Epidemiology of Undiagnosed Trichomoniasis in a Probability Sample of Urban Young Adults
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{"title"=>"Epidemiology of undiagnosed trichomoniasis in a probability sample of urban young adults", "type"=>"journal", "authors"=>[{"first_name"=>"Susan M.", "last_name"=>"Rogers", "scopus_author_id"=>"55773927400"}, {"first_name"=>"Charles F.", "last_name"=>"Turner", "scopus_author_id"=>"35578010500"}, {"first_name"=>"Marcia", "last_name"=>"Hobbs", "scopus_author_id"=>"7101710518"}, {"first_name"=>"William C.", "last_name"=>"Miller", "scopus_author_id"=>"7406061778"}, {"first_name"=>"Sylvia", "last_name"=>"Tan", "scopus_author_id"=>"57199986586"}, {"first_name"=>"Anthony M.", "last_name"=>"Roman", "scopus_author_id"=>"7102169198"}, {"first_name"=>"Elizabeth", "last_name"=>"Eggleston", "scopus_author_id"=>"6701595927"}, {"first_name"=>"Maria A.", "last_name"=>"Villarroel", "scopus_author_id"=>"8982789400"}, {"first_name"=>"Laxminarayana", "last_name"=>"Ganapathi", "scopus_author_id"=>"36058733000"}, {"first_name"=>"James R.", "last_name"=>"Chromy", "scopus_author_id"=>"6505970535"}, {"first_name"=>"Emily", "last_name"=>"Erbelding", "scopus_author_id"=>"7003545609"}], "year"=>2014, "source"=>"PLoS ONE", "identifiers"=>{"issn"=>"19326203", "scopus"=>"2-s2.0-84898728976", "pui"=>"372786244", "doi"=>"10.1371/journal.pone.0090548", "isbn"=>"1932-6203", "sgr"=>"84898728976", "pmid"=>"24626058"}, "id"=>"21192a75-8386-3cf1-9511-d0bf7614f2a8", "abstract"=>"T. vaginalis infection (trichomoniasis) is the most common curable sexually transmitted infection (STI) in the U.S. It is associated with increased HIV risk and adverse pregnancy outcomes. Trichomoniasis surveillance data do not exist for either national or local populations. The Monitoring STIs Survey Program (MSSP) collected survey data and specimens which were tested using nucleic acid amplification tests to monitor trichomoniasis and other STIs in 2006-09 among a probability sample of young adults (N = 2,936) in Baltimore, Maryland--an urban area with high rates of reported STIs. The estimated prevalence of trichomoniasis was 7.5% (95% CI 6.3, 9.1) in the overall population and 16.1% (95% CI 13.0, 19.8) among Black women. The overwhelming majority of infected men (98.5%) and women (73.3%) were asymptomatic. Infections were more common in both women (OR = 3.6, 95% CI 1.6, 8.2) and men (OR = 9.0, 95% CI 1.8, 44.3) with concurrent chlamydial infection. Trichomoniasis did not vary significantly by age for either men or women. Women with two or more partners in the past year and women with a history of personal or partner incarceration were more likely to have an infection. Overall, these results suggest that routine T vaginalis screening in populations at elevated risk of infection should be considered.", "link"=>"http://www.mendeley.com/research/epidemiology-undiagnosed-trichomoniasis-probability-sample-urban-young-adults", "reader_count"=>19, "reader_count_by_academic_status"=>{"Researcher"=>3, "Student > Doctoral Student"=>2, "Student > Ph. D. Student"=>5, "Student > Postgraduate"=>2, "Student > Master"=>5, "Student > Bachelor"=>2}, "reader_count_by_user_role"=>{"Researcher"=>3, "Student > Doctoral Student"=>2, "Student > Ph. D. Student"=>5, "Student > Postgraduate"=>2, "Student > Master"=>5, "Student > Bachelor"=>2}, "reader_count_by_subject_area"=>{"Nursing and Health Professions"=>1, "Medicine and Dentistry"=>10, "Agricultural and Biological Sciences"=>3, "Physics and Astronomy"=>1, "Social Sciences"=>1, "Immunology and Microbiology"=>3}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>10}, "Social Sciences"=>{"Social Sciences"=>1}, "Physics and Astronomy"=>{"Physics and Astronomy"=>1}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>3}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>3}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>1}}, "reader_count_by_country"=>{"United States"=>1}, "group_count"=>1}

Scopus | Further Information

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/1419237"], "description"=>"<p>All estimates are weighted to account for differing probabilities of selection and post-stratification adjustment to match Census (ACS) marginals for Baltimore, Maryland (see text); all base Ns are unweighted. Confidence intervals (CI) were calculated using statistical algorithms that take account of the complex sample design used in the MSSP surveys.</p>a<p>Symptoms are dysuria (burning on urination) and discharge in the three months preceding the survey. Subjects were coded positive for symptoms if they reported either or both symptoms.</p>", "links"=>[], "tags"=>["epidemiology", "Epidemiological methods and statistics", "Infectious disease epidemiology", "Infectious diseases", "Sexually transmitted diseases", "Trichomoniasis", "Public and occupational health", "Behavioral and social aspects of health", "Health screening", "urology", "Genitourinary infections", "women's health", "Obstetrics and gynecology", "research design", "Survey research", "Survey methods", "Clinical research design", "symptoms"], "article_id"=>961301, "categories"=>["Biological Sciences"], "users"=>["Susan M. Rogers", "Charles F. Turner", "Marcia Hobbs", "William C. Miller", "Sylvia Tan", "Anthony M. Roman", "Elizabeth Eggleston", "Maria A. Villarroel", "Laxminarayana Ganapathi", "James R. Chromy", "Emily Erbelding"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0090548.t005", "stats"=>{"downloads"=>2, "page_views"=>7, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Presence_and_absence_of_reported_symptoms_by_gender_and_infection_with_trichomoniasis_/961301", "title"=>"Presence and absence of reported symptoms by gender and infection with trichomoniasis.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-03-13 09:44:15"}
  • {"files"=>["https://ndownloader.figshare.com/files/1419236"], "description"=>"a<p>Odds ratios (ORs) calculated using logistic regression. Gender-specific adjusted ORs (AORs) calculated from multivariable models controlling for race (Black; Non-Black), age (4 categories: 15–19, 20–24, 25–29, 30–35), and marital status (married vs. not married, including widowed, divorced, and separated). Gender Interaction tests equivalence of unadjusted ORs for males and females (i.e., logistic regression models odds of Tv as a function of Female, Behavioral variable, and Female-by-Behavioral variable).</p>b<p>Previous STI includes self-reported diagnoses of C. trachomatis, N. gonorrhea, and/or T. vaginalis.</p>c<p>Self-reported previous diagnosis of T. vaginalis infection.</p>d<p>Self-reported symptoms of dysuria and/or discharge.</p>e<p>ORs not calculated because none of the 16 men with a prior diagnosis of Tv also tested positive for Tv in the survey.</p>", "links"=>[], "tags"=>["epidemiology", "Epidemiological methods and statistics", "Infectious disease epidemiology", "Infectious diseases", "Sexually transmitted diseases", "Trichomoniasis", "Public and occupational health", "Behavioral and social aspects of health", "Health screening", "urology", "Genitourinary infections", "women's health", "Obstetrics and gynecology", "research design", "Survey research", "Survey methods", "Clinical research design", "prevalence", "vaginalis", "ratios"], "article_id"=>961300, "categories"=>["Biological Sciences"], "users"=>["Susan M. Rogers", "Charles F. Turner", "Marcia Hobbs", "William C. Miller", "Sylvia Tan", "Anthony M. Roman", "Elizabeth Eggleston", "Maria A. Villarroel", "Laxminarayana Ganapathi", "James R. Chromy", "Emily Erbelding"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0090548.t004", "stats"=>{"downloads"=>0, "page_views"=>7, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Estimated_prevalence_of_T_vaginalis_Tv_and_odds_ratios_by_gender_and_health_behaviors_/961300", "title"=>"Estimated prevalence of T. vaginalis (Tv) and odds ratios by gender and health behaviors.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-03-13 09:44:15"}
  • {"files"=>["https://ndownloader.figshare.com/files/1419233"], "description"=>"<p>Results from the 2006–09 Monitoring STIs Survey Program (MSSP). “Observed” estimates use only data from respondents who provided biospecimens for testing. All estimates are weighted to account for differing probabilities of selection and post-stratification adjustment to match Census marginals for Baltimore, Maryland (see text). “Observed + Imputed” estimates include multiply imputed data for respondents with missing biospecimens or other missing data (see text). All base Ns are unweighted. Confidence intervals (CI) were calculated using statistical algorithms that take account of the complex sample design used in the surveys. Confidence intervals for “observed + Imputed” estimates also take account of the impact of imputation of missing data on variance of prevalence estimates.</p>(a)<p>Persons describing themselves as Hispanic are coded as Non-Black.</p>", "links"=>[], "tags"=>["epidemiology", "Epidemiological methods and statistics", "Infectious disease epidemiology", "Infectious diseases", "Sexually transmitted diseases", "Trichomoniasis", "Public and occupational health", "Behavioral and social aspects of health", "Health screening", "urology", "Genitourinary infections", "women's health", "Obstetrics and gynecology", "research design", "Survey research", "Survey methods", "Clinical research design", "prevalence", "vaginalis"], "article_id"=>961297, "categories"=>["Biological Sciences"], "users"=>["Susan M. Rogers", "Charles F. Turner", "Marcia Hobbs", "William C. Miller", "Sylvia Tan", "Anthony M. Roman", "Elizabeth Eggleston", "Maria A. Villarroel", "Laxminarayana Ganapathi", "James R. Chromy", "Emily Erbelding"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0090548.t001", "stats"=>{"downloads"=>0, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Estimated_prevalence_of_T_vaginalis_infection_by_race_ethnicity_and_gender_/961297", "title"=>"Estimated prevalence of T. vaginalis infection by race/ethnicity and gender.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-03-13 09:44:15"}
  • {"files"=>["https://ndownloader.figshare.com/files/1419232"], "description"=>"<p>(Predicted TV prevalence and 95% CI calculated using data from 2006–2009 Monitoring STIs Survey Program; see <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0090548#pone.0090548.s004\" target=\"_blank\">Text S4</a> for additional details.)</p>", "links"=>[], "tags"=>["epidemiology", "Epidemiological methods and statistics", "Infectious disease epidemiology", "Infectious diseases", "Sexually transmitted diseases", "Trichomoniasis", "Public and occupational health", "Behavioral and social aspects of health", "Health screening", "urology", "Genitourinary infections", "women's health", "Obstetrics and gynecology", "research design", "Survey research", "Survey methods", "Clinical research design", "polynomial", "probability", "undiagnosed", "men"], "article_id"=>961296, "categories"=>["Biological Sciences"], "users"=>["Susan M. Rogers", "Charles F. Turner", "Marcia Hobbs", "William C. Miller", "Sylvia Tan", "Anthony M. Roman", "Elizabeth Eggleston", "Maria A. Villarroel", "Laxminarayana Ganapathi", "James R. Chromy", "Emily Erbelding"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0090548.g001", "stats"=>{"downloads"=>0, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Fractional_polynomial_fit_of_age_to_the_probability_of_undiagnosed_infection_with_Trichomonas_vaginalis_TV_for_men_and_women_/961296", "title"=>"Fractional polynomial fit of age to the probability of undiagnosed infection with <i>Trichomonas vaginalis</i> (TV) for men and women.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-03-13 09:44:15"}
  • {"files"=>["https://ndownloader.figshare.com/files/1419238", "https://ndownloader.figshare.com/files/1419239", "https://ndownloader.figshare.com/files/1419240", "https://ndownloader.figshare.com/files/1419241"], "description"=>"<div><p><i>T. vaginalis</i> infection (trichomoniasis) is the most common curable sexually transmitted infection (STI) in the U.S. It is associated with increased HIV risk and adverse pregnancy outcomes. Trichomoniasis surveillance data do not exist for either national or local populations. The Monitoring STIs Survey Program (MSSP) collected survey data and specimens which were tested using nucleic acid amplification tests to monitor trichomoniasis and other STIs in 2006–09 among a probability sample of young adults (N = 2,936) in Baltimore, Maryland — an urban area with high rates of reported STIs. The estimated prevalence of trichomoniasis was 7.5% (95% CI 6.3, 9.1) in the overall population and 16.1% (95% CI 13.0, 19.8) among Black women. The overwhelming majority of infected men (98.5%) and women (73.3%) were asymptomatic. Infections were more common in both women (OR = 3.6, 95% CI 1.6, 8.2) and men (OR = 9.0, 95% CI 1.8, 44.3) with concurrent chlamydial infection. Trichomoniasis did not vary significantly by age for either men or women. Women with two or more partners in the past year and women with a history of personal or partner incarceration were more likely to have an infection. Overall, these results suggest that routine <i>T vaginalis</i> screening in populations at elevated risk of infection should be considered.</p></div>", "links"=>[], "tags"=>["epidemiology", "Epidemiological methods and statistics", "Infectious disease epidemiology", "Infectious diseases", "Sexually transmitted diseases", "Trichomoniasis", "Public and occupational health", "Behavioral and social aspects of health", "Health screening", "urology", "Genitourinary infections", "women's health", "Obstetrics and gynecology", "research design", "Survey research", "Survey methods", "Clinical research design", "undiagnosed", "probability"], "article_id"=>961302, "categories"=>["Biological Sciences"], "users"=>["Susan M. Rogers", "Charles F. Turner", "Marcia Hobbs", "William C. Miller", "Sylvia Tan", "Anthony M. Roman", "Elizabeth Eggleston", "Maria A. Villarroel", "Laxminarayana Ganapathi", "James R. Chromy", "Emily Erbelding"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0090548.s001", "https://dx.doi.org/10.1371/journal.pone.0090548.s002", "https://dx.doi.org/10.1371/journal.pone.0090548.s003", "https://dx.doi.org/10.1371/journal.pone.0090548.s004"], "stats"=>{"downloads"=>15, "page_views"=>17, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Epidemiology_of_Undiagnosed_Trichomoniasis_in_a_Probability_Sample_of_Urban_Young_Adults_/961302", "title"=>"Epidemiology of Undiagnosed Trichomoniasis in a Probability Sample of Urban Young Adults", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2014-03-13 09:44:15"}
  • {"files"=>["https://ndownloader.figshare.com/files/1419235"], "description"=>"a<p>Odds ratios (ORs) calculated using logistic regression. Gender-specific adjusted ORs (AORs) calculated from multivariable models controlling for race (Black; Non-Black), age (4 categories: 15–19, 20–24, 25–29, 30–35), and marital status (married vs. not married, including widowed, divorced, and separated). Gender Interaction tests equivalence of unadjusted ORs for males and females (i.e., logistic regression models odds of Tv as a function of Female, Behavioral variable, and Female-by-Behavioral variable).</p>b<p>Referent group includes respondents who reported solely either male or female lifetime sexual partners. Respondents with no lifetime partners recoded as ‘no’.</p>c<p>Referent group includes respondents reporting less than 2 partners in the past year. Respondents with no lifetime partners recoded to no partners last year. (5 respondents tested positive for TV but reported zero lifetime partners.)</p>d<p>Respondents reporting no lifetime partners or no partners in the past year recoded to no new partners in the past 3 months.</p>e<p>Referent group includes respondents who reported knowing whether or not their partner(s) in the past year had an STI. Respondents with no lifetime partners or no partners in the past year recoded as “knowing”.</p>f<p>Referent group includes respondents who reported never being forced to have sex with someone when they didn't want to. Respondents with no lifetime partners recoded as never having forced sex.</p>g<p>Respondents with no lifetime partners recoded as never having partners who were incarcerated.</p>h<p>ORs not calculated because none of the 32 men who reported forced sex also tested positive for Tv.</p>", "links"=>[], "tags"=>["epidemiology", "Epidemiological methods and statistics", "Infectious disease epidemiology", "Infectious diseases", "Sexually transmitted diseases", "Trichomoniasis", "Public and occupational health", "Behavioral and social aspects of health", "Health screening", "urology", "Genitourinary infections", "women's health", "Obstetrics and gynecology", "research design", "Survey research", "Survey methods", "Clinical research design", "prevalence", "vaginalis", "ratios"], "article_id"=>961299, "categories"=>["Biological Sciences"], "users"=>["Susan M. Rogers", "Charles F. Turner", "Marcia Hobbs", "William C. Miller", "Sylvia Tan", "Anthony M. Roman", "Elizabeth Eggleston", "Maria A. Villarroel", "Laxminarayana Ganapathi", "James R. Chromy", "Emily Erbelding"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0090548.t003", "stats"=>{"downloads"=>1, "page_views"=>7, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Estimated_prevalence_of_T_vaginalis_TV_and_odds_ratios_by_gender_and_sexual_behaviors_/961299", "title"=>"Estimated prevalence of T. vaginalis (TV) and odds ratios by gender and sexual behaviors.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-03-13 09:44:15"}
  • {"files"=>["https://ndownloader.figshare.com/files/1419234"], "description"=>"<p>Estimates based on respondents who provided urine specimens for testing. Estimates are weighted to account for differing probabilities of selection and post-stratification adjustment to match Census (ACS) marginals for Baltimore, Maryland (see text). Base Ns are unweighted. Odds ratios (ORs) calculated using logistic regression. Gender-specific adjusted ORs (AOR) calculated from multivariable models controlling for race (Black; Non-Black), age (4 categories: 15–19, 20–24, 25–29, 30–35), and marital status (married vs. not married, including widowed, divorced, and separated). Black was omitted in calculation of adjusted ORs for males for education and employment since there were zero TV infections among non-Black respondents in the age range for these variables (20 to 35). P-values shown in column of prevalence estimates are for test of hypothesis that estimates of TV prevalence are independent across categories of the independent variable (e.g., marital status). Variance estimates and confidence intervals (CI) were calculated using statistical algorithms that take account of the complex sample design used in the MSSP surveys. P-values for ORs and adjusted ORs are for test of independence of Tv prevalence across categories of socio-demographic variables taking account of weighting, complex sample design, and covariates (for adjusted ORs).</p>a<p>Persons describing themselves as Hispanic are coded as Non-Black.</p>b<p>Ages 20 to 35 only.</p>c<p>The difference in infection prevalence among men and women is statistically significant (OR = 4.4, 95% CI = 2.4, 8.3, p<0.001).</p>", "links"=>[], "tags"=>["epidemiology", "Epidemiological methods and statistics", "Infectious disease epidemiology", "Infectious diseases", "Sexually transmitted diseases", "Trichomoniasis", "Public and occupational health", "Behavioral and social aspects of health", "Health screening", "urology", "Genitourinary infections", "women's health", "Obstetrics and gynecology", "research design", "Survey research", "Survey methods", "Clinical research design", "prevalence", "vaginalis", "ratios", "sociodemographic"], "article_id"=>961298, "categories"=>["Biological Sciences"], "users"=>["Susan M. Rogers", "Charles F. Turner", "Marcia Hobbs", "William C. Miller", "Sylvia Tan", "Anthony M. Roman", "Elizabeth Eggleston", "Maria A. Villarroel", "Laxminarayana Ganapathi", "James R. Chromy", "Emily Erbelding"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0090548.t002", "stats"=>{"downloads"=>1, "page_views"=>10, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Estimated_prevalence_of_T_vaginalis_TV_infection_and_odds_ratios_by_gender_and_sociodemographic_characteristics_/961298", "title"=>"Estimated prevalence of T. vaginalis (TV) infection and odds ratios by gender and sociodemographic characteristics.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-03-13 09:44:15"}

PMC Usage Stats | Further Information

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  • {"unique-ip"=>"6", "full-text"=>"8", "pdf"=>"2", "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"=>"11", "full-text"=>"12", "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"=>"15", "full-text"=>"13", "pdf"=>"2", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"1", "year"=>"2015", "month"=>"10"}
  • {"unique-ip"=>"8", "full-text"=>"5", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2014", "month"=>"7"}
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  • {"unique-ip"=>"29", "full-text"=>"32", "pdf"=>"5", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2015", "month"=>"11"}
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  • {"unique-ip"=>"21", "full-text"=>"21", "pdf"=>"6", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"4"}
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  • {"unique-ip"=>"16", "full-text"=>"17", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"11"}
  • {"unique-ip"=>"5", "full-text"=>"5", "pdf"=>"2", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"12"}
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  • {"unique-ip"=>"9", "full-text"=>"10", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"3"}
  • {"unique-ip"=>"7", "full-text"=>"7", "pdf"=>"0", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2017", "month"=>"4"}
  • {"unique-ip"=>"12", "full-text"=>"17", "pdf"=>"2", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2017", "month"=>"5"}
  • {"unique-ip"=>"14", "full-text"=>"15", "pdf"=>"1", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"6"}
  • {"unique-ip"=>"14", "full-text"=>"17", "pdf"=>"0", "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"=>"27", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"8"}
  • {"unique-ip"=>"19", "full-text"=>"20", "pdf"=>"1", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"9"}
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Relative Metric

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