Loading…
Involvement of α- and β-Adrenergic Receptors in Skeletal Muscle Blood Flow Changes During Hyper-/Hypocapnia in Anesthetized Rabbits
This study investigated the involvement of α1- and β2-adrenergic receptors in skeletal muscle blood flow changes during variations in ETCO2. Forty Japanese White rabbits anesthetized with isoflurane were randomly allocated to 1 of 5 groups: phentolamine, metaproterenol, phenylephrine, butoxamine, an...
Saved in:
Published in: | Anesthesia progress 2023-06, Vol.70 (2), p.58-64 |
---|---|
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-c248t-6f759fe41153d8ae3fb9035fae7af87cec079525da5a06d78a975c149ac21e863 |
container_end_page | 64 |
container_issue | 2 |
container_start_page | 58 |
container_title | Anesthesia progress |
container_volume | 70 |
creator | Koshika, Kyotaro Kaneko, Rumi Shionoya, Mai Shimizu, Kotaro Sendai, Yuka Matsuura, Nobutaka Akiike, Yui Ichinohe, Tatsuya |
description | This study investigated the involvement of α1- and β2-adrenergic receptors in skeletal muscle blood flow changes during variations in ETCO2.
Forty Japanese White rabbits anesthetized with isoflurane were randomly allocated to 1 of 5 groups: phentolamine, metaproterenol, phenylephrine, butoxamine, and atropine. Heart rate (HR), systolic blood pressure (SBP), common carotid artery blood flow (CCBF), masseter muscle tissue blood flow (MBF), and quadriceps muscle tissue blood flow (QBF) were recorded and analyzed at 3 periods: (1) baseline, (2) during hypercapnia (phentolamine and metaproterenol groups) or hypocapnia (phenylephrine, butoxamine, and atropine groups), and (3) during or after receiving vasoactive agents.
MBF and QBF decreased during hypercapnia. The decrease in MBF was smaller than that in QBF. SBP and CCBF increased, while HR decreased. Both MBF and QBF recovered to their baseline levels after phentolamine administration. MBF became greater than its baseline level, while QBF did not fully recover after metaproterenol administration. MBF and QBF increased during hypocapnia. The increase rate in MBF was larger than that in QBF. HR, SBP, and CCBF did not change. Both MBF and QBF decreased to ∼90% to 95% of their baseline levels after phenylephrine or butoxamine administration. Atropine showed no effects on MBF and QBF.
These results suggest the skeletal muscle blood flow changes observed during hypercapnia and hypocapnia may mainly involve α1-adrenergic but not β2-adrenergic receptor activity. |
doi_str_mv | 10.2344/anpr-70-02-02 |
format | article |
fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10328189</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2830669311</sourcerecordid><originalsourceid>FETCH-LOGICAL-c248t-6f759fe41153d8ae3fb9035fae7af87cec079525da5a06d78a975c149ac21e863</originalsourceid><addsrcrecordid>eNpdkc1uFDEQhC0EIkvgyBVZ4sLFiX9mxp4TWjbkRwpCCnC2vJ6eXQevPbFnNgp3HggeJM-El4QIkFqqQ39d6lIh9JLRAy6q6tCEIRFJCeVlHqEZU1IRyaR8jGaUUkEEpc0eepbzJaWsorx6ivaEFLKlbTVD38_CNvotbCCMOPb49gfBJnT49ieZdwkCpJWz-AIsDGNMGbuAP30FD6Px-MOUrQf8zsfY4WMfr_FibcIKMj6akgsrfHozQCKHRaI1Q3Bmdz4PkMc1jO4bdPjCLJduzM_Rk974DC_udR99OX7_eXFKzj-enC3m58TySo2k6WXd9lAxVotOGRD9sqWi7g1I0ytpwVLZ1rzuTG1o00llWllbVrXGcgaqEfvo7Z3vMC030NkSOhmvh-Q2Jt3oaJz-dxPcWq_iVjMquGKqLQ5v7h1SvJpKEr1x2YL3JkCcsuZK0KZpBWMFff0fehmnFEq-31TNGl6LQpE7yqaYc4L-4RtG9a5hvWtYS6opL1P4V39HeKD_VCp-AVa8pTc</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2830516253</pqid></control><display><type>article</type><title>Involvement of α- and β-Adrenergic Receptors in Skeletal Muscle Blood Flow Changes During Hyper-/Hypocapnia in Anesthetized Rabbits</title><source>PubMed Central</source><creator>Koshika, Kyotaro ; Kaneko, Rumi ; Shionoya, Mai ; Shimizu, Kotaro ; Sendai, Yuka ; Matsuura, Nobutaka ; Akiike, Yui ; Ichinohe, Tatsuya</creator><creatorcontrib>Koshika, Kyotaro ; Kaneko, Rumi ; Shionoya, Mai ; Shimizu, Kotaro ; Sendai, Yuka ; Matsuura, Nobutaka ; Akiike, Yui ; Ichinohe, Tatsuya</creatorcontrib><description>This study investigated the involvement of α1- and β2-adrenergic receptors in skeletal muscle blood flow changes during variations in ETCO2.
Forty Japanese White rabbits anesthetized with isoflurane were randomly allocated to 1 of 5 groups: phentolamine, metaproterenol, phenylephrine, butoxamine, and atropine. Heart rate (HR), systolic blood pressure (SBP), common carotid artery blood flow (CCBF), masseter muscle tissue blood flow (MBF), and quadriceps muscle tissue blood flow (QBF) were recorded and analyzed at 3 periods: (1) baseline, (2) during hypercapnia (phentolamine and metaproterenol groups) or hypocapnia (phenylephrine, butoxamine, and atropine groups), and (3) during or after receiving vasoactive agents.
MBF and QBF decreased during hypercapnia. The decrease in MBF was smaller than that in QBF. SBP and CCBF increased, while HR decreased. Both MBF and QBF recovered to their baseline levels after phentolamine administration. MBF became greater than its baseline level, while QBF did not fully recover after metaproterenol administration. MBF and QBF increased during hypocapnia. The increase rate in MBF was larger than that in QBF. HR, SBP, and CCBF did not change. Both MBF and QBF decreased to ∼90% to 95% of their baseline levels after phenylephrine or butoxamine administration. Atropine showed no effects on MBF and QBF.
These results suggest the skeletal muscle blood flow changes observed during hypercapnia and hypocapnia may mainly involve α1-adrenergic but not β2-adrenergic receptor activity.</description><identifier>ISSN: 0003-3006</identifier><identifier>EISSN: 1878-7177</identifier><identifier>DOI: 10.2344/anpr-70-02-02</identifier><identifier>PMID: 37379094</identifier><language>eng</language><publisher>United States: Allen Press Inc</publisher><subject>Adrenergic receptors ; Animals ; Atropine ; Atropine Derivatives ; Blood flow ; Blood Pressure ; Butoxamine ; Carbon dioxide ; Carotid artery ; Heart rate ; Hypercapnia ; Hypocapnia ; Isoflurane ; Masseter muscle ; Metaproterenol ; Muscle, Skeletal ; Musculoskeletal system ; Phentolamine ; Phentolamine - pharmacology ; Phenylephrine ; Phenylephrine - pharmacology ; Quadriceps muscle ; Rabbits ; Receptors, Adrenergic, beta ; Regional Blood Flow ; Scientific Reports ; Skeletal muscle ; Vasoactive agents</subject><ispartof>Anesthesia progress, 2023-06, Vol.70 (2), p.58-64</ispartof><rights>2023 by the American Dental Society of Anesthesiology.</rights><rights>Copyright Allen Press Inc. Summer 2023</rights><rights>2023 by the American Dental Society of Anesthesiology 2023</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c248t-6f759fe41153d8ae3fb9035fae7af87cec079525da5a06d78a975c149ac21e863</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10328189/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10328189/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37379094$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Koshika, Kyotaro</creatorcontrib><creatorcontrib>Kaneko, Rumi</creatorcontrib><creatorcontrib>Shionoya, Mai</creatorcontrib><creatorcontrib>Shimizu, Kotaro</creatorcontrib><creatorcontrib>Sendai, Yuka</creatorcontrib><creatorcontrib>Matsuura, Nobutaka</creatorcontrib><creatorcontrib>Akiike, Yui</creatorcontrib><creatorcontrib>Ichinohe, Tatsuya</creatorcontrib><title>Involvement of α- and β-Adrenergic Receptors in Skeletal Muscle Blood Flow Changes During Hyper-/Hypocapnia in Anesthetized Rabbits</title><title>Anesthesia progress</title><addtitle>Anesth Prog</addtitle><description>This study investigated the involvement of α1- and β2-adrenergic receptors in skeletal muscle blood flow changes during variations in ETCO2.
Forty Japanese White rabbits anesthetized with isoflurane were randomly allocated to 1 of 5 groups: phentolamine, metaproterenol, phenylephrine, butoxamine, and atropine. Heart rate (HR), systolic blood pressure (SBP), common carotid artery blood flow (CCBF), masseter muscle tissue blood flow (MBF), and quadriceps muscle tissue blood flow (QBF) were recorded and analyzed at 3 periods: (1) baseline, (2) during hypercapnia (phentolamine and metaproterenol groups) or hypocapnia (phenylephrine, butoxamine, and atropine groups), and (3) during or after receiving vasoactive agents.
MBF and QBF decreased during hypercapnia. The decrease in MBF was smaller than that in QBF. SBP and CCBF increased, while HR decreased. Both MBF and QBF recovered to their baseline levels after phentolamine administration. MBF became greater than its baseline level, while QBF did not fully recover after metaproterenol administration. MBF and QBF increased during hypocapnia. The increase rate in MBF was larger than that in QBF. HR, SBP, and CCBF did not change. Both MBF and QBF decreased to ∼90% to 95% of their baseline levels after phenylephrine or butoxamine administration. Atropine showed no effects on MBF and QBF.
These results suggest the skeletal muscle blood flow changes observed during hypercapnia and hypocapnia may mainly involve α1-adrenergic but not β2-adrenergic receptor activity.</description><subject>Adrenergic receptors</subject><subject>Animals</subject><subject>Atropine</subject><subject>Atropine Derivatives</subject><subject>Blood flow</subject><subject>Blood Pressure</subject><subject>Butoxamine</subject><subject>Carbon dioxide</subject><subject>Carotid artery</subject><subject>Heart rate</subject><subject>Hypercapnia</subject><subject>Hypocapnia</subject><subject>Isoflurane</subject><subject>Masseter muscle</subject><subject>Metaproterenol</subject><subject>Muscle, Skeletal</subject><subject>Musculoskeletal system</subject><subject>Phentolamine</subject><subject>Phentolamine - pharmacology</subject><subject>Phenylephrine</subject><subject>Phenylephrine - pharmacology</subject><subject>Quadriceps muscle</subject><subject>Rabbits</subject><subject>Receptors, Adrenergic, beta</subject><subject>Regional Blood Flow</subject><subject>Scientific Reports</subject><subject>Skeletal muscle</subject><subject>Vasoactive agents</subject><issn>0003-3006</issn><issn>1878-7177</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNpdkc1uFDEQhC0EIkvgyBVZ4sLFiX9mxp4TWjbkRwpCCnC2vJ6eXQevPbFnNgp3HggeJM-El4QIkFqqQ39d6lIh9JLRAy6q6tCEIRFJCeVlHqEZU1IRyaR8jGaUUkEEpc0eepbzJaWsorx6ivaEFLKlbTVD38_CNvotbCCMOPb49gfBJnT49ieZdwkCpJWz-AIsDGNMGbuAP30FD6Px-MOUrQf8zsfY4WMfr_FibcIKMj6akgsrfHozQCKHRaI1Q3Bmdz4PkMc1jO4bdPjCLJduzM_Rk974DC_udR99OX7_eXFKzj-enC3m58TySo2k6WXd9lAxVotOGRD9sqWi7g1I0ytpwVLZ1rzuTG1o00llWllbVrXGcgaqEfvo7Z3vMC030NkSOhmvh-Q2Jt3oaJz-dxPcWq_iVjMquGKqLQ5v7h1SvJpKEr1x2YL3JkCcsuZK0KZpBWMFff0fehmnFEq-31TNGl6LQpE7yqaYc4L-4RtG9a5hvWtYS6opL1P4V39HeKD_VCp-AVa8pTc</recordid><startdate>20230601</startdate><enddate>20230601</enddate><creator>Koshika, Kyotaro</creator><creator>Kaneko, Rumi</creator><creator>Shionoya, Mai</creator><creator>Shimizu, Kotaro</creator><creator>Sendai, Yuka</creator><creator>Matsuura, Nobutaka</creator><creator>Akiike, Yui</creator><creator>Ichinohe, Tatsuya</creator><general>Allen Press Inc</general><general>American Dental Society of Anesthisiology</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>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</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>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PADUT</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20230601</creationdate><title>Involvement of α- and β-Adrenergic Receptors in Skeletal Muscle Blood Flow Changes During Hyper-/Hypocapnia in Anesthetized Rabbits</title><author>Koshika, Kyotaro ; Kaneko, Rumi ; Shionoya, Mai ; Shimizu, Kotaro ; Sendai, Yuka ; Matsuura, Nobutaka ; Akiike, Yui ; Ichinohe, Tatsuya</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c248t-6f759fe41153d8ae3fb9035fae7af87cec079525da5a06d78a975c149ac21e863</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adrenergic receptors</topic><topic>Animals</topic><topic>Atropine</topic><topic>Atropine Derivatives</topic><topic>Blood flow</topic><topic>Blood Pressure</topic><topic>Butoxamine</topic><topic>Carbon dioxide</topic><topic>Carotid artery</topic><topic>Heart rate</topic><topic>Hypercapnia</topic><topic>Hypocapnia</topic><topic>Isoflurane</topic><topic>Masseter muscle</topic><topic>Metaproterenol</topic><topic>Muscle, Skeletal</topic><topic>Musculoskeletal system</topic><topic>Phentolamine</topic><topic>Phentolamine - pharmacology</topic><topic>Phenylephrine</topic><topic>Phenylephrine - pharmacology</topic><topic>Quadriceps muscle</topic><topic>Rabbits</topic><topic>Receptors, Adrenergic, beta</topic><topic>Regional Blood Flow</topic><topic>Scientific Reports</topic><topic>Skeletal muscle</topic><topic>Vasoactive agents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Koshika, Kyotaro</creatorcontrib><creatorcontrib>Kaneko, Rumi</creatorcontrib><creatorcontrib>Shionoya, Mai</creatorcontrib><creatorcontrib>Shimizu, Kotaro</creatorcontrib><creatorcontrib>Sendai, Yuka</creatorcontrib><creatorcontrib>Matsuura, Nobutaka</creatorcontrib><creatorcontrib>Akiike, Yui</creatorcontrib><creatorcontrib>Ichinohe, Tatsuya</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>ProQuest Nursing and Allied Health Journals</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</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>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Research Library</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Research Library China</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>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Anesthesia progress</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Koshika, Kyotaro</au><au>Kaneko, Rumi</au><au>Shionoya, Mai</au><au>Shimizu, Kotaro</au><au>Sendai, Yuka</au><au>Matsuura, Nobutaka</au><au>Akiike, Yui</au><au>Ichinohe, Tatsuya</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Involvement of α- and β-Adrenergic Receptors in Skeletal Muscle Blood Flow Changes During Hyper-/Hypocapnia in Anesthetized Rabbits</atitle><jtitle>Anesthesia progress</jtitle><addtitle>Anesth Prog</addtitle><date>2023-06-01</date><risdate>2023</risdate><volume>70</volume><issue>2</issue><spage>58</spage><epage>64</epage><pages>58-64</pages><issn>0003-3006</issn><eissn>1878-7177</eissn><abstract>This study investigated the involvement of α1- and β2-adrenergic receptors in skeletal muscle blood flow changes during variations in ETCO2.
Forty Japanese White rabbits anesthetized with isoflurane were randomly allocated to 1 of 5 groups: phentolamine, metaproterenol, phenylephrine, butoxamine, and atropine. Heart rate (HR), systolic blood pressure (SBP), common carotid artery blood flow (CCBF), masseter muscle tissue blood flow (MBF), and quadriceps muscle tissue blood flow (QBF) were recorded and analyzed at 3 periods: (1) baseline, (2) during hypercapnia (phentolamine and metaproterenol groups) or hypocapnia (phenylephrine, butoxamine, and atropine groups), and (3) during or after receiving vasoactive agents.
MBF and QBF decreased during hypercapnia. The decrease in MBF was smaller than that in QBF. SBP and CCBF increased, while HR decreased. Both MBF and QBF recovered to their baseline levels after phentolamine administration. MBF became greater than its baseline level, while QBF did not fully recover after metaproterenol administration. MBF and QBF increased during hypocapnia. The increase rate in MBF was larger than that in QBF. HR, SBP, and CCBF did not change. Both MBF and QBF decreased to ∼90% to 95% of their baseline levels after phenylephrine or butoxamine administration. Atropine showed no effects on MBF and QBF.
These results suggest the skeletal muscle blood flow changes observed during hypercapnia and hypocapnia may mainly involve α1-adrenergic but not β2-adrenergic receptor activity.</abstract><cop>United States</cop><pub>Allen Press Inc</pub><pmid>37379094</pmid><doi>10.2344/anpr-70-02-02</doi><tpages>7</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0003-3006 |
ispartof | Anesthesia progress, 2023-06, Vol.70 (2), p.58-64 |
issn | 0003-3006 1878-7177 |
language | eng |
recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10328189 |
source | PubMed Central |
subjects | Adrenergic receptors Animals Atropine Atropine Derivatives Blood flow Blood Pressure Butoxamine Carbon dioxide Carotid artery Heart rate Hypercapnia Hypocapnia Isoflurane Masseter muscle Metaproterenol Muscle, Skeletal Musculoskeletal system Phentolamine Phentolamine - pharmacology Phenylephrine Phenylephrine - pharmacology Quadriceps muscle Rabbits Receptors, Adrenergic, beta Regional Blood Flow Scientific Reports Skeletal muscle Vasoactive agents |
title | Involvement of α- and β-Adrenergic Receptors in Skeletal Muscle Blood Flow Changes During Hyper-/Hypocapnia in Anesthetized Rabbits |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-06T22%3A02%3A31IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Involvement%20of%20%CE%B1-%20and%20%CE%B2-Adrenergic%20Receptors%20in%20Skeletal%20Muscle%20Blood%20Flow%20Changes%20During%20Hyper-/Hypocapnia%20in%20Anesthetized%20Rabbits&rft.jtitle=Anesthesia%20progress&rft.au=Koshika,%20Kyotaro&rft.date=2023-06-01&rft.volume=70&rft.issue=2&rft.spage=58&rft.epage=64&rft.pages=58-64&rft.issn=0003-3006&rft.eissn=1878-7177&rft_id=info:doi/10.2344/anpr-70-02-02&rft_dat=%3Cproquest_pubme%3E2830669311%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c248t-6f759fe41153d8ae3fb9035fae7af87cec079525da5a06d78a975c149ac21e863%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2830516253&rft_id=info:pmid/37379094&rfr_iscdi=true |