Loading…
Cognitive reserve involves decision making and is associated with left parietal and hippocampal hypertrophy in neurodegeneration
Cognitive reserve is the ability to actively cope with brain deterioration and delay cognitive decline in neurodegenerative diseases. It operates by optimizing performance through differential recruitment of brain networks or alternative cognitive strategies. We investigated cognitive reserve using...
Saved in:
Published in: | Communications biology 2024-06, Vol.7 (1), p.741-11 |
---|---|
Main Authors: | , , , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
cited_by | |
---|---|
cites | cdi_FETCH-LOGICAL-d413t-a1734219c1c3161f5ab67967522edcd21eb76bbb32782b0663bd0e69707a04ae3 |
container_end_page | 11 |
container_issue | 1 |
container_start_page | 741 |
container_title | Communications biology |
container_volume | 7 |
creator | Le Stanc, Lorna Lunven, Marine Giavazzi, Maria Sliwinski, Agnès Youssov, Katia Bachoud-Lévi, Anne-Catherine Jacquemot, Charlotte |
description | Cognitive reserve is the ability to actively cope with brain deterioration and delay cognitive decline in neurodegenerative diseases. It operates by optimizing performance through differential recruitment of brain networks or alternative cognitive strategies. We investigated cognitive reserve using Huntington’s disease (HD) as a genetic model of neurodegeneration to compare premanifest HD, manifest HD, and controls. Contrary to manifest HD, premanifest HD behave as controls despite neurodegeneration. By decomposing the cognitive processes underlying decision making, drift diffusion models revealed a response profile that differs progressively from controls to premanifest and manifest HD. Here, we show that cognitive reserve in premanifest HD is supported by an increased rate of evidence accumulation compensating for the abnormal increase in the amount of evidence needed to make a decision. This higher rate is associated with left superior parietal and hippocampal hypertrophy, and exhibits a bell shape over the course of disease progression, characteristic of compensation.
A study of cognitive reserve in neurodegenerative disease combining drift diffusion models with MRI highlights a reorganization of decision-making processes correlated to left parietal and hippocampal hypertrophy. |
doi_str_mv | 10.1038/s42003-024-06416-x |
format | article |
fullrecord | <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_a0491ddcb8664cd3a6ff0a47ece25981</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_a0491ddcb8664cd3a6ff0a47ece25981</doaj_id><sourcerecordid>3070797730</sourcerecordid><originalsourceid>FETCH-LOGICAL-d413t-a1734219c1c3161f5ab67967522edcd21eb76bbb32782b0663bd0e69707a04ae3</originalsourceid><addsrcrecordid>eNpdks1uEzEUhUcIRKvSF2CBRmIDiwH_xR6vUBUBrRSJDawtj30z4zCxB9tJmx2PjpMp0HZ17XuPv2Nbp6peY_QBI9p-TIwgRBtEWIM4w7y5e1adEyplQzkjzx-sz6rLlDYIISyl5JS9rM5o20rEWnFe_V6G3rvs9lBHSBBLdX4fxj2k2oJxyQVfb_VP5_tae1u7VOuUgnE6g61vXR7qEda5nnR0kPV4Eg1umoLR26nsh8MEMccwDYdCrj3sYrDQg4eoc4G_ql6s9Zjg8r5eVD--fP6-vG5W377eLK9WjWWY5kZjQRnB0mBDMcfrhe64kFwsCAFrLMHQCd51HSWiJR3inHYWAZcCCY2YBnpR3cxcG_RGTdFtdTyooJ06NULslY7ZmRFUOSCxtaZrOWfGUs3Xa6SZAANkIVtcWJ9m1rTrtsUefI56fAR9PPFuUH3YK4xxKxnjhfB-JgxPzl1frdSxh4qIIcH2R7d3924x_NpBymrrkoFx1B7CLimKyiOlEBQV6dsn0k3YRV_-tai4pJJwtCiqNw-v_8__byqKgM6CVEa-h_gfg5E6xk_N8VMlfuoUP3VH_wCW1s0p</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3069392605</pqid></control><display><type>article</type><title>Cognitive reserve involves decision making and is associated with left parietal and hippocampal hypertrophy in neurodegeneration</title><source>Open Access: PubMed Central</source><source>Publicly Available Content Database</source><source>Springer Nature - nature.com Journals - Fully Open Access</source><creator>Le Stanc, Lorna ; Lunven, Marine ; Giavazzi, Maria ; Sliwinski, Agnès ; Youssov, Katia ; Bachoud-Lévi, Anne-Catherine ; Jacquemot, Charlotte</creator><creatorcontrib>Le Stanc, Lorna ; Lunven, Marine ; Giavazzi, Maria ; Sliwinski, Agnès ; Youssov, Katia ; Bachoud-Lévi, Anne-Catherine ; Jacquemot, Charlotte</creatorcontrib><description>Cognitive reserve is the ability to actively cope with brain deterioration and delay cognitive decline in neurodegenerative diseases. It operates by optimizing performance through differential recruitment of brain networks or alternative cognitive strategies. We investigated cognitive reserve using Huntington’s disease (HD) as a genetic model of neurodegeneration to compare premanifest HD, manifest HD, and controls. Contrary to manifest HD, premanifest HD behave as controls despite neurodegeneration. By decomposing the cognitive processes underlying decision making, drift diffusion models revealed a response profile that differs progressively from controls to premanifest and manifest HD. Here, we show that cognitive reserve in premanifest HD is supported by an increased rate of evidence accumulation compensating for the abnormal increase in the amount of evidence needed to make a decision. This higher rate is associated with left superior parietal and hippocampal hypertrophy, and exhibits a bell shape over the course of disease progression, characteristic of compensation.
A study of cognitive reserve in neurodegenerative disease combining drift diffusion models with MRI highlights a reorganization of decision-making processes correlated to left parietal and hippocampal hypertrophy.</description><identifier>ISSN: 2399-3642</identifier><identifier>EISSN: 2399-3642</identifier><identifier>DOI: 10.1038/s42003-024-06416-x</identifier><identifier>PMID: 38890487</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>631/378/2649 ; 631/378/3920 ; 692/617/375/1558 ; 692/617/375/365 ; Adult ; Biomedical and Life Sciences ; Cognitive ability ; Cognitive Reserve ; Cognitive science ; Decision Making ; Disease ; Drift ; Female ; Hippocampus ; Hippocampus - pathology ; Hippocampus - physiopathology ; Humans ; Huntington Disease - genetics ; Huntington Disease - pathology ; Huntington Disease - physiopathology ; Huntington Disease - psychology ; Huntington's disease ; Huntingtons disease ; Hypertrophy ; Life Sciences ; Male ; Middle Aged ; Neurodegeneration ; Neurodegenerative diseases ; Neurodegenerative Diseases - pathology ; Neurodegenerative Diseases - physiopathology ; Parietal Lobe - pathology ; Parietal Lobe - physiopathology</subject><ispartof>Communications biology, 2024-06, Vol.7 (1), p.741-11</ispartof><rights>The Author(s) 2024</rights><rights>2024. The Author(s).</rights><rights>The Author(s) 2024. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-d413t-a1734219c1c3161f5ab67967522edcd21eb76bbb32782b0663bd0e69707a04ae3</cites><orcidid>0000-0002-2511-9070 ; 0000-0002-6611-0742 ; 0000-0003-3000-2210</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11189446/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/3069392605?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38890487$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-04634074$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Le Stanc, Lorna</creatorcontrib><creatorcontrib>Lunven, Marine</creatorcontrib><creatorcontrib>Giavazzi, Maria</creatorcontrib><creatorcontrib>Sliwinski, Agnès</creatorcontrib><creatorcontrib>Youssov, Katia</creatorcontrib><creatorcontrib>Bachoud-Lévi, Anne-Catherine</creatorcontrib><creatorcontrib>Jacquemot, Charlotte</creatorcontrib><title>Cognitive reserve involves decision making and is associated with left parietal and hippocampal hypertrophy in neurodegeneration</title><title>Communications biology</title><addtitle>Commun Biol</addtitle><addtitle>Commun Biol</addtitle><description>Cognitive reserve is the ability to actively cope with brain deterioration and delay cognitive decline in neurodegenerative diseases. It operates by optimizing performance through differential recruitment of brain networks or alternative cognitive strategies. We investigated cognitive reserve using Huntington’s disease (HD) as a genetic model of neurodegeneration to compare premanifest HD, manifest HD, and controls. Contrary to manifest HD, premanifest HD behave as controls despite neurodegeneration. By decomposing the cognitive processes underlying decision making, drift diffusion models revealed a response profile that differs progressively from controls to premanifest and manifest HD. Here, we show that cognitive reserve in premanifest HD is supported by an increased rate of evidence accumulation compensating for the abnormal increase in the amount of evidence needed to make a decision. This higher rate is associated with left superior parietal and hippocampal hypertrophy, and exhibits a bell shape over the course of disease progression, characteristic of compensation.
A study of cognitive reserve in neurodegenerative disease combining drift diffusion models with MRI highlights a reorganization of decision-making processes correlated to left parietal and hippocampal hypertrophy.</description><subject>631/378/2649</subject><subject>631/378/3920</subject><subject>692/617/375/1558</subject><subject>692/617/375/365</subject><subject>Adult</subject><subject>Biomedical and Life Sciences</subject><subject>Cognitive ability</subject><subject>Cognitive Reserve</subject><subject>Cognitive science</subject><subject>Decision Making</subject><subject>Disease</subject><subject>Drift</subject><subject>Female</subject><subject>Hippocampus</subject><subject>Hippocampus - pathology</subject><subject>Hippocampus - physiopathology</subject><subject>Humans</subject><subject>Huntington Disease - genetics</subject><subject>Huntington Disease - pathology</subject><subject>Huntington Disease - physiopathology</subject><subject>Huntington Disease - psychology</subject><subject>Huntington's disease</subject><subject>Huntingtons disease</subject><subject>Hypertrophy</subject><subject>Life Sciences</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neurodegeneration</subject><subject>Neurodegenerative diseases</subject><subject>Neurodegenerative Diseases - pathology</subject><subject>Neurodegenerative Diseases - physiopathology</subject><subject>Parietal Lobe - pathology</subject><subject>Parietal Lobe - physiopathology</subject><issn>2399-3642</issn><issn>2399-3642</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNpdks1uEzEUhUcIRKvSF2CBRmIDiwH_xR6vUBUBrRSJDawtj30z4zCxB9tJmx2PjpMp0HZ17XuPv2Nbp6peY_QBI9p-TIwgRBtEWIM4w7y5e1adEyplQzkjzx-sz6rLlDYIISyl5JS9rM5o20rEWnFe_V6G3rvs9lBHSBBLdX4fxj2k2oJxyQVfb_VP5_tae1u7VOuUgnE6g61vXR7qEda5nnR0kPV4Eg1umoLR26nsh8MEMccwDYdCrj3sYrDQg4eoc4G_ql6s9Zjg8r5eVD--fP6-vG5W377eLK9WjWWY5kZjQRnB0mBDMcfrhe64kFwsCAFrLMHQCd51HSWiJR3inHYWAZcCCY2YBnpR3cxcG_RGTdFtdTyooJ06NULslY7ZmRFUOSCxtaZrOWfGUs3Xa6SZAANkIVtcWJ9m1rTrtsUefI56fAR9PPFuUH3YK4xxKxnjhfB-JgxPzl1frdSxh4qIIcH2R7d3924x_NpBymrrkoFx1B7CLimKyiOlEBQV6dsn0k3YRV_-tai4pJJwtCiqNw-v_8__byqKgM6CVEa-h_gfg5E6xk_N8VMlfuoUP3VH_wCW1s0p</recordid><startdate>20240618</startdate><enddate>20240618</enddate><creator>Le Stanc, Lorna</creator><creator>Lunven, Marine</creator><creator>Giavazzi, Maria</creator><creator>Sliwinski, Agnès</creator><creator>Youssov, Katia</creator><creator>Bachoud-Lévi, Anne-Catherine</creator><creator>Jacquemot, Charlotte</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><general>Nature Portfolio</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>3V.</scope><scope>7XB</scope><scope>88I</scope><scope>8FE</scope><scope>8FH</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>LK8</scope><scope>M2P</scope><scope>M7P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>1XC</scope><scope>VOOES</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-2511-9070</orcidid><orcidid>https://orcid.org/0000-0002-6611-0742</orcidid><orcidid>https://orcid.org/0000-0003-3000-2210</orcidid></search><sort><creationdate>20240618</creationdate><title>Cognitive reserve involves decision making and is associated with left parietal and hippocampal hypertrophy in neurodegeneration</title><author>Le Stanc, Lorna ; Lunven, Marine ; Giavazzi, Maria ; Sliwinski, Agnès ; Youssov, Katia ; Bachoud-Lévi, Anne-Catherine ; Jacquemot, Charlotte</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-d413t-a1734219c1c3161f5ab67967522edcd21eb76bbb32782b0663bd0e69707a04ae3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>631/378/2649</topic><topic>631/378/3920</topic><topic>692/617/375/1558</topic><topic>692/617/375/365</topic><topic>Adult</topic><topic>Biomedical and Life Sciences</topic><topic>Cognitive ability</topic><topic>Cognitive Reserve</topic><topic>Cognitive science</topic><topic>Decision Making</topic><topic>Disease</topic><topic>Drift</topic><topic>Female</topic><topic>Hippocampus</topic><topic>Hippocampus - pathology</topic><topic>Hippocampus - physiopathology</topic><topic>Humans</topic><topic>Huntington Disease - genetics</topic><topic>Huntington Disease - pathology</topic><topic>Huntington Disease - physiopathology</topic><topic>Huntington Disease - psychology</topic><topic>Huntington's disease</topic><topic>Huntingtons disease</topic><topic>Hypertrophy</topic><topic>Life Sciences</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neurodegeneration</topic><topic>Neurodegenerative diseases</topic><topic>Neurodegenerative Diseases - pathology</topic><topic>Neurodegenerative Diseases - physiopathology</topic><topic>Parietal Lobe - pathology</topic><topic>Parietal Lobe - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Le Stanc, Lorna</creatorcontrib><creatorcontrib>Lunven, Marine</creatorcontrib><creatorcontrib>Giavazzi, Maria</creatorcontrib><creatorcontrib>Sliwinski, Agnès</creatorcontrib><creatorcontrib>Youssov, Katia</creatorcontrib><creatorcontrib>Bachoud-Lévi, Anne-Catherine</creatorcontrib><creatorcontrib>Jacquemot, Charlotte</creatorcontrib><collection>Springer_OA刊</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Science Database (Alumni Edition)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Science Database (ProQuest)</collection><collection>ProQuest Biological Science Journals</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>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>Hyper Article en Ligne (HAL) (Open Access)</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Communications biology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Le Stanc, Lorna</au><au>Lunven, Marine</au><au>Giavazzi, Maria</au><au>Sliwinski, Agnès</au><au>Youssov, Katia</au><au>Bachoud-Lévi, Anne-Catherine</au><au>Jacquemot, Charlotte</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cognitive reserve involves decision making and is associated with left parietal and hippocampal hypertrophy in neurodegeneration</atitle><jtitle>Communications biology</jtitle><stitle>Commun Biol</stitle><addtitle>Commun Biol</addtitle><date>2024-06-18</date><risdate>2024</risdate><volume>7</volume><issue>1</issue><spage>741</spage><epage>11</epage><pages>741-11</pages><issn>2399-3642</issn><eissn>2399-3642</eissn><abstract>Cognitive reserve is the ability to actively cope with brain deterioration and delay cognitive decline in neurodegenerative diseases. It operates by optimizing performance through differential recruitment of brain networks or alternative cognitive strategies. We investigated cognitive reserve using Huntington’s disease (HD) as a genetic model of neurodegeneration to compare premanifest HD, manifest HD, and controls. Contrary to manifest HD, premanifest HD behave as controls despite neurodegeneration. By decomposing the cognitive processes underlying decision making, drift diffusion models revealed a response profile that differs progressively from controls to premanifest and manifest HD. Here, we show that cognitive reserve in premanifest HD is supported by an increased rate of evidence accumulation compensating for the abnormal increase in the amount of evidence needed to make a decision. This higher rate is associated with left superior parietal and hippocampal hypertrophy, and exhibits a bell shape over the course of disease progression, characteristic of compensation.
A study of cognitive reserve in neurodegenerative disease combining drift diffusion models with MRI highlights a reorganization of decision-making processes correlated to left parietal and hippocampal hypertrophy.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>38890487</pmid><doi>10.1038/s42003-024-06416-x</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-2511-9070</orcidid><orcidid>https://orcid.org/0000-0002-6611-0742</orcidid><orcidid>https://orcid.org/0000-0003-3000-2210</orcidid><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 2399-3642 |
ispartof | Communications biology, 2024-06, Vol.7 (1), p.741-11 |
issn | 2399-3642 2399-3642 |
language | eng |
recordid | cdi_doaj_primary_oai_doaj_org_article_a0491ddcb8664cd3a6ff0a47ece25981 |
source | Open Access: PubMed Central; Publicly Available Content Database; Springer Nature - nature.com Journals - Fully Open Access |
subjects | 631/378/2649 631/378/3920 692/617/375/1558 692/617/375/365 Adult Biomedical and Life Sciences Cognitive ability Cognitive Reserve Cognitive science Decision Making Disease Drift Female Hippocampus Hippocampus - pathology Hippocampus - physiopathology Humans Huntington Disease - genetics Huntington Disease - pathology Huntington Disease - physiopathology Huntington Disease - psychology Huntington's disease Huntingtons disease Hypertrophy Life Sciences Male Middle Aged Neurodegeneration Neurodegenerative diseases Neurodegenerative Diseases - pathology Neurodegenerative Diseases - physiopathology Parietal Lobe - pathology Parietal Lobe - physiopathology |
title | Cognitive reserve involves decision making and is associated with left parietal and hippocampal hypertrophy in neurodegeneration |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-28T10%3A03%3A41IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Cognitive%20reserve%20involves%20decision%20making%20and%20is%20associated%20with%20left%20parietal%20and%20hippocampal%20hypertrophy%20in%20neurodegeneration&rft.jtitle=Communications%20biology&rft.au=Le%20Stanc,%20Lorna&rft.date=2024-06-18&rft.volume=7&rft.issue=1&rft.spage=741&rft.epage=11&rft.pages=741-11&rft.issn=2399-3642&rft.eissn=2399-3642&rft_id=info:doi/10.1038/s42003-024-06416-x&rft_dat=%3Cproquest_doaj_%3E3070797730%3C/proquest_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-d413t-a1734219c1c3161f5ab67967522edcd21eb76bbb32782b0663bd0e69707a04ae3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=3069392605&rft_id=info:pmid/38890487&rfr_iscdi=true |