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Extreme mortality and reproductive failure of common murres resulting from the northeast Pacific marine heatwave of 2014-2016
Authors: John F. Piatt aff001; Julia K. Parrish aff002; Heather M. Renner aff003; Sarah K. Schoen aff001; Timothy T. Jones aff002; Mayumi L. Arimitsu aff004; Kathy J. Kuletz aff005; Barbara Bodenstein aff006; Marisol García-Reyes aff007; Rebecca S. Duerr aff008; Robin M. Corcoran aff009; Robb S. A. Kaler aff004; Gerard J. McChesney aff010; Richard T. Golightly aff011; Heather A. Coletti aff012; Robert M. Suryan aff013; Hillary K. Burgess aff002; Jackie Lindsey aff002; Kirsten Lindquist aff015; Peter M. Warzybok aff016; Jaime Jahncke aff016; Jan Roletto aff015; William J. Sydeman aff007
Authors place of work: U.S. Geological Survey, Alaska Science Center, Anchorage, Alaska, United States of America aff001; University of Washington, School of Aquatic and Fishery Sciences, COASST, Seattle, Washington, United States of America aff002; U.S. Fish and Wildlife Service, Alaska Maritime National Wildlife Refuge, Homer, Alaska, United States of America aff003; U.S. Geological Survey, Alaska Science Center, Juneau, Alaska, United States of America aff004; U.S. Fish and Wildlife Service, Migratory Bird Management, Anchorage, Alaska, United States of America aff005; U.S. Geological Survey, National Wildlife Health Center, Madison, Wisconsin, United States of America aff006; Farallon Institute, Petaluma, California, United States of America aff007; International Bird Rescue, San Francisco Bay Center, Fairfield, California, United States of America aff008; U.S. Fish and Wildlife Service, Kodiak National Wildlife Refuge, Kodiak, Alaska, United States of America aff009; U.S. Fish and Wildlife Service, San Francisco Bay National Wildlife Refuge Complex, Fremont, California, United States of America aff010; Department of Wildlife, Humboldt State University, Arcata, California, United States of America aff011; National Park Service, Fairbanks, Alaska, United States of America aff012; NOAA Fisheries, Alaska Fisheries Science Center, Auk Bay Laboratories, Ted Stevens Marine Research Institute, Juneau, Alaska, United States of America aff013; Moss Landing Marine Laboratories, BeachCOMBERS, Moss Landing, California, United States of America aff014; NOAA Greater Farallones National Marine Sanctuary, Beach Watch, San Francisco, California, United States of America aff015; Point Blue Conservation Science, Petaluma, CA, United States of America aff016
Published in the journal: PLoS ONE 15(1)
Category: Research Article
doi: https://doi.org/10.1371/journal.pone.0226087Summary
About 62,000 dead or dying common murres (Uria aalge), the trophically dominant fish-eating seabird of the North Pacific, washed ashore between summer 2015 and spring 2016 on beaches from California to Alaska. Most birds were severely emaciated and, so far, no evidence for anything other than starvation was found to explain this mass mortality. Three-quarters of murres were found in the Gulf of Alaska and the remainder along the West Coast. Studies show that only a fraction of birds that die at sea typically wash ashore, and we estimate that total mortality approached 1 million birds. About two-thirds of murres killed were adults, a substantial blow to breeding populations. Additionally, 22 complete reproductive failures were observed at multiple colonies region-wide during (2015) and after (2016–2017) the mass mortality event. Die-offs and breeding failures occur sporadically in murres, but the magnitude, duration and spatial extent of this die-off, associated with multi-colony and multi-year reproductive failures, is unprecedented and astonishing. These events co-occurred with the most powerful marine heatwave on record that persisted through 2014–2016 and created an enormous volume of ocean water (the “Blob”) from California to Alaska with temperatures that exceeded average by 2–3 standard deviations. Other studies indicate that this prolonged heatwave reduced phytoplankton biomass and restructured zooplankton communities in favor of lower-calorie species, while it simultaneously increased metabolically driven food demands of ectothermic forage fish. In response, forage fish quality and quantity diminished. Similarly, large ectothermic groundfish were thought to have increased their demand for forage fish, resulting in greater top-predator demands for diminished forage fish resources. We hypothesize that these bottom-up and top-down forces created an “ectothermic vise” on forage species leading to their system-wide scarcity and resulting in mass mortality of murres and many other fish, bird and mammal species in the region during 2014–2017.
Keywords:
Death rates – Birds – Predation – Marine fish – Seabirds – Beaches – Alaska – Gulf of Alaska
Introduction
Marine heatwaves (hereafter “heatwaves”), defined as prolonged periods where ocean temperatures are much warmer than usual [1,2], have recently emerged as a major mode of ocean-climate variability that can significantly alter marine ecosystem structure, phenology and marine species distributions [3,4]. Heatwaves have become more prevalent and intense over the last century [4]. Under climate change projections of 2–3.5°C warming relative to pre-industrial levels, the expected intensity, frequency, spatial extent and duration of heatwaves by the end of the twenty-first century may well cause unprecedented and irreversible changes to marine ecosystem functionality and stability [5]. Here we examine impacts of a recent severe heatwave on marine ecosystems of the northeast Pacific and discuss some potential mechanisms by which extreme ocean heating has affected pelagic food-webs in this region.
During late 2013, a warm temperature anomaly developed in near-surface (upper ~100m) waters well offshore in the Gulf of Alaska (GOA) which grew to encompass a large area of the northeast Pacific Ocean [6]. Offshore sea surface temperatures (SSTs) during the winter of 2013–2014 exceeded 3 standard deviations in some areas and persisted over much of the central GOA through March 2015 [6]. While the offshore anomaly diminished somewhat through the summer of 2014, positive SST anomalies over the entire northeast Pacific re-intensified towards the end of 2014, moved into the coast [7] and persisted into the fall and winter of 2015–2016 [3]. Maximum temperature anomalies at times exceeded 3–6°C throughout the range of the heatwave from southern California [7] to the GOA [3], and extended to depths of ca. 50–200 m [8,9]. The period in which temperatures exceeded climatological thresholds for a sustained period (Aug 2014 - July 2016) has been classified as a “severe” (Category III) heatwave [10]. At the time of publication, the spatial extent, magnitude and duration of this heatwave were the largest on record [4,6].
Some immediate biological effects of this unprecedented heatwave were equally extreme. For example, phytoplankton production in the central north Pacific waters was greatly reduced [11]; the largest harmful algal bloom in recorded history extended from California to the GOA in 2015 [12,13]; a massive die-off of planktivorous Cassin’s auklets (Ptychoramphus aleuticus) occurred from central California to British Columbia in the winter of 2014–2015 [14], a marked increase in mortality of pinnipeds was noted in southern California [15], and an unusually large die-off of baleen whales occurred in the GOA in 2015–2016 [16].
We report on another extreme biological impact of the 2014–2016 heatwave: The widespread die-off and chronic reproductive failure of a trophically dominant piscivorous marine bird, the common murre (Uria aalge), over much of their northeast Pacific distributional range from the southeast Bering Sea south to the California Current System (CCS). Murre die-offs occur irregularly in the Pacific and Atlantic oceans, often on wintering grounds, during stormy conditions, and under circumstances where food supplies are depleted or unavailable [17,18]. They have also been linked with warm water anomalies, such as the strong El Niño events in 1983, 1993, and 1998 [19–21].
Here we document the magnitude of the 2015–2016 murre die-off in terms of its spatial extent, duration, absolute numbers of dead or dying birds recovered, and relative magnitude of deposition on beaches relative to long-term baselines. We used data collected by systematic and repeated surveys for beached birds conducted by citizen science participants in the northeast Pacific [22], opportunistic surveys conducted in Alaska by government, university and private organizations, community reports, and records from bird rehabilitation centers. We also document concurrent reproductive failures of murres at multiple breeding colonies from Alaska to California. We hypothesize that the northeast Pacific heatwave was a source of simultaneous bottom-up and top-down forcing, and we discuss potential mechanisms for the disruption of food supplies that resulted in murre mortality and reproductive failure.
Materials and methods
Oceanography
We used sea surface temperature (SST) data from the Hadley Center Sea Ice and Sea Surface Temperature (HadISST) data set [23] to illustrate temperature perturbations related to the northeast Pacific heatwave. A time series of average SST anomalies (SSTa) for the GOA and the California Current System (CCS) were calculated for years 1870–2018. Areas that were analyzed separately included the GOA region: 50°N-61°N, 160°W-126°W; CCS northern region: 40°N-46°N, 126°W-124°W; CCS central region: 35°N-40°N, 126°W-120°W; and CCS southern region: 31°N-35°N, 120°W-117°W. The seasonal cycle was calculated by averaging all values of each month for the period 1870–2018. We subtracted the seasonal cycle (mean SST) from the SST to obtain the anomaly time series (SSTa). We estimated annual rates of SST change between years by calculating ΔSST = SSTYearN+1 –SSTYearN and then calculated a 5-year running average to obtain an annual index of SST change rate (°C year-1).
Ethics statement
Specimens that were salvaged for necropsies and testing for disease, biotoxins, etc., were collected under U.S. Fish and Wildlife Service (USFWS) permit, i.e., the Migratory Bird Master Permit/Import-Export (MB025076-0) and State of Alaska Department of Fish and Game (ADF&G) Scientific Permit issued to the USFWS Regional Director. U.S. Geological Survey personnel operated under the same permits, as issued to the Alaska Biological Science Center USFWS (MB789758-2) and the ADF&G.
Beach surveys
Effort-standardized surveys for beachcast marine birds at monthly or more frequent intervals were conducted at predetermined survey sites by participants of three beached bird citizen science programs: Beach Coastal Ocean Mammal/Bird Education and Research Surveys (BeachCOMBERS) [24], Beach Watch [25], and the Coastal Observation and Seabird Survey Team (COASST) [22] (Table 1). Standardization was achieved primarily by measuring the distance of beach transects (generally less than a few km) and calculating encounter rates as [birds found]/[km searched]. Other protocols designed to make comparisons among beaches, date and location more accurate usually included: walking the same area of beach each visit, surveying a strip centered on the most recent high-tide wrack line and adjacent zones, identifying species from field guides and photographs, marking carcasses to avoid duplicate counting, and searching during ebbing or low tides [22,24–27]. All three programs provide participants with extensive training in both survey protocol and carcass identification (which were verified photographically). Because BeachCOMBERS (34.04°-36.98°N) and Beach Watch (37.12°-38.97°N) programs occur only along the California coast, we assumed all unidentified murres were common murres. For COASST surveys conducted from northern California to northern Washington (39.13°-48.34°N) we made the same assumption. In the Gulf of Alaska (bounded from SE Alaska corner 54.75°N, -130.30°W, to northern Cook Inlet 61.31°N, -150.71°W, and west to Unimak Pass 54.29°N, -165.06°W), both common and thick-billed murres (Uria lomvia) were possible and species were identified based on bill morphology and facial plumage [28]. Less than 1% of all murres in the COASST dataset were identified as thick-billed murres, and most of those were in the Bering Sea (as far north as 68.80°N, -163°W, as far west as 52.30°N, 176.08°E). For simplicity, we assumed that unidentified murres were common murres.
Tab. 1. Standardized beached bird survey effort, number of murres reported on surveys, and murres reported by members of the public or delivered to rehabilitation centers between May 2015 and Apr 2016. Sources: COASST- Coastal Observation and Seabird Survey Team, DOI- Department of the Interior agencies, B.Watch- Beach Watch, COMBERS- BeachCOMBERS. All carcasses found were marked or removed to prevent recounting. For analysis of carcass deposition per effort (km walked), we divided program surveys into two categories: event (May 1, 2015 to April 30, 2016) and baseline (all surveys prior to May 2015). Because each program was created at different points in time (Table 1), and expanded at different rates, we calculated two baselines: (1) 2006–2015 across all programs (i.e. baseline period was invariant across locations); (2) program-specific start year through 2015. We only use the first baseline (2006–2015) for analyses in this paper, even though it meant discarding data, because it differed little from program-specific baselines (S1 Text) and it standardizes data for program comparisons.
Additional surveys were undertaken in Alaska, including 164 standardized [26], effort-controlled surveys conducted on 114 beaches by several Department of Interior agencies (U.S. Geological Survey [USGS], U.S. Fish and Wildlife Service, National Park Service) and opportunistic data collected by the public on beaches, inland or at sea (beach-walker, hiker, hunter, boater) or other wildlife biologists at 260 sites visited for other purposes. Public Opportunistic data occasionally included an estimate of beach survey effort (in linear km), but survey effort and carcass numbers were most often approximated. Some murres were also encountered inland and along lakeshores, and locations were attributed to a single point source.
Specimen collections and necropsies
Specimens were collected during the study period (May 1, 2015 to April 30, 2016) and examined in three different efforts:
Rehabilitation centers
We contacted 72 bird rescue and rehabilitation (“rehab”) centers from southern California to Alaska (S1 Table) to obtain data on common murres recovered from beaches by the public and examined by veterinarians or other staff during 2015–2016 (S1 Fig). Of 66 that responded, 29 reported no common murre recoveries and 37 reported intakes totaling 3,365 murres. Of those, 2,868 birds were visually or manually examined for condition or diagnosis (e.g., sick, emaciated, dead on arrival, injured, oiled) at the time of intake, with ultimate disposition subsequently recorded (e.g., died, rehabilitated and released, etc.). Birds described variously as emaciated, thin, starving, skinny, underweight, or malnourished were simply categorized as emaciated. No birds were excluded from the tally of total birds encountered because: 1) there is always some background deposition of murres on beaches due to other mortality factors in addition to starvation, and so these should not be excluded as we compare 2015–2016 mortality rates against historical averages, and, 2) murres may be oiled or injured as they drift towards shore in coastal waters with heavy boat traffic and chronic oil pollution, 3) the diagnoses are not mutually exclusive. The majority (90%) of birds died prior to or soon after intake. The remaining 10% were released back into the wild, often without rehabilitation where facilities were limited, and their survival rate was likely low. Just under half of birds (and few from Alaska) were weighed on intake (n = 1,568) and aged (n = 1,298) based on morphometrics and/or plumage following Pyle et al. [29]. Subsets of each of these samples were created to delineate juvenile (HY) from older birds (AHY, includes adults, subadults) birds (S2 Table).
USGS National Wildlife Health Center (NWHC)
Common murre carcasses were collected from multiple coastline locations along the GOA (n = 89) and southern Bering Sea (n = 14) and shipped to the NWHC for diagnostic examination by American Veterinary Medical Association certified pathologists [30]. We sought out birds that were “fresh”, i.e., they had been dead less than a couple days to a week, all body parts were intact, and birds had not been scavenged or have exposed muscle or bone [27]. Measurements, ancillary laboratory testing and postmortem findings to support cause of death determination varied by individual specimens based on carcass and tissue postmortem quality (S2 Table). Weight (n = 90) and sex (n = 87) were recorded. Age class (n = 101) was determined from bursa of Fabricius, thymus and gonad development as: juvenile (HY), and subadult or adult (AHY). Samples were collected from the proventriculus or cloaca, if available, and analyzed for saxitoxin (n = 39) and domoic acid (n = 9) exposure at the National Oceanographic and Atmospheric Administration, Northwest Fisheries Science Center, Seattle, Washington, US using enzyme-linked immunosorbent assay (ELISA; [31]).
USGS Alaska Science Center
Fresh (see above) common murre carcasses (n = 117) collected off Alaskan beaches (n = 88) between 1 November 2015 and 11 April 2016 or provided by Alaska rehab centers (n = 29), were necropsied by agency biologists in Anchorage, Alaska (S2 Table). Not all characteristics were assessed on all birds, and subsets of data were collected for each parameter, including mass (n = 97), body condition, which we rank-scored by visually assessing amounts of pectoral muscle (n = 101) and subcutaneous fat (n = 102) [32], age (n = 36) and sex (n = 105) [33]. Birds were aged as hatch year (HY) if they had a bursa [34,35] and if gonads were not developed, if plumage (outermost underwing primary covert) were white-tipped, characteristic of HY/SY [29] and if culmen length was <40 mm [29]. AHY body mass was contrasted to 219 AHY specimens collected at seven GOA breeding colonies between May and September 1988–1999 by USGS (J. Piatt, unpubl.), as well as to carcasses (n = 116) recovered during a previous die-off in the GOA [20]. In these murres, any bird with AHY body mass approaching or falling below 650 g would be considered in Phase III starvation [36] and in immediate danger of dying.
Murre breeding ecology
Reproductive success (rs = chicks fledged/egg laid) of common murres was obtained from 21 monitoring sites in our study area (13 in Alaska, 1 in Oregon, and 6 in California), including data collected by Alaska Maritime National Wildlife Refuge (NWR), Togiak NWR, Becharof NWR, USGS Alaska Science Center, Alaska Department Fish and Game, Institute for Seabird Research and Conservation, Oregon State University, Humboldt State University, Point Blue Conservation Science, San Francisco Bay NWR Complex and Farallon Islands NWR. Data collection consisted of systematic recordings (photographic or hand-drawn) of the status (i.e., presence of egg or chick) of a subset of nest sites within long-term plots [37]. Time series of reproductive success varied in length from 10 to 45 years among colonies. Standardized anomalies of breeding success were calculated for the entire time series of each colony, but anomalies were plotted using: a) only data collected after 1984 (owing to scarcity of data at most colonies in earlier years), and, b) using a mean rs for the baseline period 1996–2014; the period for which regular annual monitoring was initiated at 6 new index colonies in Alaska by Alaska Maritime NWR, and which has a near-complete time series at all but 2 of 11 long-term sites used in this study (Yaquina Head, Castle Rock N). For analysis, we consider the time series divided into event: 2015–2017, and pre-event baseline: 1996–2014.
Under a wide range of prey densities, average common murre rs is usually high and variance is low (e.g., [38,39]). At 11 colonies dispersed throughout their range in the northeast Pacific (n = 246 colony-years), mean rs (±SD) during 1972–2014 was 0.55 ±0.20 chicks fledged/egg laid. Thus, we defined a “reproductive failure” as rs that fell more than 2 SD below that mean (i.e. < 0.14), rounded down here to rs ≤ 0.10 chicks fledged/egg laid. “Complete reproductive failure” is defined as rs = 0, when no chicks whatsoever are produced.
Data analysis
To illustrate spatial magnitude of the event, carcass count data of murres on both systematic and opportunistic beaches sampled, and records of live and moribund murres rescued from point locations were compiled for the event period (May 1, 2015 to Apr 30, 2016). Raw data were binned into 75x75 km cells for mapping; a scale big enough to aggregate higher resolution (km) beach surveys or point samples and prevent excessive overlap of adjacent abundance circles, but small enough to track coast and island geography (individual beach survey sample sites are plotted in S2 Fig). Not all shoreline was searched for birds during the die-off period, particularly in Alaska. Thus, the map underestimates the extent of the die-off in Alaska and may overemphasize the die-off in regions with a high density of survey sites on the coasts of California, Oregon and Washington (hereafter “West Coast”).
Deposition of carcasses on beaches is a measure that incorporates both detection and persistence and is proxied by carcass encounter rate. To examine the seasonal variation of relative carcass abundance within and among large geographic regions, raw beach survey data from citizen science programs (above) were standardized to carcasses encountered per linear km of coastline by survey [14] and averaged within geo-region by month (May 2015 to April 2016; Table 1). Relative magnitude of carcass encounter rate was calculated as 2015/2016 encounter rates divided by the baseline encounter rate, presented as a month-specific average across all baseline years (GOA: 2005–2014, Washington: 2001–2014, Oregon: 2001–2014, N. California: 2006–2014, N. Central California: 1994–2014, S. Central California: 1997–2014). Magnitude was also calculated using an equivalent baseline time period (2006–2014) for all geo-regions (S1 Text).
In order to determine whether carcass encounter rates in 2015/16 were significantly higher than previous years we calculated bootstrap 95% confidence intervals of mean encounter rate at the region and month-year scale. Each bootstrap estimate was calculated by drawing n samples (with replacement) of survey-specific encounter rate from the pool of available surveys for that month-year and region (Gulf of Alaska, Outer coast of Washington, Oregon, N California, C California and SC California–see Table 1), with n equal to the number of unique beaches surveyed in that month-year. A distribution of mean encounter rate was then generated by performing 1,000 bootstrap permutations, subsequently processed to obtain a 95% confidence interval specific to that month-year and region.
The average for each calendar month (i.e. the baseline) was then calculated by a second round of bootstrap resampling using the distributions generated in the previous step (S1 Text). Monthly encounter rates from May 2015 to April 2016 were then compared to the long-term baseline to identify whether they were significantly higher/lower than expected. We classified each month according to two significance criteria; (1) whether the encounter rate was significantly higher/lower than the long-term average (i.e. no overlap of corresponding 95% CI’s), (2) whether the encounter rate was significantly higher than any prior year for that calendar month (i.e. 2015/16 data was higher and had none overlapping 95% CI’s compared to all prior years) (S1 Text).
Results
Oceanography
The observed warming in the GOA from winter 2014 through winter 2016 was unprecedented in the period since instrumental record-keeping began (1870–2017; Fig 1A). The overall change in magnitude (Fig 1A), and rate of temperature change (Fig 1B), from the most recent cold anomaly (ca. 2007–2012) to the peak warm anomaly (2014–2016) exceeded any previous warming event in the GOA. While the magnitude of SSTa and rate of change in the northern CCS were notable, they were not unprecedented. In the central CCS, the magnitude of the SSTa was large but not unusual, whereas the high rate of warming was greater and more persistent than any time in the past. In the southern CCS (including most of California), the SSTa and rate of change were more extreme than even those in the GOA, and unprecedented in the ~150-year time series. Thus, while all areas were affected by the heatwave, and each developed strong temperature anomalies, it appears that both the heatwave magnitude and rate of warming were most extreme in the northern and southern reaches of its extent. It is noteworthy that while the “heatwave” did not reach the anomalous warm temperatures that defined it [1,10] until August of 2014, high rates of increase (>0.25 ΔSST) actually began much earlier, i.e., during 2012 in all areas.
Fig. 1. Average monthly time series (Jan 1870 to Dec 2018) of sea surface temperature anomalies (SSTa) in the (a) Gulf of Alaska (GOA); and in (c) northern (nCCS); (e) central (cCCS); and (g) southern (sCCS) waters of the California Current System (CCS). Solid black lines are 24-month running averages. Also presented are 5-year running averages of annual SST differences, an index of SST change rate, for the (b) GOA, and (d) nCCS, (f) cCCS and (h) sCCS. Average long-term SST values for each region are: GOA 8.1° C, nCCS 12.5° C, cCCS 13.9° C, sCCS 16.2° C. Die-off event description
During the event year (May 2015 to April 2016) ~62,000 murre carcasses were reported from a vast range of coastline spanning more than 6,000 km (Table 1, Fig 2). Of these, ~40,000 were obtained from standardized surveys or rehab center reports. Impacts of the heatwave on murres appeared to be most extreme in the northern GOA and the southern CCS. Although few thick-billed murres (Uria lomvia) were detected on beach surveys overall (<0.1% of those identified on COASST surveys in Alaska and West Coast), they did comprise a higher proportion of total murres (n = 47) observed on Bering (15%) and Chukchi Sea (86%) beach surveys. Otherwise, the vast majority of murres observed on beaches in the GOA and CCS were common murres.
Fig. 2. Numbers of dead or moribund common murres observed on beaches that were surveyed systematically (gold circles; ~monthly) and with opportunistic beach surveys and rehab captures (red circles). Areas in which zero dead murres were encountered during surveys are indicated by white circles. All remaining coastlines (without any circles) were not surveyed. Note the California Current System is divided roughly into 3 sections: north (nCCS), central (cCCs) and south (sCCS). Encounter rates from southcentral California to the GOA were significantly elevated relative to baseline (Fig 3), and this trend was extreme in the GOA, with magnitudes 10x to 1,000x normal for 9 continuous months (Fig 3A). In the GOA month-averaged encounter rates were the highest recorded (relative to monthly baselines: 2006–2014) from May 2015 through to March 2016 (except for June 2015), with the majority representing a statistically significant departure from baseline (Fig 3A). In addition, from September 2015 to January 2016 (except October 2015), month-averaged encounter rates were significantly higher than any previous year of data collection in the Gulf of Alaska (Fig 3A). Numbers counted in other parts of Alaska, including southeast Alaska, and the Bering and Chukchi Seas, were not remarkable (Table 1, encounter rates not shown) but these are vast, scarcely populated areas and COASST sampling was limited. In the GOA, the elevated mortality signal was unusually prolonged, beginning in May 2015 coincident with onset of breeding, and peaking at over 1,000x normal in December 2015 and January 2016, representing an average encounter rate of over 50 carcasses per km. By April 2016, encounter rates had dropped to 10x baseline.
Fig. 3. Monthly averaged encounter rates (carcasses per km, gray bars) for the (A) Gulf of Alaska, (B) Washington, (C) Oregon, (D) northern California, (E) central California, and, (F) southern California coastlines. Black lines are baseline encounter rates, yellow shadings are 95% confidence intervals, and red lines show relative magnitude of encounter rates in 2015/2016 compared to the 2006–2015 baseline. Colored squares indicate whether month-averaged encounter rate was significantly higher than baseline and whether they were significantly higher than any prior year of data collection for that calendar month. Asterisks indicate that the mean encounter rate in the corresponding month was the highest value ever recorded. Note that the GOA baseline is so low that it cannot be seen on the chart. Relative magnitude was calculated as the 2015/2016 encounter rates divided by the baseline mean value. In the CCS, murre carcass encounter rate is typically about 1–3 carcasses per km during late summer and early fall (July-October; Fig 3B–3F) largely due to juvenile mortality following the breeding season. This is markedly higher than the baseline in the GOA, which typically peaks at ~0.1 carcasses per km (Fig 3A). In Washington and Oregon, encounter rates were statistically higher than baseline from August to September of 2015. This represented the highest encounter rates ever recorded for those calendar months in Washington (Fig 3B), although encounter rates weren’t significantly higher than all previous years (S1 Text). In northern California encounter rates were at or below average, and significantly lower in November of 2015 (Fig 3D). In North-Central California, encounter rates were significantly higher than baseline and were the highest on record for September to November (Fig 3E), and into December in South-central California (Fig 3F). However, confidence intervals for these months overlapped with one or more prior years of data collection (S1 Text). Overall, mortality rates were most elevated above average in the north and south extents of the heatwave.
Necropsies
Of the common murre carcasses collected in Alaska and necropsied at the National Wildlife Health Center, 79% were AHY (68% adult, S2 Table) and 68% were female. All AHY birds were emaciated (mean mass = 711.1g ± 95.0 SD) and severely underweight compared to live healthy birds collected at colonies during the breeding season (n = 219 AHY, mean mass = 1054.0 ±94.3 SD; Fig 4). Emaciation was characterized by moderate-to-severe pectoral muscle atrophy and absence of subcutaneous, epicardial and visceral fat reserves. Emaciation was the most significant postmortem finding contributing to death in the majority of birds necropsied. A few (n = 4) individuals had mild-to-moderate nematode and/or cestode intestinal parasite infections (insignificant to death) and one had septicemic salmonellosis. There was no other evidence of infectious disease. Trace levels of saxitoxin (1.4–3.9 ppb) were detected in 20% of samples (n = 8) tested. Domoic acid was not detected.
Fig. 4. Body mass of common murres collected: (a) at seven breeding colonies in the Gulf of Alaska (GOA), May-September 1988–1999; (b) after a large die-off of murres on the Kenai Peninsula, GOA, February-March 1993; (c) at scattered locations in the GOA and Bering Sea, May 2015-April 2016; (d) along the central coast of California (37°-42° N), May 2015-April 2016; and, (e) along the southern coast of California (32°-37° N), March 2015-April 2016. The vertical dashed line represents the approximate critical mass below which mortality is expected in starved common murres (phase III starvation). The vertical dotted line indicates the cutoff mass below which birds were likely young-of-the-year fledglings. From subsamples necropsied at the ASC, we determined that 67% of birds were female, 89% were AHY birds (64% adult), and 11% were HY. Nearly all (97%) birds examined for pectoral condition were scored as emaciated and of those scored for subcutaneous fat most had zero (83%) or very little (17%). Only 7% of birds (n = 100) had food remains (trace amounts, mostly bone fragments) in the gizzard. Mass of all birds (n = 97) averaged 715.2 ±79.9 SD. Overall, body mass of murre carcasses collected during the event year were comparable to that of murre carcasses measured (n = 116 AHY, mean mass = 666.0 ±92.4 SD) during a similar die-off in Prince William Sound in March 1993 [20].
Rehabilitation birds
Of 3,365 murres examined at rehabilitation centers, 8% were dead on arrival or euthanized immediately; 47% were described primarily as emaciated; 5% were injured in some way (e.g. broken wing); and 5% were oiled. The remainder (35%) had non-specific information (e.g., beached, sick, weak). The frequency of these conditions varied from south to north, with 91–99% of birds classified as “starving” in Oregon, Washington and Alaska, while “other” causes increased in frequency in southcentral California (13%) and northcentral California (25%). Birds received at rehab centers in California exhibited a bimodal pattern of mass distribution (Fig 4), reflecting a large proportion of HY (34% south and southcentral; 55% northcentral and north) birds. Average mass (±SD) of AHY birds was similar to those observed elsewhere (south and southcentral: 682.7 g ±78.0, n = 402; northcentral and north: 675.6 g ±72.0, n = 157; Fig 4).
Murre reproductive failures
Just under one quarter of the Alaskan common murre population resides on colonies regularly monitored for attendance and reproductive success (rs) (Fig 5; [40]). Out of 138 colony-years (i.e. sum of colonies monitored times years of effort) at large relatively stable colonies from 1995 through 2014, only one complete (rs = 0 chicks/pair [ch/p]) and seven low (rs ≤0.10 ch/p), see Methods) reproduction failures have been observed (at Round Island, Cape Peirce). Aiktak, a small (~1200 birds) colony in the eastern Aleutians, is the only monitored colony with frequent reproductive failure (12/21 years), which may be why it has decreased rapidly in size in recent decades [40].
Fig. 5. Annual standardized deviations in reproductive success of common murres (on right) at continuously monitored colonies (on left, large red circles) distributed over ~6000 km in the NE Pacific Ocean. Red bars (on right) indicate every known year of reproductive failure (i.e., success 0.0 to <0.10 chicks/pair) from 1985 to 2014. Horizontal dashed lines indicate where reproductive success would fall two standard deviations below the long-term average (for pre-event average during 1996–2014, value at right of each plot). Smaller and/or irregularly monitored colonies (on left, small red circles) included (a) Round I., (b) Aiktak I., (c) Oil Creek, (d) Duck I., (e) Nord I., (f) Gull I., (g) Barwell Is., (h) Devil’s Slide Rock. During the 2015 breeding season, two annually monitored colonies (Chowiet, Amatuli) failed completely, as did one occasionally monitored site: Gull Island (pre-2015 mean = 0.54 ch/p). In the GOA, these three sites comprise ~26% of the common murre population. Only two regularly monitored colonies reported an above average rs (Fig 5).
In 2016, reproductive failures expanded in the GOA and Bering Sea. Seven of eight annually monitored colonies in the GOA and Bering Sea, and five intermittently monitored colonies in the GOA (Barwell, Nord, Gull, and Duck islands; Oil Creek) failed completely (0 ch/p). Of regularly monitored colonies, only Chowiet in the Semidi Islands (GOA) produced fledglings (0.48 ch/p) but far fewer birds attempted to breed (39% of pre-2015 high count of 4283 murres on monitoring plots). Additional signs of reproductive difficulties during 2016 in the GOA included late egg-laying (if it occurred at all), irregular attendance and total abandonment at some colonies.
Reproductive difficulties continued in 2017, as four out of seven regularly monitored colonies failed completely (Cape Pierce, Round, Aiktak, St. Lazaria), and two others (St. Paul 0.02 ch/p, Amatuli 0.15 ch/p) experienced failure or unusually low success (below 2 SD of long-term mean (Fig 5). In addition, two irregularly monitored colonies (Gull, Duck) failed completely. Only Chowiet performed above its long-term mean (2017 : 0.66 ch/p), but again, only 43% of pre-2015 numbers were seen on nesting ledges so total production would be only 28% of pre-2015 numbers.
In summary, 13 common murre colonies in the GOA and Bering Sea experienced a complete failure (0 ch/p) in reproduction at least once during the event years (2015–2017). Multi-year failures were documented in 8 colonies. Out of 31 colony-years of rs observed during the event years, 25 (81%) were below their long-term average, 19 (61%) were complete failures (0 ch/p), and 6 more (mean = 0.16 ch/p) were well-below average.
There is evidence that common murres in the CCS also experienced depressed reproductive success, albeit to a lesser degree and somewhat lagged in comparison to Alaska. Reproductive success in the CCS population is usually stable, as informed from three decades of monitoring (1985–2014) at 5 colonies representing ~64% of the CCS population (Fig 5). Reproductive success only fell below 1 SD of the mean in 14% (12/83) of colony-years, and below 2SD of the mean in 5% (4/83) of colony years (Fig 5). In contrast, rs fell 1 SD below the mean 50% of the time (7/14 colony-years) during 2015–2017. At Yaquina Head (OR), a colony already depressed by disturbance from bald eagles (Haliaeetus leucocephalus) and brown pelicans (Pelecanus occidentalis)[41], near (<0.02 ch/p in 2016) or complete failures (0 ch/p) were recorded in all three years. At Castle Rock North, the largest murre colony in northern CA, success plummeted from baseline average of 0.75 ch/p in 2007–2014 to 0.17 ch/p in 2016 (>2 SD below mean), followed by complete failure (0 ch/p) in 2017. At the Farallon Islands, the largest colony in central CA, rs was moderate (0.45–0.58 ch/p) in 2015–2017, and consistently below the baseline average (0.69 ch/p), while rs at nearby Pt. Reyes was at or above (0.49–0.73 ch/p) baseline average (0.50 ch/p). Finally, at two other small colonies south of the Farallons, rs in 2015–2017 was slightly above average (mean = 0.65 ch/p, n = 22 years) at Devil’s Slide—a small colony that was re-established with social attraction—and well-below (~2 SD) the long-term average at Castle Rocks South in 2016 (Fig 5).
Discussion
Die-off magnitude and timing
The 2015–2016 common murre die-off in the northeast Pacific is unprecedented globally in magnitude, spatial extent and duration. It occurred during a heatwave that was also severe (Category III) in magnitude, spatial extent and duration (711 days, [10]). The relative impact was greatest in Alaska, where ~47,000 carcasses reflected encounter rates that were up to a thousand times higher than usual. Peak encounter rates topped 4,600 carcasses/km in Prince William Sound. Many (~14,500) birds were also found on West Coast beaches, but part of this total resulted from much larger beach survey and rehabilitation efforts (S1 and S2 Figs). About one-third of all birds counted on West Coast beach surveys (~11,800) can be accounted for by average background mortality in the region, and about three-quarters of the above-average (~5-10X) mortality was concentrated in the southern California Current System (CCS) (Fig 3). Although strong heatwave anomalies occurred throughout the ~6000 km spatial range over which murres died, highest mortality rates occurred along an ~1,000 km arc of coastline in the northern Gulf of Alaska (GOA) and an ~500 km stretch of coastline in the southcentral and southern CCS, areas that overlapped spatially with the strongest SST anomalies and most rapid rates of warming (Fig 1).
To put numbers into perspective with other mass mortalities in Alaska, biologists counted 22,800 emaciated (average 704 g) murre carcasses along an ~700 km stretch of coast on the southeast Bering Sea following a severe storm during April 1970 [42]. Aerial surveys averaged 80 carcasses/km (maximum 5440 carcasses/km) and total mortality was estimated conservatively to exceed 100,000 birds. Following the Exxon Valdez oil spill in March 1989, ~30,000 seabirds (74% murres) were recovered along a ~750 km stretch of coast in the northern GOA [43]. Based on a variety of in situ experiments to determine how many carcasses made it on shore and were likely to be counted (see below), models predicted that 300,000 to 645,000 birds actually died at sea [44,45]. In March 1993, about 3500 dead murres were recorded on beaches in the northern GOA; all were severely emaciated (Fig 4). Deposition and persistence rates of murres on beaches were calculated from repetitive surveys [26] which indicated that a total of 10,900 murres were deposited cumulatively on the beaches surveyed. Assuming very conservatively that 90% of birds at sea came ashore, and that 10% of beaches in the die-off region had been surveyed, it was estimated that ~120,000 murres died in this wreck [20].
Few birds were recovered on beaches in British Columbia or southern southeast Alaska (Fig 2), but this is a notable gap area in the distribution of murres during both summer and winter [46] (S3 Fig). In addition to a scarcity of murres, this area is sparsely populated and there was little search effort there (Fig 2). Along the U.S. West Coast, murres are widely abundant (S3 Fig) and one of the more common species recorded on beach surveys, especially juvenile murres after they depart colonies in late summer [22,25,47]. However, there are few historical reports of natural die-offs involving more than hundreds or low thousands of birds, or of adults in particular. The recovery of ~8100 carcasses above the baseline is unprecedented for a “natural” die-off on the West Coast but has been surpassed in magnitude by the mortality of tens of thousands of murres in oil spills [46].
A few exceptionally large die-offs have also occurred elsewhere in the world. During winter of 2013–2014, a total of 54,982 seabirds, mostly (54%) Atlantic puffins (Fratercula arctica) and common murres (29%), came ashore from Portugal north to the Shetland Islands, but mostly (80%) along the French coast [48]. This number “is likely to be a large underestimate of the final death toll.” Most mortality was attributed to starvation, perhaps precipitated by a powerful storm and difficulties foraging. There was no heatwave happening at the same time, but the die-off followed a nearly 30-year increase in SST in the North Atlantic from the 1980s through 2000s. This long-term increase in ocean temperature was implicated in the decline of several seabird populations during this period, as well as a reduction in abundance and quality of some forage fish species [39,49–52]. Elsewhere, following a major heatwave in the Tasman Sea [53] and after a severe winter storm off New Zealand in 2011, more than 53,840 dead prions (80% broad-billed prions Pachypatila vittata) were counted on long-term survey beaches during July and August [54,55]. Carcasses were found over the entire west coast of New Zealand and densities exceeded 1000 birds/km on several beaches. Total mortality was estimated conservatively at 250,000–500,000 individuals.
Counts of dead seabirds on beaches following mass mortality incidents represent a minimum measure of total mortality. They do not include carcasses that sink at sea, or those washed ashore that are removed by scavengers or buried in sand and debris. Furthermore, the frequency and thoroughness of beach surveys ultimately determines how many carcasses will be discovered and counted [14,44,56]. Experimental studies (n = 19) conducted by releasing marked alcids (and/or decoys) at sea when systematic beach surveys were underway indicate that under a wide range of conditions at least 6.9x (95% CI 4.3x to 14.2x) more birds die at sea than are found on nearby beaches [57]. Recovery rates ranged between 0% and 61%, and much depends on the specifics of every experiment (e.g. wind direction, extent of search effort, etc.). Actual mass mortality events exhibit a range of expansion factors of similar magnitude (e.g., Tasman Sea 5x-10x [54]; Gulf of Biscay 5x-17x [57]; Gulf of Alaska in 1989 10x-22x [44,45]) or larger magnitudes (e.g., Gulf of Alaska in 1993 34x [20]; Gulf of Mexico 80x-950x [58]; Bering Sea 579x [59]). The largest multipliers were attached to studies of prolonged mortality (e.g. DeepWater Horizon oil spill, [58]) or those estimated by extrapolating from transects at sea (e.g. [59]).
In this study, owing to logistic constraints and geographic expanse, we measured few or none of the factors needed to model total mortality in the areas most affected. However, we can draw upon a comparable study of carcass counts [45] conducted after the 1989 Exxon Valdez oil spill (EVOS) in which rates of carcass sinking, deposition, persistence, and search effort, were all measured in the core area of the oil spill zone [43], which also happens to overlap considerably with the area of highest murre mortality during the 2015–2016 heatwave. If we apply expansion factors determined from that study to bracket the lower (10x) and upper (22x) estimated limits of total mortality in the heatwave, we estimate that between 470,000 to 1,030,000 birds died in the Gulf of Alaska during the heatwave. This total probably included birds overwintering from Bering Sea colonies (see below), and it suggests that as much as one quarter of all murres breeding in the Gulf of Alaska and southeast Bering Sea (~4.5 million, U.S. Fish and Wildlife Service colony estimates and correction factor for birds at sea [46]) might have been killed.
On the West Coast, we don’t have a comparable model to estimate total mortality. However, we know that beach survey coverage was more comprehensive on the West Coast, and so we used the conservative range of expansion factors from experimental studies (above, [57]) to estimate that 4x to 14x more birds than the ~14,500 murres counted were killed, i.e., between 58,000 and 203,000 birds. This would comprise about 4 to 14% of the CCS population (~1.5 million, estimated as above).
Taken together, the total impact of the heatwave on common murre populations throughout all areas was likely between 0.53 and 1.2 million birds, or approximately 10–20% of total populations (~6 million). The fact that most birds killed in the die-off were probably breeding adults compounds the seriousness of the mortality for the population [60], and it will take longer for recovery of the population than if the die-off had affected mostly juveniles [60,61].
Reproductive failure at colonies
The extreme reproductive failures of common murres that occurred during summer 2015 and in the two years after the main die-off were also focused in Alaska and occurred less frequently in the California Current System (CCS). Considering the low number of birds encountered on beaches in the Bering Sea, breeding failures at colonies there were surprisingly similar in magnitude to those in the Gulf of Alaska (GOA). This reduction in juvenile production will significantly delay recovery of populations in all affected colonies [60]. Also, the number of birds attending colonies in the Bering Sea (data from USFWS [40] and USGS averaged in 3-year windows before and after the 2015–2016 die-off, weighted by colony size) declined more in the Bering Sea (>80%) than in the GOA (>50%). Whether these declines were due to reduced attendance because of deferred breeding [62], or a crash in colony populations due to a crash in food supply [61] is still not clear. Either way, reproductive failures and reduced attendance in the Bering Sea suggest that prey deficits were also experienced by murres in the southeastern corner of the Bering Sea.
The frequency of total reproductive failures (n = 22), overall reduced breeding success and decline in numbers that occurred at multiple colonies in the northeast Pacific during 2015–2017 is a cause for astonishment and alarm. The common murre is probably the most widely studied seabird in the Northern Hemisphere and total reproductive failures at well-established colonies have been rare during some 70+ years of detailed observations (Fig 5)[17,39,40,46,63]. A smaller-scaled but similar die-off of murres in association with a collapse of forage stocks (capelin, sand lance, juvenile Atlantic cod Gadus morhua) occurred in the Barents Sea in 1986 [61]. Large common murre populations at many colonies in that region subsequently declined by 60–95% in a single winter [64]. Recovery of forage stocks and murre population growth started in the next year. However, two decades passed before murre populations recovered to pre-crash levels [61]. It remains to be seen when (or whether) murre populations in Alaska will recover from the heatwave in light of predicted global warming trends and the associated likelihood of more frequent heatwaves [5].
Causal factors
Several acute biological responses to this unprecedented heatwave were observed throughout the northeast Pacific. Phytoplankton biomass in the northeast Pacific transition zone waters was lower in winter 2014 than in any year measured since 1997 [11]. The largest and most wide-spread harmful algal bloom in recorded history—a bloom of Pseudonitzschia—extended from California to the Gulf of Alaska (GOA) in 2015 [12,13]. Fundamental shifts in coastal productivity indices [11] and micronekton assemblages [65] were also associated with this sustained warming event. Large predatory groundfish in Alaska, including trophically and commercially dominant species such as walleye pollock (Gadus chalcogrammus), Pacific cod (Gadus macrocephalus), arrowtooth flounder (Atheresthes stomias) and Pacific halibut (Hippoglossus stenolepis) all declined in body condition and some in abundance (e.g., cod, see below) during heatwave and post-heatwave years of 2015–2017 in the GOA and Bering Sea [66–69]. A large die-off of planktivorous Cassin’s auklets (Ptychoramphus aleuticus) occurred from central California to British Columbia (BC) in the winter of 2014–2015 [14] followed by a large die-off of rhinoceros auklets (Cerorhinca monocerata) in the same region during 2016 [70]. Hundreds-to-thousands of young-of-the-year California sea lions (Zalophus californianus) died in 2014 and 2015, and Guadalupe fur seals (Arctocephalus townsendi) died in large numbers and experienced reproductive failures during 2015 [15,71,72]. A record total of 79 humpback and fin whales stranded during 2015–2016 in Alaska and British Columbia waters, mostly for “unexplained” reasons, and mostly in the GOA [16]. This was accompanied by a >50% decline in summer populations of humpback whales, evidence of malnutrition (“skinny whales”), and near complete absence of calves in Glacier Bay between 2014–2017 [73].
A common thread to most of these events was that they involved either a loss in productivity or a mass mortality of higher trophic-level animals, both of which point to problems in food production or availability. All the vertebrate predators affected also share a common dietary dependence on a few key forage species (see below) and this points to a bottleneck in the forage base. These events all occurred within, and for some years after, the time-frame of the 2014–2016 heatwave, and over an enormous spatial range involving three large marine ecosystems (CCS, GOA and Bering Sea). This calls for an explanation that is plausible for all species and regions, and that involves water temperature as a driving force—either directly or indirectly. With respect to murres, we offer three non-exclusive hypotheses to explain the cause of these events: 1) temperature-mediated changes in the distribution and quality of the prey base available to murres; 2) harmful algal blooms associated with warm water anomalies; and, 3) temperature-enhanced competition from ectothermic predators.
Bottom-up effects: Murres as marine predators
Reduction in primary production, and ultimately zooplankton or forage fish biomass, has been implicated in past seabird die-offs and reproductive failures (e.g., [14,27,46,61,74–78], often in association with anomalous oceanographic conditions (too warm, too cold, loss of upwelling, etc.). In order to understand how murres are affected by climate-mediated bottom-up changes in their forage base, we need to first consider their foraging ecology and the types of prey they eat. Throughout their Pacific range, common murres feed on a wide variety of prey, but around any particular colony they select among just a few species that may be found nearby such as sand lance (Ammodytes personatus), capelin (Mallotus catervarius) and other smelt, Pacific herring (Clupea pallasii), Pacific sardine (Sardinops sagax), northern anchovy (Engraulis mordax) and euphausiids (e.g., large Thysanoessa species), as well as juvenile age classes of salmon, gadids, hexagrammids, rockfish and squid [79–83]. (Note, we lump euphausiids and squid with “forage fish” here because a few invertebrates are also consumed in abundance by “piscivorous” groundfish, seabirds and marine mammals, especially in winter). Common murres are extremely well adapted for foraging on continental shelves; they fly faster than any other northern seabird [84], are capable of traversing any shelf in the CCS or GOA within hours, and, they are deep divers, making the entire shelf habitat accessible [85]. This is probably why breeding failures and die-offs have been historically rare (see above).
On the other hand, as endotherms living in hostile, cold environments, murres maintain high metabolic rates (2.14 kJ/g/d [86]) and assuming an average body mass of 1054 g in the GOA (Fig 4) and a base energy value for “high quality” prey (5.0 kJ/g wet, [87]), murres need to eat 56% of their body mass every day to meet daily metabolic demands. Murres in Alaska generally eat age-0 or age-1 forage fish that weigh approximately 5–10 g ([88–90], J.F. Piatt and M. Arimitsu, unpubl. data), so to maintain body mass, murres would have to catch and eat about 60–120 high-lipid forage fish every day. If only smaller or leaner prey (e.g., juvenile pollock) were available, then the number needed could double [87,91]. By comparison, an ectothermic cod of similar size to a murre would only need to eat about 0.4–1.5% of its own body mass (BM) in food per day [92], i.e., as little as 1–3 high-quality forage fish a day.
This is the ultimate “Achilles heel” for murres, and one that sets it far apart from competing ectothermic groundfish (eating typically 0.1–1% of BM/d) and endothermic marine mammals [93] including large cetaceans (1–2% BM/d) or small cetaceans and pinnipeds (5–15% BM/d). If murres can’t fully meet this food demand every day, they lose body condition quickly and jeopardize survival. If they can’t find any food for 3–5 days, they will die of starvation [36]. The fact that common murres are the most successful and abundant piscivorous seabirds breeding in the Northern Hemisphere speaks to their remarkable ability to meet this demand day-after-day. However, shifts in taxonomic composition of prey fields in response to changing environmental conditions have been shown to dramatically reduce murre foraging success, reproductive success and survival occasionally [61,83,94], demonstrating that even these superlative marine predators have limits [38,95]. Still, examples of such limitations in murres are rare and the magnitude of the events reported on here are beyond extraordinary.
Bottom-up effects: Shifts in the prey base
Warming of subarctic shelf waters may lead to both vertical (deepening) [96,97] and northward migrations of these forage species, or entire communities, according to thermal gradients and tolerances [98–100], a phenomena widely observed during the 2014–2016 heatwave [14,101–103]. In the California Current System (CCS), shifts in zooplankton [101] and forage fish diversity [65,103] signaled a persistent northward expansion of southern species. Zooplankton shifts may have also resulted in a depleted food chain in terms of relative energy transfer [101], although larval forage fish species were actually more abundant in samples off central California and central Oregon [65,103]. In contrast, anchovies and sardines in the CCS both declined by 2–3 orders of magnitude from the mid-2000s to 2014 [104,105]. Although these declines preceded the heatwave, fish and plankton net sampling in Oregon and Washington indicate that catches of these forage fish, as well as of euphausiids were further depressed in 2015 and 2016 [9,12,70,71].
In the Gulf of Alaska (GOA), a similar introgression of smaller zooplankton was observed, along with a breakdown in established SST-phytoplankton-zooplankton dynamics after 2013 [102]. Shifts to earlier peak biomass of smaller copepods associated with warmer temperatures [102] were cited as potential factors in concomitant declines in forage fish quality in Prince William Sound in the winter of 2015–2016 [106,107]. Shifts in forage fish availability in the GOA were apparent in marine bird diet starting in 2014 [108], with a sharp decline in capelin and an increase in sablefish (Anoplopoma fimbria), combined with a slow rebound of sand lance. In GOA waters, sand lance began a long steady decline in the early 2000s, to a low in 2011, and remained low to 2015 [67,109]. Capelin stocks were depressed after the 1976 regime shift [110], rebounded dramatically in 2007 as the GOA entered a new cold phase [67,109], and collapsed again during the heatwave in 2014–2016 [67,100]. In 2015 and 2016, age-0 pollock larvae in the GOA were 2–3 orders of magnitude less abundant than average; indicating complete recruitment failures for pollock [67,68]. In sum, latitudinal shifts in zooplankton and forage fish prey, combined with overall depression of major prey taxa, apparently created marginal foraging conditions for murres for several years.
In addition to shifts in latitudinal abundance of specific taxa, warm water conditions diminished body condition and somatic growth of ectothermic forage fish. Body condition of capelin and sand lance in the GOA and CCS was reduced during the heatwave, resulting in smaller, less energy-dense prey for murres [107,111–113]. Whole-body energy content of age-1 sand lance declined by 44% in 2015 and 89% in 2016 in Alaska [114], and body condition of sand lance in the northern CCS declined markedly in 2014–2015 [113]. Presumably, consumed food was re-directed to fuel metabolism rather than somatic growth or fat storage [69,115]. Similarly, others [116] have shown marked reduction in growth of several CCS forage species during warming events, including the 2015–2016 heatwave. These included northern anchovy, Pacific herring, Pacific sardine, surf smelt (Hypomesus pretiosus), and whitebait smelt (Allosmerus elongatus), all common prey for murres in the CCS. They also demonstrated a marked change in forage fish diets in 2015–2016, from energy-rich plankton species to energy-poor gelatinous species; a change they ascribe to a restructuring of nektonic communities that occurred in response to the heatwave [116]. Thus, the heatwave increased metabolic demand of forage fish while at the same time it reduced the quality of some prey eaten by forage fish, creating a bottleneck for mass/energy flow to higher trophic levels, including seabirds (Fig 6). As all fish and invertebrates are ectothermic, this effect could potentially have far-reaching impacts on food webs in the GOA and CCS [69,117].
Fig. 6. Illustration of the “ectothermic vise” hypothesis to explain the dramatic decline of forage fish and starvation of murres across three large marine ecosystems during the 2014–2016 marine heatwave. We propose that an unusually warm layer of water in the NE Pacific, persisting for more than 2 years, had a powerful cumulative effect on ectothermic groundfish (stimulating food intake rate) and ectothermic forage fish (reducing their quality) leading to a strong top-down and bottom up (vise-like) impact on murre survival and reproductive success. Bottom-up effects: Toxigenic algae
Increased ocean temperatures during and following the heatwave have been associated with harmful algal blooms (HABs) [13,118], which are known to cause marine bird mortality, primarily through plankton-derived toxicants entering the food chain and occasionally resulting in die-offs of thousands of birds [119]. Saxitoxin and domoic acid have been widely detected in top marine predators [31,120] but we know little about toxicity levels or effects of chronic exposure in most cases.
During the common murre mass mortality event, an extensive HAB of a toxigenic diatom (Pseudo nitzschia sp.) that commonly produces domoic acid was documented in coastal California from March through June 2015 [13] resulting in bioaccumulation of domoic acid in northern anchovies (Engraulis mordax), one of the main prey species of common murres [121]. Investigators [120] detected low levels of domoic acid in tissues of beach cast common murres during and after the 2015 bloom (July—November). Nonetheless, they concluded that starvation “was likely the ultimate cause of death” and that any harmful algal bloom effects were secondary. In Alaska, it remains unclear whether HABs played any role in the elevated mortality rates of common murres during the 2015–2016 heatwave. Immediate testing for domoic acid in murres was minimal (n = 9 birds) and none was detected, but Pseudo nitzschia were 2-3X more abundant than average on the GOA shelf during 2014 and 2015 (S. Batten, pers. comm.). Saxitoxin, which can cause paralytic shellfish poisoning, has been linked to mortality of seabirds in Alaska [122] and concentrations of saxitoxin in some areas peaked during the summers of 2014–2016 [118]. Trace levels of saxitoxin (1.4–3.9 ppb) were detected in eight of 39 murre samples (stomach or cloacal content) obtained by the National Wildlife Health Center and tested immediately in 2015–2016 (see Methods). Later analyses of an additional 56 murres at the USGS Alaska Science Center, including die-off and healthy specimens, as well as samples of forage fish and invertebrate prey collected in 2015–2017, revealed a low to moderate frequency (20%-54%) of saxitoxin occurrence among taxa groups; but all at low concentrations [123]. Domoic acid was found in a single bird, and in some prey taxa (4%-33%). Authors noted that all biotoxin values were below levels reported in other seabird die-offs where causal links were established between toxin concentration and bird mortality, and as such, do not support a hypothesis that algal bloom biotoxins were a primary cause of murre mortality in Alaska [123].
Furthermore, the likelihood that HAB toxins were a primary and acute causal factor in the die-off appears small given that the center of the murre mass mortality event was the GOA, and the extended duration of the die-off (9 months of 100x baseline) both preceded and extended well past peak HAB bloom windows [118]. Also, we should have seen behavioral changes in affected birds as well as a larger number of species affected if HABs were a primary source of mortality [120,124]. Nonetheless, we are still lacking in basic information (e.g., what is a lethal dose?) about HAB effects on marine birds, and it cannot be ruled out as a contributing factor to the die-off [123]. We need more information on the depuration rates of HAB toxins, acute toxic levels (e.g., LD50) and the effects of chronic toxin exposure in order to fully assess their potential contribution to the die-off [120,123].
Top-down effects: Resource competition from ectotherms
In addition to affecting spatial distribution of large predatory groundfish [125], increasing water temperature has the immediate and predictable effect of increasing metabolic rate, and usually food demand, of these marine ectotherms when they are operating within preferred temperature regimes [92,126]. The influence of this ecological “master factor” [127] on groundfish must have been substantial during the extreme 2014–2016 heatwave, but this pathway of upper trophic impact has been largely overlooked as a factor in regulating populations of groundfish, or other marine predators that compete with groundfish for food [92,117,128,129].
Recent modeling [92] of the effect of temperature on metabolic rate and food consumption in the GOA of three dominant groundfish predators including walleye pollock (Gadus chalcogrammus), Pacific cod (Gadus macrocephalus) and arrowtooth flounder (Atheresthes stomias) showed that an increase of 2°C in the GOA from pre-heatwave (1981–2011) temperatures would have increased food consumption of these species by 70%, 34% and 65% respectively. If we weight each species consumption estimate by its population size (stock biomass [130]), then the increase in prey demand by all species combined would be 63% higher than it was before the temperature increase. Pacific halibut (Hippoglossus stenolepis) show a similar response to increasing temperature in the GOA and Bering Sea [69].
The micronekton most commonly eaten by these groundfish include several species also favored by murres and other avian piscivores, especially capelin, sand lance, juvenile pollock, herring and euphausiids (especially in winter) [131]. Given the size of these three groundfish stocks in 2015 (4.48 M mt, [130]) and calculated consumption rates [92], these groundfish would have consumed ~10 M mt/yr of prey in 2015 if temperatures remained average. By comparison, total annual forage consumption by the ~2.5 million common murres in the GOA (calculations following [46,132,133]) total only ~0.45 M mt/yr. Thus in 2015, without a temperature increase, predatory groundfish would have consumed approximately ~20 times more total prey biomass, and ~6 times more forage fish biomass than murres (since fish comprise about a quarter of these groundfish diets; [134]). The 2ºC increase in water temperature would have pushed ectothermic groundfish prey consumption to ~15 M mt/yr, and thereby substantially increase forage fish grazing rates. Given that groundfish typically out-consume seabirds by 10 : 1 or even 100 : 1 ratios in northern shelf ecosystems [135,136], a 60% increase in consumption rates by groundfish should have some consequences for seabirds. No comparable modelling of temperature impact on metabolism of fish in the CCS has been undertaken, but the CCS shelf sustains at least 3.1 M mt of large predatory fishes (mostly hake Merluccius productus, rockfish, flatfish] [137,138], comparable to biomass density in the GOA and likely to also have provided significant increases in competition with murres during warming events.
If the GOA marine ecosystem was operating at “relative equilibrium” [139,140] prior to the heatwave, then we hypothesize that this massive increase in foraging rate would have eventually led to prey deficits [69,136] for the groundfish themselves (creating intra-specific competition) and for other competitors such as seabirds and marine mammals (creating inter-specific competition) [136,141]. In this scenario, murres would be more sensitive to reductions in key forage fish species than competing groundfish, which typically have much broader diets and less sensitivity to fluctuations in any one prey type [136,142]. Also, it would presumably require a passage of some time for elevated grazing to deplete prey stocks below critical levels needed by murres. In fact, it was almost a full year from start of the “official” heatwave (August 2014, [10]) and more than 3 years after the rate of warming turned positive in 2012 (Fig 1) before a few murre colonies experienced reproductive failure and elevated murre mortality appeared in the GOA and northern CCS (Figs 3 and 5). Murre mortalities increased and persisted through fall in the GOA and southern CCS, and then peaked in the GOA during December 2015 and January 2016, a full 18 months after initiation of the heatwave. Murre die-offs diminished to background levels by April-June of 2016, as water temperatures returned to normal [10]. In contrast, reproductive failures peaked at 13 colonies during the summer of 2016 (23–24 months from heatwave initiation), continued at 9 colonies in 2017, and declined to only 4 colonies in 2018 (USGS, USFWS unpubl. data), although it is bracing to remember that a synchronized failure of even 4 murre colonies would have once been considered an extreme event. Overall, these findings suggest that prey stocks were replenished slowly during the 2 years after the heatwave ended in summer 2016, or that some sort of relative equilibrium among ectothermic and endothermic predators was being re-established following a large cull of bird, fish and mammal populations, or both.
While murres were visibly dying en masse and failing to reproduce in 2015–2017, adult Pacific cod populations in the GOA were silently crashing underwater. Following three years in which commercial catches were well below quotas in the GOA (2015–24%, 2016–35%, 2017–45%), and a severe reduction in abundance of some older age cohorts occurred, the allowable catch quota for 2018 was reduced by 80% from the 2017 level [129]. The decline in the cod stock was attributed to reduced adult survival from starvation owing to a major reduction of forage in diets (especially capelin), coupled with a large increase in metabolic rates and food demands [129]. The same changes appeared in arrowtooth flounder, to a lesser degree [69,143]. In addition, the authors concluded that “other ectothermic fish species would be expected to have similarly elevated metabolic demands during the warm conditions, increasing the potential for broad scale prey limitations”, a conclusion that would seem to fit Pacific halibut in the Bering Sea and GOA as well [69]. Indeed, we might expect elevated consumption from some more of the other 30 commercial groundfish species [130], five species of salmon, and non-commercial fish species, alongside the usual competition from other common endothermic piscivores in the GOA, including at least thirty other species of seabirds, ten cetaceans, and five pinnipeds [144,145]. Finally, we find independent supporting evidence for potential basin-scale resource competition between large predatory fish and seabirds in the Bering Sea, where biennial high-low cycles in pink salmon (Oncorhynchus gorbuscha) abundance result in high rates of forage consumption in high salmon years, and create synchronized biennial cycles in seabird body condition and reproductive success (both low in high salmon years [141,146,147]).
Summary - effects of an ectothermic vise
During the most powerful marine heatwave on record [10], an extreme die-off and chronic breeding failure of common murres in the NE Pacific resulted from a widespread shortage of forage fish across three large marine ecosystems. Major impacts on murres included a large reduction (possibly 10–20%) in the breeding population and a severe reduction in productivity that will dampen recruitment for several years. Food shortages were also documented during the 2014–2016 heatwave in many other piscivorous marine predators including groundfish, seabirds and marine mammals. And finally, a variety of ichthyoplankton and pelagic fish studies provided direct evidence for major forage fish declines during 2015–2016 in many of the key species eaten by murres from California to the Bering Sea.
Our hypothesis to explain the wide-spread depletion of forage fish is based on three facts: 1) metabolic rate, food intake rate, somatic growth, fat storage, fecundity and survival in marine ectotherms are strongly modulated by water temperature, 2) these physiological and life history traits are adapted to function optimally over relatively small ranges of water temperature that are species-specific, and, 3) physiological efficiency declines markedly when ambient temperatures wander too far above or below the optimal temperature range. This is why fish seek out water with temperatures that optimize these parameters, e.g., by migrating vertically in and out of warm surface layers or migrating geographically to stay within waters that suit their tolerances and/or facilitate various activities (e.g., migration, foraging, predator avoidance, “hibernation”, etc.). Such effects were noted widely in zooplankton, ichthyoplankton, forage fish and groundfish during the heatwave. However, murres and many other marine predators are highly mobile and deep-diving, and it is unlikely that simple distributional changes in forage fish can account for all the widely observed starvation, mortality and breeding failures in murres.
A more plausible hypothesis is that persistently warm water temperatures modulated ectotherm physiology everywhere at the same time, and forage fish were caught in an “ectothermic vise” (Fig 6). At lower trophic levels, warm waters changed zooplankton community composition, sometimes by the loss of key high-lipid species, sometimes by immigration of less nutritious warm-water species, or both. Consequently, the flow of energy to forage fish was disrupted, even as their own metabolic demand increased. This likely led to reduced somatic growth and fat storage [69,107]. In turn, this reduced survival in some forage fish (or age-classes) and lowered the nutritional quality of forage fish for seabirds (Fig 6). At higher trophic levels, the stimulation of metabolic rates in larger predatory fish led to a huge increase in their intake of forage fish [69,92]. This, in turn, led to a steady depletion of forage stocks for the 2-year duration of the heatwave, and an increase in competition for a dwindling supply of forage (Fig 6).
An ectothermic vise on forage fish ought not to be expected under every scenario of ocean warming, and much may depend on how well community thermal optima are aligned with temperature regimes before, during and after a heatwave occurs [92,117]. Still, it might be useful to model metabolically regulated trophic relationships within marine communities under future warming scenarios in order to assess the potential impact of future warming events on marine food webs. As noted by John Bruno et al. [117] “temperature-driven changes in metabolism play an important and informative role in controlling many of the patterns and processes that interest ecologists. A small but growing body of research suggests that the effect of temperature on marine populations and communities is at least as strong as other factors that receive far greater attention, e.g., competition, predation, and resource availability.”
Supporting information
S1 Table [docx]
Wildlife rehabilitation organizations contacted in California, Oregon, Washington, British Columbia and Alaska.S2 Table [docx]
Common murre collection details and measures of mass, sex, and age class.S1 Fig [tif]
Distribution and numbers of live birds received at 37 rehabilitation centers.S2 Fig [tif]
Locations of individual surveys conducted for beached birds during the period May 1, 2015 to April 30, 2016.S3 Fig [tif]
Summer and winter distribution of Common Murres in the NE Pacific.S1 Text [docx]
Methods for bootstrap calculation of significance in testing rates of carcass encounter on beach surveys in different months and years.S1 Dataset [xlsx]
Data collected on common murres taken in by bird rehabilitation centers in California, Oregon, Washington and Alaska.S2 Dataset [xlsx]
Beach survey data on common murres summarized monthly, including survey effort, counts, and 95% CIs of mean murre encounter rate.
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- Dome-shaped macula in children and adolescents
- Barriers in the access, diagnosis and treatment completion for tuberculosis patients in central and western Nepal: A qualitative study among patients, community members and health care workers
- Evaluation of KRAS, NRAS and BRAF mutations detection in plasma using an automated system for patients with metastatic colorectal cancer
- Targeted transcriptomic study of the implication of central metabolic pathways in mannosylerythritol lipids biosynthesis in Pseudozyma antarctica T-34
- Preliminary evidences of the presence of extracellular DNA single stranded forms in soil
- A comparison of quality of life between patients treated with different dialysis modalities in Taiwan
- The effectiveness of substance use interventions for homeless and vulnerably housed persons: A systematic review of systematic reviews on supervised consumption facilities, managed alcohol programs, and pharmacological agents for opioid use disorder
- Spatiotemporal characteristics and driving forces of construction land expansion in Yangtze River economic belt, China
- Comparison of Monocyte Distribution Width (MDW) and Procalcitonin for early recognition of sepsis
- Morphological association between the muscles and bones in the craniofacial region
- Transcriptome analysis of Actinidia chinensis in response to Botryosphaeria dothidea infection
- Evaluating two decision aids for Australian men supporting informed decisions about prostate cancer screening: A randomised controlled trial
- Serum galectins as potential biomarkers of inflammatory bowel diseases
- Linguistic Z-number weighted averaging operators and their application to portfolio selection problem
- Comparative study on skin protection activity of polyphenol-rich extract and polysaccharide-rich extract from Sargassum vachellianum
- Real-world data about emotional stress, disability and need for social care in a German IBD patient cohort
- The regenerative compatibility: A synergy between healthy ecosystems, environmental attitudes, and restorative experiences
- Fusion of augmented reality imaging with the endoscopic view for endonasal skull base surgery; a novel application for surgical navigation based on intraoperative cone beam computed tomography and optical tracking
- Functional characterization of NK cells in Mexican pediatric patients with acute lymphoblastic leukemia: Report from the Mexican Interinstitutional Group for the Identification of the Causes of Childhood Leukemia
- Radiomics signature for prediction of lateral lymph node metastasis in conventional papillary thyroid carcinoma
- Antenatal depression and its association with adverse birth outcomes in low and middle-income countries: A systematic review and meta-analysis
- Perceptions of risk and influences of choice in pregnant women with obesity. An evidence synthesis of qualitative research
- The role of refugee and migrant migration status on medication adherence: Mediation through illness perceptions
- Job stress and emotional exhaustion at work in Spanish workers: Does unhealthy work affect the decision to drive?
- Correction: Amphibians on the hotspot: Molecular biology and conservation in the South American Atlantic Rainforest
- Sexual risk classes among youth experiencing homelessness: Relation to childhood adversities, current mental symptoms, substance use, and HIV testing
- Time for change is now: Experiences of participants in a community-based approach for iron and folic acid supplementation in a rural county in Kenya, a qualitative study
- Non-invasive genetic monitoring for the threatened valley elderberry longhorn beetle
- Statistical learning for turboshaft helicopter accidents using logistic regression
- Vegetation change over seven years in the largest protected Pacific Northwest Bunchgrass Prairie remnant
- The effect of various metal-salts on the sedimentation of soil in a water-based suspension
- Using electronic health record system triggers to target delivery of a patient-centered intervention to improve venous thromboembolism prevention for hospitalized patients: Is there a differential effect by race?
- Effects of CK2β subunit down-regulation on Akt signalling in HK-2 renal cells
- Novel broad-spectrum activity-based probes to profile malarial cysteine proteases
- Health-related quality of life in cancer patients treated with immune checkpoint inhibitors: A systematic review on reporting of methods in randomized controlled trials
- Environmental tobacco smoke (ETS) and hyperlipidemia modified by perceived work stress
- Association between opioid analgesic therapy and initiation of buprenorphine management: An analysis of prescription drug monitoring program data
- Effect of a community-based approach of iron and folic acid supplementation on compliance by pregnant women in Kiambu County, Kenya: A quasi-experimental study
- Radiocarbon dating of two old African baobabs from India
- Improvement project in higher education institutions: A BPEP-based model
- An updated evaluation of serum sHER2, CA15.3, and CEA levels as biomarkers for the response of patients with metastatic breast cancer to trastuzumab-based therapies
- Genome-wide association study of metabolic syndrome in Korean populations
- The diagnostic accuracy of liver fibrosis in non-viral liver diseases using acoustic radiation force impulse elastography: A systematic review and meta-analysis
- Drug therapy problems and treatment satisfaction among ambulatory patients with epilepsy in a specialized hospital in Ethiopia
- Short- & long-term effects of monetary and non-monetary incentives to cooperate in public good games: An experiment
- Niche modeling reveals life history shifts in birds at La Brea over the last twenty millennia
- Morphological consequences of artificial cranial deformation: Modularity and integration
- Distributed flux balance analysis simulations of serial biomass fermentation by two organisms
- Plasma kynurenines and prognosis in patients with heart failure
- Occurrence and distribution of anthropogenic persistent organic pollutants in coastal sediments and mud shrimps from the wetland of central Taiwan
- Intensified visual clutter induces increased sympathetic signalling, poorer postural control, and faster torsional eye movements during visual rotation
- Restoration of cortical symmetry and binaural function: Cortical auditory evoked responses in adult cochlear implant users with single sided deafness
- A smartphone-enabled wireless and batteryless implantable blood flow sensor for remote monitoring of prosthetic heart valve function
- Gut microbiota composition alterations are associated with the onset of diabetes in kidney transplant recipients
- Shock index and TIMI risk index as valuable prognostic tools in patients with acute coronary syndrome complicated by cardiogenic shock
- Merit overrules theory of mind when young children share resources with others
- Economic burden of maternal morbidity – A systematic review of cost-of-illness studies
- Comparison of balance changes after inspiratory muscle or Otago exercise training
- Correction: Escherichia coli and Salmonella spp. isolated from Australian meat chickens remain susceptible to critically important antimicrobial agents
- Metabolic analysis of amino acids and vitamin B6 pathways in lymphoma survivors with cancer related chronic fatigue
- Cell-free DNA donor fraction analysis in pediatric and adult heart transplant patients by multiplexed allele-specific quantitative PCR: Validation of a rapid and highly sensitive clinical test for stratification of rejection probability
- Immunopathogenesis of canine chronic ulcerative stomatitis
- Correction: Quantification of speech and synchrony in the conversation of adults with autism spectrum disorder
- Efficacy and safety of ultrasonic circular cyclocoagulation with second-generation probe in glaucoma: A retrospective study
- Generalizing findings from a randomized controlled trial to a real-world study of the iLookOut, an online education program to improve early childhood care and education providers’ knowledge and attitudes about reporting child maltreatment
- Self-selection of food ingredients and agricultural by-products by the house cricket, Acheta domesticus (Orthoptera: Gryllidae): A holistic approach to develop optimized diets
- Machine learning detection of Atrial Fibrillation using wearable technology
- Comparative proteomic analysis of different stages of breast cancer tissues using ultra high performance liquid chromatography tandem mass spectrometer
- A cross-sectional study of psychopathy and khat abuse among prisoners in the correctional institution in Jimma, Ethiopia
- Head impulse compensatory saccades: Visual dependence is most evident in bilateral vestibular loss
- Complementarity of empirical and process-based approaches to modelling mosquito population dynamics with Aedes albopictus as an example—Application to the development of an operational mapping tool of vector populations
- Pepsin promotes laryngopharyngeal neoplasia by modulating signaling pathways to induce cell proliferation
- When and what to test for: A cost-effectiveness analysis of febrile illness test-and-treat strategies in the era of responsible antibiotic use
- Comparison of effects and safety in providing controlled hypotension during surgery between dexmedetomidine and magnesium sulphate: A meta-analysis of randomized controlled trials
- The gene encoding the ketogenic enzyme HMGCS2 displays a unique expression during gonad development in mice
- Seroepidemiological study of rubella in Vojvodina, Serbia: 24 years after the introduction of the MMR vaccine in the national immunization programme
- Efficacy of a mitochondrion-targeting agent for reducing the level of urinary protein in rats with puromycin aminonucleoside-induced minimal-change nephrotic syndrome
- Association of endothelial nitric oxide synthase (NOS3) gene polymorphisms with primary open-angle glaucoma in a Saudi cohort
- Antitrust analysis with upward pricing pressure and cost efficiencies
- Machine learning models for identifying preterm infants at risk of cerebral hemorrhage
- Natural selection contributes to food web stability
- Pyramiding QTLs controlling tolerance against drought, salinity, and submergence in rice through marker assisted breeding
- Diversity and plant growth-promoting functions of diazotrophic/N-scavenging bacteria isolated from the soils and rhizospheres of two species of Solanum
- Sustainability effects of motor control stabilisation exercises on pain and function in chronic nonspecific low back pain patients: A systematic review with meta-analysis and meta-regression
- Sofosbuvir-based regimen for genotype 2 HCV infected patients in Taiwan: A real world experience
- The virulence domain of Shigella IcsA contains a subregion with specific host cell adhesion function
- Sequencing artifacts derived from a library preparation method using enzymatic fragmentation
- Analysis of the Rdr1 gene family in different Rosaceae genomes reveals an origin of an R-gene cluster after the split of Rubeae within the Rosoideae subfamily
- Concomitant phytonutrient and transcriptome analysis of mature fruit and leaf tissues of tomato (Solanum lycopersicum L. cv. Oregon Spring) grown using organic and conventional fertilizer
- Quantitative analysis of adsorption and desorption of volatile organic compounds on reusable zeolite filters using gas chromatography
- Comparing bioinformatic pipelines for microbial 16S rRNA amplicon sequencing
- TMEM98 is a negative regulator of FRAT mediated Wnt/ß-catenin signalling
- Modeling migration patterns in the USA under sea level rise
- Quo vadis Pantanal? Expected precipitation extremes and drought dynamics from changing sea surface temperature
- Cloud-computing and machine learning in support of country-level land cover and ecosystem extent mapping in Liberia and Gabon
- An exploratory study on the quality of patient screening and counseling for hypertension management in Tanzania
- Relation of fibroblast growth factor receptor 2 expression to hepatocellular carcinoma recurrence after liver resection
- The Brief Measure of Emotional Preoperative Stress (B-MEPS) as a new predictive tool for postoperative pain: A prospective observational cohort study
- The impact of diabetes mellitus medication on the incidence of endogenous endophthalmitis
- Correction: Chl1 DNA helicase and Scc2 function in chromosome condensation through cohesin deposition
- Clinical and pathological features of thrombotic microangiopathy influencing long-term kidney transplant outcomes
- Multidisciplinary investigation of two Egyptian child mummies curated at the University of Tartu Art Museum, Estonia (Late/Graeco-Roman Periods)
- Occupational exposure to particulate matter from air pollution in the outdoor workplaces in Almaty during the cold season
- Morphological adjustment in free-living Steinernema feltiae infective juveniles to increasing concentration of Nemafric-BL phytonematicide
- Murine Surf4 is essential for early embryonic development
- Using mHealth to improve health care delivery in India: A qualitative examination of the perspectives of community health workers and beneficiaries
- Algorithmic handwriting analysis of the Samaria inscriptions illuminates bureaucratic apparatus in biblical Israel
- Key necroptotic proteins are required for Smac mimetic-mediated sensitization of cholangiocarcinoma cells to TNF-α and chemotherapeutic gemcitabine-induced necroptosis
- Concurrent lipidomics and proteomics on malignant plasma cells from multiple myeloma patients: Probing the lipid metabolome
- Short treatment with antalarmin alters adrenal gland receptors in the rat model of endometriosis
- Is it really always only the others who are to blame? GP’s view on medical overuse. A questionnaire study
- Serum visfatin and vaspin levels in hepatocellular carcinoma (HCC)
- Retraction: SDR9C7 Promotes Lymph Node Metastases in Patients with Esophageal Squamous Cell Carcinoma
- iTRAQ proteomics reveals the regulatory response to Magnaporthe oryzae in durable resistant vs. susceptible rice genotypes
- A smartphone-based test for the assessment of attention deficits in delirium: A case-control diagnostic test accuracy study in older hospitalised patients
- Association between tuberculosis and depression on negative outcomes of tuberculosis treatment: A systematic review and meta-analysis
- Incidence and predictors of loss to follow up among adult HIV patients on antiretroviral therapy in University of Gondar Comprehensive Specialized Hospital: A competing risk regression modeling
- Point-of-care diagnostic (POCD) method for detecting Bursaphelenchus xylophilus in pinewood using recombinase polymerase amplification (RPA) with the portable optical isothermal device (POID)
- Bioluminescent imaging of Arabidopsis thaliana using an enhanced Nano-lantern luminescence reporter system
- Biosynthetic pathway of indole-3-acetic acid in ectomycorrhizal fungi collected from northern Thailand
- Clinical implications of elevated serum interleukin-6 in IgG4-related disease
- Downscaling NLDAS-2 daily maximum air temperatures using MODIS land surface temperatures
- Sex-specific and opposite modulatory aspects revealed by PPI network and pathway analysis of ischemic stroke in humans
- Plasma Trimethylamine-N-oxide and impaired glucose regulation: Results from The Oral Infections, Glucose Intolerance and Insulin Resistance Study (ORIGINS)
- Self-esteem and other risk factors for depressive symptoms among adolescents in United Arab Emirates
- Control of the microsporidian parasite Nosema ceranae in honey bees (Apis mellifera) using nutraceutical and immuno-stimulatory compounds
- The effect of storage conditions on microbial communities in stool
- Role of donor genotype in RT-QuIC seeding activity of chronic wasting disease prions using human and bank vole substrates
- Influence of flow on phosphorus-dynamics and particle size in agricultural drainage ditch sediments
- A prospective, randomized, double-blind trial to compare body weight-adjusted and fixed doses of palonosetron for preventing postoperative nausea and vomiting in obese female patients
- Application of computerized 3D-CT texture analysis of pancreas for the assessment of patients with diabetes
- Predictive validation and forecasts of short-term changes in healthcare expenditure associated with changes in smoking behavior in the United States
- An information-based approach to handle various types of uncertainty in fuzzy bodies of evidence
- Oral magnesium supplementation for leg cramps in pregnancy—An observational controlled trial
- Health care professionals’ knowledge of commonly used sedative, analgesic and neuromuscular drugs: A single center (Rambam Health Care Campus), prospective, observational survey
- Campylobacter portucalensis sp. nov., a new species of Campylobacter isolated from the preputial mucosa of bulls
- OGG1 deficiency alters the intestinal microbiome and increases intestinal inflammation in a mouse model
- Transgenic interleukin 11 expression causes cross-tissue fibro-inflammation and an inflammatory bowel phenotype in mice
- Novel method to measure temporal windows based on eye movements during viewing of the Necker cube
- Whole blood transcriptomic analysis of beef cattle at arrival identifies potential predictive molecules and mechanisms that indicate animals that naturally resist bovine respiratory disease
- Effects of smoke flavoring using different wood chips and barbecuing on the formation of polycyclic aromatic hydrocarbons and heterocyclic aromatic amines in salmon fillets
- Sleep quality and sex modify the relationships between trait energy and fatigue on state energy and fatigue
- The role of peer, parental, and school norms in predicting adolescents’ attitudes and behaviours of majority and different minority ethnic groups in Croatia
- Filtered beauty in Oslo and Tokyo: A spatial frequency analysis of facial attractiveness
- The impact of rehabilitation frequency on the risk of stroke in patients with rheumatoid arthritis
- Availability, prices and affordability of selected antibiotics and medicines against non-communicable diseases in western Cameroon and northeast DR Congo
- The effect of mutations derived from mouse-adapted H3N2 seasonal influenza A virus to pathogenicity and host adaptation
- Detection of posttraumatic pneumothorax using electrical impedance tomography—An observer-blinded study in pigs with blunt chest trauma
- Educators’ perceptions of organisational readiness for implementation of a pre-adolescent transdisciplinary school health intervention for inter-generational outcomes
- Beyond the heterodimer model for mineralocorticoid and glucocorticoid receptor interactions in nuclei and at DNA
- The effects of sport expertise and shot results on basketball players’ action anticipation
- Framework and algorithms for identifying honest blocks in blockchain
- Efficacy and safety of anti-viral therapy for Hepatitis B virus-associated glomerulonephritis: A meta-analysis
- Selective transmission of some HIV-1 subtype C variants might depend on Envelope stimulating dendritic cells to secrete IL-10
- Noise reduction and quantification of fiber orientations in greyscale images
- Exploring the impact of terminology differences in blood and organ donor decision making
- Ontogenetic similarities between giraffe and sauropod neck osteological mobility
- Load transfer mechanism and critical length of anchorage zone for anchor bolt
- Income inequalities in stroke incidence and mortality: Trends in stroke-free and stroke-affected life years based on German health insurance data
- Community’s perception, experiences and health seeking behavior towards newborn illnesses in Debre Libanos District, North Shoa, Oromia, Ethiopia: Qualitative study
- Platelet indices significantly correlate with liver fibrosis in HCV-infected patients
- Reanalysis of the Bridge et al. study of suicide following release of 13 Reasons Why
- Validation of the easyscreen flavivirus dengue alphavirus detection kit based on 3base amplification technology and its application to the 2016/17 Vanuatu dengue outbreak
- The nitrate content of fresh and cooked vegetables and their health-related risks
- Bioreactor for mobilization of mesenchymal stem/stromal cells into scaffolds under mechanical stimulation: Preliminary results
- Serotonin transporter dependent modulation of food-seeking behavior
- Implicit task switching in Parkinson’s disease is preserved when on medication
- Root treatment with oxathiapiprolin, benthiavalicarb or their mixture provides prolonged systemic protection against oomycete foliar pathogens
- Real-world effectiveness and safety of ranibizumab for the treatment of myopic choroidal neovascularization: Results from the LUMINOUS study
- Non-gradient and genotype-dependent patterns of RSV gene expression
- Multiplex real-time PCR for the detection of Clavibacter michiganensis subsp. michiganensis, Pseudomonas syringae pv. tomato and pathogenic Xanthomonas species on tomato plants
- The 24-hour urinary cortisol in post-traumatic stress disorder: A meta-analysis
- Parasites modulate the gut-microbiome in insects: A proof-of-concept study
- The dynamics of shapes of vesicle membranes with time dependent spontaneous curvature
- Vascularization and biocompatibility of poly(ε-caprolactone) fiber mats for rotator cuff tear repair
- The shield of self-compassion: A buffer against disordered eating risk from physical appearance perfectionism
- Disease-specific out-of-pocket healthcare expenditure in urban Bangladesh: A Bayesian analysis
- Advanced biofilm analysis in streams receiving organic deicer runoff
- Upregulation of long non-coding RNA ROR1-AS1 promotes cell growth and migration in bladder cancer by regulation of miR-504
- Method development and validation for rapid identification of epigallocatechin gallate using ultra-high performance liquid chromatography
- Neonatal sepsis in Iran: A systematic review and meta-analysis on national prevalence and causative pathogens
- Drug-eluting versus bare-metal stents for first myocardial infarction in patients with atrial fibrillation: A nationwide population-based cohort study
- Same-day antiretroviral therapy initiation for HIV-infected adults in South Africa: Analysis of routine data
- Health-related quality of life among patients with type 2 diabetes mellitus in Eastern Province, Saudi Arabia: A cross-sectional study
- Photocatalytic biocidal effect of copper doped TiO2 nanotube coated surfaces under laminar flow, illuminated with UVA light on Legionella pneumophila
- The interoceptive hippocampus: Mouse brain endocrine receptor expression highlights a dentate gyrus (DG)–cornu ammonis (CA) challenge–sufficiency axis
- Educational attainment and HIV testing and counselling service utilisation during antenatal care in Ghana: Analysis of Demographic and Health Surveys
- Dissection of flag leaf metabolic shifts and their relationship with those occurring simultaneously in developing seed by application of non-targeted metabolomics
- Centromeres of Cucumis melo L. comprise Cmcent and two novel repeats, CmSat162 and CmSat189
- Acute high-intensity and moderate-intensity interval exercise do not change corticospinal excitability in low fit, young adults
- “I like the way I am, but I feel like I could get a little bit bigger”: Perceptions of body image among adolescents and youth living with HIV in Durban, South Africa
- Nanoparticle-based ‘turn-on’ scattering and post-sample fluorescence for ultrasensitive detection of water pollution in wider window
- The relationship of moral sensitivity and patient safety attitudes with nursing students’ perceptions of disclosure of patient safety incidents: A cross-sectional study
- Insights into the strategy of micro-environmental adaptation: Transcriptomic analysis of two alvinocaridid shrimps at a hydrothermal vent
- Thirty-day readmission after medical-surgical hospitalization for people who experience imprisonment in Ontario, Canada: A retrospective cohort study
- The effect of long-term brine discharge from desalination plants on benthic foraminifera
- Hyper-spectral response and estimation model of soil degradation in Kenli County, the Yellow River Delta
- Prescribing trends of glaucoma drugs in six major cities of China from 2013 to 2017
- Significant changes in synovial fluid microRNAs after high tibial osteotomy in medial compartmental knee osteoarthritis: Identification of potential prognostic biomarkers
- Reassortment and adaptive mutations of an emerging avian influenza virus H7N4 subtype in China
- Ischemia and reperfusion injury in superficial inferior epigastric artery-based vascularized lymph node flaps
- High failure rates of protease inhibitor-based antiretroviral treatment in rural Tanzania – A prospective cohort study
- Switchable resolution in soft x-ray tomography of single cells
- Mitochondrial DNA variations and mitochondrial dysfunction in Fanconi anemia
- Extended-spectrum beta-lactamase (ESBL)-producing and non-ESBL-producing Escherichia coli isolates causing bacteremia in the Netherlands (2014 – 2016) differ in clonal distribution, antimicrobial resistance gene and virulence gene content
- Molecular characterization of blaKHM-1 encoding plasmid in an Enterobacter hormaechei subsp. hoffmannii isolate from blood culture
- PR3 levels are impaired in plasma and PBMCs from Arabs with cardiovascular diseases
- Sex differences in self-regulation in early, middle and late adolescence: A large-scale cross-sectional study
- Interaction between elevated temperature and different types of Na-salicylate treatment in Brachypodium dystachion
- A highway crash risk assessment method based on traffic safety state division
- A brain connectivity characterization of children with different levels of mathematical achievement based on graph metrics
- Quantifying the level of difficulty to treat major depressive disorder with antidepressants: Treatment Resistance to Antidepressants Evaluation Scale
- Occupational gender segregation and economic growth in U.S. local labor markets, 1980 through 2010
- The association of telomere length and telomerase activity with adverse outcomes in older patients with non-ST-elevation acute coronary syndrome
- Construction of a high-density genetic map and fine mapping of a candidate gene locus for a novel branched-spike mutant in barley
- Alterations of aqueous humor Aβ levels in Aβ-infused and transgenic mouse models of Alzheimer disease
- Parameters impacting the live birth rate per transfer after frozen single euploid blastocyst transfer
- Deep2Full: Evaluating strategies for selecting the minimal mutational experiments for optimal computational predictions of deep mutational scan outcomes
- Economic compensation interventions to increase uptake of voluntary medical male circumcision for HIV prevention: A systematic review and meta-analysis
- Distinctive effect of anesthetics on the effect of limb remote ischemic postconditioning following ischemic stroke
- Natural hybridization between Phyllagathis and Sporoxeia species produces a hybrid without reproductive organs
- Preliminary evaluation of a novel nine-biomarker profile for the prediction of autism spectrum disorder
- The impact of peer attachment on prosocial behavior, emotional difficulties and conduct problems in adolescence: The mediating role of empathy
- Spatial and climatic variables independently drive elevational gradients in ant species richness in the Eastern Himalaya
- What is the qualitative evidence concerning the risks, diagnosis, management and consequences of gastrointestinal infections in the community in the United Kingdom? A systematic review and meta-ethnography
- Naringenin protects AlCl3/D-galactose induced neurotoxicity in rat model of AD via attenuation of acetylcholinesterase levels and inhibition of oxidative stress
- Key barriers and enablers associated with uptake and continuation of oral pre-exposure prophylaxis (PrEP) in the public sector in Zimbabwe: Qualitative perspectives of general population clients at high risk for HIV
- Characterizing the University of California’s tenure-track teaching position from the faculty and administrator perspectives
- Restoration of Mal overcomes the defects of apoptosis in lung cancer cells
- Patient preferences for maintenance therapy in Crohn’s disease: A discrete-choice experiment
- Diagnostic performance of serum interferon gamma, matrix metalloproteinases, and periostin measurements for pulmonary tuberculosis in Japanese patients with pneumonia
- Hesperidin improves insulin resistance via down-regulation of inflammatory responses: Biochemical analysis and in silico validation
- Accuracy of intraocular lens power calculation formulas using a swept-source optical biometer
- Characterization of black patina from the Tiber River embankments using Next-Generation Sequencing
- Comparison of blood lactate and perceived exertion responses in two matched time-under-tension protocols
- Fibrin hydrogels are safe, degradable scaffolds for sub-retinal implantation
- Post-translational modifications of Drosophila melanogaster HOX protein, Sex combs reduced
- Problem gambling, associations with comorbid health conditions, substance use, and behavioural addictions: Opportunities for pathways to treatment
- Liganded T3 receptor β2 inhibits the positive feedback autoregulation of the gene for GATA2, a transcription factor critical for thyrotropin production
- Characterization of METTL16 as a cytoplasmic RNA binding protein
- Impact of long-term storage and freeze-thawing on eight circulating microRNAs in plasma samples
- Nanosheet wrapping-assisted coverslip-free imaging for looking deeper into a tissue at high resolution
- Assessment of dynamic cerebral autoregulation in humans: Is reproducibility dependent on blood pressure variability?
- Early diagnosis of sepsis in emergency departments, time to treatment, and association with mortality: An observational study
- Validity of cerebrovascular ICD-9-CM codes in healthcare administrative databases. The Umbria Data-Value Project
- Tuberculoid leprosy: An in vivo microvascular evaluation of cutaneous lesions
- Neuromuscular blockers in the acute respiratory distress syndrome: A meta-analysis
- Identification of putative Type-I sex pheromone biosynthesis-related genes expressed in the female pheromone gland of Streltzoviella insularis
- Redefining transcriptional regulation of the APOE gene and its association with Alzheimer’s disease
- Disease-relevant mutations alter amino acid co-evolution networks in the second nucleotide binding domain of CFTR
- A bushel of viruses: Identification of seventeen novel putative viruses by RNA-seq in six apple trees
- Torque teno virus viral load is related to age, CMV infection and HLA type but not to Alzheimer's disease
- The variability of bacterial communities in both the endosphere and ectosphere of different niches in Chinese chives (Allium tuberosum)
- Tripartite factors leading to molecular divergence between human and murine smooth muscle
- Characterization of dermal skin innervation in fibromyalgia syndrome
- A neonatal nonhuman primate model of gestational Zika virus infection with evidence of microencephaly, seizures and cardiomyopathy
- A scoping review of importation and predictive models related to vector-borne diseases, pathogens, reservoirs, or vectors (1999–2016)
- Assessment of climate change impact on the malaria vector Anopheles hyrcanus, West Nile disease, and incidence of melanoma in the Vojvodina Province (Serbia) using data from a regional climate model
- Associations of cigarette smoking and burden of thoracic aortic calcification in asymptomatic individuals: A dose-response relationship
- Healthcare utilization of Mexican-American Medicare beneficiaries with and without Alzheimer’s disease and related dementias
- Evaluation of questionnaire as an instrument to measure the level of nutritional and weight gain knowledge in pregnant women in Poland. A pilot study
- TranCEP: Predicting the substrate class of transmembrane transport proteins using compositional, evolutionary, and positional information
- Non-Invasive Functional-Brain-Imaging with an OPM-based Magnetoencephalography System
- Expression of acyl-CoA-binding protein 5 from Rhodnius prolixus and its inhibition by RNA interference
- Transforming assessment of speech in children with cleft palate via online crowdsourcing
- High prevalence of off-label and unlicensed paediatric prescribing in a hospital in Indonesia during the period Aug.—Oct. 2014
- General practice management of rotator cuff related shoulder pain: A reliance on ultrasound and injection guided care
- Estimating the population size of female sex workers and transgender women in Sri Lanka
- Can helmet decrease mortality of craniocerebral trauma patients in a motorcycle accident?: A propensity score matching
- Obesity, smoking habits, and serum phosphate levels predicts mortality after life-style intervention
- Treatment of children under 4 years of age with medulloblastoma and ependymoma in the HIT2000/HIT-REZ 2005 trials: Neuropsychological outcome 5 years after treatment
- Can a semi-quantitative method replace the current quantitative method for the annual screening of microalbuminuria in patients with diabetes? Diagnostic accuracy and cost-saving analysis considering the potential health burden
- A two-arm parallel double-blind randomised controlled pilot trial of the efficacy of Omega-3 polyunsaturated fatty acids for the treatment of women with endometriosis-associated pain (PurFECT1)
- Association of benzodiazepines, opioids and tricyclic antidepressants use and falls in trauma patients: Conditional effect of age
- Burden and risk factors of cutaneous leishmaniasis in a peri-urban settlement in Kenya, 2016
- Predicting strike susceptibility and collision patterns of the common buzzard at wind turbine structures in the federal state of Brandenburg, Germany
- Embryonic thermal manipulation has short and long-term effects on the development and the physiology of the Japanese quail
- High-order radiomics features based on T2 FLAIR MRI predict multiple glioma immunohistochemical features: A more precise and personalized gliomas management
- Human-raptor conflict in rural settlements of Colombia
- Regional adaptations and parallel mutations in Feline panleukopenia virus strains from China revealed by nearly-full length genome analysis
- Long-term ecological research in southern Brazil grasslands: Effects of grazing exclusion and deferred grazing on plant and arthropod communities
- Assessment of peritoneal microbial features and tumor marker levels as potential diagnostic tools for ovarian cancer
- Survival analysis of 230 patients with unresectable hepatocellular carcinoma treated with bland transarterial embolization
- Adverse drug reaction reporting practice and associated factors among medical doctors in government hospitals in Addis Ababa, Ethiopia
- TaWAK6 encoding wall-associated kinase is involved in wheat resistance to leaf rust similar to adult plant resistance
- Deficiency syndromes in top predators associated with large-scale changes in the Baltic Sea ecosystem
- The inhibitor of apoptosis proteins antagonist Debio 1143 promotes the PD-1 blockade-mediated HIV load reduction in blood and tissues of humanized mice
- Allele specific expression of Dof genes responding to hormones and abiotic stresses in sugarcane
- Perceived relative social status and cognitive load influence acceptance of unfair offers in the Ultimatum Game
- Quantitative evaluation of choriocapillaris using optical coherence tomography and optical coherence tomography angiography in patients with central serous chorioretinopathy after half-dose photodynamic therapy
- Structure-function analyses of candidate small molecule RPN13 inhibitors with antitumor properties
- Extracting lung function measurements to enhance phenotyping of chronic obstructive pulmonary disease (COPD) in an electronic health record using automated tools
- Multiple fragmented habitat-patch use in an urban breeding passerine, the Short-toed Treecreeper
- Histological and immunohistochemical characterization of the porcine ocular surface
- Household environmental tobacco smoke exposure in healthy young children in Hong Kong: Prevalence and risk factors
- Wind energy development and wildlife conservation in Lithuania: A mapping tool for conflict assessment
- Characteristics and prognosis of primary treatment-naïve oral cavity squamous cell carcinoma in Norway, a descriptive retrospective study
- Effect of epoch length on intensity classification and on accuracy of measurement under controlled conditions on treadmill: Towards a better understanding of accelerometer measurement
- Peer distribution of HIV self-test kits to men who have sex with men to identify undiagnosed HIV infection in Uganda: A pilot study
- Error rates of human reviewers during abstract screening in systematic reviews
- Faecal analyses and alimentary tracers reveal the foraging ecology of two sympatric bats
- Urethral realignment with maximal urethral length and bladder neck preservation in robot-assisted radical prostatectomy: Urinary continence recovery
- Error metrics determination in functionally approximated circuits using SAT solvers
- Spatial movement pattern recognition in soccer based on relative player movements
- A novel visual ranking system based on arterial spin labeling perfusion imaging for evaluating perfusion disturbance in patients with ischemic stroke
- Prospective Validation of the Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) Score for Necrotizing Fasciitis of the Extremities
- The importance of transporters and cell polarization for the evaluation of human stem cell-derived hepatic cells
- Incidence, trends, and outcomes of infection sites among hospitalizations of sepsis: A nationwide study
- Morphological and functional characteristics of mitral annular calcification and their relationship to stroke
- And the nominees are: Using design-awards datasets to build computational aesthetic evaluation model
- Service delivery interventions to increase uptake of voluntary medical male circumcision for HIV prevention: A systematic review
- Multidimensional Scales of Perceived Self-Efficacy (MSPSE): Measurement invariance across Italian and Colombian adolescents
- Diversity of Mycobacteriaceae from aquatic environment at the São Paulo Zoological Park Foundation in Brazil
- A graph-based algorithm for RNA-seq data normalization
- Parents’ underestimation of their child’s weight status. Moderating factors and change over time: A cross-sectional study
- Pharmacokinetics, absolute bioavailability and tolerability of ketamine after intranasal administration to dexmedetomidine sedated dogs
- Spatial variation in fertilizer prices in Sub-Saharan Africa
- Knowledge, beliefs, and concerns about bone health from a systematic review and metasynthesis of qualitative studies
- Successful isolation of Treponema pallidum strains from patients’ cryopreserved ulcer exudate using the rabbit model
- Effects of size and elasticity on the relation between flow velocity and wall shear stress in side-wall aneurysms: A lattice Boltzmann-based computer simulation study
- Pupil response to noxious corneal stimulation
- Incidence, risk factors and healthcare costs of central line-associated nosocomial bloodstream infections in hematologic and oncologic patients
- The impact of computed radiography and teleradiology on patients’ diagnosis and treatment in Mweso, the Democratic Republic of Congo
- Differential effects of synthetic psychoactive cathinones and amphetamine stimulants on the gut microbiome in mice
- Hepatitis B and C virus infection among HIV patients within the public and private healthcare systems in Chile: A cross-sectional serosurvey
- Increased episodes of aspiration on videofluoroscopic swallow study in children with nasogastric tube placement
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- The epidemiological characteristics and spatio-temporal analysis of childhood hand, foot and mouth disease in Korea, 2011-2017
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- Effect of temperature variation on hospital admissions and outcomes in dogs with myxomatous mitral valve disease and new onset pulmonary edema
- The development of the Police Practices Scale: Understanding policing approaches towards street-based female sex workers in a U.S. City
- A capability approach to assess aquaculture sustainability standard compliance
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- Optimization of cytotoxic activity of Nocardia sp culture broths using a design of experiments
- Tissue-resident macrophages can be generated de novo in adult human skin from resident progenitor cells during substance P-mediated neurogenic inflammation ex vivo
- Microbiota in foods from Inuit traditional hunting
- Investigating Italian disinformation spreading on Twitter in the context of 2019 European elections
- In vivo expression of peptidylarginine deiminase in Drosophila melanogaster
- Modelling zero-truncated overdispersed antenatal health care count data of women in Bangladesh
- Detection and density of breeding marsh birds in Iowa wetlands
- A lineage-specific rapid diagnostic test (Chagas Sero K-SeT) identifies Brazilian Trypanosoma cruzi II/V/VI reservoir hosts among diverse mammalian orders
- Aromatase deficiency in hematopoietic cells improves glucose tolerance in male mice through skeletal muscle-specific effects
- If host is refractory, insistent parasite goes berserk: Trypanosomatid Blastocrithidia raabei in the dock bug Coreus marginatus
- Antimicrobial resistance patterns and molecular resistance markers of Campylobacter jejuni isolates from human diarrheal cases
- Protective role of brain derived neurotrophic factor (BDNF) in obstructive sleep apnea syndrome (OSAS) patients
- An IL-18-centered inflammatory network as a biomarker for cerebral white matter injury
- Prevalence of antiphospholipid antibodies in Behçet's disease: A systematic review and meta-analysis
- Chemical analysis of snus products from the United States and northern Europe
- Effect of prednisolone on glyoxalase 1 in an inbred mouse model of aristolochic acid nephropathy using a proteomics method with fluorogenic derivatization-liquid chromatography-tandem mass spectrometry
- Impact of early-onset persistent stunting on cognitive development at 5 years of age: Results from a multi-country cohort study
- Aggregation of CAT tails blocks their degradation and causes proteotoxicity in S. cerevisiae
- Expression of concern: Compensatory increase of transglutaminase 2 is responsible for resistance to mTOR inhibitor treatment
- Common mental illness among epilepsy patients in Bahir Dar city, Ethiopia: A cross-sectional study
- Staging dementia based on caregiver reported patient symptoms: Implications from a latent class analysis
- Health-related quality of life and its determinants among ambulatory patients with epilepsy at Ambo General Hospital, Ethiopia: Using WHOQOL-BREF
- In silico analysis and high-risk pathogenic phenotype predictions of non-synonymous single nucleotide polymorphisms in human Crystallin beta A4 gene associated with congenital cataract
- Fungal diversity in canopy soil of silver beech, Nothofagus menziesii (Nothofagaceae)
- Referral decisions and its predictors related to orthopaedic care. A retrospective study in a novel primary care setting
- Readiness to prescribe: Using educational design to untie the Gordian Knot
- Influence of gelation on the retention of purple cactus pear extract in microencapsulated double emulsions
- Factors related to met needs for rehabilitation 6 years after stroke
- Association of cataract and sun exposure in geographically diverse populations of India: The CASE study. First Report of the ICMR-EYE SEE Study Group
- Investigation of injury severity in urban expressway crashes: A case study from Beijing
- Clinical outcomes of incident peritoneal dialysis patients coming from kidney transplantation program: A case-control study
- Evaluation of the factors influencing the housing safety awareness of residents in Shanghai
- Morphometric study of the diaphragmatic surface of the liver in the human fetus
- Food insecurity and dietary diversity among lactating mothers in the urban municipality in the mountains of Nepal
- Genetic characterization of Bacillus anthracis strains circulating in Italy from 1972 to 2018
- Promising antifungal activity of new oxadiazole against Candida krusei
- An atlas of personality, emotion and behaviour
- Long-term effects of intracranial islet grafting on cognitive functioning in a rat metabolic model of sporadic Alzheimer's disease-like dementia
- Compartmentalized profiling of amniotic fluid cytokines in women with preterm labor
- Comparison of the myometrial transcriptome from singleton and twin pregnancies by RNA-Seq
- Adverse reproductive effects of S100A9 on bovine sperm and early embryonic development in vitro
- Functional dynamics of bacterial species in the mouse gut microbiome revealed by metagenomic and metatranscriptomic analyses
- Astrocyte senescence promotes glutamate toxicity in cortical neurons
- Primary ciliary dyskinesia and psychological well-being in adolescence
- Dipeptidyl peptidase-4 is increased in the abdominal aortic aneurysm vessel wall and is associated with aneurysm disease processes
- Primary care physician knowledge, attitudes, and diagnostic testing practices for norovirus and acute gastroenteritis
- Microfluidic-prepared DOTAP nanoparticles induce strong T-cell responses in mice
- Intraocular scattering as a predictor of driving performance in older adults with cataracts
- Reduced bone mineral density among HIV infected patients on anti-retroviral therapy in Blantyre, Malawi: Prevalence and associated factors
- Correction: Extraversion personality, perceived health and activity participation among community-dwelling aging adults in Hong Kong
- A rainwater control optimization design approach for airports based on a self-organizing feature map neural network model
- Influence of inflammasome NLRP3, and IL1B and IL2 gene polymorphisms in periodontitis susceptibility
- 18F-FDG-PET/MRI in the diagnostic work-up of limbic encephalitis
- The socioeconomic impact of orthopaedic trauma: A systematic review and meta-analysis
- Treatment patterns among patients with moderate-to-severe ulcerative colitis in the United States and Europe
- City to city learning and knowledge exchange for climate resilience in southern Africa
- Nuclear translocation of Atox1 potentiates activin A-induced cell migration and colony formation in colon cancer
- Activity-dependent switches between dynamic regimes of extracellular matrix expression
- Molecular sequencing and morphological identification reveal similar patterns in native bee communities across public and private grasslands of eastern North Dakota
- A mathematical model for assessing the effectiveness of controlling relapse in Plasmodium vivax malaria endemic in the Republic of Korea
- Cryo-focused ion beam preparation of perovskite based solar cells for atom probe tomography
- Physiological and transcriptomic responses of Lanzhou Lily (Lilium davidii, var. unicolor) to cold stress
- Unusual genome expansion and transcription suppression in ectomycorrhizal Tricholoma matsutake by insertions of transposable elements
- Estimating associations between antidepressant use and incident mild cognitive impairment in older adults with depression
- The use of telephone communication between nurse navigators and their patients
- CNP mediated selective toxicity on melanoma cells is accompanied by mitochondrial dysfunction
- HIV RNA measurement in dried blood spots of HIV-infected patients in Thailand using Abbott m2000 system
- Retraction: Oncogenic Fibulin-5 Promotes Nasopharyngeal Carcinoma Cell Metastasis through the FLJ10540/AKT Pathway and Correlates with Poor Prognosis
- Ultra-rapid cooling of ibex sperm by spheres method does not induce a vitreous extracellular state and increases the membrane damages
- Some animals are more equal than others: Validation of a new scale to measure how attitudes to animals depend on species and human purpose of use
- Observation and quantification of the morphological effect of trypan blue rupturing dead or dying cells
- The visual perception of emotion from masks
- Hexavalent chromium removal and total chromium biosorption from aqueous solution by Quercus crassipes acorn shell in a continuous up-flow fixed-bed column: Influencing parameters, kinetics, and mechanism
- The predictive value of anthropometric indices for cardiometabolic risk factors in Chinese children and adolescents: A national multicenter school-based study
- Lean back and wait for the alarm? Testing an automated alarm system for nosocomial outbreaks to provide support for infection control professionals
- Regional disparities in health care resources in traditional Chinese medicine county hospitals in China
- Analysis on hydraulic characteristics of improved sandy soil with soft rock
- Development and use of a scale to assess gender differences in appraisal of mistreatment during childbirth among Ethiopian midwifery students
- Factors for starting biosimilar TNF inhibitors in patients with rheumatic diseases in the real world
- Correction: Force field generalization and the internal representation of motor learning
- Prevalence and foetomaternal effects of iron deficiency anaemia among pregnant women in Lagos, Nigeria
- Socioeconomic risk factors for fatal opioid overdoses in the United States: Findings from the Mortality Disparities in American Communities Study (MDAC)
- Microbiome signatures in neonatal central line associated bloodstream infections
- Interventions for incarcerated adults with opioid use disorder in the United States: A systematic review with a focus on social determinants of health
- Opening gap width influences distal tibial rotation below the osteotomy site following open wedge high tibial osteotomy
- The impact of lowbush blueberry (Vaccinium angustifolium Ait.) and cranberry (Vaccinium macrocarpon Ait.) pollination on honey bee (Apis mellifera L.) colony health status
- Surveys of knowledge and awareness of antibiotic use and antimicrobial resistance in general population: A systematic review
- Managerial capacity among district health managers and its association with district performance: A comparative descriptive study of six districts in the Eastern Region of Ghana
- Knee joint distraction in regular care for treatment of knee osteoarthritis: A comparison with clinical trial data
- Reconstruction of a regulated two-cell metabolic model to study biohydrogen production in a diazotrophic cyanobacterium Anabaena variabilis ATCC 29413
- Cochlear dysfunction is associated with styrene exposure in humans
- Intra-individual variation of particles in exhaled air and of the contents of Surfactant protein A and albumin
- Revisits, readmissions, and outcomes for pediatric traumatic brain injury in California, 2005-2014
- Enhanced handover mechanism using mobility prediction in wireless networks
- Association between regular exercise and asthma control among adults: The population-based Northern Finnish Asthma Study
- Pharyngeal microbiome alterations during Neisseria gonorrhoeae infection
- Assessment of the clinical utility of four NGS panels in myeloid malignancies. Suggestions for NGS panel choice or design
- Assessment of time management practice and associated factors among primary hospitals employees in north Gondar, northwest Ethiopia
- Genetic diversity and population structure of feral rapeseed (Brassica napus L.) in Japan
- Are the current gRNA ranking prediction algorithms useful for genome editing in plants?
- Difference between physical therapist estimation and psychological patient-reported outcome measures in patients with low back pain
- Heterogeneity in the distribution of 159 drug-response related SNPs in world populations and their genetic relatedness
- Metabolic and lipidomic profiling of steatotic human livers during ex situ normothermic machine perfusion guides resuscitation strategies
- Investigating cumulative effects of pre-performance routine interventions in beach volleyball serving
- Dispensing of antibiotics without prescription and associated factors in drug retail outlets of Eritrea: A simulated client method
- MicroRNA expression and DNA methylation profiles do not distinguish between primary and recurrent well-differentiated liposarcoma
- Assessment of acyl-CoA cholesterol acyltransferase (ACAT-1) role in ovarian cancer progression—An in vitro study
- Cytoplasmic factories, virus assembly, and DNA replication kinetics collectively constrain the formation of poxvirus recombinants
- The wavelet power spectrum of perfusion weighted MRI correlates with tumor vascularity in biopsy-proven glioblastoma samples
- Agreement between cardiovascular disease risk assessment tools: An application to the United Arab Emirates population
- Constructing HLM to examine multi-level poverty-contributing factors of farmer households: Why and how?
- Patterns of symptoms possibly indicative of cancer and associated help-seeking behaviour in a large sample of United Kingdom residents—The USEFUL study
- An automated alarm system for food safety by using electronic invoices
- Neural effects of acute stress on appetite: A magnetoencephalography study
- Use of magnetic resonance imaging to determine laterality of meniscal size in healthy volunteers
- Co-prevalence of extracranial carotid aneurysms differs between European intracranial aneurysm cohorts
- Thermal biology of two tropical lizards from the Ecuadorian Andes and their vulnerability to climate change
- When weight is an encumbrance; avoidance of stairs by different demographic groups
- Non-mycosis fungoides cutaneous lymphomas in a referral center in Taiwan: A retrospective case series and literature review
- From the host's point of view: Effects of variation in burying beetle brood care and brood size on the interaction with parasitic mites
- Kernel-based Gaussian process for anomaly detection in sparse gamma-ray data
- Unmet care needs of children with ADHD
- Accelerometer-assessed outdoor physical activity is associated with meteorological conditions among older adults: Cross-sectional results from the OUTDOOR ACTIVE study
- Identification of Korean cancer survivors’ unmet needs and desired psychosocial assistance: A focus group study
- Evaluation of inactivated Bordetella pertussis as a delivery system for the immunization of mice with Pneumococcal Surface Antigen A
- The role of moral reasoning & personality in explaining lyrical preferences
- Would you like to participate in this trial? The practice of informed consent in intrapartum research in the last 30 years
- Correction: Mutation spectrums of TSC1 and TSC2 in Chinese women with lymphangioleiomyomatosis (LAM)
- Forward lunge before and after anterior cruciate ligament reconstruction: Faster movement but unchanged knee joint biomechanics
- Challenges associated with homologous directed repair using CRISPR-Cas9 and TALEN to edit the DMD genetic mutation in canine Duchenne muscular dystrophy
- Integrated targeted serum metabolomic profile and its association with gender, age, disease severity, and pattern identification in acne
- A prospective case-control study on miRNA circulating levels in subjects born small for gestational age (SGA) evaluated from childhood into young adulthood
- Polymer-fiber-coupled field-effect sensors for label-free deep brain recordings
- Global depth perception alters local timing sensitivity
- How to detect a polytrauma patient at risk of complications: A validation and database analysis of four published scales
- Module for SWC neuron morphology file validation and correction enabled for high throughput batch processing
- Reduced gray matter volume and cortical thickness associated with traffic-related air pollution in a longitudinally studied pediatric cohort
- Recombinant human soluble thrombomodulin is associated with attenuation of sepsis-induced renal impairment by inhibition of extracellular histone release
- Human and climatic drivers affect spatial fishing patterns in a multiple-use marine protected area: The Galapagos Marine Reserve
- Correction: Leisure-time physical activity and sports in the Brazilian population: A social disparity analysis
- Application of the mixture item response theory model to the Self-Administered Food Security Survey Module for Children
- Numerical simulation of atmospheric CO2 concentration and flux over the Korean Peninsula using WRF-VPRM model during Korus-AQ 2016 campaign
- Feline irradiated diet-induced demyelination; a model of the neuropathology of sub-acute combined degeneration?
- Improved multi-parametric prediction of tissue outcome in acute ischemic stroke patients using spatial features
- Genome-wide association and epistatic interactions of flowering time in soybean cultivar
- Correction: Association between workplace bullying and burnout, professional quality of life, and turnover intention among clinical nurses
- Correction: Estimation of membrane bending modulus of stiffness tuned human red blood cells from micropore filtration studies
- Correction: Limited indirect effects of an infant pneumococcal vaccination program in an aging population
- Correction: Targeting of the Plzf Gene in the Rat by Transcription Activator-Like Effector Nuclease Results in Caudal Regression Syndrome in Spontaneously Hypertensive Rats
- Fieldwork-based determination of design priorities for point-of-use drinking water quality sensors for use in resource-limited environments
- Young women’s reproductive health conversations: Roles of maternal figures and clinical practices
- Correction: Differential recordings of local field potential: A genuine tool to quantify functional connectivity
- Survival of medial versus lateral unicompartmental knee arthroplasty: A meta-analysis
- Novel MscL agonists that allow multiple antibiotics cytoplasmic access activate the channel through a common binding site
- Is it time to stop sweeping data cleaning under the carpet? A novel algorithm for outlier management in growth data
- Changes in oak (Quercus robur) photosynthesis after winter moth (Operophtera brumata) herbivory are not explained by changes in chemical or structural leaf traits
- Mutual interaction between motor cortex activation and pain in fibromyalgia: EEG-fNIRS study
- Evaluation of liposomal ciprofloxacin formulations in a murine model of anthrax
- Analysis of cholesterol in mouse brain by HPLC with UV detection
- Sugar, amino acid and inorganic ion profiling of the honeydew from different hemipteran species feeding on Abies alba and Picea abies
- Exploring prior diseases associated with incident late-onset Alzheimer’s disease dementia
- Hypertension prevalence in patients attending tertiary pain management services, a registry-based Australian cohort study
- SRL pathogenicity island contributes to the metabolism of D-aspartate via an aspartate racemase in Shigella flexneri YSH6000
- Correction: Comprehensive genome-wide analysis of the pear (Pyrus bretschneideri) laccase gene (PbLAC) family and functional identification of PbLAC1 involved in lignin biosynthesis
- Epilepsy in a melanocyte-lineage mTOR hyperactivation mouse model: A novel epilepsy model
- Water consumption and prevalence of irritable bowel syndrome among adults
- Mixed evidence for the relationship between periodontitis and Alzheimer’s disease: A bidirectional Mendelian randomization study
- Correction: Health conditions associated with overweight in climacteric women
- Correction: Determining Glomerular Filtration Rate in Homozygous Sickle Cell Disease: Utility of Serum Creatinine Based Estimating Equations
- Modelling the number of antenatal care visits in Bangladesh to determine the risk factors for reduced antenatal care attendance
- Correction: Cumulative viral load as a predictor of CD4+ T-cell response to antiretroviral therapy using Bayesian statistical models
- Dominant negative effects by inactive Spa47 mutants inhibit T3SS function and Shigella virulence
- ICOS-deficient and ICOS YF mutant mice fail to control Toxoplasma gondii infection of the brain
- Diel patterns in swimming behavior of a vertically migrating deepwater shark, the bluntnose sixgill (Hexanchus griseus)
- Life history of northern Gulf of Mexico Warsaw grouper Hyporthodus nigritus inferred from otolith radiocarbon analysis
- Physiology education for intensive care medicine residents: A 15-minute interactive peer-led flipped classroom session
- Strengthening capacity for natural sciences research: A qualitative assessment to identify good practices, capacity gaps and investment priorities in African research institutions
- Systematic scoping review of the concept of ‘genetic identity’ and its relevance for germline modification
- Height of overburden fracture based on key strata theory in longwall face
- Laboratory strains of Bacillus anthracis lose their ability to rapidly grow and sporulate compared to wildlife outbreak strains
- Improvement of classification performance of Parkinson’s disease using shape features for machine learning on dopamine transporter single photon emission computed tomography
- Comparative pharmacokinetics and pharmacodynamics of the advanced Retinol-Binding Protein 4 antagonist in dog and cynomolgus monkey
- Correction: A handy method to remove bacterial contamination from fungal cultures
- Correction: Effect of statin on life prognosis in Japanese patients undergoing hemodialysis
- Retraction: Outer Membrane Protein A (OmpA) of Shigella flexneri 2a Induces TLR2-Mediated Activation of B Cells: Involvement of Protein Tyrosine Kinase, ERK and NF-κB
- Retraction: Biofabrication of streptomycin-conjugated calcium phosphate nanoparticles using red ginseng extract and investigation of their antibacterial potential
- Receiver operating characteristic curve analysis of clinical signs for screening of convergence insufficiency in young adults
- Correction: Drivers of deforestation in the basin of the Usumacinta River: Inference on process from pattern analysis using generalised additive models
- Efficacy of fertilizing method for different potash sources in cotton (Gossypium hirsutum L.) nutrition under arid climatic conditions
- Podocyte autophagy is associated with foot process effacement and proteinuria in patients with minimal change nephrotic syndrome
- Effect of Lactobacillus acidophilus D2/CSL (CECT 4529) supplementation in drinking water on chicken crop and caeca microbiome
- Retraction: MiR-30a-5p Antisense Oligonucleotide Suppresses Glioma Cell Growth by Targeting SEPT7
- Correction: Dynamics of plasma micronutrient concentrations and their correlation with serum proteins and thyroid hormones in patients with paracoccidioidomycosis
- Impact of lower limb osteoarthritis on health-related quality of life: A cross-sectional study to estimate the expressed loss of utility in the Spanish population
- Correction: Prevalence of damaged and missing teeth among women in the southern plains of Nepal: Findings of a simplified assessment tool
- Correction: Tissue-Specific Expressed Antibody Variable Gene Repertoires
- Retraction: Immunoglobulin G Expression in Lung Cancer and Its Effects on Metastasis
- Correction: Causal knowledge promotes behavioral self-regulation: An example using climate change dynamics
- Retraction: Use of Granulocyte Colony-Stimulating Factor for the Treatment of Thin Endometrium in Experimental Rats
- Correction: Dynamic mechanical and nanofibrous topological combinatory cues designed for periodontal ligament engineering
- Correction: Evaluating the foundations that help avert antimicrobial resistance: Performance of essential water sanitation and hygiene functions in hospitals and requirements for action in Kenya
- From seed to flour: Sowing sustainability in the use of cantaloupe melon residue (Cucumis melo L. var. reticulatus)
- Core Scientific Dataset Model: A lightweight and portable model and file format for multi-dimensional scientific data
- Accounting for measurement error to assess the effect of air pollution on omic signals
- Leucine zipper transcription factor-like 1 binds adaptor protein complex-1 and 2 and participates in trafficking of transferrin receptor 1
- Barriers for tuberculosis case finding in Southwest Ethiopia: A qualitative study
- Genetic predisposition to celiac disease in Kazakhstan: Potential impact on the clinical practice in Central Asia
- A lower psoas muscle volume was associated with a higher rate of recurrence in male clear cell renal cell carcinoma
- Two angles of overqualification-the deviant behavior and creative performance: The role of career and survival job
- Cost-utility analysis of de-escalating biological disease-modifying anti-rheumatic drugs in patients with rheumatoid arthritis
- Efficient estimation of stereo thresholds: What slope should be assumed for the psychometric function?
- Learning efficient haptic shape exploration with a rigid tactile sensor array
- Effects of dietary supplementation with a microalga (Schizochytrium sp.) on the hemato-immunological, and intestinal histological parameters and gut microbiota of Nile tilapia in net cages
- Regional versus local wind speed and direction at a narrow beach with a high and steep foredune
- Fragmented QRS complex in patients with systemic lupus erythematosus at the time of diagnosis and its relationship with disease activity
- Severe thiamine deficiency in eastern Baltic cod (Gadus morhua)
- Transfer entropy as a variable selection methodology of cryptocurrencies in the framework of a high dimensional predictive model
- Psychometric validation of Czech version of the Sport Motivation Scale
- Correction: Multiple innate antibacterial immune defense elements are correlated in diverse ungulate species
- Recognition of personality disorder and anxiety disorder comorbidity in patients treated for depression in secondary psychiatric care
- Correction: Strategies for achieving high sequencing accuracy for low diversity samples and avoiding sample bleeding using illumina platform
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- Chemical analysis of snus products from the United States and northern Europe
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