Stabil Kronik Obstruktif Akciger Hastaliginda Uyku Kalitesi ve Obstruktif Uyku Apne Sendromu Riskinin Degerlendirilmesi/Evaluation of the Sleep Quality and the Risk of Obstructive Sleep Apnea in Patients with Stable Chronic Obstructive Pulmonary Disease
Amaç: Uyku kalitesi, Kronik Obstruktif Akciger hastaligi (KOAH) olan hastalarin yasam kalitesi ve saglik sonuçlarini etkileyen önemli parametrelerden birisidir. Bu çalismada stabil KOAH'li hastalarin subjektif uyku kalitesi, uyku kalitesini etkileyen faktörler ve Obstruktif Uyku Apne sendromu (...
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| description | Amaç: Uyku kalitesi, Kronik Obstruktif Akciger hastaligi (KOAH) olan hastalarin yasam kalitesi ve saglik sonuçlarini etkileyen önemli parametrelerden birisidir. Bu çalismada stabil KOAH'li hastalarin subjektif uyku kalitesi, uyku kalitesini etkileyen faktörler ve Obstruktif Uyku Apne sendromu (OUAS) riskinin degerlendirilmesi amaçlanmistir. Gereç ve Yöntem: Hastanemiz gögus hastaliklari poliklinigine basvuran ve stabil KOAH olarak degerlendirilen hastalar çalismaya alindilar. Hastalarin demografik özellikleri, eslik eden hastaliklari, kullanmakta olduklari ilaçlari kayit altina alindi. Uyku kalitesini degerlendirmek amaci ile Pittsburgh Uyku Kalitesi indeksi (PUKI) ve OUAS riskini degerlendirmek amaci ile de STOP-Bang anketi uygulandi. Anket sonuçlarina göre uyku kalitesi, uyku kalitesini etkileyen faktörler ve uyku apne sendromu riski degerlendirildi. Bulgular: Çalismaya 67 (89,3) erkek, 8 (10,7) kadin olmak uzere toplam 75 hasta dahil edildi. Hastalarin %38,7'sinin PUKI >5 iken, %61,3'unun PUKI [less than or equal to]5 olarak belirlendi. PUKI'ye göre uyku kalitesi iyi ve kötu olan gruplar karsilastirildiginda; hipertansiyon tanisi, gunduz asiri uyku hali ve uyku etkinligi açisindan anlamli farklilik tespit edildi (p=0,005, p=0,049, p |
| doi_str_mv | 10.4274/jtsm.galenos.2020.86158 |
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Bu çalismada stabil KOAH'li hastalarin subjektif uyku kalitesi, uyku kalitesini etkileyen faktörler ve Obstruktif Uyku Apne sendromu (OUAS) riskinin degerlendirilmesi amaçlanmistir. Gereç ve Yöntem: Hastanemiz gögus hastaliklari poliklinigine basvuran ve stabil KOAH olarak degerlendirilen hastalar çalismaya alindilar. Hastalarin demografik özellikleri, eslik eden hastaliklari, kullanmakta olduklari ilaçlari kayit altina alindi. Uyku kalitesini degerlendirmek amaci ile Pittsburgh Uyku Kalitesi indeksi (PUKI) ve OUAS riskini degerlendirmek amaci ile de STOP-Bang anketi uygulandi. Anket sonuçlarina göre uyku kalitesi, uyku kalitesini etkileyen faktörler ve uyku apne sendromu riski degerlendirildi. Bulgular: Çalismaya 67 (89,3) erkek, 8 (10,7) kadin olmak uzere toplam 75 hasta dahil edildi. Hastalarin %38,7'sinin PUKI >5 iken, %61,3'unun PUKI [less than or equal to]5 olarak belirlendi. PUKI'ye göre uyku kalitesi iyi ve kötu olan gruplar karsilastirildiginda; hipertansiyon tanisi, gunduz asiri uyku hali ve uyku etkinligi açisindan anlamli farklilik tespit edildi (p=0,005, p=0,049, p<0,001 sirasiyla). KOAH evreleri açisindan farklilik izlenmedi (p=0,141). Bir PUKI bileseni olan "gece tuvalete gitmek" sorusundan, en fazla puan aldigi göruldu. STOP-Bang anketine göre 15 (%20) hasta OSA açisindan dusuk riskli, 27 (%36) orta riskli ve 33 (%44) yuksek riskli olarak tespit edildi. Sonuç: Stabil KOAH'li hastalarin %37,8'inin uyku kalitesinin kötu ve %44 hastanin OUA açisindan yuksek risk grubunda oldugu tespit edilmistir. Kötu uyku kalitesi olan hastalarin subjektif uyku etkinliklerinin daha dusuk ve hipertansiyon tanilarinin daha fazla oldugu görulmustur. Uyku kalitesini olumsuz etkileyen faktörlerden birinin "gece tuvalete gitmek" oldugu gözden kaçirilmamalidir. Özellikle ileri yas KOAH'li hastalarin nokturi açisindan sorgulanmasi altta yatan komorbid bir durumun ortaya çikartilmasi kadar, uyku kalitesinde artisa neden olabilecek önlemlerin alinmasi yönunden de faydali olabilir. Anahtar Kelimeler: Kronik Obstruktif Akciger hastaligi, Pittsburg Uyku Kalitesi indeksi, Obstruktif uyku apne (OUA), STOP-Bang Objective: The purpose of this study is to evaluate the subjective sleep quality, factors affecting sleep quality, and the risk of Obstructive Sleep Apnea syndrome (OSAS) in the patients with stable Chronic Obstructive Pulmonary disease (COPD). Materials and Methods: We included the patients who were admitted to our chest diseases clinic and evaluated as stable COPD in the study. Pittsburgh Sleep Quality index (PSQI) and STOP-Bang survey were applied to the patients to evaluate the sleep quality and the risk for OSA. Results: We included 75 patients (67 males and 8 females) in this study. In total, 38.7% of the patients had a PSQI >5, whereas 61.3% of them had a PSQI [less than or equal to]5. The comparison of groups revealed a significant difference in terms of diagnosis of hypertension, excessive daytime sleepiness, and sleep efficiency (p=0.005, p=0.049, p<0.001, respectively). There was no significant difference regarding the COPD stages between the groups (p=0.141). The question "to go to the toilet at night" from PSQI was the question had the highest score. According to the STOP-Bang score, 15 (20%) patients were identified at a low risk, 27 (36%) were at a medium risk, and 33 (44%) at a high risk for OSA. Conclusion: We determined that 37.8% of patients with stable COPD had a poor sleep quality and 44% of them were at a high risk for OSA. Patients with a poor sleep quality were more hypertensive and had lower subjective sleep efficacy. "To go to the toilet at night" was one of the factors that negatively affect sleep quality. Questioning patients with COPD at an advanced age in terms of nocturia can help in revealing an underlying co-morbid condition. Moreover, it is also important to implement measures that may lead to an increase in sleep quality. Keywords: Chronic Obstructive Pulmonary disease, Pittsburgh Sleep Quality index, Obstructive sleep apnea (OSA), STOP-Bang</description><identifier>ISSN: 2148-1504</identifier><identifier>EISSN: 2148-1504</identifier><identifier>DOI: 10.4274/jtsm.galenos.2020.86158</identifier><language>eng</language><publisher>Galenos Yayinevi Tic. Ltd</publisher><subject>Care and treatment ; Hypertension ; Lung diseases ; Sleep apnea</subject><ispartof>Journal of Turkish Sleep Medicine, 2020-09, Vol.7 (3), p.112</ispartof><rights>COPYRIGHT 2020 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>314,776,780,860,27903,27904</link.rule.ids></links><search><creatorcontrib>Arslan, Burcu Oktay</creatorcontrib><creatorcontrib>Taymaz, Zuhre Sarp</creatorcontrib><creatorcontrib>Hosgör, Zeynep Zeren Uçar</creatorcontrib><creatorcontrib>Tatar, Dursun</creatorcontrib><title>Stabil Kronik Obstruktif Akciger Hastaliginda Uyku Kalitesi ve Obstruktif Uyku Apne Sendromu Riskinin Degerlendirilmesi/Evaluation of the Sleep Quality and the Risk of Obstructive Sleep Apnea in Patients with Stable Chronic Obstructive Pulmonary Disease</title><title>Journal of Turkish Sleep Medicine</title><description>Amaç: Uyku kalitesi, Kronik Obstruktif Akciger hastaligi (KOAH) olan hastalarin yasam kalitesi ve saglik sonuçlarini etkileyen önemli parametrelerden birisidir. Bu çalismada stabil KOAH'li hastalarin subjektif uyku kalitesi, uyku kalitesini etkileyen faktörler ve Obstruktif Uyku Apne sendromu (OUAS) riskinin degerlendirilmesi amaçlanmistir. Gereç ve Yöntem: Hastanemiz gögus hastaliklari poliklinigine basvuran ve stabil KOAH olarak degerlendirilen hastalar çalismaya alindilar. Hastalarin demografik özellikleri, eslik eden hastaliklari, kullanmakta olduklari ilaçlari kayit altina alindi. Uyku kalitesini degerlendirmek amaci ile Pittsburgh Uyku Kalitesi indeksi (PUKI) ve OUAS riskini degerlendirmek amaci ile de STOP-Bang anketi uygulandi. Anket sonuçlarina göre uyku kalitesi, uyku kalitesini etkileyen faktörler ve uyku apne sendromu riski degerlendirildi. Bulgular: Çalismaya 67 (89,3) erkek, 8 (10,7) kadin olmak uzere toplam 75 hasta dahil edildi. Hastalarin %38,7'sinin PUKI >5 iken, %61,3'unun PUKI [less than or equal to]5 olarak belirlendi. PUKI'ye göre uyku kalitesi iyi ve kötu olan gruplar karsilastirildiginda; hipertansiyon tanisi, gunduz asiri uyku hali ve uyku etkinligi açisindan anlamli farklilik tespit edildi (p=0,005, p=0,049, p<0,001 sirasiyla). KOAH evreleri açisindan farklilik izlenmedi (p=0,141). Bir PUKI bileseni olan "gece tuvalete gitmek" sorusundan, en fazla puan aldigi göruldu. STOP-Bang anketine göre 15 (%20) hasta OSA açisindan dusuk riskli, 27 (%36) orta riskli ve 33 (%44) yuksek riskli olarak tespit edildi. Sonuç: Stabil KOAH'li hastalarin %37,8'inin uyku kalitesinin kötu ve %44 hastanin OUA açisindan yuksek risk grubunda oldugu tespit edilmistir. Kötu uyku kalitesi olan hastalarin subjektif uyku etkinliklerinin daha dusuk ve hipertansiyon tanilarinin daha fazla oldugu görulmustur. Uyku kalitesini olumsuz etkileyen faktörlerden birinin "gece tuvalete gitmek" oldugu gözden kaçirilmamalidir. Özellikle ileri yas KOAH'li hastalarin nokturi açisindan sorgulanmasi altta yatan komorbid bir durumun ortaya çikartilmasi kadar, uyku kalitesinde artisa neden olabilecek önlemlerin alinmasi yönunden de faydali olabilir. Anahtar Kelimeler: Kronik Obstruktif Akciger hastaligi, Pittsburg Uyku Kalitesi indeksi, Obstruktif uyku apne (OUA), STOP-Bang Objective: The purpose of this study is to evaluate the subjective sleep quality, factors affecting sleep quality, and the risk of Obstructive Sleep Apnea syndrome (OSAS) in the patients with stable Chronic Obstructive Pulmonary disease (COPD). Materials and Methods: We included the patients who were admitted to our chest diseases clinic and evaluated as stable COPD in the study. Pittsburgh Sleep Quality index (PSQI) and STOP-Bang survey were applied to the patients to evaluate the sleep quality and the risk for OSA. Results: We included 75 patients (67 males and 8 females) in this study. In total, 38.7% of the patients had a PSQI >5, whereas 61.3% of them had a PSQI [less than or equal to]5. The comparison of groups revealed a significant difference in terms of diagnosis of hypertension, excessive daytime sleepiness, and sleep efficiency (p=0.005, p=0.049, p<0.001, respectively). There was no significant difference regarding the COPD stages between the groups (p=0.141). The question "to go to the toilet at night" from PSQI was the question had the highest score. According to the STOP-Bang score, 15 (20%) patients were identified at a low risk, 27 (36%) were at a medium risk, and 33 (44%) at a high risk for OSA. Conclusion: We determined that 37.8% of patients with stable COPD had a poor sleep quality and 44% of them were at a high risk for OSA. Patients with a poor sleep quality were more hypertensive and had lower subjective sleep efficacy. "To go to the toilet at night" was one of the factors that negatively affect sleep quality. Questioning patients with COPD at an advanced age in terms of nocturia can help in revealing an underlying co-morbid condition. Moreover, it is also important to implement measures that may lead to an increase in sleep quality. Keywords: Chronic Obstructive Pulmonary disease, Pittsburgh Sleep Quality index, Obstructive sleep apnea (OSA), STOP-Bang</description><subject>Care and treatment</subject><subject>Hypertension</subject><subject>Lung diseases</subject><subject>Sleep apnea</subject><issn>2148-1504</issn><issn>2148-1504</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid/><recordid>eNptkd1O3DAQhaOqSEWUZ-hIvd5gx15vcrlaoCCQoAWuke1Mdoc4DoqdRfvwSDjQSotU-cLzc843HjnLfnCWy2IhT55i6PK1duj7kBesYHmp-Lz8kh0WXJYzPmfy6178LTsO4YkxxlXJhBCH2etd1IYcXA29pxZuTIjD2EZqYNlaWuMAFzpE7WhNvtbwsGtHuEppxECwxX3De2_57BHu0NdD343wh0JLnjycYkKlV9Y0kOuS9-Rsq92oI_Ue-gbiJrkc4jP8Hif6DrSv36sTYlJ8DLKRtv-U0ygNCX6bMOhjgBeKG5gWcgirzbSR_eS7HV3Xez3s4JQC6oDfs4NGu4DHf--j7P787H51Mbu--XW5Wl7P1mohZmreCF4YW6mCyQoVr2sxRymNMbosmSlKriSXSiyk1VyosuKiEawyDbfC1FYcZT8_sNNPPZJv-jho21Gwj0slqmLBRCWSKv-PKp0aO7K9x4ZSfc_wBqrapGM</recordid><startdate>20200901</startdate><enddate>20200901</enddate><creator>Arslan, Burcu Oktay</creator><creator>Taymaz, Zuhre Sarp</creator><creator>Hosgör, Zeynep Zeren Uçar</creator><creator>Tatar, Dursun</creator><general>Galenos Yayinevi Tic. Ltd</general><scope/></search><sort><creationdate>20200901</creationdate><title>Stabil Kronik Obstruktif Akciger Hastaliginda Uyku Kalitesi ve Obstruktif Uyku Apne Sendromu Riskinin Degerlendirilmesi/Evaluation of the Sleep Quality and the Risk of Obstructive Sleep Apnea in Patients with Stable Chronic Obstructive Pulmonary Disease</title><author>Arslan, Burcu Oktay ; Taymaz, Zuhre Sarp ; Hosgör, Zeynep Zeren Uçar ; Tatar, Dursun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-g673-65f312bc962049e61dd35e44bbba880b28164146374ca1368913f309bf1c3bdc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Care and treatment</topic><topic>Hypertension</topic><topic>Lung diseases</topic><topic>Sleep apnea</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Arslan, Burcu Oktay</creatorcontrib><creatorcontrib>Taymaz, Zuhre Sarp</creatorcontrib><creatorcontrib>Hosgör, Zeynep Zeren Uçar</creatorcontrib><creatorcontrib>Tatar, Dursun</creatorcontrib><jtitle>Journal of Turkish Sleep Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Arslan, Burcu Oktay</au><au>Taymaz, Zuhre Sarp</au><au>Hosgör, Zeynep Zeren Uçar</au><au>Tatar, Dursun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Stabil Kronik Obstruktif Akciger Hastaliginda Uyku Kalitesi ve Obstruktif Uyku Apne Sendromu Riskinin Degerlendirilmesi/Evaluation of the Sleep Quality and the Risk of Obstructive Sleep Apnea in Patients with Stable Chronic Obstructive Pulmonary Disease</atitle><jtitle>Journal of Turkish Sleep Medicine</jtitle><date>2020-09-01</date><risdate>2020</risdate><volume>7</volume><issue>3</issue><spage>112</spage><pages>112-</pages><issn>2148-1504</issn><eissn>2148-1504</eissn><abstract>Amaç: Uyku kalitesi, Kronik Obstruktif Akciger hastaligi (KOAH) olan hastalarin yasam kalitesi ve saglik sonuçlarini etkileyen önemli parametrelerden birisidir. Bu çalismada stabil KOAH'li hastalarin subjektif uyku kalitesi, uyku kalitesini etkileyen faktörler ve Obstruktif Uyku Apne sendromu (OUAS) riskinin degerlendirilmesi amaçlanmistir. Gereç ve Yöntem: Hastanemiz gögus hastaliklari poliklinigine basvuran ve stabil KOAH olarak degerlendirilen hastalar çalismaya alindilar. Hastalarin demografik özellikleri, eslik eden hastaliklari, kullanmakta olduklari ilaçlari kayit altina alindi. Uyku kalitesini degerlendirmek amaci ile Pittsburgh Uyku Kalitesi indeksi (PUKI) ve OUAS riskini degerlendirmek amaci ile de STOP-Bang anketi uygulandi. Anket sonuçlarina göre uyku kalitesi, uyku kalitesini etkileyen faktörler ve uyku apne sendromu riski degerlendirildi. Bulgular: Çalismaya 67 (89,3) erkek, 8 (10,7) kadin olmak uzere toplam 75 hasta dahil edildi. Hastalarin %38,7'sinin PUKI >5 iken, %61,3'unun PUKI [less than or equal to]5 olarak belirlendi. PUKI'ye göre uyku kalitesi iyi ve kötu olan gruplar karsilastirildiginda; hipertansiyon tanisi, gunduz asiri uyku hali ve uyku etkinligi açisindan anlamli farklilik tespit edildi (p=0,005, p=0,049, p<0,001 sirasiyla). KOAH evreleri açisindan farklilik izlenmedi (p=0,141). Bir PUKI bileseni olan "gece tuvalete gitmek" sorusundan, en fazla puan aldigi göruldu. STOP-Bang anketine göre 15 (%20) hasta OSA açisindan dusuk riskli, 27 (%36) orta riskli ve 33 (%44) yuksek riskli olarak tespit edildi. Sonuç: Stabil KOAH'li hastalarin %37,8'inin uyku kalitesinin kötu ve %44 hastanin OUA açisindan yuksek risk grubunda oldugu tespit edilmistir. Kötu uyku kalitesi olan hastalarin subjektif uyku etkinliklerinin daha dusuk ve hipertansiyon tanilarinin daha fazla oldugu görulmustur. Uyku kalitesini olumsuz etkileyen faktörlerden birinin "gece tuvalete gitmek" oldugu gözden kaçirilmamalidir. Özellikle ileri yas KOAH'li hastalarin nokturi açisindan sorgulanmasi altta yatan komorbid bir durumun ortaya çikartilmasi kadar, uyku kalitesinde artisa neden olabilecek önlemlerin alinmasi yönunden de faydali olabilir. Anahtar Kelimeler: Kronik Obstruktif Akciger hastaligi, Pittsburg Uyku Kalitesi indeksi, Obstruktif uyku apne (OUA), STOP-Bang Objective: The purpose of this study is to evaluate the subjective sleep quality, factors affecting sleep quality, and the risk of Obstructive Sleep Apnea syndrome (OSAS) in the patients with stable Chronic Obstructive Pulmonary disease (COPD). Materials and Methods: We included the patients who were admitted to our chest diseases clinic and evaluated as stable COPD in the study. Pittsburgh Sleep Quality index (PSQI) and STOP-Bang survey were applied to the patients to evaluate the sleep quality and the risk for OSA. Results: We included 75 patients (67 males and 8 females) in this study. In total, 38.7% of the patients had a PSQI >5, whereas 61.3% of them had a PSQI [less than or equal to]5. The comparison of groups revealed a significant difference in terms of diagnosis of hypertension, excessive daytime sleepiness, and sleep efficiency (p=0.005, p=0.049, p<0.001, respectively). There was no significant difference regarding the COPD stages between the groups (p=0.141). The question "to go to the toilet at night" from PSQI was the question had the highest score. According to the STOP-Bang score, 15 (20%) patients were identified at a low risk, 27 (36%) were at a medium risk, and 33 (44%) at a high risk for OSA. Conclusion: We determined that 37.8% of patients with stable COPD had a poor sleep quality and 44% of them were at a high risk for OSA. Patients with a poor sleep quality were more hypertensive and had lower subjective sleep efficacy. "To go to the toilet at night" was one of the factors that negatively affect sleep quality. Questioning patients with COPD at an advanced age in terms of nocturia can help in revealing an underlying co-morbid condition. Moreover, it is also important to implement measures that may lead to an increase in sleep quality. Keywords: Chronic Obstructive Pulmonary disease, Pittsburgh Sleep Quality index, Obstructive sleep apnea (OSA), STOP-Bang</abstract><pub>Galenos Yayinevi Tic. Ltd</pub><doi>10.4274/jtsm.galenos.2020.86158</doi></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2148-1504 |
| ispartof | Journal of Turkish Sleep Medicine, 2020-09, Vol.7 (3), p.112 |
| issn | 2148-1504 2148-1504 |
| language | eng |
| recordid | cdi_gale_infotracmisc_A639270393 |
| source | DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals |
| subjects | Care and treatment Hypertension Lung diseases Sleep apnea |
| title | Stabil Kronik Obstruktif Akciger Hastaliginda Uyku Kalitesi ve Obstruktif Uyku Apne Sendromu Riskinin Degerlendirilmesi/Evaluation of the Sleep Quality and the Risk of Obstructive Sleep Apnea in Patients with Stable Chronic Obstructive Pulmonary Disease |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-21T23%3A52%3A28IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Stabil%20Kronik%20Obstruktif%20Akciger%20Hastaliginda%20Uyku%20Kalitesi%20ve%20Obstruktif%20Uyku%20Apne%20Sendromu%20Riskinin%20Degerlendirilmesi/Evaluation%20of%20the%20Sleep%20Quality%20and%20the%20Risk%20of%20Obstructive%20Sleep%20Apnea%20in%20Patients%20with%20Stable%20Chronic%20Obstructive%20Pulmonary%20Disease&rft.jtitle=Journal%20of%20Turkish%20Sleep%20Medicine&rft.au=Arslan,%20Burcu%20Oktay&rft.date=2020-09-01&rft.volume=7&rft.issue=3&rft.spage=112&rft.pages=112-&rft.issn=2148-1504&rft.eissn=2148-1504&rft_id=info:doi/10.4274/jtsm.galenos.2020.86158&rft_dat=%3Cgale%3EA639270393%3C/gale%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_id=info:pmid/&rft_galeid=A639270393&rfr_iscdi=true |