Bone regeneration with glass ceramic implants and calcium phosphate cements in a rabbit cranial defect model

Hydroxyapatite cement (BoneSource®) and brushite calcium phosphate cement (chronOS™ Inject) were tested for fixation of glass ceramic implants (Bioverit®) in experimentally created cranial defects in 24 adult New Zealand White rabbits. Aim of the in vivo study was to assess and compare the biocompat...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Journal of materials science. Materials in medicine 2010-10, Vol.21 (10), p.2853-2859
Hauptverfasser: Schneider, Gerlind, Blechschmidt, Karin, Linde, Dirk, Litschko, Peter, Körbs, Thomas, Beleites, Eggert
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 2859
container_issue 10
container_start_page 2853
container_title Journal of materials science. Materials in medicine
container_volume 21
creator Schneider, Gerlind
Blechschmidt, Karin
Linde, Dirk
Litschko, Peter
Körbs, Thomas
Beleites, Eggert
description Hydroxyapatite cement (BoneSource®) and brushite calcium phosphate cement (chronOS™ Inject) were tested for fixation of glass ceramic implants (Bioverit®) in experimentally created cranial defects in 24 adult New Zealand White rabbits. Aim of the in vivo study was to assess and compare the biocompatibility and osseointegration of the implanted materials. Macroscopic and histological evaluations were performed 1 month, 3 months, and 6 months postoperatively. All implanted materials were well tolerated by the surrounding tissue. Both bone cements exhibited osteoconductive properties. Differences could be detected regarding to the rates of cement resorption and new bone formation. The brushite cement was resorbed faster than the hydroxyapatite cement. The chronOS™ Inject samples exhibited a higher rate of connective tissue formation and an insufficient osseointegration. BoneSource® was replaced by bone with minimal invasion of connective tissue. New bone formation occurred faster compared to the chronOS™ Inject group. Bioverit® implants fixed with BoneSource® were successfully osseointegrated.
doi_str_mv 10.1007/s10856-010-4143-0
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_807434886</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2192517191</sourcerecordid><originalsourceid>FETCH-LOGICAL-c368t-13cadd0f18cd08560245fed432c8edd1f1891da65740be9da77ac62df1adf2733</originalsourceid><addsrcrecordid>eNp1kE1v1DAQhi1URLcfP4ALsipxDIxjO3GObQUUqRIXOFuz9mTXVeIEO6uKf4-jXeipJ0ue552Ph7H3Aj4JgPZzFmB0U4GASgklK3jDNkK3slJGmjO2gU63ldISztlFzk8AoDqt37HzuuS6RusNG-6mSDzRjiIlXMIU-XNY9nw3YM7clb8xOB7GecC4ZI7Rc4eDC4eRz_spz3tcqGAjrdUQOfKE221YuEsYAw7cU09u4ePkabhib3scMl2f3kv26-uXn_cP1eOPb9_vbx8rJxuzVEI69B56YZxfD4Ra6Z68krUz5L0ohU54bHSrYEudx7ZF19S-F-j7upXykt0c-85p-n2gvNin6ZBiGWkNtEoqY5oCiSPk0pRzot7OKYyY_lgBdtVrj3pt0WtXvRZK5sOp8WE7kv-f-OezAB9PAObiqS8SXMgvnCxHNPXK1Ucul1LcUXrZ8PXpfwEwbpN4</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>807434886</pqid></control><display><type>article</type><title>Bone regeneration with glass ceramic implants and calcium phosphate cements in a rabbit cranial defect model</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Schneider, Gerlind ; Blechschmidt, Karin ; Linde, Dirk ; Litschko, Peter ; Körbs, Thomas ; Beleites, Eggert</creator><creatorcontrib>Schneider, Gerlind ; Blechschmidt, Karin ; Linde, Dirk ; Litschko, Peter ; Körbs, Thomas ; Beleites, Eggert</creatorcontrib><description>Hydroxyapatite cement (BoneSource®) and brushite calcium phosphate cement (chronOS™ Inject) were tested for fixation of glass ceramic implants (Bioverit®) in experimentally created cranial defects in 24 adult New Zealand White rabbits. Aim of the in vivo study was to assess and compare the biocompatibility and osseointegration of the implanted materials. Macroscopic and histological evaluations were performed 1 month, 3 months, and 6 months postoperatively. All implanted materials were well tolerated by the surrounding tissue. Both bone cements exhibited osteoconductive properties. Differences could be detected regarding to the rates of cement resorption and new bone formation. The brushite cement was resorbed faster than the hydroxyapatite cement. The chronOS™ Inject samples exhibited a higher rate of connective tissue formation and an insufficient osseointegration. BoneSource® was replaced by bone with minimal invasion of connective tissue. New bone formation occurred faster compared to the chronOS™ Inject group. Bioverit® implants fixed with BoneSource® were successfully osseointegrated.</description><identifier>ISSN: 0957-4530</identifier><identifier>EISSN: 1573-4838</identifier><identifier>DOI: 10.1007/s10856-010-4143-0</identifier><identifier>PMID: 20859655</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Adhesives ; Animals ; Biocompatible Materials ; Biological and medical sciences ; Biomaterials ; Biomedical Engineering and Bioengineering ; Biomedical materials ; Bone Cements - chemistry ; Bone Regeneration ; Bone Substitutes - chemistry ; Calcium Phosphates - chemistry ; Ceramics ; Ceramics - chemistry ; Chemistry and Materials Science ; Composites ; Female ; Glass ; Glass - chemistry ; Hydroxyapatites ; Materials Science ; Materials Testing ; Medical sciences ; Models, Animal ; Natural Materials ; Orthopedic surgery ; Osseointegration ; Polymer Sciences ; Rabbits ; Regenerative Medicine/Tissue Engineering ; Skull - surgery ; Surfaces and Interfaces ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Technology. Biomaterials. Equipments ; Thin Films</subject><ispartof>Journal of materials science. Materials in medicine, 2010-10, Vol.21 (10), p.2853-2859</ispartof><rights>Springer Science+Business Media, LLC 2010</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c368t-13cadd0f18cd08560245fed432c8edd1f1891da65740be9da77ac62df1adf2733</citedby><cites>FETCH-LOGICAL-c368t-13cadd0f18cd08560245fed432c8edd1f1891da65740be9da77ac62df1adf2733</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10856-010-4143-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10856-010-4143-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=23432625$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20859655$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schneider, Gerlind</creatorcontrib><creatorcontrib>Blechschmidt, Karin</creatorcontrib><creatorcontrib>Linde, Dirk</creatorcontrib><creatorcontrib>Litschko, Peter</creatorcontrib><creatorcontrib>Körbs, Thomas</creatorcontrib><creatorcontrib>Beleites, Eggert</creatorcontrib><title>Bone regeneration with glass ceramic implants and calcium phosphate cements in a rabbit cranial defect model</title><title>Journal of materials science. Materials in medicine</title><addtitle>J Mater Sci: Mater Med</addtitle><addtitle>J Mater Sci Mater Med</addtitle><description>Hydroxyapatite cement (BoneSource®) and brushite calcium phosphate cement (chronOS™ Inject) were tested for fixation of glass ceramic implants (Bioverit®) in experimentally created cranial defects in 24 adult New Zealand White rabbits. Aim of the in vivo study was to assess and compare the biocompatibility and osseointegration of the implanted materials. Macroscopic and histological evaluations were performed 1 month, 3 months, and 6 months postoperatively. All implanted materials were well tolerated by the surrounding tissue. Both bone cements exhibited osteoconductive properties. Differences could be detected regarding to the rates of cement resorption and new bone formation. The brushite cement was resorbed faster than the hydroxyapatite cement. The chronOS™ Inject samples exhibited a higher rate of connective tissue formation and an insufficient osseointegration. BoneSource® was replaced by bone with minimal invasion of connective tissue. New bone formation occurred faster compared to the chronOS™ Inject group. Bioverit® implants fixed with BoneSource® were successfully osseointegrated.</description><subject>Adhesives</subject><subject>Animals</subject><subject>Biocompatible Materials</subject><subject>Biological and medical sciences</subject><subject>Biomaterials</subject><subject>Biomedical Engineering and Bioengineering</subject><subject>Biomedical materials</subject><subject>Bone Cements - chemistry</subject><subject>Bone Regeneration</subject><subject>Bone Substitutes - chemistry</subject><subject>Calcium Phosphates - chemistry</subject><subject>Ceramics</subject><subject>Ceramics - chemistry</subject><subject>Chemistry and Materials Science</subject><subject>Composites</subject><subject>Female</subject><subject>Glass</subject><subject>Glass - chemistry</subject><subject>Hydroxyapatites</subject><subject>Materials Science</subject><subject>Materials Testing</subject><subject>Medical sciences</subject><subject>Models, Animal</subject><subject>Natural Materials</subject><subject>Orthopedic surgery</subject><subject>Osseointegration</subject><subject>Polymer Sciences</subject><subject>Rabbits</subject><subject>Regenerative Medicine/Tissue Engineering</subject><subject>Skull - surgery</subject><subject>Surfaces and Interfaces</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Technology. Biomaterials. Equipments</subject><subject>Thin Films</subject><issn>0957-4530</issn><issn>1573-4838</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kE1v1DAQhi1URLcfP4ALsipxDIxjO3GObQUUqRIXOFuz9mTXVeIEO6uKf4-jXeipJ0ue552Ph7H3Aj4JgPZzFmB0U4GASgklK3jDNkK3slJGmjO2gU63ldISztlFzk8AoDqt37HzuuS6RusNG-6mSDzRjiIlXMIU-XNY9nw3YM7clb8xOB7GecC4ZI7Rc4eDC4eRz_spz3tcqGAjrdUQOfKE221YuEsYAw7cU09u4ePkabhib3scMl2f3kv26-uXn_cP1eOPb9_vbx8rJxuzVEI69B56YZxfD4Ra6Z68krUz5L0ohU54bHSrYEudx7ZF19S-F-j7upXykt0c-85p-n2gvNin6ZBiGWkNtEoqY5oCiSPk0pRzot7OKYyY_lgBdtVrj3pt0WtXvRZK5sOp8WE7kv-f-OezAB9PAObiqS8SXMgvnCxHNPXK1Ucul1LcUXrZ8PXpfwEwbpN4</recordid><startdate>20101001</startdate><enddate>20101001</enddate><creator>Schneider, Gerlind</creator><creator>Blechschmidt, Karin</creator><creator>Linde, Dirk</creator><creator>Litschko, Peter</creator><creator>Körbs, Thomas</creator><creator>Beleites, Eggert</creator><general>Springer US</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</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>7QF</scope><scope>7QO</scope><scope>7QQ</scope><scope>7SC</scope><scope>7SE</scope><scope>7SP</scope><scope>7SR</scope><scope>7TA</scope><scope>7TB</scope><scope>7U5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AO</scope><scope>8BQ</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>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>F28</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H8D</scope><scope>H8G</scope><scope>HCIFZ</scope><scope>JG9</scope><scope>JQ2</scope><scope>K9.</scope><scope>KB.</scope><scope>KR7</scope><scope>L7M</scope><scope>LK8</scope><scope>L~C</scope><scope>L~D</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>P64</scope><scope>PDBOC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0W</scope></search><sort><creationdate>20101001</creationdate><title>Bone regeneration with glass ceramic implants and calcium phosphate cements in a rabbit cranial defect model</title><author>Schneider, Gerlind ; Blechschmidt, Karin ; Linde, Dirk ; Litschko, Peter ; Körbs, Thomas ; Beleites, Eggert</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c368t-13cadd0f18cd08560245fed432c8edd1f1891da65740be9da77ac62df1adf2733</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adhesives</topic><topic>Animals</topic><topic>Biocompatible Materials</topic><topic>Biological and medical sciences</topic><topic>Biomaterials</topic><topic>Biomedical Engineering and Bioengineering</topic><topic>Biomedical materials</topic><topic>Bone Cements - chemistry</topic><topic>Bone Regeneration</topic><topic>Bone Substitutes - chemistry</topic><topic>Calcium Phosphates - chemistry</topic><topic>Ceramics</topic><topic>Ceramics - chemistry</topic><topic>Chemistry and Materials Science</topic><topic>Composites</topic><topic>Female</topic><topic>Glass</topic><topic>Glass - chemistry</topic><topic>Hydroxyapatites</topic><topic>Materials Science</topic><topic>Materials Testing</topic><topic>Medical sciences</topic><topic>Models, Animal</topic><topic>Natural Materials</topic><topic>Orthopedic surgery</topic><topic>Osseointegration</topic><topic>Polymer Sciences</topic><topic>Rabbits</topic><topic>Regenerative Medicine/Tissue Engineering</topic><topic>Skull - surgery</topic><topic>Surfaces and Interfaces</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Technology. Biomaterials. Equipments</topic><topic>Thin Films</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schneider, Gerlind</creatorcontrib><creatorcontrib>Blechschmidt, Karin</creatorcontrib><creatorcontrib>Linde, Dirk</creatorcontrib><creatorcontrib>Litschko, Peter</creatorcontrib><creatorcontrib>Körbs, Thomas</creatorcontrib><creatorcontrib>Beleites, Eggert</creatorcontrib><collection>Pascal-Francis</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>Aluminium Industry Abstracts</collection><collection>Biotechnology Research Abstracts</collection><collection>Ceramic Abstracts</collection><collection>Computer and Information Systems Abstracts</collection><collection>Corrosion Abstracts</collection><collection>Electronics &amp; Communications Abstracts</collection><collection>Engineered Materials Abstracts</collection><collection>Materials Business File</collection><collection>Mechanical &amp; Transportation Engineering Abstracts</collection><collection>Solid State and Superconductivity Abstracts</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>METADEX</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 Central UK/Ireland</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>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>ANTE: Abstracts in New Technology &amp; Engineering</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>Aerospace Database</collection><collection>Copper Technical Reference Library</collection><collection>SciTech Premium Collection</collection><collection>Materials Research Database</collection><collection>ProQuest Computer Science Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Civil Engineering Abstracts</collection><collection>Advanced Technologies Database with Aerospace</collection><collection>ProQuest Biological Science Collection</collection><collection>Computer and Information Systems Abstracts – Academic</collection><collection>Computer and Information Systems Abstracts Professional</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Materials Science Collection</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>ProQuest Central Basic</collection><collection>DELNET Engineering &amp; Technology Collection</collection><jtitle>Journal of materials science. Materials in medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schneider, Gerlind</au><au>Blechschmidt, Karin</au><au>Linde, Dirk</au><au>Litschko, Peter</au><au>Körbs, Thomas</au><au>Beleites, Eggert</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bone regeneration with glass ceramic implants and calcium phosphate cements in a rabbit cranial defect model</atitle><jtitle>Journal of materials science. Materials in medicine</jtitle><stitle>J Mater Sci: Mater Med</stitle><addtitle>J Mater Sci Mater Med</addtitle><date>2010-10-01</date><risdate>2010</risdate><volume>21</volume><issue>10</issue><spage>2853</spage><epage>2859</epage><pages>2853-2859</pages><issn>0957-4530</issn><eissn>1573-4838</eissn><abstract>Hydroxyapatite cement (BoneSource®) and brushite calcium phosphate cement (chronOS™ Inject) were tested for fixation of glass ceramic implants (Bioverit®) in experimentally created cranial defects in 24 adult New Zealand White rabbits. Aim of the in vivo study was to assess and compare the biocompatibility and osseointegration of the implanted materials. Macroscopic and histological evaluations were performed 1 month, 3 months, and 6 months postoperatively. All implanted materials were well tolerated by the surrounding tissue. Both bone cements exhibited osteoconductive properties. Differences could be detected regarding to the rates of cement resorption and new bone formation. The brushite cement was resorbed faster than the hydroxyapatite cement. The chronOS™ Inject samples exhibited a higher rate of connective tissue formation and an insufficient osseointegration. BoneSource® was replaced by bone with minimal invasion of connective tissue. New bone formation occurred faster compared to the chronOS™ Inject group. Bioverit® implants fixed with BoneSource® were successfully osseointegrated.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>20859655</pmid><doi>10.1007/s10856-010-4143-0</doi><tpages>7</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0957-4530
ispartof Journal of materials science. Materials in medicine, 2010-10, Vol.21 (10), p.2853-2859
issn 0957-4530
1573-4838
language eng
recordid cdi_proquest_journals_807434886
source MEDLINE; SpringerLink Journals
subjects Adhesives
Animals
Biocompatible Materials
Biological and medical sciences
Biomaterials
Biomedical Engineering and Bioengineering
Biomedical materials
Bone Cements - chemistry
Bone Regeneration
Bone Substitutes - chemistry
Calcium Phosphates - chemistry
Ceramics
Ceramics - chemistry
Chemistry and Materials Science
Composites
Female
Glass
Glass - chemistry
Hydroxyapatites
Materials Science
Materials Testing
Medical sciences
Models, Animal
Natural Materials
Orthopedic surgery
Osseointegration
Polymer Sciences
Rabbits
Regenerative Medicine/Tissue Engineering
Skull - surgery
Surfaces and Interfaces
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Technology. Biomaterials. Equipments
Thin Films
title Bone regeneration with glass ceramic implants and calcium phosphate cements in a rabbit cranial defect model
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-03T00%3A16%3A45IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Bone%20regeneration%20with%20glass%20ceramic%20implants%20and%20calcium%20phosphate%20cements%20in%20a%20rabbit%20cranial%20defect%20model&rft.jtitle=Journal%20of%20materials%20science.%20Materials%20in%20medicine&rft.au=Schneider,%20Gerlind&rft.date=2010-10-01&rft.volume=21&rft.issue=10&rft.spage=2853&rft.epage=2859&rft.pages=2853-2859&rft.issn=0957-4530&rft.eissn=1573-4838&rft_id=info:doi/10.1007/s10856-010-4143-0&rft_dat=%3Cproquest_cross%3E2192517191%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=807434886&rft_id=info:pmid/20859655&rfr_iscdi=true