Loading…
Clearance Rate and BP-ANN Model in Paraquat Poisoned Patients Treated with Hemoperfusion
In order to investigate the effect of hemoperfusion (HP) on the clearance rate of paraquat (PQ) and develop a clearance model, 41 PQ-poisoned patients who acquired acute PQ intoxication received HP treatment. PQ concentrations were determined by high performance liquid chromatography (HPLC). Accordi...
Saved in:
Published in: | BioMed research international 2015-01, Vol.2015 (2015), p.1-6 |
---|---|
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-c528t-79c5e9054dde97ea8ce75c321cd9e83dd1e100a6aecf31135808e96dd22dacb93 |
---|---|
cites | cdi_FETCH-LOGICAL-c528t-79c5e9054dde97ea8ce75c321cd9e83dd1e100a6aecf31135808e96dd22dacb93 |
container_end_page | 6 |
container_issue | 2015 |
container_start_page | 1 |
container_title | BioMed research international |
container_volume | 2015 |
creator | Lu, Zhongqiu Lin, Guanyang Wang, Xianqin Ma, Jianshe Hong, Guangliang Hu, Lufeng Zhang, Xiuhua |
description | In order to investigate the effect of hemoperfusion (HP) on the clearance rate of paraquat (PQ) and develop a clearance model, 41 PQ-poisoned patients who acquired acute PQ intoxication received HP treatment. PQ concentrations were determined by high performance liquid chromatography (HPLC). According to initial PQ concentration, study subjects were divided into two groups: Low-PQ group (0.05–1.0 μg/mL) and High-PQ group (1.0–10 μg/mL). After initial HP treatment, PQ concentrations decreased in both groups. However, in the High-PQ group, PQ levels remained in excess of 0.05 μg/mL and increased when the second HP treatment was initiated. Based on the PQ concentrations before and after HP treatment, the mean clearance rate of PQ calculated was 73 ± 15%. We also established a backpropagation artificial neural network (BP-ANN) model, which set PQ concentrations before HP treatment as input data and after HP treatment as output data. When it is used to predict PQ concentration after HP treatment, high prediction accuracy (R=0.9977) can be obtained in this model. In conclusion, HP is an effective way to clear PQ from the blood, and the PQ concentration after HP treatment can be predicted by BP-ANN model. |
doi_str_mv | 10.1155/2015/298253 |
format | article |
fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4324821</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A458160888</galeid><sourcerecordid>A458160888</sourcerecordid><originalsourceid>FETCH-LOGICAL-c528t-79c5e9054dde97ea8ce75c321cd9e83dd1e100a6aecf31135808e96dd22dacb93</originalsourceid><addsrcrecordid>eNqNks9vFCEUx4nR2Kb25N2QeDGaUX4MDFxM1o1ak1o3pibeCIU3XZpZ2MKMjf-9jFvX6qkcgMCHL-9930PoKSWvKRXiDSO0TloxwR-gQ8Zp20ja0of7PecH6LiUK1KHopJo-RgdMCG1IEIdou_LAWy20QH-akfANnr8btUszs7w5-RhwCHiVQWuJzviVQolRfD1ZAwQx4LPM9RXHt-EcY1PYJO2kPuphBSfoEe9HQoc365H6NuH9-fLk-b0y8dPy8Vp4wRTY9NpJ0AT0XoPugOrHHTCcUad16C49xQoIVZacD2nlAtFFGjpPWPeugvNj9Dbne52utiAdzWsbAezzWFj80-TbDD_3sSwNpfph2k5axWjVeDFrUBO1xOU0WxCcTAMNkKaiqFSVnerxeoeqOh49Z3Pqs__Q6_SlGN1YqYYZ6TT8i91aQcwIfaphuhmUbNoxVwu9fvbVzvK5VRKhn6fHSVm7gIzd4HZdUGln901ZM_-qXkFXu6AdYje3oT7qUFFoLd3YNHqmsgv1S_BNA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1652320796</pqid></control><display><type>article</type><title>Clearance Rate and BP-ANN Model in Paraquat Poisoned Patients Treated with Hemoperfusion</title><source>Open Access: Wiley-Blackwell Open Access Journals</source><source>Publicly Available Content Database</source><creator>Lu, Zhongqiu ; Lin, Guanyang ; Wang, Xianqin ; Ma, Jianshe ; Hong, Guangliang ; Hu, Lufeng ; Zhang, Xiuhua</creator><contributor>Takeyoshi, Izumi</contributor><creatorcontrib>Lu, Zhongqiu ; Lin, Guanyang ; Wang, Xianqin ; Ma, Jianshe ; Hong, Guangliang ; Hu, Lufeng ; Zhang, Xiuhua ; Takeyoshi, Izumi</creatorcontrib><description>In order to investigate the effect of hemoperfusion (HP) on the clearance rate of paraquat (PQ) and develop a clearance model, 41 PQ-poisoned patients who acquired acute PQ intoxication received HP treatment. PQ concentrations were determined by high performance liquid chromatography (HPLC). According to initial PQ concentration, study subjects were divided into two groups: Low-PQ group (0.05–1.0 μg/mL) and High-PQ group (1.0–10 μg/mL). After initial HP treatment, PQ concentrations decreased in both groups. However, in the High-PQ group, PQ levels remained in excess of 0.05 μg/mL and increased when the second HP treatment was initiated. Based on the PQ concentrations before and after HP treatment, the mean clearance rate of PQ calculated was 73 ± 15%. We also established a backpropagation artificial neural network (BP-ANN) model, which set PQ concentrations before HP treatment as input data and after HP treatment as output data. When it is used to predict PQ concentration after HP treatment, high prediction accuracy (R=0.9977) can be obtained in this model. In conclusion, HP is an effective way to clear PQ from the blood, and the PQ concentration after HP treatment can be predicted by BP-ANN model.</description><identifier>ISSN: 2314-6133</identifier><identifier>EISSN: 2314-6141</identifier><identifier>DOI: 10.1155/2015/298253</identifier><identifier>PMID: 25695058</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Adolescent ; Adult ; Artificial intelligence ; Calibration ; Chinese medicine ; Chromatography ; Female ; Free radicals ; Health aspects ; Hemoperfusion - methods ; Herbicides ; Hospitals ; Humans ; Male ; Mathematical models ; Medical prognosis ; Metabolic Clearance Rate - physiology ; Middle Aged ; Mortality ; Neural networks ; Neural Networks (Computer) ; Paraquat - blood ; Paraquat - metabolism ; Paraquat - poisoning ; Plasma ; Young Adult</subject><ispartof>BioMed research international, 2015-01, Vol.2015 (2015), p.1-6</ispartof><rights>Copyright © 2015 Lufeng Hu et al.</rights><rights>COPYRIGHT 2015 John Wiley & Sons, Inc.</rights><rights>Copyright © 2015 Lufeng Hu et al. Lufeng Hu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright © 2015 Lufeng Hu et al. 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c528t-79c5e9054dde97ea8ce75c321cd9e83dd1e100a6aecf31135808e96dd22dacb93</citedby><cites>FETCH-LOGICAL-c528t-79c5e9054dde97ea8ce75c321cd9e83dd1e100a6aecf31135808e96dd22dacb93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/1652320796/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1652320796?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,25753,27924,27925,37012,37013,44590,74998</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25695058$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Takeyoshi, Izumi</contributor><creatorcontrib>Lu, Zhongqiu</creatorcontrib><creatorcontrib>Lin, Guanyang</creatorcontrib><creatorcontrib>Wang, Xianqin</creatorcontrib><creatorcontrib>Ma, Jianshe</creatorcontrib><creatorcontrib>Hong, Guangliang</creatorcontrib><creatorcontrib>Hu, Lufeng</creatorcontrib><creatorcontrib>Zhang, Xiuhua</creatorcontrib><title>Clearance Rate and BP-ANN Model in Paraquat Poisoned Patients Treated with Hemoperfusion</title><title>BioMed research international</title><addtitle>Biomed Res Int</addtitle><description>In order to investigate the effect of hemoperfusion (HP) on the clearance rate of paraquat (PQ) and develop a clearance model, 41 PQ-poisoned patients who acquired acute PQ intoxication received HP treatment. PQ concentrations were determined by high performance liquid chromatography (HPLC). According to initial PQ concentration, study subjects were divided into two groups: Low-PQ group (0.05–1.0 μg/mL) and High-PQ group (1.0–10 μg/mL). After initial HP treatment, PQ concentrations decreased in both groups. However, in the High-PQ group, PQ levels remained in excess of 0.05 μg/mL and increased when the second HP treatment was initiated. Based on the PQ concentrations before and after HP treatment, the mean clearance rate of PQ calculated was 73 ± 15%. We also established a backpropagation artificial neural network (BP-ANN) model, which set PQ concentrations before HP treatment as input data and after HP treatment as output data. When it is used to predict PQ concentration after HP treatment, high prediction accuracy (R=0.9977) can be obtained in this model. In conclusion, HP is an effective way to clear PQ from the blood, and the PQ concentration after HP treatment can be predicted by BP-ANN model.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Artificial intelligence</subject><subject>Calibration</subject><subject>Chinese medicine</subject><subject>Chromatography</subject><subject>Female</subject><subject>Free radicals</subject><subject>Health aspects</subject><subject>Hemoperfusion - methods</subject><subject>Herbicides</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Male</subject><subject>Mathematical models</subject><subject>Medical prognosis</subject><subject>Metabolic Clearance Rate - physiology</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Neural networks</subject><subject>Neural Networks (Computer)</subject><subject>Paraquat - blood</subject><subject>Paraquat - metabolism</subject><subject>Paraquat - poisoning</subject><subject>Plasma</subject><subject>Young Adult</subject><issn>2314-6133</issn><issn>2314-6141</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><recordid>eNqNks9vFCEUx4nR2Kb25N2QeDGaUX4MDFxM1o1ak1o3pibeCIU3XZpZ2MKMjf-9jFvX6qkcgMCHL-9930PoKSWvKRXiDSO0TloxwR-gQ8Zp20ja0of7PecH6LiUK1KHopJo-RgdMCG1IEIdou_LAWy20QH-akfANnr8btUszs7w5-RhwCHiVQWuJzviVQolRfD1ZAwQx4LPM9RXHt-EcY1PYJO2kPuphBSfoEe9HQoc365H6NuH9-fLk-b0y8dPy8Vp4wRTY9NpJ0AT0XoPugOrHHTCcUad16C49xQoIVZacD2nlAtFFGjpPWPeugvNj9Dbne52utiAdzWsbAezzWFj80-TbDD_3sSwNpfph2k5axWjVeDFrUBO1xOU0WxCcTAMNkKaiqFSVnerxeoeqOh49Z3Pqs__Q6_SlGN1YqYYZ6TT8i91aQcwIfaphuhmUbNoxVwu9fvbVzvK5VRKhn6fHSVm7gIzd4HZdUGln901ZM_-qXkFXu6AdYje3oT7qUFFoLd3YNHqmsgv1S_BNA</recordid><startdate>20150101</startdate><enddate>20150101</enddate><creator>Lu, Zhongqiu</creator><creator>Lin, Guanyang</creator><creator>Wang, Xianqin</creator><creator>Ma, Jianshe</creator><creator>Hong, Guangliang</creator><creator>Hu, Lufeng</creator><creator>Zhang, Xiuhua</creator><general>Hindawi Publishing Corporation</general><general>John Wiley & Sons, Inc</general><general>Hindawi Limited</general><scope>ADJCN</scope><scope>AHFXO</scope><scope>RHU</scope><scope>RHW</scope><scope>RHX</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>3V.</scope><scope>7QL</scope><scope>7QO</scope><scope>7T7</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>CWDGH</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20150101</creationdate><title>Clearance Rate and BP-ANN Model in Paraquat Poisoned Patients Treated with Hemoperfusion</title><author>Lu, Zhongqiu ; Lin, Guanyang ; Wang, Xianqin ; Ma, Jianshe ; Hong, Guangliang ; Hu, Lufeng ; Zhang, Xiuhua</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c528t-79c5e9054dde97ea8ce75c321cd9e83dd1e100a6aecf31135808e96dd22dacb93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Artificial intelligence</topic><topic>Calibration</topic><topic>Chinese medicine</topic><topic>Chromatography</topic><topic>Female</topic><topic>Free radicals</topic><topic>Health aspects</topic><topic>Hemoperfusion - methods</topic><topic>Herbicides</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Male</topic><topic>Mathematical models</topic><topic>Medical prognosis</topic><topic>Metabolic Clearance Rate - physiology</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Neural networks</topic><topic>Neural Networks (Computer)</topic><topic>Paraquat - blood</topic><topic>Paraquat - metabolism</topic><topic>Paraquat - poisoning</topic><topic>Plasma</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lu, Zhongqiu</creatorcontrib><creatorcontrib>Lin, Guanyang</creatorcontrib><creatorcontrib>Wang, Xianqin</creatorcontrib><creatorcontrib>Ma, Jianshe</creatorcontrib><creatorcontrib>Hong, Guangliang</creatorcontrib><creatorcontrib>Hu, Lufeng</creatorcontrib><creatorcontrib>Zhang, Xiuhua</creatorcontrib><collection>الدوريات العلمية والإحصائية - e-Marefa Academic and Statistical Periodicals</collection><collection>معرفة - المحتوى العربي الأكاديمي المتكامل - e-Marefa Academic Complete</collection><collection>Hindawi Publishing Complete</collection><collection>Hindawi Publishing Subscription Journals</collection><collection>Hindawi Publishing Open Access Journals</collection><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>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology 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>Advanced Technologies & Aerospace Database (1962 - current)</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>Middle East & Africa Database</collection><collection>ProQuest Central</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>ProQuest Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</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>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BioMed research international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lu, Zhongqiu</au><au>Lin, Guanyang</au><au>Wang, Xianqin</au><au>Ma, Jianshe</au><au>Hong, Guangliang</au><au>Hu, Lufeng</au><au>Zhang, Xiuhua</au><au>Takeyoshi, Izumi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clearance Rate and BP-ANN Model in Paraquat Poisoned Patients Treated with Hemoperfusion</atitle><jtitle>BioMed research international</jtitle><addtitle>Biomed Res Int</addtitle><date>2015-01-01</date><risdate>2015</risdate><volume>2015</volume><issue>2015</issue><spage>1</spage><epage>6</epage><pages>1-6</pages><issn>2314-6133</issn><eissn>2314-6141</eissn><abstract>In order to investigate the effect of hemoperfusion (HP) on the clearance rate of paraquat (PQ) and develop a clearance model, 41 PQ-poisoned patients who acquired acute PQ intoxication received HP treatment. PQ concentrations were determined by high performance liquid chromatography (HPLC). According to initial PQ concentration, study subjects were divided into two groups: Low-PQ group (0.05–1.0 μg/mL) and High-PQ group (1.0–10 μg/mL). After initial HP treatment, PQ concentrations decreased in both groups. However, in the High-PQ group, PQ levels remained in excess of 0.05 μg/mL and increased when the second HP treatment was initiated. Based on the PQ concentrations before and after HP treatment, the mean clearance rate of PQ calculated was 73 ± 15%. We also established a backpropagation artificial neural network (BP-ANN) model, which set PQ concentrations before HP treatment as input data and after HP treatment as output data. When it is used to predict PQ concentration after HP treatment, high prediction accuracy (R=0.9977) can be obtained in this model. In conclusion, HP is an effective way to clear PQ from the blood, and the PQ concentration after HP treatment can be predicted by BP-ANN model.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Publishing Corporation</pub><pmid>25695058</pmid><doi>10.1155/2015/298253</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 2314-6133 |
ispartof | BioMed research international, 2015-01, Vol.2015 (2015), p.1-6 |
issn | 2314-6133 2314-6141 |
language | eng |
recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4324821 |
source | Open Access: Wiley-Blackwell Open Access Journals; Publicly Available Content Database |
subjects | Adolescent Adult Artificial intelligence Calibration Chinese medicine Chromatography Female Free radicals Health aspects Hemoperfusion - methods Herbicides Hospitals Humans Male Mathematical models Medical prognosis Metabolic Clearance Rate - physiology Middle Aged Mortality Neural networks Neural Networks (Computer) Paraquat - blood Paraquat - metabolism Paraquat - poisoning Plasma Young Adult |
title | Clearance Rate and BP-ANN Model in Paraquat Poisoned Patients Treated with Hemoperfusion |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-07T22%3A08%3A33IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Clearance%20Rate%20and%20BP-ANN%20Model%20in%20Paraquat%20Poisoned%20Patients%20Treated%20with%20Hemoperfusion&rft.jtitle=BioMed%20research%20international&rft.au=Lu,%20Zhongqiu&rft.date=2015-01-01&rft.volume=2015&rft.issue=2015&rft.spage=1&rft.epage=6&rft.pages=1-6&rft.issn=2314-6133&rft.eissn=2314-6141&rft_id=info:doi/10.1155/2015/298253&rft_dat=%3Cgale_pubme%3EA458160888%3C/gale_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c528t-79c5e9054dde97ea8ce75c321cd9e83dd1e100a6aecf31135808e96dd22dacb93%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1652320796&rft_id=info:pmid/25695058&rft_galeid=A458160888&rfr_iscdi=true |