Probabilistic evaluation of integrating resource recovery into wastewater treatment to improve environmental sustainability

Significance Conventional methods used in wastewater treatment plants (WWTPs) emphasizing removal of detrimental substances from wastewater are essential for protection of the aquatic environment and public health. However, they are associated with costs in terms of environmental problem shifting, s...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Proceedings of the National Academy of Sciences - PNAS 2015-02, Vol.112 (5), p.1630-1635
Hauptverfasser: Wang, Xu, McCarty, Perry L., Liu, Junxin, Ren, Nan-Qi, Lee, Duu-Jong, Yu, Han-Qing, Qian, Yi, Qu, Jiuhui
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 1635
container_issue 5
container_start_page 1630
container_title Proceedings of the National Academy of Sciences - PNAS
container_volume 112
creator Wang, Xu
McCarty, Perry L.
Liu, Junxin
Ren, Nan-Qi
Lee, Duu-Jong
Yu, Han-Qing
Qian, Yi
Qu, Jiuhui
description Significance Conventional methods used in wastewater treatment plants (WWTPs) emphasizing removal of detrimental substances from wastewater are essential for protection of the aquatic environment and public health. However, they are associated with costs in terms of environmental problem shifting, such as energy consumption, solid waste production, and greenhouse gas emissions. An improved approach involving wastewater-derived resource recovery in WWTPs is recognized as one potential solution. However, the environmental impacts and benefits of such a substantial change remain uncertain. We conducted an integrated assessment of the net environmental benefits of this transition in WWTPs for more than 50 individual countries to determine how best to update current methods of wastewater treatment and facilitate sustainable WWTPs in various parts of the world. Global expectations for wastewater service infrastructure have evolved over time, and the standard treatment methods used by wastewater treatment plants (WWTPs) are facing issues related to problem shifting due to the current emphasis on sustainability. A transition in WWTPs toward reuse of wastewater-derived resources is recognized as a promising solution for overcoming these obstacles. However, it remains uncertain whether this approach can reduce the environmental footprint of WWTPs. To test this hypothesis, we conducted a net environmental benefit calculation for several scenarios for more than 50 individual countries over a 20-y time frame. For developed countries, the resource recovery approach resulted in ∼154% net increase in the environmental performance of WWTPs compared with the traditional substance elimination approach, whereas this value decreased to ∼60% for developing countries. Subsequently, we conducted a probabilistic analysis integrating these estimates with national values and determined that, if this transition was attempted for WWTPs in developed countries, it would have a ∼65% probability of attaining net environmental benefits. However, this estimate decreased greatly to ∼10% for developing countries, implying a substantial risk of failure. These results suggest that implementation of this transition for WWTPs should be studied carefully in different temporal and spatial contexts. Developing countries should customize their approach to realizing more sustainable WWTPs, rather than attempting to simply replicate the successful models of developed countries. Results derived from the
doi_str_mv 10.1073/pnas.1410715112
format Article
fullrecord <record><control><sourceid>jstor_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_1803115408</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><jstor_id>26461457</jstor_id><sourcerecordid>26461457</sourcerecordid><originalsourceid>FETCH-LOGICAL-c556t-1be30e7d4dbd617ecd8bd8242300bf9c7ecff66d91c575c30b945f29636521c13</originalsourceid><addsrcrecordid>eNqNkk1v1DAQhiMEotvCmRMQqRcuaWf8leRSCVV8SZVAgp4tx3EWr7L2YjtbrfjzON2yLVzg5PHM43fGM1MULxDOEGp6vnEqniHLNnJE8qhYILRYCdbC42IBQOqqYYQdFccxrgCg5Q08LY4IF8Cbhi2Kn1-C71RnRxuT1aXZqnFSyXpX-qG0LpllyFe3LIOJfgraZEP7rQm7OerLGxWTuVHJhDIFo9LauFRmv11vQsZK47Y2eDe71VjGKSZl3W2-tHtWPBnUGM3zu_OkuH7_7tvlx-rq84dPl2-vKs25SBV2hoKpe9Z3vcDa6L7p-oYwQgG6odXZMwxC9C1qXnNNoWsZH0grqOAENdKT4mKvu5m6tel1riWoUW6CXauwk15Z-WfE2e9y6beSUYJEzAJv7gSC_zGZmOTaRm3GUTnjpyixAYrIGTT_RoUAlgfB4D9QThhjwGf09C90lYfhctNuqbpu64Zm6nxP6eBjDGY4fBFBzusi53WR9-uSX7x62JkD_3s_HgDzy4McEslzZjpX9nIPrGLy4V5AMIGM1zn-eh8flJdqGWyU118JoABA1rS0pr8AVUfb1A</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1652779783</pqid></control><display><type>article</type><title>Probabilistic evaluation of integrating resource recovery into wastewater treatment to improve environmental sustainability</title><source>Jstor Complete Legacy</source><source>MEDLINE</source><source>Full-Text Journals in Chemistry (Open access)</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Wang, Xu ; McCarty, Perry L. ; Liu, Junxin ; Ren, Nan-Qi ; Lee, Duu-Jong ; Yu, Han-Qing ; Qian, Yi ; Qu, Jiuhui</creator><creatorcontrib>Wang, Xu ; McCarty, Perry L. ; Liu, Junxin ; Ren, Nan-Qi ; Lee, Duu-Jong ; Yu, Han-Qing ; Qian, Yi ; Qu, Jiuhui</creatorcontrib><description>Significance Conventional methods used in wastewater treatment plants (WWTPs) emphasizing removal of detrimental substances from wastewater are essential for protection of the aquatic environment and public health. However, they are associated with costs in terms of environmental problem shifting, such as energy consumption, solid waste production, and greenhouse gas emissions. An improved approach involving wastewater-derived resource recovery in WWTPs is recognized as one potential solution. However, the environmental impacts and benefits of such a substantial change remain uncertain. We conducted an integrated assessment of the net environmental benefits of this transition in WWTPs for more than 50 individual countries to determine how best to update current methods of wastewater treatment and facilitate sustainable WWTPs in various parts of the world. Global expectations for wastewater service infrastructure have evolved over time, and the standard treatment methods used by wastewater treatment plants (WWTPs) are facing issues related to problem shifting due to the current emphasis on sustainability. A transition in WWTPs toward reuse of wastewater-derived resources is recognized as a promising solution for overcoming these obstacles. However, it remains uncertain whether this approach can reduce the environmental footprint of WWTPs. To test this hypothesis, we conducted a net environmental benefit calculation for several scenarios for more than 50 individual countries over a 20-y time frame. For developed countries, the resource recovery approach resulted in ∼154% net increase in the environmental performance of WWTPs compared with the traditional substance elimination approach, whereas this value decreased to ∼60% for developing countries. Subsequently, we conducted a probabilistic analysis integrating these estimates with national values and determined that, if this transition was attempted for WWTPs in developed countries, it would have a ∼65% probability of attaining net environmental benefits. However, this estimate decreased greatly to ∼10% for developing countries, implying a substantial risk of failure. These results suggest that implementation of this transition for WWTPs should be studied carefully in different temporal and spatial contexts. Developing countries should customize their approach to realizing more sustainable WWTPs, rather than attempting to simply replicate the successful models of developed countries. Results derived from the model forecasting highlight the role of bioenergy generation and reduced use of chemicals in improving the sustainability of WWTPs in developing countries.</description><identifier>ISSN: 0027-8424</identifier><identifier>EISSN: 1091-6490</identifier><identifier>DOI: 10.1073/pnas.1410715112</identifier><identifier>PMID: 25605884</identifier><language>eng</language><publisher>United States: National Academy of Sciences</publisher><subject>aquatic environment ; Biological Sciences ; Developing countries ; ecosystem services ; energy ; environmental impact ; greenhouse gas emissions ; Infrastructure ; LDCs ; Probability ; public health ; Social Sciences ; solid wastes ; Sustainable development ; Waste Water ; wastewater ; wastewater treatment ; Water Purification ; Water treatment</subject><ispartof>Proceedings of the National Academy of Sciences - PNAS, 2015-02, Vol.112 (5), p.1630-1635</ispartof><rights>Volumes 1–89 and 106–112, copyright as a collective work only; author(s) retains copyright to individual articles</rights><rights>Copyright National Academy of Sciences Feb 3, 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c556t-1be30e7d4dbd617ecd8bd8242300bf9c7ecff66d91c575c30b945f29636521c13</citedby><cites>FETCH-LOGICAL-c556t-1be30e7d4dbd617ecd8bd8242300bf9c7ecff66d91c575c30b945f29636521c13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Uhttp://www.pnas.org/content/112/5.cover.gif</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/26461457$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/26461457$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,723,776,780,799,881,27901,27902,53766,53768,57992,58225</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25605884$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, Xu</creatorcontrib><creatorcontrib>McCarty, Perry L.</creatorcontrib><creatorcontrib>Liu, Junxin</creatorcontrib><creatorcontrib>Ren, Nan-Qi</creatorcontrib><creatorcontrib>Lee, Duu-Jong</creatorcontrib><creatorcontrib>Yu, Han-Qing</creatorcontrib><creatorcontrib>Qian, Yi</creatorcontrib><creatorcontrib>Qu, Jiuhui</creatorcontrib><title>Probabilistic evaluation of integrating resource recovery into wastewater treatment to improve environmental sustainability</title><title>Proceedings of the National Academy of Sciences - PNAS</title><addtitle>Proc Natl Acad Sci U S A</addtitle><description>Significance Conventional methods used in wastewater treatment plants (WWTPs) emphasizing removal of detrimental substances from wastewater are essential for protection of the aquatic environment and public health. However, they are associated with costs in terms of environmental problem shifting, such as energy consumption, solid waste production, and greenhouse gas emissions. An improved approach involving wastewater-derived resource recovery in WWTPs is recognized as one potential solution. However, the environmental impacts and benefits of such a substantial change remain uncertain. We conducted an integrated assessment of the net environmental benefits of this transition in WWTPs for more than 50 individual countries to determine how best to update current methods of wastewater treatment and facilitate sustainable WWTPs in various parts of the world. Global expectations for wastewater service infrastructure have evolved over time, and the standard treatment methods used by wastewater treatment plants (WWTPs) are facing issues related to problem shifting due to the current emphasis on sustainability. A transition in WWTPs toward reuse of wastewater-derived resources is recognized as a promising solution for overcoming these obstacles. However, it remains uncertain whether this approach can reduce the environmental footprint of WWTPs. To test this hypothesis, we conducted a net environmental benefit calculation for several scenarios for more than 50 individual countries over a 20-y time frame. For developed countries, the resource recovery approach resulted in ∼154% net increase in the environmental performance of WWTPs compared with the traditional substance elimination approach, whereas this value decreased to ∼60% for developing countries. Subsequently, we conducted a probabilistic analysis integrating these estimates with national values and determined that, if this transition was attempted for WWTPs in developed countries, it would have a ∼65% probability of attaining net environmental benefits. However, this estimate decreased greatly to ∼10% for developing countries, implying a substantial risk of failure. These results suggest that implementation of this transition for WWTPs should be studied carefully in different temporal and spatial contexts. Developing countries should customize their approach to realizing more sustainable WWTPs, rather than attempting to simply replicate the successful models of developed countries. Results derived from the model forecasting highlight the role of bioenergy generation and reduced use of chemicals in improving the sustainability of WWTPs in developing countries.</description><subject>aquatic environment</subject><subject>Biological Sciences</subject><subject>Developing countries</subject><subject>ecosystem services</subject><subject>energy</subject><subject>environmental impact</subject><subject>greenhouse gas emissions</subject><subject>Infrastructure</subject><subject>LDCs</subject><subject>Probability</subject><subject>public health</subject><subject>Social Sciences</subject><subject>solid wastes</subject><subject>Sustainable development</subject><subject>Waste Water</subject><subject>wastewater</subject><subject>wastewater treatment</subject><subject>Water Purification</subject><subject>Water treatment</subject><issn>0027-8424</issn><issn>1091-6490</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkk1v1DAQhiMEotvCmRMQqRcuaWf8leRSCVV8SZVAgp4tx3EWr7L2YjtbrfjzON2yLVzg5PHM43fGM1MULxDOEGp6vnEqniHLNnJE8qhYILRYCdbC42IBQOqqYYQdFccxrgCg5Q08LY4IF8Cbhi2Kn1-C71RnRxuT1aXZqnFSyXpX-qG0LpllyFe3LIOJfgraZEP7rQm7OerLGxWTuVHJhDIFo9LauFRmv11vQsZK47Y2eDe71VjGKSZl3W2-tHtWPBnUGM3zu_OkuH7_7tvlx-rq84dPl2-vKs25SBV2hoKpe9Z3vcDa6L7p-oYwQgG6odXZMwxC9C1qXnNNoWsZH0grqOAENdKT4mKvu5m6tel1riWoUW6CXauwk15Z-WfE2e9y6beSUYJEzAJv7gSC_zGZmOTaRm3GUTnjpyixAYrIGTT_RoUAlgfB4D9QThhjwGf09C90lYfhctNuqbpu64Zm6nxP6eBjDGY4fBFBzusi53WR9-uSX7x62JkD_3s_HgDzy4McEslzZjpX9nIPrGLy4V5AMIGM1zn-eh8flJdqGWyU118JoABA1rS0pr8AVUfb1A</recordid><startdate>20150203</startdate><enddate>20150203</enddate><creator>Wang, Xu</creator><creator>McCarty, Perry L.</creator><creator>Liu, Junxin</creator><creator>Ren, Nan-Qi</creator><creator>Lee, Duu-Jong</creator><creator>Yu, Han-Qing</creator><creator>Qian, Yi</creator><creator>Qu, Jiuhui</creator><general>National Academy of Sciences</general><general>National Acad Sciences</general><scope>FBQ</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>7QG</scope><scope>7QL</scope><scope>7QP</scope><scope>7QR</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TK</scope><scope>7TM</scope><scope>7TO</scope><scope>7U9</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>M7N</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope><scope>7ST</scope><scope>7U1</scope><scope>7U2</scope><scope>7U6</scope><scope>SOI</scope><scope>7S9</scope><scope>L.6</scope><scope>5PM</scope></search><sort><creationdate>20150203</creationdate><title>Probabilistic evaluation of integrating resource recovery into wastewater treatment to improve environmental sustainability</title><author>Wang, Xu ; McCarty, Perry L. ; Liu, Junxin ; Ren, Nan-Qi ; Lee, Duu-Jong ; Yu, Han-Qing ; Qian, Yi ; Qu, Jiuhui</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c556t-1be30e7d4dbd617ecd8bd8242300bf9c7ecff66d91c575c30b945f29636521c13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>aquatic environment</topic><topic>Biological Sciences</topic><topic>Developing countries</topic><topic>ecosystem services</topic><topic>energy</topic><topic>environmental impact</topic><topic>greenhouse gas emissions</topic><topic>Infrastructure</topic><topic>LDCs</topic><topic>Probability</topic><topic>public health</topic><topic>Social Sciences</topic><topic>solid wastes</topic><topic>Sustainable development</topic><topic>Waste Water</topic><topic>wastewater</topic><topic>wastewater treatment</topic><topic>Water Purification</topic><topic>Water treatment</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Xu</creatorcontrib><creatorcontrib>McCarty, Perry L.</creatorcontrib><creatorcontrib>Liu, Junxin</creatorcontrib><creatorcontrib>Ren, Nan-Qi</creatorcontrib><creatorcontrib>Lee, Duu-Jong</creatorcontrib><creatorcontrib>Yu, Han-Qing</creatorcontrib><creatorcontrib>Qian, Yi</creatorcontrib><creatorcontrib>Qu, Jiuhui</creatorcontrib><collection>AGRIS</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Chemoreception Abstracts</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>Environment Abstracts</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Sustainability Science Abstracts</collection><collection>Environment Abstracts</collection><collection>AGRICOLA</collection><collection>AGRICOLA - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Proceedings of the National Academy of Sciences - PNAS</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Xu</au><au>McCarty, Perry L.</au><au>Liu, Junxin</au><au>Ren, Nan-Qi</au><au>Lee, Duu-Jong</au><au>Yu, Han-Qing</au><au>Qian, Yi</au><au>Qu, Jiuhui</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Probabilistic evaluation of integrating resource recovery into wastewater treatment to improve environmental sustainability</atitle><jtitle>Proceedings of the National Academy of Sciences - PNAS</jtitle><addtitle>Proc Natl Acad Sci U S A</addtitle><date>2015-02-03</date><risdate>2015</risdate><volume>112</volume><issue>5</issue><spage>1630</spage><epage>1635</epage><pages>1630-1635</pages><issn>0027-8424</issn><eissn>1091-6490</eissn><abstract>Significance Conventional methods used in wastewater treatment plants (WWTPs) emphasizing removal of detrimental substances from wastewater are essential for protection of the aquatic environment and public health. However, they are associated with costs in terms of environmental problem shifting, such as energy consumption, solid waste production, and greenhouse gas emissions. An improved approach involving wastewater-derived resource recovery in WWTPs is recognized as one potential solution. However, the environmental impacts and benefits of such a substantial change remain uncertain. We conducted an integrated assessment of the net environmental benefits of this transition in WWTPs for more than 50 individual countries to determine how best to update current methods of wastewater treatment and facilitate sustainable WWTPs in various parts of the world. Global expectations for wastewater service infrastructure have evolved over time, and the standard treatment methods used by wastewater treatment plants (WWTPs) are facing issues related to problem shifting due to the current emphasis on sustainability. A transition in WWTPs toward reuse of wastewater-derived resources is recognized as a promising solution for overcoming these obstacles. However, it remains uncertain whether this approach can reduce the environmental footprint of WWTPs. To test this hypothesis, we conducted a net environmental benefit calculation for several scenarios for more than 50 individual countries over a 20-y time frame. For developed countries, the resource recovery approach resulted in ∼154% net increase in the environmental performance of WWTPs compared with the traditional substance elimination approach, whereas this value decreased to ∼60% for developing countries. Subsequently, we conducted a probabilistic analysis integrating these estimates with national values and determined that, if this transition was attempted for WWTPs in developed countries, it would have a ∼65% probability of attaining net environmental benefits. However, this estimate decreased greatly to ∼10% for developing countries, implying a substantial risk of failure. These results suggest that implementation of this transition for WWTPs should be studied carefully in different temporal and spatial contexts. Developing countries should customize their approach to realizing more sustainable WWTPs, rather than attempting to simply replicate the successful models of developed countries. Results derived from the model forecasting highlight the role of bioenergy generation and reduced use of chemicals in improving the sustainability of WWTPs in developing countries.</abstract><cop>United States</cop><pub>National Academy of Sciences</pub><pmid>25605884</pmid><doi>10.1073/pnas.1410715112</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0027-8424
ispartof Proceedings of the National Academy of Sciences - PNAS, 2015-02, Vol.112 (5), p.1630-1635
issn 0027-8424
1091-6490
language eng
recordid cdi_proquest_miscellaneous_1803115408
source Jstor Complete Legacy; MEDLINE; Full-Text Journals in Chemistry (Open access); PubMed Central; Alma/SFX Local Collection
subjects aquatic environment
Biological Sciences
Developing countries
ecosystem services
energy
environmental impact
greenhouse gas emissions
Infrastructure
LDCs
Probability
public health
Social Sciences
solid wastes
Sustainable development
Waste Water
wastewater
wastewater treatment
Water Purification
Water treatment
title Probabilistic evaluation of integrating resource recovery into wastewater treatment to improve environmental sustainability
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-11T21%3A41%3A13IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-jstor_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Probabilistic%20evaluation%20of%20integrating%20resource%20recovery%20into%20wastewater%20treatment%20to%20improve%20environmental%20sustainability&rft.jtitle=Proceedings%20of%20the%20National%20Academy%20of%20Sciences%20-%20PNAS&rft.au=Wang,%20Xu&rft.date=2015-02-03&rft.volume=112&rft.issue=5&rft.spage=1630&rft.epage=1635&rft.pages=1630-1635&rft.issn=0027-8424&rft.eissn=1091-6490&rft_id=info:doi/10.1073/pnas.1410715112&rft_dat=%3Cjstor_proqu%3E26461457%3C/jstor_proqu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1652779783&rft_id=info:pmid/25605884&rft_jstor_id=26461457&rfr_iscdi=true