A new estimator of between study variance of standardized mean difference in meta-analysis

Meta-analysis is a statistical technique that combines the results of different environmental experiments regarding the populations, location, time, and so on. These results will differ more than the within-study variance, and the true effects being evaluated differ between studies. Thus, heterogene...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:PloS one 2024-11, Vol.19 (11), p.e0308628
Hauptverfasser: Albayyat, Ramlah H, Aljohani, Hajar S, Alnagar, Dalia K
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page
container_issue 11
container_start_page e0308628
container_title PloS one
container_volume 19
creator Albayyat, Ramlah H
Aljohani, Hajar S
Alnagar, Dalia K
description Meta-analysis is a statistical technique that combines the results of different environmental experiments regarding the populations, location, time, and so on. These results will differ more than the within-study variance, and the true effects being evaluated differ between studies. Thus, heterogeneity is present and should be measured. There are different estimators that were introduced to estimate between-study variance, which has received a lot of criticism from previous researchers. All of the estimators encountered the same problem, which was the correlation. To minimize the potential biases caused by interventions between the three estimators (i.e., overall effect size, within-study variance, and between-study variance), we proposed a new measure of heterogeneity known as the Environmental Effect Ratio (EER), the treatment-by-lab variability relative to the experimental error, under individual participant data (IPD) using the linear mixed model approach. We assume different between-study variances instead of constant between-study variances. The simulation of this study focuses on the performance of meta-analyses with small sample sizes. We compared our proposed estimator under two different expressions ([Formula: see text], and [Formula: see text]) with the best estimator nominated from previous studies to determine which one is the best performance. Based on the findings, our estimator ([Formula: see text]) was better for estimating between-study variance.
doi_str_mv 10.1371/journal.pone.0308628
format Article
fullrecord <record><control><sourceid>gale_plos_</sourceid><recordid>TN_cdi_plos_journals_3123293289</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A814466230</galeid><doaj_id>oai_doaj_org_article_78e69a12d30249dd8a54498b3b5a95af</doaj_id><sourcerecordid>A814466230</sourcerecordid><originalsourceid>FETCH-LOGICAL-c572t-984083656b41988efbb87caa268ee76218ad380b6801ccb6e5ad2211c1608d123</originalsourceid><addsrcrecordid>eNqNk02P0zAQhiMEYpeFf4AgEhKCQ4s_Esc5oWrFR6WVVuLrwMWaxJPWVWp3bWeX8utxaXfVoD2gHBzNPPPa89qTZc8pmVJe0XcrN3gL_XTjLE4JJ1Iw-SA7pTVnE8EIf3j0f5I9CWFFSMmlEI-zE14Xsqyq6jT7Ocst3uQYollDdD53Xd5gvEG0eYiD3ubX4A3YFneZEMFq8Nr8Rp2vEWyuTdehx13e2BSKMIF0qm0w4Wn2qIM-4LPDepZ9__jh2_nnycXlp_n57GLSlhWLk1oWRHJRiqagtZTYNY2sWgAmJGIlGJWguSSNkIS2bSOwBM0YpS0VRGrK-Fn2cq-76V1QB1uC4inFkgGyTsR8T2gHK7XxqVW_VQ6M-htwfqHAR9P2qCqJogbKNCesqLWWUBZFLRvelFCX0CWt94fdhmaNukUbPfQj0XHGmqVauGtFacnTDZRJ4c1BwburITmv1ia02Pdg0Q37g3NR1bxK6Kt_0PvbO1ALSB0Y27m0cbsTVTNJi0IIxkmipvdQ6dO4Nm16RJ1J8VHB21FBYiL-igsYQlDzr1_-n738MWZfH7FLhD4ug-uHaJwNY7DYg613IXjs7lymRO1m4NYNtZsBdZiBVPbi-Ibuim4fPf8DODoANQ</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3123293289</pqid></control><display><type>article</type><title>A new estimator of between study variance of standardized mean difference in meta-analysis</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><source>Public Library of Science (PLoS)</source><creator>Albayyat, Ramlah H ; Aljohani, Hajar S ; Alnagar, Dalia K</creator><contributor>Verma, Med Ram</contributor><creatorcontrib>Albayyat, Ramlah H ; Aljohani, Hajar S ; Alnagar, Dalia K ; Verma, Med Ram</creatorcontrib><description>Meta-analysis is a statistical technique that combines the results of different environmental experiments regarding the populations, location, time, and so on. These results will differ more than the within-study variance, and the true effects being evaluated differ between studies. Thus, heterogeneity is present and should be measured. There are different estimators that were introduced to estimate between-study variance, which has received a lot of criticism from previous researchers. All of the estimators encountered the same problem, which was the correlation. To minimize the potential biases caused by interventions between the three estimators (i.e., overall effect size, within-study variance, and between-study variance), we proposed a new measure of heterogeneity known as the Environmental Effect Ratio (EER), the treatment-by-lab variability relative to the experimental error, under individual participant data (IPD) using the linear mixed model approach. We assume different between-study variances instead of constant between-study variances. The simulation of this study focuses on the performance of meta-analyses with small sample sizes. We compared our proposed estimator under two different expressions ([Formula: see text], and [Formula: see text]) with the best estimator nominated from previous studies to determine which one is the best performance. Based on the findings, our estimator ([Formula: see text]) was better for estimating between-study variance.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0308628</identifier><identifier>PMID: 39485777</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Bias ; Computer Simulation ; Data mining ; Dispersion measures (Statistics) ; Environmental effects ; Error analysis ; Estimates ; Estimators ; Evaluation ; Heterogeneity ; Humans ; Meta-analysis ; Meta-Analysis as Topic ; Models, Statistical ; Physical Sciences ; Population studies ; Random variables ; Research and Analysis Methods ; Sample Size ; Statistical analysis ; Variance</subject><ispartof>PloS one, 2024-11, Vol.19 (11), p.e0308628</ispartof><rights>Copyright: © 2024 Albayyat et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2024 Public Library of Science</rights><rights>2024 Albayyat et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2024 Albayyat et al 2024 Albayyat et al</rights><rights>2024 Albayyat et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c572t-984083656b41988efbb87caa268ee76218ad380b6801ccb6e5ad2211c1608d123</cites><orcidid>0009-0005-5107-133X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11530055/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11530055/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23847,27903,27904,53769,53771,79346,79347</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39485777$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Verma, Med Ram</contributor><creatorcontrib>Albayyat, Ramlah H</creatorcontrib><creatorcontrib>Aljohani, Hajar S</creatorcontrib><creatorcontrib>Alnagar, Dalia K</creatorcontrib><title>A new estimator of between study variance of standardized mean difference in meta-analysis</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Meta-analysis is a statistical technique that combines the results of different environmental experiments regarding the populations, location, time, and so on. These results will differ more than the within-study variance, and the true effects being evaluated differ between studies. Thus, heterogeneity is present and should be measured. There are different estimators that were introduced to estimate between-study variance, which has received a lot of criticism from previous researchers. All of the estimators encountered the same problem, which was the correlation. To minimize the potential biases caused by interventions between the three estimators (i.e., overall effect size, within-study variance, and between-study variance), we proposed a new measure of heterogeneity known as the Environmental Effect Ratio (EER), the treatment-by-lab variability relative to the experimental error, under individual participant data (IPD) using the linear mixed model approach. We assume different between-study variances instead of constant between-study variances. The simulation of this study focuses on the performance of meta-analyses with small sample sizes. We compared our proposed estimator under two different expressions ([Formula: see text], and [Formula: see text]) with the best estimator nominated from previous studies to determine which one is the best performance. Based on the findings, our estimator ([Formula: see text]) was better for estimating between-study variance.</description><subject>Bias</subject><subject>Computer Simulation</subject><subject>Data mining</subject><subject>Dispersion measures (Statistics)</subject><subject>Environmental effects</subject><subject>Error analysis</subject><subject>Estimates</subject><subject>Estimators</subject><subject>Evaluation</subject><subject>Heterogeneity</subject><subject>Humans</subject><subject>Meta-analysis</subject><subject>Meta-Analysis as Topic</subject><subject>Models, Statistical</subject><subject>Physical Sciences</subject><subject>Population studies</subject><subject>Random variables</subject><subject>Research and Analysis Methods</subject><subject>Sample Size</subject><subject>Statistical analysis</subject><subject>Variance</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNqNk02P0zAQhiMEYpeFf4AgEhKCQ4s_Esc5oWrFR6WVVuLrwMWaxJPWVWp3bWeX8utxaXfVoD2gHBzNPPPa89qTZc8pmVJe0XcrN3gL_XTjLE4JJ1Iw-SA7pTVnE8EIf3j0f5I9CWFFSMmlEI-zE14Xsqyq6jT7Ocst3uQYollDdD53Xd5gvEG0eYiD3ubX4A3YFneZEMFq8Nr8Rp2vEWyuTdehx13e2BSKMIF0qm0w4Wn2qIM-4LPDepZ9__jh2_nnycXlp_n57GLSlhWLk1oWRHJRiqagtZTYNY2sWgAmJGIlGJWguSSNkIS2bSOwBM0YpS0VRGrK-Fn2cq-76V1QB1uC4inFkgGyTsR8T2gHK7XxqVW_VQ6M-htwfqHAR9P2qCqJogbKNCesqLWWUBZFLRvelFCX0CWt94fdhmaNukUbPfQj0XHGmqVauGtFacnTDZRJ4c1BwburITmv1ia02Pdg0Q37g3NR1bxK6Kt_0PvbO1ALSB0Y27m0cbsTVTNJi0IIxkmipvdQ6dO4Nm16RJ1J8VHB21FBYiL-igsYQlDzr1_-n738MWZfH7FLhD4ug-uHaJwNY7DYg613IXjs7lymRO1m4NYNtZsBdZiBVPbi-Ibuim4fPf8DODoANQ</recordid><startdate>20241101</startdate><enddate>20241101</enddate><creator>Albayyat, Ramlah H</creator><creator>Aljohani, Hajar S</creator><creator>Alnagar, Dalia K</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</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>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</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>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0009-0005-5107-133X</orcidid></search><sort><creationdate>20241101</creationdate><title>A new estimator of between study variance of standardized mean difference in meta-analysis</title><author>Albayyat, Ramlah H ; Aljohani, Hajar S ; Alnagar, Dalia K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c572t-984083656b41988efbb87caa268ee76218ad380b6801ccb6e5ad2211c1608d123</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Bias</topic><topic>Computer Simulation</topic><topic>Data mining</topic><topic>Dispersion measures (Statistics)</topic><topic>Environmental effects</topic><topic>Error analysis</topic><topic>Estimates</topic><topic>Estimators</topic><topic>Evaluation</topic><topic>Heterogeneity</topic><topic>Humans</topic><topic>Meta-analysis</topic><topic>Meta-Analysis as Topic</topic><topic>Models, Statistical</topic><topic>Physical Sciences</topic><topic>Population studies</topic><topic>Random variables</topic><topic>Research and Analysis Methods</topic><topic>Sample Size</topic><topic>Statistical analysis</topic><topic>Variance</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Albayyat, Ramlah H</creatorcontrib><creatorcontrib>Aljohani, Hajar S</creatorcontrib><creatorcontrib>Alnagar, Dalia K</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing &amp; Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological &amp; Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</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>Materials Science &amp; Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies &amp; Aerospace Collection</collection><collection>Agricultural &amp; Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</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</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Meteorological &amp; Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Advanced Technologies &amp; Aerospace Database</collection><collection>ProQuest Advanced Technologies &amp; Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</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>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Albayyat, Ramlah H</au><au>Aljohani, Hajar S</au><au>Alnagar, Dalia K</au><au>Verma, Med Ram</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A new estimator of between study variance of standardized mean difference in meta-analysis</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2024-11-01</date><risdate>2024</risdate><volume>19</volume><issue>11</issue><spage>e0308628</spage><pages>e0308628-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Meta-analysis is a statistical technique that combines the results of different environmental experiments regarding the populations, location, time, and so on. These results will differ more than the within-study variance, and the true effects being evaluated differ between studies. Thus, heterogeneity is present and should be measured. There are different estimators that were introduced to estimate between-study variance, which has received a lot of criticism from previous researchers. All of the estimators encountered the same problem, which was the correlation. To minimize the potential biases caused by interventions between the three estimators (i.e., overall effect size, within-study variance, and between-study variance), we proposed a new measure of heterogeneity known as the Environmental Effect Ratio (EER), the treatment-by-lab variability relative to the experimental error, under individual participant data (IPD) using the linear mixed model approach. We assume different between-study variances instead of constant between-study variances. The simulation of this study focuses on the performance of meta-analyses with small sample sizes. We compared our proposed estimator under two different expressions ([Formula: see text], and [Formula: see text]) with the best estimator nominated from previous studies to determine which one is the best performance. Based on the findings, our estimator ([Formula: see text]) was better for estimating between-study variance.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>39485777</pmid><doi>10.1371/journal.pone.0308628</doi><tpages>e0308628</tpages><orcidid>https://orcid.org/0009-0005-5107-133X</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1932-6203
ispartof PloS one, 2024-11, Vol.19 (11), p.e0308628
issn 1932-6203
1932-6203
language eng
recordid cdi_plos_journals_3123293289
source MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry; Public Library of Science (PLoS)
subjects Bias
Computer Simulation
Data mining
Dispersion measures (Statistics)
Environmental effects
Error analysis
Estimates
Estimators
Evaluation
Heterogeneity
Humans
Meta-analysis
Meta-Analysis as Topic
Models, Statistical
Physical Sciences
Population studies
Random variables
Research and Analysis Methods
Sample Size
Statistical analysis
Variance
title A new estimator of between study variance of standardized mean difference in meta-analysis
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-27T22%3A12%3A28IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20new%20estimator%20of%20between%20study%20variance%20of%20standardized%20mean%20difference%20in%20meta-analysis&rft.jtitle=PloS%20one&rft.au=Albayyat,%20Ramlah%20H&rft.date=2024-11-01&rft.volume=19&rft.issue=11&rft.spage=e0308628&rft.pages=e0308628-&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0308628&rft_dat=%3Cgale_plos_%3EA814466230%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3123293289&rft_id=info:pmid/39485777&rft_galeid=A814466230&rft_doaj_id=oai_doaj_org_article_78e69a12d30249dd8a54498b3b5a95af&rfr_iscdi=true