Loading…

Pomegranate Byproduct Extracts as Ingredients for Producing Experimental Cheese with Enhanced Microbiological, Functional, and Physical Characteristics

Pomegranate peel and mesocarp, considered as wastes of fruit processing, are rich sources of beneficial phytochemicals, including hydrolyzable tannins and flavonoids, with proven antimicrobial and antioxidant activity, which can be employed for improving the overall quality of food products. In the...

Full description

Saved in:
Bibliographic Details
Published in:Foods 2021-11, Vol.10 (11), p.2669
Main Authors: Parafati, Lucia, Pesce, Fabiola, Siracusa, Laura, Fallico, Biagio, Restuccia, Cristina, Palmeri, Rosa
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-c458t-f1b0ab55deeb42dd747d2ebf40d68ef303d33c48e23c0c0aed509a558a1088be3
cites cdi_FETCH-LOGICAL-c458t-f1b0ab55deeb42dd747d2ebf40d68ef303d33c48e23c0c0aed509a558a1088be3
container_end_page
container_issue 11
container_start_page 2669
container_title Foods
container_volume 10
creator Parafati, Lucia
Pesce, Fabiola
Siracusa, Laura
Fallico, Biagio
Restuccia, Cristina
Palmeri, Rosa
description Pomegranate peel and mesocarp, considered as wastes of fruit processing, are rich sources of beneficial phytochemicals, including hydrolyzable tannins and flavonoids, with proven antimicrobial and antioxidant activity, which can be employed for improving the overall quality of food products. In the present study, extracts from pomegranate peel (PPW) and mesocarp (PMW) were obtained through a water extraction method and evaluated for in vitro antimicrobial activity and polyphenol content. The two extracts were then added during the cheese-making process in order to create a new functional cheese with improved microbiological and physico-chemical characteristics. Antimicrobial in vitro assays evidenced a substantial efficacy of both extracts against Staphylococcus aureus, which often causes staphylococcal food poisoning outbreaks linked to the consumption of raw milk cheeses and artisanal cheeses. For this reason, a simulated cheese contamination was carried out in order to assess if pomegranate extracts can exert antimicrobial activity towards this pathogen even when incorporated into the cheese matrix. Milk enriched with pomegranate extracts (PPW and PMW) was used to produce two different experimental cheeses, which were then evaluated for yield, polyphenol content, and microbiological as well as physico-chemical traits throughout the refrigerated storage. Despite the low concentration of the extracts, the treated cheeses showed an increase in firmness and a slight decrease in S. aureus counts, of more than one log unit in comparison to the control cheese, for up to 12 d of cold storage. Such results support the reuse of agro-food byproducts, in substitution to chemical food preservatives, as the key to a circular economy.
doi_str_mv 10.3390/foods10112669
format article
fullrecord <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_fb94e9eff36d4d11a1e6393fd5b94a83</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_fb94e9eff36d4d11a1e6393fd5b94a83</doaj_id><sourcerecordid>2604017645</sourcerecordid><originalsourceid>FETCH-LOGICAL-c458t-f1b0ab55deeb42dd747d2ebf40d68ef303d33c48e23c0c0aed509a558a1088be3</originalsourceid><addsrcrecordid>eNpdkk2P0zAQhiMEYlfLHrlb4sKBgr-SOhckqLpQaRE9wNma2OPUVWoXO1noL-Hv4rYrRPHFY7-PX4_HU1UvGX0rREvfuRhtZpQx3jTtk-qaCypnitXq6T_xVXWb85aW0TKhBH9eXQmpuGprel39Xscd9gkCjEg-HvYp2smMZPlrTGDGTCCTVegTWo-hLF1MZH1ifOgLtcfkd0WBgSw2iBnJTz9uyDJsIBi05Is3KXY-DrH3BoY35G4KZvQxHGMIlqw3h3xUynE43lj88uhNflE9czBkvH2cb6rvd8tvi8-z-6-fVosP9zMjazXOHOsodHVtETvJrZ3LueXYOUlto9AJKqwQRirkwlBDAW1NW6hrBYwq1aG4qVZnXxthq_flNZAOOoLXp42Yeg2pJDSgdl0rsUXnRGOlZQwYNqIVztZFACWK1_uz137qdmhNqUuC4cL0Ugl-o_v4oFXDWcPrYvD60SDFHxPmUe98NjgMEDBOWfOGSsrmjTyir_5Dt3FKpawnitNaKskLNTtT5RdyTuj-JsOoPnaQvugg8QczMLyk</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2602054842</pqid></control><display><type>article</type><title>Pomegranate Byproduct Extracts as Ingredients for Producing Experimental Cheese with Enhanced Microbiological, Functional, and Physical Characteristics</title><source>Publicly Available Content Database</source><source>PubMed Central</source><creator>Parafati, Lucia ; Pesce, Fabiola ; Siracusa, Laura ; Fallico, Biagio ; Restuccia, Cristina ; Palmeri, Rosa</creator><creatorcontrib>Parafati, Lucia ; Pesce, Fabiola ; Siracusa, Laura ; Fallico, Biagio ; Restuccia, Cristina ; Palmeri, Rosa</creatorcontrib><description>Pomegranate peel and mesocarp, considered as wastes of fruit processing, are rich sources of beneficial phytochemicals, including hydrolyzable tannins and flavonoids, with proven antimicrobial and antioxidant activity, which can be employed for improving the overall quality of food products. In the present study, extracts from pomegranate peel (PPW) and mesocarp (PMW) were obtained through a water extraction method and evaluated for in vitro antimicrobial activity and polyphenol content. The two extracts were then added during the cheese-making process in order to create a new functional cheese with improved microbiological and physico-chemical characteristics. Antimicrobial in vitro assays evidenced a substantial efficacy of both extracts against Staphylococcus aureus, which often causes staphylococcal food poisoning outbreaks linked to the consumption of raw milk cheeses and artisanal cheeses. For this reason, a simulated cheese contamination was carried out in order to assess if pomegranate extracts can exert antimicrobial activity towards this pathogen even when incorporated into the cheese matrix. Milk enriched with pomegranate extracts (PPW and PMW) was used to produce two different experimental cheeses, which were then evaluated for yield, polyphenol content, and microbiological as well as physico-chemical traits throughout the refrigerated storage. Despite the low concentration of the extracts, the treated cheeses showed an increase in firmness and a slight decrease in S. aureus counts, of more than one log unit in comparison to the control cheese, for up to 12 d of cold storage. Such results support the reuse of agro-food byproducts, in substitution to chemical food preservatives, as the key to a circular economy.</description><identifier>ISSN: 2304-8158</identifier><identifier>EISSN: 2304-8158</identifier><identifier>DOI: 10.3390/foods10112669</identifier><identifier>PMID: 34828950</identifier><language>eng</language><publisher>Basel: MDPI AG</publisher><subject>Acids ; Agricultural wastes ; Antiinfectives and antibacterials ; Antimicrobial activity ; Antimicrobial agents ; antioxidant compounds ; Antioxidants ; bacterial food pathogens ; Byproducts ; byproducts reuse ; Cheese ; Chromatography ; Circular economy ; Cold storage ; Consumption ; Dairy products ; E coli ; Evaluation ; Flavonoids ; Food ; Food additives ; Food contamination ; Food poisoning ; Food quality ; Food science ; Fruits ; In vitro methods and tests ; Laboratories ; Listeria ; Milk ; Physical characteristics ; Physical properties ; polyphenol profile ; Preservatives ; Salmonella ; Solvents ; Staphylococcus aureus</subject><ispartof>Foods, 2021-11, Vol.10 (11), p.2669</ispartof><rights>2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 by the authors. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c458t-f1b0ab55deeb42dd747d2ebf40d68ef303d33c48e23c0c0aed509a558a1088be3</citedby><cites>FETCH-LOGICAL-c458t-f1b0ab55deeb42dd747d2ebf40d68ef303d33c48e23c0c0aed509a558a1088be3</cites><orcidid>0000-0001-6272-7967 ; 0000-0001-7485-2378 ; 0000-0003-3771-3138 ; 0000-0002-7660-5781 ; 0000-0003-2678-9110</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2602054842/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2602054842?pq-origsite=primo$$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></links><search><creatorcontrib>Parafati, Lucia</creatorcontrib><creatorcontrib>Pesce, Fabiola</creatorcontrib><creatorcontrib>Siracusa, Laura</creatorcontrib><creatorcontrib>Fallico, Biagio</creatorcontrib><creatorcontrib>Restuccia, Cristina</creatorcontrib><creatorcontrib>Palmeri, Rosa</creatorcontrib><title>Pomegranate Byproduct Extracts as Ingredients for Producing Experimental Cheese with Enhanced Microbiological, Functional, and Physical Characteristics</title><title>Foods</title><description>Pomegranate peel and mesocarp, considered as wastes of fruit processing, are rich sources of beneficial phytochemicals, including hydrolyzable tannins and flavonoids, with proven antimicrobial and antioxidant activity, which can be employed for improving the overall quality of food products. In the present study, extracts from pomegranate peel (PPW) and mesocarp (PMW) were obtained through a water extraction method and evaluated for in vitro antimicrobial activity and polyphenol content. The two extracts were then added during the cheese-making process in order to create a new functional cheese with improved microbiological and physico-chemical characteristics. Antimicrobial in vitro assays evidenced a substantial efficacy of both extracts against Staphylococcus aureus, which often causes staphylococcal food poisoning outbreaks linked to the consumption of raw milk cheeses and artisanal cheeses. For this reason, a simulated cheese contamination was carried out in order to assess if pomegranate extracts can exert antimicrobial activity towards this pathogen even when incorporated into the cheese matrix. Milk enriched with pomegranate extracts (PPW and PMW) was used to produce two different experimental cheeses, which were then evaluated for yield, polyphenol content, and microbiological as well as physico-chemical traits throughout the refrigerated storage. Despite the low concentration of the extracts, the treated cheeses showed an increase in firmness and a slight decrease in S. aureus counts, of more than one log unit in comparison to the control cheese, for up to 12 d of cold storage. Such results support the reuse of agro-food byproducts, in substitution to chemical food preservatives, as the key to a circular economy.</description><subject>Acids</subject><subject>Agricultural wastes</subject><subject>Antiinfectives and antibacterials</subject><subject>Antimicrobial activity</subject><subject>Antimicrobial agents</subject><subject>antioxidant compounds</subject><subject>Antioxidants</subject><subject>bacterial food pathogens</subject><subject>Byproducts</subject><subject>byproducts reuse</subject><subject>Cheese</subject><subject>Chromatography</subject><subject>Circular economy</subject><subject>Cold storage</subject><subject>Consumption</subject><subject>Dairy products</subject><subject>E coli</subject><subject>Evaluation</subject><subject>Flavonoids</subject><subject>Food</subject><subject>Food additives</subject><subject>Food contamination</subject><subject>Food poisoning</subject><subject>Food quality</subject><subject>Food science</subject><subject>Fruits</subject><subject>In vitro methods and tests</subject><subject>Laboratories</subject><subject>Listeria</subject><subject>Milk</subject><subject>Physical characteristics</subject><subject>Physical properties</subject><subject>polyphenol profile</subject><subject>Preservatives</subject><subject>Salmonella</subject><subject>Solvents</subject><subject>Staphylococcus aureus</subject><issn>2304-8158</issn><issn>2304-8158</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNpdkk2P0zAQhiMEYlfLHrlb4sKBgr-SOhckqLpQaRE9wNma2OPUVWoXO1noL-Hv4rYrRPHFY7-PX4_HU1UvGX0rREvfuRhtZpQx3jTtk-qaCypnitXq6T_xVXWb85aW0TKhBH9eXQmpuGprel39Xscd9gkCjEg-HvYp2smMZPlrTGDGTCCTVegTWo-hLF1MZH1ifOgLtcfkd0WBgSw2iBnJTz9uyDJsIBi05Is3KXY-DrH3BoY35G4KZvQxHGMIlqw3h3xUynE43lj88uhNflE9czBkvH2cb6rvd8tvi8-z-6-fVosP9zMjazXOHOsodHVtETvJrZ3LueXYOUlto9AJKqwQRirkwlBDAW1NW6hrBYwq1aG4qVZnXxthq_flNZAOOoLXp42Yeg2pJDSgdl0rsUXnRGOlZQwYNqIVztZFACWK1_uz137qdmhNqUuC4cL0Ugl-o_v4oFXDWcPrYvD60SDFHxPmUe98NjgMEDBOWfOGSsrmjTyir_5Dt3FKpawnitNaKskLNTtT5RdyTuj-JsOoPnaQvugg8QczMLyk</recordid><startdate>20211103</startdate><enddate>20211103</enddate><creator>Parafati, Lucia</creator><creator>Pesce, Fabiola</creator><creator>Siracusa, Laura</creator><creator>Fallico, Biagio</creator><creator>Restuccia, Cristina</creator><creator>Palmeri, Rosa</creator><general>MDPI AG</general><general>MDPI</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QR</scope><scope>7T7</scope><scope>7X2</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>HCIFZ</scope><scope>M0K</scope><scope>P64</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-6272-7967</orcidid><orcidid>https://orcid.org/0000-0001-7485-2378</orcidid><orcidid>https://orcid.org/0000-0003-3771-3138</orcidid><orcidid>https://orcid.org/0000-0002-7660-5781</orcidid><orcidid>https://orcid.org/0000-0003-2678-9110</orcidid></search><sort><creationdate>20211103</creationdate><title>Pomegranate Byproduct Extracts as Ingredients for Producing Experimental Cheese with Enhanced Microbiological, Functional, and Physical Characteristics</title><author>Parafati, Lucia ; Pesce, Fabiola ; Siracusa, Laura ; Fallico, Biagio ; Restuccia, Cristina ; Palmeri, Rosa</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c458t-f1b0ab55deeb42dd747d2ebf40d68ef303d33c48e23c0c0aed509a558a1088be3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Acids</topic><topic>Agricultural wastes</topic><topic>Antiinfectives and antibacterials</topic><topic>Antimicrobial activity</topic><topic>Antimicrobial agents</topic><topic>antioxidant compounds</topic><topic>Antioxidants</topic><topic>bacterial food pathogens</topic><topic>Byproducts</topic><topic>byproducts reuse</topic><topic>Cheese</topic><topic>Chromatography</topic><topic>Circular economy</topic><topic>Cold storage</topic><topic>Consumption</topic><topic>Dairy products</topic><topic>E coli</topic><topic>Evaluation</topic><topic>Flavonoids</topic><topic>Food</topic><topic>Food additives</topic><topic>Food contamination</topic><topic>Food poisoning</topic><topic>Food quality</topic><topic>Food science</topic><topic>Fruits</topic><topic>In vitro methods and tests</topic><topic>Laboratories</topic><topic>Listeria</topic><topic>Milk</topic><topic>Physical characteristics</topic><topic>Physical properties</topic><topic>polyphenol profile</topic><topic>Preservatives</topic><topic>Salmonella</topic><topic>Solvents</topic><topic>Staphylococcus aureus</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Parafati, Lucia</creatorcontrib><creatorcontrib>Pesce, Fabiola</creatorcontrib><creatorcontrib>Siracusa, Laura</creatorcontrib><creatorcontrib>Fallico, Biagio</creatorcontrib><creatorcontrib>Restuccia, Cristina</creatorcontrib><creatorcontrib>Palmeri, Rosa</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Chemoreception Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Agricultural Science Collection</collection><collection>Technology Research Database</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>Agricultural &amp; Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>SciTech Premium Collection</collection><collection>Agriculture Science Database</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>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Foods</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Parafati, Lucia</au><au>Pesce, Fabiola</au><au>Siracusa, Laura</au><au>Fallico, Biagio</au><au>Restuccia, Cristina</au><au>Palmeri, Rosa</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pomegranate Byproduct Extracts as Ingredients for Producing Experimental Cheese with Enhanced Microbiological, Functional, and Physical Characteristics</atitle><jtitle>Foods</jtitle><date>2021-11-03</date><risdate>2021</risdate><volume>10</volume><issue>11</issue><spage>2669</spage><pages>2669-</pages><issn>2304-8158</issn><eissn>2304-8158</eissn><abstract>Pomegranate peel and mesocarp, considered as wastes of fruit processing, are rich sources of beneficial phytochemicals, including hydrolyzable tannins and flavonoids, with proven antimicrobial and antioxidant activity, which can be employed for improving the overall quality of food products. In the present study, extracts from pomegranate peel (PPW) and mesocarp (PMW) were obtained through a water extraction method and evaluated for in vitro antimicrobial activity and polyphenol content. The two extracts were then added during the cheese-making process in order to create a new functional cheese with improved microbiological and physico-chemical characteristics. Antimicrobial in vitro assays evidenced a substantial efficacy of both extracts against Staphylococcus aureus, which often causes staphylococcal food poisoning outbreaks linked to the consumption of raw milk cheeses and artisanal cheeses. For this reason, a simulated cheese contamination was carried out in order to assess if pomegranate extracts can exert antimicrobial activity towards this pathogen even when incorporated into the cheese matrix. Milk enriched with pomegranate extracts (PPW and PMW) was used to produce two different experimental cheeses, which were then evaluated for yield, polyphenol content, and microbiological as well as physico-chemical traits throughout the refrigerated storage. Despite the low concentration of the extracts, the treated cheeses showed an increase in firmness and a slight decrease in S. aureus counts, of more than one log unit in comparison to the control cheese, for up to 12 d of cold storage. Such results support the reuse of agro-food byproducts, in substitution to chemical food preservatives, as the key to a circular economy.</abstract><cop>Basel</cop><pub>MDPI AG</pub><pmid>34828950</pmid><doi>10.3390/foods10112669</doi><orcidid>https://orcid.org/0000-0001-6272-7967</orcidid><orcidid>https://orcid.org/0000-0001-7485-2378</orcidid><orcidid>https://orcid.org/0000-0003-3771-3138</orcidid><orcidid>https://orcid.org/0000-0002-7660-5781</orcidid><orcidid>https://orcid.org/0000-0003-2678-9110</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 2304-8158
ispartof Foods, 2021-11, Vol.10 (11), p.2669
issn 2304-8158
2304-8158
language eng
recordid cdi_doaj_primary_oai_doaj_org_article_fb94e9eff36d4d11a1e6393fd5b94a83
source Publicly Available Content Database; PubMed Central
subjects Acids
Agricultural wastes
Antiinfectives and antibacterials
Antimicrobial activity
Antimicrobial agents
antioxidant compounds
Antioxidants
bacterial food pathogens
Byproducts
byproducts reuse
Cheese
Chromatography
Circular economy
Cold storage
Consumption
Dairy products
E coli
Evaluation
Flavonoids
Food
Food additives
Food contamination
Food poisoning
Food quality
Food science
Fruits
In vitro methods and tests
Laboratories
Listeria
Milk
Physical characteristics
Physical properties
polyphenol profile
Preservatives
Salmonella
Solvents
Staphylococcus aureus
title Pomegranate Byproduct Extracts as Ingredients for Producing Experimental Cheese with Enhanced Microbiological, Functional, and Physical Characteristics
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-26T18%3A37%3A25IST&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=Pomegranate%20Byproduct%20Extracts%20as%20Ingredients%20for%20Producing%20Experimental%20Cheese%20with%20Enhanced%20Microbiological,%20Functional,%20and%20Physical%20Characteristics&rft.jtitle=Foods&rft.au=Parafati,%20Lucia&rft.date=2021-11-03&rft.volume=10&rft.issue=11&rft.spage=2669&rft.pages=2669-&rft.issn=2304-8158&rft.eissn=2304-8158&rft_id=info:doi/10.3390/foods10112669&rft_dat=%3Cproquest_doaj_%3E2604017645%3C/proquest_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c458t-f1b0ab55deeb42dd747d2ebf40d68ef303d33c48e23c0c0aed509a558a1088be3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2602054842&rft_id=info:pmid/34828950&rfr_iscdi=true