Do Syrian refugees have increased risk for worser pregnancy outcomes? Results of a tertiary center in Istanbul/Suriyeli multecilerin daha kotu gebelik sonuclari acisindan artmis riskleri var midir? Istanbul'da tersiyer bir merkezin sonuclari

Objective: To compare obstetric and perinatal outcomes of Syrian refugee pregnants and Turkish counterparts who gave birth at a tertiary center in Istanbul. Materials and Methods: A retrospective study including the birth records of 704 Syrian refugees and 744 Turkish pregnant women between January...

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Veröffentlicht in:Turkish journal of obstetrics and gynecology 2018-03, Vol.15 (1), p.23
Hauptverfasser: Gungor, Emre Sinan, Seval, Olcay, Ilhan, Gulsah, Verit, Fatma Ferda
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creator Gungor, Emre Sinan
Seval, Olcay
Ilhan, Gulsah
Verit, Fatma Ferda
description Objective: To compare obstetric and perinatal outcomes of Syrian refugee pregnants and Turkish counterparts who gave birth at a tertiary center in Istanbul. Materials and Methods: A retrospective study including the birth records of 704 Syrian refugees and 744 Turkish pregnant women between January 2016 and May 2017 were analyzed. Demographic data, obstetric and neonatal outcomes were compared. The primary aims of this study were to evaluate the pregnancy outcomes and cesarean rates between the groups. The secondary outcomes were the use of antenatal vitamin supplementation, hemoglobin-hematocrit values, and maternal complications. Results: Our results showed that the use of folic acid and iron supplementation rates during pregnancy were similar between the groups (folic acid supplementation 8.1% vs 6.5%, p=0.264; iron supplementation 20.7% vs 19.6%, p=0.125; respectively for Turkish women and Syrian refugees). Cesarean rates were significantly higher for Turkish patients than in Syrian refugees (42.7% vs 32.7%; p
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Results of a tertiary center in Istanbul/Suriyeli multecilerin daha kotu gebelik sonuclari acisindan artmis riskleri var midir? Istanbul'da tersiyer bir merkezin sonuclari</title><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Gungor, Emre Sinan ; Seval, Olcay ; Ilhan, Gulsah ; Verit, Fatma Ferda</creator><creatorcontrib>Gungor, Emre Sinan ; Seval, Olcay ; Ilhan, Gulsah ; Verit, Fatma Ferda</creatorcontrib><description>Objective: To compare obstetric and perinatal outcomes of Syrian refugee pregnants and Turkish counterparts who gave birth at a tertiary center in Istanbul. Materials and Methods: A retrospective study including the birth records of 704 Syrian refugees and 744 Turkish pregnant women between January 2016 and May 2017 were analyzed. Demographic data, obstetric and neonatal outcomes were compared. The primary aims of this study were to evaluate the pregnancy outcomes and cesarean rates between the groups. The secondary outcomes were the use of antenatal vitamin supplementation, hemoglobin-hematocrit values, and maternal complications. Results: Our results showed that the use of folic acid and iron supplementation rates during pregnancy were similar between the groups (folic acid supplementation 8.1% vs 6.5%, p=0.264; iron supplementation 20.7% vs 19.6%, p=0.125; respectively for Turkish women and Syrian refugees). Cesarean rates were significantly higher for Turkish patients than in Syrian refugees (42.7% vs 32.7%; p&lt;0.05). Gestational age at delivery was significantly higher among Turkish women when compared with Syrian refugees (37.7[+ or -]2.3 vs 36.4[+ or -]2.3 weeks, p&lt;0.05), but there was no significant difference regarding the birtweights' of the newborns (3134 g vs 3066 g for Turkish women and Syrian refugees, respectively, p=0.105). Although obstetric complications were seen more often in Syrian refugees, it did not reach statistical difference (9.7% vs 8.1%, respectively, p=0.285). Conclusion: Syrian refugees use antenatal vitamin supplementations at similar rates to Turkish citizens and obstetric and perinatal outcomes are similar between the groups. Keywords: Syrian refugees, cesarean delivery, obstetric outcome, maternal complication, perinatal outcome Amac: Istanbul'da tersiyer bir merkezde dogum yapan Suriyeli multeci gebeler ile Turk gebelerin obstetrik ve perinatal sonuclarinin karsilastirilmasi. Gerec ve Yontemler: Ocak 2016 ve Mayis 2017 tarihleri arasinda dogum yapan 704 Suriyeli multeci ve 744 Turk gebenin dogum kayitlari retrospektif olarak degerlendirildi. Demografk data, obstetrik ve neonatal sonuclar karsilastirildi. Primer hedefer gruplar arasinda gebelik sonuclarinin ve sezaryen oranlarinin degerlendirilmesi idi. Sekonder hedefer antenatal vitamin destegi kullanimi, hemoglobin-hematokrit sonuclari ve maternal komplikasyonlarin degerlendirilmesi idi. Bulgular: Antenatal donemde folik asit ve demir destegi kullanim oranlarini benzer olarak bulduk (Folik asit kullanimi 8,1% vs 6,5%, p=0,264; demir kullanimi 20,7% vs 19,6%, p=0,125; Turk ve Suriyeli gebeler icin sirasiyla). Sezaryenla dogum orani Turk hastalarda Suriye gebelere gore istatistiksel olarak anlamli derecede daha yuksekti (42,7% vs 32,7%; p&lt;0,05). Dogumda gebelik haftasi Turk gebelerde Suriyelilere gore istatistiksel olarak daha fazla idi (37,7[+ or -]2,3 vs 36,4[+ or -]2.3 weeks, p&lt;0,05) ancak yenidoganlarin dogum kilolari arasinda fark yoktu (Turk ve Suriyeli yenidoganlar icin sirasiyla 3134 gr vs 3066 gr, p=0,105). Obstetrik komplikasyonlar Suriyeli gebelerde daha fazla gorulmus olsa da, aradaki fark istatistiksel olarak anlamli degildi (sirasiyla 9,7% vs 8,1%, p=0,285). Sonuc: Suriyeli multeciler antenatal vitamin destegini Turklerle benzer oranlarda kullanmaktadir ve obstetrik ve perinatal sonuclar iki grup arasinda benzer bulunmustur. Anahtar Kelimeler: Suriyeli multeci, sezaryen, obstetrik sonuclar, maternal komplikaston, perinatal sonuclar PRECIS: We retrospectively analyzed the obstetric and perinatal outcomes and mode of delivery for Syrian refugees compared with Turkish citizens. Our data showed similar pregnancy outcomes among Syrian refugee women with Turkish women.</description><identifier>ISSN: 2149-9322</identifier><identifier>DOI: 10.4274/tjod.64022</identifier><language>eng</language><publisher>Galenos Yayinevi Tic. Ltd</publisher><subject>Health aspects ; Maternal health services ; Pregnancy complications ; Prevention ; Risk factors ; Social aspects ; Syrian refugees ; Women refugees</subject><ispartof>Turkish journal of obstetrics and gynecology, 2018-03, Vol.15 (1), p.23</ispartof><rights>COPYRIGHT 2018 Galenos Yayinevi Tic. Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></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></links><search><creatorcontrib>Gungor, Emre Sinan</creatorcontrib><creatorcontrib>Seval, Olcay</creatorcontrib><creatorcontrib>Ilhan, Gulsah</creatorcontrib><creatorcontrib>Verit, Fatma Ferda</creatorcontrib><title>Do Syrian refugees have increased risk for worser pregnancy outcomes? Results of a tertiary center in Istanbul/Suriyeli multecilerin daha kotu gebelik sonuclari acisindan artmis riskleri var midir? Istanbul'da tersiyer bir merkezin sonuclari</title><title>Turkish journal of obstetrics and gynecology</title><description>Objective: To compare obstetric and perinatal outcomes of Syrian refugee pregnants and Turkish counterparts who gave birth at a tertiary center in Istanbul. Materials and Methods: A retrospective study including the birth records of 704 Syrian refugees and 744 Turkish pregnant women between January 2016 and May 2017 were analyzed. Demographic data, obstetric and neonatal outcomes were compared. The primary aims of this study were to evaluate the pregnancy outcomes and cesarean rates between the groups. The secondary outcomes were the use of antenatal vitamin supplementation, hemoglobin-hematocrit values, and maternal complications. Results: Our results showed that the use of folic acid and iron supplementation rates during pregnancy were similar between the groups (folic acid supplementation 8.1% vs 6.5%, p=0.264; iron supplementation 20.7% vs 19.6%, p=0.125; respectively for Turkish women and Syrian refugees). Cesarean rates were significantly higher for Turkish patients than in Syrian refugees (42.7% vs 32.7%; p&lt;0.05). Gestational age at delivery was significantly higher among Turkish women when compared with Syrian refugees (37.7[+ or -]2.3 vs 36.4[+ or -]2.3 weeks, p&lt;0.05), but there was no significant difference regarding the birtweights' of the newborns (3134 g vs 3066 g for Turkish women and Syrian refugees, respectively, p=0.105). Although obstetric complications were seen more often in Syrian refugees, it did not reach statistical difference (9.7% vs 8.1%, respectively, p=0.285). Conclusion: Syrian refugees use antenatal vitamin supplementations at similar rates to Turkish citizens and obstetric and perinatal outcomes are similar between the groups. Keywords: Syrian refugees, cesarean delivery, obstetric outcome, maternal complication, perinatal outcome Amac: Istanbul'da tersiyer bir merkezde dogum yapan Suriyeli multeci gebeler ile Turk gebelerin obstetrik ve perinatal sonuclarinin karsilastirilmasi. Gerec ve Yontemler: Ocak 2016 ve Mayis 2017 tarihleri arasinda dogum yapan 704 Suriyeli multeci ve 744 Turk gebenin dogum kayitlari retrospektif olarak degerlendirildi. Demografk data, obstetrik ve neonatal sonuclar karsilastirildi. Primer hedefer gruplar arasinda gebelik sonuclarinin ve sezaryen oranlarinin degerlendirilmesi idi. Sekonder hedefer antenatal vitamin destegi kullanimi, hemoglobin-hematokrit sonuclari ve maternal komplikasyonlarin degerlendirilmesi idi. Bulgular: Antenatal donemde folik asit ve demir destegi kullanim oranlarini benzer olarak bulduk (Folik asit kullanimi 8,1% vs 6,5%, p=0,264; demir kullanimi 20,7% vs 19,6%, p=0,125; Turk ve Suriyeli gebeler icin sirasiyla). Sezaryenla dogum orani Turk hastalarda Suriye gebelere gore istatistiksel olarak anlamli derecede daha yuksekti (42,7% vs 32,7%; p&lt;0,05). Dogumda gebelik haftasi Turk gebelerde Suriyelilere gore istatistiksel olarak daha fazla idi (37,7[+ or -]2,3 vs 36,4[+ or -]2.3 weeks, p&lt;0,05) ancak yenidoganlarin dogum kilolari arasinda fark yoktu (Turk ve Suriyeli yenidoganlar icin sirasiyla 3134 gr vs 3066 gr, p=0,105). Obstetrik komplikasyonlar Suriyeli gebelerde daha fazla gorulmus olsa da, aradaki fark istatistiksel olarak anlamli degildi (sirasiyla 9,7% vs 8,1%, p=0,285). Sonuc: Suriyeli multeciler antenatal vitamin destegini Turklerle benzer oranlarda kullanmaktadir ve obstetrik ve perinatal sonuclar iki grup arasinda benzer bulunmustur. Anahtar Kelimeler: Suriyeli multeci, sezaryen, obstetrik sonuclar, maternal komplikaston, perinatal sonuclar PRECIS: We retrospectively analyzed the obstetric and perinatal outcomes and mode of delivery for Syrian refugees compared with Turkish citizens. Our data showed similar pregnancy outcomes among Syrian refugee women with Turkish women.</description><subject>Health aspects</subject><subject>Maternal health services</subject><subject>Pregnancy complications</subject><subject>Prevention</subject><subject>Risk factors</subject><subject>Social aspects</subject><subject>Syrian refugees</subject><subject>Women refugees</subject><issn>2149-9322</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid/><recordid>eNptUE1LHUEQ3IOBiPGSX9CQg6f3nJmd_TqJmMQIQiB6l96ZnnV8uzOhZ9bw8q_zD5yoSA6hD91Q1VVFVdVHKbZadfo0P0S7bbVQ6qA6VFIPm6FW6n11nNKDEEL2XTdIdVj9-RzhZs8eAzC5dSJKcI-PBD4YJkxkgX3agYsMvyInYvjJNAUMZg9xzSYulM7gB6V1zgmiA4RMnD3yHgyFchcpuEoZw7jOpzcr-z3NHpbCJ-Nn4gJbvEfYxbzCRGNBd5BiWM2M7AGNTz7YEhA5Lz495_n7Bo_IsHjr-exN_8Q-26fiwTD6ghPv6HexeBP8UL1zOCc6ft1H1e3XL7cX3zbX3y-vLs6vN1Pb6U0vXW9aIYwmN1KrRNvXba0aUyvbYC_0aEng0Fsrx34wKIe6bqztZKnaKtfUR9WnF9kJZ7rzwcXMaEp-c3feNG1Xay11YW3_wypjafEmBnKloX8fngB5YZvc</recordid><startdate>20180301</startdate><enddate>20180301</enddate><creator>Gungor, Emre Sinan</creator><creator>Seval, Olcay</creator><creator>Ilhan, Gulsah</creator><creator>Verit, Fatma Ferda</creator><general>Galenos Yayinevi Tic. Ltd</general><scope/></search><sort><creationdate>20180301</creationdate><title>Do Syrian refugees have increased risk for worser pregnancy outcomes? Results of a tertiary center in Istanbul/Suriyeli multecilerin daha kotu gebelik sonuclari acisindan artmis riskleri var midir? Istanbul'da tersiyer bir merkezin sonuclari</title><author>Gungor, Emre Sinan ; Seval, Olcay ; Ilhan, Gulsah ; Verit, Fatma Ferda</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-g674-81f8c600c4efbe6206836325c32d5a804bde0a98dd1b89ca19335dd71149d2f53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Health aspects</topic><topic>Maternal health services</topic><topic>Pregnancy complications</topic><topic>Prevention</topic><topic>Risk factors</topic><topic>Social aspects</topic><topic>Syrian refugees</topic><topic>Women refugees</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gungor, Emre Sinan</creatorcontrib><creatorcontrib>Seval, Olcay</creatorcontrib><creatorcontrib>Ilhan, Gulsah</creatorcontrib><creatorcontrib>Verit, Fatma Ferda</creatorcontrib><jtitle>Turkish journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gungor, Emre Sinan</au><au>Seval, Olcay</au><au>Ilhan, Gulsah</au><au>Verit, Fatma Ferda</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Do Syrian refugees have increased risk for worser pregnancy outcomes? Results of a tertiary center in Istanbul/Suriyeli multecilerin daha kotu gebelik sonuclari acisindan artmis riskleri var midir? Istanbul'da tersiyer bir merkezin sonuclari</atitle><jtitle>Turkish journal of obstetrics and gynecology</jtitle><date>2018-03-01</date><risdate>2018</risdate><volume>15</volume><issue>1</issue><spage>23</spage><pages>23-</pages><issn>2149-9322</issn><abstract>Objective: To compare obstetric and perinatal outcomes of Syrian refugee pregnants and Turkish counterparts who gave birth at a tertiary center in Istanbul. Materials and Methods: A retrospective study including the birth records of 704 Syrian refugees and 744 Turkish pregnant women between January 2016 and May 2017 were analyzed. Demographic data, obstetric and neonatal outcomes were compared. The primary aims of this study were to evaluate the pregnancy outcomes and cesarean rates between the groups. The secondary outcomes were the use of antenatal vitamin supplementation, hemoglobin-hematocrit values, and maternal complications. Results: Our results showed that the use of folic acid and iron supplementation rates during pregnancy were similar between the groups (folic acid supplementation 8.1% vs 6.5%, p=0.264; iron supplementation 20.7% vs 19.6%, p=0.125; respectively for Turkish women and Syrian refugees). Cesarean rates were significantly higher for Turkish patients than in Syrian refugees (42.7% vs 32.7%; p&lt;0.05). Gestational age at delivery was significantly higher among Turkish women when compared with Syrian refugees (37.7[+ or -]2.3 vs 36.4[+ or -]2.3 weeks, p&lt;0.05), but there was no significant difference regarding the birtweights' of the newborns (3134 g vs 3066 g for Turkish women and Syrian refugees, respectively, p=0.105). Although obstetric complications were seen more often in Syrian refugees, it did not reach statistical difference (9.7% vs 8.1%, respectively, p=0.285). Conclusion: Syrian refugees use antenatal vitamin supplementations at similar rates to Turkish citizens and obstetric and perinatal outcomes are similar between the groups. Keywords: Syrian refugees, cesarean delivery, obstetric outcome, maternal complication, perinatal outcome Amac: Istanbul'da tersiyer bir merkezde dogum yapan Suriyeli multeci gebeler ile Turk gebelerin obstetrik ve perinatal sonuclarinin karsilastirilmasi. Gerec ve Yontemler: Ocak 2016 ve Mayis 2017 tarihleri arasinda dogum yapan 704 Suriyeli multeci ve 744 Turk gebenin dogum kayitlari retrospektif olarak degerlendirildi. Demografk data, obstetrik ve neonatal sonuclar karsilastirildi. Primer hedefer gruplar arasinda gebelik sonuclarinin ve sezaryen oranlarinin degerlendirilmesi idi. Sekonder hedefer antenatal vitamin destegi kullanimi, hemoglobin-hematokrit sonuclari ve maternal komplikasyonlarin degerlendirilmesi idi. Bulgular: Antenatal donemde folik asit ve demir destegi kullanim oranlarini benzer olarak bulduk (Folik asit kullanimi 8,1% vs 6,5%, p=0,264; demir kullanimi 20,7% vs 19,6%, p=0,125; Turk ve Suriyeli gebeler icin sirasiyla). Sezaryenla dogum orani Turk hastalarda Suriye gebelere gore istatistiksel olarak anlamli derecede daha yuksekti (42,7% vs 32,7%; p&lt;0,05). Dogumda gebelik haftasi Turk gebelerde Suriyelilere gore istatistiksel olarak daha fazla idi (37,7[+ or -]2,3 vs 36,4[+ or -]2.3 weeks, p&lt;0,05) ancak yenidoganlarin dogum kilolari arasinda fark yoktu (Turk ve Suriyeli yenidoganlar icin sirasiyla 3134 gr vs 3066 gr, p=0,105). Obstetrik komplikasyonlar Suriyeli gebelerde daha fazla gorulmus olsa da, aradaki fark istatistiksel olarak anlamli degildi (sirasiyla 9,7% vs 8,1%, p=0,285). Sonuc: Suriyeli multeciler antenatal vitamin destegini Turklerle benzer oranlarda kullanmaktadir ve obstetrik ve perinatal sonuclar iki grup arasinda benzer bulunmustur. Anahtar Kelimeler: Suriyeli multeci, sezaryen, obstetrik sonuclar, maternal komplikaston, perinatal sonuclar PRECIS: We retrospectively analyzed the obstetric and perinatal outcomes and mode of delivery for Syrian refugees compared with Turkish citizens. Our data showed similar pregnancy outcomes among Syrian refugee women with Turkish women.</abstract><pub>Galenos Yayinevi Tic. Ltd</pub><doi>10.4274/tjod.64022</doi></addata></record>
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subjects Health aspects
Maternal health services
Pregnancy complications
Prevention
Risk factors
Social aspects
Syrian refugees
Women refugees
title Do Syrian refugees have increased risk for worser pregnancy outcomes? Results of a tertiary center in Istanbul/Suriyeli multecilerin daha kotu gebelik sonuclari acisindan artmis riskleri var midir? Istanbul'da tersiyer bir merkezin sonuclari
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