Loading…
Seroprevalence of brucellosis in livestock within three endemic regions of the country of Georgia
Brucellosis is the one of most common livestock zoonoses in Georgia, resulting in significant economic losses. Livestock were sampled in three regions of Georgia (Kakheti, Kvemo Kartli, Imereti). Districts that historically reported high numbers of brucellosis related morbidity were selected for ser...
Saved in:
Published in: | Preventive veterinary medicine 2013-07, Vol.110 (3-4), p.554-557 |
---|---|
Main Authors: | , , , , , , , , , , , , , , , , |
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-c420t-86a5cbcd4d46f81c14947d306d436347e26e68ddf9d8edfa0afab455a072f37d3 |
---|---|
cites | cdi_FETCH-LOGICAL-c420t-86a5cbcd4d46f81c14947d306d436347e26e68ddf9d8edfa0afab455a072f37d3 |
container_end_page | 557 |
container_issue | 3-4 |
container_start_page | 554 |
container_title | Preventive veterinary medicine |
container_volume | 110 |
creator | Mamisashvili, Eliso Kracalik, Ian T. Onashvili, Tinatin Kerdzevadze, Lela Goginashvili, Ketevan Tigilauri, Tamar Donduashvili, Marina Nikolaishvili, Marina Beradze, Irma Zakareishvili, Marina Kokhreidze, Maka Gelashvili, Makvala Vepkhvadze, Nino Rácz, S. Elizabeth Elzer, Philip H. Nikolich, Mikeljon P. Blackburn, Jason K. |
description | Brucellosis is the one of most common livestock zoonoses in Georgia, resulting in significant economic losses. Livestock were sampled in three regions of Georgia (Kakheti, Kvemo Kartli, Imereti). Districts that historically reported high numbers of brucellosis related morbidity were selected for serological, bacteriological and molecular surveys. Surveying efforts yielded samples from 10,819 large and small ruminants. In total, 735 serological tests were positive on Rose Bengal and 33 bacterial isolates were recovered and identified as Brucella melitensis or Brucella abortus by microbiology and AMOS-PCR. A Bayesian framework was implemented to estimate the true prevalence of the disease given an imperfect diagnostic test. Regional posterior median true prevalence estimates ranged from 2.7% (95% CI: 1.4, 7.2) in Kvemo Kartli, 0.8% (95% CI: 0.0, 3.6) in Kakheti, to an estimate of 0.6% (95% CI: 0.0, 2.9) in Imereti. Accurate and efficient surveillance of brucellosis is not only of economic value, but also informs efforts to reduce the disease impact on the human population. |
doi_str_mv | 10.1016/j.prevetmed.2012.12.005 |
format | article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1351611488</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0167587712004114</els_id><sourcerecordid>1351611488</sourcerecordid><originalsourceid>FETCH-LOGICAL-c420t-86a5cbcd4d46f81c14947d306d436347e26e68ddf9d8edfa0afab455a072f37d3</originalsourceid><addsrcrecordid>eNqFkFFPwyAQgInRuDn9C9pHX1qhpcAel0WnyRIf1GdC4boxuzKhndm_l2bOV5NLCMd3d9yH0B3BGcGEPWyynYc9dFswWY5JnsXAuDxDYyJ4kRJO2DkaR5KnpeB8hK5C2GCMGRPlJRrlRR6zhI6RegPvhl6qgVZD4uqk8r2GpnHBhsS2SWP3EDqnP5Nv261jolt7gARaA1urEw8r69owFHZrSLTr284fhusCnF9ZdY0uatUEuPk9J-jj6fF9_pwuXxcv89ky1TTHXSqYKnWlDTWU1YJoQqeUmwIzQwtWUA45AyaMqadGgKkVVrWqaFkqzPO6iOQE3R_77rz76uOX5daGYRHVguuDJEVJGCFUiIjyI6q9C8FDLXfebpU_SILl4Fdu5J9fOfiVMaLfWHn7O6SvhrdT3UloBGZHAOKqewteBm0Hs8Z60J00zv475Ac9RZKE</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1351611488</pqid></control><display><type>article</type><title>Seroprevalence of brucellosis in livestock within three endemic regions of the country of Georgia</title><source>ScienceDirect Freedom Collection 2022-2024</source><creator>Mamisashvili, Eliso ; Kracalik, Ian T. ; Onashvili, Tinatin ; Kerdzevadze, Lela ; Goginashvili, Ketevan ; Tigilauri, Tamar ; Donduashvili, Marina ; Nikolaishvili, Marina ; Beradze, Irma ; Zakareishvili, Marina ; Kokhreidze, Maka ; Gelashvili, Makvala ; Vepkhvadze, Nino ; Rácz, S. Elizabeth ; Elzer, Philip H. ; Nikolich, Mikeljon P. ; Blackburn, Jason K.</creator><creatorcontrib>Mamisashvili, Eliso ; Kracalik, Ian T. ; Onashvili, Tinatin ; Kerdzevadze, Lela ; Goginashvili, Ketevan ; Tigilauri, Tamar ; Donduashvili, Marina ; Nikolaishvili, Marina ; Beradze, Irma ; Zakareishvili, Marina ; Kokhreidze, Maka ; Gelashvili, Makvala ; Vepkhvadze, Nino ; Rácz, S. Elizabeth ; Elzer, Philip H. ; Nikolich, Mikeljon P. ; Blackburn, Jason K.</creatorcontrib><description>Brucellosis is the one of most common livestock zoonoses in Georgia, resulting in significant economic losses. Livestock were sampled in three regions of Georgia (Kakheti, Kvemo Kartli, Imereti). Districts that historically reported high numbers of brucellosis related morbidity were selected for serological, bacteriological and molecular surveys. Surveying efforts yielded samples from 10,819 large and small ruminants. In total, 735 serological tests were positive on Rose Bengal and 33 bacterial isolates were recovered and identified as Brucella melitensis or Brucella abortus by microbiology and AMOS-PCR. A Bayesian framework was implemented to estimate the true prevalence of the disease given an imperfect diagnostic test. Regional posterior median true prevalence estimates ranged from 2.7% (95% CI: 1.4, 7.2) in Kvemo Kartli, 0.8% (95% CI: 0.0, 3.6) in Kakheti, to an estimate of 0.6% (95% CI: 0.0, 2.9) in Imereti. Accurate and efficient surveillance of brucellosis is not only of economic value, but also informs efforts to reduce the disease impact on the human population.</description><identifier>ISSN: 0167-5877</identifier><identifier>EISSN: 1873-1716</identifier><identifier>DOI: 10.1016/j.prevetmed.2012.12.005</identifier><identifier>PMID: 23287714</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Animals ; Antibodies, Bacterial - blood ; Bayes Theorem ; Brucella abortus - classification ; Brucella abortus - immunology ; Brucella abortus - isolation & purification ; Brucella melitensis - classification ; Brucella melitensis - immunology ; Brucella melitensis - isolation & purification ; Brucellosis ; Brucellosis - epidemiology ; Brucellosis - immunology ; Brucellosis - microbiology ; Brucellosis, Bovine - epidemiology ; Brucellosis, Bovine - immunology ; Brucellosis, Bovine - microbiology ; Cattle ; Female ; Georgia ; Georgia (Republic) - epidemiology ; Goat Diseases - epidemiology ; Goat Diseases - microbiology ; Goats ; Livestock ; Male ; Milk - microbiology ; Polymerase Chain Reaction - veterinary ; Prevalence ; Rose Bengal - chemistry ; Seroepidemiologic Studies ; Serology ; Sheep ; Sheep Diseases - epidemiology ; Sheep Diseases - microbiology ; True prevalence</subject><ispartof>Preventive veterinary medicine, 2013-07, Vol.110 (3-4), p.554-557</ispartof><rights>2012 Elsevier B.V.</rights><rights>Copyright © 2012 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c420t-86a5cbcd4d46f81c14947d306d436347e26e68ddf9d8edfa0afab455a072f37d3</citedby><cites>FETCH-LOGICAL-c420t-86a5cbcd4d46f81c14947d306d436347e26e68ddf9d8edfa0afab455a072f37d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23287714$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mamisashvili, Eliso</creatorcontrib><creatorcontrib>Kracalik, Ian T.</creatorcontrib><creatorcontrib>Onashvili, Tinatin</creatorcontrib><creatorcontrib>Kerdzevadze, Lela</creatorcontrib><creatorcontrib>Goginashvili, Ketevan</creatorcontrib><creatorcontrib>Tigilauri, Tamar</creatorcontrib><creatorcontrib>Donduashvili, Marina</creatorcontrib><creatorcontrib>Nikolaishvili, Marina</creatorcontrib><creatorcontrib>Beradze, Irma</creatorcontrib><creatorcontrib>Zakareishvili, Marina</creatorcontrib><creatorcontrib>Kokhreidze, Maka</creatorcontrib><creatorcontrib>Gelashvili, Makvala</creatorcontrib><creatorcontrib>Vepkhvadze, Nino</creatorcontrib><creatorcontrib>Rácz, S. Elizabeth</creatorcontrib><creatorcontrib>Elzer, Philip H.</creatorcontrib><creatorcontrib>Nikolich, Mikeljon P.</creatorcontrib><creatorcontrib>Blackburn, Jason K.</creatorcontrib><title>Seroprevalence of brucellosis in livestock within three endemic regions of the country of Georgia</title><title>Preventive veterinary medicine</title><addtitle>Prev Vet Med</addtitle><description>Brucellosis is the one of most common livestock zoonoses in Georgia, resulting in significant economic losses. Livestock were sampled in three regions of Georgia (Kakheti, Kvemo Kartli, Imereti). Districts that historically reported high numbers of brucellosis related morbidity were selected for serological, bacteriological and molecular surveys. Surveying efforts yielded samples from 10,819 large and small ruminants. In total, 735 serological tests were positive on Rose Bengal and 33 bacterial isolates were recovered and identified as Brucella melitensis or Brucella abortus by microbiology and AMOS-PCR. A Bayesian framework was implemented to estimate the true prevalence of the disease given an imperfect diagnostic test. Regional posterior median true prevalence estimates ranged from 2.7% (95% CI: 1.4, 7.2) in Kvemo Kartli, 0.8% (95% CI: 0.0, 3.6) in Kakheti, to an estimate of 0.6% (95% CI: 0.0, 2.9) in Imereti. Accurate and efficient surveillance of brucellosis is not only of economic value, but also informs efforts to reduce the disease impact on the human population.</description><subject>Animals</subject><subject>Antibodies, Bacterial - blood</subject><subject>Bayes Theorem</subject><subject>Brucella abortus - classification</subject><subject>Brucella abortus - immunology</subject><subject>Brucella abortus - isolation & purification</subject><subject>Brucella melitensis - classification</subject><subject>Brucella melitensis - immunology</subject><subject>Brucella melitensis - isolation & purification</subject><subject>Brucellosis</subject><subject>Brucellosis - epidemiology</subject><subject>Brucellosis - immunology</subject><subject>Brucellosis - microbiology</subject><subject>Brucellosis, Bovine - epidemiology</subject><subject>Brucellosis, Bovine - immunology</subject><subject>Brucellosis, Bovine - microbiology</subject><subject>Cattle</subject><subject>Female</subject><subject>Georgia</subject><subject>Georgia (Republic) - epidemiology</subject><subject>Goat Diseases - epidemiology</subject><subject>Goat Diseases - microbiology</subject><subject>Goats</subject><subject>Livestock</subject><subject>Male</subject><subject>Milk - microbiology</subject><subject>Polymerase Chain Reaction - veterinary</subject><subject>Prevalence</subject><subject>Rose Bengal - chemistry</subject><subject>Seroepidemiologic Studies</subject><subject>Serology</subject><subject>Sheep</subject><subject>Sheep Diseases - epidemiology</subject><subject>Sheep Diseases - microbiology</subject><subject>True prevalence</subject><issn>0167-5877</issn><issn>1873-1716</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><recordid>eNqFkFFPwyAQgInRuDn9C9pHX1qhpcAel0WnyRIf1GdC4boxuzKhndm_l2bOV5NLCMd3d9yH0B3BGcGEPWyynYc9dFswWY5JnsXAuDxDYyJ4kRJO2DkaR5KnpeB8hK5C2GCMGRPlJRrlRR6zhI6RegPvhl6qgVZD4uqk8r2GpnHBhsS2SWP3EDqnP5Nv261jolt7gARaA1urEw8r69owFHZrSLTr284fhusCnF9ZdY0uatUEuPk9J-jj6fF9_pwuXxcv89ky1TTHXSqYKnWlDTWU1YJoQqeUmwIzQwtWUA45AyaMqadGgKkVVrWqaFkqzPO6iOQE3R_77rz76uOX5daGYRHVguuDJEVJGCFUiIjyI6q9C8FDLXfebpU_SILl4Fdu5J9fOfiVMaLfWHn7O6SvhrdT3UloBGZHAOKqewteBm0Hs8Z60J00zv475Ac9RZKE</recordid><startdate>20130701</startdate><enddate>20130701</enddate><creator>Mamisashvili, Eliso</creator><creator>Kracalik, Ian T.</creator><creator>Onashvili, Tinatin</creator><creator>Kerdzevadze, Lela</creator><creator>Goginashvili, Ketevan</creator><creator>Tigilauri, Tamar</creator><creator>Donduashvili, Marina</creator><creator>Nikolaishvili, Marina</creator><creator>Beradze, Irma</creator><creator>Zakareishvili, Marina</creator><creator>Kokhreidze, Maka</creator><creator>Gelashvili, Makvala</creator><creator>Vepkhvadze, Nino</creator><creator>Rácz, S. Elizabeth</creator><creator>Elzer, Philip H.</creator><creator>Nikolich, Mikeljon P.</creator><creator>Blackburn, Jason K.</creator><general>Elsevier B.V</general><scope>6I.</scope><scope>AAFTH</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>7X8</scope></search><sort><creationdate>20130701</creationdate><title>Seroprevalence of brucellosis in livestock within three endemic regions of the country of Georgia</title><author>Mamisashvili, Eliso ; Kracalik, Ian T. ; Onashvili, Tinatin ; Kerdzevadze, Lela ; Goginashvili, Ketevan ; Tigilauri, Tamar ; Donduashvili, Marina ; Nikolaishvili, Marina ; Beradze, Irma ; Zakareishvili, Marina ; Kokhreidze, Maka ; Gelashvili, Makvala ; Vepkhvadze, Nino ; Rácz, S. Elizabeth ; Elzer, Philip H. ; Nikolich, Mikeljon P. ; Blackburn, Jason K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c420t-86a5cbcd4d46f81c14947d306d436347e26e68ddf9d8edfa0afab455a072f37d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Animals</topic><topic>Antibodies, Bacterial - blood</topic><topic>Bayes Theorem</topic><topic>Brucella abortus - classification</topic><topic>Brucella abortus - immunology</topic><topic>Brucella abortus - isolation & purification</topic><topic>Brucella melitensis - classification</topic><topic>Brucella melitensis - immunology</topic><topic>Brucella melitensis - isolation & purification</topic><topic>Brucellosis</topic><topic>Brucellosis - epidemiology</topic><topic>Brucellosis - immunology</topic><topic>Brucellosis - microbiology</topic><topic>Brucellosis, Bovine - epidemiology</topic><topic>Brucellosis, Bovine - immunology</topic><topic>Brucellosis, Bovine - microbiology</topic><topic>Cattle</topic><topic>Female</topic><topic>Georgia</topic><topic>Georgia (Republic) - epidemiology</topic><topic>Goat Diseases - epidemiology</topic><topic>Goat Diseases - microbiology</topic><topic>Goats</topic><topic>Livestock</topic><topic>Male</topic><topic>Milk - microbiology</topic><topic>Polymerase Chain Reaction - veterinary</topic><topic>Prevalence</topic><topic>Rose Bengal - chemistry</topic><topic>Seroepidemiologic Studies</topic><topic>Serology</topic><topic>Sheep</topic><topic>Sheep Diseases - epidemiology</topic><topic>Sheep Diseases - microbiology</topic><topic>True prevalence</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mamisashvili, Eliso</creatorcontrib><creatorcontrib>Kracalik, Ian T.</creatorcontrib><creatorcontrib>Onashvili, Tinatin</creatorcontrib><creatorcontrib>Kerdzevadze, Lela</creatorcontrib><creatorcontrib>Goginashvili, Ketevan</creatorcontrib><creatorcontrib>Tigilauri, Tamar</creatorcontrib><creatorcontrib>Donduashvili, Marina</creatorcontrib><creatorcontrib>Nikolaishvili, Marina</creatorcontrib><creatorcontrib>Beradze, Irma</creatorcontrib><creatorcontrib>Zakareishvili, Marina</creatorcontrib><creatorcontrib>Kokhreidze, Maka</creatorcontrib><creatorcontrib>Gelashvili, Makvala</creatorcontrib><creatorcontrib>Vepkhvadze, Nino</creatorcontrib><creatorcontrib>Rácz, S. Elizabeth</creatorcontrib><creatorcontrib>Elzer, Philip H.</creatorcontrib><creatorcontrib>Nikolich, Mikeljon P.</creatorcontrib><creatorcontrib>Blackburn, Jason K.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect: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>MEDLINE - Academic</collection><jtitle>Preventive veterinary medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mamisashvili, Eliso</au><au>Kracalik, Ian T.</au><au>Onashvili, Tinatin</au><au>Kerdzevadze, Lela</au><au>Goginashvili, Ketevan</au><au>Tigilauri, Tamar</au><au>Donduashvili, Marina</au><au>Nikolaishvili, Marina</au><au>Beradze, Irma</au><au>Zakareishvili, Marina</au><au>Kokhreidze, Maka</au><au>Gelashvili, Makvala</au><au>Vepkhvadze, Nino</au><au>Rácz, S. Elizabeth</au><au>Elzer, Philip H.</au><au>Nikolich, Mikeljon P.</au><au>Blackburn, Jason K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Seroprevalence of brucellosis in livestock within three endemic regions of the country of Georgia</atitle><jtitle>Preventive veterinary medicine</jtitle><addtitle>Prev Vet Med</addtitle><date>2013-07-01</date><risdate>2013</risdate><volume>110</volume><issue>3-4</issue><spage>554</spage><epage>557</epage><pages>554-557</pages><issn>0167-5877</issn><eissn>1873-1716</eissn><abstract>Brucellosis is the one of most common livestock zoonoses in Georgia, resulting in significant economic losses. Livestock were sampled in three regions of Georgia (Kakheti, Kvemo Kartli, Imereti). Districts that historically reported high numbers of brucellosis related morbidity were selected for serological, bacteriological and molecular surveys. Surveying efforts yielded samples from 10,819 large and small ruminants. In total, 735 serological tests were positive on Rose Bengal and 33 bacterial isolates were recovered and identified as Brucella melitensis or Brucella abortus by microbiology and AMOS-PCR. A Bayesian framework was implemented to estimate the true prevalence of the disease given an imperfect diagnostic test. Regional posterior median true prevalence estimates ranged from 2.7% (95% CI: 1.4, 7.2) in Kvemo Kartli, 0.8% (95% CI: 0.0, 3.6) in Kakheti, to an estimate of 0.6% (95% CI: 0.0, 2.9) in Imereti. Accurate and efficient surveillance of brucellosis is not only of economic value, but also informs efforts to reduce the disease impact on the human population.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>23287714</pmid><doi>10.1016/j.prevetmed.2012.12.005</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0167-5877 |
ispartof | Preventive veterinary medicine, 2013-07, Vol.110 (3-4), p.554-557 |
issn | 0167-5877 1873-1716 |
language | eng |
recordid | cdi_proquest_miscellaneous_1351611488 |
source | ScienceDirect Freedom Collection 2022-2024 |
subjects | Animals Antibodies, Bacterial - blood Bayes Theorem Brucella abortus - classification Brucella abortus - immunology Brucella abortus - isolation & purification Brucella melitensis - classification Brucella melitensis - immunology Brucella melitensis - isolation & purification Brucellosis Brucellosis - epidemiology Brucellosis - immunology Brucellosis - microbiology Brucellosis, Bovine - epidemiology Brucellosis, Bovine - immunology Brucellosis, Bovine - microbiology Cattle Female Georgia Georgia (Republic) - epidemiology Goat Diseases - epidemiology Goat Diseases - microbiology Goats Livestock Male Milk - microbiology Polymerase Chain Reaction - veterinary Prevalence Rose Bengal - chemistry Seroepidemiologic Studies Serology Sheep Sheep Diseases - epidemiology Sheep Diseases - microbiology True prevalence |
title | Seroprevalence of brucellosis in livestock within three endemic regions of the country of Georgia |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-02T22%3A19%3A57IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Seroprevalence%20of%20brucellosis%20in%20livestock%20within%20three%20endemic%20regions%20of%20the%20country%20of%20Georgia&rft.jtitle=Preventive%20veterinary%20medicine&rft.au=Mamisashvili,%20Eliso&rft.date=2013-07-01&rft.volume=110&rft.issue=3-4&rft.spage=554&rft.epage=557&rft.pages=554-557&rft.issn=0167-5877&rft.eissn=1873-1716&rft_id=info:doi/10.1016/j.prevetmed.2012.12.005&rft_dat=%3Cproquest_cross%3E1351611488%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c420t-86a5cbcd4d46f81c14947d306d436347e26e68ddf9d8edfa0afab455a072f37d3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1351611488&rft_id=info:pmid/23287714&rfr_iscdi=true |