Loading…

Development and evaluation of novel nanophotosensitizers as photoantimicrobial agents against Staphylococcus aureus

The main aim of the present study was to synthetize polyacrylamide nanoparticles and to use them as photosensitizer carriers. The new monobrominated derivatives (monobrominated neutral red and monobrominated azure B) were the photosensitizers used for antimicrobial photodynamic therapy. They were lo...

Full description

Saved in:
Bibliographic Details
Published in:Materials Science & Engineering C 2019-01, Vol.94, p.303-309
Main Authors: Gualdesi, M.S., Aiassa, V., Vara, J., Alvarez Igarzabal, C.I., Ortiz, C.S.
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-c428t-212e34e715ffdd7a66f16f5a2ca1b31309d08b0822da600d414fbe3771c197503
cites cdi_FETCH-LOGICAL-c428t-212e34e715ffdd7a66f16f5a2ca1b31309d08b0822da600d414fbe3771c197503
container_end_page 309
container_issue
container_start_page 303
container_title Materials Science & Engineering C
container_volume 94
creator Gualdesi, M.S.
Aiassa, V.
Vara, J.
Alvarez Igarzabal, C.I.
Ortiz, C.S.
description The main aim of the present study was to synthetize polyacrylamide nanoparticles and to use them as photosensitizer carriers. The new monobrominated derivatives (monobrominated neutral red and monobrominated azure B) were the photosensitizers used for antimicrobial photodynamic therapy. They were loaded into the nanocarriers and their antibacterial and oxidative activities were evaluated. The polyacrylamide nanoparticles were evaluated and prepared by inverse microemulsion polymerization. The nanoparticles obtained were characterized by size, polydispersity index, and zeta potential analysis. The Dynamic Light Scattering indicated that the diameter of the particle (z-average) was optimal, with an acceptable polydispersity index. The antibacterial activity of the polyacrylamide nanoparticles loaded with photosensitizers was evaluated against Staphylococcus aureus. Both photosensitizers loaded into the nanoparticles showed great potential as antibacterial agents since they suppressed the bacterial growth. The maximum percentage of growth reduction was 35.5% (>2 Log CFU/mL), with the monobrominated azure B loaded into the nanocarrier with 2 hydroxyethyl methacrylate against methicillin resistant S. aureus. The improved physicochemical and photophysical properties of these photosensitizers were accompanied by a significant increase in the photoantimicrobial action, in conventional-sensitive and-methicillin resistant S. aureus. The results obtained clearly suggest that polyacrylamide nanoparticles loaded with photosensitizers have great potential for further application in antimicrobial photodynamic therapy. [Display omitted] •Polyacrylamide nanoparticles were synthesized and characterized.•Singlet oxygen and chemical stability determination of dyes were studied.•Antimicrobial photodynamic therapy against S. aureus was evaluated.
doi_str_mv 10.1016/j.msec.2018.09.040
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2133436741</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0928493117344636</els_id><sourcerecordid>2154712741</sourcerecordid><originalsourceid>FETCH-LOGICAL-c428t-212e34e715ffdd7a66f16f5a2ca1b31309d08b0822da600d414fbe3771c197503</originalsourceid><addsrcrecordid>eNp9kU2LFDEQhoMo7rj6BzxIwIuXbquSTH-AF1k_YcGDeg7pdPVuhu6kTdID668346wePHgKVD31kqqHsecINQI2rw_1ksjWArCroa9BwQO2w66VFWCPD9kOetFVqpd4wZ6kdABoOtmKx-xCghKyRbFj6R0daQ7rQj5z40dORzNvJrvgeZi4D6XLvfFhvQ05JPLJZfeTYuIm8d8147NbnI1hcGbm5qYEleaNcT5l_jWb9fZuDjZYu5XyFmlLT9mjycyJnt2_l-z7h_ffrj5V118-fr56e11ZJbpcCRQkFbW4n6ZxbE3TTNhMeyOswUGihH6EboBOiNE0AKNCNQ0k2xYt9u0e5CV7dc5dY_ixUcp6ccnSPBtPYUtaoJRKNq3Cgr78Bz2ELfryu0LtVTnVmRJnqmybUqRJr9EtJt5pBH1Sog_6pESflGjodVFShl7cR2_DQuPfkT8OCvDmDFC5xdFR1Mk68pZGF8lmPQb3v_xf3DKfAw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2154712741</pqid></control><display><type>article</type><title>Development and evaluation of novel nanophotosensitizers as photoantimicrobial agents against Staphylococcus aureus</title><source>ScienceDirect Freedom Collection</source><creator>Gualdesi, M.S. ; Aiassa, V. ; Vara, J. ; Alvarez Igarzabal, C.I. ; Ortiz, C.S.</creator><creatorcontrib>Gualdesi, M.S. ; Aiassa, V. ; Vara, J. ; Alvarez Igarzabal, C.I. ; Ortiz, C.S.</creatorcontrib><description>The main aim of the present study was to synthetize polyacrylamide nanoparticles and to use them as photosensitizer carriers. The new monobrominated derivatives (monobrominated neutral red and monobrominated azure B) were the photosensitizers used for antimicrobial photodynamic therapy. They were loaded into the nanocarriers and their antibacterial and oxidative activities were evaluated. The polyacrylamide nanoparticles were evaluated and prepared by inverse microemulsion polymerization. The nanoparticles obtained were characterized by size, polydispersity index, and zeta potential analysis. The Dynamic Light Scattering indicated that the diameter of the particle (z-average) was optimal, with an acceptable polydispersity index. The antibacterial activity of the polyacrylamide nanoparticles loaded with photosensitizers was evaluated against Staphylococcus aureus. Both photosensitizers loaded into the nanoparticles showed great potential as antibacterial agents since they suppressed the bacterial growth. The maximum percentage of growth reduction was 35.5% (&gt;2 Log CFU/mL), with the monobrominated azure B loaded into the nanocarrier with 2 hydroxyethyl methacrylate against methicillin resistant S. aureus. The improved physicochemical and photophysical properties of these photosensitizers were accompanied by a significant increase in the photoantimicrobial action, in conventional-sensitive and-methicillin resistant S. aureus. The results obtained clearly suggest that polyacrylamide nanoparticles loaded with photosensitizers have great potential for further application in antimicrobial photodynamic therapy. [Display omitted] •Polyacrylamide nanoparticles were synthesized and characterized.•Singlet oxygen and chemical stability determination of dyes were studied.•Antimicrobial photodynamic therapy against S. aureus was evaluated.</description><identifier>ISSN: 0928-4931</identifier><identifier>EISSN: 1873-0191</identifier><identifier>DOI: 10.1016/j.msec.2018.09.040</identifier><identifier>PMID: 30423712</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Acrylic Resins - chemistry ; Anti-Bacterial Agents - chemistry ; Anti-Bacterial Agents - pharmacology ; Antibacterial activity ; Antibacterial agents ; Antimicrobial photodynamic therapy ; Derivatives ; Emulsion polymerization ; Kinetics ; Light scattering ; Malonates - chemistry ; Materials science ; Methicillin ; Microbial Sensitivity Tests ; Microemulsions ; Monobrominated azure B ; Monobrominated neutral red ; Nanoparticles ; Nanoparticles - chemistry ; Oxidation-Reduction ; Particle Size ; Photochemotherapy ; Photodynamic therapy ; Photon correlation spectroscopy ; Photosensitizing Agents - chemistry ; Photosensitizing Agents - pharmacology ; Polyacrylamide nanoparticles ; Polydispersity ; Polyhydroxyethyl methacrylate ; Polymerization ; Scattering ; Singlet Oxygen - chemistry ; Spectrophotometry, Ultraviolet ; Staphylococcus aureus ; Staphylococcus aureus - drug effects ; Static Electricity ; Studies ; Zeta potential</subject><ispartof>Materials Science &amp; Engineering C, 2019-01, Vol.94, p.303-309</ispartof><rights>2018 Elsevier B.V.</rights><rights>Copyright © 2018 Elsevier B.V. All rights reserved.</rights><rights>Copyright Elsevier BV Jan 1, 2019</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c428t-212e34e715ffdd7a66f16f5a2ca1b31309d08b0822da600d414fbe3771c197503</citedby><cites>FETCH-LOGICAL-c428t-212e34e715ffdd7a66f16f5a2ca1b31309d08b0822da600d414fbe3771c197503</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27922,27923</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30423712$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gualdesi, M.S.</creatorcontrib><creatorcontrib>Aiassa, V.</creatorcontrib><creatorcontrib>Vara, J.</creatorcontrib><creatorcontrib>Alvarez Igarzabal, C.I.</creatorcontrib><creatorcontrib>Ortiz, C.S.</creatorcontrib><title>Development and evaluation of novel nanophotosensitizers as photoantimicrobial agents against Staphylococcus aureus</title><title>Materials Science &amp; Engineering C</title><addtitle>Mater Sci Eng C Mater Biol Appl</addtitle><description>The main aim of the present study was to synthetize polyacrylamide nanoparticles and to use them as photosensitizer carriers. The new monobrominated derivatives (monobrominated neutral red and monobrominated azure B) were the photosensitizers used for antimicrobial photodynamic therapy. They were loaded into the nanocarriers and their antibacterial and oxidative activities were evaluated. The polyacrylamide nanoparticles were evaluated and prepared by inverse microemulsion polymerization. The nanoparticles obtained were characterized by size, polydispersity index, and zeta potential analysis. The Dynamic Light Scattering indicated that the diameter of the particle (z-average) was optimal, with an acceptable polydispersity index. The antibacterial activity of the polyacrylamide nanoparticles loaded with photosensitizers was evaluated against Staphylococcus aureus. Both photosensitizers loaded into the nanoparticles showed great potential as antibacterial agents since they suppressed the bacterial growth. The maximum percentage of growth reduction was 35.5% (&gt;2 Log CFU/mL), with the monobrominated azure B loaded into the nanocarrier with 2 hydroxyethyl methacrylate against methicillin resistant S. aureus. The improved physicochemical and photophysical properties of these photosensitizers were accompanied by a significant increase in the photoantimicrobial action, in conventional-sensitive and-methicillin resistant S. aureus. The results obtained clearly suggest that polyacrylamide nanoparticles loaded with photosensitizers have great potential for further application in antimicrobial photodynamic therapy. [Display omitted] •Polyacrylamide nanoparticles were synthesized and characterized.•Singlet oxygen and chemical stability determination of dyes were studied.•Antimicrobial photodynamic therapy against S. aureus was evaluated.</description><subject>Acrylic Resins - chemistry</subject><subject>Anti-Bacterial Agents - chemistry</subject><subject>Anti-Bacterial Agents - pharmacology</subject><subject>Antibacterial activity</subject><subject>Antibacterial agents</subject><subject>Antimicrobial photodynamic therapy</subject><subject>Derivatives</subject><subject>Emulsion polymerization</subject><subject>Kinetics</subject><subject>Light scattering</subject><subject>Malonates - chemistry</subject><subject>Materials science</subject><subject>Methicillin</subject><subject>Microbial Sensitivity Tests</subject><subject>Microemulsions</subject><subject>Monobrominated azure B</subject><subject>Monobrominated neutral red</subject><subject>Nanoparticles</subject><subject>Nanoparticles - chemistry</subject><subject>Oxidation-Reduction</subject><subject>Particle Size</subject><subject>Photochemotherapy</subject><subject>Photodynamic therapy</subject><subject>Photon correlation spectroscopy</subject><subject>Photosensitizing Agents - chemistry</subject><subject>Photosensitizing Agents - pharmacology</subject><subject>Polyacrylamide nanoparticles</subject><subject>Polydispersity</subject><subject>Polyhydroxyethyl methacrylate</subject><subject>Polymerization</subject><subject>Scattering</subject><subject>Singlet Oxygen - chemistry</subject><subject>Spectrophotometry, Ultraviolet</subject><subject>Staphylococcus aureus</subject><subject>Staphylococcus aureus - drug effects</subject><subject>Static Electricity</subject><subject>Studies</subject><subject>Zeta potential</subject><issn>0928-4931</issn><issn>1873-0191</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNp9kU2LFDEQhoMo7rj6BzxIwIuXbquSTH-AF1k_YcGDeg7pdPVuhu6kTdID668346wePHgKVD31kqqHsecINQI2rw_1ksjWArCroa9BwQO2w66VFWCPD9kOetFVqpd4wZ6kdABoOtmKx-xCghKyRbFj6R0daQ7rQj5z40dORzNvJrvgeZi4D6XLvfFhvQ05JPLJZfeTYuIm8d8147NbnI1hcGbm5qYEleaNcT5l_jWb9fZuDjZYu5XyFmlLT9mjycyJnt2_l-z7h_ffrj5V118-fr56e11ZJbpcCRQkFbW4n6ZxbE3TTNhMeyOswUGihH6EboBOiNE0AKNCNQ0k2xYt9u0e5CV7dc5dY_ixUcp6ccnSPBtPYUtaoJRKNq3Cgr78Bz2ELfryu0LtVTnVmRJnqmybUqRJr9EtJt5pBH1Sog_6pESflGjodVFShl7cR2_DQuPfkT8OCvDmDFC5xdFR1Mk68pZGF8lmPQb3v_xf3DKfAw</recordid><startdate>20190101</startdate><enddate>20190101</enddate><creator>Gualdesi, M.S.</creator><creator>Aiassa, V.</creator><creator>Vara, J.</creator><creator>Alvarez Igarzabal, C.I.</creator><creator>Ortiz, C.S.</creator><general>Elsevier B.V</general><general>Elsevier BV</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>7QF</scope><scope>7QO</scope><scope>7QQ</scope><scope>7SC</scope><scope>7SE</scope><scope>7SP</scope><scope>7SR</scope><scope>7T7</scope><scope>7TA</scope><scope>7TB</scope><scope>7U5</scope><scope>8BQ</scope><scope>8FD</scope><scope>C1K</scope><scope>F28</scope><scope>FR3</scope><scope>H8D</scope><scope>H8G</scope><scope>JG9</scope><scope>JQ2</scope><scope>KR7</scope><scope>L7M</scope><scope>L~C</scope><scope>L~D</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>20190101</creationdate><title>Development and evaluation of novel nanophotosensitizers as photoantimicrobial agents against Staphylococcus aureus</title><author>Gualdesi, M.S. ; Aiassa, V. ; Vara, J. ; Alvarez Igarzabal, C.I. ; Ortiz, C.S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c428t-212e34e715ffdd7a66f16f5a2ca1b31309d08b0822da600d414fbe3771c197503</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Acrylic Resins - chemistry</topic><topic>Anti-Bacterial Agents - chemistry</topic><topic>Anti-Bacterial Agents - pharmacology</topic><topic>Antibacterial activity</topic><topic>Antibacterial agents</topic><topic>Antimicrobial photodynamic therapy</topic><topic>Derivatives</topic><topic>Emulsion polymerization</topic><topic>Kinetics</topic><topic>Light scattering</topic><topic>Malonates - chemistry</topic><topic>Materials science</topic><topic>Methicillin</topic><topic>Microbial Sensitivity Tests</topic><topic>Microemulsions</topic><topic>Monobrominated azure B</topic><topic>Monobrominated neutral red</topic><topic>Nanoparticles</topic><topic>Nanoparticles - chemistry</topic><topic>Oxidation-Reduction</topic><topic>Particle Size</topic><topic>Photochemotherapy</topic><topic>Photodynamic therapy</topic><topic>Photon correlation spectroscopy</topic><topic>Photosensitizing Agents - chemistry</topic><topic>Photosensitizing Agents - pharmacology</topic><topic>Polyacrylamide nanoparticles</topic><topic>Polydispersity</topic><topic>Polyhydroxyethyl methacrylate</topic><topic>Polymerization</topic><topic>Scattering</topic><topic>Singlet Oxygen - chemistry</topic><topic>Spectrophotometry, Ultraviolet</topic><topic>Staphylococcus aureus</topic><topic>Staphylococcus aureus - drug effects</topic><topic>Static Electricity</topic><topic>Studies</topic><topic>Zeta potential</topic><toplevel>online_resources</toplevel><creatorcontrib>Gualdesi, M.S.</creatorcontrib><creatorcontrib>Aiassa, V.</creatorcontrib><creatorcontrib>Vara, J.</creatorcontrib><creatorcontrib>Alvarez Igarzabal, C.I.</creatorcontrib><creatorcontrib>Ortiz, C.S.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Aluminium Industry Abstracts</collection><collection>Biotechnology Research Abstracts</collection><collection>Ceramic Abstracts</collection><collection>Computer and Information Systems Abstracts</collection><collection>Corrosion Abstracts</collection><collection>Electronics &amp; Communications Abstracts</collection><collection>Engineered Materials Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Materials Business File</collection><collection>Mechanical &amp; Transportation Engineering Abstracts</collection><collection>Solid State and Superconductivity Abstracts</collection><collection>METADEX</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ANTE: Abstracts in New Technology &amp; Engineering</collection><collection>Engineering Research Database</collection><collection>Aerospace Database</collection><collection>Copper Technical Reference Library</collection><collection>Materials Research Database</collection><collection>ProQuest Computer Science Collection</collection><collection>Civil Engineering Abstracts</collection><collection>Advanced Technologies Database with Aerospace</collection><collection>Computer and Information Systems Abstracts – Academic</collection><collection>Computer and Information Systems Abstracts Professional</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Materials Science &amp; Engineering C</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gualdesi, M.S.</au><au>Aiassa, V.</au><au>Vara, J.</au><au>Alvarez Igarzabal, C.I.</au><au>Ortiz, C.S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Development and evaluation of novel nanophotosensitizers as photoantimicrobial agents against Staphylococcus aureus</atitle><jtitle>Materials Science &amp; Engineering C</jtitle><addtitle>Mater Sci Eng C Mater Biol Appl</addtitle><date>2019-01-01</date><risdate>2019</risdate><volume>94</volume><spage>303</spage><epage>309</epage><pages>303-309</pages><issn>0928-4931</issn><eissn>1873-0191</eissn><abstract>The main aim of the present study was to synthetize polyacrylamide nanoparticles and to use them as photosensitizer carriers. The new monobrominated derivatives (monobrominated neutral red and monobrominated azure B) were the photosensitizers used for antimicrobial photodynamic therapy. They were loaded into the nanocarriers and their antibacterial and oxidative activities were evaluated. The polyacrylamide nanoparticles were evaluated and prepared by inverse microemulsion polymerization. The nanoparticles obtained were characterized by size, polydispersity index, and zeta potential analysis. The Dynamic Light Scattering indicated that the diameter of the particle (z-average) was optimal, with an acceptable polydispersity index. The antibacterial activity of the polyacrylamide nanoparticles loaded with photosensitizers was evaluated against Staphylococcus aureus. Both photosensitizers loaded into the nanoparticles showed great potential as antibacterial agents since they suppressed the bacterial growth. The maximum percentage of growth reduction was 35.5% (&gt;2 Log CFU/mL), with the monobrominated azure B loaded into the nanocarrier with 2 hydroxyethyl methacrylate against methicillin resistant S. aureus. The improved physicochemical and photophysical properties of these photosensitizers were accompanied by a significant increase in the photoantimicrobial action, in conventional-sensitive and-methicillin resistant S. aureus. The results obtained clearly suggest that polyacrylamide nanoparticles loaded with photosensitizers have great potential for further application in antimicrobial photodynamic therapy. [Display omitted] •Polyacrylamide nanoparticles were synthesized and characterized.•Singlet oxygen and chemical stability determination of dyes were studied.•Antimicrobial photodynamic therapy against S. aureus was evaluated.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>30423712</pmid><doi>10.1016/j.msec.2018.09.040</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0928-4931
ispartof Materials Science & Engineering C, 2019-01, Vol.94, p.303-309
issn 0928-4931
1873-0191
language eng
recordid cdi_proquest_miscellaneous_2133436741
source ScienceDirect Freedom Collection
subjects Acrylic Resins - chemistry
Anti-Bacterial Agents - chemistry
Anti-Bacterial Agents - pharmacology
Antibacterial activity
Antibacterial agents
Antimicrobial photodynamic therapy
Derivatives
Emulsion polymerization
Kinetics
Light scattering
Malonates - chemistry
Materials science
Methicillin
Microbial Sensitivity Tests
Microemulsions
Monobrominated azure B
Monobrominated neutral red
Nanoparticles
Nanoparticles - chemistry
Oxidation-Reduction
Particle Size
Photochemotherapy
Photodynamic therapy
Photon correlation spectroscopy
Photosensitizing Agents - chemistry
Photosensitizing Agents - pharmacology
Polyacrylamide nanoparticles
Polydispersity
Polyhydroxyethyl methacrylate
Polymerization
Scattering
Singlet Oxygen - chemistry
Spectrophotometry, Ultraviolet
Staphylococcus aureus
Staphylococcus aureus - drug effects
Static Electricity
Studies
Zeta potential
title Development and evaluation of novel nanophotosensitizers as photoantimicrobial agents against Staphylococcus aureus
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-14T13%3A10%3A20IST&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=Development%20and%20evaluation%20of%20novel%20nanophotosensitizers%20as%20photoantimicrobial%20agents%20against%20Staphylococcus%20aureus&rft.jtitle=Materials%20Science%20&%20Engineering%20C&rft.au=Gualdesi,%20M.S.&rft.date=2019-01-01&rft.volume=94&rft.spage=303&rft.epage=309&rft.pages=303-309&rft.issn=0928-4931&rft.eissn=1873-0191&rft_id=info:doi/10.1016/j.msec.2018.09.040&rft_dat=%3Cproquest_cross%3E2154712741%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c428t-212e34e715ffdd7a66f16f5a2ca1b31309d08b0822da600d414fbe3771c197503%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2154712741&rft_id=info:pmid/30423712&rfr_iscdi=true