Researching COVID to enhance recovery (RECOVER) pediatric study protocol: Rationale, objectives and design.

<h4>Importance</h4>The prevalence, pathophysiology, and long-term outcomes of COVID-19 (post-acute sequelae of SARS-CoV-2 [PASC] or "Long COVID") in children and young adults remain unknown. Studies must address the urgent need to define PASC, its mechanisms, and potential trea...

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Main Authors: Rachel S Gross, Tanayott Thaweethai, Erika B Rosenzweig, James Chan, Lori B Chibnik, Mine S Cicek, Amy J Elliott, Valerie J Flaherman, Andrea S Foulkes, Margot Gage Witvliet, Richard Gallagher, Maria Laura Gennaro, Terry L Jernigan, Elizabeth W Karlson, Stuart D Katz, Patricia A Kinser, Lawrence C Kleinman, Michelle F Lamendola-Essel, Joshua D Milner, Sindhu Mohandas, Praveen C Mudumbi, Jane W Newburger, Kyung E Rhee, Amy L Salisbury, Jessica N Snowden, Cheryl R Stein, Melissa S Stockwell, Kelan G Tantisira, Moriah E Thomason, Dongngan T Truong, David Warburton, John C Wood, Shifa Ahmed, Almary Akerlundh, Akram N Alshawabkeh, Brett R Anderson, Judy L Aschner, Andrew M Atz, Robin L Aupperle, Fiona C Baker, Venkataraman Balaraman, Dithi Banerjee, Deanna M Barch, Arielle Baskin-Sommers, Sultana Bhuiyan, Marie-Abele C Bind, Amanda L Bogie, Tamara Bradford, Natalie C Buchbinder, Elliott Bueler, Hülya Bükülmez, B J Casey, Linda Chang, Maryanne Chrisant, Duncan B Clark, Rebecca G Clifton, Katharine N Clouser, Lesley Cottrell, Kelly Cowan, Viren D'Sa, Mirella Dapretto, Soham Dasgupta, Walter Dehority, Audrey Dionne, Kirsten B Dummer, Matthew D Elias, Shari Esquenazi-Karonika, Danielle N Evans, E Vincent S Faustino, Alexander G Fiks, Daniel Forsha, John J Foxe, Naomi P Friedman, Greta Fry, Sunanda Gaur, Dylan G Gee, Kevin M Gray, Stephanie Handler, Ashraf S Harahsheh, Keren Hasbani, Andrew C Heath, Camden Hebson, Mary M Heitzeg, Christina M Hester, Sophia Hill, Laura Hobart-Porter, Travis K F Hong, Carol R Horowitz, Daniel S Hsia, Matthew Huentelman, Kathy D Hummel, Katherine Irby, Joanna Jacobus, Vanessa L Jacoby, Pei-Ni Jone, David C Kaelber, Tyler J Kasmarcak, Matthew J Kluko, Jessica S Kosut, Angela R Laird, Jeremy Landeo-Gutierrez, Sean M Lang, Christine L Larson, Peter Paul C Lim, Krista M Lisdahl, Brian W McCrindle, Russell J McCulloh, Kimberly McHugh, Alan L Mendelsohn, Torri D Metz, Julie Miller, Elizabeth C Mitchell, Lerraughn M Morgan, Eva M Müller-Oehring, Erica R Nahin, Michael C Neale, Manette Ness-Cochinwala, Sheila M Nolan, Carlos R Oliveira, Onyekachukwu Osakwe, Matthew E Oster, R Mark Payne, Michael A Portman, Hengameh Raissy, Isabelle G Randall, Suchitra Rao, Harrison T Reeder, Johana M Rosas, Mark W Russell, Arash A Sabati, Yamuna Sanil, Alice I Sato, Michael S Schechter, Rangaraj Selvarangan, S Kristen Sexson Tejtel, Divya Shakti, Kavita Sharma, Lindsay M Squeglia, Shubika Srivastava, Michelle D Stevenson, Jacqueline Szmuszkovicz, Maria M Talavera-Barber, Ronald J Teufel, Deepika Thacker, Felicia Trachtenberg, Mmekom M Udosen, Megan R Warner, Sara E Watson, Alan Werzberger, Jordan C Weyer, Marion J Wood, H Shonna Yin, William T Zempsky, Emily Zimmerman, Benard P Dreyer, RECOVER-Pediatric Consortium
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Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0285635&type=printable
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author Rachel S Gross
Tanayott Thaweethai
Erika B Rosenzweig
James Chan
Lori B Chibnik
Mine S Cicek
Amy J Elliott
Valerie J Flaherman
Andrea S Foulkes
Margot Gage Witvliet
Richard Gallagher
Maria Laura Gennaro
Terry L Jernigan
Elizabeth W Karlson
Stuart D Katz
Patricia A Kinser
Lawrence C Kleinman
Michelle F Lamendola-Essel
Joshua D Milner
Sindhu Mohandas
Praveen C Mudumbi
Jane W Newburger
Kyung E Rhee
Amy L Salisbury
Jessica N Snowden
Cheryl R Stein
Melissa S Stockwell
Kelan G Tantisira
Moriah E Thomason
Dongngan T Truong
David Warburton
John C Wood
Shifa Ahmed
Almary Akerlundh
Akram N Alshawabkeh
Brett R Anderson
Judy L Aschner
Andrew M Atz
Robin L Aupperle
Fiona C Baker
Venkataraman Balaraman
Dithi Banerjee
Deanna M Barch
Arielle Baskin-Sommers
Sultana Bhuiyan
Marie-Abele C Bind
Amanda L Bogie
Tamara Bradford
Natalie C Buchbinder
Elliott Bueler
Hülya Bükülmez
B J Casey
Linda Chang
Maryanne Chrisant
Duncan B Clark
Rebecca G Clifton
Katharine N Clouser
Lesley Cottrell
Kelly Cowan
Viren D'Sa
Mirella Dapretto
Soham Dasgupta
Walter Dehority
Audrey Dionne
Kirsten B Dummer
Matthew D Elias
Shari Esquenazi-Karonika
Danielle N Evans
E Vincent S Faustino
Alexander G Fiks
Daniel Forsha
John J Foxe
Naomi P Friedman
Greta Fry
Sunanda Gaur
Dylan G Gee
Kevin M Gray
Stephanie Handler
Ashraf S Harahsheh
Keren Hasbani
Andrew C Heath
Camden Hebson
Mary M Heitzeg
Christina M Hester
Sophia Hill
Laura Hobart-Porter
Travis K F Hong
Carol R Horowitz
Daniel S Hsia
Matthew Huentelman
Kathy D Hummel
Katherine Irby
Joanna Jacobus
Vanessa L Jacoby
Pei-Ni Jone
David C Kaelber
Tyler J Kasmarcak
Matthew J Kluko
Jessica S Kosut
Angela R Laird
Jeremy Landeo-Gutierrez
Sean M Lang
Christine L Larson
Peter Paul C Lim
Krista M Lisdahl
Brian W McCrindle
Russell J McCulloh
Kimberly McHugh
Alan L Mendelsohn
Torri D Metz
Julie Miller
Elizabeth C Mitchell
Lerraughn M Morgan
Eva M Müller-Oehring
Erica R Nahin
Michael C Neale
Manette Ness-Cochinwala
Sheila M Nolan
Carlos R Oliveira
Onyekachukwu Osakwe
Matthew E Oster
R Mark Payne
Michael A Portman
Hengameh Raissy
Isabelle G Randall
Suchitra Rao
Harrison T Reeder
Johana M Rosas
Mark W Russell
Arash A Sabati
Yamuna Sanil
Alice I Sato
Michael S Schechter
Rangaraj Selvarangan
S Kristen Sexson Tejtel
Divya Shakti
Kavita Sharma
Lindsay M Squeglia
Shubika Srivastava
Michelle D Stevenson
Jacqueline Szmuszkovicz
Maria M Talavera-Barber
Ronald J Teufel
Deepika Thacker
Felicia Trachtenberg
Mmekom M Udosen
Megan R Warner
Sara E Watson
Alan Werzberger
Jordan C Weyer
Marion J Wood
H Shonna Yin
William T Zempsky
Emily Zimmerman
Benard P Dreyer
RECOVER-Pediatric Consortium
author_facet Rachel S Gross
Tanayott Thaweethai
Erika B Rosenzweig
James Chan
Lori B Chibnik
Mine S Cicek
Amy J Elliott
Valerie J Flaherman
Andrea S Foulkes
Margot Gage Witvliet
Richard Gallagher
Maria Laura Gennaro
Terry L Jernigan
Elizabeth W Karlson
Stuart D Katz
Patricia A Kinser
Lawrence C Kleinman
Michelle F Lamendola-Essel
Joshua D Milner
Sindhu Mohandas
Praveen C Mudumbi
Jane W Newburger
Kyung E Rhee
Amy L Salisbury
Jessica N Snowden
Cheryl R Stein
Melissa S Stockwell
Kelan G Tantisira
Moriah E Thomason
Dongngan T Truong
David Warburton
John C Wood
Shifa Ahmed
Almary Akerlundh
Akram N Alshawabkeh
Brett R Anderson
Judy L Aschner
Andrew M Atz
Robin L Aupperle
Fiona C Baker
Venkataraman Balaraman
Dithi Banerjee
Deanna M Barch
Arielle Baskin-Sommers
Sultana Bhuiyan
Marie-Abele C Bind
Amanda L Bogie
Tamara Bradford
Natalie C Buchbinder
Elliott Bueler
Hülya Bükülmez
B J Casey
Linda Chang
Maryanne Chrisant
Duncan B Clark
Rebecca G Clifton
Katharine N Clouser
Lesley Cottrell
Kelly Cowan
Viren D'Sa
Mirella Dapretto
Soham Dasgupta
Walter Dehority
Audrey Dionne
Kirsten B Dummer
Matthew D Elias
Shari Esquenazi-Karonika
Danielle N Evans
E Vincent S Faustino
Alexander G Fiks
Daniel Forsha
John J Foxe
Naomi P Friedman
Greta Fry
Sunanda Gaur
Dylan G Gee
Kevin M Gray
Stephanie Handler
Ashraf S Harahsheh
Keren Hasbani
Andrew C Heath
Camden Hebson
Mary M Heitzeg
Christina M Hester
Sophia Hill
Laura Hobart-Porter
Travis K F Hong
Carol R Horowitz
Daniel S Hsia
Matthew Huentelman
Kathy D Hummel
Katherine Irby
Joanna Jacobus
Vanessa L Jacoby
Pei-Ni Jone
David C Kaelber
Tyler J Kasmarcak
Matthew J Kluko
Jessica S Kosut
Angela R Laird
Jeremy Landeo-Gutierrez
Sean M Lang
Christine L Larson
Peter Paul C Lim
Krista M Lisdahl
Brian W McCrindle
Russell J McCulloh
Kimberly McHugh
Alan L Mendelsohn
Torri D Metz
Julie Miller
Elizabeth C Mitchell
Lerraughn M Morgan
Eva M Müller-Oehring
Erica R Nahin
Michael C Neale
Manette Ness-Cochinwala
Sheila M Nolan
Carlos R Oliveira
Onyekachukwu Osakwe
Matthew E Oster
R Mark Payne
Michael A Portman
Hengameh Raissy
Isabelle G Randall
Suchitra Rao
Harrison T Reeder
Johana M Rosas
Mark W Russell
Arash A Sabati
Yamuna Sanil
Alice I Sato
Michael S Schechter
Rangaraj Selvarangan
S Kristen Sexson Tejtel
Divya Shakti
Kavita Sharma
Lindsay M Squeglia
Shubika Srivastava
Michelle D Stevenson
Jacqueline Szmuszkovicz
Maria M Talavera-Barber
Ronald J Teufel
Deepika Thacker
Felicia Trachtenberg
Mmekom M Udosen
Megan R Warner
Sara E Watson
Alan Werzberger
Jordan C Weyer
Marion J Wood
H Shonna Yin
William T Zempsky
Emily Zimmerman
Benard P Dreyer
RECOVER-Pediatric Consortium
author_sort Rachel S Gross
collection DOAJ
description <h4>Importance</h4>The prevalence, pathophysiology, and long-term outcomes of COVID-19 (post-acute sequelae of SARS-CoV-2 [PASC] or "Long COVID") in children and young adults remain unknown. Studies must address the urgent need to define PASC, its mechanisms, and potential treatment targets in children and young adults.<h4>Observations</h4>We describe the protocol for the Pediatric Observational Cohort Study of the NIH's REsearching COVID to Enhance Recovery (RECOVER) Initiative. RECOVER-Pediatrics is an observational meta-cohort study of caregiver-child pairs (birth through 17 years) and young adults (18 through 25 years), recruited from more than 100 sites across the US. This report focuses on two of four cohorts that comprise RECOVER-Pediatrics: 1) a de novo RECOVER prospective cohort of children and young adults with and without previous or current infection; and 2) an extant cohort derived from the Adolescent Brain Cognitive Development (ABCD) study (n = 10,000). The de novo cohort incorporates three tiers of data collection: 1) remote baseline assessments (Tier 1, n = 6000); 2) longitudinal follow-up for up to 4 years (Tier 2, n = 6000); and 3) a subset of participants, primarily the most severely affected by PASC, who will undergo deep phenotyping to explore PASC pathophysiology (Tier 3, n = 600). Youth enrolled in the ABCD study participate in Tier 1. The pediatric protocol was developed as a collaborative partnership of investigators, patients, researchers, clinicians, community partners, and federal partners, intentionally promoting inclusivity and diversity. The protocol is adaptive to facilitate responses to emerging science.<h4>Conclusions and relevance</h4>RECOVER-Pediatrics seeks to characterize the clinical course, underlying mechanisms, and long-term effects of PASC from birth through 25 years old. RECOVER-Pediatrics is designed to elucidate the epidemiology, four-year clinical course, and sociodemographic correlates of pediatric PASC. The data and biosamples will allow examination of mechanistic hypotheses and biomarkers, thus providing insights into potential therapeutic interventions.<h4>Clinical trials.gov identifier</h4>Clinical Trial Registration: http://www.clinicaltrials.gov. Unique identifier: NCT05172011.
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spelling doaj-art-c4fd3a380ba64f30a6710efe3a6878bd2025-01-21T05:31:28ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-01195e028563510.1371/journal.pone.0285635Researching COVID to enhance recovery (RECOVER) pediatric study protocol: Rationale, objectives and design.Rachel S GrossTanayott ThaweethaiErika B RosenzweigJames ChanLori B ChibnikMine S CicekAmy J ElliottValerie J FlahermanAndrea S FoulkesMargot Gage WitvlietRichard GallagherMaria Laura GennaroTerry L JerniganElizabeth W KarlsonStuart D KatzPatricia A KinserLawrence C KleinmanMichelle F Lamendola-EsselJoshua D MilnerSindhu MohandasPraveen C MudumbiJane W NewburgerKyung E RheeAmy L SalisburyJessica N SnowdenCheryl R SteinMelissa S StockwellKelan G TantisiraMoriah E ThomasonDongngan T TruongDavid WarburtonJohn C WoodShifa AhmedAlmary AkerlundhAkram N AlshawabkehBrett R AndersonJudy L AschnerAndrew M AtzRobin L AupperleFiona C BakerVenkataraman BalaramanDithi BanerjeeDeanna M BarchArielle Baskin-SommersSultana BhuiyanMarie-Abele C BindAmanda L BogieTamara BradfordNatalie C BuchbinderElliott BuelerHülya BükülmezB J CaseyLinda ChangMaryanne ChrisantDuncan B ClarkRebecca G CliftonKatharine N ClouserLesley CottrellKelly CowanViren D'SaMirella DaprettoSoham DasguptaWalter DehorityAudrey DionneKirsten B DummerMatthew D EliasShari Esquenazi-KaronikaDanielle N EvansE Vincent S FaustinoAlexander G FiksDaniel ForshaJohn J FoxeNaomi P FriedmanGreta FrySunanda GaurDylan G GeeKevin M GrayStephanie HandlerAshraf S HarahshehKeren HasbaniAndrew C HeathCamden HebsonMary M HeitzegChristina M HesterSophia HillLaura Hobart-PorterTravis K F HongCarol R HorowitzDaniel S HsiaMatthew HuentelmanKathy D HummelKatherine IrbyJoanna JacobusVanessa L JacobyPei-Ni JoneDavid C KaelberTyler J KasmarcakMatthew J KlukoJessica S KosutAngela R LairdJeremy Landeo-GutierrezSean M LangChristine L LarsonPeter Paul C LimKrista M LisdahlBrian W McCrindleRussell J McCullohKimberly McHughAlan L MendelsohnTorri D MetzJulie MillerElizabeth C MitchellLerraughn M MorganEva M Müller-OehringErica R NahinMichael C NealeManette Ness-CochinwalaSheila M NolanCarlos R OliveiraOnyekachukwu OsakweMatthew E OsterR Mark PayneMichael A PortmanHengameh RaissyIsabelle G RandallSuchitra RaoHarrison T ReederJohana M RosasMark W RussellArash A SabatiYamuna SanilAlice I SatoMichael S SchechterRangaraj SelvaranganS Kristen Sexson TejtelDivya ShaktiKavita SharmaLindsay M SquegliaShubika SrivastavaMichelle D StevensonJacqueline SzmuszkoviczMaria M Talavera-BarberRonald J TeufelDeepika ThackerFelicia TrachtenbergMmekom M UdosenMegan R WarnerSara E WatsonAlan WerzbergerJordan C WeyerMarion J WoodH Shonna YinWilliam T ZempskyEmily ZimmermanBenard P DreyerRECOVER-Pediatric Consortium<h4>Importance</h4>The prevalence, pathophysiology, and long-term outcomes of COVID-19 (post-acute sequelae of SARS-CoV-2 [PASC] or "Long COVID") in children and young adults remain unknown. Studies must address the urgent need to define PASC, its mechanisms, and potential treatment targets in children and young adults.<h4>Observations</h4>We describe the protocol for the Pediatric Observational Cohort Study of the NIH's REsearching COVID to Enhance Recovery (RECOVER) Initiative. RECOVER-Pediatrics is an observational meta-cohort study of caregiver-child pairs (birth through 17 years) and young adults (18 through 25 years), recruited from more than 100 sites across the US. This report focuses on two of four cohorts that comprise RECOVER-Pediatrics: 1) a de novo RECOVER prospective cohort of children and young adults with and without previous or current infection; and 2) an extant cohort derived from the Adolescent Brain Cognitive Development (ABCD) study (n = 10,000). The de novo cohort incorporates three tiers of data collection: 1) remote baseline assessments (Tier 1, n = 6000); 2) longitudinal follow-up for up to 4 years (Tier 2, n = 6000); and 3) a subset of participants, primarily the most severely affected by PASC, who will undergo deep phenotyping to explore PASC pathophysiology (Tier 3, n = 600). Youth enrolled in the ABCD study participate in Tier 1. The pediatric protocol was developed as a collaborative partnership of investigators, patients, researchers, clinicians, community partners, and federal partners, intentionally promoting inclusivity and diversity. The protocol is adaptive to facilitate responses to emerging science.<h4>Conclusions and relevance</h4>RECOVER-Pediatrics seeks to characterize the clinical course, underlying mechanisms, and long-term effects of PASC from birth through 25 years old. RECOVER-Pediatrics is designed to elucidate the epidemiology, four-year clinical course, and sociodemographic correlates of pediatric PASC. The data and biosamples will allow examination of mechanistic hypotheses and biomarkers, thus providing insights into potential therapeutic interventions.<h4>Clinical trials.gov identifier</h4>Clinical Trial Registration: http://www.clinicaltrials.gov. Unique identifier: NCT05172011.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0285635&type=printable
spellingShingle Rachel S Gross
Tanayott Thaweethai
Erika B Rosenzweig
James Chan
Lori B Chibnik
Mine S Cicek
Amy J Elliott
Valerie J Flaherman
Andrea S Foulkes
Margot Gage Witvliet
Richard Gallagher
Maria Laura Gennaro
Terry L Jernigan
Elizabeth W Karlson
Stuart D Katz
Patricia A Kinser
Lawrence C Kleinman
Michelle F Lamendola-Essel
Joshua D Milner
Sindhu Mohandas
Praveen C Mudumbi
Jane W Newburger
Kyung E Rhee
Amy L Salisbury
Jessica N Snowden
Cheryl R Stein
Melissa S Stockwell
Kelan G Tantisira
Moriah E Thomason
Dongngan T Truong
David Warburton
John C Wood
Shifa Ahmed
Almary Akerlundh
Akram N Alshawabkeh
Brett R Anderson
Judy L Aschner
Andrew M Atz
Robin L Aupperle
Fiona C Baker
Venkataraman Balaraman
Dithi Banerjee
Deanna M Barch
Arielle Baskin-Sommers
Sultana Bhuiyan
Marie-Abele C Bind
Amanda L Bogie
Tamara Bradford
Natalie C Buchbinder
Elliott Bueler
Hülya Bükülmez
B J Casey
Linda Chang
Maryanne Chrisant
Duncan B Clark
Rebecca G Clifton
Katharine N Clouser
Lesley Cottrell
Kelly Cowan
Viren D'Sa
Mirella Dapretto
Soham Dasgupta
Walter Dehority
Audrey Dionne
Kirsten B Dummer
Matthew D Elias
Shari Esquenazi-Karonika
Danielle N Evans
E Vincent S Faustino
Alexander G Fiks
Daniel Forsha
John J Foxe
Naomi P Friedman
Greta Fry
Sunanda Gaur
Dylan G Gee
Kevin M Gray
Stephanie Handler
Ashraf S Harahsheh
Keren Hasbani
Andrew C Heath
Camden Hebson
Mary M Heitzeg
Christina M Hester
Sophia Hill
Laura Hobart-Porter
Travis K F Hong
Carol R Horowitz
Daniel S Hsia
Matthew Huentelman
Kathy D Hummel
Katherine Irby
Joanna Jacobus
Vanessa L Jacoby
Pei-Ni Jone
David C Kaelber
Tyler J Kasmarcak
Matthew J Kluko
Jessica S Kosut
Angela R Laird
Jeremy Landeo-Gutierrez
Sean M Lang
Christine L Larson
Peter Paul C Lim
Krista M Lisdahl
Brian W McCrindle
Russell J McCulloh
Kimberly McHugh
Alan L Mendelsohn
Torri D Metz
Julie Miller
Elizabeth C Mitchell
Lerraughn M Morgan
Eva M Müller-Oehring
Erica R Nahin
Michael C Neale
Manette Ness-Cochinwala
Sheila M Nolan
Carlos R Oliveira
Onyekachukwu Osakwe
Matthew E Oster
R Mark Payne
Michael A Portman
Hengameh Raissy
Isabelle G Randall
Suchitra Rao
Harrison T Reeder
Johana M Rosas
Mark W Russell
Arash A Sabati
Yamuna Sanil
Alice I Sato
Michael S Schechter
Rangaraj Selvarangan
S Kristen Sexson Tejtel
Divya Shakti
Kavita Sharma
Lindsay M Squeglia
Shubika Srivastava
Michelle D Stevenson
Jacqueline Szmuszkovicz
Maria M Talavera-Barber
Ronald J Teufel
Deepika Thacker
Felicia Trachtenberg
Mmekom M Udosen
Megan R Warner
Sara E Watson
Alan Werzberger
Jordan C Weyer
Marion J Wood
H Shonna Yin
William T Zempsky
Emily Zimmerman
Benard P Dreyer
RECOVER-Pediatric Consortium
Researching COVID to enhance recovery (RECOVER) pediatric study protocol: Rationale, objectives and design.
PLoS ONE
title Researching COVID to enhance recovery (RECOVER) pediatric study protocol: Rationale, objectives and design.
title_full Researching COVID to enhance recovery (RECOVER) pediatric study protocol: Rationale, objectives and design.
title_fullStr Researching COVID to enhance recovery (RECOVER) pediatric study protocol: Rationale, objectives and design.
title_full_unstemmed Researching COVID to enhance recovery (RECOVER) pediatric study protocol: Rationale, objectives and design.
title_short Researching COVID to enhance recovery (RECOVER) pediatric study protocol: Rationale, objectives and design.
title_sort researching covid to enhance recovery recover pediatric study protocol rationale objectives and design
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0285635&type=printable
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