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Measurement and analysis of partial lightning currents in a head phantom
Authors: René Machts aff001; Alexander Hunold aff001; Christian Drebenstedt aff002; Michael Rock aff002; Carsten Leu aff003; Jens Haueisen aff001
Authors place of work: Institute of Biomedical Engineering and Informatics, Technische Universitaet Ilmenau, Ilmenau, Germany aff001; Group for Lightning and Overvoltage Protection, Technische Universitaet Ilmenau, Ilmenau, Germany aff002; Research Unit High-Voltage Technologies, Technische Universitaet Ilmenau, Ilmenau, Germany aff003
Published in the journal: PLoS ONE 14(9)
Category: Research Article
doi: https://doi.org/10.1371/journal.pone.0223133Summary
Direct lightning strikes to the human head can lead to various effects, ranging from burnings to death. The biological and physical mechanisms of a direct lightning strike in the human head are not well understood. The aim of this paper is to design an experimental setup to measure the spatial and temporal current distribution during a direct lightning strike to physical head phantoms to establish normative values for personal lightning protection equipment design and testing. We created head phantoms made of agarose, replicating the geometric and dielectric properties of scalp, skull, and intracranial volume. The bases of the three compartments were galvanically contacted via copper electrodes to measure the current per compartment. We used pulse generators to apply aperiodic voltage and current signals that modelled lightning components. Our experiments indicated that the scalp compartment was exposed to the current with a fraction of 80–90%. The brain and skull compartments were exposed between 6–13% and 3–6% of the total measured current respectively. In case of a flashover, most of the current (98–99%) flowed through the discharge channel. Unlike previous theoretical estimates and measurements in technical setups, we observed considerably longer times for the flashover to build up. In our experiments, the time to build up a fully formed flashover varied from approximately 30–700 μs. The observed current patterns in cases without and with flashover provided information on regions of possible damage in the human head. Consequently, we identified the phenomenon of a flashover as a potential mechanism for humans to survive a lightning strike. Our measured current distributions and amplitudes formed the base for normative values, which can be used in later experimental investigations regarding the possibilities of individual lightning protection equipment for humans.
Keywords:
Head – Electrodes – Brain damage – Electric conductivity – Dielectrics – Scalp – Microelectrodes
Introduction
The chance of being struck by lightning increases when humans are outdoors in a thunderstorm. They are especially exposed to lightning strikes directly in the head in open elevated areas [1–3]. A direct lightning strike can cause physical damages like burns on the skin, fractures in the skull, or haemorrhage in the brain due to the heat and explosive effects, as described in several pathological diagnosis reports and other literature [4–10]. These effects are caused by currents up to 200 kA and voltages of 1 MV and higher in discharges of a few milliseconds [11–13].
Overall, the mortality of lightning injury is only about 10% [14,15] but increases to about 30% when people are struck by lightning outdoors [1,2]. There are five known mechanisms of lightning injury: direct strikes accounting for 3–5% of the cases, side flashes for 30–35%, contact injury 3–5%, upward streamer 10–15% and ground current 50–55% [3,15]. A possible mechanism responsible for the relatively large chances of surviving a lightning strike despite the mentioned medical issues could be the formation of a flashover outside the body. In a flashover, most of the current flows outside the body and only a few Amperes flow inside the body [12,13], as estimated in a theoretical study by Uman [12]. This reduced current inside the body during a flashover might be small enough to not be lethal. This might be especially true for the head owing to the assumed additional protective effect of the skull caused by its low conductivity. The head is one of the most important parts of the human body and is most exposed during a direct strike or side flash. However, there are no reports in the literature on measured current distributions inside the head before and during a flashover in a direct lightning strike. Consequently, we aim to establish an experimental setup to measure current distributions for the main compartments of the human head using a physical head phantom. With these measurements, we want to establish normative values that can serve as a basis for later experimental investigations on the possibilities of lightning protection equipment for humans according to the standard DIN EN 1149 [16].
To achieve this aim, we have designed human head phantoms comprising scalp, skull, and intracranial compartments, mimicking the geometry, relative permittivity, and electric conductivity of real biological human tissue. In contrary to the homogeneous models used previously to investigate the flashover mechanism [17] the nonhomogeneous head phantoms allow to quantify the current distribution in the three compartments. Moreover, the head phantoms allow a qualitative analyses of visible damages per compartment. Consequently, we will be able to experimentally quantify the additional protective effect of the skull caused by its low conductivity. In addition to the currents flowing in the three head compartments, we measured the flashover current with an electrode outside and underneath the head phantom. With these measurements, we strive to obtain an experimental validation of the theoretical values proposed by Uman [12].
Materials and methods
Overview
We applied pulses to the head phantoms using three different pulse generators with different properties. A Marx generator delivered up to 450 kV and relatively low currents of up to 2 kA with an 1.2/50 μs voltage pulse; a combination wave generator delivered up to 12 kV and 6 kA with low noise (due to the compact design) and 1.2/50 μs voltage pulse or 8/20 μs current pulse; a 10/350 μs current pulse generator delivered up to 12 kV and 42 kA. The various generators emulated different aspects of a lightning flash. For example, the standardized positive first lightning current is defined by front time 10 μs, the maximum amplitude and time to half-value on tail 350 μs, identified as 10/350 μs according to the standard IEC 62305 [18]. The equivalent frequency is 25 kHz for the front of this pulse. Fig 1 illustrates the calculation of the equivalent frequency. After the peak, the frequency content decreases to 1 kHz and lower [11].
Fig. 1. Calculation of the equivalent front frequency of a lightning pulse current. The front time (T1) of the 10/350 μs lightning current is 10 μs. The equivalent frequency (feq) is based on a sine wave and the corresponding equivalent period (Teq). Creation of head phantom
We created three-compartment head phantoms based on the computer tomography data of an individual human head similar to Tidswell et al. [19] and Sperandio et al. [20]. We segmented the inner and outer boundaries of the skull and the outer skin boundary from the CT data [21] using Seg3D (SCI Institute, Salt Lake City, UT, United States) and designed forms resampling these boundaries as negative moulds for the head phantom compartments in SolidWorks® (Dassault Systèmes, Vélizy-Villacoublay, France). We produced the moulds of the compartments through a fused deposition modelling process. The moulds are made of the polymer Lignin (GreenTec, Extrudr®, Lauterach, Austria). The casting process of the compartments started with the innermost compartment, the intracranial volume (brain), continued to the central compartment, the neurocranium (skull), and ended with the outermost compartment the scalp; in each case, the preceding compartment provided the base for the next compartment. These head phantoms resampled the geometry of the head and the dielectric properties of biological tissue. We used 2% agarose (Agarose Broad Range, Carl Roth GmbH + Co. KG, Karlsruhe, Germany) in deionized water as the basic phantom material. The dielectric properties of the compartments were set by doping the basic phantom material with different fractions of sodium chloride (NaCl), graphite (Graphite d50, Algin-Chemie e. K., Neustadt-Glewe, Germany), or carbon black (carbon fibre powder, EMV Vega, Recklinghausen, Germany). We used the mixtures (shown in Table 1) for creating head phantoms, in accordance to literature values for the dielectric properties. The dielectric properties were analysed with a Hewlett Packard 4284A 20 Hz to 1 MHz precision LCR meter (HP Inc., Palo Alto, CA, United States) in a two-plate method.
Tab. 1. Dielectric properties of the compartments of the two types of head phantoms in the range of 20 Hz to 1 MHz. Two types of phantoms were created, with (Type I) and without carbon additives (Type II). Type I phantoms had the advantage of better approximating the dielectric properties found in the literature [22–25]. The phantoms without carbon additives were transparent, which allowed us to later add dyes for the visualization of micro damages and perforations caused by electric current pulses. For dyeing, all transparent head phantoms were placed completely in an emulsion of 1% ironhexacyanoferrate and deionized water for two days after the tests. Table 1 shows the dielectric properties for both types of head phantoms.
Fig 2A shows the scalp from head phantom Type I and Fig 2B depicts the structure of head phantoms in a CAD model. The scalp compartment appears black due to the carbon additives. The maximum diameter of each phantom is 200 mm and the maximum height is 165 mm. Furthermore, we created a third type of head phantom (head phantom Type III) which was built up like head phantom Type I but with the addition of four silver/silver-chloride microelectrodes (diameter: 1 mm, length: 2.5 mm, BMP1 from MedCat GmbH, Munich, Germany) in the brain compartment. Thus, it was possible to measure voltages inside head phantom Type III during an applied pulse. The microelectrodes were plugged in holders, which were produced in a fused deposition modelling process and were made of Lignin. Each holder had a diameter of 3 mm. Two holders had a length of 50 mm and the other two had a length of 100 mm. We named the anterior microelectrode ME1, the left microelectrode ME2, the posterior microelectrode ME3, and the right positioned microelectrode ME4 (Fig 2C and Fig 2D).
Fig. 2. Head phantom geometry and electrode setup of microelectrodes. (A) Formed scalp in a lateral view of a head phantom with carbon additives (head phantom Type I). (B) Sagittal cut through the head phantom. The intracranial volume (brain) is coloured blue, the neurocranium (skull) yellow, and the scalp red. (C) Double cut of the head phantom Type III with the microelectrodes ME1 and ME2 and their holders. (D) Double cut of the head phantom Type III with the microelectrodes ME3 and ME4 and their holders. The inset in D shows a photograph of a microelectrode (grey) with a physical cut through a holder (white) and the wire insulation (yellow). We created an electrode setup with four separate brass electrodes to detect the current distribution across the compartments of the head phantom. These electrodes were grounded in all the experiments. The geometry of each electrode was adapted to the base area of the compartments to minimize the current path from adjacent compartments. When the head phantom was placed on the electrode setup, the innermost electrode (E1) contacted the brain, the second electrode (E2) the skull and the third electrode (E3) the scalp. The fourth electrode (E4) concentrically surrounded the base of the phantom in a distance of 5 mm (E4: inner diameter 205 mm, outer diameter 215 mm). The chosen dimensions of electrode E4 and the distance to E3 allowed to determine the current distribution in the flashover separately since the ends of the flashovers hit only electrode E4. Flashovers are discharges that start from an impact point on the surface of the head phantom and propagate to the electrode ring E4. These events were detected by a single lens reflex (SLR) camera (EOS 5D Mark II, Canon Inc., Tokyo, Japan). Fig 3 shows the electrode setup and its dimensions.
Fig. 3. Electrode setup. (A) Schematic of electrode setup with electrodes innermost E1 to outermost E4. (B) Dimensions of the electrode setup in a top view. Each electrode E1–E4 has a thickness of 10 mm. Experiments with Marx generator
We used a Marx generator to replicate the high-voltage effects on the human head during a lightning strike. The Marx generator (MG, HIGHVOLT Prueftechnik Dresden GmbH, Germany, properties of MG: Energy 6 kJ, max. charging voltage 125 kV per stage) produces a standardized 1.2/50 μs voltage pulse and can reach a total load voltage of 450 kV [26,27]. An MG can reach a high voltage at the output with one pulse, making it possible to ionize the air over long distances. The discharge is more like a real lightning strike discharge, but the current level of the generated pulse is much lower.
In the first test series, one head phantom Type I was placed on the electrode setup E1–E4 underneath the output from the MG. The distance between the high voltage point electrode (output) and the highest point of the head phantom (vertex) was 150 mm. We applied 15 single positive voltage pulses to the head phantom, each pulse with a total load voltage from the MG of 450 kV. An SLR camera documented the expansion of the lightning discharge. In a second test series, we placed a head phantom Type II on the electrode setup (E1–E4) underneath the output of the MG in the same distance of 150 mm. Again, 15 single voltage pulses were applied, each pulse with a total load voltage of 450 kV. The head phantom Type II was dyed before slicing, as explained in Section: Creation of head phantom. We examined and sliced both head phantoms after the test series. For slicing, we used a strained wire with a diameter of 0.5 mm. The slicing always started with a sagittal cut through one of the observed perforations on the surface of the head phantoms.
Measurements with combination wave generator
A head phantom Type III was tested with an in-house combination wave generator (CWG) to investigate the electrical behaviour of the head phantom and measure the potential distribution in the brain compartment. The used CWG had the following parameters: Energy 350 J, Vmax 12 kV 1.2/50 μs, Imax 6 kA 8/20 μs [26]. The head phantom was placed on the electrode setup (E4 was decoupled since no flashovers were expected) and a brass electrode (diameter: 25 mm, height: 24.9 mm) was galvanically coupled to the top of the head phantom, near the vertex. This brass electrode was necessary for applying the pulse to the head phantom, because the voltage of the CWG is not high enough to break through larger air gaps like the Marx generator. Further, the influence of an air gap was avoided in the tests to get the electrical behaviour of only the head phantom.
For the measurements, two Pearson current monitors Model 101 and one Pearson current monitor Model 110 (Pearson Electronics Inc., Palo Alto, CA, United States) detected the currents of E1 to E3, while one voltage probe PHV4002-3 (PMK GmbH, Kassel, Germany) detected the voltage drop over the head phantom. Four voltage probes PHV 1000 (PMK GmbH, Kassel, Germany) recorded the potentials of each microelectrode in the brain compartment. All signals were measured simultaneously by an eight-channel oscilloscope DLM4000 (Yokogawa Electric Corp., Musashino, Japan). We applied 10 positive voltage pulses with an amplitude of 5 kV to the head phantom. The measurement setup is shown in Fig 4. After that, we applied 10 positive voltage pulses with an amplitude of 12 kV to the head phantom. In this test series, the four voltage probes PHV 1000 were disconnected due to their limited admissible voltage of 6 kV. Possible discharges were documented with the SLR camera.
Fig. 4. Measurement setup for the experiments with the combination wave generator (CWG). (A) Interconnected measuring equipment with the combination wave generator, head phantom, and oscilloscope. E1 to E3 are the grounded electrodes, each with a current monitor. The four microelectrodes (ME1 to ME4) in the brain compartment were connected by four voltage probes (only two of four probes are symbolized in the schematic). The dashed lines symbolize the measurement wires to the oscilloscope. (B) Photograph of the head phantom Type III placed at the electrode setup and connected via the stimulation electrode to the CWG. A mirror shows the backside of the head phantom Type III. Measurements with 10/350 μs current pulse generator
We tested four head phantoms on a 10/350 μs current pulse generator to emulate the high-current effects of a direct lightning strike to the head [18]. A current pulse generator reaches a higher current level, different from that obtained by combination wave generator or Marx generator. Therefore, a more realistic lightning current level could be applied to the tested head phantoms. Distances between the output of the generator and the head phantoms were restricted due to the lower voltage. Therefore, the experiments replicated the impact point of a lightning discharge on the head without possible upward connecting lightning leaders.
The generator (IP176/12S of HIGHVOLT Prueftechnik Dresden GmbH, Dresden, Germany) uses 12 switchable single capacitors (called HV-CAP) IS-Phr 12 (VISHAY Electronic GmbH, Selb, Germany). Each HV-CAP has a capacitance of 175 μF and can be loaded with a voltage of up to 12 kV, which results in an energy of 12.6 kJ per charged capacitor. Each head phantom was placed with the electrode setup in the examination chamber of the current pulse generator. The distance from the power output electrode of the current pulse generator to the surface of the head phantom was 55 mm. Therefore, it was necessary to bridge the distance with a copper ignition wire with a diameter of 0.1 mm, which ended about 4 mm above the surface of the head phantom at the vertex. We used three current monitors with a transmission ratio of 1 : 1000 (Model 1423 Pearson Electronics Inc., Palo Alto, CA, United States) and two current monitors with a transmission ratio of 1 : 100 (Model 101) to capture the currents in each compartment of the head phantom. The voltage probe (PHV4002-3) detected the voltage drop from the output of the current pulse generator to the ground. All signals were simultaneous recorded from parallel triggered oscilloscopes 44MXI-A and HDO6054 (Teledyne LeCroy, CA, USA). Fig 5 shows the measurement setup for the tests with the 10/350 μs current pulse generator.
Fig. 5. Measurement setup on the 10/350 μs current pulse generator. (A) Schematics of the setup. E1 to E4 are the grounded electrodes. They are connected to the current monitors. The dashed lines indicate the measurement wires to the oscilloscope. (B) Photograph of the head phantom Type II placed in the examination chamber of the current pulse generator. We performed different measurement series with this setup on the current pulse generator by changing the number of HV-CAPs to vary the resulting current. Four head phantoms were examined and sliced after the measurements in order to investigate the optically visible damages. In addition, the head phantom Type II was dyed with ironhexacyanoferrate to highlight perforations and damages.
Test series I: The series started with 12 HV-CAPs @ 12 kV. The number of the HV-CAPs was reduced by three after three applied pulses to the phantom Type 1. At three used HV-CAPs, the number was reduced to one HV-CAP. The charging voltage was always constant. In the last step, the charging voltage was reduced (one HV-CAP @ 6 kV). The used HV-CAP numbers were: 12 @ 12 kV, 9 @ 12 kV, 6 @ 12 kV, 3 @ 12 kV, 1 @ 12 kV, and 1 @ 6 kV. This test series was performed to determine the electrical behaviour and current distribution of the head phantom at different current levels while the positive 10/350 μs pulse.
Test series II: Repeat of test series I with a newly casted head phantom Type I.
Test series III: A single pulse with 12 HV-CAPs and a charging voltage of 12 kV was applied to one head phantom Type II. This test was performed to find potential damages and perforations at the transparent head phantom Type II which are not visible with the head phantom Type I.
Test series IV: The series was performed with a head phantom Type I similar to I and II, but the sequence for the number of used HV-CAPs was pseudo-randomized, starting with six HV-CAPs @ 12 kV.
Results
Results of experiments on Marx generator
We observed discharges on the surface of the head phantom Type I and head phantom Type II for each 450kV voltage pulse applied from the Marx generator, as shown in Fig 6A and 6B. It can be seen that the discharge channel hit the head phantoms and branched in discharges. The spilt began either at the surface of the head or in the air gap. After the tests, we examined the head phantoms. The head phantom Type I showed a dried ellipsoidal area around the vertex with a length of 120 mm in the anterior–posterior direction and 100 mm in the lateral direction. Also, we found punctured regions with diameters of 2–5 mm. No further particularities were observed in the brain or skull compartment after the slicing of the head phantom Type I. Several perforations occurred in the vicinity of the optically detected impact points at the head phantom Type II. The four largest ones had a diameter of 3–6 mm (marked with X Fig 6C). We sliced the head phantom Type II in a sagittal cut through one impact point, as marked in Fig 6C, and found a dyed channel, which started at the impact point and ended after a length of approx. 50 mm in the brain compartment (highlighted with blue colour in Fig 6D). This perforation was the only one penetrating the brain compartment—all other observed penetrations ended in the skull compartment. There was no systematic difference in the results from head phantom Type I and head phantom Type II. In a previous study, we measured currents of about 2 kA in a simplified head phantom [28] originating from the same pulses of the Marx generator. For the present study, we estimated similar currents in the head phantom Type I and Type II.
Fig. 6. Results of the experiments with the Marx generator. (A) Head phantom Type I and a discharge over the surface of the scalp. A mirror behind the head phantom Type I shows possible discharges on the side facing away from the SLR camera. (B) A discharge over the surface of the scalp from the head phantom Type II. (C) Top view on the scalp compartment from the head phantom Type II after 15 applied single voltage pulses. We marked the biggest perforations with X. The cut line for the first slice is marked black. (D) Sagittal cut along the black line in C, the arrows in C show the view direction. We found a tubular perforation, highlighted in blue colour. Results of measurements on combination wave generator
No flashover or discharges on the surface of the head phantom Type III were optically detected in the experiments with the CWG and an applied 1.2/50 μs voltage pulse of 5 kV. Fig 7A shows the average recorded time courses of the voltage and the currents of E1 to E3. The mean values at 2.4 μs are additionally indicated in Fig 7A. We calculated the relative current distribution of each compartment with the values at 2.4 μs (maximum measured voltage). The brain was exposed to 11.2%, the skull to 8.6% and the scalp to 80.2% of the current. An average voltage of 530 V was detected at the first microelectrode ME1 at 2.4 μs. Further, the voltage reached 1250 V at ME2, 520 V at ME3, and 1220 V at ME4 (Fig 7B). We calculated the electric field strength (based on the recorded electric potential at 2.4 μs and the distance of the microelectrode to the ground) at these four points: ME1 : 10.6 kV/m at ME1; ME2 : 12.5 kV/m; ME3 : 10.4 kV/m; ME4 : 12.2 kV/m.
Fig. 7. Results of measurements on the combination wave generator with an applied voltage of 5 kV. (A) Average time courses of recorded voltage and measured currents at the electrodes E1 to E3. (B) Time courses of the recorded voltages for the four microelectrodes (ME) in the brain compartment. We optically detected multiple discharges at the surface of the scalp compartment with an applied voltage of 12 kV (Fig 8A). The discharges started from the attached stimulation electrode. Fig 8B depicts the average recorded time courses of the voltage at the generator output and currents from the electrodes E1 to E3 with labelled mean values at 2.4 μs (maximum measured voltage). The relative current distribution at 2.4 μs was: brain compartment 13.1%, skull compartment 6.1% and scalp compartment 80.8%.
Fig. 8. Results of measurements on the combination wave generator with an applied voltage of 12 kV. (A) Registered discharges at the surface of the scalp compartment. The mirror in the background shows the backside of the head phantom. (B) Average time courses of recorded voltage at the generator output and currents from E1 to E3. Results of measurements on 10/350 μs current pulse generator
In each test series, we optically detected a flashover across the head phantoms in the measurements with the 10/350 μs current pulse generator. In almost all tests, the discharge sat on near the highest point of the head phantoms (vertex) and went over the scalp to E4. Fig 9 depicts four different morphology examples. Fig 9A and 9B show exemplary discharges of the test series I and III with 12 HV-CAPs @ 12 kV with a head phantom Type I and the head phantom Type II, respectively. In both cases, the discharge channel appeared structured in the vicinity of the scalp. However, the discharge channel was surrounded by a corona. The discharge and the resulting flashover were less intensive and the corona around the channel was smaller with one HV-CAP @ 6 kV in contrast to 12 HV-CAPs @ 12 kV. An example of a discharge with one HV-CAP @ 6 kV is shown in Fig 9C. Fig 9D depicts the last applied current pulse of the test series IV (after three times six HV-CAPS @ 12 kV and one time 12 HV-CAPS @ 12 kV). The main discharge over the scalp and the discharge channel are difficult to identify. Discharges next to the scalp appeared especially on the right side of the head phantom Type I. The discharges busted the phantom material at several points.
Fig. 9. Detected flashovers across head phantoms for the tests with the 10/350 μs current pulse generator. (A) An example of the test series I with 12 HV-CAPs @ 12 kV and with a head phantom Type I. (B) An example of test series III with 12 HV-CAPs @ 12 kV and with head phantom Type II. (C) An exemplary discharge of the test series I with one HV-CAP @ 6 kV and with head phantom Type I. (D) An exemplary discharge of the test series IV at 12 HV-CAPs @ 12 kV with head phantom Type I. The head phantom Type I was destroyed at this discharge. All recorded voltages and currents showed characteristic time courses. The voltage increased up to the load voltage in about 1 μs; simultaneously, the current increased through the head phantom. Then the voltage decreased rapidly to a value of about 1.5 kV in approximately 50 μs. At the same time, the current in E4 increased and showed an aperiodic pulse behaviour.
Fig 10A and 10B present the average time courses of the test series I and II at 12 HV-CAPs @ 12 kV with the most important key values. It can be seen that simultaneous to the first rise of the voltage, the current in E1, E2, E3 and the total current also increase. The time point tstart indicates the beginning of the increasing voltage and current. The discharge process started over the head phantom at this time point. After the increase of the current in E1 and E2 to the maximum, these currents broke down rapidly, along with the voltage and the current in E3 (Case 1). We defined this point as the moment of the beginning of the evolvement of the complete flashover across the head phantom and labelled it t0, determined by the highest decrease speed with the first derivation of the voltage. After the rapid collapse of the current in E1 and E2 close to zero ampere, the current in E4 increased from zero ampere to a high amplitude (in Fig 10A and 10B, up to 41.8 kA or 41.3 kA). Furthermore, we found a second possible case (Case 2) for the current time course in E3. The current in E3 broke in first, increased again, and reached a multiple higher peak, for example from 930 A at t0 to 5.7 kA after further 14.4 μs. This case is shown as an example in Fig 10B. Fig 10C depicts the time courses from the test series I and II at one HV-CAP @ 6 kV. The duration to t0 increases in comparison to the time courses in Fig 10A and 10B, but the time course shows some similarity in shape. The applied pulses ended about 2.6 ms after t0. As a further result, we extracted the time points tstart for each test for the test series I and II. The distribution is shown in Fig 10D. The time of starting of the flashover (tstart) for the head phantom was in median between 40 μs and 45 μs at an energy level between 151.2 kJ and 75.6 kJ. The time increased from the level of 37.8 kJ at 53.6 μs over 12.6 kJ at 69.5μs to 6.3 kJ at 257 μs. The time tstart differed most at 6.3 kJ between 219 μs and 694 μs.
Fig. 10. Time courses from test series I and II with the 10/350 μs current pulse generator. (A) Time courses for 12 HV-CAPs @ 12 kV for an example Case 1 at test series I and II. (B) Time courses for 12 HV-CAPs @ 12 kV for an example Case 2 at test series I and II. (C) Time courses for one HV-CAP @ 6 kV. (D) Violin plots of tstart for each tested capacitor stage (applied energy). The time tstart was defined as latency at which we registered a first appearance of voltages or currents different from zero. The time to start of the flashover was called t0. M: mean, Mdn: median, SD: standard deviation. Table 2 provides the calculated relative current distribution for the compartments at t0 and at the latency of the maximum of the total current after the fully formed flashover (tmaxtot), based on the values (test series I and II) of the currents from each tested capacitor stage. The skin compartment was most exposed to the applied current at t0 for each used HV-CAP stage, followed by the brain compartment and the skull compartment. After a flashover, the highest currents were detected at tmaxtot in electrode E4 for each capacitor stage; we found fractions of current between 98.2% and 99.5% in E4. The next highest part flowed through the scalp compartment. Brain and skull compartments had a smaller exposition, each with a current below 7 A. For the brain and skull compartments, the relative current distribution increased with a lower energy level at tmaxtot.
Tab. 2. Relative current distribution for the test series I and II at the time points before (t0) and after a fully formed flashover (tmaxtot). The time courses of the currents in test series III were also aperiodic, as in test series I and II for case 2, but we found a second increase in the current in E3, probably caused by an incomplete flashover. The currents in E1, E2, and E3 decreased and the current increased up to approximately 2.5 kA in E4 after the breakdown of the voltage. After that, we registered an increase of the voltage, an increase of the currents at E1–E3, and a collapse to 0 A in E4 (named collapse in Fig 11A). After another 5 μs, the voltage broke down again as well as the currents in E1 to E3. The current in E4 increased and followed the typical aperiodic time course. The measurement of the time courses from test series IV with 12 HV-CAPs @ 12 kV are shown in Fig 11B. The time courses were aperiodic too, but the time to the event points were longer than the measured durations from other test series. We could not record the event tstart. The moment tmaxtot was reached after 131 μs after t0. Further, the time course showed waves between t0 and tmaxtot.
Fig. 11. Time courses from test series III and IV with the 10/350 μs current pulse generator. (A) Shows the time courses for the test series III, the only one test series with the head phantom Type II and 12 HV-CAPs @ 12 kV. (B) Depicts the recorded time courses for the test series IV at the second repeat with 12 HV-CAPs @ 12 kV. The maximum current steepness is a parameter to define and compare lightning current pulses. We calculated the maximum current steepness of the measured total currents with the 30%–90%-rule of amplitude. We used the 30%–90%-rule because the current amplitude at 10% was not measurable [18]. The maximum current steepness showed a reduction from about 1855 A/μs at an applied energy of 151.2 kJ down to 64 A/μs at 6.3 kJ. Compared to the ideal 10/350 μs current pulses (assumed double exponential function), the measured current pulses had a less current steepness with a factor between 0.95 and 2.08, as shown in Table 3. The difference of current steepness between the measured current pulses and the ideal 10/350 μs current pulses is due to impedances of the head phantom and the discharge channel. The 10/350 μs current pulse generator is not an ideal constant current source; additional impedances extend the pulse form.
Tab. 3. Current steepness of measured total currents in test series I and II and comparison with ideal 10/350 μs current pulses. We examined and sliced the head phantoms after the test series, with the following results.
Test series I and II: We found similar damages on both head phantoms Type I from test series I and II, which are described for one phantom in the following: 10 impact points were found on the top surface of the scalp (Fig 12A), ranging from 5 mm to 13 mm in diameter—they are marked with Y. Several smaller perforations are marked with Z in Fig 12A. One path (outgoing from an impact point) was found in the right parietal occipital region, with a length of about 45 mm (marked with W in Fig 12A). We sliced the head phantoms with a sagittal cut through an impact point. In the sagittal cut of one head phantom Type I (Fig 12B), we noticed damages at the upper part of the skull near the impacts in the form of drying and melting, marked as V. The brain compartment seemed to be unaffected (Fig 12B).
Test series III: This head phantom Type II was dyed with ironhexacyanoferrate to highlight the damages. We found an ellipsoidal impact point on the scalp near the vertex, with an approx. length of 7 mm from anterior to posterior and 10 mm from right to left. Three obvious burn paths were found to be outgoing from the main impact point. The first path had a length of 110 mm to posterior direction, the second path a length of 95 mm to right parietal, and the third path a length of 80 mm to right parietal occipital. Furthermore, we detected perforations in the upper part of the skull near the impact point. We sliced the head phantom Type II with a sagittal cut through the impact point. One perforation had a length of 10 mm down to the skull, marked with L in Fig 12C. The impact point is marked with O in Fig 12C. We found melting and blistering points around the impact point (marked with P Fig 12C). No optical damages were found in the brain compartment.
Test series VI: The head phantom Type I (Fig 12D) was destroyed after three pulses applied with six HV-CAPs and two pulses applied with 12 HV-CAPs (in the second applied pulse). The scalp was blown up and the skull was broken on the right side of the head phantom. We found a melted area in the brain compartment under the cracked skull with the dimensions of 120 mm anterior to posterior and 95 mm inferior to superior.
Fig. 12. Examined head phantoms after the tests with the 10/350 μs current pulse generator. (A) Damaged and dried areas at the top of the scalp compartment for the head phantom Type I after the test series I. The impact points are marked with Y smaller perforations with Z and a current path with W. The black line marks the cut line. The arrows indicate the view direction for the cut. (B) Slice of the head phantom Type I indicated in A. Burned and perforated areas were magnified in the inset (marked with V). (C) Sagittal sliced head phantom Type II from test series III. A perforation was marked with L. Inset shows magnified area around the impact point O and P mark blistering in the scalp compartment. (D) The destroyed head phantom Type I after the test series IV. The scalp and skull compartments were blown open, and the brain compartment was damaged and melted. Discussion
Spatial current distribution in the head phantom
We obtained the relative current distribution in the compartments of the created head phantoms and in discharge channels during various applied voltage and current pulses. In case of no flashover, the scalp compartment was always most exposed to the current (80–90%) in all experiments. The brain compartment was exposed to 6–13% of the current. The skull compartment experienced the smallest amount of current—about 3–6%. In case of flashover formation, the relative current distribution changed and 98–99% of the current flowed in the discharge channel due to its higher electrical conductivity compared to the head phantom. The remaining 1–2% of the current again predominantly flowed in the scalp, followed by the brain and skull compartments. We observed this distribution pattern (most current in the scalp, followed by brain and skull compartments) across all experiments, independent of the applied voltage and current pulse forms. To the best of our knowledge, this is the first time that a study has reported such current distributions that establish normative values to be used in later experimental investigations on the possibilities of lightning protection equipment for humans.
Voltage and current time courses
The time courses of the recorded voltages and currents show distinct differences for the cases without and with flashover. For the cases without flashover, we found the expected rise and fall of both voltage and current time courses according to the applied 1.2/50 μs pulse.
For cases with flashover, we found three time intervals: a short rising time of the voltage lasting approximately 1 μs after tstart marked the initial interval indicating the connecting leader phase [12]. Thereafter, the time interval until t0, the initial return stroke phase [12], is characterized by increasing current in and a constant voltage across the head phantom. We measured a time of approximately 30–700 μs for the second interval. The third interval starts with t0 and ends after 2.6 ms and is mostly dominated by the high pulse current; this interval is the denominated surface flashover phase [12,13]. Contrary to the theoretical predictions by Uman [12], our experiments show an almost constant voltage across the head phantom and a nonlinearly increasing current in the head phantom for the first and second time intervals. While Uman [12] used an impressed pulse voltage for the first and second time intervals (tstart to t0), in our experiments, the 10/350 μs current pulse generator provided an impressed constant voltage during the first and second time intervals.
In one experiment, the head phantom was destroyed by the impressed pulse. In this specific case, in the third time interval, we found time courses for voltages and currents that exhibited a step-like and spiky behaviour (Fig 11B). In this interval, the voltage and current irregularly increased and decreased, possibly indicating a change in the electrical conductivity. We assume that these changes in the electrical conductivity might be caused by thermal ionization and plasma processes directly in the head phantom [29].
Flashover
The flashover is a phenomenon that occurs in technical setups and during lightning accidents with humans [12,13,29]. In our experiments, the flashover took approximately 30–700 μs to form. Differently, a time of 30–150 ns characterizes flashovers for lightning accidents [13] and a few 100 ns for technical setups [29,30]. The time to form a flashover mainly depends on the voltage amplitude and the pulse form. The observed difference in time were likely caused by the voltage differences: our experiments operated with 12 kV while a lightning strike has about 1 MV [11,13]. Bazelian and Raizer characterize times up to 200 μs for fully formed discharge channels along water surfaces [31]. This implies that the time to form a flashover increases with a lower impedance such as biological tissues.
The time to form a flashover increased in median from 69.5 μs at 1 CAP at 12 kV to 257 μs for 1 CAP at 6 kV (Fig 10D). This behaviour is expected for such impulse voltage-time characteristics [29,30].
Implications for lightning protection
Our experiments confirmed that most of the current (98–99%) flowed outside of the human head in the discharge channel after a fully formed flashover [12,13]. Consequently, the faster a flashover is formed over the head, the higher are the chances of survival. Further, the current flowing in the brain compartment is typically a factor of 20 units less in amplitude compared to the current flowing in the scalp. This difference is caused by the protective property of the skull due to its low electrical conductivity and relative permittivity compared to the scalp and brain compartments [22].
Electroporation can cause cell damage and death [32–35]. An electric field strength of 6 kV/m and above can cause reversible or irreversible electroporation in biological cells [32–35]. An electric field strength of about 100–600 kV/m close to the ground are typical values during lightning [11]. Our experiments show an electric field strength of about 10.4–12.5 kV/m in the brain compartment during an applied 1.2/50 μs voltage pulse with an amplitude of 5 kV. These values indicate that electroporation can occur even for the lower current and voltage amplitudes in our experiments. Thus, neurological damages during a lightning strike caused by electroporation are likely to occur [6,35].
We applied high voltage (Marx generator) and high current pulses (10/350 μs current pulse generator) to different head phantoms and optically analysed the damages to the head phantoms. In all setups, we found similar damages, e.g. perforations and burns on the scalp compartment or dried areas throughout the scalp compartment down to the skull. These observations are similar to autopsy reports after lightning accidents [3,8,15].
According to the DIN EN 1149, a personal lightning protection equipment, for example in the form of a coat with a hood consisting of modacrylics (flame retardant synthetic copolymer), can reduce the current amplitudes in the head compartments due to the material’s electrostatic discharge behaviour [16]. Consequently, this lightning protection equipment can prevent burns and perforation as well.
Experimental setup and limitations
Physical head phantoms allow us to gain insight into head internal field and current distributions. They can provide explanations for observed lightning phenomena and can help to develop novel hypotheses and experiments. However, physical head phantoms are simplifications. Our head phantoms replicate the three main head compartments in terms of their geometric and dielectric properties, but neglect the highly complex interior structures of the human head, like the sulcus/gyrus structure, the anisotropic conductivity of the white matter, according Haueisen et al. [36], or hair on the scalp. Future research should include more detailed head phantoms.
Another limitation was the measurement setup for the current distribution. The spatial and temporal resolutions of our measurement equipment (oscilloscopes, current monitors, voltage probes) were limited as well. Due to these limitations, we were unable to measure the initial connecting leader phase, in which a negative current typically flows at the start of the discharge.
At present, voltage and current generators cannot provide a high voltage and a high current simultaneously similar to a lightning discharge. For this reason, we use three different generators to replicate the voltage and current effects on the head phantoms. We compare the generators in the following paragraph.
The Marx generator (MG) generates a 1.2/50 μs high voltage of up to 450 kV. The high voltage ionizes the air gap over a larger distance between the high voltage point electrode and the head phantom, mimicking the air distance between the cloud and the ground during a lightning discharge [27]. The energy and the resulting current (about 2 kA) values are low in comparison to natural lightning. Further, no flashovers are possible due to the low energy and the impedance of the head phantom. The used MG is only suitable for visually investigating the high voltage effects which manifested as perforations on the head phantoms.
The combination wave generator (CWG) produces a 1.2/50 μs voltage up to 12 kV (open-circuit) or an 8/20 μs current up to 6 kA (short-circuit), depending on the impedance of the test object according to IEC 61000–4–5 [26]. The voltage amplitude was not high enough to ionize the air over larger distances. For this reason, a stimulation electrode galvanically contacted the scalp compartment in our experiments. The low noise and low interference setup enabled a voltage and current measurement with a high signal noise ratio and a high reproducibility in our experiments. This setup also allowed the measurement of voltages at electrodes integrated in the brain compartment (ME1–ME4). Another advantage of the CWG is the similarity of its voltage pulse form to a lightning voltage pulse form.
The 10/350 μs current pulse generator can be charged up to 12 kV according to IEC 62305 [18]. The maximum current in the experiments was about 42 kA. Due to the low voltage, an air gap of only 4 mm between the output of the generator and the test object was possible. We used an ignition wire to increase this distance to 55 mm. Consequently, no connecting upward leader was formed. The used current amplitude and current steepness corresponded to real lightning currents. For the estimation of the current distribution in the head phantom, including the flashover, the 10/350 μs current pulse generator was best suited for comparison to real lightning currents.
Conclusion and outlook
We created head phantoms made of agarose to replicate the scalp, the neurocranium, and the intracranial volume of a human head. These head phantoms were tested on pulse generators, which modelled lightning components to investigate the physical and biological effects during a lightning strike. We found:
The scalp compartment is most exposed to the current during a lightning strike, with a fraction of approximately three quarters.
A fully formed flashover rapidly reduces the current in the brain compartment and the current exposition is reduced in interior structures the faster a flashover is formed. This mechanism can explain why people can survive a lightning strike.
The skull has protective properties due to its low electrical conductivity and relative permittivity.
The electric field strength in our experiments reaches a level where electroporation is possible. The mechanism of electroporation may explain neurological effects and damages after a lightning strike.
We established normative values in our experiments for the human head to lightning discharges without any protective equipment. In the next steps, we will compare the found values with protective equipment applied to the head phantom. Further, we will improve our head phantoms to be more realistic models (e.g. add hair on scalp compartment).
Zdroje
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- 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
- Chinese herbal formulae for the treatment of menopausal hot flushes: A systematic review and meta-analysis
- 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
- Genome-wide identification and expression profile analysis of nuclear factor Y family genes in Sorghum bicolor L. (Moench)
- Trends in maternal prepregnancy body mass index (BMI) and its association with birth and maternal outcomes in California, 2007–2016: A retrospective cohort study
- Distribution of the Duffy genotypes in Malaysian Borneo and its relation to Plasmodium knowlesi malaria susceptibility
- Hippocampal connectivity with sensorimotor cortex during volitional finger movements: Laterality and relationship to motor learning
- A self-adaptive deep learning method for automated eye laterality detection based on color fundus photography
- The effect of child marriage on the utilization of maternal health care in Nepal: A cross-sectional analysis of Demographic and Health Survey 2016
- 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
- Accuracy of Determine TB-LAM Ag to detect TB in HIV infected patients associated with diagnostic methods used in Brazilian public health units
- 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
- Coralline algal calcification: A morphological and process-based understanding
- 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
- Measuring sexual relationship power equity among young women and young men South Africa: Implications for gender-transformative programming
- 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
- Friends, relatives, sanity, and health: The costs of politics
- European public perceptions of homelessness: A knowledge, attitudes and practices survey
- An overview of the quality assurance programme for HIV rapid testing in South Africa: Outcome of a 2-year phased implementation of quality assurance program
- Transcatheter aortic valve implantation versus surgical aortic valve replacement in patients at low and intermediate risk: A risk specific meta-analysis of randomized controlled trials
- Global smoking trends in inflammatory bowel disease: A systematic review of inception cohorts
- Identification of inflammatory markers suitable for non-invasive, repeated measurement studies in biobehavioral research: A feasibility study
- Genomic analyses reveal an absence of contemporary introgressive admixture between fin whales and blue whales, despite known hybrids
- Tipping the balance towards long-term retention in the HIV care cascade: A mixed methods study in southern Mozambique
- Diagnosis and classification of pediatric acute appendicitis by artificial intelligence methods: An investigator-independent approach
- Stylistic variation on the Donald Trump Twitter account: A linguistic analysis of tweets posted between 2009 and 2018
- Kinematic determinants of scoring success in the fencing flick: Logistic and linear multiple regression analysis
- Preferences for formal and traditional sources of childbirth and postnatal care among women in rural Africa: A systematic review
- Spectral characteristics of urine specimens from healthy human volunteers analyzed using Raman chemometric urinalysis (Rametrix)
- Associations between industry involvement and study characteristics at the time of trial registration in biomedical research
- A review of the elusive bicolored iris Snouted Treefrogs (Anura: Hylidae:Scinax uruguayus group)
- 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
- Advancing computational biology and bioinformatics research through open innovation competitions
- Dynamic changes in the physicochemical properties of fresh-cut produce wash water as impacted by commodity type and processing conditions
- Mapping online hate: A scientometric analysis on research trends and hotspots in research on online hate
- Orthogonal projection to latent structures and first derivative for manipulation of PLSR and SVR chemometric models' prediction: A case study
- DNA vaccine based on conserved HA-peptides induces strong immune response and rapidly clears influenza virus infection from vaccinated pigs
- Malaria transmission through the mosquito requires the function of the OMD protein
- Small molecule inhibition of lysine-specific demethylase 1 (LSD1) and histone deacetylase (HDAC) alone and in combination in Ewing sarcoma cell lines
- Governing Tripolye: Integrative architecture in Tripolye settlements
- In vitro selective cytotoxicity of the dietary chalcone cardamonin (CD) on melanoma compared to healthy cells is mediated by apoptosis
- Mortality, perception, and scale: Understanding how predation shapes space use in a wild prey population
- DNA analysis of elasmobranch products originating from Bangladesh reveals unregulated elasmobranch fishery and trade on species of global conservation concern
- Genome-wide analysis of methylation in giant pandas with cataract by methylation-dependent restriction-site associated DNA sequencing (MethylRAD)
- A spherical falling film gas-liquid equilibrator for rapid and continuous measurements of CO2 and other trace gases
- The role of vitamin D in increasing circulating T regulatory cell numbers and modulating T regulatory cell phenotypes in patients with inflammatory disease or in healthy volunteers: A systematic review
- Gastroenteritis and respiratory infection outbreaks in French nursing homes from 2007 to 2018: Morbidity and all-cause lethality according to the individual characteristics of residents
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- De novo transcriptome analysis of Viola ×wittrockiana exposed to high temperature stress
- Robust methods in Mendelian randomization via penalization of heterogeneous causal estimates
- HMGB1 mediates the development of tendinopathy due to mechanical overloading
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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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- Drought mediated physiological and molecular changes in muskmelon (Cucumis melo L.)
- 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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- Personalized microstructural evaluation using a Mahalanobis-distance based outlier detection strategy on epilepsy patients’ DTI data – Theory, simulations and example cases
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- Transcriptomic changes triggered by ouabain in rat cerebellum granule cells: Role of α3- and α1-Na+,K+-ATPase-mediated signaling
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- Antifungal effects of a 1,3,4-thiadiazole derivative determined by cytochemical and vibrational spectroscopic studies
- Risk factors for unsuccessful tuberculosis treatment outcomes in children
- CRISPR-based tools for targeted transcriptional and epigenetic regulation in plants
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- The epidemiology of antidepressant use in South Korea: Does short-term antidepressant use affect the relapse and recurrence of depressive episodes?
- 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
- Serum E-selectin concentration is associated with risk of metabolic syndrome in females
- 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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- Adjustment of a numerical model for pore pressure generation during an earthquake
- The risk, perceived and actual, of developing type 2 diabetes mellitus for mothers of preschool children in urban China
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- Imaging disease activity of rheumatoid arthritis by macrophage targeting using second generation translocator protein positron emission tomography tracers
- Distribution of SET/I2PP2A protein in gastrointestinal tissues
- Spontaneous lymphoblastoid cell lines from patients with Epstein-Barr virus infection show highly variable proliferation characteristics that correlate with the expression levels of viral microRNAs
- Early pre- and postsynaptic decrease in glutamatergic and cholinergic signaling after spinalization is not modified when stimulating proprioceptive input to the ankle extensor α-motoneurons: Anatomical and neurochemical study
- Anatomy of a demand shock: Quantitative analysis of crowding in hospital emergency departments in Victoria, Australia during the 2009 influenza pandemic
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- Dual inhibitory action of trazodone on dorsal raphe serotonergic neurons through 5-HT1A receptor partial agonism and α1-adrenoceptor antagonism
- Optimising poly(lactic-co-glycolic acid) microparticle fabrication using a Taguchi orthogonal array design-of-experiment approach
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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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- 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
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- Why Cohen’s Kappa should be avoided as performance measure in classification
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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
- Conformation and mechanical property of rpoS mRNA inhibitory stem studied by optical tweezers and X-ray scattering
- 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
- Rollout of ShangRing circumcision with active surveillance for adverse events and monitoring for uptake in Kenya
- Comparative phenotypic profiling of the JAK2 inhibitors ruxolitinib, fedratinib, momelotinib, and pacritinib reveals distinct mechanistic signatures
- Analyzing a networked social algorithm for collective selection of representative committees
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- Precision and consistency of the passive leg raising maneuver for determining fluid responsiveness with bioreactance non-invasive cardiac output monitoring in critically ill patients and healthy volunteers
- Optimizing bacterial DNA extraction in urine
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- Effects of inorganic nitrogen and litters of Masson Pine on soil organic carbon decomposition
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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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- 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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- Retraction: IL-21 Regulates the Differentiation of a Human γδ T Cell Subset Equipped with B Cell Helper Activity
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- Targeted in-vitro-stimulation reveals highly proliferative multi-virus-specific human central memory T cells as candidates for prophylactic T cell therapy
- Influence of ocean circulation and the Kuroshio large meander on the 2018 Japanese eel recruitment season
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- Retraction: Impacts of rock properties on Danxia landform formation based on lithological experiments at Kongtongshan National Geopark, northwest China
- Correction: SVR12 rates higher than 99% after sofosbuvir/velpatasvir combination in HCV infected patients with F0-F1 fibrosis stage: A real world experience
- Retraction: Plexin-B1 Activates NF-κB and IL-8 to Promote a Pro-Angiogenic Response in Endothelial Cells
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- Association between temperature, sunlight hours and alcohol consumption
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- Correction: The step-to-step transition mode: A potential indicator of first-fall risk in elderly adults?
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- Correction: The Economic Impact of Malignant Catarrhal Fever on Pastoralist Livelihoods
- Correction: Identification of miRNAs involved in fruit ripening by deep sequencing of Olea europaea L. transcriptome
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- Correction: Vascular Endothelial Growth Factor Receptor-2 Couples Cyclo-Oxygenase-2 with Pro-Angiogenic Actions of Leptin on Human Endothelial Cells
- Correction: Plant traits linked to field-scale flammability metrics in prescribed burns in Eucalyptus forest
- Correction: Maturation of three-dimensional, hiPSC-derived cardiomyocyte spheroids utilizing cyclic, uniaxial stretch and electrical stimulation
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