Risk Factors for Human Salmonellosis Originating from Pigs, Cattle, Broiler Chickens and Egg Laying Hens: A Combined Case-Control and Source Attribution Analysis
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{"title"=>"Risk factors for human salmonellosis originating from pigs, cattle, broiler chickens and egg laying hens: A combined case-control and source attribution analysis", "type"=>"journal", "authors"=>[{"first_name"=>"Lapo", "last_name"=>"Mughini-Gras", "scopus_author_id"=>"35849003700"}, {"first_name"=>"Remko", "last_name"=>"Enserink", "scopus_author_id"=>"53879689300"}, {"first_name"=>"Ingrid", "last_name"=>"Friesema", "scopus_author_id"=>"6507586562"}, {"first_name"=>"Max", "last_name"=>"Heck", "scopus_author_id"=>"56704570100"}, {"first_name"=>"Yvonne", "last_name"=>"Van Duynhoven", "scopus_author_id"=>"7004346701"}, {"first_name"=>"Wilfrid", "last_name"=>"Van Pelt", "scopus_author_id"=>"55396151900"}], "year"=>2014, "source"=>"PLoS ONE", "identifiers"=>{"pmid"=>"24503703", "doi"=>"10.1371/journal.pone.0087933", "sgr"=>"84895183022", "isbn"=>"19326203", "scopus"=>"2-s2.0-84895183022", "issn"=>"19326203", "pui"=>"372510240"}, "id"=>"e8030be8-2e92-3f59-9801-e6f66a08ea6d", "abstract"=>"Several case-control studies have investigated risk factors for human salmonellosis while others have used Salmonella subtyping to attribute human infections to different food and animal reservoirs. This study combined case-control and source attribution data into a single analysis to explore risk factors at the point of exposure for human salmonellosis originating from four putative food-producing animal reservoirs (pigs, cattle, broilers and layers/eggs) in the Netherlands. We confirmed that most human cases (∼ 90%) were attributable to layers/eggs and pigs. Layers/eggs and broilers were the most likely reservoirs of salmonellosis in adults, in urban areas, and in spring/summer, whereas pigs and cattle were the most likely reservoirs of salmonellosis in children, in rural areas, and in autumn/winter. Several reservoir-specific risk factors were identified. Not using a chopping board for raw meat only and consuming raw/undercooked meat were risk factors for infection with salmonellas originating from pigs, cattle and broilers. Consuming raw/undercooked eggs and by-products were risk factors for layer/egg-associated salmonellosis. Using antibiotics was a risk factor for pig- and cattle-associated salmonellosis and using proton-pump inhibitors for salmonellosis attributable to any reservoir. Pig- and cattle-associated infections were also linked to direct contact with animals and environmental exposure (e.g. playing in sandboxes). Eating fish, meat in pastry, and several non-meat foods (fruit, vegetables and pasteurized dairy products) were protective factors. Consuming pork and occupational exposure to animals and/or raw meats were protective against layer/egg-associated salmonellosis. We concluded that individuals acquiring salmonellosis from different reservoirs have different associated risk factors, suggesting that salmonellas may infect humans through various transmission pathways depending on their original reservoirs. The outcome of classical case-control studies can be enhanced by incorporating source attribution data and vice versa.", "link"=>"http://www.mendeley.com/research/risk-factors-human-salmonellosis-originating-pigs-cattle-broiler-chickens-egg-laying-hens-combined-c", "reader_count"=>75, "reader_count_by_academic_status"=>{"Unspecified"=>4, "Professor > Associate Professor"=>1, "Librarian"=>2, "Researcher"=>12, "Student > Doctoral Student"=>2, "Student > Ph. D. Student"=>15, "Student > Postgraduate"=>5, "Student > Master"=>16, "Other"=>2, "Student > Bachelor"=>9, "Lecturer"=>2, "Lecturer > Senior Lecturer"=>4, "Professor"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>4, "Professor > Associate Professor"=>1, "Librarian"=>2, "Researcher"=>12, "Student > Doctoral Student"=>2, "Student > Ph. D. 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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/1375740"], "description"=>"<p>The Netherlands, 2002–2003.</p>", "links"=>[], "tags"=>["Clinical research design", "epidemiology", "Epidemiological methods", "Infectious disease epidemiology", "Infectious diseases", "Bacterial diseases", "Salmonella", "Non-clinical medicine", "Health care policy", "Health risk analysis", "Public health", "Behavioral and social aspects of health", "Veterinary diseases", "Zoonotic diseases", "Foodborne diseases", "Veterinary epidemiology", "percent", "probabilities", "salmonellosis", "cases", "originate", "broilers", "urbanization"], "article_id"=>925805, "categories"=>["Medicine"], "users"=>["Lapo Mughini-Gras", "Remko Enserink", "Ingrid Friesema", "Max Heck", "Yvonne van Duynhoven", "Wilfrid van Pelt"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0087933.t002", "stats"=>{"downloads"=>1, "page_views"=>12, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Median_percent_probabilities_for_human_salmonellosis_cases_to_originate_from_pigs_cattle_broilers_or_layers_eggs_according_to_age_group_gender_urbanization_degree_and_season_/925805", "title"=>"Median percent probabilities for human salmonellosis cases to originate from pigs, cattle, broilers or layers/eggs according to age group, gender, urbanization degree, and season.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-02-04 03:53:36"}
  • {"files"=>["https://ndownloader.figshare.com/files/1375739"], "description"=>"<p>Population attributable risk is based on the multivariable odds ratios (see <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0087933#pone-0087933-t003\" target=\"_blank\">Table 3</a>). Estimates are based on 414 cases (168 and 197 of which caused by <i>S.</i> Enteritidis and <i>S.</i> Typhimurium, respectively) and 3165 controls.</p>", "links"=>[], "tags"=>["Clinical research design", "epidemiology", "Epidemiological methods", "Infectious disease epidemiology", "Infectious diseases", "Bacterial diseases", "Salmonella", "Non-clinical medicine", "Health care policy", "Health risk analysis", "Public health", "Behavioral and social aspects of health", "Veterinary diseases", "Zoonotic diseases", "Foodborne diseases", "Veterinary epidemiology", "attributable", "intervals", "salmonellosis", "reservoirs"], "article_id"=>925804, "categories"=>["Medicine"], "users"=>["Lapo Mughini-Gras", "Remko Enserink", "Ingrid Friesema", "Max Heck", "Yvonne van Duynhoven", "Wilfrid van Pelt"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0087933.t004", "stats"=>{"downloads"=>2, "page_views"=>9, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Population_attributable_risk_and_95_confidence_intervals_of_the_risk_factors_for_human_salmonellosis_attributable_to_specific_animal_reservoirs_and_overall_/925804", "title"=>"Population attributable risk and 95% confidence intervals of the risk factors for human salmonellosis attributable to specific animal reservoirs and overall.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-02-04 03:53:36"}
  • {"files"=>["https://ndownloader.figshare.com/files/1375744", "https://ndownloader.figshare.com/files/1375745"], "description"=>"<div><p>Several case-control studies have investigated risk factors for human salmonellosis while others have used <i>Salmonella</i> subtyping to attribute human infections to different food and animal reservoirs. This study combined case-control and source attribution data into a single analysis to explore risk factors at the point of exposure for human salmonellosis originating from four putative food-producing animal reservoirs (pigs, cattle, broilers and layers/eggs) in the Netherlands. We confirmed that most human cases (∼90%) were attributable to layers/eggs and pigs. Layers/eggs and broilers were the most likely reservoirs of salmonellosis in adults, in urban areas, and in spring/summer, whereas pigs and cattle were the most likely reservoirs of salmonellosis in children, in rural areas, and in autumn/winter. Several reservoir-specific risk factors were identified. Not using a chopping board for raw meat only and consuming raw/undercooked meat were risk factors for infection with salmonellas originating from pigs, cattle and broilers. Consuming raw/undercooked eggs and by-products were risk factors for layer/egg-associated salmonellosis. Using antibiotics was a risk factor for pig- and cattle-associated salmonellosis and using proton-pump inhibitors for salmonellosis attributable to any reservoir. Pig- and cattle-associated infections were also linked to direct contact with animals and environmental exposure (e.g. playing in sandboxes). Eating fish, meat in pastry, and several non-meat foods (fruit, vegetables and pasteurized dairy products) were protective factors. Consuming pork and occupational exposure to animals and/or raw meats were protective against layer/egg-associated salmonellosis. We concluded that individuals acquiring salmonellosis from different reservoirs have different associated risk factors, suggesting that salmonellas may infect humans through various transmission pathways depending on their original reservoirs. The outcome of classical case-control studies can be enhanced by incorporating source attribution data and vice versa.</p></div>", "links"=>[], "tags"=>["Clinical research design", "epidemiology", "Epidemiological methods", "Infectious disease epidemiology", "Infectious diseases", "Bacterial diseases", "Salmonella", "Non-clinical medicine", "Health care policy", "Health risk analysis", "Public health", "Behavioral and social aspects of health", "Veterinary diseases", "Zoonotic diseases", "Foodborne diseases", "Veterinary epidemiology", "salmonellosis", "originating", "broiler", "chickens", "laying", "case-control", "attribution"], "article_id"=>925809, "categories"=>["Medicine"], "users"=>["Lapo Mughini-Gras", "Remko Enserink", "Ingrid Friesema", "Max Heck", "Yvonne van Duynhoven", "Wilfrid van Pelt"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0087933.s001", "https://dx.doi.org/10.1371/journal.pone.0087933.s002"], "stats"=>{"downloads"=>0, "page_views"=>8, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Risk_Factors_for_Human_Salmonellosis_Originating_from_Pigs_Cattle_Broiler_Chickens_and_Egg_Laying_Hens_A_Combined_Case_Control_and_Source_Attribution_Analysis_/925809", "title"=>"Risk Factors for Human Salmonellosis Originating from Pigs, Cattle, Broiler Chickens and Egg Laying Hens: A Combined Case-Control and Source Attribution Analysis", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2014-02-04 03:53:36"}
  • {"files"=>["https://ndownloader.figshare.com/files/1375743"], "description"=>"*<p>Database \"Food_ch_concap\": Gross human apparent consumption of main food items per capita (<a href=\"http://epp.eurostat.ec.europa.eu/portal/page/portal/eurostat/home\" target=\"_blank\">http://epp.eurostat.ec.europa.eu/portal/page/portal/eurostat/home</a>).</p>", "links"=>[], "tags"=>["Clinical research design", "epidemiology", "Epidemiological methods", "Infectious disease epidemiology", "Infectious diseases", "Bacterial diseases", "Salmonella", "Non-clinical medicine", "Health care policy", "Health risk analysis", "Public health", "Behavioral and social aspects of health", "Veterinary diseases", "Zoonotic diseases", "Foodborne diseases", "Veterinary epidemiology", "modified", "dutch"], "article_id"=>925808, "categories"=>["Medicine"], "users"=>["Lapo Mughini-Gras", "Remko Enserink", "Ingrid Friesema", "Max Heck", "Yvonne van Duynhoven", "Wilfrid van Pelt"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0087933.t001", "stats"=>{"downloads"=>2, "page_views"=>25, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Parameters_of_the_modified_Dutch_model_for_source_attribution_/925808", "title"=>"Parameters of the modified Dutch model for source attribution.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-02-04 03:53:36"}
  • {"files"=>["https://ndownloader.figshare.com/files/1375741"], "description"=>"<p>Odds ratios presented are also adjusted for age, sex, degree of urbanization, season, and level of education. Risk factors are in bold, protective factors in normal font. Estimates are based on 414 cases (168 and 197 of which caused by <i>S.</i> Enteritidis and <i>S.</i> Typhimurium, respectively) and 3165 controls.</p>", "links"=>[], "tags"=>["Clinical research design", "epidemiology", "Epidemiological methods", "Infectious disease epidemiology", "Infectious diseases", "Bacterial diseases", "Salmonella", "Non-clinical medicine", "Health care policy", "Health risk analysis", "Public health", "Behavioral and social aspects of health", "Veterinary diseases", "Zoonotic diseases", "Foodborne diseases", "Veterinary epidemiology", "ratios", "intervals", "salmonellosis", "attributable", "reservoirs"], "article_id"=>925806, "categories"=>["Medicine"], "users"=>["Lapo Mughini-Gras", "Remko Enserink", "Ingrid Friesema", "Max Heck", "Yvonne van Duynhoven", "Wilfrid van Pelt"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0087933.t003", "stats"=>{"downloads"=>0, "page_views"=>7, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Adjusted_odds_ratios_and_95_confidence_intervals_of_the_significant_risk_factors_for_human_salmonellosis_attributable_to_specific_animal_reservoirs_and_overall_/925806", "title"=>"Adjusted odds ratios and 95% confidence intervals of the significant risk factors for human salmonellosis attributable to specific animal reservoirs and overall.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-02-04 03:53:36"}
  • {"files"=>["https://ndownloader.figshare.com/files/1375738"], "description"=>"<p>Blue squares: <i>S</i>. Typhimurium subtypes. Red dots: <i>S</i>. Enteritidis subtypes. Green triangles: other <i>Salmonella</i> subtypes. Yellow stars: reservoir centroids. Total variance explained by the first and second canonical dimensions is 82% and 15%, respectively.</p>", "links"=>[], "tags"=>["Clinical research design", "epidemiology", "Epidemiological methods", "Infectious disease epidemiology", "Infectious diseases", "Bacterial diseases", "Salmonella", "Non-clinical medicine", "Health care policy", "Health risk analysis", "Public health", "Behavioral and social aspects of health", "Veterinary diseases", "Zoonotic diseases", "Foodborne diseases", "Veterinary epidemiology", "canonical", "multivariate", "relationships", "subtype", "reservoir", "specificity"], "article_id"=>925803, "categories"=>["Medicine"], "users"=>["Lapo Mughini-Gras", "Remko Enserink", "Ingrid Friesema", "Max Heck", "Yvonne van Duynhoven", "Wilfrid van Pelt"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0087933.g001", "stats"=>{"downloads"=>1, "page_views"=>17, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Plot_of_the_first_and_second_canonical_dimension_of_the_multivariate_relationships_between_Salmonella_subtype_reservoir_specificity_Pr_s_and_the_significant_risk_factors_/925803", "title"=>"Plot of the first and second canonical dimension of the multivariate relationships between <i>Salmonella</i> subtype reservoir specificity (<i>Pr</i>s) and the significant risk factors.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-02-04 03:53:36"}

PMC Usage Stats | Further Information

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  • {"unique-ip"=>"26", "full-text"=>"28", "pdf"=>"14", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2014", "month"=>"6"}
  • {"unique-ip"=>"28", "full-text"=>"35", "pdf"=>"27", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2014", "month"=>"4"}
  • {"unique-ip"=>"20", "full-text"=>"23", "pdf"=>"12", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2015", "month"=>"4"}
  • {"unique-ip"=>"23", "full-text"=>"31", "pdf"=>"13", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"5"}
  • {"unique-ip"=>"17", "full-text"=>"15", "pdf"=>"9", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"6"}
  • {"unique-ip"=>"16", "full-text"=>"16", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"7"}
  • {"unique-ip"=>"32", "full-text"=>"35", "pdf"=>"17", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"3"}
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  • {"unique-ip"=>"26", "full-text"=>"21", "pdf"=>"15", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"8"}
  • {"unique-ip"=>"20", "full-text"=>"18", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"2", "cited-by"=>"0", "year"=>"2015", "month"=>"9"}
  • {"unique-ip"=>"12", "full-text"=>"9", "pdf"=>"6", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"10"}
  • {"unique-ip"=>"17", "full-text"=>"18", "pdf"=>"5", "abstract"=>"2", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2014", "month"=>"7"}
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  • {"unique-ip"=>"33", "full-text"=>"60", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"2", "cited-by"=>"0", "year"=>"2014", "month"=>"10"}
  • {"unique-ip"=>"21", "full-text"=>"27", "pdf"=>"12", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"1", "cited-by"=>"1", "year"=>"2016", "month"=>"1"}
  • {"unique-ip"=>"20", "full-text"=>"19", "pdf"=>"11", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"2"}
  • {"unique-ip"=>"32", "full-text"=>"50", "pdf"=>"4", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"2", "cited-by"=>"0", "year"=>"2014", "month"=>"11"}
  • {"unique-ip"=>"13", "full-text"=>"11", "pdf"=>"8", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2014", "month"=>"12"}
  • {"unique-ip"=>"37", "full-text"=>"39", "pdf"=>"17", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"1"}
  • {"unique-ip"=>"28", "full-text"=>"25", "pdf"=>"15", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2015", "month"=>"11"}
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  • {"unique-ip"=>"16", "full-text"=>"16", "pdf"=>"12", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"3"}
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  • {"unique-ip"=>"26", "full-text"=>"26", "pdf"=>"6", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2016", "month"=>"5"}
  • {"unique-ip"=>"20", "full-text"=>"24", "pdf"=>"10", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"6"}
  • {"unique-ip"=>"21", "full-text"=>"22", "pdf"=>"5", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"7"}
  • {"unique-ip"=>"19", "full-text"=>"30", "pdf"=>"4", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"4", "cited-by"=>"0", "year"=>"2016", "month"=>"8"}
  • {"unique-ip"=>"35", "full-text"=>"38", "pdf"=>"12", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"9"}
  • {"unique-ip"=>"26", "full-text"=>"22", "pdf"=>"9", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"4", "cited-by"=>"0", "year"=>"2016", "month"=>"10"}
  • {"unique-ip"=>"26", "full-text"=>"34", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"11"}
  • {"unique-ip"=>"31", "full-text"=>"38", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"12"}
  • {"unique-ip"=>"36", "full-text"=>"33", "pdf"=>"4", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"3", "cited-by"=>"0", "year"=>"2017", "month"=>"1"}
  • {"unique-ip"=>"23", "full-text"=>"27", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"2"}
  • {"unique-ip"=>"27", "full-text"=>"28", "pdf"=>"10", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2017", "month"=>"3"}
  • {"unique-ip"=>"21", "full-text"=>"47", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"4"}
  • {"unique-ip"=>"37", "full-text"=>"52", "pdf"=>"10", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"5"}
  • {"unique-ip"=>"23", "full-text"=>"29", "pdf"=>"6", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"5", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"6"}
  • {"unique-ip"=>"16", "full-text"=>"17", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"7"}
  • {"unique-ip"=>"27", "full-text"=>"36", "pdf"=>"5", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2017", "month"=>"8"}
  • {"unique-ip"=>"32", "full-text"=>"41", "pdf"=>"4", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2017", "month"=>"9"}
  • {"unique-ip"=>"38", "full-text"=>"46", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"2", "cited-by"=>"0", "year"=>"2017", "month"=>"10"}
  • {"unique-ip"=>"34", "full-text"=>"42", "pdf"=>"6", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2017", "month"=>"11"}
  • {"unique-ip"=>"21", "full-text"=>"22", "pdf"=>"5", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2017", "month"=>"12"}
  • {"unique-ip"=>"22", "full-text"=>"26", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"1"}
  • {"unique-ip"=>"2", "full-text"=>"2", "pdf"=>"0", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"2"}
  • {"unique-ip"=>"68", "full-text"=>"80", "pdf"=>"5", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"3"}
  • {"unique-ip"=>"42", "full-text"=>"63", "pdf"=>"4", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"4", "cited-by"=>"1", "year"=>"2019", "month"=>"1"}
  • {"unique-ip"=>"52", "full-text"=>"54", "pdf"=>"9", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2018", "month"=>"12"}
  • {"unique-ip"=>"67", "full-text"=>"74", "pdf"=>"3", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"11"}
  • {"unique-ip"=>"81", "full-text"=>"92", "pdf"=>"6", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"4"}
  • {"unique-ip"=>"66", "full-text"=>"84", "pdf"=>"4", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"5"}
  • {"unique-ip"=>"52", "full-text"=>"60", "pdf"=>"8", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"6"}
  • {"unique-ip"=>"69", "full-text"=>"80", "pdf"=>"12", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"3", "cited-by"=>"0", "year"=>"2018", "month"=>"7"}
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Relative Metric

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