Effect of Lower Body Compression Garments on Hemodynamics in Response to Running Session

Purpose. Compression garments are often worn during exercise and allegedly have ergogenic and/or physiological effects. In this study, we compared hemodynamics and running performance while wearing compression and loose-fit breeches. We hypothesized that in neutral-warm environment compression breec...

Full description

Saved in:
Bibliographic Details
Published in:TheScientificWorld 2014-01, Vol.2014 (2014), p.1-10
Main Authors: Grūnovas, Albinas, Poderys, Jonas, Kamandulis, Sigitas, Trinkūnas, Eugenijus, Venckūnas, Tomas, Brazaitis, Marius
Format: Article
Language:English
Subjects:
Adult
Body Temperature
Compression therapy
Exercise
Exercise Test
Extremities (Anatomy)
Female
Health aspects
Heart Rate
Hemodynamics
Humans
Physiology
Protective Clothing
Running
Skin
Sport clothes
Temperature
Young Adult
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c600t-c8dad0387ac3d2c2e14f61473218c0cb91240bffe6b3732760fe08d498c55ab03
cites cdi_FETCH-LOGICAL-c600t-c8dad0387ac3d2c2e14f61473218c0cb91240bffe6b3732760fe08d498c55ab03
container_end_page 10
container_issue 2014
container_start_page 1
container_title TheScientificWorld
container_volume 2014
creator Grūnovas, Albinas
Poderys, Jonas
Kamandulis, Sigitas
Trinkūnas, Eugenijus
Venckūnas, Tomas
Brazaitis, Marius
description Purpose. Compression garments are often worn during exercise and allegedly have ergogenic and/or physiological effects. In this study, we compared hemodynamics and running performance while wearing compression and loose-fit breeches. We hypothesized that in neutral-warm environment compression breeches impair performance by diminishing body cooling via evaporative sweat loss and redistributing blood from active musculature to skin leading to a larger rise in body temperature and prolonging recovery of hemodynamics after exercise. Methods. Changes in hemodynamics (leg blood flow, heart rate, and blood pressure during orthoclinostatic test), calf muscle tissue oxygenation, and skin and core temperatures were measured in response to 30 min running (simulation of aerobic training session) followed by maximal 400 m sprint (evaluation of running performance) in recreationally active females ( 25.1 ± 4.2 yrs; 63.0 ± 8.6 kg) wearing compression or loose-fit breeches in randomized fashion. Results. Wearing compression breeches resulted in larger skin temperature rise under the garment during exercise and recovery (by about 1°C, P < 0.05 ; statistical power > 85%), while core temperature dynamics and other measured parameters including circulation, running performance, and sensations were similar compared to wearing loose-fit breeches ( P > 0.05 ) . Conclusion. Compared with loose-fit breeches, compression breeches have neither positive nor negative physiological and performance effects for females running in thermoneutral environment.
doi_str_mv 10.1155/2014/353040
format article
fullrecord <record><control><sourceid>gale_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_6281dc37f2ea492fab9081ddaa2e36e3</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A413711215</galeid><doaj_id>oai_doaj_org_article_6281dc37f2ea492fab9081ddaa2e36e3</doaj_id><sourcerecordid>A413711215</sourcerecordid><originalsourceid>FETCH-LOGICAL-c600t-c8dad0387ac3d2c2e14f61473218c0cb91240bffe6b3732760fe08d498c55ab03</originalsourceid><addsrcrecordid>eNqNkstrVDEUh4Moto6u3EvAjSjT5nkfG6EOtS0MCFWhu5CbnEwzzE2myR1L_3tzvbV2xIVkkXDOd345L4ReU3JEqZTHjFBxzCUngjxBh1Tyel4LcfUUHTIuq3lFBTlAL3JeE8Kbmsrn6IBJRljN6CG6OnUOzICjw8t4Cwl_ivYOL2K_TZCzjwGf6dRDGDIu73Poizvo3puMfcCXkLcxZMBDxJe7EHxY4a9T3Ev0zOlNhlf39wx9_3z6bXE-X345u1icLOemImSYm8ZqO-alDbfMMKDClYxrzmhjiOlaygTpSo5Vx4uxrogD0ljRNkZK3RE-QxeTro16rbbJ9zrdqai9-mWIaaV0GrzZgKpYQ63htWOgRcuc7lpSLFZrBrwCXrQ-TlrbXdeDNaXspDd7ovue4K_VKv5Qgkoq66oIvLsXSPFmB3lQvc8GNhsdIO6yonKsjVXVmPfbv9B13KVQWlUo2YiWi4r-oVa6FOCDi-VfM4qqE0F5TSkrA5-ho39Q5Vgok4oBnC_2vYAPU4BJMecE7qFGStS4VGpcKjUtVaHfPG7LA_t7iwrwfgKufbD61v-fGhQEnH4El6G0Df8JL4rblA</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1558493461</pqid></control><display><type>article</type><title>Effect of Lower Body Compression Garments on Hemodynamics in Response to Running Session</title><source>Wiley Online Library Open Access</source><source>Publicly Available Content Database</source><source>PubMed Central</source><creator>Grūnovas, Albinas ; Poderys, Jonas ; Kamandulis, Sigitas ; Trinkūnas, Eugenijus ; Venckūnas, Tomas ; Brazaitis, Marius</creator><contributor>Gaze, Dr David C.</contributor><creatorcontrib>Grūnovas, Albinas ; Poderys, Jonas ; Kamandulis, Sigitas ; Trinkūnas, Eugenijus ; Venckūnas, Tomas ; Brazaitis, Marius ; Gaze, Dr David C.</creatorcontrib><description>Purpose. Compression garments are often worn during exercise and allegedly have ergogenic and/or physiological effects. In this study, we compared hemodynamics and running performance while wearing compression and loose-fit breeches. We hypothesized that in neutral-warm environment compression breeches impair performance by diminishing body cooling via evaporative sweat loss and redistributing blood from active musculature to skin leading to a larger rise in body temperature and prolonging recovery of hemodynamics after exercise. Methods. Changes in hemodynamics (leg blood flow, heart rate, and blood pressure during orthoclinostatic test), calf muscle tissue oxygenation, and skin and core temperatures were measured in response to 30 min running (simulation of aerobic training session) followed by maximal 400 m sprint (evaluation of running performance) in recreationally active females ( 25.1 ± 4.2 yrs; 63.0 ± 8.6 kg) wearing compression or loose-fit breeches in randomized fashion. Results. Wearing compression breeches resulted in larger skin temperature rise under the garment during exercise and recovery (by about 1°C, P &lt; 0.05 ; statistical power &gt; 85%), while core temperature dynamics and other measured parameters including circulation, running performance, and sensations were similar compared to wearing loose-fit breeches ( P &gt; 0.05 ) . Conclusion. Compared with loose-fit breeches, compression breeches have neither positive nor negative physiological and performance effects for females running in thermoneutral environment.</description><identifier>ISSN: 2356-6140</identifier><identifier>ISSN: 1537-744X</identifier><identifier>EISSN: 1537-744X</identifier><identifier>DOI: 10.1155/2014/353040</identifier><identifier>PMID: 25202721</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Adult ; Body Temperature ; Compression therapy ; Exercise ; Exercise Test ; Extremities (Anatomy) ; Female ; Health aspects ; Heart Rate ; Hemodynamics ; Humans ; Physiology ; Protective Clothing ; Running ; Skin ; Sport clothes ; Temperature ; Young Adult</subject><ispartof>TheScientificWorld, 2014-01, Vol.2014 (2014), p.1-10</ispartof><rights>Copyright © 2014 Tomas Venckūnas et al.</rights><rights>COPYRIGHT 2014 John Wiley &amp; Sons, Inc.</rights><rights>Copyright © 2014 Tomas Venckunas et al. Tomas Venckunas et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright © 2014 Tomas Venckūnas et al. 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c600t-c8dad0387ac3d2c2e14f61473218c0cb91240bffe6b3732760fe08d498c55ab03</citedby><cites>FETCH-LOGICAL-c600t-c8dad0387ac3d2c2e14f61473218c0cb91240bffe6b3732760fe08d498c55ab03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/1558493461/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1558493461?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25202721$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Gaze, Dr David C.</contributor><creatorcontrib>Grūnovas, Albinas</creatorcontrib><creatorcontrib>Poderys, Jonas</creatorcontrib><creatorcontrib>Kamandulis, Sigitas</creatorcontrib><creatorcontrib>Trinkūnas, Eugenijus</creatorcontrib><creatorcontrib>Venckūnas, Tomas</creatorcontrib><creatorcontrib>Brazaitis, Marius</creatorcontrib><title>Effect of Lower Body Compression Garments on Hemodynamics in Response to Running Session</title><title>TheScientificWorld</title><addtitle>ScientificWorldJournal</addtitle><description>Purpose. Compression garments are often worn during exercise and allegedly have ergogenic and/or physiological effects. In this study, we compared hemodynamics and running performance while wearing compression and loose-fit breeches. We hypothesized that in neutral-warm environment compression breeches impair performance by diminishing body cooling via evaporative sweat loss and redistributing blood from active musculature to skin leading to a larger rise in body temperature and prolonging recovery of hemodynamics after exercise. Methods. Changes in hemodynamics (leg blood flow, heart rate, and blood pressure during orthoclinostatic test), calf muscle tissue oxygenation, and skin and core temperatures were measured in response to 30 min running (simulation of aerobic training session) followed by maximal 400 m sprint (evaluation of running performance) in recreationally active females ( 25.1 ± 4.2 yrs; 63.0 ± 8.6 kg) wearing compression or loose-fit breeches in randomized fashion. Results. Wearing compression breeches resulted in larger skin temperature rise under the garment during exercise and recovery (by about 1°C, P &lt; 0.05 ; statistical power &gt; 85%), while core temperature dynamics and other measured parameters including circulation, running performance, and sensations were similar compared to wearing loose-fit breeches ( P &gt; 0.05 ) . Conclusion. Compared with loose-fit breeches, compression breeches have neither positive nor negative physiological and performance effects for females running in thermoneutral environment.</description><subject>Adult</subject><subject>Body Temperature</subject><subject>Compression therapy</subject><subject>Exercise</subject><subject>Exercise Test</subject><subject>Extremities (Anatomy)</subject><subject>Female</subject><subject>Health aspects</subject><subject>Heart Rate</subject><subject>Hemodynamics</subject><subject>Humans</subject><subject>Physiology</subject><subject>Protective Clothing</subject><subject>Running</subject><subject>Skin</subject><subject>Sport clothes</subject><subject>Temperature</subject><subject>Young Adult</subject><issn>2356-6140</issn><issn>1537-744X</issn><issn>1537-744X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNqNkstrVDEUh4Moto6u3EvAjSjT5nkfG6EOtS0MCFWhu5CbnEwzzE2myR1L_3tzvbV2xIVkkXDOd345L4ReU3JEqZTHjFBxzCUngjxBh1Tyel4LcfUUHTIuq3lFBTlAL3JeE8Kbmsrn6IBJRljN6CG6OnUOzICjw8t4Cwl_ivYOL2K_TZCzjwGf6dRDGDIu73Poizvo3puMfcCXkLcxZMBDxJe7EHxY4a9T3Ev0zOlNhlf39wx9_3z6bXE-X345u1icLOemImSYm8ZqO-alDbfMMKDClYxrzmhjiOlaygTpSo5Vx4uxrogD0ljRNkZK3RE-QxeTro16rbbJ9zrdqai9-mWIaaV0GrzZgKpYQ63htWOgRcuc7lpSLFZrBrwCXrQ-TlrbXdeDNaXspDd7ovue4K_VKv5Qgkoq66oIvLsXSPFmB3lQvc8GNhsdIO6yonKsjVXVmPfbv9B13KVQWlUo2YiWi4r-oVa6FOCDi-VfM4qqE0F5TSkrA5-ho39Q5Vgok4oBnC_2vYAPU4BJMecE7qFGStS4VGpcKjUtVaHfPG7LA_t7iwrwfgKufbD61v-fGhQEnH4El6G0Df8JL4rblA</recordid><startdate>20140101</startdate><enddate>20140101</enddate><creator>Grūnovas, Albinas</creator><creator>Poderys, Jonas</creator><creator>Kamandulis, Sigitas</creator><creator>Trinkūnas, Eugenijus</creator><creator>Venckūnas, Tomas</creator><creator>Brazaitis, Marius</creator><general>Hindawi Publishing Corporation</general><general>John Wiley &amp; Sons, Inc</general><general>Hindawi Limited</general><scope>ADJCN</scope><scope>AHFXO</scope><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7TK</scope><scope>7TM</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>CWDGH</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20140101</creationdate><title>Effect of Lower Body Compression Garments on Hemodynamics in Response to Running Session</title><author>Grūnovas, Albinas ; Poderys, Jonas ; Kamandulis, Sigitas ; Trinkūnas, Eugenijus ; Venckūnas, Tomas ; Brazaitis, Marius</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c600t-c8dad0387ac3d2c2e14f61473218c0cb91240bffe6b3732760fe08d498c55ab03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Body Temperature</topic><topic>Compression therapy</topic><topic>Exercise</topic><topic>Exercise Test</topic><topic>Extremities (Anatomy)</topic><topic>Female</topic><topic>Health aspects</topic><topic>Heart Rate</topic><topic>Hemodynamics</topic><topic>Humans</topic><topic>Physiology</topic><topic>Protective Clothing</topic><topic>Running</topic><topic>Skin</topic><topic>Sport clothes</topic><topic>Temperature</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Grūnovas, Albinas</creatorcontrib><creatorcontrib>Poderys, Jonas</creatorcontrib><creatorcontrib>Kamandulis, Sigitas</creatorcontrib><creatorcontrib>Trinkūnas, Eugenijus</creatorcontrib><creatorcontrib>Venckūnas, Tomas</creatorcontrib><creatorcontrib>Brazaitis, Marius</creatorcontrib><collection>الدوريات العلمية والإحصائية - e-Marefa Academic and Statistical Periodicals</collection><collection>معرفة - المحتوى العربي الأكاديمي المتكامل - e-Marefa Academic Complete</collection><collection>Hindawi Publishing Complete</collection><collection>Hindawi Publishing Subscription Journals</collection><collection>Hindawi Publishing Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health &amp; Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Advanced Technologies &amp; Aerospace Collection</collection><collection>Agricultural &amp; Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>Middle East &amp; Africa Database</collection><collection>ProQuest Central</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Agriculture Science Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Advanced Technologies &amp; Aerospace Database</collection><collection>ProQuest Advanced Technologies &amp; Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Directory of Open Access Journals</collection><jtitle>TheScientificWorld</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Grūnovas, Albinas</au><au>Poderys, Jonas</au><au>Kamandulis, Sigitas</au><au>Trinkūnas, Eugenijus</au><au>Venckūnas, Tomas</au><au>Brazaitis, Marius</au><au>Gaze, Dr David C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of Lower Body Compression Garments on Hemodynamics in Response to Running Session</atitle><jtitle>TheScientificWorld</jtitle><addtitle>ScientificWorldJournal</addtitle><date>2014-01-01</date><risdate>2014</risdate><volume>2014</volume><issue>2014</issue><spage>1</spage><epage>10</epage><pages>1-10</pages><issn>2356-6140</issn><issn>1537-744X</issn><eissn>1537-744X</eissn><abstract>Purpose. Compression garments are often worn during exercise and allegedly have ergogenic and/or physiological effects. In this study, we compared hemodynamics and running performance while wearing compression and loose-fit breeches. We hypothesized that in neutral-warm environment compression breeches impair performance by diminishing body cooling via evaporative sweat loss and redistributing blood from active musculature to skin leading to a larger rise in body temperature and prolonging recovery of hemodynamics after exercise. Methods. Changes in hemodynamics (leg blood flow, heart rate, and blood pressure during orthoclinostatic test), calf muscle tissue oxygenation, and skin and core temperatures were measured in response to 30 min running (simulation of aerobic training session) followed by maximal 400 m sprint (evaluation of running performance) in recreationally active females ( 25.1 ± 4.2 yrs; 63.0 ± 8.6 kg) wearing compression or loose-fit breeches in randomized fashion. Results. Wearing compression breeches resulted in larger skin temperature rise under the garment during exercise and recovery (by about 1°C, P &lt; 0.05 ; statistical power &gt; 85%), while core temperature dynamics and other measured parameters including circulation, running performance, and sensations were similar compared to wearing loose-fit breeches ( P &gt; 0.05 ) . Conclusion. Compared with loose-fit breeches, compression breeches have neither positive nor negative physiological and performance effects for females running in thermoneutral environment.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Publishing Corporation</pub><pmid>25202721</pmid><doi>10.1155/2014/353040</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 2356-6140
ispartof TheScientificWorld, 2014-01, Vol.2014 (2014), p.1-10
issn 2356-6140
1537-744X
1537-744X
language eng
recordid cdi_doaj_primary_oai_doaj_org_article_6281dc37f2ea492fab9081ddaa2e36e3
source Wiley Online Library Open Access; Publicly Available Content Database; PubMed Central
subjects Adult
Body Temperature
Compression therapy
Exercise
Exercise Test
Extremities (Anatomy)
Female
Health aspects
Heart Rate
Hemodynamics
Humans
Physiology
Protective Clothing
Running
Skin
Sport clothes
Temperature
Young Adult
title Effect of Lower Body Compression Garments on Hemodynamics in Response to Running Session
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-24T16%3A18%3A49IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Effect%20of%20Lower%20Body%20Compression%20Garments%20on%20Hemodynamics%20in%20Response%20to%20Running%20Session&rft.jtitle=TheScientificWorld&rft.au=Gr%C5%ABnovas,%20Albinas&rft.date=2014-01-01&rft.volume=2014&rft.issue=2014&rft.spage=1&rft.epage=10&rft.pages=1-10&rft.issn=2356-6140&rft.eissn=1537-744X&rft_id=info:doi/10.1155/2014/353040&rft_dat=%3Cgale_doaj_%3EA413711215%3C/gale_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c600t-c8dad0387ac3d2c2e14f61473218c0cb91240bffe6b3732760fe08d498c55ab03%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1558493461&rft_id=info:pmid/25202721&rft_galeid=A413711215&rfr_iscdi=true