A Simple Scoring System to Differentiate between Relapse and Re-Infection in Patients with Recurrent Melioidosis
Publication Date
October 29, 2008
Journal
PLOS Neglected Tropical Diseases
Authors
Direk Limmathurotsakul, Wipada Chaowagul, Narisara Chantratita, Vanaporn Wuthiekanun, et al
Volume
2
Issue
10
Pages
e327
DOI
https://dx.plos.org/10.1371/journal.pntd.0000327
Publisher URL
http://journals.plos.org/plosntds/article?id=10.1371%2Fjournal.pntd.0000327
PubMed
http://www.ncbi.nlm.nih.gov/pubmed/18958279
PubMed Central
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2570249
Europe PMC
http://europepmc.org/abstract/MED/18958279
Web of Science
000261807800006
Scopus
56149098131
Mendeley
http://www.mendeley.com/research/simple-scoring-system-differentiate-between-relapse-reinfection-patients-recurrent-melioidosis
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Mendeley | Further Information

{"title"=>"A simple scoring system to differentiate between relapse and re-infection in patients with recurrent melioidosis", "type"=>"journal", "authors"=>[{"first_name"=>"Direk", "last_name"=>"Limmathurotsakul", "scopus_author_id"=>"9637805700"}, {"first_name"=>"Wipada", "last_name"=>"Chaowagul", "scopus_author_id"=>"7004738861"}, {"first_name"=>"Narisara", "last_name"=>"Chantratita", "scopus_author_id"=>"11439747400"}, {"first_name"=>"Vanaporn", "last_name"=>"Wuthiekanun", "scopus_author_id"=>"7003699771"}, {"first_name"=>"Mayurachat", "last_name"=>"Biaklang", "scopus_author_id"=>"23007885500"}, {"first_name"=>"Sarinna", "last_name"=>"Tumapa", "scopus_author_id"=>"6503924780"}, {"first_name"=>"Nicholas J.", "last_name"=>"White", "scopus_author_id"=>"7401767314"}, {"first_name"=>"Nicholas P J", "last_name"=>"Day", "scopus_author_id"=>"36071528500"}, {"first_name"=>"Sharon J.", "last_name"=>"Peacock", "scopus_author_id"=>"7006230636"}], "year"=>2008, "source"=>"PLoS Neglected Tropical Diseases", "identifiers"=>{"pmid"=>"18958279", "sgr"=>"56149098131", "doi"=>"10.1371/journal.pntd.0000327", "scopus"=>"2-s2.0-56149098131", "pui"=>"352678382", "isbn"=>"1935-2735 (Electronic)\\r1935-2727 (Linking)", "issn"=>"1935-2735"}, "id"=>"9d4d4d35-da16-3743-8d5c-a860df0c6c0e", "abstract"=>"BACKGROUND: Melioidosis is an important cause of morbidity and mortality in East Asia. Recurrent melioidosis occurs in around 10% of patients following treatment either because of relapse with the same strain or re-infection with a new strain of Burkholderia pseudomallei. Distinguishing between the two is important but requires bacterial genotyping. The aim of this study was to develop a simple scoring system to distinguish re-infection from relapse.\\n\\nMETHODS: In a prospective study of 2,804 consecutive adult patients with melioidosis presenting to Sappasithiprasong Hospital, NE Thailand, between 1986 and 2005, there were 141 patients with recurrent melioidosis with paired strains available for genotyping. Of these, 92 patients had relapse and 49 patients had re-infection. Variables associated with relapse or re-infection were identified by multivariable logistic regression and used to develop a predictive model. Performance of the scoring system was quantified with respect to discrimination (area under receiver operating characteristic curves, AUC) and categorization (graphically). Bootstrap resampling was used to internally validate the predictors and adjust for over-optimism.\\n\\nFINDINGS: Duration of oral antimicrobial treatment, interval between the primary episode and recurrence, season, and renal function at recurrence were independent predictors of relapse or re-infection. A score of < 5 correctly identified relapse in 76 of 89 patients (85%), whereas a score > or = 5 correctly identified re-infection in 36 of 52 patients (69%). The scoring index had good discriminative power, with a bootstrap bias-corrected AUC of 0.80 (95%CI: 0.73-0.87).\\n\\nCONCLUSIONS: A simple scoring index to predict the cause of recurrent melioidosis has been developed to provide important bedside information where rapid bacterial genotyping is unavailable.", "link"=>"http://www.mendeley.com/research/simple-scoring-system-differentiate-between-relapse-reinfection-patients-recurrent-melioidosis", "reader_count"=>24, "reader_count_by_academic_status"=>{"Unspecified"=>1, "Professor > Associate Professor"=>1, "Researcher"=>3, "Student > Ph. D. Student"=>8, "Student > Master"=>6, "Student > Bachelor"=>1, "Lecturer"=>1, "Professor"=>2, "Student > Postgraduate"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>1, "Professor > Associate Professor"=>1, "Researcher"=>3, "Student > Ph. D. Student"=>8, "Student > Master"=>6, "Student > Bachelor"=>1, "Lecturer"=>1, "Professor"=>2, "Student > Postgraduate"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>3, "Agricultural and Biological Sciences"=>8, "Medicine and Dentistry"=>9, "Psychology"=>1, "Immunology and Microbiology"=>2, "Earth and Planetary Sciences"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>9}, "Psychology"=>{"Psychology"=>1}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>2}, "Earth and Planetary Sciences"=>{"Earth and Planetary Sciences"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>8}, "Unspecified"=>{"Unspecified"=>3}}, "reader_count_by_country"=>{"United Kingdom"=>1}, "group_count"=>0}

Scopus | Further Information

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/917339"], "description"=>"<p>Points can be determined for each of the predictors using the figure. Factors associated with re-infection give a positive score, while factors associated with relapse give a negative score. The total score is reached by adding the points together for these four variables. A total score of more than or equal to 5 is predictive for re-infection as the probable cause of recurrent melioidosis, while a total score of less than 5 is predictive for relapse.</p>", "links"=>[], "tags"=>["predictors", "re-infection", "relapse", "patients", "recurrent"], "article_id"=>587784, "categories"=>["Infectious Diseases", "Medicine"], "users"=>["Direk Limmathurotsakul", "Wipada Chaowagul", "Narisara Chantratita", "Vanaporn Wuthiekanun", "Mayurachat Biaklang", "Sarinna Tumapa", "Nicholas J. White", "Nicholas P. J. Day", "Sharon J. Peacock"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0000327.g002", "stats"=>{"downloads"=>1, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Four_predictors_of_re_infection_and_relapse_for_patients_with_recurrent_melioidosis_/587784", "title"=>"Four predictors of re-infection and relapse for patients with recurrent melioidosis.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-21 07:44:10"}
  • {"files"=>["https://ndownloader.figshare.com/files/917509"], "description"=>"<p>Predictive ability of the risk index model for relapse and re-infection of a total score within the range <−15, −15 to <−5, −5 to <5, 5 to <15, 15 to <25, and ≥25, respectively.</p>", "links"=>[], "tags"=>["relapse", "re-infection", "15"], "article_id"=>587958, "categories"=>["Infectious Diseases", "Medicine"], "users"=>["Direk Limmathurotsakul", "Wipada Chaowagul", "Narisara Chantratita", "Vanaporn Wuthiekanun", "Mayurachat Biaklang", "Sarinna Tumapa", "Nicholas J. White", "Nicholas P. J. Day", "Sharon J. Peacock"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0000327.g003", "stats"=>{"downloads"=>1, "page_views"=>3, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Predictive_ability_of_the_risk_index_model_for_relapse_and_re_infection_of_a_total_score_within_the_range_lt_8722_15_8722_15_to_lt_8722_5_8722_5_to_lt_5_5_to_lt_15_15_to_lt_25_and_8805_25_respectively_/587958", "title"=>"Predictive ability of the risk index model for relapse and re-infection of a total score within the range <−15, −15 to <−5, −5 to <5, 5 to <15, 15 to <25, and ≥25, respectively.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-21 07:45:07"}
  • {"files"=>["https://ndownloader.figshare.com/files/917237"], "description"=>"<p>Dotted line in <a href=\"http://www.plosntds.org/article/info:doi/10.1371/journal.pntd.0000327#pntd-0000327-g001\" target=\"_blank\">Figure 1B</a> shows the proportion of patients with relapse presenting within each interval (right Y axis).</p>", "links"=>[], "tags"=>["patients", "relapse", "re-infection", "recurrent"], "article_id"=>587689, "categories"=>["Infectious Diseases", "Medicine"], "users"=>["Direk Limmathurotsakul", "Wipada Chaowagul", "Narisara Chantratita", "Vanaporn Wuthiekanun", "Mayurachat Biaklang", "Sarinna Tumapa", "Nicholas J. White", "Nicholas P. J. Day", "Sharon J. Peacock"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0000327.g001", "stats"=>{"downloads"=>0, "page_views"=>1, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Comparison_between_patients_with_relapse_and_re_infection_in_relation_to_A_calendar_month_of_presentation_and_B_interval_between_primary_episode_and_recurrent_infection_/587689", "title"=>"Comparison between patients with relapse and re-infection in relation to: (A) calendar month of presentation and (B) interval between primary episode and recurrent infection.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-21 07:43:41"}
  • {"files"=>["https://ndownloader.figshare.com/files/917655"], "description"=>"<p>Abbreviations: CI, confidence interval; OR, odds ratio.</p>*<p>The OR is for a week increase of treatment with effective oral treatment regimens, including TMP-SMX and doxycycline based regimens and amoxicillin-clavulanic acid regimen.</p>†<p>The OR is for a 10 mL/min per 1.73 m<sup>2</sup> increase.</p>‡<p>Model Chi-square = 42.10; <i>df</i> = 4; <i>P</i><0.001; area under ROC curve = 0.81 (95% CI: 0.74–0.89); Hosmer-Lemeshow statistics = 9.24, <i>df</i> = 8, <i>P</i> = 0.32.</p>", "links"=>[], "tags"=>["predictors", "re-infection", "patients", "recurrent"], "article_id"=>588106, "categories"=>["Infectious Diseases", "Medicine"], "users"=>["Direk Limmathurotsakul", "Wipada Chaowagul", "Narisara Chantratita", "Vanaporn Wuthiekanun", "Mayurachat Biaklang", "Sarinna Tumapa", "Nicholas J. White", "Nicholas P. J. Day", "Sharon J. Peacock"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0000327.t002", "stats"=>{"downloads"=>1, "page_views"=>7, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Multivariable_predictors_of_re_infection_among_patients_with_recurrent_melioidosis_/588106", "title"=>"Multivariable predictors of re-infection among patients with recurrent melioidosis.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-21 07:45:58"}
  • {"files"=>["https://ndownloader.figshare.com/files/917618"], "description"=>"<p>Abbreviations: GFR, glomerular filtration rate; Q1–Q3, 25<sup>th</sup> percentile and 75<sup>th</sup> percentile; <sup>*</sup> mL/min per 1.73 m<sup>2</sup>, <sup>†</sup> Trimethoprim-sulfamethoxazole and doxycycline, <sup>‡</sup> Trimethoprim-sulfamethoxazole, doxycycline, and chloramphenicol, <sup>§</sup> Fluoroquinolone-based regimen, doxycycline alone, and trimethoprim-sulfamethoxazole alone.</p>", "links"=>[], "tags"=>["infectious diseases/bacterial infections", "infectious diseases/neglected tropical diseases"], "article_id"=>588071, "categories"=>["Infectious Diseases", "Medicine"], "users"=>["Direk Limmathurotsakul", "Wipada Chaowagul", "Narisara Chantratita", "Vanaporn Wuthiekanun", "Mayurachat Biaklang", "Sarinna Tumapa", "Nicholas J. White", "Nicholas P. J. Day", "Sharon J. Peacock"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0000327.t001", "stats"=>{"downloads"=>0, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Demographic_characteristics_/588071", "title"=>"Demographic characteristics.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-21 07:45:46"}

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  • {"unique-ip"=>"12", "full-text"=>"10", "pdf"=>"1", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2014", "month"=>"10"}
  • {"unique-ip"=>"3", "full-text"=>"2", "pdf"=>"0", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2014", "month"=>"11"}
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  • {"unique-ip"=>"5", "full-text"=>"5", "pdf"=>"1", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"1"}
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  • {"unique-ip"=>"7", "full-text"=>"6", "pdf"=>"2", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2015", "month"=>"6"}
  • {"unique-ip"=>"13", "full-text"=>"14", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"7"}
  • {"unique-ip"=>"13", "full-text"=>"20", "pdf"=>"0", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"8"}
  • {"unique-ip"=>"10", "full-text"=>"11", "pdf"=>"0", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"9"}
  • {"unique-ip"=>"6", "full-text"=>"6", "pdf"=>"0", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"10"}
  • {"unique-ip"=>"10", "full-text"=>"9", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2015", "month"=>"11"}
  • {"unique-ip"=>"14", "full-text"=>"12", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"12"}
  • {"unique-ip"=>"8", "full-text"=>"10", "pdf"=>"2", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"1"}
  • {"unique-ip"=>"3", "full-text"=>"3", "pdf"=>"0", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"2"}
  • {"unique-ip"=>"7", "full-text"=>"6", "pdf"=>"4", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"3"}
  • {"unique-ip"=>"7", "full-text"=>"8", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"4"}
  • {"unique-ip"=>"8", "full-text"=>"8", "pdf"=>"2", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"5"}
  • {"unique-ip"=>"6", "full-text"=>"6", "pdf"=>"1", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"6"}
  • {"unique-ip"=>"8", "full-text"=>"8", "pdf"=>"0", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"7"}
  • {"unique-ip"=>"3", "full-text"=>"3", "pdf"=>"0", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"8"}
  • {"unique-ip"=>"15", "full-text"=>"15", "pdf"=>"2", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"9"}
  • {"unique-ip"=>"11", "full-text"=>"11", "pdf"=>"0", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"10"}
  • {"unique-ip"=>"1", "full-text"=>"0", "pdf"=>"1", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"11"}
  • {"unique-ip"=>"8", "full-text"=>"8", "pdf"=>"1", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"12"}
  • {"unique-ip"=>"7", "full-text"=>"6", "pdf"=>"0", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"1"}
  • {"unique-ip"=>"11", "full-text"=>"11", "pdf"=>"0", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"2"}
  • {"unique-ip"=>"17", "full-text"=>"19", "pdf"=>"2", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"3"}
  • {"unique-ip"=>"11", "full-text"=>"12", "pdf"=>"0", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"4"}
  • {"unique-ip"=>"7", "full-text"=>"7", "pdf"=>"0", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"5"}
  • {"unique-ip"=>"4", "full-text"=>"4", "pdf"=>"0", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"6"}
  • {"unique-ip"=>"10", "full-text"=>"10", "pdf"=>"0", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2017", "month"=>"7"}
  • {"unique-ip"=>"8", "full-text"=>"9", "pdf"=>"0", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"8"}
  • {"unique-ip"=>"16", "full-text"=>"17", "pdf"=>"2", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"9"}
  • {"unique-ip"=>"20", "full-text"=>"27", "pdf"=>"1", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"10"}
  • {"unique-ip"=>"30", "full-text"=>"29", "pdf"=>"1", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2017", "month"=>"11"}
  • {"unique-ip"=>"22", "full-text"=>"23", "pdf"=>"0", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"12"}
  • {"unique-ip"=>"13", "full-text"=>"14", "pdf"=>"2", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"1"}
  • {"unique-ip"=>"12", "full-text"=>"13", "pdf"=>"1", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"3"}
  • {"unique-ip"=>"28", "full-text"=>"29", "pdf"=>"3", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2019", "month"=>"1"}
  • {"unique-ip"=>"22", "full-text"=>"24", "pdf"=>"3", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2018", "month"=>"4"}
  • {"unique-ip"=>"8", "full-text"=>"8", "pdf"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2018", "month"=>"5"}
  • {"unique-ip"=>"20", "full-text"=>"19", "pdf"=>"3", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2018", "month"=>"6"}
  • {"unique-ip"=>"9", "full-text"=>"8", "pdf"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2018", "month"=>"7"}
  • {"unique-ip"=>"23", "full-text"=>"24", "pdf"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2018", "month"=>"8"}
  • {"unique-ip"=>"23", "full-text"=>"25", "pdf"=>"2", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2018", "month"=>"9"}
  • {"unique-ip"=>"31", "full-text"=>"30", "pdf"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2018", "month"=>"10"}
  • {"unique-ip"=>"25", "full-text"=>"27", "pdf"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"12"}
  • {"unique-ip"=>"29", "full-text"=>"31", "pdf"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2018", "month"=>"11"}
  • {"unique-ip"=>"23", "full-text"=>"22", "pdf"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2019", "month"=>"2"}
  • {"unique-ip"=>"28", "full-text"=>"27", "pdf"=>"3", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2019", "month"=>"3"}
  • {"unique-ip"=>"64", "full-text"=>"66", "pdf"=>"2", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2019", "month"=>"4"}
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Relative Metric

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