Barely Significant
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Characterization of throat microbial flora in smokers with or without COPD.

Int J Chron Obstruct Pulmon Dis · 2017 · PMC5503495 · PMID 28740374

2
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an increasing trendno p-value reported
First, no female subjects were enrolled because COPD patients in China are almost exclusively males; second, follow-up of the population has not been conducted; third, samples from the lower respiratory tracts were not collected; Fourth, the rarefaction curves still showed an increasing trend, suggesting that sequencing depth was still not enough.

also in 63,971 other papers

a decreasing trendno p-value reported
Notes: Inverse Simpson ( A ) and Shannon ( B ) index showed a decreasing trend in COPD patients than controls but no observed difference between group 1 and group 2.

also in 47,180 other papers

Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.