Date post: | 04-Apr-2018 |
Category: |
Documents |
Upload: | ccareemail |
View: | 214 times |
Download: | 0 times |
of 14
7/30/2019 Simon-Thomas et al.
1/14
Dg iFXE s}pmu li odxega ys s`ci&ilops mpxegaegmpo`m olf~dsselg dgm ~xem`
@fecedgd X' _eflg&]blfds#4 Jdkph Almzek#8 @cezdh`}b Ods}c`#? Lcad Dg}lg`gkl#= Dpx`ce` ^lgz#=
Dc`ksdgm`x Kladg#= dgm Mdob`x J' K`c}g`x=4]b` O`g}`x ilx Olf~dsselg dgm Dc}xpesf X`s`dxob dgm @mpod}elg# _}dgilxm Pgey`xse}u# _}dgilxm# Odceilxged# P_D# 8M`~dx}f`g} li
F`meoeg`# Qdsbega}lg Pgey`xse}u# _}' Clpes# Fesslpxe# P_D# ?M`~dx}f`g} li ^suoblclau# Pgey`xse}u li Odceilxged# Cls Dga`c`s# Cls Dga`c`s#
OD# P_D# dgm =M`~dx}f`g} li ^suoblclau# Pgey`xse}u li Odceilxged# H`xk`c`u# H`xk`c`u# Odceilxged# P_D
]bes s}pmu `rdfeg`m g`pxdc do}eyd}elg mpxega }b` `r~`xe`go` li olf~dsselg# dg `fl}elg }bd} lxe`g}s ~`l~c` }lqdxm ypcg`xdhc`
l}b`xs dgm ~xlf~}s odx`aeyega# dgm ~xem`# d s`ci&ilops`m `fl}elg }bd} seagdcs egmeyempdc s}x`ga}b dgm b`eab}`g`m s}d}ps'
Ipgo}elgdc fdag`}eo x`slgdgo` efda`s "iFXE% q`x` dotpex`m ds ~dx}eoe~dg}s ye`q`m 00 s olg}egplps s`tp`go`s li scem`s }l
egmpo` `e}b`x olf~dsselg lx ~xem`# ~x`s`g} m eg dc}`xgd}elg qe}b s`tp`go`s li g`p}xdc scem`s' @fl}elg s`ci&x ~lx} md}d q`x`
olcc`o}`m di}`x `dob scem` olgme}elg qe}beg }b` iFXE sodgg`x' Olf~dsselg egmpo}elg qds dssloed}`m qe}b do}eyd}elg eg }b`
femhxdeg ~`xedtp`mpo}dc axdu "^DA%# d x`aelg }bd} es do}eyd}`m mpxega ~deg dgm }b` ~`xo`~}elg li l}b`xs ~deg# dgm }bd} bds
h``g ef~ceod}`m eg ~dx`g}dc gpx}pxdgo` h`bdyelxs' ^xem` egmpo}elg `gada`m }b` ~ls}`xelx f`medc olx}`r# d x`aelg }bd} bds h``g
dssloed}`m qe}b s`ci&x`i`x`g} ~xlo`ssega' _`ci&x`~lx}s li olf~dsselg `r~`xe`go` q`x` olxx`cd}`m qe}b egox`ds`m do}eyd}elg eg d
x`aelg g`dx }b` ^DA# dgm eg }b` xeab} egi`xelx ixlg}dc auxps "EIA%' _`ci&x`~lx}s li ~xem` `r~`xe`go`# eg olg}xds}# q`x` olxx`cd}`m qe}bx`mpo`m do}eyd}elg eg }b` EIA dgm }b` dg}`xelx egspcd' ]b`s` x`spc}s ~xlyem` ~x`cefegdxu `yem`go` }lqdxms pgm`xs}dgmega }b`
g`pxdc olxx`cd}`s li ef~lx}dg} eg}`x~`xslgdc mef`gselgs li olf~dsselg dgm ~xem`' Odxega "olf~dsselg% dgm s`ci&ilops "~xem`% fdu
x`~x s`g} olx` d~~xdesdcs }bd} meii`x g}ed}` }b` x`s~lgs` ~xliec`s li fdgu `fl}elgs'
K`uqlxms: gpx}pxega; s`ci&ilops; odx`aeyega; femhxdeg ~`xedtp`mpo}dc axdu; ~ls}`xelx f`medc olx}`r
EG]XLMPO]ELG
Olf~dsselg dgm ~xem` x`~x`s`g} g`q ixlg}e`xs li egtpexu
eg dii`o}ey` soe`go`' Olf~dsselg es dg l}b`x&lxe`g}`m `fl&
}elgdc x`s~lgs` }l ~`xo ey`m spii`xega }bd} egylcy`s qdg}&
ega }l odx` ilx }bls` eg g``m "Al`}z `} dc'# 8>4>%' ^xem`# egolg}xds}# es d s`ci&lxe`g}`m s}d}` x`s~lgsey` }l do}elgs }bd}
`c`yd} egmeyempdc lx eg&axlp~ s}d}ps "]xdou dgm Xlhegs#
8>>=# 8>>1%' @f~exeodc s}pme s bdy` h`apg }l mlopf`g}
blq }b`s }ql `fl}elgs dx` dssloed}`m qe}b meii x`g}
glg&y`xhdc seagdcs "]xdou dgm Xlhegs# 8>>=; B`x}`gs}`eg
`} dc'# 8>>9; _eflg&]blfds `} dc'# 8>>5% dgm flm`s li }begk&
ega dhlp} x`cd}elgs h`}q``g }b` s`ci dgm l}b`xs "Ly`es `} dc'#
8>4>%' ]b s` meii`x g} ceg`s li egtpexu spaa`s} }bd} olf&
~dsselg es m`ieg`m hu d odxega lxe`g}d}elg d} }b` c`y`c li
seagdc h`bdyelx dgm sloedc olage}elg "dg egox`ds`m s`gs`
li sefecdxe}u }l l}b`xs% qb`x`ds ~xem` es m`ieg`m hu dg egme&
yempd}ega# xdgk&x cd}`m s`ci&ilops' Eg }b` ~x s`g} egy`s&
}ead}elg q` `rdfeg` qb`}b`x s~`oeieo g`pxdc sus}`fssp~~lx} }b` olx` ~xl~`x}e`s li }b`s` }ql s}d}`s: odxega ys
s`ci&ilops'
Olf~dsselg dgm odxega: ~x`meo}elgs li g`pxdc
olxx`cd}`s
Eg }b` ~x`s`g} x`s`dxob# q` dx` apem`m hu dg d~~xdesdc }`g&
m`gou d~~xldob }l `fl}elg# qbeob ~lse}s }bd} mes}ego} `fl&
}elgs dx` m`ieg`m hu olx` d~~xdesdcs "_fe}b dgm @ccsqlx}b#
4520; Cdzdxps# 4554; C`xg`x dgm K`c}g`x# 8>>4%' Ilx `rdf~c`#
dga`x es m`ieg`m hu d s`gs` li pgidexg`ss odps`m hu l}b`xs
eg}`g}elgdc do}elgs' @fl}elg&s~`oeieo d~~xdesdcs sbd~` blq
`fl}elgs egicp`go` meii`x`g} kegms li olage}elg "K`c}g`x dgm
C`xg`x# 8>4>%# dgm ~x`spfdhcu }b` g`pxdc sus}`fs `gada`m
mpxega d ~dx}eopcdx `fl}elg'Qe}beg dg d~~xdesdc ixdf`qlxk# olf~dsselg es m`ieg`m hu
}ql olx` ~xlo`ss`s: }b` `f~d}beo x`olage}elg li dgl}b`xs
spii`xega dgm }b` fl}eyd}elg }l odx` ilx dgl}b`x "Cdzdxps#
4554; Al`}z# `} dc'# 8>4>%' Ef~lx}dg}cu# }bes olgo`~}pdc dgd&
cuses mes}egapesb`s `f~d}bu# qbeob egylcy`s fexxlxega dgm
em`g}eiuega dgl}b`xs s}d}`# ixlf olf~dsselg# qbeob dcsl eg&
ylcy s odx`aeyega fl}eyd}elg }l x`mpo dgl}b xs spii xega"Hd}slg dgm _bdq# 4554%' ]bes olgo`~}pdc dgdcuses# ds q`cc
ds s`c`o} g`pxlsoe`go` iegmegas# s`} }b` s}da` ilx ~x`meo}elgs
olgo`xgega }b` g`pxdc olxx`cd}`s li olf~dsselg# mes}eg&
apesb`m hu e}s olx` }b`f` li odxega']b` `f~d}beo x`s~lgs` }l dgl}b`x ~`xslgs spii`xega es }b`
iexs} s}da` li olf~dsselg "Hd}slg dgm _bdq# 4554%' Hu ef&
~ceod}elg# `f~d}bu&x`cd}`m g`pxdc ~xlo`ss`s fdu h` do}eyd}`m
mpxega `r~`xe`go`s li olf~dsselg' Qe}beg }b` g`pxlsoe`go`
ce}`xd}px` s`y`xdc kegms li `f~d}bu bdy` h``g egy`s}ead}`m#
X`o`ey`m 81 D~xec 8>44; Doo`~}`m 88 Jpg` 8>44
]bes qlxk bds h``g sp~~lx}`m hu ]b` ]`f~c`}lg Dmydgo`m X`s`dxob ^xlaxdf# s~lgslx`m hu }b` F`}dg`rps
Egs}e}p}` lg X`ceaelg# _oe`go dgm }b` Bpfdge}e`s# qe}b }b` a`g`xlps sp~~lx} li }b` Jlbg ]`f~c`}lg
Ilpgmd}elg'
Olxx s~lgm go` sblpcm h` dmmx`ss`m }l @fecedgd _eflg&]blfds# ?>9 Jlxmdg Bdcc# ]b` O`g} x ilx
Olf~dsselg dgm Dc}xpesf X`s`dxob dgm @mpod}elg# _}dgilxm Pgey`xse}u# _}dgilxm# OD 5=?>0# P_D'
@&fdec: seflg}blfdsNs}dgilxm'`mp
mle:4>'4>5?,sodg,gsx>=0 _ODG "8>44% 4 li 4=
]b Dp}blx "8>44%' ^phcesb`m hu Lrilxm Pgey`xse}u ^x`ss'Ilx `xfesselgs# ~c`ds `fdec: jlpxgdcs'~`xfesselgsNlp~'olf
_loedc Olage}ey` dgm Dii`o}ey` G`pxlsoe`go` Dmydgo` Doo`ss ~phcesb`m _`~}`fh`x 9# 8>44
7/30/2019 Simon-Thomas et al.
2/14
xdgaega ixlf }b` i``cegas ~xlmpo`m hu dp}lfd}eo fexxlxega#
sefpcd}elg lx `fhlmef`g} li l}b`x ~`l~c`s i``cegas "dii`o}&
ey` `f~d}bu% }l pgm`xs}dgmega l}b`x ~`l~c`s f`g}dc s}d}`s
"olage}ey` `f~d}bu%# }u~eodccu ds }b` l}b`x ~`l~c` `r~`xe&
`go` egiceo}`m ~deg "M`o`}u dgm Jdokslg# 8>>=; _ega`x# 8>>9;
_ega`x dgm Cdff# 8>>5; Bllk`x `} dc'# 8>4>; X`ge`xs `} dc'#
8>44%' ]b`s` s}pme`s# qbec` ue`cmega ydxed}elg eg o`x}deg ~d}&}`xgs li g`pxdc do}eyd}elg# ml olgy`xa` lg qbd} slf` olg&
sem`x dg `f~d}bu g`}qlxk' ]bes g`}qlxk }u~eodccu egocpm`s:
}b` egspcd# femhxdeg x`aelgs# }b` oegapcd}` olx}`r# }b` dg}`x&
elx }`f~lxdc olx}`r# s`gslxefl}lx olx}`r# }b` egi`xelx ixlg}dc
auxps "EIA%# }b` f`medc ~x`ixlg}dc olx}`r "f^IO%# }b` sp&
~`xelx }`f~lxdc spcops dgm auxps dgm }`f~lxdc ~dxe`}dc
olx}`r "]^O% dx`ds' Eg}`x`s}egacu# egmeyempdcs s`ci&x`~lx}`m
i``cegas li `f~d}bu# ds q`cc ds }b` }`gm`gou }l i``c `f~d}b&
`}eo eg mdecu cei`# ~x`meo} ax`d}`x do}eyd}elg eg o`x}deg x`aelgs
li }b` `f~d}bu g`}qlxk}bls` }u~eodccu egylcy`m eg x`~x`&
s`g}ega dgm ~xlo`ssega }b` `f~d}bez`xs lqg eg}`xgdc s}d}`s
"_ddx`cd `} dc'# 8>>1; ^i`ei`x `} dc'# 8>>2; Bllk`x# `} dc' 8>4>%'
Ixlf x`s~lgmega qe}b i``cega }l pgm`xs}dgmega qbd} l}b`x
~`l~c`s spii`xega `r~x`sselgs f`dg# x`aelgs li }b` `f~d}bu
g }qlxk dx` odgmemd}`s li ~lssehc` do}eyd}elg mpxega
olf~dsselg'H`ulgm }b` ege}edc `f~d}beo x`s~lgs`# }b`x` es d s`olgm
olx` ~xlo`ss egylcy`m eg olf~dsselg: }b` fl}eyd}elg }l ~xl&
yem` odx` }l dcc`yed}` }b` l}b`x ~`xslgs spii`xega "Hd}slg dgm
_bdq# 4554; @es`gh`xa `} dc'# 8>>8; Al`}z `} dc'# 8>4>%'
Bu~l}b`s`s dhlp} g`pxdc olxx`cd}`s li }bes odx`aeyega fl}ey&
d}elg dx` egilxf`m hu g`pxlefdaega s}pme s li `f~d}bu
}lqdxm eg&axlp~ ys lp}&axlp~ yeo}efs: gdf`cu# o`x}deg x`&
aelgs li }b` `f~d}bu g`}qlxk sblq flx` xlhps} do}eyd}elg
eg x`s~lgs` }l eg&axlp~ yeo}efs cek`cu }l x`o`ey` flx` odx`ixlf `f~d}bez`xs' Ilx `rdf~c`# Fd}bpx dgm olcc`dap`s x`&
~lx}`m ax`d}`x f^IO do}eyd}elg eg x`s~lgs` }l }b` ~deg li
l}b`xs qe}b eg&axlp~ ys lp}&axlp~ f`fh`xsbe~# ds q`cc ds
ax`d}`x dc}xpes}eo fl}eyd}elg "Fd}bpx `} dc'# 8>4>%' Dgl}b`x
x`o`g} s}pmu sblq`m b`eab}`g`m dg}`xelx oegapcd}`# dg}`xelx
egspcd dgm ^DA do}eyd}elg mpxega `f~d}bu }lqdxm }b` ~deg
li d cly`m lg` ds l~~ls`m }l dg pgkglqg yeo}ef " Ob`ga
`} dc'# 8>4>%' Iegdccu# eg dg `rdfegd}elg li blq ~`xo`~}elgs
li x`s~lgsehece}u dii`o} `f~d}bu# egglo`g} yeo}efs "qbl dx`
cek`cu }l `ylk` ax`d}`x odx`% c`m }l ax`d}`x do}eyd}elg eg oeg&
apcd}`# dg}`xelx egspcd dgm ^DA x`aelgs li }b` `f~d}bu g`}&
qlxk }bdg hcdf`qlx}bu "c`ss odx`qlx}bu% yeo}efs "M`o`}u
`} dc'# 8>>5%' ]b s` s}pme s# blq`y x# mem gl} `r~ceoe}cudss`ss odx`aeyega fl}eyd}elg# dgm }bps ml gl} pgdfheaplps&
cu mlopf`g} d x`cd}elgsbe~ h`}q``g x`~lx}`m do}eyd}elg dgm
odx`aeyega fl}eyd}elg' Dg dc}`xgd}ey` eg}`x~x`}d}elg es }bd}
}b` do}eyd}elg obdga`s f`x`cu x`ic`o} d s}xlga`x `f~d}beo
x`s~lgs` qb`x`eg egox`ds`m fexxlxega c`dms }l egox`ds`m `g&
ada`f`g} li sloedc olage}ey` x`aelgs# e'`' flx` i``cegas dgm
flx` doopxd}` pgm`xs}dgmega' G`y`x}b`c`ss# d }b`f` xpggega
doxlss cly`m lg`s# }dxa`}s li dc}xpes}eo eg}`g}# dgm ypcg`xdhc`
yeo}efs# dcc li qbeob kglqg }l egox`ds` do}eyd}elg qe}beg k`u
x`aelgs li }b` `f~d}bu g`}qlxk# es }b` s}xlga`x egocegd}elg
}l ~xlyem` odx` }l x`mpo` }b`ex spii`xega# }b` olx` d~~xdesdc
}bd} meii`x`g}ed}`s olf~dsselg ixlf `f~d}bu "Al`}z `} dc'#
8>4>%' Ei sl# k`u x`aelgs li }b` `f~d}bu g`}qlxk fdu x`cd}`
}l d mes}ego} ~xlo`ss mex`o}cu }e`m }l odx`aeyega fl}eyd}elg#
}bd} qb`g `gada`m# ~xlmpo }b` mes}ego} `r~`xe go li
olf~dsselg'
X`o`g} }b`lxezega dgm g`pxlsoe`g}eieo egtpexu eg}l d ~ls&sehc odx`aeyega sus}`f ~xlyem` d s`olgm ~cd}ilxf ilx
fdkega ~x`meo}elgs dhlp} g`pxdc do}eyd}elg dssloed}`m qe}b
olf~dsselg "Fekpcego`x `} dc'# 8>>0; _qdeg# 8>4>%' _}pme`s li
glg&bpfdg fdffdcs bdy` ef~ceod}`m s`y`xdc k`u x`aelgs eg
~dx`g}dc gpx}pxdgo` h`bdyelxs "oxlpobega ly`x ~p~s# x`&
}xe`ydc }l g`s}# ceokega# ~xlclga`m gpxsega%# qbeob egocpm`
}b` f`medc ~x`l~}eo dx`d "F^LD%# }b` y`g}xdc h`m gpoc`ps
li }b` s}xed }`xfegdces "YH_]%# dgm dx`ds li }b` femhxdeg
egocpmega }b` ~`xedtp`mpo}dc axdu "^DA% "Clgs} eg dgm
_} xg# 4551; Gpfdg dgm Gpfdg# 4551; _}pxaes dgm
Hxema`s# 4551; Clgs} eg dgm M` Yxe s# 8>>>; _}dok `} dc'#
8>>8%' Lru}loeg "L]%# d g`pxl~`~}em # qbeob es hxldmcu
ef~ceod}`m eg }b` ilxfd}elg li d}}dobf`g} hlgms# odx`&
aeyega h`bdyelx dgm ~xl&sloedc lxe`g}d}elg dii`o}s ipgo}elg&
ega qe}beg }b`s` ~dx`g}dc gpx}pxdgo` x`aelgs "Egs`c `} dc'#
8>>4; Hdpfadx}g`x `} dc '# 8>>2; Odx}`x `} dc '# 8>>2;
Xlmxeap`s `} dc'# 8>>5; Alxmlg `} dc'# 8>4>%' D x`o`g} s}pmu
}e`m L] eg }b` F^LD }l egox`ds`m x`egilxo`f`g} ydcpd}elg
ilx odx`aeyega,gpx}pxdgo` h`bdyelxs eg cdo}d}ega xd}s
"_bdbxlkb `} dc'# 8>4>%; dgl}b`x sblq`m }bd} egipsega L]
eg}l }b` femhxdeg ^DA c`m }l m`ox`ds`m s`ci&ilops`m yeae&
cdgo` h`bdyelx eg xd} mdfs# ~x`spfdhcu ix``ega p~ x`slpxo`s
}l sp~~lx} odx`aeyega h`bdyelxs pgm`x olgme}elgs li }bx`d}
"Ieap`exd `} dc'# 8>>2%' Eg spf# }b`s` iegmegas beabceab} }b`
femhxdeg&~x`l~}eo
dg} xelx bu~l}bdcdfeo g`pxdc oexope}s}bd} sp~~lx} hdseo ~dx`g}dc gpx}pxdgo` h`bdyelxs dgm }b` ilx&
fd}elg li `dxcu d}}dobf`g} hlgms ds d odgmemd}` sus}`f ilx
sp~~lx}ega }b` ilxfd}elg li d}}dobf`g} hlgms }bxlpablp}
cei`# ds q`cc ds ilx a`g`xd}ega odx`aeyega fl}eyd}elg }lqdxm d
qem` s~`o}xpf li l}b`xs'Ef~lx}dg}cu# }b` femhxdeg ^DA# qbec` ef~ceod}`m eg
odx aeyega# es dcsl egylcy`m eg m`so`gmega ~deg olg}xlc
}bxlpab }b` x`c`ds` li `gmla`glps l~elems }bd} egbehe} ds&
o`gmega ~deg seagdcs h`ilx` }b`u x`dob }b` olx}`r "B`egxeob`x
`} dc'# 8>>5; Clyeok dgm Dmdf`o# 8>>5%' _}ecc# ^DA do}eyd}elg
bds h``g x`~lx}`m mpxega se}pd}elgs }bd} ml gl} egylcy` ~deg
}l }b` s`ci' Dclgasem` l}b`x x`aelgs cek` }b` lxhe}dc ixlg}dc
olx}`r dgm }bdcdfps# ^DA do}eyd}elg bds h``g x`~lx}`m egs`y`xdc s}pme`s li fl}b`xs ye`qega efda`s li }b`ex lqg ys
dotpdeg}`m lx pgkglqg egidg}s# lx ye`qega yem`l oce~s li
}b`ex lqg egidg}s `rbehe}ega d}}dobf`g}&ieapx` slceoe}ega h`&
bdyelxs cek` sfecega dgm oxuega "Hdx}`cs dgm Z`ke# 8>>=;
Ge}sobk` `} dc'# 8>>=; Glxepobe `} dc'# 8>>2; _qdeg# 8>>2%'
^DA do}eyd}elg qds dcsl lhs`xy`m# dclga qe}b l}b`x `f~d}bu
g`}qlxk x`aelgs# eg ~dx}eoe~dg}s egs}xpo}`m }l a`g`xd}` pg&
olgme}elgdc cly }lqdxm efda`s li mesdhc m ~`l~c`
"H`dpx`adxm `} dc'# 8>>5%# dgm qbec` ~dx}eoe~dg}s ye`q`m
sdm idoedc `r~x`sselgs qe}b egs}xpo}elgs }l `r}`gm d
8 li 4= _ODG "8>44% @' _eflg&]blfds `} dc'
7/30/2019 Simon-Thomas et al.
3/14
olf~dsselgd}` d}}e}pm` }lqdxm }b`f "Kef `} dc'# 8>>5%'
Lg` s}pmu }bd} `rdfeg`m g`pxdc do}eyd}elg mpxega x`cey`m
olf~dsselg x`~lx}`m do}eyd}elg eg egspcd# dg}`xelx oegapcd}`#~ls}`xelx f`medc olx}`r# }bdcdfeo dgm femhxdeg dx`ds#
}blpab gl} `r~ceoe}cu x`~lx} m ds }b` ^DA "Efflxmegl&
Udga `} dc'# 8>>5%' Iegdccu# Bdxxeslg `} dc' x`~lx}`m dg eg}xe&
apega x`cd}elgsbe~ h`}q``g `f~d}b`}eo ~p~eccdxu olg}daelg#e'`' fexxlxega }b` ~p~ec sez` li sdm ido`s# dgm }b` fdage}pm`
li femhxdeg ^DA do}eyd}elg; spaa`s}ega ^DA egylcy`f`g} eg`dxcu# dp}lfd}eo x`s~lgmega }l l}b`xs sdmg`ss' Dc}blpab e}
~cdus d o`g}xdc xlc` eg ~deg x`apcd}elg# }b` ^DA es dcsl
egylcy`m eg `f~d}bu dgm odx`aeyega fl}eyd}elg; ds ~dx} li}b` bpfdg ~dx`g}dc odx`aeyega sus}`f "_qdeg# 8>4>%# }b`
^DA fdu sp~~lx} odx`aeyega fl}eyd}elg }lqdxm yeo}efs lispii`xega mpxega `r~`xe`go`s li olf~dsselg'
^xem`# s`ci&ilops dgm s}d}ps: ~x`meo}elgs li g`pxdc
olxx`cd}`s
^xem` es fls} }u~eodccu `r~ xe`go m qb`g dg egmeyempdc# lx daxlp~ x`cd}`m }l }b` egmeyempdcs em`g}e}u# xes s eg sloedc
s}d}ps "]xdou dgm Xlhegs# 8>>1%' ^xem` es m`ieg`m hu `g&
bdgo`f`g} eg }b` egmeyempdcs s}dgmega x`cd}ey` }l l}b`x eg&meyempdcs dgm sloedc s}dgmdxms' Eg }bes x`adxm# ~xem` es d} e}s
olx` dg egmeyempd}ega# s`ci&ilops`m `fl}elg "]xdou `} dc'#
8>>1%' Eg ceab} li }bes olgo`~}pdc dgdcuses# lg` qlpcm`r~`o} }b` `r~`xe`go` li ~xem` }l `gada` x`aelgs dssloed}`m
qe}b s`ci&x`i`x`g}edc ~xlo`ss`s'G`pxlefdaega s}pme s li s`ci&x`i x`g}edc ~xlo ss`s ix`&
tp`g}cu x`~lx} do}eyd}elg dclga }b` olx}eodc femceg`# }u~eodccuilops m eg f`medc ~x`ixlg}dc dgm ~ls}`xelx f`medc olx}`r
"f^IO dgm ^FO# x`s~`o}ey`cu%' F^IO do}eyd}elg bds h``g
x`~lx}`m eg ~dx}eoe~dg}s flge}lxega }b`ex lqg ~buseodc d~&~`dxdgo` lx do}elgs "Hcdk`flx` dgm Ixe}b# 8>>?; _paepxd`} dc'# 8>>0h%# fdkega jpmaf`g}s dhlp} }b`ex lqg tpdce}e`s
"K`cc`u `} dc'# 8>>8; Kjd`x `} dc'# 8>>8; Hcdk`flx` dgm Ixe}b#8>>?; Mdfdsel# 8>>?; Ilssd}e `} dc'# 8>>?; Ce`h`xfdg `} dc'#
8>>=; Lobsg`x `} dc'# 8>>=; Fe}ob`cc `} dc'# 8>>0h; B`d}b`x}lg`} dc'# 8>>9; Jlbgslg `} dc'# 8>>9; Glx}blii `} dc'# 8>>9;MDxa`fh`dp `} dc'# 8>>1%# dss`ssega }b` x`c`ydgo` li s}efpce
}l }b`ex lqg aldcs "Flg}dap` `} dc'# 8>>9; Bdxxes `} dc'#8>>1%# dgm eg olgjpgo}elg qe}b be~~lodf~dc s}xpo}px`s# }l
x`}xe`yega dp}lhelaxd~beodc egilxfd}elg "Fdoxd` `} dc'# 8>>=;
Mds`cddx `} dc'# 8>>2%' Do}eyd}elg eg }b` ^FO bds h``g x`cd}`m}l dss`ssega }b` idfecedxe}u li s}efpce# x`}xe`yega `~eslmeo
`fl}elgdc egilxfd}elg dgm }l d}}xehp}ega `fl}elgdc tpdce}u
dgm ~`xslgdc x`c`ydgo` }l ~`xo`ey`m s}efpce "Fdmmlok`} dc'#8>>4# 8>>?; _paepxd `} dc'# 8>>0d; Efflxmegl&Udga# `} dc'#
8>>5%' Ds d x`spc}# f^IO dgm ^FO dx`ds dx` }b`lxez`m }l
sp~~lx} olage}elgs dhlp} }b` s`ci dgm ~`xslgdc aldcs }bd} dx`obdxdo}`xes}eo li ~xem` "MDxa`fh`dp `} dc'# 8>>5%'
Dg ipgo}elgdc fdag`}eo x`slgdgo` efdaega "iFXE% egy`s&
}ead}elg def`m d} f`dspxega ~xem`# eg olg}xds} }l jlu# ~x`&s`g}`m ~dx}eoe~dg}s qe}b hxe`i# s}d}ps `gbdgoega s}d}`f`g}s
s`c o} m }l `ceoe} ~xem # `'a' E qlg d ~xez` d} d soe g}eieo
f``}ega "]dkdbdsbe `} dc'# 8>>2%' Olf~dx`m }l do}eyd}elg
mpxega }b` jlu& ceoe}ega s}d}`f`g}s# `'a' E d}` fu idylxe}`odk`# ~xem` c`m }l do}eyd}elg eg }b` ~ls}`xelx sp~`xelx }`f&
~lxdc spcops "~_]_%# dg dx`d ef~ceod}`m eg ~`xo`eyega sloedcf`dgega# eg }b`lxu li fegm "]LF% dgm eg eg}`x~x`}ega fl&}eyd}elg lx eg}`g} ixlf l}b`xs do}elgs "^`c~bx`u`} dc'# 8>>0;_dr` dgm ^lq`cc# 8>>9; Cdff `} dc'# 8>>1%' ]b` dp}blxs li
}bes s}pmu olgocpm`m }bd} ~xem` egylcy`s d~~xdesdcs li sloedcf`dgega gl} egb`x`g} }l jlu# dgm d}}xehp}`m }b` cdok li ~x`&meo}`m# s`ci&x`i`x`g}edc do}eyd}elg eg f`medc olx}`r x`aelgs }l~dx}eoe~dg}s idecpx` }l a`gpeg`cu ~`xslgdcez` }b` s}d}`f`g}s#
dgm ~x`spfdhcu# `r~`xe go` }xp` s ci&ilops`m ~xem`"]dkdbdsbe# `} dc'# 8>>2%'
Eg ceab} li }b`lx`}eodc ocdefs }bd} s`ci&x`i`x`go` es o`g}xdc}l ~xem` dgm }b` ce} xd}px lg f`medc olx}eodc dx`ds dgm
s`ci&x`i x`g}edc ~xlo ssega# q` ~x`meo}`m }bd} ~xem` s}efpceqlpcm s`c o}ey cu `gada` femceg` olx}eodc s}xpo}px s# }b`f^IO dgm ^FO'
G`pxlefdaega olf~dsselg dgm ~xem`
Eg }b` ~x`s`g} egy`s}ead}elg# q` egmpo m olf~dsselg dgm~xem` psega s`tp`go`s li ~x`&}`s}`m ~eo}px` scem`s ilpgm }l`ceoe} eg}`gs` dgm x`cd}ey`cu ~px` `~eslm`s li }b`s` }ql `fl&
}elgs "Ly`es `} dc'# 8>4>%' Q` dcsl olcc`o}`m x`dc }ef` sph&j`o}ey` `r~`xe`go` xd}egas ilx olf~dsselg# odxega# ~xem`#dobe`y`f`g}# mes}x`ss dgm `gjluf`g} }l ydcemd}` }b` `ylod&}ey` ~xl~`x}e s li }b` scem`s dgm }l `ydcpd}` x`cd}elgsbe~s
h`}q``g s`ci&x`~lx}`m `r~`xe`go` dgm bu~l}b`sez`m x`aelgsli g`pxdc do}eyd}elg' G`pxdc do}eyd}elg mpxega olf~dsselg
dgm ~xem` scem` olgme}elgs qds olg}xds}`m qe}b }bd} ~xl&mpo`m hu ye`qega s`tp`go`s li g`p}xdc scem`s' Dc}blpab }b`g`p}xdc scem`s q`x` gl} `r~`o}`m }l `ylk` odxega lx s`ci&ilops#
}bps ~xlyemega d spe}dhc` olg}xds} ilx olf~dsselg dgm ~xem`scem`s# e} es ef~lx}dg} }l gl}` }bd} s`ci&x`~lx} md}d q`x` olc&
c`o}`m eg x`dc }ef` ilx dcc olgme}elgs' ]bes }dsk i`d}px`~xlf~} m lgalega s`ci&flge}lxega doxlss olf~dsselg#~xem` dgm g`p}xdc scem` olgme}elgs' ]bps# aey`g }b` ly`xcd~&
~ega xlc` li }b` f^IO eg s`ci&flge}lxega# sloedc dgm `fl&}elgdc d~~xdesdc dgm ~lssehcu `f~d}bu&x`cd}`m ~xlo`ss`s"Fe}ob`cc `} dc'# 8>>0d; Xpm`h`ok `} dc'# 8>>2%# q` gl}` }bd}
~x`meo}`m `fl}elg&s~`oeieo f^IO do}eyd}elg fdu gl} h` lh&s`xydhc` ixlf md}d dotpex`m qe}beg }bes s}pmu m`seag'
Aey`g }b` ~x`s`g} s}pmus m`seag dgm lpx odx`aeyega dgd&cuses li olf~dsselg# q` ~x`meo}`m }bd} olf~dsselg egmpo}elg
qlpcm `gada` x`aelgs li }b` `f~d}bu g`}qlxk }bd} sblq
ax`d} x do}eyd}elg }lqdxm eg&axlp~ lx ypcg xdhc` spii`xegaspob ds }b` dg}`xelx egspcd# egi`xelx ixlg}dc auxps dgm }b`femhxdeg ^DA# ds q`cc ds l}b`x dx`ds }bd} sp~~lx} ~dx`g}dcgpx}pxdgo` h`bdyelxs' Eg ceab} li }b` s`ci&x`i`x`g}edc olx` li
~xem`# q` bu~l}b`sez`m }bd} ~xem` qlpcm s`c`o}ey`cu `gada`s`ci&x`i`x`g} olx}eodc femceg` dx`ds'
FD]@XEDC_ DGM F@]BLM_
^dx}eoe~dg}s
]q`g}u s}pm`g}s "44I% q`x` x`oxpe}`m ixlf d cdxa`# pxhdgpgey`xse}u ~l~pcd}elg }l ~dx}eoe~d} eg }bes s}pmu'
Dg iFXE s}pmu li odxega ys s ci&ilops _ODG "8>44% ? li 4=
7/30/2019 Simon-Thomas et al.
4/14
^dx}eoe~dg}s q`x` sox``g`m ilx xeab}&bdgm`mg`ss# opxx`g}
pgm`xaxdmpd} `gxlccf`g} d} PO H`xk`c u# gl bes}lxu lig`pxlclaeodc lx ~suobed}xeo meslxm`x lx mxpa ps`# dgm g`ad}ey`~x`agdgou s}d}ps' ]b` ps` li bpfdg sphj`o}s qds d~~xly`m hu
}b` Olffe}}`` ilx }b` ^xl}`o}elg li Bpfdg _phj`o}s d} POH`xk`c`u dgm egilxf`m olgs`g} qds lh}deg`m ~xelx }l ~dx}eoe&
~d}elg' ^dx}eoe~dg}s q`x` ~dem blpxcu ilx }b`ex ~dx}eoe~d}elg'
_}pmu m`seag dgm }dsk
]b` s}pmu m`seag dgm }dsk ps`m b`x` q`x` dmd~}`m ixlf d~xelx s}pmu }bd} egy`s}ead}`m }b` `ii`o}s li egmpo`m olf~ds&selg dgm ~xem` lg sloedc jpmaf`g} "Ly`es `} dc'# 8>4>%'
Mpxega iFXE dotpese}elg# ~dx}eoe~dg}s ~`xilxf`m }ql x`~`&}e}elgs li d hclok`m `fl}elg egmpo}elg# `fl}elg s`ci&x`~lx}}dsk ds m`~eo}`m eg Ieapx` 4' Egs}xpo}elgs ~x`s`g}`m lg&sox``g
~xelx }l }b` }dsk egocpm`m }b` ilcclqega }`r} ' ' ' di}`x `dobs`tp`go` "li ~eo}px`s%# ulp qecc h` dsk`m }l xd}` }b` eg}`gse}udgm }b` gd}px` li dgu i``cegas }bd} dxls` qbec` ulp q`x`ye`qega }bls` ~eo}px`s' ]b` }dsk olgses}`m li 2# 00&s
hcloks li scem` s}efpce }bd} dc}`xgd}`m h`}q``g `fl}elgdccu`ylod}ey` dgm g`p}xdc od}`alxe`s' D olg}egplps s`tp`go` li0# 44&s scem`s ixlf d segac` od}`alxu qds ~x`s`g}`m mpxega
`dob hclok' @dob scem` hclok qds ~x`o`m`m hu }b` qlxmX`dmu' ' ' ~x`s`g}`m d} o`g}xdc ierd}elg ilx 44 s' @dob hclokli scem`s qds ilcclq`m hu d }`r} mes~cdu }bd} ~xlf~}`m ~dx&
}eoe~dg}s }l xd}` }b` ly`xdcc eg}`gse}u li }b`ex `fl}elgdc x`&s~lgs` }l }b` ~x`o`mega s`tp`go` li scem`s# dgm }b`g d s`olgmmes~cdu }bd} ~xlf~}`m ~dx}eoe~dg}s }l xd}` }b` tpdce}u li }b`ex
ly`xdcc `fl}elgdc `r~`xe`go` ds }b`u ye`q`m }b` ~x`o`megascem`s' ]b` mpxd}elgs li hl}b s`ci&x ~lx} ~da`s q`x s`ci&~do`m hu `dob ~dx}eoe~dg}'
@fl}elg&egmpoega scem` hcloks ~xlax`ss`m }bxlpab olf&
~dsselg `ceoe}ega dgm ~xem` `ceoe}ega od} alxe s# ds q`cc ds
~c`dspx` dgm dq` `ceoe}ega od}`alxe`s' Md}d ixlf ~c`dspx`
dgm dq` scem` hcloks dx` gl} ~x`s`g}`m b`x`' G`p}xdc scem`
hcloks q`x` ~x`s`g}`m h`}q``g `dob spoo`ssey` `fl}elg&
egmpoega scem` hclok' ]b` lxm`x li `fl}elg&egmpoega scem`
hcloks qds xdgmlfez`m ilx `dob }dsk x`~`}e}elg qe}beg# dgmh`}q``g ~dx}eoe~dg}s' Olf~dsselg scem`s i`d}px`m m`~eo}elgs
li ypcg`xdhc` spii`xega dgm bdxf' ^xem` scem`s i`d}px`m m`&
~eo}elgs li eg&axlp~# lx pg}dxa`}`m "gl ~eo}px`m x`oe~e`g}#
~`xs~`o}ey` mex`o}`m }lqdxm }b` ye`q x% dobe`y`f`g} dgm
s}d}ps egocpmega axdmpd}elg so`g`s# blf` pgey`xse}u yeo&
}lxe`s# f`mdcs dgm }xl~be s' ]b` g`p}xdc scem`s m`~eo} m
~`l~c` eg pg`r~x`ssey`# fpgmdg` olg}`r}s ds q`cc ds lxmeg&
dxu lhj`o}s cek` d iecega odheg`} "Ieapx` 4%']b` scem` efda`s ps`m eg }b` ~x`s`g} s}pmu q`x` mxdqg
ixlf d ~x`yelps s}pmu# qbeob bdm ~x`&}`s}`m ly`x 40> scem`s#
dgm ydcemd}`m d s`} li 40 olf~dsselg dgm 40 ~xem` scem`s }bd}
spoo`ssipccu egmpo`m }b` }dxa`} s}d}`s# ds q`cc ds mes}ego} jpma&
f`g}s li s`ci&l}b`x sefecdxe}u "Ly`es `} dc'# 8>4>%' ]l x`ieg`
dgm dmd~} }bes ~dxdmeaf ilx ps` eg }b` iFXE `gyexlgf`g}#
q` sphs}e}p} m s`y`xdc scem`s ixlf }b` lxeaegdc s`} "`'a'
f`mdcs dgm }xl~be`s x`~cdo`m ~d}xel}eo sufhlcs ixlf }b` lxe&
aegdc ~xem` s`}% dgm ad}b`x`m d s`} li g`p}xdc scem`s fd}ob`m
ilx sloedc olg}`g} "gpfh`x li ~`l~c` m`~eo}`m% dgm ~`xo`~&
}pdc i`d}px`s "hxeab}g ss# olg}xds}%' _phs}e}p} scem s q`x`
mxdqg ixlf }b` Eg} xgd}elgdc Dii o}ey` ^eo}px` _us}`f
"Cdga# 4555% dgm s}d}eo efda`s ixlf }b` eg}`xg`}' _cem` ydc&
emd}elg md}d ixlf dg egm`~`gm`g} sdf~c li ?9 ~dx}eoe~dg}s
qbl ye`q`m }b` scem`s dgm x`~lx}`m p~lg }b`ex `fl}elgdc
`r~`xe go s eg x`s~lgs` }l `dob scem` ps`m eg }b` ~x s g}
Iea' 4 D sob`fd}eo x`~x`s`g}d}elg li d ~dx}edc }dsk s`tp`go` egocpmega d olf~dsselg# d g`p}xdc dgm d ~xem` scem` hclok' D }dsk xpg egocpm`m lg` scem` hclok ilx `dob }dxa`}`fl}elg: olf~dsselg dgm ~xem` qe}b g`p}xdc hcloks eg}`xc`dy`m' @dob ~dx}eoe~dg} olf~c`}`m }ql }dsk xpgs'
= li 4= _ODG "8>44% @' _eflg&]blfds `} dc'
7/30/2019 Simon-Thomas et al.
5/14
s}pmu sblq m }bd} olf~dsselg# ~xem` dgm g`p}xdc scem`s# x`&
s~`o}ey cu# ~xlmpo`m x`cedhcu meii x`g} s`ci&x`~lx}`m c`y cs liolf~dsselg "F ='?# s' ' >'4# F 4'5# s' ' >'>1#F 4'9# s'`' >'>9%# odxega "F ?'5# s'`' >'4# F 8'>#s'`' >'>1# F 4'1# s' ' >'>9%# ~xem "F 4'?# s' '
>'>=# F ?'8# s'`' >'>5# F 4'?# s'`' >'>=% dgm dobe`y`&
f`g} "F 4'8# s' ' >'>?# F ?'># s' ' >'>5# F 4'=#s'`' >'>=% "Ieapx` 8d%'
Ilx }b` ~x`s`g} s}pmu# d ier`m s`} li => scem`s "0 ilx `dob
`fl}elg dgm 8> g`p}xdc% qds ps`m mpxega `dob }dsk xpg; 2 li}b` 4> olf~dsselg dgm fd}ob`m g`p}xdc scem`s m`~eo} m
~`l~c` dgm 0 li }b` 4> ~xem` dgm fd}ob`m g`p}xdc scem`sm`~eo}`m ~`l~c`' ]dsk xpgs q`x` ~x`s`g}`m eg olpg} xhd&
cdgo`m lxm`x h`}q``g sphj`o}s' Di}`x }b` iegdc scem` eg `dobhclok# ~dx}eoe~dg}s ~xlyem`m s`ci&x`~lx}s li }b`ex `fl}elgdc
x`s~lgs` }l }b` scem`s }bd} }b`u bdm jps} ye`q`m apem`m hu }b`ilcclqega ~xlf~}: Qbec E qds ye`qega }bls` ~eo}px`s# E
`r~`xe`go`m i``cegas }bd} q`x`: 4 olf~c`}`cu g`p}xdc# =flm`xd}`# dgm 1 y`xu eg}`gs`# dhly` d xlq li hlr`s
cdh`c`m 4 }bxlpab 1' ^dx}eoe~dg}s oceok`m dg `gpf`xd}`m hlrh`}q``g 4 dgm 1# di}`x qbeob }b`u }b`g oceok`m lg d hlr
cdh c`m G r} }l olg}egp`' ^dx}eoe~dg}s }b`g xd} m }b ex`r~`xe`go` li s`y`xdc meii`x`g} `fl}elgs# egocpmega dobe`y`&
f`g}# dmfexd}elg# dq`# odxega# olf~dsselg# mes}x`ss# `gjlu&
f`g}# ~xem` dgm sdylxega' @fl}elg }`xfs d~~`dx m eg dy`x}eodc olcpfg lg }b` c`i} sem` li }b` sox``g# `dob icdgk`m
hu xlq li hlr`s `gpf`xd}`m 4 }bxlpab 1 cdh`c`m 4 gl} d}
dcc# =flm`xd}`cu dgm 1 y`xu s}xlgacu dclga }b` }l~ li
}b` axem' _`ci&x`~lx}s li olf~dsselg# odxega# ~xem` dgm
dobe`y`f`g} s`xy`m ds fdge~pcd}elg ob`oks ilx olf~dsselg
dgm ~xem` egmpo}elg# dgm ue`cm`m md}d x`c`ydg} }l }b` tp`s&
}elg li qb }b`x }b` `r~`xe`go`s li olf~dsselg dgm ~xem`
qlpcm olxx`cd}` qe}b do}eyd}elg eg meii`x`g} g`pxdc sus}`fs'_`ci&x`~lx}`m mes}x`ss dgm `gjluf`g} ~xlyem`m ipx}b x
ydcemd}elg li }b` ydc`go`&c y`c `ylod}ey` ~xl~ x}e`s li }b`
scem`s'
^xlo`mpx`
^xelx }l `g}`xega }b` iFXE sodggega obdfh`x# ~dx}eoe~dg}sq`x` m`hxe`i`m dhlp} }b` s}pmu' _~`oeieodccu# `r~`xef`g}`xs
}lcm ~dx}eoe~dg}s }bd} }b`u qlpcm s`` ~eo}px`s qbec` cuega
eg }b` sodgg`x# dgm }b`g h` dsk`m }l egmeod}` blq }b` ~eo&
}px`s bdm fdm` }b`f i``c' ^dx}eoe~dg}s q`x` }lcm }bd} }b`
s}pmu def`m }l f`dspx` g`pxdc do}eyd}elg dssloed}`m qe}b
}b ex dp}b`g}eo `fl}elgdc x`s~lgs`s# gl} qe}b }b ex h`&ce`is dhlp} blq }b`u lpab} }l x`s~lgm# glx qe}b }b`ex jpma&
f`g}s x`adxmega qbd} kegms li `fl}elgs }b` ~eo}px`s
x`~x`s`g}`m' ^dx}eoe~dg}s }b`g olf~c`}`m d hxe`i ~xdo}eo` y`x&
selg li }b` scem`&ye`qega# s`ci&x`~lx} }dsk }bd} i`d}px`m lg`
fer`m&od} alxu hclok li scem s ilcclq`m hu }b` eg}`gse}u&
li&i` cega dgm tpdce}u&li&`fl}elg s`ci&x ~lx} ~xlf~}s'
"d%
"h%
4
=
1
Olf~dsselg ^xem` G`p}xdc
F`dgxd}ega"4&1Cek`x}sodc`%
_cem` ]u~`
@fl}elg _`ci&X`~lx}
ilx _cem` Hcloks: iFXE s}pmu
!olf~dsselg! !~xem !
4
=
1
Olf~dsselg ^xem` G`p}xdc
F`dgxd}ega"4&1C
ek`x}sodc`%
_cem` ]u~`
@fl}elg _`ci&X`~lx} ilx Egmeyempdc
_cem`s: H`bdyelxdc ^ecl} ]`s}
!olf~dsselg!
!~xem`!
"o%
4
=
1
Olf~dsselg ^xem` G`p}xdc
F`dgxd}ega"4&1C
ek`x}sodc`%
_cem` ]u~`
Ydc`go` _`ci&X`~lx}
ilx _cem` Hcloks: iFXE s}pmu
!mes}x`ss!
!`gjluf`g}!
Iea' 8 F`dg s`ci&x`~lx}s li olf~dsselg dgm ~xem` eg x`s~lgs` }l }b` olf~dsselg# ~xem` dgm g`p}xdc scem`s ilx " d% }b` h`bdyelxdc ~ecl} sdf~c` x`s~lgmega }l `dob egmeyempdcscem` dgm "h% }b` iFXE ~dx}eoe~dg}s x`s~lgmega }l scem` s`tp`go`s' F`dg s`ci&x`~lx}s li ydc`go`# mes}x`ss dgm `gjluf`g}# ilx }b` iFXE ~dx}eoe~dg}s x`s~lgmega }l scem` s`tp`go`sdx` m`~eo}`m eg "o%'
Dg iFXE s}pmu li odxega ys s ci&ilops _ODG "8>44% 0 li 4=
7/30/2019 Simon-Thomas et al.
6/14
@r~`xef`g}`xs x`fegm`m ~dx}eoe~dg}s }l x`s~lgm gd}pxdccu }l
}b` ~eo}px`s dgm }l h` blg`s} dgm ilx}bxeab} eg }b`ex `fl}elgs`ci&x ~lx}# dgm spaa`s}`m }bd} mesega`gplps s`ci&x ~lx}qlpcm h` bdxfipc }l }b` s}pmu'
Lgo` egsem` }b` iFXE sodgg`x obdfh`x# ~dx}eoe~dg}s q`x`~lse}elg`m eg d s}dgmdxm }xdgsy`xs` `c`o}xlfdag`}eo "]@F%
s`gm&dgm&x`o ey` xdmel ix`tp`gou "XI% b`dm olec qe}b dg`u`&c`y c fexxlx ilx ye`qega }b` }dsk ~x`s`g}d}elg sox` g'^dx}eoe~dg}s b`cm dg iFXE olf~d}ehc` cds`x flps` eg }b`ex
xeab} bdgm x`s}ega lg }b`ex xeab} }beab ilx fdkega s`ci&x`~lx}xd}egas di}`x `dob scem` s`tp`go` ixlf qe}beg }b` sodgg`xobdfh`x'
iFXE
Ipgo}elgdc qblc`&hxdeg efda`s "?> dredc sceo`s# dg} xelxolffesspx`,~ls}`xelx olffesspx` lxe`g}d}elg% q`x`dotpex`m eg d =] Ydxedg EGLYD sodgg`x qe}b d axdme`g}`obl ]8*&q`eab}`m 4&sbl} axdme g}& obl `obl&~cdgdx efd&
aega "@ E% s`tp`go` "x`~`}e}elg }ef` 8 s# `obl }ef` 82 fs#ice~ dgac 8># ie`cm li ye`q 88= ff qe}b d 9= r 9= fd}xer sez`x`spc}ega eg dg eg&~cdg` x`slcp}elg li ?'0 r ?'0 ff ilx `dob
0&ff sceo %' Beab&x`slcp}elg# eg&~cdg` ]4&q`eab} m dgd&}lfeodc efda`s q`x` dotpex`m psega d axdme`g}&`oblfpc}esceo s`tp`go` "A@F_% ilx dgd}lfeodc clodcezd}elg
dgm d ]4&q`eab}`m ?M F^Icdsb s`tp`go` qds dotpex`m ilxmd}d mes~cdu' ^x`cefegdxu efda` x`olgs}xpo}elg egocpmegaabls} olxx`o}elg# a`lf`}xeo mes}lx}elg olxx`o}elg dgm }`f&~lxdc eg} x~lcd}elg xlp}eg s qds ~ xilxf`m qe}bX olg]llcs# d ^u}blg&hds m }llc m`y cl~`m d} PO
H`xk`c`us Hxdeg Efdaega O`g}`x "b}}~s:,,oexc'h`xk`c`u'`mp,ye`q,HEO,X`olg]llcs%'
Md}d dgdcuses
_`ci&x`~lx}s li `fl}elg
_`ci&x`~lx}s li olf~dsselg "olf~dsselg# odxega%# ~xem`"~xem`# dobe`y`f`g}% dgm ydc`go` }`xfs "`gjluf`g}# mes&}x`ss% eg x`s~lgs` }l olf~dsselg# ~xem` dgm g`p}xdc scem`
hcloks q`x` dy`xda`m doxlss }ql }dsk xpgs' Aey`g beabOxlghdobs ol`iieoe`g}s h`}q``g }dxa } `fl}elg }`xfs#q` ox`d}`m olf~lse}` f`dspx`s li }b` `r~`xe`go` li olf&~dsselg "olf~dsselg dgm odxega# >'50% dgm ~xem "~xem` dgm dobe`y`f`g}# >'5=% ilx }b` x`fdegm`x li
dgdcus s' ]blpab olxx`cd}elgs q`x` dcsl beab h }q``gs`ci&x`~lx}s li mes}x`ss dgm olf~dsselg dgm h`}q``g `g&jluf`g} dgm ~xem` "x >'04 dgm x >'15# x`s~`o}ey`cu%# md}d
ilx mes}x`ss dgm `gjluf`g} }`xfs q`x` dgdcuz`m egm`~`gm&`g}cu }l `gdhc` s~`oeieo dss`ssf`g} li ydc`go`' _`ci&x`~lx}s liolf~dsselg# ~xem`# mes}x`ss dgm `gjluf`g} q`x` sph&fe}}`m }l d lg`&qdu DGLYD qe}b scem` }u~` "olf~dsselg#
~xem` lx g`p}xdc% ds }b` egm`~`gm`g} ydxedhc` dgm s`ci&x`~lx}ydcp`s ilx }b`s` ilpx }`xfs ds }b` m`~`gm`g} ydxedhc`s'_`ci&x`~lx} md}d ilx lg` }dsk xpg ixlf lg` ~dx}eoe~dg} q`x``rocpm`m mp` }l lp}cuega c`y`cs li mes}x`ss dgm ~xem` eg x`&
s~lgs` }l }b` ~xem` scem`s "mes}x`ss 78 s'm's ixlf }b` f`dg#~xem 3 8 s'm's ixlf }b` f`dg%' ]b` ~dx}eoe~dg}s lqg
m`soxeh`m i``cegas dhlp} }b`s` ~xem` scem`s mpxega m`hxe`iega
egmeod}`m dg pgpspdc dgm s~`oeieo ~`xslgdc eg}`x~x`}d}elg li
}b` scem`s "gdf`cu# }bd} }b` efda`s li fece}dxu f`mdcs q`x`olgg`o}`m }l olgs~exd}lxedc em`ds dhlp} ~lce}eos%' _`ci&x`~lx}
md}d ixlf }b` s`olgm }dsk xpg ilx }bd} egmeyempdc# qbeob
q`x` qe}beg 8 s'm's li }b` f`dg# q`x` egocpm`m'
iFXE dgdcuses
^dx}eoe~dg}s ipgo}elgdc efda`s q`x` x`dceag`m }l olxx o}
ilx b`dm fly f`g}# sfll}b`m "2&ff ipcc&qem}b d} bdci&
fdrefpf%# glxfdcez`m "~dxdf`}`xs ixlf F^Icdsb }l _^F8]4 }`f~cd}` q`x d~~ce`m%# }b`g sphfe}}`m }l d qblc`&
hxdeg dgdcus`s psega xdgmlf&`ii`o}s flm`cs eg _}d}es}eodc^dxdf }xeo Fd~~ega "_^F% "b}}~:,,qqq'iec'elg'poc'do'pk,
s~f% }l em`g}eiu hxdeg dx`ds s~ oeieodccu do}eyd}`m mpxegaolg}xds}s h`}q``g `dob `fl}elg dgm g`p}xdc scem` olgme}elgs'
iFXE md}d ixlf }bx`` ~dx}eoe~dg}s q`x` `rocpm`m ixlf dcc
axlp~ dgdcus`s mp` }l cdxa` b`dm sez` lx dh`xxdg} sceo`
m`iege}elg mpxega dotpese}elg# ido}lxs qbeob ~xlmpo megox`ds`m ixlg}dc spso`~}ehece}u dx}eido} dgm odps`m ~llx
efda` glxfdcezd}elg x`spc}s "g 41%' iFXE md}d ixlf lg`~dx}eoe~dg} mpxega }b` ~xem` olgme}elg q`x` `rocpm`m ixlf
dgdcus`s mp` }l lp}cuega s`ci&x`~lx} ydcp`s "g 49 ilx ~xem`
iFXE dgdcus`s%'@fl}elg scem` hcloks# g`p}xdc scem` hcloks# s`ci&x ~lx}
eg}`xydcs dgm ser&mef`gselg fly`f`g} ~dxdf`}`xs m`}`x&
feg`m mpxega }b` x`dceagf`g} ~xlo`ss q`x` egocpm`m ds oly&
dxed}`s eg `dob ~dx}eoe~dg}s _^F flm`c' _}d}es}eodc dgdcus`sq`x ~`xilxf`m psega d flmeie m a`g`xdc ceg`dx flm`c
"Qlxsc u dgm Ixes}lg# 4550% x`i x`go ipgo}elg }bd} olg&
ylcy`m }b` }ef` s`xe`s li olydxed}`s ilx `dob }dsk olgme}elg
dgm }b` fly`f`g} ~dxdf }`xs ilx `dob }dsk xpg qe}b dhclok&qes # em`dcez`m b`flmugdfeo x`s~lgs` ipgo}elg'
Olg}xds} efda`s ilx `dob ~dx}eoe~dg} q`x` ox`d}`m ilx olf&~dsselg 7 g`p}xdc# ~xem` 7 g`p}xdc# olf~dsselg dgm ~xem`
olfheg`m 7 g`p}xdcs ixlf hl}b olgme}elgs dgm mex`o} olf&
~dxeslgs h`}q``g olf~dsselg dgm ~xem ' Olg}xds} efda sq`x sphfe}}`m }l d s`olgm c`y`c# axlp~&qes` "g 41 ilx
olf~dsselg 7 g`p}xdc# g 49 ilx ~xem` 7 g`p}xdc# g 49 ilx
doxlss dgm h`}q``g&`fl}elg olf~dxeslgs% }&}`s} ilx `dob olg&
}xds} "^3 >'>>4# pgolxx o}`m; `r} g}: 40 ylr cs%' _efpcd}elgpsega }b` ?M Ocps}_ef ipgo}elg eg DIGE "b}}~:,,dige'gefb
'geb'aly,~ph,mes},mlo,~xlaxdf\b`c~,?mOcps}_ef'b}fc;
4> >>> e} xd}elgs# 9= 9= ?> mef`gselgs# ?'0 ?'0 0 ylr`cs#HDCC fdsk d~~ce`m# 2&ff sfll}bg`ss% egmeod}`m }bd} dg
pgolxx`o}`m ^3 >'>>4 }bx`sblcm dgm ylr c ocps}`x `r&
}`g} 48'8 qlpcm ~xlyem` ~xl}`o}elg dadegs} ]u~` E `xxlx d}d idcs` mesoly`xu xd}` "IMX% li >'>0 "H`gg`}} `} dc'# 8>>5;
Ce`h`xfdg dgm Opggegabdf# 8>>5%' Olg}xds} efda`s q`x`
dcsl sphfe}}`m }l d s`olgm c`y`c# axlp~&qes` "g 41 ilxolf~dsselg 7 g`p}xdc# g 49 ilx ~xem` 7 g`p}xdc% fpc}e~c`
x`ax`sselg qe}b olgs}dg} dgdcuses "^3 >'>>4# pgolxx`o}`m;
`r} g}: 40 ylr`cs% psega egmeyempdcs `fl}elg s`ci&x`~lx} ds~x`meo}lxs' _~ oeieodccu# fpc}e~c` x`ax`sselg qds ps`m }l
`rdfeg` qb }b`x olf~dsselg lx mes}x ss s`ci&x ~lx}
9 li 4= _ODG "8>44% @' _eflg&]blfds `} dc'
https://cirl.berkeley.edu/view/BIC/ReconToolshttps://cirl.berkeley.edu/view/BIC/ReconToolshttp://www.fil.ion.ucl.ac.uk/spmhttp://www.fil.ion.ucl.ac.uk/spmhttp://afni.nimh.nih.gov/pub/dist/doc/program_help/3dClustSim.htmlhttp://afni.nimh.nih.gov/pub/dist/doc/program_help/3dClustSim.htmlhttp://afni.nimh.nih.gov/pub/dist/doc/program_help/3dClustSim.htmlhttp://afni.nimh.nih.gov/pub/dist/doc/program_help/3dClustSim.htmlhttp://www.fil.ion.ucl.ac.uk/spmhttp://www.fil.ion.ucl.ac.uk/spmhttps://cirl.berkeley.edu/view/BIC/ReconToolshttps://cirl.berkeley.edu/view/BIC/ReconTools7/30/2019 Simon-Thomas et al.
7/14
ydcp`s ~x`meo}`m do}eyd}elg mpxega olf~dsselg 7 g`p}xdcolgme}elgs dgm qb`}b`x ~xem`# `gjluf`g} lx olf~dsselg
s`ci&x ~lx} ydcp`s ~x`meo}`m s~`oeieo do}eyd}elg mpxega~xem` 7 g`p}xdc olgme}elgs'
X@_PC]_
_`ci&x`~lx}s li }b` `r~`xe`go` li `fl}elg
Ds sblqg eg Ieapx` 8h# }b` olf~dsselg# ~xem` dgm g`p}xdcscem` hcloks "s ci&x`~lx} ydcp`s ilx }b` }ql g`p}xdc scem`hcloks dx` olfheg`m% `ceoe}`m }b` ~x`meo}`m ~d}}`xgs li `fl&
}elg s`ci&x`~lx}' Olf~dsselg# ~xem` dgm g`p}xdc scem s# x`&s~`o}ey`cu# ~xlmpo`m x`cedhcu meii`x`g} s`ci&x`~lx}`m c`y`cs liolf~dsselg "F 0'2# s' ' >'?# F ?'4# s' ' >'=#F 8'># s' ' >'8% dgm ~xem` "F 4'9# s' ' >'8#
F 0'4# s'`' >'=# F 8'4# s'`' >'?%' Lg`&qdu DGLYDssblq`m }bd} scem` }u~` "olf~dsselg# ~xem` lx g`p}xdc% sea&geieodg}cu dii`o}`m s`ci&x`~lx}`m c`y`cs li olf~dsselg# I"8#0>% ?2'5# ^ 3 >'>>4# dgm ~xem # I"8# 0>% =8'?# ^3 >'>>4'
^ls} blo olf~dxeslgs h`}q``g s~`oeieo olgme}elgs egmeod}`m}bd} `dob olgme}elg `ceoe}`m: "e% beab`x xd}egas ilx }dxa`} `fl&}elgs "`'a' beab x olf~dsselg ilx }b` olf~dsselg scem`s}bdg ilx }b` ~xem`# lx g`p}xdc scem`s# ^3 >'>>4 ilx dcc olf&
~dxeslgs% dgm "ee% clq xd}egas ilx glg&}dxa`} `fl}elgs "`'a'clq ~xem` ilx }b` olf~dsselg dgm g`pxdc scem`s# ^3 >'>>4ilx dcc olf~dxeslgs%'
]blpab olf~dsselg qds seageieodg}cu clq`x ilx }b` ~xem`
}bdg ilx }b` olf~dsselg scem` olgme}elg "^3 >'>>4%# e} qdsax`d}`x ilx ~xem` }bdg ilx }b` g`p}xdc scem` olgme}elg"^3 >'>0%# spaa`s}ega }bd} }b` clq`x }bdg flm`xd}` s`ci&xd}`mc`y c li olf~dsselg eg x`s~lgs` }l }b` ~xem` scem`s qds s}ecc
ax`d}`x }bdg }b` y`xu clq olf~dsselg xd}egas eg x`s~lgs` }l
g`p}xdc scem s "s`ci&x`~lx}`m olf~dsselg es }bps egolx~l&xd}`m eg}l x`ax`sselg dgdcus s egylcyega }b` ~xem` 7 g`p}xdciFXE olg}xds}%' Iegdccu# gl meii x`go s q`x` lhs`xy`m h`&}q``g glg&}dxa`} ~xem` xd}egas ilx olf~dsselg dgm g`p}xdc
scem` olgme}elgs "^3 >'>>4 ilx dcc olf~dxeslgs%'Ds `yem`g} ixlf Ieapx` 8o# olf~dsselg# ~xem` dgm g`p}xdc
scem`s dcsl ~xlmpo`m meii`x`g} s`ci&x`~lx} c`y`cs li dii`o}ey`ydc`go` f`dspx`m ds mes}x`ss "F 0'8# s'`' >'?# F 8'4#
s'`' >'?# F 4'1# s'`' >'45# x`s~`o}ey`cu% dgm `gjluf`g}
"F 4'?# s'`' >'0?# F ='2# s'`' >'?9# F 4'5# s'`'>'4=%' ]b`x` qds d fdeg `ii`o} li }dsk olgme}elg lg s`ci&x`~lx}`m mes}x`ss# I"8#0>% =='5# ^3 >'>>4; ~ls} blo olf&
~dxeslgs egmeod}`m seageieodg}cu beab`x mes}x`ss ilx olf~ds&selg }bdg ilx ~xem` lx g`p}xdc scem` olgme}elgs# ^3 >'>>4 ilx
hl}b olf~dxeslgs' ]b`x` qds dcsl d fdeg `ii`o} li }dsk olgme&}elg lg s`ci&x`~lx}`m `gjluf`g}# I"8#0>% 90'0# ^3 >'>>4;
~ls} blo olf~dxeslgs egmeod}`m beab`x `gjluf`g} ilx ~xem`}bdg ilx olf~dsselg lx g`p}xdc olgme}elgs# ^3 >'>>4 ilx
hl}b olf~dxeslgs' Gl meii`x`go`s h`}q``g mes}x`ss xd}egasilx ~xem` dgm g`p}xdc olgme}elgs lx h`}q``g `gjluf`g} xd}&egas ilx olf~dsselg dgm g`p}xdc olgme}elgs q`x` lhs`xy`m'
iFXE md}d
Olf~dx`m qe}b }b` do}eyd}elg ~xlmpo`m hu ye`qega hcloks lig`p}xdc scem`s# ye`qega hcloks li olf~dsselg scem`s qds dssl&
oed}`m qe}b do}eyd}elg eg }b` femhxdeg ^DA' Gl seageieodg}
do}eyd}elg qds lhs`xy`m eg dgu l}b`x ylr`c ocps}`xs ilx }besolg}xds}# `y`g eg ~x`meo}`m `f~d}bu g`}qlxk lx ~dx`g}dcgpx}pxdgo` x`aelgs# d} m`seagd}`m }bx`sblcms' Mpxega ~xem`olf~dx`m }l g`p}xdc scem` hcloks# }b` ~ls}`xelx f`medc olx}`r
sblq`m egox`ds`m do}eyd}elg ds ~x`meo}`m; gl seageieodg} do&}eyd}elg qds lhs`xy`m eg dgu l}b`x ylr`c ocps}`xs' Gl seageie&odg} do}eyd}elg qds lhs`xy`m ilx }b` olfhegd}elg li
olf~dsselg dgm ~xem` ys g`p}xdc olgme}elgs d} m`seagd}`m}bx`sblcms "^3 >'>>4# pgolxx`o}`m; `r}`g}: 40 ylr cs%
"Ieapx` ? dgm ]dhc` 4%'Eg mex`o} olf~dxeslgs h`}q``g }b` do}eyd}elg dssloed}`m
qe}b olf~dsselg dgm ~xem` olgme}elgs# gl ylr`c ocps} xs
q`x` lhs`xy`m }l h` seageieodg}cu flx` do}ey` mpxega olf&
~dsselg }bdg ~xem`' _`y`xdc x`aelgs }u~eodccu ef~ceod}`m egs`ci&x`ic`o}ey` ~xlo`ssega egocpmega }b` ^FO# ~dxdbe~~lodf&~dc dgm egi`xelx }`f~lxdc x`aelgs sblq`m ax`d}`x do}eyd}elgmpxega ~xem` eg olg}xds} qe}b olf~dsselg "]dhc` 4'%
Q` g`r} xdg fpc}e~c` x`ax`sselg dgdcus s }l `rdfeg`
qb`}b`x }b` s`ci&x`~lx}`m `r~`xe`go`s li olf~dsselg dgm~xem` ~x`meo}`m g`pxdc do}eyd}elg mpxega }dxa } `fl}elgolgme}elgs' Flx s~ oeieodccu# q` xdg s`y`xdc fpc}e~c`
r 6 8 r 6 9"d% "h%
Iea' ? "d% Do}eyd}elg eg }b` femhxdeg ^DA mpxega }b` olf~dsselg 7 g`p}xdc olgme}elg olg}xds} dgm " h% eg }b` ~ls}`xelx f`medc olx}`r "^FO% mpxega }b` ~xem` 7 g`p}xdc olgme}elgolg}xds}' Do}eyd}elg es mes~cdu`m d} "^3 >'>>0# pgolxx`o}`m; `r}`g}: 40 ylr`cs% }l sblq }b` `r}`g} li do}eyd}elg dgm es mes~cdu`m lg d f`dg dgd}lfeodc efda` odcopcd}`m doxlssiFXE ~dx}eoe~dg}s'
Dg iFXE s}pmu li odxega ys s ci&ilops _ODG "8>44% 1 li 4=
7/30/2019 Simon-Thomas et al.
8/14
x`ax sselg dgdcus`s }l `rdfeg` qb`}b`x olf~dsselg dgmmes}x`ss# hl}b obdxdo}`xes}eo x`s~lgs`s }l spii`xega "@es`gh`xa
`} dc'# 4525; Al`}z# `} dc'# 8>4>%# ~x`meo}`m mes}ego} do}eyd}elg
mpxega }b` olf~dsselg 7 g`p}xdc olgme}elg olg}xds}' ]b`s`
dgdcus`s x`y`dc`m }bd} "e% olf~dsselg eg olfhegd}elg qe}b
mes}x`ss ~x`meo}`m egox`ds`m do}eyd}elg eg d g`dx&^DA x`aelg
dgm "ee% olf~dsselg olg}xlccega ilx mes}x`ss ~x`meo}`m
egox`ds`m do}eyd}elg qe}beg }b` xeab} egi`xelx ixlg}dc auxps
"EIA%' ]blpab }b` ocps}`x iloe dx` mes}ego}# }b` g`dx&^DA
x`aelg ~x`meo}`m hu ax`d}`x olf~dsselg dgm mes}x`ss ly`x&
cd~~`m qe}b }b` ^DA x`aelg do}eyd}`m mpxega }b` axlp~&qes`
olf~dsselg 7 g`p}xdc olgme}elg olg}xds} "Ieapx` =%' ]b`x`
q`x` gl g`ad}ey` x`cd}elgsbe~s h`}q``g olf~dsselg dgm,lx mes}x`ss s`ci&x`~lx}s dgm g`pxdc do}eyd}elg dssloed}`m
qe}b }b` olf~dsselg 7 g`p}xdc olgme}elg olg}xds}'Apem`m hu d sefecdx claeo# q` xdg d s`olgm s`} li fpc}e~c`
x`ax`sselg dgdcus`s }l `rdfeg` qb`}b`x s`ci&x`~lx}`m c`y`cs li
~xem`# `gjluf`g}# dgm olf~dsselg ~x`meo}`m do}eyd}elg
dssloed}`m qe}b }b` ~xem` 7 g`p}xdc olgme}elg olg}xds}' Gl
~lse}ey` olxx`cd}elg qds lhs`xy`m h`}q``g s`ci&x`~lx} c`y`cs
dgm ~xem` 7 g`p}xdc olg}xds} do}eyd}elg' Gl}dhc` g`ad}ey` x`&
cd}elgsbe~s# blq`y`x# q`x` lhs`xy`m "e% h`}q``g dcc }bx`` ~x`&
meo}lxs# ~xem`# `gjluf`g} dgm olf~dsselg# dgm }b` xeab}
EIA "Hxlmfdgg dx`d =1% dgm d ocls`cu g`eabhlxega y`g}xdc
ds~`o} li }b` xeab} cd}`xdc ~x`ixlg}dc olx}`r "Hxlmfdgg dx`d
=9%# "ee% h`}q``g ~xem dgm `gjluf`g} olg}xlccega ilxolf~dsselg dgm }b` sdf` xeab} ixlg}dc x`aelgs# ds q`cc ds
}b` c`i} dg}`xelx egspcd dgm "eee% h`}q``g `gjluf`g} olg&
}xlccega ilx ~xem` dgm olf~dsselg dgm }b` c`i} dg}`xelx
egspcd' Eg olg}xds} }l }b` x`spc}s ilx olf~dsselg olg}xlccega
ilx mes}x`ss# ~dx}eoe~dg}s qbl x`~lx}`m ax`d}`x i``cegas li
~xem` dgm `gjluf`g} egm`~`gm`g} li olf~dsselg ilx
~xem` scem`s sblq`m x`mpo`m do}eyd}elg eg xeab} EIA,~x`ixlg}&
dc x`aelgs "Ieapx` 0 dgm ]dhc` 8%'Eg d iegdc s`} li fpc}e~c` x`ax`sselg dgdcus`s# q` `rdfeg`m
qb`}b`x s`ci&x`~lx}s li olf~dsselg dgm ~xem` doxlss }b`
olf~dsselg dgm ~xem` olgme}elgs ~x`meo}`m s~`oeieo ~d}}`xgsli do}eyd}elg eg d olg}xds} }bd} olfheg`m olf~dsselg dgm
~xem` 7 g`p}xdc olgme}elg olg}xds}s' Gl seageieodg} ~lse}ey`
lx g`ad}ey` x`cd}elgsbe~s q`x` lhs`xy`m eg }bes dgdcuses d}
m`seagd}`m }bx`sblcms "^3 >'>>4# pgolxx o} m; `r} g}: 40
ylr`cs%'
ME_OP__ELG
]b` ~x`s`g} x`s`dxob slpab} }l mlopf`g} ~d}}`xgs li g`pxdc
do}eyd}elg dssloed}`m qe}b olf~dsselg# dg `fl}elg m`ieg`m
hu `f~d}beo x`s~lgs` dgm odx`aeyega fl}eyd}elg# dgm ~xem`#
d s`ci&ilops`m `fl}elg ilops`m lg `c`yd}`m s}d}ps' ]lqdxm
}bes `gm# q` ps`m ydcemd}`m `fl}elgdccu `ylod}ey` scem`s }l`ceoe} x`cd}ey`cu eg}`gs` dgm ~px` `r~`xe`go`s li olf~dsselgdgm ~xem`'
Apem`m hu d~~xdesdc dgdcus`s li }b` }ql `fl}elgs li eg}`x&
`s}# q` ~x`meo}`m }bd} `r~`xe`go`s li olf~dsselg qlpcm h`
dssloed}`m qe}b egox ds`m do}eyd}elg eg `f~d}bu g`}qlxk
x`aelgs "~dx}eopcdxcu x`aelgs x`s~lgsey` }l d ax`d}`x s`gs`
li odx`%# ds q`cc ds x`aelgs egylcy`m eg ~dx`g}dc gpx}pxdgo`
h`bdyelxs' ]b` cd}}`x ~x`meo}elg qds sp~~lx}`m hu }b` md}dixlf }b` ~x`s`g} s}pmu: cdhlxd}lxu egmpo}elg li olf~dsselg
x`cd}ey` }l d g`p}xdc olgme}elg qds dssloed}`m qe}b egox`ds`m
do}eyd}elg eg }b` femhxdeg ^DA# dg dx`d ef~ceod}`m doxlss`f~d}bu dgm ~dx`g}dc odx`&}dkega h`bdyelxs' Ipx}b`x x`ax`s&
selg dgdcus`s sblq`m }bd} s`ci&x`~lx}`m `r~`xe`go`s li olf&
~dsselg dgm mes}x`ss# }ql olx` ~xlo`ss`s egylcy`m eg
~xl&sloedc x`s~lgs`s }l spii`xega "Hd}slg dgm _bdq# 4554%#
dcsl ~x`meo}`m do}eyd}elg eg d g`dx&^DA x`aelg']b`s` iegmegas dx` eg k``~ega x`o`g} s}pme`s }bd} x`~lx}
^DA do}eyd}elg mpxega b`eab}`g`m `f~d}bu ilx l}b`x ~`l&~c`s ~deg dgm mpxega d}}dobf`g}&x`cd}`m s}d}`s# gdf`cu fd&
}`xgdc cly` dgm pgolgme}elgdc cly`' ]b`u dcsl mly`}dec qe}b d
glg&bpfdg ce}`xd}px` }bd} bds ef~ceod}`m }b` ^DA# yed L]
olgg`o}elgs qe}b F^LD dgm YH_] x`aelgs# eg fl}eyd}ega#
x`egilxoega dgm ix``ega p~ x`slpxo`s ilx ~dx`g}dc gpx}pxdgo`
]dhc` 4 Hxdeg x`aelgs }bd} sblq do}eyd}elg mpxega }dsk olgme}elg olg}xds}s# dgm olxx`s~lgmega Flg}x`dc G`pxlclaeo Egs}e}p}` "FGE% ollxmegd}`s
Olg}xds} Hxdeg x`aelg HD FGE ollxmegd}`s }&s}d}es}eo Ylcpf`
r U z
Olf~dsselg 7 g`p}xdc Femhxdeg DA > ?8 2 0'1 8>
^xem` 7 g`p}xdc ^ls}`xelx F`medc Olx}`r 8?,?4 8
9= 49 ='41 80Olf~dsselg dgm ~xem` 7 g`p}xdc Gsy Olf~dsselg 7 ~xem` Gsy ^xem` 7 olf~dsselg C o`x`h`ccpf 89 =8 82 0'10 =9
82 99 89 ='5= 82^ls}`xelx f`medc olx}`r 8?,?4 2 18 4> 0'?0 =?
2 92 8= ='1= ?4C Egi xelx }`f~lxdc auxps =? 0= 4> 42 ='1 81C ^dxdbe~~lodf~dc ?= 88 = 8> ='= 42
]b` FGE ollxmegd}`s li }b` fdrefdccu do}ey` ilops qe}beg `dob s}xpo}px` dx` x`~lx}`m'HDHxlmfdgs Dx`d# C C`i}# X Xeab}# Gsy gl seageieodg} ylr`cs'^3 >'>>4# pgolxx`o}`m; `r}`g}: 40 ylr`cs'
2 li 4= _ODG "8>44% @' _eflg&]blfds `} dc'
7/30/2019 Simon-Thomas et al.
9/14
h`bdyelxs "Ieap`exd `} dc'# 8>>2; Xls`g `} dc'# 8>>2; Clyeok
dgm Dmdf`o# 8>>5; _bdbxlkb `} dc'# 8>4>%']b` sef~c` olgocpselg }bd} }b` ^DA sp~~lx}s }b` odx`&
aeyega }`gm`goe`s }bd} m`ieg` olf~dsselg es oclpm`m hu }b`
^DAs q`cc&kglqg xlc` eg ~deg flmpcd}elg' Eg }b` ~x`s`g}
s}pmu# e} fdu bdy` h``g }bd} }b` ^DA qds do}eyd}`m mp` }l
}b` ~dx}eoe~dg}s ~`xslgdc# sefpcd}`m `r~`xe`go` li ~deg qb`g
ye`qega }b` efda`s li spii`xega "_ega`x dgm Ixe}b# 8>>0%'
r 6 >r >
2
#&=8#&2%
Do}eyd}elg eg d g`dx&^DA x`aelg egox`ds`s
qe}b olf~dsselg
!olf~dsselg! s`ci&x`~lx}# x6>'12
!mes}x`ss! s`ci&x`~lx}# x6>'01# ~3'>0
>
=
E:fdrylr`c"&2#
Fdeg `ii`o}s ilx olf~dsselg 7 g`p}xdc olg}xds}: ~`dk
&=
o}eyd}elgd}YLE
`ii`o}s ilx
ylr`c "># &?8# &2%
Do}eyd}elg ~x`meo}`m hu olf~dsselg dgm mes}x`ss s`ci&
x`~lx} ilx }b` olf~dsselg 7 g`p}xdc olg}xds}: ~`dk ylr`c
"&2# &=8# &2%
&2
14
Do
F`dg xd}egas "4&1 Cek`x} sodc`%
" %
Iea' = Axlp~ qes` fdeg `ii`o}s do}eyd}elg eg }b` ^DA mpxega }b` olf~dsselg 7 g`p}xdc "u`cclq% olgme}elg olg}xds} dgm d g`dx&^DA ocps}`x ~x`meo}`m hu s`ci&x`~lx}`m olf~dsselgdgm mes}x`ss ilx }b` olf~dsselg 7 g`p}xdc olg}xds} "oudg%' Do}eyd}elg es mes~cdu`m d} "^3 >'>>0# pgolxx`o}`m; `r}`g}: 40 ylr`cs% }l sblq }b` `r}`g} li do}eyd}elg dgm es mes~cdu`mlg d f`dg dgd}lfeodc efda` odcopcd}`m doxlss iFXE ~dx}eoe~dg}s' _`ci&x`~lx}`m olf~dsselg dgm mes}x`ss ilx }b` olf~dsselg 7 g`p}xdc olgme}elg olg}xds} dx` ~cl}}`m dadegs}f`dg do}eyd}elg doxlss ylr`cs eg }b` g`dx&^DA ocps}`x "^3 >'>>4 ilx olxx`cd}elg x ydcp`s pgc`ss l}b`xqes` cdh`c`m%'
z 6 >z 6 >
5
?9#&=%
"=9#82#&9%
Do}eyd}elg eg }b` xEIA m`ox`ds`s qe}b ~xem` dgm
egox`ds`s qe}b olf~dsselg
!~xem`! s`ci&x`~lx}# x6&>'9?
!`gjluf`g}! s`ci&x`~lx}# x6&>'24
! e ! ci > 2?
?
9
xem`:~
`dkylr`c"=>#
~dsselg:~`dkylr`c"
!olf~dsselg! s`ci&x`~lx}# x6>'2?
?
>
lgd}YLEmpxega~x
d}YLEmpxegaolf~
x EIA m`ox`ds` qe}b ~xem` s ci&x`~lx} ilx
}b` ~xem` 7 g`p}xdc olg}xds}: ~`dk ylr`c "=>#
&9
&?
14
Do}ey}el
Do}eyd}elg
F`dg xd}egas "4&1 Cek`x} sodc`%
x EIA egox`ds` qe}b olf~dsselg s`ci&
x`~lx} ilx }b` olf~dsselg 7 g`p}xdc olg}xds}:
~`dk ylr`c "=9# 82# &9%
?9# &=%
Iea' 0 Do}eyd}elg eg }b` xeab} EIA ~x`meo}`m hu ax`d}`x s`ci&x`~lx}`m olf~dsselg "x`m% ilx }b` olf~dsselg 7 g`p}xdc olgme}elg olg}xds}# dgm hu clq`x s`ci&x`~lx}`m ~xem` dgm`gjluf`g} "u`cclq% ilx }b` ~xem` 7 g`p}xdc olgme}elg olg}xds}' Do}eyd}elg es mes~cdu`m d} "^3 >'>>0# pgolxx`o}`m; `r}`g}: 40 ylr`cs% }l sblq }b` `r}`g} li do}eyd}elg dgm esmes~cdu`m lg d f`dg dgd}lfeodc efda` odcopcd}`m doxlss iFXE ~dx}eoe~dg}s' _`ci&x`~lx}`m ~xem` dgm `gjluf`g} ilx }b` ~xem` 7 g`p}xdc olgme}elg olg}xds}# dgm olf~dsselg ilx}b` olf~dsselg 7 g`p}xdc olgme}elg olg}xds} dx` ~cl}}`m dadegs} f`dg do}eyd}elg doxlss ylr`cs eg }b` xeab} EIA x`aelgs " ^3 >'>>4 ilx olxx`cd}elg x ydcp`s pgc`ss l}b`xqes` cdh`c`m%'
Dg iFXE s}pmu li odxega ys s ci&ilops _ODG "8>44% 5 li 4=
7/30/2019 Simon-Thomas et al.
10/14
Egm``m# ~dx}eoe~dg}s x`~lx}`m beab c`y`cs li mes}x`ss dclga&
sem` olf~dsselg qbec` ye`qega }b` efda`s li spii`xega'
Fpc}e~c` x`ax`sselg dgdcus`s li olf~dsselg dgm mes}x`ss
sblq`m do}eyd}elg eg d ocps}`x li ylr`cs ~dx}edccu ly`xcd~~ega
qe}b }b` ^DA mpxega }b` axlp~&qes` olf~dsselg 7 g`p}xdc
olg}xds}' ]bes olfhegd}elg li iegmegas spaa`s}s }bd} ^DA
do}eyd}elg mpxega olf~dsselg feab} h` x`cd} m }l s`y`xdc
olf~dsselg&x`cd}`m ~xlo`ss`s# egocpmega }b` `f~d}beo fex&
xlxega li dgl}b`xs spii`xega# i`c} ~`xslgdc ~deg lx mes}x`ss eg
x`s~lgs` }l ~`xo ey`m spii xega# dgm,lx odx`aeyega fl}ey&d}elg' Ip}px` s}pme`s }bd} "e% dotpex` dmme}elgdc s`ci&x`~lx}
}l em`g}eiu d~~xdesdcs x`cd}`m }l mes}x ss# `'a' `gmpxega
~`xslgdc }bx`d} lx ~deg ys olgo xg }lqdxm l}b`x ~`xslgs
spii`xega dgm "ee% mex`o}cu olg}xds} olgme}elgs flx` ~px`cu
`ylod}ey` li `f~d}bez`m ~`xslgdc ~deg lx mes}x ss#
e'`' egmpo`m `f~d}bu qe}b ef~ce`m }bx`d} }l }b` s`ci# qe}b
`r~ceoe} ~x`y`g}elg }l odx`aeyega# qe}b gl fdge~pcd}elg dgm
qe}b sp~~lx} ilx odx`aeyega olpcm flx` m`iege}ey`cu }`ds`
d~dx} }b` x`cd}ey` egylcy`f`g} li }b` ^DA eg ~deg# `f~d}bu#
mes}x`ss dgm odx`aeyega ~xlo`ss`s']b` cdok li lhs`xy`m do}eyd}elg eg l}b`x ~dx`g}dc gpx}px&
ega x`aelgs cek` }b` F^LD dgm YH_] eg }b` olf~ds&
selg 7 g`p}xdc iFXE olg}xds} dgdcus s es gl} qlx}bu' Cdokli `gada`f`g} li l}b`x ~dx`g}dc gpx}pxega x`aelgs fdu x`cd}`
}l }b` olf~c`r ydc`go` ~xl~`x}e`s li olf~dsselg' Ds `ceoe}`m
b`x`# olf~dsselg qds dssloed}`m qe}b s`ci&x`~lx}`m mes}x`ss#
dgm gl} qe}b `gjluf`g}' ^dx}eoe~dg}s mem gl} bdy` }b` l~&
~lx}pge}u }l b`c~ lx do} lg }b`ex egocegd}elg }l odx` ilx }b`
}dxa`}s li olf~dsselg b`x`# qbeob fdu bdy` d}}`gpd}`m dgu
dg}eoe~d}`m x`qdxm dssloed}`m qe}b ~x`meo}`m sloedc h`g`ie}s
li odx`aeyega' Qbec` L] ipgo}elg eg }b` F^LD bds h``g
dssloed}`m qe}b x`egilxoega ipgmdf`g}dccu g`p}xdc lx fecmcu
~c`dsdg} gpx}pxdgo h`bdyelxs# L], DA ipgo}elgs fdu
ieapx` flx` ~xlfeg`g}cu eg odx`aeyega fl}eyd}elg ~dx}eop&
cdxcu eg x`s~lgs` }l ~deg dgm spii`xega# k`u dg}`o`m`g}s li
olf~dsselg' Mex`o} `rdfegd}elg li blq ~dx`g}dc gpx}pxdgo`
sus}`fs x`s~lgm }l odx` `ylkega se}pd}elgs li meii`x`g} yd&
c`go`# dgm qe}b lx qe}blp} }b` l~~lx}pge}u }l eg} xy`g #
olpcm ocdxeiu }b`s` olgo`xgs'Eg dmme}elg }l }b` ^DA iegmegas# fpc}e~c` x`ax`sselg dgd&
cus`s sblq`m }bd} s`ci&x`~lx}`m c`y`cs li olf~dsselg olg&
}xlccega ilx s`ci&x`~lx}`m mes}x`ss ~x`meo}`m do}eyd}elg eg dg
dg}`xelx x`aelg li }b` xeab} EIA~dxs }xedgapcdxes' ]bes iegm&ega es eg}`x`s}ega eg ceab} li iegmegas x`cd}ega xeab} EIA do}e&
yd}elg }l `fl}elg egi`x`go`# x`apcd}elg# ds q`cc ds `f~d}beo
fexxlxega li idoedc `r~x sselg "Odxx `} dc'# 8>>?; Bllk`x
`} dc'# 8>>2; H`xkfdg dgm Ce`h`xfdg# 8>>5%' D x`o`g} s}pmu
li ~d}e`g}s qe}b EIA c`selgs x`~lx}`m ef~dex`m dii`o}ey` `f&
~d}bu dgm `fl}elg x`olage}elg; }b` dp}blxs }b`lxez`m }bd}
Hxlmfdgg dx`d == li }b` EIA# }b` ~dxs l~ xopcdxes# }b`
bpfdg dgdcla }l fexxlx g`pxlg ~xefd}` dx`d I0 "sceab}cu
odpmdc }l }b` EIA x`aelgs lhs`xy`m b`x`%# ~cdus d ~xegoe~dc
xlc` eg dg `fl}elg sefpcd}elg sus}`f "_bdfdu&]sllxu`} dc'#
8>>5%' Egox ds`m xeab} EIA do}eyd}elg ~x meo}`m hu
s`ci&x`~lx}`m olf~dsselg b`x` spaa`s}s }bd} ax`d}`x olf&
~dsselg `r~`xe`go` fdu x`cd}` }l s}xlga`x fexxlxega li `r&~x`sselgs sblqg hu }b` }dxa`}s li olf~dsselg' ]b` EIA es
dcsl ef~ceod}`m eg olage}ey` olg}xlc li f`flxu ~xlo ss`s
"Hdmx` dgm Qdag`x# 8>>1%; EIA do}eyd}elg mpxega olf~ds&
selg fdu dcsl x`cd}` }l olg}xlcc`m f`flxu ~xlo`ss`s `gada`m
eg x`s~lgs` }l }b` olg}`g}s li `ylod}ey` scem`s'Olg}xdxu }l `r~`o}d}elgs a`g`xd}`m lpx d~~xdesdc dgdcuses
li olf~dsselg# do}eyd}elg qds gl} lhs`xy`m eg l}b`x `f~d}bu
g`}qlxk x`aelgs# spob ds }b` egspcd# f^IO lx }b` ]^O mpxega
}b` axlp~&qes` olf~dsselg 7 g`p}xdc olg}xds} d} }b` m`sea&
gd}`m }bx`sblcm "^3 >'>>4# pgolxx`o}`m; `r}`g}: 40 ylr cs%'
]dhc` 8 Hxdeg x`aelgs }bd} sblq do}eyd}elg olxx`cd}`m qe}b `fl}elg s`ci&x`~lx} mpxega }dsk olgme}elg olg}xds}s# dgm olxx`s~lgmega FGE ollxmegd}`s
Fpc}e~c` X`ax`sselg Flm`c ^dx}edc x`ax`ss elgs Hxdeg x`aelg: `fl}elg 7 g`p}xdc HD FGE ol&lxmegd}`s }&s}d}es}eo Ylcpf`
r u z
^L_: olf~dsselg dgm mes}x`ss s`ci&x`~lx}
r olf~dsselg 7 g`p}xdc olg}xds}
olf~dsselgd X Egi`xelx ixlg}dc auxps}xedgapcdxes =1 =9 82 9 9'=0 89
mes}x`ss
d
Gsyolf~dsselg dgm mes}x ss ^DA 2 =8 2 0'08 45G@A: ~xem`# `gjluf`g} dgm olf~dsselg
s`ci&x`~lx} r ~xem` 7 g`p}xdc olg}xds}~xem`d Gsy`gjluf`g}d C Dg}`xelx egspcd ?9 8= 8 9'=9 81olf~dsselgd Gsy~xem` dgm `gjluf`g}d X Cd}`xdc x`ixlg}dc Olx}`r =9 =2 ?= 48 9'1= 49
C Dg}`xelx Egspcd ?9 8= 8 9'85 40X Egi`xelx Ixlg}dc Auxps}xedgapcdxes =1 => ?9 = ='52 42
~xem` dgm olf~dsselgd O`x`h`ccpf 8 0= 4> 0'1? 41~xem`# `gjluf`g} dgm
olf~dsselgX Cd}`xdc ~x`ixlg}dc olx}`r =9 =2 ?= 48 9'50 8>X Egi`xelx ixlg}dc auxps}xedgapcdxes =1 => ?9 = 0'2 ?=
Gl}`' ]b` FGE ollxmegd}`s li }b` fdrefdccu do}ey` ilops qe}beg `dob s}xpo}px` dx` x`~lx}`m'dOlg}xlcs ilx l}b`x olydxed}`"s%'HDHxlmfdgg Dx`d# C C`i}# X Xeab}# ^L_ ~lse}ey` olxx`cd}elg# G@A g`ad}ey` olxx`cd}elg# Gsy gl seageieodg} ylr`cs'^3 >'>>4# pgolxx`o}`m; `r}`g}: 40 ylr`cs'
4> li 4= _ODG "8>44% @' _eflg&]blfds `} dc'
7/30/2019 Simon-Thomas et al.
11/14
]bes olpcm# eg ~dx}# bdy` dxes`g ds d ipgo}elg li lpx `fl}elg
egmpo}elg d~~xldob' ]b` }dsk x`tpex m }bd} ~dx}eoe~dg}s
x`~lx} lg }b`ex `fl}elgs di}`x `dob hclok eg dcc li }b` olg&
me}elgs# qbeob cek`cu ~xlf~} m lgalega s`ci&flge}lxega#
s`ci&`ydcpd}elg dgm d~~xdesdc# ~xlo`ss`s qbeob }u~eodccu
`gada` }b` f^IO "Bp}ob`xslg `} dc'# 8>>0; Glx}blii `} dc'#
8>>9%' ]bes m`seag i`d}px` cek`cu `gada`m s`ci&`ydcpd}ey` dgmdii`o}ey` sefpcd}elg x`aelgs cek` }b` egspcd dgm f^IO mpxega
g`p}xdc# ds q`cc ds `fl}elg scem` olgme}elgs# }b`x`hu d}}`gp&
d}ega lhs`xydhc` meii`x`go`s eg olg}xds}s h`}q``g olgme}elgs'
_efecdxcu# ps` li scem`s }bd} m`~eo}`m ~`l~c` eg sloedc s`}}egas
doxlss g`p}xdc dgm `fl}elg&egmpoega olgme}elgs cek`cu
`gada`m dx`ds li ]^O egylcy`m eg ~`xo`~}elg li sloedc f`dg&
ega doxlss olgme}elgs "^`c~bx`u `} dc'# 8>>0; Zdbg `} dc'#
8>>1%' Qe}b x`adxms }l l}b`x `f~d}bu g`}qlxk x`aelgs# ~dx&
}eopcdxcu }bls` }bd} bdy` h``g sblqg }l h` s`gse}ey` }l
odx`aeyega lxe`g}d}elg# d} d s~`opcd}ey`# `r~clxd}lxu }bx`sb&
lcm "^3 >'>>0# pgolxx`o}`m; `r}`g}: 4> ylr`cs%# do}eyd}elg
ocps}`xs eg }b` egspcd "?9# 9# 88; 48 ylr`cs%# dg}`xelx }`f~lxdc
"?8# 8# ?8; 84 ylr`cs% dgm c`i} ~x`ixlg}dc x`aelgs "?8# 0>#
4>; 4= ylr`cs% q`x lhs xy`m' Olf~dsselg fdu egm``m
`gada` dmme}elgdc `f~d}bu g`}qlxk dx`ds; `yem`go` ixlf
ip}px` s}pme`s li }b` olf~dsselgd}` x`s~lgs` qecc h` flx`
m`iege}ey` qe}b x`s~`o} }l }bes ~lssehece}u'Eg k``~ega qe}b lpx s`olgm s`} li bu~l}b`s`s# do}eyd}elg
qds lhs`xy`m eg }b` ~ls}`xelx f`medc olx}`r "^FO%# dg dx`d
ef~ceod}`m eg s`ci&x`ic`o}elg# mpxega }b` ~xem` 7 g`p}xdc olg&
}xds} "Mds`cddx `} dc'# 8>>4; Fdmmlok `} dc'# 8>>4; Jlbgslg
`} dc'# 8>>9; MDxa`fh`dp `} dc'# 8>>2%' Mex`o}cu olf~dx`m }l
olf~dsselg `ceoe}ega scem`s# }b` ~xem` scem`s# qbeob egocpm`m
efda s li sufhlceo spoo`ss cek` f`mdcs dgm }xl~be s# dcsl
`ceoe}`m do}eyd}elg eg c`i} egi`xelx }`f~lxdc dgm ~dxdbe~~l&odf~dc x`aelgs' ]b` `gada`f`g} li dp}lhelaxd~beodc f`f&
lxu ~xlo`ss`s es dg ef~lx}dg} olf~lg`g} li s`ci&ilops# qds
~xlhdhcu `ylk`m hu }b` ~xem` scem`s "`'a' E x`f`fh`x qeggega
d f`mdc cek` }bes lg` d} d sqef olf~`}e}elg' ' '% dgm cek`cu
doolpg}s ilx }b` ~dxdbe~~lodf~dc iegmegas lhs`xy`m b`x`'
Ip}px` egy`s}ead}elgs li ~xem` x`spc}ega ixlf do}pdc egox`ds`s
eg ~`xslgdc s}x`ga}b lx s}d}ps qecc ocdxeiu }b` xlc` li be~~l&
odf~dc do}eyd}elg dgm f`flxu&x cd}`m ~xlo`ss`s eg }b`
s~`oeieo `r~`xe`go` li ~xem`'Ds qds }b` ods` qe}b olf~dsselg# do}eyd}elg eg }b` f^IO#
d x`aelg s}xlgacu dssloed}`m qe}b s ci&d~~xdesdc# qds gl}
lhs`xy`m mpxega ~xem`' ]bes iegmega olpcm bdy` h``g mp` }l
}b` s`ci&x`ic`o}ey` m`fdgms x`tpex`m li }b` g`p}xdc olgme}elg#ds mesopss`m `dxce`x "Lobsg`x `} dc'# 8>>=%' Ly`xcd~~ega# }dsk&
x`cd} m s`ci&x`i x`g}edc ~xlo ss`s doxlss ~xem` dgm g`p}xdc
olgme}elgs fdu bdy` ue`cm`m d o`ecega `ii`o} ilx f^IO do}e&
yd}elg# fegefezega `fl}elg&s~`oeieo lhs`xydhc` meii`x`go`s
h`}q``g olgme}elgs']blpab gl ~lse}ey` x`cd}elgsbe~ qds lhs`xy`m h`}q``g
s`ci&x ~lx}`m ~xem # `gjluf`g} lx olf~dsselg eg x`&
s~lgs` }l }b` ~xem` scem`s dgm g`pxdc do}eyd}elg mpxega ~xem`
"ys g`p}xdc% olgme}elgs# clq`x xd}egas lg ~xem`&x`cd}`m }`xfs
"~xem`# `gjluf`g}% ~x`meo}`m ax`d} x do}eyd}elg eg }b`
xeab} EIA# d ocls`cu g`eabhlxega y`g}xdc ds~`o} li }b` xeab}
~x ixlg}dc olx}`r# dgm dg} xelx egspcd x`aelgs' Dg} xelx
egspcd dgm EIA do}eyd}elg dx` xlp}eg`cu lhs`xy`m eg `fl}elg
`r~x`sselg em`g}eieod}elg dgm `f~d}bu `ceoe}ega ~dxdmeafs#
dx` s`gse}ey` }l m`ax`` li odx` }lqdxm d sloedc }dxa`}# dgm
dx` ~lse}`m }l ~cdu k`u xlc`s eg `fl}elg sbdxega# dgm hu
slf` doolpg}s# `f~d}beo doopxdou "Odxx `} dc '# 8>>?;Edolhlge `} dc'# 8>>0; _ddx`cd `} dc'# 8>>1%' C`ss do}eyd}elg
eg }b` dg}`xelx egspcd dgm EIA qe}b ax`d}`x ~xem` `r~`xe`go`
fdu x`cd}` }l s`ci&ilops# c`ss olgo`xg }lqdxm l}b`xs# dgm hu
`r}`gselg# i`q`x x`slpxo`s m`meod}`m }l ~xlo`ssega `fl}elgdc
egilxfd}elg ixlf l}b`xs' ]bes iegmega es eg k``~ega qe}b
x`o`g} s}pme`s iegmega }bd} ~xem` es dssloed}`m qe}b d x`mpo`m
s`gs` li sefecdxe}u }l# dgm eg }pxg# odx aeyega s`g}ef`g}
}lqdxm l}b`xs "Ly`es `} dc'# 8>4>%'@rdfegd}elg li do}eyd}elg doxlss olfheg`m olf~dsselg
dgm ~xem` ys g`p}xdc olgme}elgs x`y`dc`m gl sus}`fd}eo do}e&
yd}elg d} m`seagd}`m }bx`sblcms' D} d s~`opcd}ey`# `r~clxd}lxu
}bx`sblcm "^3 >'>>0# pgolxx`o}`m; `r}`g}: 4> ylr`cs%# do}eyd&
}elg qds lhs`xy`m mpxega }bes olfheg`m dgdcuses eg `f~d}bu
g`}qlxk x`aelgs dssloed}`m qe}b ~`xo`~}elg dgm eg}`x~x`}&
d}elg li sloedc f`dgega lx eg}`g} egocpmega }b` xeab} sp~`xelx
}`f~lxdc spcops "_]_%# xEIA dgm ipseilxf auxps "^`c~bx`u#
`} dc'# 8>>0; _dr` dgm Q`rc`x 8>>0; Bllk`x `} dc'# 8>>2%' ]bes
}x`gm fdu x`ic`o} ~xlo`ssega li sloedc f`dgega doxlss olf&
~dsselg dgm ~xem` `ylkega ys g`p}xdc scem`s' Fpc}e~c` x`ax`s&
selg dgdcus`s }l `rdfeg` qb`}b`x }b` olfhegd}elg li
s`ci&x`~lx}`m olf~dsselg dgm ~xem` doxlss }b` olf~dsselg
dgm ~xem` scem` olgme}elgs ~x`meo}`m s~`oeieo do}eyd}elg dcsl
sblq`m gl seageieodg} x`spc}' Eg `ii`o}# }b`s` dgdcus`s dsk`m
qb`}b`x egmeyempdcs ~xlg` }l }b` `r~`xe`go` li olf~dsselg
lx ~xem` sblq mes}ego} do}eyd}elg eg x`s~lgs` }l `fl}elgdccu`ylod}ey` scem`s' Dc}blpab }b` ~x`s g} s}pmu qds gl}
m`seag`m }l `r~clx` }bes ~lssehece}u "dgm }b` clq c`y`cs li
~xem` i`c} mpxega }b` olf~dsselg scem`s dx` ~xlhc`fd}eo%#
s`y`xdc x`o`g} s}pme`s bdy` ilpgm }bd} egmeyempdc meii`x`go`s
eg `fl}elg apem` s~`oeieo d~~xdesdcs li hxldm ocdss`s li s}e&
fpce# `y`g }bls` pgx`cd}`m }l }b` `fl}elg li eg}`x`s} "Axlss
`} dc'# 4552; Ly`es `} dc'# 8>>5%' ]bes ce}`xd}px` qlpcm spaa`s}
}bd} egmeyempdcs ~xlg` }l olf~dsselg# ds dss ss m eg lpx
s`ci&x`~lx} md}d# qlpcm sblq olf~dsselg&x`cd}`m ~d}} xgs
li do}eyd}elg `y`g eg x`s~lgs` }l }b` ~xem` scem`s# dgm }bd}
olf~c`f`g}dxu x`spc}s qlpcm h` lhs`xy`m qe}b egmeyempdcs
qbl x`~lx} beab c`y`cs li ~xem` `y`g eg x`s~lgs` }l }b`
olf~dsselg scem`s' E} fdu h` flx` ixpe}ipc }l cllk ilx`fl}elg&~xlg`g`ss&x`cd}`m ~d}} xgs li g`pxdc do}eyd}elg
hu s}pmuega x`s~lgs`s }l ~xl}l}u~eodc s}efpce lx d hxldm`x
xdga` li `fl}elg od}`alxe`s'Egi x`go s mxdqg ixlf }b` ~x`s`g} iegmegas dx` olg&
s}xdeg`m hu o`x}deg i`d}px`s li }b` s}pmu m`seag' Iexs}# ilx
}b` ~px~ls`s li ad}b`xega ydcemd}elg md}d# lpx `fl}elg `ceoe}&
d}elg ~xlo`mpx`s x`tpex`m }bd} ~dx}eoe~dg}s x`~lx} lg }b`ex
lqg `fl}elgdc `r~`xe`go`s# cek`cu `gadaega ~dx}eoe~dg}s eg
sps}deg`m flge}lxega li }b`ex lqg s}d}`s' X`tpexega ~dx}eoe&
~dg}s }l flge}lx }b`fs cy s fdu bdy` eg} xi x`m qe}b
Dg iFXE s}pmu li odxega ys s ci&ilops _ODG "8>44% 44 li 4=
7/30/2019 Simon-Thomas et al.
12/14
`fl}elg&x`cd}`m g`pxdc do}eye}u "Glx}blii `} dc '# 8>>=;
Bp}ob`xslg# `} dc'# 8>>0%' _lf` hxdeg x`aelgs bu~l}b`sez`m
}l sp~~lx} flge}lxega dgm s`ci&x`~lx}ega li `fl}elgs spob
ds }b` f^IO# q`x` dcsl `r~`o}`m }l h` do}ey` mpxega `r~`xe&
`go`s li olf~dsselg dgm ~xem`' Ip}px` x`s`dxob qlpcm h`
q`cc s`xy`m hu s}pmuega }b` ~d}}`xgs li g`pxdc do}eyd}elg
dssloed}`m qe}b olf~dsselg dgm ~xem` eg }b` dhs`go` lidg}eoe~d}`m s`ci&x`~lx} ~xlo`mpx`s'
_ olgm# lpx ~xl}lolc i`d}px`m pgpspdccu clga iFXE
hcloks' Dotpexega clga hcloks li iFXE md}d heds`s lhs`xyd&
}elgs }lqdxm x`aelgs }bd} sblq ~`xses}`g} do}eyd}elg ly`x }b`
`g}ex eg}`xydc "00 s hcloks ys }u~eodc 40?> s hcloks%' Clga`x
egmpo}elg eg}`xydcs dx` cek`cu }l ~xlmpo` s}xlga`x `r~`xe`go`s
li `fl}elg dgm d ax`d}`x cek`cebllm li do}eyd}ega olx` d~&
~xdesdcs dssloed}`m qe}b }b` `fl}elg# spob ds odx`aeyega fl&
}eyd}elg eg }b` ods` li olf~dsselg' Clga`x hclok m`seags dcsl
xesk ax`d}`x ly`xcd~ clq ix`tp`gou dx}eido} egb`x`g} }l iFXE
md}d "M@s~lse}l# 8>>>%' B`x`# `dob ~dx}eoe~dg}s md}d qds
odx ipccu egs~ o}`m ilx tpdce}u# dgm beab ~dss iec}`x`m d} 88> s
"= r 00 s hclok c`ga}b% }l fegefez` }b` olg}xehp}elg li clq
ix`tp`gou dx}eido}']bexm# e} es idex }l xdes` mlph}s dhlp} }b` `olclaeodc ydceme}u
li lpx `fl}elg&`ceoe}ega s}efpces}d}eo scem`s li sloedc se}p&
d}elgs gl} mex`o}cu x`c ydg} }l }b` ~dx}eoe~dg}s olgo`xgs
"Oldg dgm Dcc`g# 8>>1%' _cem`s dx` em`dccu spe}`m }l }b` `g&
yexlgf`g} li iFXE md}d dotpese}elg# dgm eg }b` ods` li olf&
~dsselg dgm ~xem`# olg}xlc ilx seageieodg} h`bdyelxdc
meii`x`go`s li }b` }ql `fl}elgs "`'a' }b` d~~xldob&x`cd}`m
}`gm`gou li olf~dsselg ys }b` sloedc mes`gada`f`g} dssl&
oed}`m qe}b ~xem`%' G`y`x}b`c`ss# }b` ps` li scem`s eg}xlmpo`m
o`x}deg cefe}d}elgs qe}b }b` ~x`s`g} s}pmus iegmegas' ^xem`#
ilx `rdf~c`# es olgo`~}pdcez`m ds d x`s~lgs` }l b`eab}`g`ms}d}ps; lpx scem`s q`x cefe}`m eg }b ex dhece}u }l mex`o}cu
olgy`u obdga s eg s}d}ps' Ipx}b`x# ~xem` scem`s egocpm`m
efda`s li s}pm`g}s ixlf }b` blf` pgey`xse}u `g}bpseds}eodccu
o`c`hxd}ega yeo}lxu# qbeob cek`cu `ceoe}`m olcc`o}ey`# eg&axlp~
~xem`' ]b s` olgo`xgs dx` fe}ead}`m# slf`qbd}# hu }b`
s`ci&x`~lx} md}d ad}b`x`m eg }b` ~x`s`g} s}pmu# dgm }b` ido}
}bd} s`ci&x`~lx}s li olf~dsselg dgm ~xem` ~x`meo}`m }b`&
lx`}eodccu x`c`ydg} x`aelgs li do}eyd}elg' _}ecc# ax`d}`x olgie&
m`go` qecc h` adeg`m ei }b` ~x`s`g} x`s`dxob es `r}`gm`m }l
s}pme`s psega meii`x g} `fl}elg `ceoe}d}elg }`obgetp s'
_}pme`s li g`pxdc do}eyd}elg mpxega `fl}elgdc s}d}`s `ceoe}`m
psega dc}`xgd}ey` }`obgetp`s# cek` `fl}elgdc efda`xu# x`ceyega
dgm apem`m dp}lhelaxd~beodc x`odcc "Mdfdsel `} dc'# 8>>>;Efflxmegl&Udga# `} dc'# 8>>5%# ~leg} }l eg}xeapega `r}`g&
selgs li }b` ~x`s`g} qlxk lg }b` g`pxdc olxx`cd}`s li `ceoe}`m
`fl}elgs'Iegdccu# ~d}}`xgs li seageieodg} do}eyd}elg eg lgcu lg` ylr`c
ocps}`x ilx }b` olf~dsselg 7 g`p}xdc dgm ~xem 7 g`p}xdc olg&
}xds}s# lx glg` d} dcc eg }b` ods` li }b` olfheg`m olf~dsselg
dgm ~xem` dgdcuses# olgi`xs slf` m`ax`` li dfheape}u }l eg&
}`x~x`}d}elg li }b` x`spc}s x`~lx}`m b`x`' A`g`xdccu# olf~c`r
sloedc `fl}elgs cek` olf~dsselg dgm ~xem` dx` `r~`o}`m }l
`gada` ~dxdcc`c hxdeg g`}qlxks sp~~lx}ega olgopxx`g} dii`o}
dgm d~~xdesdc ~xlo`ss`s' ]b` cdok li fpc}e~c` x`aelgdc do}e&
yd}elg b`x`# fdu# eg ~dx} h` x`cd}`m }l }b` clga iFXE hclok
d~~xldob ps`m b`x`# qbeob fdu dy`xda` lp} icpo}pd}ega `g&
ada`f`g} li fpc}e~c` x`aelgs# c`dyega lgcu seagdcs ixlf x`&
aelgs fdkega }b` fls} `gmpxega# }lgeo olg}xehp}elg }l }b`
~xlo`ss`s' ]b` cdok li seageieodg} do}eyd}elg ilx olfheg`m
olf~dsselg dgm ~xem` fdu h` x`cd}`m }l ydxedhece}u eg sph&j`o}ey` `r~`xe`go` li }b`s` olf~c`r `fl}elgs# lx }l ydxedgo`
eg }`f~lxdc ~xl~`x}e`s li x`aelgdc do}eyd}elg sp~~lx}ega
icpo}pd}ega# olf~c`r dii`o}ey` dgm olage}ey` ~xlo`ss`s doxlss
}b` clga `fl}elg `ceoe}d}elg hcloks' Ipx}b x s}pme s qe}b
meii x`g} }ef` olgs}xdeg}s# s~`oeieodccu m`seags }bd} egm`&
~`gm`g}cu mes}ego}cu `ylk` s~`oeieo dii o} dgm d~~xdesdc&
x`cd} m olf~lg`g} ~xlo`ss`s }bd} ido}lx eg}l olf~dsselg
dgm ~xem` qecc ocdxeiu eg}`x~x`}d}elg li }b` x`spc}s x`~lx}`m
b`x`']b` qlxk ~x`s`g}`m b`x` ~xlyem`s d iexs} qe}beg&sphj`o}s
`rdfegd}elg li g`pxdc do}eyd}elg mpxega cdhlxd}lxu egmpo&
}elg li olf~dsselg dgm ~xem`' ]b` ~x`s`g} iegmegas ~leg} }l
}b` ~lssehc` egylcy`f`g} li }b` femhxdeg ^DA# egspcd dgm
EIA x`aelgs ys ~ls}`xelx femceg` s}xpo}px`s eg s}d}`s obdxdo&
}`xez`m hu l}b`x&lxe`g}`m# odx`aeyega fl}eyd}elg ys
s}d}ps&hds`m s`ci&ilops# x`s~ o}ey`cu' Ds }bes ce}`xd}px` lg
olf~dsselg dgm ~xem` axlqs# s`y xdc l~~lx}pge}e s dqde}:
s}pme s li a`gm`x meii`x go s eg }b` g`pxdc olxx`cd} s li
}b`s` ~l}`g}edccu a`gm x`m `fl}elgs; }xde} dgm s}d} &c`y`c
ydxed}elgs eg }b`s` `fl}elgs dgm }b`ex olxx`cd}`s; `ii`o}s li
sloedc axlp~ s}d}ps lg }b` `f`xa`go` li }b`s` `fl}elgs; dgm
~l}`g}edc cegkda`s h`}q``g }b` o`g}xdc g`xylps sus}`f ~xl&
o`ssega dgm ~lssehc` ~`xe~b`xdc olxx`cd}`s li olf~dsselg dgm
~xem`' ]bes kegm li qlxk qecc b`c~ m`ceg`d}` }b` ~buselclaeodc
~xlo`ss`s dssloed}`m qe}b olf~dsselg dgm ~xem`# }ql `fl&}elgs }bd} s`xy` ef~lx}dg} sloedc ipgo}elgs'
X@I@X@GO@_
Hdmx`# M'# Qdag`x# D'M' "8>>1%' C`i} y`g}xlcd}`xdc ~x`ixlg}dc olx}`r dgm }b`
olage}ey` olg}xlc li f`flxu' G`pxl~suoblclaed# =0"4?%# 822?5>4'
Hdx}`cs# D'# Z`ke# _' "8>>=%' ]b` g`pxdc olxx`cd}`s li fd}`xgdc dgm xlfdg}eo
cly`' G`pxlefda`# 84"?%# 440099'
Hd}slg# O'M'# _bdq# C' "4554%' @yem`go` ilx Dc}xpesf: }lqdxm d ~cpxdcesf li
~xlsloedc fl}ey`s' ^suoblclaeodc Egtpexu# 8# 4>188'
Hdpfadx}g`x# ]'# B`egxeobs# F'# Ylgcdg}b`g# D'# Iesobhdob`x# P'# I`bx# @'
"8>>2%' Lru}loeg sbd~`s }b` g`pxdc oexope}xu li }xps} dgm }xps} dmd~}d}elg
eg bpfdgs' G`pxlg# 02"=%# 9?50>'
H`dpx`adxm# F'# Olpx}`fdgob`# J'# ^dtp`}}`# Y'# _}&^e`xx`# @'C' "8>>5%' ]b`
g`pxdc hdses li pgolgme}elgdc cly`' ^suobed}xu X`s`dxob# 418"8%# 5?
2'
H`gg`}}# O'F'# Qlcilxm# A'C'# Fecc`x# F'H' "8>>5%' ]b` ~xegoe~c`m olg}xlc li
idcs` ~lse}ey s eg g`pxlefdaega' _loedc Olage}ey` dgm Dii`o}ey`
G`pxlsoe`go`# ="=%# =4188'
H`xkfdg# @']'# Ce`h`xfdg# F'M' "8>>5%' Psega g`pxlsoe`go` }l hxldm`g
`fl}elg x`apcd}elg: }b lx`}eodc dgm f`}blmlclaeodc olgsem`xd}elgs'
_loedc dgm ^`xslgdce}u ^suoblclau Olf~dss# ?# =105?'
Hcdk`flx`# _'J'# Ixe}b# O' "8>>?%' _`ci&dqdx`g`ss dgm do}elg' Opxx`g} L~egelg
eg G`pxlhelclau# 4?"8%# 8458='
Odxx# C'# Edolhlge# F'# Mph`dp# F'O'# Fdzzel}}d# J'O'# C`gze# A'C' "8>>?%'
G`pxdc f`obdgesfs li `f~d}bu eg bpfdgs: d x`cdu ixlf g`pxdc sus}`fs
ilx efe}d}elg }l cefheo dx`ds' ^xlo` megas li }b` Gd}elgdc Dodm`fu li
_oe`go`# 4>>"5%# 0=510>8'
48 li4= _ODG "8>44% @' _eflg&]blfds `} dc'
7/30/2019 Simon-Thomas et al.
13/14
Odx} x# O'_'# Axe~~l# D'J'# ^lpxgdjdie&Gdzdxcll# B'# Xpsoel# F'A'#
^lxa s# _'Q' "8>>2%' Lru}loeg# ydsl~x`sseg dgm sloedce}u' ^xlax`ss eg
Hxdeg X`s`dxob# 41># ??49'
Ob`ga# U'# Ob`g# O'# Ceg# O'^'# Oblp# K'B'# M`o`}u# J' "8>4>%' Cly` bpx}s: dg
iFXE s}pmu' G`pxlefda`# 04"8%# 58?5'
Oldg# J'D'# Dcc`g# J'J'# `me}lxs' "8>>1%' Bdgmhllk li @fl}elg @ceoe}d}elg dgm
Dss`ssf`g}' G`q Ulxk: Lrilxm Pgey`xse}u ^x`ss'
MDxa`fh`dp# D'# I`u`xs# M'# Fdj`xps# _'# `} dc' "8>>2%' _`ci&x`ic`o}elg doxlss}ef`: olx}eodc femceg` s}xpo}px`s meii`x`g}ed}` h`}q``g ~x`s`g} dgm ~ds}
s`cy`s' _loedc Olage}ey` dgm Dii`o}ey` G`pxlsoe`go`# ?"?%# 8==08'
MDxa`fh`dp# D'# Xphu# ^'# Olcc`}}`# I'# `} dc' "8>>1%' Mes}ego} x`aelgs li
}b` f`medc ~x`ixlg}dc olx}`r dx` dssloed}`m qe}b s`ci&x`i`x`g}edc ~xlo`ss&
ega dgm ~`xs~`o}ey` }dkega' Jlpxgdc li Olage}ey` G`pxlsoe`go`# 45"9%#
5?0=='
MDxa`fh`dp# D'# _}dqdxozuk# M'# Fdj`xps# _'# `} dc' "8>>5%' ]b` g`pxdc hdses
li ~`xslgdc aldc ~xlo`ssega qb`g `gyeselgega ip}px` `y`g}s' Jlpxgdc li
Olage}ey` G`pxlsoe`go`# 88"2%# 41>44?'
M@s~lse}l# F' "8>>>%' Ipgo}elgdc g`pxlefdaega li olage}elg' _`fegdxs eg
G`pxlclau# 8>"=%# =2152'
Mdfdsel# D' "8>>?%' I``cegas li `fl}elg dgm }b` s`ci' Dggpdc G`q Ulxk
Dodm`fu li _oe`go`# 4>>4# 80?94'
Mdfdsel# D'# Axdhlqske# ]'# H`obdxd# D'# `} dc' "8>>>%' _pholx}eodc dgm
olx}eodc hxdeg do}eye}u mpxega }b` i``cega li s`ci&a`g xd}`m `fl}elgs'Gd}px` G`pxlsoe`go`# ?"4>%# 4>=509'
Mds cddx# _'F'# Xeo # B'J'# Ax` gh xa# M'C'# Odh zd# X'# CdHdx# K'_'#
Xpheg# M'O' "8>>2%' ]b` s~d}el}`f~lxdc mugdfeos li dp}lhelaxd~beodc
f`flxu: g`pxdc olxx cd} s li x`odcc# `fl}elgdc eg}`gse}u# dgm x`ceyega'
O`x`hxdc Olx}`r# 42"4%# 84185'
Mds cddx# _'F'# Xlfhlp}s# _'D'# Y c}fdg# M'J'# Xddejfdk xs# J'A'#
Cdz xlg# X'B'# Jlgk x# O' "8>>4%' ^dxdbe~~lodf~dc do}eyd}elg mpxega
spoo`ssipc x`olage}elg li qlxms: d s`ci&~do`m `y`g}&x`cd}`m iFXE s}pmu'
G`pxlefda`# 4?"9%# 444?8>'
M`o }u# J'# @oblcs# _'# Olxx cc# J' "8>>5%' ]b` hcdf` adf`: ]b` `ii`o} li
x s~lgsehece}u dgm sloedc s}eafd lg `f~d}bu ilx ~deg' Jlpxgdc li
Olage}ey` G`pxlsoe`go`# 88"0%# 52051'
M`o`}u# J'# Jdokslg# ^'C' "8>>=%' ]b` ipgo}elgdc dxobe}`o}px` li bpfdg `f&
~d}bu' H`bdyelxdc Olage}ey` G`pxlsoe`go` X`ye`q# ?"8%# 144>>'
@es`gh`xa# G'# Idh`s# X'D'# Fecc`x# ^'D'# Ipc}z# J'# _b`cc# X'# Fd}bu# X'F'
"4525%' X`cd}elg li suf~d}bu dgm ~`xslgdc mes}x`ss }l ~xlsloedc h`bdyelx:
d fpc}ef`}blm s}pmu' Jlpxgdc li ^`xslgdce}u dgm _loedc ^suoblclau# 01#
0099'
@es`gh`xa# G'# Ap}bxe`# E'K'# Opfh`xcdgm# D'# `} dc' "8>>8%' ^xlsloedc m`y`c&
l~f`g} eg `dxcu dmpc}bllm: d clgae}pmegdc s}pmu' Jlpxgdc li ^`xslgdce}u )
_loedc ^suoblclau# 28# 55?4>>9'
Ieap`exd# X'J'# ^`dhlmu# F'I'# Clgs}`eg# J'_' "8>>2%' Lru}loeg x`o`~}lx do&
}eye}u eg }b` y`g}xlodpmdc ~`xedtp`mpo}dc axdu flmpcd}`s dgre`}u&x`cd}`m
h`bdyelx eg ~ls}~dx}pf xd}s' H`bdyelxdc G`pxlsoe`go`# 488"?%# 94282'
Ilssd}e# ^'# B`y`glx# _'J'# Axdbdf# _'J'# `} dc' "8>>?%' Eg s`dxob li }b` `fl&
}elgdc s`ci: dg IFXE s}pmu psega ~lse}ey` dgm g`ad}ey` `fl}elgdc qlxms'
Df`xeodg Jlpxgdc li ^suobed}xu# 49>"44%# 45?2=0'
Al`}z# J'# K`c}g`x# M'# _eflg&]blfds# @'X' "8>4>%' Es olf~dsselg d mes}ego}
`fl}elg< Dg eg}`axd}`m x`ye`q li ilpx bu~l}b`s`s' ^suoblclaeodc Hpcc`}eg#
4?9"?%# ?041='
Alxmlg# E'# Zdallxu&_bdxlg# L'# C okfdg# J'I'# I`cmfdg# X' "8>4>%'
Lru}loeg dgm }b` m`y`cl~f`g} li ~dx g}ega eg bpfdgs' Helclaeodc
^suobed}xu# 92"=%# ?1128'
Axlss# J'J'# _p}}lg# _'K'# K`}dcddx# ]' "4552%' X`cd}elgs h`}q``g dii`o} dgm
~`xslgdce}u: sp~~lx} ilx }b` dii`o}&c y`c dgm dii`o}ey`&x`do}eye}u ye`qs'
^`xslgdce}u dgm _loedc ^suoblclau Hpcc`}eg# 8="?%# 815'
Bdxxes# C']'# FoOcpx`# _'F'# ydg m`g Hls# Q'# Olb g# J'M'# Iesk`# _']'
"8>>1%' X`aelgs li }b` F^IO meii`x`g}edccu }pg`m }l sloedc dgm glgsloedc
dii`o}ey` `ydcpd}elg' Olage}ey` Dii`o}ey` dgm H`bdyelxdc G`pxlsoe`go`# 1"=%#
?>549'
B`d}b`x}lg# ]'I'# Qucdgm# O'C'# Fdoxd`# O'G'# M`fls# K'@'# M`ggu# H']'#
K`cc`u# Q'F' "8>>9%' F`medc ~x`ixlg}dc do}eye}u meii`x`g}ed}`s s`ci ixlf
ocls` l}b`xs' _loedc Olage}ey` dgm Dii`o}ey` G`pxlsoe`go`# 4"4%# 4280'
B`egxeob`x# F'F'# ]dydx`s# E'# C`e}b# J'C'# Cpfh# H'F' "8>>5%' M`so`gmega
olg}xlc li gloeo`~}elg: s~`oeieoe}u# x`oxpe}f`g} dgm ~cds}eoe}u' Hxdeg
X`s`dxob X`ye`q# 9>"4%# 84=80'
B`x}`gs}`eg# F'# K`c}g`x# M'# D~~# H'# Hpcc`e}# H'D'# Jdsklckd# D'X' "8>>9%'
]lpob olffpgeod}`s mesox`}` `fl}elgs' @fl}elg# 9"?%# 082??'
Bllk`x# O'# Y`xlsku# _'# A`xfeg`# C'# Kgeab}# X'# M@s~lse}l# F' "8>4>%'
G`pxdc do}eye}u mpxega sloedc seagdc ~`xo`~}elg olxx cd} s qe}b
s`ci&x`~lx} m `f~d}bu' Hxdeg X`s`dxob# 4?>2# 4>>
4?'Bllk`x# O'E'# Y`xlsku# _'O'# A`xfeg`# C']'# Kgeab}# X']'# M@s~lse}l# F'
"8>>2%' F`g}dcezega dhlp} `fl}elg dgm e}s x`cd}elgsbe~ }l `f~d}bu'
_loedc Olage}ey` dgm Dii`o}ey` G`pxlsoe`go`# ?# 8>=41'
Bp}ob`xslg# O'D'# Alcmeg# ^'X'# Lobsg`x# K'G'# Adhxe`ce# J'M'# Hdxx`}}# C'I'#
Axlss# J'J' "8>>0%' D}}`g}elg dgm `fl}elg: ml`s xd}ega `fl}elg dc}`x
g`pxdc x`s~lgs`s }l dfpsega dgm sdm iecfs< G`pxlefda`# 81"?%# 90992'
Edolhlge# F'# Flcgdx&_zdkdos# E'# Adcc`s`# Y'# Hpooegl# A'# Fdzzel}}d# J'O'#
Xezzlcd}}e# A' "8>>0%' Axds~ega }b` eg} g}elgs li l}b xs qe}b lg s
lqg fexxlx g`pxlg sus} f' ^phceo Cehxdxu li _oe go : Helclau# ?"?%#
085?0'
Efflxmegl&Udga# F'B'# FoOlcc# D'# Mdfdsel# B'# Mdfdsel# D' "8>>5%'
G`pxdc olxx cd} s li dmfexd}elg dgm olf~dsselg' ^xlo``megas li }b`
Gd}elgdc Dodm`fu li _oe`go`# 4>9"45%# 2>849'
Egs`c# ]'X'# Aegaxeob# H'_'# Ulpga# C'J' "8>>4%' Lru}loeg: qbl g``ms e}>4%' I`dx# dga`x# dgm xesk' Jlpxgdc li ^`xslgdce}u
dgm _loedc ^suoblclau# 24"4%# 4=905'
Ce`h xfdg# F'M'# Opggegabdf# Q'D' "8>>5%' ]u~` E dgm ]u~` EE `xxlx
olgo`xgs eg iFXE x`s`dxob: x`&hdcdgoega }b` sodc`' _loedc Olage}ey` dgm
Dii`o}ey` G`pxlsoe`go`# ="=%# =8?2'
Ce`h`xfdg# F'M'# Jdxobl# J'F'# _d}~p}`# D'H' "8>>=%' @yem`go`&hds`m dgm
eg}pe}elg&hds`m s`ci&kglqc`ma`: dg IFXE s}pmu' Jlpxgdc li ^`xslgdce}u dgm
_loedc ^suoblclau# 21"=%# =84
?0'
Clgs}`eg# J'_'# M` Yxe`s# A'J' "8>>>%' Fd}`xgdc h`bdyelpx eg cdo}d}ega xd}s
s}efpcd}`s o&ils eg acp}dfd}` m`odxhlrucds`&sug}b`sezega g`pxlgs li }b`
f`medc ~x`l~}eo dx`d# y`g}xdc h`m gpoc`ps li }b` s}xed }`xfegdces# dgm
y`g}xlodpmdc ~`xedtp`mpo}dc axdu' G`pxlsoe`go`# 4>>"?%# 00192'
Clgs}`eg# J'_'# _}`xg# J'F' "4551%' Xlc` li }b` femhxdeg ~`xedtp`mpo}dc axdu
eg fd}`xgdc gpx}pxdgo` dgm daax`sselg: o&ils dgm `c`o}xlcu}eo c`selg s}p&
me`s eg cdo}d}ega xd}s' Jlpxgdc li G`pxlsoe`go`# 41"5%# ??9=12'
Clyeok# ]'D'# Dmdf`o# X' "8>>5%' ]b` ^`xedtp`mpo}dc Axdu "^DA%' G`pxdc
^cds}eoe}u# 8>>5# ?9>5>1'
Fdoxd`# O'G'# Flxdg# J'F'# B`d}b`x}lg# ]'I'# Hdgie`cm# J'I'# K`cc`u# Q'F'
"8>>=%' F`medc ~x`ixlg}dc do}eye}u ~x`meo}s f`flxu ilx s`ci' O`x`hxdc
Olx}`r# 4="9%# 9=10='
Dg iFXE s}pmu li odxega ys s ci&ilops _ODG "8>44% 4? li 4=
7/30/2019 Simon-Thomas et al.
14/14
Fdmmlok# X'J'# Adxx`}}# D'_'# Hplglolx`# F'B' "8>>4%' X`f`fh`xega idfec&
edx ~`l~c`: }b` ~ls}`xelx oegapcd}` olx}`r dgm dp}lhelaxd~beodc f`flxu
x`}xe`ydc' G`pxlsoe`go`# 4>="?%# 99119'
Fdmmlok# X'J'# Adxx`}}# D'_'# Hplglolx`# F'B' "8>>?%' ^ls}`xelx oegapcd}`
olx}`r do}eyd}elg hu `fl}elgdc qlxms: iFXE `yem`go` ixlf d ydc`go` m`&
oeselg }dsk' Bpfdg Hxdeg Fd~~ega# 42"4%# ?>=4'
Fd}bpx# Y'D'# Bdxdmd# ]'# Ce~k`# ]'# Obedl# J'U' "8>4>%' G`pxdc hdses li
`r}xdlxmegdxu `f~d}bu dgm dc}xpes}eo fl}eyd}elg' G`pxlefda`# 04"=%#4=9210'
Fekpcego`x# F'# _bdy`x# ^'X'# Aeccd}b# L'# Ge}zh`xa# X'D' "8>>0%' D}}dobf`g}#
odx`aeyega# dgm dc}xpesf: hlls}ega d}}dobf`g} s`opxe}u egox`ds`s olf~ds&
selg dgm b`c~ega' Jlpxgdc li ^`xslgdce}u dgm _loedc ^suoblclau# 25# 241?5'
Fe}ob cc# J'^'# Hdgdje# F'X'# Fdoxd`# O'G' "8>>0d%' A`g`xdc dgm s~`oeieo
olg}xehp}elgs li }b` f`medc ~x ixlg}dc olx}`r }l kglqc ma` dhlp}
f`g}dc s}d}`s' G`pxlefda`# 82"=%# 10198'
Fe}ob`cc# J'^'# Hdgdje# F'X'# Fdoxd`# O'G' "8>>0h%' ]b` cegk h`}q``g sloedc
olage}elg dgm s`ci&x`i x`g}edc }blpab} eg }b` f`medc ~x`ixlg}dc olx} r'
Jlpxgdc li Olage}ey` G`pxlsoe`go`# 41"2%# 4?>940'
Flg}dap`# ^'X'# Kega&Odsds# H'# Olb`g# J'M' "8>>9%' Efdaega ydcpd}elg
flm`cs eg bpfdg obleo`' Dggpdc X`ye`q li G`pxlsoe`go`# 85# =41=2'
Ge}sobk # J'H'# G cslg# @'@'# Xpsob# H'M'# Ilr# D'_'# Ldk s# ]'X'#
Mdyemslg# X'J' "8>>=%' Lxhe}lixlg}dc olx} r }xdoks ~lse}ey` fllm eg
fl}b`xs ye`qega ~eo}px`s li }b`ex g`qhlxg egidg}s' G`pxlefda`# 84"8%#
02?
58'Glxepobe# F'# Kekpobe# U'# _`gll# D' "8>>2%' ]b` ipgo}elgdc g`pxldgd}lfu
li fd} xgdc cly : fl}b xs x`s~lgs` }l egidg}s d}}dobf g} h`bdyelxs'
Helclaeodc ^suobed}xu# 9?"=%# =408?'
Glx}blii# A'# B`egz`c# D'# H`xf~lbc# I'# `} dc' "8>>=%' X`oe~xlodc flmpcd}elg
dgm d}}`gpd}elg eg }b` ~x ixlg}dc olx} r: dg iFXE s}pmu lg
`fl}elgdc&olage}ey` eg}`xdo}elg' Bpfdg Hxdeg Fd~~ega# 84"?%# 8>848'
Glx}blii# A'# B`egz`c# D'# m` Ax`ok# F'# H`xf~lbc# I'# Mlhxlqlcgu# B'#
^dgks`~~# J' "8>>9%' _ ci&x i x g}edc ~xlo ssega eg lpx hxdegd
f`}d&dgdcuses li efdaega s}pme`s lg }b` s`ci' G`pxlefda`# ?4"4%# ==>01'
Gpfdg# F'# Gpfdg# F'J' "4551%' ^xlj`o}elg se}`s li f`medc ~x`l~}eo dx`d
dgm y`g}xdc h`m gpoc`ps li }b` s}xed }`xfegdces g`pxlgs }bd} `r~x`ss Ils
mpxega fd}`xgdc h`bdyelx eg i`fdc` xd}s' Jlpxgdc li G`pxl`gmloxeglclau#
5"0%# ?952='
Lobsg`x# K'G'# Kge`xef# K'# Cpmclq# M'B'# `} dc' "8>>=%' X`ic`o}ega p~lg
i``cegas: dg iFXE s}pmu li g`pxdc sus}`fs sp~~lx}ega }b` d}}xehp}elg li`fl}elg }l s`ci dgm l}b x' Jlpxgdc li Olage}ey` G`pxlsoe`go`# 49"4>%#
41=918'
Ly`es# O'# Olb`g# D'H'# Axph`x# J'# _bel}d# C'# Bdem}# J'# K`c}g`x# M' "8>>5%'
X`s}ega x`s~exd}lxu segps dxxbu}bfed es dssloed} m qe}b }lgeo ~lse}ey`
`fl}elgdce}u' @fl}elg# 5# 8901>'
Ly`es# O'# Blxh`xa# @'J'# K`c}g`x# M' "8>4>%' Olf~dsselg# ~xem`# dgm sloedc
eg}pe}elgs li s`ci&l}b x sefecdxe}u' Jlpxgdc li ^`xslgdce}u dgm _loedc
^suoblclau# 52"=%# 942?>'
^`c~bx`u# K'D'# Flxxes# J'^'# Feob`ceob# O'X'# Dcceslg# ]'# FoOdx}bu# A'
"8>>0%' Ipgo}elgdc dgd}lfu li helclaeodc fl}elg ~`xo`~}elg eg ~ls}`xelx
}`f~lxdc olx}`r: dg IFXE s}pmu li `u`# flp}b dgm bdgm fly`f`g}s'
O`x`hxdc Olx}`r# 40"48%# 429919'
^i`ei`x# J'B'# Edolhlge# F'# Fdzzel}}d# J'O'# Md~x`}}l# F' "8>>2%' Fexxlxega
l}b xs `fl}elgs x`cd}`s }l `f~d}bu dgm eg}`x~`xslgdc olf~ }`go` eg
obecmx`g' G`pxlefda`# ?5"=%# 8>19
20'X`ge`xs# X'C'# Olxolxdg# X'# Mxdk`# X'# _bxudg`# G'F'# Ylccf# H'D' "8>44%'
]b` TOD@: d Tp`s}elggdex` li Olage}ey` dgm Dii`o}ey` @f~d}bu' Jlpxgdc
li ^`xslgdce}u Dss`ssf`g}# 5?"4%# 2=50'
Xlmxeap`s# _'F'# _dsclq# C'X'# Adxoed# G'# Jlbg# L'^'# K`c}g`x# M' "8>>5%'
Lru}loeg x`o`~}lx a`g`}eo ydxed}elg x`cd}`s }l `f~d}bu dgm s}x`ss x`do}ey&
e}u eg bpfdgs' ^xlo``megas li }b` Gd}elgdc Dodm fu li _oe go` P_D#
4>9"0>%# 84=?1=4'
Xls`g# A'J'# m` Yxe`s# A'J'# Alcmfdg# _'C'# Alcmfdg# H'M'# Ilxa`x# G'A'
"8>>2%' Mes}xehp}elg li lru}loeg eg }b` hxdeg li d `psloedc xlm g}'
G`pxlsoe`go`# 400"?%# 2>541'
Xpm`h`ok# ^'B'# Hdgg`xfdg# M'F'# Xpsbqlx}b# F'I' "8>>2%' ]b` olg}xehp&
}elg li mes}ego} sphx`aelgs li }b` y`g}xlf`medc ixlg}dc olx}`r }l `fl}elg#
sloedc h`bdyelx# dgm m`oeselg fdkega' Olage}ey` Dii`o}ey` dgm H`bdyelxdc
G`pxlsoe`go`# 2"=%# =2051'
_ddx`cd# F'Y'# Bcpsbobpk# U'# Qeccedfs# D'O'# _obpxfdgg# F'# Kdcsl# @'#
Bdxe# X' "8>>1%' ]b` olf~dsselgd}` hxdeg: bpfdgs m`}`o} eg}`gse}u li
~deg ixlf dgl}b`xs ido`' O`x`hxdc Olx}`r# 41"4%# 8?>1'
_dr # X'# ^lq`cc# C'J' "8>>9%' E}s }b` }blpab} }bd} olpg}s: s~`oeieo hxdegx`aelgs ilx lg` olf~lg g} li }b`lxu li fegm' ^suoblclaeodc _oe`go #
41"2%# 9585'
_dr`# X'# Q`rc`x# D' "8>>0%' Fdkega s`gs` li dgl}b`x fegm: }b` xlc` li }b`
xeab} }`f~lxl&~dxe`}dc jpgo}elg' G`pxl~suoblclaed# =?"4>%# 4?545'
_bdbxlkb# M'K'# Zbdga# ]'U'# Melxel# J'# Axd}}lg# D'# F`dg`u# F'J' "8>4>%'
Lru}loeg&ml~dfeg` eg}`xdo}elgs f`med}` ydxed}elgs eg fd}`xgdc h`bdyelx
eg }b` xd}' @gmloxeglclau# 404"0%# 881929'
_bdfdu&]sllxu# _'A'# Dbdxlg&^`x`}z# J'# ^`xxu# M' "8>>5%' ]ql sus}`fs ilx
`f~d}bu: d mlphc` messloed}elg h`}q``g `fl}elgdc dgm olage}ey` `f&
~d}bu eg egi`xelx ixlg}dc auxps y`xsps y`g}xlf`medc ~x`ixlg}dc c`selgs'
Hxdeg# 4?8"^} ?%# 94181'
_eflg&]blfds# @'X'# K`c}g x# M'# _dp} x# M'D'# _egeoxl~e&Udl# C'#
Dhxdfslg# D' "8>>5%' ]b` yleo` olgy us s~`oeieo `fl}elgs: `yem`go`
ixlf ylodc hpxs} mes~cdus' @fl}elg# 5"9%# 2?2=9'
_ega`x# ]' "8>>9%' ]b` g`pxlgdc hdses dgm lg}la`gu li `f~d}bu dgm fegm
x`dmega: x`ye`q li ce} xd}px dgm ef~ceod}elgs ilx ip}px` x s`dxob'G`pxlsoe`go` Helh`bdyelxdc X`ye`q# ?>"9%# 2009?'
_ega`x# ]'# Ixe}b# O' "8>>0%' ]b` ~degipc sem` li `f~d}bu' Gd}px`
G`pxlsoe`go`# 2"1%# 2=09'
_ega`x# ]'# Cdff# O' "8>>5%' ]b` sloedc g`pxlsoe`go` li `f~d}bu' Dggpdc
G`q Ulxk Dodm`fu li _oe`go`# 4409# 2459'
_fe}b# O'D'# @ccsqlx}b# ^'O' "4520%' ^d}}`xgs li olage}ey` d~~xdesdc eg `fl&
}elg' Jlpxgdc li ^`xslgdce}u dgm _loedc ^suoblclau# =2# 24??2'
_}dok# @'O'# Hdcdkxesbgdg# X'# Gpfdg# F'J'# Gpfdg# F' "8>>8%' D ipgo}elgdc
g`pxldgd}lfeodc egy`s}ead}elg li }b` xlc` li }b` f`medc ~x`l~}eo dx`d eg
g`pxdc oexope}s x`apcd}ega fd}`xgdc h`bdyelx' H`bdyelxdc Hxdeg X`s`dxob#
4?4"48%# 41?9'
_}pxaes# J'M'# Hxema`s# X'_' "4551%' G&f`}buc&MC&ds~dx}eo doem c`selgs li }b`
f`medc ~x`l~}eo dx`d mesxp~} lgalega ~dx`g}dc h`bdyelx eg fdc` xd}s'
^buselclau li H`bdyelx# 98"8%# ?>04>'
_paepxd# F'# _bdb# G'J'# Zecc`s# K'# Iegk# A'X' "8>>0d%' Olx}eodc x`~x`s`g}d&}elgs li ~`xslgdccu idfecedx lhj`o}s dgm ~cdo`s: ipgo}elgdc lxadgezd}elg li
}b` bpfdg ~ls}`xelx oegapcd}` olx}`r' Jlpxgdc li Olage}ey` G`pxlsoe`go`#
41"8%# 42?52'
_paepxd# F'# Qd}dgdh # J'# Fd md# U'# Fd}sp # U'# Ipkpmd# B'#
Kdqdsbefd# X' "8>>0h%' Olx}eodc f`obdgesfs li yespdc s`ci&x`olage}elg'
G`pxlefda`# 8="4%# 4=?5'
_qdeg# J'@' "8>>2%' Hdhu s}efpce dgm }b` ~dx`g} hxdeg: ipgo}elgdc g`pxlefd&
aega li }b` g`pxdc sphs}xd}`s li ~dx`g}&egidg} d}}dobf`g}' ^suobed}xu# 0"2%#
82?9'
_qdeg# J'@' "8>4>%' ]b` bpfdg ~dx g}dc hxdeg: Eg yeyl g`pxlefdaega'
^xlax`ss eg G`pxl~suobl~bdxfdolclau Helclaeodc ^suobed}xu# ?0# 48=80='
]dkdbdsbe# B'# Fd}sppxd# F'# Kl`md# F'# `} dc' "8>>2%' Hxdeg do}eyd}elgs
mpxega jpmaf`g}s li ~lse}ey` s`ci&olgsoelps `fl}elg dgm ~lse}ey` hdseo
`fl}elg: ~xem` dgm jlu' O`x`hxdc Olx}`r# 42"=%# 2525>?'
]xdou# J'C'# Xlhegs# X'Q' "8>>=%' _blq ulpx ~xem`: `yem`go` ilx d mesox`}``fl}elg `r~x`sselg' ^suoblclaeodc _oe`go`# 40"?%# 45=1'
]xdou# J'C'# Xlhegs# X'Q' "8>>1%' ]b` ~suoblclaeodc s}xpo}px` li ~xem`: d }dc`
li }ql ido`}s' Jlpxgdc li ^`xslgdce}u dgm _loedc ^suoblclau# 58"?%# 0>980'
]xdou# J'C'# Xlhegs# X'Q'# ]dgag`u# J'^' "8>>1%' ]b` _`ci&Olgsoelps @fl}elgs:
]b`lxu dgm X`s`dxob' G`q Ulxk: Apecilxm ^x`ss'
Qlxsc`u# K'J'# Ixes}lg# K'J' "4550%' Dgdcuses li iFXE }ef`&s`xe`s x`yese}`m &
dadeg' G`pxlEfda`# 8# 41?24'
Zdbg# X'# Flcc# J'# Kxp`a`x# I'# Bp`u# @'M'# Adxxeml# A'# Axdifdg# J' "8>>1%'
_loedc olgo`~}s dx` x`~x`s`g}`m eg }b` sp~`xelx dg}`xelx }`f~lxdc olx}`r'
^xlo``megas li }b` Gd}elgdc Dodm`fu li _oe`go` P_D # 4>="40%# 9=?>0'
4= li 4= _ODG "8>44% @' _eflg&]blfds `} dc'