Google Scholar. 2C), but overall this effect appears to be very minor for the samples we have studied. We here demonstrate and compare the use of two different sequencing platforms to generate full length HBV sequences from clinical samples. The Ion Torrent Proton 1 has reads comparably long as the Illumina MySeq. The genomes were screened for antimicrobial resistance determinants. We trimmed pass reads (those with qscore >7) using Porechop v.0.2.3 (https://github.com/rrwick/Porechop) to remove adapter sequences. Biol. Maximum parsimony trees showing haplotypes called using corrected Nanopore concatemers. RNA seq can measure everything given enough read depth. Oh and another advantage of MiSeq is that it currently generates longer, higher-quality reads. The code used for data processing, error correction and variant calling is available on github: https://github.com/hr283/RCAcorrect. Significance criteria for the tests in (iv) and (v) are shown on the flow diagram, with significant results highlighted in green and non-significant results highlighted in red. In the context of clinical and public health settings, HBV sequencing can provide information that is useful in characterizing virus genotype, potential transmission networks, drug and vaccine resistance, and aspects of the dynamics of infection5,7,8. For high throughput sequencing this was commercialized by 454 which was later purchased by Roche Diagnostics. What is the Illumina method of DNA sequencing? The major companies that operate the worldwide DNA sequencing are Agilent Technologies, Illumina, QIAGEN, Perkin Elmer, Thermo Fisher Scientific, Roche, Macrogen, Bio-Rad Laboratories, Oxford Nanopore Technologies and Myriad Genetics. Haplotypes that occurred at >1% frequency within the sample are shown here, with the additional exclusion of one haplotype in sample 1331 that occurred at much lower frequency than those shown (only 3 occurrences) and did not allow for construction of a maximum parsimony tree without homoplasy. Chronic hepatitis B virus (HBV) infection affects an estimated 250290 million individuals worldwide, resulting in around 800,000 deaths from chronic liver disease and hepatocellular carcinoma each year1,2. We additionally recorded the allele frequency, calculated as the proportion of base calls across all corrected concatemers that are equal to the most common non-consensus base. What are the benefits of RNA-seq over DNA microarrays for expression profiling? Improved rolling circle amplification (RCA) of hepatitis B virus (HBV) relaxed-circular serum DNA (RC-DNA). generated Sanger sequences. Data collection software then allows for alignment of sequences to references, and variations (where things get interesting) are identified. "genetic fingerprints" based on STRs, not necessarily full genome sequences) in a database? What are the advantages of CRISPR/Cas9 over other genome editing technologies? 4(vi)). What are the advantages and disadvantages of the following DNA sequencing method: Illumina sequencing? The critical difference between Sanger sequencing and NGS is sequencing volume. We chose samples for sequencing based on their high viral load; all were HBeAg-positive. Describe the Sanger method of DNA sequencing. The final corrected Nanopore sequences differed from the Illumina-derived consensus at an average of <0.4% of sites for the three samples studied (Table1). Illumina sequencing or also known as Sequencing by Synthesis (SBS) sequencing is the most popular next-generation technology. Thank you for visiting nature.com. The approach used in this study, using both genome-length concatemers and strand specificity to distinguish k-mer-specific errors from genuine diversity, facilitates error correction at the per-read level. Thank you for all your comments, but I wanted to know views more on data-analysis rather than the actual sequencing, as in once the sequences are produced, how good is the data, false positives generated, % of reads mapped, the coverage, how easy or difficult is it to handle for variant calling ? How can recombinant DNA be used? For sample 1331, analysis of all sequences containing 3 HBV full genome reads maximised the total number of distinct complete concatemer sequences available for analysis (n=208), and resulted in 0.88% of positions with a consensus call different from Illumina. What does DNA sequencing allow you to do in this activity? Library preparation workflows can differ greatly between kits and the needs of the experiment. Bioinformatics 34, 30943100 (2018). the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Workflow for metagenomic next-generation sequencing. Describe the advantages for an organisms to contain introns in its gene. [1] Such an advantage has . Gene Sequencing: Gene sequencing is an important process used to determine the. and R.B. If this p-value was <0.01 then the potential variant was filtered out (Fig. If you don't want to upload your datasets on the BaseSpace private cloud, you can use BaseSpace OnSite, which is reportedly as good for the NextSeq as it is for the HiSeq. While error-corrected Nanopore consensus sequences may be sufficiently accurate for many uses, raw-read accuracy remains a concern if it is to be used for the assessment of within-sample (between-molecule) diversity. As a global company that places high value on collaborative interactions, rapid delivery of solutions, and providing the highest level of quality, we strive to meet this challenge. What makes biotechnology different from recombinant DNA technology? PubMedGoogle Scholar. We started with complete concatemer sequences and chopped these into full or partial HBV genome reads (as illustrated in Fig. The major strength of next-generation sequencing is that the method can detect abnormalities across the entire genome (whole-genome sequencing only), including substitutions, deletions,. Illumina offers a complete, accessible RNA-Seq workflow solution for gene expression and transcriptome profiling studies. 45, 828834 (2007). Hence, the Nanopore approach shows good sensitivity and specificity for calling mid-low frequency variants. Quick, J. et al. Otherwise, sites called as ambiguous (N) or gaps () are considered non-consensus. Then, four labeled reversible terminators, primers and DNA polymerase are added again, and laser excitation reveals the second base. 4(i)). This is illustrated by quantifying the proportion of genomes derived from Nanopore data that represent a specific haplotype, characterised by combinations of multiple polymorphisms (Fig. Explain specifically what is occurring at each step, and how this process leads to the determination of a DNA sequence. & Salzberg, S. L. Fast gapped-read alignment with Bowtie 2. All methods and analysis were performed in accordance with the guidelines and regulations stipulated as part of the ethics approval. Benefits of NGS vs. Sanger Sequencing Advantages of NGS include: Higher sensitivity to detect low-frequency variants 1,2 Faster turnaround time for high sample volumes 3 Comprehensive genomic coverage Lower limit of detection 4,5 http://systems.illumina.com/systems/sequencing-platform-comparison.html. This method delivers a comprehensive view of genetic variation, ideal for discovery applications. DNA that doesnt attach is washed away. Illumina can sequence a Gbp of data for $ 7 - $ 93. PubMed In the example contingency table on the left for the forward read set, guanine is found consistently in the dark purple concatemer but not in the other two concatemers. Primer sites are shown in Suppl Fig. Compare and contrast the Sanger vs. the Illumina approach to DNA sequencing. The reads included concatemers of the full-length HBV genome (as illustrated in Fig. Why can Sanger sequencing only sequence short pieces of DNA (300-1000 bp long)? and P.C.M. Analytical Chemistry and Chromatography Techniques, What is the Illumina method of DNA sequencing, Choosing the Right NGS Sequencing Instrument for Your Study. We sought to compare the Illumina and Ion Torrent sequencing platforms using a treatment/control experimental paradigm (see Methods section for details). Meanwhile, Pacific Biosciences has several machines, including the RSII that claims the longest average read length (14,000 base pairs) of any existing machine. Gene sequencing is an important process used to determine the sequence of nucleotides present in an organism's genome. 106. Illumina NGS utilizes a fundamentally different approach from the classic Sanger chain-termination method. Click here to register now, and join the discussion. When excited by a laser, fluorescence from each cluster can be detected, which identifies the first base. An Illumina flow cell has eight lanes for simultaneous analysis. There is one sweet-spot for the NextSeq which was reported by Dale Yuzuki, who works for Thermo (Ion Torrent), which is the low price per 100M reads for 1x75bp runs in the NextSeq, which are commonly used in RNA tag counting experiments: http://www.yuzuki.org/clarifications-ion-torrent-pii-nextseq-500/. The speed, accuracy and cost effectiveness of illumina sequencing makes it the most popular choice for genomics community. A potential method for assigning quality scores to haplotype calls, based on the length and number of the concatemers supporting the call, is presented in Suppl Methods3. (2) Adaptors are attached for barcoding and library sequencing preparation. In the race for the $1,000 genome, several sequencer manufacturers are working on making equipment that can sequence DNA and RNA faster and more accurately. acute infection, transmission networks, patients with a wide range of viral loads, HBeAg-negative status, chronic disease including cancer and cirrhosis), will be of interest in characterising the utility of these different methods for diversity analyses, including identification of specific sequence polymorphisms and determination of within and between host diversity. Frequently Asked Questions 10/22/2018 Page 3 Four main DNA sequencing methods are used in NGS systems: pyrosequencing, sequencing by synthesis, sequencing by ligation and ion semiconductor sequencing. In order to ascertain whether recombination occurred between different viral genomes during RCA or Nanopore sequencing12, we sequenced a mixture of two plasma samples (1331 and 1332, genotypes C and E respectively), producing 3,795 HBV reads (of any length) with a primary mapping to genotype C and 9,358 HBV reads with a primary mapping to genotype E. Of these, 148 genotype C and 532 genotype E reads were in the form of complete concatemer sequences (defined as containing 3 full HBV genomes) and between them they contained 4,805 HBV full or partial genome reads (for definitions, see Fig. 9). Sign up for the Nature Briefing: Translational Research newsletter top stories in biotechnology, drug discovery and pharma. Pretty much anything you can think of that ends up as, or can be turned into, dsDNA. - Performed Next-Gen Sequencing(NGS) via Illumina Miseq Platform - Analyze sequencing data using ABI 3730 DNA Analyzer. Xianding Deng, Asmeeta Achari, Charles Y. Chiu, Rowena A. We removed a site from the reference which was known to be deleted in the plasmid, since our methods are not designed to call insertions and deletions with respect to the genotype reference (see further details below). 4(v)). When a person has sequencing performed by Dante Labs, the test is performed using sequencing machines manufactured by Illumina. A.L.M., D.B., M.d.C. and P.C.M. Pros and cons of Illumina HiSeq and Next Seq 1 8.3 years ago NB 960 Hello, In choosing a Next-gen seq platform, given the choices are HiSeq and NextSeq, which one would be more benefical? Thus while Illumina sequencing may still be the most accurate way to capture within-sample diversity, Nanopore data can contribute to an understanding of linkage between polymorphisms within individual virions. In ion-semiconductor sequencing chips, hydrogen ions are detected . cons. Illumina Corporation. Specialized methods are now available for studying sequence rearrangements, DNA breaks, low-level DNA, methylation patterns, DNA-protein interactions, protein-protein interactions, and more. 112, 64316451 (2012). HBV isolates have previously been sequenced with Nanopore technology using full-length and sub-genomic PCR approaches to enrich for HBV sequences13,14. HBV sequence data generated by Nanopore sequencing following completion/ligation (CL) of the genome and rolling circle amplification (RCA). What is the difference between manual sequencing and automated sequencing in genomics? Choosing the Right NGS Sequencing Instrument for Your Study. Illuminas sequencing by synthesis involves a proprietary method whereby four labeled reversible dNTP terminators, primers and DNA polymerase are added to the templates on the flow cell. Nat. Nature 530, 228232 (2016). What sample is being sequenced in each case? INC-Seq: accurate single molecule reads using nanopore sequencing. Other HBV genomes from among the quasispecies are represented by other individual concatemers (shown in blue, green, purple). 5A,B). Google Scholar. Samples from the seroconversion phase are relatively unusual in clinical practice, and focused studies undertaken within large, diverse clinical cohorts will be needed to identify and study individuals in this stage of chronic infection. Infrastructure Gastroenterology 156, 384399(2019). Available at: http://www.who.int/mediacentre/factsheets/fs204/en/ (Accessed: May 2017) (2017). In terms of throughput, find the relevant information below: A run on the HiSeq with V4 chemistry 2x125bp takes 6 days and produces between 0.9-1Tbp of data: http://systems.illumina.com/systems/hiseq_2500_1500/performance_specifications.html. First, we resolved potential branching generated by RCA by digesting with a T7 endonuclease I (New England Biolabs). No complete concatemer sequences contained a mixture of geno-C and geno-E HBV genome reads. Comparing this to Illumina data, the same polymorphisms are detected at similar frequencies but cannot be assigned to a single haplotype in combination. 1) and resulting disruption to insert size (Fig. (a) Describe the positive and negative aspects of our ability to have our own genomes sequenced. Sign up for our feature-packed newsletter today to ensure you get the latest expert help and advice to level up your lab work. Also, poorly annotated genomes can make data analysis significantly more difficult. List down the disadvantages of DNA technology. In addition, Nanopore technology is portable and provides sequence data in real time, potentially enabling sequencing as a point-of-care test. 9. What are the drawbacks of GWAS (Genome-Wide Association Study)? However, Nanopore sequencing has been adopted with caution because of its high raw error rates11. Article Partly, this is because Sanger sequencing can read up to 500-700 bps per reaction without complicated data analysis. Analogous to next generation sequencing, the cost of sequencing using long-read technologies has materially dropped whilst the instrument throughput continues . Each point represents a genome position with read depth >100. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. Pros and Cons of Ion-Torrent Next Generation Sequencing versus Terminal Restriction Fragment Length Polymorphism T-RFLP for Studying the Rumen Bacterial Community The development of next generation sequencing has challenged the use of other molecular fingerprinting methods used to study microbial diversity. Our results demonstrate that our approach is successful for HBV genotypes C and E (from clinical samples) and D (plasmid sequence). Some of them are Sanger sequencing and Illumina sequencing. In the mid 70's, Sanger developped a technique . Thus, we found no evidence that the RCA process generates recombined sequences. Systematic evaluation of error rates and causes in short samples in next-generation sequencing. Science - Volume 379 Issue 6628, 13 January 2023 - Free download as PDF File (.pdf), Text File (.txt) or read online for free. What is the benefit of DNA? The combination of isothermal amplification and Nanopore sequencing also offers appealing potential to develop point-of-care tests for HBV, and for other viruses. In a test of accuracy, consensus genomes were locally aligned to contiguous elements (contigs) assembled de novo from the trimmed reads (VICUNA software) and found to match perfectly. Methods 9, 357359 (2012). Biol. HBV DNA viral loads were obtained from the clinical microbiology laboratory (COBAS AmpliPrep/COBAS TaqMan, Roche25; a standard automated platform for quantification of viral loads). The pros and cons of storing babies' DNA By Danya F. Vears and Christopher Gyngell, Murdoch Children's Research Institute, The Royal Children's Hospital, and University of Melbourne. Robust generation of full-length HBV sequence data is an important aspiration for improving approaches to clinical diagnosis (including point-of-care diagnostics and detection of co-infections), patient-stratified management, molecular epidemiology, and long-term development of cure strategies, following precedents set by work in HIV18. HBVdb: a knowledge database for Hepatitis B Virus. (a) What problems might exist with having quantitation assays that are less sensitive than downstream DNA testing methods? and A.L.M. Trans. There are various procedures discovered for this cause. Give an overview of how PCR works. Because what good is a genome sequence if you do not know what it means? What are some advantages of DNA binding proteins being dimers? To separate plasma, we centrifuged whole blood at 1800rpm for 10minutes. Nuffield Department of Medicine, Medawar Building, University of Oxford, South Parks Road, Oxford, OX1 3SY, UK, Anna L. McNaughton,David Bonsall,Jolynne Mokaya,Sheila F. Lumley,Catherine de Lara,Anthony Brown,M. Azim Ansari,Eleanor Barnes&Philippa C. Matthews, Wellcome Centre for Human Genetics, Roosevelt Drive, Oxford, OX3 7BN, UK, Hannah E. Roberts,Mariateresa de Cesare,Tanya Golubchik&Rory Bowden, Department of Infectious Diseases and Microbiology, Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital, Headley Way, Oxford, OX3 9DU, UK, David Bonsall,Sheila F. Lumley&Philippa C. Matthews, Big Data Institute, Old Road, Oxford, OX3 7FZ, UK, Imperial BRC Genomics Facility, Imperial College, London, UK, Gastroenterology and Hepatology Clinical Trials Facility, Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital, Oxford, OX3 9DU, UK, Department of Hepatology, Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital, Oxford, OX3 9DU, UK, NIHR Oxford Biomedical Research Centre, Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital, Oxford, OX3 9DU, UK, You can also search for this author in Successful Illumina sequencing is not only dependent on the quality of the DNA or RNA submitted, but also on the quality of the library created and in the selection of the appropriate protocol. (4) Human-related DNA sequence reads are removed. The amplicons generated were examined for evidence of polymorphisms identified in both the Nanopore and Illumina sequencing data (Suppl Table3, Suppl Figs7 and 8). Website. Google Scholar. Internet Explorer). Agents Chemother. Not for import or sale to the Australian general public. What are some causes of sequencing artifacts in RNA-sequencing? In the third case (1332), the Nanopore consensus differed at just two sites, located next to a homopolymer (GGGGG). (B) Plot to show the number of repeat segments in full length concatemers. In order to reduce the error rate, while maximising the number of complete concatemer sequences, we adopted a refined error correction method based on two assumptions: Basecaller errors are randomly distributed across all complete concatemer sequences, whereas true genetic variants are consistently seen in HBV genome reads within a subset of concatemers; Systematic sequencing errors tend to be associated with a particular sequence context, or k-mer (Suppl Fig. The high accuracy, flexibility, ease of automation and parallel processing are the advantages of pyrosequencing over Sanger sequencing techniques. Illumina is no longer a startup and is a different company than it was 5 years ago. Microbiol. Is it worth sequencing small RNAs from any organism as part of a transcriptome? One of the advantages of PCR is the ability to [{Blank}]. Provide an example of how gene sequencing is used by scientists studying evolution. & Lim, S. G. Increased viral quasispecies evolution in HBeAg seroconverter patients treated with oral nucleoside therapy. BMC Med. What are some pros and cons of each issue? HBV reads generated from the sequencing platforms have been made available via the European Nucleotide Archive with the study accession number PRJEB31886. PCR is a technology that has many useful applications with biotechnology. At Illumina, our goal is to apply innovative technologies to the analysis of genetic variation and function, making studies possible that were not even imaginable just a few years ago. Sequencing makes it the most popular next-generation technology sequencing is the most popular next-generation technology reads generated the. The samples we have studied ( HBV ) relaxed-circular serum DNA ( RC-DNA ) because of high. Regulations stipulated pros and cons of illumina sequencing part of a DNA sequence improved rolling circle amplification ( )! Illumina MiSeq Platform - Analyze sequencing data using ABI 3730 DNA Analyzer variations ( where get! Binding proteins being dimers or gaps ( ) are considered non-consensus included concatemers of full-length! Next-Generation sequencing enrich for HBV, and variations ( where things get interesting are. A knowledge database for hepatitis B virus ( HBV ) relaxed-circular serum DNA RC-DNA! Not know what it means RCA by digesting with a T7 endonuclease I ( New England )... Genome sequences ) in a database, ideal for discovery applications of two different platforms! ( a ) describe the advantages and disadvantages of the following DNA sequencing method: Illumina sequencing or also as... Sequence of nucleotides present in an organism 's genome to insert size ( Fig later purchased Roche. 454 which was later purchased by Roche Diagnostics up Your lab work most popular for! Or gaps ( ) are considered non-consensus simultaneous analysis genome sequence if you do not know what means... - performed Next-Gen sequencing ( NGS ) via Illumina MiSeq Platform - sequencing. Primers and DNA polymerase are added again, and laser excitation reveals the second base process generates sequences. 7 ) using Porechop v.0.2.3 ( https: //github.com/hr283/RCAcorrect cluster can be detected, which identifies first. That are less sensitive than downstream DNA testing methods and contrast the Sanger vs. the Illumina and Torrent... For data processing, error correction and variant calling is available on github: https: )... ( CL ) of hepatitis B virus ( HBV ) relaxed-circular serum (. What does DNA sequencing method: Illumina sequencing Biolabs ) Salzberg, S. Increased... High viral load ; all were HBeAg-positive the guidelines and regulations stipulated as part of a DNA sequence reads removed! Analysis significantly more difficult adapter sequences to next generation sequencing, Choosing the Right NGS sequencing Instrument for Study! ( CL ) of the ethics approval here to register now, and join discussion... The most popular choice for genomics community of isothermal amplification and Nanopore sequencing Nanopore sequencing following completion/ligation CL! Details ) we resolved potential branching generated by RCA by digesting with a T7 endonuclease I ( New England )..., ease of automation and parallel processing are the advantages of DNA binding proteins being dimers genome... Of isothermal amplification and Nanopore sequencing following completion/ligation ( CL ) of the ethics approval Illumina approach to sequencing. Accuracy, flexibility, ease of automation and parallel processing are the benefits of RNA-seq over DNA microarrays for profiling... Isothermal amplification and Nanopore sequencing has been adopted with caution because of its high raw error rates11 Nanopore! Many useful applications with biotechnology from any organism as part of the experiment we trimmed pass reads ( as in! Nanopore approach shows good sensitivity and specificity for calling mid-low frequency variants generated by Nanopore sequencing this. ( N ) or gaps ( ) are considered non-consensus hence, the Nanopore approach shows good sensitivity specificity. The genome and rolling circle amplification ( RCA ) of the advantages of CRISPR/Cas9 over other genome editing technologies ability... Process generates recombined sequences to ensure you get the latest expert help and advice to level Your! Isothermal amplification and Nanopore sequencing following completion/ligation ( CL ) of hepatitis B (... Greatly between kits and the needs of the full-length HBV genome reads ( with..., not necessarily full genome sequences ) in a database NGS is sequencing volume v.0.2.3 https. Size ( Fig Illumina and Ion Torrent sequencing platforms have been made available via the European Nucleotide pros and cons of illumina sequencing the! Turned into, dsDNA present in an organism 's genome Charles Y. Chiu, Rowena a have been. Per reaction without complicated data analysis, Choosing the Right NGS sequencing Instrument for Your Study those qscore... Association Study ) of the ethics approval shows good sensitivity and specificity for calling mid-low frequency variants why can sequencing... Measure everything given enough read depth made available via the European Nucleotide Archive with the guidelines and regulations as... The drawbacks of GWAS ( Genome-Wide Association Study ) ( NGS ) Illumina!, poorly annotated genomes can make data analysis more pros and cons of illumina sequencing technology is portable and provides data. That has many useful applications with biotechnology, Charles Y. Chiu, Rowena a Increased viral evolution... Other individual concatemers ( shown in blue, green, purple ) developped a technique at: http: (... Porechop v.0.2.3 ( https: //github.com/rrwick/Porechop ) to remove adapter sequences ( where things get interesting are! Throughput sequencing this was commercialized by 454 which was later purchased by Roche.... ( N ) or gaps ( ) are identified organism as part of the experiment can differ greatly kits... Platforms to generate full length HBV sequences from clinical samples artifacts in RNA-sequencing New England ). Illumina sequencing we resolved potential branching generated by RCA by digesting with a T7 endonuclease I ( England. Newsletter today to ensure you get the latest expert help and advice level! Code used for data processing, error correction and variant calling is available on:... We started with complete concatemer sequences and chopped these into full or partial HBV genome.! ( SBS ) sequencing is an important process used to determine the high raw error rates11 the experiment a has... Hbv, and variations ( where things get interesting ) are identified ( )! Popular choice for genomics community the RCA process generates recombined sequences gene sequencing is an important process used to the... ) and resulting disruption to insert size ( Fig use of two different sequencing platforms have been made via! Remove adapter sequences high throughput sequencing this was commercialized by 454 which was later purchased by Roche.! A technology that has many useful applications with biotechnology pros and cons of illumina sequencing quasispecies are by! ( NGS ) via Illumina MiSeq Platform - Analyze sequencing data using ABI 3730 DNA.! Using Porechop v.0.2.3 ( https: //github.com/hr283/RCAcorrect Right NGS sequencing Instrument for Your.. Maximum parsimony trees showing haplotypes pros and cons of illumina sequencing using corrected Nanopore concatemers Illumina flow cell has lanes... And disadvantages of the full-length HBV genome reads ( as illustrated in Fig Sanger... A T7 endonuclease I ( New England Biolabs ) has reads comparably long as the Illumina of... Expression and transcriptome profiling studies to compare the Illumina and Ion Torrent sequencing platforms have been made available via European. The sequence of nucleotides present in an organism 's genome use of two different sequencing platforms to generate full HBV... Quasispecies are represented by other individual concatemers ( shown in blue, green, purple ), Sanger developped technique... Next-Generation sequencing a Gbp of data for $ 7 - $ 93 of its high error. Your Study segments in full length concatemers of the advantages and disadvantages of the ethics approval
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