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1.
Proc Natl Acad Sci U S A ; 120(14): e2205783119, 2023 04 04.
Article in English | MEDLINE | ID: mdl-36972449

ABSTRACT

Crop wild relatives represent valuable sources of alleles for crop improvement, including adaptation to climate change and emerging diseases. However, introgressions from wild relatives might have deleterious effects on desirable traits, including yield, due to linkage drag. Here, we analyzed the genomic and phenotypic impacts of wild introgressions in inbred lines of cultivated sunflower to estimate the impacts of linkage drag. First, we generated reference sequences for seven cultivated and one wild sunflower genotype, as well as improved assemblies for two additional cultivars. Next, relying on previously generated sequences from wild donor species, we identified introgressions in the cultivated reference sequences, as well as the sequence and structural variants they contain. We then used a ridge-regression best linear unbiased prediction (BLUP) model to test the effects of the introgressions on phenotypic traits in the cultivated sunflower association mapping population. We found that introgression has introduced substantial sequence and structural variation into the cultivated sunflower gene pool, including >3,000 new genes. While introgressions reduced genetic load at protein-coding sequences, they mostly had negative impacts on yield and quality traits. Introgressions found at high frequency in the cultivated gene pool had larger effects than low-frequency introgressions, suggesting that the former likely were targeted by artificial selection. Also, introgressions from more distantly related species were more likely to be maladaptive than those from the wild progenitor of cultivated sunflower. Thus, breeding efforts should focus, as far as possible, on closely related and fully compatible wild relatives.


Subject(s)
Helianthus , Helianthus/genetics , Genome, Plant/genetics , Plant Breeding , Genotype , Genomics
3.
Nature ; 584(7822): 602-607, 2020 08.
Article in English | MEDLINE | ID: mdl-32641831

ABSTRACT

Species often include multiple ecotypes that are adapted to different environments1. However, it is unclear how ecotypes arise and how their distinctive combinations of adaptive alleles are maintained despite hybridization with non-adapted populations2-4. Here, by resequencing 1,506 wild sunflowers from 3 species (Helianthus annuus, Helianthus petiolaris and Helianthus argophyllus), we identify 37 large (1-100 Mbp in size), non-recombining haplotype blocks that are associated with numerous ecologically relevant traits, as well as soil and climate characteristics. Limited recombination in these haplotype blocks keeps adaptive alleles together, and these regions differentiate sunflower ecotypes. For example, haplotype blocks control a 77-day difference in flowering between ecotypes of the silverleaf sunflower H. argophyllus (probably through deletion of a homologue of FLOWERING LOCUS T (FT)), and are associated with seed size, flowering time and soil fertility in dune-adapted sunflowers. These haplotypes are highly divergent, frequently associated with structural variants and often appear to represent introgressions from other-possibly now-extinct-congeners. These results highlight a pervasive role of structural variation in ecotypic adaptation.


Subject(s)
Ecotype , Haplotypes , Helianthus/genetics , Acclimatization/genetics , Alleles , Flowers/genetics , Helianthus/anatomy & histology , Helianthus/growth & development , Phylogeny , Seeds/genetics
4.
Nat Plants ; 4(12): 1017-1025, 2018 12.
Article in English | MEDLINE | ID: mdl-30397259

ABSTRACT

Advances in deciphering the functional architecture of eukaryotic genomes have been facilitated by recent breakthroughs in sequencing technologies, enabling a more comprehensive representation of genes and repeat elements in genome sequence assemblies, as well as more sensitive and tissue-specific analyses of gene expression. Here we show that PacBio sequencing has led to a substantially improved genome assembly of Medicago truncatula A17, a legume model species notable for endosymbiosis studies1, and has enabled the identification of genome rearrangements between genotypes at a near-base-pair resolution. Annotation of the new M. truncatula genome sequence has allowed for a thorough analysis of transposable elements and their dynamics, as well as the identification of new players involved in symbiotic nodule development, in particular 1,037 upregulated long non-coding RNAs (lncRNAs). We have also discovered that a substantial proportion (~35% and 38%, respectively) of the genes upregulated in nodules or expressed in the nodule differentiation zone colocalize in genomic clusters (270 and 211, respectively), here termed symbiotic islands. These islands contain numerous expressed lncRNA genes and display differentially both DNA methylation and histone marks. Epigenetic regulations and lncRNAs are therefore attractive candidate elements for the orchestration of symbiotic gene expression in the M. truncatula genome.


Subject(s)
Epigenesis, Genetic , Genome, Plant/genetics , Medicago truncatula/genetics , RNA, Untranslated/genetics , Symbiosis/genetics , DNA Methylation , Gene Expression Regulation, Plant , Genomics , Multigene Family , Plant Proteins/genetics , RNA, Plant/genetics , Root Nodules, Plant/genetics
5.
Obes Rev ; 18(10): 1111-1121, 2017 10.
Article in English | MEDLINE | ID: mdl-28730679

ABSTRACT

Overweight and obesity in preschool-aged children are major health concerns. Accurate and reliable estimates of prevalence are necessary to direct public health and clinical interventions. There are currently three international growth standards used to determine prevalence of overweight and obesity, each using different methodologies: Center for Disease Control (CDC), World Health Organization (WHO) and International Obesity Task Force (IOTF). Adoption and use of each method were examined through a systematic review of Australian population studies (2006-2017). For this period, systematically identified population studies (N = 20) reported prevalence of overweight and obesity ranging between 15 and 38% with most (n = 16) applying the IOTF standards. To demonstrate the differences in prevalence estimates yielded by the IOTF in comparison to the WHO and CDC standards, methods were applied to a sample of N = 1,926 Australian children, aged 3-5 years. As expected, the three standards yielded significantly different estimates when applied to this single population. Prevalence of overweight/obesity was WHO - 9.3%, IOTF - 21.7% and CDC - 33.1%. Judicious selection of growth standards, taking account of their underpinning methodologies and provisions of access to study data sets to allow prevalence comparisons, is recommended.


Subject(s)
Pediatric Obesity/epidemiology , Australia/epidemiology , Child Development , Child, Preschool , Humans , Prevalence , Reference Standards
6.
Nature ; 546(7656): 148-152, 2017 06 01.
Article in English | MEDLINE | ID: mdl-28538728

ABSTRACT

The domesticated sunflower, Helianthus annuus L., is a global oil crop that has promise for climate change adaptation, because it can maintain stable yields across a wide variety of environmental conditions, including drought. Even greater resilience is achievable through the mining of resistance alleles from compatible wild sunflower relatives, including numerous extremophile species. Here we report a high-quality reference for the sunflower genome (3.6 gigabases), together with extensive transcriptomic data from vegetative and floral organs. The genome mostly consists of highly similar, related sequences and required single-molecule real-time sequencing technologies for successful assembly. Genome analyses enabled the reconstruction of the evolutionary history of the Asterids, further establishing the existence of a whole-genome triplication at the base of the Asterids II clade and a sunflower-specific whole-genome duplication around 29 million years ago. An integrative approach combining quantitative genetics, expression and diversity data permitted development of comprehensive gene networks for two major breeding traits, flowering time and oil metabolism, and revealed new candidate genes in these networks. We found that the genomic architecture of flowering time has been shaped by the most recent whole-genome duplication, which suggests that ancient paralogues can remain in the same regulatory networks for dozens of millions of years. This genome represents a cornerstone for future research programs aiming to exploit genetic diversity to improve biotic and abiotic stress resistance and oil production, while also considering agricultural constraints and human nutritional needs.


Subject(s)
Evolution, Molecular , Flowers/genetics , Flowers/physiology , Genome, Plant/genetics , Helianthus/genetics , Helianthus/metabolism , Plant Oils/metabolism , Acclimatization/genetics , Gene Duplication/genetics , Gene Expression Regulation, Plant , Genetic Variation , Genomics , Helianthus/classification , Sequence Analysis, DNA , Stress, Physiological/genetics , Sunflower Oil , Transcriptome/genetics
7.
J Evol Biol ; 29(11): 2168-2180, 2016 11.
Article in English | MEDLINE | ID: mdl-27384884

ABSTRACT

Climate-mediated evolution plays an integral role in species migration and range expansion. Gaining a clearer understanding of how climate affects demographic history and adaptation provides fundamental insight into the generation of intra- and interspecific diversity. In this study, we used the natural colonization of the green anole (Anolis carolinensis) from the island of Cuba to mainland North America to investigate the role of evolution at the niche, phenotypic and genetic levels after long-term establishment in a novel environment. The North American green anole occupies a broader range of thermal habitats than its Cuban sister species. We documented niche expansion in the mainland green anole, mediated primarily through adaptation to winter temperatures. Common garden experiments strongly suggest a genetic component to differences in thermal performance found between populations in different temperature regimes. Analysis of geographic variation in population structure based on 53 486 single nucleotide variants from RAD loci revealed increased genetic isolation between populations in different vs. similar thermal environments. Selection scans for environment-allele correlations reveal 19 genomic loci of known function that may have played a role in the physiological adaptation of A. carolinensis to temperate environments on the mainland.


Subject(s)
Acclimatization , Climate , Lizards , Selection, Genetic , Animals , Islands , North America , Temperature
8.
Phys Chem Chem Phys ; 18(5): 3575-80, 2016 Feb 07.
Article in English | MEDLINE | ID: mdl-26750542

ABSTRACT

We study the influence of the film thickness on the time-resolved phosphorescence and the luminescence quantum yield of fac-tris(2-phenylpyridyl)iridium(iii) [Ir(ppy)3]-cored dendrimers deposited on dielectric substrates. A correlation is observed between the surface quenching velocity and the quenching rate by intermolecular interactions in the bulk film, which suggests that both processes are controlled by dipole-dipole interactions between Ir(ppy)3 complexes at the core of the dendrimers. It is also found that the surface quenching velocity decreases as the refractive index of the substrate is increased. This can be explained by partial screening of dipole-dipole interactions by the dielectric environment.

9.
BMC Genomics ; 16: 623, 2015 Aug 20.
Article in English | MEDLINE | ID: mdl-26290182

ABSTRACT

BACKGROUND: The transposable element (TE) content of the genomes of plant species varies from near zero in the genome of Utricularia gibba to more than 80% in many species. It is not well understood whether this variation in genome composition results from common mechanisms or stochastic variation. The major obstacles to investigating mechanisms of TE evolution have been a lack of comparative genomic data sets and efficient computational methods for measuring differences in TE composition between species. In this study, we describe patterns of TE evolution in 14 species in the flowering plant family Asteraceae and 1 outgroup species in the Calyceraceae to investigate phylogenetic patterns of TE dynamics in this important group of plants. RESULTS: Our findings indicate that TE families in the Asteraceae exhibit distinct patterns of non-neutral evolution, and that there has been a directional increase in copy number of Gypsy retrotransposons since the origin of the Asteraceae. Specifically, there is marked increase in Gypsy abundance at the origin of the Asteraceae and at the base of the tribe Heliantheae. This latter shift in genome composition has had a significant impact on the diversity and abundance distribution of TEs in a lineage-specific manner. CONCLUSIONS: We show that the TE-driven expansion of plant genomes can be facilitated by just a few TE families, and is likely accompanied by the modification and/or replacement of the TE community. Importantly, large shifts in TE composition may be correlated with major of phylogenetic transitions.


Subject(s)
Asteraceae/genetics , Retroelements/genetics , Asteraceae/physiology , Base Composition , DNA Copy Number Variations , Evolution, Molecular , Genome Size , Genome, Plant , Phylogeny
10.
Biomicrofluidics ; 9(2): 024106, 2015 Mar.
Article in English | MEDLINE | ID: mdl-25825621

ABSTRACT

The ability to confine flows and focus particle streams has become an integral component of the design of microfluidic systems for the analysis of a wide range of samples. Presented here is the implementation of a 3D microfluidic nozzle capable of both focusing particles as well as dynamically positioning those particles in selected flow lamina within the downstream analysis channel. Through the independent adjustment of the three sheath inlet flows, the nozzle controlled the size of a focused stream for 6, 10, and 15 µm polystyrene microparticles. Additional flow adjustment allowed the nozzle to dynamically position the focused particle stream to a specific area within the downstream channel. This unique ability provides additional capability and sample flexibility to the system. In order to gain insight into the fluidic behavior of the system, experimental conditions and results were duplicated within 4.75 µm using a COMSOL Multiphysics(®) model to elucidate the structure, direction, proportion, and fate of fluid lamina throughout the nozzle region. The COMSOL Multiphysics model showed that the position and distribution of particles upon entering the nozzle have negligible influence over its focusing ability, extending the experimental results into a wider range of particle sizes and system flow rates. These results are promising for the application of this design to allow for a relatively simple, fast, fully fluidically controlled nozzle for selective particle focusing and positioning for further particle analysis and sorting.

11.
Bioinformatics ; 31(11): 1827-9, 2015 Jun 01.
Article in English | MEDLINE | ID: mdl-25644271

ABSTRACT

MOTIVATION: Transposable elements (TEs) can be found in virtually all eukaryotic genomes and have the potential to produce evolutionary novelty. Despite the broad taxonomic distribution of TEs, the evolutionary history of these sequences is largely unknown for many taxa due to a lack of genomic resources and identification methods. Given that most TE annotation methods are designed to work on genome assemblies, we sought to develop a method to provide a fine-grained classification of TEs from DNA sequence reads. Here, we present a toolkit for the efficient annotation of TE families from low-coverage whole-genome shotgun (WGS) data, enabling the rapid identification of TEs in a large number of taxa. We compared our software, Transposome, with other approaches for annotating repeats from WGS data, and we show that it offers significant improvements in run time and produces more precise estimates of genomic repeat abundance. Transposome may also be used as a general toolkit for working with Next Generation Sequencing (NGS) data, and for constructing custom genome analysis pipelines. AVAILABILITY AND IMPLEMENTATION: The source code for Transposome is freely available (http://sestaton.github.io/Transposome), implemented in Perl and is supported on Linux.


Subject(s)
DNA Transposable Elements , Molecular Sequence Annotation/methods , Software , Genome, Plant , Genomics/methods , High-Throughput Nucleotide Sequencing , Sequence Analysis, DNA , Zea mays/genetics
12.
Appl Plant Sci ; 2(2)2014 Feb.
Article in English | MEDLINE | ID: mdl-25202605

ABSTRACT

PREMISE OF THE STUDY: The Compositae (Asteraceae) are a large and diverse family of plants, and the most comprehensive phylogeny to date is a meta-tree based on 10 chloroplast loci that has several major unresolved nodes. We describe the development of an approach that enables the rapid sequencing of large numbers of orthologous nuclear loci to facilitate efficient phylogenomic analyses. • METHODS AND RESULTS: We designed a set of sequence capture probes that target conserved orthologous sequences in the Compositae. We also developed a bioinformatic and phylogenetic workflow for processing and analyzing the resulting data. Application of our approach to 15 species from across the Compositae resulted in the production of phylogenetically informative sequence data from 763 loci and the successful reconstruction of known phylogenetic relationships across the family. • CONCLUSIONS: These methods should be of great use to members of the broader Compositae community, and the general approach should also be of use to researchers studying other families.

13.
Plant J ; 72(1): 142-53, 2012 Oct.
Article in English | MEDLINE | ID: mdl-22691070

ABSTRACT

Aside from polyploidy, transposable elements are the major drivers of genome size increases in plants. Thus, understanding the diversity and evolutionary dynamics of transposable elements in sunflower (Helianthus annuus L.), especially given its large genome size (∼3.5 Gb) and the well-documented cases of amplification of certain transposons within the genus, is of considerable importance for understanding the evolutionary history of this emerging model species. By analyzing approximately 25% of the sunflower genome from random sequence reads and assembled bacterial artificial chromosome (BAC) clones, we show that it is composed of over 81% transposable elements, 77% of which are long terminal repeat (LTR) retrotransposons. Moreover, the LTR retrotransposon fraction in BAC clones harboring genes is disproportionately composed of chromodomain-containing Gypsy LTR retrotransposons ('chromoviruses'), and the majority of the intact chromoviruses contain tandem chromodomain duplications. We show that there is a bias in the efficacy of homologous recombination in removing LTR retrotransposon DNA, thereby providing insight into the mechanisms associated with transposable element (TE) composition in the sunflower genome. We also show that the vast majority of observed LTR retrotransposon insertions have likely occurred since the origin of this species, providing further evidence that biased LTR retrotransposon activity has played a major role in shaping the chromatin and DNA landscape of the sunflower genome. Although our findings on LTR retrotransposon age and structure could be influenced by the selection of the BAC clones analyzed, a global analysis of random sequence reads indicates that the evolutionary patterns described herein apply to the sunflower genome as a whole.


Subject(s)
Evolution, Molecular , Genome, Plant/genetics , Helianthus/genetics , Retroelements/genetics , Amino Acid Sequence , Chromosomes, Artificial, Bacterial , DNA, Plant/chemistry , DNA, Plant/genetics , Genome Size , High-Throughput Nucleotide Sequencing , Molecular Sequence Data , Phylogeny , Polyploidy , Protein Structure, Tertiary , Sequence Alignment , Sequence Analysis, DNA , Terminal Repeat Sequences/genetics
14.
Am J Bot ; 96(9): 1646-55, 2009 Sep.
Article in English | MEDLINE | ID: mdl-21622351

ABSTRACT

The origin of new diploid, or homoploid, hybrid species is associated with rapid genomic restructuring in the hybrid neospecies. This mode of speciation has been best characterized in wild sunflower species in the genus Helianthus, where three homoploid hybrid species (H. anomalus, H. deserticola, and H. paradoxus) have independently arisen via ancient hybridization events between the same two parental species (H. annuus and H. petiolaris). Most previous work examining genomic restructuring in these sunflower hybrid species has focused on chromosomal rearrangements. However, the origin of all three homoploid hybrid sunflower species also is associated with massive proliferation events of Ty3/gypsy-like retrotransposons in the hybrid species' genomes. We compared the genomic organization of these elements in the parent species and two of the homoploid hybrid species using fluorescence in situ hybridization (FISH). We found a significant expansion of Ty3/gypsy-like retrotransposons confined to the pericentromeric regions of two hybrid sunflower species, H. deserticola and H. paradoxus. In contrast, we detected no significant increase in the frequency or extent of dispersed retrotransposon populations in the hybrid species within the resolution limits of our assay. We discuss the potential role that transposable element proliferation and localization plays in the evolution of homoploid hybrid species.

15.
Phys Rev Lett ; 100(1): 017402, 2008 Jan 11.
Article in English | MEDLINE | ID: mdl-18232820

ABSTRACT

A study of triplet-triplet exciton annihilation and nonradiative decay in films of iridium(III)-centered phosphorescent dendrimers is reported. The average separation of the chromophore was tuned by the molecular structure and also by blending with a host material. It was found that triplet exciton hopping is controlled by electron exchange interactions and can be over 600 times faster than phosphorescence quenching. Nonradiative decay occurs by weak dipole-dipole interactions and is independent of exciton diffusion, except in very thin films (<20 nm) where surface quenching dominates the decay.

16.
Diabetologia ; 47(4): 695-709, 2004 Apr.
Article in English | MEDLINE | ID: mdl-15298347

ABSTRACT

AIMS/HYPOTHESIS: Increased angiogenesis of fetoplacental vessels is a feature of pregnancies complicated by Type 1 diabetes mellitus, but the underlying molecular mechanisms are unknown. This investigation tests whether the diabetic maternal environment alters the phenotypic expression of placental vascular endothelial cadherin and beta-catenin, which have been implicated as key molecules in barrier formation and angiogenesis in the endothelium. METHODS: Term placental microvessels from normal pregnancies (n=8) and from those complicated by Type 1 diabetes (n=8) were perfused with 76-Mr dextran tracers (1 mg/ml) and subjected to immunocytochemistry, immunoblotting and microscopy. Junctional integrity, localisation and phosphorylation were investigated along with total protein levels of vascular endothelial cadherin, beta-catenin and vascular endothelial growth factor. Stereological sampling and estimation tools were used to quantify aspects of angiogenesis and endothelial proliferation. RESULTS: In the Type 1 diabetic placentae, junctional localisations of vascular endothelial cadherin and beta-catenin altered significantly, with more than 50% of microvessels showing complete loss of immunoreactivity and with no overall loss of total protein. Tracer leakage was associated with these vessels. There was a two- to three-fold increase in vessels showing junctional phospho-tyrosine immunoreactivity and hyperphosphorylated beta-catenin. Vascular endothelial growth factor levels were higher in these placentae. A four-fold increase in endothelial proliferation was observed, along with an increase in total length of capillaries without any change in luminal diameter. CONCLUSIONS/INTERPRETATION: Molecular perturbations of vascular endothelial cadherin and beta-catenin occur in fetoplacental vessels of pregnancies complicated by Type 1 diabetes. Phosphorylation and loss of these molecules from the adherens junctional domains may be influenced in part by the elevated levels of vascular endothelial growth factor in the placenta. Perturbations of the junctional proteins may explain the observed breach in barrier integrity and may contribute to the mechanisms that drive proliferation and increases in capillary length.


Subject(s)
Cadherins/metabolism , Cytoskeletal Proteins/metabolism , Diabetes Mellitus, Type 1/complications , Diabetic Angiopathies/pathology , Endothelium, Vascular/metabolism , Fetus/blood supply , Neovascularization, Pathologic/pathology , Placenta/metabolism , Pregnancy in Diabetics/metabolism , Trans-Activators/metabolism , Adult , Blood Glucose/metabolism , Blotting, Western , Capillary Permeability/physiology , Diabetes Mellitus, Type 1/pathology , Diabetic Angiopathies/physiopathology , Endothelium, Vascular/physiology , Female , Fluorescent Antibody Technique, Direct , Humans , Infant, Newborn , Microscopy, Confocal , Neovascularization, Pathologic/physiopathology , Phosphorylation , Placenta/blood supply , Placenta/physiopathology , Pregnancy , Pregnancy Outcome , Pregnancy in Diabetics/pathology , Pregnancy in Diabetics/physiopathology , Regional Blood Flow/physiology , beta Catenin
17.
J Infect Dis ; 177(4): 1046-56, 1998 Apr.
Article in English | MEDLINE | ID: mdl-9534981

ABSTRACT

An immunosuppressed rat model was used to determine the pharmacokinetics of aerosolized atovaquone (administered with and without a synthetic surfactant) and to evaluate the efficacy of inhaled atovaquone in the prevention and treatment of Pneumocystis carinii pneumonia (PCP). After a single dose by aerosol, mean peak concentrations of atovaquone averaged 52 microg/mL in plasma and 31 microg/g in lungs of rats infected with P. carinii. When atovaquone was combined with surfactant, mean peak concentrations of 94 microg/mL in plasma and 51 microg/g in lung were achieved. Aerosolized synthetic surfactant alone significantly increased survival of rats with PCP and, when combined with atovaquone, increased plasma and lung concentrations of the drug and eradication of the organism.


Subject(s)
Antifungal Agents/pharmacokinetics , Naphthoquinones/pharmacokinetics , Pneumonia, Pneumocystis/drug therapy , Pneumonia, Pneumocystis/prevention & control , Pulmonary Surfactants/chemical synthesis , Pulmonary Surfactants/pharmacokinetics , Administration, Inhalation , Animals , Anti-Infective Agents/administration & dosage , Anti-Infective Agents/pharmacology , Anti-Inflammatory Agents/administration & dosage , Anti-Inflammatory Agents/pharmacology , Antifungal Agents/administration & dosage , Antifungal Agents/blood , Atovaquone , Dexamethasone/administration & dosage , Dexamethasone/pharmacology , Drug Therapy, Combination , Lung/chemistry , Lung/microbiology , Male , Naphthoquinones/administration & dosage , Naphthoquinones/blood , Pulmonary Surfactants/administration & dosage , Rats , Rats, Sprague-Dawley , Trimethoprim, Sulfamethoxazole Drug Combination/administration & dosage , Trimethoprim, Sulfamethoxazole Drug Combination/pharmacology
18.
Mil Med ; 162(12): 812-6, 1997 Dec.
Article in English | MEDLINE | ID: mdl-9433088

ABSTRACT

We assessed indebtedness of graduating physicians and dentists in the class of 1996, University of Medicine and Dentistry of New Jersey, and found the percentage of students with debt to average 80% (range, 77-84%) among the five schools of the university. Mean indebtedness was $73,000 per student. We then surveyed the graduates of one of the four medical schools in the university (New Jersey Medical School) regarding attitudes toward established programs for financial assistance to medical students and physicians and alleviation of educational indebtedness in return for military service. More than half (57%) of the students were unaware of any program that would repay part of their educational loans in return for military service. Of those who professed such knowledge, few could name the programs. A similar number of students (55% of the graduates) said that they would not consider serving in the military under any circumstances. Despite considerable indebtedness among today's medical students, most do not know about career opportunities offering financial assistance with tuition or educational loans in return for military service. Worse yet, they do not care.


Subject(s)
Attitude , Education, Medical, Undergraduate/economics , Military Medicine , Students, Medical , Training Support , Adult , Fellowships and Scholarships , Humans , United States
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