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Once dead, animals are immediately decapitated, the temporal bones are isolated, and the middle ear bullae are opened to expose the cochleae

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Importantly, syringe and needle design had a significant influence: siliconized syringes and staked-in needles were linked to higher contamination, while SiO-free syringes markedly reduced the risk

population was at risk for anemia (low red blood cells or hemoglobin, often caused by iron deficiency) or at least one vitamin deficiency---meaning they fell below the deficiency cutoffs established from CDC data for at least one micronutrient