Peer Review History
| Original SubmissionSeptember 23, 2019 |
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PONE-D-19-26714 Training intervention to improve hygiene practices in Islamic Boarding Schools in Yogyakarta, Indonesia: A mixed methods study PLOS ONE Dear Prof Widyasari, Thank you for submitting your manuscript to PLOS ONE. After careful consideration, we feel that it has merit but does not fully meet PLOS ONE’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process. You will see from the comments that two reviewers recommended rejecting the article. However, I would like to see if you can address the points of concern. Please carefully consider all 4 reviewer comments and respond accordingly. We would appreciate receiving your revised manuscript by 26 December 2019. When you are ready to submit your revision, log on to https://www.editorialmanager.com/pone/ and select the 'Submissions Needing Revision' folder to locate your manuscript file. If you would like to make changes to your financial disclosure, please include your updated statement in your cover letter. To enhance the reproducibility of your results, we recommend that if applicable you deposit your laboratory protocols in protocols.io, where a protocol can be assigned its own identifier (DOI) such that it can be cited independently in the future. For instructions see: http://journals.plos.org/plosone/s/submission-guidelines#loc-laboratory-protocols Please include the following items when submitting your revised manuscript:
Please note while forming your response, if your article is accepted, you may have the opportunity to make the peer review history publicly available. The record will include editor decision letters (with reviews) and your responses to reviewer comments. If eligible, we will contact you to opt in or out. We look forward to receiving your revised manuscript. Kind regards, Andrew Soundy Academic Editor PLOS ONE Journal Requirements: 1. When submitting your revision, we need you to address these additional requirements. Please ensure that your manuscript meets PLOS ONE's style requirements, including those for file naming. The PLOS ONE style templates can be found at http://www.journals.plos.org/plosone/s/file?id=wjVg/PLOSOne_formatting_sample_main_body.pdf and http://www.journals.plos.org/plosone/s/file?id=ba62/PLOSOne_formatting_sample_title_authors_affiliations.pdf 2. Please refer to any post-hoc corrections to correct for multiple comparisons during your statistical analyses. if these were not performed please justify the reasons. Additionally, in the text you state: "The subjects were nonrandomly assigned to one of three different interventions". Please discuss how this assigning occurred. 3. Please provide further details concerning the piloting of the interview guide used in this study. I.e. who were the participants and how many were they. 4. Please remove your figures from within your manuscript file, leaving only the individual TIFF/EPS image files, uploaded separately. These will be automatically included in the reviewers’ PDF. [Note: HTML markup is below. Please do not edit.] Reviewers' comments: Reviewer's Responses to Questions Comments to the Author 1. Is the manuscript technically sound, and do the data support the conclusions? The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented. Reviewer #1: Yes Reviewer #2: Yes Reviewer #3: No Reviewer #4: Partly ********** 2. Has the statistical analysis been performed appropriately and rigorously? Reviewer #1: Yes Reviewer #2: Yes Reviewer #3: Yes Reviewer #4: No ********** 3. Have the authors made all data underlying the findings in their manuscript fully available? The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified. Reviewer #1: Yes Reviewer #2: Yes Reviewer #3: Yes Reviewer #4: Yes ********** 4. Is the manuscript presented in an intelligible fashion and written in standard English? PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here. Reviewer #1: Yes Reviewer #2: No Reviewer #3: No Reviewer #4: Yes ********** 5. Review Comments to the Author Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters) Reviewer #1: The article is on the efficacy of different training intervention on promoting hygiene behaviours among boarding students. I have attached comments and suggestions to help improve the article. The comments are made in line with the different sections of the article Reviewer #2: Dear Authors The manuscript entitled "TRAINING INTERVENTION TO IMPROVE HYGIENE PRACTICES IN ISLAMIC BOARDING SCHOOLS IN YOGYAKARTA, INDONESIA: A MIXED METHODS STUDY" is very important issues of health and hygiene in school health areas. Please see our comments for this manuscript on the list below which attached in this letter. Thank you. Sincerely yours, Reviewer Reviewer #3: The experiment have not been conducted rigorously. Since the intervention was not conducted at the same time, it was really possible student at the second and third phase of intervention have been exposed before intervention by student from the first phase. The author also didn't mentioned how was the sleeping arrangement among those student. If any student from the first phase intervention share the same room with student from the second or third intervention, they might be shared any information. Furthermore, the study found that the leaflet group has a significant change on room hygiene. Since the group was intervened lastly, the evaluation period was shorter than other groups. Reviewer #4: COMMENTS TO AUTHORS Let me congratulate authors for taking time to research into such an important phenomenon. I find the following comments useful for enriching the content of the manuscript. Abstract “The primary objective of this study was to measure the impact of a training intervention on improving hygiene practices among Islamic boarding school students…”. I caution authors against the use of the word “impact”. It is difficult for authors to convince readers that they truly measured impact. On the measurement chain, impact is in the very long term sometimes 10 years and more. This cannot be practicable for a hand hygiene study of this nature. Introduction In a 2014-2015 school health report, 70% of santris in a boarding school 92 were diagnosed with infectious diseases, predominantly respiratory and skin infections..” Cite the source document appropriately. Materials and Methods Study Design This section needs some clarity. First of all; i. what constituted your clusters? ii. How did you control for clustering in considering a sample size? iii. What was the unit of analysis? iv. How did you decide on the number of students to participate in the study? For eg, did you estimate the figure statistically? Data Collection and analysis Qualitative study i. How did you derive the 21 supervisors? ii. What is the source of your data collection tools? iii. Quantitative study i. What was the source of quantitative data collection tool? ii. You mentioned the use of a Likert scale. How did you test for the internal reliability of items assessing the same variable? iii. How did you control for clustering at the data analysis stage? Training intervention i. How did you ensure that training was the same for the different intervention groups? ii. Did you assess the intervention fidelity to ensure that the interventions delivered were in adherence to the protocols of the study? Results It appears you statistically compared the outcomes within the boys groups with the outcomes within the girls group at some point. Such a comparison will require unpaired samples t-test and not a paired samples t-test. ********** 6. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files. If you choose “no”, your identity will remain anonymous but your review may still be made public. Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy. Reviewer #1: No Reviewer #2: No Reviewer #3: No Reviewer #4: No [NOTE: If reviewer comments were submitted as an attachment file, they will be attached to this email and accessible via the submission site. Please log into your account, locate the manuscript record, and check for the action link "View Attachments". If this link does not appear, there are no attachment files to be viewed.] While revising your submission, please upload your figure files to the Preflight Analysis and Conversion Engine (PACE) digital diagnostic tool, https://pacev2.apexcovantage.com/. PACE helps ensure that figures meet PLOS requirements. To use PACE, you must first register as a user. Registration is free. Then, login and navigate to the UPLOAD tab, where you will find detailed instructions on how to use the tool. If you encounter any issues or have any questions when using PACE, please email us at figures@plos.org. Please note that Supporting Information files do not need this step.
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| Revision 1 |
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PONE-D-19-26714R1 Training intervention to improve hygiene practices in Islamic boarding school in Yogyakarta, Indonesia: a mixed-method study PLOS ONE Dear Dr Widyasari, Thank you for submitting your manuscript to PLOS ONE. After careful consideration, we feel that it has merit but does not fully meet PLOS ONE’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process. We would appreciate receiving your revised manuscript by 30 February 2020. When you are ready to submit your revision, log on to https://www.editorialmanager.com/pone/ and select the 'Submissions Needing Revision' folder to locate your manuscript file. If you would like to make changes to your financial disclosure, please include your updated statement in your cover letter. To enhance the reproducibility of your results, we recommend that if applicable you deposit your laboratory protocols in protocols.io, where a protocol can be assigned its own identifier (DOI) such that it can be cited independently in the future. For instructions see: http://journals.plos.org/plosone/s/submission-guidelines#loc-laboratory-protocols Please include the following items when submitting your revised manuscript:
Please note while forming your response, if your article is accepted, you may have the opportunity to make the peer review history publicly available. The record will include editor decision letters (with reviews) and your responses to reviewer comments. If eligible, we will contact you to opt in or out. We look forward to receiving your revised manuscript. Kind regards, Andrew Soundy Academic Editor PLOS ONE Additional Editor Comments (if provided): Please consider the points made by the reviewers wanting changes. [Note: HTML markup is below. Please do not edit.] Reviewers' comments: Reviewer's Responses to Questions Comments to the Author 1. If the authors have adequately addressed your comments raised in a previous round of review and you feel that this manuscript is now acceptable for publication, you may indicate that here to bypass the “Comments to the Author” section, enter your conflict of interest statement in the “Confidential to Editor” section, and submit your "Accept" recommendation. Reviewer #1: All comments have been addressed Reviewer #2: All comments have been addressed Reviewer #4: (No Response) ********** 2. Is the manuscript technically sound, and do the data support the conclusions? The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented. Reviewer #1: Yes Reviewer #2: Partly Reviewer #4: Partly ********** 3. Has the statistical analysis been performed appropriately and rigorously? Reviewer #1: Yes Reviewer #2: Yes Reviewer #4: No ********** 4. Have the authors made all data underlying the findings in their manuscript fully available? The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified. Reviewer #1: Yes Reviewer #2: Yes Reviewer #4: Yes ********** 5. Is the manuscript presented in an intelligible fashion and written in standard English? PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here. Reviewer #1: Yes Reviewer #2: No Reviewer #4: No ********** 6. Review Comments to the Author Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters) Reviewer #1: I have carefully read the author's responses to the reviewers and I am satisfied they addressed them accordingly. They heeded to the reviewers suggestions. A bit of article clean-up will help now, which can be handled through the editorial. Reviewer #2: Dear Authors, Thank you for re-submit your revision manuscript. However, I didn't found your comments from the reviewers. Please answer one by one the comments of reviewer. You didn't answered the reviewer comments. Therefore, it is made reviewer confusing. Please make a highlight with yellow colour in part of your manuscript where placed the authors revision. If the authors made it, it is more easier the reviewer for review. Thank you. Regards, Reviewer Reviewer #4: I do not see any of my earlier comments addressed by the authors. COMMENTS TO AUTHORS Abstract “The primary objective of this study was to measure the impact of a training intervention on improving hygiene practices among Islamic boarding school students…”. Once again, I find it necessary for authors to replace the word “impact”. It is difficult for authors to convince readers that they truly measured impact. On the measurement chain, impact is in the very long term sometimes 10 years and more. This cannot be practicable for a hand hygiene study of this nature. They may consider outcome or effect instead. Introduction In a 2014-2015 school health report, 70% of santris in a boarding school 92 were diagnosed with infectious diseases, predominantly respiratory and skin infections..” Cite the source document appropriately. Materials and Methods Study Design This section needs some clarity. First of all; i. what constituted your clusters? ii. How did you control for clustering in considering a sample size? iii. What was the unit of analysis? iv. How did you decide on the number of students to participate in the study? For eg, did you estimate the figure statistically? Data Collection and analysis Qualitative study i. How did you derive the 21 supervisors? ii. What is the source of your data collection tools? iii. Quantitative study i. What was the source of quantitative data collection tool? ii. You mentioned the use of a Likert scale. How did you test for the internal reliability of items assessing the same variable? iii. How did you control for clustering at the data analysis stage? Training intervention i. How did you ensure that training was the same for the different intervention groups? ii. Did you assess the intervention fidelity to ensure that the interventions delivered were in adherence to the protocols of the study? Results It appears you statistically compared the outcomes within the boys groups with the outcomes within the girls group at some point. Such a comparison will require unpaired samples t-test and not a paired samples t-test. ********** 7. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files. If you choose “no”, your identity will remain anonymous but your review may still be made public. Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy. Reviewer #1: No Reviewer #2: No Reviewer #4: No [NOTE: If reviewer comments were submitted as an attachment file, they will be attached to this email and accessible via the submission site. Please log into your account, locate the manuscript record, and check for the action link "View Attachments". If this link does not appear, there are no attachment files to be viewed.] While revising your submission, please upload your figure files to the Preflight Analysis and Conversion Engine (PACE) digital diagnostic tool, https://pacev2.apexcovantage.com/. PACE helps ensure that figures meet PLOS requirements. To use PACE, you must first register as a user. Registration is free. Then, login and navigate to the UPLOAD tab, where you will find detailed instructions on how to use the tool. If you encounter any issues or have any questions when using PACE, please email us at figures@plos.org. Please note that Supporting Information files do not need this step.
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| Revision 2 |
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PONE-D-19-26714R2 Training intervention to improve hygiene practices in Islamic boarding school in Yogyakarta, Indonesia: a mixed-method study PLOS ONE Dear Prof Widyasari, Thank you for submitting your manuscript to PLOS ONE. After careful consideration, we feel that it has merit but does not fully meet PLOS ONE’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process. See comments below. We would appreciate receiving your revised manuscript by 18 April 2020. When you are ready to submit your revision, log on to https://www.editorialmanager.com/pone/ and select the 'Submissions Needing Revision' folder to locate your manuscript file. If you would like to make changes to your financial disclosure, please include your updated statement in your cover letter. To enhance the reproducibility of your results, we recommend that if applicable you deposit your laboratory protocols in protocols.io, where a protocol can be assigned its own identifier (DOI) such that it can be cited independently in the future. For instructions see: http://journals.plos.org/plosone/s/submission-guidelines#loc-laboratory-protocols Please include the following items when submitting your revised manuscript:
Please note while forming your response, if your article is accepted, you may have the opportunity to make the peer review history publicly available. The record will include editor decision letters (with reviews) and your responses to reviewer comments. If eligible, we will contact you to opt in or out. We look forward to receiving your revised manuscript. Kind regards, Andrew Soundy Academic Editor PLOS ONE Additional Editor Comments (if provided): Please make the minor revisions requested. Once this is achieved the paper will be accepted. [Note: HTML markup is below. Please do not edit.] Reviewers' comments: Reviewer's Responses to Questions Comments to the Author 1. If the authors have adequately addressed your comments raised in a previous round of review and you feel that this manuscript is now acceptable for publication, you may indicate that here to bypass the “Comments to the Author” section, enter your conflict of interest statement in the “Confidential to Editor” section, and submit your "Accept" recommendation. Reviewer #2: All comments have been addressed Reviewer #4: All comments have been addressed ********** 2. Is the manuscript technically sound, and do the data support the conclusions? The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented. Reviewer #2: Yes Reviewer #4: Yes ********** 3. Has the statistical analysis been performed appropriately and rigorously? Reviewer #2: Yes Reviewer #4: Yes ********** 4. Have the authors made all data underlying the findings in their manuscript fully available? The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified. Reviewer #2: Yes Reviewer #4: Yes ********** 5. Is the manuscript presented in an intelligible fashion and written in standard English? PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here. Reviewer #2: Yes Reviewer #4: Yes ********** 6. Review Comments to the Author Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters) Reviewer #2: Comments: 1. In Introduction Line 78-83, please add references the authors cites? 2. Line 90-92, why the authors selected mixed method? What they reasons? Regarding previous studies in Indonesian setting. 3. In method, because just one sites study, the authors should explain their limitation for generalization? 4. In qualitative study, please explain the saturation of data? How the researchers stop their interview for saturation data? 5. In FGD, are the authors conducted separately the FGD? How they divided the group? Related to saturation data? Any data observation? 6. Please add your limitation of study? Reviewer #4: An intervention research on the subject of hand hygiene is crucial especially at this time of a pandemic due to infectious disease. The authors have addressed my comments satisfactorily. ********** 7. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files. If you choose “no”, your identity will remain anonymous but your review may still be made public. Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy. Reviewer #2: No Reviewer #4: No [NOTE: If reviewer comments were submitted as an attachment file, they will be attached to this email and accessible via the submission site. Please log into your account, locate the manuscript record, and check for the action link "View Attachments". If this link does not appear, there are no attachment files to be viewed.] While revising your submission, please upload your figure files to the Preflight Analysis and Conversion Engine (PACE) digital diagnostic tool, https://pacev2.apexcovantage.com/. PACE helps ensure that figures meet PLOS requirements. To use PACE, you must first register as a user. Registration is free. Then, login and navigate to the UPLOAD tab, where you will find detailed instructions on how to use the tool. If you encounter any issues or have any questions when using PACE, please email us at figures@plos.org. Please note that Supporting Information files do not need this step.
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| Revision 3 |
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Training intervention to improve hygiene practices in Islamic boarding school in Yogyakarta, Indonesia: a mixed-method study PONE-D-19-26714R3 Dear Dr. Widyasari, We are pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it complies with all outstanding technical requirements. Within one week, you will receive an e-mail containing information on the amendments required prior to publication. When all required modifications have been addressed, you will receive a formal acceptance letter and your manuscript will proceed to our production department and be scheduled for publication. Shortly after the formal acceptance letter is sent, an invoice for payment will follow. To ensure an efficient production and billing process, please log into Editorial Manager at https://www.editorialmanager.com/pone/, click the "Update My Information" link at the top of the page, and update your user information. If you have any billing related questions, please contact our Author Billing department directly at authorbilling@plos.org. If your institution or institutions have a press office, please notify them about your upcoming paper to enable them to help maximize its impact. If they will be preparing press materials for this manuscript, you must inform our press team as soon as possible and no later than 48 hours after receiving the formal acceptance. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information, please contact onepress@plos.org. With kind regards, Andrew Soundy Academic Editor PLOS ONE Additional Editor Comments (optional): Reviewers' comments: Reviewer's Responses to Questions Comments to the Author 1. If the authors have adequately addressed your comments raised in a previous round of review and you feel that this manuscript is now acceptable for publication, you may indicate that here to bypass the “Comments to the Author” section, enter your conflict of interest statement in the “Confidential to Editor” section, and submit your "Accept" recommendation. Reviewer #2: All comments have been addressed ********** 2. Is the manuscript technically sound, and do the data support the conclusions? The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented. Reviewer #2: Yes ********** 3. Has the statistical analysis been performed appropriately and rigorously? Reviewer #2: Yes ********** 4. Have the authors made all data underlying the findings in their manuscript fully available? The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified. Reviewer #2: Yes ********** 5. Is the manuscript presented in an intelligible fashion and written in standard English? PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here. Reviewer #2: Yes ********** 6. Review Comments to the Author Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters) Reviewer #2: I studied revised manuscript, Thank you for the opportunity to review this manuscript. in my opinion, the authors have made all the required corrections and the article is acceptable. ********** 7. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files. If you choose “no”, your identity will remain anonymous but your review may still be made public. Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy. Reviewer #2: Yes: Tantut Susanto |
| Formally Accepted |
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PONE-D-19-26714R3 Training intervention to improve hygiene practices in Islamic boarding school in Yogyakarta, Indonesia: a mixed-method study Dear Dr. Widyasari: I am pleased to inform you that your manuscript has been deemed suitable for publication in PLOS ONE. Congratulations! Your manuscript is now with our production department. If your institution or institutions have a press office, please notify them about your upcoming paper at this point, to enable them to help maximize its impact. If they will be preparing press materials for this manuscript, please inform our press team within the next 48 hours. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information please contact onepress@plos.org. For any other questions or concerns, please email plosone@plos.org. Thank you for submitting your work to PLOS ONE. With kind regards, PLOS ONE Editorial Office Staff on behalf of Dr. Andrew Soundy Academic Editor PLOS ONE |
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