Antibiotic Resistance of Pseudomonas aeruginosa in Pneumonia at a Single University Hospital Center in Germany over a 10-Year Period
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{"title"=>"Antibiotic resistance of pseudomonas aeruginosa in pneumonia at a single university hospital center in Germany over a 10-Year Period", "type"=>"journal", "authors"=>[{"first_name"=>"Josef", "last_name"=>"Yayan", "scopus_author_id"=>"15123602400"}, {"first_name"=>"Beniam", "last_name"=>"Ghebremedhin", "scopus_author_id"=>"8779294400"}, {"first_name"=>"Kurt", "last_name"=>"Rasche", "scopus_author_id"=>"55355279100"}], "year"=>2015, "source"=>"PLoS ONE", "identifiers"=>{"sgr"=>"84947212530", "doi"=>"10.1371/journal.pone.0139836", "pui"=>"606879134", "pmid"=>"26430738", "scopus"=>"2-s2.0-84947212530", "issn"=>"19326203", "isbn"=>"1932-6203"}, "id"=>"acd848eb-08dd-3221-8d06-a157a8867bf7", "abstract"=>"BACKGROUND: Pseudomonas aeruginosa is a common cause of community-acquired and nosocomial-acquired pneumonia. The development of resistance of P. aeruginosa to antibiotics is increasing globally due to the overuse of antibiotics. This article examines, retrospectively, the antibiotic resistance in patients with community-acquired versus nosocomial-acquired pneumonia caused by P. aeruginosa or multidrug-resistant (MDR) P. aeruginosa.\\n\\nMETHODS: Data from patients with community-acquired and nosocomial-acquired pneumonia caused by P. aeruginosa and MDR P. aeruginosa were collected from the hospital charts at the HELIOS Clinic, Witten/Herdecke University, Wuppertal, Germany, between January 2004 and August 2014. An antibiogram was created from all study patients with community-acquired and nosocomial-acquired pneumonia caused by P. aeruginosa or MDR P. aeruginosa.\\n\\nRESULTS: A total of 168 patients with mean age 68.1 ± 12.8 (113 [67.3% males and 55 [32.7%] females) were identified; 91 (54.2%) had community-acquired and 77 (45.8%) had nosocomial-acquired pneumonia caused by P. aeruginosa. Patients with community-acquired versus nosocomial-acquired pneumonia had a mean age of 66.4 ± 13.8 vs. 70.1 ± 11.4 years [59 vs. 54 (64.8% vs. 70.1%) males and 32 vs. 23 (35.2% vs. 29.9%) females]. They included 41 (24.4%) patients with pneumonia due to MDR P. aeruginosa: 27 (65.9%) community-acquired and 14 (34.1%) nosocomial-acquired cases. P. aeruginosa and MDR P. aeruginosa showed a very high resistance to fosfomycin (community-acquired vs. nosocomial-acquired) (81.0% vs. 84.2%; 0 vs. 85.7%). A similar resistance pattern was seen with ciprofloxacin (35.2% vs. 24.0%; 70.4% vs. 61.5%), levofloxacin (34.6% vs. 24.5%; 66.7% vs. 64.3%), ceftazidime (15.9% vs. 30.9; 33.3% vs. 61.5%), piperacillin (24.2% vs. 29.9%; 44.4% vs. 57.1%), imipenem (28.6% vs. 27.3%; 55.6% vs. 50.0%), piperacillin and tazobactam (23.1% vs. 28.6%; 44.4% vs. 50.0%), tobramycin (28.0% vs. 17.2%; 52.0% vs. 27.3%), gentamicin (26.4% vs. 18.2%; 44.4% vs. 21.4%), and meropenem (20.2% vs. 20.3%; 42.3% vs. 50.0%). An elevated resistance of P. aeruginosa and MDR P. aeruginosa was found for cefepime (11.1% vs. 23.3%; 25.9% vs. 50.0%), and amikacin (10.2% vs. 9.1%; 27.3% vs. 9.1%). Neither pathogen was resistant to colistin (P = 0.574).\\n\\nCONCLUSION: While P. aeruginosa and MDR P. aeruginosa were resistant to a variety of commonly used antibiotics, they were not resistant to colistin in the few isolates recovered from patients with pneumonia.", "link"=>"http://www.mendeley.com/research/antibiotic-resistance-pseudomonas-aeruginosa-pneumonia-single-university-hospital-center-germany-10y-7", "reader_count"=>84, "reader_count_by_academic_status"=>{"Unspecified"=>4, "Professor > Associate Professor"=>1, "Researcher"=>7, "Student > Doctoral Student"=>3, "Student > Ph. D. Student"=>11, "Student > Postgraduate"=>4, "Student > Master"=>22, "Other"=>2, "Student > Bachelor"=>28, "Lecturer"=>1, "Professor"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>4, "Professor > Associate Professor"=>1, "Researcher"=>7, "Student > Doctoral Student"=>3, "Student > Ph. D. Student"=>11, "Student > Postgraduate"=>4, "Student > Master"=>22, "Other"=>2, "Student > Bachelor"=>28, "Lecturer"=>1, "Professor"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>4, "Agricultural and Biological Sciences"=>15, "Veterinary Science and Veterinary Medicine"=>1, "Chemical Engineering"=>2, "Chemistry"=>3, "Engineering"=>2, "Environmental Science"=>1, "Biochemistry, Genetics and Molecular Biology"=>22, "Nursing and Health Professions"=>1, "Materials Science"=>2, "Medicine and Dentistry"=>12, "Pharmacology, Toxicology and Pharmaceutical Science"=>6, "Psychology"=>1, "Immunology and Microbiology"=>12}, "reader_count_by_subdiscipline"=>{"Materials Science"=>{"Materials Science"=>2}, "Medicine and Dentistry"=>{"Medicine and Dentistry"=>12}, "Psychology"=>{"Psychology"=>1}, "Unspecified"=>{"Unspecified"=>4}, "Environmental Science"=>{"Environmental Science"=>1}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>6}, "Chemical Engineering"=>{"Chemical Engineering"=>2}, "Engineering"=>{"Engineering"=>2}, "Chemistry"=>{"Chemistry"=>3}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>12}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>15}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>1}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>22}, "Veterinary Science and Veterinary Medicine"=>{"Veterinary Science and Veterinary Medicine"=>1}}, "reader_count_by_country"=>{"Korea (South)"=>1, "China"=>1}, "group_count"=>1}

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/2297579"], "description"=>"<p><b>Abbreviations:</b> CLSI: Clinical and Laboratory Standards Institute; EUCAST: European Committee on Antimicrobial Susceptibility Testing; MIC: minimum inhibitory concentration.</p>", "links"=>[], "tags"=>["helios", "aeruginosa", "MDR P", "vs", "Single University Hospital Center"], "article_id"=>1563296, "categories"=>["Uncategorised"], "users"=>["Josef Yayan", "Beniam Ghebremedhin", "Kurt Rasche"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0139836.t001", "stats"=>{"downloads"=>2, "page_views"=>12, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_MIC_breakpoints_for_Pseudomonas_aeruginosa_according_to_EUCAST_and_CLSI_guidelines_/1563296", "title"=>"MIC breakpoints for <i>Pseudomonas aeruginosa</i> according to EUCAST and CLSI guidelines.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-10-02 03:52:52"}
  • {"files"=>["https://ndownloader.figshare.com/files/2297585"], "description"=>"<p><b>Abbreviations:</b> CAP: community-acquired pneumonia; NAP: nosocomial-acquired pneumonia; MDR Pseudomonas: multidrug resistant <i>Pseudomonas</i>. <b>Note:</b> Significant <i>P</i> values are shown in bold.</p>", "links"=>[], "tags"=>["helios", "aeruginosa", "MDR P", "vs", "Single University Hospital Center"], "article_id"=>1563302, "categories"=>["Uncategorised"], "users"=>["Josef Yayan", "Beniam Ghebremedhin", "Kurt Rasche"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0139836.t007", "stats"=>{"downloads"=>0, "page_views"=>13, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Drug_sensitivity_and_drug_resistance_in_different_drug_groups_of_patients_with_community_acquired_compared_to_nosocomial_acquired_pneumonia_caused_by_multidrug_resistant_Pseudomonas_aeruginosa_/1563302", "title"=>"Drug sensitivity and drug resistance in different drug groups of patients with community-acquired compared to nosocomial-acquired pneumonia caused by multidrug-resistant <i>Pseudomonas aeruginosa</i>.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-10-02 03:52:52"}
  • {"files"=>["https://ndownloader.figshare.com/files/2297582"], "description"=>"<p><b>Note:</b> Significant <i>P</i> values are shown in bold.</p>", "links"=>[], "tags"=>["helios", "aeruginosa", "MDR P", "vs", "Single University Hospital Center"], "article_id"=>1563299, "categories"=>["Uncategorised"], "users"=>["Josef Yayan", "Beniam Ghebremedhin", "Kurt Rasche"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0139836.t004", "stats"=>{"downloads"=>0, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_The_various_detection_methods_used_and_species_of_Pseudomonas_aeruginosa_in_patients_with_community_acquired_and_nosocomial_acquired_pneumonia_/1563299", "title"=>"The various detection methods used and species of <i>Pseudomonas aeruginosa</i> in patients with community-acquired and nosocomial-acquired pneumonia.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-10-02 03:52:52"}
  • {"files"=>["https://ndownloader.figshare.com/files/2297581"], "description"=>"<p><b>Abbreviation</b>: CAP: community-acquired pneumonia; NAP: nosocomial-acquired pneumonia; MIC: minimum inhibitory concentration. <b>Note:</b> Significant <i>P</i> values are shown in bold.</p>", "links"=>[], "tags"=>["helios", "aeruginosa", "MDR P", "vs", "Single University Hospital Center"], "article_id"=>1563298, "categories"=>["Uncategorised"], "users"=>["Josef Yayan", "Beniam Ghebremedhin", "Kurt Rasche"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0139836.t003", "stats"=>{"downloads"=>2, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Drug_sensitivity_and_drug_resistance_in_different_drug_groups_of_patients_with_community_acquired_compared_to_nosocomial_acquired_pneumonia_caused_by_Pseudomonas_aeruginosa_with_MIC_50_and_MIC_90_breakpoints_of_each_antibiotic_/1563298", "title"=>"Drug sensitivity and drug resistance in different drug groups of patients with community-acquired compared to nosocomial-acquired pneumonia caused by <i>Pseudomonas aeruginosa</i> with MIC<sub>50</sub> and MIC<sub>90</sub> breakpoints of each antibiotic.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-10-02 03:52:52"}
  • {"files"=>["https://ndownloader.figshare.com/files/2297584"], "description"=>"<p><b>Abbreviations:</b> CAP: community-acquired pneumonia; NAP: nosocomial-acquired pneumonia; SD: standard deviation.</p>", "links"=>[], "tags"=>["helios", "aeruginosa", "MDR P", "vs", "Single University Hospital Center"], "article_id"=>1563301, "categories"=>["Uncategorised"], "users"=>["Josef Yayan", "Beniam Ghebremedhin", "Kurt Rasche"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0139836.t006", "stats"=>{"downloads"=>0, "page_views"=>2, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Comparison_of_demographic_data_length_of_hospitalization_laboratory_tests_specimens_and_acute_and_chronic_comorbidities_between_patients_with_community_acquired_and_nosocomial_acquired_pneumonia_due_to_multidrug_resistant_Pseudomonas_aeruginosa_/1563301", "title"=>"Comparison of demographic data, length of hospitalization, laboratory tests, specimens, and acute and chronic comorbidities between patients with community-acquired and nosocomial-acquired pneumonia due to multidrug-resistant <i>Pseudomonas aeruginosa</i>.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-10-02 03:52:52"}
  • {"files"=>["https://ndownloader.figshare.com/files/2297583"], "description"=>"<p>Comorbidities were only considered if they were more than 10% in one of the groups, even if they were less than 10% in the other group. Note: Significant <i>P</i> values are shown in bold.</p>", "links"=>[], "tags"=>["helios", "aeruginosa", "MDR P", "vs", "Single University Hospital Center"], "article_id"=>1563300, "categories"=>["Uncategorised"], "users"=>["Josef Yayan", "Beniam Ghebremedhin", "Kurt Rasche"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0139836.t005", "stats"=>{"downloads"=>1, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Acute_and_chronic_comorbidities_in_patients_with_community_acquired_compared_to_nosocomial_acquired_pneumonia_caused_by_Pseudomonas_aeruginosa_/1563300", "title"=>"Acute and chronic comorbidities in patients with community-acquired compared to nosocomial-acquired pneumonia caused by <i>Pseudomonas aeruginosa</i>.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-10-02 03:52:52"}
  • {"files"=>["https://ndownloader.figshare.com/files/2297580"], "description"=>"<p><b>Abbreviations:</b> CRP: C-reactive protein; SD: standard deviation.</p>", "links"=>[], "tags"=>["helios", "aeruginosa", "MDR P", "vs", "Single University Hospital Center"], "article_id"=>1563297, "categories"=>["Uncategorised"], "users"=>["Josef Yayan", "Beniam Ghebremedhin", "Kurt Rasche"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0139836.t002", "stats"=>{"downloads"=>0, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Comparison_of_demographic_data_length_of_hospitalization_and_laboratory_tests_between_patients_with_community_acquired_and_nosocomial_acquired_pneumonia_due_to_Pseudomonas_aeruginosa_/1563297", "title"=>"Comparison of demographic data, length of hospitalization, and laboratory tests between patients with community-acquired and nosocomial-acquired pneumonia due to <i>Pseudomonas aeruginosa</i>.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-10-02 03:52:52"}
  • {"files"=>["https://ndownloader.figshare.com/files/2297578"], "description"=>"<p>Rate of development of antibiotic resistance over time for pneumonia due to <i>Pseudomonas aeruginosa</i> from 2004 to 2014.</p>", "links"=>[], "tags"=>["helios", "aeruginosa", "MDR P", "vs", "Single University Hospital Center"], "article_id"=>1563295, "categories"=>["Uncategorised"], "users"=>["Josef Yayan", "Beniam Ghebremedhin", "Kurt Rasche"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0139836.g001", "stats"=>{"downloads"=>0, "page_views"=>56, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Rate_of_development_of_antibiotic_resistance_over_time_for_pneumonia_due_to_Pseudomonas_aeruginosa_from_2004_to_2014_/1563295", "title"=>"Rate of development of antibiotic resistance over time for pneumonia due to <i>Pseudomonas aeruginosa</i> from 2004 to 2014.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2015-10-02 03:52:52"}

PMC Usage Stats | Further Information

  • {"unique-ip"=>"114", "full-text"=>"113", "pdf"=>"62", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"8", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"10"}
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  • {"unique-ip"=>"78", "full-text"=>"83", "pdf"=>"33", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"10", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"11"}
  • {"unique-ip"=>"74", "full-text"=>"76", "pdf"=>"38", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"6", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"12"}
  • {"unique-ip"=>"53", "full-text"=>"47", "pdf"=>"30", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"4", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"1"}
  • {"unique-ip"=>"31", "full-text"=>"34", "pdf"=>"19", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"3"}
  • {"unique-ip"=>"39", "full-text"=>"55", "pdf"=>"16", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"4"}
  • {"unique-ip"=>"40", "full-text"=>"45", "pdf"=>"21", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"4", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"5"}
  • {"unique-ip"=>"46", "full-text"=>"44", "pdf"=>"25", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"6"}
  • {"unique-ip"=>"50", "full-text"=>"60", "pdf"=>"21", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"7"}
  • {"unique-ip"=>"56", "full-text"=>"60", "pdf"=>"19", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"6", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"8"}
  • {"unique-ip"=>"51", "full-text"=>"57", "pdf"=>"22", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"9"}
  • {"unique-ip"=>"33", "full-text"=>"39", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"10"}
  • {"unique-ip"=>"71", "full-text"=>"78", "pdf"=>"19", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"4", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"11"}
  • {"unique-ip"=>"65", "full-text"=>"69", "pdf"=>"29", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"12"}
  • {"unique-ip"=>"61", "full-text"=>"61", "pdf"=>"12", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"1"}
  • {"unique-ip"=>"64", "full-text"=>"71", "pdf"=>"13", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"2"}
  • {"unique-ip"=>"119", "full-text"=>"138", "pdf"=>"24", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"3"}
  • {"unique-ip"=>"165", "full-text"=>"185", "pdf"=>"15", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"4"}
  • {"unique-ip"=>"236", "full-text"=>"250", "pdf"=>"32", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"2", "year"=>"2017", "month"=>"5"}
  • {"unique-ip"=>"196", "full-text"=>"225", "pdf"=>"24", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"6"}
  • {"unique-ip"=>"203", "full-text"=>"237", "pdf"=>"31", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2017", "month"=>"7"}
  • {"unique-ip"=>"215", "full-text"=>"256", "pdf"=>"27", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"6", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2017", "month"=>"8"}
  • {"unique-ip"=>"245", "full-text"=>"267", "pdf"=>"25", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"7", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"9"}
  • {"unique-ip"=>"379", "full-text"=>"432", "pdf"=>"35", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"4", "supp-data"=>"0", "cited-by"=>"2", "year"=>"2017", "month"=>"10"}
  • {"unique-ip"=>"351", "full-text"=>"383", "pdf"=>"35", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"4", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"11"}
  • {"unique-ip"=>"260", "full-text"=>"296", "pdf"=>"37", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"11", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"12"}
  • {"unique-ip"=>"293", "full-text"=>"333", "pdf"=>"59", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"5", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"1"}
  • {"unique-ip"=>"8", "full-text"=>"10", "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"=>"289", "full-text"=>"332", "pdf"=>"20", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"7", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"3"}
  • {"unique-ip"=>"102", "full-text"=>"117", "pdf"=>"9", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2019", "month"=>"1"}
  • {"unique-ip"=>"131", "full-text"=>"155", "pdf"=>"9", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2018", "month"=>"11"}
  • {"unique-ip"=>"142", "full-text"=>"153", "pdf"=>"15", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2018", "month"=>"9"}
  • {"unique-ip"=>"244", "full-text"=>"273", "pdf"=>"20", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"4"}
  • {"unique-ip"=>"184", "full-text"=>"207", "pdf"=>"34", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"5"}
  • {"unique-ip"=>"111", "full-text"=>"155", "pdf"=>"15", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"6"}
  • {"unique-ip"=>"122", "full-text"=>"128", "pdf"=>"14", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"3", "year"=>"2018", "month"=>"7"}
  • {"unique-ip"=>"138", "full-text"=>"149", "pdf"=>"17", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"10"}
  • {"unique-ip"=>"102", "full-text"=>"113", "pdf"=>"8", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2018", "month"=>"8"}
  • {"unique-ip"=>"127", "full-text"=>"137", "pdf"=>"17", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2018", "month"=>"12"}
  • {"unique-ip"=>"129", "full-text"=>"137", "pdf"=>"19", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"2"}
  • {"unique-ip"=>"195", "full-text"=>"230", "pdf"=>"21", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"3"}
  • {"unique-ip"=>"166", "full-text"=>"198", "pdf"=>"18", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2019", "month"=>"4"}
  • {"unique-ip"=>"241", "full-text"=>"281", "pdf"=>"9", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"5"}
  • {"unique-ip"=>"298", "full-text"=>"329", "pdf"=>"9", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"8"}
  • {"unique-ip"=>"252", "full-text"=>"291", "pdf"=>"22", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"9"}
  • {"unique-ip"=>"355", "full-text"=>"467", "pdf"=>"23", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2019", "month"=>"10"}
  • {"unique-ip"=>"260", "full-text"=>"300", "pdf"=>"15", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"12"}
  • {"unique-ip"=>"286", "full-text"=>"335", "pdf"=>"15", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"5", "supp-data"=>"0", "cited-by"=>"3", "year"=>"2020", "month"=>"2"}
  • {"unique-ip"=>"230", "full-text"=>"274", "pdf"=>"14", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"3"}
  • {"unique-ip"=>"357", "full-text"=>"445", "pdf"=>"12", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"2", "year"=>"2020", "month"=>"4"}
  • {"unique-ip"=>"264", "full-text"=>"326", "pdf"=>"10", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2020", "month"=>"5"}
  • {"unique-ip"=>"251", "full-text"=>"302", "pdf"=>"14", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"6"}
  • {"unique-ip"=>"264", "full-text"=>"306", "pdf"=>"17", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"7"}
  • {"unique-ip"=>"202", "full-text"=>"228", "pdf"=>"10", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2020", "month"=>"8"}
  • {"unique-ip"=>"246", "full-text"=>"284", "pdf"=>"18", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"2", "year"=>"2020", "month"=>"9"}

Relative Metric

{"start_date"=>"2015-01-01T00:00:00Z", "end_date"=>"2015-12-31T00:00:00Z", "subject_areas"=>[]}
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