PLoS ONE最新文献

{"title":"An ADaptivE PrenaTal (ADEPT) intervention to increase childhood vaccinations: Protocol for a cluster randomized trial and nested mixed methods evaluation.","authors":"Lavanya Vasudevan, Rachael M Porter, Ilse Campos, Elizabeth L Turner, Sandra S Stinnett, Leah L Zullig, Emmanuel B Walter, Geeta K Swamy, Robert A Bednarczyk, Walter A Orenstein, Beverly Gray","doi":"10.1371/journal.pone.0313742","DOIUrl":"https://doi.org/10.1371/journal.pone.0313742","url":null,"abstract":"<p><strong>Background: </strong>There is limited evidence to assess if interventions implemented during pregnancy proactively mitigate parental vaccine hesitancy and promote timely vaccination among children after birth. This study protocol describes the evaluation of an ADaptivE PrenaTal (ADEPT) intervention to increase childhood vaccinations that is implemented with first-time pregnant individuals (PIs).</p><p><strong>Methods: </strong>Within the framework of a type 1 effectiveness-implementation hybrid study design, a cluster-randomized trial (CRT) will determine the effectiveness of ADEPT at increasing childhood vaccinations, and a nested explanatory mixed methods (NMM) study will assess changes in parental vaccine hesitancy. Study practices will be randomized to deliver ADEPT in addition to standard of care or standard of care alone. Providers at intervention sites will participate in a 4-part training program on childhood vaccines and effective communication. During a routine prenatal visit, providers will discuss vaccines recommended for the PI during pregnancy and for the child after birth, following which PIs will be screened for vaccination intention. Vaccine-hesitant PIs will be offered adaptive components of the intervention, which include an educational website and phone call with a vaccine navigator to discuss concerns. They will also be offered enrollment into the NMM study, where their vaccination intention will be assessed post-intervention. After PIs give birth, their child's vaccination outcomes at 2 months will be extracted from the state immunization registry. The primary study outcome is the difference in timely childhood vaccination at 2 months between the intervention and control arms. The secondary outcome is reduction in vaccine hesitancy assessed among PIs in the NMM study as the pre-post intervention change in vaccination intention.</p><p><strong>Discussion: </strong>The study findings are expected to contribute evidence on the effectiveness of prenatal interventions to proactively mitigate parental vaccine hesitancy and promote timely vaccinations after the child's birth.</p><p><strong>Trial registration: </strong>The study protocol is registered in ClinicalTrials.gov (NCT05795855).</p>","PeriodicalId":20189,"journal":{"name":"PLoS ONE","volume":"19 11","pages":"e0313742"},"PeriodicalIF":2.9,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142688251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of COVID-19 and associated factors among healthcare workers in the war-torn Tigray, Ethiopia.","authors":"Bisrat Tesfay Abera, Teklay Gebrecherkos, Migbnesh Gebremedhin Weledegebriel, Girmatsion Fisseha Abreha","doi":"10.1371/journal.pone.0310128","DOIUrl":"https://doi.org/10.1371/journal.pone.0310128","url":null,"abstract":"<p><strong>Background: </strong>The Coronavirus disease 2019 (COVID-19) has put an enormous encumbrance on the healthcare system and healthcare workers (HCWs) worldwide, particularly in war-torn areas. As the world strives to end the pandemic, knowing the magnitude of the infection and its contributing factors in fragile settings is critical to prevent further waves of the pandemic.</p><p><strong>Methods: </strong>Using rapid diagnostic tests (RDTs), a facility-based cross-sectional study was conducted to assess the prevalence of COVID-19 and its associated factors. The study was conducted among 326 unvaccinated HCWs in two hospitals in Tigray, Ethiopia from. The study period was from June 26 to December 31, 2021. Descriptive statistics were used to analyze the characteristics of study participants and the magnitude of COVID-19 while multivariate logistic regression was applied to assess factors affecting COVID-19 infection among HCWs.</p><p><strong>Results: </strong>The seroprevalence of COVID-19 among HCWs in the war-torn region of Tigray was 52.4% and 56.5% using Cellex and INNOVA antibody RDTs, respectively. The point prevalence, using Abbot Antigen test, was 14.2%. The overall infection prevention and control practice (IPC) and facility preparedness was poor with >85% of the HCWs reporting not wearing eye goggle/face shield and respirator in activities that needed transmission-based precautions; none of the participants reporting as having separate waste disposal system for COVID-19 cases; and only 56.8% reporting as having an isolation area during the time of testing. In the multivariate analysis, not having isolation area (AOR = 19.6, 95% CI: 7.57-50.78), re-using of personal protective equipment (PPE) (AOR = 3.23, 95% CI: 1.54-6.77), being symptomatic (AOE = 2.4, 95% CI: 1.02-5.67), and being a medical doctor, doctor of dental surgery, and anesthetist (AOR = 3.64, 95% CI: 1.05-12.66) were significantly associated with having at least one positive result.</p><p><strong>Conclusions: </strong>Shortage of PPE supply, poor IPC practice, suboptimal facility preparedness, and low vaccination coverage in the region contributed to the high rate of COVID-19 infection among HCWs observed in this study.</p>","PeriodicalId":20189,"journal":{"name":"PLoS ONE","volume":"19 11","pages":"e0310128"},"PeriodicalIF":2.9,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142688275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A convenient analytic method for gel quantification using ImageJ paired with Python or R.","authors":"Cassidy Tomlinson, Ashwini Rajasekaran, Karine Brochu-Gaudreau, Claire Dubois, A James Farmilo, Pavel Gris, Ariane Khatiz, Amanda Matthews, Marjo Piltonen, Abdelaziz Amrani, Denis Gris","doi":"10.1371/journal.pone.0308297","DOIUrl":"https://doi.org/10.1371/journal.pone.0308297","url":null,"abstract":"<p><p>In recent years, due to the COVID-19 pandemic, there was a surge of research on mRNA therapeutics. The applications are broad and include vaccination, cancer therapy, protein replacement, and immune modulation. mRNA therapeutics have advantages over other nucleic acid therapies because of the reduced risk of mutagenesis. On the other hand, mRNA therapeutics have a large caveat due to its inherent instability, which makes it susceptible to degradation throughout all stages of production, storage, and in vivo application. Decades ago, agarose gel electrophoresis was developed to separate and resolve nucleic acids based on size. Since then, the evolution of image analysis tools, such as ImageJ, has facilitated semi-quantitative evaluation of concentration based on band intensity, and qualitative observation of RNA integrity from gel electrophoresis. Instruments utilizing capillary electrophoresis, like the Agilent 2100 Bioanalyzer, that use microchip linear acrylamide gel electrophoresis have been demonstrated to be superior to agarose gel electrophoresis in studying RNA quality. Due to the higher cost of usage, they are less accessible to the average lab than agarose electrophoresis. In this work, we review the fundamentals of mRNA assessment and propose a full-lane quantification (FLQ) method, which is a fast, simple, and inexpensive method to analyze RNA degradation from agarose gels using ImageJ paired with Python and R. This measures the area under the curve of the product peak, degradation zone, and a combined score to provide sensitive means to evaluate the degradation of mRNA. This method provides measures of the degradation profile within each lane comparable to an RNA integrity number from bioanalyzers. Using this cost-effective method, we demonstrate that the degradation index is a sensitive measure that reflects the degradation and preservation of mRNA patterns.</p>","PeriodicalId":20189,"journal":{"name":"PLoS ONE","volume":"19 11","pages":"e0308297"},"PeriodicalIF":2.9,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142688157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: Multivalent Presentation of MPL by Porous Silicon Microparticles Favors T Helper 1 Polarization Enhancing the Anti-Tumor Efficacy of Doxorubicin Nanoliposomes.","authors":"Ismail M Meraz, Claire H Hearnden, Xuewu Liu, Marie Yang, Laura Williams, David J Savage, Jianhua Gu, Jessica R Rhudy, Kenji Yokoi, Ed C Lavelle, Rita E Serda","doi":"10.1371/journal.pone.0314577","DOIUrl":"https://doi.org/10.1371/journal.pone.0314577","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1371/journal.pone.0094703.].</p>","PeriodicalId":20189,"journal":{"name":"PLoS ONE","volume":"19 11","pages":"e0314577"},"PeriodicalIF":2.9,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142688218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: What can be learned from lecturers' knowledge and self-efficacy for online teaching during the Covid-19 pandemic to promote online teaching in higher education.","authors":"","doi":"10.1371/journal.pone.0314398","DOIUrl":"https://doi.org/10.1371/journal.pone.0314398","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1371/journal.pone.0275459.].</p>","PeriodicalId":20189,"journal":{"name":"PLoS ONE","volume":"19 11","pages":"e0314398"},"PeriodicalIF":2.9,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142688447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Genomic prediction and genome-wide association studies of morphological traits and distraction index in Korean Sapsaree dogs.","authors":"Md Azizul Haque, Na-Kuang Kim, Ryu Yeji, Bugeun Lee, Ji-Hong Ha, Yun-Mi Lee, Jong-Joo Kim","doi":"10.1371/journal.pone.0312583","DOIUrl":"https://doi.org/10.1371/journal.pone.0312583","url":null,"abstract":"<p><p>The Korean Sapsaree dog is a native breed known for its distinctive appearance and historical significance in Korean culture. The accurate estimation of breeding values is essential for the genetic improvement and conservation of such indigenous breeds. This study aimed to evaluate the accuracy of breeding values for body height, body length, chest width, hair length, and distraction index (DI) traits in Korean Sapsaree dogs. Additionally, a genome-wide association study (GWAS) was conducted to identify the genomic regions and nearby candidate genes influencing these traits. Phenotypic data were collected from 378 Korean Sapsaree dogs, and of these, 234 individuals were genotyped using the 170k Illumina CanineHD BeadChip. The accuracy of genomic predictions was evaluated using the traditional BLUP method with phenotypes only on genotyped animals (PBLUP-G), another traditional BLUP method using a pedigree-based relationship matrix (PBLUP) for all individuals, a GBLUP method based on a genomic relationship matrix, and a single-step GBLUP (ssGBLUP) method. Heritability estimates for body height, body length, chest width, hair length, and DI were 0.45, 0.39, 0.32, 0.55, and 0.50, respectively. Accuracy values varied across methods, with ranges of 0.22 to 0.31 for PBLUP-G, 0.30 to 0.57 for PBLUP, 0.31 to 0.54 for GBLUP, and 0.39 to 0.67 for ssGBLUP. Through GWAS, 194 genome-wide significant SNPs associated with studied Sapsaree traits were identified. The selection of the most promising candidate genes was based on gene ontology (GO) terms and functions previously identified to influence traits. Notable genes included CCKAR and DCAF16 for body height, PDZRN3 and CNTN1 for body length, TRIM63, KDELR2, and SUPT3H for chest width, RSPO2, EIF3E, PKHD1L1, TRPS1, and EXT1 for hair length, and DDHD1, BMP4, SEMA3C, and FOXP1 for the DI. These findings suggest that significant QTL, combined with functional candidate genes, can be leveraged to improve the genetic quality of the Sapsaree population. This study provides a foundation for more effective breeding strategies aimed at preserving and enhancing the unique traits of this Korean dog breed.</p>","PeriodicalId":20189,"journal":{"name":"PLoS ONE","volume":"19 11","pages":"e0312583"},"PeriodicalIF":2.9,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142688659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A cryptic promoter in the exon of HKR1 drives expression of a truncated form of Hkr1 in Saccharomyces cerevisiae.","authors":"Toshihiro Kondo, Yuna Hosokawa, Ryotaro Ozawa, Shin Kasahara","doi":"10.1371/journal.pone.0314016","DOIUrl":"https://doi.org/10.1371/journal.pone.0314016","url":null,"abstract":"<p><p>Hansenula mrakii killer toxin resistant gene 1 (HKR1) is an intronless, single-exon gene that encodes Hkr1, the signaling mucin of the budding yeast Saccharomyces cerevisiae. HKR1 overexpression confers S. cerevisiae cells with resistance to the HM-1 killer toxin produced by the killer yeast Hansenula mrakii (currently known as Cyberlindnera mrakii). Hkr1 comprises multiple functional domains and participates in several signal transduction pathways, including the high-osmolarity glycerol (HOG) pathway, the cell wall integrity (CWI) mitogen-activated protein (MAP) kinase pathway, and the filamentation MAP kinase pathway; Hkr1 also controls bud-site selection. In this study, we identified a cryptic promoter in the HKR1 exon that regulates the transcription of a shorter transcript encoding a truncated form of Hkr1. This shorter protein still conferred resistance to the HM-1 killer toxin, suggesting that this cryptic promoter helps carry out Hkr1-mediated signal transduction efficiently by producing a specific Hkr1 domain with functions as a signaling messenger. Notably, reporter assays using the fluorescent protein gene mUkG1 and the β-galactosidase gene lacZ revealed that the transcriptional activity of this cryptic promoter was modulated by its upstream sequence within the single exon. Hkr1 thus differs from other signaling mucins, whose active C-terminal fragments are generated by post-translational processing, whereas the active C-terminal fragment of Hkr1 is generated by transcription from the exonic promoter. These findings describe a previously unknown example of functional diversification from a single gene, especially for a gene encoding a multidomain, multifunctional protein such as Hkr1.</p>","PeriodicalId":20189,"journal":{"name":"PLoS ONE","volume":"19 11","pages":"e0314016"},"PeriodicalIF":2.9,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142688161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An easy-to-use pipeline to analyze amplicon-based Next Generation Sequencing results of human mitochondrial DNA from degraded samples.","authors":"Daniel R Cuesta-Aguirre, Assumpció Malgosa, Cristina Santos","doi":"10.1371/journal.pone.0311115","DOIUrl":"https://doi.org/10.1371/journal.pone.0311115","url":null,"abstract":"<p><p>Genome and transcriptome examinations have become more common due to Next-Generation Sequencing (NGS), which significantly increases throughput and depth coverage while reducing costs and time. Mitochondrial DNA (mtDNA) is often the marker of choice in degraded samples from archaeological and forensic contexts, as its higher number of copies can improve the success of the experiment. Among other sequencing strategies, amplicon-based NGS techniques are currently being used to obtain enough data to be analyzed. There are some pipelines designed for the analysis of ancient mtDNA samples and others for the analysis of amplicon data. However, these pipelines pose a challenge for non-expert users and cannot often address both ancient and forensic DNA particularities and amplicon-based sequencing simultaneously. To overcome these challenges, a user-friendly bioinformatic tool was developed to analyze the non-coding region of human mtDNA from degraded samples recovered in archaeological and forensic contexts. The tool can be easily modified to fit the specifications of other amplicon-based NGS experiments. A comparative analysis between two tools, MarkDuplicates from Picard and dedup parameter from fastp, both designed for duplicate removal was conducted. Additionally, various thresholds of PMDtools, a specialized tool designed for extracting reads affected by post-mortem damage, were used. Finally, the depth coverage of each amplicon was correlated with its level of damage. The results obtained indicated that, for removing duplicates, dedup is a better tool since retains more non-repeated reads, that are removed by MarkDuplicates. On the other hand, a PMDS = 1 in PMDtools was the threshold that allowed better differentiation between present-day and ancient samples, in terms of damage, without losing too many reads in the process. These two bioinformatic tools were added to a pipeline designed to obtain both haplotype and haplogroup of mtDNA. Furthermore, the pipeline presented in the present study generates information about the quality and possible contamination of the sample. This pipeline is designed to automatize mtDNA analysis, however, particularly for ancient samples, some manual analyses may be required to fully validate results since the amplicons that used to be more easily recovered were the ones that had fewer reads with damage, indicating that special care must be taken for poor recovered samples.</p>","PeriodicalId":20189,"journal":{"name":"PLoS ONE","volume":"19 11","pages":"e0311115"},"PeriodicalIF":2.9,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142688263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Boosted Harris Hawks Shuffled Shepherd Optimization Augmented Deep Learning based motor imagery classification for brain computer interface.","authors":"Fatmah Yousef Assiri, Mahmoud Ragab","doi":"10.1371/journal.pone.0313261","DOIUrl":"https://doi.org/10.1371/journal.pone.0313261","url":null,"abstract":"<p><p>Motor imagery (MI) classification has been commonly employed in making brain-computer interfaces (BCI) to manage the outside tools as a substitute neural muscular path. Effectual MI classification in BCI improves communication and mobility for people with a breakdown or motor damage, delivering a bridge between the brain's intentions and exterior actions. Employing electroencephalography (EEG) or aggressive neural recordings, machine learning (ML) methods are used to interpret patterns of brain action linked with motor image tasks. These models frequently depend upon models like support vector machine (SVM) or deep learning (DL) to distinguish among dissimilar MI classes, such as visualizing left or right limb actions. This procedure allows individuals, particularly those with motor disabilities, to utilize their opinions to command exterior devices like robotic limbs or computer borders. This article presents a Boosted Harris Hawks Shuffled Shepherd Optimization Augmented Deep Learning (BHHSHO-DL) technique based on Motor Imagery Classification for BCI. The BHHSHO-DL technique mainly exploits the hyperparameter-tuned DL approach for MI identification for BCI. Initially, the BHHSHO-DL technique performs data preprocessing utilizing the wavelet packet decomposition (WPD) model. Besides, the enhanced densely connected networks (DenseNet) model extracts the preprocessed data's complex and hierarchical feature patterns. Meanwhile, the BHHSHO technique-based hyperparameter tuning process is accomplished to elect optimal parameter values of the enhanced DenseNet model. Finally, the classification procedure is implemented by utilizing the convolutional autoencoder (CAE) model. The simulation value of the BHHSHO-DL methodology is performed on a benchmark dataset. The performance validation of the BHHSHO-DL methodology portrayed a superior accuracy value of 98.15% and 92.23% over other techniques under BCIC-III and BCIC-IV datasets.</p>","PeriodicalId":20189,"journal":{"name":"PLoS ONE","volume":"19 11","pages":"e0313261"},"PeriodicalIF":2.9,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142688551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing consensus on priorities for preconception care in the general practice setting in the UK: Study protocol.","authors":"Danielle Schoenaker, Elizabeth Lovegrove, Miriam Santer, Karen Matvienko-Sikar, Helen Carr, Nisreen A Alwan, Laura Kubelabo, Nathan Davies, Keith M Godfrey","doi":"10.1371/journal.pone.0311578","DOIUrl":"https://doi.org/10.1371/journal.pone.0311578","url":null,"abstract":"<p><strong>Background: </strong>Preconception medical, behavioural and socioeconomic risk factors are common among people of reproductive age and can impact pregnancy and offspring outcomes. In line with clinical guidance, primary care practitioners are encouraged to support patients to manage and optimise their health prior to pregnancy. Due to barriers, including lack of time and resources, this support is not currently part of routine practice.</p><p><strong>Aim: </strong>As a first step towards the co-development of practical and realistic best practice guidance, this study aims to achieve consensus on a list of priority risk factors that can be used in general practice to guide opportunistic preconception care for patients of reproductive age.</p><p><strong>Methods: </strong>This study protocol was developed with a Public Advisory Group of people of reproductive age, researchers and primary care practitioners. The consensus study will consist of three steps: 1) identifying an initial long-list of candidate risk factors and defining principles for scoring the importance of each risk factor, through a literature review, workshops with people of reproductive age, and interviews with primary care practitioners; 2) stakeholder participant prioritisation of each candidate risk factor for its importance for preconception care through a three-round eDelphi survey; and 3) agreeing on the final priority list through consensus meetings with a selected group of stakeholders. Participants living in the UK will be recruited across two stakeholder groups: people of reproductive age (through the Public Advisory Group and charities) and primary care professionals (through professional organisations).</p><p><strong>Ethical approval: </strong>This study has been approved by the University of Southampton Faculty of Medicine Ethics Committee (ERGO 83699 and 92950).</p><p><strong>Dissemination: </strong>All study findings will be shared through stakeholder participants, peer-reviewed publication, lay summary, meetings and conference presentations, and relevant professional and community organisations. Ongoing research will inform implementation of the priority list in clinical practice.</p>","PeriodicalId":20189,"journal":{"name":"PLoS ONE","volume":"19 11","pages":"e0311578"},"PeriodicalIF":2.9,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142688514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}