DNA in each density fraction is then purified and concentrated using a Hamilton Microlab STAR liquid handling robot, which we have programmed to partially automate PEG precipitations using a previously published protocol [], with modifications for 96-well plates. We configured our robot deck to process four plates; this allows a maximum of 16 SIP samples to be processed simultaneously .
Finally, the DNA concentration of each fraction is quantified with a PicoGreen fluorescence assay . Picogreen quantification plates are prepared in triplicate on a Hamilton Microlab STAR robot, where each plate contains a row for the standard curve. Samples are mixed with the PicoGreen reagent in a 96-well intermediate mixing plate, and then distributed into three 96-well PCR plates for fluorescence analysis.
To compare automated versus manual PEG precipitations, 4 μg soil DNA was added per density gradient. Automated precipitations were performed as described above. For manual precipitations, PEG precipitations were conducted in microcentrifuge tubes as previously described [ ] using published centrifuge speeds and times, which we note are faster than those used for our HT-SIP plate-based method.Absorption of DNA to polypropylene tubes can lead to substantial sample loss, especially for DNA in high ionic strength solutions, but this concern can be mitigated by adding non-ionic detergents [].
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Impact of the COVID-19 pandemic on timeliness and equity of measles, mumps and rubella vaccinations in North East London: a longitudinal study using electronic health recordsObjectives To quantify the effect of the COVID-19 pandemic on the timeliness of, and geographical and sociodemographic inequalities in, receipt of first measles, mumps and rubella (MMR) vaccination. Design Longitudinal study using primary care electronic health records. Setting 285 general practices in North East London. Participants Children born between 23 August 2017 and 22 September 2018 (pre-pandemic cohort) or between 23 March 2019 and 1 May 2020 (pandemic cohort). Main outcome measure Receipt of timely MMR vaccination between 12 and 18 months of age. Methods We used logistic regression to estimate the ORs (95% CIs) of receipt of a timely vaccination adjusting for sex, deprivation, ethnic background and Clinical Commissioning Group. We plotted choropleth maps of the proportion receiving timely vaccinations. Results Timely MMR receipt fell by 4.0% (95% CI: 3.4% to 4.6%) from 79.2% (78.8% to 79.6%) to 75.2% (74.7% to 75.7%) in the pre-pandemic ( n=33 226; 51.3% boys) and pandemic ( n=32 446; 51.4%) cohorts, respectively. After adjustment, timely vaccination was less likely in the pandemic cohort (0.79; 0.76 to 0.82), children from black (0.70; 0.65 to 0.76), mixed/other (0.77; 0.72 to 0.82) or with missing (0.77; 0.74 to 0.81) ethnic background, and more likely in girls (1.07; 1.03 to 1.11) and those from South Asian backgrounds (1.39; 1.30 to 1.48). Children living in the least deprived areas were more likely to receive a timely MMR (2.09; 1.78 to 2.46) but there was no interaction between cohorts and deprivation (Wald statistic: 3.44; p=0.49). The proportion of neighbourhoods where less than 60% of children received timely vaccination increased from 7.5% to 12.7% during the pandemic. Conclusions The COVID-19 pandemic was associated with a significant fall in timely MMR receipt and increased geographical clustering of measles susceptibility in an area of historically low and inequitable MMR coverage. Immediate action is needed to avert measles outbreaks and sup
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