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Identifying maintenance hosts for infection with Dichelobacter nodosus in free-ranging wild ruminants in Switzerland: A prevalence study
Authors: Gaia Moore-Jones aff001; Flurin Ardüser aff002; Salome Dürr aff003; Stefanie Gobeli Brawand aff004; Adrian Steiner aff002; Patrik Zanolari aff002; Marie-Pierre Ryser-Degiorgis aff001
Authors place of work: Centre for Fish and Wildlife Health, Vetsuisse-Faculty, University of Bern, Bern, Switzerland aff001; Clinic for Ruminants, Vetsuisse-Faculty, University of Bern, Bern, Switzerland aff002; Veterinary Public Health Institute, Vetsuisse-Faculty, University of Bern, Liebefeld, Switzerland aff003; Institute of Veterinary Bacteriology, Vetsuisse-Faculty, University of Bern, Bern, Switzerland aff004
Published in the journal: PLoS ONE 15(1)
Category: Research Article
doi: https://doi.org/10.1371/journal.pone.0219805Summary
Footrot is a worldwide economically important, painful, contagious bacterial foot disease of domestic and wild ungulates caused by Dichelobacter nodosus. Benign and virulent strains have been identified in sheep presenting with mild and severe lesions, respectively. However, in Alpine ibex (Capra ibex ibex), both strains have been associated with severe lesions. Because the disease is widespread throughout sheep flocks in Switzerland, a nationwide footrot control program for sheep focusing on virulent strains shall soon be implemented. The aim of this cross-sectional study was to estimate the nationwide prevalence of both strain groups of D. nodosus in four wild indigenous ruminant species and to identify potential susceptible wildlife maintenance hosts that could be a reinfection source for domestic sheep. During two years (2017–2018), interdigital swabs of 1,821 wild indigenous ruminant species (Alpine ibex, Alpine chamois (Rupicapra rupicapra), roe deer (Capreolus capreolus), red deer (Cervus elaphus)) were analysed by Real-Time PCR. Furthermore, observed interspecies interactions were documented for each sample. Overall, we report a low prevalence of D. nodosus in all four indigenous wild ruminants, for both benign (1.97%, N = 36, of which 31 red deer) and virulent (0.05%, N = 1 ibex) strains. Footrot lesions were documented in one ibex with virulent strains, and in one ibex with benign strains. Interspecific interactions involving domestic livestock occurred mainly with cattle and sheep. In conclusion, the data suggest that wild ungulates are likely irrelevant for the maintenance and spread of D. nodosus. Furthermore, we add evidence that both D. nodosus strain types can be associated with severe disease in Alpine ibex. These data are crucial for the upcoming nationwide control program and reveal that wild ruminants should not be considered as a threat to footrot control in sheep in this context.
Keywords:
Veterinary diseases – Cattle – Ruminants – Livestock – Deer – Domestic animals – Wildlife – sheep
Introduction
Footrot is an economically important, painful, contagious bacterial disease that affects feet of both domestic and wild ungulates [1,2]. Among domestic ruminants, mainly sheep are affected. Footrot is endemic in sheep flocks worldwide, including Switzerland [3]. In free-ranging wildlife, footrot has been documented in several European countries, affecting Alpine ibex (Capra ibex ibex) and mufflon (Ovis orientalis orientalis) [1,4–6] (Meneguz, Frey and Ryser, unpublished data). Since the treatment of wild ungulates in the field is challenging, expensive, and neither feasible nor desired by wildlife managers, severe lesions do not just affect animal welfare but typically result in death [4,6]. Considering that Alpine ibex in Switzerland have just recovered from the verge of extinction in the 20th century [7], outbreaks of footrot may be relevant to species conservation.
The main etiologic agent of footrot is Dichelobacter nodosus [8]. Lesions begin as a mild interdigital inflammation (mild form) and may progress to a severe interdigital ulceration up to the separation of the horn from the underlying skin (severe form) [9]. In sheep, mild and severe clinical forms of footrot have been shown to be associated with the presence of strains of D. nodosus carrying either the AprB2 or AprV2 genes, respectively, which encode for the subtilisin-like extracellular proteases playing a key role as virulence factors [8,10], thus referred to as "benign" and "virulent". However, in Alpine ibex, the benign strain was also found in association with severe lesions [4]. Furthermore, both types of strains of D. nodosus have been detected in the absence of lesions in sheep, cattle, goats and swine [11–14], suggesting the existence of species-specific differences in disease susceptibility and the involvement of other individual or environmental risk factors in the disease course. Among others, bacterial invasion is favored by interdigital skin damage caused by trauma or environmental conditions such as humid and wet pastures [15]. Unusually mild and wet weather conditions contribute to the persistence of D. nodosus in the environment [1,5]. In sheep, co-infection with anaerobic bacteria such as Fusobacterium necrophorum has been suggested to increase disease severity [9,11,16].
Due to an absence of long-term immunity, reinfections and clinical relapses are frequent in sheep [17]. Healthy carriers are known to occur in sheep, cattle and goats [11,12,14,18] and the bacteria can survive up to two weeks in the environment [11]. Virulent isolates may persist up to 10 months on bovine feet after co-grazing with sheep [12]. Furthermore, a single grazing season without contact with sheep is insufficient to eliminate all pathogenic isolates from cattle feet [12]. Thus, D. nodosus may be maintained in domestic ruminants even in the absence of clinical disease.
In the Swiss Alps, and to a lesser extent in the Jura Mountains, transhumance-grazing is a common practice and interactions between wild and domestic ruminants regularly occur on summer grazing pastures [19–21]. Pastures are often shared not only among cattle, sheep, goats and South American camelids (Lama glama and Vicugna pacos) [22], but also with indigenous free-ranging wild ruminants such as ibex (Capra ibex ibex), chamois (Rupicapra rupicapra), red deer (Cervus elaphus) and roe deer (Capreolus capreolus) [21]. All of the hoof stock represents potential hosts of D. nodosus and may play a role in pathogen maintenance and spread. Based on the widespread occurrence of the disease in sheep and its sporadic occurrence in ibex and mufflon, it has been postulated that sheep are the source of infection for wildlife, with transmission occurring on alpine pastures during the summer grazing season [1].
Currently, countrywide prevalence estimations for D. nodosus are available only for potential domestic hosts [14], while information on wildlife is virtually nonexistent. Importantly, further insight in the processes governing the epidemiology of D. nodosus infections in wild and domestic ruminants and into the infection dynamics at the wildlife-livestock interface are needed to propose appropriate disease prevention and management measures in both domestic and wild animals. For this purpose, it is crucial that data obtained on wildlife and domestic animals can be directly compared [23], which requires the use of harmonized methods, from the sampling strategy to laboratory analyses [24]. Therefore, a nationwide survey on infections with D. nodosus in free-ranging ungulates was conducted, following the same study design and methodology as a parallel study in domestic livestock and South-American camelids in Switzerland [14].
The aim was to estimate the prevalence of D. nodosus infections, distinguishing between benign and virulent strains, in four species, namely Alpine ibex, Alpine chamois, roe deer and red deer during a two-year period (2017–18) in all of Switzerland. We hypothesized that wild ungulates do not maintain D. nodosus and that domestic ruminants act as the main infection source for wildlife. The obtained results enabled us to provide information on the likely role of the studied species in the epidemiology of footrot.
Materials & methods
Ethics statement
This study did not involve purposeful killing of animals. All samples originated from dead wildlife legally hunted during hunting seasons, found dead, or legally shot because of severe debilitation. According to the Swiss legislation (992.0 hunting law and 455 animal protection law, including the legislation on animal experiments; www.admin.ch), no ethical approval or permit for carcass /sample collection or animal experimentation was required.
Study area, species of interest, study design and sampling strategy
The study area comprised the whole territory of Switzerland (41,285 km2), which consists of three main bioregions: the Jura Mountains (a limestone mountain chain with an elevation up to 1,679m that separates the Alps to the southwest and forms an arc to the northeast), the Midlands (characterized by a low altitude and a high human population density), and the Alps (having the highest elevation up to 4,632m above sea level, which creates a climate wall separating the south from central Europe). Species of interest were indigenous free-ranging wild ruminants (roe deer, red deer, chamois and ibex). Deer species are mostly found below the timberline—roe deer mainly in the foothill zone and red deer in the mountain zone; chamois live between the subalpine and alpine zone; and ibex above the timberline.
The study was based on a cross-sectional convenient sampling strategy with the aim of estimating a nationwide prevalence of D. nodosus infections on an animal level in each of the four wild ruminant species. Sampling was carried out from August 2017 to December 2018, with most (89% N = 1622) samples collected during the hunting seasons (i.e. August-December) of 2017 and 2018.
Sample size was calculated for each species separately, assuming simple random sampling. The free online tool by AusVet Animal Health Services (http://epitools.auvet.com) was used for the calculation, and in there, the method for the estimation of true prevalence using imperfect diagnostic test characteristics was applied. For all species the design prevalence was set at 50% because no prior information on prevalence of infection was available. The precision was set at 5% and the level of confidence at 95%. The following estimated population sizes were used for the sample size calculation [25]: roe deer (113,000), red deer (28,500), chamois (91,500) and ibex (15,500). Diagnostic test characteristics (qPCR) were estimated to a mean sensitivity of 93.8% and a specificity of 98.3% [26]. We aimed to sample 440–451 animals per species over two years, i.e. 1,786 individuals in total, distributed across the country and local political borders (cantons), according to species occurrence and hunting plans.
Sample collection and animals
Sampling was mainly done by professional game wardens and hunters and in a few cases by the first and the second authors. Sampling kits included one SV Lysis buffer (4 M guanindinethiocyanate, 0.01 M Tris-HL, β-mercaptoethanol) in a tube with a screw-on lid, a cotton swab, a pair of latex gloves and a data sheet to record the sampling date, biological data of the animal sampled (sex, age, geographical origin, body condition) and the presence of foot lesions. Documentation of foot lesions were recorded for each foot separately, including lesions in the interdigital space, the feet and the carpal area based on the most common lesions that are used in footrot scoring systems [27]. If lesions were present, the sample submitters were asked to submit the affected feet in addition to the swabs.
The study participants were also asked to report previously observed interspecies interactions involving both wild and domestic species within a radius of 5 km around the sampling location. This distance was roughly estimated considering the home range size of the investigated species [28,29]. Four categories of contacts were used as previously described [21]: physical contact; encounter of less than 50 m distance between animals; encounters of more than 50 m; and non-simultaneous occupation of the same area. These categories were not relevant for D. nodosus transmission but corresponded to those used in earlier studies and helped specifying the notion of interaction for the respondents. Each data sheet included two tables, one for contacts among wild ruminants and the other one for contacts between wild and domestic ungulates. For each type of contact, the frequency of observation was recorded as follows: 0) never, 1) no more than once a year, 2) more than once a year.
All sampling kits were sent to the cantonal hunting authorities, which subsequently distributed the material to game wardens or hunters who then collected the samples from hunted game in the field. Animals that were sent as routine diagnostic cases (without footrot lesions) to the Centre for Fish and Wildlife Health (FIWI, University of Bern) for post-mortem examination were also sampled for this study (N = 54).
A four-feet sample was taken from each animal, i.e. the interdigital space of each of the four feet of each animal was sampled with the same cotton swab (2 mm 15 cm, Heinz Herenz, Medizinalbedarf GmbH, Hamburg, Germany). Each clean quarter of the swab was used for each foot as previously described [18,26], i.e. there was one swab per animal for laboratory analysis.
Immediately after swabbing the feet, each swab was immersed for at least 1 min in a tube containing SV lysis buffer with a hermetic lid. Samples were then either sent directly to the FIWI without cooling or stored at refrigerator temperature until transportation and subsequent analysis [10].
In total 1,821 samples were taken, of which 91.4% (N = 1,664) by game wardens/hunters; 4.5% (N = 83) by field biologists; 3.3% (N = 60) by veterinarians (FIWI) and for 0.7% (N = 14) of the samples the profession of the sampler was not given. The feet of five ibex, one red deer, three chamois and two roe deer with presumptive footrot lesions were sent to the FIWI for macroscopic examination. All 26 cantons contributed to the achieved sample number. 37.7%of the samples (N = 686) were received in 2017 and 62.3% (N = 1135) in 2018.
There were 961 males, 807 females and 53 animals without sex information. We used three age categories for the age estimation: juvenile (< 1 year, N = 167), yearling (1-<2 year; N = 245) and adult (≥ 2 years, N = 1,335). Age estimation was based on acquired knowledge of the sample submitters during their formal training (hunters and professional game wardens). For roe deer and red deer, this was based on the tooth replacement and wear, while for ibex and chamois it was based on the growth rings of the horns [30]. No age information was provided for 74 animals.
Laboratory analysis
All collected samples were tested for the presence of benign or/and virulent strains of D. nodosus by PCR [10]. Deoxyribonucleic acid (DNA) was extracted from the buffer solution by an automated method using a KingFisher™ Duo Prime purification automat (Thermo Scientific, Finland). A competitive real-time PCR was performed on all samples, which allows the simultaneous detection of virulent and benign strains of D. nodosus by distinguishing the extracellular protease AprV2 found in the more virulent strains from the subtly different protease AprB2 that is found in strains associated with benign disease signs in sheep [10]. Reagents used for the PCR included:TaqMan Fast Advanced Master Mix (Fisher Scientific, Reinach), Primers (Microsynth, AG Balgach), two probes Probe DnAprTM-v (Fisher Scientific) and Probe DnAprTM-b (Fisher Scientific), as well as a LIZ Assay Mix (Fisher Scientific). Amplification was done in a 7500 Real-Time PCR system with cycle conditions of 2 min at 50° C, 10 min at 95° C followed by 40 cycles of 15s at 95°C and 1 min at 60° C. Samples that showed no fluorescent signal were considered negative; samples showing a positive fluorescent signal for either strain were classified as positive. Results were then analyzed using the Sequence Detector 7500.
Data management and statistical analysis
Data handling, validating, cleaning and coding were done in MS Excel spreadsheets followed by transfer to R software version 3.5.1. (https://cran.r-project.org) for all statistical analyses. Apparent and true prevalence were calculated using the “epi.prev” function of the package “epiR” considering imperfect test characteristics, with a test sensitivity of 93.8% and test specificity of 98.3% [26] and a confidence interval of 95%. The function calculates the true prevalence (TP; prevalence obtained from the apparent prevalence after correction and considering the non-perfect diagnostic test characteristics) from the apparent prevalence (AP; proportion of animals from a representative sample of the population that are positive to the diagnostic method used) using the Rogan-Gladen estimator, based in the formula TP = (AP + specificity − 1)/(sensitivity + specificity − 1) [31].
A risk factor analysis for presence of D. nodosus on wild animal feet was performed with the PCR status of the animals (positive or negative) as dependent variable and potential risk factors as independent variables. Because only one sample was positive for virulent strains, the risk factor analysis was performed for benign strains only. The presence of foot lesions (presence vs absence) was not considered in the analysis because lesions were reported in only five PCR-positive animals and confirmed as footrot-like in only one ibex; the four red deer had either unconfirmed footrot-like lesions or merely overgrown hooves, which is not consistent with footrot. The factor "canton" was tested only for wild ungulates from cantons with PCR-positive animals because there were too many cantons without PCR-positive animals. Logistic regression models were used first in a univariable analysis, followed by a multivariable analysis. The variables interactions with either roe deer or with chamois were tested using Fisher’s Exact Test because zero interactions were observed for PCR-positive animals. Variables with p-values < 0.2 were further considered in the multivariable analysis, where a manual backward elimination procedure was performed with a cut-off level at p-value <0.05. To be able to compare the prevalence for benign strains of D. nodosus in sheep and cattle (domestic ungulate study; Ardüser et al., 2019) with the prevalence of infection for benign strains in all wild ungulates (all species pooled; this study), we used a logistic regression model in a multivariable analysis with a cut-off level at a p-value <0.05.
All maps were generated with QGIS 2.18.16 Las Palmas (Free Software Foundation Inc., Boston, USA).
Results
Detection of Dichelobacter nodosus
Out of 1,821 sampled animals (Fig 1), 37 were found positive for D. nodosus (Fig 2). Virulent strains were only found in one animal, an adult male ibex with severe disease signs (see also the section "Foot lesions" below). Benign strains were found in 36 animals, including 31 red deer (20 males and 11 females; 8 juveniles, 5 yearlings, 17 adults, and 1 animal of unknown age), one roe deer (yearling female), one Alpine chamois (adult male) and three Alpine ibex (all adult males). The estimated apparent prevalence for the benign and virulent strains by species is given in Table 1 (wild animals) and Table 2 (domestic animals for comparison). Due to the low prevalence of D. nodosus per species, the true prevalence (TP) could only be calculated for red deer (TP = 6.08%, CI95% = 3.5–9.3).
Fig. 1. Map of Switzerland showing the distribution of the sampled wild animals. Shades of grey illustrate the mountainous shape. Lakes are in blue. Colored dots correspond to wild ungulates of different species: Yellow: roe deer; Red: red deer; Blue: chamois; and Green: ibex. Fig. 2. Map of Switzerland showing the geographical origin of PCR positive animals. Shades of grey illustrate the mountainous shape. Lakes are in blue. Violet dots correspond to wild ungulates positive for benign strains and red dots to wild ungulates positive for virulent strains. Tab. 1. Prevalence of D. nodosus in Swiss wild ungulates. Tab. 2. Prevalence of D. nodosus in Swiss domestic ungulates for comparison. All positive samples originated from animals from six out of 26 Swiss cantons (S1 Table), all of them located in subalpine to alpine zones (> 1000 m above sea level) except for five red deer and one roe deer from the mountain and foothill zones. The majority (N = 27, 68%) of the positive animals originated from the canton of Grisons (23 red deer with benign strains; and two ibex: one positive for benign and the other one for virulent strains). Positive samples were found in both sampling years (14 in 2017; 23 in 2018). Most animals positive for benign D. nodosus (78%, N = 28) were reported to be in good body condition and a few animals were reported to be in moderate (19%, N = 7) and poor (3%, N = 1) body condition. The single ibex positive with the virulent strain was in a moderate body condition.
Foot lesions
Four of the 31 (12.9%) red deer positive for benign strains of D. nodosus were reported by the sample submitters as having foot lesions. Two of them were reported to present with changes consisting in overgrown hooves, one of which was submitted for veterinary examination. The anomaly concerned the lateral digits only, without noticeable interdigital inflammation (i.e. no signs suggestive of footrot). In the other two red deer, an interdigital grey malodorous exudate and rotting of the sole of one of the forelimbs was reported. However, these observations could not be confirmed as neither photographs nor any of the affected feet were submitted with the samples. One ibex positive for benign strains presented with severe footrot lesions of the hind feet (Fig 3). All other animals positive for benign strains were not reported to have any signs of disease (including two ibex).
Fig. 3. D. nodosus positive feet of two ibex. Front feet of an ibex, positive for virulent D. nodosus: (A) severely overgrown hooves with (B) ulceration and greyish discoloration of the interdigital space. Hind feet of an ibex, positive for benign D. nodosus: (C) greyish discoloration of the interdigital space with (D) severely overgrown and fissurated hooves. The ibex with virulent D. nodosus showed severe footrot lesions in the front feet (Fig 3), including a severe ulcerative interdigital pododermatitis with greyish discoloration associated with an unpleasant odor, and severely multifocally fissured and overgrown hooves. The severity of the lesions were similar in the two ibex infected with benign and virulent strains, respectively.
Interspecies interactions
In total, 68% (N = 1236) of the field partners answered the questions listed on the data sheet regarding interspecies interactions in their sampling area, either partially (58%) or fully (10%). Data on reported proximity among wild and domestic ungulates (ibex, chamois, red deer, roe deer, sheep, cattle, goats and South American camelids) are summarized in Fig 4.
Fig. 4. Relative frequency of observations of different types of interspecies contacts between wild and domestic ruminants in Switzerland. Proximity between species: 100% relates to all samples collected (information from respondents who did not report observations and lacking information due to non-reporting are not included in the graph). Colored bars indicate the following types of interactions: PC: physical contact; <50 m: encounter of <50 m; >50 m: encounter of >50 m; NS: non-simultaneous occupation of the same pasture. Encounters involving both wildlife and domestic ungulates were reported for all four investigated wild ungulates in all possible categories. Encounters of <50m, >50m and the non-simultaneous occupation of the same pasture were reported more frequently with cattle and sheep than with goats and South American camelids.
For ibex and chamois more specifically, about a third of the respondents reported encounters of <50m and >50m with sheep as well as with cattle in ibex. Regarding chamois only, half of the respondents reported encounters of <50m and >50m with cattle. As for the non-simultaneous occupation of pastures, 11% of the respondents mentioned the use of pastures in wildlife habitat by cattle and 8% by sheep. Physical contact between ibex and domestic ungulates was not frequent and reported mainly with sheep and goats (8% of the respondents). For chamois, a similar percentage of physical contact was reported with sheep and goats (9%), as well as with cattle (8%). With reference to red deer, encounters of <50m (25%) and >50m (24%) were observed with cattle, and 4% of the respondents even reported physical contact between the two species. Regarding roe deer, patterns of encounters of <50m (23%) and >50m (14%) with cattle were similar to the observed interactions that were reported for red deer. The non-simultaneous occupation of the same pasture by deer and domestic ungulates was reported more frequently with cattle (red deer: 13%; roe deer: 6%) than with the other three domestic species.
Considering wild species only, interspecific interactions were reported mainly within the same taxonomic family, i.e. among caprids (ibex and chamois) and among cervids (roe deer and red deer). Interactions between red deer and chamois were also frequently reported and occasionally included physical contacts (5% of the respondents). By contrast, only a few interactions between ibex and cervids were reported, even though rare physical contacts between ibex and red deer (2%) were documented.
Focusing on positive samples, 83% of the submitters of the 28 red deer and the single roe deer samples positive for benign D. nodosus reported having observed direct or indirect contacts with deer and cattle in the sampling area. Regarding the single positive chamois, contacts among all wild and domestic ungulates, except domestic goats, were reported to have been observed in the sampling area. As concerns the four positive ibex, interspecies interactions were recorded only in the sampling area of two of them (both positive for the benign strain but without lesions), with all four domestic ungulates and with sheep only, respectively. As for the two ibex with severe footrot lesions, no information regarding interspecies interactions was provided.
Analysis of risk factors for infection with D. nodosus
For benign strains, univariable analysis indicated that the variables sex (male vs female), age (adult vs yearling and juvenile), species (ibex vs red deer, chamois and roe deer), and interspecies interactions in the sampling area (report vs no report) were somewhat associated with the detection of benign D. nodosus considering the threshold of p = 0.2 (Table 3).
Tab. 3. Univariable risk factor analysis for presence of benign Dichelobacter nodosus on wild ruminant feet. All factors with a p value < 0.2, except “interspecies contacts” due to the large number of missing values, were additionally tested in a multivariable analysis, which revealed that the species "red deer" was a significant risk factor for D. nodosus carriage (Table 4). The model showed that red deer were 13.84 times more likely to be carriers of benign strains than ibex (CI: 4.70–59.08, estimate: 2.6277, standard error: 0.6230, z-value: 4.218, Pr (|z|) = < 0.001***).
Tab. 4. Multivariable analysis of risk factors for infection with benign Dichelobacter nodosus in wild ungulates. In a further univariable analysis, the prevalence of infection in the four wild indigenous ruminants (all species pooled; this study) was compared to that found in sheep and cattle from the domestic ungulate study (Ardüser et al., 2019). The model revealed that compared to all indigenous wild ruminants both "cattle" and "sheep" were respectively 221.38 (95% CI 2.97–7.00) and 4.53 (95% CI 154.52–326.43) times more likely to carry benign strains of D. nodosus.
Discussion
In this study, the prevalence of D. nodosus in wild ungulates in Switzerland was assessed for the first time, more specifically in all four indigenous wild ruminant species. These results provide a baseline necessary for the planning of a nationwide footrot control program in domestic livestock in Switzerland. Although the number of investigated animals was too low to provide strong data on a local level (e.g. cantonal), the sample size fulfilled the criteria for prevalence estimation per species on a country level. The occurrence of interspecies interactions among wild and domestic ruminants in an Alpine environment was additionally documented. Importantly, the study was conducted in parallel to a nationwide survey of D. nodosus in possibly susceptible domestic livestock species (May until June 2017–2018) [14]. The comparison of these data together with the reported interspecies interactions is of crucial importance in providing information on disease dynamics at the wildlife-livestock interface. [32].
Dichelobacter nodosus-associated lesions
Two adult male Alpine ibex, the one infected with benign strains and the other with virulent strains, showed severe lesions consistent with footrot. These findings are in line with previous reports documenting that the presence of benign and virulent strains of D. nodosus can be associated with severe foot lesions in Alpine ibex that are comparable to typical lesions of footrot in sheep [1,4]. The classification into benign and virulent strains was developed in the framework of a study conducted in sheep [10,33] and may only be applicable to sheep. The occurrence of severe lesions associated with both groups of strains in ibex but not in other wild and domestic species suggests the existence of a species-specific difference in disease susceptibility, as it occurs for other pathogens such as Mycoplasma conjunctivae in wild (mostly with marked disease signs) vs domestic Caprinae (mostly without or with only mild signs) and Brucella abortus in North American elk (Cervus canadensis) and Bison (Bison bison) (with signs) vs cattle (without signs) [4,34–36]. As for the other two Alpine ibex that were found positive for benign strains without reported foot lesions but were not sent for veterinary examination, it cannot be ruled out that they may have been in an early stage of infection. Nevertheless, it is not known whether infection with D. nodosus (benign and virulent) requires the contribution of other factors (e.g. severe traumatic foot lesions, reduced fitness of the animal, co-infection with other microorganisms) for lesions to develop.
Two red deer with reported foot lesions were tested positive for benign D. nodosus. Whether these lesions were footrot-like could not be confirmed because neither the affected feet nor photographs were submitted for veterinary evaluation. However, D. nodosus has already been isolated from sole ulcers in farmed red deer in New Zealand [35]. Although strain differentiation was not performed, it is likely that it was the benign type based on proteolytic effects observed in bacterial culture and because subsequent experimental infection of sheep resulted in the development of mild footrot lesions only. In cattle and free-ranging reindeer, foot diseases with similar clinical findings can involve pathogens such as Fusobacterium necrophorum (cattle and reindeer) and Treponema sp. (cattle) [37–39]. Infection with Treponema sp. was also recently shown to be associated with a dramatic outbreak of severe foot lesions including osteomyelitis in free-ranging North American elk (Cervus canadensis) [40–42]. Therefore, since all samples of the present study were tested via qPCR for the presence of D. nodosus only, we cannot exclude that other pathogens causing foot disease in domestic and wild ruminants may have been involved in the development of the observed lesions.
Interspecies interactions
Since only 68% of the respondents answered (partially or fully) the questions regarding interspecies interactions on the data sheet, and because wildlife is most often active at dawn or dusk [7,43,44], it is likely that the frequency and intensity of reported interactions was underestimated. Furthermore, these data rely on reports of numerous voluntary participants and mainly on memorized events. Therefore, the information provided may be biased due to a lack of reporting or to misreporting. Nevertheless, the observers were wildlife professionals and this method represents the only feasible and efficient way of recruiting such data on a large geographical scale. Importantly, the reported interspecies interactions at the wildlife/domestic animal interface were in agreement with previous findings [20,21]. The most frequent interactions between wild and domestic ungulates were involving cattle or sheep. This is not surprising as these two livestock species are by far the most common ones on alpine pastures. Such data are useful to understand the epidemiology of infectious diseases in natural habitats, which are shared during certain periods by multiple species, wild and domestic.
Identifying maintenance hosts
The present study revealed a very low prevalence of infection in all considered wild ungulate species. All prevalences calculated for wild species were significantly lower than those reported in both cattle (benign strains) and sheep (benign and virulent strains) [14]. There is no given threshold of prevalence to conclude that a pathogen is maintained in a population or not. Pathogen persistence in a population has been demonstrated to rely on the critical community size of a given population considering that the number of susceptible individuals does not drop under a certain threshold [45]. Nevertheless, in smaller wildlife populations, it has been previously reported that some infections agents can persist at low prevalence, provided that the pathogen can circulate between subpopulations of several species and that recurrent interspecific transmission occurs [34,46]. However, in the case of D. nodosus the difference in prevalence between wild and domestic ungulates is striking. Additional points to consider are: 1) the endemic disease status of the Swiss sheep population [3,14]; 2) the recently gained knowledge on the widespread occurrence of D. nodosus in asymptomatic livestock in Switzerland (88% of cattle positive for benign strains) [3,14]; 3) the much larger sizes of cattle and sheep populations compared to wild ungulate populations [25,47]; 4) the more continuous distribution of domestic than wild animals over the country (ibex in particular occur in fairly isolated colonies [25,41]; 5) the more frequent and intense intraspecific contacts among domestic animals and mixing of herds (grazing, shows, markets) and movements throughout the country (alpine summering, commercial exchanges); 6) the absence of healthy carriers for the virulent strain in wild ungulates; and 7) the reported interspecies interactions at the domestic animal/wildlife interface regarding mainly sheep and cattle. Therefore, taking into consideration the previously mentioned points together with the comparison of the wild and domestic ungulate study, the results suggest that sheep are maintenance hosts for both virulent and benign D. nodosus and cattle for benign strains only. Thus, both may represent the main source of infection for domestic and wild ungulates. By contrast, our results suggest that wild ruminants are occasional spillover hosts without epidemiological significance. Nevertheless, the sample size used in this study does not allow to exclude potential differences in prevalence of infection on a local level. For example, the occurrence of previous outbreaks of footrot in wildlife, wildlife population management and densities, frequency and intensity of interspecific interactions on summer pastures and livestock practices such as already existing sanitation programs (for virulent strains) are all factors that likely vary among regions.
Regarding benign strains, infections were detected in at least one animal per wild ungulate species, with red deer showing the highest prevalence of infection (TP 6.08%). Risk factor analysis indicated that red deer are at a significantly higher risk of being carriers of benign D. nodosus than ibex, chamois and roe deer. This is in line with the fact that interspecies interactions involving red deer are most commonly observed with cattle (this study; 20) and that the prevalence of benign D. nodosus is highest in cattle (AP 83.3%; [14]. Therefore, cattle may act as source of infection for susceptible wild ungulates, as previously suspected [4]. Nevertheless, further molecular studies are needed to univocally prove that interspecies transmission of D. nodosus occurs between wildlife and domestic livestock. Since the upcoming nationwide control program will only focus on virulent D. nodosus in sheep, it is unclear whether it will influence the prevalence of benign D. nodosus in any species, i.e. the control program is not expected to significantly decrease the risk of footrot outbreaks caused by the benign strain of D. nodosus in ibex populations in the future.
Conclusion
This study delivers crucial information for the design of the upcoming nationwide control program of virulent D. nodosus in sheep. Furthermore, the simultaneous, harmonized investigation of both wild and domestic species contributes to a better understanding of the epidemiology of footrot in Switzerland. This will help targeting disease prevention measures, as it revealed that combatting virulent strains does not need specific wildlife management measures. The obtained data suggest that infections in wild ruminants are sporadic despite the high prevalence of infection in sheep and cattle, and despite the widespread occurrence of interactions between wildlife and livestock. Overall, wildlife seems to be an incidental spillover host and not a maintenance host that may infect healthy sheep or re-infect sanitized herds. Since footrot lesions in ibex were also associated with benign strains and the upcoming control program will only focus on virulent strains in sheep, this program is expected to only partially influence disease occurrence in ibex in the future, especially when taking into consideration the high prevalence of benign D. nodosus in the Swiss cattle population. Further research is needed to evaluate the impact of footrot in ibex and assess whether it would be appropriate to take disease management actions to prevent outbreaks.
Supporting information
S1 Table [pdf]
Cantons with PCR positive animals.
Zdroje
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- Using machine learning methods to determine a typology of patients with HIV-HCV infection to be treated with antivirals
- Quantifying tourism booms and the increasing footprint in the Arctic with social media data
- Gender differences influence over insomnia in Korean population: A cross-sectional study
- Impact of scion/rootstock reciprocal effects on metabolomics of fruit juice and phloem sap in grafted Citrus reticulata
- Adapting cognitive diagnosis computerized adaptive testing item selection rules to traditional item response theory
- Usability assessment of seven HIV self-test devices conducted with lay-users in Johannesburg, South Africa
- Autumn shifts in cold tolerance metabolites in overwintering adult mountain pine beetles
- Management of veterinary anaesthesia in small animals: A survey of current practice in Quebec
- Genetic structure of the European hedgehog (Erinaceus europaeus) in Denmark
- Molecular karyotyping of Siberian wild rye (Elymus sibiricus L.) with oligonucleotide fluorescence in situ hybridization (FISH) probes
- Umbilical cord separation time, predictors and healing complications in newborns with dry care
- The strain distribution in the lumbar anterior longitudinal ligament is affected by the loading condition and bony features: An in vitro full-field analysis
- Marine resource congestion in China: Identifying, measuring, and assessing its impact on sustainable development of the marine economy
- Analysis of attitudinal components towards statistics among students from different academic degrees
- Effects of fatigue induced by repeated-sprint on kicking accuracy and velocity in female soccer players
- A pre-clinical validation plan to evaluate analytical sensitivities of molecular diagnostics such as BD MAX MDR-TB, Xpert MTB/Rif Ultra and FluoroType MTB
- Leadership for success in transforming medical abortion policy in Canada
- Clinical correlates associated with the long-term response of bipolar disorder patients to lithium, valproate or lamotrigine: A retrospective study
- Determinants of change in long-acting or permanent contraceptives use in Ethiopia; A multivariate decomposition analysis of data from the Ethiopian demographic and health survey
- Forecasting stock prices with long-short term memory neural network based on attention mechanism
- On the genus Crossaster (Echinodermata: Asteroidea) and its distribution
- Intracellular and in vivo evaluation of imidazo[2,1-b]thiazole-5-carboxamide anti-tuberculosis compounds
- Serum amyloid P component promotes formation of distinct aggregated lysozyme morphologies and reduces toxicity in Drosophila flies expressing F57I lysozyme
- Optogenetically induced cellular habituation in non-neuronal cells
- An integrated vitamin E-coated polymer hybrid nanoplatform: A lucrative option for an enhanced in vitro macrophage retention for an anti-hepatitis B therapeutic prospect
- The effect of strontium and silicon substituted hydroxyapatite electrochemical coatings on bone ingrowth and osseointegration of selective laser sintered porous metal implants
- Modeling the Theory of Planned Behaviour to predict adherence to preventive dental visits in preschool children
- Molecular prevalence of Bartonella, Babesia, and hemotropic Mycoplasma species in dogs with hemangiosarcoma from across the United States
- Color discrimination and gas chromatography-mass spectrometry fingerprint based on chemometrics analysis for the quality evaluation of Schizonepetae Spica
- Comparisons of recurrence-free survival and overall survival between microwave versus radiofrequency ablation treatment for hepatocellular carcinoma: A multiple centers retrospective cohort study with propensity score matching
- Transcriptome-wide identification of novel circular RNAs in soybean in response to low-phosphorus stress
- Oral misoprostol, low dose vaginal misoprostol, and vaginal dinoprostone for labor induction: Randomized controlled trial
- The association between dietary patterns before and in early pregnancy and the risk of gestational diabetes mellitus (GDM): Data from the Malaysian SECOST cohort
- Gene expression noise in a complex artificial toxin expression system
- Dynamic Extreme Aneuploidy (DEA) in the vegetable pathogen Phytophthora capsici and the potential for rapid asexual evolution
- Assertive, trainable and older dogs are perceived as more dominant in multi-dog households
- Prediction of Uropathogens by Flow Cytometry and Dip-stick Test Results of Urine Through Multivariable Logistic Regression Analysis
- Accelerated brain aging towards transcriptional inversion in a zebrafish model of the K115fs mutation of human PSEN2
- Copper to Tuscany – Coals to Newcastle? The dynamics of metalwork exchange in early Italy
- The Brazilian TP53 mutation (R337H) and sarcomas
- Interleukin 6 is increased in preclinical HNSCC models of acquired cetuximab resistance, but is not required for maintenance of resistance
- Detection of amitraz resistance and reduced treatment efficacy in the Varroa Mite, Varroa destructor, within commercial beekeeping operations
- Impact of viral disease hypophagia on pig jejunal function and integrity
- Enzyme response of activated sludge to a mixture of emerging contaminants in continuous exposure
- Molecular evidence for horizontal transmission of chelonid alphaherpesvirus 5 at green turtle (Chelonia mydas) foraging grounds in Queensland, Australia
- Technology anxiety and resistance to change behavioral study of a wearable cardiac warming system using an extended TAM for older adults
- Evaluation and validation of 2D biomechanical models of the knee for radiograph-based preoperative planning in total knee arthroplasty
- Soil-Transmitted Helminth infections reduction in Bhutan: A report of 29 years of deworming
- Age-related differences in the temporal dynamics of spectral power during memory encoding
- cagA gene EPIYA motif genetic characterization from Colombian Helicobacter pylori isolates: Standardization of a molecular test for rapid clinical laboratory detection
- Mugharat an-Nachcharini: A specialized sheep-hunting camp reveals high-altitude habitats in the earliest Neolithic of the Central Levant
- Spectral characteristics of urine from patients with end-stage kidney disease analyzed using Raman Chemometric Urinalysis (Rametrix)
- Clinicians’ communication with patients receiving a MCI diagnosis: The ABIDE project
- Quantitative PCR provides a simple and accessible method for quantitative microbiota profiling
- Fast quantitative time lapse displacement imaging of endothelial cell invasion
- Two novel mutations in MSX1 causing oligodontia
- 7,200 years old constructions and mudbrick technology: The evidence from Tel Tsaf, Jordan Valley, Israel
- Tuberculosis recurrences and predictive factors in a vulnerable population in Catalonia
- 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
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- 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
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- 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
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- 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
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- 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
- Obstructive sleep apnea and hypopnea syndrome in patients admitted in a tertiary hospital in Cameroon: Prevalence and associated factors
- Association of single nucleotide polymorphisms with dyslipidemia in antiretroviral exposed HIV patients in a Ghanaian population: A case-control study
- Sonic Hedgehog upregulation does not enhance the survival and engraftment of stem cell-derived cardiomyocytes in infarcted hearts
- The pharmacokinetic parameters and the effect of a single and repeated doses of memantine on gastric myoelectric activity in experimental pigs
- Blind method for discovering number of clusters in multidimensional datasets by regression on linkage hierarchies generated from random data
- Predictive factors of first dosage intravenous immunoglobulin-related adverse effects in children
- Description and characterization of the artisanal elasmobranch fishery on Guatemala’s Caribbean coast
- Individual and community level determinants of short birth interval in Ethiopia: A multilevel analysis
- Effects of rejection intensity and rejection sensitivity on social approach behavior in women
- The impact of IoT security labelling on consumer product choice and willingness to pay
- The development and validation of a measurement instrument to investigate determinants of health care utilisation for low back pain in Ethiopia
- Validity of the French version of the Autonomy Preference Index and its adaptation for patients with advanced cancer
- The epidemiological characteristics and spatio-temporal analysis of childhood hand, foot and mouth disease in Korea, 2011-2017
- Exponential random graph model parameter estimation for very large directed networks
- The implementation of community-based diabetes and hypertension management care program in Indonesia
- 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
- Pre-collecting lymphatic vessels form detours following obstruction of lymphatic flow and function as collecting lymphatic vessels
- Construct validity and reliability of the Talent Development Environment Questionnaire in Caribbean youth track and field athletes
- 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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