a function of improved invagination of epithelial tissue outside of the effects of heat stress. Further, past research from our group suggests that direct exposure of dry period heat stress influences key processes in mammary gland development including MEC proliferation during the late dry period and ductal branching across the dry period, thus perhaps leading to a reduction in alveolar function and number before a cow enters the next lactation [9,18]. Additional examination of mammary histology across the entire duration of the dry period must be conducted to investigate the temporal relationship between dry period heat stress and alteration in mammary epithelial and stromal portions across both the dry period and lactation.
In conclusion, our data demonstrate altered morphology of the lactating mammary gland after dry period heat stress exposure, which may be associated with the decrease in milk production observed. Further studies are needed to elucidate the temporal relationship of this dry period heat stress on the initiation and establishment of impaired mammary microstructure and cellular processes and to determine the mechanisms by which alterations in alveoli architecture affect production phenotypes.
Supporting information
S1 Table [a]
Minimal data set.
Zdroje
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- Glucocorticoid stimulation increases cardiac contractility by SGK1-dependent SOCE-activation in rat cardiac myocytes
- Loss of control as a violation of expectations: Testing the predictions of a common inconsistency compensation approach in an inclusionary cyberball game
- Living on the edge - circadian habitat usage in pre-weaning European hares (Lepus europaeus) in an intensively used agricultural area
- NMDA receptor activation induces long-term potentiation of glycine synapses
- Antibody response in snakes with boid inclusion body disease
- Can they imagine the future? A qualitative study exploring the skills employers seek in pharmaceutical sciences doctoral graduates
- Affirmative citation bias in scientific myth debunking: A three-in-one case study
- Streaming chunk incremental learning for class-wise data stream classification with fast learning speed and low structural complexity
- Time trends in healthy lifestyle among adults in Germany: Results from three national health interview and examination surveys between 1990 and 2011
- The impact of door-to-electrocardiogram time on door-to-balloon time after achieving the guideline-recommended target rate
- A systematic review and network meta-analysis of existing pharmacologic therapies in patients with idiopathic sudden sensorineural hearing loss
- Effect of calcium glucoheptonate on proliferation and osteogenesis of osteoblast-like cells in vitro
- CCR2 knockout ameliorates obesity-induced kidney injury through inhibiting oxidative stress and ER stress
- Multi-method assessment of whale shark (Rhincodon typus) residency, distribution, and dispersal behavior at an aggregation site in the Red Sea
- Duration of symptoms in the quantification of upper limb disability and impairment for individuals with mild degenerative cervical myelopathy (DCM)
- Expression of genes in the skeletal muscle of individuals with cachexia/sarcopenia: A systematic review
- Correction: Alopecia areata patients show deficiency of FOXP3+CD39+ T regulatory cells and clonotypic restriction of Treg TCRβ-chain, which highlights the immunopathological aspect of the disease
- Alcohol, tobacco and cannabis use are associated with job loss at follow-up: Findings from the CONSTANCES cohort
- Estimation of the incidence of animal rabies in Punjab, India
- G-protein-coupled receptor 40 agonist GW9508 potentiates glucose-stimulated insulin secretion through activation of protein kinase Cα and ε in INS-1 cells
- Reasons behind stymied public hospital governance reform in China
- Cognitive and social congruence in peer-assisted learning – A scoping review
- The wing of the ToxR winged helix-turn-helix domain is required for DNA binding and activation of toxT and ompU
- Associations between sexual activity and weight status: Findings from the English Longitudinal Study of Ageing
- Knowledge and practices regarding toxoplasmosis in housewives: A cross sectional study in a northern Mexican city
- Citation gaming induced by bibliometric evaluation: A country-level comparative analysis
- Can we predict which species win when new habitat becomes available?
- Wetlands are keystone habitats for jaguars in an intercontinental biodiversity hotspot
- Research applications of primary biodiversity databases in the digital age
- The Edinburgh Postpartum Depression Scale: Stable structure but subscale of limited value to detect anxiety
- EV71 3C protease induces apoptosis by cleavage of hnRNP A1 to promote apaf-1 translation
- Post-exercise high-sensitivity troponin T levels in patients with suspected unstable angina
- Unexpected sawtooth artifact in beat-to-beat pulse transit time measured from patient monitor data
- Development of highly sensitive and low-cost DNA agarose gel electrophoresis detection systems, and evaluation of non-mutagenic and loading dye-type DNA-staining reagents
- Human mesenchymal stromal cells ameliorate complement induced inflammatory cascade and improve renal functions in a rat model of ischemia-reperfusion induced acute kidney injury
- Macrophage phenotype and its relationship with renal function in human diabetic nephropathy
- Phylogeography of the dugong (Dugong dugon) based on historical samples identifies vulnerable Indian Ocean populations
- Vibrational behavior of psyllids (Hemiptera: Psylloidea): Functional morphology and mechanisms
- Evaluation of the effectiveness and equity of the maternity protection reform in Chile from 2000 to 2015
- Baseline human gut microbiota profile in healthy people and standard reporting template
- Are screening methods useful in feature selection? An empirical study
- Free will beliefs are better predicted by dualism than determinism beliefs across different cultures
- How does the content of nutrients in soil affect the health status of trees in city parks?
- Understanding the intricacy of canid social systems: Structure and temporal stability of red fox (Vulpes vulpes) groups
- The anatomy of a crushing bite: The specialised cranial mechanics of a giant extinct kangaroo
- Nurse-led medicines’ monitoring in care homes, implementing the Adverse Drug Reaction (ADRe) Profile improvement initiative for mental health medicines: An observational and interview study
- Projecting burden of hypertension and its management in Turkey, 2015-2030
- Polyamine biosynthesis in Xenopus laevis: the xlAZIN2/xlODC2 gene encodes a lysine/ornithine decarboxylase
- Cytokines in agitated and non-agitated patients admitted to an acute psychiatric department: A cross-sectional study
- Acute pancreatitis risk after kidney transplantation: Propensity score matching analysis of a national cohort
- Understanding the effect of producers’ attitudes, perceived norms, and perceived behavioral control on intentions to use antimicrobials prudently on New York dairy farms
- Safety assessment of a novel C-type natriuretic peptide derivative and the mechanism of bone- and cartilage-specific toxicity
- Theory of mind in remitted bipolar disorder: Interpersonal accuracy in recognition of dynamic nonverbal signals
- Graviola (Annona muricata) attenuates behavioural alterations and testicular oxidative stress induced by streptozotocin in diabetic rats
- Ecological conditions experienced by offspring during pregnancy and early post-natal life determine mandible size in roe deer
- Calculation of the contribution rate of China’s hydraulic science and technology based on a feedforward neural network
- ViraMiner: Deep learning on raw DNA sequences for identifying viral genomes in human samples
- The absence of interleukin 10 affects the morphology, differentiation, granule content and the production of cryptidin-4 in Paneth cells in mice
- Relationship between Helicobacter pylori infection and obesity in Chinese adults: A systematic review with meta-analysis
- Moving model analysis on the transient pressure and slipstream caused by a metro train passing through a tunnel
- The importance of assigning responsibility during evaluation in order to increase student satisfaction from physical education classes: A structural equation model
- Lower dormancy with rapid germination is an important strategy for seeds in an arid zone with unpredictable rainfall
- Gene Cascade Finder: A tool for identification of gene cascades and its application in Caenorhabditis elegans
- Proteomics approach to identify serum biomarkers associated with the progression of diabetes in Korean patients with abdominal obesity
- Malaria vaccine candidates displayed on novel virus-like particles are immunogenic and induce transmission-blocking activity
- Transcriptome analysis of a nematode resistant and susceptible upland cotton line at two critical stages of Meloidogyne incognita infection and development
- Identification of variant HIV envelope proteins with enhanced affinities for precursors to anti-gp41 broadly neutralizing antibodies
- Distinguishing mild cognitive impairment from healthy aging and Alzheimer’s Disease: The contribution of the INECO Frontal Screening (IFS)
- Novel application of amino-acid buffered solution for neuroprotection against ischemia/reperfusion injury
- Are unpopular children more likely to get sick? Longitudinal links between popularity and infectious diseases in early childhood
- Vegetation communities on commercial developments are heterogenous and determined by development and landscaping decisions, not socioeconomics
- Falls among community-dwelling older adults in Ethiopia; A preliminary cross-sectional study
- Retraction: Social success of perfumes
- The effect of ethyl alcohol on the severity of injuries in fatal pedestrian victims of traffic crashes
- Drought stress has transgenerational effects on soybean seed germination and seedling vigor
- Prevalence of benign osseous lesions of the spine and association with spinal pain in the general population in whole body MRI
- Age-related differences of inter-joint coordination in elderly during squat jumping
- Isolation of five Enterobacteriaceae species harbouring blaNDM-1 and mcr-1 plasmids from a single paediatric patient
- Diagnostic performance and image quality of iterative model-based reconstruction of coronary CT angiography using 100 kVp for heavily calcified coronary vessels
- CAC1 knockdown reverses drug resistance through the downregulation of P-gp and MRP-1 expression in colorectal cancer
- Getting your game on: Using virtual reality to improve real table tennis skills
- 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
- Continuity of care for TB patients at a South African hospital: A qualitative participatory study of the experiences of hospital staff
- EGF receptor stimulation shifts breast cancer cell glucose metabolism toward glycolytic flux through PI3 kinase signaling
- The Better Management of Patients with Osteoarthritis Program: Outcomes after evidence-based education and exercise delivered nationwide in Sweden
- The negative effects of short-term extreme thermal events on the seagrass Posidonia oceanica are exacerbated by ammonium additions
- Pathogen invasion history elucidates contemporary host pathogen dynamics
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- Healthcare resource utilization and costs for multiple sclerosis management in the Campania region of Italy: Comparison between centre-based and local service healthcare delivery
- Deconstruction of central line insertion guidelines based on the positive deviance approach—Reducing gaps between guidelines and implementation: A qualitative ethnographic research
- PBMCs transcriptome profiles identified breed-specific transcriptome signatures for PRRSV vaccination in German Landrace and Pietrain pigs
- The impact of admission serum lactate on children with moderate to severe traumatic brain injury
- Hypervirulent Klebsiella pneumoniae serotype K1 clinical isolates form robust biofilms at the air-liquid interface
- Determination of the bruise degree for cherry using Vis-NIR reflection spectroscopy coupled with multivariate analysis
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- Distribution of the Duffy genotypes in Malaysian Borneo and its relation to Plasmodium knowlesi malaria susceptibility
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- A self-adaptive deep learning method for automated eye laterality detection based on color fundus photography
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- Identification of QTLs for powdery mildew (Podosphaera aphanis; syn. Sphaerotheca macularis f. sp. fragariae) susceptibility in cultivated strawberry (Fragaria ×ananassa)
- Chemical volatiles present in cotton gin trash: A by-product of cotton processing
- PTP1B negatively regulates nitric oxide-mediated Pseudomonas aeruginosa killing by neutrophils
- Differential metabolomics networks analysis of menopausal status
- Experimental study of the temporal profile of breath alcohol concentration in a Chinese population after a light meal
- Association between regional brain volumes and BMI z-score change over one year in children
- Relationships between Potentially Toxic Elements in intertidal sediments and their bioaccumulation by benthic invertebrates
- Long-term outcomes of dialysis in patients with chronic kidney disease and new-onset atrial fibrillation: A population-based cohort study
- Hospital burden of pulmonary arterial hypertension in France
- Understanding the variability of Australian fire weather between 1973 and 2017
- Photon-counting cine-cardiac CT in the mouse
- Ecophysiological impacts of Esca, a devastating grapevine trunk disease, on Vitis vinifera L.
- Black “Reading the Mind in the Eyes” task: The development of a task assessing mentalizing from black faces
- Osmolytes ameliorate the effects of stress in the absence of the heat shock protein Hsp104 in Saccharomyces cerevisiae
- Reliable and robust method for abdominal muscle mass quantification using CT/MRI: An explorative study in healthy subjects
- Validation of the Rainbow Model of Integrated Care Measurement Tools (RMIC-MTs) in renal care for patient and care providers
- Multiple origins and the population genetic structure of Rubus takesimensis (Rosaceae) on Ulleung Island: Implications for the genetic consequences of anagenetic speciation
- Genetic profiling of fatty acid desaturase polymorphisms identifies patients who may benefit from high-dose omega-3 fatty acids in cardiac remodeling after acute myocardial infarction—Post-hoc analysis from the OMEGA-REMODEL randomized controlled trial
- A randomized controlled trial examining the efficacy of an internet-based cognitive behavioral therapy program for adolescents with anxiety disorders
- Optimising outputs from a validated online instrument to measure health-related quality of life (HRQL) in dogs
- Young adults’ perceptions of using wearables, social media and other technologies to detect worsening mental health: A qualitative study
- Characteristics of prescription in 29 Level 3 Neonatal Wards over a 2-year period (2017-2018). An inventory for future research
- Genetic characterization of fall armyworm (Spodoptera frugiperda) in Ecuador and comparisons with regional populations identify likely migratory relationships
- Correction: Lkb1 Deficiency Alters Goblet and Paneth Cell Differentiation in the Small Intestine
- Cardiac resynchronization therapy-heart failure (CRT-HF) clinic: A novel model of care
- Synteny and phylogenetic analysis of paralogous thyrostimulin beta subunits (GpB5) in vertebrates
- Dual-Subpopulation as reciprocal optional external archives for differential evolution
- NGS analysis in Marfan syndrome spectrum: Combination of rare and common genetic variants to improve genotype-phenotype correlation analysis
- Optimization of cataract surgery follow-up: A standard set of questions can predict unexpected management changes at postoperative week one
- Silymarin in non-cirrhotics with non-alcoholic steatohepatitis: A randomized, double-blind, placebo controlled trial
- Clinical evaluation of General Electric new Swiftscan solution in bone scintigraphy on NaI-camera: A head to head comparison with Siemens Symbia
- Pharmacist-led academic detailing improves statin therapy prescribing for Malaysian patients with type 2 diabetes: Quasi-experimental design
- Proton pump inhibitors attenuate myofibroblast formation associated with thyroid eye disease through the aryl hydrocarbon receptor
- Clinical outcomes with neoadjuvant versus adjuvant chemotherapy for triple negative breast cancer: A report from the National Cancer Database
- Identification and characterization of a novel heparan sulfate-binding domain in Activin A longest variants and implications for function
- Wikipedia network analysis of cancer interactions and world influence
- Using path signatures to predict a diagnosis of Alzheimer’s disease
- Development and verification of prediction models for preventing cardiovascular diseases
- Additive and heterozygous (dis)advantage GWAS models reveal candidate genes involved in the genotypic variation of maize hybrids to Azospirillum brasilense
- Fish tank granuloma: An emerging skin disease in Iran mimicking Cutaneous Leishmaniasis
- Transience effect in capture-recapture studies: The importance of its biological meaning
- Detailed global modelling of soil organic carbon in cropland, grassland and forest soils
- Oral dosing for antenatal corticosteroids in the Rhesus macaque
- Retraction: Modulation of the Pentose Phosphate Pathway Induces Endodermal Differentiation in Embryonic Stem Cells
- An analysis on HBsAg, Anti-HCV, Anti-HIV½ and VDRL test results in blood donors according to gender, age range and years
- Clinical factors associated with bacterial translocation in Japanese patients with type 2 diabetes: A retrospective study
- Meaningful work and resilience among teachers: The mediating role of work engagement and job crafting
- The conditional Fama-French model and endogenous illiquidity: A robust instrumental variables test
- Breast cancers utilize hypoxic glycogen stores via PYGB, the brain isoform of glycogen phosphorylase, to promote metastatic phenotypes
- Characterization of sequentially-staged cancer cells using electrorotation
- Vancomycin-laden calcium phosphate-calcium sulfate composite allows bone formation in a rat infection model
- Genetic evidence for plural introduction pathways of the invasive weed Paterson’s curse (Echium plantagineum L.) to southern Australia
- Risk of major autoimmune diseases in female breast cancer patients: A nationwide, population-based cohort study
- Real-time three-dimensional MRI for the assessment of dynamic carpal instability
- Interim report on the effective intraperitoneal therapy of insulin-dependent diabetes mellitus in pet dogs using “Neo-Islets,” aggregates of adipose stem and pancreatic islet cells (INAD 012-776)
- The frequency of bowel and bladder problems in multiple sclerosis and its relation to fatigue: A single centre experience
- Retraction: Analysis of Mycobacterium tuberculosis-Specific CD8 T-Cells in Patients with Active Tuberculosis and in Individuals with Latent Infection
- The association between role model presence and self-regulation in early adolescence: A cross-sectional study
- Correction: A controlled-release oral opioid supports S. aureus survival in injection drug preparation equipment and may increase bacteremia and endocarditis risk
- Methamphetamine regulation of activity and topology of ventral midbrain networks
- Evaluation and treatment of latent tuberculosis infection among healthcare workers in Korea: A multicentre cohort analysis
- Occult periprosthetic femoral fractures occur frequently during a long, trapezoidal, double-tapered cementless femoral stem fixation in primary THA
- TCF4 induces enzalutamide resistance via neuroendocrine differentiation in prostate cancer
- Structural characterization of EGFR exon 19 deletion mutation using molecular dynamics simulation
- Comparing infiltration rates in soils managed with conventional and alternative farming methods: A meta-analysis
- Correction: Permissivity of Primary Human Hepatocytes and Different Hepatoma Cell Lines to Cell Culture Adapted Hepatitis C Virus
- Radiomics features of the primary tumor fail to improve prediction of overall survival in large cohorts of CT- and PET-imaged head and neck cancer patients
- The complete mitochondrial genome of Calyptogena marissinica (Heterodonta: Veneroida: Vesicomyidae): Insight into the deep-sea adaptive evolution of vesicomyids
- 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
- Upper versus lower airway microbiome and metagenome in children with cystic fibrosis and their correlation with lung inflammation
- “…or else I close my ears” How women with obesity want to be approached and treated regarding gestational weight management: A qualitative interview study
- Does a spinal implant alter dual energy X-ray absorptiometry body composition measurements?
- Economic and livestock health impacts of birds on dairies: Evidence from a survey of Washington dairy operators
- Repair of subtotal tympanic membrane perforations: A temporal bone study of several tympanoplasty materials
- Shifts in temperature influence how Batrachochytrium dendrobatidis infects amphibian larvae
- Sequential two-step chromatographic purification of infectious poliovirus using ceramic fluoroapatite and ceramic hydroxyapatite columns
- Frequency and distribution of corneal astigmatism and keratometry features in adult life: Methodology and findings of the UK Biobank study
- Differences in the impedance of cochlear implant devices within 24 hours of their implantation
- Suppressive impact of metronomic chemotherapy using UFT and/or cyclophosphamide on mediators of breast cancer dissemination and invasion
- 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
- Addis Ababa population-based pattern of cancer therapy, Ethiopia
- 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
- Oxidoreductase disulfide bond proteins DsbA and DsbB form an active redox pair in Chlamydia trachomatis, a bacterium with disulfide dependent infection and development
- DNA barcoding of coastal ray-finned fishes in Vietnam
- Comparison of climbing-specific strength and endurance between lead and boulder climbers
- 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
- Beta-defensins and analogs in Helicobacter pylori infections: mRNA expression levels, DNA methylation, and antibacterial activity
- 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
- ERK1/ATF-2 signaling axis contributes to interleukin-1β-induced MMP-3 expression in dermal fibroblasts
- Cytokine profiles of umbilical cord blood mononuclear cells upon in vitro stimulation with lipopolysaccharides of different vaginal gram-negative bacteria
- 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
- Thrombophilic risk factors in hemodialysis: Association with early vascular access occlusion and patient survival in long-term follow-up
- 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
- How well do cancer survivor self-classifications of anxiety, depression and stress agree with a standardised tool? Results of a cross-sectional study
- Comparative nutritional characteristics of the three major Chinese Dendrobium species with different growth years
- Nilotinib, an approved leukemia drug, inhibits smoothened signaling in Hedgehog-dependent medulloblastoma
- 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
- Role of GDF15 in methylseleninic acid-mediated inhibition of cell proliferation and induction of apoptosis in prostate cancer cells
- Black people are convicted more for being black than for being poor: The role of social norms and cultural prejudice on biased racial judgments
- Bulked segregant analysis RNA-seq (BSR-Seq) validated a stem resistance locus in Aegilops umbellulata, a wild relative of wheat
- Neurobehavioral dysfunction in non-alcoholic steatohepatitis is associated with hyperammonemia, gut dysbiosis, and metabolic and functional brain regional deficits
- 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
- Soil and vegetation conditions changes following the different sand dune restoration measures on the Zoige Plateau
- 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
- Lipidome profiles of postnatal day 2 vaginal swabs reflect fat composition of gilt’s postnatal diet
- Antitumor activity of a novel dual functional podophyllotoxin derivative involved PI3K/AKT/mTOR pathway
- Genome-wide developed microsatellites reveal a weak population differentiation in the hoverfly Eupeodes corollae (Diptera: Syrphidae) across China
- 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
- An in silico investigation of menthol metabolism
- 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
- Effects from diet-induced gut microbiota dysbiosis and obesity can be ameliorated by fecal microbiota transplantation: A multiomics approach
- Drivers of HIV-1 transmission: The Portuguese case
- Integration of a FT expression cassette into CRISPR/Cas9 construct enables fast generation and easy identification of transgene-free mutants in Arabidopsis
- A biface production older than 600 ka ago at Notarchirico (Southern Italy) contribution to understanding early Acheulean cognition and skills in Europe
- Mass evacuation and increases in long-term care benefits: Lessons from the Fukushima nuclear disaster
- Circulating levels of free 25(OH)D increase at the onset of rheumatoid arthritis
- The expression of equine keratins K42 and K124 is restricted to the hoof epidermal lamellae of Equus caballus
- Soil respiration from fields under three crop rotation treatments and three straw retention treatments
- Inhibition of polymerase chain reaction: Pathogen-specific controls are better than human gene amplification
- Linkage disequilibrium and haplotype block patterns in popcorn populations
- 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
- Synergy of the flow behaviour and disperse phase of cellulose nanoparticles in enhancing oil recovery at reservoir condition
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- Human papillomavirus infection among head and neck squamous cell carcinomas in southern China
- Comparison of feature point detectors for multimodal image registration in plant phenotyping
- 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
- Antimicrobial resistance and molecular genotyping of Salmonella enterica serovar Enteritidis clinical isolates from Guizhou province of Southwestern China
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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
- Lung clearance index to detect the efficacy of Aztreonam lysine inhalation in patients with cystic fibrosis and near normal spirometry – A single-centre feasibility study
- Association of vitamin D nutrition with neuro-developmental outcome of infants of slums in Bangladesh
- Effect of PEPFAR funding policy change on HIV service delivery in a large HIV care and treatment network in Nigeria
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- 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
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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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- Prevalence of Epstein-Barr virus, human papillomavirus, cytomegalovirus and herpes simplex virus type 1 in patients with diabetes mellitus type 2 in south-eastern Poland
- Social and structural factors associated with substance use within the support network of adults living in precarious housing in a socially marginalized neighborhood of Vancouver, Canada
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- Factors associated with burnout amongst healthcare workers providing HIV care in Malawi
- A high-density exome capture genotype-by-sequencing panel for forestry breeding in Pinus radiata
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- A prospective randomized trial on abacavir/lamivudine plus darunavir/ritonavir or raltegravir in HIV-positive drug-naïve patients with CD4<200 cells/uL (the PRADAR study)
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- Injury severity level and associated factors among road traffic accident victims attending emergency department of Tirunesh Beijing Hospital, Addis Ababa, Ethiopia: A cross sectional hospital-based study
- How chimpanzees (Pan troglodytes) share the spoils with collaborators and bystanders
- Seed treatment using methyl jasmonate induces resistance to rice water weevil but reduces plant growth in rice
- Placebo analgesia induced by verbal suggestion in the context of experimentally induced fear and anxiety
- Reconsidering the associations between self-reported alcohol use disorder and mental health problems in the light of co-occurring addictions in young Swiss men
- Learning to assist smokers through encounters with standardized patients: An innovative training for physicians in an Eastern European country
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- Lipid and fatty acid dynamics by maternal Pacific bluefin tuna
- Adherence to evidence-based recommendations for surgical site infection prevention: Results among Italian surgical ward nurses
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- Distribution of SET/I2PP2A protein in gastrointestinal tissues
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- Anatomy of a demand shock: Quantitative analysis of crowding in hospital emergency departments in Victoria, Australia during the 2009 influenza pandemic
- Oregano essential oil vapour prevents Plasmopara viticola infection in grapevine (Vitis Vinifera) and primes plant immunity mechanisms
- Dual inhibitory action of trazodone on dorsal raphe serotonergic neurons through 5-HT1A receptor partial agonism and α1-adrenoceptor antagonism
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- The association between family members’ migration and cognitive function among people left behind in China
- Association between long-term adherence to class-I recommended medications and risk for potentially preventable heart failure hospitalizations among younger adults
- Differential role of r-met-hu G-CSF on male reproductive function and development in prepubertal domestic mammals
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- Intensity modulated radiation therapy following lumpectomy in early-stage breast cancer: Patterns of use and cost consequences among Medicare beneficiaries
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- Multiscale Modelling Tool: Mathematical modelling of collective behaviour without the maths
- A comparison of machine learning algorithms for the surveillance of autism spectrum disorder
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- Structure of Dictyostelium discoideum telomeres. Analysis of possible replication mechanisms
- 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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- Why Cohen’s Kappa should be avoided as performance measure in classification
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- Computational identification of key genes that may regulate gene expression reprogramming in Alzheimer’s patients
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- Intensive measures of luminescence in GaN/InGaN heterostructures
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- Isolation, identification and characterization of Streptomyces metabolites as a potential bioherbicide
- Quantitative magnetic resonance imaging indicates brain tissue alterations in patients after liver transplantation
- DNA analysis of Castanea sativa (sweet chestnut) in Britain and Ireland: Elucidating European origins and genepool diversity
- Forecasting the impact of population ageing on tuberculosis incidence
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- Voxelwise statistical methods to localize practice variation in brain tumor surgery
- Identification and evolutionary characterization of salt-responsive transcription factors in the succulent halophyte Suaeda fruticosa
- Integrating temperature-dependent life table data into Insect Life Cycle Model for predicting the potential distribution of Scapsipedus icipe Hugel & Tanga
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- Optimizing bacterial DNA extraction in urine
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- Occurrence of and risk factors for extended-spectrum cephalosporin-resistant Enterobacteriaceae determined by sampling of all Norwegian broiler flocks during a six month period
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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
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- Validating a popular outpatient antibiotic database to reliably identify high prescribing physicians for patients 65 years of age and older
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- 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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- Discharge care quality in hospitalised elderly patients: Extended validation of the Discharge Care Experiences Survey
- 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
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- 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
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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
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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
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- Correction: Maturation of three-dimensional, hiPSC-derived cardiomyocyte spheroids utilizing cyclic, uniaxial stretch and electrical stimulation
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