Loading…

Perceived risk factors and risk pathways of Rift Valley fever in cattle in Ijara district, Kenya

Ijara district in Kenya was one of the hotspots of Rift Valley fever (RVF) during the 2006/2007 outbreak, which led to human and animal deaths causing major economic losses. The main constraint for the control and prevention of RVF is inadequate knowledge of the risk factors for its occurrence and m...

Full description

Saved in:
Bibliographic Details
Published in:Onderstepoort journal of veterinary research 2014, Vol.81 (1), p.1-e7
Main Authors: Owange, Nelson O, Ogara, William O, Kasiiti, Jacqueline, Gathura, Peter B, Okuthe, Sam, Sang, Rosemary, Affognon, Hippolyte, Onyango-Ouma, Washington, Landmann, Tobias T O, Mbabu, Murithi
Format: Article
Language:English
Subjects:
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-c522t-1378ee223960bb26b9d6a373a06550327006b02a7d4731a89d060ae065f7743a3
cites cdi_FETCH-LOGICAL-c522t-1378ee223960bb26b9d6a373a06550327006b02a7d4731a89d060ae065f7743a3
container_end_page e7
container_issue 1
container_start_page 1
container_title Onderstepoort journal of veterinary research
container_volume 81
creator Owange, Nelson O
Ogara, William O
Kasiiti, Jacqueline
Gathura, Peter B
Okuthe, Sam
Sang, Rosemary
Affognon, Hippolyte
Onyango-Ouma, Washington
Landmann, Tobias T O
Mbabu, Murithi
description Ijara district in Kenya was one of the hotspots of Rift Valley fever (RVF) during the 2006/2007 outbreak, which led to human and animal deaths causing major economic losses. The main constraint for the control and prevention of RVF is inadequate knowledge of the risk factors for its occurrence and maintenance. This study was aimed at understanding the perceived risk factors and risk pathways of RVF in cattle in Ijara to enable the development of improved community-based disease surveillance, prediction, control and prevention. A cross-sectional study was carried out from September 2012 to June 2013. Thirty-one key informant interviews were conducted with relevant stakeholders to determine the local pastoralists' understanding of risk factors and risk pathways of RVF in cattle in Ijara district. All the key informants perceived the presence of high numbers of mosquitoes and large numbers of cattle to be the most important risk factors contributing to the occurrence of RVF in cattle in Ijara. Key informants classified high rainfall as the most important (12/31) to an important (19/31) risk factor. The main risk pathways were infected mosquitoes that bite cattle whilst grazing and at watering points as well as close contact between domestic animals and wildlife. The likelihood of contamination of the environment as a result of poor handling of carcasses and aborted foetuses during RVF outbreaks was not considered an important pathway. There is therefore a need to conduct regular participatory community awareness sessions on handling of animal carcasses in terms of preparedness, prevention and control of any possible RVF epizootics. Additionally, monitoring of environmental conditions to detect enhanced rainfall and flooding should be prioritised for preparedness.
doi_str_mv 10.4102/ojvr.v81i1.780
format article
fullrecord <record><control><sourceid>gale_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_b52a5f8501524c5dbc04e35d3ca7e268</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A406052135</galeid><doaj_id>oai_doaj_org_article_b52a5f8501524c5dbc04e35d3ca7e268</doaj_id><sourcerecordid>A406052135</sourcerecordid><originalsourceid>FETCH-LOGICAL-c522t-1378ee223960bb26b9d6a373a06550327006b02a7d4731a89d060ae065f7743a3</originalsourceid><addsrcrecordid>eNptkkFvEzEQhVcIREPhyhFZ4sKhCWN7be8eqwpKRCUQAq5m1jtbHDbr1HaC8u9x2lAhVPlga_zNm3nSq6qXHBY1B_E2rHZxsWu45wvTwKNqJgRv56ClelzNACTMRa3VSfUspRUAb0ULT6sToXSjwbSz6sdnio78jnoWffrFBnQ5xMRwOhY2mH_-xn1iYWBf_JDZdxxH2rOBdhSZn5jDnEc6vJYrjMh6n3L0Lp-xjzTt8Xn1ZMAx0YvjfVp9e__u68WH-dWny-XF-dXcKSHynEvTEAkhWw1dJ3TX9hqlkQhaKZDCAOgOBJq-NpJj0_agAan8DsbUEuVptbzT7QOu7Cb6Nca9DejtbSHEa4sxezeS7ZRANTQKuBK1U33noCapeunQkNBN0Xpzp7WJ4WZLKdu1T47GEScK22S5VmWJFlRd0Nf_oauwjVNxarmRRnEF4h_qGst8Pw0hR3QHUXteFyNKcKkKtXiAKqentXdhosGX-kMNLoaUIg33vjnYQzzsIR72Nh62xKM0vDpuu-3W1N_jf_Mg_wCLg7Jr</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1737515024</pqid></control><display><type>article</type><title>Perceived risk factors and risk pathways of Rift Valley fever in cattle in Ijara district, Kenya</title><source>Publicly Available Content Database</source><creator>Owange, Nelson O ; Ogara, William O ; Kasiiti, Jacqueline ; Gathura, Peter B ; Okuthe, Sam ; Sang, Rosemary ; Affognon, Hippolyte ; Onyango-Ouma, Washington ; Landmann, Tobias T O ; Mbabu, Murithi</creator><creatorcontrib>Owange, Nelson O ; Ogara, William O ; Kasiiti, Jacqueline ; Gathura, Peter B ; Okuthe, Sam ; Sang, Rosemary ; Affognon, Hippolyte ; Onyango-Ouma, Washington ; Landmann, Tobias T O ; Mbabu, Murithi</creatorcontrib><description>Ijara district in Kenya was one of the hotspots of Rift Valley fever (RVF) during the 2006/2007 outbreak, which led to human and animal deaths causing major economic losses. The main constraint for the control and prevention of RVF is inadequate knowledge of the risk factors for its occurrence and maintenance. This study was aimed at understanding the perceived risk factors and risk pathways of RVF in cattle in Ijara to enable the development of improved community-based disease surveillance, prediction, control and prevention. A cross-sectional study was carried out from September 2012 to June 2013. Thirty-one key informant interviews were conducted with relevant stakeholders to determine the local pastoralists' understanding of risk factors and risk pathways of RVF in cattle in Ijara district. All the key informants perceived the presence of high numbers of mosquitoes and large numbers of cattle to be the most important risk factors contributing to the occurrence of RVF in cattle in Ijara. Key informants classified high rainfall as the most important (12/31) to an important (19/31) risk factor. The main risk pathways were infected mosquitoes that bite cattle whilst grazing and at watering points as well as close contact between domestic animals and wildlife. The likelihood of contamination of the environment as a result of poor handling of carcasses and aborted foetuses during RVF outbreaks was not considered an important pathway. There is therefore a need to conduct regular participatory community awareness sessions on handling of animal carcasses in terms of preparedness, prevention and control of any possible RVF epizootics. Additionally, monitoring of environmental conditions to detect enhanced rainfall and flooding should be prioritised for preparedness.</description><identifier>ISSN: 0030-2465</identifier><identifier>EISSN: 2219-0635</identifier><identifier>DOI: 10.4102/ojvr.v81i1.780</identifier><identifier>PMID: 25686079</identifier><identifier>CODEN: OJVRAZ</identifier><language>eng</language><publisher>South Africa: African Online Scientific Information Systems (Pty) Ltd t/a AOSIS</publisher><subject>Animals ; Cattle ; Cattle Diseases - epidemiology ; Cross-Sectional Studies ; Culicidae - physiology ; Culicidae - virology ; Disease Outbreaks - veterinary ; Diseases ; Humans ; Kenya - epidemiology ; Rift Valley Fever ; Rift Valley Fever - epidemiology ; Risk Factors ; Risk pathway Analysis</subject><ispartof>Onderstepoort journal of veterinary research, 2014, Vol.81 (1), p.1-e7</ispartof><rights>COPYRIGHT 2014 African Online Scientific Information Systems (Pty) Ltd t/a AOSIS</rights><rights>Copyright AOSIS (Pty) Ltd 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c522t-1378ee223960bb26b9d6a373a06550327006b02a7d4731a89d060ae065f7743a3</citedby><cites>FETCH-LOGICAL-c522t-1378ee223960bb26b9d6a373a06550327006b02a7d4731a89d060ae065f7743a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/1737515024/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1737515024?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,4024,25753,27923,27924,27925,37012,37013,44590,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25686079$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Owange, Nelson O</creatorcontrib><creatorcontrib>Ogara, William O</creatorcontrib><creatorcontrib>Kasiiti, Jacqueline</creatorcontrib><creatorcontrib>Gathura, Peter B</creatorcontrib><creatorcontrib>Okuthe, Sam</creatorcontrib><creatorcontrib>Sang, Rosemary</creatorcontrib><creatorcontrib>Affognon, Hippolyte</creatorcontrib><creatorcontrib>Onyango-Ouma, Washington</creatorcontrib><creatorcontrib>Landmann, Tobias T O</creatorcontrib><creatorcontrib>Mbabu, Murithi</creatorcontrib><title>Perceived risk factors and risk pathways of Rift Valley fever in cattle in Ijara district, Kenya</title><title>Onderstepoort journal of veterinary research</title><addtitle>Onderstepoort J Vet Res</addtitle><description>Ijara district in Kenya was one of the hotspots of Rift Valley fever (RVF) during the 2006/2007 outbreak, which led to human and animal deaths causing major economic losses. The main constraint for the control and prevention of RVF is inadequate knowledge of the risk factors for its occurrence and maintenance. This study was aimed at understanding the perceived risk factors and risk pathways of RVF in cattle in Ijara to enable the development of improved community-based disease surveillance, prediction, control and prevention. A cross-sectional study was carried out from September 2012 to June 2013. Thirty-one key informant interviews were conducted with relevant stakeholders to determine the local pastoralists' understanding of risk factors and risk pathways of RVF in cattle in Ijara district. All the key informants perceived the presence of high numbers of mosquitoes and large numbers of cattle to be the most important risk factors contributing to the occurrence of RVF in cattle in Ijara. Key informants classified high rainfall as the most important (12/31) to an important (19/31) risk factor. The main risk pathways were infected mosquitoes that bite cattle whilst grazing and at watering points as well as close contact between domestic animals and wildlife. The likelihood of contamination of the environment as a result of poor handling of carcasses and aborted foetuses during RVF outbreaks was not considered an important pathway. There is therefore a need to conduct regular participatory community awareness sessions on handling of animal carcasses in terms of preparedness, prevention and control of any possible RVF epizootics. Additionally, monitoring of environmental conditions to detect enhanced rainfall and flooding should be prioritised for preparedness.</description><subject>Animals</subject><subject>Cattle</subject><subject>Cattle Diseases - epidemiology</subject><subject>Cross-Sectional Studies</subject><subject>Culicidae - physiology</subject><subject>Culicidae - virology</subject><subject>Disease Outbreaks - veterinary</subject><subject>Diseases</subject><subject>Humans</subject><subject>Kenya - epidemiology</subject><subject>Rift Valley Fever</subject><subject>Rift Valley Fever - epidemiology</subject><subject>Risk Factors</subject><subject>Risk pathway Analysis</subject><issn>0030-2465</issn><issn>2219-0635</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNptkkFvEzEQhVcIREPhyhFZ4sKhCWN7be8eqwpKRCUQAq5m1jtbHDbr1HaC8u9x2lAhVPlga_zNm3nSq6qXHBY1B_E2rHZxsWu45wvTwKNqJgRv56ClelzNACTMRa3VSfUspRUAb0ULT6sToXSjwbSz6sdnio78jnoWffrFBnQ5xMRwOhY2mH_-xn1iYWBf_JDZdxxH2rOBdhSZn5jDnEc6vJYrjMh6n3L0Lp-xjzTt8Xn1ZMAx0YvjfVp9e__u68WH-dWny-XF-dXcKSHynEvTEAkhWw1dJ3TX9hqlkQhaKZDCAOgOBJq-NpJj0_agAan8DsbUEuVptbzT7QOu7Cb6Nca9DejtbSHEa4sxezeS7ZRANTQKuBK1U33noCapeunQkNBN0Xpzp7WJ4WZLKdu1T47GEScK22S5VmWJFlRd0Nf_oauwjVNxarmRRnEF4h_qGst8Pw0hR3QHUXteFyNKcKkKtXiAKqentXdhosGX-kMNLoaUIg33vjnYQzzsIR72Nh62xKM0vDpuu-3W1N_jf_Mg_wCLg7Jr</recordid><startdate>2014</startdate><enddate>2014</enddate><creator>Owange, Nelson O</creator><creator>Ogara, William O</creator><creator>Kasiiti, Jacqueline</creator><creator>Gathura, Peter B</creator><creator>Okuthe, Sam</creator><creator>Sang, Rosemary</creator><creator>Affognon, Hippolyte</creator><creator>Onyango-Ouma, Washington</creator><creator>Landmann, Tobias T O</creator><creator>Mbabu, Murithi</creator><general>African Online Scientific Information Systems (Pty) Ltd t/a AOSIS</general><general>AOSIS (Pty) Ltd</general><general>AOSIS</general><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>7X7</scope><scope>7XB</scope><scope>88A</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</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>CWDGH</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope><scope>DOA</scope></search><sort><creationdate>2014</creationdate><title>Perceived risk factors and risk pathways of Rift Valley fever in cattle in Ijara district, Kenya</title><author>Owange, Nelson O ; Ogara, William O ; Kasiiti, Jacqueline ; Gathura, Peter B ; Okuthe, Sam ; Sang, Rosemary ; Affognon, Hippolyte ; Onyango-Ouma, Washington ; Landmann, Tobias T O ; Mbabu, Murithi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c522t-1378ee223960bb26b9d6a373a06550327006b02a7d4731a89d060ae065f7743a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Animals</topic><topic>Cattle</topic><topic>Cattle Diseases - epidemiology</topic><topic>Cross-Sectional Studies</topic><topic>Culicidae - physiology</topic><topic>Culicidae - virology</topic><topic>Disease Outbreaks - veterinary</topic><topic>Diseases</topic><topic>Humans</topic><topic>Kenya - epidemiology</topic><topic>Rift Valley Fever</topic><topic>Rift Valley Fever - epidemiology</topic><topic>Risk Factors</topic><topic>Risk pathway Analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Owange, Nelson O</creatorcontrib><creatorcontrib>Ogara, William O</creatorcontrib><creatorcontrib>Kasiiti, Jacqueline</creatorcontrib><creatorcontrib>Gathura, Peter B</creatorcontrib><creatorcontrib>Okuthe, Sam</creatorcontrib><creatorcontrib>Sang, Rosemary</creatorcontrib><creatorcontrib>Affognon, Hippolyte</creatorcontrib><creatorcontrib>Onyango-Ouma, Washington</creatorcontrib><creatorcontrib>Landmann, Tobias T O</creatorcontrib><creatorcontrib>Mbabu, Murithi</creatorcontrib><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>Health &amp; Medical Collection (ProQuest Medical &amp; Health Databases)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Biology Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech 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>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>Middle East &amp; Africa Database</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Biological Sciences</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest Science Journals</collection><collection>Biological Science Database</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 Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Onderstepoort journal of veterinary research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Owange, Nelson O</au><au>Ogara, William O</au><au>Kasiiti, Jacqueline</au><au>Gathura, Peter B</au><au>Okuthe, Sam</au><au>Sang, Rosemary</au><au>Affognon, Hippolyte</au><au>Onyango-Ouma, Washington</au><au>Landmann, Tobias T O</au><au>Mbabu, Murithi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Perceived risk factors and risk pathways of Rift Valley fever in cattle in Ijara district, Kenya</atitle><jtitle>Onderstepoort journal of veterinary research</jtitle><addtitle>Onderstepoort J Vet Res</addtitle><date>2014</date><risdate>2014</risdate><volume>81</volume><issue>1</issue><spage>1</spage><epage>e7</epage><pages>1-e7</pages><issn>0030-2465</issn><eissn>2219-0635</eissn><coden>OJVRAZ</coden><abstract>Ijara district in Kenya was one of the hotspots of Rift Valley fever (RVF) during the 2006/2007 outbreak, which led to human and animal deaths causing major economic losses. The main constraint for the control and prevention of RVF is inadequate knowledge of the risk factors for its occurrence and maintenance. This study was aimed at understanding the perceived risk factors and risk pathways of RVF in cattle in Ijara to enable the development of improved community-based disease surveillance, prediction, control and prevention. A cross-sectional study was carried out from September 2012 to June 2013. Thirty-one key informant interviews were conducted with relevant stakeholders to determine the local pastoralists' understanding of risk factors and risk pathways of RVF in cattle in Ijara district. All the key informants perceived the presence of high numbers of mosquitoes and large numbers of cattle to be the most important risk factors contributing to the occurrence of RVF in cattle in Ijara. Key informants classified high rainfall as the most important (12/31) to an important (19/31) risk factor. The main risk pathways were infected mosquitoes that bite cattle whilst grazing and at watering points as well as close contact between domestic animals and wildlife. The likelihood of contamination of the environment as a result of poor handling of carcasses and aborted foetuses during RVF outbreaks was not considered an important pathway. There is therefore a need to conduct regular participatory community awareness sessions on handling of animal carcasses in terms of preparedness, prevention and control of any possible RVF epizootics. Additionally, monitoring of environmental conditions to detect enhanced rainfall and flooding should be prioritised for preparedness.</abstract><cop>South Africa</cop><pub>African Online Scientific Information Systems (Pty) Ltd t/a AOSIS</pub><pmid>25686079</pmid><doi>10.4102/ojvr.v81i1.780</doi><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0030-2465
ispartof Onderstepoort journal of veterinary research, 2014, Vol.81 (1), p.1-e7
issn 0030-2465
2219-0635
language eng
recordid cdi_doaj_primary_oai_doaj_org_article_b52a5f8501524c5dbc04e35d3ca7e268
source Publicly Available Content Database
subjects Animals
Cattle
Cattle Diseases - epidemiology
Cross-Sectional Studies
Culicidae - physiology
Culicidae - virology
Disease Outbreaks - veterinary
Diseases
Humans
Kenya - epidemiology
Rift Valley Fever
Rift Valley Fever - epidemiology
Risk Factors
Risk pathway Analysis
title Perceived risk factors and risk pathways of Rift Valley fever in cattle in Ijara district, Kenya
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-05T10%3A52%3A26IST&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=Perceived%20risk%20factors%20and%20risk%20pathways%20of%20Rift%20Valley%20fever%20in%20cattle%20in%20Ijara%20district,%20Kenya&rft.jtitle=Onderstepoort%20journal%20of%20veterinary%20research&rft.au=Owange,%20Nelson%20O&rft.date=2014&rft.volume=81&rft.issue=1&rft.spage=1&rft.epage=e7&rft.pages=1-e7&rft.issn=0030-2465&rft.eissn=2219-0635&rft.coden=OJVRAZ&rft_id=info:doi/10.4102/ojvr.v81i1.780&rft_dat=%3Cgale_doaj_%3EA406052135%3C/gale_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c522t-1378ee223960bb26b9d6a373a06550327006b02a7d4731a89d060ae065f7743a3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1737515024&rft_id=info:pmid/25686079&rft_galeid=A406052135&rfr_iscdi=true